Loading...
HomeMy WebLinkAbout95-00873 0"<~d',C':"S"'; ",'"'' .' ~:~i~;~~tl ly,;l.' ' ". i. :>;~:'f;< ' ~:: ','0 ' C' ,';.,; ;,: " '. " "'" '.', ,\' :,:;' "" .,l ,;, ; (ji;), . .~r'" '., ' ;"II,,'.'i\':'" ,< :i" .," , " ,.f. ,'; '" ' .,' ~i~':C' ,:,':'.". i' : : \{~;~ .; ,('t;; 'i''',!'; \~:~:;?i.;~::J "':' '.,! \r~~ :' ,,<,.,":Y:s:;,::, "~;,:'" ;:i~;">:':';' :,':~.n}J'\": ,. "."f,!;~t ;""".,t ::",:,",;,;, ," ~f:; :'~;:~;:0;'; }j::' ..,,;, ,. n i~:<I'J;<;;"'~\::' .. "j';,'" ,;; '<?;::;~ ,. ,,,: d': ';:,". c.;,,:;',i ': ;,".':.': ::j;J,:j,,: .;' ',: ;. 'l' 'l, '., ,:"\::,~"",,,;:.,." .', f:i~:'~ ", i,;,;,; , ,": ,..., t\ :,' '': " ,',', ," ,:J<:!~~'h1:~~ ,,", ': ;' ';;:::'C"";.";:? I .,,' . '~.'.l,' >~,~j!:.::.~ ;":.'.> '.: {,... ". ,r '," ~ .. ,. '{,} ~.~': :::~ . ~:C";~'I;.~,: '~; i~j~~:;~;'~ ~ ~~~~.;~ {. ;'~L~V?D?~i;"-' . J};;" .' , , tc) t- M . Il,'" ,IC) ',' ,'.' "'. '-" ' c:r. . a- "~'I ---, . . . .',. . i. ; I,' :" " .. .-,:'.'..:<"'" 't1S . <,':"0 " .' '. ';: .,'. ,:,': ..' '" ..' ,..., 'I ,.' . "0 " . ,;' ',' z'" ..... o '......, G) .'.'-': 'B . 1ft III ~ ", ~ '. '., .. ~f~;~f~~f.~ ,,> S?'T .'-, :>..~..' W:';j'.; ','. ;,.y:'>.:' :', _ ~:\it;:t;~"~;:".'::,-,,, ...', .....,...'..,:r:."'......,-" ;i.:: ~ j;'","/;', .... ,;.. :,'.',:;;,"".: :.,<:::';:X:,','1' ,,...:y',..... /}Jt.?";" ;' .''' '" .': .. .:,..,..' " ',' ~': J ',. .. ,.': '''; ,..' ,; :.',' i: ' , ,~."::.: .. , ;'<'::,' ,.'", .' .f -.0 _ '~?,~;-: ",,':::;;;f~" .. ' ",&~Mt:(;ft~ i~N_ ,~-" ""_""irfL-~~ ':':%.;;\'..{,~!N:" .,-')~~~ 0" 'h"~-' Jc - ",' :"/r;:t , "; ,:: :., ~~t~:~~, :;.;.ce', tc~ ' .~-<;,')!?'-::. .~,~ ':. \:; ~ "~, f<" ,"-" ~'+?-'};-:: Jl~!!;,i::;~,i:\. 1~~;,;1 ,.;,), ~,?J , J~,;c' ;JI,!";;,,. {:,1f:<1T M. '",' 'i:C:j~; "", ,.;.':t...,,?~:' l~f:,:" :......',' ..::,c,,;',\:::',,"' :,' .",' I' '.', '. ,.".;,'.: ,."...: ">::';:':j Ir;;::~: ":f;;', i.'\)'..;;:::' , I; ,".' ..'i>:';" ':,;" ."U:;<{~ 'B:f, ,,;:~....;;:~~~I?:0/;:''' ':,\ b;'. I;:".',:.., ,.'t{',,! ' ",,:/' ., ....-"....".."..., ...' . "t..... ~ ,....' , ,'..,..<'..' . '. ~:'.c.")<~,,, Y,;; J~;~"i~:~.:.:(1";;:~;;Si~';;i::;"" . I ' " , ':;'<:"'~' "'" ,.,' ,,"'....:;;.y,..:;,,< ;::;',..." ,:",,". ' ..,' ".., ,.,:,,': . ',L.;.!,:,,',,:., ".'..1;. , '" ., ,. " '" ',," . ..,,~., '. .. .,..'. ~~,:J ..,,' '" . '. ...,.' ".., ",,; c',' ., ' . .'.. . . :, ." ' '.,,'. ". . ~,","T",T;, . ~,'i,: ' I; '.. " .. ': >': ',;'-'; ',;; . " 'Co,' , ",' ,,' ; ,,' :;,i",(r:i; , ,~Il .' ." <:::':/ sa " . - .",:";i~~\';):~~;:':~r~f:;v .., , ,.:'::~"," \.,',;;g,g,~~.jf1~/;~~r --.. . :;:; '.,.. ,.., ,. ,'" a. ,.,:.."';~):;>~~,}~.!;:;),?~$,:.~!i,ft"'.,~, ~ '~;~,~i~:~;' ":~,jj~~';'1 , _:;~~' " "L'.' ,\'~:t~j~(i\. ~ "" :;,y,;?", ,. :"';\ ':i:J~t (:;j;t,~~: c; " ':,~-'::' , ')ir;~~f,~~:~ .', < , :..~h':';'i, ~~~<:.:~;- '.~~I. .~ : ft'\ ~ -.&i ~,. . - .., : ,.. ,'~:/ ~: ;. ;:. h'. ,i, <:.)'1 t~~ri~ <:! " " ...::' ,.,i." " No.3' - I q q 6- g ~ 3 Estate of 1I01lBIl'r .1. ~IM\7.0l.l-' , Deceased DECREE OF I)ROUATE AND GRANT 01< LETTERS AND NOW tJl'\\Ir.'MllI"" ?n 19-!l5-, In consldcrallon of lhc pellllon on lhe Tevcrsc sldc heTcof, sallsfacloTY proof having boen prcscnted bcfore me. IT IS DECREED Ihatthc Instrumcnt(s) dalcd .1I11.V I I I Q7? dcscTlbcd Iheleln bc admlllcd 10 pTobatc and filcd of Tccord as Ihc last will of nnh..re.1 . Mnr7.o1f and LCllcrs Tcstnmcntnrv are hercby gramed 10 Thomns R. Mnrzolr ....-........... ----- --- FEES P b L E S 270.00 ro DIC, ellers, IC.......... s~~rp~&"~Wcales( 6} .. . .. . .... S 1 ~-;-8 8 Renunclnllon ................ S JCP S 5.00 TOTAL _ S ?q(, nn Filcd ..... NQy.r;t:l!.w~.. ?P.. ..\ ~~!?...... \./ lLa HI {.I. ';k /j'[ J' (1{ ~ \ (;~ III.//U IW) MARY l,;. L.):;W ::; t- - --"J 'alsl olWills /.\~ 1 ~ il.hf" II __HUl?- A TTORNE V (S\'~' CI. 1.15 ,...) 414 Bridoe St.. New cumborlnn~, PA 17070 ADDRESS (717) 774-7435 PHONE ()c. ~.;. ::0 , SHORT CERTIFlCATES WERE PlCKED UP BY MARY TWlGG AND CE~iT1FlCATE 8& AND RECElPT WAS MAlLED TO STONE~S OFFlCE. -,.-)- . ~. ,.,-< ..'. 01 , , '~, ~ ',. ",.," 0.' ',,"' J5 ,dll, :S ] '..~., 1111 ~ ~d ~ ~ M i ~ ~. ., ~.. :z' ' , -,' ", i il ~ ~ ,. .., ~. li! , ., ';! :"j " " 'in' 'I " <\ .!.' ~. " ,I II ~. '. . . 1.