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',lj" .,1\ ;..,' I ' il!.\".;;\i),:("":\B.'",,' ;..' ~U. , ", \ " ,\ '. ~" .' ' t. , ",.:N:\, ' " . \,,~,~-J I' ,..(1';:'11, ',,' )', '\ ,\11'" " ",I" ,.....;.(1' ',,< .,. I(<'!~""'''' '11 ~' ' " I L I, ' ',\'". ,',' I' ',I,'.," {f'\' 1',.1' d, I,:,., ' I, , I;' ',. '\:;.\". .\\' \. I':' {\ ,",<1" '1'" ',".j'., )',' I,', , ' " " ,,' , ,I, , \1" ," " " I' ,"~ " . ", ,\", \ 'I"~ " , ,I 1'1'" ,.' , '.j II ,.' I~ t, tt.'. ',\::,\:. ." ..,. ",\"', I' ",'1 , '(,' 1 Il.~ 1 \1 \ , 'ol ,.!,',: " "I , ',' \,\,'1 ,I' 11,,1,.', li"\- :"1:.'" " ,I, 1.\ ", " , " ,,' ," ' .,' """ ",I' , II', " , " ',\,,:, I " .1 ~ ; ,\1,,' II '/" " " ,. I, ' ",1.\ "\1 \ , ,. I," , " ,," " " '" ' 1',';\ I' ,','" .' .:' I: ,',\ ,,:~ J \ ",'1\ .,' " " , I" ,,' 'II,: \ , " ',)1 't' , ,,' .,' '" ,.' , " .','1 , " '"~ ,I"~ '" ,'" ", 1\ 1:,1', ,\ " \,'. \, ,'" \'" 1,,'\\ . " , " ' '" " .\\ '" " : \,,1\ 'I ,\,. , 11\1' " " , " ,. ,I'" ,I" " " , , ., I' .., '1 1,,(.' :' " , I' ":1 \" , ,. , I' , " .,' " .\\' ,I"~ ," h,~.. ", " " ,r(' "1 ~ \ ' . 1 ", 1"::-': ,,' , ," ,]01 " ,,\' i, 1\" 'I,' ,,,,, , , , \ ~. : , ,li" , ' 1\ , ".\ \) , '.' 1-', ' ,,; \" ',' " ':,',\"" \"" ,r I \' " \. II'" ,I , " ,I''. ,\".,. '\,,'\ " ,,' .' " 1'\ " \' ,I," ~' " , \~', 'j I' ,I, ",:' ,1':1\ " ,I,: '" " I" " ,I', '" ,.,. " ,,' .,\, " I, ,. i '" .' ,1\'. 'j', :". " I;, " I, " " ' ~'! " . ,,' , , " " ,(" " .' , ".",i ',',' ',' i' " " .,.\ .' , "I''', " " I II , ,"I " " \~ ., " ., " ,~ o ,,:, " , ," :1' c, , ',~, l, -:' " I), 'B . 'till! in t.III~ 11: ,,(,' , , ", , " " , ' '1,' , I\,\', " , " " ,:'1' " ,'. , ,', ,\1; " ' (.' :." ,', ,1\ ,. I ~~. " '\"" ,I ,..-, ~ PETITION I,'OR PROIIA TE IInd GRANT 01<' LETTERS ,/ (Qrr Estate of _JHm~LE._CIIEN.__.._..__,___ No, -2L.::...9,':+_.=:.._ ~::L,_ al,\O knoll'n as ___'_'_'__'_d ___._.. _.___.._.. To: _.____'____,_'____.__.._..mn..mm.._..'._ Reglsler of Wili.I fur the ---____.___,.__,____.._,_., /)('('t'u,lw/, CouUly of _CLMIlERllIND____. In the So!'iul SecurIty No, ,.lall.~Q9_~50.B.9_,_______ COlI\lI\ouwenlth of I'euusylvnnlll The pelltlon of Ihe undmlgned rc\pel'lfully represenls lhnl: Your petltloner(s), whols/ure 18 years of uge or older lIuthl' exeeui+.ix. ______,_unllled luthe Inst will of Ihl' nbove deccdcnt, limed ..___FllliRlllIRY_22__.________, 19.82- and eodlcll(s) duted ___'______'____m__'_____..___.___________.____,_____, ----~--,---,._._~-------_._--_._.-----_.,--------.- ---..---------.----,----------.-----------------.---- (\Iall: relC\'lllll dll'III1l'lnl\l'~'\, e,i!, renunclatlun, denth ur r-.eClllor, etc,) Del'endenl \\'ns donlleiled nl delllh In _~_ CounlY, l'enns)'lvunla, with hilL~ Inst fumil)' or principal residence III -.216..llNION...llALL-B:lAIl.-CARLISLEr-!'A_-1W13 WImi..MWD.WIOI.L______..__ ,. (li\l ~IH'l'l, IHlfnbcr nnd 11111lldflillllY) Dcecndent, lhen,......nl.___ years of nge, died _N2~Ql_,____, 19 93 _, at rtM\ERLII.t.ID....cmsSlNGS__.l.lDl'K>S.OORF....w1\Y._CARLlSill.-l'lL 17nn " Exeeplas follows, deeedenl did nOlmarr)', \\'as not divorced and did nOI have u child born or adopted aner exeellllon of the will offered for probule; was 1101 the viellm of II killing IInd was neverudjndlcaled Ineompelent: ____________________ Deeendentnl delllh owned properl)' with esllmuled vulues as follows: (If domiciled In I'll.) M pers\1nul property (If not domiciled in I'a.) I'ersonlll properl)' III I'ellnsyll'anlu (If not domiciled III I'a,) I'ersolllll properl)' ill Count)' Value of relll eSllltc In l'ennsyll'lInill silualed as folloll's: $ ......4.6...0llil.1llL..-_ S S S WHEREFORE, petltloner(s) respectfully request(s) Ihe probute of thc lasl will and codlcil(s) presellted hercwilh alld the gmut of lellers_..l\:le.t.ammtary (le'lnlllcnlar~'j hdmlnlstrallon c.l.a,: pdmlnl\lrnllnn d,b,n,c.l.ft,) theroll, L ~~/)~ .~~ ~j- '" R lDRElLE. CHEN ~ ,g _.216..JJNION..HALL..IDAIL.. _'f. -CARLlSLE,-l'A_-U013____ v,a.. 'r;~ ~o ~ 5, Vi OATH OJ.' PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNS\'LV ANIA }. COlJNT\' OF ~_ 88 The pClllloner(sl lIbo\'e'lIl1l11cd swellr(s) or lIffirl11(s) thlllthe statemenls In Ihe foregoing pellllon arc 1111e lIud CnTrl'l'110 Ihe h.)sl of Ihe kllowledge lInd heileI' of pelilloller(s) and thulas personlll reprcsell- 11Itlve(s) of tl\l' lIbol'e deeedenl pelitioller(s) will welll~ul ~rulY adm,inlster th2:) lIecordlag 10 law. SWom 10 01 lIffirllU,'d pnd SUhserlhed.1 ~uj f (] . ~. bernre ~:"lh~..J.4VIl~~t~_7il1 dl~4: - ~,..J:lIf,lL_. ~' tlfJd.oi!)-r_-'YilLCttJ..l'_i/{Q// X1 ~!