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HomeMy WebLinkAbout94-00884 " . ~-;:;':~~ffs.;"" 1\' ." ':;,;!- ,;' ./' , ... :. ~ ~_ - l' ',', ..,. '~..\.'; "'.".' ;' ,t-,.'-'" 0..;- '. "(-' ,~, ': . <-~ ,-I;, ,-.-<''''/ ';'.;-g~;.,'- .' ,~< '" " ;,. I I)ETITION I-on PIWIIATE und GnANT OJ. LETTERS /~III1I,' oj ~'\es_Cj'1.~~LS.__ No, ~(- 94 - J?t!1f. 111,\'(1/;1/1111'1111,' _____...___.____.__ To: -_. . -,....----- I{egbler of \~iIIs for Ihe\ \ "------.~.,' _/~','lI,l'L'd. ('OUI1l)' of ~~\.\,U~r_Ull.1C.\ In Ihe Sodul Sfl'lltlt" No. ac...0:::.\~.5l.i2t)_ ('onllllonwellllh or l'enll,ylvlIllln The pellllou of Ihe under,lgnell rc'peclfully l'el"e'el1l' 111111: Your ,"'llIioner(,), who b/ure IH )'eurs of nile (lr ol~'r ntlhe e'\CJ:JII~.......x In Ihe hlSl will of Ihe IIho,e IIeel'IIelll, dilled . ~\ \ ~ nnd collldl(,) dnled ~ll\ed ,19 C~IUII.' rdl.'HIIII dICIlI1l\IIlIl~'~'\. (',M. rl.'lIl1l1dlltlnll, tJrulh III' C'\I.'(lllut, ('II:.) lJecenllelllllll' IIomldlell III delllh in C, \ ..\....1 - I: \ COllnly, Pc 'ha.;s ~51 fnmll)' or prillclplIl re,idenee III . ., ." ~ (Ihl '1r<<1, lIumh", 11lIlll1lundl'ulil)'} I?"fellllenl,.lh~n . '1 \ y~nrs of~lge, died Cl",-k,b.e.r ~ , 19.::JL. III-\SU.L'I/~P.I_til.--:EO;.('l.Jn . Excepl II, follow" decedelll dill nol mnrry, WIIS nol divorced IInd did nOI hnve n child born or ndopled nfter execllllon or II Ie will offered for prohnle; WIIS nOllhe vlcllm of n killinll nnd wns never IIdJudlellled ineolllpelclIl: ~n IJceendenl nl denlh owned properly with cMimllled vnlnes us follows: (If domicilcd In I'n.) Allper,onnl property (If nol domiciled in I'll.) I'ersonnl properly in I'cnn,ylvlI'nln (If nOI domleilcd in I'll.) I'er,onnl property in Connly Vnlne of renl eslnle In I'cnnsylvnnln situnled ns follow,: ~c;::,"i<;Io,9':L $ $ $. $ o WHERIWORE, pellrioner(s) respcclfnl prescnled herewilh nnd Ihe grnlll of lellers thcron. rohnle of Ihe Insl will nnd eodlcil(s) t Q,"~~C1\~~, ~ c- ,,~ ",,0 ~~-,.,l !:a ,~ -~ -::-~. _ :he f~ ~\..u.._ ~~_\- ~ V'\ \ \ rs ~ ~ Iii !.? QQ' ~ ~ ~ OATH 01<' I)ERSONAL REPRESENTATIVE COMMONWEALTH OJo'I'I1NNSYLVANIA }' He COUNTY OJI CUMB.ERl.AND The pelitioncr(s) above.nnmed ,wenr(,) or nfl1nn(s) Ihntlhe slnlemenlS inlhe foregoing pelition nre Irue nnd cnrreel IOlhe hesl of Ihe knnwledge nlld belief of pelitlnner(s) IInd IIl11lns personnl rcpresen- Inlive(s) of Ihe nhol'C decedcnt "clitionerls) wi 1 weHund Iruly n minisler Ihe eMnlC neeordlng loinII'. \.. - , , N 21 - 94 - 848 o. Estate of JAMES C, MYERS I Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW OCTOBER 19. 19~. In consideration of Ihe pelhlon on the reverse side hereof, sntlsfnelory proof hnvlng been presenled before me, IT IS IJECREED thnl Ihe Inslrumenl(s) dnled JUL Y 15. 1987 described therein be ndmltted 10 probnle nnd flied of record ns Ihe Insl 11'111 of JAMES C, MYERS TESTAMENTARY CAROL ANN SWEIGARD a/k/a CAROL A. SWEIGARD ond Lellers nre hereby grnnled 10 FEES Probnle, Lellers, Ete, .. . ,. , . .. S 40.00 Shari Cerllnenles( 4) .. .. ...... S 12.00 Rell.Unelnlloll ,.....,......,.. S-n-nn- X-pages ".uu JCP S 5,flO TOTAL _ S 66.nn Flied ,..,. ..P~.1Q~~g .1~... .m~... .,.... ATTORNEY (Sup. Ct. 1.0. No.) ADDRESS PHONE on ['.' - , ,-, --l ; j ,_e c: Mailed letters and order to Executrix on 10-19-94. ,~1(1 :11 \,:' tuO&mnfY.... tfU 'OA lIuI tERmlCAlt 12001 WAliNING: 11 IS ILlEGAl I Ll /II. HIl lUtS COPY Oil TO DlJI'IIC/l1 E 1\1 1'1101 OS I III Oil PIIOlllGnAPII, COMMONWEAlTtt or PumS'1'lVANIA DEPAI1TMENT or lICALnt VITAL nEconos LOCAL REGISTRAR'S CERTIFICATION OF DEATH CERT, NO, 2382870 10 - 1.1- - rt/ Oat. III I..... III H.., C.."Ioultllltl Sex Place Ivanla Race Part I: (a) u.