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Home My WebLink About95-00936 ,I' ,.,< ,." ,.',:"",,,/ :'c........ ...,. ~ ''', ; "0<"" ;i ~i :'~~~~ + H ,11 ,} d. ,:> ; .;", e; c,;'~>_:;X,;. ",C' "C' , ,,'<;,', '.' ';)<: "i~\i;;t ".,:'~~ ' ; . 'f' '.. ~(;:~;} ",':.: ::'1 ).~'~,:~i ;'~:;:r ~; .'.. ~. '.,'.,: ,::; ;-~ ',' ::"' c' ;'" " ~~!~~;K: :,;:H:~' ; ; ;-', '.' ~;"~j~~';\,rL,c. -t ;, ;""':';'.).' ,J _" :;\~~t1;?;;;:~f,:, .,,, .;,;;);;:;'f:' ~';, ?J )f~~~it~~- .':;- :. ';',; :'. :.;: ;. ',j:;' -'" '. , (t ", - ': ":',-; '].,-".;; :'r.';-~ ,.,'" "..^."I:';>'i;:" " :4'?:ri~i(; : ttt~~ f;1~:~~~~~~K}1;B: - ~"'~;t4~?;'~r~t~~t, " ~t,~_:i.i~.~.:,';';::~; !1~~ ',' '; :,;;, :Y,;\r;'- ',''i' ":;,::':,' ;:..:)'; ;/ '.'> . .'::. :' :.t:': ',' . , . 1 ".' ~~~~~,~,;: ~' : ' ,~ " '."',,,: .' ;:"?f,:)i~:>': 'd' ,. :).: :"i'; . \( ~0'" . .. I. ~ . " J;1!t,;",,,, '\ \, ... [', ....... '. ,'. ,::.~'~' . I . . '\:; ;; ,.. .;' :.~.,:,. .. ..,. . 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To Register of Wills for the County 01 Cumberland, In the Commonwealth of Pennsylvania. Pelllloner(~ Is (;Ita) the execut ~ ,:. named In the Last Will and Testament of r--\t'\o"." ),. 6.....JI...,J dated )Pr-i1o-.~ 1I./?93 Decedent was a clllzen 01 the United States and a resident 01 r-}ClI ul c..... "" hh~ L.-t oJ D ~.."3hlp (Borough), Cumberland County, Commonwealth of Pennsylvania. Decedent died on ";,..-ro ~ (J 1\'1 the 2. Soft~ day 01 ~ OlJ5MtEJe A.D. 19 ~.r- , In the County 01 Cv. ......~~l-.....>-1 ~ ,State 01 ;J t1- at the age 01 ...f!L. yeers. Decedent has (has noli been married and has (has not) had children born to him (her) since the ex. ecullon 01 the above described Will. .,J.,,, Decedent was possessed 01 personal property to the value 01 .p 10 J "rJd .' ~/A- and of real estate to the value of as near as can be ascertained: said real estate situated as lollows ,J!1r Therefore, your pelllloner(s) respectfully apply(les) for the probate 01 the said Last Will and TeGta. ment and lor Letters Testamentary theron. Dated O'EiC'f:rv-&ePZ. II ./?9J" , Name and address ;:t;.! ~"x:.;'-- ~ of Pelllloner(s) ~ ' PillA' II. G.... Ir""J .-:ru: Bll- ,h..,<<. i t2r, ~ Cl 1l^(!.cA-^oJi(,S'f3u~ 6 !:.,. 17"J"r J COMMONWEALTH OF PENNSYLVANIA } COUNTY OF CUMBERLAND ss P 01 v- \ \J . 6 Au JI...... oJ -:ro::.. named In above application. being duly Sl.\lO" J statements sel forth In this petition are true to the best of 5 <v, K J and subscribed before according to law say(s) that Ihe Ir; ~ knowledge and belief. me, ~ u-~.!.~ 19 ~J""'" ",,~,. ...j, . ,R.,."" &/I~r> '/l//l'?_'IJ~, 1'.((.....1 .'I/.)II,'/1!/','// . /1. " Flied: DC<':C'lIoor 11,1995 Attorney J:,J 1+. '/9)-r 32.-0 w. c.-l..o..../ft'tt /lVI'. f.\.a..w....., 1'01 17 D 5 3 s.c.~ ot>'!>:'l7 {:~ ~ 71' . _. ~] ~.~ ~~ ~'l n I>j ~lj ~~ t.~' :r: ., rl ~ i,{..,.. ., ~ 21-95-936 ;. .-. .'