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HomeMy WebLinkAbout94-00715 - t~ h:~tull' of ___.1__0!,J_~~J.H~H;?~'("'~') III.HI kl/oll''' II.\' _.m__~~__" -. PETITION FOR PRORATE und GRANT OF LETTERS .' Z - c2./-.9./f :"' _ Lb.._______ No. To: ..________.___on_HH .o_ Kcgistcr of 'Xills 1'0\ Ihc \_ I . [),,"'.I((I, ('ollnly of (',...\"'t\Wi_ ~.. in thc s;;(i;-js~~"I~i(\~N;-;:~r'ji.J '); .:.-\'u ~. y S'~~"o, COllllllonll'cllllh of PcnnsylvlInlll Thc pctltlon of thc IIndcl'signcd rcspcctflllly rcprcscnts Ihllt: YOUI' pClltlollcr(s), II'ho Is/~ 1M ycms of lIgc 01' oldcr lIn Ihc csCCuI.C'~__ _m_H________ IIl1mcd In thc,llIsl.wlll of tl~c uho\'c .dCCl'dcnl, dlltcd . _J:\~lr:\_8.\\'{f>s::::_ __.___. ~_H"________' 19___. lInd codldl(s) dilled H_('l;-'Cte. . __ _ ,_H ., 0' _ __ ._H'" _____H~ ------. ~=-_=:===:=:=:=~::?1=_~. _.=~_"_'~.L .d (<'-~~H:':~~~:::=(J.-:=:'==~ -== .____.__._______________._u_u__H___... -..... ----., ___...__..... _.__.__..m_..____n_________ (~llIll' Tl'!cnllll dH.'1l1l1,ral1l'l'~, q!. rl'llllndiulon, ~kalh uf C\Cl'UlllI, l'll',) I>cccndcnl Il'lIS domlcllcd lit dClllh In "'H__e.,...,,,,~ .\.,,,,,A H_,'_H' l'olll\ty, I'cnnsylvllnlll, wllh h_\'->___.llIsl fllmlly 01' princlplll rcsldcncc lit ---if-\{ :b___Y:{?\~__'lQ.~_~l<4___ ____.('......'(_\..::-:..\.e..__~_..._..__._. ._~ H _ n___..___.__..___,___.__~__n..._ .-~----.-------------- (11'1 'Irel'l, lIumher llud IIll1l1dp.llin'j I>eccndc'.l\, thcn __":\Sn.ycllrs of IIgc, dicd ______ Jo,.J~'1__~l_______~~I~~_, III E.;~PI"~\~I;I;::~}~~d~~~';I~~I~I;~~;ilr-;-y~~~~;;l~~;ii~,;;~~Xi~;i:li~l~~~~~I~fild born oN;'~l' ~:.~~:n~~~~~:::~lI1_(l~_lhC~'il~~'~~r_cl~.(~ ~1'~~~:~~l~'I-lhC~lctilll(~.~- ~I~~~~d was ncvcl' lId~ldlcale~ Dcccndellt al dcath oWllcd pl'Opcrty with cstlllHltcd \'alucs liS follows: (If domicilc;1 ill I'll.) All pmollal pl'OJlcrty $.j__ClQ.., GoO (If 1101 domlcllcd In I'a.) I'cl'solllll Jll'opcrty III I'cnllsyll'allla $ "'0('(.1.. (If not domicilcd In I'a.) PCl'sollal Jll'Opcrty ill ('oUlflY $.___.(\LlI'W- VlIluc of I'cal cstlllC ill Pcnllsyl\'allill $ situatcd as follows: _____.__._u__0.Q.t~g.._____________________ ---------------.-----..-.---.------------ WHEKEFOllE, pctitioner(0 I'cspcctfully I'cqucsl(y1' Ihc prohillc of the last 11'111 lIllfl ",dl.i1I.') pl'esclllcd hCl'ewith and Ihe gllllll of Ic\lel's___-re~"""~'lIi~'Of (lc~lillncllllll)'; udllllnhtratlu/ll'.l,ll,; ud1111nhtrlllluIl d,h.II,C.t,l',) Iheroll, t 6 '0- '~f 0:" c '0.2 ~." ~~ 30 1l "- Vi C::;~~~__ ___.(. (r\"\"."'2'Y''''~ {n:\ ~d------- lQfLC:..~ct. Q(.,-~(Q . --1)~\\~~--~-- \ 'll.\.j_ ..._,-,_._._---_.~.------_. ---._--~- .._._.~_.._-- -------, ---------- _..__._~----- --~--- --...__.---..~--. .........-.....-.-..--.. OATH OF I)ERSONAL REI)RESENTATIVE COMMONWEAI.TH OF I'ENNSVl.V ANIA } HH COlJNTY OF _..c..........""'_'oe:;;:...\ .....Y:\J________ Tltc pClitloncr(1!l' abo\'e-namcd swcar(s) or allirm(s) Ihutlhc sllfl,'mcats luthc foregoing pelltlon nre il'nc nnd corrcct IOII'c llcslof thc ~no\\'lcd~c uflll hclief or pClilioncrlll nnd thm ns pcrsonlll represen- Illtl\'c/"Jll of Ihc ubo\'c d('ccdcnl I'Clllloucr/"Jllwillwclll~ truly administcr Ihc cm nccording III IIIII', Sworn t(l 01' ,I,ll'fil'lllCd and sUbs.cribcd I C, =1. kWA~W-h=-u__. ~ heforc mc Ihis. . IS;\::' day o( . .. ___ _HU_____. c~' . cJlcl Prv N:Jy,:.I " , trt;t, (ftlf t} j - ...... 2 II 117~y-r'llwlft~! ,:/- 'il(:~:i(;'( r" (/(1 ~ h -";;'~1... /l, This i'i to n'rtH)' dllll fhl' illllll"ll\.ltiOIl ht'IT ~~i\'('IlI" \'IJlIt,tlly llqlll.d 11011I ,Ill Ill'i,l:ill,d ITllifll,t1t' 01 dl',lll~ .dtll~' filt'd willi I.ol'alltcgi'ilr.lr Tht' OIi~\ill,d n.'rtitllilH' willllt' IOIW,lrdf'd 10 Ill(' ."Lllt ViLLI J{('lllrd., ()lIII(' 1111 111'11ll.llIl'1I1 tIling. WARNING: ilia 1II0galto duplicate Ihls copy by photo9tat or photograph. lilt as Fl'" fur Ihi, "'rrifir",,,. $;,00 t-.. ", 2_~:,,,,,-~, \.~&sU.~ I.oud H(~.l.dstrllr ~ 2420080 No. A.lK, \),111' 1~94 HloelUfI4oili'U COMMONWEALTH OF PENHSYLVAHIA' DEPARTMENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH ~IHT ..., ". " ,,~. Howard Gaines nli \.l'IOflllOKf' I "'ITH o.,t 1l4'..., I V:;':,i.. i~"''''''' r.,....., n. .flalo "II"tllll.\06f1l !toXltlUCliM'l'NU.....1II . 705 - 10 - 4520 0J1.OIOII1II~O'/.....1 ..July 30. 1994 " ""'<)IIIL." I. 'r.."e.~ J nlATH ,,~ ~IIIHl"'Cll;I,......, '\..oIIOIOfA1H(t.'I".,I""~f.I'''!'''<''''''IMftft''''14I. h'.",~fV'C(V~" 'l1,ll ]luU HagcratOlm, I..,.....t &l fll.,1A.<,.......l [1 ~ [] ~....W'1 n t... Marvland ~. . l.,\nYlr''''lrt~~''''''''''lI'''I'''''''''Jrvrttol loA C>f:CI~lfifOFlt'sPM,'(; I~ 'ol'kl ""1[J~~1 tt"I(o',c~ ....'<I,','..~~,...." .'C 1'l41~"<tO :t:,,) (J 9; ,,' , , ,.1It '~I~~,tlKlo.\Iot<I'''( ~t.l ::~ \ '" .."'. ..... lI',~ Cmlborlanc1 -....,1 ,,~~ :;'::~;'.::::'I_._C~.r1..iJ!!f~ Ibro. l,l(llHf" 'lUllC I'" 'l.ut U"''''!o''I~t' - Ada /-lItO Mannin9 '.., Hf'IUMIItC'I 'C<<1IU (\I,"" t.,,,,,,,~ ~I"'Q~""" 156 North Granthllm Road: Dlllsbllr9. PA 17019 ",' to'liliOIl,HI"'.~ICI_t'" 'I"'.'""" -r;oc., '1.c.,.i'bIo....."'o'- tlo.""I'IIC' l!L...Rest lIaven Carctoty j'agorsto.-m, I-ID 21740 lCI~~!Ij\J,",,~(~ ._~~r.~,,~ t., I'D 012633 r. -1u~.!). nro~hers Fllneralllaool C<lrllsle, Ph 17013 ~,'~..U,I!l1 ... <ltlt~I)((""'~.111'''''''''' 41.11''''''11''''''1, A I liCl~~'%.VU" rlUl'()~ . /1(,(110.)-- IU'.c'(.I,({r !-.lV ':1(73~ hl.{- "1o'!0I'0EI1.j v' tlAf. A()'I01J1-'CCD ilO. ,.....,Ot'..~l II' , "/o' f () ,'/ .- () ., _ ".t~ Ir,"'"',, 1~'..illt4lNUI..I"f.oI"IIf~lj'QI\I""~I'''''foj''''H''~ Do ''''''iIIt'''odul t..c '!C"d O''''~''~''''''.Jl'OCl..J\tI/1I..... Wo''''''' ,uti L"I.....,_:'<fW.~UI~I". '......IIP/ff-oU. , ~.'..,.4 iHlt~ .k 'h. (~~1!ff~!~i~~~_. ...~.~.~.. ~~t~~:;~,~' l,f~~IUTO'h"..r>r',' \'~""'~,'~iir" - 01/10'''1/\,111' I'''''''OTiiilJ:]' ''''";-';-;-'''''''''''r'''''"~'''''' ,,,..,, ."""."11 ""Oll 10 V'''CI,,.,... c.O,""V\lliO!40'C"IH .1./1 1_] OI'IlUTln '11,,,,.1... IloVo'C.,.. r I r ~l."^' P'"'.~''~I'..I''''' \) 'H '.., 'II Ll ....' U ',<C'" 11 C4A'''"J4~t\j'I'.....-...1 l~J J~c.OfiiiNM..I.I....,.,l"'i";...~,..T.'.~;..,.\:""'194. :OrA'~,!!."7i.ih..'.\t'-- ____._R_ ..,..... "~ ,'or<<'" 1M fl. It tot. _ C.~c':III'~':~~~~.~"I...(I':..' f''''f'q It.w.. ~..., .'", "~.... '" .v., "<III' ,... ,.."" "I" '~1 .....{1....1..... '" ,......II.'.."~....II....H~.,.41~ltlMU"'.IIII""..tMt'..lltlt<l ,." ,." ....."....,.. ... Cur1IDerlnnd Ca.-lislo [,XO. em'HAlo Hospital If S~L No. I '~O _...!:!~~U'N TI\'---~1C::Jf31'tlfrl ~:~~~,r::,t':;",:::.t;1f Western ~luyland "tel I+l~ , Station A ont ~llroad - llCClOI'(T'S lJl.J\f.I(l AOOIIIU!$O"... Ct""",,, h"'~C~1 occiOiHn- ~eTVAl. 442 \'lnln\\t Ebttan Road ~J:'~~~. ,Carlisle, Ph 17013 "...., Ilh"Il'~~UE'" "".... ll,' U,'Mton Goine8 ..., UA I l""'r.:;) GI-ThawA fll11~__ u '''fi601c,o,-OTit.3o,. "...kJ c....'..c~["J .I""o1.I"t,....tt...