~z (c) (d) ParI II: Other Slgniflcanl Conditions MannerofDea~ Natural ff Homicide 0 Accident 0 Pending Investigation 0 Suicide 0 Could not be Delermined ,0 -" iJ WsJ~~ Address t ~~ 0 Is correclly copied from an original original certlflcale will be forwarded ) 22.222 Doscribe how Injury occurred: ~.. D.O., Coroner. M.E.) This Is to certify that the Information l1ere given death duly filed with me as Local Registrar, The Vital Records Office for permanent filing, ..' ~ /~. certificate of to the State //J - /,,4 - 71' lVL",1 ",,,"""., 01 ",UIAI'Cl)."t 1),""cINII 0.,. Hl'Cel.'d l'>y Lou. lIeg'''rar ';,:-:,"(~ [",;.;..,; L,,;~ ." .. "'I ,,,- ;-.lJ,rr is:)Uf i~{,!lr.hM:jlo~ii C"y.UOlough, Tg..nt1l1p co "t:f{ I.' t;.; i"~ C-\.M 10 ~ , \::"1 C>,' , " c:> ~. I- ~i! (; (~l fJ ....~1 (ho:: p' 0: Bl1B - 116 - LZ , ? "t. :~> ~:\. r "."'t ~.! " 3Enst 3l11Iill nub QItstnmttU OF JAMBS c. MYBRS ,. . r -.~ ;.'~ . ','" .'., I, JAMBS C. MYERS, of Bast Pennsboro Township, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this os and for my Last Will and Testament, hereby revoking any and all other wms and Codicils hcrebefore made by me. ~: I r< ARTICLE I '-/1: :r'( ~~'~ ,. I direct the payment of all my legal debts and expenses of my last mness and funeral from my estate as soon after my death os conveniently may be done. I authorize my Bxecutrlx to expend funds from my Estate for the purchase, the erection and Inscription of a suitable gravemorker. All of the foregoing shall be considered expenses of the administration of my Bstate. ,.-, ,-"~I ':'1 >, ! <'t' " l),' :;'.1 ':;-~ :~.:, j ;;,/ , ; , : I " I ," ARTICLE II I give and bequeath my automobiles, household and personal effects and other tangible personalty of like nature (not Including cash or securities), together with any exlstlng Insurance thereon, unto my niece, CAROL ANN SWEIGARD, Harrisburg, Pennsylvania, If she survives me. If my niece, CAROL ANN SWEIGARD, faUs to survive me, I give and bequeath the same unto my niece, PATRICIA WATT, Etters, Pennsylvania. i ,j i ~\l -, "'I 'I , I ,I J ,I ~ , :i ARTICLE III All the rest, residue and remainder of my Estate, of whatsoever nature and wherever situate, I give, devise and bequeath unto my niece, CAROL ANN : >,;,,;<,.:,,:\ ~;.t-~t:,'~i~;;.it.0;~:.u-SP'r;~i';"~;,..." ,'_'~" \......,-.,;.;:..,..'"'j:.J'":.,-.:,~t:P'h.n......<...L....'.~--- '0 ~~;l,..,-,.", ,~r"--- ''':~ , , , SWEIGARD, If she survives me. me, I give, devise and bequeath unto my niece, PATRICIA WATT. If my niece, all the rest, ANN SWEIGARD predeceases and remainder of my Estate CAROL residue ARTICLE IV I name, constitute and appoint CAROL ANN SWEIGARD, Executrix of this my Last Will and Testament. Should CAROL ANN SWEIGARD, fall to qualify or cease to 80 act, I name, constitute and appoint PATRICIA WATT, alternate Executrix to complete the administration of my Estate. IN day of WITNESS WHEREOF, I have hereunto set my hand and seal, this ~ ' 1987. /s-itl (lNY/'1 (,1-)/ e, Yt'J<je/1.<V o James C. Mye~J Signed, sealed, published and declared by the above-named Testator, as and for his Last Will and Testament, In the presence of us, who at his request, In his presence and In the presence of each other, have hereunto subscribed our names as witnesses. (SEAL) .