HomeMy WebLinkAbout95-00527
Ii
l:ij
I~
..
PETITION FOR PROBATE and GRANT OF LETTERS
Estate of George E. Hil'nc!r. II No. :U- CJ 5 - 5 ~ 1
also known as
To:
, Deceased
Register of Wills for the
County of Cumberland
In the Commonwealth of
Pennsylvania
Social Security No. 165.38.0194
The petition of the undersigned respectfully represents that: George E. Hivner. 11
Your petitioner (s) islarc 18 years of age or older and the executor named in the last will of
the above decedent. dated October 2, 1981 and codicil (s) dated
blalC relevant c:in:umsllnl."CI, c.s. renunciadon. de.th or executor. eIC.)
Decedent was domiciled at death In Cumberland County. PeMsylvanla. with his last family
or principal residence at 113 A. North 5th Street. Lcmoyne. PA 17043
(list ...... number and munlclpalky)
Decedent. then 48 years of age. died May 17. 1995. at Holy Spirit Hospital, Camp Hill. PA
Except as follows. decedent did not 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 incompetent:
Decedent at death owned property with estimated values as follows:
(If domiciled in Po.) All personal property
(If not domiciled in Po.) Personal property In Pennsylvania
(If not,domieiled in Po.) Personal property In County
Value of real estate in Pc.lnsylvanla
situated as follows:
$
$
$
$
980.00
WHEREFORE, petitioner (s) respectfully request (s) the probate of the last will and codicil
(s) presented herewith and the grant of lelters testimentary thereon.
(testamentary: admlnlstrallon c.I.a.: admlnlstrallon d.b.n.c.l.a.)
1~ U~Cc..-
Fredrick E. Sagle
113 North 5th Street
Lcmoyne. PA 17043
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA' }
COUNTY OF CUMBERLAND SS
TIle petitioner (s) 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 petitioner (s) and that as l
personal representative (s) of the above decedent petitioner (s) will well and truly administer the
estate according to law.
Sworn to 01' affirmed all? subscribed ~~~<-:J~~~_
:[05: me'lh I:. J~::I d. a~'i;95 { tiZ F/.) FP. Ie Ie. e, S/f6- t C
9ffil/iVI'.-Y .UiU.:'; :M.,;:Jor~'<{ 1,2\..
~ .." (/ ~or the ~'.;tCf2Ff -
o - -'
"
"'"
15 -1'1-5"
No, 21-95-527
George E. Hivner,II
Estate of ,-. J . --. -,-, Deceased
DECREE OF PROBATE AND ORAN'r OF LETTERS
AND NOW, July 12th
1995, In consideration of the pclltlon on the
. reverse sl~e hereof, satisfactory proof having been Jlresenled before me, IT IS DECREED that
th~ instrument (s), dated
October 2nd. 1901
described therein be admitted 10 probolo nnd flIud of record os Iho lost will of George E.
Hivner, II; .and Letters Testamenlary ore hereby grarlled 10 Fredrick E, Sagle,
'tJtNU~ C. ~l~' .~a/.IZ')(~,'..~
~ MaryC. Lewis .. ~
Register of Wills ,.: .
FEES
Probate, Letters, Etc.
Short Certificates ( ) 5
Renunciation
X-Pages 0
JCP
TOTAL
Flied July 12th, 1995
$ 10.00
$ 15.00
$
$ 5.00
$ 30.00
'Randall L, Hartman, Esq.
Supreme Court ID # 68732
438 Market Street
PO Box 33
Lemoyne, PA 17043-0033
(717) 761~8490
.0 ~~
- R
o.l!l N JO: I
Xi ~:;~ n. ',-. *
"C d
0 ""-~ ) ~~
- ,
'.") ,.
.,\ ;.' ::J ~d
-.5
is o~ ';,)
C) oW
wQ: ~ . ~ l2
c: dd
Mailed Letters and Order to Attorney on July 13th,1995.,..
,. ....-
. "
\."-.,,"::'"
21-95-527
,--
..
o_~
.,-.::
;i:::
<::)
If.'
t!(
.~a:
.-
0...
