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All 1 ll'II II 1111 I 11I1I1ll'1I)' (If 11111 dlll11icil,'d ill 1'11,) 1"'1 IIIIIIIII'IIII'ell)" ill 1'1'11111\'11'1111111 (II 1101 dlll11icilctl ill 1'11,1 1"'1 IIIIIIIII'IOJlI'II,' ill ('1111111)' Vllhll' Ill' It'al ':',111/1' 1III'I'II11\,'I\'allill \IIIIIII,'d al 1'.1111111'1: LJ;!!'r''?' ~ $....._. $ n .._._._____ $ .. ....--.---.-- . ,-: :'1 .. -, ~ I ,i . -l.'~~,~____'___,__ WllI:III:HllIl:, l'elllilllll'l(l) II'IIll'l'llulll' "IClellled hCIl'wilh IIl1d IIIl' ~rlllllllf 11'111'11 I h ,'1\1 11 , "'q!:e;~,(;!.;~ )!i~~\.~f ..~c~'s~,WI~~_lIl1d clldlclI(5) Ill',liUIn'llIlll\; udlllllll\lrllli'llll',I,U,; lIthnlnl,trqllon d.h,n,c.l,a,) II'j '/:','1 ," ::1 :.,1 ';' t 4J4M~ j,,41-.~,tlJ /)... ~ ~ /... u .~;. f,J~.t.Ah" ~ ~ f. 'I fJ ^,. l=''-II''".I''< ,~/Nf c'': tJI,t:6, {'I', /lrn'. 'it '1j.. n ':. ~ .. :;., " , i:'f .'1 ,;1" I '\1' " ';1 " !.1' I 'I ',i ,"/ t ,I ... p-- ._~.... ......--.- OATil 01' PERSONAl. RIWRESENTATIVE ('OMMONWEAI.TII ()I! I'I':NNS\'I.VANIA L HH COlINn' ()Jo'(JUMAI"/CJIIII.Q r Thl' 1"'lilillll"IIII """11' 11I1I11l'd IIIl'IlIIIIIII lI11illll(I) 1111I1 1111' ,II III 1'lI1e 11 I I illlhl' flllegolllg pelllllln lire lillI' alld CIIIII','llo Ih,' "I'll "I 1111' ~1I1111"'d"I' 111111 hl'lll'l Ill' Ill'lllilllll'l(l) IIl1d Ihlllll,\ personal represen. IIlIi"""1 IIllh,' IIhlll,' <It',,'<lI'1I1 1ll'11I11I1I1'1(1) 1I11I1I1'1I,)I'ltI "lIl1adll1h~~'1 Ihc CSIIIIC IIccordlng 10 law. S'"lll1 III '" 1IIIiIlIll'",,~Yltl 1I1"\\'III11'd 1/0';-"',, l ,Pi,Y,.... <: ~ _ ~ hel"I"01' 11111 J ( . l~\ III' _ _~~ ~ '7JA~l;/(~~Z/.l.,t'() I" '~'~/)/CjLf j llf . =-'=:"-:,=...._--= ~ 40 -llf(J~ARY c, LEWIs /1"11/1("1 7 (/ - -.----____ .E: I I /6 , No. 2.1..:.:..25 . 479 Estate of _ DOROTHY E. MYERS . Deceased DECREE m' PROBATE AND GRANT OF LETTERS AND NOW ___ JUN~~~!-._____ 19..i~_, In consideration of Ihe petition on the rcverse side hereof, satisfactory proof having been pre.sentcd bel' ole me, IT IS DECREED Ihal Ihe Instrument(s) datcd.___SEPTEMJ!~~ 28. 1994 described therein be admitted 10 probllte lInd filed of record liS the 11IsI will of DOROTHY E. MYERS n"?iAF!tNiARY BYRON V. BROUGH lInd Lellers arc hereby granted to ~. MARY C. LEWIS FEES Probate, Lellers, Elc, ..,.,.." $ Shorl Certiflcates(3) .,:""", $ Renunciation .,...'.'"",.,. $ X-Pages $ 6.00 JCP . 5.00 TOTAL - $, 45.00 Filed ,"" ,~UN,~ .l?;,')'1995,...,.,.,."'. 25.00 9.00 ATTORNEY (Sup, CI. 1.0, No,) A1lllRESS PHONU " " ~(") ~ :T.J .. .cF' :1Jo> (" I:~ " ;:., c " I.' ., ~ I ..i: '.' f ~ " \', , ~_:.~ ;"'f' 't1 i:; c:J V; (..\ .. -. ):-;4 -' 0 Called Executor on 6-23-95. " . ..'f " LAST WILL Am 'l'BSTl\M!Wl' I, .DalO'DIY E. MYEIlS, of the Borough of Mechanicsburg, County of Cun'berland and State of Pennsylvania, being of sound mind, memory and understanding, do make, publish and declare this to be my Last Will and Testamentf hereby revoking and making void all formar wills, codicils and other testamentary dispositions by me at any time heretofore made. 1. I direct my Executor, hereinafter named, to pay as soon as practicable after my decease all my just debt.s and the expenses of my last illness and burial. 2. I givef devise and bequeath all the rest, residue and remainder of my Estate, whatsoever and wheresoever situate, unto my brotherf Byron V. Broughtf providing he 'survives me by sixty (60) days. . 3. Should my said brother, Byron V. Brought, predecease me or die on or before the sixtieth day following my death, then and in that event, I dis~se of all the restf residue and r.emainder of my Estate as follows: (A) I give and bequeath one-half (1/2) thereof unto my niece, Sharon M. Stambaugh. Should my said niecef Sharon M. Stambaugh, predecease mef then and in that event, I give and bequeath the share of my Estate to which my niece, Sharon M. Stambaugh, would have been entitled had she survived me unto her daughtersf Robin Walker and Lori Ann' Stambaugh, equally, share and share alike. Should either Robin Walker or Lori Ann Stambaugh likewise predecease me, then and in that event f I give and bequeath the said one-half (1/2) interest of my estate unto the survivor of them. (B) I give and bequeath one-fourth (1/4) thereof unto my niece, Barbara Brought Hernandez, or. her issue per stirpes. (e) I give and bequeath the remaining one-fourth (1/4) thereof unto my nephew, Byron Paul Brought, or his issue per stirpes. 4. I nominate, constitute and appoint my brotherf Byron V. Brou~ht, Executor of this my Last Will and Testament. Should my brother, Byron V. Brought, fail to qualify or cease to act as Exeoutor, I hereby.. appoint Robin Walker, Executrix, of this my Last Will. , , , " I ~ COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND I, DOROTHY E. MYERS, ~'estatrix, whose namo is signed to the attached or foregoing instrumentf having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will: that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expcessed. Sworn to and Testatri>;, this sU't!! acknowledgeg., before me by DOROTHY E. NYERSf day of _4Ifdu"".Iw/ , 1994. ~~ttd~~ t!, ~'LO D rothy E Myers \ the larllll SOIlI CllJrlvn Y. -1U~I(lit~ro, t!C1lnry Public Moch:UIIC;bllHJ r:,.':,:J, CU:l:onrlrH1(] Counly My COlllrnlla;(l1ll F,."'plros May 1 e, 1 H9D M~rnb"" Pcnnsyl'liUvn A...xo.1LOO 01 NoWles COMMONWEALTH OF PENNSYLVANIA ss COUNTY OF CUMBERLAND We, 444'''; ,.; kul..</ ,w<( ;11/k..", ~ ....t;f(i~f'. ' t.he witnesses whose names are signee to the attached or fore~oing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testatrix, DOROTHY E. MYERS, sign and execute the instrument as her Last Will; that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix, signed the Will as witnesses: and that to the best of our knowledge th~ Testatrix' was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. SWOt;n to ilnd subscribed before me by ,JtI<I.'It' ",/ ~dN<""Z avl .(: '~u~ f witnesses, this ,;j'R'.f'day ot .4'~~""..:'/ /~Uu." 1994. /).L<~"v4-d.." d~1 ~ness ,_ PdJd:dw tness ar Sonl C"mlyn y, Ou ""0, Nolnry Publlo Mochalll(:~lJurg Bora, ClJnlhiJrltlnrl County My COnlllll""lolll'xplro:J MIlY 10, Hlon MQ1'~)(Jf, Pf,Jn":;yl'v'urJt1fl,:~,1i~llnl Not..l/kJ~ CERTIFICATION OF NOTICE UNDER RULE 5.61!l Name of Decedent I CJ t:>~ lOt t-l ~/ ~ J'vl 'lIS R. ~ , Date of Deathl. VUNE: fL.f. \ l) '/ !,- Will No. Iq~5-~'cJJ.1q Admin. No. " (q.b' ~ 0 L\. 1 ~ To the Registerl 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 I Name i3'/1':0{\\ V, t3 tt...o V &HT Address -- J;:J.,> w{3 c..LG. 'I O~. l~ecH. PR.lll)n' ~ pI, ~~Ot.J. Notice has now b~en given to all persons entitled thereto under Rule 5.6(a) except , :11 r<'\ (;'! , , ., .' 'f".: . A _I. 4-.1: /J ~ ~ Name.J3.'1!<:o,,' U I !?ue..ouG I-IT Address :,)..s;'Wf?:r".'-E5'/ D~. !lfJr5~t1 If /'1 ~ ~ (-\ ~ ':i!.C: !- t3 (.J fl. & , Ifill. Telephone~ 1:>9/ -c'(.b6 capacity I ,/ Personal Representative Datel 10 /t7 /1f,-' . f,() ~ \-- ",' ...1 Counsel for personal represen ta t.i ve .,'Ll_ (1: I' ~.) \ J_ ~J rj () _''''I.;~~t.''''.j..... ,"'-... \ \ i' I I 1\'1' J ," .. I ~ ,. " " " ~ll' ." 1;:.., .. _ '" ,. ,',1 , " .~ ,. '. PRAECIPE IN TH~; MA1'T~m OF TIm ERTAn: OF OFFln: OF In:mHn:u OF WII,I,S nnd (U:IIK OF 'I'H~: OIU'''''NH' COIln'I' of ('lIll1lll'rlnnd ('lInnt~'. I'I,"nH~'I\'IlIlln ..,~9'J',I;I1("r;"",l:\Xr;M...."".,..,........,.."""..,.""..'", .................."..........................,...........".....,................ Lower Allen Township Late of ...~~~~~.I:\~~!!~.~.r.9..~,9.~t9,mm~.....".. r':l'\tut(. No. .,.21~95:':':47.9".......,...".;........""...'..... 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" '''1I i,' , '-"",i II 0,1' " " "" ',' "i,l, " ' , " '<I' 1;''''';'/':/1 I. I. Ii, ii'l ;';\1 " , '\ 'j., ,l'" I, 'I. " I 'j ,I' " I" " " " " ,-I' , ",' I" ',-, " " ;i ,',I ", :i ,I ,I , " " , , '" " " , ' " ''If " . ~'~';''''''''''''''':'''.''IoU""...,~............,~~.,W.u._'.'''"'''''''''~';'' "W -:," . . ~ l ' '. .'" .. . '.' .,. ". . \ ' "'. . , " ,. ,,', i." i- - ",,'i ';11,' , j", " ~lI1f_h\olJlIOW~~""fKI~.:"',-!~-~ ' ,..,. ".... ';, ,," " " ,j,!' " ',,'1 L' I' J " , ' " 'II ': " ,.I' ,_,... I, ".~!,..,. , /J" ..:.~.~."~......,....,~ "" ,- ,\ ./ " , , " " i--.....r-+..........'l~...-,.t!~,.., '-""""'/'j..r' .~.....-,-..._.. ':'.' ',.f '.1"".' ;'" ,i.~'" ."';'~) " , : "",. ".0.11_, ,,, ".-.""7-' , I'" I,. I,' ".\'" I),' , \' ,\ ('" I,t,'. '; U' , ' ';1) ,," j . . t....' , ,,,; ~.,. .-.. ~ ....,.-! ,.~~;-,~..:. .....~~I_-._. ..,.... ..~ "'." .-..... 'i, \'1' ,"'., " " i.' " ".1' ,," '; " "~,I I, " " , ' " " '" " I.{' 'I " "~, :1'; '" ,I., /-'1. " I" ,'," " 'i, " 'I" "",. /, , 1"-' " .- ~.. -.,..~. 'i", , , ",.1' , ~ -." ,. .'; .. " I' "" "I " \' J: 1,\ ," ,JI'; " ",', , " " II ';1> " i,l. .,,' I, q, , .11 I )", ,,' " " " " ", "', , .; 1",1' :'r.'" '. , I. '~. \ '" I,' ' ,t _Ir~ ."n , ,,' ,,' ,., .....,~, , , " I' ,,' " " ," '\', '1'0\'0 .. " " ", " ,i" " tfl:' t ... I I / -J,' ',I' FAMILY SR'l"l'LBMBNT A<1U!BM1lNl' ''-<I_P'F-I/7J TIlE FIRST I\ND FINAL AOCXXm or BYIOl V. 1lIDXJfr, ~ lHlIlR TIlE LAST WILL AND TB81'AMIlNl' or DCRmIY B. MYERS, LATE OF TIlE 'lOfiSIlIP OF LafI!:R ALLBH, CXUfl'Y OF ClJIIl8RLAND, AND grATE or PBtfi9YLVANIA, DI!lCEASED, AND RELEASE OF 'l'HB DISDUIll1J.'BB llIDBK TIlE WILL or SAID DBCEDBNl' HERJm) A'I'rACHBD. Date of Death: June 14, 1995 Dates Letters Advertised: QldJerlandLaw Journal - March 22, 29 and Apdl 5, 1996 . PatriC'lt News - August 15, 22 and 29, 1995 PBRSCtW.TY PRINCIPAL N:X:J:D1r DBBITS Accountant charges himelf with the J?ersonal Property set forth in the Inventory filed in the Office of Register of Wills in and for CIIltJerland COUnty in the lIIIKlUI\t of: Accountant also charges himself with the following : $ 5207.44 1996 April u. S. Treasury - 1995 Income Tax Refund 903.00 'lUl'AL PI!RSCIIALTY PRINCIPAL A<XXDlT DBBITS ~ , ' PmscIW.'l.'l! PRINCIPAl. ACXXUfi' auDlrrs Accountant asks credit for the following: 1995 Outstanding checks drawn on Interest Checking Account prior to death June 12 Whlte Rose Ambulance 220.00 12 Family Internal Medicine 10.00 14 PP & L 12.15 20 Chuck Bd cker , Auctioneer - Costs of sale 333.50 20 Register of Wills - Probate .45.00 20 PP & L - Account Payable 1.65 20 United of PA - Account Payable 15.34 28 Dew E. Brophy - Medical Bill payable 65.00 28 Myers Funeral Home - Balance Funeral Expense 446.00 July 14 Byron Brought - Memorial Service Luncheon 100.59 15 Leader Carlisle 372 - Account Payable 2.91 Aug 8 R. J. Romberger's SOns - Inscription 141.50 31 The Patriot News - Executor's Notice 37.30 Nov 21 Meolab - Account Payable 82.00 1996 Jan 3 Medlab - Account Payable 88.50 Mar 5 William L. Sunday - Partial Attorney's Fee 250.00 I I 5 Cumberland Law Journal - Notice 60.00 , II 5 Register of Wills - Filing Fees 25.00 I . I, 5 Register of Wills, Agent - PA Inh. Tax 432.90 CARRIED FCRIARD $ 2369.34 . . Pmuuw.'1'lC PRINCIPAL ACXXlIfr mBDI'1'S (Olntinuecl) Accountant asks credit for the following: IlIOXlIIT J1(HWU) $ 2369.34 1996 Mar 5 Charlyn 'I.. Guerrier.o - Notary Fees 10.00 Apr 10 Radiology Association P.C. - Account Payable 23.98 ~'b Dee 16 Register of Wills - Filing Supplemental PA Inh. Tax 15.00 f f, \,~l, fq; . 16 Register of Wills, Agent - Suppl~oental PA Inh. Tax 142.41 Jf '~, 16 William L. Sunday - Balance Attorney's fee 250.00 ~<;( 1 "~; ~1 16 Register of Wills - Filing Family Settlement Agreement 17.00 IJ Ih; ir.; Reserved for any balance of PA Inh Tax assessed 100.00 I'i-" .<.1. f (I ,'il ~ 'lmAL PIlRSCIlALTY. PRINCIPAL A<XXlIft' CJUmI'1'S S 2927.7~ r~ ~J " PBRSCtW.'1'lC INCXJIE ACXXlIfr RECIUP'l'S . Accountant charges himelf with the following: 1995 June 28 PNC Bank - Interest (CheCking Account) Final 2.06 'lmAL PIlIUDW.'1'lC INCntE ACXXlIfr RmUP'l'S .L.iaZ I' "" l: I'" , "'j , " " ' " RBCAPI'l'ULA'l'IOO $ "6110.44 2927.73 $ 3182.71 2.06 $' 3184.77 o Balance in hands of Accountants for Distribution ~ DI8'mIBt1J.'IOO AND AIWU) . Byron V. Brought - Entire Estate .~ " " , I, " " , " . , " , , ,I I. RELFJlSE WHEREAS, Dorothy E. Myers, single woman, June 14, 1995 leaving a Last Will and Testament dated Septerrber 28, 1994 wherein and whereby she gave, devised and bequeathed the residue of her Estate after the payment of her just debts and funeral expenses unto her brother, Byron V. Brought providing he survived the Testatrix by sixty (60) days: and WHmEAS, the said Byron V. Brought survived the Testatrix by sixty (60) days: and WHmEAS, the residue of the Estate of Dorothy E. Myers, deceased, is distributable to her brother, Byron V. Brought. IOl ml'l ALL KEN BY THESE PR&'lmrs, that I, Byron V. Brought, the Bole residuary legatee, devisee and distributee of the Estate of said decedent, and the only person entitled to share in the distribution of said Estate, do hereby declare and say that I, have examined the for.egoing account and Schedule of Distribution and find the same to be true and correct and in strict accordance with the terms and provisions of said Will, and do hereby acknowledge that I, this day have had and received of and from Byron V. Brought, Personal Representative of the Estate of Dorothy E. Myers, the cash set opposite my name in the above stated Schedule of Distribution in full satiE,faction, plYlnent and discharge of all such sum or sums of ll'Cney, legacies and bequests, share or shares, purparts and dividends which were due, owing payable and belonging to me by any means whatsoever, for or on account of my full share, part or dividend of the Estate of the said decedent and all interest accrued thereon. IOl THEREFORE, I, the said residuary legateef devisee and distributee of the Estate of Dorothy E. Myers, deceased, do by these presents remise, release, quit-claim and forever discharge the said Byron V. Brought, his heirs, executors and administrators, of and from my said share or dividend of said Estate aforesaid, and of and from all actions, suits, payments, accounts, reckonings, claims and demands whatsoever, for or by reason thereof, or of any other act, matter, cause or thing whatsoever, from the beginning of the world to the day and date of these said presents. AND, desiring to avoid the delaying and expense of the settlement of the said Estate by filing the foregoing Account of said administration in the Office of the clerk of the Orphans' Court of said County, and by having the balance in the hands of the Executor, a3 shown by said Account, distributed by an auditor appointed by the Orphans' Court Division, of the Court of Conrnon Pll3as of Cumberland County, I do hereby agree that the foregoing statement concerning the manner of settlement may be r"corded with the same effect upon me as if the same had been reported by the said Court of COmmon Pleas - Orphans' Court Division. AND, in consideration of the aforesaid settlement being made without the aid of said Court of COll11lOn pleas - Orphans' Court Division, that I do hereby agree that if any debts or demands other than those , included with The First and Final Account of the said Byron V. Brought, Executor of the Estate of Dorothy E. Myers, deceased, as heroinbefore set fcrth, shall be hereafter recovered ~gainst the Estate of said decedent and be legally payable cut of the same, that I shall return to said Executor such ratable amounts thereof 8':1 may be necessat)' to pay such debts or demands. IN wrmBSS wumuur, I have hereunto set my hand and seal this 16th day of December, 1996. Witness ~t~~...._ f, ;$~~'Vl!r ~yron V. Brought (SEAL) STATE OF PENNSYLVANIA . . : ss. <XlW1'Y OF CUMBERLAND . . Before me, the 'subscriber, a Notary Public in and for said State and COunty, personally appeared, Byron V. Brought, and in due form of law acknowledged the foregoing Release to be his act and deed and desired that the same might be recorded as such. Nl'ftmSS my hand and notarial seal this 16th day of Ilecen'ber, 1996. H~l',. ial f'1{W! Ch:ulyn y, Gllorri,lrn,l,lalo,y Pllbllo MOCl1~\ill::;~l1"I~' (:\):0, GUlllh!)