HomeMy WebLinkAbout94-00979
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ItETlTlON FOlt PIWIIA'n; IIl1d <atANT 01" LETnmS
.~U ~tJ~:::_'L79
litllllt .if ..YJ.x9Wl\...N...Vo11and
II/JIl kllllll'I/ liS .u ......
1'111.
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.. .. .. 1l<'~ltlel III Will. tIll Ihe
._..._, 11.'II'II....d. 1'II11111y III ~rlaJ!d.._ III Ihe
Sodlll Scmr/ty Nil, ~Ol=lB~2196 ._._..... _ Cllllllllullwellllh 01 l'enn.ylvlIlIllI
Tile Ilelllloll or Ihe nndelSlgllellle,,,elllnll)' lellle'elll' Ihlll:
Yoor pellllonel('), whll 1!/lIIe IN )'elllS IIr liRe III IIIo1er IIl1lhe exeenl rix
IlIlhe la.1 will or Ihe 1I110ve deeedellt. oIlIleol Sept~!: 25
alld codlcll(.) daled ---
lIamed
.III....!!L
(II ale 1C'leYAIII thCllllulnllt:c:,. ('.1. IflllllldRllulI, deAth IIr ut'cutu" elc.)
()ecendelll wa. domiciled III delllh III Cumberland CoulIlYL I'enll.ylvanla, willi
I. er .111.1 ramlly or lltlllclpal esloIc~e nl.. Blue R1dqe llaven West. J549 Green St..
nill PA 17011 ~Lemtfb,,.. ~..)
111\1 ,lint, 11l1l11he' lUll! f11l1l1cll,nllIY)
()eeelldelll,lhell 68 )'elIlS or IIge, oIleol _-Sep~O ,19 94 ,
al Rl11A RlilgP HAven..Wes~ --- .
Exeepl a. rollow., deeeolclIl dlol 11111 "'1111 Y. IVI" lIul dlvureeol 111101 01101 11111 hllye a child born or adopled
after execollon or Ihe will urlclcll fllt "llIhllle; lVII' lIullhe vlellm or II kllllllgllnd wa. lIever adJlldlealed
hlcoml,elelll:
Uecelldellllll delllh OlVlled IltUpelly IVllh eslhlllncol vllllle, II' lulluw.:
(If domlclleol III 1'11.) All IlelSulllllllt ul,ell Y
(If 1101 domiciled IlIl'a,) I'clSollllllltllllClly Inl'ellll,ylvlIlIllI
(If 1101 domiciled IIII'll,) l'c,",1II111 IltU"elly III CUllllly
Value of relll eslllle IlIl'enllsylvnlllll
sllua.led a. follows:
$ less thAn S50,OOO.00
$
$
$
WIII!RBFORIl, pellllollel(') re,,,eellllll)'
pres en led herewith IIl1d lhe gllllllllr lellelS
Iheroll.
,elll!C,t(S' Ihe IltobRle or Ihe lasl will alld codlell(s)
of Ad~inistration C.T~A.
tIC\tnllIClllnry; ndll1lllhlrnllulI C.I.R.; ftdnllnlstrallon d,b.I1.C.t...)
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xanne Vollanu
915 DerQy_sh~I;.e..-h~.iiU:~===~:
~h"nicsbUJ:9I_.1'l\_17.055__.._.
(717) ';93-=4906------.----.-.
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OATil 01' 1'lmSONAL H1~I'lmSl~NTATIVE
COMMONWEALTII 0)0' l'ENNSVI.vANIA l II
COUNTY Ol~ CUmberland J H
The I'ellllullel(o) 1I11uyeolllllllclI o\\'eR'(s) III ""\rlll!') Ihlll lhe ,lillelllellls Inlhe ruregolllg Ilellllollllre
Iroe and correcllo the be. I of Ihe kllowlellge RIIlI heller or pellllllllel(.) IIl1d IhlllllS I,ersolllll represell-
lullve(.) or Ihe 1I110ve decedenlpellllollel(') \\'11I \\'~~ '~"II~lISler lhe eslRle accurdlllg 10 law.
Sworn 10 or arrhllle I 11I111 slIbserlbe,l . IJ-'L !Il
before e Ihls _ oIlIY oJ - ibxanne Volland oS'
~ 0 I i.I- _21.~_.Qer~hire Avenue l>
EWIS ..,u..u. .. uo - Mechall.!.C1>MQ, PA 17055 ~
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21 - 94 - 979
Estlltc of
Virqinia N. Volland
, VcccllsctI
DEcaum 01; ..nUIIA...E ANI> GHANT 01" LE...mUS
AND NOW NOVEMBER 21, 19..21.-, In conllderallun of tile petlllon on
lhe reverie side lIereof, salllraclory flroof havlllS lIeell flre.ellled befOle me,
IT IS DECREED IlIalllle III.tromelll(.) dated SEPTEMBER 25, 19B1
described IlIereln be adlllllled 10 l"ollRle alld lIIed of record as IlIe la.1 will of
VIRGINIA N., VOLLAND
OF ADMINISTRATION C.T.A
ROXANNE VOLLAND
and Lellers
are hereby sranled 10
\IllES
Pro bale, Lellers, Blc. ....".., $ 80.00
Short CtrUncales( 3) . . .., , . . .. $ 9.00
Renunciation ................ S 5.00
. X-Page $ 3.00
JCP , 5.00-
TOTAL _ $
NOVEMBER 21, 199!~~
Flied ...... .......... ............... ....
f!7"
2 W. Main St.. Mechanicsbura. Pl\ 17055
AUURIlSS
(717) 766-0209
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Letters and order mailed to attorney on 11-22-94.
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WARNING: Ills Illegal to dupllcale Ihls copy bV pholoslal or photograph,
Fu,' for II".. (l.rtUit.III', S!.O(l
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COM..OHWlALtH 0' PlHNIYLYAHIA' DEPARtM.NT 0' HULtH' VITAL ftl,COROI
CERTIFICATE OF DEATH
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21 - 94 - 979
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LAST WILL AND TESTAMENT OF VIRGINIA N. VOLLAND
I, VIRGINIA N. VOLLAND, of the Townohip of Hampden.
Oounty of Oumberland and State of Pennsylvania, being of sound
and disposing mind, memory and underotandlng, do make, publish
and declare thio my Laot Will and Testament, hereby revoking
and making void any and all prior Wills by me at any time
horetofore made.
1.
I direct the payment of all my just debts and funeral
expenses as soon after my decease as the same can be conveniently
done.
2.
I give, devise and bequeath all the rest, residue and
remainder of my estate, real, personal and mixed, whatsoever
and wheresoever the same may be situate, to my son, Gregory
A. Volland. sbsolutely and unconditionally.
LASTLY, I nominate, oonstitute and appoint my son,
Gregory A. Volland, Executor of this my Lost Will ond Testament.
this
IN WITNESS W1IEREOP, I have hereunto oet my hand and oeal
:;. .If};Mny of .<I: .h-l-;,_..J~>> , A. D., 1981.
