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HomeMy WebLinkAbout94-01058 ."\'\~' ',"I , ,.,/,;1 " .",; "I' " , "I " , ".J " " , " ,,' " . , " . ,'if " .' ",1'," " ',' \ t~ \ >, """ " ,',' " " " . 1\,11'1, "t :' " The pelilim"'(llllbovl'.,lIml<,tI III'CIlI(I) 0' IIflilm(l) Ih\lIlhc 1llIll'lllellll inlhe foregoing pelitlon lire line 111111 CO!ICClln Ihc 1":11 of Ihc ~III1\\'ktll'.c IIntl helkf 01 pelitioncl(l) lInd Ilwllls perlonlllrcprcscn. 1lIllvc(11 of Ihe IIhl1vC tlec"klll pClitinllCl(o.) lI'ill II'cll IIntlllnly IIdmlnisler thc esllllC according lolli\\', S\\o!1l 10 111 ,litll\l'~T~"t1 Inhlcllbetl ~ llt'c,-/iiL ~}1~CII1!I~~I~';~I)I~), , . ((1 'I I'~~ l~, ff .dAl 'JLLur,' ,."'- I\j)l(tLv'f,-/f. ('" M RV(!" LEWI S Ni'I'/IIl'U j /,1) ~ ~/- (.J.) . ,\..j \ ~~ ~ \)" ~~ "v ~.... ..a 't VI \~ II V ~ V\ ~ \-, ... , " '~ ~ I'KITl'lON 1"Oll I'ROnAT": nud GItANT 0'" U:TI'ERS ;;>1-14 -/OS~ j'\'( C. /:',1'/(111' (If.'J II/SO kllOIl'1I liS. ',_!;';\ ~!.I,r/I NI1, To: .. ".. I(l'l'.lslcr 01 Wills lor Ihc ' .."",....." ' . ' ~ 1l1'('('II,Il't/, ('oIlIlIY of (j"I\ ,\'1'll'),(I)II.1. . III Ihe Sol'ill/ S<,curlty No, ,IN(Mh 00:' },c",) , ('ollllnollwellltlt of I'Ctllllylvllllhl Tlte petltloll of the 1I111"'rllglletlrelpcctfnlly rel'resell\!- Ihlll: YO\l[ petltloller(sl, who is/mc IH yellrs of IIr,cor oldel 11111hl' e~cclltl'l.x III lite 11IsI 11'11101' I hl' IIh,Il'e decI'dclIl, dilled ,1\\1 y 10, "." lIml 1'1I1I1ell(l) dilled ......."".., "~n)ed ....._,IL.2.-- __. "...~u"__ ---.--..-.--. .. -..- -- _.--_.~. ~---_. ---. ':""" ....__ _~u_....,.-. .---"~- .-_...-- -. -.-.- .-_.-_._--_.~_..--_.__._- "tall' rCh'\IIIH dl~'''tIl~IUlhl'1t q\. 1l'1lI11ll'lation, dCillh 1I1I.'u'\1I1111, ~'Il'.1 Decell\lelll WIIS dll11llcllcd III delllh ill CJ\llllhol'.l,l,\\1(l ,.. COUllty, I'ellllsylvllnlll, wllh h.!J.I'.", ...IIISI fU11I1Iy or prillciplIl resldellec lit.. 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Excepllls follow~, decedlmt did 1I011ll1lrry, WIIS 1101 dll'tHced lIlId did 1101 hllvc 11 child hmll or IIdoPlcit lifter e~ceulioll of Ihc will ollered for plllll11le; II'IIS 1I1111he viclilll of II klllllll'.lIl1d II'IIS lIel'er IIdJudlcllled iIlC01\1petelll: .". m"__"''''''''_-' " Decelldellllll dellth IIl1'lIed pmperlY with CSII1\1l1lell vlllues liS \'olh,l1's: (If dOlllidletl illl'l\') All pcrsollll1propcrlY (I I' 11111 dllllllciled ill 1'11,) l'ersOllll1 ploperlY ill I'ellllsyll'ullltl (I I' 1I0t d011llclled ill 1'11,) I'I'TSOlIlll propetl y III CoUlllY Yllllle o\' rCIII eSllltc ill I'cllllsyl\'lIl1ill silllnlcd liS follllws: ..". ."'" . 1. '/00 00 $.".........L ....c.t.___ $ ...--.---.-- $ ".,,-'.. $ ......-----.-.-.---- -~.-..~~-.-._-----_.- .--........-. .__ ....n _ . __..._. _u'" .--. -.-..--.-.-.--..-...--..--------~ _.. n____....---.-.~..... .,..--.., .....-..-- .-- ...- . -........--..