Loading...
HomeMy WebLinkAbout95-00640 , , ;,/! .L , ,~ \.t :." .J., ?:t:F:1';:/,~~, -, "",~,~"{ .- ":'".f)';."~<;o\ ~-~t ,., .f.' ':"'J'.:,,- .,-k.l,"i:~ "\ "'i ~ .;".' , i;. . .t \ ,\':..k ,-,' .,'''''-' OATH OF PERSONAL REPRESENTATIVE COMMONWI~ALTH OF PENNSYLVANIA COUNTY 01<' CUMBERLAND } ss on ,~ ; 'r~ :11 "'1.", , l.i '" hJ ;) ., I h' u; The petltloner(ll) above-named swear(s) or arnrm(s) that the statements In the foregoing petition are true and comctto the best of the knowledge and belief of pelhloner(ll) and that as personal representatlv~) of the above decedent pethloner(tl will well and truly administer the estate according to law. Sworn to. or arnrmed ~ subscribed {C;PAAV~' ?Jfw./~ before me thb 2 day..of . A~GUST , I 90 .' 1/Jt',A ri~;t^ ~o~_<R-?n t,?'J1 C l' (/ M . L: WIS Register (' ( No. 21 - 95 - 640 , Deceased GRANT OF LETTERS OF ADMINISTRATION AND 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 Jean R. Hel fric'h Is/~ntltled to Letters of Admlnlmatlon, and in accord whh such finding, Lelters of Administration are hereby granted to Jean R. Helfric"h wr:Jr, quire Estate of ROBERT I. MILLER ATTORNEY (Sup. Ct. 1.0. No.) 549 Bridqe st. New Cumberland, PA ADDRESS (717) 774-1445 PHONE Mailed lette~ and order to attorney on 8-28-95. In the estate of Robert I. Miller .t.. FEES Letters of Administration ..... S 70.00 Short Certificates( 3) .. . .. .. ... S ~ . 00 R I. S 10.00 eoupc atlon ................ s oj!; o.UU AUGUsr9!1t.L - S o4ygO Flied ................ 1. ... A.D. 19_ PI<:TITION FOR GRANT en: LETTEltS 01' AIlMINISTltATION Es/ate 0/ Robert I. Miller also known as Nn, _J22./- t::J5- (QLftJ Tn: ReglMer nf Wills fur the Cnunly or Cumber land III lhe COll1ll1ollwcallh of Pcnnsylvanla The petlllon of the underslgncd respectfully represcnls thaI: Your petltloner(.), who Is/OCR 18 years of agc or oldcr, apPlies for letters of admlnlstrallon on the estate of (d,b.n.; pendente IIlcj durante ablentla; duranle n\inurllaIC) the above decedent. Decendenl was domiciled al dealh In Cumberland County, Pennsylvania, wllh ~ is lasl family or principal resldcncc al 517 Park Ave. New Cumberland. PA. (lbl "recl, number and municipality) Decendenl,lhen 67 ycars of age, died Auqust 5 at pp.JU"!h RAlt NnrRing Hnmp ,19 95 Decendent al dcath owned property with cstlmalcd values as folUows: (If domiciled in Po.) All personal propert)' (If not domiciled In Pa.) Personal property In Pcnnsylvanla (If not domiciled In Pa.) Personal properl)' In County Value of real estate In Pennsylvania situated as follows: S 40.000.00 S S S Petltloner_ after a proper search halO.- asccrtalncd that deccdcntlcft no will and was survived by the followlnll spousc (If any) and heirs: Name Relallonshlp __Ft- Resldencc Mnrg~n, ~n'nr~nn 'Pl~;lIq;llnt \1~pw ~n ~nn fi." w L, " ), -\..- .f,. THEREFORE, pelltloner(s) rcspcclfully rcquest(s) appropriate form to the underslgncd. I,~ ~R. Helfrich i ,,- "il" ",0 g ",~ ;~ !~ ~o i iii 517 Park Ave New Cumberland, PA .'771/- () /?rf' /5- 5~ - .3 ~ HUlICU 1U I1JHCML UII\CCIUR ^HU CCI\11I'YIHIlI'UYIIC1^H 111111'''' IInll,,1Il111' tlfllUl III .."..... ".. ",nn r,.A"~ln.PI'l'l'UI tiC ,IU'. n... #01"""1 III 11111,,,,.,,,,111 1'1"'" II. 11IrJ".n ,,,..111...11"' A "nW".I." OH It,..., .HI ......-:IIJt" ,.IIH,.)61 .""," ...JClAllll 1lfWI1II 11""."1111 II l'I' II till """" tnlllll" "I Ufll "fA. HOlt" '" totlQftnlll1l1 N...." .,.'11I1 III nc""""In".l llfl 11111 "lIll1r.o,lfIfU It i 11 ji s 1 ' 1\ 'Iq ~ 1 b I I. I Ii I , .-- -- I,' s ~ i I · · 'i I J ~ I i I I J , " t j f , '! I I i ~ I ! -. l , I ' q, · ---I l' ,...~'" II .-.QtC.I.l.............lI I nilllC:OlOlllIIOIU I ~ I i ; I I : ~ l. , r I! ~ t-l~ I n a r il l it it 50 ~ . ~ r l~n, J II! I il\ i ! " l, . . \ I , , , , 1;1 '" ~ t t \ i t. Sl'^TE Of m':OItr.t^ fOlllITY OF 110051011 " f" ,I ~ ~' f 1 I I I I ! --1 . \ -,--\ f\ lflil I l~ I I I I I I I I I I II n, ' ~ t I!o I !I :: S! I ~ ~ . " cElm FI ~~:r.!0!LJ~'!!t!! thin In nil ~~nl.t r.orY or llll' .If'nlh ('r.I'~'irlcnl" rl'(,l'lvr,l [or f1UI>R II> IhlO'ntolO COlOIOly. r:"""~"ln~ {/"/2 -.- II' ~ " r.IGllltf,;;,';l I ,~rt1~~~^f. ,;j';.i,ijl'l(;;f~I"it;4.! \ , SEM. IJATF. 1 :;SUI~f1 AUG 0 81995 ,----~,--_._._.- 21 - 95 - 640 :i': '.' · <':'~"i. " ',",.~ ',', ;iif~; :~, 1;. c . '. . . . ,: ;~1;>i;~~' . " .' . c ."',' ..'., ,i' ',,' ". ";';' ,,:.,': ,. y: '}' i';:: .' .'"., ;;; ,.,:, ,'., ,": ., ." ~',. ,.', ".' . '",' " .': .. '., ,,'. '" ;. co":. ,"'; ;'. ',' ,. .',... ..,..." ,. .. ,/, .,., ":.' ',:. ." :i,;':::,,;, ,,7''..:/,'" . .,: c c."'. ,... .. .. .":, ,..," ',,: ','.' .>,'" ,", !." :".' ' ..,' . .',<.' )~f~t. ',.C, "c:;c,' c'!,"J;: i'.' j ,.' '> .' " ,:.( X' ,", ,,' c, '; ';;.:}',; 'Zf. ,', . ;', : :'; < ,';:, " . "', i.:, ..":. , , :~. .;.;::,<.;,~ ',,; :,1:;~:;" < ' ~', .:~" ~:, ~ )': ,/,.'" ,,'t ~f~t: '. .'. c ".i"C .:,...:"':.'.'. ..,',; ,.'.,..,. i' '. .:: .;,; ." , . : :,,', ;,;;, ...: ., j." . '; :,"',': ,\" ': r", ;~'i~;f: ".' : ',.. ' , , "i.,' ::: " .,,}:"!"?' ' '..};.' !,'; ,.,.;,' .,c"" '=J'} c.".:";;::'''..: c, : ':'~P '<'i' " c', <,"'::'":r,~! r, "', ":' ::">." .';;::;".";.:~> ~i.:~~'r~~ : t, . "" "', . ,X~~i'" I ',' .' i'l' .. ' , ,.::;' ::- , i,,:'~:::~' '.;}".' , . 'c' : ," ,,:,k" ,rJ::'l -,~ !Jj i'm ~ ~~ ,;, ~;l .,,' , i. ' ~'_ - . . \ - " n,_ _ - .' -- ,.-- . . . I - . . - - - ., . - - - . . - - . -- "(~:~r _:_-~:t:;: -,",,' __ ,-,,'-J .: J: __ i ~:'!. ~ '. '_ _ 21 - 95 - 640 RENUNCIATION In Re Estate of Robert I. Miller deceased, To the Resister of Wills of cumberland County, Pennsylvania, The underslaned sons of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Lellers of Administration be Issued to Jean R. Helfrich 517 Park Ave. New Cumberland. PA 17070. WITNESS hand this day of . 19...2L. r. 1Y..eJ ~, ?7~tl7' Robert I. Miller, Jr. (SIIn.llure) state street Ft. Morgan, CO (Addr...) a/1M{ 0 ~~ Allen -/J Killer (SI,n.lure) N ~tF ql.. <;'1 t) :..1 r") ~', ... .. a.. (. ., N N ,-'. (,; b" , :;;> b "" i',:, .' J (J (n wa: ~ ~; E a: _::l uu Pleasant View Road Hummelstown, PA (Addr...) (Slsn'lure) (Address) 21 - 95 . 640 RENUNCIATION In Re Estate of Robert I. Miller deceased. To the Register of Wills of Cumberland County, Pennsylvania, The undersigned sister and brother of the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Lellers of Administration Jean R. Helfricl:l be Issued to WITNESS hand this day of ,19_. ~ t ?1"'&,. Erow E. Miller (SlanllU,e) 204 Mike st. Warner Robins, GA (Add,ess) ,fl lJ~' . ~'""-/\ Donna L. Griff n (Slsnl.u,e) "''l: ;';'j (1.: 3848 Cumberland parkway Virginia Beach, VA (Add,...) .,'. J .t...'? "I \=1 '''\ c.. '" N !;5 '"" ,'-/ (Slsnl.u,e) .' () ..J tIlCl: a:. 19. 'J '.. c:: .!!!:> t.)(.) (Add,ess) '.AW OPI'IOIlH BAnDAHA SUMPLU.SUI.L1VAN 1140 UlllUOIl BTltllIlT Nnw OUHllIlItI....HD, "IlHH8YI.vAHIA 17070.1001 "IIONIl."') "4'."'" /'AX CU') .....7000 ' Aprj] 18, 1996 ,II.., "1. ~f ~ <I'") ~ :::. i L,~ c. : : - ~",;. 10 ,n ;e ~g - ~ $'~ -., -. r: ~ mC1; .t r.~ f:"C, '"" ~?