Loading...
HomeMy WebLinkAbout95-00783 Cslllle "I Clair E. Myers also kllow" us PETITION J,'OR PRODA TE IIntl GI{ANT OF LETTlmS 62/- Q5-1g.,3 No. To: Register of Wills for Ihe , Dl't'l'tlsetl, COllnly of Cum!mrlIlrul- in Ihe SOclll/ St'('u,ity lVo. I G.2 - .2.t . tJ~" 't- Commonweuhh of I'ennsylvllnlll The pelhlon of Ihe ulldersigned respeelfully represents Ihllt: Your pelhloner(s), who islllre 18 yellrs of IIge or older IIn Ihe exeeulrlx inlhe IlIsl will of Ihe IIbo\'e decedenl, dllted SelllWllbllf-.H. and codlcil(s) dllted ........-llllDe Illulled , 19.86- ('trlle rclc\'lll1l drClIl1IlllBnccs. C.lI. n:l1undnllulI, death UfC\CClIlur. CIC.) Deeendelll WIlS dOllllclled III delllh in I' is lasl fall1l1y or principal residence al Cumberland COllnly, Pennsylvania, whh ystonc.Jload( CllrJl.~.p^ 17013 " - ,t)\, \~r ,~.\,~ \ 'II (11\1 !itr<<I, number and mlllldpnlil)') Decendent, then 67 yellrs of age, died September 11, , 19 95 , at r.Arll.l" HQ.pltel, Carli.le, PII ' Exceplas follows, decedent did not marry, WIIS not divorced IInd did nol have II child born or lid opted lifter execution of Ihe will offered for probale; WIlS nollhe \'iclim of II killing IInd was never adjudicated Ineompetelll: no exceotions Decendent at dellth owned properlY with eslimllled vlllues liS follows: (If domiciled in Pa.) All personal properlY (If not domiciled in Pa.) I'ersonlll properlY In Pennsyl\'ania (If not domiciled in I'll.) Personal properly in County Value of relll eslate In I'ennsylvllnia shuated as follows: unestimated $ $ $ $ WHEREFORE, pethloner(s) respeelfully request(s) Ihe probllte of the 11Ist will IInd eodiell(s) presellled herewith IInd the grllnt of letters testamentary theron, (IClllBmCnlnrYi ndmlnbtrntlnn c.l.n.; mJmlnblnulon d.h.n.c.l.n.) lr 5 '0- '6i "'. -g.g ~.- -:;;~ 1l'~ 30 1'1 . " iii l/) . . ""(-!1/'/.J~1~,,,. S lirle t . Mvers o 4 ~r.eY.a101lll...R.ond ar Isle, 1'1\17013 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OJo' PENNSYLVANIA } ss COUNTY OF CUMBERLAND The petitloner(s) IIbove.nllllled swellr(s) or IIffirm(s) Ihllt Ihe stlltements in the foregoing petition lire true and correct to the best of the knowledge IInd helief of petitloner(s) and Ihal liS personal represen- tlllive(s) of the above decedent pelitioner(s) will well and truly IIdmlnister lhe estate according to law, SWO, rn to ~rafflrm~d IInd SUbSCribedi .J i :(. I ,. ~'/ . before me IhlS 11TH dllY of 7!, ==tn ?g~ber, l ci 19J1S- - III. ,ryf . , -/"..,,~ .'. ,.{\,,7J!~ r/1. \ ~u / ( Mary C. IIewls, Re/:;sle" II '" 00' il ~ " ~ '" No. 21-95- 783 Estote of _ Clair E. Myers, . Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW OCTOBER 20. 19~,ln consideration of the pelltlon on Ihe reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED lhal llle Instrument(s) dated September 24, 1986, described lhereln be admitted 10 probate and flied of record as Ihe last will of Clair E. Myers and Letters Testamentary are hereby granted to Shlrlev W. Myers FEES Probate, Letters, Etc, ..."