~t4, hM.A~.ll ~l:t~ , ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA COUNTY OF L"UMBERLAND 9S1 I, JAMES C. MYEIlS, whose name Is signed to the foregoing Instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the Instrument as my Last Will and Testamentl that I signed It wllllnglYI and that I signed It as my tree and voluntary aet for the purposes therein expressed. -91-7''''' JVV' (;, 'n71/~~ d James C. M~s Sworn to or atrlrmed and acknowledged before me, by JAl\1ES C. MYERS, this ISJ^ day of ~ ' 1987. 0"'N~tarfPubl1~ JW~,'" tf'.'IlEY,I(lfAR11'UUl lIt~Es""-:I, I.' I..,..,.,PA. 1~0:ulW ,'. ." j,1 " .-:!~~':tr.::~,~~" ;J:'~'?_-"')1J~~~.f1tiF'::~~!J@;cT_~_:,. ,_ , 1. ;~ AFFIDAVIT COMMONWEALTH 011 PENNSYLVANIA I I SSI COUNTY OF CUMBERLAND I We, ~U'h... ~-dJ. and ~Vlld /J. 77/ ~ the witnesses whose names are signed to the foregoing Instrument, being duly qualified according to law, do depose and say that we were present and saw the Testator sign and execute the foregoing Instrument as his Last Will and Testament; that he signed willingly and that he executed It as his free and VOluntary act for the purposes therein expressed; that each of us In the hearing and sight of the Testator signed the Will as witnesses; and that to the best of our knowledge, the Testator was at that time eighteen (18) or more years of age, of BOund mind and under no constraint or undue Influence. ~tA,~~tJ ~}J./~ Sworn to or attlrmed and subscribed to before me by cRy~ .-'k1V>fM...u.....-, and ~V>U(;J ?'/'jNJ/ ,witnesses, this /5,h day of 9~ , 1987. / ~ fl, .4:jr Notary Public ,)N.h, ~ ,*~rcFY, I/OTW .,,~E.cli....Jln3, lGl11 t~P'" ~Ctut '~\ 1.1 .,:;' ;if ~..~.. d " I, '!.h ~l5: l.C. i . ..', . , '~ I ~ .. . , t ..... , ~ U ~ j'. Z' ' 0, ..~' ~ :;oIl z 'w '.0( rn :l ~'z on i f ~ g ~ ~" z . 0 B' J , ui 0: ,~ " . -~ ' ' 'J. -..," \" ", . ~ " .. '. .- ..' . ~ ,'" ~~,:~' ,'l ,{{, ""''& ~, ~': ~' CERTIFICATION OF NOTICE UNDER RULE 5,61a) ~' !i". b " r;" ~" l'! ~- ~ ~ " jf" t .' ~. ~ F: C, Name of Decedentl ~",,^~r\ C' ~.,," Date of Death I IO\S? \0, l!.. Will No, \qC\c4--o0~:~.4- Admin. No,~,-\-.O'8;~t../- To the RegisLerl 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 \ ()4-q 4. I ! ~> !; :{ ii," t Name r. ~n'")\ A S\.,c:\l""'I~r~ \ Address \/"l'-\(')L\M\...Aol''''' l?J LLL, n 11110 , ~ :: , ; ;; ! Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Datel_\-~~-~S 0.m~'._j Signature "- ~- Name c.""o\ A ~W~\cY"'~ Address \()U,{) llV'lo}e~ eJ ~""\""~\"''''l.l. rCll ~ \1 \\{) \ Telephone nil) ;;r~3-10lj.1 Capacity: ~ Personal Representative I/"l ~Ql; - - oEl .. ,., CI p:.:; 0- t' <:i .~:' .J. .~. IJ ..... 0 . , 0 ,., , -q ;.:1 >. ~ :,1 ;t) I~ Ot:l ;ii ( "j ~.~ ,';;' ~ -'. E a: a: c38 Counsel for personal representative "p,OD 2/~ 9t/-Yf<l f Inventory 01 the reel and pereonal eelale 01 , C' J Cl.. ,'-- ~___'- l k'_(j I.,/L_,J deceaaed D o...l.Jtfl M_.... 0- ...ct J I r I r. .., 1 :J ':'.Ll~ t .).' L L \.' [I.... ' '(/::J (.;.>"" , C /. c c ~;.....-t/ (It-;t. b "1 G :; S . ~) /-..- t'-'-.... "L,,_ fl II, ",J "-- " r .._ ' ~- ()()$:?- If) nL'-~- LC ct /1..v-'I...; ,,_I.. '/,11 '13 3d ,).,.] lo/) vO ,/50 00 "t5 0 0 00 so 0 oe) ~~-- .-_..~ ---.-..- If f/-' , (. T ,,_ f-o-'J ; L. L. f.t.- \.... '1-.' k._ L. /',,, ,o/.L/L.c-, r, / ? 7 "/ I k. elL IU."I.'-I J '1,. -I... r.... ll../~. T'-}.... / 1 J' b J'v.. (. <A..I"",. ~ 1-'- C. "- 00 :0 r. f" '? f: \.1 ~l , n , c.., F . I n, Ol] I,d .. iJ,: ,," " > .' c COMMONWEALTH OF PENNSYLVANIA i. COUNTY OF CUMBERLAND J III bolng duly .ceordlng to I.w, dopolol .nd I.YI th.t ho -----_ or tho e...to or I.to or -...