HomeMy WebLinkAbout94-00627
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PETITION )<'OR PROBATE and GRANT OF LETTERS
Estao'e of _.CLAR~NCE !~~IKE No. .!o...~_L:__9' ~ (,.1 L__
also knoll'/I (IS _____.__________ To:
_.______.______ Rcglstcr of Wills for the
{JI'I,olls"ll COUltty of Cumberland in the
--- -'-U9~'9--' 1 q 2' ,.
Social Secllrlty No, __ - - ____ Commonwealth of Pennsylvnnin
Thc petition of the undersigned respectfully represents that:
Your petitioner{s), who Islare 18 years of nge or older nn the cxecut or
in the IlIst will of the above decedent, dated June 28
IInd eodlcll(s) dated ________.__.___.
named
.19.~
(stille rl.'Ic\'i1nl drClllll~l<lIll'l'~, I.'.~. rellunciatlon, death of C\t:Clilor, CIC.)
Decendcnt was domiciled lit demh In. Cumberland
IliS__~~~I~tllt~\lpinA~rrrs~~I~c~~~n 20 N. 25th
(Ihl ~lrccl, lIulllhcr 1I1ltlllHllldpality)
County, Pennsylvania, with
Street
Dcccndent, thcn _~.---rr.year'i of l\)jC, died =1--"" July 9
at !IO.l.y.,~lrlt flospl~a , "amp filII, PA
Except as follows, deccdcnt did not marry, wns 1I0t divorccd and did not hnve a child born or adoptcd
after execution of the will offcrcd for problltc; was nolthe victim of a killing and was ncver adjudicated
illeompetcnt: _________.
Deeendent at death owned propcrty with estimated valucs as follows:
(If domiciled in I'n.) All personlll property
(If not domiciled in I'a.) Personlll property in I'ennsylvllnin
(If not domiciled in Pn.) Personal property in County
Value of rC1I1 cstllte in I'ellnsylvllniu
~~~cd as f(~loW~.zs-'N;-7O'tl1---strem:, camp Hl.lr;--p1\
,19 94
L__50,000
$
$
$
bU,lJUO
WHEREFORE, pctitioncr(s) rcspcctfully rcqucst(s) the Pfobn~ of thc Inst will and codldl(s)
prcscntcd hcrewith and the grunt of Icttcrs es amentary
thcron,
(ICillllll"lllnry; udmlnl\lrntinn c.t,n.; admlnlstrnllClIl d.n,II,C,I,n.)
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a Hill, PA 17011
OATH m' PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLV ANIA
COUNTY OF _._....cJJMJiERLAND
} 8S
Thc pctitiollcr(s) above.named swcar(s) or uffirm(s) Ihllt the statcments in thc forcgolng pctillollllrc
truc nnd COrrel'l to thc best of the kllowledge and belicf of pctitiollcr(s) und thut ns personul rcpresen.
lative(s) of the IIbove dcecdent petitiollcr(s) will wellun.~rUI~' ndminist.cr thl' cst ute uccording tollllV.
, ('J ,I" y
Sworn to or affirmcd aud subscrihed {' ____., _LI.>_.._...1:'_~~___ \Il
heforc me this ___..J.?th..____.__ duyol' ____._L ___ _.__________,,_________. ~'
YYl--~LY.,-----.--,C:19-,,-9.L _nu/-. -----.:....--..-. i1
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Additional information may be o~hined from the unders.i.gried.
Date I
August 1, 111!l4
John E. slIke
POBOX 737
CAMP HILL, FA 17001-0737
Phonel 717/737-3405
Counsel for personal representative
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SAJDIS, GUIDO,
SHurr "
MASLAND
21011 MarkO! Slfoel
Camp Hili, M
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Additional information may be obtained from the undersigned~
Oatel August 1/ ,1994
,John E, slike
POBOX 737
C~P HILL, PA 17001-0737
Phone I 717/737-3405
Counsel for personal repr~sentative
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BAWlS, GUIDO, "
SHUFF '" ','.' 'll., I
MAS LAND
1109 /dukel 5"..1
c..mp Hili. PA
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Alidit'ional information may be obtained from the \mdersigned.
