HomeMy WebLinkAbout95-00438
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PETITION FOH PRonATE and GHANT OF LETTEHS
01/- 9'5 - J.l3f
ESlale III Hichael J. Dayworth Nu.
aim know" as To:
1l0rouQh of Cl1rlisle, Cumberland Regisler of Wills fOllhe
.collnty. PA ' f),'ceas<'rJ, County of _~mberland
Social Security No. 174-05-3771 Commonwealth of Pennsylvania
The petition of the undersigned reslleelfully represents thut:
Your petltloner(s), who iSlure 18 yeurs of uge or older un the executor
In the lust w\1l of the ubove decedent, duted Hay 19
and codicll(s) duted Hav 26, 1995
in Ihe
numed
, 19...2.L-
(state relevant clrcllm5tanC'cs, c.g. renunciation, death or executor, etc.)
Decendent was domiciled at death in
I' is lust family or princlpul residence at
Cumberland CounlY. Pennsylvunla. with
47 Walnut Street. Carlisle. PA
(list \lIcet, number and muncipallt)')
Deeendent, then 92 years of age, died June 1, 1995 , 19 ,
at South Hiddleton Township, Cumberland County, PlI-940 Walnut Bottom Rd. ~arlisle, PA
Except as follows, decedent did not marry, was nol divorced und did not have a child born or adopted
after execution of Ihe will oflered for probate: was nOllhe victim of a killing and was never adjudicated
incompetenl:
Decendent at dealh owned property with estimated values as follows:
(I f domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not domieiled in Pa.) Personal property in County
Value of real estate in Pennsylvania
sltuuted as follows:
S 150,000.00
S
S
S 50,000.00
WHEREFORE, petltloner(s) respeetfully
presented herewilh and the grant of lellers
Iheron.
request(s) the probate of the lasl will and codieil(s)
testamentarv
(testamentary; adminl5tralion c.I.a.: administration d.b.n.c.t.a.)
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26 Wst lIiqh Street, Carlisle, PA 17013
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA } ss
COUNTY OF Cumberland
The petitioner(s) above.named swear(s) or affirm(s) Ihatthe slatements in Ihe foregoing petition are
true and correcllo Ihe besl of Ihe knowledge und belief of petltiDner(~ and Ihal as personal represen-
lalive(s) of the above decedent pelitloner(s) w\1l well and,lrulya nist r Ihe eSlate aecording 10 law.
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affirmed and
6TH
.JUNE
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No. 21 - 95 - 438
Estate of
Hichaol J. Davworth
, I>eceascd
DECHEE OF PROnATE ANI> GRANT OF LETTERS
AND NOW JUNE 6, 19,.22-, in consideration of the petition on
the reverse side hereof, satisfactory proof having been presenled before me,
IT IS DECREED thullhe Instrument(s) dated Hay 19, 1995 Cod1cil dated May 26, 1995
described Ihereln be udmltled to probute and filed of record as the lust will of Hichae1 J.
Dayworth
and Lcllers Testamentsry
are hereby granted to Robert C. Saidis, Esq.
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. I~ I t 1zL4,
Reatsler or Willi (J
MARY C. LEWIS
FEES
P b L E 235.00
ro ale, ellers, Ie....... . .. S
Short Certificutes( 1p.......... S 30.00
R~8~'~'ton ................ S It... :,u
X-PAGES S 12.00
JCP TOTAL - S 5.00
Filed .. .~~~.E. .~,. .l.~~?.......... .2.!l2..p.0
ATTORNEY (Sup. Cl. 1.0. No.)
Robert C. Saidis, Esq. 10 821,458
26 West Hiqh Stroet, Carlisle, PA 17013
ADDRESS
(717) 243-6222
PHONE
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Letters and order put 1n attorneys file 1n Prothy on 6-6-95.
21 - 95 - 43B
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LAST WILL AND TESTAMENT
OF
MICHAEL J. DAYWORTH
I, MICHAEL J. DAYWORTH, of the Borough of Carlisle,
Cumberland County, Pennsylvania, being of sound and disposing
mind, memory and understanding, do hereby make, publish and
declare this as and for my Last Will and Testament, hereby
revoking all other Wills and Codicils heretofore made by me.
FIRST
I direct the payment of my just debts and expenses of my
last illness and funeral from my estate as soon after my death as
conveniently may be done. If there be no cemetery lot available
for my interment owned by me at the time of my death, I authorize
my personal representative to purchase such cemetery lot with a
contract for perpetual care, using therefore funds from my estate
. -_i",,""f;:',~:t._, .;-;'''.'.".d!-;._....,
I authorize my personal representative to cause title to or
ownership of such lot so purchased to be vested in such person as
my personal representative shall designate.
Further, I authorize my personal representative to expend
funds from my estate, in such amount as my personal
in such amount as he shall consider necessary and desirable, and
SAIDIS, GUIDO,
SHUFF &
MASLAND
26 w. IIlgh 5'"",
eMII.I,_ PA
representative shall consider necessary and desirable for the
purchase, erection and inscription of a suitable marker for my
grave.
SECOND
I give, devise and bequeath my estate as follows:
(1) The sum of Five Thousand ($5,000.00) Dollars to
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SAIDIS, GUIDO,
SHUFF &
MAS LAND
26 W. High 51"""
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St. patricks Roman Catholic Church of Carlisle,
pennsylvania.
(2) The sum of Five Thousand ($5,000.00) Dollars to
Elaine McCoy of 45 Walnut Street, Carlisle, Pennsylvania
17013.
(3) My old dry sink and the sum of Two Thousand
($2,000.00) Dollars to Florence Trump, 35 Walnut Street,
Carlisle, Pennsylvania 17013.
THIRD
All the rest residue and remainder of my estate I give,
devise and bequeath equally to my nieces and nephews, Joseph
Dioguardi, Sam Dioguardi, Marie Cobaugh and Fran DeFlorie,
provided, that if anyone of said beneficiaries fails to survive
me by thirty (30) days then his or her share shall lapse and be
equally divided by the persons who do survive me by thirty (30)
days.
FOURTH
I direct that any and all inheritance, estate, and transfer
taxes imposed upon my estate passing under this Will or otherwis
shall be paid out of the principal of my residuary estate.
FIFTH
In addition to the powers conferred by law, I authorize any
personal representative acting under this instrument, in his/her
absolute discretion:
(a) To retain in the form received, or to sell
either at public or private sale any real or personal
property;
... ~
(b) To exercise any options to subscribe for
stocks, bonds, or other investments.
(C) To join in any plan of lease, mortgage,
consolidation, exchange, reorganization or foreclosure
of any corporation in which my estate or any trust may
hold stocks, bonds or other securities;
(d) To sell, transfer, convey, mortgage, pledge,
lease or exchange any property, real or personal, which
at any time may form part of my estate, for the payment
of debts or taxes, or for any purpose of administration
or distribution, for such prices and upon such terms
as my personal representative, in his sole discretion,
may deem wise, and to execute and deliver deeds of
conveyance or transfer thereof;
(e) To make settlements and compromises on such
terms as my personal representative in his/her sole
discretion may deem wise without the necessity of
obtaining any court approval thereof;
(f) To make distribution hereunder either in cash
or kind, as my personal representative in his/her discretion
may deem wise.
SIXTH
SAIDlS, GUIDO,
SHUFF &
MAS LAND
26 W. Hiah SUl~el
eMu,I,. PA
I do hereby nominate, constitute and appoint ROBERT C.
SAlOIS, to act as Executor of this my Last will and Testament.
Provided, however, that if he is unwilling or unable to act as
Executor, I hereby nominate, constitute and appoint FARMERS TRUST
COMPANY as Alternate Executor of this, my Last will and
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26 W. lUah Slrecl
CVlble. PA
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Testament.
IN WITNESS WHEREOF, I, MICHAEL J. DAYWORTH, have hereunto
set my hand and seal to this my Last will and Testament,
consisting of four (4) typewritten pages this
19 y1o.. day of May,
.1$ CtI_t?'^"VV
1995.
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Michael J. Dayworth, Testator
Signed, sealed, published and declared by the above-named
Testator, Michael J. Dayworth, as and for his Last Will and
Testament in the presence of us, who have hereunto subscribed our
names at his request as witnesses thereto, In the presence of
said Testator and of each other.
'ADDRESS got #;I"'i'It.--,,~ ~
ADDRESS/~):-;'~41~41/~~-
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SAIDIS, GUIDO,
SIIUFfo' &
MASLAND
26 W. lUSh Slrre.
C",U.le.PA
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COMMONWEALTH OF PENNSYLVANIA:
SS
COUNTY OF CUMBERLAND
WE, MICHAEL J. DAYWORTH, FLORENCE TRUMP, and SCOTT D. MOORE,
the Testator and witnesses, respectively whose names are signed
to the foregoing or attached instrument, being first duly sworn,
do hereby declare to the undersigned authority that the Testator
signed and executed the instrument ae his Last Will and Testament
and that he signed willingly and that he executed as his free and
voluntary act for the purposes therein expressed, and that each
of the witnesses, in the presence and hearing of ~he Testator
signed the Will as witness and that to the best uf their
knowledge the Testator was at the time 18 or more years of age,
of sound mind and under no constraint or undue influence.
