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HomeMy WebLinkAbout94-01055 .,..-t V"'. -f"" '/11 (' t:llcl/{' Of_~__lJ.d.,j6...,n!'.!i uiLi-'7t."L---. 11/.10 kl/OIl'I/II.I ;;[!:~'='~l:.'.!'~,--,'"~"".....!.,~---,,, ., ../ ,,~ " LV, . J /"1' t:_'1"". .~..u"-"'-JTL>_"_,. _<LI<.~ l-- ......r ..---.- ;}Rci, y./ ,0, ,,_{,!.I>.,..., /)('(,fa,\wl, ____nO __L.___.__.__._.______~~~--.-.-, SCI('/al S"('lIrll)' No, ..L9..::J...:...?>i.::..J!Jl!..L___.___. C0!l11110llWClllth of PCllllsylvlIlll1I The pClltlon of Ihr ullderslgllcd rcspcclfully represcllts Ihlll: Your petltloller(s), whols/llrc 1M ycurs of IIgc or oldcr IIn thc eXCCUII.''''"'_.____ n"llled In Ihe IIISI will of Ihl'lIhove (Im'dcnl, dilled _!.h,,~~....!:!:-...____.__._________.___,____I 191-L- IIl1d codlcll(s) dllted __._~J..IL.__._____...._______._________._____________.___ ,- PETITION I<'()R PROBATE and GRANT m' LETTERS No, ____.i{L-::'14:.~.j{)$..5 __ To: Reglsler of Wills for Ihe i Coullly of __i!{{'!I/~".l.!A,L'___._ III the ---t!.-;-.:;---::-j---I::!~-.__;_;:r~-M~-~_:_:_:;-- ___I.f"-<.,!lll__._.___.__\klll~'r.'I.''''-..t.l.J,.,,',LU-C-'.--L...----...---- hllll~' rclC\'llnl f.:lri:III1l\IIlIlCC\, C.K, rellunclatlon, dcalh of l'~cc\lhH, Cho',) Decelldenl WIIS domiciled III dClllh 11l_.~~""I.'{f~"c:L. h~__ IlIsl fllll1l1y or prlllclplIl resldellce III ..Ll.... ,0;."4 J)"'7 . _ County I Pennsylvania, wllh il.... n......,!!"', f?+ , (11\1 ~lrCCI, I1lIl11hcr llud IlltlnclpnlllY) Dcecly,'cnI, IhCIl_.2.J__ YCIII} of IIge, dlcd .iY..uLd.._________, 19 9<1- I at f fll</eJ./.~""_'f..--L~lf12.-:I.~lm---.-- .._____, Exccptlls follows, decedent did IlOlmllrry, II'IIS nol divorced IInd did not have II child born or IIdopted IIftcr cxccutlon of thc will oHmd for problllC; WIIS flOlthe vlcllm of II killing IInd WIIS IIcvcr IIdjudlcllled Incompetent: ______ Dcccndclltlll dClllh owned propcrly wllh cstllllllted vlllucs liS follows: (If domlcllcd In I'll,) All pmolllll propcrlY $ S; 0"" (If nol domiciled In I'll,) Persolllll propcrlY IlIl'cnllsylvllnia $ (If not domlcllcd in I'll,) Personal properlY in Coullty $._ VIIIIIC of rC1I1 estalc IIIP.!:lInS)'lvlllIllI Cl / /)d II . ~ $_ [,11',-,'" <' sllUIIlCd liS follows: ~_~..71,;1_._. "'(tIJL_~__g.!l"J u.--.....J!:!..__.J2.!...r~ WHEREFORE, pelllloner(s) rcspcctfuIIY,WIUcsl(s) the probllle of the last will IInd codlell(s) prcscntcd herewllh IInd the grnlll of lellcrs I ~," 1"" "..f<."'!J- (IC~Il11I1Cl1lnry: lIdl11lnhlrlltlol\ c.l.n,; lldllllnl\lrlulol1 d,b,n,c,l,a,) thcron, ~ 6 ,,- 'il" "i ".(l ~'ti .... ll'~ ~ 0 a in ;f!! (1~;::>JLU- ;,,, OATH 01<' PERSONAL REPRESENTATIVE COMMONWEAI,TH OF PENNSnV ANIA } 1:18 COUNTY OF (!.J<I)1/?,o,L,/?,..!. The pctitloncr(s) ubove.nllll1ed swellr(s) or lIff1rm(s) thllt Ihe slalements In Ihe foregoing pctlllon arc trllc IIl1d corrccl 10 thc hest of Ihe kllowlcdgc IInd bcllef of pelllloner(s) alld thllt liS personal rcprescn. t:UIVC(S) of Ihe IIboV,e deccdclltl'ctilloller(s) will W~llrUI IIdmllllslcr the estlltc IIccordlng to IIIW, Sworn 10 or IIfllrJ.1>lC(1 ami SUhscrlllCd4 ~___._. .~_ - __ . __. _. .__ ~ hef(p~il~~~f -- ;-- --(~:((.) \ ~Jl).(!biOI -- .--.- - . --. . ...--------- i ~(~-- '-~:;..~:~~.:.-'f0Jl/(1ii . t;..:.---~.:.:. .. . ---.: :-:.:.:=== I iMRVc, LEWIS Hl'lll\/I'f {I--- . -- ---- -- ...- .. ......--.---- ~ ?1 - 94 . 1055 6 Last Will and Testament (ill/IIII/'/'ied bulil'it!l/lI/l1'illi '/l1'0 O/' More J/el/l:/icial'ie,\' / .,1 (\;i /. . I, .,~A({(dl"., i.,.. (i,e,-' (/.,t'~!'J .' /pl'csclllly rcsldlll~1I1 -1 /) I'" / / .. !' , 'I, ( I / / .I! .'.1. I '1/'; ,. .:,' .._..:.)..~_\__....,.I.,l, '.> ( ~ <' \ - '~ ., .l..~.'l. f if. .; (" I ,'r-'''' . ./ L_L.../~.\"n.__', do hCl'chy IIlllkc, puhlish II lid dedml'lhis 10 I\l' illY I,usl Will II lid 'eslllllWllllllld dn hcrchy I'l'I'OkCiIIlY II lid 1111 olhel' Wills IIl1d ('odidls Iwretolorc Illude h~' I Ill', First. IlIIu allllllllllllTil'd perSOIl, I do hl'leh,\' gil'l' all my eslulc lolhc followillg IIl1l1lcd ....'..__...._ pcr~oll/pcrsolls 01 thc surl'il'or of thcm ill cqulIl shllrc\,. r', k- ! (.''i~ ,.' >1'~ , (1.(" 'I ' ..../ ,,/( .. \.~/' ',/ ,~' '(1), ' ,:"J~. ( tr' 1<, It t, ,,{ ~.' \:. 'I.(~' i~'J,l ( 'J 'I t:; l " - II ." . "J . \' '. '..Second, I ordl'r uud dircetlhalmy jusl dchts und fUllcral C.Xpl'lIscs, CXPl'"SCS 1'01' IIdllliulstrntlon of my cstutc IInd any inherilllul'c II lid SUl'l'l'ssiollta,xcs, stlllc or kdl'illl, upnlllllY cstulc shall he pllid liS soon uftcr my dCllth us mllY he praclil'al. ! Third, 1IIIllllilUill' alld apPllilll'~_'<' '( 'lit td /,< AI i '-~<;.;;/' ~..':':r__'I.1'(_~~1- ((~("__L\ liS Exceutor/ becutri,\ olt his Will. In t hc l'l"'lIlthlll he! shc shllll p,rJdcl'CllSc mc lllJllils ,Ii sllnjl'e IIlc llr filii)! to serl'e liS hl'l'Ulor/Fsl'l'Ulris thl'lIll1oluillllle IIl1d IIppoillt (1..(/1"""'/' '/iU'{HC2/."c~l'_Lj, Exel'lilorl bel'lItri~ 0' Ihis 1Il~'I,a,1 Willalld .Icslalllell!. Ifulllll'r dirccllh:lllloappoilllce hercul1lfJr shull he rcquired 10 giw allY hond 1'01 IIw faithflll pcrlorlllillll'C of hisl hCI dUllcs. FUllrth, I herehy lIuthorilc illY I'xeelllonl'.sceulri.\ 10 l'serl'isc allthl' powcrs, rights, disl'rclinns, dUlics and immllnities eOllfl,lTl'd upon I illlll,illrb 101 he C~II'1I1 pcrlllillcd hy la\\' with full POII'Cr to scll, "'lise, mnrtgllgc, inVl'sl, rcilll'Cst, or olhcrwisl' dispose of llw IIsscls of my cSlllle, ",' J-) , I) I. ,! 'J. II' (.) / . - '- -... _J_~~_____.._~_...___.. . ny () l.-1....'!-~,1~l-f.--~1 :f__-L-_(~, I suhsl'rihc my nlnlll' lolhls Will this ' ! , \ .. \/ ~,._ )!-i'/',/"II.I_ {}'Ull~(t-.Lij<q C' .. (Sign hcrc) , /) 'I. Slgncd, sClllcd, puhlished nnd dcclurcd to hc his/her I.nsl Willnnd 'lcsllll1lCllt fly thc within nnllled TcsllItor Inlhc prescncc of us, who in his/ hcr prcsl,ncc IInd "' his/hcr rcquest, IInd Inthc prcscnce or Cllch othcr. hllvc hcrcullln suhserihcd our nllntcs liS witnl'sscs lhls ........... dill' 0/'.........__.........____.. 19.._, (I) __,,(, ~c:.!..:.:..~".:l-'_J\_.A.(J ... 01 . C(\..r~ , i Sit! (CiIY)- ......01, ,dJd<',~,4;.m.........., (City) ,or.J...l,Ul!tt!'f(_ " (City) .. ............-....j?A..----- (Stille) Itl .. _. _,. ... __...._..__..,.__ __. J_ .__..._....... (SllIte). . -l' ... _"..........LLL_...:::. (StlllC) , (2).. .pi!!?'.':Yk. L,__!.-:!l..'-'-'~ (3) -.jJ~,.~'i'lOL.:..