~ ~'Mr.l oo...''!(.,'.'--------________._ , oQ"'uAOI' , White Il'n~IV'1O !"OUt r""t ~,......"......l , 1" (J "",'*tdt^,,,,..,.. .. . ..., ~;;~~~~~~~=_:..~~\t: "lIoOIfOlJlo(lHQ ANDtlllllnlltQ 'HY'I(W" :"l',v.."t.-~ ~~"""''''''I''U'' O"<l f"II.oq'<lI...ltrl ~"I ".........I""I"4.........IIl'lH."'...III11t""'.,..It.I""~".I...."'It...I....tt(II."""'.~I\"111111" M $...vHIIJAP~O~ ..":' "~~ 1 #J.t) fl.-,'ZI~' '€I j l.-;F---~-fOifil.'~1-'tjf1'---_.. lJ u~_ -0_______=_-1",_=. ~lUI A'I{lHl{llIUOI' 'fll'O~"Or.(,I,I.\1JIPS~lJHOI Df~IH 11.....lllTrrtrIP"., M. Itct.J [) d~ ..v BI/I-rlHt,k t,iYe. II ---_il<J:..!A'-Y....~ f'/l-- 1-1rJ~ {lIlt (,~ f ~ "." '" 't. _ __ \\~~ \C\~~ " '..COlC.l~IU..t"'IlJC(oIllOHIJl .)1\ ''', ...1. '1..."'I~ltlOI\ 11\d1001"'H/'UlIoll, III ""1 OpIM,,~, dUIIl "CYII.d.t l~. II"", ~Il., .Ild ,111','11II "".10 lilt ..,,"(II.1Id IItlll.M...."...... . ,.".... ...... , "..."..." ..,.... .......'"., ..",,,,,...... g. il~&Nl".h'IlI,\~,I,...ftl" . .------- " ('>~~~~_S\___-"~-u.'...\0,,:..<;.\.,,:~v\~c_.___... [Ml",,_WJ I' , i I, .1. HOWARD GAINES, of Hagers town, Maryland, dec lare this to be my will, hereby revoking any and all prior wills and codicils. 1. 1 give, bequeath and devise all of my estate, of whatsoever nature and wheresoever situate, unto my wife, MARY E. GAINES, if she survives me. However, should MARY E. GAINES predecease me, or die within sixty (60) days following the date of my death, then all of the hereinafter stated disposi- tive provisions shall govern the distribution and administration of my estate. 2. 1 give and bequeath the sum of $10,000 in cash to each of my daughters, ROSITA G. RAY and ANNE G. MIL1,ER, and like sums to my grand- daughter, DEBORAH ANNE RAY, and my grandson, JOHN GAINES RAY. If any said legatee predeceases me, his/her legacy shall abate. 3. In my lifetime I have either made inter vivoe gifts of a subatan- tial portion of my personal property, including particularly various clocks. antique furniture alld other similar items, or, as an alternative, I have designated on certain items the name of the person who is to receive same. As to the last-mentioned items, these designations shall be regarded as testamentary in character and shall be gi.ven full force and effect by my personal representative. The balance of my personalty shall be disposed of as follows: (a) I give and bequeath my George Woltz tall caee clock unto the Hagerstown Museum, in memory of our daughter, SARAH JANE GAINES, providing the governing body of said Museum agrees to recognize the gift as such and agrees to maintain said clock as part of ita permanent collection. Should the Museum not so elect, said clock shall be distributed with the residue of my personal estate as hereinafter directed. (b) I give and bequeath my repeater watch to my son-in-law, G. THOMAS MILLER, in recognition of past services, and I give a watch of hie choice to my son-in-law, JOliN G. RAY. The remainder of my watch collection shall be sold by my executor along with the residue of my personalty persusnt to subparagraph 3.(e), below. (c) Any item of personalty which was given to my said hus- '/.. band or me, or to us jointly, by either of our said daughters shall be returned to the respective daughter who gave such item. (d) My 18th century Queen Anne maple highboy shall be sold to the highest bidder among my family legatees, excluding sons-in- law. (e) All the residue and remainder of said personalty, except cash, stocks, bonds, cash instruments, time or demand deposits, choses in action and similar items, shall be 801d at public or private 8~le at such time and place and under such conditions as my executor shall determine, and the net proceeds shall be added to the corpua of the trust hereinafter established. - 2 - 5. All estate, inherit.ance and succession taxes that may be assessed in consequencc of my death, of whatever lIature and by whatever jurisdiction imposed, shall be paid out of the principal of my general estate as if Baid taxes were expenses of admini.strlltlon, and all property included in my taxable estate for federal and Btate tax purposes, whether or not passing under this will, shall pass free and clear of said taxes. 6. If any beneficiary should die within sixty (60) days after me, or within sixty (60) days after any other person the survival of whom deter- mines hia rights hereunder, then such beneficiary shall be deemedl:o have predeceased me or such other person for all purposes hereunder. 7. No interast of any beneficisry of my estate or any trust created herein shall be subject to anticipation or to pledge, encumbrance, assign- ment, sale or tranofer in any manner, nor shall any such interest be liable while in the possession of my fiduciaries for any liabilit.y of such benefi- ciary, whether such liability arises from his debts, contracts, torts or other engagements of any type. )/-, 8. Any amounts which are payable to a minor or incompetent from any estate or trost created herein may. at the discretion of the fiduciaries, be paiel to the parent or guardian of such minor or incompetent, to the per- son with whom such minor or incompetent resides, or directly to such minor or incompetent, or may be applied for the use or benefit of Bueh minor or incompetent. 9. I grant to my fiduciaries and their successors the following powers in the administrat ion of my estate and trust and any minor I s estate - 4 - of which they are guardian, without not ice to or consent of any COUl t, in addition to and not in limitation of such powers as they may hold by law: (a) To retain all or any part of my property, real or per- sonal, in the form in which it may be held at the time of its receipt, aa long as in the exercise of their discretion it may be advisable so to do, notwithstanding that aaid property may not be of a character authorized by law. (b) To invest and reinvest any funds held by them in any property, real or personlll, including, but not by way of limita- tion, bonds, preferred stocks, common stocks and other securities of domestic or foreign corporations or investment trusts, mortga- ges or mortgage participations, and common trust funds, even though such property would not be considered appropriate or legal for a fiduciary apart from this provision. (c) To sell, convey, exchange, partition, give options .to buy or lease upon, or otherwise dispose of any property, real or personal, at the time held by them, at public or pr.ivate sale or otherwise, for cash or other consideration or on credit, and upon such terms and for such price as they may determine, and to convey such property free of all trusts. (d) To borrow money from any person, including any fiduciary hereunder, for any purpose in connection with the administration of my