HomeMy WebLinkAbout94-01023
.
..
....
'.Jo,.
,.
IS--c:l -I.{.
'....,
PETITION "'OR l)nOBATE and GRANT OF LETTERS
Estate oj tJ'''8'> fllPrtC.u hrtt>ell ~1f/'17IQrt. 0)/- 911- J~3
alslI k /IlIlV/I lI.r' To:
Register of Wills fOk,the
. g:'{'f";l/!. Counly of (.1..1111 p)?LJ;I'ILJln Ihe
SlIrIal Sec/lrlt)' No...L3 r - I:l- - 7 ~ Commonweahh of I'ennsylvanla
The pethlon of the undersigned respectfully reprcsellls Ihat:
Your pethloner(sl, who Is/are 18 years of age or Ol~t anlhe execn'IJlfr
Inlhe last will of Ihe above decedent, daled 1"7 P/V,- I II
and eodlcll(s) dOled '
na~d
, 19.fL'::L-
(slalC' rrlt\'onl c1rtllmSlom.'CI, t." renunciation, dC'Dlh or t,,"teUlo,. CIC.)
Y"'"
(II,. sUcci, numhtr And munclpallty)
Dee ndent,lhen 7 years QfJlge, died ,19 qt-j
01 ;en c.< .
Except as follows, decedenl did notl11arry, was nol divorced and did not have a child born or adopled
after execution of Ihe will offered for probate: was not the victim of a killing and was never adjudicated
Incompetent:
Deeendent at death owned property whh estimated values as follows:
(If domiciled In Po.) All personal properlY
(If not domiciled In Po.) Personal properlY In Pennsylvania
(If not domiciled In Pa.) N'~ersonal properly In County
Value of real estate in rClu""ifIIl4Illlu J _
sltua folio s:' . ~
$
$
$
-fr-
~
,c.
WHEREFORE, pcthloner(s) respeclfully rI;llllS~(SIEI!~APyrobale of the last will and codlell(s)
presented herewilh and the grant of letters 1 E~TAM NT R
(IOIQI11C'nlnr)'; udrnlnl\lrOllon c.I.a.; rulml"lslfallon d.b.n.t.t.o.)
theron.
j~ ~< tt/, ~/#.....
~R ~~~ '~~J;.~ r ~JP
"'.~ J /' /7L?/B
ij-
':i~
f'O
a
Iii
OATH OF PERSONAL REPRESENTATIVE
COMMONWEAI.TH OJ" PENNSYLVANJA } l:lS
COUNTY OJI rvMi!::JEJeL/4lV'b
The pelilloner(s) above-named swear(s) or nrnrm(s) that the statements In the foregoing petillon are
true and cor reel to the best of the knowledge and belief 0 elilioner(s) and that as personal represen-
tallve(s) of the above decedent petilloner(s) will well a t Ily administer the estate according to law.
~*/.~
'"
<i;j'
~
~
.....
No. 21 - 94 - 1023
Estate of
MARY ARDELL REMINGTON GIBBS
, Deceased
DECREE OF PRODA TE AND GRANT OF LETTERS
AND NOW DECEMBER 7, 19~, In consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREBD that the Instrument(s) datfrl APR IL 17. 1994
described therein be admllled to probate and n1ed of reeord as the last wlll of
MARY ARDELL REMINGTON GIBBS
and lellers TESTAMENTARY
are hereby granted to RICHARD W. GIBBS
fIIo(d ,i!,"~", tkf:klldu.
Reali'" of Will. . (j I
MARY C. LEWIS
FBBS
Probate, lellers, Ete, '........ $ 40.00
Short Certlnentes( 1) .... . .. ... $ 3.00
R~Jlunciatlon .,.............. S
x-Page . 3.00
JCp. $ ~.OO
TOTAL _ $ 51.99
FUed .....". p.~Gm.~~. 7.,. .1 ~~~... . . .. .
;:J
~.-.'
ATIORNUV (Sup. Ct. 1.0. No.)
ADDRESS
PHDNU
...".. ,-
'.','..
1.'_
[.)
~-,}
.,,'..'
il.: ,..
!>.
..:.1 :)
UU
Mailed letters and order to attorney on 12-7-94.
-,
,"
t1l11Cltf
."'...
This i~ III n:f1i1)' 1I1;!llhl' tllfllrlll,llilll1l1t,Jt, ~j\'('111' l"'lnll)' ftlPlt'll h0Il1.111 Ol'i,L!lII.d,H'lIilitilll' 01 th-.ltl.I,dllly fJh.'d wilh JIlt.' .IS
l.oL11lh'gisrrM Tlll'lll i~ill,d n'nili(illl' will ht. 11l"'\';lhll,d 101111' SLIIl' Vil.lllt('ulld, (HIIlI' 1111" pl'1l1l.1l1l'lIl Itllll}.:.
WARNING: Ills Illegal to dupllcale this copy by photostat or photograph,
Fl'l'i II' this (l'nifk,III:, 51.00
, ) ->(.' ~ --
) , (l::-\- " h ,;::" 'Ut.,.,
\\...,\\""""....-.. '...........--......-,-<..."X
I.oud He,.;i~lru r
,
I
2420745
.._.__s..E_~:.<!_ 0 _~~i.._
D.'I{'
----.......---~_.._-_.~--_..._-
.-- No.
HIDI_II",,""'
'-I
CDMMONWIALTH0' PIHHSYLVANIA . DEPARTMENT 0' HULlU' VITAL AlCORDI
CERTIFICATE OF DEATH
. (.~\
..
,.
..
""
73 ...
,
.."
..-...~':'~:::J,:r
Bookkee er Su
a60'V~X~iz!;~~~I'-
ChJ2.k!,,"\C Ptf, 'hO/3
....... u."-
,......~m:=-
Widowed
u..rn<_...."
eta"
1 1I0u.e
0< ,..
&C'U.~
1I111C11fCf
..-
..--.
s,
11.....
..
-
-..
.........' 1"0::"'-'::;-':::,,
WOh..II."'....jf'..__...~
Nellie tlalone
.......... ..-.
121 Sunset Dr. carlisle,
17013
..
te
"-.........m
."'.......,-.~
Durham. N.C.
....."""" f'Y ma-o U1 a
19 N.Honovor St.Cnr11sle Po 17013
(OCI""_ ill
A.tJ ~q ~- L.,
~
u
...0
.-AuY~.."ffJ.f;r
I:
1__.
--
-..-
.. 0.......__-......._...
...-........-...-......."""'.
OICIClfI
'Y/cl..t<.>r../
'"
~ Qt 14(;1 I
".
'" ,,'>
.UfO"tl'-c.oo
-....""""'10
COUf'\nOlOlC.oulI
Clfou:rMt
-.
cc~
o
o
0"1 Of 1fU.III'
...-.
'''10I'1fU.III'
_'''l\IIOIIO<t
OIKII",HOW_,
.
o
o
o
-
-
--
-
.....-
00t,0I0f..... .......
...0..
.
ct1!:~....
...........,...----......,.....
-"-
*
.... ....
","~III",*,,_-
'UJI11r\'M1 ""1'Cl&JI""'-'........_..___.......,... "'....""'II__'___m
'.........,.,--......--....-..--..-...............................,...""....."
..
.'~AHGa'"lI"l'MhfI.O'..~_..-....__,"""-.,_.._.
,..........,..,~................-........_.-.-.......-_.."'._'I_.._N'_
~".. - -
0..: .1oO'DOIOI ~7~~I~oi~f...,
-'"'.....~ ,R/( ./Jw-.."K... "''''
o 1"-1 ~~....,.. ;;"'-'<-IT--
~~ C ~ m'"7b"
.... "" ,- .-.
."'DfCAa.IUYlHt.IlIeOA~UI .
OfI_......,..~_.-..IIto..I..._.Irl""....-......"'N......"".~.I_....,................."...............",.....
...-...""'.............................,.............................................................."......
...
&\.a.\d
-
~-.:
..
21 - 94 - 1023
t:~~:', 1
;':"
"
',--,1
-,-'.
"
'", -',\,
21 -
. 94 - 1023
I.AST Wll,I. AND TllSTAMENT
all
MAny Anlllll.l. IIBMI NOTON 0 InllS
I, MARY AIII>BLI. nllMINOTON OlDllS, of South Middleton
Township, Cumborland County, Pennsylvania, declaro this to be
my Last Will and Testament attd revoke any and all wills and
codicils heretofore made by me.
ITEM I: My personal representative shall pay from
the residue of my estate the expenses of my last illness,
funeral and burial debls dUly allowed against my estate, and
estate taxes occasioned by my death and Incurred with respect
to property passing by this Will.
