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HomeMy WebLinkAbout95-00791 '.. 'L .... ~?{ PETITION "'OI~ PIWHATE lIud GI~ANT OF l.ETTEltS /::",,/1' uf__A.!P..!l~I_) [;! H HS: _ Nil. .._~J= J~tq.9_-:...7.9L______ "I.HI kl/ulI'l/ In __e,JUlt.C> _.a.I-"!_Wl1&r{'L_ Tll: _./til.SS,,______..____..____._________ Ilfpi'lfr Ilf Will, ror Ihf ___...______._._____..._______. /)1'1"'11.\1'<1. ('1111111)' or .f:_I.!.("'LB~~L~Nf) In Ihf Sufilll S.'.'IIril,l. Nu. _'lI1:._I/..~...S'l(h~:___ ('OIllIllOlIIl','a\lh or I'fnll\yh'nlllll Thf pfllliOIl or Ihf IIl1lkr,lpllfd If'pf~lrllll)' rflllfWIII, Iha" Yuur p"'lilinnl'f(\J. whn blaH,' 1M ycm\ or ilg~ or older Ulllhl'l'M.'~UINJ~ IlIlhf 111\.1 ~"II\ or Ihf aho')itllcc"<klll. dlllf" ___..../tt'_.GPS r ..SL__ 1111.1 cUlhcll(,) dlllfd /L._____._.________... nlllllfd ,19~ 1~IUh' Id~'''1Il1 dl~'lIIn"lIl1~.l.\. ",p. U'IIIlfh:iUlinn; tlr.nll III c\t'\:UIUI, (I":,) Ilf~fndflll WII' dlllllicik,llII dfalh In C f//YI ,B/;f1.. .I..I'1tr/) COllnl)'. l'cnns~lvanla. wllh h.JS_.la" ramil)' ur principal rf,idfncf 1II __/.(L~$; SIECDpf) s-t~ I:cr _/lLIJff.hJJ..../;''L4_B VfC c....etJ . 111\1 \lh"'I, lI11ll1ht.'1 IUHlllIundl'alil}1 DfCClld,'nl,lhfll_FL_)carsoraPf.difd 12c:r:#_BL-';;: lei ,19 q~"", III_P.oL,Y-_<:'_Y/1'.lc,_lIlfH~K(jt. celll!:.lJf/_.L-IA~.LS Bull C, PA , E'efpI a, 1'0111"". <k~edenl did nlllm,In)'. wa, nlll divorecd and did nm hllvc II child born or adoplcd ~ftN f,ccllllon or Ihf wi.l';'.lTfred ror pruhale; wa' I\llllhc vkllm or a killing and WIlS ncvcr adjudlcalcd Incornll~ICIII: -Ifl-lt--- . Dfeendell1 UI ,kath owned I'rllPfll)' with eSlhmllfd "lIlnc, a, follows: (If dOl1lidled in 1'(1,) All pcr",n(l\ prllpc")' $ (If nlll dlll1liciled in Pa.) Pfrslln(ll prnpcII)' Inl'fnn'yl"(lniu $ (If nlll dOl1lidlcd in I'a,) Pe/,"nul propell)' In COUII1)' $ Vnllle \11' real ....'Inlc ill Pcnn'wl\,f1niu S ,ituUled u, 1'0111111": __L1LP.........;s-'-~~'tllVlJ STt:./Fa ~ -'<.l P..A:/!1...l-J=:LLtSM...f;........./?a /.$, ;S'?7 :11; 1140 , WllEREFOllE, pClitillnerl') re,pc~lrllll)' reque'H') Ihc ",ohmc of Ihc lasl will and codlcll(s) prf'fl1led hcrcwilh (lnd Ihe gml1l11r lellers___7L~S_1:/:l.A1.e:.LI!.7.M..Y.. . 11~""'llIl'1\l.lI~; ihlmUlI\lli\lillll ~.t.ll.; odrnlnhuDllun d.h.n.c.l.a.) Illl'nUI. , ~ .,- .(; .:. o:~ a.g *~ ~ ~ ". ;,;: '::!I~.."'/ 'i1ia44t(~J4Qf/?P~~?i!..-. . - _._._ _._____.__ .._ w_... __ ,~. .___ ,~77l1~.~Tdtt.i:'i~~c~ii;iJjIe.~(1) .I>IVU:/:f./-"1...e/L/2fN8:.__ _.---"------- -..-.--, - ----- --~- ---- -"-" ----~-~~~-~--- OATH OF PEltSONAL ImPlmSENTATIVE C0J\11\10NWEAI.TII OF I'ENNSYI.V ANIA I . C()lJ ~'I'''' ()I' J- 1>>1 I I '_CUMBERLAND____._ The l'elllll1nell'l (lhme.nal1led ",cull') I1r "rnlln(,) Ihm Ihc "Ulel1lel1l, inlhe rorcgoing pClltion arc I nil.' mal i.'orfl'~'1 101111.' hl'" 1)11111.' ~1l\1Wll'dgc umJ hdh..f uf pClilioncr(~) nnll Ihm as personal reprcscn. IUlhc!\) "I' Ihe ah"lc deccdenl pelilionfrh) will wellllll<llrlll)' ",Imlnlster Ihc cS1U1c IIccordlng 10 law, S""1I1 1,1 0' allirmed alld "'I"CIII~'Cd :;(fa-:&0<4."yy..:Ad,*,- c.....)Md.e..-- VI hcfllrl' Illl' ,hb 20th d.l\ or ?--?).... tiq' ~ +- - - - - - -. _._~ ~ \.. ..IiilLOCTll~R-=-.. --'. I'.f-} )J; 9.'3.. ~ (/J-/ / -'~~~~~-;tt~ ~::J$~I/t'r :-~-==~=-_. ~ No. 21AQ'iA7Ql Estate of DONALD ELSWORT"Ux7k/A DONALD E.H~tgeceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW OCTOBER 23, 19~, In consideration of the petltlonon the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED thntthe Instrument(s) dated AUGUST 3/, 1990 described therein be admitted to probate and filed of record as the last will of nnNII r.n !:'r c:wnl>.,..U HUSS B/k/B DONALD E. HUSS and Letters TESTAMENTARY are hereby granted to R/\ I>RIIR/\ ,1\;'1111I J.lrH::'" (,IIMI>R"'T.r ~ ~ ~' f1 ~ u.;.& fU-1 L( ?tLl'7CU MARY C. EW S '8lster of Will. ~ FEES . Probate, Letters, Etc. ".,.".. $ 80.00 Shon Certllieates( )...,..,.., $ 17. 80- xApBges !I U- RenunclBtlon ....."."..,..' $ .1('1> $ c; nn TOTAL _ $106.00 Filed, . OCTOBER, .23,. ,19.95. ..,'.. '" ATIORNEY (Sup, Ct. 1,0, No,) ... ADDRESS PHONE <:'1 l- ll) ~~ ti: ','" 0'- ... C~: MAILED LETTERS AND ORDER TO EXECUTOR OCTOBER24, 1995. .0 N .... M- (~, ),\' did: a: ~ iii5 uu ;2/ - /99,,5- 179/ r-- +.' Vl t.