HomeMy WebLinkAbout94-01080
4lt~lft;i;';~h;,\J"i'>:'
rf:~lift~~lt:'. '
J~" '.
I';
,.,: ,;..-
~l;t.~~i!3t::'
"u;,;;";
."','
PETITION I'OR PROBATE and GRANT Q}' LETTERS
Estate oJ ~ U ( dll Ole. SAUL SIWRE No. d? /- CJ Jj. - J Orfo
also kllolVn as r-j' fi, , , , . To:
LI'(/ Ii f l.lLW1( Reglstcr of ;w.111~ fo.\' JlI~
/),'ceo.I...,I. Counly of( '( 'I "JrA { II^,(\ In the
Social Security No. (! '7 .5 - L g-=-i" }If;' 7 ConUllonwcallh of Pcnnsylvanla
The pClltlon of Ihc undcrslgncd respectfully rcpresellls IlulI:
Your pctltloncr(s). who Is/arc 18 years ofl'IlV '!( otd.e{u!llh~.cxeeulI III ~IIJ~
In Ihc 1051 will of lI,e nbove dcecdclll. dnted ~L{..Il..a...lLlU (I d ,19 ~ d
and eodlell(s) dUlcd ~
1-
(.tUIC relevant ~1'cllll1!.umCc't C.II. rCllullchulon. dealh or c~r(utor. CIC,)
<. I- tCJ m {'rh. n ~'-'tI!:
Dceen nl ,,.1 ,19-.!1L,
at f r I _ "( .
Exccpt as follows. dcccdent did not marry, as nOI dlvorecd IInd did n havc a child born or adopted
aCler exccutlon of thc will offcred for probatc; was notthc victim of a killing and was never adjudicated
Ineompclenl:
Dcccndent at death owncd propcrty with cstlmatcd valucs as follows:
(Ir domiciled In Po.) All pcrsonal property
(Ir not domiciled In Po.) Pcrsonal propcrty In Pcnnsylvanla
(If not domiciled In Po.) Pcrsonal propcrty In County
Value of real cstatc In Pcnn~ylvanla
sltuatcd as follows: _~ () n ....
s /e9:no.{) 0
s
s
s
WHEREFORE, petltloncr(s) rcspcclfully
presentcd hcrcwlth and Ihc grant of ICllers
'---"
R X thAdmNfMtmI8~dIEI!~~A.
theron.
Ion c.t,a.; admlnlllrBlion d.b.n.t.t...)
j
5
"'_
'if"
",Ii
8
'll.=
;'5
-:to.
"['0
a
Iii
~'-'- ~,. I
d:.~~-~;~ ~ 'I
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH 01' PJo;NNSYLVANIA
COUNTY 01' CUMBERLAND
} 88
15- Co -
Thc pctltloncr(s) abovc-namcd swcur(s) or arl1rm(s) that the slalcmcnts In thc forcgolng petition are
truc and corrcct 10 Ihc bcst of Ihc knowlcdge and bellcf of pctltloncr(s) and that as personal represen-
tatlvc(s) of the abovc dcccdcnt pctllioncr(s) will wcll and Iruly admlnlstcr t c cstate according to law.
subscrlbcd 4 ;i!,K.,-.-(.~L - , -'-, ..~
dl\Y f . . De. 'A
h ~~ Q
LEWIS I Reglstcr . i
I
, .
.
,
"
.-
j
.
'2:
~
~,
~
f
"
.
3;
,
.~
\;
!.
N 21 - 94 - 1080
o.
Estate of
SAUL SHDRE
I Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW DECEMBER 28, 19.11-, In consideration of the petition on
Ihe reverse side hcrcof, satisfactory proof having been presenled before me,
IT IS DECREED Ihatthe Instrument(s) dated NOVEMBER 4 , 1992
described Ihereln be admitted 10 probate and OIed of record as thc last will of
SAUL SHORE
DF ADMINISTRATION r.TA
RHODA SHDRE
and Letters
are hereby granled to
O!b,~
MARY C. LEWIS
40.0D 1'I\,c:."l\t-" \ t\,,,..,,,, J t< A
< 00 A1TORNIlY (Sup. CI. I.D. No.)
10.00 .1 \-
18.DD 2>'i,,'::; I'\). Ii' N.J,,-\, S'-\'
S . aD ADDRI!SS
TOTAL - S 76.0D.J:! f
Flied ..... ..~~~.E.~~~~..~~ 1..1.~~'.. .... .. ~ a rri !. b u ~ ~ F\ 1'1 I t (J
~;;JJJ1hJ/;t:b......fJ..iL '::k :/ P Nil d. ?DL-4-1 0/
'" ,--. r- I I.-() 1-/~-9t;. Z' /tJ~:--e1d
~ 15~
~ 0
~ ,).
'>8
~ .:~
P\ .~~
00
FEES
Probate, Letters, Etc. ......... S
Short Certlficates(l )'.......... S
Renunciation ................ S
~c~ages $
0",
Uh;;
0.;'
lF~
(~ u
"2tJ
'E.~
OClJ
lrl'"
a: a:
Mailed letters and order to Executrix on 12-28-94.
'wr.
""'
,
-7
..r '
.../ ....'.- -- _l'
WARNING: IT IS ILLEGAL TO ALTEn TIiIS COPY on
TO DUPLICATE BY PIIOTOSTAT on PHOTOGRAPH.
COMMONWEALTlI OF PENNSYLVANIA
OEPARTMENl' Of HEALTH VITAL hECORDS
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
SocIal Security No.
I:
,J~ ~m
~'l Mllhlle / La'
rJ 13. /f- ;;. it, 7 Date of Death /4,/..<t
" /
" t.
11- ,,' - r'l
CERT. NO. 2438353
0.1, oll..ue 01 'hit C..tlht.atlOtt
Name of Decedent
Sex
I j 9(./
Informant '
Name an ddress of
Funeral Establishment
aunl,
tlon I ~_ ' Armed Forces? (Yes or No) /~
Decedenes ~ rr ~;gz, d ~
ailing Address 7 7 ~f.-k ea..I'1-
N,,,''''' '''HI c'E s,.,
Funeral Director /..",; ( 1"" . ~__ e
It, .A. ~ ' 4
P nsvlvanla
Part I:
Immediate ~8e , '"
::: ~~'-;;;~
k~rL~ j"" Jt
,
(c)
(d)
Part II: Other Significant Conditions
MannerofDeat~
Natural ~ HomicIde 0
Acoldent 0 Pending Investigation 0
Suicide 0 Could not be Determine 0
Describe how Injury occurred:
Address
(M.D., D.O., Coroner. M.E.)
This Is to certify that' the Information here given
death duly flied with me as Local Registrar. The
Vital Records Office for permanent filing.
Is correctly copied from an original certificate of
orIginal certlflcale will be forwarded to the State
(
".
'.
1/ - ,.4 ~ - f..;
LO(;.ln~"""(lIV",'RfIC()fd'
Oltl'H:tNo
0.,. Recl'_ld tl)Iloul fl..;Jillll'
2~1;"J U.Jr~d":I L1I1e
I, irf l~uurL, I"~"'""l-YJH"~
e",.lJOtDtlIlh. To.nlh.p
21 - 94 - 1080
!'
"
"" ~iE.
C~ ~
....
:3 EC .<fIB
5'0 ~ ~
"~l
. ('
"glii Co) i!
:E:!2i Ci
~l6' pi; ,
a: a: ,
I
I
,
I
,
I
>- ,
I
i
I
I
I
.
LAST WILL AND TESTAMENT
KNOW ALL MEN BY THESE PRESENTS, that I, SAUL SHORE, presently
residing at 77 Little Run Road, Camp Hill, Cumberland County,
Pennsylvania, being in good health and of sound and disposing
memory, do hereby make, declare and publish this as my Last Will
and Testament, hereby revoking all former wills and Codicils
heretofore made by me.
