HomeMy WebLinkAbout94-00854
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I)ETITION FOR GltANT 01<' LETTERS 01<' ADMINISTRATION
estate of MAR6Aftf:T J. E'I..SO~
also klloll'lI as H. JANE:. F-Il..~
~/-9-'J -8S~
No.
To:
V('ceosed.
Sodal Sec/lrlty No. !'>SR 36 ~"" 7
Register of Wills for the
County of C.u 1-/ jO,f: ~l..Abl~ In the
Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petltloner(s), who Is/are 18 years of age or old'er. appUI!::<'
for lellers of administration
on the estate of
(d,b.n.: pcndcllIt lite: durante ab~cnlla: duralllc mlnorllDIC)
the ahove decedent.
Deeendent was domiciled at death In CU H r.,E:~l.At.JD County, Pennsylvania, with
h !:oft- last family or principal residence at 52.1 &~/D61!:. :::'T, tv~ c..v "..H!.l!:It.l.AND f-"o~
c..V H e,e:e.t..IlIo.Jj) c..cu U'ly I PA 17070 (lil\ m<<\, lIu",ber alld ",ullldraliIY)
Deeendent, then it.. years of age, died ALJ6US,T.,1 , 19 "14-
at 52.1 6R..D<Oe ~,. t-JE;v-.l c..J1-le."'~L-At.JC PA 17070
.
Deeendent at death owned property with estimated values as folllows:
(If domlelled In Pa.) All personal property
(If not domiciled In Pa.) Personal property In Pennsylvania
(If not domiciled In Pa.) Personal property In County
Value of real estate In Pennsyll'anla
sltaated as follows: NOfJE:..
$ ISoo
$
S
S
Petltloner_ afrer a proper search h~ ascertained that decedent left no will and was survived by
the following spouse (If any) 1I11d heirs:
Name Relationship Residence
I-IO\NAItD \1\1. H IlJiJl c.H SON IbO C.O"-lL.l!:'t LAIVC: E:'7rl::llS PA 1731'1
N~i"TllA JO tl'F-F-HAtJ
~OI.U.J ~. ~AJe:.rt.S
-L"I'lS ~C>AIt '::.T
o 160 C..oIJLI~'I'''
AtJ/.JVIL~e PIl
17003
LAI-Jl!: E:7rt!:(l~ PA
.
173/"1
DAtJ6HT6~
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THEREFORE, petltloner(s) rcspeclfully request(s) the grant of lellers of administration In the
lIpproprlate form \0 the undersigned.
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A N tJVI'-I-~ PA /7003
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH m' PENNSYLVANIA
COUNTY 01<' CUMBERLAND
} ss
The petitloner(s) above-named swear(s) or afnrm(s) that the
statemcnts In Ihe foregoing petition arc true and correct to the best
of the knowledge and belief of petitloner(s) and that liS personal
representatlve(s) of the above decedent petltloner(s) will well and
truly administer the cst ate lIccordlng to law.
Sworn to or affirmed and
before me this 4 TH
o TO R
MA C. LEWIS
subscribed ~ .l.l (\:d:luv ()(.... J'l'b(;n \ill";
day of
19 1
Register ''d:Jf '
In'
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No. 21 - 94 - 854
Estate of
MARGARET J. FILSON a/k/a
M. JANE FILSON
GRANT OF LETTERS OF ADMINISTRATION
, Deceased
AND NOW NOVEMBER 16. 19-1!., In consideration of the petition on
the reverse side hereof, satlsfactor~ 'proof having, been prescnted before me,
IT IS DECREED that MARTHA JO COfFMAN
Is/are entitled to Lelters of Administration, and in accord with such finding, Lelters of Administration
In the estate of
MARTHA JO COFFMAN
MARGARET J. WILSON a/k/a M. JANE WILSON
7IfA(f~ ':{:I::~I~~~:;I,fJJJ1 (In /ft1
MARY C. LEWIS
arc hereby granted to
FEES
Lelters of Administration ,....
