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J ". ;,.' 1~''I.''1F,(t!q'""" , ''',,'' . . 11,'~i"1'?~~:'~J~~:M~~I'~ ~,::: . 'I . "',, il,il,} . i" 't..l ~ 't;1 ..1.11 " T >',' " { 11~) '711'\ ., , ~,lt.tJ~;~/ h " I" ~ViI~ll: "i \i", '" t'<,,''I<,l{,> . ,I "" ." "n j' :~,):t{'::\ _' StJrJ-3 CERTIFICATION OF NOTICE UNDER RULE 5.6{al Name of Decedent I JUNE D. TALARICO Date of Deathl 09/27/94 Will No. Admin. No. 1994-00832 To the Registerl I certify that notice of beneficial interest required by RUle 5.6(a) of the Orphans' Court Rule~ was eerved on or mailed to the following beneficiaries of the above-captioned estate on February 28, 1995 addressed as followSI lWD.I Address Spouse and Minor Child of June D. Talarico (minor child) Kahlil Alexander Talarico c/o Robert J. Talarico 170 Franklintown Road Dillsburg, PA 17019 Notico has now been given to all persons entitled thereto under Rule 5.6(a) except (no known exceptions). (spouse) Robert J. Talarico 170 Franklintown Road Dillsburg, PA 17019 Datel February 28, 1995 Si~r~",.',,~\ Iv George Hay a n, III 29 North Qu~en Stree York, PA 17403-1401 Telephone 717-848-3500 Personal Representative -K_ Counsel for personal representative co l"~ 'H P- I.< ~~1 -'0; CJ " ", (.,: :,; .~,. '" " ':J' " .... ',1 .' , ~ ',I 'r) :}.; :'\ , " n i'JJ , J1 &,01 ~ dd '0.; capacity: 1II',C1J1l1!TI'TAI.AI""IHIII2l94 OtIC hlMry.1 I'" 'l))'.", e. Ok/" <1# . CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent I JUNE D. TALARICO SEPTEMBER 27, 1994 Date of Deathl Will No. 21 - 94 - 832 Admin. No. To the Register! 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 I Name Address Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Datel MAR. 9. 1995 Signature Name 170 Frank1intown Rd. Di11sbur9 Pa. 11019 Telephone(717) 432 - 7186 Address CapacitYI x Personal Representative Counsel for personftl representative , '. ,"~I\-,\""'t"~~'.r>t)I"~'" '1'~ r'I....)I...~.., ~<.,., ,. ,;" ,'-, ~ ' , i,',,'.;;'., l ' , ~/-91 .,? 3:l. COMMONAENNSYLVANIA DEPARTMENT OF PUBLIC WSLFARE BUREAU OF FINANCIAL OPERATIONS TPL SECTION. CASUAl. TV UNIT P,O, BOX 84M HARRISBURCI, PA mOll November 23, 1994 GEORGE HAY KAIN III ESO 29 N OUEEN ST YORK PA 17403-1401 REI Estate of June D. Talarico SSNI 163-52-6683 Dear Attorney Kuinl Pursuant to your letter dated October 24, 1994, the Department of Public Welfare DPW) Third Party Liabili ty (TPL) -Casualty Unit, has rev iewed the information you provided regarding the above-referenced individual. It has been determined that the above individual did receive