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I)ETITION I"OI{ ..IWUA TE und GIMNT OF I.ETTERS
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1{~g"l~r uf Will, fur Ih~
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Sudol &('//rll)' No, _QJ':'LU,f)~ Cummullwellhh uf l'enn'ylvlIllill
The pelltlun uf Ihe IIlIder,lglI~d re'p~clfnlly r~I1rCSClll' Ihlll:
Yuur Jlelltioll~r('). who 1'/lIre IN y~ur, uf lIg~ or ul~15r lIn I)'S e,cCIl1- C1" S
In Ihe 111'1 will of Ihe lIbove d~c~d~llI. dilled 111_'<-.2(_'(1
lInd codlcll(,) dilled
nllmed
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(\UlIC rl'll'ullIt cin'UlII'llllll'l", c,~, fClIIll1dnllull, dl'lllh ul' C\l'1:lItUf,l'IC,)
IJecelldelll 11'11' domlcllcd III dellth III _12.t.,/t\.ve.t:.l.u.ut.L-_ COllnty, l'ellJ!,ylvlIQia. wllh
h IllS! fllmlly or prlllclpal re,ldell~e 1I1_9-~'/ k-~. 'I r JI' ,ill' -1<",.1 ((It 7 - \
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IJeCelldelll,lhen~yearsofa~e,!II~d &t-+r-J,('I' 3 ,19 9'-/
lit {" A R U ',(I, }'/{""/' I /Li _ .
Excepl a, follow" decedelll did nOlmllrry, WllS nol dlvorc~d lInd did nol hllve 0 child born or lIdopled
after execlltlon of the will offered for probllte; WllS notlhe vlcllm of II killing 1I11d 11'0' never adjudlealed
Incompelelll:
De~endenllll d~lIlh oWlled properlY with e,lhnlltcd vlIlues "' follows:
(If domiciled III I'll.) All person III properl)'
(If nol domiciled In I'll.) I'ersolllll pmperlY ill l'enll,ylvlIllill
(If not domiciled III I'll.) I'ersolllll properlY In ('ollmy
Value of r~lIl e'lme In I'enn'ylvunlu
situnted us follow,:
7; CO", <00
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$
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WHEREFORE, pelitioner(s) rc'peclfull)' rerule,I{,) th~ probllle of the lust will lInd eodlcll(s)
presellled herewhh und Ihe grulll of lellers TESTAMENTARY
(Ic'InI11Clllnr).; luhlllnl\lfllllull C,t.II.; admlnlstrallon d.h.n.c.I,a,)
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OATH 01<' 1)E1~SONAL REI)RESENTATIVE
COMMONWEALTH OFI>ENNSYLVANIA } >18
COUNTY Oil CUMBERLAND
The pelltion~r(s) ubove,llllm~d swellr{s) or lIffirm(,) Ihutlhe ,Wlemenls inlhe foregoing pelltlon ore
lrue und cor reel lolhe best of Ihe kllowlcdge und b~lIef of pelllloner(s) lInd IlllIl 0' personul repre'ell-
tUllve(s) uf Ihe ubol'e decedelllpetltloner(s) will wellllnd Irnly ",hlllnl,ler Ihe eSlllle a~cordlng 10 low.
Sworn to or llffirmcU.L1und snb,crlbcd ~"~~ ""~/!:.b'c'?d ~
before me 1111, __..i.~__ dll} of - '.d:J..<l.LLl..._ 'r.J'- ' '::;
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II-{.-c';) 34 - q
No. 21 - 94 - 855
Estate of
FLORENCE R. WILEY
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
,.
AND NOW OCTOBER 6, 19~. In coaslderatlon of thc pctltlon on
thc rcverse sldc hercof. sBllsfactory proof having becll prcscnled bcforc mc,
IT IS DECREED thalthc Illslrumcnl(s) datcd NOVEMBER 25, 1991
dcscrlbed Ihcrelll be ndmllted to probalc and filcd of rccord os Ihe last will of
FLORENCE R. WILEY
TESTAMENTARY
DIANNE WODDS and JACK WODDS, JR.
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Mailed letters and order to Dianne Woods on October 6, 1994.
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This i!'!1O ,ulil) 111.11 111l' illlollll.llllll1 Itl'll giH'1I l'tlllllutl)' tOl'ltd lIul11 .111 ul'i,.:ill.d It'nifk.llt'1l1 tk.llh (1111)' fill.d with llll' .IS
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WARNING: Ills 1II0gal to dupllcata Ihls copy by photostat or photograph.
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COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
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21 - 94 - 855
. ,
WILL DF
FLDRENCE R. WILEY
I, FLDRENCE R. WILEY, of Mount Holly Springs, Cumberland
County, Pennsylvania, declare this to be my last Will and hereby
revoke all prior wills and codIcils.
1, I direct that all my just debts, funeral expenses, grave-
marker and administrative expenses shall be paid from my residuary
estate as soon as practicable after my death.
2. I direct that all inheritance, estate, transfer, success-
ion and death taxes of any kind whatsoever, which may be payable by
reason of my death shall be paId out of my residuary estate.
3. I make the following personal bequests:
A, I leave to Leon B. Wiley, Jr., my flat silverware, my
beer steins, cigarette lighter and two bibles, the one that
he gave me and the one given to me by Bethlehem Steel Com-
pany at Leon B. Wiley, Sr.'s death;
B, I leave to Dianne Woods my 14-karat, yellow gold fashion
ring, my black onyx ring and my yellow gold cameo pin;
C. I leave to Debbie Smith my white gold diamond ring, my
mother's pin and a bible;
D. I leave to Jack Woods, Jr. my gold-trimmed mixed drink
glasses and other bar glasses;
E. I leave to Dolores Galaspy my black onyx ring and mother's
ring which are already in her possession.
F, I direct that my dog, Thushu, whom I love very much, go
to Harold Walters, 1D1 Meadow Boulevard, Carlisle, PA. If
he is unwilling or unable to accept this responsIbility, I
direct my Executors to find an appropriate home,
G, I direct that my car, furniture and household items, my
trailer and any other real property held by me at the time
of my death shall be sold and the proceeds added to my
estate,
H. I leave the remainder of my estate in equal shares to my
four children, Dolores Galaspy, Leon Wiley, Jr., Dianne
Woods and Debbie Smith.
LAW OFFICES OF
STEPHEN J. HOGG
401 E, LOUTHER STREET
CARLISLE, PA 17013
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5. I appoint Dianne Woods and Jack Woods, Jr. as Co-Executors
of this my last Will. If for any reason either or both fail to qualify
or ceases to act, I appoint Leon B. Wiley, Jrs. to act in place of one
or both as Executor of this my last Will.
6. The Executors of this Will shall have the power to distri-
bute my estate in kind or in cash or partly in either.
