HomeMy WebLinkAbout94-01090
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PETITION I"OR GIMNT 01< LETTERS QIo' AI>MINISTnATION
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Estate 0/'1::r-J .J -" ~'LJ.::L~i-
also kilo wi, Its , r:J--
IJtJet'tl.wtl.
Social Sec"rlty No, /8 I - 0 3 - S 7 rJ.. 7_
No,C-, 0)/- qlj. -ID90
To:
Ilcglslcr of Wills fur Ihc ~ " (J
COllllly of .c..~il.Qtl,e
Commonwcllllh of Pcnnsylvllnlll
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The pellllon of Ihe undcrslgncd rc.peclfully rcprcscm. Ihlll:
Your pelllloncr(.), who Is/nre 18 YCllrs of IIgc or oldcr, IIppLL~.s_ for ICllcrs of ndmlulslrnllon
on Ihc eslnle of
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(d.b.n.; pendente litl:; dUflll11C 111aclIlllI: dUfalllt' mlllorihUI:)
the nhove decedent,
Decendenl wns domicil cd III dcmh In c...<-4~....t.u-e " ~ Counly, Pcnnsylvnnln ~lth p
11 6'- --'- Inst fnmlly or prlnclpnl rcsldence III "<, 7 <:- r, , l:l ,
(11\1 ~l"'cl. IIl1mber aud municipality "-n .../-.f~
Decendent, then I:::' YCllrs of ng~, dlcd ~'f!. 18 , , 19 q L/ ,
at C'~ t~ . -f! ~ ...<-cl<-->-'\--l:\-.{b~ '
Decendenlllt denlh owoed propcrlY with e'lhunlcd vnluc. liS I'olllow.:
(If domiciled In I'll,) All pcrsonlll propcrly
(If not domiciled In Pn,) I'ersonlll properlY In I'cnnsylvllnlll
(If not domiciled In I'a,) I'crsonlll properlY In CounlY
Value of real estate In Pcnnsylvanla
situated as follows: n ....-v1 .
"70 n, 00
$ / ,
$ -
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Petltloner_afler a proper search hll...2.. IIsccrllllned thnt dcccdentlefl no will and WIIS survived by
the following spouse (If any) IInd heirs:
N me
Rclatlonshlp
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Residence
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THEREFORE, pelllloner(s) rcspcclflllly reqllcsl(s) Ihc grunl of ICllers of ndmlnlSlrallon In the
IIpproprJllte form to thc undcrslgncd,
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OATH OF PERSONAL REPRESENTATIVE
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
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Thc petltloner(s) above-named swcar(s) or affirm(s) that the
stlltcmcntsln thc forcgolng petition arc truc and correct to the bcst
of thc knowledgc and belief of petltloner(s) and that as personal
rcpresentatlvc(s) of the abovc decedent petltloner(s) will weiland
truly admlnlstcr thc cstatc according to law,
Sworn to or affirmed T~nd. subserlbcd ~:n') d IJv ~
_ bcfO~%et~~ ' 6 I ~
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. Register
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No. 21 - 94 - 1090
Estate of
NELLIE RILEY
, Deceased
GRANT OF LETIERS OF ADMINISTRATION
LETTER..5 REVO\(,E'D - N~W LEiTl:~S. \SSU.~D.
.
AND NOW DECEMBER 29. 19~. In consldcratlon of thc petition on
the rcvcrse sldc hcrcof, satlsfacllln! Il(oa[ bl\vlng been presented beforc me,
IT IS DECREED that MilK Y 'WII I SON
Is/arc cntltled to Lctters of Administration, and In accord with such nndlng, Lettcrs of Admlnlstratlon
arc hcrcby granted to
MARY WAISON
NELLIE RILEY
In thc cstatc of
-rr;(/~iL,,,{b7f3t1 {liD,
Realster of Wills ' 1I1J
MARY C. LEWIS
FEES
LcUcrs of Administration "". $ ? 5.00
Short Ccrtlneatcs( 1)"""",. $ 3.00
Rcnunclatlon ,............... $ ~ nn
JCP $ ~ nn
TOTAL _ $ 36.00
Flied... .Q~~~.~~~~..~~,... A.D, 19.1.1-
"TIORNEY (Sup, CI, t,D, No,)
"DDRESS
PHONE
Mailed letters and order to Administratrix on 12-29-94,
IN RE: NELLIE RILEY, deceased
REGISTER OF WILLS
CUMBERLAND COUNTY. PENNSYLVANIA
ESTATE NO, 21 - 94 - 1090
ORDER OF THE REGISTER OF WILLS TO REVOKE LETTERS OF ADMINISTRATION
AND NOW, this 5th day of May 1995. I Mary C. Lewis,Register of Wills
in the for the County of Cumberland, do hereby revoke Letters of
Administration on the estate of Nellie Riley, late of, Middlesex Township
that were issued on December ?9, 1994 as a will has been found and admitted
for Probate.
,.
PETITION FOR PROBATE and GRANT OF LE'ITERS
No,
To:
Register of Wills for the
, Deceased, County of Cumherlund In the
SocIal Security Na. l"l-UJ-) tll Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petltloner(s), who Is/are 18 years of age or older an the exeeut r ix
In the last will of the above decedent, dllted Oc toher 27
and eodleil(s) dated none
Nellie N, Riley
21-94-1090
Estate 0/
also known as
named
. 19..J!L
(1llte relevant circumstance., e... renunciation, death or ellCcutor, elc.)
Decendent was domiciled al death In Cumherland County, Pennsylvania, with
~ er lust family or principal residence at 375 Claremont Drive. CurllRle,
P~nnRylunnin 17nl1
(1111 11r<<I, number and munclpaJlty)
Decendent, then years of age, died Septemher 18 ,19 94
~ ,
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted
after execution of the will offered for probate: wus not the victim of a killing and wus never adjudicated
Incompetent:
Decendent at dellth owned property with estimated values as follows:
(If domiciled In Pa,) All personal property $ ;J. I 0- 0
(If not domiciled In Pa,) Personal property In Pennsylvania $
(If not domiciled In Pa,) Personal properly In County $
Vulue of real estate In Pennsylvania $
situated us follows:
WHEREFORE, petltloner(s) respectfully request(s) the probate of the lust will and codlcll(s)
presented herewlth and the grant of letters testamentary
(testamentary; administration c.t.a.; admlnlstratlun d.b.n.c.t...)