- '...'_.. , Cumborl.nd County. 1'." deculed .nd th.t th. withIn II .n Iny.ntory m.do by ---_. , th. uld Dr th. entlro ....to or 1.ld doe.dent, conllstlng Dr .11 tho pe"onal prop.rty .nd ...1 ....... except rul .,t.t. ouhld. th. Commonwulth or Pennlylvanl., .nd th.. tho flguro. oppo.lt. o.ch Item or the Inyentory ..pre.ent It'. '.Ir y.lue .. 0' tho d.to 0' d.codont'. duth, .nd ,ub.crlbod bo'oro me, 19 Eucutor . Aclmlnhft.tor Addr... D.te or Duth Day Month v.., INSTRUCTIONS I, An Inyontory mu.t be 1II0d withIn threo month. .fter .ppolntment 0' pe..on.1 ..preunt.tlye, 2, A .upploment Inventory mu.. be lIIed withIn thIrty dey. 01 dl,coyery 0' .ddltlon.1 eueh, ], Addltlonel .heeh m.y b. .tt.ch.d .. to pe..on.lty Dr ...Ity 4, See Artlcl. IV, FIducIarIes Act 011949. ~ .,; w .. ~ ~ lli ~ .. " ... Ii; u .. 0 " e w Q '" ~ g: w .. .. iE .... u. ~ ... E Z 0 u. .... i1i 0 ... ~ W 0 -< :i- > z '" Z 0 c Q ~ - VI z tl 0 '" Z w -< ... ... ... c - .. -.: 0 " .J> ... ... " e 0 ~ ~ .. 0 " it ... u CIl \~,~ REV.UOO u+ ,(It.) + + 20. If lIn. 19 I, gr.ater Ihon lIn. 18. .nler Ih. differ,nct on line 20. lhl, I, Ill. OVERPAYMENT. S 0 ...rr.r:I....................... 'Ul..~tllilt... ...IIImIr.'l..Tj..II.....I.....l.... "HI.. 21. II line 18 I, gr.ater Ihon line 19, enter the differ.nce on line 21. Thl, I, the TAX DUE. A. Enter the Inter.,t on the balanc. due on line 21 A. B. Enl.r Ih.lotol of line 21 and 21A on lIn. 218. Thllls,h" BALANCE D1IE. Make Check Payabl. leu Realll., of Will., Agent I BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH ,I Under penaltle. of perlury. I declar. thai I ho.... exomined thh relurn. Inc.luding accompanying Ich.dul.. and Ilal.menh, and to the bll' of my knowledge and beU.f, I tru', cor red and compl.,.. I declare that all r.al ..101. hOI been r.ported 01 true morkel yalue. Declaration of preporer olher Ihan Ihe personal repre.entatlv. 11 o. on 01 r on which preparer ha. any I!:nowledge. SI tuU ,fR N '0 IIU ,ell flUNO RlI RN ADDRUS "\ DAtf \ \ ~_ 1~~ RE'IlUfN" V / ADOIIUS DAn ...~C_li"I_.~,:J~( LC'r-r ll..,--_~-...-,-L..n 1~_t.(,_.L_ (,/3(/1S' t- L.'_oI_-j ,", ~~)r-'~ _ .-~-:). /',<1 I 'I If ;l. 5 15 ~ ., r.! ..S12 bllEu ="9 u~.. tilE ..., .... B~ il 1.\ ,I I / 'I .,:;) I) (. 7 INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) 'OR OATIS O' DEATH AnER 12/31/91 CHECK HIRE If A SPOUSAL POVERTY CAlDIT 15 CLAIMED 0 fill NUMIIR .21, 7'1- 0 J.r~1 NUMBER COUNTY C~OE YEAR DlCIOlt~1'S COMPl(lI ADOIll L . (~K L\ I ,,' I,' , ~, "c. f ".r _. , r'il I -; , ;J '" ..:;., ",- ~ COUIlI ('_ 1(, , -,.. J. ~ r I" '\ tI... AMOUNt RlCllVID (U( INUIIUCTlONSI I" iIl"'lc..."lj ,uh'flljO veuu' HAI,I""" "." '''0 ",.tltlll Iwl"11 o 3. Remainder Relur" (lor dcl.1 01 d.olh p,lor 10 12.13.B21 o 5. Fed.rol e.late ToA Relurn Required [~n, OA, GY6, o 2. Supplemental Relurn Original Return o 40. Fulure Inl.re.t Compromlle llcr dor.. cl d.olh oil.. 12.12.821 Decedent Died ",tate 0 7. Decedent Maintained a living Tru,1 (Alloch copy 01 Will) (Alloch ccpy cl TrUll) ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TOI 'M 'L COM'UlI MAlUN9 ADORU . r ' (11_" ,e .3/0 {IJ (/( l'l v " I."'-('-~ V("ll' ('ll ,t'. I... r.'l (t... .1., 1'r1 limited e.lole _ B. Total Number of Safe Depo.ll 80'" .;-I.;~',,:< 17070 (" - .. '" ~ E ~ bl .. 