FIRST: I direct that all my debts and expenses shall be
paid Ly my Executor hereinafter named, from my Estate, as soon
after my decease as shall be found convenient. I specifically
acknowledge as my personal debt one-half of the balance of the
currently existing mortgage on 77 Little Run Road, Hampden
Township, Cumberland County, Pennsylvania.
SECOND: Should my Wife, RHODA ROSENBERG, predecease me, I
bequeath any automobiles or motor vehicles and such household goods
and other tangible personalty of like nature (not including cash or
securities) which were owned jointly by me with her, to my son,
LEONARD SHORE, and to my wife's daughter, RAE ROSENBERG, to be
divided between them by my Executor with due regard to their
personal preferences in as nearly equal shares as practical.
THIRD: I bequeath my personal effects, any automobiles or
motor vehicles I may own individually and such household goods and
other tangible personalty of like nature (not including cash or
securities), if any, as may be my individual property and not the
property of my wife, RHODA ROSENBERG, or owned jointly by me with
her, to such of my sons, LEONARD JAY SHORE and GARY JOSEPH SHORE,
as are living on the thirty-first day after my death, to be divided
between them by my Executor with due regard for their personal
preferences in as nearly equal shares as practical. Any of such
items not disposed to my sons shall thereafter be disposed of by my
Executor by public sale or in such other manner as my Executor
shall select, and all proceeds shall form a part of the residue of
my estate hereinafter disposed of.
FOURTH: I bequeath the sum of Seven Thousand ($7,000.00)
Dollars, or the unpaid balance of the loan to my son, GARY JOSEPH
SHORE, and his wife, JULIA SHORE, dated February 10, 1986,
whichever amount is greater, to my son LEONARD JAY SHORE, per
stirpes.
FIFTH: I devise and bequeath the residue of my estate of
every nature and wherever situate, as follows:
""::;" c~~" (,
~d'_"_1 '-~>"'-"'l'
-"'/ u_ --., I
- 1 -
4,'
~:J.
~
,
'r
.'~,
If
,.
:~
1\. Sixty (60'1.) I'preen!; Lh,~n:c': .0 bo dlv1dod 1nto as many
equnl shares aA f havo ~Ti\nd'~hild" ,r':~'Ol1l my Aons, LEONARD JAY
SIIORE and G1\IlY JOSBPII SIIOIlI~, fJuch ,,1.,,['0:' thoreof 1:0 be held by the
trustoe here1na{tor. l1omed, IN SEI'M,,\';,r~ 'l',<lJSTS, all {allows I
1. TruBteo uh~ll ac~a~~l~te tho net 1neoms of each
trust during the term her.ol~f, but mr,y from t imo to time distribute,
from current income or frem ftccumul~tcd income or from principal,
such amounts aB '1'rllstoo 1,\ hi B Golo discretion deems advisable
solely for the educat.l.on (including co 110ge, both undorgraduate and
gradullLo) of each trIl6t',,{ bcr:c::,'LJ.ry. Tn determining the
necessity of distrl.butiol1I'l, 'l'ruBLc'J Col\a1!. Luko into consideration
(to the extent practl.cablc) all OL.:.~". :.:~!H)ts and income available
to the beneficiary, including, but :lOt. Er.,lted to, the ability of
the beneficiary's parentB t.o prcvi,:", :0-':: 'lUoh education; provided,
however, that .if 1\ benef ici.a:.:y h::,; iwt completed his or her
undergrnduate education prior to ~,g 0r her twenty-fifth (25th)
birthday, 'l'rustee shall mal;0 no :llr~ ::c~. dist:'ibutione to or for the
benefit of such benefl.cinry in r6f.)(,,<: to hi" or her education, and
any balnnce remaIning In "\leih ::0:1': ~ici.i.lry' s trust shall be
retnined, and the net incor.~'" cE flll'~:: ~~u"l: flccumulated, until such
time that the youngest bf'neficiary h2::-C'.lnder shall have attained
the age of twenty-fivo y~a~s.
2. Each trust E.hall ,c;;,.:r"inate when its beneficiary
has graduated from college, or ""l,n:t the youngest beneficiary
hereunder retains the ago of t.,,'<l:^ ~y-fi ve years, whichever is
earlier. Upon terminaL.on, the then remaini.ng principal,
accumulated income and undistributc'::. .:..~::om'1 shall be distributed to
the beneficiaryof such Lr\l~t.
B. The remnining bal.'mce t!1..:..10:: to my sons, f,EONARD JAY
SHORE and G1\RY JOSEPH SH02E. ShcH!lc; Lr:mlARD JAY SIIORE or GARY
JOSEPIl SnORE predecease me, I cic,vi !:" ~:-. ~ bequoa th his shnre to his
issue, per stirpes, who UL=V~~ ~0.
SIX'"1 '~e inlcrmhtG of th0 ~~nn~!ciar1es herounder shall
not be subject to nnticipiiU",.l or: t:.; voluntary or involuntnry
alienation.
SEVEN'l'lI: In the ev"~,t th.'.lt ,,~' .! ee, P.1l0DA ROSENBERG, dies
under such circllmstallCcs t~dt chere J~ n~c sufficient evidence to
determine absolutely whet.het' si:c G\.;,....:i.vi,d ri1?', I di.rect that my wife
shall be presumed Lo have surv!,vecl ...i;.
~
~k-
- ;1 _
c>
~
EIGII'l'lI: I heraby nco,inaco, c' :.,,;':lto, and appolnt my son,
LEONARD JAY SIIORF., aB F.Xf~Cl.'t,)r of L,;:.~', I.,' LaBt Will nnd 'restament.
In the event thaI: my Bon n;)"ll 1:::-,,.:.G ,,"., 1\10, or bo unwilling or
unable to acl: aR my Ex(',:"tor, ;,., ;":',e<"'iltd, thon I nominate,
constitute and appoint my ,;itc's d",:c::',::(;t' HAg ROSENBERG, without
nscessity for postl.ng neC'lIri.Cy re'1t";:h'c>s of state of resldence, as
Executor of this, my Lns!, will a~~ ~e~ra~cnt. All references to
the Executor herel.n llhaL be -:':,:.~';.~bJ.e to said substitute
Executor.
NINTII: I hereby nod na'~" ,
LEONARD JAY SIIORE, as th" L:,lst"o
Last Will and Testament, ~,'.' :101.'t .:'
regardless of stato of rD~iricnc~.
'I'EN'l'lI: My r~Y.ccut.or :.lId '!'rll" ''''' ~:'.i.lll have, in addition to
the above powers und authority cc,:,...,,:::r.d upon them by law, the
following additJonal pO\~er: nnd c.:;'''':'::lty:
u:' ,,~;':;'.11:0, and appoint my son,
JO .::,(;:r'Jst created by this, my
',_cGElty of posting security
1. '1'0 sell at publ tc Ol' "".:.n.c," sale, exchange, lease,
mortgage or pledge nny prc,norty, ,',c'.:l or porsonal, at any time
constituting a portion of " trUiit. :..;. c:: cry estate, and upon such
terms and conditions as the Executo~ or Truutee shall deem wise.
2. '1'0 invest any mo01oy at /, ":-' 'd::,o in such bonds, stocks,
notes, real estate, mortgages, life I~Ru~~nce, annuities or other
securities, or such propo~ty, real O~ ~or3Qnal, as the Executor or
Trustee shall deem wise, w~_~out b '~~ _i~ited by any statutes or
rule of law regarding invo"tmentc b:' ~,:1e F>:ccutor or Trustee.
J. To retaJn, ~~thc~t ~~~~r:ing any liability, as
investments, any propert.y :';"lee) by .. _ ,'~ t.)1O time of my death, as
long as he deems it wi!!w, .' '-'2 oVen" .. su:::h property is not the
kind of property nn E:<c:.';:' ~.ar Gr 4__'~ ';'" ~ \'lould purchase as an
invostmont; and eVt'!I\ t.hou.. ". to 1'('0:: ".' C'" propflt.ty might violate
f10und diversifi.cation p,dn;, 'plo:;.
