HomeMy WebLinkAbout95-00794
PETITION FOR PRODA TE and GUANT OF LETTERS
No, )./-/QQ5 - 7qL/-
To:
Eslale of __
also known as G/~~.....J.&o.J:&r_
RegiSler of Wills for Ihe
. Deceased, ClllllllY of ~ r.u....l......c In Ihe
SocIal Semr/lf No. 1-'''1- I" - I' S-~ COl1ll1lonweahh of Pennsylvonlo
The pelllion of Ihe undersi~ned respeclfully rcpresellls Ihm:
Your pelilloner(s). who is/arc 18 years of o~r older an the execuIJPr"
In the lasl will of Ihe obove decedelll. dOled -;}t&1i.UA..~-I "of
ond eodlcil(s) dOled /
nomed
. 19
(Malr rclC\'OIlI cirCIII1UIRI1I:C!., t.lt. rcnundution, I.Jcalh of ~\~Ulor. CIL'.)
Decendenl was domiciled 01 dealh in Ca '" ~. J -:rr- Counly. Pennsylvonla. wilh
ISlfamllyorprlnclnalre,ldeneeol ;>:~'a ~.JP~I'''''.J
. . p~ I'n~
(Ibl 'ITC-CI. lIumber 01 lUullclpalil)')
Decendenl,lhen 7 Z b. 19 'l e:-
III ~ .
EXeCI'I as follows, decedenl d d nol marry, was 101 divorced and d nol have a child born or odopled
after execullon of Ihe will offered for probale; was nOllhe vlcllm of a killing and was never adjudlealed
Ineompelem:
Dccendenl 01 dealh owned property wilh eSlimllled values as follows:
(If domiciled In Po.) All personal properly
(If not domiciled In Po.) I'ersonal properly in Pennsylvania
(If nOI domiciled in Po,) Personal properlY in Coullly
Value of real eSlOle In Pennsylvania
sltualed as follows:
$ "I "-0-0.
$ ,
$
$
-
WHEREFORE, petitioner(s) respeelfully requesl(s) the probole of the 1051 will and eodlcll(s)
presented herewilh and the gram of lellers +e...~.,{." ",a .
(tcstamentary, ad . l5Iratlon c.I,a.j administration d,b.n,c.I,a,)
theron.
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA } ss
COUNTY OF CUMBERLAND
The pelltloner(s) obove-named swear(s) or llflirl1l(s) Ihallhe Slalemems In Ihe foregoing pelhlon are
Irue and correct to Ihe besl of Ihe knowledge llnd belief of pelitioner(s) and thaI as personal represen-
lallve(s) of Ihe above decedent pelilloner(s) will well nd truly administer the eslale according 10 law.
,
Sworn 10 or oflirmed and suhscribed {
~e me Ihis '" doy of
l(/!!~~~lt,~ 1HA194$-
AR C. r, WlS / /l7~
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No. 21-95-794
Estate of ell '2-t>.l"ol'tt" G-, l 00 u...
. Deceased
DECREE OF PROBATE AND GRANT OF LE'ITERS
AND NOW OCTOBER 24, 1995 19_, In consideration of the petition on
the reverse side hereof, satisfactory proof having been presented bcfore me,
IT IS DECREED Ihatthe Instrument(s) daled JANUARY 5 , 1994
described Ihereln be admitted to probate and nIed of record as the lasl will of
ELIZABETH G. LOOKER
and Letters TESTAMENTARY
are hereby granted 10 !H nNRV W. MILLER
L-1J~ (~/'-14tf:1lf:1J7.~uJ
MAR . L W lI<able' of III. JliI:;. tf
FEES
Probate, Letters, Etc. ......... S 40 . 00
Short Certlncalcs( )"""..., S 'I 00
x-pages I). OU'
RenunCiation ....,.........., S
,lrp S 0; 00
TOTAL _ S 54.00
Flied '.. ?C:~~~~~ ..~~.....~??~.... .. .. .
/:.,o;,A M~le CoOo!".)€' S~7eg
ATTORNEY tSup. CI, /,0, No,)
'?,Cl 01 IM.cw~ s.+. ~ ~.hlll
ADDRESS p,il. 11 011-'1'2'2. 7
7n-7~7-l),-/ 6 if
PIlONE
MAILED LETTERS AND ORDER TO ATTORNEY ON OCTOBER 25, 1995.
.
Ite. 6: I di rect that my body be oremated and the ashes
be placed in the same container with my Late Husband, MERVIN
E, LOOKER, and the said ashes are laid to rest at the National
Cemetery, Fort Indiantown Gap, Lebanon Ccunty, Pennsylvania,
I further direct that my cremation shall be conducted by the
I
I Pennsylvania.
Malpezzi Funeral Home, Mount Holly Springs, Cumberland County,
I appoint my friend,
the said SIDNEV W, MILLER,
Ite. 7:
Executrix of th1B my Last Will.
Bhould my friend, SIDNEV W,
MILLER, fail tc qualifY or cease to aot as Exeoutrix, I
appoint the said WENDY BELT, Executrix of this my Last Will.
Ite. 8:
I direot that my personal representative or
their suocessors shall not be required to give bond for the
faithful performance of their duties in any jurisdiotion,
IN WITNESS WHEREOF, I have hereunto set my hand this ~
day
of ?~,.
