HomeMy WebLinkAbout95-00635
PETITION FOR 1'lmnATE ulld (mANT OF U~TrEl{S
Nil, Jil.J~5 - (P35
Estate of JIaI::t"rln 1I-llo1"Qr
also known as
Tn:
Ilcgillcr of Willi for Ihc
'. Il,.('t,u,'rI, Couuty uf _o..uww:lluld- In the
Sodal Security Ntl, ..1.U5-J:l-05:11 Coullllonweahh of I'cnnlylvanla
The pethlon of Ihe undenlgncd 'elpcclfully rcpre.eulllhnl:
Your petltloner(I), who Illnre IH ycn" llf nge III ohlcr nnlhe execut nr named
In the last will of Ihe above ecedelJl. dllle~;..e'I:Ch....9UI. . _J . 19....92..-
and CD d (I) ate,1 "-"-L~ ~ I ~ 0.... { ['J"'O',?~' .f }
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"'llt ,,1"'lnl L1":llllullllrcl, t". Ienlllu:llllunt d'lllh or UeculOf, eIC.)
Oecendent wnl domlcllcll (1Illelllh lu _C1l1bll:Jmvl County. Pennsylvania. with
,. Ar last family III prlndllal ..."lencc III ..2!1.l.1..-Mcrion 1ln.'Vl. CanD lIill. PA 17011
llhllllnl, nUlllh" Ind mundplllty)
Occcndcnt. Ihcn_QO.__..J yea II of agc, died AUQWlI' 1'1 . 1995
at 2'111 MarionJb1d.....c.:uJlUlilJ..-1'A..17j)ll .
I!xccpt 81 followl. deccllenl III II '11I1 marry. Will nOI dlvorccd and did not have a child born Dr adopted
after exccullon of the wllluffcrcd fur pruhale; wns nul thc victim of n killing and was never adjudicated
Incompetelll :
Oecendelll at denth ownell prnllcrty whh c.llrllntcd vnlues as follows:
(If domiciled In I'a.) All pmonnl property
(If nOl,domlclled In I'a.) I'ennnal property In Pennsylvania
(If not domiciled In I'n.) I'ellonnl property In County
Value of real eSlnle In Pennsylvania
situated as followl: ,<11\ MIIrinn Iln.-vl, ('''',{' IIi 11 , PII 17011
$ llia.ana
$
$
$_125,000
WHI!RI!FORIl. petltloner(s) respeclfully request(s) the probate of the IllSt will and codlcil(s)
presented herewith and the grant of lellers Testarrruttarv
UtllamrntarYi administration c.t...; admJnlstrallon d.b.n.c.t.I.)
theron.
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OATH OI~ 1'lmSONAL REPRESENTATIVE
COMMONWEALTII OIIII..:NNsnVANIA } ss
COUNTY 010' .-Cl.IIJbcrlarv1
Thc pelilloner(l) abovc.named swear(s) or amrm(s) thatlhe statements In Ihe foregoing petition are
Irue and correel lolhe he" of Ihe knowledge and belief of petltloner(.) and IhutllS personal represen-
tatlvehl !If the above decedenl petilloner(s) will well a troly adn;t1n~ng 10 law.
SWIllIl Itl or ul'f1rmed'l and sUbscr.lbed ~ Z;,{., A ..~
bdol, mc Ihlll-'~ 'I' dar.gf "
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IllluloL'.JLLu.J..q)..L'~ I.. ,,(, ... II '1J~ a
/..:;. .1)/-" ,I.) J/ Register ~
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No 21-95-635
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Estate of M1>r1nriA" Rnlt-.>r
I Deceased
DECREE OF PRODA TE AND GRANT OF LElTERS
ANO NOW AUGUST 28. 19~. In consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the Instrument(s) dated MARCH 9, 1992
described therein be admllled to probate and filed of record as the IllSt will of
~r;nri~ R Rnl~pr
and Lellers TESTAMENTARY
are hereby granted to CARL EDWARD BOLTER
Y'Yh'tJ (l iJ,.,r..-'. .(]L..... f1 a ' 111:;,14,<> ~,j..r..
. J r:f
Realsler or WUIs
FEES
Probate. Lellers, Etc. ..,...... $ 270.00
Short Cenlflcatesl1 0) , .... ...... $ 30.00
JAW.'DVlmIHlIK X..,UGAS....... $ 3.00
, JCP $ 5.00
TOTAL _ $ 308.00
Filed . !\l!l!Pll:r: . ?~"" m.~ .. .. .. .. .. .. . ..
fY);c:.hae.1 Chere..l..,K'CL E~iR:...
ATTORNEY (Sup, Ct. 1.0. No,)
3:it:Js 1..9. 1Trn+~ .
ADDRESS I-hrr~ ~
'111~232-Ll701 I/IID
PHONE
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I.AST WILl. ANll TIlSTAMI\NT
OF
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!being of sound mind, memory and understanding. do hereby make, publish and
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idec1sre this as and for my Last Will and Testament hereby revoking and making
I void any and all other wills by me at any time heretofore made.
I I.
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,-\~I debts and funeral expenses as soon as conveniently msy be done after my deceaae,
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All the rest, residue and remainder of my estate, whether real,
. ~~ersona1 or mixed, and wheresoever aituate, I hereby give, devise and bequeath
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~:unto my husband, GORDON IlDWARD BOLTER, if he survives me by a period of thirty
~- ,Idays. If my said husband does not survive me by a period of thirty days, then
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:Ithis gift to him shall be divested and I then give, devise and bequeath my
. ~dentire estate aa follows:
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MARJORIIl II. BOLTIlR
I, MARJORIE II. BOLTI\R, of Camp IIUl, Cumberland County, Pennsylvania,
I direct that my Executor hereinafter named shall pay all my just
A.
One-third (1/3) unto my daughter, ANDREAS BOLTER CAMPBELL.
B.
One-third (1/3) unto my son, CARL EDWARD BOLTER.
C.
One-third (1/3) unto my son, III\NRY III\LMS BOLTER.
LAW o""cn
JON F. LAFAVER
a17 THIRD nltll:T
NEW CUMDULAND, I'A
!i III.
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II I direct that my children shall divide among themselves all of my
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;!furniture, household equipment snd tangible personal property to the extent they
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iidesire the same and can agree among themselves as to the distribution. In the
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Ilevent my children cannot agree upon such distribution, then my Executor shall
i'make the final determination.
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I hereby nominote, conatitute nnd appoint CCNB BANK, N. A., as
of the eatotea of any minora who may take a share under this Will.
V.