..i I I' :~ I -fJCj_cJ.16 LAST WILL Arm TESTAI.1EtlT or- liE IT KNOWN, thai I. Naumi (I. Gaunhan I . a , ' I' f '1 ~,l"lIil)' In Cumber and . ~cm CI~I 0 511 Geary Ave. New Cumbel ani" . If sOllnd luind do make and declare Inlhe Stale of PQI1_nsyl v.an.1 a . lClIlll (, ' " "II ' I C' ,I' "I 'I this 10 be m)' Last Willllllll Tcstallll'nt exprcss!)' Icvoklllg all my prior \, i s .lIll ,OulCI S .1 ;IIlY time made, I. EXECUTOH: Illppoint Paul V, Gaullhan 111,. 1 of Ha.rrlisb~r~, PA . as ExeClllor of thlS lilY Las! WIll allllleslamenl and provide If t lis .xeclItor is unable or IInwilling 10 serve then I uppOlnt Brl an J, Gaughan , . ' Lewi sberr PA ' as alternale hxec!llor, My Exc~ulo! shall be aUlh~rI~ed to ,~,Irry OUI all Jrrovisions of this Will ;lI1d pay my JUSI deb IS, obhgulIons llnd ~uner:11 expenses, I funher provide my Executor shal1nol be required 10 pOSI surety bond 111 Ilns or any other jurI~diclion. and direcl that no ex pen appraisal be nlllde of my eSlate unless reqUIred by law. 11. BEQUESTS: J direcllhlll after payment of :111m)' jusI debls. my property be beque:lthed inlhe manner fol1owing: DiamDnd Ring with two stones each side to James P. Gaughan (Grandson) Diamond Ring (Solltare) to Emelie C. Gaughan (Grandaughter Mother's Ring to Madeline E. Gaughan (Grandaughter) Watch to John F. Gaughan (GrandsDn) BDnds and certificates that are made out to me and one other person. The person whose name Is on the bond 01' certificate receives that item. Any cash in the safe should go to my four sons equally. I would like Tim to get the Cuckoo clock, Brian the corner cupboard, Kevin teh Piano and Paul the safe. (Grandpas). This will is made whfle PAUL V, Gaughan my husband, Is still living and Is based upon my death preceeding him In death. The houses and cars and other assets will go to my husband with the provision that upon his death all of our worldly assets will be divided equally among our four sons. In the event that we both die at the same time, (accident) or whatever. our entire estate is to be divided amoung the four sons equally with all four sons getting together to discuss how to divide it. No Bickering please, only love. My IRA's should be divided among my four'sons. Puge _ of _' I -;/ );_r-,"~' /) J/~/I...- If 1 P1\611 awny with my hUl'lhflnd (1\l~,'ld'-'IIt.). 1\11 m~' wol'ldh' poeeeenion6 wi th the exc;pp\, i 011 of t.ho ttill1.lfl nlrllndv mentioned ehollld \", divided e'lllnlly ",non'l my fOlll' ROnI'< , Pllul Ill. Kevin, Tim and Brian. If none of thom want to livD fit 51l GeRry, it in to be eold and the proceede to be divided nmong the four eone, after expeneee. The PI'operty at 132:!