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PETITION "'OR PRODA 1'1<: and GRANT OF LETTERS
No. _____~I::_tJ!L__::::...J () a
To:
Estate of _ HOIlIi,H'I' 1~.._X~!.Ii!~_.__ -..-_
a/so known a.1 _____________..______________
__________________.. _____.m Register of Wills for the
._______._____. /)('('fI/.Il'II. Couuty of Cumbel'lnnd In the
Socia/ Security No. ---1.Q.4.:1.il.::l!i5..Q......___ COllllllonweahh of Pennsylvania
The petition of the undcrslgncd rcspcctfully rcprcscnts thnt:
Your petilloncr(s), who Is/nrc IR ycnrs of ugc or oldcr un thc cxccUlJlDi
In the last will of thc abovc dccedent, dutcd _____ M1...CLI1.'-;,t 29,
and codlcll(s) dated ______________________ n/,1
_..Rot.e:_12oced~~nl~.l! wU.f~_.m:.l'd(l.<.;('ilfWd l1im on oct.obor 1.5, 1992.
named
,19-1L
(stille rclc't'lIl1t d,,:mmllIllCl:'i, c.g. fCIIUlh:lutlol1, dealh or e~eclll()r, elc.)
De~endent was domiciled nt denth In Cumbo r 1 ,1 nd __ County, Pennsylvania, with
h 1 s. last fumlly or prlnclpul rcsidencc Ul 3 COI,lI1 try s i do Dr! ve ,
Boil1nq Spl'l~L~I007, South Mlddll!t.on 'I'ownshlp, P^
(Ihl strcct, Ilumhcr 11m) Il1U1H:lralltYI
Deccndent, then 66 ycnrs of ugc, died December 6, ,19 94
M ~
Exeeptns follows, deccdcnt did not murry, wus not dlvorccd und did not have a child born or adopted
aftcr cxccutlon of thc will orrcrcd for prohate: wus not the victim of a killing and was never adjudicated
Incompctent:
Deccndent at dcath uwned property with estlmutcd valucs as follows:
(If domiciled In Pa.) All personnl propcrty
(If not domicllcd In Pa.) Personal property In Pcnnsylvanla
(If not domlcllcd In Pa.) Pcrsonul property In County
Value of rcal cstate In Pcnnsylvunla
siluated as follows:) Countryside Dri~~oi 1 inq
$ 75,000.00
$
$
$ 90 OOU.OO
Sprinqs, ~^ 17007
WHEREFORE, pelltloncr(s) rcspcctfully rcqucst(s) thc probate of the last will and codlcll(s)
prescntcd hercwlth and the grant of lellcrs tes t.amenta ry
thcron.
(lcslumCllllUYi admlnlwlulon C.1.8,j adm~nlslratlon d.h.n.C,I...)
-
t Av~(..4.
~I Kirk william Filer
19 ] 1 0 1 C,I1lru;lllLE!.ill.:a. D d v C
':l'~ Mn('!hrlnirQb.w:g4- P^ '7or;r;
ll'~
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'Keith Robert Filer
_ 308 Reading Road
----5hi ppen<;hllrq I "^ 17?S7
OATH OF PERSONAL REPRESENTATIVE
COMMONWEAJ,TH 011 PENNsnv ANIA } I:lS
COUNTY OF CU~IIH:RL^ND
Thc petltloner(s) above-named swear(s) or nfflrm(s) that the slatemcnts In the forcgolng petition are
truc und corrcClto thc bcsl of the I:nowlcdge nnd helieI' of petltloncr(s) and that as personal represen.
tatlvc(s) of thc ubovc decedcnt pClitloner(s) will wellund truly ndmlnlslcr thc ate according to law.
Sworn to ~r nfflrmcd nnd subscribed ~_ <Ke ~'=~ 0.. ,-k - .' - ~
beforc mc tluf. _____B.ItL__~ day of - :~kLL1Llillbe.r.L" ow I
~~~E@}'6R---~..--LI(I9"'$h:'" .. ---. -
.\- -'-(;iLc.p.t.J 1Ll!..~,,'ftJ..!/.J.('JZlI . -k \'J. . - .,' r
- MARY C. LE-wi-s ---- ReRi:ster ~_~<~i~~.2l>~ ~
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LAST WILL ANV TESTAMENT
I, ROBERT W. FILER, 06 R, V. 7, Bo.LUng SplLi.ng~, CwnbeJl.f.and Coun.ty,
Pennby.tvan,La, bung 06 ~ound mind, memOll.y and undw.tIllICUng,do make,
pubU6h and dec1tvt.e .tIU6 a.\ and 601l. my .ta.\.t Will and Te6.tamen.t, hvr.e-
by IU!.vo/Ung Md malullg vo.i.d allY and aU. o.thvr. W.iU1, hy me a.t ilnyti.me
hvte.t060M. made.
FIRST, I cUltect .tha.t aU. my'juo.t deb.to, expen.6eA, ilnd .<.nheJUtance
.taW. ~ha.U be pcUd by my Ex ecu.tJUx., hvr.eina6.teJr. named, a.\ ~oon M milY
be convenien.t a6.tvr. my deceMe.
SECONV, AU .the 1Le6.t, 1Le6.<.due ilnd lLenlcUnde.l!. 06 my e6.ta.te, ILeal and
pe46onal, I g.<.ve, dev.<.&e and bequeath .to my WL6e, ANNA J. FILER.
THIRV, In.the evet~ my W'<'6e, ANNA J. FILER, ~hou.td 6a<..t to ~UI!.v.<.ve
me, I g.<.ve, dev,ue and bequea.th a.U 06 my e6tate, ILeal. and pe46onal, .<.n
equal ~hMe6, to my 60Uow.i.ng named clU.tcllLenl
KEITH ROBERT FILER
and
KIRK WILL1AM FILER.
FOURTH, I nominate, cO/l-6.tU:u.te and appo.<.n.t my W.<.6e, ANNA J. FILER, a.\
Ex.ec.u.tJUx. 06 my e6.ta.teand .<.n .the even-t .6he plLedec.ea.\e6 me, Oft..<.& unab.te
OIl. unw,UUng .to ~o act, I nominate, COn6.tU:u.te and appoblt KEITH ROBERT
FILER and KIRK WILLIAM FILER, a.\ AUWlate Ex.ec.u.tolLll, to ~e.I!.ve w.Lthou.t Bond.
IN WITNESS WHEREOF, I have heJr.eUll-to ~ e.t my hil/ld and Hal .to .th.L6 my
LM.t Will and Te6.tamen.t, on the '/ /\ -J., da.y 06 / I_I. c, ,..,\ .' 7977.
)
) - 6
(,I;, of i - i/, ,
- R Bf:.KI W. FILER
(SEAL)
S.i.gned, pubU6hed and dec.tMed by the Te6tatOll., ROBERT W. FILER, M a.nd
601!. IUA LM:t Will and Te6.tamen.t .<.n the plLe6enc.e 06 Uh, who have, lit IUA
.<.11 .the plLe6 ence. 06 the T e6UtolL,
lLeque6.t, ~.i.!ll1ed .th..W Will M W.Ltl1e.M e6 ,
ROBERT W. FILER, and 06 each otheJr.,
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CERTIFICATION OF NOTICE UNDER RULE 5.~
Name of Decedentl Robert W. Filer
Date of Deathl
Will No. 21-94-1051
December 6. 1994
Admin. No,
To the Registers
I certify that notice of beneficial interest required by
Rule 5.6(a) of the Orphans' Court Rules was served on ot mailed to
the following beneficiaries of the above-captioned estate on
January 2, 1995 I
Name
Keith R. Filer
Kirk W. Filer
Address
308 Readinq Road, Shippensburq, pA 17257
1101 Grandia Flora Drive, Mechanicsburg, PA 17055
Notice has now been given to all per~ons entitled thereto under
Rule 5.6(a) except none
Datel
1/ '1195
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Signature / '4
Name Dale F. Shughart, Jr.
