HomeMy WebLinkAbout95-00751
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PETITION FOR PROBATE Ilnd GRANT OF LETTERS
d-.J-45-75J
Estate of Mirinn T. ~lcCo\'
also known as
No.
To:
Register of WlIIs for the
Dec~ed, County of CUlTbcrlancl In thc
Social Security No. :.,J~ 1- /6'- '3.1;01.;) Commonwcalth of Pennsylvania
The pctltlon of the undersigned respectfully represcnts that:
Your petltloner(ll), who 1s1lUlf<18 ycars of age or older an thc execu,or
In thc last will of thc above decedcnt, dated October 25.
and codlcll(s) dated
(slale relevanl circumstances, c.,. rcnunciation, death or cxecutor. etc.)
Decendcnt was domiciled at death In
" or lasl family or principal resl
(list Ilreel, number and muncipallty)
Deccndent, then !?~ 'ycars of a~c, died Cct:.obcr I, ,19 ~~
at The Trrld Hare. (''''-l1sle. PA .
Exccpl 85 follows, deccdcnt did not marry, was not dlvorccd and did not have a child born or adopted
after execution of thc will offered for probatc; was not the victim of a killing and was never adJudlcatcd
Incompetent:
Deccndcnt at death owncd properlY with estlmatcd values 85 follows:
(If domicilcd In Pa.) All personal propcrty
(If not domiciled In Pa.) Personal property In Pcnnsylvanla
(If not domiciled In Pa,) Pcrsonal property In County
Valuc of rcal estate In Pcnnsylvania
situated 85 follows:
$ 5:000.00
s '
$
$
WHEREFORE, petltloncr(s) rcspectfully re'J.\lcst(s) th~rob~ of thc IllSt wlll and codlcll(s)
prescnted herewith and thc grant of ICllers of ~A F)' ""/,(,I/>,ln'll.r" tJ:r!'~
(lcstamentary; administration C.I...; administration d.b.n.c.t.a.)
Ihcron.
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA } 8S
COUNTY OF CU!:I3ERL/'.ND
Thc pctitioner(s) abovc-named swcar(s) or affirm(s) thatthc statements In Ihe forcgolng petition arc
true and correct to thc bcst of thc knowledge and bcllcf of pctltloncr(s) and that as pcrsonal rcprescn-
tative!s) of the abovc decedcnt pctitloncr(s) will wcll and truly admlnls er) e estate according to law,
C------' .
Sworn to or affirmed and subscribed {~ .;: , - " 5!!
before me this 5 th da~ of na '" ~ .Iocn ne ~
Octnber \9 'b ~
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MARY C. LEWIS Regisler .!:!.
named
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No.
21~95-751
Estate of
tlJRlAN T. NeCDY
t Deceased
DECREE OF PRODA TE AND GRANT OF LETfERS
AND NOW October II 19--2:L, In cOlUlderatlon of the pctltlon on
the revene Ilde hereof, latllfactory proof havlns been presented before me,
IT IS DBCREBD that the llUtrumenl(s) dated October 25. 1993
described Ihereln be admitted 10 probale and nJed of record IIlhe 1111 wlll of
J.Iirian T. McCoy
and Letlers 'res ta'OOn tar,!
arc hereby sranted 10 Ronald S. lIoel1!ltino
MARY C. LEWlStcslJ1cr or Will.
FEES
Probale, Letterl, Btc, ......... S , c; 00
Shon Cenlflcatcs( ).......... S 3 . 00
R~unciatfon ................ S ~ Q.Q...
x~pages JCP S !l: IHi
TOTAL _ S 44.00
FlIed..... IQ~.'I:9.~I?~. ~.~/. .~~~?.......
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11 r~Rt Hinh St.. rArliRle. "A
ADDRESS
(717) 243-5513
PHONE
y~;~ J-'< /_S-:;1:I
17013
James D. F~,~r. rsa. ~06272
ATI'ORNBY (Sup, Ct. I,D. No,l
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CALLED ATTORNEY OCTOBER 1995
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;</-95-76/
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LAST WILL AND TESTAMENT
OF
MARIAN T, McCOY
I, MARIAN T. McCOY, of Carlisle, Cumberland County, Pennsylvania, make, pUblish and
declare this to be my Last WlII and Testament, hereby revoking and making void any and all
former Wills and Codicils by me at any time heretofore mede,
FIRST: r direct the payment of my Just debts and funeral expenses as soon after my
death as wllJ be convenient to my Executor hereinafter named,
SECOND: All the rest, residue and remainder of my e51ate, real, personal and mixed,
whatsoever and wheresoever situate, at the time of my death, I give, devise and bequeath, In
equal shares, share and share alike, to my nephew, RONALD S. HOENSTINE, and my niece,
CONSTANCE E. REITMYER,
THIRQ: r nominate, constitute and appoint the FARMERS TRUST COMPANY, as
Executor of this my Last WlII and Testament.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~ day of
October, 1993.
ht CVvIA-v... -r: e
Marian T. McCoy
(SEAL)
SIGNED, SEALED PUBUSHEO and DECLARED by MARIAN T. McCOY, the above named Teslatrlx, as and lor her
Lasl Will and Testamenl, In Ihe presence 01 us, who, In her presence, at her'requesl, and In Ihe presence 01 each
other, have hereunto subscribed our names as wllnesses,
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS.
I, MARIAN T. McCOY, Testatrix, whose name Is signed to the attached or foregoing
Instrument, having been duly qualified according to law, do hereby acknowledge that I signed and
executed the Instrument as my Last Will; that I signed It willingly; and that I signed It as my free
and voluntary act for the purposes therein expressed,
Sworn or affirmed ~nrcknOWledged before me, by MARIAN T. McCOY, Testatrix, this
~5*'- day of C ,1993,
"in~'~~ ~~B~
Marian T. McCoy, Testatrix
\..ODf.JJ1r/~A~~
Notary Publl
NOTARIAL SEAL
MERLENE MARHEVKA. Hilary Public
Carll"., Cumb.rlan. C,unly, PI.