4. '1'0 cauuc any ,,:cccurity .::' c':;}'.';:' property which may
constitute a portion of r. t,.ust. or c.. ii,,' ,-",tate to be issued, held
or registered in their own ::o'me, c::' ,', '.::.,': name of a nominee, or in
such form that titlo will :~BS by ~~cry,
5. 'ro conso.nt "." t'~" h':';"..' :,1z"t10n, consolidation,
readjustment of the f.lnan,c:.,:l at._.u.,. ':C, 0:= sale of the assets of
any corporation or otheL' (,rge.niz, ~'_!J", '~he securit.Jes of which
constitute a port.ion of D ~ruBt C~ a" ~y ~state, and to take any
action with reference to C '"lJ ~,ccU-':"" "~. \'Ir.ich, in the opinion of
c:::, ~
-)c:>-~C;:" '~~..s_
--
the Executor or Trustoe 18 necassnry to obtain the benefit of any
such reorganization, consolidation, rnadjuRtmont or sale; to
exercise any convorsion priviloge nr subscription right given to
them as owner of any sccuri~iaB cO~D~ituting a portion of a trust
or of my estate rosillting frc:n flny n:0rg.:mIzatlon, consolidation,
readjustment, sale, conversion or ~utscription.
6. '1'0 pay all coats, ta:<0'1, charges and expenses in
connection wIth the adminlstl:ation of a trust or of my estate,
including such compensatlons to I-:>:Gm,tor or TruAtee which shall be
in accordance wl.th ostabJ' shed !eco throughout the period of
administration of a trust at' of my l;'j Lata.
7. To determine what i.s "incero.:.!" and what, is "principal"
hereunder, and their decision tlw::,Jon shall be final; and to
purchase securities at .:I premium or diBcount, and to apply or
charge said premium or dioco~nt ag~inDt incomo or principal as the
Executor or Trustee may determine.
B. 'ro transfer, sell, axchany,', partition, lease, mortgage,
pledge, give options upon, or athen-dew dispose of any property at
any time held by thAlli, at public or privnte sale, or otherwise.
9. '1'0 borrow money f rom any perooll, f lrm, or corporation,
for the purpose of protectIn., llnd priH,,~rving or improving my estate
or trust hereunder; to ~xccutc! promissory notes or other
obligations for amounts so borrOl,Q('.
10. To employ legal counsel, accountanto, brokers, investment
advisors, cuotodillns, mana'1,?rs and o~hf:r agents and employees and
to pay them reasonable compensatic:; out of my ostate or any funds
held hereunder to which said compensation is attributable.
11. To carryon any business olmed or controlled by me at my
death for whatever poriod nf timo the:' ah.,1.1 think proper, and they
shall have the power to do any and all things they deem necessary
or appropriate, including t.he: pO','ler to clooe out, Uquidate or sell
the businesB at SUGh tJme a:,d upon Guch tarInO that they shall deem
best.
12. To do 1111 other llcts i:l th<:li.:c judgment necessary or
desirable for the proper 'loa Ldv"nt;',g..rms managoment, investment
and distribution of a trust or of my csti)to.
~~ ~s..c....
- tI. -
"
ELEVENTIII I direct that all transfer and inheritance taxes,
state or federal, assesHocl because of my death, whether the funds,
property or insurance pr.oceeds to which ouch taxes are attributable
pass under this will or not, shall bo paid out of my residuary
estate; that my Executor pay, or provide for payment of all such
taxes at such time. or timBS, and in ouch manner us my Executor
deems best.
IN WITNESS WHEREOF, I, SAUL SnORE, the Testntor to this, my
Last will and Testament, typewritten on five sheets of paper which
I have identified at the hQttc:, of each page by my signature,
hereunto set my hand and Beal the --4-- day of At7W. /91))/',
1992. '
~ . 1'.)_ ~~.sEAL)
SAUL SnORE
- 5 ..
!
i,
--~--::--
'.
The preced.lng lnatrumont conslsting of thls IInd five other
typewritten pages, cac:h identified by the algnature of the
Testator, SAUL SlJorlR, wall on thlR day and date thereof signed,
published and doclarer! by SAUL SIIOR!!:, the Testator therein named,
as and for his I,ast wi.ll an.:'. TClltament, in the prel1ence of us who,
at his request, in Ills prosdllce, and in the presence of each other
have subscribed our names ns witnoosetl.
~~
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF DAUPHIN
I, SAUL SIIORE, Testator whoBe nnlne is signed to the attached
foregoing instrument, having been duly qualified according to law,
do hereby acknowledge that I signed and executed the instrument as
my Last WillI that I signed it willinglYI and that I signed it as
my free and voluntary act for the purposes there.ln expressed.
. SAU~~- ~ ~
(SEAL)
to L(itd acknOl~ledgcd before
__ clay of 1917' I: I'
ic
Notary
me, by SAUL
, 1992.
l( ('/trllCr/)\.....
Sworn or affirmed
SHORE, the Testator the
r:'/~I;,,]iM.;1
ViU"'5~' J. OlA;.lltll:Jr1. NI'JlO1ty J\;t(1Q
1!,"~iluID. Om'f'!in ec,,'!y
MyComn,"IonE:qJilo& SopL'I. 1005
- 6 -
. -....--- -
. ,
COMMONWEALTH OF PENNSYLVANI~
COUNTY OF DAUPHIN
We MichaeL.Ch~wka-_ and _...B.<wee J~nner ,
and OAnA I.. MiddlekaUff , tho witneflses whose names are
signed to the attached or foro'Joing instrument, being duly
qualified accot.ding to law, d- ucposo /lnd say that we were present
and saw Testator aiqn and QXp.cut\'l the instrument as hIs Last Will
and Testament; that he signed it willingly nnd thnt he executed it
as his free and voluntary ftct fer ch~ purponAS therein expressed;
that each of us in the hoarlng and sight of the Tostator signed the
Will ttS witnesses; and thnt to tl.o best of our knowledge the
Testator was at the time ejghtecn or more years of age, of sound
mind and under no constraint or unduQ influence.
Sworn or affirmed to
Michael Cherewka
Dana L. Middlekauff
I\h~"l'lnb('r , 1992.
and "ullacd bed to bafore me by
line! Renee J. Conner and
, ~litnt;!lsOS, this '-lill... day of
/~- \
j".cu. ( . h >\'1 I ') I-) u. C' ,{,/llCV)l...
Notary Public
(SEAL)
fJ,:t.1.1:11f,~JJ
V..f'lt1r.':::] J. Ou:.llm:.~l, NOt.1:'/ FiJb,\c
11~\n'..'J';1Jrll, lJ~!Ur.J~ll County
MvCOmrl\lst.ooE.'pliV~ Scpt.4, 1095
- 7 -
~'...
i
.'
,
i'.'
I ' ~,
, ~,"
J
~~,'~
~ ~
,
~~
~~)
~rl'
'EL-~
,~,
~\
S
.~,
~,
~'
~
>-t;-=l'
~
~t
~
,~ }
"I ..
.,'. i
'~j
,'~~
, ~lij
- ~
J::l-
It!
III
~a
a~
i~
a
"
fJ
.-",.
I
~
,....
"'""
~
(gm
I
~
,....
"'""
~))) QJ
k
0
..... .<:
~ en
......
I ....
::s
Itl
en
CI
c;
~,
iB
....
~
w
~ ~
~ ~'~
l!;D::!z ".
i LLl, 0 ;,
J:o:o.
Ul&.~
~ iil ~ m
c( z II:
J: III II:
~g~
::l::l'l
I
,
, \
-':'--
.
.....
""
....
!
-'\1
',. '
'.
. .-.. ',.
~
~
a
,,~:Ai!,J,'~C\
'~'~liV.u.;
COMMONWfAUH 0' 'ENNSYLVANIA
Df'A~'MfNr 0' REVENUE
DEPT. 2.0601
UARRISlUII:O,'A 1112'.0001
M . A MI
/5 -& -1..('
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
f01DAnsO'DIATHAm112t21191 CHICK Hili
I' A II'ClUIAL
I'ClV"TY CIIDIT II CLAIMID 0
PILI HUM."