'Datel August 1, 1994
. John E. SHke
POBOX 737
CAMP HILL,'PA 17001-0737
Phone I 717/737-3405
Counsel for personal representative
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SAIDIS, GUIDO, ,"1.
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MASLAND "
210'1 MukelStreel , " ,
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Camp HIli, PA ,
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Add.itional inforl)\ation may be obtained from the undersigned.
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SAlOIS, GUIDO, "
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IlHUFF & I
MASLAND \.1
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2109 Markol 81leOI I
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Camp Hili, PA
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Date: August 1, 1994
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John E I Slike
POBOX 737
CAMP HILL, PA 17001~0737
Phones 717/737-3405
Counsel for personal represontative
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COMMONWEALTH OP PENNSYLVANIA
COUNTY OP CUMBERLAND
}
Itl
.JOliN E. BLIKE
bolng duly sworn _ eccordlng 10 lew, dopolel end leYI thel h.
Is Exoculor 01 the Estele 01 Clnronco 11'. Sllke
lete 01 ___.Cnm.p._J~1~L~(~:.?~~~~'____._ , Cumberlend Coullly, PI., deceased Ind Ihet Ihe
within Is In Invenlory mede by h 1m " the lelcP.Xcculor
01 the .ntlre "llle oluld decedonl, consllllng 01111 the personll prop.~rty Ind rul"llt., .xcept r8l1llhll outside
the Commonwullh 01 Pennlylvlnle, Ind Ihll Ihe IIgurel opposlle uoh Item 01 the Inventory reprllenl It'l Illr v.lue
1\ 01 tho delo 01 decedonl'l dulh, .
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end lublcrlbod bolore me,
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Novomber 4,
1994
Ew..ulor . Admlnl.
Streel
NOTARIAL SfAl
THelMA S. McCAUSLIN, NOlary Public
Camp Hill, Cumberland Counly
MyCommissior[xplres ,July 3,1996
-....-.. ~.--.,_.._--
Dele ol Dulh
Cnmp lillI, PA 17011
Addltll
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July 1994
Month
v."
INSTRUCTIONS
I. An Inventory mUll be filed within thru monthl eller eppolnlment 01 personAl reprlunt.tlve.
2. A lupplement Inventory mUlt be IlIed withIn thirty d.YI 01 dlloovery ollddltlonellluts.
3. Addltlonel Iheets mey be IIIeched el to perlcnelty or rully
4. See Article IV, Flduclerlll Act 011949.
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Fon OATES OF OCAHI ArtER 12/~"\ll emu.. HEAr.
IrAUflOUMl 0
rOvEfllv cnEOIT 15 CLAIMED
FILE NUMBER
!lOCIAl !IECUflIlV NtJMnEn
189.09.1.1112
-I rn 1. Ollglnal A.turn
~ ~ 0 4. Lll1\itod e,lalo
E 0
CCIvl
K l ~ tJ:J 6. Docndunl DlOd Tu'talo
~ (Attach copy 01 Will)
Co P AU CORRESPONDENCe AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
A 2 NAME CO'-Wl FTE MAll.INO AnOflF!HI
R 0 John f:. Sl1kll, Efl'llll.l'll SlIldlH, l:llldo, Shllff & Mllfl1.lllld
E E
S N T[LEfltlON[ ~lUMBEA
T 717 'l37-)1.05
1. Aoal E'lalo (Schodulo A)
2. Slack, and Bond, (Schodulo B)
3. ClooolV Hold Slock/PMnolShlp Inloro,1 (Schudulo C)
4. Mongago, and Noto, Roeolvablo (Sehodulo 0)
5. eMil, Bank Doposits & Mlscollallooun Poraonnl Propnrly
(Sehodulo E)
6. Jolnllv Ownod PropllllV (SCllOdulo F)
7. T'all9IIl1' (Sehodulo G) (Selllldulo L)
O. Tolol Gin"" A"ot, Ilotalllno, 1-7)
V. Funoral e'pon,os, Adl11lnl'ltallvo Co, I'. MlSeollanoou,
e'pon,o, (Sehodulo H)
10, oObl', Mortgago Llablllllo,. Lion' (Sellodulo I)
11, Total Doducllon, (totalllno' 9 & 10)
12. Not Valuo 01 e'lato (II no 0 mlnuo IInu 11)
13, Charlfablo and Governmontal Boquo't, (Sehodulo J)
14. NOI Valuo Subjoct to Tax (IIno 1~ mlnu, IIn, lJ)
16. Amounl 01 IIno 14 IdXablo al 0% rato
(Ineludo valuo, Irom Schodulo K or Schodul, M.)