..., Shorl Certlficates( 5) . . . .., , , . , Rel\lmciallon ....,..,....'", X-page JCP Rosl.tor of Will, MARY C. LEWIS Frey and Tiley By Robert M. Frey #06274 A1TORNEY (Sup. Ct, 1.0. No.) 5 S. Hanover St., Carlisle, PA 17013 ADDRESS Flied S 60.00 S 15.00 S S TOTAL _ S OCTOBER 20,1995 ................................... 717-243-5838 PHONE 3.UU 5.ee 83 00 (") (") :0 C f!" \cl :n S? ~; VI t::l ~ , L-;; -< ~' -. - , , -u .r:. VI "'~l l;. .. P,. ~, ", - >. U1 Called attorney on 10-20-95. 21 - 95 - 783 ~ 00 tll :0 c- ~:!l' "1m -. .~, 8 u .- ~ <=l - f\ t"J j-, ... ;,,' ,I -' " " -' ..' I "t r' 'U ~ ~~~' r_' I, I .::.. (i~ <:> ~\; , ~ - ....;. U1 .J 'i'_. J f tv ~ .... ... , ... LAST WILL AND TESTAMENT OF CLAIR E. MYERS I, CLAIR E. MYERS, of North Middleton Townshipt (mailing address I 14 Greystone Road, Carlisle, PA 17013), Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last will and Testament, hereby revoking and making void any and all Wills by me at any time heretofore made. 1. I direct my hereinafter named Executrix or Executrices to pay all of my just debts and funeral expenses as soon after my death as may be found convenient to do so. 2. All the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath to my wife, Shirley W. Myers, her heirs and assigns, to the exclusion of my children, born and unborn, provided my said wife, Shirley W. Myers, shall survive me by a period of ninety (90) days. 3. Should my said wife, Shirley W. Myers, predecease me or fail to survive me by the aforesaid period of ninety (90) days, then in such event all the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath as follows I Sixty (60%) per cent to be divided equally among our three daughters, they being my two daughters, Yvonne Monismith and Vivian Chiapusio, and my wife's daughter, Connie Lee Wilson, their heirs and assigns, provided each of them shall survive me by a period of ninety (90) days, but should any of our said three daughters fail to so survive me, then the share such deceased daughter would have received shall pass to such of her issue as shall survive me by a period of ninety (90) days, per stirpes, and if there be no such issue, the same shall lapse and be added to the shares of the other daughters, per stirpes. The remaining Forty (40%) per cent shall Page 1 of 2 Pages . -. '... be divided equally among the children of our three daughters who shall survive me by a period of ninety (90) days, their heirs and assigns, but should any of such children fail to so survive me, then the share such deceased person would have received shall pass to such of his or her issue as shall survive me by a period of ninety (90) days, per stirpes, and if there be no such issue, the same shall lapse and be added to the shares of our remaining grandchildren, per stirpes. At the present time, there are seven living grandchildren. 