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Mic hael~r, Dasorth, Testator
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.~SCo~t .0. MoorZ Witness
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-'Florence Trump, W.ftness
Subscribed, sworn to and acknowledged before me by Michael
J. Dayworth, the Testator, and subscribed to and sworn or
affirmed to before me by SCOTT D. MOORE, and FLORENCE TRUMP,
witnesses, this 19th day of
May,
19:~ -d6
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26 W. "'ah Sln:cl
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COMMONWEALTH OF PENNSYLVANIA:
SS
COUNTY OF ClIMBERLAND
WE, MICHAEL
f[ofeWL ~M.,o,
J, DAYWORTH,
12'.. ber ~ C S~~d\1 and
the Testator and witnesses, respectively whose
names are signed to the foregoing or attached instrument, being
first dUly sworn, do hereby deClare to the undersigned authority
that the Testator signed and executed the instrument as his
Codicil and that he signed willingly and that he executed as
his free and voluntary act for the purposes therein expressed,
and that each of the witnesses, in the presence and hearing of
the Testator signed the Codicil as witness and that to the best
of their knowledge the Testator was at the time 18 or more years
of age, of sound mind and under no constraint or undue influence.
Testator
Witness
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, itness
SUbscribed, sworn to and acknowledged before me by MICHAEL
J, DAYWORTH, the Testator,
affirmed to before me by
witnesses, this :2", day of
and subscribed to and sworn or
~L.)QCr{ ( ~DI~ and .fldteV'<:e -ya~
II0TARlAL SEAL
I/f/ICE L /,lURR.IV NUrAnY PUBLIC
CAI/L1SLE 001/0. CUM6EnLANO CO, . PA
MY COMMISSION EXPlI/ES orCEMBER 13. 1997
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CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
'95 jlJU 12 1\\1 :(17
Clu, ::irt
lIUOiL \ ;1', I ~',. , PA
Name of Decedent:
Michael J. Dayworth
Date of Death:
June 1, 1995
Will N 1995-00438
o.
Admin. No.
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 following beneficiaries of the above-captioned estate on
6/12/95 I
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Marie Cobaugh
JQRPph nlf:l1"rrli
Sam DiGuardi
fr;In DiFlorie
Florence Trump
El"ine McCni'
st. Patrick s
Ranan Catholic Church
Address
124 Rosewood st., Johnstown, PA 15904
180 RhPnsburq Rd.. Johnstown. PA 15901
27 Shady Lane, Johnstown, PA 15905
211 Blenck st.. Johnstown. PA 15904
35 Walnut street, Carlisle, PA 17013
45 Walnut street, Carlisle. PA 17013
140 E. Pomfret street, Carlisle, PA 17013
Notice has now been given to all persons entitled thereto under
Rule 5.6(a) except none
Datel
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Sigr~'
Name Robert c. Saidis, Esquire
Address 26 West High street
Carlisle, PA 17013
Telephone ( 7lj7 243-6222
Capacity:
Personal Representative
Counsel for personal
representative
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D AA 048186 COMMONWEALTH OF PENNSYLVANIA
NO. ' DIPARTMINT OP RIVINUI
OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
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IlV-1I61.114,"1
RECEIVED FROM:
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ASSESSMENT f!'
CONTROL ...
NUMBER
AMOUNT
SAlOIS ROBERT C
20 W HIGH STREET
101
.30,000.00
CARLISLE, PA 17013
'OtO HilI.
ESTATE INFORMATION,
~ FILE NUMBER
g 21-199:5-0438
EJ NAME OF OECEOENT (lAST)
m OATE OF PAYMENT
E1 POSTMAR
COUNTY
SSN 174-0:5-3771
(FIRST) (MI)
OATE OF OEATH
REGISTER OF WILLS
fa TOTAL AMOUNT PAID ,... ._..36.,000.00
0'11-/2' ~' " ~ ?fop
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RECEIVED B~' _ _ L-{/~ >' ~ :c (./'(..
MARY C. LEW~ '
REGISTER OF WILLa
REMARKS
ROBERT C SAlOIS
SEAL
CHECK" 0000
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FILE NUMBER
rFO:!>~~TjiA~F DEATH AFTER IZ/31/9' CHECK HERE
C-
REV. 1500 EX ,(7-94\
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS
YEAR
2195-0438
CO"'~PPi'(,~W\1rOF P.wJliiltllAN1A
HARRISR~kt.~M'za.06O'
COUNTY CODE
DECEDENT'S COMPLETE ADDRESS
47 Yulnut Streot
Cerlislu, PA 17013
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OECEOEN1"S NAME (LAST. FIRST. AND MIDDLE tN1TIALl
DAYYORTH, MICHAEL J.
DATE OF GIRTH
02/12/03
OATE OF DEATH
06/01/95
socr"L SeCURITY NUMBER
17'.-05-3771
Cumborlund
AMOUNT RECEIVED (SEE tN5TRUCTIONSj
County
IIF APPLICABLE) SURVIVING SPOUSE'S NAME \LAST .FIRST AND MIODL[ INITIAL)
SOCIAl,. SECURITY NUMBER
NUt.4BER
X 1. Onginal Return
4. Limited Estate
05.
1 8.
Remainder Relurn
(for dates 01 death prior to 12-13-82)
Federal Estate Tax Return Roquired
Tolal Number 01 Sa'. Deposit Boxe5
CAB
H P L
E PO
C R C
K~~
2. Supplemental Return
.ca. Future Interost Compromise
(lor dales of doath atter 12- 12-82)
[ID 6. Decedent Died Testate 0 7. Decedent Maintained d liVing Trust
(Attach co of Will) (Attach a co 01 Trust)
ALL CORRE~P.ONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
C P
o 0 NA~(
R N
R 0 Robert C. Seidis Es .
E E
5 N TELEPHONE NUMBER
T 717 737-3405
1. Real Estate (Schedule A) 1
2. Stocks and Bonds (Schedule B) (2)
3. Closely Held StocklPannership Interest (Schedule Cl (3)
4. Mortgages and Noles Receivable (Schedule 0) (4)
5. Cash. Bank Deposits & Miscellaneous Personal Property (5ch_ E) (5)
6. Jointly Owned Propeny (Schedule F) (6)
7. Translers (Schedule G) (Schedule L) (7)
8. Total Gross Assets (total Lines 1-7)
9. Funeral expenses, Administrative Costs, Miscellaneous
expenses (Schedule H)
10. Debts. Mortgage lIabilities, liens (Schedule I)
11. Tolal Deductions h01al Lines 9 & 10)
12. Net Value of Estate (line 8 minus line 11)
13. Charitable and Governmental8equests (Schedule Jl
14. Net Value Sub'ect to Tax (Line 12 minus Line 13)
15. Spousal Transfers (for dates of death atlor 6-30-94)
See Instructions for Applicable Percentage on page 2.
(Include values horn Schedule K or Schodule M,)
16. Amount of Line 14 taxable at 61/. rate
(Include values from Schedulo K or Schedule M)
17. Amount of Line 14 taxable at 15'/. rato
(Include values from Schedule K or Schedule M,)
18. Principal tax due (Add tax from Lino 15. 16 and 17.)
19.Credits/Sp Poverty Prior Payments Discount
0.00+ 36,000.00 + 1,891.59
20. II Line 19 IS greater than line 1B. entor the differenco on Lino 20. This is the OVERPAYMENT.
~ ~ Check here If ou are re uestln a refund of our over a ment.
21. Uline 18 is grealer than Line 19. enter the difference on Lino 21. This is the TAX DUE.
A. Enler the interest on the balance duo on LIne 21A.
B. Enler the total of Line 21 and 21A on line 21B, This is the BALANCE DUE.
Make Check pa able to: Re Iste, of Wills. A ent
~ ~ BE SURE TO ANSWER ALL QUESTIONS ON PAGE 2 AND TO RECHECK MATH .. ..
Under peNltles 0 perjury, ee .Ire t".1 hlv.....mUMtd I I r.turn.lnchJd nq.ccomp.lnylng schedulell.nd Sl.I.ments..nd to th. beSl 0 my knew glllnd lie. II Is Iru.,
COffttCtlnd complet.,1 deellr.lhIIIHr..lestlt. hl1l beenr.portecl.1 Hue rNlkel value. Cecla,.Uonol pr.paler olher lh.n IhepersoMI ,.pr.sent.Uvelt bned on .Ulnformllllonof
"'"'C,, p,ep.r"r hIS Any knowledge.
COMPLETE MAILING ACCRESS
Seidis, Guido, Shuff
P. O. Box 737
Cum Hill PA 17001
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227,439.82
(8)
(9)
14.728.40
5,499.72
(10)
(11)
(12)
(13)
(14)
(15)
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(16)
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252 ,211. 70 X ,15:
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(19)
(20)
(21)
(21A)
(21B)
SIGNATURE OF PERSON RESP NSIB FOR FILING RETURN
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Robort C. Ssidls
2109 Harket Stroot
Carn'- iiiii","'pj,:"i 7ciii ,. - -.... -,.-... -.. -.. _.',,--
Saidls, Guido, Shuff & Masland
P. O. Box 737
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Cop'frIQh! le1 1994 formsolt....r. only C ystem,.'""
