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HomeMy WebLinkAbout95-00506 ~- PETITION FOI{ PIWIlATE and GRANT OF LETTERS /:.\,,1/1' I,f {!.!!~~5_I_C!c1J{~(jll:lC.t'L_ No._~ L:_9_~ - 5' ~ al.\o 'mo"",, us ____.h_~_____ _________.~_.~._____________ Tn: ____________ _ ____ _____. Ilegisler 01" Wills I"or Ihe ____._______________ _________ _ _. O,-....,/.\,.t!. ('OIlIllY 01" _C::jJL!1ea(d~ In Soc;,,' S""lirll.!" Nil. L~:.2.'1-=4>(l_"!J_.__ ('mllll10llWeuhh or l'elln'ylvulIllI The pelllioll 01" Ihe III1,klsigoed lesl'eell"lIl1y lellleselll' Ihul: YOllr Ilrllliulleltl). whu hi me IN yeu" ul" u~e ur ollkl ulllhe e,eclIlll".' Inlhe h"l will 01" Ihe uhme dee,-denl. dilled ____ _m./l,,?_C-t:l_/..3 ulIll cmlldl{\) daled ________._ Ihe nllmed .19..zeL 1\lllll' rdl.'\tllll ...lri:lll1l\lllnn". I,.',J!. "'lluudillillll, lkalh lllt'\f\.'Ulnr,l"h,'.) I>eccndcnl 'II" ,lulllidled UI dcmh III .CdiOl0E.gJ.tiAJl>_ _ ('onllly. l'el1nsylvunlu, with h ~___ .__ h"l flllllily or I'rlndl'al re,IMl1ce III ~.;! t/ L,). G;L~.s T __________ JA1!.CldI!l'!.J.IJ;.s.JaU/.'~-t " l7o~-s- (11\1 \lIl.'~r. IIlIIlIhl.'l OInt! 1II11lKil':lhl)) I)c~el1denl.lhell ~Ce!::L._ years of u~e, died :;ru N~ ;it;, S ,19 9..!:.- . al_<JIJl<l..&L_C.L~7DY -S7:J..Ji.I6:(!'I!t2tY.J..t;.S~~J 17D~" _ );'Cel'll" I"nlllm,. decedclIl did lIollllarry, was nol <Jlmleed al1d did 1101 have:\ .:IlIld born or adopled an,-r ewculillll <If Ihe will 0' fer,'d for I'rohllle; Lftol1ollhe "i.I:Iilll of U klll~ IlI1d wa' never udjudleuled Il1eOllll'elel1l: _:...~_..e#L"-..D~ ~~C:iC/c..<? ChLt' I>ecenderll UI deUlh oWlled I'rol'erl)" wllh eSllmmed ""lues lIS follnws: (If dlllnlcikd In I'll.) AlIl'ersnlllll properl)- (I I' nOI domiciled ill 1'".) l'ersnn,,1 properl)" In l'enI1S)'lvUIlIll (If 11111 dmnicilcd III I'll.) l'er,on"ll'rnperlY in ('nulll)" Vulut: ur real ~!rllnlC ill Pcnn!\yl\'aniu ,lIumcd '" follm",: $ /4 "L:lrJ. n n $ " $ $ WHEREFORE, "elllloncr(,) re'l'eclfully requesH') Ihc prnhaiC uf Ihe laS! will and codicil(s) I'reserlled helcllith ,,"dlhe gflllll uf leller'__--Iest~~ . 11L'''1i1111l:'l1lllry; ildminhllillinll c,I.II.; nllmini\IUulon d.h.n.c.t.a.) llll'mn. . ~ "0- 'If: :t:;:; ~>t ;I: i-~ ;0, 7: 4.'i0 ~?~~-,.(;tl.~F__n ~~~-~-:p~ ___ . _ _____ ______~d~2i~;;. OATH OF PEI{SONAL I{EPRESENTATIVE COMMONWEAI.TH OF l'ENNSYI.VANIA 1::1::1 COlJ;o.;T\' OF __.cu,lRRRr.ANn f The pl.'lilillllCrt~1 ulwn."l1l.1fl1l'lJ ,~\\'cur(~) or affirm(s) thnllhc slUICII1Cnts in the foregoing pelitio" arc lrue HlII.t ,,'UIrC(1 to lhl' he" l)! Ihe J..f1uwlcdgc und hclicr or J1c(itioncr(~) amllhnl us personal rCJlTcscn. Imive~"1 "I' Ihe ah"ve Je,'edelll "elili,'ncr(s) will wcllg"d.'rIlIY "dmllll,'er Ihe eslllIe uccordlng 10 luw, SW~lIl1 _'0 ,~r"rfirll1eJ alld ,uhscrihed ~-- ~ ~ ~"'Jff~A )~ /5-'1;;-/~ ;;;;~~~~:~;;;;)~~~ ?~ 1 Y' ~n1.1' e~..eWjb U('~i.\lt'r _ ~ NIl 21-95-506 . Estate of Charles L. carruthers . Deceased DECREE OJ.' PROBATE AND GRANT OF LETTERS AND NOW July 7th, 19~. In eon,lderallon of Ihe petlllon on Ihe rcversc ,Ide hereor, satl,faetory proor having been presented before me, IT IS DECREED Ihat the In,lrumel1l{') dated March 13th. 1972 described therein be admllted to probllle alld flied of record a, Ihe lall will of Charles L. carruthers and Lellcr' Testamental:}' are hereby grnnled 10 Doris M. earruthers FEES Probate, Lellers, Ele. ...... - . . Short Cerllncales{l) - .....', . . Renunclallon ",...,..,.. - - . . JCP Fllcd $ 50.00 $ 3.00 $ $ 5.00 TOTAL _ $ 58.00 .. , . .J."'