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HomeMy WebLinkAbout94-00623 ,; "\~': , " , , " , '" , " " ',t,' tl'l 'C'I~\') II':!!' , !H~r.,t ~'l~; \~ h(i:n '."..,} ! V. ~, "') ,i} I> hil'.:!)", ~, lIJ. -~Ir ",u11f'~'~I~" U.~'''I I" Ii' 'A~ ~ , ""f'" ~' I, )1t~d, , d 1/'17 ,~j' It, IJ"'II1.'JJ~"1 \\!n(~;\~:(''", ~! l"U'.."'lljJi I'" . ~j W~'! (~I,I~m' !I!~'I~~1;~ ,\~Il'~;"" 1j~l[) 'ffJ" li!!!1 At ,;r\ \1\\1K,tl'IU'::J'JI~~1 ~rll\'iil/l,\tO!>'I; ""~~"!I(,>' ..I,M 'I >,'.1 \,w; 'I '1'li)~~.'I!\ri '\'W\"I(f"jll~1 ", I' " "",1 p,<' ," ' , 'Ill ~ I " I 111\\' 'I"~ \ ' i' >.1 / "I,' 'I" II' \, q '1'1,/, j<, 'J" '. I:; " ,I,: "I ";~, ,.:1 ,"j 1',Pi' "Fl' ','I:;;': ,','I, if .. ,:' .'/, ".. ',I" ,', " ," '.,11. . " ~,' " " ",,, i,I' \1, ,,, " ., "I , ,) ," ,'; ",! 1':,1, ',:, '( ,d." 11' l, )>:;;,.;;:,' i,."< , /,,,'" '\I'I"! " ." ",;'.';. " ~', : "" i' , . " " <'I I"" . , , " ,', . " " .1", ,. .. ,,' .' " ' ':",,:\' "~I "'I'J:I' " 'l.illl 'I, "h"""," 'I j' ,I, ", ,I' 11/ . < /, 11,1' 'I,l~' ,I,,' ,I,' '(: " , " \, '" " , " 'J' ,\,. ,".U:'\,~; ',< "I 'I 'I,' I'.' I, d', '" '" ... I: ,I' !',,:: ,>1 " I' .: "! " , ":,', '<,I , ," " : . " ,(""., " " \"', (.' , I'" " , " , ".' ,I,' ." .,1, " I' "I' 11.,'1 " i " I ~ ' " ,,. I ,: ,,'4" 't,' .,':\ I,' , ' ,', II " , I ~ ,i r" ....1, li,'"r'.' ,.":. ,:>'\ " , ;(' '/.,1 ';\1 ",1'/ " " >, I:" ,. '1' , ",J:' ," " (I', " 'I,' I, " ,\" .' ..' ; '; ~ -",1 , 'H.' .i, ;,11. " ". j\ ~,,' ll; ", 1,.,.1")<1,, , ,,' ~ \' ,~" I ,': " ",., ;', I"" il<,\I , ~ 1 \ ,:. \ ' \',d,;, I', \ . ;\,.:' ~.',,:: '1' ,:. ',..t,' :,,', " ,Il "! 1,.1,'" '. ") ",',1' ,i', II. " 1.', \l,t,; I, ' ',,: " c' ...1' J:\'" '/1,,' '" " .,', ,. , .,' '," ',I" I, /, , ' ,', '" I' , " " " ," \. :'1" ,1., , " ,,'I ", 'fl". '" "I' ,,' '" .I, !~ J. .1;" 1,1 I, , " \.'11 1<, i\ .,. -:..; (. I' t?l;', " "',":' f, (\1,,11 Ul ',:.,! ,1,', 'll,' ' " ':\ ~ , ,',I,: 1.1, " , r", .' ,l',l;:,.'.1 "'. ". ,', .,If ',.")ll' I"" ,,' ;'1'1,,1," I'.' " " ." ii', , , ',II :,,' ,; ",:' J~' " , "l",j, .",' , , !;' ",' ,,', II, "" " .', " ,I . \~~.," '.I' .,,', ",1) i"I>," , ,:'J' " .ill 'l' ..,'1 i: ,. ,.'. ,j', '.'; (' ,',)r':,:::~';' " "J" ,/ ,,:;" ., ." , 'I ,\ : J,"i. ".I,lf " ,I 'I'" ,',I 'l'l.' j\' , '11 I' " ,,~ 'I.' " " , , ~ ,", ", '" '1"" '"I .) I" . 01 (':.' '~', '".'1, I't "i,' .,i., .J ("1 ' .,-""1,, 'I'! ,. " I 'i II, iI', ,,'/,:,1, ,". . 'jl" ., ' " ,,: :.,'.,','.: , i" ;:':-,:, , I it~ \ \ 'I . :,1, '''1 ; ,~ 'q, ,t .,',' .,' 1." ! .1'i1/ '" .. "I, , " "" ", ,il' ." ", ('''l' , 1\11 0,. ;'11 I' q,' 'I' '," , ' ... '\ " 1",,1 I, ";' d I, ,t ,I q j , ,I,t ,II,' , I ,;1:'\" ,,;,\',',') , I' " ,II', . " ,J, ,I" ( " ", ~ ' : I ". " :1.1, ,"! ," ,\\1. ",.,It' I," .1,' < II , . .' I \, ,','. '1(<),:<1"i'I:.:.:'t~ (,~'.\ ,I' , ' , " .i',' ;,' 'J":,',,', "~I' , \ 1.\" ,()~ 1,1" f, ." l' I,? " ' . ~ ,I ' " . ," ,f,': .' ., .'\,.., "'.. ' , 'I,' !. ,I" /~';. l' ", , ','.,' , ,'I' , ,1.1:1 '" It/ , , , , ." ,If ", 1','11 ,",i.', , j,' ',. I,.. t," ,'.', " ' :',. " ~.. IJETITION I<'(lR IJROHATI~ lllld (iRANT OF LETTERS iJ:V/clll' q{ ...'iLon a I c( 4J, 1< o??_ No,??( ~_?.'f__&uB.}i___.., a/so kl/oll'l/ tis. . u __....... To: ...-.. . Register of WlcMHth'te s;;;,,(;I,\;(;(~'I~ill'No, 3 j7 .3'),;J:!v_t.)I'~(~I.V(,,,. ~::::::::~lI~'\~~;II'tflor 1;~I;I~~~;;ll"I;1 in I he The 11l'tlllon of the IIndersiglled rc:speetflllly represents thllt: YOllr petltloner(\), who islllrl' 1M ye:lrs of IIg1' or olAler 1111 the e:,eelltt.~ ...___.."..._..___.., nllrned In Ihe IlIst will of the IIhllVe deel'dellt, dilled .. ....Jlk'd",... 2. '~i""-"-'-----"'" 19...L4... IInd~(lllkll(s) dilled ___.__...u_.__.___________ blall' 1t.'ll'\'1l1l1 drl'llI1htnm'l", l',~. rCIHllldllllllll, dl'lllh Ill' l''(CClllUr, l'll',) Deeelldent wus domiciled lit dellth In _(1./ {,101.b.~LLCl.Il"-.._.._ "'___ COllllty, I'ennsylvunlll, with 'eLL......llIsl fumlly or prlnciplll resldellel' lit ulC'..'}__{}/lll.l'.yLII.Q..nl.fl._llLL.......... _.Q.rLLLL.c.. PII, ...__.. u._.._........_......._________.,,___ (Ihl \Im'l, /1l1111hl'l nlld 1II111ldpalllYl Deeendent. thl'II.-5:3. yellrs "f IIge, died .....3L_J[((-'I_..........._,_,___, 19 '7 'I lit _..lIp.!!:.,-- . _." '. . ..__u_". ..._................ .____...._,__.__.______, Except liS follIIWS, deeedenl did lIotmurry, wus lIot divorced ulld did 11:11 hUl'e a child born or adopted lifter eXI'I'ltl,," of the will orfered for prohllte; WIlS lIotthe victim of II kllllllg IIl1d WIIS never IIdjudkated IlIcolllpetelll: .......__. ...._._.. .'..u___._........._.....