HomeMy WebLinkAbout94-00617
;
IJETITION H)R PRODA 1'E and GRANT OF LETTERS
/:'s/CIIl' of .../i)J~L/IlIiJjl ullti)l~. No, ..cJl~fLf--~L'L--..
a/so klloll'II as .._ ... ._ To:
Rcglstcr of Wills fqr tlW
...__.._' ._' J)) J County of r.;tJ.f!1jg:f:.J./l;:J C? In thc
:~;;;:;;;iS('~';'~II.;;NO~'11i,:'iU':'jJ_'i1.~as(,1 '. commonwcalth of I'cnnsylvllnlll
Thc pctltion of thc undcrsigncd rcspcctfnlly rcprcscnts that:
Yom pctitioncr(s), who is/arc IK ycars of agc or oldcr 1m Ihc cXccnI..O.4...-..,---.------- n~m>,1
III the IlIstwlll of thc IIbo~;cc,"lI~III. (~d_ Cl'.o.t!.'[c'-'3t:~t4,..- ......2-:..-__.19J.L
IInd cndkil(s) datcd _,,,,_FL-r ....l./J/"I..t,.. ...----...-...---..--------
.-.----....----
-_.-.__.._-~-_.....--_.-----------
_~.___.__... ..___u___..___u________......_.._ --.---'.'--" - .-_.
(\Iall' relevant drl'111l1'i\llnl:C~, I'.~. rClllllldullllll, dl',Hh Oll'\CCl1HH, Cl\',J
DcccndcntwlIs d\lInkilcd al dcath in ......--/!t.I/i1111.i~.j!i..1tJ... 0,1"_ County. I'cnn}ylvlInill. with
h_I..'&1'I/'st fllmily O~~\:ip!1 rcsWcncc at _.Eo. .~/::'l__f./.i.J6.'1./~I.1--H....cQLj/ L.' -
.-I.L--..- ":"1tJi1k., '€..___..};~(';'_n..... .'lJJ1LP../I/.U.L,..P-l2------
{Ii,1 ;,lrl'el, 11\1111I1l'l IIl1d lll\lI\dpalit;'1
Dcccr'~hYlj3 ,~...:(ycar~,c, dlcd u'''''' !1J..~Y.x..._..._--. I 92...!1-.
1I1__u..---....----. ..1__ __..L.'_. __.___u.._n....__.._________......___ .---..---------'
Exccpl as I'ollows. deccdcllt did notmllrry, was lIot divorccd alld did lIot hllve II child born or udoptcd
uft~r cxcClltloll of th" will offcrcd I'lli' problltc; WIIS not thc victim or a killlllg IIl1d WIlS ncvcr IIdjudlcllted
incompctcnt: ..-.. ---- .. . . ... ...--.-------------.-- -- ...-------'-' -~--
DcccndcIII at dcath owned propcrlY with cstimatcd valucs as follows: ~
(If domicilcd illl'a.) All pcrsollal propcrty L_ti. ~.'i"".-.:5I't!,_
(If not domiciled IlIl'a.) I'crsollal propcrty 111 I'cnllsylvalllll $..J}...5'..&!. (:
(If not domiciled In I'a,) I'crsonal pr('pcrty 111 Coonty $..-i<- I'V f'
VIIIIIC or rcal cstlllC illl'cIIIIsylvallla $ ,(.)C' A,'l-
sltulltcd as follows: .....--- --------.--...----.--------..----
__ .,._... ____...__..u___._._______.
--~.-_..------ .--" ..
-_....._-_.._...~-+.- - ..--.......--- .-. . ._.----_..-._--_.---~-
_______n._ ___'_'~'_ ..-' ----
_.._~..-._..__._-_._._-----~-_.----_._._-
WHEREFORE, pctltiollcr(s) rcspcctfully rC'TTt(S) Ihc probatc of the 11Ist will IInd codlcll(s)
presclltcd hcrcwlth IInd tilc grulltol' Icllcrs____ SIAMElLTlIRY - ---
(IC~U\lilC'll111ry; Ildlllini'lITlllhJII c.l,n.; lIdmlnhlraliC111 d,h,lI,c.l.n.)