__._--_._-----_._-~._----- WIIEIWFOIW, petilioller(s) respectfullY request(f) thc prllhlllc of the IlI~1 will lIlId codlell(s) prcSl'lIletl herewlih IIl1d the 1'.1'11111 of lellers, ,',I'Q IU:'~lll()~lt:.I\~',y...--.......-.. (IC;IilIllClllIUY; lldll1illhlralhlll C.t,i\,j iHlmlnhlfl\llnn ll,h.lI,c.l..n.l __..____n__...__ .-- therl11l, fJ f; 'tl- "o~ "'0 '~ 0 ~'n ....f: oJ'.~ --P'- 50 .~ ", Iii ':_=:=-.-::~~:-:=-.. 1-=- ./1C/.t!J1)1.",-:rf.Cd.,('t5'??I(';I./ . .... . llllOllli a Homor ,..._' "". ,...------L.."C --...."."'.. ",-'--" 1l..,..!2...J,-I...n91C ?!'-9._".__.....,..." r,l\mUn\~1JJ~I:.,J'i\-- J.'101~O. '.'-'7/i;''liiFI:jlri? . .. ...... ---_.- -.-.------.----- ..__,'___..__ .__._____._._._.~_~...-i-. ...___ .._..._. _....__..____~._...____._____~.___t~ . ---"- ..----.------.... . ..._.___........n-..-.-------~ .__' ____..__n.. _.__._.._~..._._.____~_. :..:;::::~.:.-:.;.:_,=.::.;.::q:-,-;c:;.:. I': .~-:: ..' OATH (W PERSONAL IUWltESENTATIYE COMMONWEALTII (Hi I'ENNSV\.V ANIA \ 0'1 eO\) Nn' (H Ulll~.\ ,':1: Lid IJ r 0'1. , ~' / . ;/ __ .Cr, . t:/ZiC:cL..... Vl rS" " t! ~ ~ . ..----..--..-- _..u..._.__.--~ -..-.------.-.--- u....__.u.____.n. No. 21 - 94 - 1058 Estate of , Deceased ]11J\Y U. \!J,:II'lIY. DECREE OF PROBATE AND GRANT 01<' LETTERS AND NOW lJ0001,I\)Ol' 19 19..2lL.., In consideration or the (Ietltlon on the reversc side hereor, sallsraetory (Iroor having bcen (Iresentcd berore me, ITIS DECREED that the Instrument(s) dalcd ,11\]'1 10, l')llr; described therein be admitted to (Irobalc and riled or record as lhc last will or Plt:t c. 1:!()llG1. and Letters 'l'os1:ftI,lO\1tnl"Y are hereby granted to l1!lOl,Ll U. H01llor' R~IU" or Will, MAKY C. LEWIS FEES Probate; Letlers, Etc. ,""" " $ 25.00 Short Certlrlcates( 2) , , , . , , , , ., $ 6 .00 Renunclutlcn $ X-Page """,",,"'" $ 3.00 . JCP --0.00- TOTAL - $ 39JH) Filed." ,Q~~~,Mm, ,1,~" ,1.Q~~""""", ,T. nOmm'.l' S'l'Alfji'PJ';]( (06356) ATTORNey (Sll~, Clll,n, No,) ;,lllrlwb f:lqunr'o tHug. ).!oohunionbm'f'. 1'/\ l?0r,r, AllDRess 717076(,-9673 PHONe " " it' ' , " , , [" '. 1".'1 ,I ul,ti, '/, I")' ,dO " " I I I , ',. \ " i~ I I' .~ ( " I, I , I . ,I. " " " . ., ... ., " .' . LAST WILL AND TESTAMENT OF FAY C, WERTZ I, FAY C, I~ERTZ, of the Townshi. p of Nonroe, Count:y of Cumberland and S t:ate of Penntlylvania, bl1ing of sound and dispos- ing mind, memory and underst:anding, do make, publish and declare this my Last HUl and TClst:ament, hereby revokinr lind making void all former Wills by me at any ti,me heretofore made. 1. I direct the payment of all my just debts and funeral expenses as soon after my deceasess the same can conveniently be done. 2, I give, devise and bequeath the sum of One Thousand ($1,000,00) Dollars, to my son, GEORGE J. WERTZ, and direct that the Inheritance Tax on this bequest be taken out of my residuary estate. 