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IJETITION FOR IJROBATE and GRANT 01<' LETTERS
No, ~j~_~- '-1ft'
To:
Register of Wills fpr tjlC 1 ul
County of M<t(W~lCrnalTI1e
Commonwealth of Pennsylvania
ESlale of _SamuuLE ._RundQlllh__ ____
ulso kilo 11'1/ (/.1 ____.____._.__m.____._._.
.~.._.._--_._---_......--_.....-..+... _."-- ...--.....-...-
____.._..____ _..__.m.__.__....__., Dl'('ells('II,
Social Se('lIrily No, _un6-0~L~.10_______. . _.. ____ .m__._
The petition of the undersigned r':spei:tfully represents that:
Your petitioner(s) is/arc 18 years llf age or lllder and the exeeut QIL..._. named in the last will of the
above decedent, daled AUGUST 8, __ 19..2.L__ and i:odlcil(s) dated
(\I~lr 'dr'!l'! ,1I,\!lllllJlh(l, r _ t(IHIII,'JIj,'il. ,1(.1111 ul (\ldILl', (I. I
Decedent was domiciled at death in CUHBF.RLANOCounty, Pennsylvania, with hl.L last family or prin-
cipal residence at -.l.~ader NursIng and RellllbHHation Ce~ter _
1700 Harket Street, Ca~lIl.11, Pennsylvania 17011
111111IrW. n\HlIher 4nJllIIIlll"lfI~hl)1
19 95
Decedent, then ...J.l_ years of age, died June U
at Leader NursIng an_d Rehabl.litat}on Center, Camp lIi11, Pennsylvanl.a
Except as follows, decedent did nol marry, was not divorced and did not have a child born or adopted
after execution of the will offered for probate; was not the victim of a killing and was never adjudicated In-
competent:
Decedent at death owned property with estimated values as foilows:
(If domiciled in Pa,) Ail personal property
(If not domiciled In Pa,) Personal property in Pennsylvania
(If not domiciled in Pa,) Personal property in County
Value of real estate In Pennsylvania
situated as foilows:
$ /.00,000.00
$
$
$
WHEREFORE, petitione~ll) respeetfuily request(s) the probate of the last will and codlcil(s) presented
herewit and e grant of let~ TestamentarY--, _ thereon,
~ . .. (),Ij UvfJ ~ {) , '''''''''''''\, 'Jm'."""""",", """'"'''''''"'':''' I .. .__.____u__m-o__
l~ _ T~olJ)as ,), ~~lskf'.vv'-"VV( u",___,_"
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1706 Brandt Avenuo
New Cumberland, Pa.
17070
774-C;-Ob'\
___ __...u__."___ ... _n____
OATH m' PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA}
COUNTY OF 'j(~ CUNIlF.RLAND ss
The petitloner6l) above-named swear(s) or affirm(s) that the statements In the foregoing petition are
true and correct to the best of the knowledge and belief of petilioner(s) and that as personnl
reprcsentativeGlj of the above dccedent petit~'oner(s will weiland truly administer the estate according to
law. () 11. //17.
Sworn to or affirmed and subscribed -i..----~J~-----_.
before me this _ 20~~ day of __.______ _
Icr1-'y~ Oil .'
-'f . (~ 7 riJLY!jL _____._____
For Ihl' Re/:isler ((
C. l.EWIS ---0-------
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No. 21.. 95 .. 4BB
Estate of SamuelE'Rando1ph
, Deceased
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DECRl<:E OF PRODA TE AND GRANT m' I,ETTERS
AND NOW, June 27, 19 95 I In consideration of"the petition on the reverse
side hereof,satlsfactory proof having been presented before me, IT IS DECREED that the Instrument(s),
dated Auguet 8, 1991
described therein be admitted to probate and filed of record as the last will of Samuel E. Randolph
and Lellers Testamentary
are hereby granted to Thomas J. Topolski
~
. ci!.UUl .~.
Register 0/ Wills
MARY C. LEWIS
FEES
P b L E S 305.00
ro ate, ellers, tc......,........
Short Certificates (1p. . . " " . . . "" S 30.00
~~~N~kaJ'on " " " .. . " " .. .. , " S 21. 00
JCP 5.00
......,."'..,.,..,.S___.
Robsrt E. Myers 09729
A TTORNEV (Sup, Cl, 1.0, No,)
100 Old York Rd. New Cumberland,Pa. 17070
ADllRESS
(717) 774-3163
PIlONE
Flied
TOTAL..."". ..". S 361.00
JUNE 27 ,1 995
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Letters and order mailed to attorney on 6-2B-95.
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LAST WILL AND TESTAMENT
OF
SAMUEL E. RANDOLPH
I, SAMUEL E. RANDOLPH, of 740 Carol Street, Borough of New
Cumberland, Cumberland County, Pennsylvania, 17070, being of sound
and disposing mind, memory and understanding, do hereby make,
publish and declare this to be my Last Will and Testament, hereby
revoking all other Wills and Codicils previously made by me.
ITEM I:
I direct the payment of all my just debts,
expenses of my last illness, funeral expenses, perpetual care of
my burial lot, suitable marker for my grave and the costs of
administrating my estate from my estate as soon after my death as
conveniently may be done.
ITEM II I
I give and bequeath the sum of TEN THOUSAND
DOLLARS and 00/100 ($10,000.00) as follows to each of the
following I
A. To BAUGHMAN MEMORIAL UNITED METHODIST
CHURCH, Third and Bridge Streets, New Cumberland, Pennsylvania, in
memory of William and Mae Leach, my grandparents, formerly of 200
Market street, New Cumberland, Pennsylvanial
B. '1'0 TRINl'I'Y UNH'ED METHODIS'l' CHURCH, Fourth
and Bridge Streets, New Cumberland, Pennsylvania, in memory of
Suzanne A. Randolph, my mother I and
C. To NEN CUMBERl,AND F'IRB DEPARTMENT, 319
Fourth Street, New Cumberland, Pennsylvania.
ITEM III: I give and bequeath the sum of FIFTY THOUSAND
DOLI,ARS and 00/100 ($50,000.00) to JOAN RANDOLPH GIlrDERT, my
sister.
ITEM IV: I give and bequeath the sum of PIVE: HUNDRED
DOLLARS and 00/100 ($500.00) to NEW CUMBERLAND HUNTING CLUB.
ITEM V: I give, devise and bequeath to TlIOMAS J.
TOPOLSKI of 1706 Brandt Avenue, New Cumberland, Pennsylvania, my
gun cabinet and all my rifles and shot guns with all shells and
oleaning equipment, and also my mobile homo and lot situate at
Shady Dell Park in Ocean View, Delaware.
ITEM VI: I give, devise and bequeath all the rest,
residue and remainder of my estate, real, personal or mixed,
tangible or intangible, of whatsoever nature and wheresoever
located and all property to which I may be entitled or over which
I may have power of disposition or appointment and whether acquired
during or after my lifetime unto CCNB BANK, N.A., IN TRUST, for
the following purposes:
.
1. . 'J'IIu income from !laid Trust to go to the
ohHdroll of my lIuill III utt'r, JOliN HlINDOl,PH GILBERT, then living,
equally, dud IlU tho! r IHuU mo I and upon the death of the said
chHd1'oll, tholl O\l1 nIsi due to CJO equally to my said sister I s
\!rlllHlahi Idt'llll t.hon I! vi IlCJ.
2. In the event my d::Jg is then living, my
nnid 1'ruuh'0 IIhllll plncu her with uatisfactory individuals in their
hOl1lo ulld pay $ .lOll. 00 11 mOllth for her care while she is living or
I'lao(1 her III 11 clog kellnel in the event that satisfactory
individual!1 Ul'o 1I0t locat.('d by my said Trustee.
3. 'J'o payout of the corpus and/or income of
the 'l'ru!JI: monthly payments that are necessary, in the sole
diuerot:i on of my 'l'rulltee, for t.1ll1 (]are and maintenance of CAROLINE
II. HlIlI,ING, my /1lother-in-law, at the Brethren /lame in Neffsville,
PonnllY 1 Villi.! 1\ t to the extOllt her' other income ill insufficient.
ITEM VII I 1 direct that any and all taxes that may be
Ilusossod in COnU(1qul!llC(' of my death, including all Inheritance,
I':stl\to and 1'1'llllu1'II1' 'rllxeu imposed upon my estate passing under my
WJJl or othol'wieo, shall bo paid out of the principal of my
rusiduary ('utate IlS II part of the expense of the administration of
my outat.l\.
ITEM VIlli I authorize and empower my personal
repl'uuontativo and/or said Trustee representative to compromise,
adjust, reloaso and discharge in such manner as my personal
representative may deem proper, all debts and claims owed by or to
me or my Estate; to sell, lease or exchange at public or private
sale or in such manner, at such prices, and upon such terms of
credit or otherwise, as my personal representative or said Trustee
may deem proper, all or any part of my property, real or personal;
to execute, acknowledge and deliver instruments of conveyance,
including deeds in fee simple; to borrow money for the purpose of
paying estate, inheritance or other taxes which are required to be
paid and to secure any such loan by pledge or mortgage of all or
any part of my property and to execute the necessary instruments
to carry out such powers; to distribute my estate in kind or partly
in money or partly in kind, and to determine the fair value at
which any property so distributed in kind shall be received by the
distributees; to conduct any business in which I have an interest
at the time of my decease, for such period as my personal
representative may deem proper, power to borrow money and pledge
assets of the business and the power to do all other acts that I,
in my lifetime could have done, to delegate such power to any
partner, manager or employee without liability for any loss.
occurring therein and to organize a corporation to carryon said
business as capital to such corporation and accept stock in the
corporation in lieu thereof and hold such stock for the uses of
this my Will, and to vote said stock or sell the same as to my
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personal reprelll'lntati've may seem best; to retain all stooks,
no sets , bonds and investments owned by me without being confined
to what is known as legal investments; to execute any options to
purchase, to apply for stocks, bonds or other investments, to
purchase or otherwise acquire real estate and to execute the slime
powers thereover as hereinbefore provided, to retain indefinitely
lIny part of my assets, real or personal, which is or may become
unproductive or to make sale thereof; to pay carrying charges and
uxpenses of the property out of other principal or income of my
ostate; to invest and reinvest in all forms of property without
re8triction to investments authori zed for Pennsylvania fiduciaries,
as they deem proper, without regard to the principle of
diversification or risk; to exercise any law-given option to treat
administrative expenses either as income tax or as estate tax
deductions, without regard to whether the expenses were paid from
principal or income. The powers herein conferred shall be to my
named personal representative and said Trustee and all
successors thereto and shall be in addition and not in limitation
of other powers conferred on said fiduciaries.
Any and all payment or payments of any sum or
sums, whether in cash or in kind and whether for principal or
income, payable to any beneficiary shall be made upon the sole
receipt of the respective beneficiary to whom the payment is made,
and frae from anticipation, alienation, assignment, attachment, and
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pledge and free from control by the creditors of any such
beneficiary.
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ITEM IX,
All shares of principal and income hereby given
shall be free from anticipation, assignment, pledge or obligation
of the beneficiaries and any of them and shall not be subject to
any execution o~ attachment, levy or sequestration or other claima
of the creditors of said beneficiaries or any of them.
ITEM x,
I hereby noudnate, constitute and appoint
THOMAS J. TOPOLSKI of 1706 Brandt Avenue, New Cumberland,
Pennsylvania, as sole Executor of this my I,ast Will and Testament,
to serve without bond. In the event of the renunciation, death,
resignation, refusal or inability to act for any reason whatsoever
of the said THOMAS J. TOPOLSKI, I nominate, constitute and appoint
CCNB BANK, N.A., as sole Executor, to serve without bond.
ITEM XI I
I direct that my Executor hire the services of
Robert E. ~lyers, Esquire, in the administration of my Estate.
IN WITNESS WHEREOF, r, SAMUEL E. RANDOl,PIl, have set to this
m?t:;~' .nd
gdJ
day of
Testament my hand and seal this
, 1991.
,~>4L'hd cf c:e~
SAMUEL E. RAN OLPH
(SEAL)
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Signed I sealed, published and declared by SAM~~' ~"ANDOl,PH, the
above-named Te!1tator on the tdJ) day of t ttO(J , 1991, as
and for his Last Will and Testament in the pr se ' e of us, who, in
his presence and in the presence of each other have, at his
request, subsgribed our names as witnesses hereto.
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COMMONWEALTH OF PENNSYLVANIA
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We, the undersigned,
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COUNTY OF
and
the
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'l'estator
respectively, whose names are signed to the foregoing instrument,
being first duly sworn and qualified according to law, do hereby
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he had signed willingly and that he executed it as his free and
voluntary act for the purposes therein expressed, and that each of
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mind and under no constraint or undue influence; and I, the said
Testator, do hereby acknowledge that I signed and executed the
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CERTIFICATION OF NOTICE UNDEIl illlLE 5. 6~
Name of Decedent! SAMUEL E. RANOOLPfI
Date of Death! June 1, 1995
Will No.
1995-00488
Admin. No. 2195-0488
To the Register!
I certify that. notice of benef lcial interest required by
Rule 5.6(11) of the Orphans' Court Rules was served on or m~i1ed to
the following beneficiaries of the above-captioned estate on
July Jl, 1995 '
Name AddrJllLf!!.
LINDA S. GILBERT
JEANNE M. GILBER
DIANE C. KIm
JAMES G. GILBERT
LISA M. GILBERT
,
8600 Fenway Road, Bethesda, MD 20817
4314 Unden.uod Road, Oaklan'd, MI5 21550
307 Cranberry Road, Westminster, MD 21157
311 Cedarcroft Road, Balt,lJrore, MD 21212
728 f1ighwood Drive, BaltimoE~._MD 21212
Notice has now been given to all persons fHltitled thereto under
Rule 5.6(a) except
.....
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Name Robert E. Myers, Esq;
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Address 100 Old York Road
New Cumberland, PA l70?0
Telephone ~L!74-3163
Capacity,
Personal Representative
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Counsel for personal
represen La li ve
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FIRST pD FIliAL ACCOUIIT OF THOMAS J. TOPOLSKI
EXECUTOR or THE ESTATE or SAMUEL E. RANDOLPH, DECEASED
LATE or CAMP HILL, CUMBERLAtlD CQUllT!, PEtlIlSYl,vAtlIA
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LET'l'ERS TESTAMENTARY ADVERTISED:
CUMBERLAND LAW JOURNAL -
August 4th, 11th & 18th, 1995
DATE OF DEATH:
June 11, 1995
LETTERS TESTAMENTARY:
June 27, 1995
THE EVENING SENTINEL -
July 31st, August 4th & 14th,
1995
ATTORNEY FOR ESTATE
Robert E. MyerS, Esquire
100 Old york Road
NeW cumberland, PA 17070
(717) 774-3163 - 09729
INVENTORIES FILED:
State: August 31, 1995
Local: october . I 1995
ESTATE NO.: 21-95-488
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fRIIICIPAL ACCOUNT RECEIVED - PERSONALTi.
Accountants charge themselves with the following principal amounts
. received:
170 Shares PNC Bank @ 24.00
822 Shares First Fidelity Bancorp @ 62.375
132 Shares American Financial Group @ 26.25
51 Shares First 'rrust
9049.774 Shares Colonial Stratford Income
Fund
6369.427 Shares colonial stratford US
Government Fund
U.S. Government Bonds
Harris savings Bank - CD
Accrued Interest
New cumberland Federal Credit union - CD
Accrued Interest
Net $ 3,955.32
Net 49,786.54
Net 3,353.97
Net 51,876.21
Net 63,529.41
Net 42,165.61
18,741.23
60,000.00
91.56
36,673.82
35.22
..
JSTATB or SAMUEL B. RANDOLPH
PNC Bank - Cheoking
Accrued Interest
PNC Bank - CD
Accrued Interest
Remington 30.06 Pump Gun
Browning 16 gauge Semi Automatic
B.C. & B.S. Pharmacy Benefits
Meridian (Now Fulton Bank) - CD
Accrued Interest
Meridian (Now Fulton Bank) - CD
Accrued Interest
~eridian (Now Fulton Bank) - CD
Accrued Interest
Railroad Retirement Board
VA Benefits from Cumberland County
BC and BS Benefit
VA. Life Insurance
Travelers.Life Insurance
Prudential Life Insurance
Refund BC and BS
Refund BC and BS
Credit Union Insurance
9 Shares Bancorp at $70.32
TOTAL
.' '.