4. I hereby nominate, constitute and appoint my said wife, Shirley W. Myers, as Executrix of this my Last will and Testament, but should she predecease me or fail to qualify or cease serving as such, then in such event I nominate, constitute and appoint our three daughters, Yvonne Monismith, Vivian Chiapusio, and Connie Lee Wilsont as Co-Executrices, and I further direct that none of them shall be required to post any bond to secure the faithful performance of her duties in the Commonwealth of Pennsylvania or in any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament written ontwo (2) pages this 24th day of September , 1986. ~t-," I' /)1/~..L-v.:l.--' (SEAL) Clair E. Myer,., Signed, sealed, published and declared by Clair E. Myers, the Testator above named, as and for his Last Will and Testament, in our presence, who, in his presence, at his request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. yu,....;- J .,., />t. , 0-v/~ Page 2 of 2 Pages -" 'OJa'. -.,':::-;( ~ 'In "r;' ooq< 0.. ...... ... ~" c.\o, -d.";, --t.) ; l..) r'.) - - I.' .. ~r~~\. ClQ; a: E ,.:::;.-- CERTIFICATION OF NOTICE UNDER RULE 5.6{a) Name of Decedentl CLAIR E. MYERS Date of Deathl September 11, 1995 Admin. No. 21-95-783 Will No. To the Registerl I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on'or mailed to the following beneficiaries of the above-captioned estate on Nov. 21, 1995 I Name Address Shirley W. Myers, 14 Greystone Road, Carlisle, PA 17013 Notice has now been given to all persons entitled thereto under Rule 5.6 (a) except no exceptions l1'\ "... ~~.l ., .' f~ ,- ['~- - N -. ; "! -:.,.i H) , '\l~ ,- ~}) .!i!:J ex: Uf...) ~. f->~ Signature I Name Robert M. Frev Address 5 South Hanover Street Datel November 21.1995 Carlisle, PA 17013 Telephone (117) 243-5838 Capacity: x Personal Representative Counsel for personal representative . --. .'. ....~. .~, .~ . I-~ --: {. ~ -.3 c 9"1~'V. 'fS1,t fOR OATIS Of DEATH AnER 12/31191 CltlCK HERI If A SPOUSAL POVERTY CRlDIT IS CLAIMED 0 flU NUMIER INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE 21-95-783 WITH REGISTER OF WILLS) .. fO~~'V CODE D ClOINI" COM'I II AOOI U COMMONWULtlt Of PfNNSYlVANtA OIPAR'M(NI 0' A(I/[NUI Dfn 7'0601 HAUISlURCi,'A 11121.060' 0(((0 HI' HAMI II'" . flU . AND MIDOII INI tAli ."-EAR .."UMBER ... il5 Ii! bJ co MYERS CLAIR E. ,OCIA\ UCUIII'f' NUMII' 14 Greystone Hood Corllsle, I'A 17013 DAn o. O(AfH R,malnd., R'lur" (for dol.. of d.ath prior 10 12.13.82) Fed.rol eltott Tal R,lurn Required 162-22-0404 Sept. 11,1995 Nov. 27, 1927 !If ,""'10'111 IU..,...'NO lPOUIII NA"'I".". 