<::)
-
0'
()
~"J
,.
~~
'-..' ,'.)
';--"" ,
d:l U.
~,] : -
b'OI
OeD
<ue:
a:
~
~
-'"
Cj
_ ,'J.:rJ
,- E
i;i:i
uu
,
,)
, ~
t
And I hereby nominate, constitute lInd 1IJ1J1uint
FREDERICK E. SAGLE
K"l'CUt or or this my last will and testamcnt,
In Wilneaa Whereof, I GEORGE E. IlIVNER, II the
'l'estat or ,have to this, my will. writtell on olle sheet of Jlaper. set my hand and seal, this
2nd day of October A, D.
One 'l'housand Niue Hundred and Eighty-onc (1981).
~..s-.....g}:l.~..:x.., (SIMI,)
Signed, sealed, published and declared by the nhove named
GEORGE E. IlIVNER, II ns nnd for his last will Rnd
testament, in the preaeucc or us, who have hereunto suhseribed our namea at his
l'Cquest as witneasea thereto, in the presence of the slIid 'festa tor and of eaeh other,
,;;;'l,bf~:.~..d......YY.1.."..B"q .I.~..~,L~, ...,..
.....~..,,(),:,td..fl.o(~/,,.......,........,...,.,..,,.,,......,'
u<,_,,_._.
... cl!
0
...
..... ... {
...
::: .~~
c.. ~
m
. i~! :I:
- ~ ~!
III ",In'
c..
a 'El pH ~ 1"
u cu
;Q . o(I~p., H
::: M :z: .
= ~ ~~a "'if
- 0,0 ~
- ~, ~=~ t
.-
JlSl 1
... I'll ..
III u\
I.:i
0 ~1(
Ou> I{)
- :'10.::
:'~;.~ 0.. r ~\ :-
.. 0
!.: -~, '.J
r::'~ '~:i . 0
. - ;/"--?
',' ~ ':j
.'E ~..:
'...I .;.
.... , :D
~ GJ '. ,;J
<II ~ .; E
a: a: ~a
WIU. AND TESTAMENT Ro. 616
.lJ.
GEORGE E. HIVNER, II
of the Borough of Lemoyne
In the County of Cumberland and State of Pennsylvania, being of sound mind.
1Ilt'lIll1r)' and understanding, do mllke and publish this my last will and testament, hereby revoking
nllll milking vo!d all former wills b)' me at any time heretofore mnde.
And first, I direet that my funeral be eondueted in manner corresponding with my estate and
sltuntlon in lire and that all my just debts and Cunernl expenses he fully paid and satisfied as soon 8S
eoriveniently may be after my decease,
AI to such estate as it hath pleased Gild tn intrust me with, I dispose of the same as follows,
viz:
I give, devise and baqueath unto FREDERICK E. SAGLE of the Borough of Lemoyne,
Cumberland County, Pennsylvania, all my property, real, personal and mixed, of what
nature or kind soever, and wheresoever the same shall be at the time of ~ death.
I hereby waive any requirement which may have otherwise been imposed upon the
Executor of my estate to post a bond in connection with the administration of said
estate, in this or any other jurisdiction.
REGISTER OF WILLS OF COUNTY
OATH OF SUBSCRIBING WITNESS
<
codicil
(each) a subscribing witness to the will presented herewith, (each) being duly quallned according to
law, depose(s) and say(s) that present and saw
the testa' , sign the same and that signed as a witness at the
request of testa' in " presence and (In the presence of each other) (In the presence of the
other subscribing wltness(es)).
Sworn to or affirmed and subscribed before
me this day of
19_
(Name)
(Address)
Register
(Name)
1
(Address)
REGISTER OF WILLS OF CUMBERLAND COUNTY
OATH OF NON.SUBSCRIBING WITNESS
<IL...-' E S/IC-. t.E
.
(each) a subscriber hereto, (each) elng duly qualified according to law, depose(s) and say(s) that
f.l ~.., tt~ familiar with the signature of (;.'[.:"?'Jll6- e- c-. Hr 1/ A/"'ftl,.zr:
cecIleiI>
will presented herewith and
- codicil
believes the signature on the will 15 In the handwrlllng of
testalOr
of (one of the subscribing witnesses to) the
that
d~
c;. .l? J(.6-c.'"