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:iBOLTER, as Executor of this, my Last Will and Testament. If the said Gordon
\1\Edward Bolter should predecease me, fail to qualify or cease to act as such,
then I nominste, constitute and appoint my son, CARL EOWARD BOLTER, as Executor,
I If neither the said Gordon Edward Bolter nor Carl Edward Bolter is able Dr wilUrng
I hereby nominate, constitute and appoint my husband, GORDON EDWARD
I to
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serve, then I nominate, constitute and appoint CCNB BANK, N. A., aa Executor.
VI.
No fiduciary acting under this Will shall be required to post bond
Ilin this jurisdiction or in any jurisdiction in which he may act.
01
:! IN WITNESS WHEREOF, I, MARJORIE H. BOLTER, the Testatrix, have unto
!I this, my Last Will and Testament, set my hand and seal this 1 ~ day of
/....r7ZtUl,.(.f, , A. D., 1992./)
Ii /:. /,,(/~1'C.~. .1f fi iY-(CZ-'l,/ (SEAL)
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LAW O"ICI:.
JON F. LAFAVER
SI1 THIRD .TRaCT
HlW CUMBERLAND, PA
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ii SIGNED, SEALED, PUBLISHED and DECLARED by MARJORIE H. BOLTER, the
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t!above-named Testatrix, as and for her Last Will and Testament, in the presence
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[lof us who have hereunto subscribed our names as witnesses at her request, in
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i! the presence of the said Testatri,x and in the presence of each other.
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Nt'" CUMDERl..ANllf PtNN5YI.VANIA 17070
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REGISTER OF WILLS OF COUNTY
OATH OF SUBSCRIBING WITNESS
codicil
(each) a subscribing witness to e will presented herewith,
law, depose(s) and say(s) that
) being duly qualified according to
present and saw
the testa'
signed llS a witness at the
he presence of each other) (In the presence of the
Sworn to Dr affirmed alld s
me this
scribed before
day of
19_
Register
(Name)
(Address)
REGISTER OF WILLS OF CUMBERLAND COUNTY
OATH OF NON.SUBSCRIBING WITNESS
II
(each) a subscriber hereto. (each
THEY ARE
// ~t 2~H""/ 2.?~
being duly qualified according to law. depose(s) and say(s) that
familiar with the signature of MARJORIE H. BOLTER
OO\UO!!<X
will
testa! or
presented herewith and
codicil
bellev~ the signature on the will Is In the handwriting of
of (one of Ihe subscribing witnesses to) Ihe
that
THEY
to the best of THEIR
MARJORIE H. BOLTER
knowledge and belief.
Sworn to Dr affirmed and subscribed before
me this 28th day of
AUGUST 1 95 . '/ ' '
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----v Register C~
J fName)
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
15-5/-/~
BUREAU aF INDIVIDUAL TAKES
IHttlRlTAHct IA. DI'II'ION
DCPJ. 111'01
UAU1IIURO, PA un,-oul
NOTICE OF INHERITANCE TAK
APPRAISEHEN1, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENl OF TAK
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MAKE CHECK PAYABLE AND REMIT PAYMENT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .....
ii'iv:isW-E'iC-"FP-Hii-:m"-iliiricniFuiriHEiiiTANCi"TAinippiiAisEHEilT~--"r.LciiiANCi-iiR-"--"--"------"--
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF BOLTRR MARJORIE H FILE NO,21 95-0635 ACN 101 DATE 04-28-97
TAX RETURN WAS' C I ACCEPTED AS FILED ex I CHANGED SEE ATTACHED NOTICE
RESERVATION CONCERNING FUTURE INTEREST " SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..l Estat. (Schedule A)
z. Stocks and Bonda (Schedule 8)
5. Cla..ly Hald stock/Partnership Inter.at (Schedule C)
4. Hortg.gaa/Hot.. Recaivable (Schedule DJ
5. c..h/Sank Depolita/Hila. Parlonal Property (Schedule E)
6. Jointly Owned Property (Schedule f)
7. Transfara (Schedul. 0)
s. Total An.t.
t...,.., lI.n 111.11I
DATI! April 28, 1997
ESTATE OF BOLTER MAIlJORIE H
DATE OF DEATH08-19-95
FILE NUMBER 21 95-0635
COUNTY CUMBERLAND
ACN 101
A.ount R...1Uad
MICHAEL CHEREWKA ESQ
3905 N FRONT ST
HARRISBURG PA 17110
ClI
C21
ISI
C41
t51
ID)
17l
135.900.00
18.373.00
.uu
NOTEI To tnsure proper
cradlt to your account,
.ub.it tha upper portion
of thla for. wUh your
tax pay.ant.
304.000.62
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funaral Expan.../Ad... Caats/Hhc. Expen... (Schedule H) (9) 26.866.37
10. Dabta/Hortgag. Liabiliti.s/Llans (Schedule Il 11O)? I t;A? R/.
11. Tobl0oductiono Clll ,l..lSl..21
12. Not Voluo of Ta. Raturn U21 279. ,68 .41
13. Charlbbla/Govarn.antal aoqu..t. ISchodula JI CUI .00
14. Nat Valua of Eabta SubJ.ct to Ta. U41 279 . ,68 .l1
NOTE: I~ an assessment was issued previouslY, lines 14/ lS and/or 16, 17 and 18 will
re~lect ~iguras that include the total o~ ALL ra~urns ass~~d to date.
ASSESSMENT OF TAX: r.: Co '0 "!'J 1P
15. Aaount of Lina 14 at Spou.al rat. 1151 .00 -., ,X .00.." y ,00
16. Aaount of Lino 14 b.abl. at Lln.ol/CI... A rata U61 ?7Q I ~I',R /" X .06. 161,762,10
17. Aaount of Lin. 14 ta.obl. at Collabrol/Cla.. a rata 1171 .00 X .15';;;: .00
18. Principal Tax Du. (18) I 1 h I ?h? .10
~
TAX CREDITS I
PAYHENT
DATE
RECEIPT
HUHaER
DISCOUNT C +1
INTEREST/PEN PAID C-I
05-15-96
AA112843
.00
INTEREST IS CHARGED FROM 05-20-96 TO 05-12-97
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
.00
111 .253.69
48.295.93
.00
cel
AHOUNT PAID
16.644'.60
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
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. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN n, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREOn" ICRI, YOU HAY aE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. I
16
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RlStRYATlONI
E."t.. of dlcedent. dying on ar b.far. Olc.-b.r It, 1912 .. If any future lnt.r..t In the ..t.t. .. tran.f.rred
In po.....lon or enJor-ent to el... . (00111.,rsl) ~flcl.rl.. of the dlc.dent .'t,r the ..plr.\lon 0' any ..,_t. for
11" or for y..t., the C~.lth ~reby IWPr...lv r...tv.. the rlaht to ."r..,. end ...... trent,.r lnn-rltlnCl T....
at the l..ful el... . (col11',r.l) rete on env ,uch future Int.r..t.