3. I give and bequeath all the rest, residue and remainder of my estate, real, personal and mixed, of whatsoever nature and wheresoever situate, to my children, namely, MERLE C. I~RTZ, NAOMI C. WOhER and RUTH V. GANOUNG, share and share alike, per stirpes. 4, My Co-Executors, hereinaft:er named, shall have the power to sell at public or private sale, to exchange or to lease, for any period of time, any real or personal propert:y and to give op- tions for sales, exchanges or loaseu, ror such prices and upon such terms or conditions as they deem proper~ , -1- '" ,\" "", " <, "," 01', ',\, ( I), , 'I' I' 'I' , , " I" I, " '" ',,' .' , ,,' !, j"J, " " '" If', , , , ,II, ," " , " , .' ,,' ',' , ~ ' , \' " \ ~' , \'" II " ' I',,! ,,, " " ", " , " '" I, .. " " '" ,II' " ',' " I" " '" ", , I , t-t..,l~'~.'"rn_;: "" ,I" ,"'''\';\'':;/, '; " , ~tt-t'~ ,- ~ 1'\ ',l.lf It I " ' [1..1 '1. \' " l' ~ lr t J, , 'I t I' '" '-' "" " " , ' ,. . .:\.~,i~il~I}~:I'd:;;tl,:,:;,w 11;/;" .. ~~~iil'I;~",;,;""",/> "" ", " f :,.) ~A~{II',J"~II',\v,, ", II.",'" Ii", : ~ '~)~ 'jr '"Ih'I.,,\' ,I..",,',' I,' ~'Id~"j ~il'{I'I'li.\::; V:': ""'ll' '. 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" I\i;,:,)":;, 'I: I: ".' ~, 'J : :', '. .'J:{;~ ,'1" L'l '"~ "'1'/) , " Ii', ~ ~; ,: : .' ~ . '" " ~' . :,~ I' .~ " i " t , , ~ CER'l'IFICi\'rION OF NO'I~ICr~ UNDEH RUl,E.5.6(a) Name of Decodentl !;'lIX O. HW1'l'Z Dllte of Death. DOOOlllbol' J,J9')IL Wlll No, 19CJ11-01050 _Admin, No, To tho Rogisterl I vor\:lfy that noUeo of belloficial interest r.equireq by Rule 5,6 (a) of the Orphans' Court Hules was served on' or mailed to the following bene f icia,des of the above-capUoned es tate' on ]fAfLU~-),9.22.., !lame ~dd!~ Ge oX' [';0 .T. \I u.r...h.z.!-JL31.J I ulLL'l'dlldllLllo1.ll.1....,lla.o..halli.a.ab.l.ll.~-rA-l.'l o~~ NnOl~i C. \Iornol'-H. .P, 1, !lox 629\ f,anMl1btll'[;, 1'1\ 1'10),1.0 l ' Huth V.L-il[\llOlllffi::..3.0Ji1 Ooltllb'L..li.\)u( 119,.. Ovld, 1I0H Yo:r!~. 11')2l... Jan lIu1;[\11[\-2.0 6 Conllt';{ TJJ.no Hand, ;l0l'1; Spl'inGs, 1'1\ 1'1372 lliohuo.l.~.tz.:..lul? '1'1' Lnl1lll..1l.ulli.'4....Q1l.clJ..s 10 Ji\__lTQ.~_ Dennis \IO:rt;zMlIl~ lla\llpuon Dx'i VO, llcJUlltv.tlle, 1'1\ 17.554 SandX'!.LllIlI!.a.lay.-CJOl S))1'1n(\ lJh.'..olo.....liQQ.hunlCllhuX'l\, 1'1\ 170r.;rJ Notice has now been given to all persons entitled thereto under Hule 5,6(6) except-IwuQ..... Datel j /;;If. 5'/ 1"1 ~~ '5 If'! .!!J ~ b (/)&::; 0.. (I r f,);,,': 0 ~;) 't- oo ..' .i,) I i '-' 0- ': ':? \1, .'" c.u (jl ~ :j 00,;"') "- to_ (. \1) ~~) ~ '~S CCCC G ''')ja~')JI" . /( II) t.,:;n1.wt-/ Signature Name Nuoml. C. \'lomoX' Address 11. D. I, Box 629 T,unulobu:rg, PA 170l~0 Telephone! l '11'1-789-3300 CapacitYI_::.L- Personal Representative _ Counsel for personal representative t fOR DATIS O. DiAlH AmR '21~ "" CHICK HI" INHERITANCE TAX RETURN :o~::ryU~:~DIT IS CLAIMID [I RESIDENT DECEDENT ,iii'NUMii'R" _''.n_____''.___...