} :'bm iii'o - Enclosed please find a revised Schedule F in the above- captioned estate. Due to a calculation error in the preparation of the Schedule, Item Number 1 value was inadvertently miswritten. It lists $12,253.90 as the value of account #51-3005-9046. Item Number 1 should have read $22.117.99. Since this is a jointly titled account, this revises the total dollar value of ' decedent's interest to $21,533.87. , Per conversation with your office, due to the minor nature of the error. a Supplemental Inheritance Tax Return would not be required. Should you have any questions, please,.con / / ve~ , ~rb.r. Sumpl'-Sulliv., BSS/tge (w) Enclosure cc: '~ary C;LewisiRegister of Wills Jean Helfrich I have recalculated the tax and per your instructions, I am providing a check in the amount of $280.92, constituting additional taxes owed, to the Register of Wills along with a copy of this letter. .-"...." ~,i\~... ~<",':~ PA De~a~tment of Revenue Bureau 'of,. Individual Taxes Inheritahce Tax Division - EXT Dept. 28069), Harrisburg;\:PA 17128-0601 '~:{;~\ Attn: Mary Ann:"Fox .l",. Re: Estate of Robert I. Miller No: 2195-0640 Dear Ms. Fox: . . I.AW OI'.'WUH BAnDAHA SUMPLH.SULJ.IVAN ~"\llllll\lllll HTllI!IlT Nnw ll\l~III\l1I1.ANIl. J'llIolIolHYI,VAIoIIA 17070.1001 1'1I1l1ol11 (ml ",\.,.... PAX 1'11) "..-,oru) April 18, 1996 PA Department of Revenue Bureau of Individual Taxes Inheritance Tax Division - EXT Dept. 280601 Harrisburg, PA 17128-0601 Attn: Mary Ann Fox Re: Estate of Robert I. Miller No: 2195-0640 Dear Ms. Fox: Enclosed please find a revised Schedule F in the above- captioned estate. Due to a calculation error in the preparation of the Schedule, Item Number 1 value was inadvertently miswritten. It lists $12,253.90 as the value of account #51-3005-9046. Item Number 1 should have read $22.117.99. Since this is a jointly titled account. this revises the total dollar value of decedent's interest to $21,533.87. Per conversation with your office, due to the minor nature of the error, a Supplemental Inheritance Tax Return would not be required. I have recalculated the tax and per your instructions, I am providing a check in the amount of $280.92, constituting additional taxes owed, to the Register of Wills along with a copy of this letter. Should you have any questions, ct the undersigned. /1 VerY. '21;;:f~.:l: / / ~/- ~ Barbara Sumple-Sullivan BsS/tge (w) Enclosure cc: Mary C. Lewis. Register of Wills Jean Helfrich "V-UOt'..111t.j (OM....(}I4WUUH 01 'IImUIVIoW' umllll,U.ClIU.tluUj IUIPltjIIlHllll~1 SCHEDULE F JOINTLY.OWNED PROPERTY ISTAU 0' Miller Rober I. PILI NUMBER _'_'"'___~___ ._'P 95-0640__ Joint ',non'l')' NAMI A'Jean R. Helfrich ADDRESS 517 Park Avenue New Cumberland, PA 17070 RELATIONSHIP TO DECED!!!!.-.. Sister B. C. Jolntly.owned property. ITEM LEnER DATE FOR TOTAL VALUE DECD'S DOLLAR VALUE OF NUMBE' JOINT MADE DESCRIPTION OF PROPERTY OF ASSET % INT. DECEDENT'S INTEREST TENANT JOINT 1. 'A 2/72/94 m: Bnt M:nay M:II:Ioal: Fa:t. N:>: 51-3005-9046 22,117.99 50% 11,059.00 .. 2 A 12/28/94 m: Bnt M:nay M:II:Ioal: Fa:t. N:>: 50-0003-7729 17,448.98 50% 8,724.49 3 A B/9/93 m: Bnt Ch3:ldn;J Fa:t. N:>: 51-4008-1597 3,500.76 50% 1,750.38 TOTAL (Also enter on line 6, Recapilulatlon) S 21 533.87 (If more space js needed insert additional sheets 01 some size) ! " .'. "1~ N N' 2:~J' , ,;C . ", "". ."; , I. 'Nn~{PNCnANJK'l)N.I('n.AN~,l'.r'EnM.r.m,.n '(mf.\1\:~~"'1PeNC N~O'8E'R'rI:'MII:(EirEliTA'rE.k:l'NCnnNHd)NC~~.' ~.!!N('~~.~.~:l', '. '..1\~r7~~~.;r~L.,m.~H.. ~~EFU ,~~ r.))(Jr,n.J \ 1fC'tJ.J..'1'1( :;jf}. .l\l~ ~"'. '~'1I ;a; ~'. :A:m!~~i'''' N(.J t1\.1...Ewr.II..BER'..lD.lp....17070."j'.q.t.'JJ)'..I..)1.t, ',' ,.. "!' "./tt".'.',.~r\..;"J', '.,i"'... JJ.,.. M ~'''''.. .~ ~ilI..- ,~"1'_.A..... ... ,.' .. ""l~'.,,~, ,"f't , ~.I't.'.:{IH'i'~".' '...,... .}",,'''' .' .,'. 'I'I~ t. v" ".,.,."'~, I~.",{ltt)." t. "I.t\\".....~,.,. J ;.,.,."."....."'.i~.;."t,.~. ...,.:.J\'..<I'L~". ,.' !,,,uJ'u..~r",_ .....)1.. 'U".rAYTOTfIt; Ii.' 4" 0:...'.. .n,..:.'..",'\I'I":~'.'l...~'!l:11GlAQ ':t. l"'1.~' l' .-........,.......,'-.....jj~. ~()l.,tNlot .'-. r:~~~/~~ d~fI'1 Jjf:; .~ '".~~W~~~R5 m~~:::'~" , PNCB.....N.A. rI rI . , 5outh-nl PA OlD P 0 ty , ,. . I:O:l~:I ~ 27:1BI: 0 ~ ~B IUR ~. .IWUMIIM g~ ~ ffi'if 3 :1. cr .,~ 100 no. ~:J _.~ ;S ('" 0 =~ '\ ii, CD I!; '.. .... r.J.. 6 \ ~ ..... (,Jr. fi";' \0 -....:..:.., .., . , ~~.J ; C) a '" ~ ~, ..... ih 0 :0':: U1 - j>;:+ J>o .' -L .. I I ! i : \ , , , , i ,.. , " , ~,.....-~~_._~:-:.. . , f I I i J } . 1 . I I \ \ I ! i f ( I I . , , , . I I I \ . I ! , I " j I . I I \ \ i , ,t . f' . I " . \' -, ~. ~, r ~d .f i~ '" ~ - .,. I -.---. --~,..... .-.-., - - ,- - - - ,- - - . - ,- - ,- - ,- ,- - r.~I"'-----" {/. ;~,:' ,:~l :~ ~ \. l. ~\ I" .. 1 ,L ~~~ ~~ ,\ ' 1 \ " : "\ '!\'d . ....-... W en ;:l o ~ ;:l o U ~~ en~;:lgM ~~8~~ 0~~8~ ~~::i::cw <~en;atil ....en~;:l~ .......::sO tIlS;:lU ::S~U.-U ! i \ ! i I \ I I I l 1. i~ I 0- Ul ~ .' . <'I I~ ~~ (il ((I .... ,.. I" .... -' " , '....--. \< . " ;~' ",'. "t"-... __. _ _~.' , 1Io j~ .l . ,-' or". . 'I' ' .. 1 . .'~ .;, \ ',' '-. t ~ - I ;: ' ~ ~ 7: ~ ~ 6 , ... ~ 0 ::l !: ....... :i ~ :.I r.n t::.! 1';0: ~ C! ~ == ~ "..l!;.~ t:~::i o;;:::~ ~;:t=;:" Jrn = . ~S~ ~~~ '4 ffi CO :: ~ E . t;) ~ " ~ ;.'. 'V.. !.. lJnU, r: 'r'lI~~\JJn~ 1_ ~,I'"" ~Va\~ ~ I. ...'. i " .r r , " 'j ! / I "'~ J'" ! I .' ~ F' i; .. .....' .~:.~, . ~ I ",I. .r., \ I "I' 1. . " "" ..\' . \ ..~, . ' , ..,'" r ,,:, "..<t_ . ... ." '1 l .;. .;,~,' I . I I , \ I I I I I' _~_ J \7(;: H\l bl l:Id~ 96. !, ... 10 Ja\f;\uH " ''.\O..popJOOOCl ..,~ .. ... " ., .' , I ! f I 1 , j , ' ~..'-~< ,':' o CERTIFICATION OF NOTICE UNDER RULE 5.6/al Name of Decedentl Robert I. Miller Date of Deathl 08-05-95 Will No. Admin. No. 1995-00640 To the Registerl 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 seDtember 7. 1995 I ~ Address Robert I. Miller, Jr., 16th & state st. Apt A, Fort Morgan, CO Allen D. Miller. 147 Pleasantview Rd.. Hummelstown. PA Notice has now been given to all persons e.~~itl d thereto under Rule 5.6(a) except .' Datel I Signature ..: rt) r- .- \'1 ....,i.. - 1 (,_ l"J "- ~ ~ frJ v', lr. )) i: ~ -... uu NameBarbara SumDle-Sullivan. Esquire Address 549 Bridqe st. New cumberland. PA 17070 Telephone/71V 774-1445 ~..' , ,', ' cf;u": Capacity: personal Representative x Counsel for personal representative \ #,' ..'. ,- ., ,,- .~, , ....--------- ---------- ------------ :_--------~---_-.l._- ~].,:~;,~'..:O,.8'.2.....2.'.8.2.: '.COMMONWEALT~ ,OF PENNSYLVANIA .ii~'~'.!.: ,,:.,' "...., '.' ,.DII'ARTMINTO'RIVINUI, r~;'lr,j i~;I"" .," :.OPPICIAI. RICEIPT.. PENNSYLVANIA INHERITANCE AND ESTATE TAX ... RECEIVED fROM, fJ ACN ASSESSMENT I!' CONTROL 1;1 NUMBER AMOUNT I SULLIVAN BARBARA SUMPLE :549 BRIDGE STREET lOi .4:50.00 NEW CUMBERLAND, PA 17070 'OIDHflf SSN 171-eO-S941 IfIRST) IMI) REMARKS ~i IlELPRICH m TOTAL AMOUNT PAID REGISTER OF WILLS \ ' RECEIVED BY I ..- MARY C. L WIS 6f;,'I".O(J,"1. REGISTER OF WILLS t .4:50.00 V~ ! SEAL CI1ECKlI 107 '",.,'''''''''...,.