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HomeMy WebLinkAbout94-01091 ,,',-, ..' .~, :~<;, : ?~,:;~(";'-i',\..':" - .~:. ,,' ,,;...... ,." ,<' ,. ~ " 1-- , PETITION I!OI{ 1)IWnA TE and GnANT 01<' LETTEnS E."alt' uJ ~n'\E.S_:Z~ANC.E. No, ~/-=--9.!L-J{)Cj I 01.1'0 kIllJl"1I a.' To: __------------ Register of WIIIsbfnr ihe _ _ _ JlIjft',,",ctl, CounlY ufO,Un et NiD- In Ihe Sadal S,'t'llflty Nu, .:b..(;)8 z...L{JloCD-Lp--- Conllllonweahh of Pennsylvllnlll The petition of the undersigned respeclfully represenls IIml: ,\ Yoor petltloner(sl. who IS/lire 18 yellrs of uge or older IInlhe execut'MMftW~;C In the IlIst will of Ihe IIbove deccdent, dilled --I.1..::.h~-"'- IInd codlcil(s) dllted nllmed ,19_ (Mote ,de\ullt dU:UllI'IIlIlI:CIro. e.~. fCnundullul1, dc.llh uf c\l',,'lllnr, cll:.) J>ccendenl WIIS domiciled III dellth 10 .Cu hlb.e..-l~O----r. Co~llY. Pennsylvllnlll, with IW-S.- IlIsI fllmily or principal residence 01 C. 2. (# EIJ~'Jt-/(IJIt".{) ~#a1tt_~Jto I'M J (" (11\1 ,uccl, l1U1nhcr alld l11undJlillit)') Deeendenl.lhen ,~?~ years of "l\e, died 'Dec. 2.8 ,19 'It.! , at j.lerS~'1~ lli~6LC.et\tc: ~ . Except os follo",s. decedent did nolmarry, was not divorced IInd did not hove a child born or adopted lifter execution of the will offered for probate; WlIS not the victim of 0 killing and was never adjudicated Ineompelent: Decendent 01 dealh owned property with estimated values liS follows: (If domiciled In I'a.) All personal properlY S 2.JOOO (If not domiciled In Po,) Personal property In Pennsylvania S (If not domiciled In Pa,) Personal property In County S Value of real estate in Pennsylvanlll S situated os follows: CoOt OCln_ - WHEREFORE, pelltloner(s) respectfully reQll~!il{Sl.lbJ:TDt.obole of the last will and eodlcil(S) presented herewith and the grllnt of letters -, t:>TAMEN I\/{Y (tc'lurncnIU')'. Ildmlnl\trullon c.t.a.; adll1lnhlnulon d.b.I1.C,l,a,) theron, t 1''' ",li g 1= _'a ... -.:~ ~o ;; o .. Iii OATH OF PERSONAL nEPRESENTATIVE COMMONWEALTH 01; PENNSYLVANIA } ss COUNTY 0'" CUMBERLAND The pelltloner(s) above. named swear(s) or IIffirm(s) that the statements In the foregoing petillon ore Irue und correct to Ihe best of the knowledge and belief of petltloner(s) IInd Ihot os personal represen- lallve(s) of Ihe "bove decedent petitloner(s) will well and truly administer Ihe late according to low. Sworn to or "ffirmed IInd before me this -L.?- ~IS"'" IS-1-<:,v 5!> 00' " .. ;: ~ - -1:!. 1K11// ' , , . . No. 21 - 94 - 1091 Estate of JAMES ZERANCE , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW DECEMBER 29 , 19~. In consideration of the petition on the reverse side hereof. satisfactory proof having been presented before me, IT IS DECREED IhOlthe Inslrument(s) dalerl DECEMBER 26, 1994 described therein be admllled to probate and OIed of record os the last will of JAMES ZERANCE and Lellers I E:> I AMENTARY are hereby granted to BAR BAR A J HORAN I C ~Iifo{!:/L _M fu; Real..e, of Wltl. v'!o MARY C. LEWIS FEES Probate, Lellers, Etc. ......... S 115,00 Short Cerllneates( 5) .......... S 15.nn Renunciation ,.,...,....".,. S . X-Pages S 9.00 JCP ~.OO TOTAL _ S 1dd nn Flied .,. .Q~C~MQ~R .~!1.. .1.Q9~........... AITORNBY (sup, CI, t.D, No,) ADDRESS PHONB '. -=r !icf .. - If'l O,lq .- . 0 elL;; CL. (' " J.~> ,/1 ~-- .,.. g) . - '~.} CJ " , I ::l '16 ... !:! .;", ~ ,a> "'Ow CI ("~I Qi ~.- 00) .