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PETITION FOR PROBATE Ilnd GRANT OF LETTERS
No, __dl__1J:L~ko~
To:
l::Hale of __"U~~liN-":"IL, .. :I'ONEL"__,_,,
al,\'o known CI,\' _,._.__." """". .'.._________',,,___'
___,__, m,,,,,,uu . u ",,,u__,_,_.,_u,__,' Rcgis"'r of Wills I'or thc
_____u",._,,_,,_, _,.",___. /)('('I'CI,\'('(/, County of .CumIHl,rlll.ll,d,_ In the
80clal 81'('lIrl/,I' No, ,_, 2.9,),,~ 2,6_~.J_9..9..8_uu_.__, Commonwcnllh of Pcnnsylvnnla
Thc petlllon of thc nndcrslgncd rcspcctfully rcprcscuts thut:
Your pctltloucr(s), who is/141<' IK ycars of agc or oldcr nn thc cxccnLu.r '___'m_________ nnmed
In Ihc Inst will of thc nbovc dccl'dcnt. dntcd ",u__"_,_",.",,,_,,~I(LL(:JL~,2..,,_____, 19-2L_
and codlcll(s) dntcd "_.,,, "_.,u._._.",___u_u,__,__.,_____'_m__'''___,_,,,___ '___
('llll~ rckVIIlll drl'lllllSlillll\'\, C.R. rCIlUIlChlllOl1, dcalh of l"(l'ClIlnr! CIC.)
I)ecendent wns domiciled at dCath in ,_--.r:~~e r I and r--' __ Counly, Pcnnsylvanin, wllh
IU~_L,.,__lnst family or prlnclpnl rcsidcncc al __u~Q(J__-"L!_,':..l 0 J.l..,-,!~_a d______
______________h_ __,__ _______u,_flJl1.RP_Q n II b !Ltg.1.....tLJL2 5) .
(IISI 'lrel't, IIlllllher IIlld 11l1lIldpillil\')
Dcccndcnt, then_'y,i,,_m_, yenrs of agc, dicd _._"'___'''_''m_,,!,U}1,~__1,5_u , 19....2i.._,
at _~,h,L,GlulJll!l!U II b uX,g__!\g~"'l'.Lt1!..L,. __._,_ m".,_m.._,_ ..__,,__ ___, .
ExeCI'I as I'ollows, decedent did notml\l'ry, was not divorced and did nol hal'c n child born or adopted
after execution of tbe will offercd for probntc: was nottbc victim of n killing nnd was ncver adjudicated
Incompetenl: ____________,__, .'_U'_u_ ___,_.____,____",___ _,,, __",
Decendent at deatb owncd propcrty wltb cstimlltcd vnlncs as follows:
(II' domiciled In I'a,) All pcrsonnl propcrlY
(If not domiciled in Pa,) Pcrsonal propcrly in Pl'nnsylvanill
(If not dOlniciled In Pa,) Personal propcrlY in County
Value of real estute In Pcnnsylvania
slluated as I'ollows: ___,___,__________,,_____u.