277 ,439.82
20,228.12
257.211. 70
5,000.00
252,211.70
0.00
0.00
37 , 831. 75
37,831.75
37.891.59
59.84
0.00
0.00
0.00
OAT. ~ \'
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DATE I
(oJ' 7 .Ii \
Form 1500 ~RIlV, 7.94)
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COMMONWEALTH OF PENNSYLVANIA:
ss
COUNTY OF CUMBERLAND
?I:lC..... \ C ~~;'-~\\ and
WE, MICHAEL
f{oIev.cL l42vNf,
J. DAYWORTH,
the Testator and witnesses, respectively whose
names are signed to the foregoing Dr attached instrument, being
first duly sworn, do hereby declare to the undersigned authority
that the Testator signed and executed the instrument as his
Codicil and that he signed willingly and that he executed as
his free and voluntary act for the purposes therein expressed,
and that each of the witnesses, in the presence and hearing of
the Testator signed the Codicil as witness and that to the best
of their knowledge the Testator was at the time 16 or more years
of age, of sound mind and under no constraint Dr undue influence.
Witness
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:Dwitness
Subscribed, sworn to and acknowledged before me by MICHAEL
J. DAYWORTH, the Testator, and subscribed to and sworn or
SAlOIS, GUIDO,
SHUFF &
MASLAND
26 W, IUgh Stre"
Carll. Ie, PA
affirmed to before me by
witnesses, this :2~ day of
\2..,~.)(ilrl ( ~t)I\ and
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1l0TAR'Al SE/.l
REII" L MUHRAY ~OrAAY PUBLIC
CARLISLE BOAO, CliM6ERLAIIO CO. PA
It V C~MMISSION EXPlnES orCWBER 13. 1991
,
(Ci'~.
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LAST WILL AND TESTAMENT
OF
MICHAEL J. DAYWORTH
I, MICHAEL J. DAYWORTH, of the Borough of Carlisle,
Cumberland County, Pennsylvania, being of sound and disposing
mind, memory and understanding, do hereby make, publish and
declare this as and for my Last Will and Testament, hereby
revoking all other wills and Codicils heretofore made by me.
FIRST
I direct the payment of my just debts and expenses of my
last illness and funeral from my estate as soon after my death as
conveniently may be done. If there be no cemetery lot available
for my interment owned by me at the time of my death, I authorize
my personal representative to purchase such cemetery lot with a
contract for perpetual care, using therefore funds from my estate
in such amount as he shall consider necessary and desirable, and
I authorize my personal representative to cause title to or
ownership of such lot so purchased to be vested in such person as
my personal representative shall designate.
Further, I authorize my personal representative to expend
funds from my estate, in such amount as my personal
,AlDIS, GUIDO,
SHUFF &
MASLAND
26 W,llIgh Sir""
Carllsle.PA
representative shall consider necessary and desirable for the
purchase, erection and inscription of a suitable marker for my
grave.
SECOND
I give, devise and bequeath my estate as follows:
(1) The sum of Five Thousand ($5,000.00) Dollars to
SAlOIS, GUIDO,
snUFF &
MASLAND
26 w, IIIgh Slttt'
CArllslt. PA
St. patricks Roman Catholic Church of Carlisle,
Pennsylvania.
(2) The sum of Five Thousand ($5,000.00) Dollars to
Elaine McCoy of 45 Walnut Street, Carlisle, Pennsylvania
17013.
(3) My old dry sink and the sum of Two Thousand
($2,000.00) Dollars to Florence Trump, 35 Walnut Street,
Carlisle, PennBylvania 17013.
THIRD
All the rest residue and remainder of my estate I give,
devise and bequeath equally to my nieces and nephews, Joseph
Dioguardi, Sam Dioguardi, Marie Cobaugh and Fran DeFlorie,
provided, that if anyone of said beneficiaries fails to survive
me by thirty (30) days then his or her share shall lapse and be
equally divided by the persons who do survive me by thirty (30)
days.
FOURTH
I direct that any and all inheritance, estate, and transfer
taxes imposed upon my estate passing under this Will or otherwis
shall be paid out of the principal of my residuary estate.
FIFTH
In addition to the powers conferred by law, I authorize any
perspnal representative acting under this instrument, in his/her
absolute discretion:
(a) To retain in the form received, or to sell
either at public or private sale any real or personal
property;
SAlDIS, GUIDO,
snUFF &
MAS LAND
26 W. lligh S"'"
Carlisle. PA
(b) To exercise any options to subscribe for
stocks, bonds, or other investments.
(C) To join in any plan of lease, mortgage,
consolidation, exchange, reorganization or foreclosure
of any corporation in which my estate or any trust may
hold stocks, bonds or othsr securities;
(d) To sell, transfer, convey, mortgage, pledge,
lease or exchange any property, real or personal, which
at any time may form part of my estate, for the payment
of debts or taxes, or for any purpose of administration
or distribution, for such prices and upon such terms
as my personal representative, in his sole discretion,
may deem wise, and to execute and deliver deeds of
conveyance Dr transfer thereof;
(e) To make settlements and compromises on such
terms as my personal representative in his/her sole
discretion may deem wise without the necessity of
obtaining any court approval thereof;
(f) To make distribution hereunder either in cash
or kind, as my personal representative in his/her diBcretion
may deem wise.
SIXTH
I do hereby nominate, constitute and appoint ROBERT C.
SAlOIS, to act as Executor of this my Last Will and Testament.
Provided, however, that if he is unwilling or unable to act as
Executor, I hereby nominate, constitute and appoint FARMERS TRUST
COMPANY as Alternate Executor of this, my Last Will and
,,'i;:J~'~1'
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COMMO'IWIA\UI Of "NN"I"""'N''''
or'UIIoIINI 0' .,....'NUI
INHIIII......C' IAI OIVlllON
DI" U0601
tUUIUUIO," 1111'-0601 PI.a.. Print or Typo
MUST BE COMPLETE 0 BY REPRESENTATIVE Of fiNANCIAL INSTITUTION WHERE SM. OEPDSIT BOX IS lDCMEO ANa RETURNED TO ABOVE AODRESS
COUNTY COOE "" FILE NIljJlJlER SOCIAL SECURIfY OR DEATH CERTIFICATE NUMBEn
.,..,1 q.>" OY-3 171.(- O,!:' ~ '3~
o lOEHr's AM ~~T. tlRSr, MICDLII""';- 0 TE 0
1":::>" U).)('U, UlcJ..e..!./ .j (,-/-7->
ADORESS OF OECEOENr I$TRU'!;. _ ( I, P ICITY)
Ll7 WCdf\UI SI CA(L.\~'-I' l~ /"',3
NAME ANa AODRESS OF PERSON REQUESTING THE OPENING OF THE SAFE OEPDSIf BOX
lHAM!1
SAFE DEPOSIT BOX
INVENTORY
'l~(" II, [l ':1
ISTAffl
IZI'COOII
l"'EfT :;;'& (.oJ N-'Cf h ~J C 4-r {";YIS 0 p~
NAME. ADORESS ANa RELATIONSHIP (IF ANY I TO DECEDENT. OF PERSONIS) PRESENr AT rHE BOX OPENING
a. lNA.Mfl r;1 I - IULATION5H"1
I-<""h, 'C,.'r .J S a I cl ,..s C?y.Cc:. v ",M_
15TIIUT ADO.US) ICilY)
&.(., tv I h / L, .s'/ C~ I, J ~ r- r/)-
... (NAMII lIlELATIONSHIP,
(STAtE!
nUl
(lIPCODf)
ISTAUI Ill' CODfl
I?d ~ "
(STAUT ADORUSI
ICITYI
I$TA"I
111"0011
c. INAMEI
(RELATIONSHIP)
(STIIUT ADOllfSSJ
ICITYI
ISTAff)
Im'CODfl
.-
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s:.j C.....-,- I,.J t.. IClIYI ISTATEI IIIP COOII
P ..,... ,7 Cl 1...3
OA~O TIME Of LASr ENTRY
-,";13 -'is
ER WHICH BOX IS REGISTEREO
G. b. (NAMfl
jSHtHr ....OOIlUS' ISTRffTAOOIlUSI
ICITYI ISTAff) IZI' CODfl ICIfY) ISTAff) IZIPCOOfl
NAME AND TITLE OF EMPLOYE TAKING THE INVENrORY
WAS A WILL IN THE BOX? OYES ONO If Y'" a. Dal. of willi
b. Nam. and add,... of p."anal '.p,.unlall"., If "amtd In 'h. will
(NAMfl
ISTRUT ADDRUS)
ICITY)
1ST."1I)
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c. Name and add,... .f GUorntYI If any
(NAMfl
(SUHT ADDUSS)
ICITYI
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IZIPCODII
Pogo _1--, 01
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SAFE DEPOSIT BOX INVENTORY
~._-
INSTRUCTIONS
(1) Ca.h, Reporllo'al only.