estate or any trust created herein, to execute promissory notes or other obligations for amounts so borrowed, to secure the - 5 - paymenta of such amounts by mortgages or pledges of any property, real or personal, which may be held by them. (e) To make 10an8, 8ecured or unsecured, in 8uch amounts, upon such term8, at such rate8 of intere8t, and to such persons, firms, or corporations as they may deem advisable. (f) To renew or eKtend the time for payment of any obliga- tion, secured or unsecured, payable to or by them, for BS long a period or periods of time and on such terms, a8 they may deter- , mine, and to adjust, settle, and arbitrate claims or demands in favor of or against them. (g) In dividing or distributing any property, renl or per- sonal, included herein, to divide or distribute in cash, in kind, or. partly in cash and partly in kind, 88 they may determine; and to allot specific securities or other property or IIn undivided interest therein to any share or part. (h) To hold, manage and develop any real e8tate which may be held by them at any time, to mortgage any such proparty in such amounts and on such terms a8 they may deem advisable, to lease any such property for such term or terms and upon such conditions and rentalo as they may deem adviaable; and to make repairs replace- ments and improvements, structural or otherwise, in connection with any such property. (i) To employ 8uch brokera, banks, custodians, inve8tment coun8el, attorneys, and other agent8, and to delegate to them 8uch - 6 - " dutie8, right8 8nd power8 aa they may determine, and for 8uch period8 as they think fit. (j) To regi8ter any aucuritiea at allY time in their own namea, in their nameA as fiduciary, or in the namoa of nClminoo8, with or without indicating the truat character of the securitioa 80 regiatered. (k) To exerciae all electiona which they may have with reapect to income, gift, eatate, inheritance and other taxes, including withou~ Limitation execution of joint income tax returna, election to deduct expenaea in computing one tax or another, election to aplit gifta, and election to payor to defer payment of any tax, in all event A without their being bound to require contribution from any other person. (m) None of the power veated herein ahall relieve my fidu- ciariea of compliance with the "reaAonnble prudent man" rule. 10. I appoint my wife, MARY E. GAINES, aa the Executrix of thia will. If ahe ia unable to nct or continue to act in such capacity, then I appoint in her place and stead with the same powers and duties, my aon-in- low, G. THOMAS MIJ,LER, and if further alternate executor a are necessary, my granddaughters, SARAH G. MILLER and LESLU; A. MIUER, and my grandson, THOMAS R. MILLER, sholl serve in turn. Further, I appoint the said G. THOMAS MII.LEK as Truatee of the tl'ust herein created, and guardian of the estate of any minor taking hereunder, and if he is unable to act or to - 7 - HE,d500 ,,; 111911 (, .Y_I(. I ( /4 -~:;l.,'7 - I () INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILL~) COUNTY CODE 2194 .ofcfDENR\:oIY\PLETE - ^(;DRE.s~ YEAH 1994 ~ZJB1R 15 __ _~____ ~~~l~~~~~~; H~::~_~ ;~~;:-~J;~;15~T~'~9~ . ~ [Xl 1. Original Rolurn [] 2. Supplomenlal Rolurn :.:~~ lrl"-OOO I:J A. L1miled E"alo [] Aa. Fulure Inlere,l Compraml,e is..... Ifor dale' 01 dealh after 12.12.821 ll;1ll [XI 6. Decedonl Died To"alo [1 7, Decedenl Mainlolned a living Trull _0_.8. _~__ (Attach copy 01 Willi IAttach-,aeL~I..Tru'!L . . ______ ALL CORR!SPONDINCe AND CONPIDENTIAL TAX INPORMATION SHOULD BE DIRECTED TO. 1:1..' I; NAME - :r;OM~"ITMAi[iNG7'liD'E\\ .. ~ G. Thomas Miller 108 Gilbert Road o z ff'LIPITONnruMif"------.---.------------------n -------- Di 11 sburg PA 17019-9511 VO ___,--'=-__ ~~L.2}"-l-L-.2 3? - 0 l? 0 -=----~~=-c=,=_'''''c==''-''''''=''cc_'''cc,=''''_",.=, . 1. Real E.lale (Schedulo AI I 1) -0- 2. Slack. and Bond. ISchodulo BI I 21 763, 038 . 26 3. Clololy Held Slock/Parlnorship Inloro" (Schodulo c) I 3)_-0- A. Marlgago. and Nolol Rocolvablo (Schodule 01 ( A) ,-0- 5. Ca,h, Bank Depo.il' & Miscellanooul Porsanal Properly( 5). 11,6.67.._12___..__.__....__ (Schodule EI 6. Joinlly Ownod Praporly ISchedule F) ( 6)-0- _________n'__. 7. Tran.fers ISchodulo GllSchodulo LI I 7149, Q(j.P_'.99___ ______00__.. 8. T 0101 Grall Allets Ilolalllno. 1.71 9. Funoral Expon.o., Admini.tratlvo Co.I.. Miscollanoou. I 91 .._.31,f>!3_()__._!3.~.______.__ Exponlo, (Schodulo H) 10. Dobl., Mortgaoo llabllilio., lion'ISchodule I} (lOI-:"-Q=----.,-____________ 11. Talal Doduclion. (tala I line. 9 8. 10) (11) __3.L,.li50_._53_____.___ 12, Nol Valuo of E.tolollino 8 mlnulllno 11) (l217.~.l9_5_~__'--8,?_______.__ 13. Charitablo and Gavornmontol Boquo". (Schodulo JI (13) -:.()_:.___________~__.__ ____ ____ IA._Nol Valuo SubJoct 10 To, Ilinon~~minu. lino ~:JL_____________________.______l~) ?~.2.-lg.!'i'l,~ii.~:==___=_ / t:.- 'OR OATIS 0' DIATH AnlR 12/31/91 CHICK HIRI IP A SPOUSAL ~()y'IRTY CR~I!I~~~~IM,~~_'J__N/..A___ PILI NUMBlR ./ 5: i'r,~'VA ~:~ \" , ',. '., ,,,. COMMONWfA,lTH OF PENNSYlVANIA t'EPARtMENT OF REVENUE DEPT,280601 h..._)I~RR~S~.~~9.~ PA '7'2~'9~' , N . I, MI INII Thornwal<.l Ilome 442 Walnut Bottom Road Carlisle PA 17013 COO,'! .C.umbl;lf land _ _. ______ u_~_~.__________ [ I 3. Romalndor Rolurn Ifor dolo' 01 doalh prior 10 12.13.821 IXI5. Fodoral Eslalo Tax Rolurn Roqulred Tolal Numbor of Safe Dopollt Baxo. z o 3 E ~ ( 91 _l!.2.3_,..7.!2S......3.,!i______ (15) 792,05.4,..85 .u.___,_ x .06 = .117, 523_. 29__.u z o ~ S "- :Ii 8 ~ 15. Amount of Ilno 1A loxablo at 6% ralo (Includo valuo. from Schodulo K or Schodulo M.) 16. Amounl of lino 1 A la,oblo 01 15% ralo Ilncludo valuo. from Schodule K or Schodulo M.I 17. Principal lax d"olAdd lax/rom lino 15 and from line 16.} 18, Crodil. Spau.al Povorly Crodil Prior Paymonl. _,_______.u____ + .4.2.,. POO (18) (191 44/100.00 (161 _ x ,15 = (17) 47,523.29. Discount +2./100 Inlorest 19. IIlino 18 i. 9,oalor Ihan Ilno 17. onlor Iho diHoronco on IIna 19. Thi.I. Iho OVERPAYMENT, mC1 20. II Ii no 171s oroalor Ihan lino 18. onlor Iho dilforonco on line 20. Thi.I.lho TAX DUE, A. Enlor Iho Inlor..1 on tho balanco duo an Ilno 20A. B. Enlor Iho 1010101 IIno 20 and 20A an IIno 208, Thi. i. Ihe BALANCE DUE, _ Mok. ChICk Payobl. tal R.gl.tor of_Will., Ag.nt Chcck tWIt! if you me loquosting n rofund of your oVD'pClymonl. 3/423.29 (201 120AI 120BI 3,42..3 .29_ __.. ______.._..__.._n... .. _ .________ . . a'-SURE TO ANSWIR ALL QUESTIONSONREVERSE-SIDE AND'fo liiCHECKMATH.-'---- ------- Under fJenall1el of parlur)', I declare thai I have 8Komlnlld 'his return, Including accompanying ICho'dul(ll-and-;;~lomenh, and 10 Iho hetl of "'y ~n;wlodgo and belief, Ills truo, correcl and complete. I declare tnal all roal ellalll has boon reporlod ollruo mCHkul ....Cllufl. Ooclorullon of proparor olhor Inun Iho porsonal feprel"ntatl\le II baled on alllnlormn Ion 01 which pr~er hal any knowledgo. :::::::~~:REI~;s~~kf;;::;:::-~----;8~::;,L~ be r t R 0 ad -D i 11 s bur g PAl 70 1 9 :n:aY~_~_-'__-1..