HomeMy WebLinkAbout95-00628
PETITION FOIl PRonATE unci GnANT 01<' LETTERS
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------------.---------- --- u_______.___ Ilcpl,lcr uf Will, for Ihc
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S"('/II/ S'-"/Ir/r)' No. -Le.!P~_4_1tE3rr C,I/mnullwellllh or l'enllsylvlIlIllI
The Ilelilloll uf Ihe nlldcr,lpllcd Ic'pcelfully ICIl/C'Cnl' Ihlll:
Yonr pClilluucrN, whu 1,/urc IH )'cur, uf IIpC III uld,'r IIl1lhc cxcelll~, i."
IlIlhc 111'1 will uf Ihc IIhm'c dce,'dclIl, dilled -fl_pr i I_"l
IIl1d emlkll(,) dlllcd
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C~lllll' 11.'1,..\11111 dt"'1lI11\11llh:l'\, c.", h'I1UlIl,:I.ulnn. dl'alh ur C\t'tUlur, CIC.)
l>cecndelll 'I'll' dumldlcd III dClllh III c.... ....h~_ Connty, I'ennsylvanlll, wilh
h i.l> III" famll)' or prlndp"1 re,ldcllcc III ---3.LH.Yin.....1 ~ " .,
L"","'ll'lIoC-}-r" Po..
J (Ii\l \lrl'tl. l1urnl".', untllllul1dpalil)'}
l>eeelldent,lhell S:l- )'ellrs or IIge, died ~...~ ~ 'd-ll' , 19 9 ~- ,
01 CD; l~~ 1'1'1"1. .
EXeCI'I 0' follows, decedelll did 1I0lmllrry, 'I'll' IIUI <!ivoreed IIl1d did 1101 hove II child born or odopted
liner e,\Ceulioll of Ihe will orrered ror probllle; WIIS 1I01lhe vicllm or u killing und wus never adjudicated
incompelcnl:
Decendenllll delllh owned properl)' wilh eSlimllled ,,"lues us rollows: /0'10t.P'<:-/
(II' domiciled in Po.) All personol properl)' $ "'s! 0 .
(I I' nOI domiciled in 1'0.) I'er,onol properl)' In I'enmylvanlo $
(II' nOI domiciled ill I'a.) I'ersonlll properl)' In COUnI)' $
Volue or real e'lme in l'enn,)'lvllnlll $
sltualcd liS follow,:
WHEREFORE, pelltioner(,) rcspeclfull)' reque,,(,) Ihe probale or the last will and eodicil(s)
presenled herewith and Ihe granl or leller,_ -t:. "-G+ <L ....".,"7
. tll'\I.UllClllnr)'; adrnlni\Ir.lllon c.I.a.; administration d.b.n,t.l.a.)
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OATH OJ" PERSONAL REPRESENTATIVE
COMMONWEAl.TH OF PENNSYl.VANIA } I:IS
COUNTY OF CUMBERLAND
The pelilionerl') nhovc-nnmcd ,wellr(,) or lIfrinn(,) Ihllllhe "OlemenlS inlhe roregolng petillon lire
Irue ,lIld correello lhe he" or lhe knowledge nnd helieI' or pelilioner(,) IInd thai liS personlll represen-
lluivcI') or Ihe nhow decedelll pelitioner(,) will well nnd Irllly IIdmini'ler the eslate lIeeording to law.
SW~1II1. I". '~r nn-inned IInd ,"h'crihed ~,'OS <,~ ~. J-\ ~^. ~
helnre me IhlS ._--1 i'IlL-._ dn) of __ ~.
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TRUST WlI,l.
OF
ROBERT E. llARR IS
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I, ROBBRT B. IIARRIS, of tho Borough of Lomoyne, County of
Cumberlend 'Bnd State of Pennsylvania, baing of sound mind, memory and under-
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standing, do hereby mske, publ1sh and do clare this as and for my Lost Will
and Testament, hereby revoking and msking void any and all other WHls by me
at any time heretofore made.
1.
I direct that my Executrix, hereinafter named, shall pay all
my just debts and funeral expenses ss soon as conveniently may be done after
my decease.