Short CertlOeates(5 ) ... . . . . . . .
Renunciation ................
JCP
$ 25 .00
S 15.00
S 5.0D
S 5.00
TOTAL _ $ 50.00
Flied .... ~.Q~Et-1Jl.(Il. ).6.... A.D. 19.!lL-
A. H,4F:.k. w, '-.,.-reR. Z~/78
ATTORNEY (Sup. CI. 1.0. No.)
& In LU. G ~ oc..nL-..4'Te 4JLf:,...
HelZSilt,Y ADDRESS PA 17033
,17 f)'3,2; 4~A
I'HONE
Mailed letters and order to attorney on 11-16-94.
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WARNING: It Is Illegal to duplicate Ihls copy by photostat or photograph.
Fl'C! for Ihi.. H'nifi(,llt~. S2,OO
2513247
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SEP U I 1094
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COMMONWeALtH OP PENNSYLVANIA. DEPARTMENT OPHEALTH' VITALRECORD8
CERTIFICATE OF DEATH
(Coroner)
..
~..~.u.,
Margaret
........, t"
H
NSV':""l"9',
1921
J
Filson
...
"'.'tlII'''ll"eo.."
Oberlin, PA
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Cumberland
New Cumberland
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twlrl'tcAlH....o.r.'IIItII1
. Auguat 31, 1994
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Nul~..,.iIICIII_'..tdl
CICUItH1.. MAIlHJ AOONII 411_
521 Bridge St.
New C\lrberlAnd, PA
OlCl If 1l0000lOH
11~-:X.+4
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Medical
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CUtberlAnd
17070
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COffman
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New CUtberlAnd
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. PA 17003
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Churchvi11e Celretery
NAMI NfOAOON rl'MC&m'
Oberlin, PA 17113
AI
....--.............."",.,........
Aprx.
1.00 A. Au ust 31 1994
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Coroner
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o Au ust 1,1994
IWlIIAHD~ 01 WHO IDCAUIIOP
(llerft2"'WtDl''''''' MiChael L. Nor~is,Coroner
X 405 Fa rWaY Drive
.. Muchan csb~r . Pa. 17055
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21 - 94 - 854
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21 - 94 - 854
RENUNCIATION
In Re Estate of
M A R.6Al!-ei J. FILSON
deceased.
To the Register of Wills of
CJJH B.e~L...4t0C>
County, Pennsylvania.
The undersigned .J;l (ANA Il.D W. t--ll I-J IJ I C H
~ J 0/.1 /.J ~, &a...ul:;/tS of
the above decedent, hereby renounce(s) the right 10 administer the eSlate and respeelfully ask(s) Ihat LeUers
A{)/-1IIJISTI7ArnQl-)
be Issued to H A R-TJ-I A J 0 (..DF"'~H A tJ
WITNESS
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J?Jo (.0101..-1::'/ LAr0~,
(Ada",.)
f::.TT€:"n.:;,. PA
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(5Ianatu,e)
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1// ~/J9.L XI UWI,lJalt.'1IA I7~Jj
. (Add,...)
(5Ianalu,e)
(Add,e..)
(l..oW c.c. c.'7"' list:
1 C.T Hs-e ~
clfrU-/~l.~ P.a
170/3 ~ ~3~7
V' S'7t-1
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'OR DAns 0' DEATH AfTER 12/31191 CHICK HIRE
If A SPOUSAL
POVERTY CRIDIT IS CLAtMID rJ
'Ill NUMBER
REV.tSoo(h 11.9"
. . ~~
COMMONWEAlttf Of PfNNSY\VANIA
DEPARTMENT OF REVEHUI
"[PI 1OO6O1
HAIIIU5IURO, PA '1.. 78-0601
otCfOlN ., UAM( IIAltl. 'IUf, AND MIDOlf INITIAl!
