HomeMy WebLinkAbout95-00793
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PETITION FOI{ PROBATE and GRANT OF LETTERS
,..;)1 - q:5 - 113
Estatt! a[ Anna II. l3itncr
also known as
No,
To:
Regisler of Wills for the
Del't!ased. County of Cumber land in lhe
Social Secur;ty No, 20 l) -12 -7 6 6 2 Commonweallh of Pennsylvania
The pelition of lhe undersigned respectfully represents Ihat:
Your pelilioner(s), who is/are 18 years of age or older an Ihe e.,ecut ors
In Ihe lasl will of the above decedent, dated May 11
and codlcil(s) dated
named
,19~
(state rclevanl drcumuances, e.,. renunciallon. dc:ath or C,cculor, ctc.)
Decendent was domiciled al dealh In Cumberland
It "r laS! family or principal residence at 1 ~ ~ !';
22, Hampden Townsh~p
(1151 meet. number and muncipalhy)
CounlY, Pennsylvania, with
!';porring Hill RORn Apr
Decendenl, th~n 90 years of age, died October 2 , ,1995
at Holv Sp~rit Hosp~tal, East pennsboro Townsh~p
Except as follows, de~edent did not marry, was not divorced and did not have a child born or adopted
after execullon of the will offered for probate; was not the victim of a killing and was never adjudicated
Incompetent: None
Dccendent at death owned property with estimated values as follows:
(If domiciled In Pa.) All personal property S 118 , 100 ,00
(If not domiciled In Pa.) Personal property In Pennsylvania S
(If not domiciled In Pa.) Personal property In COUnty S
Value of real estate In Pennsylvania S 0 . 00
situated as follows: None
WHEREFORE, petitioner(s) respectfully request(s) the p'robate of the last will and codlcil(s)
presented herewith and the grant of lelters 'testamentary
theron.
(testamentarYi admlniuriltlon C.t.D.j administration d.b.n.c.t.ll.)
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Robert J, l3itner
ll~ Dauph~n ~treet
F.nnl;::1 P^ 17n?t;
Willia~ L. Bitner. III
~4 Wincrp~t nri'TP
~'~n Prll1~ MV l?nR~
.
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA } ss
COUNTY OF CUMBERLAND
The petltioner(s) above-named swear(s) or affirm(s) that the Slatements In the foregoing petition are
true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen-
lative(s) of the above decedent petitloner(s) will \ , nd ~rulY ad~ Ihe estate according to law.
Sworn to or affirmed and t~.bscribed 'at04f 't( ,h 'TrT '"
before me this 6 H d'!)' of ~.
1;" ,O~~OB;~. 7 (1!71H' 1/' ~
1{1'r/( ",/ r,.: ,. ,"] /'(!', ," -:--~) i - '( (I,Jlt'IJ E;
I . r MARY C, LEWIS Rc!giS/t'r 'I /1 2
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N 21 - 95 - 793
o.
Estate of
ANNA H, BITNER
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW OCTOBER 23. 19~, In consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the Instrument(s) dated M"y 11, 1 qqd
described therein be admitted to probate and filed of record 85 the 185t will of
Anna H, Bitner
Testamentary
RW.xk')tl(XXXX~Itlf'XJl1(JXaXWilliam L, Bitner, III
and Letters
are hereby granted to
'.
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FEES
Probate, Letters, Etc. ,....".. S 235.00
Shon Cenlficates(1 Q .... , .. ... S 10,00
Renu.nciatlon ,......."..,." S 5,00
X-~ages S 15,00
JCP 5,00
TOTAL _ S 2g9.99
FlIed ,..,.. nCTOIlER, 23"..1 995.. .. .. .. ..
Norman P. Hetrick, Esq, (O~884)
ATTORNEY (Sup, Cl, (,0, No,)
P.O. Box 1265
Harrisburq, PA 17108-1265
ADDRESS
(717) 236-9581
PHONE
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Mailed letters and order to attorney on 10-24-95
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II FIFIlI: All inhel'itulIl'e, eslute, slll'cessiun, ur Imnsrer luxes, whelher Slute,
II Federnl, or othelwise, nr uny olher tux in the nulure Ihereor, which IIIUY he puynhle hy
:i rensonor lilY deulh, shull nut hI' uppllllioncd hul shull hc p/lid, logether with /lny iuleresl
Ii or pen/llties, oulor Ihe prinl'ip/llor lilY rcsidu/lIY l'st/lte /lS ir SUl'l1 t/lxes were
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i nulllllllslrnlluu expcnses.
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!I SIXTH: Inlllllin/lte, coustitule, /lnd nppoinllllY suns, ROIU~RT J, IUTNI~R nnd
II WILLIAM L, IUTNER, 1/1, /lS Ihe Co-Excculors of this lilY Will. Should either he
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i unwilling or nnnble to serve 1'01' /lny renson, Ihen I nOlllin/lte, l'onslilute, nnd nppoint the
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II olhcr ns Execulur or this lilY Will,
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SEVENTH: I conrer on lilY Co-Executors, in /lddition 10 Ihose powers grunted by
I IIIW, the folluwing powcrs 10 he exercised in /l prudenl IIIl1nner nnd npplic/lble 10 1111
properly constituting /l pnrl of lilY est/lte:
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I A. Power 10 Invest: To relllin lIud 10 invesl in nil forms of renl
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I estnle uud' personnl properly, rcgnnlless or IIny Iilllillltiuns
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imposed hy luw ou invcslmcnls by fidnl'illries, to cxerl'ise ull
Ihc rights ordinnrily belonging 10 till' owner or or investor in
such properly, to register investmcnts in Ihc nUl11c or n
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III
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nOlllinec, IInd to keep such properly in such good lll'der IInd
repnir ns they deelll expedienl.
B. POIVer to Sell, l.cllse, Mortl!II1!C, Elc,: To sclllll puhlic or
privllle snle, 10 exchllnge, to mortg/lge, to lensc, or 10
eXlinguish lIuy murtgnge, Icnse, or 10lln 1'01' nny period or
-2-
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periods of time, to repair, alter, IInd improve /lny relll or
personal properly upon such terms liS to cllsh, credil, or
oplions liS they, in their sole discretion, mllY dcem
IIppropriate, and to do alllhings nccessillY or urdinalY in
achieving Ihcsc cnds, wilhout Iiahilily on Ihe parI of lIny Ihird
parly 10 see 10 Ihe applkalion of Ihe funds given Iherefor.
