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HomeMy WebLinkAbout94-00762 PETITION FOR PIWIlATE and GH.ANT OF LETTEnS ',; ',' 710 d./ lIarry H. H"ll"rH No, To: - r:..~ i E.lal,' 01 al.w kllOll'II a' Regisler of Wills for Ihe . D,'ceased, County of Cumberland In Ihe Sodal Security No, 183-09-2223 Commonwealth of Pennsylvania Tlte pelillon of Ihe undersigned respeetfully represenls Ihal: Your pelllloner(s), who Is/are 18 )'ears of age or older an the execUI fix In tlte Illsl will of the above decedent, dilled AUllunt 31 , and codlcll(s) dllted named , 19.1!l- (\laIc u:h:ntnl CirCIIII1\lBIICC\, c.p;. renunciation. d;alh of t.~eCUlOr, CIC.) wt'l\~r I ('M,( Decendent was domiciled 01 dealh In u,.hlH Counlr, PennsYlvania, wllh last faml or prIncipal residence at I-i!e iHlluw ltd. I.uwu. 1 ~^lu" fWI'" o ~ II N e...r .... ({.... I UIf I" Deer:mlenl,lhen 89 years of age, died AUlluat 16 01 lIerahey Med Center. Ilauphtn County, I'A Except 35 follows, decedent did not marry, was not divorced and did nol have a child born or adopted afler execUllon of tlte will offered for probale: was notlhe vlcllm of a killing and was never adjudicaled Incompelent: Decendent at death owned property wllh eSlimated values as follows: (If domiciled In Po,) All personal properlY (If nol domiciled In Po,) Personal property In Pennsylvania (I I' nOI domiciled In Pa,) Personal propert)' In Counly Value of real estme In Pennsylvania slluated as follows: ,19 94 2,600.00 s s s s WHEREFORE, pelilloner(s) respectfully re<l.\lesti,S) the wobale of the lasl will and codicil(s) presemed herewilh and Ihe grant of lellers 'ea ament ry (leslamCnlllr)'; administration c.I.a.: admlnlmatlon d.h.n.t.I.D,) theron, i- II .,,- .C~ ",0 .".~ c_ ~.- ~~ ".~ 5 c 2 ~ Vi 4hvl~c\ (} ,.ll~",-- lIarbnra A, Hellera 608 Second Htreet Ncw Cllmb~rl nnd PA 17070 OATH OF PERSONAL nEPRESENTATIVE COMMONWEALTH OF I)ENNSYLVANIA } l:lS COUNTY OF Cumberlnnd The petllloner(s) al,ove-named swear(s) or affirm(s) Ihatthe slalements In the foregoing petlllon are I rue IInd correel 10 Ihe hlSl of Ihe knowledge IInd belief of pelilloner(s) and thai as personal represen- IlItlve(s) of lhe above deeedznt petllloner(s) will well and truly adminisler Ihe eslale according 10 law, Sworn 10 ~r affirmed and subscribed ~..L.'~~' .Im. r. a ,1~_JL-D-_Il'- '" before me thiS 30TH dllY of ___ ..' n- -~J v,~ltl~~T [J1JJ1.tw J I I" MAR Y C. L EW I S II"/li"ler' E: ..,..-~ -I .....11I7 Thi." i." III n'rdl)' dloll lhl' il1l11rlll.lrilln IIl'll' gi\('1I is lllrrntl)' rlll'iht lmlll ,Ill ori~ill;d ll'nifkall' ol,h'.llh JlIly fibl with me .1:\ I.OLII Hq:i'lr.tr Till' oli~ill.11 fl'rli'jl~llt. will hl' llll'w.lnll.d III Ihl' SI.lll' Vil.1I Ht'lllnl, (Hlill' for pl'nnalll:lIl lilinJ.!. WARNING: Ills 1II0gallo dupllcalo Ihls copy by photostat or photograph. Fl'c lor chi, ll~flHi(.lI('. S:?O{) 2513029 No. /7 ... '" - . . ~4~..dZ%4"c>1-_ Loud 11';;""( ~-c"~ .----.---.AUG-I-3-1994-- (lilt COMMONWULlH Of PENNSVLVANIA' DEPARTMENT OF HEALTH. VITAL AECDRDS CERTIFICATE OF DEATH ~0I0KIDlNTf/'. .......l_ ._ Harr:y R. AGlIl_ loIJaJIt - Sellaro ... j!lalo 89 "....--..,..........-, ORI 01 IIfnH '1ob....Oww.....' )-4-1905 ............""... ,....,IlI...,.~ Harr1Dburg, Pa. I'UCID'DlIIlH~ "'- -Ii! ''''''- 0 :="'0 ... - ..... --.' ,,.0 ~-=--='.. YOTHl"'IM.WItf'll wu...~"'~ UnKnOWn ~.rew urn I'\.ACI .