16. Amounl 01 IIno 141axablo 0115% rolo
(Inclu~o valuo, from Sellodulo K 01 Schodulo M.)
17. P'lnclpoltax duo (Add lox Irom IIno 15 ond 11011111'1016,)
10.Crodlt'l5p povorty Prior Pavmont' ol,counl
+ 1.2 ,000.00 + 631. 58
IV. If IIno 10 I' g,oalor than IIno 17. onlor tho dllloronco on IIno 10. Thl' I, Iho OVERPAYMENT.
II] 0 ICheck her. H you ar. r.queallog a ralund of your ovarJllvmant.1
20. If IIno 171' gloater Ihan IIno lC, ontor tho dlllor""co on linn 20. Thl' I' Iho TAX DUE.
A. Enlor tho Interosl on tho balanco duo on II no 20A.
B. Entor tho lotal 01 IIno 20 ond 20A on IIn, 20B. Thl' I' tho BALANCE DUE.
M.ka Chook Payabloto: Roglstor 01 Willa, Agont
.. .. BE SURE TO ANSWER AU QUESTIONS ON PAGE 2 AND TO RECHECK MATH . .
Undll p,n41llfl 01 peflu'y, I dect.r, 1I1l11 halle ...mlnelllllll "turn, Inchidlnllaccomp"nYlnuschel1uluand Ilalernerlll, .nd 10 Ihe bul 01 my knowledge and belial, Ill' l'ue,
cOIfI,1 and complll.. 1 decl.,elhal all rul..tal. h,. bun reporl.dAllrul mar I<.e t ~at~e. nlcl"r.llOn of fllep.", olhlf lh.n Ihl Pllrlon.IlIprUlInl,\llllel. oued on alllnlorm"llon 01
whiCh pflp.'1f has IIny I<.nDWlldgo.
'eoMNm'(\~N TIWf,':flWll'6l^'''^
i'l.t~, ""01
'IMUIHJ IJlih, "A t7118.U601
INHERITANOE TAX RETURN
RESIDENT DEOEDENT
(TO BE FILED IN DUPLIOATE
WITH REGISTER OF WILLS
C(Jlmrvc:oor
I
DlCEUCNI'.!l NAME (t.A!\I, FIIISI, AND MIDDLE ItMlflLl
SLI KE, CLARENCE W,
O[C[{JEN1'!1 CoMPtF I[ A(lDIIE'.}!'.
25 N. 20t.h St.rOllt.
Cnlllp 11111, I'A 170ll
OATE OF Uf.AIH
0'/ /09 /911
02,
CUUIII.,.
CUllllll1l' 1 and
TIJ,
06,
o 4a, Futuro IlIloro,1 Co"'prornlHo
Ilor dol on 01 doalh 01101 12-12-62)
o 7. oncodolll Malntolnud 0 Llvlllg T'U,I
(AII,eh 0 copy 01 Tru,l)
n09
CnlOp
Mnrket: St:t'l'et:
II III , "A '1'/011
81, ,900.00
89,125.52
NOllll
NOlle
35 , 71,11.20
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(1)
(2)
(3)
(4)
(6)
(0)
(7)
61. ,292 .01,
NOlle
(9)
22,OuO.85
(10)
11,71.0.88
(16)
237,950.03
~
21.-!III.Of,n
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IWMlIlfl
Romalndor Rolurn
(10' dato, of doath pilar 1012-13-62)
Fodoral Estolo Tox
Aoturn Hoqulrod
8. Tolal Nurnbol 01 Salo oup",1I Bo"""
(0)
271,661.16
(11)
(12)
(13)
(14)
x ,00.
