HomeMy WebLinkAbout95-00733
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I)ETITION I'OR PROUA TE and GRANT OF LETTERS
a/-q5-733
No.
To:
R.gl'ler of Will, for the
. /)"I"'U,\'<'I/. Coullly of e,l Ill" I Y I~ ,,,I In the
Sol'/ul Sel'uri/y No. 3,.". I;J , S 7 s, Conullonwenllh of Penn'ylynnln
The p.llllon of th. und.rslgn.d r.sp.clfully reln.,.lIIs thlll:
Your pelllloner(s), whols/lIr. IN yems of IIge or old.r IInthe exeeUl (', oJ
In Ihe IlIsl will of Ihe IIbol'e dee.denl, dilled II I 0; I 'il ./
IInd codlcll(s) dllled ----./J.n '-
nllmed
.19_
(\HUe fdc:"\'IInI dh.'IlI11\llll1(,C\, ':.t(. H'UIlIII:hulnn, tl~'''lh nl' L'\f\:U1Uf, CIC.)
llecendeUl WllS domldled lit denlh In CLlVlI b~ ...1 n,,,' County. Pennsylynnla, wllh
h ... IlIst fnmll)' or prlndpnl residence nt _Il n. C'" ll!Ul.h., ~ II"..., /
It. In..a.!J_J1__~_~_121\ \ 7 0 " J
eli'l 'UI.'(I, IlIll11hcr I1l1d lIIundpillil)')
llecendenl. Ihen. " ~ )'ellr' of nge, died _~t. ;J S ,19 'J..... .
nl_~n'-SL-li-!lLCll.L1...--C.x~, 'tI. r!.,-for(( Rd,,' ('., ,,"-" ...,..:11 P,.q ,.,01 I .
Excepllls follows, decedenl did 1I<1Imllrry. II'll' nol ~ll'orced llnd did nOI hllye II child born or ndopled
liner execution of Ihe 11'11I offered for probllte: 11'11' nOllhe I'lcllm of II killing IInd 11'11' neYer ndJudlealed
Incompelelll: N-I-A-
llecenclent lit dellth own.d properl)' wllh eSllmllled I'lllu., llS follows:
(If domiciled In I'll.) All personlll properl)' $ 9. 0 ~ 0
(If nol domiciled In I'll.) l'emllllllproperlY In Penns)'ll'lInlll $
(If 1I<1I domldled In I'll,) I'ersonlll properlY In COUIII)' $
Vnluc or rent CSlnlC ill Pcnns)'I\'unia $ l/. /'J 0 f' -r Irl-n. D
,humed llS follow,:
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WHEREFORE. p.lllloner(s) re'peelfully
pre'el1led herewllh IInd the grlll1l of lellers
Ih.rnn.
reque'l(s) the plOhllle of Ihe III't will nnd codlcll(s)
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IIC'HII11CI1lUf)'; Adrnini\IJOIlIUI1 c.l.a.j adminlmnllon d.h.n.t.I.D.)
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OATH 010' PERSONAL REPRESENTATIVE
COMMONWEALTH OF I'ENNSYLVANIA }:;s
COUNTY OJ: __ CUMBERr"AND
Th. pelilioller(,j ahol'e.llallled s\I'elll(') or afFIrlll(s) Ihlltlhc ,IUlel11em, In the foregoing petlllon arc
Irllc mill COrlcCI III Ihe he'l or Ihe ~no\\kdge IIl1d helief of pelltioller(s) und I hili liS person III reprcsen.
IIlIll'c(,) of ,I he uhlll'C dec.dcm pellllonef(') will well und trllly lldmlnlster Ihe eMlIle nccordlng to law,
Sworn 10 UI" affirmcd and sUhloj..:rihcd
hero". nil' Ihl, __OI:Hct\,_,_, du) of
~ c ;l.K-(rt,,--;!,Cj f~it-
/6 -6g _ iZP--MARY"c::-lt'Ew!s LR(;g~/('r
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No. 21 M9'1M7 :l:l
Estate of ANN FOREMAN MENTZER AIKIA ANN F. MEN~71~Hceased
DECREE OF PROBATE AND GRANT 0.' LETTERS
AND NOW OCT. 4 19..iL. In consldcratlon of thc pctltlon on
thc rcyersc side hereof, sutlsfactory proof haying been presenled before me,
IT IS DIlCRIlIlD thai the Instrument(.) dated NOV. 5. 1987
described therein be admitted to probate and mod of record a. the last will of
ANN FOREMAN MENTZER a/k/B ANN F. MENTZER
and Lellers TESTAMENTARY
arc hcreby granted to CHRISTOPHER BUTT
MARY C.