PlJIIPO$f;llI'
NOnCE,
To fulfUI the rltqUlr...ntl of SIOtlon UU of tM Inh.rltllnu Met E,td, r.. Act, Act Zl of '995. (n P.S.
Section 9140).
PAV1IEHT I
O.tach tM top portion of this Hotlu MCI ,ubllt wlth your Plpent to the R.,ht.r of NU" prlntH on the r.Vlnl .lde.'
."Kakl cMc:k or 80MIy order plv.1. tal REGISTER OF MILLS, AGENT
R[f1HI (eA) I
A nfund of . hie creelit, which .... not requ,.tld on thl TalC R.turn, ..y bl r.qu..tld tlV cOtlPl,Unt .... '"Appl1uUon
far R.'WMt of Pennnlvanl. l"".rltMCa and E.tata T..- (REV-UU). Appllc.Uon. ara ,..,aUabla at \hi O,UCI
of \hi A..l.t.r of Will., any of thl IS R.venu. Dl.trlct O'flc.., or by c.llln. tha .pacl.1 14.hou~
an.wa~lng .ar..,lc, nuab.r. fo~ for.. o~d.~ln'l In Pannlyl..,anl. I-IDD-16Z-1DSD, out.lda pann.ylvanl. and
within local Harrisburg .r.a (717) 717-1094, TDDI (717) 77Z-Ztsl (Ha.rlng lapal~ad Only).
OBJECTIONS I
Any p.~ty In Int.r..t not .atl.fled with the appral...ant, allowanca or dl..llowanc. 0' deduction., or ......-.nt
of tax (includln. dhcOU1t or Intar..U I' shown on thll HoUc. ....t obJ.ct within l1.ty (6') d.ys a' rK.lpt of
thll HoUca b~l'I
.-wrlthn protllt to tM PA aap.rt.'nt of Aallanu" Bo.rd 0' App..h, Dapt. lIlDZl, H.rd.bur., PA 17121-1021, OR
--.Iactlon to hava the a.tt.r d.taraln.d .t audit of thl .ccount 0' thl p.r.onal rapr...ntat1..,., OR
__~.I to thl OrphM.' Court.
APHIH
ISTAATlVE
CORRECTIONS I
factual .rror. dl.co..,.rad on thl. ........nt should b. .ddr....d In writing tal PA Uap.rtaent of Ra..,anua,
Sur.au of Indl..,ldUal T...., ATTHI Po.t A.....aant Ra..,l.w Unit, Dept. ZID6DI, H.rrlsbur., PA 171ZI-D601
Phone (717) 717-'SDS. Sa. p.., 5 of the bookl.t -In.tructlon. for Inh.rltanc. T.. R.turn for a A..ldent
Dec.dent- (REV-IS01) far an ..plln.tlon 0' ad.lnl.tratl..,.I>> corr.ctabl. .rror..
If any t.. dua I. paid within thr.. (1) calend.r .onth' .ft.r the dac.dent's d..th, . fl.." pftrcant (SX) dl.cOU1t of
thl talC paid 11 .ll....d.
Th' lSX t,. .-ne.ty non-p.rtlclpatlon ,an.lty I. c..,utad on the tot.1 0' \hi t.. ~ Int.r..t .......d, .nd not
paid b.for. Janu.ry II, 1"6, the flr.t day aft.r tM .nd of the ta. ..n..ty p.rlod. Thl. non-p.rtlclp.tlon
pan.lty I, appellabl. In thl .... aannar ~ 1n the the .... tl.. p.rlod .. vou would app.al the ta. and 1nt.ra.t
that hi. bMn ......ad .. Indlcatad on thh noUc..
DlSCDUNTI
PENAL TV I
INTEREST I
Int.r..t 1. charg.d beginning with flr.t d.y of d.llnqu.ncy, or nine (,) aonth. and one (1) d.y frDe the d.t. of
cM.th, to \hi data a' paynnt. Tan. whld1 b.c... delinquent bafora JMUary I, 1982 b..~ Int.r..t .t the rat. of
.1. (IX) parcent p.r annul c.lcul.tad .t . d.lly r.t. of .000164. All t.... which bac..' dallnquent on and a,t.r
Jenuary 1, I'll will ba.r 1nt.r..t .t a rat. which will ..,.~y 'roe c.lend.r v..r to c.l.nd.~ V..r with th.t rat.
~ad by the PA Dep.rtaant 0' A...,anua. The .ppllcabl. Int.r..t r.t.. far l'IZ through 1997 .ral
!!!r Int.ra.t R.t. O.llv Int.r..t Factor ~ Int.r..t A.t. J!!!! Y Tntarad Factor
1982 lOX .ODD541 1917 'X .DDDZ47
1911 16X .ODD4S1 19a1-I991 llX .DDDSDl
19" llX .0DDJn 1... 'X .ODDlU
l,aS l!X .00DSS6 199)"1994 TA .DDDl'Z
19" laX .DDDZ74 1"5-1997 .~ .0DDZ47
"-Int.rllt I. c.lcul.tad .. follow..
INTEREST . BALAHCE OF TAX UNPAID X HUHBER OF DAYS DELINQUENT K DAILY INTEREST FACTOR
--Any Notlc. l.sued .,t.r the ta. bee.... d.llnquant will r.'l.at an Int.r..t calcul.tlon ta fiftean (15) day.
bI~ the d.t. 0' thl ......eent. If p'vaent I. .ad. .,t.r tha Int.r..t coaput.tlon d,t. shown on the
Hot1c., additional lnt.r..t ~.t be c.lcul.tad.
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BUREAU Of INDIVIDUAL TAXES
IHIICIU rANeE TAW DIVISION
DlPr. 110601
HARRISBURC, Pi 1111'.0601
COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT OF REVENUE
'*
NDTICE Df INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
Df DEDUCTIONS AND ASSESSHENT DF TAX
.
DATE AfJ)'i} 28, 1997
ESTATE OF BOLTER MARJORIE H
DATE OF DEATH08_19_95
FILE NUMBER 21 95-0635
COUNTY CUMBERLAND
ACN 101
AMount R.MJtt.d
"'.11'6/"",,,,,,,.
T;-'I':I !~}(r:li'l; Inri ~
MICHAEL CHEREWKAI ~~Qr..L ... ".,.. -':-1
3905 N FRONT ST j "I '''', \ (" 'I')~?J
HARRISBURG PA 17111/~~~:,,~:~:,:.T:i~:.~~.}J
.6....................................._
MAKE CHECK PAYABLE AND REMIT PAVMENT To:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE PA 17013
CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOlt" YnUR RECORDS
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'U~'AU 0' INDIVIDUAL fA!!!' . ..
