HomeMy WebLinkAbout94-00797
PETITION FOI{ PIWUATE lInd GI{ANT OF LETTERS
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Sorial S('CII,ity No. .-i....i~_.:::..^:...:....L__:.:.....-~:2.LL_., ('ummullwcalth of IIcl1I\\)'I\'ul1ln
The pctilioll of Ihe unllcl\igm.'d Ic\pcl,.'lfully fl'IH\.'WIII\ Ihut:
Your pctiliuncl(\), who h/urc IN )'Cilf!rl of a~c m:_utdcr an tl!c c.\CCUb'~,
illlhe h"l willuf Ihc Ilhmc decedelll. dilled __,:., ~-1~'~ . - '.' -
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ExCCpl '" r"lIow,. dccedenl did nul mil II)'. was ""1 divlIrced IlIIlI did 11111 havc a child born or IIdupled
aflcr cxeculiulI or Ihc willllrfercd ror pruhale; wa' IIUllhc viclim "I' a killillg aud was IIcver adjudiealed
ina:ompclcnt:
I>ccclldclllal dClllh oWllcd prul1erl)' with c>lillllllcd vuluc' '" f"ll"w,;
(If dnmlcilcd III I'a.) All pe"nllallllol1erl)' $ \'e '">'">
(I I' ""1 dllllllcilcd ia I'a,) I'c"oual pruperl)' III I'cuu,)'lvaula $
(11'1101 dOllllcilcd lu I'a,) I'c"olllll prupCrlY ill CUUIII)' $
Vulue of rcal cMU1C ill Pcnnsyl\,ill1iu $
silullled '" follow;:
WllEREFORE. pClitiullcr(,) rcspeclfnll)' rcque>\(;) Ihe prnhlllc of Ihc lasl will lIad eodicll!s)
pre'clllcd hcrcwith nlld Ihc grmll or Icllc,,_--I.ESIAMENIAR'f
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OATI-I OF I)EI{SONAL Iml'l{ESENTATIVE
COMMONWEALTH OF I'ENNSYLVANIA l::ls
COUNTY OF CUMBERLAND f '
The pelilioner(,) ahuvc.nllmcd 'WCIlI(S) or arfirm(,) Ihlll Ihc '1II1emCIIIS illlhc rorcgoillg pClltloll IIrc
nue alld currccl 10 Ihe he>lnr Ihe knuwlcdge alld hdicr ur pelil!nllerl') alldllall '" pcrsollal rcprcscn.
IIIlive(') or Ihc ah"vc deccdelll pClilioncr(,) will well alllllruly adminblcr Ihc cSlale according 10 law.
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}o'or tho PUl'POSO 01' fuolli tutillg tho sottlomont nnd
ullltl'ihut:l.on of my ostute, I uuthol'izlI nnd ompowor my Exeoutl'ix,
herolnnftol' nnmod, to Roll /lilY and ull 1'0111 os tate whioh I may
own nt the timo of my doceuoo, ut oither public or privute sulo
or oaleo.
LASTLY, I nominate, conntitute and oppoint my dllue~htel',
AIlII A. SULLIVAN, Executl'ix of this my Lust \-1111 and Testument
and direct that sho ho oxcused fl'om posting bond or othel' oocurity
1'01' tho faithful p01'fOrmllllce of hel' dutios.
III HITNESS ,.n!EREOF, I have hereunto oot my hand and seul
this 83....1 duy or Moy, A. D" 1991.
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. Hilmo M. Dille1'
(SEAL)
Signod, sonlod, publ in heel l\l1el doclnr'od by the abovo nomod,
IHLr1A M. DILT,EH, 00 Ilnu 1'01' hel' ,L/lst I-Illl Ilnd '['elltamont, ill l;lw
pl'llUOnCO of uu, who have ullbucl'ibeu 0\11' names hOl'eto us Hitnonuell,
at the roqnoot of' onid test;/ltl'ix, in hor pl'ooonco Hnd in tho
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OIPAAlMfut Of "(Vft.lU(
III PI 1MOt,.Q1
tlARIII!lBUIlG_ PA 111,. OtJOl
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
FOR DATES OF DEATH AnlR 12/31/91 CHECK HERI
IF A SPOUSAL -
POVl.RU. CREDIT IS CLAIMED. []
Fill NUMBER
f)lClDltl ~ t~A.y1 (1"~1 ll&~ "'''0 M,OOII 1,..11"11
CbLNIY (ODr
WA~"
OIJJM'lti7R
OI(lllf'll ~ (0....'1111 "0011 U
Dlllor Wilma M.
'~;~~(~~;'~U~'~'6 I __ID:~;';O'I';''l'1 Il"'~; ;~'; 0 .