+Y. .7. ..:!.?ll.~ , . . . . . . - - . - . .. . . . N t~ (3 :-r "'0; ~-~ 0- ) -. 0 ,,- ,; . t:') a. N ," ,-" ,'-~ ~ -, - '.._~ i:,", ;:;\ <I ~ii: ~ 'E Q;::> 0: UU 99tt1~~. ~~IfHt,Ji-ftfP.;,A~_ . . RealucrorWiIls . _ " ' . r Mcll:}' C. f.ewi6 ATIORNEY (Sup, CI. 1.0. 1'10.) ADDRESS I'IlONE <- Mailed Letters and Order to Executrix on 7"10-95. .-:- .., "'. '-, J 1lInst 3lllIill nub mtstWlUut I, charles L. carruthers, of the Borough of Mechanicsburg, Cumberland county, Pennsylvania, declare this to be my Last Will and Testament and revoke any wills previously made by me. I. I direct that all my just debts, taxes and funeral ex- penses shall be paid from my residuary estate, as soon as practicabl after my deccase, as a part of the expenscs of the administration of my estate. II. All the residue of my property and estate, real, per- sonal, and mixed, of whatsoever kind and wheresoever situated, I give, devise and bequeath to my wife, Doris M. Carruthers, if she survives me by thirty (30) days. III. If my wife does not survive me as aforesaid, I give, devise and bequeath all of the aforesaid residue to my children who are born after the execution of this will. and IV. If my wife does not survive me as afresaid,/should there be no children born to my wife and me after the execution of this Will, then I give, devise and bequeath all of the aforesaid residue to my daughters, cheryl Lee Peters, Connie Louise carruthers and cindy Lou carruthers, in equal shares to each. V. I appoint my wife, Doris M. Carruthers, as Executrix of this, my Last Will. If my wife shall fail to qualify or cease to act as Executrix, then I appoint George E. Hoffer Executor. IN WITNESS WHEREOF, I have hereunt~set~ hand and seal to this, my Last will, this I.J day of ~ , 1972. ~~z:.~ (SEAL) Signed, sealed, published and declared by the above named Testator as for his Last Will and Testament in our presence, who, in his presence and at his request, and in the presence of each other, have hereunto set our hands as attesting witnesses. This i" IlJ n:nil)' Ih,ll I Ill' in(UI"IIl.lli,," Ilt.'ll' gi\Tll I" lllllnll) lO"Wi! 110111 "lIl1ri~:III;i1ll'llill,..It, 01 d('.1I1I dtll)' fill.t! willi IIll' .l!'. l.oc.i1lh'ci~tnar. Thl' miHin.d It.'rlilil'.III' \\ ill hl.' 11I1 w.lld(.tl III I Ill" Slall' VII,II Ihl'lIrd, ()lllIl' Illr P('f11l.llll'1l1 Will}.:. WARNING: Ill. /IIegalto dupllcale thIs copy by photoslal or photograph, Pet" (or lhi~ n:rlificall', S.!.fHJ /)JzYA4ft. . - . -1/__ j "',_ j7 ~~ 2827107 Nu. H-------6-:-::2-l- --j.J~-_ D.lle HIIlI.tQ........, COMMONWIALTH 0' PIHNIVLVAHIA' OEPARTM!HT 0' HEALTH' VITAL RECORDS CERTIFICATE OF DEATH - ... '" -...-. 5-9-3/ ......-- IlXoIA4I1CuNTl'~ft .165 - 24 - 6949 OMI(lf'Dln........o.,~ . Jun. rs. 1995 ...f ".. f, 64 - ....,...~ Puu~k. PA -----....- ._0 ...0, ... ::=e 0 "- (!l ::'rl0 . ~1Itn._," lI.oh4llle.6bu.tg Whit. . i:.'l.";':::I:::r T~llek i>uvu l!JIlpt B.t6thu~. In DlClgon'.lU&HIADON........~...."'c...,. Ole 3%4 Wut Guon Stuu ~ .. lI.oIt4JIlCAlbu.tg. PA /7055 _.::::::' "'...IIl.IWoIIl'..IoIp.tr-t J04'U4 J. CaMllthU4 ~, tr..;':U II, CM~uthU4 ,,-...-- n..- .. - ..... - ... ,... 4Jll 4b - . . o 4nle.6bu.tg. PA 110S5 ~~...............o o ""-. 6-21-95 Ol0694-L o ....~......_...tI..................pIMt,,_ '.....r_ ..D ..0 - -- --- """II 0......,...._--.._.... ....--.~...~-.......""""'" It . "'NIl" B'" _ 0 -...