HomeMy WebLinkAbout95-00698
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Registef of Wills of D::lUphin County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Es\alo of
(..!' 0 J-,j l'
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Fat .... .'V\&-r
No, 21-95-698
also known os
. Docoasod
Social SecurilV No, I 7 .,.. -It? - t ~- Z "6
GEORGE A. PARMER
'Ho'"......, ",I. "'" I" ,.... ..1 __... _. .,...,~..,...
(COMPLETE 'A. OR "0' OELOW:,
~
A. P,obate and Granl of ll!1tCfS nnd aVI!r Ih.ll Pllllhonerlslls/alU the mWGu'_ nallled ill the Lilst Will 01 the
Decedent. dated and codlclllsl dated
!;OM'................,........ '. '............'. ........_............ ...
Excepl 118 'ollows, Decadent did nol mBuy. was not dIYOrCtH.l. uod did not have 8 child born or odoplod alia' uQculion 01 tho docunumll oflercd
10f probalO: was not the victim 01 II Idllinu flnd we. "eve, udjudicelad incompelent:
~
B. Grant 01 Letlers 01 Adl1linlstrallon
.. I. 'II to... I.. 1__'" .... ......... _.... ....... ....._...,
POlluonerlsl alter a proper search has/have ascertained thai Deccdcntlcflno WIll and was surVIved by the tollownlg spouse
III anvl and hellS:
Name
Rol1l1ionshlp
J.~
....,,- .."..'"
, 'd -r 1: 1
Ji,M
Uac a 1110nn I 011111 I noen.IIU""
Dccede"t was domiciled at dealtl in ~"" l,.-'!_.r-(H ".,~ CuulltV, PcnllsylviHlliI, Wllh his/11m last tamily or princlplIl
rosldcllt:ent 7-JI"'J ~.,o('.I"" /L.,_r-~I: R.".A.J t:a^:1l"'l M,'II P.4 11"1..... ~hJ.'" 1I.u.trn {"'~-#_"'I)
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,...1.".....,'.~'4~' ..MI"u...........,l
D(!ccdCIlI, then ~ years 01 aoo, died
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19.1.Y. ill
1}'1r.'
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C v ~ ''1a.?-I-''t. ...,....
O'!CCdtUlI III dOlllh ownttd proporly with ostillllJlud villuu~ llll fullow!>;
III domiciltJd in PAl All IIUltlolllll,lIullOlly ......."......,..,.....,..... $
III nor domiciled in PA) Ponullul fllOpurty III Punl1fJvlVlInill . . . , , . . . , . . . . . .. ..,., $
"' n01 domiciled in PAl POIlionul prupufly in Counly . . . . . . . . . . , , , . . . . . . . . . . . . . $
Valuo of raal cltalo in Pcnnsylvunilt ............,....,...,...,.................,... $
Tolal .... . . , . . . . . . . . . . , . . . . . . . . . . . , . . . . . . , . , . . , . , . . , . . . , . , , , . . . . , . . $
Roal Eltlllo Illuoted Ot follows: NONE
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7-./100. ad
.
WhOlelofO. Petllionarls) ra.pect'ullv roquesllsllho prubllttJ ol1hu ll,sl Will and Codicllllil pl.,,,onlod Wllh IhiM Petition Hnd Iho gfllnt 01'0110'8 ill Ihl}
tlJlpropriote 'orm 10 Iho undorslgllftd:
Signaturo
TVIll!d ur pflnlud nomo ond Itlstdonco
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Oath of Pefsonal Representative
Commonwealth of Pennsylvania
County of D} ,',iA' CIJ 'llbc'\' lond
The Petilionerls) above-named swaarlsl and afflrmls) that Ihe slatements in tho foregoing Petition are true and
correCllO Ihe besl of Ihe knowledge and belief of Petitlonerls) and thaI. as parsonal representallvefs) of the Decedent,
Petitioner(s) will well and truly administcr Ihe eSlate according 10 law,
Sworn to and affirmed and subscribed -<:J~ \ -
. GEORG~ ' ~. .~~::
before me this
1 8 t h day of
1fJ,~,"~ ..,JltJJ;&fi fh
RY C. LEWIS' l.