------ " (I ItltH 11)' "ntH t\lIlillhh IN'I\I'd -- r Rcei'I:' ,', of Ftc! I': II ,:/;lIs CERTIFICATION OF NOTICE UNDER RULE 5.6(a) '<J) nrR - 3 P 1 : 1 6 Name of Decedent: Eqqer Judith Nordberg .I.lUll . Clll!, Date of Death: November 24, 1994 Cum!."" il\1 1(1, PA Will No, Admin. No, 1994-01055 To the Rogis Len I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on 03/30/95 : Name Address Rrik NnrnhArg, ~MR 44~, Ro~ 733, APO AE 09046 Lei! Nordberg. 2212 Circle Drive, Carlisle, PA 17013 Notice has now been given to all persons entitled thereto under Ruie 5.6(a) except Date: 03/30/95 ----/ //~S~~ ,/ Sign~-- Name P. Richard Wagner, Esq. Address2233 North Front Street Harrisburq, PA 17110 Telephone117) 234-7051 Capacity: Personal Representative ___~ Counsel for personal representative I.. I , I ,. . 41'101\00 IK. 111.01) III ,,~~ :rl"~ :z::;... IJ.... .. <II I ~ ~ a ~ IJ 2 z o ;: :! ::l ; ~ /' I::. . .--"- .ORDATISO'DIATHAmlR 12/31191 CHICKHIRI I' A SPOUSAL POVIRTY CRIDIT IS CLAIMID 0 PILI NUMS.. C,,'tv Cumberland D 3. Remainder Relurn Ifar dOl" of dealh prior 10 12.13.82) D 5, Federal E.lole rax Relurn Required .Q.. S, Tolol Number of Safe Depa.1t Baxe. INHERITANCE TAX RETURN RESIDENT DECEDENT lTO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) I '~ ~:~*~ COMMONWeALTH 0' PfNNSYWANIA OE'AlIMENI 01 REVENU' om, 18060 I HARRllIURO, ,. 11118-<)601 - AM! llAST, fiRST, AND MIODllINITIAl) Egger, Judith N. 21 COUNTY CODe o M A 2212 Circle Road Carlisle, PA 17013 01055 NUMBER . '\,":(-l.'i', o o o .. Inl.lRnO ANSWn ALL QUISllONSON RIVUSI SIDa AND TO RItHICK MATH." Under penaltl.. of perjury. I declar. 'kat I hovI Ixamined lhll return, including accompanying schedull' and Ila'lmlnts, and 10 ,h. btll of my knowledge and b.II.,. it II tru.. cotr.c;t and compltl', I declar. thai all real eslall has been r'e..orl.d 01 !rut market value, Declarollon of prepare' other than thl penonal r.pr...ntallv, II bo.ed on alllnlormatlon nf which preporer hot any knowledge, Erik Nordber PR N RS I L ORllllNO RE URN ADO S CMR 445, Box 733 DAlE APO AE 09046 J2. 1994 yeAR IX! 1, Original R.lurn rn 0 0 A H 111124/94 D 2, Supplemental Relurn I NUM 192-32..1907 DA 0 elR H D 4, limited Ellol. D 40, Fulure Inlere.1 Cnmpramile (far dOle. 01 dealh after 12,12.821 [] 6, De,edenl Died rellOle D 7. Decedenl Malnlalned a Living Tru,' Atlach copy 01 Willi IAtiach copy of Tru'll AlLCOlIIIIIPO AND-CONflDiNllAL TAX:INFORMAnON SHOULD BE DIRECTlD TOI ", "",,', NAM M ~ TE MAIW~O ADDRESS I P. Richard Wagner, Esq. Mancke, Wagner, Hershey & Tully 2233 North Front Street Harrioburg, PA 17110 o NUMB 234-7051 z o 3 E ~ 1. Real ellale (Schedule AI ( 1) 2, Slack. and Bond. ISchedule 8) ( 21 3, ClalOly Held SlacklPannershlp Inlere.' (Schedul. C) (31 4. MoNgag.. and Nale. Receivable ISchedule D) ( 4) 5, Ca.h, Bonk Depo.lt. & Mlscellaneau. rersanal Praperty( 51 ISchedul. EI 6, Jalnlly Owned Prapeoy (Schedule F) ( 6) 7, Transfers (Schedule G) 15chedule LJ ( 7] 8. T 0101 Gran An'I' 110101 line. 1.7] 9, Funeral expen.e., Adminl'lrativo Co.I., Mlscelloneau. I 91 Expense. (Schedule HI 10, Debts, Martgag. UabllltlOl, lie" 15chedule II (10) 11. Talal Deduction. 110101 IInOl 9 & 10) 12, Nel Value of ellall IlIne B mlnu.llne 11) 13, Charlloble and Governmenlal BequellllSchedule J) 14. Nel Value 5ublect 10 Tax IlIne 12 mlnu.llne 13) 119, 000. 00 o o o 7,998.80 I.' '" ",I o o I.J) ( 8) 1?n. C)qA An 5,762.84 4, ]46.17 (111 9,909.01 (12) --1l.7.0ACl.7Cl (13) 0 1141 117,089.79 7,025.39 (15).1171089.79 15, Amaunl of line U laxable 016% role (Include value. from Schedule K or Schedule M,I 16, Amount of line 14 laxoble at 15% role Ilnclude valu.. from Schedule K or Schedule M,) 17, Principal lax due (Add lax from line 15 and from line 16,1 18, Credll. Spau.al Povooy Credll Prior Paymenl' + + 19, If line 181. groaler Ihon line 1.7. onler Ihe difference an line 19, Thl.I.lhe OVERPAYMENT, aD 20. If line 171. groaler Ihon line 18. onler Ihe difference an IIn. 20. Thl.I. Ihe TAX DUE. A, Enter Ihe InlerOlI an Ihe balance due on line 20A, B, Enler Ih. 10101 of line 20 and 20A on line 208, Thl. I. Ihe BALANCE DUE, Make Ch.ck Payabl. 'a, Rogl.,,, of Will., Agent x ,06 = (161 x .15 = (17] 7,025.39 DIIC:ounl Int. rest C1w(k h('((' .1 you Clrl\ !('quIHhng Cl refund of your C1vurpnymc!nt (181 (19) 1201 120A) 120B) 7,025.39 o 7,025.39 R N A 1 ADDRESS Ii' DATE .~)('... (I.. ~i~~i~~uf6?n5Ast17110 \ (- '.\(. (\~, " <II. ,.._.~"~'_""...fl'':'''''''' 11V.11OllX+ tl1,UI , A *' cD""ffiNrM~(!IIDr.'I~~~I~ANIA ~1'lol'NI o~olHi OF Judith N. Egger: SCHEDULE A REAL ESTATE ~""....'.. '. ,,'''...., fII.1 MIIR " 21-94-1055 (Property Iolnlly....w"'"' with RI,1Il 01 SUNlvouhlp mUll... dllClo..d on kh.dul. PI All ,ooloolaN lhould bo ropertod en lair mora.. valu. which Ic doll"'"' .1 tit. '"!CO ., which property would bo ..chan,ed betwHn a wlllln, buy.r and a wlllln, soli", nelth.r bol.., compelled t. bu or IOU, belh havln roocanabl. ~...wled . olth. rol.vanllaclc. 111M NUMUR DeSCRIPTION 1. Residence located Cumber:land County, at 2212 PA Circle Rd., I' .. ", ,. I , , , ,. " " I ., ," I' I. ,. \, " /, I' , I " " I ,. " Il' , I ,. I I. I, " I. .1 ,. .,. "~I " ..' " ". \i,. I, Ii, I' ", .\ ,.,.' ,. ,.., ;, " /" ". I. ".,' "i " ,', " " , I' " .\" I. I. " ';, \, h' I, " , ", "Ii I. -I,. " Carlisle, 'I .' ' " (, I' , I 'I , TOTAL IAI.o In'or on IIn. 1. Rocopltulotlon) (1/ more 'pac. /. """ed, InlOrt add~nQI .hMfj .0/ '011II lIil.,) " 1-;' , ,. I, " VAlue AT DATe Of DeATH 119,000.00 ,. " 1:'.1 L '-",; ;( II /i '" .' " ,,' I' ! " ',' , , ';' ,. " /, .1 s 119,000.00 "V,Il~ IX. Ij.f6\ , '* co~~wMU!l.o/, "r~~m^HIA l\~,oIHt'D~DINi Judi th N. ~gger SCHEDULE B STOCKS AND BONDS - (All prepttrtv lolnti~'" wltfo R"hl of SUNI.onhlp mull bo dlKlo..d on Schodulo P,l ITEM NUMBeR DeSCRIPTION 1. None. I, ..' .\ I'" . I " .-' ,,' ,. .' " " I" Ii.' ". " , "t',', ,. .,' ." I' , " j')' I' .' I'. ,I' " ',I ,. I. . ' " ., ,,'1 " ," TQTAL Allo tnlor on IIno 2, Roco lIufo"on IIf moro IpO~O II noodod, InIOn, oddU/anol .hHIt o/tomo .IIO,} ~, ,.,1/ R 21-94-1055 VALue AT DATE OP DEATH 'I , , " Ir I. ,.' 