HomeMy WebLinkAbout94-00609
PETITION FOR l)nOnATE ulld GRANT (W LETTERS
c</ -:u91:-/gpt_u._
H.wl/t' of.~\lEr,..\'N B.MYERS SCHMID..
II/SO kilo 11'11 liS ... ..
No.
To:
._.......uu. Regisler 01' Wills for Ihe
................. . , [J1'1'I'fI.\('tI. ('OIlIlIY of Cumberland III Ihe
Sodlll St'cl/I'IIY No. 198 .01..3151. ('OIlIlIlOIlWl'lIllh of I'ennsylvllnla
The pelitloll 01' Ihe IIl1derslgned respecll'lIl1y represellls Ihlll:
Your l'elilillller(sJ, who Is/are IX years 01' ag': or l,lder IIl1lhe exel'lIl. 01:"
III the IlIst will of Ihl'ahow dm'dl'llI, dilled. November ..6,
IIl1d eodicil(s) dilled
__.. ______..... nllmed
..___.____._....__, 19..9.1-...
- -.~------~----------
bl,lll' Ickvulllrirnllll,Wlll'l'\, t'.~. rClllllldulInll, (klllh 01' C\Ct'lIltlr, l'll'.)
llecellllerll WIlS domiciled al dealh in . CUmbe 1:".1110d. . ______ ('ollnty, PennsylvlHllu, with
IL~.L...._ lasl I'lImily or principal rc'sideace nl.33 5 We s ley. Dr ....LoweJ:..Allen.___
..TJip...,__.Cumberland.County. Mechanicsburg ,PA.17055------------
1lI,[ ~,lrl'l'l, IlHlllhl'[ and 111ulldpalilY)
Deeendent, then ____.8~__. years of age, dlcd ....__..June.6./..--.---..........-.-, 19.....9A.._.,
1I1______l1et.h1l0y.'l'o.weJ::El, Wesley Dr. I. LO.wer Allen_Twp.....Mechanicaburg
Except liS follows, decedellt did 1101 marry, WIIS nol divorccd allll did lIot hllve a child horn or adopted
lifter execlltlon of the will offered for probllte; was nOlth,' victim 01' II killing IInd \\'IIS never ndJlldicllled
Ineompelent: .....__ ... u__.. u._________....._..____.___
Deeendentllt death oWlled properlY with eslimaled val lies ll' follows:
(II' domiciled in I'a.) All person;d propcny
(II' not domiciled in I'll.) Personal propeny ill I'ellnsyivallill
(If lIot domiei"'d in I'a.) Persolllll properly in ('ollnly
Vllllle of I'enl esllltl' ill I'ellllsylvania
sltllnted liS follows: ._____
$ _5-1'o.o.O~.oO__..
$~---_._--
$---.---.-
$-------
WHEREFORE, pelitloner(s) res peel fully
presented herewith and Ihe gralll of lellers...
theron.
requeSI(s) the probute of the Insl will IInd codlcll(s) ,
.. ..Tes l;amenta r.y.------
(tl''llllllll'lllury; 1It1ll1lnhlrattolll',I,lI.; lIdmllllslrllllol1 d.h,n,c.',ll,)
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_._u_.___.._._.__________... ,"'" -.. ,- .-- _". ..-------,-
"46S-(;'r-azer Rd-----.---
~.._.__.._....____.._._.__..._..__.t..______
.._.. Asp.er s_...PL_L11OA_
...._....-..--._~_..-...._-_.....j-_.~---
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____._4..._.__. ._
___________._.......____u.___
OATH OF I)ERSONAL IUWRESENTATIVE
COMMONWEALTII Oil l'ENNsnv ANIA l Hl-l
COUNTY Oil ..'n. .CUMBERLAND---..._. I
The pethioner(s) ublll'e.nul1l,'d swear(s) or uffirru(s) Ihlll Ihe stalel1leuls In lhe fllrcgolng pClhlon lire
true uml correct to Ihe hesl ollhe know"'dge und belieI' 01' petltloner(s) IInd thul us personal represcn.
(ative(s) ollhe abol'e del'edenl IWlillllner(s! will~C1~llIuIY ~~inls .er, e eSlu~ leeordlng to hIll'.
SWoln 10 lH anirl1leJ.lT.luHI suhsclibed ~"0a~ V;. ~~><-...- .--- ("
bl'l'me I1Il' Ihis J7 b H day 01 PAUL R.~' ",~: '~.