~.c :dO> ~ -~ E a: a: ~8 Letters and order to be picked up by Executrix. LAST WILL AND TESTAMENT I, JAMES ZERANCE, of 626 Enola Road, West Fairview Township, Enola, County of Cumberland, Pennsylvania, do hereby make, publish, and declare this to be my LAST WILL AND TESTAMENT, revoking any and all prior wills and codicils, in manner following, that is to say, FIRST, that I direct that my Personal Representative shall pay all of my just debts and funeral expenses as soon as this shall be practicable. SECOND, that I give, devise, and bequeath all of my property, real, personal, and mixed, to my daughter, BARBARA J. HORANIC. THIRD, that I hereby appoint my daughter, BARBARA J. HORANIC, as the Executrix of my Estate. I direct that my Personal Representative shall not be required to post bond in this or in any other jurisdiction. IN,WITNESS WHEREOF, I have hereunto set my hand and seal this 26th day of December, 1994. ~v~ ~l~;~'V'''4~- Q~ ,'1"""'\ I I v. ~,,1. WITNESS 1I ), "-""1. A.,.,!U I, JAMES ZERANCE, testator, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I have signed and executed the instrument as my Last will and Testament; that I signed it willingly and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn or affirmed to and acknowledged before me by JAMES ZERANCE, the testator, this 26th day of December, 1994. ~F7 Y/l A-",<CU ~C~ NOTARY PUBLIC ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN NOTARIAL S~,"I, CHARLES E. PETRIE, ,;r,llry Public Poxtano BOfO. Oaupn:n t'::unt/ M CommissIon E, Ires Jan. 21. 1997 ._...._u.....~... AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN WE, PATRICIA J. ZERANCE and DEBORAH M. WEAVER, the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw testator sign and execute the instrument as his LAST WILL AND TESTAMENT; that JAMES ZERANCE signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the testator signed the will as witnesses; and that to the best of our knowledge the testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence, Sworn or affirmed to and subscribed before me by PATRICIA J. ZERANCE and DEBORAH M. WEAVER, witnesses, this 26th day of December, 1994, NOTARrA~ SEA~ CHAR~ES E. PETRIE, NOillry Public paxtang 80ro. Dauphin Countl M Comml"ion ElI'clre!l J,ltn. 27. 1997 ( ....:..') . -- ,--..J/x"ll'~~ J ::33"" d~ WITNESS \ 5JJl~1 h1. U / p llA~ WITNESS NOTAnlAt. ~r:'. . CHAR~ES E, PET- ry Public Pa'iang 1" ".' . Couniy Mv Comm",:' :. ,_._ "n. 27. 1997 c/~f~ NOTARY PUBLIC '. . " . ' , '''~ ,,,,,,t., ---- .:u . ~. l~ i !!fa. :.~ ~ '"0 ~Q - UI gr- , ,l 0- UI - .,;; , I ,/-,.-;.- .....\ --! '," ,~ . , . . . , ~ This is to rcrdf)' dUll Ihl..' inforlllation IH-'Il' gin'lI is ....lIIII'l'tly wpll'd llillll .111 ori,cill.d u'ltifkilll' III &It'illh lluly rikd wIIIl ml' ,IS l.m:al Hl'gislrar. Thl' wigin"l n~rljfiulll' will he fOl\\'.lf.tll'd 10 !lit: SI.IH' Vit.ll Hnlild... (Hike fur Pl'll1I:tllcIlI Iilin,c, WARNING: Ills 1II0golto d,upllcoto thIs copy by photostat or photograph. No, aJ2/1U /~~zr:~ . .____h__ -i;;';II:6:;,~---d' Fl'C (or rhb (crllfk.IIC, $2.00 II 11 I, Ii I, 1,1 it 2752417 DEe 2 8 1994 1l,IlC , ". I .... CO....ONWULTH 0' PENNSYLVANIA' OEPART"ENT 0' NEALTN . VITAL RECORDI CERTIFICATE OF DEATH .. 63 v.. James ZersnDa _ H ,.... ~ -. 9/3/31 -""... "'llrfar..,,~ toolton,pa -1666 OR'Of'CI.lnt"""o.,.~ _........ LIllI ----......... _0 ...0 " :::::"0 .,_0 :="0 Derry Twp. ..f'lIl...--.W""....II'llI~ UnIversity HDSp. Hershey Mod. Ctr ..1lD ...0,__,,- ........,.......... ~~,I Divoroad ,...0.............. - -- Whito ....... ........,.,..,.,NIIIIf .. .... Cumberland ,~=-~::. YOTHlIr'MAMII'nl.~.""""''''-'' Mary ? o ... 626 Enola Roa:!. .......~o-. pa 17025 ...- DOO 29, 1994 LQ....~ F.D.ul1897-L ._- Eaot Harr1aburg Com' ~~"WMC&fTY suuivan F.H. ,51 ua,...HUYHft . Hsrr1aburg, pa N. Enola Dr. ,Enola, RI ..... ...- ... N' ...Illl ..0 - .-- -...- . 0Nf ................,.., MIl 1'Ill.....1II............._...lllrN'ITl I: CUI to fOIl AlA tONSlCUlHCC Of): DUlIOID"MACONSlCUI Of): N"",,",,_ --.. .....10 COW\.hlOHOICAUU Ol'__' YAHHlft 01 OlAf" -......... ~o."...) "....:0I1MAoftY ........-rt RWOftQ Ol~NOWKAM'fClCCUNWD. ...0 ",0 -- - - IX! o o - -- ~1lOI""""" o o o 1'lACI000HN'I"....'-....................... w, --- ... ... 0,..0 ...- - - .... CIIn....o- CIJfy...... .CIIfT.,-,.aPK't'..c:&loMI'hr-~_~~........"