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HomeMy WebLinkAbout94-00646 1/ , , \ r \ ,,' . II , " " " J" " , " ',' " j ~ ' , '" "~l ' \ , "I , '" " ,I' i. r., ") ,I .. " ,I.. II,' I , "r, " I,. , , '!~ ,j. J: ',,', ',,1: ',\.':, .,': ",' ','r, ,,1/' :1 ., " 1',1.1, ,,' I. ;"1 ;\": /,' .., ,,' , ~,' .;. ", I,' ". '1 '. , ::1; 10 I. ') ,. ~.. .' ( ,.\. I,,'! ",. ':~'I."; I .:,\' ,I' " ,.' 'lj i'I:'; , ~:::r " " ,I' _,'l""l: "",1.,. I:.' . ." . ", 't',::.'.' ,< '( ,',i -"""1:. :,:;, .i."," I',.' , , " \ , \ " ~ ,> i " I ,:i'., ...., 1',,',1 y,/:':":':::',,"I. ',1"';-,' .." " I', , , ,'1, " , '" '", ., -,,'. " , " " "~I " " , ' 1,'( .'. J", ','," :':1 'I',.:,. , " "i' , ' " .. , ., "1. , ,. " '1/ I( " ,I: ", ,. .. , '!" ,l" 'l' " ," , ~ " : "," ,':' :('" 'I' ,.' "I' "~I: ....' "I ',. I" 11 ,:,':..\.. " " ,I " \1 ,. "~"~ ,"'1"'1\ "I , ". " " ." ", '.'J" " -',' I," , fl', , "I'" I, "'.,', " '.' \,' ~ I: \ " i." t',. , I' i/ '\': 'I 'Of Ie, ,< , ,I,' ,. \ I" .~I/;' \ ' .." ," " ", ,\ ,,' '" '., ,',1,' I, <,l', IL,~ , II; " .' I"",' .:> ".' \,. ',' ,1::', ,': , ' "'," , I' ., ,,' " "~'I ,. '('II' :. ~': , ,1'1' :1, "I' ,'I' "i " " ../, !' , I" II. " I;' I"" I I" '\' , ':' ,: " :'1'> " ',,'1, ," ,I.' " ". I. II," " i" ':,//1 ~ " ,,',' I!, , ,. I' "" ,'. " , ,. " I' ,I ' j ',; p~; \'\' . " , ' ",':;'\ .,1"1' ,',j< ... I"" 'h, '. ,'I ..,', '1' (II . , ~ I ' " I. " .. .',;' .,1' " " " ,." " '" t'" . , ~ " ::" " ',1' " \,' ., ",I' , ,I,:.' ! ~ " I':, .' I' I' .' ,J" " "'" " ,'\. '. i ';:.. ." , q<,',. .'j ~I ,I, " "!I ". .1', 1/" ,I:, ':"1"11"" "I," . ",', " .,J'! I' .':, ,. .Id " " " ',':i<\I:;;'.!'" '1\' "I' " " J,'l "..'I" , , I"", , ' U'11 .,', I:\jl: ,/ :1'1' ,,' " ',\' . ,:;\ ../i ':'1 ~'i " ,',',', 1.1 I" q' " " , \, I' ,.1<, "',1. " " "1 " ,.' , '.. ~, ' ,II, ,../ \ ','. .' ~ "'1 ,~i. , " " ,\ " .\,,', ': ',Up , ", , ' " ' , " ," , :11,\ " ",' " " \ I' I) /, i ! .~ I .' ' n I" 11,' '" 1" \ " , 'p', ,,' ,I, ,I' .' " " '\ 1,,/ Ii ',l,' ,II '.1', " ~ , ~. \ . ". " . , '" j ('::'1' \ ',j' . I " i" ,,, :':':";/' I"l I,.. ,. 'I' ,,', ,I' II: ". <\, " I, " I'" "1,' ,:. I,'. I.' ,,', ,,, , ,. " :1"."1 I.'. , ,I', ,', ! ,~, \. ,,' ,. ',!"'J , , :'.," ('\ 'I " " , " ,: '.p., I'.' ~ . ' .,' ," c' " ' " 't" t, IJ 1 ,I. ,$ 'I , oj, "" I' ", , \, I" I. ,..' , ,,,I l,,', 1,1, " " " " IJETITION FOR PROBATE and GRANT 01" LETTERS I::I'/a/(' oj ..,['./)L.,-/I C S[:., ,.,,~_ No,...dl=...9tt_'-::.lf2!/!{/L__ 1//,1'0 kllOll'1I lIS _....... . ..._....._... To: ___._......._. .......... .. .. ....._.. Reglsler of Wills for Ihl' _____...._....._.. .... ..__... ....... ...., O('('('a.\('II, County of m._G.UMBERJ,l\lliL_ III the Soda/ S('L'lIrIIY No, 1.7..'..- .1l!J:.5...d_9.J__.. Commollwellilh of PClIlIsylvllnln The pelltlon of Ihe undersigned respeelfully reprl'scuts Ihul: Your petltioller(s), whols/m'e I R years 01' IIge or older IIl1lhe eXeeUI.d'~_.__..________ 'lIed In the 111.11 will of the IIhove deccdellt, dmed _../J1tf-1Z~_~______m__ . .., 19 :? uud c(l(lIcll(s) dilled ....... ... .._.._..._mn__..._...___..___.._._........_.__________ ('lal~' rckvlIlIl c1r~'lllll'illllh.'C~, l',~. ICllllllciulltll1, ~hllllh (If C'(CClllor, etc.) Decelldeul WIIS domidled lit dellth in .....c:..<<!!I;~~~.~.____ Counly, Pellnsylvllnlll, with hJ:;~.__ 11IsI fllmlly or prilldfllll resWence al -L.e..-~.~4--.",!IJr:~.tE.~,.fi!.~r:..-_ -~~w..c..".!!I4#C~d,t:""""_I'l~_'1..f2.._n.LU.""U__F.f'"'?E.-1 ~ (II" 'lIC"!, lIumber IhHlll\lll1dJlalil~') Decendenl, Ihen_2~..._. yellrs of age, died --74.~/..2.c._....._____, I~_, al Exe!~s~"~~~~~~;~~~'n~~)~ji~~~~~~t;;';1~ldid~;~;111;;;~~I'i1d horn or IIdoptc(i nfter cxecullou of Ihe will offered 1'01' prohllte; wns nntthe vktlm of II kllliug nnd WIIS lIever ndjudlclllCd inl'ompetcnl: _.____ . .........n_.h._m__.m_.._.___......_.___._........_____._.....__m____ Deeendenl nt dClllh owned property wllh Collimated values ns follows: (If domiciled In I'll,) All personal prnperly $._LPa-L~"-c:J_ (If not domiciled In I'n,) Personal property lu Pellnsylvllnia $ (If nol domiciled In I'a,) Personal property In Coullly $ Value of real eslnle In l:lns~t\'}uli,u.., ~ (2 $~~(,).. ~illlal~~~~'IIL7~7~~~~~~jfL!...~!2~~~~-Chit4:L~ . WHEREFORE, petitloner(s) respectfully re(W~'il(.s) Jhe Dloball' of Ihe last will llnd eodlcll(s) presented herewith IInd Ihe granl of lelters___.. .1 t~TAr~ENTl\ln (11.'~,tllI1lClltnry; lIdmlnl'ilrlltioll 1;,1.11.; udllllnl\lrnlion d.h.Il.\".I.a,) Iheron, . 1) e "0- .~~ "'0 'O.g ~'iJ ... ll'~ ~ 0 ~, iii :z:ugYUld~..~ ,&, ~. ~ - r~ Tf!A..L/.. ..s.t.?-- OATH 01<' IJERSONAL REPRESENTATIVE COMMONWEALTH OIi l'ENNSnV ANIA } 1:18 COUNT\' OIi ..c.UMBERUlliJL The pelltioner(s) IIbove-named swenr(s) or afflrm(s) thai the statemenls Inlhe foregoing petition arc Irne IInd correct to th,' hesl of Ihe knowledge IInd helieI' of pelilioner(s) IInd Ihnllls personnl represen. 1IIIIve(s) of Ihe IIhol'e dl'cedent pelllloller(s) will well and trnly ndmilllster Ihe eSlllle IIccordlng to law, Swnl'l1 to or IIffll'l~ IInd suhscrlhed . ~~~~. 1Il ,I:cf(~~~ thil .' Z.;u9dl~y (~~ "."" uu.....____,_... i' ~.. -. _,-oJ. '(;' J.~, -. T C-';...-.-.-...--..--.-------- i1 71l('L"\fft1j...4~,J..t." I~ " t. ....... 1 t4r:~... ..uU..__ ...._._.....__....___ ~ MARY C. LEWIS J/('MI.IM . U.. ...__._.__....______ ~ / ~ - ~~G-- .:). I No. 21 - 94 - 646 'Estate of EDITH C. SEIPE , Deceased DEGREE OF PROBATE AND GRANT 01<' LETTERS and Lellers lire hereby granted to AND NOW JUL Y 26, IL1i." In conslderlltlon or the pelltlon on the reverse side horeor, slltlsrllClory proar hllvln8 beell prescntcd berore me, IT IS DECREED lhllt the Instrllment(s) dilled MARCH 24. 1982 described lhereln be admitted 10 probate IInd riled or recorlllls the IlIst will or EDITH C, SEIPE TESTAMENTARY DAVID A. SEIPE FEES Probate I Lellers, Etc, "",' , " $--..n.~Q9 Shari Certlrlcales(lq ""',"', $ 30.00 Renllnelatlon ....,;"...."" $ X-Pages $ 6.00 JCP TOTAL --- $ b. uu Copies - -----t.5e Flied '" JU/., Y. ,?!i", , 1 ~9A , , , , , , , , , 2.7.7 , p,O '~~. ) , 11. . (JI...J- /J.-h- 7, 1~ . ~,J.)J1~' ~.v rum,UJ.tl "1""/1 R'Mltl" or WlI1t U MARY C. LEWIS AlTORNI!V (Sup, CI, I,ll, No,) AtllJRIJSS !'HONE. . , ,l,\ ! ,10 ,( )'eJ " ' i (~, . : " (oj " ,... , .1 I , , ,,! ','111 I I j1\ ) :)' ll~ . 0u Mdiled letters and order to Executor on 7-26-94, " .. '. LAST WILL and TESTAMENT of . EDITH C. SEIPLl I, EDI'l'H C. SEIPE, of the Borough of New Cumberland, Cumberland . County, Pennsylvania, make I publish and declare this to be my Last Will and Testament, hereby rovoking and making void any and all Wills by me at any time heretofore made. I. I direct that my body be cremated and that the expense thereqf be reimbursed out of my estate as a funeral expense. I further direct my Executor to.engage tho services of parthemore Funeral Ilome to handle the aftersaid arranyement. II. I direct the payment of all my just debts as soon after my deat.h as may be convenient for my Executor hereinafter named. III. I bequeath the sum of Five Thousand ($5,000.00) Dollars to each of my grandchildren as are living at my death, the share of each' grandchild to be retained by my Trustee hereinafter nam(~d to be invested and reinvested and the income accumulated with distribution outright to each grandchild as he or she attains age twenty-one. If any such grandchild dies before attaining age twenty-one, his or her share shall be distributad at his or her death equally among my then living grandchildren. It is my intent to create a class gift so that the ~ ~1~1~~1}!','elld;:!'''Y .'