'7l1i' j'}-(/.J . fJUL Y {J}h ~h . ". ..,. -- ---- ~
l ~ Ifuu.vr.o t. . c;m r:';{ . _ . . __ _.. ~
.I\RY C. LEWI 1i,'~I\lj'l {I - ~
II~ - ,;:)~~ - I ~
No. 21 - 94 - 609
Estate of
Evelyn B. Myer.s Schmid
, Deceased .
DECREE OF PROBAU: AND GRANT 01<' LETTERS
AND NOW JURi! 19-\M--, In consideration of the petition 011
the reverse side hereof, satisfactory proof havlllg been presellted before me,
IT IS DECREED thai the Instrument(s) dated November 5, 1991
described therein be admitted to probate and riled of record as the last 11'11I of
EVELYN B, MYERS SCHMID
and Letters Testamentary_
arc hereb~ granted to PAUL R. FRITZ
.
--,
~
FEES ~
P b L 25,00
ro ate, etters, Ete, ".".." $
Shorl.Cerllfieates( 4) , " , " .." $ 12.00
Relllmelallon ,'."""",.", $_"...,..".-
X-page J,UU
JCP $ 5.60
TOTAL _ $-45-..00-
Flied,., ,JULY, .15., ,199a"",.,."""..
TIORNIlY (~~ Ct, 1,1), No,) 3,;;. If
~448 Trindle Rd.
ADDRf!SS
CAMP HILL PA 17011
717 737 0100
PHONE
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Mailed letters and order. to Glenda Withington attn. Diane Radcliff on 7-15-94.
ttl~'12nlV HI!
IfEE mil HilS
tlifHlflCATt $2(0)
WAI.:NING: II IS II.I.H1AI. 1\) AI.l L1111.1I:; CO!'Y Oil
TO D1II'I.ICA'11' Ill' I'llt)fOSI AT nil PIIOTOC,II^,'II.
COMMONWI'~1 TlI or PENNSYl.VANrA
or.p~llrMENT ell' IlEAl.TlI vrTAL nECOnOG
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
CERT. NO. 2125822
---~~61-1.9-,:.~-'I---~----
tJ~ll1 0 '11lU nrThl. Cll'li"~l\!i(Jn
Name of Decedent ______. E-'Le.Lv n.... ___.m.. . . B.. .._h...___U ._._._______.S.c.nmi.cL__.__
, lui'!" M,d.!II' l,nl
Sex Fe !Il.!U.lL___.Soclal Security No,.. ..198.~QL-.316L_....._________Date 01 Death ___._.___6.=_6.44...
Date 01 Birth _1.~_Q.~.1JU.L.____.. Blrthplaco. ____.H tI.' f..LalJ v .1:\).,., P.A . ....__________..__..____________
Place of Death 8 e.tJJMi.L....l9J'1JH'..L_______,..___.__. C.h!!1l!HU'J a lHL__.____._J1~9.!lffi:lQ].."_U.I'_!L_____Pe.m]J!ylY1l!l!ll.
'~~lhll ~jMIH) C,"I(III r:i1l' fh"HJfjh 0' Inl<lll!,li.
Race _,\'Ll1_i.t..IL_______Occupatlon ____E:UJLCle.t'K... __h.... ..._... Armocl Forces? (Yes or No) ____._...N.o_____..__
Dececlent's
Marital Status _lL:lcJ.QJL._____ Mniilng Acldress ..33.6__.We ~.h.y--D.r_i'l.L.._.._.t1echanic.sb.UJ:'g--..E.A....17Jl.5 5
tl.JlT,t.'1 !i!f",,1 {,ltO' To",n !1t.llo
Informant _.L~Lg_9.U e) i.o~.____fxi.t;.?__.._...._____. Funeral Diloctar ... ..__O.g.vj,cJ__N,.t1ye.r.~._______.____________
Name and Address of
Funeral Establishment ___.______.11.YJlI_Lf.!LnJ'lX ~L l:!Pffif;l L.... N f;l1'!.P..PYt.._ .PA...:l.7J)L4._c..n._____.__________..
: I nterval Between
: Onset ano Death
,
, . ,
(a) ______.J;.ill_l 0 p. U 1 f!LOJ} a rL.gI.!:.f;l !It___...__._.____.______ ....:..._____.....:._.______________
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Part I: Immediate Cau~e
(b)
(c)
(d)
Part II: Othor Significant Conditions
_._--_..~---.-_._._...._._------_.__.._..-.__.._.....------------.-.----
Manner of Death:
Natural >!]
o
o
Desorlbe how Injury occurrecl:
Aooldent
Suicide
Homlolde
Pending Investigation
Could not be Determined
D
o
o
---------..-0____._-.-
Name and Title of Certlller __-'-.._._____~J~.~..!!!..e__.?t a E1.J~..9..~A~_._..:....___,______ ._.___ M . D .