ITEM II: I beqtteath lhose articles of my automobile,
personal effecls. household goods, and other tangible
personalty of like nature (not Including cash or securities),
together with any existing Insurance theroon, If any, as may
be my Individual property, I bequeath such tangible
personal ty and I nsurance thereon to my children RICHARD W.
OIBBS, KAREN ELIZABETH OIllDS FOWI.EII, AND STllVEN I.OUIS OIBBS,
to be divided among them by my llxecutor with dtte regard for
their personal preferences In as nearly equal shares as
practical.
ITEM III: I devise and bequeath the residue of my
estate, of every nature attd wherever situate to my children.
RICHARD W. OIBBS, KAREN ELIZABETH GIBBS FOWl.ER, and STEVEN
LOUIS GIBBS In equal shares.
ITEM IV: I appoint my Son, nlCHARD W. GIllBS, Executor
of this my Last Will and Testament. Should my Son fall to
qualify or cease to act as Exectttor, 1 appuint my Daughter,
KAREN m,IZABllTH OIllllS FOWLllIl, as Executrix of my estate.
ITEM V: I direct lhat my Executor and his successors
shall not be required to give bond for the faithful
performance of their duties In this or any other
jurisdiction.
IN WITNESS WlIllllllOlI, I, MARY
hereunto set my hand and seal to
Testament, consisting of two (2)
which bears my slgnatttre. this
1994.
AlmEl.L REMINGTON GIBBS have
this my Last Will and
typ,ewrl Lten pajles, each of
I 1 day of LJlhJ / f q tJJf.
I
~/? I tel- (LLciJ.Ct. 11': f1I<./~ /?;l1/ t'lt/./.l (SEAL)
MAllY 4111EI.l. IUlMINOT@ OIllBS, Tes ta trl x
Page I of Two
Signed, sealed, published and declared by the above-
named Testatrix, MARY ARDELL REMINGTON GIBBS, as and for her
Last Will and Testament, In the presence of us, who, at her
request, In her sight and presence, and III the sight alld
presellce of each other, have hereunto subscribed our lIames as
wi tllosses.
"11....
MARY
t:,...kI'.J ti'.t4,I<'
RDELI. REMING
<c,.." )j :&.6" (SEAL)
N GIBBS, Testatrix
L;~/6.~
~lWk ) ~ '~lN'~
4 8 .~vu~
Mmn s.;.4-l;....:., '..'~d.\:J ;\,'t{~
S.1vcr Gp:UYI Tw,)., (;u ,hlll..~r1d CCllJntJ
My("n;nl1l.;.:-;;'\:flr\fi(C~;J.'!l ;~':'.1t}nCl
,1'oi"b)i~~~IIUir~
- .
Page 2 of Two
.----.........".,..,~~""'.."'<.",'t,.,.,~,.:""~.,""-,,..);.~.,if~'~".'_.~.:..,"""~"".",,,,~~,,~~.,,,",,.~., ....~.",...,~.,."...+;t
21 - 94 - 1023
REGISTER OF WILLS OF COUNTY /'
, OATH OF SUBSCRIBING WITNESS /'
/"
//'
"'....
//
/
codicil //
(each) a subscribing wltness'to the will presented herewillt, (each)'b'elng duly qualified according to
law, depose(s) and say(s) that /' present and saw
/'
, sign tlte same and thill . ,,/ signed as a witness at the
". /'
request of testa' In h presence'and On the presence of each other) (In the presence of the
".:
other subscribing wltness(es)). / ",
" "
Sworn to or arnrmed and subscribed \lefu':e ' "',
me this /day of
/19_
/'
//
//
..-
<///
the teste'
"
'.
"
"
"
(Name)
Register
'''"", (Address)
",
(Name)
""'.
(Addrush.,
REGISTER OF WILLS OF CUMBERLAND COUNTY
OATH OF NON-SUBSCRIBING WITNESS
f{1e"'t:l~b 1/1). c; I te)Jf'jt2, / kA--1?t9V C/e;8S fiJwJ(?.e...
. (
(ea h a subscriber hereto, (each) being duly qualified according 10 law, depose s) and sa~( ) that
I
, familiar with Ihe slgnalure of " , I
.-I+cil
will
that
presented herewllh and
codicil
believes the signature on Ihe will Is In the handwriling of
of (one of the subscribing witnesses tol lite
Q;,
to the best of knowledge and belief. /J
Sworn to or arnrmed and subscribed before h/I'Vtyvf ft-Uf. ~
me this t.J... day of 'J ) (' (Name) ^ /I)' I Oil
19( ~_2- .::::,{JN~ ,t..L!Q I (t)I;.I5If: rrl
. ,) (4ddrc~
Register ~\\.. ~ , ..:nrw-llA.
(Name)
.1011 ,P.ttw:Jlh~ 6~u. rA
(AddrM .
"': <'
",
t:.;
..
I'
I.
I: ;
" .
~....'...
" ,
.
,
.
. ,
,
.c,,: "".' .,.. .. ',~ "" ' ,'" ';:. ;', ':,b":.:"" "
. '.' <\.~,r- > ..::', ~, ,.-', ,:~';";'.' ,:; ,;~ ..~: ;~ ,~/',', _':":~I ~ i "'i:~"- _'
'. ,,;='..:'>'" ~:i;{~;:~~~~~r ,-", >. ,......; . ; . d' -'-". .' ' - .,',"', '.- ",.-:- ":', ,: ..' ....-
" ';"':,j:<.,.":.-'::"",,'_ i_,,].;;:.' ,,: i;:,._ .,:.',>.;':_' ,
..... .;> ,'; '.'_ V~;;:':~<i"; :;; ,. . ,';/;-: "\:"'::;"; ,,:/ _', ;~:i;;,
. ,'" ;:~'i:;,.'" ,-:1:". .<, ,.: ._'.:: if:>;:',-"
';'- .. -._:' '_ ....; ,,;~;. -", '::<.' , . .; -';'/.-;:, ,:, ,."., :,' :'.,.--,' ';' "", .'-~_: ',-',:.-'_ - _ _ c,-.- _:F"tj'i~~",'," -:-
- . ,,::,~,'-<~,:-;,',.:, '..::.J'.. ':'> ;0'_' ?': '.'-' "-". _"',f_:::;-"
ii;:,--'<-'-:' ; ':, ' .' -,- ,_..",:,.' -."._;',' ::;:,.- ...':,>,,"/:~:,:..', '; ':;i::;",:-;' , ;""",
',' - ,,- -'.;' .. :-- ., <<-, -.- . -," -." ,,;,- ','<-"':' '," ':~'";'-;-'''
;,: '. _, ",' :~ I.'; ;,:.;,; '::: _,;; :":)~:'" ';':.,'
r.:i~J ~:(~-i'" :"",:;;;";':~. ~j,;: \.(<:- '.",._:;
,} ,', ' - ::' ,y::.i;,.',,: -', ":." ;j;',:_:.':\t- ".~:,,)'-::';:r:::::;'<.: .
," . ,,; .f:~; "r;~:'.. ':'f 'c.::',';:,;'" ,>'" .:.:;,,< ,', ' ':\~;3fk;1:,;;; .:,
')"',,":: 1 ,'~");i' ~,' ,'>"".: ",,;::,;:,/,r; :, ".;,>: ~.:;:t,\:',
. ,c.') ",' -,.."".,, """ ;'. ";,;:;'" ',: :._<'..'._','
t ..~i!/ ,.5,1(. ...~";..";'Jl.t _ . ~~~~1,,; r'
,\
, -, -",\.'
,
"-<-
"'~:~' ~l \"
~ . '. \;:<>'~-,:",\.- :) <
t" i :'!,
',.., \ \ \!!:5L\
(~<\l,;\:': .
,
"".'-:
, \
,'- ~:\'\-:: .-'-.
-\ ~,
,
,
--,.',.,
~:-. -.
..
I,
I
1:-,
~\"
';",
,
"
,
.'. ,-'-, ,
','
t-!.
"\ .
"
;
,
" -"'t, f ,r.:'- '. ,~ : ...;
~ -'~ - 1
. ~,.-. .~-- ('.
, - -
".',:':-,::'_0-:-'-
,-'
>..};\--~-"
t,
,- -~, '0;--, ." .-;-'
n ):
~"'-~ ,:
.- ,,'.j. :<.,--",' i:'.. .
;--:
.. ",;;': ~'::
"
\. i' - r'
f\ ~..
. ~f . ,- -
" ,i
-',
-, "'-'-.
,,[
,-,'-"
If,' ,
_ _ _7>' L" h "
- . .."'"--- .-.
.
t'
P~/
e
CERTIFICATION OF NOTICE UNDER RULE 5.61al
Name of Decedentl tnB.}~ y lQl?.rnJ~7lJ1I/
Date of Deathl ~J~P ~~~
Will No. Admin. No.
