HomeMy WebLinkAbout94-00957
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PETITION FOR I)IWIJATE and GRANT OF LETTERS
_____r9t:91./.____<J_ 57___
IMull' (If _~_'iil.S_~__!:Llc'1_I:.'E/!'_u__uu No,
u/so k,/rIII'1/ UJ ._~____u___d___m____ _.__.__._ To:
u___u____u.__________._._____u____ Rcgistcr of W~Os fOE t~A
.________u...___________._._.....m, /)"I'I'u.\'I'I/. CounlY of __m___~B R NO In the
Sorlu/ Security No. _j_~"d:.!._'!..::.._'1J:_:~ "~_m_. _ _ COInnHlnlVcnlth of Pennsylvunill
Thc pClition of thc nndt'rsigncd rcspcctfnlly rcprcscnts lhnl:
YOIII PClilioncr(s), Will' is/lire I K ycms of IIgc or oldcllln lhc cxCCUI.d.lJl._..___
In the 111.11 will of Ihc nho\'c dcccdclll, dUlcd .._.__f.' k<!_ c:...\LI?_!".!:''.......!1..__
und codlcil(s) dUled u___d_..__m_d_ ___u__ dd___._d_ ______._____u______.
named
,191..L.
______.___. ___.. ___no ._______ _____n.n_.... ____"...__...___...__ . --------.____.
_____._._ h__""_"_'_" ..n ".__...__.__. ...._, __.. _____ ._..._...._... ..n __.,. __".n_ ._____ ___u,_,__,
(~llItl' rdl'\'i1lll drl:l11l1~llllh'C~, l'.g. Il'lllludalloll, ~kalh or C\Cl'lIlnr, l'IC.)
Deccndenl IVIII domicilcd III dcnlh in ....m_(~ 1'-~1..{j-\\~!:.-:\-!-Y71)m-m- Counly, I'ennsylvanlll, with
hilL_d._lilsl filllllly llIprinciplIl residcncc ill __;, L~__u:...UI~~"'.....{.2.1 "d C,.,--
________m_.________u__~_m___._____ __._______JI/l:..L\u_!,;-"--U)~~,..Ii.".A.."Lj2.1 /1 /7( 70
(11\1 'tll'el, Illllllhl'r illull1lundpalllY).
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. Dccendclll, Ihcn ..____ ...;J_._.... YCll1l'S of IIfC, dicd --.----J..L=-.~L!.J.~--__;y_ y ,19__,
III __..1Ld,_y_____~ l)II~-I-r-j (~f-I_l~L1_J..._._fi..:.l~!'IIlL?.~(~E.._e.___~t;T.' t, ,
EX1:epllls flrllows, dcccdcnl did nOII1lIlI'I'Y, \\'11.1 1101 dimrccd IInd did nol hllve II child horn or adopted
IIftcr cxcclltionof thc will offcrcd for pl'oblllc: IVIIS nollhc victim of II killing IInd 11'11.1 never udjudlcllted
Incompclenl: .. _n___.___m___ n____m___.._____________.__....
DcccndclIllll dcalh owncd property with cslimllled \'lIlucs liS follows:
(If domicllcd in I'll,) All pcrs,'nlll propcrty
(If nOI dmnlcilcd in I'll,) I'crsonlll propcrty in I'cnnsyl\'lInill
or nOI dOl1lidlcd in I'll.) Pcrsonal property in CounlY
VlIlue of rcal csllltc in l'enllsyl\'llnill
sltnllled liS follows: _____Ye...LIi..!L___._
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WI-IEREFORE, pctltioner(s) rcspcetlully rcqllesl(s) thc probllle of Ihe last will and eodlcll(s)
prescnled hcrcwith IInd Ihc grnnl of ICllcrs..._TIL~J;I "I" .,1. /-,' V
(ll'\lllIIlCIlIIU)'j ndmllll~lrllllllll C,I.II.; "dmlnl~trl\llon d.h.noc.l.a.)
