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HomeMy WebLinkAbout94-00698 l--..-- PETITION FOR PIWUA TE and GHANT OF I. ETTERS Eslate of lJ"rJ +~ '( I k't' / / CJC- No. ~/-91 - to9'i also k"ow" us Tn: R~BIsI~r of Wills for Ih~ I [)(IC('O.wtl. County of In lhe Sodol Se('II,/I)' No. J. 0 1../ 0 I 'h<J !:>-<j Conllllonw~nhh of I'~nnsyl\'ania Th~ r~lillon of Ih~ uud~rsiBn~d r~sr~clfully r~pr~'~nl' Ihlll: Your p~lhion~r(s). who I,/nr~ 18 y~nrs or aB~ or ~~~~llh~ eX~CUI....... _ in Ih~ la'l will of Ih~ IIbo\'~ d~c~d~l1I. dlll~d -B..,--1 of " , nud eodidl(s) dlll~d I~~ ,19 , hUlIc rdc\'11I1l drcIlIIUlIlII''f.'li, e.~. rClIlllldullull. lll'lllh III" C\,-'l,'ulnr. eIC.} D~cend~nl WIIS domlcil~d III d~l1Ih lu t!.... '" /., ~..- f 4.....0 C9UlllY, I'ennsylvnuhlywllh_ h Q.~Yf; prlnd~)tsid~nccal =::f1,-"~LU:;;'ik/../ !Jd'..c.Jr-~ I~J I~ (ii'l 'lll'Cl. lHullher "nd Illlllldrlllil)') I q r 'ellrs of IIg~, dl~d ,/ er t...S- / ' 19 <71.( nl <> (...>4- c.>- ~e ~.&1,'f:/f'{~ ~I . Exc~pl ns follow" d~c~d~11I did nol marr ,wa, nOI divore~d IInd did nOI have a child born or ndopl~d nft~r ex~culion of Ih~ will orr~r~d for probate: WII' nOllhe vlclim of II killing aud wns never ndjodlcaled Incomrelenl: Dec~ndenl nl dealh owned rropcllY whh eSlhnaled valucs "' follow,: (If domicllcd in I'n.) All p~rsonnl ProrellY $ 2 . 00 0 (If nol domiciled in I'n.) I'ersonlll prorerly in I'enn'ylvanla $ (If nol domiciled in I'a.) I'er,onal proP~IIY in Coul1ly $ Vnlue of renl estale In I'enn'ylvanill $ shualed as follows: WHEREFORE, r~lhioner(s) resr~clfull)' presenled herewhh and Ih~ grum of lell~rs lheron. . Ihe Insl will and codlcll(s) i 5 "'- .~~ "c 'll.2 R'" ~l 'E'~ .0 II .. Iii ~~~~~~i 't.'f?-/'I~7) 2. ~ '1- .3 '{ ( 'I OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH 01' I'ENNSYI.VANIA }' ::1::1 COUNTY OF ~.I:lBERLAND ..Jc) H' of- The rClitlon~r(') nbol'c.nllmcJ ,w~lIr(') or affirm(s) lhlll lh~ slal~m~l1Is In Ihe for~golng relhlon arc Irue and correcllO Ihe be'l of Ihe knowledge llnd belieI' of relitloller(s) lInd 111111 liS rersonlll rerre,en- lallve(s) or the lIbove decedel1l relilioner(s) will wellmll lru lIdminlSler Ihe e'llIIe ~IW. Sworn 10 or affirmed lInd subscribed {' ~ '" before me lhis 10 tlL_ dllY or ~' ~ ~.'~~_p~._P8S~~-!t~ ~ . 'O.~ ~ No. 21-94-698 Estate of DOROTHY I. KELLER , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW AUGUST 11 19~, in considernlion of Ihe pClhion on thc rcverse side hercof, salisfaclory (lroof having been (lresenled before me, IT IS DECREED Ihal the inslrumenl(s) dllled july 9, 1965 described therein bc udmilled to probule nnd flied of record as Ihe lasl will of DOROTHY I. KELLER nnd Lellers TESTAMENTARY nre hereby srnnled to RA YMOND C. KELLER 'n1oa C'... 'P.......'. n~ P.8.\).~ R'sl..<< or WII(. FEES Probnte. Lellers, Ele. ......... $ 25. 00 Shorl Certlfienles(3) .. .. .. . '" $ 9 . 0 0 ;~n~~~~~n ................ :~ TOTAL _ $ 42.00 Flied .... ..W.C1\l.E!'f. ,U.(. .~~.~4......... AlTORNEY (Sup. CI. 1.0. No.) ADDRESS PHONE -;'.:1 ~. "'.~: '") (,'j ,- f.~ t\~: .'. ~-_:. :J l)U \, This i!t IU n:nH)' Ih.lIl1u: inlllflluciul1 hefl' ~i\'l'" i~ (Olin II)' u'pitd "UII1 .lIlllli~ill.d u'lIilililll' olllt-.lIl,' dill)' filc:l! wllh 1.00';al Ht.'gislrJr. Thl'llrigill.a1 n'r1ilimll' will hl' ftlrwilrdt.d Itl dll' SI.lll' Vit.d Ht'lonl, (Hlllt. lur P"'III1>llltlll fllill,L: WARNING: Ills lIIegollo duplicate this copy by photoslat or photograph. I1Il' ,IS Fl'C (1)1' rhi" u'nifir,ltc, S!.O(l TI.:.- (:\. \-'IW-C~t'~~ - .-,.-.---..-..----- --------~ 1.l1l'JI Hc);i"trttr 2420118 f.Uti 8 1991 No. ----.---- DJIL' "lell'lllI"trJ' COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT Of HEALTH' VITALAEconos CERTIFICATE OF DEATH .., .'" "" ... c ...,"-.u.. ,. Dorothy 10la Kollor . a... ,I lltoOt, ... .. FDmnlo ''''''_11 toC"'L"CtiflI"~vt'U' .. 