6(1513~
c::; I -1 t{ - I ();;1..d
To the Registera
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 (ol~owJ.ng beneficiaries of the above-captioned estate on
q/~{glq'f:- I
Name Address
~1'LeN (;,5'!76 .t(;aJ/.eJ/.> Z(J7() P.e1l'~.{i ~I ~Pi.J~J'f' PAJJp/~
S'reV'rr\J L. C"'/"'~61 7NN'S-lPvva/)-)-G~./ fMFt7JtJ)/IJIt' 2..1'87b
Notice has now been given to all persons entitled thereto under
Rule 5.6(a) except
to 't::5C
.- N
l.) .~ "0.;
co 0
(~ if~ co: ,
"
\jJ , '-)
- ~.~
;'1 ;'. ~ ..,
o ":-il "
,)
" ,,,, ~ ~': t:
UlU:
a: 08
44<ftl-1i!. .t-V' ~l1k .
~e
Name R, H-t~A..f'o:. tV' 0' p;;~
Address I2.J ~ 1/#$' 'T b~.
CAp u~je , /J /!r /7 () I $
I
Telephone{7l71 25!vJ07tJ
Capacity: V Personal Representative
Counsel for personal
representative
Date:ar~l 5", J11J~
.
/5-,)-1
rJ V/!/
REY.!SOO U+ 1,.QAI
I!!
it!
t~
fUA OATIS OfDIATHAnlA 121311Vl CHICK HIAI
INHERITANCE TAX RETURN ~o~::fvU::~DITISCLAIMID 0
RESIDENT DECEDENT fill NUMBIR
ITO BE FILED IN DUPLICATE ~ I qt/ /0) 3>
WITH REGISTER OF WILLS) COUNTY CODE YEAR NUMBER
OI(E t4 COMPI AD
~"O p~/r::":sburq ~(I(l.d
Car'/tsl tV f/ # 1701.:3
U ht"'rla 11 cL.
AMOUN' II(IIYID I'll INnlUCIIOHSI
Iii
~
CJ
COMJ.AONWfAUH or PfNNSYlVANIA
DEPARtMENt 01 R~VfNUf
H"OI!fJ:~~ ~~OtJl",0601
o MlA,I.NMltINI'A
, . /11ttr
&oC..AL SleuR'" HUM..I
.;J.38". I.::J. (; 745"
ilii
81
o 1. Original R.turn 0 2. Supplemental R.tur"
o ... limited Ellall 0 Aa, future Inl.'.I' Compromit.
I'or dolt. 01 doolh ollor 12.t2.821
Gf6. O,c.d.nt DI,d r.llal. 0 7. Olc.d.nt Maintained a living TruI'
IAllo,h copy of Will) IAllo,h ,opy 01 Tru"1
PO DINCI'AND CONPlDINTlALTAX IN.ORMATION IHOULD BIDIRICTlDiTOi"'"cl".s ,," . ~~,
/7' COMPII MAlliN A D
~c/l ard UJ, 6'7b6 & la-I ..:5<.;r").5t'r Drtl'TV
nll'HON (Yttrl,s/CJ /J19 170103
')1 OJSK'. 1 7
, ."Ir;;!;1M. . :OWL
o 3. R.molndtr R.fur"
I'or dolo. of doolh prior 10 t2.t3.82)
o 5. F.d.ral Ellal. Tak R.tur" R.qullld
_8. Talal Numb" of Safe D'poIU Bo....
..
~
!
a:
III CJ
12 ) -0
(3) -0
141 0
151 I 63" -
(61 CJ -
171 I 0 f OD 0
(9) /OfrlCJ7-
(10) ,-0 -
IO..1.(),
-4/. -
-0
-0
I. Rool Ellolo IS,hodulo A)
2, 510'" ond Bond, IS,hodulo 81
3. ClolIl)' H.ld Stock/Partnlllhlp Int".lt (Sch.dul. C)
A. Mortgas.. and Nol.. Rec.lvable ISch.dule D)
5. Calh. Bank D,polllI & Mllcellaneoul Plllonal Prop.rl)'
(Schodulo EI
6, Jointly Ownod Proporly (S,hodulo F)
7. Tron"o" IS,hodulo G)IS,hodulo LI
8. Talal Grall AU.II (totollln.. 1.7)
9. Fun.rol bp.nlll, Admlnlltrallv. Cottl, Mllc.llonloul
hpo"o. IS,hodulo HI
10. D.bts, Mortgag. lIobllitl.l. lI.nl (Sch.dule I)
t I. Tolol Dodudlo" I'olal Uno> 9 & tOI
12. N.t Volu. of Eltole (lInl 8 mlnul Une 111
13. Charltabl. and Governmental B.qu..tl (Sch.dul. J)
lA. Net Value Sub.et to Tax lIn. 12 mlnul lIn. 13)
15. Spoulal Tranl'''1 (for dol.. a' d.ath aft.r 6.30.9..)
S.. Inltructlonl 'or Appllcobl. P.rc.nlog. on Rev,", (15)
Sid.. (Include valu.. from 5chedul. K or Sch.dule M,)
t6, Amount 01 Un< 14 lo.oblo ot 6% roto (16)
(Includ. volu.. from Sch.dul. K or Sch.dule M.)
t7. Amounl 0' Uno 14 to.oblo 01 15% rolo (171
(Include valu.. from 5ch.dul. K or Sch.dul. M.)
18. Principal tax due (Add tOil from Un.. 15, 16 ond 17.)
19. C,.dlts Spoulal POYllt)' C,.dll Prior Po)'m.nts Discount
181
10, 168
(111
(121
(t3)
114
x.__
/
/
I
)( .06.
K .15 .
(18)
iJ
2
~
.
B
a
Intll.1t
1191
(20)
+ +
20. If lIn. 1911 gllat.r Ihan lint 18, enl" Iht dlff".nct on lint 20. Thill. the OVERPAYMENT.
1110
/
/
/
(Iwcll IIl'II' ,f you (Ifl' fI'CIUl'\llfHI CI rl'lund of your OVl'fpuymC'1l1.
21.
121)
121A)
(2tB)
l""~'>r'n~'- '"W ,....' <'" < ,
. .......:.JJ...:...~.l!J.t~~.... ",-. \" _ '. ,~.
(7LlU /rk
Act '48 of 1994 provld.. for the r.ductlon of the tox rat.. Impo..d on the n.t valu. of tran".,. to or for
the u.. of the apou... Th. rat.. a. pr..erlb.d by the .tatut. will b.1
. 3'1'0 (.03) will b. appllcobl. for ..tot.. of dec.d.nta dying on or aft.r 7/1/94 and b.for. 1/1/96
. 2'1'0 (.02) will b. appllcobl. for ..tat.. of d.e.d.n" dyIng on or aft.r 1/1/96 and b.for. 1/1/97
. 1'1'0 (.01) will b. appllcobl. for ..tat.. of d.e.d.nt. dying on or aft.r 1/1/97 and b.for. 1/1/98
. Spou.ol tran".r. oeeurrlng on or aft.r 1/1/98 will b. .x.mpt from Inh.rltance tax.
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING A CHECK MARK (1"') IN THE APPROPRIATE BLOCKS.
YIS 0
l. Old decedent make a transfer and:
a. retain the u.e or Income of the property transferred, .......................................................
b. retain the right to dlllgnate who .hall ule the property tranlferred or It I Income, ...............
c. retain a reversionary Interolti or ...................................................................................
d. receive the promise for life of either payments, benefltl or care' .......................................
2. If death occurred an or before December 12, 1982, did decedent within two years preceding
death transfer property without receiving adequote conllderatlon' If death occurred alter
December 12, 1982, did decedent transfer property within one yeor of death without receiving
adequate consideration............ ...................................... II.. "" ....... It..... .... ...... ............,......
3. Old decedent own an 'In trult for' bank account at hll or her death"'....................................
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
.
