HomeMy WebLinkAbout94-00817
\
PETITION I<'OI~ PIWnATE IIl1d GHANT 01<' LJc:TTJc:HS
8/7
No,
lo:
.21-%
!:III/I/' "r . ll;RRY. SCOTT PASS
a/s" klll;I!'1I as A/K/ A
. T, SCOT,!, PASS
l{eghll'l 01 Wllb 101 Ihe
Ih'('('as,'Ii. ('0111111' 01 CU}lIlEKLANIl..._ .... III Ihe
S"da/ :"'''''1'111' N". 20!l-28-6890 ('OIllIllOIl\\'I'lIhh 01 1'1'111111'1\'1111111
Thl' 1'1'1 II hUI 01 1I1l' IIl1derllglled II'Ipecl lilliI' I 1'111 1'1l'1I1 I I hal:
1'0111 pelhlollerls), who iI/ail' IH YI'all 01 age 01 oldl'l IIl1lhe 1'~I'elll RIX
IlIlhe 11111 will 01 111l' i11101'1' dl'l'I'dl'III, daled. ,lllllllury 20 .
~HK>>XK~k~K~KXX
,.., ,''.u IIl1llwd
....,,11).89...
l\lllll' Il'll'\'illlll'IH:ltlll'tilll\\", l',l!. 1('lIl1lldJlllnll, t1l'illh 01 ~"Cl'lllur. l'll'.}
lle",,,"11' II I Will dOlllidll'd al dl'alh III ClImporlllnd " ......
h is , lall 111111111' III prilldpal lelid"lIel' III 1114 Karon Ilriyo_,
17013, North ~\iddloJon Township., . ."__U_
Oi,( 'lh'l'l, 11l111lh.'1 ilntlllllllldpallly)
, ('UlIllly, 1'1'111111'11'1111111, wllh
CllrliBl~._l~nnijyL\LQQta
., .n_.~_'__.___ .._" _____._
lleeellllelll,lh"1I 29 yeilll 01 IIgl', dil'd u ,. SoptonlhorO? ' " 19...n9!tn_"
III PA Turnpiko, Alloghony Township, Srnmnefl1et COlmty ,n.."
bel'pllll 1011011'1, decedelll did lIollllalTY, 11'1111101 dll'orced IIl1d did 1101 hlll'e a ehlld born or IIdopted
1)llel l'~eelllloll 01 Ihl' will 01 reml 111I prollllle: lI'al 1101 IIII' I'ietillt 01 a kllllllg IIIllI Will lIel'er IIdJlldlellted
illl'OIllIIL'Ic.'IlI: --_..--.-
Ikl'elldl'II1 al dl'alh oll'lll'd prupl'r1Y II'llh I'llilll,III'd 1'1I\lIel al 10IlUII'I:
(II dOlllklll'd 1111'11,) All perlollal PIOPl'r1y
(111101 dOlllldled ill I'a,) 1'1'11011111 proPI'r1Y IlIl'l'IIlIIyll'alll1l
(If 1101 dOlllklled illl'i1,J l'I'Nlllal PIOPerlY III COIIIIIY
Vlllm' or H'ul/!qall' ill' Pl'llll~\'I\'allia
1IIIIall'd al 10110\1'1: 1114,' Karen Drive,
North Hiddleton Township
$_J.2. &QQJJJJL ___
$ _._'nu_____,._'
$ ___.___u.,,_.__.___w.
$ ..J.~, OOO_JlQ____
. ClIrlislc..!'cnnliyl vania ulJ.013._._._______
\\'III,RFH IRI'" pelltlolll'l(l) relpeclllIlIy
pl"ellll'd hnt'lI'lth alld I Ill' glalll 01 kll,:rl,
Iheroll,
leqllCII(I) Ihe probate or Ihe lasl 11'111 nnd eodlcll(s)
Tea tamenJ:~ry _ .... _ _.___._.___
(ll'\lilllll'lIIl\ry; lldllljl1hlrllll(llll',t,l\~: 1Il11ll1nl~lrlltlnll d,b,lI.e.t,".)
,
TI ' ~
~ 7: ~C"~I. ..' 7f:ht.aE PA'S'~'
:< [1 '"Mtcitf[tf{b~lt , " .
il:i .2.36 ,North flal t imOfe Avenlle
,,;: . Nt.. Holly Springs,. PA 17065
7:i.