__... Deeelldellt lit dellth oWlled properly with eSllmllted I'lIlues liS follow,; (If dOllllelled III I'll,) All persolllll property (If 1I0t domiciled 1111'11,) I','rsolllll property III l'ellllsylvlllIlll (If lIot domiciled III I'll.) I'ersolllll property III COllllty Value of relll estlue III l'ellllsyll'lIl1ll1 situllted liS follows: ...... . n ... ._____.__.."__....___._ L..j 0 0 (i ____ $ $ $ ___.........__._._____.___u_.. .._.__..._________._+~_~__._.__.____.__. WHEREFORE, petltlllller(s) respectfulll;.request(s) the prohllte of the IlIst will IInd eodicll(s) presl!llled herewith IInd the grllut of lellers..J{~~,'bib\lca.V.4 (h"llllllcnliu~'; ildll1llll~ITllllon l'.I.II.; Ildlllllll~lll1Il(ln d,b.Il.C,I.Il.) th"fOn, 'E- u 6 :9,;;;, o~ ",g '00 0'0 .'il "" '[:'1.. ~ 0 a Iii -----.------------------ gt~~Jn~.c . j..Q-_..r:,t~L'i.V-L..\t.:.~U1J...1.... ~ VI:. .1,_"-.v..LulL__e.!L_________ .JJ_LLlffl:_6"9.QQ ----.-.-------.-- -------___..._~__._4__..___._~+_. .____._~_. _______~~. ..~.____. .~ --+_.-.-_._..._-----+----.-._._-------_._-----~----_.-.-~- - OATH 01.' IJERSONAL REPRESENTATIVE COMMONWEAI.TH (W I'.:NNS\'I.V ANIA } HH COUNT\' OJi____....lJL~!!mArw._.____.__.__ " The pelltloner(s) IIhove.nlll11ed s\\'eur(!;) or IIrfinll(s) thlltthe sllltements In the foregoing pelition are true IInd correct lothe hest of Ihe knowledge IInd helieI' of petltIOlll'r(s) IIl1d that liS personlll represen. tlltlve(s) of the IIhove dl'eedeul pelitloller(s) 11'111 \\'elllll1d tfllly lid minister the estllte IIceordlng III IIIW, SWorll 10 01 III firmed IInd SUhserlh~ed ~'f..<(0..lll:92__._.... .________ Vl he fore me th~ 0 ,15TH dllY 01 ... _ . __.__u_._____ ~' 7lJ,'!.:.U/: l'1i,~ s"";';'~" ~,tL,' ~.- ~ :::.: _::_~:~ ..! I t{ - ,)(~ ,) ., I 2> "\\~ ~' \\;v) '9"(~' WILLIAM A, DAHAIlIR, JR ATTORNIY AT L.AW HI)RIIIIIADI, N. y, * LAST \'IlLL AND 'l'I\S'l'AM8t<l'l' 1i I, RONALD VI. ROSS, rt'Biding in the Village of Horse" heads, Oounty of Chemung and State of New York, being of sound mind and memory, do hereby make, publisb And declare this to be my Last Will and 'l'eotament, hereby revoking all former Wills and Codicils heretofore by me made. FIRST: I direct that All my just debts, funeral expenseD and adminiotration expenseH be paid no soon as practi- cable after my death. SECOlWI If my wife, Gorda ROSB, shall survive me, I give, devise and bequeath all of my property and estate, both real and personal, of whatsoever kind Rnd wheresoever situate, of which I shall die seized or possessod or of which I shall be entitled to dispose at the tim9 of my death to my said wife, Gerda Ross. TIllRD I In the event that my naid wife, Gerda ~oss, shall predeceaue me or she and I shall die under such circumstan- ees that there is innufficient evidence to determine the question of survivorship between us, then I give, devise and bequeath all of my property and estate, of whatsoever kind and wheresoever situate, to my issue, in equal shares, per stirpes and not per capital provided, however, that if any child of mine then surviv- ing me shall not have attained the oge of twenty-one (21) years at the time of my death, I give, devise ond bequeath the share of such child to the trustee hereinafter named, IN TRUST NI\VER- TlIELESS, to hold, ndministor, invest and reinvest the same and to . ~ \~~Q q/ \' \,) L 0" I' 911~' WI"I.IA~ A. OANAIt1:n, J" A'nOftNIY AT LAW tIOptIJttUOI, N. Y -2- dispose of the net income and principal therefrom as follows: So long as sueh child shall he under the ngo of twenty-one (21) yonrs, to collect the not incume therufrom and to payor apply so much of the net income therefrum nnd such purtion uf the principa as the trustue in her sule discretion shall from time tu time deem advisable and proper for the support, education, maintenance and general welfnre uf such child, with consideratiun to the needs and assets of buch income beneficinry, nnd I direct the trustee to accumulate any net incume not so pnid or app1i.ed and add it to principal periodically, at least annunlly, and if and when such child shall attain the nge of twenty-one (21) years, to transfer, pay uver or deliver to him or her the principal, but if such child shall die before attaining such age, then upon his or her death, to transfer, pay uver or distribute tho principal with accumulated income to and among the then living issue of such beneficiary in equal shares, and in default of such issue, then to and among my then living issue, in equal shares, per stirpes and not per capita. FOURTH: In the event that neither my wife, Gerda RODo, nor any inDue uf mine shall survive me, or they and I shall die under such circumstances that there is insufficient evidence to determine the question of survivorship among us, then I give, devise and bequeath my property and estate to my parents, Lucille Ross and Wesley Ross, or the survivor of them. If neither of my said parents shall survive me, then I give, devise and bequeath my property and estate as followa: \ I\~~ \L, ~L.