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HomeMy WebLinkAbout95-00471 .'. .., 21- 15-'17/ 95114602 04-20-95 TYPE OF ACCOUNT ~ SAVINGS CNECKINC TRUST CERTIfiCATE REV-1S43 EX AFP 18-941* CO""OHWEAlT" Dr PENNSYLVANIA Dt:PARTHENT or REVENUE BUREAU OF INDIvIDUAL TAkES DEPT. Z8D6Dl tllAAlSaUAO. PA 1712'1.0601 / :j " 'I::' - 7 INFORMATION NOTICE AND TAXPAYER RESPONSE FILE NO. ACN DATE ESTATE OF ISABEL M EICHENLAUB 5.5. NO. 203-20-2485 DATE OF DEATH 11-14-94 COUNTY CUMBERLAND JUNE B SAUERS 868 ACRI RD MECHANICS BURG RENIT PAVNENT AND fORNS TO. REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 1701~ PA 17055 PNCDANK tin provided the Dapart..nt with tha Infor..tlon 1 htad balow ~lc:h hn ba.n u..d In celculatlng the potantla. taM dUB. Th.lr recorda Indlcat. that at tha d..th 0' tha above dleadant, you ..ar. I joint ownat/blnaflclary 01 thl. account. If you ,... thl. Inlgra.tlon I. Incorrect. pl...1 obtaIn written corractlon fro. the financial Inttltutlon. attach a COpy to thl, fora and raturn It to the abovI .ddr.... Thl. account I. t..able In accordance with the Inheritance r.. l.w. of tha Co..onwa'lth of Pannlylvanla. Qua.tlon. .ay ba an.warad by calling 11111 181-8321. COMPLETE PART 1 BELOW. . . SEE REVERSE SIDE FOR FILINU ANU ~AlM~NI INSTKUCTIONS Account No. 5140178663 D.t. 10-31-92 edablhhed Account aalanc. P.rc.nt Taxable A~ount Subject to T.x R.t. Pot.ntlal Tax Du. ro Inlura proper cradlt to your account, two 121 copla. of this not lea .ult acco.pany your pay.ant to tha Raglltar of Will.. "aka chaCk peyabla tOI "Raglster of Will., Agent". PART [!] 3,800.92 50.000 1,900.46 2B5:~ .~" TAXPAYER RESPONSE FAILUR~ TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT BASED ON THIS NOTICE K HOIEI If t.. pey.ent. ere ..de within three (3) aonths of the dscedent'. dete of daeth, YOU .ay deduct a 5~ discount of the ta. dua. Any Inh.rltanc. te. dua will baCDna dallnqu.nt nlna (9) aonth. aft.r the data of d.,th. T.. K [CHECK ] ONE BLOCK ONLY A. c:J lh. above Infor.atlon and ta. due I. corr.ct. 1. You ..y choo.e to r..lt pay.ent to the R.gI.ter of Wills with two cop I.. of thl. notlc. to obteln a dl.count or avoid Int.r..t, or you aey check box "A" and return thl, notlc. to the Register of Will. and an offlciel ........nt will be I..uad by the PA Depart..nt of Ravanue. 8. nf1 Th. abova ....t ha. b.an or will be reported and t.. peid with the penn.vlvanla Inheritance Ta. return 1\ to be filed bv the dec.dent'. repr...ntat1ve. C. c:J Tha above Infor.atlon I~ncorract and/or d.bt. .nd d.ductlon. MIre paid by you. Vou .Ult coaplata PART l!J and/or PART [!] below. PART If you indlcat. a differant t.~ r~e1~!..e stat. your ~ r.l.tlonshlp to decedent I ~/ TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Oat. Eatabl1sn.d 1 2. Account ae1ance 2 3. Percent Taxabl. 3 x 4. A.ount Subject to Tax 4 S. D.bt. and Deductiona S 6. AlIOunt Ta)labl. 6 7. Ta)l Rat. 7 X 8. Tax Du. 8 OFFICIAL USE ONLY 0 AAF PA DEPARTMENT OF REVENUE PART ~ DATE DEBTS AND DEDUCTIONS PAD I 2 3 4 5 6 7 8 CLAIMED PAID PAYEE DESCRIPTION AMOUNT PAID I TOTAL (Enter on Lin. S of rax Coaputationl I . Undar p.nalti.. of p.rjury, I declar. that the co_pl.t. to the b.st of .y knowledge and ballef. Q~1 ~.r-~np~.u T I ATt! facts I h.va reported above ara tru., correct and HOME 1 ~-r17 1 73;::2 - ,,/63 d' _ WORK I~ 1 _ ~-/f-r.5 TELEPH NE NUMBE DA'ft GENERAL INFORMATION 1. FAILURE TO RESPOND WILL RESULT IN AN OFfICIAL TAX ASSESSHENT with flPpllc:ebla Inta',,' b...d on Inlo,..tloo luba1tt,..d bV the ,1"Melal In.tltutlon. Z. Inhe,lt~. t.. bec~' delinquent nl~ aonthl .ft., the d~.dent'. data of d..th, 1. " Joint account ,. t..abl. Iven though lhe dlCldant', nee. wa. added .. . ..11., of convent.nc.. ". Acc'uJntt (Including than hald batwlen hu.bllnd Ilnd wlf.1 lfhlch thl d.cedent put In Joint n.... within ona yu, prior to da,.t" .r. fully '.ubl. It I,.".,.r.. S. Account. ..t.oll,hed Jolntlv batwlen hu,bend and wlf. ~r. than ~ .".r prior to d..lh .r. not t..abl., 6. ACCCK6!t, held b., . dM:~t "In trutt fa," anoth.r or ather. ara '1Ilabl. fully. REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE 1. BLOCK A . If th. Infor..Uoo Itnd c~l.tlon In thl notice .r. cornet WId dlductlon. .r. not baing delatKI, pileI'" "X" In block ..,.. 