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HomeMy WebLinkAbout94-01075 c.,',_ ,<" ';'^ i~~?}}~[ s~r.!~.!,I.i I ~/!>::;,: i::i~:~i~~ ~0::7~: ~'.,:<'.. ;--",,~ ~'. .,,' ~i~;~ ~"f.'__'/ ~1~.rt1; :j-~t\;;~ t",;t;.".I'l. ~!~i~ 1~~(;~ ....-. '.:-'.l~ ,...;, \1 -':,'.;':"., " ""::'~~<~.....,y. ,- . .. _,.,. r ., ;'~{~,:;).~:!.;'t ' . , . - . ,.'- . I" .....,~. .,-, _ ~1'~:,,;.J:I.:'''"''~' - ' J~'l. " ~ ' '1" ,'.: " --- PETITION FOR PltOlIATE nnd GI{ANT OJ.' LETTERS E.'lal~(l1 /VI~~,:/ c; -"....l>.J,,"'\, No. _~/~.!i-'./--IO?5 al.lOkllllll'lIa" ,M-~l'"';'<''''''' l'-l.,\o:k- To: Rcgl,lcr of Will, for Ihc ,.e....-. f)~"~9I"'" Counly of c~.", \,.. \"",A In Ihe Sudal S~t'IIr")' Nu. ./l1:;=-;){ /- (, (102- COlllmllllwenllh of I'ennsylvllnla The pellllonof Ihe uudcrslgned rc'pcclfully rcprc'cnls Ihlll: Yonr pClllloncr(<t}, who I,,t;w: 18 ycars of IIge or older nnbhe cxcCIII., v . III the last will of the ahove dcccdenl, dalcd :s~ ",,- 'I and codlcllW- dalcd -:s '" \ .., z~ ,-1!1.4:S: nmncd ,19b- hlBt!: rele\UIII clU:lIl1nlRIICei, e.8. retlUnclBllon. dealh ur e'(<<lItor, etc.) Decendcnl wn, domlcllcd III dClllh III C.. '^~ 'un 1-" do I. 0..... lasl family or prlnclplIl rcsldcncc,1 Gi'..... ~~ 'f.:,' j.. ~....,~ - <<' \", ~ -' '"' I (11\1 ,n<<l. Illllllher IInd mlllldllaHt~) Decendenl,lhr.1I "It: ycar, of agc, died })..... L'~ \",. ,;,- , . ,19 "1&Jl al c;..... k..I. I-\..s~ :-\"l ..~" \.' \.. . ExeCI'I as follows, decedenl dl nOll11l1rry, was nol divorced und did nOI hllve u child born or adopted . after execullon of Ihe will offered for problllc: WllS nOlthe vlcllmof a killing and was never adJudlcaled Ineompelenl: r "'. V"O . 1 Deeendenllll dealh owncd properlY wllh e,lInlllled value, a' follow,: (If domiciled In I'a,) All personal plllperly (If not domiciled In I'a.) I'ersollalplllperly in I'ennsylvanlll (If not domiciled In I'a.) Personal properlY In CoullIY Vulue of relll c'lale In I'enn'ylvanla sltullIed a, follows: Counly. Pennsylvania, wllh 'I /",,' , $ z."3, $ $ $ 0'"0. t"-,(') WHEREFORE, pelllloner(,) respectfully request(s) Ihc probule of Ihe la'l will and eodlell(s) presellled herewith und Ihe granl of lellers -\-.. ~ "" -- ~~, .\~... t tte\lnmcntnr)': Bdndnl\lrlltlu I C.I.a.: lIthnlnblrnllon iI.h.n.c.l.n.) Iheron. ii ~- 'il' "'I "'.- a'~ ~l ~'o [ Iii . a...c7(' '\J "''V',^_ ""'v"'" ,'-'~ t"' .u~~-4\..r.. ~'(Vtl..-( ~ltv.r '/tJ'\,j\c-t t'1 'I ,,.,...1 (/.. OATH OF PERSONAL UEI)RESENTATIVE COMMONWEALTH 010' PENNSYLVANIA } I:lS COUNTY OF CUMBERLAND The petllloner(,) above.nlll11cd ,wellr(,) or afflrm(,) Ihlll Ihe Slalel11ents In Ihe foregoing pellllon lire Irue and cor reel 10 Ihe besl of Ihc knowledgc und belief of pelilloner(s) IInd Ilml a' person III represen. Inllve(s) of Ihe IIbove dccedenl pelllloner(,) will wellnnd Iruly adl11lnl,ler Ihe eSlate according 10 iaw. Sworn 10 or nffirl92~ und ,ub,crlbcd 0>-.~C:. '7 "J '-'V\.......'..'^"'l~ '" befure l11e 11~~BtR- dag uf 1,. ~. f- l' 7Itt~.g:~EWlS' Ut-<L!-~3~L~~' ~ N 21 - 94 - 1075 o. Estntc of MARY C. WEBB a/k/a MARY CECILIA WEBB I Dcccnscd DECREE OF PROIIATE AND GRANT m' LETTERS AND NOW DECEMBER 28 19~, In eonslderollon of thc petition on Ihe rcverse side hereof, sntlsfnelory proof huvlng bccn presented before me, IT IS DECREED thlllthc Inslrument(s) duted WILL DATED JUNE 1, 1962 CODICIL DATED JULY 26, 1965 dcserlbcd therein be admitted to probnle IInd n1cd of record os the Inst will of MARY C. WEBB a/k/a MARY CECILIA WEBB and Lellers TESTAMENIARY arc hereby grontcd 10 CAREY VENNEMA ~/@lfL'J/.~Ltfm~fJdu Rosl"" of Will, . 0 (j MARY C. LEWIS FEES Probate. Lellers, Ete, ,...."., S 60.00 Short Ccrtlneotes( 6) ... .. .. ... S 1 R .00 Renunciation .,...."....",. S X-Pages S 6. 00 CODICIL 10.50 JCP TOTAL - S S.OO Flied . P.~G~l'1~.~~, ~.&,. ) 9.~4..... .99..,50. ATTORNIJY (Sur. CI. 1.0. No.) ADDRIJSS rllONIJ N ~~ o!tl ':"I N ,~ r ..)j:"': Ii: I) .?- :;8 ' .'- ~1: ~,_ ~ ,_, r) .:-0 -n ,.. 'r: <1>(1) c.o . (ij "On CI . \ Q3 -.- ~f.f p1; ~~ a: a: Mailed letters and order to Executor on 12-28-94. This is III n:rlif)' Ih.ll dll' illfllrrn,lIiulI herl' ~in'lI i\ tllllt"lllr t'opic',\ hllll1 ,lit t1ri,Ldll.tl n'l'Iifk.i1l' tlf dt.,It'., .~llIly l.oc:l1 Hq;islrilr. The lIIigill.11 n'rrililllll' will h....lon\'.lnh.t1ll1 Ihl' SI.lIt. Vil,III{("l'tlld\ ()flul' ltlr I'l,,.m.IIIl'1I1 tllll1~. WARNING: It Is II10golto dupllcato this copy by photostot or photograph. Fl'C for lhi\ INCi(k.lIl.', 51.HO 2666235 Nu. ...,...,.. -,\I '<I :iI r" ..\..,~\"'~~. ..:) -\- ~.) ... - '::>\-.cvlX, ",,,,,,1', ~D.\ - !,"O .- ()' \ 't.~, 1\'"\<:'......... C' <,.,\\.y; 111t.d wi,h 1110." 2J:.~!:,,_~,_!~,+-~t"~ I.IH.ill n(.'~i!ollllr . nEe. 2 \ \994 _.._~_~._._."t1___._~__..___ D.Il" 1'''01''.'''''1'''' COMMONWEALTH 0' peNNSYLVANIA' DIPARTMINTOI' HEALTH' VITAL RICORDS CERTIFICATE OF DEATH (Coron.r) - , "I.l ... i , t.i , ., I ~I,~\,ol " .,,~.\- ceciliA Webb - ~- ~.'''''''c.-... altlmore Hd. -~ " "'-- ...--.--, CArlisle ....=.,;"'=.:::~ o WoILI<oOAOOMU... c.,. ..... <C .. """~ ...,.occ -- -- n...... b.. 0111 DlRM.........O"'..... . December 17,1994 ==' 0 ""- (J :::"'0 - ,.......,.. White ,.- ".0",,__.. " ,.. mb .. - M.. --.t .",0 :=...-=.:::" IOOftttl'l'.IIIoYI'.........,._.......... 210 Big SIring Rd, Newville. Pa. 17241 ."....,.._""l :::,~c--CJ ...............0 .. P9nn8b9rg M ...... - . 1994 .....- eanviev Prasb . Com. .-. o " " -"":_7..--.'--....-.--,.... " 11.00 A, December 17, 1994 .~,., ----,-..-..----...- ...-...-.......-..-..--.-.-..-- t....,__...__ Probable pulmonar Embolus out... 1<<; I t d t I .",,, , Fall '0"" "'" . ..........IP'lIICllIIJO OOW\1ITOI06~M "'....... -. " . "","".o.,~ ~ - -- 1-....- ... .... ..0 ...-..,,~=o:=.~ Severe Outeo oroeis ...0 ..0 -- -. _.0....-. o Dec.13,199 9.40 A, o CJ ,...- -......,,-. ;:-"""-IIl*""Nursin Homo ... 0 ..N. o J4 o - - "- .. - c..e...._ - _"'0-.__ .CI.,.-..-~'"'-<~,_.___~.....__""____t. "'..-.....,..........____11...._.1....._.._....,...... ....................... -..olHOCI"""__~~_-..._............._,,-.. ....-.....,..........---.....-.-.-.......__........-r......._M_.......,...........,...... 'llGfCALru.....M:0Il0ffI.' DIll.............................,.............. """".............-* "........,...,....,................. 1IOotIl.,.... -.........................,..........................................................................,.,. ... -I I -. " - . Fall tram StAndiny lleigh!: Rd. Newville. PA Coroner -...... ._1 Dee, 19 1994 ...wI Ol'""tcIt 111 01 M 11)'.......... Michael L. Norris,coronor .. 