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3227928
OCT 2 ,I 1995
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COMMONWEALTH OF PENNSYLYANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
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liNN PorllllTKO
1, liNN PorllllTKO, of the rHy of t:rle, rounty of Erle and State of
Pennsylvanla, belng oC sound mlnd and dlsposlng memory, for the purposes of
maklng disposltlon upon my death of my entlre estate, real, personal and mlxed,
and any estate whlch I may have power to dlopose DC, wl'oreooever sltuate,
whether owned and possessed by me at the date of executios thereof or acqulred
by me after such date, do hereby make, publ Ish and declare this to be my Last
Wll1 and Testament, hereby revoklng al I other Wllls by me at any tlme hereto-
fore made.
FIRST, I do hereby dlrect that all my just debts, includlng the ex-
penses of my last illness and funeral expenses and expense of admlnlstering my
estate, be paid by my Executrix as soon after my decease as may be convenlent.
SECOND: 1 hereby give, devise and bequeath my black onyx and diamond
wedding band us to my sister, VERNII JOIlNSTON, of Eric, Pennsylvania, absolutely
and forever. In the ovent my sald slster, VERNA JOIINSTON, should predecease
me, then in that event 1 hereby give, devise and bequeath the said black onyx
and diamond wedding band unto my niece, MIIRY SUE rllRLSON, absolutely asd for-
ever.
THIRD: 1 hereby give, devise and bequeath my IRlI'o at Northwest
Mutual Savings, Erie, Pennsylvania, unto my slster, VERNII JOIlNSTON, absolutely
and forever.
FOURTH, 1111 the rest, residue and remalnder of my estate, real, per-
sonal and mixed, and wheresoever sHuate, 1 glve, devise and bequeath unto MIIRY
SUE CIIRLSON, per stirpes, absolutely asd forever.
FIFTH: I hereby nomlnate, constltute and appoint MIIRY SUE CIIRLSON,
as Executrix of thls my Last Wlll and Testament, and direct that no bond be
requlred of her. In the event my said Executrix, MIIRY SUE CIIRLSON should pre-
-.
..
.
-,
ANN POCIlATKO
Page 2
decease me, or for any other reason cannot serve as Executrix of my estate,
I then nominate, constitute and appoint C:UARLES C:ARLSON, as Executor of this
my Lest Will and Testament, and direct that no bond be required of him.
SIXTH, In the event my said Executrix, MARY SUE C:ARLSON, should
predecease me, I then authorize and empower my Executor, C:HARLES CARLSON, to
sell, transfer and convey any property which I may own at the time of my de-
cease at such price or prices as he in his discretion deems reasonable and in
the best interest, of my estate, and I further authorize and empower him to
sign, execute, acknowledge and deliver any and all. deeds or other lnstruments
of conveyance necessary to effectuate such transfer or transfers.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this 13tn
day of August, 1985.
_~ tn' {1?clTh
(SEAL)
SIGNED, SEALED, PUBLISIIED AND DEC:LARED by the above named Testatrix,
as and for her Last Will and Testament, in the sight and presence of us, who
at her request snd in the sight and presence of her and each other have sub-
scribed our names as wltnesses.
M~ PI. ~u:
~~ . '-rn , ~,A.A:...
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21-95-885
REGISTER 01' wins (n' COUNTY
OATH OJ.' sunSCRIIIING WITNESS
codicil
(each) a subscribing witness 10 Ihc will prcscnlcd hcrcwith, (cllch) helng duly qualified according 10
law, depese(s) and say(s) Ihal prcsenl and saw
the testat , slgnlhe slime and Ihal signed as a witness at the
request ef teslal_ In 11- presence and (In Ihe presence of each olher) (In Ihe presence or Ihe
other subscribing wltness(es)).
Sworn 10 or affirmed and subscribed hcrore
me this do)' of
19_
(Name)
(Address)
RCllis/cr
(Namc)
(Addrcss)
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REGISTER OF WILLS OF COUNTY
OATH OF NON-SUBSCRIBING WITNESS
()1'-I'", '-",,"I,(l".(\':1 I I, .-i.. ,.. '" ',"t'\
,
(each) a subscriber hereto, (each) bcing duly qualified according' ) law, depose(s) and say(s) thut
il't' /I (/') fomilinrwilhlhcsignulurcof ;;\11 ""i"j--i',;"
codicil
will
thut
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presenled herewith und
codicil
believes Ihc slgnulure on the will is Inlhe handwriting of
leslut.!.-\.A- of (one of Ihe subscribing witnesses 10) the
fh\\(\ i"r,r \;(, I-I (',
to the best of (1" (' knowledge IInd belief.