0' P.rt 1 01 the "'a.pI.,I' R..po".a~ .actIDn. Sign two copla. and .ubalt thaa with your chack for the aaount of talC to the Aaghtar of WUII of the county Indlc.t.d. the PA Dap.rtaent of R.vanua wUI Is.ua an offlel.l .......Mt Cfor. RfV.I541 E~) upon r.c.lpt of the raturn 'roe the A.gI,tar Df Will.. Z. ILOCk I . If the ....t ,peelfl.d on this notice h.. b.en or will b. r,porC.d and t.1C p.ld with the P'Mulvanl. Inh.rltane. 'alC R.turn fllad by the d.c.dent'. r,pl..ant.tlv., plac. ~ ~k~ In blDck ~I~ of P.rt I Df the ~T..p.y.r A..pon..~ ..etlon. Sign ona copy and r.turn to the PA D.part.ent of RavlM1Ua, luraau of Individual ta..., Dapt za0601, tl." hburg, PA 111211.0601 In tha env.lope provld.d. 3. IIOCk C . If the notlc. Infora.tlon I. Incarrect endlor deduction. .ra b.lng cl.I..d, ch.ck blDck ~C~ and coapl.t. Part. Z and 3 .ccordlng to tha In.tructlon. balow. Sign two cop la, and .ub.lt th.. with your chack far the a.ount of t.. paYable to the R.gl.t.r of WUIt of the county Indlcatad. the PA Dapartaant of A.v.nua will l..u. an offlcl.l .......'""t fF"rlll DFV.'''''' F'IIl '1fW'" r.r..I,.. of tha r.turn froe tho A.gl.tar of will.. TAX RETURN - PART 2 - TAX COMPUTATION LINE I. Ent.r tha data tha account originally wa. ..tabll.h.d or tltlad In th. .annar ..I.tlno at data of daath. NOTEI For. dac.d.nt dying aft.r IZ/lZ/aZI Account. which tha d.c.d.nt put In Joint n.... within on. CI) y..r of d..th ar. talC.bla fully a. tran.f.r.. HDwavar, th.r. I. an ..clu.lon not tD ..c..d '3,000 p.r tran.f.r.' r.gardl... of tha valu. of the account or the nuabar of .ccount. hald. z. .. Enhr the tot.l balanc. of the account Including Int.ratt .ccrued to the dah 0' d..th. Th. parc."t of tha account that I, t'lCabla 'or .ach .urvlvar I. dat.raln.d a. follow., A. The parcant t.lCabla 'or Joint ....t. a.tabll.had eor. than one y..r prior to tha d.c.dant'. If . doubl. ..terlsk (ul .pp.a" bafore your fltlt n..a In the .ddr... portion of this notl1f') the 13,000 ..elutlon .lraadY ha. b.an deduct.d frD. the account balanca a. repDrtad by the financial In.tltutlo~T ;- \r1 '~1;!' '.,.;1 d..th, I DIVIDED IY TOTAL HUHIEA Of' JOINT OWNERS A Joint ....t r.gl.t.r.d DIVIDED IY TOTAL NUMBEA OF SURVIVIHO JOINt OWNERS the d.c.dent and two oth.r . 100 .. PERCENT TAkAIIE '" w ExMIPI.r In the n_. of p.r.on.. I DIVIDED IV 3 CJOINT OWNERS) DIVIDED IV Z (SURVIVORS) .. .167 k 100 .. 16.7~ (tAXABLE fOR EACH SUAVt~l I. Th. p.rcant ta..bla for ...at. cr.at.d within ana ya.r of the dac.dant'. daath or account. owned by the ~.c.d.nt but hald In tru.t far another IncUvhtu.U.I (trust banaflcl.rl..l1 n 1 DIVIDED BY TOtAL HUKIEA Of SURVIVING JOINT OWHERS DR TRUST BENEfiCIARIES X 100 .. PERCEHf TAXAILE E.uplal Joint account ragl.t.rad In tM n..a of the d.cad.nt and two oth.r par.on. and a.tabll.h.d within ana ya.r Df d..'h by tha daud.nt. I DIVIDED IV Z (SURVIVORS) .. .50 )( 100 .. SOiC (fAXABLE fOR EAC" SURVIVOR) 4. Tha uaunt .ubject to talC Clln. 4) h d.tar.ln.d by aultlplYlng tha account balanu ellna U by tha parc.nt 'Ollobla Ulna S), S. Entar the tot.1 of the d.bt. end daductlan. II.tad In p.rt S. 6. Tha ..ount t.lCabl. (1In. 6) I. datar.lnad by .ubtractlng the d.bt. and d.ductlon, (1lna S) 'roe tha a.ount .ubj.ct to talC (1In. 4). 