HomeMy WebLinkAbout94-00778
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH 01' I~ENNSYLV ANIA
COUNTY OF CUHlIERLANIl
} 56
The petltloner(s) above-named swear(s) or afOrm(s) thai the
statements In Ihe foregoing petition are true and corrcetto the best
of the knowledge and belief of petltloner(s) and that as personal
representatlve(s) of the above decedent pelltloner(s) will well and
truly administer the estate according to law.
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Sworn to or afOrmed and subscribed ~
before me this 2ND.daY of ?: ""..~"'Cd'
S~PT~BER '} 19' Li-- d . ' ,I.
-Ilf'(/'~ .J.~/>L'II"I-/; J,' .
MAR C. LE I S Register I
No.
21-94- 778
~ '. !
I
I Deceased
Estate of Harv R. Stambaugh
L:
~>>NT OF LETTERS OF ADMINISTRATION
AND NOW SEPTEMBER 13. 19~. In consideration of the petition on
the reverse side hereof. satisfactory proof having been presented before me.
IT IS DECREED that Glenn A. Stambau h
Is/_ entitled 10 Lellers of Administration. and In accord with such finding. Letters of Administration
are hereby granted to Glenn A. Stombaugh
in the estate of Harv R. Stambaugh
{!' \ {! , J.AjYm .CI:tv ~J:o
Re,).t" of Will. . r 0
MARY C. LEWIS
FEES
Letters of Administration $
Short Certlficates(1'l ........ ., $
Renunciation ................ $
JCP $
TOTAL - $
Filed .., ?~.p.W~~.~~ ,).3.\.. A.D.
Roger B. Irwin #06282
ATTORNEY (Sup. Ct. 1.0, No.1
60 West Pomfret Street
ADDRESS
Carlisle. PA 17013
I'HONE
270.00
n? 00
l; 00
317.00
19JL
717-249-2353
Called attorney on 9-13-94.
'I'hi~ i... III n:nif)" Ih,1I I Ill' illlUl'IlI.llillll hl'll' ,.;iYl'1l I'" lll!lully ,opu.d hum .Il1llli,cill.d u'nifil'.lIl' III dl,.lfl~ dill)' filc:d with me .I!I
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WARNING: Ills 1I10galto duplicate this copy by photoslat or photograph.
Fl'C lor thit, u'l'Iifk,IIt:. 52,00
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2420102
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No.
"101.111,,",1111
COUMONWEALTH 0' PlHNIYLYAHIA . DEPAATMENT 0' HEALTH. VITAL RICORDS
CERTIFICATE OF DEATH
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RECEIVED FROM:
I
ACN
ASSESSMENT r:w
CONTROL 1;1
NUMBER
AMOUNT
IRWIN ROGER B ESQ
60 W POMFRET ST
lul
.! 1 ,"t;)/.ts:l
CARLISLE PA 17013
'OtD Hili lOtD Hr.,
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EJ
II
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ESTATE INFORMATION,
Me
21-1994-0778
T
saN 170-38-1269
MI
5
UNTY
REMARKS
m TOTAL AMOUNT PAID 511 ,1,37. 8:5
fllt ~.
"",wo" . ~, ..4
MARY' C. LEWI .
REGISTER OF mLLS
GLENN A. STAMBAUGH
SEAL
CHECKll '5750
REGISTER OF WILLS
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS
REV ~ \li00 EX. (l1-lTl)
,
CD"~F~:tMN \tOF PMIi'il'~r'NI'
H'''RR,sR5J\t,~1~'2a.0601
I
DECEDENT'S NAME (L.AST. FIRST ,AND MIDDLE INITIA.l)
STAMBAUGH HARY
SOCIAl. SECURITY NUMBER
170.38.1269
I X 1. Original Relurn
~ t 0 4. Limited Estele
~ 1 ~ 0 6. Decedent Died Testale
l (Anech eopy 01 Will)
041.
07.