,19 14,
I
The preceding instrument, oonsisting of this and one (1)
other typewritten page, each identified by the signature of
the Testatrix, ELIZI\BETH G, LOOKER, was on the day and date
thereof signed, published and declared by ELIZABETH Q, LOOKER,
the Testatrix therein named, as and for her Last Will, in the
presence of each other, have subsoribed cur names as witnesses
hereto,
/61 ~ U;, ,-,.1 I. "...... 12",(,
residing at ;/tllc.Ra-." ~$ hVY5 f'1f OoS:>
J"l *"';''j ~a-rJt!.4, I5'S/rt.Y.~5
0I..L1Mj- Jf?_~t...~<~residing at {kd.,::'/,. ;;/J /701.:$.
, '
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
) BS:
We, ELIZABETH G. LOOKER, L'5~
and {].A tA1f / IP. .s1t,..1 u.~ ~ ..../
Iff"?t I e (1 oY^' G
, the Testatrix and
the witnesses respectively, whcse names are signed tc the
attached cr fcregoing instrument, being first duly sworn, do
hereby deolare tc the undersigned authority that the Testatrix
signed and executed the instrument as her Last Will and that
shs had signed willingly, and that she executed it as her free
and voluntary act for the purpcse therein expressed, and that
each cf the wi tnesses, in the presence and hearing cf the
Testatrix, signed the Will ae witness and that tc the best of
his or her knowledge, the Testatrix wae at the time eighteen
(18) years of age or older, of scund mind and under no
constraint or undue influence.
--/
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W1tne
Bubsoribed, sworn and acknowledged before me
. g,j.Hn 15. (1oY/IU,
by ELIZABETH G. LOOKER,
the Testatrix, and subscribed and sworn to before me by
(!;'~/,I R. SlJuJ'~ ~
day of :::rA-tJV~7 ' 19.:J.::L,
I,O;A 111_,1; (!07Nri:' and
the witnesses, this 57:1:
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/f{~A LL
Notary Publi6 '--uTI' ~
NOT,~R1AL SEAl.
EilEEN B, COYNE, NOTARY PUBUC
HAMPDEtl WIP, GU:,\er:RlN!O CO.
MY COMMI5Sln~1 ;:_''Pi'~r:S J~IN<': ~, 1Qoo
(BEAL)
Diuounl
+ 1,7.25
20. If line 1911 greola, than lIn. 18, .ntar Ih, dil',,,n,e on line 20. This II Ih, OVERPAYMENT.
aD
21. If line 181s grealer than line 19, antar ,h, difference on lin, 21. Thllls Ih, TAX DUE.
A. Ent,r Ih,lnle,.,t on ,h, balance due on line 21A.
B. Enler th,lolal of line 21 ond 21A on lIna 216, This h Ih, BALANCE DUE.
Make Checlc Payabl. tal Rlgl,t., of WillI, Aglnt
~ ~ BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH ~..c:
Under penalli., of perjury, I daclar. lhol I hove oJlominltd Ihl. felur", Including occompan}'ing "hedul., and stolements, and to Ih. best of my knowledge and bali,f,
It I, IrU8, correct and complet.. I declare Ihol all rIal .,Iole hal been ,eporl,er 011'U8 mark" yolue. Declaration of prepare' olher than tho penonal representativlI it
bosed on olllnformollon of which preparer hal any ~nowledge.
51 H"TUlf Of PfUON IUPONSlllf "flUNO IlEIUIN AODUSS - O"'lf
;o~.7" Gull COUI:.~-!-!ic;!_ohanic9bur'l. PA 17055 o-/,ya'J)'l5..---
UY.UOO Eh 11.9'1
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OfCIDfN
lOR DAlES 01 DIAIH AnlA 12/31191 CHICKHIRI
II A SPOUSAL -
POVIRn C.!'DII IS CLAIMID IJ
JILl NUMBIR
21-95-079',
COUNIY CODE YEAR
'S COMPU I AOOIUS
*
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
NUMBER
E
lil
III
'"
COMMONWE"'l'H Of PENNSYlY",NI...
DE,...lnM(Nl 0' IlEVENUE
om. 11."'1
H.....ISlURO.'... 11 21.0001
DfCIOIN' H...M IlA'. flll t. AND MIDDlI INITI"'ll
Looker. Eli2abeth G.
SOCIAl nCURIlY NUMII. DAIf Of DlAlH
OAt( Of III1H
179-16-1753
253 Marlett Drivo
Mechanicoburg. PA
COIolII' Cumberland
AMOUNT IfCllvlD IUI INSTIUC110NS)
17055
II' A"UCUllj IUIV1YIHQ lPOUU'I HAM' nAn. "I" AND M'DOtII"l'\IAII
:liE
"''''
"'z
8~
N/A
~ I. Original Relurn 0 2. Supple menial Relurn
o ~. limited Eltale 0 ~a. Future Inlere,t Compromise
(for doles of dealh after 12.12-821
Kl 6. Deced.nl Died T..lol. 0 7. Decedenl Maintained 0 living Tru't
IAllo,h ,opy 01 Will) (Allo,h 'opy 0' Trul')
ALL CORRESPONDENCE AND CONFIDENnAL TAX INFORMATION SHOULD BE DIRECTED TO.
NAMI COMPUIE MAiliNG AOOIUS
Henrv F. Covne. Eo uire 3901 Market Street
""'HON'NUMIII Camo Hill. PA 17011-/,227
737-01,6/,
03.