~__ ~ -]MARVC. LEWIS II<,~/,\I/'r (/_#-___________ ~ 1)1-;)tX.5- 1 No. _ 21 - 94 - 655 Estuteof JJ\MES E. CHEN , Deceased DECREE OF PRODA TE AND GRANT OF LETTERS AND NOW AUGUST I. 19~. In eonslderallon of the pelltlon on the reverse side hereof, sallsfaclory proof having been presenled before me, IT IS DECREED thaI the Inslrumenl(s) dated FEBRUARY 22. J.m ___ described Ihmln be admllted to probale and flied of record as the lasl wlll of IN-IES E, CHEN and Lellers _ TF.C::1'J\MfoNJ1ARY arr hereby granted to MTT nllED E. CHEN FEES Probate, Leltm, Elc, """'" $-1lO....O!L Short Certlfieates(4) ,.,.""" $, 12.00 RClluncJation ,...,' _ , , . , , . . . . _ S X-Pages $ 6.00 JCP -:r;-oo- TOTAL _ $..11)3-OD... Flied "",."", ,~~,qm, ,1",,1,9,Q~,,,,,, , ~rl7' (t,Aj")L~ ~ l)liLut/.J /U1.. f:::!..I!l1ll.LfA ii. R'slsl" of Willi {! MARY C. LEWIS MlIRCUS A. McKNIGm'. III A rrORNEY (Sur, Ct, 1.0, No,) 60 WF..<;T IDlF'RET STREE.T ADDRESS CARLISLE. PA 17013 PHONE " .. " "" 'I .(' " ( .. " \',.\ i'.J I '1 , I, l,: p\ cr; :~ i 0(.) CALLED ATTORNEY ON AUGUST 1, 1994. 11ia$t Bill aub ~t$tamtnt I, JAMES E. CIIEN, 01' Nor'th M:l.dclleton 'l'cJ\'iI1flhIp, CUlllll131'1and County, Pennsylvania, doclur'8 thIs Infltr>ullwnt to bc my Last ~1111 and Testament, her>elly expr>cssly r'cvoldng all WIllfl und Codic:llfl heretofore mudo by me. ONE: I dIreot my Executrix to pay all of my debts, funeral and admInistratIve expenseA as soon 00 may be convenIently done after my decease. Tl,~O: I g:ive, devise and Iloqueal;h all of' my propol'ty of every nature and wherever situate to lilY wlf'e, M:lldred IL Chen. THREE: If'IIIY wlf'e, Mildred Eo Chen has predeoeased lIIe, then I give, devise and bequeath the SUIII of' Five Thousand and no/lOO ($5,000.00) Dollar's to Melvln Chen, my nephew of' 5036 Erdman Avenue, Baltimore, Maryland. F'OUR: If my wife, M:lldred rL Chen has predeceased lIIe, then I give, devise and bequeath all the rest, remainder and residue of my property of every nature and wherever situate in equal shares, pel" stirpes as follows: (a) 1/3 to Riohard Cal'l Myers, my nephew of 78 . Delp Road , Lancaster, Pennsylvania 17601, (b) 1/3 to Constance M. Brown, my niece, of 21q2 .Sherwal Avenue, Lancastel', Pennsylvania 17601, (0) 1/3 to Catherlne M. Housel', lilY niece, of 312 East L06ust Street, Cleal'field, Pennsylvanlu 16830. If any of the afol'ementioned should predecease mo then his 01" her shal'e shall be distributed per stIrpes to any Ilvin~ issue of the .r'espeotive nephew 01' n1e08. If any of the afoI'ementlonl:)d f'hould predeoease me. w.tthout havlnc; any 1J.vinc; lssue then hls or her share shall be divided equally by the remaining nieces or nephew or the iBoue of a deoeased nepheW or niece, but only to the extent that their parent would have taleen under this paragraph. F1IVE: I appolntmy vll fe, Mqdl'ed 11 Chen Exeoutrix of this my .. Last Will. Should my Bflid wl fe die be fore my death, fail to qualify or oease to aot as Executrix, I then appoint Hichal'd Car'l Myers, Constance M. Drown and Catherine r~ . Housel', Co-gxecutors of thls my Last Will in her place, SIX: My Exeoutl'ix may, at her discretion, compromise olaims, borrow money, retain property for such length of time as she may deem proper; lease and sell property fop such prices, on such te~ns at pUblio or private sales, as she may deem proper; and invest estate property and income without restriction to legal investments. SEVEN: No Executrix or Exeout6r acting hereunder shall be required to post bond or enter security in this or any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ;l~nd day of February, 1982. /\ ,i., III ~., r!...\::;:~L,,-,y>._ C, JAMES E. CHEN /~. -, Signed; sealed, published and declared by James E. Chen, the above named Testator, as and for his Last Will and Testament, in the presence 'of us, who a this reques t, and in his presence and in the presence of eaoh other have subscribed our names as wltnessos hereto. (SEAL) 1~"\' ~ n.,,, ne ~"'~ ,,- ,," ~.:--), I"N.J"o ,(~,,// r7'K.,uU.;( ,t:L ){:;(I'.l. U It] f~ "u I -2- ,. , , " " " '., ',;/ .' I, " "I' ., ,', " , ;1' " " ,'.' , " '(I 11';'1' "\',' ..,j II~\ ~~':, " , 11, ., " " . , ,'" I I' '1,,1, 'I. " I' , " "e, 'I. ..., 'l","'~' 1'.'1"":':'.;.""'1,"-"'- 1'.'),'1. " " ~ ; . . . ~ &0 . .... " ~. ~ CI.l .~ I .. , " I . ,~ ',\' I' :;'" , " ',,\ "I ,I: " . I',. 'I I; "I,', 'q" " ",.,'11 I.' " ,., " I,L ," "~I I' " , " ,I '. I, .. " " " " "" ", ,," I 'I ,I'"~ " I, " I, , , : " , " , , .' I, , \ ~ " " ... I ,,' ", ," i (' , , " ,I" " , ,," " " I II' ,', , I' ,. , " " I I' , , " " " , '" " " , " " '[, , I. " I, , 1'" " .' 'I. I " , " I I' " , '. I' II' ,. ,,' i! ,. . - , , " ,', ," rH"l' ~.~) , t~' 'r \T, , " ,{, .' " I i' C 'VI ).";'.1 I " 1,'" " " \, " '" " , ~~ ""'[) ~d. YJ:8 'If) \'\ ," " 'I"," ~' h~ :I U,'L:, 'I "\':1 !~~,,' " -. '~ I Ii " " ,I"~ ,. Id - . '). 'I', , ' I'.. , ,',I' I " " "I, " " " " , Inventory of the real and pareonal eslale of JamaR E. Chen deceased 1. U.S. Savings Bonds See Attached - Date of Death Valua. 6,403 06 2. Dauphin Deposit - . IRA Aocount No. 1880950890 opened 03-04-86. Date of Death Value - $38,'031.83. Date of Dnath Accrued Interest - $2,850.82. Total Value ss of Date of Death. . . . 