7. Entar the approprlata talC r.t. (1In. 11 .. dat.r.ln'd balow. A. for dat.. of death occurring aftar 6/30/94, th. talC rat.. for tran.'ar. to .pau.a. ar. a. 'ollow'l 1. D.t.. of d..lh on or aft.r 7/1/9~ and bafDr. 1/1/96 tha rata I. S~. 2. Oat.. of daath on or aftar 1/1/9' and bafDra 1/1/97 tha rat. I. Z~. S. Oat.. of d..th on or aft.r 1/1/91 and ba'Dr. 1/1/9. the rat. I. 1~. 4. Data. Df d..th on or aftar 1/1/9. tran.f.r. to .pou... will b. .1C.apt fro. talC. Hat.r For dat.. of d.ath prior to 111/94 tran.'ar. to .pau... ara t..abl. .t 6~. B. Trand.,.. to lI".al d..cendant. Including 'athar, Rthar, .on, daughhr, grandchildren, .on-ln.I...., daughtar-In-L..., atepchild and their luua ara t..abl. .t .1Il p.rcent (6:CJ. C. Tran.f.ra to .11 athar. Including brDther, .htar, lonela, aunt, nephew and nlaea .ra t..abl. at flft..n p.reant US:U. D. If you change the talC rat., pl.... .paclfy your ral.tlonshlp to lh. dec.d.nt In lha araa pravld.d. .. The a.ount of talC due Cline 8) I. d.tarainad by .ultlplylng the aaount t..abl. Clln. 6) by the talC rata (1In. 7.. CLAIMED DEDUCTIONS - PART 3 DEBTS AND DEDUCTIONS CLAIMED Allowabl. dabh and daductlon. .ra dat.ralned .. 'allOWII A. You Iqally .ra rupantlbl. for pa.,.ent, or the ..ht. .ubj.ct to .d.lnlstratlon by a personal r.pr...ntaUIII Is In,ufflclant to PlY the dedUcUbl. It.... I. You actually p.ld the dabt. aft.r daath of the dacadent and can furnl.h proa, ~f p.v-ant. C. Dabt. "Ino c1.I11ed au.t b. ItHhad fully In Part 3. 11 additional .p.ea It ".adad, u.a plain p.par a l/Z~ It 11". Proaf of p.y.....t ..y be raqua.led by the PA Dapart...,t of Aavanua. TAXPAYER ASSISTANCE IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANY . . RESISTER OF WILLS, PA DEPARTMENT OF REVENUE DISTRICT OFFICE OR CALL THE BUREAU OF INDIVIDUAL TAXES, TAXPAYER INQUIRY UNIT IN HARRISBURG AT (7171 787-8327. TDDI (717) 772-2252 (HEARING IMPAIRED ONLY) IIEV.ISOO u. 11941 * 21. If line 181. grlol.r thon lInl 19, Inter Ihe dUference on lIn. 21. Thl.I.'he TAX DUE. A. Enter Ihelnlere.t on ,he bolonce due on line 21A. 8. Enl.r Ih. 10101 ollln. 21 ond 21 A on lIn. 218. Thl. " 'h. 8ALANCE DUE. Malee Checle Payable to, Regllter of Willi, Agent :ot.~J'''"", . 'Ii 8E:SURE .TO ANSWER ALL\QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH,;!. 1i..,.'~",,' {~'1i."",..: Under penoltle. 0' perfury, I declare Ihot I have uomlned 'hIs return, lndudlng accompanying .chedules and Ilalemenh, and to Ihe best of my knowledge and belle', 'b' It true, correct and complete. I dedare that 011 reale,'a'e hal been reported 01 true marKel value. Oedarallon of preparer olher than Ihe pononal repr..entatlve II a,ed on aI/Information 0' which pre arer ha, an ~nowledge. luu 0' ""'0 ''''ON,,,,, 'O'/lIINO mUIN '00'''' "'" A. i. .. /; I). _ DAIf -;rt/;~ tibu; "<!r/. L/~ & (7o~J ~//JlrC 5INIAI,v, .00.... 20 5. r6TH 5T. CAMP 'Hill PA 11011 D' / / '. qN/ff' l!! ~~~ !:!fu u~ii! ti15 "''' "'z Bf z co 5 ! '" z l!! ~ . B g fOR DATES Of DEATH A"n '2/31/91 CHECK HERE I' A SPOUSAL POVERTY CREDIT IS CLAIMED 0 fiLE NUMBER 21 INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) 15 ~ .. COMMONWEAlTH OF 'ENNSYlVANIA DE'ARlMEN' Of UVlNUl 0....210601 HARRISIURQ 'A 11l:le.OMJl OICIO Nl' NAMI (IAS. tl". A M10D~ INl 1""1 EICHENLAUB, ISABEL M. lOCIAl SleUlll,. NUMIU DAft O. DIAtH DAf( 0' 111"1 95 411 COUNTY CODE DfCIDlNl'S (OMPUI( ADDIUS YEAR NUMBER 868 ACRI ROAD MECHANICSBURG, PA 11055 Co... CUMB ERLAND AMOUNl ltCllVIO 1St( IN".uctIONSI 203-20-2485 09/20/15 fl' .."tlC....t".U.WI'l'IHO .JtOuu" N"'AolI ,,"'U, 1"" UtO "'tOOII 'WII"ll Orlglnol Return Limited ellale o 2. Supple menial Return o 3. Remainder Return ('or dol.. 01 d.olh prior 1012.13,82) o 5. Federal Ellate Tax Relurn Required ..Q.. B. Tolol Number