1. Reol e.late (Schedule A) (1) 00 2, SlaCks and Bond. {Schedule 8} ( 21 ^ () 3, Clo..ly Held SlocI!:/Porln,,,hlp Inler..t (S(hedule CI (3) O~ A. Mortgage, and Not.. Receivable (Schedule 0) I A I 00 5. Cosh. BanI!: DllpO.lh & Mlte,lIoneoul Penonol Properly (51 'f tr, >1. ~ " (Sch.dul. EI 6. Jolnlly Own.d Proporly (Schodul. F) ( 61 .06 7. l,on".n (Sch.dul. G) (Schodul. II (7) . . 0 8. Tolol Gran A..el. (total line, 1.71 i' 5 1'1;1.. . J) 9. Funeral EK~en.... Administrative Co,U, Mlleelloneau. (9) Expen,.. t chedule H) 10. Debll, Mortgoge 1I0bllitl", Lten. (Schedule I) (10) . u G 11. Total DeductIon. (lotallln.. 9 & 10) 12. Nel Value of e.tola (line B mlnu. line' 1) 13. Charitable and Governmental Bequel's (Schedule J) lA, Nel Value Sub IIci to Toll. (line 12 mlnu.llne 13) 15, Spoulol Tran.fen (for dol" of dealh oher 6.30.94) Seo Inltructlon. for Aftpllcoblll Percentage on Revene 115) Side. (Include volu.. ram Schedule K or Schedule M.l 16. Amount 0' line 14 loxable 01 6% rate (16) (Include value. from Schedule K or Schedule M,I 17, Amount of lIn. 14 10lloble 01 15% role 117) (Include vatu" from Schedule K or Schedule M.) 18. Prlnc1pollolt dUll {Add tOK Irom lIn., IS, 16 and 17.} 19. Credill Spousal Poyerty Credit Prior Pay me nil Dlltounl Inlere.t .. ., !ii ... = ~ :E ., u ~ ... " Act ,... ., 1994 p~ovlde. for the reduction of the tax rate. Impo.ed on the net value of trande,. to or for the u.e ef the .pou.e. The rate. a. pre.crlbed by the .tatute will bel e 3% (.N) wMl be applicable for e.tate. of decedent. dying on or after 7/1/94 and before 1/1/96 e 2% (,HI wlH be applicable far e.tate. of decedent. dying on or after 1/1/96 and before 1/1/97 e 1% (.'1) will Ite applicable for e.tate. of decedenll dying on or after 1/1/97 and before 1/1/98 e Spelll.' ....nlfer. occurring on or after 1/1/98 will be exempt from Inheritance tax, PLEASE ANSWER THE FOLLOWING QUESTIONS ay PlACING A CHECK MARK (.....) IN THE APPROPRIATE BLOCKS. 1. 0101 decedent make a Iransfer and: o. r.tain the use or Income of the property transferred, ....................................................... b, retain Ihe right 10 deslgnole who sholl us. Ih. property Ironsf.rr.d or lIs Incom., ............... c. ret.tn a reversionary interest; or ................................................................................... d. recelv. Ih. promise for 1If. of .lth.r poym.nts, b.n.flts or cor.V ....................................... 2. If t1eeth occurr.d on or b.for. O.c.mb.r 12, 1982, did d.c.d.nt wllhln Iwo y.ors pr.c.dlng d.ath transf.r prop.rty without r.c.lvlng ad.quat. consld.ratlonV If d.alh occurr.d aFt.r December 12, 1982, did d.c.d.ntlransf.r prop.rty within one y.ar of death wlthoul rec.lvlng adequate consideration'..... H..... ........",.......oo .................... ........0............ .......................... 3, Old d.ced.nt own an 'In trust for' bank account at his or h.r d.athV...................................... YES NO ./ / IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST ~OMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. '. f') r.. ',i) I _J ., '':J '-' . a;u.. lj'\ ~, ..). ~ 00 ...n, Plea.. Prlnl or T e FilE NUMBER ,J /. '/'I - 0 I' I'L/ 'I~ UOU... IJl1) . w SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY tit, \/ ( (/ J' ':OMMONWfAl1H O. PlNN'YlVANIA INHIIITANCI 1Ak .nulN I"IDIN' Dle'DINt ESTATE OF J IL,,,-! I c IAII p,.potty lolntly.ownod wllh tho Right .f Survlvonhlp mu.t b. dl,cI...d on Schodul. '1 ITEM NUMBER DESCRIPTION " I /\ t ,f''''-''Ji 5. 