., .", (H., "-.... ff ,V'.d' \"."1 [,HI' III .....[ ",I,{ '. I." 1:0(1,1,1 ~1(Ulllt "ll..."ft
..DJ~l1qJ', _~.EQII G, .__ .. . 106-=26.-25.'16
! X 1. Original Relurn
I.] 4. limited ESlale
r)/ 6
209 E. Walnut StrDot
ShlrDman~town, P^, 17011
'0""1' .Cumbcrlill1O --~--~-_.----_.~
"...{JU'I! &IClllrIO 1~III't~lIlU(!IOt~il
_ SC'D__il~tt'!..cl!9~__YJ 11
L J 3, Remainder Relurn
(for date. af death prior 1012.13.82)
[I 5. federal h'ale Tall Return Required
.J) 8. TOlol Number 0' Solo Depo.it Bou.
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L j 40. Futuro Inleres' Compromi50
Ifor dol" of dealh alter 12.12.821
DeClden' Died leilolo r J 7, Decedent Maintained a Living fru,'
(Attach copy of Will) (Alloch copy of Trusl)
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TOI
.4,......( (O""llH MAIlI.H~ "rIO_Hi
2 Supplemenlol Relur"
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22 Glnndaln Dr.
Nnchanlcsburg, "A,
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17055
Ann
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SUllivan
20. II line Iq is greoler than Line 18. enler the difference on LIne 20. This i. Iho OVERPAYMENT,
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21. If Line 18 i. oreoter ,hon lino lq, enler tho difforence on line 21. This is tho TAX DUE.
A. Enter Ihe in'ere,' on tho bolonce due on Line 21 A.
B. Enter 'he total of line 21 and 21A on line 218. Thi. It the BALANCE DUE.
Mole. Ch.ck Povobl. tOI bgllt.r Df Will., Ag.n'
~ ~ BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH -<-<
Under penollies 01 porjury, I doclore Iho' I hove e..omined thi. return, includino accompanying uhedule. and .Iolemenh. and to the beSl 01 my Itnowledge and belief,
it I. 'ruo, correcl and complele. I declare Ihot aU real estale hal beon roporled atlruo morket value. Declarotion of preparer olher than the penonal represenla'ive Is
baled on all informalion 01 whith preparer hot any Itnowledge.
SIGNA'URi Of PfR~Ot4 Ill!iPOtf~llIlIIOIl 'IUNCi Il.LTURt4 "'OOIlI~"f.' O,.lf
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~IGN"'UR( 0' PRtp"RfIl QIHI& tH"trT[P&f!iItH"IlVl Ao6ll.l!iS \" \ OAII
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1. Real h'ole ISchedule AI
2. Sloch and Bond. ISchedule BI
3. Clo5lly Held Sloclt/Por.nership Inler05t (Schedule CJ
4. Mortoag" and Noles Receivoblo ISchedule D)
5, Cosh, Banlt Deposih & Mileellonoous Penonol Plopefly
(S,hodulo E)
6. Join'ly Owned Prope,Iy (Schedule F)
7. Trons'en (Schedule G) (Schadull'l l)
8. Total Gron Anah (10101 Unes 1.7)
Q. Funeral hpenstt.. Administrative Cosh. MiICellanoous
bponl" (Schedule HI
10. Oebh. Mortgage lIobilili... liens (Schedule I)
11. Tolal Deduction. (Iololllnel Q & 101
12. Net Value of Etlalo {lino 8 minus line 11)
13. Chnritoble and Governmen'al Boques" ISchedule 1)
14. Nel Value Subiectlo To. lline 12 minu. lino 13)
15. Spousol Translo" (for dotel of dealh altar 6.JO.Q41
Seo Inilfuctian. for Ar,plicable Percentage on Hoveno
Side. (Include yalu.. rom Schodule K or Schodule M.)
I b. Amount 01 line 14 ta.llable 01 6% lole
llnclude volu.. from Schedulo K or Schedulo M,l
17. Amount of line 14 lalloble 01 15% fate
(Include yolues 'rom Schedule K Of Schedulo M.)
18. Principal lOA due (Add 10. from linos 15. 16 and 17.)
lQ. CfodilS Spousol Povorty Credit Prior Paymonh
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(91 ____3,.'13.5,63._______
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(II) ---3,.435-.63
(12) _l.?L'1.IO, 7 2
(131
(1AI _. .1~5 ! '11 Q~, 7_2
(151
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(161
15,'110,72
92'1,64
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(17) _
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(18) _~.__,__.9.211.,.6.4_._._______
Discounl
Inlorost
(19)
1201
Checll: here If yau are roqulltlng a re'und of your overpayment.
