HomeMy WebLinkAbout95-00457
ItETlTION ...Ol{ l)nOnATE Ulld GHANT 01<' LETTEnS
cXl-'CfS- ~67
"
No.
To:
Register of Wills for the
. D':t"l!fU"f!tI. County of ~ll'hlnnl'1' n nn In the
Social SCl'u,ily No. '711-110-<]("1 R COlllmonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Yoar petitloner(s), who Is/are 18 yellrs of IIge or older IIn Ihe exeeul ot'
in the lasl will of the above decedelll, dlltcd Ontnh,,'" :>'1,
and eodiell(s) dllted
Estatc o[ !loll is L Pock
u/so kilo 11'11 as
n7~ed
.19
(5tl1te relcvullt cln:ul11uanccs, C.J. renund:uloll. death of clle\:ulor. etc.)
./
Dceendent was domiciled nt denth In CumbeX'.lc. nd County, Pennsylvania, with
her Inst family or princip"1 residence nt 411 Valley St.. Hecnanicsburll:. PA 17055
(lIil street, number and P1undJlallly)
Deeendent, then 89 ,yellrs of age, died Hay 21. , 19 9~ .
at Camn Hill Care Cente!', ',ant PA~""h~"'n 'l'n",,,nnip, (1A",P Hil',. PA
Excepl as follows, decedent did not marry, was nol divorced and did nol have a child born or adopted
arter execution of the will orrered ror probate; was nOlthe victim of a killing and was never adjudicated
Ineompelenl:
Deeendent at dealh owned property wllh estimated values as rollows:
(I r domiciled in Pa.) All personal property
(If nOI domiciled in Pa.) Personal property In Pennsylvania
(If nOI domiciled in Pa.) Personal properlY In CounlY
Value of real eslate in Pennsylvania
siluated as follows:
$
$
$
$
, :;10,000.00
Ilono
WHEREFORE, petllioner(s) respectfully re!luest(s) the probale of Ihe lasl will and eodlell(s)
presented herewith and the grant or lellers 'res tumentary
(Iestnmenuuy; admInistration c.t,a.; administration d.b.n.c.t...)
theron.
L Q~ 13. t.-t
~~ Dean B. Peck
"',g 'I" Vallo', St.
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in
OATH OF PEHSONAL REPRESENTATIVE
COMMONWEALTH 01' PENNSYLVANIA } as
COUNTY OF r.mrnmlU 1m
The pctltioner(s) above-named swear(s) or arnrm(s) thatlhe statemcnts In Ihe foregoing petition are
true and eorrcetto the best of the knowledge and belief of petltioner(s) and Ihat as pcrsonal'represen-
tatlvc(s) of the above deeedeut petitloncr(s) will well and traly administer the estate according to law.
Sworn to or arnrlll~~T~nd subscribed ~ f)~ 8, ~~ 5!1
berore me this da of - '\;
Ju Q
, / i!
RY C. LEWIS /legistcr (J ~
Ib-3q-fl
No. 21 - Q'i - 4'i7
Estute of
HOLr.IS I. PECI~
, Deceased
DEcnEE 01<' PROnATE AND GRANT 01<' LETTERS
AND NOW June 14, 19..95..-, In consideration of the pelltlon 011
the reverse side hereof, satisractory proof having bcen presenled before me,
IT IS DECREED thallhe Instrument(s) dater! Octobet' ;>11, 1 q7A
,I.:scrlbed Ihercln be admllled to probatc and flIcd of record as the last will of
11011 i n T. PAnl<'
Teotamentnr>y
nAnn 'R A PAnlt'
lInd Letters
UiC hereby granted to
'7f)I1At (J~, / ~~ ,1JV1_ fJm, (k ~.
R'II'l" or Will. . 1/ 0
MARY C. LEWIS
FEES
Probate, Letters, Etc. ... . .. . .. $
Short Certifieatesr )'.......... $
lt~n\lneiatlon ................ S
x-pages $ 6.00
JCP TOTAL $ ~. uu
JUNE 14 199s-- 261.80
\.11ed .... ......... .\.. ..... .... .........
235.00
15.00
J. Robert Stnufrer {P,06~~61
A1TORNI!Y (s!!!'. Ct. I.V. No.)
Harket Square jjldg.
Hechaniosburg. PA 170~~
ADDRI!SS
717-766-9673
PHONE
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Mailed letters and order to attorney on 6-15-95
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t,AST WI 1.1. ANIl TESTMII!NT
01'
IIOI,I,IS I. PECK
I, 1I00,1.IS I. PECK, of West Chillls<)ulI<)uo TllImshlp, Nerthumherlllnd County,
Pennsy1vnnla, Postn1 Address - HIl#I, Milton, Pennsylvllnlll, declllre this to be
my LlIst Will IInd Testlllllent, and revoko 1I11Y Will s or Cod I ell s provlous I y lIIade hy
me, Intondlng horoh)' to dispose of 111)' entlro ostllte.
ITE~I ONE: I direct that all lilY just dohts und funeru1 expensos he pllld
out of my estute liS soon liS conveniently may he after my deuth.
ITE~I TWO: AI I I tellls of personal or household use or ornalllent liS I may own
lit my denth (Including autolllohlles), und ull unexpired Insul'lInce thereon, I
give nnd hequeath to lilY son. DEAN 8. PECK, of 411 Valley Street, Mechllnicsburg,
Pennsylvanin, or to his Issue per stirpes.
ITE~I TtllllJJ:: All the rest, residue und remainder of my estate, reu1 IInd
personul, IInd of \~hutever nature and wherever situate, I give, devise and
hequeuth to my son, IlEAN n. PECK, or to his Issue per stirpes.
ITE~I FOUH: I nomlnute, constitute und uppolnt my son, OEAN 8. PECK, to he
the Executor of thl s my Last Nil I. In the event thllt he full s to quullfy or
eenses to serve, I nOlllinllte, constitute and appoint TIll! LmnSnUHG NATIONAL BANK,
409 ~llIrket Street, LeI< I shurg, Pennsylvan Ill, to he the Executor of thl s my Last
Nil I.
ITEM I'IVE: No Executor numed In this Nill need give hand In this or uny
other jurisdiction.
ITE~I SIX:
I direct that 1111 tuxes that ilia)' he assessed In conse<)uence of
my death, of I<hutever uature and I<hutever jurisdiction illlposed, shull he paid
from my resldulll'y ostate us a pllrt of the expeuse of the lIdministrntlon or my
estate.