E.
If' ( {) tU ~17.. ...a.
to the best of
C'! r"" knowledge and belief.
(~",... C ~0'/
(Name) ..
~-'I//.. ;4 % n~ .<<)it _ <h..+t"n!t~)'7' /hI 7//0
/J . (~dd.ress)
7,~~I,t:.J1 ,f"J~-
(Name)
II!.> #, ..1/1\ ?el'>~<"'~e...A. 1'7"'VJ
(Address)
Sworn to or affirmed and subscribed before
me this 10th . dily of
. .. . July 19~
";);ttV'..A./.. C or,,:u~ "Lt-,; l';{~3/.
rl." I. R~gi;fefh~
~
CERTIFICATION OF NOTICE UNDER RULE 5.6 (a)
Name of Decedent: GBPROB B, HIVNBR. II
Date of Death: May 17. 1995
Will No, 1995-00527
Admin. No, 2195-0527
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
or before October 6. 1995:
Name
Address
Fred E. Sagle
113 North Fifth Street, Lemoyne, PA 17043
Notice has now been given to all persons entitled thereto under Rule 5.6 (a) except
None
Date: ,October 6. 1995
r-J ,,~. ~J~
.~,~\..
Signature
Randall L, Hartman. Esq.
438 Market Street
Lemoyne, PA 17043
(717) 761-8490
Counsel for personal representative
In 7;~C
..- -
" .. ;"}Q.;:
~ .':1 01 0
0.: ;',
-. .~-
0 ,1
- ,;
'-
f:5 ,
(} ';1 ...."
,.' u.: ~ ;1) t::
." ::>
a: .0 0
.,
u....uoo u. Ill.tll
1. Real E.tate(Schedule A) I 11
2, Stack. and Band. (Schedule B) I 2)
3, Cla.ely Held Stack/Partna..hlp Interut (Schedule c) I 3)
4, Martgagll and Nata. Recelvabla (Schedula 0) ( 4)
5, Ca.h. Bank Depa.11I & Mheellanaou. Pe..anal Praperty( 51
IScnedula E)
6, Jointly Owned Property (Schadule F) I 61
7, Trantle.. (Schedule G)ISchadule l) I 7)
8, Talal Grall Allell (.otallinu 1.7)
9. Funeral Exp,nsl., Admlnlllratlvl CO'h, Mileellaneoul I 9)
E.pen.e. (Schedula H)
10, Deb", Mortgage lIabili'le., lien. (Schedule II 110)
11. Total Deduction. (total line. 9 & 10)
12. Nel Value 01 E,'a.a (line 8 minu. line II)
13. Charitable and Goy.rnm.ntal Bequests (Schedule J)
14, N.t Valu. Sub ect to To. (IIn. 12 mlnu. line 13)
15. Amount of line 14 ta.abl. at 6% role
(Include valua. from Schedule K or Schedule M,)
16. Amount af IIn. 14 taxable 01 15% rat.
(Include volulI from Schedule K or Schedule M,I
17, Principal to. due (Add 10' from lin. 15 and Irom line 16,1
1 a. Cr,ditl Spousal Poverty C,edit Prior Peym.nll
+ +
19, If line 18 h graatar Ihan line 17, enter the dilleranca on IIna 19. Thh II the OVERPAYMENT.
gO
20, If line 171. graater than line 18, enle' the dilleranee an line 20. Thh I. the TAX DUE.
A. En'.r thl Inl.rl.' on Ihl balance due on lin. 20A.
a. En.a, Ihe lotal 01 line 20 and 2DA an line 20a, Thh h the BALANCE DUE.
Make Check Payable la, Reglat.. al Willa, Agent
, <: .. BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH.... cJ',~~'':''.-t'!''''c'' c
Under Plnchl.. of perJury, I dldor. tholl ha.... Illomln.d Ihl, relurn, Including oc:c:ompan~lng .ch.dull' and Ilof,mentt, and to the b.,t of my knowledge and b.lI,f,
It Is .rUI, corr'ct and compl.,.. I declor. thol all r.al ..101. hot blln r.port.d 01 tru. mork.1 yolu.. O.,lorotlon of pr.por.r olh.r than Ih. p.nonol r.pr...nlotlve 11
bal.d on olllnlormallon a' which p"parlr hat any howl.dg..