(M,D" D,O" Coroner, M,E,)
Address____J.._97 N, _~~ Ie !,_Church..~!-G.L__r;..e m.e.Jii 1.1.L..P.AJ.7..Q_tL._...__._.__..________.__ _____
This Is to certify that the Information 110ro glvon Is correctly cop loti from an original cortlflcate of
death duly flied with me as Local Re~listl'ar. Tl10 ori(linal certificate will bo forwardecl to tho Stato
Vli,i R,,,,,, Dill.. i" ,,,,,",,,", 1111". 9~r;~i'illdad:/'i'i,,"."im
-,",,",,fh;,~;';~;~j",;ii';;-- 101 B~,,~;n~,,~,t St. .NIJW.81o,~,~,t:,!,~;~A.""",.PA .17068
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COMMONWEALTH OF PENNSYLVANIA I.
COUNTY OF CUMBERLAND J
HI
PAUL R. FRITZ
bolng dulV ---lll<<)rn--. -- -- - according to low, doposos end sev. thot he
___.J:hfLEx.ec.utQf.._____._.___u.________ of tho Est.to of _EYe1yn B. Myers Schnid
late of'19.nroo ,Township,. . _._._____, Cumberland County, Pa., decmed and thot the
within I. an Inventorv modo bV. ._.I1,iOL __..__.___._.____.___ _.,____, the .old Executor
of the entire eslete of uld decedent, consisting of all tho personal prop-arty and real estate, uxcept reel estate ouhlde
the Commonwealth of Ponnsvlvanlo, and that the flguros opposite ooch Item of the Inventorv represent It's fair velue
01 of tho data of docodont's dooth.
_~rn
onu subscribed before me,
Q"u:
n~.._~
ElCtcutor . A
PAUL R. FRITZ
465 Frazer Rd.
Aspers, PA 17304
Not.,lnl Sanl
n!O/ld~ ~ I 1,"0111111 !(In, Ho1nrr pjJbllc.;
CHill!,;:' ),\. l'I);llb.:!wncl C:J.lllt~'
My C~llllfii' ~1klll C/ptl~'f; Doc. 27, t9nll
"M'I:,r;r~fl~~f~....__________.___ .J.!'!!'lL_____
DIY Month
Add"..
1994
v",
INSTRUCTIONS
I, An Inventorv must be flied within three months after appointment of personal representative.
2. A supplement Inventorv must be fllod within thlrtV dovs of discovery of addltlonelOlleh.
3, Addltlonolshee" mav be attached os to personaltv or reollv
4. See Article IV, Flduclerles Act of 1949.
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Inventory 01 the real and personal estate 01
E.'
Evelyn B. Schnid
deOll8sed
1. PNC Bank ale - 5070095079 - Date of Death Ba1. 2,567 18
Intereat to date of death 1 97
2. Proceeds of Sale ('If 'IV 150 00
3. Bethany Village - Security Dep. & Rent Refund 181 57
4. Sale of 1987 J):Jdge Shadow to Terri Hawbaker 1,800 00
5. Refund from State Farm Ina. on Car & Household Ins. 144 20
6. Chuck Bricker Auctioneer proceeds of sale of household goods 959 25
7. Refund American Assoc. of Retired Persons 6 74
8. Private Sale of misc. personal property 645 00
TOI'AL PEIIDlAL PROPERI'Y 6,455. 91
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REV.L~~O EX. ,,.'iAI
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COMAO~jWEAlHl 01 PWmYlVANIII
DEPARTMENT Of 1lE'/ENUl
DIP! 180"'1
ttAR/(ISIIUAO. PA 11 28.0601
(HUDwn H"I,\I liAS!. ftIl~'. MID MIO(lt! ItllllAt)
SCHMID, EVELYN B. MYEllS
'~~~'i~C~"~~'~';',,: ._.u I"^~:;' ~';;'4 - J'^~ ~~ :;';'; .
,,' "''''''''' ''''''''''', """" . ",., ".., "."..'" . '''','' """." '1 "'CIA': """""lUM.i.