204 - 01 - B059 91 ~.. 10M '01' ........ ."'- g.,.-., oc.2,1902 ""'" '."'- .......,......'" .~.. Corlislo,PA ~ .. Of ___...""v........_ _.0 :::"0 '. '" .",.,....~.....'\~,-." - Whito "-\ Cumborland Corlisle . ., - ~upat"rs~r' Department Store ClI.C;t:OINT..~.ClOM&IIII..U...........t,,~ OCctOlHl' Thornwald Home ~l~ 442'Wolnut Bottom Rd. ~~ .. o. u....... PA . ,,..0""_....... ...~~~_lt~ Wi'aowor ,-"..-....... ,... .. - .... Cumberlend ........, 1t..fJ ~-:::"a:::..-tarli lIQl"'II-'H.UIII~","~__a..- Cora Carns - .. Carlisle, PA 17013 ...... Auguot 9, 1994 "''' ll'i~j43 L .-- .-. .. . Ht. Zion Comotor ~..... Tw .Cumb.Co.PA unera orne r.JC'" .. ~rJIO:J16 L __ "" ...0 u_ . ~ ~~^.f f.lfY< '..p1 - -....... _w....... 'Ill -...,...............--.NI_.... NI:.--.lIl...~___..."'-'Il1 1"t'\~"tl.~'b~\... t.t:J"\.\Mt\\a. ", Qo.Jt l ~ [: VI lOA W Ql.1 OUI TOOI'i'Wl\IUlltl"; ..... tlOfOotIllA ....~I..()f'DC",~ _va.'PIO<lIITO ~()f'CAvlr .- ~ - "...." ~- '-.-......- .. ...0 ..0 ..... 0 ~NII......__ ~.()I'lHJUIIt -II',,~ ''''Ol'~' ""^,,,tIZWQIII(' DC~' INJUlItoca.-eD .... .... ","11"11I""",,-,_ 'eul"'","'ICUM~r~r_~_"''''_'''I_''''_''''''''_~_'JI l'I""-""""-............__....M...'~.I...._....tIH.."......."........................"....,..""'" ... o o D II'\IloCIOl'It""""'.Al'-.I_.......-.._.... -....."'-#wI ... ...,0",0 ......... o '~oUfOttIITWTIIfCI,""IIt;U."""""""'_"-"'__Uo"""'''_III-' ..N'"'et.'I..........._..._IM..._._,_......._..."NI~.I...._"."IHI_...................'..... ....DlC..LI.........tNCOftO".1lI OII........."".........,_~""""'..II'''.....IoI''''.'.....''.''.II.._II....III...II......II..lI'IIIpl...,I..."".It....c_.(IIIffd 1"....../1"....""',,,,........,,,,.,.......,...,,,,...,,....,..,,.,...,..,,,............."...."...,............... ~"Cn-\I.. Id. I ,""'-1,01 ... . _1""-#.~ LAST WILL AND TESTAMENT I, DOROTHY I. KELLER, sometimes known aa DAROTHY I. KELLER, of the Dorough of Carlisle, 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 give, devise and bequeath all of my estate, both real snd personal property,unto my husband, RAYMOND R. KELLER, absolutely, and I hereby appoint my said husband as Executor of my estate. 2. In the event my said husbsnd shall predecease or fail to survive me, then I give and devise my estate in the following manner: (a) I give, devise and bequeath all of my estate unto' my children, RAYMOND C. KELLER AND RODERT G. KELLER, in equal shares, sbsolutely. (b) I hereby appoint the said RAYMOND C. KELLER as Executor of my estate under this second paragraph of my Last Will and Testament, however, if the ssid Raymond C. Keller shall be unable or unwilling to serve, then I appoint the said ROBERT G. KELLER as Executor of my estate. (c) If the said Raymond C. Keller shall fail to survive me and he shall not be survived by any issue, then I direct that his share in my estate is given and devised as follows: One half (~) thereof unto the wife of Raymond C. Keller, JANE G. KELLER, and the remaining one half (~) thereof unto ROBERT G. KELLER. WILLIAM F. MARl80N ATTORN" AT LAW CMLI.U. ,"'. _.--'. .."".. .. - .' IN WITNESS WHEREOF 1 have hereunto set my hand and seal this 9th day of July, 1965. (SEAL) , ~t"\./(SEAL) SIGNED, SEALED, PUBLISHED AND DECLARED by the above named Testatrix, Dorothy 1. Keller, as and for her Last Will and Testament, in the presence of us, who have hereunto subscribed our names at her request as witnesses thereto, in the presence of said Testatrix and of each WILLIAM F. MARTSON ATTO"NEY AT LAW CA"LIILE. ,A. p: T>o ~ 0- lf~1 ..9 I . -::r- \4-1 H OJ ~ ~ . 1 - \() ~, 8 ". .'