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HomeMy WebLinkAbout95-00908 PETITION F(}I{ PIWIIATE IIl1d GI{ANT 0... LETTERS li'/lI'" ,~I te1#. /..( ~kl:7-TJC:-I- N",[), /-IQq6.=-..Qog_ (/1.\0 k""",,, 11.\ ____ . ru: Ile~I'le, "I' Wilt- ror the .l!l"'''''''' l'llIl1l1y "I' _ _____ in the ~~;,:;"i',",(".~~~i'.'~-'^'I,:-'.l7i~o~i= ~i.r~~~~_ __ __' COI1lI1HlIl\\'cnlth or IlclIl1\yl\'nnin The pClilion nllht.' lIndcl..i}!lIl'd u,'''''Pl'\.'lIully 1\..111\.....1..1", (hilt: Yuur I'H.'lilillllL'I(\), \\110 j,;ml' IX )1.''''''' 01 "l!l' or Hldel" an Ihl'l'\Cl.'ul.'98____ In II".., la\1 will uf' I ilL' ahon',h.'l.'l'dcnt. dalell ~__.u_. .--.,.---------.-'-- '~I e"lidll'l lIalell ,.,,,, ,-n"--;..,n--:~-'h-""'n-----_--'-- 1:kn, d2..~,. ~t-te:A,D..q~___~'t;Zb71~ep,-.. . ' L.l'11-.-A~ /.fE1/t.1_-__I?.X1'fc.-O~, .... l1ultlcd ,19_ __..~U_..__ ___..... __,_______~._._____.._..._.._____~___ ___ ._n _ __._~.____n___'.._.__.___ 1'1.lIt' u'ktillll dh'lll1l\IiII1~'t'" ,',J!. H'lIl1lll.:llIlinll, Ill'illll III l'\nlllnr, tiC.) Ik~el1lklll "I" ,1"lIlidk,l", ,kalh III __(I/..HP.E!:J....frJjO "'D- C,,"nl)', I'cllllsYlvalll~rilh h_~_,Ji"1 ralllllvor p'i'ldpal ,e,i,l,I;lIce III _,I. t;,l r_cr.Q~7.:1~/C!.CJJIr/) B ML A- ~ ./;20_"JJ__r_!f'~~T._~t:YulaQAo_zaw..J..L~dr~ " " 111\1 '1I\'l'I, Illllllhl'f illl~lll1l1l1dl'illI1H al ~)p,el1lkll:J':~I(.~SetJ;Z~I~;~r~dIfj!fl:j-1 PAt; 19 ()~ E'C~' 1'.,11""" <Iece<lclIl lIill'I<lI lila,,)' , WI" 11111 tvoreed alld lIid 1IU1 have u ehild h III or udopled 'dfI.{ ur"" ",e,'UIlOII or Ihe "ill "rrcIl'<1 rill p,ohale: wa, 1I1111he viclilllllr a killing und \VIIS ncvc, udjudiculcd ifll..'nl11p~I!"'nl: .-___ 1>,'l'l'l1dcIII nl dealh ~lwl1cd prnpcny wilh cslirmllcu \'nhl~\ n~ 1'0110\\'\: III' ,h'lIlkilell ill I'a.) All pe"nollllplllperl)' II I' 11111 lI"lIlidkd ill I'll.) I'e",,"al properlY ill I'ellll'oylvallia (II 1111\ <I"lIlidk<l ill I'lL) l'e"'1IIal properl)' in COllnl)' Vnlll'" ul' r"'Ull'~lal~ ill P!"'lIn",,'I\'ania \itUalL'U n... follow...: . s 7(, ,000 s . s s WIIEI{EFOIW. pelilillllell') ,e'peelrllll)' ,eUll\l\I'-'l,lu: wl,ball: "I' Ihe lust will and codicil(s) J'lrc"'~l1h.'L1 hcrcwl1h "mllhc 1!rant 01Icl1~r",_~t:;l::jT7\Mt:;NTARY , 11,"lilllll'lllin \: ,Uhllini\llillhm 1.:,I,il.; Illlmlni\lrallnn d,b.n,C.I.n.) Ih..'IOII. . ~ fj -,- i= :t::! ~~ c'= ;~ i~ ", 7-. Il. -1 'tibl. 1i- ~ _d~( ~ '~'_ ,!5Irt,-f'.i{.IcU-li4- t 5L "n_ _ _1l()L~C/'"=0ui)i:-~~-f)IL' n' {rA-FJ u U fA. :;J..3't'{:J~ 'dot.- :~3 _oc.O',ft.5:.'Z______ --- --_._------_..-.- - ---_._~---- ___.n_..'___.__.___..__._ __ ______ _..._..._ __n_____O OATH 0... I'EI{SONAL Iml'RESENTATIVE C0J\1J\10;\iWEAI.T11 Or I'ENNS\'I.\' ANIA } I::lS COli NT\' OF _,,"d .-__CUMBE.RLAND_,_ 'Ill..' 1'll,.'lilitllll'Il~) ahm ..'.nalHL'd ...\\1,.';11(') or allirm("') Ihill the !'Ilal~I11~III!'l inlhc foregoing J1clhion arc lftl..' ilnd ..:mTl'd In 1111.' hl'" 01111\.' ~11tJ\\ kil~~ ami hdief of p~liliulIL'r(!'I) and Ihill as personal rcprcscn- lalivel'l "I' III<' ah",e deeed"1I1 pelili,,,,ell,) will \\e~ld 11111)' "dmini'le, I~ aecording I" law. S\\tHlI h' III i11111~1I,,'".1 ill14l ...t1b'l.:til\~d I l-;~4,af/d<<_b "- ~ hd"b'E~E~IHb~ - .At. ' IlIda'9'~ ,- .------ '2 '-n i't \; ",'j;":;'" ;) ,u__\.; Ii CJ/C\' : - ---'-,,- -- i! 13t M^~~ 'iC\" LE\.lf'sl"~ L iI,'~i~,,~tiJ.\'f..J..::.fLi---====- ~ Nil, a.1-lqq5-qO~ Estutc ot' ~....Jl111,I,TZI,R . DccclIscd DEcnEE OF .J.WUATE AND G1~ANT 01' I.ET'I'EnS AND NOW __QJ;:_C;gM!3~R..L_.._.___._._., IlJ,,_.?.!L, in con,id~rnlh\ll of th~ pcthlon on the rc\'cl!iC !o.idc hcn:of. MlIi~rUCIUr)' prouf hu\'lng hern presenled hcrure I11L', IT IS DECREED thuI Ih~ Inmnlll~nl(,) dlllcd. .~_EEHJJ.\.IARY 3, 197,;! d~'crlilcd Ih~r~ln b~ udlllil(~d 10 plllhlllL'and f1i~" of rwnrd u, Ih~ la' 1 will 01'_ _ PEARl, M.. SMEI,TZ1::.R_...___,._._. IInd Lellm T.E5.T.AME.liTAtri._ -- arc her~hy ~rllllled to RALPH ALL EN IlE:1M YY(p. U.j-(i'l..tu..ej, .;PA ~.:Jr.7n .I'l-U uU MARY C. LEWlsR,sl",r III Willi I CJ..Lp.u1.lj- FEES Problll~, L~lIer5, EI~. ......... $_~QQ..LllO Shnll CCrlin~ulcs( ).......... $~~~O I""'I-ID .".uO RernlllL~IIIIOn ...........,.... S JCP $. 5,00 HlT,\L _. $__2..41...0.0 FiI~d ...... p.1?~.~t:1~I?~. ,1....~ ~.~~,..... A'110Rr>I'Y ISUp. 0.1.11. N.',I ,\IlIIKESS !'1I0NE ~.r , .'~ ,- I - r; -", .::;:.:1 (.J() LETTERS AND ORDER WEllE MAl/,EU TO EXECUTOR. DeL''=' t)1 be' ,- 1,1 CjC] 5. '1'111\ I' Il"lllil) Ih,ll ,llt. llllllllll.llllllllllll 1:l\tll I. Itltltl1h "'I'll '11")11 ill ';II:'II,il ,'lllIll,lIt lot ,k.llh ,Illh Itlt,1 \\1111 lilt. .1\ 1.lll,11 HIT"II"" TILt. Illlrlll,1I I l'lllllt .111 ',\ tll h, loll" .11,11.1 I" lh. 'I d, \ 11..1 lit" -.,!.. 11111' tIt' 1'1 11ll.1l111l1 trllll"': WARNING: It is Illegal to dupllcato this COl'Y by photoslnt Of phologrnph. hi' 1111 rill' IC'IIIIIi.III. ~.ltJn i."j'j'..;-.....~ /,,\."\\11 Of!'l~'::<.. . #,. ,:t.r~' liil:~.'.. >\\)i ~*~/. ~,....; I,' ,i;,>, ~ 1',f, .' ~'Ly 7.ff(Ni U\ ~\:....." ~!f!J!.tJ. ,', .... /' (.("X. ,;....-' ~ t "'l,i'~ / ~'/" ... .'.!...' 'e:;. .,',,:'.{\.';( I Illl,tl H('~I'",lI ~~. ,;;,~- (/ 3127220 SEP 1 3 1995 No. 1l,1IL' COllMONWEALTH 0' PEHHSYLVANIA' OEPARTllENT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH .....WOCatllHl".. ....,.1_ I. Pearl H. Smeltzer IW_ .w.........." ~KCUftlflHU....." CWIClf'OlAI"~OI"""1 ,. &PTPlI&/e /() /99, '" I . l---O-W-, -.utfttPUoCllC....... ......,.itylc...." I.Yem.le t. 172 - 01 - 1882 I'\.ACICIf'DlIJHlDw' ___....