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HomeMy WebLinkAbout95-00847 h/.,,,,.., Ta~~ JlE.~'-orJr:.R. 1'/'0 AUfl\t"ill/\ fl~pt. ~'( L. I'ETITIO:\ nm PIWBATE IIl1d GnANT 0... u:rn:ns .;;1./-1 QQ5-g4-'7 ~Il. I,): \'Odlll.\t'IIUIII' ,\0, , 111'tl'I/II'd .;I..o~. y ~. ., \ '1'1 Ih'~'lql'r 1)1 Wilh 101 Ihl' (illllllY \11' <-",,",""1:J'U'J ~~ ("lII1I1IlHI\\l'allh III PCIII1\yl\-Hlli;1 ill 1"0 III,' PI'IIIItHI III lh,' lllltll'IQt!III'd 11'\1'1'1.:111111\ It'pll'''''IlI.. Ih.II: lid ~ 'j _ . $TD...... \'11111 !,"luiIIIH'Il'I. \\liol' illl' I~ \t'ill" 1" ,I)',' III tlldel illl Ihl' l"L'\,:ul f'\:F.>l!.mA-.fJ'l m~~~_,. 1Ii1l11l'd 1I111wl.lq\\lIloltllrabtH\'tll'u'd"lIl,dalL'd ,.,ao,,:) ,_ -'_H__._'__"'___n"'-II')_.9_~ Hlld \'oi!lnlt'd d.1I1'\1 .._ __. _.__._. _.____.__ i-f,U,' Idl" ,1111 \'1".III1I",llld'~. I'}' ;,'tlillld,1l1l1Il. lk.!!it j,l 1"l\II1oII. 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(II 1101 d'11Ili..:Ilt.',111l PoL) P,,',..onal plOpl.'IlY 1I11'1l1l1Jly "ahl\' \llll'al ....'-1<111.. ill PLIlII,yhi.lllia ..illl:ih',! ;1' Inllim..: . }l'ill" nl a)!l', dll'd ('::JCJ\J. ~ .-------.. I Y-';}.s::... .;; "'~~""'''Q.:-\ N"\f'r~-u:. S. TCr':E~ ,~:!l(:) \.6..,,\\:,~s. <4:.~ ~ "~,,... ~~~~'A.c,... \-b... '\ lU~ II, -C,& ''1/' SD~'D ~ LJI-~; CD s. . L~~v ~ \\ 111111:1' 1111. 1''''11'"''0'1'' ""1"\'111111., PIl'''"'llll'd IIl'Il'\\lIh illHllhl' Vlillll 01 kill'." nI lit,. ""I will 1I11l1 o"didl(,) 11h.'IIlII, .1.,1: adlllilli~II"lliHl d,h.n,~',l.".l '" :..~ '. ; OATil OF PEnSONAI. 1n:J>.U:SENTATI\'E (,O\I\lO:\"h\I.T1I OF I'E:'I::"\S\'I.VANIA ('01 ''1\ OJ. CUMBERLAND I . ,. H:> 1111' !ll'lII illlll'lhi ;IIJI1\t"Il;lIllnl ,\\ {',\I (',I ,11 aflilllH'llhilllhl' ..,1.11l'1I11:lIh III lhl'lorl.'j.!pillg petition nrL' II II\.' .!Ild \ ''Ill'.,; 1\1 I Ill' ill"! \II thl' 1.II\1\\h.'dl'~' alld bl'lil'f III Pl'lIlhllll"(;") and Ihill ill, !1C'-"IlIIIUI fl'pu.....l.n. 1..II\d ! ,dlh' ,:hq\\, d"...,,'d:'1l1 !'\.'liIIOlh'II"l'~ 'II ilnd ""ly i1dlllilli..ll" Ihl' ""laic ,1I.'l'lJ1ding h)law, \ S"ll~11 t" III ;tllilllll'd ;111<1 '111"dll',.'.1 hd"'e'Ill. 'Ill. 11- tR d,,~.;.U I 'j' 1')9~ . '1Y1 l-L'Ll/ C, ~I -,.,CW-( v....fH 1,\./ 1 ;=-MMlY c. I.EW 1 S 1/ Ii J/}!tTt'(~U. . (tJ$ I!} -4'~, -! IJ k. ( "'{ ( ,--" No. ~1-lqq.5~ 8 '-/-7 Estutc of STONER TERRY I" STONER a /k / a TERRY LEE . Dcccuscd DEClmE OF PIWIJATE AND GRANT OJ. LETTERS AND NOW NOVEMBER 9 Il}~. In conslueralion of the pelltion on Ihe re"erse slue hercnf, snllsfaelor)' prllof hll,in~ heen presenleu befure Ille, IT IS DECREED 1IIII11he lnslrulllen1ls) Ualed NOVEMBER 3,-1J!93 deseribeu therein be lIulllllleu to prohnle nnd filed of recurd liS Ihe 11IsI will of TERRY L. STONER a/k/a TERRY LEE STONER IInu Lellers TESTAMENTARY arc herebygral1led 10 ROSEMARY MARIE STONER MARY '--lllCL LeI- ~. y: ( l.