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HomeMy WebLinkAbout95-00441 -'~?~t:f~~<': ,- '.' - ," '-, " ,",','-:>- ,,~ ... '<r~ -'''' ~-' , ~~~[\;',<!;. ,>. . .ii' {. ",; '. i"i' ',}:;,1%':::"~ , .;1';, ';,'0i;f, "::',':>~";i:'\: ",~;, c, -' '.' . '. .', " i~ . ..... d' ;,' ", ,'..' ";~'( '.'. ".~ ',-.'. ':': _ . '. .',. . . . . ,..... .,'. . .' . :;'?.'c ,: t'. ":.i>.<:,:<.c::;,\;,.,; ';:i\ 5., ' ;;;:<:,:, :,: ,"',:';:~: '. '.' \.: ,>:;.' ;\1-;';:;'" :'-;,:';;,:'., .,",';,'. ," ',' :,:.::' ;.;,{:,:,', j~" ::.i,X .,.:;;",:./.:",."r..:ti~~;~:f "';;.;,,'.';; X':',;>; '." .' ';.;; ..-,' ;-:<:'"'7,''' ".i:.,^", -' '. ".; '''. ' ''''if .:i ': .......,..: .;. ,j; ;:,',,::~2X>;:..;':'; L:,:x:,:~ " ~!;,':: '.:;' :..'" ~;;,', '\:::"""',',",; '1 :';\;':'~,' '."~'.,: .1 ;'}Ji;;; .: " ,,,., ~'.' ',' <'.',);:: '. 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'," '.", ::.; ,'. ~;:, ;';c " .-, ;";j-. f- ~', ," :;,:.._" " " ,'.- :~ ..''.': ,;".:": ; . ,';', -.. ,{c . . "," . ;. ,~::.;;t,E;I, "'., '. "'.,:',',':' .......' . '.. .:. .:. , "....'.,~ i;'i" " . .... '.,: :':;'~. ;,,', :y:\:.. ",;' '. . ':; :::',; ;;':,",' ~ . ',';: "\:':;";)"~: ( ,. 0",;: _ _j -: . _.~ -:'_";,C-;":: , ',. -," ~ "'", ::; .',;~'T;-( , , "";~,; ~\ , '. . :~ ;. ;':;'~:f,:; .;;; .. ..,. - . - -;~;:~~':l. .:: .~ --~ ~ i .'i ','-i;~~;i-. j /~ IIETITION "'OR PROBATI~ nnd GRANT 01<- LETTERS Blat/! /If _I<.t1LfJl .),;J flJ.!"LJJJJ1y_ Nil, 0) .l:::!i. _~ - /.f1.1/- (l1.m kilO"''' Wi To: Itegl'ler of Will, fur Ihe [J"'-"".I<'tI, COIlIllY of CUMBERLAND ill Ihe 5,,('/,,1 S""/lrit). N". -+1~/33.J.h- COllllllollwellllh of I'ellll,ylvllnill The pellllonof Ihe nnder,lgned re'peclfnlly repremll' 1111I1: YOllr pelhlllller(s), who Is/ure I K yellrs of IIge or older IIl1lhe execlII.ClX IlIlhe lasl will of Ihe IIhove decedelll, dilled 1.\ \1 f.lIl, 1 J'~ IIl1d codicll(s) dilled lI~rur ,19 " I'HUt' n:lc\'nlll drCllm\lIlIlCC~. l:.K. rClIlIlll.'huinll. tJcnlh lIr c'ccUlur. cIC.) Decendenl was domiciled lit dealh in en I~I ' h '5ii'firl f11111Y. or prl1l9pal residJlle' III 1- 3- (, I/..Z -I!A - I (11\1 'trt'cl lIumber al1l1 Itllll1dJlalil)" , COllllly, I'gllsYlvanla. wllh A~ I~II .J6th! III Deeende I Ihen 3 led ~ .19-f-L: Exeept as follows, decedenl did 1101 marr . WIIS 1101 divorce alld did 1101 have II child born or adopted after execulion of Ihe will offered for probale; WIIS 1I01lhe vicllm of II killing alld WIlS lIever adjudicated ineompelent: Deeendent al dealh oWlled properly wllh eslimaled vallles as follows; (If domiciled in I'a.) All personal properlY (If nol domiciled In I'a,) I'ersonlll properlY in Pennsylvania (If nol domiciled in I'a,) Personal properlY in COllnlY Value of real eslale in Pellnsylvania ,/,/ sllualed as follows: tlr}!'Lt .4 I' IIr) I $ $ $ $ WHEREFORE, pelllioller(,) respeelfull)' presented herewllh and Ihe grunt of lellers Iheron. ~ -,,- ii~ "c '"3.2 ~," 7~ ,,~ ~o ~ Iii /1/,.-, CL , U.S a. r , 0f, ,. / r / r OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH 010' PENNSYLVANIA } tlS COUNTY OF CUMBERLAND The pelllioner(s) above.named swear(s) or affirm(s) Ihallhe slalemenlS in Ihe foregoing pellllon are true und correcl 10 Ihe best of Ihe knowledge und belief of pelitioner(s) and Ihat liS persollal represell- lallve(s) of Ihe above decedenl pelitloner(s) will well ~lrUIY adminisler Ih';.1sIU}e according to law. Sworn 10 or uffirmed alld subscribed ;;,0 a.,}" ?C L:<---{'lJl..C '" before l11e Ihis 7TH , duy of ~ ',"11' 1 f1, C. I 1.-'1 () I!. r ~- '1? (If/. JUNE (fCi}JlfHb/\ a -, Il/L')/-La... lo.-J . ~ . ~ ~y C. L EW I S R/!I/isler l f(j B: I ;) - e;S J' - 7 N 21 - 95 - 441 o. Estate of RALPH S HARTMAN t Deceased DECREE OF PROBATE AND GRANT OF LEITERS AND NOW JUNE B, 19~.ln consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the Instrument(s) dated AUGUST 23, 1977 deserlbed therein be admllled to probate and flied of reeord as Ihe last will of RALPH S HARTMAN IESIAMENIAKY SUSAN A C I BaRT and Lellers are hereby granted to FEES Probale. Lellers, Ete. .,....... S Short Certlficates( B) " , . , . . . ., S Renunciation..,.....,.....,. S X-Pages JCP 7.JJ.7I e -f:T.';,~a.. 91. MARY CLEWIS ;r,,\ p." l3n1.'-\" ("mo.,.., G1J. A1TORNt!Y (Sup. CI, I,D, No,} llot. I nt-""-\- S\-, 'vo\l:,Ol< "lieS ADDRllSS ~\QT'" ""'''''i' PI-\ 1'1108 'HONt! ('11'1) 7. 3Z, - (,,1000 BO.OO 24.00 ~.OO S.OO TOTAL _ S 11R nn Filed .,.". A4~~, ,qt.} ~.~~..,... . ..... , . S '~ .... :;-,:\'€ '~ to ...) N a.. t:~ ::10..: -:~ ~ ; I'- I \ .lJ" ~ .J ~J ..,E -:> Uu , (' '"!j f) ;iJ tno: a:: In 10" Mailed letters and order to attorney on 6-8-95. 21 - 95 - 441 (')Q ~ :o71i' 3!" (f) 8 t'" ,/~ '.""" " ~ (-~ " " " \ ~~ I -.J C -:..; . ~ -0 :;::.J\. .. ", N (ii' Q. ~~, Ut .10, I, ,# ,- \'.~.~:'.'. '.'c. "','~i .,'/". ':; ",,;'",.':~:; :i,~ '.:,', . "" "'" ',,, ',,' " , '1:',',' ,:,;'.,::' " ,,' , ~'J;'-" ;. ":, ,;,. ',; ,,'" :.',.,';::; ,:.c'i",\,' .',::'....'~ j';: "'J;"':::':"~":':;<" 'i'> . ~'"'" i ~"'" ':1,\~-.ifi~i;-:':",;~? ,_ , ,"', , '-,. "_""i",,,", .'r . 'A~t. , , .. .. , , '."., .",~ ' '. " . ';, .:;: ,.. ..:,i'" }~( . ~" ,',.,.>: ,.:, .' ", : ~. -;'~--{;;C:~~\~_ ;"- \;,:' , "'.' ". .'" ....... ., .'. .. - , , ,'....,. ,.'.-.""". ....:"" : ,:,'. ",':, '.. , ~ . ,. ; , ,'c i:,', ',,'....-: '" ,t.-,:' .. ,:.- f \ , ,;, ' . ';":',- .."t , ,"-', ." ',,' , ,- ';':', " , . . .' """1'5. '1 ' ',_. it ~~ . ,", ,.;' ! ' "':"',,'-:. ,..,", ,"", ,>,:,::':: ,. :.~' ~ '.'',: (. ", .. 1.. ,,1"";'; ,', l '--]' ;" :,"'" '. ", '.", 'c.l:' ~ ~ "', ,',- . Ill! ~ . :~!:, ~ , ", ,.: ~ ' , . ,; i · . . 'i$;;~! ":1 l ,; ,;.-- .;:."","'1;;"""" M~" _ '" f!'i\ . , ' "'l'C""",,,," ""' '" ...., .. . ' , ;4: ' ~-i'i'", __ ' " .. 'llZ~,," 1 ' .,,~, ~~);;r". . <"- li"~\~y;", ;.. ih1lF j.l';~:f ' , ~ , i5 ':SlJ," " -, J ',., ':';,; ".)' ',. ' ~!ir~ ',' . 2!cr .__ __ ,;, "f,A' , . ,'^ ':"'.' . "-, . " ,,,,,. ,,,.;c~, .,~ ,'" ",' " '. ~./. ;"',N' ",..'"" .. }"! 1~~; ~~<::J.1'~"S'o/' o ''''" .,c". f ~ . . 0 "~' ",., , "" ,,'. " ,'.