FIlIlS
Probale, Lellers, Elc. .'....... S 40.00
, ~2~A<Q~WcaleS(B) .......... s "1:88
, RenunCiation ................ S
JCP S 5.00
XMCOPY . :,u
TOTAL _ S-7-2-:-50-
Fllcd ..?c:'!'....~. L.~ ?~~,..........:....
^TTORNIiY ISur. CI. 1.0. NO,)
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MAIL TO CHRISTOPHER BUTT W1TH AN ORDER OCTOBER
, 1995.
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21-95-733
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ANN FOREMAN MENTZER
I, ANN FOREMAN MENTZER, of Lake County, Indiana, being of sound
mind, do hereby make, publish and declare this to be my Last Will and
Testament, hereby revoking and annulling any and all former Wills
and/or codicils by me made at any time heretofore.
I.
I hereby direct that all of my just and legal debts, including
expenses of last illness and expenses of administration, be first paid
by my Executor.
II.
I hereby direct that my deceased husband's daughter, CHRISTOPHER
BUTT, make the arrangements for my funeral and burial. I direct that
there not be a Catholic service or burial. I am leaving specific
instructions concerning my funeral and I desire and direct that these
instructions be carried out.
III.
I hereby give, devise and bequeath all of the property which I
own at my death, both real and personal, tangible and intangible,
wherever situated, to my deceased husband's daughter, CHRISTOPHER
BUTT, currently of Dillsburg, Pennsylvania.
IV.
I hereby nominate and appoint my deceased husband's daughter,
CHRISTOPHER BUTT, as Executrix of this my Last Will and Testament.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this,
my Last will and
~ day of
Testament, consisting of two
)&w~
typewritten pages, this
1'7
, 19
, in the presence of the
undersigned, who, at my request, and in my sight and presence, and in
the sight and presence of each other, have hereunto subscribed their
names as attesting witnesses.
~,)-~~,,~
ANN FOREMAN MENTZER
~_o
4
Last Will and Testament of Ann Foreman Mentzer
Page Two
ATTESTATION
The foregoing instrument, consisting of two typewritten pages,
was signed, sealed, published and declared by ANN FOREMAN MENTZER, the
Testatrix, to be her Last Will and Testament, in our presence, and we,
at h.r reQuest, and in her presence, and in the presence of each
. . .... ..
other, have hereunto subscribed our names as witnesses this ~ day
of Jz-n~
~~/~
.~)., Jt.--.--'
, 1987.
residing at
residing at
Ka'>,~. ~Af'"Jo~1
'1'fl'v lv'/.::/"'-i~ 4"7 /kI. .J)t...
~. - yn
ANN FOREMAN MENTZER, the
UNDER THE PENALTIES FOR PERJURY, we,
Testatrix, and the witnesses, respectively, whose names are signed to
the atteched or foregoing instrument declare:
(1) That the Testatrix executed the instrument as her Will,
(2) That, in the presence of both witnesses, she signed or
acknowledged her signature already made or directed another to sign
for her in her presence,
- ."
(3)
That she executed the will as her free and voluntary act
for the purposes expressed in it,
(4) That each of the witnesses, in the presence of the
Testatrix, and of each other, signed the will as witness,
(5) That the Testatrix was of sound mind, and
(6) That to the best of their knowledge, the Testatrix was at
the time eighteen (18) or more years of age.
Datedl
1,;/.(1 1 7
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REGISTER OF WILLS OF C u Itl lJ.l't I (I ~ COUNTY
OATH OF SUBSCRIBING WITNESS
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"
"-, codicil
(each) s subscribing witness tOI/!e will presented herewith, (e~ch)'belng duly qualified sccordlng to
law, depose(s) snd say(s) that ' , present and saw
the testal , sign the same and thai"" signed as a wllness stthe
reqUest of testal In 11-_ presence arid <In the presence of each other) (in the presence of the
other subscrIbing wltness(es)).
