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PETITION J<'OR PROBATE lInd GRANT OJ<' LETTERS No, . ~ j -:91:._,::;7..'1-/____ To: /Ij.J,3/- /0 Kl'gister of Wills for the ('ollllty of _._.._____.____ III the ('ommollwelllth of l'ellllsyll'lInlll _____n__.~_'__n____'....____ ou___, /)('('('C/sed, S 'liS' II'N -,1/1.,' ('. '::'tc ':/ , (J( II ,C( 1/1'.1 0, _L<~l--_._.._.._ _L____. The pClltlon of lhe IIndcrslgncd rcspeetfully rcprcscnts thllt: Your pctltloncr(s), who is/ure IN ycars of nge or oldl'r an lhe cxeculL~~.......___.. I1llmcd In thc la.l\ will of thc abol'c dcmlenl, datcd ____.2J.'-y._._._.IS..._...._ ., 19_~- IInd eodiell(s) datcd _.______.._...._.__.._...._.__:.:._._..._____.__. ..-.--....--.----- ----~------_._---'---_.-.__.._,.-._'-~.----_.- ---,------_.--_.,----,--_.._._--_._----_._'-~._-_._------- (slnll' rclc\'lIlll 1,:irl'lIt11Slnnl:I'S, I.',~, ICl1l1lldlllltlll, dClIth ull.',ccutur I ell',) Dcecndcnt was domiellcd at dClllh In ,__..._( ,,_:xliJ.~,...:.lq!'E(L...__ County, Pcnnsyll'anla, with ",<1 h_/...:L...._lnst fllmlly or princlpIII rcsldcnee at__._!~~f.._1.___;;-,~c...!:o_ ~:. lY'o('~ ~,</,,: r!: !J,:.!/> r ___.______.______,__~_.__,_______________,_____<_ 11c:.'~ - ...)-- (li,,1 \IH'I'I, l1umhc:r illld IIltllll,:ipalll)'1 Dcecndcnl, Ihcn_Z_'f._ YCllrs or age, died u_._fl,-;J..::.c.J....__,_ '7 ,19__<1 '-I , 111_ 1-I(ji.,'j,-.SI~/.J/Jr..-T-cJ}mi'}fl.U.rPR,-.--n------. . Exccptlls follows, decedcnt did nolmnrry, WIIS not dll'orecd IInd did not hlll'c II child born or IIdoplCd IIftcr cxceullon of thc will offcred for prnblltc; wus notlhc I'ktim of II killing and WIIS nel'cr IIdjudlellled Ineompcten!: ____._________._.____.______m_.__ Deccndcntllt dCllth owncd propcrlY wilh estlmllted I'll lues liS follows: (If domicilcd In I'll.) All pcrlonul propcrty $ / <, I,;' ('I. ,'( I (If not domkllcd in I'll,) Personlll propcl'lY InPcnnsyll'lInlu $ (If not domkilcd Iu Pu,) l'ersonal property In ('ounty $ Vllluc or rC1I1 C,ltlllC in Pcnnsyll'unill $ sllulllcd III follows: _________ \VHEKEFOKE, pctllioncr(sl rcspeetfully rcqucsl(s) the prohlltc of thc lasl 11'111 and codlcll(s) prcscntcd hercwllh IInd thc grllnl of IClters (lC~IIIII1Clllllr)'; llllllllnhlrllllUIl ';,I.II,j ndllllnhlrallllll d,h,Il,C,I,U,) Ihcron, '7 8 6 'tl- '1l~ ",g 'tJ,2 ij,e ~~ U~ 30 M "' Iii a~~.l,_~- ../3.P_:L.S :t::i...s r, ~A~' ~+'~ I ,/) \""6"' --------~------_.__._-_._---- --.-.----....--.--.--.---- ---_._--~._--- ---.--------------....---.-----------. OATH OF PERSONAL REPRESENTATIVE ~g~~l~~N~::;AI.TH ~~'_I~I~N~S\'~~V A~~~__ } HH Thc pClltioncr(s) IIhol'e.nllmed Sll'car(I) llI' affirm(s) Ihlll the Itlltcments Inthc forcgolng pctlllon IIrc truc IInd correct 10 the Ill'II of till' knowledge al\ll bellcf of petltioncr(,,) IInd thlltlls pcrsonalrcprcscn. tlllll'c(s) of the IIbo",' dceedcnt petllioller(I) will wellllnd trnly IIdminlster thc estalC according 10 law, Sworn 10 or IIffirmcd IInd ,"b\Crihed hcflll'c ml' I his. day of I}} ()_:~(g,u",) 1-J' 'tf.. /. 1'1... '14 (/Ltlil<.f ~,-jlil..