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HomeMy WebLinkAbout95-00524 Estato 01 Register of Wills of m~ County, Pennsylvania PETITION FOR GRANT OF LETTERS No. ..Al- Q5.. 6J.. ~ c ill. '1-' L -..I.~. () , _-x'l'.k.Ll also known as . Deceased SOCIal Security No. / q(" - ci-:J -(Joyl h,~_.....,.........,.....IIl,'"''''Io\I""_"."""",,,,''I''' ICOMPLETE "A' OR 'B" BELOW:) lJ A. Probate and Gr.1111 ot Lf!lImS and ilver that PtHll101lUf(sl Is/arc Ihl! I!kPI:ut_ fliHIIl:d III 'hu lost Will at Ihu Decedent, dated unO cudlGlllsl dated ......._..................., ............., .....10.,1................ helllJI 01 followl, Decedon' did not marry. was nol divorced, und did nol havD d child holO Uf oJoptlld ollor oxocutlun 01 tho dUCUlllllflht allured for ,Hubal.: wa. nol tho victim 01 a killiny nod wn. nova, udJudll~fltod incompalftnt: ~ B. Granl 01 Lollers ul Adl1l11l1stra\lOI1 ~f!Jie.d-(.()(1.~ ,7t?to(r 111df/';..A : J1tf1~.Iv 4! /.-t ~l" . ..... ....',~I. '........0'..'..............-.... .~.......~"..,"..'...l /'h//}(J/, a '}I a. PCltlionerlsl after a proper search has/have aSCtlHaincd that Decedent left no Will and was survived by the lollowlIlg SpOll5U hi iJnyl and heirs: Name RulQIIOnship ./~ u"tI~rl r:- . Om:l!dont was domiCiled al doath in ('....U.~&""'R.lt~:~) _.__ Cmlllly. PCllllSylvillllil, With hIs/her ,"slll",ll:oat~_ SI/>I01 UIAJL' /."--OLI'1.=z'1. l~~lJI:~5..fu~o last lill1llly m IJrIl1r.IIWI rwf'. . "',. "'''' ."..,~... .."I "'.""1"_",1 Dllcedel1l. thou 3~ years 01 ilUC, ()lI~d ~/ J 9 . 19ii. at J1~G R.I::l;;'D 'n..J P. II.~ .......1 DueodtJlll .1t .Jollth ownud pr(J!Julty with n<;;lnlllllcd v.llulI!; w; lullow!i: {II domiCllod In PAl All pUllwlwl plllptHly ""..,....,..."...".,...... $ :5 (.)C) . tit nol domicil ad in PAl PuU.unlllll,opclIY III Pll,mliylvllnl:l . . . . . . , , . . . . . . . , . . . $ III nol domlcilad in PAl Pllll;onlll pruptUly In COllllly , . , . . . . , . . . , . . , . , . . . , , , . . . $ VlIll'o 01 1001 anlolO in Prlllnsylvulli{l ..,.,.."..........,.....,.......,.....,...,.,' , Tolal .,............... .. ...,......,.. .."........... . $ Hunl E:J1utu lIilulIhlcJ ns followu: ~D~C: Whuroloro, Pollllonor(ttl fflspoCllully fnquolitlslllHl prulJlllll 01 Hili lusl WIIIUlld CUcJU:II!H! ,aotumtud wllh thlt! POllti"n und Iho U'llnl 01 IlItlU1I1III lhu dpfHOllrinlo form lu thu UndflrtilUllurl: TVIIULl ur llfllllud f1lUIIO lInd '''!Hdom:lI RW-7 15-~~_;;/ Oath of Personal Representative Commonwealth of Pennsylvania County of ~avpblkx eunberland The Petltlonerlsl above-named swearlsl and alllrmlslthatthe statements In the loregoing Petition are true and correct to the best althe knowledge and bellel 01 Petltlonerlsl and that. as personal representative Is I 01 the Decedent. Petltlonerlsl will well and truly administer the es te according a law. (' Sworn to and affirmed and subncribed belore me this 7th day 01 July 19 95 97fA~(}-y'l ~ A'k S$:f:4 /' w . IJlJ " I , DECREE OF REGISTER Estate 01 Angela M, ~"i.sBol also known as Deceased No. 21-95-524 Social Security No: 196-52-0029 Date of Death: May 19 ,1995 AND NOW, July 11th. 19~, in conslderBtlon of the Petition on thB rBverSB sidB hereon, sBtisfBctory proof having bBon prBsented before mB, IT IS DECREED thBt Letters 0 TestBmBntery Gl of AdmlnlstrBtion are hereby granted to 1<. I ., II to".., . ...._.. ~I., ......". _""', ""'......It..~.."...... Divid Michael Fiseel In the above estate and that the Instrument(sl. If any, dated described In the Petition be admitted to probate and filed of record as the last Will of Decedent. FEES Letters..................... ...... Short Certificatelsl..?...... RenunciBtion..... .l.?.l. ...... Affidavit ( )................. Extra Pagos ( )............ Codicil.......................... JCP Fee........................ Inventory & Tax Forms... Other............................ $ 18.00 ~ . ., , ".' () , ." ,- r-- F I ...J $ 15.00 $ 10.00 $ $ $ $ 5.00 $ $ .n ~j (fl Cl :-.~ ,C\ [rf g" , ~u L.. ~.;::. Attornoy: 1.0. No: Address: TOTAL................ $ 48.00 Telephone: DATE FILED: Mailed Lettere and Order to Executor on 7-12-95, RW-7n " 0 .tice If) ~<~ N d Ii: ) d Y,,,, \ ':.! ,- r- .0' \,...1 r;;, I ~t '. of, :l In .;: :-:ll) .'0 l'( .~;~ ,.. 'tjr 2& ~. iU ., 0: G l>ZS-S6-TZ 21-95-524 a.t1BERLIIND Register of Wills of ~ County, Pennsylvania RENUNCIA TION Estate 01 11 JIJ r{; EJ,..IJ h:S:5 E I.... No. 21-95-524 also known as , Deceased The undersigned, 3.&T/fc.~ IRelationshlp) (Cnpn(~jtvJ ul tho above Docedent. herebv IOnouncc(sl Iho fight to admlllislor tho (lsloll! and fuspcr.llully flllluw'it(S) that Letters f).p ADhlMJ/Sr.en TUN be issued 10 _Mv \ D M. .f \ -:. Sf. L Witness '1v , hal1d this 'I dav 01 \U/. Y .19lL? "A~--.~~i~ .,lU-.Fr~'onalurol .x/.3!1JJ~S6~6ff-;' I ~ tlurtd..i:.s /lill e.-/J~ (Addrossl 1730.3 (Signaturel IAddrnssl ,_._~,__".~.,_,_,_~__,._~___._. _ .__.n (Sionalurnl (Addressl go ~ .-'-::0 01 III ::nm r]' <!J n ''OJ 9 F '-;'- \: I -.J c' " :;J ---- , -. " N elf :u~ Ui D ~";:1. - Cl Swern to er alflrmed anu xubscroIJed ~belore me this '-I ~\ 9 C1s ul au) -:w~~ NOTAAIAlIlEAl. otary Pubhc - 6U8AH FUEl' Motuy Public MV Commission Expires: Geltylbufg 1lorIl, MImi C3unty, PA My Commlulon ExpIre. "'.arch 31, ltl17 1"9................_........,...,"'.....11..... NOTE: ROlluncillUontt OlllH.:ulud (Juh.idlllhu OlllcII 01 RUUltlfu, of 1'>"'''''''''..'_'" _ht .................. WIlla U'" fdClIll,nd lllliOIlW tllJlIllliutl to tJlt flollullnd. ..141.....lhI...~..,'....,.'._.'1 RW-13 IRvld 9192) , ~, _-"-"C:~"-'~ _._",,,,",.._~,~," 21-95-524 Register of Wills of ~ County, Pennsylvania RENUNCIA TION Estate of ;:)IU G ~"- ~ No. 21-94-524 Fiss t=~ also known as . Deceased The ul1dolSlgned. '"ih ,e EN Te, (Relalionship) ICapacotyI 01 tho abovo Decedent, hereby renounce(sl tho right 10 admllliSlor tho cstt11u iJnd ruspc(:I'uIlV mqum,l(sl Ihal Lellers ..LJOIh I All :;rx"A Tlfllllbe issued 10 ~A.\II D ~f \'5SE.. L Witness My , ~ day 01 J () , y . \~.1~~.___ c/" - A A ISignalu,o) jY- I~.~_j ~:f~ ~ /?t??-~=. ~'sl ~~~~~~~ ___u,__ d?5U---'- ~~~_.&~ fe? /?~~ tfAddrossl / hal1d Ihls 19 'I S :L_____.._______~_____ " ISiunaturn) IAddressl '00" cil) ~~ ~ :Il :rlro ,1"11 (J I'.' \.) ,.;-;; Sworn to or affirmed and subscribed bolu,o me this:3 day 01 Nolori.lI. . a. WOlltr/. Note:'! Pt<b'lc ~.,CUO".b'.-ll.,,':j CCllTrty . ll1expr~a,;' :':~ ~ I -.J ,:.. ,- ". .~:. . ~~ \;~ Ufo - Notary My Commission Expires: \) :::1 r-J i.Ji o RonuncilllionH olttlcutcd OlllHidn Ihlt ottU:lI uf RfluitHur 01 WIlls mo rOClUlttld in Iwmlt l:ounllllH lu hu nuhlllllUl. -- , ~~ ...".."'",. ......... ".Ii<ot..,.... ,0+,,,, t,II~," NOTE: .,......-.".....-........". ....-........ ..,..",,,.. ". Nt~..,.. ..............1 RW-'3 (Rvod 9/92) ...-,...-_...'"_.._--.-.....~_.~...._~IT_'~."':~~_.._._--....~."~,.