,..:.~"
~
~:==~:~ or .IYINUI SPECIAL TAX PROVISIONS SCHEDULE
You mUlt complete the SP Work,heel on lhe reverl' lide of thl, PA Schedule SP before you can complete this lorm. Print or type BlIlnlormatlon
PART I. Type 01 Clllm lor TII ForglYlnlll:
Pi.... Check the appropriate bole below In reapona. to the following alal.menta:
tJ 1. I am filing PA Schadul. SP .1 . cl.lmant .nd ALL 01 the lollowlng al8l8m.nll .pply:
8) I 8m NOT being clahnod .1 8 dependenl on a Federullncomo Tax Return: and
b) I .m NOT b.lng cltlmad al . dlpendlnl on .nv olh.r PA Sch.dul. SP; .nd
cl I personally proYld.d 111.alt on. h.1l 01 my 10111 IUpport In 1994,
If you check Box 111", you mey conllnu. with Part II, Certification of Eligibility.
o 2. I am filing PA Schedule SP .1 8 dependenl 01 a clalmanl eligible 10 receive IIlC forglvene.s and who provided me wllh at le8st one half
01 rnV 10lallupporlIn 1994, Vou mUll provldllhl Llnllll) Ind (b) below:
8) Name of Ihe Claimant
bl Socia' Securlly Numb.r ollh. Clalm.nt
II you check BOI 1I21t, .klp Part II. Enter zero, "0", on Line 1 0' Plrt III (number of d.pendent. you .r. .ntltl.d to cl.lm). You may contlnu.
with PlrllV, Eligibility Incoml Dlllrmlnltlon.
PART II. C.rllllcltlon 0' ElIglblllly:
If you Irl IlIIng:
Joint CI.lm lor Tex Forgly.n.11 (Filing Slalul "T").............................................................................................,...........,.. Compl.te S.cllon A onlv
Slngl. (Filing StatuI "s" or Marrlad Filing S.per.t.ly (Filing Stalul "M..).........................................................................,COmpl.l. S.cllon B only
Dec...ad. Final R.lurn (Filing Stalul ..F")..........,......,.................,........"......,..,..,....,...."..".................,.."..,......,..,........,..,COmpl.t. Secllon C onlV
Section A: Compllt. If filing .. "T", Joint Claim for r.x Forglv.n....
I c.rtlfy Ihat (ch.ck allh.r Box "1" or Box "2" only):
1. 0 All of the following .pply:
_ My IpoUI. and I perlOn.lIv provldad II I.all on. h.1l our own totel IUpport In 1994.
_ My .pou.. and I were member. of the lime household lor all of 1994.
_ My spou8e and I have the 81me residency stllulI lor 1994.
2, DOni 01 Ih. lollowlng appll..:
_ MV .poUI' .nd I perlOn.lly provldad ,... than on. hall 01 our tot.1 IUpport for 1994,
_ N.lthlf I nor my lpoU.' p,oYldad .t 1...1 on. h.1I 01 our own tot.1 .upport for 1994,
_ My .pouse and I WIIO nol member8 of the 8.me household lor all 01 1994.
_ My .pou.. and I did not hav.lh. ..m. r.lld.ncy Ilatu.lor 1994,
If you checkld Boo "2"tn Beetlon A Ibovl, you ARE NOT IlIglblllo fila I jolnl clllm lor tlO lorglvlnl... Vou mlY be IlIglbll by filing under
Italul 11M", Mlm.d flUng S.parlt.ly.
Section B: Compl.t. If filing II liS", Blngl. or "M", Married Filing S,plfllt.ly.
I clrllly thlt (chick only ona boo):
1, 0 I p.rlOnaliy provldad IIIIIII on. hall 01 mv own totel .upport lor 1994,
2, 0 I pereonallv proYldad II" thin on. hall 01 my own tOI.1 aupport for 1994 and I .m not a d.pend.nt 01 . per.on .lIglbl. lor la.
lorglvon....
Section C: Compl.t. If filing .1 IlFIl, O.c....d, Fln,1 R.tum.
I carllly Ihlt (check only onl boo):
1. 0 The decad.nt personally proyldad It 1...1 on. hall 01 hll or her own 101.1 .upport lor 1994,
2. 0 Th. dllCld.nt pereon.lly proYldad I... Ihln on. halt 01 hi. or her own total IUPPOrt lor 1994 and wa. nol a d.pend.nl 01 . p.r.
son eligible for tax lorglvenesa,
If you chlckad Boo "1" In S.ctlon A B, or C Ibovl, you mlY bl .lIglbl.lo III. PA Schldul. SP dlpendlng upon your .lIglbltlly Incomllnd
number 01 d.pendlnl.. PI.... conti nUl to dlllrmlnl your IlIglblllly. If you chlckld Bo. "2" In S.ctlon B or C Ibov., you ARE NOT .lIglbl.
10 filii PA Schldull SP.
PART III. Dlpandlnll:
1. Tolal number of dependenll you ar, ,nlitl,d 10 cl.im. Enler tI.r, Ind on your PA Till ReMn. S..e Inllrucllonl """"""""'"'''''''''''''' 1.
Ult ttll requlrtd Inlormlllon lor each d.pend.nl cllimed. (Do nollnclude yourself)
1994
-0,-
Dependent'. Hame
PA '''IbM IftComt 'adarll AdlUllld
OrOM IftCorM
II Dapan6tnt
'"Inti .PA
'"
flllatlonlhlp
.oclal lewrlt1 Humber
t,
I,
I,
.,
I,
2. Amount of Fedlr.1 Adjulled OrOlllncom. f,om your Ftd.r.llneom. Till Alturn, Enler h". Ind on your PA TI. RIlum. 8H Inltrucllonl 2.$ ~.a'll
PART tV. Dlllrmlnlng Vour TII Forglvlnl.o: COLUMN A COLUMN B
Clllmlnt'. Amount Spou.... Amounl
1, 1.
2, 2,
" TOTAL TAXABLE INCOME from Ih. fronl 01 your PA Tex R.lurn...................................
2. NONTAXABLE INCOME from vour SP Work.h..I........................................................,
3. TOTAL ELIGIBILITY INCOME, Add Lln. 1 and Lln. 2, Enl.r h.rl .nd on the fronl 01
your PA TalC Return. 888 Instrucllons, ..,.......,.""""..,.."..,,,.....,,,..,,.,,,,...,,..,,,,...,,,,,....,... 3,
4. PA PERSONAL INCOME TAX FROM THE FRONT OF VOUR PA TAX RETURN........... 4,
5. LESS TAXES PAID TO OTHER STATES/COUNTRIES (lor PA-40R lII.r. onIV).............., 5,
5. SUBTRACT LINE 5 FROM LINE 4 and .nler Ih. dlll.r.nc. h.re ................................... 6,
7. PERCENTAGE OF TAX FORGIVENESS, Enl.' Ih. d.clmal .quIY.I.nl h.r. .................. 7,
8.. Inltruellon..
B. AMOUNT OF TAX FORGIVENESS, MulllplV Llno 6 bV L1n. 7, Enl.r Ih. .mounl 01 Vour
lax forgivenell here and on the fronl ot your fA Tu Relurn. See Instructions """"".." 8.
_0-
0-
-01-
PA..ODIIPI""1
SCHEDULE D
SALE OR EXCHANGE OF PROPERTY
c OrOIl 1.1,. puc.
I... I.pen..
01....
d Coil Of adlull.d
bUll
. OlIn or 11011)
Ie I... dl
t,
En'er ell e.chen el or o.hlr dll
. Kind 01 proptftr .nd deK'lpllOn
IEump'l. 100 ,ttl'" of "l" co I
J. Bubtolll ".. ." ......,..u
J. O,ln'rom Inlll"menl 8.". "0m PA Bchedut. 0., REV.tye .
4. Tldbl. return 01 CI Itll dIIUlbullon._ Enl,r 1oC,I dilUlbullon I... .dulled ba,11
I. Nit Olin Of Loll from Sill of &-1.71 P ",lIlch PA Bchedutt 0.71 REV.1742
.. Nil I'n from IhI III, of. rtOnll re,ldInct Iltach PA Schedule PA.tO...
7. Nit gain 101 ktlll. Add cotumn I Ind ,nler toeal har.< II . nil g.ln 'I thown. Int" on Lint" 01 P".-.OA or Lint 5 of P""OR.
". nit lOll II thown Inter thl amount In bracket.. . .... ....... ...... ."...
PA SCHEDULE SP WORKSHEET
Thl. workaho.t mu.t be filed with your PA Schedul. SP, Compl.t. .ht. wortulhee' belore preperlng your Schedule SP.
Under (he Claimant Column, enler your taxable Income and nonlaxablelncoml. Under the SPOUH Column, enler your ,poulG','axable Income and
nonl.,ebl. Incom., Und.r th. JoIn' Column. .nl.r Ih. tol.1 ole.ch Iln., II m.rrl.d. you mull complet. Ih. Spou.. Column even II liilng e.per.I.ly
........n lI)'OUr opeu.. doea nlll qu.'lfy lor teJc IoraMtn..., II m.rrled.nd Illing . Jolnl Cl.lm lor Tax Forgiven... ("T"). you mu.t complet.lhe JoInt Column,
CLAIMANT
SPOUSE
JOINT
STEP 1. TAXABLE INCOME
1. Enler Ihe amount tram Ihe lronl at your PA 18x return: .......,........."".......................'... k
(lIn. 9 01 PA-40R or Lln. 5 01 PA-4OAI,
9"1-lt,
It.