C. Power 10 Borrow, Pledgc. aad Cnmpl'Omise: To horrow
money from IIny source or SOUl'ces, to pledge any assets liS
security therefor, and 10 compromise claims.
D, Power Re: Administrative Expenses: To trellt IIdmlnistrative
expenses either as income lax or liS cstale lax deductions,
withoul regard 10 whelher the expenses were paid from
principal or illeome, and wilhoul requiring reimbursement.
E, Power to Distrihute. Alloeale, and Value: To make
distributions in cash or in kind or pllrtly In each, to II110cllle
properly 10 persons entitled Ihereto, IInd 10 fix Ihe vlllue of
property.
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EIGHTH: My Co-Executors shllll be excused from posling bond in all
jurlsdiclIons regardless of IIny law or rule of court 10 the contl'illY.
NINTH: It is my desire IInd I so dim'. Ihal NORMAN ", HETRICK, ESQUIRE,
of HETRICK, ZALESKI, ERNICO & PIERCE, P,C" be retained as Ihe attorney for my
\ eslale 10 handle Ihe settlement of my estale, he being acquainled with my IIffairs,
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II IN WITNESS WHEREOF, I, ANNA II, IUTNER, hllve In Ihis lilY Will,
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II typewritten on six (6) sheels of pllper, Ihe firsl three (3) of which he/lr lilY signnlllre in
II the III/lrgin for pnrpose of itlentifirntion, sel illY hnnd IIntl selll/ll the end thereof Ihis
11./1- d/lY of ~, 1994.
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I Tesllltrix, ANNA II, BITNER, /lS /lnd for her Lllst WiJllllld Tl'stlllllenl, in lhe sight /lnd
II presenre of liS, who, III her relJuesl, in her sighl /lnd presenre. IInd in the sighl IInd
II presenre of ellrh olher, 1111 heing presenl III IIIl' Sllllle lillle hllve herelo scioliI' hllnds liS
I willi esses,
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!! NIIlIle~~h')? ;..j~ Residing III
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ANNA II. IUTNER
SIGNED, SEALED, I'UBLlSIIED, nnd DECLARED hy Ihe ahove.nllllled
Residing III 7~D ~ ~~
YbrK Jlauer'L fA 1f);'7D
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$IYl?,r 1V~d.../ rZt.
,~.I-.. (J. C2. /'1If;l-
Residing III
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I COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Cuubedo.. 1:\.
ss
! I, ANNA II, BITNER, whose nnme is signelllo the IIl1nchell or foregoing
I inslrulllenl. having been lIuly qualifiell accorlling to law, lIo herehy lIeknowledge that I
I signed anll executed the Instrument as my Lnst Will: thaI I sign ell il willingly; and Ihat I
signed it liS my free lInd volunlllry Rcl for the purposes therein expressed,
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ANNA II, Il\TNER
Sworn or nffil'lned tllllnll Rcknowlellgcd hdOl'e me.
by ANNA II. 8ITNER, Ihe Testllll'ix. Ihis I rf1,
day Of~' 1994,
My COll1mission Expires:
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COMMONWEALTII OF PENNSYLVANIA
COUNTY OF WLlI:x;rIOf\t(
QerrJ~ K ,lk:J\~ . -4itMAN ~ J.J:-/;J~ IInd
ss
We,
. the witnesses whose nnll1es lire signrd 10 Ihe IIttaehcd or
foregoing insll'llll1enl. being duly (IUnlified according 10 law. do depose and say Ihal we
were present and SIlW the Teslatrix. ANNA II, 1U1'NER. sign IInd execule the instrument
liS her Lnsl Will: thnt she signed willingly IInd Ihlll she executed it liS her free IInd
voluntary lIet for the purposes therein expressed: Ihlll each of us in Ihe hellring IInd sighl
of the Testatrix signed the Will liS wilnesses; lInd Ihnllo Ihe bcsl of \Jur knowledge Ihe
Teslatrix was III the lime 18 or more yellrs of age, of sound mind. IInd under no
conslrninl or undue innuelll'e,
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Sworn and IIffirmed 10 lInd subscribed to before ll1e
by ~ K ,ili81d5l'K. . /\L ., ~ J-k1-~
IInd
. wilnesses, this 1/111 day
of --Il11f--' 1994,
~U0"- m,
NOTARY PUBLIC
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1II'~1k~
JAU.I995
My Commission Expires:
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Madison Elizabeth Brown
34 Deer Run Hollow
Clifton Park, NY 12065
Eric William Ackner 354 Ridge Street
Queensbury, NY 12804
Notice has now been given to all persons entitled thereto
under Rule 5.6(a) except: No exceptions.
Date tJ/,~ ~ .7)' /r,'i'.f' Signature: pt -6: /~-
Name: Norman P. Hetrick, Esq.
Address: 10 S. Market Sq., Suite 500
P.O. Box 1265
Harrisburg, PA 17108-1265
Telephone: (717) 236-9581
capacity: Counsel to personal
representative
.. ..'. _,.....,.a. __'
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1i'~o:i~~'(,~245~ COMMOND~~~~~T~: R~~:~:YLVANIA C)-i-,Lt>
li~:i~I;.,.~;,...,l . OFfiCIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX WlJ
RECEIVED fROM,
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ACN
ASSESSMENT II!'
CONTROL ...
NUMBER
AMOUNT
WILLIAM L BITNER III
154 WINCREST DR
';',100.00
1~1
GLEN FALLS, NY leOS4
_ '01.0 H'" '01.0 HUf
'.