___ COMMONW!AI1I10l PfNNlnV^'''' (TO BE FILED IN DUPLICATE 21-<)1IM10~O O[PAR'MINl 01 RIVENUE ~ ..- IIARRI!fJ:~. ~~'I'!11906ol WITH REGISTER OF .~.I~~.!L fOIiNJY. ~qpE 1,3~lb. _~E~R__ 0;1. Q5~ NUMBE~ ~;'-'::'~i;iuo'NfifIT^~ilfrn~-;fi~r.Atiir~ifii-offTInmii' llJfC!U(TIfrw;mmMiiiifU . l: .u..WJ~l.r~,Ja.yq.. "1'_" .. ....1. .. - -- MnOelo(hll!lenl~oloBml)lolll:ginlpIAlofjP7ito~~ III 'OClAI mUll" 'W""R {,AI! 01 "'AlII ''''1 Of IIRIII , 1;,1..- ~ ..1.67~4()~J,66~. ..,... 12(1/91t, " G/~9/97__. CJ~"f" hC~mb.~.rlnn~.mn.__.____. Q (II H"I(AIlIJ SUhl,I'I(/ "Ollll'\ '0.111 (1"".III\l.4tHl ~H[1t1llllutl'll SOCIAl SECIUllY NUMI[R AMOmH ~(CEIVfO ($If ltUlRUClIONSI __.__~ _______.._4___.._________ __. _ ".,_.__. _._. *.__ .____ ..__...._____ .. ._... ___.__u.______._________ -------.----.-. ..----.------ ~ 1. Orlglllal Rolalll I I 2, 5"pplomanlal R.la,n 1-.:1 3, Romalnd" Rola,n . I'or dalOl a' d.olh p,lor 10 12,13,B2) [J 4, limited E.lalo II 40, Flllare Inl"OII Campromllo IJ 5, Fod"ol Ellalo Too R.lurn R.qulred . Ifor dalOl a' doalh after 12,12,921 ctI 6, Docodonl Ol.d To.lalo II 7, Dmdonl Moln/olnod 0 Living Trull Q. B, Talol Numb" a' Safe 001'0.11 Bo... (Allach copy a' Will) IAlloch ropy 0 TrUll) .---.-. ALl'CORUSflOND.NCI ANI! CONPIDI.~TlAL TAX INPORMATIONSHOULIlII,DI..cr,otO. ,"': ,,!:, ,:,'Cnl' 'i ~ \,;,'V'i\,j'''Wli ~! ~ (.OMPLf (MAil' AOO ilIil ___"_."!'n.It~Cl.l:~rtnu~~!l.~fr.E'r,A~ty-,. Market Square Dlde'170r::t:' fl~ ""'"Ol"tlU"1 R Meohaniosburg, PA ;.>;> ___ oJ=111J,..,~.I.f~k:~9~2,7..l.".". 'c-.-,.~ ....-. ".,,,,,,,,...=,=~.,,,,,,..c.-.~.,.==~~~=.~=,. 1. Roal Ellalo 15chodulo A) 2, SIockl and BondI ISchodvlo BI 3, C'ollly H.ld Slock/Parlno"hlp InlllO.1 {5ch.dul. q 4, MorlgagOl and Nol.. Recolv"blo ISchodulo DJ 5, Calh, Bank Dopoll" & MhcelluneouI Penonol Properly (5chodulo E) 6, Jolally Owned P,oper'y 15chodul. FI 7, Trantl." ISchodul. 0) {Schodul.lJ B, Tolal 0'011 All," IIolollln.. 1.71 9, funeral Expenltl, Admlnhlrallve Co ,,,, MhcellaneouI Eop.nll' 15chodulo HI 10, Oob", Marlgago Llablllil.., Llano ISchodulo IJ 11. Tolal O.ducllon. (Iolallln.. 9 & 10) 12, Nol Value of Ellalo 11Ino 8 mlnUl Line 11) 13, Chari lobi. a"d Oovernm.alal 8.quOl" 15chodulo J) 14, N., Value SublecllO Too ILlne 12 mlnal line 13) 15, 51'00101 Trano'e" Ifor dolo. a' dualh aft" 6,30,94) Soe Inllrucllon. for Applicable PftrclInlage on Rev.'I. Side, Ilnclud. valu.. Iram Sch.dul. K or Schedul. M,) 16, Amounl of lIn. 14 'ooabl. a' 6% role Itnciude valu.. from Sch.dule K or Schedule M,) 17, Amounl a' line 14 laoable 01 15% ,ole Ilnciude valuOl ham Schedule K or Schedale M,J 18. Principal '00 due IAdd 100 from LI... 15, 16 and 17,1 19, trodl" 51'00101 Poverly C..dll Prior Palmenl. OllCounl tnl.rOlI 0.00 + 0.00 + 0.00 _~OO 20, If lIn. 1911 g"a'" ,han 1I". 