~' "1" ,~,l.,}, ..,H; ':-"'\ "',' . ",,:' ;'1;'II.:.~f\~~:\~~ . t/f'i'I/'t1'I''i,:,;,<,ff,.!.., j,' ," ,)"~'\i r , ,. '.' ".', '1' l,"IY'.i/~~\ m"~~J~h'fllll""""{I~t'""" \11;, 'II 1:',\. I. ("'\."~"'n:'''l' ll't 't_", '''',\ i). , ' > \ ,. . .,'"" " ,I' "'Iyl ,'- .'i- \\~;' I , It ~"~\\'1'1 ('i'I':. 'I> 'l,!' . I " 1 I, ,', "1' . '.;"j ',1 "Ji:rJfu; l~ltm;J,~~~~ja"f't~\'~:<">t;' i,' ,;. 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" " ",~, , C"" ,,,,, \,' IJ'" "'" _mjllllASre::~)~ilH,i.;lr.]{ti!lWiIiJil\j,"{:~lm~!q;lI!.fINti:'r'I'!"J~M~A~j'~~~11"tf~'itjj,~~1l\1~iU!r,~f(>lt'lllJl;imliri~, , ' 21 - 94 ,. 646 REGISTER OF WILLS OF _ COUNTY OATH OF SUBSCRIBING WITNESS /l!{(!-c /'/ L /)/ ,/ e-I":' , -- codicil (each) a subscribing witness to the will presenled herewith, (each) being duly qualified according 10 law, depose(s) and say(s) t at_rd,-- u )(I~ -- present and saw :: I\~ . ) :,'} ": the testat!" I J( I sign the same and thai ---,~I, r':' signed as a witness at the request of lestat~ In n "A~ presence and (In the presence of each olher) (in the presence of the other subscribing wltness(es)), s..m to" ."'.,~~ ,,' "b"db.' Mr... 7/lt"";',, '-;/.' 601 W-'~- me Ihls _ ,,;2,;/ 1\(/ day of ,_' (Name) '.. . '~JiQ. 1i'I,~tb. I:) IlebrnoRr QUe!E 7J'J:i~f/4f.{U;(l ~ I..}JdJi-, ' (1 0ii; (Address) r-7MAr(jC. LEWIS' Register '() v...-) ((I"'~ lJ.,.J?,'LQ ,. (7okJ (Name) (Address) REGISTER OF WILLS OF COUNTY OATH 01<' NON.SUBSCRIBING WITNESS "D . I IJ (' ' [I v/rI I 0(:../IJ(--' , ____I (each) a sub~~lber hereto, (each) being duly qualified according t,? la~, }eposc(p, an~ say(s) thaI h", /:.;> familiar with the signature of t~dd/) (!- , ,,:;;Je., P C-'_ I I codicil , testate+;L- of (one of the subscribing witnesses to) the will presented herewith and codicil Ihat _ I) e __ believes the signature on the will Is In the handwriting of ,..), Ii), (, , c::..Cl1 tn (;, ,,.:.),,"_, ('C- -~ . to the best of /11' ,~ . knowledge and beilef.' 0 Sworn to or affirmed and subscribed before ~~ ?1 ~# __ day f (Name) '::::> _ 9(~' . (;P9 ;5&,"';rf-WI~, ('\..{) ~L .!.., , ,) a ?fr.-Il f". (Address)?Yt 1{.3 ,,, Register '{J'I (Name) (Address) CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent I <S~ IPf:.. E'D ,,1-\ ( I Date of Death l---->oT VI ....)' 12- \ '11-i ( S,5;:t;- ,"11-18-<;;8 ~1 Will No. l "H/4:-00~,(l.b Admin, No. ~,ND LIQ'f-O(,4b To the Registerl I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court ~ules was served on'or mailed to the following beneficJ.aries of the above-captioned estate on Il/\/q~~ I ( I ~ Address L'NM, {)c.,",",. i (.1",\11-0..1 1\",,,,,,-,,,.)(,,.' 911... (AC.DL- C.aLC"'" "1'w(..."''''~H'''....JO 'PLI'JorO .. . \ ' j" TII"'MI/ ~;bl),//'f)""e,)' L tfl,"'"AtL C;:" ,rL.~ Ilat;' <ut..~(!.IY\"~I~_1:lt t""""i'~ 'Pu131"1 I I' / / T I I Sc:.r, Sn VIi..SIl. ,l'~: i'l-I c;.r Mr. \;t-\ (':J l", ~.,)( i! U.t:;" l=r I'v\~AD"_ r'vItl, Z.OiSC;;;- , ~L..L St'.Ir"'-: 1'3lt S"L.oT\.' C;...tl?--.)~ S" Lf..t::i1.!2.!:!T:U...J -p"" IP,z..,sS- I Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date I Jf2...AY / Name_'Df\VI\) A, s,. ,{)~ Address t;oCl B~ 'N HulN~ 2.. 20, _t:."JT'~<:' 'PA lie. ''1 I ( I , Telephone CapacitYl Personal Representative Counsel for personal representative I..)<i .j;",. ILI-,./,,.)!..). u.1- INHERITANCE TAX RETURN RESIDENT DECEDENT COMMONW!ALTtIOf PENNIY\VANIA (TO BE FILeD IN DUPLICATE DEPARTMENT Of IUVfNUf "AR",~J:~. Wr;:,ao60' WITH REGISTER OF WILLS) WlJl.IIY (Of II YE^~ NUMBER ..... }i;i :AEM!'il.iST~~~~;;N~~I! iN(~^11 - ,-_..,. -- m.. -- "-T]'[(fi1;j~~~~;t~t~~:;;~~ r VI t' ':' L'" I ~ , ,_')f',I/'. . . I " (' jJJ 7'7 SOtiAfSECiJRffy;J;'M!fR..... ..n [OMEO'OE^,'" ["^" n' """, IV, "Y' LI,r/8'K." -, I/U ,/ 0 ,) / 7-!' J'l3:!) 8 <).3 7/ILj'N 121.3c0 )/8 C'''''''I (:('1.,81' ;::'Ul.vjJ ~I. Origlnul Rolurn ! ] 2. Supplomonlul Rolurn ! 1:1. ROIlHllndor H.olurn (fo, dolo. 01 doolh prior 10 12.13.82) 15. Fodorul Ellnlo rm~ Rolurn Roqulrod . O. 10lul Numbor of Safo Doposlt Boxe. , RE~'.1500 I'X+'I' 1.11" ~ ~~~ :l:ti~ U..... ",Ill '" c( ., I~ i;..I.Y. . '.\"," ,. ;r,'/.. 15 ~ Q [' I 4. lImllod E.,o'o z o 3 E ~ .. z o ~ .... ;) ~ o u g fOA OATIS (I' DIATH AnlA 12/31/91 CHICK HIAI If A SPOUSAL POYIATY CRlDIT IS CLAIMID [ I PIlI'NUMSiA "l'l~' OD(, '1'-, I 61 I 71 '0 -Q (101 ( /8( 7~3 .~-7 III 0 7!J_ ,'>1 ( (II) (12) (13) ....(1~1 " .06 ~ " .15 ~ /201 120AI (20BI 1 81 ,f /76/13 O.f'l I//~ 82 t. (,6 . ~ IS7, /D8. 8/ C> f /5-7 1()8,,[!J1 . n n" ""...n.'.nn.... nn', .........: " 9, 'fL(!, S.3 o 1171 "'II '1.!..6.;;.3 [ J 40. Futuro InlorO\I Cornprllrniso If or d"lo. 01 do",h "fto, 12.12.821 [J 6. Decedenl Died TtHlats ! ] 7 Docodont Muinlcliflfld (I Livin{l Trult IAlloch copy of Willi IAlloch copy 01 Tru"1 ALL CORRESPONDENCE ANDCONiiiDE'NTi'Ai'TAX iNfO~MATION SHOULD BE DIRECTED TO, ~ 8 NAM:?;4 V 1 o-ITn5'f~-~~~~-_-"'_'-H" Coii~~~~,~,~".?^~;m.s > ,p.r.:""""'--"'''' .. Q / ('J <i ,,"'l. .v,,'-C I ~v"';:: 1.:::0 o z HTEPiioNf NUMB(R ,.,., J ~~,...LZI]oJc7~ff2~f{)l'Zjc?;JI:X,:,q(,') lUi.}, [71,'.:<" /~~/ 7 j"1!c=ccc=c=~.= I. Rool E,'olo (Schodulo AI I IJ#' / ;:, S"{ Oc!'> {) . 00 2. Slo,k! and Bond. ISchodulo B) I 21 i / '7, J' ~ S' . ,3/ 3. Clo.oly H.ld Slock/Po"no"hlp Inloro.1 (Sch.dolo q I 31 . c,) 4, Morlgog.. nnd Nolo. Roc.ivoblo ISchodulo 01 I 41 . 0 5, COIh, Bonk D.po.lt. & MllCollonoou. P."onol P'oporlyl 51 ,f .::2./:; 75-- ./ (, ISchodulo EJ 6 Joinlly Own.d Proporly (Schodulo FI 7, Tron.fo" (Schodulo GI (Schodolo LI 9. TOlol Grall AlloII (Iololllno. 1.71 9. Funeral Expenso., Admlnistratlve Cosh, Mhcollclnoous ( 91 Expon.o. ISch.rlolo H) 10. Dobll, Morlgogo Liobllill.., Lion. (Schodul. II 11. Tolol Doducllon. IIolollinOl q & 101 12, Nol Voluo 01 Ellol. Iii no 8 O1lnu. lino IIJ 13. Chorltoblo and Govornm.nlol 80quoll. ISchodulo JI _____ 1~. Nol Volu~ Sublo-"-"'..!.~J1ln~13.',,:I~..llno 131 15. Amoont of lino 14 loxoblo 01 6% rolo Ilncludo voluol "001 Schodolo K or Schodulo M.I 16. Amoonl of lino 14 loxobl. 01 15% rol. (Inclodo voluol from Schodol. K 0' Schodul. M.I 17. Principal 10' duolAdd lox Irom IIno 15 and f,om lino 16.1 18, Credits SpoulOl Poverty Credit Prior Paymonts ~ D,scounl ,,0 + 0 + ~7/,3.) 19. lllino 18 II groolor thort IIno 17, onlo' Ih. dllloronc. on lino 19. Thi. i. Iho OVERPAYMENT, li!IJ 20. IIlIno 17 II groolo' ,hen Ilno 18, onlo, Ih. dilloronco on lino 20. Thi. II Iho TAX DUE, A. Enter the lnlorell on tho balanco due on lino 20A. {15j#ltn, IP8, (~I {16J o lnlor(lsl C11O(~ WItt if you flrn ,equo\tmU n rolund 01 your overpnyment. (181 1191 f 3.3,' B. Enlor Iho 10101 of lino 20 ond 20A on lino 20B. lhi. I"ho BALANCE DUE, .t.lo~I.Chl.kPaxa:b~I-',,'-.