~.,~ , Y1 ~ (,. ~ i:i! ,:,i I:) } N >- r:; .. ~) ~ d~ (J u- ~1 (j)d: 0:. '. " such prcpn1:y shall be divided in as nearly shares as possible between the SUlVivors of my children. ARl'IClB IV I devise an:! bequeath all of the residue of my estate in equal shares to my children, Bl\RBI\RA JEI\N HlES CAMPBElL, Ml\Rl'.m W. JJ:U:K an:! Sl2IHIElr E. JIm. In the event that any of my children pred~ase me, such residue shall be divided in equal shares between the SUlVivol"S of my duldren. ARl'IClB V I awoint my daughter, IWl8l\RA JEI\N lIUSS CI\MI'BE[l" Executrix of this my last Will. In the event of her inability or lUlWillirgness to act or continue to act as EKecutrix, I awoint my son, Ml\Rl'.m W. JJ:U:K, Executor. ARl'IClB VI I direct that my Executrix, or her su~.,'>Ors, shall not be required to give boni for the faithful perfonnance of their duties in any jurisdiction in which they may be called upon to act, insofar as I am able by law to do so. IN N:I.'.lNms mmEDF, I hereunto set my harxl an:! seal this -0 /:.\ 71 day of Q.LL~L~+ ' 1990. ---;007. ~{~ F )"'-<<.4-!. Donald Elsworth Huss (SFAL) Signed, sealed, published am declared by the above-named Testator as am for his last Will am Testament in the presence of us, who, at his request, in his presence an:! in the presence of each other have hereunto sul:s=ibed CAlI' names as witnesses. , . .' ~ ~ OF PENNSYLVANIA CJ:XlNN OF cummI.lIND : : sa: I, Donald Elsworth Huss, Testator, whose name is signed to the foregoin;} instrument, havin:J been duly qualified acoording to law, do hereby acknowledge that I signed an::l executed the instrument as my last Will an::l Testament; that I signed it willin;Jly; an::l that I signed it as my free am volun1:al:y act for the pnposes therein expressed. CZ/~ e ~~ Donald Elsworth Huss sworn or affirmed to am acknowledged before 11'e, by ...{Jf.;JJft1d... C. J./lW~ the Testator, this -3~+ day of aLl&Lt..l-+ , 1990. ~j.l{ll U'I... ~h. \.~t ~U Notary Pub c , .. AFFJJlI\VlT ~ OF PENNSYLVANIA CXXJm:Y OF cummJ:Mm : sa: We, I', Pity 11)1((1/111' JV. arxi Iri1f (I r.I}lljtf..~ the witnesses whose names are signed to the foregoirg instrument, being duly qualified aCXXll:dingly to law, do depose arxi say that we were present arxi saw the Testator sign arxi execute the foregoing instrument as his last will arxi Testament; that he signed willingly arxi that he executed it as his free am voluntary act for the plIpOses therein expressed; that each of us in the hearing am sight of the Testator signed the Will as witnesses; arxi that to the best of our Imowledge, the Testator was that time at least 18 years of age, of SClUJ'Xi rnin:i am under no constraint or undue influence. SWorn to or affirmed to arxi subscribed to before me by (I. i f.C II 1 () I /d!t.(" ,.J, am J Vl'Yr ( ,II. m~/t'K~ , witnlO'''~es, this 0JJf clay of al~>j!.l....L I- 1990. '- <in/Ull. Yi 1/ ftc)Lt Notary Publ c 1;.;l"~I~1. SEAL . ,,:',)T. l. ('~rtiLE. NOrMY PUBLIC . l....,tl', 1lf'.t(I. CUH8EAlAHD COUNT., f1'l (.(.i'\-'I~~H'" UPU[S *R. '4, 1"4 ",", .---~- -..... -''''''- ....-. t ''''.. " . . " '>'-,,~,_. ._.c.._c,.'......_'., ,. ,-,-,. ,.,~,' .",,~~,~.;... TO Register of Wills Office __ Cumberland County Courthouse 1 Courthouse_ Square Carlisle, PA 17013-3387 ---. ,."., ~ I'IWM JOHNSON, DUFFIE, STEWART & WEIDNER Attorneys at Law P.O. Box 109 LEMOYNE, PA 17043 SUBJECT: FOLD + Estate of Donald E. Huss No. - 21--95-0791 - 000: October 10, 1995 DATE: 1/6/96 Enclos_ed__.is a check in the amount of $2,400.00 as a payment on.accp~~t of Inheritance Tax for the above-captioned Estate beingma_de within the 90 days to allow for the 5% discount. -" .-.._._..--...".<---.-........_.......~"""'.,.lT...'..' ...".,...~~*d1... "....., "- '------~, -'~-.--.....+-------~r":-....,...,....... , . , I. . ,#' " . . 'f~ .'f ''.:t :' '. ;" l~, . " t, > -, f. .. ".,... '" .. ,r., ~ 11 ." "I!. ... ..\. , ., l .... ~, . ,'.'t... , I .... ..., , .l -i' 1" " ~, ", \, . 1'\' t 'f .. '.-.......-- .-" --. ..... ~J~ ~- . .-..- - ...--.. '- ~F""-"-" I .---.--. .. .. ~.--..~_. 4.- ,~. ..,''!--.,. I I ,'r . (.' I , , , I , " I , .. ~.. -. _.. ,- -.- ..... , 1 -1 . . TO Register of Wills Office Cumberland County Courthouse 1 Courthouse Square Carlisle. PA 17013-3387 FROM JOHNSON, DUFFIE, STEWART & WEIDNER Attorneys al Law P.O. Box 109 LEMOYNE, PA 17043 SUBJECT: FOLD . Estate of Donald E. Huss No. 21-95-0791 ;"000: October 10, 1995 DATE: 1/6/96 Enclosed is a check in the amount of $2,400.00 as a payment on account of Inheritance Tax for the above-captioned Estate being~made within the 90 days to allow for the 5% discount. PLEASE REPL V TO SIGNED Edmund G. Myers csh REPLY , - - -.. -.... ....- ... ---_.._-'~.._'-~--'----,.~.......,..._..__.- .,.. ..---.-.- '..' C." DATE: SIGNED Itllm . F210 liIlIVlIlC. PO fJ.JI 2044, Holf'furd. CT.oo 104. 2D44 ~ WtIOOlor liIoup,"1C.. 1982 'J f) THIS COPY FOn PEHSON ADDI1ESSm \. .-.",---"", .._.~_..._. - I 'r--- -i' .~ ;. . .! I i" " , -. .,' \. ~. t. 'f -.--. . ~~ ...." ~~~J'q r...... ..... '.._ .'j _.x" __. ..... .....