405 FairwaY Dr ve ~" Mechanic8bOr , Pa, 17055 ~iS:e., ;, \99'-1- .. do; 21 - 94 - 1075 ".<ot..~~,.\.;",-. t' , I' '~ (~. :..:' " '1..- if ,~ . ... . . ~. LAST WILL AND TESTAMENT OF MARY C. WEBB I, Mary C. Webb, of the City of Harrisburg, County of Dauphin and State of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking any and all Wills by me at any time heretofore made. FIRST: I order and direct that all my just debts and funeral expenses be paid by my Executor as soon as possible after my decease. SECOND: All the rest, residue and remainder of my estate, whether real, personal or mixed, and wherever the same shall be situate, I give, devise and bequeath to my husband, William A. Webb, Jr. THIRD: In the event that my husband, William A. Webb, Jr. should predecease me, I then give, devise and bequeath all the rest, residue and remainder of my estate to my daughter, Mildred Webb, my son, William A. Webb, and my daughter, Mary H. Vennema, share and share alike. FOURTH: I hereby nominate, constitute and appoint the Citizens Trust Company of Harrisburg, Harrisburg, Pennsylvania, Executor of this my Last Will and Testament. IN WITNESS WHEREOF, I have hereunto set my hand and seal this rt€IJ: day of 9t~"t1. A. D. 1962. kt#rl c ,7,), U- (SBAl.) On this loA! day of OzV1U , 1962, Mary C. Webb {/ of Harrisburg, Dauphin County, Pennsylvania, signed in our presence the tore going instrument and declared the same to be her Last Will and Testament, and as witnesses thereot, we do now, at her request, in her presence, and the presence ot each other, believing her to be ot sound and disposing mind and memory, hereunto subscribe our names as witnesses. >~ t. ~~ ~ Residing at )L,:~ ""d'ng" ~~ " ., .., ".iI'''' "'1,'0 .'........ . < J '. . CODICIL TO LAST WILL AND TESTAMENT OF MARY C;-WEBB I, MARY C. WEBB, of the City of Harrisburg, County of Dauphin and State of Pennsylvania, having made my Laat Will and Testament dated June I, 1962, do hereby make, publish and declare this to be a Codicil to my said Last Will and Testament. FIRST: Whereas in Paragraph Fourth of my Last Will and Testa- ment I appointed the Citizens Trust Company of Harrisburg to be Executor of my Last Will and Testament, I hereby revoke said appointment, and in its place nominate, constitute and appoint my son-in-law, Carey Vennema to be the Executor of my Last Will and Testament, and direct that he serve without any fiduciary bond of any kind or nature. SECOND: I hereby ratiiy and confirm my said Last Will and Testa- ment except in so far as any part thereof is revoked, amended or modiiied by this Codicil. IN WITNESS WHEREOF, I, Mary C. Webb, have to this a Codicil to my Last Will and Testament, dated June 1, 1962, subscribed my name and set my seal this J). ~y of , 1965. (SEAL) ..... -..I. .. . II:, . I Sublcribed and lealed by the Tutatr1x in the pruence of UI and of each of UI. and at the lame time published. declared and acknow- ledged by her to us to be a Codicil to her Last Will and Testament dated JUIl.ll I. 1962. and thereupon we. at the requut of the said Testatrix. in her presence and in the presence of each other. have hereunto subscribed our names as witneues this;L ~~y of . 1965. ~~fl~ J{U G /;f1L RESIDING AT ~ ~~tc~l ~e,. RESIDING AT '<" I," -~ ; l:f E-i. ~oeau ~E-i< l>< 8":~ ~ . foe' :',~ ~:_: '.1, c.t:~ .',' " '~:~~~~t: ~<l::~ """",-, .::.;.', :<- -:~ - " .' \",'c" ..-'~1.' :;,~i~; l,.:;~x~;::~:.~;r:;~{;'~W~i~~t~w~~1 ,.,.,'" 'c'" '",' -.,' l<'~~:;"'" '. ~'.t,:;i;~..i;:,~~ ~~:"."'i~,' , ,,-.' -','-.,- ., .' ., ... . I;" . 21 - 94 - 1075 REGISTER OF WII.I.S 01<' COUNTY OATH OJ.' SUIISCRIIIING WITNESS "-... '-... codicil (each) a subscrlblng1vll~ss to the will presenled herewith, (enchl}.e1n duly quullned nceordlng to law, depose(s) nnd sny(s) that ./ present und saw "- /' ~ /' . , // the teslpl , sign the same und thal.._ . .- signed us n witness atlhe request of testal_ In "--- preS5-nce-n~ln the presence of eneh other) (In the presence of the other subscribing wltness(es)). .,,/ ~ Sworn to or arnrme~ndS;;I;~;::bed before "-. me thls./ dllY of ~"-. (Name) ,_ /'~. t!- 19_ /A..w(r reeS!ss) ,.. .II) ~ ..K li:~ . .. "'" '~~ lr! ':5 RegIster 1.: ~ ,8 (Name) ""'" "tt:; ~ ~ $ ~ ' . j (Address) 'E.!!l c; ._ ~I ~ ~j REGISTER OF WILLS OFCu,'^~~'I1' I A 1-1'll COUNTY OATH OF NON.SUBSCRIBING WITNESS C.~h.... 7 \j"...., ",h~'"" ...."'.\ /"1",,'1 "l..lI, \)~ q"'."'''''J , (each) a subscriber hereto, (ench) being duly qunllfied nccordlng to law, deposc(6) nnd sny(6) that "",.1.- .1' -l1".,..,.... :.. fllmlllllr with Ihe slannlure of I"'~.., G.,.; \"_ Lv. b'q . . <I')" codicil testal ",\ x of ~e-ef-tbC-sublOr~bln8- wllnesses-to) Ihe will A presented herewllh and ..~lo. codicil that ".....1. .1.f -II.., N... believes the slgnulUre on the wll!,.ls In the hnndwrlllng of c,,,~\",, Lv,,\,\" knowledge und belief, Sworn to or nffirmed und subscribed before C;;;:.'...." -- J \J ..........." "',... vv' ,'- me this 22NO dny of ( (Name) _ ~1 () I AECEMBER 'l,-19~ 'ZJ r W' ,..\ ,,-I\-' S,....., i, N.w '1_~ \'}" ,y, ,~ V4,,'7I( .iftU"~,,..p_1. /....1J1~/14i )J;ltf'vl/llJ l/J"'#ess) MARY C. LEWIS Regl5t~r 7IO_ '!!.. ,f..U ~"'114V 1"- [fName) /I .' l/ t II Y ,:u. S' ,:;/,~,,(- //11. ) ( . , {,tv I (V1/ ;V' . (Address) ,S'_~ , -i' '~.--.i'_ OF .' ~,_ ~ . ? CERTIFICA'I'ION OF NO'I'ICE UNDEIl IlUbE 5,6(a) ("\"'''"'"1 C, Web\;' 9Q;:rl iP- :P.! .-lC.......''YJ'''' L7 , "f ()L/&~' ,~~ ~. , rTl "'~ r. I cc it) It\ _' '""'19- I ~ ~~Q c", .>, o ~ i.~;: ; n ;!3 ;:!IV To the Regislers l) 0 j!c j,;, 1iig. I cercify that notice of beneficial lllleftst rilquire.:i 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 -ro..""'V\"t 3c:;.lI f'19.r1 Name of Decedent I Date of Deatl\! will No. t"l'llf- d '.0"7 S' Admin, No, Name w: \'\: ....""" 11. (,V.. 'b h Address 141-2.7 ri S'+~~"'-\ S',..I,'J,,,, C'O ~1'2."'\ , (VI"",.. " . 1;, V ~ "'....... "'V\^<>. 26 'f W.J"-\ 1\-1", ,So\v.o.:i', to-lco..v'lr,,\r.: t-f'/ L...... 1'1 . 1 . Notice has now been given to all persons entitled thereto under Rule 5.6(a) except C ~,.,...".) Date :~-S' ,,",v, V\"'"V 7 ,:;c--. I ,q 'r ~ . ~_"'~__I V"-''^'V'.....,,'''' ,_ Signature / Name C'.",,,,<,l,o -/ \)4: """'.........\o"\. n.. , Address :2 ~ r w', s -\ II-'h., S;-." e -J NooN Y"...... H \,/ , I r:tc.' I~) Telephone ('1''> J 2 V=<.- y. </. <! ~ ,/ Capacity: v Personal Representative Counsel for personal representative -. -. ..-. '" ~ -'O, ,_ '.' '- . . ....----- ---- ------- --------- - - - - - - --- -- ------ - - -- ------ I .' IIN~~A 02~8.