-. o __ 0 "'" 0,.. .... 0 ,.. [J .... 0 c..-.............. 0 .Al-.......--. ........ N. ~t1t--" ~~,.....,...,...._CIl__......,...,-...._......,~....nl ........."..,...........---.......-.0(1,...-.............,.....................,.......,.,.............. [: ... .. .. -- .....ua.f'IlCM'O -.moo"..... - "....,., - ...."....... ll'INIIl.,R1\IQlIlII. 01 -..... . 1M CJ ...0 ..... .. 'f: ro-'lIUttI~""'IICWlI~_...........__........"'_d.... ......IIttt"..,............-_....._._.................M....-.c..__...........,....,........,........ . .M.CJlC.I.t.IU.....~1IIl II..O:'~':':.=~.~~~.~:~~~~~~~~~..~:~.~:~.~~~~~I.~ 0 It - N, t- 21-95-506 .~f(' <~,.-~'" ;~1 H\ '~~t _ a: - -'-" 'N ~, _CO, 13~' t~ . :~8 '~:},'F -,' ill ;~ j :'~) ";:- ':;:~ iii..:;J c.Ju' 0.. 0\ N ,.'~ ~' COMMONWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE /5- 1c:i . /.;{ BUREAU Of INDIVIDUAL TA~ES INH(AITAHCt TAX DIvISION D(PT. ZlO.ol 11ARRISBURO, PI 17nl-0601 c.. NOTICE Of INHERITANCE TA~ APPRAISEHENT. ALLOWANCE OR DISALLOWANCE Of DEDUCTIONS AND ASSESSHENT Of TA~ DATE ESTATE OF DATE OF DEATH FILE NUHBER COUNTY ACN JOHN MEAKIN ESQ MARKET SQUARE BLDG MECHANICSBURG PA 17055 02-03-97 CARRUTHERS 06-25-95 21 95-0506 CUMBERLAND 101 Anou"t H..ittad I*, 'h.lhl" au II'.'" CHARLES L MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iiE'j:is4-j-EX-"Fji-m-:96Y-iloYicEnOF-i-riHEiiii'AN-ci-YAX-A"ppRA"iiiEif€ilr;-"Li:OWANCi-olim-m---------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF CARRUTHERS CHARLES L FILE NO. 21 95-0506 ACN 101 DATE 02-03-97 TAM RETURN WAS, I X I ACCEPTED AS fILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN 1. R..I E.t.t. (Schedul. A) 2. Stock. and Bonda (Sch.dule 8) 3. Clo..1~ Hald stock/Partnerahip Int.r..t (Sch.dul. C) 4. Horta.gal/Hot.. Receivabl. (Sch.dul. DJ 5. C.sh/Bank Oapo,itl/Hilc. Par Ion a I Proplrty (Schedule E) 6. Jointly Owned Property ISchedul. F) 7. Transfara (Schedul. 0) a. Total A...t. APPROVED DEDUCTIONS AND EXEMPTIONS I 9. Funaral Expan.../Ada. COlt./HiIC. Expans.. CSchedule H) 10. Debts/Hartgag. Liabilitie./Liens CSch.dule J) 11. Total Deductions 12. H.t Value of Tax R.turn 15. Charitable/Governn.ntal Bequ..t. CSchedule ~) 14. H.t Value of Est.te Subjeot to Tax If an assessment was issued previously, lines reflect figures that include the total of ALL ASSESSMENT OF TAXI 15. Anount of Lina 14 et Spousal rate CIS) 16. AMount of Lin. 14 ta~.ble at Lin.al/Cl..s A rate Cl61 17. AMount of Lin. 14 ta~.ble at Collater.l/CI... 8 rate C171 18. Principal T.~ Due TAX CREDITS I PAYHENT DATE NOTEI RECEIPT NUHBER DISCDUNT 1+1 INTEREST I-I III 121 ISl 141 ISl 161 171 I CHANGED .00 .00 .00 .00 15,308.20 .00 .00 ISI NOTEI To in.ura proper cradit to your account, subMit the upp.r portion of thh for.. with your t.x pay..nt. 15.308.20 6,618.50 36.303.30 1111 1121 I1SI 1141 14, IS and/or 16, 17 and 18 will returns assessed to date. 191 1101 .00 x .00. .00 x .06. .00 x ,15. I1S1 AHDUNT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 4,.Q:>1 An 27.613.60- .00 27.613.60- .00 ,00 .00 .00 .00 ,00 ,00 .00 . If PAID AfTER DATE INDICATED, SEE REVERSE fOR CALCULATION OF ADDITIONAL INTEREST. If TOTAL DUE IS LESS TNAN fl. NO PAYHENT IS REQUIRED. If TOTAL DUE IS REfLECTED AS A "CREon" ICRI. YOU HAY BE DUE A REfUND. SEE REVERSE SIDE Of THIS fORH fOR INSTRUCTIONS. I O.!!l Clt= '.l-.