L..-
FOR O"'YESOF OEATti AFTER 1Z""" CHECK tiERE
IF ASf>OUSAL 0
reVERT'( CREDIT 15 Cl.AlMED .' _ ., ;" >
FILE NUMBER
COUNTY CODE
21.94.778
'!'EAR
DECEDENT'S COIr.lPLEl E ,lODRESS
R 1171 CLAREMONT ROAD
CARLISLE, PA 17013
CO" CUMERLAND
NUMBER
Futu,. Inteles1 Compromise
(for deles 01 dealh aher 12.12.82)
Deced.nt Maintained a Living Trust
(Anach a copy 01 Trust)
3. Remainder A.lurn
(for dlles 01 dealh prior 1012.13.82)
o 6. Fed...1 Estale Tax
Return Required
o I, Total Number of SaIl Deposh Boxes
R
E
C
A
P
+
U
L
T
o
N
T
~
C
o
M
C
I
T
o
N
(6)
(7)
24,908.00
NonD
C P ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TOl;, .,','
o 0 NAME COMPLETEMAlLlHQADDRESS
~ ~ ROGER B. IRIIIN lRIIIN, MCKNIGHT & HUGHES
5 ~ IELEPHONE NU"OER 60 IIEST POHFRET STREET
T 717.249.2353 CARLISLE PA 17013
1. Real Estale lSchedula A) (1) 120 , 000.00
2. Stocks and BondslSehedule B) (2) 65.336.29
3, Closely Hald StoekIPannarshlp Inlarest (Sehedule C) (3) None
4. Monglges Ind Notes Receivable (Schedule D) (4) None
5. Clsh, Bank Deposhs & Miscellaneous Personal Property (6) 10 ,538.92
(Schedule E)
6. Jointly Owned Property lSehedule F)
7. T,ansfers (Schedule G) lSehedule L)
8, Tolal Gross Assetsltolallines 1.7)
9. Funeral Expenses. Administrative Costs, Miscellaneous
Expenses (Schedule H)
10. Debts, Mongage Llabilhles. Liens (Schedulell
11. TOla' Deductions !total lines 9 & 10)
12. Nel Value of Estalelllne 8 minus llna 11)
13. Charhable and Governmental BequestslSchedule J)
14. Net Value Sub eel to Tax (tIne 12 minus line 13)
15. Amount clline 141axable aI6". rale
(Include values from Schedule K or Schedule 1.1.)
16. Amount 01 line 14 taxable at 15'/. ,alo
(Include valuos from Schedulo K or Schedule M.)
17. Prlnelpa' tax duelAdd lax from line 15 and from line 16,)
II.Cradlls/Sp Poverty Prior Paymenls Dlseount
0.00+ 0.00 + 603.04
19. II line 18 Is grealer then line 17. enlerlhe difference on line 19, This Is Ihe OVERPAYMENT.
~ 0 ICheck her. It you are reque.tlng. r.fund 0' your overPlyment.1
20. If line 17 is 9realo, than line 1 e, enler the difference on line 20. This Is the TAX DUE.
A. Enler the Interest on the balance due on ~ne 20A.
B. Enler the lotal ollino 20 and 20A on line 20B. This Is the BALANCE DUE.
M_k" Check PI able to: Re Ister 0' Wills, A ent
.. .. BE SURE TO ANSWER ALL QUESTIONS ON PAGE 2 ANa TO RECHECK MATH ~ ~
nd.' penl '.'0 per Uf)'. dte .,.thlll Ive.... oed this Ilium, nt Udlng I,company ngac u ...nd Illllmenla,lnd 10 thl 10 my now ge. ie , I slrue,
correel nd complele, deel.,. th.I.II re.l.sl.l. h.. been reporled It Irue IMr..t VlI~. Oecl.t'lIon of ptep'tel othet th'n the penot'lll r.p'...nl.U....'. baNd on IUlnfotmlllon of
whIch pr.patat ha..ny knowladge.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS
(e)
(9)
17,816.12
(10)
1,952.25
(11)
(12)
(13)
(14)
x .06:
(16)
201,014.84
(16)
0.00 X.15:
(17)
Interest
0.00
(10)
(19)
(20)
(20A)
( 208)
(' ,," ,j". j) )7
" -u.~-t.-.-v :I /t:l.l..d_.l}......,.,.~v.-~
SIGNATURE OF PREPARER OTHER THAN nEPR~ TATlVE
'/)/G ^ , 011..-
I "
1
COPYl1llht(c) 1stl ,maollwlla only Canla' Piau Sollw.,a, Inc.