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:: .1
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tol,
iii
. ...---_.-_..+-_._._....,-_._-~--_._----
--~-_._.._..,...-._-_.-_.._--_.
___._____. ..,-...._,_.__.___n_..'_"__'~_'_ ,
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---....... ..-,_.-_._._-~-_.._-
----. -.., ........._.-.----_.._--.-
OATH OF PERSONAl. IU<:PHESENTATIVE
COMMONWEALTII OF PENNSYLVANIA I H
COUNTY OF CUHIlERLANIl r H,
SWUI'll 10 III affirllled and "ub"nlhl'd I
\ll'loll' 1111' Ihis 23RD da\ ill
SEPT~MB~R, 'It J'(, 9~ .
7~LlI).C )fa-Un." 1" j.-1!11 em . t.,~,
M~RY C. LEWIS III'g/1 r (J
rbl' PI'llllollel(11 allol'e.ll<lIl1ed I\I'L""(I) 01 allillll(lIlhal Ihe Il:llellll'nl' In Jhl' loregolog pelltlon arc
11111' IInd l'OIII'L'llolhl' 111'11 "I Ihl' kIHIII'kd~1' a III I IIl'Iit-1 "ll'l'lillonel(l) alllllhnl III pI'IIonnllcprclen.
1lI111'1'h) "I Ih,' allol'\~ dL'I'I'delll I'L'llllolIl'I(I) will wi'll alld trllly adlllllllltel Ihe ell IIII' nel'ordlllg to luw.
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. 'fl~~E"R'ENWF'iftsS.. .... m '~'
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No. 21-94- 817
-
Estate of . Tg~ SCOTT PASS a/k/a T. SCOTT PASS
I Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW ---2EPTEMBER 26 , 19.~, In consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the Instrument(s) dated JANUA~Y 20, 1989
described therein be admitted to probate and flied of record as the last will of . Terry' Scot!..l'ass
and Letters Testamentary
arc hereby granted to Michele Renee ~
l~'
Marcus A, McKni~ht, Ill, !!quire, #25476
ATTORNEY (SUP, CI, t.D, No,)
60 West pomfret Street, Carlisle. PA 17013
FEES
Probate, Lellers, Etc, ...""" $ ,80 , 00
Short Certlfleates(5) ."",.,.. $~ 5 .00
Renunciation.. .. . .. .. , .. .... $
, 'X-pages $ 9.00
JCP , -:l.QU
TOTAL _ $ 109'nn
Flied", ,mn:MBER ,26., .1.99~",.,.""
-
ADDRESS
(717) 249-2353
PHONE
, I
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Called attorney an 9-26-94.':
;q
-q(,
("'"
b.' 1/3 to Terry K. Pass,
c. 1/3 to Charles Myers and Frances G. Myers of
Dickinson Township, Cumberland County,
Pennsylvania, or the survivor of them.
EITU If at my death, my wife, Michele Renee Pass, has
predeceased me leaving children of mine who are under the age of
eighteen (18) years, then I appoint June E. Miller and Jim A.
Miller to be the Guardians of the Person and Guardians of the
Property for said minor children of mine.
SIX: I nominate and appoint, Michele Renee Pass, to serve
as the Executrix of this my Last Will. If she has predeceased
me, failed to qualify, or ceased to act as Executrix, I nominate
and appoi nt June E. Mill er and Jim A. Mill er to serve as Co-
Executors in her place,
i~VEN:
My
Executrix may, at
her
discretion,
compromise claims, borrow money, retain property for such length
of time as she may deem proper, lease and sell property for such
prices, on such terms, at public or private sales, as she may
deem proper, and invest estate property and income without
restriction to legal investments.
gGHT: No Executrix, Co-Exet;utor, or Guardian acting
hereunder shall be required to post bond or enter security in
this or any jurisdiction.
I' /. J,] (,,' / '!
