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HomeMy WebLinkAbout94-00905 , ',. ),> , " ,'r. 1; '.' . ~ " ~.) )~.~ ,-::.,ki ,.-~", ,,'-' ,.^C. ;' ,~'-',;;:.. ' ~ 1 ,r.: j::~,\ I ,1.;-' 'i .'. ,;.:~: . 'f,t~ t!{;:~:i.;,..: ;. <;i.,'Jr r'i~~~': ,,:!' r'l..3"i'J'i'-;;!~"":'; ...,::!i:ll~''."r.,..,fj-O:::'''' ~ 'f.- "" ,.>- ..~,,' ' , \ [..'liJi.f. :-........it"--q"- '. ....'.. t /- ti):~~{i~Jl}:~".;f};(,.t:> .;:? ~~ ~,~,...".\"",. r'~~ f . ,., ~i;~l~f~i~;0;~~~\ W~:::, ~,:': ,;e" ";"k,,,'.~I.~. ;,'., .. ";~>' oi~,:':,h:./" ,D\.~~:. '(1" ~,:.,,,~..,,t ...., " It ,,, "',j ~ .' ,,:-t ,,:'.:/.,,(.\..:.-,,:., !','., ....,. .- . ,':'.~' " ..lit".;'{';;":,.... ',-'.:;'.,:.\: ..~"" ~'.,{." "~-"i'" ,', " '. .,~ C'. ;i~~.i.~~'lu B'" 1I\:;;;~;'I;'I:'>::::<': :::,;'/ ;~i_': ':',' _ ",,,.;,",''' ,.~,.."c,-,"" :.-- "."". ...... " .'"~ .... " ." 'c.' .,,' ". . .," ".."., '. ' it.:-" ':.~, ,: ;\'" -,:: '.' .:;-.,~.., :':,-',' '.,' " 'l'.~'," '.<N4" "'.' ,.;.'.- .1,;,' ' .;: ",. '., :." ..... '. ')'.' ..,,- . . ",' . ' '\' ~, :: -~ ~ :1,' ~ ",,'- ..-" PETITION FOI( PIWHATE Illld GI(ANT OF LETTERS .. . . ll'\().L1, 1'\ (':L' if "tll\']/ N ~/_gti -'!:r.D~ 1.,""/1 u) .....Y- f)'" 't; _II./'u. ~.. .. ".1. .1 - ,11. __P<._ -:::1---- ___01_ "'.\11 klltH"" 11.\ _!'..\D_ . _ \~_._l.. _':;"___~Il.l!..l.~,____: .. In: _...... .,. ........_ ,_ .,..____ _.___.'_ Ilegl,'er III' Will, It I' Ihe , _.____~_._._____..._,.._'".....____._,.----,-f IJt'('C'",wt!. ('OUlll)' nf C;.~dl}~ " ldt. t'tl In Ihe SflCiIl/S""lIrit,\' Nfl, -:l Q.~L:..~ _~':nD.:J_u..!I.___ CIIIIIIII11IIWeullh Ill' Pellll,)'lvuulu The p.lllluullf Ihe lIuder,l"ued re'I'e""fllll)' repr",eUI' 111111: YUIll pellllnn"r(,), whu b/ure IN )'ellr,' of u~c/1I',older uUlhc e,e"III.,"-/ IUlhc 1'''1 wlllntlh.uhovc de.,'delll. .hllcd --!Y2-"l-lL',1.L..- uud eudkll(,) d,""d nUlllcd ,Il)~ hiatt' ''''l'\l1II1 ...lrl'IIIlI'III11CI.''', ('.tz. h,'IIUlldlllhlll, lh:nlh nf l'\C1:lIlut. CIC.' Dc"endenl wus dnllllciled UI.dellth iU_.J:.',.lU.I).\.J~' t ",(; .. COUUlY\ Pcnq.ylv nin, wllh h~\~:., fURlIly or principul rcsideu"cl"l j:~llj, ,,'u;,c.>----l)ltn,i .'lI"\! <jCIL " ~. ,,,y ~1~ ~Ul1....!L,-hLuJW..tW:.:.Iij,u.;lLt ~l- (Ii'l "1h.'CI, lIufi~ll'l IInd I11l1lldllilUI)') D.C5Udel~,. Iheu '7,..'1_ yeur~ oJ uge"dleu 'I," 0 19~, uI_\ln.' ,-.1.\Wi:tLIJ:::h\'l~r~ t: I', \,,' 'eft '"' ()', . Exccpl liS l~ lIuwA, ueeeuellllllu llll-;;;;;}ry, WIIS JIll ulvoree IIIIU uiu 11111 hllvc II chilu born or nuopleu nfler c,xeellllollof Ihe will uffercd for prubule: wus 1I01lhe \'icllm uf II kllliug unu wu. never ndjuuienled hleompelenl: Deeelluelll III delllh uWlled properl)' wilh cSllnlllleu vullles liS fullows: (If uumleileu in I'll,) All pcrsonlll property $ ';<''1. SoD, (If nol domicllell ill I'll.) I'ersunlll propcrlY ill l'ennsyl\'lIl1l11 $ ,~- (If nol dumicilellln I'll.) Pcrsonlll propcrty In CoulllY $ VIIIIIC uf rClll eslllle In I'cnns)'I\'lInlll ." 0 $, \ 1.0 ' ODD PF{ .Inlllleu II' follnws: ~l..LUlhr:OI IOO!, 1\lrI"P 1-\11\" R.ltd I "\l~w-II"U\lt"tter"II,LI WI-IEllEFOIlE, pelilloner(s) rcspeel full)' rCllue.l(s) Ihc, problllc of Ihc 11I.t will nnd codicil(.) prcsenled herewilh IInd Ihc grulll uf lellers -~, II" . ,".J (tl,.'!I1:llllCnlnr)'; IIdl6 nl\lrllliUI1 c.l.n.; ndmlnl\lrnllon d.h.n.t.t.n.) Iherun, i 6 -a- ilE "'5 1h: ~- ~~ '!i~ ,0 ;J ~ in ?1\'u~G.i~\1L~QLU ,'l$= :'>\\1, \:.." \J-{:,L..rJ~ IfU,JI , ( I (!, L\h\r I!JU i Pr'- 1'10 I \ OATH OF PlmSONAL ImPRESENTATIVE COMMONWEALTH OF I'ENNSYLV ANIA } l:l COUNTY OF l:l ... SII.".'I'II lu ur lIf11nned 1I1111 sllhserlbeu {' ....ILI.\I',(O.." befure \n,'\II11> _~~LUL____ dllY uf -.r....'C..~L\JJL.'-__~ 19....!.L!L 'n1CVO-<!..p~ ~,~ ~~M 1I"Risl"~ . I LJ -do L/ do. -J'/ The PCI;I;oller(s) IIhuvc.naJII.d swcarls) or ullinn(s) Ihllllhc sllllemellls In Ihe foregoing pelilloll nrc Iflle ullll CUHCCI lu Ihe hesl of Ihe kllowledge 1I11d hdief of pelilloner(s) IInu Ihlllll. personnl reprc.en. 11I11\'e(s) uf Ihe IIhu\'e uceellelll pelilluner(s) will wclllllld Ifllly lIuminl'ler Ihc cslnle nceoruing 10 Inw. 'In d~,~ ;)dj) jot. I!> tC. ~. " ~ it .:c. No. 21-94-905 Eslale of GLADYS MILLER ISENBERG I Deceased " ~ DECREE OF PROBATE AND GRANT OF LETTERS , i ~ .~ ~ AND NOW OCTOBER 25 19..lL-, In conslderotlon of the petition on the reverse side hereof, sotlsfoctory proof hovlng been presented before me, IT IS DECREED thotthe Instrument(s) dotrd ,TUNE 25. 1979 described therein be odmllled to probote ond OIed of record os the lost will of GLADYS MILLER ISENBERG AIKIA GLADYS C. ISENBERG ond Lellers TESTAMENTARY ore herebygronted to MIRIAM MILLER SCHEFFER ~Ohl0 l'.. t." ~ plLQ;, 'J'r'\ Regl.te' of Will. i FEES Probote, LCllers, Etc, .,......, $235.00 Short Certlficotes( 6) ,., . , . . . .. $ 1 B . 00 Renunclotlon ..............,. $ x-pages $ 3.00 JCP 5.00 TOTAL _ $:161.00 Flied .....' ,OC.TOBER. 25..19.!l4,..,... ATTORNEY (Sup. CI. I,D. No,) ~, ) ADDRESS ~: , PHONE ;- ,~ '1 .-. ,.., , c'!:( : -.:.: ~j uu 1I1'1'hOl\III\'''''' This is to rl'rtif)" (h.1I 1111..' illflll'lll,llltlll hl'll' gin'lI is l"lIllt'1t1)' 1111'1(,\11111111 ,lllllIIJ'.IIl,d 11',"lh;lll' III dt'.llll dilly filt'd Wilh me as I.ClcJlltl'gi~lr.tr. '1'11<.' origin.11 rcrlilir,tll' will ht.' Imwahll.d III Iill' ~1.11(' \'11.11 Hnlllll.. (Illltc' 1111 1'1'1111.1111'111 lilill~ WARNING: Ills Illegal to duplicate this copy by photostat or photograph. No, ~v /?~~~~~.zz~ I III ,II Ilq,(I'" II ill "(J"- Fl'C (or Ihi!lo n:rlifk,l1l', S!.tK) " .' " '~ I ~~ , . ~ !- 2612666 OCT I 3 1094 1>,IIl' ,. 1 I, I , . , i ,,,,, COMMONWEALTH 0' PENNSYLVANIA' OEPARTMENT OF HEALTH' VITAL RECOROS CERTIFICATE OF DEATH TY H Gllld a C. Isenberg DAlI ""'H '~Orf.-I .w.,u....." IQCW.IICUlllln ~1" . 207 - 22 - 0809 HN.II OlU 'nlWGM,u-a ., ...- MntftACl""... ...Clf....,.C....wt 87 '" CUrberland at Pennsboro ..., Curl>erland ~~..... -- Divorced 0. ,....0................. - ..... .........' ,d ~= New Curberland YOTHI............V...Ydi:II,...,.,..,..,. Mae L. Call ...""""""....... "mw Culilerland, PA 17070 II....~-,..,. _ _'CllI'Ie..na.... .....",.......-...-1 cler~cal state OICaIltJfr1UAU1OADOM..~_C""""" .....ZWCodllt 1006 Drexel Hills Blvd. ..New CUrberland, PA 17070 MntIIf'MA..:'_~~ Oscar W. Miller ... '-P- Lois I. Bueh ,,....- o ... .... .. UCI....Ofll~o\CTWQ....1UCH lIClMII~" . 012849-L ......,,""~......-..fM.N....,...""'JIl""...... .wId'''' ."""- Iblling Green Merrorial NAIoII.IrHD AODNSI 01' 1H:UfY Partherrore F.H. lICtHSl~" Ine. New curoerland PA 17070 -. ~.o.w.... 11."""'1I I..,N-........~....,.......N...-.,PtIlOl "...,,___NCIII" "" ...0 ..1iiI ."~""""" .. -. ....,..,........,.."...... - -- -...- -~ \'tv II 0IftIf............................ ... _,........_~_....1'M11 lMMIDW'aCAUN,... -.- ......-.glR-"_ L .!:>/\ J1\~ OUIlO IOff ~ A COfSlDUl tel Oft \J~_.. DIJI'JOIOffASACONSlOUltelCfl: ~-\- ,I~ -..- =~":OUU1Nll ~~G1"", ..-- .......-..w, t....:.~t IJ~.... ()-.,,", OUIIOIOA AS A COJGOUltel Of): -..- MMAI.I1DPn"1f'OHUI ........" Dr DlRH ............ .u.u.a'1WCIR TO moH"'...... -- IiiI Of"DlRH' - - 0 -- ...0 ..a< ...0 ...0 - 0 CoIolIdllllllbtdll..-... ORIOI'IN.IUftY p.bt\.O',....j ,...orfUUAY lHAlI'lYIIIWQM? OIlC11l11ttOWlKJUftYoctUMID. - - c:un-..u.o-a.....ClfWI 'cun""'~~~c.-"'dMI't___Cf>yK_l'IIII.._OMIt_~....nl .........-.III'f...........__~.........-...I....__~.................................................... ", o o o I'lACIiDrIfUUR'....,.........................oIIU y """"""..ISpoU',! ..., ... 0...0 .., ' <-- 1,,/,I.r,I./ v I M, 'f C l C IAHOCIIIf...IHQ""SlC&AH"",-balt..~___~..t_"'-.. .........-...,................_"'"".N.........................N&MMot(.'....__...................... ........... 'IIWDICALU~" 011 ..........~ ......a.w.............. My....... """OCCUffM.1M 'lMI.ul.."" _" ""...'1.... uu"l'I"" ata.-..I&atM.................................................................................................. NCWlffWIII 1II)HAl\JAI AND NJUBI" " . 3East mill aub Westa11Uut OF GLADYS MILLER ISENBERG I, GLADYS MILLER ISENBERG, of the Borough of New Cumberland, Cumberland County, Pennsylvania, do hereby make, pUblish and declare this as and for my Last will and Testament, hereby revoking any and all other former wills: ARTICLE I I direct that my Executrix hereinafter named pay all my just debts and funeral expenses as soon after my death as conveniently may be. ARTICLE II I give and bequeath my household goods, jewelry and other items of tangible personal property to my daughters, JUNE ISENBERG RESSLER, LOIS ISENBERG BUCH, and BARBARA ISENBERG BEARD, and unto my sister, MIRIAM MILLER SCHEFFER, in accordance with lists which I have filed with my Will and discussed with my sister, MIRIAM MILLER SCHEFFER. In the event of dispute as to any item bequeathed by this paragraph, I direct that that item become a part of my residuary estate and be converted into cash to be distributed with the residue of my estate. ARTICLE III I give and bequeath unto my sister, MIRIAM MILLER SCHEFFER, the following specific items: black glass plate, small square antique mirror, green & gold glass pitcher, tole lamp (black & gold), two floral patterned china cream pitchers and one sugar bowl of matching pattern, walnut dining room table with two board, table pads and table linen, a pair of brass candle sticks with crystal bangles, and wool pile India rug. . ARTICLE IV I give and bequeath the sum of One Thousand Dollars ($1,000.00) unto each of my fOllowing named grandchildren: Harold Avery Buch, . . Gary Lynn Buch, Karen Ressler Jefferies, Terrie Ressler Jory, Michelle Lee Ressler, Charles Donald Beard and David Call Beard. ARTICLE V All the rest, residue and remainder of my estate of whatsoever nature and wheresoever situate, I give, devise and bequeath unto my daughters, JUNE ISENBERG RESSLER, LOIS ISENBERG BUCH, and BARBARA ISENBERG BEARD, share and share alike, the issue of any who may pre- decease me to take the share of the parent by representation. ARTICLE VI I appoint my sister, ~IIRIAM MILLER SCHEFFER, to be the Executrix of this my Last will. Should my sister fail to survive me or fail for any reason to complete the administration of my estate, I appoint my daughter, LOIS ISENBERG BUCH, to be the Executrix of this my Will. IN WITNESS WHEREOF, I have hereunto set my hand and seal this OJ'''' day of ,} ,.-( I\.ll..., , 1979. A' 'fjts/l2ll~tt~~;trte~g'~ (SEAL /Jla.t"{,r" '(', v~.t".(.td- Signed, sealed, published and declared by the above-named Testatrix, as and for her Last Will and Testament, in the presence of us, who at her request, in her presence and in the presence of each other, have hereunto subscribed our names as witnesses. " I ~ 11r-; (7~Jl~4L I -2- ',,- Ji. ~;~tr~-'. ~', ': ~~~~~\; 'It) 0, 0-... I ~ cr -' '"rl " '1' ,', .'