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?C(j'~'.J ~. t!.QN.-J--
Virginia N. Vollond
(SEAL)
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sealed, published and deolared by the . 'above
Virginia ,N. Volland, as and for her Last Will and
1n the presenoe of us, who have sUbsoribed our
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hereto as witnesses, at the request of said testatrix','"
her presenoe and in the presenos of Bach other.
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21 - 94 - 979
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REGISTER OF WILLS OF COUNTY
OATH OF SUBSCRIBING WITNESS
codicU
(each) I subscribing witness to the will presenled herewith, (each) beln
law, depose( Ind say(s) Ihal
Y qualified lecordlns to
present and saw
the testa' , slsn
request of testa' In II
other subscriblns witness(es)).
sisned as I witnes. It the
the presence of each other) (In the presence of the
Sworn to or affirmed and subs
me this
Regtsltr
(Name)
(Address)
REGISTER OF WILLS OF COUNTY
OATH OF NON.SUBSCRIBING WITNESS
Cumberland
Ibxanne Volland
~) a subscriber hereto, (iliiQI) beins duly quaUned according to law, depose(s) and say(s) that
she is familiar wilh Ihe slsnalure of Virqinia N. Volland
ll:il'AlCC(
) the will
lesla' rl v
presented herewith and
le&lIillI
beUeves the .Ignalore on Ihe will I. in the handwrltlns of
of
that
she
Virginia N. Volland
10 Ihe beJI of hAr knowledse and belief. ,0, V ~
Sworn to or affirmed and subscribed before 4~
me thl 1 off', day of (Name)
'II .c~115 Derbyshire Avenue, Mechanicsburq,PA
f'Jf'tj. (Address)
(Name)
17055
(Address)
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21 - 94 - 979
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REGISTER OF WILLS OF C-a I1IIj~P COUNTY
OATH OF SUBSCRIBING WITNESS
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/11A-/tCA-lU:r fl. lIIell1L:;12r
<lIldIctt
~ a subscrlblllg witness to the will presenled herewith, ~ being duly quallned according to
law, depose(s) and say(.) thai :':;N€ t()/I-S present and saw
I/IIlGI NI/f IV. /I"U~N./)
the lestatRIX ,sign the same and Ihal 5HZ: signed as a witness atlhe
request of teslat IU,x In ~ presence and ~R Ih, JlfIUR.. ,f LA.I. vii...) (In Ihe presenee of the
olher sub.crlblng wltness(es)).
NoIaIIaI SoaI
ctmJs E. Sl1Iotla III, NolllIY Nlic
~ Boro,ClirrborIOndCoo.J1ly
"Mi Cocrmslilon EJo;*8a.).l1O 20, 1996
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/J1~~dress) ,0.4. l1orr'"
(NO'
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(Addl'tM)
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Sworn 10 or arnrmed and sobscrlbed before
me this /ql-lt day of
~~, ~~~9;!-
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1bor,
REGISTER OF WILLS OF Cuttl~ COUNTY
OATH OF NON-SUBSCRIBING WITNESS
(each), a subscriber herelo, (each) being duly quallned according to law, depose(s) and say(s) Ihal
familiar with Ihe slgUluure of
codicil
lesla of (one of the subscribing witnesses to) Ihe will presenle WIih"and
cod
that believes Ihe slgnalure will Is In Ihe handwrlllng of
leslal Ilh and Ihal
Sworn to or arnrmed a
me this
scribed before
day of
19_
(Name)
Reglsltr
(Name)
(Address)
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21 - 94 - 979
RENUNCIATION
In Re Estate of
VIi(G-1 N lit
JI, VOLLI1IJ.'b
deceased.
To the Register of Wills of
C U 11113 €fl L II-N.])
County, Pennsylvallla.
, The undersigned
~ )(t.c.",r;,. tJM.d .ao n
of
the above decedent, hereby renounce(s) the right to administer the estale and respectfully ask(s) that Lellers
-r~f4h1eniQrl.J
-'
I?O'XAIII'v€
be Issued to
V{)UA-IJD
WITNESS
hand this 2'1/4 day of W
, Illft.-.
)( <J\.o.(fO~ 0 Vn OQc:-~
IJl&lur.)
371f7 w. '8ac,KtFYG
'PH~ENlX; 11 z. 6>5'"00'1
(Addreu)
(SllIlllure)
(Addrw)
(SllJl&lur.)
(Add....)
.c}' J.~ 1/ -17-1f
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CERTIFICATION OF NOTICE UNDER RIJLE 5.6(0'
Name ofDeccdent: VIRGINIA N. VOLLAND
DatC ofDcath: September 10, 1994
Will No.
Admin, No.
~/." 'I -lf7 'I
TO nIB REGISTER:
I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Coun
Rules J~ ~~ .!)n or maIl~ to the following beneficiaries of the abovc-captioned estate on
~
cmgory A. Volland
Address
3747 W. Buckeye, Phoenix, Arizona 85009
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except t-!c:.I\1E.
Date: II' z.'~'ir
~E~~
ARLES E. SHIELDS, ill
Mellon Bank Bldg., 2 W. Main St.
Mechanlcsburg, PA 17055
Telephone: (717) 766-0209 P Q "
Counsel for Personal Re~i1t8tive ~':
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j I~OA DAllS O'DIATH AnlA 12/31/91 CHICK HIAI
~~ii INHERITANCE TAX RETURN ~o~::~yU~:~DIIIS CLA'MID 0
cuM~":;:.:lff~f'~J~\::~~~:'~' _. '~~~~:~~~iT~~r!J~{flt ::~~I:~~AE \Et. - f;~~:~
5Tffi)l,H'~ UAMro\t, ,..". M40 MllllIITTtii1iAir iii7ruWI'!l (WArun AlIIH,{1;,
i- VQJ..LFJ.t:!~.Y{I?G!..MI.x.!'._.f1/I"'~_'"_''I_'''__'---'_''' 3S49 f31'J.EEN( ..Ipr. 13 .....,",,) ,.,...
O(t:;,'~c/:"lU"'~' :t./'16 OAllr~~~?'1 '>A;O~'~~'_Z" co:It~~::~~J~t:>~ 0 ,\Un ~n
"""N~ ~..!!.~W" · 00'.' ::i~~':~'.'~~ .'~""']:~~A~~~~~Miii~. ..t:6~"~.4~~fITomOUIToOf"l
P.<1 1. O,lglnal Relurn I I 2. SUNIltttnenlol Re'urn rJ 3. Remainder Relurn
. - (IOf dnl.. of death prior 10 12.13.82l
o ... Limited e,'at. 1':1 40, Future Inlf"lll Comprolnho rJ s. fed.ral E,'ol.lax Relurn Required
(for dolll' af dealh oh., 12.12.821
~ 6. Decedent Died T..lale [J 7. Decedenl Maln,alned a living hUll Q..O. Total Numb.r 0' So" Cepo.11 Bou.