7. I direct that no Executor acting under this Will shall be
required to enter bond in any jurisdiction.
-1/)IN WlTN~SS WHEREOF, I have hereunto set my hand this o:;2Sd day
of .f.,fd-IH-"cl!.'1.- , 1991.
LAW OfFICES OF
STEPHEN J. HOGG
401 E, LOUTHER STREET
CARLISLE. PA 17013
. ,
The preceding instrument consisting of this and one other
page was on the day and date hereof signed, published and declared
by FLORENCE R. WILEY, as and for her last Will in the presence of
us, who at her request, in her presence and in the presence of each
other have subscribed our names as witnesses hereto.
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LAW OFFICES OF
STEPHEN J. HOGG
401 E, LOUTHER STREET
CARLISLE, PA 17013
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ACKNOWLEDGEtENT
Commonwealth of Pennsylvania
County of Cumberland
1, FLORENCE R. WILEY, the testatrix whose name is signed to the
attached or foregoing instrument, having been duly qualified accord-
ing to law, do hereby acknowledge that 1 signed and executed the in-
strument as my last Will; that 1 signed it willingly and as my free
and voluntary act for the purposes therein expressed.
ss
.iJ-jJ.t)7~~ )q (,.,0... QLLA~
FLORENCE R. WILEY ~dI
WILEY,
Sworn to or affirmed and acknowledge~ before me by FLORENCE R.
the testatrix, this OJ5.(A., day of U""Oj', ,1991.
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M-y Con'JT~0I)';'ll L,;; 11.., ,L'i.1J 1':. H":'<l
'M-mH,I~"'""'"""II\"O:i,T.lmnl ;'-AFFIDAVIT
Commonwealth of Pennsylvania
ss
County of Cumberland
......- .\ h.. r /71. O((rtl~'r
We, .u<-Db~"~ H ,:'-""'\I.~ and <. );1\4 JI
the witnesses whose names are signed to the attached or foregoing in-
strument, being duly qualified according to law, do depose and say that
we were present and saw the testatrix sign and execute the instrument
as her last Will; that the testatrix signed willingly and executed it
as her free and voluntary act for the purposes therein expressed; that
each subscribing witness in the hearing and sight of the testatrix signed
the Will as a witness; and that to the best of our knowledge the testa-
trix was at that time 18 or mora years of age, Gf sound mind and under
no constraint or undue influence.
~tb", c..h ~. :t)() "1 :0,
0.L/)C~'''''' '-I1J, Ca.A~L.-
s~n to or af
this d'" - day 0 f
rmed an~ subscribed to before me by witnesses,
tJ-j..... l>"t""L , 1991.
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LAW OFFICES OF
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STEPHEN J. HOGG
401 E, LOUTHER STREET
CARLISLE. PA 17013
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RECEIVED FROM.
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ASSESSMENT P:'I
CONTROL 1;,1
NUMBER
AMOUNT
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DIANNE WOODS
1247 REElERT OR
101
.399.00
MECHANJCSElURG PA 170~3
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el-1994-0855 SSN 189-18-6824
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CUMBERLAND
A
REMARKS
.399.00
SK
DIANNE R. WOODS
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REGISTER OF WILLS
SEAL
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
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'(\1'''00 Ell, I,.q.l.: . ,.
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COMMONWEAlTH Of PENNUlYANIA
DEP,t,RTMENT a. 1U\lINUE
om, lIOO.'
HAlIIISlUIlO.'''' 11121,0601
OICIOIN 'I ,..."Mltl.... ,'11", AND MIOOlt INIIIA11
WILEY Flore ce R.
lO"Al neUlln HUM'" CAll Of DEATH
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10/3/94
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,OA OATIS O'DIATHA"IR 12/31/91 CHICK HIAI
If A SPOUSAL 0
POYIATY CAIDIT IS CLAIMIO
fiLl HUMBIA
21
94
0855
I" U'IICA'tll'Uh'~ll'lG ,.0uU" "'''''lllAU. 'II" &t,O ....'0011 '''''''.U
COUNTY CODE
DICEDINf" COM'lt I AOOIIU
YEAR
NUMBER
DAH Of IIUH
3/3/23
967 W. Trindle Road, Lot 107
Mechanicsburg, PA 17055
c".. Cumberland
AMOUNT IlCllVlD IUlINlUUCI1QNSI
Supplemental Return
o 3. R.malnder R'lur"
II0r dOli. 01 d,o,h prlo. 1012,'3.821
o 5. fedtlol ellal. TOK R,turn R.qulred
_ B. T010l Numb., of Soft Depolil Bo...
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1247 Rebert D,rA~e
Mechanicsburg~ PA
1,7055
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181
20,991.49
+
20. If lIn. 191, g,oaler Ihan Line...J..O. enler Ihe dIfference on line 20. lhllII Ihe OVERPAYMENT.
ao
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21, If Une 18 II orealer than Line 19, e'nler Ihe djfierenco an line 21. This 1I1he TAX DUE.
A. Enler Inelnl.rell on Ihll balance due on llnll 21A.
8. Enler Ih. 10101 of line 21 and 21A on Line 218. This Is thll BALANCE DUE.
Molee Ch.de Pavoble 101 Regllt.r of Willi, Auent
N A
[>> 1. Original Relurn
o 2.
OAo,
III 0
12) 0
131 0
I A I 0
15) 19,798.72
161 1,192.77
171 0
(9 ) 8,704.14
(10) 426.18
(15)
(161
(17)
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11,861.17
o
Inleresl
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(11) 9,130.32
(121 11,861.17
(1J) 0
IIAI 11,861.17
)(._= 0
)( ,06 = 711. 67
)( .15 1:1 0
(1ai 711. 67
(1q) 418.95
1201
(21) 292.72
(21A)
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Jack L.
llU'HONI NUMIU
Jr. & Dianne R. Woods
Discounl
19.95
ChecJ( hCl;o:1f you' oro'requosling a',orund'aF'your overpaymonl. " .~
697-9743
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1. Real Ellole ISch.dule A)
2. Slac~1 and Banda ISchedule 0)
3. Cloa.ly H.ld Slack/Porln.rahip Inlorlll (Sch.dul. q
.4. Mortgag'l and Naill Recelvabl. (Sch.dul. 0)
5. COlh, Bonk D'POIIIl & Miscellon,oul P.nanel Prop.rly
IS,h.dull EI
6. Jolnlly Own.d Properly ISchedul. fl
7, Tron.r".(S,hldull G)15,hldul. LI
O. Tolel Gran Aueu (Iolellln.. 1.71
9, Fun.ral Exp.nlll, Admlnillraliv. COlli. Mlscellon,oul
Exp.nlt~ (Schedule H)
10. D.bu. Morlgag. llabllili... lIenI15ch.dul. I)
11. Total O.ducllonl Ilatallln.. 9 &. 10)
12. N., Volue of Estole Illne 0 mlnulline 11)
13. Charilobl. and Governmenlal B.qullu (Schedul. J)
14. Nel Volu. Subjecllo Tax Iline 12 minus line 13}
lS. Spoulol TfOnlrerl (for dOl., of doalh afllr 6.30.9011
S.. Instructionl for Applicable Percenlag. on R....er..