-- - .-"--.-,. ~/~q5- 11/ t' V.W OFFICES JOHNSON. DUFFIE. STEWART fa WEIDNER 301 MARKET STREET P. O. BOX I09,~l"~~" LEMOYNE. PENNSYLVANI^'\~~~3'OI09 .,."i ,. ;L". HI'IRRlseur:.r~PI'I \70 Q\iO~/% \9\'37 lSS~5 'l_'" _ :;',_.,,: t'; " <:. ,_ , ('.'.;-'.~,:,~~>)-, ~_.._~;, \ I,', "'_ ~\,l '\. .' ',-'- ,'- ""- L~ ~, ':~;! r'; .' " ,.. ,iN: in ;1.,J:;-j REGISTER OF WILLS OFFICE CUMBERLAND COUNTY COURTHOUSE 1 COURTHOUSE SQUARE CARLISLE PA 17013-3387 .. Gll.; CU:, c." I." ., '-,''1 '1",1I11'.III,I,III,;III.II,III,I,I"j,I.III""IIIII,"1 , ... .~, ,) "',,~,"':' '~-'~:"'-, , :' r . >.1. . '_~f'- ..~'" __ .-'t ,.: -.-. - \-.( ; ~;~-'----~' ....-~~<, ,>' . . ' _' _e' -. ~- __tl':c' : ~ " ,f fa ':'. ,. - of '_.-;.;r"l ','_-:..r'l-'_' ,-' \j\-; ~~<~.i__~~ ~:f ',~'~ ,1 ...' - ,,.r': l ~ -.....; '_ t: '-n l' -,-. t._ ~ "'" '--~;':'--;'<~'-<~' . .,. ',' . .. ' / ~-'-. .! . .'!, i"', t '., I ,f'J.'__}:.; _', 'lllI": \ .,. "'" ~ . '" l' . 01 -.. ", -, "q' \. l ,{.;.- -', ' i, , I' i' , ' I i r. . {, \ . \- . t' . / I " ,--1 ..C- ,.,..... ._.~ r' .'" 4 . . . I _. -.--- --------- ------------- --------------- ----~~_.-- ------ D~~A~<9~~47~.'.";F~OMMOND~:~~~T ~~.:~:~:YLV~NIA' f.~:;;;;."i..,;I" "OFFICIALRECEIPT . PENNSYLVANIA INHERITANCE AND ESTATETAX .' , : ~ ',. ~ RECEIVED FROM. i ACN ASSESSMENT Ii' CONTROL ~ NUMBER AMOUNT EDMUND G MYERS ESQUIRE 301 MARKET STREET POBOX 109 LEMOYNE, PA 17043-0109 101 .e,400.00 _tOCDHIff IOIDH,'f ESTATE INFORMATION, ~ FilE NUMBER ~ el-199!5-0791 E1 NAME OF DECEDENT (LAST) HUSS DONALD E II DATE OF PAYMENT m POSTMARK DATE COUNTY SSN 717-1e-!59b!5 (FIRST) (Mil CUMBERLAND DATE OF DEATH REGISTER OF WILLS fa TOTAL AMOUNT PAID .e , 400 . 00 CW RECEIVED ByVJ!t'i'/ (; )~"u./ ." " I $IGNATUAE, / /( i. MARY C. LEWIS REGISTER OF WILLS ) " ,..1 ' , .-'~ iJ~. , I I, REMARKS BARBARA JEAN HUSS CAMPBELL C/O EDMUND G MYERS ESQUIRE CHECK" lOB I I I I ;'-- --..~ -----------------,,--,......._~'-:--:,.'~.~-..- -------,--- '"":"'-.;-'~--~,-;--'- , " SEAL , " .,;' ~, , I J t. . \' ", \, . ",' t .( ..~ '-.' .'. u__" , v-............... ..~.; " , '...'..._' , ----,-'-~...............bd. r" - - :'---: .....'.-.. I I J.{; - (, >oJ. -1/ INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) 1[\1.1500 fX. 17.9"1 ~ ..,~II') ulE:! ~CJ9 U~.. .. o S .. ... '" o ... S ~k ffi fil u w o DATI 01 OI"'H 717-12-5965 10/10/95 , <2 fOR OATIS Of DIATH AnlR 12/31191 CHICK HIRI If A SPOUSAL POVIRTT CRIDIY IS CLAIMID 0 fill NUM"R 21 COUNTY CODE 95 YEAR 0791 NUMBER OlelDIN SCOM'Ut( AOORln 100 South Second Street Wonn1eysburg, P^ 17043 CO\l1l1 ClJofBERLAND AMOUNT IIcr.\'rD ,s,u INIIIUC1ICf~'1 R.malnd.r R'lur" Ifor dol.. of d.ath prior to 12.1J.821 Fed.fol e.tort Tax R,lur" R.quir.d _8, Tolal Numb., of Soft Depos.lt Bo..... . . ~.....'--,..,',~-- 58,972.80 8,160.72 50,812.08 -0- 50,812.08 -0- 3,048.72 -0- 3,048.72 2,526.32 522.40 -0- 522.40 ..,BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH "'. '. =-""",",,"," ,:. Und" p.nelli.. of perjury. I d.dor. Ihall ho.... examined this r.turn, including accompanying schedul.. and .Ial.menl., and 10 th. b.lI of my knowl.dg. and b.li.f, it h Iru., corr.el and compl.I.. I d.clor. Ihat all r.ol 1'101, hot been r'pOrlea at Iru. mark.t valu.. D.c1aratlon of pr.par.r other Ihan Ih. p.rsona r. r s.ntally. Is bas.d on 011 Information of which pr.par" has any knowledge. SI jAIUIU 0' 'us ~ US'ON.SIIL[ 101 m~ .nuu~ ~" ./OORU~ . oney ree oa OAU ~ ~ ~ ~~ Dauphin. P^ 17018 sa I . ~~;J.~,""J;xecut".lilIt... JUl Market St., P. O. Box lU9 Lemoy~e, PA 17043-0109 (X] 1. OrigInal R.turn o A. lImlt.d Estal. 0 Aa. future Inl.rllt Comproml.. (for dOI's of d.alh ahlt 12.12.821 I!9 6. Dec.d.nl Oi.d TIIIOIt 0 7. O.ced,nl Mointaln.d 0 lIYlng Tru'l (Alloch copy of Will) (Attach copy 0' Tru'l) ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO. HAM! COMPUl! MAIliNG ADORUS Edmund G. Myers, Esquire Johnson. Duffie. Stewart & Weidner "'''HONINUM'" 301 Market St.. P. O. Box 109 761-4540 Lema ne PA 17043-0109 1"..,.,.U,.lll'u...........O.fO\lU'.....1 n.".""I.~O"tfOClll''''''.ll OAf! 0' IlltH o 2, Suppl.menlal Relurn :1Jffi "'0 "'.. 8~ .. ~ ~ E !1c bl '" I. R.ol htal. (Sch.dul. A) 2. Stoc~s and Bands (Sch.dul. B) 3. Cia Illy H.ld Slack/Partnership lnterllt (sch.dule C) A. Morlgagll and NOI.I R.ceivabl. (Sch.dul. 0) 5. Ca.h. Bonk O.po.II' & Mlse.llon.ou. Per.onal Prop.rty ISch.dul. E) 6, Jolnlly Own.d Prop.rty ISch.dul. F) 7. Tron./... ISch.dul. GIISch.dul. l) 8. Total Gro.. A..... (Iolollln.. 