assistance, but the medical assistance was discontinued prior to the enactment of Act 49, by the Dept. ot Public Welfare, which is August 25, 1994, Therefore according to the information provided, the Department's TPL-Casualty Unit will not seek any recovery for MEDICAL ASSISTANCB from the estate you are representing. If you have any questions, pleane feel free to cont.act this writer at 717-772-6604, J,1.uCtll'llly, .ol:::' ,....., ,," I'; ';~I\;\;'>IJ" l, h ,. ....\ Ronald D. Hill, Manager TPL - Casualty Unit , , ~o. t5l :0 .' =. ~' :JJg (II '"'.' 'f!" , I i.~(,; ,'I', ::}' ~ ,"V " .,'. J. , -, : ~~ :, ') F "..'1.":1 " ~~:J .". ~' '::1 ~J (. - vi 0 'U~', , " ;t.~~ ,.1- ~ .... ... ..', ,,' ... ,c' .... '..~ " " " " 'I " '" , \, I' l',' 'f, /, , \' " ')I'''',l " " , " , " " " I": ,,oj,', " '" Z 039 1i27 Db1 I \ " " " ~, \, ! Il " " - " ...~1I?~':':1' " , ,,' "".I1'l , .:11 (")n,I!:,)f,',, ~;l": l'I.l i D,,' ,,./\'1; I"" " " :~\~\ , fh"ill,.Il'l1ll\'ldl/1I'i' .., ',.i ~' \II ~ rll'hiln' il ~<'" I" 'il,.l,','llJ ,rYe -- ~,WII(IIII~' \lll' \1"""":11 .. n,,\UII' 11,'0:'''1'1 ''',(0,', ",I 1" ~'III\I'" ',' i {l.IIH,.lnll'\II:"";;",,-,,r,rJm,""": " :> '. .' " 101M 1'1'\1.111" ,$GI~'(I " " " 1'1 f ",,~ '\1, g 1'(l'llrlldr~ or !lilli' ~ , ;"1 .l " " :1 , ~ \ ,,' ,lQ I " ",~H " [ " t>, t I " -I';' , ,I:, ., I'! 1'1' }, .- I , , 'f,\ I ,. ", I,. " ',' T' II'," , '.\' ,I,', " I " , , ~,. .f " I' , ,- ,.f',. , "~I , " .' 'i, ' . " 'I" " ." " ,., " " '. , ~ ,I' , .: ~ ~ I' ," " .' " , , , '"" i, "i.,: ' .~ .' ,., " " " ", 1 ,;,. , " i ! " .' " " , " " I ,. , , , .' " " . ',.- .,.. ........"'--- ~~-___-4H~ dKt:;tTJ."..I\; .. I"' 'I E ",V,'loo(X'I"'1 I Lj -. ,.:) ,:>jr] - I?) IOAOAlISOIDIATHAnlA 12131/91 CHICKHIAI ,,~:J~:~l\ INHERITANCE TAX RETURN ~O~:;fvU~:~DIT 15 CLAIMID [ I ,~~'f/I- RESIDENT DECEDENT FIll NUMBIA COMMONWfAlItlOFPENtm'VAN,^ lTO BE FILED IN DUPLICATE 21 DEPARTMENT or REVENUl I H F WILLS) 94 IIARRlSfJlb, ~~ol'lb800(" W T REGISTER 0 COUNTY CODE YEAR 'of(i-tilfll:~.'tl'';'';!' iIA'ii-.'-I-~~l. ^'t![,'MIODtf ;~;lll^'il-----'-----_._-'---'~" (l~([ortITR(~\iil(ff.woRfir---.- 1alarico Juno D 129 East Groen Streot \O~~~~~;';~U;~~3 ',u' 11"'~~;'1;;94 II'~';); ";~'57 ("'";rl{)~~~~~~~~~~g, I'A ~'A"l (A'HI \1I.;'~"j(, \IOUIf \ 'U""'IIA.\l "\1 ""I! "'1111 "J !IAII 1',OClA.l \f(URllr IWMAfR A!,<(JlItll A:f(UVfl'-(Hlltj~,jl\JClIOtl~1 Talarico, Robert J. 193-42-4415 0 - insolvent estate . ,...... r I 3. Remainder Return liar dote. 01 deolh prior 1012,13,821 [ ) 5 Fodoral eUale Toll. Return Required ~ 8, Tolol Number of Sa'ft Oepolil BouI ... ili f.l u "' e [M 1 I I 4 [ 16 032 NUMBE R ! I 2. Supplomontol Return [ J ~o. Fuluro Inloroll Compromilo 1'0' do'e. 01 d,o'h o'le, 12,12,821 Oecodenl Diod TolICllo [ ! 