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Home My WebLink About94-01047 ,,..,./'- CUHIIEIH,I\NIl Register of Wills of :01I~klI County I Pennsylvania PETITION FOR GRANT OF LETTERS No. .__~'i':i::,-JJ)_~L7_- EMMe 01 Clnrn II. ('1 "y ----.- alao known aa Clllrn II. Clny --------------- .' Deceased Social Sacurity No. 7.04-01-%23 --- ---------- o A. Probata and Giani 01 l.olters and aver Ihat Pelitionerlsl IS/Mll tho oXllr.lIl_- namod In the l.ast Will "t Iho Oor.odent, datud ___ - and r.olhr.il(sl dated ---- .-' 1"I.,,,.,~,ltI, ....".,.,.,. '" ,tI" ullll' IA 01411. "1'I11,.tll~1 ICOMPLETE "A" OR 'e' aELOW:1 ------ - '""" .. ......, ,,,."'", " ""' .....' ... ".. ",,"'0, '"' ." ""' ,.... · .., ""'" "' ,.""", "",, ."""",, " ".. ",,"..,,'" "",,", 101 I',oh"o: wo' nol Iho v,olim of . kilhog ,nd w', noVOI odlUd,o'lOd inooml'OlOnt: - ~I'" ,,1......, t",,~'41""'" .., ",,,,,,'tll"'" dll'" ,.1 """,,,,, tl< -- ~ B, Grant ot LllltOlS 01 Mn\llllSlIallon - Erl\CHl. H.,Slny -- -' ",,""''' ,""',,'"'" I<'I,JI,"'" ,,,,,,,,,,",,,,.,,,,,,,'',.,'''''',. potltlOnorlsl alter a propor soarr.h has/havo asr.ortainod thai Oor:odonl lofl '\II W,II and was survlvod by thll lolloW"'11 50",1>" III any I and heirS: RfHlIdollllll -l Ruld110nllhlp 306 Name IIUHbnncl --- "rnoHt M. Clay - - -- -' - - w"""" woo ""~,",' "' .,,"," " _ """'""' , ""d - ,,,","', ,,,""" " "",", w"" """"" ,.., ,,,',," "' ",,,,co,,,,, Ills,donr.o at 106110rth J 7th Streot, Cno'!, IIi 11 , pcnnHylJ@.nia (COMPLETE IN ALL CASES:I .",",""" ,,,,,,,1......,,1,,,,,.,,,,.,;,,, , '9~, 8,1I01y Sl!irit 1I0Hpitol, enmp 11111 OIl"Ollollt. thon ~ V"ars 01 ao", diod 3..!:ol1f't' 30 ","""",1 \ 1,9.00,00 \ \- , $ $__ 1 .ooo.oo~~~ Do",,"onl ., doolh owood l',opo,ly Wllh o"o""I"d v,',o.' "' lulloW9: tll do""cIlod In PAl All ptllSMlltl prlJllllltv III nol d"",il:llod ,n PAl p.",,,nill p"'l'ollY '" Ponnwlvllnll' ' ' ' ' ' ' ' ' III nol dbmlCil,d In PAl ,l'o,"onoll"o,,,"IY ,n Coon'y , ' ' , ' ' ' ' , , Volo, 01'001 .,\oto in P.nn"lv,nlo ",,',. ' ' , , ' , ' ' ' ' ' . ' ' ' ' , Total RDll' F.!illl\" uthwlfHllt9 10110'(019: ,..,.. ,.' . "., " , ' . . . . ' . . . ---- Who",lo,o. Pol,l'OnollBt l09111lClloIIV ,oqoo"I'tll'O 1"0111'10 ollho 10,1 w.llllnd CodICIII'tl',o.onlod w,lh 1111' pollllon "ndllln U",ol 0110110," In \Ill' IlpPIOJlfU,te 101m 10 the undol!llgnfld: SlgnftlUle TVPlld uf pllnttld r\lIIllO <.Il1d Itl~lId(lnc:n - H. c\ny 306 North \7th stroet Can.t' Iii 1\ I pcnnHylvania \70\ 