HomeMy WebLinkAbout94-00679
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COMMONWEALTH 0' 'fNNSYlVANIA
Df'ARrMENr 0' REVENUE
DE'T,2'06O'
HAIIISlURO. 'A 17171.0601
AM
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
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d.J.J,'J- 'I
roaDAnso'DUTHAma12/31191 CHICKH.al
I' A SPOUSAl.
POYla" CalDIJ "ClAIMID 0
flU NUMBla
P.O. Box 489
Carlisle, PA 17013
Cumberland
o 3. R.malnd.r R.turn
(for dolo. of dealh prior 10 12.13.S2)
o 5. Fodoro' E.,o'o Tax
R,'urn R'quirad
-lks. TOlol Numbor of Sola Dopo.11 Bo.o.
INSOLVENT
COUNTY CODE
21
c
6Z.1
YEAR
/79
'1 ~ NUMBER
',..;r-~ ,':....-l~:,:<;:.'~e/;~~.. ::,1';::._'-....L.'.-.r~.f
-n-
-0-
-0-
-0-
$2,843.36
-0-
$1. 801. 55
~'7.hn7 Rn
-0-
(II)
(12)
(13)
(14)
!p I. Original Ralurn
o A. Umlt.d E,tat. 0 40. Future 'nt.ra.. Comproml,.
(for dOlo. of doolh okor 12.12.S2)
IiCJ 6. Oocodon' Olod To,'o'a 0 7. Docodon' Molnlolnad 0 Uvlng Trull
(Anoch cop of Will) (Anoch co of Trull)
AU CORRISPONDIHCI 'AND,CONPlDENllAL'.TAX'INFORMATlON;SHOULD 81 DIRICTED,TOI
I
o 2. Supplomonlol Rolurn
Ronald Adams
P.o. Box 113
Plainfield r PA p17081
....,
I. Rool ElIolo (Schodulo AI ( I)
2. Slack. and Bond. (Schodulo B) ( 2)
3. C1o.oly Hold Slock/Portno"hlp Inlerell (Schedule q (3)
4. Mortgogo. and Nolo. Recelvoblo (Schodule D) ( 4)
5. Co.h, gonk Dopo.II' & MI.cellonaou. Po"onol Property( 5) 1'; 11 r 0 R 1 <; n
(Smadulo E)
6. Jolnl'y Ownod Proporty (Schedu'e F) ( 6)
7. Tron.~e" (Schodulo G) (Schedu'o L) ( 7J
g. Tala' Gro.. A..ol. (Iololllno. 1.7)
9. Funlral Exp.n,." Admlnl,traflva Ca$t., Mllcellaneoul ( 9)
Expon.a. ISchodulo H)
10. Debl., Mortgoga Uobllltlo., Uon. (Schodulo I) (10)
I I. T 0101 Oaductlon. (1010/ line. 9 & 10)
12. Nol Vo'ue of Ello'o (IIn. 8 mlnu.llne 1 I)
13. Choriloble and Govommonlol Boque," (Schodule J)
14. Nel Vo'ue Sub KI'o Tax (line 12 minu.llno 13)
15. AmDunt of IIn. 14 taxable at 6% rate
(Indudo vo'uo. from Schedu'a K or Schodulo M.)
16. Amoun' of IIno 14 'o.ob'o a' 15% rolo
(Indudo vo'uo. from Schedu'e K or Schodule M.)
17. Pr'nclpo' lox duo (Add lox from IIno 15 and from line 16.)
18. Credll. Spou.ol Povorty Crodll PrIor Poymonl'
+ +
19. If line IS I. groo'er ,hon IIno 17, onler Iho dlfforenco on IIno 19. This '"ho OVERPAYMENT.
aD...I'n!":I!'II.,.......,_.~.,._.I........,.,~,.,......,i1rrrrr:.-:r_.~.,..-..'.....U!I.~JJI..,III
20. If line 17', greorer than line 18, en'er ,he difference on lin. 20. ThIJ II rhe TAX DUE.
A. Enrer th. In'ere,'on ,he balance due on line 20A.
S. Enler ,he lOla' of IIno 20 and 20A on IIna 20B. Thl. I. Iho BALANCE DUE.
Make Chack Poyobla to. ROllI.,o, of Will., AlIant
· .USURI TO.ANSWIR'AU'QUESTIONS'ONREVUSUIDE,'AND:TO:RICHEClC MATH....... ",",'.