My C,mlllllllon Expires 617194
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COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF CUMBERlAND
We, James D. Flower, Jr. and Teresa J. Burkholder ,
the witnesses whose names are signed to the attached or foregoing Instrument, being duly
qualifled according to law, do depose and say that we were present and saw Testatrix, MARIAN
T. McCOY, sign and execute the Instrument as her Last Will; that she signed willingly and that she
executed It as her free and vOluntary act for the purposes therein expressed; that each of us In
the hearing and sight of the Testatrix signed the Will as witnesses; 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.
Sworn or affirmed to and subscribed to before ,lpe by James p-.--, Florer, Jr. and
Teresa J. Burkholder . witnesses this ;Qt;~ day of U (! L-. 1993,
c: _/ <l;A-~~i1?:~~~':Y/{~dt'A /'
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LLJqQ.lli-u ~7J1!~ ;./~
Notary Public
NOTARIAL SEAL
MERLENE MARHEVKA. N,lary Public
Carll,l., Curnborllnd County. Pa.
My C.rnrnllllon E.plr.. 617194
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CERTIFICATION OF NOTICE UNDER RULE 5.6Ia)
Name of Oecedentt
lWU1\N T. t1c<DY
Date of Death:
October 10, 1995
Will No.
2195-0751
Admin. No,
To the Registert
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
October 19. 1995 t
Name
Address
Ronald S. Iloenstine. 22 Sentinel Drive. I'hoenixville, P1\ 19460
Constance E. Reitmyer, 1434 N. Adams Street, Pottsto,.m, I'A 19464
Notice has now been given to all persons entitled thereto under
Rule 5.6 (a) except N/A
',','
Datet
'I.
f/1,,-l' /~ /995
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D. Fla..er, Esquire
Address 11 East High Street
Carlisle, I'1\ 17013
Telephone (717) 243-5513
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Capacity:
Personal Representative
Counsel for personal
representative
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In Re Bstate of
I.tariun T. Md'-Qy
deceased.
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RENUNCIATION
To the Register of Wl11s of
C\lmmrlnnr'l
County, Pennsylvarla.
The undersigned Fa..rrrcrs Trust Carpany named Executor
of
the above decedent, hereby renounec(s) the right to administer the estate and respectfully ask(s) that Lcllers
Testamentary
be Issued to
~nn::to'1'1 ~ J-.I'~nCl"~nt:l ::II Residl1~1""\1 T~atee
.
WITNESS
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hand this S-rr.... day of October
.19~.
Financial Trust Services CaTpany
Successor to Fa..rrrcrs Trust CaTpany
By:
nw~ 1-.
,(511.IIU'") Trust Offic:;er
u.r..~E.
(Add,...)
(511.llurl)
(Add,...)
(511.IIU'")
(Add,...)
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'P:.".' '.'. N......,~.. ...A....'A..\;O.... 82.'."..'.44S:<C9MMONWEALTH OF '. ENNSnVANIA. .
''''.' "..'" <" -' ,. '. . DEPARTMENT OP RIVINUI
'"i:.~;l' ~;I"; ~o,;;> 'oFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
,
ACN
ASSESSMENT
CONTROL
NUMBER
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RECEIVED FROM:
&
AMOUNT
FL.OWER JAMES D
11 EAST HIGH STREET
101
.6:l'i'.OO
_'OIDHIt' ,OIDHflf
CARL.ISL.E, PA 17013
ESTATE INfORMATION:
t:I ILE NUMBER
(QI e1-199~-07~1
II NAME Of OECEOENT ILAST)
II OATE Of PAYMENT
EJ POSTMAR
COUNTY
SSN eOl-lB-34e6
(fiRST) (MI)
OAT! Of OEATH
m TOTAL AMOUNT PAID
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REMARKS
JAMES D FL.OWER ESQ
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\ SEAL CHECK" S RECEIVED Byl II /.! j i, I t~~' , J"')' f '-
~; . REGISTER OF WILLS MARV C. L.E~I~'ON....; I~ ,,),'
i REGISTER OF WIL.L.B
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If A SPOUSAL 0
POVIITY CRlDI' IS CLAIMID
riLl NUMIII
21-95-0751
COUNTY COOE
o IN ' MPl ADD_
Todd Home
Mooreland Avenue
Carlisle, Pennsylvania
C.WII
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
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COMMONWfAltH m ,fNNUlVANIA
OlPAITMIN' 0' 1I1\'INUl
DIP'. lOtIO
HAUIUUIIG, ~A 17 21.0601
DON '. NAM ll.A , ... , AND MIDOLl INIUAll
McCoy, Marian T.
IOCIAL II UIIIY NUMUI
201-18-3426
17013
YEAR
NUMBER
DAn 0' OIAIH
10/1/95
OAII 0' IUlf"
5/12/13
IIf """(Ahlllu."wlHO II'OUU" N_I CLASt. 'IU' loNg M,OOU IN.llAII
"MOUN' 11c:l1\'ID (UIINUlIuaICNI.
~ 1. Orlglnol R.'urn
o 2. Supplemental R,'urn
o A. Umllld ElIot. 0 Ao. Futur. Int.,... Comproml..
(for dol.. of d.o,h ohor 12.12.B2)
o 6. DICld,n' DI,d TI.,ot. 0 7. D,Cld.nt Maintained a living Trult
(AIIO,h ,opy of WillI (Allo,h ,opy of TruIII
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMAnON SHOULD BE DIRECTED TO,
NAM'James D. Flower, Esquire to,",,!, 'E~N~tO" 'gh Street
Carlisle, Pennsylvania
o 3. R.malnder R,'urn
(lor do'.. of d.olh prior 1012.13.82)
O~. f.dorol Ellal. T.. R"urn Rlqul"d
_ 8. Tolal Number of Soft a.potit Bou.
.'10,
17013
243-5513
..