33,111.73
237,950.03
None
237,950.03
14,277.00
(10)
0.00 X,15.
0.00
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SIGNATURE OF PEnSON flEsrmHIIOl.E r;ol1 nWlG fI[TlJlltl AlJDRESS
(17)
II. , 277 , 00
(18)
(IV)
12,631.58
0,00
(20l.
( 20A).
(20B)
1,645.42
0.00
I ,61,5,1.2
OArt
J)~' ,
,r' ..At
f1l1lPAflEn OHIEf! I AN flEfll\[SEN1ATtVE
ho<i' iin l:ki;t' S i'I:~~'t' -...... -............. --.. -....
ci1inp' iilii': '\i;'" --Oliff.... ........... .......... -..
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AOOrtUi5
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'Itf-. ci;,n\;' iim',"i';'" "j 7lifi.... ........ -.. .............
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AEY - 110. EX + 13-Uj
~oM~'lJ\1rM~\'Wtw~jhYANIA
ESTATE OF
CLARENCE W, SLIKE SS~ 189-09-1142
Jolnlllnlnl(l)1
A.
NAME
JI)hn E, Slike
~ William H, Slike
C, Lorna R. Slike
D. Mary Jane Slike
Jolntly-ownod proplrtyl
SCHEDULE F
JOINTLY-OWNED PROPERTY
07/09/94
ADDRESS
1705 Linewood Drive
Camp Hill, PA 17011
100 Ridgewood Drive
Camp Hill, PA 17011
1705 Linewood Drive
Camp Hill, PA 17011
100 Ridgowood Drive
amp
FlU! NUMBER
21.91,-0627
RELATIONSHIP TO DECEDI!NT
Son
Son
Daughter-in-law
Daughter-in-law
U!TIER DATE
ITEM FOR MADE DI!SCRIPTION OF PROPERlY TOTAL VALUE DECO'S DOLLAR VALUE OF
NUMBER JOINT OF ASSET " INT, pl!CEDENTINTBREST
TENANT JOINT
DAUPHIN DEPOSIT ACCOUNTS:
1 ,B,C,D 04/04/88 C,D. #8000146266 25,262,80 20,00% 5,052.56
2 ,B.C.D 04/28/88 C,D. #8000146320 25,278.16 20.00% 5,055.63
3 ,B.C,D 06/16/88 C.D, #8000146363 25,308.87 20.00% 5,061.77
4 Mil 10/12/90 C,D. #8000146975 10,027.37 33,33% 3,342.46
5 Mil 07/01/92 ACCT. #4350964009 128,338.84 33,33% 42,779,61
.
,
,
,
TOTAL (Also entsr on line 6, RoonpittJlltlon) 61 292.04
(If mors Spice Is needsd, In&en addltlona/sheet. of ..me olzs,)
Capyrlght(olll1' form lOft......." only Clnltr PIle. Soft"""."jlno.