-, ~ ".. . .' ., " , , .' .' ITEM IV - I direct that no person serving as Executrix or Alternate Executor under this Will be required to enter security in any jurisdiction in which they may act as such. ITEM V - I authorize my Executrix or Alternate Executor or administrator, if both Executrix and Alternate Executor are unavailable, to exercise the following powers in addition to those given by law, which shall be effective without court order or approval: A. To retain any or a1.l of the assets of my estate, without regard to any principle, of diversification or risk, B. To invest in all forms of property without restriction to investments authorized for any type of fiduciary, c. To compromise any claim or controversy. D. To borrow money from any person, including any Executor or Trustee, and to mortgage or pledge any real or personal property. E. To sell' at public or private sale, to exchange or to lease for any period of time, any real or personal property, and to give WITNESSES: /) &/ f:/..... J /l/ / /,t. ~7/ [ -(- /r- /~c..~ (SEALI '-rJl()A1 d oU ~o--a'" ~ - - 2 - " . " . , . options for sales, exchanges or leases, all for such prices and upon such terms and conditions as they deem proper. F. To allocate receipts and expenses to principal, or income or partly to each as they deem proper. G. To repair, alter or improve any real or personal property. H. To distribute assets in cash or in kind, or partly in each at valuations fixed by them. I. To purchase investments at premiums and to charge premiums to income or principal, or partly to each. J. To subscribe for or to exercise options for stocks, bonds or other investments I to join in any plan of lease, mortgage, merger, consolidation, reorganization, foreclosure or voting trust, and to deposit securities thereunder, and to generally exercise all the rights of security holders or employees of any corporation. K. To register securities in the name of nominee or in such manner that title shall pass by delivery. WITNESSES: 3 - ~ >> (SEAL) 21 - 95 - 441 REGISTER OF WILLS 01<' COUNTY OATH OF SUBSCRIBING WITNESS --- codicil ,,' -- (eBub) a subscribing wllness to the will presented herewith. (each) belnll duly quail tied according to law, d;j;ose(s).aEd say(s) that present and saw -- ~ , the testa I . sign t~~ that"'-' signed as a witness at the request of test at In I' _ p~~ nlilln the presence of each other) (in the presence of the other subscribing wllness(es)), ./" Sworn to or aftirmed and subScribed before me this day of 19_ ~ (Name)-..... ~. (Address) Register (Name) (A ddress) REGISTER OF WILLS OF (d~il~RI-I1r11) COUNTY OATH OF NON.SUBSCRI ING WITNESS (~4j/ ;f? _J!<;J;.~....;-, ~ ,f3iJR/3/1t2A G (I/)AT~ (each) a subscriber hereto, (each) being duly qualified according to lfw. d~pose(s) and salls) t~a~ familiar with the signature of ,I. /J l HI :> )/ IJ I/J?iJ1fJ!.. codiciL testal.a~ of (one of the subscribing witnesses to) the ~ presented herewith and _ / l' codicil that -rtl~! believe/the signature on the will Is In the handwriting of ?11/-./,fJ 05 ;!I/Rrlj(l;( ~ i to the best of 7 f/ t!/+\ - knowledge and beller. /l /, dV~-:; - I Sworn to or aftirmed and subscribed before C ttl/ $, qp~~~ ,i, me this 7TH day of -;3 vol ..fNa~.?-..L ) ~ ", ; ~JUNE (..19 9r<' .~-:=c~d~~ss~.58C/^,CI -'9 17ZJ~ Register ( , M11iJaA. a f...-!J.Jr.;e~.l.fio l1dJ1lifA \:l0liM,e~, iv-:ll / I()3Lj iJ /ld'dless) Cl " t!( - 1,1) ,::l 0:: Q -M N 0 " :: XS 0- ::.1 ~; . ^ ~ .j r- \~ " I ,., " ,>~. ." ,--', ~ ;;!' 'Q '.- .r -iJ o.d) , ;:, ~'lU ~ :.:E a: a: .9l::s uu I " ," ~ I - ,\ 20. If line 191, great., than line 18, Int.r ,hi diff,r,ncI on line 20. Thlllt ,h, OVERPAYMENT. liD 21. If line 18 I, greal,r Ikon line 19, .nt.r the differencI on lint 21. This i. the TAX DUE. A. Enter th, Int.'I.1 on th, balonce due on LInt 21 A. B. Ent.r ,h,'otal of LIne 21 and 21A on line 21&. Thh 11th, BALANCE CUE. Male. ChICle Payabl. tal Regll.e, a. Will., Aglnt ;W:!'I.:l"~";c;' ,. BI SURI TO ANSWER ALL aUEmONS ON RIVERSI SIDE AND TO RICHICKMATHI( <, '~.if~,~",,;;',,<c",\'f);'); Under Plnolli.. of plrlury, I declar. that I have Ixamlned thl, re1urn. Including accompanying lChedull' and Ilatemln". and to tht belt of my knowledge and bell,f, It I. truI, correct and compll'l. I declor. thol all r.ol..tott hos been r.ported 01 true market value. O,c1orrllon of pr.por.' other than thl penonal r.pr'l.ntatlvl Is based an alllnfarmallon of which reparer has any ~nowledge. SION UIU 0' 'USON Rl 'ON f R flUNG RlTURN ADDUSS DAlf ) I ' CO 1l'X'/()) 15 D\rfr-r I I . .. R(V.I~OO U + 11J~"1 ~ ..:5'" bllE::: ="'9 u~... ~k J /5- S g- 7 ~'ORDAnSO'DEATHA"ER 12131191 CHECKHIRl INHERITANCE TAX RETURN ~o~::fyU~:~DIT 15 CLAIMED 0 RESIDENT DECEDENT ,IU NUMBER --1'11 I (TO BE FILED IN DUPLICATE dL I 1 Ii : WITH. REGISTER OF WIL_LS) C_OUNTY CQDE Y~.?R NUMBER OfClDtHn COMPUIE ADOIlS!. .. is III bl '" CQMMONwfAl1It OJ ,fNNSYlVANIA OfPAIIlMfNI Of RfVfNUf Of" nowl HAIIRISlURO.'A I~ 28.0601 DIClDfHT'S HAMl IlASt, IIUT. AtoD MIDDU INITIAll lIartman, Ralph S. SOCIAL SleURl1Y NUMau OAT( Of II.TH \~ay 17011 236 1I11enda1e Camp Hill, P1\ Cumberland DAtE 0' DIATH 11-2-11 172-01-5315 Cownt AMOUNt .IClIVID ISU INSTRUCTIONSI I" _"\lCU\11 I!J.~lljNO lJOYU I N"...I fI"'l, 11.1' "tollYIDDlt IN,I'''11 $0.00 03, Os, R.malnder Return tfor dotes of death prior to 12.13.82) Federal Eslale TOll Relurn Required lIartman, Louise 01. 04, o 2. Supplemental Relurn Original Return :1llii ..", ..z 8le o 40. Future Interest Compromise lIar dotes of dealh oft., 12.12.821 o 6. Decedent Died Testale 0 7. Decedenl Maintained a lI...lng Tru.t IAttach copy 0' Willi (Allach copy of Trusll ALL CORRISPONDENCE AND CONFIDENTIAL TAX INFORMAnON SHOULD BE DIRECTlD TO. AM COM'lll( MAILING ADDU is llmlled Eslate _ 8. Tolol Number of Safe Deposit 80..... TUl'HONl UMIU 232-6600 126 Locust Streeti-' ,'-, P.O. Box 965 lIarriS:burg"j11A -0- -0- -0- -0- $31.25 z '" S = I: !:! ld .. 1. Real E.late (Schedule AI 2. Stac~s and Bonds (Schedule 81 3. Clollly H.ld Stack/Parlnershlp Inl.,,,t ISchedule C) 4. Mortgog.. and Naill Recei...able ISchedule 01 S. Cash, Bank Deposit. & MIsullaneoul Personal Properly 15,hodolo EI 6. Jointly Owned Properly (Schedule F) 7, Tro,,'on(5,hodolo 0) 15,hodolo l) 8. Tolal Gran Au." (total L1n.. 1.71 9. funeral Expens", Admlnhlrative Co.h, Mlscellan.au. Ekpens.. (Sc.hedul, H) 10. Debts, Mortgage lIabilitie., liens (Schedule II 11. T 0101 Deduction. Il0tDllIn.. 