$ 55.000,00
$
$
$
WHEREFORE, petltioncr(s) rcspectfully rcqucst(s) thc probatc 01' the last will and codlcll(s)
presented herewith nnd the grnlll of ICllers__"l,I!1LLlI.wClll,nI.j/,
(IC'iIUlIlclilary; IIdl11lnl'lrnlloll C.l,ll,j ItdmlnlslrAlloll d.b.n.c.l.a,)
theron,
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llERNARD J. TONEY
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OATH (W PERSONAL REPRESENTATIVE
COMMONWEALTH OF I'ENNSYLV ANIA L Sill
COUN'f\' 0Ji _L1LillUUU,AlliL_____ J
The pctltloner(s) lIhovc-Ill'mcd swcar(s) or lIffirm(s) thiltthe statcmclIts In the foregoing petition arc
true and correcttothc hesl of thc knowlcdge and bcllcf of petltloncr(s) 11l1d that as pcrsonal reprcsen-
tativc(s) 01' thc lIhove dcccdcnt pctltioncr(s) WI(Wellnnd truly lId~nlnistcr the cst lite according 10 law,
Sworn 10 or lIffil'1l!cd and SU.bSCrlhCd ~~-':~~?t:.} " ~
bcfore me Ihls ''''' _Jj."':-", ",___ dill' of ' _u_~___ ____ ~
1Ja--j;}-tL)J~'1L,-n--fJ.I.'>,-~.;.Jt..- - -- --;------"-----' !l
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M-,;) ~d - 5'
No. 21 - 94 - 602
EIItate of
.n;ANNli II. TONEY
I Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW __, .J III y 14 19.-!L4._, In conslderallon of the petition on
the reverse side hereof, satisfactory proof having been presenled before me,
IT IS DECREED thatlhe Instrument(s) dated~ua.clL2.9.., I q q 'I
, described therein be admitted to probate and riled of record liS the last will of _
.JEANNE II. TONEY
and Letters 'I' est II men tar y
are hereby granted 10 1I10! NA R Il .I, TON~; Y
FEES
b 115.00
Pro ate, Letters, Ele. "."".' $
Shari Cerllfleates( 4) "",."" L 12.00
Renunciation ,.',.",.,...", $0
X-pages $ .b.U
JCP 5.06
TOTAL _ $ 138.00
Flied ,," J~h V. , J ~,', .1 ~9A . , . . , , . , . , . , , . ,
Regl'ler of Will.
MARVC. LEWIS
FOREST N, MYERS, Esquire
(.Il, No. 18064
A1TORNI!V (S~p, CI, 1.0, No,)
10000 Molly Pitcher lIighway
2.1) [ppensburll. PA 17257
ADllRI!SS
(7 In 532-9046
PHONE
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Mailed lettars and order to attorney on 7-14-94.
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COMMONWlALTH o,prNNlUVANt.\. DI"'IlTMrHT OP HIALTH. VITAL AlCOAOI
CERTIFICATE OF DEATH
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1/I~st )OUl aub Westlt1ut1tt
I,
County,
my last
Jeanne H. Toney, of Shippensburg Township, Cumberland
Pennsylvania, revoke my prior wills and declare this to be
willI
FIRST I I direct my personal representative to pay all my just
debts and funeral expenses, including expenses of my last illness
as soon after my death as conveniently may be done. I further
direct that all inheritance and estate taxes payable by reason of
my death on property passing hereunder or otherwise be paid from my
residuary estate.
SECOND I I hereby exercise the right to cancel all personal debts
owed to me at the time of my death,
THIRD I SPECIFIC BEQUESTS I
A. I give and bequeath to my brother, PAUL VOSCOE HASKETT,
the sum of Ten Thousand ($10,000.00) Dollars, tax free, to be
increased to reflect the increase in the Consumer Price Index from
the date of this Will to the date of my death. Said increase not
to exceed Ten Thousand ($10,000,00) Dollars.
B. I give and bequeath the sum of One Thousand ($1,000.00)
Dollars to Brenda Karper, free of tax.
C. I give and bequeath the sum of Five Hundred ($500,00)
Dollars to Silent Unity, in memory of POLLY ANN QUINN, Unity
Minister.
D. I give, devise and bequest the residue of my estate to my
husband, BERNARD J. TONEY.
FOURTH I I nominate, constitute and appoint my husband, BERNARD J,
TONEY, as the personal representative of this my Last Will and
Testament. I direct that my said personal representative shall not
be required to file any bond in connection with his appointment as
personal representative of my estate. In the event of the death,
inability or refusal of my husband to serve as such, I nominate,
constitute and appoint my brother, PAUL VOSCOE HASKETT or his
heirs, Executor of this my l,ast Will and Testarnent.
PAGE 1
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, . .....- ..,.' \0"9' "'" -"....., '.~'9,
,- .
FIFTH. In the event my said husband, BERNARD J, TONEY, is no
living or shall not survive me by thirty (30) days, I then give,
devise and bequeath such of my estate as I had previousl
bequeathed to my husband, as follows:
(1) I give and bequeath such of the dogs as are in m
possession at the time of my decease to my brother, PAUL V,
HASKET'l', and provide that my Executor shall pay to Mr. Haskett th
Bum of $1,000,00 per dog, upon his Rgreement to care for the dogs
or to find them homes in which to live normal lives, during thei
nat\lr.Cll life.