20, If lIno 191. gfooler thon line 18, enler the difference on lIno 20. This Illhe OVERPAYMENT.
aD
21. If lIno 18 I, gr.olor thon lino 19, enler ,ho difference on line 21. Thl, II ,h. TAX DUE.
A. Enle, the Intored on ,he balance due on lIno 21 A.
B. Enler ,hi lotol of line 21 and 21 A on lIno 21 B. Thll II th. BALANCE DUE.
MoS.. Chock Pavabl. tal Reght., of Will., Agont
r > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH -<-<
Undo, penclll.. of perlury, I doclarelhot I have IIllomlnad ,his reI urn, Including accompanying schedulo. and Ilol.mentl, and In tho bOlt of my knowledge and belief,
It I, true, corred and complele. I dedare thai 011 real eslate hal been reported at true markel value. Oeclarallan of prepar.r alher than the penanal repr"entallve II
based on alllnformatlon 01 which preparer he. Dny knowledge.
510NAIUllf Of PfUON AUPON5lUf fOR 'IUNO R(fURN "0011 us 1445 Coda r St. OAT!
~l1~~~JMartha J. Coffman A ~ ~~03 5-25-95
~N~'lIfOfUi!~J.M~~II!PRlS(Nl"'I"f "oemss nn c-,-. DAIf
. ~ ' 310 W. Chocolate Ave. 5-25-95
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INHERITANCJ; TAX RETURN
RESIDENt DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
94
YEAR
0854
NUMBER
21
COUNTY CODE
OIUOINn COMPU I...OOIIU5
lS
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a
.l3JUl.-Marr;}are'
$OCIAl Slcullm NUMUII
521 Dridge Street
New Cumb erland, PA 17070
Cumberland
AMOUNT IIICfIVfO lill INSfllUCIION51
.
OAII 0' OIATH
558-36-3667
11'."11(....'11 Iyll'I'o'I140 "OUII I ........IIIA" I,Uf AND 1oI10OtIII-lII''''11
o 3. Remainder Return
1'0' dolo. 01 doo,h p,lo, 10 12.13.82)
o S. F.deral Ellal. ToJ!. Relurn RequIred
-09. Tolol Number 01 Safe Oepollt Bo..."
&J I. Or/glnol Return
o 2. Supplemental Return
:illS
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o 4. limited Ella't 0 40. fulure Interest Comproml..
('or do'o. 01 doolh oft.. 12-12.82)
o 6. Dend.nl Died Testate 0 7. Oecedenl Maintained 0 living Trull
(Alloch copy 0' Willi (Allach copy 0' T,ull)
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO.
AM COMPUTE MAIUNO "'00111$$
A. Mark Winter, Esquire 310 W. Chocolate Avenue
"lIPHOH' HU.'" Hershey. PA 17033
1717 I 533-4868
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(I)
(2 )
(3)
(4 )
(51 ~ h ,.9.55....8B-
{61 q 1i.!L.3 0
{71
(8 )
{91 5 ..JJl.3 . 9 1
(101 7 ..S.S.;L 1 4
S 7,.12.5 .18
1. Rool ElI.,o (5chodulo AI
2. Slack I and Bondi (Schedule B)
3. Clolely Held Slod/Partnenhlp Inle,OI' (Schedule C)
4. MorlgaH" and Noles Receivable (Schedule 0)
S. Calh, Bank Depolih & MlIceUnneouI Penonal Properly
(5chodulo E)