1"" AND ""DOtIINIII"'11 ,OCI,\\ UCU'iTY NUMIII COO/lit A",OUNI '((IIVIO IUIIN.IIlUClION'1 110 659.32 03. Os, .Jla. Orlglnol R,turn o 2. Supplemental A.lurn o 40. Future Inte,." Compromi.. (for doll. of death oft., 12.12.821 D,c,dent Di.d hila'. 0 7, oec,dent Maintained a living Tru,' tAllach copy of Willi (Allach copy of Trusl) RRESPONDENCI~ND CONFIDENTI~L TAX INFORMATION SHOULD;BE DIRECTED.TO. "\""'~.'<\!.' ,/,( COMrun MAUING "DOlIn 5 South Honover Street Corllsle, PA 1\013 limited Ellate Tolal Numb.r of Safe oeposil Baul -,'<-'''': -'., "'.'\ z co 5 ~ bJ '" 1. Real fstat. (Schedule AI 2. SIOC~S and aonds (Schedule a) 3. Clos.ly Held Sloc~'Par1n.nhlp Inl.rll' (Schedule C) A. Mor1gages and Nol.. Receivable (Schedule 01 5. Cosh. aan~ oeposils & Miscellaneous Penonal Properly (Schedul. EI 6. Jolnlly Owned Properly (Schedule F) 7, T,an"m (Schedule GJ (Schedule l) B. Tolol Gron Aue" (lotalUnes 1.7) 9. Funeral eapen..s, Admlnlstratlv. COlli. Miscellaneous hp.nlll (Schedul. Hl 10. Deb", Mortgage Uobllllles, U.ns (Schedul. II 11. Total Deductions (10101 Un.. 9 & 101 12. N.I Volu. of Eslale (lIn. B minus line 11) 13. Charllable and GOYlrnmental aequelll (Schedule J) IA. Net Volue Sub.et 10 TOK line 12 minus line 13 15. Spousal Trani"" (for dat.. of dealh after 6.30.9A) S.. Inslrudlans for Ar,pllcable Percenlage on R.v.ne Side. (Indude valu.. rom Schedule K or Schedule M.I 16. Amounl of lIn. U laKoble 01 6% role Ilndud. valu.. from Sch,dul. K or Schedul. M.) 17. Amounl of line 1A to Koble 01 15% rol. (Indud. values from Schedule K or Sch.dule M.I lB. Principal tak due (Add laK from L1n.. 15. 16 and 17.) 19. Credits Spousal Poverty Credit P,lor Poymenlt + + 20. If line 19 Is greoler than lIn, 18, Inter Ihe dl"er,nce on line 20. This Is the OVERPAYMENT. 110 21. If line 18 Is greoler Ihon line 19. ,nler the difference on lIn, 21. Thlslslh. TAX DUE. A. Enler th,lnlerll' on the balanc, due on lIn. 21A. a. Enler the tolol of lIn, 21 and 21A on line 218. This Is Ih, BALANCE DUE. Moke Check Payabl. tOI R.gl.ter o' WIII" Ag,n' }f::rr::_\ ; ,'.~~'/~r~?;.lf~:~:"Ji 110,659.32 7,984.50 102,674.82 t02.674.~_. 0.00 z co ~ II co u S (191 (201 Chl.'(~ IIl.'IO if you uu' rcquc~tino n fc:>fund of your ovc:>rl'nyn1l.'nl. . (211 (21AI (2181 ErIUI""'A"vl ....." 14 Greystone Rd., Carlisle, I'A 17013 AOO.ln 5 S. Hanover St., Corllsle, 1'0 17013 Peb. I,:/. . 1996 OAU Peb. 1.),,1996 .fYJtoe fl. IU7) .. SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Pleale Prinl or T e FILE NUMBER COMMONWfALJH or 'ENNSYlVANIA INHI.ITANCI TAX .nu.N "SIDINT DlelDINT ESTATE OF CLAIR E. MYERS (All pro,..rty lalntly..owned with the Rlgh. 0' Survl'll'Onhlp must b. dlscl.sed on Schedule f) 21-95-783 N~~~R DESCRIPTION VALUE AT DATE OF DEATH 1. 1984 Honda Motor Cycle 2. 1986 Buick 4-door Century 3. 1989 Chevrolet Suburban 300.00 4. 