GLENN A STAMBAUGH
ii'ii' c'iliD-iofif .ROiiri............ .................
cARi.iS"LE" 'PA" 'i7oi'j --....... --.. ......... --...--
ADDRESS ROGER B IRIIIN
IRIIIN, MCKNIGHT & HUGHES
60 'iiE!i'f' i>OMFRET' STREET........ ....... .... ......
CARLis.LE.' .PA" 'i7oi'j................... .... ......
"'..
220.783.21
19.768.37
201.014.84
None
201 014.84
12,060.89
0.00
12,060.89
603.0/,
0.00
11,457.85
0.00
11,457.85
CATE
10-27-94
CATE
10-27-94
form 1500 (Rev, 11.11)
REV - 1601 EX + (3..'1)
SCHEDULE F
JOINTLY-OWNED PROPERTY
Co"'r..\l\lftW.<\\,~,WhY'N"
ESTATE OF
MARY R STAMBAUGH SS# 170-3B-1269
Jolnltlnlnlll);
A.
NAME
GLENN A STAMBAUGH
B,
C.
JolnUy-ownod proportyt
08/04/1994
ADDRESS
1171 CLAREMONT ROAD
CARLISLE, PA 17013
FILE NUMBER
21-94-77B
RELATIONSHIP TO DECEDENT
SON
ITEM LETTER DATE DECD'S DOLLAR VALUE OF
FOR MADE DESCRIPTION OF PROPERTY TOTAL VALUE
NUMBER JOINT OF ASSET % INT. ECEDENTINTEREST
TENANT JOINT
1 A 12-08-58 CPS INTERNATIONAL . 768 38,688.00 50.00X 19,344.00
THRU SHARES HELD JOINTLY IIITH THE
04-24.92 DECEDENT AND HER SON GLENN A
STAMBAUGH. FIRST PURCHASE
IMADE 12-08-58 AND LAST
PURCHASE MADE 04-24-92. DATE
OF DEATH VALUE 50.3750 PER
SHARE - 38.688.00 AT 1/2
VALUE - 19,344.00.
2 A 12.31-86 OMEGA FINANCIAL 428 SHARES 11,128.00 50.00X 5,564.00
THRU HELD JOINTLY IIITH THE
11.20-92 DECEDENT AND HER SON GLENN
, STAMBAUGH. FIRST
PURCHASE 12.31-86 LAST
PURCHASE 11-20.92. DATE OF
DEATH VALUE - 428 SHARES @
26.00 - 11,128.00 AT 1/2
VALUE IS 5,564.00
TOTAL (Also Inlol on Ii.. 6, Reco.hulation) 24.908.00
"
(U more space is needed, ms.rt additIOnal sheets of lame size.)
Copyrlghl (e) '"' fDfm aoflw... ont)' C.nt.r PIec:. Sollw.r.,lnc.
'''m 1500 ......... F (.... ..'..)
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
REV.lall EX' c....)
. .
co"r.m~~~,WhYAHI'
ESTATE OF
PJeIS. Print or T
FILE NUMBER
21-94-778
MARY R STAM8AUGH
ITEM
NUMBER
A.
B.
c.
SS1 170-38-1269
08 04 1994
DESCRIPTION
AMOUNT
I
Fun.ral Exp.nl.11
CARLISLE MEMORIAL SERVICE
INC
81. 00
2
FUNERAL EXPENES - SECOND
PRESBYTERIAN DISCRETIONARY
FUND ($106.31) GRAVE
935.86
(see continuation schedule attached)
Total of Continuation Schedule(s)
5,653.00
1.