Sworn to or affirmed and subscribed before
me this day of
19_
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(Name)
Reg/sler
'~ (Address)
'W:tame)
(Address)
REGISTER OF WILLS OF CUMBERLANn COUNTY
OATH OF NON-SUBSCRIBING WITNESS
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(each) a subscriber hereto, (each) being dUly qualified according to law, depose(s) and say(s) that
-J..ft~ (j (). rL famlllar with Ihe signature of Ann frlff'/')\f1 t1 IVf'H~'f'J-
codicil
testsl of (one of the subscribing witnesses to) the will presented herewith and
codicil
believes the signature on the will Is In the handwriting of
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IlI1 '" FI'! reJ'lfA1t I'Y/,," t'7~ V
to the best of ,11 r i,.. knowledge and belief. ~~ /'n ,~
Sworn to or sffirmed and subscribed before Chr, <., -tor f1~ v- M. '8 u..-t+-
me thIs .;2f3:-t. K day of (Name) ,
: ( '~S~,;Q:_ ,: (\19...1.5:... /5/<1 ('i'-H-'i.s}J~l.rJ.$-I. O.Jlsbt).t~ f'fll?OI'i'
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, ARY C. L~lS 'Reg/i(er t<obQ ri- rJ, ,B"d-f
(Name)
31'1 {,cfljSblAr.1St.. Ddlsbu::r P,4.1701j'
(Address)
that
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DI1l.l51'/.93)
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COMMONWEALTH OF PENNSYLVANIA BUREAU OF INDIVIDUAL TAXES
DEPARTMENT OF REVENUE
Deor Register of WlIIsl
Enclosed you will flndl Dcheck(s) Ddocumenls(s) which were received by the Department of Revenue In error.
These moy be procelled according to normal procedures. '
REMINDERI The POST MARK DATE on envelope oHached to any checks enclosed must appeor on your
Official ReceIpt.
Thank you.
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Sincerely,
John Murphy, Chief
Inherltonce Tax Division
(717) 787-6201
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
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. COMMONWU.HH Of 'ENNS'tW.NI....
DfP....RTMfNT Of REYfNUr
om, 21060\
HARRISlURO.'.... 17 21.0601
DfCIOfN' AM (tA'. I , . AND MID tllNI lAU
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IOCIAL SECURITY NUMIU
'OR DATlS 0' DIATH AnlR 12/31/91 CHICK HIRI
If A SPOUSAL 0
POVIRTY CRlDIT IS CLAIMID
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AMOUNI IrellVID Isn IN"IUCIlON'1
bAil Of IllIIt
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03.
05.
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95
7.3.3
NUMBER
.313-/;;1.575 I
DAn O' OIA'H
?bS/7Y
, Original R.lurn
o 2. Suppl.menlal Relurn
YEAR
R.malnd.r R.lurn
(10' do... 01 doalh p,la, 10 12,13.B21
F.deral E.tate To. Relurn R.qulr.d
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B2
o ... Umll.d E.lal. 0 Aa. Future In,.,..1 Compraml..
(for do'.. of dealh after 12.12.82)
o 6. DIe.dent DI.d T..'al. 0 7. Oec.dent Moln'aln.d 0 living Tru.'
(Anach copy 01 Will) (Allach copy 01 Trul()
',CO..ISPONDlNCI'AND,CONPIDINTlAL TAX INFORMATION SHOULD BI DIRECTID TOI,..". "".,!
, Q eOMm I MAilING ADDl ,
her /,^,ov..+-I- 3'<1 6~-H'8r-.l?L.\r~3-t .
Dill:> bl' r~, f'A'\ 7 D,!,?
_ 8. To'ol Numb.r 0' Sof. O.pa.1I BaKe'
111
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(3 )
(4 )
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(6 )
(7 )
(9)
(10)
3,1.;!Cf-.'~
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II' "'''0'111 'UI'l'IVIHQ IPOU"" H"Mlll"". 1111' "till MIDOIIII'fIIl'Il
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1. Roal EUalo (5ch.dulo A)
2. S'ockl ond Bondi (5chodulo B)
3. Clo..ly H.ld SlotklPortn.nhlp Inler..' (Sch.dul. C)
... Mongog.. and Nol.. R.c.lvoble (Sch.dule 01
S. Co.h, Bonk O.po.lI. & Mhc.llan.ou. Penanol Prop.rty
(5chodulo EI
6, Jaln'ly Ownod PlopOIly (S,hodulo F)
7, T,andonlS,hodulo 0) (5chodulol)
8. Tolol Grou Auo" (total Un.. 1.71
9. Funeral EJlp.n..., Admlnhtrotlve Co.", Mlnolloneou.
bp.n... (5thedul. H)
10. Debl', Morlgag. lIabllltl.., lI.n. (Schedul. II
11. Tolal Doducllon. ((olalllnol 9 & 10)
12. N., Volu. of E.talo (lIno 8 mlnu. lIn. 111
13. Charitable and Governmenlal Bequ.." (Sch.dul. JI
14. Not Value Sub.et to Ta. (line 12 mlnu. line 13)
15. Spou.ol Tron.f.,. (for dot.. 0' deolh after 6.30.94)
See Inllrudlon. for Ar,pllcobl. Perc.nloge on Rev.ne
Sid.. (Includ. ...olu.. rom Schedul. K or Schedule M.)