-,____'''. ". ,'" v" REV-1547 EX AFP 112-95)* CD""OHWEAl Ht Of PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF IHClylDUAl TAMES DEPT. Z806Q I IlARAlSllURO, PA 11UI-0601 / :; - III/ ,~ (I, I ACN 101 NonCE Of INHERlTAllCE TAX APPRAISEHENT, ALLOWAHCE OR DISALLDWAHCE Of DEOUCTIONS AHD ASSESSHEHT Of TAX DATE 07-0e-96 o FILE NO. DATE OF DEATH 05-19-95 COUNTY CUHBERLAND NOTC. TO IHSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION Of THIS fORH WITH YOUR TAX PAYHENT TO THE REOISTER Of WILLS. HAKE CHECK PAYABLE TO "REOISTER Of WILLS, AOENT" REMIT PAYMENT TOI DAVID FISSEL APT Bl 530B OXFORD CIR MECHANICSBURG PA 17055 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 AMount R..ittad CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .... Riv:i54j-iir-.~j:p-ii2:9ifj-NOTici--ciF--iNHEiii;:ANCE-TAinippiiiiisiH€N,.-;-ALi:ciwANCnili--n-nnm---n DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF FISSEL ANGELA M FILE NO. 21 95-0524 ACN 101 DATE 07-08-96 TAX RETURN WAS. (X) ACCEPTED AS fILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. R..l Eat-t. (Schedule A) (1) 2. Stock. and Bonda (Schedul. 8) (2) 3. Clo..ly Held stock/Partnership tnt.r..t (Schedul. C) 15) 4. Hortg.g'I/Not.. Receivable (Schedule DJ (4) s. Ca.h/Bank Depolita/Hilc. Parlonal Property (Schedull E) (5) 6. ~olntlY Owned Property (Schedul. FJ (6) 7. Trlnlf.r. (Schedull OJ C71 8. Total Au.t. ) CHANOED .00 .00 .00 .00 200.00 .00 .00 (5) 200.00 APPROVED DEDUCTIONS AND EXEMPTIONS I 6,000.00 9. Fun.~.l Expan.../Ad.. coata/Hilc. Expan... (Schadule H) (9) 10. Debta/Hortgag. LlabiUtt../Llanl (Schedul. 1) 110) 250.00 11. Total Daduction. (1) 12. Hat Valu. of raM R.turn (12) 15. Charitable/Govern.antal Blqua.t. (Schedula J) (15) lit. Hat V.lu. of Eat.t. Subjaot to raK (14) NOTEI If an assessment was issued previouslY, lines 14, is andror 16, 17 and 18 reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. AMount of Lina 14 .t Spou..l rat. (15) 16. AMount of Lina 14 taxabl. at Lina.l/Cl... A rat. (16) 17. AMount of LIna 14 taxabl. at Collateral/Cl... 8 rat. (17J 18. Principal raM Dua 6.'Gn nn 6.050.00- .00 6,050.00- will .00 .00 .00 .00 .00 .00 .00 X .00. x .06. X .15. UBI TAX CREDITS: PAYHENT DATE DISCOUNT I') INTEREST (-) AHOUNT PAID RECEIPT NUHBER TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE .00 .00 .00 .00 . If PAID AfTER DATE INDICATED. SEE REVERSE fOR CALCULATION Of ADDITIONAL INTEREST. If TOTAL DUE IS LESS THAH '1, NO PAYHENT IS REQUIRED. If TOTAL DUE IS REfLECTEO AS A "CREDIT" ICRb YOU HAY BE DUE A REf UNO. .EE REVERSE SIDE Of THIS fORH fOR IHSTRUCTIONS.) """ t:!'1: '0.; ~:; " ... .~ t-' . .., - .' .' co = .) 'J '.) cr :j ~ J ."i r'.:, \.J C1 iU 1.1; a: ( :~ "E "';;J ou REKAVATlDNI E.t.t.. of deeed..,U dwlno on 0,. ba'on bee"" It, 1911 ..- if MY futu". Int.,...t In thl utat. 1. t,..".ternd In pa.....lon or ."JoytHnt to Cl... . (coUatulU ben.Ucl...... of the decedent anI" thl IltPlnUon of !MY uht, far u,. or fa,. Y""" thl Co.-onw..Uh h.r.by Illp,....I>> uurv.. thl dght to ,ppnb. ""d ...... t,.M"a,. Inheritance hMU at tM l..,ful Cb.. I (colht,,.,U nt. on any .uch future Inhr..'. PURPOSE .. NOTICE I To fulfill thl nquln..nt. 0' Section 21"0 of thl Inharitance and Esht_ Tlx Act, Act ZZ of 1991. 72 P,S. SICUon UU. Odach thl top portion of thb NoUce and ,ubIIlt with vour ply.ent to the AI.ht,,. of WIU. prlnbd on the rlv.,." .Id.. nN". check or "MV ord,,. Plyabb tal REGISTER OF HILLS I ACENT All p'YHnh nc.lvld ,hell fl,..t bl ,pplled to anv Intan.t which "V b. due with any n.elndar eppllad to the tell, REFOHD (CR)I A ra'und of . till cradlt. which .... not nqua,tld on tIM "II Aeturn. .av ba nqua.ted by co_laUng an "Application far Rafund of PIIM.ylvenl. Inherltanu and Eltlta Tu" CREY..UlJ). AppllcaUon. ar. a..,eUabl_ at the Office of tha R_lIhta~ af Willi. any of tha U AavWlU. Dht~lct OffiCII, or bv calling th_ .pacl.1 2It"hou~ .".w_~lng ..rvlca