Address 28 South pitt Street
Carlisle.P^ 17013
Te1ephone1211 249-8300
CapacitYI
Personal Representative
Counsel for personal
representative
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COMMONWEALTH OF PENNSYLVANIA l
COUNTY OF CUMBERLAND J
55:
Keith H. l'ilerlllil'k W. Filet.
--.--_________.__.'::.!:.L~~___"___.___~ _.__._._._____________,____.._
baing duly ____sworn_.__ .,ccording to I,\w, dopo,ol and laYI that thoY__arIiL_ll1Q.._________ ____________._
__. Executors___________,____________._ a' Iho E.hto 01 ....J~QIX!rlJ:!.. FihL___..__________._____
1.10 01 __Sol~J:h l1t.C!4JclQO__'i'Q\'i'XibjJ?J ...._ ________, Cumborl.nd Counly. Pa" docoasod and Ihal tho
within is .n invonlory mado by ___...l{citlIJi...filerjKirlLW...EiJ 01.:______, Iho \ald._Executors______......
01 II.. .ntiro 011.10 01 laid docodent, considing a' .11 tho personal proporly and roal el'ato, oxcopt roal olhto outsldo
.1.0 Commonw.olth 01 rennlylvanl.. and that the figural opposlto .ach Itom 01 tho Inventory roprolon' it', lair valuo
alaI Iho data 01 docodont'. doath, .J ' () ,0 ' ,
I\l :t l\\ ,1;:,0...... '
S\\\:)rn and ,ub.cribod boloro mo. ,A.M~:____________,__.._-=_
^u9Ust "5 \ 95 hoe,'., XXlIo/{;l(Nlnlll, Keith R. FIler
. n---.-- 19 --.--- Kirk W. I;'i leI'
\''J \.A' ll.o...QJ..(j ~ ~tU-<.... __.J.QJ)J~ea(1iJJg.lh'IiL-.---_-_------ __ ._.
NOTARIAL SEAL
MICHAEL R, RUNDlE. NOTARY PUILIC
IlORO Of CARLISLE, CUlolBERLANO COllll1Y
MY COMMISSION EXPIlIES OECEMBER 20, 1998
Shippensburg,P'" 17257
Addu II
l)ale 01 DOdlh .______ 6Ul ______....________..._[)2c_~l])l?'!r
O'Y ~i.nlh
1994
Vu,
INSTRUCTIONS
I. An Invonlery mUll bo lIIed within three month. .ltor appointmenl 01 porlon.1 reprosonlativo.
2. __ A supplomenl Invontory mUlt bo Illed within thirty days 01 dlscovory 01 addlllonal ..,Nil
3. Addillonal Iheoh may bo attachod as to pDrlona/ty or roalty
4. Sea Articl. IV, Flduclarl.c Acl of 1949,
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INVENTORY OF THE REAL AND PERSONAL ESTATE OF'
ROBERT W. FILER, DECEASED
REAL PROPERTY
Tract of land improved with ranch style dwelling
situate in South Middleton Township, Cumberland County,
known as 3 countryside Drive, Boiling Springs, PA 17007.
Deed reference: Book "K", Vol. 21, Page 21.
Tax Parcel # 40-28-2100-136.
Value based upon actual sale price. Copies of Deed
and Settlement sheet attached.
Total - 119,900.00
PERSONAL PROPERTY
9.
10.
11.
12.
13.
14.
15.
16.
1.
One, $500 Series EE U.S. savings Bond issued
07/90 #D27180023EE.
One, $25 Series E U.S. savings Bond issued
12/68 #Q2373516744E.
Bell Atlantic, 12.545 shares of common stock
at $49.9375
ATT, 33.796 shares of common stock at $47.75
AIR TOUCH COMMUNICATION, 13 shares common stock
at $16.6875
Bell South, 17.2174 shares of oommon stock
at 52.15
Paoifio Telesis, 14.2144 shares oommon stook
at 29
U.S. West, 14.435 shares common stock
at 35.50
Southwestern Bell, 22.827 shares at 41.00625
NYNEX, 16.061 shares common stook at 36.875
Ameritech, 22.583 shares common stock at 39.125
1989 Buick Skylark automobile, valued based
upon appraisal of Roy Gottshall, auctioneer,
attached.
Personal property distributed, in kind, value
based upon appraisal of Roy Gottshall,
auctioneer, attached
Household goods, furnishings and 1989 Buiok
station wagon , value-actual sale price at auction.
PNC Bank, Checking Aocount 5080136065
Prinoipal
Interest
PNC Bank, certifioate of Deposit 1773220175592
Prinoipal
Interest
2.
3.
4.
5.
6.
7.
8.
310.60
113.25
626.47
1,613.76
216.94
897.89
412.22
512.44
937.33
592.25
883.56
3,800.00
1,900.00
5,891.00
6,208.50
6.33
1,004.46
4.46
01/a~/95 w Fowl.r, Addam., Shughart , Rundle,
r.iabur....nt ot oa.h advance I I
Regi.t.r ot Willi,
Short Certiticate.
Cumberland Law Journal,
Adverti.e Letters
The Sentinel,
Advertise Letters
02/01/95 - Amerit.ch, tee
,02/01/95 U.S. West, fee
02/01/95 - B8ll Atlantic, fee
02/01/95 - Bell South, fee
02/01/95 - Pacific Telesis, fee
02/01/95 - AT'T, tee
02/15/95 - Exxon, credit card
02/15/95 - united ot PA, phone
03/02/95 - Met Ed, electric
03/02/95 - Register ot Wills, agent
estimated inheritance taxes
03/02/95 - Roy Gottshall, appraisal
03/04/95 - vital Records, death certificate
03/09/95 - Dauphin Deposit, services charge
03/13/95 - United ot PA, phone
03/13/95 - Capital Tax Collection Bureau,
1994 income taxes
03/13/95 - Shellham8r , Co., tax preparation
03/13/95 - Postmaster, stamps
03/13/95 - Lititz Mutual Insurance Co.
homeowners insurance
03/30/95 - Met Ed, electric
04/10/95 - Dauphin Deposit, service charge
04/24/95 - united ot PA, phone
04/25/95 - AT'T, tees
04/25/95 - Legg Mason, fees and commissions
04/27/95 - South Middleton TownShip Authority
sewer and water
- Ameritech, fees and commission
- ROY Gottshall, auctioneer fees and expenses
- Southwestern Bell, fee
- Bell South, fee
- Paoific TOlesis, ree
- Bell South, tee
- Met Ed, eleotrio
- Bell Atlantio, f~e
- Paoific Telesis, fee
- united of PA, phone
- BFI Waste Management, trash removal '
- Met Ed, eleotrio
04/28/95
04/28/95
04/28/95
05/01/95
05/01/95
05/10/95
01/11/95
05/12/95
05/12/95
OS/25/95
OS/25/95
OS/25/95
30.00
40.00
72.20
-5-
142.20.