18, .ntlr Ihe dllle"nce on L1n. 20, Thlll'lh. OVIRPAYMINT, gO 21. If Lln. 19 II greal" Ihan L1n. 19, e,,'or Ihe dlllerence on Lln. 21. Thlo 10 Ih. TAX DUE, A, Enl" Ihe InlorOlI on Ih. b.lance due on line 21A, B, Enl" 'h. 1.lal a' Lln. 21 and 21A on Lln. 21B, Thlllo Ihe BALANCE DUE, .Make Chock Pavabl. '01 R.gl.,.. af WillI, Ag.nt 1" ;',"'i".' '.. ~ ~ 'II sURI1'0 ANIWIR ALL QUISTIONS ON 'NIV.RII'SIIlI'ANlITO,.icHICK MATH ',:il( <(~l)~r"".:,\,'ti(!' Under pOlloltl,. of perjury, I declare Ihall hove uomlned lhh return, Including accompanying 1chedules and 110Iln,,01l, and 10 the bl'l of my ~nowl.dg. and blll.f II h Irue, cor reel and complele. I dedar. Ihot nil real 011010 hOl hllen roporled allrue markel value. Oeclarollon of preparer olher than the perlonal reptlllnlollv. I; belled on olllnlormollon of whl~r.pau" hen any knowledge, r---;i'C".mON m'DN'"'' '00 ;ii'tlo "WRN"'-- Aoa"!IR~'D~-1.-,-mjx-6'2g-------'-"'---'---- Slot . P RfR 0' ',r.! f.~eJW~nm, ~:~~;~b~~~rA BI~~~.9-----,- . Meohll.nlo/I1J~rg, PA 17055 ,_ RIV, 1100 I,. (1'''1 ~ ~19 ~~ik z ~ I z ~ i . B S - I!J ~ r- /2_ II I ....__.".0--'.0_0. ( 2 ) .___________.Q..Q.Q. I 3 ) .,,____.__. O. DO. (4) ...-----.".-e-9..Vp. 15 ) .... .__n__.J.Jll1.1._~_ 16) ._.____.___..9.,,9.Q. 17)_.__._____ 0.00 l,871.1l~ 19) ________..2.22.12_ 1101_._._ 0.00. (8 ) 1111 112) (13) .114)_. 962.12 2Q.tt.t. 02 0.00 909.02 115) _________--'1.&Q.M,_- 116) ..__.___ 909.02 M ,06- o ..QQ., $4.$4 1171 ___"'._.________._Q.I.QQ.M ,15 - 0.00 (181__. 24.54 1191 ____ 0.00 1201 _______--'1."OQ.. (21) _____.__.24.54 (2IAI-------.-.5~:l (2181 __._.__ (IH'Ck 1"'If' I' you 111(' INIUt.\llIIlI n 'ft.fund of your oVI"f'C1v"wnl :~"l,h(.)./~s- OAt( T~ f. J 2(1 I.J.S:' , , " , i ~ ';1 ,;1 , I' ,. : .! I ii' , . ' :, " j . '(' " ' ,I , ,I, ., . Ad '41 ., 1 '94 provld.. for tho r.ductloll 0' the tax rat.. Impo..d all tho n.t v~lu.of tralllf.r. to or for the uc. ., the .pou." Th. rat.. a. pr.mlb.d bV tho .tatut. will bll " ' ' . 3% (,Ia) will b. appllcabl. for ..tat.. of dee.d.llt. dvlng on or oft.r 7/1/94 alld b.for. 111/96 . 2% (.'2) will b. appllcabl. for ..tat.. of dee.d.nt. dvlng on or aft.r 1/1/96 and b.for. 111/97 . 1% (.'1) will b. appllcabl. for ..tat.. of dee.d.n.. dvlng on or aft.r 1/1/97 and b,'or. 1/1/98 . Sp.UMl tr.nd.r. occurring on or aft.r 1/1/~8 will b. .x.mpt from Inh.rltance talC. PLEASE ANSWER THE FOLLOWING QUESTIONS IV PLACING A CHECK MARK (1"') IN THE APPROPRIATE BLOCKS, 1, Old d.c.dent make 0 transfer and I , , a. r.taln the UII or Income of the property transferred, ""II,".HIIIlHltlllltlt'""IIIUllltllltllltfltlll b, retain the right to design at. who ohall UII the prop.rty transf.rr.d or Ita Income, ,,,,,,,,,,,,.,, , . c. retain a reversionary Int.r..t; or .........I...t'I.I'...II'I.....II..I.~.'II...I"..I.lt..,"..11111..1'0111t.'1'1O" . ,d. r~c.lv. the proml.. for 11ft of either payment., b.neflt. or car....",,,,,.......,,,..,..,,.......,,,,.. 