21-94-1080
COUNTY CODE
M
ReV. IS.. ex. 1"'.'1
I!!
~~~
00...
fill
~
I~
~a
oz
uo
Go
"
z
o
g
E
Go
~
..
z
o
~
S
Go
~
o
u
~
77 Little Run Road
Camp Hill, PA 17011
Cumberland
o 3. nomalndor Rolurn
(far dalll of doalh prior 10 12.13.82)
o 5. Fodorol E.lalo Tax
Rolurn Roqulrod
-1. 8. Talal Numbor of Safo Dopa.11 Box..
Shore
M
Saul
.
.
073-18-6867
19 1. Original ROlurn
11-26-94 06-20-21
o 2. Supplomonlal Rolurn
CO\ln
YEAR
NUMBER
o A. L1mll.d elfo,. 0 Ao. Fulu,. Inl",,' Compromhe
(far dol.. of doalh akor 12.12.821
KJ 6. Docodonl Dlod To"alo 0 7. Docodon' Malnlalnod a lI.lng Tru"
A"ach co of Will) (A"ach co of Tru"l
ALl. CORIISPONDINCI AND CONPlDINTlAL TAX INPOlMAnON SHOULD,II,DlIIICnII'TO,',l'!,rt";!lrli,'",.o"'"",>"",,_,.,,,C\',jolt!'
Michael Cherewka, E6quire
M
3905 North Front St.
Harri6burg, PA 17110
1. Roal E.lalo (Schodulo A) ( 11
2. Slack. and Band. (Schodulo B) ( 2)
3. Cla..ly Hold SlacktPartnorohlp Inloro" (Schodulo C) (3)
4. Martgag.. and Nal.. Rocol.ablo (Schodulo D) ( 4)
5. Ca.h, Bank Dopa.ll. & Mlttollanoau. Poroonal Praporty( 5)
(Sc.odulo E)
6. Jolnlly Ownod Praporty (Schodulo F) ( 6)
7. Tran.f", (Schodulo G) (Schodulo l) ( 7)
8, Tolol Gra.. A..o" (Ialallln.. 1.7)
, 9. Funeral EJCpen'I', Admlnlllratlvl COlh, Miscellaneous ( 91
Expon... (Schodulo H)
10, Dob", Martgago lIabllill.., lion. (Schodulo I) (10)
11. Talol Doductlan. (Ialalllno. 9 & 10)
12. Nol Valuo 01 E.lalolllno 8 mlnu.llno 11)
13, Chorllablo and Ga.ornmontal Boquo". (Schodulo J)
14. Nol Valuo Subloct 10 Tax (IIno 12 mlnu. lino 131
15. Amoun' of line 14 taxobl. at 6% rat.
(Indudo .aluo. from Schodulo K or Schodulo M.)
16. Amount of line 14 taxable at 15% ral.
(Indudo .aluo. Irom Schodulo K or Schodulo M.)
17. Principal 'ax duo (Add lax from IIno 15 and from IIno 16.1
18. Credlll Spoulal Poverty Credit Prior Payments
+ +
19. If lino 1B I. groolor Ihan lino 17, on'or ,ho dlfforonco on lino 19. Thl.I. Iho OVERPAYMENT.
aO...lTIJ":I!'II.........,.........-....I.'1,I.111......riJmm.:'l_....III.....U.uuo.....u...
20. If lino 171. grool" ,hanlino 18, onlor ,ho dlfforonco an lin. 20. Thl. Is Iho TAX DUE.
A. Enl.r ,he int.,... on the balance due on line 20A.
B. Enlor Ih. 10101 of IIno 20 and 20A an IIno 20B. Thl. I. Iho BALANCE DUE.
Mako Chock Pavoblo to, Roal.ler of Will., Agonl
., ,'! ,,' , .. IISUU TO ANSWU ALL QuunoNl ON llIVIIII'IJ!'" .._,'IO~IJClfM,A1K.,.,;?:>,,4,7;',:.~~)\'::,".i.
Under Plnaltle. of perjury, I declare ,hat I have uomln.d .hl. r.turn, Including accompanying .chedul.. and ,'or.ment., and to th. be.. of my knowledge and b.U,f,
It" 'rue, corred and compler.. I dedar. Ihat all r.ol .,'at. hOI b..n reported at 'rue marlce. value. Dtdarollon of prepar., oth.r thon thl pertonal r'pr...ntatlv. I.
ba.ed on 011 Information of ",hi pr.par.r hot any ~nowr.dg.. .
N I .
, '!Lv''<--
v
-0-
97,63B.72
-0-
-0-
8,142.46
-0-
-0-
13,240.31
( 8)
21,265.64
(15)
71,275.23
(111
(12)
(13)
(14)
x .06..
(16)
x .15..
(17)
Dlacaunt
Inl.r."
(18)
(19)
(20)
(20A)
(20B)
77 Little Run Road, C
.
Hill, PA
17011
3905 N. Front Street, Harrisburg, PA
17110
..
...~' --
,
-:;-
105,781.18
34,505.95
71,275.23
-0-
71,275.23
4,276.5
4,276.51
4,276.51
4,276.51
DAU
DAle
8/23/95
8/23/95
,
__..J~ 1 ~_
"
r..,
,I .
,
., "
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (V') IN THE
APPROPRIATE BLOCKS.
1. Did decedent make a transfer and:
a. retain the use ar income of the property transferred, .......................................
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 ot his or her death?.....................
YES I NO
I
I
I
IX
X
'X
X
X
x
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
1(\ ,-
.'. '".
".
p-,
L
WI
I'J
l~1
';:~J
....:~
I' I,; If)
'1)[1:: 1),\ Ji;:,
0: uu
':-" I,'
',: ~-""+~'_~"'< :._':';'_-"/'-'{?:!Fry!~i4fF_~";-~f~~~-~~~~~~~~~~,..~,.'~;J'~L
RlY.1502 fX. 112.151 ~
, . '*
COMMONWfAtTH 01' 'INNSYLYAHIA
INHUIlANCf TAX IUUIN
11!SIDfNt DICIOfNr
ISTATE OP
SCHEDULE A
REAL ESTATE
FiLl NUMBER
Estate of Saul Shore 21-94-10BO
IP"""rtv lolnlly-ownod with Right 01 Survl.o..hlp mu.I bo dlsclo.od on Schodulo PI All ..01 o.toto .hould bo roportod 01 lair markol .oluo
which I. doflnod a. Iho prlco 01 which proporty would bo nchong.d bolwoon a willing buy.. and a willing .011.., nolth.. bolng comp.llod
to bu or ..II. both ha.ln ,.a.onablo ~nowlodgo 01 tho rolo.antlacl..
ITEM
NUMBER
VALUE AT DATE
OF DEATH
DESCRIPTION
....
1.
None
-0-
'i-'
,
TOTAL AI.o onl.. on IIno 1, RKO Ilulallon
(If mOl. .pace ;. ""d.d, inJ.rf odditional altHb 0' .om. sile.)
S
..Q.
llIV.llCDlX+ IN11
SCHEDULE "B"
STOCKS AND BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Estate of Saul Shore
CAli prop<<tV lolnUv-owned wllh Alaht of Burvlvonhlp mul1' b. dllClo.-.::t on 8ch"ul. "P"I
ITEM
NUMBER
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
FILE NUMBER
21-94-1080
DESCRIPTION
Town of Oyster Bay (R-60), 8.2%, 11/10/87
Municipal Assistance Coop., City of New York (56R-99-36), B .0%,
02/05/86
Municipal Assistance Corp., City of New York (56R-99-37), 8.0%,
02/05/86
New York State Energy Research (AR 4066), 71/2%, 11/15/88
Triborough Bridge & Tunnel (DR21136), 9.0%, 07/01/89
The City of New York (15893), 10.5%: 04/03/85
!!le.Citr9f.-....Y.c:k {R3646l.. .08/13/88 .
county of Nassau (R256D), 7.4%, 08/06/85
Municipal Assistance Corp., City of New York (56R-08-73), 8.15%
02/04/86
Municipal Assistance Corp.. City of New York (59R-06-2113),
7.15%, 09/03/87
Accrued Dividends
Franklin Puerto Rico Tax-Free Incane F\.u1d
(Account No. 12310233142)
,
TOTAL (Also enter on line 2, Rocapltulatlon)
Clf mOl. IPKe It needMl I,.." IIddI1IoNI WlMtl 0' .me II..)