~'-'] 'P,L\\"/; In .0fUu.d C. LEWIS R'B"I~",r Will. JiL'p.-t:L tl/_ FEES Probate, Lellers, clc. ......... $ 25.00 Shnrl Certineates( ),.."..,.. $---3~O.o ~;n'?~~~a~ron ................ $ 3 . 00 -olCP- $ 5 0.0 TOTAL _ $ 36.00 FlIeu ,l'!t?X~!'1.~!'=.~..~ ~.. ~ ?~?........... ,\nORNt:\' lSIl~. CI. I.D. No,) "'>IlRI:SS PIIONI! C)CI C": ~. , . , C,., .) '_-=1 CALLED KXKIli:H~%K EXECUTOR NOVEMBER 13, 1995. ~/-/r;r;5- J>tf1 00 .-......' "C: 'i \() \-_-:1 :D '-"'-(1 I r,,:;, 'f,: ..J \,J ,{it ~ :.:i" " . . . .... ~ .. . . . " LAST WILL AND TESTAMENT OF TERRY LEE STONER BE IT KNOWN, that I, TERRY LEE STONER , a resident of MECHANICSBURG . County of CUMBERLAND , In the State of PENNSYLVANIA , being of sound mind, do make and declare this to be my Last Will and Testnment expressly revoking nil my prior WlIIs and Codicils at any time made. I. EXECUTOR: I appoint ROSEMARY MARIE STONER . of MECHANICSBURG PA ,as Executor of this my Last Will and Testnment and provide if this Executor is unable or unwilling to serve then I nppoint STEPHANIE BROOK STONER _ CHESTER FI ELD, VIRGINIA , us ulternute Executor. My Executor shull be nuthorized to ellll)' out ull provisions of this Will nnd puy my just debts, obligntions and funernl expenses. I further provide my Executor shnll not be reljuired to post surety bond in this or any other jurisdiction. and direct that no expert apprUlsal be mude of my eSlUte unless required by Inw. II. BEQUESTS: I direct that nfter pnyment of nil my just debts, my property be bequeathed in the mnnner following: ILEA VE ALL MY PROPERTY ( REAL AND PERSONAL ) TO MY WIFE, ROSEMARY MARIE STONER. Page...!- of 2-. KI07.1 .,- v IN WITNESS WIIEIUWF, I have hereunto set my hand this 3rd day of November , 1993 ,Ill this illY Last Will und TeSllIllIent. ~;);jl,- --' Sigmifure III, WITNESSED: This Last Will and Testament of Terry Lee Stoner wus signed and declared 10 be the signatories Last WilInnd Teslament in our presence and at the signatories request and in the signatories presence and in lhe presence of each other, we do hereby witness same on this 3rd day of November . 1993 i I -I I i 1 i I I , I I j ~a~",K--L"4!- Witness Signature / ), //'. ( I.' ,/ ,. I ' - ..l /......; ,.I.A.. .........- /I,~, f' " Witness,Sigriature / .?J z....- ,?.//_..'.~. '1l6~/tnl./ /"'.1 i';"L~~ Address .;r , _1 .'-J ,::,,:J;1'-!~tl,- .;t;,l/l~;' 'A- ,,, ((' t'i-- /\ Ilh!',', '0 /"4 i'k 11' Address J' i " 171"1f~ Witness Signature Address ACKNOWLEDGEMENT STATEOF PENNSYLVANIA COUNTY OF CUMBERLAND Daw: November 3, 1993 Before me, the undersigned NOlary Public, personally uppeared lhe above Signator and Witnesses, respectively. known to me or s:llisfuctorily proven to be the person whose names ure subscribed 10 this instrumcnt. 