II,
All the rest, residue and remainder of my estate whether real,
peraonal or mixed, and wheresoever situate, I hereby give, devise and bequeath
unto my wife, DORIS J. HARRIS. if she survives me by a period of thirty (30)
daye. If she doee not survive me by a period of thirty (30) days, then thia
gift to her shall be divested and I then direct my Exeeutor,hereinafter named,
to sell all the rest, residue and remsinder of my estate, whether real, personal
or mixed and wheresoever situate at public or private sale and to place the
net proceeds derived therefrom in a Fund which I give Bnd bequeath unto my
Trustee, hereinafter named, for the benefit of my children, DOUGLAS J. HARRIS
and MATTHEW E, HARRIS, as follows: I direct that my said Trustee shsll take
custody of all the assets bequeathed 000 devised in Trust herein, and that it
ehall, if it deems it adviseble, invest IInd reinveat the same in multiple or
singular Funds, collect the income after paying all expenses incident to the
management of the Trust, and that my seid Trustee shall use and apply as much
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of tho ne t incomo and pr incipo I 8S may bo noeossa ry in its d lserot ion for tho
support, well being end educat.ion of my aforementioned trust beneficiaries until
each attains the age of twenty-two (22) years, and when the youngest of my said
trust beneficiaries attains the age of twenty-two (22) years tho balance of
principal and any accumulation of income remainiog in the hands of the Trustee
shall be paid per stirpes to my said issue, DOUGLAS J. IIARRIS and MATTHEW E,
IlARRIS. I direct thet such payments for education sholl be made without the
intervention of a guardian, and the receipt of such person as may be selected
by my Trustee to disburse ouch payments shall bo sufficient acquittance.
III,
I hereby appoint CCNB BANK, N,A., Trustee of the Trust created
by this, my Last Will.
IV.
In the event that my wife, DORIS J. HARRIS, does not survive me
for a period of thirty (30) days, I hereby appoint my brother-in-lsw and his
wife, PAUL E, MOHN and FLORENCE MOliN, or the eurvivor of them, a8 Guard ian of
both the pars!,n and property of my minor beneficiaries hereunder,
V.
I hereby nominate, constitute and appoint my wife, DORIS J. HARRIS,
aa Executrix of this, my Last Will and Testament. If my said wife should pre-
decease me, not qualify or not accept the position of ExecutrfJc, then I hereby
nominate, conatitute and appoint my brother-in-law, PAUL E, MOliN, as Executor.
VI.
It is my desire that all surviving grandparents of my issue shall
have reasonable visitation rights,
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Page two of four pages
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Subserib!ld, sworn to and aeknowl!1dBed bafore 1\1II by RODBRT B.
HARRIS. th!l Tntator. and subseribad and sworn to bofore me by WILLIAM A.YOCUM
and HARRY A. STUTZMAN, witnnsss, this '1"' day of f\~ ' 1982.
~A,-:,~J.i<at , d. ~
Notary Pub lie
1f",.,A.. to. T'l C..t...r--
My Commission Bxpiresl
LINDA L. LAWVER, Notary Public
Lower Allan Twp" Cumbo'fond Co
My Commlsalon Explrol Juno 10, lOa.
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20. II line 191s grealer than line 18, enter ,he difference on line 20. This Is the OVERPAYMENT.
a O,eI:r.r:lI!IIiT,u..la".I,..U,..,.OIII.ltlhI1-,."lnr.r.~.'J:'l'I.'''''>l.!.l.!.Ii'J..llj'l
21. If line 18 Is g,eol" than line 19, enler Ih~ diff.rence on line 21. Thb Is the TAX DUE. (21) 00.00
'A. Enter the Inlerlll on the balance due on line 21 A. (21 A)
B, Enlor ,hololol olllno 21 ond 21A on lIno 21B, Thi. Is lho BALANCE DUE, (21B)
Moko Chock Povoblo '0' Ro.IoI" 01 Will., A.on' INSOLVENT ESTATE
>- >- BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH -< -< : -
t Indo, penoltilS 01 perlury, I declar. thai I have exomlned lhh f11lurn, Including oc:componylng schedule, and ,talemenl., and to thl b." of my knowledge and belir'
I is true, corred and complete. I declar. thol all feol ..10111 has bllln reportea 01 'rue market value. Declaration of pre parer other thon th. penanal r.pr.'.ntali~1) ,
\ Insed on olllnformollon of which preparer hat any ~nawledge.
',ritlA1URI Of PlUON IlU'ON~IIl( fOil fllINO IIl1URN ADUIllU DAIl .
.., C'l , '
o--r 99 Hummel Avenue Lemo ne PA 17043 0 11--"rf -'It,
"'GNAIUIIl Of 'ItHAItUl HUI THAN U'. UNIATlVI ADDU~~ DAIl
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(OMMOHW\Alflt Of 'fHUn,VAHIA
DE'AI MIHI 0' UVlNU[
IlmllfJib, ~~OI'!\II,O..t
o lA . III . ..