6. Jointly Owned Property (Schedule FJ
7. T,on.'o" (5chodulo G) (5chodulo l)
8. Totol Grol1 Auetl (Iolallln., 1.7)
9. Funeral Expense., Admlnblrallve COlli, Mltc,lIaneoul
EllpensfI (Schedule HI
10. Deb", Mortgoge 1I0bllitill, L1enl (Schedule I)
11. Total Deductions (totelllnes 9 & 10)
12. Net Value of Ellal. (line 9 minuI Line 111
13. Charilable and Go...ernmental Bequei"ISchedule J)
14. Net Value Suble,t to To... (line 12 minuI line 13)
15. Spoulol Tran,fen (for doles 01 dealh aher 6.30.94)
See '",lrudlonl for Applicable Percenlage on Revene 11 SI
Side. (Indude valuel from Schedule K or Schedule M.I
16. Amount of line 14 toxoble 01 6% rol. (161
(Include valu.. from Schedule K or Schedule M.I
17. Amount of line 14 ICKable at 15% role (171
(Include valu.. from Schedule K or Schedule M.I
18. Prlntlpolla... due (Add to... from Unel 15, 16 and 17.)
19. Credi" Spoulol Povetly Credit Prior Poymontl OllCounl
12,939.05
-0-
(III
(121
(13)
(14)
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(181
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Interell
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(191
120)
Chock hero If you aro roquestlng a rofund of your ovorpaymonl.
(21)
(21A)
(2tB)
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Act '48 of 1994 provide. for the reduction of the tax rate. Impo.ed on the net value of tranlfen to or for
the u.e of the .pou... The rate. a. prelCrlbed by the .tatute will bel
e 3% (.03) will be applicable for e.tate. of decedenll dying on or after 7/1/94 and before 1/1/96
. 2% (.02) will be applicable for ellate. of decedent. dying on or after 1/1/96 and before 1/1/97
. 1% (.01) will be applicable for ..tate. of decedent. dying on or after 1/1/97 and before 1/1198
i
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,
. Spou.al tran.fer. occurring on or after 1/1/98 will be exempt from Inheritance tax.
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING A CHECK MARK (....) IN THE APPROPRIATE BLOCKS.
YES NO
1. Old decedent make 0 transler and:
x
a. retain the use or Income of the property transferred, .......................................................
b. retain the right to designate who .hall use the property translerred or Its Income, ...............
c. retain a reversionary Interest; or ...................................................................................
d. receive the praml.e lor IIle of either payments, benellts or core' .......................................
2. If death occurred an or belore December 12, 1982, did decedent within two years preceding
death trunsler property without receiving adequate consideration' If death occurred alter
December 12, 1982, did d.cedent transfer property within one year of death without receiving
adequate consideration'.. ................. ....... It' ....... ..... to to.,..... ...... ...... .......... ....... Of....... ......... X
3. Old decedent own an 'In trust for' bank account at his or her d.ath"'..............................,..... X
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Ihaot II! 11111
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COMMONWfAlIH 0' 'ENNiVIVANIA
INHI.ITANCI TAX .nURN
.UIDINT DICIDINT
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
.
ESTATE OF
Margaret J, Filson
Plea.e P,lnt 0' T e
FILE NUMBER
21-94-0854
iAII prop.rtv lolntly.own.d with th. Right of Survlvonhtp mu.t b. dl.c1o..d on Schedul. F)
N~~~ER DESCRIPTION
1. 1993 Geo Metro (Book Value)
2. Erie Insurance - Refund, Automobile
3. Erie Insurance - Refund, Renter's Insurance
4. Consumer Report - Refund on subscription
5. Reader's Digest - Refund on subscription
6. The Patriot-News - Refund on subscription
7. TV Host - Refund on subscription
8. Discover Card - Premium Return
9. Sammons Cable TV - Refund
10. GMAC - Refund
11. Pulmonary & Critical Care - Refund of overpayment
12. Personal Property
TOTAL AI.o enle, an line 5, Reeo Itulotlon 5
(Anath additional ay'H )( 11" .h..1l1f more 'pace I. needed.)
VALUE AT
DATE OF DEATH
$6,300,00
159.00
84,00
16.50
18,00
56.75
43.87
.43
12,58
7.78
6.97
250.00
6 955.88
. IIYltot'" 111-'"
.
COMMONWUnH O' 'ENNSYlVANIA
INHERITANCE TAX .nURN
.EIIOENT DECEDENT
SCHEDULE F
JOINTLY.OWNED PROPERTY
ESTATE OF
Margaret J. Filson
FILE NUMBER
21-94-0854
Jol."o.o.'l.).