40.882 65 47,285 71 , , d' " no ,:; ;,' ;", ' 'J :,I'{ I :i " I", '. ,;, r: ' hI :,1 I" ,I ", ;' " OJ) .,;, ." ,'... \~) , " '"~ , , " .1 '.. " " j." " , , ,,' "I,' COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUM.ERLAND } UI ___,____________'__'_Jlild reilh,_Ql1en SWORN being duly ______ .__.__ .ccordlng to I.w, dopo... .nd "YI th.t sh. _ is the executrix ,_,.,____ of the EII.te of _J!!ID!Ul~hen I.t. of ___Nonh..,M~,M.te,~o_n..J:"\"n.Bhip_ ..,_______, Cumb.rl.nd County, P." d.c....d .nd th.t th. wllhln II .n Inventory m.de by __.-M_i1~l'elj..E. Chen, ,___ ____, the Itld executrix of the .nliro 811.1. of "Id docedont, con lilting of .11 Ihe perlon.1 prop',rly .nd r..t utete, exc.pt reel ut.te ouhlde Ihe Commonweelth of Pennlylvanll, ond thlt the flgur.. oppollte uch lie", of the Inventory repruent 11'1 f.lr velu. II of the dote of decedont'l deelh, SWORN July 26, 191i_ !)}l-/j'd~~(J k.J ~'E. Chen, Executrix and lublcrlbed bofore me, 216 Union Hall Road Carlisle. PA 17013 Add"" D.te of Oeeth 01 Dlv 11 Month 93 Vu, INSTRUCTIONS I. An Inventory mull be flied wllhln three monthl .lter .ppolntment of perlon.1 repr...ntetlv.. 2, A Iuppl.ment Inventory mUll be fIIod wllhln thirty d'YI of dllcovery of .ddltlon.1 .1I.h, 3. Addltlonel Ihee" may be .tt.ched 81 to perlon.lly or rully 4. See Article IV, Flduclerles Act of 1949. 11 H ~ \() ~ H 8 w to< ~ H \0 ~ ~ ~ . ~ . ~\ ... ~ 0 II . ... ..kl 0 ~ ... ~ ~ W 41 Q ll'I i!: '" "< :. ~ ~ .. I ... -' u. U '0 oj -It -' jj 0 'tl ... a. W u. . il u ~ ~ I 0 ~ '" Iol f ;1:;0( .... ~ N o Q tIl 'B . ~ 3 ell 0 - m ~ I; cj Z ~ tit III ... 'U :l c U ~ ..' . I; 0 "C )'l JJ : E 1 ... 0 .'J 0 it 0 . /, ,'I /. / " I . . , . , j. , I , , " I . , '" I. I , 1'1' I . !. 1 " I' I" j' 'l , , , " I" il'l, r .,' ,'.', , .;" I . ~UMMARY OF " , US SAVINGS BONDS ,I;. ., . Owned by JAMES E. CHEN " With POD: MILDRED E. CHEN , r '"~ " 'i" " " ~, " , , , , " " , /.; I, I ~ " ,I I~' , . " I, I ' , ' " /. . , , " " , , . " I' " I " , " " , ' \. H , , . , it! , , . . , " , .1' , I' !' d: '01' " , , , , . I : , 'I' , , , . , I." , . . ' . ' " , ' , . " , , , ,,' " " i! ~ "I I ", ,/ ,1' I. ," , . I,' , I , , "'i . I , ,. , . , I. , I . , ,. " . SERIES E SAVINGS BONDS ($25 Face Amount Series E Bonds) . CERTIFICATE OWNER: JAMES E. CHEN POD (Pay on Death designation): M1ldred E. Chen Redemption Issue Va1ue Serial .. J~ 11/01/93 Q2152629858E 12/01/65 $ 110.52 Q2172816160E 03/01/66 109.46 Q2186244951E 06/01/66 109.47 Q2217314322E 09/01/66 109.46 Q2?20157629E 12/01/66 1 07.71 Q2240395246E 03/01/67 107.72 Q2240414465E 06/01/67 105.97 Q2272299534E 09/01/67 105.97 Q2293599329E 12/01/67 104.38 Q2315608993E 03/01/68 104.38 Q2344390774E 06/01/68 102.82 Q2371138604E 09/01/68 102.80 Q2378243898E 12/01/68 101.41 Q2404432899E 03/01/69 101.40 Q2424140778E 06/01/69 101.29 Q2442037103E 09/01/69 98.80 Q2462476979E 12/01/69 99.32 Q2470397774E 03/01/70. 96.88 Q2504408880E 06/01/70 97.33 Q2517700461E 09/01/71) ~4. 97 Q2536431868E 12/01/70 95.18 Q2556607296E 03/01/71 ' i 86.92 Q25B2546509E 06/01/71 ~7 .17 Q2590393795E 09/'j1/71 a4,61 Q2613331040E 12/01/71 84.81 ---------- .--------- SUB-TOTAL SERIES E $25 BONDS / Pag~ 1 $ . 2,510.75 e:\wp51\rcm\sav-bd PAGE. -1- SERIES E $25.5AVINGS BONDS -- (continued) Issue Serial II Date Page 1 Sub-Total Brought Forward.. ...... ...... ..... Q2626467693E 03/01/72 Q5025014012E 06/01/72 Q5025134042E 09/01/72 Q6060155233E 12/01/72 Q5066594481E 03/01/73 Q5087691598E 06/01/73 Q5115006446E 09/01/73 Q5129804842E 12/01/73 Q5157115042E 03/01/74 05171895160E 06/01/74 05171946012E 09/01/74 Q5177998664E 12/01/74 Q5203241940E 03/01/75 Q6004992124E 06/01/75 Q6021589676E 09/01/75 Q6042597265E 12/01/75 Q6053915754E 03/01/76 Q6087885071E 06/01/76 Q6102965375E 09/01/76 Q6116133270E 12/01/76 Q5148038487E 03/01/i7 Q6174551653E 06/01/77 Q6174615124E 09/01/77 Q6201209655E 12/01/77 06201274513E 03/01/7 9 06220979757E 06/01/78 06267735745E u9/01/iS 06295222785E 12/01/78 SUB-TOTAL SERIES E $25 BONDS / Page 2$ e:\wp51\rcm\sav-bd PAGE .? " Redemption Value 11/01/93 2,510.75 82.34 82.57 80.79 80.95 79.56 79.75 76.35 75.14 75.14 74.81 74.81 73.51 73.50 72; 21 72.21 7.0.95 70.96 '69.70 69.69 68.51 68.51 67.31 67.30 50.09 59.51 59.04 53.1)5 57.61 ---------... ---------- 4.441.63 SERIES EE SAVINGS BONDS ($50 Face Amount Series EE Bonds) CERTIFICATE OWNER: JAMES E. CHEN POp (Pay on Death designation): Mtldred E, Chen Issue . serial .. ~ L5492192EE 06/01/80 $ L5517362EE 11/01/80 L10132435EE 02/01/81 Ll0157553EE 06/01/81 L39282616EE 10/01/81 L39307719EE 02/01/82 L73652922EE 06/01/82 L73678001EE 10/01/82 L112367991EE 02/01/83 L116633193EE 06/01/83 L147103193EE 10/01/83 L163042907EE 02/01/84 L182478018EE 06/01/84 L181942344EE 10/01/64 L195007586EE 02/01/85 L208399148EE 06/01/85 L215689889EE 10/01/85 L234172170EE 02/01/86 L233821574EE 06/01/86 L236981348EE 10/01/86 L237376312EE 02/01/87 L321640365EE 06/01/87 L338815386EE 10/01/87 . L338844859EE 02/01/88 L359183552EE 06/01/&8 L359198456EE 10/01/6S SUB-TOTAL SERIES EE $50 BONDS /Page 1 $ e;\wp51\rcm\sav-bd PAGE -1- Redemption Va 1 ue 11/01/93 73.04 69,60 .67.58 64.06 64.06. 