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HomeMy WebLinkAbout94-00745 ,".,' '~, 1 :,1' q' ,,':" " , ' 'j" ,'. . ,"," '.',: -, . j," ~. ., I) I J" . I,. ~jl ' " " I:.'..~ ,\ :'.~> '".i II: " . ',Jl' .,<,' .t' (,\ . l;h .~. I,' 'I:,' .,' " " ,.);.~. ,,,,::, ,. 1/ .'.: ,'\' .:' .","fl:'II" 'I ,'j' " ! '\ " .' " ' " ,Ph,' ,H, ~, . . ]'., (, ~'.'. ,.':' 1:.:"'/,":: :', ," " ,':~'~:'.~, r~:\~I~:,:;, '<If.: " ,',I " .'Il.;;," .I.~ .:.' ,-', - 't ',I"," , ' , " ,;: "II ,',' ';..1' ,';1" ,',', ." I" :'",1,':" ",,',( " : "" ,t'"I". ". .. 'I:' / ,'. ')'.'-1,' ,;1,. )" " ,I t','" -,',' " ;"',1" :. ' ',:'! , , " I::, , -,' "\' <,l' ',h / " . "~"~ (" ",:. .,. ,'. ".....:. , .;. '," "1,: , , ",' , 'of I"~ ". ,'" 1" ;. , 'K '1,_ ,". . , "I /,l~"" ' [\ ',t' :,'\, \ '" '~ t-'1I. . "'~" " "i'- t,'\I '. 'O',i, '., r ' . 2'1', '. " , , , ., '" " " ., I.': ',\ ' 'i; If " " " " " " ',' " ',' ,,' .:' " \ II' 1',,1, ' 1 ,. .' 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In the Social Secllrlty No, O.6.!!.=2.Q..-O.6..'li...___ CommonwclIlth or Pennsylvllnla The petition or the undersigned respectrully represents that: Your petllloner(s), who Is/arc 18 years of age or older IIn Ihe execut or In the last will of the above decedent, dated _E.ebruary-2.2 and codlcil(s) dated n I a ._, __ named , 19.Jl.L (stale relevant clrClIlllstallces, (',g. renunciation, deillh or ('.'(('cUlor, cIC.) Decendent was domiciled III death In __.Q.umVgru.llil___. County, Pennsylvania, wllh her _last family or principal residence at Sarah TQdJLJ1emorial H.QJlle..,. ..1J)00 West SnlltlLB..t.r..e.e.t...-Carl isle, Pennay,lY..ani.a...._l1.QJ 3 (list street, number and ltHlIldra1ily) Dccendellt, then _ 90 years of IIge, died _lI.\ill.ust 1 B ,19...2..!_, at f;ilrilh 'I'ndrl Memnrial llome.._lJlll..Q_..1L.....s.o.uth St., Carlisle. PL.., Except as follows, decedent did not murry, was not divorced and did not have a child born 01' adopted after execution of Ihe will offered for probate; was notlhc victim of a killing and WIlS never adjudicated Incompetent: n / a _ _ Decendent at dealh owned properlY wllh estimated valucs as follows: (If domiciled In Pa,) All personal properlY (If not domiciled In Pa,) Personal properlY In Pennsylvania (If not domiciled In Pa,) Personal properlY In County Value of real estate In Pennsylvania situated as follows: S 200,000.00 S nJiI S nlil LnQna WHEREFORE, petllloner(s) respectfully request(s) the probate of the last will and codlcll(s) presented herewith and Ihe grunt of letters t.estamentary (testamentary; administration c.I.a.; administration d.h,ll.e.l.a,) theron, i "'- 'II ~ ~l l~ .,'" J'o i Iii ~.) ,,0') , " ".' \ ~ ('-~" \ ,. \) .2:1 "'J"'-"",VwV\(-"... Jac Baughman '. ~ OA TH m' I)ERSONAL REPRESENT A TIVE COMMONWEAI.TH 01<' !'ENNSYI,VANIA l88 COUNTY 01<' CllMBERLIIND J The petltloner(s) ahove-nallled sll'enr(s) or affirm(s) thlltthe stlllelllenls In the foregoing petition arc Irue IInd eurrect 10 the hcst of the knowlcdge IInd helier or pctitluner(s) IInd lhlll as personal represen. talive(s) of the ahove decedent pClltloner(s) 11'111 weiland trnly administer the eslllte IIccnrdlng to law, /( .'.1 , SWIHn to or affirlll~~Tlltld suhscrihed t ..,\, ,:'., ',' \',' \.,\. .'-' \.:...'.""