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HomeMy WebLinkAbout95-00895 .'\", ,"'>~ ~. ._. h'. -<' ; , PETITION FOIl PIWIIATE lIud GllANT OF I.ETTlmS 0l./-95 -rcrS...___. Il t l'ha I'd II. rill I I ('11 1:~\lIIII' '~I al,\II J..ltOh'll 11\ Nil, l,,: ,--, ,"011-'11-1 R'1(J ."fIl'w'!'U'I'III1IY 1\0. ~ _.. ~_~. '__. _ m_ .. /)1'("'0"'(1. Ill'vi'le, III Will, rill the ('Illlllly Ill' l:llIlI_IH":J..I~I!..~~__ III Ihe l\lIunUlII\'....allh uf Pcnl1!r1yl\'aniu 1'11\,- IH.'lililln ullh.., IIl1dL'P'Ii'!IIl'" Il'\flt,.'('ll'ully ICl1rl'\CIlI\ Ihal: /. "IHII 11l'IililHU.:I('~. \\IHI j'/Hll' IN )"l'iI.\ of Ul!l' IU tlldel ij'~121~ 7\"~1I1..1_~!'.. ._ _.._~___ lHulled 111111.., la\t \\ III nlllll" ahl1\l' dc.'l'\'dl'lIl. dalt'd .m...~ ____...__.-.___.____!____ ~_._.._---_t 19_ ami c,,,lil'il(,~ llitlL'lJ u __.__. _ ___ _ ________.___~._._..~. __ __. ___+_ _._ 1-1,11\' Idl'lillll ~lh.lllll\lilll\'l.\.l.,~, ll'lIUlldlllillll. ,ll-.II11 nll'\l't.:lIlnf. th:.) pl'lo.'",'mll.'lIl \\.~\ d~lIl1idll'd. ;II ,death in C;1J1I11)(~ I" J Hud _ ..t -rrrrtl.'ouI1IYt Pcnn~)'h'''nln, wirh h~R, 111'1 'allIll\' nr I'III1CII'IIlle\'I,\enf II~ O'.1.:~!..Jr.!:g_ ~r.~-TT<""V ~ -1.LL[to J 1 y--Sl'i~fnlJ~,_--"~~__.__...!>.._I'_~_'7:t2<;..~.1-v-,-'lil/l/~.5 I h';l, 111'1 '"t'L'I. lIU1l1llt'f lIIhlllllllh'III,IIJl~1 1)'''11'111111'11 h4' l"ll 11"1" Iic" Novemhor 15' 19 95 Hell \' I \' 1-- ---.--- c, \( . ~e. ( u'---'--TH --r'" G ^ :u ..VA Nel t~fl,....C'~)!tql~.L_SOII[h LC! 1/lI10B _~!'_~ ,,,',11111011 o. " F\I.'l'PI H' 1'0110\,,,, dl'I.'l,.'"h,'1I1 did IItIl1l1l1l1)', \\'1:1\ nnl di\'un,'L'd IImJ did 1101 have n l.'hUll horn or ndoplcd ,,1"11.'1 I.'\"'I.'UIIUII uf 11u.' \~i11 nth'll'd for pmhall'; Wit, nOllhc victim of II killing und wu\ ne\'er ndjudlcnlcd inl'ulII!'l'llolll: ____.." .__ .______ 1h'~l.l1th..lIl al L1l'a,h O\\lIl'" IHUp\"Il)' willi cMhl1nlCd \'ulucs us fullU\n: (II' .Inlllidkll ill I'll.) ,\lIl'eIMIlIUI fllOI'CIIJ' (If Ilnl dnlllidkd ill I'll,) l'e,\'uIIIIll'wpcrI)' III l'ellll\')'II'IIlIill (II not dumiL'ih..d in POI.) Pcr~nl1nl proJlcrI)' in COUnl)' \'nlaH,' ,,1" real ':'Ial(.~ ill PI,.'nn\yl\'nl1iu ,itU:lll'd ii' hl1Il1\\\: __._~_____~_ $ 3.000.(J() $ S S \\ 1I1',RU (IRI:. l'elitiullcrI\1 .c"pcelfuIIY,le'lueSI") Ihe nrohale of Ihe lasl will "lid eodlcil(s) PII.""'III\..d Iu..'....\\ilh HmllhL' gmnl of lellers tc R t nmQ n tn r y . tlL'\I"ml'IlIIU~.; ihllllilli\llillillll c.l,n.: IUllllilli\lrallon d.h.n.c,l.a.) Ilh:lllIl. ,X;' , r! /.7 " ,/j _lM.:J' ~;~~~,t;L~ ,,?f:(t1~J ,1.1~L2f/.dJJ.4v tY'rry I" __ (!11 lj-wr.st'"- rlle- 'ree[ Nt IloflY__SPI'JIlI:S PA I/lJu) , d ,/ "! 7 (.:- ~~ ~.;. c_ zf ;~ t " r ~ --- _~.____u______ ___ u ~_ '_....___ ._____~______._._ _n _..__._~_...__.... _ ___..__._.._._______.______.. OATil OF PEHSONAL I{EPlmSENTATIVE C0:\1l\1():'I;\\'EAI.T11 OJ' l'ENNS\'I.\'ANIA l,~ J >i~ COt:;'';TY OF ___~.l,Ji1D__E!lLAND_. rll\.' pl'liliolll.'f('J aIHI\C'ilall1l'd \\H'ar(\) or lInirm(~) (hallhL' 'lillL'ItICIlI't illlhe foregoing pClition arc Inl,,' .llld ",'Ulh,'l.:1 10 Ih,,' IH.'~1 orllle ~IIO\\IL'd!!l' illld hcliL'j' of pL'litiolll'r(s) and lhal ilS personal rCllreSl'n. l;t1i\'L'hl tit Ih,,' aho\l' dL'cedL'1l1 pL'liliulI,,'rl~) will wl'll Utll) nllly adl1lilli~tL'r thl' CSlntL' Ul,:conJing 10 In\\" ~~~~gtt'l.e&ru S\\lllll 111 III itlfitlltl'd ami "lIh"L'rihL'd he~r.' Ill,' Ihl' ~d .....27th 1)<1:1\' Ill' 11 I. ::~/~Vr:it<i~\,< ~."':~: '" ..' :> ., --------.-..--.------- i2' ~ ::;- --- --------~.._----._- ._-_.._-----~--- No. 21-95-095 Estutcof Illchllrd II. tlnlll'lI . ncccuscd m~clum OJ" .1nOIJATE AND GnANT 01<' LETTEns ANI> NOW November. 29,1995 19_. in con.ldcratlon of thc petition on Ihc revcrsc .idc hcrcof. 'all.rlletllf)' proof having bccn rrc,cntcd beforc mc, IT IS OUCREI!I> Ihllt Ihc in'trlllIlcnt\.) dalcd l) 2111 I) 4 descrlbcd thcrcln bc IIdmlllcd 10 probatc and mcd of rccord 115 Ihc 111'1 will of Hichard II. Mulloll, docoasod IInd LCllcrs: "ostllmontllry archcrcby grllnlcd to I,ll r ry Hullon ~U>-<'I) Rcalm'r of Wi Ii FEES Probatc. Lcllcrs. Elc; """.., S 25.00 Short Ccrtlficatcs(6) ,........, S 18.00 Rcnunclatlon .............,., S x-pages & JCP S 20.00 TOTAL _ S 63.nn Flied ....... N9Y.'i!I1\l;>!'!.r...~ 9". ).,9. 9~.. .. . Fred II. Uait I 10 II 311331 4 Lit ATTORNI\!l\' (SuP, CI,I,O, 1'10.) lerty venue Cnrlisle, PA 17013 AllPRll.