(2) I give and bequeath the remainder of my estate
brother, PAUL V. HASKET'l', per stirpes,
~l'lil. In the event that my husband, BERNARD J. TONEY, and I
should die in a common disaster or under such circumstances that it
is impossible to ascertain which died first, it shall be presumed
that my husband died first,
SEVBNTH. Any and all sum or sums, whether in cash or in kind and
whether for principal or income, payable to the beneficiaries, or
any of them shall be made upon the sole receipt of the respective
individual to whom the payment is made and free from anticipation,
alienation, assignment, attachment or pledge and free from control
by the creditors of such beneficiary. All shares of principal and
income herein given shall be free from anticipation, assignment,
pledge or obligation of any beneficiary and shall not be subject to
any execution or attachment,
IN WITNBSS WHBRBOF, I have hereunto set my hand and seal this 1:-.>
day of March, 1993,
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'./ 11'1 (.' I,'
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'Loney, T13" atrb:
(SEAL)
! eanna H.
In our presence, the above-named Testatrix signed this and declared
it to be her will, and now, at her request and in her presence and
in the presence of each other, we sign as witnesses:
, :;t.J~
~~-~~~4
PAGE 2
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
'OR DATlSO. DIA'HAm~ 12/31/91 CHICK Hili
I' A I'OUIAL ' ,
POYIIl'ITCUI?IT JI CLA.I_M~D I)
.ILI NUMIII 2 I 9 '. - 0 (, 0 2
In Vol SOO EX '. (11.'11)
, ~ TONgy I .JgANNf: II,
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~~l:! II 4, lImil.d E.lol. LI 40, f",u,. Inlor.., Comp,omh.
OQ~ Ifo, dol., of d.o,h ol,.r 12,12,821
E iil JU( 6, Doc.d.nl DI.d Te.lal. 1>1 7, Doc.d.nl Mainluin.d n lIYlng T fUll
C IAttach copy of Will) IAllarh copy of T,u,11
---- _.--- u, ALL CORI.SPaND.NeB AND CONPIDINTtAL TAX iii.OR"MAfioNuSHOULD BI DIRECTED TOI .u."______~_____
I AM - 'u_. Ei5MP[HC;;WiiNiHbbigr'----""----'~
O~ iz 1.;f'f:IOiO'~ENSU'M~'E"~-,-.M"~~.!l,,S,.,--~\,,".,(LI,li.~<'. 10000 Molly pi leher Ilillhway
r." Nr " S hip p" n s bur g, P A I 725 7
u 2 1717 J 532-9046
,,_nm ,-,.", ~.,"'o==~_==,=,=~==,=,~"""",',., d,_, ., ''''''n r, ,,',==,=~~=~,~==="=~
19, If IIn. lB I. grealor Ihan IIn. 17, .nlor Ih. dlff.renc. on lin. 19, !hI, h Ih. OVERPAYMENT,
IIIJ
20, If lin. 17 II grealor Ihan IIn. IB, .nlor Ih. dlffor.n" on lin. 20, Thll h ,h. TAX DUE. 1201
A. Enlor Ih. Inlor." on Ih. balan" duo on Iln. 20A. 120AI
8, Enlor Ih. 10101 of Iln. 20 and 20A on lin. 20B, Thi! h Ih. BALANCE DUE, 120BI
~ak. ChICk Paya~l. tal R.gl.tor aIWIII.,.A_~.nt .,. __. ,.., ,.,_".,_..._.__,
.. II lUll to ANSWII ALL QUiSTIONS.OtfiliVIRSHili'fANiJtOiiICHICKMATH..