<... ~ hclnre meAII~usT u.:. . ... I dl~4ol "Ju.ck llu\lUlllllilll .. " t(''''h'~'\U'/ . ,(hJ I/.' Ij,. ~ I /r- ~r~AR y'J~L::tfwYs" ".. ,~(;'. .,1 1-1:,(1 . ~ (f) To make distribution hereunder either in cash or kind, as my personal representative in his discretion may deem wise. ~'IFTH I do hereby nominate, constitute and appoint my nephew, JACK W. BAUGHMAN, to act as Executor, of this my Last Will and Testament. Provi~ed, however, that if he is unwilling or unable to act as Executor, I direct the duties of Alternate Executor, be performed by WILLIAM M. WEARY. SIXTH I direct that no personal representative, guardian, trustee or other fiduciary appointed under this instrument shall be required to give bond for the faithful performance of their duties in any jurisdiction. IN \'1ITNESS NHEREOF, I, FLOY E. DEITCH, have hereunto set my hand and seal to this my Last Will and Testament, consisting of three (3) typewritten pages, the first two (2) of which bear my signature in the margin for identi.fJ.cation, this J 'J/l'-iay of February 1989. ,. I I . /' " j, I I, 17"' ( fl ../ II ~... (. (.~/t~., ~LOY E.,~EITCH . SAIDIS, GUIDO & MASLAND 26 W, Hlph Sir'" Carlisle, Pa, Signed, sealed, published and declared by the above-named Testatrix, FLOY E. DEITCH, 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 Tes~~:i!., and ~ each other. - /'fJ /~/\-..-I ''i)llf_k~~~ ,A . -,U\f/f),/U'li JIDDRESS_:A- cJ ((-<i c;c;::r c"C"f...t, e((.,I-I(i/~S I I ADDRESS JL ill,,> l H1c.r'){ n.'(- ~ ill bk ~) v-\ nUl3 , - 3 - \. I' " . ,. .. " " ,. ,'I r;-,rl (" .. ":, ,(, J:' " " " " " , : " " , " " " i'. I ~ \ ' -rl " ;11, ).' .1. " .! . I,", 1.'- ,,' :-0 ,fJIV '01 () , .,\'(:1 .. . ,. " I.') (j'l C:J, ,...) {O" " , , .: " '..t. .:1.' (,:). " , '" ~ ~ ~ ~ :II ~ !~I;I u CIl E-l c.:l H E-l c.:l "" Q o ii6ll.~ ~ 0 . ~ "O;:i~ c.:l ..:l ~ ..:l t:ll.~ 0 H ~ ~ ~ :J: ~ U E-l ~ j " , ' , i. " 'I" " " ,. ,. " " " " 4 ", ..... '.... -~'''~ . - .-'-" ---- ,-.. ..-..... -....- --'-~ ...-. -.- .....- -- _.~... -.... ..--... ,.-- ---. ._-. -- .-- - - --.. - - -- .-- -- - -- ~li1tV,IM;~!Ili~r}lt:J.'\Nlm1;:)\~l'~f~~"~!f'ttiJ~IY~I(L';;t ,pli,,'}l:: )r~' 'I' ":"1 t'l \~1ilA,,<l1,'{ 1 i "I', 'i ;i:""i;/;;"i ),\ 1~'~)li(~~'IW~ii~~;lll,\!),;.;,~~ !~J/J7iM'ii\\j)~~;~;} ':';r,\":~, ",!\!;!,,"'H ~M~NW,A'IItH~'^F' PIt.iNi\f"~~NIA': "" 1\:',,\~1 ",I.'V if:'I:~ \"11; :,:A ' ' 1 '1./' hI :".~";IVj(iC'11",,: '" 'l!" , ',,' , ,"""',.. ~ ',' " ,~r.l ' "" I I" ',I , ~,~ ml "~:W...:y:~f""',,.r,{tl~>:r\"I\1 / ~ ID.'~~~Nt\O".IY."i:I.' 1,,' '.,\ ,,\; ,j I' ',J t '11,1:,.':" "11'\'" :' , tlJ'riirf;Mri ii, !i:~,::l",,:qJI"U!IU,ilCll"i~!P.H".Y'WAHI' 'INHI.'IT.~IAND'lIiTATlfA~" ":,::, ,',/ :,:' , ',I I .'l,) '1' ( " ~";l"'P\ I :" \,' I "I',' ',i I I ACN ASSESSMENT PI' CONTROL IiW NUMBER RECEIVED FROM, i AMOUNT (~lJ J DO F..rJWm-lll E eb E HIGH STREET ----YO I "E'7. (1(lC!. 00 CARLISLE PA 1701~ 10101111' 'OIOHUf _' - ESTATE INFORMATION, m ITENiiMBER m II BeN Oe9-1?~)-O~~75 IFIRSTI . (Mil mJPSMR ~ UNTY 9~f CUMBERLAND o ilATH 08 II e 194 REMARKS JACK W. aAU8HMAN m . TOTAL AMOUNT PAID _..:__~~n,QOO. 01> 2,', .~BG . t>' . 1) \. J.' ""'''' ". .1Jl.~Ai~'- - . f1AHY CJ I.f,WI REt'lISTd'l OF Il.l.S SEAL CHECI<II II REGISTER OF WILLS -:--- --.;. --;"" _.~ -'- _. -, -.....- - --- -- -.- -... .-...- .-. ... _.;.- - -- ...-~ .-- --..'