&(..,).'fl,iJ . ~l./._I<,<.J"'[~.. f! t.fT'rf ' N('~/\'/('r &, i)' '., -' l.I) l~<V~~~';~-- .1 """11Ift, . 'INtUIt.., IUCU-. . , , I " 'I' I ~ J 'J'lli.. i.. iii tt'lill)' dl.II till illfllfllldfttlll 11('1(' giV('11 I~ llll l'l'l II.,. I' '\111,,1 tl (1111 ,III HI'II'III,d t t'll illi ,Hl' I II dt'.llh t!illy tiled widl 1I1l' lIS 1.1Il'i1IIh'I!I'ilrtll TIll' llligill.d II'rlrlli.I'l' will II/' 111l\'.'.Irdl',j "1111(' \l.lIt' ViLlI Ilf'l(lllh ()lIIII' 1\11 prrrll,lllt'lllltllll}:. 1'1.'0 fo,. tI", '<",Ilfie ,'I"~, S!.IJIJ "~"""~'.M'.... L1"C1Wt dlAL.u4 I.tlt,d H~\';..{! ,II V, { 2365099 -. ...., ~~~ l')ll? ty o \),11(' No 11100141114."11 COMMONWEALlHOP PIHNIVWAHIA, OIPARTMIHT OP HEALTH' VITAL RICOAOI CERTIFICATE OF DEATH '''''I '" "",,*A iii!iiilOiCiOlHi.'......-.;;;.---------.----...-- ii. 1':;;....N..... , , ]........,~. "...:r...,AVJUftT-~.;~-;;- ~Mi.HP':' 'M-: ,~;: "~I ~L.' .I--r~"- 'LU~r~"'~JB. ;;:;:.;~~~'~ ~;t I~~ll !ou.tiW'''iH - -,ok.... j/.~m~.~~,,~"'::"".:......_' _ P'A.~"'__"'.A_' ~ I.\L~J . , fell ~:_u .~~..~~ ~bl 'I~ -'1:i'~~".::',::,~:;r ['1..0 r................ .. '1M X pIn 1"CI' II " ......c.......~'{!f.n~..;;;t--. ---- --4.n lljt- Illl~~' u. !ouI'-.-PenftsylYGftla --.:...,. "")C.. '1M ..........'"'---tlppwr-AH.n-T".... 1909 South York St, J::<6r::::," ~I --... !I.D :...-=~.,_ ;. ~~fjl..---J!J...l!ro5:5h__.' __.~__.._,!!1~!Lo.uabuJ. 't<lln""'A.II~fll...u. ................ OAfIOl''''~H~Oh_l ~IO .. ,.......-"-"'" .. ____.__._n____.______ ,lIlI.Mtl<.lA\i.it.-=....,.,_, ~~_....------~f11~Wli'... ~~''''':SJ UoA.W' ...",[ c._lUIIJ "-"".~..~rl 1ob"1",IWI' ,,~... _II - "'-___ . _m -- mn._.... --II August 22, 199. ..tnut Hili cu.,~~ !EI'..r AU.n Top, ..,,-~i:;...t..<r..m"'.....-.r~k'..."';; ~--pWl....., ,ao; 'y.rs Fun.r.1 Ho.. ti -j~ '----....---.lm.-iWlii;;i..---- .g,- Oh6ft::e- -1'1&11.- ~:::.. ::L=~ \yw..::.~-."....to:'...'..hl.,.... IlW 0IIJ"'1 w.Iy~""'''' :."'::=:i..~-If-. _~O+_.I &Ofc.c~i"- -~- -- ]U";Hoo..cWCl5~.IJl"""~ 0.,"1 IIM1Dto:O.l.l. ""~. ~~_ __. lL__Y_~:._& U..LllLC,,'<i.._Ll.J/2!1</ .JQ n "",I~ 1"'..""_"" ..........<<IfI'l*"......._Il,'...-JI/WJ.ttlll OIl orII...."l/I<I......oI,.,~"ii;iUC."""."I',rtlU<tl"".IIf1...... ......- I; OINI........._-............ \....'I~'_""...Il..... ................. ..........."....................11I"""1 -..- ::''':',~~~'''' 'J.4.~r;.i,,_ cv.~' .-.1 C~:......;h,~ I 1tk".+~~J.,,__ '...~.''''''''I-... . _\L ~iU'-if"lul~~"1i:1 -.- . ~ .~., -:'f-'::.--'--.- ---J-7 I'. r,.Il~~~~i:;'::~ fl~~.!!'~ -. --.. - ---l~~~' ~fl~p,lai:~--- N_l....ttA I ~tO'lfl~'l""t.l;';~ltli" ..~ - I -~ .-..-- m._.._______ ~-------- ;~;~y~'[~~u~~.- ~~Uii.oi'ij;;.~- ----.-.. --::~~~~~~r-l...o'~J- - ~....~TlrXlC......tCMl'oWflyOCCuMtO r.O,",,""C"CJf(.ltI\.t I II Of'OI.qW 'W". k ,.....o)t I J (I ..."...'" I I ~I''''''''''''"'''.,t''''' ( J ... . "" ,.,l~ ""11....11 .....It II 1~..U...Jo'""',",, II~c.Clf"M".I4......,....":;ltll,,1<It'I1lII.!t. ,oc.qOij,.=-~1,;,__--'-"--'--- ,... ,. ~"",lt""j.1 MI Cllfli""-:I/..."",.. -.-. - .- , -. .... ..-.