Under penallle. of perjury, I doclare Ihall have IlComln.d Ihll relurn, lncludlnp accompanylnn "he'c1ul., and Ilalomenh, Clod 10 the bell of my knowledge and bell,f,
it I, IruI, corr.ct and complell. I declor. thai all r.ol .slale ho, bOlln r'porlec ollrua mor~(" volu., Declarallon of prflporer olh" Ihen th, perlonal ,epr'tentallve II
~,~'~~j~n ~-i~i~'~~lon 0' wh,'~~~~J'm;~;.~~~~~~'-1~ilRm'-. ..._, ... . m .._'__'.u oJ.'w----n.---
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COMMONWlA1ItlO1 PE"NSYlVANIA
o~rARIM"N' Of A vtNUf
OfPT '8060
._... _. ,!IAAR'.SI~~G._~A ..!'128,~601
- , -NO MIDDlE 'itiiTIAti
0602
'lEAK I 99.', NUM8EK
COliN! Y CODE 2 I
,~---~ lifrniffH'\ COMPlflt AD~'
1',0. Ilo X 27 I
]00 Ilr I tloo Hoed
Shippunshurll, PA
C,,~~t,- Cumhe r 1 uno.
17257
[ I 3.
I 15.
Remulndor Return
lIar dolOl of deolh prior 10 12, 13'B2)
Fede,al E.lall To,
R.'urn Required
T 0101 Numbe, of Safe O.po.11 Bo,"
,,0 B,
~
3
E
~
1. R.ol E.lale ISch.dule A) I 11
2, Slock! and Bond. (Sch.dul. BI I 21
3, Clollly H.ld Slack/Po,lne"hlp InlerelllSchodul. q (31
4, Mo,lyagll and NolOl Recelyabl. (S,h.dul. 01 ! 41
5, Cmh, Bank O.po.I" & MI"ellaneou. Pe"onal P,op.,ly! 51
IScn.dule EI
6, Jolnlly Own.d Proporly (Schedul. FI I 6) ,
7, T,anofer. (Schedol. GI (Schedul. l) I 7) .
B, Tolal Gro.. A..e" Ilolalllnll 1.7)
9, Funeral E'p.n,." Adn.lnll,rallv. Call., MI".llan.ou. ! 9)
E'p.n," ISch.dul. H}
10, Oebll, Marlgoge llobllllle., lien. ISch.dule I)
11. T 0101 Doducllon. Ilolalllnll 9 & 101
12, N.I Value of E.lal. IlIne B mlnu. line 11)
13, Chorllabl. und Goyernmenlal BequII" ISchedule JI
14, N.I Valo. Sub~ 10 To, IlIn. 12 mln"'.!ir1.~~L
15, Amounl 0' IIn. 14 la,able 0' 6% ral.
Ilnclude valulI from Sch.dule K 0' Sch.dule M,I
16, Amounl of IIn. 14 la,abl. 01 15% ral.
Ilnclurle valulI from Sch.dol. K or Schedule M,I
17, Principal la, due IAdd la, from line 15 and from line 16,1
1 B, C,edlll Spou.al POyerly Credil Prior Partenl.
._,,,_.>-_ + }, go, 00 + .
-0-
I 1,512.56
-0-
-0-
54.,981.69
-0-
-0-
15,329.80
( 8) . ,61i..,~.~A!.2_?_....____
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-0-
1111 ,.I~-,,?~~',~_O.._._.__,_
(12) ..?1.,J.6_4.'.~,,?,,_._,,_
500.00
113)_,_...,_,,,.,_,,,__
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11.000,00.
x,15 =
1.,650"00,.",_,_,.,,,.
1161.
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4,02.9,81.,.
Di5Count
100.00
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I1BI
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Oll'ck IIt'Il' If VOU (lfl! fl'tlut'\IIIl{J n ro(uncl 0' your nvolfHlvmonl.
I. 9.2.9..U,
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. $ 1,929,8'1
__tI ~,,~:"'-:~.'1_
DA.TE
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*
1: SCHEDULE E ~
CASH, BANK DEI'OSITS AND
MISCELLANEOUS
,_ . PERSo.NAL PROPERTY Pita.. Print or Type
FILE NUM8ER
~
C'~lJltJ1J'JM~~yl~AN'A
mAte OF
Interest through 6/25/94
2194 -0602
VALUe AT
DATI 0' DeATH
$ 1,093.84
17.94
10,000,00
5,784.04
10,000.00
4,438,22
12,422.20.