'I " ." " 1 ,.. " , , I " il '" " I' . , , , " I, ..1' .' s WI'" a. ,.... *' C~=Ji'!i~_1A UTATI O' 5CHIDULI D MORTGAGIS AND NOTIS 11~.IVA.U Plea.. Print 0' 1 PIU NUM." IAl-"'t jelotl. I....... wHto 1M...... of s...I_""" .................. ......... ~I 111M ~UM... I" " I " 1.1, " I. , ,. I,; I I I, \. I.. I' I'. ,:1 " j,"/' , I q, ,. .1 :1': ,', I' ji DISClIPTlOM VAWI .T 1lA1I O' DIA114 ", I Ii' I ,', Ii ..,!' " I. I ;' I " " " " " " ,-f, I" 'I I" ;;, I. ,. " " I, ,I , I' I I I :- I , , I I , ..: , : .. " I , I , " , .. I , ,,' I , " ,. I Ii " .1 , 'j, :, ,I ,I., I .1 , 1;1' I.. I, s (II _ 'PO" ~ -"</, 1_ oddIHoItoI u...n 01_ JIa.) ". , ,.,. ':' , ....,...... III.... '*' CO/olMONWIAI/1l 0' P1NNlY\VANIA 'NHIlITANCI IAlC mUAN AIIIOINT OlCIOINT ISTATI OP Judith N. Egger Joint tonont('ll NAMI A, None. 8. C, Jolntly.ow.... propenyl' .' ,---~-"....."._..... '..;.~... SCHEDULE F JOINTLY.OWNED PROPERTY ADDRISS ....J PILI NUMBIR 21-94-1055 RILATlONSHIP TO DICIDINT LITTIR . ITIM ~R DATI TOTAL VALUI DICD'S DOLLAR VALUI OP NUMlil JOINT MADI DUCRI1'T10N OP PROPIRT'( OP ASSET %INT, DICIDINT'S INTlRIST TlNANT JOINT I, " , , , , . I, , , " , , I. 1 - TOTAL (141.0 ,.'or a. 11.0 6, Ro<apilulatla.1 S (II marl 'poco I. ntoded inlOr! addllla.al .hee" 01 lame 'i.o) 11",111011+ IN7l . SCHEDULE G TRANSFERS PI we PRINT OR IYP! Judith N. Egger 21-94-1055 , TMII SCHIDULIIoIUST II COMPLITID AND P1UD "lIll ANIWO TO ANY 0' THI QUWIONI ON TMIIIVIUIIlDt OptHI COVUIHIIT II YII ITIM . DIICR""ON 0' mmRTY IXCLUIION I TorAL VALUI I oliD, II r,~Lf.~~~V,\ NUMIIR ,,..,..._oIHtt,,.......,,...,........,............oIIr-'of, I 0' AlIITIN'i R IT None. , , ,., " " " , "'1. , !jo , , '" '\ " ,. I , \' " " I' ,'I, I' I i " \' I " ,I ,,' , ,. .1 I I I'" I :1 "j , I'" " , I, j'-' I, , " I I ' "1 I' I I' ''.,,1 , j!', I. " Ii " '!, it! , , I' "1'\ , ,. "I I, i, ',I I I, " ",' I, ,I' ' " I. .'1 ,: ! I I ,. 01 ',I I' I ' :', " I I " ", , .1. ,1' I. ,:; 'I I " ", I " , , !. I I' .TOTAL (AI.. ..... o. II.. 7, RIC.",latioftl J {I/ """" ... ~, _ .<l</ilfaltalll,tOIl 01.""" ...,1 U'Woltll n. "'" !TIM NUMB" A. I. * COMI<IONWlAl1l< Of IINHlYlY""'A INNUIIAHClIAX IIIIJIIl IIIIllIMI OlCliMfll SCHEDULI H fUNERAL IXPINSIS, ADMINISTRAnVE com AND MISCELlANEOUS EXpeNSES Judith N. Egger DUCRII'TION Pu_l hpell_' Egger Funeral Home L Admllllstratfw Com. 1. I'tllOftal RtpreMnfllllw Cammllllans Soclal S-rity Numb... 01 Pwtanal RepNttftIatlWI Ytclr CommiSllont paid 2, AIlom.,. "- 4, C. 1, 2. 3, A. S; 6, 7, e. 3, family eMmp~an Clalmanl Rllat10nmlp ,lcjdrell 01 Claimant aT dll>>dam', decth 5,,", .44d_ CIty ZIp Code Slate Proba1e "- Mlacella_IxfIe_' The Sentinel - legal advertising ,,_ Print or l' 21-94-1055 AMOUNT 5,475.00 219.00 68.84 " TOTAL lAlla IllIIt on line 9, Rt~pltula"onl S 5, 762.84 IIf maN lpaW II n,"", InHrt ocldltlllnal.he.'1 "' ...,. sla..) 21 - 94 - 1055 6' . ~'~ast Will and Testament Unmarried Individual with Tho or More Beneficiaries I, ~ ~ t2. '71,N dk.k M . presently residing at dc9. / ~ G_A.-e-I.v '-4t / ,(11.~~ ~.I.)/.;J1 / 7~/3 , do hereby malee, publish and declare this to be my Last Will and Testament and do hereby revoke any and all other Willi and Codicils heretofore made by me, Flnt. 1 am an unlllarried person, I do hereby give all my estate to the following named person! persons or the survivor of them in equal shares: E'~ a/~ ...J ~ ~U ?l,,'J (j).,cn. ~~ (..o.~-'Qll) I - ~econd. 1 order and direc'l that my just debts and funeral expenses, expenses for administration of my estate and any inheritance and succession taxes, state or fcdcral, upo~ my estatc shall be paid as soon aftcr my death as may be practical, Third. 1 nOlllinatc and appoint f-~~ ' V~ as Exccutor! Exceutrix ohhis Will. In the event that he! she shall decease me to servc as Executor! Executrix then 1 nominate and appoint " Executor! Executrix of this my Last Will and Testalllcnt. 1 further direct t t no appointee hereun required to give any bond for lhe faithful perfor.nance of his!her duties, Fourth. 1 hereby authorize my Executorl Executrix to exercisc all the powers, nghts, discretions, " duties and immunities confcrred upon fiduciarics to the extent permitted by law with full power to sell,leasc. mortgagc, invcst, reinvcst, or otherwise disposc of the asscts of my estate, I b 'be h W'II h' ',..., ,'-1., D I" '/~ -I- 19::l" su scn my name to t is t t IS ' .,-, ay 0' ,A--"".' , ., .....:.-, II /" , I " f :::, -Itl....i.u:10 .(::ilin herc) I / , \.. " laTh 1~~f.""v.. l:, ~-', /' '......./ Signed, scaled, published and declared 10 be his! her Last wm and Testament by the within named Testator in the presence of us, who in his! her presence and at hisl her requcst, and in the presence of each other, have hereunto subscribed our names as witnesses this day of , 19_, -, . p ~ k-n C!'", r /;j)e PA- (l) :-X,.. \. { of - . '-- - .. (City) (Stale) (2) ~ [., CJ'.u.r of ci~ fa. 4i A dllO (City) (Slate) 1 l!.d.1,l.w-. . r " (3) of 1" (City) iJ " (State) o 1991 by AFBP. "'" nihil ,..""d, i. '. 1 .\ j' " .'j ;, ;1, .' - , . ,j 1. '. . , ' l :1 "I'" :1'" ' , ., ,', .., .';,;:. :,'1,;' :.4~~ ;. ',::,'.1" " :'l, l ' , " , .>4." .. , . . , ,,", 'j" " ..'f,1t1 ... .1 I,J.'. .0. j 1 " .:" ",' ~. : 'O,,' ;,' ,\ ' I' ,~ (J Q " '<:::l z: ~ 51 f I ~ ' , ,.;:l c: >. '~ :i ~ it 113~ ~ " . , (J ~ ~ i , " } I ' i.d ~ ,. " " , , ",' , . ." , I' ,I d I- " , " " ; " \. " ,. ,. I, ' " " I; ',i ". , " G I;', , 'I, . 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I"< I"< 0101 . f , I f \.4 \.4 ..... N (01"< ((1'1'000 0 11140l N .... lllNOOO :z: 1:1 CIl . f"4 . r-tf""4r-t ., 01 III 41!0 ClI . 1ll4olll. I 41!0 ClI 0 :EI:I .... o . .l:l 'tl\.401 MII!l . 40l \.4Jr. \.4 ., .... III ::I J N '0 .c ..Q .... ::I U Z III . III . 17 .... .... 1:1 . III III > P:t'l\.4 c.u ... II 0 "a t'l... . 0' . rn QI . :z: J 'N III d~UH g 1 u. ;II... ll.N= iii c: 0 ::I A s ($ IIIN.........c cS z ~ u....:r:l&.CJ " , I ~ )1 .! ;1 " " RECEIPT FOR PAYMENT ........a.......... Cumberland County - Register Of Wills Hanoyer and Hiqh Streee Carl sle, PA 17013 Reoetgt Date 12/16/1934 Reoe t Time 14144111 Reoe t No, 1003405 EGGER JUDITH NORDBERG File Number Remarks 1994-01055 ERIK A NORDBERG "--~-------------------- Distribution Of Receipt ---------------.-----.-- Payment Amount Payee Name 200.00 CUMBERLAND COUNTY GENERAL FUN 6.00 CUMBERLAND COUNTY GENERAL FUN 5.00 CUMBERLAND COUNTY GENERAL FUN 3,00 CUMBERLAND COUNTY GENERAL FUN 5,00 BUREAU OF RECEIPTS & CNTR M.D Transaction Description PETITION FOR PRaDA SHORT CERTIFICATE RENUNCIATION EXECU EXTRA PAGES . JCP FEE Check' 1574 ' Total Rec8ived. ',' . , . , , , $219'88 $219. I, I- " , ,. , " " , " I , , I, " " I , ,. .. I. 