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1230 William Street
IInnn"nr I PnnnR.}' lunn-' n
17111
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA } 55
COUNTY OF CUNBERLAND
The petltloner(s) above. named swear(s) or aCOrm(s) that the statements In the foregoing petition are
true and correct to the best of the knowledge and belief of petltloner(s) and that us personul represen.
tatlve(s) of the IIbove decedent pelltloner(s) will weilllnd truly administer the eSlate according to law,
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LEWIS
Register
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Sworn to or afflrm~dT,and
before me this a H
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No. ?1 - 94 - 1090
Estate of
NELLIE RILEY
, Deceased
DECREE OF PROBATE AND GRANT OF LETtERS
AND NOW MAY 5. I 9~, In eOllJlderatlon of the petition on
the reverse side hereof, satisfactory proof havlns been presented before me,
IT IS DECREED tbatthe Instrument(s) dated OCTOBER 27. 1986
described therein be admllled to probate and nted of record us the lust will of
NELLIE RILEY
and Lcllers TESTAMENTARY
are hereby sranted to _ MARY E. WATSON
FEES
Probate, Letters, Etc, """", $ 2 5 . 00
Short Certlncntes( ).......... $
~mfr~IN~"CE" 'TAX' REtOk'N $ 1 b. 00
$
TOTAL _ $ 40.00
MAY 5. 1995
Filed. ..... .....~.~.~..~ .~. ..... ........~
JAMES D. FLOWER ESO
ATfORNI!Y (Sup, 0, I,D, No,)
11 EAST HIGH ST
ADDRIlSS
CARLISLE PA 17013
PHONI!
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Called attorney on 5-5-95.
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~",it.j'l';,' "'~~;L,;,,),'i~'\/,ico, M" 'M,' '.,0, NWEALTH, OF PENNSYLV., ~NIA ',,'
D t:lo;;,:AAOM;"0921;';;',;,, "';':"/' "" " ' , " " \ '. ",' , ,,'
",,;;),';;,";;';;4;:",";"';";; , !"<; F ";V,",;'" '" ,DI'O\IlTMINlO" RIVINUI" , ',',' '; " ; ,
~;~,';6ifj'1l.i,W'j;iit ij';;OPPICIAL,RECEl"e' PENNSYLVANIA INHERITANCE AND ESTATE TAX",'
ACN
t='lI ASSESSMENT P:I
RECEIVED FROM, It CONTROL ~
NUMBER
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AMOUNT
MARY WATSON
le30 WILLIAM ST
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.113.23
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HANOVER PA 17331
;. 'CND HfI, '010 HfI'
ESTATE INfORMATION,
m fl E NUMBER
1QI E?1-1994-1090
1:'1 NAME Of DECEDENT IIASTI
~ RILEY NELLIE
II DATE Of PAYMENT
EI POSTMARK DATE
COUNTY
SSN 191-0S-~7e7
(fiRST) (Mil
CUMBERLAND
DATE Of DEATH
REMARKS
MARY E WATSON
m TOTAL AMOUNT PAID
.113.E?S
PB
SEAL
REGISTER OF WILLS
RECEIVED BY/h0-1"'(!' ~,; if,~"l"A )
SI , A.. .
MARY C. LEWI B? ,,.j, /(,.'~cl;' /./!-~.
REGISTER OF WILLS I ,
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COMMONWUlTH Of PfNNUtYANIA
DErARlMINT Of R,VENUE
DfPT. 21060
HAU'SlURO, P'" 17 7'.0601
OIC DIN' NAMI IlA . .. ,AND MIDDl
If;,-~~/-I
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILI!D IN DUPLICATE
WITH REGISTER OF WILLS)
'01 DATlS 0' DIATH Anll 12131191 CHICK HIAI
IP A SPOUSAL
POVIITY CRlDIT IS CLAIMID 0
PILI HUM"I
REY.!.500 u. 11.Q.,
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21-94-1090
COUNTY CODE YEAA
D N ' COM'l I AD an
NUMBE~
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375 Claremont Drive
Carlisle, FA 17013
COIIII' r1
AMOUNT RECflVID lilf INURUCtIONil
o 3. Remainder R,'u,n
I'.r do '" .f d..,h prior 10 12.13.B2)
o 5. F.d.ral Eltal. Tax R,lurn Rlqulttd
~ O. Total Numb., of Safe Dlposlt Bou,
!XI 1. Original R,turn
o 2. Supplemental Rtturn
o .. lImll.d Ellalt 0 .Aa. Future Int. lilt Comproml..
(I.r dolll 01 d.o,h aft.. 12.12,B21
lXJ 6, O.eld.nt DI.d Tellol. 0 7. Olc.d.nl Maintained a living Trull
(Attoch copy .1 Willi (Attoch copy .1 TrullI
ALL CORRESPONDENCE AND CONfiDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO,
NAMI COMmn MAIUNO "'OORU$
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Flower, Morgenthal, Flower & Lindsay
11 East High Street, Carlisle, FA 170
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131
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ISI 2.081.11
( 61
( 71
181
(9) lq"l qR
(101
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(121
1131
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(lSI--.J.. 887 .13
(16)
(171
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2,ORl 11
193.98
1.887.13
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1.887.13
113.23
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20. If lIn, 1911 gr.ot., than lIn. IB, .nl., Ih. diff.,.nc, on lIn. 20. Thill' Ih. OVERPAYMENT.
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21. If lIn. 18 'S gr,ol., than lIn. 19, .nl., Ih. diff.,.nc. on lIn. 21. Thill' Ih. TAX DUE.
A. En'er th,ln''''I' on ,h. bolanc. due on lIn. 21A.
8, En'OI ,h. 10,.1.1 lIn. 21 .nd 21A on lIn. 218, Thl. I. 'h. BALANCE DUE,
Make Check Payabl. tal R.al.,., of Willi, Ag.nt
>- >- BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH -C:-C:
Under Plnchl.. of p.rjury, I declar. Ihol I halt' uomln.d thl. "Iurn, Including accompanying Ich.dul.. and lief. mInts, and to Ih. b.., of my ~nowl.d9' and b.li.f.
II I, Iru., corr.ct and compl.I.. I d.c1or. thai all real tUol. hal bun reporl.d at 'ru. markt' valu.. D,daratlon of pr.par., olh.r than Ih. plnanal r.pr...nlati.... i.
bOlld on all Information of which pr.par.' hal any ~nDwl.dg..