16. Amounl of lIn. 14 tOKobl. 01 6% role
(Includ. voluo. from Sch.dul. K or Sch.dule M.)
17. Amoun' of lIn. 14 'uoble 01 15% rol.
(Includ. ...alu.. from Schedule K or Schedul. M.)
18. Prlndpolloll due (Add 1011 from lIn.. IS, 16 and 17.)
19. Credit. Spoulol Pov.,ly Credit Prior Payment.
111)
(121
113)
(14)
115) M._D
(161 _J5..LJ.{"..D~,:L3--M ,06 D
117)
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20. If lIn. 19 h 9reoler than lIn. 18, .n'or th. dIU.renc. on lIno 20. Thll11 Ih. OVERPAYMENT.
110
21. If lIn. 18 I. gr.oler Ihan lIno 19, onl.r Ih. dlU.,ence on lIn. 21. Thl. I. the TAX DUE.
A. En'.r ,h. In'.r..' on Ihe bolanc. due on line 21A.
B, Enlo, ,hola'al alllno 21 and 21A on lIno 218. Thll IIlho BALANCE DUE.
Mak. Ch.ck Pavobl. tal R.gllt.r of Will., Ag.nt
,II SURETO ANSWER ALL QUESTIONS ON REVERSESIDI AND TO RECHECK MATH ' ;'.,~'(:A, ')"
U"d.r p.nohie. of perjury, I d.dor. that I hove lJIamln.d 'hi. r.turn, Including accompanying uh.dulo. alld .Iol.men", and to Ih. bllt of m)' knowledg. and beU.f,
lilt Iru., corr.et and compl.te. I doclor. Ihat 011 r.ol ..101. ho. been r.portea at Iru. morkel value. Declorollon of pr.par.r other Ihan tho p.nanal r.p,...nlatlv. I.
ba..d on 011 Information of which pr.portr ho. on)' knowl.dg..
"GNATURf o. PUS,ON lU'ONSIlll fOI ftllNG l(TUlN ADOlUS . DAn
. '2:;r\-, iL),'lsb~r'1 PA 170/7 JOJ'l/t;~,
.....J DAll
z
S
E
..
B
a
(18)
Discounl
Inler..'
Clwr~ III h' if you 0;0 ,cquc\ting n fl."und 01 you, OVcflJOVmcnt.
(21)
(21AI
(218)
&1 <27 . (,,'!-
"
Act #48 of 1994 provide. for the reduction of the tax rate. Impo.ed on the net value of trande,. to or for
tho u.. of tho .pou... Th. rat.. a. pr..crlbed by the .tatute will b.1
· 3% (.031 will b. applicable for e.tate. of dec.d.nt. dying on or aft.r 7/1/94 and before 1/1/96
· 2% (.021 will b. appllcabl. for ..tate. of d.ced.nll dying on or after 1/1/96 and b.for. 1/1/97
· 1% (.011 will b. applicable for e.tat.. of d.cedsnt. dying on or aftsr 1/1/97 and before 1/1/98
· Spou.al trand.,. occurring on or after 1/1/98 will be exempt from Inheritance tax.
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING A CHECK MARK (,..,) IN THE APPROPRIATE BLOCKS.
YES NO
1. Old decedent make a transfer and:
/
V
/
a. retain the use or Income of the properly transferred, .......................................................
b. retain the right to designate who sholl use the properly tronsferred or Its Income, ...............
c. retain a reversionary interest; or ..................................................................................,
d. receive the promise for life of ellher payments, bsneflls or care' .......................................
2. If death occurred on or before December 12, 1982, did decedent wllhln two years preceding
death transfer properly wllhout receiving adequate consideration' If death occurred altsr
December 12, 1982, did decedent transfer properly wllhln one yeor of death wllhout receiving
adequate consideration'.. .... ....... ......... ..........,... II.................... Ot.......... II.................... to .....
.I
./
3. Old decedent own an 'In trust for' bank 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.
lI'tISIl... ''''II
.'
ITEM
NUMBER
A.
B.
A.
C.
1.
2.
3.
A.
5.
6.
7.
e.
'1
J:'~:~CI
-~
COMMONWfAlfH O. PINNIVlVANIA
lNHUITANCI TAX UTURN
RUIOfNT DIC(OINT
(lrm F. M(/1tz.-e y
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
Ploa.. Print or Typo
.