ITEM SEVEN:
In nddltlon to ull pOl<ers conferred upon my Executor, 1 r'lrthe'
LAW O"ICl[a
fETTER a KESBLER
. NORTH TtllRD aTf..:u
UWI"URCII, r.. '7117
11 I
''").j-A.Ji X.( ~ I ~., (]'.Q..e).?;
, 110 11 is I. Peck
(SEAL)
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Signed, scaled, published unt! dec1ured by theuhove nUllled 'I'estutrlx, us
und for her I.ost 1~111, who, In our prcsence, In her prescnec, in the presenec
of oneh othcr, nnd ut hcr I'C'lucSt, huvc hereunto set our hunds IInd sCllls liS
attcsting witncsscs.
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loAW O",CII.
~STTE" 6 KISSLIR
. HaftTH THI..'D IITJIln -,~
~~.u..g. .A._I~'1'f
21 - 95 - 457
nEGlSTER Of' WILLS 01<' COUNTY
OATH 01<' SUBSCnlBlNG WITNESS
,/
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(Name)
(Address) .
Rcgisler
(Name)
(A dd,ess)
REGISTER OF WILLS OF CUIU3EnLA11D COUNTY
OATH OF NON-SUBSCRIBING WITNESS
Dean B. Peck and J. Robert Stauffer
(each), a subscriber hereto, (eueh) being duly quallned according to law, depose(,) and say(s) that
thoy 111"0 ramlllar with the signature or Hollin I. Pock
Wl1Iell
will presented herewith and
codicil
that the Y bellevei".the signature on the will is in the handwriting of
testa,rlx believes the signature or the will presenled herewith and that they
llDdicit
belleveiltthe signature on Ihe will Is In the handwriting of
to the best of tho ir knowiedge and belief.
Q~ B. /?.J.
testalr ix or (one of the subscribing witnesses to) the
Hollis I. Peck
Sworn to or afnrmed and subscribed before
me this 12TH day of
June 19
(Namc)
Nechanicsburg. PA 17055
Square Eochanicsburg, PA 17055
(Addrcss)
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CERTIFICATION OF NOTICE UNDER RULE 5. 6(,a)
Name of Decedent: HOLT4IS I. PECK
Date of Death t Hay 23, .Lg95
Will No.
1995-001.!.tJ7
Admin. No.
To the Registert
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
June 11.J.. 199~
Name
Address
Dean B. Peck. 411 Valley St.. Hechanicsbura, PA 1700;0;
Notice has now been given to all persons entitled thereto under
Rule 5.6(a) except NnnA
Date: June 30, 1995
g~ t 12,
Signature
Name Dean B. Peck
r<'I C~
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.!lOC .9::1
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Address 411 Valley St.
Meohanicsburg, PA 17055
Telephone (117) 766-2941
Capacity: x
Personal Representative
Counsel for personal
representative
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D AA048120 ' COMMONWEALTH OF PENNSYLVANIA
NO. DEPARTMENT OF REVENUE
OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
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....,,1162111....1
RECEIVED FROM:
fJ
ACN
ASSESSMENT '!'
CONTROL ~
NUMBER
AMOUNT
STAUFFER J ROBERT
MARKET SQUARE BUILDING
101
.1B,OOO.00
MECHANICSBURG PA 170~~
'OtDHfI'
ESTATE INfORMATION,
1:'1 filE NUMBER
. Ii el-1995-04~7
E1 NAME Of DECEDENT (lAST)
I I T I': T
II DATE Of PAYMENT
EJ POSTMAR
COUNTY
S6N 174-40-9648
(fIRSTI (Mil
DATE Of DEATH
m TOTAL AMOUNT PAID
.18,000.00
PB
REMARKS
-ISi
DEAN B PECK
C/O J ROBERT
CHECK" 1696
RECEIVED BY '/:' /, '.' ;. : (", ./ './
,SIGNATURE
/ / :".-
MARY C. LEWIS' '.
REGISTER OF WILLS
-
,
STAUFFER ESQUIRE
SEAL
REGISTER OF WILLS
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R1V,Il00'" 1"'1 ., . rOR OAIlS 0' DIAlIt AnlR 12/31191(111 IIIRI
,,~:&~ INHERITANCE TAX RETURN ~tv::fyU~:~DIT IS CLAIMID II
-Hr. (TORBEESIFD.ELNEOT IONECOEUOpELNlcTATE rILl NUMBiii ;~i=;)~::ojl-;~'7 . -- .....--
COMMOUWfAlIllor rUHlsnVAWA 01" ....
DU'ARTMfUI Of R[V(lUlf
"^'R1s~J:6. ~~Ol'll" .bO' WITH REGISTER OF WILLS) (Qulm COIlE 199;' yEAROOl157 llUMBER
OfClOINt'$ NAMI II"'!. 'liSt, A;;Il'.M~O-Oli lu~"iii---. Illl'llI.'1 "(IIMfinnuifin,1. ~ -""; .
_~J~~[oJ.lis I. ,------.'----n-I-------------- 11.11 Vnlloy st. 1 1701:':
!oDCIAl iU(UlIllr r~UM'U VAl! m O(AIIl . I/^" "r ,,'1/' ('loolu\IIiol3\Jw'g 'A ~~
171~-II,O-<J6110 !J/;!3/95 10/!5/05 Cn'" '
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- {for dol.. of death prior 10 12.13.821
[1 s, red.rol Ellal. lOll Return Requited
..Q. 8. 10101 Numb.r of Safe DepalU Bo.....