(AIIach capy 01 Will) (Alloth copy 01 Trull)
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INfORMATION SHOULD BE DIRECTED TO.
HAM' e#'~.s e. .:wll[l./)'s Jll_u_____~ CO"';.' "A'Wo:o'4i.4/N .:s-r.
;m;,,0"1 Nu-Miio /ltL?-c#,wvlc.s.<3a"ec;" "pA-. /70$$"
717 7~&.-OU?1.._
1. R.al E.'al. ISch.dul. A)
2. S'ock. aod Bood. ISch.dul. B)
3, Clo..ly H.ld SlackIPa,lo."hlp 10'''''' (Schodul. q
A. Mortgage. and Nol.. Receivable (Schedule DI
5. Cnth. Bonk Depolltl & MllColloneou. renanol Propel I)'
(Sth.dul. E)
6. Jolnlly Owned Properly (Schedule fl
7. T,an.I." (Sth.dul. O)ISch.dul.l)
B. lolol Grall Ane" (loloIUne. 1.71
9. funarol Expen..., Admlnhlrollv. COlli, Ml.cellaneouI
bpen..s (Schedule H)
10. Debll, Mortgoge lIobllitle., lIenl (Schedule II
11, Talal D.duclloo. (..'.1 II... 9 & 10)
12. Net Value 01 Estate (line B mlnul line 11)
13. Charitable and Governmenlal Bequelh (Schedule J)
IA. Nel Value 5ubletlla loll. (line 12 mlllus line 13)
15. Spousal Tranll,,, (for dolel 01 deolh oher 6.30.94)
See In"rutllons for Applicable Percenlage fin ReV'flll
Side. (Indude volu.. ham Schedule K or Schedule M.)
16. Amount 01 line \It loxable 01 6% role
(Include value I Irom Schedule K or Schedule M.I
17. Arnoun' of line 14 taxable ul lS% rol"
(Include volu.. from Schedule K or Schedule M.)
lB. Principal tall. due (Add tall. from lInel 15, 16 and 17.1
19. Credlll Spaulnl Pavert)' Cr.dit P,lor Pa)'menh Dllcounl InllHlnt
o __' + _~. _0__, +______.9____ - ___.~._..
20. II line 1911 grenl., Ihon L1n. 1B, enler the difference on LIne 20. Thllllthe OVERPAYMENT.
Ii! 0
21. II line lB I. gr.al" than line 19, .nle, Ih. difference on line 21. 1hll II .he TAX DUE.
A. Ent.r ,he Inl.rlll on Ih. bolonc. due on line 21A.
B. En,..lh,'o'ol allln. 21 aod 21^ an IIn. 21B. 1hl. I. Ih. BALANCE DUE,
Make ChIck Payable 101 R.gllllf of Wills, Agtnl
.!.-.___ .. ~ BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH -c: -ot(' " ,
Under Plnchl.. of perlur)'. I d.c1ore Iholl hov. examined 'hll rei urn, Including accompanying Ichedules and Ilolemenlt, and 10 .he b..t of my knowledge and beUe'
It Is "duI, correct and camplet.. I d.c1or. thai all real ellale hOl been reporleer 01 true morbi value. Declorallon of pr.pnrer olher Ihan .he plnano! rept,"ntollv. I:
bOil on ollln'ormallon of whlth ,. ore, hal an knowledg..
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Act '48 of 1994 provide. for Ihe reduction of Ihe lax role. Impo.ed on Ih. nel value of Iranaler. 10 or for
Ihe u.. of Ih. .pou.e. Th. ral.. a. pre.crlb.d bV Ih. .Ialule will b.1
e 3% (.03) will b. appllcabl. for ..tale. of decode nil dvlng on or afler 7/1/94 and before 1/1/96
. 2% (.02) will b. applicable for ..101.. of decedenll dvlng on or afler 1/1/96 and before 1/1/97
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e 1% (.01) will b. applleable for ..1010. of dee.dent. dvlng on or afler 1/1/97 and before 1/1/98
e Spou.al trander. occurring an or all.r 1/1/98 will be .xempl from Inherltanc. lax.
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING A CHECK MARK (....) IN THE APPROPRIATE BLOCKS.
1. Old dec.d.nl make a tranal.r and:
a. re.ain .he u.e or Income of Ihe properly 'ransferred, .......................................................
b. r.taln th. right to deslgnat. who shall us. th. property transl.rr.d or Its Incom., ...............
c. r.laln a r.verslonary In.ere.I, or ...............................,...................................................
d. r.c.lv. the promls. lor III. 01 .lIher paym.nts, b.nellts or car.' .......................................
2. II death occurr.d on or b.for. O.cemb.r 12, 1982, did d.c.d.nt wllhln two y.an pr.cedlng
death tranal.r property wllhout receiving adequate consld.ratlon' II death accurr.d aft.r
Oec.mb.r 12, 1982, did deced.nt transl.r prop.rty wllhln on. y.ar of death without r.c.lvlng
adequale conslderallon'... .................. ............. ............ ...................... ...... .............. ...........
3. Old d.c.d.nt own all 'In trust lor' bank account at his or h.r d.ath'......................................
YES 0
x
X
><:
X
X
X
><
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
" '
IlEY.IS02 fl+ 112..SI .Q..,Li..
" ~
COMMOHWt:AL1H 0' PENNSYlVANIA
IHttflUTANCf TAX IlIlUltH
IUIDEHl DECEDENT
SCHEDULE A
REAL ESTATE
_._____.~+__ ______ 4'._"__~" .". . - _d~' _4- .. ~- ...-..-------
(P.oporty lolnlly.ownod with Rlgh. 01 Su..lvonhlp mu.' bo dlsclo.od on Sch.dul. FI All r.olo.'o'. .hould bo .oport.d 0"01. marko. valu.
which I, dlflned a. the price at which prop.rly would b. 'Jllchanged b,lwI.n a willing buy.r and a willing '11I.r, n.lth.r b,lng camp.lled
10 buy O! ..11, ~!~a~~~"...!!~~!'!~~_t~Jt~_o_~I_._~g. o~ thl. !.I~~~~) !a~I'! ,__.. .,u.. "' ___O_n. .u ------~--
ITEM
NUMBER
V, ~G-I NIIt
N.
. -='==~-'=='=~='~-==~~=-'--','c=Ffi,E IlIIMBli,i"- <C'_''''
VOLL.4N.D -:21- '1'1- 979
ISTATIOF
DESCRIPTION
VALUE AT DATE
OF DEA lH
1,
--...------------
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.
COMMOHW1AI1H O' P1HHSYlVAHIA
IHHllnANel TAK InUIN
IIIIDIHT DlelDINT
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
Vt ~ 6-1 NlII IV ,
V()t.UJNb
CAli ,'.p.rty 1.lnl'.,.own.d with Ih. Righi of SUfvlvo"hlp mu.1 b. dltcla..d an Sth.dul. ')
ITEM
NUMBER
I.
R.
3.
l/-.
.s:
b.
7.
~.