'IONA'UIIO'PfUONIU'ONSllll,OlflUNOUTUIN AOOIUS 1230 William Street DAn
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1. R.ol ElIo.. (Schodul. A)
2, SIDC~' .nd B.nd. (Sch.dul. 81
3, Clollly H.ld Slac~IP.rln."hlp Inl....' ISch.dul. C)
A. Mortgages and Noles Receivable (Schedule OJ
5. Cosh, Bonk Depollu ;. Mlscellaneoua Penonal Properly
(Sch.dul. EI
6. J.ln,ly Own.d Pr,p'r1y ISch.dul. FI
7, Tran.f." ISch.dul. GI(Sch.dul. II
8. Talal Gran An.ls (Iolallln.. 1.7)
9. Funeral bpena.., Admlnlalratlve Caala, Mlttellan.oua
hponlll ISch.dul. HI
10. Debu, Mortgage lIabllitl.., liens (Sch.dule IJ
11. T.,.I D.ductl.nll'o,.llInll 9 & 101
12. Ne' Value of Estate (line 8 minus lIn. 11)
13. Charitable and Gavernm.ntal BequllU (Schedule J)
14. Nel Value Sub eet 10 Tax (line 12 mlnua line 131
15. Spouaal Tranafe,. (far dalll of dealh after 6.30.94)
See Ina'ructlons for Applicable Percentage on Revlne
Side. (Include valull from Schedule K or Schedule M.I
16. Amount of line 1.4 laxable 01 6% role
(Include valu.. from Schedule K or Sch.dule M.)
17. Amount of line 1.4 laxable 01 15% ra'e
(Include valull from Sch,dule K or Sch.dule M.)
18. Principal lox due (Add tax from lIn.. 15, 16 and 17.)
19. CrediU Spouaal Poverty Credit Prior Poym.nU
(lB)
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Ched" IIe'e if you Ufe rL'llucsling u refund of your ove,poymenl.
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11 East
Street
17013
04/27/95
DAn
04/27/95
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SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
COMMONWIAUH 0' ~'NNIYlY'NI'
INHlanANCI TA amaN
a.1l01NT OK DINT
E F
Pllo.1 Print or l I
F B
21-94-1090
RILEY, NELLIE M.
CAll ,.....rty leI.tly.ew..d wl.h ,he Riehl., Su..I....h1' mu,t 100 dl"I...d .n S,h.dul. .,
ITIM
NUMBER
1.
2.
,." ,.,.:.',i.."
DESCRIPTION
Capital Blue Cross, refund of premium for period
of 10/1/94 through 01/01/95
Cumberland County Nursing Home, close out guest
account
.
IAnam additional aw" )( 11" .hee'. If mare .pac. I. nlldld.)
VALUE AT
DATE OF DEATH
$ 279.60
1,B01.51
S 2 OB1.11
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11'11511".1''''
.
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
RILEY, NELLIE M.
PI.a.. Print or T p.
B
21-94-1090
COMMONWIAlTH 0' PINNSYlVANIA
lNHunANCI 'All u,UIN
IlUIDIN'DfCfDfNf
DESCRIPTION
AMOUNT
ITEM
NUMBER
A, Fun.ral bp.n...'
1. Prepaid
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5,
6,
7,
8,
Admlnl.tratlv. Co.t.,
Personal Representallve Commission. None
Social Security Number of Personol Represenlollvol
Year Commission. paid
.
3,
Allorney Fees
Flower, Morgenthal, Flower & Lindsay
Family Exempllon
Claimant Relollonshlp
Address of Clolmont at deceden"s dealh
Streel Address
100.00
City
Slole
Zip Code
Probate Fees
Register of Wills, Letters of Administration
MI.e.llan.ou. bp.nsu,
38.00
Corestates Hamilton Bank, analysis fee on estate
checking account
Register of Wills, filing fee for Inheritance Tax
Return
Register of Wills, changing Letters of Administration
to Letters Testamentary
15.98
15.00
25.00
TOTAL (Also enter on line 9, Recapltulollon)
(If mar. .pae. I. n..d.d, In..rt oddltlonal .h.... of .am. .1...1
s
193.98
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COMMOHwlAUH 0' "NNIYlVANIA
INNunAHCII.u ..rUIN
1III00Nl DlaDIH'
SCHEDULE J
BENEFICIARIES
UTATE OF
FILE NUMBER
RILEY NELLIE M.
21-94-1090
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
RELATIONSHIP
AMOUNT OR
SHARE OF ESTATE
1,
A, T~..blo aoqullt..
Mary E. Watson
1230 William Street
Hanover, PA 17331
Sister
Residuary estate
.
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
AMOUNT OR
SHARE OF ESTATE
B. Charitable and Governmental Beque"'l
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TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Ah. ontor.n Iino 13, Roc.pltul.lI.n) S
(II mo.. .pac. I. noodod, In.ort addlllanal .hoo'. ., .amo .100'
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LAST' WILL AND TESTAMENT
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r, NELLIE H, RILEY, of Carllsle, Cumberland County, Pennsylvania, being
of sound mind, msmory and understanding, do make, publish and declare this as
and for my last will and testament, hereby revoking and making void all former wills
by me at any tims heretofore made.
FIRST. I direct all my just debts and funeral expenses, including all
inheritance, estate and succession taxes, be fully paid and satisfied out of
my estate by my personal representative hereinafter named as soon as conveniently
may be after my decease.
SECOND. I give, devise and bequeath all of my estate, real and personal,
to my sister, Mary E. Watson.
LASTLY, I nominate, constitute and appoint my sister, Mary E. Watson,
Executrix, of thls my last will and testament.
rf
I have hereunto set my hand and seal this ~day
IN WITNESS WHEREOF,
catk4..
, 1986.
of
11 dJ'..':- ~, rJr.''!J '
(SEAL)
Signed, sealed, published and declared by the ebove named Testatrix,
Nellie H. Riley, as and for her last will and testament, in the presence of
us, who, at her request and in her presence and in the presence of each other,
have hereunto subscribed our names as witnesses thereto.
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CUMBERLAND COUNTY NURSING-HOME
QUIST FUND
CAllUSLI, PA 17013
DETACH AND RETAIN THIS STATEMENT
THI: ."'''0''.0 C".CK I. IN ...........NT 0.. I,..... O.K"'..O ..LaW,
I~ NOT CD"".CT "-&A.. NO"" U. fOlIIDloI"""-.... NO ".C.l" D...".O,
DEWXE . FORM NWCP.2 V.2
OAT!