~..~~ Illlr:n'ng Creon Mo.., Park .. Dauphl n Dorry Twp. ,.. DC tIINrllOlJC,QIClH .._,,=-.:.c:r:=;r meeban!o Dothlehom Steel ClUUIINr........NlAPClN..pIo...~l&Ile.l'oCcolll ~~Nr. 120 1I111ow Rd, Ifarrloburg, Pa"~ -- ~"'r '. "....... Pa. Ilaupbln ,.. Sellore ~,,-.....D f'UIIOfIlACTlHOAllIUCtt -..- =I~,,\= u.w.IlCIIMMoI.......' ...-- .......~~LAI, I: c..-roIO"Alo\COUOUlHCIat -.AHAlIklrIY WlNAUltlPIY'lHDItfQl YAHNI",orDC"'" P'lfR)fUIIOf .......... ,....10 COW\IITJClHOICAUsa -- III .. OLV" "- 0 ...0 ",00 ...0 ...0 ....... 0 ONIOlINJUflT ,......0.-,...., .w.,u~ IOC.IA4I1c;uNnHUU"'''' I. 16) - 09 - 222) o.rIIOItcAJ...........~_' . Au ust 16 1994 ."--~..............-- -. IIhlto WAIWtAl.wua....... .....YM-.~ wld~ .................. .........-...... ,,.1{J _........... I. ower PRXton .. rland, Pa, .... Lower Allen Twp. Cumbo Co. P uo~~::'f~ral 1I0me )241fWUlllel Ave. Lemo)'ne, Pa laMMHUtMI'" MSCA&lN'IMlDTOUlOlCALlllAWlHf. ...w -- -- lonMI........... PMT II; c:w....... ----........ It..... .... .........,..............,...._..-.."""1. TlUIDf'KIUA' lMAIA,RWOMf DCICJ\lMHOWIHJUftTOCCUNWO - '.....-- C:'O""I'IIII...""'..-.... o o o 1'\AC100IHAlFlY'Al'-'t.""",,,,",,IoIdOry,-' .... ............I~." ... ... .... c:un....Pa:al#ly.... .tuIT"tIIQ'",lClo\Nlf'I>llC_UOtll""Q~IA""'""--""""'''''_''''I'''GrOAAIlI'''''''IAl~''-'/J' ,..............,..".....,....IIll_"............__~I'...._...IaI...."....."..........". ............................ .. .~ t QNtOt1IlT.Y-.a'"'SIClAN""r..._~..............~~_~.."......~~~___1 ,.............'~-......a"_....f....-...............................-......W4.I"_..et.II4..... .............. ...,.'. ....OlCAlIlA..IH.A1COftONI" OftVlotkala...I.,....lllNl~..'""..U..IIM."'''''~,ct...''OCCllflfdallhttl'"'',I1.I..aftllplH..anlfctll.1.1"'"II..e.'...... u. -.. 14__... ........ .......... ......'................................ ........ .............................. NOtIT ~iLJ ... 0 ...0 o o Faith J. Jabers \; 21 - 94 - 762 , " '" i.J I i , , II -I!I! ' Testotor IIbovl! nsmed, IIU /lnd for hIll I.aut WIll nnd Testament, ond In the Jlre- H I I II II II r I I ! H lGNEll, SEM.EIJ, (fUIII.l SIIf.1J and IJECI.ARlm by IIARRY R. Hl;LI.ERH, the Bence of uu I who at hi H rtHltWN L. 1 n hi H prcRt.!nCt! llod in the presence of each other, hnve Hubocribcd our flamett 119 wt.lnl'RSea. Q[lJ~____w__. )~_12'A~~~J,jl- ~ ~ AddresR -t. r~ 'h___ ___ __ (1:uJ....((A'~k111!MD-~Q.~_ - -----.. Ad~ress :: p i I II COMMONW~:ALTII OF PENNSY1.VAN1A: II :SS: I, COUNTY O~' CUMBERLANII I II II Ii I, IIARRY R. SELLERS, the Testotor whose name is signed to the attached or foregoing instrumeut, having been duly qualified according to law do hereby acknowledge that I signed and eXl!cuted this instrument as my last will; that 1 uillnl!d It willIngly and that I uigned it liS my free and voluntary nct for tho pUrpnSQA thereto contninod. f/ "') f _I'!JJLz~lfl_lc_~.,,: c..e./!-e~~. - IIAnRY n:7SEI.l.ERS SELLERS, Ii I Sworn to or /Iff Inned to and Rcknowll!dgl!d before me by HARRY It. .. <;-1- the Testator, thIs ...1..L'.__ day of .-f.2~~{L22~.__.., 1987. STONE & STONI! Atto,nev. ., LIIW 414 Bridge Blrlllll New Cumb.rlllnd. Pe. -.F--' "- ~Lt_'tIJL.~~~O:f ~~~4:fJu-'- ---. ' Page 2 1 ,-, " '"'.',;',-',,,.:.1.: , ',:: ,Y.I,.~ij'.'~:~,L 'iOU ,'\lUNlY " ,~;.~_\~l;.'.l\:,': rU";i!$ MhH I~. 1:J,n ":.'ill~'~(, "U!n-,{I'o',r;:.l !