62,20 60.38 60.38 55,06 52..22 52.22 50.32 48.50 48.50 46.76 45,06 45.06 .43.44 41,86 41,86 ~ 7.. 90. 3i.24 37.24 26.02 34,&6 3J,S6 ---------- ---------- 1 .310.28 , ' SERIES EE SAVINGS BONDS ($100 Face Amount Series EE Bondsl CERTIFICATE OWNER: JAMES E. CHEN POD (Pay on Death desi9na~ion): Mtldred Eo Chen Redemption Issue Value Serial II Date 11/01/93 C288141355EE 02/01/91 $ 58.00 C312671504EE 10/01/91 56.32 C358465776EE 06/01/92 54.55 C395361263EE 02/01/93 5.2,76 C437493298EE 10/01/93 51.20 ---------- ---------- GRANO-TOTAL SERIES EE $100 BONDS . 272.84 " " , , ,. ,. , I " , , ' " I , ' , " " ,'" " ,. ,,' I',,' ,1"1' , " " " , ., ", I .11 ef\wp61\rcm\sav-bd PAGE-l- " , " I', . " '"~ ''''''1'''1''''''-' . " \ ',' " " , " "~I I ;1, " '1.-' ~"'.~.. ''I " , , I' 'I 'j, , ,\ ,. " '\ " AGGREGATE As SAVINGS BOND VALUES Of 11/01/93 . I, , , " ,. ,. , ,It '" ,;' " , , , I'll ,A . ., I. , " , . . , ;" , , ,. , " ., " , , , ':' " " I! ":1 "I " " '" " ,. .Ii ,e,'; \wp51 \rom\sav;'bd PAGE , " ,_"~I' ""jh~\H"'" ,. '.1). - " , , 'I ,. " " !'i ,., ~ . ;1;, " ,,'I I, ,. " " g s c .~ INHiR;{AN~Ei~AX ~TURN ~~t~ RESIDENT DECEDENT COMMONWIAllH 01 ""NIYtVAN" (TO BE FILED IN DUPI.ICA TE tllPUh\lNl Of AfVI/Wf S OF WILLS) POll OlllCI ao. am WITH REGI TER COUNTY CODf YIAR H.uAI~.U~G, PA '710~ UP ",H'____H.___U" u_____"_ _,.., _pH _ _, __ _'P________'... ,.._________ __.. _~...._ -- fbi',,11 NAMIIIA\i~il'li~UA,'j'it-MiD,-b'l ""lIA'1 --- ,- - ;]O'r?r'iJ~;O(~~lI~rfifo;;:;- CllEN, JAMES E. l"-..--._w..---- Carlislc, PA 17013 loc;A1rrcuili'Nu'iiir-u---'--"'-lDi.1f6f O'AlI'U" OAII 01 IIWI CUMBERLAND 188-09-5089 11-01-93 07-04-1915 Co,", ,_u_u.____'__u_____'__.._' _ _ _ ,_.1.____,._______, Kii-,- Ori~~;~IR~~r~u---.u--'-'- [] 2 Supplemenlol Relum 03, Remainder R.lu,p . (la, dalel 01 d.olh p,lor 10 12,13.821 [] 40. fulu,e Inlll.II Compromlle [] 5. Fode,al Ellole To, 110, dalel 01 d.alh aile, 12,12,821 Relurn Requlrod O' 6 Oe,udenl DI.d Tellale [] 7, Deceder,1 Moinlolned 0 Living T ,u.1 _ 8, Tolal Numbll 01 Sale Depolll 80xe. (Allach ,opy 01 Will) IAlluch c~PJ 01 T,u~1_______ AUCORRESPONDENCE-AND COimOENTiAL TAX INfORMATION SHOULD BE DIRECTED TOI N.:~W;;'-~RWI~--~ HC KNIGlIT . ]'bMP~I~1 ';;"~'; ~~ STREET l HON NUM !I =--1 CARLISLE, PA 17013 ~-2!CL-:--..2..l$3~~=c=_~ -':':1 ( I IILl HUMIIR IIV.1I00 11+ 11.a'l + 19, II line 18 iI OlOole, than lin. 17, enler Ihe dillll.nce on line 19, Thil iI the OVERPAYMENT, a:J 20, II line 17 II gr,olll than lin. 18, Inler Ih. dill...nce on lin. 20, Thillllh. TAX DUE, A. Enle, Ih. Inl"ell on Ih. bolan,e due on line 20A, B. Enle, Ihe 10101 of line 20 ClOd 20A on lin. 20B. Thil illh. BALANCE DUE. M_,,-~. Chock Poy_~.bl, tel Rlg!"t" of Willi, Ag,nl ~ .. ..BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH.. Und., pinelli" 01 perjury. , d.clort~' I hove uamln.d lhlt rtlurn, Including accompanyIng Ithtdul;. and Ilat.mlnh, and 10 the bit' 01 my .nowledo' and belie;' Ib' h t,u., correcl and comple'I, I declare thaI all reollllall hOI been '.ported al trut marh' VOIUI, D.dCllotion of p"por,r other lhan thl peuonal "p,,,.nloll...ll Died on all Information 01 whIch prtpa,,, hm any .nowltdgt, IIGNAlUII 01 PI 110" Il!ffiN l~or'ifiNGll1f[m'-""""'5irW OAII -\ l' ,("/LCd 60 WeAt Pcmfrct Strcet, CArliAlc, PA 1701) 07-26-94 liamru, r~,,_nilPilifNr'li,r-----iJlfim! -- DAlI . ,/7'V,"= . ....JY+t/2'-1.E!..!j~-- ~O~r~JLET..JlTILEEr.. "'1111 ~II' .....J'A..l1.013_ 07-26-94 ~,------ ~ ~~g O~;: ... c 21 - 94 - 0,,5.5" NUMBI R o 4, l'mlled E'lole ~I "z 82 z o S ~ ... .. 1. Real Ellale ISch.dul. A) ( 11_____,__ 2, Slo,k. and Bond. ISchedule BI ( 21 _., 6,403.06 3, Clolely Held SlotkIPa,'ne"hlp Inle,e.1 (S,hedule C) (3) _ 4, Morlgog" and Nole. Receivable IS,hedule 01 ( 4) _________ 5, Calh, 8ank Depollll & MI",lIoneou. Pononol Plopeny! 5) _~Q.., 882.65 ___, (S,hedule EI 6, Jolnlly Owned Properly (Schedule f) ( 6)_ 7, Tranlle" IS,hedul. GI (Schedule II ( 7) 8, Tolal Grall Am" (Iolalllnll 1,71 9, funeral Expen,", Admlnl'l,allve Call., MI"ellonoou. I 9) E'penlO' ISch.dule H) 10, Deb", Morlgooe Llabllltie., lie", ISchedul. II 11. Tolal Deducilon, 110101 line. 9 & 10) 12, Nil Value 01 Ellole Iline 8 mlnul IIn. 111 13, Chorllable and Governmenlol Bequ.." ISch.dul. J) 14, N.I Valu. Sub Ie" 10 Tax (line 12 mlnu.llne 13) 15, Amounl of line 14 laxable 01 6% 'ale Ilndude valulI I,om S,hedule K 0' S,hedule M.) 16, Amounl 01 line 14 toxoble 01 15% 'ole Ilndude volulI /rom Schedul. K 0' Schedul. M,I 17, Prlndpollo, duelAdd lax Irom IIn. 15 and I,om Iln. 16,) 18. Credill Prior Paymen" Dhcounl (17) I I ,., ( 8) 47.285.71 11.767.50 (10! 