-...m__ .ow",,, _0 '"",-Ilf' ....0 ~IO 3/13/10 "'. BellefonteP. "--CI..--..-.............. ... - ,. Wh t t e -....... ..-~_....... .....=..~~.::r.1::r Clerical G.R. oeaDUfT'MMHlAOOAI"~"_c.",- ....,If)c.cu.. 16 1 2 "0 t t. Rd, ,.,Eno1_, Pa.17025 NI....-lMA.IoII,-........ u.q Clarence Helm .-.. Ral h nelm .... 00 eo- 0 ""-"'......0 0Nr~' f:Jl:/elliIlC I)/~lJf('lJt. 'HltOlClOlH'.VlflN UI A$CO'"'''''' ...0...10 MoUlJUA.'WUS.~ --- -- Widowed u.Xl...__...... East Kinne OIClPlHrl "',.... ....,."" ...- ~-- P.. Pennllboro H...... '" .. - .... Cumberland --.., u.o::....--:-..=. WOfHl"'NAUltI.. ~ ~............ ... MON&AH1........WOAOOfll..~.~.... III 7901 Kuntuc De c.x IOH . "'- ul c-..,. '---' ."""'- - I.ower I'oxton ,Po. jj-J:' ~i ~}., ~~.' f:';{ ;'1; j;' ,,2/- 17P59tJ i II ! {i q II ii il " 1/ Ii " i! I I IPennSYlvania, horeby declare thia to be my last Will and revoke all Wills Which 'I 'I have previoualy made. ! 1. I direct my Executor to pay the expenses of my funeral and last j' illneso as ooon as convenient uftor my doath. , IAST WILL AlID TESTAMENT OF PF.A1lL M. SMELTZER. I, pearl M. Smeltr.er, of Eaot Ponnoboro Township, Cumborland County, 2. All of tho rest, reeiduo and re~.indor of my eetate I give, de. I viee and bequeath to my husband, Robert O. Smeltr.er, absolutel. and forever. I 3. If my hueband, ~obert o. Smeltzer, ehould predeceaee me, or I should we both die in a common accident, then I order and direct my Exscutor I hereinafter named to eel 1 all the reet, reeidue and remainder of my real and I, persolllll property at either public or private eale and convert the same into /' caeh, the net proceede derived therefrom to be divided into two equal parts or uhares:_ I (A). One part 01' elutre thereof I give and beljuenth to my nephew, Ralph "lIen Heim. , (F). I The remainine part or ehare thereof, I give and bequeath to my nephew, Richard Clarence Heim. ' 4. I appoint my huebl<nd, Robert O. Smeltzer, Executor of thin Will. Should he, for any reus on, fail to qWllify, or caase to act as lIuch, I appoint my nephaw, Ralph Allen Heim, Executor of thie Will. I HAVE hereunto set my hand and sllal thh3:!d I III WITNESS WllERF.Oi, day of February, 1972. // L,'r(J..f " . /;'/ .1'/):"1/;-,-",/ (SEAL) /) above ~lmed Poarl M. SIGNED, SEALED, PUllLISHED J.ND DECIAliED by the Smeltzer, as und for her last Will and Testament, in the prosence of uo, who, I I at her request, in her preeence and in the presence of each other ~lve hereunto: i !I 'I subscribed our namee as witnesseo. /.-) Z ~ j,L.). ~.../d a.. -; \/,c _' ,1:r.-r ~ ..':;1- i Je1/J1 fl. j!lc.t This is to certify that this IlU trllc copy of the rccord which is on file in thc Pennsylvania l>lvisioll of Vilal Rccords In accordance with Act 66, ".1.. 304, approvcd by the Gcneral Asscmbly, Junc 29, 1953. (Fcc for thi, ccrtifll',Il", SJ.OIl) " ....--f. 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'1Illn'1 II tlr\III',1 111.1\ We'tern 'lIh'l~ ("ltIp,III~..1 ""P"',lllt'H. .1,.1" hftl'll) 111,1~I' C6J ,Illtlllllll,'d IIhll\I.!ll.,I, M IllfflJJ1{jin:'@\)!I!,V'; ~~'" .m" ,llltli'llt/l'\ nn Ilh'.I, hill I1l.1) ",' tlel,ld,l',l h) "'Il.!II11h' .Intl ,IPP'lltll Ihr Illllmlll1t1 SIX '.', \1 'i1!1 I,il Illl)!' l)I.\'ljjE,\I~'::-=---=-== RICHARD KATHY L DARRELL W MOORE SNYDER D DIODATO JEFFREY KATHY J GILBERT LIGGE TT SCOTT HIMES L SHAFFNER in Ihe 01)' nr CARL.l.S..LE .'I.lh' 1l1__.P-.ENNSYLVANIA___."'llh IiUIII!:,1 ;llIlhllrll~. lh lrUL' alld la\.l,tul ^llllrnC')l~1 in lill'l "jlh full f\(I\\(" ,lIIiI illllhlllll) IInd') l'tlllleH(11. 10 \IFI!, ('\('';111(', afLIlmll,'I!I!l' ;lIltl tlell\('r Inr illld 1111 Ih hdlJIl 11\ Surel '. ulle or IlIe rnllll"ill hClnd\ '\11 ()RIC;I~t\1. hnud leqlllll'l1 h~ Slallllc,l>t'l'fC(' 01 ('UUrllIl Orllil1,ll1,r Inf.__.____~_____ 1.\1 .\!nll'I'IN.\ltUt 1\111'1IIN 1'1 N'I"\! HI rRI '1"\11\1 hl'.\HUI." 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I\...t, .~ .\lI;K;;'!I'1 .. on lull ""If Il,.j rltrll tlnll t\ '''~'''~Altlf. ~1I~ fallhflnjl'IC.II'~I """H'n ~ "I U,r IIl.I.... ,,' II'. ,..q...n. .., \CI 1,'JIIl In tI,r I'"''f''' ,\11'.'''', "nl''' j~ I'''f j',\.. \. /I') C) ()( .._ , III ICllhh<'''1 ..hfle..l. I I'~lf 1,(1('-'1010' ,(I n,) "J",! ~n.' thr "..i .,1 'I.. \1"lC!lI ''-'''I) '"''Ii''''' 'fl." i.Ja!.h- oI'l ,.1 .~tLlI. . 'L-,LI-I~ \\ I S I I R ~ S I' R I I , 0 \1 '1 ,\ ,~ \ v.0;J/;;/!/ '1,& " .Ji\WORli\N'lIlJlI\ l1ult" 11I11\1 hl' l'lIh'llln IIL'luu.' It t'llltlu'lIl'd 10 the IlOlId nlld IImU\1 hl' Ihe 'lItl1l' dull' iI\ I Ill' hlllllt II) fOl'mOg.A.9.l)!l 1'11I SIIlI ~I NOTICE:: TI~' h..,\o<o ...",1 '..'!tIll! If" " ,~,'lHIJI IIU., '~'I II o",,!,...l, '.'f . '7-" . - . '~'~'" 1 ... ,.r, - P- r.-I l~: .r.... .'''' .-~~.. -r r..:! I._~ 1 :';"J 6:..... t)l t--l"l .:-: 1p _ n -. 'vU "\ ...... '.'-~."''' :'~:" -'-------.- I -::.,.-- --.A. J 4.. _ 1"'-0; '- REGISTER OF WILLS OF OATH OF SUBSCRIBING WITNE' . ldlcll (each) a subscribing witncss to thc w Jlrcsclllcd hcrc law, deposc(s) and say(s) Ihat . h, (cach) being duly quaUficd according 10 presenl and saw Ihe testa' , sign Ihc same and Ihal request of testo' in 11-- prcsc other subscribing witness(es)). signed as a witness at the nce of cach other) (in the presence of the Sworn to or arnrmcd and subs me this cd bcfore day of 19_ (Addrcss) Rcglsler (Nome) (Address) REGISTER OF WILLS OF CUMBERLAND COUNTY OATH OF NON-SUBSCRIBING WITNESS &: A~~'/') . . L-p;/ . I- FlI1. 