05.
~8.
Remalnd.r Relurn
(lor dOl" of d.alh prior to 12.13.82)
Federal Estale Tax Relurn Requlr.d
Tolal Numb.r of Safe Oepalit 8axes
z
'"
5
~
III
'"
t. Rool E,lo" (s,hodulo A)
2. Stoch and BondI (Schedule B)
3. Cla"ly H.ld StaddPartn.nhlp Inter..t (Schedule C)
~. Martgagll and Notes Receivable (Schedule D)
S. Cosh, Bank Depollts & Mlsc.llan,oul Penonal Property
(S,hodulo E)
6. Jointly Ownod Proporty (s,hodulo F)
7. T,on,'o..IS,hodulo GI(S,hodulo L)
8. Total Gran Anets (Ialallln.. 1.71
9. Funeral bpen"I, Admlnlstrallve COI", MlscellaneauI
bpen"I (Sch.dule H)
10. Debts, Mortgage lIablllll.., lIenl (Schedule I)
11. T 0101 D.ductlons (Iatalllnes 9 & 10)
12. Net Valu. of Ellate (line 8 mlnuI lIn. 11)
13. Charllable and Gavernmenlal Bequests (Schedule J)
14. Net Value Sub tet 10 To", (line 12 mlnuI line 13)
15. Spaulal Tranlfen (for doles of death afler 6.30.941
See Inltructlanl for Ar,pllcable Percenlage on Rever"
Side. (Include valu.. rom Schedule K or Schedule M.)
16. Amaunl of line 14 taKable at 6% rote
(Include valu.. from Schedule K or Schedule M.I
17. Amount ollln. 14 la",able 01 15% rale
. (Include values from Schedule K or Schedule M.)
18. Principal to", due (Add loll. from lIn.. 15, 16 and 17.)
19. Credill Spaulal Poverly Credit Prior Payments
None + 897.78
(11-None
(2) --linn"
131 Non!>
(4) None
IS) 10.112.37
(6) l>Inno
PI --1lonp
(8) 10.112.37
3.1.10.69
165./,/,
(9)
(101
(II) 3.576.13
(121 I.. "~J. ?/.
1131 None
(14) " F\~J. ?J.
x._- None
x .06 II 21.60
)( .15 III 923./,3
(18) 9/,5.03
(19) 9/,5.03
(201 --Honp
(15)__.-
(161 _38D_.00
6.156.2/,
(171
z
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Inler.lt
None
~
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Chock hore j( you 010 foquesling a .ofund of your Ov(!'poymonf.
121)
121A)
121B)
- . ----~-----_.----_...~ -~,,_.._-_.._-----_.-
..v.Uot lit 11.1'1
J
SCHEDULE Ed
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSO~AL PRO~ERTY . PloOl8 Prlnl or Typo
fiLE NUMBER
21-95-0794
'*
COMMONwr,I.lTH OF PINHSYLYANIA
IN",nll-.N(1 lAX "TUIN
IlSltlNT DICtDINT
ESTATE Of
Elizabeth G. Looker
(All prop.'I)' 10Ill,I)'.owII.d with ,h, Righi of S",...lyonhlp mu,' b. dlldo..d Oil !u.h,d~l. r)
ITEM
NUMBER
VALUE AT
DATE OF DEATH
DESCRIPTION
1.
Jewelrv - See Attaohed Appraisal
$ 380.00
2.
Personal Effeots
200.00
3.
PNC Cheokins Aooount No. 5140038847
4,213.73
I,.
PNC Savinqc Aooount No. 5130081374
5,318.64
TOTAL AI.o ontor on IIno 5, Roeo
S 10.112.37
IAlIuth additional 8~" )( 11" ,h"1I1f mo,. .patel. need.d,)
J &C COINS & JEWELRY
122 W. Main St.
Mechanicsburg, PA 17055
(717)697-2646
IfJI7J-
.--;t &-ui 1 cr4 ~ c{'--'--
9a-k-yL t2~u~~~
I.C;,r::~~t-".: 4 01 ~
~ c:'~
')... /'i6() ~ .)~
SD~.-..--t -
" "..'
_ I "s .
,. ""
-. I fwot1
J. -:ff~A+J... PtlA Uw r
,. 't.S' ,.
-
f. 1'1 l.( $- ,.. PlfU /16't.. c.. .
':&.s.1tI
-
s. ~~ '9'1.16 ~ rl1.)
11..$. C+cJ G.u,.r
-
4<>-,J
(. C.dJ 1.. .._-
, ..-
__ /~". I"
'r f7r.r
(117) 697.2646
,,~\\d,',t
~.~
9 & c 9ewefJly & C0iu6
.\ D1AMONOS. RINGS. CHAINS, BRACELETB
14K GOLD, STERUNG
~~{L
. i~"
Jf~-"" o. I''''
ITEM
NUMBER
~/~.~-
...~
COMMONWIAUH O' PIHH'YlVANIA
INHUItANCI! 'AX "UUIN
RISIDI!NT DfCfDfNT
1 SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
Elizaboth G. Looker
DESCRIPTION
1.
A. Funoral Exponlo..
Malpe~~i Funeral Home. Mechanicoburg. PA
2.
B.
Flowero - Pealera
Admlnlstratlvo Calh,
N/A
1. Ponanal Roprellntaliye Commlntonl
Soclal Security Number of Penonol Representotlye:
Year Commlnlons paid
2.