---
NAME
~ Martha Jo Coffman
ADDRESS
1445 Cedar Street
Annvi11e, PA 17003
RELATIONSHIP TO DECEDENT
Daughter
B.
c.
Jo'.'ly-ow.od proporty.
'f.
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ITEM LmER DATE
NUMBER FOR MADE DESCRIPTION OF PROPERTY TOTAL VALUE DECD'S DOLLAR VALUE OF
JOINT OF ASSET % INT. DECEDENT'S INTEREST
TENANT JOINT
1. A 4-3-90 Dauphin Deposit Bank & 1,218.99 50% $609.50
Trust Co. CheCking Acct.
#0094382808
2. A -23-88 Dauphin Deposi t Bank & 719.59 50% 359.80
Trust Co. Checking Acct.
#0032938217
TOTAL (AI.o enter on line 6. Recapltulallon) S $969,30
{II mar. space is needeel ins." oeldilionol shee', o( sam. sin]
..\IoUI1... V"'I
.
,.
COMMQNWfALJH 0' 'INNIYlVANIA
INHUlfANCl TAlC .nUIN
USIDINT DeCeDeNT
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
PI.a.. P,lnt or T .
Margaret J. Filson
ITEM
NUMBER
AMOUNT
DESCRIPTION
A, Funeral Exp.n....
I.
2.'
Funeral Home - parthemoro Fumoral 1I0me, New Olmberland,
Churchville Cemetery PA
$4,865.10
350.00
B, Admlnl.t,ollv. ColI.1
4.
C.
I.
2.
3.
4.
5.
6.
7.
8.
I.
Personal R.p....ntatlve Camml..lans
Social S.curlty Numb.. of Personal Rop,,"nlatlve.
V.a, Camml..lan. paid
-.
2. AHarnoy Fe..
3.
family Exemption
Claimant
Add.... 01 Claimant at decodenl's dealh
Streel Add....
City 51010
Zip Code
Relallanshlp
Probate Fe.. - Register of Wills
50.00
MI.e.llan.ouo Exp.n....
Cumberland Law Journal - estate advertising
40,00
68.84
10.00
The Sentinel - estate advertising
Filing fee
TOTAL (Also ent.. an IIno 9, Recapitulation)
(limo,. .pae. I. n..dod, In..rt additional .h..t. ol.am. .Izo.)
55, 383 . 91
"IV""''''''''.
COMMOHWIAlfH 01 PlNN,nvANIA
INHunAN(f '''. InUit'
IUIOINt OIClOINI
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES AND LIENS
PI.a.. Print ar T .
fiLE NUMBER
21-94-0854
ESTATE Of
Margaret J, Filson
ITEM
NUMBER
1.
2.
3.
4.
5.
6.
7.
8.
9.
DESCRIPTION
AMOUNT
GMAC - auto loan - Acct. #0195587678
First Card
Dauphin Deposit Credit Line
Pennsylvania Power & Light - electric bill
Bell Telephone - Telephone Bill & Disconnect Fee
UGI - gas bill
Ritzman Associates - doctor's bill
cowley Medical - doctor's bill
Harrisburg Hospital
$6,401.25
175.99
572.19
58,06
37.11
80.50
1.94
89,57
138.53
TOTAL (Aho onlor on IIno 10, Recapltulallon)
(II more spoce ;, ne.aod, inser' oddilional ,h..,s or lome size.'
S
7,555.14
. .
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COMMONW'AUH O. ,INN'nV""'.'"
INH'lnANer .AI InUIH
'UIDINt DI(IDINI
SCHEDULE J
BENEFICIARIES
ESTATE OF
Margaret J, Filson
FILE NUMBER
21-94-0854
ITEM
NUMBER
AMOUNT OR
SHARE OF ESTATE
NAME AND ADDRESS OF BENEFICIARY
RELATIONSHIP
1.