~S ( 71 7J 241)-4500 PliOi'll! o t- ,,-, t,>j :'/ -?t . ~-'(I.5 iEct!'; t 3JEHU all it - (!ll'~;ht1lt~1tt OF IUClllllU1 II. HIII.I.EN I, RICHARD B. HULLEN, of Mount Holly Springs, Cumberland county, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my Last Will and Testament, hereby revoking and making void all previous wills and Codicils heretofore made by me. FIRST I order and direct my personal representative hereinafter named to pay all of my just debts, funeral expenses and expenses involved or connected with the administration of my estate as soon after my death as is reasonably possible. However, my personal representative need not accelerate and pay those unmatured obligations which, in his, her or its opinion, it might be proper and more advantageous to retain or renew and pay as they become due and payable. SECOND I give all my clothing to the Salvation Army. I give, devise and bequeath all the rest, residue, and remainder of my estate, together with all insurance proceeds thereon of whatever nature and wheresoever situate to my brother, LARRY HULLEN, per stirpes. GRIFFIE Be ASSOCIATES ATTORNEYS AT LAW 200 NORTH HANOVER STREET CARWSLE. PA 17013 14 NORTH MAIN STREET au ITE 307 CHAMBERSBURG, PA 17201 .... ~ ~ ~' \: ~ <: .. LAST WILL AND TESTAMENT OF RICHARD B. MULLEN THIRD I direct that my Personal Representative shall have my dog Debbie put to sleep and buried in the ROlling Green Pet cemetery in Camp Hill, Pennsylvania, where my other dogs Connie and Missy are buried and to have erected there a marker bearing the fOllowing inscription: "I loved you and know we will see each other again in Heaven. Love from Daddy." FOURTH ~ I request that I be given a military funeral and that my ~ remains be buried in Mount Holly springs Cemetery, next to Mr. and Mrs. William Yeingst, sr., if that is possible. If it is not possible for my remains to be buried in the Yeingst plot then I request that my remains be buried in any available lot in the Mount Holly springs Cemetery. Furthermore, in this connection, I authorize my Personal Representative to purchase a cemetery lot if I do not own one at the time of my death, and to purchase and erect a suitable marker for my grave, and to expend funds from my estate for these purposes. If it is not possible for my remains to be buried in the Mount Holly Springs Cemetery at all, then I request that my remains be buried in the Fort Indiantown Gap National Cemetery, or in the Arlington National Cemetery. FIFTH I request that my attorney, Fred H. Hait, of the law firm of GRIFFIE & ASSOCIATES read this my Last Will and Testament at my funeral. GRIFFIE Be ASSOCIATES ATTorUH:VS AT LAW 200 NORTH HANOVER STREET CARLISLE. PA 17013 14 NO nTH MAIN 6TRI:&T SUITE 307 CHAMBERSBURG, PA 17Z01 , LAST WILL AND TESTAMENT OF RICHARD B. MULLEN SIXTH No interest of any beneficiary of my estate, either in income or principal, shall be subject to anticipation or pledge, assignment, sale or transfer in any matter, nor shall any beneficiary have power in any manner to charge or encumber his interest either in income or principal, now shall the interest of any beneficiary be liable or subject in any manner while in the possession of my fiduciaries hereunder for the liability of such beneficiary, torts or other engagements of any type. SEVENTH The masculine gender shall be deemed to include the feminine gender herein where the context so requires, and the singular shall be deemed to include the plural where the context requires. EIGHTH I direct that my Personal Representative hereinafter named shall not be required to give or post bond for the faithful performance of he, her, or its duties in any jurisdiction. NINTH I nominate, constitute and appoint my brother, LARRY HULLEN, of Mount Holly springs, Pennsylvania, as personal representative of this my Last will and Testament. GRIFFIE & ASSOCIATES ATTORNEYS AT LAW 200 NORTH HANOVER STREET CARLISLE, PA 17013 14 NonTH MAIN BTREET BUITE 307 CHAMSERSSURG,PA 17201 ....., . LAST WILL AND TESTAMENT OF RICHARD B. MULLEN TENTH I hereby declare it to be my express desire that my Personal Representative employ the law firm of GRIFFIE & ASSOCIATES of carlisle, Cumberland county, Pennsylvania, for legal advice and the assistance in the probate of and carrying out of the provisions of this, my Last Will and Testament; they having an intimate knowledge of my affairs, views, wishes, respecting any matters that may arise in the probate of this instrument and the administration of my estate, and the execution of the powers herein mentioned. IN WITNESS WHEREOF, Last Will and Testament, WITNESS: I have hereunto set my hand fh r .', this?<faay of '::'-I'/J-rY-,..,6y to this my , 1994. ~;*~ ~/'l1 /kf.nA1 J51, ~~_ . RICHARD B. MULLEN GRIFFIE 8< ASSOCIATES ATTORNEYS AT LAW 200 NORTH HANOVER STREET CARLISLE, PA 17013 14 NORTH MAIN STRtET SUITE 307 CHAMBERSBURG,PA 17Z01 LAST WILL AND TESTAMENT OF RICHARD B. MULLEN ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS. I, RICHARD B. MULLEN, the Testator whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last will and Testament 1 that I signed it will ingly, and that I signed it as my free and voluntary act for the purposes therein expressed. ~el!._,.I8, :JJ1~~ RICHARD B. MULLEN Sworn or affirmed and acknowledged before me by RICHARD B. HULLEN the S~/)lyl...,6,r Testator this d. f'~ day of , 1994. \, . )\(1 (Il (l~.j ') l/otl)) ).)