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I. R.ol Ello" (S,h.dul. AI
2. Slo,h ond Bond, (S,h.dul. BI
3. Oo..ly H.ld Slock/Ponnor.hlp Inti"" (Sth.dul, q
A. Mongog.. ond No'.. R_lvobl. (Sth.dul. DI
5. Ca.h~ Bonk D.potlt. & MIIe.llantoul P,nonol P,op.rty
(S,n.dul. E)
6. Jo1nlly Own.d Prop.ny (Sth.dul. FJ
7. T,onof." (S,h.dul. 01 (S,hodul. LI
8. Tolol Groll All'" (Io'ollln.. 1.7) I B )
9. Fun.rol bpln..., Admlnlaltotl.... COlli, MIIC.llon,oul
bp.n... IS,h.dul. HI
10. O.b", Mongog. 1I0bllltl... UI.. (Sth.dul. II
11. Tolol O.du"lon. (tolol lIn.. 9 & ID) (Ill
12. N" Volu. of E"ot.(lIn. 8 mlnu.lIn. 111 1121
13. Charitable and Governmlntal Bequ.." (Sch.dull J) (13)
lA. N., Volu. Sub I." '0 To. Un. 12 mlnu.lIn. 131 llAl
15. Spaulol Tran.f.n (for datil of dlcuh oft., 6.30.9.()
S,. 'nllructlon. for Ar,pllcobll P,runtog. on R.vene (15) x.__
Sid.. (Indud, .olu.. rom 5th.dul. K or S,h.dul. M.I
16. Amounloflln. IAio.obl. 016% rOI' (161 H .06 .
(Includ. ,;,oluII from Sch.dull K Dr Sch.dul, M.)
17. Amoun'oflln.IAio.obl.ot I~%ro" (17) 4,406.15 H ,15.
(Includ. vo/u" 'rom Sch.dule K or Sch.dull M,)
18. Prlndpollo, duo (Add '0. from lIn.. 15. 16 ond 17,) (181
19. C"dlu Spou.ol Po....rty Credit P,lor Paym.nll Dlleount Inl.,.u
+ 659.00 + 34.68 119)
20. If Lln. 191, gr,ol., thon Un. 18, .nl., ,hi diff.ren" on LInt 20. Thh II ,11. OVERPAYMENT. (20)
Ii! 0
693.69
32.76
, "i)ri?:T, :/
"..-"" U i.J
5,816.28
1,410.13
4,406.15
fi
4,406.15
660.92
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Checlc her" if you or" requesting 0 r"fund of you, overpayment.
21. If lIn. 18 I, 9reol" thon lIn. 19, .nler th. diff.r.nc. on lIn. 21. This II th. TAX DUE.
A. Enl" th.lnl.r... on Ih. balanc. due on lIn. 21A.
B. En"r th.lo'ol of Un. 21 and 21A on L1n. 21B. Thl' I. ,h. BALANCE DUE.
Male. Ch.ck Payabl. tal R'alsl" of WIII" Aa.nt
~ BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH -<
~d.r p.nahl.. 01 p.rjury, I d.clor. .hall han 'Aomined Ihl, r.'urn, Including accompanying Ich.dule. and lIat.m.nlt, and to the bill of my ~"owl.d9' ond b.li.f.
Il Iru., carr.ct and complll', I d.clarethot 011 reol.llol. has bun "pon.d ot 'ru. mork.t valu.. Dlclaration of pr.porer other than thl p"lonal repre"ntoll'" ia
I.d on alllnlormalion of ~hl h preporer has any knowl.dge. .
~If!\O' P IUON I: 'OtH 'Oil: f~"U~N ADDIlU I' DAIl
'<..l.. ~ ,'-\..L4.",-u .5i'nT /... ,: .. at4't
NATU 0' 'UP ~u OTHI HAN 'NTAfl~1 ADDUU DAIl
II '1-co... Z 1'(90
(21)
(21AI
(21BI
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Ad '48 of 1994 provldel for the reduction of the tax ratel Impaled on the net value of transfen to or for
the Ule of the Ipoule. The ratel al prelcrlbed by the Itatute will bel
e 3~ (.03) will be applicable for eltatel of decedenll dying on or after 7/1/94 and before 111/96
e 2~ (.02) will be applicable for eltatel of decedentl dying on or after 1/1/96 and before 111/97
'e 1~ (.01) will be applicable far e.tatel of de..dentl dying on or after 1/1/97 and before 111/98
e Spoulal transferl 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.
u 0
I. Old d.c.d.nt make a tronsf.r and:
b. retain the right to dlllgnat. who shall us. th. prop.rty transferr.d or It I Incom., ...............
x
X
o. retain the u.e or Income of the property transferred, ...........................~...........................
X
c. r.taln 0 reversionary Interelt; or ...................................................................................
d. rec.lve th. promls. for 1If. of .lther payments, ben.flts or car.' .......................................
2. If d.ath aeeurr.d on or b.for. Dec.mb.r 12, 1982, did d.eed.nt within two years pree.dlng
d.ath transf.r prop.rty without r.celvlng ad.quot. eonsld.ratlon' If d.ath occurr.d aft.r
Decemb.r 12, 1982, did decedent traRlf.r prop.rty within one year of d.ath without ree.lvlng
adequate conllderatlon'...... ..............",....,.."",.."...,....,..,....,.,... ....,.. "' .....,...." II......'..."..
X
X
3. Old dee.dent own an 'In trust for' bonk account at his or h.r d.ath'......................................
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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IIY,I.J.2Ih.112,UI *
COMMONWeALTH 0' PlNNIYlYANIA
INHUI'ANCr TAX nTUlN
""DINT DlceDENt
ESTATE Of FILE NUMBER
Marian T. McCoy 21-95-0751
(P,oporty 'olnlly.ownld wllh Rlgh'o' Survlyo..hlp mu,' bo dl,clolod on Schodulo PI All ,001 01'0'0 ,hauld bo ,opo,,"d 0"01, ma,ko' yaluo
which II dollnod 01 ,hi p,lco 01 whleh p,aporly would bo o..hangod botwoon a willing bayo, and a willing ,olio" nollho, bolng complllod
10 bu or 0111. ba,h hayln ,oa,anablo knowlod 0 a',ho roloyan' 'octl.