(2) Stockl: Lil' in datail overy (ommon or profarred cortificate, worronl or olhor righh lound in box. Slock. orc
to be deslgnaled by name of company. cortificato numbor, dolO of cortificalo, noma in which stock h rogisterod.
and numbor ollharel and clall alllack.,
(3) Obligations of U. S. Govornmantl Numbor 01 ilam.. dOlO of lUUD, fa co voluo, nomos in which ragistored
and Iypo of ownorship., i.~,. joinlly hold. payablo on dealh. ole.
(4) Bondi: Dosignata by nomo, amount, \oriol numbor, or olhor do signal ion. (Boaror Bonds)
(5) Bonk and Savings and Loan Possbooks: SlolO nomo of dopositor, numbor of book, 10SI dOlO appoaring in
book. namo of bonk and branch. and balanco.
(6) Jewelry, Coin., Stomp., Manuscript., olel lill and do scribe a. lully 01 pallible,
(7) D..d.. Mortgages, Current In.uranco Policlo. or alhor ovldonce. of Indeblodno," lill and dOlcribo 01
fully 01 pallible.
(8) All other conte nil.
~.,---.---------
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CAT_NO F)loom P..'i US ,a.UI 1'10.1 ~ filUm Ann"""" OMII No U01.fl161
A. U,S, OEPARTMENT OF HOUSINO AND URBAN DEVELOPMENT ~llJl',T.\'I!E.OI'.'LOAN ,', '._,
--'--.. I._filA 2 _F~nlA ) -X...COSV UNINS
. VA I, CONY tNS
Saldls, Guido, Shuff & Masland . rill' Nllmbtr I' l.o.n Numbt'
MT95-227
I Mort&'ll' 111I CA't No
SEliLEMENT STATEMENT
C NOTE: Thil/ann Lr fumuhtd 10 giw YO'" a Ita'tmml of aCILlal,ttdrmrnt 'OJU. Amounu paid '0 amI by tht uttlnnmt agtnl lJft shown.
IIrms marluJ "(P.o,er WtTt P31d ouuidt tht cIOJin& thry art 1110"'" lint fo, infonnational p...moJu and art nOI ;ncl...ihd in ,lit 100aLl
o NAME ANa AOORESS OF BORROWER: P. Terry Cllne, 31098
E NAME, ADDRESS ANa TIN OF SELLER: Estate of Michael J. Dayworth
F NAME AND AOORESS OF LENDER: Cash
G PROPER7Y LOCATION: 47 Walnut Street Carlisle Pennsylvania 17013
D Proporty or Servlco. Recolvod Saidis, Guido, Shuff & Mas I and TIN #251694606
II. SETTLEMENT AGENT:
PlACE OF SETTLEMENT: 26 West High Street
Carlisle, PA 17013
I SETTLEMENT OATE; 09-13-95
J.. SUMMARY ',OF, BORROWER~S~'1'RANS^Cl10NA~i.::.,[(,,:tJ';::1 r. K.:,:-;:.;.;tr.:SU/dMARYi.OIil 'S'illtANSAC'IlON '. ,
100. GROSS AMOUNT DUE FROM BORROIYER: 400. GROSS AMOUNT DUE TO SEI.LER.'
lOt. Contract ules Price 50.000.00 401. Cenlracl ula price 50.000.00
102 Penon.1 Prooeny 402. Penon.1 propeny
103. Settlement chuges 10 borrower(lint 1400) 990.00 403.
104. 404.
10l, 40l,
Adju!tPnrnu /0' ilmu paid bv Stl/tr in adwmce Adjwantnu to, ilmu paid by stilt( in ad"Q/lce
106. Clty/town taxu '0 406. CUv^own laxea 10
107. CounlY lues U~-l -951012-31-95 fi4.75 407, County lUes U~-l.l-~5 10 l<!-.ll- b4./5
108. A1ieurnenl& '0 408. Meumenll '0
109, :,cnoo I ~-13-95 to 6-30-96 380.~j 409. -SCnoo I ~-l.l-~~ to b-jU-~b jllO.~j
llO, 410,
lIl, 4ll,
ll2, 412,
113. 413.
ll4. 414,
Ill. 41l,
ll6. 416.
120, GROSS AMOUNT DUE FROM BORROWER 51. 434.98 420, GROSS AMOUNT DUE TO SEI.LER 50,444.98
.. " 200:' 'AMOUNTSP/JD,1JYIOJ///NIBEHAI!F'OFIBORR011/ERJ~j;r.~ :.\'~)'tllflWiAllllS(JI);iiREDU(;fION$I/NiAMOUN7' DUE, TO SEI.LER: ' .
201. Depo51t or earnest money 1.000.00 lOI. Exceu d.poslllm wau.dons)
202. Principal amount of new 10an(l) 502. Settlement charges to seller(line 1400) 3,699.8l
203. Exuting 10In(I) taken subject to 503. Existing loan(l) taken subject to
204, 504. Payoff or fint mortglge loan
20l, 50S. PayofC of second monaage loan
206, lO6,
207. 507,
20B 50B.
209, . 509.
AdjLlJemmLr fo, iltnu W1poid by ullrr Adjwanmu fo, iltmJ W1pald by stilt(
210, Cny/lO\lo1l lues 10 510. CII)'Mwn .axa '0
211. Counly lilies 10 lll. Counl)' 'ax<.l '0
212, Alscssmcnls '0 512. AMessmcnts 10
213, 513.
214, lt4,
21l. m,
216 l16,
217, liT,
2Hl. liB.
219. , l19.
TOTAL PAID BY/FOR TOTAL REDUCTION AMOUNT
220, DORROIVf:R 1,000.00 l2O, DUE SEI.LER 3,699.6:
. . ","Joo:CASH"",,7'tSE1TIJBMEN:rIEROMrrQ;;oORRO.l~I~'tJl'. S:l'O.,,:,;,"IllltS6M"'CASH~'X;S=LEME/m TO/FROM SELLER
301. Oross amount due Cram borrower(line 120) ---;T~ 601. Orou amount due 10 leller(line 420) 50~
302, un amounU paid byllor bcrrcwerlllnt 2201 1 .000. 602. L..css reductions In amount due seller(line $20) J., ,t
JOJ. CASJ/ I X FROM) ( TO) BORROIVf:R 50,434.98 /lIlJ. CASH ( X TO) I PROMI SEllER 46,745.1f
TAX'AVr.R loerm,ICAnON NUMDr.R SOUC A NISEU..U!A
I
I
I.
I
IT no
VOw," n4lo1lu'" 1...10 pnM'. S.1I11, 011140, Slturr 4t MIII.nI wlUt)'OUt conwc WJI')l" I4111UtlullOn nIlIDN" UrN do IIOC~' 5.141t, Oui4o, 5hllrr,l; toh,i,ll' VI1tb )'Ollt MtT'CIIUpI
.,
od.lIl1r'UIlOlllllollft'Hf.)'OU ml)' M 'U"JllI IA eMl or mllll",1 ,.1I.IUIIllDpotM h11.... I~lltt.. 1I11D.(I). ,64nll .,,41U 14.lIlJrlCll>On nlollDlMr(.) I,I"-n In II.ID e .bo\.. .n4
IhOlol1l1M cb.ct .l
U1I41' ptnllll.. ot ptl1ury. I uttJ~ l.!t.t tIl. "1lIDN"~ OIlUlI. IlIl.1ll1n11t IllY tomIC4 lIlplylr 141111lnutlGtl nulDbc,. t 0' 'C(Uflcy I
nu l'!IOf'lllllDlI Mnll.1I14 in Dlocu &OJI,I. '11' bill 401 it IlDpnrtlllllU intllt1ll.tklII'lId I' btlll' tll",,11'I1410 Inllllllmll 11.1\"1111' SlMU. It yow fl. n'lulu4 In lil. . Ulum,.
II oli
"~ . . ' . ,,~~ .-r~."" N' .'", " ,,,., .1,."., ".."..,Il '" II, "p""r"'I\~ tll, tR~ "'lrMn'II'I'II'11l ~.'III(1ll\u., f'fI"n.., t..ltllU ptn'ltyoroth.,
CAT NO FFOOllJ p.sm '~NI1 ,..,2 Bun
L SETIl.I!MENT CIIAllOES
'::<'I:':':',,10P!" _ 'Si\1!ESIBROKER1SfCOM!iIlSSIO~lIltl!llllllWl_lI'!__~!ann.ili:.~ PAtD FROM PAil) f110M
nASED ON PRICE S 50 0 0.00 @ %- 000.00 nORROYo'IJII'S SELLER'S
Di\islon or Commlulon (Un. 700) II IoU""" FUNDS AT FUNDS AT
701. S 1,525.00 '0 Ebener & Associ ates SI1TI1.EMENT S!;li1.EMI'NT
702. S 1,475.0010 Sterl i n9 Realty
70l Commiuion p"ld at Settlement 3,000.00
70',
.." , , 800,'ITEMS'PAYABWINICONNECTJONlllmliLO;W','~,j;IF,.;;,i;i''*,I'N:~~1JiI11.~l('&:O~ (;r.rJlIti!l~~:1~:i!~~~\t0";:"f/:""X ,': ',', "',H .'