of 50f. Oepoll' Box.. o 40. future Inl.r.., Compromh. Ifor dol.. 0' death aft,r 12.12.82) o 7. Decld,nl Maintained Q living TrUll (Attach copy 0' Trult) D~CONFIDENnA MAX'INFORMAnON SHOULD BE DIREOTIDlTO. COMI'ttTf MAILING ADORUS NDENCE !A 868 ACRI ROAD M ECHAN I CSBLRG, PA (~ 7~ 55 132-4638 I. R.ol Eflol. (S,h.dul. AI 2. Slo,ks ond Bond. (S,h.dul. 8) 3. Clo.el)' Held Slock/Partn,rshlp Inler8,1 (Schedule q ... Mortgage. and Noles Recelyoble (Schedule OJ 5. COlh, Bon~ olpO.It, & Miscellaneous Penonal Properly (S,h.dul. EJ 6. Jolnlly Owned Property (Schedule fJ 7. Tron.!." (S,h.dul. G) (S,h.dul. II B. Total Grall Anlh {Iolal Un.. 1.7} 9. Funeral Expenll', Admlnl.tratlve CO.II, MIscellaneou. hpen... {Schldule HJ 10. Debts, Mortgage lIablliti.., Uenl (Schedule I) 11. Tolal Oeductions (tolaILlne. 9 & 10) 12. Nel Value of Ellate (Line 8 minuIUne 11) 13. Charllabl. and Governmental eequllu ISchedule JJ '<4. Nel Value Sub eet to TaK line 12 mlnulUne 13 15. Spoulol Tranlfort (for dolel Df deoth oft" 6.30.9411 See In.tructlon. for Ar,pllcable P"cenlage on Rever.e (15) Side. (Include volue, rom Schedule K Ot Schedule M.I 16, Amount of line 141loxoble al 6% rol, (16) (Includ. values from Sch.dule K or Schedule M.) 17. Amount of line 14I'axobl, at 15% role (17) (Include value. from Schedule K or Schedule M,) 18. Principal 'ox due (Add lox from lIn.. 15, 16 and 17.1 19. Cr.dlts Spoulal Poverty Credll Prior Payments (11 (21 131 (4 I (5 I 100.00 (6) 21,900.46 (71 (9 I 1.217.37 (10) 1,844.00 (8 I 22.000.46 9,121.31 12,819.09 1111 (121 (131 (141 12,819.09 M.__ 12,819.09 M .06 II 172.15 )( .IS II liB) 172.15 Oilcounl Inlere" + + 20. If lInl 19" greater than line 18, enlet the dlffer.n" on line 20. Thl.I.,he OVERPAYMENT. m 0 ...mn.'II.II~I_'('''.'''''''''I'll.IlIl'II.'.''Jmm-='l_'.I'11I....(...LI..!.& ''''''.1 (19) (20) 112.15 (211 (21AI (218) 172.15 Act '48 of 1994 provld.. for the r.ductlon of the tax ral.. Impo..d on the net valu. of Iranal.r. to or for the u.. of the 'POUI.. Th. ral.. a. pre.crlb.d by Ihe .Ialul. will b.1 · 3% (.03) will b. appllcabl. for ..tat.. of d.c.denll dying on or after 7/1/94 and b.for. 1/1/96 · 2% (.02) will b. appllcabl. for ."0'.' of dec.d.nll dying on or after 1/1/96 and b.for. 111/97 · 1 % (.01) will b. applicable for .lIate. of d.c.d.nll dying on or after 111/97 and before 111/98 · Spoulal tranaler. occurring on or after 111/98 will be exempt from Inherllance lax. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (vol IN THE APPROPRIATE BLOCKS. YES NO 1. Old decedent make 0 transfer and: a. relaln Ih. use or Income of the properly transf.rred, ....................................................... x X b. retain the right 10 designate who sholl use the properly transferred or Its income, ............... c. retain 0 reversionary interest; or ................................................................................... X d. receive the promise for life of either payments, benefits or carei ....................................... 2. If death occurred on or before December 12, 1982, did decedent within two years preceding death transfer properly without receiving adequate canslderatloni If dealh occurred after December 12, 1982, did decedent transfer property within one year of death wlthaul receiving adequate conslderollon9................... ........... to............. I............................................ II ....... X 3. Old decedent own on 'In trust for' bonk 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. , IlY.IJOIlh 11'1) SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY . COMMONWIAI!" O. P1NNIYIYANIA INHIIITAHCI TAX .nUIN USIDtHT DltlDINT ESTATE OF ISABEL H. EICHENLAUB Pleoll Print or l' e CAli prep."" lolntly..own,d with the RI,ht of Survlv."hlp mu" b. dl,d...d on Schodul. " VALUE AT DATE OF DEATH ITEM NUMBER DESCRIPTION 1. VARIOUS HOUSEHOLD GOODS AND CLOTHING 100.00 TOTAL Also enlo, on line 5, Roco 100.00 S (Allac.h addlllonal 8Yt" x 11" ,h.." If mot. .paull n..d.d.) NAME ADDRESS 868 ACRI ROAD HECHANICSBURG, PA 17055 RELATIONSHIP TO DECEDENT DAUGHTER 11\'.110911+ 112.'" .. COMMONWEAUH OF PENNIYLVANIA INHfRlTANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY.OWNED PROPERTY ESTATE OF ISABEL H. EICHENLAUB FILE NUMBER 21-95-471 Jolnl 'ononllll. A. JUNE B. SAUERS B. C. Jolnlly-ownod proporty, ITEM LmER DATE FOR TOTAL VALUE DECO'S DOLLAR VALUE OF NUMBER JOINT MADE DESCRIPTION OF PROPERTY TENANT JOINT OF ASSET % INT. DECEDENT'S INTEREST 1. A 10/31/9 '. PNC BANK - CHECKING ACCOUNT 3,800.92 50X 1,900.46 AIC # 5140178663 A 11/91 SUN BANK - CERTIFICATE OF 40,000.00 50X 20,000.00 DEPOSIT AIC # 3300050352 - I TOTAL (Aho enler on line 6, Recapitulation) S ? 1 So.O,~4.6._ (II more space i. ne.d.d ;nler' additional sheets 0' lome size) F ISABEL M. EICHENLAUB ITEM NUMBER "VUlIlltl'''J . SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCEllANEOUS EXPENSES Plea.e Print or Tvpe COMMONWEAltH 0' 'fNNS,YlVAHIA INHUI.lfANCf fAllllnUIlN IlUIDEN' OICfDINf 21-95-471 DESCRIPTION AMOUNT 1. A. Funeral Expen.e.. V. L. SEEBOLD FUNERAL HOME FUNERAL MEAL - FOX'S FAMILY RESTAURANT TlJIN HILLS MEMORIAL PARK . BURIAL LOT AND VAULT 5,283.70 302.00 691.67 1. B. Admlnl.trallve Co.t.. 500.00 Pe..onal Repre.enlallve Camml..lans Sacial Security Number al Pe..anal Represenlallve: 1995 Year Camml..lans paid 2. Allarney Fees 3. 4. C. 1. 2. 3. 4. S. 6. 7. 8. Family Exempllon Clalmanl JUNE B. SAUERS Relatlanshlp DAUGHTER Addre.. al Claimanl at dec.denl's d.ath 868 ACRI ROAD Street Addr... 100.00 City --HECHANICSBURG SIal. PA Zip Cad. 17055 Probate Fo.s MI.eellaneous Expen.e.. McKONLY & ASBURY . ESTATE TAX RETURN PREPARATION 400.00 I !' TOTAL IAlsa onl.r on line 9. Recopllulolion) (II more .paee I. needed, In.ert addlllonal .heet. 01 .ome .1...1 s 7,277.37 "''''''''1'.''1. COMMOHWIALIH 0' ,IHH'"VAhIA INHIlIIANCI toll "IUlN t"IOIHt DIUDINI ESTATE Of ISABEL H. EICHENLAUB ITEM NUMBER SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES AND LIENS AMOUNT PI.a.. Print Dr T . fiLE NUMBER 21-95-471 DESCRIPTION NURSING SERVICES: MARTIlA HILLER, LPN BARBARA LINDEMUTH KELLY ASSISTED LIVING SERVICES, INC. KENDALL ENTERPRISES NURSING 1. TOTAL (Alia onlor on IIno 10, Rocapllu!allan) (II mare spac. il M..ded, inser' oddilionol,h..,. 01 some I1z..' 72.00 768.00 684.00 320.00 $ 1,844.00 (C(Q)rPY 1LL&6t .1iI!Iill &ltO Wcshtutcttl I, ISMEr. H. EICIIENLAUn, a rl!sident of Selinsgrovl! Uorough. Snyder County, Pennsylvania, being of sound and disposing mind and memory, married and OVer the age of eighteen years, declare this to be my Last Will and revoke all wills and codicils previously made by me. I'l'EH I: IDENTITIES OF SPOUSE AND CIIILDREN. J am marril!d tn Donald II. Eichl!nlaub ("my spouse".). J have five children now living, namely, Harry A. Eichenlaub, June B. Sauers, Donald E. Eichenlaub, David L. Eichenlaub, and Richard E. Eichenlaub. I have no deceased children who leet issue surviving them. I'l'EH II: PROPERTY BEING DISPOSED OF BY WILL. It is my intention to dispose of all my property, including any property OVer which J have a pOWer oe appointment. I'l'EH III: EXPENSES, DEBTS, AND TAXES. I direct that all expenses of administration of my estate and of my last illness, funeral, burial, and gravemarker, all legally enforceable debts incurred by me, and all. taxes assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate. I'l'EH IV: SURVIVAL OF SPOUSE - RESIDW\Ry ESTATE. I give the residue of my entire estate to my Spouse, if he is liVing on