-.~ ".....,~,
"f
\
VALUE AT DATE
OF DEATH
$10,000.00
5,000.00
5,000.00
10,000.OD
10,000.00
5,000.00
5,000.00
5,000.00
5,000.OD
5,OOO.OD
6,480.39
26,158.33
I
I
I
I
I
I
l
. 97 638.72
1.V-IS011" 1'.11'
'*'
COMMONWUlTH 0' 'fNNlYlvAN14
INHnlTANCI tAX 1I1UIN
I..JOINT DlCIDItt"I'
SCHEDULE D
MORTGAGES AND NOTES
RECEIVABLE
Plla.1 Print or l I
FILE NUMBER
21-94-1080
VALUE AT
DATE OF DEATH
-0-
i
I
~, .
s
i
I
~'
.
ESTATI OF
Saul Shore
(All propert., 10In"'f1Wn" with .... R"h' .1 Survlvouhlp mUll b. dluloled on Schedule fl.)
ITEM
NUMBER
DESCRIPTION
-0-
None
,
(I' more 'pace i. needeel, in..rt additional .huts 01 .am. size.)
....IJOIlhp..71
.
.
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
PIODIO Prl"1 Dr l 0
F LE UMBER
21-94-1080
CDMMONW\AlIH O. P1NNIYlVANIA
INHI" ANCI 'AX lnulN
IUIDINT Dle'DINt
E OF
Saul Shore
IAII preperty ~I"tfy.ow".d with tho IUght .f SurvlYOflhlp mUlt be dllcl...d on Schedul. '1
N~~~R DESCRIPTION
VALUE AT
DATE OF DEATH
1. Savings Account, Maridian Bank
2. Major Medical Reimburslm!nts
$6,867.27
1,275.19
;j
"
,
TOTAL
S 8 142.46
tAttach additional lV.- M 11- ""'" if mort apoc. II nMdfll.l
ITEM LmER DATE
FOR
NUMBE' JOINT MADE DESCRIPTION OF PROPERTY TOTAL VALUE DECD'S DOLLAR VALUE OF
TENANT JOINT OF ASSET % INT. DECEDENT'S INTEREST
1.
None -0-
.
,
TOTAL (AlIa ontor on IIn06, Rocapllulatlan) S -0-
....'~'" I":~ '*'
COMMONWlAUH OF 'I!NNSYlVANIA
INHUlfANCl TAX IlUUIlH
1I!1IDlNT DI!CI!OINT
SCHEDULE F
JOINTLY.OWNED PROPERTY
ESTATE OF
Saul Shore
Jalnllonanll.l.
NAME
ADDRESS
A.
B.
c.
Jalntly-awnod proporly.
(If mor. .poce i, n..d.d ins.rt additional.".." allom. sin)
I
FiLl NUMBER
21-94-1080
RELATIONSHIP TO DECEDENT
IlYoISl1." (7.",
~~
COMMONWfAlJH 0' 'fNNSYLVANIA
INHflUTAHCf TAX UfURN
IU!SIDfNf DfCfDfNf
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
Saul Shore
ITEM
NUMBER
DESCRIPTION
1.
A, Funlral Explnllll
B.
1.
2,
3.
4.
C.
1.
2.
3.
4.
5.
6.
7.
8.
Reese F\lneral Hare, Inc.
JIJ1leS R. Gingrich MtmOrials
TtlIltlle Btlth Shalan
Rabbi, post funeral reception, etc.
Admlnlstratlvl Castll
Plrsonal R.pres.nlatlve Comml..lons
Social S.curlty Numblr of P.nonal R.p....ntatlv..
Vlar Comml..lons paid
Attorney F...
Family EXlmptlan
Claimant Rhoda _Shore _ R.latlanshlp Scouse
Add.... of Clalmanl at d.c.d.nt's d.ath
St...t Addre.. 77 Little Run Road
City ~ Hill Stat. PA
Pllall Print or T I
21-94-1080
AMOUNT
4,359.00
1,385.00
2,585.00
1,700.00
10,029.00
1,055.59
2,000.00
Zip Cod. 17011
Proball Fe..
Mllclllanlaul Expln...l
Cunberland Law Joumal
Short Certificates, etc.
76.00
40.00
39.72
TOTAL (AI.o .nler on IIn. 9, R.capltulollon)
(If marl IpaCI I. n..dld, In.lrt additional .h..t. 01 .am. .1...)
s
13,240.31
UV.I'l1II. ',.".
.$:~':1..
-~
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABLITIES AND LIENS
eO/lll..o,.wIALJH 01 IINH1lt'tAHIA
""IIII",,.el r....I(fUIH
'U~rN' orcrDINr
..., .. .-.,.~
ESTATE Of
Saul Shore
PI.a.. Print or Typ.
I FILE NUMBER
21-94-1080
ITEM '
NUMBER I
6.
7.
8.
9
10.
11.
12.
13.
14.
15.
16.
DESCRIPTION
1.
2.
3.
4.
5.
OOl~-hBlf of Mortgage, Meridian Bank, No. 4201073B81
1994 Pennsylvania Personal Incare Tax
Discover Card, Account No. 6011002006524706
AT&T Universal Card, Account No. 4784-5500-0957-0274
Master Card, Bank of New York (Delaware), Account No.
5432334150045142
Beneficial Credit Services, Account No. 88823260.
United Jewiah Ccmnunity of Greater Harrisburg, Account No. ~!
Loan, Leonard Shore, 515 Route 111, Hauppauge, NY 11786
Anesthesiology Consultants, Inc., P.O. Box 5808,
Harrisburg, PA 17110-0B08
Shaffer Cardiovascular Associates, 650 N. 12th Street"
Lemoyne, PA 17043
Inners Davis Associates, 1863 Center Street, Camp Hill,
PA 17011
The A.Z. Ritzman Associates, Inc. P.O. Box 655, Camp-
Hill, PA 17001
Holy Spirit Hospital, 503 N. 21st Street, Camp Hill,
PA 17011
Polyclinic Medical Center, 2601 North Third Street,
Harrisburg, PA 17110
Apple-A-Day Walk-in Medical Care, 6230 Carlisle Pike,
Mechanicsburg, PA 17055
John C. Schiro, M.D. 161 South 32nd Street, Camp Hill,
PA 17011
.
TOTAL (AI.o .ntor on IIn. to. Roc.pilul.tlon)
(II more 'po,. i, n..dtel. in..rt additional "'His o( lam. size.)
AMOUNT
$11,010.24
314.00
761.77
891.43
498.23
38.16
100.00
7,000.00
130.65
281.16
17.12
159.13
2.45
42.00
2.55
16.75
S 21,265.64
'r'
It v UIJlIt 11-111
. .
COMMONWtAUH Of ,fNNSW"ANIA
IHHIIlfAHCI fAl .nUI"
'I~O'N' OltlOINI
SCHEDULE J
BENEFICIARIES
L
}o'~
11
..-;
\j
~
y~
.~
..
ti
ESTATE OF
FILE NUMBER
Saul Shor~
ITEM
NUMBER
21-94-1080
NAME AND ADDRESS OF BENEFICIARY
RELATIONSHIP
AMOUNT OR
SHARE OF ESTATE
A. TaKable aeque.tll
l!;
I
I.
Grandchildre
$42,765.13
2.
Gary J. Shore
Son
14,255.05
3.
Leonard J. ahore
Son
14,255.05
ii
'?,
~
,
f
N~TJ~ER NAME AND ADDRESS OF BENEFICIARY
AMOUNT OR
SHARE OF ESTATE
B. Charitable and Governmental a.quI.hl
~
1.