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P.tII. O,lg'"al Rllurn [I 2. Supplemlntal Rllurn
o 4. limited hlall LI 40. Fulure Inllllll Compromhl
(for dote, 01 dlolh oltlr 12.12.921
00 6. Oecedenl Oled Te,lote IJ 7. Oec.denl Molnlolned 0 lI...lng T,u,'
(Alloch copy of Will) (Allach copy of Tru"l
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO,'
HAM COMPUU MAIIIUU. ADDRUS
__. , J. llobel't Staui'i'oJ.', Atty. lIarlcot 3quBl'e Dlug.
""'UONI NOM'" )'leohaulosbUl'g, PA 17055
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(21 ___J~3J_611. 2/L
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( 61______,,?:(J~,,_9...71.~2_
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1~02, 482.83
1. Real E,tale (5ch.dule AI
2. Sloc., and Bond, 15chedul. 91
3. Clo,.ly Held Sloc./Pnrlnenhlp Inl'''11 ISchldule q
.c. Morlgage' and Not.. Re(elvableISch.dul. 0)
S. Calh, Ban. Dlpo'i1' & Mhc.llan,oul Penonal P,operty
(Sch.dul. EI
6. Jolnlly Owned Properly (Schedule fl
7. Tro.,lon (Schedule G) (Schedule II
9. Tolol Gran Aue" (10101 Un.. 1.71
9. Fun.rol hp.nlt.., Administrative Co'h, Mluelloneou,
hp.nlll (Sch.dule til
10. D.bll, Morlgage liabilities. lIenl (Schedule II
11. Tolol Deductions (lolallln.. 9 & 10)
12. Nel Value of Ellale (line 0 mlnvllIne 11)
13. Charitable and Governmenlal Bequllh (Sel"dule J)
14. Nel Value SubJ.ct 10 Tal( 11Ine 12 mlnullIne 131
IS. Spoulal Tronlfe,. (for dolel of dealh oh.r 6.30.9011)
S.e Inl'ruetlonl for ^r,pllcobl. Perunloge on Reve,.e
Sid.. (Include values 10m Sth,dul. K or Sch.dule M.)
16. Amounl of line 1A laJtoble 01 6% '01.
Ilnclude values from Sth.dule K or Schedule M,)
17. Amounl of lIn. l.c laJtabl. 01 15'& role
Ilndud. yolu.. from 5ch.dul. K or S(hedule M.)
18. P,lnclpol tall due (Add toJt from LInts IS, 16 and 17.)
19. Credlll Spaulal Po...er'y Cr.dit rllor Parm.nll Dlacounl Inler,,1
0.00 + 10.0UO.Oo.. 900.00 0.00
20. If L1n. 19 II grea'er Ihon LIne 18, .nler Ih. diff.,enc. on line 20. Thl,lllhe OVERPAYMENT.
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21. If lIn. 18 II greoler than Un. Iq. en'er the diff.,ence on line 21. Thlllllh. TAX DUE.
A. En'.r the lnlerlll on Ihe balance due on lIn. 21 A.
B. Enl.r the '0101 of line 21 and 21A on line 21B. This Is Ih. PALANCE DUE.
Mak. Checle Pavable 101 R.glller of Willi, Ag.nt
(91
16,_676.38
( 81
(10)_
0.00
16,676.38
10'5,&,06.11-.2.....
0.00
305, 006 .1~5
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0.00
(111
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23, 11~0 .39
(19)
(201
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Check lteru If you aro requesllng n wfun(j of ycur ovelllClYl1tl1nf.
IJ., 21~0 .39
0.00
1.b..t21~0.39
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flri:'}p(t~!~~,-~i':'\' .." 8E SU I TO A SWER ALL QUISTIONS 0 RIVERSI SIDI AND TO.RIC ECK'MATH,., & Ii)!;:';:""
Un er plnoltl.. of perlury, I d.clare Ihat I ho.... uOnlln.d Ihlslllurn, Including a((ompnntlno Ithedulll Dnd Ilallm.nh, and 10 the bll' 01 my .nowledoe and belief.
It Illru., co"ed and complele. I deelore Ihat 01111011110'. hnl been reporled allru. markel value. O.c1oration of pr.po,.r o'h.r Ihan tI.. pellonal replllenlo!lve I!
bOlld an alllnformollan of which pllparer hOI any ~nowledue.
iiOiiiiUiE , uo,un'o~sIILI O.VlltjOl~--;'DDiBs 1~11 Vnlloy st. D.i:~ J ..
',.P...... p, ,,{ ......lJ.on"""i noll.ut'g Ph ]7.0;;;; 1- '1- q)
t, Al 011I lU (l IlluufAllvl AODIlIU J.1nl'ltot Squnl'o 'Bldg_ DAtI_
oh,... _ ...J:l.o.QIlQ,Jlio.ll.lmrz,........I'A 110<;5-- _?_:li.. - / '1-
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1. Real E.lot. (Schedule A)
2, Slo,k. and Bond. (S,h.dul. BI
3. Clolely Held SIocUPorlne,.hlp Inlerlll (Schedul. q
... Morlgages and Noles Receivable ISchedule 0)
5. Co.h, Ban~ O,pollll & Mlltelloneoul Pe"onal Properly
(S,h.dul. E)
6. Jolnily Owned Property (Schedule fJ
7. Tron,'e,. (Schedule G) (Schedule L)
U. Tolal Gran An," (10101 Unll ,.7)
9. fun"al bpenle., Admlnl'lrallvl COlli. Mlleelloneoul
bpen... ISchedule H)
10. Oebll, Mortgage lIablllllll. liens (Schedule I)
11. Tolal Oeductlons (10101 Unll9 & 101
12. N.I Value 01 Ellale (Un. U minus line 11)
13. Chorlloble and Gov"nmental Bequelll (Schedule JI
lA. Net Value Sub Ict 10 Tax (line 12 mlnul line 13)
15. Spoulol Tronl'e,. (for dolll of death alter 6.30.94)
See In'lructlons 'or Applicable Percenlogl on Revene
Side. (Include value I from Schedule K or Schedule M.I
16. Amount of line IA 10M able at 6% role
(Include values from Sch.dule K or Sclledule M.)
17. Amounl 0' line I" lOll able at 15% rol.
(Include valulI from Schedule K or Schedule M.)