PAGE 2
26,540.35
5.79
50,000.00
143.22
200.00
125.00
63.32
14,000.00
19.47
12,611.82
18.70
41,297.58
25.45
1,082.00
100.0.0
47.97
10,347.29
2,000.00
616.67
47.33
15.99
3,125.00
632.88
$493,274.72
DISBURSEMENT A~COUNT - PERSON~
VFW Funeral Meal
Executor1s Fee
Attorney Fee Robert E. Myers
$
285.60
26,926.83
21,541.47
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ESTATE OF SAMUEL E. RANDOLPH
PAGE 3
Probate Fees
361.00
40.00
Cumberland Law Journal - Advertise Estate
The Sentinel - Advertise Estate
68.84
Enid Martin - Notary
Register of Wills - 6 short Certificates
Register of Wills - File Inventory
Register of Wills - File Tax Return
Register of Wills File supplemental Tax Return
8.00
18.00
10.00
15.00
15.00
Register of Wills - Reserve for Filing Account 99.00
Register of wills - File RElleases 24.00
Reserve for State Federal Income Taxes & other 11,000.00
taxes & expenses that may develop - unused balance
to be distributed
Fr&nck Kelly - Accountant - Reserve 850.00
LeAder Nursing Home - Final 2 Bills 1,369.02
Northland Insurance Co. - Insurance on Delaware 277.00
Property
Pa. Inheritance Tax Paid
10.55
Pa. Inheritance Tax Paid
51,300.00
1,366.65
Pa. Inheritance Tax Paid
Attorney Joseph Rashauhas
Pa. Inheritance Tax Paid
261. 00
TOTAL
94.53
$120,512.29
ESTATB or SAMUEL I. RANDOLPH
INCOME ACCOUNT RICIIVID - PERSONALTY
Interest CD
Federal Credit
Interest CD
July 5, 1995 -
New Cumberland
July 5, 1995 -
July 6, 1995 -
July 11, 1995 - Interest CD
July 27, 1995 - Checking Interest
July 28, 1995 - Dividend PNC stock
July 31, 1995 - Interest Harris CD
July 31, 1995 - Interest Fulton CD
August 10, 1995 -
August 11, 1995 - Checking Refund
August 11, 1995 - Interest CD
August 15, 1995 - Interest Fulton CD
August 29, 1995 - Interest Fulton CD
August 29, 1995 - Checking Interest
September 5, 1995 - Intereot Harris CD
September 8, 1995 - Interest Fulton CD
September 20, 1995 - Interest Fulton CD
September 25, 1995 - CD Interest - PNC
September 27, 1995 - Checking Interest
September 29, 1995 - Interest Fulton CD
October 2, 1995 - Inte~est Harris CD
October 5, 1995 - Interest Fulton CD
October 18, 1995 - Interest Fulton CD
october 24, 1995 - Interest Harris CD
october 24, 1995 - Interest PNC - CD
October 17, 1995 - Checking Interest
November 6, )995 - Interest Fulton - CD
November 16, 1995 - Interest Fulton - CD
November 16, 1995 - Dividends - First Federal
November 24, 1995 - Interest PNC - CD
November 28, 1995 M Interest Checking Account
November 30, 1995 - Interest Harris - CD
November 30, 1995 - Interest Fulton - CD
December 5, 1995 - Inter.est Fulton - CD
Union
TOTAL
,_. .~...MJ""'M.,.~.......,,,,.,,,-..,. '," ,,' ..\:'....l ,...,...,--,...-,~>...-
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PAGI 4
$
39.06
62.74
784.52
216.91
185.93
115.98
308.35
283.84
49.64
252.74
6.00
162.78
53.58
51. 30
505.61
283.84
158.06
53.58
261. 16
395.39
51.30
274.68
152.95
51.85
155.66
252.74
197.12
158.05
53.59
4.72
269.59
163.91
259.89
51.30
166.31
$ 6,494.67
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ISTATI or SAMUIL I. RANDOLPH
D.OI !I
INCONl ACCOUNT DISBURSID - PIR'ONALT!
TOTAL
.
0.00
PRINCIPAL ACCOUNT RICIIVED - RlALT! .
Lot 6 - Block 6 - Section 3, Plan 0, Shauy
Dell Park - Known as 6 Sassafras Court,
Ocean View, Sussex County, Delaware.
Improved with a mobile home. $37,500.00
TOTAL
$37, !I00.00
, ,
DISBURSIMENT ACCOUNT - RIALT!
'\
,
Sussex County- Taxes
Sussex County T&x Certificate
Delaware Division of Rev. Inheritance Tax
Register of Wills Sussex Co. Taxes
Register of Willa Sussex Co. Taxes
Accurate Appraisal
$ 102.76
5.00'
3,559.28
29.00
9'/.00
275.00
TOTAL
$ 4,068.04
'.1'
ESTATE or SAMUEL E. RANDOLPH
RECAP I TULATIOH
PAGB Ii
Principal Aocount Reoeived - Personalty $493,274.72
Principal Disbursements
- Personalty $120,512.29
NET
Income Aooount Received - Personalty
Income Account nisbursed -Personalty
$372,762.43
$ 6,494.67
$ 0.00
NET $ 6,494.67
Principal Aooount Reoeived - Realty $ 37,500.00
Principal Account Disburse~ -Realty
NET
THIS BALANCE IS MADE UP AS FOLLOWS:
CASH in CDs and Bank Accounts
REAL ESTATE
R9mington 30-06 Pump Gun
Browning 16 Gauge semi-automatic
BALANCE FOR DISTRIBUTION
TOTAL
$ 4,068.04
TOTAL
$33,431.96
$412,689.06
$3.74,864.06
$ 37,500.00
200.00
125.00
$412,689.06
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_' . .' ~ft.Q~M~~\~,)~'A~I~;lt.'if~:'1F.,I\~~i;l.\~~I\'~'fJ~~"~tf\~"'~?~~i:,I,~l~~~~Y;.\':S~~~llf~~~.rj'f'<!Jf,o\Iyi~tlf~;t~~H\~l~.~,~~~t~,~: tJ,
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ESTATE or SAMUIL I., RANDOLPH
PAGI 7 '
PROPOSED SCHEDULE or DISTRIBUTION
"
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Baughm~n Memorial Methodist Chur~h, Third &
BrJ.dge Streets, New Cumberland, Pennsylvania
in memory of Wm. Leach & Mrs. Leach, formerly
9f 200 Market Street, New Cumberland, PA
Trinity United Methodist Church in memory of
Suzanne A. Randolph, my mother
New Cumberland Fire Dept., 319 . Fourth Str~et,
New Cumberland, PA
Joan Randolph Gilbert - Sister
New Cumberland Hunting Club
.Thomas J. Topolski
$ 10,OQO.00
10,000,00
.10,000.00
50,000.00
'500.DO"
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- Remington 30-06 Pump Gun
Browning 16 gauge Semi-Automatic
Mobile Home and Lot 6 - Block 6
Section 3 - Plan of Shady Dell
Park, Baltimore, - known as
6 Sassafras Court, Ocean View,
Sussex County, Delaware
to the CCNB Bank NA now by Merger PNC Bank in trust
for the following purposes:
In Kind
.11' II
II II
200.00
125.00
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37,500.00,
$294,364.06
"
,1. The income from said Trust to go to the
children of my said sister, JOAN RANDOLPH GILBERT,
then living, equally, during their lifetime; and
upon the death of the said children, then the
residue to go equally to my said sister's grand -
children then living.
2. In the eVent my dog is then living, my
said Trustee shall place her with satisfactory
individuals in their home and pay $300.00 a month
for her care while she is living or place her in a
dog kennel in the event that satisfactory individuals
are not located by my said Trustee.
, ,
ISTATE or SAMUIL I. RAHDOLPH
PAGE II.
,
3. To payout of the corpus and/or income of
the Trust monthly payments that are necessary, in
the sole discretion of my Trustee, for the care and
maintenance of CAROLINE H. RAILIN, my mother-ill-law,
at the Brethren Home in Neffsville, Pennsylvania, to
the extent her other income is insufficient.
TOTAL I
$ U2,689.06
THE BASIS FOR DISTRIBUTION
,"
.The proposed Schedule of Distribution is based upon the provisions
of the Last will and Testament of the Decedent, Samuel E. Randolph
dated August 8, 1991.
Respectfully submitted,
It-9.~
' THOMAS . T OLSKI
Bxecutor
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF YORK
SS:
THOMAS J. TOPOLSKI, being duly sworn according to law, does
depose and say that he is the Executor of the Estate of SAMUEL .E.
RANDOLPH, deceased; that he is the Accountant in the foregoing
First and Final Account; that the foregoing Account is true and
complete as to all items of credit and debit; that no party has
given notice of any claim that has not been paid; that the facts
set forth in the foregoing Account and in this Affidavit are true
and correct to his knowledge, information and belief.
THOMAS
(EXECUTOR AND
Sworn to and subscribed before me this
,~*
, 1995.
NOTARY PUBLIC
My Commission Expires: ,11.1,[ ~~
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E Nota~al Seal
F"~ y. Martin, NOlary Public
.~. C a IV ew!'ow" York CounlY
m, ommlsslon EXp/ras July 12", 1999
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XN RE:
1 IN. 'I'HE COURT OF COMMON .PLEAS .OF
CUMBERI,AND COUNTY I PENNSYLVANIA
ORPIIANS COURT DIVISION
NO.: 21-95-0.88
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ESTATE OF SAMUEL E.
RANDOLPH, DECEASED,
LATE OF THE BOROUGH OF
CAMP HlLL, PENNSYLVANIA,
fjTIPULATIOH
IT 18 HEREBYst.ipu1ated by and between Thomas J. Topolski,
. Executor of the Estate of Samue 1 E. Randolph I Robert' E. Myers I
Attorney and PNC Dank N .11. Testamentary Trustee I that the
Executor's and legal fees charged in the filed First and Final
Account, in the above-captioned matter be reduced by $3,600.00 and
$2,200.00 respectively.
DATED: February 16 I 1996
Executor
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PNC BANK, N. A.
Trust Officer
. Testamentary Trustee
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IN fHS'COURf OF COMMON PLEAS or CUMBERLAND COUNrr, PENNsrLVANIA
OkPHANS COURf DIVISION
. ESTArs OF I
SAMuSL S. RANDOLPH,
Decea.ed,
NO. I 2195-0688
Late of New Cumberland, Cumberland County,
Pennsylvania
AWARD OF REAL ESTATE
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AND NOW, to wit, this ') day of ADril , 1996, upon
motion of Robert E. Myers, Attorney for Thomas J. Topolski,
Executor of the Estate of Samuel E. Randolph, and Upon
consideration of the AdjUdication made on the First & Partial
Account filed in the above captioned matter, IT IS HERESr ORDERED
AND DECREED that all of the right, title and interest of Samuel E.
Randolph, the decedent in the above captioned matter in all that
certain tract of land with improvements situate in SUssex County,
Delaware, more particularly described on Exhibit "A", attached
hereto and made part hereof by reference, is awarded in fee simple
to Thomas J. Topolski, his heirs and assigns now of 1706 Brandt
Avenue, New Cumberland; Pennsylvania, 17070;
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BY THE COURT
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LEGAL DESCRIPTION
ALL THAT CERTAIN lot, piece and parcal of land situate, lying
and being in Shady Dell Park, Baltimore Hundred, Sussex County,
Delaware, known and designated as Lot 6, Block G, Section 3, being
more particularly bounded and described as follows:
BEGINNING at a point in the Easterly right-of-way line of
Sassafras Court which point is North 18 degrees 20 minutes East
128.50 feet more or less from the point of intersection of
Sassafras Court and Cedar Street; thence by and with the Easterly
right-of-way line of Sassafras Court, North 18 degrees 20 minutes
for a distance of 53.27 feet to an iron pipe in a cul-de-sac in the
Northerly end of Sassafras Court which has a radius of 50 feet;
thence by and with the arc of the curve of the cul-de-sac for a
distance of 142.96 feet to an iron pipe; thence South 85 degrees
29 minutes 19 seconds East for a distance of 120.43 feet to an iron
pipe; thence South 18 degrees 20 minutes West for a distance of
173.89 feet to an iron pipe; thence by and with the comnlon boundary
line between Lots 5 and 6, North 71 degrees 40 minutes West for a
distance of 80 feet home to the place of BEGINNING, said to contain
11.762 square feet of land as will more fully and clearly appear
upon reference to a plot prepared by J.J. McCann, Inc., on
September 30, 1970.
BEING the same premises which Charles Harvey Newton by his
deed dated July 13, 1981, and recorded in the SUSRex County
Recorder of Deeds Office in Record Book 1071, Page 308, conveyed
to Samuel E. Randolph and Lois E. Randolph, his wife; said Lois E.
Randolph died May 21, 1991, whereby Samuel E. Randolph became the
sole owner of the above premises as the surviving tenant by the
entireties; Samuel E. Randolph died Testate on June 27, 1995 and
his Last Will and Testament being probated by the Register of Wills
of Cumberland County, Pennsylvania on June 27, 1995 and exemplified
copies being filed in the Sussex County Courthouse. An Affidavit
was filed as to the death of Lois E. Randolph. An Inheritance Tax
Return was filed with the State of Delaware.
EXHIBIT nAil
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RECEIPT AND RELEASE
We, tho MEW CUMBEnLAMD FIRE DEPARTMENT, of 319 Fourth Street, New
Cumberland, Pennsylvania 17070, intending to be legally bound
hereby, do hereby declare, stipulate and agree that we are one of
the heirs of SAMUEL E. RANDOLPH, deceased, late of Camp Hill
Borough, Cumberland County, Pennsylvania, and one of the persons
referred to in the Schedule of Distribution referred to in the
First and Final Account filed by Thoma5 J. Topolski, Executor, and
that we have received from him the sum of TEN THOUSAND NO HUNDRED
NO/100 ($10,000.00), which we accept in full satisfaction of the
monies awarded to us by the said First and Final Account and all
claims which we have against the said Estate and do hereby release
the said Thomas J. Topolski, Executor, of and from any and all
claims we may have against the said Estate and him as said
Executor.
1M WITNESS WHEREOF,
/J tlJday of ?J1Mc.~
I have hereunto set my hand and seal this
, 1996.
WITNESS:
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RECEIPT AND RELEASE
We, THE BAUOHMAK MEMORIAL UNITED METHODIST CHURCH, of Third &
Bridge Streets, New Cumberland, Pennsylvania 17070, intending to
be legally bound hereby, do hereby declare, stipulate and agree
that we are one of the helrs of SAMUEl, E. RANDOLPH, deceased, late
of Camp Hill Borough, Cumberland County, Pennsylvania, and one of
tho persons referred to in the Schedule of Distribution referred
to in the First and Final Account filed by Thomas J. Topolski,
Executor, and that we have received from him the sum of TEN
THOUSAND NO HUNDRED NO/100 ($10,000.00), which we accept in full
satisfaction of the monies awarded to us by the said First and
Final Account and all claims which we have against the said Estate
and do hereby release the said Thomas J. Topolski, Executor, of and
from any and all claims we may have against the said Est~te and him
as said Executor.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
:;.-rday of. .Aa.~ " 1996.
WITNESS: BAUGHMAN MEMORIAL UNITED METHODIST
CHURCH
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RECEIPT AND RELEASE
We, THE TRINITY UNITED METHODIST CHURCH, of Fourth & Bridge
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Streets, New Cumberland / Pennsylvania 17070, intending to be
legally bound hereby, do hereby declare, stJ.pulate and agree that
we are one of the heirs of SAMUEL E. RANDOLPH, deceased, late of
Camp Hill Borough, Cumberland County, Pennsylvania, and one of the
persons referred to in the Schedule of Distribution referred to in
the First and Final Account filed by Thomas J. Topolski, Executor,
and that we have received from him the sum of TEN THOUSAND NO
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HUNDRED NO/lOO ($10,000.00), which wu accept in full satisfaction
of the monies awarded to us by the said First and Final Account and
all claims which we have against the said Estate and do hereby
release the said Thomas J. Topolski, Executor, of an from any and
all claims we may have against the said Estate and him as said
Executor.
IN WITNESS WHEREOF, I have hereunto set my hand and seal thie
I
J day of /.I (Jt-I I , 1996.
WITNESS:
TRINITY UNITED METHODIST CHURCH
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RECEIPT AND RELEASE
I, JOAN RANDOLPH GILBERT, of 311 Cedarcroft Road, Baltimore,
Maryland, 21212, intending to be legally bound hereby, do hereby
declare, stipulate and agree that I am one of the heirs of SAMUEL
E. RANDOLPH, decoased, late of Camp Hill Borough, Cumberland
County, Pennsylvania, and one of the persons referred to in the
Schedule of Distribution referred to in the First and Final Account
filed by Thomas J. Topolski, Executor, and that I have received
from him the sum of FIFTY THOUSAND NO HUNDRED NO/100 ($50,000.00),
which I accept in full satisfaction of the monies awarded to me by
the said First and Final Account and all claims which I have
against the said Estate and do hereby release the said Thomas
J. Topolski, Executor, of an from any and all claims I may have
against the said Estate and him as said Executor.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
-U day of '111~ , 1996.
WITNESS:
Jenu.i tJ~
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JOAN RANDOLPH GILBERT
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RECEIPT AND RELEASE
We, CCNB BANK, N.A., now by merger PNC BANK N.A., of 21st and
Market Streets, Camp Hill, Pennsylvania 17011 intending to be
legally bound hereby, do hereby declare, stipulate that we are
Trustee under Last Will and Testament of SAMUEL E. RANDOLPH,
deceased, late of Camp Hill Borough, Cumberland County,
Pennsylvania, and one of the persons referred to in the Schedule
of Distribution referred to in the First and Final Account filed
by Thomas J. Topol ski, Executor, and that we have received from him
the sum of THO HUNDRE~ETY NINE THOUSAND NINE HUNDRED SIXTY
FOUR 06/100 DOLLARS ($ li9.964~) in full satisfaction of the
monies awarded to us as Trustee in the said First and Final Account
and all claims which we have against the said Estate and do hereby
release the said Thomas J. Topolski, Executor, of and from any and
all claims we may have against the said Estate and him as said
Executor.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
4r day of ~ ' 1996.
WITNESS:
PNC BANK, N.A.
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By: ~- · ~ft
Ron Kramer, T ustee
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RECEIPT AND RELEAS~
I, FRANCIS LESHIi:R, of 208 Eleventh Street, New Cumberland,
pennsyl vania 17070, intending to be legally bound hereby I do hereby
declare, stipulate and agree that I am one of the heirs of KATHRYN
A. CONNER, Deceased, late of East Pennsboro Township, Cumberland
County, Pennsylvania, and one of the persons referred to in the
Schedule of Distribution referred to in the First and Final Account
filed by Francis Lesher, Executrix, and that I have received from
her the sum of NINETY THREE THOUSAND THREE HUNDRED EIGH~Y THREE
and 89/100 DOLLARS ($93,383.89) and Bond fund account at IDS of
SEVENTY NINE THOUSAND SIX HUNDRED THIRTY AND 46/100 dollars
($79,630.46) and Stock fund account at IDS of SEVENTY EIGHT
THOUSAND NINE HUNDRED FIFTY NINE AND 44/100 dollars ($78,959.44),
which I accept in full satisfaction of the monies awarded to me by
the said First and Final Account and all claims which I have
against the said Estate and do hereby releas'3 the said F'rancis
Lesher, Executrix, of and from any and all claims I may have
against the said Estate and her as said Executrix.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
a day of ~d , 1996.