Hnrrls, Robert Ii,
lOCIA 'ICUllln NUMUII
186-34-4838
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
.OR DATU o' DIATH A"U 12'~ '" I CHICK IIln'
If A SPOUSAL
POYUTY CRlDIr IS CLAIMSD 0
,iLltiiiMlia
21
0628
95
V!AR
NUMBII'
Ml UI 1141 IAl
COUNTY CODE
UI{IOii.""OM'It-lt AOOR."
99 Hummel Avenue
Lemoyne. I'A 17043
10Alronll'..
10-5-/,2
!lOOAl ueUllln UUMiu
OAil Of 1111.111
6-28-95
COUIII
',l;",uUlii _t((lvtD tUIUU1I1UCIION'1
$ 173,684,26
Ilf.'PIIC.IlIl.U."'VIHOll'OU"..H......."...'.fl..' .HP,.11lOI1 111'1''''11
Harris, Doris J,
[i 1. Original R.turn 0 2. Supplemental Relurn
o A. lImlled Estat. 0 Aa. Fulur. Inl"e.1 Compramlte
I'or dolo. 01 doolh oh., 12-12.B2)
rn 6. Dec.d.nl Died h.lale 0 7. Decedenl Malnlalned a living Tru.1
(AIloch ,opy of Will) (Alloch copy 01 Trull)
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO,.!;ll,""
NAMl COM'Ul( MAILING ADORUS
o 3. Remainder R.lurn
Ilor doto. 01 doolh prior 10 12.13,BiI
o 5. Fedefal E.lal. To. Relurn R.qulred
_ B. Talal Number of Sol. Oepo.U Boxel
~ \,~~ ". ';, . ~ .,'
"
Doris J, Hsrris
IfU'HONI NUMIU
99 Hummel Avenue
Lemoyne. PA 17043
Z
a
S
E
..
..
...
...
'"
1. Rlol E.toto ISchodulo A) II)
2, Slo,k. ond Bond. IS,hodulo B) (2)
3, e1011ly Hold 5to,k1Portno"hlp InlorOlt (5,hodulo C) (3)
~, Mortgogo. ond Nolo. Rocol,oblo IS,hodulo D) I ~ )
5. Ca.h, Bank D.po.lh & Mllcelloneau. Personal Properly ( 51
ISchodulo E)
6, Jolnlly Ownod Proporty (S,hodulo F) ( 6 )
7, Tron.lo" IS,hodulo G) (schodulo L) (7)
8. Talal Gran An." (tolallln.. 1.71
9. Fun.ral bp.".." Administrative Ca.lI, Miscellaneous t q 1
bpen." (Schedule H)
10, Doblt, Morlgogo L1obilitio., Lion. (Schodulo I) (10)
", T olal Dodudlon. (10101 L1no. 9 & 101
12. Net Volu. of ellate (line B mlnu. line 11)
13. Charllable and Governm.ntal Oequllh (Schedule J)
U. Nel Value Sublect 10 TOK line 12 mlnu. line 13)
15. Spau.al Tronsle,. (for dol.. of death oft., 6.30.9.4)
See In.truc'lon. lor Applicable Percenlage an Reve,.e (IS)
Side. (Include 'Volue. (rom Schedule I( or Schedule M.)
16. Amount of line 14 talllabl. 016% ro" 1161
(Include VOlU8S from Schedul. K or Schedule M,I
17. Amount of line 14 laltabl, at 15% role (17)
(Include valuII from Schedule K or Schedule M.)
18. Principal tax due (Add tax from Un.. 15, 16 and 17.)
19. Credlu Spousal Poverty Credil Prior Paymenll
Discount
Inler'"
8,600.00
18,312.29
(B)
8,600,00
00.00
00,00
(II) 18.312,29
(12) 00.00
(13)
(14) 00.00
x._- 00.00
)( .06 II 00.00
)( .15 . 00.00
(IBI 00.00
(19)
(20)
00,00
z
a
~
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=>
..
..
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...
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Act .48 of 1994 provld.. for the r.ductlon 01 the tax rot.. Impo..d on the n.t valu. of trand.,. to or for
the u.. of the .pous., Th. rote. a. pr..crlb.d bV the .tatut. will bel
. 30/. (.03; will b. applleabl. for .states of dec.den" dvlng on or alt~r 7/1/94 and b.for. 1/1/96
"
. 2% (.02) will b. applicable lor e.tate. 01 decodon.. dvlng on or alt.r 111196 and b.lore 1/1197
. 1% (,01) will be applicable for estate. of decedents dvlng on or alter 111/97 and before 1/1/98
. Spousal trando,. occurring on or of tor 1/1/98 will be oxompt from Inheritance tax,
PLEASE ANSWER THE FOLLOWING QUESTIONS
.BY PLACING A CHECK MARK (....) IN THE APPROPRIATE BLOCKS.