7.81
II, 183,95
33.69
JEANNE II, TONEY
(AN pr.,.rty Iolfttly._..4 whh .hl Rlth. .llu"!I....hlp mUlt ~I ~llClo..d 1ft Schldule P,
N~'r:~eR DISCRIPTION
I. Certificate-of-Deposit, MELLON BANK
No. 0-A05782C
2, WASHINGTON SAVINGS BANK
Certificate-of-Deposit
Interest through 6/25/94
3. WASHINGTON SAVINGS BANK
Certificate-of-Deposit
Intercst through 6/25/94
4. MBNA, Ccrtificatc-of-Deposit
Interest through 6/8/94
5. MBNA, Certificate-of-Depoait
Interest through 6/8/94
I I.,
I "
"
,
,
"
$54,981,69
IAnach addltlonol8Y,' xII" .hlt" If 01010 .po" I. n..dld,l
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3: ,t,
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mATI OP
&i~
COMMONW!AUH or '!NNlYlVANIA
INHUITANC! TAK mUKN
RUIDINT O!C!D!NT
J SCHEDULE H W
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
PI,all Print ar TVpI
ER
JEANNE H. TONEY
2194-0602
ITEM
NUMBER
A. Puntlal bplnlll.
2.
DESCRIPTION
1.
FOGEL SANGER-BRICKER Funeral Home
GEORGETOWN MARBLE and GRANITE CO., INC~
B, Admlnlllratlvl COlh.
1. Perlonal Representallve Cornmllllonl
Social Security Number of Personal Repr8lOntallvII
Year Cammllllonl paid
, 4,
C.
1,
2,
3,
4,
5.
6,
7,
8,
9.
2,
Allarney Fees
FOREST N. MYERS
3,
Family Exempllon
Claimant Bo r n a r d J. Tone Y Relallanlhlp H u s ban d
Addrell of Claimant at decedent'l death
Streat Addrell . 300 Br it t on Road
City S hip pen s bur g _State P A Zip Code 1 7 2 5 7
Probale Fees
AMOUNT
$ 4,116.20
86 I .80
2,631.00
2,000.00
153.00
MllCIUanSOUI bplnllll
NEWS CHRONICLE - advertisement 49.25
CUMBERLAND COUNTY LAW JOURNAL - Advertisement .40.00
CHAMBERSBURG HOSPITAL - Outpatient Services 55.00
CHAMBERSBURG HOSPITAL 200.00
Louanne W. Schellhase - review of medical bills 60.00
JOHN HOPKINS HOSPITAL 4,468.96
JOHN HOPKINS UNIVERSITY - physician's bill 85.00
CHS Medical Oncology 20.00
Tremont Suite Hotels 589.59
TOTAL IAllo enter an line 9, Recapltulallon) S I 5 , 329 , 80
(If mort Ipac. II n..dld, '"SIr! addltlonallh..t. of .aml 111'.)
......
16agt }mill a1t(l me6hU1~{W~D:'
I, Jeanne H. Toney, of shippensburg 'rownship / Cumberland
CountYI Pennsylvania, revoke my prior wills and declare this to be
my last will:
FIRST! I direct my personal representative to pay all my just
debts and funeral expenses/ including expenses of my last illness
as soon after my dei'lth as conveniently may be done. I further
direct that all inheritance and estate taxes payable by reason of
my death on property passing hereunder or otherwise be paid from my
residuary estate.
SECOND! I hereby exercise the right to cancel all personal debts
owed to me at the time of my death,
THIRD! SPECIFIC BEQUESTS,
A. I give and bequeath to my brother, PAUL VOSCOE HASKETT,
the sum of Ten Thousand ($10,000.00) Dollars / tax free, to be
increased to reflect the increase in the Consumer Price Index from
the date of this Will to the date of my death, Said increase not
to exceed Ten Thousand ($10,000,00) Dollars.
B. I give and bequeath the sum of One Thousand ($1,000.00)
Dollars to Brenda Karper, free of tax,
C. I give and bequeath the sum of Pi ve Hundred ($500.00)
Dollars to Silent Unity, in memory of POLLY ANN QUINN, Unity
Minister,
D. I give, devise and bequest the residue of my estate to my
husband, BERNARD J, TONEY,
FOURTH, I nominate, constitute and appoint my husband, BERNARD J'.