ESTATE INFORMATION,
f:II lIE NUMBER
U el-199!5-0793
!'I NAME OF DECEDENT IIAST)
1;,1 BITNER ANNA H
II DATE OF PAYMENT
EI POSTMARK DATE
COUNTY
SSN e09-1e-766e
(FIRST) (Mil
o
CUMBERl.AND
DATE OF DEATH
REMARKS
m TOTAL AMOUNT PAID
.15,100.00
VZ
WIl.l.IAM L BITNER III
SEAL
ii, "1/1
RECEIVED DY '.lIi,) i! . ,',:, /~,i;,.,
/ lIGN~U"V '
~~~rS~ERLB~laiB.~)i ~ / /
CHECK" le9
REGISTER OF WILLS
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN OUPUCATE
WITH REGISTER OF WILLS
hEV ~ 1600 [It . ('-841
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DECEOENraNAUt(lA&T,nnST,ANO MIDDLe INitiAl)
Bitnar Anna It.
SOCIAL SECURllYNUMB(h
209-12-7662
DAlE Of QCA1U
10/02/1995
OAT[ OF OIATtt
01/1/1/1905
c..., Cumbarland
IF APPliCABLE) SURVIVING aPOUSE'S NAME ILAST ,FIRST AND MIDDLE INITIAll SOCIAL SECURITY NUMOER
X I. Orlglnol R.lurn
4. Umllod ElII.I.
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FIll! NUMBI!R
rOR DAT[60r D[ATH Afnn 11/:111111 ClUCK lUlU
IF A OPOU5Al
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1995-00793
COUNTY CODE
OECEOENT'S COMPl(TE Aoonn8
Country Maadows
Mechanicsburg, PA
17055
'tEAR
HUMOE"
AMOUNT "ECEIV[018[[ INSTnUCTION81
01.
o I.
RomaIndol R.lurn
(lor dOIOS 01 <Ioolh prior to 12-13-02)
Fedolll Eatll. Tex R.turn Roqulr.d
Tolll Numbor al Sol. D.po8ll Bo...
186.39
6,687.29
96,541.09
(I)
(9)
12.946.80
2. SUpplomonlol R.Mn
41, Fulur.lnlorml1 Comproml""
(lor dllos 01 d.olh Inor 12-12-82)
(]) I. Decodonl DI.d TOSIol. 0 7. Oocod.rn MoInlolnod 0 UvIng Trust
Anoch co 01 Will Anoch 0 co 01 Trual
C P AU. CORRESPONDENCE AND COIfFIDENTlAL TAX INFORMATION SHOULD BE DIRECTED TO:
R 2 NAME COMPLETE MAILlNQADORElIa
R D Norman p, Itatrick Es . Eckart Saamans Charin 60 Mallott
~ ~ fEL[PHONE NUM.E. P.O. Box 1248
- T 717 237-6000 Ilarrlsbur PA 17108-1248
I, R.1l Estll. (SChodulo A) (I)
2. Stocka ood Bonda (SChodulo D) (2)
3. Closoly Hold Slock/Partl\Of1lhlp InlorOSl (SChodulo C) (3)
4. Mortgagos Ind NOI" RocoIvabl. (SChodulo D) (4)
I. C88h, DInk Dopo8l18 & Ml8coIlonooul Poroonol Proporty (SCh, E) (6)
I. JolnUy OWnod Proporty (SChodul. F) (I)
7. TranstOl1l (SChodulo G) (SChodulo l) (7)
I. Tolol Gro.. Anela (10101 Unos 1-7)
8. Funorol Exp.n..., AdmlnlstloUvo Coal8, MlllCOllanooul
Expon... (SChodulo H)
10. Oebl8, Mortgogo UlblllUos, Uons (SChodul. I)
II. Tolol Ooducttona (10101 Unos 8 & 10)
12. N.I VoIu. 01 Ea'al. (Uno 8 mlnuD Un. 11)
13. Ch8ll11blo Ind Gov.rnmonlol Boquosla (SChodulo J)
14. N.t VoIu. Sub to Tex Uno 12 mlnuD Un.13
II. Spousol Trlnal." (lor dl'" 01 d.llh In.r 8-30-04)
500 InD1ruC1lonalor Appllc.blo P.rconllg. on pIg. 2,
(Includ. volu.a Irom SChodul. K or SCh.dul. M.)
11. Amounl 01 Un. 14 I..abl. It 8% ,"I.
(Includ. voluosl,om SCh.dul. K or SCh.dulo M,)
17. Amount 01 Uno 1418Jloblo .11~% ,ato
(Includ. volu.alrom SCh.dulo K or SCh.dul. M,)
18, Prlnclpollex duo (Add lexlrom Uno 15, 18 Ind 17,)
18,CrodllS/Sp pov.rty Prior PoymonlD D1ocounl
+ 5,100,00 + 268,42
20. If Uno 18 la gr.II" Ihln Uno 18, .nlor lho dlnor.nco on Uno 20, This la Ih. OVERPAYMENT,
~ 0 IChock he.. II you ... requ.IUng. relund 01 your overpaymenLI
21, If Uno 181a gr.II.' Ihln Uno 18, .nl.r tho dln...nco on Un. 21. Thlalalh. TAX DUE.
A. Enlor lho Inlor"l on th. b.lonco duo on Un. 21A.
B, Enl.. tho 10101 01 Un. 21 Ind 21A on Uno 21B, ThlDIs tho BALANCE DUE.
Mlko Chock PI abl.,o: R Iltor 01 Willi A nl
.. .. SE SUR I! TO ANSWER All. OUESTIONS ON PAGE 2 ANO TO RECHECK MATH '" '"
Uno" p.naIU.. of p.rjurY',1 dlcla,.IIt,.1 h.v. ....II'Iln.d thll ,.lurn,lncludlnOlccOmpanYlng Ich.d"l...nd Itallmlnll, and to Ih, but 0' my knowl.dg..nd b....,. It 'Ilru.,
con.ct ampl.I... d,el&,. 1h.t.U ,..Iu'a'. hI' bl.n 'Iportld.t Iru. mllk,t vllu.. O.claratton at pr.p"" olh., than the p.'lonal,.pr...nUtlv.l. ba..d on .lIln'armlllon at
whl ,.pe f has any knollllldg..
(10)
575,64
(II)
(12)
(13)
14
(16)
0.00 X
.