SCHEDULE A
REAL ESTATE
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
N/A
TOTAL (Ah. onlar on IIno I, Rocopll.lolion)
(II more spoc. is n..d.d, inslrt addilionol 1I"lls of 10m, sin.)
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COMMONWfALfH 0' 'INN,nYANIA
IHHunANCI fA.. _"URN
aUIDINf DI!CIDIN'
ESTATE OP
SCHEDULE B
STOCKS AND BONDS
FI E NUMBER
Marian T. McCoy
21-95-0751
IAII p,oporty 'olnlly...wnod wllh RighI of Su,vlvo"hlp mUll bo dl"lolod on Schodulo P.)
ITEM
NUMBER DESCRIPTION
VALUE AT DATE
OF DEATtt
1.
N/A
TOTAL IAho onlo, on IIno 2. Rocopllulolionl
I" more .poc. i, n..d.d. in..rt additional .h.." 01 lam. Iizl.'
Is
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COMMONWEALTH OF PENNSVLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
SCHEDULE "C"
CLOSELY HELD STOCK.
PARTNERSHIP AND PROPRIETORSHIP
RaV,U";4 I!)(+ <<7.U)
FILE NUMBER
Marian T. McCov 21-95-0751
caCh.dUII lie-lit or "Co2" must bl .u.cnld for lach bUlln... '"lIIr... of the a.ced,nt. oth" 1hln. roprl'loflhlp,1
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
1.
N/A
TOTAL IAlsa enter an line 3. Ree.pltuletlanl S
lit mort IPICI ,. "..did 'n"n Iddltlon.1 Ihll" 0' ..m. Ilnl
'I'.m, u.. 16,161
.t:i~
COMMONWI!AlfH 0' PlNN1YlYANIA
INHUIfANCf TAX "'URN
.'IIDrN'DfcrDfNT
SCHEDULE D
MORTGAGES AND NOTES
RECEIVABLE
S ATE OP
FILE N MBER
21-95-0751
Marian T. McCoy
IAII prop'''Y lolntly.ownod with Right of Survlvollhlp mu,t bo dl,.lo"d on Schodulo P,
ITEM
NUMBER DESCRIPTION
VALue AT DATE
OF DEATH
t.
N/A
TOTAL IAho ontor on IIno 4. Rocopitulotlon)
(If more spoce is n..dld ;n,.rt additional sh"'1 01 lame siz..)
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SCHEDULE E
CASH. BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
ESTATE OF
Marian T. McCoy
(All PNP.rty 'olfttlv-ew"." with the R'ght of Survlwnhlp mu.. b. dl.d..... Oft Schedul. ,I'
COMMONWfAlTH 0' "NNlYlYANIA
.NHIIITAHCI fAX lnulN
_"IDINT DICIDIHT
N~~~ER DESCRIPTION
1. Farmers Trust Company-
checking account-#749184
Attorney-in~Fact account
savings account-#222-9l0038
(see attached)
2. PNC Bank, N.A.-Retirement check
3.
Refund-RWC, Inc.
.. .
I Ploal~ Prlnl or Typo
FILE NUMBER
21-95-0751
VALUE AT
DATE OF DEATH
$ 1,053.45
4,368.31
234.70
144.63
15.19
(Anam additional Sy,- x 11- .h..,. " mON 'pac. I. ".R.d.,
;.....
FARMERS CD
TRUST-'
Janua...y 6. 1996
Flowe.... Mo...genthal. Flowe... & L.indsay
11 East High Street
Ca...lisle, PA 17013
Rei Estate of Ma...iay, T McCoy SSN 201-18-3426
Date of Deathl Octobe... 1, 1995
Dea... Ms. Olya...nikl
In answe... to your ...equest concerning accounts owned. either
separately 0'" jOiy,tly. by the above referey,c:ed decedent al~d
the balance in each accouy,t as of the date of death, we have
checked ou... ...ecords and a...e submittiy,g the fOllowiy,g
info...mation in duplicate. We suggest that you file one of
these lette...s attached to the Pennsylvania Invento...y fo...ms
(RCCl to substantiate the balance you repo...t.
Note that we have shown the co......ect ...egist...ation for each
account. Also. inte...est accrLled to the date of death. if any.
is listed as a separate figure.
Checkiy,g aCCOllYlt #749184 was origiy,a11y oper,ed 4/1/74. The
account was tit 1 ed i y, Mari,;\Yo T McCoy' s name a 1 or,e. The
balance as of 10/1/95 was $1.053.45. The account was non-
interest bearing.
Saviy,gs ac:cc.uy,t 41222-'31C'('38 ~Ias origiy,a11y opey,ed 11/4/86.
The acco...r,t ~Ias titled iy, Mariay, T McCc.y's r,arne aloy,e. The
balay,ce as of 10/1/95 was $231.00 phIS $3.70 accrued iy,terest
for a total c.f $23'" 70. The accour,t was a Chri stmas CI ub
earyo!r,g 3. 25~ iy,terest at the t irne of death.
We have no record of a safe deposit bOK in the decedent.s
name.
Siy,cerely,
j/~~Jm-1SSr'vV'
Ka...ey, Tornassoy,e
Customer Se...vice
Ore ~ High Street p.aB~ 220 Carlisle.ll?nnsylvania 17013 (717)243-3212
.
'IV,UM~'.IJ"l
COM.MOHW'.~'H or "NN"'''''''''I''
INH"".",CI rol' 'nul...
l"IDINI DICtD!H'
SCHEDULE F
JOINTLY-OWNED PROPERTY
NAME
ADDRESS
RELATIONSHIP TO DECEDENT
"
I
I
!
Marian T. McCoy
FILE NUMBER
21-95-0751
ESTATE OF
Joint 'ononl('):
A.
B.
e.
Jolntly-ownod proporly,
ITEM
NUMBE
LmER
FOR
JOINT
TENANT
DATE
MADE
JOINT
DESCRIPTION OF PROPERTY
TOTAL VALUE
OF ASSET
DEeD'S DOLLAR VALUE OF
% INT. I DECEDENT'S INTEREST
1.