Admlnl.t'IUVO COltl'
Personal Representative Commissions
Social Socurlty Number of Po""nal RoprosonllUvo: 188 - 32 .4048
V.., Commissions paid _
0.00
2.
Attornoy Fo.. IRWIN. MCKNIGHT & HUGHES
10,077.67
3.
Family EMOmption
Claimant
Address of Claimant al dlcedent's death
Street Addr.ss
City
0.00
Ralatlonship
Stato
Zip Codo
4.
Probato F..s LETTERS OF ADMINISTRATION
317.00
1
2
Mlleolllnooul Exponlo..
ROGER B IRWIN - NOTARY FEE
12.00
225.00
PATRICIA A ROSENDALE, CPA -
1994 PA AND FEDERAL TAX
PREPARATION FEE AND
FIDUCIARY TAX PREPARATION
FEE.
3
PIERSON K MILLER INC - REAL
ESTATE APPRAISAL FEE
PRUDENTIAL SECURITIES FEE
FOR LIBERTY ALL STAR STOCK
REDEMPTION
100.00
4
296.00
(sea continuation Rchedule attached)
Total of Continuation Schedule(a)
118.59
TOTAL (Also .nl., on lin. 9. R,ca hutalion)
(If mort spac. is nt.ded,lnsen additional she,lS 01 111M Slzl.)
COP'l,llIhllc:} '191 fOfmlOllw.,. only C.nt.rPltc. Saflw.", Inc.
I 17 816.12
Fonn 1500 Schod... H (...., 7.../
Estate of: MARY R STAMBAUGH SSn 170.38.1269 08/0~/199~
CONTINUA1'JON SCIlEOULE
Continuation or Schodulo /l.A
ITEM
(J
OESCRI PTION
AMOUNT
OPENING ($800.00) TELEPHONE
CALLS ($15,05) STAMPS
($14.50)
3 HOFflolAN.ROTH roNERAL HOME,
INC. . roNERAL EXPENSES
5,653.00
.................
5,653.00
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Estata of: MARY R STAMBAUGH ssg 170-38-1269 08/04/1994
CONTINUATION SCHEDULE
Continuation of Schedule H-C
ITEM
g
DESCRIPl'ION
AMOUNT
5 PRUDENTIAL SECURITIES FEE 69.59
FOR TRAVELERS STOCK
REDEMPl'ION
6 RECORDER OF DEEDS 24.00
7 REGISTER OF \/IllS - FILING 25.00
FEE
---..-.-..-----
118.59
&-Sul-
t!-.
STATUS REPORT UNDER RULE 6.12
Name of Decedent:
Mal)' R. Stambaul]h
Date of Death:
Au~st 4, 1994
No. 21-94-778
Pursuant to Rule 6. I 2 of the Supreme Court Orphans' Court Rules. I report the following
with respect to completion of the administration of the above-captioned estate:
I. State whether administration of the estate is complete: ..L Yes _ No
2. Ifthe answer is No, state when the personal representative reasonably believes that the
administration will be complete:
3. If the answer to No. I is Yes. state the following:
a. Did the personal representative file a final account with the Court?
_ Yes ..L No
b. The separate Orphans' Court No. (if any) for the personal representative's
account is:
c. Did the personal representative state an account informally to the parties
in interest? ..L Yes _ No
d. Copies of receipts, releases, joinders and approvals of formal or informal
accounts may be filed with the Clerk of Orphan's Court and may be
attached to this report.
Date:
1 1/09/95
//};[J '3 ~
Signalure ( _
IRWIN, McKNIGHT & HUGHES
'no
ROller B, Irwin
Name (please type or print)
60 West PomfTet Street
or' Address
'.~ I
Carlisle, PA 17013
City, SUIte, Zip
(717) 249-2353
Telephone Number
" , J .. . ,~, !
ti' ~ j' u- I,"
Capacity: ':!
x
Personal Representative
Counsel for Personal Representative
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent:
Harv R. Stambaul\h
Date of Death:
AUl\ust 4 , 1994
Will No.