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~Li_nd{J.'jL ___V-:l-'J1-/d.{t.lill -- rYe. / ~~
.~---- ---~----- -.---- ----
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Thc pctitlollcr(s) IIhovc,mllllcd swcllr(s) or IIfflrm(s) thlltthc stlltcmcnts III the forcgoing petition lITe
nllC alld corrcctlO thc hcsl of the kllowlcdgc and hcllcl' Ol~~clitiollcr(s) IIlId thlltlls pcrsonlll rcprcsclI-
tlltivc(s) of thc nhol'c dcccdcllt pctitiollcr(s) will wcll nil truly administcr/he ~S9? IIccordlng to IiIW,
Sworn to or 11.1'1'11'1111'.'(.1....,.111(.1. Sllh'crihC~'d . "h '. ~t:~~_~. ' ~f ' 'X
~~clorc mc Ihh... . 14TH _ .u' dllY of .-" ./tu.t:.~-....Jt-.. ..:''..ilif. ~1
1!f:.. . ..u..-1:/ ~WJU.t:." '.l'~ fY!J1.o/: . ~;;t(. ..___."u_ - ~
_. 'IlA'd' C'uJiulr... .f "R,,;Pr ,- ~<7f-"- _______n' ~
M Y fj_ LEWIS IJ II --{fn......---- . "
(4- - ;;);~ ~ - '7
OATH <W PERSONAL REPRESENTATIVE
COMMONWEALTH OF \)ENNSYLV AN\A l olS
COUNTY OF ~UMBJRLAND__,__... . J .,
No.
21 . 94 . 617
Estate of
WILLIAM A. LANTZ
, Deceased
DECREE OF PROBATE ANI) (.RANT 01<' LETTERS
AND NOW JUL Y 18 , 19___~, In ~onsldcrnllon of thc pctltl()/l on
the rcvcrsc sldc hcrcof. satisfactory proof hllving bccn prcscnted beforc mc,
IT IS DECREED thallhc Instrumcnl(s) dalcd, WILL DATED OCTOBER.f.lJ985 CODICIL DATED ~~~1' 5
dcscrlbcd Ihercln bc ad milled 10 problltc IInd fllcd of rccord liS thc Ills I will of
WILLIAM A LANTZ
TESTAMENTARY
KENNETH H. lANTZ, JR. and SHIRLEY M. LANTZ
----
and Lellers
arc hercby grantcd to .
Jlm{JJ; Yf!
PEllS
Probatc, Lellcrs, Elc. ......... $ 25.00
Shorl Certlflcatcs(5) """,." $ 15.00
Rell.unclallon ,.",."",..". $
X-I'ages .'lb.UU'
Codicil' $ 10.50
JCP TOTAL _ $5.00-
Fllcd ",. J,u.~ y, la.. )9,9.4",."" ?q:?p,.
A11'ORNEV (Sur, Ct. I,ll, No,)
AIlDRESS
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Mailed letters and order to Kenneth H. Lantz on 7-18-94.
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Ll\ST WILL
OF
WILLIl\M A. LANTZ
I, WILLIAM A. LANTZ, of 463 state Road, West Fairview
Borough, Cumberland County, Pennsylvania, declare this to be my
Last Will and revoke any will previously made by me.
ItemJl: I direct that all my just debt.s and funeral
expenses shall be paid from the residuary estate as soon as
practical after my decease.
It~~JG..:. I direct that I be buried in East: Harrisburg
Cemetery, Dauphin County, pennsylvania.
.!te~,J3: I direct that all taxes that may be assessed in
consequence of my death, of whatever nature and by whatever
jurisdiction imposed, shall be paid from the residuary estate as
a part of the expense of the administration of my estate.
It~~~~ All the rest, residue and remainder of my estate,
of whatever nature and whatsoever si tuate, togethe r wi th insurance
thereon, I devise and bequeath as follows:
(a) To my nephew and his wife, KENNETH H. LANTZ, JR., and
SHIRLEY M. LANTZ, or to the survivor of them, Fifty (50%) percent.