801. Lo.tn OnJ:lnatlon F'ee %
BOZ. Lo.m Discount %
SO), t\ppr:lII:11 Fee In .
80', Credit Reoon to
80l, under's Inspectlon Fee 10
806, Mort~tlge In.urance ADDlIcatlon Fee to
807, /usumDUon Fee to
808, I
509,
810,
811,
812.
81),
814,
900, ITEMS 'REQUIRED ,BY.J:.ENDERiTO'DE'PAJD'ilNfjtDVANCE :1, ',:;', '~".:p'~~'~.lil.k\*~,"J:\ll,r."5~';" '.r~:.. ,~":~~~:_;i ,.' .ll..' .'!' . ~. . ,
901, lnlerell from 10 @S Iday I . days)
902. Mort~3~e Insurance Premium for month. to
90), I-{al..ud tn5urance Premium for 1 vear to ( (Buverl I
90',
90J ,
,
.,,,' J 000.' 'RESERVES.DEPOS /'TED .:JV1T1{;'LENDERfl~~ii7~I~7'LtG'~:~,~I~~i.'.,;;:~l.:~::{~)',~};!:::~~~~lMj,:}~I~~.*;I~~7_;lj t!t:~'_I#:M;;~{~:11 ;Jit,irN;~jj~:>~'_f ~ ' : '," i
1001, Huard Insurance month. @ S oer monlh
tOO::!. Monl.!:u:e Insurance months @ S per month
1003. Ciw propenv t1ues month. @ S per monlh
1004, Countv property IlUes monlhs @ S per month
100J, t\nnuill."se~sment5 months @ S ocr monlh
1006. monlhs @ S ocr monlh ,
1007, monlhs @ S ocr month
1008. months @ S per month
-, . 1100.:' 7TTLE:CHAR.GES~"~;;"J~~~::';-i 1~~Y~1.;.tt:f~~~'~'[;i:;:",:;",.,e:~.:(~ni:r>',~,?~11',If.;;!'f:'-:I'tYf;!l,!l.t.~i~t~.~t~Jr,';{"J:"~'(~ ;,"N... ....'.. '".
1101. Sc:Uh:menl or closing ree to
1102, Abslrnct or tltlesearch '0
1103. Title t:Xllminatlon 10
1104, Tille insurance binder 10
110S. Documenl preDaratlon 10
1106. Nolarv ree to Cash 3.00 3.00
1107. Allome:v's ree 10 SaidiS GUidO Shutt & flas I and 475.00 175.00
(includes above imnr "umbtTs: l1nl 11n, " n3 1105 6 Il0R )
1108. TIlle iMurance 10
(in(/udu above fUms "umbtrs; )
1109, I..-:nder's coverl':c S N/A
111e. ~ller's coveruc S 50 000.00
1111,
1112,
1113,
:: 'j ;',: J200,1 GO~MEN1:'RECORD1NG.I;;u.;D~urn;wSFER~C!/ARGEs::),]t,lit:;~~:!ri~;I1.!.ro:!JI~Utltr.'IoIlt~~~,j1iF~'TIJ.:':,~I~':!:~':/!;'~'::::~:-;~:~':,;r;'ii:~~ ~<!~;j:;'
1201. Recordin!!: fees: Deed S 12.00 : Mon..g. J : Release $ 12.00
1202. City/count\' taxlslamtls: Deed S 500.00 , Mong,c. S 500.00
1203, Slale ta:vllamtll Dced $ 500.00 : Monc'c. S 500.0C
1204,
1201,
" ",'~'~~O:'I~~r~~N1t:~~~~~=~~~~il::r~m~~'.Il~~M'~otl!~.~t!;'.~U!i'~~,'(;",;~~;;';ii" .,..
.;"~ ~":' '. ,.' ,
1301. 21.S;;
1302,
1303,
130',
130J,
1306,
1307, , .
1308,
NOll TOTAL SETTLEMENT CHARGES (<111" on fin" 103, Swion J and 50~ Secrion Ii) 990.00 3.699.8;
I b.., u""I~,';';:ft" ':;"p~" Su".." '"< '" "...." "'''' ......,.' '"' "'..I," I,. IN' '"' .U..... "",.,,,., '" ,,,..,,, ," 4,,"'''~'"'' ~.,. ",.., ."",,, N'" ..",,;-
ln~UUlll~ ~ ~ III h~ ~A ~o, u~;w(;lJl~ .
"''''''' I t;Q".~~... M~.~ w. uay SEl.LER 2 -. ,mlnn-'-------"- , " ,-, ~-,.,~ L"
,Y, '4 '~.
~un" , !'. Torry_t:i!.,l,~n. DUrER: _.._--~_.,.,-,,,- ]1l\'nnT' '
To till b~1I of my tIlow!~dl" Ill' UUO.I Sel
(If th, Irl\le'"t~1 or Ill" 1""UtlJ.O~
ItlIl b...e preplff,j I' 'INt ,",j Ill"'''' 1("'\1111 "Ilh, (,,'101. .!li./l "'" rto,lu,I"lll II.H 1''''1 ," ..,I! lot .l-lh,u.. M l1'f ,"','f,, ,"f} "j
. ~, " I ^
---- '" I.'"'~''''' ...,,~ ,.'10 IUlfll"''j1 tn tll, trn'tfJ ~f"" on th,. fIr .'r, nth" ,'ft"'1I ,..,." 1'"..10." "I~"l '''OI",tI"O\ "'11...10"',.1\,,. ....1 ""l'''I.'-'~'..,.
FARMERS
TRUST
One W?st High Street r.o. Box 220
Carlisle, Pennsylvania 170IJ
llll~
Olle June 16, 1995
Saidis, Guido, Shuff & Masland
P.O. Box 560
Carlisle, PA 17013-0560
Re: EllAlte of. Mi "ha..l J. Davworth 174-05-3771
Olte of Del th
Oeu Mr. Saidis
6/1/95
In Inswer to your requeat eoneernlng leeounll owned. either ..parltely or Jointly, by
the Ibove ref.reneed decedent Ind the ballnee In eoeh leeount ... of the dlte of
death. we have oheoked our records Ind Ire submitting the followlno Infol'l1Ultlon In
dupllelte, We sugoest that you rue one of tho.e letters ottaehed to tho Pennsylvanlo In.en.
lory forma (RCC) to aub.tanli.ate Ule balance you report.
Not. thet we ha.e mown Ihe eorrect raglstrlUon for each aeoount. AlIa, Interlll aoorued to
the date of duth, If Iny, U luted U I sepuate nOUII.
Very truly yours.
J.1~) ~cdl-i
Certificate 97400 was opneed 7/31/91. The value
as of 6/1/95 was $40,004.38.
Certificate 108641 was opened 1/11/95. The value
as of 6/1/95 was $40,085.48.
Doris Goodhart
CD/IRA dept.
Both of the above certificates are registered to
Hichael J. Dayworth, alone.
Certificate 69171 was opened 9/17/86. The value as of 6/1/95 was $6,638.88.
The certificate was registered FTC for burial of Michael J. Dayworth. The
certificate was redeemed,6/7/95.
FARMERS ~
TRUST 11III
June 14, 1995
Saldls, Culdo, Shuff & Masland
26 W Hleh Street
PO Box 560
Carlisle, PA 17013
Re: Estate of Michael J Dayworth SSN 174-05-3771
Date of Death: June I, 1995
Dear Mr. Saldls:
In answer to your re~uest concernine accounts owned, either
separately or jointly, by the above refereno:ed deo:edent and the
balance In each account as of the date of death, we have checked
our records and are submlttlne the followlne Information In
duplicate. We sueeest that you file one of these letters attached
to the Pennsylvania Inventory forms (RCCI to substantiate the
balance you report.
Note that we have shown the correct reeistration for each account.
Also, Interest ao:crued to the date of death, if any, Is listed as
a separate fleure,
Checklne account 1/3-56972 was Drlelnally opened 1/3/83. The
ao:count was titled In Michael J Dayworth's name alone. The balano:e
as of 6/1/95 was $17,756.76 plus $39.84 accrued Interest for a
total of $17,796.60. The ao:o:ount was a Money Market Account
carnine interest on a blended rate as follows: less than $2,500
2.50%; 2,500 - 10,000 2.75%; 10,000 - 100,000 3,00%.
Checklne aO:O:Dunt 1/4-09073 was orieinally opened 9/1/67 or before.
The aco:ount was titled In Michael J Dayworth's name alone. The
balano:e as of 6/1/95 was $19,364.03 plus $25,93 accrued Interest
for a total of $19,389.96. The ao:o:ount was a NOW Ao:count earnine
2.10% Interest at the time of death.