DECREE OF REGISTER
Estate of GEORGE J. PARMER
also known as
Deceased
21-95-698
No,
Social Security No: 175-10-6528
lYauf<e1 Death: /lrrorrST 6-r-l994
AND NOW, SEPTEMBER 19 ,1995 ,in conslderetion of the petition
on the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters 0 Testamentary ~ of Administration
are hereby granted to GEORGE A. PARMER
.. I "..."..., I . ...."'..". ~'.. "'...... _..... ..."..,. "........,.,
in the above estate and that the Instrument(sl, if any, dated
described in the Petition be admitted to probate and filed of record as the last Will of Decedent,
FEES
$ 15.00
$ 10.00
$
$
$
$ 5.00
$
$
00
S {;,
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:0
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, .,
Letters....,....,..,......,....,.. $ 25.00
Short Certificatols).......,..
Renunciation.., ,..", .........
Affidavit ( )..............,..
Extra Pages ( )..,........,
Codicil..""",..,..",....,.."
JCP Fee..,....,......,......,..
Inventory & Tax Forms,..
Other",..............""......,
TOTAL......"......"
'"
MARY C:,\'LEWIS
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$ 55.00
Attorney:-W.'/( ,.. '^" L, -4./ ~ J-
1.0, No: -z; '1 B II L/
Address: p, O. 8",. 11'7 >; '3
J.I...rr'{~l".t-:J. PA 171CJ~
Tolephone:---.:z I 7 - 7 "5 'f - -.; z:. '31
DATE FILED: SEPTF.MRF.R 1 q, 19Q5
ATTORNEY ON SEPTEMBER:
RW-7. LETTERS WERE MAILED TO
21-95-698
\,
1,_
CV......l,!l-k.....J
Register of Wills of Dauphifl County, Pennsylvania
RENUNCIA TION
Estate 01 &p"""'Y
also known as
J, Rt 1- N\ e..r-
No,
J-/-q8 -&q~
, Deceased
The unde,slgned, ~II'YV"Pc, M..:-F room rY"'I . ~~v"
(Relalionshipl ICapaclIvl '
the above Decedent, hereby renouncelsl the righl 10 administer Ihe eSlalU and rospecllullV roquesll,1 Ihat
Lottors of A,J""" I '^ ".{-rQ//.{.., ".... be Issued to 6- eo ,r'j f"
P".;r--"",~
Witness~handthis 2S"-nI davof :rt:lNUI<tt2'! ,19.f5.,
04.~/YJJI ~~/
ISignaturol
c??.y/~ b, .Ak:cJ'r(<:.,.h;~.L?'CJ.!:J j/
(Addross) (I I.
(SignalUrol
IAddrossl
ISig"olu"'I
Sworn to or affirmed and subscribed
.~
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Noto,V Public
MV Commission Expires;
(Addressl
--_..._---_.__.__.---------~-
Nolarl41 Seal
Barbara F, Halchal, NOlary PubUc
Swatanl TwP.. DauphIn County
My Commlaalon Explrea Dec. 31,1907
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NOTE: Ronunclnllon.. oxoctllod outllido Ihn Olflco 0' ROllillof of
Will. me requilod in IDOla counl1011 tu hu flolarllod.
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Register of Wills of Dauphin County, Pennsylvania
RENUNCIA TION
Cted3-jP
also known as
P or.:-""" e-.r-
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T..
Estate of
No,
, Deceased
The undersigned, ::re=A-1J M. U-~~\ ~ ~ \l~ ktr
(Relationship I ICapacilyl
OI\OG.-II~ of
the above Decedenl, hereby renouncelsl Ihe righl to administer the estate and respuclfully reQuesllsl Ihat
Letters rJJ: ArJ,^",~ ....-I-rQ.-I-r~e issued to
I;'~/JJ-__
oJ
R.J' J"--_^^.o.J-
Witness
hsnd this t:.l J.f
day of fi.lH~ U I\-~ ')! , 19 '" $'"
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ISignaturel .
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(Address) ''/. C<......
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ISlgnaturel
IAddressl
ISigllaturcl---
IAddressl
Nolarlsl Seal
Diane L, Nsgu,kl, Nolary Publlo
Hsrdsburg, Dauphin Counly
My Commission expires Aug, 7, 1995
."~J~of~
Notary Public
My Commission expires:
11.......................,..............11I
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NOTE: RonUllclolionl oneutad oul.ide tho Ollieo ur Rngisl,,' O'
Wills or. roquirod In 'omu counti". 10 be f1ulariud,
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CERTIFICATION OF NOTIC~ UNDER RULE 5,6Ca)
Name of Decedent: George J. Parmer
Date of Death: August 8, 1994
Will No.