1 - --- - -- - RW-7 . . , . Name(~)i add~e8s(es) and tel~phone number(s) of all counsel Name Carl G. WasB, Esquire Address 3631 North Front street Harrisburg, PA 17110 Telephone (717) 232~7661 Additional information may be obtained from the Date 12/20/94 Signature Name Carl G. Waas, Address 3631 N. Front st. Harrisburg, PA 17110 Telephone (717) 232-7661 ,Capacity I Personal Representative x Counsel for personal representative [' q' [, , , , [, " 'j, " ' " 'u I.' ,. ! i ~ :01 " (~ I" ~,[ Q IT.' .. - ~~ oil n .i, ~ ~~fi blU: c(n J~ a ~(\I 0 ~ a \AI " , IW WITNBSS WHBREOF I the undersigned has oausl!l,d this in'st!rtiment' "LO~ day'of ~Ci.,,~t>~ ,. to b!l exeouted this WITNBSSl Q..~-~ <1~~ ,I, " " " ,. ",I., ,",' " " " ,. 'i, :1' , , " " , " , , , " " 'j' , " 1 ,I. I, I,ll, , , , ~h , , '"' " , , , , I' ,1/! 'I " ," , " '1;": "~I' ", " " '"I ,',I, ,,' q. ,. , /It' 1'\" I" ",,- " \' " , , .. ,. ,I' ,:11 \. ,. '" I, !I. " , .. II "'. 'f,' I' 'j " ,ii .' " 'i' ,. ,',\ .. i' 'l,l, .' 1,1. ,. '" I " " ., , ~, 1995. ~m/~ ,- Ernest M, Clay =--r-: ) t.:;.... ),j - /0 ~/ Sooral Seourity Number \-' ,. ." " '" '1 "1,,1' (,I ., .1 I;" " ,I',. " . " " t,', ,I' " ,. 'f '1 " /' ;1" ,,' j'I'" 1';'/ I' C. 1\ " I, .-" " ,. " H' .') " i' ',I " ','. 'I'll ,;', , I:"~ '" ,ij. 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(0.....~~~n\~\'~"DJ,'m7~W.NIA (TO BE FILEDS IN DUFPWLICLALSTIE 21-94-1047 H.IlI,mi> ~~or/:" 0t01 WITH REGI TER 0 I COUNIY CODI ,r!A' NUMUI -- i- ~i:~:~I:~:~:':'~"~l:::;.---:T:~~~.-=r6':~"~~~:'t i ~,~~:!~~~:~~il.., .,., .." '" ,..l~:i0~4 r:l:!.~:i~':"E"'~:-::~'_:~_~:::::::_~~ h..,.._~___ 'fjl"O;i~i~~IR.~~';~-'-""'."" (] 2 S,ppl.msn'oll.t", 0 3 ',muind" ."". I 1'0, du'" 01 d.o,h p,iol'o 12.1),'2 1:\ B l.J 4 1I.~illd ["0" IJ 40, I"". In'''l'' Cumplomill (J 5 I.d"ol 1"010 loa 1.1,,. I.q""d B ; ~Ol dOlO' 0 d,o.h oh" 12,12-121 06 O",d.n' O,.d 1"'010 [J / O..,d.nl Mointoin.d 0 li.i'8 I'UII ..Q..., 10'01 Nv",b" 0' Sol. O.po,,1 ..... I^"o,h ,opy 01 Willi IAllolh ,opy 011,"111 Aii-cORR'ESPON-D"tNCi".(NDCOtTFTDiNTIACTA-XINFO~MAlION SHOULD BE OIUCTEO TO,. v.1 ." ..;", ;;.4 . :~ '_' ' 'i'~~;'~~~'1s-~.-:-~=~'~:--~,-",--:--_~~'rOM"n~~.~~"Gl~):~-~~nt~:r::t -- .- - - . "';71N~I/V;"~32"7~61 ' .. ".~._."". llilrrjsbl1rg'.~.,~~."~.7'::~u=,n,_~,_~..,,.~,",.. I R,ol ["011 ($,h,d,l. 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I d.clor. thol on flOf lulal. ho, bun "poII.d ollruI mar\., vatu., D"lo(ollo" of p"pO'1f olh., lhan lh renof'lol tlp,t.ln'allvl ~~~!