-t>24 Market Street, I,emoyne ehould be kept aB lln invr.etmcnt with 1'im hand ling the upkeep of it and beinl! l'eimhurried for hill time. The monthly proceedB after expenBee ahouId be dividod equally betwp,en the four eone. In the event thl1t you think it Bhould be Bold. then the proeeeds ehouId be divided equAlly mnons the four Bans. CarB ehould be appraieed and if 8ny ana of the eone wante the carB they should negotiate with their brothers for them. Household furniehinse should be divided amongst the four eone. eaoh one takins what they wllnt. The thinge that they do not want ehould be Bold and the moniee divided equally between the four eone. NO AUCTION. Put an ad in the paper and eell it that way. If none of the /lone want the ealt and pepper collection. it ie to be divided between my siBtere. Mary Lou and Lillian. My clothing. shoes lInd pursea should be divided between my sietera. If they do not wllnt them, donate to the Salvation Army or to Battered Women Assoo. The silverware ehould so to Joann Gaushtll1. the China in the hutch to Kate Gaughan and the cryetal to Linda. The crystal l.n the maetel' bedl'oom on the cloeet shelf goee to Brian. My greatest daai,ro ie to keep my family cloBe tosather always, no fights, alwnye read~' to help one anoth",r out the Barne os when 1 wae IJmonglJt you. Alwayu love one [mother. my four eons. daushtere-Jn law 1.Ind grnndohildren. There Wae nothins in thie world that meant aB much to me as you. all of you. I know that I Wllsn' t the gr'eatest Mother' in the world but I did give It my beet shot, 1 love you a 11 very much and believe me. I will alwaye be iookins down at you takins care of: you. (Hopefully. looki nil down ond not up). I tried to eave a Uttla eomathins for my sons and grandchildren. I did the best 1 couLd. thJs has nothing to do with your father. this I did on what I earned. You will find either a oertificllt,e or bond in your name in tho safe. When I purchaeed them I was goins wUh the higheet interest rat,e eo therefore. lies the difference whether o~ not you reoeive 8 bond or oertificate. IN WITNESS WIIEIWOF. I have herelllllo Sellll)' hnml this // &ltun)' of ~ ' 199.) . In Ihis Ill)' IA1M Will and TesUllllcnt. ~ ..u_' /I. Jia--tJ.k...~ Signature r;- III. WITNESSED: 11lis Lust Will and Testament of wns signed and declnred to be the signatories Lust Will nnd Testament in our presence and at the signatories request and in the signatories presence and In the presence of each other. we do hereby witness same on this t{i1- dayof~ .197'3 . ~~,"~^-I.\'\e$~\."\X ~l\ O'(\\\"llV~(~(\ 1~I....:l~"",,${'I!\\,,1 Wilness SignaturC Address \' I" ""1 t. -, G qq oM-YtJUC tel /l!.OJCurnbtUandOlW Address n 0' .'19 oPd If k !d. rJw-W.,J..) R: Address / I (0 TO ACKNOWLEDGEMENT Dale: q-I/-q3 STATEOF p^-, COUNTY OF Lf r-z.JL Defore me, the undersigned Notnry Public, personally appeared the above Signator and Witnesses, respectively, known to me or satlsfnctorily proven to be thc person whose names are subscribed to this instrument. 111ese persons, being duly sworn. did hereby declnre that Signator signed and execuled this instrUmcnt as Signator's Lasl Will and Testament and had signed willingly or directed anolher to sign and exccuted II as Signator's free and volunllll)' act for the purposes therein expressed, and that each of the Witnesses. in the presence of Signalor, SIgned this Last Will and Testament as witnesses and that to the best of their knowledge, Sign a tor was at thc time an adult, of sound mind and undcr no constraint or undue innuence. This instrumcnt was subscribed, swom and acknowledged before me, CaA-I-fl;~U- NOllll)' Public My Commission Expires: Page _ of _.' ---..