-t:' "- M o l?i ~!.'C a a.. ,I rj o ':, ,I.! ,-I.. ,," , u u. ,uo: a: rr' III I~ 1:1 p; , .U Ijj t: u8 RESERVATIONI E,'at,. of dle,dent. dying on or blfar. Dlelab., ." 19.' .. I' any lutur. Int.r..t In thl I...t. I. trln.flrr,d In pa......on Dr MJav.." to C.... . (collll"l1) b~flcI.rl.. of thl dludlnt after thl ..plt.tlon of any ....t. 'or 11'. or for v..r., thl Co.aonv..lth hetebv ..pr..,lv t...tVI. thl right to appral.. and ...... tranl'.r I~rltanc. ,.... It thl lawful Cl... . Cco1ht.r.U r.t. on any .uch lutur. Int.rut. PURPOSE OF HOnCEI To fulfill thl nqulnl.,.tl of Section ,.ltD of thl Inh.tUane. and Est.t. ,.. Act, Act ZZ Df .991. 7Z P.I. Section 2hl. PAVItEHTI Dttlch thl top portion of thlt NoUu and ,ub,at with your p.y..nt to thl A.,ht.r of Wll.. prlnhd on the n"'''' side. --H,h ctt.ck or NfMV order p.y.bl, tOI REGISTER OF MILLS, AOENT All p'~.ent. r.c.lv.d .h.ll flr.t b. .ppll.d to .nl Int.r..t which '" b. du. with anv r...lnd.r .ppll.d to the t,M. REfUND (CR), A r.'und 0' . t,M cr.dlt, which w.. not r.qu..t.d on the f,M R.turn, '" b. r.qu..t.d bv co.pl.tlng an "Appllc.tlon 'Dr R.,und of p.nnlylvanl. Inh.rltane. end E.tlta f.M" CAEV"nU). AppllClllon. ar. .v.lI.bl. .t the Office 0' thl A.gllt.r of Willi. anlof the 2S R.vanu. DI.trlct O"lc... Dr by c.lllne the .p.cl.1 2'-hour anlw.rlng ..rvlc. nu-b.r. 'Dr '01""1 ord.rlngl In P.nn',lv'nl. 1.100.562-2050, aut.ld. P.nn.ylv,"l. and within 10c'l H.rrlsburg ..... C7171 717-109', TOO' (717) 772-ZZ5l lHllrlng I.p.lnd Only), OIJECTIONSI Anv p.rty In Int.r..t not ..tll,l.d with th. .ppr.I....nt, .llowanc. 0" dl..llowanc. 0' d'ductlon., or ........nt 0' t'M Clncludlnll discount or Int,,,"U .. .hown on thlt Hollea lU.t Object within .lxtv C6aJ d.v. 0' nealpt 0' thlt Hotlc. by, .-wrltt.n protllt to the PA D.p.rt.ant 0' A.v,nu., loard 0' Appult. D.pt. 211021. Harrlsburl, PA 17121.1021, OR .-.I.cllo" to h.v. th. .,ttar detar.ln.d .t .udlt of the .ccount 0' th. p.r.on.1 tapruent.tlve, OR .-.pp..l to the Orphan.' Court. AD"IH ISTAATlVE CORRECTIONS, F.ctu.l '1"'1"'01"" dl.cov.r.d on thl. ........nt .hould b. .ddr....d In writing tOI PA D.p.rt..nt 0' R,vlnu., luneu 0' Indlvldu.1 t.u., AnHI Po.t A......."t Revl.w Unit, D.pt. Zl0lO1, H.rrlsburg, PA 17121-0601 Phon. C7U) 717-6505. S.. P'II' 5 of the bookl.t "In.tructlon. for Inharlt.nu TlIC Return 'or. Auld.nt D.c.d.nt" CREV-ISOI) for en 'lCplan.tlon of .d.lnl.tr.tlv'IY corr.ctlbl. '1"'1"'01"". DISCOUNTI I' '"~ tlM due I. p.ld within thr.. 13) c.l.nd.r .onth. .ft.r th. d.c.d.nt'. d..th, . flv. p.rc.nt CS~I dl.count 0' th. t.1C p.ld I. .llow.d. Th. 15~ t'M ..n..tv non-p.rtlclp.tlon p'n.lt~ I. co.put.d on th. tot.1 of the t.1C ~ Int.r..t .......d, .nd not p.ld b,'or. J.nu.rv II, 1996, the 'Ir.t d.~ Ift.r the .nd of the t.1C a.n..tv p.rlod. thl. non-p.rtlclpatlon p.n.lty I. 'PPI.I.bl. In th. .... "'nn.r .nd In th. th. .... tl.. p.rlod .. wou would .pp..1 the tllC end Int.r,.t th.t h.. b..n .......d " Indlc.t.d on thl. not Ie.. PENAl TVI IHTUESTt Int.r..t I. charged b'lIlnnlnll with flr.t d.