------------"--.'''''--,,-=-,..,...-----.-----------.-;---7-- ~.. '. \ ~, . '" r . ' .f ..___A _~' .. ..... ~--~. , -~'- _~1Il t. --;1. "-'",~, . I \. .., ........ ,"," ~.., '.~ . ~ - - - - -..- -- ~--- -- - -- --- _.._, ---- --- -_.- .-., .'~,_. .-. -"..~ ,.-- --'- -- -- -- -- ~- - - - --- I , . I RECEIVED FROM. & ACN ASSESSMENT I!' CONTROL IiiI NUMBER AMOUNT , t. I SULLIVAN BARBARA SUMPLE 049 BRIDGE STREET 101 .49.60 Ii UTATE INFORMATION. !:II MIE iii el-1990-0640 EJ NAME OF DECEDENT (LAST) II DATE Of PAYMENT B POST/MR COUNTY SSN 171-eO-S941 (fiRST) (MI) , j 'I fOtDHlI'l ,I \ I I I 'i NEW CUMBERLAND, PA 17070 HkOHIII fa TOTAL AMOUNT PAID .1.,9 65 CW REMARKS SEAL JEAN R HELFRICH C/O BARBARA SUMPLE-SULLIVAN CHECK" 1:11 RECEIVED BY " ?/-t/ / II} ) LEWIS ' ):t' . OF WILLS /,/tr " REGISTER OF WI LLS MARV C. REGISTER ~ . , -.,,' . .' , '. ..,' ., " . I \' I, ' ... t .' , . ....- .'.. ~_. -- ~ 'O,'O , --_..._-~ -~. 10:. - ..,--"...,. ~--'--- / ?------~----... . -- " ------.:- . : j I \ I . , I 1 I .. I 1 ! .; I J i ~'1 i , , . ) '..., '.--.- t, , , \ . I , J . I ) i ~ ~ g ~ 6 ~ g ~ ~ ~ e B CJw~'" <.;;..J 'Jj ~ Ello~~ o:::::td :.t:J=~ ;j tIl = F- e ~ ;:l~~ :?, '" ell :: 0:: (, ~ G P:l ~ ;.0-. " .,......, '........-....',-... Ul .-j ~t 'r1 :J:Ql Ul ,,",;:l 00 .<l H.... Ql ~I +lP Ul 0 'rl U Ql 0\ HM Ql >.11l ~ P:+I;:lO P 0'1"- .. ~ In.... Ul 0 'rlU 11J~ ): UJ..... Ql'O :J H PO. 11l.<l Ql iM.....~ UHHUl Ql ;:l'rl ~~8'jj 11l;:l I1l ~U~U .,-,."_....,... . ,-'--'~(~ ""1--_._-- ,,-',. "-' j-- , . i , , ! 1 I f. ';.! , .~s.\~',-t! ~ ",~ I. ~ . \, ,"". I' ' ".1' '," \ ! '., ..\,". '),,' . i I , f I !~'..'J :', ~..~, ", ) ... ....'. . If' . #, .... , .. ~ . ,'k '. ,f'." ~ I ~ . 1'.. .-'" .'l......ft'. \ "',.1','." ,..,'..". ; '-'....,..,,',..: I ~, ,', "f . , ;..,'" '.. ',: .-: f- .~ . ,:'.- ,'",. ",~' , . ~' .." 1'. 0' " , '" ' ... "', ," .. , ,.! " I 1 J . l" , , .t.;. ~' \' .. 'fo .~ . . ., I , ' .",'~ - --,,~._-~ v-""-"-' ~. -~ -, I :) -) - .3 INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) llV,I500 u. 17.9'1 . 1. R.al E.lal. (Sch,dul, A) 2, Slad.. ond Band. (Sch,dul, B) 3. Cla..lr H,Id SlocllPo~n,,,hlp Inlorlll(Sch,dul. C) A, Ma~soSll and NolII Rotor.obl, (Sch,dul. 01 5. CallL 80n. D'polill & Milt.llan,oUI P,uonol Prop.rly (Sch,dul, EI . 6, Jolnllr Own,d Prop'~r (Sch,dul. ') 7. T ron.lor. (Sch,d,I, 0) (Sch,dul, II B. Tolal Orol1 Au.'t (totallln.. 1.7J 9. Fun.fal bplnt.., Administrative COUI, Mlle.lIoneoul Exp'n... (Sch,dul, H) , to, D,bl., Mo~soS' Uobllillll, U.n. (Sch,dul. II 11, Tolol D,ductlan,('oloIUnll 9 & 101 12. N.I Vol.. of E.lol, (lIno B mln.. Un, 11) 13. Charltabl. and Oov,rnmental a.qulIls (Sch.dull J) U. N.I Valu. Sub let 10 Tak lIn. 12 mlnv. L1n. 13} 15, Spo..ol Tronalor. (10' dolll of d,olh oh., 6,30.9AI s.. lnltrvdlon. for Af,plicobl. ',retnlog. on A,nn' (15) Sid.. (Includ. vatu" tom Sch.dul, K or Sch.dule M.) 16, Amounl of Un, 14 lo.obl, 01 6% ,ai, (161 8.765.70 (Include volu.. from 5th.dul, K or Sch.dule M.) 17. Amounl 01 Un. 14 lo.obl, 01 15% rol. (171 (Includ, .01uII 'rom Sch,dul. K or Sch,dul. M,I 18. Principal 10' d..(Add 10. 'rom Unll 15, 16 and 17.) 19. C"dill Spoulol Poverty (r.dl' PrIor Paym.ntl Oll(ounl Inl."lt + 450.00 + 26.30 20. If lIn, 191. greolor Ihon lIn. 18, .nlor Ih. dlff.,.nce an lIn, 20, Thr. II Ih, OVERPAYMENT. 11 O...rm:I!IIlIoJll.'...I.I...I.......II....lI........lIli:1mmn...-''l'I"'J."lo,l'U11'.,lrQil 21. If lIno 18 I. greOI., than lIn. 19, ,nl.r ,h. diff...nce an lIn. 21. Thll II Ih. TAX DUE. A. Enler th,lnl.'II' on ,h. balonc. due on Un, 21A. B. Enlor 'h. '0101 of lIn, 21 and 21A an lIn. 218. Thl. II Ih. BALANCE DUE. Moke Chick PayaLI. '01 Rig'"" of Willi, Aglnt *' COMMONWIALTH 01 PfNNSnYAHIA Of'AI MJHT Of .'VINUI HA.III:'J.~' Jlml,,<l6O' . I . H MI 11//1 I MILLER Robert I &OCIAl ['utI Y HUMin 171-20-8941 D4U 0' DIA1H 08/05/95 j1f AI'f'UCAIlfl WI'I'MNQ IIOUN1 N4MI JAil. '1'.' AHOMIlQ. INIflA~ ~ gl! .0 2, OAa, o 7. ~I .. s ! ... ~ Ie . B ~ .0. DAns O' DEATH A"1I12121191 CHICK HIlS If A SPOUSAL povnlY CISDn IS CLAIMID 0 fill NUMII. 2195-0640 COUNTY CODE YEAR NUMIER PI I ADO o lOIN' 517 Park Avcnu" Nl'I.' Cumberland, PA 17070 c... r AMOUNT .[(IIVID fSU JNUIUCTtONS, 03/14/28 tAL lUll' HUMin Suppltmlnloll Futur. Inl.,... Compromls. (lor dOl" 01 d,olh ahor 12.12,B2) D,c.d,,,, Maintained 0 living Trul' (Allaell cupr 0' Trulll o o 3. R.malnd.r R.turn . (lor dolll 01 d.alh prior 10 12,13,C21 o 5, fedorol E.lol. To. R.lurn R.qulred _8. Tolol Number of So" D.poslt 801111 Bridge street Cumberland, PA 17070 (11 0 (2) 0 ( 3) 0 (A I 0 ( 51 18.95 (61 16,601.82 (7) 0 7,066.97 (91 788.10 (10) ( 8) 16.~.77 (11) 7,855.rn (12) 8.765.70 (131 0 (I~I 8.765.70 )C.__ 0 M: .06. 525.95 K .15 . 0 1181 525.95 (19) .~7l;.3O (20) (21) 49.65 (21AI 0 (21B) 19,65 New Cumberland PA 17070 Es 549 Brid e st New Cumb DAn .. . Act '41 of 1994 provide. for tho reducticn of tho tax rate. Imposed on tho net value of trand.r. to .or for tho u,.e of tho .pou.e. The rat.. a. pro.crlbed by tho .tatute will bel . '. ,'. . I~ (.03) will be appllcabl. for ..tate. of dec.dent. dyIng on or after 7/1/94 and be!.oro 111/96 , ' ' " . 2~ (,02) will b. applicable for e.tate. of dec.dent. dVlnr r." rr after 111196 and b~j~re' 111197 ... .. .11' ..- . 1~ (.01) will b. applicable for e.tate. of dec.dent. dying on or after 1/1/97 and before 1/1/98 , . Spou.al tran.f.r. occurring on or aft.r 1/1198 will be .xempt from Inheritance tax. . I,' 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 USI or Income of the property transferred, ....................................................... b. retain the right to designate who shall use the property transferred or (ts Income. ............... c. retain a reversionary tnt.re..; or ................................................................................... d. receive the promise far life of either payments. benellts or carei ....................................... 2. If death occurred an or before December 12. 1982. did decedent within two years preceding death transfer Ilroperty without receiving adequate consideration' If death occurred after December 12, 1982, did decedent transfer property within one year of death without receIving adequate .consideratlon' .. t.o.,.... o.t.. 0.................................................................... 0110... 