\::~llti,l1rOIl 01 "ol.lIlf'~ 17070 CERTIFICATION OF NOTICE UNDER RULE 5,6/al Name of Decedent: Harry R. Sellers Date of Death: August 16, 1994 Will No. 21-94-0762 To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court rules was served on or mailed to the following beneficiaries of the above captioned estate on January 9, 1995. Barbara A, Sellers 608 Second Street New Cumberland, PA 17070 Notice has now been given to all rule 5.6(a). Date: ._J/~l' If I(",~\-- persons entitled thereto (~ \, C. , . . -{'" (~'{:.h~ under Charles H. Stone, Esquire 414 Bridge Street New Cumberland, PA 17070 717-774-7435 Capacity: x Personal Representative Counsel for Personal Representative 1""1 ~Cf ,~ ~ 0 :~ 1""1 n Il:..:_ a. c- .. ',";: '0 , ." ':J , ""..' 1""1 '-' i - ., -q '. P, ;'11 ~ . ,C) .:: b en ( ;li ~<!l .Q ~ "\: E a:r.r: .9:> OU 21. If line 18 is greater than line 19, enler th. difference on line 21. Thl. II ,he TAX DUE. A. Enler Ihe lnlerel' on Iho balonce dUll on line 21 A. B. Enler Ihe total of line 21 and 21A on line 216. Thll h the BALANCE DUE. Make Check Pavabl. tOI Regilt., of Willi, Ag.nt ~ ~ BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH -<-< Undor penalties 01 perjury, I declare Ihall have examined Ihl, return, Including accompon)llng "hedule. and 'Iolemenll, and 10 the belt of my knowledge and bellel, it I, Irue, correcl and complete. I declorll thai all real estole hOI bun reported 01 true market value. Declorollon of preparo' olher than the perlonal repr.lenlative I, baled on 011 Informal Ion 01 which prepare' has any knowledge. ~'GN'~llt Of '\ASON RU~ON~a~f fOil f YNG?n~AN AOORUS 608 Second 5t ree t, New t;umber land. l'A O"'UC /. . /:' __ (.;.. a-dv... r'- U . .JV;A... r/,[i 11' Y J SION...' kf AfP"'WIOIHlR'H'" "~Rl5!NI""IV[ "'DDIIUS P.O. Box 1~, New Cumberland, PA 17070 ~O"'~ J ~_'J fro, -- .----.-- f I ~ REV. UOO ElC+ 17.Q., l!! 2IIl:~ut frlE~ =09 "''''", !i tI/5.D1) :';'...1/' (,: c: H. - .2 3 3- 3- I.' fOR OATIS Of DEATH AnER 12'31'91 CHECK HEAl If A SPOUSAL POVERTY CREDIT 15 CLAIMED [] fill NUMBER - j 21 SOUNTY CQDE O!C(O!Nl'S (QMPUU "'OOIlIS' 608 2nd Strel!t New Cumburland, PA 17070 COull' Cumbe r land "'MOUNT 1l1((lVIO IUIINUIIUCtION'1 INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) ffi lil ... w o COMMONWEAlTlt Of P[NNSVlVANI... DEPARTMENT Of R[VENUE DEn 280601 HARRISBURO. PA 111.l1.0001 _ DICIOINt'S N...M! llAU, fiRS. "'ND MIDOIIINIIIAll SELLERS, IlARItY R. SOCI"'l UCUIIIIY NUMln 94 YEAR 0762 NUMBE~ DAIl Of DE...tH 183-09-2223 8-16-94 03-ll4-05 I" "''fIl(A.llllVhIWINt} lrouUt II"'"lll"'lll..U AtoP NIDOl' 1''''''''11 o 2. Supplemental Relurn 03. 05. Remainder Return (for datil 01 death prior to 12.13.821 federal ElIOI. TOk R.turn R.quired :ilffi "'0 "'z 8~ IX] 1. Original Return 0". limited blote 0 "0. Fulure Inter..t Campromhe (for dolel of deolh after 12.12.82) 00 6. Decedent Died Teltole 0 7. Oo(edent Maintained 0 living Trult (AlIoch copy of Willi IAlIa(h copy of Trult) ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TOI N...M! COMPUn MAiliNG ADO_US Charles II. Stonu, ES'I' 414 Ilridge Struet Nuw Cumburland, PA 17070 _ 8. Talol Number of Sofe Deposit Ballel z o ;:: :s => t: ~ ... w '" L Rocl E,'oto (Schodulo A) (I) 2, Slack. and Bond. (Schodulo B) 12) 3. Closely Held Slock/Porlnership Inlerlll ISchedule C) 13 ) 4. Morlgages and Nolel Receivable (Schedule DI ( .. ) 5. Cosh, Bonk Deposits & Mlleelloneous Perianal Properly ( 5) (Schodulo E) 6, Jointly Ownod Proporty (Schodulo F) ( 6) 7, Trcn,lo.. ISchodulo G)ISchodulo L) 17) B. Tolal Gron Anett (total lines 1.71 9. Funeral Ellpenlel, Admlniltratlve Cas", Miscellaneous ( 9 ) E)(penleS (Schedule H) 10. Deb.., Marl gage liabilities, lie", (Schedule I) POI 11. Total Deductions (tolallln.. 