Form 1500 Sch.dul. F (Aev. 12-8Ij
REV- "" EX + II.",
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
Please Print or T e
FILl! NUMBeR
21-94-0627
COM~N\l\l~{\W~~NI~
!STATI! OF
~RENCE W, SLIKE
ITEM
NUMBER
A. Funllll ExpIn"I'
SS# 189.09 -1142 07 09 94
DESCRIPTION
AMOUNT
1
2
Myers-Harner Funeral Home
Gingrioh Memorials - inscription
6,450,00
60,00
B. AdmlnlltrlUvl eollll
1. Personal Representltlve CorM1lBBlons 4,883.00
Soolll Securtty Number of PerBonal RBpr8gentatlve: 251. 69 4606
Year Cornrr/BslonB paid 1995
a. Morney Fees 9,767,00
3. Famly Exsmpllon "/r+
Claimant RolaUonshlp
Address 01 Claimant at decedsnt's dsath
Stroot Address
CIly Slats Zip Code
.. Pro bats Foos 267,00
O. MllCllllnlOull!lcpInl..'
1 Register of Wills - short oertificates 18.00
2 Patriot-News Co. - legel ads 45.53
3 Cumberland Lew Journal - logal ads 40.00
4 Recorder of Deeds - filing fee for corrective deed 14.00
5 Dauphin Deposit Bank - check charges 31. 32
6 Register of Wills - filing fees 25,00
7 Reserved for taxes and future expenses 400,00
TOTAL Also IntI! on line 8 RIO Itullllon
(If more BpllC811 neede1, Insert addl1lonli Bheets 01 same Bin,)
CoPyrloht(o) 1'" fOlm loft"",. only Clnl" Pllce8oftw.rt, Inc.
. 22 000.85
Form 1100 Sonedul. H tRoY, HI'
~1547 EX AFP (08094*
( COHHONWEAl TIt Of' PENNSYlVANIA
O'I"O'H'H' OF orV'HU' NOTICE OF INHERITANCe TAK
8UO"U UF 'HOIVIOUAl rms APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
~;:~is;:::~' 1" 1111"'601 " . . OF DEDUCTIONS AND ASSESSMENT OF TAX DATE 02- 06 - 95
Esf'ATrOF- snl(E"=~~==o=,o""='="/';tliiH!N ''E' '=I;t==~=='o"="="====='=~~=='==FTCE'==NO: ====="2r94:=-O-6Ir'===='=
DATE OF DEATH 07-09-94 COUNT V CUMBERLAND
NOTE, TO INSURE PROPER CREon TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS FORM WITH YOUR TAK
PAYMENT TO THE REDISTER OF WILLS. MAKE CHECK PAYABLE TO "REDISTER OF WILLS, ADENT"
REMIT PAVMENT TOI
t.5
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JDHN E SlIKE ESQ
SAIDIS ETAl
2109 MARKET ST
CAMP HIll PA 17011
ACN
c
101
REGISTER DF WIllS
CUMBERLAND CO COURT HDUSE
CARLISLE, PA 17013
f=~~-~~~nt =:~~ t h~._ - J
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ....
R i!V: is';, - E if' j., i:i; 0 f ii s-: 94 -,- 0 NOY i c F. 0"6 F - YNti iii iT ANC E' YAX 0 'A-P'pii Xiii Eioi€Nr; oj., i. i:ciWAtic E - iiFi 0 0 0 0 0.0 -- 0 0 0 0 0 0 0 0
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF SLIKE CLARENCE W FILE NO. 21 94-0627 ACN 101 DATE 02-06-95
TAK RETURN WAS, I X) ACCEPTED AS FII.ED
RESERVATION CONCERNING FUTURE INTEREST 0 SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL
I. R..I E.t.t. IScn.dul. A)
2, Stook. .nd Bond. ISoh.dul. a)
3. Clo..ly Hlld Stock/Plrtn.r,hlp Intlr.,t IScn.dul. CI
4. Mortglgl./Notl. Rocllv.bl. ISoh.dul. D)
5. CI.h/Blnk D.po.lt./MI,c. Por.onll Prop.rty IScnldul. E)
b. Jointly O_n.d Prop.rty ISoh.dull FI
7. Trln.f.r. IScnldul. 0)
8. Toto1 Au.ts
APPROVED DEDUCTIONS AND EXEMPTIONS I
q, Funer.l E~p.n.../Ad~. COlts/HisD, Expen..a (Sohedule H)