(l~l1d CounlY My Commission hl';'C" ~Il('.y 18,1008 MefrIloI, f'onnsy1vill'Ju ~lIon 01 NoWIeII , , " " l", ,< l" ,'" .,. i',!' ,:... '" I,: , '.:.' ~. !'" '" ',\\" "! l , ".j, , , . " .i,,: , d !', ' . ,;' , '.: .~. 'p' '\:" ,. " " /!J-I-/O-I'-I .10-11001.. (1,9jl POR DAnl 0' DIATH AnlR 12/31/91 CHICKHiRI ~6j INH::~r:E~~E ~{C~DRE~~RN r.~;UJC!ii!lITI~CL~IIt\'!lJJ '.---,--- COMMONW\AlIIIOI P1NNlYloANIA (TO BE FILED IN DUPLICATE 21 _ 9"' - 479 OI,A. MINI~' 'lolNUI _ HA"llfJI~,UmlI0601 WITH R!SGISTER OF WILLS) COUNT V CODE VEAR NUMBER uTCIOINI'! IIAMIIIAII, lillI, AND ;,4IbDlf INlli"i' OICfOW', -'OM-", AOD.l'iF(m,iU Inej') - :;ye.:.::~.!X'ro-~~-~::""""'--'I----'--"----r"'------'-'-' Apt. 3304-325 Wealey Dr! ve ,OCIAlllCU,IIYNUMU> OAII 0/ O'Al" ~OAlI Of """ MechanicabUt'g, PA 17055 P~;~~'~~:~~~~U"" ",";,...-,w..,I-~~~::~~"~~~r~~A~:~:~~~~~~M~i' ...~..C,~J=W:f.~~~W~~~.=.~~==~== P!J 1. Orlglnol R.lurn II 2, Suppl.menlol R.lurn I"j 3, R.molnd., R.lurn - ' II., dolll.I d.olh prlo, 10 12-13,B21 rJ 4, lImll.d E.loI. [l 4n, FUlUII Inl.,1I1 Comp,omh. [] 5, F.d.,ol Ellol. To. R.lurn R.qulrod - (In, dolll 01 d.olh olt" 12.12.B21 g] 6, Oocod.nl Ol.d Tlllol. [J 7, Ooc.d.nl Moln/oln.d 0 lIYlng T,u,1 (Alloch copy 01 Willi (Attoch copy 0 TfU'I) fflPONDllilc(M!O CON'UUNflAT.,^)( IN'O.MAYlON SHOUlDllOlRIQUD TO. : COM'U ! M It 0 I!! 1;1:'5~ ~t. I II ___..J.. 7E.L 766:9622 AL HAM! William L. Sunday ffiilHo"Nl HUMI! It I, R.ol E,'al. ISch.dule AI 2, Slock! ond Bond. (Sch.dul. B) 3, Clollly H.ld SlockIPo,Ino"hlp Inl""I (Sch.dul. C) ~, Mor/gagll ond NollI Roc.lyobl. ISchedul. P) 5, Ca.h, Bonk O.po.III & MI".lIonooul P."onol P,op"ly (Sch.dul. E) 6, Jolnlly Ow nod P,opllly (Scllldul. FI 7, Tron,I,,, ISch.dul. 0) (Sch.dul. LI 8, Tolol 0,.11 A".II (Iololllnll 1.'1) 9. Funeral EKpen..., Admlnhlrallv. COlli, MllClllaneoul EKp.n," (Sch.dul. H) 10, O.bl., Morlgog. 1I0bllltlll, 1I.n. ISch.dul. I) 11, Tolol O.ducllon. Itololllnll 9 & 10) 12, N., Vol" of Ellol.(lIn. B mlnu.Llno II) 13, Cho,ltobl. and Oomnm.nlal hquIIII (Sch.dul. J) 14, N., Vol" Sub ocl 10 To. lIn. 12 mlnu. lIn. 13) 15, Spoulol T,onol", (for dolll of d.olh of I" 6,30,941 5.. Inlllucllon. for Appllcobl. Porc.nlag. on Rov.". liS) __, Sid., (Indud. valulI f,om Sch.dul. K or Schedule M,) 16, Amounl .ILln. 14 lo.obl. 01 6% '01. (Includ. yolulI 'rom Sch.dul. K or Sch.dul. M,I IT, Amounl.f lIn. 14 lo.obl. 01 15% '01. (Includ. valulI from Sch.dul. K or Sch.dul. M,) lB, Prlnclpollo, duo IAdd 10. from Llnll IS, 16 ond 17,) 19, Crodlll Spoulol POY"ly Clldll P,lor Poym.nll o 0 + --- +- 20, If lln. 1911 Glial" Ihan lint 18, ,"I" Ih. dllf","" on Lln. 20, Thlll'lh. OVIRPAYMINT, liD z 5 ! I I a _ 8, Tolol Numb" 0' Sol. O.po.1I Bo... 39 West Main Street Mechanicaburg, PA 17055 111 .,.u___u_____.uuu_ (21.__ (3) (~ ) ..,_._.__'_m._'__._ (,\I___2~07.44_____._ 161 ..--.---, o 17) .-_,_____________ 1823.89 181 5207.44 191 (101 ._.....997..s.s (1112321.44 (121. 2886.00 o (13) ___ 114 2886.00 )(,-- (161 M ,06. (171 2886.00 .M ,IS . 432.90 (181 0<1,7,90 DI,count o Int,,", o o (19) (201__ 432.90 121) ._.______ (21A) ___.0 (218) 'u' 432.90 (1"'11. 11111 ., yo" IItI '.''1111'\111''1 II Il funclt" V"tll IlVI''1IUVIllI'1l1 Act '48 of 1994 prClVld.. for the r.ductlon of the talC rat.. Impo..d on the n.t valu. of trand.r. to 6r for the u.. of the .pou... Th. rat.. a. pr..crlb.d by the .tatut. will b.. · 3% (.031 will b, appllcabl. for ..tatee of d.c.d.nt. dylnll on or aft.r 7/1194 and b.for. 111196 · 2% (.021 will b. appllcabl. for ..tat.. of d.~.d.nt. dylnll on or aft.r 111196 and b.for, 111/97 · 1% (.011 will b. appllcabl. for ..tat.. of d.c.d.nt. dylnll on or aft.r 111197 and b.for. 111/98 · Spou.al trand.r. occurrlnll on Dr aft.r 111198 will b. 'lC.mpt from Inh.rltanc. tax. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (...) IN THE APPROPRIATE BLOCKS. 1. Old decedent make a transfer and: a. r.taln the Ule or Income of the property tranlferred, .........."",..............."..........",,......... x b, retain the right to deslgna'e who Ihall ule the property transferred or III Income, ""........... x c, retain a reversionary Interest; or .........."....,,, " "...........,.."""""" "....;"",......."",,,.,,,,,;. x d, rec.lv. the promlle for life of either paymenll, benllflt~ or careL.........,,,,,............,,......... 2, If d.ath occurred on or before December 12, 1982, did decedent within two years preceding d.ath transfer property without receiving adequate conllderatlon' If death occurred after O.c.mber 12, 1982, did decedent transfer property within one year of death without rncelvlnll adequate comlderatlon',."", ".."".".... ........",.. "."........,...,. '''''''''' ,...". .."""... ."..",,, .....,. x 3. Old d.c.d.nt own an 'In trult for' bank account at hll or her death"'..........""........".."."..." 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. , , 11\lIIOlU.f'.t7) SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Plea.. Print a~ FilE NUMBER 21-95-479 * COM'j\\1~W~AUJW t'll~'l~AN'A ~Wl~N' a'tclilHY mATE OF Dorothy E. Myers lAM ".....ty Iololly.ow..4 wlli; the RI,hl If 'u..lwllhl, ..u.1 ~I dllllo..4 In ,.hodul. ., "1M NUMIIIR DISCRIPTION YAWl AT DATI OF DEATH 1. Cash on possession $ 15.00 2. Interest Checking aCcount 150-7003-2115 in PNC Bank Balance on Date of Death Accrued interest to Date of Death (5/19 x 2.79) 3008.09 .73 3. Savings Account 150-3006-1763 in PNC Bank closed to and is included in Interest Checking Account '50-7003- 2115 in PNC Bank (Item 2 above) prior to time of Death on the Date of Death Included in Item '2 above 4. Gross proceeds from sale of household goods and furniture - see Brickers Auction Statement attached 993.50 5. Mark Walker - Refund and appliances 761.00 6. Blue Shield - Claim '(Brophy) 55.00 7. Blue Shield - Claim (Brophy) 337,.16 8. New Castle Mutual Insurance Company - Pram Refund 9.00 9. United Tel. Co. - Refund 13.08 10. Blue CroBs-Blue Shield - Co-insurance rebate 14.88 S 5207.44 (Alla.h addlllanal'lI" . 