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I)ETITION FOR I)ROIJATE and GRANT OF LETTERS
Estate /If -Rmj-Lp.~I!:LN_ No. _P.I- 9.5 - 7.;:1.. 7
also k'I<I1I'1/ as To:
lluL9~ _. J)",'ean'd. ~~~II,~:~r ,~l[ WEll,~l'il,he In Ihe
Sodol S"(,/I,lt)' N/I. -111:1>DJ.J5" CommOlllleallh or Pennsylvania
The pelillon or Ihe undersigned re'llCclfully re(lle,elll' IlulI:
Your "elilloner(lQ. whol,/ODlIH yellr, of IIge T lilder IIn Ihe exeCUI bit.
In Ihe IIISI 11'11101' Ihe IIh\lye ~~ccdenl, dilled I..:tl-
and codlcll(s) dnled _JiJirtL
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I>..tcsndcill 11'11' don,iclled III dealh In ?:,pI'( 6, Counly. Pennsylvania, wllh
1Lli:L\-:.. IU'I rUlnili' or (lrlncflml re,ldence al L. rf" I> & l< H dJfg
-CiImp Hi 11 Rn-:OU~ill. PA 17011
lli\1 \U\'l.'l, IIlllllhC'r nlld 1II.lIndp~il)')
D~cendenl. Ihen 1".1 yeuls of age, died ---.!l.JiA I tf)' . 19 q r"
al --:...-. ____... .
ExcepIIISrollo\\'s, d~cedelll did nOI murry. WII' nol ~Ivoreed and did nOI have a child born or adoPled
afler execullon Ilf Ihe 1\1I1.Qff~e(1 for "robale; wus nOllhe vlclhuof u killing and was never adjudicated
Incompelem:. tv 11
Decendemlll denth owned properlY with eSlhualed valne, a, follow,:
(II' domiciled In PII.) All personul properlY
(If nOl domiciled In Pa.) Personal properlY In Penll'ylvanla
(If nol domiciled In Pn.) Pe"onul properl)' in CoulllY
Vulue of real C'llIIe In Penn'yll'aniu
sltualed Us follows:
t\(alt.,' rrl('\'llll' dfl:llll1\IUIICC', (',11. fI.'nundnrlnll. uenlll nr C'\\"\'lIIor, tll:,)
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OAHI OF PERSONAL REPRESENTATIVE
COMMONWEAI.TH OJ-' J'ENNSYI.V ANJA } I:IS
COUNTY 01-' Co v~ __
The IICI;li,,"e,(s) ahllve-ml/Iled ,wellrhl or uff/rlll(s) Ihul Ihe sllllemenlS in Ihe roregolng pelltion are
Irl"- "lid .:o,recl 10lhe he'l Ill' lile ~nlll\lcdge 1111" heileI' of pelilloner(s) lInd 111111 as personal reprcsen-
1IlIII'c(s) of Ihe IIho\e d,'cedelll "elilln"er(s) 11'111 wellllll" !rilly IIdmlllisler Ihe eslale according 10 law.
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Sworn 1(1 Of alfirnlf:d i:md "lUh.'I,:iihcd
hef"re 1Il''''hl' ~.__2]-----.!i") of
",,~..LeJ.T!!?e~_!-_----,-o.l"' v I 92-
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Mary' c. Lewis U,'gi.",',
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No. 21-95-727
Estate of
Rt1I11 I. 81n1N
, Deceased
I)ECREE m', I)ROIIA TE AND GRANT OF LETTERS
ANIJ NOW 0C'I08ER 2, 19~, In con'lderatlon or Ihe pellllon on
Ihe revcr.e .Ide hereor, 5D11.raClory proor having been pre.enled berore me,
IT IS IJECREEIJ Ihat Ihe In.trument(s) dated JANUARY 31st .1979
described Ihereln be admit led 10 probate and med or rL'Cord aSlhe In.t will or
RU'Ill I. 810m
nnd Lellers 'l'ESTAMEN1'ARY
are hereby granted 10 WALTER G. 810m
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,
FEES
Probate, Lellers, 'Elc. ......... S 25.00
Short Cenlrlcate.( 2) .......... S 6.00
Renunelallon ................ S
X-Pages 2 S 6.00
JCP TOTAL _ S-s:uU-
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:o'MY C. LEWIS
ATTORNEY (Sup. CI. 1.0. No.)