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TAX EXAMINER, . 1)
I Ij 'V C
PAGE
..
fll
CBRTIFICATION OF NOTICB UNDBR RULB 5,61al
-;-\
, ::ll
Name of Decedent 1
MARJORIE H. BOLTER ,:,'1- 'I ;" ,,:: :.'
Date of Deathl August 19, 1995
To the Registerl
,i
.... (
I certify that the Notice of Beneficial Interest req~ired by
Rule 5.6 (a) of the Orphans' Court Rules was served or mailed to the
following beneficiaries of the above-captioned estate on
September 25, 19951
&ME
ADDRESS
Carl E. Bolter
11605 Havenner Court
Fair Fax Station, VA 22039
119 Wood Bird Road
Newton, Mass. 02164
Henry Bolter
Andreas B. Campbell
Village Road
Green Village, New Jersey 07935
Notice has now been given to all persons entitled thereto under
Rule 5.6(a) except: NONE.
Date: October 10, 1995
t:. 'tp!e,
M chael Cherewka, Esq.
3905 North Front Street
Harrisburg, PA 17110
(717) 232-4701
Capacity: Personal
Representative
X Counsel for
Personal Representative
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COMMONWI~1tI1 m PfNNUIYAUlA
or,.'" MIN' Of .(YfNUI
om 110'"1
U...UIUU!O,.... 11 n~~.I_ _ ___
M I ,I ,A j loll
1.5- SI - Id-J
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
.01 DATIl o. DIArH Ann 1"21191 CHICK HIli
1/ A SPOUIAL .
'OVlln CIIDIT II CLAIMID I I
PILI HUMIII
..JlOL'IE!ld'lllUJOJUE.III_-C'_--_."----'--l _.. , 911 M..rJon 11000
'OC"A, 'leu'lIt' HUMt" DATI OJ DIAIl! (1.11 01 111'11 BUP llill, P^ 17011
1'15-32,,0521 6/12/2.5... __ Jl5nO/191~.. c~"rC::\.I!.,p."dll!~-C:QU1'l!:Y_,__
I" ......"'....'''.0 110011' ..."".. ,'OU ... .",,,, ,.".." 'O<'Al IICU"" IIUMII,~__.JA:OUNlII"'~O 1111 ".. 'oCl'Oll"
Xi I. O'lglnol A,turn tJ 2. Suppl.m.ntal R.turn 0 3. Remainder R.turn
Ifor dol.. 0' d.alh p,lor 10 12013.821
o S. f.d,ral ElIol. Tall R.turn Requlr.d
1.. B. Tolal Numb., of Sof. D'poIU Bo....
[J .to, Futur. Inl.,.1I Compromh.
(for da'o. of d,alh of", 12.12,821
D.c.d.nl DI.d h,lal. 0 7. D,c.d,nt Maintained 0 lIylng TruI'
IAlla,h 'apy of Willi (Alla,h 'apy of T,u,'1
ALL COlllllll'ONDINCI AND CONflDENnAL TAX INfORMATION SHOULD BE DIRECTlD TO,
NAMr COMPUIf MAllINQ ADoun
I INII I
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21
(OUNlV (OOf
1l1(1111'41'. COMPIII"IAOO'..,,"
1995
.. VfAR
1l1l635
NUMlf~
lil~
....
..",
file
Es .
3905 North Front Street
Harrisburg, PA 171117') :D
em \Cl
III 126.078,00 b"' tr~ n
1,\ ~ (,(3
121 18,373,00 r, ;,icf-
~ . (.
(3) (1 - ~~ (~!
I ~ I ~ IJl
\ ~, <("..,
( 5) 111.253.69 f I) 3l :,.., aj
() N Wo
46.077 ,02 :Dc i.Ji
(6) ~~ -
~ 00
171
18 ) 301.781,71
191 16.783,95
1101 7.587,84
1. Rial E.lo'o IS,hodul. AI
2, 510'" and Band. IS,hodulo B)
3. Cloltly H.ld Stoc./Pol1n.nhlp Int.,..t (Sch.dul. CJ
4. Mortgage. and Nol.. R.c.lvabl. (Sch.dul. OJ
5. Cash, Bonk D'polits & Mlle.lloneoul P,nonal Prop.rty
IS,hodulo EI
6, Jolnlly Ownod P,oporty IS,hodulo FI
7, T,an,fen(S,hodulo G)IS,hodulo II
'0. Tolal Gron AU"I ('olallln., 1.71
9. Funeral EXplnlt', Admlnlstratlv. Co.Il. Mlle.llon,oul
Expens.. (5ch.dul. H)
10, O.b", MortSaso lIablll,I". 1I0n'IS,hodulo II
11. Talol D.du"lan. (Iolalllno' 9 & 10)
12. N.t Valu. 0' EUat. (lIn. 8 mlnullIn. 11)
13. Charitable and Gov.rnmental Bequests (Sch.dul. J)
14. N,t Valu. Sub.et 10 To_llIn. 12 mlnu, lIn. 13)
15. Spou,ol Tron,f.n (for dales of d.alh aft.r 6.30.94)
5.. In'lrucllon, for Af,pllcobl. P.rcentag. on R.v.rs. (IS)
Sid.. (Includ. values rom Sch.dul. K or Sch.dule M,)
16, Amaunlaf Uno 14 la,ablo 016% '010 (16) 277 ,409.'12
(Include values from Schodul. K or Schedul. M.I
17. Amount of lIn. 14 laxobl. 01 15% role 117)
(Include values from Sch.dul. K or Schedul. M,I
lB. Principal tox due (Add lox ',om lines IS, 16 and 17.)
19. Credits Spoulal Pov.rly Cr.dit P,lor Paym.nl' Ol"ounl Inler..1
+ +
20. If lIn. 191, greal.r than line lB. .nl.r ,h. differonce on Un. 20. This I, Ihe OVERPAYMENT.
E! 0 ...:r:r::I!'II.......I_.l..I'..II.......I.I~'...'I...I.. rrr:T:-="_......_.~.1.....1.~'1.'., ....
21. If line 1B I, gtealer than line 19, enler Ihe difference on line 21. Thi, Is Ihe TAX DUE.
A. Enler IhelnlereU on the balance due on line 21A.
8. Enter Ihe 10101 of line 21 and 21A on Line 218. This Is the BALANCE DUE.
Malee Check Payable tal Regl'ter of Will" Agent
BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH <II(
Under penalties of perfury, I d.c1ore Ihat I hove lJIamlned Ihls relurn, Including accompanying lChedul.. and stalements, and to Ihe bOlt of my knowledge and belief,
It Is I,u., (orrect and (omplele, I declare that 011 real ellale has been repOtlee at true market value. Oecla,olion of prepar'r 01 her Ihan Ihe penonal representative Is
bostd on 011 Information of which preparer ny knowledge.