Admin, No, 1995-00698
To the Register:
I certify that notice of beneficial interest required
by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed
to the following beneficiaries of the above-captioned estate on
December 5, 1995;
Name:
George Parmer
Address:
911 Grove Rd., Harrisburg, PA
274 Broad St., Highspire, PA
Dolores M. Fromm
Jean M, Harris Veverka
1241 Penn Forest Streams
Jim Thorpe, PA 18229
Notice has now been given to all persons entitled thereto under
Rule 5.6(a) except N/A.
Date: December 5, 1995
liJJv1L ~ ~
William L. Adler, Esquire
ADLER & CLARAVAL
125 Locust Street
P. O. Box 11933
Harrisburg, PA 17108
717-234-3289
Supreme Court ID # 39844
Counsel for Personal Rep~tative
RfV.Uoo f)C + 1'.9"
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
'OR DATlSOr OIAfH AnlR 12/31191 CHICK HUI
If A SPOUSAL
POVIRTY CRlOIT IS CLAIMID 0
fill NUMIIR
o 3. Remainder Relurn
(fo, dolo. of doolh prlo, '012.13.821
o 5. Federal E,tale Tax Relurn Required
o
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COMMONWEAlTH or PENNSYlVANIA
DEPARTMENT O' UVfNUf
DEPT. 'IObOl
HARRISIURG 'A 1712.-0601
DEeEDEN 'I NAMIIIAIf. flUT. AND MIDDII IHUIAII
SOCIAl IICURlty UM~. J::.g
OAt( or 11.ltt
..2)
COUNTY CODE
Dl rOIH"s (OM'I( l AODun
770 Poplar Church Road
Camp Hill, PA
C...r Cumber land
AMOUNt UCfIVED Inr INSlIlUClIONII
/oyR
NUMBER
Talal Number of Safe D.poslt BOJl.,
(21)
(21A)
12TB)
u
96-
YEAR
DATI 0' ounl
175-10-6528
08~08.94 08.09 05
SOCIAl U(U~lh' HUMin
21. If lIn. 181. gr.at.r than lIn. 19, enter rhe difference on line 21. This Is the TAX DUE.
A. Enter Ihe Inlerell on Ihe balance due on L1n. 21 A.
B. Enler Ihelotol of L1n. 21 and 21A on Uno 218. ThilII Ihe BALANCE DUE.
Mo.e Checle Payable tOI Reg'lter of Will., Agent
BE SURE TO ANSWER ALL QUESnONS ON REVERSE SIDE AND TO RECHECK MATH
Under penalties of p"lury, I declare Iholl have eJlamlned Ihls relurn, including accompan~ln9 ,chedul.. and stat.m.nh, and 10 the beat of my howledge and belief,
It Is true, correct and complete. I declare Ihal 011 roal e"ale has been repartea 01 true market value. Declaration of pre parer ath., Ihan Ihe penonal repre..nloti.... Is
based an olllnforma'lan of which ,. or., has any ~nawledge.
SIGNAW.l 0' 'U!.ON RU1()NSlllf 'o~ 'llING UW~N ADO.E5!. DAU
-0 .~... "'~/~''''.;I, f'A .7'" '-'-/'7/;'-
"ONAlOO'.O' po.' ~". OI~'H,','J'";,.}.,.It,"Vf AOO""'. I r DAIf '/' /..
r((J~ jlitA'~ r;.... (L,4(,f/Q4... ~ P O. ~ "../-r c,bu ~, J>,{J , 7,"<0 I ~ _7 C!~
~, ",,'lI(J..lI,.u....,...1HQ s.-aun's H"..... ""$I. filii "HD IoI'DDIIIH.Il"11
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lKJ 1. Original Return
o 4. limited EUale 0 "0, Fulure Int.,.., Campromls.