1.00
1.00
1.00
.01
1.tlO
1.00
41.87
54.36
110.00
5,000.00
30.00
12.00
6.00
52.07
4.30
130.00
10.1s
61.00
117.27
6.00
60.91
2.40
148.57
99.00
7.30
1,693.50
5.00
.01
1;00
5.00
73.21
5.00
6.00
52.85
39.S4
. 34.46
"
PRINCIPAL DISBURSEMENT TO BENEFICIARIES.
,
TOI Keith R. Filer
4/20/95-1989 Buick Sedan
4/20/95-MiI0. furniture
TOI Kirk W. Filer
4/20/95-Milo. furniture
1/12/96-Caah
3,800.00
1.460.00
5,260.00
450.00
4.810.00
5.260.00
TOTAL DISTRIBUTION OF PRINCIPAL
TO BENEFICIARIES
PRINCIPAL BALANCE FOR DISTRIBUTION.
~
~
RECE!PTS OF INCOME
Inter.at and Dividends
12/22/94 - Final interest, PNC oheoking aocount 4.42
12/22/94 - Final interest, Mellon savings account 1.25
01/10/95 - Interest, Dauphin Deposit estate cheoking acct. 5.04
02/01/95 - Dividend, Bell South 11. 88
02/01/95 - Dividend, Paoifio Telesis 7.75
02/01/95 - Dividend, Bell Atlantic 7.66
02/01/95 - Dividend, AT'T 11.14
02/01/95 - Dividend, Ameritech 10.29
02/01/95 - Dividend, NYNEX 9.48
02/01/95 - Dividend, U.S. West 7.73
02/01/95 - Dividend, Southwestern Bell 9.02
02/07/95 - Interest, estate cheoking 6,33
03/09/95 - Interest, estate checking 7.54
04/10/95 - Interest, estate cheoking .54
05/01/95 - Dividend, Bell South 12.02
05/01/95 - Dividend, Pacific Telesis 7.87
05/01/95 - Dividend, Bell Atlantic 8.88
05/01/95 - Dividend, AT'T 11. 21
05/01/95 - Dividend, Amllritech 11.41
05/01/96 - Dividend, NYNEX 9.63
05/01/95 - Dividend, US West 7.82
05/01/95 - Dividend, Southwestern Bell 9.51
05/09/95 - Interest, estate CheCking 2.36.,
06/09/95 - Interest, estate checking 60.51
07/11/95 - Interest, estate checking 183.88
08/09/95 - Interest, estate checking 144.19
09/11/95 - Interest, estate checking 163.05
9/12/95 - Interest, PNC C.D. 44.86
09/18/95 - Interest, $500 EE U.S. savings Bond 17.89
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILl.S COUNTrCOCE
DECEDENT'S NA-..E(lAST, FIRST, AND -..IOOLE INITIAL) DECl;;OEN1'S COMPl [TE ADDRESS
Filor Robort W. 3 Countrysldo Drivo
SOCIAL SECURlrY NUMnER CATE OF OEAT" CATE OF OlllT" I\oll! fie Sprl ngs, PA
164-20-7656 12/06/94 03/09/28
REV. 1500 EX. r.'4)
D2. Supplamenlal Relllrn
o .., Fulure Interost Compromise
(lor dales 01 daalh aile' 12,12-821
D 6, Decedent Diad Testate 0 7, Decodent MaIntained a Living Trust
(ADach co y of WIIII_ (Auach a copy 01 T~u'l) .
C P ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
o 0 NA-..E ~LETE MAILING ADDRESS
RR N IcuMn
D Dalo F. Shu hart, Jr. , Esqulro Fowlor, Addams, Shughart Cx Rundlo
~ ~ rElEPHONENllMBER 28 South Pitt Stroot
- T 717 2/19-8300 Carl if;] 0 PA 17013
1, Real Eslale (Schedule AI 1 119,900.00
2. Slacks and Bonds (Schedule B) (2) 7,116,71
3, Closely Held Slack/Partnership Inle,.,1 (Schedule C) (3)
4. Mo,lgages and Not.s Rec.lvabl. (Schedule OJ (~)
5. Cash, Bank Deposils & Miscellaneous Parsonal Properly (Sch EI (5)
6, Jolnlly Owned P,operty (Schodulo FI (6)
7. T,ansl." (Schedule GI (Sch.dul. LI (7)
a, Tolal O,oss Ass.,s (tolal Lines 1-7)
9, Funeral EICpenses, Administrative Costs, Miscellanoous
Expenses (Sch.dule HI
10, Debts, Mortgage Llabililies, L1.ns (Schedule I)
11, Tolol DeducTions (tal. I Lines 9110)
12, Nel Value 01 ESlal. (Line 8 minus Line 11)
13. Cha,lIable and Governmenlal B.qu.sls (Schedul. J)
14, Nel Value Subjacllo Tax (L1no 12 minus Line 13)
15. Spousal Translers (fa, dales 01 dealh ah., 6-30-94)
See Instructions for Applicable Porconlage on pago 2.
(Include values Irom Schedule K 0' Sch.dule M,)
16. Amounl 01 Line 14 laxablo al 6'1. ,ale
(Include valuesl,om Schedule K 0' Schedule M,)
17. Amounl 01 Line 14 lax.ble a115'1. 'ale
(Include values Irom Schedu'" K 0' Schedule M,)
la, P,lnclpall., due (Add lax from Line 15, 16 and 17,)
19, Qredlls/Sp Poverty Prior Paymenls Discounl
. 5,000.00 t 263.16
20, II L1n. 1915 greale, Ihan Line 18, enler Ihe dill.,.nce on Line 20, This is Ihe OVERPAYMENT.
[f] 0 ~k here If you III IIque.Ung I ,elund 01 you, overpayment]
21, II Line 181s grealer Ihan Line 19, .nl., Ih. diU."nea on LIne 21 This is Ih. TAX DUE,
A, Enler the Inlarest on the balance due on Uno 21 A
B, Enter lhe lolal 01 Line 21 and 21A on Line 21B This is Ih. BALANCE DUE,
Makl Check PI able 10: R. iSle, 01 Wills, A enl
~ ~ BE SURE TO ANSWER ALL QUESTtONS ON PAGE 2 AND TO RECHECK MATH ~ ~
fpIN 10 pel ury, eea,. al 1.....111 '" urn, nc: nglCcornpinylll9lChedul'l.nd.I.llme'fiTi';"i'OOlolh.b..tolfTffknow~".'ndMIl.f,lll1tlUl,
COfrttl.tldc~ltle. decll"lhalall r..1 ISlal. hll been ,.pafltd "' Irue markel 'l'llue. O.el'''lIon 01 prep"ltr olher lhln Ih. peflONI ,..pr...ntlllvt It b....-i c.naUlnforlNllon of
whl~h p'fpa,er h...oy knoWkld~.
SPATUQE OF,J\E~~R"PONSIOlE FOR F1l1NO RETUnN
,\..tA.H.. \0... 'f-J:fJli. ,_
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SIONATURE OF PREFARER OTHER TH7 REPR SEN!ATIVE
O /<).
c~.J \., ,f~ ~,.