Sworn to or affirmed and subscribed before
me Ihls ] 4 loll day or
NOVEMBER 19~
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(Namc)
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(Addrcss)
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CERTIFICATION OF NOTICE UNDER RULE 5.6(6)
Name 0 f Deceden t : -1\ ,','1 i11{, hrit'J.:1\
Date of Deathl
!I\.:'l;l.Q5
'1 I c: c ,-
Will NO.--2..., g., 'fi 0::>
Admin. No.
To the Registen
I certify that notice of beneficial interest required by
Rule 5.6(a) of the Orphans' l:ourt Rules was served on or mailed to
the following beneficiaries oC the above-captioned estate on
Name
fY1nnl Chf!"'-x.()
I
Address
;;I:;Jr, (-~1"'\111 ~ rr,mr fi,II (.)11 17(''//
Notice has now been given to all persons entitled thereto under
Rule 5.6(a) except
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Signa tare
Name.1LJr, ry eCI Y/ 'Y1 ()
Address J.){l 6/-t'nn arj
Cc'I'Y1j') Ii-III PI/ 170fl
Telephone( 7m 7 ~;~ , ;J.~ '3
Da te : (/ '10.f) /n
Capacity:
Personal Representative
Counsel for personal
representative
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
}IV.'SOO ~J. 11q.1
COMMOt~wfAltH Of p(tmSn\lA'~I"
O('A"fMUH Of 1l(\I(NUr
Of" 110bOI
__ ~t.A..~,RI_~I_U~~:. P~__'71.!1..:..~ I
tH((O"41-!Io 'lAMllLA"', 'I'~ . AND ""'0011 ,'4t1IAII ill(IOI t~t "1..0""1111 "OUII U
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~fruill'~NUM.,~.J..:_l:J'-LliiiJJjOi.iH'- --jtii.ii-U"liilil (tl/lll f~ll/ I ,I .'~ ,/
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4" '''''11(_.'''1 ,~..,..,.(. II1:l\l\l' ....., III\! 1-'" ."ll""f>r'l' """.'1 .__ :::I__~:~::~____ AMO\Jtll 11((1.....10 '''II Ill,,'IUCl.O'l"l
OJ 1. O'iglnol R.'urn
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fulure Inler.1I Compromit.
Ifor dol.. of death aflor 12.12.821
Decedent Died T.,'ol. [] 7. Decodent Maintained a Uyjno TrUll
(A!loch cop)' 0' Willi (Alloch copy 01 hu.t)
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO.
N"'M (OUPIt I( M"'~t:'.o "'DO' US ! I
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IDA OATIS OF DIATH AnlR 12/31191 CHICK HIRE
II A SPOUSAL _,
POVERTY CRlDIT IS, CLAIM..!DJoL_,_ . _'_m_
IlLl NUMBIR
COUNTY CODE. t.~.1
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1. R.al Eltal. (5c.h.dul. A)
2. Sloc!u and Bond. (Sc.h.dul. BJ
3. Clo.ely H.ld Sloc.k/Partnenhlp Inl.re" 15c.hedule q
~. Mortgag.. and Not.. Rec.elvabl. ISch.dule 01
5. Ca.h, Bank Depo.ill & MI.cellan.au. P.r.anal Properly
(Sch.dul. EI
6. Jointly Own.d Prop.rty (5c.h.dul. F)
7. T,on.I... (Sch.dul. GI (Sch.dul. L)
B. Talal Gran An.h Ilolallln.. 1.7)
9. Funeral bp.n.... Adminl.lrolivo Co,,,, Mlle.llaneou.
Exp.nl" ISch.dule H)
10. Debll, Morlgago liabllilhu, lien. (Schedule I)
11. Total Oeductlon. (Iolallln.. 9 & 10)
12. Nel Value of E.tol.llIne B mlnu. lino II)
13. Char liable and Governmental Bequ,," (Schedule J)
U. Net Value Sub eclla TaA (line 12 minu. line 13)
IS. Spoulal Tranlfe,. (for dol.. of death alter 6.30.94)
See InUrucllan. for Ar,pllcable Percenlage on Rever..