/ ) f j'l!:jj..:! ~in,;1 11,1:", t.ll'llllld!l, rt.:!;lry P~~~',lic C;I'h~fo norLJ, CUmUQ,limd (;CU1,'y' Mf Comnhsnon (!),piUHi May 1G. ItJna GRIFFIE & ASSOCIATES ATTORNEYS AT LAW 200 NORTH ttANOVER STREET CARLI6LE, PA 17013 ,.. NORTH MAIN STREET BUITE ::101 CHAMBER6eURG, PA 17201 , ^-I -q 5 - '>i' r( ~) 2.\q5erq~ '1/. Ut I Cf 0 In the Estate of: RiC~Clrd. Mul\.et"\ Estate No. Date CLAIM AGAINST DECEDENT'S ESTATE The claimant certifies that there is due and owing by the decedent in accordance with the attached statement of account or other basis for the claim the sum of $L-J,':)Y').18. , ~CCOUfT t:\:- 5q4')DSCJOOLOBo~ra1 I solemnly affirm under the penalties of perjury that the contents of the foregoing claim are true to the best of my knowledge, Information, and belief. ,"?~c. &al'\t..CO-rd ~rv\~-5 Po $)'1<.. ~1u.(PO ilu lS~ ~ ,(.1/2 H~~D "'7 Nlm_ 01 Claimant gnature a' claImant or perlon luthorlzed to make verlllcatlon. on behalf 01 clllmant \"'ttOOt.. HPrIY\f{oN- Col'~ctr"NS OtpT Ham. and 11l1a 01 Pe"on Signing Claim PNc" 80l'.'f::. ccc.rd. ~<<' VI ceS Addrell Po ~'l( dol v,(elD IT\.d~ 01<.., LJI~I-mg C~O 0) Lf 2.. Lj - LJ.1Ju, 1 e tr: :;l'l ')LJ Telephone Humber FILED: RECORDED: Claims Docket Llber Falla Instrucllons: 1, This form may be filed with the Register of Wills upon payment 01 the filing fee provided by law, A copy must also be sent to the personal representative by the claimant. 2, If a claim Is not yet due, Indicale the date when it will become due. If a claim is conlingent, Indicate the nalure of the conlingency. If a claim is secured, describe the security. RW2B PS.35B4 . . . BS 5447050001080584 MULLEN,RICHARD 8uPO BOX 25"MT 1I0llY SPRINGS'PA"7065.0025'54470500010B0584 04/26/96 08.09 CURRENT BAl 4547.78 CRED It 1I M II 5000 AVAILABLE CR 0 LST STMI BAL 4547.78 PREV HIGH BAl 4817 LAST PMT AMOUNT t20 LAST PMT DAtE 10'24-95 StAtUS COOES INt/EXT DII CYCLE COOE 13 OPEN DAtE 06'88 EXPIRAtiON DAtE 06.96E PlASlI CS # 01 lYPE 11 lASt MONETARY 04'16'96 A lASt NONMDN 04.02'96 029 IIOHE PHONE \/ORK PHONE SOC SEC # 208-24-1830 CHECKING SAVINGS ANNUAL CHARGE 02.96 I CREOIt LINE 12'94 M 114.00 CONTROL 4 o AMOUNT DUE 695 DISPUIES 0 0 0 fiXED PAY AMt AMI OElINQUENT 581 AUtH fLAG PIN lRIES 0 RENEWAL COOE 4 # DAtS OElINQUENT 162 OVERLIMIt HISTORY 0 USER flAGS # tiMES 1 CYCLE 1 TERMS LEVEL 6 SPECIAL fLAGS # tiMES 2 CYCLES 0 HI StORY 5432 1111 I J II MISC f # tiMES 3 CYCLES 3 REAGE COUNtER 01 MONtHS GROSS ACtiVE 28 RECOURSE fLAG II StAtUS COOE CHG 02-06'96 DElQ SCENARIO 0011 CASH AOV out 3800 AUtO PAYMENt fLAG 0 SCORE. BH 005 CR 000 CREOIt BUREAU fLAG I 110 INtERE51 64.73 CREDit LifE 0 I OUALItY 0 CROSS REfERENCE 1 0000000000000000 2 5436814011057988 3 0000000000000000 _:' ;, dl , " , . ~.' .'f ...... ... .~ ~.. __ ~, .__ {; .!?' CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedentl Richard >>. Hullon Date of Deathl 11/15/96 1 ., t-QS""'- G-1.-r" Wll No. ,.... ( <"7 Admin, No. 1995-00895 To the Registen 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 11/30/95 lli!!!!!! [,arry Nullen Address 5 \~est Pine St. Ht Holly Sprinp,s PA 1/0u) Notice has now been given to all persons entitled thereto under Ruie 5.6(a) except Date: 3/22/qij ~~~~~~ Signature ~ Name Fred II. lIalt Address 4 Libertv Avenue CarlIsle, 1'/\ 17013 Telephone(71~ 249-4500 Capacity: COMMONWrAllH Of prN~~!tYlYANIA ot'AR1M(Ul0f R(YWUr otPl 180601 . ~ARIWiIURO._~~ "_I~'O~J1 OIUDW ., NAMI IlA". I.'. Atj(l MIDDlI !Pll 11011 Hullcn, Richard n. >OC;~~~U~~'_N;;~~ --~=~~l"^;:1~;~~;';5 J"ifl~;';';31 I' ...",,'" , '""'''''0 ..nol" ::~=~:':: ':'_~~'_'~' JO(::'~'~~'~'~~'''. K'J 1. Oliglnal Retuln Ll 2. Supplemenlal Retuln o 4. limited E'tale [1 40, fulure Inlerll' (omp,omill 1'01 dalll 01 deolh alter 12.12.82) r9 6. Dendlnl Died te,'ole [J 7. Decedenl Mainlained 0 liwing Tlu,t (Auach top)' of Will) IAlloch cop)' of Tlu,11 ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TOI ,t(Y.I500 (1+ l1.q" ~ woC", Illii!~ :c09 uS" I I I ,I I I , INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) . '. ~,~ is Ell III o :iliS "'0 "'z 8~ N"Mt Fred n. llaik,J;!lffi!iX9 I(U'HON( NUMIU I~) frll' I'/ fOI OATIS Of OIATH Anll 12/31191 CHICK HIAI If A SPOUSAL ' POYI~!Lc:.I~Il-'UL~I",I~1 ] fill NUMI.. 2195-01195 COUtHY CODE YEAI NUMBER z o 5 E ~ u w '" =-_L1Jj J 2411___4S.Qll 1. Rlol EUal' ISchedule AI 2. SIoc~' and Bond, ISchedule B) 3. (10111)' Held SlocIt/Parlne,..,lp Int"", (Sc"edule C) 4. Mortgages ond Notll Receivable ISchedule 0) S. Cash, Bon~ Depo,its & MI,cellaneou, Personal Propel I)' (Sch.d,l. EI 6. Jolnll)' Owned Plopelt)' (Schedule f) 7. T,an,f... (Sch.d,l. GI(Sch.d,lel) 8. Tolol Oron Au.ts (lotaIUn.. 