CopyrIght (f) 1994 form 1011'0lil'" CPSYI'.ml,loc.
C A ~
H C 0
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C 0 K
K P S
COM~F~iY.~W~8 %1fJk'll~~ANIA
H^RRIS~~~~,~R~ he .060 I
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(IF AflPLlCABLEjSURVIVING SPOUSE'S NAME (LAST.FlAST AND MIDDLE INITIALl
X 1, Original Relurn
4, limited Eslale
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Fon OATC3 OF DI;ATH AFTER 12'131191 CHECK HERE
IF A SPOUSAL 0
.fQVfRTYCRfOIT IS CLA'-..ro
FilE NUMBER
21-911-1051
YEAR
NUMOEN
17007
CClunlv
Cumborland
SOCIAL seCURITY NU-"UER
AMOUNT RECEIVED (SEE INsrRUCTIONS)
U3,
o 5,
1 B.
Remainder Relurn
(10' dales 01 death p,ior to 12-13-821
Fed".1 Estale Tax Relu,n Requl,.d
Tolal Numb., of Saf. Oeposll Boxes
23 ,1,02.87
22,1139.29
(B)
172 ,858.87
(9)
31,985.91
(10)
827.73
(11)
(12)-
(13)
(1~)
32,813.64
140,045.23
140,045.23
(15)
0.00 X
0,00
(16)
1110 ,0/15.23 X ,06 :
8,/,02.71
(17)
0.00 X ,15 :
0.00
(18)
8,402.71
IntereSI
(19)
(20)
5,263.16
0.00
(21)
( 21A)
( 21S)
3,139,55
0,00
3,139,55
Koith R. Fllor/Klrk W, Ftlor
~~.~.~!'.~~!!1.1L~O!~~....... _ _ _... _. _ _ _ _.. _.... .......
Sh I pponsbuq; , PA 172 5 7
Fowlor, Addams, Shuehart: Ex Rundlo
28 South Pitt Stroot
ciiri i s'i~ " "PA" 'i 7ili':i . . - . . .. - . ... . . . .. .......... ..
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~oICMm!Uobn(IN 1001" folio......
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L SETTLEMENT CHAncES
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U',100,OO
101
m
70:1
70. CoIr'rMtlOnp.IdIIStllltmtnl
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l'~~"" It., .. , ! ',l,1 "': .'t' : ' I "'f' ,,' ,It ",'f ' I .~
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P.Id"'fom
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SltU.mfnl
.~1I
r'QfHo.2
PaklFrom m
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runOt It 701
S."ltmenl 102
103
7,194.00 704
'00
(~Mt In,OOOOOl 'OI~ICtl.rg...llno"Oltv~hall: I,'~O.OO
101 LOIIlOriQ/NUonFH 1.00 "rUlMl'I TrulL COlllPany lf~:ilO.OO 101
102 lWll*COt.rlI ,00 " 0,00 802
IOJ ~"..lf" kl ht1MrI Trult. co~.ny :ilOa.oo.oo
Il)4 Crt4ln.potl \Q 804
&IYt L,u:!f(.kU9fctlonf.. kl 005
1M t.4or'I;IgtltwurardAw'k;.llOnfH 10 80e
101 ~l.tI1'lIonf" to .01
804 Application r.. to ranMIrl Trult COD!Pany :il00. 00 eoe
809 In.plotton tll to 809
"0 Doauawnt pup'utiOD h. to 110
III tD 811
~\!imi~:!iv.~;.f:.~-WJF.Ij!IK~~i\':c;.J~y,:!ttn~.!l\'~t.lm'\W~.sa~<<!M~ ~
POI 1n1'''11 From 31..Nay-515 10 Pffd.p ~I
~2 I.lOrlo'Ot IMuf.n/'A Pren'Nm ~ months 10 to:l
~lll'UfdlnWfancIPr'rrWvmrOf )Olrllo p.o.e, llO-J
~ ~"'IIo ~
~S ~S
1;'''7;rur''''~'~Dli,w''ti!Ci W.Wo'1ilcl," '~m;'~'i\"i,'~':,"n ,T~ ";..:i:':U';"IOo't'I~i-:' 't:' '."'\'MAlY,;:;',. !1~,'~'<lIWO'M p~'''I\l''Ai,r,I~VII [11\QV ',J 1,"#,1'" 1*
1.~'l~~Jl(!!\._,l'!lk.. "''', ,'i'!,...J.\1ill""" ;s" 10, " ,~~,....I"L_, _'I'I.fI\QlI.\l\! .<MJM,,,',hl,.%Qq ~~'iI!\,~.'Y.t")(,, 0., ,. ,..... '"
100lllu,fd"Wlancl mol 0 ptfl'Mnlh 1001
1002 MOfIg'gllMllf.rw:. mos 0 PlffT'W)l1!h 1002
1001 City P/Oplrtt tu.. mol 0 f~..33 P'fmonth 0.00 1001
1004 COI,nfyP/OptrtytA,1ltI mot a p.rmonlh 100"
l00~Mt'wJjlAu..smtlltt ~t, 0 Pelrronlh 1005
1000 (T'(Jt,O pel month 1000
1007 SU'ooolt..... mot. a Ull.01 PelfT'W)l1!h 0.00 1007
1008 ' (T'(Jt 0 fllltoorolh 1008
Fi.~1i'i':Oj;'lrgwmQ)f}!i~l,~\~Ip.lli\f\i'~)Y;\\};"'r~lj~'!~l~rnfij;?~ThUrlIIl~'!:.!i;,!!,J;J'lBl ,.,.,M6!l:r4 rW3'I:u.JJ~m 1(19
1101 S.nllmtnlOl'dOllng'" 10 1101
1102 Abtt/.ctofINN'/'th to 1102
1\01 TllltIJamlM1lon to \103
110-' n6.ns:..lll/'le.bIndt/ 10 11~
110S~nlpl'pllI\Ion 10 liDS
1tOONolltyl... 10 1100
1 I07Anom'y'1 '''' 10 rrey ,'flhy/rowlllr, "MUll, Shughlft "I'undh 150.00 p,o.e, 1107
(IrdUOt,.bo....U.".nut!lbtll:
lI00TIU.It\tUf"ne. 10 1106
(roud..lbo....n."..l\IJfT'Ibtr':
1109ltndtl'.Cot.f'QfI
1110 OwnfltCovtl'Q'
1111
1112
1113
&~~ilI'tTtMlItlliPli:ftQfY~~imlk~,.L
0Md 112.00 "'''1.,'''11.00
Ottd U ,191.00 Mqllg.Qt:'
Ottd U,1t9.00 Mof\g.g.:f
1201 RlOOfdl.-.gI.":
1202 Cllykcool;l'lt.tTll.:
1200 Slal.LtrhlllTlll'
'104
llOl
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l:mPN41ntptct1on n
1:)0.1 Ctmtnl Tun au. lrom DonO'lrll/Stlltf
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gilbertll Profe.,ional p.at Control
'('", t::W:~i;J~llj~'I\I~IJj ~{!lj,(W{~:'~~lllfn'l('-'(}fi, r.f fit~ tt,vr: Iljl~:Y'~) "\l'~'\ T ll'.!~.,,, " '. "
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4
30.00
1,111.00
3,5".00
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1110
1111
1112
1113
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Tax Parcel No. 40-28-2100-136
TI-IIS DEED,
~lADE
nine
THE ;;}S~ay of May in thu year of our Lord one thousand
hundred ninety-five (199!i).