3 1:1 (."uo$1- 1./eJ., U t'" ,," ~ ( I' .J;' .J ~. ~ 00. ....1) ',~ n /).. fJ U J ( C J... 0,:.... (f ".7., 7 , <;; 5 -.3 I<........~. u..-,...J.... J 0- I ,.. , ;.. .., 'J (CJ I \\.. , R.._ u. ^. ( tt.. {; ,. rl {.L.f'u...,.I..... {-d (II A -I I..." 4., <.' r< "~L' A-. Ir.... lit. ,., J I ,,-~ u....~,. (1 '.f'l......... 11u-,. ; ".. I I'=- II ..", .-.... ( c..~ T 0- ,. '( , I~ , c: f (: ,. ,r "1\. ..' f ,. ~ 1" r'7 ,I '1.., ? rtL e rr < ~" J ,J -/~. oJ-; ..tl.. W "-'I ,y. I., f I> ..)(..L /"..,.." -,,. <, C I<. (Attach additional 8\0\- x 11"' ,h"'t If mot. spacoit n..d.d.1 VALUE AT DATE OF DEATH /I G. ? 5 J' I;t., "f 'f. I f5 I, 0 I .33, 00 /, O. 00 'ISO. dO :25'00.00 500,00 S /-f.f'1 7, 4 L '(VlIlIlIt.l/'_1 . ITEM NUMBER A, D, 4. C. 1. 2, 3. 4. S, 6. 7. 8. . SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES . PI. as. Print or Typ. F E NUMBER ~ /. '7 <I - tJ f J'.../ CO~MONWr.AlIH 0' PfNNSYlVANIA INHfRIJANCr. 'AX IInURN .UIO(N'DfCfDfNI_ J !l ('It L J c I'll, ,t',' ,2 J DESCRIPTION AMOUNT 1. Funeral Expen.esl {u- ,,- c.~ r ~. I rl/o._,l(' (1. I J II "J'C~ /-{ r 70. U 0 ./ r,;J. 0, 0 0 5 o. co 1. Admlnlstratlv. CoslI. Personal Representative Comml..lons Social Security Number of Personal RepreSenlOllye, Veal' Comml..lons paid 2, Allorney Fees 3. Family Exemption Claimant Addre.. of Claimant at decedent's death Street Addre.. Cily Slole Zip Code Relollonshlp Probate Fees P:':":) C"'''J -(" Mlscellan.ous Expense.. , G., 00 ;lf5.00 C' ,'- ... 1. r r , ,,-,~.-(.., ( I ..... ~ "/.71 ,j ~ ..... III t" J (b III 11l...,~l,.....: <,., -I,,' Cl'yt. ( (J '/, 1- ...JV 0 ",' n. , ... r 1 y,..JJ ~ J, S'I ) 9. ,;u- -' -{. ~;I- "7- 35 ('p. L. a,<..11 a.I.-ll o c -I... L.. r IlL,., (D~'" *I-.c... C"c 1.c. ~ A-I-( tl..J"-.-I';l. _/Vo"., n- '-'-^-' TOTAL (Also enler on line 9, Recapitulation) (If mar. spoc. Is n..d.d, Insert additional sh..ts of sam. sll..) s :5 I q.~. 0 J' V REV-lS47 EX AFP 112-94* COKHOHW[AllH OF PENNSYLVANIA DEPAR'"EHr Of REVENUE . BUREAU OF INDIVIDUAL lAKES DEPT. lI0601 HARRISIURD, PA 111ll-0601 ,'I-.?-'II - '1 '\ \......... ACN 101 NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR OISALLOWANCE OF DEDUCTIONS AND ASSESSHENT Dr TAX DATE 10-17-95 EST T 0 ~ FILE NO. DATE OF DEATH 10-08-94 COUNlV CUMBERLAND NOTE. TO INSURE PRDPER CREDIT TD YDUR ACCOUNT, SUBHIT THE UPPER PDRTION OF THIS FORH WITH YDUR TAX PAYHEHT TO THE REDISTER DF WILLS. HAKE CHECK PAYABLE TO "REGISTER OF WILLS, AGENT" REMIT PAYMENT TO: CAROL A SWEIGARD 310 PARK AVE NEW CUMBERLAND PA 17070 REGISTER OF WILLS CUMBERLAND CO COURT HDUSE CARLISLE. PA 17013 AMount n..Sttad CUT ALDNG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .... iiilj=is4i-EX-iif'p-nZ":Qt.-nieificE--OF-YtiHEififliNCE-TA"inippjiiiisEHENT-,--iiLi.-owliNCE-iili--------------m DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF MYERS JAMES C FILE NO. 21 94-0884 ACN 101 DATE 10-17-95 TAX RETURN WAS. (X I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI DRIGINAL RETURN 1. R..I Eat.t. (Schedul. Al (11 2. Stack. and Bond. (Schedule 8) (2) 3. Clo..ly Hald stock/Partner.hip Int.r..t (Schedule C) (3) 4. "artg.ga./Hot.. Receivabl. (Schedul. DJ (4) S. Ca.h/Sank Depoalta/Hila. Parlonal Property (Schedule EJ (5) 6. Jointly Owned Property (Schedull Fl (6) 7. Transfers (Schedule 0) (7) 8. Total Au.t. APPROVED DEDUCTIONS AND EXEMPTIONS I 9. Funaral Exp.n.../Ad.. Co.ts/Hisc. EMP.ns.s (Schedul. H) (,) 10. Debts/Hortgag. li.bilities/li.na CSchadule I) (10) 11. Tot.1 Deductions 