9 & 101 12. Net Value of Elloto (line 8 mlnulllne 11) 13. Charitable and Governmenlol Beques.. ISchedule J) U. Nel Value Sublett to TOk (line 12 mlnul line 131 15. Spaulol Tron,fets (far dates of deolh alter 6.30.9.., See In,tructianl for Ar,pllcoble Percentage on Revene (15) Side. lInclude values rom Schedule K or Schedule M.) 16. Amount of line 14 lalloble at 6% rote (16) (Include value I from Schedule K or Schedulo M.) 17. Amount of line 14 tOlloble at 15% rote 1171 Ilnclude valuel from Schedule K or Schedule M.I 1 B. Principal tax due (Add lox from lines 15, 16 and 17.1 19. Credih Spousal Poverty Credit Prlor Poymenh Oh(ount Interell $ 2,204.49 2,350.00 6,ll44.81 I B) $ 2,204.49 8,394.81 6,190.32 Ill) (12) (13) (141 .00 x._= x .06 II ___)(.1511 z o !:;i ... ~ '" o ... 1181 ,00 + + 1191 20. If line 1911 greoler than line 18, enter Ihe difference on line 20. ThIs h the OVERPAYMENT. 1201 aD .00 ~ ... Choele horo if you are requesting a rofund of your overpayment. 121) 121A) 121BI ,00 UY.ISD. I" f2.11I '*' COMMONWeA.LTH 0' PfNNSYlVANIA. INHrllrANCI TAl lnulN a.SIDINT orCIDINr SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY P/IDSI Prlnr Dr Ty I FILE NUMBER 21-94-0762 ESTATE OF Harry R, Sellors (All properl)' ;olnll)'.o\ilfned ""'irh thl Rlghr of SurviwDnhfp mUIf be dlada'ld on Sch.dull IJ ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. Harris Savings Bsnk-Checking Acct, *07-00019625-Principal $146.94. Interest $.06 $ 147.00 2. Harris Savings Bsnk-Savings Acct. *07-60-000622-Principal $2,054.70. Interest $2.79 2,057.49 . IDHARRIS@ o SAVINGS BANK lI.rris S.\'inus Oper.llons Center 6:15 Norlh 121h Slreel l.el1l11yne, l'ennsl'I~.nla 17043 7171731-1440 7171731.0859 Fax september 19, 1994 stone, La Faver & Stone 414 Bridge Streot P,O. Box E New Cumberland, PA 17070 Tho infOrMation which you roque:::tod on the I\ccountell) of Harry R. Sellers Estate eZot:1nl S,nr.urity Humber 183-09-2223 ) is as 1'0110\11I. Account llumbere 5) 07-60-000622 07-00019625 Savings Checking 7-11-92 7-11-92 $2,054.70 $146.94 2.79 .06 2,057.49 147.00 Individual Individual Class of Account Date Openo!! Principal Dalanco Accr'Jcd !ntcrcnt Dalo.nce lit Date of Death Account Ownerllhi!, lIame of Joi nt Owner, if any Dnte Ownnrship W.~s t:stnblinhed 7-11-92 7-11-92 Additional Inror- ma tion Re'lunnterl Please have the Executor of this Estate sign the enclosed W-9 form and return it to us in the provided envelope. Thnak you. di cerely, . _ - , -"""-d-L. _(..L-~. Gretchen L. Cale Customer Service Technician ....."" ,.. rlUI ESTATE OF ITEM NUMBER . J CQMMONWf AUH 0' '[NNUlVAtUA INHfRITANC[ 'AI[ RflUIH4 RUID(N'DfCfDfNr IIARRY R. SELI.ERS 1. A, Funoral ExponlOll B, 1. 2. 3. 4, C, 1. 2, 3, 4, 5, 6, 7, 8, SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES Ploalo Print or Tvpo E NUMBER DESCRIPTION Admlnlstratlvo Calli. Personal Repre.enlallve Cammi..lons Social Security Number 01 Personal Repre.enlallve: Year Camml..lons paid Allarney Fe.. Stonc LaFaver & Stonc Family Exemption Claimant Barbara Sellers Relallon.hlp Daul!hter Addre.. 