YES NO
1, Old decedent make 0 transler and:
a. relaln tho use or Income ollhe properly tronslerred, .....,...,.....................,................,..,...
b, relaln the right to designate who shall usa the property Ironslarred or Its Income, ....,..;,......
x
c. retain a reversionary interest; or ..............................................,....................................
d, receive the promlsa lor IIle of either paymanls, benefits or core' .......................................
2, If dealh occurred on or before Oacember 12, 1982, did decedent within two years pracedlng
death transler proferty wlthoul receiving adaquota con.lderallan' If deolh occurred oller
~d~~~:te: c~~.I~~~allo~lt. ,~.~~.~~~.~~. ~~~ ~.~~~,~ .~.~~.~,~~~~. ~:~~,I~, ~~,~. ~~.~~ .~.'. .~.~~~~, .~~t,~~~.'. .~~.~~~~I,~~ ~
3, Old decedent own on 'In Irust lor' bank account at his or her death'.....................,................
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SQfI!B,l:Jl,li:.,G,:,~9 FILE IT AS PART OF THE RETURN.
lJno" ", -
oJ ','" -,..;.., :~JOIO
17!;: Olb' 0 I Ikf\l 96,
911!N\ 10 IC'lG;I}<l8
10 "')'1~O PCrJJOJOI:l
1I'I.UoeU'UII'
W
COM/olO"W~.lItt 01 PltHlmv.,,,.
IN""I."CI IA. II U'N
.. biN' DICtPINI
SCHEDULE E
CASH, DANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
Plau.a PII"' or Type
IlrrnrMOER
2195-0628
Robart Il, IlnrriH
tAil P'OPII')' lolntl)',ow"ld wllh Ih, Rig." 01 $",wlwo"hlp In'''I~',d on Stl;~~j;;1
ITEM
NUMBER
DESCRIPTION
VALUE AT
DATE OP DEATH
1.
1994 Chevrolot Tlt!a No, 47303668903 IIA
TilE BALANCIl OF TilE ASSETS ARIl IN TilE JOINT NAMES OF TilE
DECEDENT AND SPOUSE.
$ 8,600.00
.
.
,
S 8,600.00
(AIID,h addillonaI8Y," )( 11" ,huh If mo,. 'po,. II "..d,d,)
-
, "1
f'''-' . ~-.~-~~,.~._.,. <.
IIVUlll" 1'.111
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COMMOHWIAUH O' 'INHl'flVAHIA
INIU.nAHCI 'AI "IU1H
.UIOIHI DleaDIHt
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
PI.a.. Prln' or T .
2195-0628
Robort E, lIorrio
ITEM
NUMBER
A,
\,
B,
\,
2.
...,
C,
\,
2,
3.
....
5.
6.
7.
8.
DESCRIPTION
AMOUNT
Fun.ral bp.n.u.
$ 5,144.00
AcImlnl,'ratlv. Ca.III
P.nonol Repre.enlollve Comml..lon,
Social Securlly Number 01 Penonol Repre,enlollve,
Veor Comml..lon, paid
00.00
Allorney Fee,
200,00
3.
family Exempllon
Claimant Doris ,J, Harris
Addre.. 01 Clolmonl 01 decedenl" deolh
Streel Addre.. 99 Rumme 1 Avenue
Relallon,hlp
Wife
3,500.00
Clly
Lemoyne
Slale PA
Zip Code 17043
Probate Fee.
255.00
Mllc.llon.ou. bp.n....
1994 Chevrolet incumboronce - PNC Bank
9,213,29
TO!AL (AI,o enler on line 9, Recapltulollon)
(II more .pace II needed, In..r' additional .h.... 01 .am. .Ix.,)
$ 18.312.29
II'IUIIIIIII"I
~b
tU/r,&/r,IOUWI,l111l Of ,'UN,U.,.,lUIA
I'tH..II.....ClIU..IU...
IInlOIHIOUIOUII
- .._~. _._~-_._'.--
SCHEDULE J
BENEFICIARIES
.J._~
fiLE NUMBER
2195-0628
---
N~ -
ESTAU Of
Ilobort
._. .--,
...".,-_..,~.~-.~.-~_.. ..~ -..- .. ,,-
E. IInrriA
ITEM
NUMBER
NAME AND ADDRESS Of BENEfiCIARY
RELATIONSHIP
AMOUNT OR
SHARI or ESTATE
1.