18. Prlndpallox due (Add tax from lIn.. 15, 16 and 17.1
19. Credill Spoulol Paverly Credil P,lar Potmenll Dlleoun' Inllflll
0.00 + 10.0UO.Oo.. 900.00 0.00
20. If lInl 1911 grlol" Ihan line 18, Inter Ihe dlfferenc. on lIn. 20. This Is ,he OVERPAYMENT.
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21. If line 18 II grealer than lIn. 19, Inler Ihe dlfferenc. on Line 21. Thll I, Ihl TAX DUE,
A. Enler th.lnlerll' on Ihe bolonce dUI on line 21A.
B. Enler lh.lolol of lIn. 21 and 21A on lIn. 218. ThI. Is ,h. BALANCE DUE.
Malee Check Pavabl. 101 RIght., of Will., Agent
J. Hobert stuuffoI'" At ty_.
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J.Ieohnniosburg, PA 17055
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16,676.30
(B)
1~02,402.03
191
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16,676.30
101). 006 .1~5-
0.00
305, 006 .I~~
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23,11~0.39
l~ rOR OATIS or DIATH AnlR 12131191 CHICK HIRI
"~:,\;i1i INHERITANCE TAX RETURN ~tv:=fyU~:~DIT IS CLAIMID LJ
COMMOUWrA;-:;::" m""Y1VAIII' RESIDENT DECEDENT iILiNiiMiiiR;~i=-;i5.:01~57--n-
DIPARlMII" or mlllUI (TO BE FILED IN DUPLICATE
"A'''Sm:~, ~~'1'iJJt060' WITH REGISTER OF WILLS) coUlm CODE l'}9!i yEAROOII!)" IlUMBIR
DfUlI U ., .4AMI IIA,\I, flUI. "A"'m MIlICU'''I''''11 (;i(-,-v-itlrrrt)t\iiiii--;'-I~(;.rh-
I: _Pl':Cl'Ll.lE:llio I. ]' _m_,___' J_,___n__.__. I~ll Valloy St. l'70CI',
eLl lOCIAt UCU.llYUUMUI DAIf 01 PfAll1 IJAH or 1111111 UoohnnlonhlU'(f PA ;",I,.
lil 171~-1~0-'}CllI.ll 5/23/95 10/5/05 CO","
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~I 1. Original Relurn r J 2. Supplementnl Retur" [] 3. Remainder Relum
. d (for dot.. of death p,lor 10 12.13.82)
o A. llmlled Estate [] 40. fulur. Inl".., Compromise [] 5. federal ellole Tax Relur" Requlrld
(for dnl.. of death nfler 12.12.821
00 6. Deudent Died T..tote [J 7. Decedenl Malnlained a living T,u.' .QU. Total Numblr of Safe Depotlt BOUI
(Alloch copy 0' Will) (Alloch copy 0' trUll)
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO.
N~M'---.---. COMrl 11 MAlllt10 APD.ru
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(17) 0.00 H
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Check huru If you nil.! ft.'llucslln9 a refund a' your overpayment.
(211
(21A)
(218)
1~,240.39
0.00
-LJ.AO.39
,.;rm,)',;;,!':, '.': BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDI AND 70 RECHECK MATHe' .. 11':,r.M."..:I.'.',:."..
Under Plnallle. of perlury. I declar. thai I have examined 'hi I rllurn, Including accompanrlng schedul.. and IIalemenll, and to the bel' 0' my .nowledge and bellI'
II Is truI, corrlct and complete. I declare Ihal all real ellale hat been reported 01 true mark.t value. Declarallon 01 proporer ather than Ihe personal repr..entatlve I
batld on alllnformatlon of which pre or.r hal any .nowledge.
SIOUA UU Of ruseu usrONStlLf fOil flllNO UlUltH AOOlEn hll Valloy st. DAIf
[.!n"hnnin"hll"r;, P^ 1111's5
A".... HnI'ltot SqUE\I'e Bldg.
l1echQ,Jli.oJ.l];>J.\rC, PA 170~t;
SIONAIUU 0' 'U'A'U OIHU UlAN .(,ltU(NIAIlV(
DAU
UY-1W9IU 112.11'
*
COMMONWEAltH Of PENNSYLVANIA
INItUITAHCE tAX flUURH
RlllDfNT DECIDE NT
SCHEDULE F
JOINTLY -OWNED PROPERTY
FILE NUMBER 21-']!J-0!,.57
19'J!J - oOI~5'7
ESTATE OF
Hor,L:l:S '.r., PI':Gi~
Jalnllonanll')'
RELATloNiHiPTODECEDENY---
-~----------~_.--------- -
ADDRESS
NAME
A. DEAII n. pgCK
1,.11 VUllOY at.
Hochunioshlll'B, I'A
17055
Son
B.
C.
ITEM LmER DATE
FOR TOTAL VALUE DECD'S DOLLAR VALUE OF
NUMB'EI JOINT MADE DESCRIPTION OF PROPERTY OF ASSET % INT. DECEDENT'S INTEREST
TENANT JOINT
1. A. 6/11/ Hombera 1st 1;'edoru1 Crodi ~
1994. Union, Shure Savlngo ," 25.09 100;:' 25.09
Account. 'I'
't) ..
2. A. 9/10/ Hembora 1st Federal Credi
1994. Union, Savin~s Account 33,303.73 . 33,303.73
1~/18/ Ho. 1l~0070-0:J. 100;.
3. A. PIlC Bank, 11. A., Chocking
1995. Account 110. 5000275575. 1~1,1l4.02 50;~ 20,557.41
l~. A. 2/6/ PIIC Bank, 11. A., Certii'i-
1995. oute of Deposit 110. 115-
5. 2/6/ 32001097!511.. 5,014.10 100;: 5, 011~.10
A. 1'IIC Banle, II. A., Certiri-
1995 oate of ])epoait 110. 115- 10a;~
6. 1~/1/ 3200109755. 5, 01l~.10 5,014.10
A. Ilerrill Lynch, Piorce,
1995 Fenner D: Snli th, Inc.,
u. S. 'l'reao\1ry 1Ioto
Invootmont Account !lo.
072 1,5771~. 161,376.16 lOa;: 161,376.16
7. A. Sorlod 1I and 101 u. s.
Savinga Bondo us rollowo: 50(,
A. 1/1972 Hl731~01011.H 1,000.00 500.00
A. 1/1972 1l1731.~01051l 1,000.00 50/; 500.00
A. . 4/1CJ~i I1177136201l 1,000.00 50;~ 500.00
A. 12/19 V52506191l 5,000.00 50;'. 2,500.00
A. 1/1972 v!525062JI-lI 5,000.00 ~?i~ 2,500.00
A. 1/1CJ72 V52506231l 5,000.00 ,oy, 2,500.00
A. 1/1972 V525062211 5,000.00 50;:' 2,500.00
-
TOTAL (Aho enlor on IIno 6, RlCopllulollon) S Oarried F01'W
Jolntly.owned property!
urt
(IF more 'poc. " n..d.d In."t additional .h..t. or .am. .in}
PaRe - :I:
.tv-UOt".IIJIII
~"J\t..Q_
'l.~
COMMONWEALTH 0' PENHSYlVANIA
INIIUIIANCf TAX RETURN
UllDI'Nf OECfDENT
SCHEDULE F J
JOINTLY-OWNED P~OPERTY
FILE NUMBER
21-9!)-01Im
1995-001,,57
ESTATE OF
1I0r,r,13 I.