STEP 2, NONTAXABLE INCOME,
2. eeah p.ym.nll you ree.lv. lor your auppo", .............................................................. 2, 2. 2.
3. Nontaxable Inlere.l, dividendI and nel gain.. ..'..............".............,,,,.....'......,.,,.......... 3, 3, 3.
4, Ailmony.................,....................................................................,................................. I, 4. 4,
a. LU.lnsurance proc.eds and Inherlllnc.s.,,,...,,.................,..........,,,.......,,................... a. I I.
a. Glhl, award. and prizes, .,....,............,.........................,..'..............,......,..,.......,........... .. a, I,
7. Income earned or received a. a nonresident at Penn.ylvanl..."..,......................"......, 7. 7. 7,
a. Nonle..bl. mllll.ry Incom., ,..",'..',...."..".."....,....,.."'....,.............."..,....".........."",, '" ., e, I,
g. G.ln e,cluded on PA Sch.dule PA.19, eg. 55 .nd over .Ieellon, ................................ I. I, .,
10. Nont...bl. .duceUon.' .chol...hlp., 'ollowahlp. .nd .Up.nd..................................... 10, 10, to.
11. Oth.r nonl.,.bl. Incom. e,plalned und.r "D.lermlnlng Wh.th.r Vou Provld.d
At L..., On. H.II 01 Your OWn Suppo"" ,................................................................... II, II, II.
12. Tol.1 nonl...ble Incom., Add line. 2 through It........................................................, 12, 12. 12.
STEP 3. ELIGIBILITY INCOME.
13. Add Lln.l.nd Line 12, Enl.r here .nd on your PA T., R.lurn..................................1,3, 76 () '" 113, 1t3.
(line 13b 01 PA-40R or Line gb 01 PA-4OA).
YOU MUST COMPLETE STEPS 1; 2 AND 31N ORDER TO FILE PA SCHEDULE SP ON THE REVERSE SIDE OF THIS WORKSHEET.
,t.at 48
, ~ ~"..,,;I'. ___
. '
, ,
11'1 It II II. I' ",
ITEM
NUMBER
A.
1.
:1,
3.
t/.
S.
(,.
B.
1.
.
. .--.J. _~t~_~ ~ ~_~!::'ii:L::~;:~:.':itLj2..~~~; ~. :~;l
.
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
Plea.. Print or Tvpe
NUMBER
(OMMONWUlfH Of '!NNUtyANIA
INHUIlANCE tAl .(lURN
JfSIDfNf DfCtDfHI
DESCRIPTION
AMOUNT
Funeral Expen....
IkFHnan6rl-1 t=Un~"a 1 Honl(;, U:U It.s/~ ~~
I-lcldsan FiJrlr:'ra Illr:u'n.::.. - Durhorn IVC.
WOCJdltL/,t...Jn /?1t!rnorr'a I ,4,rk. - DurhoYY1 /)f!...
rrarlsFJOrhtlTo~ oP- hcd~
I='une-rtl ( . ~t:!'rJ/l c e;
'Tran:;;porf-alre>n, lodg,n!j. r-ooel .,-/-c ~r Idl7?t (y
Admlnlltratlve Calli. pt!' r i::t t"c.,..ct....n Is n!''1~.s r-:
Personal Reprelentatlve Cammllllanl
Social Securlly Number of Personal Reprelentatlve,
Year Cammllllanl paid
0:;PI.83 -
ISO -
I o4S -
dOO -
I .:JSO -
0/33? -
2. Allarney Feel
3.
4.
C.
1.
2.
3.
4.
5.
6.
7.
8.
Family Exemption
Clalmanl i:!dren Ghhs Relatlanlhlp bllll.pht-er
Addrell of Claimant 01 decedent'. death
Slreel Addrell aoo t/p.lcr.sbu'Jl ~d.
City (l a r (,'.sf Gi State ~ A- Zip Code
a- 000 -
17~1.3
Probate Feel
SI . D (J
Mllcellaneaul Expenle..
,
V~~rtn(/nitn - ?~(- care,- d,:s~asal
/J/7arrnacy
/'n,;' c; .:ser I/tc'.es
ajl'ercka f-f- c.~ l'l:"r~~
IJ3.
10
so -
.5"60 -
TOTAL lAlla enler on line 9, Recapitulation) 5 10,.J 0 r
III more Ipace II needed. In.ert additional Iheell of lame ""e.)
..~IIOI." (2.'"
,.
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
Plio" Prln' or l I
"
. COMMONW,AnN 0' PfNNlYlVANIA
INHIIITANe. TAM InUIN
IISIDINT DlelDINT
,\
:!
.l:
E t OF
i' (All _rtv 1oI.,Iy-ew..d wlllt 'ho RI,h' of S.",'....hl' m..1 be dloclo..d .. S,h.d.1o PI
.
;
ITEM
NUMBER
DESCRIPTION
VALUE AT
DATE Of DEATH
i
/.
(!'1LL~b'''-f 'U. t!.r Ftt'm~r.s 7rus r .
-fr(ll,.skr~d. f;:J,,- 6-a.1J 111<Jltlfll Rei.. ~[)
It, 8' -
s
(Anach additional 8~- JC 11- th..I. If mare .pac.l. n"d.d,)
,.....~... 'c..';'-"
lEV.ISIO rh t2,17)
..
SCHEDULE G
TRANSFERS
COMMONWlAlIH 01 'ENNmVANIA
INN'l'!AN~' .A~ lIIVlN
~TAnoF=~"~,L~!L~~C~Dl~"~,,~~ --~ "~"""'--'~"-""""--"""
- m ',iLe' NUMBiR
PLEASE PRINT OR TYPE
_. ,.. .. ..._ '_'_H" ..._...., _ __ ,,~'__..' .....__
.-....., ....-_.._._.._~.
.
/nary .e. Grh6..s
_.._._---_.-~~.._.- ,". ,,,,-'-'-'"'~--'---~-"'.'---'-----~ ----,-- ."..... ,.. ------_..._*._-_.._-----~-.-. -.,",
THIS SCHEDULE MUSTlI COMPLnlD AND 'ILED IP THI ANSWER TO ANY OPTHI QUESTIONS ON THI REVERSI SIDI OP THI COVIA SHin IS YES.
ITEM ----- --;;~SC;;;~"O~-O-;p;,;p~~;;-----u - ---- 'iO;AI-~A~UE-jji~D, -----8?~~"c~~t~V!;n-
N~~ 'ndud. nON ~'". ',onl'.'"_ ,"." ,.Io'lOIIdup to cI.,.cI.,." cldl!_~t"~'!!.~ ~~~~~_USIO~__ _____~~.!~~___ __INT ~__ ___~'~!.~L_._._
/.
~c..harJ tv. G;J,b.s . ,son
9IUJ~/p+
f,:.r fVn~rtl ( J ~.slalGJ
,
-e1Lpe'rusf!"S .
I(),OOO
/()D 1,
10,000
TOTAL IAllo .nl., on Iin. 7, Recopltulallon) S
(II mo,. .po,.I. nNCl.d, in..rl adclif;ono' .It.." ol.om. 11...,
,-",..,.,\...-
/
v'iV.1548 EX AFP (12-94*
CD""DNWUl TtI OF PENNSYLVANIA
DEPAATMENT OF AEvtHU[
IUREAU OF INDIVIDUAL lA.EI
DfPT. 110601
tlAltAlalURa, PA 11121-0601
/S '-d- 'i
C/
NOTICE or INNERITANCE TAX
APPRAISE"ENT, ALLONANCE OR OISALLONANCE
or DEDUCTION t. AND ASSESS"ENT or TAX ON
JOINTLY nELO OR TRUST ASSETS
DATE 02-15-95
ESTATE OF GIBBS
MARY
A DATE OF DEATH 09-30-94
COUNTY
CUMBERLAND
FILE NO. 21 94-1023
S,S/D,C, NO. 23B-12-6745
ACN
94154123
KAREN E FOWLER
C/O 200 PETERSBURG RD
CARLISLE PA 17013
REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
A.aunt R..itt.d
CUT ALONO THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .....
Riiv:isiii-iii.AFii-fi1f:94j--------...---.---------.....-----------..----------------....--------.-..--------..
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 02-15-95
ESTATE OF GIBBS
MARY
A DATE OF DEATH 09-30-94
COUNTY
CUMBERLAND
FILE NO. 21 94-1023
TAX RETURN WAS,
S,S/D,C. NO. 23S-12-6745
(X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
94154123
FINANCIAL INSTITUTION, FARMERS TRUST CO
ACCOUNT NO,
11-96766
TYPE OF ACCOUNT, () SAVINGS (Xl CHECKING ( I TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 04-25-94
Account 08hnee
Percent T8x8bl8 X
Amount SUb;8ct to T8x
D8bt. 8nd Deduction.