~S+./' CO~OND~~~~~T ~~R:~~:YLVANIA, . i';'~I"; i'~'1 OPFICIAL RECEIPT Ii PENNSYLVANIA INHERITANCE AND ESTATE TAX .....'.... . .. . .., . . : . ,. -. . '" RECEIVED fROM, & ACN ASSESSMENT P:'I CONTROL ~ NUMBER AMOUNT CAREY VENNEMA e6S WEST 11TH ST APT I 1 NEW YORK NY 10014 101 .1,eoo.eo lOIDHUf _" '. .,'. . ESTATE INFORMATION, !II filE NUMBER ';,',,1,f.c:U 21-1994-107:5 . ..' ~ NAME OF DECEDENT (LAST) 1:,1 WEElB MARY C II DATE OF PAYMENT B POSTMARK DATE COUNTY SSN 000-00-0000 IFIRST) (Mil CUMBERLAND DATE OF DEATH REMARKS m TOTAL AMOUNT PAID ',11,000.00 ,ft CAREY VENNEMA REGISTER OF WILLS RECEIVED By'!1 1:\' I. ~ ~. /~'l ;", ( '5''''~~'' I , MARV c. LEWId......\"'t!......, REGISTER OF WILLS f'..h~ SEAL ,""":":-:"".- -~~-~.----_..- --.~ -- ~~--~- --- - - - -- - - - --- -- - --::;.--.;----~'- " I '. I. . .... r .. . \. .f ... . ...,'--- ) ". .r ."', ....JJ ~ ~- """- .' . -~ ,.. ....-.,. -'--T .,-r II .,..... 0 F New Yn\'\\~ GClMMONWIALTH-Of-PlNNSYLYANI. l COUNn OF ~IIAI.AND- \'(1: w 'Io'i1:(<;J III -I. Lo-. vt' 7 \J e V'\ V'\ ( v"'\ C'a., .J b.lng duly Cv.J.. ........ .ccordlng 10 I.w, dopo... and ny. th.t h. ~ S' -+'h.. I:"'...."''''.''v 0' tho Ett.t. 0' /"'\....1 c', w"",,\'... I t , I Al.~-'l '\-'- ..."'s: \,."., ~"W"" rl".',u C bid C ty P. d d d th.t th "' 0 -\L...._____n_..___~..... ..--~-~----.-'..~7 I um.r In Dun I '. le...llln . within h.n Iny.ntory mad. by"':""" .__, tho uld G..... .."'-\".... J 0' tho .ntlr. ....t..o, nld d.c.d.nt, con.htlng 0' .Ii tho p...o..1 prop'orty .nd r..1 ..t.t., ..c.pt r..1 ....t. ouhld. tho Commonw..lth 0' P.nnsyly.nl., .nd th.t tho flgur.. opposlt. ..ch It.m 0' tho Iny.ntory r.pr...nt It's hlr y.lu. .. 0' tho d.t. 0' d.c.d.nt's death. .nd subscrlb.d b.,o.. m., ~'j.-:z.. 1996 ~ ..5' v-J '" ...,.. """" 'I'" D.t. 0' D..th ARTHUR I:. HARROW Notary Public, Stalo 0' N.w Volle No. 31,4949786 Quanflod In Now York COunty <r"1 IlDmmIalon Expires April 17, 19~ ( t7 D.y r;Jv ~-:fY ;J~I~':;:^'V\. ~ 2-Cr W"A' -\ I' ~ S~...-f I'( t'\AJ "..... \c , N II Addr... Ie", I <.I 'Y r c: <I --... b c 'C" Month ~ ,.Sl .. .3 , u \ ( ~I t"l '1 '" V.., INSTRUCTIONS I. An Iny.ntory mull b. fII.d within th... months .'tor .ppolntm.nt 0' p...o..l..p....nt.tly.. 2. A luppl.m.nt Iny.ntory mu" b. mod within thirty d.ys 0' dlscov.ry of .ddltlon.1 ....h, 3. Addltlon.1 sh..h m.y b. .tt.ch.d .. to p...on.lty or ro.lty 4. SOl Artlcl. IV, Flducl.rl.. Act of 1949. !>- " ...s r.., ~ ~ (: ~ . ~ . u ~ ~ t., r- II ~ ~ W ~ ~ ~ w ~ g j!:o.-,u. ~ ~ ~ 0 Z 0.0 Bl ~ 0. o I '" ... 0- ~-. Z , "' . \ I i Q ~ . -" 4 ~ ~ c; i .. .. II U II o .; 0. :i- c ~ c:s .... c .. ,; II .ll e o .... .. it .. ... .. 0. , ~ ,.. , .. e ~ ~ S '" :::> ... , ~ - o ... '" 1 1 G II - ..:l Inventory 01 the real and peraonal ealate 01 jV\ "'v 1 c, l"Ve.1o \, ') daceaaed c....s-I", -:i) ..... 'V\ \.c S' . V\ ! I ! ~ ~ ~ ~ 3 ~ ,Me \I" '" ~...'^ ~ ( 1) E: ) 1'\, A, D~ ')> \,...... I 'J1 c C"\>~ r. "'......') /I.. <" ~ ,k - -I N <I, :.r'1 II V - 1:2 ,,- ~ M.. \\"..... 'B..."", \.. (11 e.) 1'\, II. 1)..~,. \."""", 1J e: S-l...-\8 """,.~,-\ .s-.....,.,.y f1....P....... -\. 1-1... orT I - 6'& If ~-, VJ:I_~....~1o"" S,,~:_~.r r-,..",~ S...,....i'l, r- s ~ \N1,,,,,,lV'~.'\r'O, 17 I::.. C'o...+-:f.,....:.I.. "f, 'Y't..,..... fl.............!>" 1'1'" y." 11'1 't4C.9 J .... ...-\.......,"'~ \ /7. 6 / '1 so \ 0-1.. \ :i:: ~..., G..""'""......, 7 Vd "0:) pUp.IJeqwno pno:"l 'I " ""'-~l1aIO OZ: Ed t7Z UdV 96. SIIIM '"I Jo::.jll;)8 10 Q:)!liU pr;oJO:le~ \ -,,_._' r. IJ/17 oS- $1 ~g'.S s- ') 2.<<'JC~O 00 'Z""',,,ao ($.... ,--'--' , \ _.-~. --~....._-.. . - . -.-, --- - .- - ...., -- -' .....- - ...- -- - -- RECEIVED FROM, & AeN ASSESSMENT f!I CONTROL iii NUMBER AMOUNT CAREY VENNEMA e6~ WEST 11TH ST APT. 1 NEW YORK, NY 10014 101 tll!!1b.8S fOlD HilI 1010 HilI el-1'i''i'4-107~ T) MARY C SSN 221~50-0985 ,~ FIRST) MI m POSTMA K DATE OUN CUMBERLAND DATE Of DEATH m TOTAL AMOUNT PAID .186.03 VZ REMARKS CAREY VENNEMA REGISTER OF WILLS C (l '-I RECEIVED BY "'" . 1J1.t.../ '.IN, t' l'IP1I/ l..,o.tJt;'i,. MARY C. LEWIS - . J( REGISTER OF WILLS SEAL CHECK" 114 _ _ _ __ _ _ _ _._ ___.--.-,-. _' _ _ _ _ _ _ _ _ _ ____ __' ----, --1_____ ,., .."', ~"; . # .1 .... ~ ~. ) '1' .. . "'.; ~...' ._' ~., . I I I,.. ., . , .;' ...~ , .j I t. j I f. " ~, .., ~. ' ",' f .' . , " , i ..t' ---.'."'-" ... . .......-.-.. ~.~--..- I -...;?' , I .- -.' j*"l.(,.llll.. br - ;' . . . -~ _..... .... e"..... .we ,.. -.- ...---. '. \, If.Y.W)l]U.III:91) ~ .,. 15. Amount of lin. 14 taKable 01 6% rate (Includ. .alu.. from Sch.dul. K or Sch.dul. M.I 16. Amount of line 14 taxable at 15% role llnclud. .alul' from Sch.dul. K or Schldul. M.) 17. Principal 10. duo IAdd 10. from IIn. 15 and from lin. 16,1 18. Crediu Spau,al Poverty Credit Prior Paymenl' Oiscounl + In",.f _rot" + SCI.I"I (, 19. If IIn. 18 II gr.al.r Ihan lin. 17, .nl.r Ih. dlff.r.nc. an lin. 19, lhl.I. Ih. OVERPAYMENT. Ii!D 20. If line 171, greot.r Ihan line 18, enter the difference on line 20. Thl, I, Ihe TAX DUE. A. Ent.r Ihe Int.r.lt on Ihe balance due on line 20A. 8, Enl.r ,h. 10101 of IInl 20 and 20A an IIn. 208. lh1. I. Ih. BALANCE DUE, Mak. Ch.ck Payabl. la, R.gl.t.r of Will., Ag.nt ... BI SURI TO ANSWIR AU QUISTIONS ON REVIRSI SIDI AND TO RECHICK MATH.. . '.'. Under Plnolll.. of p.rjury, I declare Ihot I haye ,xamlned thl, relurn, Including occompon~lng "h.dul., and ,talemenll, and 10 Ihl be'l 0' my howledg. and b.U." It II Irue, correct and camp let.. I declare thai all rIal ..tole ho, b..n reported at true morkel value. D,c1orOllon of preparer olher Ihon Ih, personal repre..ntallve I, baled on olllnformallon of which p"porer has any ~nawledge. IIGNA'Ullf OF PUSON AfSPONSllLf FOR flUNG IIHURN ADORfSS DAn: ro:.....<:t.--J \) l!1VIM.e"^,,A '"2,,: r V,,'CU+ 5~NAlUllf Of prlPAllf1l O'HfR 'HAN RfPIIUfN'ATlVf ADORUS " . I!! ~~~ 02.. 0." :c lSi IlCCl oz u2 I., ','" " '.-., 15-l.p_1 ..r '. ,,~:1..},:91\ .......lw~ COMMONWfAt1H OF rfNN.YlYANIA DfrARIMfN' Of R(VfNUl Dfn. 210601 HAU.~~UIIO. rA 11121-0601 INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) 'OR DAns 0' DIATH AnlR 12131/91 CHICK Hili ~o~::~U~:~DIT IS CLAIMID 0 PILI NUMBIR '"" I 9 V I '" -I .r COUNIY CODE YEAR NUMBER i ~ Cl Q~..,. '" ~ -' .1..:1 (' V-;.II" C{... '" I C'. 'b,~ s~...,.....c~ '" 0 _\J.( l'I..",,,;II, '\>:IJ 1"'"LY- I COIIIl' C.-"" ~ 'nt" \C"..