01 Claimant 01 decedenl'. deolh Slreet Add,e.. 608 Second Street City Ncw Cumberland Slale PA Probate Foes Mllcellanoaul Expenle.. Zip Cadel7070 Rcscrvc for closing expcnses TOTAL (AI.a onler an line 9, Recapitulation) (II maro space II n.eded, Insert addltlanallheetl 01 samo Ilzo,l 21-94-0762 AMOUNT 250,00 2,000,00 100,00 5 2,350.00 t 1 lul ;,q.~ F H I h'VE] WI,,;:. r lI",EMI~!'J T CUr'11'11" I NL. /81.1 vHJI.:,'J)l.~rH) HVl~NI.Il';;: Ll-_l~ ~."HI,: I~'''''V 1"(4 1 f .:.::;.9 '/1 /} ~,~;8-"':;,~,(I) i-'AlIHl!'; S~l.I_~RS, HARkY R, t)tJti7V tJJ~dLY h'4r€ " .j: I:<ARtiAI"f-l SELLERS ~U8 5~CUNO STH~Er NEW CUr11:H,RI.f.\NlJ 1"14 17l7} 71'J-2'~oJ!.;I \ Ol-ll'f:: OESCfn~11iJN .- . ' '- ,- rij.\'(Billff4r,~' :'-,7; <-\MIJIJrJ " tJl/::~1..'~4 -,' . " -" . ." )~ALf\NCE 4 7'~'~ . _-+ 19: ,\-0 -; -of. LAST WILL AND TESTAMENT OF HARRY R. SELLERS I, HARRY R. SELLERS, of New Cumberland, Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. ITEM I: I give, devise and bequeath all of my estate, real or per- sonal, of whstsoever kind and wherever situate, to my daughter, Barbara A. I. , I: i: I , I '" I: Sellera, if she survives me by thirty (30) days. ITEM II: If my daughter, Barbara A. Sellers, is not living on the , I: estste to the Faith United Church of Christ, of New Cumberland, Pennsylvania. thirty-first day following my death, I give, devise and bequeath all of my ITEM III: I appoint my daughter, Barbara A. Sellers, Executrix of I ;. this, my last will. If she faile to qualify or ceases to act for any reason, appoint CCNB Bank, N,A., Executor, in her place with the same powers and dutie , i: ITEM IV: No fiduciary acting hereunder shall be required to post bond or enter security in any juriRdiction. IN WITNESS WHEREOF, seal this :3/~-fday of I, HARRY R. SELLERS, hsve hereunto set my hand ,4tIJI{..1 , 1987. and '1c1t~ IF. 2..d&/vj HARRY R. ELLERS STON. . eTON. Anorney. e' ~w 414 Orldge Str_t New CumMrl.nd. P., 17070 .. SIGNED, SEALED. PUBLISHED and DECLARED by IlARRY R. SELLERS, the ': Testator above named. as and for his Last Will and Testament, and in the pre- " sence of us, who st his request. in his presence and in the presence of each other, have subscribed our nsmes ss witnesses. ~w e.,,-~ 0 Address ' ~C0Jl1ly~~C\ Q. Ad ress COMMONWEALTH OF PENNSYLVANIA: :55: COUNTY OF CUMBERLAND I! I " I, HARRY R. SELLERS. the Testator whose nsme is signed to the :' attached or foregoing instrument. having been duly qualified according ~o law " I do hereby acknowledge that I signed and executed this instrument as my last , :; will; that 1 signed it willingly and that I signed it ss my free and voluntary I' Ii act for the purpose a therein contained. ~~ If. ~~/!lh'!.<v HARRY R. SELLERS I, SELLERS. Sworn to or affirmed to and acknowledged before 1 -;-r the Tea tat or . this _ I day of me by HARRY R. a~ . 19S7. ~ ~r IMO '7h !.?ut-J(lt/ Notary PUbiftJ STON. . STONI "nDmav. .. LAw ",,, B1ldga SU..' ....w Cumberland. P., '7070 I, i Page 2 Tt':', !:. :::.r.:~~;-. :;ui.~~Y I' ;',lLiC f.j. ~;::~I;,G drlnOUGii. YOEi.;( t:OUNTY ,',-" ':CL1,lISSION EXPlaES ^PRIL I!, 1931 rnl!m~ct. Penn~ylvanio1 AUQcialiDn of "ot,mes . -~..._..-~._. i: ...--..-....--...