7, Decodont Mainlainod Cl U...ing Trult IAIloch copy of Willi IAIloch copy of T rv.'1 ALL CORRlSPONDENCfANDCONFIDENTi'ALTAXINFORMAiioifsHOUiii nBE"iiiiiECTED-TO,-- un -,- --,,,-----------, ~I "nA:__~e5!r;~n~~~~-~~ ~~--,- -~;-In~-n E~~~ i ~(1 --rC02'9"~~'~'thOD~~een' Street, Yorkfl PA 17403 Sf HUptlmlE ~IUMalR ( , -----~-L]Jloh,,_nO~n~-3~00 __ _n __nn_ __o~~o~=~==~=o~== "' ... "'~::l trllEu >:ee u~;: Original Relurn Llmilod EUolo (II 121 131 141 15 I 1, 190 . 66 , ( 61 ( 71 (q I, 1101- 4,757.00 181_.._,_J L!..!)_()__~~_~ z e S ::0 ~ U "' a: 1 Real E,'ole (Schedvle A) 2, S'ock. oDd Bond. (Schedvlv BI 3, Clolely Held SlocklPorlne"hip In,ere'IISchedvle CJ 4, Morlgog.. and No'e. Aecelvoble ISchedvle 01 5, Cash, Bank Depollh !c Mhcellall&OUI Pettonol Property ISchedvle EJ 6, Jolnlly Owned Properly ISchedvle FI 7, Tro",Ie" (Schodvle G) (Schedvlell 8, Total Gro.. A..ell I'otol line. 1,71 9, Funeral Expllnles, Admlnhlrotl...o C('I"', Mhcollaneous Expen.e. (Schodvle H) 10, Deb'., MOIIBoge llobllllie., lion. (Schedvle II 11. TOlol Dedvclio", I'otolllne. q & 101 12, Net Valve 01 ElIotelllne 8 minv.lIne 111 13, Chorlloble and Governmenlol Beqve'h ISchedule JI ~~~ Valve Su~!!'.' ~~Jlln,!~_"."nu~ lIn!!3L 15, Spov.ol Tronde" liar dol.. 01 doolh after 6,30,q41 See Inltructions for Ar,pl1cablo Percentage on Re...erlo Side. (Includ~ ...aluel rom Schedule K or Scherfule M.I 16. Amounl of line 14 IUl(ablo 01 6% r(lte llnclude value 1 from Schedule K or Schodulo M,I 17, Amounl of LInD lA lall.oblo 0115% Hllo llndudo values from Schedulo K or Schedule M,l 1B, Principal 10' dvo (Add to, from line. 15, 16 and 17,1 19, Crodill Spou501 Poverly Credi' Prior Poymonh . 143.01 . .un.. _.___ 4,900.01 (III __, _mHn_ nn_'_ (121 1'31 u__ ..___,___,__~_--==-___~ 0 ',2P_cc:__ 0.00 (151 (161 .)C, ...D x ,06 . z e S ~ IE e u (171 x ,15 . 11BI 0.00 Discount Inlorell . (191 (201 20, If Uno 1911 9reUler than line 18, onter tho differenco on line 20" Thll it Iho OVERPAYMENT. alii 21 llllno 18 il grootor thclfl lIno 19, onter Ihe difforoncu on Uno 21 Thi. is tho TAX DUE, 1711 0.00 A" Entor the Inleroll 011 Iho bolonco duo on lino 21 A 121 Al B, En'er ,he 101,,1 ollin. 21 "nrl2lA on lin, liB lh" ,.Ih. BALANCE DUE, (21BI 0.00 Mak. Chock Povobl. 