(II)
89,892,33 X ,08'
(17)
0.00 X ,10'
(18)
("torost
(18)
(20)
(21)
(2IA)
(2Ie)
William L. Bitner III
54 Wincrest Drive
bY';';;'- -F.iiYs - - NY -, Yi6si;- - -- - - - - - 0 0_0 --- - ---- - ---
Eckart Seamans Gherin 60 Mellott
P.O, Box 1248
ita-rri;'-buro 0 - - pii - - i 'ii6so:iii.iio - -- - - - - - - --- --- 0__-
103,414.77
13.522.44
89 , 892,33
89 892.33
0.00
5,393,54
0.00
5.393,54
5,368.42
0.00
25.12
0.00
25.12
DATE
ot/l,/9'v
DATE
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CCCC (.)
REV * 1601 U + (t2wll'
COMr..~~11~~wih',WrY'NIA
ESTATE OF
Anna H. Bitner
SCHEDULE F
JOINTLy-oWNED PROPERTY
SStI 209-12-7662
10/02/1995
FILE NUMBER
1995-00793
Joint lena""a):
A.
NAME
Robert J, Bitner
ADDRESS
125 Dauphin Street
Enole, PA 17025
RElATIONSHIP 10 DECEDENT
Son
B.
William L, Bitner III
54 Wincrest Drive
Glens Falls, NY 12084
Son
c.
Jointly-owned property:
LETTER DATE DOU.AR VALUE OF
ITEM FOR MADE DESCRIPTION OF PROPERlY TOTAL VALUE DECO'S
NUMSER JOINT OF ASSET %INT, PECEDENT INTEREST
TENANT JOINT
1 A,B 12/11/92 Harris Savings Bank - 10,001,64 33,33' 3,333.55
Certificate of Deposit No.
04-66-233457, matures
December 11, 1997,
principal balance did plUB
interest accrued to did.
Owned jointly with sons,
~illiam L. Bitner III and
Robert J. Bitner, Opened
December II, 1992.
2 A,B 04/27/92 Harris Savings Bank - 5,000,84 33,33' 1,666,78
Certificate of Deposit No,
04-66-223667, matures April
27, 1997, principal balance
did plus accrued interest,
Owned jointly with sons,
William L, Bitner 111 and
Robert J. Bitner. Opened
April 27, 1992,
3 B 07/07/89 Harris Savings Bank - 3,373.92 50,00' 1,686,96
Interest Checking Account
No. 04-01-000001, principal
balance did plus accrued
interest. Owned jointly
with son William L. Bitner
111. Opened July 7, 1989,
TOTAL fAlso enlor on llno s, Rocanllulallon\ 6 687.29
(II more apace la noodod, In_ addl1JonaJ ohoota 01 Olllll8 aIzo,)
Cop,nOht(C) "14'orm .atlw.r. onl,. CPSY'lemJ,lnc.
Faun 1600 Schedul. F (R...., 12-11)
REV" 'll0EX + Ci.")
CO"::'\1\lrm~~~~~/hY.N"
ESTATE OF
SCHEDULE G
TRANSFERS
PIoaao Prtnl or 0
FILE NUMBER
1995-00793
Anno H. Bitner SS~ 209-12-7662 10/02/1995
THIS SCHEDULE MUST BE COMPLETEO ANO FIlED IF THE ANSWER TO ANY OF THE QUESTIONS ON PAGE 21S YES
ITEM DESCRIPTlON OF PROPERTY EXCLUSION TOTAL VALUE DECD'S OOLU.R VALUE OF
NUMBER Includ'li~.tU at Ihe ~~,~~!!,!,.,t~n'~~ OF ASSET % INT. OECEDENTINTEREST
,.lallan hi to d.ced." d ,. 11,.n I.,
1 9,730,312 shores Vangusrd 3,000.00 99,541.09 96,541.09
Fixed Income Securities
Fund - GNHA Portfolio
Aecount No, 9895131020.
Owned jointly with son,
William L. Bitner III,
Opsned June 19, 1995.
TOTAL 'Also enlor on llno 7, R"",,""ulationl Is 96,541. 09
(II more apace la needed, Insert additional aheels 01 aarno alla,)
Copyright (c) '1M to'"' loll.".', only CPSYlt,ml,lnc.
Fa'''' 1600 Sc".dwle G (neV, 2"'"
'.
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELlANEOUS EXPENSES
RE.V- tilt u. ('.11'
CO"l:.\l\gfl,\~~WrW~JhY'NI'
ESTATE OF
Anna H.
ITEM
NUMBER
A.
B.
c.
ptea.. Prln' or
FILE NUMBER
1995-00793
Bitnor SS~ 209-12-7662
10 02 1995
DESCRIPTION
AMOUNT
1
Fun....1 Expen...:
Kyors-Harnor Funoral Home - funoral servicos,
6,512,00
2
Shoop's Cemetery Association - cost of opening grave,
575,00
"
Admlnlalratlv. Co.ta:
PoIIonll Repreoentlllva Corrrnlsolons
Sodll5oc:lJrIty Numbor 01 PeIIonll Rep'....m.l!vG:
Veer Corrrnlsolon. plld
2.
Attorney Foes
Eckert Seamans Cherin & Kellott
5,170,00
3.
FerrMy Elc""",UOn
Clllment
Addr... 01 Clelmenl II decodenl'l dellh
Stroot Addr...
Clty
Zip Code
RoIlUOnshlp
Sllle
4,
Register of Wills
290,50
Probll. F...
l.
2
3
MIICIII.nlOu. Expon...:
Cumberland Low Journal - legal advertisement.
40,00
9,96
Harland Checks - chock ordor for estato chocking account,
Hetrick, Zoleski & Pierce, P,C. . miscellaneous cost advancos
(osUmoted) ,
250.00
4
5
Rogistor of Wills - photocopy charge,
0,50
25.00
Register of Wills Cumberland County, filing inventory and
inheritance tax return.
6
The Carlisle Sentinel - legal advertisement,
73,84
TOTAL Also enter on 1100 9, R Itolollon
(11 me,. apac.'. n-. In..rt .dd1Uenol .h..ta o1eam. II..,)
Copyrlghl(c) ,.... 10'"' .011...",. onlyCP5Ylt.",.,lnc.
s 12 946.80
Fo'", 1500 Schedule H(Rlv. '-")
"',,--'"Y"'---'"__' ",........ 'I
-"., "...._,<-
'.