WITNESS:
;j~,J r.()tJ.QAJ
FRANCIS LESHER
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RECEIPT AND R!LEASI
THI lION LUTHERAN CHURCH, of 15 S. Fourth Street, Harrisburg,
Pennsylvania, intending to be legally bound hereby, does hereby
declare, stipulate and !Igree that we are one of the heirs of
KATHRYN A. CONNER, Deceased, late of East Pennsboro 'fownship,
Cumberland County, Pennsylvania, and one of the beneficiaries
referred to in tho Schedule of Distribution referred to in the
First and Final Account filed by Francis Lesher, Executrix, and
that we receiv3d from her the sum of FIVE HUNDRED DOLLARS
($500.00), which we accept in full satisfaction of the monies
awarded to us by the said First and Final Account and all claims
Which we have against the said Estate and do hereby release the
said Francis Lesher, Executrix, of and from any and all claims that
we may have aga~nst the said Estate and her as said Executrix.
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IN WITNESS WHEREOF, I have hereunto set my hand and seal this
day of f(1rvo.rO' , 1996.
WITNESS:
ZION LUTHERAN CHURCH
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RECEIPT AND RELEAiK
I, OEORGE FINNEY, of 1075 Acri Drive, Colonial Park,.
Harrisburg, Pennsylvania 17111, intending to be legally bound
hereby, do hereby declare, stipulate and agree that I am one of
the heirs of KATHRYN A. CONNER, Deceased, late of East Pennsboro,
Township, Cumberland County, Pennsylvania, and one of the persons
referred to in the Schedule of Distribution referred to in the
First and Final Account filed by Francis Lesher, Executrix, and
that I have received from her the sum of TEN THOUSAND DOLLARS
($10,000.00), which I accept in full satisfaction of the monies
awarded to me by the said First and Final Account and all claims
which I have against the said Estate and do hereby release the said
. Francis Lesher, Executrix, of and from any and all claims I may
have against the said Estate and her as said Executrix.
IN WITNESS WHEREOF, I have hereunto set
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day of ':::::::I!.LMad.llLI , 199.8'.'
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my hand and seal this
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WITNESS:
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
COMMClNWEAtHl Of PENN!YlVANIA (TO BE FILED IN DUPLICATE
OEPARb~WWJJ,\Y!NUE WITH REGISTER OF WILLS)
UAR~!_!l~~~~, PA !'~?~:O6<!l ___h _. __, _ n_ _._ _ ._
OfC!O'-NT'S NAM{ (lASI, film, ANO MIOlJU 1~~H1At -_,-:__
c~ ~.,n^I."_H__._ tV.&( a.. j ... _ _
rlJ $~l SfCU~NUMBU OA,H ~fonltt AIf Of BI~Jtt
~-11_".'1~ 1'JO-..-n--~1l.1ri -I.~D-.J\l
Q I" "'''''''''"..'''"',,0;:"' '''" ''''..w ''','','' ""'"'' '. SO"MHClI'H' f/IIM'"
l!! ~ 1. O,lglnol R.lurn [I 2. Sup"l.m.n,"1 R.,ur"
Iflsg [001 4. lin,i,.d E,lol. I'j 40. Fuluro In'''", Compraml..
x 9 - 110' datal 01 d.olh oil" 12-12.021
u., 1(6. D".d.", DI.d Tetlal. (/ 7, Decod.nl Molnloln.d 0 li,lnO Trull
IAllach copy 01 Wlli) IAlloch copy 01 Tru.'I
----- ---'- -----------..-.... ---- -------r
ALL CORRII'ONDINC;I AND CONPlDENrtAL TAX INPORMATION SHOULD BI DIRIClID TO. .. .
t3 ~ NAMf COMPlfTE MAILlNQ ADDRESS
~~- ~..lI:aor--oof_._I'\!lt-'$ .-----/Ob "J~1'l f4AC> II /"'0""
Sf "tfp~lr~ilUMo.r- ~ I\J~J' (,Io\Il\OiAL",.O. '''' , ...
-.---- ~J.'1l.,.L.'J.~.l'U _.. ___
REV.1500 Ex+ I'.Q<t1
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....Sflli;~
'OR DATlS 0' DIA'H AnlR 12/31/91 ClilCKHIRI
" A SPOUSAL .
POVIR" CRlDIT IS CIAIMID Ll
,iil'Ni'MIIA .- n--.__.______
C()~~ CODE... ... ~{oo__ ~~!r
'1:'i'A'OD:I,' PA~S I * ., ~
1".0 rAAttlT J~ 't ttI,
.~~~~'~~,,:."::::=
I J J, R.maind" Relurn
I'ur dolo. 01 d.olh prior to 12,1J.B2)
[') 5, F.d,,"i Ellol. To. R,'urn R.qulred
1. R.al E,'al. ISch.dule AI 11 I
2. Slock. "nd Bond. ISch.dul. BI ( 2 )
J, Cla..ly H.ld 5lock/Partne"hlp 1111"," (Sch.dulo q I J )
4. Marlgog.. and NOlet Rec.i'obl.(Sch.dulo D) ( 4 I
5. COlh, Bank Depolill & Mlscellonlloul POrlonal Propnrty (5'
ISch.dul. E)
6, Jolnlly Owned P,op"ly (Schodulo FI
7. Tran.f". ISch.dul. GI (Sch.dul'lI
B. Talal Grall AII.h (Iolallin.. 1.7)
9. Funeral hpenllll, Adtnlnhlratl....o C""I, Mltcflllonooul ( 9 )
E.p.n... (Sch.dul. HI
-
10. D.blt. Mar'oag.lIabllili.., 1I." ISch.dul. II (10) . _..._._....._......
11. T 0101 D.ductlan. 110101 lln.. 9 & 10) 111 I --------S('I.I'~.....c'_
12. N., Value of Ellol. (IIn. 0 mlnUllin. II) (12) ....--....,J-s,-rl.yLS...~__
lJ, Charllabl. and Go'"nm.nlal B.quoII' (Sch.dule JI IIJI ...-__J~.~QI:).l ()O '"
14, N.t Value SUbl~~{!~2-.!".~-~:l)-___''''___'____...______.l14)-,~.r...3.1I1~
15, Spou.al Tranlf". Ifor dol.. of d.o,h aftor 6,JO.941
See Inslructlonl for Applicable Percentage on Reverie 1151
Sid., Ilnclud. volu.. Iram Sch.dul. K or Sch.dul. M.)
16, Amount of LIne 14 taxable at 6% role
(lnclud. valu.. I,om Sch.dule K or Sch.dul. M.I
17. Amount of line 14 taxable oJ 15% rale
(lnclud. ,aiu.. Irom Sch.dule K or Sch.dul. M,)
1B, Principal 'a. due IAdd 10' from lIn.. 15, 16 "nd 17,)
19. Credits Spoulal Poverty Credit Prior Pay mont,
- ---------....... + J/3M.tQ
20, If IIn. 19 I. greo'" Ihan line 10. 'nl" Ih. diff".nce on lln. 20, Thl. it Ih. OVERPAYMENT,
III LJfiIm\.ou'.'~'-'l"'.'''''''I''''''''''t.'....mmll\_'",+u..l-9lIlh.rllll'JD _
21. If lln. 1 B I. oreo'" Ihan IIn. 19. .n'" Iho dlff.rence on line 21. Thit it Ihe TAX DUE, 121 I
A Enler Ihe Inlerell on the balance due on line 21A. 121A)
B. En'" the '0101 of lln. 21 and 21A an ll". 21 B. Thl. i, Ih. BALANCE DUE, 121BI
_~.~o Check _~...,ablo te, /l.'J1I"or .1 WIII!,..~!!n,t__ _.._.. .__ _.__.____._____.. ____ ___ __"'_ _n___...____ _______.____._
____n__._ . '. II SURI TO ANIWiR ALL QUESTIONS ONmlRIB 1101 AND TO RlCHICK MATH ~ ~ _
Under p.noili.. QI p"lury. I declare Iholl ha" ..omlned 'hit ,"urn. including accamponylllij \Ch.dul.. and 1I01.m.nlt, and 10 the b.., of my knowl.dg. and b.II."
1'1. 'ru., :ar"" and camplel.. I declare ,hal all reai .1101. has bee" "porl.d a'lrue marko' vaiue. Declaralion of p"po'" alher than 'h. p."onal "pret.nlati" I.
~i~~~~-a~'~~:~~~a~r:i~ ~Ii iFN ;~~N~~:.~..'.\:~il;' - - . . .. - ..... ur---- _ _ _ __ ",,_. _.._. .___
-//lfi'fI!t' !/ -- ,t..,..I ,,,,Jl~~ 'flAN~"IJ'i. A'iW~_..A",o,a~~!.-..______.._
51 ru "'.. · ~ ,,",. " E"'II.< vr 'UO'E\I 'e IlIi DAlE
"'~ n 'n.--------/WYOUH1"D " &1 -..LL__n_'-'- I, _n___._.._____.___...
- 8. Tolal Number of Sofe O.,pollt BOllel
-
.2.\1.\1 oi, ~.~..
-
-------------
. --- --_<h___h___
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116)
-
H_....X ,06.
---- _nu.. __ '__u_ __. .___.__ ___
1171
3'5: 3l~.31
_ X .IS = __
..,,-5,',I.1th''-____
Dlscounl
+a;"",.OCt
(10)
. -. _._ ..__u___.___..___.
Inlerell
. --S~I-Oo.o._.Q_..
1191
120)
._--.. - --.--.--..-...-..----- -._-
Act .48 of 1994 jlrovld.. for the ,.ductlon of the tax rat.. Impolld on the n.t valu. of trander. to or for
the u.e of the 'POUII. Th. rat.. a. pr..crlb.d by the .tatute will b..
. 3~ (.03) will b. appllcabl. for ..tat.. of d.c.dent. dying on or after 7/1194 and b.fore 111196
. 2~ (.02) will b. appllcabl. for ..tat.. of d.c..Jent. dying on or after 1/1/96 and b.fore 1/1197
. 1~ (.01) will b. appllcablo for ..tat.. of d.c.d.nt. dying on or after 1/1197 and b.fore 1/1198
. Spoulal trander. occurrinG on or aft., 1/1/98 will b. .x.mpt from Inh.,ltanc. talC.
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING A CHECK MARK k) IN THE APPROPRIATE BLOCKS.
VIS. 0
1. Old decedent make a transfer and:
a. retain the use or Income of the property transferred, ......"..............""...............".........."
b. ,.taln the right to designate who shall use the properly transferred or ItslncomfJ, ..............,
i.
I
c. r.talna reversionary Int.rllt; or .. '0' ,..., "",,,..... ........,..." .... ,.....,... """" .0. to' ......,......., .."
d.recelve the promise for life of either paym.nls, benefits or care' .......................................
2. "d.ath occurred on or before December 12, 1982, did decedent within two years preceding
death transfer properly without receiving adequate consideration' " death occurred after
December 12, 1982, did decedent transfer property within one year of death without receiving
adequate consideration' .t. ..'.'10..'...., '" ...., """""" ......".", ..... ...., ,... I ,..,., ,..... to.. .....,.,..... .....
3. Old dec.dent own an 'In trust for' bank account at his or her death'................,.....................
'1-
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
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PILI NUMBER
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COMMONWIAllH 0' P1NN$VlVAN'A
,NHUIlANCITAX RI'lURN
Rl!lDINl DICID NT .
ifiAUOP-
SCHEDULE B
STOCKS AND BONDS
~a~ ~r
IAII p.!!!!!rly I~lntly.own.d with RI,ht of SUlvlvo"hlp mu.t b. dllClol.d on S,h.dul. P,I
ITEM DESCRIPTION VALUE AT DATE
NUMBER OF DEATH
-1:--- ,'HI ....".n- "."-Co 'A~--' ~ ......11 fIIIof',,, sri
~. ,,~ I' '1ft'" 1'.......,. ...... fe 'U'S ftlf1' ..~,t',..N
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." 51 " F.,.~.,. rl't",.r .r Sin,,,,,
,. ~1M4~.,..~ ~\WI" Ctl~...,- $T_I\1'f't.~ tNt./rtJ 1-0" 'Sf)l\,,, I
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TOTAL IAI.o 'nlor on IIn. 2, Rocopllulollon)
III mOil .pac. /. ntld,d, Inllrt addiflonal Ih.." 0' lam. II..,}
"-
,-" ,."'i'''''''i7r"~~-''' '-'.......'~.-......~':.\~M..'t. ,,~.ltw.j,'~lll.i, ''" .'~I.\' t -\\lh'~'J,,-~'''~~:i.\Uilll~.J )',ll~j,l. W'\,~ .d.1. I,..: .
1~!.! I . . " '.'! j . ',' '! ' i , " ' . . ,1 ' , , , '
IIV.liOlUtIJ.l11
J SCHEDULE E 1
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL P~OPERT~ ,._ __ Plea.. Print or Tyl'!_
- - - FilE NUMBER
~~
COMMONWUllH Of PfNN$YlVANIA
IHHIRIlAHCI TAX mUIN
III1DIIl! DICIDIHI
ESTATE OF
~I CO QAJlOUH_._________________~.~.!!ff
jAil pr.,.,t, jolntl,.....n.d ~.f .".l..uhfp mu.' b. d!nl...d .~~.h.dul. _~I._ . __
,- ITEM VALUE AT
NUMBER DESCRIPTION _____._______ D~~.E Of DEAT~.__
I.
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"'Tb~ 8lt/1"T ~,... ~"'e""'~ot.,u"~
ta. c.. i Q. S. """l\fI'I~~ BIN' F,r
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3. At.,...wr..u. L... IN.. 'I~ & ,
If. ~..." .. -'.c. F.MJUA"(~r..~_ 11)C"'~
_________ TOTAL (Allo en!", an IIn" 5, Recoplh.lotlon
&.o.NO""
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3.1.
:I" $IIO.~"
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'''"111'' I'"' '* SCHEDULE H
COMM(JNWlA~TH or PfNH~YlVANl' AD~~~~~~~I~~P~~:::'AND
'Hm:~~~1Wc'!~l~~'H MISCELLANEOUS EXPENSES PI. a.. Print or T(p.
.- , -- --- - -- -. n_ ", - rme NUMIER - -
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ISfATI Of
-~~
ITEM
NUMBER
-----------.- ---'-'-~.-a;;,----_-..--m-_-_-
A. Funllal bp.n,,", ,.." "',-
1.
B.
2,
DESCRIPTION
AMOUNT
", IW - f""'~"" ,,,..,,
,t~'o
1.
Admlrrl.tratlv. COIIlI
Pananal Representative Commissions _ j ..a
Social Security Number of Penonal Reprosentotlve, -,
Year Commissions paid _________
~..")\.t4
Allorney Fees
.. ~..".,. t. ""1.""
'~'f')2.11.
3, Family Exemption
Claimant ""NL__ Relationship
Address of Claimant at decedent's death
Street Address ______
City ___.____._________Stole __ Zip Code
4,
c.
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Probate Feel
",.01>
Mlle.llan,oul bp.n""
1.
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110.00
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TOTAL lAlla enler on line 9. Rocapltulatlonl S (, 1\#....0
3,
4,
5,
6,
7,
8,
(If more spae. Is n"d.d, In..rt additional Ih,," of lam. .111.)
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(OMMOt.WUn" Of pfNNIYlVANIA
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SCHEDULE J
BENEPlCIARIIS
PILI NUMBII
SAI1\JEL E.
IlIM
NUMI..
IlIM
NUMBII
RANDOLPH '
r'.
NAMI A~ ADDUlS OP BINIPlCIAIV
IllATlONSH-;! sH~~fgr181Tl
A, TOMobl. "qU"11I
1.
Friend
Thomas J. Topolski
1706 Brandt Ave.
New Cumberland. Pa, 17070
Two guns
appraised at
$325.00, plus
trailer and
Lot in n!llaware
2. Baughman Memorial United Methodht Church
Third & Bridge St.
New Cumberland, Pa, 17070
$10,000.00
3. New Cumberland Fire Department
319 Fourth Street
New Cumberland, Pa, 17070
$10,000.00
4. New Cumberland Hunting Club
c/o Thomas J. Topolski, Preeident
1706 Brandt Ave.
New Cumberland, Pa, 17070
$ 500.00
5. Trinity United Methodist Church
Fourth & Bridge St.
New Cumberland, PA. 17070
$10,000.00
(Con~
NAMI AND ADDIIIS OP IIINIPICIAIV
AMOUNT 011
SHARI 0' ISTAlI
I, Chorllobl. onel G.vtrnm.nl.1 a.qu..",
I.
TOTAL CHARITABLI AND GOVERNMENTAllEQUESTS (AI.. .nl.r .n lin. '3, I.copllulollon) S
. ,
III mo,. IptIC. II "...i.d, In"'I adelltlo"ollh..I. ., .om. 111.1
"!";:..~~":.:.J1.'..T.~-.,-rt't'-"""" .,
"', '
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.
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COMMONWIIIU" Of ,tNH."YANIA
. INMIttIANU ....UUIN
IINMHIItCItIH'
SCHEDULE J
BENEFICIARIES
IATATI 0'
PILI NUMIIR
SAMUEL E. RANDOLPH
. ~
N~~rIR NAMI ANff ADDUSS 0' IINIPICIARV
RILATlONSHI.
AMOUNT OR
SHARI 0' ISTAn
A, Taoabll "qUIll II
ii.
Joan Randolph Gilbert
311 Cedarcroft Road
Baltimore, MD. 21212
Sister
$50,000.00 '
7.
CCNB Bank, N.A. IN TRUST (PNC Bank by merger)
331 Bridge St.
New Cumberland, Pa. 17070
Income f,rom
Trult... to five
Nieee'l and
Nephew.T')I.N
To "",,"'0.
N. ICIS" NfI'tf"tJ
"
tTIM
NUMIIR
NAMI AND ADDRISS 0' IINIPlClARV
AMOUNT 011
SHARI 0' ISTATI
I, Charllabll aod Ga.lrnmlnlall.qulllll
1.
TOTAL CHARtTAIII AND (lOVUNMINTA\ IIQUISTS IAho "o'"r an IIno 13, Rocapllulatlanl
III mllo .paCI ,; nlleloel, Inllll aeldluonal .h.... al .allil .1..,
s
, .