- "'~J:"II.,;Sn:\1 enrol A. JU",lIl, NC.':ir'/ f'uhlc FaJ\'Ior,o:"'^)I, '~')f1d~;fltl M.,.("'nll:I'..~,ll')fl[~lJfll'; t-Jol, 2\), 1003 Mt.-ff'ltA'l', Pl:'in:.;(.-I<J:..li'-:i:iO;'l:x.M'l at ~ "- . , \.'. CERTIFICATION OF NOTICE UNDER RtJI,E 5.Ii(il) Name of Decedent: Naomi A. Ga uglliU1 Date of Death: November 25..1 1995 will No. Admin. No. ESTATE NO. 1995-00936 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 .1 1996 ~ Paul V. GauQhan Kevin J. Gaughan Address 511 Geary Avenue. New Cumberland, PA 170;0 11739 Dry River Court. Reston. VA 22091 TimothY W. Gauahan 527 Ridaeview Road. Dillsbura, PA 17019 Brian J. Gauahan 109 East ElmwoQP Street. Mechanicsburg, PA 17055 PA 17055 P""l v. (:""9""n r TTT 812 Acri Road~chanicsburQ. .. See attached list for additional names and addresses. Notice has now been given to all persons entitled thereto Ruie 5.6(a) except Nn pxcpprinn~ under Da te: ftt OJ....Jv.. z.O /~ 9 ~ )rQ.? -- Signature Name Jon A. Yost ~ddreBs_ 320 W. Chocolate Avenue Hershey, PA 17033 Telephone(717) 533-5101 Capacity: Personal Representative Counsel for personal representative x I!J-- ;J 1< BUREAU OF INDIVIDUAL TAXES J,...nAHCf TAX OJYIIIOIt DEPf. 1'10601 HARlUlatn. PA l1lZ.~D'Ol COMMDNWEALTH OF PENNSYLVANIA DEPARTMENT DF REVENUE '* A - NOTICE OF III1IERITAHCE TAX APPBAIBEIlEIlT, ALLOMAHCE OR OIBALLOMAHCE OF DEDUCTION l~ AIl8ESSIlENT OF TAX ON JOIHTLY woLD OR TRUST AIl8ETS tn.tMlII'" Ill.." BRIAN J GAUGHAN 845 HECK HILL RD LEWISBERRY PA 17339 DATE ESTATE OF DATE OF DEATH FILE NUKBER COUNTY SSN/DC ACN 01-28-97 GAUGHAN 11-25-95 21 95-0936 CUMBERLAND 184-24-9955 96106081 A.......t R_ltted NAOMI MAKE CHECK PAYABLE AND REMIT PAYMENT TOl REGISTER OF WILLS CUMBERLAND CD CDURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PDRTION FOR YDUR RECORDS ~ iiiv:isiia-iif-AF-p-ri1f:96'------------------------------------------------------------------------------------ HOT ICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR DISALLOWANCE DF DEDUCTIDNS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS DATE 01-28-97 ESTATE OF GAUGHAN NAOMI A DATE DF DEATH 11-25-95 COUNTY CUMBERLAND FILE ND. 21 95-0936 TAX RETURN WAS. S.S/D.C. ND. 184-24-9955 (X) ACCEPTED AS FILED ( ) CHANGED JDINT DR TRUST ASSET INFDRMATIoN ACN 96106081 FINANCIAL INSTITUTIDN. HARRIS SAVINGS BANK ACCOUNT NO. 07-16-124368 TYPE OF ACCDUNT. () SAVINGS ( ) CHECKING ( ) TRUST (Xl TIME CERTIFICATE DATE ESTABLISHED 07-19-88 Account Balance Percent Taxab1a X Amaunt Subjact to Tax Debts and Deductions Taxab1a Amaunt Tax Rata X Tax Dua 4,D36.57 0.50D 2.018.29 .00 2,018.29 .15 302.74 NDTE. TD INSURE PRDPER CREDIT TD YDUR ACCOUNT. SUBMIT THE UPPER PDRTIDN DF THIS NDTICE WITH YDUR TAX PAYMENT