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS COUNTYCOOE
DECEOEtlT'S NAl.4E {LAST I rlAST,AND MIOmE INITIAL) DECEDENT'S COMPLETE ADDRESS
PASS TERRY S 111/, KAREN DRIVE
CARLI SLE, PA 17013
(
AEV . 1500 EX . (11-911
fOil OATES OF OOATH MIEII 1!111191 CHECK HEilE
lFASPOUSAl 0
POVEATY CIIEDIIIS CLAIMED
FILE NUMBER
C P ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TOl
o 0 NAME COMPLETE MAILINa AOOAESS
~ ~ MARCUS A McKNIGHT IRWIN, McKNIGHT & HUGHES
~ N TELEPHONE NUMBEIl 60 WEST PoMFRET STREET
T 717.249.2353 CARLISLE PA 17013
1. Real EslalelSchedule AI (1) None
2, Slacks and Bonds (Schedule B) (2) Nono
3, Closely Held SlocklPartnelshlp Inle,eSlISchedul. C) (3) Nono
4, MMgages and Noles Recelvabl. (Schedulo 0) (4) None
6. Cash, Bank Deposit' & Miscellaneous Pe"onal Ploperty (5) 10,962,17
(Schedule E)
e, Jelntly Owned P'operty (Schedule F)
7, T,ansfe" ISchedulo 0) (Schodulo LI
8, 101.1 O,OSS Assols (lolalll"os 1.7)
g. Funeral Expen5os, AdminIstrative Costs, Miscellaneous
E'pensos ISchodulo HI
10, Dobis, Mortgage Llabllilles, Liens ISchedule il
1" To'al Deducllons (tolalllnos 9 & 10)
12, Nel Vallie 01 Estalo (line 8 minus line 11)
13, Charnablo and Oovernmenlal Boquosls (Schedule J)
14, Not Value Sub ect to Te, liine 12 minus line 13)
15, Amounl of line 14 ta,able.' 6% 'ale
(Includo values "010 Schedule K 0' Schedule M,)
16, Amount ollino 14 t..able oilS'!. 'ale
(Include values hom Schodulo K or Sch.dul. M, I
17. P'inclpalla, due (Add to, "010 lin. 15 and ',om line 161
18, C,odll,/Sp Poverty Pller Paymenls Discounl
0,00 . 0.00 . 117.20
19, IIlino 181s g,ealol than lino 17, ente, tho diHe,ence on line 19 Thl' Is the OVERPAYMENT,
~ 0 IChec~ ho" If you .ro roquostlng' rofund of your ovorpeym,nl,1
20, II line 171s g,oalOl than Ifno 18, onlOl Iho dillele"ee on 110. 20. This is Ih. TAX DUE,
A, En'" the Inlo'osl on Ih. balanco duo on line 2014,
B, Enle' the tOla' 01 line 20 and 2014 on lin. 20B This is Ihe BALANCE DUE,
Mob Chock p, .ble to: Ro I.te, at Will.. A ent
. .. .. BE SURE TO ANSWER ALL QUE~TlaNS ON PAGE 2 AND TO RECHECK M~TH <l "
Undar pcltl.llllo~ 01 pel/UlY, I daclalath,11 ha.", lI)('mlned lhl, rolvln, Incli'dln~ .ccompanylng schedules.nd 1l1..loffillnls,'OO 10 tho be3t 01 my ~no~lod9o.nd belial, Ills true,
eorllcl.l'Idcomplolo I deer.re lh.l.1I re.l ulllo hu boen IllpOIlOd .llrl.:e markol vllve, Ooel,f.llon of p"p.1ror olher lh.n tho per.orwlreprosllnl.lI....ls based on.lllnloflT\illlonof
which plOpOUf h.!t 'ny ~nowlod!Jo,
I
c i r
~ ~ 0
cfj~ C
K K
S
COM~~~~~W:~~ ~~tvt'j)'MANIA
H ~AAlsg6~t ,~~~~,/., CtO I
SOCIAL SECURITY NUMElER
208.38.6890
XI, Original Relllrn
DATE OF BIRTH
11 / 0 7 / 1961, Covnly
Supplomonlal Relu,n
CUMBERLAND
04,
[]J 6,
04.,
07,
FUlu,o Inlo",1 Comp,omise
(10' datos 01 d,alh after 12.12.62)
Docedenl Malnlalnad aLlYing T,ust
(A"ach a copy 01 T,ust)
06,
Limned E.lale
Docodont Died Teslale
(AHach copy of Willi
~
~
I
T
U
L
A
r
N
(5)
(7)
21, 922 . 84
None
(9)
7,068.19
(10)
10,189,62
(15)_
0,00
~
(15)
15,627.20 X,15'
2,344.08
C
o
M
C
f
N
Inlolest
0.00
SIGNATUAE Of PERSON AESPONSleLE fOR flLINO AETUAN AOORESS
21.94.0817
YEAR
NUMIIER
3, Romainde, Relurn
(fa, dales of dealh p,lor 10 12.13.82)
Fedo,al Estale Ta.