-' , -, 5 ".\", .ll 'Lt,' "..' ;. ,. " , ", ;<;'. ,\i' --~;-I;. "',,,.{ .~~ , . .h ~ ,,,,-, '. ", , ~, - " . - I... ''', " ,~' - .) , ~l~\~,':.~ "'. ,.:~, ", ''i,' " , '..,'. 'l,_. \' ~ j ", . , '\, " ,:\I~, ' , :1 . !.~. ~,-iY .. '.'-;'L_ ',I ,::~'" -" ~,\' ~ ,~ ' 'c ,'\. ,,' 'r, ':1.:'" .- '". ,,~" "., ':'~._f" ".~ . t ,\.. "'c- , 'j, ., . " ',' i, " ,,' \ " c- " '. ~ -~"l, .' " I~ ,; V\: .' , ., , \~ '-". "" ,. '. 'f 'I' 1.- ~ :) III ~" ", .~: . " ':! ~ ;,:- ': .'~:- " ":1' " - ,. " !, \, '. " '~IIl":", (:, - . ,. ~~ ,.,. " '- . ~"'" ).. '.~ ';I \1 :- . ", ~ -. " 'J: '\, ~i,~;}:i;.,~( ':t::-::: :.' , -:;4" . ~ \ - '.. , !! 'f' :~:~'<"':-.l'_ '....-,. -' t., " " .",. ~ ~) ~'_ ~'., .l~ " , ". . J:, ~ -.~" "f, ~'Y" "-i, ,', , , "i: " ~_. , ,..,. .' :T' ',f'" !::;. ".>.,. ".:'-'(~"'. I.~ ',i~<.: ". '~~~'>I\, '~. " ". , -'. -'!" ~ '. ..~ ~'! j". '.~ " " ; ~ " " /': " " " " ,'.- , . .. .; ':."'T.f ~ ., ''''.<- "~J" ~'~i:-":.~'['--~ :i.'C ?'- . '...:-t f ',.;:;~- '~;;"" , :'",' ", -'. - '1", , ' ~ i . " i:' . i:./,' \ ..-1'1,''- . /' -:~'.,'.. :' . , \ . ./- .. '.'j..i,.,' ,";l #, ',.' " '..... ,j; -',. .~ ' , " , , . " \, . " " f3., J February 11, 1994 Mary CLewis Register of Wills, Cumberland County Hanover & High streets Carlisle, PA 17013 Dear Miss/Mrs Lewis: In oompliance with attached copy of letter, your office, 2 February 1995, I have executed the enclosed required Certificate of Notice under Rule 5.6(a). Sincerely, l'~ W~v ~\~1 ~/V ~ cfuJiN Miriam Miller Scheffer, ~xecutrix 3116 Beverly Road Camp Hill, PA 17011 ....... tl' 00 :0:0 c: m ~ :3 ~. IP [!l (-.". (0 (.") S' .. , ill (,;'n. ii; L: (11 _I .... U. c. - !l.b (") L'" W ." P .> =" :; ~;r .. ~'j' \0 :-:: ro iij :0<:: 1:.:. 0 )>~ - - fnl '''j' " ,~jl ,J: Hi 'i" '1' ;~ -\ l~ ~ 21-94-905 / / / REGISTER OF WILLS OF (\, 1\ 'hili I', (1,. ,J COUNTY OATH OF SUBSCRIBING WITNESS '" codicil (each) a subscribing witness t')'tlle will presented herewith, (each) being duly qualified according to " law, depose(s) and say(s) that ", present and saw " the testat , sign the same and that ._ signed as a witness at the request of testal In ~ presence and (In the presence of each other) (in the presence of the other subscribing wltness(es)). Sworn to or affirmed and subscribed before me this day of 19_ (Name) (Address) Register (Name) (Address) '. REGISTER OF WILLS OF COUNTY OATH OF NON-SUBSCRIBING WITNESS (V\\RII1M MILU:f< ~;cl/r;r:r-I':r, I 1-/flRol j. Ii Piuc.tj 7\'R , ' (~ach) a subscriber hereto. (each) being duly qualified according to law, depose(s) and say(s) that -\J'h,l- (l'" familiar with the signature of )1 V(l,l,!, l'll',IO.. <] .\Mlhl'Llf, q codicil U testa! I~ ", of (one of the subscribing witnesses to) the will presented herewith and codicil believes the signature on the will Is In the handwriting of that-\9u,t .\ It. " Mr" I Iknowledge and belief. l Sworn to or affirmed and subscribed before 'In l'h '\)~nV In, ~O, I ~ ('fl.t t Lt. me this ('() '. :7. I day of (Nallle) ur (1)", O-~, , 19~ .~II~ Eu",-,tOd, rl,~~.ll (~('..,,'f H ~[lj\ r /1 e. . . r Addre;s) () f...... ~,b~\ Register rJit4r(..-l (; ~W"'</) n _' (Nallle) I /- .-.<'/ T,,,,;',>.- Lan_ Me,,, (,,,..(vrk,'?C( 14. , ) (Address) . -<f,,>'''ti' .' '. Cumberland county - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 ,,' , I'" u. ~. Datel 2/07/95 ~~ n S (.. f; c\ o ; , " ~!:i. t'il ill ... \.oJ :u:IJ c, ~ H) 0 ......, (~ f 1 {I: ,"} 1 '/_ o (') ""... -r: 0' ~"l) lilo - MIRIAM MILLER SCHEFFER 3116 BEVERLY ROAD CAMP HILL, PA 17011 ;;:> \0 j,:, ... REI Estate of ISENBERG GLADYS MILLER File Number: 1994-00905 I Dear Sir/Madam: It has come to my attention that you have not filed the Certification of Notice Under Rule 5.6 (a) 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 ten (10) days after giving proper notice to the beneficiaries and intestate heirs as required by subdivision (a) of Rule 5.6, shall file with the Register of Wills or Clerk of the Orphans' Court his/her Certification of Notice. This filing will become delinquent on 2/04/95. Your prompt attention to this matter will be appreciated. Thank You. Sincerely, 7YI~f. t~ pvz- [Jm (l/;a I ~. MARY C. LEWIS REGISTER OF WILLS cc: File Counsel Judge .. .. . Ir.l .~{.. CERTIFICATION OF NOTICE UNDER RIJI.E on t;- n', 5 . ~!il. Date of Deathl October 10. 1991~ l. l ' o .: \ :~ '0 ::0 . n' (11 l) " 0) lTI ~ " - " , . :;:.. :-- / '8 ~., \., 1>: II> n - - Name of Decedentl Gladys Miller Iasnberg Will No. 2l-199u090~ Admin. No. ~I 2l -1 qq 0tJ0r; 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 I Name Address Daughter Lois T Buch, 1211 Timher Lune. New Cumherland. PA 17070 Daughter Barbara I Beard. 887 Powells Vallev Road. Hnlifax. PA 17012 Grandson Harold A Buch, III. 2r;r; Conewaao Drive. Dover. PA 17115 Grandson Gary L ~",..t".. ,nR$ Wnqh~ngt.nn AltA, J Pn l"". 1 Anti, Mlt~ 0',103 ! l I I !' , I Cont' d page 2' ! Notice has now been given to all persons entitled thereto under Rule 5.6(a) except NnnA Datel 11 Feh 1qqr; -==m1~~~W '"Wl ~l&v ~ ~f1t{. Signature \ ~ , Name Ml~l!1m Ml11e~ Scherrer. Executrix Address 1116 Beverly Road Camp Hill. PA 17011 Telephone l7l'il 761-0141 Capacity I X Personal Representative None Counsel for personal representative r- --- . .., .-- , -- ,.., -',-.......1\ , . Re Estate of Gladys Miller Isenberg, Will No.21-19940905 " Cont'd from page 1 Grand-daughter Karen R Jefferies, 715 North Shore Drive, Milford, DE 19963 Grand-daughter Terri R Janczy, 412 South Way, Baltimore, MD 21218 i Grand-daughter ' 1,' Michelle R Ortlani, 419$ Flower Blossom Drive, Ellicott City, MD 21043 Grandson Charles D Beard, 174 Thornwood Drive, Beaver Falls, PA 15010 Grandson David C Beard, 885 Powells Valley Road, Halifax, PA 17032 ,- f Page 2' ..t iJJn<l, -) E-;-I<ch:: or G-1C\(u\e. /11.110"(" 1.1"nb~-r<1 1(11':101'>1 M;ll"r 5chc:!\-{~r - EK~c.."\-\ r i 'J; ,~ll{' :B..",C"'..I~ ~'nA. ~"h'1r H, Ill"'... . I (0 II .J-lhUflr,\ 10) ll'Jr,S'" &cJu<uc;(';'a- c,- c/u." k --\0.- - \ \u.. f:.I.mou f"l+ of -:II. II) 115".00 Pa.l.la.ble -/-0 ~~ j':.-le. 0-9 LU; II=>) f-kl'e....+ cover-i,.".] -I-k t",,,",-t,,+'Il-e. n~nrJC\, ~-l.\..~e ,'nh12rt'+""uz.. -Io..K -fo.- 'l'~ ct-+tv+e of Glct.c.kl:" Miller h;(,'nb.l2N/' ffu. -h;rlo(l.);n, c.'\re I~,~ii+'l('.<'-.h~\ Yl\.(rnb~~ -bkt'~ -\=rCJYl.'\ -t~ 5\10< + ~f".f'\-\C<l.f~ " ?;Ie No. ,Q9Lf-009CJS 'fk E'\.e ~, ~191f - (J'loS- U,,+e C>t ':D<!.\.'/"h 10/'0/ 1'i9 Lf -e"S'.:l:t ll-\ deCQ.ct&"'~ .)07- ~~ -O.?CJCj feel. J.:D *l. "f ~ )s(. -If 8 -0 If'f3 Vd "0:1 P'.lTlIJRqwno lJnO:) 1;,U~.ill:J'~J910 17Z: ld 6- NVr ~. SII!M )0 Jnlc'jf3el:l lI.fV.IS00 u. 11.9'1 * 11../-'< 1'2 _ /'/ INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) - t: I' BI SURI TO ANSWER ALL QUESTIONS ON REVERSI 5101 AND TO RICHICK MATH Und.r penaltl.. of p.rfury, I d.c1ar. Iholl have 'Ilamlned Ihl. relurn, Including accompanying .ch.dules and .Ial.m.nh, and 10 the best of my knowledge and b.lief, It II tru., carrecl and compl.te. I declar. Ihal all real eslat. ha. be.n reparleer at Irue marhl value. D.c1aration of pr'parer other Ihan the p.r.onal r.presentallve II bal.d on alllnformalion of which preparer ha. any knowledg.. StGNATUllf O. 'USON IIUPONSIII( 'OIlIlUMG IIETUII AOOIIUS t. DAT~ 't 1, 1 'Ylij II' I ,',i1(, 1\.\" J, ,\\tt1(' (\,,'\\', 111)1/ _-,-,hi 1,1 ')1, 1'\'(:1' SIGNAT IIf O. 'lIf'A~U pTHU. THAN.,,'lIn NTAflV ADDIIUS \ OAT' , I . \ (0) r("( i (, ~),,,~!. ,\1 !"" If,,, ,(~ ~, 1" V (; j( ~''i (,/ l!! ~~8 ="9 u~.. 'OR OATIS 0' DIATH AnlR 12131191 CHICK HIRE I' A SPOUSAL POYIRTY CREDIT IS CLAIMID 0 fill NUMUR ;.!I _ I q'IIi .. "70::: ts Iil III .. COMMONWfAltH Of PENNSYlVANIA OfPARTMfNf 0I1I1VfNUf Ofn 21060 HARRISBURO. f'A 11 210601 DICIDIN '5 NAMf IIA II. AND MIOOI INI IAII l ::'i(' n '0<"'-'1 G.l C\<l~1 '" Milk r 'OCIA! Sf CUll IT' NUN'U DAll Cl; DUIH DAlE Of IIIIfH ,10 - .2J.. -080 In ' '(' "'/(,'1 Ii" .I,' -/<)0(. II' "'l1lC".III.U....lwltlQ 'IOIlU 1""101 fUU "." ""D M'PtJll ''''''''11 $OCIAl UCUlllh' NUMI'II NUMBER COUNTY CODE YEAR OfCfO(N"$ (OMPlI f AOOItU f uJ. 1 .s h(\ft:.;' CP,." t...) ,')'..-.-dd(t.:' t-' ~ ..,r/l":" (!f;;t 7r/nrllt...:... I"'<f,._ I ,-no ,'10" ~ '\It!f t"Ir11 c,.. Jltrtl . It'\.. .. Coun' ~.( 1 J t.... /tln rl' AMOUNT IIfCfIV(O (Sff IN5111UCTIONSI tits .... "z B~ [9"1. Original R.lurn o .t. lImit.d ellatl 0 .40. Future Intlr"t Compromlll (for datil of d.olh oft., 12.12.B2) [9"6. OeCldenl Dild rlllate 0 7. Decedent Malntain.d a living Tru.t (Allath copy of Willi IAllach copy 01 TrUll) ALLCORRISPONDCNCI AND CONFIDENTIAL TAX INPORMATION SHOULD BI DIRECTID TO. ,. ,"" .,'j",' AM OMPUI( MAlLIN ADOII( ~ .311~' 'B,'y{o,-h/ J t::cl. C'Vhf' H./I, 10. 17t)// >;':':..~' .", , ~ o 2. Suppl.m.ntol Rllurn o 3. Remainder Return (la, dot.. of death prlo, to 12.13.821 o 5. Fed.ral E.latl Tax R.lurn Required ....L B. Total Numb.r of Safe Dlpo.lt Bo.... 14,/ - 0/ ( 11-1:.J.1{ " ' (2) ",,:i' , 131 141 (5 ) 100.00 Ni 'S, S- I z .. 5 E ~ III .. I. Real E.tot. (Schedule A) 2. Stocks and Bond. (5chldul. B) 3. Cia Illy Hlld Slock/Partnershlp Intlrlll (Schedule CJ 4. Morfgag.. and Notll R,cII...able (Schedule 0) 5. Calh, Bonk Depollll & Mhc.llon.ou. PI,.onal Prop.rty (Schedule E) 6. Jointly Owned Prop.rty (Schedule F) 7, T,on"e,. (Schedule GI (5,hedule l) B. Total Groll Aue" (totallln.. 1.7) 9. Fun.ral Expensel, Admlnlltratlve COlh, Mllcellonlou. bp.n... (Schldule H) 10. Debts, Mortgog. liabilities. 1I.ns (Schedule I) 11. TOlol D.ductlon. (totalllnll 9 & to) 12. N.I Value of Eltate 11In. 8 mlnul line 11) 13. Charltabl. and Go....rnm.ntal B.qullh ISch.dule JI l.4. Nel Value SubJlct 10 Tall (lInl 12 mlnul line 13) 15. Spou.ol Tronlfe,. (for dot.. of d.ath aft.r 6.30.941 See Instruction I for Af,pllcable Percentog. on R.....n. (151 Sid.. (Includ. ...011.1.. rom Sch.dul. K or Sch.dul. M.) 16. Amount of lIn. 14 tallabl. at 6% rote (Include valu.. from Schedule K or Schedul. M.) 17. Amount of lInl 14 IOllabl. at 15% role (Include valulI from Schedul. K or Schedul. M.I 18. Principal ta.. due (Add tall from Un.. 15, 16 and 17.) 19. Cr.diU Spoulol Poverty Cr.dil Prior Payments Ohcounl + \I 115',00 + !}.JS,t"O , 20. If line 191. gr.oter Ihan line 18, enl.r Ihe djff.r.nc. on lIn. 20. Thl.l. Ih. OVERPAYMENT. aD 21. If Line 18 I. greallr Ihan line 19, .nter the diff.r.nc. on line 21. Thl.lllhe TAX DUE. A. Ent.r thelnterllt on Ihe balonce due on L1n. 21A. B. Enl.r th. tolal of lIn. 21 and 21A on lln. 219. Thl. Is the BALANCE DUE. Make Ch.ck Pavabll lo~ Reghter 0' Willi, Agent (211 121AI (218) .!j'f ,;lo3, yo / ;n , 1"'-0 . ,~;;- ( 61 (71 )1.'1 ( ..!J-"''I. '16 (91 /O.,'?;J./f'/'i . (8 I (10) /0 J'..:l./f', 19 ~30 7:.2/, 77 . (11) (12) (131 (141 .23,' 7.;J/.7 )C._II (16) ,23(\ '7,,)./. 