. .-.-, ---~ .--'" .-.-.- .....--. --_. - -- ~',-- .' 'I '.. ............-- _ .......,,,.., ....,"'~.~ .~.tl'kl-... lIrvlSOOfJt jll,Ql1 y:4 INHERITANCE TAX RETURN ~...IFj;~ RESIDENT DECEDENT COMMO"WlA'"' 01 '(NNSYlW,,, (TO BE FILED IN DUPLICATE O('AR\:1WWJJ,\V(NU( WITH REGISTER OF WILLS) 1l~.~!~~~~_~~!.~.~__lo~!lB'-~~_!n _... __0'_. __ .. ...... .. _,. _ _._. _..m .-- llfi:ror~M'fli'Aff,filfi~Ai10Mt[lUl( ItltTlAtl 1. R.al Ellalo (Schodul. AI ( 11 - 0- 2, SICKk, and 8andl ISchodulo 81 ( 21 - ()- 3, Clal.ly Held SlackJPartnorlhlp Inl"e.f (Schedule C) (31-0 A, Martgago, and NalOl Rocol.abl. (Schodulo 01 ( AI - 0 - 5, Calh, 8ank Doro,ll, & Mhcollonoou, Po"onal P,ope,ty( 51 $ 220 I 276 . 24 (Schodulo E) 6, Jalnlly Owned Prop"ly (Schedul. F) 7, Transfo" ISchodulo 0) (Schodulo l) 8, Tolal Gro" A"o" 110101 Ilno. 1,7) 9, Funoral E.pontol, Admlnhlrallv. Call., MI"ollan.au. ( 91 E.pen.e. (Sch.dul. HI . 10, Debl., Mortgage lIablllllo., lien, (Schodulo II (l0) 11. Tolal D.ducllon, (101011100. 9 & 10) 12, N.I Valu. of E.lal.llln. 8 mlnu.lI.. II) 13, Charitable and Gomnmonlal 8.qu,," (Sch.dul. J) lA, Nol Value Subject 10 To. (1100 12 mlnu.ll.. 131 15, Amounl of lino 14ta.ablo at 6% '010 (Includo valuo. from Schodulo K or Schodul. M,) 16, Amounl a' Iln. 14 la.ablo 01 15% ral. (Includo valuOl from Sch.dul. K or Sch.dul. M,) 17, Principal 10. duolAdd ladrom lin. 15 and f,om line 16,1 18, Crodi" Spou,al Po..rty Crodil Prlo, Paymonll Dhcounl _______. + $27-+Qllil..JlO + ..$.L,..15.D....ilil - 19, II IIn. 18 i. oreal" Ihan IIno 17, onlor Ih. dillmoco on line 19. Thh I. tho OVERPAYMENT, DID 20, II IIn. 17 h 0'001" Ihan IIn. lB, onlOl tho dill.ronco on IIno 20, Thl. h the TAX DUE, ^' Enlor Iho Inl"OII on tho balanco duo on Ii no 20A, B, EnlOl Iho 10101 olllno 20 and 20A on Iln. 20B, Thh h Ih. BALANCE DUE, Make Check Poyobl. tal Rogi.te, 0/ Will., Agont . ",' "" .', ,~ :' .I.:"'Bt SURE TO !ANSWERALllQUESTIONS :ON 'llEV.ERSE;$fD,E:AN,D ;roREtH1cK'MAlH*~\'?YI\l.'~':'~':!~:".',\\:I'/)~"~ Under pllnalliel of perlury, I declaro Ihatl havo 1ll<cmiMd lhh lelufn, Including acco,.lpanying Icho'dulol and Ilalomenll, 0;;' 10 the bell of my knowlodge and b.lIlill~, .1 It Irue, correct and complete. I doclQ(o Ihal 011 real cHlalo hm bun roportod 01 lrue mar~el valuo, DoclafCltion of preparer othllf Ihon Ihe porsonal reprelentatlvo II bCllld 0". alllnformallon 01 which preporor hot any lnnwlndgo. !,tOi(idU!iCo; HRW':-{R~l)oriSiliin6fH(liiG--jt'[1UR~j --'AO[lR{~~--- . .. -'~---'~-"'._-'--".-'-" . 1 ....__h.___ -..... ..-..... b-..:i(-' -- _on - -.. ---..... . '\",..l'-dl'-)\\"~'i' '._ [("c' , )~S 5,(,I,.I~f, ,0 ('4t'I/" /)(,/3 <-I;;r/f~'- "'~~" )"III~ '"^}f\1'liS(t71~1IV1 ,.; ~'I"~,\i/lvi(' <<-(~~(:~C;I' A. " - -; ?~'I ~- D~1:!h~ . , I I!! ~~S :z:~.. u"'co '" ~ ~ ffi :ll Q OZ u~ jll-J~)'/' /1./ , . I 'I' e ,I' ( ~. 'OR DATES 0' DEATH AnER 12/31/9\ CllICK HER! I' A SPOUSAL . POVIRTY CUDII IS CLAIMED L1 fiiiNUMBIR ----------.-.. .on_ 0745 NUMBER ... ~ ~ Q ~()U_N.T.~c09E 2.1. YEAR. 9.4. DOH'$ COM~UH ADDRESS Sa I.'ah 'l'odd Melllor i ill 1101110 1000 West South Streot Cadisler P^ 17013 C"'~9tlll.lbe r 1 ansL-_____._.__ o 3, R.malnder R.lurn (forda'o. of death prior 1012.13,821 05, Federal E.tal. To. R.lurn Required _ 8, Talal Number of Safe Dopo.1l Bo... !Ji.MfZiJ~i\\lNI)~;N~Y.