-------. ,iQk.q-'-.liiOi.fifl."cc"i--"---- 'C"UIl'fMQrlll'I(I~IlII"""'''''''''''''I'''''. j.H" .... ...,..../.,~ .',,,,,.'......,,".' ."".,._'.,I...',J', r) ,,1~ 1'\ ,fJi"_.\ A~ ...- - rn D 1......""..I'.......,.,..,...""tll""..'M......'I_(,II""......."ttl"lt~ l~.i(ti----.. ~.- 1.1.: ..\~.~y~IO'Vi\iiNl~~~- --1-..--- "llI/tlOOItCokl.I l"UU"II.,IHO,,,,,oe'A,,." ,..... "',' .....' jJ.'" .,','.'.'..,...... j,.,,, \.', "'~lL (ll b f3 B 'J 1;'" '....""".1.,1.....11I... ......u"',...'..............11 ....,.", ,..........""..."'u.""..'.....'ftl't".. .,.. UtlltA,,(l.h;c:s:.I~~I~.M~it~"i>W'I~-.llf,AUiiOfl.i ,,~.!~-.- _O+H____ '1IIU!CAlunll..I""QftOIlU '_""III''i'' ntltt)M ,,0, Ot,A,Xh\'" f'\O Ootll'o4"tl..,.\........I...!\"'*..ln.''''~I''O~ 1~"'IO'on'''",..UlhO''''''t411Ih.l.n..411.....'''IIl.,.'.....''.'..II'.\.....1.1.... I,' vI)) ruQ.\ 'f (,h\lr<. JL.4 '..." 7 II ..wot'.....I"" .". " ' ,..,.,-, , CA I~ U 'r'" L1tl :~~::::="_~ck". .D't~{jf .~I!V.,!~~(~ :"(J:~'~~.'i:~4~~;.~lly __~~._- .. " .. .. '. .. time of distribution hereunder, then I direct the ahare of said child or children to be ~aid in trust according to the following: (A) I nominate, constitute and appoint C. C, N, B. BANK, N. A" to be my Trus tee, (B) My Trustee shall invest the principal and pay the income therefrom to the child or to the child's guar- dian, should he bo loss than the aRC of majority. My Trustee may pay such amounts of principal as in its sole discretion is advisable for the education, maintenance and support of said child. (C) Upon the child reaching the age of twenty-five (25) years, then the pro-rata share of principal due that child shall be distributed to him, (D) Should any child die prior to reaching the age of twenty-five (25) years, then the share of said child shall be distributed to the child's issue, or in the absence of issue, shall be divided among my surviving grandchildren, (E) I authorize my Trustee to make payments accord- ing to the terms hereof, without petitioning the court for permission to do so, and 'I further direct my Trustee shall serve without bond, 5. LASTLY, I nominate, constitute and appoint my wife, DOROTHY L. BROWNE, to be the Ilxecu trix () f th j s, my Las tWill and Testament. and in the event sh~ should bo unwilling or unable for any reason to act us such,I nominate, constitute -2- , , .t' . , , ,I ,.._......"'"i~....._....._..........., ,_ ....~...' ".. - ..,." .~ , . . NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OFCptrl6eriONb , PENNSYLVANIA In re Estate of HAfrll: 8rowA)e- , deceased, Ale /991/.- .- No. tlJD'1l/1 of Af. A)(},J' ()./'11/..o71f1 TOI--2.C('oH,'1 /... 13roWAJe _ (beneficiary) I t;t) q SCt,lf( Vcr/( ~d- (address) lJ1eektrv1csJ<<('(p ~A- / '1"50- t Please take notice of the death of decedent and the grant of letters to the personal representative(s) named below. You may have a beneficial interest in the estate as follows I " k- ~; ~ JiM{ A7'1. sole AC'.ir ,P<iIr I~t'nu,~ "II,) ".nll ;Z.lpc~ Jirz;. (if additional space is needed, use back of page) Name of decedent IhfrrY.