1, 10'1:1\. \iJ'<\.L(', ,'- (each) a A-~crlber hercto, (each) being duly qualiflcd according 10 law, dcpose~s) and say(s) that t;; famUiar with the signature of ?6:-7/~L H. '~/EZ~.tfJ codicil will testat.a.&.- of (one of thc subscribing witnesscs to) the thaI 'illi IEl1-tU- 1-(. presented hcrcwith and .-liAl1 beUcycs thc slgnaturc on the will Is In the handwriting of $' H. E7-T'6..F I< to the besr of knowlcdge and beUcf. " J Sworn to or arnrmed and subscribed belorc I#JU tll!i!.?-ft f"';e4~,- 1st t; - J/.r ~ me this day of 79. I ~Nl1ir,~ t.( f)t=7!/J'( ,Jjl.' DECEMBER." 19_95. 1f1~ 'rnrfftC/ 1)~1 7-?1f 7- . -f~~LILLj('U\ll''-l.J...\..(~~L)))/7;lU((L _} -{Addre'ss) , MARY C. LEWIS I1~Rls'er K,,:;-.~ \0. \........, ,')" 1.1.l).:2( Lt1t (Nolllc) -'1e..U\ ~- ,(! 1 ,~l -' , ( l"_II (Addrcss) 0.th\HI :)C. l'<\, ,\ \.u :"<J" I.,J \) 'l> ,t) 'J) 11 ___ .- ,~ i. ;,.,.. \-J:, ., <, ,...,.......:.;-...."'"T......'" "*,. 'f .', \ .. ,...r-_ .... _"".r. ........ . IN RE: ESTATE OF PEARL M, SMELTZER,' (DECEASED) 'In the Court of COMMON PLEAS CUMBERLAND COUNTY ORPHANS' COURT 41'10.",1995,,908 PRAECIPE PLEASE ENTER MY APPEARANCE AS ATTORNEY FOR RALPH A, HElM, EXECUTOR OF THE ABOVE-CAPTIONED ESTATE. -......-.'.',.,..<..-.,.-.......-.... ~.. ,._" - -, ~ ....... - '."'....., -_.- .... _.....' ~~.i.:----'- "-..-'---"-', --.7: -- . ----.....--- i , I I I , I I .- I , ~' \ t, .' . .f , -~ -..,.J t..- ;' To Register of Wills Date: 1t,lt1-t~r'!H J~ tr'l6 Suite 8 Tel: FAX: __1JI~ '1 -. .- ...~. T ,,~: "A.I.I A It I. A W O~. ''I C ~; 1n0o MAIlK.;'J'RTIl.:.:T, RUin: H 1..:Mll\'NIl, I'A 1104:1 11117:1I~IJ.lalJ " " March 8, 1996 Sue Kren, Deputy Register Register of Wills Cumberland Court House One Court House Square Carlisle, PA 17013-3387 .... Dear Sue: The attached Praecipe is submitted pursuant to our telephone conversation on Thursday, The Inheri tance Tax Return wi 11 be filed by me sUbsequently, Thank yoU for adVising me, Respec 'fully, &11(1 i/tbl/ , A berV/S. Hajjar \. y/ ,. , ... , ':" , . \ I . H' i ' ~', Jo. t ( ~ I . . . f t, I ~.\ ~ ~., Ij \'- , ~ . ~ ). " . I at: Praecipe ! i , I I I J I I i I 'u _. r' .1 . . ~ , . - It. 'i.. :; /" . ," . . ,-.; . , . I , (' .,' r . . . ,( . ----- -- ..-------:- ..---...~.~ _ ~r 1. .......-. "). - \ 4' - ',,- _ ......... -~.... ~-..... _I; I;' t--., ", "I " ;:': !,l L} L- , I ....,. ., , ., . .~ ----t'o. . ,"f .r I f' ,.. I. -. .... t, t . .f ,_.-_ h__-1 -~. _ _ ',> '"",,_. .'11".....--- .....:--~ ... ,.---_.-_. I ~--""-A.LI '--.~ r~ ~':... , " . -. ~~ ..... f \ \ \ \ h' I; }II I '~';i , / \ / I .~) \ \ ~ o:n tr. ,., 11 I I i . i I i I I I \ \ \ \ .,,,,,-,~ -'-. to (oJ (-,j~ \~ - ';) ~~~. t \., /,..... >> "'~ 1).:1: '\\. L!l a:u :r. 0, S. Ql l- I-' CD Ul Ql III M 'rl Ul ~t M bO ::s III I Ql 0:1 M ~ a~ c:rr-i Ul tno :>,.-ll-' ... l-'.-ls.Ql.-l ::S.:rl::j tJ) p..;: 0 ::l 'II UO": t:ll4 :t: Cl4 O'IJ ... ~"'.J" ~ S. III ~, Ql III 'II.-l::l.-l s.l's.OUl ~ lIJ tUc.)'r-t ,,.t,r.I ,..t Ql M II III H ::l tU :1 f~ III Ulfl1UOU I j~ l~ '~ ~ ~ ~ ,'..I I~ ~i'1 .,r ,,, :), " :~;. ,,, 1/;1 ".... ,,, ~' , ':.., \' . ..-.; / \"'''' / I -, Iol U - l'< l'< o '" ~ ~ < ~ ..l !;j ~ ~~ ... !:1~ .~ ~~ <r. Iol :l'lO =,,8:F! ... ~~ " ! ~ f' I -.) , "'.J ~" "I!. ,t " ~,. ), '^ -, " : r. t . \ 'I." f :,;,\ . j " .1 "': . " c~ ,1 I ~' , "". i t ----- .......d.."If1... _.~ 1_-:. 4 --. .- -..... - .- ,,-_. . -.._ .__. ._._ _..._ .___ 0'_4 .__ __ ~__.~_ , D~Cl'AA :UY.lta "'.t.NJ '112 630"cPMA4l,C?NWEALTHOF PEN~S,YLVANIA "" ",'C",";';,DlPAII'IMINTO',RIVINUI "'.,', " OPFICIAL RlCEIPr; ~'PINNSYLVANIA INHERITANCE AND ESTATE TAX ACN ASSESSMENT r:w CONTROL ... NUMBER '. RECEIVED FROM: & AMOUNT HAJJAR LAW OFFICrr SUITE B 1300 MARKET STREET LEMOYNE, PA 17043 101 "'10,:500.00 ,etD HUE - ESTATE INfORMATION, r:I fltE NUMBER 1QI 21-199:5-0900 II NAME Of DECEDENT IlAST} II DATE Of PAYMENT m POSTMARK COUNTY SSN 172-01-1882 IflRSTI IMI) I I , DATE Of DEAlH REMARKS m TOTAL AMOUNT PAID "'10.500.00 SK ("1,1 ""J I RECEIVED BY Ilt/!A_~' C/. n, ",j .:J//J 'IGNAJURf r ..-' ; {II IIT.- MARY C. LEWIS ,x',., REGISTER UF WILLS /,:):,/'( --- --- -."...- ","-' ---- -_..~ .-....' .--- --.'-~ ~ HAJJAR LAW OFFICE SEAL CHECK" 46982 REGISTER OF WILLS _.- --- .._. _'._" __ __._ __ ._.~. ~. __ ____ ~~_u __ .~ c~ ....., r f . . .' ---- __... _~ .___"..._....--..._.<1 Q... -4""'( .'V a..~.. , i ...____ __.,.,.4'''_._... c CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Pearl M, Smeltzer Date of Death: september 10, 1995 will No, 908 of 1995 To the Register: I certify that notice of beneficial interest required by Rule 5,6(a) of the orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on March 27. 1996: Ralph Allen Heim 7901 Kentucky Derby Drive, Midlothian, VA 23112 Richard C, Heim 12 Black Fort Court. Baltimore, MD 21220 Notice has now been given to all persons entitled thereto under Rule 5,6(a) except None. Date: March 27. 