'nlese persons. being duly sworn, did hereby declare thut Signalor signed and executed lhis instrument as Sigmllor's Lnst Will and Testamenl and had signed willingly or directed another to sign and executed it as Signalor's free nnd volunlary nct for Ihe purposes therein expressed, and that each of the Wilnesses, in the presence of Signator, sIgned this LaSl Will and Testnment as witnesses and that to the best of their knowledge, Signalor was al the time nn adult. of sound mind and under no conslraint or undue inOuence. This instrumenl was subscribed. sworn and acknowledged before me. . ( '-I .,- .', I; ":\. ~ . t Page 2- of -2-. NciII.W[)jool .-A.&.ma,.NcWyP\.tllo Mod""",a''''lllbo. CunlloWtlrd Co<a:1IY My CooIV1.;soJOE.ofJnlSJ\JI'/20.1995 t W, ttlnr,MwIkl/A~'"t.WVl KI07.) .~. -} " -, , '1- -..:::::~ . - '" (OMPll n MAlllfm ..OD.U~ ~_~:n.I9~k-----.-'-- \ Y~D W, "'."'T'fIS mtPtlON( NUMIII -J- e . :J.L.lJl~LSl)~Q-.~=.- ~=~=___.. '"'" L.\~ 1\.rv..tI...,r.\.l~1! (11.--......-...---.-... 121-.---.......---- (31___------ (4)--'--'---- (SI ~.I.95_~----- REV.IM)O I" 17.~'1 .... ifi fil hl '" ~ ...... hliE~ \ :s:"'S U~"' \ .;,.... ...ifi "'''' "'z fl~ z '" S :> ~ !:l 1. Reol Eitate (Schedul. A) 2. Stock. and Bond. (Schedul. B) 3. Clo..ly Held Slot~/Pofln.nhlp In,.r..' (Schedul. C) A, Mortgag" and Notl' Receivable (5th.dull 0) 5. Co.h, Bank Depollli & Milcelloneoul Penonol Properly ISchedul. E) 6. Jointly Owned Properly (Schedule F) ...7. Tron,fe" (Schedule 0) (Schedulel) 8. Tolol Gran A.",. (toloIUn.. '.7) q. Funeral Expehi", Adminbtrotivl COI'I. Mltt.llon,oul bpen.., (Schedul. HI 10. Debtl. Mortgage Llobllili.., L1.". (Schedule I) 11. Tolol OeductiOni (10101 Un.' 9 & 10) 12. Nllt ValulI of Estal. tlin. B minus lIn. 11) 13. Charitabl. and Go....rnrnental Bequests {Schedule Jl 14, Net Value Sub'.d to Toll. (LIne 12 minus Line 13) 15, Spousal Tronsfan (lor date' of deolh alt.r 6,30,94) See 'nstructlon, for Applicable Percentage on R.....n. Side. {lndude vohlli !rom Schedule K or Schedule M.l lb. Amounl ollln. lot lallable 01 6% rate {Indude volu.s Irom Sch.dule K or Schedule M.l 17, Amounlof line 14 taxable 01 15% role {Indude values ham Schedule K or Schedule M.l lB. Principal 10,," due (Add la.lrom llnu 15. 16 and 17.) 19, Credils Spousal Poverty Credil Prior Pay men" " z S! ~ .. ~ .. '" u " .. .... + G i:.c." t.. ILl> P....17()'i) _ 8 Tolal Number of Safe Deposil 80lles lbl ( 7) q .u" IBI _...!:.~ I 5 (9) (10) ~").tjO'40 OJ, ~_Lj \), 40 _.1.'1 '-4, IKO (111 (121 (131 (\AI J951 u>O 5Y HI (151 (I b) (17)_ ,.._._'" ___x.O'b.- ,..~-~---_.._-_.~._. .____~)( .06 . --------- _)( ,15 III (I B) ""y; -w.)' Di"ount In'"est + (19) 120) (21) 'S '(L~-1 (21AI (21BI 5 JLtJ! ., ., . 