3.
4.
C.
1.
2.
3.
4.
5.
6.
7.
8.
Allorney Fees Henrv F. Covne. Eoqui l'e
N/A
Family eKemptlon
Clalmanl
Add..n of Claimant al decedenl's deolh
St..el Addren
Relationship
City
Stale
Zip Code
Probate Fees
Mllcellanooul Expenlu,
Long Distance Toll Calla bV Executor
Inheritance Tax Return Filing Fee
Aopraisal of Jewelrv - J & C Coino & Jewelrv
Postage - Mailing of Jewelrv to Benefioiarieo
Legal Advertisement - Cumberland Law Journal
LQ~al Advertisemont - Patriot Newo
Reserves
Ploa.. Print or~!.
B
21-95-079/,
AMOUNT
$1.793.00
50.50
1.100.00
5/,.00
25.00
15.00
35.00
50.00
1,0.00
1,8.19
200.00
S 3,1,10.69
TOTAL (Also enler on line 9, Recapitulation)
(If more Ipace II noodod, Inl..t additional Ihooh of lamo llzo.)
I,' . . I " , I . fI _ ~ .
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Register of Wills of CUMBERLAND County, PC:...fJylvania
Certificate of Grant of Letters Testam~ntil.l:Y
No. 1995-00794
ESTATE OF LOOKER
lLI\:i'l',
PA No.
ELIZABETH G
r.LK:i'!', L\j.LUULe}
2195-1179':
Late of
HAMPDEN TOWNSHIP
l,;UMttr.a'(J.."I\NU L;UUL~'.L' ~ ,
Deceased
WHEREAS, on the 24th
dated January 5th 1994
was admitted to probate as the last will of LOOKER ELIZABETH G
(LA~~, Fl~~~, ~lUUL~)
Social
day
Security No. 179-16-1753
of October
1995 ~n ir.st~ument
late of HAMPDEN TOWNSHIP CUMBERLAND County, who die,:: on the
16th day of September 1995 and,
WHEREAS, a true copy of the will as probated is annexed hereto.
THEREFORE, I, MARY C. LEWIS , Register of Wills in (Ind for
the County of CUMBERLAND in the Commonwealth of Pennsylvania, hereb;' ce.:cic:y
that I have this day granted Letters TESTAMENTARY
to SIDNBY W MILLER
who has duly qualified as Executor(rix)
and has agreed to administer the estate according to law, all of ~:hic;1 fully
appears of record in my Office at CUMBERLAND COUNTY COURT HOUSE,
Cl\nLISLE, PENNSYLVANIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the 58al
of my Office the 24th day of October 1995.
**NOTE** ALL NAMES ABOVE APPEAR (LAST, FIRST, MIDDLE)
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11I.17.^IIRTII Cl. I.OOKltIl
I. 'r.I.IZ^DIlTII O.
1.00Kr.R.
of
Township
or H"',npden f
"'H' ." ,"',"
Cumborland' County, Pennoylvnnill, dcaloro thfe
to be my I.aut
.,.
Will nnd l"ll'yokf'! ~ny Will P1'lJviollOlv madll by mo,
ll...c ..!!.-1-.t
J bequo"th nil of my gold oolno to nlY
d~uRhtar-ln-l~w. Mr.. C^TllERTNIl I.^RUr. of 4701 Ilhroda ^venue.
nftl t 1mora I Mary 1 nnd. ond my nrnnddnughter I CHRISTINE L^IWR of
266? Willord Drive, Troy. Michigan, or to thq survivor at'
thorn. r further order "nct direct thftt diotrlbutlon be tllt'lllo In
oquo'l shareD for th'l VallJf} of th'l Qoins.
llClm...?:..l I devioe And bequoAth tho roolduo of my (.'lItllllfl
fJC overy n.:\tur'l .~nd whl1l"onoQvP'l" oitUdto,
tOBathc,' wi th
"
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innurftnoc thoroon. to my friand, SIDNEY W. MILLER of ~O:i Gull
CumberJdnd
County,
PennDylv.~nl<'l,
Court.
Mechanlcnburs.
providins he ohat) Durvlvn m~ by thirty (30) dayo.
\
(- 'Itom 3: '3houlrJ my frlono, GIDNEV W. MILLER, prOd(lOeOl1"
me or die on or boforo tl,c ttllrtictll <30th) day followtrlB my
dIJath, I devinJJ .,nr.l bQ'1lJo..,th .,11 of my Qot."l;Q' oC Qyory 11.,tlln~
nod whoroDoovor Ditl1~tc!, losolhor with' insuranoe thoroofl, to
my d/:lllBhor- in-law t tho ntl id Jirn. CATlUtRINJt LARUE.
j., ""
. lln..m If:
J direct thnt illl my juot debts"llnd fllnnro)
oxponoflri bo p.:tld from thQ .':\Dooto of my ost.ote aD noon all
praotloal' nftt?r my deooannl:'.
ll.~m.JU_ I di1'UOt that ('"eh d(lvlol1c and legatee, anu each
pernon rocolvinn non-prab.,to proporty which 1D Dubjemt: In
pt'dt'rnl, r.tnt<! or other dt:'...th t."l)(C'n, "hl'llJ pay tho r;oclQrnl.