....CIf\'rttC...,..P-..udONll_~...."1 .N"-'...,..,...,....,.._~..........-.cll....._..............."......,.........,................,......,." "' ~,/I..(,/1/1 .... o :"rh/UUl1[J '. IAHO;ut....INCI'"'IlC""~llafl..~.....M'ld~.e.-al~ 1iI.........~........wrMlII......,.......,...,alMII.....""~.I....._..........."..,.,.,..,..,...,.," "MaDCAL IIAMIHINCOfWHIft 0......... ...~... '"".......,.. 1ft'"' ......,...u.eccun... II UM UfM, ..I',iMplec., 1M""" aN ........1_ -.... ..1&1I....,.,.".""....".,."".".""."...",.",.,...,..,..,..,......."",.."""....".,..,.",., .... MOAI AM' o 17033 21 - 94 - 1091 , "--, ~Ja .~r' 5~ .- o . u: .~~ 0- .,,8 . !i,_. g} r:' C)o Y'~ . 1619 ~ L.., '0 ,,' i5 (.') tll -.- '..0 gl ~ S~ a: ,t ," ,;.'':;''~ . I I. .' , " \ . ~ I I I , ) ., \ i I! ; I i , , I , : I I, II It I \ r- / , -.....-- "", ..... --. BE~_~~_______~___________----__-_~___--______-_~_J tr 5D,;;:r;.f?i'-'i~1,;~ ,.:f;{.; ~- i \.' ' ' ,,' : ','. . , ,cl,ti.}(.,,;.,'>'" '-.' , :.:" COMMONWEALTH OF PENNSYLVANIA ~. . ; ~~;~~O~6~ ',' ' -' DlPARTrt\INTOPRIVINUI' , , ~~~;i~'i;t~~(i;1>::':>:OFPICIAL RECEIPT,. PENNSYLVANIA INHERITANCE AND ESTATE TAX .';,; ..'I ACN e't ASSESSMENT P:' RECEtVED fROM, U CONTROL Ii;I AMOUNT NUMBER BARBARA J HORANIC 6e6 ENOLA RD lul .;J,UUU.UU J,!1" "",,' 1!'.i .' ~,~~-, If ENOLA PA l70e~ 'CXON'" ESTATE INfORMATION, I!:'IfENMBER 511 el-1994-1091 I!:'I NAME Of DECEDENT (LAST) ... ZERANCE JAMES II DATE Of PAYMENT EI POSTMARK E COUNTY saN eos-e4-1666 (fiRST) (Mil CUMBERLAND DATE Of DEATH REMARKS m TOTAL AMOUNT PAID .~.OOO.OO PB BARBARA HORANIC SEAL REGISTER OFWILLS RECEIVED BY I, " 0" , . SIGNATURE .; \ U 1/[,' 1 " MARY c. LEWIS r;... 'D,I'l{""j REGISTER OF WILLS , ~::::-:-;,__ ::::~________----- --__- ~---- --- -- - ----------;;-~---_./r-.'" \' . ' t>, t .' . " .. -.- .... .-. -.;-: .......--...J_ -~ '-~ ~ - ,I ....':- -. I I . .-' '.. ... .-...... . ' , . f.. CERTIFICATION OF NOTICE UNDER RULE 5,6(al Date of Name of Decedent: Will No. Admin. No. J/ p~- /cJf/ To the Register: I certify that notice of beneficial interest required by Rule 5,6(a) of the Orphans' Court :Rules was served on'or mailed to the" fPI,l~ng/beneficiaries of the above-captioned estate on /~?1~ : Z W,6;:;d#f,f//I//L Address ~ ?~h );N()/,A-. . pf)~ d /7?JofO Notice has now been Rule 5.6(a) except 1 ,j , o all persons entitled thereto under " Date:~~~~ , ... Name , . U M /7/C/ Telephone~7 c::23.::?-f77oZf/ o~ - .. t~ -'0.: C) -) 6 () .~! Personal Representative Counsel for personal representative ~I' ..-:: ..1 _ -~ 0'1 0::: '.I'll , " ,~ ;.1 'll-:< (:i '" {') fa Ola: a: ~ Capacity: ~ -X- , ~ -..:) '..-: E .Ii; Go . \ ~ ,... , , REV,I5O? EX. 11.l~41 I!! """::l bllEu ",oS u~.. ~ j / S -/ - ') INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) ~OR OATIS 0' DIATH A"IR 12131191 CHIC(.;IRI I' A SPOUSAL POVIRTY CRIDIT IS CLAIMID 0 r1LI-NUMBlR----- .'1 ':'! i:'il COUNTY CODE YJAR, NUMBER .s COMPU ADDIlfU o 2, Supplemental Return o 40, fulure Inlorolt Campromho (fa, dote, of death afte, 12,12,821 o 6. Decedonl Died rellole 0 7. Decedenl Molnlalned 0 Living Truit (Altach copy of Will) (Allach copy of Trull) ALL CORRESPONDENCE 'AND CONFIDENTIAL TAX INPORMATlON SHOULD BE DIRECTED TO,. AM COMmlf MAIUNG ADDIUS Diane M. RU 101 South Second street, Suite ""'HONINoMIlI Harrisburg, PA()lf-7101. :lJ c: ~ ~\ 'n i ' 1. Real Ella.e (Sthedule A) 2, Stotk. and 80nd. (Sthedule 81 3, Clolely Held Sloc~/Parlnenhlp Inlerlll (Schedule q 4, Morlgoges and Noles Receivable (Schedule 01 5, Calh. Bank DopoIl1I & Miscellaneous Perlonal Properly (Sthedule EI 6. Jolnlly Owned Property (Sthedule fl 7, Tranlf... (Sthedule 01 (Sthedule LI 8, Total Gran Anell (lalalUnel 1.7) 9, Funeral Expen"I. Admlnlstrativ. COSII, Miscellaneous expel's" (Schodule H) 10, Debll. Morlgag. Uabllill... LIeI'I (Schedule I) 1 I, Total DeducUons (lotaIUn.. 