-\51' IH!.!. AND TESTAMEm' 'I :1 n , ! OF 1l0UERT J. NARZOLF I, 1l0llEIlT J. ~fAIlZOLF, of New Cumberlnnd, Cumberlnnd County, Pennsylvnnin, baing of sound mind, memory nnd understnnding, do hereby mnke, i I I II I' and making void any and n1l other wills by mo at nny time heretofore made. publish nnd deelnre this ns nnd for my Lost IHil nnd ! i Testnment hereby revoking I ! I. I direct thnt my Executrix hereinnfter nnmed shnll pny nll my just debts nnd funernl expenses ns soan ns conveniently mny be done nfter my decense. I ~I" ~ I unto my wife, LILLIAN 5. MAIlZOLF, if she survives me Ad I nys. II. by n period i 1 renl,l I I I and bequeath I of thirty I days, then I All the rest, residue nnd remninder of my estnte, whether rsonnl or mixed, nnd wheresoever situnte, I hereby give, davise If my snid wife docs not survive me by n period of thirty , I ~ this gift to her shnll be divested, and I then give, devise nnd bequeath my 'i-... ';{Dentire estate unto my four chlldren, lllENE N. LEONARD, ALICE E. ~fAIlZOLF, I )' . 'i I ~[ \~ I MAllY L. 'lWIGG, and TIlOMAS R. MAIlZOLF, in equnl shnres. III. I hereby nominnte, constitute nnd appoint my wife, LILLIAN S. MAIlZOLF, ns Executrix of this, my Lust Will nnd Testament. If the sa id Lillinn S. Marzolf should predecease me, or otherwise fnils to qualify, or censes to act as such, then I nominate, constitute and nppaint my son, TIlOMAS n. MAIlZOLF, ns Executor. IV. il No fiducinry ncting under this IHll shnll be required to post II I, bond in this jurisdiction or in any jurisdiction in which he may act. LAW O"ICI:. JON F'. \-"',..AVER aI' T"'~D .TAIIT Pnge one of two Pages Ntw CUM.lIlLAND......, 3-27-1996 <I, OOPI,' FROI.' STONE LAFAIIER STONE 717 77<1 3069 P.3 f. y-, // CERTIFICATION OF tlQ.rICE UNDER ~ULE ~. 61 d) Name of Decedent I Date of Deathl R.O~f'~+ -:.\. 19(;~ l; f' ,. , I- f i cl ~"'T,C I l ~ ' 1\.1 l" '/ -, , .'" , Will No. Admin. No. J C'/'Z~- ( C' F' ~I --< To tho Register, I certify that notice of beneficial interest requ~red by Rule 5.6(0) of the Orphans' Court Rulen wan 6orvod on or mailed to the !ollowin~ bene!iciarles of the above-captioned estate on I ~<:" '-:C, I [<,ir:; , , Name Address, /-11-~- ,. (I., ",I( ....L..": /41, C( (0' .,' /1 "'I I I'; /n.:J,.-'c , . Il \.. ,... I 1(-4,,- I'" ,-' J \._ c\ - .,. (!I\ \ 1;'1 \,/ : I / I I -- \: J',-('".: ILl. ~aH,",-(i, 1'( r:.,,; -::_ -~, /lL.dI1.....,t,(..)...,:( ,I~! /r/'f;Sr; ("le<rO( L. -/"I'CJ"\. r}:lf) ILle4.,("t,' j\,.\.(. ('t.,..,t2l},'1/ (Ii' 1....(:( I I .' .---,- NQtice has now been giyon t~ all persons entitled thereto under Rule 5.6 (a) except ,11<., '( I I DI1 to : )! 'l"" 'I <J <i )' ......' / J .'" ....;,' rt''''I .., /( Signature Name 7 hell, .t) '" ,J ,J" " , .' ~. ~'1.'1 I ~ / . 'Cl t,;cc a 11) .!1 N b '-,:-.: a: 0 ..,. ,.; .;- n : J . ~ u I " --1 ',J ;,'; ~ .. TI 'J :.!,U. r..'-~ g ',) , .w 0;, ~ '~r: E IDa: ~8 a: Address '2 ) It <: l'e f...,..', 1..i1 ,,,", ;', ("//if,' ZJ. l F .J -{l'l;:." A v~o l'll ()t.. Ie' s.?y - C 7:! 't ~ Of" Telephono.tC:{('1 Capacity: ,/ Personal Representative Counsel for personal representative 0(() k.(~ - /'77 :' I , ( r , \ ,.. ~ .) . , I , , ~ tJ. ~ . ~ Ittt ul ...., 0 I ~ 'I ~~ :V) i()- , i I I I I 1 , I 1 I I I 1 I C) I .... i ~~ I ,"'<:::- lLJ ~~ i ~. ;:" ! ~ 1--\ i~ \ , -. ."" ~.. .y ~ ::I: ~ :) G V) V1 I. J Q) -' 'J-... " ~ ~ - - ~ ~ -=> U 'I ~ - ~ ~ \.J \:; ~ 1- ~ ~ ~ ~ ~~\j ~ ~- ._.. ~~ ('1\ '- - n () .. - I::" .- - .. 6: .- ~::: ~ - "" '- - ~ U ,I 0, " , .)'.1 ':,; , \ .. -;..; I' ,"" I I , I '. I .. l' f' I -'~ , 'J :', !.Jr. {. )- ! - i -, . " '.. 'lj. . t', 'I' .. -... . ,., _..1 l' / ! ..l . I '''-. -j. ; :__-~l, I., ., . , . / , t' ~, ' ,.' I .f . .. ~ , ,,-.. " "---- , - *(''''" ....,.... ~.~- . -.- _'---~c'*""""""" . 11\'.1600 1\. 1'11"1 IS': (.?- "'I INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) :r ,,~:J~}(\ , _~~.uP I (OMMOt~""'\"l1U or rltmHI""tlIA I 1)f'A' MltH 0' '1\'IfWI I OIPI "'0(101 1 l4"UIUU'G,'A 11111 ~~, 1 DMtlHl~~'~M'll'" .~~.~ "td~~IU(ll IPit 1101.' .. ._Jl[,,:_?~<~l_,. _ r-.,."h"j'n.J. 'j . ''&' :Z';:ic;~ I_"?=~I:>_ Ii 1 ~"}'It; .. "s' (J.'f') o'l " '''''~':'(jz;.=:~''~'~~_:':_.''~:''''_J'':~'~,,{,~'' ~".". [~, Oliginol RelUfn [] 1 Supplemenlal Rolu,n ,lOR DAllSOf DIATH AnlR 12/31/91 CHECK HIRE II A SPOUSAL - I ~I~:~R~~:::DIT IS CLAIMED LL .mm u I -, 1_ I 7 I ) I' ..,/ '!' I ,_ I COUt'" COOf 1ll'11)1,.1 ~ t'J",mTi76n'I!>\ roC, V. "" , '(J(J i" I "",' ,', '>-. I J "'0' . 1\1.<1"'1' ,)ur")"1-/ ",;) r"",.,[ (_ Vr'1 Jf'''' ""'! 