TOTAL CHARITABLE AND GOVERNMENTAL BEQU~STS lAb 0 .nt., on IIn. 13, R.copilulor/on) 5
(If more .pace I. ne.ded, Inllrt addUlonal .h..t. of .am. II..)
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
}
UI
Mlat~L glFRE.WKA,~.,
being duly authoriztrl eecordlng 10 law, depolu and "YI Ihat he is th~
attorn~y ___ of Ihe Eslate of Saul Shore
lale of _17.. Li!:~).~, ~n_)~~ I,_CtI'!l'. !Ij.]'.L , Cumberlend County, Pe" deeeued end thet the
wllhln Is an Invenlory made by ....M!~l..Cb~nJWka. Eso. " the uld attornw
of Ihe enllre ulale of ..Id decedenl, conlllllng of all the pe..onal prol'"rty and ,..1 ellate, except ,oel eatele ouhlde
the Commonwoellh of Pennsylvania, and Ihal the figures oppollle ..ch Item of the Invento,y rep,uent It's fel, velue
01 of the dale of decedent's dealh.
and lublcrlbed before me,
Sworn to and ,ub,cnbedbelo,eme
Ihl!!: ;/. " "i3,V n' A~ 1.,1- 10 f(' 19
Xtul//d ~J/y
E..cutor . Admlnhtr.t.r
~"<~,,e ~
Micha~l Ch~rewka
NOTARIAL SEAL
'lWfOL R. DEPPEN. NOIIIY Public
;,I~~uchann3 Twp.. Dauphin Co~m'."
. . ' ~~,",!,m;"!'lion Expims Nov. :,l 'f':"'.
3905 North Front Front, Harrisburq, PA
Add,... 17110
Date of Death
Tw\,!ntv-Sixth r 26th)
Day
N~r
Month
1994
Vu,
INSTRUCTIONS
I. An Invenlory must be flied wllhln three monlhs afte, appolnlment of pe..onal ,eprellntatlve,
2. A supplement Invento,y mUll be flied wllhln Ihlrty days of dllcovery of eddltlonal e"eh.
3. Addlllonallheeh may be attached II to pe..onally or realty
4. See Arllcle IV, FiducIaries Act of 1949.
.,. -0
~ '" AI
W '" ~
~ < 0-1 AI
W AI
0.. Iii u .
2 '" ..
g w C ... :-
j!: N .:.
0.. ..J U. .; ~
Z U. ..J ~ 0 i 0.. 2:
W 0 < i- o.J<
> z '"
Z 0 ~ c !
c "
- on z l3
0 '"
Z w < ...
0.. ... :E
c
- ..
'"C
0 AI
.A ... ...
AI E
. AI II
~ c3 it III
;)
......... .---
Inventory 01 the real and personsl estate 01
SAUL SHORE
deceased
1.
2.
3.
4.
5.
Municipal Bonds ( Facl:l Va1ul:l)
Accrued Dividl:lnde - Municipal Bonds
Franklin Puerto Rico Tax F'reI:l Ine<m3 F\md
Savings Account, Ml:lridan Bank
Major MI:ldica1 Rl:lirnburaerrents
$ 65,00 00
6,48 39
26,15 33
6,86 27
1,27 19
.............................. ....... .....
'101'AL GROSS ASSETS $105,78 18
v
j ~J' .(,- . C.
REV-1547 EX AFP (12-94*
COIIIDNWUl TH DI' PDldYlVAHIA
DrPARllEHT DI' RfYD<<.IE
IlItUU OF INDIVIDUAL fAXEI
DOlT. 110611
HARRI'''', PA 17U'~"Dl
NOTICE OF IHHERITAHCE TAlI
APPRAISEHENT, ALLOWAHCE OR OISALLOWAHCE
OF DEDUCTIONS AND ASSESSftENT OF TAlI
ACN 101
DAT! 12-11-95
FILE NO.
11-26-94 COUNTY CUMBERLAND
NOTE. TO INSURE PROPER CREDIT TO YOUR ACClMIT. SUIIlIT THE UPPER I'ORTlON Of' THIS FORII IIITH YOUR TAlI
PAYHENT TO THE REDISTER OF IIILLS. HAKE CHECK PAYABLE TO "REGISTER OF IIILLS, AGENT"
REMIT PAYMENT TOI
MICHAEL CHEREWKA ESQ
3905 N FRONT ST
HBG PA 17110
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
_t R_Itt"
CUT ALONG THIS LI~I .. RETAIN LOWER FORTION FOR YOUR RECORDS ~
iiI'Y:is4"i"iif-AFii-nZ-:nn:jilYicinoF-iiiiliiiiTANci-'1:"Ax-APPRA"iiiiiiiii't-;-ALt"OWANCi-jii--mm---------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTAT! OF SHORE SAUL FILE NO. 21 94-10S0 ACN 101 DAT! 12-11-95
TAlI RETVRII liAS. I X I ACCEI'TED AS FILED
t I CHAHllED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN
1. R_l E.t.t. ISchodul. Al III
2. st_. lI(MIlond. I_I. .1 121
S. Cl...ll1 HlIld St~Part...r""lp Inta...at 1_1. CI tSI
~. Ilort_alNata. R_iVllbl. t_l. DI I~I
5. CIIahIIIank O'OdtaIlU.... P.r_l P.......rtll 1_1. El 1&1
.. Jolntlll _ P.......rtll I_I. FI "I
7. TMln".r. ISchodul. III 171
.. Tat.1 A...h
.00
97.638.72
.00
.00
8.142.46
.00
.00
III
105.781.18
APPROVED DEDUCTIONS AND EXENPTIONSI
9. ,...,.....1 ExPW1.../AdII. Cad.IHbo. EKI*'I". CSchedul. H) (9)
10. Dabtalllort_ Uablllt1../LJ.... 1_1. II 1101 21.265.64
11. T.t.l Deduotlon. 111/
12. HlIt V.l... of T.,. R.turn 1121
15. Charitabl./Oov.rnaant.l Iaqua.t. I_I. JI 115/
1~. HlIt V.l... of Eotat. SUbJ..t to T.,. 11~1 71,275.23
NOTEI If.n ........nt w.. 1..u.d pr.v1au.ly, I1n.. 14, 15 .nd,ar 16, 17 .nd 18 will
r.,l.ct f1gur.. thlt 1nclud. th. tat.l of ~ r.turn. .......d ta dlt..
ASSESSMENT OF TAXI
15. _t of u... 1~ .t _..1 r.t. 1151
U. _t of Li... 1~ t.,._l. .t LI....lIC1... A ...t. IUI
17. _t of LI... 1~ t.,._l. .t CaU.t....UCb.. . ...t. 117/
II. Prlnolp.l T.,. _
TAX CREDITS I
PAYHENT
DATE
08-25-95
13,240.31
~4.linli ql;
71,275.23
.00
.00 x .03.
71,275.23 X .06.
.00 X .1S.
IlII
.00
4.276.51
.00
4.276.51
RECEII'T
HUIlIIER
AA048171
DI5C.1LWI' 1'1
INTEREST I-I
.00
AItOUNT PAID
4,27 .51
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
4,276.51
.00
.00
.00
· IF PAID AFTER DATE INOIeATED. SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TCTAL OUE IS LESS THAH U, NO PAYHENT IS REQUIRED.
IF TOTAL OUE IS REFLECTED AS A "CREDIT" ICRI. YOU KAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORII FOR IHSTRUCTIOfIS.1
...
,...
..
I
;~:-,(,
IIDOIYATlC." e:st.t.. of ......-,... ctwtl'll on or tMfo,.. a.o..ber lZ, 1HZ -. If InV future Jnt.....t In the ..tlt, II t,..,.fer""
In po.....lon or MJa~t to el... It (cou.tl,..n beneflalarl.. of the .........t 1ft.,. tM eJqIJrIIUon of MY ..ht, for
11'. or for YMn, U. ,. __lth hlr. eJqII.....b r...rve. the riGht to ......... ... ...... ,,..,.f.r IrhtrJt.,. Tax..
at the l_lu1 el... . (oou......n rat. on MY MIdI futu,.. 1"t.r..t.