We do have a safe deposit box at our Main Offlo:e 1/235 In Michael J
Dayworth's name alone.
Sincerely,
FARMERS TRUST COMPANY
A~ .r<:::''Sf:iN
Karen Tomassone
Supervisor Customer Service
One West High SlreeIP.O. Bnx 22U Carlisle. Pennsylvania 1701:1 (717) 2'1:1-:1212
Meridian
PO no_ 110:'
1l,..ltlI1HI PA u'fiO;1
~'ECEWED JijH ....r2
,....-
,
,.. ~
. Meridian
Juno 19, 1995
TO: Robsrt C. Saidis
Attorney at Law
ADDRESS: 26 West High Street
P.O. Box 560
Car1is1s, PA 17013
RE: Estate of: Michael J. Dayworth Date of Death: 6/1/95
Accounts and Balances on Record as of Date of Death:
DATE DATE ACCR.
ACCOUNT II ACCOUNT TITLE OPENED CLOSED PRINCIPAL lliL....
CD 4000870214 Michael J. Dayworth 1/24/91 $25,981. 87 $34.93 .
"~Co. ('" / I,. I "
CK 29413053 Michael J. Dayworth 11/13/91 $10,460.42 $13.93
,'). ., J{ ~C
SV 8264535701 Michael J. Dayworth 11/13/91 3/29/95
CD 4001698846 Michael J. Dayworth 11/13/91 $20,000.00 $52.09
CD 4001931627 Miehae1 J. Dayworth 3/6/92 $33,000.00 $133.30
MERIDIAN BANK
DM/bjm/427
~,,:.~~
Dob ie Mangel ,
(610) 655.3352
CK - Checking
SV - Savings
CD - Certificate of Dsposit
XC - Holiday Club
VC - Vacation Club
CL - Commercial Loan
IL - Installment Loan
DB - Discount Brokerage
PL - Plus Loan
PH - Student Loan
SO - Safe Deposit
TR - Trust
WL - Will
LT - Living Trust
MO - Open Line of Crodlt
MG - Mortgage
LA - Auto Leasing
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
REV. 1511 EX , \7-88)
cO"'~"lmflm{\,~~'NI'
ESTATE OF
Pl.... Print or T .
FILE NUMBER
2195-0438
SS
17/,.05.3771
06 01 95
MICHAEL J. DAYWORTH
ITEM
NUMBER
A. Funeral eXp'""';
B.
DESCRIPTION
AMOUNT
1
Westminster Cemetery, Inc. - inscription
87.50
1.
Admlnl",atl.. COlt..
Personal Representative Convnisslons
Social Slcurity Numb" 01 P".onal Rlpr..lnlalive:
Vea, Convnl..lon. paid 1995
9,000.00
2.
Anorney Fles
Saidis, Cuido, Shuff & Has land
4,575.00
3.
Family Exempllon
Claimant
Address at Claimant at decedent's death
Strel' Address
City
N/A
Rllallon.hlp
State
Zip Code
4.
Probate Fels
Register of Wills
295.50
C. Mllclnaneoul Expenle.:
1
2
3
4
5
The Sentinel - legal ads
Cumberlsnd Law Journal . legal ads
Register of Wills . filing fees
Register of Wills - estimated account filing fees
Reserved for future debts and expenses
55.40
40.00
25.00
250.00
400.00
S 14 728.40
TOTAL (Also Inter on line 9. Reca itulatlon)
(II mOil Ipael II noodod,lnltrt add"lonalah..tl ollaml al.I.)
Copyrlghl leI 199" fo,,,, soflw.'. entv CPSYltems,lne.
For", 1500Schedul. HIRel/_ 7.8111
REV. 1512 EX f (1~IUI
eO"::'~lli\~~Wtr!U~lhYANIA
ESTATE OF
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES AND LIENS
Pi.... PrInt 01 .
FILE NUMBER
2195-0438
MICHAEL J. DAYWORTH SS# 174-05-3771
ITEM
NUMBER
1
2
3
I,
5
6
7
8
9
10
11
06/01/95
DESCRIPTION
AMOUNT
Robert C. Saidis, Esq. - legal work prior to death
Borough of Cerlisle - water and sewer
United of PA - phone service
Kemper National Insurance Co. - homeowners insuronce
UGI
PP&L
Elaine MeCoy - cleoning serviceo
Ken Roush's Houling - trash removal
Florence Trump - eleaning services
Darlene Moyer, Tax Collector - school taxes
Costs of sale of house and commission
712.50
35.46
50.84
192.00
72.00
19.44
314.70
65.00
306.00
476.94
3,254.84
TOTAL (Also Inter on Ilnl 10, Riel bulallon)
(I' marl spaclls "tlded.lnslrt additional sh.lts or slme sIZI.)
COpYllqht Ie) 1994 totm .oflW.t. ontv CPSy.lem..lnc.
. 5 499.72
FOtm 1500SChedut.I(R.v.1~9JI
REV. 1llJ EX + (l.87)
CO~t:.\lIg~gMhY'NIA
ESTATE OF
SCHEDULE J
BENEFICIARIES
M I CHA EL J. DA Y\lORTH
ITEM
NUMBER
SS 171,-05-3771
06 01 95
FILE NUMBER
2195-0438
RELATIONSHIP AMOUNT OR
SHARE OF EST A TE
None 5,000.00
None $2000 +
Dryolnk
Niece $25000 plus
251 of res idue
Nephew 251 of res Idue
Nephsw 251 of residue
Niece 251 of reslduo
NAME ANa ADDRESS OF BENEFICIARY
A. fallible alqul.ts:
1 Elaine McCoy, 45 Walnut Stroet
Carllslo, PA 17013
2 F10rencs Trump, 35 Walnut Streot
Carlisle, PA 17013
3 Marie Cobaugh, 690 Conter Drive
Chambersburg, PA 17012
4 Joseph DICuardl, 180 Ebensburg Road
Johnstown. PA 15901
5 Sam DiCuardi, 27 Shady Lane,
Johnstown, PA 15905
6 Fran DIF10ri , 211 B1enek Street
Johnstown, PA 15904
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
AMOUNT OR
SHARE OF ESTATE
a. Charitable and Governmental aequlsts:
1
St. Patrick's Roman Csthollc Church
140 E. Pomfret Street
Carlisle, PA 17013
5,000.00
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (AI,o onlor on lino 13, Roeo ~ulalicn)
(If marl space Is needed, lnslrt add~lonal sh.els of same size,)
r:nlWril1nl1tl 1994 'Of," soft"'". ontv CPSySlltlM.lnc.
S 5 000.00
Form 1500 Schedule J IRrt,2.871
COMMONWEALTH OF PENNSYLVANIA l
COUNTY OF CUMBERLAND J
u:
b.lng duly
OOI3CR'r C. 51\1015
Sworn
is executor
.ccordln9 to I.w, d.pol.1 end I.Y' th.t h.
01 tho e...to 01 tlichael ,J. Oayworth
Carlisle Borough C bid C P d d d h h
Int. 01__...,___,_...__...... ,___.. , um .r.n ounty, .., .ce... .n t.t t .
within lIon InvGntory m.d. by him , the 1.ld executor
01 the .ntlr. ....t. 01 uld d.c.d.nt, con listing 01 .11 the p...on.1 pro".rty .nd r..1 ..t.t., exc.pt r..l ....t. ouhld.
th. Commonw..lth 01 P.nnsylv.nl., .nd th.t the "9Ur.. oppoJlt. oech It.m 01 the Inv.ntory r.pr...nt It'. 1.lr v.lu.
.. 01 the d.t. 01 d.c.d.nt'. d..th. .
19 95
Sworn to
.nd lublerlb.d bolor. m.,
(
"nr,\, I.\L seAL
J','.r.1 L l~'m,' li0Mn" rIJOllC
f':,~\t!SI.t" ,,'\if....L (.'IH:,tr.i'ilJUtJ t'Cil'tlrv
,/'t i';'J'.~:':IS3I(;1o, t,:P.!lts flJC "AhV ro, 1007
O.te 01 O..th
26 West High Street
Carlisle, P1\ 17013
Add,...
June
1995-
Ooy
Month
Yur
INSTRUCTIONS
I. An Inv.ntory mu.t b. lII.d within thr.. month. .It.r .ppolntm.nt 01 p...on.l r.pr.untdlv..
2. A .uppl.m.nt Inv.ntory mu.t b. fII.d within thirty d.YI 01 dllcov.ry ol.ddltlon.1 ....h.
3. Addltlon.1 .h..h m.y b. .tt.ch.d .. to p.rson.lty or r..lty
4. S.. Artlcl. IV, Flducl.rl.. Act 011949.
.
0/
Ul
:z: ~
Fi: .
0 :z: Ul
~ ~ Cl .,; H
W ~ i:J .. 0
0 ~ H
~ ~ .. ~
w 0 I>: u
0.. 0 .. .. Ul
0 lI'I u
e w w . '" c '" >-
J: <>: ,.., .. . ..