PECK
J.ln' 10non'(.I.
_____n_.______.._ ---.-..-.~---._-~ ._-- .--.------
RELATIONSHIP TO DECEDENT
NAME ADDRESS
A. lJJ~I\H 13. I'fo:mt, 11.11 Valloy (;t.
Ilechunicc' 'lI1'f~, I'A 170~;5
:Jon
B.
C,
Jolnllv-awned prop.r'VI
7
ITEM LEnER DATE
FOR TOTAL VALUE DECD'S DOLLAR VALUE OF
NUMBEI JOINT MADE DESCRIPTION OF PROPERTY OF ASSET ~b INT. DECEDENT'S INTEREST
TENANT JOINT
X ( Gont! mad) 1301''10 c Il and IUI u. 3.
.
Savin~B Hondo. 50;; *
A. 1/1972 V',2lJ06211l 5,000.00 ~. 2,500.00
A. 1/19'(2 V!;2!)06201l 5.000.00 50}, 2,500.00
A. 2/1973 V525062,li 5,000.00 50;~ 2,500.00
A. 2/19P V'52';06261l 5,000.00 50;:' 2,500.00
A. 5/19 7 X~07 3611~1l 10,000.00 50/'~ 5,000.00
A. 3/1901 H 000900011I1 1,000.00 ~O'! 500.00
~:-:
A. 3/1901 [.16000(1999111I 1,000.00 150},' 500.00
A. 3/1901 J.l600009901l1l 1,000,00 ,OJ,; 500.00
A. 3/1901 11(,00009971D1 1,000.00 50;~ 500.00
A. 3/1901 [.160000996111I 1,000.00 I!:lOJ~ 500.00
A. 9/1906 H200002~IIII 1,000.00 50;~ 500.00
A. 9/1906 H200002 IJIlI 1,000.00 401f 500.00
:-; ~ ,~
A. 9/1906 H200002,II11 1,000.00 ~?7' 500.00
A. 3/1907 H2111826HII 1,000.00 a;f 500.00
,.
A. 3/1901 v600054521IH 5,000.00 SOJ' 2,500.00
~! ,.
A. 3/1981 v600051~5111J{ 5,000.00 ~~ 2,500.00
A. 3/1981 v600054501lH 5,000.00 ~OJ~ 2,500.00
A. 3/1981 V600051,MIIH 5,000.00 ~d;~ 2,500.00
~f '
A. 12/1904 V370525HII 5,000.00 ~~ 2,500.00
A. ~1.1909 v51~83051DI 5,000.00 ~?:~ 2,500.00
A. ?992 V8961j.OlIIll 5,000.00 50!. 2,500.00
A. 9 1993 X6553951UI 10,000.00 "OJ' 5,000.00
'1/rJ
TOTAL (All. .nl.' on IIn. 6, RecopllulDIIDnl S 278,1l71.5~L
. -
{II mo,., .poc. i. neodlJcI inu,,' oddiliotlol sileo', 01 .umlt ,i,,,'
1'0,,0 - 2
Ilv"nu. ""I
UTATE OF
ITEM
NUMBER
Pllasl Print or T p'
F ElIDMBER 21-95-0!~57
1995-00457
AMOUNT
.
1
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
COMMONWUUtt Of PUHWflVAtUA
INllflUlAN(( lAX .(lURU
RUIlJUII DlCfllftll
HOf,r,IS I, 1'l':C1;
--_._---~-------
DESCRIPTION
I.
A. Funeral Expense..
2.
3.
B.
2.
4.
C.
1.
2.
3.
4.
S.
6.
7.
8.
l1yers Funoral Homo, Hochaniooburg, Pa., funeral
expensos.
\'Iaddinr;ton Funeral HOlne, Tuoeola, I11in010, funeral
expenses.
Rogers Floral Shop, funeral flowors.
1.
Admlnlstrallv. Costll
Personal RopresontalivB Commissions
Social Security Number of Personal Representative:
Year Commissions paid
A!lorneyFees J. Robort Stauffer, Esq., attorney's fee.
3.
Family E.empllon
Claimant Dean B. Peok
Relatiamhlp
Son
Address of Claimant at decodenl's dealh
Slreet Address 1111 Val10y St.
Clly HeohanJosbur/l: Slate _~ Zip Code 17055
Probate Fees Reg1ster of \'/111s of Cumbel'land County,
Pennoylvania, Letters Testamentary.
MlscellaneouI Expense.:
Cumberland La", Journal, Estato Notico.
The Sontinel, Estate Notioe.
Spence Honument Co., lot tering oetne tery monumont.
Register of Vlil1s, filing Pennsylvania Inheritance
Tax Return.
TOTAL (Also enter on line 9, Recopitulatian)
(II mOrl spacI Is noodld, Insor' additional shoots of saml slzo.1
* 2,439.30
2,605.63
106.25
9,000.00
2,000.00
261.00
1~0. 00
62.12
67.00
15.00
S 16,676.30
RECEIVED FROM,
i
ACN
ASSESSMENT '!'
CONTROL ...
NUMBER
~j,~~
~~1/JJJ:
- -. ....'..-^. -. -"
,
. .....,...".r-~-----~----,--,-'---- - --- -."- -_.- "_4 -- - - - _4__ -- - - - - - - - - - --
" . . I.
D No.AA' 082150 COMMOND~:~~~~T~: ~~:~:YLVANIA
.' OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
iUV.II'JIItI....1
AMOUNT
STAUFFER J ROBERT
HARKET SQUARE BUILDING
101
.'t,t::''ttf.-.:J'1
I
I
I
I
'010 I1l1f 1
I
I
I
'I
l
f
I
I
HECHANICSBURG, PA
170~~
ESTATE INFORMATION,
1:'1 FILE NUMBER
'" el-199~-04~7
E1 NAME OF DECEDENT (LASTI
II DATE OF PAYMENT
m POSTMAR E
COUNTY
BBN 174-40-9648
(FlRSTI (MI)
DATE OF DEATH
REMARKS
'83/9
DEAN B PECK
C/O J ROBERT STAUFFER ESQUIRE
CHECK" 1718
m TOTAL AMOUNT PAID
SEAL
RECEIVED BY
REGISTER OF WILLS
~ r.- --.- - -- -- -- --- - ---: -.-~.--.~---_:-- - - - - -- ---- - - --- -~- --:..-'- -:--- - T.-;;
....