Undor ponolllo. of perfury, I dodoro Iho. I hovo oxomlnld Ihl. roturn, Indudlng accompanying .chodul.. and lIolomlnll, and 10 Iho boll of my knowlodgo and bollof,
1,Is lruo. corroct and complolO. I docloro Iho, 011 rool 011010 ho. bo.n roportod ollruo morkol voluo. Dedorollon of proporor olhor Ihon Iho pononol ropro.onlollv. I.
balld Dn 011 fnformotlan Df which preparer hDs any knDwlldgl. _
~ ~ I L , I R A DATE
DAle
z
o
'"
:5
e
...
~
...
z
o
g
rIi
o
u
)(
i'!
(15)
(16)
lC .06 a
-0-
lC .15 a
Discount
(17)
'n'ero.t
(IS)
(19)
120)
(20A)
(20B)
I
'il
( g)
$15,924.86
$19,409.35
_n_
-0-
-0-
-0-
-0-
-0-
INSOLVENT
IIVUOIII.IIIIII
~
COMMOHW'AI'1t 0' rrHH'''WANIA
IHltUn""~CI 'AI JrrUIN
JUIO'HI DfCfOfNl
SCHEDULE F
JOINTLY-OWNED PROPERTY
ISTATI O.
FILE NUMBER
John O. Adorno, Sr.
Jolnllenonll')1
A.
NAME
Ronold 1~. Adorno
ADDRESS
P.O. Box 113
Ploinfield, PA 17081
RELATIONSHIP TO DECEDENT
son
8.
C.
Jolntly.ownod p,oporty.
nEM LmER DATI
'OR TOTAL VALUE DECO'S DOLLAR VALUE OF
NUMBill JOINT MADI DESCRIPTION OF PROPERTY OF ASSET % INT. DECEDENT'S INTEREST
TENANT JOINT
1. A 2/1990 Douphin Deposi t Bank & $5,686.12 50% $2,843.36
Trust Company, checking
account 60014294931
(confirmation attached)
-
TOTAL (AlIa enler on line 6, Recopllulotlonl S 2,843.36
(If marl .pon is n.leI.a insert oaaiUono' sh.ell 01 sam. size)
IlY.ISll IH 1'.111
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
~~
COMMONWIA\fH O' PENNSYLVANIA
INHUITANCITAl UTUIN
lfllDINT DICEDENT
T F
Plea.. Print or Type
M R
John O. Adams, Sr.
AMOUNT
DESCRIPTION
ITEM
NUMBER
A. Funeral Exp.n.'"
1.
2.
3.
4.
B.
Hoffman-Roth Funeral Home
cumberland Valley:Memorial Gardens
Rev. Ed Rosenberry
Rev. Jim Thomas
$1,314.00
$295.00
$50.00
$100.00
Admlnl.tratlve CO.t"
-waived-
I. Persanal Rep,.aontatlv. Camml..lan.
Social Security Number al Personal Repr..entatlve.
Year Comml..lans paid
2.
3.
.4.
C.
1.
2.
3.
4.
S.
6.
7.
8.
Allorney Fee.
none
Family Exemption
Claimant
Addre.. al Claimant at deceden". death
Relotlan.hlp
none
Street Add,...
ClIy
State
Zip Code
probate Foe.
none
MI.collan.ov. Expon....
Wayne Myers Auction Service
Cumbo Co. Register of Wills - filing fee
$32.55
10.00
.
.f
TOTAL (AI.o enter on line 9, Recapitulation)
(If more spa co I. need.d, Insort additional shilts 01 same ,",e.1
$1,801.55
. IIV.III.II. 1'.111
w
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LlABLlTlES AND LIENS
Ploa.. Print or Typo
FILE NUMBER
CC)MMOHW....UH O. PlNN$YlVAHI'"
.N"..II"NClI.... .nU'H
InlDINIDlelDINI
ESTATE Of
John O. Adams, Sr.