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____. ...._uu..._ u____. _.__ .u____. .., .__ _ .' . ~.. .__ .____ __~.__ _. .. .___~ __...___..____,
_..._____.__.____.__.__.__.__._. ,.._____ ._____~_ _ ._______.__ __ ____ _n ._.....__ _.._ ___'__4___.~__ _..__
OATH 01' IJERSONAI, REPRESENTATIVE
~g~~I~~Ni~:.::A_I_~~.~~_(~~'f~~~~.~~~~,V A_N~_~._ } HH
Thc pClitlollcr(s) IIho\'c.nlll11cd S\V~llI(S) or affilln(s) thllllh,' stalcmcllts In the foregoing petition are
II'IIC and conc,'1 to thc h"11 Mlhe knowlcdgc and helicf of pClitioncr(s) and thullls personal reprcsen-
lalil'c(,) of thc aho\'c deccdl'lIl Iwtiliolll'r(s) will \\'cll and Irnly adminislcr Ihe cslllte uccording 10 IIIW,
SWlIIn III or affill1l<:.ll and snhsl'lihcd . ~'r~_'t'ull,1 XJ}("~nLd U... ~
hl'llIn' ml' .Ihll 0 EM~t~ H. .. (~4.' ~d . L-'.'H."'~u!11'LT>. 1"V 'I I. D oq'
1J!t.i ~~~(II.~' , ,,--,fJ-J1?' ) &;umu.__m__m._.m___ ~
., TMARilC. LEWIS t.< t N('~i\I"" TIll . :=-::~:-_:~_~=-~..__ ~
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ITEM VIII. I direot that I be buried in my
plot whioh I own in ROlling Green Memorial Cemetery,
Lower Allen Township, Cumberland County, Pennsylvania~
IN WITNESS WHEREOF, I have hereunto set my
hand this l)~r day of JJ_~ , 1993.
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Graoe T. Ha f eld
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The preoeding instrument, oonsisting of this
and three other typewritten ,pages identified by the
signature of the testatrix, Graoe T. Hatfield, was o~
the day and date thereof signed, published and deolared
by Grace T. Hatfield, the testatrix therein named, as
and for her last will, in the presenoe of us, who, at
her request, in her presenoe and in the presenoe of eaoh
other have subsoribed our names s witnesses hereto.
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CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent: G f.../1 Cr-
Date of Death: 10 /~ 7.. h '"
Will No. IHif- 6~ r 57
'95 f1AR -3 P12 :20
T. /1 A 1 F / Ed))
Admin. No. ~ I cr c..r
CI€JIi' ' , ' ':ourt
C\lrn~::AJ" PA
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To the Register:
I certify that notice of beneficial interest required by
Rule 5.6 (a) of the Orphans' Court :Rules was served on or mailed to
the following beneficiaries of the above-captioned estate on
,,9...a..u , I 9 q 'f I
Name
Address
-1&..---M /c,UtlE;L J.I ,ffF(l</..~ 137D 'Rock $Pfi.//'JG c./~c.L~/f.ulJ
,4. f L.!iJI(TA, G-tt. ~()}o /p
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Notice has now been
Rule 5.6 (a) .,slleepot
given to all persons entitled thereto under
('01'//.'( c!'N~ '13lfN1<if'/"-IAR'!)
Date:
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Slgnature
Name C.1.ARb: I~, ;\'l~,l)oN.AL}
Address 'iJ/o CAfi"I>t.. C/!<c.Lrf;
N't'I-V_Cc'}1'8f:P.LA-HP,1'1/ 171> 7()
Telephone(?11) 71.J-1c'31.1
Capaoity:_~ Personal Representative
Counsel for personal
representative
I"/. .J 1/ {., / (.>
INHERITANCE TAX RETURN
RESIDENT DECEDENT
COMMONWfA\H' O. "NNSllY"NIA (TO BE FILED IN DUPLICATE 10(( 11 0" Q :; ?