Side, (Includ. values from Schedule K or Schedule M.)
16. Amounl of line 14 taxable 01 Mb role
(Include valulI from Sch.dule K or Schedule M,I
17, Amount of lIn. 14 laxable at 15% role
Ilnclud. volulI from Schedule K or Sch.dule M.)
la. Principal lOA dll' (Add lOA from line I IS, 16 and 17.1
19. (redill Spoulal Poverly Credil Prior Paymenll
o + 399.00
~ ~ BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH --C:--C:
""lder penollie, of perjury, I d.c1ar. Ihall hovo uamined lhil relurn, Including accompanying Ichedules and Ilalemenh. and to Ihe bllt of my ~nowledge and beliel,
I Hue, correct and complete. I declarelhal all real ellol. he, been reported at Irull maiket value. O.claration of prepor" olher lhon Iho p.rlonal reprennlati."e It
.lId an alllnformalion of which preparclI ha, on ~nowledge,
. )IGN...tu~t f)JOtl lU,Otl$lau ,O~ ,l\ING;nUlltl ~DDlfU __. ~).. ;;. DAft /;' ;"
"-- f', /~ f}.~1Kff<1'A'If,~'-'I~~72rI/ArI/l1l(!..:l',L(tA~fJA':> 11"/;
u l f 'llu~t~ "~"Io 'l St""ATt'ol At.DlIS:' _ 1J - r P' I D,I,T~ / ' ~. _
3-Hb 11"I,....c\Lv \-<.0"1 A.v.:~ /--}"I ~ r,;lOII b'f. Ii)
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Act #48 of 1994 p'ovldel for the reduction of the tax ratellmpoled on the not value of transfers to or for
the ule of the Ipaule. The ratel 01 prelcrlbed by the Itatute will bel
. 3% (.03) will b. applicable for eltatll of deced.nll dying on or after 7/1/94 and b~fore 1/1/96
. .2% (.02) will b. applicable for eltatel'~f decedentl dying' on or after 1/1/96 and before 1/1/97
. 10/0.(..01) ~lIIbeappllccible for eltatel of decedenll dying on or after 1/1/97 and b.fore 1;1/98
. 'Spaulal transfeil'occurrlng an 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 d.c.d.nl make a transf.r and:
x
o. relatn the use Of Income of the property transferred, ....................................."................
x
b. r.taln the right ta deslgnale who sholl use the prop.rty transferred or lIs Income, ....,..........
c, retatn a reversIonary Interest; or .................,..........,'............,.....................................,..
x
x
d. r.celve the promise for life of either poym.nls, benefits or coreV ..,....,....,..............,..........,
2, If d.oth occurr.d on or before Dec.mber 12, 1982, did decedent within two years pr.cedlng
deolh transfer prop.rty wlthaul rec.lvlng adequale conslderationV If death occurr.d after
Dec.mb.r 12, 1982, did decedent transfer property within one y.or of death without r.celvlng
adequate conslds ration' ...................... "..............."......, .".... .,.,........... ,.................... .". ,..,
x
x
x
3, Old d.c.dent own on 'In trust for', bank account at his or her d.othV........,................,............
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
MY.ISOli.,11111
.
) ':,"'~i:>i!1i.
.
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
Ploalo Prlnl or T 0
FILE NUMBER
21-94-0855
COMMONWUtlH O. PfNN5'flYANIA
INHlalfANCI TAX InUIN
alSIDINT DICIDINT
ESTATE OF
WILEY, Florence R.
IAlI prop.,ly lolnlly,own.d wllh ,h. RighI 0' SUlvivor,hlp mu,1 b. dl,do..d on Sch.dul. F)
11. Personalty:
Rogers 8 piece setting of flatware
Cameo jewelry
Heart pin
Ring
Ring
Ring
TOTAL
ITEM
NUMBER
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
DESCRIPTION
VALUE AT
DATE OF DEATH
PNC Certificate of Deposit
Account No. 1763270013549
4,803.42
607.53
243.00
Cash
A & S Mobile Home Park - rent refund
Foremost Insurance - insurance refund
116.00
4.19
6.65
80.50
201.43
Sammons Cable - refund
Bell Telephone - refund
Nationwide car insurance - refund
Bethlehem Steel - final pay check
1983 Chevrolet Cavalier - sales price
1981 Atlantic mobile home and contents - sales price
2,500.00
10,700.00
75.00
45.00
6.00
10.00
200.00
200.00
536.00
536.00
TOTAL (AlIa onlor an IIno 5. Roea "ulallan S
19,798.72
IAUach addiljanaI8~" )( 1110 ,h.. II if mar. 'poull n..d.d.1
.,IV.ltOf"',I'''I'
COMMQNWIAlt" O' '(NN,nVj,NIj,
INHlIltANCI 'j,.J"UItI
IUIOINfOlClDINI
SCHEDULE F
JOINTLY.OWNED PROPERTY
ESTATE Of.
fiLE NUMBER
21-94-0855
WILEY, Florence R.
Joint Ilnantl.)'
NAME
A. Lucille Bair
ADDRESS
132 E. Winding Hill Road
Mechanicsburg, PA 17055
RELATIONSHIP TO DECEDENT
Sister
B. Dianne Woods
1247 Rebert Drive
Mechanicsburg, PA 17055
Daughter
C,
Jalnlly.awnld praplrty,
ITEM LEnER DATE
FOR TOTAL VALUE DECD'S DOLLAR VALUE Of
NUMBER JOINT MADE DESCRIPTION Of PROPERTY OF ASSET % INT. DECEDENT'S INTEREST
TENANT JOINT
1. A, B 1/1/76 PNC Checking Account 3,578.31 33.3 1,192.77
no. 5140193898
TOTAL (AI.a Inlor an IInl 6. Rocapltulo"on) S 1,192.77
-
(If mar. spoc. is n.,ded ins,,' additional sh.." o( some size}
"'o'UlIlIl\IUI'
,
.,
"~'lr,l'o;l,,
':'~l!ll";"
l:OMHOIIWE;.lllI0f PlNHnlVANIA
lIU1lRI1ANCE f,u UIURN
RnIO!~..! DECEDENI
ESTJ\Ti?5i:
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
AMOUNT
Ploau Print or T'if'o'_'___ _. ,"
filE NUMBER --
21-94-0855
WILEY, Florence R.
II~M
NUMnefl
-----~
A,
1.