T.x8bh Amount
T.x R8te X
T8x DU8
.00
0.500
.00
.00
.00
.06
.00
NOTE. TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TO.
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT
DATE
RECEIPT
NUMBER
DISCOUNT (+)
INTEREST (-I
AMOUNT PAID
.
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDI IONAL INTEREST. .
IF TOTAL DUE IS LESS THAN .1. NO PAV"ENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" I eRI, VOU HAV BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. )
.00
.00
.00
.00
PUIlPOU .,
NOTltEl To fulftll the requlr.-.nt. of Ilctlon 2140 0' the InherltlnGl ~ I.tste ,.. Act, Aat " of ."1. (" P.I.
IHUon 11401.
PAMNT I
Uttech the top portion 0' thl' Notice Md .ut.1t ..lth your Plynn, to tM ..,I.t.,. of MUa. printed on the
r.vera. ....
.... ...... check Dr MlNW or., p.VIlbI. tOI REGIITEA OF WILLI, ACl:NT.
AU p.pent. rHllvld ""11 Uut b. appll.d to ....y Inte,..., which "V be; ckM, Mlth MV ,....Ind.,. ,pplled to thl tlx.
RUlICD Calli A r.fwtd of . ... credit, Nhlch .... not ,.,que,tld on the b. return, "V' b. r..,..ted by COIIPI,Unt .... "ApfllJutlon
for R,fund 0' P~.vlY~J. Inn-rltanc. and E.t.t. ,.." (REY-ISIS), Application. .r. Ivellabl, It thl O"lcI of
the _..ht,,. of "Uh, WI>>' of the ZJ RlvetIUII Dh'rtct Dffln, or bv ClUing the ,peele 1 Z4"hour ........,.1"1 ..,.vlel
nu.ber. 'or for.. .rderl"ll In Penn.vlv...... 1-IDI.S".'050, out,lde Penn.vl....... ~ vlthln loc..
H,rrl.bur, .r.. (117) 7.'.."', TOU' (7171 772-2151 (H..~lng Z.,.lr.d Dnl~).
OIJECTZDHI, Any p.rty In Intlrl.t not ..tll,led with the epprll...-nt, allowlnCl or dl..llowanc. 0' deduction. or ......-.nt
of ta. (Including dl.count or Intar..t) .. .hown on thl. Hotlc. .IY obJact within .Ixty (60) dlw' of rac.lpt 0'
thlt NoUc. byl
--written p~ot.tt to thl PA a.partaant of Alvanul, Board of Appaall, Dept. za1021, H.rrl.burg, PA 1712'-1011, OR
"..ICUng to hava the .att.,. det.r.IMd .t thl audit of thl account 0' thl p.r.on.l rIPr...nttUVI, OR
--.".al to thl Orphan.- Court
AEMIN-
IITAATlVE
CORRfCTlDNSI
OIIC~TI
INTunTI
factuel .r,.o~. dl.cov.rad on thl. ......-.nt thould b. addr....d In writing tOI PA O.pa,.t.-nt of A.vanua,
Iura.. of Individual T...., ATTNI po.t ........nt Revl... Unit, DEPT. ZlD601, ttarrhburll, PA 171ZI-D601
PhoM (717) 767-6105. It. pagt S 0' thl bookl.t "Znttructlonl for Inheritanc. hx R.turn for. R.ddant
Dac~t" (REV-ISDI) fo,. an .xplanatlon of ldalnl.tr.tlvtly cor,..ctabl. .1'1'01".
.,'n
If any ta. due It paid within thr.. U) c.l.ndar ""thl .fhr thl dlndotnt't d..th, a flv. parunt (lXI
dl.count of thl t.x p.ld I. allow.d.
Znttrllt h chsreacl big Inning with flr.t d.w of dtllnquancy, or nine (t) ""thl end ant (1) d.W
frot thl data of de.th, to the data 0' p.wa.nt. T.... which b.c..a d.llnquent b.'or. Janu.ry I, I'.Z
be.r Int.rut .t thl r.t. 0' ... ,,)CJ p.rcant per Inn'" c.lculatad at . d.lly rat. 0' .00016'.
All t.... which bac... delinquent on or .ftlr Januarw I, I'" will bI.r Int.r..t .t . rat. which will v.ry '1'01
c.landt,. W..~ to c.ltnd.~ y..r with th.t nt. anncuw:.d by thl PA Depart..nt 0' R.v.".".. ThI IPPUc.bl.
Int.r..t rat.. for ."2 through 1'9S ar.,
UIl: Int.r..t Aat. D.llv Int.r..t r.ctor Xur Intlr..t R.t. D.llv Intlr..t Factar
.'.1 'U . DOn.. 19.7 OX .ODOZ"
1911 IU .DOOUA 19'1-1"1 IU .DDOUI
I'" II~ .DODSDI I'" OX .0002"
.911 IS~ .DODSS6 1'91-.'" 7X .0001"
I'" IU .000174 I". OX .0002"
ulnt.r..t It calcut.tad .. folll*lI
INTEREST . IALA"CE OF TAX U"PAID X "U"IER OF DAYI DELI"QUEHT X DAILY I/lTEREST FACTOR
--Any NoUn tuutcl .Uar thl tsx bee..1 ...Unquant will nfl.at an lnt.r..t calculation to flft..., CIS) d.y.
berond thl data 0' 'M .......ant. If p.WHltt It ..... aft.r thl Int.r..t CMPUt.lIon date .howl on thl
Notlc., additional Int.r..t .ul' b. c.lculatad.
'" ...
!5"-()-,!
Y"EV-1548 EX AFP (12-94*
COHHOHWfAlTH Of PEHNSYLVANIA
DEPARlftENT Of REYCNUE
BUREAU Of INDIVIDUAL tAlCU
lJ(Pl. 110601
HARRISIURG, Pi 17111.0601
NOTICE or INHERITAHCE TAX
APPRAISEHENT, ALLOWAHCE OR DISALLOWANCE
or OEOUCTIOHa,.ANO ASSESSHEHT or TAX ON
JOINTLY nELD DR TRUST ASSETS
cP/
DATE 02-15-95
ESTATE OF GIBBS
MARY
A DATE OF DEATH 09-30-94
COUNTY
CUMBERLAND
FILE NO. 21 94-1023
S.S/D.C. NO. 238-12-6745
ACN
94154124
RICHARD W GIBBS
C/O 200 PETERSBURG RD
CARLISLE PA 17013
REMIT PAYMENT Tal
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE. PA 17013
Altount R..Ut.d
CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ~
Rirv:i54-i-ijf-AFii-ri1f=94i-------------------------------------------------------------.----------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 02-15-95
ESTATE OF GIBBS
MARY
A DATE OF DEATH 09-30-94
COUNTY
CUMBERLAND
FILE NO. 21 94-1023
TAX RETURN WAS.
S.S/D.C. NO, 238-12-6745
(Xl ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
94154124
FINANCIAL INSTITUTION. FARMERS TRUST CO
ACCOUNT NO.
11-96766
TYPE OF ACCOUNT. () SAVINGS (~ CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 04-25-94
Account Balance
Pereent Taxable X
Amount Subject to Tax
Debt. and Deduction.
Taxable Amount
Tax Rate X
Tax Due
.00
0.500
.00
.00
.00
.06
.00
NOTE, TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TO.
"REGISTER OF WILLS, AGENT."
TAX CRED:tTS:
PAYMENT
DATE
RECEIPT
NUMBER
DISCOUNT (+)
INTEREST (-)
AMOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
. IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATIOH OF ADDITIONAL INTEREST. .
I IF TOTAL DUE IS LESS THAN tl, ND PAVNENT IS REQUIRED.
IF TDTAL DUE IS REFLECTED AS A "CREDIT" I CRI, VOU HAV BE DUE A REFUND.
SEE REVERSE SIDE Of THIS FORN FOR INSTRUCTION.. I
.00
.00
.00
,DO
v
/5-.;?--I
c....
REV-1547 EX AFP 112-94*
COMMONWEALtH OF P[lrMSYlVANIA
D[PARtHlHT OF REYlNUE
lURE AU OF INDIVIDUAL IA.Ea
MP'. 110601
HAIRI.IURa. PA 17I'..D6ol
NOTICE Of INHERITANCE TAX
APPRAISENENT, ALLOWANCE OR OISALLOWANCE
Of DEOUCTIONS AND ASSESSNENT Df TAX
ACN 101
,
i
1
r I
j\"i
"\
of'".-;
DATI 10-02-95
FILE NO.