OfPA"TMENT OF REVENUE 1 ( T I
~A!~!!~J:h, ~~r,I'lo60' WITH_REGISTER OF ~~LLSL COllNTY_eqoE ... ,.", ..YE.A_R ,.. . _. NU!-lB.~~
[IfC)O!N"-~ ~IAMI (lAS,.-'~R~'. MID MIOOLf ItHl'All -. - -I'C~D'N"~ (QMPtflE AOD~US (1 ,4, (,-hE:
Iii jL,1j.ui~~j;,:iYh.cU?IJ~'E:IDArO'jj"i?'....nID"'fO;ii;iH- u ~':'\U l.';~1f~,/~-L'AI't,()J'''' (J. 70
; 1"-.'("'f"~;i;;..(,t~/i~,,f.~~~'~'i'ii'''''O;/~'~~'';~li.~ '1;OCiAi-i;;'(.'~~~~~iii.. ,.,.. C'~l'iI~~.v,~;!1.~~fi.1i~U~~ONiI'.--- ._u_.___
.____~_n_[;j' i ~.o;,~i~~I' R;;~;~un- -- -- ,. IT 2:-Su;;~-;'-~;;'iR~;u~;'--- --- --.--.-- .'TjJ~R'~-"j;;d~;-R"u;;;---.-m_--
:5tl Ilor do'" of d.o,h prior '0 12,13,B2)
~~9 [I A, lImi,.d Ello'. U Ao, rl~'rud'0:~:'~1'~.~~~~lf.~%.12'B21 [J 5, F.d..ol EIIol. To. Rllurn R.qulred
U~1Il ['16, Ooc.don' DI.d T.llo'o [I 7, Oocod.nl Moln'oln.d 0 Living Tru,' R.B, To'ol Numb.. 01 Solo Oopo,lt Bo...
IAlIoch copy of Will) IAlIoch copy 01 Tru,'1
"_h____ ALL COllIIPONDaNe. AND CONFIDINTlAL TAX INPOllMATlON IHOULD I. DIRICTIO TO.
~lAM( D. COMmn M"HINO "DDR /. .
_ ell/A e-_JL_.!!1~I'!..i..~,.fo1_toS,-,,-Lr.._tJ_.___ i I C, (}(.A, ,'lot..,., ",C';:/ ~c.,,; ~ <1,# /7 C' 'I ()
TUfPHON! NUM8!A. ^' E4 w.) . " /YJ [") ,. ( J () / I ~
- l1J.I..J,=lJ ~--;J;)j ~-J ~=="'''''=o=~-="==~~~_=~~~=~~~o f' ;"-~ "n?i'
1. Real EII.1le ISchedule A) ( 1 I u.-:-:. _~~__~~_ r:
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2, S'ock, ond 80nd'ISch.dul. 81 121 ._..__,IJ !>~'/..m'~ ":",____m
3. Clollly Held StockfPartner,hlp Inlerell ISchedule C) 13 ) _ .___=n~...._-:-".u.___ n_ _.~_
A, Mor'gogll ond NollI Rec.lvobl. ISch.dul. 01 141 __ ._._.:':,.0._::,,_ ,..._.. __,.
17 {J ,,- Ii''''
5. Coth, Bank Oepo,11I & Mhcelloneou, Perianal flropllrly IS} .__ _n____../.!'t'.._4-___~~_~_.._.
ISch.dul. EI
6, Joln'ly Own.d P,op.rty ISch.dul. FI
7, Tron,f." ISch.dul. GIISch.dul. LI
B, Tolol Groll A,,,,, 110101 lIn.. 1,71
9. Fun(jral hpenle', Admlnltlralive COllt, Mhcellaneoul
EKp.nlll ISchedul. HI
10, O.b", Mor'gog. lIobHillOI, lI.n, ISch.dul. II
II, Tolol O,duclion, 1'0'01 llnOl 9 & 101
12, N., Volu. 01 ElIalollln' B mlnu, Lin. 111
13, Chorltoblo ond Gamnmen'ol B.qu.." ISch.dul. JI
lA, Nil Volu. Subl'" 'a T~",-lllno~~~1 lln. 131
15, Spou,al Tron,f." liar do'OI of d.olh 0/'" 6,30.9AI
See Inllrucllonl for Applicable Percentage on Reverie
Sid., I'nclud. volu.. f,om Sch.dul. K or Schodul. M,I
16. Amount of line 14 ta.llable 01 6% role
Ilnclud. volu.. Irom Schedul. K or Schedul. M,I
17. Amount of Line 14 taxable al 15% rnle
Ilnclud. volu.. from Sch.dul. K or Sch.dul. M,I
18, Prlnclpol'o. du'IAdd 'a. I,om lInll 15, 16 ond 17,1
19. Credill Spoulal Poverty Credil Prior Paymenll Ollcounl Inlerfll!
._______um + __ .,.______._____ +_____..___. -._._____,
20, II llno 19 I, 9roo'.. 'han lln. IB, .n'.. ,h. dlff..enco on lln. 20, Thl,I,'h. OVeRPAYMENT,
110
21. II lln. lB II groo'" ,hon lln. 19, .nl.. Ih. diff.renco on lIn. 21. Thl' II ,h. TAX DUE,
A. Enter Ihelnlerett on the bolance duo on line 21A.
B, En'.. Ihe 1010101 lln. 21 and 21A on Lln. 21B, Thl, II ,h. BALANCE DUE,
Make Chock Payable fOI R.gl.'er ., Will., Au.nt _.. ..