DESCRIPTION
AMOUNT
02/02/95
119965
'2456
Nellie Riley
$1801.51
close out guest fund account
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Pennsylvonla BlueShleld
. . HARAISBUAQ. PA. 17177
CHIc.. M.lU8IR
191969
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ESTATE OF NELLIE RILEV
575 CLAREMONT DR
CARLISLE PA 17015-8820
AGREEMENT NUHBER
181035727
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......................... EXPLANATION OF REFUND .........................
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PERIOD OF REFUND
FROMI 10/01/94
TO I 01/01/95
REFUND REASON I CANCELLED DECEASED
TYPE OF COVERA~EI
SECURITY 65
TOTAL REFUND AMOUNT I
REFUND AMOUNT I
.279.60
.279.60
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tot'''OftkNA CHECKING DEPOSIT
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LAST WILL AND TESTAMENT
,I, NELLIE M. RILEY, of Carlisle, Cumberland County, Pennsylvania, being
of eound mind, memory and understanding, do make, publish and declare this as
and for my lest will and testament, hereby revoking and making void all former wille
by me at any time heretofore made.
FIRST. I direct all my just debts and funeral expenses, 'including all
inheritance, estate and succession taxes, be fully paid and satisfied out of
my estate by my personal representative hereinafter named as soon as conveniently
may be after my decease.
SECOND. I give, deviae and bequeath all of my estate, real and personal,
to my sister, Mary E. Watson.
LASTLY, I nominate, constitute and appoint my sister, Mary E. Watson,
Executrix, of this my last will and testament.
of
IN WITNESS WHEREOF,
{P~
I have hereunto set my hand
r/.
and seal this~day
, 1986.
11 d;' ~ ~, (I?:f; "
(SEAL)
Signed, sealed, published and declared by the above named Testatrix,
Nellie M. Riley, as and for her last will and testament, in the presence of
us, Who, at her request and in her presence snd in the presence of each other,
have hereunto eubscribed our names as witnesses thereto.
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WOI H' REV....
Inl!fORTItIB
ttRllfICAn; nool
WARNING: 11' IS ILI.EOIIL TO ilL lEIl THill COPY 011
TO DUPI.ICATE BV PHOTOSTAT OR PHOTOGRIIPH.
COMMONWEALTH OF PENNSYlVANIA
DEPARTMENT OF HEAL nt VITAL rlECOhDB
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
CERT, NO, 2344201
September 19, 1994
O.tlolltllltlulll'IIC"I,llUIllOn
Name of Decedent
Nell ie
Marie
Riley
fllll
-U,rnll'
Lul
Sex
Female
Social Security No, 181-03-5727
Date of Death September 18, 1994
Date of Birth
8-8-1909
Birthplace
Morefield, West Vir9inia
Cumberland County S. Middleton Township Pe ns Iva la
Place of Death
Claremont Farms
"':I~lr N_
,oulll,
'y. UfUUg U' U*1'I111P
Marital Status
Widowed
Occupation Hou sewl f e
Decedent's
'Mailing Address
Watson
375 Claremont
Armed Forces? (Yes or No) No
Drive, Carlisle, PA 17013
Race
White
N~"'btf
511'"
CIt'tOf Town
&t,..
Informant Mary Ethel
Name and Address of
. Funeral Establishment
Funeral Director
M. Lee Dugan
17306
DU9an Funeral Home, Inc., 8endersville, PA
Part I: Immediate Cause
(a) CHf.
(b)
(c)
(d)
Part II: Other Slgnlf\:tWO ?Ondlllons
Interval Between
Onset and Death
Manner of Death:
Natural 1)Q
Accident 0
Suicide 0
Describe how Injury occurred:
Homicide 0
Pending Investigation 0
Could not be Determined 0
Name and Title of Certltler
Ernest M. Josef, M.D.
1830 Good Hope Road, Enola, PA 17025
(M,D" 0.0" Coroner, M,E,)
Ad dress
This Is to certify thst the Information hero given Is correctly copied trom an original certificate of
death duly flied with me as Local Registrar, The original certificate will be forwarded to the State
Vital Records Office for permanont filing, ~_
01-010
LV~,.' fl~''''.f 01 YIUl t'Cor O,llrl(\ ND
September 19, 1994 124 Rice Avenue, 17307
Oil. fl_1vtod by Lou' "eg,tl..,
511MlI,t\,l<t'"'
C,t"IiQlough, TownShIp
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21 - 94 - 1090
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21 - 94 - 1090
REGlSTEn 0..' WILLS OF CIIMAFAI ANn COUNTY
OATH OF SUBSCRIBING WITNESS
.1
HENRY L. STUART and KAREN E. FAIRCLOTH
X:'6>>l\;'(J
(ellch) II subscribing wltne.s to thc will presellled hercwllh, (each) being duly qUllllfied IIceordlng to
law, depose(s) IInd sIlY(s) that THEY WERE present IInd SIIW
NELLIE RILEY
thc testa I R IX , sign the slImc and thllt THE V signed as II wllnessutthe
request of teste' R I X In" FR presence and (in the presence of each other) (In the presence of the
othcr subscribing wllness(cs)),
~ / /'"~ -r'--
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me this 1 ST dllY of (Name) .
" /)"lfiMAY (~~
/1/1'~(' JrtllplL . '~ (A'1~
MAR C. LEWIS Register '~ ~ Q .
(Name)
Sworn to or arnrmed and subscribed berore
(Address)
REGISTER OF WILLS OF COUNTY
OATH OF NON-SUBSCRIBING WITNESS
...--/ ,
a subscriber hereto, (ellch) being duly qUllllfied according to IIIW~~) and say(s) that
familiar with Ihe slgnllture or /-
/
/codlcll
of (one r~the subscribing wllnesses ..JO)" the will prcsented herewllh IInd
// codicil
~elleves the slgnlllure on thc will Is In the hllndwrlUng of
/../
---'
to the best of ----:;>nowledge and belief,
Sworn to or arnrm~ subscribed before
me thls./ dllY of
./ 19
./ -
./'
tesl81
that
(Address)
(N~~
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Register
(Name)
(Address)
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21 - 94 - 1090
RENUNCIATION
',R.,,,..., 'n .' te;, R": i,;S
To thc Rcglstcr of Wills of ('I. A ~...,~ ~L;:t<--VL-~
deccascd,
County, Pcnnsylvanla,
Thc undcrslgncd -...<1,.~"(] A, _\- ~ a ~:..t.e,- .-1-""
of
thc abovc decedcnt, hcrcby rcnounec(s) the right to admlnlstcr the estate and rcspcctflllly ask(s) that Lcttcrs
~ (/J..AJ..vV1. _A t -;1 L, ., -t,-=,~ .(
be Issued to "YYJ (0\ 0 k. J ",]t; o,,^
WITNESS
hand this
day of
,19_,
/&;:J. O. ~~
(Slanllure)
113 9~/ :i?: /l;{a.7'to.c~ V1".- '~.!1($
tf7 u,."""", Cd/tlwda -,. h'/~ -~'<)"l)"
(Addres.)