DESCRIPTION
Funorol EMponaoa,
Hoffman & Roth Funeral Home (burial expense & grave opening)
Pastor WislockY (services)
Westminster Cemetery (grave marker)
Christian Life Assembly (dinner donation)
1.
B, Admlnlatratlvo CoatI!
191-40-9900
197 - 40 - 5496
2,
3.
Porsonal Roprolonlallyo Camml..lanl
Social Socurlty Numbor of porlanal Roprolonlallyo,
Voar Cammllllanl paid 1995
Allornoy Fo.. Diane G. Radcliff, Esquire
Family exomptlan
, Clalmanl Rolatlanlhlp
Addro.. 01 Clalmanl 01 docodonl'l doalh
Stroot Addro..
Zip Cado
City
51010
4,
Probalo Fool Register of Wills
C, Mllcollanooua EMpona..,
1.
2.
3.
4.
5.
6.
7.
8.
CUmberland Law Journal-advertisement
sentinel - advertisement
Register of Wills - Inheritance Tax Return
Register of Wills - Inventory
Wayne Myers - automobile sale commission
Wayne Myers - personalty appraisal
Stott Groue - PA income tax return preparation
Jack & Dianne Woods _ miscellaneous repairsl copying costs
and postage
TOTAL (AlIa onlor on I1no 9, Rocapltulatlan)
(If moro apaco la noodod, Inaort additional aheoh of aamo alzo)
5,551.00
100.00
810.00
100.00
524.78
524.78
800.00
o
63.00
40.00
52.04
15.00
10.00
25.00
35.00
20.00
33.53
S 8,704.14
.,c"....'~
" ."...,
.
IIV,UI"I. tlO-Ibl l'
*
CQMNoONWUlIH 0' rlNN"IVAHIA
INHUUANC' TAl IIIUIH
l"IOINIOIClOINI
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE L1ABLITIES AND LIENS
ESTATE OF
WILEY, Florence R.
FILE NUMBER
21-94-0855
ITEM
NUMBER
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
DESCRIPTION
AMOUNT
Montgomery Wards - final credit card bill
Soap Opera Digest - final bill
A & S Mobile Home park - final bill
63.58
A & S MObile Home Park - rent
23.97
20.39
212.00
A & S MObile Home Park - rent late fee
21.00
8.20
42.63
Met Ed - final electric bill
Three Springs FamilY Practice - medical bills
Belvedere Medical Center - medical bills
15.44
10.43
Con Pharma - oxygen
RWC Emergency Physicians
8.54
TOTAL (AI.o onlor on IIno 10. Rocopllulollon)
(II more 'paco ;. no,d,d inJlft additionol .h.,ts 0' same size)
$ 426.18
:"
'f.,
L;,
..UY;IJU'lflll1l
'f
1
fL
.;\
.,.
~i~
~',
;,
ESTATE OF
"--,".,._.,~-,...,..,......-.-.-......-....---,,,... -->-".,~ ,.--~-.,.
0.._ -. ___....-,._.....,
, ,
.
CO""'ONwIAI1H Of "NNlnVANtA
IliMnlfANe.IAII.nUIN
'.I'OIHID"IDIN'
SCHEDULE J
BENEFICIARIES
WILEY Florence R.
N~~~ER NAME AND ADDRESS OF BENEFICIARY
1'1
;;'
>~'';-
t,.,
,
~;-'
(
.-,
~
i;
,\
f,
~,
!~:
~;:.
~
.,
-l
.
"
W
'tt
~
~
~.
!~
~
~
y
~
,
''"'
,
~ .
,
,
.
,
ITEM
NUMBER
1.
A. Taxable Bequestsl
Deloris Galaspy
1327 Church Street, Carlisle, PA 17013
Leon B. Wiley, Jr.
430 Hillcrest Road, Carlisle, PA 17013
Dianne R. Woods
1247 Rebert Drive, Mechanicsburg, PA 17055
Debra K. smith
1476 York Road, Carlisle, PA 17013
Lucille Bair
132 E. Winding Hill Road, Mechanicsburg, PA
17055
~.~
-~
2.
3.
4.
5.
NAME AND ADDRESS OF BENEFICIARY
B. Charitable and Governmental aequellS!
1.
FILE NUMBER
RELATIONSHIP
AMOUNT OR
SHARE OF ESTATE
Daughter
2,533.10
Son
2,608.10
Daughter
3,384.48
Daughter
2,739.11
Sister
596.38
AMOUNT OR
SHARE OF ESTATE
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Alia onlor on IIno 13. Recopltulollon)
(I' more .pace I. n..ded, In..rt addltlonal.h..t. of .ame Iln)
S 11 ,861.17
'I
I
.
--- ... _.~ ... -. -- ..
, .
- - -"4.~'57'7= ;;:;'- ......-..--- ---- ---.-.-,---"..-- -. ...--,- -,- -.----------- ---- ..r:
< . . I
D .AA< .047863 COMMONWEALTH OF PENNSYLVANIA
NO. . .. DIPARTMINT 01' RIVINUI
OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCIAND ESTATE TAX
.
..v.n"..'....'.
"
ACN
ASSESSMENT p:"
CONTROL ...
NUMBER
AMOUNT
i
RECEIVED FROM.
DIANNE WOODS
11i!47 REBERT DR
101
.i:!9Cl.70
MECHANICSBURG PA 17033
_ 1010 Hut IOID Hfll
ESTATE INfORMATION.
I!:l( filE NUMBER
~ li!1-1994-0S33
EJ NAME Of DECEDENT (LAST)
II DATE Of PAYMENT.
EJ POSTMAR E
COUNTY
SSN IB9-IB-6BIi!4
(fiRST) (MI)
DATE Of DEATH
REMARKS
m TOTAL AMOUNT PAID
.292.75
JACI( L JR & DIANNE R WOODS
C/O DIANE RADCLIFF ESQ.
CHECK* 29
SEAL
RECEIVED BY
REGISTER OF WILLS
MARY C. LE
REGISTER OF
- - ~ - - - -- - - - - - - - - - - - - .-. <- - - ,- - - --- ,- - - .- - - - - -.. - - -- -. - -- - - - - - - -
.
.
t\:<
.~
I
..
"
. - -- .........-......--
.
,,- ..-
--:___.--:.--..~.JlcJ.'" _ "1:.1," .a-....'""
.
j
. .
1'-/ - ,L:1,C':) ,.~
REV"1547 EX AFP (12"94*
CDtttOHWUltlt OF PENNSYlYANIA
DEPARTHENT OF REVENUE
IUREAU OF INDIVIDUAL TAXEI
DEPT. IIDUl
IlARRISIURO, PA 17UI.0601
ACN 101
NOTICE OF INNERITANCE TAX
APPRAISEMENT, ALLOWANCE OR OISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
DAT! 09-04-95
FILE NO.