101 A.gil'" of Will., Agon' -,.._- - _ -. ~ -)I. , BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH '.;c olI( lT~d'o-r-p~n(II'i"o; ~'j pnrjury." Td~~i~~~ ,i;~;; I n(Jv~; 11~~l~in~d" ih"i-, rMur"n, i~cluciin'q (l((;r;;fHlny-j~11 ~~-n~{iulo. c~~cl.t~;jo'~~~I~-;;n~i I~nlh~' r;~~f~y~~~~~I~dg~~I~~I-bollo( 1111 ,r,uo, cortoc,' C1nd comploln. I~I(I IfHn Ihell 011 rC1[1 1 HIlllln nu, bnon rnporlucl 01 trun n\orko! VlllutJ DudnrCllion 01 proflmar olhor limn tho pOf\OnClI roprOlonlCltlvo II haled on ~formo~ ~Wl(IIIH nu, (HlY krwwlod!l;l ~!CiI."'\Jll~~1fNm~//!,Wj"'l( ttl~j~'~I}ilrinf]}/t flj'(IUI ',', . (IA!I- Robert .1. Talarico 22 Homewood st., Dillsbllrg, PA 17019 9/12/96 SI(itM!UQI d' PWH,\WIW ('!IUII h'.lIl ll.lI'~~dt;l.\!I,f .\1'11_1','> (1,\11 _'t;'l"""l..JlI.. reI, ,',lIi,1 :.,( ",\,.1 ,(\~\ C'", , ,,':., ,/,,\\ ,\\\ l/l(U)' 'III ,\'}e , ~ ... Chock horo jf you mo fOfluo,ting CI ftJfund of your ovorp(Jvmonl. , ' " ,. , ! 3346 ,t d?tCtlVlJ f~om ~e4vf- ~ ~ 1-((M/l !J~~I-~t~ 9+.)' FUNERAL ~ SERVICE ". /l " . .=11'",./,,,.1 ~ NA,",U Of DECEASiO O"IQ'NAI AGel. No f)::,oCfau " MlISSELMAN FUNERAL HOME, INC. ESTA LISHED 169S ?) ,,1 ( ,flk. !J3!) L~t(,Uf,( MM;J.de,~ 'JI;llIIh Ill+.-11i I , , , , t'd !. I I .' , " , 0 LAST HAL InlSvt Chg,LlI' P.ym,nl Sub.lot ClIc!i1t ..... ~t ()() :--' IFm~,j,~.J,/ , BAL .~ o 3755 " " F- See Instructions on Cover Page INVENTORY ) ( No, Borough of Mechanlcsburg, I Lale 01 -cumburlan-tj' cou n t Y i- P AOocoasod, ' ESTATE OF June D. Talurieo 1994-00832 19.'__, _...., .._.. __ '__h_..___.__~_______1 AFFIDAVIT OF PERSONAL REPRESENTATIVES (oll1l11onluel111~ of .t)rlllllll.,IUI1I1II1, Illll. (OUlltP. of j;cfk/< cumbodand ~1!IiIl\l~/fIJltl!~lflSlllb'llll\i(j~_ ,--,-,--------,--J(~II~~wll~JllIOO.! ___l~':lperLJ._ Tala rJeo, Admin i s~ ratln, QLtho__E.S.t<ltILoLJ_une._ll......'raJ.acico lWt1>>:llllllIgc~XXXXxxxxllllC.IXlK1llm<llIl(, SRV S __ .." Ihallhe within Invenlory of the personal property and real est ale which were of ..JIJ_n 0 -' D. ;gG~%l{-~ii na-co iint:y~---p A __________._~_-" late 01 Boroug_~c:>.~.l'.h~C!lillli.<':;b_u rg , __ Deceased, Is true and correct to Ihe best of ___\1_.1l_.,_,__ knowledge, Inlormallon and belief, This inventory is made subject to the penalties of 18 Pa.C.S. Section 4904 relating to unsworn falsification '" .J..Q_JllLthoxLUJ1.&J _____,_,______ ;.' ) ( /' ,-,------_-[:/t'~.7'..-'----l-cce(~ ,__,_ Robert J. Talarico, Administrator INVENTORY of the personal properly end real eslale situate In the Commonwealth, which were 01 _.~.tl.11.?:.J?~~~ a r i.c:.g..,,- l..umUer anu __________.._n___....___________, lale OI~()roug.~~f.}!gg.ballJ.