11" ,h.." I' more 'pa.. I, n..d.d,l IIY'UII''''I''''. COMMONWIAUH Of HNNtylW.NIA IHHUI!ANCI1AlmUlH "IIDIH' OIC.OIMt SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES AND LIENS PI.a.. P,lnt a, T . ~:::5E~479 ______ IhAU 0' Ilorothy~My.lrlL____ lTlM NUMB" DESCRIPTION AMOUNT 1. OUtstandil19 checks on Interest. Checking Account '5o-7003~2ll5 in PNC Bank (It.em 2 Sch E) Check . Date Payee 344 6/12/95 White Pose Ambulance $ 220.00 345 6/12/95 Family Internal Medicine 10.00 346 6/14/95 PP&L 12.15 2. PP&L - Account Payable 1.65 3. United of PA - Account Payable 15.34 4. Don E. Brophy - Medical Expense Payable 65.00 5. Leader Carlisle - Account Payable 2.91 6. Med Lab - Account Payable 82.00 7. Med Lab - Account Payable 88.50 Ii I. " .,1 TOTAL (,1,1.0 on'" on lint 10, Rocopllulo"on) , /11 mOil .poco II n..dod, In..,' oddlllono,.h,,', 0' .ome Ii..,} $ 497.55 INHERITANCE TAX RETURN R!:!SIDENT DECEDENT COMMONWEAlTH Of PENNSYlvANIA (TO BE FILED IN DUPLICATE OEPAR'M~NT Of RlvENU! HARR'sfJR6J~\'i1'80601 WITH REGISTER OF WILLS) COLltllV CODE YEAR ID~;~;~;'~~~It~~I' ~:O MIDOii"N,,;;:,i un . n DA;~':' "3304~1325"~en~~~16~~~e _,_____.____n 'hn_._n]_'_ .m.-nh_J_-_' -. Meehaniesbur9, PA 17055 IOClA' mUR'" NUM"R OAI! 0' "A'" DAI! Of ."", Lower Allen Township .J.QHQ--B2.41;Ln_._'_ _n__' 6D4L~5_ _nn n6/Q8Ll2 . -C""f .Curnberland____n__.n'____._n.___'__ I" '''"~_'~~'~':'~::''.: '":'_''''' '''OM'''''' "":'__I'OClAl.I'~~:' "UMIf'.. n 'nMO_U_Nl '!C:~~I~~'N':~CII0NI: nun_________ [nl I. Original Relurn 11<1 2, supplemenlal Relurn [1 3, Remalndel RelUrn n - (lor doL" 01 deolh prior 10 12-13.82) lJ 4, limited E'Iale 1140 Fulure In'e...' Comproml,e [J 5, Fedelol Ellole To, Relurn Required {lor dulO' 01 dealh alter 12-12,621 r:-1I 6, DlCedenl Died Te"ale [J 7, Decedenl Malnlalned 0 living l'U11 (Alloch copy 01 Willi . IAlluch copy of Tru"1 ALL CORRII'ONDINCI AND CONPlDENTIAL TAX INFORMATION SHOULD 81111RECTSD TOt NAME COMPLETf MAILING ADDRESS REV.L500 EKt IMAI ~ ":S::l Illfu "'li!9 ut." c ~~~l\ .....l-Vt;1. &1 iii III '" 13&1 :llil B~ 1:5. I/O ., /11 r 'OR D4f1S 0' DIAfH AnlR 12/31/91 CHICK HIU IF A SPOUSAL - POVIRn CRIDIT IS ClAIMID [.I -,TLi-NUMliR ., . .---..----.-. ---.. ._~n..~._~._~_..n 21-95-479 NUMBER ...- . ..-,. _ 8. Tolal Number of Sale Depolit Boxel 39 West Main f:et Meeha_~ieSbUrg . ~ 17~5-62~' to ' ,I 0-- -, ( 11 n_ ____'M._._._.__~n._. -;:' _,1 0, ~I: nit, lJl 121 ____________._,______.___:'\ , . .... -, c.\ 13 )_n__"n______~) ii -..J ~~ ~f. 141,______n'_..___.mn__n_p, ;n ~ ~t 15) .n___ 9Q~,OO ---n--:...h 0 15 _v.. c.' 0 ,>;.. ~ -n (61 ___n________.___ N 17 J ______n________ William ~, Sundlly____n_________ TELEPHONE NUMIE~ 181 903.00 z 5 ! 166::9.622.._ , I. Real E,'ole {Schedule AI 2, slac~' and Bond. Ischedule 81 3, Clolely Held sloc~IParlne"hlp Inle,OI' Ischedule q 4, MorlgagOl and Nole' Receivable (sch.dul. 01 5. COlh, Ban~ Oepolill & MI"tllaneoui Personal Properly Ischedule E) 6, Jolnlly Owned Properly Ischedul. FI 7, Tran"e" Ischedule GJ Ischedule LI 6, Tolol Grall A..ellllol.1 Line. 1,71 9. Funeral ElCpln..I, Admlnhtrallve COlh, Mhcellaneoul hpen... Ischedule HI 10, D.bl.. MOrlgage l'obll'lle" Lie" Isch.dule II 11, Tolol Oeductlon. 110101 lInOl q & 101 12, Nel Value 01 E,'aleILlne 6 mlnu. Line 111 13, Charitable and Governmenlal 6equo.h Ischedule JI 14, Nel Value suble~I 10 To, (Line 12 mlnu, line 131 15, spau.al Tran"e" liar dale' 01 dea,h alter 6,30.q41 See Inltrucllonl for Applicable Perc~nlage on Rlltverse Side, I'nclude voluOl Irom Schedule K or schodule M,) 16. Amounl of line 14 lo,oble 01 6% ralo Ilnclude valuOl Irom Schedule K or Schedule M,J 17, Amounl 01 Line 14 'a,able 01 15% role Ilnclude voluOl Irrm Schedule K or Schedule M I 18, Principal 'a, due (Add 10' from L1nOl 15. 16 and 17,1 19. Crodlll Spoulal Poverty Credit Prior Paymenh n___,_,... ,_m"_m. + I q) ___..l5..oo___ (101 _ 15.00 _~.oo_____ o 888,00 (11) (12) (131 (141 1151,___. 0 ,~K'unna ______<L___._.___n_ (161 _,_,,___ _0_______ .____K ,06 a ____<L_____.._.___ (l71__.__~1l!i,-QOn_.._.n _c. K ,15 a ,__.___lJ3. ~Q..___._____ (18) ,,__,_-133.20__n."__._____. Oilcount + _ .m. _____.. Inlerell (I q) nn___n _0__. n____'_.__n__ 1201 .m_n. ___h. z i! lC ~ . '" u S 20, II line lq h grooler Ihon Llno 16, enler Ihe dlfferenco on Llno 20, Thh I. Iho OVIRPAYMENT, IIlJ 21. II line 16 I, glOoler Ihon Line IQ, enler Ihe dlffer.neo on Line 21. Ihl, I"he TAX DUE, A. Enter the Inlerell on the balance due on line 21 A. B, Enler Ihelolal 0/ line 21 o"d 21A on LIne 216, Thl,I,'he 8AlANCE DUE, MOl<.e Check P~yabl~ 101 Regl,'''!' \V1II~.,A~~~~un ~__ ...nn.___ (11l'(~ hl"l' .1 you (H(' rc.'lluc\lll1{1 (I ft.fund of you, ovolpnytolllll 133. ~Q .__. 9.21 .142.41 (211 121A) 12181 ~ 'Ii- 8E SURE TO ANSWER ALL QUISTIONS"ON it~YIRSTSlDE ANti To-iticliifcifMATif';c.:o(,-_-m-.-- Under penalll" of perjury, 1 declare Ihall have oKamined lhh return, Including accompanying tchodulfl1 and 'tnlemen", and 10 Ihe blnl of my ~nowllldge Clnd ballefj ~~~.~~t~'n cgllrin)~~~~lf~:~:~~hi~h~;l~;~~~~!\;~I_(i;~\~~_;II~_~;;.b~o_n. (OpOrlft~ .~.l_~r_~~. m~~k.~I._V_~_I~_O. O.oc.l~r(J_llon 01 pre_~~ror oth~_r _t~n the ~~.r_~~~:.~~prllonlallve II "ONAIlI Of ',",ON ,""ON" roo f1l1Nn '!)t; ADD"" 325 Wesley Drive Apt 3304 "AI' --'-'-'''", - _~1'::c~"t_, -Z"''''':!.I ...'. ^"""iIMeehaniCSbur9, PA 17055 Pee I~ 1~9~. St ~JJ~~P~!PA.IH~~I;:",YlAtj IIf \Hll^IIV( 39 West Main Street DAT! .-.&,,IH.~~-i.X,.. - ~7 Mechanicsburg, PA 17055-6230 Dee I~- 1996 '- ., I}' t~: fl,! ~:'~; \'," :11<, j, ~\ jl~ W" " ".L' , A~t '48 of 1994 provld.. for the reduction of the tax rat'l Impol.d on the n.t valu. of tranll.rl to or for the UI. of the IpOUI.. Th. rat'l 01 pr.mlbed by the Italuta will b.. . .3~ (.03) will b. appllcabl. for .ltat.1 of d.c.d.nll dying on or aft.r 7/1/94 and b.for. 111/96 1;.' ,;, . 2% (.02) will b. appllcabl. for .ltat.1 of d.c.d.ntl dying on or aft.r 1/1/96 and b.for. 1/1/97 "" . 1~ (.01) will b. appllcabl. for .ltat.1 of dec.d.ntl dying on or aft.r 1/1/97 and before 1/1/98 . Spoulal tranll.rl occurring on or aft.r 1/1/98 will b. .x.mpt from Inh.rltance tax. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (1"") IN THE APPROPRIATE BLOCKS. VIS NO 1, Dldd.cad.nt make a transl.r and: Only aa shown on original Return a. retain the us. or Income of the property transferred, ....".....".."......."""...........""""".... x b. retain the right to d.slgnate who shall use the property translerred or lis Incom., "".""".". x c, retain a reversionary Int.restj or ......",............"......".............."........,...........,..,..,......... x d. r.c.lve the promise for III. of either payments, benellts or care' """""",,,,,,,,,....,,,,.,,,,,,... 2. If d.ath occurr.d on or b.lor. Dec.mber 12, 1982, did dec.dent within two y.ars preceding death transfer prop.rty without rec.lvlng adequate consld.ratlon' If death occurred aft.r Dec.mb.r 12, 1982, did decedent transfer property within on. year of death without receiving adequate consideration'" .,.....".., ..1........"., ....., ,..,..... '0"""'" '..,.......0' ......... '0' '" ",,",,,,,,,,,, x 3. Old d.cedent own an 'In trust lor' bank account at his or her d.ath'.........".............."........... X IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YESr YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. " , ",t ,",~- 1 SCHEDULE E :l 'I.i-=r CASH, BANK DEPOSITS AND COM~,\jN:t-:I~HH o. tlNNIYIVANIA MISCELLANEOUS HliMfN~IJtMc.VRN _ P~~SONAL PRC?PE~TY Pleale Print or Type ESTATE OF -. - - FILE NUMBER DorothY.!!...tlY.ers ___ ,_. 21-95:::419 IAII pr.,.rtv 1.lntly.own.d with ,h. ~I.ht .f IUlvlvo..hlp mull ~!.. dllllol.d !n l,hldul. p, IIIVI!OfIIt IJ.'11 ITIM NUMBIR DESCRIPTION VALUI AT DATI Of DEATH ----...-.--____._______..______.M 1. 