---.. I' I COMMONIIEALTR OF PENNSYLVANIA : ! ! :55: COUNTY OF CUMB~ : We, ~_r:lr~ and 011\V)~~~ the witnesses whose names are signed to the sttached or foregoing instrument, being duly qualified according to law, depose and say that we were present and saw Testator sign and execute the instrument as his last will; that Testator signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the will as witnesses; that to the best of our knowledge. the Testator was at that time eighteen or more years of age, of sound mind and under no constraint or undue influence. Sworn to or ~ 7-1 ~ this 3 I f;1" day of D JJ.tt4- affirmed to and acknowledged kdH~ before me by and , wf,tnesses, , 1987. ........-' '-vv,....? _ . D d.L/hP- / II ,Q.l.t.1.1~ Noury Pub c STONI . 8TONI Anomey. ., Law 414 Ikldga SU..' Naw CumaM,tand. pa. 17070 Page 3 la;:. !,'. 1~'.:.:'T:, ~;:."';,~Y PUBLIC Dlll$!;Ur.U CClhl~::,. ~.::\:: COUNTY MY COr.lUISSIOii mlr..s ~?Rlll!, 1989 M,mber. Penn~ylvania Ass:Jclallon 01 Notaries Inventory of the real and personal estate 01 C'.. IInrrv R. Sollor. deceased PERSONAL PROPERTY Harris Saving. Bank-Checking Acct. 107-00019625-Princ1pnl $146.94, Int. $.06 $ ] 47 00 Harris Savings Bank-Savings Aeet, 107-60-000622-Prineipal $2,054.70, Int, $2.79 2 057 49 TOTAL PERSONAL PROPERTY $2,204 49 RElIL PROPERTY NONE \0 "C ,,- r;') :i;i. " r,) ~:;! "'t I 1- r_, t:J " ;. (. 'f\ 01 ..- c a:u- p, ~::J UU COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND I. J UI Barbara ~. Sellers bolng duly nwnrn according 10 law, doposOl and says Ihats he 1s theExecutr1x or Iho Estalo or IInrry R, Sellers lalo or _.Now..C:wnbcrland_Dorough___ ___ , Cumberland Counly. Pa,. deceased .nd th.t the within Is an Invenlory mado by Rl1J:bnrn ^- !'lnl1ntll-._ . the said Executrix or tho ontiro oslalo or ,aid decodonl, consisting or all the personal prop.rly and real e.tale. except real estate ouhlde Iho Commonwealth or Penn'ylvania, and Ihat Ihe (lgures oppesite each Item of the Inventory repr..ent It's fair value es of Ihe dale or decode nt', deelh, and ,ubscrlbed beforo me, ,3 cv-k,~ 0, a --2ll .Q9.~_.....- 19 arbarn ^. Eucutor . .6.c:LaIa4tuJOL- Sollors ':;'09 ?nA ~",..nn+- New Cumberland. p~ 17070 Addr... Date of Death 16 Ooy 08 Month 1994 v.., INSTRUCTIONS I, An inventory must be med within Ihreo months after appolntmont of personal representatIve. 2, A supplemont Invontory must be med within thirty days or discovery of addltlonel e..eh. ], AddItional ,heets may be attached as to per,enalty or roalty 4, Soe Article IV, Fiduciaries Act of 1949. ~ -rl w .. ~ ~ S .. N W .. '" 0.. U .. 0 '" .. r- g w C '" "" 0 c<: w .. .. I :t 0.. U. .,; <So E ... .... ...J '" Z ...J ~ 0 :.. ... 0 I W U. ~ ~ - > 0 -< c<: :i- N Z Z 0 c C :0 - '" z I 0 0 c<: U z I w -< ... 0.. .... C .. II - ~ 0 .. .<> " E - :0 .. ...J U V REV-1547 EX AFP (12-95* COH"OHWUl TH Of PEttrtSVLVAH!A DE:P'uTHEHT Of REVENUE BUREAU OF INDTVIDUAl TAXES (l[PT. ZID6Ql ~ISauRG, Pi 171,a.0601 IiI J"'-O_"'9 .-, .