~buUL In Ihe Counly 01 ~ taken and made In conformity with the above deposition under Section 3301 and lollowlng 01 the p.e.F Code, ______ and subscribed 10 before me Ihls ____ day 01 ________ A,D" 19, ,_ , PERSONAL PROPERTY DOLLARS CENTS PNC Bank, N.A., 4242 Carlisle Pike, camp Hill, PA 17011 Date of death balance, Checking account # 5080276391 685. 25 U.S. Treasury Check 2036 71909416 dated 5/12/95 being refund of decedent's 1994 excess income tax withheld 501. 11 Cash in decedent's purse 4. 50 ,.____l'hl?~l?9l~~P~_,~_~bu!1l_ and _decedent',!;) clothing O. 00 ~'OTAL I14Vewl'ORY ..J I 19 - - - - - . - - , . - - - -- -- - TOTAL ,I (') ,(') \d 'U :0 c: U;" :l (I> ;- ~~ .Ii ',I, ,,' , I{) ,,~ \,,1 " ," , :,:/ I',) ", , ~J .. , j' \) ).1,..,. ::. "10 l.J " '",I .: ! t:l1 ~. ~ ,Q ~ .c ,~ '-t m f~ d ~ I1l . '0 -;7? H CO C '" 1j 0 d A: ~ .::: N N .. llill. E I1l '" M r 0.0 QI E .-l Ul .... CO ~ lI.o~ 0 ~ 8 ' l< I 0 oa:i( u ~ I ~ '.-I , d M 0 ~Q,~ '-t .... r QI 0 I l< 0 QI '" 0 '" ~~~ I1l I ~ B . )~ ::l '" 0 0\ .-l .r.:: 0/ .... III 0\ I1l tn ('Il .... ~Ia: E-< ::l .; ... 0 ~: .r.:: 0<( I 0 o ,- 0 .... ll< CO d -Q,Q . l< ..~ . l< '" w~ ~ 0 c > 0 --.; tn 0 . CO Z ~ ~- .... I< Z ~ I j!: QI o ~ 0 I< '" d _()C QI 0\ 0 .... il ::l 04> Iii .. , t!l N >< l" .~ 4>.cCl, ~ [ -- III c- _ ,_ 0 'luaPlHnsuI PUI1ll1 SJ ,ajnds alallM pa\Jasul aq ,(nUl SlaaljS luuOllIPPV 'Il ,( q) lot't uonaas 'paslUllldu IOU lne! pall\palps aq II"IIS Illlna.\\uolllUlO;) alll 10 aplSlno alnnlls alnlS3 Inall 't ,( n ) lOee uOIlDaS aas 'spul\oq pUll S<llaW ,(q paqlmap all IOU pa.1U ll\lj 1~1S'llJddll aq Ismu '1IIna,\\UOUlIIllI;) alII U! alall.\\,(1I11 allll\lIs alnls3 Inall 'C ',(lJadoJd pala^o,lSlIJ.Jallu 10 -,JOluaMII 1"ll\alll"ldclI\S SUllY 101 -'lIss,"'au alII 01 SII IOCC UOIP.1S aas '3 'apo;) .~ ':hl atll III gm;C'IOl:C SUOlP"S 10 SIU,'I1I,llfl\haJ atll paul 01 palJnlp 51 IUlol sl4.L '1 SNOll:>onSNI III- Ill. I.i COHHONWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHEHI'IHCE 'I. DIVISION DEPI. /10601 IWtAIIIURD. PI 17121.0601 NOTIC~ OF INHERITAHC~ TAX A~~RAISEHENT, ALLOWANCE DR DISALLOWANCE Of DEDUCTIONS AND ASSESSHENT OF TAX 12-16-96 TALARICO 09-27-94 21 94-0832 CUMBERLAND 101 r-':'-' ~~~ RII.1Uld , J MAKE CHECK PAYABLE AND REMIT PAYHENT TOI REGISTER OF WILLS CUM8ERLAND CD COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ it iflj: 154"1" Eif - AFi" on '2"=96 r -iiiificE" -oF - Y NHEiii f AliCE -YAx - A P'iiiIA- i sEifiii'f; - AL UiWANC E - ciR' -- 0... - - - - 0 - - - - -- DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX JUNE D FILE NO. 21 94-0832 