DAT! OF DIATH 10-03-94 COUNTY CUMBERLAND
NOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT TNE UPPER PORTION OF THIS FORM WITH YOUR TAX
PAYMENT TD THE REGISTER OF WILLS, MAKE CHECK PAYABLE TO "REGISTER OF WILLS, AGENT"
REMIT PAYMENT TOI
JACK L WOODS JR
1247 REBERT DR
MECHANICS BURG PA 17055
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
A.aunt R..ltt.d
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
Ri"V':is'(;i"ix"iiFji"nZ":9iif"iiiii"iciuOF-Ytiiiiiiii'liiici"i"A"x"APPRA"isiifEiiT~--Ai.rOWANCE"ijR""-_m_u_m"".
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF WILEY FLORENCE R FILE NO. 21 94-0855 ACN 101 DATE 09-04-95
TAX RETURN WAS. ( I ACCEPTED AS FILED ( XI CHANGED SEE ATTACHED NOTICE
RESERVATION CONCERNING FUTURE INTEREST " SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN
1, R..l E.t.t. (Schodul. AI (11
2. Stock. and Bond. (Scheduh BI (21
S. Clo..ly Held stock/P.rtnerahlp Inter..t (Schedule C) 13)
4. "artaeg../Not.. Receivable (Schedule D) (4)
i. C..h/Bank Deposita/HSlo. Perlon.l Proplrtv (Schedule E) IS)
6, JointlY Owned Prop.rty (Schodul. FI (61
7. Tranafara (Schedul. gJ (7)
I. Tot.1 A...t.
,00
,00
,00
,00
19,798,72
1,192,77
,00
(BI
20,991.49
APPROVED DEDUCTIONS AND EXEMPTIONS I
9. Ftml,..l E)(pen.../AdIt. Coatl/Hilc. bPln,.. (Sch.dul. H) I') 8,704.14
10, Dobh/Modg.g. LlobllHI../LI.no (SchecNl. 11 nol 426,18
11. Tot.l Deduction. (1U
12. N.t Velu. of TeK R.tum (12)
13. Cherltable/GoYern.~tel Sequ..t. ISchedul. J) (13)
14, Not V.lue of Eoht. Sub,l..t to To. n4 I
NOTEI If an aSBessman~ was issuad previously, linas 14, 15 and~or 16, 17 and 18 will
raflect figures that include ~he total of ~ returns assessed to da~e.
ASSESSMENT OF TAXI
IS, ....aunt of Line 14 .t Spou..l ,..t. I1S)
16. ~t of Line 14 texeal. .t Line.l/Cl... A rete (16)
17. ~t of Line 14 taxeale .t Coll.ter.l/Cl... D r.t. (17)
18. Principel Tax Due
TAX CREDITS:
PAYMENT
DATE
12-09-94
06-12-95
9. no :'i?
II ,861. 17
,00
11,861.17
,00 X ,03.
1l,264.79 X ,06.
596,38 X ,15.
lIBI
.00
675.88
89.45
765.33
RECEIPT
NUMBER
MM913272
AA047863
DISCOUNT
INTEREST
AI10UHT PAID
Itl
(-I
21. 00
,00
399,00
292,75
INTEREST IS CHARGED FROM 07-04"95 TO 09-12-95
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
712,75
52,58
,92
53,50
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST,
IF TOTAL DUE IS LESS THAN U, NO PAYMENT IS REQUIRED,
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU MAY BE DUE
A REFUND, SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIDNS, I
:J.
~
:. ~
~!
,
,
~
~l
Ii
I
I
il
('
I
I:
I
i I
I
I
,
,
!
I
I
I
I
I
I
f.
j
,
-l--'
.
RfSDYATlDHI Elt.t.. of decedentl dyll"ll an or befar. o.c"'r 12, 1911: ... If "'" future Inter..t In tM ..t.t. II t",,,f.rred
In po.....lan a,. ....Jo~t to Cl... I (ealht.,..U beN#lol.rl.. of thI deCedlnt .ft.r thI 'llPlnUan of MY ..tat. far
11f. or fo" Yllr., the Co.onMHlth hlreby ..,,....b r..''''''' the rI~t to .,r.l.. ... ...... t"n.f." Inhlrlt~. Tu"
.t the l_kl1 Ch.. I CeoUat.r.U nt. on MY MKtl future Int.,..It.
I'\IIPOU ..
NOTlCEI To fulfill thl r..,lrMent. of "cUon 2140 of thI InhllrltlnCl end E.t.t. Tu Act, Aot U of 1"1. 71: P.'.
IIcUan 1:140.
PAvttEHTI o.tKh thl top portion of thh HaUc. Met aubllt ..lth vour ~t ta the .....t.r af wUlI pr1ntM on the r.",r.. .Ide.
--Kek. check or 1IGl'MI)' ardlr peyllb1. tal REGISTER OF MILLS, AOEKT
AU p.~t. rac.lv.cl thtU first be .,lIM to MY Inter..t which HY be due .,Ith My r....I".,. -..lIed to tM tax,
RUUND (tA), A r.fund of . tu cr.-It. whIch .... not raque.ted an the Tax R.tum, NY be r.....ted by caaplaUng M -appllc:.aUon
for Refund of P~.y1v~le Inhlrlt~. ~ E.t.ta T..~ (REV-1S1S). applicatIon. er. .vIIIIbI. at thI offIce
of the Reel.t.,. of WIll., MY of the lS Rlvenue DI.trlct OffiCI', or by ctlllng the ~I.I 1~-hoU"
.,....rlnt ..,."Ic. f'IUIIbIr. for for.. orderlngl In Penn,v1vMla l-IU-S6I:-ZOSI, oultlcs. P~nlV'W1I. and
..Ithln local tt.rrltbUr. .r.. (717) 711-1090\, TDDI (717) nZ-zlSt (....rlng lapelrld Only).
DIJECTlDHSI Any p.rty In Int.r..t not ..t..fled with the epp,......."t, .Uowanc. or dltaUownca of deducUon., or ........"t
of tax Clnaludlng dlH~t or Int.r..U .. Ihawn on thlt HaUc. ....t abJMt within .bty (61) .v' of rKllpt of
thl. Hatlc. bl'l
--..rltten prat..t to the PA Dtp.rt..nt of ..venut. 100rd of Appall., Dept. Z110Z1, Harrisburg, PA 17121-1021,
"'-.Iactlon to hav. the ..U.r dlt.,..IMd .t IUdlt of tt. accOU\t of the ptIf1OM1 rllPra.....t.tlv., OR
--.....1 to tM Drphtnl' CoYrt.