1996 suite 8 Counsel for Personal Representative " 'l \\..1 .f",- :\"" u, J ") J .' , , . . INHERITANCE TAX RETURN RESIDENT DECEDENT (TO DE FILED IN DUPLICATE WITH REGISTER OF WILLS) fOR DATES Of DIATII ARIA 12/31/91 CHICK IlIAI If A SrOUSAt POVIATY CArDIT 15 ClAIMID 0 flU NUMDI~ -.--. CQMMQHWf...lTlt Of 'fHHSVlYAlll^ OI'^RIMUH Of lHYINUI Of... 280e.ol UAUISlUItO. PA 11111.0601 DICllllU ., HAMI IA~', f1ut. At~O Ml()III1IUlIlAII '~m,..' 1-~.(1.r r 'OCIAL UCUIIIY HUMUI 172-01-1082 21 CO.UNTY C;9.D.E 1995 YEAR gOO NUMBER "llIUIUI" (OMPIlIt Alllllrn IIAII 01 111111 3-13-10 elf ....,'''U...UI.U.YrtINQ .POUU" HI'" "'..... ...,. "lOP .upon",,""11 ~ 1. Orlolnol R.lum o '). Supplemenlnl R.I"rn o A. lImU.d E.lal. 0 Aa. future Inl.r,,1 Campramh. (lor flnt" of deolh oller 12.1'2.01) o 6. Oec.d.nl DI.d T.llal. 0 7. Oec.denl Malnloln.d n U...lnO Trult (AUoch cop)' a. WIll) (Alloch cop)' 01 Trull) 'ALL,CORRESPONDENCE,AND CONFIDENTIAL TAX INFORMATION SHOULD,DE DIRECTED TO",:'\l'l~I/' "''I<\f '~.":".., IIAMI Albert J, Jiaj j al', Attorney c'i.3'b'bM'l~!';.:'r~~'t:. Street, Suite 8 '"''''O"'"U.''' Ler.loyne, PA 17 0113 1717 I 730-01156 _0. Tolal Number of Safe 0'1'0.11 Do..s '. '.'.I'I',"':''''~ 1. Roal Ellalo 15chodulo ^) 2. Stocks and Bondsl5chedule D) 3. Cloul)' H.ld SlocleJPollno"h1r Inter... (Schedule q A. MortgoO" ond Nol.. RlCtll...obl. (Schedulo D) 5. Ca.h, Danlc 001'0.11. & Mhcollonoous r.nonnl Proporl)' (Schodulo E) 6. Jolnll)' Owned Prop.rl)' (Sch.dul. f) 7. Tcan"o" (Schodulo G)15chodulo t) o. Tolol Gran Aueh (lololll".. 1.71 9. Funeral Expe"..., Admlnhtrallv. Co.... Mhullnnenu, bp.".., '5chodul. HI 10. Dobu, Mortooo. lIabilill... lion. (Schedulo I) 11. Tolal Deduction. (toloIUno. 9 & 10) 12. Nol Valu. of E.tol.llInD D mlnullIne 111 13. Charllahl. and Governmental O.quelll(Scllldulo J) IA. N.t Volu. Subl.d to Ta.ILln. 12 mlnulUno 13) 15. Spaulal Trani"" (ror dOll" of tie 011. ofler 6.30.Q4) 5.. In.'ructlons for Af,pUCflble ".r"nlnoo on 1I....on. (1st Sid.. (Includ. valu.. rom Schodul. K 01 Sth.dule M.I 16. Amounl of L1n. 1.4 taxohlo 01 6% ral. (Include valu.. from Schedul. K or Schedule M.I 17. Amounl of Un. 1A loxahlo 01 15% role (Includ. volu.. 'rom Schodulo k Dr Sch.dule M.l 10. PrlnclpolloJl duo (Add lox from L1no. 15, 16 and 17.1 19. C,.dlls Spou.ol ptj.....t)' C"dil P~06 P,~OllOh + + 20. If lIn. 1911 o"olor Ihan line In, .nlor Ih. diUe,e"co on line 20. This h Ih. OVERPAYMENT. e~ 21. If lIn. 10 h 9real.r Ihan lIn. 19, .nler Ih. dlfferenCl on lIn. 21. Thh h Ihe TAX DUE. A. Enler Ih.lnler..t on th. halnnce due nn line 21A. D. Enler Ihelolal of Una 21 nnd 21A on line '210. Thh h Ih. BALANCE DUE. Malt. Ch.de Payahl. '01 R.ol".r of Will., ~q.n' .'" ". .~,\', .j '.'DE,SURE TO ANSWER AtL QUESTIONS ON REVERSE SIDE AND TO RECHECK,MATH)"-<'-<:HII~I""'."""~" : or pennllle. 0' perjury, I dedar. thol 1 ha.... eltomlned Ihh felorn. Incloding accompanying .clledule. ond 'Iolemonlt. and to the b..1 of m)' Ilnowl.dll. and b.llof, Irue, correct and complel.. I declare Ihal all reol eUote II", I"ton fOp Dried alllue marllel value. Ooclmallon 01 preparer alh.r than Ih. p.rsonal r.pr...nlatl.... h .d on olllnlormallon of whlclt prepar r hrlS on)' know Ie doe. UolUllt Of ~np H111)}101 'Ill JILIU~" .AlltlU!.\ /. _ j) ~ . flAil ,L f ct. "'0-.. 7ro/ ,~l~./ tl.lUu.J./JI/4d. &6-t.~, I/A ~ N,1f9/-, ATUlfO,,.lt,. f Ufltl/lAH1YI1fNIATl\t AIHIIlU" ,__ .1 ,.; ;'~lll, .D"t~ " rVI j/J/V !'J,-,vlf/(T. ,>r. '> J. U)\ltJf,Ali;_1;-l/7,hfS, ., -/-'){, ~...'" ./ r .' . . . III ,56,570 (2) :7511, 6 0 '" (3) U (41 IS) 13.237,52 (6) 4,935,72 (71 0 191 6,723.47 (10) 0 z o ;:: "" ~ :> .. '" o u Dlscounl Inle,..t I D) 75,497.92 Ill) 6,723.47 (12) l> ti, "4. 'Ib (13) 0 --- ------ (141 60.7711.115 K.__ )C .06 a K .15 . 10,310,17 (10) 10,316,17 (191 10,500 (20) 103,B3 (16) (171 68,7711,115 ~ ... Chock harl if yau a,a raquullna a rofund of VAur aVolPAymantl (21) 121A) 1210) Act '48 of 1994 provldel for the reduction of the tax ralollmpolod on the net volue of Iransfers 10 or for tho ule of the IpOUle, The ratel 01 prolcrlbed by the lIalute will bel . 3% (,03) will be applicable for ellalol of decedenll dying on or after 7/1/94 and before 1/1196 . 2% (,02) will be applicable for ellatel of decedents dyIng on or after 111196 and before 111/97 . 1% (.01) will be applicable for ellolel of decedonts dying on or afler 1/1197 and before 1/1198 . Spoulol transfers occurrIng on or after 1/1/98 will be exempl from Inheritance tax, PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK ("') IN THE APPROPRIATE BLOCKS. 1. Old decedent make a transfer and: D. relain the use or income of the property transferred, ....................................................... b. retain the right to deslgnote who shall use the property translerred or lis Income, ............... c. retain 0 reversionary Interest; or .....................................................,............................. d. receive the promise for lIIe of either payments, benellls or core' ....................................... 2. II deoth occurred on or belore December 12, 1982, did dacedent wllhla two yeors preceding death Iransler proporly without receiving adequate conslderolion' II death occurred alter Decllmber 12, 1982, did decedent transler properly wllhln one year 01 death wllhout reclllvlng adequate consideration9................................................................................................... 