SIGNA , SON U 0 lE f 'U~N ADD~US DAlf
'"
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S
1111 24.371. 79
(12) 277.409,<)2
(131 ocm
II~I 277.409,<)2
)(._-
)( .06 II 16,644,60
)( .15 .. 0,00
(18) 16.644.60
(19) 0,00
(201
(21) 16,644,60
(2IA) 0.00
(218) 16,644,60
t:tLScht:dulELAttacht::d
ADOllns
3'105 North Front Street
Harrisburg, PA 17110
Ma~~96
".S/flt1Jp
.-'...-.....~. ,- ._<..~."...
. . Estate of I Ml\RJmIE H. BOUl'ER
21-1995-00635
'l11e follCMiIYJ perea1B are signing the return as representatives of the estate I
earl Bolter
11605 Havenner cnu:t
Fairfax Statioo" VA 22039
,
,
,
"
"
'-}
"
"
21-1995-00635
.' Estate of I M1'IRJaU8 H. BOI.I1'ER
St.J+lARY OF 1\LlDCATICNl 'IO BJimFICIJ\RIBS
Class A
earl Bolter
Henry H. Bolter
138,704.96
138,704.96
277,409.92
REV-ll102 EX + (12-00)
SCHEDULE A
REAL ESTATE
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
1!8TATIl OF FILl! NUM8ER
MARJORIE H. BOUTER 21-1995-00635
(Property J.lnUy-ownod wtth Rlght., 8urvlv.rahlp mu.t b. dl.cr...d .n Sch.dul. F) All .111 ....1. .h.uld b. rep.rt.d .tl.lr m."',' v.lu.
which I. dlftnod .. the prtc. ., which prop.rty would b. ..ch.ng.d b.tw..n . wtlllng buyer .nd . wtlllng ..II... n.lth.r b.lng c.mp.lI.d
10 b .. ..11 both h.vln r....nabl. knowl. . ., the "I.v.nll.c,",
ITEM
NO,
DESCRIPTION
VALUE AT DATE
OF DEATH
1
126,078.00
2911 Meriod Road
Borough of Canp HiJl,
C\.tmberland O:lunty, Pennsylvania
TOTAL Also ontor on Ilno 1. ROCD Ituletion
(II mora spaca Is nood.d, In..." addlti.nal shoolS .f sama slz.,)
$
126 078.00
I
i'
PAl15021 NT' ""
CapfJlghl Fo,m, sorew.,. On11, un14 N.tcotlne. N14PA02t
...__.._....4,.~....~JJ;
; :~":';
-~,
-'...'..
I
nIV.1IDS EX. C4-1I)
'. COMMDNWlAllftO' PENNlIYlVANIA
INUlnlTANCE TAX nl1UnN
nUIDENT DECEDENT
SCHEDULE B
STOCKS AND BONDS
I!8TATI! Of'
FILl! NUMBI!R
MAR.JaUE H. IlOUl'ER
(All properlY 10InUy-own'" with Right D' BurvlvDrahlp mu.t bl clI..lo.... Dn Bch"'ull F,)
ITEM
NO,
21-1995-00635
DESCRIPTION
VALUE AT DATE
OF DEATH
1 Exxon Cbrporation
232 Shares @ $64.00
2 Cblurrbia Gas
150 Shares @ $23.50
14,848.00
3,525.00
TOTAL Also .nlor on Ilno 2, Roc. l1ulol1on
(If mor. opoco I. noodod, Inoort oddll1onol ohoo" of IOmo oIz.,)
s
18 373.00
PAl5031 NTF 1m
Cop)'fillhtForma Soltwar. Onty, '11I4 Ntlco,lnc. NII4PAD"
.. ..._"-4.i""'~i..'~,.t~J:," :_,~_
t...
,,,,'
RIV.\,..lX.(..III
SCHEDULE C
CLOSELY HELD STOCK,
PARTNERSHIP AND PROPRIETORSHIP
!
PloIIO Print or 0
DESCRIPTlDH
FlU! NUMBER
21-1995-00635
!I\\llierUlili'. lI,torahl "lllililiIIiIHlllllilllll'II!II. 1111I1111I11I111111
VALue AT
DATE OF DEATH
None
TOTAL Also onl0r on llno 3, RocI 1tullllon S
(It moro Iplclls noodod, Insortlddlllonlllahoots of aarno alzo,)
0.00
PA1&041 NTF "13
Copyright Form. Softwarl Only, 1984 N.lco,lne. N84PA041
.
,
"IV.I'" IK'I'.'"
COMMONWeALTH OF PENNSVLVANIA
INH!RITAHC! TAll R!TURN
R!8ID!NT D1!C!Il!NT
SCHEDULE D
MORTGAGES AND NOTES
RECEIVABLE
o
Plea.. Prlnl or
FlU! HUMB!R
!8TATI! Of
21-1995-00635
Ml\RJCR!E H. OOIll'ER
All oln -ownad wtth tha RI 1 ot Survlvorahl mual ba dllclolad on 8chldull p,
ITI!M D!8CRIPTION
NO.
VAl.U! AT
DATI! OP DUTll
None
TOTAL Also ontor on IIno 4, Roco ItulaUon $
(II moro opoco 10 noodod, Inoor! additional ohoots oloama 0120,)
0.00
PAl5071
NTF1U4
Copynaht Form. Softwar. 0"ly.1114 N'lcollne. "g4PA071
'i
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I'~
.~
'"
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AIV-!IOIIXt ('..'1
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELlANEOUS
PERSONAL PROPERTY
PIolSO P,lnt Dr 0
FILE NUMBER
COMMONWEALTH OF PENNSYLVANIA
INH!IIITAHCE TAll RI!T\JRN
RESIDENT DECEDENT
ESTATE OF
MTlRaJCRIE H. I3OlIl'ER
All DlnU -owned wtth tho RI ht DISurvlvorohl
ITI!M
NO,
21-1995-00635
mUI' bo dllclolod on Schodulo
VALUE AT
DATE OF DEATH
OI!8CRIPTlON
1 1990 Pontiac
4,050.00
I';
I
2 Personal Prq:lerty
J\j;praisal fran O::lstea's Auction
3 Dauphin Deposit Bank & TnlBt 0::lTpany,
J\ccoont No. 0016389549 (01ec:kitY:J J\ccoont)
4 Harris Savings Bank
J\ccoont No. 10-03-002101 (Savings J\ccoont)
5 First Federal of HazTiBbJrg
J\ccount No. 0240152559 (Certificate of Deposit)
6 Harris Savings Bank
J\ccoont No. 10-53-271063 (Certificate of Deposit)
3,395.00
9,937.32
73,060.38
10,429.78
10,381.21
TOTAL Also onlOr on Ilno e, Roc
(Attoch Iddltlonal 81/rt' x 11' Ihoots II mora Ipocois n..dod,)
111 253.69
s
PAtri081 NTF "10
Copyt'llht Form. Sollwar. Onl"1114 N.lco,lne. NI4PAolt
REV~1eoa EX. (12-08)
COMMONWEA~TH OF PENNSY~VANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATI! OF
MARJORIE H. BOlJI'ER
SCHEDULE F
JOINTLY-OWNED PROPERTY
FILl! NUMBER
21-1995-00635
Joint IInlnl(l):
NAME
ADDRESS
11605 Havenner CbUrt
Fairfax Station" VA 22039
RELATIONSHIP TO DECEDENT
Son
A Car Bo ter
Jotntly-ownod proplrty:
LEnER
ITEM Fan
NO. JOINT
TENANT
DATE
MADE
JOINT
TOTAL VALUE
OF ASSET
DECO'S
"INT.