- ;:: 13rcwA/€!. Last known address /90'1 s- ~,..k Sl-teef- . of decedent /J1(Jct1tfm(JJ~,-r.,J iJA- 1'1~tJO' . Place of death Au7U$r 1fJ,; 1'19'1 . S. ( r, f,.f,,-s ~ i l~ ,....., Date of deat.h County of grant of original Decedent died V testate letters n ." N A copy of the will .J:::::::. is _ is not attached. p~, ; ~~ .. Name(s), address(es) and telephone number(s) of aln;pers~al representatives appointed intestate. (Ii' . -t (.1, , on "~" '.:1 ~1'i :0, co fifo -.. Name Address Telephone 'PA;/,/ /... 13ft) WAle':' 6t1~J ~.;J.. ff-e(:d0f/1 &'~J' Dr, C)ut't:rrb,j ,AJ1f t'33ol ~j /)U-9,:;.9'1 " ... ,,' Name(s), address(~s) and telephone number(~) of'all qounsel, ' Name Address Telephone AJ,f- , , obtained from the ~~signed. Signature /~~~ Name 1't.\I \'f l. 13-n, wlO e. . Address...'j ~ F('~de WI, Acre!; 'Dr-; ve, G) ~rrO , A1H- 0 0..30 I . Telephone ((g03) ~...q i7q4 CapacitYI ~personal Representative Counsel for personal representative Additional information may be Date AJd /~ /91'( ':' ,,, , , " '~Q Id ~~ g.~' lS (~ C' 'I" :,'1. ~:/ 0 I};'''' ...0. '. ~,) : I M fJJ'rn ::.1 :'.' " ll. " I~'. \' N , ;;; "oJ ~1.0 (I ~'i' ';Ii , , ;a ;>:g .: () ~ " :00 -.. " L " Sl. )'>;:,. - N / HI V 1\00 ".. (119'1 'OR DATlS O' DIATH An.. 12/31/91 CHICK HIRI ,.~' i;~.,il~ INHREERSITIOAENNCTEOTEACXEOREENTTURN ~o~::gU~:iDIT IS CLAI",~DrL ._____ , '1";' PILI NUMBIR COMMONWfAlT" 0/ "NN!VIVANIA (TO BE FILED IN DUPLICATE C., ,"" ^<iI ,-/el"'.... Iqqil _ (,1(.qLJ I OEPAA.TMENT Of R[VENUE ..... r' v ~ 1 , WI 180601 WITH REGISTER OF WILLS) COIJNTY COD' YEAR NUMBER HARRISBURG, PA 17128,0601 L . ...... - -"--5NAMEir;m;-1illlr, .No'",DO\{INllIAii' ---[' ;q/~;,roS~l{y:';:k 5.;:.------== .oc~~~i~~::,~;;r~;r;ft;~ 1.;-7~7;'~ ,.:' ~~~::':,::;,"'/~ 17"'T 11.11': Odginal Relurn II 2, Supplemonlal Rolurn I I 3, Romainder Rolu,n lIar dolo. 01 doalh pria' 10 12.13.82) I ] 5, fed.ral E,'alo Tax R.lurn Required __._ 8, Talal Numb.r of Safe O.palil 80x.. 8, Enler Ih. 10101 01 line 20 and 20A on lino 200, Thi. i. Iho BALANCE DUE, _. u_~a_k._ChlC~~~y~bl~lo'--~~l!.ht_".f WillI, Agonl --.------.-.----.---- . .BBSURITO ANSwiR-ALLQU~STIONSON REVERSE SIDE AND 10 RECHECK MATH..- Under ponC1ltiel of perjury, I declare thaI I have o.lCamined Ihll relurrl, including u(comr(l~y~~J,~h;cT~j;;';~-;,T;i~~i;,-~~;~j-t-;th;b~,1 of my ~nowl"dgo nnd belief, It Illruo, correcl and comple!e. I dt>c1orelhat all reol "I'ale has boon reportod 01 Iruo mnrkot vnluo, Doclurution 01 Ilropurflr olhor thon Iho porsonal ropr/J,onlolivo Is baled on all informo'ion of which preporer hal any knowlodge. SrG~lAjuHE or PfR-so1FiifsPONSlliiU6ff-iiiNC"-iiEfifIiN ----- AOORf5S [l"H ' :tj"'I<';;""'~l I t -);i \ _ ,< ",,-_. 11M J, 'Ie,./.,' .$/; 4f.,,,/;.ftv/odlll'-6 A'f n/,)J 9f SiGNA1U'~X. '. {.;rY~~~fA. o.""''))j.';'A.NRE.",."mn... 