77 , x .06 II 13 .I''13,3/ , z .. ~ :II .. u E (171 )C .15 . (181 Interlll II 700, (10 (19) (20) Chec~ here if you ole rcquelllng 0 refund of your oVNpoymcnl. ~ /'13,3/ .2.1'l-3,'-J1 , " Act ,... ef 1994 Jlrovlde. 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 Itatute will b"l e 3% (.Nt will be applicable for e.tate. of decedent. dying on or after 7/1/94 and before 1/1/96 e 2% (,II) wlll"e applicable for e.tat.. of decedenll dying on or after 1/1/96 and beflne 1/1/97 e 1% (.'1) wlll"e applicable for e.tate. of decedenll dying on or after 1/1/97 and before 1/1/98 e Sto-- treR.fer. occurring on or after 1/1/98 will be exempt from Inheritance tax. PLEASE ANSWER THE FOLLOWING QUESTIONS IV 'LACING A CHECK MARK ("..) IN THE APPROPRIATE BLOCKS. YES NO 1. Old Mced.nt make 0 transl.r and: a. reteln the us. or In com. of th. prop.rty transF.rr.d, ...................................,................... b. retain th. right to d.slgnat. who sholl us. th. prop.rty transf.rr.d or Its Incam., .............., ...... V' c. ret.in a reversionary Interest; or ..............................................................................",.. v d. rec.lv. the promls. lor IIf. of .lth.r paym.nts, b.n.Fits or car.i ....................................... 2. If death accurr.d on or b.For. O.c.mb.r 12, 1982, did d.c.d.nt within two y.ars pr.c.ding d.ath transf.r prop.rty without r.c.lvlng od.quat. consid.rotioni If d.oth occurr.d oft.r O.cember 12, 1982, did d.c.d.nt transf.r prop.rty within on. y.ar of d.ath without r.c.lving adequate consideration'......,............ ....... t....... to,. ......... ....................... ........ ....... .......... .... v 3. Old deced.nt own an 'In trust for' bank account at his or h.r d.athi...................................... v' IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. . t,' "" Y.. (1'\ 1.....( , n' 0,.,:"; N ",:"j ., .. "1 uo- a:' ',.J l: .::J. ::J OU 1(1 1-" -~, r ;'i'lI';;<';""""'"'~'"''''''''~''_'+''''''~ at..1I011.. IIHII . ~ ,COMMONWUUH 0' PfNNSYlVANIA INHUlfANCI TAX a/1URN a"IOIN1 OlefD NT ESTAfl-Of==~=o~~oc,c"~~=,"~",~","~" ~ FIU'NUMBIR co '"'"""~'''~. . ">,",,-. (P,oPlrty 'oL~:~'~'~~~I';hi;ls-;'~~~r~~~~ dl"I"~ i. \lcto~:11 FI AII"ol..I~;; ;hfuf;f~!.~!t~ ;'je;~~; .oiu. which I. d.fln.d a.lh. p,l.. al which p,op..ty would b. ...hangld botwOln a willing buy.. and a willing ..II.., n.lth.. bolng .ampoll.d to bu 0' ..II, both ha.I~,!!!,oonab.lo.~nl.\,.I.dg. al tho ."I...nt.lach. . .--.-------' NUITMEMBER DESCRIPTION VALUE AT DATE Of DEATH SCHEDULE A REAL ESTATE \, Resic\e'f\c:.\.',~ ('etL~ e ::--tn:te : Lac:.a..tlu"'T\ - l-o+ /Jo 'It j 010< k Gj 5ec_ht1Yl ;).J HlclnlC\V1Cl rcJ..rK and 1lre.,.,e\ \-\;\\5 \CO(." l>re)\"e\ 1~;I\:; I '"'B1"c1., !Jew CY."I\ berlo..fld CJmber [CI(1C( I I C'OU,Vl+i I "PCl, 11o'{O "fe-ofe.--\-, .$0\ ck .Ju.n~ \5, Iq~5' :f: Ia.if qtJC, 00 I TOT~AI.o on!!!."",II~.'J~ R'~E"ul~onL___,._ (I( mor. spac. ;s n..d.c:J, inser' adc:Jitional sh..ts o( sam. sin.) sj,.a_~_qaCJ, QQ IlV.150J u+ I.-Ib) *' COMMONWEAlTH 0' PI'NNIVlVANIA . INHfllTANCf TAX IuulN ll'llDfNT DI'CfDfNT ESTATE OF SCHEDULE B STOCKS AND BONDS FILE NUMBER I Se;'(\b::r'l "\ G\C1c1.A.\':> M~\\<;'l- .?.I- Iq7't-I.)Cf~- (All proporty lolntly-ownod with Right of Survivorship muat bo dladoaod on Schodulo F.) ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH I. 15ol~ -:;hC\C'e$ 0)- t'NC 13,u'Ik (Olf' a...t ~rlc..Q.. ~... :..h",('~ O'YI \0,,0, I'i", Y', t1J a.lt>, I;J.S (l\b-l-e I<solf ,,-hare!. =-ulcl. Iddtl't - ll';S',SJ.:i,ao) Sed.::.:; ('CJn1"Yl,;5') ICfl'l t S. E. c::.. Fee. J- 39 j(9Jl. 00 .,I ( 5'1(.,,/9) TOTAL AI.o onlor on IIno 2. Roco Itolotlon) (If more Ipac. il n..d.a, ins.rt additional shll's of sam. I;Z'.' "Y,UOlI~. II I" * SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY I PloD'o Print or Ty 0 FilE NUMBER ':<1- I?'i'f - b?M: . COMMONWfAlrH 0' ~fNNSVtv"'NI'" INHllnANCITA .nu'N '.,.DINT DIC DIN' ESTATE OF I Sc!l1 h\?,-, , L~l ~u\:. (V1, 'I( to' r IAII pr,plrt.., lolnllv-own.d W Ih ,h. .Ight of Sur"lyouhlp mull b. dl.clo..d on Sch.dul. 'J ITEM NUMBER ~. 3. 7. 5'. 9. DESCRIPTION VALUE AT DATE OF DEATH 'f. ~,;',cI",V1~ ,'ell ,fur'''''' t....re. 0. rr ("(~, '",.lC ~ 'I "1>, \ I (\.ncl "\' \l r<\' ~e\-. Cu.s h ~cv...r\'l~ J>12pM; t 1')(;\.,K - MCfYlQL) rn"..kd a.CCL'U\1+- VlLlmb..... ll<{ - ~i-:J.?3lr-t w ,tl-. cu:c....L\ec( \id't'(~d --\0 10- 10- 1'19,+ CLl~h d,,, ,cqenc( on ISoLt 5h',,-e~ ot ?Nc:. ,p",,/;. WI s'\o"k CUA.i~oriz:~<~ bL\ boCl..q dtdlr-e,-~\rs Oc..toblr le, ,q'l4- ::Dcu-'fhiV\ :Oe0'~'11 -=P)n.,k - (\ec--f;\'c'<<t... <> t :\)02PO:'; t f\v,l'I1bC'r 8/- 000 'lf93 :r-I Rt!~'LII'\c( of ('c!".cr,,~ ,her-,.. cUf',-,:5. I- -{r<Jl1l C(lLh'ltr~ IV\(MOW':. u~ Wes t 5horc: ..d,n:. V)1t='flt h~ll1\e ~lu"J(""e\f1-\ M.~'-'...+m{><"lt Re+uV\cL o-r P-eV1....sl11.....'\n i c,- wlet FC(\e-aL( I Cjq't IVlq-r.u.. -rn.l<..es Ha'('('\'-5 . S'l\vinlS nt\/)" - (e::,.,{; f. c<\..+e or d,~!;O'~ · t j)\.\, Yl'l be:: r- (1 If - ,5" - )..!:; ~ .:3 I 0' I ss Llt-cI 7-/;).-I'jQ'f "; TM C{m""n+ ",r "Ia,ooo,oo pLt..." j"fere.:;+ <tCc....v.e'~ -Ie> /o.,o-t'ifY #Itl...,g :II' , I k::;J .3,OOO,t1c, t!I< c..r...SIn, (lI2I1,,<<.'t',~ b" Side. f<<r -sdrlfl"\ KE.I/-IS'I3 EX AFT' a.Hacf-u,d. 5ail..R. 0 f R.:..& e".i111,:te 5effElunfl,,+ s~:t- f'el<><-J-e C> l\ proflD- dlol .-Izt 'O<e~ . :3.13,37 4:, -f'K hl'-C'!. Cl~ (2'11" L~"'CllVC: ~\-, Av..chot'\('{J".. , Ii S o"ZJ'o. 00 I ';'7.00 /3 I':<~-, 31 , S'.:z.". '/0 c' ~, d~ 9J'<}, JlI to. $S t,,,I.S (Attach addlllonol 8~. )( II" ,hlll,l' mot. 'pace I, n..d.d,) .3 b 3.00 "1,0 I a . if3 S 51/- c>ZcJ3. 0 ..-_t..,.._______.~....~. ."._._ "-",:-"-~,",,-,,",-,,!,",.:>v...-........,,,.,_"..,_", REV-1543 EX AFP (8-94) *' COH"OHWf"Al HI Of PENNSYlVANIA D[PAR'"ENt Of REV(NUE BUREAU OF INDIVIDUAL UICU . D(PI. llOttOI IlAAAlnUAG, PA 17ua,oflOl II: INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO. 21 94-0905 94157083 12-28-94 1111 MIRIAM J SCHEFFER 3116 BEVERLY RD CAMP HILL TYPE QF ACCOUNT ~'SAVINas ! ICHECKIND TRUST CERTlflCA TE REHIT PAYHENT AND FORHS TO. REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 ESTATE OF GLADYS C ISENBERG S,S. NO, 207-22-0809 DATE OF DEATH 10-10-94 COUNTY CUMBERLAND PA 17011 HARRIS SAVINGS BANK ha. provldld thl DlPlrt..."' with thl Inlar..Uon llstad billow which ha. bun uud In ulculatlng thl potanUal tn dUI. Ihalr ncard. Indlcat. that .t thl d..th of the abave daudin', you Nllra . Joint owner/beneficiary of thh account. If 'tou f... thl, In'or..tlon I, Incorract, pl.... obtain wrlttan carractlon 'rol thl financial In.tltutlon, attach. copy to thl_ for. end r.turn It to thl I'M"" "1tc1r"~.. '''h neeDunt I, t...ahle In .,.rnrdftnCIl 1I1th n" Inheritance r... 'ewI nf t"'. Cn_anweelth of P.nnnh"ml" Que.tlon. eaw be an.wered bw ceiling C7171 7.,-a3Z7. COMPLETE PART 1 BELOW II II II SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 04-56-252318 Data 07-1;!-94 E.tabU.hed 'a Inlure proper cradlt 10 your account, two (2) cople. of thll nOlle. .ult .cca.p.nw your p.yaant to the Aagl.tar of Will.. ".ka chack payabla to. ~Ragl.tar of Will., Agant". Account aalanc. 9 , 012 . 43 Parcant TaK.bl. )( 100 . 00 A.ount SubJact to Ta. 9,012,43 Ta. Rata X .15 PotanUal TaM Du. 1,351.86 PART TAXPAYER RESPONSE COI FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSNENT BASED ON THIS HOTICE A. 0 The abava lnfaraatlan .nd ta. dua I. carract. I. You ..'1 chao.. to r..1t p..,..nt to the R.ghter of Wills with two coplel of thh notlca to abt.ln . dl.caunt or avoid Intera.t, or you ..., chack ba. "A" .nd raturn thl. notice to the Ragl.tar of will. and .n afflcl.l ...a...ant will b. h.u.d by the PA D.p.rtlll.nt of R.....nu.. B. ~h. .bov. ....t h.a baan or will b. r.partad and tax paid with the P.nn.yl...anla Inharltanca Ta. return to b. fll.d by the dacadant'a repre..nt.tI..... ,'j,"!~ ''Sc.hc!'(,~L~~ E I 'tefll t4 ,~ c. c=l Tha .bava Inforaatlan I~ncarr.ct and/ar dabts and daductlan. were paid by you. You lIIust call1phte PART l!J and/or PART 0 b.law. HOTE. If t.. pa.,eant. ara aada within thr.e C31 aonth. of the dacedant'. data of d..lh, you ..., aaduct . 5~ discount of tha tax du.. Any Inharlt.nce ta. due will baca.e dellnquant nine C') 80nth. .'t.r the data of de.lh. [CHECK ] ONE BLOCK ONLY If you indicat. a different tax rat., pl.... .tat. your r.lationship to deced.nt. OFFICIAL USE ONLY 0 AAF PA DEPARTMENT OF REVENUE PART ~ TAX RETURN - COMPU-rATION LINE 1. Data E.t.bl1Ihad 2. Account Balanc. 3. Parcent Taxabl. 4. Anount Subject to raK 5. Debts .nd Deduction. 6. A~ount TaKabl. 7. TaK Rat. 8. Tax Du. OF 1 2 3 4 5 6 7 8_ TAX ON JOINTnFiUST Ai:COUIITS X PAD 1 2 3 4 5 6 7 8 CLAIMED . PART ~ DATE DEBTS AND DEDUCTIONS PAID PAYEE DESCRIPTION AMOUNT PAID i TOTAL (Ent.r on Lin. 5 of TaK Conputation) I I I . Under penal tie. of perjury, I declare that the fact. I haYe reported aboYe are true, corr.ct and conplet. to the be.t of "y knowledge and b.lief. TAXPAVER SIGNATURE , HOME ( WORK ( TELEPHONE , GENERAL INFORMATION 1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSHENT with ftppllcebla In tun' b...d on Infor..Uan lubaltt.d by thl financial Institution. Z. tnhlrltancl t.. baea... delinquent nlna lonthl a,tar thl dlcldant', dl'l of d..th. S. A Joint account I. t.~.bl. IVln though thl dlcedlnt" n... wa. added .. . ..tt.r of convenl.ncl. ~. Accounts (Including tho.. held batw..n hUlband and wl,.1 which thl dlcldant put In Joint n.... within on. y..r prior to d..th .r. fullv I...bla II tran,f.r.. 5. Account. .,tlbllshad Jolntlv batw..n hu.band and wlf. aor. thin on. y..r prior to d..th ar. not I..abl.. 6. Account. held by . dlcldlnt "In trult for" anothar or othar. ar. ta.abla fully, REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE 1. BLOeM A ~ If thl In'or.atlon and coaputatlon In the notlc. ar. corract And deduction. .r. not b.lng clala.d, plac. an ~X" In block "A" 0' P.rt I 0' the "TaMpa~.r R..pon.." .actlon. Sign two copl.. .nd .ub_lt th.. with your ch.ck 'or the ..ount of ta. to the Ragl.t.r 0' Will. 0' the county Indlc.t.d. 'h. PA D.p.rt..nt 0' Revanu. will I..u. an o"lcl.1 ........nt (For. REV-15~a EX) upon r.c.lpt 0' the r.turn 'rol tha R.gl.t.r of Will.. Z. BLOCK I - I' the ....t .peclflld on thl. notlcl hI' b.en or will bl raport.d and ta. plld with thl Plnn.ylv~la Inheritance TI. Rlturn 'lied by thl dlcldent'. r.prl'lntatlv., pllcl .n "M" In block "B" of Part I 0' tha "T.Mp.