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(211
121A)
1218)
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tj~
COMMONW(AUtt Of p(NN!ln\lANIA
INHlRltANCI1'AX 'fTU.N
'U1DIH_!~~~ID1~!
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
Ploa.o P,lnl 0' l 0
FilE NUMBER
1994-00797
11'f'..oelltlllrj
ESTATE OF
Diller, Wilma M,
(All prop.,ty lolnlly.own.d with thl Righi of S",ylvonhlp mu.1 b, dlulo..d on Sch.dul. FJ
ITEM
NUMBER
DESCRIPTION
VALUE AT
DATE OF DEATH
savings Account
Christmas savings Account
Checking Account
Blue cross/Blue Shield Premium Refund
Interest on Checking Account (10-11-94)
Interest on Checking Account (11-8-94)
14,091.77
376,00
4,112,13
228.20
16,08
22,17
TOTAL AI.o onlo' on IIno 5, Roea
S
18,846.35
(Alloth additIonal BVlI' )( II" sh..h If more 'pace I, needed.)
'I'IUIII" 11"1
J!~:~"
-~J1.u.-
COMMONW(AlTH Of P(NNSYlVANIA
INtHRITA-NCf 'AlC R(TURN
R(!lIDEN' PECfO(NI
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCEllANEOUS EXPENSES
--
TATE OF
Diller, l'Iilma M,
ITEM
NUMBER
A,
DESCRIPTION
1.
Funeral Expen.e..
Funeral Director and Cremation
Grave Opening
Flowers
Organist
Minister
Funeral lunch
B. Admlnlllratlve COlli'
4.
C,
1.
2.
3.
4,
5.
6.
7.
e.
1.
Personal Representative Commissions
Social Securily Number 01 Peroonal Represenlalive, 171
Yeor Comml..lons pold
2. Allorney Fees
3.
Family Exemplian
Clalman'
Addre.. 01 Claimant at decedent's dea,h
S'ree' Addre..
Cily
Zip Co do
Relalianshlp
S'a'e
Probo'e Fees
Mllcellaneoul ExpenlOll
p, p, & L (electric)
Bell Atlantic
ABC Fuel (Oil supplier)
_ Pleale Print or}vpe
F E NUMBER
19901-00797
30
6 T6:L
TOTAL (Also enlor on line 9, Rocopllulolion)
(If more Ipace II needed, Inlerl addltlonallhoo" ..I lamo size.)
AMOUNT
1,677,00
360.00
55,00
50.00
50,00
30,00
942,32
67,00
79.22
23.41
101,68
5 3,435,63
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,'" ~OM~~NWEALT~ci~:p~~NSYLVANIA-' ......; .'W~.. '.'
DNa: M913265., ". .DEPARTMENTOFREVEtlUE .. , " " ,
"'''t' .. l""i OFFICIAL RECEII'T . PENNSYLVANIA INH.ERIT~NCE AND ESTATE TAX
RECEIVED FROM,
i3
ACN
ASSESSMENT '='
CONTROL ~
NUMBER
AMOUNT
ANN A. 5ULLl VAN
22 GLENDALE DR.
101
$92'. . 64
--
MECl-tANICSElURG
PA 17055
10/0 HUt
'OIO"UI
SSN 208-41:1-6581
FIR T Mil
REMARKS
r:a TOTAL AMOUNT PAID ,___,-"'9~!!-'~g!.
'" CW
'--Il~ /} O?' . ,
RECEIVED BY ,~_._ ~. , JJ:/__."" / . "t/J./
rtATUIlE
,
MARY C. LEl--l . ,
REGISTER OF WILLS
ANN A. SULLIVf\N
SEAL
CHECKlt I.
REGISTER OF WILLS
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~' Ann Sullivan
, 22 Glond31o Dr.
Uochttnicaburg, PA
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/REV-1S47 rEX i ~;P : 12-941 ~I I( !
COtlHONWrA\ HI or P[NNSYlVANIA ~. ACN
mPARIHlNI or PIVrNU[ .J r. ~\.. 'I NOTICE OF INHERITANCI:. TAM I
8UNIAU or INDiViDUAL TAlll5 ... ~. '., APPRAISEMENT, ALLOWANCE DR DISALLOWANCe I
~~:~i5~~~~~'.'A 111:a-obol .},. ! Of DEDUCTIONS AND ASSESSMENT OF TAX I DATE 02"28-95
ErfTATE=ili,-j)'fCTI!ll ItrrnA H -~=--~~~~FiLE- tiO-:=Zl-lj"4"::'irf97--- ---
DATE OF DEATH 08-11-94 COUNTY CUM8ERlAND
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101
NOTE I TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT TIlE UPPER PORTION OF TMIS FORM Willi YOUR TAX
PAYMENT TO TIlE REGISTER OF WILLS. MAKE CHECK PAYA~LE TO "REGISTER OF WILLS, AGENT"
REMIT PAYMENT TO:
ANtl A SUlLIVAtl
22 GlEtlDAlE DR
MECHAtlICS8URG
REGISTER OF WIllS
CUM8ERlAtlD CO COURT HOUSE
CARLISLE, PA 17013
PA 17055
"nount R.",ithd
- --
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ..