~ -....:;,. , . , " . . ;:; ,. .' " '. u\ tiif 'f>- ~3 0' ;--.' ~ ~~ (" ',) ,- J 0 . , ..... Ea I '~,.;. '! , :! i.,- t, ,iI .., ' ~- ({; u: f"I 3.l:5 0: uU ': , , "' .... ffi e u w o I FOR DATIS OF DEATH A"ER 12/31191 CHECK HUE INHERITANCE TAX RETURN ~o~m)yug~DIT ISCLAIMED fL____ j RESIDENT DECEDENT FlU NUMBER COMMO"WlAll" OJ """''''''''A (TO BE FILED IN DUPLICATE _) I ", Lf- . I .., , ' DI,.UtMWT Of 1l('lo'lNUI I H EGISTER OF LL) lJ c, (~ "ml,~Jn, ~~oWlll ObOl W T R WI S COUNTY COQE YEAR !:,,~MBER OICIDIN 'N.MIH"Li'~t'DMIIJDIIIN'tl"'~120 +~ " I Dt(~th.~O~;':;IXI;;'(J J+crn1f!. . iOC'AI ,,~(ff,h-,,-.,--, ..---- ..Ii 0; OIAl" ED~I 0""1" At'2.. WA-lNU+".. (Eo.f{;,-w, ~R...J 2..0'1- CJ '-: "'ll..5'1 tJ&-tlt.-1'1 1:l-o,)-02.c,.",<-.C.t..'2;j-~~:-l7.._'" 0/1-. 1701 ,,' ~::::,::O~'" ...., n'" ','" :"'_~:~'~~'~'~,__ :~'" ":"" "u~~'''~_ f AMOU~I"'~"~O "" ":~:,CI~O~~ __ ,_ ___", _____ ~ 1. Original Relu,n 0 2. Supplemental Relurn [] 3. Remainder Return (for doll. of death prior 10 12.' 3.821 o 5. Federol EIlote To... Relurn Required '(\ I~OO o. 11_~~1 21. If line 181s greoler thon line 19, anler Ih. differencI on Line 21. Thill. the TAX DUE. A. Enler Ih. Inl.rl.1 on the balance due on line 21A. 8. Ent.r Ihe 10101 of line 21 and 21A on line 218. This Is Ihe BALANCE DUE, Make ChICle Payable to: Regl.t.r of Will., Agent >- ~ BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH <II( <II( Under p.nahi.. of perlury, I declare Ihall ha~e examined Ihls r"lurn, Including ottomponying schedules and slotemenh, and to Ihe bllt of m)' ~no.....ledge and belief, .1 Is true, correct and complete. I declare thot all real estate has been reporled allrue market ...alue. Declaration of preporer olher than the personal r.pr.sentati.... Is based on all Information of which pre arer hal on ~nowledge. . ;lO"A "'ON ""0""'" Of l1u'" Cf~";;- lA.J J..o....f fh. /70.!J OA"rll,lq7 ,,"DDIlUS O,.U!, . I!! w:!.n u.... wOo'" :co::! ulEm Oo .. .I..... wC; "0 "z 00 UCo. CjI:.T~ ~~ o 040. fulur. Interlll Camp,omise Ifor doles 01 death ah.r 12.12.821 Decedent Died Te,'ate 0 7, Decedent Maintained 0 Li...ing Trull IAuoch cop)' 01 Willi (Allach copy of TruIll ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO. "A~AV /lt6V1J d. Vi: LLf:12- COM"q';A~OAOD~. L dv+Lu:...., .sl- ttU'1'40N! NUMtU II') 2... YCJ- I Lf S-{) UIJ.. L,S L e t"/J 1/0/3 o A. [;(6. Limit.d Estal. _ e. Tolol Numb.r of Sof. Depolit 80..... z o 5 " .... 0: .. u w .. 1. Real Ellole IS,h.dule AI (I ) 2. 510,1\ and Bond. IS,h.dule B) 1 2 I 3. Closely Held Sloc~/Porlnenhlp Inler..' (Schedul. q 13 J A. Mottgag.. and Not'I R.cel~able (Sch.dul. OJ ( A ) 5. Cash. Bonk D,polits & Misc.llan,oul Persanal Prop.rly ( 5 ) (S,hedul. EI 6. Jointly O.....n.d Prop.rly (Schedule fl ( 6 ) 7. Tron,l", (S,h.dul. GIIS,h.dule LI 17) e. Tolal Gran An'II (10101 Lines 1.7) 9. Fun.ral E..pensel, Admlnistrati.... COliS, Miscellaneous (9) bp.nses (Schedul. H) 10. D.bh, Morlgage liabilities, liens ISch.dul. I) (10) 11. Tolal Deductions (Iotalllnes 9 & 101 12. NIl Value of Ellol. (lin. 8 rnlnUlline 11) 13. Chorilabl. and Go....rnm.ntal B.queslS ISch.dul. J) lA, Nel Valu. Subl.ctlo Tox (lIn. 12 minus Line 13) 15. Spoulol Transfers liar dates af death after 6-30.9041 S.. Instructions for Applicable Percenloge on R.....n. 115) Sid.. (Include ...alues from Sch.dule K or Schedule M.) 16. Amount of Line 14 lallobl. 