NEW CUMBERLAND FEDERAL
CREDIT UNION
MAIN OFFIOE: 619 BRIDGE STREET, NEW CUMBERLAND, PA 17070
(717) 774-7706 (717) 774.4633 HI00.71N.CFCU (6-2328)
August 11, 1995
"I
"
Law Offices of
Robert E. Hyers
100 Old York Road
New Cumberland, Pa 17070
ReI Estate of Samuel E. Randolph
Social Security '716~09.7910
Dear Hr. Hyers,
Hr. Randolph had savings account #911 which was opened
on January 26,1960. The account was in his name alone. The
balance on the day of death was $36,673.82. A copy of int-
erest payments for the past year is enclosed. The la~~ int- 'L~
erest payment of $97,96 was made on June 30,1995.{"..-,o~"".
Thomas Topolski, Executor of the Estate, received a
check to close the account in the amount of $36,771.78 on .
July 18,1995. A chuck for $3,125.00 was sent to Hr. Topolski
on' August 2, 1995. This check was for the life savings
coverage on the savings account. Copies of the checks ars
enclosed.
'I "
,
,
"
Sincerely,
t ' 1~J(j
cr~oulliard .
Hember Service Rep.
'l,
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IDHARRIS"
iii SAVINGS BANK
IInrris SavinRs Operations Celller
635 North 12th Street
LClI1oyne, Pcnnsl'lvllllia 1704:1
71'//731,1440
717/731,0859 Jlax
Auqust 10, 1995
Robert E. Myers
100 York Road
New Cumberland, PA 17070
Tho infor~tion which you roquootod on the ftccount(o) of
Randloph Estate (nodnl S~eurity Number 716-09-7910
Samuel
) is ns follO\/II.
Account !lumber( /I)
07-54-225849
ClaSR of Account
6 Mths. Cert.
Date Opene!!
4-20-92
Principal Dal/lnco
$60,000.00
Accrued Intereot
91.56
Dalllnce at
Dote of Death
60,091.56
Account
Ownerllhip
Indi vidual
N.me of Joint
Owner, it any
D/lte OwnnrshiJl
WII' tstnblinhed
4-20-92
Additional Infor-
mation l1l'qllnlltod
Please hove the Executor of this Estate siqn the enclossd W-9
form and return it to me in the provided envelope. Thank you.
Sincerely,
-~~~ L:,c.c...-
~~hen L. Cole
Sr. Retail Administration Services Rep.
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LAST WIL~ AND TBSTAMENT
0'
SAMUEL E. RANDOLPH
I, SAMUEL R. RANDOLPH, of 740 Carol street, Borough of New
Cumberland, Cumberland County, Pennsylvania, 17070, being of sound
ane1 disposing mind, memory and unclerst,anclJ119 , do hereby make,
publish and declare this to be my Last Will and Testament, hereby
revoking all other Wills and Codicils previously made by me.
ITEM II
I direct the payment of all my just debts,
expenses of my last illnes8, funeral expenoes, perpetual care of
my burial lot, suitable marker for my grave and the costs of
administrating my estate from my estate as soon after my death as
conveniently may be done.
ITEM II I
I give and bequeath the sum of TRN THOUSAND
DOl,LARS and 00/100 ($10,000.00) as follows to each of the
following I
71. To B1\UGIIMAN MEMORI7IL UNITED METIlODIST
CIlURCII, Third and Bridge Streets, New Cumberland, Pennsylvania, in
memory of William and Mae Leach, my grandparents, formerly of 200
Market Street, New Cumberland, Pennsylvania I
. ,
B. To TRINI TY UNl1'F:D ME~'II0DIST CIIURCII, Fourth
and Bridge Streets, New Cumber land, Pennsylvania, in memOl"y of
Suzanne 11. Rando lph, my mother I and
C. To NEW CUMDlmJ.IINIJ FIRT'; DEPIIRTMF:N'l', 319
Fourth street, New Cumberland, Pennsylvania.
ITEM III I I give and bequeath the sum of F'JI'~'Y 'l'II0USIINI>
DOLLIIRS and 00/100 ($50,000.00) to JOliN RIINDOLPII GIl.DERT, my
sister.
ITEM IVI I give and bequeath the sum of FIVE IIUNDRED
DOI/LIIRS and 00/100 ($500.00) to NEW CUMDERI,IIND IIUNTING cwn.
ITEM VI I give, devise and bequeath to TIIOMM J.
TOPOI,SKI of 1706 Drandt IIvenue / New Cumher land, Pennsylvania / my
gun cabinet and all my rifles and shot. gUlls with all shells and
cleaning equipment., and also my mobile home and lot situate at
Shady Dell Park in Ocean View, Delaware.
ITEM VII I glve, dev1se and bequeath all the rest,
residue and remainder of my eatate, real, personal or mixed,
tangible or lntllngible, of. whatsoever n/lture and wheresoever
located and all property to which I may he entitled or over which
r may have power of disposition or IIppointment and whether acquired
durlng or after my lifetime unto CCNn DlINK, N.lI./ IN TRUST, for
the following purposes I
If""'
1. The income Crom Raid TruRt to go to the
children of my Ilaid Ilister, .1O^N R^N()(J],1'1f GIl,mmr I then Hving,
equally, during their lifetime I and upon the death of the said
chilclren, then the renidue to go equally to my Raid sinter's
grandchildren then living.
2. In the event my dog ill then living, my
said Trustee shall place her wi th sati8 flll1t,ory indi vidua 18 in their
home and pay $300.00 II month fo!: her ell!:!! wh.ile Bhe is Hving or
plaoe her in a dog kennel in the event thllt Batiefactory
individuals are not located by my said TruRtee.
3. To payout of the corpus and/or. income of
the Trust monthly payments that lIr.e necessary, in the sole
discretion of my Trustee, for the care IInd maintenance of CftROLINE
If. R^ILING, my mother-in-law, at the Brethren Ilome in Neffsville,
Pennr;ylvanill, to the extent her other income is insufficient:.
ITEM VII: 1 direct that any IInd all tlllteS that may be
assessed in consequence of my death, j neluding all I nherit.ance,
Estate and Transfer Taxes imposed upon my estate pasning under my
Wi 11 or otherwise I shall be paid out of the principal of my
residuary estate as a part or the expense of the IIdministraUcm of
my elltate.
ITEM VIII: I authorize IInd empower my persona 1
representative and/or said Trustee representative to compromise,
adjust, release and discharge in such manner /IS my personal
.'
representative may deem proper, all debts and claims owed by or to
rile or my Estatel to sell, lease or exchange at public or private
sale or in such manner, at such prices, and upon such terms of
credit or otherwise, a~ my personal representative or said Trustee
may deem proper, all or any part of my property, real or personall
to execute, acknowledge and deli vel' instruments of conveyance,
including deeds in fee simple I to borrow money for the purpose of
paying estate, inheritance or other taxes which are required to be
paid and to secure any such loan by pledge or mortgage of all or
any part of my property and to execute the necessary instrumento
to carry out such powers 1 to distribute my estate in kind or partly
in money or partly in kind, and to determine the fair value at
which any property so distributed in kind shall be received by the
distributees 1 to conduct any husiness in wh.i.ch I have an interest
at the time of my decease, for such period as my personal
representati ve may deem proper, power to borrow money and pledge
asset,s of the business and the power to do all other acts that I,
in my lifetime could have done, to delegate such power to any
partner, manager or employee withou t Hahili ty for any loss
occurring therein and to orgllni:o:e a corporation to carryon add
business as capital to such corporation and accept stock in the
corporation in lieu thereof and hold such stock for the uses of
this my Will, and to vote said stock or sell the same as to my
personal representaHve may seem beRt.l to ret.aln all stocks,
assets, bonds and inventments owned by me without being confined
to what is known as legal inv8ntmentnl to execute any options to
purchase, to apply for nt:ockn, bomls or other lnventments, to
purchase or otherwine acquire real estate and to execute the same
powers thereover as hereinbefore provlc1ed, to retaln indefinitely
any part of my aSBets, real or personal, which le or may become
unproductive or to make sale thereof; to pllY carrying charges and
expenses of the property out of oUler prlncipal or income of my
estate; to invest and reinvest in all forms of property without
restrictlon to investments authorized for Pennsylvania fiduciaries,
BS they deem proper, wlthout regard to the prlnciple of
diversification or risk; to exerclse any law-given option to treat
administrative expenses either as income tax or as estate tax
deductiolls, without regard to whether the expennen were paid from
principal or lncome. 1'he powers hereln ()onferred shall be to my
named personal representatlve and Bald Trustee and all
SUccessors thereto and shall be in addition and not in limitatlon
of other powers conferred on sRld fiduciarles.
TIny l1nd all payment or payments of any sum or
Bums, whether in cash or in klnd anel whether for principal or
income, payable to any beneficiary shall be made upon the sole
reo'!ipt of the respective beneficiary to whom the payment Js made,
and free from anticipaHon i alienation, assignment, attachment, and
pledge and free from control hy the oredi tors of any such
beneficiary.
ITIlM IX,
All shares of princJ.pal and income hereby given
shall be free from anticipation, assignment, pledge or obligation
of the beneficiaries and any of them and shall not be subject to
any execution or attachment, levy or sequestration or other claims
of the creditors of said beneficiaries or any of them.
ITM x,
I hereby nominate, constitute and appoint
TnOMAS J. TOPOI~KI of 1706 nrandt Avenue, New Cumberland,
Pennsylvania, as sole Exebutor of this my Last Will and Testament,
to serve without bond. In the event of the renunciation, death,
resignation, refusal or inability to act for any reason whatsoever
of the saId TnOMAS J. 'l'OPOI,SKI, I nominat.e, consti tut,e and appoint
CCNB Bl\NK, N.l\., as sole Executor, to serve without bond.
ITEM XI,
I direct that my Executor hire the servIces of
Robert E. Myers, Esquire, in the administration of my Estate.
IN tlITNESS WIIBREOF, I, Sl\MUm. r.. RANIJOLPII, have set to thi s
or a:;:;l and
Testament my hand and seal this _%t:1J _ day of
, 1991.
'~j~~J.~~~
Sl\MUEL F.. Rl\N Ol,Pn
(BEAL)
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Signed, sealed, published and d~l:ared by ~AM L E. RANDOI,PII, the
above-named Testator on the J . dRY of _U~Uo~, 1991, all
and for hiB Last Will and Testamen in the IIr se e 0 us, who, in
his pres once and in the presence of each other have, lit' his
request, subsc ibed our names as witnesses hereto.
~. residing at
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COMMONWEALTH OF PENNSYLVANIA
(ttL
SSI
COUNTY OF
We, the undersigned, the ~'eat:1I tor and the witnesses,
respeotively, whoso names lire signed to the foregoing instrument,
being first duly Bworn /lnd qualified according to law, do hereby
deolare to the undersigned authority that we were preBent and saw
the Testator sign and execute the instrument as hiB Will, and that
he had signed willingly and that he flxecuted it: all Ids free and
voluntary act for the purpoBfls therein exprellBed, llnd that each of
the witnesses, in the presence and hearing of the Testator, signed
the l'/ill as witnesB and that to the best of their knowledge the
Testator was at that time eighteen years of age or older, of sound
mind and under no constraint or undue influencel and I, the said
, Testator, do hereby acknowledge that I signed and executed the
instrument as my LaBt Will, that I Iligned it willingly and that I
signed it liS my free and voluntary act for the purposes therein
expressed.
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, 1991.
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'II REGISTER OF WILLS
1\CtMBERLlINO COONl'Y
CUMBERLAND COONl'Y COURTHOUSE.
HIGH AND IwmER f;lTREETS
CARLISLE, PA 17013
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D NO.AA 048165 . 'DlMlITMINT 0' .IVINUI . . .
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RECEIVED FROM:
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ACN
ASSESSMENT P:'
CONTROL WI
NUMBER
AMOUNT
MVERS ROBERT E
100 VORl< RD
-rol
.~II'~OO. 00
NEW CUMBERLAND, PA 17070
......_~-
EST"TE INFORM"-T10N: -1
!II FilE NUMBER
Ii el-1qq~-04Be
!II N"ME F DECEDENT 11ASTI
~ RANDOLPH SAMUEL E
II D"TE OF P"YMENT
g POSTM,,~/9'
COU TY S ,.,:5
CUMBERLAND
D"TE OF DEATH
SSN 716-(19-7910
IFlRSTI IMII
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m TOTAL AMOUNT PAID _ .151.1.300,00
('/1l)'>J;; I . 1J C ~ .
RECEIVED BviL.~.' C!: ,,' Wt.
NA I
MARY C. LEW
REGISTER OF WILLS
REMARKS
THOMAS J TOPOLSKI
SEAL
CHECK4I 103
REGISTER OF WillS
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DEPARtMENT Of Ah'fNUf
[HPT 260601
tt~_It~SIURO~ ~~_'"2~.O~1 _
OfCfr)fNI'$ tjAM( IIA~l, 'llIST, ANIl M!OOU INITIAl)
RANDOl, PH , SAllOF.I. E.
~ ~ciCTAlSfcvil'Y ~wMiii -. JD"H W 11IAllt !liAU Of atA.lIt
ffi _Jl~:Q9-=-I91l)___n_ n 6-11-95, J 1~20:16 __
___c__ I'~ "':~~"I~:~':"~:::~I~'~M""'I'''U ..", '''''01' "",,,,, \0"" "CURl" f111""'_.
U 1. Orloinal Return ~ 1 2. Su""I.nlOn'al Re'urn
[] 4. limlled Ellale [ 1 40. Fulll" Inlerell Campromil.
(lor d,,'" 01 dealh alter 12,12,821
[I 6, C",denl Died fllla'e [ I 7. Oecod.n' Malnlalnod 0 Llvino frUlI
(Allach copy of Will) (Allach copy of T""I
. ALL COmlPoNDINCI AND CONPIDINTlAL TAl(~iNPoRMATION SHOULD II DJRICYID TO,
ch.... A IOMPTfHMAHlflUADOllfU
l:!~ Roburt F.. Hyura 100 York Road
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--..--.--- =LUL)=,.~11!!,;:.:tt~,}_".c-'_'on__._ . _ _ _. _ ..~ _' n_ ,_____"_-__~__ _-.~==~_
1. Roo' E,lo'o ISchodule A) III . _ ___ .__.
2, Slack, and Bond, (Schedule BI 121.__..__.....
3, ClolOly Hold SlockIPa,'ne"hl" Inlo",' (Sch.dlll. q I 3 I _ .. _n _ _ _. _ _.. n____~___.
4, Mo,'oao.. and No'" R",lvabl. ISchodulo 01 I 4 I __ _______
5. Ca,h, Bonk Oepa.ill & MileollaneoUl Pe"onol Property 151..- _.4.958.71.._._____.__.___.
(Schedulo E)
6, Joln'ly Owned Properly ISchedul. FI 161 __on.u___.._. ._____.._____._____
7, Tran,lo" \Schedulei:lGIISchodul. LlO(~i.nal ruturn71
ovur UXIUnse , luu Rchuaulu A
8. Tala! Groll Allell (lolalUnlll T./) .
9. Funeral E.IlE>onlel, Admlnlltrnllvo COlli, Mllcellaneoul
E'pen,.. ISchedule HI
10. Deb". Mortgage liablllll.., Lien. ISchedul. II
11. Tolal OeducHon! ('o'allln.. 9 & 101
12, Nol Val"e 01 E,'a', (line B minUlllno III
13, Charllablo and Governmonlal B.qu.." ISchodule JI
14, NO! Value ..Suble"'a 10' Illno 12 mlnUl_~lne ..!~____..
15, SpoUlal T,an"e" Ifa, dolO' of dealh oller 6,30,941
See Inllruc!lonl for Ar,plicable Pnrcenlage on Rovette 115)
Side, Ilnclude valulI rom Sch.dule K 0' Schedule M.I
16. Amounl of line 14 taMable 01 6% rale
Ilncludo va lUll fronl S,hedulo K or Sch.dul. M,)
17, Amoun' of line 14 ta,ab,o 0' 15% ,ole
(Include valu.. 'rom Schedulo K or Schedule M,I
18, Prlnclp,lla, due IAdd '0' Irom Un.. 15. 16 and 17.1
19. Crt'dill Spoulal Poverly Crodil Prior Paymenll
___ H___.____..~_.__.. ____. + _... .____.___. _ + .__n._.___._.__..' - _____
'fY.1500 II. 17"~1
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I FOR OATIS O.OIATH AmR 12/31191 CHICK hlRl
If A SPDUSAL --
POVIRTY.CRIOll l.s_C~A1M1_~_L)_ n_______'
flU NUMBIR
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
ITO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
95
YEAR
468
NUMBER
21
COUNlY CODE
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()!(WHlT'~ COMPHlE AODNE~S
Lundurs Nursing & Rehab Cunter
1700 Narkut Sl.
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[I 3, Remainder R.turn
Ifo, do'" 01 dea,h prior '012,13,821
[] 5, F.doral Ellate To, Relurn Required
_ 8, folal Number of Sole Oe"o,1I Bo,..
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20, II line 19 I. groal.. Ihon Line 18. onlor Ihe dllloronce on line 20, Thl. ",he OVERPAYMENT,
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(101 ___________
C1u:rk h."I' If vnu (Uf' "'lIu('~linu (I It.fund of yOU! ovelpuynwnl
21. 1I11no 18 " groater thon lIn. lY, onlor Ih. dlll,ronce on line 21. Thl. " ,he TAX DUE, 1211 _..!.1~~~-'-_6_!l..____.u______.u.
A. Enler ,ho inllrlll on Iho balanco due on lIn. 21A. PiAl ..______....._____._____.___._____.
B, Enl.. the 10101 ol'.Ine 21 and 21A on line 21B, Th"" Ihe BALANCE DUE, 121BI ________.nn____._._..____.___.