DESCRIPTION
Ch e.c.k; 11;(
('5>c.e. 1l!.~Ii...
A-c:.eo\A.l'\t No.
0.1\".: \"td)
51,+00/,,(.,0t..3 u PNC.13eu\l<.
:5hu.>e. :;",v""1S A-uou.r\.t
C.redit \.l.n:o'l (loCI. Id~...
Mt.."'............s f;~t ~ltra.\
lL l\,..c.\....eI) Ira..t No, 12311 -00
q.
10.
h..let&!ot a.ccru.e.d ....... ..~'" No.1
f,.Dcee.tl" {;.v,m sale. ~f Ylu;eJlN l'!cm~ Df ~rs.n4/':J
II- $,./ckus flUcJ, '0 II
OM "Tele,,/.s/on ItIf ,sold a.f A.uc:~on.
'Boa.tmetls tJa..ti.rn..J l\A.o...TO"'~ I ~.
IRS tPe.fufl(J on close-out pe.rsDt1o.l t-e./"1l.VI1
Rt.il1lb..rs..me.nT6 o..sul c.~J;-b .". .5a.Ie ell R~I Es~
0->0 5c.k~~.
Q,) 5....1,001 T...".es
b,) ~~ '-~e5
e.) ~.... \ ~eC>fe.\;~
Pe.,w.ylv~" 6\.u. Sh:eld
PUlI'\!o',\ \\I~/1 13\U& CS\,', e.ld
ICj71 7OyoT()., (Hull'lO~ bee", rIA'" tor- 1. YetltS, W
Hal- -!;rt I e.1G. .r....k..lor r; f'f'!d "f \, y d":i I ~ 0l\V",,\
\OIA.!o'1 c..l\c\:~O"', \'lucid p"';I1+.....) ,>);:j.for l.....~.
1(,
TOTAL AI.o en'.r on line 5, Reea lIulatlon
(Anoth addltlonol 8K- lC 11- .h..tllf mo,. 'POt. II n"d,d,)
PleD.e Prlnl Dr l e
ER
.21- f'l - ?71
VALUE AT
DATE OF DEATH
,. ,-/, 3 -3 'I. '12.
"SI.9C
. 01(
,.
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....:>,
1";\1.3.'10
"'(,,(,,1...-0
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II 8'1.<>9
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"4~,O-O
~1~.1.1
1100.0-0
",.)" 0.','.:0'. ~...:.-. i'
I'N(: IIAnk, N.A.
.1~H~<< ~lIll,h' l'llo.'
O""I'IIIII,I'^ 171111
,
n",cl!mhp.r 7, 1994
PNCJrnANOC
Charles S. Shields, III
Attorney At Law
Hellon Bank Building
2 tlest IIlIin Street
IIechanicsburg, PII 170:'5
RSI Virginia N. Vallnnd
Date of Death. fJeptelllher 10, 1994
fJuelnl security NUl 201-10-2196
Dear Hr. Shields.
As 'per your request for information on accounts the above
referenced decedent held with us, the information is as follows.
-Checking Account No.
Virginia N. Volland.
5140066063 opened 03/01/60 in the name of
Balance at date of death. $4,334.42.
There is no record of an open Safe Deposit Box.
If I can be of any further assistance, please do not hesitate to
contact me at (717) 730-2321.
Sincerely,
C:Vde:tL , R.-v\.=.J
Sdith Tancil
Hiscellaneous Services Supervisor
Bank Operations
ST/mky
~J.~~.ij~~'r' .tt>-~.~p'_
~ "~:..- .--r.. -:,'-f,'.tr'}:k',: lA';- 'i
V rf"L~/..tl .-, I
Membersl.~'
FEDERAL CHEDIT UNION
December 7, 1994
Cherles E. Shields, III
Hellon Bsnk Building
2 W. Hsin Street
Hechenicsburg, PA 17055
RBI 'ESTATE OF VIRGINIA N. VOLLAND
Desr Hr. Shields,
Enclosed is the informstion requested in your letter dsted November
30, 1994 regsrding the accoont held with Hembers 1st by Virginis N.Volland.
Hembers 1st does not provide safe deposit boxes.
Plesse do not hesitate to contact me if you hava any questions or
require sdditional information.
V~ truly yo s.
&/:;f't
Denise A. Anders
Insurance Administrator
Enclosure
52751lasl Trlndlc Road · I'.O.llox 40 · Mcchanlcsbul'Jl, I'cllllsylv:tnla 17055 . (717) 697-1161
. '-" .
. ~:,.'b.1~'.-:~HI-~-'''''J'':-l~i '.~ "F".:;iP.'- h.'_'.,"..,. ~ -_;,uoA.~'c'->;"''''',",,'\OV'''''' ,q!"I>I~":''''''''~":'r..
SHARE SAVINGS ACCOUNTI
Account Number/Suffix
Date Opened
Principal Balance at Date oC Death
Accrued Intereat to Date of Death
Name of Joint Owner, if any
CHECKING ACCOUNTI
Account Number/Suffix
Date Opened
Principal Balance at Date of Den th
Accrued Interest to Date of Death
Name of Joint Owner, if any
INVESTMENT SAVINGS ACCOUNT I
Account Number/Suffix
Date Opened
Principal Balance at Date of Death
Accrued Intereat to Date of Denth
Name of Joint Owner, if any
CERTIFICATES OF DEPOSIT I
Account Number/Suffix
Certificate Nomber
Date Purchased
Rollover Dates, if applicable
Value, including interest at Date
of Dea th
Name of Co-Owner, if any
Maturity Date
Interest Rate
Accrued Interest to Date of Death
Estate of VIRGINIA N. VOLLAND
Date of Death 9-10-94
Social Security No. 201-18-2196
Membersl.
FEDERAL CREDIT UNION
1
12317 -00
7-12-71
S~1.98
S.04
None
2
N/A
N/A
N/A
N/A
N/A
N/A
N/A
BERS 1ST FEDERAL CREDIT UNION
\
!
~' (
CU Authorized
12-7-94
Date
Insurance Administrator
Title
52751~'st TrllllJlc Road. 1'.0. lIox 40 . Mcchanlcsburg, l'cnnsylv:mla 17055 · (717) 697-1161
"~UllU'I'''1
ITEM
NUMBER
A.
~,
3.
B.
4,
C.
1.
2,
3.
4,
5,
6.
7.
8.
*'
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
Ploa,o Prlnl or Typo
II NUMBER
:J.1-'i'J!-979
COMMONWIAlHt Of 'tNH'YIYAUlA
lHHUIIAHCl TAlC .tlU.'~
ItUIDtH'DIC1DUU
VI f? Go/Nul
AI. /loU!lN.IJ
DESCRIPTION
AMOUNT
1.
Fun..al Expon,,",
M YIm.5 F'IA/lJI!HIfI. HomE- t:J~ MeCH/HuICSS"fl~
Cutne.eaLA/oJp v/t-LLe)' m"':lYIo~IA-L. G-/lrrt.1>eNS
F IA /oJ trllll/. IH 1M(.