~lr R..pon.l" ..ctlon. Sign one cop~ and rlturn to the PA D.p.rt.ent 0' R.v.nuI, Bur.au 0' Individual T.u., D.pt Z80601, U.rrlsburg, PA 17Ua-0601 In thl .nvllope provld.d. 5. BLOCM C - I' thl notlc. Infor.atlon I. Incorrlct .nd/or aedUctlon. ar. b.lng clalaed, ch.ck block "C~ and coapl.t. Part. Z and 1 according to the IIl.tr~ctlon. b.IQ.. Slin two cop I.. and .uoalt th.a with youl che~k for the ftlount of taM pay.ble to thl RIol.ter of Will. of thl county Ind)cated. Th. PA D.p.rt.lnt of R.vlnu. will I..u. an o"lcl.1 ........nt CFor. REV.15~a EX) upon r.celpt 0' the rlturn fro. the Regl.tlr of Will.. , TAX RETURN -,PART 2 - TAX COMPUTATION the data tha .ccount\orlalnaIIY wa. ef~bl~'h.a or tltl.d In the ..nn.r ..I.tlna at aat. 0' d..th. For I dlcld.nt dyln_ e,t.r IZ/ll/IZr Account. whiCh the a.c.d.nt put In Joint n.... within ani (II ~.ar of d..th .r. ta.abl. 'ully e. tr~n.fer'. Howlver, th.r. I. an 'Mclu.lon not to IMCaaa 11,000 p.r tran.f.r.. r.glrdl... of the vllu. 0' the account or the !iaber o'.account. held. If a double I.t.rl.k C..) app.ar. b.for. your flr.t naa. In the addre.. portion of thl, notlc., the 13,000 ..clu.lon alr.ady ha. b..n d.ducted froa the eccount belance a. r.ported by the financial In.tltutlon. LIHE I. Entar NOTEr l. Ent.r the total b.l.nc. a' the eccount Including Int.r..t accru.d to the data 0' daath. 1. The perc.nt 0' the account that I. ta.able for a.ch .urvlvor I. d.t.r.ln.d e. follow.r A. The p.rc.nt ta..bl. for Joint ....t. ..tabll.hla lOr. th.n one y.ar prior to the d.caa.nt', d.athr DIVIDED BY TOTAL NUHBER OF JOIHT OWNERS Exa.pl., A Joint ....t r.gl.t.r.d DIVIDED BY TOTAL HUHBER OF X 100 . PERCENT TAXABLE SURVIVING JOIHT OWNERS In the na.. 0' the alcadlnt .nd two oth.r p.r.on.. 1 DIVIDED BY 3 CJOINT OWHERS) DIVIDED BY 2 (SURVIVORS) . .167 X 100 16.7X CTAXABLE fOR EACH SURVIVOR) B. Th. p.rc.nt t...bl. for ....t. cr..t.d within on. y..r 0' the daced.nt'. d..th or account. own.d by the a.c.d.nt but h.ld In tru.t for anoth.r IndlvlduaIC.) (tru.t b.naflclarl")1 I DIVIDED BY TOTAL HUHBER OF SURVIVING JOINT OWNERS OR TRUST BENEFICIARIES M 100 . PERCENT TAXABLE E...pl.r Joint account r.gl.t.r.d In the na.a of thl d.c.d.nt .nd two oth.r p.r.on. and a.t.bll.h.d within on. y.ar of d.ath by the dec.dant. 1 DIVIDED 8Y 2 (SURVIVORS) . .50 X 100 . SOX (TAXABLE FOR EACH SURVIVOR) ~. The a.ount .ubJ.ct to t.M (line ~) I. alt.r.lned by .ultlplYlng the .ccount balanca (1In. 2) by the p.rcent ta..bl. Clln. 5). 5. Ent.r the tot.1 of thl d.bt. .nd deduction. II.t.d In Part 3. 6. Thl ..ount ta.abl. Clln. 6) I. d.teraln.d by .ubtractln~ thl d.bt. ond d.ductlon. (11nl 5) froa the a.ount 'ubJ.ct to tl. Cline ~). 7. Entar the approprl.t. taM r.ta Cllna 7) a. d.t.ralned b.low. A. Fo~ a.t.. of d..th occurring .,t.r 6/30/94, tha taM r.t.. 'or tran.far. to .pou... ar. .. follow" 1. Olta. of dlath on or .ft.r 7/1/94 and b.for. 1/1/96 the rat. I. 3X. 2. Oeta. of d..th on or a't.r 1/1/96 and be for. 1/1/97 the rata I. ZX. 5. D.t.. of d.ath on or .fter 1/1/97 and bafora 1/1/9& the rata la IX. 4. o.t.. of aaath on or .ft.r 1/1/91 tran.f.r. to .pou... will b. e.eapt froa ta.. Hotal For data. of aeeth prior to 7/1/94 tran.fer. to spou... ar. t..abl. at 6~. a. Tr.n.f.rs to Ilne.1 da.c.ndante Including father, aothar, .on, d.ughter, grandchildren, .on-In-Iaw, daught.r-ln*law, .t.pchlld .nd th.lr Is.ue ar. t..abl. at .1. parcant C6XJ. C. Tr.n.far. to all othar. Including broth.r, .I.tar, uncle, .unt, n.phew and nl.ca ar. ta.abl. at flft.~ parc.nt C15XJ. D. If YOU chang. the ta. rate, pl.a.. .p.clfy ~our r.latlon.hlp to the decadant In the ar.. provided. I. Th. a.ount of tlM due (1In. 8) I. d.teraln.d by aultlplYlng tha aaount ta.abl. (IJna 6) by the taM rat. (1In. 7). CLAIMED DEDUCTIONS - PART 3 DEBTS AND DEDUCTIONS CLAIMED Allow.bla dabts and dlductlon. ar. detaraln.d a. folloW'1 A. You I.gally ara rlspon.lble for payaent, or the a.tlt. sUbJ.ct to .dalnl.tratlon by a p.r.onal rapre.ant.tlve I. Insufflcl.nt to p.y the d.ductlbl. I'.... 8. You .ctually paid the debts after d..th of the decldent and can 'urnl.h proof of paya.nt. C. Debt. baing clel.ed au.t b. It.ell.d 'ully In Part 3. If additional .pac. I. ne.ded, u.. plain papar I 1/2" . II". Proof of pay..nt a.y b. r.qu..t.d by the PA nepartaent of Ravenue. TAXPAYER ASSISTANCE IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANY REGISTER OF WILLS. PA DEPARTMENT OF REVENUE DISTRICT OFFICE OR CALL THE BUREAU OF INDIVIDUAL TAXES, TAXPAYER INQUIRY UNIT IN HARRISBURG AT (717) 787-8327. TOOl (717) 772-2252 (HEARING IMPAIRED ONLY) .1~lSOt 'h IIU'I f .w COMMONWUU'H 0' 'INNlnVANIA INHllUfAHCI 'All RnURN .!IIOIH' OICIOIN' ESTATE Of I SQ(\ bl j'I: Joln"on"n'I.). SCHEDULE F JOINTLY-OWNED PROPERTY G-l acl.,t.; fYl. 'I/e' ("' NAME A ,,' 'Mlflan1 J. Sc.her5er- B, C, Jolntly-ownod P,"porly. ADDRESS 311(, 13ev.:-r \"\ ~CX"J(t L<1.Yl1r 1-\;11/t1,-.17D/I FiLl NUMBER ..:11- IQ'7'1 -OqCI'::; RELATIONSHIP TO DECEDENT Sl~+er ITEM LmER DATE FOR NUMBE JOINT MADE DESCRIPTION OF PROPERTY TOTAL VALUE DECD'S DOLLAR VALUE OF TENANT JOINT OF ASSET % INT. DECEDENT'S INTEREST 1. A. 19 D'S.... .. :Dru.'fh ~ VI "Der'~ it- t.<\r.t:::- ,'it Ij,;J 80 5t,cP. I;(,~/.<fo c,^e..b n</ Il",t. '1J'J.J'tl3:).I ;2'1- . J I J... A. 'f.:;. -'Ill ~<;,n:' s""'4sGc\'lk- Ced, 0"" ~::."t 1-5;'1$ 7,70 5"0% ;?:<, !i;;J.? ?,s- No, D't-r.f.:,':),~8 99S' . TOTAL (Aho enter on line 6, Recapilulatlan) S ::2 3 75-0. :.lS (II more spoce IS n..cJ.d ;nserl additional sheels o( some size) REV-lS43 EX AFP (8-94)_ CD""ONWEU TIt OF PENNSYlVANIA OfPAATHENT OF REVENUE BUREAU OF IHDIVIDUAL lAXES Df:PT. lIOnl KARRtS.URa, Pi 171ZI.0601 INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACN DATE NO.21 94-0905 94153886 12-12-94 TVPE OF ACCOUNT ~ SAVINGS CHECKINa TRUST CERTIFICATE REKIT PAYHENT ANa FaRHS Ta, REGISTER OF WILLS CUM8ERLAND CD COURT HOUSE CARLISLE. PA 17013 ESTATE OF GLADVS C ISENBERG 5.5. NO, 207-22-0809 DATE OF DEATH 10-10-94 COUNTY CUMBERLAND MIRIAM J SCHEFFER 3116 BEVERL V RD CAMP HILL PA 17011 DAUPHIN DEPOSIT BANK I hu provided the Depart..nt with the Inlar..Uon U.t.d below which h.. blan und In C81cuhtlng the potlntl,. t8M due. Thalr r.cordl Indle.t. thlt .t the d..th 01 the .bov. dlcldlnt, yOU ..Ir. I Joint owner/beneflel.rv of thl. lecount. If YOU ,... thl, Infor..llon 1. Incorrect, pl.s.. obl.ln wrlttln corrlctlon fro. thl ,Inlnel.. InstItution, ,ttech . copy to thl, lor. and r.turn It to the above .ddr.... lhl. accouot I_ t...bl, In accordenea with the Inheritance r8. le... of the CO"onweelth of Penn.ylvanl.. Qu..tlona ..'1 b. anawar.d by c.lllng (717J 747a4SZ7. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAVHENT INSTRUCTIONS Account No. 0048280321 a.t. 05-29-64 Edablhhad Account aa1anca Parcant Taxab1. A.ount SUbject to Tax R.t. Pot.ntl.1 Tax Du. To In.ur. prop.r cradlt to your account, two {ZJ coplaa of thla notlc. .uat acco.pany your p.y..nt to the R.glatar of Willa. ".k. ch.ck payabla tal "Ragl.tar of NIII., Agant". PART IIJ 2,442.BO 50.000 1. 221. 40 .15 IB3.21 TAXPAYER RESPONSE FAILURe TO ReSPOND WILL RESULT IN AN OFFICIAL TAX ASSESSHENT BASeD ON THIS NOTICE x T.. HOTEl If taN pay.ant. ara .ada within thr.a (SJ .onth. of the dacadant'. date of daath, YOU lllly daduct a 5:C dhcount of the tIN dua. Any Inharltanca tllN dua will baco.. dallnquant nlna (9J .onth. aftar the data of death. K [CHECK ] ONE BLOCK ON LV A. [:] Th. abova Infor.atlon and taN dua I. corract. I. You .ay chou. to r..1t pay.ant to tha Raghtar 01 Nllh with two copl.. of thh noUc. to obtai" a dl.count or avoid Int.r..t, or you .ay chack box "A" and r.turn thl. not Ie. to the Raglatar of Will. and an offlcl.1 a......."t will ba I.suad by the PA napllrt.a"t of Rav.nue. a. ~h. abov. ....t ha. baan or will b. raportad an~. taN p.ld ~Ith the Pann!!lyanla Inh.rltanc. Tax r.turn to b. fll.d by the dac.d.nt', r.pr..antaUv.. '".,II,"e "..;("h~(t..U?~ r. I fv~h ':t1 I / C. [:] Th. abov. Inlor.atlon I~ncorr.ct and/o~.bt. and daductlon. war. paid by you. You .u.t coapl.t. PART ~ and/or PART L!J b.low. If YOU indic.te . ditf.r.nt t.x r.t., pl.... stat. your relation.hip to dac.dant: PART [!] TAX RETURN - COHPUTATION OF LIHE 1. D.t. Eat.bllah.d 1 2. Account a.1ance 2 S. Parcant T.xabl. 3 4. Anount SUbjact to Tax 4 5. D.bt. and Daduotion. 5 6. AftOunt Taxabla 6 7. Tax R.ta 7 8. Tax Du. 8 OFFICIAL USE ON LV 0 AAF PA DEPARTHENT OF REVENUE TAX ON JOINT/TRUST ACCOUNTS K PAD 1 2 3 4 5 6 7 8 CLAIMED K PART ~ DATE DEBTS AND DEDUCTIONS PAID PAVEE DESCRIPTION AMOUNT PAID I TOTAL (Entar on Lin. 5 of Tax COMPut.tion) I t Under pana1ti.. of parjury, I daclara that the fact. I haya raportad above ara trua, corract and cOMplata to tha ba.t of ny knowladg. and baliaf. TAXPAVER SIGNATURE HOME ( WORK ( TELEPHONE DATE I I NUMBER GENERAL INFORMATION 1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAM ASSES5HENT with appllubl. Int.r... b...d on Infor..tlon sub.ltted by the flnancl.l In.tltutlon. 2. InharltanCI taM baeo... delinquent nln. lonthl a,t.r the dacadantt, data of d..th. 1. A Joint account I. ".abl. Ivan though thl dlc,dant', na.. wa. added .1 . ..ttar of conv.nltncl. 4. Account. I Including tho.. held batw"n husband Ind wi'.' which thl dlcldant put In Joint n.... within ant yaar prior 10 d..th art fully tawlbla .1 tran,'.r.. S. Accounta ..tabll.had Jolntlv batw..n husband and wlf. aot. than ana v..r prior to d.ath .t. not ta..bl., 6. Account. held by . dacadant ~In tru.t lorR anothar or othar. at. tt.abla fully, REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE 1. BLOCK A . I' the Infor..tlon and co.put,tlon In thl notlc. ar. corr.ct and d.ductlon. ar. not b.lng clala.d, plac. en "X" In block "A" 0' Part I 0' the "'a~p'y.r R.,pon.." 'Ictlon. slun two cop I.. and .ub.lt th.. with your chICk 'or the ..ount 0' t.M to the RIgllt.r of WillI 0' the county Indlcat.d. Th. PA DIPlrt..nt 0' R.v.nu. will I..u. .n a'flclal ........nt CFora REV-154' EX) upon r.c.lpt a' the r.turn fro. Ih. R.gl.l.r 0' Will.. z. alDCK a - I' lhe ....t .p.clfl.d on Ihl. notlc. h.. b..n or will b. r.porl.d .nd taM paid with the Penn.ylvanll Inh.rltanc. T.. Rlturn fll.d by tn. dlcld.nt'. raprl.antltlvl, pllce an "X" In block "a" 0' P.rt I 0' the "TaMplyar R..pon.e" ..ctlon. Sign on. copy and return to the PA Depart.ant of Rav.nue, BurllU of Individual Taw.., Dapt l10601, Hlrrl.burg, PA 17121-0601 In the .nvelope provld.d. 5. BLOCK C - If the notlcll Infor.atlon 11 Incorr.ct and/or dldUctlon. Ire bllng cl.la.d, chICk block "C" .nd coapl.h P.rh 2 and 3 according to Ihe In.tru~tlon. b.low. Sign two cop I.. and ,ubalt th.e with your ch.ck for Ih. a.ount of taM payabl. to the R.gI.t.r "r t:ll::I of t.,. C1C:.:nt:: 1,~:r1c::l~cd. Tho 0, Oa;".r'.