OR
ADHIH
ISTRATlVE
CORRECTIONS I fMM1 .rrara dltcov.r~ an thlt ........,t ~ld be Mtdr...ed In wrlUng tOI PA o.p.r.....t of Ravenut.
lur..u of Individual 'ax.., ATTNI po.t A....seent Revl.. unit. Dept. Z10601. HarrisbUrg, PA 171ZJ-0601
Phone (717) 717-6505. S.. p... 5 of thl bookl.t ~In.tructlon. for I~rltanc. ,.M R.turn for. .a.ldlnt
Decedent" (REV-ISD1) for In a.planatlon of .d.lnl.tr.tlvalv corrlCtabl. arror..
DIICOlIfTI
If any taM due .. p.ld ..Ithln thr" U) C111~r .onthl aft.r the dac.....t'. death, a fin ptIrcent (~J dhcount of
the tu paId 11 .UCHMCI.
Intar..t I. chlirgtd bIIl,..,lng with flr.t dill' of dtll~v, a,. nl,. (,) .ontha ... OM UJ day frCMt tM data of
_th. to thI dlt. of paV1Mftt. T.... which ~ delinquent befor. ~ry 1, 191Z bur Int.r..t .t the r.t. of
.1. (lX) pere."t par .... c:.alcuhtM at a dilly rat. of .000164. AU tu.. whIch bK.. deUnCI'*'t on and .ft.,.
January 1, 1'12 ..Ill balr Int.r..t .t . rat. which will Vlry frCMt c.landar v..r to c.lendar v..r with ~t rat.
annau"tC.cI by the P' Dlptrt.."t of R.vW'IUI. The IIflPUcabl. Int.ralt rat.. for 1912 thrOUllh l"S ar'l
INTEREST I
'!!!! Int.r..t .d. O.llw Int.r..t Factor !!!r Int.r..t ..t. o.llv [nt.r..t Factor
1'12 .ot .00os.~1 nil n .000147
1915 IU .000U6 1911-1991 IIX .GlUOI
"14 IIX .001501 .... 'X .000l~1
1915 I:IX .DOnH 1").1994 n .000192
1'" lOX .100I7~ 1995 'X . GOU47
--Int.r..t I. c.lcul.t~ .. followlI
INTEREST . BALANCE OF TAX UNPAID X NUKBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Anv Hatle. hlUed .U.r the tax bec:DIta' dlU.,..,t will raflect In Intar..t ealcuhtlon to flftun US) day.
IMvond the dlt. of the ........"t. If p.v-ent .. .... .fter the lnt.r..t CGIIPUt.Uon dlt. .t....n on the
Hotlc., eddltl~l lnt.r..t .ust be calculatad.
---,
11...,1.10111..111
.,
INHERITANCE TAX
EXPLANATION
OF CHANGES
II'
COMMONWEALTH OF PENNSYLYANIA
DEPARTMENT OF REVENUE
BURIAU O.INDIYIDUAL TAXIS
DEP!, 280601
HARRIS8URO, PA 17128.0601
DECEDENT'S NAME
FilE NUM8ER
Florence R. Wile
2194-0855
ACN
101
SCHEDULE
ITEM
NO.
EXPLANATION OF CHANGES
F
1
Changod t,8X rat,e. f:rom6,pllr,c8!1t t,o,lS percent BiDce. _a_ai,lltl!~ ~,a,_II__c;I,Dlla
"a" heir.
'"
,-
:-:-":
. . ,(
."~ n.
....' -
T
,',
-rj')
',OJ
n(,
a;'
-rn
~:I\
- .'
,J 1.-::
'.. :::l
00
TAX EXAMINER,
Arceasin Uyrd
PAGE
.
J'- -'9 -__ __ 9' .......,......, ' _
--.--' l;:l -: ~97; /6..7.----- ,- --- -- -- -- --. - -- - .---- ---- ----- -- ---- ---.t;-
D AA'0481 '97 ' COMMONWEALTH OF PENNSYLVANIA
NO, DIPARTMENT Of REVENUI
OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX,
.tV-lI62 111''''1
.~
RECEIVED FROM,
I
ACN
ASSESSMENT I!'
CONTROL iii
NUMBER
AMOUNT
DIANNE WOODS
1247 REBERT DR
101
.::13.:)0
MECHANICSBURG. PA
170~~
_ '~D HUl
fOIDN'"
ESTATE INFORMATION,
~ FILE NUMBER
~ 21-1994-0a5~
m NAME OF OECEOENT ILAST)
II DATE OF PAYMENT
m POSTMAR E
COUNTY
SSN 189-18-6S24
(FIRST) IMI)
DATE OF DEATH
REMARKS
a
DIANNE R WOODS
m TOTAL AMOUNT PAID
.53.50
CW
\ SEAL CHECK" ~14 RECEIVED BY (////i/U/, ( , /(/.1 cI,-:) a/v
"I $IGNATUAE j';. I. :.
r,/ "",,, { II -;,
\ REGISTER OF WILLS MAR V C. LEW I S / , ;' /_
RE~!STER OF WILLS ";.'
_,_'____,__ _____ _'_____,__._ ___0- _.___--;-_'_____ -- ~------ - ..,...,~
I
~
. .
.
'----
.
-~---.,--.;--;...~-..1?l.,.. _#"1:(0.,1" .~':"',
1-,
\
~'''' ...
&,5''17-/6-
V:EV-1607 &,' AFP 112-94*
CO""OHWEAllH OF ~HHSYlVANIA
OEPARl"E"T OF REYENUE
BUREAU OF INDIVIDUAL TA~ES
DEP', 210601
IIARRIIIURa, PA 11121-0601
11 -d.':><:f-'1
~
ACN 101
3:NHER3:TANCE TAX
STATEMENT OF ACCOUNT
DATE 10-02.95
S WILEY FLORENCE R FILE NO. 21 94-0855
DATE OF DEATH 10.03-94 COUNTY CUMBERLAND
NOTE, TO INSURE PROPER CREDIT TO YOUR ACCOUNT. SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAX
PAYHENT TO THE ADDRESS SHOWN. HAKE CHECK PAYABLE AND REHIT PAYHENT TOI 1f
JACK L WOODS JR
1247 REBERT DR
MECHANICSBURG PA 17055
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
A.Dunt R..itt.d
CUT ALONG THIS LINE ~ RETAXN LOWER PORTION FOR YOUR FILES ~
iiE'v:iliiij-EX-jiFp.ii'lf:ij4"imm.ilii.iiiiiiiii'fA'ilcrTlix.STATiH'ErWoF'.lic.cciijtiT..iiJi.m.mmmm.....
ESTATE OF WILEY FLORENCE R FXLE NO. 21 94-0B55 ACN 101
THIS STATEHENT IS PROVIDED TO ADVISE DF THE CURRENT STATUS OF THE STATED ACN IN THE NAHEO
ESTATE, SHOWN BELOW IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYHENTS,
THE CURRENT BALANCE, AND. IF APPLICABLE. A PROJECTED INTEREST FIGURE.