"5'r ZbS""
t I, ~-o8''''
" $l:)' 110
1,
Ac/mlnlllrallvo Co.,"
POrlonal Ropr..onlollvo Commllllonl
Social SocurUy Numbor 0' POrlollal Ropro..nlall...
Voar Cammllllolll paid
.,.
I, C\IoS.~
WA'~ED.
2.
Allornoy Fo.. c.~ ~Y"'\0z..5 e. ~\-'''-e.lc:l.s nr, Es'b'
3. Family Exomplloll
Claimant
R.lallolllhlp
No~1!
AI IMI t!
Addro.. 0' Clalman' 01 docod.nl" doalh
Slr.ol Addro..
CUy 5101.
Zip Cad.
Probal. Fo.. atuI S/u,rt Cer/'. f.'co:US
"/O:J.. DTJ
Mllcollanooul Expon.."
A-dJ,'/"DIla/ ~rt Ct.rh~'t:oh.s
e"IIIIut"I-.J L4.w Jou.t"n..1 A-ilve,.t:.
P4h-i~t~ Ne/AlJ. A-tlVer-t,
IE" . .....
7I~O, (ffJ
.,. .5"1/.38
PIt..hle.op'l of
}(a.,.1 ~h.ne:'
n 1>1410&.
A-l.I.e.koneU"s
'baed
h"'\A.\in1 h... ~rnovQ,1 ..f- 2J~k fro.....
c,,'CV'orn,Io,,\on +0 C.hu.c.k 13rlrJc:&...
"" .....
~c.o..\\.>r'6 c..M""'~";Oll "VI r.o.le. o~ t2t...\ e~\a1&, Q.\c\we.1I ~
~'\u"'f .f,.u aX '!Oc.1\l"I\1u-.t
~:l$,1ffJ
""1./0. '"'
".21 'ISO ,<XI
" l{. D"D
~...""l.W:l
TOTAL IAllo onlor on IIn. 9, R.capllulallanl
III mort Ipaco II n..dod, Inl..I addlllonal Ih..II 0' lamo llzo.)
s \~ 114.0
--~-~\
....&J
'I,
,~
10.
\I. I
12.. '
13. i
/1.
J~
.............^'"
.
~'.
,'i
I
I
!
I
SCHifOUL€ If. c.errJ.i ,t.U.4eI
V, ~G-'tJl II At. I"pt/,.,f~t>
Fttd e rQ, \ ~)< pitS S Cho. ""l e.s cJ- Se -\Ii e""",,,*
T.....I1~f<... T~ ~ Se.H\~M~",-t
1''1S c,,~~ IIJJ)(U o.A-- St.->>ll!~
T"'l' Ve.,.', ~'ca.}.;on oJ- Se./tIe,......J
S.~e..ll?ec:.ycl:t1j eM- s..H\e~
R\;fl~ ~h(.t~~ 'T~ ~,."
Ht',oIt ISloc.l< -pre.p. C/DJe-61IA.:/: :f1Gome+4X
~,. 1'1- 979
II 3$'. .,..
}I.3Sb.Dt>
}l9k,31
,I .;1. 0-0
,. 10', :a'-
'/~' ro
~ .51, po
J:l1 17'1. 01
,a.._.'_"'_
,..........--.--.,
I
!
." .". ......
l
I
I.
I
I
. '1
~'-'~~~'~.~"'~\!.\~:4~~:,;;:"",~,_"J"',,^~if,..t.,,,"0!'-~".'.-F"~l'_i:"i-~-'-i",';:'\~'-'f~Y'_~_I.~.~~~~.;~~~~j-~h~~(~:Jr~:';1t:UT{l
IEV-ISlJEh 11.'J)~O
. .~
COMMONWIAI1H 01' "HHI""'NIA
IHHllltANCI fAl IUUIH
IUIDIH' DICIDIH'
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES AND LIENS
ESTATE OF
V;1?GIIU14
AI, t/ () t..t./hJ b
PI.a.. Print ar T .
FILE NUMBER
.;:l./- 91./ ~P79
ITEM
NUMBER
1.
-1,
3.
If,
,s.
b,
7.
8.
9,
to.
Il.
I;) .
/a,
/ Lf.
IS:
Irs:. ,
17.
68'.
If{.
DESCRIPTION
'PlUj-Drt ...\-
1\-\\"3'
'P~ -01+ o.t
h1 0 rl-tJ "'<aL
Z 1m me.rItlA\'l PI LA.M b inj
!J$$ot/a.les /1L/1,.~It~ (1,
/'30...1-",.......'. JJo..Hon...l
AMOUNT
!I,3'J,-,L(7
""',301.).1)
'53,/'1
",. ill{~. IHJ
"/SI,20
1& :!J8', U.
:f / q /. 01./
II' ';,J If. I{ 0
, ,S",2.C'
.
3'18.21(
~ 3l//. 110
"'IO%S: 91.
"d~' 10
"I 1.tr, "D
'" 0 7, ";2.
~/, ......
".31. 16
~ ,20 ,R.J
~ II) I "."
$ 3'11.:),.3
~\tle.mt.....t
DI-
Se.lHe~
DI-
A-~, oc.lc.ks F,'/'IlWlc.:../
fJ(JII.,
SfllW1t/11/.$ &111 mUll; ca. h'on.s
t.Dre $hde.s I3AMK (~,.d,~ C4rd)
NQJ,'~nal J1!orfpOJI:. th.
P,.okSS"~~41 HetllM Care
U G 1:.
13 IE LL A- ;L./MJ TI c.
S~t:jtls
l!JANI{ I/'MG~IC/M.b
J)~. VIC.Tof2, fYl,D~,QlSol\l
H IfM P DeN 7PtrJtV.s1I1 P
J< PI 77fttYIII Pt:mpk!
fJEf'flINIf, !r1UG"((fCIMJ IUI/TE/? t!LJ.
HoLY :5Pllllr HOSPI7"IH-
Prn..YCI.I,v/c- HosPrrltl-
TOTAL (Allo Inlor on IIn. 10, Rocopllulollon)
(II more spac. il n..d.d, ins.,' oelclillono' lit..,. 01 10m. tll..J
,., .~:'- ".:~.~..... ",:,_.~_,-;;F<_~ . ~;;.. .....
......IIIIU.I'.'1
*'
COMMONWIAltH Of "HHn\YAHlA
IHHI_nAHeI fAI .nUlM
..ltDlH'DlelDIH'
SCHEDULE J
BENEFICIARIES
ESTATE Of
VIRGo/NIl?-
/II.
VottAN:D
FILE NUMBER
;1./- 'l~ - 979
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
RELATIONSHIP
AMOUNT OR
SHARE OF ESTATE
1,
A, Ta.ablo BoqulIl..
~dDrJ ". VO\\G.NIJ
c./D -eJ,.arlu iF. Sh,'dds JII", alf
;l lV, nta.Ut St:
lYlec.1)4nicsbu1' 1711 I7DS'r
S.on
100 f:)
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
AMOUNT OR
SHARE Of ESTATE
B. Charitable and Governm,nlal Bequesh:
1.