N/A
TOTAL (Also en'er on line 6, Recapitulation) I S
{II more spoct is nud.d in.,,' additional.h..,. 01 same sin}
leV.ISIO IX. 12.17)
~jJ.
COMMONWrAlfH 0' ,rNNSYlVANIA
INHlllfANCI 'AX UrolH
IISIDIN' DICIDIN'
SCHEDULE G
TRANSFERS
PLEASE PRINT OR TYPE
ESTATE Of
~Iarian T. McCoy
FILE NUMBER
21-95-0751
THIS SCHEOULE MUST BE COMPLETED AND FILED IF THE ANSWER TO ANY OF THE QUESTIONS ON THE REVERSE SIDE OFTHE cavIA SHEET IS YES.
ITEM OESCRIPTION Of PROPERTY TOTAL VALUE OECO. DOLLAR VALUE
EXCLUSION ,~ Of OECEDENT'S
NUMBER Inc/lJd. nom. 01111. 'ran.I.,... ,hew ,.Iotion.hip 10 d.c.d.nl, dOl. 01 Iran.I.,. Of ASSET INTEREST
N/A
TOTAL IAha .nl., on lin. 7. RKOpltulallon) S
-
(" mot. .pac. i. "..d.d, in.." adclilional .IlHII o/.am. du.)
.ev.U,t1lhI7:'''
~i:i-
COMMONWIALfH C' PlNNIYLVANIA
INHUIlANCI TAX alWIN
.IIIDINT DICIDINT
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE com AND
MISCELLANEOUS EXPENSES
Plea I. Print or T pe
Marian T. l~cCoy
21-95-0751
DESCRIPTION
AMOUNT
ITEM
NUMBER
A. Funeral Expenull
1.
westminster cemetary-lettering stone
$
95.00
B. Admlnlltratlve COlt11
.4.
C.
1.
2.
3.
4.
5.
6.
7.
8.
1.
Personal Repre.entatlve Comml..lan.
Sodal Security Number of Personal Repre.entotlve:
Vear Camml..lonl paid 1995
301. 52
2.
AttornII)' Fee.
Flower, Morgenthal, Flower & Lindsay
302.00
3. Family ex.mptlon
Claimant N / A R.latlonlhlp
Addre.. of Claimant al decedent'. death
Stre.t Addre..
City
State
ZIp Cade
Probate Foel
Register of Wills, cumberland County
44.00
Mllullaneaul Expenlell
Register of Wills. Cumberland County-short certificat
3.00
68.84
Sentinel-advertisement
Cumberland Law Journal-advertisement
40.00
10.00
Register of Wills, Cumberland County-filing fees
TOTAL (AI.a enler on /Ine 9, Recapltulotlonl
(If mo,e "pOC. II needed. Inlert odd/tlonallheetl of lam. Ilze.)
S
86i1.36
.
Marian T. McCoy
FILE NUMBER
21-95-0751
~'l
,
i
I
I
I
I
,
;
RIEV.ISU lEX_ C7.1S1
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIOENT DECEDENT
ESTATE OF
SCHEDULE "I"
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, AND LIENS
ITEM
NUMBER DESCRIPTION AMOUNT
1. Todd Home-misce llaneous' lexpenses $ 157.32
2. Apothecary-prescriptions 193.79
3. ATS Medical Service, Inc.-oxygen 25.86
4. Veritus, Inc.-radiology 93.80
5. Audiologist-hearing aid repair 75.00
TOTAL IAIIO enter on line 10. Recapltulatlonl
s
545.77
IIf more 'PIIU I. n..ded In'l" additional ,hull of ..m. .In)
A. Ta.ablo Boquo.IO.
1. Ronald S. 1I0enstinc
Phocnixville, pennaylvania
nephew
1/2
"y,IIUIa. l"'~
'*
COMMONwUUH 0' "",N.nv",*,
INNI'''AN(I 'AX liNIN
t"UIINt DKlDIH'
SCHEDULE J
BENEFICIARIES
ESTATE OP
Marion T. McCoy
mE NUMBER
21-95-0751
N~~\i'ER NAMI AND ADDRESS OP BENEFICIARY
RELAnONSHl1'
AMOUNT OR
SHARI OP ESTATE
2. Constance E. Reitmyer
Potts town, Pennsylvania
niece
1/2
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
AMOUNT OR
SHARE OF ESTATE
B. Cha,lIablo and Gavommonlal B'quollI:
1.
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS IAha .nlor an IIno 13, Rocapllula.lon) S
(If more .paCl II n..d,d. In..rt additional ,h,... of ,am. Iln)
I'r .', 'I - / ,/
REV-1547 EX AFP 02-95*
CDHHDHWUl fII Of' peNNSYlVANIA
D[PARtHEHl Of' R[V[HUE
BUREAU Of' IHDIVIDUAl fAMEI .
otPf. 110601
fIARRIIIURO, PA 17UI-OUI
NOTICE Of INNERITANeE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
Of DEDUCTIONS ANO ASSESSMENT Of TAX
ACN 101
DATE 05-13-96
o FILE NO.