DATI OF DEATH 09-30-94 COUNTY CUMBERLAND
HOTE. TO INSURE PROPER CREDIT TO YDUR ACCOUNT, SUBNIT THE UPPER PDRTION Df THIS fORN WITH YOUR TAX
PAYNE NT TO THt REGISTER Of WILLS. NUE CHECX PAYABLE TO "REGISTER Of WILLS, AGENT"
REMIT PAYMENT TOI
RICHARD W GIBBS
121 SUNSET OR
CARLISLE PA 17013
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE. PA 17013
AlIlount H..Hi.d
CUT ALOND THIS LINE ~ RITAIN LOWER PORTION FOR YOUR RECORDS ~
iii-Y:iilijj-iiln"j: ji-nF94"i"iioYicinoji-YliiliiiifANCi-YAin"'ppiilii iiiiiEiiT~""Li.-oiiAiici-iiR",nn..._...- -...
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATI OF GIBBS MARY A FILE NO. 21 94-1023 ACN 101 DATI 10-02-95
"
TAX RETURN WAS, I X I ACCEPTED AS fILED
C I CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN
1. R..l hblo CSohodulo AI tll
2. Stooka and Bond a ISohodulo BI 121
S. Clo..ly Held stock/Partnerehip Int.r.1t (Schedul. C J (5)
4. Horta.g.I/Hot.. Receivable eSchedul. DJ 141
i. C..h/lank DIPollt.,Hllo. Parlon.l Property (Schedull E) 1&)
6. Jointly OWhld Property eSch.dull FJ (6)
7. Tran.flr. eSchedule 0) (7)
8. Tat.l A...t.
.00
.00
.00
.00
168.00
.00
10.000.00
tll
10.168.00
APPROVED DEDUCTIONS AND EXEMPTIONSt
9. Fun.ral EMpln.../Ao.. Co.t./Hllo. EMp.".e. (Schedule H1 191
10. Dobta/Norlgago Llobllllloa/Llanl tSohodulo II 1101 .00
11. Totel Oedvction. 111)
12. Net Velue of TaM Return 1121
15. Ch.ritable/GovernMental D.qu..t. ISch.dul. J) 115)
14. Net Voluo of Elloto Subj.ot 10 TOM 1141
NOTEI If.n ......m.nt w.. 1..u.d pr.v1ou.1Y, 11n.. 14, 15 .nd/or 16, 17 .nd 18
r.fl.ct f1gur.. th.t 1nclud. the tDtal of ~ r.~urn. .......d to dat..
ASSESSMENT OF TAXI
1&. A.ount of Un. lit .t Spau..l r.t. (15)
16. A.ount of Lin. 14 taM.ble at Lin..l/CI... A r.t. (16)
17. AMount of Lin. 14 taMabla at Collataral/Cla.. B r.ta (171
11. Principal TaM Du.
10,209.00
10.:?OQ 00
41.00-
.00
41.00-
will
.00 X .03.
.00 X .06.
.00 X .15.
I1BI
.00
.00
.00
.00
TAX CREDITS I
PAYNENT
DATE
RECEIPT
NUNBER
DISCOUNT t'l
INTEREST I-I
ANaUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTlREST
TOTAL DUE
.00
.00
.00
.00
. If PAID AfTER DATE INDICATED, SEE REVERSE
fDR CALCULATION Of ADDITIONAL INTEREST.
C If TOTAL DUE IS LESS THAN '1, NO PAYNE NT IS REQUIRED.
If TOTAL DUE IS REflECTED AS A "CREDIT" (CRI, YOU "AY BE DUE
A REfUND. SEE REVERSE SIDE Of THIS fORN fOR INSTRUCTIDNS.1
.....---_.~----~.'.._,...-...-.-.......~.........
~
H
~',
~\
f'(
F
y
'''''lntIU .q ,'M ,..".,,,, "UOut..- "'''ON
1Mt\ UO UNIM4' .,.p uoU'\ndItO. '.....'ul MI' "'H' ..... ., ,,,,,.A'd II .,""...... '~1 '0 'l'P MI' puouq
'.'P Clll Ut...,. ., UOI'tlno..o ,.....Iul ~ ,.."... "I" IUanbU't.P ...oo.q -It .~, ~.,.. P~"I ",'ON AUf..
10~'J 1131alNI 1'1'0 X lNanDNI,ao 11'0 JO lalNnN X al.4Nn X'l JO 3~N"'1 . 113131NI
IIflonO, .. P','ln'leo " '.....\"I.a
lU.... X- U" tlUDO' XI. "..
Uto.I' U "",.,,,, 'nDOO' XU '''I
1"'000' X, ,.., toUID' XII ~'"
UUOO' XII ,,,,-,,,, tnoll' .,. 1161
nUll' X- ,.61 "'''U' xu "61
".1"" ",nt"l "11'a .,.. '''''''''1 .;m ".1".1 ,..n'''1 All.a .,.. ,.....'uJ nil
"... '''I .,eno"~l "" ..., ..,.., '.....'''1 ""'l1d'" .~u """""'11'. IUI',J.d.a 'd IMtl Aq p.1MIftOUUI
.,... I"n "11" ....... "'pull.,.t ....A "'PWIWll .0.., ",,''''' HI" l.4.t'fl" .".. . I' '.....'''1 ....q 111" I'" " .J.nuer
...". puI uo '~Il" ",'eq ~JI~ ...., II' ''''111' ,. .,... AII'P . ,. p'l_lno". ~ ...d 'ue....d eX'1 -,.
'a ..." ~. .. ..."..u, ".Iq '''' " Io,"nuI, I"o,.q ,UINKIII'P ..u.q \4~''I'' ..... '."".1....'0 "'P MI' 0' 'lI"ep
'A I"P ~. H.I, Io.p (11 lUO pus '~'UOI 1'1 IU,U ..0 'AINenbUI1'P '0 A.p ''''11 "\1" Iuluul..q p'...."tt ., ......'ul
IUlaIUNl
'PllAOl1' ., P"d -.. MI,
,. .uno.'IP IXU '....0"... '''If . ,,,...p ",,,,pu'P Ill. ".". ''I,UCNI ".pus," UI ....". u'''\1" PI'" ., .np II" Ious II
""0"'" .lqI.o.....o~ A"""'''''lu,1P' '0 UOI..uel.... us "., IIOII.^JWI .,uep'~'a
.usp,... . "0' u..n.... .'1 .oue\1"IlfU. "0' .uollon""ul. "'ltOoq .", '0 l' ."d "1 'IOn.lIL CLUI ~
II'O."tt, 'd '...nq',""'H '10.0" ""0 "Iun ~''''.. .u.s....., ,'Od IN11' "'11'1 ,.npl"'PUJ ,. ne."n,
'enulA.. '0 ,,,,,.,".dlQ 'd 10' IU",.." ul pe.....". oq Pl~' .UII...... '1'" uo pe...AOtt'IP ...0.1..' ,en.oej
11HnO)I!0
IINDJ13JAO)
~U'IUIJ
NINO'
",'"0) "UI~"O Ill' o. ,.IddII..
MO '.",...u.......... ,.uo...... .". '0 ,uno~~' .". '0 'Ipn' ,. Paul''''''P ....... .". 'A'" .. uo,.o.,.__
alO 'UO'-'UlI 'd f."nq.,,,..... 'UOtl, .....a ,.,.lIdd, .. P"'OI '~A'" ,. .""........0 'd .". .. ,........ usHI"""
IAq .:lUOH .,,,.
'0 ,dl':I'" '0 .A.p CO.) 1.'111' ul"U" .o.fqo ..ne UllOM '1'1' uo UfliCKt' II ...."..U, "0 .unao.,p lU,pn,OUI) k., '0
aus....... "0 "uo,,~p ,. '~MOt'..,p ... '~~II' ',UIIe'I,..d... Ill' '1'1" P"""" ,ou .......u, uI A,,,.d AUf lIHOl1)JrIO
'(A,UO p...,....J .U'....H) 'S"-'LL (t"l .001 ",o'-LIL CLlll ..... ...nq.I.....H "001 U''1''"
pus 'IUII",A.uu.d ep,"no 'OUI.,n-ODl-' .IUlAIA........d uI ,.u,...p... ....., ..., ",...-no .'1".... 1U1......u.