~ of d.llnqu.ncy, or nln. 19) .onth. Ind on. CI) dey 'rD. th. det. of da.th, to tha d.t. 0' p.y..nt. Te.e. which b.c... d.llnqu.nt b.for. Janu.ry I, 1912 be.r Int.r..t .t th. ret. of .Ix C6:n perc..,t p.r 'MU' c.lculetad It e dally r.t. of .0001610. All tllC" which b.caa. d.lInquant on and .ft.r Janu.ry 1, 1.11 wIll b..r lnt.r..t .t . r.t. whIch will vlry fro. c.l.nder w..r to cel.nd.r y..r with th.t r.t. .nnounc.d by the PA D.p.rt..nt 0' R.vanu.. Th. .ppllcBbI. Int.r..t rlt.. for 1912 through 1997 .r.t ~ Int.,..t Ret. Dallv Intar..t F.etDr !!!r Int.ra.t Aat. O.llv 'nt.r..t F.ctor' 1911 2n .ODD5U 1917 OX .OD020 19U 16:C .OOOUI 1911-1991 ll~ .0oolDl 19'" IU .000501 1992 OX .00OlO 1915 lU .00OSS6 I99S-I9'1o 'X .000192 1916 1O~ .00Oll" 1995.1997 'X .DOOlO "'Int.,..t II calcuhtad .. fol1owlI INTEREST . SALANCE or TAX UNPAIO X NunDER or OAYS OELINQUENT X OAILY INTEREST rACTOR ..An~ Notlc. I..u.d ,'t.r the t.. b.co... dellnqu.nt will r.fl.ct .n Int.r..t c.lcul.tlon to 'l't..n liS) d.~. b.~ond th. d.t. 0' th. ........nt. If p.~.ant I. ..d. .ft.r th. Int.r..t coaputatlon det. .hown on tha Hollca. .ddltlon'l Int.rut .u.t bI c.lcul.t.d. r ".".." 'r-"" r .- t- CERTIFICATION OF NOTICE UNDER RULE 5.6Ia) Name of Decedent I Charles L, Carruthers Date of Deathl June 25. 1995 Will No. 506 of 1995 Admin. No, To the Registerl I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' COllrt Hulas was served on or mailed to the following beneficiaries uf the above-captioned estate on Fllh,.lIn,..y R r 1 QQIl ~ Cheryl L. Cerruthers Cnnni@ Methvnn Address 7508 Wertzville Road, Cerlisle, PA 17013 8. 8. I. Box 534. Fayette City. PA 15438 Cindy AlhriRht 8.0.2. Box 118. Dark Hollow Rond. Shermnnsdsle. PA 17090 ChR1"'leR J..a Carrntlters. Jr. 324 WeRt Green Street. Me(!haniCRb1lra. PA ] 7051) Christina Carruthers 324 WeRt Green Street. Mechnnicshura. FA 17055 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except 1I:+wr-' . Date: FI'hrllnry R. lqq,; Signat re Name \ L.', -- C1\ I C;J l:..:! , u: ~,J I '" ij (.) Address Mnrket SallaTe BuildinlZ MechaniesburR, PA 17055 Telephone (717) 766-3172 CapacitYI Personal Representative Counsel for personal representative x + + 20. If line 191. gr.al., Ihon L1n. 18, .nl., Ih. dlff.r.nu on lIn. 20. Thl,l, Ih. OVERPAYMENT. II O."rrlfI'II..u.._I_'j'I'_''''_I'''I''~~h'I'_'_lur''nul':'...U..I.....J.Ult.I.!.A....1i1l1 21. If lIn. 16 bu,.ale, than lIn. 19, tnlt' Ih. dlff.rlnu on lIn. 21. lhl,lllhe TAX DUE. A. Enl., th.lnle,..' on the balonc. dUI on lint 21A. B. fnr., rho ro.olollln. 21 ond 21A on lIn. 21B. Thl,I..h. BALANCE DUE, Mak. Chick Payabl. tal Reallt.r of Will., Ag,n' I, "":~'l;.'::'.' : ','i' I III SURI TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH.I,,: '. ,~I..:-' Und.r penahl.. of plrlury. I d.c1or. .holl have lJl,omlntd thlt r.lurn, IncludIng accompanying I(h,dul.. and Ilal.mlnh, and 10 Ih. blS' 0' my ~nowl.dg. and b.lir III, Irut, cort.d and comple'.. I declar. Ihal all ,eal ..101. hot b.,n r.porlld 01 trut marll.t valu.. D.c1arallon of pr.pa,,, olh.r than th. p'rlonal r.pr..tntallY' b .d on olllnformallon of which ,. or., halon knowltdgt. ~9''''.u,,' I ""ON "Y.f'N'"11 10' '~"~O "'U",, ADD"" DAIl ~ ~~ 324 WeRt Greel1 Street. MechnnicRburg, PA 17055 IIQNA1UU or ,U'AIIU 01HU IHAH llI'IlUfHIAllY( "llOIlIU SAn UV.lSOO u. 1'.9'1 I!! "lB ~Iii! t'l15 Iii'" B~ ~Wk I ~- - '/0l. - I.'). INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) VEAR 506 I~UMBEI 'OR OATIS D. DIATH AnlR 12131191 CHICK HIA. IP A SPOUSAL 0 POVIATT CUDIT IS CLAIMID PILI NUMB'. 2195 COUNrv COO! COMMONWfA\Ut or 'rNN~'t'lVANI'" DUAIIMINI Of I\VfNUr Of". 