.')
,
I
'"
.
, . .
:
..--,. -~
\
--._.--,.--.--.._.11 _ .....P..l~'
! .,
"'"..-
.O'
/6-31-S/
REV-1547 EX AFP 112-95*
CO""OHVEAl TH OF PENNSYlVANIA
DEPAAIHfHT OF RCVENUE
BUREAU OF INDIVIDUAL TAXES
D(PT. ZID6Dl
HARRISBURG, PA 1'128.0601
(/V
ACN 101
NOTICE OF INHERITANCE TAX
APPRAISEHENT. ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AHa ASSESSHENT OF TAX
DATE 01-02-96
FILE NO.
05-23-95 COUNTY CUMBERLAND
NOTEI TD INSURE PROPER CREDIT TD YOUR AceaUNT. SUBHIT THE UPPER PORTION OF THIS FDRH WITN YDUR TAX
PAYHENT TO THE REGISTER OF WILLS. HAKE CHECK PAYABLE TO "REGISTER OF WILLS, AGENT"
REMIT PAYMENT TO:
J ROBERT STAUFFER ATTY
MARKET SQUARE BLDG
MECHANICSBURG PA 17055
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
Allount R..ltt.d
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .....
iiEV:is4i-EX-iiFP-m-:9SriioricniF-iiiHEifii'ANci-;:iix-jiPPRA"isEiiiiir-,--iir.rciwAifci-oii-n-------u-m-
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF PECK HOLLIS I FILE NO. 21 95-0457 ACN 101 DATE 01-02-96
TAX RETURN WASI (X I ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..I Eat.t. (Schedul. AJ (1)
2. stock. and Bond. (Schedule DJ (2)
5. Clo..ly Hald stock/Partnership Intar..t (Schedule C) (5)
4. "ortgag..IHot.. Receivabl. (Schedula DJ (4)
S. C..h/Bank Dapollta/Hllc. Parlonal Property (Schedule E) IS)
6. Jointly Own~ Property (Schedul. FJ (6)
7. Tranafara (Schedul. OJ (7)
8. Total A...t.
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funaral Expan.../Ada. Coata/Hiac. Exp.nae. (Schedul. H) (9)
10. Debt./Hortg.g. Liabiliti../Lien. (Schedul. I) (10)
11. Totel Deduotion.
12. Net V.lu. of Tax R.turn
13. Ch.rit.bl./GoYern~.nt.l Beque.t. (Schedul. J)
14. Het Value of Eatat. Subjeot to Tax
NOTE:
I~ an assessment was issued previously, lines
re~lect ~igures that include the total o~ ~
ASSESSMENT OF TAX:
15. A.ount of Line 14
16. A.ount of Lin. 14
17. A.ount of Line 14
18. Principal Tax Due
I CHANGED
.00
123 .611. 28
.00
.00
.00
278 ,871. 55
.00
(SI
402.482.83
16,676.38
.00
(11)
1121
(15)
1141
1~.~H 38
385.806.45
.00
385.806.45
14. 15 and/or 16, 17 and 18 will
returns assessed to date.
at Spou.el rata
taxable at Lineal/Cl... A rat.
taxabl. at Collat.raI/Cla.. 8 rat.
llS!
ll61
1171
TAX CREDITS:
PAYHENT
DATE
08-17-95
09-18-95
RECEIPT
NUMBER
AA048120
AA082150
DISCOUNT t+ I
INTEREST (-I
947.37
.00
.00 X .00_
385.806.45 X .06_
.00 X .15.
IlSI
.00
23,148.39
.00
23.148.39
AHOUNT PAID
18,000.00
4.248.39
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
· IF PAID AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
23.195.76
47.37CR
.00
47.37CR
IF TOTAL DUE IS LESS THAN fl. NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTEa AS A "CREDIT" (CRI. YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. I
,
.:_)(~
RESERVATIONI E...t.. 0' dlcedent. dying on O~ bafar. D'c..b.~ 12. 1'82 -- l' any future Inter..t In the ,,'at. I, tren.farred
In po.....lon or ."jov..nt to Cl,.. I (colll'arel' b~'lcl.rl.. of thl dlcadant .'tar thl IKPlr.tlon of enw ,,'at. for
11'. or for v..r., thl Co..onw..lth hat.by Iwpr..lly rl..rv.. thl rlaht to eppr.l.. end ...... tranl'.r Inheritance '1M"
It tM i.."u! Cl... . (coUet.raU nt. on any such future 1"I.t..t.
PURPOSE Of
HOTICEI To fulfill thl requlra..nt. of S.ctlon 21~D of thl Inheritance and E.tet. '1M Act, Act 22 of 1991. 72 P.S.
Section 2UO.
PAY~NTI Detlch thl top portion 0' thl. Notlcl and ,ue-It with your plv-ent to the Rlallt,t of Will, prlntad on thl rav.r.. .Ida,
--"us chIck or .onlY order payable tal REGISTER OF HILLS I AGENT
All Ply..nt. r.celved .hall flr.t b. .ppll.d to en1 Int.r..t which .'1 b. due with any r...lnd.r applied to the tlX.
REFUND ICR)I A r.fund of . t.x credit, which wa. not r.qu..t.d an the Tlx R.turn, .'1 b. r.qu..ted b1 ca.,l.tlng en -APP1Ic.tlon
far R.fund of P.nn'11v.nl, Inh.rltanc. and E.tat. Tax- IREV-1S1S). Application. ar. avallabl. at the Offlc.
of tha A.gI.t.r of WillI, 8ft1 of th. ZJ A.v.nu. DI.trlct Offlc.., or b1 c.lllng the .peclal Z4-hour
an.w.rlng ..rvlc. nueber. for for.. ord.rlnGI In P.nn.ylvanla 1-800-36Z-Z0S0, out_ld. P.nn'11vanla end
within loc.l H.rrl.burg .r.a (717) 787-8094, TOO' (117) 17Z-ZZ5Z (H..rlng I'Pllr.d Only).