'I; 'ji I" ' , , " '" , "1'; I " ..', ",', " I " ,.1 " " , ,'I' I. '1,' r"~ F1'~(ia!1~~,:~;::;i~;i~~;f:::~21i . . _::;t:j/;:-" Y; . ...,...: .,.....,==-.-:. oe6MLW't'cf OJIlQIIlJIH. ,.... ,,=~..:.......... . . ..... ,-'-' .. 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""'L:\~9MMONW'ALTH,;O' '.N~SVLVA~'~ ' ",,::.-: .,',,\,"DI"'aw.;'",~'_'V'~UI ..; , , ,. ,"" Q"'~IAUICI'" '. 'INN'V'VANIA'NH~"ITAN~I AND, I'TATIT4X ' ",-*"':'." , . , ., ""',' i;'., " ... . 'I' , , " '': , , , . . I. ' I, " ,. " " ReCEIVED FROM, & ACN ASSESSMENT II' CONTROL WI NUMBER AMOUNT WAGNER PRICHARD 1133 N,FRONT aT 101 t?, 015. " HARRISBURG, PA 17110,' UTATe INFORMATION, II I~ Miff II 11-1994-1055 SSN 1'1-38-1907 III NAME OF DECEDENT (lA~TI . IFIRSTI (Mil ~ EGGlR JUDITH NORDBERG II DII E, PAYMENT , II OSTMAR COUNTY 1e'rl9&- CUMBERL.AND DA E OF DEATH , 1- ,.' REMARKS m TOTAL AMOUNT PAID ,/ SEAL ERII< A NORDBERlI CIO P RICHARD WAGNER ESQ, CHECI<. 0118 I'~'O .,.~~39 DO " RECEIVED BY ,~ ) .1 'i) IS :.6/1/1/ ,i/O/tI,!. WIL.L.S . J f REGISTER OF WILLS \~''''''':'"''.,...,. 'I"':"'" -.~:"'!""".".--- -- -_.~. :'--:-:-,-- ~-:-~"""-'-..,... ---. '~.- - -- -n - -'IT''' _ _ __ ......~_ __ :;--..,-__ '"""'";'_ , , , I I I'" , '~I ' .~ " i' I \, I^, t . .t ',..--' " I' .'."~'.. ., ,,~o_. I .,.....-. ~~ ~~" "1'~~,! . , I'l'" .... ") ."- : _.. ._0' -- -'.'~O."""'-"7""';-.~.-",.J , 'f'~'. , I' ,'j, I'" ;I:.,~:r-.,'. " . "" RIV"1547 IX AFP (12"95* CO~NWfAlrH OF Pf.HHIVLYAN1A alPAATHENT OF Af.VEHUI: IUAUU OF INDIYIDUAL rAMn alPT, 110101 HAAAIIIUAO, PA 11111'0601 .ITATI OF EGGtr JUDITH FILE NO. DATI OF DIATH 11-2(,-94 COUNTY NOTE I TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUINIT THE UPPER PORTION 01 THIS lORN WITH YOUR TAK PAYNE NT TO THE REOISTER 01 WILLS, NAKE CHECK PAYABLE TO "REOISTU 01 WILLS, AOENT" REMIT PAYMENT TOI v .. /5 . ,/.~ 6) ~ K ('; . ./ V IICN 101 NOTICE 01 IIIHERITANCE TAK APPRAISENENT, ALLOWANCE OR DISAl.LOWANCE 01 DEDUCTIONS AND ASSESSNENT OF TAK P RICHARD WAGNER ESQ MANCKE ETAL 2233 N FRONT ST HBCl PA 17110 DATI 02-27-96 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE I PA 17013 r AMounl R..ltt.d i CUT ALONG THIS LINI ... RETAIN LOWER PORTION FOR YOUR RECORDS ~ Ri"v: li'4'1" iX-AlrP"' C 12' :95"i" NOT i dr"oF" "{Nft iiiif AiieE - T"A'x "A"PPRA"i siiiiNT~ ""At i:ciwAiie i-oR"" -" - - ..... - -...... -" DISALLOWANCI OF DEDUCTIONS AND ASSISOMENT OF TAX ISTATI OF EClClER JUDITH N FILE NO. 21 94-1055 ACN 101 DATE 02-27-96 If .n ........nt w.. i..uld prlviou.ly, linl. 14, 15 Ind/or 16, 17 Ind 1. will r.fllot figur.. th.t inolud. the tot.l of ~ r.turn, .......d to dltl. ASSISSHENT OF TAXI 11, A.ount of Lln. 14 .t Spou..l r.t. 16, AMOunt of Lln. 14 t...bl. .t Llna.I/CI... A r.t. 17. A.ount of Lln. 14 t...bl. .t Call.t.r.I/Cl... 8 r.t. 11, Prlnolp.l T.. DUI TAX CRIDITSI PAYNENT I DATE 10-24-95 TAK REYURN WAS I I X l ACCEPTED AS IILED RISIRVATION CONCERNING FUTU~E INTEREST " SEE REVERSE APPRAISED VALUE OF RETURN lASED ONI ORIGINAL RETURN 1, R..l Eot.t. ISoh.dul. AI 111 2, stook. Ilnd ~ond. ISah.dul. II 121 5, Clo..ly H.ld stook/P.rtn.r.hlp Int.r.at ISoh.dul. CI (51 4. Nort...../Not.. R...IY.bl. (Soh.dule DI 141 I. C..h/lank D.po.lt./NI... P.r.an.l Prop.rty IS.h.dul. EI II) 6, Jointly OWn.d Prop..ty ISoh.dul. F) (6) 7. Tr.n.flr. IS.h.dul. 0) 171 I, Tobl Au... APPROVID DEDUCTIONS AND EXIHPTIONSI 9, lunor.l E.p.n.../AdM, CO'../Nho, Exp.n... IS.h.dul. HI (91 10, D.bh/Nort.... LI.bIlIU../LlIn. IS.h.dule I) 1101 11, Tot.l D.duotlon. 12, N.t V.lu. of T.. R.turn 15, Ch.rltabl./Oov.rnM.nt.1 I.qu..t. ISohodul. J) 14, N.t V.lue of E.t.t. SubJ..t to T.. NOTlI I I CHANOED 119,000.00 .00 .00 ,00 7.998.80 .00 ,00 II) 126,998,80 5,762,84 4.146.17 1111_ 1121 1151 11,,1 9.QnQ nl 117 I 089,79 ,00 117,089.79 1151 ,OOK,03. 1161-1i7,089,79 K,06.- l171 ,00 K .15. 111) RECEIPT NUNIER AA082260 DISCOUNT 1+) INTEREST I-I 105,85- INTEREST IS CHARGED FROM 10-25-95 TO 03-06-96 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM ,00 7,025,39 ,00 7,025,39 ANOUNT PAlO 7,025,39 TOTAL TAX CREDIT BALANCE OF TAX DUI INTI!RI!ST TOTAL DUE 6,919,54 105,85 3,50 109,35 · II PAID AlTER DATE INDICATED I SEE REVERSE POR CALCULATION DI ADDITIONAL INTEREST, II TOTAL DUE IS LESS THAN Il, NO PAVNENT IS REQUIRED, IF TDTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YOU NAY IE DUE A REIUND. SEE REVEtsE SIDE 01 THIS FORN lOR INSTRUCTIONS,I .. ,. ", I j:-. . ,'1 i' , I,',) , I , I , ( ~: , .\ 'if.) RellRVAtlONI Itt.t.. 0' dectdene. dwlnt on or blfar. Ole.lIb.r 12, 1912 .... If enw future Int.r'I' I;' 1M ....t, It trlnlf.rr. In po.....lon or enJoy.ent to ell.. . (coll1t,r,U bentiflClI.rlu 0' thl dloeHn' ,ft.r thl IlCplr.tlon 0' 1M tltlt. for 11'. or for VII", thl COMOnWt.1th her.bv .llpr...1y '''.rvII thl right to ...,r.h. and """ tranlf,r Inhtrltlnol TlKII .t thl lawful el.11 . (col1.1.r.l) r.t. on .nv luch future Inter..t. PURPOSE Of' NOTICE I To fulfill thl r.qulr...",. 0' Stotlon 21ltO of the InMrU.nc. ,nd Eltit. T'Il Aot, ht Zl 0' 1991. 72 P.G. SeoUon 2l~O. PAVHe:NTI Dttlch thl top portion 0' thh Hotlcl .nd lualt with Your Plv..nt to 1ke A'ehter 0' Willi printed on tM rlv.r.. .Id.. "'HIIk. chICk or .on.. order p"..I. 101 REDISTER DF NlLLS, ADENT All pIYMnh rlo.llIad ,hill flret b. ,pplled to 'IW Int.r..t ~loh .'V b, due with ,ny r.'llnd., ."II,d tn the tllC, REfUND (CIUI A ,.Ifund of I tilt ortdlt, which "'.. not rlqut,ted on the TI. Alturn, .Iy bl rlCtUlltld by oo..-lltlnl In "Applle.tlon for Alfund of PIMlylvenl. Inhtrltlncl Ind fltlt. TIM" (REY.UU), Applloltlon. '''1 IVIUIbII .t thl Offlel of the RIglltlr of Willi, Inyof thl 21 RI~lnu. Dlltrlot OfficI., or bv c.lllng thl 'PloI.I Z~'hour an,wlrlng ..r~h. nuabt,., fo,. for., ordtringl In P'Mlylvanl, l-aOa-36Z'Z05G, outsld. P,nnlylvIf1l, and within 100.1 H,rrltbur, II''' (1\7) 781-1094, TOOl (717) 77Z-225Z (H..rlnl 1.IIrld Only), O'ACTlONS. An\! PI"t" In Int.,.lIt not IIthU.d with thl Ipprlll...nt, l11o"'lno. or dhlll0WIMct of deduQUon., or ........"t of '1M (Inoludlnll dl'Clount or lnt.rll" II lhown on thl, Notlcl IfUlt obJlot within .hety (60) dlY' of reoelpt of thll Hotlet bYI AlMIlN IITRATlVE CDRRECTllMIS'. "WI' It tin prot..t to thl PA O.p.rt.tnt of Alv.nu., loard of A,PIIll, DIPt, UUZ1, H.rrllburl, PA 17121.1021, OR .-lllotlon to hlVI tht ..ttlr dltlr.inld It audit of tht Iccount of the p.r.on.1 rlpr...nt.tlv., ON --,pplal to thl Orphanl' Court. 