'AllVl . A['O'{II' i, ". (lAIr 1fT ~ryJ l',j.1t't~ ..r,:). /i"et>dt!'"" .4~5 /)1'IL'~.ICO.vi.'C'1'/)IDtl03JO/ ~ ~~B :1:00 u..... .... .. < I l:l !Z .. w .. Q o Z UO .. I 'I' .;J. )'j"Il" ffi ~ Q I I 4. [~ I 40, Futuro lnlnrosl Compromiso (lor clal.. 01 d.olh oli.r 12. i 2.821 Deceden! Died TellCJlo [ I 7, Docodonl M{linlClinud Cl Living Trull IAlloch copy 01 Will) IAlloch copy 01 Tru,') . ALL CORRESPOND.NeE AND CONPIDENfiALTAX iNFORMATION SHOULD BE DIRECTED TOI NA'D~:~~ttl.'( 1-., -"8 r-o.\~~-~-(~n--------- ((jlq'ZltLiS.^,j~~\,~k--~;t-. mEiii6fiCNUM8!C---..nnu ..-' _.m jV\"l'\,o,IrN1' ~ /1Lt l~" , PA L1mil.d E 1101. 1'70'.ro (ee.. I ?l'7-7r.,i,.-tlft>()O -.:-::c ., ----;;;--.-~=__:-_-:=_~=~~.::==__:::::__'_::;,-_=;;:;=:.::_=,,_==___-__';._;-_-, (:)0. ~cv p-< (I' , ~ D.' . c', 9, I .. t':" ~l' ;to ::l- ,a- !'~ ...._~"...:Dc,.c ,," ::Om roo IDO .,--, ,'l ':L ( ;11 ~ .., <::, ~~.~ -" ,,:,":;",' z o 3 i:! ~ .. 1. Real EIlal. ISch.dul. A) I \I 2. Slock! and 8ond. (Schedul. B) I 2) 3, Cla.ely Held SI.ckIParln.rship Inl".., ISchedul. q I 3) 4, Morlgag.. and Noles Receivabl. ISchedule D) ( 4) 5, Ca.h, 8ank Depalil. & Miscellan.aUl Personal Prap.rly( 51 ~ (Schedule EI 6. Jainlly Owned Praporly (Schedulo F) 7, T ra",le" ISchedule G) ISchedul. LI 8. Tolal Gran Anel.llolalllne. 1,71 9. FlIneral Expensel, Adminlstralive COilS, Milcellanoous I 9) EIIP.n... ISchedule H) 10. Debl.. Marlgag. liabililie., l'.", ISchedule II 11, T 0101 Oeduclla", 110101 line. 9 & 101 12. N., Value 01 E,'al. Iline 8 minu.li.e 11) 13. Chorilable and Gavernmenlol B.que.1s (Schedule J) 14, Nel Valu. Subleclla Tax Iline 12 ml-"-,,~I~n.o..I~L 15. Amounl of lin. 14 laxable 016% role Ilnell/de value. from Schedul. K or Sch.dulo M,I 16. Amaunl of line 14 laxabl. 01 15% role Ilnclude value. fr.m Schedul. K .r Schedul. M.I 17, PrinCipal lax duelAdd ladram line 15 and !rom lin. 16.) 18, Credits Spoulal Poverty (nldil Prior Poymonls ..-..- + + 19, If line 18 i. greal" Ihon line 17. .nle, Ihe dill"ence on line 19. 1.11[1 ~ mt. "Tit I ro~3. 1]17 J ~ t:l n N -..J ~ ~ ~;: (l) C;;o ~ .< ~ l-.l ( 61 171 I 8) · I ~ D 5'3 .77 .. ~ I;}, ,5"'C'/f..37 10ft 110) it j;)..l~otf, 'p7 5)$1 Cj. L/ C' ~..,. ~ '074 ~.~ () I . . ~. - -'i-ai{;ij,,-- IJl'\- 11 aatt.l]t., II;}~~ .-l;t1 Cf,..,O 1111 1121 113) 114L. .. x ,06 ~ 116) x .15 = z o ~ ... ::> .. :c o u S 117) Discou " In!oros! ~ if :UJf. ?'.o 0.' (){., ~ '3Vf. 71,., Thi. illho OVERPAYMENT, 118) 119) Chee" IiNo jf you m(! fcquosting (1 rofund of your ovorpclymon'. 20, 1/ line 17 I. grealer Ihan line IB, enler Ihe dillerenc. on IIn. 20, Thi.1s Ihe TAX DUE. A. Enter the inlerest on the balance due on line 20A. 120) 120AI 12081 )~Jjyj" '.. 11"'15111-':'17.111 ITIM NUMBIR A. 1. B. 1. 2. ~~ COMMONWIAITH O' 'INN SYlVANIA INHIII!ANCI TAX mUIN IIlIDIN! DICIDINT .,-, J9l,()(( 1,>1.'(: Pun"ollxp.n"ll Admlnlltrotlv. COlli I SCHEDULI H 1 FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCEllANEOUS EXPENSES PI.o.. Print !,' Tvp. /9rJl/.-tJ(} /9/ . . DESCRIPTION Ili~ y,,'r) hi ,(-'<" "'.-1/ !it!11! f ,S;Y'A,;(.5e {;;' / ft.!! lie ~ (~>,.,;t'E ~/t'I(.I't:. . c/' ",JIVI./ 11,/1 (i-/II"/." J- !-cor'. 12." '71 h(x., II'-,./I! ))eJ'JI.'l'fl-(J;() /;01.(.' 