1.7) 9. funeral hpen,e" Admlnl",alive Costs. Mhcellaneou, Eapenlll (Schedule H) 10. Oebts. Mortgag. Uabllili.., lie", (Schedule II 11. Tolal Deduction, (Iotal Line, Q & 10) 12. Net Value of E,tate (line 8 minu, line 11) 13. Charitable and Governmenlal Bequ..ts (Schedule J) 14. Net Value Sub lee' 10 Tax (line 12 minu, line 13) IS. Spoulal T,an,f." (for dalll of dealh a"er 6.30.94) See In,IIucllon, fOl Ar.pllcoble Percenlage on Reverse Side. (Include valu.. 10m Schedule k 01 Schedule M.) 16. Amount of line 14 tOllobl, 01 6% role (Include 'talue, from Schedule K 01 Schedule M.) 17. Amounl of Line 14 ta.able 01 15% 10 Ie Ilnclude valu.. from Schedule k 01 Schedule M,) 18. Pllnclpal to. due IAdd la. from lln.. 15. 16 and 17.) 19. C,edil' Spou,al Povell)' Cledil PrlOI Pa)'ments ---- + OIUOIW HO""IIII AO{l'U~ On" y.,t"s Strnnt Ht. lIo11y Springs, M 17065 CO] .-~~,~~~~::I~~:"U(I'6ml-------___~____ [) 3, []S. Remainder R.tv,n {lOI dOl., 01 d.alh priOl 1012.13.821 federal hlale Tox Rllurn Required _ 8. Total Number 01 Sol. D,polit Bo... co",m u M-'lIlt4Q -'00'1 U NcGmw, lIa i t & Dc i tclunan 4 Liberty AvenUn C;\l;lJ.ll).Q ,~l'kd,10JJ (I) _0..___... __ m.__.._ (2) _..0 . _. _.. _._ _____... ____. (3) __0___,______..___. (41._0__.__.,____..____..._ (512,926.06_______ (61._~.__ _____ 171_0. ", !h) I , z o ;:: oC ~ => .. .. o u ~ ~ (B) ;!,.226AG__._.._ __ _ (91.5,650.31___ l1ol_~,636.04 1151 1161 (111 _11,.;!.II..9_.35____..... 1121 _II!.,36J1.L25'-J_.____.. (131 -0- (141 -0- o ___u__.._M. _n__._ o . ___M .06. o (171 __.___0____._____" .15. __._0__.._._ o ----_._-----~----~.._-. (lBI DIICounl +.------ - Inl"ell 119) _Jl______ (20) __0_____00_,,__,. 20. If Line 191, glealel ,han Line 18. enlel Ihe difference on line 20. Thh I, Ihe OVERPAYMENT, eo Check he,., if you ore raqualllng a ,ofund o' your overpayment. (21) _.,_0______,_____..,_____",__ (21AI _..,,0 ________00 ..._.~ (21BI --0--------- 21. If line 181, grealel than line IQ,enlel Ih. difference on line 21. Thh I, Ihe TAX DUE, A. Enlel Ihelnlel"l on Ihe balonce due on line 21A. B. Entel Ihe 10101 of line 21 and 21A on line 21B. Thil ilthe BALANCE OUE. Mall.. Cheel. Payable 101 Reglater 0' Willa. A_uent >- >- BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH ~ ~ Under penahl.. 01 perlur)', I declare Iholl han uamined Ihi, ,elurn, including accompanying sch.dul.. and ,Iotemenl" and 10 the be,' 01 m)' ~nowl.dge and beliel, ,I i, tlue, co"e" and complete. I dedare Ihat all leal ..tale has been leporled 01 !rue mafkel value. D.dalalion 01 prepare I olhel Ihan Ihe pe"onal lepre..nlallve i, baled on 011 infolmation of which prepalel hat any knowlfldge. !lIGNA - t 01 '(UOU .U'ON 'll('OIt '~llNG UIUU4 "DDIlU!.. 777'lj.l'1~or:y-~-i.t~Np;-T~. VAil , / / ----. U-.I 7J' C&(:.:t.....'V ~~~w~c- ~.".:. ~J't~ri.L.-f '1/1, 22 " It 01 "iI",. - '~~I' Y 'J.:':;JtJrt;Y-Lf:.~t'I1-'t~.f}()r/,'.J/t' A1- / .>t1LL O"~_tP'~/~>-= .' Act #48 of 1994 provide. for Ihe reduction of Ihe lax rale.lmpo.ed on Ihe nel value of transfe.. 10 or for Ihe u.e of Ihe .pou.e. The ral.. a. pre.crlbed by Ihe .Ialule will be: 8 30/. (.03) will be applicable for 8.lale. of decedenl. dying on or after 7/1/94 and before 1/1/96 e 20/0 (.02) will be applicable for ellale. of decedenll dying on or afler 1/1/96 and before 1/1/97 8 1 % (.01) will be applicable for e.lale. of decedenll dvlng on or after 1/1/97 and before 1/1/98 8 Spou.al Iransfe.. occurring on or afler 1/1198 will be exempt from Inheritance lax. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (v) IN THE APPROPRIATE BLOCKS. YES _NO I, Old decedent make a Irander and: a. relaln Ihe use or Income of the property tronsferred, ........,..........,..,................................ b. relaln the right to designate who shall use the property transferred or Its Income, ............... c, retain 0 reversionary lnlerest; or ............,..,.................'...................,..........................,.. d, receive the promise for life of either payments, benefits or careV ..................,........'....,...... 2. If death occurred on or before December 12, 1982, did decedenl within two years preceding dealh transfer property without receiving adequate conslderallonV If death occurred alter December 12, 1982, did decedent Iransfer property within one year of dealh wlthoul receiving adequate conslderotlonV """"..""...,..",..""""",."..".,.,."",..",.....".".."".. ,.....""",.,.,.."., 3, Old decedent own an 'In trust for' bank account at his or her deathL.....,..,......,.........,.......... x IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. ,,~:J~'?l\ ....