01 6% tate (16) (Include ...alues from Schedule K or Schedule M.I 17. Amount of line 1A ta..oble 01 15% role (17) (Include ...olues from Schedul. K or Schedule M.) 18. Princlpalla.. due (Add lox from lines 15, 16 and 17.1 19. Credits Spoulal Poyerl)' Credit Prior Paym.nlS A/eMe.. .., O~.L- <1L3.JL LCi 'i I. ,() 1 B I Ib 1... '-I. "13 1~'ll.c;O /old N e.. (11) 112) 113) (lA) None )C._A /II11'ne.. )( .06 A !VtMe.. )C .15 a z o S '" Co. '" o u >< .. .... I1B) N""e. Dlscounl Inleresl 1191 (20) + + 20, If line 19 Is greoler than line 18, .nter th. diff.r.nc. on line 20. Thh Is th. OVEAPA YMENT. aD Check hero If you aro requosting a rofund of your overpayment. /vV'le- 121) 121AI 121B) I/tINttE. ';rv.l!Oln.l.hl I ~ "~.~.~,, -'!\i!h. COM,l,\ONW[A\TH Of PfNNnlV...N.... INHfllltANCf tAlC "[TURN IUIO(Nt OI(IO[NT _ ESTATE OF ., OW" +.{" 1 SCHEDULE B STOCKS AND BONDS l FILE NUMBER l/1Y-I1t.1r- VELLt:,r.> IAII proporty lolnlly.own.d wllh Right of Su,uluo"hlp mUlt b. dlnlolld on Sch.dulo F.) ITEM NUMB~R DESCRIPTION l. VALUE AT DATE OF DEATH 4YoShA.res r: w Wdd I weJl-fi 7110. 72.. TOTAL Allo Inler on line 2, ReeD lIulation (II more 'POCt ;s n..d.el, Insert additional.heeh of 10m. lile.) S 700.7z.. ~~I4;~-h't:~;~_r~,:;-J,.~~_~;p~~;:;i;;.::';f_i:\.i.;,:.-;:;.,:,7<";:";:";"J'";Xl;J!/;'i.:1j.";:::;_;.~;;~~..;,,,,"-t~"f"i~":"__~ ;;',-~_'-"_'; i" ,.'i";-,,:.:....t~ '1 '0 '~'.I to. ,;"1 1 SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Ploalo Print ar Typo FILE NUMBER 2.1&J1.(-~t1r- 9....~.~ 'l:~W~ cO....MONwfAllH Of p(NNnIVANIA lNHlll1ANCI tAX UtURN RI"OINt DICIOINt ESTATE OF iAi'I;'-~.p"'Y~ln~Y~W~d ~1I~h~RI.hl .f lulfVI.."hIP'::~' ~'~:d ~ S'h'dUI'~1 ITEM NUMBER VALUE AT DATE OF DEATH DESCRIPTION I 2. , ..J FA-f2.mEltS ~'- ~ 'oJ r./ Y.J thaI' (,1;'.( J -rn.l's -{- d..,- Uu..~ If-1 /~,'J { Y.!, LIJ(" Shle fJ eM. (.. /J.c.d /..f t ?t 3 ~ 3. 2 tJ .3'(..~~ ~ 1'.J.t.ur C .vS5 Nt,j~II.'IIJI'(f\,:? . ., s "1 Z 3, -, ( (Atlr.'\ ".' ,.: ,...: c;.," )C 11" ,hll'l if more .poc. II "..did.) I. I thlSHI', I'". . I SCHEDULE H L FUNERAL EXPENSES, ADMINISTRATIVE COSTS A.ND MISCEllANEOUS EXPENSES _._ __ _ . _ _ un __ Plea.e Print or Type F E NUMBER ,-1~'1. at1t (OMMQUW!Alltt Of f1tm!.Y1...AWA INI1f1l1TAUCI T.'" IOURU '!!.IDU41 DIClDfUl ESTATE OF DO(Lo.f-h ITEM NUMBER A. 1. B. 4. C. 1. 2. 3. 4. 5. 6. 7. B. ICI5LLt:/2. DESCRIPTION AMOUNT Funeral Expen.e.. )./-01-1- M ^ I'J -I?u/{ - f-u N v.~~ I u..n L I!. L e.. Nl e,,,\(.> rI 1.1 - H-1"1o (J .s tr., IJ e I IflJ !:.C r' 0-"1 :)")1 , ~,(3.2.3 I 3 ".00 I. Admlnlltratlve Calli. Personal Repre.entollve Commissions Social Securlly Number of Personal Representallve: Year Comml..lons paid 2. Allorney Feel 3. Family e.empllon Claimant Addre.. 01 Claimant 01 decedenl's death Stroot Addre.. City State Zip Code RelationshIp Probate Fees Mllcellaneoul Expense" Newspl:l-pee. - 5-f!;(l/...'N~1 hi II ..5, he"'/- {let-?,I- I c:.Jlfe.. - t!. v m" c" TOTAL (Also enler on IIn. 9, Recopllulollon) (If more Ipace II needed, Insert oddltlonallheell of lame llze.) S I f'l I, "to ~,/"7 Z.O.!} LAST WILL AND TESTAMENT I, DOROTHY 1. KELLER, some times known as DAROTHY I. KELLEI of the Dorough of Carlisle, CUmberland County, Pennsylvania, being of sound and disposing mind and memory, do hereby make, publish and declare this to be m~ Last Will and Te~tament, hereby revoking any and all former Wills or Codicils by me made 1. I give, devise and bequeath all of my estate, both real and personal property,unto my husband, RAYMOND R. KELLER, absolutely, and I hereby appoint my said husband as Executor of my .estate. 2. In the event my said husband shall predecease or fail to '.' , survive me, then I give and dev~s~ my estate in the following manner: (a) I give, devise and bequeath all of my estate unto' my children, RAYMOND C. KELLSR AND ROBERT G. KELLER, in equal shares, absolutely. (b) I hereby appoint the said RAYl>IOND C. KELLER as ExecUt( of my estate under this second paragraph of 'my Last Will and Testament, however, if the said Raymond C. Keller shall be unable or unwilling to serve, then I appoint the said RODERT G. KELLER as Executor of my estate. (c) If the said Raymond C. Keller shall fail to survive me and he shall not be survived by any issue, then I direct that his share in my estate is given and devised as follows: One half (~) thereof unto the wife of Raymond C. Keller, JANE G. KELLER. and the remaining one half (~) thereof unto ROBERT G. KELLER. \ . , -,~ .