!lIG ATOAI Of PIUON AU'ONSIIlI fOR flLlNG RETURN ADDRlU DAn
~ //.5 A/ 5.1.4..- .s -I- 1'",,- .:?;.et-;2-/ 9 V
DAlf
~ -:z.-1~
!i
~-'"
.....
...u
:00
u"'....
......
...
<(
~!Z
... ...
"''''
oz
uo
...
'@
,,~< '~t\
...... v;.
COMMONW\AlTH o. 'INNlnVANIA
DI.AI MINT O' .\VINUI
DIPT. "060
HAlRlnURO 'A 17121-0601
/5 - 4'1 -S-
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
-4iJL
e..- <-'"'
'oaDAmO'DIATHAnIR12/31191 CHICKHIRI
" A SPOUIAL
povlarY CRlDll II CU.IMID 0
ml HUMSla
;?-I
COUNTY CODE
E.
'ts
YEAR
\I~A. ~ ~S\.
, L-~ 1M "J /'Vf. P A- \ ?t:,f:!>
;; \ <; 19 'k.. c"" u "'^ o..-SL-
52..7
NUMBER
l5
~
'"
. . M
\-h 1/ 1\.\ E R:lt G> ED U"E..
M
UoS" -3g ~ DI'\
ll!ll. Original Return
o 3. R.malnder R.turn
l'ar dot.. 01 death prior 10 12.13.a2)
o 5, Federat E.tate To.
R.turn Required
_ 8. Total Numb.r of sore Dlpolll BoltlJ
o A. lImll.d Eltat. 0 Ao. future Inllrl.t Compromh.
(10' data. 01 daa.h aher 12.12.82)
06. Dlced.nl Dlld T"lotl 0 7. DICld.nt Maintained 0 living Trult
IAttach cap 01 Will) (Attach co 01 TrUll)
ALL CORRESPONDENCE AND CONF1DENnAL TAX INFORMAnON SHOULD BE DIRECTED TO,. '.'. _c'
"KP,,,l\y'LI. L. W "''\f.'\W\A^-" e.. M~~i,M~~~ c.:;-\....~+-
~e.""~~. f~ 17D(3
~;}-;'tl1t~..:,:~':;{'J/~ 1 ~ : t- '., :.:-.;,
L H
M
71'01- ey~u
z
o
3
::>
....
ii:
~
...
I.,~I(>&\
'. 4-, '\ 2.G, .1'\
( 8)
I) I 'BB.lol
(111
(12)
(13)
(14
Lit ~2.~.I,\
<:~."731,~B?
<.3.737. s:'B'?
(IS)
)( .06.
(16)
)( .15 a
z
o
;:
~
::>
...
::l:
o
u
~
(17)
of
I
Discount
Interelt
(18)
(19)
(heel< here if you arc f(!quc~lin9 0 refund of your ovcrpovmcnt.
tz5
~
(20)
12DA)
120B)
.,
v
.~ ".,v.lIn ,.. "'....
, ~. < '
.
COMMONWfALTH O' '!NNSYLVANIA
INHUITANCI tA.X AlWIN
IlSID!Nt D!C!DeNt
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
Plla.1 PrInt or T I
_ \-\\~tJv.,
Zl
- 5'"7...
DESCRIPTION
AMOUNT
A. Funlral Expln...,
B.
1.
t.{, S.(O, cM1
tJevw.tu 'RJtJCAcJ.. HelMe, ::J:".vc..,
1.
Admlnl.tratlvl Caatll
Personal Represenlotlvo Commissions
Sociol Securlly Numbor 01 Personal Reprosenlatlvo,
Veor Commissions paid
2.
Alla'ney Fees
~So,q,)
3.
Family E.emptlon
C1olmon'
Add,ess 01 Clalman' at deceden". dealh
SI,eet Add,e..