~~.9.II!~rof \Villi, Aglnt ;;7/, .~. # 81? :,;S-. 2.0 '0 . .f t? ?!,. ':,... ,i) -------..."-,,. ... ..1 IURtTO ANsweR AL~ QUESTIONS ClNREVERSE SIDE AND TO RECHECK MATH.. .......- UnJerronoIlI0701perl~ry, I declore Ihall hovo examlnolihi"ir'olurn,lncludlng-a-;;omp~;;y;;~-,d~~~rJ;;-U;;I,ioln-;#I-~i~~-;;~~-ih;b;;I-~'~y kn~wlodgo Wid bolll)f, It Is true, cor(ocl and complelo. I declare that all real estulo hal bOGn rororled at hUD morkol VOIUll. Ondurollo/l 01 prepmol ollwr thon Iho pOHonol roprolonlullvo II baled on.olllnformnHon (If whIch prepnrer hOl any knowled[Jlt. :E~~;z;~::P;::~::4;i.:~~.v!~. ~ (if7lflJ ,~I1. /7 H? ::~~(7fr . UV.If.ll,lIt p.", ~~ COMMONWIAlIH O. P1NNIVWANIA INHUIIANCI lAX mU.N ""oINIDICloINT 5eHIDULI H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES ISTATI 0' $€ IPC:" ED I r~ C. ITEM NUMIER Plio" Print or T pi I PILI NUMIIR 2./9J/ -D''I6 AMOUNT A. 1. DESCRIPTION Funl/oIExpen.... /17. K" "v.t:..t...-I't= r-<I,,/I.:R,,'1L U,';?'k', hJ"'!., L tJlti!..c:." S""j Lyrdl'/"1 1/oJa.:A..viJ &n.. Sf AI W 1,'iI~ ;,t(/ ...,.,-C€, /--"o\/;'Ii:,I.:., 1'(...+Il /Il-C ,10. &>)< # J ( I I;',. J t!~ 1 J) &of. Sr. All'''' ("....II..!/.. ANI' PA. I 74 ')" I I r,>oll ,,) 1?' ,-<'0. ""I'E-;V ,.5 ~AY'E- ~"~AER.. 1. I. Admlnl.trotlvl Co.t.. Poraonol Reprl.lnlallv. Commllllon. ;z)A'vIi) .1. SL O"L. Social Slcurlty Number of Per.onol Rlpr...ntallvll 1?:1 -.it? - S'?.eL Vlar Comml..lon. paid 2. A"orney Fee. 3. 4. C. 1. 2. 3. 4. 5. 6. '7. 8. Family EXlmpllon Claimant Addrell of Clalmanl at decedent'. death Streel Addll.. City R.lallon.hlp Slate Zip Code Probate Fee. MI.elllanlou. bpln.111 RI!''-I,)r.rii.. 01' ....IILtS (t".,Pti,z,t./),<vo t....", 7 C.>-l r of ,41111"" TI1I,u/"" /?e.)r>~'J2.7 TOTAL (Al.o enler on line 9, Recapltulollonl (If mOlllpacl I. n"dld, In'lrt additional .heet. of .aml "11.) ',"," If?- ,..! I. 7 L 1 ;I dl' Iff'jo; If I e..:.0 . Dc) 1 1;;7t:o ,cO ;f "? 5't!)~.~ ,12.77_ ~ ,v 1: 2 SO. 00 /I' I, s IS 7"'.7. ~7 .\. !ju 'IIIV"i12llCt (1,9)1 *' SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES AND LIENS PI.a.. Print or T . I fill NUMIIR ~/9.y"~~6 COMMONWlAlTH 0' PlNNSnvANIA INHUllANCI TAX UlUIN IISIOINIOICIDINT UTm'or S/;IPE. , , rtJ I T/'I _ , c ITlM NUMIIR DESCRIPTION AMOUNT 1. Wi' ~-"-- .stJI(JJ(Pt. SC.,(.'X'x.. /)( ~ fl'::';fic. r /.,)(.../f,.(. ff(.{,.e ,0,) T(,v1' . t:r'../IL. f "r.<y(t.. '-0/ '';078.07 " " , , .' , , , ., " " ,; ", ',., ,. /. ,'i .,. ,. " , " , I,' " '" 'I' ;I' , "1, ,. ,. / I' ". " " ji , ' " " " ". " ,'. ' " 'I' ., " I. 'I ,. ." , ,,' ,', " TOTAL'(lIllo .n'" on IIn. 10/ RlCapllulotlanl III mall .pac. " n..d.d, I",,,, addlflanol,h..1I 0/ lama Ii,.,) $ '0'18~~ kev,\!oo ei + (7.9'1 I!! ~I~ :c 9 u .. ... ..-. '". .~ ." ..... t, '1'1" '\ d" 'J..... /4 ~~5-~ . * l'ORDATlSO'llIATHAnlR 12/31191 CHICKHIRI IP A SPOUSAL POYIRTY CAIDIT IS CLAIMID [J ,iLi'iiuMiiini';.'? ;Y-' :CJO~~"ji'6--- INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE PILED IN DUPLICATE WITH REGISTER OF WILLS) ffi lil III CI COMMONWf^lHl Of PENNSYlVANIA. OEPA'1MENT Of ReveNUE DEPT. 280601 tIARAISIURO, P!- 11128.0601 _._.._____ DfCfOfN 'S NAME ll"'ST, filtH, MW MIDDLE IfUlIA!) !~~f!:!:,-f;.(,l/! l..'[?:L/,.(. 'IDAiiOiO;;';i'" ".'1';;';".0"'''''' .." .L7..3'38.,:~_{)?J._nuu 7ft? (7.1,. j~l.,rQ (1'1/6' II' A."lIC.IlIlIU4~1~111" spOUIf'~ 'UIlI (14\1 IIUt A.~ID Mltoi~ Hllt!1 ~O(IA.l s[i?t'Tlii,'f 1t'U~BER. ._""""..~, u,m_",.u_"... ";.7".-- u,_____u.. u I. Original Return ~ 2, Supplomenlul Relurn cO~l'r~ C.oD~ YEAR CHcw[i.lI'$ COMPlETE AOjlREH /' 12..'7'-'1 .5"''''''1/7 V'.....VLa'IolV.... /Vlw ('~"'CI,e.LI'W~.?ri 17070 .CO""'t:M~~~~~=~~~=::i6NTi:.~==-~~= ['I 3. R.molnd., Roto,n , Ifor dOIOI ,,/ d.olh prior 10 12.13,021 [I 5. F.dOlol ':101. Tax R,'orn R.qolrod ~.UMBE.~ [] [J 4, [J 6. ~i fl~ r."l 40. Futuro Inltluul Compromise (Iu! dOl" of d.olh oflOl 12.12,021 Dlcldenl Died 1ellole r.] 7, Oocldlnl Maintained a living Trust IAlloch copy 01 Willi (Alloch copy of 1 MIl ALL COmSPONDINCI AND CONflDINTlAL TAX INfORMATION IHOULD II DIRlCTID TO. "'N'1JJr .LJ,/'" COMPLEH MAlliN AOORfS$ .t'I4Vt/.) r( .::>E I/'L [)l1v1D A :;'. 'f'€, 'II""ONI NUMi,..--_n,..., ....,..n"....,__,____.,__"" -....-- 6(>'1 !3E' iV#CIW, c I:~ ,.J4Z~I=,:l~f8._~:]f2,~,7-h{?of/~~:'t)ktL ~t=,4';g~~L.Z1t "(7.3:~'?,, I. Rool EIlolo (Sch.dulo AI ( I 1 ' -82..5 7J .J3f 2. Slock. ond BondI (5chodulo B) (2 I /7~~;;;:?"J.! , 3, C/olOly H.ld SlocklPo,'nOl,hlp Inloroll15chodulo CI I 3 I ' m'''-.??~" 4, Morlgogo. ond NolO! Rocolvoblo (5ch.dul. 0) 141 "'" ... :,(2.'..."" 5. COlh, Bonk Oopo.I" & MI"ollonooUl POl,on1l1 P,opo"y 15 I. ,32.,S',';!6d'.<::'u ,.", (5ch.dul. EI 6. Jultllly Own.d Propo'ly (5chodul. F) 7. Tron"". ISch.dol. 01 (Sch.dulo L) 8. Tolol 0'011 Alloh (10101 L1nel 1.71 9. Funerol EKplnle1, Adminhlrallvo CoUt, Mllcellanooul Exp...O! (Schodul. HI 10. O.bl., Mortgog. L1oblllli.., lion. (Sch.dulo II 11. TOlol O.docllon. 110101 Lln.. 9 & 101 , 12, Not Ynlue of Eilolo 11In. 8 mln". lino 111 13, Cho,llobl. and Oovo,nm.nlol Ooquo.h (5ch.dulo JI 14, N., Volue 50blo." 10 To><j~"!..!~ mlno. L1no 131 15. SpoUlol Tron.fon (fo, do'" of d.olh 011" 6.30,941 See Inllructlonl for Applicable Percenloge on Roverse Sid., Ilnclud. volu.. Irom Sch.doi. K or Schodulo M,I 16. Amaunt of line 14 IOKoble at 6% rale (Inclod. volu.. from 5ch.dol. K or 5chodolo M.I 17. Amounl of liM 14 loxable at 15% rCllo {Inclod. volu.. from Schodulo K 0' 5ch.dul. M.I 10, Prlnclpollox duo IAdd lox !rom L1nO! 15, 16 "nd 17,1 19. Credill Spousal Povorly Crodit Prior Paymllnh Discount - "..n.. _ + 82:?~z,.,:J LtJZLiL.. ______,____ t: r!i2.13.., $ t..___ L1mll.d Ella'. ._ O. 10101 Numb" of 50f. O.po.11 Oox.. z c::> 5 ~ III .. o (61, nn____"'''".n''''__'_, ( 71 --..__.._.....:"Q....:'....-u__ (0 I. / 3~ 1302..,3 S- (91 0u.l82t'..3, .2.1'..,,__ (101 ,,__.l.Q.2~!.Q.2..__. (111 m_i.!82.1,"~ (121 _--/J. "1980, 6L. (131, -0 " {14j 1/'1.. 980. 6 7 1151._____.."..".0_.....___",__" (161 .j/.'L,'2.8.Q~k.J.___." ,06" z ~ ~ . fl S (17)",_____,_Q~__......._" .15" Inlllrell (10) .__~..f)_'2J!3_L~L__ (191 _m_9'1?-t. ' S- 3_..___., 1201 _.;(S- 47,.b..2.___ 20, II lln. 1 'lg"OlOl Ihlln lln. 10, .n", Ih. dlll".nco on lln. 20. Thlt 1.lh. OVERPAYMENT, II 21. II lIn.181t g"olOl ,hon lln. 19, enlor Ih. dlflo"nco on lIno 21. Thlllt ,h. TAX DUE. (21) """'''''.''_'___''''___''__ A. Enlllr Ihe inlerell on tho balance dUll on line 21A. 121AJ ____nm_________~_____ 8. EnlOl Ih. 10101 01 ll,,, 21 and 21A on L1no 218. Ihlt l'lho BMANCE DUE, (21BI ..".._...."'