~:.1-~.~~:~)~~i~~~~.h_P.ffi~~~~u~~~l. .no;~':'~i~~: ,.. .. ...-.---..-- -- -.-- ----.~--,------ bAll "A J __~'-~,' ..,' ,,_...1QbN&'jllth.Btr.C'E'.t.,-C:unp,lIill..fu...-l~W--- r r b1 ~_~5' HAtVI 0#" '~VJbrliu HAH UII'Uf1A Ivl ...0011' "A / / _ ~\l!:-.-~_s..~ !!>A,h.___..3_El. J,.,,!':!:().!1_t. s t .u. -',IJ1.9u.I'.lI...1J.lJL_____ ..__3,1 ? ~.l3_ ,.; . '. R 5-' IIV,'IOOII. ''''1 t3i U , 'J ~~ ~ ! I a II) ._ 121 __/.,907.60..... 131 _.__.,.."_..,__........._.._ t 41 .. ..'--' ......,...'---- 15 I..,..,..,..... .. .....--.- (6).........,.. _.___.__..____ 1/1 -..-...-..,.-....-..---- I q I __~!:.~~..99.._..._._._ Ie) 2,907. 6~.__._____, ---..-- 1161 .... h.____" ,06. (11) __.__.__ .__" .15 . 1"1___. 1'91 --.------ (201 -,.----,"-'-.-'...-- (211 ,__,......_...._ ....... (21AI ___._.___ .---..,- (ml ..-..----,------.... I~V.1147 IX AFP (12.94* COMHONWEALlH OF PEHHlVLVANIA DEP""llDl OF RfYEIU IIMUU OF INDIVIDUAL lAXEI lVI, mUl HIoIIlIISItJllQ. PA 17111-0101 "TATE OF CLAY --- --CLARA- FILl NO. DATI OF DUTH 10-30-94 COUNTY CUMBERLAND NOT~I TO INSURE ~RD~ER CREDIT TO YOUR ACCOUNT, SUIHIT THE U~~ER ~ORTION OF THIS FORM WITH VOUR TAM ~AVHENT TO THE REGISTER OF WILLS. MAKE CHECK ~AYAJLE TO "REGISTER OF WILLS, AGENT" REMIT PAYMENT TOI /5 .- y ~ / NOTICE OF INHERITANCE TAM A~~RAISEHEHT, ALLOWANCE DR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAM ACN 101 DATE 06-06-95 CARL D WASS 3631 N FRONT ST HBD PA 11110 REDISTF.R OF WIl.LS CUHBERLAND CO COURT HOUSE CARLISLE, PA 17013 r AlIOont R..ltted J CUT ALONG THIS LINI ~ RITAIN LOIlIR PORTION FOR YOUR RECORDS ~ iiBW iiW.ixuAFp.n'F94Y"iiiiT'iiir-liji.YNiliiiifANCi.TA'il" APpil Axiiiifiiii'";-ALrejWANCi.iiri................. DISALLOIlANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ISTATE OF CLAY CLARA H FILl NO, 21 94-1047 ACN 101 DATI! 06-06-95 TAlC RET1J1lN WAS I I X I ACCE~TEO AS FILED RI!SIRVATION CONCIRNING FUTURI! INTI!RI!ST . SIE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIDINAL RETURN 1, R..l E.t.t. ISchedul. Al 2. steck. ond Bend. ISchedul. II 5. Clc..l~ Held steck/~.rtn.rlhlp Int.r..t IScheduI. CI 4. Hcrtgage./Not.. Rec.lvabl. ISchedul. DI i. C.lhllonk o.pclltl/Hllc. ~.r.on.l Prop.rty ISchedul. EI 6, Jointly ll>Ined Prop.rt~ ISchedul. FI 1.. Tronlf.r. ISchedul. GI I. Totol A...to I ) CHANOED III 121 (51_ 141 ISI (6) 111 .00 2.907.60 ,00 .00 .00 ,00 .00 III 2,907,60 APPROVED DEDUCTIONS AND EXEMPTIONS I 9, Funer.l