BF.TWEEN KEI'I'H ROBERT FILER and KIRK WnLI^M FILEH, Executors of
the Estate of Hobert W. Filer, deceased, late of South Middleton
Township, Cumberland county, Pennsylvania,
Grantors,
and JOSEPH W, BAIUC and BEULMI I, B^HIC, llusband and Wife, of.
the same place,
Grantees
WITNESSETH, that in consid8ration of One Hundred Nineteen
1~ousand Nine Hundred ($119,900.00) ------------------- Dollars,
in hand paid, the receipt whe~eof is l1ereby acknowledged, the
said grantors do hereby grant and convey to the said grantees,
their heirs and assigns as tena~ts by tl1e entireties.
ALL that cert.ain tract of land situate together with the
improvements thereon erected situate in South Middleton Township,
Cumberland County, Pennsylvania, bounded and described pursuant
to a survey by Tl10mas A. Neff, Registered Surveyor, on June 1,
1964; as follows:
BEGINNING at a stake on the Southern side of a proposed street
33 feet wide known as springviule Drive, said stake being North
670 46' East 152,25 feet, and thence North 770 37' East 115 feet
along the Southern side of Springville Drive from the Eastern
side of L.R. No. 21008; thence continuing along the Southern side
of Springville Drive, North 770 37' East 100 feet to a point;
thence by land now or formerly of ^rthur V, Enck, et ux. South
120 23' East 195.52 feet to a point; thence by the same South 730
47' 3D" West 100.22 feet' to a point; thence by land now or
formerly of Clifford L. Heis~man, et UK., North 12023' West
202.2 feet to the Place of BEGINNING.
TOGETHER with free and perpetual ingress, egress and regress in,
to and over springville Drive from L,R. No. 21008 in an Easterly
direction to and along the Northern side of the tract herein
described to the Northeastern corner thereof, in common with
~rthur V. Enck, et ux., their heirs and assigns and other
thereunto lawfully entitled.
The said proposed Springville Drive has been named Countryside
Drive. The said L.R. No. 21008 is known as Forge Road, S.H. 2003.
The premises is known as 3 Countryside Drive, Boiling Springs,
Pennsylvania 17007.
"
UNDEH AND SUI3JEC'I', nevertheless, to buildinCj and use Gondit:iol1B
and restrictions set fortl1 in tho deed of conveyance from
Arthur V. Keck, ct ux. to Hobert W. PileI', et. ux, above
referenced.
BEING the samo premises which ^rthur V, Enck and Margarot K.
Enck, his wifo, by their deed dated October ~2, 1964 recorded in
the Office of t.l1e Hecorder of Deeds in and fDr Cumberland County
in Deed Book "K", Vol. 21, paCJe ~1 [Jrilnted and conveyed unto
Robert Iv. Filer and ^nna .J. Filet., his "ife, Tho said ^nna .J.
piler died on October 15, 1992 vosting title in fee simple in
Robert W. Piler. 1~e said Robert W. Filer died on December 6,
1994. Ilis Last \Hll and 1'estament dated ^uCJU};t 29, 197'1
designated Keith Robert Piler and Kirk William Filer Executors of
his Last Will and Test.ament. The ReCJister of Wills in and for
Cumberland County, Pennsylvania issued Lott.ers Testamentary to
the said Executors on D(,c~1mber 15, 1994,
^nd the ~~aid 91:ilnton; hp.t'oby covl!l1anL i\nd ilfJree that they
will wurrant. specially the property hereby conveyed.
SIGNED, SE^LED and D ~1. IVERED
in tl1e presence .
JJ oiJL. . f.'
\Vl/EREOI', said grantors have hereul1to sot their
the day and year first abov~1 I'll: i tten. '
_ '~i'Jv id.&-o.;tft [SEAL)
~tl1 Robert Filer, Executor
Estate of Robert W. Filer '
IN IH'I'NESS
hands and seals
0() 'It>
J// '/~'d
>--..--I_~_.6.:~Ct? _' [SEAL)
. i<irf: \oJilliilm Filer, Executor
Estate of Robert. \~. Filer
COMMONWE^LTH Of PENNSYLVMII^
55.
COUWI'Y Of CUMBERL^ND
sf
On this, the 3/ day 0f May, 1995, before me, the
lIndersigned officer, personally appeared Keitl1 Hobert Filer and
Kirk William Filer, known to me (or satisfactorily proven) to be
the persons whose names are subscribed t.6 the within instrUment,
and acknowledged that. tl1ey oxecuted tl1e samo for tl1e purposes
therein contained.
IOTA!l'Al SEAL
1Ol~1f L, CO'tl!, NOTAIl'/ PUl!L1C
IIOfI) Oliff HOU. Y ,:/'!;/NGS, CUliI8ERLlNG CO,
IIY CClWt.lISSI')N rx~ilt3 0C10&i111. ms
hereunto Bot my l1and and official
_A"'~:_'~'i(reL
---"rTt.lo of Officer
[ SEAL]
IN IVI'I'NESS IVIlEREOr', I
seal.
.,
,I
"
,
I.do hereby oertify that the precise residence and oomplete
postoffioe address o'f the wit,t1in named grantaa(e) is
May
I 1995
Attorney for
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RIiV. lI0J EX + (4.16)
COM.~~~,WhYANIA
ISTATE OF
SCHEDULE B
STOCKS AND BONDS
FILE NUMBER
21-94.1051
Robert W. FlIer SS# 164.20-7656 12/06/94
mUI' b. dllclolld on SchtJurt F.)
DESCRIPTION
Ono, $500 Series EE U.S. Savings Bond
issued 07/90 #D27180023EE.
2 One, $25 Series E U.S. Savings Bond
issued 12/68 #Q2373516744E,
3 Bell Atlantic, 12.545 shares of common stock
stock at $49.9375
4 ATT, 33,796 shares of common stock at
$47.75
5 AIR TOUCH COMMUNICATION, 13 shares
common stock at $16.6875
6 Bell South, 17.2174 shares of common stook
at 52.15
7 Pacific Telesis, 14.2144 shares
common stock at 29
8 U.S. West, 14.435 shares
oommon stock at 35.50
9' Southwestern Bell, 22.827 shares
common stock at 41.0625
10 NYNEK, 16,061 shares common stock
at 36.875
11 AmoritoQh, 22.583 shares
oommon stock at 39.125
VALUE AT DATE
OF DEATH
.310.60
113.25
626,47
1,613,76
216.94
897,89
412.22
512.44
,I 937.33
"
592.25
883.56
I'
" ,
I,
'I;
'..
'i
"
,
, "
"
"
TOTAL (Also tnler on lint 2, Riel hulallon)
(n mort spactls nttdtd, Insf~ addhlonalshlJlIs of same IIZt,)
Copyrlght (e) I'" 101m ..!tWill only CPSy,I'mt, I""
.
7 116.71
REV.llotEX+ (11.11)
COI/~m~~{\'~~JhYANIA
ESTATE ClF
Robert W. Filer SS# 164-20-7656
SCHEOUlE F
JOINTLY-OWNED PROPERTY
12/06/91,
FILE NUMBER
21-94-1051
Joint llnanril)'
A.