TONEY, as the personal representative of this my Last Will and
Testament. I direct that my said personal representative shall not
be required to file any bond in connection with his appointment as
personal representative of my estate. In the event of the death,
inability or refusal of my husband to serve as such, I nominate,
constitute and appoint my brother, PAUL VOSCOE HASKETT or his
heirs, Executor of this my Last Will and Testament.
PAGE 1
PIFTH, In the event my said husband, BERNARD J. TONEY, is no'
living or shall not survive me by thirty (30) days, I then give,
devise and bequeath such of my estate as I had previousl
bequeathed to my husband, as follows:
(1) I give and bequeath such of the dogs as are in m
possession at the time of my decease to my brother, PAUL V.
HASKE'l'T, and provide that my Executor shall pay to Mr. Haskett the
sum of $1,000.00 per dog, upon his agreement to care for the dogs
or to find them homes in which to live normal lives, during their
natllr.al life.
(2) I give and bequeath th€J remainder of my estate to m
brother, PAUL V. HASKETT, per stirpes.
SIXTHI In the event that my husband, BERNARD J. TONEY, and I
should die in a common d.i.saster or under such circumstances that it
is impossible to ascerta.i.n wh.i.ch died first, it shall be presumed
that my husband died first.
SEVENTH: Any and all sum or sums, whether in cash or in kind and
whether for principal or income, payable to the beneficiaries, or
any of them shall be made upon the sole receipt of the respective
individual to whom the payment is made and hee from anticipation,
alienation, assignment, attachment or pledge and free from control
by the credi,tors of such beneficiary. All shares of principal and
income herein given shall be free from anticipation, assignment,
pledge or obligation of any beneficiary and shall not be subject to
any execution or attachment.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~
day of March, 1993.
, '
"/.ttl,f.<'( "
i!
(SEAL)
(. eanne H.
In ollr presence, the ablwe-named Testatrix signed this and declared
it to be her will, and now, at her request and in her presence and
in the presence of each other, we sign as witnesses I
:;::;::..:.tJ~
zt{ /~
'I/T-<?1 ~.-:::
PAGE 2
! '/ .J,) J -- ')-
l ,/aV"1547 EX AFP (12"94*1 d
/ "~O""OHHEAI TH OF PFHHSVl VIHIA ACN 101
OE.APIHEHI OF ",VEHUE NOTICE OF INHERITANCE TAX
BUPEAU OF IHOIVIDUAl TAlES APPRAISEHENT. ALLOWANCE OR DISALLOWANCE
E;~:~~:~~~f~~",'"=h_~jt~RU~' ,~"o:;:~,~~_~N_S ~~,D,,~,~:~:'HEN~;;L:A~O. =~~~1 ~~:~:~:5
DATE OF DEATH 06-24-94 COUNTY CUMBERLAND
NOTE, TO INSURE PROPER CREDIT TO YOUR ACCOUNT. SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAX
PAY HE NT TO THE REOISTER OF WILLS, HAKE CHECK PAYABLE TO "REOISTER OF WILLS. AOENT"
REMIT PAYMENT TO:
FOREST N MYERS ESQ
10000 MOLLY PITCHER HWY
SHIPPENSBURG PA 17257
.\
1/
=
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
f-
I
A.ount R..ltt.d
CUT ALONO THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ....
R"EV: iS47" Elc". A j:ji" f 1'2:94 T "NeYi c r "oF" "iNti ER if AN"CE - 'fAx" 'liPPRXi ii E HiNT"; "Ai. l"oWAN"C E" cili".."" -".. -."""" -"
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF TONEV JEANNE H FILE NO. 21 94-0602 ACN 101 DATE 02-15-95
If an alBellment was illued previoully, linel 14, 15 and/or 16, 17 and 18 will
refleot figurel that inolude the total of ab1 rsturnl allsllsd to dati.