Relationship
City Slale Zip Code
4. P,obale Foos
C. MI.elllanlou. Expense..
1. ~J..\JeJ;~/I\lJ
2.
3.
4.
5.
6.
7.
8.
3'il,cN
S8,\,\
TOTAL (Also enle, on line 9, Recapllulatlan)
(If mare .pael I. nlldld, 'n,"" additional .hllfa of .aml .1.1.1
S Y\'l.'Z..(,., \
. '
,
E-
.
Proof Of Claim
Estate of Geofl~e E Hivner
File #: 21-95-527
Social Security #: 165-38-0194
County Oerk of Cumberland County
( State)
Enter the claim of Citibank
4128003168358144
( Visa I Mastercard)
, against the above entitled estate.,
in the amount of $
RRh 07
The df.'cedent, who resided at 113A N :iTH ST,LBMOYNE PA 17043 '-..: '
died on April 17, 1995
RANDALL L. HARTMAN
( Attorney)
438 MARKET ST.
LEMOYNE PA 17043
Written notice of said claim was gi"!,11 to:
I~ .
FREDERICK E. SAGLE
( Personal Representative)
113 N. 5TH ST,
LEMOYNE PA 17043
I hereby certify that I have served a copy of the foregoing claim upon the individual or
their attorney whose name appears above by sending a copy to them postage prepaid
this.3/ day of (JJc -C, ,1995.
Cltibank
3940 Olympic Boulevard, Suite 400
Erlanger, KY 41018
cc: RANDALLL.HARTMAN
FREDERICK E, SAGLE
Q~ ~ :o~
3 ~1. 1~8
(]',
~ '1 ;:a -~
VI a
r;~ " \1': co
-. L.,l.
ci..! - 9..~
UI
~lJ :::g <g
;(") ~,'tt
;g~ ...... vi' 0
..
- -
\0
State of Kentucky )
County of Boone) ss:
Subscrlbcd and sworn to before me, a notary public,
this .J I day of (fJe.. t, , 1995, .
Notary;Ur J1lo h/Y'...
\\. I 0 ,~ ,7':> 719 E(
Mycom~~ J
~ ....
,
DUPLICATE COPY
~ I HEW OAUHCE II......., lXJf I
~ ~D~' .~.~ SITEICI-CL THICO-5300 ACIDICIN1316
,
so 00 Al 1 0394 VI
09/26/95
22145135
GEORGE E HIVflER
113A N 5TH ST
LEHOYNE PA
17043-1612
0011 VI 4
CITI6ANK
P.O. 60X 6701
SIOUX FALLS, SO
USA 57166-6701
I I
.......... "" ~,....
...."....... --.".........,.
T............. nrwcI CMIoNI................................._NII
....................."" ..............II'I,..........ftw.."".._
..c:..................
Citibank Visa
--
4126 0031 6635 6144
P~UUE lljI..tt.p,tuJO.l.ll.~..-
600-950-5114
60X 6500
SIOUX FALLS, SO
57117
............-.
,...................
-...-
--
A.,,1eWt CrwdtI UM A...... CeIh.....
ne: I,., Ine: . e,nnn $100 ~....... ......
... 1M...... iiliiiiiIif ...... .."..
10~~!03623054-rpAYHENT THANK YOU
105~ 7! IAOVANCES"FINANCE CHARGE"PERIOOIC
I . ' ,
I ,
...-
...""...
,!'-, '! ",_ -A...!!.-_
_ T'"
- -ioo' :.-c;i'o' 0000
3< 4 0000
o 0
o 7 0000
RATE
! I
I
I .
I
II
I
I '
I .
I .
,
, I
I Ii!
UJJ~~-~
--
::l'.'~~3.-ii~I-, ~,.~~;61! H~~~ =
19~16. 6112 I 11~ 7
!:- _ .. _6~,~~ ..pulCll1\!l~:r.,~lt5Vl\Je~ 15 6
,1Iata1_ 30
"""OIll1J1""a..ngPnd
to-- -_. ,_n..