(gcy.,.I/1 (;[?.';,,If'Oy
( (SI8nlture)
S 3 -<. ~" ,co I.d 1M"" If'd,
P!u'I,?de!;:>III"I. 711, /911'1
(Add,es.)
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C!at-lifl... Pib /7tJd- 7')'0'Y
, (Addr.ss)
t
CERTIFICATION OF NOTICE UNDER RULE 5,6(a)
Date of Death:
9
Admin, No, tJ../ - '1 LI "- l"tJ '} 0
Name of
Will No.
To the Register:
I certify that notice of beneficial interest required by
Rule 5.6 (a I of the Orphans' Court :Rules was served on or mailed to
the following beneficiaries of the above-captioned estate on
:
~
Address
,
113 oy 0 13 I 'C... 'r Ix 7:l I'l'f '0':2 g 1-,. I. nit... ", ['" .,0
k I!!. n t) 'i- h >3, '~ r I< ....., t' J t) I 'V" '"\'}1 -,-, ., , 0 11
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Pu. 19111
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Notice has now been given to all persons entitled thereto under
Rule 5.6(a) except
0'1 'SeE
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Date: / - '-{ '- 9~-
Name
Address /.2. S
H~h
Telephone (
Capacity: v
personal Representative
Counsel for personal
representative
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f3.
PENNSYLVANIA
, deceased,
(beneficiary)
(address)
Please take notice ot the death of decedent and the grant of
letters to the personal representative(s) named below. You may have
a beneficial interest in the estate as follows I
(if additional space is needed, use back of
17,'\ ~'
Name of decedent .1;7~ IR /
Last known address 1'1- I n ,--A _~Q.
page)
o.~~, P9t
of decedent
Date of death -J!.J;/' -:f- I Y ~ 7 'f
Place of death cf/<-<.~~<,..-.-. ;
County of grant of original letters
~J
M ~yV\.('
Decedent died testata intestate,
A copy of the will is ~ is not attached.
Name(s), address(es) and telephone number(s) of all personal
representatives appointed
Name
Address
/ .Q .3 0 W .~~ --Q.1-
Telephone
t ~>-<- ILl-' Pa..
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WHEREAS, RILEY NELLIE
, ,
CUMBERLAND COUNTY
and
, died on
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WHEREAS, the gr n
is required for the
~'
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THEREFORE, I,
in and for the Co ty
Commonwealth of pennsy!
To
.,.
Register of Wills of CUMBERLAND County, pennsylvania
Certificate of Grant of Letters of Administration
No. 1994-01090 PA No. 2194-1090
ESTATE OF RILEY NELLIE
, ,
Late of
,
No. 181-03-5727
, late of MIDDLESEX TOWNSHIP
of
September
1994;
administration
the estate.
, Register of Wills
, in the
ania, have this day granted Letters of Administration___
to MARY WATSON
of the estate
who has duly qualified as administrator(rix)
of the above named decedent and has agreed to administer the estate according
to law, all of which fully appears of record in my Office at CUMBERLAND COUNTY
COURT HOUSE, CARLISLE, PENNSYLVANIA
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my Office on the 29th day of December
.
;
:':
s
1994 ~
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REV.1547 EX AFP (12-94)*
tDHHONWEAlTH OF PENNSYLVANIA
, DEPAATttENT OF REVENUE
IUR[AU OF INDIVIDUAL T'XES
IJ[PT. IID601
lWlAISlURO, Pi 17121-0601
ILj.l-1
c....
NOTICE OF INHERITANCE TAX
APPRAISEHENT. ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS ANO ASSESSHENT OF TAX
ACN 101
DATE 07-24-95
E OF FILE NO.
DATE OF DEATH 09-18-94 COUNTY CUMBERLAND
HOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAX
PAVHENT TO THE REGISTER OF WILLS, HAKE CHECK PAVABLE TO "REGISTER OF WILLS. AGENT"
REMIT PAYMENT TO:
JAMES D FLOWER JR ESQ
FLOWER ETAL
11 E HIGH ST
CARLISLE PA 17013
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
A.aunt R..ttt.d
CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ~
ifili=is47-EX-AFP--iiz:94Y-iliificnij:-YNHEiiiTliNCE-TAX"jiP'PRjiisEHEili'-;-AL.LoiiliNciroli-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
NelLIE FILE NO. 21 94-1090 ACN 101
TAX RETURN WAS, I ACCEPTED AS FILED ( XI CHANGED SEE
ESTATE OF
RILEY
DATE
ATTACHED
07-24-95
NOTICE
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1, Rod Eatoto (Sohodulo Al III
2. Stock. and Bond. (Schedule B) (2)
5. Clo..ly Held stock/Partnership Inter.at (Schedul. C) (5)
~. "artg.g'I/Not.. Receivable (Schedule DJ (4)
5. C..h/Bank Depolita/Hilc. Parlonal Property (Schedule E) lS)
6. JointlY Owned Property (Schedul. fJ (6)
7. T,..".18rl (Schedule OJ (7)
8. Tot.1 A...t.
,00
,DO
,00
.00
2,081.11
.00
,00
IBl
2,081.11
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funar.l Expan.../Ad.. Coatl/HiIC. Expan... (Schedul. H) (9)
10. Debta/Kortgage Llabl11tl../Llen. (Schedul. I) (10)
11. Total Deduction.
12. H.t Valu. of TaM A.turn
lS~ Charitable/GovernMent.l Baqu..t. (Schedule J)
14. Hot Volu. of Eatoto Subjoct to Tax
193.98
,00
(111
U21
U31
U41
1Q3 QR
1.887.13
.00
1.887,13
NOTE:
If an assessment was issued previouslY, lines
reflect figures that include the total of ALL
ASSESSHENT OF TAX:
15. A.ount of Lin. 14 at Spou..l rat. (15)
1'. A~unt of Lin. 14 taMable at Lin..l/Cl... A rate (16)
17. Aaount of Line 14 taMable at Collat.raI/Cla.. 8 r.t. (17)
18. Principal raM Du.
14, 15 and/or 16, 17 and 18 will
returns assessed to date.