1995 U. S. Income Tax Refund $ 903.00 " 'I' ,.". " .'" "~, " ',\' " ,,' ". p ,.' ji ,"j ,,' ,." , .I' .' , 'i' ,', ,,' I.:, , ',.j ,', ", " .,1. ,,, .,"1 . ,I, If " " , " " , ,. " , ' .' " . " , ,',' '"i " i " 'TOT~ enter, an line 5, Recapitulation IMach oddllional 8~' . 11" ,hotl,l! more .pace h 'otdld,l . .I~UIII" p.", ITIM NUMBER ~:Jl.~ ...~ COMMONWIAllH 0' 'INNSYLVANIA INHUIlANCI TAM mUIN Rn'DINl DICIDINT 5CHIDULI H 1 . 'PUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES Pltal. Print or TVI" Doroth --1~-95-479 ~ DESCRIPTION A. l'unerollxp.nl'll 1. II. 1. 2. 3. 4. C, 1. 2. ('! 3, 'I ,I. tH '. ;~, 4. l' , ,. 'II', 5. :; :i 6. !., " " ''I 7. .'I' "~I 'I 8. ~ ~. I Admlnlltrotlv. COltll Pellanal R,pII..ntatlve Cammllllan. , Social S.curlly Number of P.llanal R.pII..nlatlvel V.ar Cammllllanl paid Attorney FII. Family exemption Claimant Addr... of Claimant at d.ced.nl/I d.ath , Slrllt Addllll . R.latlanlhlp City __5101. Zip Cod. Probate FII. Mllcellan,oul Exp.n"" Register of Wills - Filing Supplemental PA Inheritance Tax Retur " TOTAL lAlla .nl.r on IIn. 9/ R.capllulatlon) IIf mOil IPOC' I, n..d.d, Inl.,t additional ,h..t, of ,am. 111'.1 AMOUNT $ 15.00 s 15.00 " I I! :1 I I i I I I I I , I Ii , , I I I I I I ... ..', .,- '-" .., ...., ,.~ . r- -, - .~-, --, u__. ,--- -... ..- --- -_.. .....,..- -. . .- '. -._-, -.- .--- --- ---- -.-.. .-.- ~-.-. .' RECEIVED PROM, & ACN ASSESSMENT f!I CONTROL .:.1 N UM8E R AMOUNT SUNDAY WILLIAM I. 39 W MAIN STReET 101 '''se.90 MECHANICSBURG. PA 17005 KHb HilI 'otD HII'- UTAre INfORMATION, B R 13 II e II POSTMARK OUNTY BaN e03-10-B94B PlR T) MI E REMARKS m TOTAL AMOUNT PAID '43e. 90 vz /h [I~ '" RECEIVED BY /lkIA'1. ,IA ~(nJ.1yJ.N/ . /! IIONAlu (.. I MARY C. LEW76 ,~/;(I,l.:') REGIBTER OF WILLS I<~"'" ',I ./ BYRON V BROUGHT c/o WILLIAM L SUNDAY ESQ CHECK" 359 JlEPLM:I!<<l RECEIPT 111\ 112605 SEAL REGISTER OF WILLS .-.._ ..._ _U4 "._. ~,_ __..........4 .-....-.-1. " ,zo, .,) , .r .' , '. ......f --. "M , " , _.. ~...., _.M__.... .....~ I ~ '*_....~M.., , " ~ ... ,.....~.' ..., .. . ' .... . .l.........~ -.-- -.. ~ .._ -.- -.- . -.... ..-- ...-. ... u.' .- .~ ____ ...._ __._ .J...._ .~..... ... ..' .. ..._. ..l . '__.~_ . RECEIVEDf!lUNOAY WILLIAM L 39 W MAIN STREET & ACN ASsesSMENT ... CONTROL t <III NUMBER AMOUtf43E1.90 MECHANICaBURG, PA 170~~ IRIT) Mil / I ,. I .f ( \, \ I , , \ I Ii ....., / 21-19915-0479 aSN eoa-IO-B94B '\ ... ~ CUMBERLANO RK BYRON V BROUGHT DU H CHECK" 3!59 t4:;1e.90 , YZ REMARKS m TOTAL AMOUNT PAID SEAL RZPLAC!O WI11l RaIPl' M 112606, REGISTER OF WILLS MARY c. LEWIS REGI6TER OF WILLS RECEIVED BY ~ONATURl I -. -- -_. -..- --'- '- --- -..-. .-....- "- -.-.,. -_. . ...--- -.-- .....; '-..' --'-' ,---'- ---. -- T-4. .-_:' .~... _u_ _ _ __ -----;".____ ___ ._-.. ~ ..! / " '," ...... t...~ ~_ _r''''~' . , I , , " ',," -- _...~. --"--'-r~..~ J I ' \ 1./) i/O. (,/ (~ t.---' ,/ R1VolB47 EX AFP (12095* COHMOHWfAlTH OF PENNSYLVANIA DEPARTHENT OF REVENUE BUREAU Of INDIVIDUAL TAkE. OEPI. 21D6DI HARRISIURO, PA 17128-0601 ESTATI!-OF MVE~==='D'llll'li DATE OF DEATH 06-14-95 NOTICE OF INHERITANCE TAM APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUC710NS AND ASSESSHENT OF TAM ACN 101 DATI! 06-24-96 1F~~ CUMBERLAND -==r=~.:.J:.'- -=->:o="",",nr=~ FILE NO. COUNTY - NOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAM PAYHENT TO THE REOISTER OF WILLS, HAKE CHECK PAYABLE TO "REGISTER OF WILLS, AOENT" REMIT PAYMENT TO: WILLIAM L SUNDAY 39 W MAIN ST MECHANICSBURG PA 17055 REGISTER OF W1LLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 L AMounl R.Mltt.d CUT ALONO THIS I.INE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iilV: i 5li1' Ex'iI F ji' i 1"2"-"95-'-" Niir icE" "0 F - INH Eiii f ANcE" T"A' X -iiPPRA"i BEMiNi'"; - ili.l"oWAN'C E" OR'"" OM - - -- -. - - - - -- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTAT! OF MVERS DOROTHY E FILE NO. 21 95-047~ ACN 101 DATE 06-24-96 APPROVED DEDUCTIONS AND EXEMPTIONS: 1,823.89 ,. Funar.1 E.p.ns../AdM, Costs/Hho. E.p.ns.. ISch.dul. H) I') 10. D.bts/Hortg.go LltblllUu/Lltns ISch.dul. II UO) 497.55 11. Totol D.duoUon. Ull 12, N.t V'lu, of T.. R.turn (12) 13. Ch.rltobl./Gov.rnMontol B.qu.sts ISch.dulo J) (13) 14. N.t V.lu. of Estoto Subj.ot to To. 114) NOTE: If.n ......ment was issued proviously, linss 14. 15 and/or 16, 17 and 18 will r.fllct figyres that includl thl tot.l of abh ret.urn. ass!sssd to datu. ASSESSMENT OF TAX: IS. AMount of L1n. 14 .t Spol,"1 rot. llS) 16, AMount of Llno 14 t...blo ot Lln..I/Cla.s A r.l. (16) 17. Aaount of Lln. 14 to.obl. .t Coll.l.r.I/CI.s. B r.t. (17) 18. Prlnolp.1 T.. nUt TAM RETURN WAS I (X) ACCEPTED AS FILED RESERVATION CONCERNINO FUTURE INTEREST 0 SEE REVERSE APPRAtSED VALUE OF RETURN BASED ON: ORIGINAL RETURN I. R..I EsI.t. ISoh.dulo A) 2. Stock. and Bonds (Sohodul. B) 3. Clos.l~ H.ld Stook/P.rtn.rshlp Int.r.st (Soh.dul. C) 4. Hortg.g../Nol.s R..o!v.bl. lSoh.dul. D) S. C.sh/B.nk D.poslts/Hls.. P.rsonol Prop.rl~ lSch.dul. E) 6, Jolntl~ O"nod Proport~ lSoh.dul. FI 7. Trlnsforl ISch.dulo G) 8, Totol Auots TAX CREDITSs PAYHENT DATE 03-12-96 RECEIPT NUHBER AAl12606 DISCOUNT I') INTEREST (-) .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( I CHANGED (I) (2) (31 (4)_ (S) (6) (71 .00 .00 .00 .00 5,207.44 .00 ,00 (8) 5,207.44 '.3'1 4" 2,886.00 .00 2,886.00 .00 .00 2,886.00 M .00. M .06. M .15. U81 ,00 ,00 432.90 432,90 AHDUNT PAID 432.90 TOTAL TAX CREDIT --- BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 432.90 ,00 ,00 .00 IF TOTAL DUE IS LESS THAN II, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FDRH FOR INSTRUCTIONS.) O#,l '1!"" '. -, .- ,. '/1,. ql 'II /,/11\ 'I'" (J WI ~Q. .- N ~ ~ t~ ~; 0:.: (/ C1ri J 1 I ,J ,f L ! , ,I .' :.J ~~: E 08 " '.~ ~ .... 1:1: I" ',I RlSERYATION. f..tlt.. of dlcedent. dying on ar blfar. Dle.lb.r 12, 19.2 -- if .n~ future lnt.r..' In thl I.t.t. It trtnt'.rrld In po.....lon or ertJ(I~Hnt to ClIII I (oolht",U btn.flct.rl.. of thl dlc.dlnt Ift,r thl IMplr.Uon of InV lltet, for U,. or for Vllr., thl CO'''OOH"Uh h,rflbY .Mpr.llh ""'VII thl rlllht to appr,h, and ...... tranl'.r InherJtIMI Tllell It the lawful ellll II (coll_t.rt1) r.t. on any luch future Int.rllt, _Of' HOTICE, To fu1fll1 the requlr...nt. of SloUon 2140 of thl rnhtrlt."c~ Ind E,tltI TIM Act, Aot ZZ of 1991. 72 P.S. I.otlon 21\0. PAVMENTI Dttaoh the top portion of thlt Notlo. and lublllt with your ply..nt to thl RIghtor of WUlI printed on thl rIVI,.. .Ide. ..H.... .heok or ...... ordor p...bl. \0' REOISTER OF HILLS, AOENT All plv.ant. rloalvld ,hill flr.t b, applied to InY Int.r..t which ~'V b, due with any r...lndtr Ipplltd to the tiM, REFUND (CA)I A r.fund of . tlM or.dlt, which WI' not r.quI.tld on thl TIM Rlturn, .'v bt r.qu,.ttd bv cOlPlttJnl an "Applloltlon for At'ur,d 0' Ptnnsvlvanl. Inherltanol and E.t.t. TIM" (REY-ISIS), Applioatlon. .r. IVll1abl, It thl U"lol 0' the Atgllhr 0' Will., ,nv of th, n Rlv.nul Dhtrlot OffiCII, or bv cIUlnll thl 'Plot,. Zit-hour In'WII':'"' IIrvlol nuIIb.r. 'or for.. ol'dtrlnUI In Plnnevlvlnl, 1-800-.\62-2050, out.lde P."nulvlnll and within 10011 H,rr..bur, .rl' (717) 7'7-&094, TOOl (717) 112-2252 (HI.rlng 1."lrtd Only), OIJECTJONSI Anv Plrty In Intar..t not IIth,lad with thl .ppr.I....nt, alloNftncl or dh'llow,"cI of deduotlon., or ........"t of tftM (Inoluding dl.count or Int.r..t) I' .hown on thl. Notlc. IU.t obj.ct within JIMtv (60) dav. of rlc.lpt of thll Notte. bV I AOH1N IIIRATlVE CORRECTlOMS. uwrltt.n pro tilt to the PA O.part..nt of Rlvlnul, Board of ApPllh, Dlpt. 281021, Harrlsburll, PA 1712a~1021, OR ".llctton to hlv, the ..tter d.tlr.l!nld It audit of the aocount of the Plr.onal r.prellntlttvl, OR uapPlll to the Orphanl' Court. ~lOtu.l .rror. di.oov.r.d on thl. ........nt .hould b. addr....d In writing tOI PA D.part..nt of R'Vlnu., .ur.