1967 Dodge 4-door automobile 5. Holsclaw boat trailer 2,500.00 11,000.00 3,500.00 300.00 300.00 6. Flat-bottom boat 7. Balance Legg-lIfason IRA account 1#801-4351 Spouse, Shirley W. Myers, Is beneficiary 92,759.32 TOTAL AlIa enler an line 5, Reea s 110,659.32 (Anath addlllonal8W' )( 11- ,h.e'slf more space II need.d.) '''YISOtflt lIlli" , .. COMMONWEAUH 0' 'fNN~YlVANIA INHERI1'ANCf fAX anUIl:N Il:UIDfNf D[CfDfNf CLAIR E. MY ERS SCHEDULE F J JOINTL Y .OWN~}R~.~~RT~ FILE NUMBER 21-95-783 ESTATE OF Jalnlllnanl(.)a NAME A, Shirley W. Myers ------~.--.--~- _.._~..-....~- -_._~._".".__.. -.-- .--..".""-- ADDRESS 14 Greystone Road Carlisle, PA 17013 RELATIONSHIP TO DECEDENT Spouse B, C, Jolntly..owned property: ITEM LmER DATE FOR TOTAL VALUE DECD'S DOLLAR VALUE OF NUMBn JOINT MADE DESCRIPTION OF PROPERTY OF ASSET %INT, DECEDENT'S INTEREST TENANT JOINT 1, A Various MiSC. household goods Ten. DY entirety 2. A House and lot of ground at 14 Greystone Rd., Carlisle, Pa. Ten. by entirety 3. A Checking accounts at Meridian Bank Ten. by entirety 4. A Legg-Mason aCcoullt Ten. by entirety 5. A 1990 Citation Travel Troller Ten. by entirety , . , TOTAL (Aho Inlar on linl 6, RlCopltulollonl S Ten. by entirety (11 more space i. need.d insert oe/e/monol shee" 01 some size) 1'''"Ii'hl'lIl E T TE OF ITEM NUMBER . SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCEllANEOUS EXPENSES Plea.. Print or Type NUMBER 21-95-783 COMMONWEAUH 0' PfNNSiVlVAN1A INHUnAf4Cf IAk .( TUIN RUIDWIDfCfDfNI F CLAIR E. MYERS DESCRIPTION AMOUNT A, Funeral Expon...' B, 4. C. 1. 2. 3. 4, 5. 6. 7. 0, 1. Hoffman-Roth Funeral Home, funeral services 5,641.50 1. Admlnl.t,atlvo Co.II, Penonal Repro.enlall.. Commission. Social Security Number of Personal Repre.enlatlve, Year Comml..lon. paid 2, Allorney Fee. 250.00 3, Family e.empllon Clolmanl Shirley W. Myers Relation.hlp Spouse 2,000.00 Addre.. of Claimant al decedenl's death Streel Addre.. 14 Greystone Road Carlisle Stale Po. Zip Code 17013 City P,obate Fee. 83.00 MI.eollanoou. Expen..., Register of Wills, filing Inheritance Tax Return 10.00 TOTAL lAlla enler on line 9, Recopltulatlon) (IF mo'e .paco I. ne.d.d, In.ort addltlonal .heet. of .am. .Ize,) s 7,984.50 . , REWI649 f.'" (8m) *' SCIIEDULE 0 TRANSFERS TO SURVIVING SPOUSE C'ClMWOHWP.ALnt or PtHOn.VAHIA. HDII'ANal TAJI U1\JI.H ......,.~ ESTATE OF .1lrNumbtr CLAIR E. MYERS 21-95-783 PART A: Enttt Ihc dclaiptlon and value of alllnttmtJ. both lu.ble and non-Ilnble, rCBardlcu aflocalion. (net of dC'ductions) which to the dectdcna"lurvivinBI M by ,,'iII. inlmlCY. 