Rptnto, or other u(!"th t"xl~l1 .'\ttrihut.'\bl\l to hin or hal' IJh"rQ
of my tnxnblQ r.ntntc.
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llj'J!_-"l I dll'Oct thftt my body be cremated and 1I.., anhe"
b~ pl400d 1n tho n"mo oOI1t."inor with my LAtll Uuaband, ::ItRVIP
R. LOOKER, and tl,0 paid 4ohoo ar. laid to feet at the N ~tonftJ
Cl"melory, Fort. Jndlantown On", I~obftnon County, PennsY!'.'lnitt.
~ tllrther dtroot that my cremation .hal1 be ~onduoted '-V tllU
Halp..It Funara! Homo, MQunt Holly Bprlnso, Cumberland "'''lunly,
PonnnvlvClnin.
Ita. 7: I appoint my rrlend, Lho said SIDNRV W.
[1.1.li1l,
bacutrlx of thlB my Loot Will.
Should my rrland, ocr.'IIIlY W.
i!
I'
.,
Il
HILLER, tftl1 to quality or 08.,80 to act _48, Exeout. i)(, I
appoint the Bald WENDV BELT, Exocutrlx or thlo my.Last Will.
ItOll R:
1 diraot that my peroona!. representative or
h the! r DUOCQPOOf8 ohal1 not be requl rod to sive,. bond ,. .' tho
fftlthrul PQrformftncQ of Lholr duties In any jurisdiction.
IN WITNRSB WHEREOF. I h.vo horounto set my hand tht ...L
day or~- J.-: .OJ....
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Tho preoedins inptrumont, oonpi.tins o~, ,thi,D ,~nd oon ell
other. typowritton PltRO, onoh idRntitiod by tho 8,isnfttllrt.' Df
tho Toptatrlx, IlLIZADSTIl O. LOOKSR, was on. tho day all" 'Inln
thoraor slenod, publlshod nnd declared by ELIZABRTIl O. 1.'QKRIl.
the Tootatl'lx tharoln nomad. 00 and for har Last Wlll, '" tl,..
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~-----------------------~---------~---------------
DN.o.~~,~8,236. COMMOND~~~~~T ~:R~:~:YLVANIA
- OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
..
'1~I1Uh(&.'"
RECEIVED FROM,
a
ACN
ASSESSMENT r:'I
CONTROL ...
NUMBER
AMOUNT
COYNE HENRY F ESQUIRE
3901 MARKET STREET
101
"e'i'7.7e
CAMP HILL, PA 17011
_ '010 Hr., ,aD HilI
ESTATE INFORMATION,
~ FILE NUMBER
r.a 21-199:5-0794
~ NAME OF DECEDENT ILAST)
~ LOOKER ELIZABETH G
II DATE OF PAYMENT
EI POSTMAR E
COUNTY
SSN 179-16-17:53
IFIRSTI (MI)
CUMBERLAND
DATE OF DEATH
REMARKS
m TOTAL AMOUNT PAID
SEAL
SIDNEY W MILLER
C/O HENRY F COYNE ESQUIRE
CHECK" 1402
.897.78
SK
RECEIVED BY j;'i(ijA./1 C l~.U)..A"vJ .:II/U
a 510NATU:lE , T
';I,'/.f)i/I"t.-
MARY C. LEWI8 J. ' /,' l
REGISTER OF WILLS
REGISTER OF WILLS
,,----'---- -------.--..~- -:--:""':-"-.;---~""""':"~,~- -- ---- ------:--~-----.---
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REV-lS47 EX AFP (12-95*
COHHOHWEALTH Of PENNSYLVANIA
DEPAATttENT Of' REVf:NIJ[
BUREAU Of INDIVIDUAL TAXES
D[PT. n06D 1
HARRISBURa, PA 17121.0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT. ALLOWANCE OR OISALLOWANCE
OF OEOUCTIONS ANO ASSESSMENT OF TAX
ACN 101
DATE 03-25-96
E FILE NO.
DATE OF DEATH 09-16-95 CDUNTY CUMBERLAND
NOTE. TO INSURE PROPER CREOIT TO YOUR ACCOUNT. SUBMIT THE UPPER PORTION OF THIS FORM WITH YOUR TAX
PAYMENT TO THE REOISTER OF WILLS. MAKE CHECK PAYABLE TO "REGISTER OF WILLS, AOENT"
REMIT PAYMENT TO:
HENRY F COVNE ESQ
3901 MARKET ST
CAMP HILL PA 17011
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE. PA 17013
A.aunt H..Ht.d
CUT ALONO THIS LINE .. RETAIN LOWER PORTlDN FOR YOUR RECORDS ....