____.._____, "Ma~t Ch!,k Pavob,lt lu, R'UI.I,.,. of Will.., AUtnl '" . ___ . i ~). BIIURI TO ANSWIR ALL QUilTIONS ON RIVIRIB SIDP. AND TO RICHICK MATH <I( <I( Under p.nallles of perjury, I declar. Ihol I havo examIned Ihl, relurn, including accompanyIng ,chedules and lIolemenh, and 10 Ihe bell of my knowledge and billllef, II Is Irue, correcl and completo. I dtlarlllhal 011 real etlaltl hOI been reporleiJ ollrUll markel value Dedorollon of preparor other Ihan Ine personal represenlallve II based on all lnformallan 0' which "'poror hClS any ~nowlltdue SION _ ~"fUO!i~~~I-BI[;~ ffljilORfftJ:Atl -~-~-AiJl)ItHf---..., ..-. ------ ---- -- _n_1-. k-'77p;J.T~- DAIf .. . /.,.~: / !~nL..,.,C'A" {' (.(''''l Jt::,r1f /r'13'.t,fJ'?..u ___~~ ..:)2}..f<7",_,_ ') P) 51 uRrnlIi,~lrtomlR TItAN REP.ijf!tiA1IVf AOORHS ~- 0"" .., ._~------_..._._-._.,_._--_.._+---------_.__._._,- ------ " l J : i 1l11'^lllr.ll I j I tJl lit II J~ III H I 1\1 H J III tlll\l II II VI 1111 't.ll III :;11111 MI I,ll :"AII MI III I I ~, \ 11 I J, I "",'11.'1, "" L.BETTLEMF.NT C'HAnQEB'''--rl~H;--'---'' '----.-- 100, TOTAL SAL691BROKEriTBCOMMiiiiiioN h~;~d.r;p;i~;-.-m . "seoo 0;0 0' r. . 0 Il"I.lon 01 C"'nrlli",,;;;;'iiiri;1-7fl(;i';~"i"'li",w.'-----''''lioln 1", '.. ' , $ ~; , no. 00 101S-S"'lHJ-;-Oo-iU-'''~'=:''-'''--'''' "Jiick- .(~~lI9 hOlllil1li 1 LiJ III ., 10, $ 10 10J Cornmlulon pold 01 Solllol11l1'" 104. 800 ITEMI PAYABLE IN OONNEOTION WITH LOAN BDl. Loon Orlgl"ollo" 1'00 % - 802 l.oanDl!lcOlHlI % ..-------~----------..-_...-. 80J ApplolaolFoolo ..,----''..---It-;-1.Tob''owiilil$'' 7. ~;'m-" 004 CrodlllloplJIllo - 'C'i::o'il(ju"'$~O';'''--'''' BOo Lo"dolal"opocllonl'oo ..____.._..........,..u....___. ODD MorlgRgo I"auronco Apphcollon 1'01110-"'" .""-' "'..,,-.., eOl, A98umptlorlFoD 0- .~-,--"--~"-,._",,,,,-, iiiiii'i'alt Servo .-------n'.ijlj:ii,iiinIIlOrh,'ii R09 nood .-PTiiiiiiUTil'-...'-.u, "" .,,,,,..,," RIO Courier ..-----PNC"H6i'h Iii 11'CI.\'i' 1.'(Jf ..___,_.____"...".".31)...., J, '" RlI noD UOI HO, 90J 004, UOO, 1000. iiiiiRV6B DGPDRITEOWiTHlENDEAPoi!""""--"--"".--------..-.......,..,,--" -" 1001 100, 100J 1004, 100& '000 1001. 100R '100 TITLB CHAROSl 1101 8011101110'" or clo.l"g 10010 1107.. A~allol:1 01 11110 aoorch 10 1I0J lillii' o,omlnollo" 10 1104. 11110 Inaolo"co blndol 10 '100, Docomo,,1 plopnrollo" 10 ----"lloo-'f.Io...IJ'iii--.... --.. , '" .", ....". ,,,..-,, . '---';00 -p;O:'~ . IIOR Noloryl.oo 10 .____ ~a 811 _==~=~,'-.=:='~~:..,-....'.--..-h.=,~__.____~~'____=r,.~.Q~_ =.-.... 1101, Allornoy'a 'ona 10 ._____...._...,,__.....'''.., _. '''.'''" (Includos abovo Itorns No,:l .'(;']' """:,:,":,". t.'::.::\,:..::'.i:(.::".:<;\~.,,'_,>:.: }<}P; IIOB Tlllo I"auronce 10 -'-'llRRil1ir.v.ilJ.:ij1~;f;r.:B1~NI1;tH:IiVW ....;'_......,!~:'O' .....---.. : :~~' ~:.~o:.:a ~i~:~:i:r No .) -~: ~ ~ ~rrr;-~-.&B3:~__~.~:~=~----~~=-..~~:~~~::--~:__ J:!t '':::,' 'if ,': ..':'i:!~;i(j,:,;:i:t\:!:~11i~~:i,1~!lli~,!:1, :::: .--.--=--=::',::~~:--',=.~~'~~'~.. "..:='.~':_ :':::~: ~,~~'~'~,~:~i.~:,' """i'''''''' 1200. QOYERNMENT RBOOROIND AND TAANBPiif OHARci'Ei-'--- -. .____.~~__.__.h__ --- - _m -.-- 120 I flol:ordl"U 1000 Dood $ rr.:lllr-MorlyngiiT--'7.r. 00" .-Mi.oC...'...........-...... --------.J4. 1207., Clly/county 'o,/alompa Dood $ lJ11li.ll'OMOriuoyoT---'''''''''''''''-''''--'''''' ...,-, --....--.B110-;-OO 17.0J Slolo 10'/aI0J1lpa Dont! $-lJ11ll.lrOM~T~E~__::=.:~,:__==,:::.=::.:..:::.:.=: __-~::__==:.:== 17.04 120& IJOO. 1301. 'J07. IJOJ, 1304. IJOo . _______ _..... .__.__h. ,. _ .. ._. 141l0, TOTAL BETTLBMENT OHARQ5B (011101'" I",,, 'OJ nr"li,o~, !;nollr"" ,I .",J KI _04___._._._.________............ ..... pA11I rllo~ UOnRClWl'n'9 PlHlll9 A I UF.lll.1'M~II' _..._1,_..._. ",I\lP;' I;AIIIHioM BHLF.R'O rUNIlU AT Ufo 111.11MnNl ..........".........-.............. ", .....................;".........."".... '......"...'r,'M...."'..."lHr.. ')I.ttu. , ' .,.,,, I ' lJ fI 1. ...., '11 '0 (' , ... 70.00 ' 7.r..00 --...------.- ,,; 00 ,...,....-.-..-- ITEMI RBQUIRED BY LEND!R TO BE PAID IN ADVANDB 1lllolo.llrolll 1l7m'9!i'IOO117n7g~-"ot''''1l;4r. /t1l1y94.n MOllungo IflBurnnco ProrniufIl !~_h__-iii~~~~=__~~.-~_~_~=~=..__...-~'-.4._._.._..-..--..- "'-"- ...-.-......-.. -...... .._.....-:~ .~.~.~_._._____ I Inzord Inaulo"oo I'lomllllnlor __~I,~l_ __............___.,. "~__.."'__.._ '" "" ""., YI' lit ,----.---._-----_.__._-----~--_._--_._...- .--". . ..-..,.,...- Iiozo,d Inalllonco Morlgogo Inaurol1l:o CI'y!f own 10' County lox ^Bs9l1Bmonls ':::: :!-.-.---"-;::~-,.,---' ,.. .-. ..,-.. ":.~==~- ==::~'~=~-.-."..- :;\:::l/'),\~~~1~\;:(\~t:~~I'!"; mo. 0 $ .--';lio-.--..--..-.---.... _...._u__ mu .---.-.-..-..... -.-- -..--.. -.- . ,. "['>,\1 -'i1':'i""IT~'::'."'" "'.'~/i' IlHJ OS /11'" "------..--'-:-:~:~:.:: :~='=_~==:=.:-~~:_.:.,:',!,::ii)i;;1i}~.~;.;:';\!:!!';: -~r-------r,jlo--- '1', ;,' l'll J '> ~ ' < - . ~____4__~__.._._. -.. -.--.----_ l.. ~I I ',\' ,:~(t \1' f ,', ,Ii; ( IT10 0 ~ 11110 __.__..__.~______... __H_'._'_U_" t.l,'!~,d\~ 'I{"dyr {~,'l(lFj~ IflO 0 S 11Iln ,'<, I ,~: )> .; (I~ t-; i~ 'i ____________~___._.,..._..._... _"__n__ ____. ____.__ ....__u J..~",~ lie r. B hii--So[ EliiiiiiiiiC!Jor.i;- _'n_..________ ~.. ._-'L,___..,,,__..._.. .."".".._, .."". ..."-0,...",_...,,,____ ADCITlONAL BETTLEMENT CIIARQEB Survoy to I'osllllapocllon 10 II.O.A.Init Radon rJ'e-rli'illllx"--"""-'''''''' ..--.-,,,.-- Iloaceiii"lIIll'!I;(l;I\;--..n. "--", --", . :='~:="J~Xiij!!~q~.!lR.l...~...::.::,~::,=',=~-= =___2lf. 00 .o.c. '" ,..,- "'-''''-'7.0'31'';21'' l'.rllU IlUlnu Ihllllllll,blli'V II ,uuflHlIl II... fintllllmlllll ^lIl1l1lllllllin IlCI:IIIlU,. ulllllrlllll'lulIl hlllll.IHI(III~ uU,nl' "' "'lIllrll ulllhnlttJlI.llilltllotnnnllil.lnmlllll ~nltlnmnn' ^lInnllllllohy n.prou'v IO.,u....llIll1e 1I11h1 Iu IklpOln .ny "mlll/nl, l:nllddoll 1111 rjl,lnllllOlllnnllulll1 !1I1111f11l1 11"41111""111111111111' t 'Ullll_Ut 1I1111IllllllI,llll1lll1l1l1l1lllu 1:1U11.1 _1I1111101ntl In fIIlllCd 10 II. Mill ";ClIunl It "lldlhon,,1 Clmll'lIn~llllllllrnlll"OIV'Clllln 1I1111111nuc;t11l1l IlUD OORTlrICATION OF BIJVf.IIB ANII BBl.1.0RB I hevo ctllolunv ,ovlowod 1110 IIU/)" !lnltllllllOfllllllllnlllolll AIHllo 11141111I'101 H1r ~IIO,^IQdll/lllllllllltlllll, Ill, It 111II1 nnd IIf1Clllnlo IIAlolt1l1ll1 01 ~II lucolpls And dlstlulSomonlS m.do Oil my occou1I1 hy 1110 IlIiI,l. 11A"lirel'''" II", """ oOrllly IIIAIII..,,, "" "''',,' " ( "I'y "III", ~ l'lll, I !''''"'''"l''.11 1.1"11""'1 .-.-.."..... ,. 1:,'j".I./I...'.:,c!~r,( ,'II'(ll/{,'I.' , JJ..iL.w.Ld.._, _..... ' 1Il1VOI 01 1101101'1111' 61unlllul0 ll11yat'1^,hltl"& PIIlII'. hl'lltll_lIll/lIlttutn r,nl'lllltln",,^,trtflIU"l'linllll 1/1011111).1 IUlIl1Ionl E1ll1ll1lllQnt ,"1111:h 11111.0 1,lllp.IUIIIII . tlUIl 11111'.1 I:llllln ."1 1111'1'1,llhlll'"'I~1l111l111 11'_11' I ltll~III' 01 ""II' 1:1I1,llIllIn lunlt. In IIIl 1".IIUI.nllll1 .ccold.neo wilh Ihl.lllllamol11 ,~~'{ lillo, a-z.s~95 , w,~;';i~.t,lIl W^IlWrHl 111.1\ I l~l'Illn ~tlUl'lftlll!1' 11111~n r,II",,,'"lnnir!lI" 1IIIIIu t 11111"11 '1'111" IlIkllll U Ii (;Ulln U'ClulIllJIIIIIHlltnllj,'1I101/J "II,., '"11111 \'III.I!!IIII'" 1""'-111" '\ "'I'OIlI """,11"" I ~lIllil'lllllp" "lIl1l1l1tl.",,'tIWfI'l,rlll 1M Ilnl ~,l! \on .----.