11*a~.'~0IeIp
--
Nc:iIIw'oIl"""*'-'Clt'U9IAIlI
! Annuat plfClntJOf Rift
~""_M' ._.
-- 'H'
I.'....... --.. 549
--..
690 4 ..-o.ClllilLIII
193 3 ..
664 7 .... 2000
--..
664.56 : 192.66
l.a2500\ .06000\
21.90\ ' 21.90\ I
. . 21:~_O,~ _~:~~ ___---1-
Mike thttk Of mont)' Dldtl plYIb'l1n U&. do/lIrl on . U,S, bank 10 Cltiblnk. IndudIICClIUf1I numbIf' on c:hIdI Ol' money ordtf. No cash pItue.
... \
Cllltorp . . . J940 01""",. Doul...rrJ
CtUJI S.nkll,/OOI;.' Sui" 400
Erlan,.,. Ktl1lucky
4/0/8
Datel
L/ - IU '(1L
.
err/BAN(O"
C<,A'Yl h'AA"1'p (1;b.~ Ilh..ll 1..Ir.
~h6-lU1D.
(hA JUllJj fA /"10/3
,
REI The Estats of 1:1urt<;, /7. /.L~~tJ
Dear Sir/Madam
Please tind enclosed our claim against the above mentioned estate.
Please return a "Filed" stamped copy to the above address. It you
need any intormation, please call me at (800) 207-3057.
Thank you tor your attention to this matter.
, Very truly yours,
rl~~
Service specialist
dtr/0066D
'..
Enclosure
. "
00 ::tI~
Ciij ~
35!- ~8
gl:
...., -': ~ eta
r.,1--' ~I m
BJ:; ... :;6
()'.-'1 UJ ....~i1
f) f"~ ;e ~5
.' ~(D
n ~ in
:-or: a
;t>~ U1
N
.
"
/
I:'" ./'1 - :)-
<iL-'
REV-1547 EX AFP 112-95*
COf1ttOHWUl Tft OF PENNSYlVANIA
DfPAAJHlNr Of REVENUE
BUREAU Of INDIVIDUAL 'AMES .
DfPr. Zlonl .
HARRISBURG, PA 171ll~D601
NOTICE OF INNERITANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEaUCTIONS ANa ASSESSHENT OF TAX
ACN 101
DATE 05-20-96
FILE NO.
05-17-95 COUNTY CUMBERLAND
NOTE, TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTIDN OF THIS FORH WITH YDUR TAX
PAYHENT TO THE REOISTER OF WILLS. HAKE CItECK PAYABLE TD "REOISTER OF WILLS. AGENT"
REMXT PAYMENT TO:
RANDALL L HARTMAN ESQ
438 MARKET ST
LEMOVNE PA 17043
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
AMount R..tttad
I
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
iiE'y:isW-Eif"iiFP--(i'2'=9sriiilYicEuoi1-YN'HEifiTAifcE-Y/ix-iippiiiiisiHiii'i'-,--iii.i:owiiiicr'oli-m-mmmm
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF HIVNER GEORGE E FILE NO. 21 95-0527 ACN 101 DATE 05-20-96
TAX RETURN WAS' I Xl ACCEPTED AS FILEa
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..l Eat.t. (Schedul. A) (1)
2. stock. and Bond. .Schedul. 8) 12)
3. Cloa.ly Hald stock/Partnership Int.r..t (Schedul. C) (3)
4. Hortg.gal/Not.. Receivabl, (Schedul. OJ (4)
5. Ca.h/Bank Deposita/Hilc. Parlonal Property (Sch.dula E) (5)
6. Jointly ONnad Property (Sch.dul. F) (6)
7. Tranafar. (Sch.dul. OJ (7)
8. Total A...t.
CHANOED
.00
.00
.00
.00
1,188.61
.00
.00
IBl
1.188.61
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funaral Ewpanaaa/Ad.. Co.ta/Hi.c. E~pan..a (Sch.dul. H) (9)
10. Dabta/Hortg.ge Liabiliti../Liana (Schedul. I) liD) .00
11. Total Deduction. 111 1
12. N.t V.lu. of Tax Raturn C12)
13. Charit.bl./Govern.ant.l aaque.t. (Schedule J) (13)
14. H.t Valu. of E.t.t. Subjaot to Tax C14)
NOTE: If an assessment was issued previously, lines 14, 1S and/or 16, 17 and 18
reflect figures that include the total of ~ returns assessed to date.