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ADDRESS
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MAILED LETl'ERS AND ORDER TO E:XJnrroR ON 10-3-95.
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21-95-727
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LAST WILL AND TESTAMENT
01"
RUTH 1. BROIm
I, RU'l'H 1. BROI'lN of Lemoyne, Cumherland County, Pennsyl-
vania, declare this to be my Last will and 'l'estament, hereby
revoking any will previously made by me.
1 - 1 direct the payment of all my just debts and
funeral expenses out of my estate as soon as may be practical
after my death.
11 - I direct my burial next to my mother, Margaret 1".
Rice, in St. John's Cemetery, Shiremanstown, Pennsylvania.
111 - 1 devise and bequeath all the rest, residue and
remainder of my estate of whatever nature and wherever situate
unto my brother, Walter G. Brown, if living.
IV - Should my said brother predec,"utl'" lIIe, then 1
devise and bequeath the said residue of my estate in equal
shares to the fOllowing beneficiaries, if living, and the share
of any beneficiary who predeceases me shall lapse:
A. fly uncle, Joseph W. Caveny;
B. My aunt, Pauline Soyster
C. My sister-in-law, Bernice Brown.
V-I appoint my brother, \'lalter G. Brown, Executor
of this, my Last Will and Testament. Should my said brother
fail to qualify or cease to act as such, then 1 appoint my
uncle, Joseph W. Caveny, to act in this capacity. Should my
said uncle fail to qualify or cease to net, then 1 appoint my
aunt, Paulin.e Soyster, to act in this capacity. Should my said
aunt fail to qualify or cease to act, then 1 appoint my sister-
^NNnll1, !iLl. II III 'IAYIJlT
Am....'YI AT I"'.
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in-law, Bernice Brown, to act in this capacity.
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None of my
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personal representatives shall be required to post bond in
this or any jurisdiction.
IN IUTNESS WHEREOF, I have hereunto set my hand and seal
on this, the
3}~7
, 1979.
JAPIMH"
day of
(SEAL)
Signed, sealed, published and declared by RUTH I. BROWN, Testa-
trix therein named, on this and one (1) other sheet of paper
as and for her Last will and Testament in our presence, who, in
her presence, at her request and in the presence of each other,.
have hereunto subscribed our names as attesting witnesses.
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Name
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f2Address'
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AUIllID. ... .. IlAYUY
Am_HaiTI AT LAW
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COMMONWEALTH OF
COUNTY OF
PENNSYLVANIA)
I
CUMBERLAND)
SS.
I, RUTH I. BROWN , the testatrix whose name is signed
to the attached or foregoing instrument, having been duly quali-
fied according to law, do hereby acknowledge that I signed and
executed the instrument as my Last WillI that I signed it will-
inglYI and that I signed it as my free and voluntary act for the
purposes therein expressed.
of
Sworn or affirmed to and
RUTH I. BROWN,
January , 19 79.
acknowledged before me, by
the testat rix this _..3UI:.. day
~"j & ~~< e.
. Noyary Pu 1 c
Thelma S. M,Caulijp, Nolory PubU,
M,. Commllllon I.pl", I~, I, r~nq
C.mp IifJ. PA .. ... . C...b.~.nd C.....,
COMMONWEALTH OF PENNSYLVANIA)
COUNTY
: SSe
CUMBERLAND)
OF
WE, the undersigned,
the witnesses whose names are signed to the attached or foregoing
instrument, being duly qualified according to law, do depose and
say that we were present and saw the testatrix sign and execute
the instrument as her Last WillI that RUTH I. BROWN
signed willingly and that RUTH I. BROWN executed it
as her free and voluntary act for the purposes therein expressedl
that each of us, in the hearing and sight of the testatrix signed
the will as witnesses I and that to the best of our knowledge the
testatrix was at that time 18 or more years of age, of sound mind
and under no constraint or undue influence.
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Sworn to and subscribed before me
this ..Jhz:. day of January , 1979
.~.{.<d,~
Thelma S. M,CauIUp, Notary Pab~,
M, Commilsion bpiflS hAy I, rla9
(.mp "111. PA Cr.nnbtrland Counl.,
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CERTIFICATION OF NOTICE UNDER RULE 5.6Ia)
Name of Decedent:
Ruth I Drown
Date of Death:
Q_?n_Q'i
Will No.