ASSESSMENT OF TAX:
15, A.ount of Lln. 14 .t Spou..1 r.t. 1151
16. AIDunt of Lln. 14 t.H.b1. .t Lln..1/CI~.. A r.t. 116)
11. Alount of Lln. 14 taHabl. .t Coll.t.r.I/CI... B r.t. 1111
la, Prlnolp.1 T'H Ou.
TAX RETURN WAS, I X) ACCEPTED AS FILED
RESERVATION CONCERNINO FUTURE INTEREST " SEE REVERSE
APPRAISED V^LUE OF RETURN BASEn ONI ORIGINAL
1. R..I E.toto I Sohldul. A I 11)
2, StoDk. .nd Bond. (Soh.dul. BI 12)
5. C10..1y H.ld Stook/P.rtn.r.hlp Int.r..t (Soh.dul. C) 15)
4, Hortp.g../Not.. R.o.lv.bl. (Soh.dul. 01 14)
5. C..h/S.nk D.po.lt./HI.o, P.r.on.l Prop.rty (Soh.dul. E) 15)
6. JOintly Ownod Prop.rty ISoh.dulo F) 16)
1. Tr.n.f.r. ISoh.dul. 0) 111
a. Tot.1 A...t.
APPROVED DEDUCTIONS AND EXEMPTIONS:
9, Fun.r.1 EHp.n.../Ad., Co.t./HI.e. EHP.n... ISoh.dul. HI 19)
10. D.bla/Hortg.g. L1.bIlIH../LI.n. (Seh.dulo Il 110)
11. Tot.1 D.duotlon.
12, N.t V.lu. of ToH R.turn
15, Ch.rlt.bl./Oov.rn..nt.1 B.uu..t. ISeh.dul. J)
14. N.t V.1u. of E.t.t. Subj.tt to T'H
NOTE I
TAX CREDITS:
PAYHENT l"-m_-ji'ECEIPT
DATE NUHBER
09-14-94- ---MMiiTI94S-'-- .,>n.
11-25-94 MM913219
I ) CHANGED
,00
11 ,512, 56
,00
,00
54,981,69
,00
,00
(a)
66.494,25
15.329,80
,00
(111_
1121 _
1151
114)
Pi. ~?q AD
51,164,45
500,00
50,664,45
,00
39.664,45
11.000,00
X ,00,
X ,06,
X .15.
liB)
,00
2.379,87
1,650.00
4,029,87
DISCOUNT It) FAHDUNT PAID ~
INTEREST I-I I
11)5.26 -.- ---- 2,000:00
,00 1,929,87
TOTAL T^X CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
tl
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST,
4.035.13
5,26CR
.00
5,26CR
IF TOTAL DUE IS LESS THAN .1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REflECTED AS A "CREDIT" ICR), YOU HAY BE DUE
A REFUND, SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS.)
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W
STATUS REPORT UNDER RULE 6.12
I
,
Name of Decadent I
je:".....ll!:. "I" -\D>-lC~1
:u;
,I> ;1
Date of Death I
~~ ' 2<,.' - ~'-I
Will No._~\ - \9~'~. {;U2.-
Admin. No.
Pursuant to Rule 6.12 of the Supreme Court Orphans'
Court Rules, I report the following with respect to completion of
the administration of the above-captioned estate I
1. State whether administration of the estate is completel
Yes X' No___
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
completel
3. If the answer to No. 1 is Yes, state the followingl
a. Did the personal representative file a final
account with the Court? Yes No ~ ,
b, The separate Orphans' Court No. (if any) for
the personal representative's account iSI
c, Did the personal representative state an
account informally to the parties in interest? Yes ')< No
d, Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be attached to this report.
Datel \-8'~b
~ ~3.o..)~.
Signature
T~'~G.\'" "-' M'i-='Z..\
Name (Please type or print)
,c.:1:..J~~) t-\~..., r~...\'t...\"'~l.- \\,....-'1
1,1\I\"i~C.J;..Ii'...J.~~, \>'" 1,1.''>1
Address
(In) bn. 90-\'0
Te l, No,
CapacitYI
Personal Representative
'f, Counsel for perSonal
representative
(HAH I rmf IAM3)
\