ASSESSMENT OF TAX: .
15. AMount of Lina 14 at Spou.al r.t. (151
1'. AMount of Lin. 14 taxabl. .t Lin..l/CI... A r.t. 1161
17. AMOunt of Lin. 14 taxabl. .t Collataral/Cl... 8 r.t. (17)
18. Principal Tax Du.
4,926.19
4,9:>6 19
3.737.58-
.00
3.737.58-
will
.00
.00
.00
X .00.
X .06.
X .15.
(181
.00
.00
.00
.00
TAX CREDITS:
PAYHENT
DATE
RECEIPT
NUHBER
DISCOUNT 1+1
INTEREST I-I
AHOUNT PAID
TOTAL TAX CREDIT
8ALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
.00
.00
.00
.00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATIDN OF ADDITIDNAL INTEREST.
IF TOTAL aUE IS LESS THAN fl. ND PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRl. YOU HAY BE DUE
A REFUNa. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. I
RUC(l',:
nu[,::'
iI. d
.-,: \tV.ll~
'96 MAY 20 1\10:56
Clun'
CumlJm",-jc
Court
0" PA
RESERVATIONt E,t.t.. of dlc.dent. dWlng on Q~ blfar. Dlc..a.r 12, 19.2 .- If any future 1",.t..t In thl I,'at. I, tr~"'rr.d
In po.....Jon or anJo.-ant to Cl... I (co11,'sral' beneflc!arS.. of thl dlcedent .,t.,. tn. IMPlt,tlon 0' any ....t. for
11'. or 'or y..t., the Co.-onw..lth hereby .xpt...IV t...tv.. the right to appr,I,. and ...... tren.',,, Inharlt~. 'IX"
at the llw'ul el... . (call,',r.l) rat. on any .uch future Int.r..t.
"""""'" Of
NOTlCer To fulfUl thl reqult..ent. of SIOtlon 2140 of thl Inh,,.1tanu and Elt,t, Tax Act, Act IZ of 1991. 7Z P.S.
s.ctlon 2140.
PAV~H'I D.tach the top portion of thl, Notlel and I~lt with your plv.ent to thl Rlgl,ter 0' WIltl printed on the t.var.. ,Ida,
.....".. check ar IOMV order plyable tal REGISTER OF HILLS, AOENT .
All p.~tI ncelved Ih.ll first b. .ppll.d to .,,~ Int.r..t which .ay b. due with any n.alndtr .ppllad to tha h.,
REFUND (CA)I A r.'und of a t.. credit, Which .... not raqu..t.d an tha Ta. R.turn, ..y ba raqu.at.d by caaplatlng en ~Appllc.tlon
far Aafund of Pennolvanl. Inharitanc. and Eat.t. Talf" (AEy.nU). Application. .r. av.Uabl. at th.Dfflca
of the Aaalatar of WIll., any of the 25 Ravenua District of'lc.., or by c.lllna the .pacl.1 Z~~hour
an....rlng .arvlca ~ar. far fora a ordering I In Penn.ylvanla 1-800-362-2050, aut.ld. Pennlylvanla and
wIthIn lac.1 H.rrl.burg .r.. el11) lI1-a09~, TDDI (111) 112-2252 (H..rlna 1~.lr'd Only).
OBJECTIONS I Any p.rty In Intara.t not .atl.fl.d wIth the .ppr.I....nt, .llowanc. or dl..llowanc. of d.ductlon., or .......ant
of t.x (Including dl.count or Int.r..t) .. .hown an thl. Hatlc. .u.t obJact withIn .Ixty (60J d.y. of racalpt of
thh Notlc. bYI
--wrIUan prot..t to the PA Dap.rhant of R'v,nue, Board of App.a1l, D.pt. 281021, Harrhburg, PA 11121-1021, OR
-...llH:tlon to h.v. the ..U.r d.hr.ln.d .t audit of the account of the par.onal rapr.sentatlv., DR
--appaal to tha Orph.,.' Court.