A. TDAubl1 alqulllSt
Dor:1lJl' J. \lards
Wifo
100%
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
AMOUNT OR
SHARE OF ESTATE
a. Charlloble ond Governmental aequestsl
1,
TOTAL CHARITABLE AND GOVE,RNMENTAl BEQUESTS (AI.o .nt.r on lin. 13, R.copltulotion) S
(II mar. .poco Is n..d.d, In..,' additional .h.... 01 .am. .1..)
.... . ...." -- .~..,._. --'
n__', ..0_ ..._._
J- (J T ~ e $ CHEVROLET, INC.
T'O /,..,/IJn-\ .T- T MAl c.:J/v'l'!i-{/v',
I filiI/if... l.-{)()/vVJ AT It ,'1 LJ L(
~ -
ct+rr;V~lJ (J~ LJ.;M 11v'f-l S.tzXIAL f.1/JfVlI:)P-fl-
/
,?-G IWN5'-1T~!( ')/'-/20G, L l'n',~D I~"
j
MY ~ fl/Jio/J , A.~ of ,j {j'fJ/E:.. "30, J q')S-
,
(1-It5 ~/ff;+ICLE. ;+AD A VA LuE:..
OF . ,W grr.; 00.
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TERRY L, STOUFFER
Salos Manager
FORBES CHEVROLET.GEO I
3400 H.~ldaClo Or" (Doaldo Capllal cily ~~il)
amp Hili, PA 17011 '
717.761,0600
r
,
........-...-.--...... ~.
Tltatlk j'OIt Jar b(l1/ltillg wi,It
PNCllJANK
Thl..rrcf"I"lIlIllcl be helcllllllll
wl'illrcl wllh )'lIl1r .lIl1rlllrlll,
<< 453 INSTAl. l.fJllN
400100B002975917
0401420014211 08
.'\'I1T 07
l~J I '.(t
'70 I()O~j'i'
'1,9.21:1,29 PO P
l"!IJUI.9~\
D /J P L. I r; " T I,
"11. depu.h or pllYlllel1l " llrrepled .lIldccllU vrrlllrllllulIlllld lu Ihe nile. IIl1cl regllhlllullI
urlhl. bllllk, Ilcpu.hs IIUIY IIUI be llVllllllb'e 'or hllllledhllr whhclrmv;cl,
fOflMIOUIIIs.t11
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,
RECEIPT FOR PAYMENT
.ma.a..............
Cumberland County - Register Of Wills
Hanoyef and High street
Carl s e, PA 17013
Receigt Date
Rece t Time
Recei t No.
8{~~~AH~
1005719
HARRIS ROBERT E
File Number 1995-00628
Remarks DORIS J HARRIS
Transaction Description
PETITION FOR PROBA
SHORT CERTIFICATE
EXTRA PAGES
JCP FEE
Distribution Of Receipt ------------------------
Payment Amount Payee Name
235.00 CUMBERLAND COUNTY-GENERAL FUN
6.00 CUMBERLAND COUNTY GENERAL FUN
9.00 CUMBERLAND COUNTY GENERAL FUN
5.00 BUREAU OF RECEIPTS & CNTR M.D
Check' 2597
Total Received.........
$255.00
$255.00
,
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..
COMMONWEAl. TI1 OF PENNSYLVANIA
STATE EMPLOYES' RETIREMENT SYSTEM
30 NORTI1 THIRD STREET. P,O, BOK 1147
HARRISBURG, PENNSYLVANIA 17108.1147
TELEPHONE: 717.787.8203
March 20, 1996
DORIS HARRIS
99 HUMMEL AVENUE
LEMOYNE PA 17043
Rei Robert E. Harris
SSlt 186-34-4838
Dear Ms. Harris:
This letter is in reference to your previous request, Please be
informed that there are no Pennsylvania State Taxes of any nature
on any monies paid from our System. This also pertains to
Inheritance Tax.
A lump sum payment in the amount of
to your qualified plan. (This
requested) .
Thank you for your patience in this matter. Should you have any
further questions, please call (717) 237-0279.
$165,084.26 was mailed directly
is the rollover amount you
,
Since;-ely,
Sheila 0, Royal
Clerical Support Section
Benefits Determination Division
,0
';'
, .
IN WITNBSS WIIBREOF, I, 1I0DER'r B, IIAIlR IS, tho Tosto tor, have
unto this, my Last Will and Testamont, se t my hand and soa I thiB crh duy
of
tlpr;/
, 1982.
6/ Rob,""" J:, tlArr;..\
(SEAl,)
SIGNED, SRALBD, PUDLISIIBIl and DECLARED by 1I08BRT B. HARRIS, the
abovonal1l8d Testator, 88 and for hia Last Will and Testament in ths pruuunee of
us who hsve hereunto subueribed our nomos us wltneasos at his request, in the
presence of the said Testator and of each other.