Expon.../AOi. Co.tI/HI.o. E.pon.l. ISchedul. HI 1'1 10. Dobtl/HcrtQ191 Llabllltl../Llon. ISchedul. II lID) .00 11. Totol Deductlonl 1111 12. Net Voluo of T.. R.turn 1121 II. Charltebl./Qcv.rnoontll loqu.lt. IIcheclulo JI 1151 14. Net VIlu. cf E.t.t. Subject to Tax 1141 NOTI!: If.n ..I...I.nt w.. i..u.d pr.viously, lin.. 14, 15 .nd/or 16, 17 .nd 11 will rlfl.ot figur.. th.t inolud. the tot.l of ~ r.~urn' ..I....d to d.tl. ASSISSMINT OF TAXI Ii. ~t of Line 14 .t Spau..l r.t. Ilil 16. Aaount of Line 14 ta.abla .t Llne.l/Cl..s A r.to 1161 1" Aoount of Line 14 to.abl. .t Collat.r.l/Cl... 8 rot. 1111 II. ~rlnclp.l Tax Duo TAX CREDITS I ~AVHEHT OATF. 6,317.00 1..:<17 DO 3,409.40- ,00 3,409,40- ,00 K .03. .00 M .06. .00 K ,15. 1111 .00 .00 .00 .00 REC!I~T NUl18ER DISCOUNT 1+ I INTEREST I-I AHOUIIT PAID TOTAL TAX CRI!DIT BALANCI OF TAX DUE INTERI!ST TOTAL DUI .00 .00 .00 .00 . IF ~AID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST, ( IF TOTAL OUC IS LEIS THAN n. NO ~AVHENT IS REllUIRED. IF TOTAL OUE IS RCFLECTED AI . "CREDIT" ICRI, VOU HAV IE OUE A REfUND. SEE REVERSE SIDE DF THI" fOIlll FeR INSTIlUCTlDHS.I " " " ,'I ,,:' " ~p. , &1 :lJ :n ~h lll'l If'; {'I J II ,I fu' "'1 , !'ii I' " .J! , , , ~ I: " , t, ~::J t iii' '1"'; ~li: :".1. " 0 1-;:\ - ,'..., 0 " " '" 11 I ~ t ' IIII111l'1ATlDlh E.t.III of _II '<Iv 1111 on or bolo" 000...... It, I.n .. If onv fulura I~tarllt In tilt IIt.II I. t.on.ltrrcd In po.....lon d' tnlovoant to CI.... (ooll.t...11 btntflol..l.. of tht dto....,t .ft.. tilt .<pI..tlon of onv .,t.t. for llfe or for v.r., tt. CMMnWMlth herebv IKpnllllv rl..rve. tt. rllht to ."ral.. end ..Hlltran.flr InherltMol Tax.. at the lewful' C1II. . (coUatl"ll rat. on 11\'1 NOh future Intlrllt. _lIl' NOTICE' PAVll!1IT. _CClU, DUCTlDHI, To fulfill tilt .aqul.....t. of Stotlon ZI40 0' tilt IMho.lt.... and E.t.t. TIX A.t. Aot ZZ .f 1"1. lIP.'. Ieotton 2140. DetltCh the top portion of thh HaUcI end luNlt '11th your plYMnt to the Rllht.r of MUll prInted on the rlYlr.. Ilde. .,Iltk. _ or .....v orell. p.VtIII. to, REOUTER OF MULl, AGEHT All p.voanll ....htd ....11 llrat lit "",lItd 10 onv Int"..t "Illch AV bo duo "lth onv ._Indt. ....lItd to tilt "". . A refwtd of I tax artdlt, whIch .... not r,qulated on the TaM Rlturn, -V be r......ttd bv OOllflll"U,... In "'App1JoaUon for Rlfund af Pennsvlvanll InheritInG' end Eat'tl TIM" (REV-1StS), Applloatlonl Irl IVIllabll It ~ Offlol of thl Altl'tlr of Nllll, InV of thl 25 RlvlftUI DI.trlot Offlo.., or bv ollllnt the tpIO ftl Z.