\)) '} f/ liNlo -3- A. Twenty-five pet'cent(25%) thereof to my sister, Janet Boger. B, . T\~onty- fIve percent (25%) thereof to my sister, Nancy ,Haggard. C. Fifty percent (50%) thereof to the church of which I am a member at th~ tIme of my death.' FIFTHl I confer upon my executor and the trustee with respe~t to the management and administration of any property includIng properLy held under a power In Lru~t, all of the powers conferred by Section 11-1.1 of the Estates, Powers and Trusts Law or comparable statute of the State of New York in effect at my death, and in addition thereto, .the following discretionary powers without Umi.tation by reason of specification 1 A. '1'0 retain any such property I to acquire by purchase or otherwise any kind of property, .real and personal,including common stocks, without being limited to invest ments authorized for trust funds and without diversification as to kind or amount. fl, To sellar otherwisc dispose of 1'1'0- perty, real and personal,at public or private salc, for such con- sideration and upon such terms, including credit, as my executor or trustee shall deem advisable. C, To ,manage and to lease real property for periods beginning presently or in the future, without regard to statutory restrictions on leasing. D. To borrow. money from any source, in- WILLlA" A, OA.'.'.. J. clud ing my' executor and trus teo t and to pledge or mortgage any ATTORNIV "T L.A.W ,tOIUI'UADI, N. Y. \}~) ~~ \L\J }tA~" WILLIA.M .... DAN"IICA, JR ATTORNEY "T I....W HOnUHIAOI, N. Y -4- property for any purpose. E. To abandon, in any way and for any reason, any property whether or not owned by me at the time of my death without court order, and I exonerate my executor and trustee from any liability therefor. F. To distribute principal in money or in kl.nd, real or personal, or pllrtly l.n each, including undi.vide interests, even though shllres be composed differently. G. To delegate pOlvers to agents or to others to the extent permitted by law and to pay them for servic s and reimburse them for expenses: employ and pay the compensation of accountants, legal and investment counsel. SIXTH: In the eVent that my said wife, Gerda Ross, predeceases me or becomes an adjudicated incompetent or dies under such circumstances that there l.s l.nsufficient evl.dence to determine the question of survivorship betlveen us while I'/C are residing or visiting in the United States, then I nominate, con- stitute and appoint my sister and her husband, Nancy Haggard and Eugene Haggard. as guardians of the person of my children who are under the age of eighteen (18) years at the time of my death, to serve as such without bond. In the event that such death or ineompetenc shall occur while we are residing or visiting outside the United States, I nominate, constitute and appoint Willi Oberseider and Anneli(,se Oberseid()r of Ansbaeh, !vest Germany, as guardians of th person of my children who arc under the age of eighteen (18) year, at the time of my death, to serve as such without bond. ....,....;..,...0\,.,....,."..... ,. ~, 'j' " " , , , ."', Ii ",JI' "" il " j! ,', .1, """ I' ' '" .'!' ,. , I' .,' "i, .. ,.. ,. " I' I "" 11' " 0\ ". ',\ " , .. ',",\\ . I , dl 1, , " " .1 " " I. .,. , " "",' " , Ii I I'; /, " ," i' ", ,"" ,. , ., '.' I' , , \,., I,' ". , ,. i,l ,~ :,1,1 ,. 11 . , , 1,1 ~ i," ,. ,. I, '\ ,. '" " ,. ,,' l) " ", b, ", ; ~ ' '.' " " , " '. ,,' ',. 'I , , , ' . . " , i!.;~':i;W~P c". i.., "",",-'-- /,,,,,,""i ~/ -~.'J'IH-f.H.~7<1IT'''(i1~ '::-P''j!' '-'h'\\" If,; I \I -, 'II ': 'i,"'1-'-\'.f',;;,'W.l:~-t!.\~'~!}f'ft;'t-l,r;1/~~~_~!'<;:,'-"'"f':'"_":~/,';I':' ,,'.xlii': ~'~l:~~fW\I;~~~'ill'~N~WJ,~i~\~i~~I'~M!ik~j.it~Vl\'\';!}; ~.IJ'i.,rl': ;':,' ,,::' '.; ,\ " , ',',,, , ;,.1 ,,~,,:\~::\~'(,'~~;f,.~~tf.X'1\' ~1~1~:~{~\{,i\lt~';":;I),!';~~i~I~'1\ I' Qllll,.k~ rf"l '! :\\rjl~"l'tl,...<"., 11,11 ; , .;.;I'> \,J ' "U .fl'II\,~1i' ,fl 1" 1\~',' ,. ,,1' ~l, i\ i~l(ifi\(lP"}>(\\d( 1\ :11,....;;[' i.~J:11'W~{:,11:'t'1~1 /,,' :,'''IIAOUIJOS.' CJ'Li~OY: & HOUSTO'" r"IOj lei' ''',I,~:'ir\,~ -;l" f, Ib1'1'11:'" ;.I~ ';'t'.: I'" ~ "\\i,t:~,\II.\,J,{~,Vd ~{1l< n~'}li.ifj;)ll~'ll"!;I"I;'~'~I'I'jj'" ~,\\,\I; ~f'"'' I \1' A;"O..NICY8 A.T L.A,W ' , ;, ' ::'d :"\11 "'{~:I~(II:\';~'\r:,'I~liif ,!~<IJ"I\~;I":'J\I" I /.l I '*'\\,jl " I j'''''''''~'"f' I"" "t;' .1/'1 '1" " q 'I "I" .. I ,'lj: >.,' j .