~ of IndlYldull TIMI', ATTHI Po.t A.......nt Rlvl.w Unit, D.pt. 280601, H.rrl.burg, PA 17128~0'Ot Phone (717) 7.7-6505. S.. P'O' 1 of the bookl.t "tn.truotlonl for Inh.rltanc. TaM R.turn for I R..ldent DIc.dent" (AEV~1501) for an 'Mplanatlon of Id.lnl.tratlvllv corr.ct.bl. .rror., DISCoUNT I If anv tlM due I, paid within thrl' (5) oal.ndar .onth. aft.r the dlc.d.nt'. d..th, . flvl p.rc.nt (SX) dl.count of thl tlM PIJd I, allow.d, The 15X tlM .-ne.ty non~Plrtlolp.tlon Plnaltv I. c~aput.d on thl tot.1 of the t.M and Jnt.r..t .......d, Ind not p.ld blfor. Janu.rv 18, 1996, the flr.t dlv aft.r thl Ind of the taM aln..tv p.rlod. Thl. non~p.rtlctp.tlon p.n.ltv I. 'PP.llabl. In thl .... .ann.r and In the th. .... tl.. p.rlod a. VOU would apPlal thl t.M .nd Inter..t th.t hi. b..n .......d II Indlc.hld nn thl. notlOI. PENAL TV. INTEREST I Int.r.~t J. charg.d b,glnnlng with flr.t dav of dlllnqulnc1, or nln. (9) lonth. Ind on. (1) dav fr~. the dltl of dllth, to t~1 dlt, of P'Vltnt. T'M" which bloa.. dlllnqu'nt b.forl Januarv I, 1982 bl.r Int.r..t at tht rat. of SIM (6X) p.rcent p.r Innut c.lcut_tld at . d.tlv rlt. of .000164. All tIM" Which blo,,, dlllnqu.nt on and tft.r Janu.rv 1, 1"2 will belr Int.r..t et I rat. which will very frol cal'nder v..r to olllndlr v..r with th.t r.t. tnnounald by the PA O.ptrt..nt of R.venu.. Th. Ippl1cabl. Inter..t ret.. for l,a2 through 1996 erll '!!!t {nterllt Aat. DillY lnt.r..t Faotor :!!!r tnter..t Rite DIII~ Jnt~,..t FlOtor 1912 20~ .0005\1 I'll 'X .0002\1 1'15 16X .000.31 1911'1991 m .000101 191\ 1I~ ,ooom 19'2 'X ,OU02\1 1915 ll~ ,000556 1991'199\ IX ,0001'2 I'll IO~ ,00021\ 1995-1996 'X .000201 "-lnter..~ I. cIlcul.t.d .. followll INTEREST . BALANCE OF TAX UNPAIO X NU"BER OF DAYS DELINqUENT X DAILY IHTEREST FACTOR ,"Anv Notlo. I..u.d .ft.r thl tlM h.cOII. delinquent wtll r,'l.ot In 'nt.rlst c.lcutttlon to 'I,t..n (IS) dlYI b.vond ttwl date of tht ........nt. If PIY"lnt It ..d. Ift.r the Interllt COltput"Uon date shown on thl , Nottee, Iddltlon'l Interllt tUtt b. cIloul.t.d, , .. .. t \_ r,"- ,......u.,'~ ,. '... , \ '" ...., -..-.. .,_... -.-- .....-. .---.. .-.' ,- ... .,-", ..-. - -.- ----- -...- ..-- --, '- ,--'" ---.. -', . "'J' . "{ "u~lli"'I' ." .1. "~"', <:1" I", ... ,_'.' __ :;" ", .., ." , , '. . .. , __,' ..' '. '- ,> ."n !'. ,,;. - " < ,., '--", f, i :',',f ,'",':f;I.\,~,',;'lj(,'~"',\~','1'il',',\I'\,',':,\,"',\'8"""",'"""".,,, ',",iN...' '".i",',"UftUW,", """"', 'IA" ~,r ,H" '0, .'.'~,' t3V,,', ''LV'A ~IA',' "',':,' ',ii', :':",~",,':',",:',";,:']':.(!\,'i':,\i:',',',';,\:r:J\\\~i , 111 \' {' I, , '''\~''''':'~~'''''OfI',:;;....~~t..., ",I ',,,1..,,,,,,,,,,,,1'.\1" ._, ---,5?i>.J\-"'f'"" t._.:I_:;i-,:'.-',.,....~(.........~,- nY""'."'~ "",j\'.i_I.i:,,('."';-~':" /';:-;',;i \ , 1~~k\;;ia~i!,!;o\~'i::~"~~.""NmVANlA !NHI_WANe. AND ""A11,,.#::,:,.",', ' ",:;1" ACN AsseSSMeNT 'I' CONTROL IW NUMBeR REceiVED fROM, & AMOUNT :\ 'I :1 WILLIAM L SUNDAY ESQUIRE -reI .141!.41 39 W MAIN STREET MECHANICSBURG, PA 170~~ /OlD Hili 'OlD HilI' SSN e03-10-El948 (fiRST) Mil E .14e.':+1 vz j ;i I , .1 1 m TOTAL AMOUNT PAID seAL BYRON V BROUGHT CIO WILLIAM L SUNDAY ESQUIRE CHECK" 364 ReceiveD BY /1/(,,1,/ ',_', ';<'; II, I ,;J, 1"/':"- ,I 1I0NA'U~! " ...,., ,i , ,0' i' ;!1;P.,')I /(<'1',/ ' ~~~ra~ERL~~I~ILLS .; REGISTER OF WIL~S I. . ..... ._._ .._.. ......_ ..~_. ..... .___, _.... .__..__.~-._.__...,. ,.._'M __..... __..' _~..... \it!' .') I .' . . . ., ~ ............... " ',. , ...........,.' -"",-",,,,,'_,J ~ft- J.t..-,,~'. . . ,- - -- " j I I ' . , 02-10-97 MVERS 06-14-95 21 95-0479 CUMBERLAND 101 EOU~- Rulttld ] MAKE CHECK PAVABLE AND REMIT PAVHENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONll THIS LINE ... RETAIN LOWI!R PORTION FOR YOUR RECORDS .... iiiV: iS4; - EX-Ai,ji - f 1 'If: 9111"1loi'" ic r -(iF" IN'1i iiiifA ifcE. T"A' X - iippiiXi ii iifENr; -Ai. 'i."owAifcE. OR --..- m -..... - -. DISALLOWANCI! OF DEDUCTIONS AND ASSESSHENT OF TAX DOROTHV E FILE NO. 21 95-0479 ACN 101 APPROVED DEDUCTIONS AND EXEHPTIONSI 9. Funlrll E'Pln.I./Ad.. Co.t./Hllo. E.pln.l. ISohldul1 H) (9)-- 10. Dlbh/HortUlgl LilbllIUII/Llln. lSohlduh I) 110) .00 11. Totll Dlduotlon. 111) 12. Nit VIlul o! TI. Rlturn (12) U. Chlrltlbll/Govlrn.lnhl Blqullh ISohl:!ull J) 115) 14. Hot VIlul o! E.tltl Subjlot to TI. (14) NOTEI If an a..Mllment wa. i..uad prlv1ou.ly, 11nl. 14, 15 and/or 1&, 17 and 18 will rlfllot figure. that inoludl tha total of ahh rlturn. a..I..ld to dati. ASSESSHENT OF TAXI IS, Alount o! Llnl 14 It SpoU.ll r.tl liS) 16. A.ount o! Llnl 14 tl.lbll .t Lln..l/Cll.. A r.t. (16) 17, Alount o! Llnl 14 tl..bll .t Coll.tlrll/Cl..1 B rltl (17) 18. Prlnolpll T.. Du. TAX CREDITS I PAVHENT DATE 03-12-96 12-17-96 f)' - I~() - /i/ aUREAU OF INDIVIDUAL TAKES IHHtRlTAtKE lAX UIYISION Of PI . 110m HARRISIURQ, PA 17111'0601 COHHONWEALTH OF PENNSVLVANIA DEPARTHENT OF REVENUE NOTICE OF INHERITANCE TAK APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIDNS AND ASSESSHENT OF TAK WILLIAM L SUNDAY 39 W MAIN ST MECHANICS BURG DATE ESTATE OF DATE OF DEATH FILE NUHBER COUNTY ACN PA 17055 ESTATE OF MVERS TAK RETURN WAS, I X) ACCEPTED AS FILED I ) CHANGED RI!SERVATION CONCERNINll FUTURE INTEREST . SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI SUPPLEMENTAL RETURN 1. h.l Elht. ISohldull A) 11) 2, Stock. ond acnd. ISohldull B) (2) 5, Clc.lly Hold Stook/Plrtnlr.hlp Intorl.t ISohldull C) IS) 4. Hcrtg.gl./Notl. Rlollvlbl. ISchldul1 D) (4) S. CI.h/Bonk DIPc.lt./HI.o, Plr.cn.l Proplrty ISohldul. E) IS) 6. Jointly Ownld Prcplrly lSohldul. F) (6) 7. Tron.!lr. (Sohldull G) (7) 8. Totll A..lt. NO, 01 .00 .00 .00 .00 903.00 .00 .00 (8) 15,00 .00 K .0 D. .00 K .06. 3,77i:.!Q. K .15. (18) RECEIPT NUHBER AA1l2606 AA184967 DISCOUNT INTEREST 1+) 1-) .00 9,15- AHOUNT PAID 432,90 142.41 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE . IF PAID AFTER DATE INDICATED, SEE REVERSE FDR CALCULATION OF ADDITIONAL INTEREST. (1.- '* lIHI41umCIH', DOROTHV E DATE 02-10-97 NOTEI To In.url proplr orldit to your account, .ubllt thl upper portion o! thl. !orl with your h. p'YI.nt. 903.:!.Q., Pi on 888,00 .00 3,774,00 ,00 .00 566.10 566.10 566.16 .06CR .00 ,06CR IF TDTAL DUE IS LESS THAN .1, ND PAVHENT IS REQUIRED, IF TDTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU HAV BE DUE A REFUND. SEE REVERSE SIDE OF THIS FDRN FDR INSTRUCTIONS.) ,\ : " ~ft ~ . ':o:Xl .., :~ ~ C')" ... [I, (, Gi ':~ :~' ("i {ll , :.:1, '" " '.... C' ; n 0, ~, ';,! J U '1J :,;.\; ,; ( ~,\V , N )fil. ~ &T ~, . :;~ 0 lII!"IlVATlOlh h'.,.. 01 *odIn'. dylnt on 0. beloro DIo_. lZ,ltll .. If illY IUlUro In'....' In 'ho ..,." II ,.IlI,'.rrod In po.....lon o. IlIjoYlln' '0 CI... 1 (aoll.,...ll bono'lol..I.. 01 IhI dlGodIn' .,,.. 'hi .opl..'lon 01 ony ..,.,. 10' lIf. or for Y'ln, the CMHnWtII1th hereb1 .)Cpr.lIlY '''''VI' thtl rJtht to IPpr,lt, tnd ...... trllnlfer ,JntMrJttml '1)1" It thl lINful ell.. . (coU.tlnl) r." on InY Iuc:h future lnt.rllt. PURPOIE DI' MOTlCE, 10 fulfill IhI roqul._I. 01 llOl1on ZIIO 01 'ho InhI.II.... ond hI.,. 11M Ao', Ao' 22 01 1991. 7Z P.'