ITEM DESCRIPTION AMOUNT
NUMBER
I. Dauphin Deposit Bank & Trust Co. , installment loan
#14024639001 $12,652.78
2. Dauphin Deposit Bank & Trust Co. , installment loan
#2553780001 $2,421.73
3. Dauphin Deposit Bank & Trust Co. , VISA #430172075011-
7716 $2,330.91
4. united of PA - 717-776-6499.(108) $101. 75
5. PP&L - 5218306283 $95.01
6. Sprint Cellular - HA08760 $5.62
.
TOTAL (AI.o enlor on line 10, Recopllulollon)
(If mare space is nl.cl.el, in..rt additional shilts of some size.)
S 17,607.80
,ItV.Ult'u 12"11
*'
COMMONWIAltH Of ,'HNIYlVANIA
INMUnANCI TAl .nu."
'UIDIH1' D.aDIN'
SCHEDULE J
BENEFICIARIES
ESTATE OF
John O. Adams, Sr.
FILE NUMBER
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
RELATIONSHIP
AMOUNT OR
SHARE OF ESTATE
A. To.oblo Boquo.lI.
1.
Ronald E. Adams
P.O. Box ~13
Plainfield, PA l708~
son
100~
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
AMOUNT OR
SHARE OF ESTATE
8. Charitable and Governmental Bequ'llll
1.
None
TOTAL CHARITABLE AND GOVERNMENTAL SEQUESTS (A'.o onlor on /Ine 13, Recopllu'o"on)
(If more .pac. I. n..d.d, In..rt addlllonal .h..t. of .am. .1..)
5 -0-
LAST WILL AND TESTAMENT
I, JOHN O.
ADAMS,
SR. ,
of North Middleton Township,
Cumberland County, Pennsylvania, being of sound and disposing
mind and memory, do hereby make, publish and declare this to be
my Last Will and Testament, hereby revoking any and all former
Wills or Codicils by me made.
1.
I direct
that
all my just debts,
funeral expenses,
tl!stamentary expenstJs and all i,lht!L'lt,U1Ct! taxa.. ..hall bt! I?did
from my residuary estate as soon as practicable after my decease
and as part of the administration of my estate.
2.
I give, devise and bequeath all of my estate, both real and
personal property, unto my son, RONALD E. ADAMS, absolutely.
3.
In the event the said RONALD E. ADAMS shall predecease or
fail to survive me, then I give, devise and bequeath all of my
" estate, both real and personal property, unto my grandson, JEREMY
'.
.
o
c:
'. z:
0\
1-).
R. ADAMS, absolutely. Should the said JEREMY R. ADAMS be a minor
at the time of my death, I direct his share shall be held by his
.
\oJ
Ul
guardian until he reaches the age of r.1djOL'ity.
I authoci"e,
empower and direct said guardian to invest and reinvest said
share and to apply the income and so much of the principal as he
or she shall deem necessary for
the
support,
maintenance and
education of said JEREMY R. ADAMS.
-1-
I.A'" 1U""IC:I.:~_\I\IlT~n'.IH.:..\lIIIOIUT. \\'ll.l,L\\I~ ^ UTTH
.
o
.-..
i-i C
.,c..
~ 0/
_.~ I l'?'
4.
I hereby nominate, constitute and appoint the said RONALD E.
ADAMS as Executor of my estate.
In the event he shall be unable
or unwilling to serve in such capacity, then I appoint WILLIAM F.
MARTSON to act in such capacity.
5.
I direct that my Executor shall not be required to file a
bond to secure the faithful performance of his duties in any
Jurisdiction.
6.