-,/~-1_' ___'1 ACN 101 NOTICE OF INHERITANCE TAX APPRAISENENT, AllOWAHCE OR DISAllOWANCE Of DEDUCTIONS AND ASSESSNENT OF TAX DATE 02-05-96 FILE NO. 08-16-94 COUNTY CUMBERLAND HOTEl TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBNIT THE UPPER PORTIOH Of THIS FORM WITH YOUR TAX PAYNENT TO THE REGISTER OF WILLS, NAXE CHECK PAYABLE TO "REOISTER OF WILLS, AGENT" REMIT PAYMENT TO: CHARLES H STONE ESQ 414 BRIDGE ST NEW CUMBERLAND PA 17070 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 A~t R..tttad C l/ CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ..... iiifli=isW-Eif-iiFii-nZ:9Sriiiii''iCE--OF-YNHEiiifitNCi-,:i\x-iippRiiiiiEHEii'r;-iiLL'owitHcinili----------m-m DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF SELLERS HARRY R FILE NO. 21 94-0762 ACN 101 DATE 02-05-96 TAX RETURN WAS I I X) ACCEPTED AS fILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. R..I Eat.t. (Schedule AJ (1) 2. stock. and Bonda (Schedul. 8) (2) 3. Clo..ly Held stock/Partnership Intar.at (Schedul. CJ (3) 4. Harig.gal/Not.. Receivabl. (Schedule DJ (4) S. C..h/Bank Dapollt./Hllc. paraonal Property (Schedul. E) (5) 6. Jointly Owned Property (Schedule fJ (6) 7. Tranlfarl (Schedule OJ (7) a. Tot.l A...t. ) CHANGED .00 .00 .00 ,00 2,204,49 ,00 .00 IB) APPROVED DEDUCTIONS AND EXEMPTIONS: 2.350.00 9. Fun.r.l E~pen.a./Ad.. Co.t./Hi.c. E~pen.a. (Schadule H) (9) 10. Dabts/Hortgaga Liabiliti../Liana eSchedula I) elO) 6 i 044.81 11. Tot.l Daduction. U1) 12. Hat Value of Tax Raturn Cl2) 13. Ch.ritabla/Govarn"anta1 Baque.t. eSchadu1. J) en) 14. Nat V.lue of e.t.t. Subjact to Ta. e14) NOTEI If an assessment was issued previously, lines 14, 15 and/or 16, 17 and 18 reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. A.ount of Line 14 at Spau..l 16. A.ount of Lin. 14 t.~.bla at 17. A.aunt of line 14 t.~abl. .t 18. Principal Tax Du. 2.204.49 R.~qc, Rl 6.190.32- .00 6.190.32- r.t. Lin.aI/CI... A rat. Call.taral/CI... B rata ,00 .00 .00 x ,03= X ,06= X .15= 118) 1151 1161 1171 TAX CREDITS: PAYNENT DATE RECEIPT HUNBER DISCOUNT 1.1 INTEREST 1-) AI10UNT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE . IF PAID AFTER DATE INOICATED, SEE REVERSE fOR CALCULATION Of ADDITIONAL INTEREST, will ,00 ,00 ,00 ,00 ,00 ,00 ,00 ,00 IF TOTAL DUE IS lESS THAN '1, NO PAY"ENT IS REQUIRED, IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU NAY BE DU. A REFUND, SEe REVERSE SIDE OF THIS fORN FOil: INSTRUCTIONS ,) I ! 'I 1 ~ I i i r' RESERVATION I EII.t.. of decedent, dYing on O~ belar. Dec.-be~ 11, 1.., -- If ~v lutur. Int.r..t In the ..t.t. J, tr~.f.rr.d In po.....lon or ~JOWlent to el... . Ceoll.taral) beneflcl,r... of ~ decedent .,t.r the ..,lr.tJon of ~ ..t.t. far 11'. or for V..r., the Co..onwellth ~rebv ..,,...,1>> r...rvas the right to ."r,S.. ~ ...... tr~".r Jnherltencl T.... tt the l.wful el... . (col1_',r,1) rat. on ~v auch future In'.r..t. PIA'OSE Of MOTlal To fulfill the ,......r....,t. of SICtlon 'litO 01 the lntMrltmc. Met Etht. Tax Act, Act U of 1991. 71. P.I. s.cUon 2lU. PAvttEHTI DetKh the top portion of thh Notle. Met sutMllt with your PIYMf'lt to the R"ltt.r of ""II prInted on the ,.awr.. .... -."ekl chHk or IIOMY order par.tJ.. tal REGISTER OF MILLS, ADEHT All p.~t. rlcllvld thlll '.r.l ~ .,,11ad to InY Int.r..t which ..y be due with any ,....Inder ~11ad to ~ t... REfUID (CAli" refund 0' . talC orad", which "'.. not ,...-ttH on the 'I. A.turn, ..y be r~.ted br cDllpI.Unt en "Appllcetlan 'or Re'WMI 0' Penn.rlv.,l. IntMrltBnC' 1M htl" 'fax" (REY-UU). Appllcetlon. .r. ",Ilabl. .t the Office 0' the A.gl.t,r 0' WIll., eny 0' the Z5 R.venue DI.trlct O"lce., or by c.lllnl the .peel.l Z4-hour Bft.werlng ..rvle, ~r. 