ifE"v: is'4-j -EiC AF p-- i i z: 94 Y -Heir i CE - -ci F-YNHEij if ANCE- TAX -X" PPRii is EH€Hi" -;-AL.i"ciWAtfcE- oR" -- -- - on - - - - - - - --
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF DILLER WILMA M FILE NO. 21 94-0797 ACN 101 DATE 02-28-95
TAX RETURN WAS, I X I ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGItlAl
1. R..l Est.t. (Schedule AI
2. Stocks and Bonds ISchedule OJ
3. Closely Held stock/P.~t".rship Inter..t (Schedule CI
4. Harig.g../Not.. R.c.ivable ISchadula 0)
S. C.sh/Bank Daposits/Hisc. Pa~lonal P~ope~ty ISchadul. E)
b. jointly Ownad Proparty ISchadula Fl
7. Transf.rs CSchadul. Gl
8. Total Ass.t.
CItANGED
(')0
S r-. 00 ~')~
.00
,00 ..:,
.00 W
I"
18.846.35 'J]
.00
. ,
. DO r _)
), '. 18)'"
-,' 0
3,435.63
:0
",nill
. "
III
121
131
141
151
Ibl
171
V'
18',846.35
APPROVED DEDUCTIONS AND EXEMPTIONS:
q. Fun.~.l Expensa./Ad", Cost./Hisc, E.pen... (Schedule Hl Cq)
10. D.bh/Hodgag. Liabilities/Liens ISchedul. II 110) ,00
11. Total Deductions Ill)
12. Het Value of Tax Return 112)
13. Ch.rihbl./Gov.~nlltant.l Bequests .Schedule J) 113)
1... Het Vdua of Estat. SUbject to Tax 11..)
NOTE: If an assessment was issued previouslY, lines 14, 15 and/or 1&, 17 and 18 will
reflect figures that include the total of All returns assessed to date.
ASSESSMENT OF TAX:
15. AMount of Line 1.. at Spous.l
lb. Anount of Lina 1.. t.~.bl. at
17. Anount of LinB 1.. t...bl. at
18. P~i"cip.l Ta. Due
3.43, 63
15,410.72
.00
15,410.72
~.h
Line.I/Cla.. A rata
CDllata~al/CI... B rate
1151
IIbl
1171
.00 X .03.
15,410.72 X .06.
.00 X .15.
118)
.00
924.64
.00
924.64
TAX CREDITS:
PAYMEN~
DATE
12-07-94 I
DISCOUNT 1'1
INTEREST I-I
RECEIPT
NUM8ER
MM913265
AMOUNT PAID
.00
924.64
TOTAL TAX CREDIT I
BALANCE OF TAX DUEl
I INTEREST I
: TOTAL DUE
924.64 J
.00 i
.00
.00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR) J YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. I
t- :;-15--/
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STATUS REPORT UNDER RULE 6.12
Name of Decedent:
\~llma N. Dl llnr
'er
~I.)
flf'll 20 '010 :0'_'
Date of Deathl O/11/9~
elL
CUIllL!.,
219~-0797
,,;rt
" PA
Will No.
Admin. No.
199~-00797
Pursuant to Rule 6.12 of the Supreme Court Orphans'
Court Rules, I report the following with respect to completion of
the administration o[ the above-captioned estate:
1. State whether administration of the estate is complete:
Yes X No
2. If the answer Js No, state when the personal
representative reasonably believes that the administration will be
complete I
3. If the answer to No. 1 is Yes, state the following:
a. Did the personai representative file a final
account with the Court? Yes X No
b. The separate Orphans' Court No. (if any) [or
the personal representative's account is:
c. Did the personal representative state an
account informally to the parties in interest? Yes X No
d. Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be attached to this report.
, '\
":~" ,\\) .,", ','-
Date: ~/17/95
,
( ) " "
Signature
Ann A. SUllivan
Name (Please type or print)
22 Glnnc1aln Dr.
--l4t:lchanl~~h"r'J, t'~ '7055
Address
( 717) 766-1~36
')'el. No.
Capacity:
X Personal Representative
Counsel for personal
representative
(MAli: rmUAM3)