'M~'U",."t'IO""''''''~'''O''\i' h __h' n__._=~_ ~ ",:5'- blf~ "'''9 "E" [J A. lImiled hlol. Ll 40. Fululf lI'Llet." Camp rami.. ---./ 110, dale. of deolh ofter 11.17,011 (l'f6, D.ced.n' Died Te.lo'e [,'J 7. Oeceden' Maintoined a lIvinEJ Tru'l _8 Tolol Numb.r of Safe Oepo.it 80.... lAuoch copy of Willi IAUach copy 01 TrU'I) r l ( ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTEll: TO. NAM . . (O~'f( I "",,,,Ilt.<i AOO.U~ Thull.,,~ (.J., _U!k~~_{~~=--_____ 2/'1:;, ..1//,,,,, IhHHOt.1 NU"'''' . -- R . l A ..J 6/0 L6.0l::-' 7-7..'X _1....<?o~Jl~~,L()23-t3._ 0(. e':..,.kl~hJ.:~ 1:1_. o- Il) _,_ ..__..__ _.___ _____.... (2) ____L~.2j 5.t,,_y. -J? 0- (3).______. ___ __.._. o -- (4) "--To' '-S~I p-:nr (5) ____I.,___L.._ ") 10<..) .. 8 Ib).____., ),_,'_,'.J.~tI,_ 17) C)_~ 9 630, I ~ 191.__..___)__ _..,_ ..n' ' I ;',.12 ?..!.']j_ 1. Reol hlatl ISch,dul. AI 2, Sloch and Bond. (Schedule 81 3, Clollly Held Stod./Parln.,.hip Inter,,, (Schodule CJ 4. Mallgog.s and Nole. Receivable (Schedul. 01 S. Co.h, Bon'" Oepolits & Mi".lIaneou. Penonol Properly (S,h.dul. EJ 6. Joinlly Owned Properly (Schedule fJ 7, Tron,'e" (Sch,dule G) (Schedule l) 8, Tolol Gran An", (Iolafllne. 1.71 q, Funeral e.penlll, Adminilfrotlve Co.", Milcelloneou. E.pen'Il' ISchedule H) 10, Oebt., MortgDge liobllilie., lien. (Sch,dule II 11, Tolal Deduction, (loloflin,. 9 & 10) 12, Nel Value 01 E,'ol. (line 8 mImI' line 11) 13. Charilobl. and Governmental Requ.," (Schedule J) 14. Ne' V~lue Subl~~~ (line..!! minu. l~'!!.J~_._. _ ____.____. 15, Spoulal Tron.lerl Ifor dol.' of death ofter 6,30,94) See Inllrucllon. for Af,pllcoble Percentage on Reve"e (15) SIde. Ilnclude volu.. rom Schedule K or Schedule M,I 16, Amount of line loti laaable ot 6% role (Indude value. from Schttdule K or Schedule M,I 17, Amount of line 14 loaoble at 15% folo llndude volu" ham Schedule K or Schedul. M,) 18, P'inclpollaa due (Add toa from linen IS. 16 and 17.1 19. C,edil. Spou.ol Poverly Credit P,ior Pa-rmenll D60unt Inl'teU _________0_ + B,.OQ,.L + .___~..;L_ -.___,_.'.Jm_,._.. 20, If line 1911 9reoler than line 18, enler the dil'e,ence on line 20, Thil jl the OVERPAYMENT, aD ~ i5 lil u w " ,;,~ wi5 .." "z Sf z " 5 ~ III .. z " ;:: c f .. " u :I ~ 2-) ,.:)s,~. 90 1111 ___}____.._ 1121 _m2~_~}2-':/.IiJ2}~ o 1131 .__m_____. __.~) mm'__'h._______..J!:tL_,:?' -:I_'? ;'2 -/:j !, ,-,n x. ...~.. ._ ... ___~_.._"_...__~.. ,.___."_9,. ___/:J)S3.i.....'L?- . D- j.:;:l' C'j -I L/".' 1181____.. _ _/_"'- _,L_.._":"._ n 60'1 - 1191 .-- .___1_.0..'-...____ 1201 _.______n_._.._ 1101. IIbl .. 2'~13j2~LSL6-~-. .Oba 1171 ___._____ ._._________" . ,IS ~ 21. Check hero if you aro roquelling 0 refund of your ovo,paymenl. YEAR ~1l!~B(~ I 'J Remainder R.turn l'ar dote. 0' d.ath prior to 11.13,821 Federal hlat. To.. R.turn Required : Is \1) -fJ' '.'~..J . fto 1\" c I:'-JP(,? -; I 0 '/ L , , 18) _ 2 (;e. "]J 2 ,5::3 . J_______,.... 1211 121AI 1218) it CJ 10, (/2 ._.~.~_.___..__._______.._.._ _n___ (, 0- ..--.----rr-.-.---.......--- . _______cJLQ_._LL z_ If line 18 II greoler Ihan Lln. 19, IInler Ihe difference on line 21. Thl. i. Ihe TAX DUE. A. Entet Ihelnte,e.t on the balance due on line 11A. 8, Entllr Ihe lotol of Un. 21 and 21A on line 218, Thi. il the BALANCE DUE, Mall. Check Payabl. 101 R.ghl., of Will., ~".nt ~~ II SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH -0(-0( Under p.nohie. of p.rjvry. I declare thaI I hove uomined Ihis relurn, indudino accompanying "hedules ond slotemenlt. and 10 th. be.' of my ~nowledoe and beli.f, it jl tru., corrorl and complel', I d.doft thai 011 real 11.1010 hal been reported 01 truo mar. III ...olue. Declaration of prepau" other Ihon the p.tsonol repr..enlotive is ba..d on alllnformolion of which pfeporllr hat any ~nawled9.. "/%J.::'i~. ")l:t~~'~?) 9_ ~t:J:i~,.~~,~~(!':~~~f\~=.;-~~~,.ilr-, ~~~uii~i()~-_tt!l3 u:;~I-'-~1-9 G _ _.. ~ ~IG~~AIUU 0' ,,,,PA.tI 01111" filAr,-'1 '''U(HIA'lvl AOO/lI~~ r OAT( Act #48 of 1994 provldol for tho roductlon of tho talC ratollmpolod on tho not valuo of transforl to or for the ule of tho IpOUle, The ratel 01 prelcrlbed by the Itatute will bel . 3% (.031 will be appllcablo for oltatel of decedenll dying on or of tor 7/1/94 and before 1/1/96 . 2% (.02) will be appllcablo for oltatel of decedenll dying on or aftor 1/1/96 and beforo 1/1/97 . 1% (.01) will be oppllcable for eltatol of decedenll dying on or after 1/1/97 and before 1/1/98 . Spoulal transferl occurring on or aftor 1/1/98 will be oxempt from Inheritance tax. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (....) IN THE APPROPRIATE BLOCKS. YES NO 1. Did decedent moke 0 transfer ond: v' a. retain the use or Income of the property transferred, ....................................................... b. reloin the right to designate who sholl use the property transferred or its income, ............... 'J c. retain a rovorsic.,nary Interest; or ................................................................................... d. receive the promise for life of either payments, benefits or core' ....................................... 2. If deoth occurred on or before December 12, 1982, did decedent within two yeors preceding death transfer property without receiving adequate conslderallon' If death occurred after December 12, 1982, did decedent tronsfer property within one year of death without receiving adequate consideration' ............................. ......... ............... ....... ............ II.................... ..... (, / .... 3. Did decedent own on 'In trust for' bonk accounl ot his or her deathL.................................... IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. RfYoI.50:l fh 14.161 . COMMONWlAltH o. rlNN'YlVANIA INHUI1ANCf fAX RrWRN RUIDlN1DfClDlNl SCHEDULE B STOCKS AND BONDS ESTATE OF l?u be".:-I FILE NUMBER :r. {'1il/<',c',JL r 2/-1 q9~~Of:J'73 (All prop.r1y lolntly.own.d with Righi a' Survlvo..hlp mu.t b. dl"lo..d on Sch.dul. F.) ITEM DESCRIPTION VALUE AT DATE NUMBER < OF OEATH 1. Vat, 9lJ<>....d kJ~ /I ; V\~ -10'" Fend 10 I} 3'3l:?21 2. II ')heJ.....-I- -/Crt~ (;v-por ",J c 2o) "55'1.'18 ::s /1 GrJMA '20/137./8 4 /I J-h J h 'Ii e Id 20 '151. ~5 I TOTAL Also enler on line 2, Reeo ilulotJon (II mar. Spc..:e is needed, insert additional shoe" o( some size,) s ~2.. 56'7.32 , " t(VUOIlh 111'1 . SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY MA (2?') IF _ _ __.___ Ploo}o Print. or Typ'o __ FILE NUMBER 2/-1'1''1:;--08'73 COMMONW[AtlH Of '[NN~~IVANIA INHlln".CI tAl( .nUIN IUIOIHt OICIOINf ESTATE OF /C;;> b ~.. V\ u e..--, :T. IAlI P'OP"'y ,olntly-own.d with 'h. Rlgh' of Su,,,lvouhlp mUll b. dlulol.d on Sch.dul. F) ITEM NUMBER I, 2. ~ <4, s. DESCRIPTION VALUE AT DATE OF DEATH Va 1'\ ':fJv,,,.J PI" I'" ,: r'<.l'" (> I 11.v~<' 1- PNC. MO"~I M~,.~(',+ ~/Mri Sbl.lr"j R,..-f ()-(()Ce E~"P bl'\~l'!. Cl"'oJ, -/- Un i Dr') 32,/ 07"2., '7cJ ~/6?,27 22/8?B.G4 CDs . PNC. 38/128.57 us H ~ Bund 500 - s IOI5c:t?/B IAlloch addillonal SY,H )( llH ,h..t,lI mal. 'poce h n..d.d.1 , .1\ll~t"IIJ"1 _9..J~'9. ~ COMMONWEALTH Of 'INN!I't'lVANIA IHHEIIITANCE TAX RETURN RUIDENT DEClOW' SCHEDULE F JOINTLY.OWNED PROPERTY I ESTATE OF RQ ber+ J. NAR -=2.0 LF FILE NUMOER 2' - I 9~-08r,3 Joint tonontl.). NAME -----. -----~ AODRESS 747 M cl\..dor....l CO-"'f(7 /-Ii II, PA Dr /70/ I RELATIONSHIP TO DECEOENT 'Do.v~ t... -( er A. f'1,. ry L, Tw i,'J B. C. Jolnlly-ownod proporty. ITEM NUMBE LmER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY TOTAL VALUE OF ASSET DECD'S DOLLAR VALUE OF % INT. DECEDENT'S INTEREST 1. A PNC C~cbl\J f-lcc,,+ 4,311("" /6 50 2) lee,oB TOTAL (Allo enler on line 6, Recopilulallo'l) (If more .pace i. needeel inset' additional sheell 01 10m. size) s 2/BH,06 "~l~},, -51'lv.. COMMONWEAltH OF P(NNSYlVANIA INHERitANCE: 'AX .(tURN RUIO(NT D[~_(D(N' ESTATE OF Ro b..:' r,.f .::J , ITEM NUMBER A. nYUllllt,'lIl 7 .. , 7 -J, "1, S. B. 1. 4, C. 1. 2. 3. 4. 5. 6. 7. 8. l SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND ~ISC_E_~LAN_~OU_S EX~E.N~ES .. : , ,. !Iom Print ar Typo o ' .. FILE NUMBER M/lP.!:,)LJ____.-12/- /'7'1) -oB~r!>__ DESCRIPTION AMOUNT 1. Funoral ExponlOl' R r- I J~/ol.\ (' /'v,,''r. .... ~1-h~"'uf" C;58'5,20 fo'7Q,- 2.5'. - I C;o, '13 16,- Ro II;....'J c;........, c~~, d,., I O,...~'t"i .!. -t Foud f1. b 'r <;; -H~ r- , Admlnlltratlvo Calli, Penonal Rep'elenlatlve Cammlnlanl Social Secu,ily Numbel al Penanal Rep,elenlalive, Yeo, Cammlnlonl paid o 2. Alla'ney Feel 7?S, 3. family Exemption Clalmanl Add,e.. 01 Clalmonl at decedenl'l death SI,ee' Add,e.. Relalionlhlp 0- City Slole Zip Code P,obate Feel '3'2./, - Mllcollaneoul ExpenlOl' A Cc[~(n1-( 'L"'+ ~""$c.)r'l...1 RQP Er('~"'5e.s 7:.lS. 3.5'0. TOTAL (Alia enle, on line 9. Recapltulallon) s Cf 6"30. J 3 (II mare Ipace II nooded, Inlert addltlanollheetl af lame 11.0.) - ... I ~ 'I ". 11' rl "~.~:~l\ ...~f..... (O"""'ONIIloI '111i 01 '''j~H'IY''N11l INHU"ANCl ,.... tnUt,. ___, .. tl"I~_IN' ~!~!