DOUAR VALUE OF
DECEDENT'S
INTEREST
DESCRIPTION OF PROPERlY
1 A
York Federal Savings & loan
Association. ,
Account No. 090-693045
York Federal Savings & loan
Assoc .
Account No. 800-0003208
York Federal Savings & loan
Association
Account No. 800-0005810
13,378.47
445.06
2 A
27,189.11
3 A
4 A
York Federal Savings & loan
Association
Account No. 800-0010056
5,064.38
PA15091
TOTAL Also onlor on IIno e, Roco 11"'oUon $
(If moro spsce Is noedsd, In...n sddlUonsJ shoels or ssmo slzo,)
46 077.02
NTF 121M
Copyright Form. Sollwl" On I)', 1i1iot N.Ic:o,lnc. Na4PAOll1
'_.._.""...,.,.-,.."'..,"..,....,,.."",.,,',.,-,.,
., .,.._.~."., ,'i, ,;,- ','
I.
nEV~tDtD EX. (2-07)
COMMONWEALTH OF PENNSVLVANIA
INHIIIITAHCI TAX 11I1\IIIN
RI!IIDI!HT DI!CI!DI!HT
SCHEDULE a
TRANSFERS
PLEAse PfIINT OR lYPI!
MARJORIE H. DOUTER 21-1995-00635
THIIS lICH, MUIST ISI COMPLI!TI!D . FIU!D IF TIll ANSWI!R TD ANV DF TIll! QUI!STIONS ON TIll! RIVI!RSI SIDI OF COVIA SHII!T IS VIIS.
DESCRIPTION OF PROPERlY DECD, DOL~R VALUE
ITEM Induda nama Dr 100 ~lnllOloo, IhoIr EXCLUSION TOTAL VALUE % OF DECEDENrS
NO, ,a1ll1on,hl'la dClC8donl dlta 01 ~lnIIOf. OF ASSET INT, INTEREST
None
TOTAL rAlso antar on IIna 7, RocIDltulaU.n) S 0.00
PA1StDl
(II mora "p"CO '" noodad, Inion IddlU.nll IhoolS .1 18Il1O 11'0,)
NTF t21rA
Copyrlghl Forml Sortw." On1r, 111114 Nllco, Inc. NII4PAt01
AlV~ '" I E..I'-lIl
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
Pi.... Print or Typo
FlU! NUMBI!R
21-1995-00635
..
COUMONW[~lTII Of' rEHN8VlVANIA
INttEnlTANC[ TAl "(tUAN
n[DIDENt OECEDENT
I!BTAT1! OF
MMJmIE H. BOLTER
ITEM
NO.
A. Funoroll!lqlon,,":
OI!BCRIPTION
AMOUNT
See Schedule attached
Total fran =ntinuation page (s)
B, AdmlnlllrlUvo COlta:
12,037.35
1,
Poruonal Roprosontattvo COnvnlsslons
SOclal5ocurlty Numbo< 01 poruonal Rop,o..nlaUvo:
Voar COnvnlsslans paid
0.00
2, Anomey F..s
Name: Michael Cherewka, Esq.
3, FlIIl1ilv E>compUan
Claimant ROlaUan,hlp
Add,... 01 Claimant at docodont'a doalh
Stroot Addro..
3,500.00
0.00
City
Stato
Zip COdo
4, Prabato F..s
0.00
C, Mlsconlnaaua Exp.na..:
1 Probate Fees
368.00
88.60
40.00
750.00
2 Patriot News
3 OJmberland Cbunty Law Journal
4 J\ccoUntant fees paid
TOTAL Also onto, on IIno 0, Roc IlulaUon $
(If more apace Is needed. Inllrt addlUonal sheets of 81me 8Ize.)
16,783.95
PA1511l NTF 1211
Copyright Forma Soltwar. ani)', t\1I14 NalclI,lnc. Ng4P.A111
.. Eotate of I MARJmIE H. OOumR
SClmJLE II, PART ^ .. F\.u1eral Expenses
Page 2
21-1995-00635
Item
No. Oeacriptioo
~t
1 Myers F\.lnerallbne, Inc.
2 Fla.o.'elll
3 Food/Meals
4 Travel/U::x%Jing
5 Rolling Green c:aretaxy
1,770.00
862.26
3,278.15
6,099.94
27.00
'lUI2\L. (Carry forward to rrain schedule) . . . . . .
12,037.35
nIV-."UUt(tlIJI
COMMONWEA~Tfl or "(NfojDY~VANIA
INtlEnITANC[ 'A. lu'unfoj
RUlIDEN'DECEDENT
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES AND LIENS
I!STATI! OF
MARJORIE H. OOIJI'ER
ITEM
NO.
DESCRIPTION
1 1995 Federal Incane Tax Return
2 1995 PA State Tax Return
3 CaJTp Hill Borough Taxes
4 Boa=vs Oepartrrent Store
5 RiteAid Phartracy
6 Pennsylvania I?c::Mer & Light
7 001
8 Zeplin Security
9 Bell Atlantic
10 PA Water (b.
11 Dennis O:Mley's Lanscaping
12 Termite O:lIltrol
13 Christine's Cleaning Service
14 Realtor (bsts
15 Charles Schwab - Legal Fees
16 Sheridan & Fritz, P.C.
1995 Incare Tax Returns
17 John Boback Renovations/Restorations
18 Hechinger's
19 Miscellaneous
20 Cbstea's Auction SeJ:vice
TOTAL Also onlor on IIno 10, Roca Itulalion
(U moro spaeD Is noodod,lnsor1 additional shoots 01 sarno slzo.)
PA15121
HTF 2110
Copyright Forms Soltwsr. Only. 1l1li14 N.lco,lnc. NII4PAt21
Pl.... PrInt or 0
FIll! NUMBER
21-19'15-00635
AMOUNT
$
2,535.00
592.00
1,327.43
90.70
141.48
95.53
13.43
10.00
37.75
23.64
381.00
768.50
53.00
43.00
50.00
700.00
75.00
25.38
500.00
125.00
7 587.84
,
- - -. ~. - . --. ..