~Iv; COMMONWUltlt Of P(NHS'fIVANIA INHI."ANCITAX .nUJN IUIDIN' DICEDIHl - - -- SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Ploolo Prlnl or Typo FILE NUMBER 2195-0895 'IvnOllIJ'IJIr, ESTATE OF Richard ~. Mullen IAlI prop.rty lolntly~own.d with the RighI of Su,vlvonhlp;;;ibe dlulo..d on Sth,dul. FJ ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 2 PIIC ~nk I\cctl' 51-4039-9968 51-3038-7963 2,788.29 142.38 PNC Bank I\cctll '.) TOTAL AlIa onlor on IIno 5. Roco ilulollon S 2,930.67 (/,. .. ..: vn" )( 11" .heeh il mOl' .pacI b n..ded,l PNCIBANIK Snllllh I'HlI,'1. 1'.\ Statement L71 RICHARD B MULLEN 1 YATES ST MT HOLLY SPRINGS PA L7065-LOL7 C LAST rAOE STATENENT HUH8ER 51-4050-00.8 ~~~~~ E~J8:;HEC~ll~~~t~0~~Tl rAoE 2 PRIORITY 50 IF YOU HAVE A rNC 8ANK CERTIFICATE OF DEroSIT LISTED ON THIS STATENENT. YOU WILL NOTICE THAT A NEW ACr.OUNT NUH8ER FOR THAT CO ArrEARS. WE WILL SOON BE SENDIHO YOU HORE INFORHATlOH THROUOH THE HAlL REGARDING THIS ACCOUNT NUNBER CIIAHOE, NO OTHER CHAHGES HAVE BEEH HADE TO YOUR CO UNLESS YOU rREVIOUSLV RECEIVED INFORNATION FROH US. SAVINGS RICHARD 8 HULLEN JAHICE SHAIIK ACCOUNT NUMBER TAX 10 HUNBER LAST STHT END DATE ACCOUNT SUMMARY 51-,!03&-79b5 208-24-1850 11-0.-" FOR CUSTOHER SERVICE CALL 1-800-557-22.2 PREVIOUS BALANCE 142.12 DEPOSITS/CREDITS .00 WITtlDRAWAlS/DEBITS .00 INTEREST PAID .2. NEW DAlANCE 142,58 DAILY ACTIVITY /lAll 11-0. 12-05 E~PLA.NATION OF TRANSACTION YOUR rREVIous STATEHENT BALANCE INTEREST rAYHENT WITHDRAWALS AHO OTHER DEBITS DErOSITS AND anlER CREDITS .2. BALANCE 142,12 142.5B ACCOUNT INFORMATION HINIHUH 8ALANCE AVERAGE BALANCE AVG COLLECTED BAL CHARGES/FEES AHOUNT 142.12 142.12 142.12 .00 INTEREST rAID THIS rERIOD INTEREST rAID THIS YEAR ,2. 5.07 THE ANNUAL rERCENTAOE YIELD EARNED IArVEI IS. THE NUHBER OF DAYS IN THIS INTEREST rERIOD IS. THE AVERAGE DAILY BALANCE USED FOR THE ArVE IS. TNE INTEREST EARNED DURING TNIS rERIOD IS. 2,55 % 20 142.12 .2. . . 000 JII'>OIIOO;' fjov ;>i114 PNCJJ]ANII{ SlIlIlh. ,'1111.11. 1'\ Statcmcnt 171 RICHARD n MULLEN 1 VATES ST MT HOLLV SPRINGS PA 17065-1017 C 1,"111,"111,".11".1,1,,"1111",.,,111,"1.,1,11 STATENENT HUH8ER 51-.059-9968 STNT END DATE 12-05-QS ENCLOSURES PAGE 7 1 INTEREST CHECKING RICHARD a HULLEN ACCOUNT NUNDER TAM 10 NUNBER lA~T ~TMT fNO nATf 51-ct039-9'b& 208-24-1D30 11-06-05 PRIORITY 50 foR CUSTOMER SERVICE CALL 1-1100-537-2262 ACCOUNT SUMMARV ~ PREVIOUS BALANCE 2,117S.S! bEPOSITS/CREDITS 1,7,.5.b& ll\IIIW 7 A!12.\!IlI 176,02 WITHDRAWAlS/DERITS b. DO NEW BALANCE 4,436.97 DAILY ACTIVITY ACCOUNT INFORMATION CIIECKS AND DEPOSITS AND OTHER DEBITS antE" CREDITS BALANCE 2,875.35 ..B1J.6!i 2i7ft!..b8 9.'7 2,775.71 10.22 2,763.49 1..97 2,748.52 21. 27 2,727,25 257.05 6'5,00 M1.00 '1,468.30 J 14.97 ,I-p.o, 14,97 '1,438.3" ..00 4,61 4,lt3I:.,.,7 INTEREST PAID TillS PERIOD It.Ll INTEREST PAlO TIllS YEAR 141. 25 ~ EXPLANATION OF TRANSACTION 11-06 YOUR PREVIOUS STATENENT BALANCE -.J~-~~ CIIECK 5110 REf' 250..592 I - --wm .llTllUll'""}5285S7Q 11-21 CIIECK 5116 REf. 21020700 11-22 CNECK 5111 REf. 25012227 11-24 CNECK 5115 REf' 212B5547 12-01 ACH CREDIT 200241050 Of AS-CLEVELAND RET NET ACII CREDIT 200241050A SSA US TREASURY 503 SOC SEC ACH CREDIT 17025054 00 10 US TREASURY 220 VA BENEFIT 12-04 CHECK 5114 REf' 25Sl6615 CHECK 5115 REf. 25516675 12-05 ACH DEBIT 051217170005559 CNA 000-252-2140 INS, PREH INTEREST PAYNENT NINIHUH BALANCE AVERAGE OALANCE AVO COLLECTED BAL CHARGES/fEES ANGUIIT CHECKS PAlO TELEPHONE TRANSfERS 2,727.25 3,054.93 !,054.1f! ,00 7 o THE ANNUAL PERCENTAGE YIELD EARNED IAPYEI IS. TilE NUNBER Of DAYS IN TIllS IIITEREST PERIOD IS, THE AVERAGE DAILY BALANCE USED fOR THE APYE IS, TilE INTEREST rARIlED DURING THIS PERIGO IS, 1.192 % 29 3,054.93 4,61 SUMMARY OF CHECKS CHECK llWW 5110 5111 .112 DATE Al1Q!lIlI WI! 81J.65 11-07 14,97 11-22 9,97 11-20 CHECK tll!l1IillI 511! !1l4 5115 DATE A!12.\!IlI WI! 14.97 12-04 1~,97 12-0~ 21. 27 11-24 CHECK lli!l1I!.tIl 5116 DATE A!12.\!IlI WI! 10.22 11-21 . GAP III YOUR-CHECK-SEQUENCE DOl) :\11',1)<1'1\1;' Il,'~ .''1,1 ESTATE OF Richard 13. Mullen ITEM NUMBER II "'lUll I.. 1'111 A. B. 4, C, I. 2. 3, 4, 5, 6. 7. 8, . SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES PliO" Print or Typ. e NUMBER 2195-0895 COMMONW(AlIll or ,rUNSVIVAUtA INlt(R"ANC( tAX U1UR" 1Il$IOrNI D~CfO(N' DESCRIPTION AMOUNT Funlral Expln.... $4r700.00 1, 1. Admlnl.tratlve Ca.h, Porsonol RoprosontaliYo Comml..lons Social Soeurlty Numbo, of Porsonol Rop,osonlollYo, Voa, Comml..lon. paid 2. Anornoy Foos $500.00 3, Family E.ompllon Clalmanl Add,o.. of Claimant at doeodon". doath St,oo' Add,o.. Rolollonshlp City Zip Co do Stalo P,obato Foos $63.00 MI.e.llan.ou. Expln.l.. Advertisement of Grant of Letters $150.26 Return of Veterans Jlsministration Pension Payment for month of death $237.05 TOTAL (Also ontor on lino 9, Roeapltulallonl S 5r650.31 (If mo,. .paeo I. n..dld, In,",' addlllonal .hu'. of .aml .111,) ~ f --I CIl . . -." ,... a: LJ1 ~~ I < 0 oJ oJ C'- Q 0 .... "" ~L Q nJ ,; 0 z 0 {' 1',1, 0 - ~ r' 0 0 ~ - - ~ rH I:> oil ,,"' ... ~,Ll. L ~l .. .. l:ll l:ll ~ " .. .... i 0-0' 0 v.