9 & 10) 12, Nel Value of Ellole (Un. 8 mlnuI Une 11) 13, Charilable and Governmenlal aequ'III (Sch.dule J) 14, N.I Value Sublect 10 Talt (Une 12 minus Une 131 15, Spoulal Tranlfen (for dat.. of death aher 6.30,94) See Instructlonl for Appllcabl. Percenlag. on Revene Side, (Include valu.. from Sch.dule K or Schedule M.) 16. Amount of line 14 loxabl. at6% ral. (Include valu.. from Sch.dul. K or Schedule M,) 17, Amount of Line 14 taxable al 15% rale (Indud. valu.. from Sch.dule K or Schedule M,) 18, Prlndpallax due (Add lax from lIn.. 15. 16 and 17.) 19, C,edill Spou.al Po...ty C,edil + ~i~'d'8tl":1lo + O~'5'~~ 00 Inle,..' 20. If lIn. 1911 grealer Ihan Line 18, enl.r Ih. differ.nce on lIn. 20, Thll ISlhe OVERPAYMENT. aD 21. If line 18 Is gr.ater than Line 19, enler th. difference on line 21. This II the TAX DUE, A. Ent.r the Inl.rllt on the balance due on Line 21 A, B, Enl.r Ih. 10101 of lIn. 21 and 21A on Line 21B, ThllII Ih. BALANCE DUE. Mak. Check Pavable tal R.ghte, of Willi, Agent ffi fil bl co lIlffi "'0 "'z Sli! OE(INN 626 Enola Enola, PA Road 17025 COMMONW(AUtI 0' PrNNSYlYANtA O(PAIITM(NT Of A(V(NUE D(P'_ nObOl HAIUUSlURG, PA 17 11.0601 DE ID N' HAME IIA!! . flUT. AHD 10110011 lNI IAIl ZERANCE JAMES ';08 ~24': ,0666 OAl, ;;' ;26/9 ~o"9 /j'/3~-- I" """C"llll 'V....l~lIjO IPOUU I N..... \1.". I'UT .~D ""O(Itlltj'llltl !lQ{IAI !.feUIII'\" NUMIII N/A ~ 1. Original R.lurn o 4, limited Eltate z o 5 ~ bl '" z o !:i .... '" ~ ::E o u S (')1,"1 AMOUN' _E(IIVID IUIIPI!iIIUCtlON!i1 o 3, Remainder Rtturn (far dol.. of death p,la, 1012,13,821 o 5, Federal Eslate To" R.lurn Required !2. 8, Tolal Number of Safe Depollt Box.. ,"':'.i'<'.,<, ~'__ :~"\:.;- ~~L-i:i',':-: L1 (II~IOOO.OO (21 0 (3) ~_800.00 (41 0 (51 6,450.00 o r'..} '.-:" ',':') '0 (6) 171 (91 o 11,113.51 (8) 131,250.20 (101 34,618.72 (Ill 45,732.23 (12) 85,517.97 (13) 0 1141 85,517.97 )(._11 )( .06 II 5,131.08 )( .15 II (181 5,131.08 (lql 5,250.00 (20) 118.92 (21) (21AI (218) (tS) (161 ~5,51..?_.97 (171 Check hore if you arc requesting a refund of your ovorpavment. I . BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH Under p.naIU.. of perlury. I dedare Ihat I hav. exomlned thll relurn, Including accampan~lng IChedul.. and Ilalem.nts. and 10 Ihe b.1I of my ~nowledge and beli.f, it II tru.. corred and complele. I dedar. Ihal 011 r.al IIlale hal been reportea allru. marht valu., Declaration of preparer olher Ihan Ihe penonal r.pr..entatlve II bOled an alllnformalion of which prepar.r hal on ~nowledge. SIGNATU , uno IU'ON!!11lE '0 ILl URN AQOIU!o DA~ '}~ 626 Enola Road, Enola, PA 17025 c1-::2<?--9o ADOIUS DATE " Act '48 of 1994 provld.. for the r.ductlon of the tax rat.. Impos.d on the not valu. of trand.,. to or for the u.. of the .pous.. Th. rate. a. pr.scrlb.d by the .tatut. will bel . 3% (.03) will b. applicable for ..tat.. of d.c.d.nll dying an or after 7/1/94 and before 1/1/96 . 2% (.02) will b. applicable for e.tat.. of decedenll dvlng on or aftor 1/1/96 and before 1/1/97 j '1 ,1 1 . 1% (.01) will be appllcabl. for estates of decedenll dvlng an or after 1/1/97 and before 1/1/98 . Spou.al trander. occurring an or after 1/1/98 will be exempt from Inhorltance tax. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (~) IN THE APPROPRIATE BLOCKS. YES NO 1, Old decedent make a transfer and: o. retain the ule or 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 an or befare December 12, 1982, did decedent within two years preceding death transfer property without receiving adequale coaslderatlon' If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration'. I'.......".....,..........,...,..""."...."'....,..,.."'... I.......................,......... 