__un. Mak.!...Ch...~Yabl. .!."..'..!!.~!!'!.'.~_WIII!~~~.!~I_____________________.___
-------- --.). II lUll to ANSWIR ALL QUISTION5 ON REVIAII SIDI AND TO RICHICK MATH <II( ;,c- . _
Under penollle. of perlury, I declare thaI I have uomlned Inil return, including aCl;ompanylng I,nodulel and Ilalemenh, and 10 the bul of my knowledge and bell.f,
II II trOll, correct and complele. I declarelhal all racllltale ha\ been reported cltrue market value. Doclaralian 01 preporer olnar Ihan the penonal represenlallve I.
baled on olllnformaHon of which preparor hOI any knowledge.
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Act '48 of 1994 provld.. for the reduction of the tox rllt.. Impoltd on the net value of tranal.r. to or for
the u.e of the .pou.e. The rate. a. pre.crlbed by the lIalute will b., .'
I 3~ 1.03) will be applicable for ..tat.. of decldenl. dylnl1 on or aft., 7/1/94 and before Hl/96
. 2~ 1.02) will b. appllcabl. for e.tate. of decedent. dylnl1 on or aft., 1/1/96 and before 1/1/97
I 1~ 1.01) will bl applicable for e.latl. of dlcldlnll dylnl1 on or aft., 1/1/97 and before 1/1/98
e Spou.al tranll.,. occurrlnl1 on or after 1/1/98 will be .x.mpl from Inherltanc. tax.
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING A CHECK MARK (11') IN THE APPROPRIATE BLOCKS.
Y 5 0
1. Old deced.nt make a Iransfer and I
at retain the u.. or Income of the property transferred, ............"...."".11..........."....."..........
. b. r.taln the right to d.slgnate who shall use the property transferred or Its Income, ...............
c. r.taln a reversionary Inter..t; or .........'11.......".............,...........,....,.............,........,......11
d. receive ,h. promise for life of either paymen", benefits or care' .......................................
.. 2. If death occurred on or before December 12, 1982, did decedent within two years preceding
deoth transfer flroperty without receiving adequate consideration' If death occurred after
December 12, 1982, did decedent transfer property within one year of death without receiving
adequate consideration' ..,.... "'I.... I..... 11"....."...1'......... to..., I......... II' to............ ,..., "........ '0...
'3. Old decedent own an 'In trust for' bank account at his or her death,",....................................
'f-..
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE'!)AS PART OF THE RETURN.
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SCHEDULE H
fUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCEllANEOUS EXPENSES
PI.o.. Print at Tvp.
~ N-ut.iiIR -
,~1__!5-~~8
COMMONWfAltH Of PfNN~YlVANIA
INHUIIANCf 'AK ReTURN
U~~O(NI ~~!~!NI
UTATI Of
SAMUEl. E. RANDOI.PII
ITEM
NUMBER
-...---.-. -_...._-~.-------_.------_._-_._..-.,----_.
A. Funtlal bp.n...,
1,
B.
1.
2..
3,
4.
C.
1.
2.
3,
. 4,
5,
6.
7,
8.
,
DESCRIPTION
AMOUNT
Admlnlltrathll CO.tll $26,432.12 - waa declared on rllturn
PelloJa~l&bre{'nta~~'C~~m?s"on' d if f erenc e
Social Security Number of Per,onal Represenlallve: 203 - 24 - 6019
Ynar Commlnlonl paid _~1,iOO.9.0 in l..995 - balance to be paid in
1996.
$296.66
Atlorney fe.. $26,432.12 - waa declared on return in error
Attorney fee is $21,383.03 - over expensed
family Exempllon
Claimant Relatlanlhlp _.
Addr.., 01 Claimant at decedent/I dealh
Street Addreu __
5,049.09
City _,_
State
Zip Code
Probate feel
Mlle.llon.au. Expln...,
Clarence Asberry - Accountant
600.00
-.
TOTAL (A91'bUJnIJl'mi "'MllI\ Recapitulation) S
On or1 Cre
(II mOil .paell. n"dld, In.." additional .h"lI of lame .111.) Tax due on this Account
, .'
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lIy,UOt'I. lUll
o....Lo L SCHEDULE E
~ CASH, BANK DEPOSITS AND
COMMONWI,~~IH o. PlNNIYLVAN'A MISCELLANEOUS
INHIIIl ,NCI TAK 1I1URN PERSONAL PROPERTY PI PIT
11110 NIDICIDINI _ __ ___. _ __un_ . _. ..!,alt r"1 ~p.!-.
ESTATE OF FilE NUMB[R
SAMUEL E. RANDOLPH 21-95-488
(All p,op"ly lolntly,owntd with 'h. Righi 01 S;"I~"hlp mUl~~i;..d ~;;-S~~d:'I. ') ~~~~=~-----'----=-==--=-=._---
ITEM
NUMBER
DESCRIPTION
VALUE AT
DATE 0' DEATH
1. B.C. (, B.S. - Pharmacy Benefit 47.97
2. Refund .. B.C. (, B.S. 47.33
3. Refund .. B.C. (, B.S. 15.88
4. Meridian CD - erroneously entered at $36,475.44 +
$55.77. correct numbers are $41,297.58 + $25.45 - 4,847.59
add difference
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'. ':' P. O'-SOX ..etj~, LANCASTER, PENNSYLVANIA 17604
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. OIlIDIT DIVISION
wM.~lOiMOTDIAI. HUM"" I'
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Robert E. Myers
100 York Rd. ,'" I.
New.Cumberland,' PA 17010
Dear Mr. Myers:
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RE: Samuel E. Randolph, Deceased
June 11. 1995
In response to your recent inquiry concernin9 the accounts maintained
tn the name of the decedent, please be advised that the following accounts
were open at the date of death:
CD '4UO-161U494, open II/b/91, rollover 11/6/94, balance
$41.297.58 and accrued interest $20.40, paying 4.498%.
matures 11/6/95, In his name only.
CD '400-1859711, open 12/30/91. rollover 12/30/94, balance
$12.611.82 and accrued Interest $14.38, paying 4.163%,
matures 6/30/95, in his name only.
CD '4UO-185729. open 11/17/87, rollover 11/17/94. balance
$14,OUO and accrued interest $43.13, paying 4.498%.
matures 11/17/90, in his name ~nly. .
If you should have any further questions. please do not hesitate to
contact me.
Very truly yours,
L1n/0IuSiD- . .
Christine Putt Smith
Credit Confirmation Processor
lops
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'.' d 8 malleI 01 huslness COI,:' ,
, ;Is Infolmallon Is fur~lshe dn\~ for yOUI conllrtontial US~r\',,~'
, , ' swel \0 youlln~ulIYI al1 his bunk or any ull\s 0 e', .
: ,l::,spnhslh\lIlY is assumo~ 1~~~biOC\ \0 change without,' " ,
:IY opInion horoll1 oxprosso . ill
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'!,'ffl~~\'" r ' I " , DI'Amll,.rop IIIVINUI'
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r'~~'I:i4r~'Ii~:. " ' :, O~"CIAL ~ICII~ . lINNSYLVANIA INH.IIITANCI AND ISTATI TAX
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RECEIVED FROM,
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ACN
ASSESSMENT f!'
CONTROL' I;i
NUMBER
AMOUNT
MVERS ROBERT E
100 VORK RD
1"01
.10.S5
. toEW CUl'IlIERLAND, PA
17070
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ESTATE INfORMATION:
1ft f LE NUMBER
riI el-1995-0488
II NAME Of DECEDENT (LAST!
iii RANDOLPH 8AMUEL E
II DATE OffAYMENT
B POSTMARK OA E
COUNTY 199/00
ClJI'IBERLANI>
DATE Of DEATH
_ O~/11/9!5
REMARKS ROBERT E MVERS ESQUIRE
8SN 716-09-7910
(fiRST! {M'!
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SEAL
CHECK. 2167e
m TOTAL, AMOUNT PAID
(',
RECEIVED BY ))/,1/1-<
'10.5e
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. . . REGISTER OF WILLS :=rS~ERL~I~ILLS ",1
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REV.i110? IX APP 02.95)*
COHMONWrALTH Of PENNSYLVAHIA
DEPIIITHEHl Of REVENUE
IURfAU Of INDIVIDUAL TAXES
DEPT. 210601
IWlIlISllJIHI, PA 17121.0601
. AON 101
INHERITANCE TAX
STATEMENT OF ACCOllNT
DATE 03-18-96
RANDOLPH SAMUEL F. PILI NO. 21 95-0488
DATI OP DIATH 06-11-95 COUNTY CUMBERLAND
NOTE. TO INSURE PROpER CREDIT TO YOUR ACCOUNT, SUIHIT THE UppER PORTION OF THII FOR" WIlH YOUR TAM
pAYHENT TO THE ADDRESS SHOWN. HAKE CHECK pAYAILE AND REHIT pAYHENT TD' ,
ROBERT E MYERS
100 YORK 11.0
NEW CUMBERLAND PA 17070
REGISTER DF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE. PA 17013
r
Aoount RalttH
-
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CUT ALONO THIS LINI ~ RITAIN LOWIR PORTION POR YOUR FILES ~
RiWU.li".ix..AFp..i1Z:ijsY.......iiii-iNHERii'"A'iicii.TAx..sTA-fiH'ENT.oF'.iiifcouiif..ii.........um.........
ESTATE OF RANDOLPH SAMUEL E FILl NO.21 95-0408 ACN 101
THIS STATEHENT IS PRoYIOED TO ADVISE OF THE CURRENT STATUS DF THE STATED ACN IN THE NANEO
ESTATE. SHOWN IELOW IS A SU""ARY OF THE PRINCIPAL TAM DUE. APPLICATION DF ALL pAYHENTS.
THE CURRENT BALANCE. AND. IF APPLlCAILE. A PROJECTED INTEREST F10URE.
DATE 03-18-96
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 02-26-96
PRINCIPAL TAX DUE,
59.261. 78
PAYMENTS (TAX CREDITS),
PAYMENT
DATE
RECEIPT
NUMBER
111111 SUMMARY I'
DISCOUNT (+)
INTEREST (.)
ALL 006 PAYMENTS
2.890.01
AMOUNT PAID
II II
03-04-96
'56,371.77
. IF pAID AFTER THIS DATE, SEE REVERSE
SlOE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN II.
NO pAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI.
YOU HAY Ie OUE A REFUND. SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS. I
TDTAL TAX CREDIT
BALANCE OF TAX DUI
INTEREST
TOTAL DUE
59,261.78
.00
.00
,00
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PAVllEHTI
11I1.... IN I" partl.. of Ihl. Hotlo. ond ....11 "Ith \'Ollr po_t _ p.yllll. to IN ... ond oddr...
printed on the r,VII'" ,Idel
"
If 11'IIIDliH1 Df.CEDliHT ..... 0_ or ....y o,dor .....1. 101 RI8IITU OF WILLI, A8~NT.
If HOH-AUlDliHT Df.CEDliHT ..... ohock 0' ....y or.r ,oyolllo 101 COlltOHllIAL TH OF 'IHNlYLVANIA.
All po....,to ,...I,od 11Io11 be _lIod 11"1 10 ... Int,,"1 which ooy be duo wllh ony 'IMI""", ...,lIodlo IN I....
RUUNTI (CIUI A refund of.. tlW aredlt, vhtch "'11 not "qUtlted .. 'hi 'IIC R.turn, leY be r......ted bv cOIpltU,. ..
""'Uoatlon for AI'uM 0' PlMlvlv."l, Inhlrltenoe and Elt,t, TIIC" (REV-nl)), AppUcIUGnI Ire ..,ll1lhl1 It
thl 0"101 of thl A..,.t.r 0' Willi, InY of thl ZJ a.w.nu. Dlltrlot O"lc,. or frOl the o.,.rt.ent', 24.hour
enlwerlhl ..rvlol ~r. for 'or.. ordering, In Penn'YlYIMI, 1-100"562"2010, out.lde Penn'Yly."l,
end ..ithln loon! Htrrhbur. '1'" (717) 717-1094, TnDI (11) nz..zzsz ("'trlne ,..,Ired onh).
RrPLV TOI GuI,Uc,n, rllll'd!", '1'1'01" cont..lned on thh notice .hould bt Mdr...ed tOI PA o.p.rt.."t of Atllenut, lur...
of Indlllldull T'M", ATTNI Po.t A......."t Relllew Unit, Dlpt. t.0601, Klrrl.bur., PA 1712.-0601, phonI
(717) 117'610,1.
DISCOUNT I Jf InY tlM dut II plld within thr.. (1) clltnebr _tM IUer tM deoedtnt'i; elMth, I fllle Ptroent U~() dlMCKJnt
01 IN tIM p.ld II .11_.
INTEREST I lntlr.et II ch.r.... betlnnlrtt with flrat d.V 0' dtllnquenoy, or nine (9) .onth. Ind OM (1) d.v frOll thl det. 0'
dlath, to thl dltl af p.yaent. TIMe. which blo... ~11~t blforl January 1, 1982 be.r Intlr..t It thl rltl of
tlx ('Xl percent ,..r Ir'It'M oalcullted.t I d.lh r.t& 0' ',DD0164. All tlICIII which bee... delinquent on and 1ft.'
JtnUAry 1, 1"2 ~ll1 bltr Int.r..t It . rltl which will Vlry 'rot o.lender v..r to Clllndar v.,r with thlt r.tl
lMOUnCIed bV the PA o.p.rt..nt of RllltnuII. ThI ."l1oobll Interllt r.tu for 1912 throUlh .994 Irll
Vllr Intlrllt R.t.. Dlllv Int.r..t FlGtor YH' Inter..t Alt. DIllv Int.r..t FlOtor
1.12 m .000141 ..17 tX ,OOOU!
I'IS IIX .000411 "11-1"1 \IX .OOOJOI
19" m .OOOJOI 1m ,~ .00az~7
1.11 m .000516 Im-ltM 7X .000l.Z
1.16 lOX . 000Z7~ 1"1"1'" 9X ,00az~7
~~Int.r..t I. a,tout'tld ,. 'ol1owlI
INTnUT . BALANCE OF TAX UNPAIO X NUIOBI OF DUI DBLINqUIHT X OAILY IHTBIlUT FACTOI
~.AnY NoUn Inutd IUlr thl tlx bMOItt. dtllOClUWlt will r.n.o' en Int.rll' o.lcullt1on to fifteen Ull dlw.
bewond thl dl'e of thl ........"t. Jf PIVNnt II ... IUlr thl lntl'lIt e..,ut.Uon dlt, IhoNn on tht
MoUel, MeUtlon.1 Int"..t IUlt be clleul,ted.
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-. ,..." ._- .-.- --.-- - -.--. ---, --..- - .....-
lIECEIVED FROM,
&
ACN
AsseSSMENT P:I
CONTROL WI
NUMBER
AMOUNT
"
MYERS ROElf:RT E
100 OLD YORK ROAD
101
*S7h.eo
NEW CUMBERl.AND, PA 17070
'(HO Hr..-
, ESTATe INfORIMTION,
. U
II
I
B
21-199:5-048B
D DENT LA n
RANDOLPH SAMUEL E
NT
SSN 716-09-7910
If! T) Mil
R
S/tCl96
SEAL
THOMAS J TOPOLSKI
CIO ROBERT EMVERS ESQ
CHECI<II lee
. fa TOTAL AMOUNT PAID
.S7,9.&0
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REMARKS
REGISTER OF WILLS
RECEIVED BY Il/t/1y'/' ,>(/ ,':,/
, IIONAIU!! ,
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MARV C. LEWIS
REGISTER OF WILLS
,/1. /" /.
,--~ -. ,-- ...~" "'-'- ...u_ -.--. ----"'; '",_. "-7"'''''
i..~.... .. ..- -'Y"-;'"I: ....
_'n. .'.__ __." ...__ ..._~ .___ ..__ ...... .____ ._.._.
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RIV.lbY3 IX AFP (12.~9)
C_AlTH Of P!ltlIYLYAHIA
II!PMTIEHT Of IllYElU!
IURl!MI Of INDIYIDUAL TAXEI
II!PT. 110601
HARRIIIURO. PA 17111'0601
INHIRITANCI TAX
RICORD ADJUSTMINT
ASIISSMINT
CONTROL NO.
C"/
1/
101
DATI 04-04-96
ISTATI OF RANDOLPH SAMUEL E FILl NO. 21 95-0488
DATI OF DIATH 06-11-95 COUNTY CUMBERLAND
NOTll TO INSURe pROpER CREOIT TO YOUR ACCOUNr, SUIllIT THE UppER I'ORTlOM Of THIS FO,," IIITH V('(JR TAll
PA'IllINT TO THE AIIDRESS SHOlIH. HAKE CHECK pAVABLE AND REHIT pAVHENT TOI ,
ROBERT E HYERS
100 YORK RD
NEW CUMBERLAND PA 17070
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
L
Mount R...ltted
-
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CUT ALONG THIS LINI .. RITAIN LOIlI!R PORTION FOR YOUR RI!CORDS .....
Riiv:ii9ii.ixw-Apji-iijf:9j)...---....iiiHiRI.fANC.i~TAi1-RiiCORjj-Apj.uirifiHT-....-----.--......----.--..----.
ISTATE OF RANDOLPH
SAMUEL
E FILl! NO. 21 95-0488
ADJUSTHENT lASED OMI
Wi:Ui OF ISTATEl
4nMTNT~TR4T1V~ r.nDD~r.TTnN
I. R..I E.t.t. lSohedul. Al III
2. stock. ond Bond. ISohedul. II 12l
S. Clo..ly Hold Stock/p.rtnerahlp Int.r..t lSohedul. CI 151
4. Hort.....lNot.. R...I.obl. lSohedul. 01 141
S. C..hllIInk llIpollhlHilo. p.rlOl\lll proporty '_I. EI ISI
.. Jointly Ownod proporty ISohodul. FI 161
7. Tron.f.r. lSotH>dul. 01 171
I. Tot.1 A...t.
DIDUCTIONS AND I!XI!MPTIONSI
9. Funar.1 Expan.../Adolnl.tr.tl.. Co.t.1
HI...llonoou. Expan... ISohIdul. HI 191
10. Dlbt./Hortflll Llobllltl../Llon. lSohodul. II 1101
11. Tot.l DIduoUon.
12. N&t V.I... of T.x R.turn
IS. Chlrltobl./Oo..rnoont.1 lIquo.t. ISchodul. JI
14. Not V.I... of IIt.to Subj..t to Tex
TAXI
II. Mount of Line 14 .t 1pou..1 r.t. llDI
I'. Mount of Line 14 tlXobl. .t Llnool/CI... A r.t. 1161
17. Mount of Line 14 t.xobl. .t Coll.t.r.I/CI... I r.t. 1171
II. prlnclp.l TIX DuI
TAX CRIDITSI
pAVHENT RECEIPT DISCOUNT '+1
OATE IUtIIER INTUEST I-I
M
SUMMARY OF ALL 06 PAYMENTS MMM
2,890.01
03-04-96
AeN 1.!!!.-
DATI 04-04-96
.00
2~~.4D8.29
.00
.00
243.881. 80
.no
.00
III
477.290.09
50.960.71
.00
111.1
IIZI
IISI
1141
~D.9&O.71
42~.329.38
30.!iOn.og
39~.829.3B
.nOK,OO.