'or 'or.. ord.rlngl In Ptnn.ylvBftI. l-laO-S62-Z15D, out'lde Ptnn.rlv.nl. ~ withIn loc.l "-rrl.burg .r.. (717) 717-1194, TPD' (717) 772-2152 (~rl", lIP' Ired Only). OIJECllDHSI Any perty In Int,r..t nat ..thfled with the IIfI9rehllllftt, .1IDW~' or dl..UOdnC' a' deducUon., or ........"t 0' t.x (Inaludlng dl.count or Int.r..t) .. shown on thl. Hotlcl .u.t object within .IMty (60) dey. 0' receipt of thl. Notice bra --written prot..t to the PA Dlplrt-.nt a' R.venue, laird 0' Appeel., Dept. ZaIOZI, Hlrrl.burg, PA 17121-1011, OR --.llatlon to hlV' the ..tter d.t.r.lnld et BUdlt a' the ICCount a' the per.on.l rapr...,t.tlve, OR --.....1 to the Orphan.' Court. AOKIN ISTRAllYE ComtECllOHS I Factu.1 .rror. dl.cov.rld on thll ......eent .hould be Iddr....d In writing tal PA o.p.rt-.nt a' Ravanul, IurelU 0' IncUvldu.1 T,llll, ATTNI Po.t A"'''Mnt Alvlew Unit, Dept. 210611, Hlrrhburg, PA l7UI-161l Phone (717) 717-6505. Sae PIOl 5 0' the booklat "In.truotlon. 'or IntMrltenca TIM A.turn 'or. R..ldent Decedent.. (REY-1501) for an 'llplenetlon 0' ~Inl.tr.tlvalr corrlotlble .rror.. DISCot.HTI I' env tall due I. paid within thr.. (S) c.land.r ~th. aft., thl dacldlnt'. delth, e flvl p.rcent (5X) dl.count 0' thl hM plld h .1I0wed. INTEREST I Int.rl.t II chargld blglnnlng with flr.t d.V of dlllnquencv, or nine t,) IOnth. end ani (I) dlY fros the d.te a' de.th, to the d.t. of paysent. T.MI' which bac... dallnquent before January I, 1911 baar Int.r..t .t the r.t. 0' aiM (6~) parcent par annul calcul.tld .t . dailY rata of .000164. All t.ll.. which bac... delinquent on and .ftar Janu.ry 1, 1911 will ba.r In..r..t et a ,at. which will v.ry 'rOl calandar y..r to caland.r yaar wIth that r.tl ~ad by tha PA Oapert'ant of RavlnUl. The eppllcabll Int.r..t reta. for 1912 through 1996 .r'l '!!!! Int"..t Rlt. O.lly Int.ra.t Factor Y.ar Int"..t R.h O.lIy Intlr..t Factor 1912 'OX .000541 1917 'X .0ODlU I.n 16X .OOOUI 1911-1991 llX .001lSOl ..14 IU .IOGSDl \99' OX .aUn7 1915 UX .Ooa556 19'1-1994 n .100192 1916 lOX .1I0DZ74 1995-1'" OX .1IOOZ47 --Int"..t .. c_lcul_tad .. followlI INTEREST . BALANCE DF TAX UNPAID X NUKlER DF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notlc. I.,ued .ftar the t.ll baeo.a, delinquent will rlflact an Int.r..t calcula'lon to fIfteen (15) diy, blyond tha d.ta of th. .......-nt. If p.~-.nt I. -.61 .ftar th. lntar..t cDIPU.atlon data ~ on the Notlc., additional Int.r..t .u.t ba calcul.tld. STATUS REPORT UNDER RULE 6.12 Name of Decedent: Harry R. Sellers Date of Death: August 16, 1994 will No. 21-94-0762 To the Register: Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. Yes -1L- State whether administration of the estate is complete: No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: (a) Did the personal representative file a final account with the Court? Yes No X (b) The separate Orphans' Court No. (if any) for the personal representative's account is: N/A (c) Did the personal representative state an account informally to the parties in interest? Yes --X- No Date: (d) Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. '71/lt!=l. !J- 1/')6 q{:..I~ ^l~) o I Charles H. Stone, Esquire 414 Bridge Street New Cumberland, PA 17070 717-774-7435 - o_f!! Qii;.;.-= . " o - .. t~~ ;;0; C:O"' .' :) Personal Representative "" a.. Capacity: , <. It) - :-1 ~' i ' I,.: ?5". .. M&' a: >- :e iR .; X Counsel for Personal Representative ( 0.1 .!) "'E ~8 e.