ACN 101 DATE ESTATE OF DATE OF DEATH FILE NUHBER COUNTY ACN GEORGE HAY KAIN III ESQ 29 N QUEEN ST YORK PA 17403 ESTATE OF TALARICO TAX RETURN WAS' (X I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN I, Rill Eltltl [Sohldull Al 2, Stookl Ind Bonds ISohldull BI 5, Closlly HIld Stook/Plrtnlrshlp Intlrlst (Sohldull CI 4. Hortglgls/Hotls Rlollvlbll (Sohldull DI S, CIsh/Blnk Dspo.its/Hiso, Plrson.l Proplrty (Sohldull E) 6, Jointly Dwnld Proplrty (Sohldull FI 7, Trlnsflrs (SOhldull G) 8, Totol Alllts APPROVED DEDUCTIONS AND EXEMPTIONS I 9. Funeral Explnl../Ad~. COlts/HiIC. Expan... (Schedull H) 10, Dlbts/Hortglgl Lllbilltils/Lilns (sohldull II II, Totll Dlduotions 12, NIt VIlul of TI. Rlturn IS, Chlritlbll/Govlrnnlntll Blqulsts ISohldull J) 14, NIt VIlul of Eltltl Subjlot to TI. I I CHANGED III (21 IS) (4) (&I (61 171 ,00 ,00 ,00 ,00 1.190,86 ,00 ,00 (81 i* 11101,.,11&"111..., JUNE D (91 1101 4,757,00 143,81. 1111 (12) IlSl (14) DATE 12-16-96 NOTEI To inlure proplr crldit to your tOODunt, subllt thl uPPlr portion of thh forn with your to. plynlnt, 1,190,86 4,9nn.JU.. 3,709,95- ,00 3.709,95- If an 8ssessment waD issued previously, lines 14, IS and/or 1&, 17 and 18 will rsf1eot figures that include the total of abh returns aSBBsBed to date. ASSESSHENT OF TAXI IS, Anount of Llnl 14 It Spousol roto (IS) 16, Anount of Linl 14 tQ.lbll ot Llnoll/C1lss A rltl (161 17, Anount Qf Linl 14 tl.lbll ot Collltsrll/C1lss B rstl (17) 18, Prlnoipll TI. Duo NOTEI TAX CREDITSl PAVHENT DATE RECEIPT NUHBER DISCDUNT (+) INTEREST (-) . IF ~AID AFTER PAT~ INDICATED, SEE REVERSE FDR CALCULATIDH OF ADDITIDNAL INT~REST, ,00 X .03. ,00 X ,06. ,00x,15. (181 AHOUNT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE ,00 ,00 ,00 ,00 ,00 ,00 ,00 ,00 IF TDTAL DUE IS LESS THAN 81. HO PAVHENT IS REQUIRED, IF TOTAL DU~ IS REFLECTED AS A "CR~DIT" (CRI, VDU HAV BE DUE A REFUND, SEE REVERSE SIPE DF THIS FORH FOR INSTRUCTIDNS,I w~ ~ :lJ :'Olll (~ 0 t,' t::l J;' -\ " ", n " .... w RElERVRTlIl!I, ( " ( .',,;' , . ~ ~ ..~ (1l Elt".. of dlc.dent. dvlne on or before Olelllb.r 12, 19.Z ... If tny future Int.rllt In". (nt.t, hJtren'fl9\Sl. In po.....lon or enJoy.ent to el... 8 (coll1t1r.1) blnlflol.rl.. 0' thl dto.ant Ift.r _plr.t~ of tnV' ..WJ;, for U,. or far ylI", thl Co_onwtlUh htrlbv IKpr"..ty r...r"," thl right to Ippr,h, Ind 1m. traNMr Inh1rU1nC1 TI.II at thl l...ful Cl... B (coll,tlre1) rllt, on any tuch future Inttr..t. PURPOSE Of' HOTlCEl To fulfill tho r.qulre'lntl 0' Sectlon 2140 of thl Inh,rltlncl and E,tat.. fIX Act, Act ZZ 0' 1991. 