----"""" """" "-,,-,,.... ,... ""-,, ~..... , . U,S UtP^f11 MLlH or IIOIl:.I/lll ""'I IJllIlMWI VU UI'MrN I Sl: I !lIMEN I SI^II:MINI HERSHEY SETTLEMENT SERVICES, INC. OMlI t~o, ?fiOI,u('n!! 111111'110 IIl~Ullllltll Il. I YI'!: OlLoAN 310 West Chocolate Avenue, P.O. Box 412 Hershey, Pennsylvania 17033 Phone: (717) 533.4868 FAX: (717) 533.2582 I I JlItA ? I JlMItA ,I I I VA I, I I CUNV INS ~~~~NII~"~'~9Y__ J- I ~~^~~J~I~I~'~3 A MOlt r IN~; eMir tw --- J l< I CONV, UNINS - , ---~ C. NOTE: Ttlls 101m Is lurnistlOcl to {llvn YOll n s\olOll1nlll of nell/Ill solllolTlolll Gonhr' ^1II01l1l1!l pnid 10 and tly 1110 solllornonl ngOlll oro shown lIorns mnrkod l(p,Q.C.)1 wow paid oulsido 1110 closiny; IllOY nro stlClwn horo lor j(llOrfTltlliO/lOl Dllrp090S oml ora flOllflCludod ill 1110 lolols '--- - ---~-~--. D NAME AND ADDliESS or IlUIlHOWUI r NAMr AND ^LJlJflrSS O~ ~I'I.U,n. r NAME AND ^DDlU,SS or U'NDrn Pamela G. Beward, David A. Seipe, /' PNC Mortgage Corp. of Edith Seipe ,/ America ,'. . / 1001 Durham Avenue ,~.' "~) " S. Plainfield, NJ 07080 \, O. PROPERTY LOCATION: New Cumberland, PA 17070 1244 Summit View Court Lower Allen TOWNSHIP CUMBERLAND II S[I1I.!'M6n AllENT /,,/ lIersh~ Set tlement PI ^c[ or Sf: I II [MENI 310 W.ChocolateAve , Sf.ITL[MENT DATE Services, .Inc. 08/25/95 Hershey PA 17033 J. 9UMMARY OF BORROWER'9 TRANSACTION: 100 DROSB AMOUNT DUE PROM BORROWER 10' Cortlracl salas prlco lJ1l'u U U . U U '0; Parsonal proporty rOJ Solllornonl charga, '0 borrowor (1lno 1400) ;1 0] 1-:7.T" '04 K, 9UMMARY OF 9ELLER'S TRANSACTION: 400 GROSS AMOUNT OUE TO BELLER ,,- .101 Contracl salos prlCo ~O? Porsonal propolly ~O.l 10,1 ~~UUU.UU -- 101 -IO!I Adjustmonls lor limns paid by sollor in advanco ^djuslmonls lor IIams paid by sollor in advanco 106 Cltynown tal< 1('1 ~~fi Clly/JoWn la~ 10 '01, Counly lax UtlU.':J 1 ~':JIO 11./ 311 ~5 1n~ 4~';'YI", U8 125/95" 12/] 1195 123.39 108 AlISoumonls \0 40R ^,sossrnonls to 109 Scheel U~125/11':JloUb/JU/lIt 900.93 40' Seheol U8/25/9510Uo/3U/96 ~UO.93 110 10 111. ::>ewer/'1'rastl tl/25-~/3U '" H.a.A. 8/25-8131 ,~o, GROBB AMOIINT DUE FROM BORROWER 'DO AMOUNTS PAlO BY OR IN BF.HALF OF BORROWER :!Ol Dopollll or sarnesl money '0' Principal amounl of now loan(s) ~OJ Exisllng 10an(s)lokon subloct 10 ~04 110 10 n."I':J 411 Sewer/'rrash 8/25-9/3U -l~T '" II.U.A. ~n5:-8131 91099 . 10 "0 GROSS AMOUNT OUE TO SELLER n.75 15.81. 89067.89 r,oo REDUCTIONS IN _MOUNT DUE TO SELLER 1 U U U . U U '01 Excoss dDpo,1t (aaa In,I,uction,) - o8'OW.0 u 50' 501l10rnonl chorgos 10 sollor (I,no 1'100) '0:1 EXISting loanl') lakon subjocl 10 '01 Payoff 01 f",1 Mortgago I.oon 6197.0U 205 [,D5 Payoff 01 50cond Mortgogo Loon 20b 207 '08 209 hDG 5"' 5DR 50Q Adlualmonls lor IIams unpaid by sollol ::'10 ClIyfTown lal( to ;:01 I, County lax 10 ~ AUDllmonls 10 "3 10 ~14 ~- "a '" "a ?1!I !iIOCilyrrownlal( 511 Counlv lax 'd~ AUo9Smonls !i!:\ ;14 ^djllslrnonl' lor itams unpaid by sollor 10 10 10 10 !d" '" 1>17 fiI" '.111 no TOTAL, PALO BY/FOR BORROWER 300 CASH AT 9ETTLEMENT FROM OR TO BORROWER 3D' Groos ornounl duo Irom borrowor (IIno 120) 30? 1.0'" Rmollnl paid byllor borrowor (I,no 220) 69000.00 510 TOTAL REDUCTION AMOUNT DUE SELLER GOD CASH AT SETTLEMENT TO OR PROM SELLER 601 Gross arnoU/ll c1uo 10 sollor (Iino 4(0) flO? l.oss roductlon amount duo soller (Iino 520) 6197.00 303 CASH (DO FROM) (( ] TO) BORROWER 91U99.1U -o9Wu.uu 22099.10 60J CASH ((Xl TO) (( ] FROM) SELLER B9007~ 0197.00 82870.89 Buyor or Borrowor's SlgnalUfD .' Soller's SlgnnlUlo .... IIUD, I novo fl/66 /1/ ')), . / '(" ,) /1 L/ REV-1547 EX AFP (08.94* CO""OHWEAl TH OF PENNSYlVAHIA , OEPARTNENT Dr REVENUE NOTICE OF INIIERITANCE TAM BUIlE.II OF INDIVIDUAL TAMES APPRAISEHENT, ALLOWANCE OM DISAI.I.OWANCE ~i:~is:~:~~lpA 1712&-0601 OF OEOUCTlONS MID ASSmHEHT UF TAM DATE 01-16-95 BSTATI! OF ----s-rrP'E'= t ,..'C,,=.m., "" "i1iiE NO."'~=rr 94;mr-- DATI! OF DEATH 07-12-94 COUNTY CUMBERLAND Non, TO INSURE PROPER CREDIT TO YOUR ACCOUNT. SUBHIT TltE UPPER "ORTlON OF TIllS FORH WITII YOUR TAM PAYHENT TO TilE REGISTER OF WILLS. HAKE CIIEC~ PAYABI.E TO "REDISTER OF WILLS, AOENT" REMIT PAYMENT TOI DAVID A SEIPE 609 BEINHOWER RD ETTERS PA 1731q ESTATE OF SEIPE ----...... TAM Rr.lURN WAft' I X I A(;r.liPHn M III.ED RESERVATION CONCERNING FUTUR" INTERE8T-:-liir. RIVE~81 - ---.-., APPRAISED VALUE OF RETURN BAHlD ON I UN 101 NAI. 1. R..I E.I.t. ISch.dul. AI 2. Stook. .nd Bond. ISoh.dul. 81 3. Clo..ly H.ld Slock/p.rln.rohll, Inlorll' ISch.dul. CI 4. Horta.all/Notll R.o.lv.bl. Iftoh.duh III 5 I C.sh/Bank OlpoII t,/H1I1C, ""'Iun.l fl, 11111f't V I Reln,dull E I 6. Jointly Own.d Prop.,'h I S.h.dul. , I 7. Tr.n.f.r. (Soh.dul. 01 a. Totol h..h APPROVED DEDUCTIONS AND EXEHPTION8( 9. FUnarll E)(Pln.../Adlll, COI h/HhD I I: 1ij,'I""1 <<SDh,dull It t 10. D.bh/Horta.a. Ll.bllllllllll.n. I ftch.dul. II 11. Tot.l D.duoll.n. 12. N.t V.lu. of T.. R.lurn 15. Ch.rl tobl./00yorn..nlol ".quIIIs I S.h.llul. J I 14. N.t Vllu. of E.hl. SubJ'.' to To, 1'1 1I01 ACN 101 REGISTER OF WIllS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 l:._. ~_~~ount R..lttod :J I CHANOED III 121 151_ 141_ 161 1&1 (71 125.000.00 19,355.31 .00 ,00 32,575.16 ,00 .00 IBI DATE 01-16-95 CUT ALONG THIS LINE . RETAIN LOWER PURTlON FOR YOUR RECORDS ... REV: iSf.-i -iif ""j:ji - f 08:94 Y -No'f i c i. -ci F. "iNiliif i i' ^ HC i - 'fA ii - A-PP RA is EHENr; -" t rciWAifcE - (ili' - - --. -.. - --. -. - -- DISALLOWANCE OF DIDUCTION8 AND ASSESSMENT OF TAX I'!llltl C FILl NO, .'1 ql,,0646 ACN 101 18.743.57 1.078.!I1. 1111 1121 1131 1141 176,930.47 ]9.821 66 157.108.81 .00 IS7,108.81 If .n ......m.nt w.. i..u.d pr.Yiou.ly, 1in'l 14, 15 .nd/or 1&, 17 and 18 will refl.ct figur.. th.t includ. thl tot.l of 61h returnl allelled to date. ASSESSMENT OF TAXI 16. A.ount of Lin. 14 .1 Spou..1 r.to 1151 16. A..unt of Lin. 14 I...bl. .1 Un..I/Ch.. A roto 1161 17. A..unt of lln. 14 t...bl. .1 Coll.t.r.I/Cl... B r.t. 1171 lB. Prln.lp.l TI. Du. NOTEI TAX CREDITS I -------.-- .- PAYHENT DATE -liFb-t:irii RECEIPT NUH"E R ''''';119 Lio48 DISCOUNT I t I INTEREST (-I "- -.-"".-.-. 4 71 . 33 .00M.03, 157.108.81 K .06, .OOK.IS, IISI AHOUNT PAID 8.955.20 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE . IF PAID AFTER DATE INDICATED. SEe REVERSE FOR CALCULATION OF ADDITIONAL IHTEREST. .00 9.426.53 .00 9.426.53- 9,426.53 .00 .00 .00 IF TOTAL DUE IS LESS THAN .1. NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS. I 'pe,ltnoll3 .q ..nl ..'J',U, tIUO",PPO '131,ON '4' UO ~04' I'IP uOl,l,ndloo ,'I"I,u1 14' ""'1 Ipll .t ,ue'AUrl 'I "u..,....O '4' '0 "IP ,~, PUOAlq dip (S1) U""H 0' uOlluln3tQ:) '".l11UI UQ ,UUI.I ttl" lUlnbUltftp '''03Iq )Ull 14' .IIUU plnll, a!3110H AUy.. U01~V~ 1S3U31NI ^1IVa K 1N3nbNI130 SAva ~a U38wnN K aIYdNn KV1 ~o 3~NY1VB .,1S3U3~NI It"OllO, .. pI,llnol13 '1 '"""UI.. /,zooo' %6 1661 'IaOOD' %01 9861 Z61000' %l "661-~661 9~~OOO' %n IV61 /,ZOOO' %6 Z661 moOO' %11 ,V61 tO~oOO' %11 1661'9961 ntJODO' %91 IV61 ll.lZODO' "6 lV61 V'IOOO' %OZ Za61 "O'OI~ '''..llul AlIlU 111t! ,IIJllUI JVlA "oplfj ''',ll'llj 1i1lUO .'UtI ,,,,,,,ul MA 11..15661 4flno.l4' lV6t JOJ '11,,,,, ,".II1,uI l,qu3l1dde 141 'InUI^IIH JO ,U'1l1.1ld.o Yd .lU Aq pl3unouuI "1.1 '-4\ ij'I" Ju.1i ,lUPUltU3 01 JUIlIi ..lpu'Iv3 WO,lJ Ii.l"^ ITI" 4314" '11.1 U 'I 11..I'lUI ,ll.q III" lV6t 'I IiJln~lr JIUI PUI UO ,UIMU,,'p I'Q3.q 4314" ..:acll TlY ''191000''0 111.1 IilluP I 'U pllltn3'''3 enullv .I.d ,UIOJ.d 1%9) XI' 10 '".1 '4' 'I ,..JlllUI Jllq ~V6t '1 AJlnUlr 'JO,lq lulnbuI rip 11131q 4314" ..:acUI 'lullIAlild '0 .,up 14l 01 '4,IIP "0 "'P '41 10.1' Alp (IJ IUO PUI 14'uow (6) lUlU .10 IA3UlnbUflllp '0 IiVp '1.11' 411" flufuulalq P'flJ140 .t ,IIJ',UI 'PIl"OIII 'I Plld MO, 141 10 .uno3'IP (%Sl 'U'~"ld '^I' I '41QIP 1,'UIlP'OIlP '41 .111\,0 '4\UOW JIPUlluO 1~1 ".14' Ul4\I" Plld '1 .np :acu, AUI 'I IISlHllNI 1 !HnOJSIQ '1.10.1.11 Olql'OIlJJOO All^I'I"'''luflpu '0 UOI,UUltdKU UI .la, (10S1.