00M.06'
~9~ .8'9 38 X.15.
1181
OD
nn
~Q.]74 41
~Q.]74 41
Al<<lUIIT PAID
56,371.77
INTEREST IS CHARGED FROM 03-12-96 TO 04-19-96
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX CRIDIT
BALANCI! OF TAX DUI!
INTERI!ST
TOTAL DUI
113.71
. IF pAlO AFTER DATE INDICATED, SEE REVERSE I IF TOTAL DUE IS LEIS THAN .1, NO pAVHENT II REQUIREO.
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU HAY IE DUE
A REFUND. SEE REVEIISE SlOE OF THIS FO,," FOR INSTIlUCTlOMS.I
PAVIlDITI
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OIt.... tho tOIl ....'.1... of till. IIoU.. IIlll _It wltll you. po_t _ _II t. tho _ IIlll _.i..
p.lnt... ... tho ....... .lelo.
'.IIoIc. - o. ....v ordo. po_I. tOI IBGUTU 0' WILLI, AGENT,
III _to ._1.... nil be """II'" fl..t to onv Int..llt ""loll _ be _ wi'" onv ._1..... "",II... to tilt tu.
RIP\IraJ (au I A r"lnd of . tlX orNit, whiCh .... not r....ted on the Tax R,turn, MY be r.qullted bw O'Mpllt~", In
"AppIl..U... for R._ of Pomlllll....l. ,,,,,".11...0 IIlll f.tet. Till" Ulf'l-IJU1. WII..U.... "0 _UIIII. .t
tho Dffl.. of ... RIII.to. of NIII., onv of tho lJ R...... DI.t.lot Dffl... 0' f.oo tho oo'o.....t.. 2~.hou.
......'lntI..rvt. lUlIber. for '0,... ordlrl,...1 In PtmlYlv.n11 1"100.~Z.USO, ouhlde Penn1Y1Ylf11,
IIlll withIn Iocol Ill..'...... .r. (117) m'IOM. TllD' (7111 n2-2lJ2 (IIoorl... 1....1'... ...Iv).
RlPLV
Tal
DIICCU.T,
11I1III!111
Que_tion, r...rdl"" erretr. oontlJntd on this notice Ihould be INidre'Hd tal PA htttrt.nt of ~, lur...
of IneI'vlclutl Tlllo.. ITTlh Po.t I...._t R..I.. 1k111. Iltpt. Zl160l, llI"I....... PI 11121-0611. "'-
(117) 111-6101.
',.,
,
1/ ..W till duo II pold within tIIr. m ool_r _th. of lor tho ,*-,t.o ...."'. . U.. poroont (IX) dll-.t
.f tho till pold I. ollowed.
Intorllt II """rlld ....1""1.. wIth Ural dow of doll""""",v 0. nino ltl _th. IIlll _ (II dov f.... tho dot. .f
Nth to ttw de" of PIVII"t. Taxll which tNtA. dlU'"'-*1t bI'or. Jtnuerw 1, .,,, belr Int.rllt at tM rat. of
.1. Clill ...._t lIOr ..... .oloulot... .t 0 dolh roto of .000164. All tun ""loll _ doll_t ... IIlll .ftor
.....rw 1, 1HZ NUl bMr Inter..t at I rat. which N111 virV' frOll Cllend1r Y"I' to IIl.n.r YMr with u.t rat.
~ by the PA DIp,rtMnt of RlYenue. The .,I1Clbl1 lnt.rll' r,wI for 1M2 thrOUlh 1'" .r..
XIir Int.r..t Rlt, Dlllv Int.r..t Feotor X!!r
Int.r..t R.t. DllIv fntnllt 'ICIt~
IH2 fOX .010141
IHJ 10 .10045'
19M IIX ,00nll
IHI IIX ,00nll6
1914 lOX .101214
"'Int.rllt I. OIloulltld II follow.,
IH1
19M-I"1
I"'
1"5-1'"
1"1-1'"
9X
IIX
9X
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'X
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.lInll
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.101191
.011241
. IIlTDIIT · "WCI OF TAlC UNPAID X HUlIID OF DAY' DlLIQUIlIn' X GAILY INTERa.T FAC'I'llI
--AM NoU.. 10_ ofto. tho till -0 doll_t will rolloct .. Intornt ..lcuI.tI... to flft... (Ill don
bo_ tho doto of tho IIHO_t. If po_t II _ oftor tho Intorllt _totlon doto "- on tho
Hotloe, additional lnt.r..t lU.t be Qlloul.t~.
"V.l"O"~1I1
-.
INHERITANCE TAX
EXPLANATION
OF CHANGES
r.OMMONWEAlTlI 0' 'ENNSVLVANIA
OE'ARTM!NT 0' REVENUE
IURIAU 0' INDIYIDUAL TAXII
om, 210601
HARRIUURO, PA 11121,0601.,
ECEOENT'S NAM! ... . ,/",
l/,' /1/21 ,<//1 (.on ./) ,
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ICHIDULI
lTlM
NO.
IllPLANATION 0' CHANG IS
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TAX EXAMINER, /_\-"-' ')' . . .....L"t'-:.(2----.--.'~d- ~--'--1..d.(..::~,,,.,{,"
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RECEIVED FHOM,
.. .;' '~,:-<\ '..,,',," -"-':," "". ',,-,..:'-. . "-i..:, ',' '., :"':" I,':,;.'
, LTH 'ftIUtlNW.vLVANIA.' /i" , " ;,.
',.." " ,i.i,.u;:,:~! ";'.'" '\:, '"
. ~'"'''' :~""'~"D_Wc", ..', :i
ACN
ASSESSMENT II'
CONTROL ~
NUMBER
1.;'1,-1",'0\', \""--":.'1',:"1.,/" I
: '\" ". i,' , t., ", ' I., \ I 'Ji . : ',,~ I\'! I' -' I
,j, .L _"'.-' ,'r.:,-,';'. If/. \.; L,
\ .\:' ".""') '1'- ",J '/
'I., .' \.1'...." .,(,1, '1- I
. l,'("~}",; \.; ) :
&
AMOUNT
MYERS ROBERT f-
100 OLD YORK ROAD
101
.1I!l. 11
NEW CUMBERLAND, PA 17070
E
SSN 716-09-7Y10
P1R (Mil
6/q6
REMARKS
II TOTAL AMOUNT PAID
tU3.71
CW
THOMAS J TOPOLSKI
C/O ROBERT E MYERS ESQUIRE
CHECK" 137
SEAL
, I
ReCEIVED BY >,. fl, :u' :'
, r-mmATUII'
I '.
~~~rS~ERLB~I~ILLS
REGISTER OF WillS
-,-- -'.~,--.- ~_.- -... -'- -, ---. ....- - --. "'-'" ....-.
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RIY-1607 IX AFP (12"95*
COHIKlNW(AL1H OF PfHN1YLYA"IA
II(PAIlTIl("T OF RtYEIlUt:
ItJAt!AU 01' I"OIYlDUAL TAXEI
II(PT. 11060L
HARRIIIURG. PA 17111-0601
IICN 101
INHERITANCE TAX
STATEMENT OF ACCOUNT
DATI 04-15-96
RANDOLPH SAMUEL E FILl NO. 21 95-0488
DATI Oil DIATH 06-11-95 COUNTY CUMBERLAND
NOT!, TO INSURE pROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UppER PORTION OF THIS FORH WITH YOUR TAX
pAYH!NT TO THE ADDRESS SHOWN. NAKE CHECK PAYABLE AND RENn pAYNENT TO, ,
ROBERT E MVERS
100 YORK RD
NEW CUMBERLAND PA 17070
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
F Aftou~R.ftltt.d I
CUT ALONG THIS LINI .... RITAIN LOWIR PORTION FOR YOUR FILlS ....
iI i"V: iiiii'i" iiC"AFif-i rz-:m".." ....iii.-.f NH!Ri TANCi'-TAiC-STAT ii1i"tWii'F" AccoUiff - - iii." m"" ...- - -"....""""
UTATI OF RANDOLPH SAMUEL E FILl NO. 21 95-0488 ACN 101
THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED
ESTATE. SHOWN BELOW IS A SUHHARY OF THE PRINCIPAL TAX DUE. AppLICATION OF ALL PAYHENTS,
THE CURRENT BALANCE. AND. IF ArPLICABLE, A PROJECTED INTEREST FIGURE.
DATI! 04-15-96
DATE OF LAST ASSESSMENT DR RECORD ADJUSTMENT, 04-03-96
PRINCIPAL TAX DUE, 59,374.41
PAVMENTS (TAX CREDITS),
PAVMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST (-)
111111 SUMMARV FALL 007 PAVMENTS II II
03-22-96 AA112678 2,890.01 .00
03-22-96 .31- 57,248.27
. IF pAID AFTER THIS DATE, SEE REVERSE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN 11,
NO pAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDn" (CRI,
YOU NAY IE DUE A REFUND. SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS. I
TOTAL TAX CRIDIT
BALANCI OF TAX DUI
INTI!RI8T
TOTAL DUI
60,137.97
763.56CR
.00
763.56CR
~~ ~ :D
~~
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PAVItENT,
Dtteoh the tOft portion of thh Notlcl 1M ..It with VDUI' p.v.~t ..de pIVlblt to tht nl.. and Metr...
printed on thl r.y,r.. .lde.
If IlEIIIll!NT DECEDENT ..... chock or ...... ordor p.....I. to, REGISTER OF WILLS, AGENT.
If NON'RUIDENT DECEDENT ..... nho<:k or 10M' ordor ."obl. to, COHllON~EALTH OF PENNSVLVAHIA.
AU PIVMntl recllYld ilMll be 1PP1led flr.t to ""IV Intern' which In hi due with env ,...I"cHlr _plied to the taJIC.
REPlMD eCRll A r.f~ 0' . 'IIC credit, which WII not r.quuttd on tM T.,lC Rlturn, "V be; requ..tld by (.0IIP1,U"i an
"AppllC1tlon for Aefund of P"",svlvana, Inhtrlt.nu and Eltat, TI)!" (AEY.1313). Application. Ir. avaUabl. .t
the O'flcl of the n.gllt.r of Will., Iny of thl 25 R,venuI ol.trlot Offlc.1 or frol thl D"lrt.-ntl, Z~.hour
."Iw.rlng ..rvlel nUlbar. for for.. ord.rlngl In Plnn'Vlv."I, 1~aOO.~62.Z050, out.ld. P,nn.vlVI"lft
end within lac.1 Hlrrl.burg Irl' (111) 1a7-IG~, TOOl (717) 112-2252 (Helrlng r...lrld only).
DISCOlIty,
QuI.tlon. rlflrdlnt .rror. contllntd on thl. notlel .hould bl Iddr....d tal PA O,plrtaent of RIVonua, Bureau
of IndJvlduul "XII, ATTNI po.t A......."t Rlyl... Unit, Dlpt. 280601, thlrrhburg, PA 17121-0601, phone
m7l 711'6505.
If IInY till due II plld within thr.. (5) c.ltndtr tonth. ,ft.r thl d.eldtnt'. ctt.th, . fly. p.rcent u:n dltcount
of the tile plld 11 .11DM1d.
MPLV TD I
INTEMI' ,
Int.r..t h chlrttd btolnnlng with flr.t dlY 0' d,Unqutnoy, or nln, (9) IOnth. tnd Onl (1) day frot tM d.t. of
doth, to the dltl of ply.."t. "1l11 which btc... dlllnquent beforl JlnUllry 1, 1'12 bltr Inter..t .t thl rlt, 0'
lix u:n peraent p.r 1m'" a.loullttd .t I dillY rlt, 0' .000164. All tlMII which blo... d.lInquant on Md Iftlr
JtnUlrv 1, 1'12 will belr Int.r..t It I rlt. which will Ylry fr~ eelindlr Y.lr to c.l.nd.r v..r with thlt rlt.
IIMOU"Ctd bv t""- PA DIP'rt'lnt of Rlv.nu.. TIl. IPPllClblt Interut ret.. for 1911 through 1996 .rll
V.er Intuut R.t. DIIIV Int.r..t Flctor Vllr Interut Altl D.lly Int.rut Factor
1912 lOX .OOOS~I 19&7 9X .ooom
19&. 16X . GOD 411 1911-1991 llX .000101
1914 1IX .000101 1991 9% .ooom
1915 IlX .000556 1991-1994 7X .0001tZ
19" lOX .000170 1995-1996 9X .000107
--Int.rllt I. c.leul.t.d .1 follOWl1
INTERElT . BALANCE OF Tt.lC UNPAID X NUNBER OF DAYS DELINQUENT X DULY INTERElT FACTOR
--Anv Notlc. luutd .ftlr the tllC bllClOMI d.lInqutnt will r"llot an Intlr..t c'lcullt1on to flftHn US) dly.
beYond the d.t. of thl ......lInt. If PIV.."t II .Idt Ift.r the Int.'I.t cOIpUtltlon dlt. lhoMn on the
NotJel, tdcIltJontl Int.rut IUlt be clloul.tld.
A. ,
ocnll:!;."
R,.",I,.:,
vl;1 4 ,I~ ,
'ii;', ,)1
I;/ill:>
'97
JAN 17 /\11:47
CIOII
Curoli
, -',HI
'1111.1 l~':)" PA
'A_,
00_ tho top porllon 0/ 11I11 Noll.. nl _It .111I wour po_t _ ,..,.,1. to Iho _ ond oddr...
,rlntld on the r.vlr" .ldI.
.. If IIfllllOlT DEClIlEIlT .... _ or -.0' ordor ,....,1. to' RElIISTER OF WILLS, AlIENT,
.. If NCIM-1If1l1lOlT DECEDEHT .... _ or -.0, order ,....1. tOI COIItOHWEALTH OF FENNSYLVANIA,
All po_to ,_Ivod ....11 bo _lIod llrot to ... Int....t ""loll _ ho ... .1 III ... ,_Indor ...1111I to tho tole.
R!F\IC (au I , nfft elf . taM arldlt, which we, not requelted on the TIM A.tum, -v be r..,e.ttel bv OOIIIIl.U,. In
"a"Uoetlon for ".f1nt of PtmlVlv.", lmerlttnoe Ind E.bt. Tp" (REV-nU), Ap,UCltlon. Ir. 8YlUlbl. It
the Dfftoe of the R..lIt.r of "lIlli, InY 0' the Z.J At..... DI.trlat Dfflet. or fr. ttw DlpertMnt', 24-hour
.,....rll'll ..rvlce l'UIbIr. for fa,... order!",l In Pwr'lIYIVMI. 1-100-362-2010, out. Ide PlmeylV1nl1
nl .llIIln 10001 Ho"IIbu" .'00 (111) 111-10,., TDDI (111) 17Z-ZZJZ (Hoorl.. lop. Ired onl.).
REPLV TOI MIUon. ,.rdlnt .rror. cont.lned on Ulh notic. Ihould bI IIddruMd tOI PA n.p.rtWlnt of AevlnUl, lureeu
of Indlvl~l T...., ATTNI Po.t ,....-.ent R,vl.- unit, Dept. Z10601, ",rrtabur., ~A 17121.0'01, phone
(1171 111-6101.
DISCOIM11 If In>> talC dl.M 11 plld wlttlln thr.. U1 elllndtr ~th. ,ft.r the -..nt', dHth, . five IHIrOlnt (D) dhoCMl"lt
of tho tOll pold II .11_.
PENALTYI TM IIX tlJC __,tv non~Plrt1oJp.tlon peMlty 1. oo.puttd on tM tot.1 0' thl tl. _ I"tullt ..Hlnd, Ind not
ptIld before J...rv .1, 1996, the 'Ir,t dlv .ft,r the end of 10M tile ..,..tv period.
INTERlITI Int.re.t 11 oheroM bttlrv'l1r'l1 NItti flrU dlV of .11~v, or "1M (,) eonth. WMt one (1) dew frOll the eIIt. of
_th, tu tn. dltI of Ply...,t. Taxll whloh beuM dell"...,t Mfar. .J.nuIrv 1, nil bur Int.rllt It thl nt. af
,iN (0) pero,"t PfIr IMUI caloul"ted It . ..lhI rlt. of .000164. AU tll(" ""lch beoaM dllInquent on and 1ft"
JMuarv 1, 1911 will bur Int.r..t It . rlt. which Nll1 Vlry frM el."" yNr to vellnd1r yMr with tNt rlt.
~Id bv tM PA OepIrtMnt of RIVenue, ThII 1PPIJ000lt Int.rllt r.t.. for 1912 thrOUlh 1"7 .rll
Voor Int.rllt hit. DillV' Int.r..t FlGtor Voor Interllt Rlt, Dlllv Inttr..t FlGtar
1HZ lOX ,000541 1911 9X ,oa0l41
1913 16lC .00auI 1911-1"1 11X ,0aolOl
1914 11X .000501 1"1 9X ,0aOl41
1911 UX .000556 1"3-1'" n ,Oaoltz
1916 I.X .000174 1"5-1"' 9X .Oa0l41
..Int.r..t I. Clloul.tld II 'ollow'l
IlCTIUIr . .ALAIlCB OF rAlC IIIlPAID X HUKlBR OF OAV. OBLIHQUEKr X DAILY tlCTlUlr FAerol
--Any NoU_ 1,...- Iftlr thI taM beooMI dlU,.,....,t will rlUeet ., tntlrllt C11loulaUon to fifteen (II) *V,
bewond thI dlt. of thI IIHI..-nt. If PIYMf1t 11 ... Ift.r thl Intlrllt OOllPUtlUon ct.t. '"'*" on the
Notloa, addltlonel lntlrll' IUlt be caloulltld.