OIJfCTIDNSI An1 p.rtv In Int.r.,t not .Itl.fl.d with the .ppr.I....nt. allowance or dl..l1owancl of deduction., or .......ant
of t.. (Including dl.count or Int.r..t) .. shown on thl. Notlc. .u.t obJ.ct within .lxt1 (60J d.y. of r.c.lpt of
thlt Notice byl
-.wrltt.n prot..t to the PA D.p.rt"nt of R.v.nu.. Board of App..l., D.pt. Z810Z1, Harrl.burg, PA 171Z8-10Z1, OR
--.lactlon to have the .att.r d.t.raln.d at audit of the .ccount of the p.r.onal r.pr"'ntatlv., OR
--app..l to th. Orphan,' Court.
ADttIN
UTRATlVE
COARECTIDHSI
Factu.l .rror. dlscov.r.d on thl. ........nt .hould b. .ddr....d In writinG tal PA D.p.rtaent of A.venue,
Bur.au of Indlvldu.l Tax.., ATTNI Po.t A.......nt R.vl.w unit, D.pt, Z80601, H.rrlsburg, PA 111ZI-0601
Phon. (717) 787-6S05. S.. paa' 3 of the booklet 8In.truetlon. for Inh.rltanc. T.x R.turn for. Ra.ld.nt
D.cadent- CREV-150IJ for en e.planatlon of ad.lnl.tratlv.ly corr.ctabl. .rror.,
DISCOUNTI
INTEREST I
If any tax due I. Plld within thr.. C3J cal.ndar IOnth. aft.r the d.c.dant'. d.ath, . flv. p.rc.nt (5~J discount of
the tax paid It .Uow.d,
Int.r..t I. ch.rged b.glnnlng with flr.t day of d.llnquency, or nln. (9) .onth. and on. II) day fro. the data of
d..th, to the date of p.y..nt. T.... which b.c.a. delinquent b.for, Janu.ry 1, 198Z ba.r Int.r..t at the rat. of
.1. C6X) parc.nt p.r annul c.lcul.t.d .t . d.llv r.ta of ,OOOI6~. All ta... which b.ca.. dallnquent on Ind .ft.r
Janu.ry 1, 198Z will ba.r Int.ra.t .t . r.t. which will v.rv froa cal.ndar y..r to cal.nd.r y.ar with thlt rata
announced b1 the PA Dap.rt.ant of R.v.nu., Th. appllcabl. Int.r..t ratn. for 198Z through 1996 .ral
!!!! Intarast R.t. Dally Intarut Factor :!!!! Int.r.st R.t. D.lty Intar..t Factor
1982 ZO~ .0005~a 1981 OX .000241
1983 16~ .000438 1918-1991 m .000301
19M 11~ ,000301 199Z OX .000241
1985 13); ,000356 1993-19~ .. ,000192
1986 In .00027~ 1995-1996 .~ ,OOOZ47
ulntara.t 1a calcul.t.d .. followlI
INTEREST a BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
.-Any Hat lea I..u.d .ft.r the t'K b.co... d.llnqu.nt will r.fl.ct .n Intar..t c.lculatlon to flft..n CI5J d.V.
beyond the data of the ........nt. If p.y.ant I. ..d. .ft.r tha Int.r..t co.putatlon data shawn on the
Hotlc., addltlon.1 Int.r..t .u.t b. calculatad,
.j
/!F~39- y
REV-1607 EX AFP (12-95w
COHttOHWEAL TH OF' PENrfSYLVAHU
DEPARTHEHT OF REVEM.IE
BUREAU OF INDIVIDUAL TAXES
DEPT. Za06Gl
HARRlSIURD, PA 171ZI-D601
ACN 101
INHERITANCE TAX
STATEMENT OF ACCOUNT
DATE 02-12-96
ESTATE OF PECK HOLLIS I FILE NO. 21 95-0457
DATE OF DEATH 05-23-95 COUNTY CUMBERLAND
NOTE. TO INSURE PROPER CREOIT TO YOUR ACCOUNT, SU~IT THE UPPER PORTION OF THIS FORH WITH YOUR TAX
PAYHENT TO THE ADDRESS SHOWN. HAKE CHECK PAYABLE AND REHIT PAYHENT TO. ,
J ROBERT STAUFFER ATTY
MARKET SQUARE BLDG
MECHANICSBURG PA 17055
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
Aooount R_ttt...
CUT ALONG THIS LINE ~ RETAIN LOIIER PORTION FOR YOUR FILES ~
jiE-\i=iliij'i"Eif-AFP--iiz=9s;--n---...--iNii€iiil:liNcEnfAx--s'i'iiTEiiEfif-oF-Ac-cciritfi--ii..------n-------------
ESTATE OF PECK HOLLIS I FILE NO. 21 95-0457 ACN 101
THIS STATEHENT IS PROVIDED TO ADVISE DF THE CURRENT STATUS OF THE STATED ACH IN THE NAHED
ESTATE. SHOWN BELOW IS A SUNltARY OF THE PRINCIPAL TAX OUE, APPLICATION OF ALL PAYHENTS,
THE CURRENT BALANCE, AND. IF APPLICABLE, A PROJECTED INTEREST FIGURE.
DATE 02-12-96
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 12-26-95
PRINCIPAL TAX DUEl. 23,148.39
PAYMENTS (TAX CREDITS),
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST (-)
08-17-95 AAD48120 947.37 18,000.00
09-18-95 AAD82150 .00 4,248.39
01-29-96 REFUNC .00 47.37-
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
23,148.39
.00
.00
.00
· IF PAID AFTER THIS OATE, SEE REVERSE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
l IF TOTAL DUE IS LESS THAN .1,
ND PAYHENT IS REQUIREa.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" lCRI,
YDU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOHN FOR INSTRUCTIONS. I
,
~Of.../
~.~-I
'.,.,
.
',)()
PAYtEKTI
o.tKh the top partlon of this NoUca Md __It with wour "~t .... pa)'MIla to the nMe Md -'dra..
printed on the r.var.a .1....
If RESIDENT DECEDEKT Aka check or 110M)' o"'r "*Ia tal REGISTER OF WILLS, AGENT.