iiE'Y:is4i-i1C-"FP-Ci'Z-:9SriiCificni;;--iNHEiiii'ANCE-TAx-A"ppiiA"isEHEiir-;-"Li."ciiiiiNcE-iili--mmm------
DISALLDWANCE DF DEDUCTIDNS AND ASSESSMENT OF TAX
ELIZABETH G FILE NO. 21 95-0794 ACN 101
TAX RETURN WAS, I I ACCEPTED AS FILED I XI CHANGED SEE
ESTATE OF
LODKER
DATE
ATTACHED
03-25-96
NOTICE
RESERVATIDN CDNCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE DF RETURN BASED DN: DRIGINAL RETURN
1. Re.l Eet.t. ISchedul. AI III
2. Stock. and BondI (Schedule BJ (2)
~. Clo..ly Hald stock/Partnership Int.r..t (Schedul. C) (5)
4. Kartgagel/Not.. Recelvabl. eSchadul. DJ (4)
5. C.ah/B.nk Deposlta/Hilc. Par.onal Property (Schedul. E) IS)
6. Jointly Owned Prop.rty CSchedul. FI 161
7. Tran.fara (Schedule OJ (7)
8. Tot.l A...t.
.00
.00
.00
.00
10.112.37
.00
.00
IBI
10.112.37
APPRDVED DEDUCTIONS AND EXEMPTIDNS: 3,410.69
9. Funaral Expan.../Ae.. Co.t.'Hllc. EMpan... (Schadule H) (9)
10. Dobt./Mortg.g. Llobl1ltl../Llen. ISchedule II 1101 165.44
11. Total Deduotion. (11) -
12. H.t V.lu. of T.~ R.turn (12)
lS. Ch.ritabl./Oov.rnM.nt.l a.qu..t. (Schedul. J) C1S)
14. Net Value of Eat.ta Subject to T.~ (14)
NDTE: If an a......ent waR issued previously, lines 14, 15 and/or 16, 17 and 18
reflect figures that inc1ud. the total of Abh returns assessed to dat..
ASSESSMENT DF TAX:
15. A.aunt of Lin. 14 .t Spou.al rat. (15)
16. ~ount of Line 14 t.~8bl. at Lin..l/Cl... A rat. (16)
17. Aeount of Line 14 t.~abl. at Coll.t.ral/Cla.. Brat. (17)
18. Principal Ta~ Due
~ .1i7~ 1~
6,536.24
.00
6,536.24
will
.00
380.00
6.156.24
X .00.
X .06.
X .15.
1181
.00
22.BO
923.43
946.23
TAX CREDITS:
PAYMENT
DATE
12-01-95
RECEIPT
HUHBER
AA082364
DISCOUNT 101
INTEREST I-I
47.25
AMOUNT PAID
897.78
PAYMENT MUST BE MADE BY 06-17-96-.
TDTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
945.03
1.20
.00
1.20
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION DF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN .1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI. YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FDRM FOR INSTRUCTIONS. I
RESERVATIONI E.t.t.. of dec~t. dYing an or befar. Oec.-ber 12, 1"2 -- If any future Int.r..t In the ..t.t. I. tren.f.rr~
In po.....lan or enjopent to ClI.. . Icollltln1) beneflclarl.. of the dleHent .ftar the uplr.tlon of any ..tatl 'or
II'. or for YI.t., the CO-.Gnwa.lth h.raby 'Kpr...ly r...rv.. the right to appr.I.. and ...... tren.f.r lnn.rltancl TIKI'
It the; IMlful CI... I (coUat.ral) nta on ..,y .uc:h 'uture Int.r.lt.
PURPOSt: Of
NOTICE, To fulfill U. r""lr....,t. of Section UIljO of the Inhlrlt~. ~ Eahtl hK Act, Act ZZ of 1991. 72 P.S.
S.ctlon '140.
O.tach the top portion of thh HatlCI and .Walt with your pay.."t to thlt Rlalatlr of wlu. prlnt'd on the r.v.tla .Id..
..."_. chick or .aMy orMr pav_Ia tal REGISTER OF MILLS, AGENT
All p.v-anh rec.I.,.- aMll flrU be 8PPlJH to any Intarnt whIch a.y .,. duI with any r...lndar atJPlIttd to thl tlX.
RfFUr(D ICRh A rdund of . tlX cr.dlt, which .... not rlqw.hd an the hx Rlturn, ,ay be r.cwu-Itltd by coaplltlna M "Appl1cltlon
for R.fund of PIIf'In.ylv...la Inherltancl and fllIt. Tax" IAE\I-UlSJ. Application. arl .v.llabll .t thl Offlc.
of thl Rlalster of WIUa, MY of the U A.VInUI District Offlc.a, or by c.Ulna the .peclel lllj-hour
an.warlng ..rvlce nuabar. for for,. orderlngl In Pann.ylvanl. l-aOO-36Z-l0S0, out.lde P~.ylv...l. and
within loc.1 Harrisburg .r.. (717) 717-1094, TOO' (717) 77'-l252 IHaarlng 11IP.lr~ Only).
PAYttEHT,
OIJECTlONSI Any p.rtv In Int.rllt not IIthflld with the 'PfIt1Is..."t, .UawMC' or dh.Uowance of dlductlon., or .....uant
of t.x (Including discount or InternU I' shown GR this Notlc. .....t object within .lxty (60) dlY' of rac.lpt of
this Notlc. bYI
--..rittln prot..t to thl PI D.partaent of Rnlnu., Board of App..", alpt. 211021, Il.rrlsburg, PA 17121-1021, DR
--.l.ctlon to have thl a.ttlr dltaralned It ItUdIt of the ICCount of the p."on.1 rapruantatlv., DR
--~'II to tM Orphan.- Coort.