KENNETH M. LANTZ, JR., AND SHIRLEY M. LANTZ address is 741 Walnut
Street, Lemoyne, Cumberland County, pennsylvania.
(b) To my nephew, RONALD LANTZ of 505 Sheets Street, Union,
Ohio 45322, Twenty-Five (25%) percent. However, if RONALD LANTZ,
does not survive me, then his share I bequeath to GLORIA LANTZ,
of 1203 Yverdon Drive, Camp Hill, Cumberland County, Pennsylvania,
aponse of my late brother, LTF:SSIE HARPEP. LANTZ.
(c) To my nephew and his wife, WILLIN~ E. SOLADA and
.
r:t:
~
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~
FRANCES SOLADA, of 507 State Street, West Fairview, cumberland
County, pennsylvania, or to their survivor, Twenty-Five (25%)
percent.
Item #5: I appoint my nephew and his wife, KENNETH H. LANTZ,
JR., and SHIRLEY M. LANTZ, Co-Execntors of this my Last Will.
...~ .-
., I'
COD I C I L
I, WILLIAM A. LANTZ, of the Borough of West Fairview,
Cumberland County, pennsylvania, being of sound mind, memory
and underst.anding, declare this to be the sole Codicil to my
Last Will which is dated the 2nd day of october., 1985.
Item 1
I hereby revoke Item No. 4 (b) of my Will and in lieu thereof
provide as followSI
To my nephew, RONALD LANTZ and MARJORIE LANTZ, his wife, of
505 Sheets Street, Union, Ohio 45322, Twenty-Five (25%) percent,
or to the survivor of them. However, if RONALD 1,ANTZ and MARJORIE
LANTZ, do not survive me, then I bequeath t.heir shares to KENNETH
H. LANTZ, JR. and SHIRLEY M. LANTZ, or to the survivor of them.
In all other respects, I ratify, confirm and republish my
Last Will, dated the 2nd day of October, 1985, together with this
sole Codicil, as for my Last Will.
IN WITNESS WHE REOF , I have hereunto
" )
day of /;;) ( h ~, , 1986.
,,r ,
_c/
set my hand this ~_
1.(/) {i;(.(t'lYI (X :tnAL.(
Willram A. Lantz
Signed, published and declared on the date thereof by the
above named WILLI~I A. LANTZ, as for his sole Codicil to his
Last Will, dated the 2nd day of october, 1985, in the presence of
us, who, at his request, in his presence, and in the presence of
each other, have subscribed
1
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.A"/; I ,', I, (; j"" t, ronidi,ng
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((J. '11 V; t, i tll
our names as witnesses hereto.
. re siding
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CERTIFICATION OF' NOTICE UNDER RULE 5.6 ( a)
Name of Decedent I !d/LL~ j) J.1l1.!1", '
Date of Death, ~~ 'L!~ i X', ;iC;J
Will No .-1../~9t./ - C 1'1 Admi:n "No'.
To the Register!
I certify that notice of beneficial interest required by
Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to
the following beneficiaries of the above-captioned estate on
I
NamE!.
../,'?
-1lQfJ.l/l L. I>
tJ /I.. t.. / II In
10' d!) i<=.,
.,
Jc>;... H DR
Add~ /,5)2 L
7 2. i > s: ) ~ .<.1 t: 1/ I C t..d ,TJ t?, {1J6 U'(.u 6D.D () 1./
'3 -
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~ c:-.. (,;;':"'4 ~
5'67 .)Til7c: Rp, {ucsr f',9J(2L,'IEL,1 j'l1
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i.t.::.'-I?loYAJ!. pp 17()c/'5
L{/JI()!I~C fk !7oy''':>
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;5;J/I'2( f 'I t/1t..'T7 -7(/ J ,~(,/t/L"ULI T .~;-r.