-
. -.....
:-:.
LAST WILL AND TEL.~NT
OF
HAtJORIE H. BOLTER
t, MARJORIE H. BOLTER, of Camp Hill, Cumbarland County, Pannaylvania
baing of aound mind, memory and underetanding, do horeby maka, publiah and
d~ci.r. thi. .a and for my Last Will and Teetament hereby revoking and making
, ,
void any and sll other wills by mo at any tims herstofore made,
I.
I direct that my Exscutor hereinafter named ehall pay all my just
and funeral expenses as soon as conveniently may be done after my deceas.
II.
All the rest, residue and remainder of my estate. whether real,
~ ,~Iunto my husband, GaRcON EDWARD BOLTER, if he survives me by a period of thirty
~
~;days. If my said husband does not survive m: by a period of thirty days, then
;
'this gift to him shall be divested and I then give, devise and bequeath my
,~II
\\!,entire estate as follows: .
,.Iii
. ~I
~
or mixed, and wheresoever situate, I hereby give, devise and baqueath
A.
One-third (1/3) unto my daughter, ANDREAS BOLTER CAMPBELL.
B.
One-third (1/3) unto my son, CARL EDWARD BOLTER.
C. One-third (1/3) unto my son, HENRY HELMS BOLTER.
"
III.
LAWOf'IPICU
JON P'. LAP'AVQ
.17 ,"IIID .-nUT
HlrW CU".IIJILAHD. ,,,
i,
I:
I!furniture, household equipment and tangible personal property to the extent the~
Ides ire the same and can agree among themselves as to the distribution. In the
jevent my children cannot agree upon such distribution, then my Executor shall
imake the final detarmination.
I
I
,
I
I
I
I
I direct that my children shall divide among themselves all of my
Pags one of two Pages
.
LAw OI'PICC.
JON '. u"'''''ltft
.., THIIID "'''.n
Haw CU".IIIL.Um. 1'.
r hereby nominate, conetitute and apllOint CCNB BANK, N. A., ..
,
ICuardian of the eatates of any minora who may take 8 share under thi. Will.
,
II
'BOLTER, aa Executor of this, my Last Will and Testament. If the aaid Cordon
i'Edward Boltar should predecesse me, fail to qualify or cease to act as SUch,
I <b" , '""""" """",. ',d .""" ., "'. "" '"'... DO,,,,. ., """,
I
! If naither the said Cordon Edwsrd BOlter nor Carl Edward Bolter is able or ~
i to serve, then I nominate. constitUte and appoint CCNB BANK, N. A., as Executor
II VI.
I
i
v.
I hereby nominate. COnstitUte and appoint my hU.band, CORDON EDWARD
"
No fiduciary acting under this Will shall be required to post bond
,Iin this jurisdiction Dr in any Jurisdiction in which he may act.
IN WITNESS WHEREOF, I, MARJORIE H. BOLTER,
the Testatr~~, have unto
"..ref .
I - day or
:jthis. my Last Will and Testament.
~(L"Z.t.(, , A. D., 1992.
set my hand and seal this
,/j
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Ii SIGNED, SEALED, PUBLISHED and DECLARED by MARJORIE H. BOLTER, the
I
'I
/,above-named Testatrix, as and for her Last Will and Testament, in the preaenc.
./,( .. -'b' b,., h..."" "",,<h,d ,.. ,.... .. .",..... .. b.. """'. '"
ii
:1 the presence of the said Testatrix and in the presence of each other.
/I
II
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II
II
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.
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Page two of two Pages
COMMONWIALTH 01' PINNSYLVANIA
COUNTY 01' CUMIIIlLAND
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wllhln h ,n Inv,nl.ry m.d. brJ_ltlM I ( I _J II I( t \;fU-~ L1'iO~, the Illd ( II
of the .ntl,o ..t.I. .f 1.ld d.c,d.nl, c.",htlno .f .11 Ih. p....n.1 p'op'..t~ ....t., I'C.pt .ul ..tit. 0 ..Idl
th. C.mmonwullh of P.nn.ylv,nll, .nd th.t th. flou,,, opp..II, each It.m of thl Inv.nto.y ..p....nt It'l fllr v.lu.
.. of tho d.le of d.c.d.nl'. d..th.
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& 2:&>>
19 !1.i.L
Execulor . Adml"lstr.t.r
11605 HBv",nner Court
\.
nri Seal
Dana L. Wlas.man, No~ PubIJo
H.rri8borg, D.uphln COonIY
My Commission Explreo M.rch 6'. 2000
Member, Pennsylvania Assoclallon 01 Notariss
Fairfax station. VA 2203'1
Addr...
Oat. of O..th
19th
o'Y
1995
Vu,
AUGUST
Month
INSTRUCTIONS
I. An Iny.ntory mu" b. fll.d within thr.e monlh. .ft.. appointment of pe..on.1 r.p....nt.t1v..
2. A .upplement Inv.nlory mu" be fII.d wilhin Ihirty d.ys of dl.covery of .ddltlonal .......
3. Addltlon.1 .h.... may be .tt.ch.d II to personally 0' r.ally
4. S.. Article IV, Flduclori.. Act of 1949.
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Invonloty of Iho roal and pOllonnl oalolo of
MAlI.JOIUE II, IlOlmlll
1. 2911 Modoll ROlld
Cemp Hill, CUrbtlrlllnd County, ,,^
2. Exxal ShIlres (232 @$64,OO)
3, CollJTlbill GIlS ShIlI\-.ls (150 @ $23,50)
4. 1990 pontillc
5. Personlll Property
6. OIluphin Oepollit BBnk & TnIIlt Canpany
Account No, 0016389549
7, Harris Savings Bank
Account No, 10-03-002101
8, First Federal of Harrisburg
Account No. 0240152559
9. Harris Savings Bank
Account No. 10-53-271063
docoaBod
126,078 00
14,848 00
3,525 00
4,,050 00
" 3,395 "<00,
...i
_" 9,937 /3'2 :
" '.t I
'~...:.:. .' "
If,' "
- 73,060 38
10,429 78
10,381 21
=======
255,704 69
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RECEIVED FROM.
&
ACN
ASSESSMENT I!I
CONTROL WiI
NUMBER
AMOUNT
CHEAEWKA MICHAEL
390~ NORTH FRONT ST
101
\
.lb,bO\O\,60 ,'1'
ESTATE tNfOIlMATION.