~..
NOnCEI To fulfill the ""'."""1 of lactlon 21U of the IMilrltMM MIl Eat,t, fa Act, &at II of 1"1. 72 P.I.
IeclUon 1141.
PAYMDfT. Dlbclh the tOIl portion of thl. HatlOll ... __It ..Utt )'OUI' ~t to the .......r of WUlI printed on the rwv.. ....
--.... check Dr ~ OnMr PQIIbla tal REGI8TER OF MILLS, ACJEN'1'
All ,.~h rewlved "U flrat be .,..lhd to IftY lnt.,.ut w.lch .., be ... with InY r_l,.,. ...11_ to the tax.
...... (au I . r,fund of . tax credit, lIlhlctl .... not r....ted on U. Tme Rltum, ..v be ,..,..ted by ...IIU,. ., ""'U_tlon
for alhnd of Pwrl.,lwnl. InherlbnM ... Elbt, fme"' (REV-JUS), AppllcaUonl Ira ..,.111.,1, It the Dffi_
of the A..ht.r of MUll, MY of the U Rewnu. al,t,.iat Dfflce., or bv call1nt the "-.11 Z4-hour
.,....rll'lll "Mllee """"'n far 'ani. arderll'llll In PernQI...."I. 1-100""'1-2050, DUblcA. Pemnlwnl. MIl
within I~I Harrl~r. .r.. (717) 7.7-.094. TDDI (717) 771"1151 (Heerlnt I.,.I~ Onl.).
DI..II!CTJDHlI Any ,.rty In Int.r..t not ..th,IM with ttM ...r.l~t, .1l~ or dl..llawncll af dIcbIUon., or ..........t
of taJC Unoludll'l dlSCCU'lt ar Int.....U .. IhcNn an thh NoUe. au.t obJact within .1Mty (6D) day. of rKelpt of
thh Notice b.1
--wrltt.., prate.t to ttM PI o.p.,.t.ant a' hvarue, Ioard of AppMlI, o.pt. UlaU, Harrhbu,.., PI UUI"laU, a.
--elaatlon to haWi ttM _U.r dIIt.nllned at IlUdJt of the IJOCCU'lt of the ,.,.__1 r.rIMrltatlWl, aR
--.....1 to the D~.. Caurt.
.,1lUM
tlTRATlVE
CORRE:CTtDHII F80Ml .rran dllcovarM on thl, .....~t lhauld tN- ~ra.Md In wrlUne tal PI o.p.r....t of RIYW'IUII,
lur..u of rndlvl~1 ,...., 'TTNI Po.t .....seent Revl.. unit. Dept. ZI"'I, Har,.l~r., PI 1711'''0'01
Phone (717) 717-'515. s....... S of the booklet -[n.ttuatlon. 'Dr tMerltw.otl Tu R.turn 'Dr. Re.ldent
Deoedent.. (lEV"Ull) far ., IXPI_tlon of "lnhtraUvah correat_.e .rrer..
DtlaUO'l
If any bH due II p.ld within thr.. (5) ee."'r ."th. .fter the dIcecWlt.. dMth. . 'Iv. parcent U):) dlaoGU1t of
the ta paid .. .UCMMCt.
Int.,..t is ct.r.. beglmlne .,lth flr.t day of .11~., or nine (,) ."ttt. MIl ... U) .. 'rOIl the cA.t. 0'
deattt, to the dat. of ~t. Tu.. whldl Me-. cA.llnquent bafor. ..-..,.y 1, 1HZ bear Int.r..t .t the r.t. of
aI. (61) parC8l1t Plr .... C11lcul.tM .t . dalb rIIt. 0' .0101604. AU t.... whldl bee-. dallrMPo*'t on ... aft.r
.......r. I, lHI wUl bur Int.,...t .t . rat. Iltllch ..111 vary froe e111...,. ,...r to e111.....,. )'Mr' with thet NIt.
~ by the PA Dlpar~t of Revww... The ...,.IIAbl. Inte,...t "t.. far lf1Z through 1"5 .,...
IMTDUT.
!!!! tnt.r..t RIIt. Dallv tnt.r..t Factor ~ Int.r." ht. a.Uv Int.r..t Factor
1HZ ZOX .000541 1917 n .011147
IHJ 16% .0.045. 1"'-1"1 llZ ....sal
I.M llX ..0aSOl II'9Z n . ''''47
1915 15% .000356 I"S"I",. n .DOlln
1_ lOX .0001:74 1"" n .DOII47
--Int.r..t I. calcul.ted .. followl'
INTEREST . aALAHCE OF TAX UNPAID X HUKlEI OF DAYa DELINQUENT X DAILY IHTERElT FACTOR
....~ Notlc. II..... eft.r the taM ~. _11"",*,t ..ill r.,het .. Int.,...t eII1oul.Uon to ,UtMn US) day.
bawond the dat. of IN .....~t. If pev-nt .. ... .ft.r thI Int.rllt ~t.Uon dat. .no..n on the
Notice, ..Utl_l Int.,...t .,.t ba calcul.ted.
'-"'c",~'~' ',f".-:t:"<''''''''' ..;~"~'_* '''''h
;Ii
~
.
"
21 - 94 - 1080
IN REI
ESTATE OF SAUL SHORE
.
.
I
RENUNCIATION OF EXECUTOR
I,RCle. Ro~\el'lbf'I'1 , of I./tj Cf/-ef4'l Lt:l.fIf /).{ City of
.J I
f'Cvrflp Id-i / I , County of ~ ' State of
~;q , have been appointed by Saul Shore,
deceaeed, to act ae co-executor of hie Eetate.
I hereby renounce my appointment ae co-Executor of the Eetate
of Saul Shore and nominate in my etead Rhoda Roeenberg Shore,
of 77 Little Run Road, Camp Hill, County of Cumberland,..
State of Penneylvania, to act ae Adminietrator with the will
annexed of the Eetate of decedent. I requeet the Regieter of Wille
to ieeue letter to my nominee on her petiti.on for the lettere.
I make the above renouncement and nomi.nation'pf Rhoda
Roeenberg Shore on the condition of appointment and qualification
by her, and eubject to her continuing to act in that capacity until
the cloee of her adminietration.
Dated: /2./ Jt.I J 1 L/
I I
ftU~J~
",.P'
C.!Il
i~~-:'
.. ~.
...
Q:l
l~
8'
, 0::
0::
.g~'
g ~
,,,B
',..
9'9
J, liS
~~"-c:.
~{~
~a
~
c:.3
Ci
pI;,
FAX 717-232-4774
TEL:
Dee 16 94
8:23 No.OOl P,02
21 - 94 - 1080
IN RBI
BSTATB OF SAUL SHORB
I
I
UIlUllCIA'rXOII or IUClnoa
L - C' II HCA,'r'/"^ L low,';
x, eo~/lI'/I t. --.lIoCC: , of . r v.' ...lir, Gityof
S/.-I/TI/TolLJ/J , County of ::::;';c'rroL/( , State of
AJ.r::t.o.J YO/Z..K. , have been appointed by Saul Shore,
deaea.ed, to aat ..f;xecutor of hi. Batate.
X hereby renounco my appointaont a. Bxecutor of the B.~ato
of Saul Shore and nOMinato in my atead Rhoda Ro..nberg Shore,_~ ,
..JUA~'''5'
of 77 Little Run Road, Camp Hill, county of Cumberland, '~f~~
State of penn.y1vania, to act a. ~ni.trator with tho will
annexed of the B.tat. of decedent. I requeot the Regbter of wiU.
to i.auo letter to ~ nODine. on her petition for the lette~..
r ..ke tho above renouna...nt and no.J.nation of Rhoda
Roaeoberg Shore on tho condition of appointment and qualification
';"); .,.,
by h.r, and aubjeot to her continuing to act in that capacity until
the cloa. of her adminiatration.