9 & 101 12. Nel Value of Estalt (Line 8 minus line 11) 13. Chorllable and Go...ernmental aequIII' (Schedule J) 14. Nel Value Subject to Tall. (LIne 12 minus Une 131 15. Spousal Tran.fe,. (far dol.. 0' death after 6.30.94) S.e Instrucllans 'or Applicable Percenloge on R.....,.. Sid.. (Includ. valu.. from Schedule K or Schedule M.I 16. Amaunl of line 14 laxable 01 6% role (Include valu.. From Sch.dule K or 5th.dul. M.) 17. Amount of Line 14 ta.ltoble 01 15% role (Indude ...alu.. from Sch.dule K at Sch,dule M.I lB. Printlpal tOlt duelAdd loll. from L1n.. 15. 16 and 17.) 19. c,.dill Spousal Pa...erty Cr,dit Prior Payment. + (I) 121 13 ) (41 (5 I 16) $44.702.60 (7) -0- (8 ) $44,702.60 (9) $9,412.8.L (10) -0- (11) $9,412.81 (121 S3'i, ?Rq 7q 113) -0- (14) .$..15.. 28 q 7q X._II -0- $2 ,11 7.39 -0- (151-" 116) 335 ,289 .79 (171 )( .06.. )( .15 lit z '" S E .. '" u l: .. Oiscounl Inlere" + 119) (201 Ched, Iwru if you (110 fcqutating 0 refund of your ovc'IJOymcnt. 121) (21A) (218) $2,117.39 -0- $2,117.39 Act '48 of 1994 provld.. for the reduction of the tax rat.. Impo..d on the net valu. of trand.r. to or far the u.. of the .pou.e. Th. rat.. a. pr..crlb.d by the .tatut. will b.: · 3% (.03) will b. appllcabl. for ..tat.. of d.c.d.nll dyIng an or aft.r 7/1/94 and b.far. 1/1/96 · 2% (.02) will b. appllcabl. for ..tat.. of d.c.denll dying on or after 1/1/96 and b.far. 1/1/97 · 1% (.01) will b. appllcabl. for ..tat.. of d.c.denll dying on or aft.r 1/1/97 and b.for. 111/98 · Spou.al trand.r. occurring an or after 1/1/98 will be exempt from Inheritance tax. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (v) IN THE APPROPRIATE BLOCKS. YES NO 1. Did decedent make a transfer and: a. retain Ihe use or Income of the property tronsferred, ,.............................,....,......,......,..,.. x b. retain Ihe right to designate who shall use Ihe property Ironsferred or ils Income, ............... x c. retain a reversionary Interest; or .......,.....................,...................,......,.......................... x d. receive the promise for life of either poymenls, benefils or care' ,.....................,........,....,.. x 2. If dealh occurred on or before December 12, 1982, did decedent within Iwo years preceding dealh Iransfer property withoul receiving adequate consideration' If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration' ............. ............... to .0'.............,................................,... '0'.... ......... x x 3. Old decedenl own an 'In Irusl for' bank accounl at his or her dealhL.....................,........,...., x IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. . ~~-.. --' -- -~-_.-."-- - , .' , "~IJot,.. ".." ~ C""%'l.~~.wc~~~:f'~"~AN'A '"'D,,,, D't'D'Nr'N SCH'DUL', CASH, SANI( OEPOSITS ANO MISCELLANEOUS PERSONAL PROPERTY E t TEoF Ralph S. Hartman '" -...................... -.. -.,.. -... - -, ITEM NUMSER PI.a.. Prln, Or 11 . FILE NU BE 21 1. DESCRIPTION 2. American EXPress Refund VALUE AT DATE OF DEATH $31.25 North Hampton COunty Inuustrial D 1 .'IUthority eVe opment ;0 $362.50 , , $ 393,75 >, \ . ! CORRECTION I I " I I, , ~ Previous Image Refilmed to Correct Possible Error -. . lIY-lS09fh 112111 '* COMMONWEAlfH O' PENNSYlVANIA INHUITANC! TAX It!tURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF Ralph S. Hartman Jolnl 10nonl(I). FILE NUMBER 21 NAME ~'aren Ci'bort ADDRESS RELATIONSHIP TO DECEDENT 625 Harrisburg Street Oberlin, PA 17113 Granddaugh ter B. Sue Cibort 625 S. Harrisburg Stree Oberlin, PA 17113 Daugh ter c. James R. Hartman 4045 Guasti Road, #203 Ontario, Ca 91761 Son Jolnlly-ownod proporty. ITEM LmER DATE NUMBER FOR MADE DESCRIPTION OF PROPERTY TOTAL VALUE DECO'S DOLLAR VALUE OF JOINT, JOINT OF ASSET % INT. DECEDENT'S INTEREST TENANT 1. A 02/76 Savings Bond $1,000.00 50% ~500.00 2. B & C 1992 Certifica te of Deposit $9,043.24 33.3 $3,011.40 3. B & C 1992 Certificate of Deposit $5,024.02 33.3 $1,673.00 4. B & C 1992 Certificate of Deposit $5,022.06 33.3, $1,672.35 5. B & C 1992 Certificate of Deposit $10,041.00 33.3' $3,343.65 6. B & C 1992 Certificate of Deposit $5,01B.BB 33.3 $1,671.29 7. D & C 1992 Certificate of Deposit $10,032.00 33.3' $3,340.66 B. B 01/94 Mutual Fund $31,475.44 50% $15,737.50 9 . B & C 01/94 Certifica te of Deposit $25,102.06 33.3' $B,359.00 O. B 1993 Northampton County Industrial Development Authori ty Bonds $10,000.00 50% $5,000.00 TOTAL (Allo Int., on IIno 6. Rocopltulotlon) 544,30B.B5 1 ill more space is n..ded ;nlert additional sh..h 01 some size' ". ~ tlvUIII.. ""l ESTATE OF -Ralph ITEM NUMBER A. 1. 2. B. 1. 2. 3, 4. C. 1. 2. 3. 4. 5, 6. 7. 8, . L "n" 0'.'" "" ImE N~:BER COMMONWfAlTH Of PfNN~T1VAUlA INttUlIfAN(f tAll RnU'N RUID(NT OfC(DftH SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCEllANEOUS EXPENSES S. Ila.r.tman DESCRIPTION AMOUNT Fun.ral Exp.n..., Myers f,'uneral Rolling Green Ilome for Burial & l'uneral Services - Grave Opening $5,195.00 $670.00 Admlnl.tratlv. Call., Personal Reprelen'alive Cammlulan. Social Securlly Number of Personal Reprelen'atlye: Year Cammlulanl paid Attorney Fee. Jay R. Braderman, Esquire Family Exempllan Claimant Rolatlanlhlp Addre.. of Claiman' a' decedenl'l death S'reet Addreu $1,700.00 Clly Slale Zip Code Proba'e Feel Petition to Probate, JCP Fee Mllc.llaneoul Expen'.'1 $118.00 PNC Bank Mastercard $1,620.97 $40.00 $68.84 Publication (Cumberland Law Journal) Publication (The Sentinel) TOTAL (Alia enler on line 9. Recapllulatlan) (If mar. .pac. II need.d, In..rl additional .h.... of .am. .1'.,1 59,412.81 Very truly yours, Cap.c.\" ~v....~ CARRIE M. BOWMASTER I..