3. Old decedent own an 'In trult for', bank account at hi, or her death....................................... IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YESr YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. UV,1502 I.. 112,151 . CQMMONWfALTH 0' 'lNNIYlYANIA INHflUTANCI! TAX RfTURH RU!D!NI DECI!DJ~" __ ESTATE OF . SCHEDULE A REAL ESTATE -'.... .," O"C--:~'FiLi~NUMllijf'".c====="c='=="=", 1994-01091 ____________.__.______ -----.-____._0 (P,op.rty 'olnlly.own.d with Righi 0' Survlvo..hlp mU'1 b. dl"lo..d on Sch.dul. FI All ,,01 "Ial. .hould b. "po,I.d aI/ai, mo,kol volu. which I. d.lln.d a.lh. prlcl al which prop.rtv would b. ...hong.d b.lwun a willing buy" and a willing ..II", n.lth" b.lng comp.lI.d to buy or ..11, both having r.asonabl. k"DWI'~D! of t~_!.I~'!~_'!!-~!t!.~_ _________ ITEM NUMBER .--.~-------.,._.. -.---...--..-.-----.- JAMES ZERANCE DESCRIPTION VALUE AT DATE OF DEATH 1. vacant land .44 acres, Enola Road B,OOO.OO 626 Enola Road, Enola, PA (see Schedule C for valuation) 62B Enola Road, Enola, PA 24,000.00 630 Enola Road, Enola, PA 28,000.00 TOTAL Aha .nlll on IIn. I, RICO 11u1allon (If more spac. is n..e/eel, ins.rt additional sh..,s 0' sam. sjze.) S 6D_,.00_O.-OO_ ... 'h _. _ ...__",,_0- . ..~..."'-'~ ,IlV,I503 U+ 1'.'6' , W COMMONWIAI1H 0' P1NNsYLVANIA IHHUITANCE TA. lElURN RESIDENT DECEDENT ESTATE Of SCHEDULE B STOCKS AND BONDS JAMES ZERANCE FILE NUMBER 1994-01091 (All proportv lolnllv-ownod with Right 0' Survluonhlp mu.. bo dllClo.od on Schodulo F.I ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. NONE TOTAL (Allo 8nt.r on IIn, 2, Reco ltulotlon (If more 'poce i. n..dld, In'lrt odditionol lh..,s 0' some size,) S o _1'f.lSOHU ll.nl \r~ ~ COMMONWl!ALJH Of 'INNSYlYANIA INHIIITANCI TAX .nulN 11IIDlNT DlelDINT ESTATE OF SCHEDULE C CLOSELY HELD STOCK, PARTNERSHIP AND PROPRIETORSHIP PieD Ie Print Dr l . FILE NUMBER 1994-01091 JAMES ZERANCE ITEM NUMBER Schedule (.1 or (,2 must be attached for coch husiness intcrest of Ihe decedent. ollwt than 0 proprietorship. VALUE AT DATE OF DEATH DESCRIPTION 1. James Bar sole proprietor 626 Enola Road West Fairview, PA (appraisal attached) Liquor license 29,800.00 35,000.00 (If more space Is "..ded, in.ert aclditiona/.h..ts 0' lome aize.) ......"01U.I'...1 ~ ~~ <- , ~ SCHEDULE D MORTGAGES AND NOTES RECEIVABLE "-, ~; ESTATE Of COMMONWUlTH O. P!NNIYlYANIA INHIIITANCI TAX IITUIN .I'IDINT DICIDINT Plea.e Print ar T e fiLE NUMBIR 1994-01091 JAMES ZERANCE , ITlM NUMBER ~ IAII property lalntly-wIn.d with the Right of SurvlvonhTp mu.t b. dllcla..d on Sch.dule Po) DESCRIPTION VALua AT DATI Of DEATH I NONE 0 ".,,",.c'. ~';"'--,'''''''':'''''' ^' .., ,} 5 0 {II more 'poce ,. n..el.d, in.." addirionol .hllts 01 .om. lin.} -- , " Y' h'A'.'_I..u. 1I'IltoIl" 11,'" * SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Plea.e Prlnl ar l e FILE NUMBER 1994-01091 COMMONWfAllH 0' ,fNNSYlYAHIA INH.IITAHCI TAX lnulN IUIDINt DleIDIN' ESTATE OF JAMES ZERANCE (All property lelntly.-rN"'cI with th, .I,hl .f Survlverthlp mu.1 b, dlul...cI,n Schedule P) ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH PNC Bank - checking account 5,140.20 account no. 5140305909 Household furnishings 2 beds, couch, television, microwave (inoperable) No Salvage Value refrigerator, stove 1977 Chevrolet El Camino 50.00 1979 Dodge Van - inoperable 50.00 CONTENTS OF BUSINESS: 20 bar stools (torn up) 200.00 50.00 150.00 100.00 television 6 tables 30 chairs 1 cooler (20 years old) 25.00 freezer ($100.00), 2 refrigerators ($25.00 each) 150.00 2 beer coolers at $100.00 each 200.00 tap system 100.00 ice machine 100.00 cash register 10.00 gas stove 25.00 bar 100.00 TOTAL (AI.a enler an line 5, Recapltulallan S 6 450. 20 (AIIQch additlonoI8}',- )( 11" .h.... If mOil .poc. It n..d.d,) "'''I,-'t~.,,:<,.