20. II line 19 it 9reoter Ihon LIne lB. enler Ihe diller.nce on line 20, This it Ine OVERPAYMENT, aD 21. H line 18 is grealer Ihon LIne 19,1Inl.r Ihe difference on line 21. This it Ihe TAX DUE. A. Enter theinler.sl on Ih. balanclI dUll on line 21A. S. Enl.r IhlllOlol 0' line 21 and 21A on Une 218. This Is th. BALANCE DUE. Make ChICk Payabl. tal Regll'e, 01 Will,. Agent ~ .1 SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH Under p.nalll.. 01 p.rJury. I d.tI.r. ,hol I h.,. ..om;n.~ ,hi. 1.!Urn, Intluding occampony;ng "h.dul.. ond ..o,.m.nll, ond '0 Ih. b..' 01 my knowl.dg. ond b.Ii.I, il h tru.. carr.ct and campl.'., I d.tlor. ,h.1 011 r.ol ..,.,. hot b..n r.poll.d ., true mOlk., ,olu.. O.tI.r.lian 01 pr.por.r o,h.r ,hon 'h. p...onol r.pr...n'o,;'. I. bos.d on alllnformalion of which pr.par.r hos any \.;no.....ledgll. ~U" 01 ,,",ON ""ON'"'' 10' ""NO OIlU'" .0"'" - - D'IE a ~ _ ~~,,;..u- ~lk\._n~c.d"0~\....c..-.'~-J}.\,,.U'''..L-~~--- .ILL4_U- ~'GNA u Of ,R(PAAfIt 01HtW'T-''''Ni1I,~r&f---'- AOOH!l~ ~ . \ . .'. a'IE ~'-~\':~:-'::::~~~.'~b-'- .,,--Ll!DS" ESTATE OF 'tH~L \._ \"" F. <. ITEM NUMBER A. Fun.ral Exp.n.... 'Iv-un II. 1'.111 B. ~ "~'.'~'~" -!ifJ^" COMMONWUlfH Of P(NN$YLVANIA INHUltANCE: 'All '[W'N IUIDEN' Or((OEHI SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES L. p.'.!". P,lnt or Typ. FILE NUMBER ~,E~ DESCRIPTION AMOUNT 1. :) ~ tfO t/() 11"'"'1'\ \..f ~') 1. Admlnl.tratlv. Co.II, Po..onol Rop,o.ontollvo Commllllon. Social SoeurHy Numbo, of Po"onol Rop,o.on'ollvol Voo, Commllllon. paid 2. Allorn*y Foo. 3. Family Exo",~ . Clalmo~t "\.tf~,w. ~ c..., '\('W~'" Il Rolallon.hlp Addroll of Clalman' at doeodont'. doath \. J Ol( . . " . C StreetAddrou ,))" tl..""\"~t'>o.\"""'" CHy ,Y'"I\'"O: t \\. 5'010 l::...Qf "= ,\<N'i' ~t.h .\ Ir. Zip Codo r)f, <,\ . 4, Probato Foo. C. MI.e.llan.au. Exp.n.... 1. 2, 3. 4, 5, 6, 7, e. TOTAL (AI.o onlo, on IIn. 9, R.capilulatianl (If mar. .pae. I. n..d.d, In.... additional .h..,. of .am. ,I...) -fOtO"III , -. .-. '. .~ D AA 082462 COMMONWEALTH OF PENNSYLVANIA NO. OEPARTMENT OF REVENUE OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX .' '''' ~ .. ,. . ...11.2..1....' RECEIVED FROM, i ACN ASSESSMENT Ii' CONTROL IriI NUMBER AMOUNT ROSEMARY MARIE STONER 101 .00.71 1330 WILLIAM GROVE MECHANICSBURG. PA ROAD 17015:5 '010""1 ESTATE INFORMATION, ~ FilE NUMBER g 21-199:5-0B47 ~ NAME OF DECEDENT (lAST) 1;,1 STONER TERRY L II DATE Of PAYMENT EI POSTMARK 0 '{)aei4 COUNTY 1?o-IOO CUMBERLAND DATE OF DEATH SSN 202-42-7197 (FIRSTI (Mil REMARKS m TOTAL AMOUNT PAID ___.~15~-"11 SK ~J : ,~v RECEIVED BY L;'L.::..+-!....._.,;.\.woJA:.L.e- ..1 ! '. ..' ~.GNA1Ur MARY C. LEWIS REGISTER OF WILLS ROSEMARY MARIE STONER SEAL CHECK" 11523 REGISTER OF WILLS ___ _.