3. Old decedent own an 'In trust for' bank account at his or her death"'.................................... YES NO ,/ V IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. OE! 1:1 .- ,( ~, N ~o.: o. ) rv'\ 0 N .-, >- 11 ~ , , " 'D E p, 22:> UU ./ . (, ...) l.J tlJ I,) 0:: a: 00/ ( :.;'j '\ I,VUOIU. (117) .. ~j;g. COMMONWfAlTH Of P[NNSYIVANIA INftUnANCI 'AX JrWRU RUIDIHI DIC!DINI SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Ploolo Prlnl or T 0 FilE NUMBER 21-1995-908 ESTATE OF Pearl M, Smo1tzor (All p,ap.,ty lalnllV-GWnld with the Rlahl of Survlvouhlp mUlt b. dllcla..d on Sch.dul. ') ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. Liberty U.S, Goverment NI1 Trust Identity No. 25-1380518 $6,006.27 2. lIarris Savinr,s, 2nd & Pine Streets, Harrisburg, PA Account Ho, 0931150183 Prin, $4,236.58 3 , Harris SavinGs Int. $ 44,67 4. 1988 Plymouth Reliant K $2,500 5, personal effects and jewelry $ 150 . ..... 6. furniture $ 300 TOTAL Allo onlor on IIno 5, Roeo s (Allach oddltlonal RVa"' K II" sh.." If motl .pac. h n..d.d,l IIVIUltI.. 111.111 ~~ COMMONWfAlItt Of ,rNNSYIYANIA. INHlIlnANCI: lAX RnURN .'IIDI:Nl DfCrDfNl ESTATE OF Pearl H. Smeltzer Joln"onon'(.). NAME A, Ralph Allen Heim B, C. Jolntly.ownod proporty. SCHEDULE F JOINTLY-OWNED PROPERTY fiLE NUMBER 21-1995-900 ADDRESS RELATIONSHIP TO DECEDENT 7901 Kentucky Derby Drive Uephew l1id1othian, VA 23112 ITEM LmER DATE FOR TOTAL VALUE DECD'S DOLLAR VALUE OF NUMBER JOINT MADE DESCRIPTION OF PROPERTY OF ASSET 'llIINT, DECEDENT'S INTEREST TENANT JOINT 1. A 1980 P!~C Ck Account !la, $9,859,43 50 $4,929,72 51-4011-2322 Prin, 2. A 1980 PlIC Int. $ 11. 99 50 $ 6.00 , TOTAL (AI.o onto, on IIno 6, Rocoplt.lotlon) 54,935,72 (II mot. 'space is needed insetf addilionalsh..h o( lome siz.) .IY.UID u. 11.171 . SCHEDULE G TRANSFERS COMMONWIAHH 0' .rN~Un"'''UIA lNHUIIANe. lAX .nU.N RUIDIHI DlelDIHI PlEASE PRINI OR IYPE ESTATE OF Pearl M. S~e1tzer FILE NUMBER 21-1995-900 THIS SCHEDULE MUST BE COMPLETtD AND FILED IF THE ANSWER TO ANY OFTHE QUESTIONS ON THE REVERSE SIDE OF THE COVER SHEET IS YES. DICD. DOllAR VAlUE .. Of DICEDINI'S INI. 'NIIRESI IIEM DISCRIPTION 01 PROPERTY NUMBER 'neMl. nom. nl,,.. '''lful.,.,.. ,h." ,.10'lOn,h,I' 10 d.r.d.nl. dlJt. n' Iron"." EXClUSION TClAI VAlUE Of ASSET Hone ...... TO.TAL (AI,a .nl., a~ I~n. 7. R,_c!lpllulol~onl_ S ", mar. Ipor. j, n..d.d, ins.,1 addilionol,h..h 0' ,om. li,..J o 'hUll'.. I'U, ESTATE OF ITEM NUMBER Plea.e Prlnl or Type I: NUMBER - 21-19'35-900 . SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCEllANEOUS EXPENSES CQMMONWr AtHl Of P(NNSYI\ANIA IWl(IIUANCr ,...... IIftuAU .~_S!~I~' Of.ffll~!~' Pearl M. Smeltzer DESCRIPTION A. Funeral Expen.e.. 1. Richardson Funeral !lome 9-12-95 29 S. Eno1a Drive, Eno1a, PA Blue Ridee ~emoria1 Gardens 9-13-95 B. Admlnl.lrallve Co.l.. 4. C. 1. 2. 3. 4. 5. 6. 7. 8. AMOUNT $ 3,005 $ , 000 Personal Roprolontatlvo Commllllons . !lone Social Socurlty Numbor ~f Po;,onal Ropresentotlve: Yoor Commllllons paid 1. 2. All F Albert J. liajjar, Attorney $ 1,000 orney eos 1300 ~arket Street, Ste 0, Lemoyne, PA 17043 3. Family Exomptlan ClaImant Addroll of Claimant 01 docodonl's doath SIroo' Addroll Rolatlonshlp Clly Slato ZIp Code Prabato Foos R\~:':i.Stl'.\f' lJ'" ',]~1.1 l,: ;'etition, etc. Registrar of Wil1s1 Bond MI.eollaneou. Expen.e" Mark Heckman Real E6tat~ Appraisal 9-29-95 1309 Bridge Street, llew Cumberland, PA Express 11art - various communications 1-11 to 1-22-9 AT&T (804: 739-0957) long distant calls various Bell Atlantic (717:732-0328) local phone bills PP&L - electric service to 2-23-90 C.S. 1-li11is, P.O. rlox 166, Lemoyne, PA - fuel oil E. Pennsboro Twp - sewer and sanitation,'10-11-95 Stanley Steam - 10-16-95 - carpet c1eanin~ TOTAL (Also enter on line 9, Rocapllulatlon) III moro .paco I. needod, In.orl additional .hee" of .ame silO.) :-lone $ 241 $ 3611 $ 250 $ 36.50 $ 110.27 $ 50.00 $ 205.53 $ 460.111 $ 01.20 $ 95.25 S con I t Estate of Pearl M. Smeltzer 21-1995-908 . I , c. Miscellaneous Expenses ( con' t 1 : I I 9. Paxton Herald - Estate Notice $ 30.50 10. Cumberland Law Journal - Est Not $ 60.00 11. PA40 1995 $ 18.00 12. H&R Block - tax preparation $ 53.00 13. Register of Wills/Cumberland cty - $ 25.00 Final filing fees 14. Reserve for contingencies $ 50.00 Total (Enter on line 9) $ 6,723.47 . . . IIV.UUII.IIlF] ~.~' fi'. . -. COMMONWIAU" O' "NNSYIVA"!A INHI.IIANCI,AI.IN.N ""D''''' MCIDINI SCHEDULE J BENEFICIARIES FlU NUMBER 21-1'395-900 ESTATE OF Pearl H. Smeltzer ITEM NUMBER NAME AND ADDRESS OF DENEFICIARY RELATIONSHIP AMOUNT OR SHARE O' ESTATE I. A. Taxabl. B.qu.st\! Ralph Allen Ileim 7901 Kentucky Derby Drive Mid10thian. VA 23112 nephew 50'1. 