TOTAL CHARITABlE AND GOVERNMENTAL BEQUESTS (Allo onl., on IIno 13. Rocopltulollon) S
(If more .pace I. n..d,d, In..rt addlllonal .h.... of lame .In)
I
., ':,',,,,;.~... ,. .....;..~y_- ;~j:: ";."'-'i-~'"-,,, '" lici;.""'.' l.t".+i':"t.._.:.~-"~i~;','b';';"'J ,.,,'
. . ~,.~
._,_._-----~. .-....-...-.--
-
:.:.l
_.:10
.. '. ~ .. " ',~ ..' t
tl~>~,.....,61
:..,.... ;........,
r '''~' ..',.~ /,1 ~... .......... "-lo-'.~.
._.~ f " " . _oj'~., J. ':
'" .'
.' ,. .,.
...~....!....~: ;~:.:~~,~..;..
."?:: "i.. -' r .7(/~:;.. .
,.-, ,'.~.: '., y'-:<-
.~....' 'r._.-~---"\,.."'i_~\...
.:~:-., ;"~~\:~\<~~:l
L . ,j,'
~ ..
~ -," . .
~\~;:>.:
"
Register of Wills of CUMBERLAND County, Pennsylvani/
Certificate of Grant of Letters of Administration
C.'f.A.
!-'
No. 1994-00979 PA No. 2194-0979
ESTATE OF VOLLAND VIRGINIA N
1141\1:1'1', r'ulB'lrllu UULt;/
,-
EAST PENNSBORO TOWNSHIP
CUllUJERL"7U'lD""'t:CUN'l'I ,
,
Late of
Deceased
Social Security No. 201-18-2196
WHEREAS, VOLLAND VIRGINIA N , late of EAST PENNSBORO TOWNSnIP
ILAtl~, r~"tl~, M~UULt;/
CUMBERLAND COUNTY , died on the lOth day of September 1994/
and
1921 an instrument
WHEREAS, on the 21st day of November
dated September 25th 1981
and WHEREAS, the grant of letters of administration C.fl'.A.
is required for the administration of the estate.
THEREFORE, I, MARY C. LEWIS
in and for the County of CUMB6RLAND
Commonwealth of Pennsylvania, have this day granted
C.T.A. to ROXANNE VOLLAND
, Register of WillE
, in thl
Letters of Administration___
of the estatl
the estate according
at CUMBERLAND COUNTY
who ~ duly qualified as administrator(rix) C.T.A.
of the above named decedent and ~ agreed to administer
to law, all of which fully appears of record in my Office
COURT HOUSE, CARLISLE, PENNSYLVANIA
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my Office on the 21st day of November 1994
.~f):n.(ffn4:
.
, ,
r, VIIWINrA II. 1/01,1,(1111>, 01' I,llI' 'l'mlllUhlp 01' IInllll'tlol1,
r.olllll;y of r:l1m""l'lnfll] 'In,) [;I;nl;n 01' I'nnl1l1,ylvnn1.n, boion 01' sound
anti rl1.III'O/l.1.II(': mlllrl, 1I1nt',"I'Y nnll I1n']",'/I(;nnrlll1l:\, <10 mn]w, puulish
flntl r]'1011ll'n th J.ll 1l1~' r ,"n I, "Ii. '11 n 1111 'I'nll 1,'1I""I1\;, hnJ'oh~ 1'(1 voklng
and mnktnB voId /lny nm! n1) 1'1'1111' .lIllo by IlIe nt Ilny tlmo
hnl'oboforo lIIudn.
1,
I db'ccl; I,lin I'n YIII" lit.. nl' n11 '".y J'IIlI; ,lnhl;1I fintl furlo)'nl
oJtl'enllFlS an snr.'ll '" 1'1;1'1' I~:I r]nQnlllln IIfI tho IInlno onll bEl conveniently
llonll.
2.
I givp., dnl'l/)n 11I,,1 hnrl'wof;1r 1.11 ~hA l'Ollt, I'nll.lduo Rnd
t'amatnder of my oSf:'11;o, l'Ofll, I'ElI'nol1n1 nml mtT.'.lrJ, whatlloover
and whorOSOf)VOl' thn II "1110 mn.y hn rd. I,:un I:fl, 1;0 my Bon, {l,'oBory
A. Volland, ahllnlll toly nwl II 11': nnrll I:I,oll'111y.
LA:J'fLY, I 11011I tl1 R 1.;0, oClnnhl\:lll." nnrl nPl'ollll; my Bon,
Ol'oBory A. VuJ.J.nllrJ, 1~l{nOIlI;oT' or I;hill 'IIY r'lllll: ~lill nnd Tool;ament.
:1 tI Wl:'l'HI~Il.'l v/llI~IIIo:r~I', r 1\11'1" linl'Ol1nLtl 1l~1; lilY hontl Ilnr.1 saal
tilts .'J..!H.:Nlny of -'~'I,IJ~~.j".~"' , A. V., 19(Jl.
1.!.. L
(
C'_,(
\"
)).
"."..t:?_
( SEAL)
.; "";~' -~'."~~ji;';':~/._;"~'t'':':::{.'''~,~7,'.'~;":i~~;"~'ii;':,,..' ""':,"__':''-,_ '~ I_~,;;::..:"t.-;'..J:~",,"':"""" ' .,: ',' ,.- '-, \
~ .;-.,:'W"'l'o, , "~,,, ..,......-.~ -...~,.,~~'"""'~,.'OC';," ,'.,'i""",.~........~_.",..",:.~ . ,;:-:..',,,-:':"'-"'; ." '''.,.",-':-;u:4'~~~,~i: :r
~
..
. ,.
Si~nntl, /Jonl",I, f'lIhl.lnhn.l oud r!fl.)J.arod by tho nbovn
nsmeri. Vlruln!n N. Vol1nnd, nn nnd for hor tRot Will and
'l'El/lhnmanl:, In (;h~ I'l'r'n(ltwn or tILl, ~!hn hllvo Ruhsorlhod our
nRlllOO horeto ns NlIolln/lDOO, Ill; tllo roquoot of oaiel l;eotn\;x'lx,
In 1113 x' presenoe mill In hlln prl)llnnoe of oooh 0 ther.
, ~v
'"11/ ;,'-'
, "ilLl'd. J .'. -
'.. .
.
1 '7.'- t/ /-
.-('_ . Ie I, '!-,
\. ',.' , A '
, /i,o.l.u ~'., /::h.,.,b.Y..)
'..~',:.' . ;~: ~~"jt.i~~:i'~i'~.~~;~jj';~~i;~~~ ....~:~~:t~:Io~ -"'. ..:.._...~~..._'i.~~..;~j~~j..\ <. :~:., ...;,~_:..:..\.:.~~,~1'1{.'.. ;~.;:_~"..~v~i;,;-~(, .~~.~?:': ~~':"'~ -/
-2-
- ,off"' '<' {t;'l-1"! _.c ~>'- "."