0 ,.Iion onaw, Of otherwise. Descri lion of hems I Nnounl All Items reported on Schedule E $110,659.32 Part A Total: Enter the amount shown on the recapitulation &hcct in the Dtctdf'nl In{onn.lloo &dlon. 9.32 Elecllon To Subject Property To Tax Under Seellon 2113(A) As A Tauble Transfer By This Decedent. If alNslouimllu ananaemcnt...... the requimncnllorScctloo 2113(A~ and: L The Il\Isl 01 .imllu unn_ "listed on Schedule O. and b. The value oflhc ttuIt or aimilar arrangement I. entered in whole or In part as an &Sad on Schedule 0, then tho transferor'. pcnonaJ reprcsemalivc may .pecifically identifY the lIUst (aU or . fractional portion or ~tlgc) to be Includtd in the election to have IUch trust or .lmilar prorcrty treated &I, taxable transfer in IbI. alate. If leu than the entire value of the lNlt or similar property II included u. taxablo tranal'er ~ Schedulo a,tho pmonal rtpramtatlvc ahall bo consldmd to have made the cledlon only u to. fraction of the tlUl1 or limilar arrangement. The numcralorofthJl rradJon II equll to the amount ofthc trust or,lmilar arrangetmntlncluded u a taxable a.uet on Schedule O. The denominator Is equal to tho total value of the IrUII or .lmilar arrangemenl. ELECrJONI Do YOI.I elKt unller 8KtI0n 2113(A) to Iftat AI a ....bl, lraruf" In Ihb atale aU or. portion ofa tnul or ,1m.U.r arn.nzrmenl Cft.tN for dw sole UN oflhLl duC'denl" IUnirlnl'POUH durinZ the .unMnc 'POUMt. 'nllre Urellme1 VES D NO D Slpaluft Dale Note: lithe C'ledlon appUa to more Ihan onC' tnut Dr ,lmUar arranlemen4 then t"pant, (onn must bt .llnell and nlell. Part B: Enter lhe description and value of,11 Inl(rem.. both taxable and non.taxable, regardless of local Ion, (net ofdcdudions) \.\fUch to thc decedcnl"surviving 'pouse for whh:h a Section 2113 (A) election i. being tnlde, Oescri lion of items Am...nl I Part B Total ...... l/ " , /. '. 1 (.: ~~) ~ REV-1S47 EX AFP 112-95* COHHDNWUL HI OF PENNSYLVANIA DEPARTMENT Of REVENUE BUREAU Of INDIVIDUAL ".[5 DEPT. 280601 ItARAISIURC, p.t, 17na.o601 NOTICE Of INHERlTAHCE TAM APPRAISEHENT. ALLOHANCE OR DISALLOWANCE Of OEDUCTIDNS AND ASSESSHENT Df TAM ACN 101 DATE 05-13-96 FILE NO. 09-11-95 COUNTY CUMBERLAND NOTE I TO INSURE PRDPER CREDIT TO YOUR ACCOUNT. SUBHIT TIlE UPPER PDRTlON Of THIS fORN WITH YDUR TAM PAYHENT TO THE REOISTER Of WILLS. HAKE CHECM PAYABLE TO "REOISTER Of WILLS. AGENT" REMIT PAYMENT TO: FREY B TILEY 5 S HANOVER ST CARLISLE PA 17013 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 Allou"t Ralnitt.d CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~ iiE'v=isW-EX-AFj'- -ii'F 9sY-iioYi dE- -0; - -iNil iiii f ANc i - YA X - A.p PRAY sEi1iii:r; -ALi."owAifcE-o-Ii------------- - --- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX CLAIR E FILE NO. 21 95-0783 ACN 101 TAM RETURN WAI, I I ACCEPTED AI fiLED I XI CHAHGED SEE ESTATE OF MYERS DATE ATTACHED 05-13-96 NOTICE RESERVATION CONCERNING FUTURE INTEREST - SEI RIVERSI APPRAISED VALUE OF RETURN BASID ONI ORIOINAL RETURN 1. R..l E.t.t. ISchedul. A) III 2. Stock. and Bond. eSch.dul. III 12) 3. Clo..1~ Held stock/Partner,hlp lnter..t tSGheaul. CI IS) 4. Hartg.g'I/Not.. Raallvabla 'Iohldul. o. C~J 5. Cash/Sank Dapoltta'Hllo. '.rlon.l rrop.rt~ eaohedul. [) ISI 6. Jointly Owned Prop.rty eSchldul1 , I "J 7. Tranafara ISchedule 01 (71 8. Total A..et. ,00 .00 .00 .00 110,659.32 ,00 .00 IBI 110,659.32 APPROVED DEDUCTIONS AND EXEMPTIONS' 9. Fun.,..l EKpen.e./Ad.. COlh/"ha. hpln... rSClh.dula t1l IIH 10. Oebt.'"o,.tgaga UabH! ti,,/Lian. 