j , ~.. I' IUI' TO ANIW.I ALL QUInIONI ON IIV.IS.IID. AND TO I.CHICK MATH oil( <II( , "'"7"
Under plnolllll of perjury, I declare thai I have eKamlned Ihll relurn, Including accompanying Ichedulel and 'Iolementl, and 10 the bell of my knowledg, and b.ll.f,
lilt trUt, correct and complete. I declare thai all real ellale h:n been reported allrue market volue. Duclorollon of preparer olher than the perianal repr..lntal;..." I.
baled on alllnlormatlon of which preperer hal any knowledge.
SlONAWII 01 '"10N IIimNA"f .oR fllINO "'UiN----.OilRIT\---....m'---------.....-----..--~--- ~ .-
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$IONATUU or 'R"ARU OTHER. THAN A.fP~A,lIVE AtlnR!SS /
Chl',k 1H'11' if you (11(' Il'C1IIl'\.ln{l II I!'fund of yUill tH/l'lpllVlTll'nl
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'OR DATIS O. DIAlH AnlR 1213"91 CHICK HIRE
If A SPOUSAL .
POYIRTY CUDIY IS CLAIMID I J
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1121 ---..1~ 8 [{
1131 -c' -
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1171 ____....l'f..c<:.!._____._M ,15.
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1201 .~__
1211.____..45'-21___._
121 AI..____::.L.:::'_________
1218)uu~,Cj_'/.-~---- __
DATE J
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--.-----___.__._~____._...__.__.__..___._....__.__.n.__.__.._. .~_.._._ __.._.....;_____~__ ______~___
"'"11'" 1'"1 .,.a." SCHEDULE H 1
~ FUNERAL EXPENSES,
COMMONWIAllH Of IIHHIYL'ANIA ADMINISTRATIVE COSTS AND
._,_. _ IN~!~:hA~~~w?,m~'N . _.__ _.. ~!~CELL~.NEOUS EXPENSES Plio" Prlnl or TVe...
mmo. =c: HUM".
..__Ii. t TELl': J, .D) G ~A c. ~ _L____________ _1...9 ~ '-I - () 0 9.."
N~~~ER DESCRIPTION AMOUNT
A,
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Funeral bPln"I'
~N'P,A). Wlf~ fftt.~fA I,D
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8, Admlnlltratlvl COIIII
2,
Personal Representative Commllllonl
Social Security Number of Penonal Reprtlenlatlvel 18 r
Year CommlSllonl paid _1.Y1,~&.Ji GO (:0 1>.
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Attorney Feol No IV J:
- ,'() -
3, Family exemption
Claimant ____ Relatlonlhlp
Addrell 01 Claimant at decedenl'l dealh
Slreet Add,," _______.
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City ____,_____..
Stale __ Zip Code
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RIV'1547 IX AFP (12.94.