5.882.82 (15) 29.635.39 (11) 17 ,650.32 (12) ~..2J635.39 (13) (141 29,635.39 >< ,06 ~ .__Ll18.12 (161______>< ,15~ z o ~ ~ :E o u a Inlerell (18)___ (19) ChlC~ hor. If Y.U lue r.quhting tJ refund of YDU' ov.rpo ment. 120) __.....hl78. 12 (20A) (20B) 1,778.12 ", ", " " i " " , " 'i , " ", ,"~ ,,1\ 'II,' " ;,. "',; " ,. ,"" ,,, ." .'. , 'I, ,', , i" " " " '" I' ~, " " , " " I. I , " ,. " .'I " , '"~ , SUMMARY OF " I, 'I' ';1 ,'US SAVINGS BONDS '" ',1'1 I' Owned by ," ,', t'" " " JAMES E. CHEN " " " ,. , ,. I' " With POD . MILDRED E. CHEN . "'" , , , ,. I' '"~ " " \J, "" ,. , " ,. '.' , , (, , ,. ,. , " " I, ;1, "~, I, ,', ,. ;0' ,,' " I'" ,. i " " I, ,. , " 'I, " " , " , ,I' ,. " " ,. \ '" " " " .'ll" " , " , " ,I ,,' " , ,. ",', ....._..,...Wtf.,,"',,'1....'....+t'r'-I'\~,..~" 1'" r; I.' ',/~ ': ~,' ' , , ~: 1 'I'", Hr""'.' ;" , , ' SERIES E SAVINGS BONDS ($25 Face Amount Series E Bonds) CERTIFICATE OWNER: JAMES E. CHEN POD (Pay on Death designation): M11dred E. Chen Red$mption Ie$ue Value Serial. Date )1/01/93 ., Q2152629858E 12/01/65 $ 110.52 Q2172816160E 03/01/66 109.46 Q2186244951E 06/01/66 109.47 Q2217314322E 09/01/66 109.46 Q2220157629E 12/01/66 107.71 Q2240395246E 03/01/67 107.72 Q2240414465E 06/01/67 105,97 . Q2272299534E 09/01/67 105.97 Q2293599329E 12/01/67 . 104.38 Q2315608993E 03/01/68 104,38 Q2344390774E 06/01/68 102.82 Q2371138604E .09/01/68 102.80 Q237824389BE 12/01/68 101,41 Q2404432899E 03/01/69 101.40 Q2424140778E 06/01/69 101.29 Q2442037103E 09/01/69 98.80 Q2462476979E 12/01/69 99.32 Q2470397774E 03/01/70 96.88 Q2504408880E 06/01/70 97.33 Q2517700461E 09/01/7') 94.97 Q2536431868E 12/01/70 95.18 Q2556607296E 03/01/71 86.92 Q2582546509E 06/01/71 &7.17, Q2590393795E 09/')1/71 84.61 Q2613331040E 12/01/71 8J,81 ---------- ---------- SUB-TOTAL SERIES E $25 BONDS / Pagel $ 2,510,75 e:\wP51\rcm\sav-bd PAGE -1- SERIES E $25 SAVINGS BONDS "" (continued) Issue Serial . _~ Page 1 Sub-Total Brought Forward. .................. Q2626467693E 03/01/72 Q5025014012E 06/01/72 Q5025134042E 09/01/72 Q5060155233E 12/01/72 Q5066594481E 03/01/73 Q5087691598E 06/01/73 Q5116006446E 09/01/73 Q5129804842E 12/01/73 Q5157115042E 03/01/74 Q5171895160E 06/01/74 05171946012E 09/01/74 Q5177998664E 12/01/74 Q5203241940E 03/01/75 06004992124E 06/01/75 Q6021589676E 09/01/75 Q6042697265E 12/01/75 Q6053915754E 03/01/76 Q6087885071E 06/01li6 Q6102965376E 09/01/76 Q6116133270E 12/01/76 Q6148038487E 03/01/77 . Q6174551653E oe;01/77 Q6174615124E 09/01/77 Q6201209655E 12/01/77 Q6201274513E 03/01/78 Q6220979757E 06/01/78 06267735746E 09/01li8 Q6295222785E 12/01/78 SUB-TOTAL SERIES E $25 BONDS / Page 2 ,$ e:\wp51\rcm\sav"bd PAGE -2- Redemption Value 11/01/93 2,510.75 82.34 82.57 80.79 80.96 79.56 79.75 78.36 76.14 76.14 74.81 74.81 73.51 73.50 72.21 72.21 70.95 70.96 69.70 59.69 68.51 68.51 117,31 67.30 60,09 59.51 59.04 53.05 57.51 ----......---- ---------- . 4.441 . e 3 SERIES EE SAVINGS BONDS ($50 Face Amount Series EE Bonds) CERTIFICATE OWNER: JAMES E. CHEN POp (Pay on Death designation): Mtldred E. Chen Issue Serial. ---Rate L5492192EE 06/01/S0 $ L5517362EE 11/01/80 Ll0132435EE 02/01/81 Ll0157553EE 06/01/81 L39282616EE 10/01/81 L39307719EE 02/01/82 L73652922EE 06101/82 L73678001EE 10/01/82 Ll12367991EE 02/01/83 L116633193EE 06/01/133 L147103193EE 10/01/133 L163042907EE 02/01184 L182478018EE 06/01/64 L181942344EE 10/01/84 L195007586EE 02/01/85 L208399148EE 06/01/85 L215689889EE 10/01/85 L234172170EE 02/01/86 ' L233821574EE 06/01/86 L236981348EE 10/01/86 L237376312EE 02/01/87 L321840365EE 06/01/87 L338815386EE 10/01/87 L338S44859EE 02/01/88 L359183552EE 06/01/Se L359198456EE 10/01/8S RedemptIon Value ...11L01/93 73.04 69.60 67.58 64.06 64.06 62.20 60.38 60.38 55.06 52,22 52.22 50.32 48.60 48.60 46.76 45.06 45.06 43.44 41.86 41.86 $7.90 3;.24 3;,24 35,02 34.66 34.e6 :--------- --------- SUB~TOTAL SERIES EE $50 BONDS / Page 1 $ 1.310.28 .e:\wp51\rcm\sav-bd PAGE -1~ .,', .' " , , , , SERIES EE SAVINGS BONDS . ($100 Face .Amount Series EE Bondsl . CERTIFICATE OWNER: JAMES E. CHEN ,POD' (Pay on Death designation): Mtldred E. Chen ' , " "., Redemption Issu'e Value Serial 1I DatL- 11/01/93 C288141355EE 02/01/91 $ 58.00 C312671504EE 10/01/91 56.32 C358465776EE 06/01/92 54.56 .C395361263EE 02/01/93 52.76 C437493298EE 10/01/93 51.20 .' ---------- , ,----...----- GRAND-TOTAL SERIES EE $100 BONDS $ 272.84 " "" ,. .. " ' " ,. il', , , , " " " , i , ',,,I " ,,' ; i' " .",j' " I ., ,.t.', " ;; I;, ,1. "\ ','I ',I ., " ,"" I' J"; " I,' . " , , '"11' " , , I ", " , ,. , ( .' I, ',. " i" ',;1' 'I, I,' ,'d i I '" I " ',i " " '" , ", j, ' e:\WP51\rcm\sav-bd, .PAGE -1'- . ' , AGGREGATE As , SAVINGS BOND VALUES Of 11/01/93 Series E $ 25 Savings Bonds Totals $ .4,666.56 ser.ies EE $50 Savings Bonds Totals '$ 1,463.66 Series EE $100 Savings Bonds Totals $ 272.84 ---------- ---------- GRAND~TOTAL ALL SAVINGS BONDS '. 