\W llFYICF.8 JAY R. BRADERMAN lit WCURT 8THt:ET 1'.0. IKJX 11M IIAhIUSIIUHO, I'F.NNIfYI.vANIA 111OH.0\lM I1ITIZ3UI600 JAY h. DRAOKRMAN CARRIK....1I0WMARTRIt August 21, 1995 REGISTER OF WILLS CUMBERLAND COUNTY COURTHOUSE 1 COURTHOUSE SQUARE CARLISLE PA 17913-3387 Re: Estate of Ralph S. Hartman ( rJ.H'S" <fC( Dear Sir or Madam: Please file the enclosed estate tax return with the attached payment. Please forward the clocked-in copy and a receipt for the payment to us in the enclosed self-addressed stamped envelope. Thanks for your cooperation on this matter. CMB : j c Enclosure .. tll 11II1 .. II , .. tJ! I'" ~ .. .. IfJ1lJ 4 III " '. t:!J :~ ~ '1. _ ;,1 _ It ~ " .. I" .. .~ . · Olld ~ C J lIl~ rl ,WW r- ~~ rl ,~E-< ...: , ~ll'lP< 9 H lO t!) C'l ~~m r5 -, Irnu;..:rn OOlll 0::..... rn ~ 1:>< <0 0 ~ "':tN Il-:lrlP< - - \ VI \)> ).~ ,:j ~ \ ~&\ I- I _ \ .. .. I i '_ \ : ., \ . ~ I ... \ t"',r! , \ "',. I f3 \ \ :- , C'" LJ en - 0: c:: ex: :r I.. 0\ 0\ .-i C\l '-' ::J <( ~ a. ,.... .... ~ < a. (!J 0:: ::J (l) en 0:: 0:: <C. :r: u) ()) ()) p ...' aiJ .. - .. fill .. .. .. .. III .- ." -- ... tn .... 0 - D) tn tn s: I.:J III t:l D) 0 ~ ~ r- -- co - , <'l .... .. C <'l .. u~,,!, .. lIl:>< .-l III .:a.oo H1;O'" H 1Il.-l .. ... :::0 un ~~ Ul ~ .. OOOP< " ~O 0:: :t:1.:J .. .. ~ ~gj <1 I.:J 0 H .. HSOl;j .. l!)....u gJt:J ..: .UP"'iU III .. III .. 19 .. " .. ., .. " .. a::J .. ., .. ~ .. If', III r .. 11I1 - ..-,' ~-~ " ~ , ',,,, '\ ...1..... " ; , , .\ r", ';! '. , t, . :> ., . .~ 'ftl f' '*. j ,I 'I' _' . . ,. '< :" , .. , ; I. -;. .'). ; I " ~ ,; r"~-' t.. - """ ......-, ,\ , ~, ,'jl I . . ~ .. , , ~ I , " . . ~' ..... - -. .~ _. ".- ... ' - I " , ENCLOSURE FOR YOUR INFORMATION Dale: August 22, 1995 Re: Ralph S. Hartman ''''Ita,"" Our File No: We enclose the 'ollowlng to keep you Informed of the progress of this maller: Your File No: Enclo~ed i~ filina fee tor Ralph S.-H~ E~~nte tax return. Please contact.us If you have any questions, r- ATTN: Cheryll REGISTER OF WILLS CUMBERLAND COUNTY COURTHOUSE 1 COURT/lOUSE SQUARE 1_ CARLISLE PA 17013~3387 LAW OFFICES: JAY R. BRADERMAN 128 LOCUST STREET P,O, BOX 985 HARRISBURG, PENNSYLVANIA 17109.0985 TELEPHONE (717) 232.6600 -' .,' , I" ..;... t t 'I I ..l. ;~ ,: r., ,:t , , .... I ~ . .- ~' ~'" > .. , .' '0. . r ,* \ .1 . " ".. . , ~l.':: " ;..... . -. ... .... '. . ," I .;. ..., , , .! 4' . I \' . \, t ": .' , '. , "i..O--~-" -_'.~_"'_' , --'- r -" _.J r~ t. - t. 1~-~- 'If .'. --..,. .-.-.....-- . i' " I j I J I I \ \ I i I I~/ 1~ \ I. \ l~ '..li- a: I I i I ) I I j " , I I , , '" I ,I! ! I I e ~ I i ~ I ~ ~ I ~ III ; i o is j .. .. / ~ !! ~ I ll- i ~ . ;" ,..~--...."""",-..o;.;.'''''' _,... _.... _- -. ._.-0 '-... uU ..","~""'_. .-.---.-..-..-..-- , -::~ . ! .. i I I: j <I., j I . !' " I i I- I I i i , ,; i :-~~. , c 0. . \ i I ",,' , ~ ";"t 'J ' ," . " : .,". i~ d.;" . ! ., '\ I ,,\ ; r,'. ',\ , 'J , " ~.. {.. > .. V '0, ':' 1 ;.. ," ,\ '.. " ...,'....; " \ "l'_JII 0, . ".- ...;' ,.., , j J " '" . ~ . -/ .. - - . IT-""""'- __~"""t 1 CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Ralph S. Hartman Date of Death: March 17, 1995 Will No. 1995-~~44l To the Register: 1 certify that notice of benAficial 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 September 13, 1995: ~ Susan Cibort Address James R. Hartman 625 Harrisburg Street Oberlin, PA 17113 4~45 Guasti Road, '2~3 Ontario, ,CA 91761 625 Harrisburg Street Oberlin, PA 17113 236 Allendale Way Camp Hill, PA l7~11 Karen Cibort Louise Hartman Notice has now been given to all persons under Rule 5.6(a). thereto Date: Counsel for personal representative -..f LO -i"f: '1: . "'., r.O - ("-\ " '(~"i en o /, REV''-S47 EX AFP 112.94* V COfltOHWfAL11t Of' PENNSYlVANIA . DEPARTtENT Of R[YE.u; BUREAU OF INDIVIDUAL TAXES DEPT. Z8D6Dl HARRISBURG, PA 17UI-0601 /:/- :53 - '7 --' NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR OISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX ACN 101 DATE 11-20-95 03-17-95 FILE NO. COUNTY CUMBERLAND NOTE, TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FDRH WITH YOUR TAX PAYHENT TO THE REGISTER OF WILLS, HAKE CHECK PAYABLE TO "REGISTER OF WILLS. AGENT" REMIT PAYMENT TO: JAY R BRADERMAN ESQ 126 LOCUST ST PO BOX 965 HBG PA 1710B REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 AMount Ra..l U.d CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORD!: ..... iiifv:isW-EX.."FP--nZ:94j-NCii'"icE--Oj:.i"tiHEifii'ANCE-YAX.ApjiRAisEH€Nr-;-"Li:oiiANCE.iiR.....m----m.. DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX RALPH S FILE NO. 21 95-0441 ACN 101 TAX RETURN WAS, I ACCEPTED AS FILED (XI CHANGED SEE ESTATE OF HARTMAN DATE ATTACHED 11-20-95 NOTICE RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. R..l e.t.t. (Schedul. AJ 11) 2. stock. and Bond. (Schedul. OJ (2) 3. Clo..ly Hald stock/Partnership Int.r..t (Schedul. CJ (3) 4. "artg.ga./Not.. Receivable (Schedul. OJ (4) 5. Ca.h/Bank Deposita/HI.c. Paraonal Property (Schedul. EJ 15) 6. Jointly Owned Property ISchedule fJ 16) 7. Transfara (Schedule OJ (7) 8. Total A...t. .00 ,DO .00 ,DO 393,75 44.702.60 ,DO IBI 45.096,35 APPROVED DEDUCTIONS AND EXEMPTIONS: 9,412.Bl 9. Funeral Expans../Ada. Co.l.'Hllo. EMpan... (Sch.dul. H) (9) 10. Dabt./Hortgaga Liabilitia./Liana CSchadula I) 110) .00 11. Total Daduction. (11) 12. Nat Valu. of TaM R.turn (12) 15. Charitabla/Governnental aequaat. ISchedul. J) 115) 14. Nat Valua of E.tat. Subjaot to TaM (14) NOTE: If an assossmont was iSBued previously, lines 14, lS and/or 16, 17 and 18 will reflect figures that include the totel of Abh returnB assessed to date. ASSESSMENT OF TAX: 15. Anount of Line 14 .t Spou.a1 16. AMount of Lina 14 taMabla .t 17. A.ount of Lina 14 taMabla .t le. Principal TaM Dua Q,41' Al 35.683,54 .00 35.683,54 rate Lineal/Cl... A r.t. Coll.t.ral/Cla.. a rat. IlSI 1161 1171 .00 35.683,54 ,DO X .00. X .06. X .15. IlBI ,DO 2.141.01 .00 2.141.01 TAX CREDITS: PAYHENT DATE 08-21-95 RECEIPT NUHBER AA048147 DISCOUNT 1+1 INTEREST (-I .00 AHGUNT PAID 2,117.39 PAYMENT MUST BE MADE BY 12-18-95., TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE 2,117.39 23.62 .00 23.62 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATIGN OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN el. NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YOU HAY BE DUE A REFUND, SEE REVERSE SIDE OF THIS FORH FDR INSTRUCTIONS,) ... RfSERYATlDH. ht,t.. of decedent, Iblng an Dr Mfor. Dee....,. 