12. Nat Valua of Tax Return 15. Charltebl./Govarnnanta1 aequa.t. (Schedul. J) 14. Net Value of e.t.t. SUbject to TaM If an assessment was issued previOUSlY, lines reflect figures that include the total of ALL ASSESSMENT DF TAXI 15. Anount of Lin. 14 .t Spou.al 16. AMount of Lin. ,14 taxable at 17. A.aunt of Lln. 14 taxable at 18. Prlnoipal TaM Dua NOTE I rat. Lin..I/Cl... A rata Coll.taral/CI... a rat. U51 1161 1171 TAX CREDITSI PAYHENT DATE RECEIPT HUHBER DISCOUNT I +l INTEREST I-I I CHANGED .00 .00 .00 ,00 4,817.66 .00 .00 lal 4,817.66 5,142,08 .00 (111 U21 U31 U41 ~ 141 no 324.42- .00 324.42- 14, IS and/or 16, 17 and 18 will returns assessed to date. .00 X ,03. .00 K .06. .00 X .15. ual ,00 .00 .00 .00 AHDUNT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE .00 .00 .00 .00 . IF PAID AFTER DATE INOICATED, SEE REVERSE FOR CALCULATION DF AODITIONAL INTEREST. IF TOTAL DUE IS LESS THAN .1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YDU HAY aE DUE A REFUNO. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. I t.::.) ," .-: Cl 01 >- . 1 C'::J 1.,1,.', u: -. " ~:r, .2 :i ()O RESERVATION I E.t,t,. a' dlcadent. dying an a~ be'O~1 Dlc.~r 12, I'.Z -. I' any 'utur. Intara.t In the a.t.t. I. t~~.f'rrld In pa.....lan a~ enJoy-.nt to Cl,.. a (coll.t.~el) ben.flcl.rl.. of thl dacld~t a'tlr the 'Mplrltlon of any ..tlt. fo~ life or for v.ar., the Co~alth ha~eby I.p~a..lv r...rvI. tn. right to appr.I.. end 1..1.. tran.f.~ Inh.rltanc. TaM" at the I.'ul CII.. . (coll.t.rall rat. on ~y .uch future Inter..t. PtJIlPOU or NOTICEI To fulfill the raqulra.ant. of Slotlon ZI~D 0' tha Inh.~ltanc. end E.t.tl Ta~ Act, Aat II of 1991. 72 P.I. Sactlon Zl4D. D.tech the top portion 0' thl. Hotlcl end .~It wIth vour p.v.ent to thl Ragl.t.r of WIll. p~lntld on the r.vlr.' .Ida. .-"sk. check or ltOMy arder p.vabl. tOI REGISTER OF HILLS, AGENT All plv-enta r.oalv.d .hall 'Ir.t be .pplled to any Intlr..t whIch 'IY bl due wIth any r...lnd.r applIed to the tlX. REFUND CCAII A refund of . \1M orldlt, whIch w.. not rI~..td on the TIM R.turn, ..y be re"",.t.d by coepllUna an "Appllutlon far R.fund of P~'Ylvanla InharltlnC' and Eltat. TIM" (REY-1515). ApplIcatIon. ara IVIIlable at the O"lc. of the Ragltt.r 0' WIll., any of thl 25 R.venu. Dlttrlct o'flc.., or by call1na the .paol.l Z4-hour tn.warlng .arvlca nuabar. 'or 'or.. ord.rlngl In Penn.ylvanl. l.aOO-J6Z-Z0S0, out. Ide Pann.ylvanl, and within lOCI I H.rrl.bur. .raa (717) 7.7-a09~, TOO' (717) 772-2252 (Hlarlng lapalred OnIV). PA'mEHT I DIJECTIONSI Any partv In Intar..t not .atl.flad with the .ppr,lt..ant, .Ilowanc. or dl.'llowanca of d.ductlon., or ........nt of t.~ Clncludlng dl.count or Int.r..t) a. .hown on thl. Notlca au.t Object wIthin .IMtV C6D) dav. of rac.lpt of thlt Notlc. bVI .-wrlttan prot..t to the PA D.p.rt,ant of Ravenu., la.rd of Appa.l., Olpt. 281DZ1, H.rrl.burg, PA 1712.-1021, OR ..II.otlon to have thl ..tt.r dltar.ln.d .t audit 0' the .ccount 0' the p.rton.l r.pr..antatlv., OR .-app..l to the Orphan.' Court. AO.tlM JlTRATlYE CORRECTIONS, INTEREST I F.ctual .rrar. dl.cov.r.d on thl. ......-.nt should b. .ddr....d In wrItinG tal PA O.p.rt..nt of RIVanua, Bur.au 0' Individual TaMI', ATTNI po.t A......ent Rlvlaw unit, O.pt. ZID6Dl, Harrl.burg, PA 1712..D6DI Phona (717) 7.7.6505. S.. p..a J of the book lit "Inttructlon. 'or Inhlrltance Ta. R.turn 'or. R..ldant Dte.d.nt.. (REY-1501) 'or an 'MPlanatlon 0' sdalnl.trstl~.lv corr.ctlbl. .rror.. If any t.