0""" 3. Old decedent own an 'In trust for', bank occount 01 his or her deothi...................................... IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. '1\l'lOIt"(2-I1) . SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Ploa.. Print or Typo FilE NUMBER 2195-0640 COMMONWUllH o. PlNNmVANIA INHllnANCI 'Ak lOUIN ....DINT Die. DINT ESTATE OF Miller, Robert I. CAli property lolntly-own.d with the IIGhl of Survlvor.hlp mull b. dl,cI...d .n Sch.dul. '1 ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH .J... PNC Bank Interest on estate checking account Acct. No: 50-8053-2818 18.95 1 S 18.95 (A"ach additional Sl\" )C U" ,heet,lf mar. .poc. I, n,.d.d.) .1"'11Ot I.. (11,'11 . COMMONWIAUH 0' 'INNlnYANIA IHHUITANCI lAX UTUIN m'DIH! DleIDIH! SCHEDULE F JOINTLY.OWNED PROPERTY ESTATI Of Miller, Robert I. Jolntlonontl')' fiLl NUMBIR 2195-0640 NAMI A'Jean R. Helfrich ADDRESS 517 Park Avenue New Cumberland, PA 17070 RELATIONSHIP TO DECEDENT Sister B. C. Jolntly,ownod proporty. ITEM LmER DATE FOR TOTAL VALUE DECD'S DOLLAR VALUE OF NUMBEI JOINT MADE DESCRIPTION OF PROPERTY OF ASSET % INT. DECEDENT'S INTEREST TENANT JOINT 1. A 2/22/94 IN:: II:lrk Mret M'lIkct Pa::t tb: 51-3005-9046 12,253.ro 50% 6,126.95 2. A /213/94 IN:: II:lrk Mret M3Mt Pa::t tb: 50-0003-7729 17,448.98 50% 8,724.49 3. A 8/9/93 IN:: II:lrk cte:::ldrg 50% Pa::t tb: 51-4\00-1597 3,500.76 1,750.38 , TOTAL (Allo onlor on line 6, RecapitulatIon) S 16,601.82 (I' more 'pac. is n..ded inserl additional sh..,s 0' lam. size) r' ~ I'VIIII".I1"'1 ~~ COMMONWIAlfH O' "NNlYlYANIA INHlllfANCltA.I,WIN ."IOIN' olero Ht SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES PI.a.. P,lnl 0' T . Mll1er:, R:txtt I. ITlM NUMBER 219!Hl64O DESCRIPTION AMOUNT A. Fun.ral bp.n.... B. 4. C. 1. 2. 3. 4. 5. 6. 7. O. I. ~ f\mmllbm, 100. VFW, Il:Ilt to. 23, firln;J spd 35.00 5,032.50 1. Admlnlsl,allv. Co. I., P."onal Reprellnlatlve Camml"lans Social Security Numbe, of Pe"anal Representative, Year Comml"lans paid , 2. Attorn.y Fees 1,250.00 3. Family Exemption Clalmanl Addre.. 01 Clalmanl at decedent's dealh Streel Add.." City Zip Code Relationship Stale Probate Fees 283.92 MI.ullaneou. Exp.n.... Fb:rl md Ldi....llO.. d... fir fi.re:a1 hn:I-e:n 247.49 218.06 1dnIn!st:ral:iw ~ 3 (p.:t>~, l:el.eJ;h::rn, mI.lmge) TOTAL (Also enler an line 9. Reeapltulatlon) (If mo,. .pac. I. n..d.d. In.... addlllonal .h..I. of .am. .1...) 5 7,066.97 ITIM NUMIIII DESCIIIPTION AMOUNT """;11' I"~ '* COMMOHWIA1JH 01 "HN'\'l\ll\N~ tHHlIII1AHC1 W 'lfU~ ....OIHI DlCIDINI SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES AND LIENS PlIOSI Print Dr T I fiLl N MIIII 2195-0640 I TIO. Ml.ll<<, R:i:Ht I. 2. Ib.Ilt:cn J;M, lflb.11lI'm Ib.Ilt:cn MD\.cBl Cb1I:er 284.10' 336.00 168.00 1. :Inlt:a-Cme Iit......,..::y 9:I:Vicm 3. TOTAL (AI.o .nlor on IIn. 10, R.capltulatlon) I" molO .pac. I. n..d.d, In..'' additional .h.." of .am. .Iz..) $ 788.10 . 111t.!,IIU.IJ.,t '*' (OMMONwllol1H Of ,fNNnlVloNllo INHIlllAHC1 ".1 U1UIH '1ItOIN1D1C1NHI SCHEDULE J BEN EFICIARIES EUAn o. Ml1lIr, R::b:rt I. fiLE NUMBER 219''.HJ601O ITIM NUMBER NAME AND ADDRESS Of BENEFICIARY RELATIONSHIP AMOUNT OR SHARE O. ESTATE A. Ta.llabl. BtqU.tlll 1. R::b:rt I. MI.l1er , Jr. c/oEltfflBill. 1100 Lin:h street: 1P:.31~ R:rt foI:rg:m, Ch'"""",,, 00701 an 506 2. 1Il.lm D. MI.l1er 147 Plm91lv:I&t R:a:l fl.mml.stxw1, m 17036 an 506 ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE B. Charitable and Gov.rnmentol B'que'lll 1. TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Allo onlor on IIno 13, Recopllulollon) S (If more .pace I. n..d.d, In.." additional .h..t. of .am. .1..) ~,". - .'.....' '., ,.~ . , --- - -- - - - - - - - -- - - - -- -~ - - --- - - - - - - - -..- --.- \ SULLIVAN BARBARA SUMPLE ~49 BRIDGE STREET ACN " & ASSESSMENT Ell AMOUNT CONTROL . NUMBER " .~ 101 .eSO.ge ;, RECEIVED FROM. NEW CUMBERLAND, PA 17070 fCXDHraf~ ESTATE INFORMATION. m IMlER Ii el-199~-0640 SSN 171-eO-8941 EJ NAME Of DECEDENT (lAST) (fiRST) (MI) , II DATE Of PAYMENT m POSTMARK COUNTY ~ DATE Of DEIJH REMARKS II TOTAL AMOUNT PAID .2BO.92 REGISTER OF WILLS PB RECEIVED BY (lilll 1,'-/ C~"'/I~, ,;.. 1.1 i", fJ , ') I' (. 'I' MARV C. LEWIS \.:: /t u:./'{ .L;z'..' , REGISTER OF WILLS . . SEAL JEAN R HELFRICH C/O BARBARA SUMPLE-SULLIVAN CHECK" 11 8 I .~---------------------------~~-7- I ' ~ . i : t' , . ' . . . , \' \, ' fo';' r ~ . ,/ 11 .--')---,.,---~..- -~ .r ...4_ It"~' --~. ...'-:-. I ,I . .... ~ -- - ... .' - -, ~._-,' F'.' :.:.,.) -?) c~ 111.11"'1111,7 !lC AI'P (12-911* cQHtOhlUlllt Of PlHNIVlVAHU DlPAR't'lHI Of' R(ytNU[ IURfAU or INDIVIDUAL ".f. MPI. uona HARRIIIUltG, PA UU"06U ACN 101 NOTICE Of INltUITANCE TAX A"NAISENENT, ALLOWANCE ON DISALLOWANCE Of DEDUCTIONS AND ASSE"NENT Of TAX DATI 07-01-96 FILl! NO. DATI OF DI!ATH 08-05-95 COUNTY CUMBERLAND NOTE I TO INSUNE PNDPU eNEDIT TO YOUN ACCOUNT, SUINIT TIlE UPPU PDNTlON Of Tltll fDNN WITIt YOUN TAX PAYNENT TO TltE NEDUTEN Of WILLS. NAKE CltECX PAYAILE TO "NEDUTEN Of WILLI, ADENT" REMIT PAYMENT TOl BARBARA SUMPLE SULLIVAN 549 BRIDGE ST NEW CUMBERLAND PA 17070 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 Allount R..ut.d CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ~ ifiv:iii4'j-iic-Aj:ji-nZ:9sY-iiiifici--OF--friiiiiiiTANCrfAinipPRAisiifiii'i'-;-"i.roiiANcnili----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ROBERT I FILE NO. 21 95-0640 ACN 101 TAX RETURN WAS. ( I ACCEPTED AS FILED ( XI CltANDED SEE ESTATI! OF MILLER DATE ATTACHED 07-01-96 NOTICE RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN 1. R..l E.t.t. (Sch.dul. AI (11 2. stock. and Bond. (Schedule OJ (2) 5. Clo..1y Hald stock/Partner.hip Int.r'lt (Schedule Cl (5) 4. "ortoae-I/Hot.. Receivable (Schedull DJ (~) S. eaah/Bank DapoIUa/Hlac. p.,.,on.l Prop.,.b (Sch.dule El IS) 6. JointlY Owned Property (Schedul. f) (6) 7. Tran.fa,.. (Schedull OJ (7) 8. Total A...t. .00 .00 .00 .00 18 .95 16 ,601.82 .00 (II 16.620.77 APPROVED DEDUCTIONS AND EXEMPTIONS I 7.066.97 9. Fun.r.l Expen..a/Ada. Coat./Hilc. Expen... ISch.dule H) (9) 10. Debt./Hortgag. LiabUitle./Li.nl ISchedul. I) nO) 788.10 11. Tot.l Deduction. Ill) 12. Het V.lu. of Tax R.turn 112) 15. Charitable/Govern..ntal aaqu..t. (Schedule J) (15) 14. H.t Value of E.tat. Subject to Tax Cl4) NOTE I I~ an ass.ssment was issued previously, lines 14, 15 and/or 16, 17 and 18 r.~lect ~igures that include the total o~ ALL returns assessed to date. ASSESSMENT OF TAXI 15. A.ount of Line 14 .t $pou..l rat. 16. Anount of Line 14 t.xable at Lin.al/Cla.. A rat. 17. A.ount of Line 14 t.xabl. .t Collatera1/Cla.. Brat. 18. Principal Tax Due TAX CREDITS I PAYNENT DATE 11-03-95 03-11-96 04-18-96 7.ACiCi n7 8.765.70 .00 8.765.70 will USl (161 U71 .00 .00 8.765.70 X .00. X.06. X .15. UI) .00 .00 1,314.86 1,314.86 RECEIPT HUItIER AA082282 AA1l2600 AA1l2768 DISCDUNr INTERE~T HI (-) 23.68 .00 .00 450.00 49.65 280.92 AMOUNT PAID INTEREST IS CHARGED FROM 05-06-96 TO 07-09-96 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 804.25 510.61 8.20 518.81 . IF PAID AFTER DATE INDICATED. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS TitAN .1. NO PAYNENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, VOU HAY IE DUE A REFUND. SEE REVERSE SIDE OF TltlS FORN FOR INSTRUCTIONS. I , RESERV'TIONI E.tlt.. 0' d.cld.nt. dWlng on or b.forl D'c,~'r Il, 19.2 ~~ If enw future Int.r..t In the ..t.t. I. tren.'