11, 1,IZ -. I. MW 'utun Int.r..t In the l"lte I. t,.en,fltted In po.....lon or enJov-ent to C1I.. . (collat.,.el) beneflcl.r... of the d~~t .,t.,. the .~lr.tlon of en1 ..tet. for 11,. or 'Dr v..n. the C~lth hereby l!lPn..lv n..nr.. the right to ...nh, -.d ...... tunsf.,. IntMrtt~. flUe.. at tM l...ful el... I (coU.t.r.U nh on MY 8UCh future Int.....t. PlIIPOSf: OF HaTlCEI To ful,Il1 the requlr...ntl of Seotlon Z14D of the lnherltinel ~ E,tat. T.. Act, Act IZ of ."1. 72 P.I. Section UU. PAYft[NTI DtitHh the top portion of thh NoUel Md aut.lt with vour PaywMt to ttMi .....t... of WU" printed on the renra. ...... ..Plakl check or 110M>> order pIVMl11 tol REGISTER OF MILLI, ADEHT AU plYMnh r.ulved -.11 flr.t ~ ..lied to MV Int...... tlhlch ..w bII w. with MY nulndllr ...U~ to the t... REfUND (CRlI A r.fWNI d. . t.. erNSt, which .... not r....tH on the T.. R,tv,.", ..y tMi r....ted by c0IIP1.Ung en "Appllc.Uon far A.fund of Pennlvlv.nl. Inn.rlt~. ~ E.t.t. Tax- (REV-ISIS). applIcation. .r. .v.11~1. .t t~ Dfflc. of the Regl.t.r of Will., ~~ of th. 2S Revenue DI.trlct Dfflcll, or b~ c.lllng the specl.1 Z'-hour ~'Merlng ..rvlc. nu.ber. for for.. orderlngl In Pennsvlv~l. l-laa-562-zaS', out.lde Penn.~lvenll end within loc.1 Harrl.burg .r.. (717) 7'7-1094, TOOl (717) 77Z-2Z$Z (Heerlng 11P.lr~ Dnlyl. OBJECTIONS I Any partv In Intanlt not ..tI.fled with the appnl.-,t, .UONInC. or diuUow.-.c. of deductlonl, or .....lMIInt of t.. (Including dl.count Dr Int.r..t) .. shown on thl. Notlc. au.t object within .iMt~ (6aJ day. of rec.ipt of thl. Notlc. bYI --.rltt~ prote.t to the PA Depar~t of A.v.nue, Board of Appe81., Dept. 2.1021, Karrlaburg, PA 17111-1azl, OR --.lectlon to have the ..ttar d.taralned .t -..ctlt of the M:CCMlt of the per.on.l r.,..Mt.tlV., OR --.....1 to the Orphan.' Court. "'IN ISTRATlY! COAR(CT1DHSI Pectusl .rror. dl.cov.r~ on thl. ......-.nt ~Id be ~r...ad In writing tal P' o.,.rt-.nt of A.venue, luraeu of lndlvlduel Tax.., ATTNI Po.t ,.......nt R.vlew unit, Dept. 110601, Harrl.bur" PA 1711'.0'11 Phone (7171 7.7-6505. S.. p-va S of the bookl.t -In.tructlon. for lnherltanca T.x A.turn for I A..ldent Decedent- (REV-IS011 'Dr ~ ..plen.tlon of ~Inl.tratlv.ly correctabl. arror.. DlSCDUfTI If MY tax due II p.ld .!thln thr.. (s1 calandar aonth. .ttar the deeR."t'. d..th, . flv. percMt (SXI dhcowtt of the tax paid I. .IIGNed. INTERESTI Int.r..t h chIIrgMi beglmlng ..I th fltlt da~ of dalJnquanc~, or nl". (91 Mnthl and ON U I d.v fr. ttM data of dNth, to the data of p.~t. Tax.. .....Ich ac- dallnquMt befar. .Mnuar~ 1, 191Z baar Inter..t .t the nt. of .Ix (62:) percMt par ...... calculated at a .Ih nt. of .aaUM. AU t.... which bee.. delinquent on and Iftar January 1, 1..2 ..III be.r Int.r..t at . r.t. which wIll v.r~ 'rot calandar y..r to calandar ~.r ..Ith that r.t. ~ed b~ ~ PA Dap.rt.-nt of Revenue. The appllcabl. Int.r..t rat.. far 1.'Z through 1995 .r.1 '!!!! Inhnlt Rata Dall~ Int.r..t Fector !!!!' Intar.st Aat. D.U" Inbred FlNltar I.U 'OX .ODaMI 1917 .. .00U47 1915 "X .aODUI 19aa-19U IIX .DODSal .." IIX .ODDSal 199' .. .OOD247 19.5 In . ODUS6 1995-199o\ T.l .DOO192 I'" I'X .OOU" 199. ox .000147 --Inter..t I. calculated .. foUow'l IHTEREllT . BALANCE OF TAlC UNPAID X HUIIIlER OF DAYS DELINQUEIIT X DAILY IHTEREllT FACTOR --An~ Hotlc. I.sued .ft.r thl tlX bacoaa. delinquent wlll r.'lact an Int.r..t c.lculatlon to fifteen (15) day. bawond the dIIt. of thl ........"t. If p.w..nt II ..... altar theI Interllt cMPUtatlon data IhowI on the Notlc., ~Itlanal Int.r..t .u.t ba calcul.ted. , i ... , j I I ij I I .. I I I I I I I , I , I (I.,: / (I (il \ \ i \ \ \ \ \ \ <<i ~:-I :r'~ ~!/;'1 ~ 'f 1l fJ.. t- J) p, J N.... "', /' - ~l' , ~ ,~...t: J ::r \ \:8 <:; -'.:.. '.''6 I ! I! ! I G :s "- ~ " I ... ~ 1 i G: "- I ~lXd c i:i A- A- ll:! ~ g I :.. I :... I ; ~ i I .__-. -__r -. ,_..... ".'.... 10 II' ..:.0 0" .~ l..c,l ..' .. l)'~ ... u..l 1:.1', "- l\l I"" gj .'J " "- 0 ... :>l ..' - 0 +l (~... ~ ... 0 ,J: t) M "- III ,e.~ ~ Cl C;' ~31- ",; 0.-1' ~ ~ il:O .0: t) o. o? lj.l P< ..... O'tl x: l:: . c, I-<I1l ClJ :;t:, i;J: ClJ~~ :C +l1-<1Il III ClJ.... ....1M III 'I-< ClJ I1l P:t)t) " '" , ~ ~ I .~" - c~ ..... , I ,I " ,..0, /",' ",;.. , ' { . I ,.. . .1' t',' 'I "'il .' ~.. r. ~ ..i ; . ...... ' i . 'e. ':'. r.~ \ i1. t...~.. . \1"'. -i' ,',' , , . ~t-~-~'., '-'" ',. - 'I ,,,,~'''.' , . . .-,- , " "'r' ,I i" ",,,.., . . ,! / , f""l \' ., l'\ ., . r .( "..---. _""4 . ~ - ~~ ~.. " 'f'" .'.,t' , ...-...-_....... --- ~~~~~--.._-~-;~t, ~~,-, ,..,,";'" .... ~.. ...... -, r--o" '., -A"A>.,iOS"'2' 250-- COMMONW'~LTH O~PE:N5:LVA~:----~-----., " -- I NO., .'.., >l ' DEPARTMINT OP REVENUE I , "'I~I/lIU'1 ' ' OFFICIAL RECEIPT. PENNSYLVANIA iNHERITANCE AND ESTATETAX ' .:. )i: RECEIVED FROM: i ACN ASSESSMENT I!' CONTROL IilI NUMBER AMOUNT BRADERMAN JAY R ESQ le6 LOCUST ST POBOX 9615 HARRISBURG, PA 1710S lul .1::0:1.01:: -'OtDtfflf ESTATE INfORMATION, ~ filE NUMBER U el-199!5-0441 ~ NAME Of DECEDENT (lASTI 11;,I HARTMAN RALPH S II DATE Of PAYMENT II POSTMARK DATE COUNTY SSN 172-01-:53115 IflRSTI IMII " CUMBERL.AND DATE Of DEATH REMARKS J R BRADERMAN ESQUIRE m TOTAL AMOUNT PAID -e3.6e SK SEAL CHECK" 833 RECEIVED BY .'i'l. l ( fj", (/ 5IGNA'UR~ .<. .'- " ~ <.I REGISTER OF WILLS MARY C. LEWIS REGISTER OF WILLS f . ~-----------------~------------------------~---r~'- , , . ~, , : : ,--" r~ " ---._--_.~:.~..---...