~,,~ rf 0""...... wilt I..,,. ,." nfflrlal ........nt (For. REV-154ft EX) uoon rac.IDt 0' the r.turn 'ru. the R.glat.r of Willa. TAX RETURN - PART 2 - TAX COMPUTATION LINE I. Ent.r NOTE, the d.t. the account originally wa. ..t.bll.had or tltl.d In the .ann.r aMI.tlng .t data 0' d..th. For a dlcedlnt dying a'tlr IlI12/'Z, Accounta which Ih. d.cadant put In Jolnl n.... within on. 11) y.ar 0' d.ath ar. I..abl. fully I. tran.f.r.. How.v.r, th.r. I. an ..clu.lon not 10 .Mca.d 15,000 p.r tr.n.far.. raglrdl... of Ih. v.lu. 0' the .ccount or the nueb.r 0' account. hald. t, . doubl. ..t.rl.k (.., .pp.lrs be'or. your first na.. In the addre.. portion 0' thl. notlc., the IS,OOO e.clu.lon alr..dY h.. b.an d.duct.d 'roa the .ccount b.lanc. a. r.port.d by the 'Inancl.1 In.tltutlon. 2. Ent.r the tot.1 ballnc. 0' the account Including Int.r..t accru.d to the d.l. 0' d.ath. S. Th. p.rc.nt 0' the .ccount that I. t.xabl. for ..ch .urvlvor I. d.t.r.ln.d .. follow., A. Th. p.rc.nt t...bl. 'or Joint ....t. ..t.bll.h.d .ore than on. yaar prior to tha dlc.d.nt'. d.athl DIVIDED BV TOTAL HUHBER OF JOINT OWNERS EXllpl., A Joint ....t r.gl.l.r.d DIVIDED av TOTAL HUMBER OF X 100 . PERCENT TAXAIlE SURVIVING JOINT OWNERS In tha n... of the d.c.d.nt and two oth.r p.r.on.. I DIVIDED BV S (JOIMT OWNERS) DIVIDED BV 2 CSURVIVORS) . .167 X lOa . 16.7~ (TAXAalE FDR EACH SURVIVOR) B. Th. p.rc.nt tax.bl. for ....t. cr.. tad wIthin ana yaar of tha d.cad.nt'. d..th or account. own.d by Ih. dec.dant but h.ld In tru.t for anoth.r Indlvldu.IC., (Iru.t ben.flclarl..11 I DIVIDED av TOTAL HUHBER OF SURVIVING JOINT OWNERS DR TRUST BENEFICIARIES X 100 . PERCENT 'AXAaLE [.aapl., JoInt account r.gl.tarad In the n... 0' Ih. d.cedant and two oth.r p.r.on. and ..tobll.had wIthin on. y..r of d.eth by the d.c.d.nt. I DIVIDED IV 2 (SURVIVORS) . .50 X 100 . 5U (TAXABLE FOR EACIt SURVIVDR) 4. Th. alOUnt .ubJ.ct to tax (llna 4) I. d.t.ralned by .ultlplylng the account b.lanc. (1In. l) by the p.rcant taNabl. Clln. S). !to Entar the total 0' the d.bh and d.ductlon. Ilttad In Part 3. 6. Th. ..aunt ta..ble (1In. 6) I. d.t.raln.d by .ubtractlng the dabt. and d.ducllon. Clln. 5) 'roe tha aaount ,ubJ.ct to t.M Clln. 4J. 7. Entar the approprlall t.N rat. (1In. 11 a. d.t.r.an.d D.aDW. A. For d.t.. of d..lh occurring .fhr 6/30/9", the taw rate. for tr.n.hrt to .pou... ar. .. follow., 1. Oat.. 0' d..th on or a'tar 7/1/94 and ba'or. 1/1/96 Ih. ral. I. !~. 2. Dat.. 0' d.ath on or a't.r 1/1/96 and b.fora 1/1/97 the rata I. 2X. S. 0.1.. of d.ath an or .'I.r 1/1/97 and ba'or. 1/1/9. Ih. rata I. I~. 4. D.t.. of d..th on or aflar 1/1/9' tran.I.r. to Ipou.a. will be ..aapt Ir08 ta.. Not.1 For dat.. of d..th prior 10 7/1/94 tran.f.r. to .poula. ar. lawabla at 6~. a. Tran.'.r. 10 Ilna.1 da.c.ndant. InclUding fath.r, aoth.r, .on, daught.r, grandChlldr.n, .on-In-Iaw, daughter-In-law, .tapchlld and Ih.lr I..ua .r. I.xab). at .IM parc.nt (6~J. C. Tran,'.rs to all othar. InclUding brolh.r, .I.t.r, unci., aunt, neph.w .nd nlaca ar. ta.ebl. at Ilft.an p.rcant (15~). D. If YOU changa Ih. t.M rat., pl.... .paclfy your r.l.tlonlhlp to Iha d.c.dant In Ih. .r.a provldad. .. The aaount a' t.. due Olna I) I. d.t.,.ln.d by ault!pJylng the aaount t..abl. Clln. 6J by the I.M ral. ClIne 71. CLAIMED DEDUCTIONS - PART 3 DEBTS AND DEDUCTIONS CLAIMED Allowabl. dabh and deduction. .r. d.l.r.ln.d e. followlI A. Vou I.gally ar. r..pan.lbl. 'or ply.ant, or Ihe ..t.t. .ubJect 10 edllnl.lrollon by 0 p.r.onal r.pra.antatlva I. Insufflclant to p.y the d.ductlbl. It.... a. You actu.lly p.ld the debt. .'I.r d..th of Iha dlC~t and can furnl.h proof of pay..nt. C. Dabt. b.lng cl.I..d au.t b. It.al,.d fully In P.rt 3. I' addlllonal .p.c. I. n.adad, u.. plain pap.r . 1/2" M II". Proof of pay.ant .ay b. requasl.d by tha PA D.plrl..nt 01 R.v.nu.. TAXPAYER ASSISTANCE IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANY REGISTER OF WILLS. PA DEPARTMENT OF REVENUE DISTRICT OFFICE OR CALL THE BUREAU OF INDIVIDUAL TAXES. TAXPAYER INQUIRY UNIT IN HARRISBURG AT (717) 787-8327. TOO' (717) 772-2252 (HEARING IMPAIRED ONLY) REV-1S43 EX AFP 18-941 *' CD""ONW[llfH OF PENNSYLVANIA . OEP1ATHUH OF REVENUE BUAUU Of INDIVIDUAL lUES DEP'. ZI0601 flARR~SBUAO. Pi l11U-0601 INFORMATION NOTICE AND TAXPAYER RESPONSE FILE NO. 21 94-0905 ACN 94157082 DATE 12-28-94 TYPE OF ACCOUNT ~ SAVINGS CHECKING TRUST CERTIfICATE RENIT PAYHENT AND FORNS TO. REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 ESTATE OF GLADYS C ISENBERG S.S. NO. 207-22-0809 DATE OF DEATH 10-10-94 COUNTY CUMBERLAND MIRIAM J SCHEFFER 3116 BEVERLY RD CAMP HILL PA 17011 HARRIS SAVINGS BANK h.. provldad the Depart..nt with the In'ot.atlon listed below which h.. ba.n u..d In celcuhUnG the potentia. talC due. The.r records Indlcllte that at the duth of the above decedent, you ..et. II Joint owner/ban.Ucla'v of this account. If you '..1 this In'or..Uon Is Incorrect, pl.... obhln wdtten correction fro. the financial Institution, attech. copy to thh far. and raturn it to the abova .ddr.... This account Is tI..bla In accordance wlth the IntI'rlhnes '.x la... of the CoeeonwaaUh of P.nnlyh/anl.. QU.IUon. eay ba anlwand by ullIng (7171 1.'-8n7. COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No, 04-66-238998 Doh 07-02-93 Ed.bll.had Account 8.1anu 45,057.70 Percant TeMabla X 50.000 Allount Subj.ct to TeM 22,528.85 TOM Rot. K .15 PotonU.l r.. Duo 3,379.33 PART TAXPAYER RESPONSE CDI FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSHEHT BASED ON THIS NOTICE A. 0 Th. abova Infor.aUon and tax due II corract. I. You .ay chao.. to ra.U pay..nt to tha Raghta.. of Wills wUh two copla. of thll notice to obtain a dl.count or avoid Int.r..t. or you .av check box "A" and r.turn thl. notlc. to the Ragllt.r of Wills and an official ........nt wUI ba Inu.d bv the PA D.part..nt of Revenue. V I. ~. abova .nat ha. b..n or will b. report.d and ta. paid with the P.nn.ylvanla !nhuUanc. h. return to b. fll.d by the d.cadant's repr..entaUva. S....~ ~,~,~h,..c'- F. It~V)l #"..:1.- c. 0 Th. abova InforeaUon I~ncorrect and/or dabts and daductlons wara paid bV you. You eu.t coaplata PART l!J and/or PART [!] balow. To In.ur. propar cr.dlt 10 your account, two (2) copl.. of thll noUca aust accoepany your pay.ant to the Aagl.tar of Willa. "aka chack pey.bl. tal "Aealltar of Will., Agant". HOTEl If t.. pay..ntl ar. aada within thra. es>> .onth. of the dacadant'. data of daath, you .ay daduct a 5X dllcount of Ih. ta. dua. Any Inharltanca ta. due will bacoe. d.llnqu.nt nln. (9J eonth. aftar tha data of daath. [CHECK ] ONE BLOCK ONLY If you indic.t. a dlff.r.nt t.. rat., pl.... .t.t. your r.1ationahip to d.cad.ntl PA OFFICIAL USE ONLY 0 AAF DEPARTMENT OF REVENUE PART @] TAX RETURN - COMPUTATION LINE 1. D.t. eatabli.had 2. Account Oahnc. 3. P.rc.nt T...b1a 4. Anount SUbjact to Ta. 5. Dabt. and Daductions 6. AMount Taxabl. 7. TaM Rat. 8. TaM Du. TAX ON JOINT/TRUST ACCOUNTS OF 1 2 3 K 4 5 6 7 K 8 PAD 1 2 3 4 5 6 7 8 CLAIMED PART [!J DATE DEBTS AND DEDUCTIONS PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL IEnt.r on Lin. 5 of TaM COMPut.tion) , Und.r panalti.. of parjury, I declare that tha facts I hava report.d above .ra true, corract and cOMp1.t. to tha b..t of M~ knowledg. and balief. HOME WORK 1 TELEPHONE ) ) NUMBER GENERAL INFORMATION 1. FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT with ,.ppllc8bla Int.rut b...d on Infor..tlon Iuballtld by the I1nancl.t Inltltutlon. Z. Inherltancl tl. bleu... dlllnquent nln. lonth. .ft.r Ih, dle.d'n", dltl of d..th. S. A Joint account I. t...bl. IVln though thl dlcld.nt', n... WI' added .. . ..tt.r of cony.nl.ne.. 4. Accouot, (Including tho'l hlld b.tw..n hUlband and wlf,) which Ih. dlcldant put In Joint n.... within on. y..r prior to d..th .t. fully t...bl. a. tran,f.r.. S. Account. ..tabll,hld Jolntlv b.tw..n hUlband and wlf. 80r. than ana y..r prior to d..th .t. not t...bl.. 6. lccounta h.ld by . dlcldlnt "In trult 'or" .nothar or other. .t. t...bl_ fully. REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE 1. BLOCK A . If thl Inlor..tlon an~ ca.put.tlan In tha not Ie. .ra carr.ct and daductlan. ara not baing clal..d, plica .n "X" In block "A" 0' Part I of tha "'.wpayar Ra.pon.a" .actlan. Sign two capl.. and .ub.lt th.. with your chack 'or the ..aunt of t.. to tha Ragl.tar 0' will. of tna county Indlc.t.d. Tha PA Dap.rt.ant of Ra~anua will I..u. an 0"101.1 ........nt Ifor. REV.15~a EX) upon racalpt of the raturn fro. tha Ragl.tar 0' Will.. Z. BLDCK I - I' tha ....t .pacl'lad on Ihl. not lea h.. b.an or will b. raportad and t.w p.ld with tha Pann.yl~.nl. Inharlt.nca raw Raturn fllad by tha dlc.dant'. rapr.'.nt.tl~a, pl.ca .n "X" In black "I" 0' P.rt 1 0' tha "l..pay.r R..pan.a" .actlan. Sign on. copy .nd raturn to the PA Dapart.ant of R.v.nu., Bur..u of Jndlvldu.1 T...., D.pt Z106DI, Harrl.burg, PA 171ZI~D601 In the anv.lop. provld.d. J. BLOCK C ~ J' the not Ie. In'or..tlan I. Incorract and/ar d.ductlonl .ra baing clal.ad, chack block "C" .nd caaplata Part. Z .nd J .ccardlng to tha In.tructlon. b.law. Sign two capl.. end .~It th.. with your ch.ck for the a.aunt a' t.w pay.bl. to the Ragl.t.r ur U1I1, or the ,~~t~ Indl,otaJ. Th. r~ Oap.rt.ant Qf R.wanu~ will l~=~. en ~"lcl=1 c:=a:~=~nt Ircr~ nEV-I~4e EX) u~ar. racelpt of the raturn fro. the Aagl.t.r 0' Will.. TAX RETURN - PART 2 - TAX COMPUTATION LIHE I. Ent.r the data the account orlgln.lly w.. ..t.bll.h.d or tltl.d In the .ann.r .wl.tlng .t d.t. of d..th. HOTEr For a dac.dant dying .'t.r IZ/lZ/lZr Account. which tha dacad.nt put In Joint n.... within on. (I) y..r a' d.ath ara t.w.bl. 'ully a. tr.n.f.ra. Howev.r, th.ra I. 80 awclu.lan not to ewc..d '5,000 per tran,'.r.. r.gardl... 0' tha vllua of the account or tha nu.b.r of account. hald. If a doubla ..t.rl.k (..) .pp..r. b.fora your flr.t na.. In the addra.. portion a' thl, notlc., tha 13,oDD .wclu.lan alr..dy h.. ba.n daductad fro. tha .ccount balanca a. raport.d by tha fln.nclal In.tltutlon. Z. Entar the total b.lanc. a' tha account Including Int.r..t .ccru.d to the d.ta of da.th. 3. Th. parcant a' the account th.t I, ta..bl. far .~ch .urvlvor I, dat.r.lnad .. follew.r A. Th. p.rc.nt ta..bl. 'or Joint ....t. a.t.bll.h.d aer. than on. y..r prior to the d.c.danto. daathr DIVIDED BV TOTAL HUHBER OF JOINT OWNERS E.a.pl., A Joint ....t r.gl.t.rad DIVIDED BV TOTAL NUHBER OF )( IDa . PERCEHT TAXABLE SURVIVING JOINT OWNEAS In the na.. of the dac.d.nt and two ath.r per.on.. 1 DIVIDED BY 3 (JOIHT OWHERS) DIVIDED IV Z (SURVIVORS) . .167 )( 100 . 