TD THE REGISTER DF WILLS AT THE ABDVE ADDRESS. MAKE CHECK DR MDNEY DRDER PAYABLE TD. "REGISTER OF WILLS, AGENT." TAX CREDJ:TS: PAYMENT DATE RECEIPT NUMBER DISCDUNT (+) INTEREST (-) AMDUNT PAID . TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. · I IF TOTAL DUE IS LESS THAN .1. NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" I CR), yOU IlAY BE DUE A REFUHD. SEE REVERSE SlOE OF THIS FOR" FOR INSTRUCTIONS. J .OD 302.74 12.26 315.0D INTEREST IS CHARGED FRDM D8-26-96 TD 02-05-97 AT THE RATES APPLICABLE AS DUTLINED DN THE REVERSE SIDE DF THIS FDRM ~OF MOTta: I To fulfill the r~lr...nt. of Section 214D of the I~r't~. ~ E.ta'l ,.. Act, Act hctlon 2140J. ~'lD .0 :-0;)) :i f -J ;1) ~ I. ,") ~; -" t~, (:) , " ~1 ~, <? Q. )>;", i.i1 w " of ."1. 111 P.I. PAYltEHTI Debc:h thI top partlon of thlt Motle. .... we.1t with your P'PM' to the helstl,. of WUh prlnt_ an tM r.wrM llde. ..- H1k, chedr. or __w .reM,. p'raGle tal RfCtsTER Of' WILLI, AC:DfT. All p.~h rec.lvM"U fir.. ~ ...1 1M to "1 Int.r..' ."Ictt..y be due, with .." ,....1,.,.,. IPPII_ to the .... REF\IGI I CA ) I A nhnd of . tax credit. which .,.. not reque.ted on the II. r.turn, ..y be requelt.. b, cOIlPhU"I .., "ippllntlon for ."\ftI of P.,..".y!v."l. Im.rlt.-.c. .. [,tat. l.... (REV-Un>>. Application. .t. IVlllltbl1 It tM OffiCI of the _..I,t.r of Willi, ~, ., the 2S Aavenue Olatrlct Offlc.. or by cIlllng the .peel,l '~.hour ~..,.rl", ..rvlce nu.e.r. 'or far.. or~rlngl In Pann.,lv..,l. l-IOO-S6Z.'DSO, out,lde P~'Ylv..,l. .... within 10Cl1 H8rrl~r. .t.. C71'l ,.7-1094, TPOt (711) 772"'152 ("-erlng t.,..red Only), OaA:CTlDHSI Any p.,.ty In Inhr..t no' ...lIfI.. with the 8PP,..I.uent, .Ilow.nc. 0,. dls.lIowance of d.wcUon. 0,. .........,. of '0 (Including dhcCU'lt or Int.,...U .. IhoMn on ,hh HoUu ..v obJKt within .hctv C60. d.y. of ,.ec.lpt 0' 'hh Notice by. "wrlttwt P,.ot..t '0 tM PA Osp.r....,t of A.venu., lo.rd of App..h, D~t. lIIOU, tt.rrllblJrg, PA I1Ua-lOll, OR ".IKUng '0 hev. the ..tt.,. d.t.r.lnMi .t tr. It\ldlt of the account of I'" pu,on.1 r.pru...taUv., DR ".appeal to the Orph....' Court ADtUN- ISTRAlIVE CORRECT IONS I Fectu.l uror. dhcov.red on this ........". should tMI addr...ed In wrltlng tOI PA Paput...,t of AIV.,.",., lun'" of lndlvlw., h..., AnN I Po,t A.....Mnt Aevl... Unit, PEPT. zeD6G1, Il.rrhbuflh PA nUI-06DI J'hone (711) 781-6505. S.. PItOA 5 of lhe bGc*1.t "lnllrucUon, 'or tnherlt~. hx Alt"rn 'Dr. Ae,ldent Dec:Nent.. IREV~150lJ 'Dr ." ,.pl~tlon of iHNlnlltr.tlv.h correctebh uror.. DISCDUHTI If lilY t.. due II p.ld within thr_ IS' cal..s.,. Hnlh. .U.r lhe decedent'. d..th, . flv. perclIIlt IS;c) dhc~t of U. llUt p.ld It .lIowed. PENAL TV, The 15;c tlX ..,..ty non-p.rtlclp.tlon pwt.1ty Ie COllPUted on iN tot.1 of the tax and Int.r..t ......eet, and not paid balfor. ~rv I" 1996, U. first day .ft.,. the .... of the tu ....ty period. Thh non.p.rtlclp.tlon P<<IIlty h .....11Ib.. In the .... ....,. .