-hour MlMlrlnt ....viOl ~r. 'or for.. o~dtrlntl In Ptnnlvlvenll 1-100-562-2050, out.lde Ptnn.vlvenla and "Ithln 10011 HI..Isbu.. "" CI171 1'1-1094, TOOl (1171 171'12&1 CHot.11lI lop.l.td DnIVI. M'J plrty In Internt not ..tllfled with thai ..,r.l.....,t, IUowance or d"lll~ of dtduotlon., or IIHI~t of tIX llnolUlll1ll dlt....,t a. Int""tI .. _ on thlt Nott.. Ill,t DIIl..1 "Ithln ,,,tv CIoI elIVI ., ....Ipt of thh NoU.. by, --".Itt.. P..t.,t to tilt PA Dtp..toont ., R.vtnUl. I...d ., Appooll, Dtpt. 111011. No..lobo... PA 17111.1011, OR ....lIOUon to hIv. tt. MU.r at.rllned It IUdIt of t.... .uoowtt of thl ptrtonlll r",r..antattv., Oft ........1 to the Qrpt.".' Court. ADMIN II'RATlYl CONMCTJOHI. 'IMItu11 .rrorl dboovlred on tt\l. a..........t mould be eddrllMd In ..rltlr.t tOI PA _Irtant of R.~, , 1u.IIU.f Indlvldusl T..... ATTN' P..t A'..'....t R.vl.. Unll, Dtpl. Z.0601, H...lobo.., PA 17111-0601 Phone (117) 7"-6101. sa. P'" S of the booklet "Jnltru,tlonl for InheritInG' TaM R.tum for a Rllldent OIoadInt" (RlY-1S01) for In ..,lenatlon of IdIlnl.trlt',.tv correotabl. .rror.. If In'J tax due 11 p.ld within thrH (S) ollandlr ItOf"Ithl Ift.r the dtCltdent'l de,th, . flv. parcent (IX) dlloount of tilt tIX ""Id I. .11_. DIICIU(I, IIIIEIIIITI Int"lIt I. oht.1Itd ....Imlnt "lth first dtv 0' doll_v, or nino c.) _th. and ont 1Il dtv ,... tilt dlt. of dHth. to thl At. of PIV'IInt, TIM" which bto-.. dllIncIUW1t bafore Janulr'J ., 17U bltr Int.rllt It tM rlt. of .1. (6Xl po.oont PO' ..... ..Ioul.tld .t . dollv rst. 0' .000114. All t..., ""Ich _ doll_t on and .flar JInuIrv 1, I'll will bear Int.r..t It . rlt. whlOh will varv frot aalandar Vllr to OIltnd1r VII' with thlt rltl .......td bv lilt PA Dtp..toont of R....... Tho opp11dObI. Inl,...t ..t.. for I.IZ Ih.OUIh 1"5 ..., !!!!: Intlr..t Rlt. 0111'1 Intlrllt Factor ~ Intlr..t Rlt. DIIlv Int.,. It FlOtar 1MI lOX .000141 1917 9X .000247 1.IS III .OOO~SI 1'11-1"1 IU .000501 1914 IIX .000501 I"Z 'X .000247 191' m .ooonl 1"5-1994 7X .000191 191' lOX .000114 1'" 'X .000247 .-Int.r..t II olloullttd " followll IN1lRllT . IALAMCI OF TAX UNPAID X HUMIER OF DAVI DILIMQUIMT X DAILV IHTERERT FACTO. ..AnV NoU.. llluld .ft" tht tIX _. elIll_t "III "fltot on Int"..t ..loul.Uon 10 flft_ (Ul cIIV' , bo_ tilt dot. .f tht ....._t. If P.""",t It _ .ft" tilt Int"lIt ._t.Uon elIlt _ on tilt Notl... tddltlonol Int....t ..,t bt ..loul.lld.