'DISCOUNT' Flotull '1'1'01" dllooy.r.d on thl. ........nt .hould bl addr....d In WI' I tine tOI PA Deptrt..nt of Rtvenue, BU,..IU of Indlvldutl TI.", ATTN. POlt A.......nt Rlvl.w Unit, n.p\, Za0601, H.rrltburll, PA 1712'-0601 PhonI (7171 717-"05. S.. P'" 1 of th. book lot "In.truotlonl for InhtritlnCl hll Rltu,.n for. A..ldtnt OICldtnt" (AEY'liOO for en .1lpllnlUon of IdIIlnltt,..Uvlly corraotlblt arrOrl. If any ttK due It Plld within thr.. (3) c.llndar ItOflthl aft.,. the d.old.nt'. dt.th, I fly. Plrcent U:O dltCOW1t of thl ttIC plld It IUo...d. INUREST. Int.,...t It chlrged bt.lnnlng wUh flr.t d.y of dIUnqu.noy, or nlnl (9) lonth. and onl (1) dlY frOll tM dlt. of dllth, to tM d.t. of plyllnt. TIM" whloh beo... dtllnqu.nt blfe,.. Janulry 1, 1912 b"." 'ntlr..t It the rlt. of 'Ill ('~) p.rcant P'" .MUII cllculattd It a d.Uy r"t. of ,00016\, All tlMII whloh blo... dlUnquent on end Iftar January I, 1912 wUl bill' IntiI'll' at . t.tl which wUI very frot clhnd.,. VIII' to cIl.ndar Vllr with thlt ",t. Innouncld by thl PA D'Plrt..nt of A.v.nu.. Th. .ppllcubl1 Int.r..t rat.. for 19.2 through 1996 '1"1 VIII' Interllt Attti OIIIY Int.r..t Flctor !!!r Intlrllt AI" Olllv Int.rllt F.ctar' - 1911 201 ,DDma 1917 91 ,ODD2~7 1911 161 ,ODaUa 1911-1991 IlX ,DDUDI 1914 m ,ODaIDI 1992 9X ,DDD2~7 1911 III ,nDDI56 1991'199~ IX ,000192 191' 101 ,DOOm 19O5"199' 9X ,DDD2~7 .-lnt.rllt 11 ulcultttd I' follow'l INTEREST. BALANCE DF TAX UIlPAID X NUHSER DF DAYS DELINqUENT X DAILY INTEREST FACTDR --Any Notlol IlIuad Iftlr th. till b4COHI dtllnquent will ,."Utot an Int.,.lIt olloulttlcn to flft"" US) dlV' blVond tht dlt. of t~t '........nt. If Plv..nt I. ..0. .ft.r thl Int.r..t co.put.tlon dl'a lhewn on the Hotlel, Iddltlonll lntl,...t lU.t bl clhulltad. ,I RECEIVED 'ROM, WAGNER PRICHARD ee33 N FRONT ST HARRISBURG, PA 17110 .". ...t ,.........<",..,... . ~ _"'. _.. .'. .. ._. _.....' ..,.. ,. .u _ .' .-, ," .'. ,.,..,~ .... . -.... "-1 & ACN ASSESSMENT I!I CONTROL WI NUMBER AMOUNT 101 .110.0b '. \ { I I ., , ,I ,\ .....,.- ,~..~ BSN 1ge-;3e-1907 MI el-1991t-l01S1S 11 EGGER JUDITH NORDBERG ~/Il' I',. CUI1BERL.AND o H REMARKS SEAL P RICHARD WAGNER ESQ CHECK* e3?i>b ., , ' - -- fa TOTAL AMOUNT PAID .110.06 CW REGISTER OF WILLS /) / I RECEIVED BY J11(!)1, /;: 11'/..' ' /.-,:.- . , ...f 11'1'1<> ~~~y S~ERL.~~lall.L.6 . . p , " ; " ., 1fJ, .~ " f' f \ ", , p. \ I , .' < ..~...~ . 11'''''''-- Jll.- -:-.l.{ 1"'Y 'I " ','" " .." .1'...... -~:::1"r""'~-.-.:'".....,..~'r J f' "" .' " , , I,'''' . ..\.,.'.,.....~'.'_. I.... , ' .,',_ ~ 0- \. ~Q ~ :I1:D !l! l~ g tr. . ., ~ i':u ~, " ,,) .1 (' i ~. j" , , ~; r ,., ~;; I ' :-.t1I'l" . 0 \0 iij () ~~ ill -, w PAMNT, OItlCh the tup portion 0' thlt NoUCI and lubltt with your ply.."t ..eft plvlbl, to thl nHI Ind Iddrell printed on the "YIr.. .1drt. II AUIDENT DECEDENT ..... chock cr IOIMI. crdtr ...lbll tOl REGUTER OF WILLS I AGENT, II NOH'RESIDENT !llCEDENT ..... chick cr ...,.. crrHlr ...obl. tel COllltONWEALTH OF PEN~SVLVANIA, All IIIYMf\t, received IhIll be -..Ued fir.' to any 'n'er..' Nhlch .'Y b, dull Mlth any rHelnder ..-111d to the tiM, ltE'UND (tA) I ill reIn of . taM or.dlt, which WII not ,.quut.d on thl 11)( Rttul'n, .'V b, r.quutld by oOllllhtlng 11"I "Appl1cIUon far R.fund of PIM'whlen.. lnhlrltMu and E'tlt. 11'1" (REV"Un), application. .r. IVIl1ebl1 .t thl OfficI of the Rtllthr of Willi, In\' 0' thl 2J Alv.nut Olltrlct OfficII or 'rOIl the D,p"...",', 2it~hour ."I...rlng ..rvlel nu.b4lr. 'or for.. ord.rlngl In P,nnl)l'lvanl, l-aOO"3U-ZO!IO, outlldll PeN1tv!"."I, Ind within lootl H.rrhburg .r.. (717) 7.7-109", TOO. (111) '172"2252 (HI.,lng IIP.lrld onlY), REPLY TOI OuIltlon. r...rdlne Il'rart eont'lned on this !\Otic. Ih~ld be .ddr....d tal PA DtpartMnc of RIV..,.,.., IUrllU of IndlvlMl T'llll, ATTNI Palt A......ent Rlvl.", Unlt, DIPt. lI0601, "Irrllburg, PA 1712"0601, Phone 1m) 711-6SOJ, DISCOUNT' If tnr tI~ due 11 p.ld within thrH (5) e.lender unthl .ftlr the dlelbl"t'l dllth, I flv. perelnt (S:o dhCl~t of thl hle p.ld It IUOMId. INTERESTI Int.rllt h ch.rpd bI,IMlng with first dlV of dtllnquencv, IIr nln. (9) IOOthl tnd one (1) eIIv frOll ttMI d.t, of dMth, to the eIIh of Plv-ent. Till" which bIo... d,lInquttnt blfor, JlnUlry 1, 1911 bltr Inttrllt It thl ratl af lhe (6~) Plroent Plr IMUI cllcultt~ It I daUv r.ta of .000161t. All tlllll which beG..,. delinquent on 1M Ifter Jenulrv 1, 1982 wUI be., Interllt It :I ratl which wll1 Ylrv frol Cllhnder Vlar to ellendtr Vllr with that rlt. IlI'IMCM\Clld by thl PA G.pertllnt of RIYlnut, Tho IPplloabh Interllt "tn for 1911 th'rough 1996 t'" VNr Inter..t Ratl O.Uv Int"nt FlKltor Vllr Int"nt Ai'tl OIUV Intlrllt FlOtar 1911 za~ ,Oool~' 1917 9~ ,OOOl~1 un In ,000411 1911-1991 IU ,000501 19M IU ,ooom 1992 9~ ,OOOl~1 un Il~ ,oo05S4 1991'1994 1~ ,000192 1916 IO~ ,ooom 1991-1996 9~ ,OOOl~7 ....Int"..t II atlaulltld 'I f91lONII INTEREST . IALANCE OF TAX UNPAZD X NUnlER OF DAYI DELINQUENT X DAILY INTERElT FACTOR ..Anv NoUiQI 1II\Ied ,ft" the tlM b,oOll" dlllnquent wll1 rlUlot In Inttrllt cIlculaUon to flft,," US) day. blvoncl the data of the ........"t. If paVHnt II ode Iftlr thl Intlr.lt oOllPUtltlon dltl lhown on the Netic., additional Inttrllt IIUlt be caloulltld, . '. \ /s-y ~ 9' '"~ ~~,~ ~\~"rI " . ", I"("""~ 'I":" . :C','lt'/' "IA"I' , """..C" ,n." . '''' " :a:llP~ME\I~ :,! "E'/:,'/IJE :e:lT HC~CI ..-HH~I~ )i"'1'~ '1' ~... I ;!:S~!'lri '1A.!,le i..-jj J'ilS~ iM)'~()Ola,tlrw.1 'AU""'~DMII..'IIIOl'QI Supplclllcn t,] 1 REV -1500 INHERITANCE TAX RETURN RESIDENT DECEDENT RU! NUMBER 21 1994 01055 ::lJIIIIY'=OCiI <V.lI 'f.:WIIIlt Eqqcr, JudIth N. 192. 32 . 1907 oJAl[ ;fOE,.UlI 11/2,1/94 JArar.F \IRIH i"'~:~l a:;"lurl 'lU.tija.~ / / P .;lO'"C.ldll!i U.,f,I,oI'lltjQ JP':lJ3E"S/-INM! :v.sT, I1RSl, AHO IIVOLJ.1lt1\41 ~:.