Admin. No. 21-94-77!l
To the Registera
I certify that notice of beneficial interest required by
Rule 5.6(a) of the Orphans' Court ~ules was served on or mailed to
the following beneficiaries of the above-captioned estate on
Name
Glenn A. Stambaugh
Address
1171 Claremont Road, Carlisle, PA 17013
Notice has now been given to all persons entitled thereto under
Rule 5.6(a) except
Date:_'I'!s, fi(
/"J~ ,.-'7.. --IJ
" ,::7~/ J. c./~,
Signatur~J
Name Roger II. Irwin, Esquire
Address
60 West Pomfret Street
Carlisle, PA 17013
Telephone ( 717) 249-2353
u.
Capacity:
Personal Representative
X Counsel for personal
representative
,j(:i
:::
--
EsUte ofl
DUI of Death I
County,
IIIVDmlllY
HARY R STAllliAUCI\
Autun '. 199t.
CUHtRI.AND
..........~.~~..~~~~~~~.~...~~~~...~~~~~~~~~...........................
Ca.hr
1 TIlt CIlURCH or COD HOHI:, INC. RJ:IlIND or OVERPAYKDn'
2 HERCHANTS AND bUSINESS M[N'S MUTUAL INSURANCE
CllHPAh'l' POLICY . 00)7217014 C~IH . 00gJ,2743
DATE or LOSS 07.15.94, PAl'IlEHT IWlE AlTER DATE or
DEA11l.
3 HELLoN BANK .CHECKING ACCT' 112 S62 5960 IN TIlt
DECIJlEm"S NANE ALONE. DATE or DEA11l1lAU.NCE
4 HELLoII bANK . CH[C~ING ACCT . 112 1&2 5960
IIlTEREsr AS or DATE or DEA11l.
5 SOCIAL SECURI11' CIlEC~ roR JULY or 1994
Subtotal
6
7
Stocks/Ltaud:
600 aharea, AL1JXaOCNY PaVER '22.25 per abare
8
1213 ahar.a, LIBER11' ALL STAR . 10.4375 per .her.
5 aher.., PA INS. HUNI SER'64 . 947.IS per .her.
S aharel, fA INS HUNI StR"l @ 673.30 per .hare
10 aher.., PA INS HUNI SER'31 . 171.92 per ahere
9
10
11
12
13
14
15
1000 .hor.., PENNSYLVANIA POWER AND L1ellT
@ 21.81) per ahare
16 aharal, SOUTHtRH COMPANY' 19.50 per ab.r.
100 ahares, TRAVElLERS Pro . 26.50 per ahare
100 ahar.., UNISYS Pro . 3S per ab.r.
$1200, BOND US~ . .9725 per ahere
Subtotal
R.ahy;
16 REAl. ESTATE LOCATIJl AT U.S. ROOfE 11 AND HARHONY
HAll ROAD, CARLISLE, HIODLESI:X TOIINSHIP, CUHBERUJm
Courm, PA. APPAISED VALUE AS or DATE or DEA11l.
17 REm'. TOR TIlt HOI/J1I OT AUC1J5T
Subtotal
Total Jnventory
2,364.05
1.464 .02
5,021.62
5.21
412.00
9,33B.92
11.350.00
12,660.69
4,735.90
3,366.50
1.719.20
21,175.00
312.00
2,650.00
3,500.00
1,167.00
..............
65,336.29
120,000.00
1,200.00
..............
121,200.00
195,S75.21
I ,REV-1547 EX AFP (08-94 *
~ COHHOHWEAlTH OF PENNSVlVANIA .
DEPARlHEHT OF REVENUE
BUREAU OF INDIYIDUAl TAMES
DEPT. zaD6Dl
HARRISBURG, PA I7Ua-0601
/ /1 ) ),,1. 11
ACN 101
NOTICE OF INNERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
DATE 01-24-95
ESTATE OF FILE NO.