^3tl) "'U'PIO'O ,uIPI.ltI I ..a' UJn"t! MIl ,ouu'IJI4UI .10, IUOI,OnJ1'UI" "t~ooq 1141 fO ~ .Dld 'IS 'SOS9-lVl (lll) IY04d t090.VZIlT Yd 'DJnqlfJJliIll '10909l 'ld30 'HUn "1I1^'H lUlIII"" \IOd INU' '..,:ac01 TUnpl^lPUI '0 n"...ng '.nuI^IU '0 .ue.plldIO 'd 10\ DUI\lJ'" ul pll"IIJIJPI .q Pln041 lU......." '141 uo peJI^OOllP '.10.1.11 Tlnltll.;l ISHOI!J3t1MO:> 3^IIYHISI N1WOW 'lJno:> ,'UI1ldJO 141 0' TUddl.. ~O "^I,llue.IJd.J IUuolJld 114' 10 ,un033u '4' '0 llpne '0 PIlUI~JI'lp JI'\I~ 141 U^14 0\ uot'OIII-- ~O '120T..VZIl1 'd fDJnq',JJlfj 'IZ01VZ 'ld30 '1,leddV '0 pJlog l.nOI^IM jO lUU1JOdlO 'd '4' 0, 'U10Jd OIUIJ".. IAq l::InOH '141 10 ,dl':leJ ,Q ....Ip (09) Apql U14\l" 10llfqo 11nlllll0lloN 'PH uo U"oqs III (UIIJII\Ul JO Wnool'P DUlpnI3UI) :acul '0 .u........ ..0 ',uol,onpup '0 ,0UI"Ol,V.tP .10 10UV"OITO "u....1VJddu 1141 411'" pel"11US 10U \'.,llllU, ul A'Jld Au, ISHOI!J3rgO '(~TUO peJIUduI 8UIJIIH) ZSlZ-Zll (lll) tOOl '1.I609.lVl (llll UIIJU DJnql,JJUH flool UI4'I" pUR I,ue^t~suuld IPI11no '~SOl-l9i.00a.1 OtUO^TA'UUld ul IDUI,l'PJO 'WJO, .10, IJ.q.nu .31^JII. "UIJI"IU~ J1l04-I.IZ teloedl 114' BUllluO Aq .10 'tIlolllO 101.1"10 Inoa^'M SOl 14\ '0 of;uo "1TH1,o J'1'18't! '~n '0 e31110 14' III "tqUtfl^,~ '.111 luoHIOltddv 'l~ln~^3M) ..MIl "1\13 pus 00UO\lJU4UI utUU^tAIUUld '0 punllt! .10' Uonll3f1ddv.. UIIIunltdlOO Aq pI\lInbllJ .q AI' 'uJn.'t!1lI1 '41 uo p.,unbIJ \OU 10" 4014" 'HPIJO :acll I '0 pun,lJ V I(MJJ OHn:nM 'Mel 141 Ot p.ttddl J.pUlliI.IJ Auu 411" .np Iq Aeu 4014" 1.IIJIlul AI~ a, PlttddO Iq ".11' 1TI41 P'^II311J 11U.IAlld 11' ' J.N~OY 'S111H .:10 H~J.SI0~H 10' 'TquAlId JlpJO AIIUOW .10 lj"43 '"'lIH.~ 'IPI' "JI^.J .41 uo PI,UIJd '11tM '0 JI,I,II'tI 114\ 0\ lU.wAlld JnOA 4\1" ll.qnl puo 13110N '141 '0 uOI,Jod dOl '41 40111'0 11H3HA'd 'O"'Z UOh31S 'S'd Zl '1661 10 ZZ ,3V 'lov MIl 11Ul'3 PUI IOUI'1.I14111 .41 '0 O"ll UOl\OIS '0 Ilu..eJlnblJ '41 tlHln, 01 13JUOH dO 3S0dHnd ........Ul .Jnln, 4::1n. Auu uo 1111.1 (IliIJI1ITtOO) g "11:> In, "III '4' '1 "Mul loUO.tJI4UI JI"UIJ, sv..." PUQ 1I11UJddu 0, \401.1 141 'I^JI.llJ Atl.IJd:ac. Aq'JII4 41tll"UOI.0:> e4\ 'IJUeo'; .10, .10 l'It Jn, ...... ~UO '0 uOI,IJldXI 141 .111'1 'UlpllOlp '41 fO .IIIJU1311IUllq (IU.llIluttoo) B l.olJ 01 lU.wAorulI .10 uat,""od ul P'JJI,.ueJl .t IlulU 141 ul lIlJll.U! 'Jnln, o';UI II .. lV61 'n J'q..~.O IJoJ'q .10 uo Ihlfo';P '1l.lIPI3IP '0 "11113 INOUY^tl3S3t1 N 1=;cf .... ';"f 0 Ja r5 .- ~~~ ~~~ Q.. (i :- .... , .'i .' ~ " " ',) . '!, ,:J IiI ~ .'J '8,:" I. il @gl ,I, .L~ ~ :Ii (~ a: a: (,)8 / flY/I... (;.1/ ft, Internal R.v.nu. Service C.nt.r Mld.Atlantlc Region . Department of the Treasury 1l0-23/CIIIl ,'.'[1 I Dill: ,.1, ,; I I ,I /:,: hili. of: ImlTII C. SEII'E Dtcldtnl'l Soct.! S4curlty Numbtr: 173-311-'iH9JV Oil. of Dtllh: .JU1.Y 12, 199/, P"lon 10 Conl.el: NI':1.S0N H. II1.AKI':1.Y Conltol T""",one Numbtf: 215-516-3946 l"I. Cu. DAVlD A, SEIPE 609 BEINHOWE!l !lOAD ETTE!lS, PA 17319 EIIII. TII Clolln; Lllt.r (Thll II nol I bill for In dUll Our oomputation ot the FBderal tax liability tor the above estatB is shown below. It dOBS not inoludB any intBrBst or late paymBnt ponalties that may bB ohargBd, but other penalties have beBn oonsidBrBd in the oomputation. You should kBep a oopy ot this IBtter as a purmanent reoord beoause your attorney may nBBd it to olose the probate prooeedings tor the Bstate. This letter is evidenoB that the FedBral tax rBturn tor the Bstate has either been aooepted as tilBd, or has been aooBPted atter an adjustment that you agreed to. This is not a tormal olosing agreBmBnt under section 7121 ot the Internal RBYBnUB Code. We will not reopen this oase, however, unless RevenuB Prooedure 94-68, reproduoed on the baok ot this IBtter, applies. It yoU haye any questions about this letter, please write or oall the person WhOSB name and telephone number are shown at the top ot this lettBr. It you write to us with questions about this letter, please provide your telephonB number and the most oonyenient time tor us to oall it we neBd additional intormation. PIBase attaoh thia letter to any oorreSp~n(Bnoe to help us identity your oaSB. KBep the oopy tor your rBoords. Thank you tor your oooperation. Enolosure I Copy or this IBttBr Tentatiyetax """,.........,...,."".,.,..".",."...""",., $~369.8~ Less: Aggregate gill taxes payable (lor gills made al1er 12-31-76) ".,.,.,..,. $---=~_._ Unified credit .,.,.,...,..,..,........".".,..""" $'92,~00,OO Credit lor State death taxes .,..,."...,.,.".",.""."" $__ -0- _ Credit for Federal gill taxes (on gills prior to 1-t-77) . . . . . , . . , , , . , , . , . $__-0-_ Credit for foreign death taxes "',.,..,..."..".."."..". $ -0- . Credlllor tax on prior translers "',.""."",.,.,.".",." $._..~O- ...,,_ TotalslJhtractlons , . . , .. ""'" ". , , , . , , . , . , . . , , , , , , , . . . , ,S192,800.00 Net estate tax . . , . , . , . . , , , , , " .,...".,'..' ..,." . $ .-0- Penalties, if any , S '.n~O- P,O. Box 331, Bensalem, PA 19020 lo~.tI Letter 627(5C) (Rey. 5.88) \ .' ,. ., 1 .. , ....l , '. 'I; , , .;1 ! " , c'" . i~\ :~. , j'! Ii, ,i .J., (I.: . ~;I , I)() " -,.. IlOTlCl!1 To fulfill lho roqulr~l. of IIollon 11.5 Ibl of lho lohlrll.... end f.I.I. T.. I~I. 101 II of 1991. (72 P,S. ...Uon 21m. PIV1UT, ' Dtlooh lho lop porUon of Ihlt NoU.. end .ubolU .Uh .our p.....1 '0 lho R..It'tr of Will. prlnlod on lho rlyerH .Ide. -- """. e_ or ..... crcltr p..lbl. 10' REGISTEIl OF MILLS, Aa. All ""_I. r...I.1<I ollo11 be "",111<1 /1"1 10 on. In'''"1 ""Ioh II' be duo .Uh on. r_lncltr "",111<1 10 \tlI Ill(. '_Cellll A r,k.nd of . tlM orecHt ..y tM r.qullted by GOIIPI,tlnt In "'Appllcltlon for R.~ of Penn'Yl~l. lnh1rltlnOl end eltet. Tax'" (REV~lS1S). Applications Ir. 1'1111.011 It thl Offlol of the R"l"., of Willi, MY of thl U NlvlnUI DII'rlot OffiCII or 'row 'hi o.plrtllln'" 2~'hour In....,."" nrvle, f'lUlblrI for forll ordtrlnal In Ptnnlvlv.nl, 1.'00-162-2050, out. lOt Ptnn.vlvlftl, Ind within loqtl HlrrlJbur. .r.. (717) 717.1094, TOOl (7171 772-2252 !H..rlng '....Irod 0111.1. OIJECTIONII Anv p.rtv In tnt.r..t not ..'t,fled with thl .....