12 P.5. S.ctlon 21'1. PAVHEHTI D.tlch thl top portion of thll Notlcl and lubtit with your Ply..nt to thl RIlIlttlr of WUlI prlntld on thl rl"'lr.. .Ide. "Hak, check or atOntV' order payable tOI REOISTEA OF NILLS, AGENT All Ply..nt. recllved ,hall flr.t bt applied to any Int.r..t which .ay b. due with any r.t.lndlr appll.d to thl tlx, REFUND leAl1 A rt'und of . tlX crtdlt, which WII not "qunt.d on the lex Aeturn, uy bl requuttd by caplltlng en ""'ppllcltlon 'or R,'und of P.nn.~lvlnla Inh.rlhnc:t nnd Eltatl Tu" (REY-U13I. "'ppllCtltlon. art aVI1l1b11 at the OffiCI 0' the RIgI.t~r 0' Will., any 0' thl 23 Rlvlnu. 01.trlot of'lcII, or by cllllng thl ,pIC111 2~-hour In.werlng Strvlc. nutbl" fer 'or.. ordlrlngl In Plnll.ylyanla 1-800-362.2050, outtldl PIM.y!Ylnll and within loc.l t1arrhburg arn (111) 187-1094, TOO' (717) 712.2252 Olllrlng Itpalred Only). OBJECTIOHSI Any plrty In Inttr..t not .etl.flld with tht appr.I....nt, allowanc. or dl..llowene. of dlductlon., or .....s..nt 0' tlX (Includln~ dl.eount or Int.r..t) a. .hown on thl. Hotlcl IU.t obj'ct within .Ixty (60) day. of r.e.lpt 0' thit Notle. bYI -.wrltt.n pro tilt to thl P'" O.part..nt of R.v.nuI, loard of ApPlah, DIpt. 281021, Ha"hburg, P'" 11121.1021, OR -..llctlon to hay. the 'atter d.ttr.ln.d at IOOIt of thl account of thl p".onal "pr.StntaUYI, ON "'1'1".1 to the Orphan.' Cllurt. RDHIH ISTRATlYE CDRREClIDHS. FactuII .rrar. dlscovtr.d on thl, ........nt .hould bl .ddr....d In writing tOI P^ O.part.,nt of Rlvlnu., Bureau of Indlyldual Tu.., "'TTHI Po.t ..........nt Rlyl.w Unit, 0'J:t. Z8060l, Htrrhburg, P'" 11121-0601 Phon, 0111 717-6505. 5., pag. S of the book lit "Instruction. for Inll.rltan<;. Tex R.turn 'or I Ruld.nt O.c.dent" (REY.l~~I) 'or an .xplanatlon 0' ad.lnl.tratlv.ly corr.ctablt ,rror.. DISCDUIlll If .ny tax due It paid within thr.. (31 caltndftr IQnth~ after the d'C:ld.ntl, dllth, . flv. p.rc.nt (5~) dllcount of the t.x p.ld It 11l1owld. PENAL TVI Th. 15% t.w .-nt.ty non-partlolpatlon p.nalty I. cOlput.d on the tot.1 of the tax .nd Int.r..t .......d, and not pllld b.fore Janu.ry 11, 1996, the flrtt day .fter the .nd 0' the till ..nuty p.r1t1d. Ihll non.pllrtlclp.Uon p.nllty I. IIpp..llbl. In th. "" _ann.r and In the t~1 .a.. tl.. p.rlod .. YOU would apPI.I thl t.x and Int.r'I' thl' h.. bltn ....II.d .. Indlcat.d on thlt nottct. IHTERESTI Inttr..t Is charud b.gJmlng with first d.v 0' dlllnqulncy, or nln. '9) lonth. and OM (1) d.y 'rOl the dati 0' dllth, to thl date of ply..nt. Tax.. which b.c:a.. d~lInqu.nt blfore January I, 1911 