&.L lEOJIlV ~ THIS RenJRH MUST BE F1U!D IN DUPliCATE 'H"H tHE REGISTER OF WILLS I " I. '~"lrnal Relum IXI 2, SuoplemenwRensm 0 ), Remmd.rR.lIJml4........"".,I,'l-l11 I ~ l L;.nII.a:l~le 0 la.fut\ltelntereslComproll1ll<ll...._..,1,Il~n Dl,FeoeralEsllIl8iilllRlltIJmReQUlred I '- J, Ceceoenl 0,'0 ill.lt.lle '.""",,,"\\11 0 7. O_enllAal1lllll8da I.Mrq irust~.,.,..rM1l _ 3, iOIllINumll8loISaI.OllPOs~ So,., , ,= 9 L,~1aUOno(0(Il8ds R~VB<I 0 10, Spousal??Y8t\'fC,'8d~("d__'l.lI.II",I,',lll 0 II, :!eaIonlO Iilll under Soc. 9113IAII/""'.i<nOI I THIS SECTION MUST aE COMPLETED, ALL CORRESPONOENce AND CONFIDENTIAL TAX INFORMATION SHOULD liE DIRECTED TO: I'..",e ~ XWlm......lNOolIlOAESS P. Richard Wagner, Esquire ~ f :'RMltAMl! II.aCQ/IC~(,j" I Hancke, Wagner, Hershe & Tu11 I '!';71'~ '''\"'~ 3 4 -7 051 I 1. Real :sulle IScnllOu~ AI i 2. SlcCK! ana BonoIIS~'IlOU~ BI I 11) 121 '::Ole~ ,'ek! Corooraoon,Pel1M/lll'p or Sole-PIlIone1OtSl\lll (3) .'" ~.. .. .' ~ t I \0"; '(, 'f,! , Ilonqages & NOles ROQINaDl8lSc111lOult 01 (41 ; :asn, 3ank Caoosr1S & Miscellaneous ?monel ?rooeny /51 15 IScnllOule oj I 908 ' 80 J. ,olnny Cwneo ?rDo.rrIIScneoul8 F) (6) ~ inler,livos ~Iansle" & .'.IbCBllaneous Non';>I1lOaI.?fll!)8fI'f I7l (S~'8<Iule G or '.J 3, Tot.ll GIOII AllIllI flotal L,nes I,~ (8) /, ?uneral :,cense, ! Admln~trallY8 Com ISct18<Iul8 HI (91 I ". , ,., ,~ ,) 15,)i 908 . 80 10 JeolS 01 08C8<lenl,llol11laq. L'ab_, i Uens ISGntouie II (101 11. Tot.ll Oeductlonlllollll Lin. 9& 10) (11) 112\ 113) 15 I 908 80 12. N.t V.lu. of EI111.,L'n. a I11WI lil8111 '3, Charrtablt ana GovemmtnlllBaqtl8Sl'l/Sd09113 TMlI fotwnttun I~DII1l hII not_ :nao. (Sdledult JI la, Net Valu. Sub~lD TaxlUne 12 "",us Line 13) '5, 'mountollln.la:uaole 1I1tlespolJUlllll rail I I See ,,,,,",elIens on 11't811l side lot lIlIlbDiB oen:entIg. 'B, amoUnloflln.la :aublt 15 I 908 U6%1111 :7, amounloflln.lh.uOIe II 15% rail (14) 15 908 80 , .0 Ill) 80 ~ ,06 116) (171 (16) J 954 53 x ,15 18, Tax Du. I 954 53 I I > > ae SURe TO ANsweR AU QUeSTIONS ON REVERse slce AND RECHeCK MATH < < I .'f";: *1Jf't. 10ICIa1 Ill. , l\Me.camId.."""'.......,_._.j...'4.,...I'IG-..f1Ia,._at""./QIIIIlIlIQInt....~II:Nt. .:orrcn~~oIPflUWOM I <(',,,.,,....._,....,"'._01....._....." ~ , ' .-flE :F ?SR~~ R'tf.?~SI~ ~ FlUNG RETURN AOORESS DATI! I!,' ,W, 0., ~ I?~~ LV, Ll~ ~WiJ~ ~tl6i\Vt.1 Cc~6~ 1}J!c.. qq -er: :F oOEP4RER On-Ell n-AN REPRESENTATIVE ADOIlESS DATI! " , .. ", V. .~. .~. .. . ::rr P^ 1 17013 I Decedent's Complete Address: ;;~;; 'CCRElS 2212 C i rcl e Road Carlisle [lWE I uP Tax Payments and Credits: I, Tax Oue (Page I Une 181 2, CredllslPaymenls A, Spousal Pcvlll\Y Cre<ltt 3. Pnor PaymenlS C, Dlscounl (II _~954,53 TolalCreOls(A-B-C) 121 3. InteresUPenall'f If 3ll\lIIcalIIe 0, Intere!l E,Penall'f TotaIlnteresUP~l'f ( 0 - E ) (3) 4, If line 2 is greater than line I -line 3, enter me difference, This is me OVERPAYMENT, ChecJt box on PIgl1 Unl19 to request I rtfund (41 5, If line 1 -line 3 is gre8terl!1311 line 2, enter me difference, This Is me TAX CUE. (51 ~ 9 5 4 , 53 A, Enter me lI\lerest on me llil\ oue, (SA) 3, Enler the lotal of Une! - SA, This Is the BALANCe cue. (53) Make Chack Pe able to: REGISTER OF WILLS, AGENT I PLEASE ANsweR THe FOLLOWING QUESTlONS BY PLACING AN "X" IN THE APPROPRlA TE BLOCKS 1, Old decedent meke a transfer and: Yes No a, retain the use or Income cf the propertY transferred: ...........,..............................,....,....,........ 0 Cd ~: ;::::~ ~h~e~:i~~:~s:~~eer:st~~~,~~~I.I,,~,~~,~~~,:.~,~,~,~,~"~,~,~~:~,~:,:~~"~,~:~:,:::::::::::::::: 8 ~ d, receive the promise (or life of either payments, benefits or care? ......,......,....,........,....,........ 0 B 2, If death occurred on or before December 12, 1982, did decedent wrthln !WO years preceding death trsnsfllr propertY without receiving adequate consideration? If death occurred after December 12, 1982, did dece<lent transfer propllny within one year of death without receiving adequate consideration? ,..",.."""..",....,..,........,....,................,..........,..,",.................., 0 [] 3, Old decedent own an 'In trUst for' or peyable upon death bank account or secunty at his or her death? ..........,.......................,......,..........................,......,............,......,...................,.. 0 0 4, Old decedent own an Individual retirement account, annuity, or other non.probate propertY?.... 0 0 IF THE ANSWER TO ANY OF THE ABOVE QUESTlONS IS ves, YOU MUST COMPLETE SCHeOULE G AND FlU; IT AS PART OF THe RETURN 72 P,S, ~9118 (a) (1,1) (I) provided tor the reduction of the lax rate imposed on the net value of transfllrs 10 or for the use of the surviving spoual from 60/0 to 3'10 for datee of death on or after July I, 1994 and before January 1, 1995, 72 P,S, g9118 (a) (1,1) (II) provided for the reduction of the rate Imposed on the net value of trane1ln to or tor the UII of the surviving spouee from 30/0 to 0'10 for dates of death 0/1 or after January 1, 1995, The statutll does not exemg\ a ITansfer 10 a surviving spouee from IIX, and the statulory requlrement1 for disclosure of auets and nllng a laX retum are stili applicable even if the sUNlVlng spouse II thl only benlnelary, ~OR OATES OF OI!A TH ON OR AFTER JANUARY 1, 1998. Pluee answer the following question by placing an '1{' In thl appropriate space, Old thl daoadlnt oraate a trutt o~lIar arranglment whloh II lolely tor the aurvIvlll9 lpaUII'e benefit for hla or hlr entire llfetlml? Y.. 0 No 0 If you answered yea to the aboVe queadon, the l3lC on the tl1Jst or similer arrangement Is poltpOned until the death of the second spaUII, 3t which lime It will be fully taxable at the rate(s) appilcable to the I1llTI8lnder benlfldarfOea), Enter the vllue of the tl1Jst on Schedull J, Pan II, In order to remove ~ from the calculation of the tax due In tI1IIlStItI. You may wlIh to lIle Schedull 0 In order to make the election available under SIdlon 9113, If the election II made,lhI \TUIt or slmiIar a'''l9ement It taxed In the estltl of the nrst decedent lpaU", thl poI1Ion of the tl1Jst or similar arrangoment whlcll btneftlIthl survMng spooM Is wed at the zero w ratl, and the remainder II Wed It the rate(l) Ippllcable to the rent1lnder beneftdary(les),1f you c\1OOIIlO make the electlon, you mult attach Schedule 0 to I Umely.ftled tax retum, along with Schedule(s) K and/or M In order to shOW the appoltlonment of the \nJIt or almllar arranglment between the lurvlvlng .pou.e and the remainder beneftdary(les), r;:i t/. ~_-3 1101 C)/,;' ~.<' '::>7 ".- ....... ~. 8.:> Ci :5 /11/, r tj;1 q !p61/ PAVIlENT, Detach the top portlOfI of thll Hcltlct IOd .ub.lIt with vour p.v..nt .lKM plvlbl. to thl n... Ihd IIddr... printed on tn. r.v.r.. .Ide. If RESIDENT DECEDENT .ok. ohoc!< or ...... ordor ........ tOI REGISTER Of WILLS, AgENT, If NON'RESIDENT DECEDENT .ok. ohook or ...... ordor ......10 to, COIIlONWEALTH Of PENNSYLVANIA. REFUND (eM)1 A r.fll'ld of " t.1C credit, which .... oot r.quuted on the TIM Rlturn, .IY be ,.,qtJuttd by c~l.tlng WI "Appl1oltJon for R'fund 0' PlmlvlvlOll Inheritance end Elt.t. 'IX" UIEV-UUL Appllalt1on. Ir. .v.lllbl. It thl Office of the R.ght,r of Willi, WlY of tM U R.vtooe Olttrlot Offlc" or 'rOIl the Dep.rtHnt', Z4-hour "'IWrlng ..rvlol ~r' for for.. ardlrh."l In P.onlvlvanl. 1-800-162-2D!tD, oulllde Plnnsy1y.,..l. Ind within loc,l Klrrhburg .r.. (7171 787-8094, Service. '01' tIMply.r. with ,peel.1 htlrlna and ,pe..lng nHdll 1-100-4"1-3020 eTT onlY), REPLV TOI DunUans regarding .rror. contained I)" thh notle. .hould b. .ddr....d tOI PA o.".rt.ent of Revenue, Bur.au of Individual TIlle., ATTH' POlt A"..'Hnt R.vl.., Unit, Dept. Z8060l, tt.rrhburg, PA 171Z8-0601, phone 17m 767'.s.s, DISCOUNT. If tny tllC due II paid within thr.. 151 a.llnder lonth. after the deeedlnt'. Ueath, . flv. plrnlnt (SX) dl.aount of the till paJd It allowed. PfN.\ITV. The lU tall .....ty non~partlalp.t1on p.nalty It co.putld on the totll of the ta)( IOd Interut ......ed, and not p.ld before Janu.ry 16, 1996, the flrlt ~.y .fter the end of the hl( elMlty period. INTEREST I Inter..t 11 chlrlld beginning with flr.t d.v of dllInQUtOCv, or 010. (91 .onth. .nd on. (1) dlY frotl the dati of de.th, to thll dete of p.y..nt. T'lllS which ble.... deUnquent before Jllnulry I, 1981 bear Inter.ot at the nt. of ,Ill (6X) percent per ~ a.loul.tld at a d.llv ratl of .ODDI6~, All tlllll ~Ich ble... dlllnquent on end afttr JInuIrv I, 198Z will bear Jntlre.t It . r.te which will vlry frotl ollender year to Dlle~r v..r with that rltl InnQUnCtd by the PA Oepdrt..nt of R.vlnue, The applle.ble Inter..t retl' for 198Z through 2000 erl' Vear Int.rut Rite Dlllv Int.re.t Flctor V..r Interatt Rate Dalh Inter..t Factor 19B2 2.1. ,...S.. 1966-1991 111. ,...3.1 1963 161, ,"0136 1992 91. ,...2~7 19" 111. , ..0301 1993-199~ 1% ,...192 1915 131. ,...n6 1995'I996 91, ,...2~7 1966 m ,OO0271t 1999 71, ,'00\92 1967 91, .000247 lOOO 81. ,...219 --Int.rut II ealcul~t.d a. follow. I IHTERBST . IALANCe OF TAX UNPAIO X NUNIER OF DAYS DELINQUENT X OULY INTERBST FACTOR .-Anv Notice I..uect aftlr the t'll bleD... delinquent wll1 rlflect In Interllt a.leulatlon to flU..., (15) dIIYI beyond the dlt. of the .......tnt. If p.v.."t 11 IIdI after the Interut eDIIPUtlUon de.. .hown on the Notlol, ~1t1on.1 Inttrut ..,.t be cllcullted. /6-1/-- Cf PRICHARD WAONER ESQ MANCKE ETAL 2253 N FRONT ST HBO COMMONWEALTH OF PENNSVLVANIA . DEPARTMENT OF REVENUE XNHERITANCE TAX lY STATEMENT OF ACCOUNT IU.lwumCU."1 HO(.rii" "~I DATE 04-24-2000 Hl ; I, ,,'1:1, ESTAT! OF EOOER JUDITH N DATE OF DEATH 11-24-1994 FILl! NUIlIII!R 21 94"1055 '00 !lUll Lfl I'''' "Il) COUNTY CUMBERLAND l. ',' ACN 501 IUReAU Of INDIVIDUAL TAMES INHEAITIHCE TAX DIVISIOH OI:PT, IIUUl HAAAIllIaO, PA 1lI1."06Ol CI,'II PA m#lll 'III [',\ [_ A~t R~itte: l MAKE CHECK PAVABLE AND REMIT PAVMENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE, To in.ure pr_r oredit to your ""oount I .ubtoit the upper portion of thh fore with your to. pe_t, CUT ALONG THIS LINI! .. RETAIN LOWER PORTION FOR YOUR RECORDS .... iilY: ilili'f"iif"APP "n'FnY-- ---"iiiiii-iNHiRi T ANeE-fAx- -ii'A-fliilENf - oF'-AifcouN'f--iiliii"" ---- ___m___ - - - -"- I!STATE OF EIlGER JUDITH N FILE NO.21 94-1055 ACN 501 DATE 04-24-2000 THIS STATEHEHT IS PROVIDED TO AOVISE Of THE CURRENT STATUS OF THE STATED ACN IH THE NANED ESTATE, SHOWN BELOW IS A SUHHARV OF THE PRINCIPAL TAK DUE, APPLICATION OF ALL PAV"ENTS, THE CURREHT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST flOURE, DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 04-17-2000 PRINCIPAL TAX DUE, 954,55 PAVMENTS (TAX CREDITS), PAVMENT DATE 12-22-1999 RECEIPT NUMBER AA407410 DISCOUNT (+) INTEREST/PEN PAID (-) ,00 AMOUNT PAID 954,53 . IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST, I IF TOTAL DUE IS LESS THAN '1, NO PAYMENT IS REQUIRED, IF TOTAL DUE IS REFLECTED AS A "CREDn" ICRI, YOU HAY BE DUE A REFUND, SEE REVERSE SIDE OF THIS FOR" fOR INSTRUCTIONS, ) TOTAL TAX CREDIT BALANCE OF TAX DUE INTI!REST AND PI!N. TOTAL DUE 954.55 ,00 ;18 ,18 L Amounl R.mlll.~ l MAKE CHECK PAYABLE AND REMIT PAYMENT TO: R.gl.t.r of Will. Cumberl.nd County Courthou18 C.rll.I., PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ "iiliV:lb47 ilit'(be.e'lYpc.',.".....,' 'Notliil!'cifl 'fNft'I!RITA'NCE'tAI( AP'piiAls'I!ME'Nf. 'Al:i.OWA'NCE' oii".......,.,.".,..,"',.,"',.. DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX JUDITH N FILE NO, 218-4.1055 ACN 501 TAX RETURN WASt (181) ACCEPTED AS FILED ( 0 ) CHANDED -RESERVATION CONCERNING FUTURE INTEREST. SEE REVERSE APPRAISED VALUE OF RETURN SASED ON: ORIGINAL RETURN " Reel E.tote (Schedule A) 2, Stock. end Bond, (Schedule B) 3. Clo.ely Held Stonk/Pertnor.hlp Intere't (Schedule C) 4. Mortgogea/Note, Receivable (Schedule 0) 5, Cosh/Benk Oep"lt,/ Mlac, Per,onel Property (Schedule E) 6, Jointly Owned Property (Schedule F) T. Tronafer. (Schedule 0) 8, lotol Aa,et, APPROVED DEDUCTIONS AND EXEMPTIONS: 9, Funerel Expensea/AcIn. com/Misc. Expenses (Schedule H) (9) 0,00 10, Oebts/Mortgege Llebllltle,/Llen, (Schedule I) (10) 0,00 11. Total Deductions (11) 0.00 12. Net Velue of Tex Return (12) 15,908.80 13. Cherltoble/OoverlYllOntsl Bequests; Non'elected 9113 TruslO (Schedule J) (13) 0.00 14. Net Velue of Eateto Subject to Tex (14) 15,908.80 NOTE: If In ......m.nt w.. I..ued pr.vlou.ly, Iln.. 14, 15 .nd/or 16, 17 Ind 18 will refleot flgur.. thU Inolude lhe 10t,1 of ill return. .....eed to dUe, ASSESSMENT OF TAX: BURIAU 0' INDIVIDUAL TAXes INHERITANCE TAX DIVISION DEPT, 280llDl HARRIBBURG, PA 17128-0lIOl "C'. . COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE v . {J .,1- oK e NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DATE ESTATE OF DATE OF DEATH FILE NO, COUNTY ACN 01.02.2001 EGGER 11.24.1894 21 84.1088 Cumberl.nd S01 PRICHARD WAGNERESQ , MANCKE ETAL 2233 N FRONT ST HBG PA 17110 , 'i ~ 'I. ' ESTATE OF EGGER (1) (2) (3) (4) (5) (6) (7) 0,00 0,00 0.00 0.00 15,908,80 0,00 0.00 (8) 15, Amount of Line 14 .t Spou,el rote 16, Amount on line 14 taxeble et Llnoel/Claa, A rate IT, Amount of Line 14 texeble at Sibling rete 18, Amount of Line 14 texeble at Colleterel/Cloea B rete 19, Prlrclplll lox Due TAX CREDITS: PAYMENI DATE 03.26.1996 12.22.1999 (15) 0.00 X .00- (16) 15,908,80 X .06- (17) 0.00 X.12- (18) 0.00 X .15 - (19) RECEIPT NUIIBER AA112667 AA40T410 DISCOUNT (t) INTEREST/PEN PAID (.) 