~~ ' ,. '''11':Uhl'jj 11," ',d.'1i ,:~tlJ,'~f\.","ii"~ :<,']<1. ,;'{:If(', '41 ~, I,; \, i (' t" ~ NORTH f.iANOVIC.. .T~ltET '" 1\' 1";",,- ','k,' ,IL';' }rll,' 1, I " , " ;q~~:\X{1rTjli',.lfl'\'~ ,,' '1.1'/)"},I'!! "~"'" '" ' , L ".!j .1."70'3 '" I', ,llft'l H'!t"",.,I~",;!,.'tl-' 1:\ '", \r;',,' /' ,)i~' ~ I .....,.i/'I " ,I, ,I (I';,. ", 1\\/";"11 h "ll~\'I' '1'""'1 'j., 1" ,'1/ ,OAR ..L.EI PKNNSYL.VANI"", 1 ", '1/1' .,' ",\', J""II{if',, t f1''.:'' .1" I : t, I' ,', I, , ' "f "'1'f' \ ,'.' , J~!.".{~~J l." L! ,,' 1 ", , ", lJ'" .. ."" "JI'"' "",1., 1'( 1\ /?,l ',.~'I~' '\\' f' ',', '1\ "f "j-I'~fl"11~1::~'Jir " \ 'I' ,t, <<7t"I'I4I1--4I1'1", 7.1.11.0 , II ;',"'" 'Ii .;i,~ "JIJjl'I~ll\'i'''I"qt\j" ;',[,\\" :,> ;, \1/, ,', I J.."'I' "ll I"',' t,,<>-h, 1:!',' Ill'.";,,,l''''',.' ;", d '" , 'I' I~' "!:~",\'-~",,'d~;:'.WJ.~_"",';"~'1j~r'" ~J 1,1 " I"", ~....._.........tlt_IIl\\ f/1ilt~"';,I/.\IIh;i""..~.\IJ\'i.U"'"' ,I, ,\,"",.\>I,vlfNliiMl!ll~--':~-'" I' " '. ,. '" , ,! , , , '1'" " 1 .~ " j"i,\t '1' "" , ,\>\ , '. II', ., " , ,,( I" ,t~. . /. "d',~. , , ,-{\, ,t ," ,. I' " I " ,. '. ,I I' ," '" ,. , II, l' ,\' .. ;,',: ~. I, ..;t '(il"~II}. . 'I ; ,. , ,1ft,' , I' 'r , 'I,'. '~I"" ,~ 1 i. ,'.',. , '. ' , .j.",\ I, ;!l ," . ~ 'i I: ,/ ,. i~ ' ;; h"I' I,! '. ,111L'; ,. ., 'I ,,', h " "'1 I;" Ii ': y 'l. " 'I d' I. ,. " ili " I;, ., , ','. ii, Ill! I' ,I' ,I; w I' il"'i i-j' .1 """.,' 'I" 1l , , I. " " . ,\l~ ,', ,I' " ,. " , ';':. ',\ " , , " I" ',1, , " '" ;,j " " I ,',",1,;';.1 l ',; ,I' ,I .Hi I '", " ,I" Ii, i(. 'I ,.;1' , " "~I '. 1'1,1 ,if " I' ,. ,. ,( Ii,' , :( \, II 'I ", I. I' !; , . , H. " I. ", ,. " i-I ',Ii " " ',. " " , " " ,",~ ~ ~'~.'''-:':..'''i >..- " ,........ .,' .~ " I. --,...-' _....~.._.~;~~...Jt. ,I" ,. \, '. ~, ~ I I' I " ;>>> I ,.,1, ., , I i',' 1 ,- , 1i.','H'" ""i-I 1/1-, , \ .,,";"""-~''''''''''''.''f''.~'__'' .......... _ :;.t~", " .1"..,....."..., ,'0'_-.,,- " FAMILY SETTLEMENT STATEMENT THIS STATEMENT, made this 16 f-\ day of March, 1995, by Gerda Ross. WITNESSETH I WHEREAS, Ronald W. Ross, of Carlisle, Cumberland County, Pennsylvania, died on May 31, 1994/ and WHEREAS, on July 19, 1994, Letters Testamentary were granted to Gerda Ross at File No. 1994-00623 in the Register of Wills Office for Cumberland County/ and WHEREAS, the said Gerda Ross has administered the Eotate of Ronald W. Ross up until the present time and has paid all debts of the estate inclUding inheritance tax owed/ and WHEREAS, the Estate of Ronald W. Ross has paid the following debts and made the following distribution I Hoffman-Roth Funeral Horne Probate Fees - Register of Wills Broujos, Gilroy & Houston - Attorney's Fees Gerda Ross (AARP Insurance General Bond Fund) WHEREAS, there remains to be paid the following debts and costs of administration I $ 4,306.00 47.00 110.00 1,078.13 Broujos, Gilroy & Houston - Attorney's Fees $ Register of wills - Filing of Family Settlement Statement 75.00 17.00 WHEREAS, Gerda Ross desires to forego a formal accounting and sohedule of distribution and desires to conclude the Estate by virtue of the filing of this statement. NOW, THEREFORE, the said Gerda Ross, intending to be legally bound, states as follows I .1. The said Gerda Ross, as beneficiary, states that the Exeoutrix of the Estate of Ronald W,Ross, need not file a formal accounting or sohedule of distribution. R(Y.I.\fIO l-.. 17'~.1 INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) \. _ljI."'J~'. ,\19.. ~ COMMONWEAlTtt Of PENNSnVANIA OEPARTMENT Of RfYfNUE DfPt'SOWI ._m _.__._ .______!I:<\RRI~B~R~: _~.^~!?1_~~_.~~_1.. n .. OECWHll'~ NAMf lIA~t, fI_~L ArHl MIOOill~lIl1^11 ~ "S'" uf" !:!f9 u~.. '... l:lili "'c "'z 8f [1I I Origlnol R.lurn Ll 4. limlled E.'ole Fulure Inloroll Compromllo (lor dolo' 01 d.olh ollor 12.12,821 eX 6, Decedenl Died fellale [ J 7 Decedont Mainlairllld nliying Truil IAlloch copy 01 Willi (Attoch copy oil ,u.11 ALL CORRESPOND. CE'AND, ONflDENTIAL TAX INfORMATION SHOULD BE DIAECTED'TO.l .:, '.i1 ,', II' ~:~:~,~:~:;;:~'".''"'!'' c.~~=J'j:::~~:~:;~'~tt:"~ ..,"~e~. c- (II 1,) \II (,14.\ 10. 11. 12. Not Vol" 01 E,lolo llin. 8 mlnu. line III 13. Charitablo and Goyernmenlol Sequol" lSchodule JI 14, N~I Valuo_~.'_c'-'~.:!..".'.JLin.!..I.~.",~~n~~__..___ .__.___.____,__...._._._ 15. Spou.ollronll", liar dol.. 01 d.olh o/t" 6,30.Q41 Su Inllrucllonl for Applicable Percenlage on Reyerte IIS1 ____~____n______.____ Sid.. (Include volu.. from Schedul. K or Schedule M.I 16, Amounl 01 line 14 tallable 01 6% rale Ilnclud. voluOl Irom Schedul. K or Sch.dule M,I 17. Amounl of line 14 lallable 01 15% role llnclude valuel Irom Schedule K or Schedulo M,l fB, Principal ,", due IAdd la, I,om lino. 15. 