DATE OF DEATH 08-24-94 COUNTY CUMBERLAND
NOTE. TD INSURE PROPER CREDIT TO YDUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS FORM WITH YOUR TAX
PAYMENT TO THE REGISTER OF WILLS. MAKE CHECK PAYABLE TO "REGISTER OF WILLS, AGENT"
REMIT PAYMENT TO:
ROGER B IRWIN
IRWIN ETAL
60 W POMFRET ST
CARLISLE PA 17013
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLIS~.{)>A 17013 :0
:J ct' $ :0 m
Allount R.nut.d.
,',
-/
G
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P~_l_~~P_~~_I_~!~__~!~~_______~____~_~!~}_~_~P_~~~_~~~I_~~~_J:~~__~~~~__~~P_~~~.___~_~_____;__~~_________
REV-1547 EX AFP (08-94) NOTICE OF INHERITANCE TAX APPRAISEMENT, AL~OWANCEoPR _-',
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX _ ,;..,
ESTATE OF STAMBAUGH MARY R FILE NO. 21 94-0778 ACK;\?~OI ,", DA'11P 01-24-95
-J
TAX RETURN WAS I (X I ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL
1. R..I est.t. (Schedule A) (1)
2. Stocks and Bonds (Schedul. 81 (21
3. Clos.ly Held Stock/P.~tn.~.hlp Int.rast (Sch.dul. C) IS)
4. Hartg.g.s/Not.. Raceiyabl. (Schedule OJ (4)
5. Cash/Sank Deposits/Hllc. Parlonal Property (Schedul. E) IS)
6. Jointly Owned Property (Schedule f) (6)
7. Transfars (Schedule GJ (7)
8. Total A...t.
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Fun.ral Exp.n.../AdM. Co.t./Hi.c. Exp.n... ISch.dul. HI 191
10. Dabt./Hortgag. Liabiliti../Li.n. CSchadul. II 1101
11. Total Deduction.
12. N.t Value of Tax Raturn
13. Charitable/GovarnMantal aeque.t. ISchadule JI
14. Net Value of E.t.t. Subjact to Tax
I~ an assessment was issued previously, lines
re~lect figures that include the total of ahh
ASSESSMENT OF TAX:
15. AMount of Line 14 at Spou..l
16. AMount of Lin. 14 taxabl. .t
17. AMount of Line 14 t.xabl. .t
18. Principal Tax Du.
CHANGED
120.000,00
65.336,29
,00
,00
10.538,92
24.908,00
,00
181
220,783.21
17.816.12
1.952.25
(111
1121
1151
1141
lQ.76R 37
201,014.84
.00
201,014.84
NOTE:
14, 15 and/or 16, 17 and 18 will
returns assessed to date.
rat.
Lina.l/Cla.. A rat.
Collat.ral/Cla.. a rat.
I1S1
11&1
1171
TAX CREDITS:
PAYHENT
DATE
10-26-94
RECEIPT
NUMSER
MM913115
DISCOUNT It J
INTEREST (-J
603.04
.00 X .03_
201,014.84 X .06_
,DO X .15_
1181
.00
12.060.89
.00
12,060.89
AMOUNT PAID
11,457.85
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
12,060.89
.00
.00
.00
I IF TOTAL DUE IS LESS THAN .1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YOU MAY SE DUE
A REFUND. SEE REVF.RSE SlOE OF THIS FORM FOR INSTRUCTIONS.J
RESERVATIONI E.t.t.. 0' d.c.d.nt. dying on o~ b.for. D.c.ab.~ 12, 1912 -- I' any future Int.r..t In the ..t.t. I. tran.f.rr.d
In po.....lon or enJoy.ent to CI... I (collat.ral) ben,'lcl.~I.. 0' the d.c.dant .'t.r the ..plratlon of any ..tet. 'or
Ilf. or for y.er.. 'he Co..onw.e)'h h.r.by ..pr...ly r...rv.. 'ha rlaht to appr.I.. and ...... tran.f.r Inherltanc. T....