nuab.u fa~ fa~" ord.rlnGI In P.nnlvl..,anla 1"800"562"Z050. outald. Pann,vlvanla and within local Harrltburg ar.a (711) 787-109', TDDI (17) 772"Z2SZ (H.ldng lap.lud OnlY). PAYft[NT. OBJECTIONS I Anv pa~ty In Intlr..t not ..thflad with tha .ppr.I....nt. allowance a~ disallowance of dlductlan., or .......ant of tllC Clncludlnll dl.count or Intere.t) I' .hown on thlt NatlcI ...t obj.ct ..lthln .httv (60) dly. of racalpt of thlt Natlc. bv. ......rltten pratatt to the PA D.p.rt.."t of A.v.nul, laird of ApplIl.. D.pt. ZlIlOZI. Harrisburg, PA 171211"1021, OR .....I.cUan to hlv, the ...U.r datenln.d It audit of the Iccaunt of tha par.an.1 r.pratantIUv., OR ....~p..1 to tha Orphan,- Court. AD"IH ISTAATlVE CORRECTIONS I Factual .rrD~' dhcov.r.d on this ........nt .hould b. .ddr....d In ..~Itlng tOI PA O.p.~t..nt of A.venu.. 'u~..u of Indlvldu.l T.IC.', ATTNI POlt A.......nt Alvl... Unit, Dlpt. Z10601, Hlr~l.burg, PA 171ZI"0601 Phone (717) 717-650S. S.. pag. 5 of the bookllt "In.t~ucUon. 'or Inh.rUlnc. Tall A.tu~n fo~ a Auld.nt Oac.dlnt" (REY-UDl) 'or an 'MPlan.Uon of .dllnlltr.Uv.lY corrlctabl. .rror.. If any talC due It p.ld within thr.. U) cal.nd.r lonth. .ft.~ the dlc.d.nt'. dllth, a flvl parc.nt (SlU dltcount of tha telC p.ld It .110...d. Tha 15:< taM .1IMI.tV' non"partlclp.Uon p.naUy II cOllput.d on the total of the t.lC and Intarllt ......d. and not p.ld blfor. J.nu.ry 111. 1996, the flr.t d.y .ftar thl and of the tlM ..nlltv parlod. Thh non"partlclpaUon penaltY .. apPlllabl. ln the .... .amar .nd In tha tha .... tI.. par lad I' you would .pp.al the tlM and Int.~a.t that ha. b.an .......d .1 Indlc.t.d on thlt notice. DISCOUNT I PENALTY I INTEREST I lnt.~..t h charged b.alNllng with tlr.t d.y of dellnquancy. o~ nlna (9) lonthl end ona CI) day fro' tha data of d..th. to the dati 0' paVllant. T.MU which bec..a dellnqu.nt b.for. Janu'~v 1. n8Z bllr Jnt.ra.t .t tha ~at. of .he U:U parcant par annua calculatad at . dally rata of .0001". All taM" which bace.. daUnqu.nt on and aft.~ Januarv 1. 198Z will blar Interast at a rata which will v.~y fro. cal.nda~ )laar to c.landar vllr with that rata annOlftCad by the PA Dap.rt.ant of R.Vlnua. Tha appl1c.bla Intlrllt rat.a for 1'.Z through 1996 arll '!!!r Int.ra.t Rata DailY Int.r..t Factor :!!!! Inhre.t Rat. u.lly Interest Facto~ 1'.Z 'OX .000548 1'17 'X .OOD247 1'85 lOX .000411 19111"1991 \IX .000101 19.' \IX .000501 199Z 'X .OOOZlt7 1985 uX .000556 1995"I99' 7X .00019Z 1'.6 lOX .000Z74 1995"I996 OX .000247 ....Intar..t 11 calculatad .. follow' I INTEREST . BALANCE OF TAX UNPAIO X NUnBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR ....Any No tic. b.ued afta~ thl talC b.CHII delinquent will raU.ct an Intar..t calcul.tlon to flftaan CIS) day. bavond tha data of the ........nt. If p.yeant i. ..d. Iftar tM Int.~a.t coaputaUon data shown on the Notlc.. addl \lonal Int.rllt lUst ba calculat.d. .,.....-....-..--.- ~.~ y CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: At-lC1ELA Date of Death: 5 II cd q5 Will No. t-jl A . MAR.LE FI SS EL Admin. No, I <:t q 5 - 0 c "5 Q) S PA. ~o. 0> \'1 ~- 05 ~'-( To the Register! I certify that notice of beneficial interest required by Rule 5.6 (a) of the Orphans' Court 'Rules was served on or mailed to the following beneficiaries of the above-captioned estate on b /.ulj 9S : Name Address ~<; ~ f:J. 'I' L'/oJoA ~R." ~;r;NI~ . JAMP; tv.,. li-\C:;~EL f,":,SEL 11 51b1D.Y I.MF I:~ /7 ,>/-\,<l0'l LAIJr, nI{)LA~ 13\ fmRL IT A~B.lDT~\lILl E f4 Notice has now been given to all persons entitled thereto under Rule 5,6(a) except ('oj 0~O 1M, Signature Name_bAlIll'l tvL.