~~-5 ___ G. Thomas Miller . , , , 'I' , I ,. ( ,.' iI' " , , /' ' ,: ,< ' " " , , I , . " ,I, .. I " " , I PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (,,) IN THE APPROPRIATE BLOCKS. .'" , YE5.NO , 1. Old decedent make a transfer and: a, retain the use or income of the property transferred, """""...,,,..,,.,,,,,,,,,,..,,,,,, X b, retain the right to designata who shall use the property transferred or Its Income, c, retain a reversionary in'terest or ...............,...........,,'..................................,.t. d. receive the promise for life of either payments, benefits or care? ",,,,,,,,,.,,,,.,,,,,, 2. If death occurred on or before December 12, 1982, did decedent within two years preceding death transfer property without receiving adequate consideration? If death occurred oller December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? "...."""""..,..",,,......,,,,,,,,......,.. X 3. Old decedent own an 'in trust for' bank account at his or her death?...."""........,,. X IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. ..-;r l~ '" ,~ H .-, -'/) jr.1.. ',' ,-. "..-1' , o. , , , t;'J >~ . ~ I ',.r-;' ,~ " i! '_II II m '. .1.1 ~I '8 ",I (ucc W Ct: . I 1J I' I " ,. " I ,\ "V,IIIO II. 12,871 ~~ COMMONWEAltH Of PENNSYlVANIA INHI!I'ANCI lAX UlUIN .11 IOINl OIClDINl ESTATE OF SCHEDULE G TRANSFERS PlEASE PRINT OR TYPE J. Howard Gaines FILE NUMBER No. 1994-00715 PA No. 2194-0715 THIS SCHEDULE MUST BE COMPLETED AND FILED IP THE ANSWER TO ANY OFTHE QUESTIONS ON THE REVERSE SIDE OFTHE COVIR SHIIT IS YIS. IlEM I OESCRIPlION OF. PROPERlY EXCLUSION lOlAl VALUE OEiO' 8PblE~~~~V,ES NUMBER 'ndud. nomo of In,',onI111,.., Ih'lt (,fal,ont"'p /u (/flCodent, dole of !tonl(". Of ASSET INY. INTEREST 1 . Cash - Rosita G. Ray/ dtr. 2/18/9 3,000 10,000 100% 7,000.00 2 . Cash - Anne G. Miller,dtr. 2/18/9 3,000 10,000 100% 7,000.00 3. Cash-John G. Ray,grandson 2/18/9 3,000 10,000 100% 7,000.00 4. Cash-Deborah A. Ray, granddaughte 2/18/9 3,000 10,000 100% 7,000.00 5. Cash-Leslie A. Miller,granddaught r 2/18/9 3,000 10,000 100% 7,000.00 6. Cash-Sarah G. Miller, granctdaught r 2/18/9 3,000 10,000 100% 7,000.00 7. Cash-Thomas R. Miller, grandson 2/18/9 3,000 10,000 100% 7,000.00 .'1, (' . . _____;..._. ~.._.___.,.. __h._..~......._. .__.."__ t- .. ____.____._._. .____ . . ,_ TOTAL.{AI.o on'or on IIn. 7. Roc.pll,lollon)$ :~9-, 000.00 (II more IpOCll1 n"d.d, In.erl nddillonallhe"1 0' 10m. '/10,' ,11".1511"-+(1'''1 ~ SCHEDULE H I FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELL~NEOUS EXPENSES _ _._ Plea.. Plln' 01 Tvp. Jill "U~BIR No. 1994-00715 PA No,--1D4-0}15 DESCRIPTION AMOUNT ~~ COMMONWIAlTH OP P1NNlVWANIA INHIRITANCI TAR RIIURN RlIIOIN! OICIOIN! mATI OF J. Howard Gaines ._-.---~ ITEM NUMBER A. Pun"al hp.n,," 1. Coffman Funeral Home, Hagerstown, MD Rest Haven Cemetary, Hagerstown, MD C.R. Darner, Hagerstown, MD, Grave marker inscription Anne G. Miller, Reimbursement for expenses of post- funeral reception & refreshments To'rAL FUNERAL B. Admlnl,',allv. Co.," 4. C. 1. 2, 3. 4, 5, 6. 7, 8, 1. Perlonal Representative Commllllonl Soclol Security Number of Perlonal R.prellntatlvll Year Commllllonl pold 1 995 16 - 1999 178 2, Allorney Feel None 3, Family EKemptlon None Claimant Address of Claimant at decedent'l deoth Street Addrell City Zip Code Relotlonlhlp State Probate Fell Cumbo Co. Register of Wills..probate fees Cumbo Co. Register of Wills-short certificates Mllullan.ou. bp.n"'1 Postmaster, stamps 4,823.50 440.00 75.00 94.00 5,432.50 25,000.00 466.00 6.00 29.00 Long distance telephone expense 21.03 Carlisle Hospital - expenses of last illness 696.00 (If mall .pac. I. nlld.d, In.." addlllonal .he.,. of .am. .Iz..) TOTAL (Allo enter on line 9. Recapllulatlonl $ 0 5 31,65 . 3 V~EV-1547 EX AFP (12-94* C_AL IH OF P1:HNSVLYAllII IlEPARIHfNI OF REVENUE BUREAU OF INolYIDUAL IAXEI IlEPI, 210601 HARRISBURo. PA 11120-0601 /'I.;}..;),9-/b. C/ NOTICE Of INHERITANCE TAK APPRAISEHENT, ALLOWANCE OR OISALLOWANCE Of OEDUCTIONS AND ASSESSHENT Of TAK ACN 101 DATI! 07-31-95 FILE NO. DATI! OF DEATH 07-30-94 COUNTY CUMBERLAND NOTE, TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SU~IT THE UPPER PORTION OF THIS FORH WITH YOUR TAK PAYHENT TO THE REGISlER Of WILLS. HAKE CHECK PAYABLE TO "REGISTER OF WILLS, AGENT" REMIT PAYMENT TOl tl THOMAS MILLER 108 GILBERT RD DILLSBURtl PA 17019 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 r Aoount R.oltted CUT ALONll THIS LINE ~ RETAJN LOIlER PORTION FOR YOUR RECORDS ..... REV: i5'4-i-EiCA;:p--nZ'":94i--Ncii'"iciUOF" X"tiHiifii'Aiici"i'"A"x" APP RAisii(ENi'~""ALi:owAiici"cjR-"""_"""m--m" DISALLOIlANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATI! OF GAINES J H FILE NO. 21 94-0715 ACN 101 DATI! 07-31-95 TAX RETURN WAS, I X I ACCEPTED AS fILEO I I CHANGED RESERVATION CONCERNINll FUTURE INTEREST " SEE REVERSE APPRAISED VALUE OF RETURN BASED ONl ORIGINAL RETURN 1. R..l E.t.t. lSoh.dul. Al II) 2. Stooke Ilnd Bond. ISc""dul. Bl 12) 3. Clo..ly H.ld Stock/p.rtn.r.hlp Int.r..t (Soh.dul. Cl (3) 4. Hortg.g.'/Not.. Reo.lvobl. ISchedul. D) (4) 5. Cuh/BIlnk D.podto/Hhc. P.r.on.l Prop.rty ISch.dul. El IS) 6, Jointly Owned Prop.rty (Sch.dul. f) (6) 7. Trend.r. (Sch.dul. G) (7) I, Totd Au.to .00 763,038.26 .00 .00 11.667,~? .00 49.000.00 III 823,705,38 APPROVED DEDUCTIONS AND EXEMPTIONS I 31,650.53 ,. Fun.r.l E.pen.../Ado. Co.t./HI.c, E.p.n... ISohedul. H) (,) 10. Debt./Hortg.,. Llobllltl../Llon. ISoh.dul. II (10) .00 11. Totd Deduotlon. Illl 12. N.t V.lu. of T.. R.turn 1121 U. Ch.rltobl./Gov.rnoentol B.quuh ISch.dul. JI (15) 14. Net V.lu. of htoto SUbjoct to To. (14) _ NOTEI If an a.......nt wa. 1..u.d pr.v1ou.ly. 11n.. 14. 15 .nd/or 16, 17 and 18 will refl.ct figur.. that includ. the tot.l of ~ r.turn. .......d to data. ASSESSMENT OF TAXI IS. AMOUnt of Lln. 14 .t Spou..l r.t. 16. AMOUnt of Lln. 14 t..obl. .t Lln..l/Cl... A r.t. (161 17. AMOunt of Line 14 t..obl. .t Coll.t.rll/Cl... B r.t. (171 II. Prlnol..l T.. Ouo TAX CREDITS I PAYHENT OATE 10-28-94 05-02-95 ~l.Ii~O ~3 792,054.85 .00 792,054.85 US) .00 K ,03. -- " 792.054.85 K .06. ,00 X .15. 1111 .00 47.523.29 .00 47.523.29 RECEIPT NUHBER MM913136 AA047714 OISCOUNT I + I INTEREST (01 2,210.53 1,64- AHOUNT PAID 42,000.00 3.423.29 TOTAL TAX CnEDIT BALANCE OF TAX DUE INTEREST TOTAL DUE 47,632.18 108,89CR .00 108.89CR 1: . IF PAID AfTER DATE INDICATED, S~E REVERSE fOR CALCULATION Of ADDITIONAL INTEREST, I IF TOTAL DUE IS LESS THAN II, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTEO AS A "CREOn" ICRI, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE Of THIS FORH FOR INSTRUCTIONS. I ,.' " , L1' t.