~
,
F E
DESCRIPTION
AMOUNT
I.
Funoral Expon.... .
t!ho.fJ~f /'Wfl Mff/1Drto...l 6o.,.d~ns,. ~'TC'('t.mf\r/a,. Llnd. Opll.lllfj
d.ndl!./o51i;) of arnuC. .
'73fl.M
l
i
i
1.
, Admlnlotrotlvo co.t.,
Penonal Ropr,"ontallve Camml..lans
Social Socurlly Number of Personal Representallve.
Year Camml..lans paid
2.
Attorney Fo..
3.
Family Exomptlon
Claimant
Addre.. of Claimant 01 docedent's death
Streot Addre..
Clly
Stolo
Zip Code
Relationship
Probate Foos ..I'10l.S'D
MI.collan.au. Expon.."
R,-runu. n If.OD
-r~lJf'.e...1 Ori/1optdic. Pro:>. ~g3. CJO
(J/1Cl/"fYI. C~rp. 0 (' Am, IS.::s , '10
!Jell of! fllL4fl-/ Ie '!JS'.I'B
J,/3t..ld.
10. 'TfI(j'o,rttlfa.( ,1.7.98
/I. c,.'T€.. '7,J..s''j
Bun ,/011
CI1.b-e
f. p, -I-L
IS t.-. ~ . 00
'7 of). 7'i1
.
Co.vnpH( I/C'Cl,(.
U, o.u.(
(4.11.
C~ " i ~ t' '{.. .:I..';t
S'tf.16
TOTAL (Also onlor an IIno 9, Recapitulation)
(If more .pact I. needod, In..rt additional .h.... of .ame .1.0.)
s
3/J.tJ../d.
Ih Itllth 1'''1
,e~
COMMONWIAIIH 01 ,ftlN,nVANI4
IHHIIIIAHU 'AX 'IIUIH
I"IOIH' OteIOIH'
SCHEDULE J
BENEFICIARIES
ESTATE OF
/l'111 F.
FILE NUMBER
I-f e "i?_.f r
ITEM
NUMSER
NAME AND ADDRESS OF BENEFICIARY
RELATIONSHIP
AMOUNT OR
SHARE OF ESTATE
1.
A, Taxablo Blqu."," a +
Chm:.+oph.e r /VI. 'LHt+
J I t/ be..:tO 5 b.l ~ Si'
01 lI:::.bu.yCl J PA 1701 'I
St~ f .
dCUJ.8J1+1 r
/OCl7o
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
AMOUNT OR
SHARE OF ESTATE
B. Charltoble and Governmental Bequln"l
1.
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (1.1'0 onlor an IInl 13, Recapitulation) S
(If mar. .pace I. needed, In..rt addltlonallh"'1 of lam. Iln)
, ,
..,. - w ..... c.. W' ~'" .~ _
,
______..:.-'-~.______ ____ ____~_ -- -- - - --- ---- ----- ---- -----I,
.
1~*J~~~y~~..:::=~:~~:~::::~ISTAIITAX
ACN
~ ASSESSMENT r:'I
RECEIVED FROM, U CONTROL ...
NUMBER
.
I.
,
CHRISTOPHER BUTT
101
AMOUNT i
I
i
I
I
t9!!7.64 I
I
I
I
i
i
'OIOtiUf~
i
i
I
i
314 GETTVSBURG STREET
DILLSBURG, PA 17019
ESTATE INFORMATION,
m filE UMBER
~ 21-1993-0733 66N 313-12-3731
m NAME OF DECEDENT IlASTI (FIRSTI IMII
~ MENTZER ANN FOREMAN
II DATE OF PAYMENT
ra POSTMARK DAlE
COUNTY
CUMBERLAND
DATE OF DEATH
REMARKS
m TOTAL AMOUNT PAID
CHRISTOFHER M BUTT
SEAL CHECK" 4126
REGISTER OF WILLS
~-----------------------------------------~-~---r
, ' . ," ,
C':.
.,
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- ... .---
,
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~:::...--";:"-..--.....~. ~ - -
f
.......-.,::J-o.:.
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( . ".
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent I
Ann F, MenTzer
'1/ as /1 (,
Date of Deathl
Will No.
~'I (. no. 1'1 q s. 00 1 3 3
To the Register:
I certify that notice of beneficial interest required by
Rule 5.6(a) of the Orphans' eourt Rules was served on'or mailed to
the Collowing beneficiaries of the above-captiQ.ned estate on
/.2/4'+/'" I :ro-m The. SDIe- bef/~fH:"~'
Name Address
Admin. No.