110 HA..,nu.o.l. r, "060' I ' AM \A . III . AN MIDOII IHI IAI II 10 H' OM 324 WeRt Green Street Meehnnicoburg, PA 17055 Co,,""1 Cum\uu:lo.D.!l- AMOUHIIIICIIVIDIUIIUI1IlUCIlONI, 15 ~ '" ~ \- IOCIAlllCUIIIl NUMUI DAn 0' DIAut pAn 0' "1I1tt -1b.5=2!c:b2 JlIIULll.o.l29..:i.. ~.nL2...J.2~J II' ,"'hI(AIlIIIU."'Y1NQ lPOUU I ........., 1''''", '11""'''0 MIDOtIIIlI""1 SOCIAl Ul:UIlIIT f4UM"" a.J:..01thers. lloriR H 6il I. Original Rtlurn 0 2. Suppltm.nlal Rtturn o A. lImlttd Ellalt 0 Ao. Fulure Int""1 Compramhe (for dol" of dtOlh ahtr 12.12.B2t lit] 6. Otc.dtnt Ol.d T..talt 0 7. Otctd.nt Malnlalntd a llylnO Trull (Allach copy of Willi (Atlach copy 01 Trullt 'ALL CORRESPONDINCE AND CONFIDINTIAL TAX INFORMATION SIlOULD ,liE DIRECTED TOO...'"i~: i ~ (aMPUl( MAIUP'O ADDII , o 3. Remainder R.,urn {for dal.. of dtalh prior 10 12.13.82, 05. hdtrol Ellal. Tax R.lurn R.qulred _8. Tolol Number of Safe atpollt BOUI '! J M Eokin Eo uire m'HONl HUMin 717 766-3172 Morket Squnre Building Mechnnicoburg. PA 17055 '"' ~ I (11 121 131 (41 (5) .$.15...108.70 (61 (71 (81 $1 ~ . 10R 70 1. R.al fllor. (5ch.dul. A) 2. Srock> ond Bond. (5ch.dul. BI 3. Clo,.ly H.ld 5rac~lPorln."hlp Inr..... (5ch.dul. q A. Martgag.. and Not.. R.Ctlyablt (Sthtdult 0) 5. COlh, Banle 0'poI1II & Mlte.l1an,ouI Persanol Property (5ch.dul. f) 6. Jolnrly Own.d Prop.rly (5ch.dul. FI 7. Tron.I." (5ch.dul. 01 (5ch.dul. Ll e. Tolal Gron Autl' 110101 Un'I 1.71 9. Funeral bpln..., AdmlnhtrollY. COI", Mlte.lIantauI bptn"I (Schtdul. H) 10. D.br.. Morrgog. Lloblllll.., LI.n. (5ch.dul. II 11. Tolol D.duc,lon.(lorol L1n., 9 & 10) 12. Nt' Valut 01 Eliot. (lIn. B mlnuI L1n. 11) 13. Charltabl. and Governm.ntal S.qu.." (Sth.dule J) 1A. Nel Value Sub tel 10 Tax lIn. 12 mlnu.lIne 13 15. Spoulol Tranlf.n (for dol.1 of d.alh aft.r 6.30.94) 5.. lnltrudlonl for Appllcabl. Pere.nlau. on R.Yt,.e Sldt. (Includ. valu'l Iram Schtdul. K or Schedul. M.) 16. Amounl of lIn. 14 IO.ltobl. 01 6% ral. (Includ. valu.. 'rom Sch.dulo K or 5ch.dul. M.) 17. Amounl 0' lint 14 IO.llobl. 01 15% ral. (Includ. yolu.. ham Schtdule K or Sch.dul. M.) lB. Prlnclpol'a. duo (Add 100 I.am lIn.. 15, 16 ond 17.) 19. Credlll Spoulol Poyerly Cradll Prior Payments (9) -li,.61R ~n (101 36,303.30 1111 4?,Q?1 Rn (121 0 (13) 14 0 )C,_- 0 )( ,06. --0 )( .15 . 0 lIB) 119) 120) (211 121AI (2IB) (151 (161 (171 ',", co ~ 2 . B a OllCounl Inl.rell Morket SQunre nuildinR. Mechnnlcsburg, PA 17055 ..__.-..~.. . - DELAWARE GROUP PAGE 4 OF 5 Oelchesler Fund A Class Account Summary Statement For the period: 01/01/95 Through 12/31/95 I!;j 15 55 E! 5! ~ ~ E! 15 mi ~ ~ 1"1" Mnrkd Sired ('hilndrlJlhlil. I'^ IIJJII.I-.I',N2 s.s.rrax W.# 165-24-6949 AE-10: 6674 Account # 5245009536 Account Type ImllvldualltelJrelllenl Accounl 42OO10e 20 l1u55-322724 7 0 0132 1..,111...11I....1.1..1.1..,11,..1.1..1.11...1.,1.1,1..1..1.11 OlllC CUSTODl^" FOR TIlE 1M OF CIIMLES L CAnRUTIIERS 324 WEST GREEN ST MECIIAIlICSBURG PA 170~~.3227 BTlllleh O/flct C>d~ 03527.()76:2DD2 Your Finane"" Mlllltr EMMOR BOSLET CUNA BROKERAGE SERVICES INC EIlGEWllOO SQUARE 1005 BEAVER GRADE RQ SIE 8 CURAOPOLIS PA 15108 I',ke T,.n..,llnn DulLu hmonnt Share I',lce Share. ''In'l + I TIII..Sh.re. Uale $ $ 1Ir1\lInu.(.) Owned 01101/05 Balance Forward 203.287 01131/05 Div Roinvested 11.34 6,04 1,877 205,164 02/26/05 Div Reinvested 10,30 6.14 1.678 206,842 03/31/05 Div Reinvested 11.28 6,13 1,840 208,682 04/28/05 DiY Reinvasted 10,80 6,21 1. 764 210,43S 05/31/05 Div Reinvested 10,88 6,27 _1.735, m:-AU", 06/30/05 Div Reinvested 10.82 6,23 1. 737 . ,08 07/31/05 DiY Rainvested 11,25 6,28 1. 