Eatata of: Anna H, Bitner
Soc Sec~: 209.12.7662
Date of Death: 10/02/1995
Continuation of Schedule H.82
(Attorney Fees)
Item Description
*
Amount
1 Hetrick, Zsleski & Pierce, P,C. . legal fees (estimsted),
5,170,00
--------------
5,170.00
, ,
REY.. '"' U. II-IS)
CO"::''1J1~'I1p.,'V.~~'1,~t';},y.NI.
''AlIIDEN'''DECIDlHf
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE UABlunES AND UENS
PI.... Prlnt of
FILE NUMBER
1995-00793
ESTATe OF
Anna H. Bitner SS# 209.12-7662
10/02/1995
ITeM DESCRIPTION AMOUNT
NUMBER
1 Ball Atlantic telephone bill (11/12/95) . 6,48
2 Bell Atlantic telephone bill (11/20/95) , 12.00
3 Family Physician Associates - final medical bill, 13.16
4 Internal Revenue Service - 1995 personal income tax. 414,00
5 PA Department of Revenue . 1995 personal income tax. 130,00
TOTAL Also onlo< on line 10. Roc I1ulaUon
(11 moro apaco la needed, InIOn addlUonal .hool. 01 ..me aIlO,)
Cop)'flght (c) t~ fo,... ."ftw.'. onl)' CP8YS'IIIl.,lne.
. 575.64
Fo,m 1500lSchldutl '(Rn. t..g,)
.
..--...
.--'
-'
LAST WILL AND TESTAI\oJENT
OF
ANNA /I, IlITNER
I, ANNA 1/, U1TNER, presently of Camp lIiII, County of Cumberland,
Commonwealtb of Pennsylvania, drdare this tll be my Last Will and hereby revoke all
prior Wills and Codicils made by me.
FIRST: I dirert Ihal all my just debls and funeral expenses be paid oul of my
eslate as soon as praclicable after my death.
SECOND: I give, devise, and bequealh all my honsehold goods and personal
effects 10 my sons, ROBERT J, BITNER and WILLIAM L, BITNER, III, in eqnal
shares, share and share alike, particular items tll be allocaled among them as they
decide, .
THIRD: All Ihe rest, residue. and remainder of 1l1Y estale, of whatever nalure
and wherever siluale, 1 give, devise, and bequeath in Ihe following manner:
(n) Fifty percent (50'#) to my sons, ROBERT J. BITNER and
WILLIAM L. BITNER, 11/, to be divided equally. share and
share alike: and
(b) Fifty perrenl (50%) 10 my grandchildren and greal
grandchildren 10 be divided equally, shnre and share alike.
15
i!: FOURTH: If any of my beneficiaries prcdc('rase mc or should any of Ihem nol
...
<C
::C sUlVive me by a period of less Ihan thirly (30) days, their share of their fifty percent
..:
z
~ (50%) shall go to the surviving lIlemher(s) of Ihe class equally,
.'
..,
C.
periods of lime, to repair. alter, and improve any real or
personal property upon such lerms as 10 cash. credil. or
oplions /IS Ihey. in Iheir sole discrelion, may deem
appropriale, and 10 do all things nccess;uy or ordinalY in
achieving thcse ends, wilhoul Iiahilily on Ihe pari of any third
parly 10 see 10 the application of Ihe funds given Iherefor.
Power 10 Borrow, Pledl!c. and Conlllromise: To horrow
money from any source or sources, to pledge any as.~els as
securily therefor. and 10 compromise claims.
D, Power Re: Administrntive Expenses: To Ireal administralive
"
expenses eilher as income tax or as cslale lax deductions.
without regard 10 whelher the expcnses were paid from
principal or income, and wilhoul requiring reimbursement.
E, Power 10 Distrlhule. Allocate. and Value: To make
dislrlbullons in cash or In kind or partly In each. 10 allocate
properly 10 persons entllled Iherelo, and 10 fix the value of
properly,
EIGI ITH: My Cu.Execulors shall he excused from posling hond in all
jurisdictions regill'dlcss of any law or rule of cOllrt 10 the contrary,
NINTH: It is my desire and I so direcl thaI NORMAN I'. HETRICK, ESQUIRE,
of HETRICK, ZALESKI, ERNICO & PIERCE, P,C" he retained as Ihe attorney for my
\ eslale 10 handle the seltlemenl of my estate, he heing acquainted with my affairs,
~
~
-3-
~ -, . --',---.....'-..-.- ~--
..._ _.'.~'. h___.._.r__."'.__.___
-'I"
IN WITNESS WHEREOF. I, ANNA II. IIITNElt. hnve III Ihis my Will.
typewritten on six (6) sheels of paper. Ihe first three (.1) of which bear illY signature in
the margin for purpose of identification, selmy hand and seal at Ihe end thereof this
Jl- day of ~, 1994.
~-Hf~
ANNA II, RITNER
SIGNED, SEALED, PUBLISHED, and DECLARED by Ihe above-named
Testalrix, ANNA II, U1TNER, as and for her L1S1 Will and Teslament, in the sighland
presence of us, who, al her reqllesl. in her sighl and presence, and in Ihe sigh I and
presence of each olher. all heing present nlthe same lime have hereto set our hands as
witnesses.
Name JJ~ 1. ~1Mt
Residing a\ 7J.D H~ ~~
YbrK lI.auetL fA lr'jz.'7D
,
Name~~h'~() ;.j~
Name
-4-
",Y'-,i;!'
"'...