-F,~St;L Address 5~ C;y..FoRD C,RCLG APT.S) ~ez:.1VIIJI(<:.p.,v~G ~~70S;~ Telephone (0) 79S Jrt.S capacity:~ Personal Representative IV:MJ Date:---1L/ ldjq) ,') tf, '::"J oq ~ .~ t~1 . .. 1]tW- c: W\ I:' l..l) ~5 UU Counsel for personal representative lEY.1500 U+ 17.9" l!! tl~~ GE- /.!.--'7'-/ -;;I. ~ ~lfOIDATlSOfDIATHA"1112'21/91 CHICK HIli INHERITANCE TAX RETURN ~o~::fyU~:~DIT IS CLAIMID 0 RESIDENT DECEDENT fill NUMBII (TO BE FILED IN DUPLICATE .;1./ q'S .$d.,! WITH REGISTER OF WILLS) COUNTY CO~E YEAR NUMlER . AND MIOOI INI ,Atl 01 10 H" 0""11 I AD IU N(IL'Lt1 I~' II ',i/,.lrl'l L,lJl:C, , _ DAn 01 DIA'" L J....f' / 1 (\'\ J )C>,,"'J "'> 'L/IIII~CfZL .1^-'D AMOUN' IICIIVIO IUIIN"IUCtlOH" \ ~. 9. ,(1 ff'. ' lil ~ .. COMMONWfAUH Of 'lNNUtYANIA DlPAII.tMfNIOf RlYfNU( DfrI, lI.601 HARlIUURO,I'A 11 ,..0601 ON' AMlltA. II I j'jL,= l ~I'" UCUII 'HUM_II ) G .; ;) C'D,:) 'J o 2. Suppl.m.ntal Return o 3. R.malnd.r R.lurn (for dol.. of doalh prior 10 12.13.82) o 5. Fed.rol E.tat. Tax Return R.qulred ~ I. Original R.turn o A. lImlt.d E.lal. 0 Ao. Fulure Inl,,"t Compraml.. (far dol.. 01 doalh altor 12.12.821 o 6. D.Cldenl DI.d T.llal. 0 7. DIC.d.nt Molnlaln.d a living Tru'l (Allath copy of Will) (Allath copy of Trull) iAU.:CORRUPONDINCI'AND CONPlDINTlAL TAX INPORMAnON SHOULD BIDIAICTID.TO...,,*i>1t,. ~if.<'I'.,f co.\m l MAlLIN AD :'J ":OlS o'f,(r'(I../) C II~( L( 11 r>r IS I 1\\I:'"ClI ,1""'(' ',. g"'I~(' (~ 1'lc C::'''; + + 20. If L1no 1911 groa'or Ihan L1no 18, onlor tho difforonto an L1no 20. ThllI. Iho OVIIPAYMlNT. 110 21. If lIn. 18 I. greottr Ihon Lint 19, .nl., tht difftrenc. on lint 21. Thl. II Iht TAX DUE. A. Enter thtlnl""' on tht balance due on L1nl 21A. 8. Enlor Iho 10101 of L1no 21 and 21A an L1no 218. Thl.I.,ho BALANCE DUl. Mallt Chicle Payabll tOI RIgllter of Will., Aglnt ~i ..'" ..Ii! 0<> '" s ! '" I, Roal Ella'o (Sthodulo A) 2. Slack. and BondI (Sthodulo BI 3. Clcloly Hold S'ack/Pa"no..hlp In'oroll(Schodulo CJ A, MONgoglI and Naill R.c.ivobl. ISch.dull D) 5. Ca.h, Bonk D.po.U. & MI.c.Uantau. PII.anal Prop"ty (Schodulo EI 6. Jalnlly Ownod Praporty (Schodulo F) 7. Tran"o.. (Schodulo GI(Sthodulo LI 8. Total Gran AII.I.ltolol L1n.. 1.7) 9. Fun.rol E.p.n.... Adminlllrollv. Co.... MI.cellantou. E.pon,.. (Schodulo HI 10. Dob.., Martgago Uabllilio., Uonl(Sthodulo I) 11. T alai Dodudlan. (ralaIUno. 9 & 10) 12. N.. Valu. of E.lal. (lint 8 mlnu. Un. II) 13. Charltabl. and Goy"nm.ntal B.quIII. ISchtdult JI lA. N.. Volul Sub eet 10 Tax line 12 mlnu.Unt 13 15. Spou.ol Tranaf"l (for datil of dtath aft" 6.30.9A) St. In..rudlon. for Applicable P"Clntag. on Rtv.,.. Sldl. (Includt valulI from Sch.dule K or Schtdult M.) 16. Amounl of lint lA tallabl. 01 6% ral. (Includt valu.. from Sch.dult K or Schtdult M,) 17. Amounl of lint 1 A taxabl. al 15% ral. (Include volulI from Schtdult K or Sch.dul. M.) 18. Prlntlpalla. duo (Add 10. from Un.. tS, 16 and 17.1 19. C"dll. Spou.al POytrty Credit Prior Poym.n.. '" ! ~ . B ~ _ 8. Talol Numb., of Saf. Dtpo.lt Bou. ,~""J~ (I) ,') (2) rO (31 ( , (41 () (5) ~ Cn (6) n (7) c) (9) (., ()(,C) (10) -? <'D (8) ...1r,n (11) h,;; S-Cl. - (121 c::Y_OSD. (13) 0 14 0 )C._- C.) )C .06. CI )( .15. 0 (18) U (19) 0 (201 () (211 () (21A) 0 (21B) () (IS) (161 (171 DI.counl Inl,,"t CIH'(~ "l'''' If you (JII' Il'qUl...1IfICI n Il'lul1d 01 your O\lt"l1uYl11cnl. 11 7 . ..::;::::i':L!~tj: t'r . - ~ . '. hi:> Ad .48 a. 1994 provide. 'or the reduction a. the tax rate.lmpo.ed an the net value a. tran"er. to or 'or the u.e a. the .pou.e. The rate. a. pre.crlbed by the .tatute will bel . 