-.r'_.. ..-.... rAIIO!' of A it,' .-....! DAf(elfiiRfrr--- on"_ ...!ljJ_f3.fJ!L._~L!2L_ f.] 2, Supplem.nlal Roturn U ~a, 009-20-0675 -.. .._~--~..-.._- fill. Original R.lu,n 04, 06, lImll.d E.lolo {J Edward ~~. GUidoLEsquire ifil,ilONI NUMBE' 26 West lIigh street Carlislo, P^ 17013 71.LL1.1) - 6 2 22_ "/l J ,. . :-n 'il"J :'.1 z o 3 E g ,) , , -0- ( 6) (7) , ~.. :t" ._ L'. -()- (81220,276.24 20,052.78 1,818.34 (II) (121 (131 (14) 21,871.12 198.405.12 -0- (IS) -0- )( ,06 ~ 1911.40S.12 . -0- (16) 198.405.12 )( .15 ~ _~ 760. 77 z o ~ !; lI. '" o u ~ (17] ....2.9 I 760.7'1 InlorOlI (IB) ....$.21Lr 1 SO. 00 (lql Sl!. a Check hOlD if 'you Oft' ,oqueslinn (J refund oJ YPUf ov,"'pnymcnl. 1201 1 ,nQ..J7 (20AI .~O-' (2081 _. ." .NISO.... (2"1) '* SCHEDULE E :1 CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Pleall Print or Type FILE NUMBER 2194-0745 CaM'J\\1Nlf~A!l~I~~ tl~NII~ANIA ~1I1~fHT D1C1o'fNV ESt"TE OF F10y E. Deitch, deceased lAM "oporty Iolntly.ow..d wltll the Rlgh' of SUIlII..uhlp mull" dllCloHd on Schodulo PI ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. AAL Annuity Certificate # 3471679 133,387.00 2. Mellon Checking Account # 232-292-6375 6,821.01 3. PEBIF Check # 2134997 104.98 4. PEBIF Check # 2055313 3.02 5. PEBIF Check # 1959995 27.81 6. Mellon Trust Account H 264-5BN. . 79,932.42 ,. I'. , , , " ,. ,',' I ,"" 1, ",; , , TOTAL (~ho enler on IIno 5, Recopltulollon (Attach addUlonalSYJ- )( 11" .hulll' more Ipace h ntedld,l IIY.lSllIK+l''''1 9.,,t,l - SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCEllANEOUS EXPENSES Pllall Prlnl or Type I F~~E NUMBER 94-Q1 5 COMMONWIAllH 0' 'INNlYlVANIA INHIRITANCI lAK mURN RUIDIN1DICIDINl mAft OF FloY~Deitch, deceased N~~~ER DESCRIPTION A. Funeral bplnllll AMOUNT 1. 2. Hoffman Roth Funeral Home Cumberland Valley Memorial Gardens $612.02 1 j 1 00.00 B. Admlnlllrallw Callll 1. Penanal Rep,,"ntatlve Cammllllonl Jack W. Baughman 8,000.00 Social Security Number 0' Plrtonal Reprellntatlvel Year Com million. paid lqqr; 2, A"orney Fe.. Said,i s, GUido, Shuff & ~Iasland 9,500.00 3. Family Exemption Claimant Relatlonlhlp Addreu 0' Claimant at decedent'l death Street Addrell City State Zip Code ... Probate Fell 267.00 C. Mllcellaneaue bpln"l! 1. Cumberland I,aw Journal - Advertising 40.00 2, The Sentinel - Advertising 58.7,6 3. Boyer & Riter - tax preparation 475.00 ... 5, 6. 7. 8, TOTAL (Allo entor on IIno 9, Recapltulatlonl S 20, 052 . 7 B (If marllpace II n"ded, Inter! addltlonallhOlll a' lame Ilzl.) , I , I , I . ' , , , I ~~ , If ,.1, i dMI ". .... . i I " \II .., .., .I ~ " ,W~ ! '; .... , ~ i~ J ~m 0 , a .., 3 ~~ll ' . OJ) .. ~i~ ~ I U ~ ~~i~ lI: I Illi~t.l Ih!1 , . ~ I I llJ ;g ~~~~ " ~tl~~ l .... ~ ' " .... , Cl Cl'" 0 .. .., II '. ' \ ~i~~ III ~ In 3 .... co '''I'~ '''I ~ . Ai ~~ 10 ~~~ ... ::J ~, 'Ooj , ... III )I BIBB ;1 s 'il . ,I." ~ 31 ~ "" " , :. b 1Il.!1 I , , lJ I I I ' ..... , I , . " lJlIllJ3I . t . , ~I .... l) III '.... A, ~, .. ,. .... .... .... e ~f,t ~lJ'~~ ~ ;1'1 1 i! 91 ~ ~ ~ ~ " ell, III A, r~ I I I I ~ m I , , , !-tlJClIll IH: ~~vin: COMMONWIALTH OF PENNSYLVANIA COUNTY OF CUMIIRLAND } HI .___Jack...J'L.....Jiau.ll.hma n ... ._.__, __.___ b.lng dulV sworn .___'__ .ccordlng to lew, depoltl .nd "VI th.t h. is Executor _____.