16 and 17.1 19. Credih Spoulal Poverly Credil Prior Paymon" .. --------.--..-...- + .- ... IE ~ c ROSS, RONM,1l W. '~~.;'~~':~~u~~~-- ... .... r~'~;iIO;~;: (~.-A;;iIC4'-;II.,ij-'~iv~i;(, -';OUII~;,j,;';,' 11,,\1 ,.jl~\j ~;!tI "'I(ll>ll "4!"~;1 FOR DATU 0' DIATH AnlR 12/31/Ql CHICK HIRI IF A SPOUSAL . POVIRTY CRIDIl 15 CLAIMID [ ) F1LI-jiji::Mlili- '"[991,-0662T .. ..1"'.'.(0.""."1. Ill/;! 1 11,0 [ \6C~'~;'~l~~.~';~~;i; Supplemenlnl Rolurn COUNTY COOE YfAk .h_____ __ __~_.... .. . ____ l{lfCf{)HU'~ CO~IPHIt AOO~fS~ 107 rennsylvnnln Avenue Carlisle, I'A 17013 (0'"'[ Cumhe r 1111,<1 AMOIJ~n _ECEi"f6-1~[( I~H1RU('IOtj~1 100% II J I J 5. ~Q. a. Tolal Numbor 01 50'e DeprHll 80.11;01 Gerda ROBS I I 2 I I 40. z co ;: :5 ::> ; 1. R.ol E "010 ISch,dul. AI 2. Slack. ond Bond. 15,hedul. BI 3. Cln..ly Held Slock/Portne"hip Inl"OII ISch.dulo C) 4. Mortgages and NoloI Recoivable ISchodule 01 5. Calh, Bank Depo,it, 8. MhculloneouI Portonol Proporly (Schedul. EI 6 Jointly Owned Prop"'Y ISch.dul, f) 7. Ironlle" ISch.dule OJ ISch.dul. II 8, Tolol Groll Aile" 1l0lalUMI 1,7) Q. Funeral EKpenlel, AdmlnillraUve COlli, MhcellanoouI hpe"OI ISchedule HI DobIS, Mortgage lIablHlhll, lien, (Schedulo II 10101 Oeductionl 110101 linOl Q & 101 N~~~~ Romainder Relurn 110, dOIOl 01 d.olh prior 10 12,13,821 Federal Ellalela.-. Relurn Roqulred III 121 131 141 151 1,078.13 L_ I, i!;: " -, I' I 0, r ~. " , ') '0 ,tJ ;-: , q w ii/ .1h. " 0 l>,;:j -' -" ~ I B) .._1,078..L3 z e ~ . " U 161 171 I Q I . . .It..o],~~~!g~_._____ (101 1111 ___..4.,}8.SLQ.Q_. (l21...(3,306.8)) 1131 _'__...n___u~____. (141 _(3,}06.87). __::::_....__. -.~-.)(,-~= (161 . (3,306.87) .._.~ ,06 a ~o- (171 ._...___...____.~,15 a (lBI -0- Ollcounl Inlerlllt L. (lQI 1201 ~ 20. II line IQ I. glOolOl thon line IB, "Ier the dillerence on lln. 20. Ihh I. the OVERPAYMINT, ... aiD ~1. II line 1B h. glOolOl ,hon line 19, onlor I. he dill""ce on lin... 2.l.lhh h Ih,TAX DUE, 1211 A. Enl'" Ihe InlllulIl on the bolonco dun on line 21A. {21A} 8. Enlo' ,h. 10101 01 line 21 and 21A on line 2lB.lhh h Ih. BALANCE DUE, 12181 ,I ____.!.\-"~!.~.htck Pavable tOl.!!~llt.. ~f_Y.'II",.~~e~t.. ___.___h'_ __._____,.______...._____....__ ..-- ,:!.....;(I,. ~ ~, :lIESURITO,ANSWIR ALL QUESTIONS ON RIVERIESIDEAND TO RECH.CKMATH ': '0( <(. ."':'i"..'" Under penalties of perlury, I declare thai I have examIned Ihll relurn, Including accompanying schedulel and Ilolemenh, and 10 Ihe bell of my knowledge and beliel, It il Irue, ((Jueet and complele. I declare thaI all real ell ole hOl been reporled olltuo mmklll yolue. Declar>llion of preptHer other than the perianal reprelenlallve It bOled on alllnformallon of which preparer hOI ony knowledge. i'0"2,~.o~:t"':6Oti\I""6<'"'"G "wit...-. ..':~6;":'enl;~; I v"nln' Ave. ,~arll~l~: P~-l~;~~--..- o'rtz-/1:-\~-H !i~~?~~i,'i~'.;ii"ii,i",n,OI"ii' .... . .. .. . ...----- ii'fl~7;;~u-n- t~...--~(j,~---- 4 N. Ilallove!' St.., Cnrllsle, I'A 170.13______ n"l.~/-'(-.-- (tl('(k '"'1(' .f you Ull' INlu('\lmn ('1 refund of your 'ovt'rpuymenf -0- .IV,1.00lXi 1','11 COMMONWEALTH OF PENNSVLVANIA INHERITANCE TAX RETURN RESIOENT DECEDENT ESTATE OF . SCHEDULE "B" STOCKS AND BONDS RonaldW. ROSH (All rop.nv lolnllv-own.d With' RIght of 9urvlvonhlp mutt b. dllclol.d on Schedule UPUI ITEM NUMBER DESCRIPTION ~- j FILE NUMBER 1994-00623 AARP Ins T~FGeneral Bond Fund - 61.997 shares@ $1i.39/share 1. " ',I' q, I , , " , , ., , , , , , I. I , , 'I I, " (, " .' , I " , , " , I' , '" " , , "I' ,.i "':' ", , ' ,. llf more 'Plct 'I 'n..dld Inltrt Iddltlon.llhlttl ot lIme Ilu. TOTAL (Also en.ter on line 2. Recapltulatlonl " VALUE AT DATE OF DEATH 1,078.13 , " !II ,. . ,. ,I $ 1078.13 _'V,1S11 U. p....1 ~~ COMMONWlAlTH 0' P1NN&YLVANIA INHIAITANCI TAK mURN RIIIDINI DICIDINT l SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COST$ AND MISCELLANEOUS EXPENSES - PI.a.. Pllnt or Tvp. nTATI O' Ronald W. Ross ITlM NUMBER A. . B. . 4. C. 1. 2. 3. 4, 5. 6. 7, 8. 1994-00623 DESCRIPTION 1. .un.,aIEIIP.n..., Hoffman-Roth Funeral lIome 1. Admlnl.trallve CO.II' P.nonal Repr.sentatlve Commlulons Social S.curlty Numb.r of P.nonal Repres.ntatlv., Y.ar Commlulons paid 7. Attorn.y Fees 3, Family Exemption Claimant Addren of Claimant al decode nt's death Stre.t Addr.u City Stat. Zip Code Relatlonlhlp Probate F... - Register of Wills Mlsullan.ou. EMp.n.u, Register of Wills - Filing of Inheritance Tax Return Register of Wills - Filing of Family Settlement Statement TOTAL IAIIQ ent.r on line 9, R.capltulallonl (If mar. .poc. I. n..d.d, In..r! additional .h.cl. of .om. .1...) AMOUNT 4,306.00 47.00 15.00 17.00 S 4.385.00 .....:...