II M eI-1q9~-Ob3~
eI AME O' DECEDENT lLA(1)
~ BOLTER MARJDRIE H
II DIi EO' PAYMENT
EI P05TMARK DAle
co N
SSN lq~-3e-o~el
IfIRS1) Mil
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HARRISBURG, PA
17110
CUMBERLAND
EO.DAlH
OB/19/q~
REMARKS MARJORIE H BOLTER
CIO MICHAEL CHEREWKA ESQUIRE
, SEAL CHECK" 1 06~
REGISTER OF WILLS
fa TOTALAMOUNTPAID .16,644.60
91 f),J DO .
RECEIVED BY ~{1'~L:JJ ~2I-C: '
MARV c, LEWIS:! Iftp~t1Jl~,t
REGISTER OF WILLS ,I .
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COMMONWtAlTlt 01' I'tNNOYlVAN'A
O[l'AII1MWI OF nnVlNUE
DURIAU 0' INDIVIDUAL TAXEI
l'Ef'r '801l01
HAllIlIonuno, r'A "1180001
, PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
.'
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NO.AA211343"tv'".'I:>I'''''
RECEIVED FROM.
r
ACN
ASSESSMENT
CONTAOL
NUMBER
AMOUNT
CAR~ EDWARD aO~TER
1160~ HAVENNER COURT
FAIRFAX STATION, VA
101
t1 il'7 , 99
ee039
FOlD HERE
ESTATE INFORMATION:
FilE NUMBER
FOlDHtRE -
NAME OF DECEDENT (LAST)
(FIRST)
(MI)
DATE OF PAVMENT
POSTMARK DATE
COUNTY
TOTAL AMOUNT PAID
*le7.89
DATE OF DEATH
SEAI!:HECI<* eO~6
REGISTEr~ OF WILLS
RECEIVED BY ~ L: L ;~
MARY C, I WIS S~/lt7~
REGISTER OF WI~~S t7
REMARKS CAR~ E ao~ TER
,
fiilIZ:':-~-~~----~~_.~.---:-:---..~"~.~_~~.--:-__:_____________~_~_
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J;iach the '" ,artlJ:iHhh Notice Md 'uNlt
,rln'" on the r.v.r.. .Id..
Mlth vour PIV.-nt .... ,.vllb.. ta the n... Md addrl.'
If AUIMHT DlC[DlHT .... check or IIOMV ord.r ,Ivlbl. tOI REGISTER OF WILLS, AGENT.
If NOH.R[IIDlHT D[CED[NT ..... check or "".v order plvllbl. tOI CO""ONWEALTH OF PENNSYLVANIA.
~D (CA)I A r.fund of . tlx cr.dlt, which M" not r.qul.tld on the T.x A.turn, .IV bl rlqu..t.d bv co.,l.tln, en
~Appllc.tlon far A.fund of penn.rlvanl. I~rlt'"c' and [.t,t. Tlx~ (AEY-ISIS). Appllc.tlonl ar. .vallabl. at
the O'flc. of the AI,I.t.r 0' Will., tnV of the ZS A.v~ DI.trlct OffiCI' or fr.. the o.p.rt-.nt.. Z'-hour
en'Mlrlng ..rvlc. ~.r' for for.. orderlngl In Penn.vlvenl. 1-.OD-S6Z-Zo5D, out. Ide penn.vlvanl_
end within local H'rrl.bur, .r.' (111) 111-1094, TDD' (111) 11Z-ZZ5Z (H.arlng ..,llred only).
REPLV TDI
OUe.tlon. r..ardlng arror. contaln.d on thl. notlc. .hoUld b. addr....d tal PA D.,art..nt of Ravenut, auraau
of Individual Taxa., ATTHI ,o.t 1".lleent ..vllM unit, D.pt. !10601. H,rrl.bur.,'" l11ZI-06ol, phone
(17) 117-6505.
DISCOUNT I
If any tlx dUe It p.ld Mlthln thrll U) c.leneter IlOnth. .fter the d.cedent., dllth, I flvI p.rcant (U) dhcount
of thl t.x paid I. .Ilowed.
PENALTVI
ThI ISX t.x .-nt.ty non-,.rtlclpatlon pen.lty I. coeput.d on the total of the tax and Int.r..t ......ad. and not
'lid b.for. Jenuary II. 1996, thl flr.t day aft.r the end of thl t.x .-n..tv period.
INTEREST I
Int.r..t I. char.ad b..lnnln. with flr.t dav of d.llnquencv, or nln. (9) lanth. and one el) d.v fr" the date of
d.ath, to the date of p'v-.nt. T.x.' which bec'" delinquent blfor. J~.rv 1. 191! ba.t Int.r..t at the r.ta of
.IM e,~) p.rcent p.t ~ c.lcula,.d It I delly rat. of .00DI~. All tIXI' which b.c... delInquent on and .ft.r
Januerv I, I,I! will baer Int.r..t .t _ r.ta which will v.rv fro. c.ltnd.r v..r to clland.r y.et Mlth that r.ta
ennounc.d by the PI D.pa,.t..nt of R.v.nu.. Th. ,ppllcllbl. Int"..t rat.. for .9n through 1"7 .re,
V..,. Int.,...t A.t. O.lly Int.r..t Factor Veer Intere.t ..te n.u)' Int"..t Factor
19n 'OX .DaD54' .'17 'X .aDU'"
191' lOX .aDD"1 1"1-1991 IU .DDUDl
I'" 11~ .DDUDI I'" 'X .0DOZ47
.'15 UX .DDU56 199'-1994 n .ODDI9!
.916 lOX .DDU" 1995-1"7 'X .DDU47
"-lnt.,...t It c.lculetld .. fol1owtl
INTEREST . IALAHCE OF TAX UHPAID X HUHIER DF DAYS DELINQUENT X DAILY INTEREST FACTOR
"-Anv Notice I,.ued .ftar the t.x b.e.... d.llnquent Mill r.flact en Int.r..t cI.cul.tlon to fifteen (15) d.v.
b.yond the d,te of tM ......."'t. If p.v.ent .. .tdI .".,. tM Int.rut co.put.Uon date thoWl on the
Hotlc., .ddltlon.1 Int.r..t lU.t b. cllcullt.d.
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Name of Decedent:
Date of Death:
STATUS REPORT UNDER RULE 6.12
MARJORIE H. BOLTER
Auaust 1'1. 1995
Will No.
1995-00635
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 the administration of the estate is complete:
x
Yes
No
2. If the answer is "No", state when the personal representative
reasonably believes that the administration will be
complete:
3. If the answer is "Yes" to No.1, 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
Clerk of the Orphans' Court and may be attached to
this report.
Date: MARCH lB, 1996
J1I~~
Michael Cherewka, Esq.
3905 North Front Street
Harrisburg, PA 17110
(717) 232-4701
Capacity:____PerscnalRepresentative
--X-Counsel for Personal
Representative
10,...CCE (1.1')
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