)SI W',Il:Rr-. It Yoc.v'"
I~ /t1\rr~ ii, S1...t. /'SAt~
AcKNC/.o/LIlDGMEN'l' AND AFFIDAVIT
STATE OF PENNSYLVANIA)
( SS:
COUNTY OF CUMBERLAND )
Wa, ROBERT 8, HARRIS. WILLIAN A, YOCllN /lnd IlA1UlY A. S1'lrl':'.MAN,
the Testator and witnesses, respectively, whose namell are ulgned to the rore-
going inutrtllnont, being (trllt duly uworn, do horehy declare to thu 1l1ll1ul'H11lIllll'
authority that the Testator signed and executed tho instt'wllOnt au hiH UI/lt Will
and that he signed willingly, IInd that he exucnted 1L au his froo IInd voluntlll'y
act for the purposea therein expressed. IInd that ellch of the "itneHses in thu,
pre ounce and hearing of the Testntor, signed the Will all wlLness end that to the
be'llt ,of his knowledge the Tostlltor was lit Lhat timo eighteen years or 'ogu Ill'
'Older, of ~ound mind and under no constraint or undue influence.
,..'
lV 1l,..,J,v"t E. HArr:j
Testator
(SEAL)
I~" t...,: II: '"'' A, Y """'...
Witness
(SEAL)
,,~/ IIArr~ A, s-rl.jl'..""Al>ol
Witness
(SRAL)
Page three of four pages
,~-,..-. .,.-
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Subscribed, 8worn to and acknllWledgod bofuro,1IlD bylWIIBRT B.
~RRISI the Teetator, and 8ubecribed and eworn to before me by WILLIAH A. YOCUM
and,llARRY A. STUTZMAN
wltneuB8. this fl. dey of
ClI'....,I,
1982.
, .t
~ ;
1.51 Ll...J.A L. L "'il"""
, Notary PubU
My COIlIIli88ion Expirul iu,a..lcr, I'iY"
I
,
"
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Page
four _of four pages .'
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1i-
CERTIFICATION OF NOTICE UNDER RULE 5,6(a)
Name of Decedent I Robert E, IInrriR
Date of Deat/II June 28. 1995
Will No, 1995-00628
Admin, No,
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 (allowing beneficiaries of the above-captioned estate on
April 1996 I
Na~e
Address
Dnri R .J. HnrriR
99 lIummc1 Avenue, Lcmovnc, PA 17043
DntllllnR J. IInrrin
SAME ADDRESS
Mntthp-w E. HllrriR
SAME ADDRESS
Notice has now been given to all persons entitled thereto under
Rule 5,6 (a) except NO EXCEPTIONS
Da te : April c/. 1996
5ign~~~9 d2'''^^:).
Name Doris J, IInrris
Address 99 Hummel Avenue
,
'1fd "0:) ;:1J;''.IeqlUno
n"" ,', "Ial'"
lJ Vv .."...... .," \J" tJ
Lcmovne, PA 17043
Telephone ( 717) 763-8353
t'S: OlV Ol MdV 96.
Capacity: X
Personal Representative
Counsel for personal
representative
$II!M 10 nISIIl;)!:!
)0 r;JhO pOlooa!:!
/
'/
,
,/
/ ,', ,; / ,- ;'-'
.-' ~- -
(!~
REV"1547 EX AFP 112"95*
CO~HWfAl'H Of PENNSYLVANIA
O(PARlH(Hf Of REVENUE
BUREAU Of INDIVIDUAL lAMES
DCPI. 280601
tlAARISIIURC, PA I1I'a-0601
ACN 101
NOTICE OF INHERITANCE TAK
APPRAISENENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASsESSNENT OF TAK
DATE 07-22-96
FILE NO.
COUNTY
CUMBERLAND
06"28"95
NDTEI TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUDNIT THE UPPER PORTION OF THIS FDRN WITH YOUR TAK
PAVNENT To THE REGISTER OF WILLS. NAKE CHECK PAVAaLE To "REGISTER OF WILLS, AGENT"
REMIT PAYMENT TO:
DORIS J HARRIS
99 HUMMEL AVE
LEMOYNE
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
PA 17043
Anaunt R...i tt.d
CUT ALON'G THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ....