1995-00727
Admin. No. 2195-0727
To the RegisLer:
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 (ollowing beneficiaries of the above-captioned estate on
Name
Walter G Brown
Address
2801 Harvard Avenue Camp Hill, PA 17011
Notice has now been given to all persons entitled thereto under
Rule 5.6(a) except
Date:
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Signature
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Name Wal ter G Brown
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Address 2801 Harvard Ave.
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Camp Hill. PA 17011
Telephone! 71Y- 731-8306
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Capacity:
x Personal Representative
Counsel for personal
representative
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NOTICE OF BENEFICIAL INTEREST IN ESTATE
BEFORE THE REGISTER OF WILLS, COUNTY OF Cumb~rln~i PENNSYLVANIA
In re Estate of Ruth 1 Brown
, deceased,
No. 199<;-007:>7 of 71Q"_n"727
TOI
Walter G Brown
2801 Harvard Av~nu~
(beneficiary)
(address)
Camp Hill. PA 17011-5233
Please take notice of the death of decedent and the grant of
letters to the personal representative(s) named below. You may have
a beneficial interest in the estate as follows:
(if additional space is needed, use back of page)
Name of decedent Ruth I Brown
of decedent
Last known address Leader Nursina Home
17th & Market Sts.
Date of death
Camp Hill. PA 17011
. 9-20-95
Place of death
Leader Nursina Home Camp Hill. PA
County of grant of original letters
Cumberland
Decedent died
x tes t.a t.e
intestate.
A copy of the will
is ~ is not attached.
Name(s), address(es) and telephone number(s) of all personal
representatives appointed
Name
Walter G Brown
Address
2801 Harvard Ave
Camp Hill. PA 17011
Telephone
717-731-8306
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Name(s), address(es) and telephone number(s) of all counsel
Name
Address
Telephone
Additional information
II l.vI/?~
Date
may be obtained from
Signature
the undersigned.
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Name
WRlt:,:.r c:: Rrnwn
Address 2AOl HArVAr~ Avp
Camp Hill, PA 17011
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Counsel for personal
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I), \~'AA 082344 . COMMONWEALTH OF PENNSYLVANIA
. . ; , . .,. , DIPAIl1MINT OP RIVINUI
i.;t.',i....~~~ ' , OFPICiALRECEIPT. PENNSVLVANIAINHERITANCEANDESTATETAX
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RECEIVED FROM:
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ASSESSMENT r:t
CONTROL 1.:.1
NUMBER
AMOUNT
WAl.TER a BROWN
e801 HARVARD AVENUE
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.lO,67...B9
CAMP HIl.l., PA 17011
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ESTATE INFORMATION,
!II FilE NUMBER
U el-199:5-07B7
1:'1 NAME OF DECEDENT (LASTI
I;i BROWN RUTH I
II DATE OF PAYMENT
EJ POSTMARK DATE
COUNTY
SSN 19:5-07-113:5
(FIRSTI IMI)
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CUMBERLAND
DATE OF DEATH
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REMARKS
WALTER a BROWN
m TOTAL AMOUNT PAID
.10,b74.B9
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RECEIVED B/)J:h1 C. '~~...I4 P 1-1"
SIGN' U v' !IV"
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MAR V C. LEWIS " . V
REGISTER OF WILLS
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REGISTER OF WILLS
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
'OR OATIS 0' DIATH AnlR 12131191 CHICK HIRI
I' A SPOUSAL
POYIRTY CRlDIT IS CLAIMID 0
fill NUMIIR
COMMONWEALTH O' '(NNiYLYAN1A
DEPAltMINf 0' R[YIHUE
om 21000 I
HARAlnURG.'A 17 21.0601
Cl IN' HAMIII",'.'1 , , AHD IIllDOl
INllAll
2195-0727
COUNIY CODE YEAR
OIClolN '!o COMPltll ADOIIU
),Gilding Nursing 1I0mG
17th & Market Sts
c~" 'amp lIill, PI\ 17011rllmh",..1"ncL
AMOUHI 1l(llVlD IUIIH!oUUClIOH501
$80137.21
o 3, Remalnd.r R.lur"
(for dol.. 01 d.olh prlo, 10 12.13.B2)
o 5. fed.rol E.,al. To. R.lurn Required
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NUMBER
_ 0, Tolal Numb., of Sar. O'poIII 80"'''
(heel. heft.' if you ore requelting 0 refund 0' your ovelpayment.