-', ' d' l:ll I .,/1 III 0 I -~~~I- ... LJ1 :1 ~ ':: l:ll .... If' C'- 111 N I 0 .. 1\1 .... t\J .. I c:> .... .:> 0 r \/1 ':: C> 'M, ! .~ a ~~~ . U"',!; a a Z-H "'5 -. ~u. iE.ll '" ,.,....-..- a: . . 0 u. "U I.. . ". " RnunN POUAOE OUAnAHl'HO THf: 5ENTlNH. - l.fG,\L P 0 DOX 130 CARLISLE, PA 17013 UIVOtC[ '10 (IIU 1110 UA II. 76800 )1/17/96 l"O[IOOOl['JIM L(<;:-kL P8~s~I'I'=lkbe AbJl:'M'/SING INVOICE lXECUTOR'S NOTICE Letter STAnt DATE lCLU'ttONI: NO OfIl>fIl,..O )1/02/96 ~q9-q500 76000 l'~nllilU" "M[S ftA n N[1 AUOU"l G ,W(),M 21 3 LEG 77, OS 'R09F OF PUD 5 00 /c:uW 8, hW- J.. 1 J /(,. vnilS ffT", 82. 05 90, 2 Gros~ due after 02/16/96 nnunN TIllS pORnOll WIlli YOUR "["'IJTAIlCE 82 05 90, 26 Ad II 76800 I , I f I I , MCGRAW, HA tr ~.. DE I T 4 LIBERTY AVENUE CARl. ISLE PA 17013 VlSA/M...StERCARO PAVMENT OPTIC,.. ON hACK PNCBANOC PNC lI.nk, N,A. SoulhccnlrlllJA 040 No. </. 3/17/97 19 ~171 - 313 $190. 26**;*-;;*J PAY TOTHE ORDER OF ! NINETY and 26/100*****************************~************************************ DO LLA A S I I . The Sentinel FOR Ad II 761100 ESTATE OF 7f'~ ';tf.~ #"AM.y~LI~ ~ ~ ':0 3 ~ 3 ~ 2? 38': 5080 3 ~88 ~ ~II' ClIMBEIU.AND LAW .JOllnNAL 2 LIBEHn' A VENUE CAHLlSLE.I'A 171113 JANUARY II) 11)96 Cumberland Law Journal is published every Friday hy Ihe Cumberllll1d ('OUl1ly Bar Association aad is designated by 1he Courl of('ommonPleas as Ihe ol1iciallegn\ puhlication for Cumberland County and the legal newspaper for Jlublicaliol1 oflegalnollces. TO: Fred 1-1, Halt. ESQUIRE RE: Richard B. Mullen. ESTATE Legal advertisements must be received by Monday Noon, All legal advertisil111mus1 be paid in advance, Make all checks payable to: Cumberland Law Journal. - - - - ----- - - -- ----------- Advertisement inserted on following dates: JANUARY 5,12,19.1996 Advertising Cost $ 60,00 Proof ol'Publlcal ion $ 0,00 Second Proof Request $ 0.00 Payment received $ 0.00 ..--.---......... Total Amoul1t Due $ 60,00 --------- --------- Payment received by ;. ". IIYU'/lIt ItUJ " * SCHEDULE I J DEBTS OF DECEDENT, ~ORT~~~E_ L_I~~ILlT_IES A~D ~I_EN~__ Ploa.. Print or Typo FILE NUMBER -'1195-0895 (OM.v.o"W'AUH 01 PlNIt""''''...... 1f4HI'IIAUCI'" .,rutu ,UlDlu! PI IID".I ESTATE OF Richard n. M!lllen ITEM NUMBER DESCRIPTION AMOUNT 1. PNC Bank AcctH 5436-8140-1105-7988 $4,458.42 $ 328.94 $848.68 2. Yellow Breeches EMS, Inc. (Ambulance Service) 3. Carlisle Hospital TOTAL (Aha en!.r on line 10, Recapitulation) I" more space is nf~ecl8d, im",' cddi'jano' sh..ts 0' some fin,} IS 5,636.04 '. YELLOW BREECHES EMS, INC. I'.nl~" m, MI. IIIlII\' SI"IlIl\-. 1',\ 17111 ,~.illl~, 17171.1Hh..\Sl,lIS ,\1\1, ,"', 1',1\1. \\Illllh.lIll1) T'I\ I.D./l21'h '''IIHh STATEMENT [----.. "-", DATi: 07/16/96 I ------ ..- ~ Ace, · ~82; ;~i~!' ' RICHARD B. MULLEN 1 YATES ST. MT.HOLLYSPRINGS, PA 17065 FINAL NOTICE I - I Your pavmonl musl bo tocolvod wUhln Ion days or Immodlalo Bellon will be lakon, -. ----. REF N TRIPN CODE DATE DESCRIPTIOtl AMOUtn BALAtlCE AI ,. ,_.. -.-, 'ARC 9500570 IN 0 120/95 1 YATES ST. 119.45 119.45 9 00570 AD 1 109/95 M PYT 93.65 25.80 9 ;00570 AD 0 102/96 M WRITE OFF 25.60 0.00 9 ;00571 IN 0 120/95 C RL. HOSP. E.R. 30.01 130.01 9 ;00571 AD 1 109/95 M PYT 95.62 34.39 9 ;00571 AD 0 102196 M WRITE OFF 34.39 0.00 9 p00795 IN 0 112/95 C RLISLE HOSP. 30.01 130.01 9 p00795 CA 1 109/95 93.65 36.36 9 p00795 AD 0 102/96 M WRITE OFF 36.36 0.00 9 p00696 IN 0 105/95 L BANON VA HOSP. 26.94 326.94 I;; cfP~A ::.t.NU I"ATI'lt.NT. ... COMMENrtl:U::. L'" T UUK PLEASE PAGE ~ ACCOUNT IS PA5T DUE. PAY 326.94 V~. ~ - ...... PUC IIMIK ~I:;:':;;~'~,: O~~~ :;~~:'.~J ~~";'>~_~;~(~l ~'~';~5'~~_('_21 ~;;~.;: ,'81 (, 0 '_I 05 _7 ~,~ 81 ~:,:,::~::;"'''l o If 'lHllull' J 111'\\ ,1;\h"lilldq~~;lM' IlII1,d_, I~"'" ll",~ t~11 ,ll~lll)trll~'\\ II;!.II:I,'!"'!I '01, hhl ',"'";1"0 TYPE I 207(, 1...111".111,".11...1.1.11".11,"..1.1.1.1..1"11 RICHARD B MULLErl 76(,11 1'0 BOX 25 MT HOLLY srRI rA 17065-0025 ruc UATlOIlAL BAUK 1',0, BOX 15397 WILMIUOTOU. DE 19886-5397 - 543b814011057988 0024000 0445842 - AI'II \\IIIIIU 1I11'1'IK l'tllUHI\ \\11 Kilt"' "'111 'Ill H (IIUIo. 1''''11I1111111I .\110\1 \\11 \1\11111 \IlIlMI"'IICl"\ . ACl1IUnl 1.1\'\111 Numh" IJlllll A\',ul..hlt' en"ln 5436 8140 1105 7988 5000 541 ').1)'\ In 1"llillNI till' J'J\IIlI'111 MUUIllUUl IlIIIUI)! U"'ill)lIWI' IltH"HJlt' 1'1)11)1'111 HilI' tt."