.rr.d In po.....lon or enJow.ent to CI... I (collet.nll benef1ehrl" of the d.ced."t .ft.r the 'MPlntlon of IIlW ..t.t. far Ilf. or 'or y..r., the Coaeonwe.lth h.reby ..pr...ly r...rv.. the right to Ippr.I.. end ...... tran.f.r Inh.rltenc. T.... .t the l.wful CI... I Ceoll.t.r.l) r.t. on anw .ueh future Int.r..t. PURPOSE ,. NOTICE I To fulfill the rlqulr..."t. of S.ctlon IUD of the InhtrUenc. end Est.t. taM Act, Act U of 1991. n P.I. Section U4D. P'YHEHT. a.tach the top portion of thll Notice end .ubIIlt with vour p.y..nt to the R.allt.r 0' Will, prlnt.d on the rev.,... .id.. ....... check or BOn.v ordtr p.v~l. tal REOISTER OF MILLS, ADENT 'II p.v.-nt. r.c.lv.d .h.11 'Ir.t b. appll.d to env Int.r..t which ..v b. due with anv r...lnd.r Ippll.d to the t.M. REFUND (CRII A r.'und of . t'M cr.dlt, which w.. not r.qu..t.d on the T'M R.turn, .av b. r.qu..tld bv co.pl.tlna en "Appllc.tlon for A,fund of Plnn.vlvenl. Inhlrlt.ncl and E.tat. Ta." CREV-IlIS). Appllcltlon. Ir. Iv.llabl. .t the D'flc. of the Rlal.t.r of Will., InV of the ZS R.v,nu. Dl.trlct Offlc.., or bV c.lllng tha .p.cl.1 2~-~" In.w.rlng ..,.vlcl ~.r. for for.. ord.rlnal In Plnn.vlv,"l. 1.800.S62-1050, out.ld. Plnn.vlvanl. end within locII H.rrl.bura .r.. C117) 787-8094, TOOl (117) 772~225Z CHe.rlng lep.lr.d Onlv). OIJECTIONSI Anv p.rty In Int.r..t not ..tl.fl.d with the appral...~t, .lloNancl or dl..llowanc. of d.ductlon., or I.......nt of t.M (Including dhcount or Int.,...t) .. .hown an this Notice MI.t obJ.ct within .hctv (60) d.v. of rec.lpt of this Notlc. bVI "wrItten prot..t to the PA a.p.,.t..nt of Rn.nu., Baird of 'pp..h, D.pt. 2110n, H.,.rhbur,.. PA 17111"1011, DR ".I.etlon to hlv, thl ..Uer d.t.,..lnMl .t .udit of the account a' the p.r.on.1 repre.entaU"., OR ~".pp..1 to the Orphan.' Court. ADHIH ISTRATlVE CORRECTIONS I Flctu.l .rror. dl.cov.rld on thl. ........nt .hould b. .ddr....d In writing tal PA O.part..nt of R.venu., lur..u of Indlvldu.1 T.xa., ATTHI po.t A.......nt R.vl.w unit, n.pt. 210601, H.rrl.burg, PA 1112e-0601 Phon. (1171 117.6505. S.. page 3 of the bookl.t "In.tructlon. far Inherlt.nce Tax R.turn fa.. a R..ld.nt O.cadent" CREY~IS01) fa.. In a.pllnltlon of .dalnlatr.tlv.ly corrlctabl. .rror.. DISCOUNTI If env ... dul Is paid within three (SJ c.land.,. .on'h. .fter the d.cld.n'.. d..th, a flv. perc.n' C5X) dhcount of the tlM p.ld I. Illow.d. Th. 15X t.M .-na.ty non"pI..tlclp.tlon p.n.lty i. co.put.d an the tot.1 of the ta. Ind Int.,...t .......d, end not p.ld b.fo... Janu.ry Ie, 1996, the flr.t d.V aft.r the and of the t.. aan..tv p.rlod. Thl. nan.p.rtlclp.tlon pen.ltv I. .pp.alabl. In the .... .ann.r and In the th. .... tl.. p.rlod .. you would app..1 the t.M end Int.....t th.t h.. b.~ .......d I' Indlc.t.d on thl. not Ie.. PEHALTYI INTERESTI Int.r..t I. ch.rg.d b.glnnlng with flr.t day of d.llnqu.ncy, or nln. (9) .onth. and on. Cl1 d.V froe the d.t. of d..th, to the d.t. of p.y..nt. T.... Which b.ca.. dellnqu.nt b.for. Janu.ry 1, 1912 b..r Int.re.t It the ..at. of .1. (6X) p.rcant p... annua calcullt.d .t I dlllv rat. of .00016~. All t.... which b.c... d.llnqu.nt on end .'ta,. January I, 1912 will b..r Int.r..t at a rat. Which will y.rv fro. calend... y..r to c.l.nda.. y..r with th.t r.t. announc.d bV the PA a.pert.ant of R.v.nu.. Th. .ppllcabl. Inta....t rlt.. for 1982 through 19'6 aral '!!!! Int.ra.t Rata a.lly Int.nst Facto.. !!!r Int"..t R.t. Ullly Int.r..t Factor 1982 2DX .000541 1917 'X .OOOZ~l 1981 16X .000411 1'18-1991 UX ,OOOSOI 198~ IIX .00OSOl 1992 OX ,OOOZ47 1915 ISX .00OS56 1995'IQ'4 7X .0001'2 1986 lOX .000274 1995-1996 'X .000241 "~Intll"'..t I. calcul.tad .. followlI INTEREST a BALANCE OF TAX UNPAID X NUnBER OF OAYS DELINQUENT X DAILY INTEREST FACTOR --Anv Notlc. I..u.d .ft.r the t.x b.coa.. d.llnquant wIll r.fl.ct an Inta,...t calculation to flft..n CIS) daya b.vond the d.t. of the ........nt. If p.y..nt I. .ad. Ift.r thl Int.r..t co.put.tlon data .hown on the Notlc., additional Int.r..t .u.t b. c.lcul.t.d. ,,,ro....'tJ . INHERITANCE TAX EXPLANATION OF CHANGES COM/oIONWEAlTH 0' 'ENNSYlVANIA .,E'ARTMENT 0' REVENUE IUllAU 0' INDIVIDUAL TAXIS Dm, 210601 HARRIUURG. 'A 17121,0601 DECEDENT'S NAME mE NUMBU Robert I. HIller 2195-0640 101 SCHEDULE ITEM NO. EXPLANATION Of CHANGES F 1-2-3 ._..~.a!lll~~d ..toxJotc. "f.~0~~6"l'cr.cc:n~ to 15. I'erct!nt.. Bln"c.Q~_a. ~~,i~~t.~.r__~~...~_.~~.!!_.. ,_...._ "B" heir. ~__.___4""'_4 .._.,._,___..,...... .' .,." .,.. _.'0' __. .___ ..' ".._."..'_.._~,.~___._~.'~..... __"__~_._,._...,.."._<~.'_...__.4____~....__ ~..__~,4'._________,_ _____ _ ____ ___~'.'_.._ _'_ ___.~'.. '__'__.'~," . _ _, __~~'4 ~_<-,~,. ~ _. .'__.~ ___"."~_~__"~ _ _~...___.. .___'. __4__'"'~__4~_~___ ______ __ _ ____ _____~'.'~'__~ _'._...~_,..__~'_._~__,__'....4_,.._~,.. "'_~4 .'__ .__.'____~_,.__,-'----'---~~-~----'--------~.----~-~- ,_____.__ ..--'.,.----. -'-~..-,-.--,----~--:__~---~---~------r---~------'--- _.__~_______.____'"'____..___~.~ __..._w._'.'~,~---'-____~__....__,_,_~,~<'-__.........~__,_~'"'_.~,___,_...___ ~...__ ___,__~__ ..., ,. ~ ~___________~_~__,~_..._---._..;. _.~.,__..;....'_....:.~,_-..-;.__..___M"~'________~~..---~...'~___._____,.__ uL. ------------ ~- ~ .._-~,- - ,,-- ..~, .,.--- ~,',....'.'~.. ~-'~. ..--_":'~.. ....... ~-'.._~.-'"'~-,~.. '.,-- ~ ....----~..,.-.... ...'_.__._,-~'..__..._'-~.'_.~- .-' -:-----------_."'~'--~----- .,-,-,'"'-.. .,-,.-,--..-,.,-..--..;..---<-....,------...;.- -_._----~-~-~,~-~---~----~--.......--.------_.__------!._.- ._,--- ------,-~--~-..---.~--,--------~-..---------.---.,.--..-. ".....--~-'-,--,-~ --:-~._--,._-'-_. ~-~-,--- ..--:--- --------,~,~.~ .,- -- --,.- ----.-,----..-.------..,-----:---- -----,. -,..._- _ -.--,. ,.- _ ..__.__.~.,----, -- _ --,---~-'-- _ ,,-- .,---- --'-- ---. .- - ---,------,~--,------------_._---_._~--_. .- ---_.._-~,-._.;-_._-~--,-,------- .----_...._--'-~, - .._,-~ - -- . TAX EXAMINER, Mary Ann Fox PAGE " { , ." L . t, . ;' (' }-'" ,,"' ,1'\ ",: if,', \.,'>,,, E'" :,," ',-,- ,. " -'f i , , , ~ "1 i. , """".",',- .',.:) .~. ~' .. ...w ~.' '.. , __. ....'_. ~_.. ._,"_ ____. h__ _ _._ .____,~ _,_ SULLIYAN BARBARA SUMPLE ~49 BRIDGE STREET Jut .;:)Jt:I.t:lJ I 'I , I ,I I I I I '010 .ur ~ RECEIVED FROM, & ACN ASSESSMENT I!'I CONTROL Iii NUMBER AMOUNT NEW CUMBERLAND, PA 17070 rotOH,., ESTATE INFORMATION. 1:1 fl MBER iii el-199~-Ob40 m NAME Of DECEDENT (lAST) r.i MILLER ROBERT I II DATE Of PAYMENT II POSTMARK DATE COUNTY . SSN 171-20-8941 (fiRST) (MI) CUMBERLAND DATE Of DEATH REMARKS m TOTAL AMOUNT PAID .~18.el CW RECEIVED BY 9t~ Z {!. .~W '.~ "c,--W ,i,' SlGN'v t;'i MARY C. LIS . nu""{ ,(.(.p '.<.I---: : REGISTER OF WILLS ~ l , I "'~.~~'~ ~'~;7*.~'- ----,..-,..- -~,~,..~-::-- ~.~ - - - --;-.- -- -_...~-_---.:--_ SEAL JEAN R HELFRICH C/O BARBARA SUMPLE CHECKlt 122 SULLI YAN REGISTER OF WILLS \' -, ~, ' p,' t I .. I I ., ~J ,j t" , '. .f Y' .. ....--_.. "~.'_...- I -- r-' u___" 1F~4 J' ,,'--"'~Jl ~ _ .... . ,'. ... 0'" --..... 1.^Warl'IIJ1lH BAUDAUA SUMPI.B-SULUVAN "4\1 11111I11I11 HTIIllIlT NIlW OUMlJIlIIl..