1.7) 9. funeral Exp.n.... Administrative Cas". Miscellan.au. Exp.n... (Seh.dul. HI 10. O.bll. Mortgag. L1abilitl.s, U.ns (Sch.dul. II 11. Tolol O.dudion. (10101 lints 9 & 10) 12. N.t Volu. 0' Estat. (lIn. 8 minus lIn. 11) 13. Chorilabl. and Governm.ntal Bequests (Schedule J) lA. N.t Value Sub eet 10 Tax (lint 12 mlnu. line 13) 15. Spou.al Tron.',,, (for datu of dealh aher 6.30.94) 5.. In,tructions for Applicable Pore.ntoge an Renne Sid.. (Includ. valulI from Schedule K or Schedule M.I 16. Amount of lIn. 1A loxchle 01 6% role (Includ. valu.. from Sch.dule K or Schedule M.I 17. Amounl of Line 1A toxobl. at 15% ral. (Include valu.. from Sch.dule K or schedul. M.) 18. Ptindpolta.ll. due (Add lox from linel 15. 16 and 17.) 19. C"dil. Spau.al Po....rty Credit Prior Paymenll + $2,400.00 03. o 5. (I) 121 (3) ( 4) (S ) (6) In 31.972.80 27,000.00 (9 ) (101 7.998.72 162.00 ( 8) (11) (12) (13) (141 (151 (161 (171 )('-- 50,812.08 )( .06. )( .15 A (18) Discounl + 126,32 20. If lIn. 19 is grealer Ihon Lint 18, .nler the difference on lIn. 20. ThI. Is Ih. OVERPAYMENT. g D...:T:r.I..I,...I..I...I.1._.I......,I.I~t",h...,...rrr.Tl.:'l_.1.!.I........U!.Io.I..I...,1 In'eleu (19) 1201 21. If lIn. 18 Is grealer Ihon lint 19. enler Ihe difference on line 21. Thi. Is the TAX DUE, A. Enler 'h. 'nl""' on the balance due on lIn. 21 A. 8. Entortholotol 0' lIn. 21 and 21A on lIn. 218, Thl.I. Ih. SAlANCE DUE. Mak. Ch.ck Payable tor R.gl,'er of Will., Ag.nl Esquire 1211 (21A) (2181 OAU 3/2S/{{ ~.;;J ~ oT..'1 '~:ji 'i;;'J' L ~, ~"i.'.-^.i ',:..>; ~"1 t7 ,...\ ~1'~~.~ t J:;~ ! ~~.., , I." J ~~~~ i "i' ~f~! "J' ~,);: I L"h;:, l i'J)'. ' ,,";11 .~>:>>;, ' ~:ll' ~'~1 ' \tI ;':"T ;~l ""J ,If;l ..'~ ~'h ~;~ ~~ ;.~:( ~",~ 'f"j ~;'~i ,q"j i.l~! " Act 148 of 1994 provide. for the reduction of the tox rate. Impo.ed on the n.t value of trande,. to or for the u.. of the .pou.e. Th. rat.. a. pre.crlbed by the .tatut. will bel · 3% (,031 will b. appllcabl. for ..tate. of decedenll dying on or after 7/1/94 and before 1/1/96 e 2% (,021 will be applicable for e.tate. of decedenll dying on or after 1/1/96 and before 1/1/97 e 1% (,011 will be applicable for e.tate. of decedent. dying on or after 1/1/97 and before 111/98 · Spou.al trande,. 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: a. retain the use or Income of the property transferred, ....................................................... b, retain the right to desIgnate who shall use the property transferred or Its Income, .............., c. retain a reversionary Interest; or ................................................................................... d, receIve the promise far life of either payments, benefits or care' ..........,..,..,..........,........... 2, If death occurred an or before December 12, 1982, did decedent within two years preceding death transfer property without receiving adequate consideration' If deoth occurred after December 12, 1982, did decedent transfer property within one year of death wIthout receivIng adequate consIderation'."....,..,..",.. ..,....,.....,.".."",..." ,....,......".. ...., ...., ......,.. ,.. .......,...... X 3, Old decedent awn an 'In trust for'. bank account at his or her death'..,.........,.........,............... X IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YESr YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. r, \"..1 "; n: !.~ \ ..< :J ()U lC ,.., . ,...,..........~-,.,',._. ~, '- 'f::' r~ I ';"'1 ,.'~ :: ;'~ 'j 'It,:;: ;J", Ji'" j "':'1 ;W~' ~i'h~ ,j 'I. t,d ,~-,:t'J '",-;',",'i ~~:;l F'~ "F~1 ~r:' ~'t ,~~ t~i.~ .!,?'r,'l }':J {il~i /"1 ;~:'l 'li:\ U'.. ':'c. :~;)t ii;;"', h;t~ :M'~ ~~J ~il1~ f,,~ 'f.j;~~ ~',>.f ;"',~' ~Sl ;~i~l r::~ ?/,tj "~j;\ .~ .-,i 'I L~J ;'~'Ij )h ;,1 ......llOllhP..1J ESTA E OF . SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY COMMONWU,LYH O. PINNSYLVANIA IMM..nAMe. fA)!; 'nulH IIIID.NT DICIDINT PI.a.. Prlnl or l' . FilE NUMBER 21-95-0791 HUSS, DONALD ELSWORTH (All ,r.poFfv loln,ly.ewn,d wllh tho RI,h. .f SurvlV'Onhlp mull b. dl.d...d on Schedul. fl N~~~ER DESCRIPTION 1. Cash in decedent's possession 2, (Article II of Decedent's Will) 1 Single Barrel Shotgun - appraised value 30/30 Rifle - appraised value 1 22 Rifle - appraised value 1 22 Rifle - appraised value Various Coins - appraised value (Copy of appraisal attached) 1984 Chevrolet Citation "2, 4 door hatchback Appraised value 1931 Chevrolet Sedan - poor conditionlnot running Appraised value 3. 4. 5. 6. 7. 8. 9. 10. 11. 12, 13. 14. 15. 16. 17. 18. 19. 20. 