C_AlTH Of PENNSYlYANIA
DEPARTItENT Of REYENUE
BUREAU Of lHD1YIDtJAl TAXES '
DEPT. 211601
HARRISBURG, PA 17128-0601
NOTICE OF INNERITANCE TAX I
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
ACN 101
DATI 07-10-95
F1LE NO. ,-
10-22-94 COUNTY CUMBERLAND
NOTE I TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAK
PAVHENT TO THE REGISTER OF WILLS. HAXE CHECK PAVABL~ 'ro "REGISTER OF WILLS, AGENT"
REMIT PAYMENT TOI
\
CLARE RMCDONALD
S10 CAROL CIRCLE
NEW CUMBERLAND PA 17070-0229
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG TH1S L1NI
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AMount R..ltbd
.75
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,..R~!M~, ,l:.q~!!t1.q,U~C!~ ,t~~,YOUR" RECORDS
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RIV.1547 IX AFP (12.94*
C_U TN OF PfHHIYlVANU
DEPARTMENT OF REVENUE
IUREAU OF INOIVIDUAl TAXEI
DEPT, 110601
IWlIlIIIURO. PA l11Z1-0601
InATI OF HATFIELD GRAC FILE NO. 'l-
DATI OF DIATH 10-22-94 COUNTY CUMBERLAND
HOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT. SUBHIT THE UPPER PORTION OF THIS FORH NITH YOUR TAX
PAYffENT TO THE REDISTU OF WILLS, HAKE CHECK PAYABLE TO "REDISTER OF WILLS, ADENT"
REMIT PAVMENT Tal
HOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF OEDlICTIOHS AND ASSESSHENT OF TAK
ACN
101
DATI 07-10-95
CLARE R MCDONAtD
810 CAROL CIRCLE
NEW CUMBERLAND PA 17070-0229
R~GISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLIStE. PA 17013
Aaount RaaUted
CUT ALONG THIS LINI .. RITAIN LOWIR PORTION FOR YOUR RECORDS ~
iiiWis47"iiC.AFP"(i'2"-"94"i"Ncifil5i"oF.'iNHiiiiTAifci.i'Ax.1ipjiRAxsiilBNi'";.Ai.i."owANci.ii'R..m............
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF HATFIELD GRACE T FILE NO. 21 94-0957 ACN 101 DATI 07-10-95
TAX RETURN WAS I (X) ACCEPTEO AS FILED () CHANGEO
RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN
1. Raal E.tata (Sohadula A) III
2. Stock. ond Bond. (Sohaduh B) 121
3. Clo.aly Hald Stock/partner.hlp Intara.t (Schadula C) (SI
4. Hortgege./Hota. Racal.abla (Schadula 01 (4)
5, Ca.h/Bonk Dapollto/Hloc. Parlonal Prcparty (Schadula EI (5)
6. Jointly OWned Property (Schadula F) (61
7, Tronlflrl CSchadula D) (71
I, Totol A..ato
.00
1.859,32
.00
.00
1.795,82
.00
.00
(II
3.655,14
APPROVED DEDUCTIONS AND EXEMPTIONSl
2.555.26
9, Funeral Expenlal/Ado, C.ltI/HIIC, Expanlal (Schadula H) 191
10, Debtl/Hortgega Llabllltla./Llanl (Schadula II (101 ,00
U, Total Daductlcnl IU I
12, Net Valua of Tex Raturn (2)
13, Chlrltobla/Do.arn....,tel Sequuto (Schedule JI USI
14. Net Value of Eotota Subjact to Tex U41 .
NOTEI If .n ........nt w.. i..u.d pr.viou.ly, lin.. 14, 15 .nd/or 16, 17 .nd 11 will
r.fl.ct figur.. th.t includ. the tct.l of ~ r.turn. ..B....d to d.t..
ASSESSMENT OF TAXI
U. A.....,t of Line 14 It SPOUlel rato (15) ,00 K' 03.
16. Aaount of Line 14 taxabla at Llned/Ch.. A rite U61 1.024,88 x, 06.
17, A.....,t of Line 14 taxabla at CoUltaral/Cla.. I rata U71 75.J!.!!. K ,15.
II. Principal Ta. Due (III
TAX CRIDITSl
PAYHENT
DATE
04'13-95
?IiEifi ,~
1,099,88
,00
1,099,88
,00
61,49
11,23
72,74
RECEIPT
HUHBER
AA023043
DISCOUNT 1+ I
INTEREST (-I
,~O
AIIOUHT PAID
65.99
PAVMENT MUST BE MADE BV 07-23-95*,
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTlRIST
TOTAL DUE
65.99
6.75
.00
6,75
. IF PAID AFTER OATE INOICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST,
( IF TOTAL DUE IS LESS THAN 11. NO PAYHENT IS REQUIReD,
IF TOTAL OUE IS NEFLECTED AS A "CREDlT" (CR). YDU HAY BE OUE
A REFUND. SEE REVERSE SIDE OF THIS fORM fOR INSTRUCTIONS.)