I authorize and empower my personal representatives and
Trustee, in their sole and absolute discretion, to purchase or
otherwise acquire and retain any investments of which I die
seized or any real or personal property of any nature; to sell,
lease, pledge, mortgage, transfer, exchange, dispose of or grant
options in regard to any or all property of any kind forming a
part of my estate for such terms and such prices as they may deem
advisable; to borrow money ,for any purposes connected wi th the
protection and preservation of my estate; to mortgage or pledge
any real or personal property forming a part of my estate or to
join in or secure Lhe partition of same: to cOlOp.:ornise any claims
or demands of my estate against others or of others against my
estate; to make distribution in kind and to cause any share to be
composed of cash, property or undivided fractional shares in
property different in kind from any other share; and to execute
-2-
1.\\\' lIn'ICI':~ - \1.\IlT~n', 1U':,\llIIlIIIIT. \\'II.1,I\\I~ .'\ I'-n'n
D
Dauphin Deposit Bank
and Trust Company
MAIN OFFICE: 213 MARKET STREET. HARRISBURG. PENNSVLVANIA 17101
717 255.2121
Decedent Confirmation
Name:
John O. Adams, Sr.
Social Security No.: 204-01-7783
Date of Death (000): 01/23/94
Account No.
0014294931
02553780001
14024639001
------------------------ ------------------------ ------------------------
Type
Checking
Installment Loan
Installment Loan
------------------------ ------------------------ ------------------------
Date Opened
or Issued
02/12/90
05/15/86
07/06/91
------------------------ ------------------------ ------------------------
Date Closed
or Matured
03/14/94
------------------------ ------------------------ ------------------------
Date of Death
Balance $5,680.71
$2,346.73
$12,368.10
------------------------ ------------------------ ------------------------
PLUS
Date of Death
Accrued Int. $6.01
$75.00
$284.68
------------------------ ------------------------ ------------------------
Joint Oi/ners
(if any) or Ronald E. Adams
Catharine Adams (Deed)
None
Date of Joint
Oi/nership 02/12/90
05/15/86
------------------------ ------------------------ ------------------------
------------- ------------------------ ------------------------ ------------------------
Special Comments: N/A
Additional information available at 520.00 per hour. On. hour minimum.
Date Prepared: June 8, 1994 Prepared by: Cheryl A. Bowers
Customer Management Information Dept. (CMI)
Telephone No. (717) 255-2054
Page 1 of 2
Form 00-020-21& (REV 7/93)
J .'/
J' ,
, . "I
'I
G
J
REV-1547 EX AFP 108-94)*~
CUHHOHwUl1l1 or PlNNSYl VANIA .,
DlPARIHlN' or R[VlNU[ NOTICE OF INHERITANCE TAK
IIURUU. OF IHDlUloUAl Ims I ' '. APPRAlSEHENT. ALLOWANCE OR DISALLOWANCE
~~:~is~e:~~lllA llua'ObDI -=" _ _ _ OF DEDUCTIDNS AND ASSESSHENT DF TAK
ESTA-tE OF lill'AHs :JOlm 0 FILE NO.
DATE OF DEATH 01-23-94 COUNTY
ACN 101
DATE 12-12-94
CUMBERLAND
NOTE, TO INSURE PROPER CREDIT TO YOUR ACCOUNT. SUBnIT TIlE UPPER PORTION Of THIS fORH WITH YOUR TAX
PAYnE NT TO THE REGISTER Of WILLS. nAKE CHECK PAYABLE TO "REGISTER Of WILLS. AGENT"
REMIT PAYMENT TO:
RONALD ADAMS
PO BOX 113
PLAINFIELD
PA 17081
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE. PA 17013
Anount Renltted
CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ....
iiifli=is'4i-Eif-AFj>nniii:94Y-NoTfCEnIWYNHEififAiicE-TAX-iippiiiiisEifENT-;-'U.i"OWANCE-cfR'-mmmm-m
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF ADAMS JOHN 0 FILE NO.21 94-0679 ACN 101 DATE 12-12-94
TAX RETURN WAS, I X J ACCEPTEO AS fILED
I CnANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL
1. R.el Estate ISchedule AJ 11 1
2. Stock. and Bonds (Schedule BJ 121
3. Clo.ely Held stock/Partnership Interest ISchedule C) (3)
4. Hortgagls/Notes Receiveble (Schedule DJ (41
S. Caah/Bank Depos! t a/Hi sc. Personel Property (Schedule E I (5)
6. Jointly Dwned Property ISchedule FI (6)
7. Transfera ISchedule G) (7)
8. Total Assetl
.00
.00
.00
.00
13.081.50
2.843.36
.00
ISI
15.924.86
APPROVED DEDUCTIONS AND EXEMPTIONS:
1,801.55
9. Funeral Expen.es/Adn. Coats/Hisc. Expense. ISchedule H) (9)
10. Dlbts/Hodgege Liabilltbs/Lbns CSchedule II 110) 17 .607.80
11. Total Deductions Ul)
12. Net Velue of Tax Return (12)
13. Charibble/Governnental Blquesh (Schedul. ~) 113)
lit. Net Value of Est.t. Subject to Tax (4)
NOTE: If an assessment was issued previOUSly, lines 14, IS and~or 16, 17 and 18
reflect figures that include the total of ahh returns assessed to date.