~.I.N' SCHEDULE J BENEFICIARIES ESTATE OF (20 b(>r-t .], MII/l.) c\nf ITEM NUMBER I. 2, ITEM NUMBER I. NAME AND ADDRESS OF BENEFICIARY 3. A. fallable aeque.h: In::.,\C M. L~..m"nj F:? DJ, I Bo y. 59 r;- OY'():J ~e) PA fJ lie e E., Mc.rj JI-f 309 E... 6 'J..!1 S~f Cons/-uhockcr'l fJA 1912 e 'I Mo.r-- I L. 7,: /~;J . 1)1'7 MC....."'hJW DrIve cAMP 1-(; /I PA J 70 If TI,o ('-10....5 R. MOo r,'!;c);.( 219 S :I.I!,...." A\I~. Rvs'i:! h.)",-(" P/l J9o/u-IO"l2 FILE NUMBER 2/-IC/CfS-OW'13 RELATIONSHIP AMOUNT OR SHARE OF ESTATE ~, NAME AND ADDRESS OF BENEFICIARY a. Charitable and Governmental Bequll'hl IJ...",111 (>.- "2.. t; % 'i.1V'1~dt't'" "2.~ X ~v,jdC',.... 2,1;% Son 2-~% AMOUNT OR SHARE OF ESTATE TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Aha en'er on line 13, Recapitulation) S IIf more 'pan I. n..d.d, Inn'. additional .h..t. af .am. .(18) . " -.......... .. ....- IN WITNESS WHEREOF, I, Robert J. Marzolf, the Testator, have unto this, my Last Will and Testament, set my hand and seal this /1 TJJ day of July, A. D., 1972. ( and of each other. ~J\...'/U ,., -.., J---., ... , . If. //, . .... ..! "-L.' I."cl'(.. ". 1r2~:;;~ )1 "':3~"AL j, , SIGNED, SEALED, PUBLISlmD and DECLARED by Robert J. Marzolf, the above-namad Testator, as and for his Last Will and Testament in the presence of us, who hava hereunto subscribed our names es witnesses at his request, in the presence of the said Testator "'.... 1___:)1 -) './ (., ...' ... ....... LIlW o"lcea 1011 ,.. LAP'AYll" II' umlD ""11.' .. tU....IIiILAIlfD. ~.... Page two of two Poges ! '--' /0 /I/Zi{f c, rl"/~7 () I -L F-o br~v'\ \ ,r;;~ e s "I~(""{ e c)-f' 'J', l'vl ill.? -i? 0 Lr , -',< , , ", ;, ~ \';\1 .'f';' , - .,-: ,;->;,~' -''; :!~ c'~'~;:.;)l:; " <,::1.-< ,.- ,. ., ,,: ~~ ,', t" ':",,~ ':_.' r; _.;~, ,::~~":':'''/ :~~ -,~,+~}? '~.-~g';} ~_' J. 'r' ~t- -.-:-/~ .1 -. .-4 ....... . BUREAU OF INDIVIDUAL TAXES lHtt[AJ1'ANCt TAil' DIVJS10H DEPr. l106DI IWfAJSI~, PA 17Ula060. COHHONWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE '* NOTICE OF INNERITANCE TAX APPRAISENENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSNENT OF TAX THOHAS R HARZOLF 219 SIrHAN AVE ROSEHONT PA 19010 DATE ESTATE OF DATE OF DEATH FILE NUHBER COUNTY ACN ''''"''''''''11.'., 02-25-97 MARZOLF 11-03-95 21 95'0873 CUHBERLANO 101 AMount R..Ut.d .152. "'}". 5 3 ROBERT J HAKE CHECK PAYABLE AND REHIT PAYHENT TO. REGISTER OF WILLS CUHBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ~ ................................ - "~~'lli"_"'''' ."".,..........................." , .. "'" _........, ....._... ........... "'--."".---".~__".-':',~"..~...."=.._-..._- ,~-, ,-_., , '" , ~ .:..,. . I .f", }-. ;'." ( , I l '. "' . , j ,j .t}. ,~. , if . . ~', , " .~ <>: " f ~. ~ 9', . ~ .----- . "V'1 _'- --:.,. .~..- _.-._.--_.~....~~. - . \ .-~... ,,' R"'l.i"'t,-,-:,,''-'.'~, , '" -' ~,-- , RU'~;)--i~':_,1 of Wills !1f,R -5 P2:IB , ",::;,\ ':0" PA RfSERYAUDfU Eltat.. Df d.cedeoh ctrtna on Dr befor. Dec..ti.r 12, 1981 __ If My tn po.....lon or eoJOY-.nt to CI... . Ccollat.ral) ben.flelarl.. Df _,'+","''''......."....~. H' ,'. "_ _^."..-.._~""'._"''"''..._.'''_--.,____ _ _ ," future Inter..t In the ut... II tr",,'.rrH the dlc.dant .ft.r the ..Dlretlon of any ..tat. .11~ 10' I '-', .. ,,d I I' I ".j,. , I ., ";" ,'f', " . ''''J :. ,,;"~' " . , ), o,J-: ~ ' . , ;-.' , . 'j",+, /' .-1 'to '1 . "t\, -,, ,> . '. " .~- ~~ ,.., f' , '. 1 \ ' ., " , , \' V. T' . ~, .' , "...~-1 -~' '....' "* __,_.~~:-_~-':"'" 111_ f" -~-j .....'.:-. I ... ," \., -, 1 i I ! ; "c I-" -- - -S '~ ( , \ ",!j P, / i- f .. 'i-- 1;) "JL , v.. ,~. ~ c:JL ;1 j. r ") ! ; \J '- (lI V '3 0- "C- 1 '~~ t \.l., -:t- --- . j - N - " ,~ .,-t::' : (' "." , \, . ; : ~ ""'... ,~ Q) 0- V> 1-:, - 0 \ N.aL 'r.'... lmC~ , I j) ~"\ ::> ~ .... "'I- (, .) \.3 oj '-J -c; ~ --t <- Ql "'-0 { ,\j H:: Zd S- !l'H,' Lu, ,. ~ , ....- . ~. . -~, ~". ,." .) trJl~!fJb..: ' !~G~100DI:i (V) - '0"'" f:'..' ...; -........ : ~ - ~ ~ ,- tJ - - ~' ~ .... '.... - ~ G ','inn "iO '. e , 4 1~ .: . \ l , j : ~ i. i . i... " ......, I ". ~, ' :1 ~_, I 1" ."'~ { , I I ,~ \ ., , .'~ f. ~l\ ; '''J p' .."#....{ \ ). .'" , ... I" ... .' l . t. '..-- . i ;-. II.u f /\' , ., , , , ; t~ " ..;' ..., . ,~ I V' I " \ ~' r, . . ~, ' ,t ---- -r':;~---:--'";'-.