21. $ 40.00 125.00 100.00 50.00 Household Goods - sale price First Federal of Harrisburg - Passbook Savings Account No. 0201133199 - Date of death balance, plus accrued interest. Dauphin Deposit Bank & Trust Canpany - Prime of Life Account No. 44-93721-0. Date of death balance, plus accrued interest. Blue crosslBlue Shield - premium refund AllState - automobile insurance refund Sprint United Telephone Canpany - refund Cash refund - new purchases exchanged 16 Rolls of Wheat Pennies - appraised value 5 Children's Rings - appraised value Old Eyeglaes Frames - appraised value 1867 - $1.00 Gold Piece - appraised value 1885 - $5.00 Gold Piece - appraised value 1901 - $10.00 Gold Piece - appraised value 1926 - $2.50 Gold Piece - appraised value 1927 - $2.50 Gold Piece - appraised value Various coins & Paper money - appraised value TOTAL AI.a .nl.r an IIn. 5, Roea itulallan S rAltach addi'lonol8\ol," . II'" .h..,. if more ,pocol. no.d.d,l VALUE AT DATE OF DEATH 13,501.00 315.00 987.23 525.00 1,000.00 2,774.00 5,371.56 5,062.64 186.40 113.40 14.35 77.00 11.20 61.00 2.00 450.00 115.00 215.00 115.00 115.00 961. 02 31.972.80 '. o. t ~J,) Uj))f GUNS APPRAISAL DONALD E. HUSS ESTATE November 9, 1995 by: Chuck E'., Bricker Bricker's Auction 93 Texaco Road Mechanicsburg, PA 17055 one single barrel shotgun H&R $ 40.00 one 30-30 gauge Winchester rifle 125.00 one Twenty-two Calibre single shot Winchester rifle 100.00 one Twenty-two single shot Premier rifle 50.00 TOTAL $315.00 ii:""""_,,,," " t (Cj) iJJ)1f GARY K. WATTS 512 E. KELLER ST. MECIlANICSBURG, I'A 17055 ~~ ~ - /9fJ6 ..~ ~d- ..~. 3) G) 71 ~~ .~ -"~/~~~ ~~~~, ~J/8~;?l-/J cfr"~ ~ ~ 0nR,~ ~~~~~~- -#?/~ 5(r)" ~ D &: S COINS . ((~' ((1) [I~~;Y~/ ~.~.. _.~: JL:, :.~yu , . 22~ FOURTH STREET NEW CUMBERLAND, PA. 17070 17171 77~.~IB2 C' Inmer's r :. '- ~,: . ''-'. DATE 1/-1 ,,- qJ , 1~_ SOLD TO A.DDRESS SALESMAN TERMS CASH CHARGE C.O,D.' PAID OUT RETD, MDSE, RECO. ON ACCT. QUAN. ... PRICE AMOUNT "U'I/.)..:' /1... oJ /.u "':", . , ; ,:..;'.,,':.::.,:,.::, ;:,:.;';::\~.,\\~::;: i;,':,..~:'::.:; :':,'. . (..... ~"':: '. . ,.:' .:::'...,' ~ ,', '. ALL Claims and Returned ~d By This Bill .' ....'.0 " 31GNATURE . , .. ", ~~ ~>) IF'~) \)17 SILVER DOLIARS Morgan Head (21) Pc:::;c (!)) $141.00 54.!)!) 195.00 PAPER M:lNE'{ One dollar silver certificates (9) 9,00 9.00 GOLD COINS 1926 $2.50 piece (1) 1927 $2.50 piece (1) 1885 $5.00 piece (1) 1901 $10.00 piece (1) 1867 $1.00 piece (1) 115.00 115,00 115,00 215,00 450.00 1,010.00 Note: The gold coins were taken to two different coin dealers and the average between the two was used to appraise value. COlumbian Expo. 1893 Half Dollar Child's Rings (2) brass Plain 14k gold ring (1) Plain 18K gold ring (2) Glasses frames (1) 5,00 2,00 24.00 35.00 2.00 68.00 Items OVer-looked while making list: Lincoln campaign piece very poor condition 25.00 Flying eagle penny (1) 7.00 1965 Kennedy halves (16) 8.00 Canadian dimes (3) 3,00 . Mexican Half dollar (1) 1,00 Face value coins 4.41 48.41 $2,034,02 ... Ir\lISOtr.. flU'1 . COMMONWrAUH OF PfNNSYLVANIA INHE:ltITANCf 'AX RnUIIN RUIDfNf DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF I FILE NUMSER 21-95-0791 HUSS. IXroU\LD EISiOR'I1f Join' 'ononl(.). NAME A. Martin W. Houck ADDRESS 100 S. Second Street Wormleysburg, PA 17043 RELATIONSHIP TO DECEDENT Son B, C, Joln"y-ownod proporty. ITEM LmER DATE NUMSE~ FOR MADE DESCRIPTION OF PROPERTY TOTAL VALUE DECD'S DOLLAR VALUE OF JOINT OF ASSET %INT, DECEDENT'S INTEREST TENANT JOINT 1, A 8/90 Real Estate - No. 100 South Second Street, WoDnleysburg, Cumberland County, PA 2 1/2 Story frame dwelling. Appraised value (See copy of appraisal attached. ) 54,000.00 50% 27,000.00 , TOTAL (AI.o onlor on IIno 6, Rocapllularlan) S 27.000.00 (If more spaCl i. needed insert oddilionol ,h..,. o( lome siu) . ((" (! \ I ~\~: II d'AN~ELo~ ... h..'" ..,,,., I ,,," Cumt,,,.,,,, B,~~ ,!.Y""",,,,,Bg,!JB. "'it' .. . November 12, 1995 Mr, Martin Houck 100 Soulh Second Streel Wormleysburg, PA 17043 Dear Martin: As requested, I personally exemlned and appraised the real property located all00 Soulh Second Street, Wormelysburg, Cumberland County, PA for Ihe purpose of reporting to you my opinion of its Fair Market Value as of November 12,1995, I find the property 10 be a comer plot measuring approximately 31,65' X 120,45' X 31,65" X 118.8" Improved wllh a two story frame dwelling consisting of 1,440 square feel In fair condition, Ihe size of Ihe 101 and home are Iyplcal to the neighborhood, Based on my examination and study made, I have formed the opinion, that on Ihe date mentioned, Ihe property had a Markel Value of: FIFTY-FOUR THOUSAND AND 00/100 ($54,000,00) DOLLARS, Respectfully Submitted, __-~ "., ..~,~.-,..~ . Th~~Ii~/~ .__-BROKER '-~ - , ... ..""lJIIU.V.... ITEM NUMBER . ~,~'~ ~, ..~ - SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES COMMOHWIAU'H O. PlNNIT\VANIA IN"llltANCI tAX liNIN UIIDINT DfClDINT HUSS, DONALD ELSWORTH PI.a.. P,lnl or T . 8 21-95-0791 A, Funoral Exp.n.... DESCRIPTION I. 2. B. 4, C. l. 2, 3. A. 5. 6. 7. 8. David M. Myers Funeral home - funeral expenses Rice Memorial Works - Marker & Lettering 1, Admlnlll,allv. Call.. Por.ana' R.pr...nlallv. Cammlnlan. Sadal S.curity Numb.r of Por.anal R'pr".nlal;v.: Y.ar Camml..lan. paid 2. Anomer F... - Johnson, Duffie, Stewart & Weidner 3, Family Ex.mpllan Claimant Add",.. of Clalinant 01 d.c.d.nl'. d.ath Slr..1 Add",n R.lal;an.hlp CIty 5101. Zip Cad. Pro bal. F... - Register of Wills - Cumberland County Ml.collan.au. Exp.n.... The Patriot-News Co. - advertising letters Cumberland Law Journal - advertising letters D'AngelO Realty Group - real estate appraisal Lemoyne Auto Sales - automobile appraisal Notary charges - Estate documents Register of Wills - file Inventory & Inheritance Tax Return Register of Wills - short certificates Barbara Jean Huss Campbell - Mileage clallned for trips from Dauphin to Wonnleysburg & Lanoyne & return during Estate Administration. TOTAL (AI.a .nlor an IIn. 9, R.capllulallan) (If mora .pac. II n..d.d, In..rt additional .h.... of .am. silo,) :--_.,...-.._Cl'-~~M",.>."".,."..,.."".;'~C.i-':'f,~,;j,,,-z-'t:_",,';,t&~{~~'Mf.;~'''R'_''''_-- .-. ,~"'" AMOUNT 5,085.40 542.00 1,500.00 106.00 51. 82 40.00 300.00 10.00 10.00 25.00 6.00 s 322.50 7,998.72 "'~"I"I"'~ '*' C~ADIl Of 'INNln..N.. "'''I'''NCI \U InU'" ".tDIN1 DlCIDI"," SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES AND LIENS PI.a.. Prln' ar T . Fill NUMBER 21-95-0791 ESTATE OF HUSS, DONALD ELSWORTH ITEM I NUMBER ~ DESCRIPTION AMOUNT 1, Polyclinic Medical Center - decedent's account balance not covered by insurance 162,00 TOTAL 'Aloo ....r a. II.. 10, Rocaplt.lallon) (II more .poco " ....d.d, 1...11 addHlona' ,""to 01 .am. .,.&) S 162.00 .. .-----....'-.'-.- .-..... IIV.UIJ,X.P"7J '*' COMMONwIALt" 01 PlNNlnv....lA IN"'I"ANC' 'AX I'WIN IIIIOIHl OIaOCN' SCHEDULE J BENEFICIARIES HUSS, DONALD ELSWORTH FILE NUMBER 21-95-0791 ESTATE OF ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR SHARE OF ESTATE 1. A. Taxable aequIIII: Barbara Jean Huss Campbell 1711 Stoney Creek Road Dauphin, PA 17018 Daughter One-Third Tangible property: One-Third Residue. 2. Stanley E. Huss 98 Aqueduct Road Duncannon, PA 17020 Son One-half firearms & weapons: One-third tangible property: One-third residue. 3. Martin W. Houck 100 South Second Street Wormleysburg, PA 17043 Son One-half firearms & weapons: one-third tangible property: one-third residue. ITEM NUMBER NAME AND ADDRESS OF SENEFICIARY AMOUNT OR SHARE OF ESTATE a. Charitable and Governmental aequlstll 1. TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also ontor on IIno 13, Rocapi.ulollan) S (If more .pac. I. needed, In.ert additional .hee" of .ame size) COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND BARBARA JEAN HUSS CAMPBELL J 51: being duly sworn according to law, d.pos.. and says IhatS h. is Executrix of the Estat. of Donald E, Huss a/k/a Donald Elsworth lIuss' late of _lPJQuQh.pf W..9.!1!l~~.BhurQ _ , Cumb.rland County, Pa.. d.c....d and Ihat the within I. an Inventory mad. by Barbara Jean Huss Campbe.!L , the .ald Executrix of Ih. .ntir. .state of said d.c.d.nt, consi.tlng of all the p.rsonal propdrty and real ..late, IXc.pl real ..tal. ouhld. the Commonw.alth of P,nnsylyania, and that the figures opposile .ach Ilem of the Inyenlory r.pr....III's ,.Ir yalu. as 0' the date of d.cedcnt'. d.alh, 6) '\. '*' and subscribed be'ore me, ~1AnTTl to 'NOTAillAL SEAL DIANNE LENIG, Nolary Public Lemoyne 8orough Cumbelland Co, My Commission Expires Dee, 21,1997 Dale of oealh c'Y 19 96 . -4ru&u~~ ~~~ ~~.~ t/ euclltor . AJmlnht,..., Barbara Jean Huss Campbell, Executrix 1711 Stoney Creek Road Dauphin PA 17018 Add,... October 1995 Month Y.., INSTRUCTIONS I, An inventory mu.t be filed wllhln Ihr.e monlh. all.r appointm.nt of personal representative, 2. A supplement Invenlory mu.t b. filed within thirty days 0' di.coyery of addlllon.1 a...ts, 3. Additional .heeh may be attach.d as to personalty or realty 4, See Article IV, Flduclarie. Act of 1949. ..-t '" .... o I .lt1 '" I ..-t N ~ o ..... z w > Z >- g ~ ~ ~ o VI w .. w i!: a.. -J u. U. -' ;:S 0 0<(.. Z o 0 VI z ffi <( a.. o Z I I Ii j III lJl ~ ~ :E ~ : B ~ gj II.... :c IJj 0 r.i~.g, ;l;le ~ ~ ell 818 '0 -ci D ~ D D U .. o '" o ... o I M .. o 2 l1< . ! ~ rf ~ ~.,; ~ ::l ~ D -' .; a.. ,;:. -:: ~ o U ." C ~ D '" E ~ U ." ..!! u: ... t3 ~ ~) o PI d , l1. Inventory of the real and personal estate ot <2. DONALD c. HUSS a/k/a deceased DONALD EI.swoRW HUSS 1. 