XiI. Original R.lurn [ I 2. Suppl.mnnlal Rolurn
f.1 4, llmlrod Ellaro I ! 4a. Fuluro Inl"'" Campramhn
I'or dol.. 01 d.oth air" 12.12.821
[Xl<6, Doc.d.nl DI.d Tollaro [I 7, Docodonl Malnlalllnd a ll,lng Trull
(AUach copy of Willi IAUach capy al T rUIII
-- . '- ----.-- ALL COiRESPONDINeB AND CONflDINTlAL TAX INFORMATION SHOULD BI DIRICTeD 10-;
VJ'" ~IAJ,lf COMPI!1f M41L1NQ AOOllE5
m~ Diane G. Radcliff', Esquire % Glenda M. Wethington
Sf iil,iiIoNTNij","-_h-~----------"'----- ..----.- 1'ri County ^bs~t S? ice :rJ
.._h_____ __L~.12_L__~~~~8_7?h__......_. ..... h"____nU 34J4.c:.119E1tI]lILflt,il~~JP.J1ttl'~l~011
_....__._-_.~--_._.__.. .-.... .--.-,-----+..-..-.. .___m -.-----.---.----- ---......+.-. --..-.------.-. .-..-.--..----r-----.---.-.~-- _ J 1 J
,
1. R.al E.la" 15ch.dul. AI
2, Slack. and Bond. (5chedul. BI
3, Cla.ely H.ld Slock/Parln",hlp Inl"eU ISchodulo CI
4. MOrlgagol and NOlO. Roco"ablo ISch.dul. D)
5. Cosh, Bank Deposlls & Mhcellaneous Personal Properly
(Sch.elul. EI
6, Jolnlly Owned Prop"'y ISch.dul. FI
7, Tranlf." ISch.dul. O)ISch.dulo II
8, Talal Groll All'" I'alallln.. 1.71
9, Funeral EKplnleS, Admlnhtrotlve Cosu, MilCollaneous
Exp.n... 15ch.dule HI
10, D.bll. Morlgog. lIablllll... 1I.n. (Sch.dul. II
11, TOlal D.ducllonl Ilalallln.. 9 & 10)
t2, Nel Valu. 01 E.lale 11In. B mlnul lIn. 111
13, Charllabl. and Go,ornmonlal BequOl"15ch.dul. JI
_____._. !..4-,-_~Y~-"'.!.Subl~'!~~~.~0.' 12 mlnUllln. 13}
15, Spoulal Tranol". (10' dol.. 01 d.alh all" 6,30.941
See Ins'ructions for Applicable Percentage on Revorse
Sid., (Includ. ,aluOl from Sch.dule K or 5ch.dul. M,I
16. ArnaLlnl of Lin., 14 taxable al 6% role
Ilncludo ,alu.. !ram Sch.dulo K ar Schodul. M.I
17. Amoun' of line 14 laxCAble 01 15% rata
llnclude values from Schedule K or Schodule M.l
18, Principal la, du. IAdd la, Irom lIno. 15, 16 and 17,1
lQ, Creellts Spousnl PovlHly Crodll Prior Payman'.
. ... .__..._ __.. + __ _..__.____. .___ ___n___._____..
20, IIlln. 19 h 9roal" Ihan lln. 18, .nlor Iho dlll"on" on lIn. 20, Thi,l. Ih. OVERPAYMENT,
11[1
21. 1I11n. 18 II 9rool" 'hon lln. 19. .nlor Iho dllloronce on lln. 21. Thh II Iho TAX DUE,
A. Enter Ihe Inlerelt on ,he balanc" due on lIno 21 A.
8. En"r Ih.lolal al lIn. 21 and 21A on lIno 219. !hl. h Ih. BALANCE DUE,
Makl Chock Payabll la, Rlgl.11/ of Willi, I\glnl
.-- --:;===:"-'):'>:'--'.' SUU,O'ANSWIRAi'CCiulsTIONiONRIVERSII SIDE AND 1'0 IlICH.CK MATii ~ <(-
Vnde, penalll.. 01 perll/lY. I dllclurethall hove .Jiamlned !hls return, Includinp accompanying schedules and Ilalemenh, and to the best 01 my knowledge and b.li.f
il Is !rUG, correct and [omplolo, I declare tnot all real 8"0'" hos been reparl"c ollruo marko! value. Doclaratioh of preporer olher than Ihe perlonal representative II
hosed Information of which preparer 11m any knowledg".
· ',~~;;r,,'J?7~hi~:~(-I'" 1 <,' Rd Jhf<r;l{ -- :t'1~;
.tf'F, RUJIlT,/"j(.llr'frr~b RI., C'inp IIi 11 , I,^ 17011 ---J.~,)--_.___
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
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'OR OATIS 0' DWATH AmR 12/31/91 CHICK HIRI
IP A SPOUSAL .
POVIRTY CRI.DI.T IS CLAIMIll..!J.