DATE 10.02-95
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 08-28-95
PRINCIPAL TAX DUE, .,.,.,._.,_".,_",
765,33
,,_m__'_",__.___~_~._____'__'__'__________'_".'_'.".'.'_" "-...------.-~.
PAYMENTS CTAX CREDITS),
PAYMENT
DATE
12-09-94
06.12-95
09-01.95
RECEIPT
NUMBER
MM913272
AA047863
AA048197
DISCDUNT C+)
INTEREST C.)
21. 00
,00
,78.
AMOUNT PAID
399,00
292,75
53,50
. IF PAID AFTER THIS DATE, SEE REVERSE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST,
I IF TOTAL DUE IS LESS THAN tl.
NO PAYHENT IS REQUIRED,
If TOTAL DUE IS REFLECTED AS A "CREDIT" ICR).
YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
765,47
,14CR
.00
.14CR
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PAYHEHTI
Detach the top portion of thl. Hotlc. Met ,ubIIlt wIth ~OUI' P'PMt .,de pIVlbh to
prlnt~ on the rIVlr.. .Ide.
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tM ~~Md acf!U..
If REIIDEHT DECEDENT .... check 01' 110M)' ordlr plrul. tal REGISTER OF WILLS, AGENT.
If NOH-REllDENT DECEDENT ,akl chick 0,. BMV ord.r PIWabt. tal COHttONWEAL TH OF PENNSYLVANIA.
All ply-.nt. ..lcIlvld shill be applIed flr.t to ~y Int.....t which "V b, due with any r...l~r applied to the t&M.
REFUND (CA)I . nfund of . tlX crldit, which .... not nq"lIItlld on thl TIIC R.turn, ..y be nqueltld by cHPhUnll an
"Application for R.fund of Penn,Ylv~l. Jnherlt~. end E.t.t, rax. (REV-ISIS). Appllcltlonl Ira IVIllabl1 at
the OfficI of thl RIgl.tl.. of Will., any 0' the 2) R.venue DI.trlct O'flc,. or fro. ~ D.pI~tlent" Z.-hou~
.n.we~lng 'Irvlc. ~.r' far far.. ord.rlng. In Penn.ylv~11 1-IOO-56Z-Z0S0, out.ldl P~'Ylvlnll
end within lacII Hlrrl.burg Ir.. (717) 717-aO'., TOOl (717) 77Z-ZZ5Z (Htlrlng I.,.lrld only).
REPLV TO, au..tlan. rl..rdlng .rrar. cant.lned on thl. natlc. .hould b. .ddr....d tal PA Dep.rt-.nt of R.vlnU', lure.u
of Indlvldu_1 '1.1', ATTN. po.t A......-nt Revl.w Unit, O.pt. ZI06al, Hlrrl.bUrg, PI 17IZI-0601, phone
(717) 7I7-65OS.
DISCOUNT I If any ta. due I. paid within thr'l (5) cllenda~ .onth. I't.r thl dIC~t". dI.th, . 'Iv. p.rcent (S~) dl.cm.,t
of thl taM p.ld la allaw.d.
INTERESTI Int.r..t I. chlrg.d blglnnlnG with flr.t day of dlll~ncy, or nlna (9) eonth. and ani (1) dlY fro. tha dlt. of
d.ath, to the dltl of plyeent. T'M" which b.ca.. d,llnquent b.far. Janu,ry 1, I'IZ b.ar Int.r..t at the r.t. of
.IM (6~) percent p.r annu. calculat.d .t a dilly r.t. of .00016.. All t.M.' which bee.., d.llnquant on and aftar
Janu.ry 1, 19'Z will b..r Int.r..t .t a rat. which will vary fro' c.l.nd.r yal~ to calendar ya.r with that rata
ennounc.d by thl PA DIP.rt.ant of Rlvenue, Thl appllcabll lntlr..t rat.. far 1912 lhrouGh 1995 ar'l
V..r Inbrllt A.t. Dilly Int.r..t Factor V.lr Int.rllt Rat. Dilly Int.r..t Fector
1'82 20X .0aaUI 1917 .X .000lU
1915 lOX .OOOUI 1"1-1991 llX .000501
"14 lIX .aOOSGl 199Z 'X .OOOZU
1915 ISX .000SS6 1995-1994 7~ .0001.Z
1916 lOX .000214 I... .X .OOOZU
--Int.rllt I. c.lcul.t.d a. fallowl'
INTEREST . BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notlcl ...u.d .ft.r thl taM beeo... delinquent will ~.fllct an Int.r..t cal~latlon to flftlen (15) d.v.
b.yond thl dlt. of the a.....,ent. If p,y,,"t I. .ad. D,tlr the lnt.r..t co.,ut.tlon dlt. .hown on the
Notlc., addltlan.l Int.r..t au.t be c_Icullt.d.
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REV-1547 EX AFP (12-94*
CDlItOH'WEALTH OF PENNSYlVANIA
o&ARTHEHT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PEPT. Zaa6Dl (
HARRISBURG, PA 17121.0601 C-
ST TE a FILE NO.
DATE OF DEATH 10-03-94 COUNTY CUMBERLAND
NOTE. TO INSURE PROPER CREDIT TO YOUR A~CoUNT,',SUDI\IT THE UPPER PORTION OF THIS FoRN WITH YOUR TAX
PAYMENT TO THE REGISTER OF WILLS, .' MAXI! CHECK' PAYABLE TO "REGISTER OF WILLS, AGENT"
REMIT PAYMENT TO:
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR oISALLoWAHCE
OF DEDUCTIONS AHo ASSESSMEHT OF TAX
ACN
101
DATE 09-04-95
JACK L WOODS JR
1247 REBERT DR
MECHANICS BURG
el(
GUil
, i
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
,',
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PA 17055
A.aunt R...i tt.d
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CUT ALONG THIS LINE ~ RETAIN LOWER PORT Ill'" FOR YOUR RECORDS ~
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INHERITANCE TAX
EXPLANATION
OF CHANGES
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
~ BUREAU OP INDIVIDUAL TAXES
DEPT, 2BD6Dl
HARRISBURG. PA 1112B.0601
DECEDENT'S NAME
..
fiLE NUMBER
2194-0855
Florence R. Wiley
C
101
SCHEDULE
ITEM
NO,
EXPLANATION Of CHANGES
F
1
Changed tax rate from 6 percent:, to 15 ,percent _lIinc"',a,~~s~er__i,s a class
"'uO'r heli. .._._n~__.
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. _', ,_,,~,..,,_,___ _.__.____.._+_~.. >. _,..,.. _."_.........,...._ __.____._..._~~.~_~___...______* ~_~~._~_~_..._'4._____.__'____.