2. Cash in decedent's possession 1 Single Barrel Shotgun - appraised value _ $ 30/30 Rifle - appraised value 1 22 Rifle - appraised value 1 22 Rifle - appraised value - (Article II of decedent's Will) 3. Various Coins - appraised value 1984 Chevrolet Citation #2 - 4 door hatchback - appraised value 1931 Chevrolet Sedan - poor condition/not running Household Goods - sale price Fjrst Federal of Harrisburg - Passbook Savings Account No, 0201133199 Date of death balance, plus accrued interest Dauphin Deposit Bank & Trust Canpany - Prime of r.ife Account No. 44-93721-0 - Date of death balance, plus accrued interest Blue Cross/B1ue Shield - premium refund AllState - automobile insurance refund Sprint United Telephone Canpany - refund Cash refund - new clothes exchanged 16 Rolls - Wheat Pennies - appraised value 5 Children's Rings - appraised value Old Eyeglass Frames - appraised value 10. 11. 12. 13. 14. 15. 4. 5. 6. 7. 8. 9. 16. 1867 - $1.00 Gold Piece - appraised value 17 . 1885 - $5.00 Gold Piece - appraised value 18. 1901 - $10.00 Gold Piece - appraised value 19, 1926 - $2.50 Gold Piece - appraised value 20. 1927 - $2.50 Gold Piece - appraised value 21. Various coins & paper money - appraised value 22. Railroad Retirement - Death Benefit r; , l'..J (.:'L~ {j; - ::l Ciu 40.00 125,00 100.00 50.00 TOl'AL , . 13,501 00 315 00 987 23 525 00 1,000 00 2,774 00 5,371 56 5,062 64 186 40 113 40 14 35 77 00 11 20 61 00 2 00 450 00 115 00 215 00 115 00 115 00 96] 02 90 80 32,874 60 ..- REV"1547 EX AFP 1120951* [O""ON"o.L fIl Of PENNSYLVANIA DEPARTHEHl Of REVENUE BUREAU Of INDIVIDUAL TAKES DEPT, U0601 HARRISBURG, PA 17UI.0601 IG-ft,)'-// (1<- ACN 101 NOTICE OF INHERITAHCE TAX APPRAISEHEHT. ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS ANO ASSESSHENT OF TAX DATE 07-0B-96 FILE NO. OF DEATH 10"10-95 COUNTY CUMBERLAND NOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF TNIS FORH WITH YDUR TAX PAYHENT TD THE REOISTER DF WILLS, HAXE CHECX PAYABLE TD "REGISTER OF WILLS, AGENT" REMIT PAYMENT TO: EDMUND G MVERS ESQ JOHNSON ETAL PO BOX 109 LEMOVNE PA 17043 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 AMount R..Ht.d CUT ALONO THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ifEY:is4j"EX-AFP"nZ:9SY"ilii'ficE"-OF-YNHEiiifANCi"TliiC"APPRAisEifEil:r;-ALLciwANCE-oliu-",--._"'on. DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF HUSS DONALD E FILE NO. 21 95-0791 ACN 101 DATE 07-0B-96 TAX RETURN WAS' I X I ACCEPTEO AS FILED RESERVATION CONCERNING FUTURE INTEREST " SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. R..l Eat.t. (Schedule A) el) 2. Stock. and BondI (Schedule B) (2) S. Clo..ly Hald stock/Partnarship Int.r..t (Schedule C) (3) 4. "arta.gal/Hot.. Receivabl. (Schedule DJ (4) S. Ca.h/Bank Depolita/HI.c. Paraon.l Property (Schedule EJ IS) 6. Jointly Owned Property (Schedule fJ (6) 7. Tranlfar. (Schedule OJ (7) 8. Total A...t. APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funaral Exp.n.../Adn. Cost./Hisc. Exp.n... CSchedul. H) C91 10. Debts/Hortgage LiablliU../Lien. (Schedul. JJ nO) 11. Tot.1 Deduotion. 12. Net Valu. of TaK Raturn 15. Charitabla/Govarnnantal Baqua.t. CSchadule J) 14. Nd Vdua of E.t.ta Subjaot to TaK If an assessment was issuBd previDuB1y, lines ruf1ect figurBs that include the tDtal Df ~ ASSESSMENT OF TAXI 15. Allount of Lina 14 at Spou.al rat. I1S) 16. Allount of Lin. 14 taxabl. at Lin..l/Cl... A rat. (16) 17. Anount of Lin. 14 taKabl. .t Coll.t.ra1/C1a.. 8 rat. (17) 18. Principal TaK Dua NOTEI TAX CREDITS: PAYHENT DATE 01-05-96 03-2B-96 RECEIPT HUHBER AAOB2479 AA1l26Bl DISCOUNT 1+1 INTEREST I-I 126.32 ,00 I CHANGED .00 ,00 ,00 ,00 31. 972. BO 27,000,00 .00 IBI 5a,972.S0 7.99B,72 162,00 1111 1121 1131 1141 A . 1 ~n 7') ~O,B12,08 ,00 50,B12,08 14, 15 Bnd/Dr 16, 17 and 1B will returns Bssussad to date, .00 X ,00. 50.B12,OS X .06. ,00 X ,15. IIBI .00 3,04B,72 .00 3,04B,72 AHOUHT PAID 2,400,00 522.40 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 3,04S,72 ,00 ,00 .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF AODITIONAL INTEREST. IF TDTAL DUE IS LESS THAN .1. NO PAYHENT IS REQUIRED, IF TDTAL DUE IS REFLECTEO AS A "CREDIT" ICRI, YOU HAY BE DUE A REFUNO. SEE REVERSE SIDE OF THIS FDRH FOR INSTRUCTIONS. I M t..:~ 0 ~ .. "n.; .. 1'1 co ,) -: roc ( -' :.' 'l' .' u , ,. ',\ .. ~ ~ ; " 0 ~~ J.I "'11 If- '.': E ~o: a: w=' UO RESERYATIONI Est.,.. of dlcadent. dying on O~ be for. Dlclab.r It, 1'12 -- I' any future Int.r..' In thl ..t.t. I, 'ran.flrrad In po.....lon or ."Joy..nt to el... . (coll,t,ral) bln.flel.rl.. of thl dlCldent .,t,r thl Ixplratlon 0' any ..tat. for Ut. or for y..r., thl Co.