DATI! OF DEATH 10-01-95 COUNTY CUMBERLAND
NOTEI TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS fORM WITH YOUR TAX
PAYMENT TO THE REOISTER Of WILLS. MAXE CHEeX PAYABLE TO "REGISTER OF WILLS. AGENT"
REMIT PAYMENT TO:
JAMES D FLOWER ESQ
11 E HIGH ST
CARLISLE PA 17013
REGISTER OF WILLS
CUMBERLAND CD COURT HDUSE
CARLISLE. PA 17013
Anaunt R..lttad
CUT ALDNG THIS LINE ~ RETAIN LOWER PDRTION FOR YOUR RECDRDS ~
iili\i:i5C,-j-EXn"Fii-n'2:95riioYicE--o';-YNHEififiiN'cE-l:AX-iiP'PR'AisEH€ii'i'-;-"LLOWANCE-iili--------------m
DISALLDWANCE OF DEDUCTIDNS AND ASSESSMENT DF TAX
ESTATE OF MCCOY MIRIAN T FILE ND. 21 95-0751 ACN 101 DATE 05-13-96
TAX RETURN WAS, (X J ACCEPTED AS fILEO
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..I Ed.t. (Schedule AJ (1)
2. Stock. and Bondi (Sch.dule BJ (2)
5. Clo..l~ Hald stock/Partnership Int.r..t (Sch.dul. C) (3)
4. Hartg.ga./Not.. Receivable (Sch.dul. DJ (4)
S. C..h/S.nk Dapollt./H1Io. Parlonal Property (Schedul. E) IS)
6. Jointly Owned Property (Sch.dul. fJ (6)
7. Trln.flra (Sch.dule OJ (7)
8. Tot.l A...t.
I eHANGEO
.00
.00
.00
.00
5.816.28
.00
.00
CBI
5,816.28
APPROVED DEDUCTIDNS AND EXEMPTIDNS:
9. Funaral Expan.../Ad.. COlt./Hi.c. E.pen... ISchedul. H) (9)
10. Debt./Hortvave Liabiliti../Li.n. (Sch.du1. I) (10) 545.77
11. Total DeducHon. Ill)
12. H.t Valu. of TalC Return (12)
15. Charitab1./00v.rn~ent.l aeque.t. ISchedul. J) (15)
14. H.t Velu. of E.tat. Subjaot to TalC (14)
NDTEI If an assessment was issued previously, lines 14, 15 and/or 16, 17 and 18 will
reflect figures that includa the total of ALL returns assessed to date.
ASSESSHENT OF TAXI
IS. AMount of Line 14 at Spou.a1 rat. (15)
16. A~ount of Lin. 14 t..abl. at Line.1/Cl... A r.t. (16)
17. A~ount of Line 14 t..ab1. at Co11ateral/Cla.. 8 r.t. (17)
18. Principal TalC Du.
B64.36
1.41 n 1:'1
4.406.15
.00
4,406.15
.00
.00
4.406.15
X . DO.
X .06.
X .15.
UBI
.00
.00
660.92
660.92
TAX CREDITS I
PAYMENT
OATE
12-28-95
RECEIPT
NUMBER
AA082448
OIseOUNT l+ I
INTEREST C-I
33.05
AMOUNT PAID
659.00
TDTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
692.05
31.13CR
.00
31.13CR
. If PAID AfTER DATE INDIeATEO. SEE REVERSE
fOR CALCULATION Of ~ODITIONAL INTEREST.
If TOTAL OUE IS LESS THAN Ii. NO PAYHENT IS REQUIREO.
If TOTAL OUE IS REfLEeTEO AS A "eREOIT" (eRI. YOU MAY BE DUE
A REfUND. SEE REVERSE SIDE Of THIS fORM FOR INSTRUCTIONS. I
0,:
',-/!>o...~ .
po ~ ::0::0
3!!;>
. ,.
0" , IP g
!.t' ~,
~' ~ ~fa
,: "
U I ,}
bJ' 10 C~ I ~~
..il
.: ( :!l ;- .:)
(" N =:1 :~
~~ " U;o
- -.
0\
RESERVATION, E.t.t.. Df dec~t. d~lng on Dr befDr. o.c.~r 12. 19.2 -. If any future Int.r..t In the a.tata I. tran.f.rr.d
In PD.....lon Dr .nJav..nt to Cl... J (call.t.ral) ben.flcl.rl.. of the d.c.d.nt aft.r tha axplratlan 0' env ..tat. 'or
Ilfa or for v.ar.. the Co.-onw.alth h.rabv axpr...lv r...rv.. the right to appr.l.a ~ ...... tran.f.r Inh.rltanc. Tax..
.t the law'ul Cia.. . (collat.r.l) r.t. on any .uCh future lnt.r..t.
PIIIPOSEOI'
NOUtE, To 'ulflll the r.qulre.ent. of S.otlon 21U of the lnh.rlt....u and Estata ta. Act. Act ZZ of 1991. 72 P.S.
S.cUon 2140.
D.tach the tap portion of thl. Natlc. end .ub.lt with your pav..nt to tha R.gl.tar 0' Will, prlnt.d on the r.v.r.a .Id..
..HIk. ch.ck or .on.y ardar pav.bl. tal REGISTER OF HILLS, ADENT
All p.vasnt. rac.lv.d .hall flr.t bl appll.d to .nv Int.r..t which .av b. due with any r...lnd.r appll.d to thl t...
REFUND (CA)I A r.'und 0' . t.. cr.dlt. which wa. not r.qu..t.d on tha T.x R.turn. ..v b. r.qu..tad by co.pl.tlng .... ~Applle.tlon
far R.fund of P.nn.vlvanl. Inh.rlt....c. and E.t.t. f.x~ (REY.1313). Application. .ra .v.llabla .t the O'flc.
0' the Ragl.tar 0' Will.. anv a' tha 25 R.vanu. DI.trlct Off Ie... Dr bv calling the .p.cl.1 Z4-hour
an.warlng .arvlc. nuab.r. for for.. ord.rlngr In Penn.vlvanla 1-.00.362.2050, ~ut.ld. P.nn.vlvanl. end
within 10c.l H.rrl.burg .r.. (7171 7.7..0'4, TOOl (717) 772.22S2 (H.arlna lap.lr.d Onlv).
PAYttEHTI
OBJECTIONS, Anv p.rtv In Int.r..t not .atl.fl.d with the .ppr.I....nt. .Ilawanca or dl.allowanc. of daductlon,. or .......ent
of ta. (Including dl.count or Int.r..t) .. .hown an thl. Not Ie. .u.t abJ.ct within .I.tv (60) d.y. of r.c.lpt of
thlt Notlc. byr
..wrltt.n prot..t to the PI. O.p.rt..nt of A.v.nu., laard of App...., O.pt. 2.IOZI, H.rrl.burD, PI. .7.21-1021. OR
.-.I.ctlon to h.va tha a.tt.r dat.r.ln.d at ludlt of tha account of tha p.r.ona. r.pra.lntatlv., OR
._appa.. to thl Orphan.' Court.