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUI) b::'.rI(JM
QerrJ~ K ,"JlwidsM.., -1JJI.MAN P. /..f.:.-/;, /~, and
ss
We,
, Ihe wilnesses whose names nre signed to the attached or
roregoing inslrumenl, being duly qualified according 10 Inw. do deJlose and say Ihat we
were present and saw Ihe Testatrix, ANNA H, BITNER. sign and execule the inslrument
as her Lnsl Will: that she signed willingly and Ihat she execuled iI as her rree and
voluntary acl ror the purposes thcrein expressed: that each or liS in the hearing and sigh I
or the Teslalrix signed Ihe Will as wilnesses; and thnt to Ihe besl or 9ur knowledge Ihe
Teslalrix was at the lime 18 or more years or age. or sound mind, and under no
conslmint or undue innuem'e,
JJ:--~~
Sworn and affirmed to and subscribed 10 berOlC me
by ~ K ,llil)id.l~ , /\L
, ~ Jk1-~ ,
and
, wilnesses, this (/111 day
or~. 1994.
I
--1Yk L(O/.Je.....1/'l, B.Ll .fl.L{V
NOTARY PUBLIC IIOIAlIIAl.SlAl.
IIIISSA M.IUCU.( NOrm PIIIIUC
II\'==&'H""IN CO.'A-
My Commission Expires: . RfSJAN,2.I995
-li-
October 27, 1995
lIEuicIc, Zaleski & pierce
10 Scuth Market Square, &lite 500
llarrislmq, PA 17101-2001
- ..
IDHARRIS'"
IiI SAVINGS BANK
Harris S.l\'inJ.:s ()p(~ralinns Center
635 North 121h Slreel
"eIllOrne, I'en"'rlvllnin 17043
717173H440
71717:1I.()859 Fax
RFf""t:'I\ 'CO
OCT a J 1995
HETRIGI\ IN.t5i11 t. i'/blCE
The inforr.lntion whieh you Teqllected on the IIccount(o)
"'o--d (Zocinl Sncurity Ilumbllr 209-12-7662
. -
of Anna H, Bitner
) is n5 1'0110>11I.
Account J!urnber( II)
ClRSll of Account
D:lte Openec!
Principal Balllnce
Accrued Intereot
Dalnnce lit
Date of Death
Account
Owner:lhip
118me of Joint
Owner, if any
Dnte Ownr.r5hin
W,~S Estnblinh~d
"d~i ti onl11 Infor-'
ml1tion llc'1\1nnted
04-66-223667 04-66-233457
5 Yr, O!rt. 5 Yr, O!rt.
4-27-92 12-11-92
$5,000,00 $10,000,00
.84 1,64
5,000,84 10,001,64
Joint Joint
04-01-000001
Clec:k.In3
7-7-89
$3,360,11
13,81
3,373,92
Joint
Wi11Jam L, Bib"ler UI
RdJert J, Bib"ler
willian L. Bib"ler III Will.UIm L, Bib"ler III
Ilobert: J. Bib"ler
4-27-92
12-11-92
7-7-89
'lb3 follcwing c:hec:ks cleared the c:heckl.n:J a<XX:lUllt ten days prior to Anna
Bib"ler's death. *824 far $6,000,00, .823 far $20,36 and 1822 far $65.65.
~y,
77' ~c:....c,--
'_ .Gretchen L. Calc
Sr, RetaU Mnlnistratioo services Rep.
,
.
-&
THEVansy,~g9."\V:.
..'"::rr.....1..
I It',i f 1
',1,-,
ill(;/( L. "
November 13, 1995
HETRICK ZALESKI & PIERCE
ATTN NORMAN P HETRICK
10 SOUTH MARKET S12tJARE STE 500
HARRISBURG PA 17101-2001
Reference: VFISF-GNMA Portfolio
Account Number: 9895131020
ANNA H BITNER &
WILLIAM L BITNER III
JT TEN WROS
54 WINCREST DRIVE
GLENS FALLS NY 12804
Dear Mr. Hetrick:
I am writing in response to your letter requesting information
regarding the above referenced account. The account was Opened on
June 19, 1995. Our records show that this is the only account
registered in the name of Anna H. Bitner. As of October 2, 1995,
the number of shares, the price per Share, and the valUe of the
account were as follows:
FOND NAM~
SHARES
PRrCFJ
$10.23
.YALUE
$99,541.011
vprsP-ONHA Portfolio 9,730.312
Accrue4 Divi4en4s: $38,66
To redeem the account, we need a letter requesting the redemption
signed by William L. Bitner, III. If the redemption check will be
made paYable to someone other than himself, his signature must also
be guaranteed on ~he letter,
432443/317
/,,,,, 'lIJi,,> II", ~'"". . \,,,,,... Fo"'i", /"'''""1\"".,, I,. I.'~,!,;,,,, . (';r," ';';11,11111"
. ",u~..,...,_~ ~,'~:~ '~..:_o ________.__....". ._.,-'"
19m;
>,
...' -. - -~ '~... .-.'..',
r-":"'/ -95- 793
~
Register of Wills of
CUMBERLAND
County, Pennsylvania
INVENTORY
EIlale 01 Anna H. B i tne r
No, 1995-00793
.... known ..
Date 01 Dealh 10/02/1995
SocIal Securl1yNo, 209-12-7662
, Oec:eaaed
Pento.... R_nlIlIve(a) 01 \he above EItaIa, decaaaed, Y8rl1y Ihallhe Itema appearing In lhe lollowlng Invenlory Include .. 01 the
peraonel _ "'*- altuale and all ollhe raallll1ale In lhe Convnonwealth of Pennaylvanla 01 aald Deceden1, that lhe valua1lon
p1aoed oppoalte aach hem 01 laid Invenlory rllpl_nlllla I. value.. ollhe dale ollhe Decedenta death, and that Decedenl owned
no ....lIIIal. oulalda 01 the Convnonwealth 01 Pennaylvanl. _I thaI which appearaln . memorandum ., \he .nd 01 thI8
IlMInlory. I /W. Y8rl1y that the lIlalemenll made In Ihla Inventory lie true and colT1lCl, IfWe un_nd Ihat raise atatemanla herllln
.. made MlbJeclIo lhe penaltloa 01 1 B Pa. C,S, SectIon 41104 rolaUng 10 unewom Ialslflcollon to alJ1hol11le8.