2. If d.ath occurred on or b.for. Dec.mb.r 12, 1982, did dec.d.nt within two y.an pr.c.dlng d.ath tron,'er ~rop.rty without r.c.lvlng adequate conoid. ration' If d.ath occurr.d aft.r D.c.mb.r 12, 1982, did dec.dent tranof.r prop.rty within on. y.ar of d.ath without r.celvlng adequate conllderatlon' . llf' ""; I."............,..,...........,....,."... 01.... 1.1. t .,1, It. 11'1111'.... t I'" till 1 t t I'.. 3, Old deced.nt own an 'In truot for' bank account at hlo or h.r d.ath.............,..,......",,,,,,.,,,.... IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, . YOU MUST COMPUTE SCHEDULE G AND FILE IT AS PART OF THE RETURN. "I t~.t 't... >~' i,I In )(1: (",j " , 1.1.. , I" , ~ "'" '. I :~ , " .... , Ii e, , , . , ., II '" ~~ . &!O; I.: . '1'\ I ,,11 .!!l:!l , , 00 , .'V.ISIJ f.. lUll ~~ to,l,tMOUWI.l\!t1 o. "HNinvAWA INHIIIIANCI fAl( wnUIN "'loINlole_OIN' _.___."NN_._N..____.._.. __ __0__ UlATE OP F'AY O. WERTZ . . I , I .1 ITEM NUMBER 2. 3- 4. 5. 6. 7. ITEM NUMBER 1. SCHEDULE J BENEFICIARIES NAME AND ADDRESS OF BENEFICIARY PILI NUMBER 1994-010$6 .,., ____.._._..__...n._._.2.1-94':'.~,Q2~_._ AMOUNT OR SHARE OP UlATE RELATIONSHIP A, Ta.able Qequellll ...... .... ..... --__.__...._.._.H.._N. .~__._..____._._._ ___.'___~'_ 1. GEOROE J. WERTZ 8,31 West Trind1e Road Meohaniosburg, PA 17055 NAOMI o. WOMJm R. D. 1, Box 629 Landilburg, PA 17040 RUTH V. GANOUNG 3667 Gounty Road 139 Ovid, New York 14521 SANDRA BAROLAY 901 Spring Oiro1e Meohaniosburg, PA 17055 DENNIS WERTZ 145 Hampden Drivo MountvUle, PA 1 755L~ MIOHAEL WERTZ 1612 Trind1e Road Oar1is1e, PA 1701,3 JAM HATALLA 2086 Oounty Line Road York Springs, PA 17372 Son $1,000.00 Duh bequest. Daughter One-third share or residuary estate. Daughter One-third share or residuary estate. Grnndd.nughte 1/12 share or residuary estate Grandson 1/12 share ot residuary estato, Grandson. 1/12 share ot residuary estate, 01' nndda ugh te, 1/12 share or residuary estate, NAME AND ADDRESS Of BENEPICIARY AMOUNT OR SHARE OF ESTATE B, Charitable and Governmonlal Boquo,'" " , ' TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS IAho onlor on Itno '13, Rocapltulailon) S (I' moro 'poco I~ noodod, In,ort additional ,h;;t;';, 'am. ,1'01 / /5 ~ 1/-/4 ,-\ '../ RIV.11147 IX AFP 112.94*1 C_All" Of Pf_YlVANIA ACN 101 D1!PAlI1H!Nl Of ReveNUE NOTICE OP INHEUTANCE "AX IUllfAU Of INDIVIDUAL lAXU App~AUEHENT I ALLOWANCE OR OISALLOWANCE ~mil~~~:lpA llU.'06Ol OP OEDUCTIONS AND ASSESSHENT OF TAX DATI 09"25-~5 ISTATI OF WERTZ l'-'A FILl NO. . 21 94:1058 DATI OF DIATH 12-01-94 COUNTY CUMBERLAND NOTE. TO INSU~E P~OPE~ C~EDIT TO YOU~ ACCOUNT, SUBHIT THE UppE~ PQ~TION OF THIS FO~H WITH YOU~ TAX PAYHENT TO THE ~EGUTE~ OP WILLS, HAKE CHECK pAYABLE TO "REGISTER OF WILLS, AGENT" , REMIT PAYMENT Tal J ROBERT STAUFFER ATTY MARKET SQUARE BLDG MECHANICSBURG PA 17055 REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE, PA 17013 [ A""""t ~~Id-J CUT ALONG THIS LINI ... RETAIN LOWIR PORTION