the thirty-first day after my death. I'l'EH V: NON-SURVIVAL OF SPOUSE - RESIDUARY ESTATE. If my Spouse is not living on the thirty-first day after my death, the residue of my entire estate, or the proceeds therefrom, shall be divided into five equal shares and distributed as follows: A. I give one such share to my son Harry fl. Eichl!nlaub, or to his issul!, per stirpes. D. I give one such share to my daughter June 0. Sauers, or to her issue, per stirpes. C. I give one such share to my son Donald E. EiChenlaub, or to his issue, per stirpes. D. J give one such share to my son David I,. EiChenlaub, or to his issue, per stirpes. E. J give one such share to my son Richard E. Eichl!nlaub, or to his iSBUl!, per stirpes. ~'. If any of the five named beneficiaries is not. living on till> thirty- Cimt. day aeter my death and has left no issul! t.hen living, then the short' - 1 - . that would have passed to such bencl iri/lry or the issue of such beneficiary I give proportionately to the other b,!Oeficiaries under this Item V. ITEM VI: EXEiCUTORS. spouse falls or ceases to June B. Sauers and George this Will. I appoint my spouse Executor of this Will. If my serve, then I appoint my daughter and son-in-law, D. Sauers, or the survivor of them, Executors of ITEM VII: GUARDIAN OF PROPERTY. I appoint Snyder County Trust Company, of Selinsgrove, Pennsylvania, or its qualified affiliate or successor, Guard- ian of any property which passes, either under this Will or otherwise, to a minor and with respect to which I am authorized to appoint a guardian and have not otherwise specifically done so. Such Guardian shall have the power to use principal as well as income from time to time for the minor's support and education (including private elementary and secondary schooling, technical schooling and post-secondary schooling) without regard to his or her parent's ability to provide for such support or education, or to make payment for these purposes, without further responsibility, to the minor or to the minor's parent or to any person taking care of the minor. ITEH VIII: BOND. I direct that the Executors and Guardian appointed by this Will shall not be required to give bond for the faithful performance of their duties in any jurisdiction. ITEH IX: WILL NOT CONTRACTUAL. My spouse and I may be making wills at approximately the same time and to some extent the wills may be reciprocal. Nevertheless, the wills are not made pursuant to any agreement between us and each of us may modify or revoke his or her will at anytime. and set my hand ( SE,\L) The preceding instrument, consisting of this and one other typewritten page, each identified by the oignature of the Testatrix, was on the day and date thereof signed, published, and declared by Isabel M. Eichenlaub, the Testatrix therein named, as and for her Laat Will and Testament, in the pres- ence of us, who, at her request, in her presence, and in the presence of each other, have subscribed our names as witnesses hereto. 5/ ~L 11, rn rH>-tJ.. S~_-.v- J?1 6,p,>, ~.r- ( - 2 - .......--....,.. . ACKllOifLRDGHP.NT ^ND ^/'PI/l^VIT COMMONWEALTH OF. PENNSYLV^NIA SS COUNTY OF SNYDER 1 and , the Testatrix and the witnesses respec_ tive y, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and that she signed willingly, and that she executed it as her free and voluntary act for the purposes therein ex- pressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as witness and that to the best of their knowledge the Testatrix was at the time eighteen years of age or older, of sound mind and under no cOnstraint or undue influence. ~ ./-.fl.fI71, ~".Jb.n.JL (SEALI Isabel M. Eichenlaub ~' J;~1 .s,U\,. ess If. /11 n-.-.......~ (SEAL) <,/0."". rn. ,Jj'J~'" P:.