0,00 0,18 AMOUNT PAID 0.18 954,53 JUDITH N DATE 01.02.2001 NOTE: To IllIurl ptoper ertdlt to your Iccount, lubmll tho upper portion 01 thll form with you, lex p.y.n.nt. 15,908.80 0,00 954.53 0.00 0.00 954.53 TOTAL TAX CREDIT 954,53 BALANCE OF TAX DUE 0.00 INTEREST 0.00 TOTAL DUE 0.00 (IF TOTAL DUE IS LESS THAN ", NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A CREDIT (CR), YOU MAY BE DUE A REFUND, SEE REVERSE SIDE OF THtS FORM FOR INSTRUCTIONS,) . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATtDN OF ADDITID~AL INTEREST. RE8ERYA TION E.lal.. of d.ced.nl. dying on or belore Ooolmber 11, 1982 .. If .ny Iulur. Inl"..lIn Ih. ..Ial.I. lren.fan.d In pou..a1on orenjoym.nllo Cia.. B (coIlat.ral) bon.lId.rl.. of lhe deoedenl anar lhe "~laUon of any ..lala 10( :11. or fOI yoa", lhe Commonweanh h.reby axpl''''Y re..rv.. lhe rlghl 10 appralSfl8nd aueu transter InheritAnce Taxt" 11th" lawful Clau B (collateral) rAte on any IUch future Interest PURPosa OF NOTICE: To futnlllhe req~remen!ll 01 Sedlon2140 01 lhe Inheril.llc..nd E"ale Tax AcI, Acl21 01 1995 (72 PS S.cllon 9140) PAYMENT: Delacl1lh. lop po<1lon 01 Ihl. Nolice .nd .ubmil ..Ih YOUI paymanllo the R.glller of Will. ptlnlod on Iha rav."e lid.. Mak. cI1ecI< C< mon.y order payable 10. REGISTER OF WILLS, AGENT REFUND (CR): A rafund 01 a lax cr.dil, whloh was nnl ,squalled on lhe Tax Rolurn, may be req,..led by compl.ting an "Ap~lcaUon fc< R.fund of P.nll.ylvanla Inherilonca and Ellal. Tax (RF.Y.1313) Ap~I,,"on..re avallabl. allhe Office ollha Reglll., of Will. or any of Ih. 23 R.ven... Ol.,rlcl otfIoea, or by ceiling Iha .pedal24,hour anawering .orvlce numbera fer form. C<derlng In Penn.ylvanla 1-800,36202050, oul.,da Penn.ylvanla and ,"Ihln local Harrl.burg area (717)7A7,60ll4, TOOll (717)772'2252 (Haaring Impaired Only) OBJECTIONS: Any parly In Inler..t nol ...U.n.d ..Ih lhe appralsemenl, .lIcwanoo 0' disallowance 01 deducllon., or ......m.nl of lax (Including dlscounl C< Inlere.l) a. .hown on Ihl. Nollce mu,' object ..Ihln lIx1y (60) day. 01 'ecelpl 01 Ihl. Nollo. by, "WllU.n pro,..,lo lhe PA Deparlm.nl of R.venu. Bea'd of Appeal., Dept 2Al021, Harrl.burg, PA 17126.1021, OR ...,edlon lu have th. m.n., dal.rmlne<i al audit ollhe aceounl 01 Ih. pe"""al "prolentallva OR -appeal to lhe Orphan.' Courl ADMINISTRATIVE CORRECTIONS. F.ctualenora discovered on Ihla ......m.nl .hould be .ddre.1ed in wrlling 10. PA Depanm.nl 01 R.ven..., Buraau of Indivldwl Tax.., ATTN: Post A...ssment Ra~ew Unll, Dept 260601 Harrl.burg. PA 17126.0601 Phon. (717)767.a50~. See page 3 oflhe boot"al "ln8truollon. Ic< Inherllanoe Tax R"um Ic< a R.lldanl Decedonr' (REY,1501) fc< an .x~anaUon of admln,.traliv.'y con.ctabl. .rm" DISCOUNT: PENALTY: If any lax d...l. paid wllhln Ihr.e(3) calendar monlh. .n" Ih. decedenr. d.alh a flv. porcenl (5%) dlscounl 01 lhe lax paid la allowed The m~ lax amn..,y non.parllclpation penally la compul.d on lhe lolal of lhe la' and Inl....t a......d, and nol paid belc<. January 16,1996,lhe 0"1 day anar tha.nd 01 Ih.,ax .mna.ty penod. Thl. non,panicJpation penany 18 appeal,ble In lhe ..m. man"" and In th. same tlm. penod aa you would appeal the lax and Inl...lllhal haa been a......d a,'ndicaled on Ihl. nollce Inla,..1 I. charged beginning wllh Oral day 01 d.linq...ncy, or nino (9) mC<llh. and on. (1) day I,om Iha dal. of d.alh,10 lhe dal' of payment. Tax.. whlcl1 became dlllnq...nl before January 1, 1962 bear Inl.,.., allhe ral. 01 .Ix (n%) percenl per annum ca~ulaled at a dally r.'. of ,000164. All lax.. whlcl1 became ~ellnq...nl on and aner January 1. 1962..11 bear In'or.., al I ,al. whlcl1 will vary from calenda, yootlo calendlr yoar with lhal rIle annoonaKI by Ih. PA Deparim.nl of R.ven.... Th. appl'ca~"nl.r..t ral.. fOf 19621h'OU\fh 1999 are INTEREST: YEAR INTEREST RATE DAll Y INTEREST FACTOR VEAR INTEREST RATE DAilY INTEREST FACTOR 1982 20% .000546 199B,I991 11% ,000301 19113 16% 000436 1992 9% 000247 198-4 11% 000301 1993.1994 7% 000192 19B5 13% oo0351l 1005,1996 9% .000247 1900 10% 000214 1999 7% .000192 1967 9% 000247 2000 BlI ,000219 Hlnlor..ll. ca~ulalod a. followa INTEREST' BALANQE OF TAX u/jPAIO X NUMBER OF DAYS DELINQUENT X DAilY INTERESTFACTOR ..Any Notice IlIued In.r tho lax becom.a d.linq...nl..1I ..noct an ",I.r." calculation 10 on..n (IB) riaye beyond lhe det. of th. e'Hument If paymenl I. made Ino' tholnl"..t compulaUon dal. .hoWll on Ih. Noll.., Rdd,Bonallnlare.' mu.t be ca~ulaled STATUS _~J:PORT UNDER RULL~.Jl Name of Decedent,~~,~t\ Date of Deathl_IJ/2'i hi "t- I Will No, ;U, Inv~ 0/.'.,;),...- (Vo(({'JPV<) , 2:{I (Ie r , 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 estatel 1. State whether administration of the estate ia complete, Yes__ No__..~_ 2. If the answer is No, st.at.e when the personal representative reason(lbly believes t.hat the administration will be complete I ,Ev:.1! t!..w..I-....-~. :WJuud... uJ t?l. (, 10..'7 v" 0."'/",-, -h->'1' Up,n Y'..;-((,J!AJ t:._~ !rc/'p :h, {y./~"t,(;~..f! 3, If the answer to No, I is Yes, state the followingl a, Did t.he personal representative file a final account with the Court? Yes . No / ' b. The separa te Orphan3' Cuurt No, (if any) for the personal representative's account iSI c, Did the personal representative state an ItA account informally to the parties in interest? Yes No d, Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk O-14f the Orphans' Court and may b~e ;~~taChed }to this repo:~. Oa te I I 'i' ko - 61 '~'ture . .J?c J/..((/,) {)./il11"\~- Name (Please type or print) 22 ~ 3 ;.J t-y;?'t Jf //-6cJ Address (7r?) 2'SV-?"" Tel. No, 1"1 C;.. Capacity, Personal Representative --- Counsel for personal representative ,. , (MAH' rmll AM3 ) - I. '4~-":1,,:n>~i i. .. ,'" . 'f'.-r,.~~' ,,' , "~~',i ':II ,i .. , ,,, . '. !. Ii .O.l' "" " I' I, \ ,. I "~ t'" '" ,. . " ~ /, j', .,.. ," " j /.1 i \ , ,... " ! ,J \'/.~, .~"""'1:.","", .......r'....' .~~.. ".... u',.,. '..... ....'.... I /' I' '", .""'-""';1'; " l"; :... -",\-'~'} \,r.. ltrtl",.,,)~::~:. ,]., r.'1'~" '''~(, .,/ '\It:.~lo~. ~.. .,1 " /.,1' "113" . \" ..., -.. "-'''1' r\' (..~" d j K 'f,'; /'.... I' :r. ocr 14'1\ 'C) ~. /:' ,';, 3 0 ()~: . 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