A. Taxabl. hqUI.tll
John R, Bowers
711 Hidge Road
Lewisberry, PA 17339
Son
1/3
2.
Howard W. Minnich
160 Conley Avenue
Etters, PA 17513
1/3
Son
3.
Martha Jo Coffman
1334 Cedar Street
Annvi11e, PA 17003
Daughter
1/3
ITEM
NUMBER
AMOUNT OR
SHARE OF ESTATE
NAME AND ADDRESS OF BENEFICIARY
8. Chorllabl. and Governmental aequI'fI:
1.
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Allo onlo, on IIno 13, Rocopllulollon) S
(If more .pac. I. n,.ded, 'n'lrt addltlonal.h..t. of lam. ,1..1
j
(P' ;rr?-q
1'/.).3 9-7
Q........
REV-1547 EX AFP 112-94*
COHHOHWEAL1" OF PENNSYLVANIA
DEPARTt€HT OF RfYEHUE
IIJREAU Of INDIVIDUAL TAXEI
DEPT. nUll
tlARRlSBlJ<<I, PA 11UI-0601
ACN 101
NOTICE OF INNERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
DATE 09-04-95
S 0 FILE NO.
DATE OF DEATH 08-31-94 COUNTY CUMBERLAND
NOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT TNE UPPER PORTION OF TNIS FORM WITH YOUR TAX
PAYHENT TO THE REGISTER OF WILLS. MAKE CHECK PAYABLE TO "REGISTER OF WILLS, AGENT"
REMIT PAYMENT TO:
A MARK WINTER ESQ
310 W CHOCOLATE AVE
HERSHEY PA 17033
REGISTER OF WILLS
CUMBERLAND CO COURT HDUSE
CARLISLE, PA 17013
AlIOUnt R..ut.,j
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
iiEV:is4'-Ex-Ai=i.--nz=94Y-iliiT"icE--oF-i-tiHEiiifAifci-TAx-'liP'PRAisEHiil'i'-,--,\L.LOiiANCi-oli-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF FILSON MARGARET J FILE NO. 21 94-0854 ACN 101 DATE 09-04-95
TAK RETURN WAS. (X) ACCEPTED AS FILED
( I CHAHOED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN
1. Roel E.t.t. (Schedul. A) (1)
2. stock. end Bond. (Schedul. B) (2)
S. Clooely Held stocklP.rtnerohlp Int.r..t (Schedul. C) IS)
4. Horta.g../Not.. Receivable (Schedule DJ (4)
S. CaahlBank Oepoalta'Hlaa. Peraonal Propert, (Schedule E) (5)
6. Jointly Owned Property (Schedul. F) 16)
7. Tr..,.1..... (Schedule OJ (7)
a. Total A...t.
.00
.00
.00
.00
6,955.88
969.30
.00
(B)
7,925.18
APPROVED DEDUCTIONS AND EXEMPTIONS:
5,383.91
9. Funeral EkPWl.../AdII. Coda/Hi.c. E)(peI'1... (Schedul. HI (9)
10. Dobto/Hort_ LlebllIU../Ll.... (Schedul. I) IlDI 7.555.14
11. Totel DeduoUon. (11)
12. N.t Value of Ta)( R.turn (12)
13. Charltable/Gover,..nt.l Bequeat. IScMdul. J) (13)
14. Het V.lu. of E.t.t. SUbject to Tex (141
NOTEI If an assessment was issued previDuslY, lines 14, 15 and/or 16, 17 and 18 will
reflect figures that include the total of abh returns assessed to date.
ASSESSMENT OF TAX:
15. Aeount of ~ine 14 .t Spouoel r.t. (151
16. Aeount of Line 14 texebl. .t Lln..l/Cl... A r.t. (161
17. ~t of Line 14 taxable .t Coll.t.rel/CI... B rete (11)
18. PrincJpet Tax Due
1?q3q n~
5,013.87-
.00
5.013.87-
.00 X .03.
.00 X .06.
.00 X .15.