~,,~~ :':' , \ ....500...III~11 . COMMONWEAUH 0' PENNSYLVANIA INHUltANCI tAX .UURN .EIIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY . r " ESTATE Of JAMES ZERANCE FILE NUMBER 1994-01091 , , NAME ADDRESS RELATIONSHIP TO DECEDENT , i' , Jolnt'onant(.). A, B, C. .,' " '. ITEM" LmER DATE FOR TOTAL VALUE DECO'S DOLLAR VALUE OF NUMBE JOINT MADE DESCRIPTION Of PROPERTY OF ASSET %INT, DECEDENT'S INTEREST TENANT JOINT 1. NONE TOTAL (Allo ontor on IIno 6, Raeopltulotlon) S 0 'If mOrl spacI is nl,dld in'lrt odditional.hllts 01 soml sin' Jolntlv-ownod proportV' "IV,ISI. El. 12-17) .. SCHEDULE G TRANSFERS PLEASE PRINT OR TYPE ^ _ ___._.__u......__ . ----------- ---- ...~-_.__.._.-._- .--~._-+-,,- CQMMONWfAltH Of PENNSYLVANIA INHlaflAMe. TAl .nUIN _._~___.__.~s:tD.l!~U)lC.DlN' EsfATirOF -------.-----.- -- JAMES ZERANCE - FILE NUMBER-- 1994-01091 _._._._-~-----~----------_.._---~----_._-,... _..._._..__._--_.+.~._._~_._,...__.._--_.-.-...__._-------~--- THIS SCHEDULE MUST liE COMPLETED AND FILED IF THE ANSWER TO ANY OFTHE QUESTIONS ON THE REVERSE SIDE OF THE COY.!R SHEET IS Y!S, DOtLAR VALUE Of DECEDENT'S _!!lIEI!HL__ --- ---_._---_._------_.__._-~.._.,,---_.~_......_......- 0.-----------...-.,... --..----..---.--.--. -_.~--- -- ITEM DESCRIPTION Of PROPERTY TOTAL VALUE DECD, EXCLUSION '"' NUMBER Include name 01 the Irons',,,,, '1M" ,.loIiontItip 10 J~~~_~oI 'ron"~~ Of ASSET ._11'11._ --.--.---- -_..~---_.._'- NONE . - TOTAL (AIM) .nl.r on lln. 7, Recapitulation) - S o '" more space if nMJed. InNrl acldiHonal .".... 0' ,am. 111',' ~ SCHEDULE H ~""" FUNERAL EXPENSES, tQMMONWUlI1I o. "NNmVAN" ADMINISTRATIVE COSTS AND . _ _ ''''m:~~'~~'o\'(',~Ilr,'N____._ MI~CELLA~EO.~~ E_XPENSES _ .. _PI.a... Print a~ Typ. __. ESTATE OF reE NUMBER JAMES ZERANCE 1994-01091 ,- -- .--- --- .-..-------------..---.-.--.-.--.---.- .... ----. -- --.. ------...- DESCRIPTION AMOUNT ":nn '1'1'111 ITEM NUMBER ~._~_..~_.- A. Funeral Expen.... I. J. Sullivan Funeral director 590.00 B. Admlnl.trallv. Cas's, 4, C. I. 2, 3, 4, 5, 6, 7. 0, .M~~l~~'; - . -' < ;, P...onol R.pr...ntoHv. Comml..lon. Social S.curlty Numb.r of P.nonol R.pr...n'otlv., V.or Comml..lon. paid ~.9.9 Ii Attorn.y F... I>iane M. Rupich, Esquire 100,000.00 x .05 = 5,000.00 Familyexompllon 31,250.20 x .04 = 1,250.00 Claimant .,__._____ Rolotlon.hip ______. ,___..__ Addr... of Claimant 01 decedont'. death Street Add,... I. 2, 3. CHy P,obalo Foes 209 - 46 - 0667 3,332.01 6,250.00 o _._ __,_._____5'010 ___._ Zip Cod..... .____ '._. 144.00 Mllcellaneaul Expans..t Cumberland Law Journal Paxton Herald 40.00 28.50 675.00 J.H. Troup, Inc. - appraisal costs Recorder of Deeds 54.00 - TOTAL IAI.o ent.r on IIno 9. Rocopltulotlon) II' mar. spac. Is no.d.d. Ins.rt additional sh.." a' sam. sll..) 511,113.51 "''''''''1'''1. COMMOHWIAUH O' 'INN,n"'"'. IN"tRIIANCI tAl InUlH aUIDINIOleIDIH' SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES AND LIENS Plea.e Print ar Tv e FILE NUMBER 1994-01091 UTATE OF JAMES ZERANCE ITEM NUMBER DESCRIPTION AMOUNT 1. PNC Mortgage (630 Enola Road) account no. 752673 16,974.01 PNC Mortgage (626 Enola Road) account no. 752572 13,077.71 1994 Income Taxes Federal state local West Shore Tax Bureau 2,634.00 266.00 196.45 66.00 126.00 17.29 123.59 370.26 45.00 16.41 35.00 Valley Credit Service Penn State/Hershey Medical Con Pharma PA - American Water PP&L Commonwealth of Pennsylvania (liquor license) Sammons communications (12/1994) Bookkeeper Borough of West Fairview - trash/sewer 4th quarter 1994 125.00 344.00 TOTAL IAha onlor on IIno 10, Rocapltulatlan) (If more .poce ;s n..d.el, ;nse,' additional sh..,s o( same size.) $34,616.72 . ,ty,ltU".11-11I '* COMMONWIAU" Of ,INNI'WANIA INH"".HCI lAX InutN '"ID1NIDlCIOINI I SCHEDULEJ ~EFICIARIES ISTATE Of FILE NUMBER JAMES ZERANCE 1994-01091 ITEM NUMBER NAME AND ADDRESS Of BENEFICIARY RELATIONSHIP AMOUNT OR SHARE OF ESTATE A. Taxablo Boquo'llI 1. Barbara Horanic 626 Enola Road Enola, PA 17025 Daughter 100' ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE Of ESTATE B, Charltablo and Ga.ornmonlal Boquo'llI 1. TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS lAb a onlor an IIno 13, Rocapltulatlon) (1/ maro .paco I. n..dod, In.ort addlllonal .hoo'. of .amo .1..) s o .