Side. llndude valuel rom Schedule K or Schedule M.I
16. Amount of line 1~ laAabl. 01 6% rol.
(Include value. from Sch.dule K or Schedule M.)
17. Amount of line l~ lOA able 01 15% role
(Includo valu.. from Schedule Ie or Sc.hodul. M.I
18. Principal lOA due (Add tOA from line. 15, 16 and 17.1
19. Cr.dil. Spou.al Pov.rly Credit Prior Paymenh
+
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Supplemenlal Return
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OS.
R.mainder Return
(for dol.. of dealh prior 10 12-13.821
Federal Ella Ie To. R"urn Required
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_ 8, Tolal Number of Sof. Depo.il Bo.....
( 1 I _____.__,_..___.
(21 _____,___,._
(3)
( 41_______,_
(51 1/:.' ..' /. 1/
(6 )
(7 )
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(9) .
(10)
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(81
,;(rr / (/ t:
(Ill
(12)
(131
(141
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(16) _,__.._.._____u__X .06 .
(171 '
_~_X .15 =
(181
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Diltounl
Inter"l
+
(191
(201
20. If lIn. 191. 9reol.r thon lIno 18, enler the difference on line 20. Thl. h Ih. OVERPAYMENT.
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21. If line 18 II greol8r ,hon lln. 19, enlor the diff.rence on line 21. Thl.l. the TAX DUE.
A. Enl.r ,he Inler.,' on the balance due on line 21A.
8. Enl.r Ih.'olol of line 21 and 21A on Une 218. Thi.I. Iho BALANCE DUE.
Mah Child, Payable tal Reghter 0' Will., Ag..'1
f ~ ~ III SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH ....
Under penelli.. of perjury. I declor. Ihat I ho.... .,...amlned Ihll rei urn, including accompanying IChedul.. and .,olemantl, and 10 Ihe bill of my ~"owl.d90 and belief,
II Is tru., correct and compl.'e. I declar. Ihal all real ellale ho. been reported al true morlol value, Oeclaration of prepare' olher Ihon Iho penonol repre..nlalive I.
boud on 011 Information 01 which preparer ho. any knowledge,
SIONATUlf 0' PfRSON .npOt~!lllll lOll '1IING _(JUliN AOOIHSS 0"'1(
'/ iI, :--/ (:. ! 1.1/,")1 l ~_fu~'1LLl.L~~_1.LiJJ"'I_~_I_~0-----1__LL/L~/__.___ ./1 '1(;'
~IONA'U.f 0' ('''lit. OhlfllIH"'N IlIPllf!l(NT"'TIlIf "'00111 !IS 0"'1{
Chock ht'fV if you oro requa'ling 0 rofund of your oYa,paymonl. '
(211
(21AI ..
12181
'1't~II'I'U'1
.
tOMMONWUlfH O' "NNIYlVANIA
INHERITANCe: 'All .nUIN
RUIDENr DEClDEN'
SCHEDULE F
JOINTLY.OWNED PROPERTY
ESTATE OF
.1\)/)(1 III /'Nl1o/):("
JoIn' '.nonll.)I
----- --------. -- ----- ~NUMBER-
NAME
A. 1)1, \1 !./ Cr.; \ 1-:',(11'
ADDRESS
:,l.)C (,I,'/I'! 1.'(4
(t', I lIl) II." 1->1 I if, I'
RELATIONSHIP TO DECEDENT
II 0((
B.
C.
Joln.ly.own.d prop.rty.
ITEM LmER DATE
FOR TOTAL VALUE DECD'S DOLLAR VALUE OF
NUMBE JOINT MADE DESCRIPTION OF PROPERTY OF ASSET % INT. DECEDENT'S INTEREST
TENANT JOINT
1. ,4 I()QO (/Itr'li II S //(COl<l1'1 :;.:J/lt' 5,71% /60.'::'':;-
TOTAL (Alio enter on line 6, Recapitulation) S NO < .',-
I
j.
l..