NAME
Kei th R. Filer
ADDRESS RELATIONSHIP TO DECEDENT
308 Roadlng Road 5011
shippensburg, PA 17257
B.
Kirk II, Filer
1101 Grandl.a Flora Drive Son
Mechanicsburg, PA 17055
C.
Jolntly-ownld proplny'
ITEM LETTER DATE TOTAL VALUE DECO'S DOLLAR VALUE OF
FOR MADE DESCRIPTION OF PROPERTY
NUMBER JOINT OF ASSET 0' INT. PECEDENTINTEREST
TENANT JOINT
1 A,R 01/23/93 PSECU account
110164207656
Savings/Share 1
Principal 48,098.05 33.33X 16,032.68
Interest 23.72 33.33X 7.91
!Money handler/
Share 4
Prine i pal 35.61> 33.33X 11.88
Int.erest O.OJ. 33.33X 0.00
IRA/Share 6
Principal 8,352,82 33.33X 2,784.27
Interest 4.12 33,33X 1.37
CDl
Principal 3,393.72 33.33X 1,131.24
Interest 3.35 33.33X 1.12
CO2 0.00
Principal 2,245.93 33.33X 748.64
Interest 2.31 33.33X 0.77
CD3
Principal 5,153.17 33.33X 1,717.72
. Interest 5.08 33.33X 1.69
TOTAL (AI.o Inter on IInl 6, Rlclohulallon) 22.439.29
(~ morl 'pICIIs notdld, In'"~ Iddhlonal .helt. 01 sa/Tot .llO,)
Copyrltht ('Il~ form IOn..". only CPSyaltmO,Inc,
FOlm 1100 Schedule F (Rt'i, 11.11)
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
REV. "1" EX . (7.11)
COMmmlt\~~.~{hYANIA
ESTATE OF
Robert
ITEM
NUMBER
A.
B.
"
c.
1
2
3
4
5
6
7
II
9
to
11
12
13
14
\/. Filer SS
161.- 20- 7656
12 06 9/,
DESCRIPTION
1
2
Fun.,11 Explnll"
Hoffman. Roth
Kei th Filer,
Funoral Home, funeral.
reimburse expense for family meal.
1.
Admlnlllr,Uvl Co. II:
Plllon.' R.pru.nlaliv. Corrvnllllons
Social S.curity Number 01 P.llonal R.pru.ntallve:
Vea, Corrvnllllon. paid
z.
Fo\oller, Addams, Shughart & Rundle (estirrated)
Anorney F..I
3.
Flmlly exempllon
Cialmant _
Add,... 01 Clalmanl al d.c.dlnt'. dealh
Slr..t Add,...
Chy
5101.
'Zip Cod.
R.lallon.hlp
~.
Register of \/ills
Probal. F...
Mlle.n.nIOU. Exp.nl'"
Register of \/ills, short certificates.
The Sentinel, advertising Letters.
Cumberland Law Journal, advertising Letters.
Fowler, Addams, Shughart & Rundle, reimburse
certified mall costs.
\/olfe & Shearer, realtor's commission.
Century 21.Brennemon, Assoc., realtor's commission.
Recorder of Deeds, realty transfer tax.
Gilbert'S, termite inspection.
Robert Calrnes, 1995 county/township/library tax.
Joseph Baric, et ux, adjustment for items in
need of repair.
Roy Gottshall, appraisal of personal property.
Vital Records, death certificates.
Shollenhamer & Co., tax preparation
Postmaster, certified mail.
Total of Continuation Schedule s)
TOTAL (AI>o .nter on line 9, R.ca nulallon)
(II marl 'P"CI II n..dld, Inl.r! IddIUon.l.h..t. 01 eaml .111.)
CopytJght(c) 1114 form soft""." only CPSYI1'mt, Inc,
PI.... Print or T I
FILE NUMBER
2]-94-1051
AMOUNT
5,385.50
252.64
9,000,00
240.00
78.00
72,20
40,00
24.52
3,622.00
3,572.00
1,199.00
55.00
291. 88
1,000.00
30.00
12,00
130,00
10,18
6 970,99
S 31 985.91
FOfm 1SOOs<htduIe H(IIeY, 7.11)
\
,
AEV .111U~' (1-11) ,
SCHEDULe J
BeNEFICIARIES
PILE NUMBER
21. gt. .1051
COM.fb\~4\'WI~ANIA ..
I5TATE OP
AMOUNT OR
sHARE OF ESTATE
Robert W. Filer
ITEM
NUMBER
SSO 1~4.20.7656 12 06 94
NAME AND ADDREsn OF BENEFICIARY
0.50
RELATIONSHIP
Son
1
A, Taxable a.q,".Is:
Keith Robert Filer
306 Reading Road
Shippensburg, PA 17257
Kirk William Filer
1101 Crandla Flora Drive
Meohaniosburg, PA 17055
Son
0,50
2
"
ITEM
NUMaER
NAME AND ADDRESS OF BENEFICIARY
a, ChJorllablt ,ndGoVllnmenlal a.quell"
AMOUNT OR
SHARE OF ESTATE
"
"
. "
.' ,
-I"
,.:
~ 1
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTfi (AI.o .nl" on II"" \3, Ree' ~ulallon)
(K molllpae.1t "",ded, In.e~ ,dd~lollll.hJo'I' 01 lime size,)
OOI'/.lQhl (c) \t')4 101m lOti...". odI Cpsy.ltmI, I""
.
FOIm 1100 aehedult J (AOY, Z.I1)
0.00
-
;;._,~,' :,- .: .... '.: ,,:_:::,;,':;:,~',~;:~:,::,:>,:'~';::;,,:~;,,':,:,L:L'~~~:::::;'~: :\:::'.,:,--. ",'-,..:,.,:,.,'::\'
"! "" . " . ,'..;,........1,/..\ ,'l.,;ll:":~"'\''''''l.'V,:l,.'/~..,l'''i''t",~~t,II;",,'~~'''''l'' ,I"." l.~.,,~:,-.h'I;'~
, " .',.,......." .' ....... ~t.
~.. .........-. ,-.....-....,......,." .~.
LAST WI L/, NiV TESTAIIUJI
---.-----
I, ROBERTW. fiLER, 06 R. V. 1, Boiling SplLi.ng~, CumueJLtand County,
Pent14vtvl!llla, bUlIg 06 ~oulld milld, memoW and ulldeM.tIlllcU.ng, do malle,
pubt.Uh IlIId dec.tMe .t1Ui. M and 6M my ta6.t wm and T~.tIllllell.t, heJle-
by ItevolUng t1I1d nw.JUng vo,(,d MY alld aU o.theJl WutA by me at aIlyUme
heJte.t0601le made.
FIRST, I cUJtect .that M.t my' JUil.t 'debt6, expell4~, alld .lnheJt.Uanee
.t4X~ ~haU be pa..ld by my ExeedtJUx, heJle),tlQ.6teJl named, M 60011 M may
be eOllven.lent a6.teJl my deeeMe,
SECONV. AU .the It~.t, It~.ldue alld ~ema..lndeJl' 06 my ~.ta,te, Ite,at and
peMonat, I g.tve, dev.l.6e t1I1d bequenth .to my W.l6e, NiNA J. mER.