~ l',J 'hi 'U! ,.. :;.1 (1. 1-) ~.. , ~:r. ,', " " ;::1' , .... '\'1 , 1""\ ."'1 , " ::1, ., 0, 'ill Cl p , I) ii.\ t'\ ~\ f: IIJt:C: ." oJ q:: " ," " " I' '-I " " (i' " '.',1 ,. REIIRYAII~I E.I.I.. ., doaodonl. dVlnt on .r bol.r. OI.....r II. I.AI -- II any lulur. Inl.,..1 In lho ..1.1. I. I,on,'.rrld In po""IJ~ or enjov-.nt to el,.. . (collatarll) beneflcl.rla. of the dtotdlnt .ftlr thl Ixplratlon of any I' tat. for I1f~ or for VI.r., thf Co.IOnwe.lth hereby Ixpr.s,lv rl'lrY" the right to appr,I.. and ...... tran,f.r InherltlnGl 'IHI' It thl l.wful el,.. I (col11'ar,1) rut_ on any .uch future Int.r..t. PuIlPoIIIlI' HOTlCE' To fulfill thl requlreeent. of Slatton Zl~O of thl Inherltenol end E.t,t, rlx Aot, Aat ZZ of 1991. 72 P.', ,..lion 1110. PAVltEHT, DltlOh thl top portion of thit Notle. Ind lutMllt with your PIY..nt to thn Rlaht,r of NUll prlnted on thl r'VIrIt .ld1J. "HIk. .....k .r ..... .rdo, p....l. I., REGISTER OF HILLS, AGENT All p.Yltntt received .htll fJr.t b, app114d to anv Jnt.re.t which "V bI due with any r.I.lnder applied to thl t'H~ OIJl!CTlIIHt, A refund of . tlM credit, which WI' not requ..tld on the TIM R.turn, "V b. r~.tld bv co.,l.tlng en "Applloltlon ,for Rlfund of Penn.vlv,"l. Inherltancl end E.tet, Tlx" (REV~lSlS). Applloltlon. Irl IVlllabl. It thl Offlc. of thl R"hhr of WIUI, anv ot thl 2S RevlnUl Dhtrlct Offloll, or bv olUlng the .peolll 24-hour an,werlng ,ervlol nutbtr. for for.. orderlngl In P.nn'Vlvant, 1~1~0-S62-20S0, out.lda Penn,vlvant, end wllhln 1...1 Hlrrlobo', Ir.. (111) 111-109.. 100' (111) 111-1151 (Holrlng lap.lr.o Only). Anv ptrht In Intlrllt not ..ttlfled with t~. Ippr,hl.."t, IUowan(ll or dl"UOtflnce of d.duotlonl, or ......Hnt of t.x (Inoludlng dl,count or Int.r..t) .. .hown on thl. Hotlo. lU.t Obj.otwlthln .IMtV (60) dlV' of r.o.lpt of thlt NoUc. bVI --written protl.t to the PA O.,lrt..nt of Rlvenue, laird of APPII1I, Dlpt. 281021, Hlrrl.burg, PA 11121-1021, OR ....llOtlon to hive thl ..Uer detertlned It eudlt of the 10COI.I\t of the p.rsonll rlprlltntlUvl, OR ...epptll to thl Orphtn.' Court. REFIIGl (CR), A~IN I"RATlYl! CllR!ll!CTTIIHt' IHIEREIT' FlOtUlI Irrar. dlsoov.red on thl. ......-.nt .hould b. Iddr...ed In writing tal PA Btplrt.tnt of R.vtnUl, lur.1U of Individual TIM", ATTHI P~.t A.....-.ot R."I.w Unit, Dept. 210601, H,rrl'burg, PA 11128.0601 Phone (111) 787-6S01. S.. P'" S of thl booklet "In.tructlon. for Inhlrltancl TIM R.turn for I R..ldent DeoedMlt" (REV-ISO!) 'or In .Mpl.".tlon of Idllnhtretlv..lV eorreot,bl. errors. If tnV tlX due I. p.ld within thr.e (S) olllnd.r eonth. Ift.rthl dlcedent" d.lth, . fl"e percent (IX) dl.co~t of the t,JX p.ld 11 Illowld. Int.r.,t I. ohlrQtd beginning with 'Ir.t dlV o' dellnqulncv, or nln. (,) IOMth. end ani (I) dlV 'rOl thl dltl of dllth, to thl dlt" a. Plvunt. TIMII which blo... dlUnqutnt blfore Jenulry 1, 19'~ be., Int.,lIt .t the retia' 11M (6~) ~rctnt plr annul cllcul.tld .t I d.llv retl of .000164. All tIX.. which bIG... dellnqulnt on end I.ter JlftVlrv 1, 1912 will bllr Inter..t It e r.t. which will vIr V fr~ oll.ndlr v..r to cIllnd,r v..r with thlt rltl tnnOuncld bv the PA O.p.rt.ent of Rlv.nue. Thl eppllc.bll Inter..t retl' for 1912 1hrough 1'91 Irll OIICOUHT, Vllr Inttrllt Rite Dellv tnt.r..t Factor ~ !!l!!rllt R.tl Dill. Interllt Flctor - 1911 lOX .OOOS.I 1911 9X .0001.1 1915 16X .000151 1911.1991 llX .000101 1914 lU .000101 1991 9X .0001.1 1911 IJX ,000lS6 1995.199. 1X .000191 1.16 lOX ,00011. 1995 9X .0001\1 ...tnt""t II G.loulltld I' fallowlI INTEREST . BALANCE OF TAX UNPAID X NU"BER OF DAYS DELINQUENT X DAILY INTEREST FACTOR '....Anv MoUel lulled 1ft., thl tlM bee",I deUnquent will refl.ct en Inter..t CIlcUlltlon to fifteen UI) din bevond the d.tl of thl euell.."t. If PIYHnt II ltd. Iftar thl Interllt coeputltlon d.t. .hown on thl Notlel, acHIUorwl 'Int.,lIt ltU.t be cllcullted. I 'I v/ REV.160? EX AFP (12.94. COHMoHWEAlIH Of PENNSYLVANIA IIf:PAIllHENI Of IlEYl:HUE IUREAU Of INDIVIDUAL TAXEI IIf:PT. 110601 HARRIIIURG. PA 11111'0601 If-ad 9.- /0 ACN 101 cL INHERITANCE TAX STATEMENT OF ACCOUNT DATE 09.11.95 UTATE OF GAINES J H FILE NO 21 94 0715 DATI OF DEATH 07-30-94 COUNTY . CUMBERLAND NOTE, TO INSURE PROP~R CREDIT TO VOUR ACCOUNT, SUB"IT THE UPPER PORTION OF THIS FORM WITH YOUR TAX PAVHENT TO THE ADDRESS SNOIIN. "AKE CHECK PAVABlE AND REHIT PAVH~NT TOI , G THOMAS MILLER 108 GILBERT RD DILLSBURG PA 17019 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 L AllOUnt R..Utld I CUT ALONG "H18 LINE ~ RETAIN LOWER PORTION FOR YOUR FILES ~ iiilv:i6'(i'f.iifAFp..m...94r-.....liilii.iNiiERiTXNCif.i'AX..STA"fEHifN'i'.'(iii.ACciiuiif...iili..................... ESTATI OF GAINES J H FILE NO. 21 94-0715 ACN 101 THIS STATEHENT IS PROVIDED TO AOVI$E OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHEO ESTATE. SHOWN BELOW IS A SUH"ARV OF THE rRINCIPAl TAX DUE, APPLICATION OF ALL PAVHENTS, THE CURRENT BALANCE, AND. IF APPLICABLE, A PROJECTED INTEREST FlOURE. DATI 09-11.95 - DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 07-24-95 PRINCIPAL TAX DUEI_________ PAYMENTS (TAX CREDITS), 47,523.29 PAYMENT DATE 10-28-94 05-02-95 08-23-95 RECEIPT NUMBER MM913136 AA047714 REFUND DISCOUNT (+) INTEREST (.) 2,210,53 1.64- .00 AMOUNT PAID 42,000.00 3,423.29 108.89- TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREllT TOTAL DUE 47,523.29 .00 .00 " IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. I IF TOTAL DUE IS LESS THAN fl, NO PAVHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" fCRJ, VDU HAV BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS, I ,00 \. .. I, .. , ~.I . ..... ,., r. I , , '1'1 l\,., .. :> ([ ,.10 PAYMENT I DltlOh the tOft portion of thh HoUal Ind ,ubIIlt with Y04Jr pavant lade pIVlbl1 to thl MH end addr... prlnttd on tM rly,rll llde. __ 1/ RESIDENT DECElIENT .ole. chock or ...... ardor p..obl. tal REGISTER OF WILLS, AgENT, .. 