-"",C\. o 3. R.malnd.r R.lurn (for doll. of d.alh prior 10 12,13.82) o 5. Fod.ral E.lal. To. R.furn Required _ 8. Total Number of Safe Deposit Bo.., \N~\'b 'OCIAl SfCUlIll't' Hlm z "l- ,_ so- f'o\.. . '. y. ql, y./) 'Y'if, .::0 '1 Ii' J' 19" 1. Original R.'urn Supplemental R.lurn o A. limlt.d Ellal' 0 Aa. Futur. Int.r.,' Comproml,. (for dol.. of d.alh ah.r 12,12.821 rnl6. Dec,d.nt Died Testale 0 7. Olcedent Maintained 0 Living Tru,' (Allach co 01 Will (Anach co 01 Tru,' AU COIRISPONDINCe AND CONPlDINTlAL TAX INPORMAnON SHOULD BI DIIICTlD TO. . ,,' '''' M U;.r W"J' ,,~ SoN-PI! +- 1"1 \:.w "/ ~.... \.. \'\ 'I I /'.-' ,;~ ':i(;q,i:: ~~ \J llv\V\.'t!V\"."'\." .. \00 I <t 'l..~'Z._'t-'l-u",\ z o 3 g g 1. R.al E,'al. (Sch.dul. AI ( 11 2. Slock. and Bond. (Sch.dul. B) ( 21 3. Clollly H.ld SlockIParln...hlp Inl.r.'1 (Sch.dul. C) . ( 31 4. Mortgag.. and No'.. R.c.l,abl. (Sch.dulo D) ( 4) 5, Ca.h, Bank Dlpo.l.. & Mllelllan.ou. P...anal Proplrly( 5) IScn.dul. EI 6. Jointly Own.d Prap"rty ISch.dul. F) ( 6) 7. Tranll... ISchldul. GIISchldul. l) I 7) B. Tolal Gran A..... (Io'alllnl' 1,7) 9. Fun.ral Expe",e., Admlnl,tratlve COSh, MI,cellan.ous I 9) hp.n... (Schldul. HI 10, D.b.., Martgag. lIabillll.., lI.n. (Sch.dul. I) (10) 11. 10101 D.dudlon. (Iolollin.. 9 & 10) 12. N., Valu. of E,'a'. (IIn. 8 mlnu. lin. 111 13. Charilable and Governmental B.que," (Schedul. J) 14. Net Volue Sub ed 10 Tox IIn. 12 mlnu, Un. 13 - "2- -, '"' 06 , 6' IX. , - (8) 2-"7 ","".::0, 6<J. 6, s I~. 'i .r - 115) " :r1~.9J" ." ~o, \L ~-), 6 S' - 'f-'F.:'7.6<i )( .06. - )( .15. / f 72 'I. ?-r': (171 116) 2. c> I V S'''7 6 'j z o !;i !; 0. ::e o u ~ Intere,t (181 --1,/' (191 .s-cr .Co n Chedc hele if you (llC; lL'qu(utinCj a rofund o' your ovorpavment. ( '7 </. z is (20) (20AI (20BI (,.5'7 te?, R'3 ....1-vS; ,_'~ tII (/NY",'" ~) LJ I '"'co rle I I Cj. ('u )96 DAlf PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (...) IN THE APPROPRIATE BLOCKS. 1, Did decedent make a transfer and: a. retain the use or income of the property transferred, .toto.,,,,,....,,,.,,,...,,,....,,..... b. retain the right to designate who shall use the property transferred or Its Income, c. retain a reversionary interest or ,........,,,,.,..,......"""'...',.,,.,,............,,.,,.,,....... d, receive the promise for life of either payments, benefits or care? ....................... 2, If death occurred on or before December 12, 1982, did decedent within two years preceding death transfer property without receiving adequate consideration? If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .................................,............... 3. Did decedent own an 'in trust for' bank account at his or her death?..,..........,....... 1~!- !'(~. ./ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. lid I.OQ plJ!lIJoqwn~ \Jno,", '. . "'i'iJal~ (Z: ld SZ lid\! 96. SII!M ;0 IUI'iifiatl JO O:)!IiO pl1OJOOOtl :.-n._r-:-..,-_;-'#' , , --~ I .,,~-;.! :.I-UOI'1t fJ.l7) ,f- '*' SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY PI.ol. Prlnl or 1 . FI E UMBER 2-1"1'1-_ la7S- .~ COMMONWI!ALTH 0' PfNNSYlVANIA INHIIITANCI TAX lnuaN II"DINT DlelDINT , ESTATE OF ("Vt ,,, 0( IAn propony loin c, VJ e \0 \;. n.d with tho Right .f Survlvonhlp mU.1 b. dl.d...d on 'lh.dul. '1 ITEM NUMBER DESCRIPTION VALUE AT DATI Of DEATH I. /Vl e. \\... '" ~_"^ \.: (SlI2:.) N, /I \ )) ~ '.:l.:r ),......... I }:J 'E- C hH 11. ""'-'::I Ac,''''''''~ \"\.., '3 '/1/.4 - \ '2.0 - ~ 117, OJ'- ,., ~, f\l\(Lll...V'I $nN\\c (J>t; ') ~\ fl., 'Yo.~S'),O~"') 'Y ~ S,"'.,,,""'.....-'I .s'~"'~"'~J' Il"""u~,,"- H.., ",f'rl-!(,p'i', '7 S- 8' S' '3. S- ,:!, 1 ., '5 \ \.U ;\vv.."'^i''''''''''''' s..~~ -~J' F....'" ~ S<"OC'.' il7 ( P S'\) W~\"",~..,.~J,O"^1 )/E.. C~....\-:t;::",.:\'e 0\- 'Y'''~'''j':-\. ;'c-c::o""'~ 1'1... Ij.... 1\ 'Z.4-~Q (II) \"..;,"'......v~~~ 1/2..";/9'.1'" 20, c.""C. 00 , S 'Z-7 000, 6~ (Attach addlllanal 8~" xii" ,h..lIlf mare 'pac. II n..d.d.) . .",... IIYUIlIIt l'lt, I ' ',' ;.'" '." },!~; t!ii ~ ~t~ oJ:! '" 'i" , H'; " tl {j. ~J '1-' No ,,~r ~, ';:1: ~' ~ l t: il r J ~ r I '} 'I mATI O. ITEM NUMBER A. '2,- . SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES COMMONwr"'UH Of '(NNIYIVANIA INHunANCI 'AX .nUIH IUIDINIOfCIPfNI fVt....~. C, (}J .. Iy, \. DESCRIPTION 1. Funoral Eop,n.o.. . \ = \-1'""",-<. CCS<,)(,.... r.....,.....,"'... L Q",^,~'>' \ 1= I.. "".'" S\r,.. 'f' '5, s"'.........", .~. 1\1,~' S',.,,", }'A..n""'.......,"""'4""* Cu, B, AcImlnl.lrallvo Co.I.. 4. C. 1. 2. 3. 4. 5. 6. 7. 8, . ....~.."',....."'...-- Ploall Prlnl or TVpo mrI NUMBER I; I 'I 'I 10 7 S- 362- '1, (".00 (c","", .(.~ a '3 '3 'I- . co Penonal Ropr..onlaliYo Commissions Social Socurlly Numbor of Pononal RoproSOnlaliyo, , 'f- ~ - I 'Z.. - ., I' ~ Yoar Cammlsslons paid I <1' q 6 1, 2. Anarnoy Foos 3, Family e..mplion Clalmanl Addross of Clalman' at docodonl's doalh Slrool Addross Rolalianshlp Clly Slalo Zip Cado Prabalo Foos Mlleollanoou. bp'nllol cr: ,'\ " '" :) l\=e" 6 s-\'",'\-e "'..~: c." -r-lO! h ~ ",",0 voe ""(;.,')< 'l't. \u... "" +011 ....\,..,~~.~c. J r.,..~o......~~\tC'.""", C'_)".'....I ~-e,. c\.....~~ r e-.~-t \""'~ 'b ...,..., \or c.... '" "''''''e, e.., \u.....'Yc. \ Q1\~"'''\ .re.I' 't-'2..0. 0 C) !rl '1-0 \ 9. cq '70,<1 Co II , I' z'l,9s- \ I 7 '1-109 TOTAL (Also onlor on IIno 9, Rocapllulalion) (1/ more .paco I. noodod, Inll" addlllonal .hoo'. oloamo olio.) AMOUNT 'flo&'3,oa "8"': 0 tOe) - -. 9 q..ro f ~- 'i-.o, '1-6 I 5 6,.s- (OZ. q.r-- ~ . .- _ ./"'Y ,~;.t"lr.;,:_:,,,,".,,,~, UY.IIUII.IJl1j' I ~ '* \. (OIolMOHWIAUH a. "NHlnV...H'''' IHMltnAHCI 'A. snUIH IlUD.Nt DICIDIH' SCHEDULE J BENEFICIARIES FILE NUMBER "2.\ '1'f-~ 10 -, S- ESTATE OF I'^ tJ.,.... '1 ITEM NUMBER c, W <!. b \.;) NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR SHARE OF ESTATE 1. A. TaKablo Bequo.t.. \)J ~ \, " ... """ I tr 'Z- .., eM. SC\.\:"b-o... ) Co 8'\-z..o\ c""~\ ~ o ",Q - '\;." \.c fl., WIl\'\' S,,"""p <1.--\ rz. /V\ <>.'1'") \+"'\\ ') \J e. VI. '^ t vv\ '" zCs- W QJ'\- H~ S-\..c-ee.-\- "'t.o,I.) 'fn.. "" N'f 100' \j.. ) C\r.\\ ~ '"'''' .. _ \.- ...1.(' ITEM NUMBER AMOUNT OR SHARE OF ESTATE NAME AND ADDRESS OF BENEFICtARY e. Charitable and Governmenlal aequI'hl 1. TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (AI.a onlor on IIno 13, Rocapltulatlan) S (If mar. .pac. I, n..ded, In..rt additional .h.... of lame .lIe) f ! J n III ~ ~j .f} ~t., J I . ~~ljl ~ r : ii. H IJ! ~ffi f' ':r!l.l ~~ c: H $ i!SI=l :;:~ I.s H : iU~ ~~ . ~III>:I t! or :i~~lu x81 ! r ~ : lJ! ..j l.lO l r w ' ~! ~ 1> !Sc:lU B ~ i~r.stP .. ~au II a :i(hot ~ ~zlhaoll~ :c @il ~ l;!~.llIllu... :j1Hl~ 'I " =>... ,". > 0 .. i 8 r.' I iil "'olll' ffi~ :l.."..~ ~ li:J! HIII~ ~I~rl~r z . h pg~ ~l:hlf ~ ..., 3' - ~2::..et. a:: i!. ~! c!11 :Ii !!!! ~i-ia w - 16 \ ~'8J"~. ~ ..ci il ~ ~ l ~ H: ~ ~ I s ~h ~. ~ In. : ! ~ !u ~ ~ .. or" rU;: , . ii' -j 1.3 l i ~ ia~.c! ~ f I- m - U~ ~ . ~ ~ ~ ~. ~ ~ :I]f ~ 3 ! : : : : I ~ -Sol'''! ~ I. ~ ; ; ; h~ li!'