"
RfSE:RYAUOHI EllIt" 0' decledentl dying on or be'or. Deo....r 12, 19.2 .... 11 any 'utur. int.rllt In the .Itlt. h tranl'.rred
In ponl..lan or ."jOlt""t to Ch.. . (OOUltIrIU blntUallrl.. 0' thl dto.dent Iftlr the Ixplr.Uon IJ' MY ..t.t. far
ll'. or for v..r., the C~.lth hlrebv .xpr.llly r".ry.. thl rltnt to IPPr.I.. end ...... tren.f.r Jnh.rltlnCl, T.x..
.t thra llN'ul Cl... 1 (ooUltlral) rete on InY .uch future Inter..t.
_01'
NOTlC!1 To fulflU thl requlrlMnh of Slotlon 2140 of thl Inhlrltanol Met Eltet. T.M Aot, .c:t U of 1991. 11 P.I.
hoUon 2141.
P.YflEHTI DetlCh'the top portion of thlt MoUae Ind lubtllt Nlth your p.~."t to thl R....t.r of '11111 printed on thl rey".. .Ide.
oolltkl 'hook or 1OIlI, ardor PI.obll 10' REGISTER OF MILLS, AGENT
All P'Y'IIf'ltt rec.lvld IheU Unt be eppUed to InY Intlrllt whloh ..V be cMI Nlth InV rMllndtr tppll.d to the tax.
M.'UND cau, A r.fwld of . t.x arldlt, which WII not r.....ted on thl Tax Return, uy be requa.tld bv OOllPl.Uncl 1ft "Appllclt1on
far R,fund 0' Penn.Vlv.n11 Inh1rltence end E.tltl Tlx" (REY..1S1S). Appllcltlon. Ire .Yllllbl. .t thl OffiCI
of thl RII"tlr a' NIUI, InY 0' thl ZS R.verI'M Dbtrlot Offlc.., or bv oIUI". thl 'PMI.l Z4.hour
enlwerlng ..rvlo. nulbtr. 'or for.. orderl",l In Penn'vlYlnl. 1-800-562-2010, out.lde Pennlvly,"l. end
withIn 10001 Horrllllurl or.. (717) 717-1094. IDOl (7l71 71Z-ZZSZ (....rl.. I_trod Onhl,
OUCTlONSI MV pertv In Inter..t not IIthft.d with thl eppr.h-.nt, .UOtI'MlO' or dlt.Uowtnel of Mduotlon., or .....lMf'It
of tl)l (Including dllcount or Int,,"" ftl .hown on thlt Notlc. ""It abJtot within .1Mtv ('0) dive of rlCl.lpt of
tttll Motlc. by.
"-written prot..t to the PA Depart.."t of A.YInUIi, laird of Appull, tNpt. ZalOn, H.rrhburl, PA 17UI-lOU, OR
.....Iutlon to h..... thl ..tter Mt.r'IMd It IUdAt of the ftCIcount of tM ptIr'OMI rtprllent.Uvl, OR
---....1 to thl OrpMn" Court.
AOIIIN
IIIUTl\'!
_CTIIlH1'
feotUll"rorl dltcoyered on thh IIH.lltlrtt lhould tMI IddrllMd In "rltlnll tal PA DIp"t..,t of R.vlrtUe,
luraeu of Indlyldual T.x.., ATTN. POlt A....~t RIVIIN unit, Dept. 28a'Dl, ~rrllbur., PA 17121-0601
Phone C717J 717"6101. ... p... S of thl bookl.t "In.truotlon. for Il'lhIrlttnOe Tu Return for I Rllldlnt
DIoldint" (REV-1S01) for en .xpl~tlon of edlln1.tr.tl"llv tcrreotMbJ. Irrorl.
011COUNl.
1ItTIIlIIIl
If MY tu due 11 p.ld Nlthln three UJ clltndllr IIOI"lthl .ft.r the dlc:tdlnt'l dllth, I flv. ,",rcent (I~J dltoount of
thl tt. p.ld 11 .Uowd.