"noll-" 1.,0.d. ",. IIul1lU Aq ... '..'1110'11'....10 IN'IUI"'" n ",. '0 Aus ""1" ,. "...,I.tI MI, '0
'.1"0 .". ,. 'TctllI'A' .JI ,uonufldd, 'n:,n.A1H1 .u. .....] pus '1KII\I""4"1 'I"'A,AI""'d '0 pun,.. "0'
uo"uttddw. us eu"'ldMII Aq ps...,.... aq A.. 'u..n"1I Ill. ...., uo P"''''''' .OU .... '1:11'1" 'UPS"o l1li' . '0 pun,... , IItI)) ONrUJII
'k., ..... .. P"Idde ".pul..... AUS lI"" .np .q A.. lI~I'I" ,.....'U, A'" .. P"Idd' .q ....,. ".". p."""" "U.IA.d 'I'
.LN3DY '81'1" AD 13.1.II03t1 10' 'IctlA.d "IP"O AIMIM "0 It'''IO 'IIIW"
'.p,. ....."... "f' uo ".u,,,.. 'l1'ft '0 .....,... .". O. .us...d ..noA 'I"" 'I"" pull ':I"ON '1'" '0 UO,,"Od do. .~, \ta..O 11NlWA'd
'nil uof\o,s
"'d It 01661 '0 ZZ '0' ":I, .'1 .....) pus .:MM"""fUl ...., ,. nu uonool '0 UU..'''I''u "'. 111"n, 01 I))UDH
AD ]SDdWld
.'......ul ...n.n. \t:M\' A... uo "... ct......tt.lJ) . "'13 In.'''1 t't, ,.
"11'1 .:MII\I"1lIU1 ...,.ue.., ...... p.... ",'''dd' o. 'ltBI" .... ..A....... A'.....d.. Aq...." "......UD.-O) .". '.....A "0' ..0 .,,,
"0' _..,.. Aut '0 UOI""Id.. .". ".... .uep.~.p .~, ,. "I"'I'I,au.q C'......I'O', . "'1) o. ,U..AOrU' ..0 UOI.....Od ul
p......,.us". '1 ...,.. .", UI '.....aUI ...n,n, Aut 'I .. II" 'II ".~,.O ,"...q ... UO .UIAp .,ueP':J'P '0 ......] INOll'^lIlSlH
CCl
t...(
( ~.
.'.
1'1
(',-
'<;f
I
0--
'-'
1:)
(j
I" ,-J
(~ u.:
a:
'.'
It.
P'
~ t.:
G8
"""','"
Cumberland County - Register Of Wills
Hanover and High Street
Carlisle, PA 17013
Phonet (717) 240-6345
Datet 9/13/1996
RICHARD W GIBBS
121 SUNSET DR
CARLISLE, PA 17013
REI Estate of GIBBS MARY ARDELL REMINGTON
File Number I 1994-01023
Dear Sir/Madam I
It has come to my attention that you have not filed the Status Report
by Personal Representative (Rule 6.12) in the above captioned estate.
As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103
SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1,
1992, the personal representative or his counsel, within two (2) years of
the decedent's death, shall file with the Register of Wills a Status Report
of completed or uncompleted administration.
This filing will become delinquent on 9/30/1996.
Your prompt attention to this matter will be appreciated.
Thank You.
Sincerely,
IY~~(I~~~n
MARY c. LEWIS
REGISTER OF WILLS
CCI File
Counsel
Judge
, ,
~......;
~
;
." > - - -:.~ ' .
,
, ,
'"
.
.
,
I;;:.;,~.", '," . " ," ,:,"", , ''', " ',_ .," , "," """",,'
,," - -', . ." , . '- -:. ,. -. .-'- .:-::::':,'~:..,>
. ',' . ,', ',. " . '" ,
'.";' .,,"" ,',.' <', 'C"",, "', -'" ";,,, '<ii.. "
f;;-:e,~'.';:", ", . >:~;""'::'/ <:';' .>;','i', .2' "')',,:
".' ,.";~,,~;,,: i"';",?,;\,,:"",:, ,,'.'~:;~. ,">:..L:,"';';""",. '
'i "';"";':;-',;", . ie:':,, ''''';''',,;, ,;,,"",",.',-.,J"i ',' ... ".'".,.., .'.' , .,. i:.:; ,'1.,' , ",:':1' """
',' ".:'::';.~, ; ';"""!;,/,,:, ", ':; ,""i;"i,'~ / .i'., ,;;. '~<;~~;l;~~'l{l~i;;: ; ,,-," ;',
;~';1" >; , .;; \" >~V;: .,' ',;' l~~;i;i~*\ P;Z~'~:::,::: ~H!?:.; ; ~'i:"
';, ,> -:;~':~ ;. i""'i'/~" 'i".,::. ,.':';, '\'\ ",";'2'L>' :,. ,~~: '.,
,". ;,;,:r:(" .'';::~/~ .~':/'" '.';.:" ,:",::'i::'~J"':":~";:,,<~ ~':::l~.'"
'~\;c :,' "'i."i,;',.;:". ";', , '::
'1;-'(,~ rJ!;~~'; ':'f>{'~'~" fl':'-,.:, ',':\,- "'," ;'.,:: 'C.:' ',' , ., ;", ":"'. '" ,,"i., ri "'. ,:'" :'
;,t-n,';,; :f~I:::i:,:' ''t\~: co':, "
L!! !'''", "'-:' , I C";'" ,,' ::'~':'
,;c' ',~,' - ';'~i;..J;",;;~" ,,':,"'.' ',~t, ,:, ';: ,,;'
(t'~! "i~f;, . :";,, , ~:[d
~' ;' ,... ,f'm.:, ,,' -' e~!'~:;: 'l,: ,
'i~' !;~, ;~:;"tij:'l',:c ,""" .... .
';;' .',.;.;' " , :., i' ~,' . ,,-, ," ",' '.0,' ,', ,{ 1.
~';; , · ,.' , '. .;',.' ',', c:i :;':;.,~ ;
t, ; .',' . ''',,' ,," ',,",
,c'
"
'f:, ',.' ,
:,t
__d ...
.. 'C'
,.,: .:
"
--;
c, ,~~ '
. ":"
'.
.
'"
0.
v
STATUS REPORT UNDER RULE 6,12
Name of
~111 b/U~
Date of Death:
Will No.
Admin, No.
Pursuant to Rule 6.12 of the Supreme Court Orphans'
Court RUles, I report the following with respect to completion of
the administration of the above-captioned estate:
1.
State whether administration of the estate is complete:
Yes j./' No
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete:
J. If the answer to No.1 is Yes, state the following:
a. Did the persgnal representative file a final
account with the Court? Yes vr No .
b. The separate Orphans' Court No. (if any) for
the personal representative's account iSI
, c. Did the personal representative st~te an
account informally to the parties in interest? Yes 1/ 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 at ached to this report.
Date: II h~)/tfIl
I I
S gnat.ure
'€H4-8Ph 11/, bl8gS
Name (Please type or print)
I 21 ...V/IVt;,t.'T .heh''f,~ rJ+R..)V~/o(' I'
Address 7J9.171?J.?.
(7/7) Z!)g - /179 J
Te 1. No.
CapacitYI ~personal Representative [ .
Counsel for personal
representative
(HAHI rmflAMJ)
.,). -
-.'
" ~- , .
'. ,.
','
-,
. ' '1~'
,'\
,"j,
.:.;-1 .
"
",
';)~"
;';1~il
: ".~,lj
0',
.~ ,. .
-" .. 'jv.1..~ ,.1:{';~' .", , . "
,,'
'>,:"
:~~ ~ <:.~ ~Y'. ':~t'l
~ ~l
"",'
"',I;'
:.:t~
\'{~j
, >~'f~
)5~
,i."1:~
":~:
!::.,rg;
,',
~)~~
\,
. '", .
..::}-"-:::/'(1:' '.
'<d';.: l :;~~' 'In
.~<~~~'.' .-
,,} i.t~f
.r~,.r."i- ;~.t'~ ,r,}
. , " ! ' _ ~'i ;.~ ~ '<-::.~..
c,:'
.'
'j'
~r-:_:". ~i !:o<;'~-; t.
":-.
'!'.I
~~'~1~~~!:~0':1'~~<' ,.
"-'-:;; 'I.,:,,;.,
"(
....i,..,.'
~. ~ ,
", i~ .~ ',,',::
'.:<'
", .
, ,
,eel',
.Li~:
'\:-.-.!
i
','.,'
. I (~
: ~,:I ~
t.:.!
,",,c.o
,',".-
~; ".'~
''-(:~i
.;/iji
'--';,",?'~
,,~~.;;
- ,:;-'~:!~~
.,,'.;
',>:"
__. ..";5. ':,~.f~
. L'_~.,
", j~,
,
, i "~ \'. t, ~~
,~ '..- '"
--l:'ri),;L.' ~.
, ,'.
--';'.
,.'..
~,~}'.,
''-:,:':''\,
:~}
','.'." ';\
.,
...
','
- :'F.:~