____......___..u___....___ of the e...te of ..nOY E. Del tch let. of _Car,Usle ,Bor.ou9h.u___..._...........__.____, Cumb.rlend County, P.., d.elll.d .nd th.t the within II en Inv.ntorv med. bv ..-._....J.aclc\'L.....Jii.\I.l.\lhmiUL. "...__ '0_'_'__" the 1.ld F.lC"cutor _ of the entlr. ..tet. of uld dec.dent, conll"'ng of ell the perlon.1 prop..rtv .nd ,"I ....t., ..copt ,III ..t.t. ouhld. th. Commenwulth of Pennlvlvenl., .nd th.t the flgur.. oppollt. eech It.m of the Inv.ntory "p,..ent It', f.I, velu. 01 of the date of d.cedeJlt'l death. S""'rn end lublcrlbed before me, -~f2~MS~~(/ l)~ ,~ - E...ut., . A III 1.1,.1., Jack W. Baughman _255 South West Street HOTAnlAl SEAL JOAN E, SMITH, NOTARV PUBUC r.ARI,ISlE ROilOUGH, CUMBUlLANO CO.. At MV COMMISSIUN EXPIRES WARCH 23, 1. ,J;arlisle~_ 17013 Add,... o.t. of D..th 18th D.y August Mo.'. 1994 v... INSTRUCTIONS I. An Inv.ntorv mull b. flied withIn thru month I afte, .ppolntment of penen.1 "p,...nt.tlv.. 2. A lupplem.nt Inventory mUlt be flied within thirty d'VI of dlleov.ry of eddltlon.1 ....h. 3. Additional Iheeh may b. attach.d II to ptrlonllty 0' rulty 4. S.. Artlel. IV, Flduel.,11I Act of 1949. ~ l!! 1 ~ . ~ m ~ . ~ w ~ c 1 I ~ ~ .... II.. J II.. ~ ~ 0 ~ ~ 0 f o c .. 0 - ~ ~ d z Mo ~ ." c 0 II '1: Jl 1 .II II e J ... j U LC \ '. " /11/.1,/,/11 {\)Olt-' REV-1547 EX AFP (12.94*~" I COHHOHHEAl!ll OF PEHHSVl VAHU ACN 101 OEPARTHEHT OF AEVrHUl NOTICE OF INIIERITANCE TAX l E~~;~~~~:~V~~~~~~~ -==~teov~-- ____~::~!~~~~:~:~~~A,~~~~~~~!~~:r~~N~!~T:r-~~~;_5 - __= DATE OF DEATH 08-18-94 COUNTY CUMBERLAND NOTE I TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPFR PORTION OF THIS FORH WITII YOUR TAX PAYHENT TO THE REGISTER OF WILLS, HAKE CHECK PAYABLE TO "REGISTER OF WILLS, AGENT" REMIT PAYMENT TOI REGISTER)'DF WIL4s 'II CUM8ERLAND CD COURT HOUSE CARLISLE, PA 17013 I /:,/ EDWARD E GUIDO ESQ 26 W HIGH ST CARLISLE PA 17013 E Ano'!!'t RI.IUld CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~ iI EV: Hi4;" EX""f. j: p" - r i2: 94 T "NoT" i cE" "oF" "iHHiii if A N-c E" 'fAx "A p PilA is iHENr;" f. LL" tiwAifc~~ b"ri""""" -""".."""" -" DISALLOWANCE OF DEDUCTION~ AND ASSESSMENT OF TAX ESTATE OF DEITCH FLaY E FILE NO. 21 94-07(15 ACN 101 DATE 06-26-95 If an assessment was issued previously, lines 14/ 15 and/or 1&, 17 and 18 will reflect figures that include the total 01 ahh returns assessed to date, ASSESSMENT OF TAXI 15, Anounl of Llnl 14 16, Anounl of Llnl 14 17, Anounl of Llnl 14 IS, Prlnolpll TI. DUI TAX RETURN WAS I I X I ACCEPTED AS FILED RE~ERVATION CONCERNING FUTURE INTERaST . SEE REVERSE APPRAISED VALUE OF RETURN BASED aNI ORIGINAL RETURN 1. Rul Eltoto ISohlduh AI III 2, Slookl Ind Bondi ISchldull B) 121 5, Clollly HIld Slock/Plrlnlrlhlp Inllrlll ISchldul1 CI 15) 4, Horlglgll/Noll1 RICllvlbll (Sohldull 01 (41 5, Cllh/Blnk DlPOIIII/HIIO, Plrsonll Proplrly ISohldull EllS) 6, Jointly O.nld Proplrty ISohoduh FI 16) 7, Trlnlhrl ISohldull 01 171 S, Tolll Alloll APPROVED DEDUCTIONS AND EXEMPTIONS I 9, Funorol E.plnl../Ad., COlh/Hllo, E'Pln... ISohldul1 HI (9) 10, Dlbh/Horlglgl Ulbllltlol/Lllnl ISohlduh 11 110) 11, Totol Dlduotlono 12, Nit VoluI of TI' Rllurn 15, Chlrlllbll/Govlrnnlntol Blqulltl ISohldull J) 14, Nil VoluI of e.toto Subjlol to 'fl' NOTE: It Spau..l rlh to..bll .t Lln101lClIII A rltl t","bll It Collltlrll/ClllO Brill 115) 11(,) 1171 TAX CREDITS: PAYHENT DATE 10"26-94 04-17-95 RECEIPT NUHBER MM913116 AA023054 DISCOUNT I') ] INTEREST I-I 1,421.05 ,00 I ) CHANGED ,00 ,00 ~ ,00 220,276,24 ,00 ,00 ISI 220,276,24 7.0,052,78 1,818,34 III I 112) 1151 114 I ~l .871 12 198,405,12 ,00 198,405.12 ,00 X ,03. ,00 K ,06. 