-1d In the the .... U.. period .. you would ..... iN talC ..a Intar..t thllt hail been ...... .. lnellc.ted on thh noUc.. INTERnT. Int.,..t h charged bqlmlng with flr.t ~y of delinquency, or nine 191 eonth. .... one ell day f,.~ tM date of death, to thI data of p.~t. th" Which bK.. dtIllnqu.nt bafor. J.-.uarv I, I,ar belr Inhr..t at the r.t. of .he I6XJ par cent par ....... calcul.ted .. . dally r.'. of .GlalM. All taxll which bee... delinquent on 0,. aftu J....ry 1, 1912 wUI bur Int.r..t .t a r... Which will v.rv froe C81....,. Y"" to c.lendllr y..r with that ,.... aTICU'ICed bw .he PI Dep.,......t of A...,.... ThlI eppllc.a1l In..,...t rat.. for 1912 .hrough 1991 .r.. V.., In..r..t R.t. D.lly In..,...t FH'or V..,. Inh,.., Rltl D.lly In'.r..' F.c'or 1912 'OX .DOO54. ..., 9k .00al" 1913 1.. .OOOlty ....-1991 II' .00DSll 1964 11:C .000501 .." OX .OOal~7 1915 1'" .aaosY 199)-1994 n .000191 1964 lOX .aaOZ7~ 1995~1'" OX .OOOU, --In..,...t II c.lcull'ed .. '0110..11 IHTEIlElIT . BALANCE OF TAX UNPAID X KUnBER DF DAYB DELINQUENT X DAILY IHTEllEST FACTOR ",""'y Notlca ...ued .ft.r lhe II. beco... dellnqu.nt ..III ,.U.ct .., Inter..' calcul.Uon '0 flf'.en 05) d.u tMyond ..... ... of lhe .........t. If P'rMnt II Ada 1ft.,. lhe Inhr..t COIfM.lt.Uon da.. IhoIIln on the Hatlc., addltlcwwl Int.,... au.t be calcul.ted. ......... OF NOTICE I PAVtEHTI REfUND teA) I 00 C -_. ~] 'l! \Q -J :0 :UO! (1, (":. S', ,. , t_ ?O' Z ',1 <.:> ;.::: -' Vi ~.. "T,' ).; :.. ,'./1 lA' To fulfill ~ r~lr..-nt. of s.ctlon tl~O 0' the l~rltBnC. 8nd E.tet. f.. Act, Act 22 of .991. (71 P.S. Section ZUII. DetllCh ttMI top portion 0' tt1h MoUe. ... .ue.1t with 'DUt p.pent to tM Rqla'... of Will. prlntl.. on the t.v.r.. .Ide. ... twI. m.d( or ___, order pantll. tal AEGlSTtR OF WILLS, ACOfT. All ~,...,t. received ..11 flr.t be applleel to ....w Int.r..t which ..y be dull, with MY r_lncMr ..11M to the talC. .. n'Yld of . to crMfIt, which .... not reque.tlMl on the to return, ..y tM requeded by c~l.Ung In "AppIlC:ltlon 'or R.fund of Penn.yly...... Inherlt~. end E.t,._ I.... (REY".).'), Appll~tJon. It. Ivellebl, It the Of,IcI of the Regl.t.r 0' Will., ....y of the ZS R.v~ DI"tlcl OffiCI' or by cllllng the ,peele. '_-hour ....~rJ"' ..rY.c, ~r' for rOt.. orderlngl In Penn.'lv...... l-aOO-S6Z-ZD50, out. Ide P~.ylVBnI. ~ within 1~1 Karthburg .t.. (717) 117-809", TDD' (717) nz-usz m..rlng 1~.lrMt On1v). DLJf;CTlDNSI Any p.rty In lnt.r..t not uthfl-a ..lth tM eppr......"t, .UOWIlne. or dl..UOWllnC. of deduction. or ........"t of tax (Includlna d"cOU'1t 0.. lnt.r..U .. shown on thlt NoUce ..y object ..lthln .s.ty (60) dan of rec.lpt of thlt NoUe. byl .....rltt... p..ot..t to Uw PA Dep.rt...,t of AIVM'II.fI, lo.rd of App...., Dept. 2111021, H_r..llburg, PA unl-IOll, DR ....lacUna to hay. ttw ..tt... cs.t.r.lned .t ttw eudlt of the! ItCCCM1t of the per.onIIl ...,r.....t.U"., DR ..-app.al to the! Orphan.' cou..t ADttIN- ISTAATlVE: CORRECTlONSI DISCOUNT I PENALTV, 1Hf[R[1T I Fectual .rror. dl.~cv.rMt on thl. .......