PILI NUM8IR
0609
. ~l994 .!'IY!^!E~
COUNTY CODE 219.4. YEAR
'l-- ll[cioHH'~ c()~ipl('f A[IORB~
395 Wesley Drive
.. . ..c'Jf~~~~~~,~,i~::~~~~~~_~.=~-~=~
II 3, Romalnd" R.lurn
Ifor dal.. 01 d.ath prior 10 12,13.821
I I 5, Fod"ol Ellaro Tax R.lurn R.qulrod
_ 8, T alai Number al Sol. D,pollI 80m
1'1
121 -
131
141
151 .
-0-
-0-
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_0-
..6..4.55.n...
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16 1.._____
-0-
171 .
191 ..?!.91?,12__._______
11 01 _.~82.'2~__n_. _.___.__ __
18)..i.0.?~~_.___
(11) 6,515.34
T59-;-43r
1121 _m__________~____._
1131 __-"-O~___
1141 :9:
--.-=-Q.=...----------
Loss
115) .._
1161 m
1171 .
._n.__)(,_.~_1:l
...______.____.______. . ,06 a
._______0____.___
-0-
..______K ,15 a
1101
-0-
DIJeounl
lnlorest
1191
1201
-0-
Clll:(~ 'WH' II you (lfl' ,uque~tinu t! ,efund of youl olll'lfHlynwnt .
1211
121A)
121B)
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lav. IS II tit I....' .
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COMA\ONWIAllH 0' PeNNSYlVANrA
rNItUrTANCITAi !UURN
R!lIDINT DICIDINT
BflrnClP
Evelyn B. Schmid Estate
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
I
_'4'_.._.
neM
NUMBER
A. funerallxplnl...
,
DeSCRIPTION
, AMOUNT
--
1.
David M. Myers Funeral Hooa
4,109.90
B. Admlnllfrallvl Call.,
1. P.rlonal R'prellnlatlv. Cammllllonl Paul Fritz id,S" - z.~ - '~1 0 600.00
Social S.curlty Number 01 P.rlonal R'pr.l.nlatlvII
. Y.ar Commllllonl paid 1995
2, Allorn.y Fill Diane G. Radcliff Esq. " min. fee 1,000.00
I
3, Family Ex.mptlon
Clalmanl R.latlonlhlp
Addr'lI of ClaImant 01 d.ced.nl'l d.alh
,
SIr..I Addr'lI
I
, City 5101. Zip Cod.
4. Probal. Fill Cl.lTtlerland Co. Reg. of Wills 45.00
t. Mllelllanlaul Expln.l., /',
I'
1. Advertising Estate ./ i44 .50.
t
2. Notary Fees 6.00
3. Filing Fees 20.00
I'
TOTAL (Also .nler an line 9, Recapitulation) S 5,925.40
(If more .pact I. needld, In."I additional .heels 01 lame size)
IIV.UUUtIU1l
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(OMMONWUllH 0' ,tHNllIVANIA
, INHIlIfAHCI 'A.IIfUIH
IUtOIN'OICIOfH'
SCHEDULE J J
BENEFICIARIES .
ISTATI Of
Estate of Evelyn B. Schnid
fiLl NUMBER
2194-0609
ITlM NAME AND ADDRESS Of BENEfiCIARY RELATIONSHIP AMOUNT OR
NUMBER SHARE Of ISTATI
_..
A, Ta.ablo BeqU'lh'
1. Jacqueline A. FrJ.tz 465 Frazl:lr Rd.
Aspers PA 17304 Daughter Estate
insolvent
2. Terry Lee Eichelber~r c/o Jacqueline A. Fritz
465 Frazer. Road, Aspers, PA 17304 Granddaughter
3. John R. Schmid 84-750 Calle Rojo, Coachella
CA, 92236 Son
ITEM ,
NUMBER
NAME AND ADDRESS Of BENEfiCIARY
AMOUNT OR
SHARE Of 1ST A TE
8, Charltabl. and Oa.oramontal 8oquOII"
1.
TOTAL CHARITABLE AND OOVERNMENTAl 8EQUESTS (Also anlar an lino 13, Rocapltulallanl $.