Relurn Requlled
8, Total NUII..,e, of S.le Doposn Bo..,
-"1
(8)
32,885,01
(11)
(12)-
(13)
(14)
. ,06:
17,257,81
15,627,20
None
15,627,20
0,00
(17)
2 ,344,08
(18)
(19)
117.20
0,00
(20)
( 2014)
( 208)
2,226,88
0.00
2,226.88
DATE
12-07-94
MICHELE RENNE' PASS
2' 'fRii-iE' AVE........................... .......,...,
M'f' 'HoLi:-n;PRiNGS:' 'PA" .ijo(;s'...,......, .......
AOOAESS MARCUS A Me KN I GHT 111
IRWIN, McKNIGHT & HUGHES
(,cj'wE1i'f 'POMFRf.'T' STREET.'........."......... ...
ci>:Jii.i'sr:E": 'pA" .ijoi'j.......... ..... ..............
I'll!, {? -11/ I- 4; ((C ..
CopVrlghl (e) liil fOlm. llWe ntv Cenl.r Ploee SOflW'", Inc.
DATE
12-07-94
fD'm TaCO IA,y, l1.tlJ
,\
I,
,
REV. \lonx' (I,ll.)
cOM\iIltlYtM,IJA~Il{fI.el ~11~lty,\ItYANlA SOHeDUI.E P
~~YIlI!rn1IJ\!l\l' "w JO NTI.V.OWNEO PROPERT'(
UTAlI OF
TERRY 9 PA!lU!EJL1QJl..1U~~2u.._...QlJ/.(nlJ.~2L--,
JolnI11nanl(I)1
FI~E NUMBER
21-94-0817
I RE~ATIONSHIP TO DECEDENT
.WIFE
A,
NAME
MICIlEU: R~:N[t'
ADDRESS
PAllll ..-..-....-- -r'fiITtm AVE
KI'1l0LLY SPRINGS, PA 17065
.-...-.....--- --'"
.,
0,
"
,
- --
ITIM ~ITTIII DATI TDTA~ VA~UE DECO'S DO~~AII VA~UE OP
FOil MADS DUCIIIPTIDN OF PROPSRTY
!lUMBEII JOINT OF ASSET '" INT, PECEDSNTINTEIIEST
'fINANT JOINT
1 A 08.28.9? IIARRISIIURlrllf:l.cO FEDERAL 1,928.27 50.00% 964 .14
CREIl!'1' UNION, ItARRISIIURG
IIf:LCo n:D1':RAL CR1':DIT UNION
ACCOUNT /1,.79860 OPENED
08/28/92 JOINTI.Y wnll THE
1l~:Gf:llI':NT ANUlIlS X.WIFE
MICH1,U: REN~:~:' PASS, DATE
01' 11EA'I'1l BALANCf: 1/2 OF
1,928.27 (1,915.,.8 PLUS
12,79 ACCRUf:ll IN'n:REST)
2 It 12.07.89 f'urmOI'II Trugt Company, 1,167.39 50.00% 583.70
CHECKING ACCOUNT #1.66731
OI'f:Nf:D 12.07-89 JOINT WITH
rH~: DECEDENT AND AND HIS
X.IUFF. MICm:LE RENEE' PASS.
IlATE OF 11EA1'It 8ALANCF, 1/2 OF
1,167.39
, .
3 It 0I4-2!i-90 R~:AL ESTATE, 1114 KAREN 40,750,00 50.00% ' 20',375.00
IlRIVf:, CARLISLE, PA 17013,
NORTH MIDllLE'rON TOWNSHIP,
SOLD AT THE PUBLIC SALE.
m:~:ll '1'lTLED IN THE
OECEDEN'f'S NAME AND illS
X.WIFE'S NAME MICHELE RENEE'
PASS, REAL ESTATE SOLD FOR
$'.0,750,00 TAXABLE AT 1/2
VAI,UE
- TOTAL (Also entar on line 6, Recep~ulatlon) I 21,922,84
-
Jolnlly.ownld ,In,lrlYI
(II mor. .pa" I. ne.~.d, Inltn add~lonal.ha.ts 01 same .110,)
Cllfl'I'lthl (111111 lo,m aatt.."..n~ C.nl" PI'" 8011,,"0, I""
Farm 1&00 schedule F (Rt-I, ,t-6I)
~....~ 'I \ '
I '
Estate of:
Date of Death I
County:
INVENTORY
TERRY S PASS
September 7, 1994
CUMBERLAND
~..............................-.......................................