.
pR. r,I.vA)"
I
J.('i'S"-D7~3
1-1. 8tAff
ttilllhU
CSe.I~
3/C/- 6-cH~ S+
O.llsb1.l8 P 170 I?
Notice has now been given to all persons entitled thereto under
Rule 5.6(a) except
I //7 J'/b
(' dtfIJ~tN 'YYJ, !:w:i:t;
Signatu~~V"
Name~rl'.si'ophl-r M. J3lA++
Address .3 J <I 6-e-+I(r;blA~ 5+.
0, Ils'hArD I PfJ 17DJ'i
Telephone ( 71"Z) If ~ [)., S'~ a 't
Capacity: vr Personal Representative
Datel
f;/'l
,
""
(!.
cr,
,'-
'-)
,
'''"
rr. '"
',-Pl
!l\:;j .t5
UO
Counsel for personal
representative
__.....-....._.~h..-__...,.~...,_.~_.~...+-_.~.______<. '__""'~__"_~""<"""""'''~~''''~''_'~''''
.. h, .__ <0... -~.
J
/ :;" )- y _ /0
,
I~'/
ACN 101
REV-1547 EX AFP (12-95*
COHHOHWEAlTH Of PENNSYLVANIA
D[PAATHENT Of' REVENUE
IURfAU Of INDIVIDUAL TAXES
MPT. 110601
HARRISIURG, PA 17121-0601
NOTICE OF INHERITANCE TAM
APPRAISEHENT, ALLOWANCE DR DISALLOWANCE
Of DEDUCTIONS AND ASSESSHENT OF TAM
DATE 04-08-96
. If PAID AFTER DATE INDICATED, SEE REVERSE
fOR CALCULATION OF ADDITIONAL INTEREST.
FILE NO.
DATE OF DEATH 09-25-95 COUNTY CUMBERLAND
NOTE, TO INSURE PROPER CREDIT TO YDUR ACCOUNT, SU&HIT THE UPPER PORTION Of THIS FORH WITH YDUR TAM
PAYHENT TO THE REGISTER OF WILLS. NAME CHECM PAYASLE TO "REGISTER Of WILLS, AGEHT"
REMIT PAYMENT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
AlIOUnt Ro.Uted
CUT ALGNG THIS LINE ~ RETAIN LOWER PGRTION FGR YGUR RECORDS .....
iiEV:is4j-Ex-AFP-rI2'=9sY"iloi"icE--cij:-YriHEiiii'ANci-i"Ax-jiP'jiiiA-iiEiiiilr-,--AiXciiiANci-oli------------ - - ---
DISALLGWANCE GF DEDUCTIGNS AND ASSESSHENT DF TAX
ESTATE OF MENTZER ANN F FILE ND. 21 95-0733 ACN 101 DATE 04-08-96
I CHANGED
.00
.00
.00
,00
18.5B4.85
.00
.00
181
18,584.85
I~ sn asssssment was issusd prsviously, linss 14, lS and/or 16, 17 snd 18 will
reflect ~igurss thet include ths totsl of !bh returns assessed to date.
ASSESSHENT OF TAXI
15. ~t of Lin. 14 at Spou.al r.t. (5)
16. AltOW\t of Line 14 tal(abl. at Un.al/Cla.. A rat. Cl6)
17. Aaount of Lln. 14 taxabl. at Coll.t.ral/Cl... Brat. (17)
la. Principal Tax Due
TAX CREDITS.
PAYHENT
DATE
12-29-95
CHRISTOPHER M 8UTT
314 GETTYSBURG ST
DILLSBURG PA 17019
TAX RETURN WAS. I XI ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED GNI ORIGINAL RETURN
1. Ro.l Eot.t. ISch.dul. AI 111
2. stock. and Bond. (Sch.dul. B) (2)
S. Clo..ly H.ld Stock/Partner.hip Int.r..t ISchedule C) (S)
4. Hortgagal/Not.. Rec.lvab1. (Schedul. DJ (4)
5. Cash/Bank Depo.it./Hlle. Personal Property (Schedul. El IS)
6. JointlY awn.d Proport. ISchadul. FI 161
7. Tranderl (Schedul. 0) 17)
a. Total A..et.
APPRGVED DEDUCTIONS AND EXEMPTIDNSI
9. Funeral Expan.../Ad.. Ce.t./HI.a. Expan.a. (Schedule HJ .9)
10. Dobto/Hortg.go Li.biliti.o/Liono ISchodul. II 1101
11. Total Daduotlons
12. Net Velue of Tal( Return
15. Charitab1e/Cov.rn..nta1 Sequ..t. (Schedule J)
14. Het Value of e.t.t. Subject to Tax
NGTEI
RECEIPT
HUHBER
AA082459
DISCOUNT
INTEREST
1+1
I-I
.00
3,124.12
,DO
1111
112)
1151
1141
:'1.1:>4 1:>
15,460.73
.00
15,460.73
.00 M .00.