I
",' .." y;.....'~, ~...'" ,.....
"
~
.~- .-----.-~- _...;-_._,.__.....__...~ ..~. _...__..:. .:.....__...._._.._ __.~~ .___ __ __ .'.... _._ _. ._' ~.. ,..._ ___'-'. ~_._ ~ _. .:..._'........J.l
'jll"', ' ,I. , ," ;, " '\_', F
II. ".AA' . 04 8'1'9'4'." CO^.\MON\VIA.LTH OP ~IiNNS.YLVANIA
NO. . ." , IlIMtnMlfiTOP RlVlrM , i
, ..";62111....; . . OP"CIAL IIICII"e 'INNIYLVANIA IHHlllITANCiJ AND aSTATI TAX
,.,*',:,.....':':,
'. I'.
: ,.' t. ., '
RECEIVED FROM,
&
ACN
ASSES,SMENT f!'
CONTROL ~
NUMBER
AMOUNT
MVERS ROBERT E
100 VORl< RD
101
'n,hlo.le
NEW CUMBERLAND, PA 17070
'OIOH'aI'
ESTATE INfORMATION:
r:I liE NUMBER ------
iii e 1'-199:5-0488 saN 71 h-09-7'9 1 0
IJ NAME Of DECEDENT ILAST} (FIRST) IMII
, II DATE OF' M PIoi "AI1\l~1 E'
B POSTMAR
COUNTY
p
Obll1 :91!1
REMARKS
m TOTAL AMOUNT PAID
1
i
i
'51,610. HI
CW
RECEIVED BY jJlL1./ .1 (" I;, . '. III ,fi/~v
,I' ION" ,~ul-r:)
..""'> i:' ) ,'/!,,/I.. 1
REGISTER OF WILLS ~~~rS~ERLa~IaIl_LS I\.U/'.I-i
','71~,-- '-;" ._~ "---.......,-_.- -'-"-.-- ---.-- -..-- --...- -~.i-..-.-,....... -.- ---,-~'-'''- ..- --r -. .-... .... ~n -~- ._-~~_ .__~.~_~.-1
SEAL
THOMAS J TO~OLSI<I
CIO R E MVERS ESQUIRE
CHECK" 106
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"
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, ,
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1.6 .. ~I-l
.
RI!V.1547 EX AFP 112095*
C_AL TH OF PENNSVLVANIA
OEPAATHENT OF AF.YENUE
lUAEAU OF INOIYIOUAL TAMES
OEPI. /10601
HARRISIURD, PA 11111-0601
!STAT! OF RANDOLPH
DAT! OF DEATH 06-11-95
ACN 101
NOTICE OF INNERITANCE TAM
APPRAISEHENT, ALLOWANCE DR DISAllPNAHCE
OF DEDUCTIONS AND ASSE3SHENT OF TAM
DATE 02-7.7-96
'2I9S-0488
CUMBERLAND
w
FILE NO.
COUNTY
HOTE, TO INSURE PROPER CREDIT TO VOUR ACCOUNT, SUBHIT THE UPPER PORTIOH OF THIS FORH WITH VOUR TAM
PAVHENT TO THE REOISTER OF WILLS, HAKE CHECK PAVABlE TO "REOUTER Of IIILLS, AOENT"
REMIT PAVMENT Tal
ROBERT E MYERS
100 YORK RD
NEW CUMBERLAND PA 17070
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, ~A 17013
r
A.oun'l MI.I H.d
- -
~
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
Ri"V: iS4? -ixUAFP". i i '2": 95"1" -ilcificr"OF "i:"NHiiii f ANci-i" AX" 'A"p PR'A"isiifiilr;- Ai. r OiiAiici"o-1i - -. -. _."- U -. -""-
DISALLOWANCE OF DEDUr.TIONS AND ASSESSMENT OF TAX
SAMUEL E FILE NO. 21 95- 0488 ACN 101 DATE
TAM RETURN WAS, I ) ACCEPTED AS FILED I XI CItANOED SEE ATTACHED
ESTATE OF RANDOLPH
02-27-96
NonCE
RESERVATION CONCERNING FUTURE INTEREST " SEE REVERSE
APPRAISID VALUE OF RETURN BASED ONI SUPPLEMENTAL RETURN NO, 01
1, R.Il Elht. ISchldul. Al 11)_
2, Stockl and Bond. ISchldull BI 12)
5, Clo..l~ H.ld Stcck/Plrtn.r.hlp Intlrl.t ISch.dul. C) IS)
4, Hortalal./Not.. Rlcllyobl. CSch.dull D) 14)
i. C..h/Bonk D.po.It./Nllc, P.r.cnll Prop.rt~ (Sch.dul. EI Ii)
6. Jolntl~ Dwn.d Prcplrt~ ISch.dul. F) 16)
7. Tr.n.flrl ISchldul. 01 17)
B. Tchl A...to
.00
.00
.00
.00
5.591.65
.00
,00
IBI
5,591.65
APPROVED DEDUCTIONS AND ,.XEMPTIONSI
9. Fun.r.1 E.p.n.I./Ad.. Co.t./HI.c. E.pln.l. (Sch.~ul. H) 191
10. D.bh/Horta.a. LlobIlIUOI/Llon. ISchldul. I) ClO)
11. Totll D.ducllon.
12. N.t V.lu. of TI. R.turn
15. Chlrlhblo/OoYlrn..nhl Blqu..h (Schldul. J)
14. Nit VIlu. of E.t.t. Subjlct to TI.
896.66
,00
Ill)
Cl2)
(15)
Cl41
A9& itir.
4,694.99
,00
390,02~
will
If In 1..IR.Mlnt WI' i.luld prlviau.ly, linl. 14, 15 Ind/ar 16, 17 Ind 18
rlf11ct figurl. thlt includl thl tatel af ~ rlturn. 1..I..ld to dlt,.
ASSESSMENT OF TAXI
Ii, A.ount of Lln. l~ It Spou..l rltl 116)
16, A.ount of Lln. 14 tl.lbl. It Lln.11/Cl... A rlt. (16)
17, A.aunt of Lln. 14 tl.lbl. It Collltlr.l/Cll.. Brat. 117)
lB. Principal T.. Dua
TAX CREDITS I
PAVHENT
DATE
NOT II I
,00
,00
390,029.38
M ,00.
M .06.
M .15.
1181
.00
.00
58,504.41
58,504.41
01-17-96
RECEIPT
NUHBER
MMIl SUMMARY 0
1111
DISCOUNT (tl
INTEREST C' I
05 PAYMENTS
2,890.01
AHOUNT PAID
ALL
56,381. 91
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
59,271.92
767.51CR
.00
161,51CR
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION DF ADDITIONAL INTEREST,
IF TOTAL DUE IS LESS THAN II, NO PAVHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDn" (CR), VOU HAV BE DUE
A REfUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)
RESERVATlONl EAt.tll of deolan" dvlng on or Mforl Dtct.r 12, 1912 -- If Inv futurl Interllt 'n thl IItltl I. tr,".ftrred
In po....llo" or InJoVllnt 'A Cl... I (oolllt.r.U b.,lIfJol.r'" of thl d.ctdtnt Iftlr thl 'Mplretlon of anv ..t.tl far
Ilfl or for v.ar., thl C~'llth hlr.bv ..pr...lv r...rv.. thl right to .pprll.. .nd ....~. trln.flr Inh.rltlne. TIM"
I' 'hi l.wful Cl... . (col11'.r.l) rat. on Iny .uch future Int.ra.t.
PtJRPOS! Of
NOlIC! ,
To fulfill the requlr"lnt. of S.otlon 2140 of thl Inh.rltlncl .nd E.t.t. T.. Aot, Aot 22 of 1991. 1l P.S.
Slotlon U..O.
PAVItl!NT,
O.tlch thl top portion of thll NotlCI and lubtlt with your pav.lnt to thl Il.gltter of Willi printed on thl reVI,.1 Itde.
uHak. chick or .on.v ordlr payabll tal REGISTER Of' HILLS, AOENT
All p.v.entl recllv.d Ihlll fl"t bl appllld to any Int,,"t which "V bl due with any re..lnder applied to the tllC.
REFUND (CA)1 A rlfund of . tlM crldlt, which WI' not r.que.tld on the TaM A.turn, 'IY b. r.que.,.d by oo~lltl", In "Appllolt\o"
for Alfund of P~nn'vlv.nll IMtrlttnClI and fttatl T.M" (REV-Un), AppllCltton. er. IVl1ltb11 It tho Offlol
0' thl AI,l.tlr 0' Will., any 0' thl 21 R.v.nuI 01.trlc' Of' Ie.., or bv cIIIlnt 'hi .p.olll 24-hour
In,wlrlna ..rvlcl OUIbfr. 'or 'or.. orderlngl In Plnn.ylv.nll 1-600-162-2050, out. Ide Plnn.Y1Vlnll Ind
within locll Hlrrltburg .,11 (11) 167-8094, TDD' (117) 112-2252 (Hllrlng IlPllr.d Onlvl.
DIJt:CTtONSI Any plIrty In Intlrut no' utllfhd "lth the IPprah...nt, al10wlncl or dlt.l1l>>l.noe of dlduaUor,., or ........nt
of tlM IJnoludlng dltcoun' or Int.,lIt) II Ihown on thlt HoUcl IUGt Object within .hety (6C) dlv' 01 rec.lpt of
thlt Hotlcl bYI
--wrlttln protut to thl PA OIPlrt.lnt of Allllnut, Board of Appult, alpt. Z810Zl, Htrrltburg, PA 17126-1021, OR
e-Illotlon to havI thl I.ttlr dltlr.lnld at .udlt af thl account of thl p.rlGntl repre.lntltlvl, ,OR
--aPPIIl to the Orph,n,' Court.
ADHIN
IITRATlV!:
CIlRRl!CII0HS,
Flctull Irror. dl.oov.r.d on thl. a.......nt .hould b. .ddr....d In writing tal PA OIPlrt..nt 0' A.venue,
Burllu of lndlvlttu.l TIMII, ATTNI po.t A.......nt RIVI.H Unit, n.pt. 210601, HarrltbtJrg, PA 17128-0601
Phon. (111) 187.6S0S. S.. pe,. 1 of thl bookllt "In.tructlont for lnhlrltenc. TIM A.turn for I AI.ldln'
OIe.d.nt" (REV-IS01) for en I.planltlon of adllnl.tratlvllv corr.etable Irrorl.
DISCOUNT,
It .ny 'lie dUI It p.ld within threl (1) Clllndar lonth. 1ft., the dlCldlnt'1 dllth, . flu ptrunt (S~) dhcount of
thl t,. p.ld It ,l1ow.d.
INTEREST I
Int.,..t It charg'd blglnnlng with Urtt dlY of deltnqulnev, or nlnl (In lonthl .nd ant (1) day frot thl d.tl 0'
death, to thl dati 0' p,y.."" TUII which blc", delinquent blfore Jenutry 1, 1962 bur lI,t.,..t It thl ratl of
.IM U:() parelnt pit 'MU' calculltld It . d.lh ratl of .000164. All tallll which blCHI dlllnquent on ,"d Ifter
JlnUlr~ 1, 19" will b..r Jntlrll' at I r.'1 which will vary frol c.llnd.r y..r to clllnd,r Yllr with thlt r.tl
l"nbUncle! bv 'hi P. DIP.rt..nt 0' Rlvwnul. The appllcabll !fIUr..t ret.. for 1982 through 1996 arll
'!!!! Int.,lIt A.tl Oallv Int.re.t Faotor ~ Int"..t Alte DailY Int.,lIt F a.!l2!
1912 20% ,000141 1917 9% ,000247
1913 16% ,000411 1911,1991 11X ,000JDl
1914 IIX ,000JDl 1992 9% .000147
191! IlX .000lS6 1991'1994 7X .000192
1916 lOX .000174 1991'1996 q% ,000247
- -Int""t II Cllcull,.d I' followlI
INTEREST' BALANCE OF TAll UNPAID X NU"BER OF DAYS DELINQUENT II DAILY INTERtsT FACTOR
HAn)' NoUee IlIutd 1ft., 'hi tlM blaOI" dlllnqulnt will raHlct In Int.rllt clloullUon to flftlln OS) dlY.
bl)'ond the da" of thl ......Hnt. If PIyllnt h .Idl aftlt the Intarllt ~"t10" dlt, lhewn on the
Notio., .ddltion.l tnter..t INlt tll c.lcul"t.d.
IlV:WO"l'-lfJ
..
..
INHERITANCE TAX
EXPLANATION
OF CHANGES
,~'
"
COMMONWEALTH 0' PENNSYLVANIA
DEPA~TMENT 0' ~EVENUE
IUllAU OP INDIVIDUAL TAlCl1
DEPT, 280601
HA~~ISlURO. PA 11128,01101
DECEDENT'S NAME
Randolph. Sallluel
FILE NUMIER
AC
2195-0488
SCHIDULe
ITIM
NO.
101
eXPLANATION OP CHANG IS
E-IJ
,"ccopttld !tew IIDBota Ilnl) dobts. The return 10 being sent tonur Post
AolleS8r:lent Roview Unit for possible adjuotmont In attorney fees~. .
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TAX EXAMINEk
L.owrcnco BIlOllosy
~~.,-----~~-:__ PAG~
"..,
(I j ,
~IV"1I'3 EX AFP (lZ":ta&'1
COll!IOI'lIUL TN Of PfNHtlVL VANIA
DlPAl.lIlENT Of Al!Y!:NUt:
IUIlfIll OF INDIVIDUAL TAKU
DlPT. 110601
_IIIURO, PA 1711I-0601
15..lfI-f
INHERITANCE TAX
RECORD ADJUSTMENT
ASSIIIMENT
CONTROL NO. 101
DATE D2-27"96
IITATI OP RANDOLPH SAMUEL E FILR 21 95-0488
DATI OF DIATH 06-11-95 COUNT~O. CUMBERLAND
NOTII TO INSURE pROPER CREDIT TO YOUR ACCOUNT, SUIHIT THE UPPER PORTION OF THIS FOR" WITH YOUR TAX
pAY"ENT TO THE ADDRUS SHOWN. HAKE CHECK pAYAILE AND RE"IT pAYHENT TOI ,
ROBERT E MVERS
100 YORK RD
NEW CUMBERLAND PA 17070
REGISTER OF WILLS
CUMBERLANO CO COURT HOUSE
CARLISLE, PA 17013
A_lit R..Ut.d
~ov
V
'l
CUT ALONG THIS LINE ~ RETAIN LONER PORTION FOR YOUR RECORDS ...
iii'i:ii93'.ix.AFP"l1Z:95Y.-"-j,i..iiiHiRIfAiici-i'A'x"Ri.coR'ii"Aji;jliii'iiiili'....m...._...'.-................
ESTATI OF RANDOLPH
E FILE NO. 21 95-04B8
SAMUEL
ADJUSTHENT lASED ON.
VALUI OF ISTATEl
AnMTNT~TQATTVF r.nRRFr.TTnN
1. R..l E.t.t. (Schedul. Al III
2. Steck. end lend. ISchedul. II 121
S, Clcl.ly Held Stock/P.rtner.hlp Int.r..t ISchedul. Cl 151
4. lled_a/Not.. Recelv..,l. ISch.dul. 01 (41
i. C.III/I... Oepolltl/Hhc. P.r.end Prop.rty ISchedul. E) IiI
6. Jointly Owned Prop.rty ISchedul. FI 161
7. Tr..lf.r. (Schedule gl (7)
a. Totd A...to
DEDUCTIONS AND EXEMPTIONS I
9. Funer.l E.pen.../Adelnl.tr.tlv. Co.tll
"1Ic.lleneoul E.pen... (Schedul. HI (9)
10. Debtl/llertgege LI..,llltl../Llen. ISchedul. II 1101
11. Totd Deductlen.
12. Nit V.lua cf T.. R.turn
13. Cherlt..,l./llcv.rnMlllel a.qualto (Schedul. J)
14, Net V.lua of E.t.t. Subj.ct to T..
TAXI
l~. Aacunt of Line 14 .t SpouI.l r.t. (IiI
16. Aacunt cf Line 14 t..abl. .t Lln..l/Cl.l. A rlt. C161
17. Aacunt of Line 14 t..abl. .t Coll.t.r.l/C11.. I r.t. 1171
la. PrincipII TI. Due
TAX CRIDITSI
I PAY"ENT RECEIPT DISCOUNT (+'
DATE HUHIER INTEREST (-)
II
SUMMARY OF ALL 05 PAVMENTS 111111
2,890.01
01-17-96
ACN 101
DATI 02"27-96
II IF pAID AFTER DATE INDICATED, SEI REVERSE (IF TOTAL DUE IS LESS THAN tl, NO PAYHENT IS REQUIRED.
FOR CALCIILATJON OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREOIT" CCRI. YDU "AY IE DUE
A REFUND. SEE REVERSE bIDE OF THIS FORN FOR INSTRUCTIONS.)
.00
233.408.29
. DO
.00
243.881.80
.00
.on
la)
477.290.09
51.711.62
.00
Ul)
U2)
(13)
(14)
51.711.&2
425.578.47
30.500.00
39~L 078.47
n n )(,00 .
nnK,06"
~Q~.n7A 47)(,15-
ual
on
.on
'iQ. ,It] 77
r;Q.'~l 7A
AHDUNT pAID
56,381.91
TOTAL TAX CRIDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUI
10.14CR
,
.