7-6-12
[ill. Orlglnol R.'urn
o A. lImlt.d E.,o'.
o 2. Supplemental Relur"
2801 lIarvard I\venue
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Cam
Hill
PI\
17011-5233
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(A)
(5)-8-OJ37 ?1
(6)
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(10)
4974.00
255.89
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o Aa. Fulur. lnhu..' Compromise
(for dol.. 0' d.o,h oft.r 12.12.B2)
06. O,ced.nt Di,d T,,'all 0 7, Olcld.nt Moln,oln.d 0 living Trull
(AIIDCh copy 01 Willi (Alloch copy 0' Trul'l
RRISP.ONDlNt !ANDtONFIDENTIAL,TAX, NFORMATION5HOUBEDIREtTEDTO..;,.",..III:,;;:...
eOM'LEU MAILING AOOIU
iOClAt ueVII" NU III
195-07-1135
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1. R.DI E,'ol. (Sch.dul. A)
2. Slocl. and Bond. ISch.dul. 8)
3. Clo..ly H.ld Stock/Portn.nhlp Inl.r..t (Sch.dul. C)
A, Mortgog.. ond Nol.i R.c.lvobl. (Schedul. 0)
5. Caih. Bonk O.po.lll & Mlleellan,oui P.nanol Prop.rty
ISch.dul. EI
6. Jolnlly Own.d Prop.rly ISch.dul. FI
7. Tron.'m ISch.dul. 0) (Sch.dul.l)
8, Total Gran An.ta (Iolallln.. 1,7)
9. Fun.ral bp.n.... Admlnhlrallv. Co.lI, Mlicellaneoui
bp.n..' (Sch.dul. H)
10. O.bu, Mortgage lIabllitle" 1I.ni (Schedul. I)
11. Tolol D.dudlon.I'o'ol L1n.. 9 & 101
12, N.t Volu. of Ellat. (lIn. 8 mlnul line 11)
13. Charitable and Governm.nlol BequllII (Schedule J)
1A, N., Value Sub.et 10 Tal( (line 12 mlnul line 13)
15. Spoulol Trond.,. (for dolll of death after 6,30,9.4)
S.. InlUucllonl for Ar,pllcobl. Percentage on R.vene
Sid.. (Indude valu.. rom Schedule K 01 Schedule M.I
16, Amoun' of line 1A laJloble 01 6% rale
(Indude yalu.. from Schedule K or Schedule M.)
17, Amount of lIn. 1.4 IOJloble ot 15% rote
(Indud. yolu.. from Sch.dul. K or Schedule M.)
18, P,lnclpollol( due (Add lox from linea 15. 160nd 17.)
19, Credlll Spoulol Poverly Credll Prior PaymenU
+
(11)
(12)
(13)
(IAI
(15)
(161
{171 74'107.37
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)( ,15..
80137.21
5229.89
74'107.37
74'107.37
11?~'; 1n
11236.10
561 81
20, If line 1911 greater Ihan line 18, .nler Ihe dlff.,ence on line 20, Thh II the OVERPAYMENT.
iii 0
21, If line 1811 greol., Ihan lIn. 19, enter the difference on line 21. Thll II the TAX DUE,
A, Enter thelnt"", on the balance due on line 21A,
B. Enl.r Ih. 10101 ollln. 21 and 21A on lIn. 21B. Thl.I.,h. BALANCE DUE.
Make Check Payabl. tal Reg'lte, of Willi, Ag.nt
. flt .:r: RUOANSWER ALL QUESTlONS.ON REVERSE 51 rAND TO REtHE('K MATH;l';:; ,,\'\':l.....\v.~.' .. ",."
Und.r penaltl., of perjury, I d.c1are thai I hay. uomlned this relurn, Including occompanylng tch.dul.. and ,ta'.m.ntl. and to the bel' of my knowl.dge and b.ll.f.