,
T//IRV, III .dIe avent my W.t6e, ANNA J; FILER, Mloutd 6tU.t. .to ~UIlv.tve .
me, I gtve, dev.u.e and bequeath aU 06 my CA.ta.te. Mat alld peMOllat, .lll
eql;Ul.t. ~hllltCA, .to my 60Uow.l.'lg lIamed ellUditerll
KEITH ROBERT FILER
, alld
KIRK WILLIAM FILER.
,~\Jijjljllk~
'''. /.' ."f.~r~H\\,.f.,~~~e, M!I6.t(..t~e alld ,appoW my W.l6e; AlINA J. fILER, ,M,
~xeeutMx 06 my eA.ta.te_ t1I1d.(.n .the event olhe 'pltedeeeaA~ 'me, OIL .u. WUlbte
Olt w-w.UUng .to 010 act, I nominate, eOIl4tUu.te IlIld appoW KEITH ROBERT
FILER. IlIId KIRK WILl1M1 FILER, M AW.IlIlate Exeeu.toM, .to ~eJlve w.Wlou.t Bond.
IN WITNESS WHEREOF, I have heJleUll.to 01 e.t my hand aOO WI.! .to.dt.l6 ~y
LM.t wm and TCA.tM1en.t, 011 .the :2.1\ u, day 06 ~'-'./>.'\-. , 1977.
I
-. .
~,~<-
. KT W. FILfK
(SEALI
S.lgned, pubt.u.(led IlIld dec.tMed by .dIe T~.ta.t~It, ROBERT W, FILER, a6 t1I1d
601L h.l6 LM.t wm IlIId i~.tM1ent .In .the plt~etlee 06 Uil, who hn.ve, at h.i4
ltequCA.t, ol.tgned'.t/t.l.6 wm M WUIlCA6~, .In .the plt~enee 06 ,the T~.ta,tolt,
ROBERT W.
WITNESS I
WITNESS I
FI LER, IlIId 06 eaeh o.theJl, '~
~ ~ r7fvV ;-:),
. Jl,<t~1 riJ 'iZA'V'/".t
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I' ~", ,,' i
,. " ;
,,'<;,,:<,;~~'}j,!~,,,;'!':">', ,";' 'I' Ji.,,,, ' " " ' ',,'
, 'a,,:\!:,';iiM~""!" M. "~O,.,MO~WIALTH OP PIt<4NIYLVANIA', : ,,'
, ,~"'~~~, ' DlMRfMINTO'IIIVINUI , "
',' "i, ,.,' ;, '. ,j , ',. .," .,., , .. .... I' , '
:~~I+f41 ,," ,OfPlClIA\:IIIClIIPT' 'INNIYLV~NIAINHlllrrANCIANDIITA'I1'A)(" ,
,
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REceiveD fROM:
&
ACN
ASSESSMENT 'l'
CONTROL IliI
NUMBER
AMOUNT
SHUGHART DALE F JR
II SPITT STREET
101 -ICI.UVV.OO
CAR~IBLE PA 17013
I
I
I
I
I
,
I
I
I
I
\
, I' I
CHECK" 13 REceiVED BY .n Jr, 11I61~~~:;~i'<J ''\:>,) .(~\ ,\,'Jl( i
, REGISTER OF WILLS ~~BlB~tRLS~IBILLI, \ '\ \
""."",,7-'7"" ,"-:-;:7 --:-,-,-:7'"':',-:-; ---;-,::---:,2";- c.":~7' '-'("""]',;".,., - - - - ,_..:....: -' - - - - T - -:i- -:",- ~ .:....,..J
I ", "
, ,-' '",;;,' '
1,1 " '
_' i ' i
!
esTATE INFORMATIOU
1ft FILE NUM ER
~, el-1",.-1081
1ft NAME OF OECEOEN ILASTI
1;1 FILIR ROBERT W
II Ii. ~ OF PAYMENT
II POSTMARK E
COUNTY
BSN 16,.-eO-768.
(FIRST) Mil
~-
CUMBERI.AND
DATE OF DEATH
11/O_/'i'4
ReMARKS KEITH" KIRK FILLER
m TOTAL AMOUNT PAID
'l5.000.00
PI
seAL
I ',"
..;' .~ "
,
,I I
l'
~,
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"
f
..... 't'
,
. t.-....
..-....'''f7"~ _lt~
r:;,~~._-;;:t~~., ~ ~ ;0. 4-'.'~l'
. ."!'",:t~:.. J'
'11 0"
j" .
"
., "" . ,. ,-p.
REVo1!47 EX AFP (12094*
COHMOHWEAlTH OF VENNSVlVANIA
DEPARTMENT Of REVENUE
'UREAU Of INDIVIDUAL rAXES
DEPr, 110601
HARRI ItURO , Pi 17121.0601 I
!STATI OF FILER - ROBERr W ~. FILl NO. -1051
DATE OF DEATH 12-06-94 COUNTY CUMBERLAND
NOTE. TO INSURE pROpER C"EDIT TO YOUR ACCOUNT, SUIHIT THE UppER pORTION OF THIS fO~ WITH YOUR TAX
pAYHENT TO THE REGISTU OF WILLS. HAXE CHECK PAYAILE TO "REGISTER Of WILLS, AGENT"
REMIT PAVMENT TO:
, /
,-
/ 'J' .;
,
,)
'.
./
ACN
101
NOTICE OF INHERITANCE TAX
APpRAISEHENT. ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
DALE F SHUGHART JR ESQ
FOWLER ETAL
28 S PITT ST
CARLISLE PA 17013
DATI
12-18-95
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
AMount R..Ut.d
--
CUT ALONO THIS LINE .. RETAIN LOIIER PORTION FOR YOUR RECORDS ~
R '!v: i54'i"iiC "AF ji" i i'F 94 T -NOT i liE" -ciji - Ytitiiiiii'Ai{cii" TAX - APPR'A-i iiiijiNi'~- "AL rciwAi{cii" (ili"""" - -. OM........
DISALLOIIANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATI OP FILER ROBERT W FILE NO. 21 94-1051 ACN 101 DATI 12-18-95
TAX RETURN WAS. (X) ACCEPTED AS FILED
RESERVATION CONCERNINb FUTURE INTEREST . SEE REVERSE
APPRAISED VALUE OF RP.TURN BASED ON: ORIGINAL RETURN
1. R..l E.t.t. (Sohtdul. A) (1)
2. Stock. and Bond. (Sohedul. II (21
5, Clo..ly Held Stook/p.rtn.r.hlp Int.r..t tSoh.dul. C) tS)
4, Hortgagao/Not.. R.o.lvabl. eSohedul. 0) (4)
i. C..h/Iank Dapollt./HI.o. p.r.on.l Prop.rly ISohedul. E) ei)
i. Joln.ly OWned prop.rty (Soh.dul. P) ei)
7. Tran.f.r. (Sohedul. G) (7)
I. Total AI..h
APPROVED DEDUCTIONS AND EXEMPTIONS:
,. Funer.l E.pan.../Ada. Co.t./HI.o, E.p.n... (Sohedul. H) (,)
10. Daht./Hortg... LI.bllltl../LI.n. eSoh.dul. 11 tlOI
11. Tot.l Deduction.
12. Hat V.lue of T.. R.turn
IS, Ch.rltabl./Gov.rnMant.l I.qu.... eSoh.dul. Jl
14. Hat V.lue of E.t.t. Subj..t to T..
NOTlI
) CHANGED
119.900.00
7,116.71
,00
,00
23,402.87
22,439.29
.00
(B)
172,858.87
31,985.91
827,73
ell)
U2l
uS)
U4l
~'.Al~ ~e.