-..nt of tlH II shown on thl. notlel IIY objtot within .!lctv (60J dlv. of rectlpt 0' thh HoUel bYI "'wrIU," prot..t to the PA Dep.rtNnt of RtVInUl, aolrd of Apptll., Dlpt. 211021, Uarrhburg, PA UUa-lOU, OR ....llOtll'lI to have thl MU.r det.relned at IUdAt af the ptr.DnlI repreHntaUv., OR ~"1PfIM1 to thl Orphan.' Court AlIlUW- IITRllIY\! CDlIIIEIITlIlHS I FlKltual .rror. dltoov.rld on thit ........"t Ihould bI eddrellld In wrlUnt tOI PA o.,artMnt of R.IJIf'IUI, lur.1U of Indlvldull TIX", ATTNI Po.t A...."'"t RlYltM Unit, Dlpt. 210601, Herr.lburg, PA 171""0'01, Phone (711) 1A1~6505. SII PIOe S Qf the bookl.t ftIn.truotlon. for Inherltanc. TaM A.turn for I Allldlnt DIotdtntft (REV-ISOI) for an Ixplanatlon of tdMlnl.tratlvllv corrtntlbl. Irror.. INTfRUT I Addltlonel PtnnlYlvenl. E.tat. ,.. 1..I..ed II a r.lUlt of . chlntl on the Fldaral Elt,te Tax 010.1"1 I.thr blGMe' rltllnquent It the IlQJlraUon of 00iI (1) IOnth frot thl dati thl final noUCI of the Il'\CIr.... In Fldarll Ettat, TIM It rlCelvld. TUII Ifhloh bee... dllInquent before Janulr)l 1, 1'81 bier Intlr..t at the ratl af ahe ('U par""t Plr ~ o.loul.tld at a dalb rat. of .OOOI~. All 'aICII Nhlth bIG... delinquent on or aft.r .JlnUlr)l 1, 1912 will ,Mllr Intlrut It a rata Nhlch will yary frlMl aellnder v"r to c.lander ~"r with thlt rat. lMIMlCIed by the PA oe,artMnt of AIYtnUl. The ...1Ioable Intarllt rat.. for 1912 throuth 1"5 "" XIII: I"",a.t a.t. n.11" '"tara.t r~tnr XIIC tnt-p.d R.t~ nail v tnt.rad F_tnp 1M2 10~ .00054' 1917 Ii .0002'7 I9IS I~ ,OODUA 1~"-I991 m .ooom II~ IIX ,00nOI 1991 Ii .00n2.7 1915 UX .000S54 I99S-ltM 7i .00019' 19M 10i .00027' 199. Ii .0002'7 ...tnt.r..t 11 oalculltlld " fQU~'1 XIlTDEIT . BALAHCE OF TAll UHl'AIO X H\IIlllEl OF DAYB DELINQUENT X DULV IHTEUllT FACTOI --An. Hotle. 1.00Id ./I.r tho Ill( boo.... dollnquenl .111 r.fl..t on Inl.r..1 e.loul.tlon 10 fl/loon (Ill do.. beVond thl dete of thl ........"t. If PIVMnt '1 Hdt Iftar thl Intar..t oOllflUt.Uon dat, "*'" on thl Motloe, tddltlonal Int.r..t IUlt be a.loultttd. 'pel"nO,lo Iq ~I'" ~".II~UI ,.uoIUPfHt 'llIUGH ~ uo ~ I~1p UO'\'\~O \11.lI\UI ~l .1'\'1 .,.. 'I \UleAld II '~u.l111111 14\ '0 I\IP ~\ puoAlq 'AlP elu UNUU o~ uonl,no,.o ~".II~U' UI ~O'UI.l '"" ~utnbu"IP IHOOlq I(I~ ~\ .IIUI penn, 10nON AU'fI.- 1lW1'A II3WNl nna X lN3nbNl,aa IA,a AD ~31NnN X alVdNn XU AD a~NV1VI . Un3J.Nl llMOTtO, II PI~IInotlo ., ~II"I\UI"" mooo' X6 1661 '12000' YoOl 9961 161000 . YoL ...\01661 911000' Yoll 1161 moOO' Yo6 1661 101000' Yoll ,161 101000' Yoll 1661'"61 '10000' Yo91 1161 mooo' Yo6 L'61 "1000' YoOI n61 "OlH,:I ~""'lul "11'0 I~Vit ~""I~ul """ .10'01:1 ~'IJIlUI AttiC 1~lit \""I~UI ji;j, '1"1 S66t 4Bno"4l 2161 "0' .Il'" l""I~uI 11~ol,dde 141 'InuI^I~'O ~UI'~J'dIO Yd ~ Aq pt~ '~I" \14l 4\1" .IliA "lputtlO 0\ "IIA ".putl" 10'" A"I^ Tlt" 40l~ I~IJ I II ~'.J'~u, .Ie1q 11'" II" '1 (.ItnU1t .Ill,1 .10 uo lutnbUI''P ...oeq ~JI~ 'IM'~ ". '99'000' '0 1'1.1 Af'IP . ~, pI\"nO,lo tnUUD .lid \UlO.ltd (X9J 1('1 '0 "..1 ~, \. \II"I\U, "Ilq Z'61 'I AJlnuer I.lO,.q \UlnbUt,IP ...OIq 4014" .11(1. '4'I'P '0 ',Ip ~, 10.1' '4l~ ('I) u"'48,1 '0 UOIlIJldMI ~\ II \UlnbUI,IP 1..oOlq u.ln\I" 1(1. '\1\13 'IJtplj 14\ uo pt..q 1(1. '\I"~ l,uv^,Aluu.d '1'.i.Ol 0' .I0lJd 4l'IP '0 .I\RP .10:1 '41I'P '0 I\IP '4l 1tO.I, '4\UOtI (60) IUtU ,0 UOnl.ltdIC1 14\ \1 \U'lnbU(1IP .HOoeq U.ln\1J 1('. 1'1\'3 'IJtpI:I ~, uo pt"f4 1(11 1\'\13 I,UI^,II'UU1d '16-[~O' JIU_ .10 uo 4'''P fO II\IP .10:1 '1.10.1.11 "CII\HJJOO A,I^nIJUluI. '0 uonlut,dXI UI .I0f (t09I,,^1it) .,\u.pIoea tUIP1"H . .10' uJn\'H Xll 10Ulll.lltIJJ .10' lUOnOnJ\,ul., ,I'lfOOCI 14\ '(I [ lBad"S '90S9-tlt (tll) lUOlkl 'UU-tZU' .d '8Jnqt,J.lIH "090lZ '\dea '..~ MIAltI \UH...... ,'Od INU' '1I1CIl ,.npl^IPUJ '0 ,..IJn. 'enue^,~ '0 \utI\JI6ta Yd 10\ Du"IJ" UI PlI.IJppI tq PlnG41 ~ue.'II"1 '14\ UO plJI^OOllP 1.10.1.11 f.n~oe:l IlS3UlNI IIHOIl~3lIlI0~ 3.\Unlll -NIHOW '\"no:) l.utij(tJO 14\ 0\ '..ddt.... MO 'l^l\I\UlIIJdIJ l'UOIJtd ~ '0 "pne t' ptuI.JI\IP .11\\" 14\ 1^'4 u, aul~OI'I". 110 'tJO'..IZlt1 Yd '8"nqll"JIH 'TZOUZ '\de(J 'I,"defy ,D PJI01 'InUl^IH '0 ~Uf.\.IId1a Yd 14\ 0\ ~"\OJd UI'H.I".... IAq 10l\ON '14\ fO ~dll0lJ '0 .Alp (09) ~\X'I Ul'AI" ~Hrqo <<I' IOUOU '14\ uo tMoql II 1(1\ '0 ,UtlIII'" I\(, 4H" pelflU" \00 ,IIJI\Ul Ul A\.Ild A~ ISHIlI1:J::N"IO '(A,UD ptJ,ldlJ 8u(JI'H) zszz.ztt (lll) tOOl '~Ot.tlt (ttt) 11.11 8Jnq'IJ.lIH l,o~l UI4\t" ~ 'tUl^IA1UUld Ip(.\no 'OSOl..Z9i-OOl-t IIUI^I<<'UUld UI tlul.ltp.lo 11"0' .10' 'JIqInU 101^.I" BuIJIMlut JnG4~~Z ',\UI<<,JldtO 14\ IGJ, .10 '1~II'O ~OIJ\I'a lnut^'~ iZ 14\ ,0 Auu 'II"" '0 JI\lllttll4\ '0 101110 14' \1 l,qeU,AI loll lUOUloltdd. '(nU-^~) .,ICI! I~I\13 put lOUIH.I~J .,ut^,A'UUld '0 pun,IH "0' uo,~'ol'ddy., uo Iul\"dIo' Aq pI\'lnblJ Iq AI' \Ipt.lo ~'\ . '0 pun,l" , 'I(I~ Mf1 0\ PIn'" .Itpu,IHJ Aut lfll" enp Iq AI' 401'f" \"JI,Ut Aut o~ ~1.lU pll1ddlt Iq "Ilf' P4,^,.oeJ .,UHAld "" 'IN3DV '1111M AD ~3J.81D3H II' otqo,od J'pJI ...... JI ~'1Ip OlflN .- ''Pt. H.lI^I.I MA uo pt~UI.ld '111" '0 .I1~111t~ 1lI~ 0\ \UlUld JnaA 4\1" U-.os pU8 unDH .,~, '0 uoU.lod dol 14\ 4a~tQ '(1,11 UDlIDOl 'I'd ILl "M' '0 U ~oY 'to, XIl 1\1"3 put lOUIH.l1tfJ1 IlA '0 (q) nlZ UGU"S ,D '~UMIJ,nblJ 1t4\ '1tun, oJ. ..,., I,,' ,,, (',/ . , Ji!. [r" ;+'1 , " ',)U I(K~) 0Hfl"l311 'INlN^'d Il)UIlN ,j(l JlOdllfld ,. .." ," -~ ..-' ..... '.... " i____~ __ ~___:..... _ __ __ _ _.~ __ _.. _..,.. ___ ..._._. .'_ __ __ .___ _._ __ _~ ___ _ --'- _..::.. RECEIVED FROM, s ACN ASSESSMENT I!' CONTROL .:I NUMBER AMOUNT /)AVID A SEIPE 609 9EINHOWER RD -----1{f1 ta,'i'1515.eo ~-- ETTERS PA 17319 ESTATe INFORMATION, L !II II 'NUMBER U e 1-1994-0646 !II 0' OECEDENT IIAST) 1;1 D He II E B - SSN 1?3-3S-:IS93 RS M -'---..- MA - --- au tOO 100 . ~9ERLAND ,- O?/li/9~1 REMARKS DAVID A.SEIPE r m TOTAL AMOUNT PAID SEAL CHECl<fI 104 REOISTER OF WILLS , , ~-.- - -----~- - - - -.- - -, - --, -- - - -"- - '-.. '''- ---'- - - --- ' . '. f f " , ' . ~. . -'.. ......,- --, .......,....-:-.-.; ....."'""~ ~ 41-. t'T'''4;-~' , , \ ) , , / 1/.. d. (~tJ- ~ Cv RIV-l!J47 IX AFP 112"9!J* C_lllll Of PfHNtYLVINII ACN 101 IlEPARTNENI Of REVENUE NOTICE OF INHERITANCE TAM IURl!AU Of INDIVIDUAL lIMES APPRAXSEHENT, ALLOWANCE OR DISALLOWANCE D!PI. lIG60l IWltIllIlMO, PA 11111-0601 OF DEOUCTlDHS AND ASSESSHENT OF TAM DATI 02-05-96 ~STATI OF"-.SEIPE FILE NO. ,- 21 94-0646 DATI OF DEATH 07-12-94 COUNTY CUMBERLAND NOTE, TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER !'ORTION OF THU FD,," WITH YOUR TAM PAYHENT To THE REOISTER OF WILLS, HAKE CHECK PAYABLE TO "REOISTER OF WILLS, AOENT" REMIT PAYMENT TOI - DAVID A SEIPE 609 BEINHOWER RD ETTERS PA 17319 REGISTER OF WILLS CUMBERLAND CO CDURT HOUSE CARLISLE, PA 17013 L AlIOUnt R..IHad CUT ALONG THIS LINE ~ RETAIN LOllER PORTION FOR YOUR RICORDS .... j(iY:isii'1.iiCAFP-nZ:nr-iliii'"icr-cWINHEiiiTANCi"i'"A'ifAPiiiiA'isi:HiilT~"Ai.rciiiANCi-'ijR-........m---.