.t the I.wful CI... I (collet.ral) r.t. on any .uch future Int.r..t.
PURPOSE or
HOTICEI To ful,11I tha raqulra.ant. of S.ctlon 21~0 0' the Inh.rltanc. and E.tata Ta. Act, Act 22 0' 1991. 12 P.S.
S.ctlon 21'0,
D.t.ch tha top portion 0' thl. Notlca and .ub_lt with your pay.ant to tha R.gl.tar 0' Will, prlnt.d on the r.v.r.. .Id.,
""ak. ch.ck or .on.y order plyabl. tOI REGISTER OF MILLS, AGENT
All ply..nt. r.c.lv.d .hall flr.t b. appll.d to any Int.r..t which ..y b. due with any r...lnd.r appllad to the t...
REFUND lCR)1 A r.fund 0' at.. cr.dlt. which wa. not r.qua.t.d on the Ta. Raturn, ..y b. r.qu..tad by co~latlng an ~APpllc.tlon
for R,'und 0' P'nn.ylvanla Inh.rltanc. and E.tat. Ta.~ (REV-I!l!). Application. .r. avallabl. at the O',lc.
0' the R.gl.t.r 0' Will., any of tha 25 Rav.nu. DI.trlct Of'lc.., or by calling the .p.cla. Z"-hour
an.w.rlng ..rvlc. ~ar. 'or for.. ord.rlngl In P.nn.ylvanla 1-laO-56Z-ZaSO, out.ld. P.nn.ylvanla and
within local Harrl.burg ar.a (111) 111-109', TOO' 11111 llZ-ZZS2 (~.arlng I.p.lr.d Dnlyl,
PAYHEHTI
OIJECTIONSI Any party In Int,r..t not .atl.fl.d with the ~ppral"e'nt, allowanc. or dl.allowanc. 0' d.ductlon., or ........nt
0' ta. I IncludIng dl.count or Intara.tl a. .hown on thl. Notlc. .u.t obJ.ct within II.ty (601 day. of r.calpt of
this Notlc. bYI
"-written protnt to the PA D.p.rt.ant of Rlvanu., loard of App.als, DEPT, U10ZI, tlarrhburg, PA 11128-IOZI, OR
--.Iactl~n to hava the ,att.r d.t.r.ln.d at audit of the account of the p.r.onal rapr'..nt,tlv., OR
--.pp..1 to the Orphan.' Court.
AOKI"
ISTRAlIVE
CORRECTIONSI
F.ctu.1 .rror. dl.cov.r.d on thl. ........nt .hould b. .~dr....d In writing tOI PA D.p.rt..nt of R.v.nu.,
Bur..u of Indlvldu.1 T...., ATTNI Po.t A.......nt R.vl.w Unit, DEPT. Za06al, H.rrl.burg, PA 111Z.-0601
Phon. (117) 7.7-6505, 5.. p.g. 5 of the bookl.t ~In.tructlon' for Inh.rltanca T.. R.turn for. R..ld.nt
D.c.d.nt" CREY-1501) for an ..plan.tlon of ad.lnlltratlv.ly corr.ctabl. .rror.,
DISCOUNT I
If any t.. due I. paid withIn thr'l (5) cal.ndar .onth. .ft.r the d.c.d,nt'l d..th. a flv. parc.nt C5~) dl.count of
the t.. p.ld I. allow.d,
INTEAEST I
Int.ra.t II chlrg.d bIg Inning with 'Ir.t d.y of d.llnqu.ncy, or nlna (9) .onth. and on. II) d.y 'ral the d.t. of
d..th, to the d.t. of pl~..nt. T.... which b.c... d.llnqu.nt b.for. J.nu.ry 1. 1'8Z ba.r Int.r..t .t the r.t. of
al. C'~) p.rc.nt p.r .nnu. c.lcul.t.d .t . d.lly r.t. of .000164. All t.... which b.c..a d.llnqu.nt on .nd .ft.r
Janu.ry I. 1'.2 will b..r Int.r..t .t . rat. which will v.ry fro. cel.nd.r y..r ta c.l.nd.r y..r with th.t rat.