iiEV:Uiejj"EX"AFP"ii'F9!;"j"iicj'ficE"-OFnftiHEifii'ANCE-YAi-APjiRAISEH€ii'r;"ALi."olii,iicE"o-li--------"umm
DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX
ESTATE OF HARRIS ROBERT E FILE NO. 21 95"0628 ACN 101 DATE 07-22-96
TAK RETURN WASI (XI ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST " SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..I Eat.t. (Schedule A) U)
2. stocks and Bonda (Sch.dul. OJ (2)
3. Clo..ly Held stock/Partnership Int.r..t (Schedule CJ (3)
4. Harig.g../Not.. Recelvabl. (Schedule DJ (41
5. C..h/Sank Depoaita/HI.c. Parson.l Property (Schedule EJ (51
6. Jointly Owned Property (Schedul. f) (61
7. Transfer. (Schedule OJ (7)
8. Total A...t.
1 CHANGED
,00
,00
,00
,00
8,600,00
,00
,00
(81
8.600,00
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Fun.ral E~p.n.../Ada. Coat./Hi.c. Expen.a. (Schadula H)
10. Debt./Ho~tgag. liabiliti../Liana (Schedul. Xl
11. Total Deduction.
12. Net Valua of Tax R.tu~n
15. Ch.~it.bl./GoY.rnM.ntal aaqua.t. CSchedula J)
14. Net Valua of e.tat. Subjact to Tax
NOTE:
18,312,29
,00
1111
1121
I1S1
1141
14, IS and/or 16, 17 and 18 will
returns assessed to date.
191
1101
IA,31? ?9
9,712,29-
,00
9.712,29-
If an assessment was issued previously, lines
reflect figures that include the total of ahh
ASSESSMENT OF TAX:
15. A~ount of Lina 14 at Spou.al
16: A.ount of Lina 14 taxabla .t
17. AMOunt of Lina 14 taxabl. at
18. P~incipal Tax Dua
,00 K .00.
,00 K .06.
,00 K .15.
1181
,00
.00
.00
.00
rat.
Linaal/Cla.. A ~at.
Collataral/Cla.. B rata
115)
116)
117)
TAX CREDITS:
PAVNENT
DATE
RECEIPT
NUNDER
DISCOUNT l+ I
INTEREST I-I
ANDUNT PAID
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 THAN '1, NO PAVNENT IS REQUIREO,
If ToTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU NAY BE DUE
A REFUND, SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS.)
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RESERVATION, E.t.t.. of d.c~t. d~f", on D~ before D'c'~.r 12, "'2 -. If ~y future Int.,...t 1n thl ...at. t, tran.f.rrad
In po.....lon or .nJoy..nt to Cl... a (coll,t.r.l) beneflcl.rt.. of t~ dlcldlnt I,t,r thl explratJon of any I...t_ 'or
l1f. Dr 'or y..r., thl Co..onw..lth har.bv ..pr...ly r...rvI. thl right to appr.l.. ~ ...... tranl,.r I~rltanc. T....
at t~ lawful el... . (col1,'.r.l) r.t. on any .uch future Int.r..t.
PUIIPOSE ..
NOTICE. To fulfill thl requlr'.enh of Stctlon 2...0 0' thl Inh,,.Uance and Est,t, Tn Act" Act ZZ 0' 1991. 72 P.S.
S.ctlon 2140.
PAV~HTI Detach t~ top portion of thl. Natle. and .u~lt with your p.y..nt to thl R.al.t.r of Will, prInted on thl r.yar.. .Ide.
uNth cMck or laney order p'Wtb" tal REGISTER OF HILLS, AGENT
All p.v..nt. r.c.lv.d .hlll flr.t b. .ppll.d to any Int.r..t which .ay b. due with .ny r..alnd.r appll.d to the t.x.
REfUND (CRh A r.fund of a tax cradlt, which w.. not requnt.d on the hlC R.turn, .ay b. raqu..t.d' by cOIlpI.tlna an "Appllcltlon
for R.fund of P.nn.vlvanl. Inharlt.nce end Estet. TeIC" (AEY.1313). Application. ara av.Uabl. at the Offlc.
of the R.gl.t.r of Will., any of the 23 Rlv.nu. Ol.trlct Offlc.., or by calling tha .pacl.l Z4-hour
an.warlng ..rvlc. nu.bar. for for.. ord.rlng, In P.nn.ylvanl. 1.100.362.2050, out. Ida P.nn.ylvanl. end
within loc.l H.rrl.burg Ir'l (717) 717-109~r TOOl (717) 172.2252 (H..rlng Iapalr'd Only).