(If maro .paco I. ..eded, lalorl addiii;,;;;I.lsoo" of .amo .110)
I ~~V'11147 EX AFP (12.94*
' COI.'ONIlUlIH Of' Pl!NNlVlYANIA
DlPAlI1Nf.NT Of MYEIU
IURUU 01' INDIYIOOAI IAllES
1lEJ'1. 110601
IWltUlIlJHl. PA 17I ". 06 0 I
/ <I . .), ,:/",) -- I :'~
()O(l/
HOTICE OF INHE~ITANCE TAX
AFF~AISEHEHT, ALLOWANCE O~ OISALLOWANCE
OF OEDUCTIONS AND ASSESSHENT OF TAX
ACN 101
DATI 06-06-95
FILE NO. 09
DATI OF DIATH 06-06-94 COUNTY CUI'lBERLAND
HOTEl TO INSU~E F~OFE~ C~EOIT TO YOU~ ACCOUNT. SUlNIT THE UFFE~ FO~TION OF THIS FO~ WITH YOU~ TAX
FAYHEHT TO THE ~EgISTE~ OF WILL$. HAKE CHECK PAYABLE TO "~EgISTE~ OF WILLS, AgENT"
REMIT PAVMENT TOl
r~- AIIO~t ~..1tt.d ~
CUT ALONG THIS LINE ~ RETAIN LOIIER PORTION FOR YOUR RECORDS ....
iiiV:iiJ4'i-iiC"AFjI--il'F94T"NCli'"iciuciii-i"NHiifii'ANci';'-Ax'A"P'PRA.iiiEifENr;-,\L.rciiiAiici.olim....--...----.
DISALLOIIANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF SCHMID EVELVN B FILE 1010.21 94-0609 ACN 101 DATI! 06-06-95
DIANE G RADCLIFF ESQ
C/O GLENDA H WETHINGTON
3414 CHESTNUT ST
CAMP HILL PA 11011
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 11013
TAK RET1J~N WAS I (X I ACCEPT EO AS FILEO
I I CHANGED
RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE
APPRAISED VALUE OF RETURN BASED 01011 ORIGINAL RETURN
1. R..l E.tltl lSohedull Al II)
2. Stook. end Bond. lSchedull BI C21
S. Clo..ly f~ld Stook/Plrtnlr.hlp Int.r..t ISohedul. CI (SI
4. Hart_./Hat.. R"".lvolll. CSchedul. 01 141
S. CeohlBonk Dapo.lt./HI.o, P.r.anll Proplrty lSohedul. EI IS)
6. .Jolntly Ownld Property lSoh.d<ll. FI 161
7, 1ren.f.r. CSchedull OJ C71
B. Totll A..ltl
,DO
,DO
.00
,DO
6.455.91
.00
.00
lBI
6,455.91
APPROVED DEDUCTIONS AND EXEMPTIONS:
5,925.40
,. Funerll EKpen.../Aeo. Co.t./HI.o, EKpen.l. ISohedul. HI C'I
10. D.bh/Harta_ LhbIlIU../L1.". lSohedul. II nOI 589.94
11. Totll OIductlon. 1111
12. Net VIllll of TOK R.turn 112 I
IS. Chlrltlbl./Oovlrn..ntll Bequo.t. CSohedull JI llSI ______
14. Nit VIllll of Eatlto SubjllCt to TOK 1141
NOTE I If an I..e.lmlnt WI. i..ued pr.viouIIy, linl. 14, 15 and/or 16, 17 and 11 will
reflect figurel that includl the totll of ~ returnl a...II.d to dati.
ASSESSMENT OF TAX:
Iii. _t of Line 14 It S""u.al rato nS) ,DO K' DO.
16. A-.,t of Line 14 tOKlbl. It L1naallCla.. A rat. n61 . DO K' 06.
11. _t of Line 14 tOKlbll .t Colhtoral/Ch.. Brat. n71_ . DO ~. 15.
lB. Principal Tax Qua llBI
TAX CRI!DITSI
PAYHENT
DATE
~ . liP; ~4
59.43-
,DO
59,43-
.00
.00
.00
,DO
RECEIPT
NUHBE~
DISCOUNT It I
INTEREST C-I
AIIOUHT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INUREST
TOTAL DUE
.00
.00
.00
,DO
. IF PAID AFTE~ DATE INDICATED, SEE RE~ERSE
FO~ CALCULATION OF ADDITIONAL INTEREST.
I IF TOTAL DUE IS LESS THAN 'I, NO PAYHENT IS ~EQUI~ED.
IF TOTAL DUE IS ~EFLECTED AS A "C~EOIT" IC~I, YOU HAY BE DUE
A ~EFUND. SEE REVER1E SIDE OF THIS FO~ FO~ INSTRUCTIONS. I
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ReSERVATION. Eltotll 01 dooodontl dyl.. on or bolor. DoIoobor IZ, 191Z .. II ony luturo Intlrllt In tho I.tlto II tronllorrod
In pa.It..lon or enJoYltnt to C1I.. I (collatlttl) blnef'olarl,. of the dlOldlnt .ft.r the aKplrltlon of InY ,.tlt. for
11f..or for Yllrl, thl C~lth hereby .~r...lv r'tlfV" the right to IPPr.I., end 1..1.. tr-n.f.r Inhlrltanol Taxi'
It the l",'ul Cll1. I (coll1tltll) rlt. on anv IUCh future Int.rllt.