IIII trut, corred and compl.,.. I d.clare that 011 real "'01. hOI b..n reportea 01 (rue mark.t value. Oeclarallon of preparer olh.r ,hon ,he p.nanal repre.enlatlv. I.
bal.d on all InformatIon of which pre artr halon knowledge,
SIGHA,fUIC OJ1.USOH ~ IU alflUNG IUUIN ADOlns OAlf I ./
'AZi..... 2801 Harvard I\ve. Camp Hill, PI\ 17011 fl.. '/.<j ~4s
II AYUI! 0' '11'0411I Aooun DAIf, / II CI
3412 Derry St. Harrisburg, PI\ 17111 Ir,1'7-79
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10674.29
10674.29
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Act #48 o' 1994 provld.. for the reduction of the tax rate.lmpo.ed on the net valu. o' tran,'.r. to or 'or
the u.. o' the .pou.e. The role. a. pre.crlbed by the .tolute will bel
e 3% (.03) will b. applicable for ..tal.. of decedents dying on or after 7/1/94 and b.'or. 1/1/96
e 2% (.02) will b. applicable 'or ..tal.. a. decedents dying on or aft.r 1/1/96 and b.'or. 1/1/97
e 1% (.01) will b. oppllcoble 'or ..tal.. of decedent. dying on or aft.r 1/1/97 and before 1/1/98
e 5pou.al tranaler. occurring on or after 1/1/98 will b. ex.mpt 'rom Inh.rltanc. tax.
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING A CHECK MARK (....) IN THE APPROPRIATE BLOCKS.
YES NO
1. Old d.c.d.nl make a transf.r and:
x
a. r.taln th. us. or Incam. 01 the prop.rty transl.rr.d, .......................................................
b. r.taln the right to d.slgnat. who sholl us. th. prop.rty transl.rr.d or its Incom., ...............
x
c. fetain a reversionary Interesti or ...................................................................................
x
d. r.c.lv. th. promls. lor III. 01 .lth.r paym.nts, ben.llts or car.' .......................................
2. II d.ath occurr.d on or b.lor. O.c.mb.r 12, 1982, did d.c.d.nt within two y.ars pr.c.dlng
d.ath tronsl.r prop.rty without r.c.lvlng ad.quat. consld.ratlan' II d.ath occurr.d alt.r
O.c.mb.r 12, 1982, did d.ced.nt Iransf.r prop.rty within on. y.ar 01 d.ath without r.c.lvlng
adequate consideration'..... ......................................... ...... ............. ............ ......................
x
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3. Old d.c.d.nl own an 'In trust lor' bank account at his or h.r d.ath9......................................
x
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
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SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
Plea.e Print ar l' e
FILE NUMBER
2195-0727
COMMONWI!AUH O' PeNNSYlVANIA
INHIIITANCI TAX lnulN
.UIDIH' DlelDINT
ESTATE OF
Ruth I Brown
(All property lolntly.owned with Ihe Righi .f Su",lwor,hlp mull be dl,cloled on Schedule ')
ITEM
NUMBER
DESCRIPTION
VALUE AT
DATE OF DEATH
1.
Dauphin Deposit Bank
Certificate Of Deposit H800168952
68408.49
2.
Dauphin Deposit Bank
Checking Account H18191843
5028.75
3.
Meridian Bank
Savings Account H3229-5967
982.58
4.
Refund_ Country Meadows Nursing Home
Mechanicsburg, PA
3048.79
5.
Refund - Leader Nursing Home
2668.60
,
TOTAL AI.a enter an line S. Reea lIulallon S 80 1 37 . 2 1
IAnach addlrlonaI8Yt" M 11- ,heel, If mo~ space Is needed.)
lI'l-I)IIU.I'I'1
ESTATE OF
~:J~'~"
.... -%l'J~
COMMONWEAltH Of PfNNSYIVANIA
INHUITANCf 'AX _UUIN
IUIDfH'DECfDfNT
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
I Plla.1 Print 0' Typl
FILE NUMBER
2195-0727
Ruth I Brown
ITEM
NUMBER
A. Funeral Explnlla.
B.
C.
DESCRIPTION
AMOUNT
1.
Myers Funeral Home
Mechanicsburg, PA
4270.00
2.
St John's Church
Shiremanstown, PA
Cemetery Lot
225.00
1.
Admlnlatratlvl Coa'a,
Personal Reprelentallve Cammllllonl
Soclol Security Number of Personal Reprelenlatl.o:
Voar Comml..lonl paid
2.