16.7~ (TAXABLE FOR EACH SURVIVOR) B. Th. p.rcant ta.abl. for ....t. cr..tad within on. ya.r of the d.c.d.nt'. d..th or account. ownad by the decedant but h.ld In tru.t 'or .nother Indlvldu.ll.) (tru.t b.naflclarl..), 1 DIVIDED BV TOTAL HUHBER OF SURVIVING JOINT OWNERS OR TRUST BEHEFICIARIES X 100 . PERCEHT TAMAIIE E.e.plel Joint account regl.t.r.d In the na.. 0' the dac.d.nt .nd two oth.r per.on. and a.t.bll.h.d within ana ye.r ef d.ath by tha d.c.dant. I DIVIDED BV Z (SURVIVORS) . .50 X 100 . SO~ (TAXABLE FOR EACH SURVIVOR) ~. The ..aunt ,ubJact to t.M (lln. ~) I. d.taraln.d by .ultlplylng the .ccount bal.nc. (1In. Z) by tha parcent ta..bl. (llna 3). S. Entar the total of the dabts .nd daductlon. ll.t.d In Part 3. 6. The ..ount ta.able (lln. 6) I. detar.lnad by .ubtr.ctlng the d.bt. .nd doductlon. Illn. S) fro. tho ..ount .ubJect to taw (lln. ~). 7. Entar the .pproprl.te taM rat. (1In. 7) .. datar.ln.d balow. A. For dat.. a' da.th occurring aft.r 6/3D/9~, tha taw r.ta. 'or tr.n,'.r. to .pOUI.. ar. .. follower I. Dat., of da.th on or .ft.r 7/1/9~ and b.for. 1/1/96 the rat. I, S~. Z. D.t.. of da.th on or .'t.r 1/1/96 and b.fore 1/1/97 the rat. I. Z%. 3. O.t.. of da.th on er .'t.r 1/1/91 .nd bafor. 1/1/98 the rat. I. 1%. ~. Data. 0' da.th on or aft.r 1/1/98 tran,'.r. to spou... will b. 8wa.pt 'ra. ta.. Notar Far d.t.a of d.ath prior to 111/9~ tran.far. to .pou... ar. t.w.bl. at 6~. B. Tran,'.r. to Ilne.l d..c.ndant. Including fath.r, aeth.r. .an. d.ughter. grandchildren, .0n-ln.l.wo daught.r-In-law. .tapchlld and th.lr I..u. .r. t..abl. .t ,I. p.rcent (6~). C. Tran,'ar. to all oth.r. Including brath.r. .I.t.r, unci., .unt, naphaw .nd nl.c. .r. t.wabl_ .t fl't..n p.rc.nt (15~). D. I' yoU ch.ng. the taw r.t., plo... .paclfy your relatlan.hlp to the decadant In the .r.. pravldad. I. Th. ..ount e' t.. due (line I) I. dat.raln.d by .ultlplylng the a.ount t.wabl. (lln. 6) by the taw rat. (1In. 7). CLAIMED DEDUCTIONS - PART 3 DEBTS ANO DEDUCTIONS CLAIMED Alloweble d.bt. and d.ductlon. ara d.t.ralnad .. fallow., A. Vou l.g.lly .r. ra.pon.lbl. 'or pay.ant, or the ..tate .ubJect to ad.lnl.tratlcn by . p.r.anal r.pr...nt.tlve I. In.ulflclant to pay the daductlble it.... I. Vau .ctu.lly paid the dabt. after de.th of the d.cadant and can furnl.h proof 01 p.y..nt. C. Debt. b.lng clal..d au.t b. Ita.lz.d fully In Part J. If .d~ltlan.1 .pac. I. n.ad.d, u.. plein p.par I I/Z" . II". Proof of p.y.ant .ay b. r.qua.tad by the PA Dep.rt.ant of R.venu.. TAXPAYER ASSISTANCE IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANY REGISTER OF WILLS. PA DEPARTMENT OF REVENUE DISTRICT OFFICE OR CALL THE BUREAU OF INDIVIDUAL TAXES. TAXPAYER INQUIRY UNIT IN HARRISBURG AT (717) 787-8327. TDDI (717) 772-2252 (HEARING IMPAIRED ONLY) Inl\lll'.I'Uj A. B. 4, C. 1. 2. 3, 4, 5, 6. 7, 8, . SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES PI.aa. Print or T~o NUMBER ..2 J ~ /19'1- - OrO) G- I ct,'l!..t\.., (\11\ k'~- DESCRIPTION 1. Funoral Exp.na... 'Par-fut?owrc rllY1b"lll Hom\:. 11lC... ('~'~ketl~t.c4!,) ~:;'O '~ J>"'rr, 5'(1l;C - clolh.n'j I e..I<.. H(\("cl\;'c(s Re.J~a.tlnlnt - LUIIC. ~on ..for- '~<Tl'1 V\'JelY\6ep .2. 3, 1. Admlnl.tratlvo Co.II, Personal Representative Com minions Social Securily Number of Personal Rep,e.enloti.e, Year Com million. paid 2, Alla'ney Fee. 3, Family exemption Clolmanl Add,ell of Claim anI 01 decedenl'. deolh Sl,eel Add,ell City Stole Zip Code Relotion.hlp P,abate Fee. C LlVn bt'.-ICI-ncl (' Cll~r-\ ~l- ~('(i :5h:~. {\-t uJ. \ b Miseollanooua Expen.o.. ~(l~ e-;~,d'<:: l'p<n,+W1h ~t IYI(lilih"~IC\()c.:( (S',,<, 5"cel<'mt>,,-1a,Q :;'h~,t;..c.Q., cltt.1l't-.'cC ) l)cu... r~\; V'\ :D..:. {Jc::", t- .\'Po \-.;. - C. r,<:'r k UIOO t<:~ t<ect..c' ~-Icd-e ;jd+&men+ ,-",ds f"'" ",-k..-Iem"""f a,-t{i',cl..,c( No'-k>.,c/ r....c:: TOTAL IAlsa enle' on line 9. Recapitulation) (If mar. .poc. la noodod, In.o,t additional .h..II of aamo al.o,) AMOUNT -1/ t, !ib3. (.,b , I ~ I. 90 dJ. C; 7. olv ;)'(;,I.OD .2 ~37. 73 , 3;l.S'f I 3 t.. iY' . 00 I l.(',)c, s ItJ [1.;1&-,,/ I . ~ tS''<!nbc:.'y) Glo~L.p (v\. \I.. " /00 ;j.(-jQ9/f .oqOS :Jc;.\-\ec.L,,de \-\. S\Arpkmeyyh~ S~.\n<?,t.....Q\L. c, l'thsc.J.\Q(leoll'.; ~ /\l?<'> ().:i,",-:' - (-hlYl ~o, I O~(l;d((ms. .t (Y\a.\~+e\'1unc..Q ~'<.~,n~ll~ to r jo?<Lt e sh+ti! ,pro(U-f"'h\ ClMr'n~ P-H'IO& IC-IO-Cj4 -rl1ru h-Is,"'; : J)cso:, f t,Jy,. 1.1?ol>er1 JOOe$ J ~wr'\t.:i.c\- - pf\:.lfH'+~ G:Fff"\~c& ().. OI/~('hec.LcL ~~- ('ef'\~~ brc leYl :sprl ;'C/ Of) ,\o.:nl~e ''-'-'Of A I'Y!OU II f iC/ .:1.50. CC /.;l3, ~S' 3, ~a.Vl,-el'S .:rQvI11or;t& 3.c.rVI~'- ~c.rl..,b t WCl.1( l:xu.c.Vhe,,+ ~\cor +;\e ~~3 .b(, 4.((, Gn~f<zre'-t+i - TGI,IC eo\\e<.-\cr - c..,~\...i1 It. ?>oC'~ \..... -\u,,,,e"", IfCto. 7Jf- 5, .P"rcI. rtloUVl+ p~ t C.Of\-tto \- Te,m:'h:. \v~pec.tltm .,35, () 0 ~, p~c~(\...-\- La.lIU' S-tN,'U - L''l.~h If .sncnt.1 revnov<tQ 3/8'.00 7, l), Lonel .- Le.ctt X-C:l'YlOl"llQ if. (,)",rc( c.c....'n -""I' 7S.oo )? '?\" (( - e.lec+V'Ic' \r't'"'l<'~ :29S'.()9 q.().G. t. &0.":> ~r'Vlc;.ll.. o/S4.Qo 10. 'PAWC uJ(\.fe.... ~C"III c.<Z. bY, "1 J I .. New G.tmbe..la.r.d ]orllUJ:\h- -tl"cl~h a:. ,S'ew.::,. /J:2.oo 'T o-/a.sZ. .:If ~':137. 73 'IV.tt'; u. 121'1 . eOMMONWUUH 0' ,INNUIVANIA INNllnANel fAI ..IUIN IUIDINIDlelDINI SCHEDULE J BENEFICIARIES , . ESTATE OF I Stl'\ b<.:!n. G-1C\t~ 5 I'<l \ \ 1<:, ,- f ';'~ ITEM NUMBER ITEM NUMBER .;1.. 3, s. b. I, NAME AND ADDRESS OF BENEFICIARY I. A. Taxable eequeI'S! LOl's I, 13~\<!.h FILE NUMBER ,~/-/99tt - cY-loS RELATIONSHIP ,j)auelh-f,;,r Dcw.7hter :DC.~I.CI h fe r G('CIVl(.l,~Jtk . nlY\CldAu~h-h>r r. Gn.\...ddnwtl-.tc> TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (AI.o Inllr onllno 13. RlCapl'ulalian) S (If more .pace ,. needed, Inllrt additional .hllt. of lame llze) 4-, J.'f Timber Ln"e Nl!uJ G...Mb~r 'o"el, MI' 11070 :&'..bem I, :B~"I-nl ~n rcxlJdb VC\I\~ "Rcl. Hali f"~, ?I\. '7o'?:J.. June I .l<es.s ler (:\)eceL~d ') I\e-r '/3 ,,-,hare :)p"'\- clI"'V'.I~ ';-0 her -tYl-r<=c: cLu..1 h -t." D ~ Kaxen K\O!S.5 leI" JeWnes .5 1'1<?A';.<\nt -:Dr. Arnell Oed::. ~Y,O'oCH, ~<;'L\Ch;V~,\qq? T<i!('(:\ 'Resslt!r J'qncz1j Ifl a S"ui'h w,"\ 'tkH tmcre. Me(, .11.).18' I rvlc'chs,.\~ Kesslel" Od Ian; \'/ICl5 Flo,wr 'B\O~5cCl1 ElliCott Cit~ ,Me:( . alOll:? AMOUNT OR SHARE OF ESTATE '/3 '13 '1C'f y~ 'l''1 AMour~T OR SHARE OF ESTATE NAME AND ADDRESS OF BENEFICIARY e. Charitable and Governmental eequetfl: 1101. Scnlanenl or cloaln. rClIo ''',- . 1102; '.Ab.lm\' IIr Uti, .ClR:h to ,I }>~~" ,,'fill. uamlnaUon 10 . ~.lIlM. T1t1,'bu.nnc:lblnLlcrto' "IIO~',..,,~tnl prepmUon 10 1104., lio..,y r... ..' " 1107. Attorncy', rea 10 ~,--.,,""'~,,: ., ... 1101, "",'~~"" . ABSTRAct LAND ASSOCIATES, INC. ~-.w',ItfU,^"",,'" "r~:'\,' '.1 1109. la1du"COYC~I' ,I 99,900.00 11I0. Own....',.....I.1 124,900,'00 (825.00) 1111. .n........nh lOl, JIO, '.1. ABSTRACT LAND ASSOCIATES, INC. 1112:' ,Fax , Disbursement Fees ALAI 1I1l. Ex rees Hail Feen ABSTRACT LAND ASSOCIATES INC. UOll '" It .N'I'.IIl-: 1I111 IANI),1'JIAN 'IAIlG~ 'Ill, 1201. RccroNIn,rC:U110"dS 12.00 IMnl1l'.'S 29.00 I RclcuClS 1101. Clt)'tc:ounty Lu/,tamr': OCN S 1, 249 .00 ; Mill'.,., S 120J. S&.talu/'l&mrt Dc"" 1 1,249.00 IMIII1.'." 11G4. 1201. I 1301. 3u"~'1o 1301. Pal wrectlon 10 1101; TaxCertiUcations Robin GaBperetti, TAX Collectr 1104, Inheritance TaX ESCROIl ALAI '1101. 1)06. 1l01, TOTAL SAUllI DDOKBR', COMMISSION, IIAIBO ON PRlCB s. I'AID FIlOM 1I011110IVEIl'S FUNDS AT SE'ITLI!MENT PAIIII'Il0M SELl. Ell'S FUNIlS AT Sl"M'LEMENT 124,900.000 $ 101. 701. 101. 1. $ $ COnunWlon r,U'I.culemcn, I. I. !Jl;if(CO , '10; III . s o C 101. 101, 101, 104, 101, 106. 107, 101, 1011, 110, (,QUI ort.lnIUon t.. Lou. .alacounl ^pp...I..1 (c. 101 emllt report 10: l.cndul. INpcctlon r.. Mort.... INUraM' .pplkallon (c. 10 Aaewnpdoa lM Tax service Fee 'underwriting Fee Document Prep. Fee au. 88 '," " CNI CNI 250.00 55.00 CNI CNI ,"'. ": CNI C '. ''': .. 07/01/95 "'0 $ '16.420 Id.y .....,.. )'(1.10 1(1.10 .. 85.00 "}.~d\',:i150 ,'OO'V. I!, ':HV, ""J,,' 225.00 , POI.' POI, POI. 904, j, ..~..tI.... ,06/15/95, Mort.... lnIul"Inc'prcmlurn (ot lluanllNWMn premium tor n..M~"rfffI_l.,. ."L 262.72 ",'.( " ~. ';' 1, ,':' "." '; ',',':' 1001. 1002. '1001. 1004, 1001. 1006, 1001. ' 1001. SltJllH j11 IlllNDli. 4 73.00 I fuanl wun.nc. 18.25 I",monllo pet month . pcrmooUt.. 40.881",monllo pcr m~nlh ~tmonlh. 113.39 p"moolh,' " ,;\ '. monlNOS mnnthlOS monlhtO$, ' monlNOS mnnlhtO$ monlhlOS monlht 0 $ $ .. Mol1l',' lnI.ur-nu . ,ell)' prOpaty ,.... , COWl!)' proPC"Y.IalU AnoUllauUlmtntl. n-'~ School Property TAX 14 i.,"j.. 5 204.40 i,587.46" ;;: .'.,....,1',-...',.' '.. , , i1~,I'l\.; '.;>....; .:. "':l, . -4 iBSTRACT.LAND cathie Lee Lenig ASSOCIATES, INC. . .!:--, " ~ .I, :-:[',15;0>>. 5.00' 15.00 825.00 ~:l:' ;.Y',';~,J}j ,~~~.~,:':.:':,':':",~, ""\" ,.", 50.00 .;0.:,\., ;t.~t .., ..35.00 15.00 40.00 1,249.00 1.249.00 . , . '! ~.. :' , ... , t I ;j:, 'J'l! 4.00 4,000.00 1.00. TOTAL SE'ITLI!MENT CIfAlIGF_~ lEo!ltrDn IInrIOJ, Sullnn J'Dnd.llndOZ. Smfnn I() 4 81 .58 5 360,00 I...... ..."-11)0 .....t.w.IIhIIIUD-! ..11......lIlnNftI..... "'IN "'I"'". ............ "lid, k ...1,. __II.II........fll.II...IpI.t.... ..If~..... m,", -..n or"" IN In ItIIe I,.....C".... I twIN, 11I,,1" INII hi... ".1"',,,,,- ~1hI IIUI).I."............... WARI'lINCI 1t"'","-"bPw,","'_.rl"DJ~ UN""It1.I,mlhle_.....r.n1l11r-. I'wMltliM..-_k\b\_~IIIk.r\N""~",. lIor",,'" "11:3)'I'C IliUm DO '-10 . . , 06/15/95' , . 06/15/95 onv-" Plowl "I"" 0.111 aymon u _,,' .A'I.,;/"", C J.t"./../H'M~<, ,"w, 06/15/95 "IOu , 06/15/95 ~idJ.la -C. ItUbb";rcl-' ~ EDtate Q~ OJ lH1ya H1.11.er Is'Q"nliorg ':.::'::."~ ,"w.... ."...,..",........ .,~... .-- .n'_ot....'_...'"", 1'"""7/'''"-'' '~:7:l~ ARDTnACT LAnD ASnOCTA'l'En. nti:..____Il,(_ J:t::;/ J.P J., ~ 06/15/95 z:= ( / IIA08:f .. Scttlcmcnt Statcmcnt n.T ..rl.nnn ..1'11.,.......' 1,0.". .,Ov. c,f/OTlt. J, B r",IIA J. 0 C"""tw... J. C_....... 12909 It.JI.llIr~........'''IItw'''. ....,.,....u,"Io1-,. OMI Nil. U01~U . . . .,.1.....,..__' I. M..,.... w.... C..',__' 02210357 17,II/on" IJ ftlmlJh,., Itlft'., rem II ,'attllftn',,1 tlet""I",,""""' C"'U. Alii''''"'' p,,,J,o find ",111, ""k",,", fI,tn' II,., ,ho,,". 