10. Dlbt./Mortglgl LI.bllltl../LI.n, ISon.dull II
11. Totol D.ductlon.
12. Nit Vllul of T.. Rlturn
13. Chorltobll/DovlrnHlntol B.qu..t. ISohodul1 JI
14. N.t Volu. of E.totl Sunjoot to To.
NOTEI
I ) CHANOED
III
12)
(3)
141_
15)
(b)
I7l
84,900,00
89,725,52
.00
.00
35,744.20
61 ,292.04
.00
18)
271,661. 76
33.711 73_
237,950.03
,00
237,950.03
If an asselsment was issued previously, lines 14, 15 and/or 16, 17 and 18 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAXI
IS. AHount of Llno 14 .t Spou.ol rota liS)
lb. AHount of Uno 14 h.obll at Unool/Clo.. A rota lib I
17, AHount of Lln. 14 to.oblo at Collot.roI/Clo.. 8 rot. 117)
18. Prlnolpol To. nuo
TAX CREDITS I
---
PAYMENT
DATE
10-03-94
11-07-94
19)_
1101
22,OOD.85
11 ,710,88
tll )
112)
1131
114)
.00 K .03,
23/ ,950. ~l. K' 06,
.00 K .15,
118)
--- RECEIPT -'--r---OiSCDUNT 1+) AMOUNT PAID
NUMBER I INTEflEST I" I
MM913023 L' ----63'r:sa-------r2~-000.00
MM913150 .00 1,645.42
t/
· IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX CREDIT
BALANCE OF TAX DUE
------
INTEREST
-----------
TOTAL DUE
.00
14,277.00
.00
14,277,00
14,277.00 ~
,00
.00
.00
--~---
I IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF rOTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YOU MAl' BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
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AESEAVUJO~1 Eltat.. of dle.dlnh dvJng on or blfor, n,cIMb.r 11., 1982 .. If any future .tnterut In thl utah II trlln,flrr.d
In Po.....lon or .njOYR.~t to Cla.. a (0011at.ral) bGn,flclarlt. of thl dacedlnt after the ,~p'ratlon of any ..\at. for
llf. or for Ylar., thl CORRonwlalth h,rebY uwpr..,ly r...ryos tho right to appral.. ftnd a..... tranlf.r Inherltanc. Taw,.
Itt thl lawful Cia.. . (oolhhraU rat. on any suoh lutur. Int.rut.
PURPO~E Of
HdllCEi
To fulfill thl requlre..ntt of Slctllln 2140 of thl Inh,rJtancI and E'tllt, Tlue Aot, Act 22 of 19~1. 72 P.S,
Stetlon 2140.
PAVHEHI,
O,tfUJh thl top portion of this Hotlu and IUhllllt wlt~ your payunt to thn R.gl.ter of Wills prlntod on the r,v.r.. .In.,
--Hako ch.ck or "cnoy ordllr p.ynblll tal REGISTER OF HILLS J AOr.NT
All pay"ont. rocolvod shall flr.t b. appllld to any Intlr..t which "ay b. dUll with any re.alndor applied to the taM,
REfUHO (CRI,
A refund of a tax credit, which was not requllted on the TalC Heturn, "IV be r.quutod by co.ploUng an "AppllaaUon
far R.fund of Plnn.ylvanla InhllrltnnCl and EI'l~ate Tax" (REY'1313), AppllcaUon. are available at the OffJcI
of the Rughhr of Wllh, IIny of thl II RevenuI District OffiCII, or bv calling the .p.olal 24.hour
IInlw.rlng IIIIrvlo. nlllber. for forlll orderlngl In Jllnn'Ylvanla 1-800-362-2050, outllde P.nnlylvllnla and
within local tlarrl.burg aru (7171 181'809(1, TOO. 0171 77l.ZZ5Z U1urlng hlpalr'd Onl'll,
OBJECTIONSI Any party In Int.r..t not ,atl.fl.d with the appral....nt, nllowance or dllal10wanol of dlductlon., or a.......nt
of tllC (Including dl.count or Intlrlltl a. shown on thlt NoUcl lIlu.t objlct within .b<h (60) dllV' of rlc.lpt of
thh Notlcl bVI
"wrltt.n prot..t to thl JlA nlPartlllnt of R.v.nu., 80ard of ApPlIlh, DEPT. 281021, tlarrhburg, PI, 17128-1021, OR
--ollctlon to hay. the '"ltter d.ter.lnld llt audit of thl necount of the per,oMI repre..nttltlvI, OR
--apPlal to the Orphan,' Court.