,00 X .03.
.00 K ,06.
1.887.13 x.15.
UBI
.00
.00
283,06
283.06
TAX CREDITS:
PAVHENT
DATE
04-27-95
RECEIPT
HUIIBER
AA023092
DISCOUNT 1+1
INTEREST I-I
.00
AHOUNT PAID
113.23
INTEREST IS CHARGED FROM 06-19-95 TO 08-01-95
AT THE RA'i'ES APPLICABLE AS OUTlINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
113.23
169.83
1.85
171. 68
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN .1. NO PAVHENT IS REQUIRED,
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCRI. YOU HAV BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.I
....,....,,,,
.~ _c..
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a:
AUERYiTlD'h Eatat.. of dKedenta dyIng on or befon Dec...r 11, 1912 n If Mlt future Intar..t In thll ..tata 11 tr....'.rrlld
In po.....lon or anJov-ant to Cia.. . (callat.ra.) bana,lclarl.. of ~ dac~t .,tar thll a.plratlon of MW a.tat. far
11'. 01'" for waars, U. C~lth hIInbw Ixpr.uh, r...,.".. thll right to appral.. and ...... tran,'.r Inharltanc. Tua.
.t thll l~ful Cl... . (callataral) r.t. on anw luch future Inter..t.
........ OF
NOTIa, To fulfill the requlraHfttl of Section ZUO 0' thll Inharltanc. and E.tat. Tu Aat, Aat ZZ 0' 1"1. 12 P.I.
Section Z140.
PAvttDfTI Detach the tap portion of thh Hotlc. Met ....It with your pav-ant to tM Rlght.r a' NUts prlntad on tha nv.r.. llde.
uftakl check or ItOMlt order payabla tal REGISTER OF MILLS, AGENT
AU PIYMntl rec.lved ""11 flr.t be ~lIl1d to any Int.r..t which ..w tMi due with eny r...lnder appllMl to the tax.
REftICD (ath A r.fund of I talC credit, which WI' not nqulltad on the T.. A.turn, ..w be r~.tlld bv coapleUna en '"Application
'or Ae'und 0' Penn.vlvanl. Inharltanc. and Eatata Tu. (REV-1313). Application' .ra .v.llabl. at the Office
of tha AIgI.tar of Will., any of the Z3 Rlvenue Ol.trlat D'flcl., or by call1na the .paclal Z4-hour
an.warlna .1,."lcI ~r' 'or for.. ordering! In Penn.ylvanll l-100-S6Z-Z0S0, out.lde Penn.ylvanl. and
within locIl Harrl.bUrg .r.. (717) 717-1094, TOOl (717) 77Z-I25Z I"-'rlna Jap.lred only).
OIJECTIONS! Any p.rty In Intar..t not ..tl.fllld with thl appral.aHftt, alluw.ncl or dl'lllowanc. of ~tlon., or ......-.nt
of tax (Includlna dl.count or lnt.r..t) .. shown on thl. Notice au.t object within .Ixty (60) day. of rlCllpt of
thh Notice bYI
....rlttM protut to the PA DlplrtMnt of R.vll'lUll, laIrd of AppMlI, Dlpt. lIIDZ1, H.rrlaburll, PA 17IZI-1Ul, OR
--.lectlon to hlv' the ..tt.r det.r.lned It audit of the ItCcCU\t of tIM perSOlMlI npn.ent.tlv., OR
--.....1 to tM Orphan.. Court.
ADtnN
ISTAATIVE
CORRECTIONSI
raotusl .rrar. dhcovlrlld on thll ......Mnt Ihould be addr...1d In wrltlna tal PA o.p.rtant a' R.VInUl,
BurlflU of lnetlvldulll TllC", ATTN! Po.t A.......-nt Alvl... Unit, Dept. lI0601, Itlrrhburll, PA 17UI"0601
Phone (717) 717-6505. ... PIGI J a' the bookl.t .In.truotlan. far Inherltanc. TalC R.turn far. R..ldlnt
Decedent- (REV-IS01) for an .xplenetlon of ~Inl.tr.tlv.l~ carrectabl. .rrar..
If any taJC due Is Plld within thr.. (5) c.lender .onth. .ft.r \hi decedent.. dMth, . flv. pareant (n) dlscowtt of
tIM tu plld II .llowed.
DIICDl.ltTI
IHTERfSTI
Int.r..t .. charged Malmlna with flnt day of delinquency, 01'" nl,. (,) IIOftth. W1d one (1) d.v '1"'011 tIM datI of
de.th, to the data of P')'Mnt. T.lCu which bee... .lInqurant "for. Jll"lUllry I, 19lZ bHr Inter..t It the ret. of
six U:o ...rcant per ~ c.lcul.tad It . d.lly nt. of .000164. All taJl.' which bee.. delinquent an W1d .,hr
Janulry 1, l'IZ will b..r Inter..t It a r.t. which will vary frOll celendll'" y'll'" to celandar y..r with that rat.
announced bv the PA DIp.rtsent of R.venue. The appllcabl. Int.re.t r.t.. far l,az through 1995 '1""1
~ Int.r..t Rate DaUv Int.ra., FlICtor ~ Intera.t .... a.ltv Int.r..t Factol'"
1912 ..X .DDD541 1917 OX .0ODI47
191' lOX .DDUSI ..g-I991 lIX .DDDSDl
1914 lIX .DDDJOl I... OX .DDDZ47
1915 In . DDOS56 199'-1"" 7lC .0ODln
1916 lOX .000Z74 I"S 'X .DDDZU
--Int.r..t II celcul.ted .. 'ollow.!
INTEIlEIIT . IALAHCE OF TAX UllPAID X HUlIIlER OF DAYI DELINQUENT X DAILY llITEIlEST FACTOR
--Any Matlce I.sued Ift.r the tlX bIc~. delinquent will r.flect an Int.r..t cllculltlon to fl'teen (IS. dly.
beyond the dlt. of the ........"t. If P')'Mnt II ..sa eft.r \hi Intlr..t caaput.tlon dltl IhcM'l on \hi
Hotlc., additional lnt.rut au.t be caleul.tld.