(for dot.. of d.ath oft., 12.12.82)
o 6. D.cedent Died T..'al. 0 7. O.cedenl Maintained a lI...lng Trusl
(Altoch copy of WillI (Altoth copy of Trull)
ALl: CORRUPONDINCE AND CONFIDENTIAL TAX INPORMAnON SHOULD BE DIRECTED TO. .." .
NAMl (OM'UlE MAIliNG ADO.U!.
Willi m 125 Locust Street
fIlIPHON' NUM'" P . 0 . Box 11 933.
o 2, Suppl.menlol Relurn
:138
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81e
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234-32
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III
DO
1. Rool E.,o.o (Sch.du'o AI
2. S'ocb and Bond. (Sch.dul. B)
3. Closely H.ld S'oc~/Portnenhlp In,.,,,1 (Sch.dule CJ
4. Mortgag.. and Nole. Receivable (Schedul. D)
5. Ca.h, Ban~ D.posll' & Mlseellaneou. Perianal Proper'y
(Schodu'. EI
6, Joln.ly Ownod Proporty (Sch.dulo FI
7, Tron.'o" (Schodulo G) (Schodulo l)
8. Total Grall Aue'. (tolal lIn.. 1.7)
9. Funeral Expensls, Admlnlllratlve COlh, Mlsc.llaneou.
Expensea (Sch.dul. H)
10. Debl', Mortgage lIobllitlel, liens (Schedul. I)
11. T 0101 Doductlon. ('0'01 lIno. 9 & 1 a)
12. N.t Value of EUal. (line 8 minus line 11)
13. Charl'able and Governm.ntal a.qullh (Schedule J)
14. N.t Value Subl.et fa Tax (lIn. 12 mlnu. line 13
15. Spou.al Transfers (for dal.. of death oft., 6.30.9..)
See Instructions for Ar,pllcabl. Percentage on R.....rso
Side. (Include values rom Schedulo K or Schedule M.)
16. Amount of line 14 10llable at 6% role
(Include valu., from Schedul. t( or Schedule M,)
17. Amount of line 14 10llable at 15% rate
(Includ. valuea from Schedule K or Sch.dule M.)
18. Principal lax due (Add lox from line. IS, 16 and 17.)
19. Credits Spousal Poverty Cr.dil Prior Poym.ntl
Inler"l
(I)
(2)
(31
(4 )
(51--4.0J.5 _ 63
(6)
(7)
, I
I.d
(9) 47n nn
(10) 2.300.00
( 8)
2,075.63
2.770.00
o
(111
(12)
(13)
(141
o
(15)
(16)
(17)
)(._-
)( .06_
)( .15 .
(18)
o
Dlscounl
+ +-
20. If line 19 Is greater than line 18, enler th. difference on lIn. 20. This II Ih. OVERPAYMENT.
II D..:rm...,......_.,.,._.,.........",~'1II,.._..,..lI1":'rln_....111_.~.....!.11A....lr...1
(19)
(201
_....._-~...._.--....;,~.,.,.,.
,
Ad .48 of 1994 provld.. for the r.ductlon of the tax rat.. Impo..d on the n.t volu. of trand.r. to or for
the u.. of the .pou... Th. rat.. a. pr.lCrlb.d by the datut. will b.1
. 3% (.03) will b. appllcabl. for ..tat.. of d.c.d.nt. dying on or aft.r 7/1/94 and b.for. 1/1/96
. 2% (.02) will b. appllcabl. for ..tat.. of d.c.d.nt. dying on or aft.r 1/1/96 and b.for. 111/97
. 1% (.01) will b. appllcabl. for ..tat.. of d.c.d.nt. dying on or aft.r 1/1/97 and b.for. 111/98
. Spou.al trand.r. occurring on or aft.r 1/1/98 will b. .x.mpt from Inh.rltanc. tax,
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING A CHECK MARK (....) IN THE APPROPRIATE BLOCKS.
l. Old decedent make 0 transfer and:
a, retain the use or Income of the properly transFerred, '....'..,............,................................,
b, retain the right to designate who sholl use the properly transFerred or Its Income, ......,........
c, retain a reversionary Interest; ar ......,....,..,....,................,..,..........,...............................,
d, receive the promise For liFe of either payments, beneFits or core' ......,........................,......,
2, IF death occurred on or before December 12. 1982, did decedent within two yeors preceding
deoth transFer property without receiving odequate consideration' IF death occurred alter
December 12, 1982, did decedent transFer properly within one yeor of deoth without receiving
adequate consideration.................... H......... I............................................ ...... ....... II.........