IDJfl)ETIJ J.11,()1z.. J J2 7y-! (JJf)LAJUT.57,
- ,
Notice has now been given to all persons entitled thereto under
Rule 5.6(a) except
Datel
q~/7-tJ<...)
~kJ,ti 'Ii :;/ Ya'k-A. c~
Signature ",/ .
Name "'(1,// {e lIJuJ 0 r ':.";,/,
Address l[J;'h~YA.ICJ rh /It' c/';;
Telephone (1/1
~J~{,1- 7/; 9
Capacity'-l_ Personal Representative
Counsel for personal
representative
III ~ "~),~ 3- 'I
v' ~ INHERITANCE TAX RETURN
~. iM;.~ RESIDENT DECEDENT
eOMMONW'ALlt< OF HNNlllVMIIA (TO BE FILED IN DUPLICATE
DEPARTMENT Of REVENUE
t<ARAllm:c\ ~~on:l10601 WITH REGISTER OF WILLS) COUNT\' CODE HAR
. ""'cCiDENT'1 NAME IlA!T, f1Rl'i: "NO riDDLE iNliiAli ..,.... .. ~ '~--[i1mmTTWMJftrnfio~m. ,....,
I '!"J1~ ~5,;;i.~ "H:~~~~./ I"~I'::';:: ,,,I '0_' O~;i~~tff:~f{,/ lull u
W'1. Original Relurn II 2, Supplemunlal Relurn [ I 3, Remulnder Rolurn
I'or dote. 01 dealh prior 10 1~, 13.82)
[OI ~o, fulur. Inlornll Comp.o 11110 I 15, Foderal Ellole To.
l'ar dolo. of doolh ahor 12,12,921 Relurn Required
[] 6, Decodenl Died Te.lale IJ 7, Ooeodonl Malnlolnod 0 lI,ing TrUll 8, Tolal Number of Sole Depo.1I Bo.e.
(Alla,h ,opy of Will) 1~.".?,,-h..co~y~I.T',ul,'L.__ ,'..._..___...._____
ALL CORRUPeNDINCe AND CONPlDeNTlAL TAX INFORMATION SHOULD BE DIRECTED TO.
~ ~ AM~ iN lit:' 7'/-1 ;../ L ~ 1/1,:. .)~, ...-, (OM;~0A1it~~;~'~J ~'7 5') ,
~ ~ TIifpt<ONF NUMBER Z'-'- _;~_____m.__,..u__. ic (1,' 0 (! Il) C:1 j';.J '70 yl ':;:{
. ,.. _~, ___ ,)1 I. !....~L1,:f' ,0..1 ...'1 .. ".....C'c..=c~",~",,".:.'-=..o.
IHV-IjOon+ lll.ql)
1. Roal Ellalo ISch.dule AI I 1)
2, Stock! and Bond. (Schedule BI I 2) .
3, Clo.ely Held Slo,k/Parlne"hlp Inlere.t ISchodulo C) I 3)
:: ~::~~:::: ~ne::~:o~ ~1::~~~O~:o~s.c~::.u~::)proporIY: :: .. ;j.2?"L~L_,=-':-':
(Schedule E)
6, Jointly Owned Proporty (Schodule F) I 6) . ____.._.____......_.
7, Tran.fe" (Schodule G) ISchedulo L) ( 7) . ...._... ____0- ..._ _~_ .........
9, Tolal G'OIl Allell (tololllne. 1,7) if';. d cJ
9, Funeral E.pento., AdmlnlllrallYl Call., Mlscellaneou. I 9) ____...h ____..._____._....___
E.pon.o. (S,hedule H) _
10, Dobl., Mortgage Liabilities, lien. (Schedulo I) (10) __._____,____.____
11. Total Oodu<llon'llolalllne. 9 & 101
12, NeI Value of Ellolo (IIn. 8 mlnu.lino 11)
13, Cha,ilablo and Go,ernmonlal Bequo," (Schedulo JI
1~, Net Valuo SubjecllO To. (line 12 mlnu.llno 131
15, Amount of line 1~ laxablo at 6% ,ale
(Indude ,alu.. from Schedulo K or Schedulo M,)
16, Amount of IIn. 1~ 10. able at 15% ralo
(Indud. ,olue. from SchedUle K or Schedulo M,)
17, P,lndpalla. due (Add to. from line 15 and from IInol6,)
1 B, Credlll Spou.al Po,erty Credit Prior Paymenll D/"ount..... InFo,o.1
-,-...,---.- + _____..__.._ L"'':? .:..:!j -..