1"-1":') A'C't;/7':'X.! Ihrl/ 17.crl:J ,)/(11,1'('1111 .O-;j P.llonol R.pr...nlatlv. CDmmlulonl Social S.curlly Numb" 01 P"lonal RepresenlatlVtl Year Comml..lonl paid Allorney Fees 11.1'10/ 3. Fumlly Exemption Clolmanl a,t'c,;lr(v J.. f.1'rOI('~leRelatlonlhlp' (II/h' Addle.. of Clolmant 01 decedent' I death Slreel Add".. /7'of).5, ~i!l.l ,-:.;1" City /fler 1.,1!U((:;)HI ((, Slale fJA- Zip Code 17o;rfJ ,1,"'rJ' ,7-' (.0 A) fj"l.a,. {j ..1,/1"'1'5 $;'; .7;"fter /TaA. re" /cl-v /:/;;';7 ~E" ('<."..{, /11,h/ a.~f ,/{:,..6'tJ7II/J /7.f1';;' (!.J.t-1. .1ftl'j a, T If"... ,1u~ ,4&, JiMI " ,-;-y. . (' ",J. ;;.,.. (j,I()'l'IIA 7/.1~M'~., 1-!l()?(Jc:..' ,b( 4, Probale Fees C. Mlle.llan,oul bp.n"I' ,. 2, 3, 4. 5. 6. 7. 8. TOTAL (Allo onlll on IIno 9, Recapllulatlonl (If mOil Ipac. II n..d.d, In.." additional Ih..tl of lam. 1111.) AMOUNT ~ (,;/1.;'; tiO ~.J,rl{J. (J() ~ ,'J('tl. c.1C> /00,-00 I 9,) . ? ~. ,.itJ-1 ' I r- -- "/(J/ .] rei. /0 oil 19. "0 / S-, tHl i :J.~r; ,.J . .;2.7' 'l./ ){" (., I S I,). ,:rotl-.37 I, }<J,) ;> /1/ l',j. - / () EV-1547 EX AFP (12-94~ CO!IMONWUlTH Of PENNSVlYANIA ACN 101 DEPARTI1€Nl Of' REYENUE NOTICE OF INHERITANCE TAM IURUU OF INOIYIOUAl TAKES APPRAISEHENT, ALLOWANCE OR DISALLOWANCE ~:~iS:~~~lpA llllA.om OF DEDUCTIONS AND ASSESSHENT OF TAM DATI 03-06-95 nntE OF BROIJRE HARWr FILE NO. ==n=V1i-0741 DATI OF DEATH 08" 17 - 94 COUNTY CUMBERLANO NOTE I TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAM PAYHENT TO TilE REOISTER OF WILLS, HAKE CHECK PAYABLE TO "REOISTER OF WILLS, AGENT" REMIT PAYMENT TOI CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iikV: is;i;' EX" AF p" f i 2:94"1' Nofi dE" 'OF' i NH Eiii f AN'cli' i' AX' "'\"PPRA"i sEMENr;' ALL OWANCIi' bR" -.. ....... - -.... DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX HARRY F FILE NO. 21 94-0741 ACN 101 -- T4K RETURN WAS, I X) ACCEPTED AS FILED ) CHANGED f?C .1 ' APPROVED DEDUCTIONS AND EXEMPTIONS I 12,504.37 9, Funorol E.pon,,"{Ad~. COlto/Hllo. E.pon..1 ISchodulo H) 191_ 10, Dobh/Hortgogo Llobllltlol/Llonl (Sohodulo II liD) ,00 11. Totol Doduotlonl (11) 12. Not Voluo of To. Roturn 112) 15. Chorltoblo/Oovorn~onhl BlquOlh ISchodulo JI 113) 14. Not Voluo of Eltoto Subllot to To. 114) NOTEI If an alaallment wal ialued previoully, 11nel 14, lS and/or 16, 17 and 18 will ruflect figurel that include the total of Ah1 raturnl alleaaed to date. ASSESSHENT OF TAXI IS. A~ount of Llno 14 ot Spoulll roto 1151 16. Aeount of L1no 14 to.oblo It L1nooI/Clo.. A roto 1I61 17, Aeount of Llno 14 to.obb ot Collotorol/CIo.. B roto (171 lB. Prlnolpol To. Duo DOROTHY L BROWNE 1909 S YORK ST MECHANICSBURG PA 17055 ESTATE OF BROWNE RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL 1, Rool Eltoto (Sohodulo A) 2, Stockl ond Bondi ISohodulo B) 3, Clolol~ Hwld Stook/Portnor,hlp Intorolt (Sohodulo C) 4. Hortgogol/Notol Rooolvoblo (Schodulo D) S. COlh/Bonk DOPOlltI/HIIO, Porlonol Proport~ ISohodulo E) 6. Jolntl~ Dwnod Proport~ ISchldulo F) 7, Tronlforl ISohldulo G) B, Totol Alloh TAX CREDITS I PAYHENT DATE 12-27-94 RECEIPT NUHBER AA022643 DISC.OUNT I + I INTEREST (-I ,00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST, r)u/- ~.--- REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 r._A.O."..~!!.lttod =:] DATI 03- 06-95 I,.' " :-n 'I J f(, , ; .00 ;f. III ~u (2) .01L I VI m .00 (4) .00 OJ IS) 18,0".j17 til/,I .. (6) '..ao . (7) .00 IB) 18,083.77 T',~D4 H 5,579.40 ,00 5,579,40 ,00 5,579.40 .00 K .03, M .06, M .15. liB) ,00 334.76 ,00 334.76 AHOUNT PAID 334.76 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE 334.76 .00 .00 ,00 IF TOTAL DUE IS LESS THAN 11, NO PAYHENT IS RE~IRf.D. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YOU HAY BE DUE A REFUND, SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS,) RESERYATlONI Elt,t,. of dec.d.nt. dyJng on or blfor, D,o"'r 12, 1912 .... If 'ny future Intlr..t In thl IItltl 11 tren'f,rrtd In po.....lon or ,nJoy..nt to CI... I (coU.tlr,lJ btnlflcl.rl,. 01 thl dlc.d.nt 'fter the uplrlllon of anv t.t.t, far l1f, or for Vllr., the Coa.onwulth h,r.bV Ixpr".h rl..rv.. the right to .pprtl.. .nd a..... tran.flr Inh.rUlnoa TeMII It thl htwful ell" a (collltlral) rlta on tny 'uch future Int.rut. PURPOSE OF HOTICEI To fulfJ11 thl r.""lr..anh of Stotlon 2140 of thl Inherlt.nOl .nd Eft,t. Tlx Aot, Aot 22 of \991. 72 P.S. SloUon 2140. PAVHEHTI D.ttch thl top portion of this Hotlc, .nd .ubalt with vour pay..nt to the R.gllhr of WIUI printed on the rlytr~. .Id" --Hil<I check or Ion., ordor pl"bl. tOI REDISTER OF HILLS, ADENT All Plvnntl recIIVld IhlU flflt b. appll.d to tny Intlr..t which lIav b, due with anv r,..lnd,r .pplI'd to the tu, REFUND (CA)f A "fund of . tax oredlt, which WII not "qu..t.d un the T.lC R.t:..rn, IIlV b. rtqullted by coapl,Ung an "Appllcltlon for R.fund of P.nnlvlvanl. Inh.ritanc. and E.tat. T.IC" (REY~U13), Application. ar. aV'llIbll .t tht Offlc. of thl A.gl.t.r of Willi, .ny of thl 21 R'v.nuI DI.trlct OffiCI., cr bv oalllng tha .p.clal l4~hour an....ring ..rvlcl nuttb.n for forll crdlrlnVI In P.nn.vlvllnla 1'800-362-2050, outsld. P.nn.ylvenh IMd within 10c.1 Hlrrltburg er.. (717) 781~e094, TDD. (717) 712~22S2 (Hurlng lap.lred Onlv). OBJECTIONS I Any partv In Int.r..t not ..tl.fl.d with the .ppr.I....nt, allcwancl cr dl..llowlnc. of d.ductlon., or ........nt of talC (Inoludlng dl.count or Int.r..t) .. .hown on thlD Hotlce .u.t obJ.ot withIn .IICtv (60) dll' of r,cllpt of thll HoUel b)'1 APHIH IITRAIlYE CDflRi!CIIOHS. ~~wrltt." pro tilt to the PA D.part..nt of R.v.nu., Bo.rd of APPIdI., OIPt. 281021, HarrJtburg, PA 1712.~1021, OR ~~.llctJon to hay. the ..tt.r d.t~r.Jn.d at .udlt of the account of the p.r.nnal repr...ntatlv" OM ~~tpp..l to the Orphan.!' Court. F.ctu.1 .rror. dl.covlr.d on thl. ........nt .hould b. .dor....d In writing tOI PA D.ptrta.nt of Rtvenue, Bur.au of IndlvJdutl T.w.., ATTHI POlt A"'..,ent R.vl.w Unit, Dlpt. 280601, Harrl.burg, PA 17128~0601 Phcn, (711) 787~6505. S.. pagt 3 cf thl bookl.t "Inttruetlon. for Inh.rltanc. T'M R,turn for. R..ld.nt Dle'dlnt" (REY~ISD1) for 1M .Mplln.tlon of .dllnl.tr.tlv.lv oorr.otabl, .rror., OISCOOIITI 