N...... 01 Norman P. Hetrick
AI1omoy:
P....nal Repr~, ~
SIgnature: au,~ "t. #1;, ID,'TT7'
William L, Bitner III
I,D, No.: 06884
SIgnature:
Addras: P,O, Box 1248
Address: 54 Wincrest Drive
Harrisburg, PA 17108-1248
Glens Falls, NY 12084
Telephone: 717/237-6000
Telephone:
5181793-4907
~ ( I~f'(..
Daled:
Oesctlpllon
Value
(See continuation page(s) attached)
(Attach .ddlUonalsheolD IIl1OCOSl1ary)
Total:
186,39
NOTE: Tho MlllTIlrandum 01 roal ..talo oulslde lhe Conmonweallh 01 Ponnsylvanla may, allhe oIec:1lon 01 lhe penlOnal represenlative,
Include the valuo 01 oeeh hem, bul ouch ligu,.. should nol bo o"'onded Inlo lhe lotal 011110 Inventory,
CoprrlghlCeJ 111112 h",.. .0U.". on I)' Cent., PI.ce 8oltw.'.,lnc;.
Form .RW-7 Ctlnl2)
...
,
-..,
..
,
.:-j
0 ~~ --",
- :<r
O,!g - 8 r
~~ ee
;e.... ..Cl) 8
01:3 f:;j I' ~
-0.. t'"'T.:\
~ .f' c:
"'w i~.11
'o'lil
~l 00;
i!:.Q
~ ' E
a: GO
/'
1./
,'I (,'.~' I -:
RI!:V-1547 EX AFP (12-95*
COt4MOHW[Alllt Of PENNSYlYANIA
D(PA.lKEHT Of REY[HU[
BUREAU Of INDIVIDUAl lUES
DtPl. za0601
HARRlieURO, PA IfIPI-D601
C-....-/
ACN 101
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISAllOWANCE
OF DEDUCTIONS ANO ASSESSMENT'DF TAX
DATE 08-12-96
o FILE NO.
DATI! OF DEATH 10-02-95 COUNTY CUMBERLAND
NOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS FORM WITH YOUR TAX
PAYNE NT TO THE REGISTER OF WillS, NAKE CHECK PAYABLE TO "REGISTER OF WillS. AGENT"
REMIT PAYMENT TO:
NORMAN P HETRICK ESQ
ECKERT ETAL
PO BOX 1248
Ij8G PA 17108
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
AMount R..Ht.d
CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~
iiEV:is4j-ije-"j:p-iiz:9SriiiiYicniF-YNHEiiii'ANCi-YAX-iippiliiiSEHEii'r-;-'\i:,LOWANCi-oi-----------------
DINALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF BITNER ANNA H FILE NO. 21 95-0793 ACN 101 DATE 08-12-96
TAX RETURN WAS I (X. ACCEPTED AS FilED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..I Eat.i. (Sch.dul. AI (1)
2. Stock. and Bond. (Schedule 8) (2)
S. Clo..ly Hald stock/rartnarlhlp Int.r..t (Schedule C) (3)
4. Hartg.g.I/Not.. Receivabl. (Schedule DJ (4)
5. C..h/Bank Depolita/Hlle. Parlonal Property (Schedule E) IS)
,. 401ntly Owned Property (Schedule f) (6)
7. Tranafars (Schedule GJ (7)
a. Tot.l An.l.
APPROVED DEDUCTIONS AND EXEMPTIONS:
9, Fun.ral Expan..,/AdM. COlts/Hlle. Expan... (Sch.dul. H) (9)
10. D.bt./Hortg.g. Li.biliti../LI.n. CSch.dul. I) CI0J
11, Tot.l D.ductlon.
12. N.t V.lu. of T.x R.turn
IS. Ch.rit.bl./Gov.rnn.nt.l a.qu..t. (Sch.dul. J)
14. N.t V.lue of E.t.t. SUbject to Tex
If an assessmant waB issuad previOUSly, lineB
reflact figuras that include the total of ALL
ASSESSMENT OF TAX:
IS, Anount of Lin. 14
16, Anount of Lln. 14
17. A.ount of Lin. 14
18. Princip.l T.x Du.
NOTEI
.t Spou..l
t.xabl. .t
t.xebl. .t
r.t.
Lin..l/Cl... A r.t.
Coll.t.r.l/Cl... B r.t.
(5)
(6)
U71
TAX CREDITS:
PAYNE NT
DATE
12-28-95
04-19-96
RECEIPT
NUMBER
AA08Z451
AA1l2756
DISCOUNT (.)
INTEREST (-)
Z6B.42
,00
I CHANGED
,00
.00
,DO
,00
la6,39
6,687.29
96 ,541. 09
(B)
103.414.77
12.946,80
575,64
Ill)
(12)
(15)
U41
13,t;n 44
89,892,33
,00
89.892,33
14, 15 and/or 16, 17 and 18 will
raturns aBBessad to date,
,00 X ,DO.
89,892,33 X ,06.
,00 X, 15.
UB)
,00
5,393,54
,00
5,393.54
AMOUNT PAlO
5.100,00
25,12
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN,
TOTAL DUE
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST,
5,393,54
.00
,DO
,DO
IF TOTAL DUE IS lESS THAN fl. NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED, AS A "CREon" (CR), YOU MAY BE DUE
A REFUND, SEE REVERSE SlOE OF THIS FORM FOR INSTRUCTIONS.'
(-; ~J)
-
If)
'"
c:
t~~
i(J.
. '':';
....,
,-
l.::l
la
,..~
RESEAYAflOHI
E~t~(.. of d'f,dant, dyl~ on or b.for. O.e.abar 12, 1982 -- If any future Int.r..t In the ..tat. I. tran.f.rr.d
'~P.!t....'lo~er .nJo~.aJ to Cia.. a (coll.t.r.l) ben.flel.rl.. of the d.e.d.nt .ft.r the e.plr.tlon of anv ..t.t. for
lJ}. or for y..r., t~onw..lth h.r.bv ..pr...ly r...rw.. the right to BPpral.. and I"." tran.f.r Inh.rltane. T....
at the hwful CI... I ,(colht.rall rat. on any .uch future Int.r..t.