______ _________ ________ __ _ _ _...._ _____ ____ _ _ _ ________ 0-__ .._. _.'~"_ . , ..._~~."..,.... --."-- ...-~_.-. - E _/" CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: -/-t.=R.t..Lj ~. ST()tJ~f!- Date of Death: }J - '3..q,>-- Will No. Admin. No .J 'lq I; . DO 15 4/. To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on Name ,'~DSC(T)AR.~ (l') STlJ,.;)l!:"L Address I '),'~(') ll) " l\ ',,~ mS ~ ~ R'D yY\f;::'Q.}+ ,u.h \ JD~'r;- Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: /. /(/ 9", @l'<y,).ll.J~U-o- m. '~~QI'\ Signature ~ S ~O~e: t:- Name 1<()') r-: (\'k1 R '1 m Address J 'J, .~C> l;:::l \, \", 1'\-"" ) {., K' ~o an F-L \-l - Pl:L 11c..'S"~ Te lephone 17/;, {~ Cj 7 . -0.36 ,..J ~ Capacity: V Personal Representative ;;() Counsel for personal representative ~.~ I ;.. -. ~ N N 't':~ .J a: {-;. () . . ,) ~ :;;: '-' '<:t ~ ) r; ~ () . I) o t" rt>u: a: '0 P' f ,} :':J '''; f. _::l UU PAYttENT, D.tach the top portion of thl, Hatle. and lub.lt with your pay..nt ..d. pavable to the ns.. and addr... prlntad on the raver.. _Id.. If RESIDENT DECEDENT ..ka check Dr .onay ordu p.vabla tOI REGISTER OF WILLS, AGENT. If HDN~RES10EHT DECEDENT .aka check or aonay ordu payable tal COHHONWEALTH OF PENNSVLVAHIA. All pay..nt. r.calved ,hall ba applied flr.t to any I"t.r..t ~hlch ..y ba due with any r...lnd.r applIed to the l... REFUND (CR)I A r.fund of . taM credit, whIch wa. not r.qua.tad on the 'ax Return, .ay ba r.qua.tad by coaplatlng an "ApplIcatIon for Refund of Penn.vlvanla Inheritance and Eatata 'ax" (REY-1SIS). Appllcatlonl ar. avallabla at the Office 0' the Real.ter of Will., any of the 25 A.venue DI.trlct Dfflc.. or fro. the Depart.ent'. 24-hour an.w.rlnD .ervlce nu.b.r. for far.. ordering, In P.nn.ylvanla 1-800-S62-2050, aut. Ide penn.ylvanla and within local Harrhburg ar.a (111) 181-809", TOOl (1J1) 172-2252 Ule.rlng IMpaired only). DI5COUNTr Que.tlon. regarding error. contaln.d on thl. notice .hould b. addre..ad tal PA Depart.ant of Ravenua, Buraau of Individual Tall", ATTN, Po.t A..a...ant Revlaw Unit, Dapt, 280601, II.rrhburg, PA 11128-0601, phona (111) 181-6505, If .ny tall dua I, paid within thraa (3) caland.r .onth. after thl dacadant'. death, a flva parcant C5~. dl.count of tha tall paid I. Bllnwed, REPLV TOI INTEREST I Int.ra.t I. chargad bag Inning with flr.t day of dallnquancy, or nlna (9) .onth. .nd an. CI) day fro. tha date of daath, to tha d.te of ply.ent. Talla. whIch bec..a dallnquent be fora January I, 1982 baar Int.re.t at the rat. of .Ix C6~) p.rcent par annul calculet.d at a dally rat. of ,00016,.. All talla. which beca.. delinquent on and aftar January I, 1982 will ba.r Intar..t at a r.ta which will vary fro. cal.ndar y..r to calandar