Dated I I),LA!. 1(, d7'j' Y
., ")@~-'
---,---.......-
____ '__. r- .,," .-
--.....---- ~\ ,.....~,: =----.
SIJJ()(O to bdr>re me tll/~
1(" ~h day o~ beCf'.mbe'} 1'19'1,
~'fkl~
N Public.
GARY M. BRUNJES
Notary Public. Stata of New Yotk
ND. 62.4834698
.... Quallflad In Suffolk County
....mmJ..lon Expire. May 31. 1 s..:zr
" . ~
ii,
f
f,
.
j:{i'J: '~"
" .t\ /,~.: .;!;) :1".-\ r:L;
tbj'~;;~)~)i}i' '~~L.t-7.\1;.it),j ~}h\..Hr.-a
,
. ~_~J "~:~",,;!./:?f~,1-:,, :~~. 1i'-'~40.;\~~tt-n ""."
, ;lHf..(\ ,;tJ,:j).~jrtl_~'.:~r!>$ jJ._~(.( t':\-!ii1-
. ~J,~l;rJ-,'"t (:j.tl -J_\~
.,,' '. -',
'.o:~-":i';,;$~ ~:J~:.)fw::jt:i,!1
\J~,i.l'"
'--,.-'),\'_.1 t;\U[!:l
""< i' '1::'
'6 .'~ atE.
~!'~ ":~:,:'.~tr' ,','".,',"1'::;'
~.~~'.h ;~:i' d.., I,;"l"..'"
~cr' . \Iii" ,.~ a ,'i.": 1:<'.',...>3-'
t ~ ,Jjll';: .,.0. 1 1~l l;s,.-:- .. i
- -, .,
".... t..;r-'~:.'~.;;Hi
. H-,:;l ~<n !i;"ll aj
'.:j!{ j 0 ~'Hi~'
l1;..r~~t.r:C
V~t' ~}
"{ :-{"'~" I.,
',d''''
"
--,'j
CERTIFICATION OF NOTICE UNDER RULE 5.6(a\
Name of Decedentt
SAUL SHORE
Date of Death: November 24, 1994
No. 21-94-1080
To the Register:
I certify that the Notice of Beneficial Interest required by
Rule 5.6(a) of the Orphans' Court Rules was served or mailed to the
following beneficiaries of the above-captioned estate on
February 15, 1995:
fWIR
ADDRESS
Rhoda Rosenberg Shore
77 Little Run Road
Camp Hill, PA 17011
63 Highland Road
Mansfield Center, Conn 06250
515 Route 111
Hauppauge, New York 11786
Gary Shore
Leonard Shore
Notice has now been given to all persons entitled thereto under
Rule 5.6(a) except: NONE.
Date: February 15, 1995
~ ~ (I/~
Michael C erew 'f: Esq.
3905 North Front Street
Harrisburg, PA 17110
(717) 232-4701
Capacity: Personal
Representative
X Counsel for
Personal Representative
, -<'"
~:'_"'~"~~_'''''_''''''",,_''''____4_'~''''___'''''''-~_'~'''''>'_'' ~.,~ 1~:,:,:~.S\:
If".'
"
._,{..
\.
"
" :;";: : li"..ccli (~Il.f ",' ,
. , !t.", --e:::t ~ . ,
a""lftNV^'AWtfHJtI '""M."MVH
. .&.DlIII~. .LHOW" HJJlDN g061:' .
_ 'M~"YA_au.V:
\/ltM3t1:iHO 13VHDII'I
",,')
1...;. !'.'
,I:' .' "';",
-",'.
. , H
: j~ ,''t..'_''';'' -.
~i"'.'
:;],',;\
,".:.
.
':"
\.
..;,
'f
> 1 ~
.'
.!;'-,:; '! ':./:
,,;.-
-~ ",
-,,\-:
'i'j
"'-"
..,~ ,- -~ !."",-,
.~, ' ,
---'
~: ~:#t!t;~~
. '.- '.:~ --ffl'}J~;~~~~~'~
" -,-' :,:-'::~~;~-;~!t~{:}?~:
.t.
, ,
" .
d' '.:
'.'
\
.-,.... -~...~........
,
:;:.::-,.:;.;;:...~\:.;,;;...:......,~.....:...::...:.:.~.;..:.. ----~...- '-~ -'-- --.-- - - _.- -- -- -- - -- - -..-.- - -- -- - -- ~ -....;.....- - - - - ~
I ~ ' . i
:~:;!r'
i<jl
;...J..,
-, \0,.-
"~~~~t....",~_..~-.",\,..,,,, ,f,"','.& ~'.." .'('/',.:"'~f '~'~' '. ~ ) < .
i;~';'f':~:;-:'i'i"::}",~"},~,~~,, COMMCiNWEAitH OF,)ENNSYLVANIA : "
~~i~~;,04,~17'~ :~"f;,~')r,;;:,. i'. ~ DI"ARTMI~T 0' IlIYINUI " ",' ,
" I ii~,i}iiia{ ~ "", ,,: , ': O,.ICIAUECIIPT . PINNSYLVANIA'INHIRITANCI AND ISTATITAX '
ACN
ASSESSMENT
CONTROL
NUMBER
~, /:~~\[ti;:ri;~~~:~]
.,.;'."" -j
:\'. ",
" ',',
"
r\'fI.
I'd
.:1
RECEIVED FROM.
i
ED AMOUNT
"
',tJ;
.:l-!
CHEREWKA MICHAEL
390e NORTH FRONT 8T
101
....tl/O.Dl
,-~ "\
c' j
"',' i
f'q
,
,
HARRI8BURG. PA 17110
.....,
~.'OIDH,.,
IOIDHII'
, \,
ESTATE INFORMATION.
~ FI NUMBER
U 21-1994-1080
E1 NAME Of DECEDENT (LASTI
I] D,ATE OF PAYMENT
m POSTMARK E
COUNTY
88N 073-1B-6867
lFIRSTI (MI)
"
DATE OF DEATH
REGISTER OF WILLS
fa TOTAL AMOUNT PAID 14. 27b. ej
vz
J. "
RECEIVED BY F/I..{.I..I (. ,:;1" (.coAI ,:2/tI
j, $IGNAJ~'!f' L' /" ,
,/0- (.I' r I - '.-'
MARV C. L.EWIB ./i~J. .
REGI8TER OF WIL.L.8 n'Yr t'
REMARKS
RHODA 8HORE
SEAL
CHECK* 1029
.~-:;~':7:,-:--,-::,-::--.'~7,,7~~.~-":'7_~,~.-":""""~-=--::T.:-::--:,~~":'"7,":"7--~-~------ - --,... --- - - --- -- ~~--:-- ~,"-~--:7'::::
'Y"
.-.......~_..,
,
-;:::,..-
f' I
-, .,..
\' f
. " .
.f
-..-- . lt~ '.
_d .. - ~.
.'
\.
STATUS REPORT UNDER RULE 6.12
Name of Decedent: SAUL SHORE
Date of Death: November 24, 1994
Will No. 21-94-1080
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 whether the administration of the estate is complete:
x
Yes
No
/'
~
answer is "No", state when the personal representative
believes that the administration will be
2. If the
reasonably
complete:
3. If the answer is "Yes" to No.1, state the following:
a. Did the personal representative file a final account
with the Court? Yes No X
b. The separate Orphans' Court No. (if any) for the
personal representative's account is:
c. Did the personal representative state an account
informally to the parties in interest?
Yes X No
d. Copies of receipts, releases, joinders and approvals
of formal or informal accounts may be filed with the
Clerk of the Orphans' Court and may be attached to
this report.
Date: AUGUST 24, 1995
on
~r
.~
j'li
'J1
'O~<
~~ /JUII./n-t/lt,..i-;.:
Mi~f((;l cheh~ka, '1::sq. ~.::
3905 North Front Street
Harrisburg, PA 17110
(717) 232-4701 :u;
l'j
, .
~, .
~<
'0
Capacity:____PersonalRepresentative
,.-"
--X-Counsel for Personal
Representative