198,405,1~ X,15. lIS) ,00 ,00 29,760,77 29,760,77 AHOUNT PAID 27,000,00 1,410,77 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE 29,831,82 7l,05CR ,00 71.05CR . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST, IF TOTAL DUE IS LESS THAN .1, NO PAYHENT IS REQUIRED, IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU HAY BE DUE A REFUND, SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS,) ,." RESERYATION, E.I.I.. .1 d.c.d.nl. d.lna .n .r b.I.r. O.c..b.r 12. 1912 .. If on. lulur. Inl.r..1 Inlh. ..1.1. I. Ir~,"rr.d In p......I.n cr .nj....nl t. Cl... I Ic.ll.t.r.l1 b.n.flcl.rl.. cl th. d.c.d.nt .flor Ihl "plr.tlcn.f .n. ..1.1, fDr III. .r IDr ...r., Ih. c..oDnw..llh h.r.b. .,pr...I. r...rv.. Ih. right ID .ppr.I.. .nd ...... Ir.n.f.r Inh.rlt.nDI T.'" at thl lawful Cia.. a (collat.ral) rat. on tny luch futurl Int.rl.t, PURPOSE OF NOTICE I To fulfIll the r.qulrl~lntl of S.utlon 2140 of thl Inhlrltancl and E.tatl TIM Act, Aot 22 of 1991. 72 p,g, s.otlon 21itO. D.t.ch Ih. tDP ,Drllun Df Ihl. N.II.. .nd IUb.11 with ,.ur ,,,"nl tD tho R.al.lor .f Will. prlnl.d.n .hl rom" .Idl, "-""kl ohlck nr ~onlY order payabll tOI REGISTER OF MILLS, ADENT III p.,..nl. r.c.lv.d .h.11 flr.1 b. .ppll.d ID .n, Inl.r..t which 00' b. duo with on, r...lnd.r .ppll.d ID Ih. tD', A rlfund of . taM crldlt, whIch we. not rlqul.tld en thl TaM Rlturn, lay bl rlqultttd by co.plltlng en "ApplIcation for Refund of Plnn.ylvanla Inhlrltencl and E.tet, TaM" (REV"1313J. Appllcatlon. are avallablt at the OfficI of thl Rlgltter of Will', any of thl H Rlvlnul Dlttrlct OfficII, or tly catllng tho ,plelal 24'hour an,wlrlng 'trvlel nu.btr. for for~' ordtrlngl In plnn.yLvanla 1-800-362-20S0, out.ldl p,n",Ylvanla end wUhln locel Harrltburg arn (717) 187..8094, TOOl (1171 772-2252 ltlnrlng Ilpalnd Ollly). Any party In Intlrl,t not .atlsflld wIth thl appral....nt, allow,nt. or dl.allowanc. of dlduotlons, or ........nt of taM (Including dhcount or InteruO .. ,hown on thlt Notlc. lust objlct wlthln shcty (60) day. of rectlpt of this Notlcl byl ..wrlll.n prDIIII t. tho PA O.p"llInt .f RIY.nu., 5D.rd Df A"..Io, Oop\. mOll, ""rI.burg, PI 17I 2B-l 021 , OR ...llctlon to ha..,1 the ..tter dlterMlnld at audIt cr the .ccount of the p.rlonal rtprulntatl~', OR ....Pp..I \0 the Orphanll Court, PIYNENT, REFUND I CR I' OIJECTlONS, ADNIN IS1RATlYE CORRECTIONS' Faotual .rrorl dlscovlr.d on thl. a.......nt Ihould b. addrl...d In writing tOI PA O.part..nt of R.ij.nU', B,trt.U of 1ndl~ldu.1 laMl', AnNI po.t A.......nt R...,llw unit, DIPt. 280601, Harrl.bUrg, PA '7128,,0601 Phon. (717) 181-6505. SI' page ~ of the book Lit "In.tructlon. for Inh.rltanc. TIK Rlturn for · R..ld.nt o,cld.nt" IREY.1501) fOl' an IMplloatlon of adalnl.tratlijllY corr.cUblt errort, If any taK due I. paid withIn thr.' (3) clI.ndar lonths .ftlr the d.Cld.ntl. d.ath, a fl~. p.rc.nt (S~) dl.count of th. ta. paid 11 aIIDw.d. Int"ut 11 charg.d beginning wltl1 first