ASSESSMENT OF TAX:
lS. Anount of Line lit
16. Anount of Line lit
17. Anou"t of Line lit
18. PrincIpal Tax Due
19.409 3~
3.484.49-
.00
3.484.49-
will
at Spou.al rat.
t.xable at Line.l/Cla.. A rai.
taxable .t Collateral/Class Brat.
1151
1161
1171
.00
.00
.00
X .00.
X .06.
X .15.
(18)
.00
.00
.00
.00
TAX CREDITS:
PAYHENT
DATE
RECEIPT
NUH8ER
DISCOUNT 1+1
INTEREST I - I
AnDUNT PAID
TOTAL TAX CREDIT
8ALANCE OF TAX DUE
INTEREST
TOTAL DUE
.00
.00
.00
.00
. If PAID AfTER DATE INDICATED, SEE REVERSE
fOR CALCULATION Of ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN .1. NO PAYHENT IS REQUIRED.
If TOTAL DUE IS RefLECTED AS A "CREOn" ICRI. YOU HAY 8E DUE
A REfUND. SEE REVERSE SIDE Of THIS fORH FOR INSTRUCTIONS.)
RESrRYATIONI E.tat.. of d.c.d.nt. d~lna on or bl(ora D.c._blr 12, 1982 -. I( any futurl Interllt In thl ..tltl I. tren.ferrld
In pa.....lan or I"Ja~'ent to CII.. a (colllterll) ben,flcllrll' of thl dlc.d.nt Ift.r thl I.plrltlan of In~ ..tatl for
11(1 or for Y'lrs, thl Co..onw.alth hlr.b~ ..pr.s.ly ra.erv.. thl right to .ppralsl .nd I..... tran.f.r Inh.rltancl TaMI,
It the lawful CIIs. a (colllt.rell retl on Iny .uch futurl Intar.st.
PURPOSE OF
HOTICE, To fulfill thl rlqulr...nt. of Slctlon 2140 of the Inh.rll.ncI and E.lale faM Acl, Acl 22 of 1991. 72 P.S.
Slcllon 2140.
PAVHENf,
D.tlch Ihl top portion of thlt Notice and .ubalt with your pa~alnl to Ih. RIglltlr of Wllh prlnhd on thl nnr.. Ildl.
--"ek. ch.ck or aonlY ordlr plyable 10' REGISTER OF MILLS, ADENT
All pay..nt. rlc.lvad .hall flr,t bl applJld to Iny Intlr..1 which .ay b. dUI with any r.allnd.r appllld to the ta..
REFUND (CR), A r.fund of a taM crldlt, which wa. not r.qua.tld on the raM Rlturn, .ay b. rlqu..t.d by coaplltJng an "Application
for R.fund of PIM.yhlnJ. Inherltancl and E.llt, Ta.'. (REY-1313). Application. are Ivalhbll at Ih. Office
of thl RlgJ.t.r of WIll., any of thl 25 Rlv.nu. Dlltrlct Dfflc.., or by cllllng thl .p.cJal 24-hour
In.w.rlng 'Irvlcl nu.b.r. for fora. ordlrlngl In P.nnsylvonla l-tiOO-56Z-2050, oul.ld, Pann.ylvanla and
wlthJn local H.rrl.burg Irll (717) 787-8094, TOO' (717) 772-2252 (Ha.rlng lapllrld Only).