1/ HON-REIIDENT DECEDENT .ole. chod< or ...... ardor p..obh tal r.ottItOltIIEAL TN OF PENNSVLVANIA. All plYHOtl recllved .hell bI eppllld Ur.t to WlY Int.,II' which '1" be duel wlth any r...lnd1r IPPlled to thl talC. RULI(I) (CAli A r.fmd of . tlM crtdit, which w. not r~.tld on thl hI( Rlturn, ,IY be r.qutlted by co.pltU"" In "Application for Refund 0' Pennlylvlnlt Inherltencl and E,tat. TIM" (REV-ISIS), Applloltlonl ar. IVIllabla at lM QIUe. of the Right" of N11l1, eny of thl 25 R.venue Dlltdct OffiCII or 'rOIl the o.plrtHnt" 24-hour anlwtrlnt ..rvlel nu-bar. for for.. ordtrlntl In P~.yl~l. 1-800-362-2050, outtlde Penn'Ylvanta Ind within locll H.r~l.burg .r.e (711) 717-1094, TDD' (717) 712-2252 (Hltrlng 11911rtd only), REPLY TOI QulIUon. r'glrdlng .rrorl aontalned on thll ooUc. should be Iddrllud tOI PA o.p.rt.....t of R.ytnUII, Iur.1U of Indlvldull h)CtI, ATTNI po.t .....nent Rlvl... lklU, Dlpt. Z80601, HlrrltbYrg, PA 17121-0601, phone Iml 787-6505, DISCOUNT I If eny taM due JI paid wJthln thr.. (]) 'II.ndar lonthl aft.r tha dtcao.nt'l death, I fJye percent (SX) dllaount of tM hM plld II .llowed. INTERESTl Intlrut 11 chuged biglMlng with flr.t dlY of delinquency, or nine (9) .onth. and OM (1) day frOll the dati of dtlth, to thl d.te of pIYHnt. TaI(II which *__ d4Illnquent b.fare January 1, 191Z blar lntuut at tM rlt. of ,II( (6~) pereant per annul calculltld It I dally rat. of .000164. All tax.. which bee... d.llnquent on and aft.r January 1, 191Z wlll bear Int.r..t It . rata which will v.ry 'rOIl c.llndar y..r to calendar y..r with thlt r.te annooocld by thl PA D.putllnt of FfIVenlM. The appllcabl. Interllt ratll for 198Z through 1995 .rll Vllr Intlr..t RltI D.J1Y Int.r,"t Flator Vtlr Interllt Rlt. Dally Int.r..t FlOtar 1982 m .000541 1917 9~ .000247 1911 16~ .oooua 1911-1991 IU ,000501 19" III .000501 1992 9~ .000247 1915 m .000n6 199H99<\ n .000192 19" 10~ .000274 1995 9~ .000247 utnter..t I. c.leul.t,d '1 follow" INTEREST . BALANCE OF TAX UNPAID X NU"BER OF OAYS DELINQUENT X OAILY IMTEREST FACTON ..Any NaUc. IIIl*t .fter thl tI)( becOlll' delinquent will refltet IIn Inter..t c.lculltJan to flft.., UIl dlYI b.yond thl dlt. of the ......HOt. 11 pI't"flt I, IMlie flfter thl lnterllt CUllPUt,Uon cttt. IhcM1 on the NoUc., addlUOMI Inter..t IlUlt be calculltld. PURPOSE Of NOTICE' PUHt:HI I REFUHD I CR I' To fulfill the r.quirt..nt. 0' Slot Ion Z14S (b) of thl Inherltlncl and Elt,t, TIM Aot, Aot 22 of 1991. III P.S. Soot Ion Il~SI. Detlch thl top portlon 0' 'hh NoUCI Ind .ubllt with your pIVI.nt to thl Alghter of Willi pdnt.d on the r.v.r.. ,Ide. u H..o ohook or oono. ordor po.ob'o to, REDISTER OF MILLS, ADENT. All ply.."t. r.celv.d thlll bl IPpll.d flr.t to .ny Int.r..t ~hlch ..y bt dUI with any r...lndtr Ippl1.d to the tlx, A r.fund of . '"Ie crtdlt ..y bt ,.qutlttd by c:oIIP1'tlnt an "AppUutlon for R,fund of PIMlYlvanlt Inh.rltencl and Elta" TaM" (REY~UU)' Appllcation. aru IVIllable It tht OfficI of thl R.ght.r of Willi, any of thl 2J R,VlnUI Oll,rlot OfficII or frat tll. Olp.rt.lnt', 24.hour anllflrlng urvlcl "ueb"l for for.. ordtrlngl In P,n",vlvlnll 1.aOD-S6Z-:!050, out.ld, Plnn'vlvanla llnd within 100.1 ttarrhburg ar.. (717) 787-8094, TDD' (111) 172-ZZ52 (Hllrlnw Inp.lred Only), OBJECTIONSl Any p.rty In Int.r..t not I.tl.fl.d with th. ........nt of taM II thown on th11 notice ..y obj.ct within .IMtV (60) dlYI 0' r.c.lpt of thl. Hotlc. bYI "writt.n proU.t to the PA O.parillnt of Ra",.nu., Board of APPllll, D.pt, 281021, tl"rrhburg, PA 17128.1021, OR ...lactlng to ha",. the lIlattar datar..lnad It audit of thl Plrlonll rIPr,..ntltlv., OR --apP"l to the Orphln,' Court, 'ONIH- lITRATTVE C DRRE C II ONS , IHIERESII Flctual error. dllco",.r.d on thll 1III'.....nt should b. addr....d In wrltlflg tOI PA DIPartl'llt of Rav.nue, Bur.1U of Indlvldual 'al(", AUHI po.t .........nt R,,,,lew Unit, DlIpt, 280601, Harrhburg, PA 17128.0601, Phon. (117) 787.6505, S.. pig. 5 0' the bookl.t "In.tructlons for Inhlrltancl Tal( R.turn 'or a R..ldant Decad.nt" (REV-ISO!) for an upllnaUon of aIJ.lnhtratlv.lv corrlohbl. Irrors. For rlat'l 0' d..th on or a't.r 10-3-91, Pennlvl",,,nla E.t.to Tal( ba.ad on thl f.daral Estata T.x r.turn blco... dalln~u.nt at the 'I(plratlon of nln. (09) lonth. 'roe the natl of d.ath, For d.t.. of dlath prior to 10-3-91, P.nn,Ylvanil E.tat. Tax basad on thl F.dtr,l E.t.tt "1( r.turn b.co... dllJnqutnt .t the 'I(plratlon of Ilght.an (18) ,0Nth. frol the d.ta 0' d..th. Tll(a. which blel" d.llnquant b.fera January 1, 198Z b.ar Int.ra.t at tha r.ta of .11( (6%) p.ro.nt par ann~ c.lcull'ltad It . dlllv rat. of ,000164, All tu.. which baca.. dallnquant on or after JlnulrV I, 1982 will bur Inter..t at a rata which w111 vary fro. eal"'dar yur to ellandar v.ar wlth that rata announeaa bV tha PA E1apart.,nt of R.vanu.. Tha applicable lntar..t rat.. 'or 1982 thrO\lgh 1996 .rll '!!!! Intar..t Rita Oallv InUrut Factor !!!r Intarut Aa'a Dallv Intarut Faotor 1911 lOX ,000548 1981 9;: .ooom 1901 16X ,000458 1988-1991 IlX .ooom 191~ IlX ,000501 1992 9Y. .ooom I98S ISX .ooom 1993-1994 IX ,000191 1986 lOX ,000214 1'J95-1996 9X .ooom ..Int"..t It c.leuhtad .. folloWl1 IHTEREST . BALANCE OF TAX UHPAID X NUnBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR .-Any Hotlel l'luad .ft.r the tll( bleoM,' dallnqu.nt will rlfllct an Intaralt calculation to flfta.n liS) dlYI blvond tha d.t. 0' the 1'lI....II.n\. If pay..ant I. IIIdl aftar tha Interut co.putllltlon dati .hown an the Hotlel, additionll Intar..t lust b. ea1culltad, ~CI' 1II11ct!, PAYIlEIIT' _lelll' " I", , ; ( I .' "1 To fulfill IhI ,,,,,,1,_1. of Slott.., 2141 lbl 0' IhI Inhe,II"",. ond EoIII. TIlC Aol. All 22 0' 1"1. (72 P.I, Slott.., lI4ll, DetlCh thl top portion of th1l MoUe. end lubIIlt with VOU~ PIPlnt to thlllllllt,r of Nlll1 printed on the reyer.. ,ldel -- Mole. _ 0' _y o,do, p.yobl. 10' REOllTER OF MILLI, AOEHT. All ptIWMntl nOllvN shill be IPPUICI fir" to InV Int.rll' Mhlch NV bI dut with WlV r...lnder eppUId to thl tlllC. A refWMi of . 'IX oredlt AV' be r,",""tld bv ClOllPlltlng '" "&PPl101Uon for R.flWld of PennlvlY",., Jnhlr.tIIno. ... Eltl'l Tax" CREV"UUJ. Application. Ir. IVIUIbII at thl Offlo. of thl Attht.r of WUlI, any 0' the Zl R,venue Dl.trlot O'flo.. or fr~ thl o.plrt-.ntt, Z4~hour en'Vlrln. ..rylcI nu.blr. for 'or.. order!",1 In Penn.vlvlnll 1"IOD~S6Z.2050, outllde Plnn.vlv~l. Bnd withIn 10011 Hlrr'lbur. _r.. (717) ,.7-1094, TOOt (7171 772"2252 (Ho.,lng I...l,"d Onlyl. OIJECTJONSI Any plrty In 'ntlrll' not lit hUed with thl au,uMnt of 'IIC '1 .hoNn on thh notlc. AV obJeot within IIxty <60J dlV. 0' I-Kelpt of thlt NoUce by. -....rUtin prot..t to thlt PA DlplrtNnt of RevtnUI, Baird of App..lI, Dept. 281021, H,rrllbur., PA 17121"1021, 0" ul1eoUng to hlvl thl "UIr deter. Inlet .t audit of the Plrsonll rlPruentlUvI, OR --1PPI.1 to thl Orphan.' Court AlIIlIN- IITUlIY! C_CTlONllo INTEREIT, Faotul1 .rror. dltcaVIrM on thh .....lMnt Ihould bti addre..ed In ..rlUng tOI PA Depart...,t of RIVenue, Iur.1U 0' Jndlvldutl Taxe., AT1"1 POlt AIIIIs.ent Rlvl... Unit, Dept. 2.0601, Hlrrl.bUrg, PA 1712'''0601, Phone (711) ,.,-6505. S.. p.,. 5 0' thti booklet "In.truotlonl for Inhtrltll'lCl TIM Atturn far. Auldent Dtcedtnt" (REV-IS01) far en .xp1~tlon of tdllnl.tr.tlvI1y corrtottblt .rrorl, AddltlDnll Ptnnlylvlrtl. Elt.t. Tlx ..I.111d 'I I r..ult of , chlnge on thl Ftder.1 eltttt TIX olallng I.U.r beoOM. dtllnquent .t thl .xplrtUon of OM (1) looth frOll tI'M dttl thl flntll noUce 0' tht 1M"'" In F.r,1 Ettlte Tlx It rtcelvld. T.x.. which beG.. dellnquent blfore J~rv 1, 1912 betr lnterllt It thl ret. of .Ix U:O percent Plr InnUI c.lculetld It e dlllv rlt. of ,000164, All tlXII whluh HeI..e dlllnquent on or IH.r JtnUlllrv 1, 1912 ..111 bur Inter..t .t I rlt. which ..III v.rv frOll c.lend.r v..r to a.llnd.r y..r with thet r.te ennounttd bv thl PA DIP,rt,,"t 0' RlvlnUI. ThI IPPllctble Intere.t r.te. 