'Schadul. t 1 1101 11. Tot.l Deduction. 12. Net Valu. of TaM R.turn 13. Charitable/Gov.,.n..nt.l n.qu..t. ISchedule JI 14. N.t V.lu. of Elt.t. SubJ.ct to T.. 9,484,50 .00 1111 1121 1131 1141 q.4A4 t;n 101.174,82 ,00 101,174,82 NOTEl If an ......m.nt w.. i..ued pr.viou.ly, lin.. r.fleet figur.. thet includ. the total of ~ ASSESSMENT OF TAXI 15. AMount of Lin. l~ 1'. AMount of Lin. 14 17. AMount of Lln. 14 1a. p,.lnolp.l TaM Du. 14, IS and/or 16, 17 and 18 will raturns assassed to date. .t Spou..l t...bl. .t t...bl. .t r.t. Llne.I/Cl... A r.t. Coll.tar.l/Cl... 8 r.te 1151 1161 1171 101,174,82 M ,00= .00 x .06= .00 X.15= I1S1 ,00 , DO .00 .00 TAX CREDITS I PAYNENr DATE R!CEIPT HUHIER DISCOUHT 1+) INTEREST I-I ANOUNT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE .00 ,00 .00 .00 . If PAID AfTER DATE INDICATED. SEE REVERSE fDR CALCULATION Of ADDITIONAL INTEREST, If TOTAL DUE IS LESS THAH .1. NO PAYNENT IS REQUIRED. If TOTAL DUE IS REflECTED AS A "CREDIT" ICRI, YOU HAY SE DUE A REFUND. SEE REVERSE SIDE Of THIS fORH fOR INSTRUCTIOHS,) ~ IIV.l.70U......1 . COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE IUREAU 0' INDIVIDUAL TAXES DEPT. 280601 HARRISIURG, PA 17121.(J601 DECEDENT'S NAME . INHERITANCE TAX EXPLANATION OF CHANGES . filE NUMBER 2195-{)7ll3 Clair E. Hera ACN 101 SCHEDULE ITEM NO, EXPLANATION OF CHANGES H 83 __..!'.IlL!l.Il!'~~9.n._:H 2.1. ,!It .1994 .^C;~, .efJ !I.C; qye. ..Janu,,! ry ..39.._J '1.?L~.h!l.J.am.UJ.....llxl!!'Ip.~...... tion wae Bmended increasing the BllIOunt of tho claitl froll $2,000 to $3,500. ~_._ _.. _ _ ~ ,'__.._ '. *...____ ~~. _"_T.___..-"""_._M_~" -- .---.----, --'--~'" .,. - ~ ...-... __...._._.________..___ ~_.oH __" _~_~_'____'~_".' -- -~-_.. .__.._____________.___w._______ ___ ".._.____. _,_. _____<.. _._"...__~.__~__.___.~ ." rl_ ~--"- ---.-..- . -'--"--~'. - ..-.------------ - --,.----- -------.--.-.-------..~-p~.- ----~-------~-~_._._---~_.. ,-~.... .-.------- ".--...__._------"_...~--- -----~_. .-- -' _______________._.____.___~.__~_;..___.__..^_... ~_. .~.___..______4._n__ ----,.----""-~.----------------- -~-~--------_.----_.._-_._-~~_.__.--_..-....~-~_......_...__..--------.---..-------..-- ._------ --~-------~~~ ~----- ------_.._._-~--------~----------~._..__._.....------""_..-.-""-----..-------. _..___._______._.~~____.____.____"., ._-------..._~._ _.....__..._._____~___._____....__...__.._.__________.~.._w .'w ~_. -----_._~--_.~-~---_.__.._.._-----,..-_....-----... _._~._~----------._---_..