6,403.06 ,. '" ,\1 , ,. , Ii II 1,1 ," ," '" :'" "j '" ,.' 0, I. ,. !i " , II 'L ,. ,. " " ,0' , " " ., " ,. , , .,1 ", ", " ,I. ,. " ,. , " I' .,. " " " ,. I.' H, /" " i 'I',,'" /. d. ,,' " '1- ,. , " 'P, I. ,. , I'. I"~ " t', ", ,. !' ",I' '" " til' ;1' , , ,. ,. " , " " '$:~wp51,rcm\sav~ba ; PAGE '~2- ,.,V,lSllll'tIU,UI ESTATE OF PI.a.. Print or Typ. ilLE NUMBER ,~,j.,Q ~~ COMMONWUtTH Of PfNN~VlVANIA INHUITANCl TAli RETURN ~fIIDfN' DfCfOfN! SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES James E. Chen ITEM NUMBER A. Funtral Explnsell 1. 2. 3. 4. 5. 6. 8. 2, 3. 4, C. 1, 2. 3. 4. DESCRIPTION 21-94- AMOUNT Ewing Brothers Funeral Home. . . . . . . . . . 5,060.00 M & G Monument, Liverpool, PA. . . . . . . . . . . . . . 1,050.00 Inscription. . . . . . . . . . . . . . . . . . . . . . 60.00 George's Flowers . . . . . . . . . . . . . . . . . . . 132.50 Funeral Luncheon . . . . . . . . . . . . . . . . . . . . 150.00 Stamps and Thank You Notes , . . . . . . . . . . . . . . 50.00 1, Admlnlltratlv. Caslll Perianal Reprllentatlve Cammllllanl Social Security Number of PerlonalReprellntatlve: Year Cammllllonl paid Attorney Feel - Irwin, Irwin & McKnight. . . .. . . . . . . . . . Family Exemption Claimant Mildred E. Chen Addre.. of Claimant 01 decedent'l death Slrnt Addle.. 216 Union Hall Road City Carlisle Slale PA Zip Code 17013 Relatlonlhlp Wife Probate Fill - Letters Testamentary. . . . . . . , I . . . . . I I Mllcellaneaul Expenllll Roger B. Irwin - Notary Fees. . Register of Wills - Filing Fee. . . I I I . . , . . . . , ,. .... . . . 1993 Income Tpx Preparation Long Distance Phone Calls . Fee . . . . . . . I . . . . . . ., "... , . . . . . , , . , TOTAL (Also enler on line 9, Recapitulation) I" m.,. .pac. II MlII.d, tnurtaddltlo"al.h"'1 ef ..m. Ilnl 2,900.ob i 2,000.00 103.00 12,00 25.00 200.00 25.00 s 11,767.50 REV,UU EX. 170831 COMMONWEAL TH OF PENNSVL VANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE "I" DEBTS OF DECEDENT, MORTGAGE LIABILITIES, AND LIENS ITEM NUMBER 1. 2. 3. 4. 5. 6. 7. 8. FILE NUMBER James E. Chen DESCRIPTION Cumberland Crossing Nursing Home. . . . . . . . . . . . . , , . Cumberland Crossing Nursing lIome - Final Bill . . . . , , . . . Care Apothecary - Account No. 570151. . . . . . . . . . . . , . Allan J. Mira, M.D. . . . . . . . . t . . . . . . . . . . . . University Physicians . . . . . . . . , . . . . . t . . Carlisle Hospital - Account No. 6807051 . . . .' . . . '. . I . . Nursing Care - Kathy Norell - 120.00 + 120.00. . . . , . . . . . . . . . I Anna Traini - 90.00 + 280.00. . . . . . . . , . . . . . , 1994 Income Tax Preparation Fee and Fiduciary Tax Preparatiun Fee I . . . . . . . . , . . . . . . . . . , . . . . . . . . . , . TOTAL IAllo enter on line 10, Rer..pllUllllonl (If mo,. IPlt.l, nMdld In.." 'ddltloM'lh..u of Mm. Ilul 21-94- AMOUNT 1a7.79 2,957.50 961.81 1,3.911 lit! ,78 (t! 0,00 240.00 370.00 HI!. on . 5 882;82 ~~5 \ ..,........" 1lO."* NOTICE OF INHERITANCE TAX t CO"'"lHlIUL TH Of PfHHlVLYAHIA APPRAISE"EHT, ALLOMAHCE OR OIIALLOMANtE llV'AIITIEHT Of _NIl! OF DEDUCTION \t AND ASlElS"EHT OF TAX ON _AU Ol' INDIYIOOAL TAXEI JOINTLY ELD OR TRUIT ASIETS llV'T, 11"01 DATI 11.07-94 HARRlllURG, PA 11111.0'01 ESTATE OF POLLOCK FRANCES DATE OF DEATH 05-05.94 COUNTY CUMBERLAND FILE NO, 21 94.0657 S,S/D,C, NO, 174-34-3932 ACN 94130B34 MARY P NETTLES 234 CUNNINGHAM LANE STEUBENVILLE OH 43952 REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 r --i Aoount R..ltt.d - CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ~ ilili; iSiii. Eie-- APj'-'f i'ij;931"". -............................ nn --.. --- .,. -.. .... -.... - n -.. .__n. ...... --...... NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 11-07-94 ESTATE OF POLLOCK FRANCES DATE OF DEATH 05-05-94 COUNTY CUMBERLAND ACN 94130834 FILE NO, 21 94-0657 TAX RETURN WAS, S,S/D,C, NO, 174-34-3932 (X) ACCEPTED AS FILED ( ) CHANGED JOINT OR TRUST ASSET INFORMATION FINANCIAL INSTITUTION, FARMERS TRUST COMPANY ACCOUNT NO, 1-104961C TYPE OF ACCOUNT. () SAVINGS ( ) CHECKING ( ) TRUST (Xl TIME CERTIFICATE DATE ESTABLISHED 10-25-94 Account hlBnce Percent Texable ll. Amount Subject to Tax Debt. and Deductione Taxable Amount Tax Rate )( Tax DUI 20,044,05 0.500 10,022,03 .00 10,022.03 .06 601,32 TAX CREDITS I PAYMENT DATE 08-18-94 RECEIPT NUMBER MM912836 DISCOUNT (+) INTEREST (-) ,00 NOTEI TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS, MAKE CHECK OR MONEY ORDER PAYABLE TO. "REGISTER OF WILLS, AGENT," AMOUNT PAID 601.32 601.32 ,00 'O~ ,00 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUI! << IP PAID APTER THXS DATE, SEE REVERSE FOR CALCULATION OF ADDITXONAL INTEREST, << I XF TOTAL DUE IS LESS THAN II, NO PAYNENT IS REQUIRED, IF TOTAL DUE IS REFLECTED AS A "CREDIT" I C~J,l YOU NAY IE OUE A REFUND, SEE REVERSE SXDE OF THIS FDRl1 FOR XHSTRUCTl~, I , , . ',I: t. , , .' I~.'I() _Dl' NOTICE , To fulfill tho 'oqul'....t. of SIotlon 1140 of tho Inho,ltono. ond E.t.t. TIM Aot. Aot II of .991. III P.'