Cashl
1
CASH ON HAND
2
FINAL DISABILITY CHECK FROM I,D.E.W.. LOCAL NO 143
3
\/HITE ROCK DISTIU,ERIES REFUND
Subtotal
4
Mi~oe11aneous Personal Property:
PERSO~AL PROPERTY
" .u , ~~
(0'-') 'Jr" ,
n', ,;I "
, , " , "
,
L, I
''I
" " "
, .- "
l ," "
r_,
{:.oJ
'-', ,
'I , ,.
';1 I " ~:! 1 cO! 2:1
(,I: ,
00
"
"
, '
PUBLIC SALE PROCEEDS
Subtotal
Total Invantory
" ,
",
"
'i'
':1;.
~ 1'.
Ii
'f.
,"
'i
"
r:
"I
;/,
'!
"
\,
390.25
1,154.37
5.00
................
1,549.62
9,412.55
.................
9,412.55
10,962.17
.'
" ,
. '-j
OJ "
,,,
','j
G:-
"
'I,
, ,
'';< ,!"I~)" /',~
REV-lS47 EX AFP (12-94) .. I
CmtHONW( AI TIt or PfNNSVt VANIA ~.. ACN
UlI',"I",", Of "","UI , NOTICE OF INIIERITANCE TAX
RU'"U 1II INUIYIOUIl "'" II ' j AP.PR.AISE..M..ENT' A,LL.O.WANCE. OR DISALL.OWANCE. I
~~~:i,~~:~~I", 11118-01,01 '4.' OF DEDUCTIONS AND ASSESSMENT OF TAX L DATE 02-21-95
ESTATE OF -pm' - - "itRR'7 ,- o~~f~'-_O"""'O'O"OCF-ii.E'NO. '~r'94:d<<rr-"~~
DATE OF DEATH 09-07-94 COUNTY CUMBERLAND
NOTE I TO INSURE PROPER CREDIT TO YOUR ACCOUNT. SUBMIT HIE UPPER PORTION OF THIS FURM WITH YOUR TAX
PAYMENT TO HIE REGISTER OF WILLS, MAKE CHECK PAYABLE TO "REGISTER OF WILLS, AGENT"
REMIT PAVMENT TO:
()/.jl) \
v
MARCUS A MCKNIGHT
IRWIN ETAL
60 W POMFRET ST
CARLISLE PA 17013
C/
oY-
101
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLiSLE, PA 17013
1,:.:.:.~~~~~t=~=Ti~~~=.. '~~J
CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ....
ilEV: is''-," EX" "AFii" n "f: 94 Y" NoYi 6 E" -oF -YNHEiiiTAN-c5 E" YAY iiPPRA"i SEMENT"," -Ai. l"liwAN"CE - '(iFf""" -" ---"""" - - -""
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF PASS TERRV S FILE NO. 21 94-0817 ACN 101 DATE 02-21-95
TAX RETURN WAS, (XI ACCEPTED AS FILED
RESERVATION CONCERNINC FUTURE INTEREST " SEE REVERSE
i\iiiiRAISED VALUE OF RETURN BASED ONI ORiGU~AL
I, Reel Esl.le (Schedule A)
2. Stooks and Bonds (Schedule OJ
3. Closely Held stock/Partnership Interest (Schedule CI
~, Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Hisc. Person&l Property (Schedule 1:1
6. Jointly Owned Property ISchedulft Fl
7. Transfers (Schedule G)
8. Total Ausets
APPROVEP DEDUCTIONS AND EXEMPTIONS I
CJ. Funeral Expenses/Adm, Costs/Hisc. Expenses ISchedulo fll
10, Debts/Morlgage Lleblllllos/Llons (Schedule II
11. Total Deduct ions
12. Net Value of Tax Return
13. Charitable/Gavernmental Bequests (Schedule JI
14, Nel Valua of Eshte Subj.ct 10 Tax
NorE:
If an assessment was issued previously, lines
reflect figures that include the total of ALL
ASSESSMENT OF TAXI
IS. Amount of line 14
16. Amount of line 14
17. Amount of Une 14
18. Prinoipel T.x Due
at Spouslt1
taxable at
taxable at
rate
lineal/Class A ratn
Collatoral/Class B ratd
TAX CREDITS I
r-Pl.YHENT. --:--
I DATE I
liHf~941
I I
'_ph _____,.___ _. "L
I-
I
i
I
I
RfCfIPT
NUMBER
....MM91326i' .