- II IN WITNESS WHEREOF I have hereunto set my hand and seal this 9th day of July, 1965. ~ ./ a/.. ;....:, ""J' .' .".. ' "I/,l '. SIGNED, SEALED, PUBLISHED AND DECLARED by the above named , Testatrix, Dorothy I. Keller, as and for her Last Will and Testament, in the presence of us, who have hereunto subscribec our names at her request as witnesses thereto, in the presenct of said Testatrix and of each . '1..' 'r. I :.1 U:r. i-' <i ":.: "1 ',:' , , ."'," : , , : (.i'l:~,.""" , -,- .", .,... .~' ~.; .... ~ I ~ ~.~1"""~' , .. :.1 .;.,1 . "I " ..- "J. ',j ~ :.::,: I ", , I :". c.., J'..O, r: ,;',,:: r"; ~, ,'" '.'1 ~. ,I. , ,~. ~ ~::f . 6-171-e, COHHONWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE BUREAU OF INDIVIDUAL TAMES INHERitANCE TAM DIVISION DEPT. 21060 I HARRISIURG, PA 1'lrl-0601 NDTICE aF INNERITANCE TAM APPRAISENENT, ALLDWANCE OR DISALLOWANCE OF DEDUCTIDNS AND ASSESSNENT OF TAM RAYMOND C KELLER 905 W LoUTHER ST CARLISLE DATE ESTATE OF DATE OF DEATH FILE NUHBER COUNTY ACN PA 17013 07-07-97 KELLER 08-05-94 21 94-0698 CUHBERLANo 101 AMOunt R..t U.d c~ *' ,.,.lIdU'UltI.,,. DOROTHY I HAKE CHECK PAYABLE AND REMIT PAYHENT Tol REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE, PA 17013 CUT ALONO THIS LINE . RETAIN LOWER PORTION FOR YOUR RECORDS ..... iiE'y:is'4j-ix-"iip-ioY:97riiii'fici--ciF--liiiiiiiifANci-T'AX-iippRiiisiN€N,.-,--"Li:ciiiANCi-iirim-------m---- DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX ESTATE OF KELLER DOROTHY I FILE NO. 21 94-0698 ACN 101 DATE 07-07-97 TAM RETURN WAS, I X I ACCEPTED AS FILED RESERVATION CONCERNINO FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN 1. R..l Eat.t. (Schedul. Al (l) 2. stock. ."d Bondi (Schedule 8) (2) 3. CIDa.ly Hlld stock/Partner.hip Int.r..t (Sch.dule CJ (3) 4. Hortg'DI./Not.. Receivabl. (Schedull OJ (4) s. C..h/Blnk Dapoalta/Hlac. Plrsonal Property (Schedul. EJ U) 6. Jointly Owned Property (Schedul. FJ (6) 7. Traneflra (Sch.dul. OJ (7) 8. Tobl A...t. APPROVED DEDUCTIONS AND EXEHPTIONSI 9. Funaral EXPln.../Ad.. Co.t./Hllc. E~p.n... (Sch.dull H) (9) 10. Dlbt./Hortaaga ll.biliUa./Uan. (Schedula U nO) 11. Total Deduction. 12. Hat Valua of Tax Raturn 15. Charit.bla/Govarn~antal Baqua.t. (Schadula J) 14. Hat Valua of E.t.te Subjeot to Tax I CHANGED .00 700.72 .00 .00 923.71 .00 .00 (81 1,991.90 .00 1111 1121 1151 1l~1 NOTEI To insure proper credit to your account, sub.it tha upper portion of thia for. with your tax pay.ent. 1,624.43 1.991 90 367.47- .00 367.47- NOTEI 14, lS and/Dr 16, 17 and 18 will raturns aBBelsed to date. If an aBBeBBment was iBsued previoUB1Y, linBs reflect figures that include the tDtal of abh ASSESSHENT OF TAXI 15. ~ount of LIna 14 at Spou.al rata 16. A.ount of LIna 14 taxabla at Llne.l/Cla.. A rata 17. A.ount of Line 14 taxabla at Collataral/Cla.. 8 rat. 18. Principal rax Due Ilil 1161 1171 TAX CREDITS I PAYNENT DATE RECEIPT HUI1BER DISCOUNT 1+' INTEREST/PEN PAID 1-) .00 M .03. .00 X.06. .00 X .15. 1181 A/tOUHT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE .00 .00 .00 .00 .00 .00 .00 .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FDR CALCULATIDN DF ADDITIDNAL INTEREST. IF TOTAL DUE IS LESS TNAN tl, ND PAYNENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF TNIS FORN FDR INSTRUCTIDNS.I '0 ~~. .' -: '0'" " , , I"'l I ..J ~ "ujJ.;.. a: ~- p' .i!!