PURPOSE OF
HOTICE. To fulfill the r.qulr...nt. 0' S.ctlon 21~D of the Inh.rltanc. .nd E.tat. Ta. Act, Act 22 of 1991, 72 P.S,
Saetlon 2UD,
PAYHEHT I
O.tlch tha top portion 0' thl. Hotlca and .ub.lt with your paY..nt to the Ragl.t.r 0' Will. prlnt.d on tha raw.r.. .Id..
".H.h chack or .onay ord.r plty.bl. tal REGISTER OF HILLS, AGENT
All ply.ant. r.c.lw.d .hall flr.t b. appll.d to Iny Inter..t which .ay b. due with any reaalnd.r applied to tha ta..
REFUNO (CRII A r.fund of a taw cr.dlt, which w.. not r.qua.t.d on the f.. A.turn, ..y b. raqu..t.d by co.pl.tlng an "Application
'or R.fund 0' Pann.ylw.nla Inharlt.nc. and E,t.t. Ta." (REY.)SIS). Application. ar. .wallabl. at the O"lce
of the R.gl.t.r 0' Will., anv of the ZS R.w.nu. DI.trlct Off Ie.., or bV calling the .p.cl.1 Z~.hour
an.w.rlng ..rvlc. nuab.r. for 'ora. ord.rlngl In P.nn.vlwanl. 1..OD-S6Z.ZD5D, out.ld. Pann.ylvanla and
within local Il'rrhbura .r.a (717) 7'7-809", fOOl (717) 71Z.ZZ5Z CH.arlng Iapalred Onh).
OBJECTIONS. Any p.rty In Int.r..t not .atl.fl.d with the .ppr.I....nt, .llowanc. or dl.allowanc. of d.ductlon., or ........nt
of t.. (Including dl.count or Int.r..tl .. .hown on thl. Notice .Ult obJ.ct within .I.ty (6DI d.y. of r.calpt of
thh Notle. by.
..wrltt.n prot..t to the PA Oepart..nt 0' R.w.nu., Board 0' App.el., O.pt. Z8IDZI, Herrllburg, PA 17IZ8.IDZ1, OR
--.I.ctlon to haw. the .att.r d.t.r.ln.d at .udlt of the eccount of the p.r.onal r.pr...ntatlv., OR
--.pp..1 to the Orphan.' Court.
ADHIN
UfRAlIVE
CORRECTIONS I
F.ctual .rror. dl.cav.rad on thl. ........nt .hould be ftddr....d In writing tal PA D.p.rtannt of R.v.nu.,
lureau of Individual Ta..., AnNI Po.t Aue....nt R.vl.w Unit, O.pt. Z806DI, lIarrhburg, PA I71Z8.D6DI
Phon. (711) 787.65D5, Se. pag. 1 0' the baokl.t "In.tructlon. 'or Inherlt.nce f.. R.turn for a R..ld.nt
O.c.d.nt" CREY.ISDI) for an ..plan.tlon of .d.lnl.tratlvelv corr.ctabl. .rror.,
DISCDUNf I
If 'ny t.. due I. p.ld within three (JJ cal.ndar .onth, aft.r the d.c.dent", d..th, . flw. p.rc.nt C5~J dl.count of
tha tax P.id I. allow.d.
PENALfY.
fh. ISX ta. a.n..ty non.partlclp.tlon p.n.ltv I. co.puted on the total of the t.M .nd Int.r..t .......d, .nd not
p.ld b.for. January 18, 1996, the flr.t dav .ft.r the end of the t.M a.n..tv p.rlod. Thl. non.p.rtlclpatlon
p.nalty I. .pp..labl. In the .... ..nner and In the the .... tl.. p.rIod a. YOU would app.al the ta. .nd Int.r..t
th.t ha. b..n a.....ad .. Indlcat.d on thl. notlc..
INfERESTI
Int.r..t I. charg.d b.glnnlng with flr.t day 0' d.llnquency, or nln. (9) .onth. and on. (1) dey 'roe the data 0'
d.,th, to the d.t. 0' p.y..nt. T.... which b.ca.. d.llnquent b.for. January I, 198Z b.ar Int.r..t at the rat. 0'
.1. (6~) parc.nt p.r annul calculat.d at a dally rnt. 0' .DODI6,.. All ta... which b.ca.e d.lInqu.nt on .nd aft.r
Janu.ry I, 1982 will be.r Int.r..t at a r.t. which will vary fro. c.l.ndar year to cal.ndar ye.r '11th that rnt.
announced by tha PA O.p,rt..nt of R.v.nu.. fh. .ppllcabl. Int.r..' rat.. for 198Z through 1996 .r.1
'!!!! Int.r.,t Rllh Dallv Int.r..t Faclor !!!r Int.r..t Rata DRily Int.re.t Factor
198Z 2U .DDDS,.8 1987 .~ ,DOO2'"
19U 16X .DDD"]8 1988.1991 11~ .DDUOl
198~ In .DDDlDI 199Z .~ .DDD2,.7
1985 13~ ,D00156 1991-199" n .DDOI92
1986 ID~ .DDD274 1995.1996 .. ,DODZIt1
...Inhr..t II calculat.d .. followlI
INTEREST . BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTDR
.-Any Notlcl I'.u.d .ft.r the ta. b.ca.e. d.llnqu.nt will reflect an Int.r..t calculation to fl,ta.n CI51 day.
b.yond the d.t. of the ....,...nt. I' pay..nt I' ..de .ftar the Jnt.r..t co.putntlan data .hown on the
Notice, .ddltlonal Inter..t .u.t b. cnlculat.d.
STATUS REPORT UNDER RULE 6,12
Name of Decedent.
Anna H, Bitner
Date of Death. 10/02/1995
Will No,
1995-00793
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 adminiatration otthe estate is complete I
Yes X No
, 2, If the answer ia 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? Yea 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, Copiea of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' C,ourt and may be at:. tached to this report,
Da te . if- /1-111..
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nature
IJ'\
Nor:man P. Hetrick, Esq.
Name (Please type or print)
p,O, Box 1248, Harrisburg, PA 17108-1248
Address
( 717) 237-6000
Te 1, No.
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Personal Representative
2.._.Counse1 for personal
representative
(MAHlrmt/AM3)
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