-- ----~,_.:._-_._-- ~-- _______.-_____.________----...__..,~........._____.___..__w________.~___.....__~_ -------~-----~-_. _.___~______~~_r_..___,..,-~~~---~.."'.--.-W--T---~--,.-,....>'.----.-...----""----......--..---.-.-----.. .......-..-------~.. ---- ______.,.......-,w__.__.._____....___M......____.____..__...___..__ -~.._---.---.;.-;",,-~----------,,--,~----,--,--,,--,-~-,_.- _._- ~-- _.._-----~- _."--~--,,_..- . -'- -..-,.----- --..-.------.-- ----'--_.~-~ . -. ~-- .,,_._--_._~.---~_._-_.__.~-----.:.:.---~_.- '.~ _. .._------+ "--..,-+------~.' ,."~+ ---...._-----_. ~--- ..- .....~~,~~_. '---"--' ..,,-_._----~-----'". ..,,_". "_ _._~__.~. ._<..'.~. ..__ _. .._. ... __.~ T_",'~'.__ < ~._._--- ~~.'_.~-~"._.. ,-.-- ....___~___~_._.______. _ ._~____. .'_'T'" _ _____...<.__._..._.~_<' ..~__.__"__ ~.___.~___. ~..__.~.< -_..-,~.---- .--<<_..~.- _'<M_'___~~____-__- -- -- ~. . _..__ ~ ____~_._~_ ..___.~ ___ __ .._~ .__.~.,__.~ N ^ ~,___,__,_"~_"~ ~ _... __.~__....,z~_~..__~__~'_.... --~..------ ---.-.. - --- -~_.----- - " ,,-- -~-..-- -~-- _______ _.~..__ + '.1' ..__.. _._ .__,"______ .-~---- -c- .,.____.___.._.,.-_~"~T._-____.___._.__..: ._._..~- --~..,.-..--...-"'.*---:-:--~-~..~-------..~.,-.,. --'--- >_ _. _~._,_~__~_. ~~., '_'~_."_:_ ..._,.-..:_-...._+~.i ,.._~'_ _._...._..._.~..,.- .7;O-~ '-o~~___'_ ~_.~~ _Y_n.-.~~,.-_M'_ _~~.. _....,.-..-.----------------. ~- ,....."'...-.---.--- ~-_. _'w~+ _~._~.~...___. _. . ._Y~""~" _..,..__. ~..___.~__~,_.. ....c.~._~.+_ __..._. _, .__"'_._..~_~_.,~.~..'.~ ...___._._~._......~. ......'~.....,_:._._..___."._.c..__.~_._ ~~_._-,... . '''''' < ...... .~... ~..__.-,. ~ -~ "--.---..- ~._--_._~-~-_. -_.- '.,. ~~ '-._.~- ...--- -.--.. ~ ~ ~ ..+ ----~.... TAX EXAMINER, Arceaafn Byrd PAGE " "'-"g 'f .::,~. ~ ::::'~~.~,t...f.. '.';.;.,,~:,i,-'~.' ~; :(1,H,"t.,Jj[l:~:J -.' v'._ ; .~; '~"'(A~i~t.'fL'~J' "f.~~-"i "::,,~~:~q~ji';!~H:I " ., ~ '. ~.~ . :~:~aU::~~r.~~l<lHjff::~ "-,,'-, -> ~":f~;> .. "i'''','';) " .:t -.""'l_,,i i,~ Y t ,- . . -' ~ "6 h. w,Sl -00./1 ~l a: -.';' '<t.... -. 'llcf B..; .OS ~f:.'~~~~ J ~ ,- ~'~~)r~ ~.~'__ - (:;~ {ii 'I .0' -<!e ~8 - - ~ ~~"" ,. lS,'ti. > - e >0' ~ y;l" P' , i , ! ~TATUS REPORT UNDER RULE 6,12 Name of Decedent: CLAIR E. MYERS Date of Deathl Sept. 11, 1995 Will No. Admin, No. 21-95-783 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 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 followin91 a. Did the personal representative file a final account with the Court? Yes No X 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, r~) )tq{.......- hi_ (l~ Signature ;I Robert M. Frey Name (Please type or print) 5 S. Hanover St., Carlisle, PA 17013 Address Da te: Oct. 22, 1997 :-I'j " Si_'; i., Z? J~i" , . 'i- ( 717) 243-5838 Te 1. No. ., , Capacity: Personal Representative X Counsel for personal representative (MH: rmf/AM3)