-onwellth h.r.bw IMpnllly nurv.. thl right to appr'''' Met ...... t,.en".r Inh.ritanc. hll.. at thl lawful Cl... . Ccall,t,,..l) rltl on any luch future Int.r..t. PURPOSE OF MOlletr To fulfill the r.qulr..."" of SICtlon ZlIttD of the Inherltanc. end E.t,t, 'Ill Act, Act U of 1991. 72 P.S. SICtlon 2'140. PA\'HEHTI Oetlch thl lop portion of thh Motlc. and tub,1t with your plv..nt to thl Alllhhr of 'UU, printed on the nvar.. ,Ida. ""akt chIck Dr IIOnSV ord.r Plwabl' tOI REGISTER OF MILLS, AGENT All plv-ents r.c.lvld .h.ll flr.t b. appllld to any Intlr.st Which .IY b. dul with any r...lndlr appllld to the t... AffUND (CA)I A r.fund of a t.. credit, which WI' not r.qu..tld on the T.. R.turn, ..y b. r.qul.tld by coeplltlng en "Appllcltlon for R.fund of Penn,Ylvanla Inhlrltanca end E.tatl 'I." CREV-1SIS). Appllcltlon. Ir. Iv.llabl. .t the OffiCI of the RI,llter of Willi, any of the Z5 R.""nu. DI.trlct Offlc.., or by c.lllng the .p.clll Z4-hour en.w.rln, ..rvlc. nuab.r. for for.. ordlrlngl In Penn.ylvanla l.aOO-S6Z-Z0S0, out.ldl PannsYlvanla .nd within 10c.l H.rrl.burg .ra. (717) 787-8094, TOOl (711) 712-ZZ5Z CHa.rlng lIP' Ired Only). OIJECTIONSI Any p.rty In Int.r..t not ..tllfl.d with thl .ppr.I....nt, allow.nCI or dl..llowanc. of d.ductlon., or .......-nt of t.. Clncludlng dl.count or Int.r..tl .. .hown on thl. Notlc. .u.t objact within .I.ty (60) d.ys of r.c.lpt of thh Notice bYI "'-wrltt.n prot..t to the PA D.part..nt of R.v.nu., IOlrd of App...., D.pt, 281OZ1, tlerrlsburg, PA 17128.IOZl, OR --.I.ctlon to h.v. the ..tt.r d.t.r.ln.d .t .udlt of the .ccount of the p.r.onal r.pr...ntltlv., OR --.pp..1 to tha Orphan,' Court, AD"I" ISTRAJlVE CORRECTIONS I DISCDUNTI F.ctu.1 .rror. dl.cov.r.d on this ........nt .hould b. .ddr....d In writing tOI PA D.p.rt..nt of R.v.nu., lurelU of Indlvldu.l ....., ATTHI po.t A.......nt R.vl.w Unit, Dlpt, Za06Ol, tt.rrhburg, PA 17128-0601 Phon. (717) 787-6S05, S.. p.ga S of the bookl.t "In.tructlon. for Inharlt.nc. T.. R.turn for. R..ld.nt D.c.dent" CREV-ISOI) for an ..plan.tlon of .dalnl.tr.tlv.ly corr.ct.bl. .rror.. If .ny t.x due .. plld within thr.. UI c.l.nd.r ,'onth. .fter the d.c.d.nt'. d..th, I flv. p.rc.nt CUI discount of thl t.x paid II .llowld. PENALTY I Thl IS~ t.. aan..ty non-p.rtlclp.tlon p.n.lty I. co.put.d on the tot.1 of the t.. .nd Int.r..t .......d, and not p.ld bafor. J.nu.ry 18, 1996, the flr.t d.y .ft.r tha Ind of the t.. ..n..ty parlad, Thl. non.p.rtlclp.tlon pen.lty I. app..I.bl. I" th. .... .annar end In tha the .... tl.. p.rlod .. you would .pp.al the t.. end I"t.r..t th.t hal b.en .......d .. Indlc.t.d on thl. notlc.. INTfREST I Int.r..t I. charg.d b.glnnlng with first d.y of dlllnqu.ncy, or nln. (9) aonth. Ind one Cl) d.y fro. tha dlte of de.th, to thl d.tl of p'v-.nt. T.... which b.c... d.llnquant bafor. Janu.ry I, 19&Z ba.r Int.r..t .t the r.t. of .1. (6~) p.rcent p.r annul calculat.d at . d.lly r.t. of .00DI64. All t.... Which blc." d.llnqu.nt on and .ft.r Janu.ry 1, 1912 will b..r Int.r..t .t . r.t. which will v.ry fro. c.l.ndlr y..r ta c.l.ndar y..r with thlt r.t. announc.d by the PA D.p.rta.nt of R.v.nuI, The .ppllc.ble Intlr..t rate. for 191Z through 199' ar" !!!r Intar..t Rata D.lh lnt.rllt F.ctor I!!! Inlar..t R.ta Dalh tntar..t Factor 1.12 2'~ .000541 1987 .~ .000247 l.as 1':( .0aouI 1"1.1991 llie .OOO5al 1914 ll~ .000501 199Z .~ .OODZ47 1915 1S~ .000556 1995-1994 n ,OOOl9Z 19.' 10~ .000274 1995-1996 .~ ,OD0247 ulntl,..t Is c.lcul.ted II follo"" INTEREST . SALANCE OF TAX UNPAID X NUnBER OF DAYB DELINQUENT X DAILY INTEREST FACTDR ....Any Natlca Is.u.d .ft.r t~ t.. baca... d.llnquent ..III r.fllct an lnt.r..t cllcul.tlan to fifteen (15) d.ys blYond tha data of the .......ent, If Ply..nt I. ..d. aft., the Inter..t COlPUt.tlon d.t. .hown on the Notlc., .ddltlon.1 Int.,..t .u.t ba c.lcul.t.d, (Y STATUS REPORT UNDER RULE 6,12 Name of Decedent: DONALD E. HUSS a/k/a DONALD ELSWORTH HUSS Date of Death: October 10, 1995 Will No, 0791 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 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 following: 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, Oa te: O(;2./f'1.! ~ JT)11,{/IIV' 0\ Signat.ure ,- 'M -e-:( ~ Ll. '011 ,!:~ ~ Edmund G, Myers, Esq. Name (Please type or print) Johnson, Duffie, Stewart & Weidner 301 Market St., P. O. BOK 109 Address Lemoyne, PA 17043-0109 c... In , ) .'.";" ~ " , f" ,~~ ,;~! (,;-, ~ i) U i.L' &!CC c:J ...., .-=: ".!.l iijE u8 'D p, ( 717) 761-4540 Tel. No. Capacity: Personal Representative X Counsel for personal representative (MAH:rmf/AM3)