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._+_ ~ ~~ ...____ _ _<< _~.._.o_~_____4> '.M' ~_. ~ ^~_~..__ ~.__ ~~ ______> ..'~~...~_~____..____..____.__ --- __nO ~----- ----
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Arccssia Byrd
PAGE
TAX EXAMINER,
~
~. ~9'(,/~
Inventory of the reel and personal estate of
FLORENCE R. WILEY
deceased
1. PNC certificate of Deposit
Acct. No. 1763270013549
4,603 42
607 53
243 00
116 00
4 19
2. Cash
3. A & S Mobile Home Park rent refund
4. Foremost Insurance - insurance refund
5. Sammons Cable - refund
6. Bell Telephone - refund
7. Nationwide - car insurance refund
6 65
6. Bethlehem Steel - final pay check
60 50
201 43
9. 1963 Chevrolet Cavalier - sales price
10. 1981 Atlantic mobile home and contents - sales price
11. Personal ty I
Rogers 8 piece setting of flatware
Cameo jewelry
Heart pin
Ring
Ring
Ring
2,500 00
10,700 00
75.00
45.00
6.00
10.00
200.00
200.00
536 00
TOTAL
19,798 72
00 . :0
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
}
III
JACK L. WOODS and DI~NNE_aL-WQDDR
being duly sworn eccordlng to lew, depose, end ny' th.t they a r.. ~h..
Co-Executors of the Est.te of Florence R. Wiley
I.t. of ______Mechanicsbu.rg_'__ , Cumberland County. P.., d.c....d .nd that the
within Is .n Inventory m.de by th"m , the seld Cn-F.xp."utot:.B-
of the .ntlr. ....t. of seld d.cedent. con,lstlng of .11 the penonel property and rul ....t.. ..c.pt rul ....t. ouhld.
the Commonwulth of Penn,ylv.nl., end th.t the IIgur., oppollt. eech It.m of the Inventory r.pr...nt It', faIr velu.
a, of the det. of d.ced.nt', deeth,
gh't")Yf'I b
19~
1:0/'1.' ~tf .Iv '
r Jl'JeC o~trotor
/V1VJU"/C.
.nd ,ub,crlb.d b.for. m.,
RcllIn , No\aJy l'Iil11o
~'l'<op,.CUmberlMdColJ1l\l
MlCon\InIIIonEJ<plresJuly3,l995
1247 Rebert Drive, Mechanicsburg, PA
Addron 17055
Dot. of De.th
03
Doy
10
94
Month
Vea,
INSTRUCTIONS
I, An Inventory mu" b. fII.d withIn thr.. month, .fter appoIntment of penon. I r.pr...ntatlv.,
2, A ,uppl.ment Inventory mu" be IIled withIn thirty dey, of dl,covery of addItIonal a..at"
], Additional ,hoeh may b. .ttached II to p.nonalty or reelty
4, Se. Artlcl. IV, Flduclarlll Act of 1949,
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CERTIFICATION OF NOTICE UNDER RULE 5.6/a)
Name of Decedent: FLOREt0Cl: R, I,) I rGT'
Date of Death: O~to..bef<... .3 199 'I Cl'
Will No. J ~ qL/ - O/J'itSS Admin. No, ~J"~ /,' _ ~)r;- rr;'"
(. , , ' , '.
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
11-/5-'ILJ :
Name
Address
/..e" f\
.:r/).c.~
8.
(J"la~f'!f
tJllw .TR..
v'
.,. J)1e< \'\IW A.. lJOOl:l$ :f/l..
.
c../-'tti'{'h ~+rr@t: ('llr/l~ft,) P..a.J70LJ
J.illlrrr':~+ '1ttn,/ (In.r I".fp. Pr. 17t!11
~ I
/.14"7 R.e.bert- J'lrlue_, \'r\PI'/..c.l\lr<;A,'3',~Jl 170ss'
14-?/P YaR.K.. ~VA'( (!. r, I'I,d"" ;Jfl /70~-.s-
'J J '
all persons entitled thereto under
Nlfo
/,1;), 7
430
::D~ 11'l1'1~
:ne_hrt;l. It. Smdh.
Notice has now been given to
Rule 5,6(a) except
Date:
11- I~ -'il(
1 ., )
f, /) (( ('.. .(L.J
1(1 P'~ ,-, '/\ -.,' \, 9./ ' c
~u. '7. I'lt .Co' ,/tA ,
s.!A'nature
::!) I /)!\l 1-:1 E" U)oO:OS
Name .Jt:l"U !.)c>nn<; .TR.,
Address j;}.LJ7 REBERT J:>RIVc
t'V\pc..~anlcsburQ PA 17o!>T
vI
Telephone 17171 to C; 7-97t(.3
Capacity: i/ Personal Representative
Counsel for personal
representative
.'t._
..'
ft,v 6'~17 v 16-
-
T
/~-
,
REGISTER OP wtLLS OP Cumberland COUNTY
REPORT OP STATUS OP ADMIHlSTRA'I10N
(Par Resident Decedents Dying ACter July 1, 198.)
ESTATE NO. 21-94-0855
.
Name oC Decedent: Florence
Social Security Account No,:
R. Wiley
189-18-6824
Date oC Death:
10/3/94
Hame oC Personal Representatlve(s):
.
" I
JACK L. WOODS
DIANNE R. WOODS
"
-
Capacity
(check one)
Execu tor
Administrator
x
Administrator c,t.a.
Administrator d,b.n.
Is the administration oC thc estate complete?
Yes X
No
"
If "yes", how was the administration ended? (check olle)
By court accounting
Ry account stated to parties In Interest
Old the parties release the
personal.representative?
Other (explain)
X
YES
, .
"
..
..
..
Total amount paid to date to creditors and Cor funeral and
admlnlstrativ'e expense
"otal value oC distributions to date 10 beneficiaries
.
,
If administration Is nol complete, estimated valuc oC assets
still In administration
$ 9,130.32
$ 9,976.68
S Completed
NOTE: This status report Is due no later than the due date Cur flUng the Pennsylvania
Inheritance Tax Return or, If no Inheritance Tax Return Is required, rune (9)' months
after the date oC de.Bth: If the administration oC thc estate has not been concluded,
a summary report shall be rued annually thercaCter unlll the administration Is complete.
'I certlry under penalty or perjury Ihot Ihe Corego}/1g IlI'f,o;;mallon Is otrre"l11 10 the
besl oC my ~nowledge, inCormatlon and beller, irJ'AUF 7.".It- ~ /(;,. J
Oote: J..tJ./)/) If .' 19.25 ('(24:() /Jlr KU)"M!-/./')
,/ " Personal Represenlall ve
, Allorncy Cor Estolt!
This report must be signed by the personal representative, or one or them when more
than one, or by counsel for the estate.