"
k,.:
I,
I'
.1'1.1.701.....11
*'
INHERITANCE TAX
EXPLANATION
OF CHANGES
COMMONWEALTH OF PENNSYlVANIA
_ DEPARTMENT OF REVENUE
IURIAU 0' INDIVIDUAL TAXIS
DEPT,2I0601
HARRISBURG, PA 11121.0601
DECEDENT'S NAME
.
filE NUMIER
Nellie H. Rile
2194-1090
A
101
SCHIDULI
ITlM
NO,
EXPLANATION O' CHANGES
J,A
1
CIt8!111e.'L~~_l!..rllta. Jrol2__6.pel'cen,~.to .1~ .l's.ri:!Int _.Iinee. 8. 1~._tC!r__~,,_~_c;!lI_I!!I..___. .'--'
"n" hell'.
~ .,'.~ ~ ~ ~_....,_.. -~..__....._-, ... -,- ~ ~ '.... ."..~..-.. -~.~ _..- .'- ..,_.- '.-. -"
. .~".,. ~ ~ ._._.__.__..____.__.~__~~..__"'_r ..~~',.._~.____
"P' _~.. .__ _...._____...__. __._.__...__ ~~ .M_.___."~.._'" ~ ~- .. "~..- '.".~_.~""~-_.~'~-- - .-..... ...~... .. ..-...~.~ ..._'"'~ ---~--,-~._~...... "'~--------
~__._~____~.__ _ ._._ ___ + ~~~.___..~ _.;....~_~.__ ~~. ~......_""~~.~~..__~_ .,.__ ...-'... 'h~' .._~".. ....,..._____,___......_____--.......____~._ -.-,--,
__________.~.._._.,._.,.._____~__<.___.._,~_.__:_~.-.;.....----...-.~~,..... .'._".h.'~ "".... .__.___~...______................__...._____.__,.__..._____.
_.4 ...~____.___..._....__...;._+_~_.M'..~...__..",...~..,~...._~~..:' ~."'.~--..-,--~...~~-,.._"""".:"""'.................................~--.........,.-.-..-...--.~-
-~_...--~-~...~--~~--.-....~.......,-~~ ------:~.~.-...~..."~-.~-----_..--.-...'-.-.............:-~......_.._'"..--"..-----
_,_. ~ .__...-___ ~_ _~__.~.,. __~_._.._.~___.___ .~_ ~__'.h_ ...,. c.. ~ ___.__ ~ __.'" .._____._..'__,..~w.___.~~.____ ...---....;...-..~-------,..------.
. _ ..,..___ ~.__ __.~.~_~.~_.. _,_~.__.____.___..~,_ "..-.~~.__.~..- ._,.....____________________~._ ,___. _~ w ~.~_ '''~_____~__~.~_,......._~_____~_______
. ."...~." '.' ~_ ru~,._.~... _~_.'..h___..-.~,..,.......
~ .._._.. .T.'-_.____~_._~_._..__w_...,;~_"'_ ..."....-_____________ - ~ - ._-
.... _, .,.._c.~..>.".,~,... ""...-~.. r ~ _" ~..c _ ~ _.""-" _. "-._'.+"
_._,___. ___ _.,,_ ,. ~~_.>._'_..._'.~_~_._..~." ,n. ,___ ~+. ,..._.~. ....". .,.,~ _-..... .~~...-'- - -.., ~..'-.~ .,.,~.-..,.-.,....-, .".... .,.-- ".-- ---.~--.--+----._----------
"._- ~- - ._-
_,_'-c-. ___,..... .._'. _'"~.___.__~_ "_,.+,. .'__ ~ .___~..____.__ .,----,.._4._..__ -~~- -- --~~... ---,.- -.-,
._...~.._. __.~ ___._.... ..._._' ._'.,_ ~.__.,_ ...,>-~~~_...__,..~_.,,__.,. ....'..._ .....,......_ H_.<.~'. .~._ ~_.....<.'_.._._...,_..,.__......~___.___"._.._._.___.____._.....____'0._
"---^
__ _ _.~._..._.__._.__~.___~.;.~ ,,_' , _,.....~..,,'__,_~_.._"_~...~_,.,~_~_..~ ",..__v~..~_'.._...,__....'n.._~~__'" ,.,'" ~.~...o."'~~'_'__'__~____.__~'_'._.__'
',"" .0"_.'.__ _""____-.---__'_...~~__L.'.2'~_. .....r._'.. -.
TAX EXAMINER,
Danlelle Tallaan
PAGE
jREV-1607 EX AFP (12-94*
CDHHOHWl:ALTH Of' PEPOfSYLVAHIA
DEPAATflENT Of' REVENUE
IUREAU OF INDIVIDUAL TAXES
DE:PT. 2ID601
HARAIlIURG, PA 17121"06Dl
/5-7-/
ACN 101
"\I
L..-
INHERITANCE TAX
STATEMENT OF ACCOUNT
DATE 09-05-95
DATE OFODI!ATH RILEY 9' NELLIE FILE NO. 21M94-10N90
09-18- ~ COUNTY CU BERLA D
NOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT TNE UPPER PORTION OF THIS FORH WITH YOUR TAX
PAYHENT TO THE ADDRESS SHOWN, HAKE CHECK PAYABLE AND REHIT PAYHENT TO. ,
JAMES D FLOWER JR ESQ
FLDWER ETAL
11 E HIGH ST
CARLISLE PA 17013
REGISTER OF WILLS
CUMBERLAND CD COURT HDUSE
CARLISLE, PA 17013
A.aunt R..J.tt~
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR FILES ....
iiiflj=i6irj-iif-AFP--rrz:94y------..iI--iiliiERiTANC'E-i'Aif.STA"fEiiifrii'-ilTAcciii.itiT--il-..--------------- ------
ESTATE OF RILEY NELLIE FILE NO. 21 94-1090 ACN 101
THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED
ESTATE. SHOWN BELOW IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYHENTS,
THE CURRENT BALANCE. AND. IF APPLICABLE. A PROJECTED INTEREST FIGURE,
DATE 09-05-95
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 07-17-95
PRINCIPAL TAX DUE I. 283.06
PAYMENTS (TAX CREDITS),
PAYMENT
DATE
04-27-95
07-31-95
RECEIPT
NUMBER
AA023092
AA048098
DISCOUNT (+)
INTEREST (-)
.00
1.80-
AMOUNT PAID
113,23
171,68
. IF PAID AFTER THIS DATE, SEE REVERSE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST,
C IF TOTAL DUE IS LESS THAN '1,
NO PAYHENT IS REQUIRED,
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI,
YOU HAY BE DUE A REFUND, SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS,
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
283.11
.OSCR
.00
.05CR
.