ADHIH
ISlAATlVE
CDRRECTIOHSI
Factu.l Irror. di,cav.rld an thl, I.....-.nt lhoUld b. IIIddr....d In wrltlna 101 PA a.pertalnt of Rlvenu.,
lurew of Indlvlduel TI)CII, ATTNI POlt AII...lllant R.vlaw Unit, a.pt. za06D1, Ilarrhbura, PI 17128-0601
Phone (117) 717~650S. S.. P.... 3 of thl baokllt "In.tructlan. far Inherltanc. T.)C R.turn for. Rllldant
Deeed..,t.. (REV.ISOI) for en IlCplen.tlan of IIIdt1lnhtr.Uv.h corractlbla Itratl.
If eny tell due Is p.ld wlthln thr.. (3) calender _nth. a'tar the dlC.d."t'. d..th, III flv. p.rc..,t CS)l:J discount of
the tax peld II IUowed.
DISCOUNT,
IHfEREST I
Intlr..t I. chlllrgld begInning wIth flr.t dillY of d.llnquency, or nIne (9) eonthl end ana II) d.y fraa thl d.tl of
cte.th, to the d.tl of plyaant. TaxII whIch bee... deUnquent b.far. January I, nil baar Int.r..t et thl rllltl of
.llC (6)1:) parcent par ........ cllculetld et III dlUy r.t. of .000164. All till" which bec... d.llnquent on and .ft.r
January 1, l'IZ wll1 balr Int.,...t .t e ,.It. whIch wlU Vlllry fraa cllllandar y..r to c.lanetlllr Yllr with that rat.
~Id by the PA Dap.rtaant 0' R.vlRUl. Th. appllcabll lnt.r..t rat.. for 19az through 19" .rll
'!!!! Intar.1t R.t. O.l1y Intlrnt Flllctor ~ Int.relt Rat. n.Uy Intarnt Flllctor
I'll .0. .0001"1 1917 .. .000247
1913 16. .000411 191.-1991 11)1: .000501
1'11Ij 11' .000SOI 199' .. .000247
1915 IS' .000S56 1993-199" 7' .000192
I'" 10' .000214 1995-1996 .. .000247
....Int.r.at Is ulcullt.d II 'allow.,
I"TEREST . BALA"CE OF TAX U"PAID X "U"BER OF DAYB DELI"QUEHT X DAILY IKrEREST FACTOR
--Any NotlCI I..u.d IIIftlr thl tell bacH.. dellnqu.nt will raflDct an Intar..t calcullUon to ,Ift..n (15) days
b.yond thl dlllt. of the ........"t. If p.y,ant Is .ad. IIIftar thl Inter..t COllf'UtlUon dlllt. .hawn an thlll
Hatlc., eddltlon.l Intarut llU.t b. calcul.tld.
II..'.,'OJI......
*
INHERITANCE TAX
EXPLANATION
OF CHANGES
COMMONWEALTH Of PENNSYlVANIA
DEPARTMENT Of REVENUE
IURIAU OP INDIVIDUAL TAXII
DEPI.280601
HARRISBURG, PA 17128.0601
DECEDENI'S NAME
fiLE NUM8ER
AN
SCHEDULE
ITEM
NO.
EXPLANATION OF CHANGES
--. ThlL vdu\'_ ..Or. th~..IlOUtqu"~8. .1>~l1n_QdJultl!c1.(lD Jill! _ rC!._u~.LIlCtll!L!;Qr_~!'_Cnl,"_
III an error In Qrltll~etle.
~ ~-- -...~.~ ~~~.- -_...~~~~_._.__.~~ ..~_ . -'_".___,~.,........' ,. '. '.~i" '_'..
_._~ -.. T_'_~_'____._.___.. ~'~,""'~_'_"'_~~__,__~,,_____,_ ,',_._",_._ <-__'~'_'_'_"____~.-.T H'M." _... '..____~~ '."'_'_' '..___,_'. ---".~_M_._.'" _...__~._______~ _._ ... ...__ __.
."_ "~4_. __..,_..__.... _ _ .....k.~ _. ._____.__+ ~_____ .__..____~ __~4''''_~'_~'_~__~_'__'_'"_,,,~~, __,__~_'.. ~_.,___.__.._..~...__..._'_...___..._.__. ~ _....~ _ __~ ". __..._.
--.._..___.._ _.....M.._...,....._~ w._~.~_ ...._'--___~-'--:-;..______~_."'_.,',.... _~:....-.,,--o- .."'_~ ..........~_.,,.,,....._..._..~____--...-~._~------.-___~ ~_. ...._ _ _." _.
~~---._------.--.-_- .....- ....m.~.m~.___;..~~..,.:.._.~.......~...,.._..._~_......------'-._.._......;.:...._~~_........;" ....;.;,....;.._____.;..____...............;.,....;......l_._.....:.._...__.__ ..._ d,_ _, ~. __.
_..-. ------'~-~.....--~_._.~_.._--------~"'"'-'"'-_........,.... -_._--_.~ ...,.-~~.__._.---...-..--....~-~-'_....------._-_--------..-_._-_._----
-.~-_ "." ..:_..,.~__._._ ~.~..~-+_--.:~--..,__~~D..~..;.."...,.......,._.._.,;""_~-..-~~...-______.;..i~:...~-:...-...--_......:..~____..~___........-'.._...--";".___._.___~~.~ ____. _.~_ ___
._..~-_....,-..~.~..~_...,~ ~..,.._.-,..,..~-.._."..-~_.~--~'~------...---',.__.~---~_..,-_._----...;.-_...._.......-_...-----:.......~_._-_..-
, . ." '"., .-..-
, . -' '. '. ....