-r 0wit~ss ~ . (SEALI SUbscribed, sworn to and acknowledged before me by the Testatrix, and SUbscribed and sworn to before me by and :1/7"" /11. I?""/,,.- , witnesses, this '(::r/; 1989. :t j , , My Commission Expires: ,r/ J~,(.-f1 <'1 .,.. (). (',eft 1. Notary PUblic if r7. - 3 - -. ..... '.. ~ ------------------------------------------------ D AA 0481.10 COMMONWEALTH..OF PENNSYLVANIA NO. ... . DIPARTMINT 0" REV.NUI OFFICIAL RECEIPT .. PENNSYLVANIA INHERITANCE AND ESTATE TAX . .1\(11",..1....1 RECEIVED fROM: ACN ASSESSMENT P:' CONTROL ... NUMBER AMOUNT & JUNE B SAUERS e6e ACRI RD 101 .77e.?~ MECHANICSBURG PA 170:5~ ESTATE INfORMATION, I:t fiLE NUMBER g el-199~-0471 EJ NAME Of DECEDENT (LAST) II DATE Of PI. ME NT m POSTMAR COUNTY SSN e03-eO-2"8~ (fIRSTI (MI) DATE Of 0 A H REMARKS m TOTAL AMOUNT PAID · 7:Je...:J!5 DO JUNE B SAUERS SEAL CHECK" 4e::1? \:' ,', \.,/ RECEIVED BY i.'llt ii. (/ I. , .,~ '.. ,./ ~ ,.J SIONATlJ~r 1./ ~ ;l :Y'", .: J', f_) . MAny C. LEWIS - J REGISTER OF WILLS REGISTER OF WILLS ---- --- --,.,-.- -- ---- ---,.- - ~-- ---:- - --- - - -- .,.-- -- - - --- _ _.-:-u_.-.... ..,..,_;. " . - _. ~-.....,-- . _1I~ _" "q -_..,,; --.....-.-----";."".....-.... /5-L/O-1 RIV-1547 IX AFP (12-94* C~Al'H Of PENNSYLVANIA DlP""IttEHf UP' R[V(HUE IURUU Of INDIVIDUAL TAXES DlP'. 110611 t\ARRIIIlllG, PA 17128.0601 ,I '-' ACN 101 NOTICE DF INHERITANCE TAX APPRAISENENT, ALLDWANCE DR DISALLDWANCE DF DEDUCTIONS AND ASSESSHENT OF TAK DATE 11-06-95 FILE NO. DATE OF DEATH 11-14-94 COUNTY CUMBERLAND NOTE' TD INSURE PROPER CREDIT TD YOUR ACCDUNT, SUBHIT THE UPPER PDRTION OF THIS FORN WITH YOUR TAX PAVNENT TD THE REGISTER OF WILLS. NAKE CHECK PAYABLE TO "REGISTER DF WILLS, AGENT" REMIT PAYMENT TO: JUNE B SAUERS 868 ACRI RD MECHANICS BURG PA 17055 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 AltOunt R..l U.d CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iiiiv:is47-Einj:ji-n'2=94Tilii'ficE--oF-YNHEii'ifANcE-YAx-j\piiRAisEH€il't-;-AL.LOiiANCE-oli----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF EICHENLAUB ISABEL M FILE NO. 21 95-0471 ACN 101 DATE 11-06-95 APPROVED DEDUCTIONS AND EXEMPTIONS: ,. Funeral Expen.../Aa.. Caata/Hi.c. Exp~... (Schedule H) (9) 10. Debh/Nodg.g. L1ob1l1H.o/Liono (Schodulo II (101 1.844.00 11. Tot.l DeduoHono (111 12. N.t Value of TaM R.tunn (12) 13. Charitable/GovernMent.l Bequ..t. (Schedula JJ (13) 14. Not V.luo of Eot.t. Subjoct to Tox (141 NOTE: I~ an assessment was issued previously. lines 14. 15 andlor 16, 17 and 18 will reflect ~i9ures thet include the total of ~ returns assessed to date. ASSESSMENT OF TAX: 15. A.ount of Lina 14 at Spau..1 rat. (15) 16. A~t of Lina 14 taxable at Lin..l/CI... A r.t. (16) 17. ~t of Lina 14 taxable at Collat.ral/CI... Brat. (17) 18. Principal Tax Dua TAK RETURN WAS, (X I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. R..l Eot.t. ISchadul. AI 2. Stocks and Bond. (Schedule OJ 3. Clo..ly Held stock/Partnership Int.r..t (Schedul. CJ ~. Kortgag.a/Not.a R.c.ivabl. (Schedul. DJ S. Cash/Bank Oepoaita/Hlac. Personal Property (Schedule EJ 6. Jointly Owned Property (Schedule FJ 7. Tr.n.fera (Schedule OJ 8. Total A...t. TAX CREDITS: PAVNENT DATE 08-14-95 RECEIPT NUHBER AA04811 0 DISCOUNT (+1 INTEREST I-I .00 I CHANCED III (21 131 (41_ 151 (61 (71 .00 .00 .00 .00 100.00 21. 900.46 .00 181 22.000.46 7.277 .37 Q .1.,1 ~7 12.879.09 .00 12,879.09 .00 X .03= 12,879.09 K .06= .00 X .15= 1181 .00 772.75 .00 772.75 AHOUNT PAID 772.7S TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE 772.75 .00 .00 .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATIDN OF ADDITIDNAL INTEREST. ( IF TDTAL DUE IS LESS THAN .1. NO PAYNENT IS REQUIRED. IF TDTAL DUE IS REFLECTED AS A "CREDIT" (CRI. YOU NAV BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS. I , i"'- c:j\ c:' . ::,J r)r..) RESERVATION. Eltates of decedwlts dying on Dr be'on ~r 12, 1912 ..