19, II line 18 I. grealer than line 17, enter Ihe dlfforonco on IIno 19, Thil II Ihe OVERPAYMENT,
aD
20, If line 17 i. 9reater Ihan line 1B, enler Ihe difference on IIno 20, Thl.I. Iho TAX DUE, 1201
A, Enter Ihe Inler..1 on the balance due on Ilno 20A, 120A)
B, Enler Ihe 10101 of line 20 and 20A on line 20B, Thll II Ihe BALANCE DUE. (20B)
Make Check P~vable tal Re~l.t.. of Will., Agent ...._.._.:.:.c.,,=::_,___c:"-__..., :-'--.,-....:~=,,__:.:::=-:::.c:..=:-=-.....=-,
.. lelURI TO AN.WIR ALL QUESTION. ON REVU'! SIDE AND TO RECHECK MATH.. ---
.. -:-r
Under penaltl.. of perjury, I dodare thai I ha..... uamlned thh return, Ineluding accompanying 1Chodules and IlnlemenU, nnd 10 tho bell of my knowledge and bellelj
II II true, corr"c1 and complete. I declar. that all real ellalo hOI been reported allrua market volull. Declaration 01 prepmor other than the perlonal rllpunenlallve I.
baled n alllnformallon of which p pare' has any knowledge.
liON, ~R lo,~Pt~i~ 'il'0r:ETr- _;/l;OR'~/!7I.;/L.';~"~,-:; -J..;'-/))'L~;;)~~--U}1?'- Dr-;'C~-qZ/--'
:lJdM.r~'EHJrt<ER lfiANID4;(;''tlATIVE Allol[ns--.-----mu...--. ..-...... .. ..._1 1- it;:'i:~ DAfl....-.'...----.--
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'OR OATIS O' DIATH Am. 12/31/91 CHICK HI"
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NUMBER
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(12) _______=______
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-- -.- . --- -. .. --+-- ---._-
(18)
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Ch('(~ 11t'1l' .1 you Ulf', Il'c,uuo;'ing f1 refund of your ovclpClymonf.
S 9.'.~, If r:.I .
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CoMMONWIA\lH O. PlNNlYLVANIA
INHUITANCI TAX mUIN
!!IIDINT DICIDINT
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
DESCRIPTION
PI.a.. Print or Typ.
CHUMIIIR
/ 611!/..- tJ CJ 6 /',1
AMOUNT
ISTAlI OP
~ 1.1-/ ill Il
ITEM
NUMIER
J /f/ff2..
A, FunerallKp.n"'1
1.
7tJ/n )p~y /) tiJ6
]JE /17))
1>1fJ/.!t: flUe... ,/)11 'f~ C1,!:
tit/, (J 0
1.
Aclmlnllfratlv. CO'''I
Perlanol R.pr..entollv. Commission.
Soclol Security Number 01 P.llonal Reprellntallvel
Year Commllllonl paid
I.
2.
A"orney Fe..
3.
family Exempllon
Claimant
Relallonlhlp
Address 01 Clcdmonl 01 decedenl'l death
Stre.t Address
City
4. Probale Fe..
C, MI.e.llan.ou. Exp.nllll
1.
2.
3.
4,
5,
6,
7.
8.
Slale ' Zip Code
"II
TOTAL IAllo enler on line 9, Recapltulallon) , sq. () ()
III more .paee I. n..d.d, In.er! additional .h.... of .ame .11..)
_Iy.un 1\+ lUll .