\NlI. J'IlNNH\'I,Vo\Nl^ 17070.1001 )'II11NIl 1m) "..,... I'AX ('17) "".,uno , !' " I I l August 27, 1996 Mary C. lewis, Register of WllIs Cumberland County Courthouse 1 Courthouse Square Carlisle, PA 17013 Re: No: Po. No: Estote of Robert I. Miller 1995.00640 2195.0640 Dear Ms. Lewis: Enclosed is the final Inheritance Tax payment pursuant to the decision of the Board of Appeals dated August 14. 1996, in the amount of $518.81. Also attached Is 0 copy of the Notice of Inheritance Tax Appraisement for your convenience. PleBSe forward documentation showing the balance is satisfied. ncems pleBSe contact the undersigned. Barbi'ra Sumple-Sullivan BSS/djs Enclosure cc: Jean R. Helfrich \l'd 1'1)',.' ,.'j pre,.., ."::JJn~ ,~'i1ClI~ 61: Id BZ 09\1 %. Sll!t.\ I"' )0;' . j ,'!~l:J ";4;jJlJjEJI:j ,t ,.' .... . IOARD OF APPEALlI OfPf,21I02' HMRl......O'I'A ".'..102' COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE PHONE' 7t7.7I),:lOe4 FA)t 717.717,7270 BARBARA SUMPlE SULLIVAN 549 BRIDGE ST NEW CUMBERLAND PA 17070 IN RE ESTATE OF: ROBERT I MillER - DOCKET NO. : 9618378 TAX TYPE: INHERITANCE APPEAL TYPE PROTEST FILE NUMBER: 21 95-0640 ACN: 101 APPRAISEMENT: 07-01-96 PETITION FilED: 07-22-96 EXAMINER: DONNA E. AUMENT MAILING DATE: Cl "'~ r-l .' .~ ,. .:, ~~ .- 0- " ' ~ S .4: fl . t.1.il. ~'u.:. a:: , - ~:: oJ? GO ~ AUG 1 4 199B DECISION AND ORDER On July 22,1996, the Bureau of Individual Taxes forwarded Pe~t1oner's letter of July 8, 1996 to the Board of Appeals to be treated as a protest to the appraisement and assessment Issued July 1, 1996. In that appraisement and assessment, the Department determined that the net taxable estate was taxable at the 15% rate, since the joint owner of the accounts reported on Schedule F was the decedent's sister. The Petitioner contends that the decedent's one.half interest in ~he joint accounts passed as a probate asset to her sons, further stating that the joint tenant did not receive the accounts "except her one- half which she owned". As evidenced by the signature cards/contrac~ for the accounts, the decedent , and the joint owner held the accounts with riQht of survivorship and not as tenants In Page 1 of 2 ROBERT I MILLER BOARD DqCKET NO. 9618378 Page 2 of2 common. Therefore, the Department correctly determIned that Upon tha decedent's death, hIs Intefest In the accounts passed by operation of la~ to the survIvIng owner of the accounts, taxable at the 15% rate. Accordingly, It Is hereby, Ordered that the protest Is denied. The appraIsement and assessment of July 1, 1996 shall stand as filed. '- FOR THE BOARD OF APPEALS ~f4. Maryellen S eehan, L Member - ANY APPEAL FROM THIS DECISION MUST BE FILED WITH THE ORPHANS' COURT WITHIN SIXTY (60) DAYS OF RECEIPT OF THIS DECISION. A STATEMENT OF ACCOUNT WILL BE MAILED TO YOU BY THE BUREAU OF INDIVIDUAL TAXES. ' IF YOU REQUIRE THIS INFORMATION IN AN ALTERNATIVE FORMAT UNDER THE PROVISIONS OF THE AMERICANS WITH DISABILITIES ACT OF 1990, CALL (717)783-3664 OR TOO (717) 772-1763 (HEARING IMPAIRED ONLY). '. . . . ,.0 , ) _ ,:I /, l - .J., COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RECORD ADJUSTMENT DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 09-0S'96 MILLER 08-05-95 21 95-0640 CUMBERLAND 101 *' '.'.lUIIIII' ''',hl ROBE,RT I BUREAU or INOIVIOUAL TANES IHl...nAHC( 1A1I DIVIIION DlPI, 111.01 nAN.IIBUtO, I" allI'."" BARBARA SUMPLE 549 BRIDGE ST NEW CUMBERLAND SULLIVAN MAKE CHECK PAYABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE. PA '170lS ESTATE OF MILLER ROBERT I FILE NO. 21 95-0640 ACN 101 I A.ount R."lt hd NOTEI To insure proper credit to your account, sub.it the upper portion of thia for. with your tax pay.ant. AOJUSTNENT BASED ON, VALUE OF ESTATE I 1. R..I Eat.t. (Schedul. AJ 2. Stocks and BondI '(Sch.dule BJ 5. Cloa.ly Held stock/Partnership Int.ra.t (Schedul. CJ 4. Hartg.D.I/Hot.. Raceivabl. (Schedule DJ 5. C.'h/Oank Deposita/Hilc, Parlon.l Property (Schedule E) 6. Jointly Owned Property (Schedule f) 7. Transfar. (Schedule OJ 8. Total A...t. DEDUCTIONS AND EXEMPTIONS I 9. Funaral Expan.../Adninistrative Coatal Hi.callan.aul Expan... (Schedule HI Debta'Hortgag. Llabiliti../Ll.n. (Sch.dul. IJ Total D.duoUon. H.t V.lu. of Tax R.turn Charltabl./Gov.rnn.ntal O.qu..t. (Sch.dul. JJ H.t Valu. of e.t.t. Subj.ct to Tax PROTEST BOARD DECISION UI 121 151 141 151 Ibl 171 .00 .00 .00 '.00 18.95 16.601.82 .00 IBI PA 17070 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ Rifv:isiij-Eif.AFP--io7~96i-...--.-i-iiiHERI.fANc-E-TA-X-RE-CORjj-Aoj.usrifENr--i.---..-.-------....-..-----... 191 UOI 7.066.97 788.10 1111 U21 U31 U41 10. 11. 12. 13. 14. TAX: 15. Anount of line 14 .t Spou.al rat. 16. Anount of Lln. 14 taxable .t Lin..l/Cl... A r.t. 17. Anount of Lin. 14 taxabl. .t Coll.t.ral/Cla.. 8 rat. 18. Principal Tax Du. TAX CREDITS I . PAYNENT RECEIPT DATE NUNBER USI Ubi U71 .00 N.OO a .00 N.06 a 8,765.70N.15a IIBI DISCOUNT I + I INTEREST I-I ANOUNT PAID '11-03-95 03-11-96 04-18-96 23.68 .00 .00 450.00 49.65 280.92 AA082282 AA112600 AA112768 INTEREST IS CHARGED FROM 05-06-96 TO 09-18-96 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE DATE 09-03-96 16 .620.77 7.855.07 8.765.70 .00 8.765.70 .00 .00 1,314.86 1.314.86 ,804.25 510.61 17.15 527.76 . IF PAID AFTER DATE INDICATED. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTlREST. IF TOTAL DUE IS LESS THAN fl. NO PAYNENT IS REQUIRED. IF TOrAL DUE IS REFLECTED AS A "CREDIT" ICRI. YOU NAY BE DUE A REFUND. SEe REVERSE SIDE or THIS rORN FOR INSTRUCTIONS.) . <j PAntE"', a.tlch tM top porUon D' thh Notice '.nd ,ublIlt with yQlJr ply..nt .ede p.vnl~ to the "... Ind .ddn.. printed on thl ravan. .1de. n 1Wl.. ~ck or 110M)' ord.r p.yable tOI REGISTER OF WILLS, AGENT. i1 ;'1' Ii{ AU payaen'. ncalvMt Ihdl b. a,ppUad flr.t to MY Int.r..t which ..y ba due with III1Y r...lnd.,. applied to the tlX. RE1UHD C tAJ I A refund of . tax credit, which .... not raqu..hd on thl 'IX A.turn, ..y b. r.~.tltd by co.plaUng an "app1Jc.tlon fOI" R.fund of Plrv1lvlVlnJ. Inh.rltanc. IInd Elt.t. '1M" (REV-UIS). Appllcetlon. ar. 1"IUlttl. It the Dfflc. of the Algl,tlr o,'WIIII, any of the ZS Rly.nue Dl.trlct Offlc.. or fro' the OIP.rt.-nt". Z4-hour III1sverlna .ervlce ~r. far for.. orderinG I In p~.ylvanl. l-IOD-S6Z-Z0Sa, out,lda PennaVlvanla Ind within locII H~rrlaburll ar.. (717) 7'7-1094, TOOl (717) 772-2252 (H..rlna 1~.lr.d only). J:;:. y ~ ;'fE", ~\. (to; :~ {~,~ '1' REPLV TO, OUe.tlon. regarding of Individual 'axa., (717J 7I7-65D5. arror. conhlned on thl. notlu .hou1d b. .ddr....ci tOI PA napart..nt 0' Aav.nu., lur... ATTNl pa.t A.....Nnt Rav1.w Unlt, Dapt. ZID6O'1, Harrhburg, PA, 17)2:I-D6Dl, Phone {,' DISCOUNT I 11 MY tax due is paid wlthln thr.. ()) eelandar .onth. .Itar tt. deeaant'. daath, a flv. parcent (5:0 dlscount of thl! t.. paid ls aUOtl.d. PENAL TVI Th. 15% tax a.".aty non-parUclpaUon penalty Ie co.putad on the tot.1 of the ta. and Inhr..t .......d, and not paid bafar. Janu.ry 11, 1996, the flr.t dav aftar tha and 0' the t.. aan..tv p.rlo~. INTEREST I lnt.r..t ls charg.d baglmlng with flr.t day of dallnquencv or nlna (9) .onth. .nd ontI (1) dav 'ra. the date of d..th to the data of p.