Int,,"t It chtlrgMt bellnnlnll with first MY of dll1l'1qU1MV, or nine (t) IIOnth. Ind OM (1) dey frOll thl date of
dwth, to thl dati of PI)'Mnt. T.xII which bee... delinquent before Jenulrv 1, 1911 be.r tnt""t It thl nt. of
Ih (6~) percent per IfVM alleuletlft It. daUv ratl of ,000164. All t.... which bee.. dllInquent an end aft.r
J1nUI1'11, 1"2 .,111 bHr Int.rllt .t I rlt. Nhleh will vary frOll olllndtr V'lr to cllMd1r VNr Nlth th8t rat.
tnnCMIMltd bw the PA IMpart....t of RIYInUI. ThI ...110'*'1. Int.rllt ratll for 19U thrOUlh 199. ""
!!!r Int"..t RI" DtIlh Intlrllt 'IOtaI' ~ Int.r..t A.t. DaUv Int.rllt hator
I9IZ lOX ,000141 1917 9X ,OOOZ47
1911 IU ,000451 1911-1"1 lIX .000101
I'~ IU ,000501 I"Z 9X ,OOOZ47
I'll IlX ,000116 1"1-1994 7X ,OOOltz
I'll lOX ,000274 1"1 'X ,000247
"-Inttnn II oaleul.ted .. followlI
IIlTIIlElt . IALAHCE OF tAlC UNPAID II HUllla OF DAYI DELXHQIIEMT II DAILY IIlTIIlElt FACTOI
---Any MoUa. hlUld Ifter thl tu bMMt. delinquent NUl rlUlOt In Interllt ollcul.Uon to '1ft,," (II) dlw.
beyond thl date of the .....lIMnt. If p.v.nt 11 IIdI Ifttr thl Interllt COllpUt.tlon dltl thown on thl
Hotlce, .dcUUonIl Int.rll' Milt be (lllouttted.
I,
... ~. .... .~ " ",-
_'_,'n..~..~_. ~ 'n. ._._.~..
- ~ - -.. .".. ." - -'. -- . - . .. - - .~.. --~ ..- . -. .. - .... ..- .. . ........ -." _4 _'.,. .._. . _p .... no _ . _ .._. ".
. ..- -. -.- ~~. -_. ...- ....
I', \ , '\ _'.
, 1" '.AA' 0" 4'80" 'W1' COMMONWIALTH OF. PINNSYLVANIA "
~~ ' " ' \I, " . ' , DI~lITMINT 01' IlIVINUI , .
. . I . , . _ , .
"~~II" ,~'~".,' ", ,'Ol'P1CIAL RICIIIIT . 'INNSYLVANIAINHIIUTANCI AND IITATI TA~---I
,.,1
, ,
.~..
RECEIVED 'ROM,
&
ACN
ASSESSMENT It'
CONTROL ~
NUMBER
AMOUNT
CLARE R MCDONALD
910 CAROL CIRCLE
101
.6.7l!1
NEW CUMBERLAND PA 11010
..'ClIOHUf
ESTATE INFORMATI~ .
m FILE NUMBER
II el-1994-0951
E1 NAME OF DECEDENT (LASTI ,
HATFIELD BRACE-T
II DATE OF PAYMENT
m POSTMAR~elf /cpr;
COUNTY
c1:IIMR"RIANn
DATE OFDfAfH
~-
SSN 100";14-4900
(FIRSTI (MI)
----..
CLARE R.MCDONALD
m TOTAL AMOUNT PAID
fb.'7!'l
CW
19/ee/9'f
REMARKS
SEAL,
,
REGISTER OF WILLS
j)
1._,.. r '.,
J ","
RECEIVED BY,' I, ..!. C. '" I,. "''<;::...t,',.;/
o SIONATUI!) 't;~ 0'10", .",, ./,
MARV C. l.EWIS ' , " I I
REGISTER OF WILLS
CHEC~* 930
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ntlJnt 'tnUI^ltt '0 lutl,JldtQ 'd Inl p'1,'JppI Iq Plno41 1'1'ou '14' uo PlUlllUO' '''0''''1 BUIPJ.'I.. lUOt,11nO
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'VINV^'ASNHild ~D Hl1Yi1IlNOWWO~ 101 .,q"'d "PJO ...... JO ~,,~, 01'" IN:103J30 IN30In~-NON /I
'!NilOV '~"IH ~O HiI!SIOilH lOl "qU.d J'pJO ...... JO ~,,~, 01'10 IN3Q3J30 IN:lOln~ /I
'epfl II"'^'" 14' uo PI,UIJd
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11NlIN^'d