- 30 12/13/95 01/07/96 240.00 ,..It'" I.I!I"'> 'I'll'll'" t 1.11101'" /',1\1'''-'''' .\1" IlI-' ,', Ttall..to.t.in I\~",~ \ullll.n 'lIl1"1.1" ........11.'" 1213 CREDIT LIFE WSURAfICE rREMIUM FIflAflCE CHAROE rURCHASES G5.83 CASH ADVAflCE G56.17 ...,11'....., 4.50 All JI1~."'II,~~",.-.II... J ,,,,,,,.. "1' '-'I'.. I..~t,I ,.... .11-.1.( ,,,I.,,.... 1110.'" ,..1..-1",... ,,~I~ ...~l I ri~ "~K uuu,; KA TEllrscl\JSE1rOfl,Hl:-FAClOOFlHI5 Sf AiI!Ml!tlT41A'1 VARY, SEE YOUR ACCOUflT ADREEMEflT FOR MORE rRECISE DETAILS. l'UIIU' ItJI.llkt.' pIU'IlI' I.It II' II. I.h.". ,\, \.\1'"'' ^Ilo! Il1llO'f (h.II~'" , UI^HliI; ". 1I.11.I'ItI' 4391. 92 0.00 0.00 4.50 62,00 4458.42 Nn.\IIN.U .\!'\iNII.\I, I"m..ln UII.Ultl'!'>Id'l'I'l nNANn; ANNUAl, l'I_H(:tsTAI,r n.111' l'IlulJlk" (:IIAHlit l'I;Hc:r~1AliJ: HAn: IIlJIII' tIl.Ulot" SrECIAL RATE rURCHASES 11~1'99" 12.99" .03558" 479,62 5.11 rURCHASES U500 OR LESS 17.99" 17.99" , 04928" 49.00 0.7Z CASH ADVAflCES 17.99" 17 ,99Y. ,04928" 3800.00 56,17 CASH ADVAlICE SERVICE FEES 0.00 rURCHASES OVER U500 15.74" 15.74Y. .04311" 0.00 0,00 1.1I""'IU" ...".... Illl"'Il,.Il"'II WRITE TO, CREDIT CARD DIVISIOfl 1'.0. BOX 21660 TULSA. OK 74121-1660 OR rHOIIE CUSTOMER SERVICE, 1-800-762-2273 IF CARD IS LOST OR STOLEfI. CALL 1-800-635-1629 AT AllY TIME. l'k'.I'" 11\' ".... .., 't-,. tl,,' lIt1tl!',~ 11,.:'", ...,,,,,,, 'I' .",.! '"'1''''' ",\ .Ii" I,. ,. ""'''''' "" ." .d'. .f.., w\, ,,,. ",f. \\-\1 I j 11-""'\ 10 \ ..". t ~!1 DETACH HERE 100\55UllI "fUWfllC:IlIlM11'UAr.t WI1lH U:~lIlrATII 'l1lll1l,lltlllOU ~OlllIU" 0 o\UOllI TIIIIP. IJI'l'ffl l'0ll1lO1,WllI1 nUII"AfIC( DATI! DESCRIPTION QUANTITY AMOUNT 09/211'95 HEDICARE AUTO HRITEOrr11P 1 18,1'O.89CR 10/10/95 HEOICARE IIISURAllCE PAYI1WT 1 11,'I'oS.S8CR 10/25/95 HEDICARE 1I'P HRITE-OrF 1 .73eA 10/25/95 HEDICARE CRIlA HRITE-OrF I llS ,41 11/20/95 HEDI CRIlA illS PAYHEtlT 1 90.7SCR ~ a i II! ~ ~ a I t; i i ~ a , ' IMPORTANT MESSAGE P~lU:,!T..NAMl RICHARD B HULLEN PAtIENT NUMBER THANK YOU FOR USING THE SERVICES OF THE 0649988 CARLISLE HOSPITAL. THIS IS A SELF PAY ACCOUNT SUMMARY ACCOUNT, AND TlfE BALANCE IS CONSIDERED YOUR RESPDIlSIDILITY. IF YOU If AVE INSURANCE PREVIOUS COVERAGE PLEII.SE FILL IN TlfE INFORHATlOIl OIl OALANCE SO,961.00 TlfE REVERSE OF TIllS BILL. IF YOU If AVE AllY flEW QUESTlotlS CALL 249-6616 BETHEEIl 9AH AND CI1AflO[S .00 4PH. Po\'I'l.lEf.61 DillER SO,112.S2CR AOJUSTMEIUS CUIII1Utf AceOUm 848.68 OISCltAAQE 16(lIVlC"E BALMICE DAlE o 9/0fi/95 PA'I'U(flT NEED HELP HITtt OHlER HEDICAL DILLS 11 AOREUltpjf DUE DATE 05/06/96 CARLISLE HOSPITAL CLAIH CARE 717-245-5158 AMOU,jf .00 PAY 848.68 R[TAIN TIllS f>OflTI()tj "A,M[Nl5 nrC[lVLD ...,Trfl Dllur~ OAn WIll ",'I'(An e'l 'tru 6TATEMUlT THIS AMOUNT /5'&?--1-I BUREAU or INDIVIDUAL lAMES INllIRIUJ.jU UIt 111\ll'.ilnN 1](111. :'301>01 ItARRISIlUIlC. 11& 111".'0"01 COMMONWEALTM OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICt or INliER! lANCE TAX APPRAISEMENT, ALLOWANCE OR DISAllOWANCE or DEDUCTIONS AND ASSESSMENT or TAX FRED Il IlAIl ESQ MCGRAW ETAL 4 LIBERTY AVE CARLISLE PA 17013 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 08-11-97 MULLEIl 11-15-'15 21 95-0895 CUMBERLAtlD 101 c- <~ .)b'I:*'i;'~\. 1".(.:.14'io:t"' \.loi..l'~.t/;:". '10,'"'11.",:11/1 RICIlARD B r------An-ount -R;~TH.-d I I. ", ~-c., -'~~ _ ,',-- .u._ "'''''':r_-y.~,,-j i MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .... iiEV: is'4""i"EX-AFj>--foi":97 Y"NoYi CE- -0"- i NHEii i;: ANcE-YAx- iiP" piiA is E'ffENT -'--A i.rOWANC E- OR - - u - - m - - - - - - -- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF MULLEN RICIlARD B FILE NO. 21 95-0895 ACN 101 DATE 08-11-97 If an assessment was issued previously, lines 14. 15 and/or 1&, 17 and 18 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. AMount of Lin. 14 .t Spou..l 1&. AMount of Lin. 14 t...bl. .t 17. AMount of Lin. 14 t...bl. .t 18. P~lnclp.l Tax Due TAM RETURN WAS, I X I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGIIIAL RETURN 1. R..I Eat.t. ISch.dule AI el) 2. Stocks and Bonds (Schedule BJ (2J 3. Clos.ly H.ld Stock/Pa~tn.~ship Inte~est ISch.dule CJ (3J 4. Ho~tg.U.s/Hotel Receivable (Sch.dule OJ (4J 5. Cash/Bank D.polits/Hilc. Parsonal Property ISch.dule EI 151 b. Jointly Owned P~operty (Sch.dul. FJ IbJ 7. Transfars (Schadule Gl 17) 8. Total Assats APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funaral EMpensas/Adn. Costs/Hisc. Expansas (Schadule HI (~J 10. Oabt./Hortuaua Liabilitial/Lianl (Schadule II 1101 11. Tot.l Deductions 12. Hat V.lue of r.x R.turn 15. Cha~it.bl./Gov.