~ U0 RESERVATION. E...t.. 01 decad~t. dVlng on O~ ~'or. Dec..ber 12, 1911 .. If any lutur. Int.r..t In the ....ta I, transf.rrad In po.....lon Dr '"Jov.~t to Cl... I (col1.t.r.l) beneflclarl.. of the dec.d~t .,t.r the I.plrallon of any ....t. for 11'. Dr 'or v..r., thl Co..onw..lth h.rabv l.pr..'IV ral.rv.. the rlDht to apprl's, ~ ...... tran.',,, lnn-rltlnCa 'IX" at the l",'ul Cia.. I (col18""I1) ,..t. on any IUch 'utur. Interut. .........., II' NOTICE. To fulfill the raqulraaent. of Slctlon Z14D of the Inherlt~. ~ E,t,t, ,.. Act, Act 21 of 1995. (72 P.I. Section ,140). PAvttEHT. D.tKh the top porUon of this Hotlu Met lubIIlt with vour p.)*II..... to the Rllllh.,,. of Wills prlnhd on thl ,..Vlrs. IIde. ...... chedr; 01" ~v a"d.,. PIV"'.' tal REGISTER OF MILLS, AGENT RUUND (CAI. A refund of . tlx credit, which "I' not nquutad on thtl hie Aaturn, .'V ba nquut.d bv CMP..tlng ., "Appllc.tlon far R.fund of P.nnsvlv~l. Inh.rltanc. ~ Est.t. T.M" (REY-ISI3). Applications .r. av.llebla at the Dfflc. of the A.,l.t.r 0' Willi, anv of the 23 R.vlnue Dlltrlct Dfflc.., or bv c.llln, tho SPICIII 24-hour answering 'Irvlc. nu.berl 'or far.. ardlrlngl In Plnn.vlvanl. 1-800-362-2050, out.ld. Penn.vlv.,l. ~ within lacll Hlrrl.burg Irl' (717) 787-8094, TDa. (717) 772-2252 (Hllrlna lapllrld Onlv). alJECTlOHSI Anv p.rtv In Intlr..t not ..U.fled with thl IPpr.Is..ent, .UOWencl a,. dlsaUOWMCI of deduction., a,. ......Mnt of t.. (Inducting discount a,. Int.r..t) .. .hown on this Hatlu .u.t abJ.ct within .htv (60) d.V' 0' rlc.lpt of thl. Notice bv. --written prot..t to the PA Dep.rt..nt of A.venue, Baird of Applals, Dept. 281021, Hlrrl.bura, PA 17121-1021, OR --.l.ctlon to h.vI the a.tt.r dot.raln.d .t audit of the account 0' the p....ontII npr..ent.Uv., OR --1ppI.I to the Orph.,.- Court. AI>>UM ISTAATlVE CORRECTIONS. Foctu.l .rrar. dl.cav.r.d on thl. .......ant .hould be Iddrl..ed In writing tal PA D.plrtaont of A.venue, Bur.au a' Indlvldu.l T...., ATTNI po.t A......ent A.vlew unit, Dept. Z80601, Harrl.burg, PA 171ZI-0601 Phone (717) 717-6S0S. S.. p.g. S of the bookl.t "In.tructlon. for Inha,.ltanc. Ta. Alturn 'ar a A.lldont Doc~t. (REV-1S01) far en 'Mplanatlon of ~Inl.tr.tlv.lv corractabl. .rror.. If any t.M due Is p.ld within thr.. (3) c.landar aonth. Iftlr thai dlcedent'. dtlth, I flv. porcant cs'n discount af the t.. paid I. allaw.d. The ISX t.M .-ne.ty non-partlclp.tlon penllty I. co~ted on the tat.l of tho tlM and Int.r..t ......ed, and not p.ld b.for. Janu.rv 18, 1996, the 'Ir.t dav a,t.,. the .nd of the t'M .an..tv p.rlod. Thl. non-plrtlclpatlon penelty It ltppI.labl. In the .... .llt'IMr IInd In the; thl .... U.. p.rlod .. you WOYld ~.I the; tn end Int.rllt that h.. bMn .......d .. Indlc.t.d on thl. noUc.. Dtsaun . PENAL TV. JNTEREST. Jnt.r..t It charg.d b.glnnlng with flnt d.v 0' d.Unquttncv, 0,. nln. (9) .onth. IInd ani (1) dlY fr_ thl d.t. of d.ath, to the data 0' p.v...,t. r.M" which bec... d.Unquent b.for. JMUarv 1, 1982 beer Int.r..t .t the nta 0' .IM (6~) plrcant p.r annul calcul.t.d .t . d.lly r.t. of .000164. All ta.a. which blc... d.llnquent an and .,tlr January 1, 1'8% will b'lr Int.r..t .t . r.t. whIch .,111 v.ry fro. cllendar Yllr to c.lendar y.a,. with that r.t. announclel bv thl PA Dopartaont of AlvlnUI. Th. .ppllcabl. Int.....t r.t.. for 191Z through 1997 .r., !.!!! Jnter..t R.t. D.lly Int.r..t Factor :!!!! Jnbr.at R.t. D.lly Jnloreat Factor 1911 2DX .aaOS48 1917 'X .0aaZ47 1915 16X . aaG438 1911-1991 IIX .0aa3Gl 1914 IIX .oaosol 199. OX .OaaZ47 1915 ISX .ooosn 1993-1994 7X .ooanz 1916 lOX .Oaa%74 1995-1997 OX .00aU7 --lnt.r.n h c.lcullt.d .. 'ollowlJ INTEREBT . BALANCE OF TAX UNPAID X NUnBER OF OAY8 CELINQUEHT X DAILY INTEREBT FACTOR _.Any Hatlc. 