(II more space is n,.ded ;018" addifianal sheets 01 some sin)
.
IIV'~lfI. I''''
~l~'~l\
-~};,,;
COMMONWeAltH Of P(NN$YWANIA
INH(RI"ANC( TAX .nUllt~
IlUIOEN1 D(([DEN'
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
L_ n ,_~,-"al. Print or Trp.
fiLE NUMBER
ESTATE Of
I 1
II
!:Q.w!i I t (I
ITEM
NUMBER
DESCRIPTION
AMOUNT
A.
1.
Fun.ral Explln..,.
lJC!~cta.s 11"1","111 lI,hlli,ril(:
)l,o'" I~,[\ rr~d() I~d
r K',CC /)1/ If"S/()
(/1:;;(/'/?
B.
( ,1 'j' C.(.111<: /'}'/',"lll/llll/)I';'.
:,I'II,~c( - - I' -
,9'77(, (<.I IS/ to};,' r;;CJ
l"J:..'.rr-. 11-'/ I (<;l.J';:
; Admlnlltratlv. COlli I
1. Personal Represenlallve Commllllons
Social Soeurlty Numbor of Porsonal Ropresonlallvo:
Year Commllllons paid
75(J. <JO
2. Atlornoy Feos
3.
Family Exomplion
Claimant
Addroll of Clalmanl at doeodonl's doolh
Slrool Addrell
Rolollonshlp
City
4. Probalo Feos
C. Mlleellan.aul Expenle..
1.
2.
3.
4.
5.
6.
7.
8.
51010 Zip Codo
TOTAL (Also onter on line 9, Roeopltulalion)
(If mar. Ipac. II needed, Inl.rt addltlonallh.ell of lam. 11z..)
s S:; 0 'I, I q
-
ail. I\'JlII ""j
-!;~
(OMMONWhUH 01 "W.nIVoUfI.4
INH,.nANCI IAI InUIH
InlDIHIDIClDIHf
SCHEDULE J
BENEFICIARIES
ESTATE OF
FILE NUMBER
_Llw
ITEM
NUMBER
,. Jh,'h,{ hi
NAME AND ADDRESS OF BENEFICIARY
RELATIONSHIP
I.
A. TOll.obl. Sequelts:
III (111/ (eil' I Sc111
'J I
G 11'111') Ii (,
1'11/1 /,-Vl
/'II'I (('
AMOUNT OR
SHARE OF ESTATE
/6(1. ,'jS'
:uc
ail11!')
Ch".rlrs
nOli
C:h I ~c 11
II f pllt'l<i'II/.!a "-
()
.1.){) lilPll1l
C COli P J.I,I I
f\'cl
P/I O{lll
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
AMOUNT OR
SHARE OF ESTATE
8. Charitable and Go....rnm.ntal eequenh:
I.
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Aho .nler on IIn. 13, R.Cop!lulo"on) S
(If mort .pac. ,. n,.ded, In..rt additional ,h.... of 10m. .In)
" .r-
."
I
I
i
..
-
,'.::!
()
'V
.....
~
-
,~ ..
\8'
, r-~.
t..~
'1\'-:
,n1
'.
fl),
.....
Cr
f"-,
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'J
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_'\) " V)
,\Jl:- c.;... :3
. .... (). ~
,J
't:) \,...-
..c;~}l -I-
-4- -'
'-. (~ 0
.' ,1,' <-.J
-"~) t"
U <1' .,-
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.~
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r:'
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. ('1' <I'" I.:J
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, ~ ~
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.
...
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"
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t ,.,,~.
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,
'to ',\
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, ." ~,'
l. ......
!. "',. ,. ,__Oil .
: --Q ".. . ...
.itl, 'i ,', ~..
!'_ '4",t;.o'
1'.0" '
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/,', .., .,
f' ....
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it. .
f
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REV-1547 EX AFP 112-951*,
CDHHONwr Al HI or PI'HNSVI "ANIA
O(PANIH[NI Of PIVlNU[
8UPUU Dr )NDIVIDUAl IAllIS , .