2. Richard Clarence Ileim 12 Black Foot Court Baltimore, HD 21220 nephew 50\ . .,',. ITEM NUMBER NAME AND ADDRESS OF DENEFICIARY AMOUNT OR SHARE O. ESTATE B, Cha,Uablo ond Ga.ornmonlol BequIIllI I. TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS tAlla ontor on IIno 13, Rocopitulatlon) $ (If mOrl .pac. Is n..d.d, Inll" additional .h..ts o' .om. .11.1 Register of Wills of Dauphin County, Pennsylvania c. INVENTORY [stoto of I'oarl ft. ~meltzel' 21 1'1% 'l00 also known os No. DOlo of Dooth _ 9-10-95 , DocoiJl'intJ Social SocurilV No, 172-01-1082 Peu.omd RoruOIlOnlllli\fftlfll or tho nlJo....L1 ffilllht, dllClllllUlfl, \'Oll'Y thllt Iho ,Iun!" nppommu In lhd 'ollowing mvunlo'v includo nil of tho ,Ift,.alltll ouots WhtHO\'O' luluulo UIll.I till of tho ronl tlHIIllo llltho Cunllnonwoulth of rO'IIlMV1yltlllO of saId Docodent, 111111 thu voluation plnclld OfllWlillo olu:h 111101 ul filUd 1""lllllory fUprnlOftl1lR IIIi flli, \'8luo Itll of tho duln ollhll OllcodtHll'fi ,tonth, ufld Ihol DeCodo"t Dwnltd no '0111 o"lnlo oulllldo ullhu Co",monwoitllh uf PnnnllylVltllUl nlCftllllhll1 which nppootsin n OIoUlllftmdum nl Iho Gnd ollhi. Invanto,y. ItWl'! \lculV ,hot tho "Inllllnnnl" fIljldu 1111111" Il1vonlory 11I0 Iruo UIUJ CUUlJCI. ',Wo UIldtU51und lhlll 101110 IllIhJltlonl. ho""" IJlO fHudo HulJllll~1 lu Ih., JlonnllillH of 18 ",I, e.s. Sucliull 4904 ffllllllll\j lu unMWOH' lulllllwlIllOII III ClulhlllllltJtI, Nnmo 01 Analnuv: Albert J. Hajjar, Attorney --- -------,. --------.-- .--'-- .;:7Z2~"~~?['~ _.--- 1.0, Nu.: n7nr,9 1300 Market Street, __Ra1illLA...-Hei.m-L EX~..9-',l:tor _ Suite 0 Dutad Addle..: LeJ:loyne, PA 17043 Telephono: 7 J 7 ---1_3.o..~ll!t5.6___,_________ Duscription Value 1612 Boltz Road, Enola, PA - ranch - 2 bedroom 4 U.S. Savings Bonds, EE Liberty U.S. Govt MM Trust, #25-1300518 Barris Sa vinr:s 1109 319 ~ 818 3 1988 Plymouth Reliant K furnitu~e, personal effecto, jHwe1ry PRe ck account #51-4011-2322 $50,570 754 6,006 11,200 2,500 400 4,935 aE] ') ~.;,';. .- : _.~. N N Q., '=irt /< - .' " , I() , :-_, ~ ~ ':'~' CJ " \3 "'';1 0' II) wa: a: -, ~ .; ) "8" '" u Tutnl: $75,445 lAunch Additional ShuIllS If Iwcossaryl t"Olf 111ft MlHllIlIiUlllulII uf "'olll'h1i1I1! olllli"!" 11m f'-llllUllllll",",lltll ,,11;j'III",vl...I!H.llll,ll. ,II Ill" d"ll,ull 011/'1' jl"I~IJII.II 'l'IlI"!oI!IlIi1t...." 1I11:lIlIhl It,n ~.ltllIlll ulle" ilnlll. but lIu:h llylllel ,tlllulll fwl hft '''llllllkllllllllllW 101/tl olllw ltl"'"111m~ RW-B S'l'A'l'US HJ.a'OH'l' Ullill;;1LJ.!ULJ.:; l>. 1;': Numo of Oocodo"t: Pourl H. Smult~ur outo of Ouuth: suotombOl" 10. 1!J9!J Will No. 21-199b-!JOU Atlmin. No. J.>Ul"t;UU"t to Hulo ll.12 ul tho SUpl"Ome court orphuns' Court Hulos, 1 roport the followiny with rospoct to completion of tho uuministrution of tho ubovo-cuptioned ostuto: 1. stuto whethor udministrution of tho ostuto is completo: YOIi X No 2. If tllo unswer ili No, stute whon tho perlionul ropreHentutivo rouHonubly bolioveH thut tho udminlstrution wili be completo: J. If tho unHwer to No. 1 iH YOH, Htuto tho following: u. Oid the perHonul reproHontutive Ulo u t inul uccount with the Court? YeH X No b. 'l'he HepUt'ute orphuns' court No. (it uny) tor the perHonul reprelientutive's uccount is: c. Oid the perlionul roprolientutivo stute un uccount informully to the purtieH in intereHt? YeH X No d. CopieH of receiptH, releusoH, 'oindorH und upprovulH of formul or informul uccountH muy bo tilt. with the Clerk of the orphunH' Court und muy be uttuched to t s r~pprt", ) Outa: 5<2-').-f6 .. LJ Sigl ~/ ume (l'lOUS~ or print) M t:<! '0 \"... -,~ !!J ('oJ \3 q,~;; n- . -. M N "';'-, , ~ ,; . \:1 u , ::.: 1; (5 ,-.'1 .Cl U Ol ~ ~E (1)0:; '" c:: _::l Uu IJUO Murket stroot. suite B Address Lomovno. PA 11043 (111 1 130-04b6 '1'01. No. cupucity: Personul HaprUHantuti va X CounHal tor porHonul raprGHontutivo , s'rA'I'US IIEPOII'I' UIWEIl IIUI,E 6.12 Name o( DecOdentl~@lR,L J:), S'JIGL r;!.€/<- c;~ /) ~ Date of Deathl /-//.,) -7!> will No. ;./- /C?c;j~- ,/0'/ Admin. No. Pursuant to Ilule 6.12 o[ the Supreme Court Orphans' Court Rules, I report the following with respect to completion o[ the administratIon o( the nbove-captionod ostatel 1. State )/t\ether administration 01 the estate is complete. Yes V No . 2. If the answor Is No, st.llte when the personlll representative reasonably believes that the administration will be completel J. If the answer to No. 1 is Yes, state the foliowingl a. Did the personal repy~entative file a final account with the Court? Yes No V . b. The Roparate Orphans' Cuurt No. (if anYl (Qr the personal representative's account iSI c. Did t.he personal representative st~/an account informally to the parties in interest? Yes No d. Copiee of receipts, releases, joinders and approvals of formal or informal accounLs may be filed with the Cerk of the Orphans' Court and may be attached to thie report. ,I / I I t{??Il;t'&i jgna7 e "____..../ Ad~...,~f i+~NIfI<'" Name (Piease type or print) /5.;;u fltI~ Si.. )'? lEIDY}}" tJ.. /7:Jf3 Address " ' Datel {D-(1-10 ( I . , . --I t1C) j ( 1111 7?v-btf~jJ 'rei. No. Capacity: Personal Representative __~~nsel for personai representative (MJ\lIlrmllAMJ) RW-27 (I I. 1/ 1<)- 70 - 13 l' 1...' REV"1547 EX AFP 112"951* CDKHONWUlllt or II[HN$Yl VANIA DtPAAIH[Nl or lUYl.NU[ , !UNUU or INDIVIDUAl TUts. . orPI. 1110601 IIARRISBURO, PA 11118'D_OI ESTATE OF SHELTZf:R- PlrA"R FILE NO. 