~ due I. paid within thr.a (5) calandar eonth. .,t.r the d.c.dant'. d.ath, . 'I~. p.rcant (5X) dl.count 0' the t.M p.ld I. allowld. Int.r.tt I. ch.rg.d b..lnnlng with flr.t day of dlllnquency, or nln. 191 sontht and ana (1) day fro. the d.t. of dl.th, to t~ d.t. 0' p.y,ant. f.... which bac... d.llnquent b,'or. January I, 19.2 b.a~ Int.r..t at t~ r.t. of .1. (6X) p.rclnt par annua c'lculat.d .t a d.lly r.t. of .000164. All t.... which b.c... d.llnquent on and aft.r Januarv 1, 1912 will b..r Int.r.tt at a r.t. which MIll v.ry froa c.l.nd.r v.ar to c.land.r y..r Mlth that r.t. announced bv thl PA D.p.rt.ant 0' R.vanu.. ThI eppllcabl. Int.r.tt r.t.. 'or 19.2 through 1995 .r'l DISCOUNTI ~ Int.r..t Aat. bUv Int.rut F.ctor !!!! Int'~lIt Aat. DaUy Int.ra.t Factor 191Z ,or .DDD548 19.7 .. .000141 1915 I'~ .DDDU. 1"8-1991 m .000501 191~ m .UUDI 199' .. .0DOlU 1915 m .DOUS. 199J-I9M 7~ .000192 1916 m .DDD27" 1995 ,~ .0DDlU .-Int.rllt I. c.lculat.d .. 'ollowtl INTEREST . BALANCE OF TAX UNPAID X NunBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR .-Any Notlc. I..uld ,'t.r tha t.M bacoa.. dallnquent will rlfl.ct .n Int.r..t c.lculatlon to ,I,taan (IS) day. b.yond the d.t. 0' the .......ant. I' p.vaant I. a~ a't.r the Inta,..t co.putatlon d.t. .hown on the NOUc" addl lIon.1 Interllt ....t b. calculat.d. .\ ... 1 ."'1 ~l I. I , . , '. , t. i ) ..J \ \ i .....-- _.,--.- -.._...~ , , t j , I i , ! -} I . ".... .!-!1'..!"_~_. /I,/;;, rj I ""1 to WI I .., :;: .. CO iii II III ri 'I~I~ or.; \'l1"...,P."!;. w,;.. 'I '." ....M \., \... '''.", .. ",., :r", N ~I.. t:n_ ,\J\~.t.l....... ~I~\'. Ul . ~ 1" . '" :; o. " .. .. - --,;"",""" - - , i ) , ; . ) , I ! i I I i I I 1 I , I i I 1 , . o , " , ~ . X ~ I " ~ . I.J.J f:? .. 4./_ r.:::;:;: t:::).~ (.:) ;.. -..:: ~ ....~ t;, la:t: t:C r:;; '-U "'4-. -., c:::. i;,,,:! ~.-;. ,,'::W i;:?~ :~j~ I~, .::) C) I.... o <;:' .) .--3 '~, / ~., .', . . . - ~ 'i I!:! .c 0 (J) e- ~ ~ ~ ~f'~ ~ -; 5 "138 >C:B~ c( - ~ AI ::l; i jJ ~ ido .. '2' a: ", ... - . " ,\ .' .,:. . "- ' "',.. J r i " t.. I ij f ,~, <t . , '-', ," ~'" ~ .. .' . , \ '0 . r. .J '\1" ...., ",.,. .1' . , , -. J" ,f< I \. ." .. _h ~ . . . .. ..*...'>-....~... ..- '..r:.:....... ,1 ..,. , . "I I I . '" t .' \ \, " .-.-. - '--- - . ""l{""r _..J f+. -. , Of:. , I I , . ._. :'_.'04~~~ ,:~.;,-,-r.~...,,,:,,:,~t!!-! t"" . . Cumberland county - Register Of Wills Hanover and High street Carlisle, PA 17013 Phonel (717) 240-6345 ~ ~' :' ~, '. "r j, "" ;';,' 'i' ~..' ~: ~'< f:~ ," 'C Datel 9/03/1999 :' CAROL ANN SWEIGARD 310 PARK AVENUE NEW CUMBERLAND, PA 17070 REI Estate of MYERS JAMES C File Number I 1994-00884 Dear Sir/Madam I It has corne to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration, This filing will become delinquent onl 10/08/1999. Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~!.~~~:::P>>C vm~ REGISTER OF WILLS CCI File 11-" __1 11- ....!J- . STATUS REPORT UNDER RULE 6.12 Name of Decedent: Date of Death: Will No, Admin, No, 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 No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: J. If the answer to No, 1 is Yes, state the followingl a, Did the personal representative file a final account with the Court? Yes No b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes 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: Signature Name (Please type or print) Address ( I Tel. No. Capacity: Personal Representative Counsel for personal representative (HAH:rmf/AHJ)