.. ";_.~',.' """"'.,," "
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UU
PAYttOfTI
o.tKh the top portion of thit HoUc. Met IUbIIlt with ~our p.~t ... pnllbl. to the n__ Met .mfr...
prlnt~ on the rlv.r.. .ldl.
If RfSIDEHT DECEDENT ..... chKk or IIOMY order p.nbl. tOI REGISTER OF WILLS, AGENT.
If NOH-RESlDENT DEcmENT ..... cMck or HMY order pIYM1. tal CottttOHVEAL TH OF PENNSYLVANIA,
All plv-nh received wll b. 1IPP11H IIr.t to ."y lnt.ralt which ..y be w. with ."y r...lnder applied to the taw.
RUUrCD eCAh , r.,\At of . taM credit, which .... not r.....ted on the Tax Aaturn, ..y be requeltlld by cMPlaUng In
"Application for R.fund of Pennlylv."l. I~rlt~. end Elt.t. Tlx" (REV-l'IS). application. .r. IvaSlabl. at
the OffiCI of the Aegllt.r of Willi, ."y of the 25 Revenue DI.trlct Offlc.. or fr~ the Deplrt-.nt'. 24-hour
Mswerlnu ..rvlel nu.ber. for for.. ordlrlngl In Pennlylv."l. 1-800-562-2050, out.ld. Penn.~lvenla
~ within local "-r~l.burg ar.. (717) 717-1094, TDD' (717) 77Z-2252 ("-a~lng I8Palred onl~).
ROILY Tat DuII.tlon. ~eprdlna .~~or. contained on th" notlca .hould be 8ddr...ed tar PA Depl~t....t 0' A.v.,...., luuw
a' Indlvldull TIX", ATTHI Po.t A....~t R.vlew unit, Dept. 280601, H.rrl.bura, PA 17121-0601, phone
(717) 717-6505.
DISCOIMT I
If an~ tax ~ I. plld within thr.. (5) cl1andl~ eonth. aft.r the decedent'. daath, a ,IvI percent (5X) dl.count
of t~ taM p.ld I. allowed.
INttRflT I
Intar..t I. charaed beginning with flr.t dlY of dellnquanc~, or nine (.) eonth. and ~ (1) dl~ fr~ the dlta of
death, to the data a' ply.-nt, Tlxl. which bee... d.llnquent ba'or. J~ry I, 1'12 ba.r Int.r..t at the rat. Df
.1. (6X) parcent PI~ ~ c.lculat.d It I dIlly rat. Df .000164. All t.x.. which bee... delinquent an and .ftar
January I, 1.12 wlll baar Int.r..t at a rlt. which will v.ry fraa calend.r ~'a~ to calend.r y..r with th.t rat.
~ad b~ the PA D.p"t.."t a' A.venue. ThI appllcabl. Inter..t nt.. for 1912 through 1995 "II
V..r Int.r..t R.t. D.II~ Int.r..t Factor VI.r Int.r..t A.t. D.II~ Int.r..t Factor
1.IZ 'OX .000541 1.17 9X .00n41
I9IS lOX .oooue 19"-1"1 lIX .nosol
"14 llX .000501 '99' OX .000247
1915 UX ,000556 1995-1994 n .0001.2
"16 lOX .000274 '995 OX .000247
....Inter... 1. c.lculated I' 'allOWII
.' .
INTEIlEST . BALANCE OF TAlC UNPAID lC HUnBER OF DAYS DELIHQUENT lC DAILY INTEREST FACTOR
~-Any Hatlc. I..uad aft.r t~ tax beeu.a. delinquent will ra'lact en Int.r..t calcul.tlon to ,I't.-n (15) d.~.
bayond the data of the .....uant. If paYNnt .. ... aft.r the Int"..t CDIIpUt.tlon at. IhcM1 an the
Hatlc., eddltlDnlI Int.r..t .u.t ba c.lcul.ted.
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~}i~IJA ,/~,;";,,j"',:,:;, ';:r:' ~'}>.j' t,,-}:},';' ',-'-'.,- :,: ',>'::'~~~'<,. ',': ,~~~1' : '., ". .,':,
'l""':.'.":'YA:';A""O'.'.~." 80' 9"8. .if...,.'., co.'.,.,. ~ON\yEALTHOF PENNSY. LVANIA '
~o., , ' ""t,,, ,<. ':, ',',' )': DlPARTMINT O. RIVINUI I' '. , ",
""""""''l' ,.,.,. ."."" "', , . '," , ,
~';;~I~I 'Ii ..~.' ',; , . '.' ,.O..ICIAL RICII.U PENNSYLVANIA INHERITANCE AND ESTATE TAX
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RECEIVED FROM,
t3
ACN
ASSESSMENT P:I
CONTROL ...
NUMBER
AMOUNT
FLOWER JAMES 0
11 EAST HIOH STREET
101
.171.68
CARLISLE PA 17013
,
..toeUH'" lOCOM,.,
ESTATE INfORMATION,
. B fIl NUMBER
EJ NAME Of DECEDENT
II DATE Of P
EI POSTMAR
COUNTY
\
'.
DATE Of 0 A H
.... --~--
m TOTAL AMOUNT PAID
.1'7' .68
REMARKS
MARY E WATSON
REGISTER OF WILLS
22 .CW,
",,,,,..{ 0~:' "t(; c f<
. . A .,
MARY C. LEWI
REOISTER OF WILLS
SEAL
CHECK" 10!:!
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STATUS REPORT UNDER RULE 6.12
Date of
D.C.d.n"~~ M. (d.~
Death: 1.;: - ~q - If( -qy
Admin. No, ;2/~ q 1-/-1 OQD
Name of
Will 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 whether administration of the estate is complete:
Yes (<. No
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete:
3. If the answer to No.1 is Yes, state the following:
a. Did the personal representative file a final
account with the Court? Yes NO~.
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
Cerk of the Orphans' Court and may be attached to this report.
r-
~
s D. Flower Jr.
(Please type or print)
11 East High Street
Carlisle. PA 17013
Address
Date:!jto/7-'1;(,
'7) If) ~ i (7:
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00
IDa:
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(717 I 243-5513
Tel. No.
Capacity: Personal Representntive
X Counsel for personal
representative
(MAH:rmf/AH3)