'DATE OF DEATH 09-10-95 COUNTY CUMBERLAND NDTE, TO INSURE PROPER CREDIT TO VDUR ACCDUNT, SUBHIT THE UPPER PORTlDN OF THIS FDRH WITH YOUR TAM PAVHENT TD THE REGISTER DF WILLS. HAXE CItECK PAVABLE TD "REGISTER OF WILLS. AGENT" REMIT PAYMENT TO: NDTlCE DF INItERITANCE TAX APPRAISEHENT. ALLOWANCE OR DISALLOWANCE OF ~EDUCTIONS AND ASSESSHENT OF TAX ACN 101 DATE 09-10-96 ALBERT J HAJJAR ATTY STE 8 1300 MARKET ST LEMOVNE PA 17043 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 '1 Allount Re.itted CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .... iiEV:is4"'i"EX-AFP""iiz:Qi;"j-NCi;'-icE""OF""friiiEiiifANCE-YAX"iippRiiisEiiiNT-;"ALl"OWANCE"O-li----"------------ DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF SMELTZER PEARL M FILE NO. 21 95-0908 ACN 101 DATE 09-10-96 TAM RETURN WAS, I X I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. R.al est.t. (Schedule AJ (1) 2. Stocks and' Bonds' (Schedule OJ (2) 3, Clos.ly Held stock/Partnership Int.r..t (Schedule C) (3) 4. Hortgag../Hot.. Receivable (Schedule DJ (4) 5. Ca.h/Bank Deposita/Hisc. Parlonal Prop~rty (Schedul. E) (5) 6. Jointly Owned Property (Schedule F) (6) 7. Transfara (Schedule G) (7) 8. Total A...t. I CItANGED 56.570.00 754.68 .00 .00 13.237,52 4.935.72 .00 ISI 75.497.92 APPROVED DEDUCTIONS AND EXEMPTIONS: 6,723.47 .00 , IllI 1121 1131 1141 . 6 ,n~ 47 68.774.45 .00 68.774.45 9. fun.~.l E~p.n.../Ad.. COlt./HIIC. Expans.' (Schedula H) (9) 10. nabta/Hartgage Liabiliti../Llana (Schedule Xl (10) 11. Tot.l Deductions 12. H.t Value of T.~ R.turn 13. Charitable/Govern..ntal aequa.t. (Schedule J) 14. Nat Valu. of eat.t. Subject to raK NOTE: If an assessment was issued previOUSlY, lines reflect figures that include. the total Df ALL ASSESSMENT OF TAX: . 15, AMount of Lina 14 at Spou.al rat. liS) 16: "Mount. of Lina 14 taxable at Lin..I/CI... A rat. ' (16) 17, AMaunt af Lina 14 taxable at Collateral/CI... Brat. (17) 18. Principal Tax Du. 14, 15 and/Dr 1&, 17 and 18 will returns assessed to date. .00 M .00. .00 M .06. 68.774.45 M.15. IlSI .00 .00 10.316.17 10.316.17 TAX CREDITS I PAVHENT DATE 03-19-96 DISCDUNT 1'1 INTEREST C-I .00 AHOUNT PAID 10.500.00 RECeIPT NUHDER AA1l2630 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL' DUE 10,500.00 183.83CR .00 183.83CR . IF PAID AFTER DATE INDICATED, SEE REVERSE FDR CALCULATIDN DF ADDITIONAL INTEREST. I IF TOTAL GUE IS LESS TitAN fl. HO PAVHENT IS REQUIRED. If TOTAL DUE IS REFLECTED AS A "CREDIT" leR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FDR INSTRUCTIDNS.1 00 '(. . "', 'J) " -~_f H" I}" '.'-, \.~. RESERVATIONr E.tat.. of dacadant. dvlrg on or b.fot. D.c..b.,. II, 1911 ~. If env future Int.r..t In the I..at. I_ ,ran.f.trad In pOI....lon or ,nJov..nt to CI... . (col1atar,11 bln..te.arl.. of the dlcadlnt ,'t,t thl ..pltatlon of any ..tat. for 11', or for yur., the eDtllo""..lth hat.bv Illpt...h nu,.".. thl rllltlt to appraise and I..... tnnsfer Inhetltenea h... at thl lawful ell.. I ruthh,.,U t.t. on any such fulur. Int.rut. . PURPOSE OF HOTlCEI To fulfill thl ,..qutr..ants of Sactlon iWiO of thl Inh.rltanu and Eltet, IIIC Act, Act Z2 of ."., 7Z P.S. Sactlon 21"0. D.t.~ thl top portion of thh Notice and lub.1t with your p.y..nt to thl RIghtn of WUh printed on the tav.r.. .Ida. --Haka chIck or lon.y ord.r po_bl. tal REalSTER OF HILLS, AOENT All p.y..nt. t,cllv.d ,h.ll flr.t b. appll.d to any Inl.r..t which ..y b. due with any ra..lndar appll.d to 'h. t.M. REFUND leR). A rafund of II taM cr.dlt, which wa. not relN..hd 'on .th. IBM Raturn, ..y b. r.qu.,tad by co.pl.tlng an "Appllcetlon for R.fund of P'MlYlvanl. Inherlt.nc. and Eatat. hM" IREYaUUJ. Application. ar. .v.Uabl. at the Dfflc. of the R.al.t.r of Will., any of tha 25 R.v.nu. Dlafrlct offlc.., or by c.lllna the ap.clal 2~ahDUr an.warlna .arvlc. nuab.r. for for.. ord.rlngl In P.nn'Ylv.nla la800aS62-l0S0, out, Ida pann.ylv.nl. and within local Harrl.burg .ra. 1717) 7a7-a09~, 'DO' (117) 772-22S2 CHa.rlna Iap.lrad Only), PAYHENTa OBJECTIONSI Any party In Int.r..t not ..tl.fl.d with the .ppr.I....nt, allowanc. or dl..llow.nc. of d.ductlon., or ........nt of hili (Including dhcount or IntaruU u .hawn on thlt Notice au.t obJlct within ,bhi' (60) d.", of recllpt of this Notlc. byl ..awrlttan prat.at to the PI. D'parh.nt of R.v.nu., Bo.rd of Appaal., D.pt. 2a1021, Harrltburg. PA 11128"1021, OR .....I.ctlon to h.v. the .att.r d.t.r.ln,d at audit of the .ccount of the p.t.anal rapr...nt.tlv., OR ..aappa.l to the Orphan.' Court, ADHIN ISTRATlYE CORRECTIONS, Flctu.1 .rror. dl.covar.d an Ihl. ........nt 'hould b. .ddt....d In writing tOI PA D.parla.nt of R.v.nu., Bureau of Individual TIIIII', AnNI Jlo.t A.......nt R.vl.w Unlt, D.pt. lB060l, llarrhbUtg, PA l712a.060l Phon, t117) 7a7-6S0S. s.. page 5 of Ih. bookl.t "Intlructlon. fat Innarlt.nc. filii R,turn for a h.ld'nt Olc.d.nt" (REYaISOI) for an 'liIplan.tlon of .delnl.tt.llv.ly corr.ctabl. .rror.. DISCOUNTl If any talil due h Plld within Ihr., (5) calondar aonth. Ifhr Ih. daced.nt'. d.tsth, a flv. p.re.nt ulO dhcount of Ih. t'lII paid I. allow.d, INTEREST. Ih. ISX t.M aan..ty non"p.rtlclp.tlon p.n.lty I. ca.pul.d on Ih. lot.l of the taM and Int.r..t .......d, and not p.ld b.far. Janullry IB, 1996, the flrat dIY' after the and of the talll nM..ty periOd. Thh non.partlclpatlon p.naltv 1. .pp..I.bl. In the .... .annar and In the the .... tl.. p.rlod ., you wauld app..1 Ih. talll and Int.r..t th.t h.. b.an .......d .. Indlc.t.d on thl. nolle.. Int.r..t I. ch.rD.d b.glnnlng with flral d.y 0' d.llnqu.ncy, or nln. (91 .onth. .nd on. (I) d.y fro. Ih. d.t. of d..th, to the d.t. of pay.ant. T'M" which baca.. d.llnquanl b.for. Janu.ry 1, 19a2 b..t Int.r..t at Ih. tat. of .he U:U p.rcent p.r aMU' C11lcul...d at a d.lly r.l. of .0001", All I.lt.. which b.es.. d.UnlNant on and .fhr January 1, 1982 will b..r Int.r..t .t a rei. which will v.ry fro. c.l.ndar y..t to cII.nd.r y..r with th.t tat. announc.d bv tha PA D.p.rl..nt of R.v.nu., Th. .ppllcabl. Inl.r..1 r.ta. for 1982 through 1996 Ir.1 PENALTY, '!!!! Int.t..t Aat. DallY Int.tnt Factor !!.!! Inl.rnt RllIt. n.l1y Int.ro'l f'llIctOt 1912 ZO:c ,ooos~a 1987 .. . GOOl...7 1915 lOX ,OOD~38 1988.1991 1IX ,000501 1984 U:c .00UOl 1992 .