(lBI
.00
.00
.00
.00
TAX CREDITS I
PAYMENT
DATE
DISCOUNT C+ I
INTEREST (-I
RECEIPT
NUHBER
AHOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
.00
.00
.00
.00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
I IF TOTAL DUE IS LESS THAN '1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YOU HAY BE DUE
A REFUND. SEE REUfRSE SIDE GF THIS FORN FOR INSTRUCTIONS.)
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REIERVATlDfh E.tat.. of deoedInt. dvlna on or be'ora ~r 11, I'll .... If MY futura Int.r..t In U. ..t.ta I, tranlf"r.
In po.....lon or ."JOv-Mt to C.... I Ccoll.tlraU ...lIolarl.. of the decedent .ftar the 'JqlIMltlon of ."y ..tat. for
IIf. or for YMrI, the r~ cf*..lth hlr.V' aJqlr...b ra..,.".' thIi rl~t to sppral.. and ...... tran,'.r Inhlrltance T....
at the I_wi e.... I CcoU.t....U Mlta on any such futu,.. lntar..t.
PlIlPO$l! OF
NOTICE. To fulfill U. r..,lr--.t. 0' Section ZI'O of the l,.;,.rUMCe and Eltat. TIX Aat, Aat ZZ 0' 1"1. n P.I.
leatlon 1140.
PAvt1ENT. Detach tha top portion of thll HaUctI and ~It Nlth V'our pe~t to the R...I.t.r of MIU. print. on U. r.".r.. stde.
............ chack or __w onNr pe",l. tOI REGISTER OF MILLS. AOEHT
All p.penh race Iv" shall flrlt be IIPPlIad to any Intlr..t .....Ich -v be dJa; with ertY r_I"r ...l1ad to the talC.
REf\ICD (CAh A r.hnd of . tPl oredlt, which .... not raqua.t. on tha Ta Raturn, AV be raqulltad by ~1.tlng an -Appllcatlon
for R.fund of Penneylv.nl. Jnhlrlt~ and E.tat. Tu- (REV-ISIS). Appllctltlon. ara .v.lllbl. .t the a'flce
of the ......tlr of WUlI, any 0' the ZS Rewnua DI.trlot Office., or bv calling the II*Ilal Z4-hour
.,..,.rlng ..rvlce n&albar. for forlll or.rlnal In ""'lYlnnll l-100...)6Z-ZD50, outelde Penneyl"",la and
Nlthln lDOllI "rrhbur. ar.. (717) 717-1094, fDO. Cl1n 77Z"'Z1.5Z (....rl.. J....lr. Onlvl.
DLECTJClaI A1ty perty In lnt.r..t not .atllfl. Nlttt the 1IPfl...I.....,t, aUONII'ICe or dl..UOWlnCll 0' dacbltlon., or ..........t
of tu (including dlacOW'it or Intu..U .. ahown on thl. Motlet! al.t obJMlt within .hcb (IDJ daVl 0' rKelpt of
thh Hatlctl bvl
"-..rIU., prota.t to the PA DepertMnt of A.v....., IoIrd of Appuh, Dept. Z110Z1, Herrlabur., PA 17U:I-lOZl, OR
--alactlon to hava the _U.r dlite...IMd .t lUlU of the ICCCIW'It of the p..raonal r.r..ant.Uva, OR
.........1 to tha DrphM.' Court.
AlIItIN
lSTllATlVE
CORRECTIONS, factual errore dlllCOv.rltd on thl. ........,t Ihould .. IIddr.ued In ..rUh" tOI PA DepertNnt of R.vlftJl,
lureau of Jndlvl~l T...., ATTNI Po.t ,......-nt A.vl... unit, Dept. ZID601, Herrllburg, PA 17121-0'01
~ (711) 717-65DI. ... page J of ~ bookl.t Rln.tructlon. for Jnherltanc. T.. A.tum for. ...I'-"t
Dac~tR CREV-1501) for en .xplenatlon of ~lnl.tr.tlv.IY correot~l. .rror..