11 .nv talC dul Is pIld Mlthln thrll (3) cftltndtr .onth. .fter thl d.cedlnt', dl.th, a flv. plrclnt U:O dhcount of thl tllC p.ld I, '1Iow'd, IHTEREST . Int.r..t I. charg.d b.glnnlng with flr,t d.y 0# d.llnqu.nov, or nln. (9) aonth. .nd on. (1) dav fro. thl dlt. of dnth, to thl date of p.y..nt, Tlw.. which b.c... dll1nqu.nt b.fcre Janutry I, 1982 bltr Inter..t It thl retl of .he (6X) perclnt ptr .MUI calcul.t.d ftt a dally ret. of .000164. All t.M" whJch b,cI" d.linquent on end .fter Jtnulrv 1, 198Z will b..r Int.r..t .t a rat. which will varv frol o.l.nd.r v.ar to ell.nd.r v..r with thlt r.tl Innounc.d by th. PA D,ptrt..nt of R.v.nuI, Th. .ppllcabll lnt.r..t rlt.. for 1912 through 1995 Ir.1 Y..r Inter..t R.t. Dallv lntlr..t Flotor ~ Intlr..t R.t. Dal1v Inttr..t Fletor - 1912 20X .0005\1 1987 9X .ooom 1981 16X ,000454 1988-1991 l1X .000301 1984 llX ,OOD301 1992 9X .000247 19as UX .00D1\6 199)-\994 7X ,000192 19" lOX .000214 1995 9% ,DOOm Hlnter..t it c.lculatld II follcNlI INTEREST. BALANCE OF TAX UNPAID X NUNBER OF DAYS DEL~NqUENT K DAILY INTEREST FACTOR ~.A"V HoUcl IlIu.d aftar thl tlM b.oo... d.llnquent wHl refhct an Interlllt c'lculaUon to fllt..n CIS) d.v' b.vond the dltl of the ........nt, If p,y'.nt I. .ad. aft.r th. Int.r..t co.put.tlon dati .hown on thl Hotlc., addltlon.1 Inttr..t .u.t b. e.lculat.d, _ 1.1{- 3f/,)) n~\.,\'2C/1~~~,r\~ , ,. ,-,~, "...JI\V ^.t\'\10 . viP, c, ,'- _\ ell (.~.V" I! vt:;:/ ~~Ol~ ~ .,./' ('.; STATUS REPORT UNDER RULE ~.12 Aucrl:d, FhJ' " -I. . ,,, 1 1)( "I"/G Name of Decedentl__--.ifttc.J',''t' ;:: za~WI.l-e Date of Deathl_AJ&!L!!l;._Li1f-' /'1. ele, . 1',+, '1 n/e IMli) CunUjJl Will No, .,/,?Jj..tJ1'1/ .___ Adm+~. No._ft2j~ {.'It'7'71.. S~'" ,;21'1'~!~jJJJ:1fsrr:53 "'If/ /'A Pursuant to Hule 6.12 of the Suprflme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned ostatel State ~ther administration of the estate is r.ompletel Yos__.. No.._._ Jl>t''''' ~l:i~/-/~t:1V J~1V't.- t!11U II ntr : 2. If the annwor .Is No, state l<lon tre personal representative reasonably be.lieves that tho a(~inistration will be complete 1___.._........__......__.. .._ ._.. ..____ 1. 3. If t.he answer to No.1 iH Yes, state the [ollowingl a. Did the pel~so al representative file a final account with the Court? Y8S' No , --- _.._-- --.--"--. b. 1'ho HOI'i1I'ilte OqJhans' Cmlrt No. (if any) for the personal representative's account iSI c. Did Lhe persona.l repre'lOntative state an ar.count Informally to tho pllrtJ8s .In internst? Yes_~ No d. Caples of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cer.k of the Orphans' Court ilnd may be C1ttached to this report. f't) '0 In .t-: ~ ' . ,,) ',ij ~;)l'19()'I D.ate I rlt7'V Ifi . I , '. """'1;' , ~ ~ ,,/ o 0\ &ill: ~ .~, I '"I u8 /~(~t~_ Signa t.ure 'PA,/,~ J.. 1iJrtJw".J~. G~,,v) Name (PI ase type or print) . tj'l, .?'~ edo>>f ~(1?a J)rll.l~" Address - "l .-- 0- "l~ ;c; , (MAH I rmf/AM3) .L_.J 6";) .->>3"- '1;-9'1____ Tel. No. Capac i tYI _ ~rsonal Representative Counsel for personal representative