y.ar with th.t r.t. announced by the PA D.p.rt.ent of Rav.nua. The applicable Intar..t rat.. for 1982 through 1996 ar., V.ar Intere.t Rat. Dally Inter..t Factor Veer Inbr..t Rat. OaU., Int.r..t Factor 1982 20X .0005<<'8 1987 .X . DOOl<<'1 1983 16~ .DDOU8 1988-1991 lliC .000301 198<<' ll~ .OOUOI 1992 'X .ODOl,.1 1985 UiC .000356 1991-1994 1X .000192 1916 10iC ,000214 1995-1996 'X ,OOOlU nlntan.t I. calculated .. followl! INTEREST . BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notlc. I..ued .ft.r the tax beco... dallnqu.nt will refl.ct an Int.r..t celculetlon to flft..n CIS) day. b.yond the data of the ........nt. If p.y.ant I. .ad. .ft.r the Int.re.t co.put.tlon date .hown on the Hotlc., additional Int.r..t au.t b. calculated. . '/ I ~) {.,,; ';i " j REV-1547 EX AFP (12"95* COMHOHWEAlTH Of PENNSYLVANIA DEPAATHENT Of' REVENUE BUREAU Of INDIVIDUAL TAMES OEPT. za0601 HARRISBURg, PA 17Il.~D601 DATE 04"08"96 ACN 101 NOTICE Of INHERITANCE TAX APPRAISEHENT. ALLOWANCE OR DISALLOWANCE Of DEDUCTIONS AND ASSESSHENT Of TAX ESTATE OF FILE NO. DATE OF DEATH 11-03-95 COUNTY CUMBERLAND NOTEI TO INSURE PROPER CREDIT TO YOUR ACCOUNT. SUBHIT THE UPPER PORTION Of THIS fORH WITH YOUR TAK PAYHENT TO THE REOISTER Of WILLS. HAKE CHECK PAYABLE TO "REOISTER Of WILLS, AOEHT" REMIT FAVMENT TO: RDSEMARY M STDNER 1330 WILLIAMS GROVE RD MECHANICS8URG PA 17055-1429 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 AIIO~t A_Hted CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ~ iiEli=isl,"j"EX-"Fj.--n:i:9S"i"iicificE"-OF-YliHEiiiiiiNCE"YAX"XPPRXiSEHEli'i"-;-,U.i."owiiNCE"oli"---------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX TERRY L FILE NO. 21 95"0847 ACN 101 TAX RETURN WAS, ( I ACCEPTED AS fILED I XI CHANOED SEE ESTATE OF STONER DATE ATTACHED NOTICE 04-08-96 RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN 1. N..l Eat.t. (Schedule A) el) 2. Stocks ....d BondI (Schedul. DJ (2) S. Clo..ly Held stock/P.rtnar,hip Int.r.at (Schedul. C) (5) 4. Hortg.g../Not.. Receivabl. (Sc~dul. DJ (4) S. C..h/Bank Depolita'Hlle. P.rlon.1 Prop.rt~ (Schedul. EJ 15) 6. Jointly Owned Property (Schedule FJ (6) 7. Tranafa,.1 (Schedule 0) (7) 8. Tot.l A...t. ,00 .00 .00 .00 4.195,00 .00 ,00 IBI 4,195.00 APPROVED DEDUCTIONS AND EXEMPTIONS: t 2.240.40 9. Fun.,.al Expan.../Ada. COI a/Hllc. EMpan... (Sc~dul. H) (9) 10. Dabt./Hortgag. Llabilltla./Lian. ISchedula I) (10) .00 11. Total Daductlona Ill) 12. Net Valu. of Tax R.turn 112) 15. Charitab1e/Govern..nt.l Oaqu..t. ISchedu1e J) 115) 14. Net V.1ue of E.t.t. Subjact to Tax 114) NOTE I I~ an assessment was issued previously, lines 14, IS and/or 1&, 17 and 18 reflect ~i9ures that includa the total o~ ~ returns assassed to date. ASSESSMENT OF TAX: 15. A.aunt of Lin. 14 .t Spou.al rata C15) 16. A.ount of Line 14 t.xabl. at Linea1/Cl... A r.te 116) 17. A.aunt of Line 14 taxab1a at Co1l.t.ral/Cla.. D r.t. 117) 18. Princlp~l Tax Dua TAX CREDITS: PAYHENT DATE 01-02-96 1.140 40 1,954.60 ,00 1,954.60 will 1,954.60 .00 .00 X'OO. X .06. X .15. UBI .00 .00 .00 .00 RECEIPT HUHBER AAOB2462 DISCOUNT INTEREST 1+1 1-' .00 AHOUNT PAID 55.71 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE 55.71 55.7ICR .00 55.7ICR . If PAID AfTER DATE INDICATED, SEE REVERSE fOR CALCULATION Of ADDITIONAL INTEREST. I If TOTAL DUE IS LESS THAN f1, NO PAYHENT IS REDUIRED. If TOTAL DUE IS REfLECTED AS A "CREDIT" ICRI, YOU HAY BE DUE A REfUND. SEE REVERSE SIDE Of THIS fORH fOR INSTRUCTIONS. I RESERVATlOHI Elt.t.. Df decMiw1t1 dVlng on Dr tMfDn Dee"'r II, 1.., -- If .-tv 'utur. Int.r..t In the ..t.t. II tnn".rr'" In po.....lon 0,. MJDV.Wlt tD Ct... . (coll.t.r.l) __tlcl.,.I.. a' the d.c.cMnt a".r the ..plratlan D' MY ..tat. 'or 11'. or 'Dr V'",, the C~.lth h.rabw Illpr...h, r...,.".. the right tD apprlh. and ...... trMlf.r Inharlt~. TI." at tha I",'ul CI... . Ccoll.t.ral) r.t. on anw IUCh 'utur. Int.,...t. PURPOS< I1E NOTICEI TD fulfill the r.qulr.lantl Df s.ctlon 21'0 Df the Inharlt~ ~ E.tat. Tax Act, Act 22 D' 1991. 72 P.I. S.ctlan 21". PAVttEHTI Detach the top portion of thlt Motlc. Met .ub.1t with 'lDUr P.Yttef'lt tD the bolahr of WUIa prlntM on the n\/lr.. aide. u".. check Dr ~w Drd.,. p.wlbll tOI REGISTER OF MILLS. AGENT All P'YHntl r.calvad 111.11 first ba .ppllad tD .,., Int.r.at which ..y tM duI with MW rea.lnd.r applied tD the tl.. REfUND eCRU A refund D' . tl. credit. which .... NIt r.qu..tad an tM T.. A.tum, ..w be requested by cotlPl.tlntI Wi "Appllut1on for R.'und of Pann.ylvMII lm-rUane. Met E.tlt. 'I." CREV-U1S). application. .r. aVIUabl. at the OffiCI Df the A.oltt.,. of WIlIt, fM'ly Df thl U R.vlt'IUII District Offlc.., or b., c.Ulno the sp.cI.. ".hDur M._rlnll ..rvlca nuab.,. far fDr.. Drdlrl",1 In JWwwyI\/lnl. l-100.S6Z-20S0, outdes. PeMnl"....I. and ..lthln loc.1 Harrisburg .ra. 1111) 117-10"', TDDI (nn 77Z-zz.52 C....dng lap.lrad Onlv). OIJECTlONS. An., party In Inhr..t not ..thU.d with thl (tf)fInl......t. 11lawenca Dr dl..UOtlanca Df daduCtlons, or ......Mnt 0' t.. (Includlno discount Dr Int.,...t) .. shawn an thll Motlc. ...at ObJeet within abty C611 da.,. D' recalpt Df this HDtlca bVI u..dU.n prDt..t tD thl PA D.part..nt Df Ravanul, IDlrd Df Appa.I., Dlpt. nUZI, tllrrlsbUrGl. PA 11121.1021, OR .-alactlon to hi'" the ..ttar d.t.,..ln.d .t ludlt of the account Df thl p"tonIIl rapr..ant.U"I, OR u...,..11 to thl> OrphM" Court. AOftIH ISTRAflVE ComttCTIDHSI factu.1 .rror. dl.co".r.d on this .......ant .hould be addr....d In ..rlting tDI PA DIPlrtlant 0' Ra"~, Bureau Df Indlvldu.1 "II", AnHI po.t A......ant R."I... Unit,. D~t. ZID6D1, H.rrhburo, PA 111Z1-D6D1 Phone (17) 717.6SD5. S.. p.g. ) 0' thl booklat "Instruction. 