~nn.nt.l Beque.t. ISchedule JJ 14. Hat Valu. of E.tate Subject to Tax NOTE: rat. Lin..I/CI..s A ~at. Collat.raI/Clas. Brat. 1151 11&1 1171 TAX CREDITS: PAVHENT DATE RECEIPT NUHBER DISCOUNT 1'1 INTEREST/PEN PAlO I-I I CHANGED .00 .00 .00 .00 2.926,06 .00 ,00 IBI 5,650.31 5,636,04 1111 1121 1131 11.. ,00 .00 ,00 x .00. M .06. X .15. lIel AHDUNT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE NOTEI To inlure proper c~edit to your account, subnit the uppar po~tion of this for" with your tax payne"t. 2,926.06 II . ~R6 3G 8.360,29- ,00 8.360,29- ,00 ,00 ,00 .00 .00 .00 ,00 ,00 . IF PAID AFTER DATE INDICATED. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST, I IF TOTAL DUE IS LESS THAN $1, NO PAVHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" leR), YOU I1AY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS,) 1l[S[RVAIIDHI ....... 0' d.ud,nh!!JliD on or bl,nt. O.ulIlb., IP, 1"81" If lIny fulur. Int.,.., In the ..hi. I. "Bn,f.rr.d In po.....lon or "nJoy...nl to CI.... leoll.t.,.I. ben.flcl",I.. of the d.udant .,t.r It'l. ..pAr.IJon of any ..t... fOl 11'. Dr for "u", thl Co....ontll..llh h.r.bv ..ptn.ly r...tv.. Ihl tlOhl 10 ""pr"I.. and ...... 1,,.,,,1., (nhert,anu Tan. "' Ihl 11.11.11 el.... leoll.,.,.11 nil on...., such lutur. In,.,..t. PURPOSE or HOIIC[t 10 fulfill Ihl ,.qul,..."h of S.cllon 11..0 0' thl Inh.rltAnce and ht"t, I,.. Act. Act 11 of 199~. (11 P.S. S'cllon "14101. PAVttlNII D,hch 'h. top portion 01 this Holln and lulltllt ..Ith your p..,...nl to the "Ial,'a, of Willi prlntld on thl rlVlnl .Ide. "H.~. chiC" or 1II0n.., order ,.,.,,,bl. 101 REGISTER OF" HILLS, AGENT "[f~D ICR), A r.fund of.. Ie. cradlt, which ..a. not r.qu..I.d an the ,,.. R.turn, ''''v b. r.qu..l.d bv cotltp,atlnll an "AJ>I !,."tlon for R.fund of PaMl'tlvanla Inh.rltanca and fllala ,,,." CRlV'UIlI. Application. ara anllabl_ ,.1 'h.Offlc of ttl. R.gllt.r of wllh, IIny 0' the U Pavanu. Dhtrlct Offlc... or by CIIOlnll ttl. .p.cl.1 ZIt-hou" .n.warlng ..rvlc. nUiltbar. 'ot 'or.. ordarlngl In Pannsylyanla 1-.OO'!bZ-10~O, outlld. p.nn.ylvanla end within localllarrlsburg .r.. (1111 lII'-ao'J", Ion. 11171 111'n~1111..tlng l"II.lr.d Only). DIJ(CtlDNSr Any parh In Inl.r.lt not ..1I.flad wllh tha apprals."'.nl, ellowanc. or dllallow.nca 0' d.ductlon., or flna....nt of t.. I Including discount or Int.ra," .. Ihown on this Nollce tltUI' obJacl wllhln .htv 1601 d.ys of ncelpl of thl. Notice by. --wrllten prota.1 to tha PA Dapart..nt of R.vanue, Board of App..Is, Oap," 1111011. tt.rd.burg. PA I7U8.1011, OR .-.a.cllon to h.v. Iha "athr d.t.r.ln.d .t .udlt of Ih. Account of tha parsonal rapr.untatlva, OR --npp.al to Ih. Otphan.' Court. AD"IN ISTRAlIVE CORAECTIONS. r.ctual .rror. dl.covat.d on this ........nl .hou'd b. eddran.d In writing tor PA a.part..nt of R.v.nue, Bur..u of Indlvldu.l hu., ATlNI Po.t A.......nt R.v.... Unll, a.pt. 21101101, tt.rrlsbutll. PA ll'U8-01l0l Ptlon. 1117) In-bUS, Sa. p.g. 5 of the bookl.t "lnslrucllon. for Inh.rltanea h. R.turn for a R..ld.nt D.cad.nt" IAEV'lftOl) for an ..plan.llon of adalnlst,..tlv.h corr.ct.ble .rror.. DI5COUNtl If -"... t.. due II p.ld wl'hln Ihr., fI) ul.ndlt ,",onth. .ft.r Ih. d.cad.nl'. d..th. . flva p.runt IS:O dllcount of Ih. 'ft. pnld II .llolol.d, P(NAlIYI 'h. IU ta. a"'..h non-partlch..t1on pan.lly II co,",puhd on th. to'al of Ih. '811 and Intar..t .......d, and not I' lid lI.forn JnMullry I., l'JU, th. nrsl d.... .Ihr the end of th. tn. GfIlMn"" p.rIOd, Ihls non-participation ,-'.1"" h "ppe.hbl. In Ih, .... .ann.r and In the the .... II.. par lad.. yoU would .ppe.' the la. and Inlar..t tn.t ha. b..n .......d .. Indlcat.d on thl. notlc.. INTERES1. Int.r..1 Is charll.d b.glMlng with first d.... of d.llnqu.ncy, or nln. (,J .onlh. and on. 111 day ftoa the dal. 0' a..th, 10 the dat. of p.v'.nl. la... which b.n.. d.llnquent b.for. Janu.r... I, 1'112 b..r Int.r..t .t tha rat. 0' .h 16:0 pereant par .nnu. calcul.t.d .t . d.lly r.t. nf .00011110. All t.... which b.c... d.linquant on .nd .tt.r Janu.r... I. Iljllr wUI b.ar Int.r..1 a' . rat. which wll' vary 'roe cal,ndar .....r 10 ulandar y..r with that r.ta announc.d b... the PA D.parhanl of hv.nu., 'he applicable Int.r..t r.t.. for I'a~ throullh "'1 ar.. t!!! In,.r..t Aat. nallr Int.r..' r.clor ~ Int.ra.t Nat. Oall... Int.r..t ractor In, ro:c .00O~r.a 19117 .. .ooorlo1 1915 I.~ .000U8 1911S.tIJ91 II< .000501 Inlt 1l:C .DOnOI IqlJZ .~ .000110' I,as U:C .DOO!Sft 19qo5.I"Io 1~ .000191 l'Jab IU .0001110 IqlJ~-IIjl91 .~ .000110' uln'.rut Is calcul.t.d a. folio"" INTEREST' SA LANCE or TAX UNPAID X NunDER or DAYS DELINQUENT X DAILY INTEREST rACTOR --An... Notlu luu.d .fhr 'h. t.. baco.... dallnquent ..III r.fl.ct an Int.r..t ulcul.tlon to flft..n Ilftl d.v. b....ond the d.ta of the ........nt. If p.......nt I. .,d. a"ar Ih. Int.rnt co.put.tlon date .hown on the Notlu, IIddltlon.1 Inl'r..t .u.t b. ulculal.d. , -;-:.--'~'"''~..A''' ~ _ I .,;. . \ ,