- DISALLOllANCE OF DEDUCTIONS AND ASSISSMENT OF TAX ESTATI OF SEIPE EDITH C FILl NO, 21 94-0646 ACN 101 DATE 02-05-96 TAK RETURN WAS I I I ACCEPTED AS FILED I XI CHANGED SEE ATTACHED NOTICE RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON. SUPPLEMENTAL RETURN NO. 01 1. R..I [.toto ISch.dul. A) 11 I 2. Stock. end Bond. ISchedul. BI 121 5. Clo..ly H.ld Stock/Partn.rlhlp Int.ralt ISchedula CI 151 4. Hortg.geI/Not.. A.o.l.obl. ISch.dula 01 141 5. C.lh/Bank D.po.ltl/HIIC, P.rlon.1 Prop.rty ISch.dul. EI 151 6, Jclntly O_d Proporty ISchedulo FI 161_ 7, Tronlforl (Schedula 01 171 B. Tot.l AI..tl .00 ,00 .00 ,gjL ,00 ,00 ,00 III .00 APPROVED DIDUCTIONS AND EXEMPTIONS I ,00 9. Funor.1 E.p.nl.I/Adn. COltI/HIIO, E.ponl.. (Schedul. HI 191 10. D.bh/Hortg.g. L1obllltlu/Llon. ISch.dul. II llUl ,00 11. Totd Deduction. Ill) 12. Hat V.lu. of T.. R.turn (12) 15. Ch.rltobl./Oov.rNOBnt.1 B.quelt. ISohedul. JI 1151 14, Hat Yalue of Eltat. Subjoot to T.. 1141 NOTEI If.n ........nt wa. i..u.d pr.Yiou.1Y. l1n.. 14. 15 and/or 16. 17 and 18 will refl.ct f1gur.. th.t includ. th. tot.l of ~ r.turn. .......d to date. ASSESSMENT OF TAXI 15. AlIOUIlt of Line 14 at Spou..l roh 115) 16. Aoount of Lln. 14 t...bl. .t Lln..I/Cl... A r.t. 1161 17. AlIOUnt of Llnl 14 t..obll It Coll.taraI/Clll. B r.t. 1171 la. Prlnclp.l T.. Due TAX CREDITS I PAYHENT DATE 10-07-94 nn .00 .00 157,108.81 .00 M .03. 157,108,81 K .06. .00 M .15. 111I .00 9,426.53 .00 9,426.53 RECEIPT NUHBER "M913048 DISCOUNT 1+) INTEREST 1-) 471.33 AHOUNT PAID 8,955.20 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE 9,426.53 ,00 .00 .- .00 . IF PAID AFTER DATE INDICATED, SEE REYEASE FoR CALCULATION OF ADDITIONAL INTEREST, ( IF TOTAL DUE IS Lf.SS THAN fl, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CAEDIT" ICRI, YOU HAY BE OUE A REFUND, SEE REYERSE SIDE OF YHIS FO,," FOR I~'TRUCTIONS.I 1/ RtV-1593 EX AFP (12.9~) COHHONWEAlTIl OF PEHHSYlVAN1A DEPARTHI!NT OF REVENUE IUREAU OF IHOI~IOUAL 'lANES OEPI. 210601 HARRISIURO, PA l1m.0601 1'1. ,,1,),r- J., INHERITANCE TAX RECORD ADJUSTMENT ASSESSMENT CONTROL NO. ('/ ///' 101 DATE 06-07-96 ESTATE OF SEIPE EDITH C FILE NO. 21 94-0646 DATE OF DEATH 07-12-94 COUNTY CUMBERLAND NOTE I TO INSURE PROPER CREDIT TO YOUR ACCOUNT. SUBHIT THE UPPER PORTION OF THIS fDRH WITH YOUR TAK PAYHENT TO THE ADDRESS SHOWN. HAKE CHECK PAYABLE AND REHIT PAYHENT TO, , DAVID A SEIPE 609 DEINHOWER RD ETTERS PA 17519 REGISTER DF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 A.ount R..ltt.d - l CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~ iiiV': 1593 . iiC"Ai:ii "i 1.2"=9ili"".. .i;...j N'HiilIf ANeE'" i' AX -iI E"ciiilii -A ilj"usi'HENT" -"Ii". nom -"" - -.. -. -. -."...".". ESTATE OF SEIPE C FILE NO. 21 94- 0646 EDITH ADJUSTHEHT BASED ON, VALUE OF ESTATE I PRnT~~T RnARn n~r.T~TnN 11 ) 121_ (5) (4) 1&) 161 (7) 1. Rool E.tot. ISchldul. A) 2. Stock. .nd Dond. ISch.dul. Bl 5. Clo..ly H.ld Stock/P.rtn.r.hlp Int.r..t ISch.dul. Cl 4. Hortg.g../Not.. R.c.lv.blo ISchodul. 0) B. C..h/B.nk D.po.lt./HI.o. P.r.on.l Prop.rty ISch.dull El 6, JointlY O.n.d Prop.rty (Sch.dul. F) 7. Tr.n.f.r. (Sch.dul. 0) 8. Tot.l Au.to DEDUCTIONS AND EXEMPTIONS I 9. funorol E.pon.o./Adolnl.trotlvo Co.t./ HllooUonoou. E.pon.o. (Schodulo HI (9) 10. Dobto/Hcrtgogo Lilbllltlu/Llon. (Sohodulo I) UO) 11. Tot.l Doductlon. 12. Not Voluo of To. Roturn 15. Chorltob10/0c~.rnMontol Boquo.t. ISchodu10 Jl 14. Not Voluo of E.toto Subjoct to To. TAXI lB. AMount of Llno 14 ot Spcu.ol roto (1&1 16. A.ount of Llno 14 to,"bh .t Llnoll/Chn A rlto 116) 17. A.ount of Llnl 14 tl.lbll It Collltlrol/Cll.. Brito (17) 18. Prlnolpl1 To. Duo TAX CREDITS' PAYHENT RECEIPT DISCOUNT (+ I DATE NUHBER INTEREST l-) 10"07-94 341.74 MM913048 ACN 101 DATE 06-07-96 88.000.00 19.355,31 . no .00 32.~7~.16 .00 .00 181 139.930.47 24.940.57 1.078.09 III I 1121 III I . 1141 26.018.66 113.911 ,81 .00 113.911.81 00K.03' 113.911 Al K,06' 00 K.1S' I1Bl 00 6.834 71 ,00 6.A3470 AHDUNT PAID 8.955.20 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 2.462.24CR H IF PAID AFTER DATE INDICATED. seE AEVERSE POR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN n. NO PAYNE NT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREnlT" ICR). YOU HAY BE DUE A REFUND, SEE REYERSE SIDE Of THIS fORN fOR INSTRUCTIONS.) 0 'l',<{ Po '.l <n ' I [L [".) t) Cl_ , , , , \D ,- ::~ r,-' (..l III <I.t" 0: ~ Dltleh the pr Int.d nn '11 L: p' .~!! :i lop porll~&+>lhl. Holle. the rever.. lid.. and IUbllt with your ply..nt ..d, payable to the n.., and ftddr... PAYHEHI, If RESIDENT OECEDE,.T ...kI ch.~k or lanlY order pay,blt tOI REOIS1'ER OF WILLS, AGENT, If HOH'RF.S10EHI OECEOEHI uk. chock or .on., ord" p.,..I. to. COHHONWF.AL TH OF PENNSVLYANIA. All Ply"nt, r.celvld ,hall b, applied flret to any Intlr..t which lilY be dUI wUh anv ,..Ilnd.r appll'd to thl t'll, REFUND (CR)! A r.fund of . till crldlt, which we. not r.quIstld on the TalC R,turn, ..y bt rlqul.t,d bv co.plltlng an "AppUc,tlC" for A,fund 0' Plnnlylva"l, Inhultancl Dnd E,ht, TalC" fREY-U13)' AppllcltllJnt ar. Iv,Uablt at the OfficI of the Rlgilt,r of Willi, 'ny of the ZS AevenuI Dlltrlct OfficI' or frol the Olp,rt.,ntl, 24-hour .nlwlrlng 'Irvlc. nulblr. for fore. urdlrlngl In P.nn,Ylvlnle 1-800.162.Z050, out,ldl P.nn.ylv.nla and wJthln 10011 Hurllburg ar.. (717) 781-8094, TOO' (717) 712-2252 Oturlng tlpalrld only), REPLV TOI Qu..tlon. r.glrdlng .rror. contalnld on thl. notlcl .hould bl addr....d tal PA Olpart..nt of Rlvlnul, lur..u of Indlvldull Tuu, ATTNI Po.t h......nt Rlvl." Unit, Dlpt. 210601, tlarrl.burg, PA 17128-0601, phonl OI7l 7I7'6S0S. DISCOUNT I If any tllC duI 11 pnld "Jthln thr.. (3) eallndlr lonth. aft'" the dlc,d.ntl. d..th, a flv. p.rclnt (!I:O dltcount of thl tlM plld I. IlloWld, pfHALIV, Tht 15i( talC ,.ne.ty flon-Plrtlolpatlen ptn.lty II eOlput.d on tht to'al of the talC and Int.r..t .......d, and not paid blfor. Januarv la, 1996, thl flr,t day aftlr thl .nd of the tau a.n..ty p.rlod. lHIERESTr tnt.r..t I. eherg.d h.glnnlng with flr.t dey of d.llnquonov, Dr nlnl (9) .onth. and on. (1) dav fro. the date of death, to the date of p.y..nt. TalC.. which blca.. d.llnqu.nt b.fer. January I, 1982 blar Int.r..t at thl rat. of ,1M (6i() p.rc.nt plr annul calculat.d at a dallv rat. of ,000164. All talCI' which bloa.. dlllnqulnt on and aftlr Janulry 1, 19'2 will b..r Jnt.r..t at " rat. which will vary frol onl.ndar VI.r to oal.ndar v..r with thlt ratl announc.d by the PA D.p.rt..nt of R.v.nu., Th. appllo.bl. Int.r..t rat.. for 1982 through 1996 .rll V.., tnt.,..t Rite D.IlV Interllt factor V..r Int.rllt Afttl Dally Intullt Faotor 1912 20X .000548 lCJ87 'X .000241 1.11 lU .000416 1988-1991 m .000101 191, m .ooom 1992 9% .000247 1965 m .000lS6 1"5-1'" IX .000192 1916 lOX .000274 1995-1..6 'X .000247 --lnter..t It cllculated u folloWII INTEREST . BALANCE OF TAX UNPAIO X NUHBER OF OAYS OELINQUENT X OAILY INTEREST FACTOR --Any Notlet I"uld n,ttr tht tllC bleD... dtllnqulnt will rlfl.ot In Int.rl.t cllculltlnn to flftlln (IS) dlV' blvond the date of the a.......nt. I' Ply.tnt I. Iftdt "t.r thl Int.r..t co,pulltlon dlt. .hewn on thl NoUet, addJHonl1 lnttrllt IU.t b. cllcul.ttd.