'Dr Inherltanc. ". Rlturn for 8 R..ldant Dlndent.. CAEV-150IJ lor 111 'Ilplwwtlon Df IdIllnlttrsU"a.v cor'tachbll "rar.. DISCOl..ll' I If any". dull II plld ..lthln thr.. UJ c.lMet.,. eonths .tta,. the decadant'. d..th, . fI"a p.,.cant CS~J dhcount 0' tha tl. plld I. .llOWld. Intl,..t II charo~ b.glnnlno ..lth ,I"t d.y of dIlJ".,.ncy, or nl". (9) eonth. Met ana (11 dlV frD' tha d.t. D' de.th, to tha d.te II' plye."t. ,.... which b.c", dllInquent bafar. Januerw I, I'll blar Inl"..t .t the nt. Df .1. C6%) p.rcent plr ~ calcullt.d .t I d.ll., rat. of .000164. All t.... whl~ blc..a dlllnquent on and .,t.r Jenu"v I, 1911 ..IU bur Int.,...t .t . rata which ..Ill va,.y ,,.01 cI)andlr y.ar to esland.r y..r with thllt nta ....-.ne.d by the PA D.p.rteant of R."enul. Tha applicable Ints,...t r.ta. '0,. I'IZ through 1996 .,.al IHIERESTI ~ Int.,..t Rlh Dally Int.,..t factor Valr Int.,..t Rat. Oslly Intar.at factor 1911 20% ,OOO~I 1917 OX .0DOl" 1,1) 16% ,0004111 1911."" IIX .oonol "64 IIX .ODDSOI ,.., 'X .000l" 1'150 ..X .000n6 1")-1''" lX .ODOI9Z "66 lOX .ODDU" 1"5.1". 'X .OOOZU ulnta,.st I. eslcul.tad .. follDMII InTEREST' BALAnCE or TAX UnPAID X nunSER Dr DAYS DELlnquEIfT X DAILY INTEREST rACTOR "-An., Notln luu.d .ft.r thei tl. baco." d,lIn~t flllIl r.flect ." Intar..t c.lcul.tlon to 11ft,." USI dly. b.Yond tha dlt, D' tha ........"t. If p.y..nt Is ... .,t.,. tM Int.,.st cCllllPUtatlon d.t. shown on thl Notlca, addition.. Int.,..t ",.t b. nicuhtld. .. ..".. . Oola i1,r=~ (.)~ IE ..- on ~, ... t".,~ cu' ~ ,- 8ii'r CDet: et: t::~ it... ':8' Ul ..,~ .-\'. ,~~i G' '\U : , ~..:: (',11> :',.0 'i::E CD:::> uu .- '.- ~ ~ --.- STATUS REPORT UNDER RULE 6.12 Name of Decedent: Tf..I~. t.'f L.. S 'TDIQf.~ I Date of Death: II ,1- J 99.s/ Wlll NO.J.jq,;, o o €;"Ll 7 Admin. No. ~ ) ~ I; 08'1..() Pursuant to Rule 6.12 of the Suprome 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: 3. I f the answer to No. I is Yes, state the following: a. Did the persgpal representative file a final account with the Court? Yes_~ No . b. The sepanlte Orph'1ns' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an . account informally to the parties in interl'st? Yes 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. Date: J() '/ '] .~O~ f ~ ~~ lC)c{.~ ~ - gnat.ure . --...>1 '100(fl'\ ~ "flJ C(,:.\ c. .s; [ON ff- Name (Please type or print) /30 Lv .~~,Jf) Add res s [VI cc. c It. , ~<=;.. .ULA l r1 7 . <;D 1-0 Tel, No, i'- ~Y.' \0 f.<;. ~T- I 7 CI.{~ ..- ,..~- " , e__) 1-,: . ~.~ . ~ ".)G Personal Representative Counsel for personal representative Capacity: ( MAil: rmf/ AM3) " \ --