*
SO.l.lMONWfAUIl 0' .INNS't"""ltA
INHI_IIAHCI ,.... ntu_N
nIIOIN' OICIOIN'
ISTATI Of
.
.
SCHEDULE J
BINEFICIARIIS
&.-(/ L. L /I-1J~)
Ii . Jj'1 !J1'~
J
--
fill NUMBER
ITEM
NUMBER
_..____ _.___._..n..._.______~.._____.__.._______.__.____
_.J1-'l..!l..., (J rli..J.....Zum
AMOUNT OR
RlLATIONSHIP SHARE OF ESTATE
1.
ITEM
NUMBER
1.
NAME AND ADDRESS Of BENEfiCIARY
A, TaKabl1 alqull":
--:1
lreJAJI1J.i) !-AIJ-r'l.. ~
J ;:, ().(' '? IN' 6'y It -W' t),t,
fV4li--W(.l(IP.. ()f:/. rfJ~2.
IV II.. L //1,111 ,~'~, /.1'1 'D ~
~ () 7 :5"-11 ., c: A'1,).
tufts I /1111~ V 1/.:;211 PIl / 1tJ Z",,""
j'IJlet.~'1 /J1, ).t1lJ1'l!...
"NI WIl,O)i/-r .5~, I
j.t:f}1oY,vi", plJ 17tJcf5
J ),
;!t:-,JAltf'tt-l /"1. ~AN1t,v;Z.
1/1 (jJA /...AJ (j r $-r.
J... ([ rno Y IUI?, PA / 7()r/ ~
NAME AND ADDRESS OF BENEFICIARY
B, Charltabll and Gavornmlntal alqulltll
AJ ( f' JJ t;""ZU
AJ rhlt:.:4.U
AJ , tJ-( r;
,()e/Nl:-W
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS lAlla .nlor on IInl 13, Recapltulollon)
III molt .pac. 10 ."dld, Inllrt additional .h",. 01 lam. .1"1
.'H/"';d;'_~.'J ;.~\
,
"
rctr5. '3~
1(1'''5. -; ,
'6 'fff.'?J1;
1; 1 g, '3 C/
AMOUNT OR
SHARE OP ESTATE
s
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f.
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.-....-- - --,-_ ___ _. .._._._ n..... ~._ ."_ . '...,.
-.- -.,.. ...-- .-.- ..... ..-.. ~.._.. ....-. --- .._-. ..--.---------- --.---......
RECEIVEO FROM,
i,
ACN
ASSESSMENT P:'
CONTROL I;i
NUMBER
,AMOUNT
I
. i
~ -- --,- -- - -. '--.~-' -.-:- --, ',--- ...- -...- .--- ---. -- ....-. .- 4~.._ - t.__ --- ....- -.- --. ...-: .;-'-. rrl~- "~-f'- '7--l"""
, ,
REGISTER OF WILl.S
m TOTAL AMOUNT PAID ,--~.3~llit
RECEIVEO ~~~p.':~ ,O~,
, IONAlURf
MARY C. I.E S
REG1STER OF WILLS
07/GB /9/1
REMARKS
KENNETIi H. LANTZ I .JR.
SEAL
CHECK" 1703
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ACN
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RI!Y-1547 ex AFP (08-94'.
~OMOHWUlHl OF IlENHSVlVANU
Il<'P'R'HI'Hl Of REVEHUE NOTICE OF INHERITAHCE TAN
It>lE.U Of IHDIYIOUAl TAKES APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
~~~:iS:~~~lp. 11128-0601 DF DEDUCTIDNS AND ASSESSHENT OF TAN DATE 12-26-94
m~T OF .- LANTZ =iffi11 =7i~'~ - -- FILE NO'~ rr=rif-lfliir
, / DATI! OF DI!ATH 07-08-94 COUNTY r:UMBERLAND
\I NOTE. TO INSURE PROPER CREOIT TO YOUR ACCOUNT, SUOHIT THE UPPER PORTIDN Of THIS FORH HITH YOUR TAN
PAYHENT TO THE REOISTER Of WILLS. HAKE CHECK PAYABLE TO "REOISTER OF WILLS, AOENT"
REMIT PAYMENT TOI
/,ji.i 3
?