-- , . , . ' . 1!5 - 7- ,;( v RIlV"1547 IlX AFP 112-95* COlft)tMAlftt Of' PENNSYLYANIA DlP""Hl:N' Of A[V(NU[ lUAEAU Of INDIVIDUAL 'AX[I DlPl, 2'11601 "AARISIURC. Pi 111"-0,ol OV- .; t/ ACN 101 NOTICE OF INHERITANCE TAX APPRAISEHENT. AllOWANCE OR OISAllOWANCE OF OEOUCTIONS ANO ASSESSHENT OF TAX DATE 03-11-96 o FILE NO. DATI! OF DIlATH 12-28-94 COUNTY CUMBERLAND NOTE I TO INSURE PROPER CREDIT TO YOUR ACCOUNT. SUBHIT THE UPPER PORTION OF TltIS FORH WITH YOUR TAX PAYHENT TO THE REGISTER OF WIllS, HAKE CHECK PAYABLE TO "REGISTER OF WILLS, AGENT" REMIT PAYMENT TO: DIANE H RUPICH ESQ STE Ll 101 S 2ND ST HBG PA 17101 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 AMount R..tlt.d CUT ALONO THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~ iiEWis47"iiC"AFii-n'Z:9SriiDYicincWi"tiHiiiiTANci-YA'x-jipjiiiiiisiHEii'r,--ALi."ciwANCi-ijli---m----mm- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATI! OF 2ERANCE JAMES FILE NO. 21 94-1091 ACN 101 DATE 03-11-96 APPROVED DEDUCTIONS AND EXEHPTIONSI 11.113.51 9. Funaral Expan.../Ada, COlli/Hila, Expan... (Schedul. H) (,. 10, Debt.'Hortuage Llab1l1tt.a/Lianl (Schedul. I) no>> 34 ,618,72 11. Total Deduction. 111) 12. Net Value of Tax R.turn 112) 15. Charitable/Gover-Mantal Baqu..t. ISchedule J) US) 14. Net V.lu. of blot. Subjoot to T.. 1141 NOTEI If an a.....m.nt was i..u.d pr.viou.ly, lin.. 14/ 15 andlor 16, 17 and 18 will r.fl.ct figur.. that includ. the total of ~ r.~urn. a......d to dat.. ASSESSMENT OF TAXI IS. A.aunt of LIne 14 16. A.aunt of Lina 14 17. Aaount of Line 14 18. PrlncJpal TaM Due TAX CREDITS: PAYHENT DATE 03-24-95 TAX RETURN WAS, (X) ACCEPTED AS FILED RIlSERVATION CONCERNING FUTURE INTEREST " SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. R..l E.t.t. (Sch.dul. A) (1) 2. Stock. Md Bond. (Sch.dul. 8) (2) 3. Clo..l~ H.ld Stock/P.rtn.r.hlp Int.r..t (Sch.dul. C) (3) ~. Hortgag../Not.. Rec.ivabl. (Sch.dul. OJ (4J 5, C..h/Bank Depo.ita/Hi.a, P.r.onal Prop.rt~ ISch.dul. E) IS) 6. Jointl~ Own.d Property (Schedule 'I 161 7. Tran.hr. 1 Schedule G) (7) 8. Total A...t. .t Spou..l r.t. t.Mabl. .t Lin..l/Cl... A rat. t.Mabl. at CollateraI/CI... Brat. (IS) 1I6) 1I7l RECEIPT HOHBER AA022962 DISCOUNT (-) INTEREST (-) 256.55 I CHANGED 60.000.00 .00 64.800.00 .00 6.450.00 .00 ,00 leI 131.250.20 4o;.7~" n 85.517.97 .00 85.517.97 .00 85.517.97 .00 X .03. X .06. X .15. lIel .00 5,131.08 .00 5,131.08 AHOUHT PAID 5,OOO.OD TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE 5.256.55 125.47CR .00 125.47CR . IF PAID AFTER DATE INOICATED. SEE REVERSE FOR CALCULATION OF AODITIONAL INTEREST. IF TOTAL OUE 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. I ,.. . -, l( ) RESERYATIONI E,.,t.. of dlcedent. d>>lna on or blfor. D'c'~'r .2, 1'" -- I' any lutur. Int.r..t In the ,,'e', I. trln,'erred In po.....lon or ~JDY..nt to CIa.. I Ceoll,'.r,l) bln.flot,rl.. 0' thl dlCld8nt .,t., thl IMPlretlon of any ....t. 'or 11'. or for y..r., thl C~..lth her.by IMpr...!y r...rv.. thl rlg~t to appr.1.. ~ ...... tran".r Inheritance '1M" .t the lawful el.., I (col1,'.r.l) rete on any luch future Int.r..t. PURPOSE Of NOTICEI To fulfill the requlr...nt. of Slot Ion 2..0 of thl Inheritance ~ E,t,t, '1M Aot, Act 22 of 1'91. 72 P.S. SICtlon 21U. PAYMENT, Detach thl top portion of thl, Hotlel ~ IUb.lt wIth your ply..nt to thl RIgl,'e, of Will, printed on thl r.v.r.. .Ide. uHa'" chick or IOMV order plvablt tal REOISTER OF HILLS, AOENT All p.