3% (.03) will be applicable 'or e.tate. a. decedents dying on or after 7/1/94 and be'ore 1/1/96 . 2% (.02) will be applicable 'or ellate. a. decedent. dying on or after 1/1/96 and be'ore 1/1/97 . 1% (.01) will be applicable for e.tate. a. decedents dying on or after 1/1/97 and be'or. 1/1/98 . Spou.al tran.'er. occurring on or after 1/1198 will be .xempt 'rom Inheritance tax. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (...) IN THE APPROPRIATE BLOCKS. YES NO 1. Old decedent make a transfer and: a. retain the use or Income of the properly transferred, ....................................................... b. retain the right to designate who .hall use the properly transferred or Its Income, ............... c. retain a reversionary Interest; or ................................................................................... d. receive the promise for life of either payment., benefits or co rei ....................................... 2. If death occurred on or before December 12, 1982, did decedent within two years preceding death trans/er properly without receiving odequate canslderatloni If death occurred ofter December 12, 1982, did decedent transfer properly within one yeor of death without receiving adequate consideration' ......................... to....,.............................................. to...... ............. 3. Old decedent own 00 'In trust for' bank occount 01 his or her death9...................................... IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOu. MUS~O~J.ETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. o Ul . ':>0; ."._ Cl ..;;> f."::: ~ u:' i'; l:i 7 .:,,8 ";) '. ' TJ '.I C~ ~ fJ~ < I 'OJ o~ ,'E a:ga: !P 'I~ E f1\ ~8 1I'1lllOllJtIJ'7J . SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Pllo.1 Print or l I FilE NUMBER COMMONWIAIIH 01 ,INNIYIYANrA INHIIIIANCI TAX .nUIN .UIDIN' DICIDINT ESTATE OF A 1-JC1e--U\ fv.., r.: I $"5' t:,; L (AU pr.perty lolntly.ewn.d with th. Right .f Survlvonhlp mu.. b. dllCl...d .n Sch.dul. PI ITEM NUMBER I. DESCRIPTION VALUE AT DATE OF DEATH dJ(FL) 1'1'i1/ DoDC,t:: 0 MtJ I Nm fl-oAo wC:'\TI/'{-)N 1Jl:l:-o of- JI'''\~ r,GBIIII~ S cJ} 00 (Alla(h additional 8\A,- )( 11- .h..lllf more .pa" I. "..ded.) A^,,~I' ITEM NUMBER A, Funoral Expon.o.. 1. (-\J/.J~\L 16vRl~\ l - ~ICI11'/"O'3c.>ilJ:S t::1..JOLII,f..1 C,Mv[' fl14R)<.{~- /?'OLlI/o.::Cl C.,f..,Fl::1-J Cl:"It'(;1TI4..Rl.j C4,J1P i-liLl pfJ - IIYIIII'1t 1'"1 I ~ . SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES Ploal. Print ar T 0 COMMONwrAlTH Of PENNSYLVANIA INHERITANCE ,.... IlUUlIIN _UlolNt DEcrOIN' DESCRIPTION AMOUNT L{c.lCU;' , - 1100- B, Admlnlltratlvo Caltll 1. 2. 3. Personal Repre.entatlve Comml..lon. Social Security Number of Personol Representative: Year Comml..lans pold o Allorney Fee. o Fomlly Exemption Clalmont Addre.. aF Clalmont ot decedent'. death Street Add.... Relotlon.hlp City Stole Zip Code 4. Probate Fee. C. Mlleollonooul Expon..., 1. L\J~c.Ht:'/:l)"') 2. f)VRlA\.... C lOll" II-)L1 3. rLoW~S 4. 5. 6. 7. B. o LjOD .- &D'D.- 3c.ro. .-- TOTAL (Also enler on line 9, Recapitulation) (If moro Ipaeo II noodod, Inlort additional .hootl af lamo Ilzo.1 S &,0'->0 " '1 SCHI:1')vL/E; I bl;"'OTS vi IwD Dl':"ct:-o b-'"'1vT, LI~s. Mo"n:711 (1ei L,AI!>IL,nt-~ 1ES71lTE ()(: AIJ(I/;"LA M. fISSE-L I. TO~L dr9so. (\l.::--{lAI~ CML>-f:) Fvf2.. AuTVY'10~1 LI..=-:.,.,_.. NEW BWfA.lQ.~)<. s.~ DJt-JC4Nfolot-J.,PIt o . ,;"."-,,-,-,, ~.., '_ .__,,' ...c.......,~.h~..~rom L:.~~;~.=:.h~ ~......,'"'i . n_'___~__-'-.__.,......"__~......