_01'
NOTICE, To lulflll tho r_Ir_1I 01 S..lIon mo 01 tho Inhorltono. oneS Elt.t. Tox Aot, Aot ZZ 01 1991. 12 P,S.
SOOllon mo.
PAY1ENT1 Detech thl top portion (If thl. NotlCI IOd NMiIt with vour PIVMnt to thl Regllt,r of Nl1l1 printed on the r.Vlrll .Ia.
.-HoIl. .hook or oonoy order poYOilI. to' REOIBTEIi OF NILLI, ADEHT
AU p'vwenta r~.lved .hlll Ur.t bI IPPUtd to II1V Int.rllt which IIV be due .,Ith .,v rHllndlr .,Ued to the tlX.
RUUHD (aUI A rlfu1d of I hJC oncHt, which "" not rlqullted on thl Tn Rlturn, 'IV be reque.ted bv c0IIIP1.tlng In "AppUoltlan
for RlflRJ of PIMlvlvlnll. Inherit.ucI end E.tata TIK" (REY-1SlSJ. Application. Irl aVIHlbl1 at thl O"lc.
of thl Rttl.tlr of Willi, IIlV of the 23 A.vll"lUl Dlstrlot OffiCII, or by ollllnt the .peele1 Z4~hour
In....rJng tlrvlet ~tI far fOI'w' ordtrlnll In P.".,.ylv.,J. l-100-S67.-ZnO, out. Ida Ptm.vJvWlI, W1d
within 1..11 Hlrrlobure Irol (1111 111-IOtl, TDDI (1111 71Z.ZZSZ (HoIrl.. I..olrod Onlyl.
OIJECTJDNlI Anv p.rty In lrltl~..t not nU.fled with thlllPPr.lt....,t, ellownc. Ot dl"UowtnCla of dtducUona, or 't""Mnt '
of taJC Uf'lCllucUng dltc~t or Intar..t) .. shown on thlt NoUca at.t obJ~t within .hctv UOJ dav. of rlGel,t of
thll Nollo. bY!
-~..rltt." prot"t to thl PA DIp.rt.."t of RIVII'IUI, Board of ~lt, IlIpt. 2Il0Zl, Htrrllburg, PA 11121"1021, OR
.....leotlon tQ haVI thl I.U.r atar.tned .t audit of thl acCCMllt of thl Plrlonel repr..."t.tiv" DR
-.......1 to tht Orphan.. Court.
ADMIN
IITRATlI'l!
CDRRECTlDNS,
IHTIIlU"
FlOtull .rror. dbcov.rtd on thlt .....Mlnt mould be Iddrl..td In writing tOI PA o.p.ttHnt of RIVenue,
lur.eu of Individual TIlIII, ATTNI po.t A.......,t A.vlew Unit, Dept. Z10601, HtrrlMrl, PA 111ZI"0601
Phont (711) 187-6505. iN page 5 of thl boo<<ltt "Inttruotlon. for Inhlrlttnea l.x A.turnfor . Rllldent
Dtoedtnt" (REY"150lJ for In IKplanatlon of adllnl.tratlvllv correotlbl. .rror..
If InV tlM due b paid within thrH (!J c.land1r IIonth. Iftlr the dtcldent'. de.th, I flvl percent (nJ dllCOW1t of
tho tox pold II 011_,
Int.rllt h charged blllnnl", with flr.t dlv of dtll~v, or nlnt (9) IIOnthl Ind OM OJ dav frOll tM data of
dMth, to thl dati of p.~t. flxlI whIch beo:tM dtUnquont blfora January 1, 1912 belr Intlrllt It thl rlt. of
11M U:O PlrcWlt par lWW'lUI cllculated at . dalh rete of .OOOI~. All tlJCII which bto.. lttllnqu.nt on and IUlr
Januarv 1, 1912 will b..r Int.r..t It . ratl which wIll Vlrv froe e.llnd.r Vllr to cal~r Vllr with thlt rlta
announotd bV thl PA Dtp.rtltnt of Ravenut. The appllGlblt Int.r..t rlt.. for 1912 through 1995 .r'l
, ,
DISCDUHT ,
~ Intarllt RI" D.l1v Int.rllt FtctOf !!!! Int.rllt R.t, belh Interllt Fector
I9IZ ZOX ,OODS41 1911 'X .OOOZ~1
1915 In ,ODD~5I 1911-1991 IIX .ooom
19M IIX . DDDJDi I99Z 9X .ODD!47
1915 ISX . DDDJS6 1995-1 'I'M 1l( .DODI9Z
1916 lOX .DDOZ7~ 1995 'X .OODZ~1
~-Inttr..t II caaloutltad .. foll~1I
IHTERE8T . IALAI4Cs OF TAll UNPAID X IMIIER OF DAYS DBLIHQUEKT X DAILY INTERElT FACTOR
..Any NoU.o Inued Iftor tho tox boc_o dell_t will roll..t on Intorllt .llaullt!on to IIltoon (l5l dove
bevond thl dati of thl .........,t. If paVlltnt 11 IIIdI .fter thl Int.rllt C/MPUt.tlon dat. .hown on the
~ttca, Idditlonel tnt.ta.t lU.t be cIlculatad.