OBJECTIONS I Any plrty In Inllrl.t not ,.II.flld wllh thl .pprll....nt, .llow.nc. or dl..llawlnCI of dlductlon., or 1..I...lnt
of taM (Including dJ.caunt or Int.rl.t) .. .hawn on thl, Nollca lu,t obJ.ct within .JMty (60) day. of racllpt of
Ihl. Hollcl bYI
ADHIN
ISTRATlVE
CORRECTIONS I
.-wrltten protut to the PA D.parta.nt of Rav.nua, Board of Appaals. DEPT. 281021, lIarrltburll. PA I1IZ8-1021, OR
--allctlon to have thl aatt.r d.tar.lnad at audll of the accounl of the par,onal rapra.antatJva, OR
--appeal to the Orphan.. Court.
F.ctual Irror. dl.cov.r.d an thl. a.......nl Ihould ba addr.'lld In writing tal PA DIP.rt.lnl of Rav.nu..
Burl au of IndlvJdual T.M.., ATTNI Po'l A.......nt R.vlaw Unit, DEPT. Z806DI, Harrl.burg, PA 17128.0601
Phonl (111) 781.6505. 5al paga 5 of the booklet "In.tructlon. for Inh.rltlnce TI. Aalurn for a Rllldent
Oandenl" (REV-150J) for an I.pllnlllon of ad.lnlltrallvely correclable Irtor..
DISCOUNT,
If "ny t.. dUI II paid within threl (5) c.lendar .onth. aft.,. the d.cld.nl', dlath, a flva p.rc.nt (5:0 dhcount of
thl t.. paid I. .11owld.
INTERESTr
Intar..t t. charg.d b.glnnlng with fJr.t d.y of dlllnqu.ncy, or nln. (9) .onth. and on. (1) d.y fro. Ih. dati of
d.alh, 10 tha d.t. of Ply..nt. la.., which b.ca.. dallnqu.nt blfor. Januar~ I, 1982 b.at Int.ra.t at Ihl tatl of
.IM (6~) parclnt plr nnnu. calculatad at a dally ratl of .000164. All t.M'1 which baca.. dlllnqu.nt on and Ift.r
January I, 1982 will belr Intlr..t at a rat. which will vary frol calendar y..r 10 calandar Ylar with th.t r.t.
announced by the PA Dapart'.nt of Rovenu.. The .ppllcabl. Intare.t rate. for 1982 through 1994 ara,
~ Interl.t Rat. Ually Inhrut Factor ~ Intar..t R.t. Uftlly Interut Factor
1932 20;( .000548 1986 10le .000274
1985 16le .000458 1981 .~ .000241
19114 II;( .000301 1988-1991 Ill( .000501
1985 Ule .000556 1992 .~ .000241
1995-1994 7X .000192
1995 .~ .000241
--Jnlara.1 I, c.lculatad a, follow.,
INTEREST = BALANCE OF TAX UNPAID X NUnUER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Hollcl Juu'd Ifter the t.. b.co... dlllnquant will raflect nn lnlar..t c.lculatlon to flftlen (15) dlVl
b.yond the dati of thl ........nt. If p.y..nl I, .ad. nft.r the Intarl.t COMputltlon d.tl .hown on the
Notln, additional Inter..t .u.t bl cllculat.d.
STATUS REPORT UNDER RULE 6.12
Name of Decedent:
David P. Reiniger
Date of Death:
June 4, 1994
Will No.
Admin. No.
21-95-0679
Pursuant to Rule 6.12 of the Supreme Court Orphans'
Court Rules, I report the following with respect to completion of
the administration of the above-captioned estate:
1. State whether administration of the estate is complete:
Yes X No
2. If the answer is NOr state when the personal
representative reasonably believes that the administration will be
complete: N/A
3. If the answer to No.1 is Yes, state the following:
a. Did the personal representative file a final
account with the Court? Yes No X.
b. The separate Orphans' Court No. (if any) for
the personal representative's account is:
c. Did the personal representative state an
account informally to the parties in interest? Yes X No
d. Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be attached to this report.
Date: January 17, 1996 ./?~/~
~~
William A. Addams
Name (Please type or print)
28 South Pitt Street, Carlisle, PA 17013
Address
;j()
( 717) 249-8300
Tel. No.
Capacity:
Personal Representative
X Counsel for personal
representative
(MAH: rmf/ AM3)