'or 19.2 throuth 1996 Ir" ~ '"t.r..t It.h n.llv '"hr... f:'lM.tllr iIIr '"tara.t g.t. nallv 'nhraat f:'AfIttlr 1912 2U .001541 1917 ?X ,000147 1911 IlX .OOOUI 1916"1991 IIX ,000101 1914 llX ,00OSOI 1"2 9X .000147 1915 IJX .00OSS6 199J" 1994 7X .000192 19" IU .000274 1995"1996 9X .000147 u Interllt I. o.leul.tld ,. follo,," INTERElT . BALANCE OF TAX UNPAID X NUNBER OF DAYB DELINQUENT X DAIL~ INTERElT FACTOR ....Any HoUce I..u.d .fter thl t"x btcOlll. dellnquent will rtUlct In Interllt c.lcullUon to flftHn Oil d,V" btivond thl dete 0' thl ......Nnt. If PIYHnt II led. Ifter thl Interut CaputlUon dlte .hown on thl NotlCI, IddIUCM'\I1 Int"..t lU.t bl allculltld. I, .., 60'1........,..... "~ , , i' " , , ,,,, " " ,. ", " '" , '" I,I/. , . " , , , , , " ,. " , , , , .. ," "'~ ." , I: \." " ~ "I' , jl' ", ,. , " " , ',. "i, '1,: .. ", .1'" 1'.' "",1' "., II , , "I' .' " " , "I, 'il< ii' ',' , ili " " " Ii '.1 " ", ,. ,I . ;~ii'!.rf1\it(r:r'I:'-"j.."I;;Cr)!,\IWif~~'!,"'n~rlf1"/,\~~~',~.'~J',~ii\~II"::/I':\1-'J \Ili( :,,,', , " : irli, "..,.t7f'lll,\!iJW\\Il~lmllW:ll"',.."".".'f. "/'''' h" . ." .. ",-: Th- Ili:y;::njY'!i'~:lj " , ,I" , ,'\ 'J I "II." "1.1' In ~ '~" . \ 'I" "'I.."',I,..-,...,""'".,'....,,r,..,,,,'.'-',';'::{,~_~;~"',',';,:'!,:Uf;'\" 'I" I't{\ I~", 'tAW, 'O~FltI.8, " . " ", : lIV/~,ilt'\I"'I; !i';}'~ I ":t\1,' '0 ". q , I. .1"'IIII.tl,,:.,I.',,~..-i:'I,'U,I,',',,\',-'; ,i. "~I' "I..lIILLEAANOl'ILLER 01 1_/:l)'_if\,\I."~_"'i."lt.:'j"'(':'I!'._ I., ,I" '., J~ 1"..1' l" m m "'q,~I,-,.'}:'\:-f'I":I.-'\l\\)'::".I-,,, \" I ,~\,: ':,:~", (,r ":i,,:/,'! ':".'t,'::. """ "\'13 LOCUST STREET ' 'n' i', ':'''d';<''i,\~'''J,I,,!, 'fp'.'- " I' f\" J ,," 'F);'","';'," P.O.1l0X 708 , ' '.:' :;Iir,:j'::i''-:''!I,:!i,~'' i!:, \.:.;'\ i'.,:;w;":" I ",HAARISBURG,PA,1710S.o708, ," "n""" 1""" 'I'"~ ~,~.~~~~~$'~~:'~';":~;;::::::::~~""7 ,~u 17171 2~2~1~O,~,"~.::~,.dJJLXi~~~2iL:/i'I. .i',':, , , " " '4 ...<t' 'i\' 'I \' ."1 r . 1 " "1.' ,,~ , ' ;- ',~ \ I~. ,. I ~ " , . " j I t ,\, " ,. f . " 'I,. ,. " " ,. , " 'I, " " .' .. " " , " " I' ,. " ;, i. . " , I! ,I', ,. .' " 'I /: " ,,, ., ". ".. ',~ ";, ,,\ , ." " ,i " " 'i' ',. " '" ;,1' ," ", i .' 01 I 'I. . I " , " 'I,' " , , : f, -I' I' ,. " ',-,'./ \ " I' 'j 'I"~ ", I, I 1 " ., .',,' ',. ", ", , ,',1, " '~;I , I " ;. " ". ,. , 1/ I;, ,I; " ", I' , " ',' ", "-'or .~ 'I \. ,.... .........."---_..~...,~~ / --- - 'I; " '.'.... .' .' (! l jf ". "'~. , , f' " ," ,~ r', ,. , . , . " , - ,'.:'.... 0",1( ..1 " " " ;'~ .Jr- ~ ~,_4,,".'-"I' - '. . I . I !, ..,..,........., ,.,.... ' . , . " , ,. , " " ,. " ,i , I ,. , , , , I, , 'r..I.1 ,. ,,, , , , ". " ", , " ". !.' " ' , , , IBllJIl of Contents' .i "", " Itemization of Beginning Assets Cash Deposlts'to PNC Checking Account Cash Wlthdrawlds from PNC Checking Account Detail of Real Estate and Mise, Withdrawals Cash Payments for Taxes (excluding real estate taxes) Distribution to Beneficiaries Vanguard Account, deposits and withdrawals Fix Income Securities . Redemptions Assets Transferred to Oaines Testamentary Trust . Releases: Rosita O. Ray, specific legatee and life beneficiary , Anne O. Miller, specific legatee and life benet1eiary John O. Ray, Jr" specific legatee Deborah Anne Ray, specific legatee Leslie Anne Miller, remainder beneficiary Sarah O. MlIler, remainder beneficiary , . Thomas R. Miller, remainder beneficiary , Page I Ex. A.) thru A.S Ex. B.I thru B.7 Ex. C.I thru C.3 Ex. D Ex. E Ex. F Ex, 0 Page 21 " i, " , , ,. , ", , , " , /." , \' , , Caah Oepoalts to PNC Checking Acct.#60-80,46-7928 Estats of J. Howard Oalnss 0".1. Deposits: R. Estate Investmts Vangd Mise, Tolal "1994 22-Aug 14,456.53 14,456,53 $11,667 open +Thnwald 22-Aug 1,010,00 21,775.00 56,13 22,841,13 Bond redemption 25-Aug 749,87 749.87 6-Sep 675.00 46,00 721,00 12-Sep 555.00 555,00 16-Sep cdt.memo 20,000,00 20,000,00 Bond redamptlon 19-5ep 410.40 . 38.47 448.87 21-Sep Interest 61.61 61.61 26-Aug 325,00 325,00 7-0ct 1,200,00 1,200,00 19-0cllnterest 80.68 80.68 24-0ct 355,00 300,00 655.00 3-Nov 30,000.00 30,000,00 Inht. Tax pmt. 15-Nov 700,00 19,16 719.16 15-Nov 30.00 1,406.25 1,436.25 Treas. Income 15-Nov 10,000.00 10,000,00 bequests 18-Nov Interest 68.68 68,68 21.Nov 203.13 203.13 Treas, Income 29-Nov 675.00 675.00 29-Nov Intarest 2,487,79 2,487.79 dlst to benel 12-0ec 350,00 635,00 985,00 Wht. First dlv 20-0ec interest 36,81 36,81 22-0ec 30,00 547.20 577.20 Treas. Income 29.0ec 675,00 675,00 TotalOeposlts-1994 7,740.27 24,566.68 42,487,79 35,163,07 109,967.71 " ~~t\\i">I'1 ",~1. Deposits: R. Estate Investmts Vanod Misc. Total 1995 50Jan 350.00 350.00 100Jan 918.75 918.75 Treas.lncome 200Jan Interest 22.69 22.69 31-Jan 50.00 50,00 31-Jan 675.00 875.00 31.Jan 15,000.00 15,000.00 dlst.benel 16-Feb 350.00 350.00 16.Feb 562.50 662.50 Treas, Income 16-Feb Interest 25.58 25.58 23.Feb 525.00 52500 TrAas. Income 7-Mar 350.00 350.00 7.Mar 710,00 710.00 200Mar 437,76 437.76 ACNB dlv 21-Mar Interest 24.70 24.70 290Mar 710.00 375.00 1,085.00 5.Apr 350.00 350.00 170Apr 3,000.00 3,000.00 dist-benel 190Apr Interest 23.70 23.70 1.May 1,025.00 1,025.00 1.May 2,000.00 2,000.00 Inhert. Tax pmt 19.May Interest 15.24 1524 31.May 710.00 1,406.25 3,203.13 5,319,38 Bond Inc. + tax reld 21.Jun interest 6,79 6,79 23-Jun 437.76 437.76 ACNB dlv 23-Jun 385.00 385.00 10.Jul 1,060.00 918.75 1,978.75 Treas. Income 14.Jul 10,000.00 10,000.00 bond redemption 14.Jul 10,000.00 10,000.00 bond redamptlon 20.Jullr,terest 16.94 16.94 1.Aug 80.000.00 80,000.00 Estate Ix pmt. 7.Aug 8,000.00 8,000.00 dlst-bonel 7-Aug 735.00 680.42 1,415.42 Wht First dlv. 22-Aug Interest 24.50 24.50 24.Aug 650.00 525,00 1,175,00 Treas. Income 2!i-Aug 10,000,00 10,000.00 bond redemption 11.Sep 735.00 482.82 1,217.82 tax refund 20.Sep Interest 14.34 14.34 4.0ct 1,025.00 465.12 1,490.12 ACNB div 20.0ct Interest 18.58 18,58 24.0ct 60,267.14 60,267.14 #787 sale peds. 8.Nov 96.42 98.42 Wht First dlv. 8.Nov 495.00 495.00 16.Nov 843,75 643.75 Trees. Income 20-Nov Interest 98,69 98,69 21-Nov 10,000.00 10,000,00 bond redemption 21-Nov 203.13 203.13 Bell of Pa divd 30.Nov 675.00 675.00 ".oec 75.00 75.00 19-oec Interest 1,9,54 19,54 20-['1ec 35,00 35.00 ,. " , , " " " , , II , , , ,. , I , ; " " ,. I,' " I,. " , " , " " , , 20.0eo 21.0eo Total Oeposlts.1995, . -, I 350,00 71,767.14 , , i, .' " , , , ,. h. " , , " " " " I' , I , " " ,. " , ,. " " .. . II,; " I' , , ,. .;' ,. '" ,. ,. ,'i " ",,; " "'(' ,. " II ,. ,\ , , , , " , " " , Ii , , I , , I ! " " , ., " , " " " I', 'i ,. , ,. , " I!' , Y j\', , , , , " H '" ,l, ", ,- , , I' ." ,.1' 465,1~ 46,487,73 " " " I' '1 \,' , , 101 ,. I " " ,;(', I;. " " t': 108,000,00 " ,.. I', (I' ,. ,. " i'" " '" " '~""'3 4, 465,12 ACNB dlv 350,00 4,372:24, 232,627:11 " " ", " .,1. " " " , " Ii' , , ',' , , .. ,. " , , ., " '{ ,. , ". I '. 