11"'1111I11,*,4 -(p.o.",. u,"" paid tlIIIJIJt ,hI tl",'n,,' "lty ",., ,ho,," h,,., lor ''1Irm.."ttol1l11 pllrp"'tI and art no' Intb,J,d In ,I,t 10'''1.1. D, NAMB AND ADDRESS OP BORROWBR. Raymond Hubbard and sheila c. Hubbard 1006 Drexel nilla Doulevard, New cumberland, PA , , , ':' ,'~. . ~ i-' 17070 ., B. NAMB AND ADDRIlSS OP SELLER. Miriam Miller scheffer and EDtate of GladYD Miller'XDenberq Columbia National Hortqaqe corp. 7142 Columbia Gateway Drive Lot No. 14 ~o~~~~a~, ~e~~~:: 2, Highland Park and Dr~~';i:, Hili~iiJl:.;:~'.[iJ.{iL;..' ; 1006 Drexel nilb Blvd., New Cumberland, PA 17070 Now cumberland Borouqh, cumborland county, PA 1/, SBlTLEMBNT AOBNT. . ADSTRACT LAND ASSOCIATES, INC. PLACS OF 5BlTLEMBNTI 3915 Markot Street Camp nill, PA 17011 I,SBlTLEMENTDATB, June 15, 1995 J. SUM MAlty OF nOlIROIVElt'S TRANSACTION K, 7,t:J..~~,~~tQ..l~:tMiW .~ p, NAMB AND ADDRIlSS OP LENDER. G. PROPERTY LOCATION, 101. ConI.." 5.1.. Pri,. 124,900.00 101. P...on~' ProP.rt7 . 103; Seu,limllntChlr,clto Dormwcrl (/I'olll/ltllUOII} 4,011.58' 104." ' 10';, ADJUSTMENTS 1'0IlITElIIS I'AID IIY SELLElt IN MIVANCE: 106. C117110w" I.... '0 107. County ,.... 06/15/95 '0 12/31/95 267.45 , ' .. 108. Au.uminll ' 10 1ll9' School Tax06/15~~ 06/30/95 55.92 ,~:1I0., ' III. ,'~ 130 034.95 ~w~':";":; 1,000.00 99,900.00 201. Dcpa.1I or urn"t money" 201. rrinclrlllmoonl ornow 101n(l) 20J. nxhllna1oln(l) tlk~n lubJeclto 204. 20', 206, 207. 20l1. 209. ADJUSTMENTS I'OIlITEl'IS UNI'AID IIY SELLER. ,210. CltylloW~-'~ItCI,. 10 ,211. County lun . 10 212. A"Cllmentl 10 213. ' ' 10 214. '0 2U.Agqrogoto Adjuotment' 216. 217. 218, 159.14 ., '..\. .', . r,1 ",:, I' ,. .' , " ~,~._." I t, t -0(; ,..; l.,-, '.Ii I 1,1.' ,; .,. ':: '. ,,-, ' .~ . .~ ....." ." "'O:'i,<" ,', SUMMARY OF SELLER'S TRANSACTION ~"'''''; 401, Con'.." 5.,..'Prl.. 402, P...on.1 ProP.rt7 403. ;-',"" , '124';900.00 ,,' '-. ,,' ,.. ,I.~,! ,j' "I ~. 1 \ .:, .~., ,..,' :" ~., :: 404. . -~'-q 40', ' " ,,,, : ", ~;;,,_. ADJUSTMENTS FOR ITEMS rAID BY SELLER IN ADVANCE. 406. City/lawn lax.. to d::: . ,....1.. 407. CounI7'.... 06/15/95 '0 12/31/95 " . 267.45 408. A'"Unftnll 10 ,', "....It#-! ~:..\ ';. 409. School Tax 06/15/95 06/30/95' y, " ,55.92.' 410. !' '~I""'-~:'~'';t. ,.: 411. H" "" :~:~'), .:2:S".1\t.': '. 'Ilt"l"", ... . ..... I'" ~,,-.; ......\'...1..'. ..".... $01. Bxall. dero.l, (...In.ll'\lellan.) 502. 8.III.m.nl ,h..... '0 ..n" Oln. 1400) 50J, B.I.'ln, lo.n(.) IIk.n .ub),,''0 '04, p'70rr or n",' mOrt,.,. lo.n '05. P.yorT or u:cond maril'a.loln '06, '07, '08, ' '09. ADJUSTIIlENTS FOIIITEIIIS UNrAlD DY SELLER. .s 10. ClIyllown tu:u to 511. Couhly l.uI to '12. A.....m.nt. 10 513. 10 .:-,"'" d" I:t 514, 10 51S, 516. 517. SIB. , '.~,. -, I:'''. '-. t., ,~h~'~4. >:.';"',: ,. I." . h ,,~ .",~'''\,:.j 1":,7~HJ.fn ';;'..J;/ 'J.' 'i.ni-'..'J.(.IJ~' .1 <J ~ "'~;'~~~);~:\W':!;"!~-," 520, TO'rAL REDUCTIONS 101 059.14 IN AMOUNTDUltSELLER. r;'~,';l_ ',:(h..;').~:;:t::"n->)':"l':'-.~\,:: .. 6 '368.00 ;011 amounl due (rom borrower (1ln. nO) i" Imnun' raid hy/rot borrow.r (IIn. 220) .. 130,034.95 601. Oroll .mounl dU'lo 1Il1ler (llnl 420) io 1 , 059 . 14) 602. lAu r.ducllon. In .nwunl due ..11., Oln. '20) .125,223.37 ( 6,368.00) 1I01l1l0IVE'h . 28,975.81 MJ.C^SII r!Elroll OFROM/ SELLER. ...~..,., " - -. ~ -- -. ....-.. , , " '.- .. RI!V-1547 EX AFP 112-94* COHMOHWUlfll or Pf....SYLVANIA oIlPAAfHlH' Of' REYEU IUREAU OF INDIVIDUAL 'AXEl t1(PJ. '10'11 HARRIIIURG, PA S7UI-0601 ACN 101 NOTICE OF INItERITANCE TAX APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT DF TAX DATI! 09-18-95 FILl! NO. DATI! OF DI!ATH 10-10-94 COUNTY CUMBERLAND NOTE I TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT TIlE UPPER PORTION OF TNIS FORH WITN YOUR TAR PAYHENT TO TNE REOISTER OF WILLS. HARE CHECX PAYABLE TO "REOISTER OF WILLS, AOENT" REMIT PAYMENT TO: MIRIAM M SCHEFFER 3116 BEVERLY RD CAMP HILL PA 17011 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 Aaount R..ltt.d $2.174.47 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RI!CORDS . .. - --"-"'---'-~~-~.':.':~...'::'~:.'::-:'~-~~~::;-=~-:.~-~~~.....~----"""---......---......-..---.. -,.-. '. ~ -..~~~':"....-:'"-~~';,-:..:...-.~~"1~~....--.""'-'l~i . . ...... I . I' I ,,' _ " ~ , ' I ,,\ , YO. '~ ~,' '.; ~ l" ;> " , i Ct. .. r... 'J '\1': _ . .', , 1'.- . .. ; f" .... ," , ,j I t \' ", 1 .. . , .' , .~... ... ~ -. .. - .. .._~t -~ c...- "" "1:- , . ' .. .....-~. , -- - ~""'" . 0.. ~..~.. .-' ~~.; .... "".- -'...-.:"..... .-."1;.---.--.----.-" ,. '...-_____ , -_._-_.....~--,-..,..,.,-_..- ..._--" p~ I ,~ ....~I ~-~, .,~-.. , -''C-- --,~ "'.... ..- ....... -, , - , ----~-------------------_._--- ----------------------- , , D AA 022686 COMMONWEALTH OF PENNSYLVANIA NO. DEPARTMENT or REVENUE OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX II~lltJlll""AJ . RECEIVED FROM: & ACN ASSESSMENT Ii' CONTROL ~ NUMBER AMOUNT MIRIAM MILLER SCHEFFER 3116 BEVERLY ROAD 101 .11.111:1?OO CAMP HILL PA 17011 ESTATE INfORMATION, r:I fiLE NUMBER ~ el-1994-090~ SSN ~ NAME Of DECEDENT (IASTI (fIRSTI ~ ISENBERG GLADYS MILLER II DATE Of PAYMENT m POSTMARK DATE COUNTY e07-ee-OS09 (Mil CUMBERLAND DATE Of DEATH REMARKS MIRIAM MILLER SCHEFFER f:1 TOTAL AMOUNT PAID RECEIVED BY , , I I uJ! SEAL REGISTER OF WillS .....,,:;,--. , '~----------------------------------------~-~~~---~ ' . ~ " 0,' ,~ . , f , ., . . . .----" r~ __ r -"...., fl ..- --P.- __ _..--;"C-..............-4. \, ., .... ~.. ~.. .....- . . .... 11 r'...:.---------~-' ----------,-.--- -. .,--_. ----'-- -.-,.- ---... -,-- ~'.'-- D.'..... AAO' '4'7' .9'2"6' '. COMMONW,EALTH OF PENNSYLVANIA NO,. . DIPARTMINT O' RIVINUI OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX Iev.Ut2UI4.,., .,f,.. ", j ~t. t. fg RECEIVED FROM: fJ ACN ASSESSMENT P:' CONTROL iii NUMBER AMOUNT MIRIAM MILLER SCHEFFER 3116 BEVERLY ROAD 101 ee.14<1.31 CAMP HJLL PA 17011 _ IOID HilI '(NO Hili . ESTATE INFORMATION: ~ FILE NUMBER Y 21-1994-090:1 EJ NAME OF DECEDENT (LAST) II DATE OF PAYMENT m POSTMAR E COUNTY SSN 207-22-0809 (FIRST) MI) DATE OF DEATH m TOTAL AMOUNT PAID ta..1!t3,..3J ""'''' (ll)u~~.,) MARY C. LEW~ REGISTER OF WILL8 , +-,-:--:--- ~------ ----- -- -- -- - --- -----'---'" - - --, -- -.- ---,..-.' ,-- --r-r7;- REMARKS MJRJAM M SCHEFFER SEAL CHECK" 10e8 REGISTER OF WILLS .-, . . . ---- . .... - ---. ---:....~ -' - - ~I'...""",: ! ' . ....' -. --....,-., 111__ _ _ ___ -~-- --- - -- - - - - - -- - - - - - -'- -'- -- - - - - - - - -- - - - - - - -- II ~~AA, 082155 . COMMOND~:~~~T~: R~~~:YLVANIA ,,,,;,~; :".''1 . OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX ,~.tL~_ ~ RECEIVED FROM: f3 ACN ASSESSMENT rr- CONTROL ~ NUMBER AMOUNT /' MIRIAM MILLER SCHEFFER 3116 BEVERLY ROAD 101 .e,191+.1+7 ( CAMP HILL. PA 17011 ~ '010 HUf latOHllf ESTATE INFORMATION, !:I FILE NUMBER ~ e 1-1994-090:5 - !:I NAME OF DECEDENT IlAST) ill ISENBERG GLADYS II DATE OF PAYMENT L1 POSTMARK DATE COUNTY SSN e07-ee-0809 IFIRST) MILLER IMII CUMBERLAND DATE OF DEATH REMARKS m SEAL CHECK" 1031 RECEIVED B MIRIAM MILLER SCHEFFER REGISTER OF WILLS _--------------- --- - - -- - - - --- - - - - - ---.-.- - ~- -.- -"'7- ~--~-;." " ,- ..,' ''l. , - / ", . . . ~ . , " R"'~- ~ - I to. - . ., i , f. " r ESTATE OF FILE NO. DATE OF DEATH 10-10-94 COUNTY CUMBERLAND NOTE, TO INSURE PROPER CREOIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS FORN WITM YOUR TAK PAYMENT TO THE REGISTER OF WILLS. MAKE CHECK PAYABLE TO "REGISTER OF WILLS. AGENT" REMIT PAYMENT TOI v I Lj. do '-/:J.- I '-I REV-1547 EX AFP (12-94w t :"iHONWEAl fH OF PEHNSYlVAHIA DEPAAr;tENf OF REVENUE BUREAU Of INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 NOTICE OF INHERITANCE TAK APPRAISEMENT. ALLOWANCE OR OISALLOWANCE OF DEDUCTIONS AND ASSESSNENT OF TAK MIRIAM M SCHEFFER 3116 BEVERLY RD CAMP HILL PA 17011 ACN 101 DATE 09-10-95 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~ iiEW iS4-j-EX--AFij-nZ-:94i""Nor"fcE--ciF-iNHEifi fJiNcE-l:AinipiiRiiisEifiNT~ - - Ai.t"ciiiJi;{c i' oii -.. -...... -.. -. -. DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX GLADYS M FILE NO. 21 94-0905 ACN 101 TAK RETURN WAS, I ) ACCEPTED AS FILEO I XI CHANOED SEE ESTATE OF ISENBERG RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Raal Ed.t. (Schedula AJ III 2. stock. and Bond. (Schedule DJ (2) 3. CIa.aly Hald stock/Partnership Int.r..t (Schedul. C) (3) 4. "artg.gas/Not.. Receivabl. (Schedule DJ (4) 5. C..h/Sank Daposits/Hi.c. Parlonal Property (Schadul. EJ 15) 6. Jointly Owned Proparty (Schedul. F) '61 7. Transfars (Schedula OJ (7) a. Total A...t. 124.900.00 38.695.81 . DO .00 54.203.90 23.750.25 100 CII APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funaral E~pans.s/Ad.. Co.ts/HIsc. Expansas (Schadula H) 10. Dabts/Hortgaga LIabilItIas/Li.ns (Schadula X) 11. Total D.ductIon. 12. Hat Value of T.x Raturn 13. Charitabla/Govarnnantal aaqua.ts (Schadula J) 14. Hat Valua of Eatat. Subjact to Ta~ 10.020.19 191 1101 .00 1111 1121 CUI IIql NOTE: If an assessment was issued previously, linee reflect figures that include the total of ALL ASSESSMENT OF TAX: 15. Anount of LIna 14 16. Anount of LIn. 14 17. Anount of LIna 14 18. PrIncipel Ta~ Dua TAX CREDITS: PAYMENT OATE 01-09-95 06-26-95 A.ount Raila t tad DATE ATTACHED 09-10-95 NOTICE 241,549,96 lO.A,n lQ 230.721.77 ,00 230.721.77 14, 15 end/or 16, 17 end 18 will returnB eBBeBBed to dete. et Spou.al rata taxabl. at LIn.al/Cla.. A rat. taxable at Coll.t.ral/Cla.s a rat. IlSI ChI 1171 ,00 K .03. 206.971.52 K ,06. 23,750,25 K ,15. 118) RECEIPT NUHBER AA022606 AA047926 DISCOUNT 1'1 INTEREST C-I 505.00 .00 ANDUNT PAID 1 .lI5.00 2,143.31 INTEREST IS CHARGED FROM 07-11-95 TO 09-26-95 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE · IF PAlO AFTER DATE INOICATED. SEE REVERSE FOR CALCULATION OF ADOITIONAL INTEREST. .00 12.418.29 3.562.53 15.900.02 13,043,31 2.137.51 41.10 2.170.69 IF TOTAL DUE IS LESS TItAN tl. NO PAYMENT IS REQUIRED. IF TOTAL DUE IS RHLECTED AS A "CREOIT" fCR). YOU NAY BE DUE A REFUND. SEE REVERSE SIDE DF THIS FORN FOR INSTRUCTIONS.) I I I I I I I I. . RESERYATION, E,'at.. of decadants dYing on or bllor. ole.aba,. 12, "'Z -. If any lutur. Intar..t In thl ....t. I, 'tlnafltted In po.....lon or InJOYlent to Cl... . (colle'arl.) beneflcl.r... of the dlcadent I't.r th, I.pltatlon 0' any ,,'a.. far 11'. or 'or Y"t., the Co..onw..lth hat.by Ixpr'.sly r...rv.. thl rIght to appral.. and ...... tranl',,, I~rltanc. T.... at thl lawful Cl,.. I (colll'.ra.) rat. on any luch lutur. l"t.r..t. PURPOSE OF NOTICEI To fulfill thl requlr...nt. 0' Slctlon 2141 of thl Inh.rltanCI and E,t,t, Tlx Act, Act 22 of 1'91. 12 P.I. Sactlon 2140. PAYHENT, Detach tM top portion of this NoUu and luaU with YOllr paY'.nt to the Aagllh,. of WUh prlntad on tM t.v.,... ,Id.. .