POR YOUR RECORDS ~ ilY\i:is47.iiC.Aiii".i12":94Y"iiiii'"iiii"op'i"NHiiiii'Aifci"YA'x"'A.ppR'A.mifiiir;.;;i.i.OWAifci.oii................. DISALLOWANCE OF DIDUCTIONS AND ASSISSMENT OF TAX ESTATI OF WERTZ FAY C FILE NO. 21 94-1058 ACN 101 DATI 09-25"95 TAX RETURN WAS I I X) ACCEPTED AS FILED I I CHANGED RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE APPRAISED VALUE OF RETURN BASED aNI ORIGINAL RETURN 1. ~III Eobtl ISohldull Al II) 2, Stookl _ 80nd. ISohldul1 B) (2) S. Clo..l~ Hold Stook/Plrtner.hlp Intlrl.t (Sohldul. Cl IS) 4. HortOOSll/Hotl' Rlollvlbll ISchldul. 01 (4) I, Cuh/Bonk DlpoRlh/Hhc, Plr'.cnll Proplr\~ ISchedul1 E) (5) 6. Jolntl~ DMnod proplrt~ ISchldul1 FI (6) 7. Tron.flrl CSchtdull G) (7) I. Totll AUlto ,DO ,DO .00 ,00 1.871,14 ,00 .00 II) 1,871.14 APPROVED DEDUCTIONS AND EXEHPTIONS, ,. Funuol EMpon.../AdIo, Cc.h/Hhc. E,,,"",," ISchellul1 H) 191 10. Debh/HortOllll LloblllUu/Ulnl ISchldul. II (10) ,DO 11. Totll D.ducUon. (11) 12. N.t V.lu. of TI. Rlturn (12) 15. Chlrltobll/GovlrNllnhl 81quuh ISchedu11 J) (15) 14. Hot V.lu. of Eobtl Subjlot to T.. (14) . NOTII If.n .......Int w.. i..uld prlvioU.1y, 1in81 14, 15 Ind/or 16, 17 .nd II will rlfllct figurl. th.t inc1udl thl tct.1 cf ak1 rlturn. 11..I..d to d.tl. ASSESSHINT OF TAXI II. AMOUnt of line 14 It Spou.11 rltl 1151 16, AMOUnt of LIne 14 tl.lbll It LlnIII/CI..1 A rlt. 1161 17, AMOUnt of llnl )4 tl.obll It Collltlrll/Cll" 8 rltl 1171 11. prlnolpll TI, Dul 962.12 Y&? 1 '- 909,02 .00 909,02 , 00 X ,03. 909.02 x, 06. .00X,15. Ill) .00 54,54 ,DO 54.54 TAX CREDITS I PAYHENT DATE o -22"95 RECEIpT NUHBER AA04791. 0 DISCOUNT It) INTEREST 1-) .00 AMOUNT PAID 54,54 TOTAL TAX CREDIT BALANCI OF TAX DUE INTlRIST TOTAL DUE 54.54 .00 ,00 .00 . IF pAID APTE~ DATE INDICATED, SEE REVE~SE FO~ CALCULATION OF ADDITIONAL INTEREST. I IF TOTAL DUE IS lESS THAN II, NO PAYHENT IS ~EquI~ED, IF TUTAL DUE IS REFLECTED AS A "C~EDn" (C~I, YOU HAY BE DUE A REFUND. SEE ~EVERSE 5IDE OF THIS FO~ PO~ INST~UCTIOHS,) 2~1 . "ti:,:1 n (I I..n ,II) .-\ ., \;)1 'I" . , ~ I , t.f I, l " I...j '" , " .' l~l " ') \oJ , r~1 ~ IJ ~ r,~1 " ) <~ ; \ .l>- I " , , REIIRYATlIlH. I.,.,.. 0' dOG_" eMnt on' 0' INofo..OIc_, II, 1911 .- 11 onv lulu.. In'''..' In 'hi ..,.t. II "on.f.rred , In po.....lon or InJoYl*1t to el... . (ca1ht'nO betttl1ol.rlll of thl dtc..", I",r ~hI ,,,,,'rIUon 0' env I.t.t. far II'. or for Vllr" thl COIIOnWIllth htrlbv .kpr.,llv r...rv.. thl right to IPpr,I'1 Iftd ...... trnnlf.r InherltlnGl 'IX" It thl lawful ell.1 . (0011It,r,1) rlt. on any .uch future Inter..t. PIJAtlOSIIOf' HOIICE. To ,fulfll1 thl rlqUlrlHnh 0' Slotton 2140 of thl Inherltlno. end E't't' h)C Aot, Aot 22 0' 1991. 12 P.C. ".Uon IUO, DetlCh the top portion of thl, Hotlol Ind suo.it with your PIV-.nt to thl R..,.t,r of Will, printed on the rlv.r.. .idel -.ItIIl. .- or IIMV 0,111, P.vlbl. 10. REGISTER OF MILLS, AGENT All p.