!: If :5 .. or !lil ..... i ~ IW~ ihb ' I.. J J ~ ~ Ii ~! litl 'I!! .1 ~ l~i Ihl 4 II J ! lin ~ iE~m llij ~ Ii I I H' i : n ; I lih~~ !iln ~ :lj '- ~ ~ ':\ -I ~ l .. f:~,(....__\ ~:::! -.. - ~ J . ~ '> ~ ~ ~ \ --- - ! ~ ~ .! J t I ! S ~ . . . . . . . . . . . . I : : ~ . : i : :... \.; . : . ~ . . , . ti : . " : ~ i ~ : . : ! : i : e ; J J h55 ~ I U I ~ p d 51 "I'd-II i -..,. .. ~ r i ~ ~ i 11- ~..... '. ~ ' 1.) I ~9 ~ I c:. 31/1-:,,,,....".;. il : : : . : -1 . : : : ! u. :: :,:1 I ~ ~ ~ ~ > J I ~ 1 ~~ ~ ~ H ~~.s I. :-=! f : 1 : g~ ~ a .~~~ 0 ~ Zl;lGh ~ ~ ::~ if-,:f ~u;~, E i~y :ll~1 ~"z~w~ W :t!:..: 'iiC.(J t:i c ... j G: U 0 0 ~ ~ t i'-' t:l" ~ J ~ l=o :z~s' h3" w ~ ~SJ!di~ z bi~nn;;f I & u ~~8i!66~ i! ~ ~ Ii !!!. .. "': ~ "': "': , : : p : : - : . i i Jr! i J I : i-II . It. .~u ~ : : .:z 8 !Z lll'. : :JJI III w = .. 1 w H :: :5".~: :_~I o 0 S i . '~i z "'. :; l!!;f :slt ~B~~J~f~r w .." ~ ~ 5t. If..._ _ u. Z 1; II ffi e~ $ i! 5 ~~ ~ ol: .s "': -. ".-. ~ 'i .. ffi i I : : : ~ ::>> l- . :3 ~ l: : 5 ~ou 1 : : ~ 3...:y::>> =. . I ~ ~ ~~3~ ~ ~ ~I j i ~ ~ 5c:J u. u. ~ ~ ot( 0 "': "': ': ~ "', "':r ':, . . . . . . ~: -: w. ;: " \!l: ::. ~~ ~ JJ 21 lEE !!l Hi" o r ~ w a:.!.. i~jll~ 'i j JI I g or a w < z ~Z ~ J 0 ~l u ~ or d r ii! H or ~ ~ Wor 5 , ,J a le ~ c5 w Q ~ .. - 9 ~ r -, 1;./ ... ~ :z: I- ~ ~ J t: 0 ~ I'- ':r- Ol ~ Ol - " ~ I Q J-CI)WT"" Q, C!:::l W 0 - 0 o Z a: ~ t'" , J: -w ~ C III \1). ~ > <X: ~ - II uq;~ ~. J 1\ ~ ~ jU~<x: ... o It ...J >- ... I- '-.../ C lo ai ....... W ~~\~ .... Z ~ ::Ii tl'~~C: J ~ w w ~;i ... l- II < "- N ~ l- II III . CI) M W .- 'i it ~:> ~ ~m J1 ~ ~ ~ 00 Z ,fi, .... '<x: Ll. Q, IJl ? .~ I W ~...!) .. () ~ I, .. 0 t ~.J ~ \lr" M .. .- J, I;l '::! !'i ~ M W ~ Z 0 ~ :t Q, - .' EVANS & MELSON MONUMENT CO. RD 2 Box 107 B SELBYVILLE, DELAWARE 19975 N2 198 (302) 436,5635 DA" May 26, 1995' CUI'~"ON)IANO TO Mr. Carey Vennema, Exec. Estate of Mrs. Cecelia Webb 265' West 11th St. New York, N.Y. 10014 IAUIPERSON .... TEA...a, NET OUANTITY DESCRIPTION PRICE "'MOUN Bevel Marker set at Presbyterian Cemetery in Ocean View, DE Lettering Death Date on Headstone $ 25'9 ORIGINAL ~eo.: ~ 1l'~ 'Slot",", .s!1c>(9s.- tt ~a/&w! 'Ie ' );1' , IDCXlIll ~ "'....1Il ~ O\,.r-- ....Or- .....NO "'''0 ~ NIIl.... ......... lol "" CJ GlGl ~ ol-I!1 . III 0 j:lE-tlZ: 0 U ol-Iol-Iol-I c.c.c. Gl ~ 0-40-40-4 m GlGlGl UUU lZ: GlGlGl 11:11:11: Gl lol Gl ~ :>. ol-I III C. ll< ~ 0-4 Gl ~ U Gl ol-I II: I:: 0 00 :I 0 00 .... 0 . . . 0 ~ 0 00 II: .... ........ 01 III I:: - fa< II .... 0 ol-I II .... 0-4 I:: fj:1I ~ ol-I Gl II ::i :I ~ HII ,Q lolll .... ~ 0-4 III UII 0 III \.I ll< ~II r- lZ: ol-I II \.I 0 ~ III QI .... 0-4 ol-I 0 j:I III I :>. 0-4 "" ~ tNJ '" . GlGl '" I:: '. II:Gl .... 0 \.I '004 Iol-I.... ol-I Ul.... U \.I C. . 'j: .t'.c ~ Gl '004 . ,. ~ ~ \.I . , r I:: O'.-i U . i: :10-4 :I III Ul . O:Z: lZ: .>e (II -a ;~ U < \.I j:I (II , ~. -all< III (II III > -a I:: III .... Ei I:: 0-4 i I::IlI - [jJ 0-4 (II 0 NGl III Gl fa< II: '004 i:: ....U ....\.1.... ol-I ....(11 \.IGlUl U ~ II: Gl>0-4 III .... !i ~O.... III .>e.... :I;~ I:: ~ UIlI ~ III (IIol-I U:Z:U \.I .cO if. E-t H UE-t ~ ~ .. . '. ".~ .~~~~~~X~#:~;~~~'~~~'~Ij"'.~"~14~-t~i;_-,~~~i.iJi~;J1v;;l~r.fi~~~~~':~q~~~J'~; l. g .~ I- in ~ III 01' ... 0 lu:r .(I 1! ....., a:t- ... 3 ..l'll 0,(.... .... .. WI'- u.... 0 "l!~ UJ In 0 '" .t-:S:- 3- ..J '" ctllla: 01;0 III 1:WO .., -" 3 W3>- . r.I:!l # Z In :I .. # ffiln3 In!i 0'0 ~W>- a.ct ::>l'llZZ 0 <l' ll- ~i rd; ,In I!! , ,,8 o D' a m ~i "'~ -0' i~8 ! l'll I 0 , M l'll 00 0'" C!la: 0 M lilt- III ~ .0 .Jill " 1.1 ' ~~ cilli In ....' ~ ....i! In In l- II X 0 0 ~I III !rl~g t- .... ~i ... .... (!Im ... <l' III .".,' Zz.... ~~ r~ I!! .Ja..... A III l~t-)(W 0 ~ , .., a: I'1l1.- :) 1Il0.J i ~I 0 ll-1iI o~ '0 Wctc:&Ul ..... :o! IIlW .... I "'I :la InlLQ Ul .J u~ 0 0 Ul w"oa:: ~~ gl 0'"'- 0 XIIl .ct<t g:~ I- t-<ta.ua. wli C!l . , .! -, ",0 'I " .. ~ ,.\, ..-~.~,,:"""-:. ~ ,.,.. ;.~..~ CUMBERLAND LRW JOURNRL 11 EAST HIGH STREET CARLISLE, PA 11013 FEBRUARY 24. 1995 Cumberland Law Journal is published every Friday by the Cumberland County Bar Association and Is designated by the Court of Common Pleas as the official legal publication of Cumberland County and the legal newspaper for publication of legal notices, TO: Carey Venncma, ESQUIRE RE: Mary C. Webb, a/k/a Mary Cecilia, ESTATE Legal advertisements must be received by Monday Noon, All legal advertising must be paid in advance. Make all checks payable to: Cumberland Law Journal. Advertisement inserted on following dates: FEBRU.ARY 10, 17, 24,',1995 Advertising Cost $ 40.00 $ 0,00 $ 40.00 Proof of publication Payment received Total Amount Due $ 0,00 Payment received by 02/06 95 ,19__ Note: Your cancelled check will serve as a receipt, However, if you desire a receipted bill please furnish a self-addressed stamped cnve lope, ...."... ....,:.' "...';.t'--.'lZ-.:.... 'v.~"~:ir,t,i-~.,'->IlI' '"'-''''''~~.r._''' .. en en r-i ID en ~ en r-i Q W 0 Q ... r.. 0 ill: B i!l 0 ... e> ; U t e> ... ti . i IQ e> ... ID 0 !;l~ II Po 0111 ... tI u... "" Eo<o-i ilI:Q We> Po ... f .. ~ r.. :hi~ ~": :z; ... o-iill: r-i Q o tllII 0 ~t;~ tlCi UIII > ill: Ill... IQ Will: "'III=WQ !:~ IQ ~~ - ... ~ 1>0 1>0 Eo< ~ 0 ~! ~ ~~!iJu~ 0 . U W t; u III ill: UUO'" W W... =tootUra. .. r.. U ...1>< U Qr..ilI:BQ ~ ~~; ... 0 i::filtoot Q w >111 g WEo<O IHi WI><IQ.. lIIo-i .IQ ~ 0 r.. III~ III oQ Eo< r 0 . ..toot~ :::!;~ wt! =o-i u 0 ;1 I=~IQ 0100: Q Eo<~~ 01>0 o-i ... 0 U;~ ...Wr..Q.c: III III Ow El 1><!:~1ol Ill'" o-i is...j 15 wu a~!~ r..= iliW...IIIIII OQ ~... ~~~~~ Por.. :,';, ~',',. C',.::'.',.:..' ":. ,'.;:':: "...:':.;-., .~_~"'~l}!tQ....-.:l',h'f,~<-i'~'.'~'..~t. 'in- '..,; ,.., ,- .:C;' ."~':'- '-';.,".".:::>;',"W,.."".".,"_'-; '.l:_.."'_.--t.~."~, ! , ' I ~ " ItlNN 010"'" .........f""4 !'leD"'" ~ o~o .........0 !'l~~ ~ ~ III QlQJ CI .jJEl' ~ Ill.... 0 QEo<= .jJ.jJ.jJ c.c.c. 0 ............ U QJQJQl UUU QJ ~ ~ QJQJQJ ~ ~~~ = fi QJ III H QJ ~ .jJ ~ . c. U .... l1< U III QJ H U ::c QJ .jJ ~ c:: 0 ~ ::l 0 0 lIol 0 . rr. Ul 0 ~ !'l ~ Eo< ~ c:: l1< .... 0 .jJ H ~ .... c:: III .jJ QJ U lIol ::l ~ \;l 0 III ,Q III .... ~ en H ~ l1< QJ en l1< .jJ .jJ en 0 Ul Ul en U .... .... en Q l:II I ~ QJ.jJ II'l ~Ql en Ql en :c c:: 11-1 ~ l1< 0 ~::l ~ 'oi .jJ .jJ 0 1-1 C. c::.cr- QJ 'oi ::lOH U ~ ~ . 