Allorney Feel
3.
Family Exempllon
Claimant
Addre.. 01 Claimant at doeedont'. death
Street Add"..
City
Zip Code
Relatlanlhlp
State
4. Probate Fee.
1.
Register of Wills Cumberland County
MI.clllanlaua Expenllll
Short Certificates
12.00
42.00
2.
Memorial Stone -- Gingrich Memorials
Inheritance Tax Preparation
125.00
300.00
3.
4.
s.
6.
7.
8.
TOTAL (Alia enter on line 9, Roeapllulallan)
(If more apace I. nelded, In.e" additional ahle'a af aame .I.e.)
S 4974.00
I.
I
1I'l-1111Ihl'."1
'*'
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES AND LIENS
Plea.e Print ar Type
I FILE NUMBER
219<;_0777
COMMOHWULlH O. 'INN"'\""HI"
INH(lI'ANC( fAI "'U.N
'UlOINIOleIOINI
ESTATE OF
Ruth I Brown
ITEM
NUMBER
DESCRIPTION
AMOUNT
1.
Dr. Robert Shindler
62.91
2.
Hampton Township Ambulance
165.00
3.
VitaLink Pharmacy Services
27.98
TOTAL (Aho enllr on line 10, Recapllulallon) S
(II more .pac. ,. ne.d.d, In..,I additional .huts or lam. .i,..)
. .iv.uUt.. 11-111
-!~
eOMMONWIAUH Of ,fNNIlWANIA
INH..n...HCI..... .nU.N
"'IDIN' D.e'DIN'
SCHEDULE J
BENEFICIARIES
ESTATE OF
FILE NUMBER
Ruth I Brown
2195-0727
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
RELATIONSHIP
AMOUNT OR
SHARE OF ESTATE
A. TOMobl. a.qulltll
1.
Walter G Brown
2801 Harvard Avenue
Camp Hill, PA 17011-5233
Brother
74907.32
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
AMOUNT OR
SHARE OF ESTATE
a. Charltabl. and Gov.rnm.nlol aequlltsl
1.
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Allo onlor on IIn. 13. Roeapllulotlon) S
(If mOil .poee I. "udld, tnllrt oddlllonal .hut. 01 .oml .111)
STATUS REPORT UNDER RULE 6.12
Name of Decedent:
Ruth I Brown
Date of Death:
q_?n_QC;
Will No.
1995-00727
Admin. No. 21q~-n7?7
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:
l. State whether administration of the estate is complete:
Yes x No
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete:
3. 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 K
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
Cerk of the Orphans' Court and may be attached to this report.
Date:
'.'j//dttr
rll~ LL
,
:.../\
';':;
('50
~~~~
Signat.ure
Walter G Brown
Name (Please type or print)
2801 Harvard Avenue Camp Hill, PA
Address
".
f'o.J
'-.
.-,
( 717) 731-8306
Te 1. No.
Capacity: l(
Personal Representative
Counsel for personal
representative
(MAH:rmf/AM3)
. /,
j
REV-1547 EX AFP 112"95*
CCHtONWEALTH OF PENNS't'lVAHIA
DEPAllfH(N' Of REVENUE
IlJIUU OF INDIVIDUAL 'UEI
OEPf. 110'01
HARRISBURG, PI 17116-0'01
NOTICE Of INHERITANCE TAM
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
Of DEDUCTIONS AND ASSESSMENT Df TAM
DATI! 04-01-96
,I '/
'>
,
ACN 101
FILE NO.