'I " ,. I , " I' 1'\' fl' '! " I' " !I - ' 1, ; , ,_ II,; " , , , " , , , ; , , " , ,. ,. , , \. ,,, , , " " Ie jI" \\', ii. " I'" ,I ,. " " " , " ." I " , I- " ,. , , ..' , ,. , , , " ;; " , " p " ., " , , "'\ " " I,. " I: " ,-, " IL! ,;1 ,. ", ,. , " I' of, " ,1,- ii' , ',I j :\ ',' ';, Deposits: R.Estate Investmts Vangd Misc. Total 1996 2.Jan 360.00 360.00 10.Jan 76,00 916.76 993.76 Treas. Income 19.Jan 2,736.00 2,736.00 ACNB dlv 19.Jan 6,236,63 5,238.63 Bell redempt 22.Jan Interest 16,98 18.96 31-Jan 710.00 710.00 8.Feb 75,00 75.00 20.Feb Interest 19.80 19.80 26.Feb 325.00 2,159.39 2,484.39 Wht First dlv Feb-29 385.00 386.00 5.Mar 64,023.47 64,023.47 #785 sale pcds. 6.Mar 75.00 75.00 19.Mar 466,12 465,12 ACNB dlv 20.Mar Interest 36.89 36.89 27.Mar 675,00 675.00 3.Apr 110.00 110,00 8.Apr 104.87 '154.87 Insur. Relnd. 16.Apr 3,000.00 3,000.00 dlst benel 19.Apr Interest 28.22 28.22 30-Apr 785.00 765.00 20.May 368,75 368.75 Treas. Income 21.May Interest 6.83 6.83 10-Jun 785.00 468,80 137.00 1,380.80 Wht First dlv 19.Jun Interest 3.75 3.75 20.Jun 466.12 465.12 ACNB olv 15.Jul 785.00 953.90 1,738.90 Wht First dlv 22-Jullnterest 3.56 3.56 29.Jul 6,000.00 6,000.00 dist benel 2.Aug Interest 10,53 10.53 2-Aug 785.00 785.00 5.Aug 568.94 568.94 Wht First dlv 5.Aug cdt. Memo 10,000.00 10,000,00 Bond redempt. 14.Aug 904.90 904.90 RR Retire 15.Aug 120.12 120.12 waterlsewer relmb. 30-Aug 710.00 710.00 4-Sep 75.00 177.74 252.74 Wht First dlv 17.Sep 492.48 492.48 ACNB dlv 2-0et 740,00 740.00 8.0et 75.00 43.94 118.94 Wht First div 29.0et 712.00 712.00 4.Nov 75.00 75.00 8.Nov 43,94 43.94 Wht First dlv 25.Nov 360,00 3,250.00 3,600.00 dlst benel 3-Dee 360.00 177.74 537.74 Wht First dlv H.Dee 75.00 76.00 23.Dee 36.00 492.48 527.48 ACNB div Total Deposlts-1996 73,260.59 26,761.62 12,260.00 1,325,33 112,617.54 A'~ Deposits: ' R. Estate Investmto Vangd Mlso. Total 1997 2.Jan 675.00 675,00 6.Jan 30,962,75 30,962,75 Bond redempt. 10.Jan 75,00 75,00 13.Jan 14,000.00 14,000,00 dlst. Benel. Meb 765,00 569,00 1,354.00 Wht First dlv. 10.Mar 710,00 176.06 250.00 1,136,06 20.Mar 350,00 492.46 642.46 ACNB dlv, 31.Mar 360,00 360,00 6-Apr 75.00 44,02 119,02 Wht First dlv. 12-May 1,090.73 44,14 1,134.67 Wht First dlv. 27.May 350.00 4,000.00 4,350.00 dlst. Benel. 30-May 360.00 360.00 6.Jun 177.65 177.85 Wht First diY, 26.Jun 642,46 642,46 ACNB dlv. 2-Jul 360.00 360.00 26.Jul 7,500,00 7,500.00 dlst. Benel, 26.Jul 675.00 44,15 719,15 26.Jul 7,500.00 7,500,00 Estate Ix pmt. 20.Aug 35,00 569,21 604,21 Wht First dlv. 6.Sep 710,00 176,34 666,34 Wht First dlv. 16.00t 710,00 51~,64 1,229,64 ACNB dlv. 26.00t 5,000.00 5,000.00 dlst. Benel. 30.00t 675.00 676.00 6.Nov 35.00 44,11 79,11 Whl First dlv. 2-D eo 710,00 710.00 16.Deo 656.64 656,64 ACNB dlv. ( Total Deposlts-1997 6,740.73 35,323,07 36,000.00, 250,00 62.313,60 Total Depolltl94.97 161,526.73 134,139.00 200.737,79 41,110,64 537,516,10 , I I " ' /. , , . I, 1-\--5' :ll88g 8 0 LO ~~~~ ~ ~ .. <t <<i 0 8 III g~a g 8 OLO 0 OlD ~ ~ ~ ~ ~~, 15l PI roj"'; 01 NLO '1'. .. 8 g c:i c:i III III N N --1 \,... ~lllgggggggg~~Ill~g~a8g~~~gggg~g~g8g~8~ ~~~~g$~g~~~~~~~~~~g~~ggg8g~~~g~PI~M~ co .q. ~ ('f) ,... ('f) - c-' N N l() to 0 ,.... 0 0 0 L(J co M co 'bi ex) to ~ ~ N N OOONM r ri w IIIlt ............. OJ ... ~ .~ :I II. .-I i I I i 1! J f ;- ~ "& u ~' ~ ,I ~ j~ ~ II ~ i~ ~ ~J ! 888 ~ ~ 51 ~~~ .. .. m &l &l cioo M M r-: .. ... ... ,C'l 8 8 8 ~ Iii a 01. ~ .. '# 888 ~&l ~ ~l6!~ ~E! ... lD ~~~ gj~ ~ ~L()1ll ~~ ~ ..C'l .. N ~ o .. .-I~ jj 00 N~<tC'lOlLO"EE~~C'l'l'LOlDWOOl~N"'I'NOOlC'lLO ....O........O,.......w~,...,...NNNNNMNNMNMNN....MM ~;~i~i~i.ii.~;EE;iiiiiii~ii;iiii~; f OlOlOlOlOlOlOl~~~~~~j~~~~~~~~~~~>~~~~~~~j i ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~NNNNNNN ,...,.... 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I i' ,I , \ .~ f \ \ . ( I .. , " I .I I \ , ' , \ I , \. '\ I I , I" \' ", , \ ,I'" .I \ I , I i \ ,. \, ,I , I ,\ ". " " ". , ,. I 1 I " , \ \ II 1'( i" , ~ '~~ " 0 '" ~ ,~ ~ ~ 'h~ z I ~ i I of'.... .....""'-.,....., " 'I;' !'l' '( ',;1 , .t" ,. ~ ,. ~.' " \ 1:_) '(i ," ,'.' " ~ .l, , 1 " - ,;; , . : : ::: - . "': . ~ - .' I' "': : , " I ::: , . . -' \ - . : - "': .. - -: : . ,. - - " - . : - - "': .. .. - ,." '.... " " " ' , '", ,I , ,"~ " '.. f1 , ., ,..' ". 4, " .... ........- 'H""".J..J 1 IJ~ _ I ",,,"-~.', , ,......': ~.....,_.: STATUS REPORT UNDER RULE 6.12 Date of Deathl J, \\u~ ~,N0 ~1 Name of Decedents Will No. Admin. No. )I,-(qq~ Pursuant to Rule 6,12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of th~ above-captioned estatel 1. State whether administration of the estate is complete I Yes-X No 2. I f the answer is No, state when the personal representativo reasonably beiieves that the administration will be complete I 3. If the answer to No. 1 is Yes, state the following I a. Did the personal representative file a final account with the Court? Yes No )( b. The separate Orphans' Court No. (if any) for the personal representative' 5 account is: l\\~ c. Did t.he personal representative state an account informally to the parties in interest? Yes "f- No ~~~1?t ) ,,~ Sole", ~ 1<-1~ ~ '~I( " " " d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cer~ of the Orphans' Court and may be attached to this report. IM\\ '9. (;\.M ~.... 3c~ (~1)' 't ~~) \ Da te s dI ').v I Q V ~.: - ~ hwss \~ /LOflj. - ~ Signature' r:::....r-:( ~o Vv--? ~ M ,'( \1' yo Name (Please type or print) \6 6 G:\ \w~ ~-...~ Address ~\\\)\1>~ VPI' \'1o\~~qS-1J ( In) '"2--3). rol')O (~ Tel. No. - () (11 :-'f ".. .J I.,' ,,- (t. I.rl N I.n ;:"-:J <...;:: i. ~ \" (j)(J- 0: - ('(1 F" . ...~ '_ i. ~!:i UO CapacitYI ~_personal Representative Counsel for personal representative (MAH srmf/ AM3) ':r .,~ ',~\... ~\ ~ Hi .' ~ ':. . ,1 0.; '~ \I.~ 1 ,h' ~. , ;\'" ".'i .,\ ;'II:) 1,,::1 ~ "t ..,\\'I'ii"".......; "ral, - \ \";.,, \1';'::1 \tLIE Ii 'I' ,.: . " L- , I .. I _ 'I .: L'~ I"~ '.. iitLI: . ,." ~fJ VI" iii "." "" .. ...... ,I. ~~ ~.... \.1 .' I. ~.. .. II' ...'.. J!!J.. ,li."1 GJ' ,:1 ~" " ,~ iii -- III ~' t:1 ~- C('J :- ~, r,. r:1 I. .... ~ a.. ~ .,.... ~ ~ ,(!) c..> :J c:.. Cf) . ..of'!" ~ .. .\ .f '~.. .. 'III .. .. III, .. .. .. III, ..... .... ~'~ ..._ lD ..... ....t"" I 'II .. 7 .. ~, "; ,oil ,"j ;; k,' , . 0 II " ~.J "_1"', , . , , ,j. .1, , , ~ I, ! , , , 'I'" . " Ii, ' I .'" "I', j." , , ,!,. . , " I' l1. "0", -i'li, ' I " "I" ,. I:; " , ' ,. .. I. 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