day of d.llnqulncy, or nln. (9) 1II0nth. .nd ,n. II) day fro' the date of d.ath, to thl !Jete of p.y"nt. TaKII which h.c..' dlllnqu.nt b.torl Jlnuary 1, 1982 bllar lnt.rnt at the rat. of .1. (6X) p.rc.n\ p.r annul calculatld at I d.lly rat. of .000164. All tIK" which bloa.' dallnqu.nt on .nd aftlr January I, 1982 will bur InUrut at a rat. which will ~.ry froll callndar yur to calend.r yur with thllt rat. announced by thl P. Dlp.rt..nt of RI~.nuI. Thl appllc.bl. lnt.r..t rat.. for \982 through 1995 arll ~ Intlrnt Ratl Oftl\y 1nt.r..t Factor ~ Inter"t Rate DailY Interllt Factor -- 1912 20~ .000548 1957 9;; ,000247 1911 16% .000418 198841991 11% .000301 1914 11% ,OOom 1992 9% .000247 191\ 13% .000!tS6 199~-1994 1~ ,000192 1916 10% .000214 1995 9% .000247 --lnt,,"t I. calculat.d .1 folloWII INTBREST . B^L^NCE or TAX UNP^IP X NU"BER or D^YS DELINQUENT X O^ILY INTEREST r^CTDR ".,ny Hotlco 1..u~d nft.r the taM b'cc,,' d.llnqulnt wl'l rtfltct an Intlr..t calculatIon \0 flftlen tiS) d.v_ b.yond thl det. of the ........nt. tf p.y..nt 11 ..d. ofter thl Intlrut cOlpu\atlon dati .hownon \hl Notlot, addltlonal lntlr..t lu,t bl calculaUd. DISCOUNT, INTEREST' no . .1 :ry L, p.- H, .r III , II ." f t,/ r:l , ." . ~ }, \..I,J PAVItl!NTI O,tlch thl tap portion of thl. Hotlcl .nd .ubelt wUh your PIW""' Itd, pIYable to the nl" end add".. prlntld on the r.ver.. tide. 1/ REIlOENT DECEDENT .,k, chock or .on.. ordor .."bll \0' REGISTER OF WILLS, AGENT. 1/ NDN'REIIOENT DECEDENT .ok, chICk or .0n1V ordor PIvlbl1 \01 COHHONWEAL TN OF PENNSVLVANIA. AU PIV-tnt. received IhaU bt applied flrtt to any lnt.r..t Nhlch"Y be due with .,y r..llndtr IPPHld to thl t'lf, REFUND (CR)I A refund of . tlX cr'dlt, which WI' not r.quI.tad on the 'IX R.turn, IIY bt r'QUltted by co.plltlng In "Appllcltlon for R.fund of Plnn,vlvanla Inherltancl and E.",. T.x" (REV~131S). Appl1c.tlonl ar. IVlllabl, .t the OffiCI of thl Rtgllt,r 0' WUII, any of the 25 Rtv.nufiI DlItrlct OffiCII or frol the DIPart""'" 24-hour an,wlrlng lI,vlel nUllbtr. for for.. ordtrInSlI In PlM'Vhenh 1-800-3U-ZOSO, autlid. PIMlvlvanlt end wUhln 10011 Iilrrl.burll .r.. (717) 117"8094, TOOl (717) 712"USZ (H..rlno "Ipalr.d only), REPLY 101 Qu..tlon, r.g.rUlng .rror, cont,in.d on thl, notlc. .hould b. 16dr'l.td tal PA O.pert',"t of R'v,nue, lur.eu of Indlvidutl TlMII, "TTNI POtt A.......nt R.vlew lkllt, Dlpt. 210601, Htrrl.burg, PA 11128"0601, phon. 17I71 767-6505. DISCOUNT I If any tlM OUt I. paid wltn1n thr.. (3) ctl.ndtr IOnth. .ft.r thl deeldlnt'l dletn, a flvl p.rcent (S~) dlACount of the taM paid II QUovld. INTEAESTI Int,,"t II energId bllllm1ng with first dlV of d.lInquency, or nlM (9) .onth. and one (1) dlV fratl thl dl" of dleth, to tha date of ply.ant. TaM" which b.ca.. d.llnquent b.for' Jenu~ry 1, 1982 b..r Intlr..t at the r.t. of .IM (6~) Ptrctnt plr annut calcullt.d at . d.lly r.t. of .aOOI6~. All tIM" which b.e... dtllnqutnt on ~ .ft.r J.nulrv I, 1912 will b..r Int.r..t at a rat. which Mill vary frOl cIlend.r y..r to callnd,r y..r Nlth thlt rlt. I""ouncld by t~1 PA Dtp"t.tnt of A.v.nu.. Tht IPpll~tblt Int.r..t r.tl' far 1912 through 1995 .r'l Vllr Jnter"t Rat. O.llv Int.r..t Flotor VII' Intlrut Rlt. DIUy Interllt Flotor 1962 20~ ,000546 1967 9~ ,000247 19U 16~ ,000416 1966-1991 IIX .000301 