-r., * LAST WILL AND TESTAMENT * I, RONALD W. ROSS, res lding In the Vi llage (l f liorse- heads, County of Chemung and State of New York, being of sound mind and memory, do hereby make, publish and d~clllre thls to be my Last Will and Testament, hereby revoking all former Wills and Codicils heretofore by me made. FIRST: I dlrect that all my just debts, funeral expenses and admini.DtrationexpcnseB be'paid as' soon IlS practi~ cable after my death, SECOND: If my wife, Gerda Ross, shall survive me, I glve, devise and bequeath all of my property and estate, both real and personal, of whatsoever kind Hnd wheresoever situate, of which I shall dle seized or possessed or of which I shall be entitled to dispose at the time of my death to my said wife, Gerda Ross. Till RD : In the event .that my said wife, Gerda Ross, shall p~edecease me or she and I 'shall d~e'under such circum~tan- ces that there is insufficient evidence to determine the question of survivorship between UB, then I give, devise and bequeath all of my property and estate, of whatsoev~r kind and~heresoever i s,ittlab~.. to my issue; in equal shares; per stirpes'andnot:per I . ~ur ! capita I provided, however I that if nny "child' (if mine then' surv'i'v- , I ing me sh/llU'l\ot haveIRtta!ned.the'llge <Yfltwll'nny-one '(21) years::! at. the' t,ime: of 'my death, I'. give ;" devtse'm'id1lbequc!c\th\'tlie'shai'e Ill:' r of, such ..:,chi.ld td the :trusteehereinaftoI"nanie'd'".i.IN ,TRUST I NEVER'- (V ~v~ '''V'~. o~.,.t,t'l't JI\, rD.~f....Y,A.T'~, UFHlflPI, H, Y. 'J).HELS&q,~llt9' ho,loju'lldminister) linvest and r~rnv~st the same and to , ~, . .. 'q,.. \11} 9,tl~ -," "N!NIJII, '... O:"NIV'-\1'r't-\\% UtllA..q4, 'it v, . -.._-...._~._+,.+ . -2- disposc of thc net income and principal therefrom as followj, So long as such child shall he wIder the agc of twenty-one (21) years, to collect the net incume thcrefrmn and to payor apply so much of the net income therefrom and such portion of the principa as the trustec in her sole discretion shall from time to time deem advisahle and proper for the SUpport, cducation, maintenance and general welfare of such child, with consideration to the need and assets of such income beneficiary, and I direct the trustee to accumulate any net income not so paid or applied and add it to principal periodically, at lem;t annually, and if and when such child shall attain the age of twenty-one (21) years, to transfer, pay over or deliver to him or her the principal, but if such child shall die before attaining such age, then upon his or her death, to transfer, pay over or distrihute the principal with accumulat'd'd: income to and among the then living issue of such beneficiary in equal shares, and in default of such issue, then , te;" and among 'my then living issue, in equal shares, 'per stirpe's and not per "~apita. , , , FOURTH: In the event that neithe~ my ~ife, Gerd~ ,', . ! .' ,." 'I. Ross, nor 'any" issue of' ciin'e shall s~rvi ve'rile;- 6'r' they' and "i 'sliail , ,\, " I . I .' , \ (. ,:,' :l,)' I' :' die under such c'ireumsfances th'at there is insufficient evidence 1 , " "",' I '\ I to determinEi' the question of survivorship among us, then I give, , i,', "ji'J jl .1,"'::" .::, Ii j" . ".' " devise and bequeath my property a'nd 'esta'te to my parents, Lucille Jri'ls 'ririJ 'w~si~y'" IR6ss', 6~"th~t~)u'~viv~;' crfheth~~'.\)r't'f \~~~th'~"r ';'[':;y' I ~~id 'pa:r~ria ~hriYl\~ivtv~e ~~', \~h~~"~\ 'give, devise and bequeath l). TI.l bOrl'l;w I1lOOI.'!j' frOll!. 1Il1lY IlIJ\1L I;t'. ~n' my property and estate as follows: ' " cl\ldi 11',! 'i1Y ex(~cul:Cl' ill1d !.nISI:('w, IIl1d tn plr.dge or 1Uor~g.iG,l /lny . -I ..--r.::-:r._ ~~ ~~ ~ ./ cr~') _. -3~ A.., Twenty-five percent (25%) thereof to my Bister, Janet Boger. .'1. '\, a n l~ r t ! 'fl" ,':' B'Ol'" Twenty-five percent (25p(,thereof to, my BiB tel' , 'Nancy' Haggard,. l' c. Fifty pe rcent (50%) thereof to the church of which I am a member ut the time of my death. FIFTH: I confer upon my executor und the truBtee w:Lth, reBpect. to I the manugemcnt ,1lnd.:,l.!,dmh\i.B t~'!I.ti.P,rb9,flf!1Y property including property held"lmdcr:',1l ,power.., in ,trust, llll'lR,fll,the"po~crs conferred by S(lction 11-1.1 of the 1\s tatcB, Pow\,-rsa..~d Trusts Law ~ or compuruo1e statute of the State of New, York inq.f~qqt;., at, my I death, and in addition thcreto, the following discretionary powern withoutlimitution by reason of specificat;ipn: A. To retain any. s.uch, p.r.qp'~!l;.t.y 1 .t;o, I1dqi.tii:'e'by purchlfse or otherwise any kind of propeptx.. .r~a1. 