I- 0.. .... U. ~ ,,; 0.. U E
Z .... ~ 0 ~ ~ 0.. 0
u. Fi: ~
w 0 < ~ Ul :i-
> z <>: H
"6 z 0 - ~ c: ~
C - " '"
- lI'I Z U c:l
0 <>: H ~ &1
z 'u < ::;: u ....
0.. ."
c
- ~
0 ~
u
.Q ." ""
u E
- .. 0
.. " it 0
.... U 00
,'-
INVENTORY OF THB REAL AND PBRSONAL BSTATB OF
MICHAEL J. DAYHORTH, DBCBASED
Single Family dwelling located at 47 Walnut Street,
Carlisle, PA - actual sale price
$ 50,000.00
FARMERS TRUST COMPANY:
C.D. #97400
C.D. #108641
Checking account #3-56972
Checking account #4-09073
MERIDIAN BANK:
40,004.38
40,085.48
17,756.76
19,389.96
C.D. #4000870214
C.D. #4001698846
C.D. #4001931627
Checking account #29413053
Harris Savings Bank C.D. #17-31-163803
Proceeds of sale of houBehold goods
26,016.80
20,052.09
33,133.30
10,474.35
20,003.45
523.25
TOTAL
$277,439.82
,=' ..
': , - .,
, "
'-0
I
'-
.'. i
l-J
, IS; r.:
I ,Il;~, !J::l
a: ()()
i5 .j&,-..3
J
REV-lS47 EX AFP (12-95*
Cotl'OMAlTH Of PEHHSVlVAHIA
DEPARUENl' OF REVElIJE
BUREAU OF INDIYIDUAL TAXES
DEPT. ze0601
lIARRISIURG, PA 17UI-Q601
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
DATE 02-05-96
06-01-95
e./
ACN 101
FILE NO.
COUNTY
CUMBERLAND
NOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS FORM WITH YOUR TAX
PAYMENT TO THE REGISTER OF WILLS. MAKE CHECK PAYABLE TO "REGISTER OF WILLS. AGENT"
REMIT PAYMENT TO:
ROBERT C SAIDIS ESQ
SAIDIS ETAL
PO BOX 737
CAMP HILL PA 17001
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
Aaount R_l U.d
CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ~
iiE'Y=is4i-i'iCJiFj.--ri2'=9STNOYicE--OF-YNHiiiiTANCE-YAX-'Appii'AiSEHENi'-.--JiL'LOWANCE-ijli-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF DAYWORTH MICHAEL J FILE NO. 21 95-o43B ACN 101 DATE 02-05-96
TAX RETURN WAS. (X I ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..l eat.t. (Schedule AJ (1)
Z. stock. ~d Bond. (Schedule DJ (2)
3. Clo..ly Hald stock/Partnership lnt.r.lt ISch~l. C) (3)
4, Hartg.g.I/Not.. Receivable (Sch.dul. D) (4)
5, Cash/Bank Deposits/Hilc, Parlon.l Property (Schedule EJ IS)
6. Jointly Owned Pro~rty (Sch.dull F) (6)
7. Tr~.f.r. (Sch.dul. OJ (7)
8. Tot.l A...t.
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Fun.rul Expen.../Ada. Co.tl/HiIC. Expan... (Schadul. H) (9)
10, Debts/Hortgag. Llabilitl../Llan. ISch.dul. IJ 110)
11. Total Deduction.
12, Het Valu. of T.x R.turn
lS. Charitable/Cov.rn.antal aaqu..t. ISchadul. ~)
14. Hat Valu. of E.t.ta Subj.ct to Tax
If an assessmant was issued previouslY, lines
reflect figures that includa the total of abh
ASSESSMENT OF TAX:
15. A.ount of Lln. 14 at Speu..l
16. Aaount of Lin. 14 taxabl. .t
17. A~t of Lin. 14 taxable at
18. Princlp.l Tax Du.
NOTE:
rat.
Lin..l/Cl... A rat.
Collat.ral/Cl... 8 r.t.
1151
1161
1171
TAX CREDITS:
PAYMENT
DATE
o8-3D-95
01-29-96
RECEIPT
NUMBER
AA048l86
REFUND
DISCOUNT C+)
INTEREST (-)
1, 891. 59
.00
I CHANCED
50,000.00
.00
.00
.0D
227.439.82
.00
.00
tel
277 ,439 .82
14,728.40
5.499.72
llll
1121
1131
1141
?n.??R 1?
257,211.70
5.000.00
252,211. 70
14. 15 and/or 16. 17 and 18 will
returns asseDsed to date.
.00 X .00.
.00 X .06.
252.211.70 x.15.
llel
.00
.00
37.831.75
37,831.75
AHOUNT PAID
36,000.00
59.84-
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
37,B3l.75
.00
.00
.00
. IF PAID AFTER DATE INDICATED, SEE REVE~SE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN tl, NO PAYMENT IS REGUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (eRI, YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. I
, ,
R!5EAVAflOHI Eat.t.. of dec~t. dVlng on ar b.'or. Dec..m.r 12. 19't .. l' ..,y future lnt.r..t In t~ ..'at. I, trens'.tted
In po.....Son or ~JD~t to Cl... I (coll,t.r,l) b~flcl.rl.. of the decedent .,t'r the I.pltatlon of 8nY ..,.ta 'Dr
II'. ar 'or v..r., the C~..lth h.r~y ..pr...ly r...tv.. the right to appr,S.. .nd ...... tren.,.r I~rlt.nc. T....
at the lawful C1... . (coU,t.rsU rat. on .,y wch lutur. lnt.r.st.
PtJAPO$t 01'
HalICEI Ta fulfill the r~lr..-nt. of Slctlon 21~O of ~ Inherltanc. .nd E,t,t, Tax Act, Act 22 of 1991. 72 P.5.
Section Z1II0.
PAYMENT I Detach thl top part Ion of thl, Notle. Bnd .~It with your ply..nt to the AeI.a'lr af Will. prlntld on the tav.r.. .10..
"".h check or 10M)' arell.. plylbls tOI REOISTEJl OF MILLS, AOEKT
All PIYNnt. rKllnd ..,.11 flnt be applJed to ."y Int....., which ..y bII dull with ..,y r...lnder ~l1ed to thl tl..
REFUND (eRh A refund of . talC creeUt, which w.. not requ.dMt an tt. 'ax R.turn, NY tMI r~.tH by c~l.tlng .. "AppUutlon
for R.fund of Penn.ylvanl. I~rlt~. ~ E.tat. 1.... (R[V-15l5)a Application. ara av.llabl. at tn. Office
of the Raabt.r of NUh. any of tha 23 Rav.,.,. Uhtrlct Office.. or by call1na the .p~lal n-hour
...werlng ..rvlce nueber. for for.. ord.rlng. In Penn.ylvanla l-8DD-362-ZD50. out.lde Penn.ylvanl. and
within loc.l Harrl.burg .r.a (711' 781-1094. TOO' (717) 772-2252 (Hearing lap.lred OnlV)a
OI.JECTlOHSI Any p.rty In Int.r..t not .aU.fllId with the ....r.I...."t. .Uo..~. or dl..Uow.-.ca of deduction.. or ......lI8I\t
of t.. (InclUding dl.count or Int.ra.t) .. .hown on thl. Hotlc. .u.t obj.ct within .t.tv (6D) d.y. of r.calpt of
thh Matiea b~H
....rlttan prot..t to tha PA D.p.rt.~t of R.venue, lo.rd of Appeal.. D~t. 111021. Harrl.burg, PA 17111-1021. OR
....IMtlon to h.v. the ..tt.,. d.t.r.lnad at audit of the KCount of the p.rson.1 ,.ypra.."t.t1v.. OR
nappeel to the Orphan.' Court.
ADHIH
rSTRAlIVE
CORRECTIONS I
Factual arror. dl.covered on thl. ........nt ~Id be addr....d In writing tal Pi D.pert.ant 01 Revenue,
Bur.au of Individual T..... ATTHI Poat A....lBent R.vlew Unit. D.pt. 210601, H.rrl,burg, PA 17.21-0601
~ (117) 7.7-6S0S. 5.. p.ge J 01 the bookl.t -In.tructlon. for Inh.,.ltanc. Tax A.turn 10,. a R..ldant
Decadent.. (REV-1S01) for an ..pl.".tlon of ~Int.tr.tlv.ly co,.,.ectabl. .,.,.0,...
IHTERtST I
If any t.. due I. p.ld within thr.. (3) calend.r aonth. .ft.,. th. d.cadent'. d..th, a flv. p.rcent (5~) dl.count of
the tBlt paid la .Uowed.
Int.,...t I. ch.rRed beginning with fl,..t d.y of dallnquency, or nine (9' ~th. and one (1) day f,.oe the data of
death, to the data of p.yaant. '.x.. which ~ dallnquent befo,.. Janua,.y 1, 1912 ba.,. lnt.r..t at the r.t. 01
.1. (6X) p.,.cant p.r ~ calcul.tH at . dally ,.ata 01 .000164. All t.... which bee... delinquent on end alt.,.