I{
IN THE OOURT OF OOMMON PLEAS OF CUMBERLAND COUNTY, PA
ORPHANS' COURT DIVISION
IN RE: 5436140.11011696
ESTATE OF
Evelyn B Myers Schmid
. 01/- 9J/- ~D1
)
)
)
)
)
)
)
)
NO.
CLAIM
CJQ
':' , "i
I j
I
["
"_1
:
I .
. , .,
,
"/l
J'". '
To the Clerk of Orphans' Courtl
Index and make proper entry in your official
records of the Claim of PNC Bank P.O. Box 8927 Wi1minqton. DE 19899
(Claimant)
in the amount of $ 353.95
against the estate of the
above named decedent. This Claim is filed under Seotion
of the Probate, Estates and Fiduciaries Code.
The said decedent, who resided at 335 Wesley Dr. Apt 511 Mechanicsburg
PA 17055
died on the 6th
day 0 f June
, 1994
Written notice of this claim was given to Paul R Fitz
335 Wesley Dr lIpt 511 Mechanicsburg, . PlI 17055
(Personal representative, if any, or Counsel)
, Date: August 17, 1994
PNC Bank
(Olaimant
By: lIva Lockman
(Title)
P.O. Box 8927 Wilmington, DE 19899
(Address)
"'lta~
~
STAn OF
li\rlIf""'<){
rae
COllNTT OF
PENNSYI.VANIA
,.
c..-
-
CIIMIIERI.ANIl
AFFIDAVIT IN SUPPORT OF CLAIM AGAINST THE ESTATE OF
f:VEI.YN II. SCIIMI\l
O.c....o
CASE'
2194609
NQl
I, Uridget lIeinicke I Accounc Rlpn..nclc1v1 for CldJlIDC,
SIIIFn:R UROTHERS. POllux 29117, Slwwnl'l' MIHHIon. KH. 66201. (913) 676-4086,
cldll of chi E.clc. of
lWEI.YN II. SCHMIIl
,D.c....d, Hat,
chi .UlI of
Ono hundred twenty dollarH IInd Heventy eentH
(. 120.70
), .. .vidanc.d b~ the follov1n1 compl.c., limiCld iClmizatioD
.nd othlr attach.d doclllllancacion. Thin UII 110 .dditional cracticl or
OU"CI due chi .ccounc excapc cho.. .taClct. Th. but. of our cl.iIII 11 II
followl: Revolvlnq ch.rqa Iccounl:' CG611115 7 2 7030208
op.ned March, 19115
BILLING DATE ClIA.RGES PAYMENTS CREDITS FINANC! C1L\RCiE BALANCE
2/15/94 25.00 3.93 201. 13
3/15/94 20.00 3.56 184.69
4/15/94 25.00 3.19 162.88
5/16/94 25.00 2.82 140.70
6/15/94 20.00 120.70
: I
1,.1
.,
(',I
'.'1
I,
, "
~)O
Lf:)L.. <:.l 'a( ,f fi~~n<.;..J( ~
(S1;naturl of ClaimaAC)
Bridget Heinicke, ACaOUDl: R.pr'.enl:'~v,
tor l!1.1i"'A'",!
-
PO BOil 29112
ShawnAA Mi~.i"". r. ~~'n'
(Addnu of Cld.1IW1C)
Sublcr1bad .nd 'Worn CD bafor. ma chi.
19th
4
.199 ,
d rrR~~,\ CO~OLE
. I~' ~;l"'V~\tl~"Ut'I:J(" (..~,
..l.,!.l 1','1' '\,~", PJ'!;U,,~ ~? (~j ,I
-,---
day of August
--Z~C- U~b J
Notary PuoHc W
My 00=i9810n e'/:'iJlresMX6L
,(