140.045.23
.00
140.045.23
If .n ........nt w.. i..u.d pr.viou.1Y, 1in.. 14, 15 .nd/or 16, 17 .nd lS will
r.f1.ct figur.. th.t inc1ud. the tot.1 Df Abk r.turn. ...I...d to d.t..
ASSESSHENT OF TAX:
Ii. Aaount of Line 14 .t Spou..l r.t.
Ii. Aaount of Line 14 l..abl. .t Llne.l/Cl... A r.t.
17. Aaount of Ltn. 14 l..abl. .t Coll.t.r.l/Cl... B r.t.
II, prlnclp.l T.. Due
(5) .00 X ,03_
U61~40,045,23 K ,06_
(171 .00 X .15_
U81_
TAX CREDITSI
pAYHENT
DATE
03-03-95
09-05-95
RECEIPT
NUHBER
AA022896
AA048200
DISCOUNT (+)
INTEREST (-)
263,16
.00
.00
8,402.71
.00
8.402.71
ANOUNT pAID
5,000.00
3,139,55
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
. IF pAID AFTER OAT~ INOICATEO, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
8,402.71
.00
,00
.00
IF TOTAL OUE IS LESS THAN II, NO PAYHENT IS REQUIRED.
IF TOTAL OUE IS REFLECTED AS A "CREDIT" (CRI, YOU HAY IE DUE
A REFUND, SEE REVERSE SIDE OF THIS fORH FOR INSTRUCTIONS.l
fH I
1-' ,
RlIlRVATIONI E""I' of dIotdlntt 611"1 on at bllor. Dlcelblr lZ, 1982 ~. If ,"V future lnt.r..t In 1h1 I...t. 1",,",'.rrl4
In po.....lon or enJov-ent to C1I.. . (col11'lr,1) blnef.ol.r.,. of thl decedent .fter thl .xplr..lon of eny I...t. far
11'. or for VI.r., the c~.lth hlr,bY IMpr...ly r...ry.. thl right to ."r,.,. Ind ...... t,en,f., InherltlnGl TI.I.
It thl llMful Cl... . (eol11"r'1) r.t. on '"v tueh future Int.r..t.
_OF
NOTICE I To fulf111 thl rtclUlrNtntl of SlCtlan 21"0 of the InhtrUanCI Ind E.ht, TIM Aat, Act 2Z 0' 1991. 7Z P.I.
S..lIon mo.
PAYMENT I OIteoh thl ttIP portion 0' thh NotlCI Ind .ubIIlt with your PIVHnt to the Allis'., of Nlll1 printed on thl ny.,.. stdl.
-'KIIl. .hook or ...,.. orellr ...obl. to, REGISTER OF MILLS, AGENT
All pavant. 'IC,lvld .hlll U,.. bt ."Ued to In'l Int".., which "'I be due with "'1 rHllndlr IftPlled to thl tlJC.
Rf~UND (CR)I A r.fund 0' . tlX or.dlt, which WI' not requt.ted on thl TI. Rlturn, IIY be r~lted by co.plltlng In RApplloltlon
for Rlfund of P.,..,lylYlnl1 IMtrltMCI 1M Elt.tl 11M" (REY~U1J). Appllclt10ne "I IYIUIbII It thl OffiCI
of thl Regilt" of WUII, InY of thl 2] A.v~ Olltdot Offic.., or by clUing thl .peel,1 Z~~hcMJr
anlwerlng ..rylol ~r. far for.. orderlngl In Penn.vlvlnll 1~aOO.36Z~Z050, autelde Penn.vlyenll Ind
within locll Herrhburg ".. (717) 787~aO", TOOl (711) 771..2252 (Hllrlng I..lred Only),
OIJECTlONSI Any Plrty In Intlr..t not ..thfllld with thl ~reillHnt, IUOMIneI or dl..llow~' of dIduot1onl, or .........,t
of tl. (Including dhc~t or Inttr"U II lhowl an thlt Metic. ..It object within .IMty (60) deVI of rec.lpt of
thlt Hot1cl bVI
.~wrltttn pro tilt to thl PA hplrhent of A.venue, laird of Appel", Dept. 211021, Harrhburg, PA 17121"1021, OR
"lllK1t1on to have thl ..ttar deter.lned It ult of thl ICCount flf thl perlonel r~rlltntlt1v., OR
....."..1 to thl Orphlnl' Court.
ADIlIN
IITRATlYE
CORRI!CTlOHS'
INTERUT I
Fectual .rrorl dllcovlrld on thll ......-.nt .hould be Iddr.eeerl In writing tal PA D.,lrtllnt of R,venue,
lurllU of Indlvldull TIMII, ATTNI Palt A.....eent Rlyltw Unit, D.pt. 210601, Hlrrl.burl, PA l11Z'~0601
Phone (711) 711.6501. See Pili 3 of the booklet RIn.tructlonl for Inherltancl TI. Aeturn for I Aelldent
OIcldlnt~ (REV"IIOI) far In I.plftnatlon of edllnlltr.tlvllv corraetlbl1 .rror..
If WlV tllC due 11 Pllti within thrH (]) o.ltndur ""thl .ftlr thl cMcldent'l delth, . flvl percent (U) dltcaunt of
thl tllC plld 11 IUowtd.
Int.r..t I. thlrtld b..lnnlnt with flr.t dev of dellnquencv, or nlne (,) eonth. Ind one (I) dlv frOt the dltl of
dllth, to thl dltl of Plv-ent, TI." which ~ delinquent before Jonuerv 1, 19'2 bI.r Int.r'lt It thl rltl of
.IM (6~) percent per annul allcul.tld .t . dilly r.t. of .00016~, All t.... which bee... delinquent on end .ftlr
Jenuarv 1, 1"2 will b..r Intlrllt .t I rat. which will v.r~ fra c.lender Yht' to e111....r ~..r with that ret.
InnOUnCtd by the PA Dtplrt-.nt of A.yenue. The applletbl. lnt.r..t rat'l for l'IZ through 1991 .rll
DISCllUMTI
'!!!! Inter..t A.tl Dally Int.r..t FlOtor !!!r Int.r..t R.t. OIUy Intw..t F~
1912 ZOX ,000146 1917 9X .000Z47
1915 I6l ,oo"sa 1'11-1991 l1X .000101
I'" III .000301 199Z 9X .000147
I'U III .000356 1993-l994 7l .000192
1'16 lOX .000274 1995 'X .000241
"Int"..t II cIlout.tad II fallOWIJ
INTEREST. IALANCE OF TAll UNPAID X NUIlIER GF DAYS DELINQUENT X DAlLY INTEREST FACTOR
..Any Notle. I..ued Iftlr thl tlX becOllI delinquent will r,'lect In Int.r..t c.tcul.tlon to flft"" (IS) d'~1
beyond thl d.te of thl .....lIent. If p.~t I. aide .ftlr thl Int.r..t coaputltlon dati Ihavn on the
Hotlcl, tddltlon.1 Int.re.t IUlt bI e.lculltld.