DISCOUNT (.)
INTFRfST (. I
117: 20
· IF PAID AFTtR DATT INDICATED, SEE Rf.VERSE
FOR CALCULATION OF ADDITIONAL INTfRCST,
I CHANGED
(11_
121_
(3)
(41
151
I b I
(71
,00
,00
,00
,00
10.962,17
21.922,84
,00
IB)
32.885,01
( 91
1101
7.068,19
10,189,62
( III
1121
( 13)
( 141
]7,7<;78]_
15.627,20
,00
15.627,20
14, 15 and/or 1&, 17 and 18 will
returns assessed to date.
1151
(lb I
1171
,00 x ,03,
,00 X ,06,
15.627,20 X ,15,
liB)
,00
,00
2,344,08
2.344,08
j.
AMOUNT PAID
2,226,88
I
TOTAL TAX CREDIT i
,
DUE I
..,
I
1
2,34';'08 I
,00
..1
,00 I
,00
BALANCE OF TAX
INTEREST
TOTAL DUE
IF TOTAL DUC IS lfSS TlIAN $1. NO PAYMENT IS NEQUIRtD,
IF TOTAL QUE IS REFLECTI'D AS A "CREDIT" I CR I, YOU MAY OF. DUE
A REFUND, SfF. RfVfRSE SIDE UF THIS FORM FOR INSTRUCTIONS, I
00 t)1 :D
~ i~ :tJ co
mo
(-- (("1 ,..
I,' i:;;
:u ." . ,
I
W
.- : \ ~1 ~.~ H \
, ,".':'1 (ri' (~
:VI, ..
:t> ;:~ -,
~
RESERVATION'
Eltate. of decedent. dying on or blfor. Ollc..b.r 12, 1982 -. if IIny future Int.relt In the ..tat. II tran.f.rred
In po.....lon or tnJOYlllnt to Clan B (collateral> bln,Holadl' of the dlcldent after thl Il(plratlon of any ..tat. for
lIf. or for Vlnrs, thl COlllllcmwllllth heroby 8Kpr...1y r...rv.. thl rlaht to uppr.ill and aI.... tran,'.r Inhtr)tanol Tax..
at the lawful ClIlu B (collatar811 rnU on nny luch future Jnterl.t.
PURPOSE OF
HOTtCEl
To fulfill the rlquJrlunh of Sletion 2140 of thl Inheritanol and E.tat, TaM Ael, Act Z2 of 1991. 12 P.S.
Slct Ion 2140,
PAYNENT,
D.tach the top portion of thl, Notlcl Bnd submit with yo..r pnVllllnt to the RIgltter of Wllh printed on the ray.rll .Ide.
"HIke chick or /IIonlV order payable tOI REOISTER OF HILLS, MlENT
All pa~.ef1h rlcllllld .hall flr.t be appllld to nn~ Inter..t which t'lIIV bll dUI with IIny re,ullndlr llPPII,d to thu talC.
REFUND {CR)I
A refund of II tll)( arldlt, whlah Will not requestld on thl Tax Rlturn, Il11V be rlqullltld by cOllpletlng IIn "Applloatlon
for "efund of Plnnlylvllnla Inherltllnct and E.hte Ta~" (REV-1!13)' Application. art available at thlOffJc.
Ilf the Rtghtu of Willi, IIny of thl 23 Relllnul Olltrlct Offlcu, or bv calling thl sPlclal 24-hour
anlwerlng ..rlllc. nu.bln for fOrlll ordlrlngl In Plnnsvlvllnla 1-800-36i!-i!OSO, outlld. Plnnlvlvanla and
within local Hnrrlthurg arn (711) 781-8094, TOO_ (7111 17~-225i! Ollllrlng hpIllred Onlyl.