~ , OOD2~1 198$ In ,OOOU6 1'9.1.199" I~ ,000192 1986 lOX .00027" 1995.1996 .. .OOOZ'" nInhr..t I. c.lcul.t.d .. follawal INTEREST . BALANCE OF TAK UNPAID K NU""ER OF DAYS DELINQUENT K DAILY INTEREST FACTOR ....Any Natlc. I..u.d .ft.r the tDIII b.eo... d.llnqu.nt will t.flecl .n Int.r..t e'lculatlon to flf'..n ll51 d.y. b.yond Ih. d.t_ of the a....,.ant. II pay..nl I. .ad. nf'.r the Inl.r'.1 cD.putatlon date .hown an the Notice, .ddltlon.1 Inler..t .u.t b. calcul.hd. /.'J /0 - 1_-; BUREAU DF INDIVIDUAL TAXES .,.<<:AlfANC[ lAX DIVISIDH (J[PI. n06Dl UARAIIIURG, Pi l,11I-06U COHHONWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT c'j *' "'.lttlII ", .U.HI ALBERT J HAJJAR STE 8 1300 HARKET ST LEHOYNE DATE ESTATE OF DATE OF DEATH FILE NUHBER COUNTY ACN 10-15-96 SMELTZER 09-10-95 21 95-0908 CUMBERLAND 101 PEARL ATTV AMaunt A..Iltad PA 17043 MAKE CHECK PAYABLE AND REHIT PAYHENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 HOTEl To insure proper credit to your account, aub.lt the upper portion of thl. for. with your taK pay..nt. CUT ALONO THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REY:il.oi-ix--"Fjt--rbi-:96y------...jj-fNifEiiiTAiic'EuTA'je-STA'fEHENT-iiF-Ai:cciuN'f--jj...u------------------- ESTATE OF SMELTZER PEARL M FILE NO. 21 95-0908 ACN 101 DATE 10-15-96 THIS STATEHENT IS PROVIDED TO ADVISE DF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE. SHDWN BELOW IS A S~ARV OF TNE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PRDJECTED INTEREST FIGURE. DATE OF LAST ASSESSHENT OR RECORD ADJUSTMENT, 09-03-96 PRINCIPAL TAX DUE, 10,316.17 PAYMENTS (TAX CREDITS), PAYMENT DATE 03-19-96 09-27-96 RECEIPT NUMBER AA1l2630 REFUND DISCOUNT (+l INTEREST (-) .00 .00 10,500.00 183.83- AMOUNT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. 10,316.17 .00 .00 .00 TOTAL DUE . IF PAID AFTER TNIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. I IF TGrAL DUE IS LESS THAN II, NO PAVMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, VDU NAV BE DUE A REFUND. SEE REVERSE SIDE OF THIS FDRH FOR INSTRUCTIONS. M ,.... ~'}() paV1tEHta ..'och 'hO ,.. portion .f 'hll H.Il.. .... .....It .lth ....r p.....1 ..... p....I. I. ,ho .- ond _.... prln'''' on 'ho r...r.. .160. -., If IIUIDEHT IlECEDEHT .... .hOck .r .one. .rdor p....I. I.. REGISTER OF WILLS, AGENT. If .....At..IlEXT DEctIlEH' .... c...... .r ...... .r.or p....I. I.' CDKKaHtlEALTH DF PENNSYLVANIA. REIUHD <ell', . r.fund .f . ... cr.dll. ..I.h ... no' r.qu..'.d on .h. T.' II..urn. ..V b. r.que.l.d b. c..,I..ln. an ....llc.'lon f.r II.'und .f p.....I.onl. Inh.rll.... end E.,.,. T.'. IAtV'ISIS'. ,ppll..'lon. .r. ...11..1. ., .hO Offlc. .f 'hO R..I...r .f Will.. on. ., Ih. 'S R.''''. OI.lrl.' Off I..' .r 'r.. 'hO ....r'."'" "'hoUr .....rl.. ..rvlc. .....r. '.r f.r.. .rd.rl... In ......lv..l. 1,..'.S6""S., .....Id. p.....I.onl. .... .I.hln loc.1 H.rrl.bUr. .r.. 1111' ,.,...... T.O' <111' 11""S' 'H..rl.. :op.lr.. onl.,. .,1........ r...lv'" .h.ll b. .,.11" 'Ir" ,. on, In'.r..' ..Ich .., .. duo vllh onv r...lnd.r ...11" ,. .hO ,... REPLV tal Quo.'lon. r...rdl.. .rr.r. conl.ln.d on .hl. no'lc. .hoUld bo ..dr....d ... P' ....r'.'" .f R.v..... .ur." .f Indlvl-I T..... ."H. p..1 .......... 11..1.. ...It. Oop'. ,.".1. "."I.bUr.. P6 1112.....1....... (717) 7t7.6SDS, If ... ... dUD I. p.ld .llhln 'hr" ISI ..Iond.r oon.h. .,'.r ,ho .....on,.. d..lh. . flv. porcon' 'SX' dl.coun' of th4l taM pald 11 allowed. ThO ISX ,.. ....." ....p.r'lclp.'lon .on.I'. I. c....'.d on tho 1...1 .f 'h. ,.. end In,.r..' .,...,... end no' p.l. b.f.r. J....r, 10. "'6. ,h. llro' ... .It.r Ih. .nd .f .h. '" _OIlY .orl.d. DISCDUKH PEHaLTVI IHtERESt I In'.r..1 I. ch.r." b..lnnln. wl'h 'Ir" d.. ., d.II......,. .r nl.. I.J .onln. ond on. <I,d.. 'r.. 'h. .... .f d..,h. .. .ho d.'. .f ..,..n'. T.... which b..... d.ll"""on' b.'.r. Jonu.r, I. I'.' b..r Inl."" .. 'ho r.'. .f .1. 16X' por.on' por ..... ..I.ul...d .. . ..11. r.'. ., ....1... .11 ..... which b.c'" ..II...an' on end .,'.r J....r. I. I'.' .111 b..r In..r..' .1 . r.'. which .111 ..r. fr.. c.l.nd.r ,..r I. ..I.nd.r ,..r .I'h 'h.1 r.'. ......... b, .h. P' ....r,..nl .f R...nu.. Th. ...II..bl. In..r..' r".' '.r I'.' .hr.ugh 199' .r.' Va.r Intar..t Rate DallY Int.ra.t fector v..r Int.r..t R.t. D.lly Intare.t factor 1911 ,.X .0DD54. 1911 OX .oonu 1915 lAX .ooon. 1'&1.1"1 I\X .000101 "14 11;( .000501 "" OX ,0002'" 1'115 ISX ,OOOSs' I"S~19lJ1t 11 ,000192 19" \DX ,00017" 1"5.1996 OX ,0002'" ...Int"..t Is calculated .. follOW.' INTEREST . BALANcE OF TAX UKPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR "M' Mollc' II..... .ltor tho '" __, ..11_' .111 r.II..' on In'.r." c.I..lotlon .. flit... II" ..,. bo.ond tho da'. .f .hO .........,. If ..,...1 .. _ .tt.r .ho In'oru' c......tlon d." .0-' on tho Notlce. edclltlonal Int.r..t .u.t be celculated,