. SIotton 1140), PAVllEHT , ootonh lho top po,tlon of Ihl. Mollo. ond .ubllt wllh you, p.yoonl 10 tho R"I.I., of Will. p,lnlod on tho rlYlrH .1.. .... .... cheok or IIOMV or.r plv-bll1 tOI REgiSTER Of WILLS, AQENT. All PlrHnt. rlCl.lved tMll flrlt be 1PP11td to tnV Intlrllt which MV bl duI, with MV r...lncMr epplltd to the tlJe. IlEFUIGl (tRlI A rlf\n of I tlM cr"lt, which .,.1 not requelted on the tlX rllturn, "av be r.q.~lIttd bv cottpl.tlnt an "Application for ,.fund of Pennlvlvlnla Inhlrltwncl Ind E.t,t. TIM~ (REV-ISIS), Appllcatlonl .rl Iv.llebl. It thl Offlal of thl Rtll.tl' of Willi, env of thl 25 R.venue Dlltrlet OffiCI' or bv 011111)1 thl speol.1 2~-hour tn....rl"l ..rvlol nuIbIr. for foral orderl",1 In Pennlvlvlnl. 1~IOO-S6Z-Z050, outllde Ptnn.vlv,"11 tnd within 100.1 tIlrrhbur. I'" (717) 111-1O~, TnO' (7111 772~2UZ (....rl,... II1P.lrld OnlY). OUCTlONSI AnV p.rtv In Int.rllt not ..tllfled with thl IPPr.lI....,t, all0Wtnel or dl..UowlOCI of deductlonl or ........,t of tlJC (Including dl.count or Int.rllt) " thown on thl. Hotle. ItV obJlClt within .IMtV (60) dlv. of rte.lpt of thh NoUCI bVI --written protl.t to thl PA Dep.rt.ent of R.VIOUl, Iotrd of AppIII., Dlpt. 281021, Herrl.bur" PA 11121-1021, O~ ""IIICU,... to hlvl thl NUlr dltlr.lntd .t the DUdIt of thl lCla~t of thl ptrtonll r.rllentaUYI, OR -"."..1 to thl Orphen.' C~rt AllIIIH- IITIATlIIt: CllRIlfCTlOHI, Feotuel Irrar. dllcoYlrld on thl. ......lInt .hoUld be eddr.l.td In writing tOI PA OIplrt-.nt of R.Yenue, aurllU of Indlvldull TlMII, ATTNI Po.t h......"t Rlvl", ~lt, OEPT, 210601, Hlrrhbur" PA 17128.0601 Phone (117) 717-6505. S.. P'" S 0' thl bookllt "In.tructlon. for Inh1rltlnCll T'M Rlturn for I Rllldent OIctdlnt" (R[Y.1S01) for In IMpltnttlon of .a.lnl,tr.tlvllv correetlOll .rror.. DI_, If tnV tax due I. paid within thr.. (S) cllIndar IOnth' .ftlr thl decedent'l death, I flv. percent (SX) dhcOWlt of thl tu plld 11 IUowed, IHT!lf:IT, Int.,lIt It chirged MlIMI", with first dlY of dllI"qutnClV, or nine (9) ItOnth. tnd OM (1) d.v frOll the dlt. of dHth, to thl dltl of J'lIV'IW\t. TIMII which bIc.. dellnqutW'\t blfo,. Jll"IUIrv I, 1912 bltr Int.rllt It the rltl of .IM (6X) percent ~r ennui cIloul.ttd It . dallv rlt. of .OOOI~. All tlMII Nh1ch bee... delinquent on or .ft., J.wery 1, 1912 wUI tMlr Intlrllt at . ,.t. Nhleh Mill vary frOll c.llndtr v'lr to callOdlr vllr with thlt r.tl ~td by th4 PA o.plrt.ent of R,venue. The IPPllatbll Interllt ,.t.. for 1912 thr~ 1994 nil 'tilt Inti,." IIIta 0.11", Int.r..t FtctDr XII! Intarllt Altl D.U.., Int.r..t F.ator 1911 101 , ODD 54. 191A 101 ,000114 .'11 161 .oom' 1917 91 ,000147 19" III .000101 1911'1"1 1IX ,000501 1915 III .00lll6 1"1 '1 ,000141 1"'-1994 11 ,000191 ulnt.,..t I. alleullted II follOM'1 IICTEIlElT " IALAHCE DF TAX UNPAID X 11II"10 OF DAYS DELINQUENT X DAILY INTEREST FACTDR --Anv Notlal 1.IUId Ift.r thl tlX bteOllI ~llnquent will r,flect In Intlr..t calcul.tlon to fifteen (IS) dlv, bevond thl dati of th<t IIHlllllnt, If PIVMnt I. ... ,fter thl Int.,lIt COIPUtltlon d.t. .hown on thl Notlel, tdcUtlonal Int.rllt ...t be c.laul.tld. REV-1!l47 EX AFP (08094* CO'KONWEAlIH Of P'HHSVLVAHIA O'PARTH'HT Of R'Y',", BUR'AU OF IHOIY'DlIAl TAX'.S DEPI. 210601 HARRISBURO, PA 1112&'0601 UfA1T""OF CHEN JAMES - ---- ,~=_. FILE NO. DAT! OF DEATH 11"01"93 COUNTY CUMBERLAND NOTE. TO INSURE PROPER CREOIT TO YOUR ACCOUNT. SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAM PAYHENT TO THE REDISTER OF WILLS, HAKE CHECK PAYABLE TO "REOISTER OF WILLS. ADENT" REMIT PAYMENT TOI \ .-, '" r-..J l-f.."J -\ ~ ACN 101 NOTICE OF INHERITANCE TAM APPRAISEHENT. ALLOWANCE OR OISALLOWANCE OF OEOUCTIONS AND ASSESSHENT OF TAM IRWIN ETAL 60 W POMFRET ST CARLISLE PA 17013 DAT! 11-28-94 REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE. PA 17013 ~ Anount Ro~od CUT ALOND THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ..... it iV: is'(;i - ijc- AF p" - i O'ii:94 yo Hilff Or "OF" "iNti iiff TAlic E - fAX - iiP' PRiI"i s i j.j€Hr;"A i.l OWAlicE" iiFi" u_, - - - - -.". - - -- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF CHEN JAMES E FILE NO. 21 94-0655 ACN 101 VATE 11-28-94 If an allellmlnt wal issuad previouslY, lines 14, 15 and/or 16, 17 and 18 will reflect figures that include the total of Ahh returns assesled tc date. ASSF.SSHENT OF TAXI IS, Anount of Llno 14 ot Spou.ol roto (151 16, Anount of Llno 14 to,oblo ot Llnool/Cla.. A rata (161 17. Anaunt of Llno 14 to,abla at Collotoral/Clo.. B rata (17) IB, Prlnolpal Ta, Dua TAX CREDITS I PAYHENT DATE 07-28-94 TAM RETURN WAS, I X) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL I. Raal E.tata (Sohodula A) 2, Stook. and Bond. ISohadula B) 3, Clo.al~ Hlld Stook/Partnar.hlp Intora.t (Sohodula C) 4, Hortgago./Nota. Rooal.obla ISohodula D) 5, Co.h/Bonk Dop..lt./HI.o. Por.onll ProPlrt~ (Sohodula E) 6, Jolntl~ O.nad Propart~ (Sohodula FI 7, Tron.for. (Sohodulo D) 8, Totol Allah APPROVED DEDUCTIONS AND EXEHPTIONSI 9, Funorol E,pon.a./Adn, Co.t./HI.o, E,pon.a. (Sohodula H) 10. Dabt./Hortgaga Llobllltla./Llon. (Sohadula I) 11, Totol DaduoHon. 