OBJECTIONS, Any p.rty In Int.r..t not .Itl.fl.d with the .ppr.I....nt. .llowanc. or dl..llowanc. of deduction., or .......ant
of t.x 1 Including dl.count or Int.r..t) I' .hown on thl. Notlca au.t Object within .Ixty (60) daya of rec.lpt of
thl. Notice byt
ADtUN
ISTRAlIVE
CORRECTIONS,
--wrltt.n prot..t to the PA Olparta.nt of R.v.nu.. Board of App..l.. n.pt. 2al0tl. Harrl.burg, PA 17121.1021. OR
".llctlon to ha"l thl ..tt.r dat.r.ln.d at audit of the .ccount of thl p.r.onal nprn.,.tatlv., OR
.-appa.l to the Orphana" Court.
DISCOUNTI
Factual .rror. dl.cov.r.d on thl. ........nt .hould b. .ddr....d In writing to. PA D'part..nt of A.v.nu.,
Bur..u of Individual T'xI', ATTN, Pc.t A.......nt A.vl.w Unit. Dlpt. ta0601. H.rrl.burg, PA 17128-0601
Phonl (717) 787.6505. S.. p.g. 3 of thl bookllt "In.tructlon. for InheritancI hlC A.turn for. A..ldant
Dlcadent" (REY-lSOI) for an IlCpl.nltlon of ad.lnl.tr.tlv.ly corr.ct.bl. .rror..
If any t.1C due I. paid within thr.. 13) cal.nd.r lonth. aftir the d'c.dlntt. dlath, . fl". Plre.nt (5~) dl.count of
the talC Plld h _Uow.d. '
PENALTY I
Th. 15~ talC .en..ty non.plrtlclp.tlon p.n,lty I. co.put.d on the totll of the tlX and Int.r..t .......d. and not
paid balora January II, 1996, thl first day afhr the and of th. tax allnnty period. Thla non-participation
pln.lty I. appa.labla In the .... lann.r and In tha the .... tl.. p.rlod a. you would app..1 the t.1C and Intara.t
th.t h.. baan .......d .. Indlc.t.d on this notlc..
INTEREST I
Int.r..t .. ch.rgld baglnnlnlll with first dlY of d.Unquancy, or nlna (9) .onth. and on. (1) dlY frol the data of
de.th, to the dlta of p'Ylent. rllC., which b.c... d.llnquent b.for. Janu.ry I, 1982 b..r Int.ra.t at the ret. of
.b C6~) parcent par annUlI calcul.ted .t a d.Uy rat. of .000164. All talC" which bac... d.linqu.nt on end .ftar
JlnUar~ 1, 19.2 will ba.r Int.r..t at . r.te which will ".ry fro. cal.ndar y.'r to cel.ndar y.ar with th.t rIte
announcld by tha PA Dep.rt..nt of R.v.nu.. Th. .ppllcabla Int.re.t ret.. for 198: through 1996 .ral
'!!!!: Intare.t Aat. Dally Intera" Factor !!!r Inta".t Aat. Dally Int.r..t Factor
1912 ZOlC .0005~8 1987 'X .000241
1911 lOX .00001 1..1.1991 llX .000301
191~ llX .00OSOI 1992 'X .00OZ~7
1915 UX .000356 1993-1994 7X .000192
1916 tolC .000274 1995-1996 'X .000241
.-Internt h calcul.t.d .. followa'
INTEREST a BALANCE OF TAX UNPAID X NUNaER DF DAYB DELINQUENT X DAILY INTEREBT FACTDR
"Any Hotlc. I..u.d ett.r the tlX baco... dllinquent will "fl.ct an Internt c.lculltlon to flft..n CIS) deY'
btiyond the data of the 1..1...ent. If p.v..nt II ".d. .fhr the Inhrnt co.putatlon d.te .hown on the
Notlea, addltlon.1 Int.r..t lU.t be calculltad.
. "d_
S'l'A'l'US HEI'OH'r UNDEH HUl,E 6,12
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Name of Decedent I
I\OIll!1l'I' E. HAllIlI S
Date of Deathl
6-28-95
wIll No.
1995-00628
AdnM'l'. No, 2195-0628
pursuant to Hule 6,12 of the supreme Court Orphans'
Court Rules, 1 report the following with respect to completion of
the administration of the above-captioneu estatel
1, State whether administration of the estate is complett'
Yes X No
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
cbmpletel
J. 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 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
TillS IS AN INSOJ,VENT ESTATE
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,
- ..,.
oJ" II) "5:.:(
~' ~a telEApri'); ffi, 1996
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Signature -
Doris J, Harris
Name (Please type or print)
99 Hummel Avenue, Lemoyne, PA
Address
( 717 ) 763-8353
Tel. No.
17043
CapacitYI
X personal Representativ,'
Counsel for personal
representative
(MAlll rmf/ AM3)