A""IN
ISTRATlVE
CORRfCTJDHI.
INfERESTI
F.ctu.l arror. dl.caVlrad on thl. .......ant .hould b. .ddr....d In wrltlna tal PI. O.part.ant of R'v.nu..
lur.", 0' Individual 'aJl", ATTNI Polt A.......nt R.vl.w Unit, O.pt. 2.0601. t1errhburD. PA 1712.-0601
Phone (717) 7.7-6505. S.. pag. S 0' the bookl.t "rn.tructlan. for Inh.rltanca f.. Aaturn 'or. R..ldant
O.c.dant" (REy-tSOI) for an ..plan.tlon 0' adalnl.tr.tlv.lv corr.ctabl. arror..
If any t.x dUe I. p.ld within thr.a (3) cal.ndar .onth. .ft.r the d.cld.nt'. d..th. a 'Iv. p.rclnt (S~) dl.count 0'
th. t.. paid I. allow.d.
Int.rl.t I. chargld baglnnlng with flr.t day 0' d.llnquancv, o~ nln. (9) 'onth. and ana (1) d.v 'roe the data of
d..th. to the data of p.v.ant. f.... which bac... d.llnqu.nt b.for. Janu.rv I, 1'.2 b.ar Int.r..t at the rata of
.Ix C6~) p.rc.nt p.r ennua calculat.d It . d.llv rata of .000164. All t.JI., which bac..a d.llnquent on and .ftar
Janu.rv 1. 19.2 will b..~ Int.r..t at . r.ta which will v.rv fro. c.land.r v.,~ to ea..nd.r v..r with th.t r.t.
~.d bv tha PA D.p.rtaent of R.v,nu.. Th. IPpllcabl. Int.r..t r.t.. 'or 1'12 through 1996 aral
OISCDUHTr
!!!! Int.rllt A.t. Oalh Inter..t F.ctar V..r Int.~a.t R.ta O.lIv Int.ra.t "ctor
1912 ZOX .000541 1917 'X .000247
1913 lOX .00045. 1"1.1'9. llX .000501
I"" llX .000101 .99! 'X .000247
1915 UX .000356 1995-1"" 7X .00D19!
1916 lOX .0002-,4 1995-.996 'X .0002'"
ulnt.r..t I. calculat.d .. 'ollOtt.1
INTEREST . BALANCE OF TAX UNPAID X NUNBER OF OAya DELINQUENT X OAILY INTEREST FACTOR
."Anw NoUce luued aftllr the t.. b.co... d.Unqu",t will rafhct ." IM.ra.t calcul.tlon to flft.an (n) dayI
b.~ond the d.t. 0' the .......ant. I' p.v..nt I. .ad. .ft.~ the Int.r..t coaput.tlon d.t. .hown on thl
Notlta. additional Int.r..t lIIJ.t ba c.lculat.d.
.""".,.-""'-..
/
/5-5'9-/1../
COHHDNWEALTH DF PENNSYLVANIA
DEPARTMENT DF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
~~*
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. IIG601
HARAISBURG, PI, 11121"0611
..v.lt., II ,,, ..lot..
JAMES D FLDWER ESQ
11 E HIGH ST
CARLISLE PA 17013
DATE
ESTATE DF
DATE OF DEATH
FILE NUHBER
CDUNTV
ACN
06-03-96
MCCOY
10-01-95
21 95-0751
CUMBERLAND
101
AMount ReMitted
MIRIAN
T
r
MAKE CHECK PAVABLE AND REMIT PAYHENT TDI
REGISTER OF WILLS
CUMBERLAND CD CDURT HDUSE
CARLISLE. PA 17013
NOTE I To inaure propar cradit to ~our account, IUbMit tha upper portion of thil for. with ~our tax p.~.ent.
CUT ALDNG THIS LINE ~ RETAIN LDWER PDRTIDN FOR YOUR RECDRDS .....
Rirv:il.'ii'i-iif-AFP-ioY:91ii-m--.iiit--iFiii'€iiiTANci'-fitx-sTAfiiiiftif-OF-it'ifcciUiif--iii.-----m-m---m---
ESTATE OF MCCDY HIRIAN T FILE NO.21 95-0751 ACN 101 DATE 06-03-96
THIS STATEHEHT IS PRDVIDED TO ADVISE OF THE CURRENT STATUS Of THE STATED AeN IN THE NAHED ESTATE. SHOWN BELDW
IS A SUHHARY Of THE PRINCIPAL TAX DUE. APPLICATION Of ALL PAYHENTS. THE CURRENT BALANCE, ANO, If APPLICABLE,
A PROJECTEO INTEREST fIGURE.
DATE OF LAST ASSESSMENT DR RECORD ADJUSTMENT: 05-06-96
PRINCIPAL TAX DUE: .mnmm_
660.92
PAVMENTS CTAX CREDITS).
PAVMENT
DATE
12-28-95
05-20-96
RECEIPT
NUMBER
AA082448
REFUND
DISCOUNT C+)
INTEREST C-)
33.05
.00
AMOUNT PAID
659.00
31.13-
. If PAlO AFTER THIS DATE, SEE REVERSE
SIDE fDR CALCULATION Of AODITIONAL INTEREST.
I IF TOTAL DUE IS LESS THAN fl.
NO PAYHENT IS REQUIREO.
IF TOTAL DUE IS REfLEeTEO AS A "CREDIT" leRl,
YOU HAY BE OUE A REfUND. SEE REVERSE SlOE Of THIS fORH fOR INSTRUCTIONS. )
TDTAL TAX CREDIT
BALANCE DF TAX DUE
INTEREST AND PEN.
TOTAL DUE
660.92
.00
.00
.00
, ,~.,--~-""._,"--",~,-'-'--"
N -=~
'0 -
.. -,n;
!!) - 0)
,~i~ e c d
a' .'