,
.,- -. .- -.... -.., ._'~
,
I,
t- _ __ _ __ _ __ _ _ _ _ _ _ __ _ _ _ _. _ _ _ _ _ ~_ __ _ _ _ _ _ __ __ _ _ _ _ __ _ _ __ _..... .~. _ _ _ _."__
,
-,
...,f , , .
D~CJ.A~04792~'..'....'..' C~~MOND~:;tt'r~fR~~~:~LVANIA'"
:"';"62.. ".., ' 'OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
; c.......':'::-:- ",
.. ." I .
~ .:. "- \. ,,' --:
<,-.",
, .
f " .,.' _ __. .'~
RECEIVED FROM:
ACN
ASSESSMENT P:'
CONTROL ...
NUMBER
AMOUNT
&
SHIELDS CHARLES E III
2 W MAIN STREET
101
al,i::'flf.UU
MECHANICSBURS PA 170~~
-'010 Hili '010 Hilt.
ESTATE INFORMATION,
~ FILE NUMBER
511 21-1994-0979
1:'1 NAME OF DECEDENT (LASTI
I;i V NO V RS I
m DATE OF PAYMENT
L1 POSTMAR E
COUNTY
SSN 201-18-2196
(FIRST) (Mil
N
DATE OF DEATH
REMARKS
m TOTAL AMOUNT PAID
SEAl
ROSANNE VOLLAND
CIO CHARLES E SHIELDS III
RECEIVED B
REGISTER OF WILLS
- --- -- - -- -- -- - - - - - - - - - _. - - - - - - - - - - - - - - - - -- -.-, , -- - -- - -E~
~ll ' , " , '.., ,';';'" , ...' , '. ;",';"
'L,.-._ ,__,~ ---";>I,',',~,-,__t,,}
l ,.--- -:,'I""~ :,!,--,~
,
"
....
r
. .
.f
""
r~'-.-
_.J_ 1 t.. _ ,~.
.,.----
-'-.-
~,.._~~
,I ,I
f
1....../
J '-1"1.'-1 rg~3
REV-1547 EX AFP 112-94*
COMOHWEALTH Of' Pf:NHSYLlJAHIA
DEPAATttEHf Of RtVENJ[
BUREAU Of' INDIVIDUAL TAXU
PEPT. nUll
HARRISBURG, PA 171'1.0'01
ACN 101
NOTICE OF INNERITANCE TAX
APPRAISENENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSNENT OF TAX
OAT! 09-25-95
FILE NO.
OAT! OF DEATH 09-10-94 COUNTY CUHBERLAND
HOTE, TD INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBNIT THE UPPER PORTION OF THIS FDRN WITH YOUR TAX
PAYNENT TO THE REGISTER OF WILLS. NAKE CHECX PAYABLE TO "REGISTER OF WILLS, AGENT"
REMIT PAYMENT TO:
CHARLES E SHIELDS III
2 W HAIN ST
HECHANICSBURG PA 17055
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
A.aunt R..lttR
c...,
CUT ALONG THIS LINE ~ RE~AIN LOWER PORTION FOR YOUR RECORDS ~
ii'ili=isW-ix-Ai=i'--iiz=94TiioYici--o;:-YNHiiiii'ANCi-YAX-jiPPRjiisiHiii'r;-ALi."oiiANCi-iiR-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTAT! OF VOLLAND VIRGINIA N FILE NO. 21 94-0979 ACN 101 DATE 09-25-95
APPROVED DEDUCTIONS AND EXEMPTIONS:
12,774.01
9. Fun.,..al E~p.n.../Ad.. Coata'Hi.c. Expan... (Schedule HJ (9)
10. Dabta'Hol"'tgaga LJabll1tl../Llana (Sch.dule I) lID) 9.397.23
11. Total Deduction. Ill)
12. Net Value of Tax R.turn (12)
13. Charitable/Govern..nt.l a.quad. (Schedula J) US)
14. N.t V.Iu. of E.t.t. Subj.ct to T.. CI41
NOTE: If 8n 888essm8nt was issuad previoU81Y, lina8 14, 15 and'or 16, 17 and 18 will
reflect figure8 that include the total of ~ return8 a88e88ad to date.
ASSESSMENT OF TAXI
15. Aaeunt of Lin. 14 .t Spou..l rat. 11S)
16. Aaount of Lin. 14 taxable at Lin..l/Cl... A rat. (16)
17. Aaount of Lln. 14 t.xabl. .t Call.taral/Cla.. 8 rat. (17)
la. Principal Tax Dua
TAX RETURN WAS, C X I ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN
1. R..I E.t.t. CSch.dul. Al III
2. Stock. ond Bond. CSoh.dul. BI 121
3. Cla..ly Held Stock/Partn.rshlp Int.r..t (Schedul. C) (3)
4. Hartg.g..lNot.. Recaivabla (Schadula D) (4)
S. Ca.h/Bank Depoalt./Hl.a. Par.an.l Proparty (Schedul. E) (S)
6. JolntI~ Owned Proport~ CSohoduI. FI C61
7. Tran.fara (Schadul. 0) (7)
8. Tat.l A...t.
TAX CREDITS I
PAYNENT
DATE
06-26-95
RECEIPT
NOIlBER
AA047923
DISCOUNT Col
INTEREST C-I
4.89-
I CHANGED
35,000,00
,00
,00
.00
7.807.83
.00
.00
IBI
42,807.83
:>:>.171 :>4
20.636,59
,00
20.636.59
.00
20,636.59
.00
X.03.
X .06.
X .15.
UBI
.00
1.238,19
.00
1.238.19
AItOUHT PAID
1,244.00
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
1,239.11
.92CR
.00
.92CR
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION DF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN .1, NO PAYNENT IS REQUIRED,
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YOU NAY aE DUE
A REFUND. SEE REVERSE SIDE OF THIS FOHN FOR INSTRUCTIONS.I
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RE:IEAVATlOHI Eltatea of ....,h dvlnt on or before O'C.....r II, 19.2 .... If ..y 'uture Inhr..t In the ..tata 11 trma'.rred
In po.....lon or enJo~t to Cl... I (coll.tlr.l) beneflclarl.. of the decldlnt .ft.r the 'kPlr.tlon of any ..tat. far
II" or for y..rl, the C~.lth hereby .xpr...lv r"lrv.. the right to appr.I.. ~ ...... tran".r Inherltanca Tax..
.t the l...ful CI... . (coll.t.r.U rlt. on eny IUCh 'utur. Int.r..t.
PlIIPOSl! OF
NOTlCEI To 'ulfll1 the r....lr..."t. of Seatlon ZloU of the Inherltlnc. Met Est.t. Tlx Aot, Aot ZZ a' 1"1. 7Z P.I.
Section 2140.
PAvtEKTl DltltCh thl top portlon D' thla Hatlc. and IUlMtlt with your plYMnt tD the A.gllhr D' Mlll1 printed on the rev.r.. .Ida.