-nt shoUld be eddr...Mt In ..rltlna tOI PA Dep...t.ent of RIV.nue, Bur.eu of Individual T~1'1, ATTN, POlt A......-nt A.vl... unit, DEPT. l10601, H.....IIbu..g, PA 171ll-06Dl Phone (717) 71)-6S0S. .~ page 5 of the bookl.t "In.tructlonl fo.. Inn-rltllne' T.. A.turn for _ R..ldent Decedent- (PEY-I~OI) tor an 'Kplenatlon of ~lnl.tratlv.IY correctable .rror.. If InY tlK due .. paid within th.... (s) calendar ~th. aft.r the decedent'. deIIth, . flv. percent (5X) dhcOU'tt of the tax p.ld Is .Uowed. Th. 15~ tax .-na.ty non'p.rtlclp.tlon penalty I. coeputMt on the tot.1 of the tax Bnd Int.r..t ......ed, and not p.ld before J......y II, 1996, the flr.t eNY .ft.r U. Bnd of the hUI ~.ty pe..lod. this non-p...tlclp.tlon peoIIltY It ......lebh In the .... ....-ne.. .-MI In the the .... U.. period .. you would ......1 the tax Bnd Int.....t th.t hat bewt .....sad .. lndlcat.. on this notlc.. Int.r..t Is dIIIr..-l blglmlne ..Ith first ct.y of cs.l1~y, or nine (9) ~th. .... one <I) dey froe the data of dNth, to tM dlt. 0' p.y.."t. Tens Which bK_ dllllncp.MIf1t befo... Jenuery I, "IZ ~r Int.r..t .t the ...t. 0' .1. (~) percent per ~ calcul,t.. at . dilly rat. 0' .0001~. All t.... which ~ delInquent on or .,t'r J8nuary I, 1'12 ..III bear Int.r..t at . r.t. whIch will Vlry fr~ calendlr v.... to cal..r y..r wi th thet r.t. ar'II'1DUlCMt by the PA Dep.rt..,t of R.v........ TM appl1C11bla Int.r..t r.t.. 'or 191Z through 1"7 .r'l V..r Int.r..t Rat. D.Uy Int.t..t Factor V..r Int...." A.t. Dally Intlra.t Facto.. 191Z lOX .000541 1,.7 'X .00llZU IUS ,6% .DDDU' 1911-1"1 IIX .00OJ01 ..14 IIX .000101 .99. 'X ,OODZ41 IUS ISX .00OS56 1"1-1994 n .000191 ..16 'OX . aoOZ74 I"S-I'" OX .000247 .-Int.rut It celeul.t.. .. follOtfIl INTEREST' BALANCE OF TAlC UNPAID X HVIIBER OF DAYB DELIHQUElfT X DAILY IIITERElIT FACTOR --Any Notle. I..ued .ft... the tax bac~' dlll~t will r.,lact an Int.r..t c.lcul.tlon to '1ft"" <IS) dart beyond the data 0' thl ..........t. If pa,.."t It ..s. .ft... the Inhr..t COllPUt.t!on dlt. shown on tt. NoUc., IMkIltlonal Int.....t au.t .. C11lcul.t... ,5'~ 7)-< IJ-.- CDMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE - BUREAU OF INDIVIDUAL TAXES ueoJ11.HCt fAM IllVf'lilDH DEPT. UD6D1 HAARllllRO. PA 17UI.0601 MOTICE or IH1IEIIITAHCE TAX APPRUBEIlEHT, ALLOMAHCE OR OIBALLOMAHCE or DEDUCTION L-AIlIl ABBEBlIIIEIfT or TAX ON JOINTLY ""LQ OR TRUBT ABSETS tn.'''' U In IU.ttl BRIAN J GAUGHAN 845 HECK HILL RD LEWISBERRY PA 17339 DATE ESTATE DF DATE OF DEATH FILE NUMBER COUNTY SSN/DC ACN 01-28-97 GAUGHAN 11-25-95 21 95-0936 CUMBERLAND 184-24-9955 96106083 A___t R_IIIM! NAOMI A MAKE CHECK PAYABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CO CDURT HOUSE CARLISLE. PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PDRTIDN FOR YOUR RECDRDS .... Rifv:isiii-Ejf-AFji-ri1i:9&i------------------------------------------------------------------------------------ NDTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX DN JOINTLY HELD DR TRUST