-Haka ct1.ck Dr' .only ord.r plubl, tal REGISTER OF HILLS, AGENT AU ply.anb nCllvld .h.n flrat b, applI,d to .nw Intlr,.t which .aw b. dua with MW naalnder eppllld to the hI(, REFIMD (CAli A r.'und 0' I hI( credit, which ..a. not reque.ted on the 181( Aeturn, .ay be r.qu..t.d bW cOIlpI.Ung en ""PPUCIUon for R.,und of penn.wlvanll InherItance and E.tate T'K~ (REV-ISIS). "ppllcetlon. are IVlllable .t the Offlc. of the Aegl.ter of Will., any of the 23 Revenue DI.trlct Offlc.., or by c'lllng the .p.clel '''-hour anlwerlng .ervlce nu.ber. for 'or.. orderlngl In P.nn.ylvenl. 1.100-362-1050, out. Ide Penn'Ylvanl. and within local Herrl.burg ere, (717) 787-a094, TOO' (717) 771-2252 (H..rlng l.p,lr.d Only). OBJECTIONSI Any p.rty In Inter..t not .etl.fl.d with the .ppr.I....nt, ellowanc. or dl.allowanc. of d'ductlon., or ........nt of tll( (Includlnll dl.count or Int.r..t) ,. .hown on thl. Notlc. lU.t obJ.ct within 'Ixtv (6a) day. of rlc.lpt of thh Notic. bYI ADHIH ISTRATJVE CORRECTIONS, --wrltt.n prot..t to the PA D'Plrt.,nt of A.v,nu., loard of ApPIII., D.pt. 211aZI, Hlrrlsburg, PA 11121-IOZ1, OR --al.ctlon to hlv, the .,tt.r d.tar.ln.d It aUdit of thl account of the par.onll r.pras.ntltlva, OR .-appa'l to thl Orphan.' Court. FactUII .rror. dl.cov.r'd on thl. .......ent .hould b. addr....d In writing tal PA D.p,rt..nt of R.venue, lIuruu of Indlvldu.1 TllClI, ATTNI Poll A.......nt Ravlew Unit, D.pt. Z10601, Iflrrhburg, PA 17121-0601 phon. (717) 717-6505, Sa. PIg' S 0' the bookl.t ~In.tructlon. 'or Inh.rltanc. TllC Raturn for a Ra.ldant Dac.d'nt~ (REV-15Dl) for an alCpl.n,tlon of ldelnl.trltlv.ly corr.ctabl. arror., DISCOUNT I If any tll( dul .. paid wUhln thr.. (3) C.llndlr 'onth. 1ft.,. the dac.dlnt'. dllth, I flv. Plrc.nt (S:U dhcount of tha tllC paId I. Illowad. Int.r..t I. charg.d b.glnnlnll with flr.t d.y 0' d.llnqulncy, or nine (,) ,onth. and one (1) dlY froe the date of d..th, to the date of P'Y'.nt. TalC" whIch b.ea.. d.llnqu.nt b.fore Januarv I, 19.Z baar Int.r..t at the rata of .IM (6~) p.rclnt plr annul cllcullt.d It . dilly rate of .DaOI6~. All taK" which baca.. d.llnquent on and eftlr January 1, 1'" will b.ar Inter..t It a rat. which will v.ry froe celendar y..r to c.llndar Ylar with that rlt. announced by tha PA D,plrt.ent of R.v.nul. Thl .ppllcabl. Intare.t ret.. for 19.Z through 19'5 .r" INTEREST I ~ Int.r.,t Rat. D.lly Int.re.t Factor !!.!!' Int.r..t Rata Dally Int.rllt Factor 19lz zn .aOa5~1 1987 .. .OaaZ~7 1'15 16~ .Ooa4S' 1911-1991 11;( .aDOsal 1914 II> . DODSDl 199Z .. .GaOl47 1915 U~ .000356 I99S-1994 '" .aODltt 1986 I.. .000274 1995 .. .oaOZ~7 --Intlrllt h calculated .. fol1ow" INTEREST a BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTDR --Any NotIce I,su'd .fter the t.x baco... dellnqu.nt will r.flect an Int.re.t c.lculetlon to flft"n (15' dl~' beyond the date of the ........nt. If pey.'nt I. ..de .,ter the Int.r..t coaputatlon d.t. .hown on the Notte., additional Inter..t .u.t be caleul.t,d. ~-4':"_ . - .1....1.101I...11J . INHERITANCE TAX EXPLANATION OF CHANGES COMMONWEALTH OF PENNSYlVANIA . DEPARTMENT OF REVENUE IURIAU 0' INDIVIDUAL TAXIS DEPT, 280601 HARRISBURG, PI. 17128.0601 DECEDENT'S NAME FilE NUMBER Glad 8 H. laenber 21 ACN SCHEDULE ITEM NO, o EXPLANATION OF CHANGES F 1,2 Chal18ed, .tax rate. from, ..6. percent ,to. 15, pel'cont. eince, a8i8tllr.. h, a, clQU '.. "B" heir. ,~ "- ~_. .-----..... -~ ----~.." ...'~---' - ,. .... -'. - "'.- _ ___._.__....~__....___..._.h .__ _ _ "~ ...._._. _. _ . .___ __ .......__....,_,. _~ ...._. _ _..._. ....,.__,~~.___._.._ ~_..__ ~_ _.. ..._._ ....._'"'___~ _____ __.______ _'._ _ __ ~ _.. -_._-_._--~-~~-_._.__....---_..-~~~..~_...__....~_.~~~~----~.-._.- -- ,_.,,-~ ~'- . ~_... -~. ~-~--.-..__.."._._-,,~.~... .~-_.._-~.~--_._--..~_._- --- .~ ---- -- ..-~.-----,_..---~ .,--_. ~ ~~___.'___.'h_._"'.'__,_,,~ _. ~__..,__.., ~_ ~..~__~.___~ _____~_._,._~.._.~_~.~..__~_~ .__.~.~__ ~ .__.. _____. .- -- ..-~-- -~ .......~ .._.-, ...~-~-- --- .........-------.~-.. -<~- .~~~--_'_"_. --.- ~ ~_.-.... _ w_, ..._ R_.______._.H.___...__.....R______~_ ___._ ___..~.. ~-._-_.-.-- .--~ -,.,-._-~--.-~-.._~.. R_W___._--''' _~._..w."'._.. _~ ,-'--___ __...._._ .~...,....."'v._ .._____~_____________.____".>..._ _ . _ ._. -.------..----.~._'__,.._~___~W_+__~____~_~...... .~......________.__.______~....._________...__~_.______._..~__.. ....... _.. ..__._-- -__.___~_____.':""__,_.~-~ .._R..__..~.,._~~_._ __..--_. ,..._,~_, ",_~.-'_ ~___..______________..__......._____________._______ _..~_ _. _~ -_._-~... --_._-_._-~-------_._'-_._------~-..--~-,--...._-+._--~--.---:-------------.------------. --- - -_. -_.-.'--...-._----------_._----.-----------_._-----~..._.-...-~_.~....--~-"".-"',--~------...--....-._--,.._--_.~--~_. -~_.... -. .- -.-~---.---.....-~-.....-..~-._--~_____________~r,.,. "~... ~_..~~_'-._~___,...~__.._.__... .,,~_..~~~~_______._#_,,_..._ ~._..____._.__ .._., .'-.'.- -.- ,... _. '. _..~_~_ "'____.._..,..~., ,___. u. ._.._. .,_ ".,.------ ..- -.~. .--,,,.,--... ....--~.".-~~.--"'_._ ...~_.. ''',_ __". .."....u.._ .__"________, _ - -- ---~--.--- .-- ....-. -.._~,-. ."" ...-.~.~.~..-.,. -~ -.._- ---.--___ ..__ _'__L"_~_' .__*_ __"_~.n _~'.'. ~... .._____~ ._ __.__~ _. ________ ___~~.____ .._,... ".. ~ ___ - ~.. ~- ~_. -.----------------.....~ .~-- -_...~ ',.. _L___.__.___ ___"__'_.__ ___. __ ~_ _, _~_..._.__.'".__.._,__.~..____.___._~___.... u.._ ~_~.~__,._____._~ _~""_"'." .. . - -.--......,,-----.... .._, ~.- "-...... '-_.,-~ '." -~--_. .. TAX EXAMINER, Areellaia By I'd PAGE /l/..;J'n _1'1 cY \ REV-1607 EX AFP (12"94~ CQHHOHWEALTH OF PENNSYLVANIA PEPAATHEHT Of REVENUE BUREAU Of INDIVIDUAL TAMES DlPT. 110'Dl HARRISBUAG, PI 1711.'0601 ACN 101 INHERITANCE TAX STATEMENT OF ACCOUNT OAT! 10"23-95 o ISENBERG GLADYS M FILE NO. 21 94-0905 OAT! OF DEATH 10-10-94 COUNTY CUMBERLAND NOTE, TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAR PAYHENT TO THE ADDRESS SNOWN. HARE CHECR PAYABLE AND REHIT PAYHENT TD, , MIRIAM M SCHEFFER 3116 BEVERLY RD CAMP HILL PA 17011 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 A.ount R..l tted CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR FILES .... REy:i6ijj"E'iC-"FP--riz:94y------iiiiii-iNHliiiii:ANCE"i'AX-ii'iifEHENi'-OF-Aifciiijiif--iiiii--------------------- ESTAT! OF ISEN8ERG GLADYS M FILE NO.21 94-0905 ACN 101 THIS STATEHENT IS PRDVIDED TD ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NANED ESTATE. SHOWN BELOW IS A SUHHARY OF THE PRINCIPAL TAR DUE, APPLICATIDN OF ALL PAYHENTS, THE CURRENT BALANCE. AND, IF APPLICABLE, A PRDJECTED INTEREST FIGURE. DATE 10-23-95 DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT. 09-11-95 PRINCIPAL TAX DUE,. 15,980,82 PAYMENTS (TAX CREDITS), PAYMENT RECEIPT DISCOUNT C+) AMOUNT PAID DATE NUMBER INTEREST C-) 01-09-95 AA022686 585.00 11,115.00 06-26-95 AA047926 ,00 2,143.31 09-18-95 AA082155 36,96- 2,174.47 . IF PAID AFTER THIS DATE. SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST, IF TOTAL DUE IS LESS THAN '1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" eCRl, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE DF THIS FORH FOR INSTRUCTIONS. ) TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE 15.980.82 ,00 .00 .00 00 C ;-- I.~' ! , ... ~ , , t," PAYHENTI htKh the top portion of thh printed on the ,.evar.. .Ide. Natlu twMI ,ubtllt with your PIY"f'lt allde PlvMila to thl n... .. IIddr.i. ,,' If RlllDENT DECEDENT ..... check Dr IIGnIY ord.r pa"'MI. tot REGISTER OF WILLS, AGENT. If NON-RESIDENT DECEDENT ... check or lIGnav ord.r ply_II tOI COHHONWEAL TH OF PENNSVLVANIA. All PIYNnts nc.l,,~ shall ba 'Pplled first to MY Int.,...t whlch ..y b. w. with My n..lnd.r ~l1ed to the tall. REfUND (CRh A nft.V1d 0' . tn cr.dlt. whIch .... not r~.ted on tM Te. Return, '.y be ,.......ted by cDIlPlaUna Bn ~Appl.c.tlon for R.fund of Pennaylv.".. InharltlnCl end E.t,t. T..w (REV-IllS). Appllcatlon. .r. IVIIlabl. at the OfficI of the RIllstlr of Willi, eny of thl ZJ R.v~ DI,trlct Dfflc.. Dr 'rol thl OIP.rta."t'l Z4-hour en.wetlng ..rvlcl ~,.. 'or 'or.. orderIng! In P~.ylvenl. 1-SDO-56Z-ZD5D, out,lde penns...lvanl. end within locII Hlrrl.burg Ir.. (717) 717..094, TDDI (717) 772.2252 (Helrlng tepllred onlw). REPLY TOa Que.tlon. ra..rdlng .rror. contllnld on thl. notice .hoUld bl addra..ed tol PA Dapartaent of Rav~, Bur.eu of Individual Taxa., ATTNa Po.t A......ent Ravlew unit, Dapt. 210601, H.rrlsburg, PA 1712..0601, phon. (717) 7.7.6505. DISCOUNT I If enw tax due I. p.ld within thr.1 (3) c.lend.r aonth. aft.r the d.cadant'. daath, . flva parcent (5X) dl.count of tha tax paid 1. allowed. INTEREST I Intar..t I. charged bIg Inning with flr.t daw of delinquency, Dr nlna (9) ~th. and ona (I) day froe tha dlta of d..th, to tha data of payaant. Taxa a which bac... d.lInquant bafor. January I, 1912 baar Inhrllt at the rat. of .lx (6X) parcent par ~ c.lculatad at a dally rata of .00016~. All taxa. which bac... dallnquent on and a,tar January 1, 1982 will ba.r Int.r..t at a rat. which will vary froa calandlr yaar to c.l.ndar y.ar with that rat. announcad bV tha PA Dapartaant of Ravanu., Tha appllcabla Intara.t rata. for 19.2 through 1995 ara' Vaar Intara.t Rat. Dally Intara.t Factor Vaar Inhr..t Rata Dally Intar..t Factor 1912 zoX .0005". 19.7 9X .0002'" 1913 lOX .00043. 1'...1991 11:( .000101 1914 IIX ,000501 199. 'X .0002~7 1915 lSX ,000556 1995.1994 r.c .000192 1'.6 lOX .00027~ 199. .X .000247 ulnt.r..t II calculated a. '0110"'1 INTEREST . BALANCE OF TAX UNPAID X NUKBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR uAny Notlca IIIu.d aftar thl talC b.co.., dallnquent will taflact an Intan.t calculation to ,Ifta.., US) day. bayond the data of the ......eent. If payaant I. -.da aft.r the Intar..t ca.putltlon data .hown on the NoUca, adcUtlonal Inhra.t Mlat ba calculatad. , . . . 6 STATUS REPORT UNDER RULE 6,12 Name of Decedent: ~ I (l.(lc..15 M.ill~r I S{'Vl he re( Date of Death: Ockb~l- /0 I q 1Lf l Will No,->ll- /19i/- 9 D -:;- 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: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal rep~esentative file a final account with the Court? Yes No v' . b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did t.he 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. c:: 1-'1 c' :;.-=;", , c.. Jb ;n,;0Jvl( 'm ;QJ2,ru ~ cl1JJ e-n Signat.ure 1V -MIriam (}jrlle.r Sche~~~er Name (Please type or print) 31ft, J3cv'c?r~-C>(1ac1.. Address , , ('amp H,,' I (\. /7011 (117) 76/-C:)/~1 Tel. No. Date: It) -/0 -/'i9t. o - >- r.' I"~ .; Capacity: X Personal Representative ,', ;0 (111"'" 0:- \r) ~.i, L: >,1 ~ Gu Counsel for personal representative (MAH: rmf/ AM3)