D[P'. O'lIObOI
IIARRIS8URG, PI. 11111'01101 -=
ESTATE oF~rnH^TKO
DATE OF DEATH 10-22-95
[I L
NOTICE OF INIIERITANCE TAX
APPRAISEMENT, ALLOWANCE DR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
ACN 101
Alffi~~='= '
FILE NO.
COUNTY
DATE 07-01-96
219'5::'"ll1i85
CUM8ERLAND
NOTE, TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT TIlE UPPER PORTION OF TltlS FORM Willi YOUR TAX
PAYMENT TO THE REGISTER OF WILLS. MAKE Cllf.CK PAYABLE TO "REGISTER OF WILLS, AGENT"
REMIT PAYMENT TO:
MARY CARLSON
220 GLENN RD
CAMP HILL
PA 17011
REGISTER OF WILLS
CUM8ERLAND CO COURT HOUSE
CARLISLE, PA 17013
Anount R."Ut.d
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS --
iiE"v:is4i-E;f"AW-n2':9i;j--iilificE--oF--iNHEififiiN"cn'-AX-x"pjliiisEHEii'r;-,U.i."OWANCE-ejR'-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF PDCHATKO ANN FILE NO. 21 95-0685 ACN 101 DATE 07-01-96
If an assessment was issued previously, lines 14. 15 and/or 16, 17 and 18 will
reflect figures that include the total of 8hh roturns assessed to date.
ASSESSMENT OF TAX:
15. Anount of Lina 14 at Spou..l ~.t. (15)
16. Anount of lina 14 t.)Cabl. at Lina.I/Cla.. A rat. 116}
17. Anaunt of Llna 14 taKabl. at Coll.t.~.l/Cla" Brat. (17)
18. Principal raK Du.
TAX CREDITS:
PAYMENT
DATE
TAX RETURN WAS, 1 XI ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..I Eat.t. (Schedul. A) Cl)
2. Stock. and Bonda CSchadule OJ (2)
3. Clos.ly Hald stock/P.rtn.,.ship tnhr..t (Sch.dule C) (3)
4. Ho,.tuages/Not.s Receivable eSch.dule D) (4)
5. Cash/Bank Deposits/Hisc. P.rson.l Prop.,.ty CSchadul. E) (S)
6. Jointly Own.d Prop.,.ty (Sch.dule f) (6)
7. Transh,.s (Sch.dul. G) (7)
8. Total A.s.ts
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Fun.ral E~p.ns.s/Adn. Costa/Hisc. E~p.n.ea eSchedul. HI (9)
10. Debta/Hodgag. LhbUiU../Liana eSch.dule II nO)
11. Total Daduction.
12. N.t Value of Tax R.turn
13. Charltabl./Govarnn.nt.l Baqu..t. eSch.dul. JI
14. H.t Value of E.t.t. SUbject to Tax
NOTE:
RECEIPT
NUMBE R
DISCOUNT 1 + I
INTEREST (-)
I CHANGED
.00
.00
.00
.00
4 .821.11
160.55
.00
181
4.981.66
5,504.19
.00
1111
1121
1131
1141
Ii . lint. 1 q
522.53-
.00
522.53-
.00 X .00.
.00 X .06.
.00x.15.
1181
.00
.00
.00
.00
AMOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
.00
.00
.00
.00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
I IF TOTAL DUE IS LESS TIIAN 11, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" eCR), YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. I
\0 '0 .'
" '."-;1 '..
1'1
: /.'
CO
N
~
.' _,J
,. " ~~ ~~) ,-
Ql(r :;
0:" Gu
RESERVATIONI [It.t.. of dleldlnll d~lng on a~ blfor. D.clab.,. I', 1'.' ~. I' any fulur. Int.,..t In thl ....t. I, 'tln,f.tted
In po.....lan Dr enJopent to el... I (colll"r.U b.".flcl.,I.. 0' the d'c~ent .f"r 'M .IIP'rltlon 0' any ....t. 'or
11,. 01'" 'or y..r., thl C.lonw..1th h.t.by ..pr...h .....,v.. thl ,.IQht to ~p,.l.. Met ...... tran,'u Inh.tUance ,....
It the IIM'U. Cl... . leol1.'.,,1) r.t. on In., .uch futut. Int.,..t.