0.... U U . U:C I<l: In In . I<l: = .l( QJ 'tl 'tl'tll1< III ~ Q QJ C::C:: III QJ III III > IlIIl1 . ~ ~ a c:: :E: .... .... QJ 0 .oi QJ 0 0 II'lQJ I-II-I~ :c rr. ~ 'oi U OU QJQJUl .jJ :z: ~QJ ~>.... U H ~ O~ III ... ::lC::1-I Ul . .l(~ UIlIIlI c:: U UIlI :CU III III QJ.... 1-1 H .co Eo< :E: UEo< . ' ,--,-.",.._- FACILITY STATEMENT PuS"'tt.tiaK HOttUs. 9KC, TYPE ROOM NUMBER ADMISSION NUMBER ADMISSION DAlE DISCHARGE OAn BILL TO Mary Holly Vennema 26~ W. 11th St. New York, N. Y. 10014 SEND REMITTANCE TO: PRESBYTERIAN HOMES 1217 SLATE HILL ROAD CAMP HILL, PA 17011 TELEPHONE DATE OF SERVICE CHAROES c CODE SERVICE RENDERED 121 17/94 12/18/94 12/20/94 Parker House - 1 guest 15.00 30.00 30.00 4.50 Parker House - 2 guests Parker House - 2 guests Tax ,..-;? ,\ '$'1'1. S'~ '\ ..... ().... .:!./Io, I q SO ~l" '~ CHARGES OR PAYMENTS INCURREO AFTER BILLING DATE WILL APPEAR ON NEXT STATEMENT RENDERED. RETAIN FOR YOUR RECORDS FULL PAYMENT AMOUNT DUE . 1 , I I I 1! ~ ~ ~ J ... s ~ ~ ~II!~~ N Din j...... ' ... ...' D ...'" 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" ;r ~ ~ ~ Q\ 'I ~ U " ~ f r . > ~ 0 Q.' T .:L I c{1 l- 1 -1' ..,.. ~ ~ ~ ~ )'-.... (Y ~ ! f,., " "S; '., Z ~ ~ ~ ., ~ , + - ~ ~ A" c . ~ QJ ~ - ~ S -r ( ~ c;. , ..t Q U -"II , ~ 4, :r S ~ , "" tfI ".J I . -~ ~ ) , ~ ~ ~ ~ , to, t.., " ,to " all ~ " / I r- ( ~ ~ ,/ ./ /, I l, ~ .,), , , I 6 ? f . ~ <I \ ~ I lO ( ~ ~ j . r- ..!, C5 l:- t -.l .\ \, \0 4 101 .J I., . ~ -<. ~ <:0 ~ , ~. ~ ( ::..- I J IT' I,) f. - , , . '0 " \a t'I ~ ~ i:)-. \'l' ~ .~ 0- Q:" ,< ~ - (l- , ~ 7 -r l., ... ~ J l\I - ~ ~'1 ..,; , ~ 9- ~ - J 1 'lI ., ., ;. . x e /: ('J \li ,..., i' . 1 . ..- i' -, -t ,- u " V .A '1 ~ r ~ ~. r. ,.r - L' ~ ~ ~ , -r ~ ( r .+ ~ , ;. t ~ .,... 7 .() ~ ~ 1 ~ J to, ~ " "I " ..... " ~ ~ J (, 6 .,.. ) ( /l \j - .. ...;. , 11 ., ... C5' rr ~ ~ 4 s '" r --X " ~ ~ .. . '1 . 1/ /5.-0.' / REV-1S47 EX AFP 112-95. COHttOHWEAllll OF PENNSYLVANIA DEPARTHEHf OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. lI0601 UARAJIBURO, PA una-au I Q...l- ACN 101 NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX DATE 07-ZZ-96 FILE NO. 1Z-17-94 COUNTY CUMBERLAND NOTEI TO INSURE PROPER CREDIT TO YOUR ACCOUNT. SUBHIT THE UPPER PORTION OF TNIS FORH WITH YOUR TAX PAYHENT TO TIlE REOISTER OF WILLS. HAKE CHECK PAYABLE TO "REOISTER OF WILLS, AGENT" REMIT PAYMENT TO: GREY VENNEMS Z65 W 11 TH ST NEW YORK NY 10014 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 AMount R..ltt.d CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ~ iiEV:is4i-iiC"AFP--nz-:9si""Nci'fici--oF-YNHiifiiliiicE-i:AinipjiRA-iiiiifiN;"~--Ar.rowliijcE-ifli---"------------ DISALLOWANCE GF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF WEBB MARY C FILE NO. ZI 94-1075 ACN 101 DATE 07-ZZ-96 TAX RETURN WASI C X) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. R..l Ed.t. (Schedul. A) n) 2. stock. and Bond. (Schedul. 8) (2) 3. Clo..ly Hald stock/Partnership Intar..t (Schedul. CJ (5) 4. Hortg.gal/Hot.. Receivable (Sch.dul. OJ (4) S, C.lh/8.n~ Depolita/Hllc. Parlonal Property (Schedule E) IS) 6. Jointly Owned Property (Schedul. F) 16J 7. Tranafara (Schedule QJ (7) a. Tot.l A...h APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funaral Expan.a./Ada. Co.t./Hi.c. E~pen.a. (Schadula HI (9' 10. Dabt./Hortgaga Liabiliti../Li.n. (Schedula II C10I 11. Total Deduction. 12. N.t Valua of TaM Return 15. Charitable/Govarn.ental B.qu..t. (Schadul. JI 14. N.t Value of e.tat. Subjeot to Tax NOTE I If an assassment was iesued previously, lines reflect figures that include the total of ~ ASSESSMENT OF TAX: 15. Anount of Lin. 14 at Spou.al 16. Anount of Lin. 14 taxabl. at 17. Anount of Lin. 14 taxable at 18. Principal Tax Dua rat. LinaaI/Cla.. A rat. Callat.ral/Cla.. 8 rat. C151 116) 1171 TAX CREDITS: PAYHENT DATE 03-03-95 04-Z5-96 RECEIPT NUHBER AAOZZ895 AAllZ779 GISCOUNT C') INTEREST (-) 52.63 9.64- I CHANGED .00 .00 .00 .00 Z7.000.64 . .00 .00 la) Z7.000.64 6.51Z.95 .00 Cll) (2) USI (4) 6.Gl? 9G ZO,487.69 .00 ZO,487.69 14, 15 and/or 16, 17 and 18 will returns assessed to date. .00 X .03_ ZO,487.69 X .06_ .00 X .15_ ua) .00 I,ZZ9.Z6 .00 I.ZZ9.Z6 AHOUNT PAID 1.000.00 186.83 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. I,ZZ9.8Z .56CR .00 .56CR IF TOTAL DUE IS LESS THAN '1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YDU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.) - "i? 'd ~ . co ,...., .. r.( ~J no. , eJ .., I.:, . ., 0, - ::J " C' <cl Qla; a: f? .1 ;,;f:: 08 RESERVATION, E,t.t.. of dlcld'nt_ dvlng on O~ bafor. Dlc,.b,r 12, 1912 ... l' .ny future Int.r..t In thl I,'at. JI trAn.f.rr.d In po.....lan or .nJov..nt to Cl... . (coU,t'taU b~tlcl.rl.. of thl dlcld.nt ,U,r thl ..pJratlon 0' any I...t. for II'. or for v..r., thl Co..onw..lth hlt,by ..pr...lv t...tV,. thl right to apprl... and ...... tran,'.r Inherltancl ,.... at thl law'ul ct... . (col1,',r.l' t.t. on any .uch tutur. 1"I.r..t. PURPOSE OF NOTICE. To fulfill thl requlr..anh 0' Slctlon 2140 of thl Jnh.rltlnu end E,tnt, 'Ill Act, Act IZ of 1991. 7Z P.S. SICtJon 2140. PAYHOlT I D,tlch thl top portion of thl. Hatlel end ,ub_lt with your p.y.~t to 'hi Algl,'.r of Will, prlntad on thl t.v.r.. .Id,. --Hlka chick or lon.y ord.r Plyebh tor REOISTER OF MILLS, AOENT All PlY.lnt. rlc.lvld Ihlll flr.t bl IPpllld to Iny Int.r..t which .IY bl dUI ~Ith .ny r..llnd.r IPpll.d to thl tl.. REfUND (CR)I A r.fund of I tiN cr.dlt, which WII not rlqu..t.d on thl r.. A.turn, ..~ b. r.qu..tld b~ c~pl.tlng .n "Appllcltlon for Rlfund 0' Plnnlytvlftll IRhltttanc. and [.tlt. 11." IREY-llIS). Appllc.tlon. ar. .v.ll.bl. at th. Of'lc. 0' th. R.gl.tlr 0' Willi, an~ 0' thl ZS RlVlnUI DI.trlct O"lc.., or b~ ellllng the Iplcl.1 Z~-hour en.w.rlng ..rvlel nu-blr. for 'or.. orderlngr In Plnnlyavanl. 1.100-36Z-2050, out.ldl Plnnlylv.nl. .nd within locet f1srrhburll erll (717) 717-a09~, 1001 (717) 77Z-ZZSZ CHllrlna lapalrld Only). OBJECIIONS. Any p.rty In Int.r..t not ..tlafl.d with Ih. .ppr.I....nt, allowanc. or dl..tlowancl 0' dlductlon., or ........nt of tiN (Including dl.count or Intlrllt) a. .hown on thl. Notlca su.t obJlet within .Ixtv 160) da~. of r.c.lpt 0' this NoUce bVI --wrlttan protl.t to tha PI a.parhlnt 0' RIV.nu., Bo.rd of Appnh, a.pt. ZIIOZ1, tl.rrhburg, PI 17128-lOZ1, OR -..llctlon to h.vI the ..ttlr dltar.lnad .t audit 0' thl Iccount of th. plr.on.1 rlpr...ntatlve, OR _..pp..1 to thl Orphanl' Court. AOHIN ISTRITlVE CORRECTIONSr f.ctu.1 Irror. dl.covlr.d on thll ........nt .hould b. .ddr....d In writing tal PI Dlpart..nt a' Rlvlnu., lur..u 0' Indlvldu.1 lau., ATTNI po.t A..I....nt R.vlow Unit. D.pt. Zl0601, t1srrhburg, PI 17128-0601 Phon. (717) 717-6505. S.. p.g. 3 of Ih. bookl.t "Instruction. fer Inh.rlt.ncl I.x R.turn for. R..ldant aleldlnt" (REY-ISOI) 'or an ..planatlon of 'd.lnl.tratlv.l~ corrlet.bl. .rror.. DISCOlMft I' an~ tlM du. I. paid within thr.. (3) ell.nd.r .onth. .ft.r thl d.c.d.nt.. d'lth, a flv. p.rclnt (5~) dl.count 0' thl tlx plld I. '1Iowld. Th. 15~ tlM .