announcld by the PA Dap.rt.ant 0' R.v.nu., Th. appllCabl. Int.r..t rat.. for I'IZ through 1'95 .r'l
!!!! Inter..t A.t. D.lly Int.r..t f.ctor !!!! Inter..t Rete D.lly Inter..t factor
1911 ZOX ,OODS'" 1917 'X ,oaoZ'7
1915 16;( .OOOU. 1911-1991 IU .000501
191' llX .00OSGl 1992 'X ,OOOZ"
1915 I5X ,OOOS56 1995-199'" 7X ,aaaln
1916 1D~ .00021' ~99S 'X ,OOOZIt1
--Intarnt II c.lcul.t.d .. followu
INTEREST . SALANCE OF TAX UNPAID X NUnSER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Hotlc. I..ued aftlr the t.. b.cue.. d.llnquent will r.fl.ct an Int.r..t c.lculatlon to 'I't..n CI51 d.y.
b.yond the d.t. of the ........nt. I' pay.ant I. ..d. aft.r the Int.r..t coeput.tlon d.t. .hown on the
Hotlc.. addltlon.1 Int.r..t lU.t be c'lcul.tad.
~. _.. ..- '''.' --, -- .
.
"
- _._- .-- - -_.~-- -.-- ~ .-.- "---~.. -. .._- --- ~"-- --. --'- .._~--
.-..,. '--- ---~-- -.-- -'"- -.-." ~~ ,.- -_.-. ,._._~- ~.~- .-.+'-
D NO. AA
,-.' .: \-: :'. :'- '(',- ~;.';,A!_ '<,-t., :i~_tf:M n;-'J;'-~ttlr"ft":~:::1i~-)t;'L~;;i ~-.:y: ;:::::-:::Y::c:' ';_':\~:, -;,:..'- /_,::_ ',"_,'; ;';~: "__' '_";:',:':' . ~'_:".:'~,
14654 7::'Co,~9~WEALT':tOFPEN~SVL~ANIA. ,.' ..
.' .,.... >;; . ....~~DI'ARTMI'"O'I!IV.NU. .:. .. .... .
. '. OFFicIALRlcliPT.' PINNSYLVANIAINHERITANCIAND ISTATITAX
.......6..................
. ........ '.:'
.. . '--'
,,'~.- "
'U'ltIl62 IX '~'J
RECEIVED FROM,
ACN
ASSESSMENT 'l'
CONTROL ~
NUMBER
AMOUNT
&
SMITH & SMITH PC
101
.10,81:5.19
12~ N MAIN STREET
MOSCOW, PA 18444
ESTATE INfORMATION.
~ fltE NUMBER
iii 21- J 994-0878
~ NAME Of DECEDENT (lAST)
1;,1 MERVA MARY M
II DATE Of PAYMENT
m POSTMARK DATE
'"
COUNTY
'O<<OHII,
SSN 179-07-2275
(fiRST) (Mil
CUMBERLAND
DATE Of OEATH
REMARKS
m TOTAL AMOUNT PAID
\,
',j,
. ".-
RECEIVED BY / /. !~ I
\" , ~1
SIONAJURf t
/
"10,015.19
00
SEAL
PAULINE A MARTIN
C/O SMITH & SMITH PC
CHEC/(1I 115
....,,'
REGISTER OF WILLS
MARV C. LEWIS
REGISTER OF WILLS
','1 _c. -- - - - - __ __ __ __ _ _. __..
_.,-. -. . --- -. - '.. ---- ._, --. .-- --- -- ,-- - .--- r-' ..
,
-... .......-.......,--
,
.
-,.~ _ '---'~'..-""""-4.~ 4."~1:-'.
..:.,.:..
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