PIJIIl'QS[Of
MOTltEr To fulflU thl nqul'...nh of S.ctlon tUO of thl Inh'tUane. and E,t,t. In Act, Act ZZ of '991. 1Z P.S.
S.ctlon zl~a.
PAYHEHTI a.ttch the top portion of thl. Hot Ie. ~ ,ub,lt with your p..,..nt to thl RlgS,',r of Will, prlnt.d on the t.v.r.. lid..
--Hlh chick or loneV' ord.r plwebl. tOI REGISTER OF MILLS, AGENT
All Pl.,..nt. r.c.lv.d .h.11 flr.t b. .ppll.d to any Int.r..t which ..r b. due with any r...lnd.r appll.d to the t...
REfUND CCRII A r.'und 0' . t.. cr.dlt, which M" not r.qu..t.d on th. T.. R.turn, ..r b. r.qul.l.d by co~l.tlng In "Appllcltlon
'or ""und 0' Pem.ylVIlnI. lnh.rltllnu .rwt Estlt. TIM" CREV-UUI. Appllcttlon. tr. Iv.llabl. at the Olllc.
0' the R.ol.t.r 0' Will., .ny 0' the ZS R.v.nu. DI.trlct O"lc.., or by c.lllno Ih. Ip.cl.1 Z4-haur
enlWlrlng I.rvlc. nutber. 'Dr 'or.. ora.rlno. In P.nnlvlvenl. 1-IOO-161-Z'~0, out.la. P.nn'vlvenll end
within loc.1 Harrl.burg .r.. (717) 717-1094, TDD' (717) 77Z-ZZSZ (H..rlno I.p.lr.d Only).
OIJECTlOHS. Any p.rtv In Int"..t not ..thfl.d with the .ppr......nt, .UOWIlnCI or dl..lIowtnc. 0' d'ductlon., or ........nt
0' t.. Clncludlno dl.count or Int.r..tl .. Ihown on thl. Notlc. .u.t obJ.ct within .I.ty 160) d.). 0' r,cllpt 0'
th" Notice bVI
"written prot..t to the PA D.pert..nt 0' R.v.nutI, lotrd 0' App..ll, D.pt. Zllon, Il.rrhbura, PA 17121-1021, OR
".I.ctlon to h.v. the ..tt.t d.hr.ln.d at "Udlt 0' Ih. account 0' Ih. ptr.on.1 rtpr...nl.tlv., DR
"-app.al to the C1tphtn.' Court.
ADttIN
ISTRATlVE
tDAREtT tONS,
f.clu.. .rrore dl.cov.r.d on thl. ........nt .hould b. .ddr....d In wrltlno 101 PA a.p.rl..nl 0' R.v.nu.,
luttllU 0' Indlvldu.1 hM", ATTN, PosI h......nt Revl.w Unl'. D.pt. ZlI6Dl, tltrr"burg, PA 17UI-0601
Phon. C7UJ 787-6~n. S.. P'O' S 0' Ih. bookl.1 "In.tructlon. 'or Inhtrlltnct TIM ".turn 'or a A..ldant
D.c.d.nl" CREV-IS01) 'or an 'MPlan.tlon 0' .d.lnl.tratlvlly corr.ctabl. .rrot..
DISCOUNT,
I' anv taM due I. paid wllhln thra. IS) c.landar lonlh. a't.r thl dtctd.ntl. d.alh, I 'IvI parcant tSX) dllcount 0'
the tl. paid I. allow.d.
PENAL TVI
The IS:C taM ......tv non"ptrtlclp.tlon pen.ltv It co.put.d 011 the toltl 0' the ta. end Intar..t .......d, end not
paid b.'otl JanutrV II, 1996, tha flt.t d.y altar the .nd 0' the taM .......tv parlod. Thlt non-partlclp.tlon
pan.ltv It NlP..labl. In the .... .lnnat and In lhe Ih. .... tI.. p.r lod .. rou would app..l the It. end Int.r..1
thalt h.. b.an .......d II Indlc.lad on tM. notlca.