15,46D,73 M .06.
.00 M .15.
1111
.00
927.64
.00
927.64
AHOUHT PAID
927.64
TGTAL TAX CREDIT
BALANCE GF TAX DUE
INTEREST
TGTAL DUE
927.64
.00
.00
.00
If TOTAL DUE IS LESS THAN '1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REflECTED AS A "CREDIT" ICR), YOU MV BE OUE
A REfUND. SEE REVERSE SIDE Of THIS fDRH fOR INSTRUCTIONS. I
In '5 if
'0 '.")
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0>3: Q..
h' .lJl8
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.'!"..) 1- ~ ... ':i
(Ii ta , .~.4
e:ii '_., ffi
o liP ~ ~~
~a:
RESERVATION.
E...... ., ......... ..Ino on .. bo,... ........ I'. 1'1' -- I' on. futu.. In...... In lho ..1.1. I. I.on.,.....
'n .......Ion .. ..I...... I. CI... I 1..11'1...11 ....'1.1..1.. ., tho .......1 "1.. lho ...I..I'on ., ... "'.1. ,..
II'. .. f.. ""', lho C~"lh h..ob. '''''..1. ........ tho .Ighl I. .....1.. ... ...... '.on.,.. Inho.II.... r....
at ~ l,,'ul Cb.. a (caU.te,..l) rat. on MY IUCh lutu,.. lntereat.
.......,., OF
NOTICE.
r. 'ulflll 'h. .oqul.....I. ., S'.'lon '14' ., tho .....11.... ... E.I.I. T.. A.'. A.. .. .f 1"1. 7' ....
SMtlon 2140.
1Jo'_ lho 'op PO'lIon ., Ihl. Hall.. ... ."""It .1", .... ....... I. tho R..IoI.. .f WIlIo p.ln'" on tho ........ .1...
....ttek. ctMdt Dr "OnIIy ord'r ,..yllbl. tal REGISTER OF' HILLS, AC1EHT
All p....... .oe.I... ....11 fl... bo ...11.. .. ... Inl..... "'Ich oo. bo .... .lth on. ....,_. ...11.. I. tho 'OX.
PAVttEHTI
REAIUICCRh
A..,,,",, ., . ... ....It. "'Ich 'oo no. .......1.. on tho T.. R.tu.n. DI. bo .......... b. '_I.lIno on ....II..Uon
,.. R.fund ., ......I.onl. Inhe.II.... ... E...I. Tox. (REV-I.I.I. "'llcollon. ... ...11101. .. tho O'fl..
of the Regl,t.,. of WIlli, My of the 2' Revenue Dlstrlct Offlc.., or by calling the .peel,1 Z4-hoy,.
...~,.lna ""vlc. ~,.. for fa,.., ordering. In '-nn~1~1. 1-'00"362-2050, out_Ide Penn,Ylv."., ~
withIn local "-,...I'burg .r.. (711) 7.7-8094, TDo, (717) 77Z-ZZ5l ("--ring l~lr~ Only).
OBJECTIONS.
An. ...t> In In"'''1 no. ..U.".. .Ith lho .....1_.. .11...... .. .1..11...... .f ......lIon.. .. ....._.
., ... IInel..l.. .10.....1 .. In I...." .. ....... on "d. HaU.. .... obJoe. .Ilh'n .I.t> COD. .... .f '1COIp, .f
thb HoUel by.
"'IN
ISTRATlI/E
CClRRECTIOHSI
--wrltt.. ...1... I. 'ho 'A _.1...1 ., R.v....., ..... ., .....10. "'1. .I..ll, ....IoIN... PA 17I11-lOll, OR
-"aleaUon to have ttM .aU.r .t.r.ln" at ItUdlt of the ~COWlt of ttM ~rlonal repruent.t1v., OR
-"app..l to the Drph.",' Court.
OISCOIMTr
rOOlu.1 ...... dl......od on Ihl. .......... 'hou'. bo odd'..... In ..11'.. .., PA O'P..loon. .f Rovonuo,
Bur.au of Indlvldu.l Tex." ATTN. Po.t A.....-.nt a.vJ.w unit, Dept. ZID6Dl, H,rrl.burg, PA 171ll-06Dl
Phono C717. 717-65.5. ... P... . ., th. bOOkI.. .In.I'''.lon. f.. Inhe.l.one. T.. R.lu.n f.. . R..IOon.