AO"IH
lS1RATlYE
CORRECTIONS,
Faotual .rror. dhcovlred all thlt lIU'lIlIIent should b. acldr....d In writing tal PI, OIParhllnt of Rlvlnu.,
8urlllu of IndIvidual TaMil. ATTNI POlt h....".nt Rlvl.w Unit, DEPT, 280601, IIftrrhburg, PI, 1712"-0601
Phon I (7171 787-650!i. Sit page 3 of lh, book lit "Inltruotlon. for Inhlrltenc, frIl( R.turn for II Ruldlnt
nleld.nt" (REV.IS01) for an Illplanlltlon of "dlllnlttrattvllY corrlcbble errorl,
DISCOUHT,
If any tax dUI II patd within thr.. (l) calendar Ilonth. aftlr thl dlc.dlnt'. dlllth, ft flv. p.rcent (SiO dhcount of
thl tax paid I. ftllow.d.
IHTEHESTl
tnter..t It chllrg'd blglnnJng with flr.t day of dellnqulnov, or l'\lnl (9) Ilonth. lInd on. (I) day froll thl dati af
dlath, to thl dftt, of paY.lnt, TaM" ~hlch beea.1 dlllnqu,nt bofore Jftnuary I, 1982 h.ar Intlrl,t at thl rate of
lhe (6%) plrc.nt plr annulIl calculatld at a dnlly rnt. of ,000164. All taXlI which blCI'lIll' dlllnqulnt on ftnd IIfhr
January I, 1982 will bear In\lrllt at n rntl ~hlch will yarv froll cnhndar VUr to cahndar YlIlr with that ratl
announcld bV the PI, DIPart.lnt of Rlvlnul. Thl applicable Intlrl.t ratll for 1982 through 1995 arGl
~ Int.r..t Rlltl Dally Intlrllt Fllcter ~ Interut Rat. Dally Inttrut factor
1982 20% .ooom 1967 9% .000247
I'a! laX .000458 1988'1'191 11% ,000301
1964 IIX ,000501 1992 9% ,000247
1965 U% .00OSS6 IfJ9]-1994 7% ,000192
196a 10% ,000274 1995 9% ,000247
ulntlr..t 11 clllculahd no followl1
INTEREST . BALANCE OF TAX UNPAID X NUKBER DF DAYS DELINQUENT X DAILY INTtREST FACTOR
--Any Notlcl hluld aftlr thl till bleo... d.llnqulnt will rllhct an Int.rut clllculatlon to flftlln ('IS) day.
blyond thl date of thl a..I".ent. If paY"'nt It .ad. aftlr thl Int.r..t cOllputatlon dati .hown on thl
Hottel, "ddl tlona! Inter..t lUst b, calculated.
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COUN'J'{ COURTHOUSE
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REGISTER OF 1'/]
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STATUS REPORT UNDER RULE 6.1~
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Name of Decedent I )( (',- ~ '(, ;.:,.
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Date of Deaths
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Will No. ---1 If ((e/I f-
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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 estatel
State w~ether administration of the estate is completel
Yes_L No___
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete I
1.
3. If the answer to No. 1 is Yes, state the followingl
a. Did the personal reprftsentative file a final
account with the Court? Yes No_ ~ .
b. The separate Orphans' Court No. (if any) fOL"
the pereonal representative's account iSI
c. Did the personal representatIve state an
account informally to the parties in interest? Yes I~ 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
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Name (Please type-or print)
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Address .
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Te 1. No.
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Capaci t Y I
v Personal Representative
~'counsel for personal
representative
(MAHlrmf/AM3)