. '1011on 21~0. PAVHENTI DetlOtl the top portion of thlt NoUoI and lutNllt with your plytont to thl RIoltt.r of WUlI printed on the rlv.r.. .Ide. ..".... chick o. .onoy orclo. Plyobl. '0' REGISTER GF MILLS, AGENT All PlY""" nCISved thlU fir.' bl _plied to any Int.rllt which ..v bt dul with 10)' ,..,Indlr ."UId to thl tlM. REfUND (CR11 A r.fund of I tlM credit, which WI' not ,.quelted on th. TIM R,turn, .IV be "quI.'ld by co.,l,tl"l'1n "Application 'or R.fund of PlMlvlvlnl. Inhtirltlft<ll 1M Elt.t. TIX" IREY-1S1~U. Appllcltlonl Ir. tVlilablt It thl OffICI of thl Rlli.t.r of WIlli, anv of the 2] Rlv.nue 01.trlot Offlc.., or bv call1na thl .p.clll l4-hoyr ."....rlng ..rYlcl nu.blr. for for.. ardlrlnll 1n P.Mulvlnl8 1-100"561"2050, ouhld. Plntl.vlvanll and within locll H.rri.burg .rll (111) 111-1094, TOOl (111) 712-2252 CHllrlne I.,.lrld Onlv). OBJECTIONS I Anv p.rtv 'n Int.r..t not ..tI,Uld with thl ItPprllh...nt, allowancl or dh.Uowanol of dtItUCltJoo., or ......""t of t.x' Onoludlnl dhcount ar Int.rllt) II .hawn 01'1 thit Hotlc. lU.t obJ.ct within tlxty (60) d.v. of reollpt 'of thh NotlCI bYI --wrltt.n prat..t ta thl PA D.p.rt,.nt of A'v,nu., IOlrd of App..I., D.pt. 281021, Hlr,l,burl, PA 11128-1021, OA --lllOtloo to hlVI thl 'Ittlr dlt.ralnld It ludlt of thl ICCOunt of the p.r.on.l r.pr...ntltlv., OR --IPfHlII to thl Orphan.' Court. ADHI" IIIRATlVI! CORRECTIOHII FeotUll .rrar. dl.cov.r.d on thl. ........nt .hould b. .ddr....d In writing tal PA D.part,ent of R.v~, lurl.u of Individual TIM", AlTNI po.t A.......nt RlyllW Unit, Dept. 210601, H.rrl.burg, PA 11121-0601 Phone (111) 111-6505. SI. pig. 5 of thl baokllt "InstructIon. for Inhlrlteno. Tlx R.turn for I AI.ldent Dlctdtnt" CREY-1SOI) for In eMplanltlon a. Idllnl~trltlv.ly correotlbl. .rrorl. OIlCOUIlT' If InY tlM due It paid wUhln thr.. (]) cl1tf\dar IIOnthl Ift.r thl deeedlnt'. delth, e flve p.rclnt n:o dltcOWlt of thl t.x plld I. Illow.d, ThI llX tlX .-nt.tv non"p.rtlclpatlon panaltv I, cOlPUtld on thl tot. I a. the t8X and Int.r..t ......td, end not paid bI'orl Janu.ry 18, 1996, the flr.t d.y I.tlr thl.nd of thl tlX .lna.tv p.rlod. Thl. nan-plrtlclpltlon pen.ltv h ,,"liable In thl .... ..nner and In thl thl .... tI.. pit lad III you would appall the \1M and Intarllt thlt hi. bttn ......Id I' Indlcltld on thl. notlcl. P1!HALIV, INTEREST I lnterllt h chlrll'd b,.IMlnl with fir.t day of cMllnqutnov, or nlnt (9) lonth. and 0", (1) dlv fr" thl dati a. de.th, to thl d.te of Pll~"nt. "M" W\lch bae... cttllnquant bl'are Jlnulrv I, 1912 bllr Intarllt It thl r.t, of "Ix C6X) p.roant par ennui c~lculltld at I dlllv rate 0' .000164. All tIM" which ble... delinquent on and .,t'r Janulrv 1, 19.2 will bllr Intlra.t at I rite which will verv frol CII,ndlr Ylar to c.l,nd,r v,.r with thlt r.tl lIMCM,N.d bv the PA DlPart..nt of RevlnUl. Tha IIppllUbl, Intarllt r.t.. for 1912 through 1991 lrel 'tm Intarllt Rtt, DillY Int.rl.t Factor n!r Int,,"t Rlt. U,lly Int""1 Factor 1911 20~ .OOOS\A 1917 9~ .000Z~7 I9IS 1'~ .000411 1911-1991 ll~ .000101 19I~ IIX .DOOm 1991 9~ .0002~7 191' m .00015' 1995-199\ 7~ .00019Z 1'" 10~ .00027\ 1995.1997 9~ .000Z~7 -"lnt""t I, cIlculated I' followlI INTEREST . IALANCE OF TAX UNPAID X NUHIER OF DAYS DELINqUENT X DAILY INTUREST FACTOR w-Anv Notlcl 1..UId .ftlr the tlX blcote. delinquent will rlfl.ct In Int.r.,t CIlcul.tlon toflfttln CII) dav. beYond tht d.ta of the ......-.nt. I' P.v-.nt I. ..41 .ftlr thl Int.rl.t cotpUtltlon dltl lhewn on'thl "otic.,' addltlonll Intarllt lU.t b. cllculatld. COMMONWIALTH OJ! .INNSYLVANIAl COUNTY OJ! CUMIIIlLAND J HI J,f' ,0, ,_____ _,,~~~!!...Y..o..llro.1,!g~~n__ _____..._.. hu _u__._._ __ _.______,.__. bllng dulV _1lH2m_______.__ according to I.w, depolll and "VI that hi .is EX8ClIltcr...._,_._. ______ ..___,..._,__..__,....___...____..,_ of the Elt.t. of Dorothy E. MVllrs I.tl of ____.Lowet: Allen Township ..___.__..._ __._, Cumberl.nd County, P." d.cII..d and th.t the within '..n Inventorv m.de bV .__h.il11__u.....um..___.._____ _..._._____, the ..Id: Executor of the Intlre IIt.te of ..Id dleedent, con listing of ell the parlenal prop'drtv .nd rill ..tll., IXClpt rill ..t.te ouhldl the Commonwulth of Plnnlvlvanla, and that th. flgur.. oppollte lIeh It.m of the Inv.ntorv r.prellnt It'. f.lr v.lu. .. of the d.tl of d~cedent'l death, .t.,', . Sworn to .nd sublcrlbed before m~, / ,;{ \ ~arch_ '-.;.,- 19~_ ( //, . / /,' . , '/ /. ,...___"...:..' /1 II ,lj( . ...;" '....,A/) /.;/ ),,-,i-- ~lllIdr/.1\ Ch:Hlyn Y 'f' '/1'1"'('. 1!;J:{-.T~' Pllhlli} ~1octlunlc:.lJlllq n'liO, (:'III~l" :ill;,ld COIJ,ll/ My C(Jlnrll:~)':1I1)'llilll~i I.l,i,' IB, 19fJo MetOOer, pqji.ii~aj;-;iiN;soc;~nol Nolar'oo Ai k /L W '____~-if~~ , eucutor. mlnls.,.tor __~~~jJMmJl.rlvel Apt. 33QL Mechanicsburg, PA 17055 , Addron Oil. of De.th -______.lA.._________..J:llD.L DIY Monlh 1995-- V." INSTRUCTIONS I. An Inventorv must b. fll.d within three months alter appointment of perlonal r'pr.untatlv.. 2, A luppllm.nt Inventorv mUlt be. flied within thlrtv daVI of dllcoverv of addition. I a...h, 3, Addltlonll.huh mav b. attach.d II to p.rlon.ltv or realtv 4. S.. Artlel. IV, Flduclarl.. Act of 1949. ~ l!! I 1 m ~ . ~ g u ~ . ~ w ~ r JI ~ ~ ~ LL ffi : Do LL 0 . ~ : 0 ~ ~ c.l { ~ o Q ~ . ~ - '~ ~ ~ .... 0 .,. .-t Z ~ >-1 "tl .... . 3: . ... "t 0 ..ll 1 .II U e J ... j d if '"-. ....."'w,......~4 \'1" ,,."'t'll..-,,-.,, \", " ,. -'I, " " <" " " 'j Inventory of the real and personal estate of Dorot~~r8 deoeased --' t l!j I' Real Eatate: None " r, Ii Pereonal Property: 1. Cash on possession 15 00 2. 3. 4. 5. 6. 7. 8. 9. 10. Interest Checking Account #50-7003-2115 in PNC Bank Balance on Date of Death Accrued interest to Date of Death (5/19 x 2.79) Savings Account #50-3006-1763 in PNC Bank closed to and is included in Interest Checking Account #50-'7003-2115 in PNC Bank (Item 2 above) prior to time of Death on the Datil' of, Death ' 3008 09 73 Includ in Item #2 above Gross proceeds from sale of household goods and furniture 993 50 761 00 55 00 337 16 9 00 Mark Walker - Refund and appliances Blue Shield - Claim (Brophy) Blue Shield - Claim (Brophy) New Castle Mutual Insurance Company - prem Refund United Tel. Co. - Refun~ 13 08 Blue Cross-Blue Shield - Co-insurance rebate 14 88 rol'AL PBRSCIW. PROPER'l'i If I II ('J ~- ,. , " ~ I , iI. , "', " .:~' ..l ' 00 !. ~ \ . , " JRD/JuDe 30, 1992/17858 , I' 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: Penonal Representative _ Counsel: WII.r.IAM I.. SUNDAY. ESQ.. REI Estate or DOROTHY E. MYERS , DectaSed, Late or MECHANICSBURG BOROUGH Hatate No.: ll-1995. 4 79 Date or Decedent's Death: JUNE 14, 1995 Pursuant to Rule 6.12, the above named personal representative orlhe above nallled allomey, If applicable, within two (2) years of the decedent's death, and annually thereafter until administration la completed, Is required to file with the Register of Wills a Status Report 85 required by Rule 6.12, In .subatantlally the prescribed form, showing the dale by which the personal representative, orallorney, as applicable, reasonsbly believes administration will be completed. The purpose of this Notice is to advise you that unless the requisite Status Report is filed with the Register of Wills or Clerk of the Orphans' Court, as appropriate, within ten (10) calendar daya after the date of this Notice that the Re,lster of Will. Is requlrecl to aotlfy the OIphans' Court Division, Court of Common Pleas of such delinquency and to request that said Court conduct a hearln, to detennlne whether sanctions should be imposed upon the deliDqueat personal representative and the delinquent pUspnal representative's counsel, If any. AccordlllslY, If the requisite Status Report Is not flied by AUGUST 6 ,19 JJ you are hereby advised that a request will be submitted to the Court In accordl1lCe :vith Rule 6.12. ~ I . Date: JUI,Y 23, 1997, C. 1)Iy- Deputy R lister of Will ..,' ~.""f~dl\'H~ . " Distribution to Estate File ',\ , \ ;,.1(, <';',' 'I ' ' <~~.