~.IV non-p.rtleIPltlon p.n.lly I. cOlput.d on the 10t.1 of the t.M .nd Int.r..t .......d, and not plld b,'or. Janu.rv II, 1996, the flr.t dav .,t.r thl Ind 0' the tax e~..ty p.rlod. Thl. non-p.rtlclp.tlon pen.lty I. app..llble In th. .... ..nn.r and In thl thl .... tl.1 plrlnd .. you would app..1 th. t.. and Int.r..t th.t h.. b..n .......d .. Indlc.tad on thl. notle.. PENALTY I INTEREST I Int.r..t I. charg.d b.glnnlng with 'Ir.t day 0' d.llnqu.ncy, or nln. (9' eonth. and on. (I) day 'roe Ih. d.t. 0' daath, to the dal. 0' ply..nt. r.... which b.c... d.llnqu.nt b.for. Janu.ry I, 1912 bl.r Int.re.t at the rlt. 0' .1. (6X) p.rcent p.r annul c.lcul.t.d .t a d.lly r.t. 01 .0001'~. All t.... which b.e... dallnquent on and "t.r Janu.ry 1. 1911 will b..r Intlr..t It a rat. which will vary 'roe eal.ndar yaar ta c.l.nd.r y..r wIth that r.t. announc.d by the PI a.p.rt..nt a' R.v.nu.. lha appllcabl. Int.r..t rat.. 'or 191Z through 1996 .r" '!!!r Jnt.,...t Rete Dally Int.r..1 Facta,. !!!! Int.,...t Aat. D.lly Inter..t F.cta,. 1912 20X .000541 1917 OX .000Z~1 1915 lOX .0001\51 1911-1991 II~ .000301 191~ 1IX ,000301 1991 'X ,OOD2U 1915 In .000356 1993-1991\ ]X .000192 191' lOX .ooon.. 1995-1996 'X .000l41 --Int,,"t II ulcul.t.d .. 'ollow.r INTEREST . BALANCE OF TAX UNPAID X NUHBER DF DAYS DELINQUENT X DAILY INTEREST FACTGR --Any Notle. I..u.d .'I.r the t.x b.eae.. d.llnquent will ra'l.ct an Int.r..t c.lculltlon to 'I't..n (15) dlY' b.vond th. dltl 0' the ........nt. I' p"'.nt I. ..d. .f'.r the Int.r..t co.put.tlon d.tl .hown on the HoUn, addltlon.1 Int.rllt IU.t be c.lculat.d. .. , ESTATE OP MARY C. WEBB 2194-1075 PAMILY SETTLEMENT AGREEMENT AGREEMENT made this q~~\ day of December, 1996, by and between WILLIAM A. WEBB and MARY HOLLY VENNEMA, the residuary beneficiaries under the last will and codicil of Mary C. Webb, deceased, late of the Township of West Pennaboro, County of Cumberland, Commonwealth of Pennsylvania, and CAREY VENNEMA, the Executor named in the codicil to the will of said Mary C. Webb, deceased. WHEREAS, Mary C. Webb died testate on December 17, 1994, and under her will and codicil she left her residuary estate to her surviving children, William A. Webb and Mary Holly Vennema; and WHEREAS, Letters Testamentary were granted to Carey Vennema on December 28, 1994, by the Register of Wills of Cumberland County, Pennsylvania; and WHEREAS, all of the assets of the late Mary C. Webb have been liquidated and all of her debts paid in full, and the period of four months having terminated since the first advertisement of the issuance of Letters to said Executor, the said parties hereto wish to waive the duty of the Executor to file a First and Final Account with Proposed Schedule of 1 ---.>>--....----.~.--.,...,...---~-~,-...~.,.,.,' '- '..~... ._.__.~-~..~."..,,--~,~.........~~_~~_.__~~_w..,~..,. . Distribution for purposes of confirmation by The Court of Common Pleas of Cumberland County, Orphans' Court Division, and further they desire that a Family settlement Agreement be executed and filed among the records in and for Cumberland County. NOW, THEREFORE, THIS AGREEMENT WITNESSETH, that the parties hereto, in consideration of the premises above stated, and of the Accounting and Proposed Schedule of Distribution attached hereto and made a part hereof, and of the receipt of their distributive shares as shown therein, do mutually bind themselves to said Distribution and Accounting as set forth, and further do mutually release each other and in particular Carey Vennema as Executor from all claims and demands whatsoever arising out of the administration and settlement of the Estate of Mary C. Webb. IN WITNESS WHEREOF, the parties hereto have hereunto set their hands and seals as of the day and year first above wri tten. wit,""", A ~ ,~ ~~ ~.~ ~( ~~( Gve'2\)\CA'v,"(,VV~U- ccyrey Vennema i I' I I 2 _"'_""~ '.""". '_"~'." ......_, _ _..__,'h. " ~,~...> . " ,. ~ ,- r: E:" , ;. !' ~, It;: ,-' -',," ~.,_~ .".c., "C... '.~'.'.V"'. STATE OF COLORADO COUNTY OF CHAFFEE ss. On this, the I~-tb day of December, 1996, before me, a Notsry Public in and for said County and State, the undersigned officer, personally appeared WILLIAM A. WEBB, known to me (or satisfactorally proven) to be the person whose name is subscribed to the within written instrument, and acknowledged that he executed the same for the purposes therein contained. /t.-I P-vo./-t.u., ",oM....... 6,..:......~ 'Yc...""",,'b,.., .... :to I 1<1 q~ STATE OF NEW YORK ss. COUNTY OF NEW YORK On this, the 9.\-v-. day of December, 1996, before me, a Notary Public in and for said County and State, the undersigned officer, personally appeared MARY HOLLY VENNEMA, known to me (or satisfactorally proven) to be the person whose name is subscribed to the within written instrument, and acknowledged that she .,."t.d tho "m. ,., tho p"p~~~.~~ STATE OF NEW YORK ARTHUR I:. HARROW Notary Publlc. Stoto 01 Now York No. 31.4949786 ~ned In Now VOrl COU"tv -.-lIml.alon l.'tJ:J,;,s .r,ur!! 1:. i~lr 7 ss. COUNTY OF NEW YORK On this, the 'l ~I"h day of December, 1996, before me, a Notary Public in and for said County and state, the undersigned officer, personally appeared CAREY VENNEMA, known to me (or satisfactorally proven) to be the person whose name is subscribed to the within written instrument, and acknowledged that he executed the same for the purpose~ c~ntained. (~~ N ARTHUR II. HARROW olary Public, 51010 0' New Y k . No. 31'~949/86 0' ~UI""ed In Nf!w Yo,,, Co tv mI5!rO~ll'l,i;:fl '.rf '~~1 '~'7 3 f t, ~ ~ ;;; EXECUTOR'S ACCOUNT PIRST AND PINAL ACCOUNT of Carey Vennema, Executor of the Estate of Mary C. Webb, deceased Date of Dea th : December 17, 1994 Date of Executor's Appointment December 28, 1994 Dates of Advertisement of Letters: The Sentinel February 6, 13, 20, 1995 Cumberland Law Journal February 10, 17, 24, 1995 Accounting for the Period: December 28, 1994 to November 30, 1996 Purpose of Account: Carey Vennema, as Executor, offers this account to acquaint interested parties with the transactions that have occurred during his administration. This account also indicates the proposed distribution of the estate. It is important that the account be carefully