1..uad .ft.r the tax b.c~. d.llnquent .,111 r.fl.at an Int.r..t c.lcul.tlon to flft.en (15) d.y. b.yond the data of the ........nt. If p.y..nt Is aiel. Ift.r ths Int.r..t cooput.Uan datI .hown on the Notlc., .ddltJor.1 Int.rast .u.t b. calcul.t.d. STATUS REPORT UNDER RULE 6.12 Name of Decedent I ::fn~i 0J/~ Date of Deathl Will No. 1.. I - C('i-bt-?r Admin. No. Pursuant to Rule 6.12 of the Supreme Court orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estatel 1. Stat~hether administration of the estate is complete I Yes No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete I 3. If the answer to No. 1 is Yes, state the followingl a. Did the personal repr~ntative file a final account with the Court? Yes No ~~- b. The separate Orphans' Court No. (if any) for the personal representative's account iSI . c. Did the personal representative s~n account informally to the parties in interest? Yes 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 at hed to this report. Date: Wel "o~. VI ., n'.'''''-r;UJn::> pre, 'nl::> Signat.ur YAfM~~ ~ .veJ/~ Name ( lease ype or print) qos- W /...ov/e.er!;f Address ~L , ':. t.. €-- Pit- 17~/) ( ) /71 2. '{q - III \'0 Te I. No . 9Z: 6\1 8- OSII S'6. "1"/ " JO '. Personal Representative Counsel for personal representative "jU "0 )08 Capacity: (MAHlrmf/AM3) . __- .._.'" ...~.."1'.J)~~.y. .~. ~.... ~.. ." ..- ' ___ ' _..,____._..._..-'.' _,_-,(.\.eeC>Vl.oo,'f1tJ i l;/v~/ff----kl.E- __- _ ..' . .-.:,J .., '."_~_'..1 I qf .' .--,...".. _ 1~!""J'l'~I"""'''''''I''''J ~~ .J~.-'''' ~"'.....'''!. .- '. .0 :..:' " " ." ,,~ , ,'_ . I, , ---... ..' .., -.--.-"- .-.-..' .---.---- _.- ' .. .. , -.---.. ....--- ...--_..... -- ----..., .------.--- ---- - ' - - - ~ __,.~_ \, ff(' i, ,-OL 11 'I ~W~-''''' \ (- ..._.1JI_,_._. --~ , == : ::.--1:\ ~"~. \ Ii: ~I .::. J~IJ > . .= ~ . \ \ \ i'll ,. 'tI I ,I, i · 'I ()~") · _ rtt-.~,,, __,..~~,. " ., - ,~, n. - __ ~ _ .i;\ . /' \~'1.. JI..~ \ .... -, ~. .-' ." ,,0 ~ ~~\fl}U lo_ - ~ _- -; _ ,1;.1'0; . d1'11,~,"d -- .'- . '" -~ -' --7 __---.1.'t.... . "Ii c,'"'I..,..- .-.'" -- _,-- _ .. _ _ ' '7\ \ 'f. _ _ "._l$.} 13 ro' \.. \ ,I -, \ ' ,". . i~j IU ._ :: .)l'-lLUI~~ bJ'\o"" .':1:-\\- ."~l\-' \ -0-. \,..,'- 1;1-\'1;:7- .. -:: ._ _ _ ,.1 C ..' I ..' _ ~ ~ .IU~ ~.::~ Jkl~i I'lh . ft\~. ,"... -- J~ : ==: =~~Jkj@1 \'\A:~~dl~\ -Lrr~1 ..1- - ~z.l' ._-;-:.~\IFt.\~L . '~~\\ '.~- -.\J'\'\D'-tt' L. ,.1.\ - '\--\+1<' .-- If ---,;;-.1.Jdl'~-- __' 1V'f'i \'\.. .'" \\ "'-+"'~ --,,- ~~l __-; -1;f,f" .., 110 - . ~r'l "J" .. --\} -..- .- . _ :11Ji4\t . '16,\' ,.JIll. - .\\, ~\ I~ .-,' -... 11--: .- -,- - _ __ 1 (,\' . ." II>- __!l 1,- . "~J;\ 01-. LS I " = : 1~F- =: ~~(;..I; . :~11~1~~f.I!~' :;"t. ,.' ~=,-- II - I ; (' . ~ .. --' .. . . . ,I - .. .' -- .." \ ... "... -- ..- _ _ _ .. ' _ " \ ..' In ~' \ \ ..,- -' . ," -,lr' ~ _ ~ ." _ " ~" _. tI ,,' ' \ \,,' II _, _\' . \. r~ . e..\ ~-~ I ~ ," - - " - - - " .- . I"" 'r' ,~."--..- ...- ~. -.;;' \. , \ \ .. '.''1' .....1\ 1\"\'- I I I I I , I II \ \ \ \ _ J:I i : I \ \ \ \ \ ~1'1..1 l5f>(/l. r, r.." '0 .-..... . .- --~.-._- '. ........,,<t. CLAIK NO. 942011 DESCRIPTION OF CHECK DATE PAID OB/22/94 \.... TYPE OF CLAIK/NAKE OF INSURED DEATH CLIIIK ON DOROTHY KELLER NIIKE OF PAYEE RAYKOND KELLER KAIL TO 0/407 905 W LOUTHER STREET CARLISLE PA 17013 POLICY NO. I 6737026B I 6737026B ACCOUNT NAKE DEATH BENEFITS INDUSTRIAL LIFE DEATH BENEFITS INDUSTRIAL LIFE DIV ADD AKOUNT 500.00 117.07 TOTAL ........ 617.07 ADDRESS OF PAYEE SOCIAL SECURITY NUKBER OF PAYEE , "-, , ' ~r: -tri--W ..;..