........ chide or MMY order p.pII1. tOI REGISTER OF MILLS, AGENT
All JNI)'IIIntl rec.lved .....11 flr.t bII appllacl to any lntlr..t which ..y be due with any r...lnder applJed to the tax.
REFlMD (CAh A r.f\M of . tax creeUt, wh1ch w.. not r....tld on tM T.1f A.turn, ..y be raqua.ted by cCMIP1.Ung m "Appllc.tlon
for A.fwMI of P......ylvanl. Inherltanc. Md E.tatl Tb" (REV"1515l. Application. .r. ..,.111111a at the Offlc.
0' the A-vht.r of MUll, MY of the Z5 R..,.... Ohtrlct O"lc.., or by c.Ulna tha special Z4"haur
an~rlng ..rvlca ~r. for fora. orderlngl In P~'Y1vonl. l"IOO"56Z"ZOSO, aut.lde Penn.ylvanl. and
within local H.rrlsburg .raa (717) 717"1094, fDOI (717) 77Z~Zl5Z (Haarlna lap. Ired Only).
OI.lE:CTlOHSI Any plrty In Int.r..t not ..thfled ..Ith tM IIPPr.lauent, .Uowancl or dl..Uowanc. of cMducUonl, or ......--.t
of to ClnalueUng dhcount or Inhr..U II Ihown on thh HoUc. ....t object ..lthln .lxty (60) day. 0' rltC.lpt of
this HoUc. bVI
......rUtan prot..t to the PA Dep.rt.."t 0' R.venue, laird of Appeals, Dept. 111OZ1, H.rrlsburg, PA l1UI"lDZ1, OR
.....lltCtlon to hav. the ..tt.r det.rllned .t audit 0' thl accaunt of the parlOMl1 repr..antatlv., OR
........1 to thl Orphan.' Court.
....,.
ISTAATlVE
CORRfCTlOHS I
Factual arran dhoov.red on thh .....lIMflt should bII Itddr...ed 1n wrlUnq tal PA Dep.rt..,.t of R.vIC'KM,
Bureau of Indlvldull T...., ATTHI po.t A.....-.nt R.vl.., unit, Dlpt. 210601, H.rrt.bUrg, PA 11121"0601
PhonI (117) 117~6S05. S.. page S of the; book"t "In.tructlon. for Inherltanc. Tn R.turn far. R..lcMnt
Dlcldlnt- (REV~ISOI) for an ..planatlon a' ~Inl.trltlv.ly correctabl. .rror..
If any tu due 11 p.ld ..lthln thr'" (5) nlllnd.r aonth. .U.r the; decadent'. d..th, . flv. parcent n:u dllcOWlt of
the to paid h .Ilowd.
OISCDllfl'I
IHTERfST t
Int.ra.t h charged beglmlna with flnt d.y af dellnquencv, or nlM (,) IIOf'Ith. and OM (1) d.v 'rOIl the data of
dMth, ta the chit. of P'VHnt. Tlx.. .....Ich becIM dlUnquant bIIfarl J....,.r" 1, 1982 bII.r Intlr..t at the rat. 0'
.he (.xl parcent per ~ c.lcul.ted .t . dalh r.t. 0' .000164. All tax.. .....Ich bee... daUnquant on and Ift.r
January 1, 19az ..Ill ba.r Int.r..t .t . r.t. .....Ich ..Ill Vlry 'roa cIlandar y..r to c.lendar y..r ..Ith that r.t.
~Id bV the PA Daplrt-.nt of A..,anuI. ThI appllcabl. Int.rl.t r.tl. far l'IZ through 1995 .t'l
~ Int.r..t A.t. D.lly Inter.st Factor ~ Int.r..t R.t. O.lh Intlr..t Factor
191Z "X .000541 1911 OX .010241
1915 IU .000451 19....t"l ,n .000101
1914 11X .DDUDl I'" .X . D00241
1915 Is;( .DD05S6 1'''''1994 n .GOOln
1916 lOX .000Z74 1995 'X .000247
....Intere.t h c.lcul.ted .. followlI
IflTEIIElIT . BALAHCE OF TAX UNPAID X IMIIIER OF DAYB DELIHQlIEIIT X DAILY IHTEREBT FACTOR
....Any HaUc. 1I1Ued IU.r the \Ix beeMII, dlllnquent ..111 t.nlOt ., Int.r..t cllculatlon to flU.., US) day.
bIIvond the dIIt. 0' the ......-.nt. If p.yant 11 IIIde .ft.r the tnt.r..t CQIIPUtetlon dlt. Ihown on the
HoUCI, eddltlonat Int.t..t .,.t be c.lcul.ted.
. ,,. -.....,.. ....,..,'..~..L.....:..-.-. _ ....;..__
RBGlSTBR OP WILLS OP CUMBBRLAND COUNTY
RBPORT OP STATUS OP ADMINlSTRA110N
(Por Resident Dceedents Dying After July I, 1984)
BSTATB NO. 21-~- '11 RIl"; " of
n. ! I ..1 I ,',jl~)
Name of Decedent: ///1?6-INJA N. jlt>[.LA-1JD '0(, ,:>p 11 n,n'll
Social Seeurlty Account No.:
Date or Death: CI - 10- q'-j
Clu,. 'urt
Cun,,' .".J ell" PA
Name or Personal RepresenI8t1ve(s):
~o "">-IN" I/o .......""',,
C\ l'i D 1r1t8~;SIlIRe ftr'lE
mi." ~ ntJlt""i'p:'uR.(, I?A I 'n.C;:~
Capacity
(check one)
Executor
Administrator
....><
Administrator e.t.a.
Administrator d.b.n.
Is the administration of the eslate complete?
Yes V
/'.
No
If "yes", how was the administration ended? (check one)
By court accounting
fly account staled to parties In Interest
Did lhe parties release lhe
personal represenlatlve?
Other (explain)
x
,
If admlnlstrlltlon Is not completc, estlmllled vlllue of assets
stili In admlnlstrutlon
$ (1~d;:
$ c.~
$':><
Total amount paid 10 da te 10 creditors and for runeral and
admlnlslrall.e expense
Total value of dlslrlbullons 10 dull! 10 lIelleflclarlcs
NOTB: Thla status report Is due no later Ihan the due date for rlllnll the Pennsylvarna
Inherltanee Tax Return or, ir no Inheritance Tax Return Is required, nine (9) months
after the date or death; IC the admlnlstrallon or the estate has not been concluded,
a summary report shall be riled annually thercafter until the admlnlstrallon Is complete.
I cerllry under penally of pcrjury IlIat \Ill! forellolng lnrormullon Is correct to the
best of my knowledge, Inforlllllllon und belief. // Lli I
Dute: # II) ,I!JH. a~~~
,- t Pl;I~ullul 1t,",l-'I\';~,",lllullv.:
, A Ilorney for Estate
This report must be signed by the personnl representative, or one or them when more
than one, or by counsel ror the estate.