01)(1, pl!t'sonlll ,including. 'common stocks, wi thout, being I ~illl;tAA.cj, tp, ~nl{eS t ments: 'authori.zed 'for trustfllnds and. witho,llt: dil.1{!!l1.s~p:~~~Qn, 'l!l,", to kitid or" ~mount I' '. ..' I 'I i! "!t' J';,;':I('I, ~L,n~y H:':g,:'.'l:'(~ {In:j : . ;!,\' I' ;1;;'1 :,,\1. ;. '(li ,,',1. ;B'.;~! ", To sell, or. other.wiBcQ.:!/!lPPBe, of pro~ i>~'tlt.})', : l:e'al"'an~Hpe'JJsonal'i'at lpUblic lor .'pr:l.V;J.te if;\~l~l' tp;x !RI!,<;I}, ,cqI?-,- Sli'd'er.'a t:1h:ll'iUa*d '..;\1PClYld :suchor.verms, includ ing credit:, as my executor or trustee shall deem advisabl-er.1l1I. I:h:\l slIch denl.h Ol" incornp('!:('I1l;' ~ha 1.1 ')('(,lI~' whi 11. \~,' l.Ietl n'!' !'fOllljanagc iat1c!..t:i9, W1!M.dic~hl!P{~P..H,W P~flt~l!ri3d!WTS'~~fnt'ting()Vj;fMi!t1t1Jy .Jot! :h~ptJhptftRl1te. ~n~'!~~I1{\Bd ' · ~tln!lHeat!og~llt:d6t1Mth~nt\nllbnchcali:l:ng. C:et1llI.lnY I lIS'1:UAtdhllS tlf th. ';;:;,;:;~~'Q~ .of ~,.,'?~~1:~;~~., ~"TllP.~~~r,.~W~~~K~_~~~~$9 ~'l&\lr, AN.. OAHAH.., J~': ::ia~ua~ftgt~"e~gc.l!o~e.lIID1, tiasMl!YEland tsoc~iedg~:~~,;.'_Ugage' dhy rrOfUtI\' AT LAW';' , ': . .' , ,,' , " , ''''IHIAPI, H. V, I: . ~ ".1, . , ~ vJ~ ~ CfIAc( ., I A, ewH,.., iI, I~NU 4l UW: : ''''IARI, N, y, . , U_ -___no d_.., ... ~. ..-.-------.-.-. ''', .~ " ,',., ," ... -/1- properly for'&ny purpoao. I.l(~'" 'l " ; ,,~ l'~{:C'd': ~ f '1'0 il,lbanclon, in~ anY'lwllyTand,'i'fol7'any reason, uny prp,peqlY'lwl;lether or not owned by me ! at.Jthe. :time' of . ,my ,death, wlthol,l~ cpurt "order, and L exonerate my' executor and trustee from any;liability therefor. I'" 1:" ,', F. To distribute principlllin money or in kind, real or personal, or partly in each, including undividcc .iI?-~E(r,ests,.&vl,!,n,~I;1.ol!gh shares,;be coml]osed.dif.fercntlyr .1.11.'''", . 'I, ~. J,'.,' ' ,...G .... , or.. "" ~o;dq~ogat~powers to ngents or to others to the 'extent pet"mitted by law and to pay them for, scrvic s and reimburse them for expenses;. employ and pay the compensation of accountants, legal and investment counsel. SIXTH: : In the event, thu!.i.my' '.saJ:d. wife, Gerda Ross, ",I predeceas~~, me. or becomes an adjudicllted incompetent or dies . . ~~~~~.SUS~iQ~~~~S~an~es that there is insufficient evidence to determine the question of survivorship between us while we are residing or visiting in the .'ited States, then I nominate, con- stitute and appoint my sister and her h~Bba~<!~IJJia!lh.~'J1..i!ggarq and -....". ,. . "': .~\ I I J lIC)" - ~l,(} .\( ,_. ,I ~, ('\ ,) ,) Eugene Haggard, as guardians of the person of my children who are under the age of eighteen (18) years at the time of my death, to serve as such without bond. In the event that such death or incompetenc shall oceur while we are residing or visiting outside the United States, I nominate ,.::constitute nnd appoint Willi Oberseider and . , I i.I Anneliese Oberseider of Ansbach, West Germany, as guardians of th pers,on '\ "",, ~" of my children who are under the age of eighteen ,'" , ,...,\,r!\!i,\~~ '...i;', ", , ','; ',:", time of mY,;d,~fI~h, to. <serve as such without bond. " , I. 'I'~':' I. ,,' .,' ','\ " (18) year : at the , j, " , 4 " ~ J......', .,' . ;.f:\' : . ',~ . . . '. . ',""'... " 'I,.."," -j''' ,,, ".~' , I.;" ,1",-:, j \ Y. \1\' .., . , . " " ,~,..: .< .'1, .J' ,: ", i ' " ,..' STATE O~ NEW YORK) ) ss: COUNTY O~ Cm:MUNG) Will even The UNDERSIGNED, bcJng duly sworn, deposes and says: That: ~ (she) is II subscribing witness to the Last and Testllm('nt of RONALD W, ROSS , bearing date with this affidavit, That the said teBtator did in the presence of deponent and William A. Danaher, Jr. , tIll' other subscribing wit- ness, subscrl he his name ill the pnd of said \Hll in writing, and at th(~ B<1IlIl' I illw did declarp said ilHil'rulllenL t:o be his Last \Hll and '['estament, ThaL deponent and William A. Danaher, Jr. did thereupon subscribe their own respective names at the end of said instru- ment as attcsting witnesses to the pxecution thereof, each at the request of the testator and in his presence and in the presence of each other, ThaL I'he testat or \~as at tl1<' time of so subscribing his name 1'0 said instrument: ilnd publ i shing it as aforesaid upwards of t.he age of t.wentY-OIl<' yell!'S, and appeared to be and deponent believes he was of sound mind, memory and understandin and in a 11 rpspect:s compeLent: to mak" a Wi.ll; that deponent saw William A. Danaher, Jr. sign his name to said instrument in the presence of the testator That this affidavit is made by deponent at the request of the testator concurrently with the execution of the Will. 7h,A~ / Subscribed an(~efOre 23 day of - -- ... me this 11982, j\~~ . Notary ,.':.:.' ,\:!,I::~', :-.