INT[RESTI
Int.r..t I. ch.ro.d b.glnnlng with flr.t d.r 0' d.llnqu.ncy, or nln. C.) aonth. and on. (I) d.y 'to. Ih. ~.t. 0'
d..lh, to the d.t. 0' p.y..nt. ,._.. which b.c... d.llnquant b,'ar. JtnU.rv 1, 19.Z b..r Int.r..t .t thl r.ta 0'
.Ix C6:C) pareant pat 8MUII uleul.l.d at . d.lly r.t. 0' .aaOI6~. All I.... which bac... d.llnqu~t on and .flat
JtnU.r~ I, 191Z will b.ar Int.r"l .t . r.l. which will ytrV fra. celMd.r Yllr to ul.ndar y..r with th.t tit.
ennouncad bv the Pi O.p.rteant 0' R.yenu.. lh. appllcabl. Int.r..t r.I.. fat l.., thrOUgh I'" ar'l
't.!!! Inlar..t R.t. O.llv I"hrut r.ctor l!!.! Intar..t R.'. Dalh Int.r." rector
1911 ZU .aDOS,.. 1911 .~ .0DOlU
un 16:C .GoOUI l.aa"I991 llj( .Gonol
1914 II~ .aonol 1991 .~ .000l41
1915 U~ .aonu 1991"199" 1~ .DOOI92
1916 IU .000l74 1995"1996 .~ .0DOZU
--Int"..t I. c.lcul.t.d .. followlI
INTEREST . BALANCE or TAX UNPAID X NunBER or DAYS DELINQUENT X DAILY INTEREST rACToR
--Anv Notlc. I..u.d .f'.r the t.. b.co... d.llnQU'nt will r.'I.ct en Inl.r..t c.lculallon to fl,t.en liS) d.y.
bavond the d.t. of Ih. ........nt. If p.v..nt It ..d. altar Ihl Int.,..t cOtPU,.tlon d.t. shown on the
Natlu, addltlon.1 Inhr..t w.t b. ulcul.lsd.
.-;~f'
'/"-
".q., ,
JRD/June 30, 1992117858
In Re: Estate of Ann Pochotko
Late of East Pennsboro Twp
OI~I)IIANS' COURT DIVISION,
COURT 01; COMMON PLEAS OF
CUMBERLAND COUNTY
PENNSVLVANlA
Estate No.:
21 - 95 - B85
No.
NOTICE OF FAILURE TO FlLE CERTIFICATION AND REQUF.ST TO
CONDVer A HEARING PURSUANT TO RULE 5.6(e), SUPREME COURT
ORPHANS' COURT RULE
Personal Representative: Mary Sue Carl son
Counsel for Personal Representative:
Date of Grant of Original Leners: November 27. 1995
Date of Delinquency Notice: March 1 B, 1996
The undersigned, Mary C. Lewis, Register of Wills, in accordance with Rule 5.6. Supreme Coun
Orphans' Coun Rules, herehy notifies the Orphans' Court Division. Court of Common Pleas of
Cumberland County, lllat neither the above named personal repr~sentillive nor the ahove named counsel
for the personal representative have filed willI the Register of Wills or Clerk of the Orphans' Coun his,
her or its certification required by Rule 5.6(d), Supreme Court Orphans' Coun Rule and that the requisite
notice, pursuant to Rule 5.6(e), Supreme Coun Orphans' Court Rules, was given by the Register of Wills
on Mar~h lR . 19...2.6 and that the ten (10) day notice to file the cenification has expired.
Accordingly, in accordance with Rule S.6(e) the Court is hereby notified of such delinquency and the
undersigned requests that a Court conduct a hearing to determine whether sanctions should be Imposed
upon the delinquent personal representative or counsel for the delinquent personal representative.
Date: April 9, 1996 &. (J l~ 1~)f"A .&l{)1;m g.LJ-j.
M ry Lewis, Register of'Wills ' U
(j\1.
Distribution: Personal Representative
Counsel for Personal Representative
Estate File - N,
A HEARING IS SET FOR V UAJl. dl./ /9Yrd AT J I. ()() A. /J1.
I N COURTROOM NO.1. )
IF THE CERTIFICATION OF NOTICE IS FILED PRIOR TO THE HEARING DATE THE HEARING
WILL AUTOMATICALLY BE CANCELLED. J~i~j /:-:." A/I---..-
-8......1:...L&.. -:1 ."' - ~I" HAROLD E SHEELY PJ