~.A...d Vf.. ~"'r"'q-r -.,.':~ , , 1!J~fvf-1 CDHHONWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE BUREAU OF INDIVIDUAL TAKES IHtt(AIfAH([ laX DIVISION DEPt. O'IID"OI HARRISBURC, PA 11111-0601 NDnCE DF INIlERlTANCE TAK APPRAISEHENT. ALLDWANCE OR DISALLDWANCE DF DEDUCTIONS AND ASSESSHENT DF TAK THOMAS R MARZOLF 219 S HHAN AVE ROSEMONT DATE ESTATE OF DATE OF DEATH FILE NUHBER COUNTY ACN PA 19010 (J.... 02-25-97 MARZOLF 11-03-95 21 95-0873 CUMBERLAND 101 ...aunt R....l t led * '",'''''''''111.''' ROBERT J MAKE CHECK PAYABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ..... iiE'v:is4"i"E;C"Aj:ji-nF9l.Y-iloi"icE--OF-YtiHERifANCrflix-APPRiI-iSEH'Eil'r;-.'ii.i:OWANCE-olimu-m-m---- DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX ESTATE OF MARZOLF ROBERT J FILE NO. 21 95-0873 ACN 101' DATE 02-25-97 TAX RETURN WAS, I X I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Re.l E.t.t. (Schedul. A) 2. Stock. and Bondi (Schedule 8J :So Clo..h "aid stock/P.dn.,..hlp Int.,..st (Schedule C) 4. Hortuag../Not.. Receivabl. (Schedule OJ 5. C..h/Bank Depolita/HSlc. Parsonal Prop.rty (Schedule E) 6. ~alntly Owned Prop.rty (Schedule fJ 7. Tranaf.r' (Schedule OJ a. Tabl A...l. UI 121 ISI 141 IS) 161 171 APPROVED DEDUCTIONS AND EXEHPTIDNS: 9. Fun.,..l EKPan.../AdM. COlta/Hilc. Expan... (Schedule H) 10. Debts/Harigag. Llabl11tl../Llanl (Sch.dul. 1) 11. Tabl Deduction. 12. Nat Valua of TaM Raturn 15. Charltabla/Cavarnnantal a.qu..ts ISchadul. JJ 14. H.t Valu. of Est.t. Subj.ct to TaM 191 UOI I CHANGED ,DO 162,567.32 .00 .00 101.547,18 2,18B,OB ,DO leI 9.630.13 13.423,77 1111 (l21 1151 U41 HOTEl To Insura prapar credit to your account, sub.it the upp.r portion of this fora with your ta. pay.ent. 266.302,5B n,O~3 QO 243.24B,68 .00 243.24B.68 NOTE. 14, lS and/or 16, 17 and 18 will returns assessed to date. If sn ssssssment was issued previously, lines reflect figuras that include the total of ~ ASSESSHENT OF TAX. 15. AMount of Line 14 at Spau.al rat. ItsJ 16. A.ount of Lin. 14 ta.ab1. .t Lin.aI/Clas. A rat. 116J 17. A.aunt of Lina 14 ta.abl. at Collat.ral/Cla.. 8 rata (17J 18. Principal Ta. Du. TAX CREDITS. PAYHENT DATE 01-29-96 11-1B-96 RECEIPT NUHBER AA082563 AA146961 DISCOUNT ItJ INTEREST I-I 684.21 24.07- .00 X .00. 243.24B.68 X .06. .00 X ,15. uel AHOUNT PAID 13,000.00 910.92 INTEREST IS CHARGED FROM 11-19-96 TO 03-12-97 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE .00 14.594.92 .00 14.594,92 14.571.06 23.86 .67 24.53 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIDNAL INTEREST. I IF TOTAL DUE IS LESS TIlAN Ii, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED A~ A "CREDIT" tCRI. YDU HAY BE DUE A REFUND. SEE REVERSE SIDE DF TillS FORH FDR INSTRUCTIONS.) go .~ ~!... v:J -.j --I :TJ .' .il ,~ '" ,.', 1.1.1 N VI " "':... ,,-, .u'- " i..~ . ....,..:.~ W lj RlstRVAT1DHI hhtu af daudent. dying on Dr be'or. D.ce...' lZ, 1982 ..- If en., lutun Int.,.., In IN uht. IRrlln.f.rnd - In po.....lon Dr enJoy.ent to Cia.. . (cal1.'.r.11 beneflcl.,I.. of ~ decedent .,t.t t~ ..plr.tlon of en., I,'at. for 11'. or for .,..t., the C~onw..lth hereby I.pt...l., r.,.tVI. thl right to IPpt'... ~ ...... tren,f.r t~rltenc. ,.... .t the l~ful el... . (coll.t,r,l) t.t. on eny such future Int.r..t. ........ Of NOTlCEI To fulfill the ,.qulruents of SICtlon rlU of the Inh.rUMeI wwi [.hl. TI. Act, Act U of ."1. 1Z P.S. SICtlon rl~O. DetKh the top portion 0' thlt Notice 11M ,ub,1t with your Plyaent to the RIglttlr of w11l1 prlntH on thl r.\tlr.. .ldt. u..... chM:k or !lOne}' oreMr P'Vlibll tOI REGISTER OF MILLS, AGENT All p,,-.nt. r,cllved ,hill 'Ir.t be eppllld to en., Int.r..t which ..}' be dUe with eny ,...Inder appll.d tD tha t.M. REFUND eCA)1 A r.fund of a taM credit, which wa. not raque.tad on the 1a_ Raturn, ..y b. r.que.ted by coepl.tlng en -Appllc.tlon for R.fund of Penn,Yly~l. Inherlt.nc. and [.tat. 1aMR IREV-11ISI. Application. ara avallabla at t~ Off Ie. of the Rlllhtlr of WUI', ~y of the U Revenue Dhtrlct OUlcu, or by calling tM .peel.1 2'-hour an'Merlno ..rvlc. nuabar. for for.. ord.rlnol In Penn.ylvanl. l.aOa-16Z-ZaSO, out.lde pann.ylvanla and within loc.l H.rrl.burg .r.. (717) 787-aO", TOOl (7171 77Z.Z1SZ (H..rlno 1.,.lrad Only'. PAYKHTI alJ[CflOHSI An., p.rty In Interut not ..thfled with the IIPpr.ha.."t, allowanca or dhallDlolMC. of dedUction., or ......unt of t.M C1ncludlna dhcQUr1t or IntaruU a. .flown on thl. Notice ....t object within .bt., (60' da.,. of rec.lpt of thh Hotlc. b.,1 --wrltt.... protalt to the PI. D.p.rtnnt of RavllnUA, loard of A~I.". Dapt. 281OZ1, tlarrl.burg, PI. Inu-lOU, OR ...Iactlon to hava the ..ttar detar.lned .t .udlt of the account of the per.