-. "'1/1, /1' '" ," .,ii 1';jl;1l 1I.,i' III :11 I ',.111. ';: BALTIMORE LIFE 10075 RED RUN BOULEVARD OWINGS MILLS. MARYLAND 21117.4071 Ia.,oa "iiI RAYMOND KELLER llo\rE 00/22/'.1/. " r 0/'107 905 W LOUTHER CARLISLE PA DEA"fH r $617.07 STREET 17013 ~ p~035?Op ~053~o?qBq~ ~BOO~5~?BP AE01002P PRU TRADITIONAL PLAN 50352602 DOROTHY I KELLER , RAYMOND C KELLER 905 W LOUTHER ST CARLISLE PA 17013 PRIMARY (LIFE) SERVICED BY 950 P 00 FEMALE PAID UP BORN 12-02-02 ISSUE AGE 64 AE01- 01 RHO CAMO Z AS OF 08-17-94 RES STATE 39 PREMIUM OWNER DIVD OPT POLICY KIND POLICY DATE INITIAL AMOUNT INSURED PUA ISSUE DATE L88 00-00-00 01-23-67 750" SETTLE OPTION LUMP S BENE RAYMOND C KELLER SON TYPE 11 ORD FOR ADDITIONAL PRIMARY INFORMATION, HIT PF2 KEY ENTER NEW KEYWORD/ E TO END POL H OR DEPRESS ENTER KEY FOR MENU KEY HSELECT DATA AE01020P APPROXIMATE PRU TRADITIONAL PLAN 50352602 DOROTHY I KELLER PAID UP DIVIDENDS OPTION - PUA LAST ANNIV DIVD LAST DIVD EARNED YEAR POLICY VALUES AS OF 08-18-94 AE01- 01 RHO CAMO Z AS OF 08-17-94 POLICY DATE 01-23-67 SERVICED BY 950 LOAN VALUES INTEREST RATE 35.72 AVAILABLE LOAN 1994 EXCL DIVDS INCL DIVDS 5.00 679.78 2,212.38 PUA (FACE VALUE) CSV PUA I , I 1,691.37..... 1,561.31 INCR IN CASH VALUE (AS OF 01-23-95) 3.75 TOTAL CASH SURRENDER VALUE (EXCL TERMINATION DIVD) 2,253.93 FOR ADDITIONAL POLICY VALUE DATA, HIT PF2 KEY ENTER NEW KEYWORD/ E TO END POL H OR DEPRESS ENTER KEY FOR MENU KEY HSELECT DATA 'j ,. !" ,"'". "'. ,.~. CalJllnl D1UCCro88 l>cnl18ylvanla D1ucShlchl , liARRlSOURO. M. 17171 aC-eM frUelR 191305 ESTATE OF DOROTHY KELLER C/O RAYHOND C KELLER 905 W LOUTHER ST CARLISLE PA 17013-1727 AGREEHENT NUHBER 204018059 ......................... EXPLANATION OF REFUND ......................... PERIOD OF REFUND FROM l 09/01/94 TOI 10/01/94 REFUND REASONl CANCELLED DECEASED TOTAL REFUND AMOUNT I REFUND AMOUNT I .93.20 t93.20 TYPE OF COVERAGE I SECUR lTV 65 ,",' . . . , . " '.. . I . ' ==- WUULWUI< I H ::==- COHPORATfON 111849 1541 - OS7 UR.QI; Ml. tlrJE M). 11/01/94 12/01/94 "'0010 I'AY'AIIU 9222-26688 ~- 51IAAUtl.lD 0.15 RAft 48 PAY $7,20********** TO niE 8f!OER ,...111...111...,.."..11....111.,.1..1.11..1111...."1../1.., DOROTHY I KELLER X RAYMOND C KELLER . 905 WEST LOUTIIER ST CARLISLE PA 17013-1727 CONSECUTIVE COMMON STOCK DIVIDEND NO. 330 PA~Ar Tho Fn. National _ 01 Chlcooo on Fn. Chicago TruIt Con.,II1JI 01 New \\It FIr1I ChlclIgo TIUI/ Con..-nv 01 New \\It' - DlaburaIno AoonI . 11 . d.lwJ oc L. J. {jlM. U V ~~G~ 'II CIlIa If lOIII/U II " UDI PUNC1/ our, Cj 30000?0 ~ 51, 111' Q 1541 880883 102 -.} ...., "'} .w, ..- .......--. 1I'5?00 ~t,at,qll' I:O? 1"1 i!3 2 2(;,1: '.. . " .., ,.'. ." " .; , . , . ... .", ,>" , . " r " . .... .. , , ;'",0.' -", ;' ," . , '-,. '. "!. " -.....,. . I ." .. .' .' ," .. ; . . , .. . '. .' " :. . .... , . , '. .' ..' . '/ 'oo' " -;.' I ,. " " .' ", " ' , ., " '., .. .. " " , . ", 70.23221710 030000701641 . . '.' ., .:. D;,'. August 24, 1904 No. IIUII.rolllr Dorothy IDle Keller n. Raymond C. Keller 905 West Louthor St. Carlisle, PA 17013 .' l'mreu.iunal Sc~IL't. ] $ 2395.00 Jf.dlitlel and l!qulrmclll CIU.Lel Inlcflnenl Rf(cplIKh: 2660.00 040.00 Tolnl'A' :& 599!i.00 , . .. " CARLISLE MEMORIAL SERVICE, INC, 41 S. Bedford Street CARLISLE, PENNSYLVANIA 17013 o N~((J) 0 (l~~ ~J 0428 (717) 243.5480 .... Mr. n~ond O. Kollor, 905 \~. Louthor st. Oorlielo, PA. 1701; Decombcr 1, 1994 OJI'DMlA OfUA NO 94-120 Kollor ............. Harlin D. Hontzor '.R....I 1iiIm~ ~illl.t'.Wl~ESCA1ifTio~,f~~tia ;mt.'PRlc:'B:~/; "t1ihtAM'ouNii1-1!' ~~~ ~...t1..~~~;;j.":~._.,....._...._".,..........-t4"'.l'LI.tw-.~.t~t..:..'''-'j,.~ ~!~~'."'<"":'J"""'~' .....1f~\4W...-:~4', Inecription placod on Kollor momorial in I1t. Zion oomotory for Dorothy I. Kollor. 31;7. 00 DO~~_I'1~~kLEn ~1 ~ (\)\~i \V\ ORIGINAL ~cy&w! PlllXU'f*' (1\.iiii'1..~_'lt"l.o..ftOlIrCUINll.""