~. - ---~. .....e"_ \ COURT OF COMMO~ PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION PA No. 21-1995-441 FIRST AND P.HIAL ACCOUNT AND PROPOSED SCHEDULE OF DISTRIBUTION OF SUSA~ CIBORT, EXECUTRJ.X Estate of RALPH S. HARTMAN Late of Lower Allen Township Cumberland County, Pennsylvania, Deceased Date of Death: March 17, 1995 Letters Granted: June 8, 1995 First Complete Advertisement of Grant of Letters: July 14, 1995 Account Stated to June 18, 1996 Will No. ]995-00441 SUMMARY & INDEX Pages PRINCIPAL Composition of Net B<llances 2 $ 44,,108.85 Receipts 3 393.75 $ 44,7112.6B Disbursements 3 $ 11,812.82 Distributions 4 $ 44,7112.60 Principal Balance Remaining $ 0 Proposed Schedule of Distribution 5 COMPOSITION OF NET BALANCES PRINCIPAL Value savin~s Bonds l,eee.ee savings bond Owned jointly with granddaughter $ 5011.011 Certificate of Deposit Mechanics B&L Owned jointly with son and daugh ter Mechanics B&L Owned jointly with son and daughter Mechanics B&L Owned jointly with son and daughter Harris Savings and Loan Owned jointly with Gon and daugh ter Harris Savings and Loan Owned jointly with son and daugh ter Harris Savings and Loan Owned jointly with son and daugh ter PNC Bank Owned jointly with son and dllughter $3,011.4e $1,673.00 $1,672.35 $ 3,343.65 $1,671.29 $ 3,340.66 $ 6,359.110 Mutual Funds Smith Barney Owned jointly with daughter $15,737.50 Authority Bonds Northampton County Industrial Development Owned jointly with daught~r $ 5,llee.e0 TOTAL PRINCIPAL AND INCOME $ 44,306.65 PROPOSEDSCBEDULE OF DISTRIBUTIONS 1. Karen Cibort, granddaughter of Decenent, who is of full age and sui juris, residing at 625 Harrisburg Street, Oberlin, P~ 17113. $ sell.I"! 2. James R. Hartman, son of Decedent, who is of full age and sui juris, residing at 4045 GUBsti Road, #203, Ontario, California 91761 $22,101.31'1 3. Susan Cibort, daughter of Decedent, who is of full age and sui jUris, residing at 625 Harrisburg Street, Oberlin, PA 17113. $22,11'11.3\'1 Total Distributions $$44,702.60 " ! ; , i I I I I I .... ; ! i I COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN SUE CIBORT, Executrix, being duly sworn according to law, deposes and says that the Account as stated is true and correct and that the Grant of Letters and the first complete advertisement thereof occurred more than four (4) months before the filing of the Account. , ,( ~ ,!l ,t CIBORT Sworn to and sub~ribed before me this r - day of ~~va 1996. , 0 ' (~rf\QI' ,~~j9'~n.\ \""'" Notary ub i NOlaI1aI Seal NlIo Chor)1J, RoI*l9cn. ~ty My~=Jan,20, 1997 Date: 41ft ly sUbmitted, ESQUIRE Attorney for Sue A. Cibort " REGISTER OF WILLS CUMBERL~ND COUNTY COMMONWE~LTH OF PENNSYLV~NI~ . . COUNTY OF DAUPHIN SUE~. CIBORT, being duly sworn according to law, deposes and says that the items appearing in the following, Inventory include all of the decedent's real estate in the Commonwealth of pennsylvania and all of the decedent's personal assets wherever situatel that the valuation placed opposite each item in said Inventory represents its fair value as of the date of decedent's deathl and, that decedent owned no real estate outside the Commonwealth of Pennsylvania. AOCt iJJAI5l:t: .'SUE ~. IBORT Sworn to and subscribed before me this ~ day of "YV\o.I.- 1996. ~ o~~ ' Gr~ CA -'-~' ,,\' M...1\\\rn..... . tary 1'1 bl' - NoIat1aI Seal ChefylJ, RotlnsOn. ~ P\AlIC Han\StU\l. DalVoin Cou\ly t.t! Ccmn'isSIOn EJpIr85JM. 20. l'i1.fT .' INVENTORY of the assot" of tho Estate of RALPH S. HARTMAN, Deceased, late of Lowor Allan Township, Cumberland County. Total Value Decedent's Share Bonds 1. $1,000.00 U.S. owned jointly with granddaughter $ 1,000.00 $ Certificate of Deposit 2. Mechanics B&L owned jointly with son and daugh tor 500.00 $ 9,043.24 $ 3,011.40 3. Mechanics B&L owned jointly with son and daughter 4. Mechanics B&L owned jointly with son and daughter 5. Harria Savings and Loan owned jOintly with son and daugh tor 6. Harria Savings and Loan Owned jointly with Bon and dllugh tor 7. Harris SavLngB and Loan Owned jointly with son and daugh tor 8. PNC Bank Owned jointly with son and daugh ter $ 5,024.02 $1,673.00 $ 5,022.06 $ 1,672.35 $10,041.00 $ 3,343.65 $ 5,018.88 $ 1,671.29 $10,032.00 $ 3,340.66 $25,102.06 $ 8,359.00 Mu tual Funds 9. Smith Barney Owned jointly with daughter $31,475.44 $15,737.50 Authority Bonds Ie. Northampton County Industrial Development Owned jointly with daughter . $lB,eee.ee $ 5,eee.ee TOTAL VALUE TOTAL DECEDENT'S SHARE $l1l,758.7e $44,308.85 .' .. ._"-, ---_. ~ J' , PA'ntDfT1 DetKh ttM top portion of thh Hotlc. and sue.lt with your p.v-nt ... p.pbl. to the n.. and Mklnu printed Dn the r.".n. .1.... .. If RUlDENT DECEIIEJfT ... check or MM' order p.pbl. tal REGISTER OF WILLS, AGENT. -- If NOH-RESIDENT DECEDEHT ... check or .aMY ardrer p.,lbl. tal CDtttOHWEALTH OF PENNSYLVANIA. All .......t. received shall be .,.11ed flnt to .,y lnt.r..t which .., be due with ." r_Inder ...l1ed to ttM tax. RfF\IND (CAJI A r.fund of . tax credit, which .... not r.....ted Dn the Tu A.tum, uy blI r.....ted b, c~letll"lll M .AppUClItlan for A.fund of PMnQlnnl. InharltMCa and Estet. T.... (AfY-UilS). AppUClItlon. .r. .wllebl. .t the Dffl~ of the A-ehtar of Mllh, an, of the n A."... Dhtr-lct Dfflc.. or fr_ u.. DetNirt.wtt". 24-haur .,....rll"lll ..rvlCII hUllblra far fa,... o...rlnlU In P",.ylYanl. l-IOO-J6z.zosa, ouhldre P.....'lnnl. and within IOCIII Harrisburg .r.. (17) 111-1094, TDDI (111) nZ-ZtsZ (....rll"lll 1..lred only). REPLV TDI Due.tlon. rltPrdlna .rrora cont.lned on thh notice ahould tM; ttddr...ed tal PA Oep...t""t of R.venue, Bur'" of Individual T...., ATTNI po.t A.....-ant Revl.. unit, Dept. ZID601, HerrllbUrg, PA 17121-a'01, phone (111) 187-6SD5. DISCCUfTr If an, tax w. h p.ld within thr.. (5) c.llll'ldar ttanth. .U.r the dK~t". ct..th, . flvl percant 15:0 dhcOWlt of the tu p.ld h 'llowed. IHTERE.STI Intlrnt h ch.rgad beglnnlna with first day of deUnquancy, or nine (,) ....th. and one (1) d.y frOft the detl of death, to the d.t. of p.v-ent. T.x.. which bacaae delinquent blfora Janusr, 1, l'IZ bMer Int.r..t .t the r.t. of .t. (6:r:) parc'"t par "'"'-- c.lcul.ted .t . dalh nta of .000164. AU tex.. which bee_ dellnquant on .... .U.,. J.nuer, 1, 1'82 ..Ill baar Int.r..t .t . r.t. which ..III v.r, froe c.lendar y..r to cel~r ,..r with that r.ta announced b, the PA Oap.rtaent of R.vanua. The ...llc..,l. Int.r..t r.t.. far 1'12 through 1'" .r" V..r tnt.r..t R.t. Dally tntete.t Factor a.II, tnt.r..t Factor V..r tnt.n.t Rat. 191Z zn .OODM' 1911 .. .000247 I... lOX .0000' 1'11-1"1 IIX .00UDl 1014 IIX .DOOSDl I"' .. .000247 1985 ISX ,DOOSH 1"]-1"" 7Z .00Dltz 10" In ,Doorn 1"5-1'" .. .000247 --Int.r..t I. calcul.ted .. foU_'1 IIlTEIlElIT . IALAHCE OF TAX UNPAID X KUnlEA OF DAYI DELINQUENT X DAILY IIlTEIlElIT FACTOR --An, Notle. 