AD"IH
ISlRAJIVE
CORRECTIONS I
PENAL TV.
Faatusl arrar. dl.cov.rad an thl. ........nt .hould b. .ddr....d In writing to. PA D.p.rt..nt of RIVlnu.,
Buraau of Individual T.xa., ATTNI Po.t A.......nt A.vl.w unit, Dapt. 210601, Harrl'burg, PA 11121-0601
Phona (711) 717-6505. Sa. p.ga 5 of the bookl.t "In.tructlon. for Inh.rltancl T.. Aaturn far. A..ldant
alcldent.. (REY-1501) for an .xplan.tlon of adalnl.tratlvaly carr.otlble Irror..
If any t.x due I. paid within thr.. (5J Clllndar lon'ha .ft.r the dlc.dant'. dlath, . flva plrclnt 15XJ dl.count of
the ta. paid II .1I0w.d.
The '15:< ta. a_.ty non-participation p.nalty II COllpUtad an the tohl of the ta. and Inter..t .......d, and not
paid bafar. January II, 1996, tha flr.t day aftar thl and of the taM aanl.ty Plrlod. This nan-participation
pen.lty I. appaalable In the .... .ann.r and In tha the 10" tl,. p.rlod .. ~ou would app.al the talf and Intar..t
that h.. b."" .......d a. Indlcat.d on thh notlc.. .
DJSCDUHTI
INTEREST I
Intar..t I. chergad b.glnnlng wIth flr.t day of d.llnquanc~, or nlna (9) .onth. and on. (lJ dey fro. tha data 0'
~.th, to the d.t. of p.yaent. TaMI. which b.ca.. dellnqu.nt b.far. J~.ry 1, 1912 ba.r Int.r.at at thl r.ta of
.1. (6~J p.rcent p.r annua calcul.tad at a dall~ r.t. of .00016~. All talf.. which baca.a dallnquent on and .ft.r
Januery 1, 1912 will b..r Int.ra.t at . rat. which ..111 ~ary fro. cal.nd.r v..r to calandar y.ar with that r.t.
announcad by the pI, D.p.rtsent of Rav.nue. Th. appllcabl. Intara.t r.t.. far 1912 through 1996 ar"
'!!!! lnt.ralt Ret. Dally Int.rllt Factor !!.!! Int.r..t A.te Deily tnter..t Factor
1912 ..~ .000541 1911 .~ .00az41
19as 16:( .00001 1911-1991 IU .00asOl
191~ IU .00nOl 1992 .~ .000247
1915 UX .000556 1993-1994 7> .000192
1916 lOX .000214 1995-1996 .~ .000247
--Intenat 1. c.lculat.d .a follow.1
INTEREST . BALANCE OF TAX UNPAID X NUNBER DF DAYS DELINQUENT X DAILY INTEREST FACTOR
--An~ Hotlc. I..u.d aft.r the taM bscOlle delinquent wIll r.flact an Intar..t calculation to flft.an (15; daya
bayond the date 0; the ........nt. If p.Yllnt It ..da aftar the Intera.t coaput.tlon data .hown on thl
Notlca, .ddltlonal Int.r.at au.t b. c.lcul.tad.
STATUS REPORT UNDER RULE 612
Name ofDecedent: GEORGE E, HIVNER, II
Date of Death: May 17, 1995
Will No, 1995-00527 Administration No, 21-1995-00527
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, Ifthe 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 fOrnlal or infornlal
accounts may be filed with the Clerk ofthe Orphans' Court and may be attached to this report.
Date: December 31, 1996
-
o,!!!
mi?
~, <:
t~-
(10
"fr~q;
on
~.-
@ii1
0:0:
-
R
M
c..
7
~e~U r-\-\d:-_
Randall L. Hartman, Esquire
438 Market Street
Lemoyne, PA 17043
(717) 761-8490
t::~
:>0.;
o
'~~ (3
''U
"
t ,.;
, \.4
I C,
~~
~
P\
Counsel for personal representative