3, Old decedent own an 'In trust For' bonk account at his or her death"'....,.....................,.........
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
YES NO
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SCHEDULE "E"
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
Estate of George J, Parmer
ITEM NUMBER
Harris Savings
Harrisburg, PA
Total Cash, Bank Deposits and Misc.
File Number 1995-00698
DESCRIPTION
VALUE AT DEATH
2,075.63
2,075.63
,
"
SCHEDULE "H"
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
Estate of George J. Parmer
File Number 1995-00698
ITEM
NUMBER
A.
DESCRIPTION
AMOUNT
Funeral Exoenses:
Luncheon after funeral
250,00
B. Administrative Costs:
Personal Representative
Commissions
Social Security Number
Personal Representative
Year Commission Paid
Attorney Fees
Family Exemption
Claimant
Relationship
.
Address of Claimant at Decedent's Death
.
Probate Fees
55.00
C. Miscellaneous Exoenses
Filing inheritance tax return
Reserve
15.00
150.00
Total Estate Expenses
470.00
I
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SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES AND LIENS
ITEM NUMBER
Estate of George J. Parmer File Number 1995-00698
DESCRIPTION.
Blue Ridge Haven West
Nursing Home, final bill
Total Debts of Decedent
2,300.00
2,300.00
:.'.
AMOUNT
,
,
"
SCHEDULE J
BENEFICIARIES
Estate of George J. Parmer
File Number 1995-00698
Item No.
Name & Address
of Beneficiarv
Amount or
Relationshic share of
estate
A. Taxable Bequests:
George Parmer
911 Grove Rd., Harrisburg, PA
Dolores M. Fromm
274 Broad St., Highspire, PA
Jean M. Harris Veverka
1241 Penn Forest Streams
Jim Thorpe, PA 18229
son
1/3
daughter
1/3
daughter
1/3
Item No.
Name & Address
of Beneficiarv
Amount or
share of
estate
B. Charitable and Governmental Bequests:
Total Charitable Bequests
+
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.J REV-1S47 EX AFP (12-95*
C~ALTH Of PENNSYLVANIA
DEPAIITHEHT Of' REVENUE
BUREAU Of INDIVIDUAL T'X[S
DEPT. ZID601
UARRISBURG, PA 11121.0601
1.'1 ,I
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(.-
ACN 101
NOTICE OF INNERITANCE TAK
APPRAISENENT, ALLOWANCE OR OISALLOWANCE
OF DEDUCTIONS AND ASSESS"ENT OF TAX
DATE 04-01-96
FILE NO.
08-08-94 COUNTY CUMBERLAND
NOTE I TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF TNIS FORN WITH YOUR TAX
PAV"EHT TO THE REGISTER OF WILLS, "AXE CHECX PAVABLE TO "REGISTER OF WILLS, AGENT"
REMIT PAYMENT TO:
WILLIAM L ADLER ESQ
125 LOCUST ST
PD BOX 11933
HBG PA 17108
REGISTER DF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
AlIOunt R..Ut.d
CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ....
iiE.j:isW-EX-AFP-ii2':9ifi-iioYicE--ciF-YNHERifA'iici-Ylix"APjiRAisEiiiiiT-;-AtrciwA'iicnili--m-mm-----
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF PARMER GEORGE J FILE NO. 21 95-0698 ACN 101 DATE 04-01-96
TAX RETURH WASI I XI ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN
1. Red Eabte ISchedule AI III
2. stock. and Bondi (Schedul. OJ UJ
5. Clo..ly Hald stock/Partnar.hip Int.r..t (Schedule CJ (5)
4. Hortg.ga./Hot.. Receivabl. (Schedule DJ (4)
5. C..h/Bank napa.lta'HSla. Parlonal Property (Schedul. E) 15)
6. Jointly Owned Property (Schedul. FJ (6)
7. Tran.fara (Schedule OJ (7)
a. Tot.l A...t.