-.
KENNETH H LANTZ JR
741 WALNUT ST
LEMOYNE PA 17043-9746
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
I .~ Anount RI.lttld ~
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
ifEV: is;j,- B iC"A FP- - i oa-: 94"!"" NoYf c r "OF - Y NHEiif;: Atic E" YAx" A"p Ii RA" i SEHENr; -Ai. l"owAtic E - iiFi" - - - - -" - - - - - - - - --
DISALLOWANCE O~ DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF LANTZ WILLIAM A FILE NO. 21 94-0617 ACN 101 DATE 12-26-94
TAN RETURN WAS. (X I ACCEPTED AS FILED
I I CHANOED
RESERVATION CONCHRNINO FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL
1, Rill E.toto tSohldulo Al III
2. stock. Ind Bond. (Sehldull BI t21
3, Clo.lly HIld Stook/Plrtnlr.hlp Intlrl.t tSohldull CI t31
4. Hortglgl./Notl. RlellVlbll (Sohldull DI 141
5. CI.h/Blnk Dlpo.lt./HI.e. Plr.onll ProPlrty ISohldull EI (51
6. Jointly O.nld Proplrty (Sohldull Fl (6)
7. Tron.flr. (Sehldull 0) (7)
a. Tatll A..lt.
,00
,00
,00
.00
4,261,26
.00
,00
18)
4,261,26
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Fun.reI EXPln.../Ad.. Costl/HiIC. Expen... ISchldull H) (9)
10. Dlbh/Hortglgl L1lbUltloo/Llln. tSohldull II 1101
11. Tatll Dlduotlon.
12, Nit VIlul of TI. Rlturn
13, Chlrltlbll/Oovlrnnlntll Blqul.t. (Sehldull JJ
14. Not VIlul of E.tlt. Subj.ct to T..
94.00
,00
Ill)
1121
1131
1141
Q4 DO
4,167,26
,00
4.167.26
If an a..e..~ent was i.sued previou.ly, line. 14, 15 and/or 16, 17 and 18 will
reflect figure. that include the total of 6hh return. a..e..ed to date.
ASSESSMENT OF TAXI
15, Anaunt of Lln. 14 .t Spou..l r.t. 115)
16, Anaunt of Lln. 14 t...bl. .t Lln..l/Cl... A rlt. (16)
17. A.ount of Lln. 14 t...bl. .t Collltlr.l/Cll.. B r.t. (17)
18. Prlnalpll TI. Du.
NOTE:
.00 N ,03_
,00N,06_
4,167,26 N .15_
118)
.00
.00
625.09
625.09
TAX CREDITS I
PAYHENT
DATE
09-16-94
RECEIPT
NUHBER
MM~12951
DISCOUNT (+)
INTEREST (,1
31.25
AHOUNT PAID
593,84
,j
TOTAL TAX CREDIT
.---
BALANCE OF TAX DUE
INTEREST
'rOTAL DUE
625.09
.00
,00
.00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST,
IF TOTAL DUE IS LESS THAN fl, ~ PAYHENT IS REQUIRED,
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YOU HAY BE DUE
A REFUND, SEE REVERSE SIDE OF THIS FDRN FOR INSTRUCTIONS,)
.-
STATUS ~EPORT UNDER RULE 6.12
Name of Decedent I U)//--L! I)/Yl /J 1 A;<JI'i-
Date of Deathl-Z- ?(- 1 c)
Will No. ~/ C;t./ "/1 Admin. No.
Pursuant to Rule 6.12 of the Supreme Court Or.phans'
Court Rules, I report the following with respect to completion of
the administration of the above-captioned estatel
1.
Statxe whether administration of the estate is complete I
Yes _ No
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete I
3. If the answer to No. 1 is Yes, state the following I
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 is:
c. Did the personal representative state an
account informally to the parties in interest? Yes K' No
d. Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
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Counsel for personal
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