}i, :.':: , ";~:,,, "':" "'.' '.' "....'..{, ,~+:,::.::'t:l~!S';-;~!~)f" ',' ",".' "',', ..!{ ,~: '",f': '. ,~,l ;\' . ',: ,I:."",.",'., "_"". ' I" '.1 , ", . '1'.1', ~. i': '.' ~',,:' . '.' ;..1.' '" ',,',,';'i;"" ",:. .',,\ ,. " '.",1 ..~H.,., .1ft, "LAW " ,', I, Ii, y, " ,,:" : ,," ,!,:;:. ';'1 '\ I" , '1' i, i" " ~ II I ['I " ~ .1 .j, If i ( 'I 'I I r' .'1: ' 1/1' ,).J )) - / .~ i {EVo1547 EX AFP (12094* V " CO_WEALTH OF PENNSYlYANIA DEPAUMENT OF REYENUE NOTICE OF INHERITANCE TAX IUIlEAU Of INOIYIDUIt lAKES A'PRAISEHENT, ALLOWANCE OR DISALLOWANCE , ~:~is~~:~~'.A 17121-0601 OF OEDUCTIONS ANO ASSESSHENT OF TAX DAT! 03-06-95 !STAT! 'OF ROSS RONA "~lf== FILE NO. -~0623 DAT! OF DEATH OS-31-94 COUNTY CUMBERLAND NOTE I TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTlOII OF THIS FORH WITH YOUR TAX PAVHENT TO THE REOISTER OF WILLS, HAKE CHECK PAVABLE TO "REOISTER OF WILLS, AOENT" REMIT PAYMENT TOI BROUJOS ETAL 4 N HANOVER ST CARLI SLE PA 17013 C/ ACN 101 -- REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 F Allount RI"lttod . - CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDA ~ iiiW i547 "E'lf""iip""n'F94Y"ilcificiE" of-ItiHiiiii'iliicE-YA'in"PPRA "iSEHEilr;""LreiwiliicE"iiJi"m----m---"-- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF ROSS RONAI.D W FILE NO.21 94-0623 ACN 101 DATE 03"06-95 If an ..Iel.ment wa. 1llued prev1ou.ly, line. 14, 15 and/or 16, 17 and 18 reflect f1gurel that include the total of Abh returnl allelled to date. ASSESSMENT OF TAXI 15. Allount of Lino 14 It Spou.ll r.tl (151 16. Allount of Linl 14 tl..bll .t Lin..l/Cl... A r.t. 1161 17. Allount of Lin. 14 t...bl. .t Coll.t.r.l/Cl... B r.tl 1171 lB. PrinoiPll TI. DUI TAX RETURN WAS I I X) ACCEPTEO AS FIUu RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL 1. R..l E.tot. ISoh.dul. AI III 2, stock. .nd Bcnd. (Sch.duh BI 121 3. Clo.oly Hold Stcck/Plrtn.r.hip Intor..t ISch.duh C I (3) 4. Hortg.g../Not.. R.cliyobl. ISchldull 01 (4) 5. C..h/B.nk O.po.it./Hi.c, Plr.cn.l Proplrty ISch.dul. E) IS) 6. Jointly Own.d Prop.rty ISch.duh FI (6) 7. Tr.n.flr. ISch.dulo 0) (7) B. Totll AI..t. APPROVED DEDUCTIONS AND EXEHPTIONSI 9. Funer.l E.p.n.II/Adll. Co.hiHtoc. E,pln... ISohldull HI (9) 10. D.bh/Hortg.g. Li.bUiU../Li.n. ISchldul. II 1101 11, Tot.lDlduotion. 12. Nit V.lu. of T.. R.turn 13. Ch.rit.blI/Ooy.rnll.nt.l B'ou..t. ISchldul. J) 14. N.t Volu. of E.tot. Subjlot to T.. NOTIlI TAX CREDITS I PAVHENT DATE RECEIPT NUHBER DISCOUNT 1'1 IHTEREST 1.1 CHANO~ Q c, (P ''11 , I "n :rJ . . (J) tt> ", I' ,00 ',. 1,'078 ,13 ~u ,00 cI, ,00 ,00 . cI ;\.~ l " ,DO .,'~' ~ I '._, ..... DO l.d IB) _ V' .- I .,'" 1,078.13 4,385.00 ,00 Ill) 1121 US) 1141 ",~8~ nn 3,306.87- ,00 3 , 3 06.ii7'- will ,OOX,OO. ,00 K ,06. ,00x,15. UB) .00 ,00 ,GO ,00 AHOUNT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE M IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST, ,00 .00 .00 ,00 IF TOTAL DUE IS LESS THAN .1, NO PAVHEHT IS REQUIREO. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YOU HAV BE DUE A REFUND, SEE REVERSE SlOE OF THIS FORH FOR INSTRUCTIONS.) R~6 8 3L1? p..f<. r ~/I ~ STAtUS RErOR'!'.J!.@!!LRUL~"t!..J. ~ Name of necedentl Ronald W. Ross Date of Deathl 5/31/94 WIll No. Admin. No. _199A:'OO.623____..._ pur'suant to Hule 6. 12 of the Supreme Court Orphans' Court Rules, I report the following with respect to complotion of the admJnlstratlon of tho above,.capLloflod ARtatel 1. State whether a~ninlstraLion of the estate is complete I Yen X No ?. T f thn ill1flWfll: i Ii No, representa Live nJiIH11 nllb I y bo.l levos comph~te I sUlLo whorl the perAnl",1 that IIw ildm.lnistJ:atJ.on wUl be :I. If the anf1\'11l r to No. I is Yor., state the I.o.tlow ing I n. Did the perRonal representative flle a flnal Rccount with the Court7 Yes No X b.'l'he fWl'ilrilLe OrplHlIw' CuurL No. (.If any) for Lhepersonal r.ep.n~8entatlvl,!' H' ilCCOllflL Is I c. Did \.he IXlrsl!llal ropresentatlve stlltl~ Iln ilccount lnfonnally to tho pilrtll:!S In .interost7 Y08,...~"...."_ No d. Copies () f receJpts, re.leases, jolnders ilnd approvals of formal or informal accounts mil be filed with the Cerk of the Orphillls' CCllll:t ilnd may bo a' c d to thls report. Datel )I/~ If t- , , \i) I; oJ: I... Vi 1;'1 ~'I n. :'4 0 " ('';,.: ,-', ~~. I) ." , " , '.J \0 ..... r:e; :,i ~J ;,) :~~ , .J ~'all .Ll ~ 'I: 0:0: ~8 "\ ChriBt~her C. Houston, Esquire Name (Please type or prlnt) . ..i_~.. Hal!.over~E~~arlisl~~ 17013 Address Jl..i2.J".,~~_: 4 5 7 4 Tel. Nll, . CapacltYl X Personal Representative Counsel for personal representative (MAH I rmU AM3) J