--'""~--_.__..._-- -~~."'.'---.;.. ._~..,.~.~--_.._~.-~--_..~~_._-_..;.....:-.-_----....._....._.,.. -_.-..._------_..---"-------_..._---~.._-_..__...
.~- ...+--_..__~~__:-~':~_-_.~.-----,..~..~:+...- "___C'~~"L~_ ...___..,._..,_~~_:__.,.-.,~....-...._.........,-':"'-..----..-- __..",._~.....-~-_______...~~~______.._._.._ ._..__
- v"'_"'_.'_,_ .., .,.. __+~ _,--. -..--.;...~--....--.-...:.--.'7'--.--_.---~~.n:.,d ..,..-......_ _.d~_ __~__,__,___~. .. _.. ____.~.,"~.___~..____...
N.... ~ ~.._._ .~.__ _~_~.. ..___..._'.._..._.._.._..~_~__.,-_~T_.____y.._~_.__ _'_._._'_~' ~~.____.___. .._.__~ ~__~__.._'-_. .__... .._....._..,... ~,_.,"'_ ~.____......___.__._______
,~_.:__ _~~~__'I~__T._"._+___.~.___....__
.._......._-.-.~._-._- --.-----_.___ .,....__. __'_.' h ".~ ... ~.~~_.' ____._,.._..._._~,__.._~____,,__.__ __m_________ ~_~....._~ _.~.__.__._.____.;._.__ ~.. .._._. _..
____~~__.m_~__,~ T___~__ --____.._...__~___..~._~~ __.~..._..-,~,._.<_..,~_..._"--'--._.+.____~ ___'_~_""~_"~_~-'-~_~_'''_'_ ____.. _M.__..~..._~........_~._..__"___ ._._...__.. ~ .._...
.-....~ ~...- ._.....,. ,.---~----- -~-_.- . ...-.- - . -"'_'~__''''_''''''~'_'''''_' ~.~~~__._.y_4_...~_.____...__, .......
..~ ..-._, _"~_'+___.T_'~ _ ____., ~ ,._ .-~ _"'_'~":'.""__'" ,""...~_ .,. '._.~ '_~.Y _~2._,' ~,___ .___.+-.-,---~._--._'-,-._< _ . .,. ~.. __
TAX EXAMINER:
Shelln Hegonnoll
PAGE
,
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.'
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REV-1547 EX AFP (12-95w
COHMONWEAlrH OF PENNSYLVANIA
DEPAArKEHT OF REVENUE
JUR[AU Of INDIVIDUAL TAXES
DEPT. 2106Dl
UARRISlUUG, Pi 17UI.UOl
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF OEDUCTIONS ANa ASSESSMENT OF TAX
ACN 101
D~T~ gFo~EATH 09-16-95 ~~h~T~D. CUMBERLAND
NOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT TNE UPPER PORTION OF THIS FORM WITN YOUR TAX
PAYMENT TO THE REGISTER GF WILLS. MAXE CHECK PAYABLE TO "REGISTER OF WILLS, AGENT"
REMIT PAYMENT TO:
DATE 03-25-96
HENRY F COVNE ESQ
3901 MARKET ST
CAMP HILL PA 17011
-. 7:? r;::> r.::
'LS~l:;..
" _.
NM 2 2 1996
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
. ~_.. .!lETAXN LOWER !..~~!_~~~_!.~~_X~~!l__~~P_l!~~!'._._~____._.._._______.___.
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ATTORNEY AT LAW
3901 MARKET STREET' CAMP HILL, PENNSYLVANIA 17011 . (717) 737-0464
MESSAGE' REPLY
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3901 MARKET STREET
CAMP HILL, PA ' 17011,4227
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RECEIVED fROM,
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ACN
ASSESSMENT '='
CONTROL iii
NUMBER
"
AMOUNT
COYNE LISA MARIE
3901 MARKET BT
101
.1.eo
CAMP HILL, PA 17011
'01:0"'"
ESTAT! INFORMATION.
~ I UMIR
U e 1-1993-0794
II NAME Of DECEDENT LAST)
II DATE Of PA
EJ I'OSTMAR
COUNTY
SSN 179-16-17!53
fiRST) (Mil
DATE Of D
REMARKS
m TOTAL AMOUNT PAID
.1.20
DO
SEAL
SIDNEY W MILLER
CIO HENIW F COYNE ESQ
CHECK" 1460
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RECEIVED BY
REGISTER OF WILLS
/)Vo, /YI'
LEWIS
OF WILLS
I '
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MARY C.
REGISTER
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STATUS REPORT UNDER RULE 6.12
v
E!
Name of Decedent,
E4~'" tu"rll 6-. l-Oo~1C.
Date of Death, S~i '''1/99S-
Will No. ::1,/- fs-'- 07 <tV
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 )( No
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete,
J. If the answer to No. 1 is Yes, state the following'
a. Did the personal r~Eresentative file a final
account with the Court? Yes No ~ .
b. The separate Orphans' Court No. (if any) for
the personal representative's account iSI
'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.
~.~. fl.
nature 1
/...l'loA M"'~/1!r c.oyNe
Name (Please type or print)
'3",01 MI'\1CI<l!T ST., CAMP HILt, PA
Address 11DII
Datel
2rj.,,4,PIC 9i
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Capacity:
Personal Representative
~ Counsel for personal
representative
(MAHlrmf/AMJ)