bill' Jnter.st at thl rat. 0' lhe C6:0 p"o.nt per .MOI caleulatld at a dally rate of ,000UIt. "'11 tax.. which NCI... delinquent on and after Jrnuery I, 1912 will bur Inttrllt It a rat. which wUI yarv 'rol cal.ndar yur to cal,ndar ytltr with thlt rate IInno~ld by thl P'" Olpllrt.lnt of R.y.nu.. Thl ftppllc:abll Int.r..t r.t.. for 1912 through 1997 ar'l 't.!!J: Int"I"..!!.!!.! Dally tnt.r..t~ ~ Jnt,,"t Rat. [lnlh Inter..t Faotor 1911 20~ ,000548 1987 9~ ,ooom 1915 16~ ,00008 19U.I991 11Y. ,000101 1964 ll~ ,000101 1992 .~ ,ooom 1985 Il~ .000356 1993-1994 n .000192 1986 10~ .OOO271t 199 5-199' .~ ,000147 "Jnttr..t I. c.l~ullttd .. folloWl1 INTER&8T . BALANCE OF TAX UNPAIO X NUNBER OF DAYS OELINQUENT X DAILY INTEREST FACTOR "Any Hotlc. IlIued 1ft" thl tlX bICON. d41l1nqtllnt will rtfllc:t an Inter..' C:Ilculltlon to ,lft..n US) d.n beyond th. dlt. of tht ........nt. If Plv-tnt I. lad. aft.r thl Int.r..t eOlputltlon d,tl .hown on thl Hotlcl, tddltlonll Intlr..t ..,.t be ulcullhtd. PU:ASE FILE 11HS REPORT WI11IIN 'M YEARS OF DATE OF DFA11I REXlARDLESS OF 111E STATtlS OF 111E ./ FSl'ATE. IF FSl'ATE IS oor WlPlEIE), FILE A 6.12 FORM YEARLY OOIL <nlPlJo.'1'IOO. e. STATUS REPORT UNDER RULE 6, l~ Nllma of Decedent I MARV v......c::nvNF Date of Deathl 1 /0'lJ1!i.__ Will No, Admln, No, 1990-00832 ..----- ---- Pursuant to Hule 6, l2 0 f the Supreme Cou rt OrphM1A' Court HuLes, 1 report Lhe followlng with respect to c.:ompletJ.on of the administratiun o( I.hB c1bovo-captioned ostatel l, State whether administratioll at the estate is l:OmpieLe I Yes No X 2, If tho allAwnr J A No, At,lte when the person.1i representative reasonably believes that the administration will be complete I Ilecember 31. 1996 J, If the allswer to No, l is Yes, state the followingl a, Did the personal representative flle a finai account with the Court? Yell No, b, '1'ho flOpcH'ato 01'phanA' Cr,Iurt No. (l f any) (or the personal representative's account iSI c:, Did t.he personal representative state an account informally to the parties in interest? Yes No d, Copies of receiptfl, releaseD, 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. I,ll signat'u~: Datel 5/21/96 ') " ,,- lD "I " ( 0 ,lI) " ::i /1: ! ~, . -; f<', C\. i , , ~, ) .. , 1 , , :- ,.I l.t: I () ::C "i (.J 0;' "'.:\ WU' fR ,;, [~ Q:' u8 All e ILlh.,,Hm i..ili._fu!fu...: Name (Please type or print) __...5.L,S....J1XQJlt St.. Steelton, PA 1?113 Address Lll71~.._j.32=-lli9.L Tel, No, Ccll-'/ldtj'l Personal Representatlve (HAHltmtiAMJ) _,x"Counsel for personal l'epresentative IIW-27