-, . "I, . :,\i'" i ';1"1 ,:: I ~; j: ' "t, :, ~ I 'J,';1:1 \.;: \-\, "",,\ ,'",1 '" ". " " " "I' i . . STATUS REPORT UNDER RULE 6.12 Name of Decedent I Dorothy E. _Myers Date of Deathl June 14, 1995 Will No, 21-95-479 Admin, No. Pursuant to Rule 6.12 of the Supreme Court Orphans' Court RuleD, I report tho following with respect to completion of the administration of the above-captioned estatel 1. State whether administration of the estate is complete I Yes..!_ No 2. If the answer is No, state when the personal repreoentative reasonably believes that the administration will be completel 3. If the answer to No.1 is Yes, state the followingl 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 d. Copies of receipts, releases, joinders and approvals of formal or informal accounls may be filed with the Cerk of the Orphuns' Court and may be attached to this report. Date 1 Ju1v 25, 1997 ~i....~ "r ~~s (J1-JJ'fJ Signature 7 \,'11 '., I, William L. Sunday Name (Please type or print) 39 West Main Street Mechanicsburg, PA 17055-6230 Address ; 'In:) "1/~) Ie ;:d 1- O:J!i II ;, 1-7l7} 766-9622 Te 1. No. JlI I ;'1:/ Capacity: Personal Representative X Counsel for personal representative (MAH I rmt! AM3) -_.~. .W' \, 'I~J' FAMILY SE'I'l'LEMmr AGREl!Mml' 'l'HE FIRST AND FINAL ACXXXM.l' 0(<' BYROO V. 8ROOGIlT, \ ~ lIlDER TIlE LAST WILL AND TFSl'AMBNl' . or IXl\01'HY E. MYERS, LATE. (XI' TIlE ~HIP or LCMER M.LI!Jf, cxumr OF GUlBI.'m.ANO, ANO STATE or PI!NN!M.VANIA, DECEASED, AND RELEASE or THE DIS'l'lU1IUTEE 1R'IDF.R TIlE WILL or SAID OOCBDPBl' IlEIWl'O . AT'l'AaIl!'D. Date of Death: June 14, 1995 Dates Letters Advertised: .'1 L~' ~: CIIItl8rland Law Journal - March 22, 29 and APril,S, 1996 Patriot News - August IS, 22 and 29, 1995 PERSOOALTY PRINCIPAL Accam DEBITS I' '\ Accountant charges himself with the Personal Property set forth in the Inventory filed in the Office of Register' of Wills . in, and for CIIlberland County 'in the amount of: , ' $ 5207.44 , \ Accountant also charges himgelf with the following: . 1996 April U" S. Treasury - 1995 Xncome Tax Refund TarAL PF'.RSCtW.TY PRINCIPAL ACXXUIT DEBITS 903.00 ~ 1 ' , , , , I , ' cY:' ~ ~-' ,,( '1:;'11,' , .1 1.'\;;' ('oJ I" . n. ~ ;' . , ~; I , .- , . .- '1 .' " \.'!' ~ , , 0 , " l" ..... ~ ~ 11 \J\ I' n; t58 a: , ..... PERSQW.TY PRINCIPAL Acxxnn' CREDITS Accountant aaIw credit for the following: 1995 Outstanding checks drawn on Interest Checking Account prior to death June 12 12 14 20 20 20 20 28 28 . July 14 15 Aug 8 31 Nov 21 1996 Jan 3 Mar 5 White Rose Ambulance 220.00 1O~00 12.15 333.50 45.00 1.65 15.34 65.00 446.00 100.59 2.91 141. 50 37.30' . Family Internal Medicine PP & L Chuck Bricker, Auctioneer - Costa of Sale Register of Wills - Probate PP & L - Account Payable United of PA - Account Payable Dew E. Brophy - Medical Bill payable Myers Funeral Home - Balance Funeral Expense Byron Brought - Memorial Service Luncheon Leader Carlisle 372 - Account Payable R. J. Romberger's Sons - Inscription ~he Patriot News - Executor's Notice Medlab - Account Payable 82.00 5 Medlab - Account Payable \~illiam L. Sunday - Partial Attorney's Fee Cumberland Law Journal - Notice " b8.50 250.00 60.00 25.00 5 Register of Wills - Filing Fees 5 Register of Wills, Agent - PA Inh. Tax 432.90 $ 2369.34 CARRIED FOOWARD I I ,. '. , , ., I' .' RI!lCAPI'l'ULATIOO , ,,' " PBaluw.wl Principal Account , Debits $ 6110.44 ' Credits ,2927~73 Balance $ 3182.71 . , , Income Account Receipts $ 2.06 Expenditurf!s 0 Balance $ 2.06 2.06 Total Distributable Estate $ 3184.77 LeSSI Advancements 0 Balance in hands of Accountants for Distribution ~ DISmIBl1l'IOO MID ANARD BYron v. Brought - Entire Est.ate ~ " ." " i' , " " .' " , , " , , .. , ~ -' I':""','.~"'r>:-"-"T"""~_""" -,pr"""'~""'~".'''~''''I.,~o-''',,'.'''''''''~-r-~~I-'~_''.' ., li}l)', 1.',." ',' :',.',_'.. J, ,f'1 I" "! "P'I \ I ,/, ~!~l' ,',' '\;~'i' ...,~jl 1\/,' I~ 'I ' '. ' t I'" I 11 ,i 'I ," ' 't -\ r':~'."~.1 \_'_.\' , . ' 'f . 1;, " , . ' I !'/,- 'ill'''''c:!''i.,.I-;_ ,'I" ,.1 , , RELEASE WHEREAS, Dorothy E. Myers, single wcman, June 14, 1995 leaving ~ Last Will and Testament dated September 28, 1994 wherein and whereby she gave, devised and bequeathed the residue of her Estate after the payment of her just debts and funeral expenses unto her brother, Uyron V. Brollght providing he survived the Testatrix by sixty (60) daysl and WHEREAS, the said Byron V. Brought survived the Testatrix by sixty (60) days; and WHEREAS, the residue of the Estate of Dorothy E. Myers, deceased, is distrioutable to her brother, Byron V. urought. NOW KNOW ALL MEN BY THESE PRESENTS, that I, Byron V. Urought, the sole residuary legatee, devisee and distributee of the Estate of said decedent, and the only person entitled to share in the distribution of said Estate, do hereby declare and say that I, have exami ned the foregoing account and Schedule of Distribution and find the same to 00 true and correct and in strict accordance with the terms and provisions of said Will, and do hereby acknowledge that If this day have had and received of and from Byron V. Brought, Personal Representative of the Estate of Dorothy E. Myersf the cash set opposite my name in the above stated Schedule of Distribution in full satiE,factionf p,lymemt and discharge of all such sum or sums of moneYf legacies and bequests, share or sharesf purpart!! and dividends which were dlle, owing payable and belonging to me by any means whatsoeverf for or on account of my full share, part or dividend of the Eatate of the said decedent and all interest accrued thereon. NOW THEREFORE, I, the said residuary legatee, devisee and distributee of the Estate of Dorothy E. Myers, deceased, do by the~e presents remise, release, quit-claim and forever discharge the said Byron V. Brought, his heirs, executors and admi.nistrators, of and from my said share or dividend of said Estate aforesaid, and of and from all actions, sui ts, payments, accounts, recl;onings, claims and demands whatsoever, for or by reason thereof, or of any other act, matter, cause or thing whatsoever, frOln the beginning of the world to the day and date of these said presents. AND, desiring to avoid the delaying and expense of the settloment of the said Estate by filing the foregoing Account of said administration in the Office of the Clerk of the Orphans I Court of said County, and by having the balanc~ in the hands of the Executor f as shown by said Account, distributed by an auditor appointed by the Orphans I Court Division, of the Court of COlTTnon Pleas of Cumberland County, I do hereby agree that the foregoing statement concerning the manner of settlement may be recorded with the same effect upon llIe as if the same had been reported by the said Court of Common pleas - orphans' Court Division. AND, in consideration of the aforesaid settlement being IMde without the aid of said Court of COITIl1On Pleas - Orphans I Court Division, that I do hereby agree that if any debts or demands other than those