_",_...,.__.._ o ,., ..........""--"'.,~""'-~...-....~~..--~..~_........ ...--"'- ,.."~~--"...._.--.....- \ 'C""-' '-:~'" 7_'" .~~,., ~. . - .,. ; ~ . 1 ,_.1. ",'1_ . . './ '. .- . '.v-lInllt tU1l . COMMONWtAU" 0' ,INHnl'tANIA INH"".Nel 'AI IUUIN 1'"DlH' DIClDIHf SCHEDULE J BENEFICIARIES ESTAlI OF FILl NUMBER ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR SHARE OF UTAlI A. Taxabl. alqua"1I 1. IJOT A prLlOlISLl~ ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARI OP ESTAlI 8. Charllabl. and Governmental a.qu"11l 1. NOT MP L l ctf3, Lc TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS IAI,o onlor on IIno 13, Rocopltufollon) (II moro 'poco I. noodod, In.o" oddlllonol .hoo'. of .omo .Inl So ~ :~~\i~&L3~t,~E ~t? IhJ-'1r JRD/June 30, 1992/17858 InRe: Estateof Angela M. Fissel Late of East Pennsboro Township ORPHANS' COURT DIVISION, COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA Estate No.: 21 - 95 - 524 No. NOTICE OF FAILURE TO FILE CERTIFICATION AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 5.6(e), SUPREME COURT ORPHANS' COURT RULE Personal Representative: David M. Fissel Counsel for Personal Representative: Date of Grant of Original Leners: July 11, 1995 Date of Delinquency Notice: October 31, 1995 The undersigned. Mary C. Lewis, Register of Wills, In accordance with Rule5.6. Supreme Coun Orphans' Coun Rules, hereby notifies the Orphans' Court Division, Coun of C<lmmon Pleas of Cumberland County. that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Coun his, her or its certification required by Rule 5.6(d), Supreme Coun Orphans' Coun Rule and that the requisite noticebPursuant to Rule 5.6(e), Supreme Court Orphans' Coun Rules, was given by the Register ofWllIs on ctober 31, , 19~~ and that the ten (10) day notice to file the certification has expired. Accordingly, in accordance with Rule 5.6(e) the Court Is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be Imposed upon the delinquent personal representative or counsel for the delinquent personal representative. 1 (); Date: November 13, 1995 '7;' Distribution: Personal Representative Counsel for Personal Representative Estate File A Hearing is set for k' l7AAJ. S} J 99~ in Courtroom No, 1, ) , If the Certification of Notice if filed prior to automatically be cancelled, at II: O() A,/YJ. the hearing date, the hearing will t-l1r-- F ".Shee!v f.:-.-Q.-"_c'L \\- \~-qS- 'J " ",.',' .~ ,,:. ~.~; . JRD/Juoe 30, 1992/17858 REGISTER OF WILLS Cumberland County Courthouse One Courthouse Squore Carlisle, PA 17013 NOTICE PURSUANT TO RULE 6.12 PENNSYLVANIA SUPREME COURT ORPHANS' COURT RULES , I To: Penonal Representative Counsel: RE; Estate of ANGELA M, FISSEL , Deceased, Late of EAST PENNSBORO TWP Estate No.: 21-1995-0524 Date of Dec:edent's Death: MAY 19, 1995 DAVID M. FISSEL Punuantto Rule 6.12, the above named personal representative or the above named attorney, If applicable, within two ('2) years of the decedent's death, and annually thereafter until administration Is completed, Is required to file with the Register of Wills a Status Report as required by Rule 6.12, In substantially the prescribed form, showing the date by which the personal represenlative, or attorney. as applicable, reasonably believes administration will be completed. The purpose of this Notice Is to advise you that unless the requisite Status Report Is filed with the Register of Wills or Clerk of the Orphans' Court, as appropriate, within ten (10) calendar days after the date of this Notice that the Register of Wills Is required to notify the