701 215,600 08/31/05 Oiv Reinvested It,43 6.26 1,820 217.528 00/29/05 Div Reinvested 11,60 6.26 1,840 210,368 to/04/05 Dividend Adjustment 1.65 6.25 0,248 210.816 10/04/05 Transfer In Kind Redemption 1372.60 6,25 219.616- 0,000 12/31/05 Ending Balance 6.23 0.000 Transa,lIl1n I Certl/lute. I Unlssue,l Sh.re" Tulal Share., SUUlmary Ileld 8y You Held Dy U. Owned 0.000 0,000 0,000 Dlvldell,t. I TID $101,24 Cal'lIa' Gall.. I TID $0.00 Tolal Vblrlbullon. $101.24 Vour Fund's yield for the 30-dey period ended 12/31/05 was 0.08\ calculsted according to the SEC yield formula. Yields fluctuate and ere not guarenteed. Dividends of $0.05260694 per shsre were paid by your Fund for the same period Selected Dlstrlbullon Opllonl: Dividends Relnvesled/Capllnl Goins Reinvested ----------------------------------------.. 0211184 The ye.1r-end value of your IRA in Delchester Fund A Class was $0,00. As rl!<)ulred by law, this Infornmtion will be furnished to the IRS. If you made non-deductible conlributlons to any IRA during 1995 OR if you received an IRA distribution during 1995 and made non-det.lut:t1ble contributions to an IRA In any prior ye.1r you will neeil this information to complete IRS Form 8606, which lIIay be a part of your 1995 income tax return. Clly -HechlUdcaburg 4. Probalo Foos C. Mlseollanoou. Expon.o.. ,. Filing Fee 2. 3. 4, 5. 6, 7. 8. 1.'11111 u. 11-", ITEM NUMBER A. \. B. 2. Ploa.. Print or T . NUMBER 2195 - 506 -"----- --. . SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES COMMONW(AlHt o. rrHNSnYANIA IHHUITANCf tAlC UTUIN aUIDun Df(EDfHl Charles L. Carruthers DESCRIPTION Funorol Exp.n.... Cremstion Society Rolling Green Cemetery \, Admlnlstratlv. CoslI. Porsanal Represonlall.o Commissions Social Soeurlly Numbor of Personal Roprosonlall.e. Year Commissions paid Allornoy Foes 3, Family E.ompllon Clalmanl -1}nri A M Cn,.rll~luu:a.. R.lallonshlp Addross of Clalmanl 01 doeedonl's dealh ,.,offlll Str.et Address 1.'4 \.leu:!;'" r...nA" R,.....IIII11.. Slale P A Zip Cado 17n~~ $15.00 TOTAL (Also enlor on IIno 9. Reeapllulollon) III mar. 'poe. I. noodod, Insorl additional .ho.t. af .am. .110,) . AMOUNT $ 760.00 1,535.50 750.00 3,500.00 58.00 15.00 56,618.50 . dtID S"'ftJ '. . ~EDEB~IJ. of HARRISBURG October 25, 1995 Regarding: Doris M, Carruthers 324 West Orccn Street Mechanicsburg. Pa. 17055 Account #52.203875 TO WHOM IT MAY CONCERN: This loan was ollened April 29, 1993, The original loan amount was $85,000.00, The loan term Is 120 months. The Interest rate is 8,05%. The principal balance on this loan is $70,338,64, The next payment due is October 29, 1995, Her monthly payment is $1,033.53. This loan has always been paid on time and as agreed. In can be offurther assistance to you, please call me at (717) 232-6661, extension 279. Sincerely, 1}~ <0~ Joan Camp lese Loan Servicing Department 234 NORTH SECOND STREET . P.O. BOX lilt. HARRISBURG, PA 17108, (717) 232.6661 mlllMt i;"+,:;~!,\;.:{}:;;'{,Jt~l~.iJ';:A\~~....-:u;..'f}~--;-;r,-t,.'j,~;JiJi\;-;,;O~--"-"._-'>:""'t~ -_~",,-_- _y_~ .'.-; . IIY.UUI.tIJ.,. . COMMONWUIIH 01 "HNSHVANIA INHII".NC' fAX InUIN aUIOf"' O'ClD,", SCHEDULE J BENEFICIARIES ESTATE Of Charles L. Carruthere fiLE NUMBER 2195 - 506 ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR SHARE Of ESTATE A. TD1Iabl. D.questal ), Doris M. Carruthers 324 West Green Street Mechanicsburg. PA 17055 Entire estate Wife I ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF 1ST A TI B. Charllablo and Gavornmonlal Boquo"" 1. TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS IAI.o onlor on IIno 13, Rocaplrularlon) S IIf more .pac. I. n..d.d, 'nln' additIonal .h..t. of lam. II..) 13 - CERTIFICATION OF NOTICE UNDER RULE 5,6(a) Name of Decedent I Charles L. Carruthers Date of Deatlll JUlie 25. 