If HON"RE.SlDENT DECEllEHT Aka cMck or .....v orct.r payMIla tal totltONWEAL 1H OF PEtlGYLVAMIA.
'11 pl1'""h recalvsd sn-ll be 1IPP11M first to ." Intara.t ""Ich -.y be .... with ...)' n..I"r 1IPP11ed to the tax.
REfUND (CAh , nknt of a tlUC crsdlt, which .... not r.....ted on tM TIUC Raturn, ..)' be requssted b)' cOllPlaUna In
'"Appl1C11Uon 'ar Ra'und of Penn.)'lv....l. InlMrltBnCS and E.hta T.... eRlV.IJlS). Appl1C11tlon. an mUsbla at
the Dfflca of tM R-al.t.r of Will., ...v of tM ZS Atv.nus DI.trlct Df,lca. or 'r~ th. o.part-.nt'. I'-hour
.......rlng 'Irvlc. ~r. 'or 'or.. ordlrlngl In Penn.)'lv....l. l-IOO-S6Z-Z0SG, out.lda Pannavlv.,l.
and within 10C81 Harrisburg .r.. (17) 717.1094, TODI (717) 772-2ZSZ UII.rlng IIlP.lrld only).
REPLY TDI QuI.tlon. regarding .rrar. cont.lned on thh noUCII Ihould be .tdr...ed tal PA D1p.rbtlnt of R.VInUl, Bur...
of Individual Tax.., ATTNI Po.t ,....asent RIVIIM unit, Dept_ Za0601, Htrrllbura, PA 171ZI.0601, phone
(717) 787.6505.
DISCClUfTI If MY taM duI I, p11ld within thr.. es) c.l"", Nnth. aft.r the dlcadent', death, . flva perc.,t (5%) dhcount
of tha t.x paid I, allowed.
IHnRESTI Inhr.st 11 eheratd ~Innlng with flr.t dIIy of dtllnqusncy, or nine (9) .onth. and OM (1) dlW 'r~ \hi dlt. of
de.th, to the data of pev-nt. T.... which bee-. del1~t be'or. .JenulIry 1, 1982 be.r Int.r..t .t lM r.t_ of
.1M (6%) percent per WW'IUI cllcul.ttd It . d1111)' r.t. of .000164. All taxe. which bee... ddlnquent on tnd after
J~rw 1, 19az will b..r Int.r..t .t . r.ta which will v.r)' fro. C11lendtr year to C111~r yaar with that rate
announctd by th. PA DIp.rtsent of Aavenue. thI applleable lntar..t r.ta. for 191Z through 1996 are I
Vear Int.r..t Aate DIlly Intar..t Feotor
Va.r
Int.rut Rat.
DIllY Int.r..t Factar
191Z 2DX .OGDS41 1917 OX .OODZU
,... 16% .OO04S1 19&1.1991 IIX . ODOSOl
1'" 11X .0USDl 199. OX .OOOZU
1915 13% .00OS56 1995-1994 n .000192
1... lOX .000274 1995-1996 'X .DOCZU
--Intarllt 1. c.lcul.ted .1 fOUCMil.1
II\TERE1lT a BALANCE OF TAX UllPAID X HUKBER OF DAYB OELI"QUEKT X DAILY II\TERE1lT FACTOR
--Any Notle. 1.~ .ftar the taM bac~. dtllnquant will r.,lact an Int.ra.t calculetlon to fifteen (15) day.
bIIyond the data of tha ..........t. If paYMnt 11 Ada .ft.r the In"r..t eOllPUt.Uon data shown on t'-
Notlea, addltlonal Intara.t .u.t ba calcul.ted.
.----
JRDIJune 30, 1992/17858
REGISTER OF WILLS
Cumberland County Courthouse
One Courthouse Square
Carlisle, PA 17013
NOTICE PURSUANT TO RULE 6.12
PENNSYLVANIA SUPREME COURT ORPHANS' COURT RULES
To: Personal Representative
Counsel: J. ROBERT S'l'AUFFER, ESQ.,
RE:
Estate or HOLLIS I. PECK
MEChAN~~b~U"u ~U"UUUn
, Deceased, Late or
Estate No.: 21-1995 -4 57
Date or Decedent's Death: MAY 23, 1995
Pursuant to Rule 6.12, the above named personal represenlalive or the above na!lled attorney, 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 date by which the personal representative, or attorney, as
applicable, reasonably believes administration will be completed. The purpose of this Notice is to advise
you that unless the requisite Slatus Report is filed with the Regisler of Wills or Clerk of the Orphans'
Court, as appropriate, within ten (10) calendar days after the date of this Notice that the Register ofWlIls
is required to notify the Orphans' Court Division, Court of Common Pleas of such delinquency and to
request that said Court conduct a hearing to detennine whether sanctions should be imposed upon the
delinquent persoD31 representative and the delinquent personal representative's 'funsel, if any.
Accordingly, if the requisite Status Report is not filed by JULY 1 ,19":, you arc hereby
advised that a request will be submitted to the Court in a:,e.~~d:mce with R~le 6.12. ,1\
Date: JUNE 24, 1997 '-'n11L"-'1( t-IJ.A.U~~;I., \,111 fi}J.1udJpbr
Deputy Register of Ills I
Distribution to Estate File
STATUS REPORT UNDER RULE 6.12
Name of Decedent I Hor,T,I:> I. PECl,
Date of Deathl Nny 23, 1995
Will No, 1995-0%57
Admin. No.
Pursuant to Rule 6,12 of the Supreme Court Orphans'
Court Rules, I report the following with respect to completion of
the administration of the above-captioned estatel
1, State whether administration of the estate is completel
Yes x No
2, If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete I
3. If the answer to No. 1 is Yes, state the following I
a. Did the personal representative file a final
account with the Court? Yes No x
b, The separate Orphans' Court No. (if any) for
the personal representative's account is:
c. Did the personal representative state an
account informally to the parties in interest? Yes x No
Porsonal ropro:Jontutivo is solo loge.too and/or bonoficiary undor Hill.
d. Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be attached to this report.
Date: oJ,uno 26. 1997
- \--! :"i:;:
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UU
oJ. Robort Stauf or
Name (Please type or print)
Hurket Square Bldg.
Eoche.nicsburp:. PA 17055
Address
( 717) 766-9673
Tel. No.
Capacity:
Personal Representative
x Counsel for personal
representative
(MAH: rmf/AM3)