- if WI)' future lnt.,.nt In the ..t.t. I, t"",,".r,.-, In po......on or ..do,....t to el... . (caUlt.,.,U ....flcl.rl.. 01 the dec.....t In.,. the axpl~t1on of WI)' ..t.t. for 11" .r for Y""" U. C~lth :lIIriMIv '.lIr...b ,....Mr" the right to IIPPnha .Mt ...... t,..,.f.,. 1",.,.,.U.nc1 r.... It the l.wful el,.. . (coll.t.,..l) rat. on ~ ~ fUtu,.. lnt.r..t. P\IAPClSE DF NOTICE. To fulfill the ,....lr.....tI of Section Zl~O of the Imerltancl .. Eltats llU Act, Act 2Z of .991. 72 P.S. Section 2140. PAYJtEHT. o.tKh the top partlon of thb Hotiel ~ sut.lt ..lth your p.,..... to the RlI1Ihtar of 111111 pdntMl on the reve,... ..cr.. __..... c:Mck 01'" .wMI)' .,..,. pav*ll tal REGISTER OF MILLS, AaEHT All p.~t. rKllvlld shIIll first be ..1111d to Iln)' Int.,...t which ..y be m.. with WlY ,....lnder -.11.. to U. t... REFUND (CRh A rdmd of . tmc credit, Witch ..u not rllqlJut_ on the Tn R.tum, RV be r~~..ted bV c....l.Ung WI -AppllClltlon 'or R"unct of PtlnnlYlv.,.a InherUBnCI Bnd Est.t, ,.... (REV-UU). Appl1C11tion. .r. ItWUlibl. .t tN Dfflc. of ~ Aeal.t.r of Will., InY of ~ Z5 A.v~ DI.trlct Offlc.., or by c.lllng the &Peel.l Z4.hour In__rlng ..ntlc. .....r. far fora. orderlngl In P.",.ylv....l. 1.aOo-)6z.Z0S0, autsict. P....nlwnl. ... within local Harrhburg .r.. (711) 717"1094, TOOl (717) nZ.ZZ5Z Ct..rlng I..-Irlld OnlwJ. OIJECTIDNS~ Any p...tv In Int....st not ..thUed Nlth u. 8PP...I~t, .Uownc. 0.. dl..UDWnCII of dedUction., 0.. ........"t of tax Unclucllna dhc~t or Inhn.U .. shot<<l on th18 MoU~ ....t object Nlthln silCty (60J dIIy. of ..~Ipt of thl. HaUc. bYI \ ......Ittan P..ot..t to ~ Pi o.p...teent of A.vsnue, Bo.rd of ~l., Dept. Z810Z1, Ha..rlsbu..g, Pi 171ZI.I021, ...Iection to hlNa the ..ttar dahr.lnMI .t SiUdI t of the SCCOWIt of U. ,....onsl rllPnnnt.Uv., DR ..eppe.l to the Qr-phsn.' Caul't. DR ~ A""" ISTAATlVE CORRECTIONSI Featulll .r"ol"l dhconred on thh ...........t should be eddr.ned In ..rltlna tal PA DlIP...teent 0' R.v....., au...au of Individual T.x.., ATTNI Po.t A.....-ent R.vl... unit, DlIPt. Za0601. Hsrrltbu..g, Pi 17IZI.0'01 Phone (717) 717.6505, 5.. page 5 0' ~ bookl.t -In.t..uctlons fa.. Inherltanc. Tax Rsturn for. A..ldent Decadent- (REY.1SOI) '0" an .xplenstlon 0' &delnl.tr.tlv.1Y co....ectebl. srrors. I INTEREST I If ftC'Iy tax duB 18 paid within thr.. (5) calsndllr .onths .ftar thII decadent.. dasth, . flva plIrcent u:n dhclUtt 0' the tax paid II .llOMMl. Inbr.st h d\airged bealmlna ..Ith flr.t day of dallnquency, or nlM (9) MJnths and OM (1) dtIy 'rOIl the date 0' death, to the dIIb 0' pay-.nt. Tun which ~ dlllInquent before January I, 1982 bur Int.r..t at thII rat. of slM (6%) perclnt pa.. ..,.,. c.lcul.ted at . dally rat. of .000164. All t.u. which bK_ dallncNent on and aUar January 1, 1'12 ..Ill beer Int.r..t at . ...ta which ..Ill v.ry f..OII c.lendar y..r to caland.r v..r with that r.ta announc.d bv tna Pi Dep...teent of Aavenue. The eppll~abla Int.....t ...t.. for 191Z through 1995 aral DISCOUIT I '!!!!: Int....tt A.ta D.lly Intar.st Factor !!!!' Inte....t Rat. D.Uy Inhrnt F...tor 1982 ZO% .000548 1987 .. .0002'" 1915 16% .000458 l,aa.I991 IlX ,OOasOI 19M IlX .000SOl 199% .X .OOOZ'" 1'15 "X .00as56 l"S.I994 n .000192 1916 10% .000Z74 I... 'X .000247 "Int.r..t I_ calcul.ted .s follow'l INTEREST = BALANCE OF TAX UNPAID X NURBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR ..Any Hotlc. i_sued .ft.r th. tax bacoaa. d.llnquent will rafleet an Intar..t c.lcul.tlon to fl"88M (I') da,. beyond the det. of tn. ...........t. If pay.."t I. .ade .ft.r th8 Intarnt COllPUt.Uon data shoNn on the Hotlc., addltlon.l Int.r..t .u.t be c.lcul.ted. . .