~h rtelllved shlU flrtt be applied to any Inttrut Ifhlch ..y be dutt with any r...lndtr ...1!td to the tax, A r.f\Rt 0' . tax or.cUt, which we. not r.qu..teet on the TIk Return, .ey be requa,teet by OHPlltlntI en "AppUutlon for Rlfund of Penn,YlvAnI, Inherltancl end E.t,t. fiX" (REY-ISIS). Appllcltlon. .rl eVlll~l. It the OffiCI of the Rttl,t.r of Willi, MV of the IS Revenue Dhtrlct Offlo.., or by uUln, thl IplGlel Z~-hour ftnlWlrlntl ..rvlcl nutbtr. for for.. orderlngl Xn Penn,vlvtnl. 1-IOO-"Z-ZOIO, out, Ide Pennlvlv,"l. Ind , wlll1ln 1...1 Itorrhburo or.. 17I71 717-10901, 100. Ol7l 771-1251 Cltoor'nt 1....I'1d OnlV), . PAYlEHT . REfUND ICII. OIJlC1I0HI. M~ p.rty In Int"...t not I.thfted with the appr.h....,t, IUOWInCII Dr dl..Uowencl of deducUonl, or .....Hlnt of tlX Unoludlnt dlloOWlt or Inter.." .. ,~ on thlt Notlo. lU"t obJlOt within tlxty (60) diY' af rlele.pt of Ihle HoU.. bVI .".,rUt." pro tilt to the PA Dlper","t of Ae"enue, 'urd 0' App..1t~ Dept, 211021, Uarrhbur" PA 11121.10U, ON ....lection to hlYI thl .atter dtter.lned .t eucUt of thQ IOCClU'lt of thl perlonel reprlllnteUYI, OR ....."..1 to thl Orphen,' Court. AIlHIH 1111A1I1'1 C_C1I0HIt Factuel Irror' dIIDo".rld on thl, ......lent lhoUld be tddr..1Id In wr.tlng tal PA o.pert-.nt of RI"enut, lurelU of tndlYldutl 'lXII, ATTHI Po.t _.....Mnt Rlvlew unit, Dlpt, 210601, Harrhbur., PA 17121-0601 Phone (117) 717-610S. SII Viti S of the bookl,t "In,truetlon. for Inherltancl Tax A.turn for. R.,ldlnt ~t" (REY-IIO!) Tor," Iwp!lOttlon of ~lnl.tr.tl".ly oorr.ottbll Irror.. Jf anv t.M due I. Plld within thrlt (S) e.llnd,r tenth. ,'tlr thl dIotatnttw delth, I fl"l pere,"t (S~) dl.count of tho ,.. plld I. .llowed, Interllt It chtrttd beginning wJth first dlv of dt1Jnquenov, or nln. (9. Mnth. end 0f'III (l) d.V fro. thl eIIt" of delth, to thl d.te of P'Vllnt. TIXI. which ~e dtllnquont blfore Jenutrv 1, 1'12 ~r Intere,t It thl ret. of .IM C6~J ptro,"tp.r ~ cllculet.d It I dailY rlt. of .000164. All tIMI. whloh bee..e delinquent on and .fter Jenuary 1, 1"1 will bllr Intlr..t .t I rltl which will ",rv froe clltnd1r Vllr to cllendlr yl.r with thlt rat. ~td bv thl PA Dtp.rt-.nt of Rlvenut. The tppllc~l. Interl.t rlt.. for l"Z through 1995 .rl' 011C0UHT. IH1Ellll. Vllr tntlrllt Iftte DIIlv Int.re.t FlOtor ~ Intlr..t Rltl Dilly Inter..t FlCtor - 1'12 ZOi ,0001" 1917 ,~ ,000247 I'U IU ,000411 19"-1"1 IU ,000501 19M iii ,000501 1"' 9~ ,000147 I'll In ,OOOS16 1"1-1994 7X .000191 1'8/1 IO~ ,000174 1"1 9X .000147 ....Xnter..t I. c.lcul1te4 .. follotlll INTEREST · IALAHCE OF TAX UNPAID X NU"IER OF OAVI DELINqUENT X DAILV INTEREST FACTOR --Anv Hotl.. l.lOId .f'., 'ho I.. bIG.... delinquent will ,.fl.., In In'.'..' ..Ioul.tlon '0 flf'oon CIII d1V. INovond 'hi 1111. of 'ho ......_1, If P'_I 10 _ .ft" IhI Int.r..' o...,.Uon d.t._ on IhI Hotl.., oddl'I...1 In,.,..1 lU.t be o.loul.lld. ,.., \.'