Dec~t. (REY-ISDI) for an 'XP.~tlon of ad.lnl.tr.tlv.ly corraotlbl. .rrar..
It ... I.. .... II P". 'Ithln Ih... UI ..,..... _th. .It.. .ho .......1.. ."'h. . fl.. P...... C5%1 ......... .,
the t8JC p.ld 11 .11~.
INTEREST.
Inll.OI' II cho.... b..lml.. .lth fl... ... ., "11_., .. nino 191 _Ih. ... _ III ... ,... tho .... .,
...Ih, to tho .... ., P.....I. To... ...,.h _ "11_. bo,... Jonue,." 1. 19.. boo. In...... ot tho .ot. .,
.1, lOX. ......I ... ...... ..ICUIII.. ot . "II. ..I. ., ......., All I.... "'Ich bee_ "11_. on end .It..
Jonu... I. 1.1. .111 b... 'n...... .1 . ..1. whIch .111 YO.. ,... ..,..... .... I. ..1..... .... .Ith 'h.1 ....
~Id by the PA Oepart-.nt af Rlvenue. TtM ~llclbl. lnt.r..t r.t.. lor .9.Z through 1996 Ir"
~ Int"ut Rat. Olllv Int.r"t Feator ~ Int.rut R.t. Oallv Intlr..t Faatar
1'.Z 'Il . DODS4. 1917 n .DODI47
1985 lOX .DDUse 19""1991 .U .DDUDl
I... IU .DDUGl 199' n .'ODIU
1915 UX .DODU6 l"J-I994 nc .GODln
I... III .DGOZ", 1"5"1996 'X .GODZ47
--lnt.rIU l. c'lculltad .. fallowlI
IHTERES'I' . BALANCE OF 'I'AX Ul!PAIO X HI1JIIIER OF DAYS OELINQlIEII1' X DAILY INTEREST FACTOR
--An. Hall.. 10.... .It.. .ho lox bee_. "11_. .111 ..lIoe. on In...... "'cullllon I. 1I1t_ lIS. ....
beyond thl dltl of thl ..........t. If P'YHnt 11 .. lit.,. the lnt...... ca.put.t1on d.t. .howI on the
HatICI, addltlon.l Int.r..t ~.t be C.lcul.tad.
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JRDlJune 30, 1992/17858
REGISTER OF WILLS
Cumberland County Courthouse
One Courthouse Square
Carlisle, PA 17013
NOTICE PURSUANT TO RULE 6.12
PENNSYLV ANJA SUPREME COURT ORPHANS' COURT RULES
To: Pecsonal Representative
Counsel:
CHRIS1'OPHER 801"1'
RE:
Estate No.:
Date of Decedent's Death:
Pursuant to Rule 6.12, the above named personal representative or the above named attorney, If
applicable, within two (2) years of the decedent's death, and annually thereafter until administration is
completed, is required to file with the Register of Wills a Status Repon 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 Notice is to advise
you that unless the requisite Status Repon 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 WlIIs
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 detennlne whether sanctions should be Imposed upon the
delinquent personal representative and the delinquent personal representative's counsel, If any.
Accordingly, If the requisite Status Repon Is not filed by 10-30-97 ,19_, you are hereby
advised that a request will be submitted to the Coun In accordance with Rule 6.12.
II aD ilL!
Date:
10-14 -97
Distribution to Estate File
.. ,
v
/
~i"
STATUS REPORT UNDER RULE 6.12
Name of Decedent I 0AVr\. j::' rY\L1V01..... 'YI1 U~..l0
Date of Deathl q /&$/9S ' ~1It.c. Dl/-/'1TJ-733
Will No. Admin. No.
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 estatel
1.
State)Whether administration of the estate is complete I
Yes V No
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete I
3. If the answer to No. 1 is Yes, state the followingl
a. Did the per~onal representative file a final
account with the Court? Yes v 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.
c::.
~ ') '\
..:. ~
':JO
Signa(~;uirMfl1. ~
r.hrl~-t-O{JIJ-er M. ./jlA--I+
Name (Pledse type or print)
I '-I' G-d+ ..s blA~
Address 0,1'1 b lA!!(
(117) '1'3~'SloOt1"
Te 1. No.
J+
PA- /701'1
Date:
10 /,;,;/ 91
....
N
,-
r~
Capacity:
V Personal Representative
Counsel for personal
representative
(MAH: rmf/ AM3)