1995 Will No. SOr. of 1995 Admin. No, To the Reg io l.en I certify that notice of beneficial interest required by Ruie 5,6(n) of l.he Orphans' Co"rt Rules was served on or mailed to the (o1J.owing beneficiaries o( l.he above-capl.ioned estate on FlPh1"ltnry R, I QQ" I Name Cheryl L. Carruthers en""f II! }'lethvol1 Address 7506 Wertzville Road, Carlisle,' PA 17013 R. R. 1. Box 514. Fayette City. PA 15418 ..Jliudy Alhrl11ht R.D.2. Box 118. Dsrk lIoHow Rosd. ShermsnRdRle. PA 17090 ......charIeR L. Cnrrlltll'.rs. Jr. 324 West Green Street. Meehal1ieshurll' PA 17055 Chr-l At:inn Carruthers :)24 West: Green Street. HechnnicBburcz. FA 17055 NDtice has now been given to all persons entitled thereto under Ruie 5.6 (a) except !\)t",lc <' P' Oa te I Fnhrlln ry 8, 199r. '/II Signa re Name ,... -s.iQl; - N 0 '" "2)1::; <=> ,-, s: u '3 ,;:) :j- ,.. -"" 0\ .' - 'o.rl U .... , -~! " jj ;fi [i! ~, (,1 .- r.) ~5 . .~~: ........ u., 0 ~, 1-g t) ell p; <l>0: 0: uO Address Market Sauare Build in" MeehanieshurR. PA 17055 'relephonel7171 766-3172 Capacity. Personal Representative Counsel for personal representative x 1- CER'I'IFICA'I'Iotl OF' NO'l'ICB UNDER RULE 5,6(a) Name of Decedentl Chorlen I.. Cnrruthera Date of Deathl Juno 25. 1995 Will NO,...5.ll(, of 1995 Admin. No. '1'0 the Regiuterl I certify that notice of beneficiai interest required by Ruie 5,6(1\) of the Orphans' Lourt Hules was served on or mailed to the (ollowing bene(iciat"los uf the above-captioned estate on -EAh~ R, 199(, I Name Cheryl L. Corruthers Cnnnip- fl1e.t.hY.all Address 7508 Wertzville Rood, Carlisle, PA 17013 R. R. l._UOK 534. Foyette City. PA 15438 ~dy A1br1~ht R.IJ.2. Box 118, Dork Hollow Rond. Shermnnndnle. PA 17090 -Cbnr1os L. Carruthl!.l:tl.. Jr. '124 West Greel1 Street. Mechnnicsburl!. PA 17055 ChrfRtinn Cnrruthcr9 324 West Green Strcct.-Hechnnicsburn. FA 17055 Notice has now been given to ail persons entitled thereto under Rule 5.6(a) except I~}o".'c . Da te l-Eul>rllnry 8. 199(,_ r~ . 1\ 1V\1 , Signat re Name \.1,101>11 M. Eakin. Esquire tf,<~ Address Market Souare Buildil1l! Mechol1icnburl!. PA 17055 'l'elephone(717) 766-3172 r""l Capacity: Personal Representative counsel for personal representative K u_ " 'J(~ . . STATUS REPORT UNDER RULE 6,12 Name of Decedent: Charles L. Carruthers Date of Death: June 25. 1995 Will No. 1995-00_~06 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 estate: 1. State whether administration of the estate is complete: Yes x No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a, Did the personal representative file a final account with the Court? Yes No x b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes x No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report, Date: Jllly 29. 1997 ~L...)??' VA- Signa re '.-- r.) !.0 "'"' I.") L".J .-, co,:. John M. Eakin Name (Please type or print) Markst Squsre Building MeehsnicsburR. PA 17055 Address ...-; .'" , Li: In I C':1 UJ . ~ 17171 766-3172 Tel. No. (,1 dl ,~J u:' u: IU ,: _::l UU r-- p. Capacity: Personal Representative x Counsel for personal representative (MAH:rmf/AM3) "-:'T~-)--'~""-:!'T"-~T--",__T--'",",-"'_-'->+"-'~."W.W~_~\.,_ .....~.,._...MY.',.__'.