~1 repra.ent.tIY., OR --.,pe.1 to thl arphan.' Court. ADMIN ISTAAflVE CORRECTIONSI Flctu.a .rror. dl.cov.rad on thl. .......ent .hoUld b. .ddr....d In wrltlna tOI PI. a.p.rtlant 0' A.venu., lur.... of lodlvll"'.I.1 h..., AUHI Po.t h......nt R.vl.w Unit, D.pt. 280601, U.rrhburg, PI. 17ua'0601 Phone C117J 717-6Sn. s.. p... S 0' the t>>cH*1.t Rln.tructlon. 'or Inharltanu Tu R.turn for a Ruldent D.cadantR (REV-ISOI) for WI ..phln.tlon of lldalnhtr.tlvlly corr.ctabla a"ort. DlSCDlI4fl If an., tlM due h p.ld within thr.. ISI calandar IIOI'Ith. .ftar the deeadant'. d..th, a flva p.rcant (Sic) discount 0' thl t._ p.ld I, .llowed. ThI lS~ t.M .."..ty non-partlclp.tlon p.....lt., I, coaputad on the total of thl t.. and Int.r..t ......ed, and nat p.ld ba'or. Januar., 18, 1996, thl flr.t d.y .'t.r the and of the t.. .."..ty period. Thl. non-participation penIIlty .. lIPPI.labl. In thl .... .enn" and In thl thl .... tI.. p.rlod u you would IIP~.I thl t.. WKI Interut that hat b.... ......Id .. Indlc.tad on thl. not Ie.. Pl:HAL TVI INTEREST I Int.rut It charged beIIlonlno with flr.t d.y 0' d.llnquency, or nlna (,. ""the and OM (1' d.., frOll the d.t. 0' de.th, to the data 0' p.~t. T.... which bee... delinquent be'or. Januar., I, l'IZ be.r Int.ra.t .t thl r.t. of .1. (6~' p.rcant par annua calcul.t.d .t . d.lly rata 0' .0001". All t.... whl~h bee... delinquent on and .ftar Januar., 1, l,a, will b..r Int.r..t at . r.t. which will v.ry froa c.landar .,.ar to cal.ndar w.ar with th.t r.t. announc.d b., the PI. D.p.rt.ent of Aav.nua. the appllcabl. Int.ra.t r.t.. 'or 1.11 through 1997 ar.1 ~ Int.r..t A.t. DaU., tnter..t r.etor ~ In"rest A.te D.lhi Int.r..t Factar 1911 ZDX .OOO~'" 1917 'X .ooazu I'U I6X .OOOUI 1918-1991 llX .000sal I'" II~ .OOUOI '99' OX .00n",7 I.as uX .OOon6 I99S'I'," 1X .Oaol.l 19&6 lOX .OOOZ" I99S-1997 OX .0OOlU --Int.rut I. calculatad a. follow'l INTEREST . BALANCE OF TAX UNPAID X N~BER OF DAYS DELINQUENT X DAILY INTEREST FACTOR .-An., Notice IlIuad aft.r the t.M baco... delinquent will r.UltCt en Int.r..t c.lcul.tlon to flfte." (IS) d.va ba.,ond thl data of thl ........"t. If p.y..ot l. ald. .,t.r the Int.r..t cu.putatlon d.t. ~ on thl Hotlee, additional lnt.r.tt ....t be celcul.t~. i i J f I "- ~ " , ~ ~ -'. ~.. -. ... - . ...." - QI r.::- ~ 'i)) CI r\ i --?- i M ~ "i- , i !> i , \j M I -... a >.... .. t- ~ ~ - - , 0 I, Qj ~ -0 '" :> ~ \ ...1 ... ~ Ql r) c;. 'i-z ~ 'tI . 1..0, I'l :~ ;) 1- .. ~ -- 0 ~ <" ~ ::> 0 " \.J 'ig\ lc. ," I \) ) 'i } , ,., , , ! ,'':'"-.-.~, /' ,;" '..: ~ ~ ,..',\ ')- "..\ .., , , , j j - ., '-J ;'>', , . il ...'"'~/ 40 "" 1 ) A . ' , . ;,,~ ,. . \ . of ~. ._ II," , ' , , < I j III 0 '~ Q' -- \ rP ~ ~ , ~ , <t- r- 'St:' ~"';:'Q.. , .... "i- '-t-,....... ~: '1 r -',) "" v) <. -d ~ J', c> '-' -2- ~ ('oJ l- N '-. " ',t :' . (I I -I' "J j ,~.., :' , 'i' ~,. ). l ., . I' - , , '~ ~ Ql c: --s: =\::. \J '~ . ' '", . r' , .1 , . ,& . .'i"',f /' ..'tff:, ,..'" "it 0;'- . I i , I ; , .... ~ ~, . ' . , , , __,_ h___- .. . ~. ,- , -~-._---"._-~,............~.~ _--r lor ~::. \ " v 1'5'-(tf-1 THOMAS R MARZOLF 219 S ITHAN AVE RDSEMDNT PA 19010 CDHHDNWEALTH OF PENNSYLVANIA C..-" ,. DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT Ih."Utll" III.HI DATE 03-31-97 ESTATE OF MARZOLF ROBERT J DATE OF DEATH 1l-03-95 FILE NUHBER 21 95-0873 COUNTY CUMBERLAtID ACN 101 r Alllount Relllit t.d -l - MAKE CHECK PAYABLE AND REMIT PAYHENT TDI BUREAU OF INDIVIDUAL TAXES IHtllNIUN\:l lAIC nlYUIDH DIIII. :II0bDl tlAAAISlUAC, If A 111".-0601 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTEI To In.u~. proper credit tn your .ccaunt, subn!t the upper portion af this forn with ~our t.~ paYlllent. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ..... R-E-V:i60-j-Eif-AFP--ioj-:97i-------.Mii-iNH-ERiT-ANCE--TAX--sriiiEHE-NT-O-F-AC-COUN-i--.-i.