) CHANGED
,00
,00
,00
,00
2.075,63
,00
,00
IB)
2,075,63
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funaral Expan.../Ada. COlta/Hila. Expan... (Sch.dul. H) e'J
10, Debh/"odgege LleblllU../Lhn. (Schedule II 110) 2.300,00
11. Total Deduction. ell)
12. Net Value of Tax Raturn (12)
15. Charitebla/Oovarn.antal aaquad. ISchadula J) 115)
1ft. Net Va1ua of e.t.t. Subject to Tax 114)
NOTE I I~ an assessment wes issued preViously, lines 14, 15 end,or 16, 17 and 18
re~lect ~igures that include the total o~ ~ returna asseased to date.
ASSESSMENT OF TAX:
1S. A.ount of Lin. 14 at Spou.al rat. I1S)
1'. Aaount of Lina 14 taxable at Lin..l/Cl... A rat. (16)
17. A.ount of Lin. 14 t.xabla at Collat.ral/Cla.. B rata (17)
18. Principal Tax Due
470.00
".77n nn
694,37-
,00
694,37-
will
,00
,00
,00
X .03.
X,06.
X .15.
I1BI
,00
,00
,00
,00
TAX CREDITS:
PAVHENT
DATE
DISCOUNT (+1
INTEREST (-I
RECEIPT
NUHBER
AltOUHT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
.00
,00
,00
,00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST,
IF TOTAL DUE IS LESS THAN '1, NO PAV"EHT IS REQUIRED,
IF TOTAL DUE IS REFLECTED AS A "CREGIT" ICR), YOU "AV BE DUE
A REFUND, SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS,I
,
\.,
':j
.:1
(it)
RESERVATION I [Itet.. 0' dee~t. dying on O~ ~for. Dec.-ber 12. .9.2 ~. If an~ future Int.r..t In the I.tet. 1. tr~.f.rr~
In po.....lan or enJQ~t to Cl... . (collet.,..l) beneflcl.rl.. 0' the dec~t .,t.r the Ixplratlon of env I.tat. for
11'. or far y..r., the Co..onw.,lth harlbv Ixpr...ly rl..r".. the right to .,pr.l.. ~ ...... trenl'.r Jnherlt~. ,....
It the l.wful el... I (collat.rl1) r.t. on eny .uch lutur. Int.r..t.
P\IIIPOSE OF
NOTlCEI To fulfill the requlr.-.nt. 0' S.ctlon 214. 0' the Inheritance end E,t.t. r.. Aot, Act II 0' ."1. 72 P.I.
Sutton 214..
PAYttEHTI Detach the top portion of thh Hotlu Met ,ublIJt tilth your PIYNnt to the Rqht.r 0' NUh print" on the nv.r.. .Ide.
..H.... chKk or MMY order plyllbl. tal REGISTER OF HILLS, AOEHT
All pIYMnh rec.ly~ Ih.U Ural be IIPPUH to MY Int.r..t which ny be due ..1 th MV ,....Ind.r ..,11. to the tax.
RUlICD can I A r.fund of . ta. andlt, which .... not rllqUett.. on tM TaM R.turn, ..y ~ nqua.t.. bv COIIPI.Ung WI "Appllc.Uon
for R.,und 0' Pann.ylvanl. Inharltenc. and E.t.t. T'M" (RfY-15151. Application. .r. .v.II-'I. .t the Offlc.
0' tM Regl.t.r of WIll., anv of the 23 R.v~ DI.trlot Of' Ie.., or by c'lllna the .pacl.1 Z4-hour
an.warlng ..rvle. ~r. for 'o~. orderlngl In Pann.vlvanl. 1-'DD-5,,-,a,a, out.ld. Pann.ylvanla and
~Ithln loc'l H.rrl.burl .r.. (1171 7.7-ID94, TOOl (717) 712-'252 CHa.rlna 1~.lr~ Only).
OIJECTIDHlI Any p.rty In Int.r..t not ..tl.fl.d with the appr.I...ent. '1Iowenc. or dl..II~. a' d~tlon., or .....--.nt
of t'M ClnclUdlng dl.count or Int.r..tl I. .hewn on thl. Notle. au.t obJ~t ~Ithln .IMty C'O) day. 0' rac.lpt of
this Hotlu bYI
AUtUN
IITAATJY!