DATI! OF DEATH 09-20-95 COUNTY CUMBERLAND
NOTE, TO INSURE PRDPER CREDIT TO YOUR ACCOUNT, SUBNIT THE UPPER PDRTION Df THIS fORM WITH YOUR TAM
PAYMENT TD THE REGISTER Df WILLS. NAME CHECM PAYABLE TO "REGISTER Of WILLS, AGENT"
REMIT PAVMENT TOI
WALTER G BROWN
2801 HARVARD AVE
CAMP HILL PA 17011
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
AltOunt R..itt.d
CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ~
RYIi:is'4j"ix-"Fj>--iiz-:9Si""iiiii"ici--OF--iiiHiiiifANCi-i"AX-j('piiiij('{iiiifEiiT~--"Li."ljWAijci-iiR--"""-"m_"""m
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF BROWN RUTH I FILE NO. 21 95-0727 ACN 101 DATE 04-01-96
TAX RETURN WAS I I X) ACCEPTED AS fILED
RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..l Ed.t. (Sch.dul. A) (1)
2. Stack. and Bond. (Sch.dul. B) 12)
3. Clo..l~ H.ld Stack/Partn.r.hip Int.r..t (Schedul. C) 13)
4. Hortg.g../Not.. Receivab1. (Sch.dul. D) (4)
5. Ce.h/Bank Depo.lt./HlIc. Penonel Property (Schedule E) IS)
6. Jointl~ Owned Prop.rt~ (Sch.dule F) (6)
7. 1ra'''1er. (Schedule 0) 17)
8. Totel A..et.
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funer.! EKp.n.../Ad.. Co.t./Hhc_ EKpen... (Schedul. H) I')
10. Debh/Hortgage LlabiUti../Lhn. (Schedul. I) 110)
11. Total Deduction.
12. N.t Velue of TaK R.turn
13. Charltable/GovernMent.l aequ..t. CSchedul. J)
14. Net Valu. of Eatat. Subjeot to TaM
If an assassment was issued previously, lines
reflect figures that include the total of 8hh
ASSESSMENT OF TAX:
15. A.olWlt af Line 14 at Spou..l rat. (5)
16. A.aunt of Lin. 14 taxable .t Lin..l/Cl... A r.t. (16)
17. A.aunt of Llna 14 taxable .t Call.t.ral/Cl... Brat. (17)
18. Prinoipa1 T.K Du.
NOTE I
TAX CREDITSI
PAYNENT
DATE
11-24-95
RECEIPT
NUNBER
AA082344
DISCOUNT (+1
INTEREST (-I
561.80
) CHANGED
.00
.00
.00
.00
BO .137 .21
.00
.00
III
80.137.21
4.974.00
255.89
1111
1121
(13)
114)
t;.??Q RQ
74.907.32
.00
74.907.32
14, 15 and/or 16, 17 and 18 will
returns assessed to date.
.00 M .00.
.00 M.06.
74.907.32 X .15.
IIBI
.00
.00
11,236.10
11.236.10
ANOUNT PAID
10.674.29
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
PAYMENT MUST BE MADE BY 06-21-96*.
. If PAID AFTER DATE INDICATED. SEE REVERSE
fDR CALCULATION Of ADDITIONAL INTEREST.
11 ,236.09
.01
.00
.01
If TOTAL DUE IS LESS THAN t1. NO PAYNENT IS REqUIRED.
If TOTAL DUE IS REflECTED AS A "CREDIT" ICRI. YOU NAY BE DUE
A REfUND. SEE REUERSE SIDE Of THIS fORN fOR INSTRUCTIONS.)
-,
)()
I"
.,
RfSERVATJDNI Elt,t.. of decedent. dying on O~ before Dec.-ber 12, 1'12 -. If ~y future In..r..t In ~ ..t.t. I, ,r8nI'.rred
In po.....lon or enJoyaent to Cl... . (col1,t.r,11 b~'JG1.rl.. of the dec.dent .,t.r t~ .xp.rtllon of eny ..tat. for
11f. or 'ar y..r., the c~.lth hereby ..pr..,ly r...rv.. the rlDht to .,pr'." ~ ...... 'ren,'.r J~rlt~. T....
.t the llW'ul Cl... . (cal1_"r.ll r.t. on env .uch future Int.r..t.
116_ OF
NOTlCEI
To fulfill the r.qulr..ent. of S.ctlon Zl~a of the Jnherlt~. end Elt,t, T.. Act, Act 22 Df .991. 72 P.I.
SHUon 214G.
PAVtlEHH
D.llCh thl top portion of thl, Hotlcl and .~lt ~Ith your PI,.."t to the RIgI...r of Will. prlntld on the rav.r.. .Ide.
"'"M' check or ..,.y order pswabl. tal REGISTER OF MILLS, AOEIfT
AU p.,.."tI rec.lved ,h111l flnt bl _pU.d ta MY Int.r..t which ..y be ctu. with My r...lncMr ~111td to the tu.