1..UId .ft.~ the tax blcoaa. ~llnquent will r.flact an Int.r..t c.lcul.tlon to fifteen (15) day. blYOnd the det. of ttM ...........t. If p.vaant I. .... .ft.r the Int.r..t C"putat1on data ...... on the Notlc., Iddlt1_1 Intlrllt .,.t btI ulcubtad. .Il;)~ 1'111 iC'f", 'r~/''':.' ;'I:J.t'I... ' .~ ,.'}~.!. " -- II 'Jt':" J \,;,::,,!,;;"iiiJ:/J:a "f };;~:~~~;;I'J:_:II;;: , _ '~">'/~;',f, '8'11:1 II ',: 'f; ','~:::r.";::'" "f;,i'.ll: 'I ~::;::4-;;':':',' :',l-. !I. :(;~ 1; " '." 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" ~:l-:'>?: ~'- ~fj;~ _'l'-_~-' -,1"- " . ,'96HAY'14 ,;, .:,; /, ~:~i'!:ll '15,1>0 Ei' too_. .!': ~. t1J, 01 !':'tI ,-t ::1:01 ; ;!'B ~."," ~lll iL9~ , 01 , '.5 .~'B ~.5U 'rol1':3 '[I ,~ :-C;~,~~~!??I'::1{~1~ ,: -.; .1-" ''r <".-:rl""'l~'. C 1 ,,~, .._. ~""!"....,~ '''''~T* ',' 'Z '-- " ,...', 'I:I~""~' . '. ~ _. .i. " ~~7'" :~1 ,,::T;:t~i;;' _'I'"~ ",',~ }g,: :tll"~~~ ,ai, i' ,!r!!l f.,; ;>-'Ii',: w w, '" 11>1,l ~_ :: .""~,~~ U' < : ~rr F:""'<' '" .. 'i!'" , ~ " '..,.. .- Po' ~.. If,.,....' ~.~ , ; If) ~ ''''r-:~,~'::}::-'' , , 'g ('-C""'" , '!CD~ .. ,,,,"> ~I';"I;;':''\~ j ~ ." , "~ ~ t' ..l~ lr"'~ ... ~ "I ,q "I"I.i.""u,,~, . ~'t. Q; .' ,.' ;'o;Aot..'''" "i.y;.::~4 ~, R' :,:C!I: ;'" ~ (.~ r~:'F;; '..... ~"'a: ." "\.... !j"'1 ~,,)- . ~':::::~m~.~:{'i:~\t ~)j) "'I "" '~" ,<'.. -;:\~~;::~)'o{r:lrli f:;J ~ ,,' , ,':'Ltl too. ,~ '0\ 0)' ",0.' .;'1'.-1, III e~' !2 " '.,," --- .. " 1'"-' ~.. ~.a a D.'ll ..,. ~!,:',!,:' -b'''...;d ..' , ,14,,-t 'C ~!I:~r" 01 '1-1 'l:!' 01 '!l ~aa ~~U.., ,-.' 01 , !f ..,' " too~, ',0) :- '.. 'll 01 ,-1-1 .,.;' ",-t, , >t' r-t,-t' 01' ::1,:'- , !':.." ... ' - 401" too '!': ....', Q1N "I/)' ..,Q) 91 a e:;.., '(, " '~,~' ;-- ,",' . -) ~; "~.:',, . .:-\",'i, ;~;- i:.: ':.-.,-.; \--, ':.' -. ;'1:,- )'- ..'~ - ,', ';:" :_;~~\:. ~~. ; -;--i " ---, "....,.> , ~ , -/~ ..-""',,. , ,I'-/j.,;:~ --:.,/;'" -:.; 'i:}'~'~~ t,~z --,'t- -<'-f",' ., " 1- :.," . , ~-,- ,. I, " COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DiVISION PA No. 21-1995-44] FIRST AND FINAL ACCOUNT AND PROPOSED SCHEDULE OF DISTRIBUTION OF SUSAN CIBORT, EXECUTRlX Estate of RALPH S. HARTMAN Late of Lower Allen Township Cumberland County, Pennsylvania, Deceased Date of Death: March 17, 1995 Letters Granted: June 8, 1995 First Complete Advertisement of Grant of Letters: July 14, 1995 Account Stated to June 18, 1996 Will No. 1995-99441 SUMMARY , INDEX Pages PRINCIPAL Composition of Net Balances 2 Receipts 3 $ 44,398.85 393.75 $ 44,792.611 $ 11,812.82 $ 44,71'12.69 $ 9 Disbursements Di str ibu tions 3 4 principal Balance Remaining proposed Schedule of Distr ibution 5 '- COMPOSITION OF NET BALANCES PRINCIPAL Value savin~s Bonds l,eee.ee savings bond Owned jointly with granddaughter $ 5ee.ee Certificate of Deposit Mechanics B&L Owned jointly with son and daughter Mechanics B&L Owned jointly with son and daugh ter Mechanics B&L Owned jointly with son and daughter Harris Savings and Loan Owned jointly with son and daughter Harris Savings and Loan Owned jointly with son and daughter Harris Savings and Loan Owned jointly with son and daugh ter PNC Bank Owned jointly with son and daughter $3,e11.4e $1,673.ee $1,672.35 $ 3,343.65 $1,671.29 $ 3,34e.66 $ 8,359.ee Mutual Funds Smith Barney Owned jointly with daughter $15,737.5e Authority Bonds Northampton County Industrial Development Owned jointly with daughter $ 5,Aee.ee TOTAL PRINCIPAL AND INCOME $ 44,308.85 3-29-95 6-15-95 3-31-95 3-31-95 3-31-95 3-31-95 6-118-95 PRINCIPLE RECBIPTS American Express Refund $31. 25 Dividend Check from Northampton County Industrial Development Authority $362.51l TOTAL PRINCIPAL RECEIPTS $393.75 PRINCIPAL DISBURSBMENTS Myers Funeral Home less credit from Veteran's Benefit ($11l1l.01l) $5,195.110 131.1l0 Extra Obituary PNC Master Card 1,620.97 ROlling Green Cemetery, for grave opening Register of Wills, Petition to Probate, Short Certificates Extra Pages, JCP Fee 6711.00 118.01l 6-23-95 Cumberland Law Journal, Advertising 40.011 8-02-95 The Sentinel, Advertising 68.84 8-22-95 Internal Revenue Service, Pa. Inheritance Tax 2,117.39 8-25-95 Register of Wills, Inheritance Tax Return filing fee 15.00 11-28-95 Register of Wills, Balance of Inheritance Tax 23.62 5-96 Jay R. Braderman, Esquire 1,700.011 5-96 Register of Wills, First ann Final Account filing fee 113.00 TOTAL PRINCIPAL DISBURSEMENTS $11,812.82 .\ 3-31-95 3-31-95 3-16-95 3-31-95 6-16-95 PRINCIPAL DISTRIBUTIONS TO BBNBFICIARIBS Karen Cibort Savings Bond $ 5'''I.ee James R. Hartman 3 Mechanics B&L Certificates of Deposit 3 Harris Savings and Loan Certificates of Deposit Smith Barney Mutual Fund Northampton Authority Bonds American Express Refund Northampton Dividend $22, 11ll. 39 Sue A. Cibort 3 Mechanics B&L Certificates of Deposit 3 Harris Savings and Loan Certificates of Deposit Smith Barney Mutual Fund Northampton Authority Bonds American Express Refund Northampton Dividend , $22, leI. 39 TOTAL PRINCIPAL DISTRIBUTIONS $44,7e2.69 , ' COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN SUE CIBORT, Executrix, being duly sworn according to law, deposes and says that the Account as stated is true and correct and that the Grant of Letters and the first complete advertisement thereof occurred more than four (4) months before the filing of the Account. ,:21/t CIBORT Sworn to and sub~ribed before me this I - day of ~ 1996. ~~Q^'~~~Yl\~ Notary ub , NOlatiaI SeoI ~~~ My cu,........ El<i*""Jan. 20, 1997 D.t..