--------------------- ESTATE OF MARZOLF ROBERT J FILE NO. 21 95-0B73 ACN 101 DATE 03-31-97 THIS STATENEHT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NANED ESTATE. SHOWN BELOW IS A SUNNARY OF THE PRINCIPAL TAX DUE, APPLICATIDN OF ALL PAYNENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 02-1B-97 PRINCIPAL TAX DUE, 14.594,92 PAYMENTS (TAX CREDITS), PAYMENT DATE 01-29-96 11-lB-96 03-03-97 RECEIPT NUMBER AAOB2563 AA146961 AA185233 DISCOUNT (+) INTEREST/PEN PAID (-) 684.21 24.07- ,62- AMOUNT PAID 13,000.00 910.92 24.53 '0 " l{l f:~ ci 'H ". ;.r\ :15 QC,j . IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION Of ADDITIONAL INTEREST. I IF TOTAL DUE IS LESS TitAN n, NO PAYNENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YDU NAY BE DUE A REFUND, SEE REVERSE SIDE OF TltIS FORN FOR INSTRUCTIONS. I TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 14,594.97 .05CR .00 .05CR PAYHENT I D.t.ch th. top porllon of thll HoUn and .ub.1t ..Uh yo...r pay..nt ..d. plyabla to thl na.. and addr'" prlnt.d on th. r.var.. .Ida. If RESIDENT DECEDENT ".lla chack or .onay ordtr p.yabla tOI REGISTER OF WILLS, AGENT. If NON.Rt51DEHT DECEDENT ..lla chnk or "onay ord.r p.y.bh tal COHHOHWEALTH OF PEHNSVLVAHIA. REFUND (CAI, A r.fund of . t.. cr'dlt, ..hlch .... not r.q.....t.d on th. 'a. A.t...rn, a.y b. raqu..t.d by coapl.tlng an "Appllc.tlon for Rafund of p.nn.ylYlnla Inn.rlt.nc. and E.t.t. Ta." (REY.IS1SI. Appllcltlon. ara Iv.llebl. .t th. OffiCI of th. Rlgl.t.r of Will., any of th. ZS R.vlnut DI.trlet Offlca' or frol th. DIP.rt..nt'. "-hour an.w.rlng ..rvle. nuab.r. for fur.' ord.rlngl In P.nn.ylvanla 1_800_56Z_Z050, outlld' p.nn,ylvanl. .nd within loc.1 Harrl.b...rg .raa (711) 787-809~, TDDt C117) 77Z-ZZ5Z CH.arlng I"palr.d only). REPLV Tal Q.....tlon' r.g.rdlng .rror. eont,ln.d on thl. not Ie. .ho...ld b. .ddr....d tOI PA D.p.rt".nt of R'v,nu., ....r..... of lndlvldu.1 T...., ATTNI Po.t A.......nt R.vl... Unit, D.pt. Z80601, It.rrl.burg, PA 17121-0601, phon' (717) 717.6505. DISCOUNT I Tf .ny ta. d.... I. p.ld ..Ithln thr" CS) e.landar aonth. .ft.r the dac.d.nt" d.ath, , flv' plrclnt t5~) dl.count of th. t.. p.ld I. .llow.d. PENALTVI Th. 15~ t.. aan..ty non-partlelp.tlon plnalty I. coaput.d on th. tot.1 of thl t.. and lnt.r..t .......d, and not paid b.forl January II, 1996, the flr.t day .'tlr thl .nd of tha t.. ..nl.ty parlod. INtEREST I Intlra.t I. eharaad big Inning ..Ith 'Ir.t d.y 0' dlllnquaney, or nln. 19. .onth. Ind onl CI) d.y frol th. d.ta of d.ath, to thl dltl 0' plY.lnt. T.... which blca.. d.llnq....nt blfor. J.n....ry I, 1912 baar lnt.r..t .t th. r.t. 0' .1. (6~J p.relnt p.r annul caleullt.d at I dally r." 0' .00016~. All t.... which b.ca.. d.llnqu.n' on .nd a,t.r January I, 19S2 will b..r Intar..' .t a r.t. which will v.ry Iroa c.l.nd.r y..r to c.l.ndar y..r with that r.t. .nnounc.d by th. PA D.part..nt 01 R.v.n..... Th. appllc.bl. Int.r..t r.'" 'or 19S2 throueh 1991 .r'l y.ar Intlrnt Alt. Dally Intlrnt f.etor Vllr Intarnt Rat. D.lly Intar..t f.ctor 1912 2n .DDOS". 1911 .. .0DOZ,.1 19as \6' .ODDUS 1911.1991 11~ .DDQSOI 191" lU .00QSOl 199Z .. .D00247 1915 lS~ .00QSS6 1995.199,. 7X .000192 1916 10le .00OZ1~ 1995.19'11 .. .ODOZ41 .-Intar..t 1. calcul.t.d .. '0110".' INTEREST c BALANCE DF TAX UNPAID X NU"SER DF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notlc. I......d I,t.r tha t.. b.co... d.llnqu.nt ..111 r.'l.ct .n Int.r..t calcul.tlon to fl.t..n 115) d.y, b.yond th. d.t. 0' the ........nt. If Ply..nt I. ~Hdl a,t.r th. Int.rl.t co.p...t.tlon data .hown on th. Notlca, additional Intara.t "u.t b. calcul.t.d. STI\'l'U~J.tf!,OH'l' UNDEH HULE G. 12 Name of (f) I {--,' f\, . Decedent! V'll jt',' ~u /.1/1 II/~ l2Z (l L ;' Deathl~()V 1 I 'j<j c:: ICjq~; _ (JQ 8'C!.. I\dmln. No. 219 )_oyrlJ Date of Will No. Pursuant to Hule G.12 of the Supreme Court Orphans' Court Hules, I roport the following with respect to completion of the ac.1ministratiun of the above-capLlonOll estatel 1. State whether administration of the estate is completel Yes V__ 110_____ 2. I f tho ilnRwer I R No, SUI t.e whPon t.he personal representative reasonabiy believes that the administration will be completel 3. If the answer to No.1 Is Yes, state the followingl a. Did the personal representative file a final account with the Court? Yes No""-- . b. 'l'he Ropill:ato Ol:phans' Cuurt No. (If any) (or the personal representative's account iSI c. Did the personal representative state an account. informally tn the pilrtieR In interest? Yes"-- No d, Coptes of receipts, releases, joinders and approvals o{ formal or informal accounts may be filed with the Cerk o{ the Orphans' COUI:t ami may be attached to this report. ~......,R )lZrtr/)ref/- Signature . jh()l'tu.') R. MAR.-20LF Name (Please type or print) Z.J~ S. :I1hC("l five I\ddresR ~/Ol 6t9- 17?~ IrJ.:'l. No. Datel /II, 'd /yr: I I I.!"J " ('J " ..:: ,J ;.:: ()CJ Capacity I (MI\J1lrmf/I\M3)