~t. r.celv.d ,h.11 flr.t b. .ppll.d to .ny lnt.r..t which ..y b. due with any r..alnd.r appll.d to the taM. REFUND (CR). A r.fund of a taM cr.dlt, which wa. not r.qu..t.d on the TaM A.turn, .ay ba r.qu.lt.d by coapl.tlng an "Appllc.tlon for Aafund of Plnn.ylvanla Inh.rltanc. and E.t.t. TaM" CREY-ISIS), ApPllc.tlon. ar. .v.llabla .t tha Offlc. of the R.gI.t.r of Willi, any of the 2S Rlv.nua Ol.trlct Offlca., or by cllllng the Ip.clal 24-hour an.warlng ..rvlc. nueb.r. for for.. ord.rlngl In P.nn.ylvanla 1-100-562-2050, outlld. Pann'Ylvanla and within local H.rrl.burg ara. (711) 717-8094, TOOl (711) 772-2252 (Haarlng raP.lrad only), DaJECTIDHSI Any party In Int.ra.t not .atl.fl.d with the appr.I....nt, allowanc. or dl.allowanc. of d.ductlon., or .......ant of taM ClnclUdJng dl.count or lnt.r..t) .. .hown on thl. Hotlca au.t obJlct wIthin .Ixty (60) d.y. of rec.lpt of this Hot Ic. bYI --wrlttan prot..t to the PA n.part..nt of Rlvenu.. Board of App.al.. nlpt, 211021, Harrl.burg, PA 17121-1021, OR .-.Iectlon to hava the aattlr d.t.r.ln.d at IUdlt of the .ccount of the p.r.onal r.pr...ntatJve, OR --appaal to the Orphan.' Court. ADtUN ISTRAlIVE CORRECTIONS. Faotual .rrorl dl.cov.red on thl. ........nt .hould b. .ddr....d In wrltln, tal PA D.part.ant of A.vanua, Buraau 0' Indlvldu.1 T.x.., ATTHI Po.t A.......nt R.vlaw unit, Dlpt, 210601. Harrllbur" PA 11128-0601 Phone (717) 787-6505. 5.. PIG' 3 of the booklat "Inltructlonl 'or Inharltenc. Tax Raturn for a R..ldlnt Oec.dent" (REY-ISOI' for an .xpl~.tlon of adalnl.tratlvalY corractabla arrora, If any tax due I. p.ld wIthin thr.e (SI cal.ndar aonth. .fta, the d'cldlnt'. d.ath, . flv. p.rc.nt <<SX) dllcount of the tlM p.ld I. .Jlow.d. Intar..t II chargld baa InnIng with flr.t day of d.llnquancy, or nln. (9) aonth. and on. CI) day fro. the data of death, to thl date of peyaent. T.x.. which bac... d'llnquent b.fore January I, 1912 b..r Jntara.t at the r.ta of .Ix (6X) plrcent par annua c.lculat.d at . dally rata of .DOOI6~. All t.... whIch bec..a dallnquent on and aft.r January 1, 1912 will b..r lnt.re.t at a rata which will vary froa caland.r yaar to c.l.ndar y..r wIth that r.ta announc.d by the PA D.p.rtaant of A.venu., The applIcable lnt.r..t rata. for 19.2 through 1996 ar'l DISCOUNT. IHTERESTI ~ Intar..t A.t. Dalh Inter..t Factor ~ Intar..t A." O.lh Int.r..t Factor 1911 Uk .ODD541 1911 OX .OODZ41 1915 .6k ,00001 I9II.i991 Ilk .000301 1984 Ilk ,000501 1992 .k .00DZ41 1915 .Sk .DOOSS6 1995-199" 7k .000192 1986 IU .00027,. 1995-199' .k .000241 --Int.,..t I. c'lculat.d .. follo"'1 INTEREST . BALANCE OF TAX UNPAID X NUnBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR .-Any Notle. I.,ued a't.r the tax bacoaa. deJlnquent will r.fl.ct an Intar..t c.lculatlon to flfta.n (15) day. beyond thl data of thl .......ent, If p.y.ant 1. ..d. .ftar the Intar..t co~ut.tlon d.ta .hown on the Hotlce, .dcUtlon.1 Int.r..t ...t be uJcul.tad, ",.. ~ I { STATUS REPORT UNDER RULE 6.12 i:: f > Name of Decedent; James Zorance Date of Death: 12-26-94 Will No. 1994-01091 Admin. No. Pursuant to Ruld Court Rules, I report the the administration of the 6.12 of the Supreme Court following with respect to above-captioned estate: Orphans' completion of 1. State whether administration of the estate is complete: Yes X No 2. If the answer is No, state when the personal l:epresentative reasonably believes that the administrat i on will be l:omplete: 3. If the answer to No.1 is Yes, state the 1ollowing: a. Did the personal representative file a final account with the Court? Yes No X b. The separate Orp!lalls' Court No. (ff any) for the perAonal representative's account is: c, Did t:he personal representative state an account informally to the parties in j nterest? 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 t report. Date: 12-26-96 - OU) 0);:; .!2.~ "" ()o -:-') .... ,h l'J tJ't-j M'g> a: a: ~ Po - EC -ga; ,~ _J ~ <") >'U Diane M. Rupich, Esquire Name (Please type or prillc~ 101 S.2nd st., Harrisburg, Pa. 17101 Address r-- N c:.:J a It) C' , . ."1 : -0 i:a-l3 .!!! U ( 71 ?) 232-9724 Tel. No. ~ Capacity: Personal Representative X Counsel for personal representative (MAH: rmf/ AM3)