1964 m ,000501 1992 9Yo .000247 1915 m ,000!!6 1995-1994 7X .000192 1966 lOX ,000274 1995 9X ,000247 ....Jnt".11 I. allcul.t.d II followlI INTEREST . BALANCE GF TAX UNPAID X NUHBER OF OAYS DELINQUENT X DAILY INTEREST FACTOR ....Anv Notlo. IlIved aftlr the t.M bleo... d.llnquMt N111 "Utat an Int"ut allculltlon to flfttl" (1S) dly. blYond thl d.t. of thl ........nt. If Ply,.nt II ,1tdII .ft.r tM Int"..t caputltlon ,dlt. lhowl on the Notlc., Iddltlon.l 1ntlrllt 11011 b. c.lcultttd. SAIDIS, GUIDO, SHUFF & MASLAND 26 W, HI.h SlIeel Carll. Ie, M " PRINCIPAL RICIIPTS 1. Prudential Life Policy $4,678.20 2. AAL Certific/lte * 3471679 $133,387.00 3. Mellon Checking Account * 232-292-6375 $6,821.01 4. Mellon Living Truet - Account * 264-5BN $72,432.42 5. Series H. Savinge Bonde $7,500.00 6. PI!:BIF Check * 2134997 $104.98 7. PEBIF Check * 2055313 $3.02 8. PEBIF Check * 1959995 $27.81 9. Inheritance Tax Refund $71.05 TOTAL PRINCIPAL RECEIPTS ~ " 'I " " '"I " , " 2 SAlOIS, GUIDO, SHUFF & MASLAND 26 W, lUSh SlIccl Carlble,I'A PRINCIPAL DISBURSEMENT 9-14-94 Care Apothecary $13.38 9-14-94 Hoffman-Roth Funeral Home $612.02 9-14-94 Saidis, Guido, Shuff & Mas land reimbursement of probate fees $267.00 9-14-94 Cumberland Valley Memorial Gardens $1,100.00 9-19-94 Sarah A. Todd Memorial Home $1,800.19 9-28-94 Cumberland Law Journal - advertising $40.00 10-26-94 Saidis, Guido, Shuff & Masland - partial payment of fess $2,000.00 10-26-94 Register of Willa Agent ., inheritance tax $27,000.00 12-6-94 Care Apothecary $4.77 Saidis, Guido, Shuff & Masland - reimbursement for Sentinel advertising fee $58.76 4-13-95 Register of Wills Agent - inheritance tax $1,410.77 4-13.-95 4-13-95 Register of Wills - filing fee $25.00 4-21-95 Register of Wills - additional probate fee $35.00 6-10-95 Reimbursement to Saidis, Guido, Shuff & Masland for postage and addiUonal short certificates $17.42 7-11-95 Partial payment of legal fees $4,000.00 7-11-95 Partial payment of Executor's fee $4,000.00 7-11-95 Register of Wills - filing fee for First and Final Account $106.00 ALLOWANCES Saidis, Guido, Shuff & Masland - Balance of Attorney's fee Jack W. Baughman, Executor fee Boyer & Ritter, CPA for preparation of final tax returns Reserves for contingencies $3,500.00 $4,000.00 $700.00 $1,500.00 ~ TOTAL DISBURSEMENTS 3 - I ,~ " . UUiil I If\ ',' .-:l . II~'IIII "I : j !'t.. '. ' I.. n :',1 l.' , Inlti'l ' r" , , 'I'.' ' ...,.. "'j 11UItlI. I'r . ~ '.'1 /', ; , (~ \,) , 1('1 ", I" .. (Un: r' "'8 a: d ' J'J fl" . J~I;li!!! .U'I = :II ~ ~ ~ Eo< . :II "', t<l. H 3:Eo<U~ ~<l; - Ul< 3: ~ ~ Eo< 1Ii~ p., III rI1 o~ ~PI Eo< Ul U "" H Eo<H ~ a ~~~~~ H ~ 1I'\ ZO"~O[:j",,Ul>t PI >t 'l' ::> p., t; ~ o~ Eo< ~.,., Z'" Z ~ t- 00 . Z ~ og:tffiE; u~""~~~ 0 00 0 UPlOo Eo< 0 o otl.r- ~o I U 'l' < U><~ U ~ eoS:~;;; o C1l :;1~z'~o ""0 11'1 ~;l '~(f)Z U 0 I O><H o~ ~tI. -0 ""~ N Z ~ H ~ "" o':x: ~~:t H H e. ~"" ~l!l . '" tI. o . "" 0 0 ~ 0 ~o J ,f. ~ U Eo< 0 ~~~ ~u~~ ~ ~ z ~ Eo< U Eo< l!l < ~~ 0 'I'll 00 UlUlUl::>Eo<O U uu ~ H<Ul rI1 H 0a1~ I II "" _18 81 .J j,J. t f \:.rrrn~iS-J7)Fl'lrr:r; ~ IlnOO ',,,,, III t/1!MrJlOII IIOllnr'flIDIP '0 Oln ,p04:JG tHh,,(lOJd. ::1,\\ IJ:'lltlr>IOO~e Ul POOJOUfJ l!('IPh/!:'!u1fJ ~ltj~ ^IOIl(j\),Jqt1 POUUlluoa IUIIOOOV ell / IZ';!' blrn ... :J)(J ,( 'V /. "" '.