" ~) -
N ')
Ll .. ~ ;~
'i' ti'
C' ~:.i to ;iJ
(; ., , J,'
~.
0 III rs: ,(: E
wa: <D8
a: 0
PAYttOfT,
Detach the top porUon of thlt NoUce end .ubIllt ..lth ~DUr payaMlt alHJ. payable to the n..e wtd addra..
prlntad on the r.ver.a .lde.
If RESIDENT DECEDENT aake ch.ck 0,. lIOMy ord.,. p.yabl. tal REGISTER OF WILLS, AGENT.
If NDH~RESIDEHT DECEDEHT aak. ch.ck 0,. eon.y ord.r p.yabb tOI COHHONWEAL TH OF PENNSYLVANIA.
All p.yeent. r.c.lved .h.ll b. applied flr.t to any Int.r..t which a.y be dUe ..Ith any r..alnd.r appll.d to the ta..
REFUND (CA)I A ,..fund of . t.. credit, ..hleh .... not raqu.atad on the ,.. Return, .ay be raqua.ted bV co~latlng an
-Appllc.tlon for R.fund 0' Pennlylvanl. Inharltanca end Eltat. Tax- IREV.ISI!). ApPlleatlona .r. av.llabl. at
tha O"lca 0' tha RIglat.,. 0' Will., any 0' the 2S R.venu. nl.t,.let Offlc.. 0,. ,,.01 the Dep.,.t.ent'. 24~hour
an.warlng ..,.vlce nuab.,.. for for.. ord.,.lngl In P.nn'Ylvanla 1.100-S'2~ZOSO, outalda Penn.ylvanl.
ftnd within local Her,.llburg .,.aa (717) 7.7.1094, TOO' (717) 77Z~Z2S2 (Ha.,.ln, lapel,.ad only).
REPLY TDI
Que.tlon. ,.e,ardlng .r,.o,.a cont.lned on thl. not Ie. should b. .ddr....d tal PA Dap.rtaent of Rav.nul, lur..u
of Indlvldu.1 T..a., ATTHI po.t A.......nt Ravl.w unit, D.pt. 210601, H.,.rl.burD, PA 17121.0601, phon.
(717) 717"650S.
DISCOI.IfTI
If any t.x due I. paid wIthin thraa (S) calend.r eonth. a'tar tha d.c.dant'a d.ath, a flv. p.re.nt (S~) dl.count
of the ta. p.ld I. allaw.d..
PENALTY,
Th. ISX tlX .-n..ty nan.p.,.tlc1patlan p.n.lty I. coaput.d on the tot.1 of the ta. and 1nt.r..t .......d, and not
paid b.fare January II, 1996, ,the fir" d.y aftar th. .nd of the t.x .an..tv p.,.lod.
INTEREST I
Int.r.at I. ch.ra.d b.,lnnlnl with flr.t d.V of d.llnqu.ncy, 0,. nlna (9) .onthl and anI II) dlY ,,.oa the dltl of
d.ath, to the data of p'Ylent. Ta... ~Ich blc." dallnqu.nt b.for. January I, 1912 b..r Int.r..t at the rat. 0'
.1. (6X) p.rcant pa" annua calculat.d at a dall~ ,..t. of .000164. All tax.. which baca.a d.llnquant on and .,tar
J~.rv 1, l,a2 wIll b..r Intar..t at . ,..t. whIch wIll vlry ,,.0. e.l.nd.,. y..r to cal.nd.r y..r with th.t ,..t.
announc.d b~ tha PA Dap.,.t..nt of Rav.nue. Th. appllcabla Int.r..t ,..t.. for 19az th,.ough 1996 aral
Va.,. Int.r..t R.ia Dall~ Intarut F.cta,. V..,. Inta,...t R.ta o.lh Intar..t Factor
1912 :oX .OOOS,.I 1917 'X .000ZO
1915 lOX .OOOUI 1981.1991 llX .000501
l,a4 llX .000501 1992 'X .000247
1915 UX .000SS6 1995.199" 7X .000192
191' lOX .000274 1995-1996 'X .000247
ulntar..t I. calculatad .. 'olloW'1
INTEREST . BALANCE OF TAX UNPAID X NUnBER OF DAYS OELINQUENT X DAILY INTEREST FACTOR
..Any Hotlc. I..u.d .'tar tha t.x b.ea.a. dallnqu.nt will raflect an Int.,...t calculation to flft.an (IS) daya
b.yond the data of the ........nt. If pay..nt I. ..d. .,ta,. the Int.r..t cOlput.tlon data .hown on the
Hatlc., .ddltlonal Int.r..t au.t b. c.lculatad.
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STATUS REPORT UNDER RULE 6.JZ
Name of Decedenl: Marian McCov
Dale of Death: 10/1/95
No. 21-95-0751
Pursuant to Rule 6.12 of Ihe Supreme Courl Orphans' Court Rules, I reporl the
following with respect 10 completion of the adminislratlon of the above.captioned eslate:
1. State whether admini5tralion of the estate is complete: .JL Yes _ No
2. If the answer is No, state when Ihe personal repre5enlative reasonably believes
Ihal ~he administration will be complete:
3. If the answer to No. 115 Yes, state the following:
a. Did Ihe personal representative file a final accounl with the Court?
_ Yes ..!... No Releases were signed
b. The separate Orphans' Court No. (if any) for the personal representative's
accounl is:
Date:
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c. Did the personal representative state an account informally 10 the parlie5
in interest? .:1r Yes _ No
d. Copies of receipts, releases, joinders and approvals of formal or informal
accounts may be filed with the Clerk of Orphan's Court and may be
attached to this reCff. uiTJ
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04~2/96
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ER, MORGENTHAL, FLOWER & LINDSAY
James D. Flower
Nome (please type or pnnt)
I t East HI2h Street
Address
Carlisle. PA 17013
l:,ty, State, Z.p
(717) 243.SSt3
Telephone Number
Capacity: Personal ReHresentotive
x Counsel for Personal Representolive
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