INHERITANCE TAX
EXPLANATION
OF CHANGIS
IIY,It1OIXf60tll
COMMONWEALTH Of PENNSYLVANIA
DEPARTMENT Of ReveNue
.'uUAU 0' INDIVIDUAL TAXIS
DePT, 280601
HARRIS8URG, PA 17128,0601
jjlCIDINT'S NAME '
1/
.,') , ,,)
ill /q" (< .L\I' iL:.:14'///:"_I("('
,. , ') ", , -;7
,,' \ #/'
, f..
filE MU~8C~ . , ,
,',."//t'.".". ~Y.Y
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.
. -LLl..L
leH.DULI
ItlM
NO,
"
IlCPLANATIO~ OF CHANGII
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TA~ EXAMINeRl'~L.c::...:.~~, / /
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'.
'~~::,:ir;{ly!.'t",'~'Y"', , , ' ',' ' . ~,: ;1':; ,', ,,' ,,'.,.
ft1ii;jj-il0e2.11 ,; COMMONWEALTH OF PENNSYLVANIA .
M' Ii, ,,', . . " " DlMIlTMINTO'RIVINUI.'
. ;~\~.~~.il.i . '. ";'OfPICIAL AICIIPT . I'INNIYLVANIA INHeRITANCE ANI) ISTATE TAX
"
,
."'.
". .'
. .
..,' ,
"
RECEIVED FROM:
&
ACN
ASSESSMENT I!'
CONTROL ~
. NUMBER
AMOUNT
MYERS ROBERT E
100 YORI< RD
101
.94.153
.
NEW CUMBERLAND, PA 17070
'OIOHU,
ESTATE INfORMATION,
B FIL~ NUM8 R el-19,15-04BB
EJ NAME OF~KNi5t1l.pjl\AiAMUEL E
~ DATE OF PAYMENT
iii 11i!/14/9\!S
III POSTMARK DATE
U 0100/00
COUNTY CUMBERLAND
SSN 716-09-7910
1'.-....
IFIRsT)
1M I)
DATE OF DIATH
06/11/915
REMARKS. THOMAS J .TOPOLSK J
CHECI<.. 119
m TOTAL AMOUNT PAID
.94.153
l,IZ
. :1'"
RECEIVED BY 'i tlf.tl4.J ("'F//~l.'1/ ,1,)/<'./
// SIONATU e' ) / " \
MARY .C. LEWIS ~:II ,t;>""I"Gf/"{
RESISTER OF WILLS. ' 1
. SEAL
REGISTER OF WILLS
r-----7--'--.----,-~~~-'~-~----.-.----.---~---~--7~-~--r~7
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,
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I,..
RIV-1!147 EX AFP (12-94*
COHItDHWEAlTH Of PENHSVlVANIA
OCPAATIENT Of RfVENUE
lUAEAU Of INDIVIDUAL TAkES
DEPT. 2&Q6Dl
HARAISIURG, PA 17128-0601
,
,j
ACN 101
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR OISAl LOIlANCE
OF DEDUCTIONS AHO ASSESSHEHT OF TAX
DATI 12-04-95
FILl NO.
DATil OF DEATH 06-11-95 COUNTY CUMBERLAND
NOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION or THIS FORH IIITH YOUR TAX
PAYHENT TO THE REGISTER OF WILLS. ttAKE CHECK PAYABLE TO "REGISTER OF WILLS, A;ENT"
REMIT PAYMENT TO:
ROBERT E MYERS
100 YORK RD
NEW CUMBERLAND PA 17070
REGISTER OF W1LlS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
r
AIIount R..I Uod
-- -
CUT ALONG THIS LINE .. RETAIN LONER PORTION FOR YOUR RECORDS ~
iiiilj= m"j" iieAFP--(1'F94T"iloYiciE"oiiuiNHiiiiTANCi-i'-"X"A"P'pil A-isEifEilr;-,U.LowANci-olium-mu-uu-
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF RANDOLPH SAMUEL E FILE NO. 21 95-0488 ACN 101 DATE 12-0~-95
If an a..ellmlnt lIal i.lued prlviou.ly, lin.. 14. 15 and/or 16, 17 and 18 will
refl.ot figurll thlt inoludl thl total of ~ r.turn. a..I...d to dat..
ASSESSMENT OF TAX:
1&. A""unt of L1no 14 ot Spounl roto U51
16. AlIOUI'It of L1no 14 to.oblo ot L1nooI/Ch.. A r.to U61
17, A""unt of Lln. 14 to.oblo .t Coll.tor.l/Cl... B r.lo (171
lB. Prlnolp.l T.. Duo
TAX RETURN WAS I I X I ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN
1, Rod Eototo (Sohodulo Al III
2, Stook. ond Bond. (Sohodulo BI (21
S. CIOIAly Hold stook/P.rtnor.hlp Intorolt (Sohodulo CI ISI
4. Horta_aol/Notol Rooolvoblo (Soh"dulo DI 141
5. Cuh/Bonk llopollh/Hllo. Plrlond Proporty (Sohodulo EI (51
6. Jointly Owned ProporlY ISohodulo F) (61
7, Tronlfor. ISohodulo GI (71
a. Tat.l A...t.
APPROVED DEDUCTIONS AND EXEMPTIONS:
9, Funorol E.pon..I/AdIo. COlto/Hllo. E._"u (Sohodulo III (9)
10, Dobto/Hortaogo Liobllltlu/Lionl ISohodulo II UO)
11, Totol DoduoHonl
12, Hot Voluo of To. Roturn
IS. Cho,ltoblo/Oovorn.ontol Boquootl (Sohodulo JI
14. Not Voluo of Eltoto SUbjoot to To.
NOTE:
TAX CREDITS:
PAYHENT
DATE
08-23-95
08-30-95
RECEIPT
HUHBER
AA048165
AA048194
DISCOUNT (+ I
INTEREST (-)
2,700,00
190,01
( 1 CHANGED
,00
233.408.29
.00
.00
238 .290,15.
,00
.00
IBI
471 ,698.44
55,864.05
,00
llll
1121
lIS1
1141
'i1i.Aile. 05
415,834.39
30,500.00
385,334,39
,00 K .00.
,00 X .06"
385,334.39 X .15.
lIBI
.00
.00
57,800.16
57,800,16
AtIDUNT PAID
51, 300,00
3,610.15
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
57,800,16
,00
,00
,00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN 'I, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FO,," FOR ItISTRIlCTIONS.I
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In po.....lon or enJoVNnt to ellll . (ooU,'.r.l) bInIfloltrJ.. Q' thl decedent IUtr the IXP.r.Uon of MV IItl" for
II'. at 'or Yllr., tha C~.lth hereby ..pr..,lv r...rv.. the right to ."r,l.. Ind...... tren,'.r InheritInG' Taxi'
It thl b,,'ul elln I (coll1t,r.U rtt. on any IUCtI hltur. Int"III'.
P\IIl'OS[ Of
NOTICEI To fulfill ',he r.qulr,..,t. of llOtlon 2140 of the Inhlrltwtel and fltltl TIX Aat, Aot U of 1"1. 12 P.I.
Sootton mo.
PAYHENTI Dlt.ch thl top portion 0' thh NoUel Md ,ubIIlt .,Ith vour PIVMnt to thl R..lst,r of Wlllt "rlnted on tM r"lrM tldl.
--ltak. chl<k or 10M. ordor poyobl. tOl REOIBTD OF MULl, AGENT
All PIYNnt, rlClllvld Ihlll Hut be erpllld to MY Int.rll' which NY be dull with InY r...IMr .,,11.. to thl t'M,
RfFUHD (CA)1 A rd\ftl 0' ,. t'll crtdlt, Nhleh 'III not requlltld on tI'M TII( R.turn, "V' be r....tld bV' oalll,tlnt .... ""'Ucltlon
for Rlfllld of PIMIV'lvlnla InhtrltlnC' Ind Eltat. TIX" (REY"15U). AppIlOltlonl Ire IVIU_Ie It the Office
of thl Rlllltlr of Willi, eoy of thl 25 R.venue Ol.trlot O'flc.l, or bV' calling the tpIOlll 24-hour
an.werlng I.rvlol nulbtr. fnr fur.. order Inti In Ptnnlvlvenll 1-100-562"2050, out.lde PennlV'lvtnll and
wUhln 10C11 Hlrrllbur. Ir.. (717) 717-IOM, TOOt (71n 7;'2-2252 (Hterlne I.,tlrld Onh).
OIJECfJOHII Anv pertV' In Inter..t not IIthHed with thl IPPrlh....,t, IUnwtnC. or dIIlUONInO' of deductlonl, or ........"t
of tlX ClnoludlnA dllcount or Intlr..t) '1 ~ on thl. Hotl~1 lU.t obJeat within .lxtV' ('0) dlV'. of receipt of
thll NotlCI bVI
"-wrUten prot..t to tI'M PA DIp.,t...,t of Rev.nuI, aolrd of ApfIII", o.pt. 211021, Herrllbur., PA 17UI.lOll, OR
UII.otlon to hlv. thl ..tter dltlr.lned .t tudlt of the IMICOU1t of the perlOftll r..,rllent.tlv., OR
--.....1 to thl OrphM" Court.
ADIlIN
IITlIATIYI!
C_CTlllNIl,
FlGtutl .rror. dlloov.rld on thl. .....lIInt should be Iddr'IJtd In wrltlnt tal PA Deptrtllnt of RIV~,
aurllU of Indlvldul~ TIXU, ATTNI POlt A........,t A.vl... Unit, Dept. 280'01, Harrisburg, PA 1112'-060.
Phone (71'1 717-6505. S.. P'" 5 of thl boOkllt MInltructlon. for Inhlrlttne. Tax Rlturn for I R..ldlnt
DIoldlnt" CAE~"1501) for on .xpltnltlon of IdIlnlltr.tlv.I'i C1arrtctlbl. .rrorl.
IIlTERUT,
If MV' tax due 11 Plld within thrH (5) o,landlr IlOl'1thl Ifter thl actdlntl. delth, . flv. percent (h) dllCOW1t of
thl tax p.ld I. .11,wtd.
Int.r..t II ch.rged btUlnnlnt with flr.t dav of dwllnquenoV'1 or nine (,) IOnth. end one (11 dav frOl thl det, 0'
delth, to the ~t, of Plvwent. T.x.. which bee... delinquent blfor. JlnUlrV' I, 194Z bltr Int.r'lt .t the rlt. af
11M (6in percent per ~ c.lcul.ttd It . d.11v rlt. of .000164. All t,xII which bee... delinquent on IInd Iftn
January 1, 19.2 will b..r Inter,.t It . rlt. which will v.ry froe c.ltndlr Vllr to elland.r Yllr with thlt ~.t,
MMUnCtd by thl PA Dlp.rt....,t of A.venue. T~ tppllcabl. Intarllt r.t.. for .'11 thrwth 1"5 ar'l
DIICDUIlT.
'!!!!: Interut R.t. D.lly lnt.r..t ftotar Y.!!! Intlrllt A.t. D.lly Int"..t Featqr
1911 lOX .000"1 1917 9l .000247
1911 IU ,00045' 191"1"1 III .OOOJOI
1914 III ,000501 1"1 9l .000247
1911 III .D00556 1991'1994 7l .000192
1916 lOX .OOOZ74 I". .l .000147
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INTEREST a BALANCE OF TAX UNPAID X NUNBER OF DAYB DELINqUENT X DAILY INTERElT FACTOR
-"AnV' Notlo. I..UICI .ft.r thl tlX beoOMI dtll~t will reU.et In IM""t c.lcul.t1on ta flfl,," CIS) "V'I
blv~ thl at. of thl .........,t. If PI'fHI'\t 11 HdI .ft., thl Int",.t co.,utltlon det, JhoNn on thl
Notlc., Iddltlonal Int""t IUlt be c.lcullt~.
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Inventory of the real and personal estate of
SAMUEL E. RANDOLPH
______________ _ ____ ._____ ___ deceased
170 Shares PNC Bank $ 24.00
822 Shares First Fidelity Bankcorp @ $62.375
132 Shares American Financial Group @ $26.25
51 Shares First Trust
9049.774 Shares Colonial Stratford Income Fund
6369.427 Shares Colonial Stratford US Government
U.S. Government Bonds
Harris Savings Bank - CD
Accrued Interest
NeNew Cumberland Federal Credit Union - CD
Accrued Interest
PNC Bank - Checking
Accrued Interest
PNC Bank - CD
Accrued Interest
Remington 30.06 Pump Gun
Browning 16 gauge Semi Automatic
B.C. & B.S. Pharmacy Benefits
Meridian (Now Fulton Bank) - CD
Accrued Interest
Meridian (Now Fulton Bank) - CD
Accrued Interest
Meridian (Now Fulton Bank) - CD
Accrued Interest
Railroad Retirement Board
VA Benefits from Cumberland County
BC and BS Benefit
VA Life Insurance
_"4 __._______ _ ."_._._..__
..n..... __ ___ _~_.___.____
Net
Net
Net
Net
Net
Fund Net
Travelers Life Insurance
Prudential Life Insurance
Refund BC and BS
Refund BC and BS
Credit Union Insurance
Lot 6 - Block 6 - Section 3, plan 0, Shady Dell Park -
known as 6 Sassafras Court, Ocean View, Sussex County,
Delaware. Improved with Mobile Home.
'IUl'AL
3,955 32
49,786 54
3,353 97
51,876 21
63,529 41
42,165 61
18,741 23
60,000 00
91 56
36,653 82
35 22
26,540 35
5 79
50,000 00
143 22
200 00
125 00
63 32
14,000 00
19 47
12,611 82
18 70
41,297 58
25 45
00
00
97
29
00
67
33
99
3,12r. 00
37 50
$530,12 84
'COMMONWEALTH OF PENNSYLVANIA
COUNTY OF to 141 'loR"
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".' b.lng duly . St.-try}} 1\ according to ,.W, depo... Ind "YI th..
- T or the eatll. or _
",. "_.La.ffI.I/-_.itc0.i I;;;a.--- , ,,"".~"',"d e...", Po" d'~'''d..~ ".,..,
within II .n InY.nlory mid. by \ <!> P-SIU ~\, " the lold t I(/-C'I/ I (\/:?
0' the .nll,. ..t.,. 0' !lId d.e.d.nl, eonlll"ng 01111 t . p.rlonll prop.rly .nd r..r ..t.t., llIe.pl rllr ..t.t. oullld.
Ih. CommonwlI"h o( P.nnlyIY.nl., .nd th., the (Igurel oppolll. IIch II.m o( the Iny.ntory r.pr".nl lt'l (.Ir Y./u.
IS 0' the d.,. 0' d.c.don"1 dlllh. , .
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. .nd lublcrlbod b.(o,. me,
NOla,'al Saal
Enlrl v, Martin, Notary PubUo
FallVlow Twp" York County
My Commission Expires July 12, 1999
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INSTRUCTIONS
I. An Inv.nlory mull b. m.d within thr.. monlhl ""., appolnlm.nt o( pmon., r'pr...nt.f1y..
2, A luppl.m.n' InYenlory mllll b. lII.d within thirty dlYI oldllcoYery 0' .ddlflonl'llIi...
3. Addlllona'lhulI mlY b. '>>Ich.d II to p.raon.lty or ru"y
~. S.~ Artlcl. IV, Flduclerr.. Act o( 19~9.
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Inventory 01 the real and personal estate 01
,
(!..
SAMUEL E. RANDOLPH
deceased
170 Shares PNC Bank $ 24.00
822 Shares First Fidelity Bankcorp @ $62.375
132 Shares American Financial Group @ $26.25
51 Shares First Trust;
9049.774 Shares Colonial Stratford
6369.4'27 Shares Colonial Stratford
U.S. Government Bonds
Harris Savings Bank - CD
Accrued Interest
NeNew Cumberland Federal Credit Union - CD
Accrued Interest
" d
Inco,l1\e Fun
US Government
......'
II
, 3,955 32
' Net
Net 49,786, 54
Net 3,353 97
Net 51,876 21
Net 63,529 41
Fund Net 42,165 61
18, 7~1 23
60/000 00
91 56
36,653 82
35 22
26,540 35
5 79
50;000 00
143 22
200 00
125 Op
63 32
14,000 00
" 19 47
12,611 82
18 70
4,10,297 58
25 45
.1,082 00
100 00
47 97
10,347 29
PNC Bank - Checking
Accrued Interest
PNC Bank - CD
Accrued Interest
Remington 30.06 Pump Gun
Browning 16 gauge Semi Automatic
B.C. & B.S. Pharmacy Benefits
Meridian (Now Fulton Bank) - CD
Acc~ued Interest
Meridian (Now Fulton Bank) - CD
Accrued Interest
Meridian (Now Fulton Bank) - CD
Accrued Interest
Railroad Retirement Board
VA Benefits from Cumberland County'
BC and BS Benefit
VA Life Insurance
Travelers Life Insurance
Prudential Life Insurance ,-
Refund BC and BS
Refund BC and BS
Credit union Insurance
Lot 6 - Block 6 - Section 3/ plan D, Shady Dell Park -
known as 6 Sassafras Court, Ocean View, Sussex County,
Delaware. Improved with Mobile Home.
2,000 00
616 67
47 33
15 99
3,125 00
37,500 00
'IUl'AL
530,121 84
, "
~TATUS REPORT UNDER RULE 6.12
Name of Decedent I SAMUEL E. RANOOLPB
Date of Deathl Juno 11. 1995
Will No.
1995-00488
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 complete I
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 followingl
a. Did the personal representative file a final
account with the Cou,rt? Yes X No
b. The separate Orphan~' Court No. (if any) for
the personal representative's account iSI
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 accounts may be filed with the
Cerk of the Orphans' Court and may be attached to this report.
Datel
Juno 7, 1996
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Robert E. Myers
Name (Please type or print)
100 Old York Road, New Cumberland, PA 17070
Address
( 717) 774-3163
Tel. No.
CapacitYI
Personal Representative
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Counsel for personal
representative
(MAH I rmf/ AM3)
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LAW OFFICBS OF
ROBERT E. MYERS
. 100 YORK ROAD
NBW CUMBBRLAND, PA 17070
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TBI,BPHONB: 717-774;3163
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(117) 774.3163- FAX 774-2257
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