12, Nat Valua of Ta, Raturn IS, Chlrltabla/Oo.lrnnontal Boqua.t. (Soh,dulo J) 14. Nat Valua of Eltata Subjoot to TI' NOTEI RECEIPT NUHBER MM886349 DISCOUNT ('1 INTEREST (-) ,00 (9) 1101 ( 1 CHANOED (1) (21 (5) (4) (5) (6) (71 .00 6,403,06 .00 .00 40.S82,65 ,00 .00 (8) 47.285, 71 11,767.50 5.882.82 111 ) 112) 115)_ (14) 17.;;1:;0 ~, 29.635,39 .00 29.635,39 ,00 M .00, 29.635,39 M ,06, ,00 M' 15, 118) .00 1.778,12 .00 1,778.12 AHOUNT PAID 1.778.12 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE . IF PAID AFTER DATE INDICATED, SEE REVERSE FDR CALCULATION OF ADDITIONAL INTEREST. 1,'178,12 ,00 ,00 ,00 IF TOTAL DUE IS LESS THAN .1. ND PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI. YDU HAY BE DUE A REFUND. SEE REVF.RSE SIDE OF THIS FORH FOR INSTRUCTIONS,) . .;' ..,t ,.~ "'" "e ~. .~ ,,' " .J () RI!SERIJATIONI Esht.. of decldlntl dVlnt on or bllorl Dlclllbtr 12, J98Z u Sf Inv luturl lntlrut In the utltl II trlnlflrrld In pOI.t..lon or enJoV'lnt to Cle.. a (colletlr.l) b.nllloltrl.. 01 tht dloldlnt .It.r thl IMplrttlon 01 Inv..tlt. lor 1111 or lor v..r., th. Co..onWlllth htr.bv .Mprt..lv r...rv.. thl rlOht to appral.. end a..... tran.llr Inh.ritancI T'M" It the Ilwlul CII.. a (colletlrlll retl on any luqh luturt Jnt.r..t. PURPOSE OF NOTICE I To fulllll thl r.qulr...ntl 01 S.rtlon Zl40 0' the Inh.rltenc_ Ind E.tet. TaM Act, Act 22 of 1991, 72 P.S. S.otlon 2140. PAVHEHTI Dttteh thl top portion 01 thlt Notlc. and .ubeU with your pey.."t to thl R.ght.r 01 Wille p~lnt.d on thl r.ver.. .ld.. ~~tl"l ch.ck or lon.v ord.r Pltyabl. tOI REOISTER OF HILLS # AGENT All ply..nt. rlcllvld .hall flr.t be applied to Iny Intlr..t which aay bl dUI ~lth .ny r'I.lnd.r IPpllld to the tlM. REFUND (CAli A r.fund of . tex crld!t, which ~a' not requ..tld on tho Tax Rlturn. .av b, r.quI.tld by cOlplltlng an "Appllcltlon 'or Rlfund of Plnn.vlvlnla Inhlritancl and E,tete Ttx" (REY~UU)' Appllc.thm. erl nVllllblo It thl O,flcl of thl Rlal.tlr of Willi, any of thl Z3 R.venuI ol.trlot Offlo.., or by c.lllng thl sPlcl.1 Z4'hour an.w.rlng ..rvlcl nUlblr. for for.s ord.rlngl In Plnn.vlvenl. 1~800~36Z~Z050, out,ldl Plnn.vlvanla end within 10c.1 Ilarrllburg .r.. (17) 16148094, TOO' 011> 772MZZSZ Olurlng IIp.lrad Cnh). OBJECTIONS I Anv plrtv In Int.rl.t not .atJ.fl.d with the appr.I....nt, al10w.nc. or dl..llow.nc. 01 d.duotlons, or .....'..nt of t.x (Includlna dl.count or Int.r..t) .. thown on thlt Notlc. IU.t obJlet within .Ixty (60) day. 01 r,ollpt of thlt Notlct bVI "written prot"t to the PA Dlpart.lnt of R.v.nu., !loard of Appuh, OEPT. Z610ZI, Harrisburg, PA 1712141021, DR ~~'llotlon to hflVI thl ..ttar d.ttrAlnld nt nudlt of the account of the Plrsonal r.pr..lntatJv.. DR ..IPP.,l to the Orph.n.' Court. AOIIIN ISTnATIYE CORRECTlOllS, DISCOUNT, Flotull .rrer. dl.oOVlrld on thl. ........nt ,hould b. addr....d In wrltina tOI PA n.part..nt of Rav.nul, !luruu of Indlyldull T.MII, ATTNI Po.t ........nt R.vl.w Unit, OEPT. Z80601, tlarrltburg, P' 1712a~0601 Phone (717) 1.7-6505. S'I p.gl 3 ef the bookllt "In.tructlon. for Inhlrltanc. TaK R.turn for. R..ldlnt Olc.dlnt" (REY~1501) for nn .xpla".tlon of ad.lnt.tr.tlv.ly corr.ctabl. .rror., If InV t.x due J. p.ld within thr~. (3) cnllndlr lonth. nft., th. dlc.dlnt', d..th, I flv. p.re.nt (S~) dl.count 0' the tlM paid I, allow.d. INTEREST , tnt.r..t I. ohargld b.glnnlng with flrlt day of dallnqu.ncy, or nln. (9) lontht and ani (1) day fro. thl d,t. of duth, to the dati of p'Vllnt. Tu.. whleh blc..1 d.lInqulnt bafort Jlnuery I. 19l!12 bIBr Interut at thl ret. 0' .Ix (6~O parctnt par annUlI c.lcuhtad at I dally rata of ,000164. All tlMII which b.call dellnquant on and .ft,r J.nu.rv I, 1912 ~111 be.r Intlr..t .t . r.tl which will v.ry frol callndar v..r to e.l.nder v..r with th.t rltl announc.d bv the PI Olplrll.nt of R,vlnu.. Th. appllcabl. Int.rl.t rat.. fer 198Z through 1994 Irll ~'.!! Interllt R." Dilly Intarut Factor !!!r Interllt Ra" Dilly Intlrut Flctor 111l 20X ,000541 1986 m ,00027~ 1911 16X ,000051 1917 9l .0002~7 1914 11% ,000101 191H991 III ,000301 19.. m ,000356 199Z 9% , 0002~7 I99H99~ n ,000192 ~4lntarut It clloulatld .. lollowtl INTEREST' BALANCE OF TAX UNPAID X NUNDER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Anv Hotlcl I..ued I't.r thl t.x b.co.a. d.llnqulnt will rlfl.ct an Intlrl.t calculltlon to fl,t.en CIS) dlV, b.vond thl dati of the ...u....nt. II p.ye.nt I. ..d. afttr th. Int.rl.t co.put~tlon dlta .hown on thl Hotlcl, addltlon.l Intlr..t au.t bl c.lcul.t.d.