~ant. Tax.. Which baca.. daUnquant ~'ora JanulrV 1, 1912 baar lntar..t at the rat. of 11..(6%) pare."t par IllV'IUlI calculat.d .t . dallv nta of .DDOI64. All ta... which bae... dallnquant on IW\d altar Januarv 1, 1912 will baar Intara.t at . rata which ..Ill vary 'ro. calandar yaar to c.lendar yur with that r.t. .nnounc.ci by the PA Departaent. of Rav.nua. The appllcabl. Intar..t rata. 'or 1912 through 1996 ar.' Vaar Intar..t Rat. Oally Int.ra.t F.ctor V.ar lnhr..t R.h D.IlV Int.r..t FKtor 1912 zax .DDD541 1917 'X .001247 1915 lOX .DDDUI 1911-1991 11;( .DDD5Ol I'" IU .Doon1 1992 'X .DDot47 1915 I5X .DDOS56 1993-1994 7X .DDDI9Z 1916 lOX .DDD274 1995-1996 'X .DOot47 --Intar..t II a.lculatad a. 'allowlI INTEREST . BALANCE OF TAX UNPAID X NUnBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR , -"Any Hotlc. luued altar the tax b.coae. d.lInquant will r.fhct an Intarll.t calculation to ,1ft.." US) day. b.yond the data of thl ........,t. If pay""t II aada after the Int.r..t caputatlon data .hown on the Hotlcl, addltl~1 lntar..t ...,.t be ca1culat.d. l,~ '-': " . k- ~j ,/ eeAA~ APPe.LS 01111'.211 HNUU.IUfllO,flA 11I2,.'OJ' COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE PHON I, 71707n._ fAX: 7170717.7210 BARBARA SUMPLE SULLIVAN 549 BRIDGE ST NEW CUMBERLAND PA 17070 IN RE ESTATE OF: ROBERT I MILLER DOCKET NO. : 9618378 TAX TYPE: INHERITANCE APPEAL TYPE PROTEST FILE NUMBER: 21 95-0640 ACN: 101 APPRAISEMENT: 07-01-96 PETITION FILED: 07-22-96 EXAMINER: DONNA E. AUMENT MAILING DATE: 'AUG 1 "1996 DECISION AND ORDER On July 22, 1996, the Bureau of Individual Taxes forwarded Petitioner's letter of July 8, 1996 to the Board of Appeals to be treated as a protest to the appraisement and assessment issued July 1, 1996. In that appraisement and assessment, the Department determined that the net taxable estate was taxable at the 15% rate, since the joint owner of the accounts reported on Schedule F was the decedent's sister. The Petitioner contends that the decedent's one-half Interest In the joint accounts passed as a probate asset to her sons, further stating that the joint tenant did not receive the accounts "except her one- half which she owned". As evidenced by the signature cards/contracts for the accounts, the decedent and the joint owner held the accounts with right of survivorship and not as tenants In Page 10f2 'J(; . ~'----""-"---~.'"''''''.'''.'''<''l''.'''_''''''' ~...~. /' / ,,' . ~ I /.t:"RT I MILLER "JARD DOCKET NO. 9618378 / Page 2 of 2 common. Therefore, the Department corfectly determined that upon the decedent's death, his Intefest In the accounts passed by operation of law to the surviving owner of the accounts, taxable at the 15% fate. Accofdlngly, It Is hereby, Ordefed that the protest Is denied. The appraisement and assessment of July 1, 1996 shall stand as flied. FOR THE BOARD OF APPEALS ANY APPEAL FROM THIS DECISION MUST BE FILED WITH THE ORPHANS' COURT WITHIN SIXTY (60) DAYS OF RECEIPT OF THIS DECISION. A STATEMENT OF ACCOUNT WILL BE MAILED TO YOU BY THE BUREAU OF INDIVIDUAL TAXES. . IF YOU REQUIRE THIS INFORMATION IN AN ALTERNATIVE FORMAT UNDER THE PROVISIONS OF THE AMERICANS WITH DISABILITIES ACT OF 1990, CALL (717)783-3664 OR TOO (717) 772-1763 (HEARING IMPAIRED ONLY). , -... - -....... ,-. . ~ ~..:.- _ _ _~ --i _....:- _ _ __ __ ___ _ _, _ __... '__. __ ___ __''';''____' _... ._ _ _ _ __ _ _ _ _ RECEIVED FROM. '~'iW~.t~~'Nn":;~ivit1,,,~W;~;1tJ!W?:;~ . -~ .., .~ J~Mtt'Jf:~'tf!.'f'$i{~~,,~i~}i:;~:,' ~';"Y;fr~"~ ., .1!':t;"J,,,iijHsYi.viNI~'i"ijnf;AN~i~'~..SiA"':;'Ax?'i~~~! ACN I:'J ASSESSMENT '!' II CONTROL 1;1 NUMBER AMOUNT SULLIVAN BARBARA SUMPLE e49 BRIDGE STREET IV! _1'.10 NEW CUMBERLAND, PA i7070 I /OIoHmi ESTATE INFORMATION. ~ FILE NUMBER U el-19ge-Ob40 !II NAME OF DECEDENT (lAST) I:iI MILLER ROBERT I II DATE OF PAYMfNT B POSTMARK DATE CO IV SSN 171-eO-S941 (FIRST) IMI) CUMBERLAND DATE OF DEATH SEAL JEAN R HELFRICH C/O BARBARA SUMPLE-SULLIVAN CHECKlI lea m TOTAL AMOUNT PAID .17.15 VZ REMARKS REGISTER OF WI LLS '===='~='~."--=-"C-.==-'-:""~'''-- --.-- - --- -----;-;=-r \' . ", t ~ ' .; .-.' .-. -- - ... ~ ..--. r~. ~. _~JJ t.- _-f. -..': l I ..,. '; -,_.- . --~-"'- r"::- \ ,--~'.... .-;., J I , : . .>" j , ,- o , ,) ) (f(e\' i j II .. 1 III .-i .-i .... :J:QJ III '1-4 P 00 ..cl I-<+J QJ I-< +Jp III 0 .... CJ QJ t:l1 I-<M QJ >.l1f.- P:+JpO I': tJ'r-- "::IC/)_ III 0 .~ CJ m ~ QJ'O P o-:l 1':.0 . Ill..cl QJ """""'r-j CJl-<l-<lIl QJ P'... ~~8:: ~a.-a ." :.. It; , P - \' .... "~',;, , ':...:,/tfH <:) ::t' ~ I In 0- I - N I I 1; ~ :: , 0 5 ... 0 I t'; . sag ! VJ o' , ' " ~ f:J ~ i-' I ~ o-:l 'l ~ E~~~ o .. Q . I ~S='" , I jVJ::: . = e ~ ~,~ , ~ ;;s I .. '" I ~ a f, ~ ~ {r :-. i I I. "'... f , I I - I - . I . - - i . . I . - I ~ ( 0 1 . i i - I - - - I i I - i . . /. == - '" lSl l:I (') (') I (') .. :a .. I ,:no """0 S 1: I J ;11 d3' 95. ~jJllf, w Jl'i~. :! ~~;~:C:"pOj)jo;.. ':'::1 ~i,-",.-' c>;;-, ." .-.' """-" ,. ".., "'-i";',,'-;__',, , . .. '. '. , \ i I f . ~ .~ '.",''''.' , ", ',C .-'-': ", "., ' ,,' " .~ . ., \',"". .l .. ..<-. ' I'. . "'~ . , { ',' / , . ;..\ . > . " i , !~' >"'1 : '. .... {. . >- .. "A,' . v' , . .... tI,# . ., . -, f'., ~ .1 ,,',,'. '., .. >, "1",'''-_''' \,..." , . II.. " '.' " . /~.':tt. ....,' -,; .;'. ..~, '" , , j "i .' l,~ ' . I . ......, ..' t ,.,' i' 001, \.. . . .( .. ',1J.---'~--- .'-""-'- ,..--,. ~ .....-...- -..-. --~"~;:::...- --'--,r:~:;i:J~?::-, ..; r -..,...-..- ~ - ,}. ~" ~J / BUREAU OF INDIVIDUAL TAXES .NI:RIUNCf fAM DIVISION DlPJ. ,.U01 ItARRIIlUAG. PA 17111."11 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAl< STATEMENT OF ACCOUNT (!.... * ....111111 if' III.tI. ROBERT I BARBARA SUMPLE 549. BRIDGE ST NEW CUMBERLAND SULLIVAN DATI! ESTAT! OF DATI! OF DEATH FILE NUMIER COUNTY ACN 09-16-96 MILLER 08-05-95 21 95-0640 CUMBERLAND 101 PA 17070 AMount n..Ht.d . MAKE CHECK PAYABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 HOTEl To in lure proplr credit to your account, lubMit the upper portion of thl. for. with your tax pay..nt. CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ..... iik-Ij=i6iWix"AFP-r03':9lir------...--iNHERnA'ili:ri'Air-ii'iifEHENi'-OF-Aifcouiff--ii...---------------- ---.- ESTATE OF MILLER ROBERT I FILE NO. '21 95-0640 ACN 101 DATE 09-16-96 THIS STATENENT IS PROVIDED TO ADVISE OF TH! CURRENr STATUS OF TNE STATED ACN IN THE NANED ESTATE. SHOWN BELOW IS A SUHHARY OF THE PRINCIPAL TAX DUE. APPLICATION OF ALL PAYNENTS. THE CURRENT BALANCE. AND. IF APPLICAaLE. A PROJECTED INTEREST FIGURE. ' DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT. 08-30-96 PR.INCIPAL TAX DUEl. 1.314.86 PAYMENTS (TAX CREDITS), PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST (-) 11-03-95 AA082282 23.68 450.00 03-11-96 AA112600 .00 49.65 04-18-96 AA112768 .00 280.92 08-27-96 AA146666 14.38- 518.81 INTEREST IS CHARGED FROM 08-28-96 TO 10-01-96 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM.- TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE . IF PAID AFTER THIS DATE. SEE REVERSE SlOE FOR CALCULATION OF ADDIrIONAL INTEREST. I IF TOTAL DUE ,IS LESS THAN .1. NO PAYNENT IS REQUIRED. IF TOrAL DUE IS REFLECTED AS A "CREDIT" ICRI. YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS. I ," r---~'v-'..,"',--'-~~,... 1.308.68 6.18 .05 6.23 ~.."'''-~'i--''''''' -0 '-( 0,.,' .; ,0 lO ."' In N in '.'1 ~ ! 'n t: 'Ill. I" l,J':;) u: Gu PAYJtENT I Detach the top portion of ~hl. Notice Ilnd autMllt with your pIV.."t ..d. ,.vail.. to thl n... Ilnd add'... prInted on the rlv.,... .Id.. If REIIDEHT DECEDENT .1Ik. check or .onlY ord.,. plwabl. tOI RECISTER OF WILLS, ACENT. If HOH"RESIDENT DECEDENT ..... chick 0,. HMV orde,. plvabll to, COttHONWEALTH OF PENNSYLVANIA. All p'~ent. received thall bI applied flr.t to ~)' Int.,...t whIch "V b. due wIth an)' r...lnd.,. appll.d to the tlX. REFUND (CA)a , ,..fund of I tlX cr.dlt, which .... not r.~.t.d on the 'IX Return, ..v bl reque.t.d by c~l.tJng en "Appllcltlon for A.fund of PMYl.vlvanll.lnherltancl and Elbt_ Tlx" (REV-ISIS). Appllutlonl Ir. av.l1abl. .t the OfficI of the Regilt.,. of Willi; en)' of thl 23 R.venue DIstrict OffIcI' or f,.~ the D.p.,.t.en", 24-hour an.werlng ..rvlcl ~.,.. for lor.. ordering I In P.nnlvlvanl. l"IDD-362-2050, out.ld. Pann,Ylv~la ~ within local Harrl.burg ar.a (717) 787-8094, TOO' (117) 772-2252 (Ha.rlng 1.,.lrad only). REPLV TDI cu..tlon. r-v.rdlng arror. cont.lnad on thl. notlca shoUld ba addr....d to. PA a.p.rtaent of Rav~, Bur.au of Indlvldull TIMI', ATTH. po.t A.......nt R.vl.w unit, D.pt. 280601, H.rrl.bura, PA 1712.-0601, phona (717) 7.7-6505. aISC~TI I' ~y tax due I. paid within thraa (5) c.landlr ~th. .,tar th~ dacedant'. d.ath, I flvl parcent (SXJ dl.count o( thl hx paid Is .Uowed. PENALTVI The 15X tax .-ne.tv non-partlclp.tlon pan.ltv I. co.,ut.d on the total 0' th. t.x ~ lnt.r..t .......d, and not paid ba'ora Janulrv 18, 1!'6, th. flr.t day aflu tha .nd 0' th. tax a."..ty parlod. IHTEREST. Int.r..t I, charg.d big Inning Nlth flr.t day 0' a.llnqusncy, or nln. (;) .onth. and on. (1) d.y 'roa thl data 0' d.ath, to tha data 0' pay..nt. Tlx.. Which baea.. d.llnqu.nt b,'or. January 1, l,al baat Intara.t at thl ratio' .Ix (6X) pare.nt p.r annua c.leulat.d at . dolly rata 0' .000164. All tax.. Nhlch bae... dallnqu.nt on and a't.r January 1, 19.' will b.ar Int.rl.t .t . rata which will vlry 'rol cal.ndlr Ylar to e.l.ndar y"r with thlt rat. announe.d by tha PA D.p.rt..nt of R'~.nua. Tha applleabla lntarl.t r.ta. 'or 19'2 th;ough 1996 ar.. Valr Intara.t Rata Oolly Intara.t Factor Vaar lntar..t R.ta Dally lntara.t Factor 19U Z.~ .ooos,.. 1987 .~ .0002,.7 191J 16X .0000. 1918-1991 11;( .000301 1984 II~ .000SQl 1992 .~ .000247 1.,.S IS~ .000SS6 1993-1994 n .000192 1986 I'~ .000274 1995-1996 .~ .OOOU7 --lntar..t I. c.lcul.tad a. 'ollowlI INTEREST . BALANCE OF TAX UNPAID X NUnBER OF DAYS DELINQUENT X OAILY INTEREST FACTOR --Any Hotlc. luu.d alt.r tha tlX b.eo... daUnquent will rallact an Int.r..t ulculatlon to fllta.,. (lSJ d.y. b.y~ tha data 0' tha .......ant. I' p.y..nt I. .Id. a't.r the Intar..t COMPut.tlon data .hown on tha Notlc., additional Int.ra.t au.t b. calculatad. ">"',-' ., .'.'. -,......, . ~, . I , I 1 I r J "":;,:l' I .,' , \ I I , i '" i' ./" j '\ .... , ''11' f \\\\\\\ ~-~"'" (i ~l' lu '"'~ (~ . .0 !; ~ ~,'~.: , "~. ~ 1 ! I . I E ~ Ii: 6 ~ ,. ~ e ... !: a e ".. t ~ \111;.1 :,.. ',\li,H tt....J'I.1: ~~H .(;.- .:il./l~p. ~ . ~ t 11:J ~ ei I!:l is ~ C ;.,j I; ~ ~ :.-. .". " i -. -............',...". Ql gj ~ olJ ... g u~,., VI >- 011 ... ~~ &~ 'r4::un... 3l8Gll( l\.j gj P. org 0 . ... Ill.c CIJ Ql.-iolJo-i ~ ~ ~.~ ....~8i.l ~a...B ..... 'f/ ,w'. ........ ......,~',...~_. . ~ - - - - - . 1 i "':: -:: ~ =.: - - . - . - - . . - - I:::,i;~~j. .... m t'J ~ I. r~' .. lU I" ... . . . I .. , , .; J ";.t' .. ,~, ~ ~ ,'. .\, ' .' .~', ~. /. ',", ,'l ';' .4\""'<':10..,1 ';', " '--, , , I j i 1 , , r ..' '], , r,., .... . ',0; ,"w..} . ... ~" , , I , . . .. tI ; "t~ ~';r.~ ~ i t, t'.- .. l\'"'l...t,., .~\< -' ~ ,'. /I..' >' t, .. ",,' ,\'; . ~ "--, 't -- ,'" "I", '. '....' ' ~. -- ,":,'..'C'.. , ." ' . . .l ~. , , . " .. ..: \, -. r ~. .( . J ~,---. ~. ~ - ..~ . tT L . ~ ; _: J ._"-.. ...........-;- - .''1.,' . .. ,.. f;'1 t;: ~;r. .' (j t,'l r~ :~~ .... ,\.~ ll1 63 ...: " "~t" .~ " '....' " , \ \.. '"'f~'',''''' . . r.' ,;'./0. "..\. "'>.~.t . :,' . u ,. C r. .." elll; .~ "\< ~';;"2:~ , " .' ~. , ! r '.',.[/ :':. ~'" r. )0 'I"'" .. _ ., '," '.';. .# r.. \ ..,.q;"I' , ft,'" ,~., I "'".'.. 'q \',) t.~ , ,,~:;; iJu ...... . .->;r , ,.., -1 ~. . ., .". \, -, ~' ., r . ., ..._,".."..~.. ,._~.-.,__,.._a ~_....'_.- -.--' ~.. ~ - 1- ........ ,..i.......,......._._."G~; 'r','~" ........'.J , . '. ... , , i I ~ I , I , , , i , , ~.. , ! ," -~ .... ~" I ,I .- JRDIJune 30, 1992/17858 RF.G1&.I!Jt OF WILLS Cumberland County Courlhousc One Courthouse Square Carlisle, PA 17013 NOTICE PURSUANT TO RULE 6.12 PENNSYLVANIA SUPREME COURT ORPHANS' COtm.T RULES To: Personal Representative Counsel: BARBAKA bUMi'Lt; -"Ul,L.LVAN , t;b\J., RE: Estate or ROBER'l' I. MILLER I Deceased, I.I!te or NEW CUMBERLAND BOROUGH Estate No.: 21-1995 - 64 0 Date or Decedent's Dealh: AUGUS'l' 5, 1995 Pursuant 10 Rule 6.12, the above named personal representative or the above n3ll1ed attorney, If applicable, within two (2) years of the decedent's death, and annually thereafter until adminislration 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 representative, or attorney, as applicable, reasonably believes administration will be completed. The purpose of this NOlice 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 that said Court conduct a hearing to determine whether sanctions should be imposed upon the delinCl'JCI1t personal representative and the delinquent personal r~el)resentative's ~unsel; if any. Accordingly, If the requisite Status Report Is not filed by9 - 30 , 19..:? you are hereby advised that a request will be submitted to the Court in accordance with Rule 6.12. Date: 9-16-97 Distribution to Estate File STATUS REPORT UNDER RULE 6,12 Name of Decedent: R"""..~ T 10\1 JI\lO: Date of Death: 8/5/95 Will No. 21 - 1995 - 640 Admin. No. Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the admlnistration of the above-captioned estate: I. 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: J. If the answer to No. 1 is Yes, state the followingl 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 t./'" No d. Copies of receipts. reI ases, joinders and approvals of formal or informal account y be filed with the cerk of the Orphans' Court and may be tache t t is report. Datel ~118/97 . ' .. " 0, Barbara Sumple-Sullivan, Esquire Name (Please type or print) 549 Bridge street, New f'nmht>..land. PA 17070 Address 8:1 , .tee u.: i:.h J~ 5 uu ( 717 I 774-1445 Tel. No. Capacity: Personal Representative KKK Counsel for personal representative (MAHlrmf/AMJ) ~~"'~~~"H"''''';~~'''..;'" ""'''",4~.:t!;.~,"":--''''''''.___'~~--'-~'''''''''' _om ':