CDRRfCTJOHSI
"~rlttan prot..t to the PA O~.rt'ant a' R.v..., lo.rd of App..h, o.pt. 'llOU, "-rrhburg. Pi 171U-I021, OR
--.Iactlon to h.v. the ..tt.r d.t.r'lned .t audit of the account of the p.r.on.l rapr..ant.tlv., OR
--.1'..1 to the Orphan.' Court.
DIICDUHT J
Factual .rror. dl.cov.red on thl. ......eent should b. ~r...~ In ~rltlng tal PA Dap.rteent 0' R.venue,
Bur.au of IndlvldU.l T...., ATTHI Po.t A.....eent A.vl.w unit, Dept. "0601, H.rrl.burg, Pi 171"-0601
Phone (717) 7'7-6505. I.. p.g. 5 0' the bookl.t "In.truetlon. 'or Inharltenc. TIM R.turn far. A.,ldent
Decedent" (AEY-lI01) 'or an ,.plW1.tlon of ~Inl.tr.tlv.ly correctable .rror..
I' any t.. due I. P.ld within thr.. (5) c.land'r .unth. .ft.r the dac~t.. d'lth, I 'Iv. Plrcant (I~) dltcount of
the tl. p.ld It .110wed.
Int.r..t Is charged bellnnlna with flr.t dliy a' cHIl1nquancy, or nine C,) aanth. and OM (1) d.y 'r. the data 0'
delth, to thl d.t. of p.v.ent. 'IX.. which bee... d.llnquent ba'arl January I, .,., ba.r Int.r..t at the r.t. 0'
.he (U) parcant par ..... calcul.ted .t . chllh rat. of .000164. AI1 talC.. which bee... delinquent on and '''.r
January 1, I'" ~lll baar Int.,..t at a rat. Nhlch will v.ry 'r. c.landar y..r to c.landar vear ~Ith that ,.t.
ennounced by the Pi Dap.rteent of A.v~. The appllcabla Int.r..t rata. for I'" thrOUGh 1'" .r'l
INTEREST I
~ Int.,..t A.t. D.lly (nt.r..t Factor ~ Intar..t A.t. D.lly Int.,..t Factor
I'll ..X .010541 1917 'X .000147
1915 In .000451 1'11-1"1 IIX .000SOI
I'" IIX .000501 I'" 'X .000147
1915 UX .000556 1"5-1'''' >X .0001"
191' lOX .00DZ74 1"5-1"' ox .000247
--Int.r.lt II c'lcul.t.d '1 fol1owI'
INTEREST. IALAllCE OF TAX UllPAID X NUIIIER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Hotlc. I..ued .,t.r thl t.. bac~. delinquent will r.'laot an Int.r..t c'lcul.tl~ to 'I'teen CIS) day.
blVond the dati of the .........,t. If p~t II Ada ....r thl Int.r..t ClMPUt.tlon data Ihown Dn the
Notice. additional Int.,..t ..,It be calculltad.
STATUS REPORT UNDER RULE 6.12
Name of Decedent: (;"orjP
Date of Death: ~<tJq L{
Will No.
,r, PaJ'-N\ P .r-
Admin. No. /9'1,- O.tJ6f'B
Pursuant to Rule 6.12 of the Supreme Court Orphans'
Court Rules, I report the following with respect to completion of
the administration of the above-captioned estate:
1. State whether administration of the estate is complete:
Yes J No
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete:
3. If the answer to No. 1 is Yes, state the following:
a. Did the personal representative file a final
account with the Court? Yes NO~~.
b. The separate Orphans' Court No. (if any) for
the personal representative's account is:
c. Did the personal representative state an
account informally to the parties in interest? Yes ~ No
d. Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be attached to this report.
Date: to /7 /9h
I I
f dAla;;::; /'
1 ;./,Jdft'A
Signature
W,-II,<L>..... L. .kJ,j/~J-
Name (Please type or print)
oo::r
- -. -~~
0 !!2 .. ~o:
;~~ ~ ,',
ri"t: , ci
_:~
'. ~ co !()
I . ~
, ' @ :;
(~ ..:~ o.r,
~-;l .:'5
go> ~ ~E
a: a: 08
P. iJ. fJ,." 119 ~ 3-
Address
I~o,. 17rr;;B
./
( '7/1 Z. ;'1 7 2J3 <}
Tel. No.
Capacity:
Personal Representative
_~ounsel for personal
representative
(MAH:rmf/AH3)