Janua,.y 1, 1"2 ..III b.ar Int.,...t at a ,.at. which ..III vary Iroa c.I~" y.ar to c.lend.r y..r with that ,.at.
announcH by the PA Depa,.taant 01 Rev....... The ...Ucllbl. Int.,...t ,.at.. 10,. 1'12 th,.ough 1996 11,..1
DISCOI.ItTl
~ Int.r." R.t. D.lly Inh,...t Factor !!!!' Int.,...t Aata Oalh Inta,.." FlICto"
1'12 2n: .000548 1987 .% .0002U
1983 16% .000ft31 1"'-1". 11~ .000101
1'8~ U% .000101 .99. OX .0001U
1985 13;( .000156 19'91-1994 r. .OOOI9Z
"16 1'% .000274 1"5~1"6 .% .000247
~.rnt.raat I. calculated a. fallow..
INTEREST' BALAHCE OF TAX UHPAID X HIIHBER OF DAYS DELIHQUE/fT X DAILY INTEREST FACTOR
..Any Hatlc. luUMi aft.r the tax baca.. d.lInquent ..UI raf1l1Ct an Int.rut calculation to Ilfteen 115) d.ys
b.yond the d.t. 01 tha ......eant. II p.yaant I. .ad. .Ita,. the Inta,...t coaputatlon data .hOwn on the
Notlc., addl tlonal Int.r.at ...t be c.lcul.ted.
PAVtlDfTI
D.tach tM top portion of thh Notice Met aua.lt with vour paYtMnt ... p.VIbI. to tI'M n... end eddr...
printed on the reverse .Ide.
If KIIKHT DECEDENT .eke check or eonlV Grder plvabla tal REGISTER OF WILLS, AGENT.
If NOH-RESIDENT DECEDENT ukl check or aonev order pe,.I. tal CotlHONWEALTH OF PENNSYLVANIA,
All p.y.-ntl ...calved .he11 be ."U_ flr.t to env Int.,...t which ..v b. due ..lth ...., r...I"""r ..-pUN to the tax,
REfll4D CCR)I A rafund of . tl. cr.dlt, which "'.. Ntt rlque.ted on thl le. A.turn, .., be r.....tad bv CDIIPlatlna en
"Application far R.fund of penn.vlvenl. Inherltenu end [.tate Te." CREV-ISIS). AppUcetlon. .re ev.llabl. et
tM Dfflc. of the R.llhtar of Wills, M' of the ZS Rlv"", District Offlc.. or fro the Dep.,.tHOt'. n-hour
....Merl". ..rvlc. nuablr. for for.. ord.rlngl In penn.vlv...l. l-100.36Z-Z0S0, outlld. Penn.vlv....l.
end within locII Htirrl.burll .r.a 11111 7I7.80M, TDOI (1171 n,-zzsz (....rlnll 1..lr.d onlvl.
Af:PLV TDI au..Uon. nllardlng Irrors contllned on thl. notlc. should bl add.....1d tal PA Dep.rtunt of A.v...., lur...
of Indlvl~l Ta.I', ATTNI Post A..........t Review unit, D.pt, 210601, H.,.rl.burll, PA 17121.0601, phone
Inn 717-6505.
DISCOUNT, 11 any". due It plld within thr.. 131 c.l~r IIOnth. eftl" tM dKldent'. d.eth, a flv. pIlrunt 15%) dlKCRl'lt
of thl taM paid i. Illo..ad.
IMUAnTI Inte....t I. chlrgld b.glMlnv ..lIh flr.t d., 0' dallnquenc" or nlM (91 ""th. and o~ OJ dlY fra tM chit. of
death, to the d.t. of pIY.lnt, TalC.. which bee... dellnql.MJnt baifor. Janu.ry I, 1912 b..r Int.r..t .t the nt. of
.Ix U:U p.rc.nt p." annul cllcul.ted It a dilly rlt. of .000164, All t.u. which blc", dlUnquent on and .ft.r
JarMJlry 1, 1982 ..Ill b.a.. Int.....t at I rlt. ~hleh will vlry f..oe cal.ndlr ,air to ealendl" ,I.,. with that ...t.
announced by the PA D.p.rI.....t of AIVMUe. Th. appllcabll In......t nt.. for 1982 through 1996 ....1
V.lr Int.ra.t R.-. 0.1111' Inllr..t '~tD" v- In'.r..t R.'. DIU, Intlr..t F~to"
191' ... ,DODS'" 1917 .. ,DDDZ"
1915 I" .DDDUI 1911-1991 III .00OSal
19114 U. ,ODOSOI .", .. .0002"
1915 13'" .OD03S6 1"3-1994 7lC ,ODOl9Z
191' ... ,ODDZ74 1"5.1996 .. .000247
."lnt.r..t 11 c.leul."d .. 'OllOMIl
INTEREST a BALANCE OF TAX UNPAID X HUKBER OF DAYB DELINQUENT X DAILY INTEREST FACTOR
--Any Motlcl I..ued aft.r th. ta. beCOHI dlllnquent wUl raflact __ lnt.re.t c.lcul.tlon to ,1ft.." (5) dly.
b_yond the dII'. of tI'M ........,,1. If pIIYJ11ftt It .... aft.r the Inter..t eoaput.tlon data ahoWI on ....
Notice, additional Inta..... .....t be Cllculatld.
JRD/JuDe 30, 1992/17858
.
I'
,
REGISTER OF WILLS
Cumberland Counly Courlhouse
One Courthouse Square
Carlisle, PA 17013
NOTICE PURSUANT TO RULE 6.12
PENNSYLVANIA SUPREME COURT ORPHANS' COURT RULES
To: Personal Represenlative
Counsel: ROBEIlT (;. SAJ.U.U;, C;l:;U.,
RE: Estale of MICHAEr. J. DAYWOR'l'!j, Deceased, Lute of
CARr,ISr,E BOROUGH
Estate No.: 21-1995 -438
Date of Decedent's Dealh: JUNE 1, 1995
Pursuant to Rule 6.12, the above named personal representalive or the above na!l1ed anorney, If
applicable, within two (2) years of the decedent's death, and annually thereafter until administration Is
completed, is required to file with the Register of Wills a Status Report as required by Rule 6.12, in
substantially the prescribed form, showing the dale by which lhe personal representative, Dr anDrney, as
applicable, reasonably believes administration will be completed. The purpose of this Notice is 10 advise
you that unless the requisite Status Report is filed with the Register of Wills Dr Clerk of the Orphans'
Court, as appropriate, within ten (10) calendar days after the date of this Notice thaI the Register of Wills
Is required lO DOtify the Orphans' Court Division, Court of Common Pleas of such delinquency and lO
request that sald Court conduct a hearing to determine whether sanctions should be Imposed upon the
delinquent personal representative and the delinquent 1lCCS9.'l1~J~r9Ftatlve's !f9unsel, If any.
Accordingly, If the requlslle Status Report Is not filed by , 19_, YD~herebY
advised that a request will be sub mined to the Court In accordlllCe wilh Rule 6.12.
Date: JULY 23, 1997 '. '---fYLa~~,lie.,mI1i..dlm/J;U Lf
DepUly egister of Wills'
,~ ':".......
Distribution lO Eslate File
,"
.
JRO/June 30, 1992/17858
,R~CtIVED ~~L 2 ~
'~p
.
REGISI'ER OF WILLS
Cumberland Counly Courlhouse
One Courthouse Square
Cnrllsle, PA 17013
NOTICE PURSUANT TO RULE 6.12
PENNSYLVANIA SUPREME COURT ORPHANS' COURT RULES
To:
Personal Representative
COuNcl: ROBERT C. SALVLS, csu.,
RE: Estate of MICHAEr, J. DAYWOR'l'!:!. Deceased, Lale of
CARr,ISr,E BOROUGH
Estate No.: 21- 1995 -4 3B
Date of Decedent's Death: JUNE 1, 1995
Pursuant to Rule 6.12, the above named personal representative or the above named attorney, if
applicable, within two (2) years of the deeedent's death, and annually thereafter until administration is
completed, is required to file with the Register of Wills a Status Report as required by Rule 6.12, in
substantially the preseribed form, showing the date by which Ihe personal representative, or attorney, as
applicable, reasonably believes administration will be eompleted. The purpose of this Notice is 10 advise
you that unless the requisite Status Report is filed with the Register of Wills or Clerk of the Orphans'
Court, as appropriate, within ten (10) calendar days after the date of this Notice that the Register of Wills
Is required 10 notify the Orphans' COurt Division, Court of Common Pleas of such delinquency and 10
request that said COurt conduct a hearing to detennlne whether sanctioN should be imposed upon the
dclinquent personal representative and the dclinquent pers~ubtf~p.reslntative's !f9uNcl, if any.
Accordingly, If the requisite Status Report Is not filed by 1, 19 _' You~erebY
advised that a request will be submitted to the Court In aecordmce with Rule 6.12.
Date: Jur,y 23, 1997 "--lfYLWt/'i.[t/../I..Lt/... tlPXVm!1-UflL Lf
Deputy egister of Wills'
Distribution to Estate File