OBJECTIOHSI Anv party In Intlrut not u,tl,fled with the lIppr"lliflent, ,lllowlInCI or dl'llllowsnce of dlduotlon., or as.......nt
of to)( Clncludlng discount or Interut> a. lIhown nn thll Notice fllJ.t Object within sl)(tv 1601 days of rec.ipt of
thlt Hotlcl bYI
"
--written prou.t to thl PA Oepart",nt of Rlvenue, Boerd of Appuh, Dept, Z810i!l, U"rrhburg, PA 11128-1021, OR
"Ilectlcn to haVe the lUltter deter"'lnld at lIudlt of thl "cccunt of the Plrlonlll rlPreun\Dtlvl, OR
--applal to the Orphans' Court.
ADNIN
ISTRATlVE
CORRECT10HSI Faotual Irrorl discovered on this .,.....lIIlnt .hould bl IlddrAI..d In wrltlng tlJl PA Oepart_lnt of Revenu.,
Bureau of Individual TaK", ATTNI POlt AUIIIU'lnt Revllw Unit, nePt, l80601, Ilarrl'buru, PA 11128-0601
Phonl (111) 181-6505. Su pllge 3 of the booklllt "Inltruc\!ons for InheritanCI TIlK Return for a Puld.nt
Decedent" (AEY-1501) for nn e)(planatlon of lId_Inhtrllt!vely corr.cteble error..
I
DISCOUNTI
If any hK dUI I, paid within thr.. 131 calendar months after thl decodent's death, a fill. percen' (S%) dlsoount of
the taK paid Is allowed.
INTEREST,
Int.r..t It chllrgld big Inning with flrllt day of dlllnquency, or nine I'll ",onth. and onl (1) dllv froll the date of
duth, to the dati of pllV"'ent. TlIKGI which beca"e dellnqulnt befort January 1_ 198Z bear Intlru' at 'he rate of
IlK (6%l p.rcent plr annulll c:alculattd at a dally r'i\q of .000164. All ta'(IS which b.callll delinquent on and after
January I, 19a2 will bur tnteros' lit a ratt which ulll vary froll cllllnUa!' Vlllr to calendar Ylllr with 'hat rate
announud by thl PA OePllrtllent of Rly.nul. The appllcllble Interett rllte. for 19112 through 1995 artl
!!!! Inter..t Rllh Dally IntGrllt rnctor ~ I"ttrut Rnte Dllllv Inter..t Fftlltor
19a, lO% .00O!t48 1981 9% .000247
19U 16% .000438 1988'1991 11% ,000301
19a. 11% .000301 1992 11% .000241
19a5 13% .OO03S6 1993'\ll94 1% .000192
19a6 10% .000174 1995 1)% .000241
--Intern.t I. calculllted n. folloWl1
INTEREST' BALANCE OF TAX UNPAID X NU"BER OF DAVS DELINQUENT X DAILV INTEREST FACTOR
"Anv Nottc" l"uAd niter the tnK beco,,*u delinquent 14111 refhct nn Inter..t c!tlculat Ion to f I ftun (U) day I
beyond thl date of the 1Il1Dlllllent, If pnyllIent Is 1'I1lde lifter the Inter..t cOllputatlcn date lIhown on thl
NoUce, Ilddltlonlll Interut IIlUlt III clllculated.
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STATUS REPORT BY PERSONAL REPRESENTATIVE
rile No. 21-94-0811
Name ot Oeoedent.
Date ot Death.
Name ot Perlonal Rep(I)'
TERRY S PASS
01-sep-94
MICHELE RENEE'PASS
soo. Sec. NO.
208-38-6890
capacity (check cne) Executrix
Aclminiltrator
Adminiltrator c.t.a.
Administrator d.b.n.
...L
II the adminietration ot the estate oomplete? Yee ...L
No
It "yes", how was the administration ended? (cheok on,)
By OOUI't aocounting
By acoount Itated to partiss in interest
Did the parties releass the personal rep? -1l.
other (explain)
.,................'1".................,..,.,.....
.,.,....,.......,...,..........,...............",..
,.......,......".....,...." ...t..I.....',.......
Total amount pdd to date to oredi tors and for
funeral and adminiltrative sxponees
9,318.56
Total valuo of distributions to date to beneficiaries
1,643.61
If administration is not complete, estimated value of
assets still in administration
0.00
I certify under psnalty of psrjury that the foregoing information
is correct to the best of my knowledge, information and belief.
Date. 03-30-95
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Marcus A. McKni, , III
Name (printed Or typed)
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Personlll COllnscl
Personal representative or counsel
(enter one)
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