Orphans' Court Division, Court of Common Pleas of such delinquency and to request tbat said Court conduct a hearing to detennlne whether sanctions should be Imposed upon the delinquent personal representative and the delinquent perso~N re~rrentatlve's 9C:9unsel, if any, Accordingly, If the requisite Status Report Is not filed by J LY , 19_, you are hereby advised that a request will be submitted to the Court In accordll1lCe with Rule 6.12. n Date: JUNE 24, 1997 l!1UJ,\.Lt. Cri:.J-LtLL'.,.j ph Vh(/y..tuctjtJ.;- Deputy eglster of Wills Distribution to Estate File STATUS REPORT UNDER RULE 6.12 Name of Decedent: William David Sctcholl Date of Death: Junc lB. 1993 Estatc AXHUR. No. 21-1993-524 will 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 eBtate is complete: Yes No X 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: bv thc cnd of AUl!ust 1997 3, If the answer to No. 1 is Yes, state the following I a, Did the personal representative file a final account with the Court? Yes No 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 No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk 0 f <he Or ph.'" . Coor< ."d .'Y, I~ ., :;Ohed '0 th i. report. Date: July 24. 1997 ~h Signature Mark S, Silver, Esquire Name (Please type or print) Post O~fice BOK 1.52 Harrisburg, PA 17108-1152 Address r- tf,' Ci'- <'_:-: ~, -- \\1. ( 717) 233-0132 'l'el. No. u' <'I .-' :~~ X Personal Representative Counsel for personal representative (AdministratriK) Capacity: (MAH: rmf ~AM3) ,', .,.- 0' j! =' U: .. . 00 JOHN H DROUJ05 HUDERT X. GILROY BR.OUJOS 8 GILR.OY, I'.C. ATTORNEYS AT tAW 4 NOI~lTI tI^NOVflfC. ~l'ltr;f.T CARLISLE, I'I:NNSYLVANIA 17013 1I'-2.'3-4S74 NON- rol.l. rOflIIARkl5bURC ARt^l 111-100-1000 fAX1243-8221 June 26, 1997 Mary Lewis Register of Wills Cumberland County Courthouse Carlisle, PA 17013 Be: Estate of Angela M, Fissel 1995 - 21-00524 Dear Mary: The above referenced estate was opened for litigation purposes. The litigation has been concluded and no monies have been paid to the estate under a survival action or under any other arrangement that would result in the estate having assets. Accordingly, this is a no asset estate. No inheritance tax is owing. Please accept this letter as notification that the estate is concluded and that no further action is necessary. Should you have any questions, please feel free to contact me. Yours Sincerely, ~ ~ Hubert X. Gilroy wkh cc: David M. Fissel -, ; ;" p;1~!l:;!~~no .,:..~IO .' ',' ., '~"';',;,'/j(:;ff:- ' ,;:'~rij~.il"l:J . . .'T H....I;I' ,! ',. ,,::,- . :," , .,} .\ STATUS REPORT UNDER RULE 6,12 Name of Decedent I AN(lr:(.A IYI. FI'~"'~r.l- Date of Deathl 1'-\ I\1I\'\f ,,/flr) Will No. Admin. No, 2..1-1'1" ~-52'-l Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of ~ above-captioned eBtatel 1. Stat~et~er administration of the eBtate is complete I Yes 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 ~, state a. Did the personal ~esentative Court? Yes No the following I file a final account with the b. The separate Orphans' Court No. (if any) for the personal representative's account is: c, Did/the personal representative Btate an ~ account informally to the parties in interest? Yes 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 r ort, Date: i{1/ti/ r;-,J .,' .- ature {, h~ X Gr'~l\.i Name (Please type or print) 'f ;(,0'" f"~ Ii A^'o",-t.. U (, r (}1 Address ( ) ;('7 - ';;l '(1- \fS""7\( Tel. No. n. 'I -=ooJ ~ ..:' c>< u..; .J.,.. " ~-J) .:;~ :.; UC,j Capacity: Personal Representative ~nsel for personal representative (HAH I rmf/ AM3)