examined. Requests for additional information or questions or objections can be discussed with: Carey Vennema, Esq. 265 West 11th Street New York, NY 10014 212/242-4403 1 . ' Receipts of princips1 Receipts of Income Total Receipts 3 4 5 Disbursements Debts of Decedent Funeral Expenses Administration Expenses Federal and State Taxes Fees and Commissions 6 6 6 7 7 8 8 $ 0.00 434.00 1,272.83 1,186.27 810.00 Distributions Balance on Hand Proposed Distributions to Beneficiaries 8 Expected Balance on Hand after Proposed Distributions .' $ 28,742.44 1,140.53 29,882.97 24,000.00 1,749.46 1,749.46 2 \"' . Receipts of principal Assets Listed in Inventory Cash in Banks Mellon Bank (DE) N.A. Dagsboro, DE Checking Account No. 3944-120-8 Balance at date of death plus deposits initiated prior to date of death less checks issued before date of death but paid thereafter Mellon Bank (DE) N.A. Dagsboro, DE statement savings Account No. 0551-884-7 $6,425.18 2,000.00 8,425.18 -7,308.13 $ 1,117.05 5,883.59 Wilmington Savings Fund Society, FSB wilmington, DE Certificate of Deposit Account No. 401124409, maturing 1/22/95 20,000.00 27,000.64 Total Inventory Assets Received after Date of Death 2/14/95 Capital Blue Cross/PA Blue Shield Refund of unearned premium 190.80 3/1/95 presbyterian Homes, Inc. Refund of unearned charges 1,551.00 Total Receipts of principal -1,741.80 28,742.44 3 Receipts of Income Interest Mellon Bank (DE) N.A. Interest on Statement Savings Account for December, 1994 for January, 1995 wilmington Savings Fund Society Interest on Certificate of Deposit for December, 1994 for January, 1995 Emigrant Savings Bank Interest on estate's NOW account from 1/24/95 through 11/5/96 $14.20 11. 12 $ 25.32 67.74 54.17 l' 121.91 Total Receipts of Income 993.30 1,140.53 4 ~.,"~_"_' 'L.~.~~~~ .':""9!",::"",I,,-:-:,. _.-' -_. - -_.'1~, I i principal Income Combined Receipts-2!-~Ein~!~!-!nd Income $ 28,742.44 1,140.53 Total Receipts $.29,882.97 'il ~ ~ 'fI,: Disbursements Debts of Decedent [None] $ 0.00 Puneral Expenses Lewis' Flower Shop, casket spray Evans and Melson Monument Co., grave marker $ 100.00 334.00 434.00 Administration Expenses Register of Wills, Cumberland County Letters Testamentary and short certificates of letters Fee for filing inventory Fee for filing inheritance tax return Fee for filing family settlement agreement Legal Notices The Sentinel Cumberland Law Journal 1 ct>; 'f; i~ '';; Non-professional Services Bank charges Photocopying charges Computer tax return preparation charges Travel and Transportation Expenses Dec. 17-20, 1994 Dec. 17-22, 1994 Feb. 8, 1995 March 2-3, 1995 April 24-25, 1996 "' ~, !' ;t; ;~ . "-" t~ " l.' ", (continued on page 7) ii , 6 .+'~.~. ~,---........... Qt~~~~nt!-l~~~inued) Federal and state Taxes Federal estate tax $ 0.00 Pennsylvania inheritance tax $ 1,229.26 Less discount for partial prepayment - 50.00 1,179.26 Plus interest on unpaid balance 7.57 Federal fiduciary income tax for fiscal year 12/17/94-11/30/95 for fiscal year 12/1/95-11/30/96 1,186.83 0.00 0.00 0.00 pennsylvania fiduciary income tax for fiscal year 12/17/94-11/30/95 for fiscal year 12/1/95-11/30/96 16.00 0.00 16.00 $ 1,202.83 Fees and Commissions Carey Vennema, Executor's commission 810.00 Total Disbursements Before Distributions 4,133.51 7 ""........,-,. ~. .11 , Distributions First and Partial Distribution William A. Webb Mary Holly Vennema to Beneficiaries $12,000.00 12,000.00 Total Disbursements and Distributions Disbursements Distributions Total $ 24,000.0Q. 4,133.51 24,000.00 $ 28,133.51 Balance on Hand Combined receipts Total disbursements and distributions 29,882.97 -28,133.g 1,749.46 Cash on hand Proposed Second and Final Distribution to Beneficiaries William A. Webb Mary Holly Vennema 874.73 874.73 1,749.46 Expected Balance on Hand after Final Distribution 0.00 ~ ,j r, ~. ~ i ~ ~ i f ' . CAREY VENNEMA, the Executor named in the Codicil to Last Will and Testament of MARY C. WEBB, deceased, hereby declares under penalties of perjury that he has fully and faithfully discharged the duties of his office; that the foregoing First and Final Account is true and correct and fully discloses all significant transactions occurring during the accounting period; that all known claims against the estate have been paid in full; that, to his knowledge, there are no claims now outstanding against the estate; and that all taxes presently due from the estate have been paid. Q't~ 'J eN\. "^-.........-.<- CAR Y VENNEMA Executor Subscribed and sworn to before me this. "l,",,~ r, 1996 ARTHUR Co HARROW Notary PUblic. Stili of Now YOlk . . . No. 31.4949786 . Quoflfled In Now YO,k County IlDmmlnlon Expl,ol April 17,199.1 9 " . Recorded"Offlca of Register of Wills DID 16 1\10 :05 Clo.rl' I...",,,.~I,. ,. '."rt .....,.a.." ,I , .....'.. CUnlb~:k:l\.i (.:o..h\ -,'. " ..,. ~f::-'ii-l~~t.'- f:-;~H;:~!?;:J i -.'" 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' ..' ,.,1\' .:': "1<;;~f<- .1,'''- ~'-""'; ,",'r ,,1. ~ < t ~ - .~.."\'..:;~~.~.'"~,,~^f.'. ,!. ,,"';;.,. ~, . -:'~';'w (-. Vl,llf,"I;..;.:<:.'.~lt.~. . ,"... . r ~~31=~1.;1';,;' ',,'L*'7i j'.i\ ~FJi:;~~"" ", . t ''i-7J."",- ~"I'.{):"'J...r!F."-;'o9~. ':,.~".. ,~:' :l':: !\.> !/:'::~1!4~.I~ ,"_'. ,.." _q_"1.,.,,,,,}", . .~s~;~~!~, .,-"" tt STATUS REPORT UNDER RULE 6.12 Name of Decedent: jV\.....7 C, \.N II. b \.7 Date of Deathl 1'2-/17/'1 'I will No. t ~ 'I LJ /0 7S- Admin. No. Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State wbether administration of the estate is complete: Yes v No 2. If the answer is No, state when the personal representative rensonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the followingl a. Did the personal rep~sentative file a final account with the Court? Yes No'. b. The separate Orphans' Court No. (i f any) for the personal representative's account is: c. Did the personal representative state an account intormally. to the parties in inter..est? Yes ...... No (~ r;.....-.:, S..+\\...-....__* A~...,.......~.........-t-) d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report. Date: I.:?//V 1'1 C ~ ~if ~ ..)cJ 'w G:"""'E- __I \Jc..rv,"V'\. P.........-v\. Q.. Signat.ure J Co...... 0...:::1 LJ e v... '" ~ "'^ ..... Name (PleaSe type or print) ~ z.~ .r" w.. r-t I'~ S1..-..~ 1 N<-,-" v..,~c J 1'-\ ~I I ",",0 Iv Address - 0", l!)== .~~ ... U:i ,':) ,- OJ '1' Oi:; .. .- 81iP (2 a: 10 .- ;.; i.~ .!!J ~j 4i i:~ 00 (2.7) 2'12'<i'l...~'1. Tel. No. c." Q ~ Capacity: l/"' Personal Representative Counsel for personal representative (MAH:rmf/AM3)