JNTEREITI
If ertY taM ... Is p.ld within thr.. (J) a11.-r .onth. .ft.r thai cMc:edlnt.. dHth, a flv. percent (Ul dllOCM1t of
thai tIM p.ld I. allowed.
Jnt.r..t I. charged beginning Nlth flr.t dey of delinquency, Dr nl~ C" .unth, and one (1) ~ fr~ the data of
dHth, to tM data of pIIv-ant. T.... .....Ich bee.- .1InquMt bafOf. .........N 1, 19IZ bMr Int.,..t .t ~ r.t. of
... (6%) percent plr ___ CIIlcul.tlld .t . dally ,..t. of .0DOl64. All tax.. IlIhlch bee.- .1IrM1'*'t on and .ft.r
......rv 1, 1'1! wll1 Mar Int.r..t .t . r.t. which ..111 wry fr~ CII1anclar ....r to e111...r YMr with thet nt.
ennouncad by the PA Depart-.nt 0' ..v~. The Ippllcabl. Int.r..t r.t.. for l'IZ through 1995 .r..
DIICCUCT I
~ Jnt.r..t bt. Dallv Jnt.r..t Factor !!!! Inter..t ht. a.11V' Int.r..t Factor
1912 XOX .ooOMa 1917 'X .OOOZ47
1.01 162 .00041' 1'11.1"1 IlZ .ooOJOl
1914 IIX .ooosn I99X 9Z .000247
1.15 UZ .OOOS" 199J-l"" 7Z .000l9Z
19M lOX .oaoZ74 1995 9Z .0OOZ47
.....Intu..t I. c.lcul.tltd .. follOt1'1
IIItEIlElIT . BAUlfCB OF TAX UNPAID X IlVIIBEIl OF DUa DELINqUEJn' X DAILY IIItEIlElIT FACTOR
--Any MoUc. 11__ .fter the t.. ttaco.. .1Inquent Nlll rsfleot ." Int.r..t c.lcul.Uon to flft..., US) dIIYI
bevond U. det. of thI ........"t. If fNlv-ant .. ... .fter the Intu..t ~t.tlon detl shoM1 on the
Hatlc., ~Itlonel Int.r..t .ult be c.lcul.ted.
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Rec(;rcf~d,(. I:,: 'J of
Renis':1 0 'dills
CERTI~ICATION O~ NOTICE UNDER RULB 5.61al
'95 JAN 18 A10 :40
Name of Decedent: Maraaret J. Filson Clot' ,~, ,',: '. Court
r. ..' .
Cumb"..ulJ Co., PA
Date of Death: Auaust 31- 1994
No. : 1994-00854 Bureau File No. : 21-94-0854
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 Januarv
13. 1995
Howard W. Minnich
Address
711 Ridae Road, Lewisberrv. PA 17339
160 Conlev Avenue. Etters. PA 17513
1334 Cedar street. Annville. PA 17003
JiAllm
John R. Bowers
Martha Jo Coffman
Notice has now been given to all persons entitled thereto under
Rule 5.6(a) except None.
Date: -1- 1'5-'15
fA. }u~1Vd.
A. Mark winter, Esquire
310 W. Chocolate Avenue
Hershey, PA 17033
(717) 533-4868
Counsel for personal
representative
ih.;.....~ c
-.'9
Ir S'9&-~1
/1;.-
STATUS REPORT UNDER RULE 6.12
Name of Decedent: Marqaret J. Filson
Date of Death: 8-31-94
Will No.
1994-00854
Admin. No. 21-94-0854
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. State whether administration of the estate is complete:
Yes X 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 iSI
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:
5-25-95
dt, ~IU~
Signat:.ure
J
A. Mark Winter, Esquire
Name (Please type or print)
310 W. Chocolate Avenue
Hershey, PA 17033
Address
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(717) ~11_AR{;R
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Capacity:
Personal Representative
X Counsel for personal
representative
(MAHlrmf/AM3)