RUUND (CR)a A r.'und of . t.. credit, which ..u not reque.tlMl on the TaM R.turn, ..y be r....et.d by c.-pllUna en "AppllcaUon
for R.'und a' Pann.wlvanl. Inherlt8nC' end Elt.t. T.... (REV-ISIS). Application. ara .v.llable .t the D'flca
a' the Regl.t.r a' Will., any 0' the ZS R.venue DI.trlot D,flc.., or by callinG the .peclal Z'-hoUr
an.werlng ..rvlca ~r. 'ar 'or.. Ordlrlngl In penn'Wlvanla 1-IOO-S6Z-20S0, out. Ide p~,Ylvenla and
within loc.1 Harrl.burg ar.a (717) 717-1094, TOO' (717) 77Z-ZZ52 (He.rlng 1~.lr.d Only).
OBJECTIONS a Any p.rty In Int.r..t not ..tls'l~ with the appr.I...ent, .llowanca ar dlsallowanc. 0' dlduatlons, or .......-nt
0' t.. (IncludinG dl.count or Int.rl.t, .. .hown on thl. Notlc. .u.t object within .I.ty (6a) d.y. 0' rae.lpt of
thlt NoUc. byl
--written prot..t ta the PA Dlp.rt.ant a' RIVenue, loard of Appe.I., Dept. Zlla21, H.rrllbUrl, PA 11121-1a21, OR
--.llatlon to h.v. the ..tt.r d.t.r.lnld It audit a' the account a' the plrlonll r.pr...ntatlvl, OR
--app..1 to the Orphan.' Court.
ADttI"
IITAATlYE
CORRECTIONS a
INTERESTs
Featu.1 .rror. dl.cov.r.d on thl. .......-nt .hoUld be addr...~ In writing tOI PA D.p.rtlent a' R.venu.,
luraMl 0' IndlvldU.1 hu., AnHI po.t '......ant R.vl... unit, Dept. ZI06al, ll.rrhburg, PA 17UI-G601
~ (717) 717-6S05. S.. page 5 a' the bookl.t "In.tructlonl 'or Inherltancl TIM R.turn 'or I R..ldent
D.c.dent" (REY-IS01) 'or an IMPlenatlon of aa.lnl.tratlvIIY carreatabl. .rrorl.
If any t.M due I. p.ld within thr.. (5) c.lend.r .onth. .ftar the decedent'. d..th, . flv. Plrcent (5X) dllcount 0'
the t.. p.ld I. .Ilaw.d.
Intlr..t I. charged b.glnnlng with 'Ir.t d.y of d.llnquency, or nine (9) .onth. and one (1) day froe the date of
d..th, to the d.t. of p.y.ant. T.... which baC". d.llnquent before January I, 191Z be.r Int.r..t .t the r.t. of
.IM (6X) parcent p.r ~ c.lcul.t.d .t . d.lly r.t. of .000164. All t.... which bec... delinquent on and .ft.r
J~.ry 1, 19.2 will be.r Int.r..t .t . rat. Which will vlry fro. c.lend.r y..r to cllend.r ya.r with that r.t.
announc.d by the PA D.,.rtaent af R.venue. ,he appliCable Int.r..t r.t.. 'ar 19.2 through 1996 .r'l
DISCOI.JtH
~ Int.r..t R.ta Dalllll' Int.rut Factor ~ Inters.t R.tl Oalllll' Intlrs.t FHtor
1912 ZOX .OODSU 19.7 'X .001Z"
1915 lOX .aaDu' 19.1-.". 11. .0DDSn
..., IIX .aDDSOl ,,,. 9X . aDn"
1915 UX .ODDSS6 1995"1"" n .00019Z
19" lOX . DOU" 1"5-19" 9X .DDIZ"
--lnter.1t I. calcul.t.d .. followlI
INTEREST . BALANCE OF TAX U~PAIO X NU"BER OF OAYS OELINQUENT X DAILY INTEREST FACTOR
--Any Notlcs I..ued aft.r the taw baeoae. delinquent wUI rafl.ct an Int.r..t cslcul.tlon to flft"" (15) an
bayond thl date of tM ......unt. If p.pent .. ... aft.r the Int.r..t caput.Uon data ahown on the
Notlc., .dcUtlon.1 Int.r.st ..It be c.lcul.ted.