~ R DERMAN, ESQUIRE oc st Street .0 Box 96S Ha risburg, PA l71eB-e96S T lephone: (717) 232-66ell Attorney for Sue A. Cibort .' REGISTER OF WILLS CUMBERLAND COUNTY COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN SUE A. CIBORT, being duly sworn according to law, deposes and says that the items appearing in the fOllowing Inventory include all of the decedent's real estate in the Commonwealth of Pennsylvania and all of the decedent's personal assets wherever situate, that the valuation placed opposite each item in said Inventory represents its fair value as of the date of decedent's death; and, that decedent owned no real estate outside the Commonwea 1 th of Pennsylvania. Sworn to and subscribed before me this ~ day Of~ 1996. ~Q^~~~, '\\\'\~ tary l' _Seal ~J. AaIlInoa1. NclaIy PI.tlIo My~=~19fJ7 '- . ' .' INVENTORY of the assets of the Estate of RALPH S. HARTMAN, Deceased, late of Lower Allen Township, Cumberland County. Total Value Decedent's Share Bonds 1. $1,000.00 U.S. owned jointly with granddaughter $ 1,000.00 $ Certificate of Deposit 2. Mechanics B&L owned jointly with son and daughter 500.00 $ 9,043.24 $ 3,011.40 3. Mechanics B&L owned jointly with son and daughter $ 5,024.02 $1,673.00 4. Mechanics B&L owned jointly with son and daughter $ 5,022.06 $ 1,672.35 5. Harris Savings and Loan owned jointly with son and daughter 6. Harris Savings and Loan Owned jointly with son and daughter 7. Harris Savings anu Loan Owned jointly with son and daughter B. PNC Bank Owned jointly with son and daughter $10,041.00 $ 3,343.65 $ 5,01B.BB $ 1,671.29 $10,032.00 $ 3,340.66 $25,102.06 $ 8,359.00 Mutual Funds 9. Smith Barney Owned jointly with daughter $31,475.44 $15,737.50 , ,.i" REV-1607 EX AFP (l2"95~ C~AlfH OF PlNHIYlVAHIA D(PUTtENT OF RE:vt:HIJf .~uu OF INDIVIDUAL fA)tEl DrPT. UUOl tIARAISlURO, PA Hua-uUl ACN 101 INHERITANCE TAX STATEMENT OF ACCOUNT DATE 12-18-95 E TE OF HARIMAN RALPH S FILE NO. 21 95-0441 DATE OF DEATH 03- 1"9~ COUNTY CUMBERLAND NOTE, TO INSURE PROPER CREOIT TO YOUR ACCOUNT. SUBNIT TNE UPPER PORTION Of THIS fORN WITH YOUR TAX PAYHENT TO THE AOORESS SHOWH. HAXE CHECK PAYABLE ANO RENIT PAYNENT TO, , JAY R BRAOERMAN ESQ 126 LDCUST ST PD BOX 965 HBG PA 11108 REGISTER OF WILLS CUMBERLAND CD CDURT HOUSE CARLISLE, PA 11013 A.ount R..Ut.d CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR FILES .... ii'iv:iloif.,-ix"jiFP-"iiz:9sY------iiiiJJ"IilHERiTAiic'E-i'Ax-s'i'A'TEiiE'rif-oF'"Ac-ciii:iiif"-JJiii--------------------- ESTATE OF HARTMAN RALPH S FILE NO. 21 95-0441 ACN 101 THIS STATEHENT IS ,PROVIDED TO ADVISE Of THE CURRENT STATUS OF TNE STATED ACN IN THE N~ED ESTATE. SHOWN BELOW IS A SUMARY Of THE PRINCIPAL TAX DUE, APPLICATICN Of ALL PAYNENTS, THE CURRENT BALAHCE. ANa, If APPLICABLE, A PROJECTED INTEREST fIGURE. DATE 12-18-95 DATE DF LAST ASSESSMENT OR RECORD ADJUSTMENT, 11-13-95 PRINCIPAL TAX DUE I. 2 .141. 01 PAYMENTS (TAX CREDITSl, PAVMENT DATE 08-21-95 11-27-95 RECEIPT NUMBER AA048141 AA082350 DISCOUNT (+) INTEREST (-l .00 .00 AMOUNT PAID 2,117.39 23.62 . If PAID AfTER THIS DATE, SEE REVERSE SIDE fOR CALCULATION Of AOOITIONAL IHTEREST. I If TOTAL OUE IS LESS THAN U, NO PAYNEHT IS REQUIREO. If TOTAL DUE IS REfLECTED AS A "CREDn" ,CRI. YOU HAY BE OUE A REfUND. SEE REVERSE SIDE Of THIS fORN fOR INSTRUCTIONS. TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE 2,141.01 .00 .00 .00 , "'! '" U. en . i 0 .-i 01 UI !i >< ~ . tIl S Ii: .. 'lXl 2;, H U. '.... C1l ::J jt') 0 ::I D: . ~..8 ~ H 0 [;' 0 ::1< '" ,tIl, 2; f-< U ,~ 0- en 2; .0: ~~~H ::, u u' u. UZ en ::> ~ III tIl < >< 2; o~ o~ .... .., tIl H l;: u~~ ]1 l>: ..l tIl ~' Q f-< .0: ~~ Z..l . .0: < :t f-< <>- .... ;:l l>: UI . ..l!2 .... >c j: 'D D. H Z fi1 l1J fi1 <2; '0, III Q Ii: P::Z U =:au. ~.!! 0 ::r: .0: ..ltll I-llI1l >< . <Il!O rl! I- ':I: ..:I .. .0: '" l>: Q 0 III l'Qll. Q :t Z tIl ~ H U. . ..:I ..: ::e ~ ail Ul .0: ::E III Ul U 0 Ul C ::t: ~ ~ ::I 111 ll. 0 Iii z :I: l>: U .0: ..l ..: ..., '" tIl III g .0: ..:I ~ u Ii: 0 P:: Ul '" ::> .0: 0 III - Q U. Ul l>: ..:I -~S'. -, ~J;pYd~ pnoo " Isl It'l. Ail 'qll"'OJoq uOllnqll.l,p '0 0," .poq.1 POIOdOld 1111"', O'UCpJOO'O UI pOOJOOp uOllnqllll'p pUB AIOlnIOI~ peuJlIIuo:llunoo.'If oJ bb /. ,g ( ..,.,'" I, Karen Cibort, hereby acknowledge that as a , .,- ~.. .~. '",'\>~. ,', ' , :;'1~~~~t~i,i~$:~ l~l~li!X;I);\l}c;:~"""" ,;'. ,'c j...t~'~</l.~~.~",.,...".., ..ilt'\.., "'11.. ,""~ "'. ',- l.' "'i...~\;,~.J.l:~',.,:.;~ ,~; ~_~'(" I . h t~ ,\ r, i-\:'r., ,,'.:' i ,,~ ...' . 'JPf'ii'ti'h1.:J',"" "o","\> ....',J... ! ,.' t,' 4"''-)/?.'!':;;.'":",:~..;.,,',,., \Jttn!,~~>:,~":~.~~":((d~:::~" '( ;;..L:~;:~'.",:"::': :," ;,.:', ,- . '. -. ~...~; , , ACKNOWLBDGMENT beneficiary to the estate of Ralph S. Hartman, Date of Death March 17, 1995, will No. 1995-00441, I have received my beneficial interest in a jointly held $1,000.00 savings bond for a total of $50~.00 from the estate of Ralph S. Hartman. I have no additional claims against the estate of Ralph S. Hartman and hereby waive any rights I may have now or in the future against the Estate of Ralph S. Hartman. Date: f)~I' t \. II 111'U I --I1u <<- t: t,/.",- 1/ l../'Z~ KAREN CIBORT / / . --'...----..,~.- . 1'-" ..- ,. . ,....' ,,." I ~, , >' , '. ' -. 'll.,.. ......~.Il.f; , , . ': ' . ~':'{~:"'~~::~~t: '.;# " , .li.:.'~ ,ltl.!'. J " J,t,i'lI.'SI~~rti'; ,',' I. " t' .,' ..i:."W"'\," ),. '. '~. .' " ' -l'"t;".Joil.!'l ;W.~;l{ l > . 'I, '. : , ',1",-,,'1 r,f",'J'"" '..,.- " , "'."1.~~,i' If" -..:... ". . ,."11 \ ,01, c' . " "i~I'Ui,{f"" '''., ,C' "..... .. .' " , .~. ~(tt~.)..:"t...\.,.;\ I." " " " . .' ....,' t."" ".:i:;.'i"~~::. ',.,j:'~_......._':'_.' ;, ,\; . \-,' .. i:'.;~.r::", .,. , "5j;.,,:"';:{~;~i<:~:' ,,'., > ,'-', \ Y" _.<,;'~'~o' ". "';:= ; i"""'>'; ':l',,': . ':' J..V :~.,~ i"'-.,\ ',_'_', l' H',l.' : ,"',\S,:~;:>--';[-.~.-},/ :;;\\~~:\:~';~;:;";'\";/ ,."'l ". f_"" ,_ .'\,.d flO"-;:"'" :,~:~!..~.)~,i}.~~;i~t~~11~:"~3, .. ;.. '. " .', . '. un',-' .. .J ACKNOWLEDGMENT I, James R. Hartman, hereby acknowledge that as a beneficiary to the estate of Ralph S. Hartman, Date of Death March 17, 1995, will No. 1995-IHI441, I have received my beneficial interest in three Mechanics B&L Certificates of Deposit, three Harris Savings and Loan Certificates of Deposit, a Smith and Barney Mutual Fund, a No r thamp ton Authority Bond, an American p.xpross Refund and a Northampton Dividend for a total of $22,101.30 from the estate of Ralph S. Hartman. I have no additional claims against the estate of Ralph S. Hartman and hereby waive any rights I may have now or in the future against the Estate of Ralph S. Hartman. Date: ~-ft, -~6 'I