ASSETS DATE 01-28-97 ESTATE DF GAUGHAN NADMI A DATE OF DEATH 11-25-95 COUNTY CUMBERLAND FILE NO. 21 95- 0936 TAX RETURN WAS. S.S/O.C. ND. 184-24-9955 (X) ACCEPTED AS FILED ( ) CHANGED JDINT OR TRUST ASSET INFDRMATION ACN 96106083 FINANCIAL INSTITUTION. HARRIS SAVINGS BANK ACCOUNT NO. 07-02-129309 TYPE OF ACCDUNT. (lO SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTIFICATE DATE ESTABLISHED 07-31-93 Account Balance Parcent Taxable X Amount Subject ta Tux Debts and Deductians Toxabla Amaunt Tex Rote X Tax Due 11.295.25 0.500 5.647.63 .00 5,647.63 .15 847.14 NOTE. TO INSURE PRDPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NDTICE WITH YDUR TAX PAYMENT TO THE REGISTER OF WILLS AT THE ABOVE ADDRESS. MAKE CHECK OR MONEY DRDER PAYABLE TD. "REGISTER OF WILLS. AGENT." TAX CREDI:TS: PAYMENT DATE DISCOUNT (+) INTEREST (-) AMOUNT PAID RECEIPT NUMBER . TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE IF PAID AFTER THIS DATf.. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. · I IF TOTAL DUE 15 LESS THAN .1. NO PAYMENT 15 REQOIRED. IF TOTAL DUE 15 REFLECTED AS A "CREDIT" I CRI. YOU HAY BE OUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS. I .00 847.14 34.32 881. 46 INTEREST IS CHARGED FRDM 08-26-96 TO 02-05-97 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM po J !1:1 '~.? -0 -I r.. I~~ .i ' , - L. o r ~1 :rJ\ )... ;..1 ill VJ _"" HaUCf, To fulfill the r~lr--.nl. of S.ctJon 1140 0' the rnherlt~. ~ [.t,t. ,.. Act, Act II 0' ."1. (71 P.I. hetlun 1140). PAM.:fJ. :0 :1)(\1 ,n r. (~ (;j. C ..'" Dlbeh the tap portion 0' this Notlc. Mid .....1\ with your p.v.ent to 'M R......,. 0' WUh printed on tM r.v".. Irue. -- ..... cheek or .....~ Dr.,. p'nal. tal RECISTIlI Of' WILLI, AC:OfT. AU ~YMnh nc.I,,~ ..11 I1t.t be ",UN to M, Int.r... which .., eM w., ..lth M' ,....,.,. .....Uect to the tn. RU1.IaI (CAli A nha1d of . t.. credJt, which .... not r~.t.. on the tax return, ..y be ,.~.t..t by cotllpllUng ~ -ApplluUon 'or R.fund 0' Pennlyl"..... Inherltancl and [.t.t. TI.. (REV..,.!). Application. '1" .v.ll~l. at the OfficI of the Regl,t.,. or Willi, MY of the IS Rlvenu. DI,trlcl offlc,. or by cIlllng the .peele. ,4'hour ......rlng ..rvlce ~r. 'or lor.. orderlna. In Penn"I"....e 1-laa-J6Z-IDSO, out.lde P~.ylY...I. Md withIn loc.. "-,.rtabur. .,.. 11171 711-10", fDO' (111) 772-2252 IHearlna I~alr~ Only). OIJ[CTIDHSa Any party In Intara.t not ..tl.fl~ with the BPPr.I.--.nt, allowanc. or dl..llowanc. D' deduction. Dr .......-nt D' tax (InclUding discount or Int.r..n e. IhDwl an this Nollc. ..y obJsct within .b ty (60) dly. D' ree.lpt D' \his Hollc. bya ....,rltt." prot..t to tM PA Dep.rt.."t D' A.ylrIUe, Bo.rd D' Appe.lI, O..-t. lIlOlI, U.rrlsburg, PA 17ll1-IOlI, OR --.Iactlna to haY, tM ..tt.r ctetarllnad .t the euctlt 0' tM 8CCDU'1t 0' tM p.r.on.1 rapr..."t.tly., OR --appeal to thl Drph.".' Caurt AD'UN" lITAATlVE CDRRfCTlDNSI Factual .rror. dl.cov.rld on thl. .....~t ~Id ba eddr...~ In .,rltlno tOI PA o.p.rt-.nt 0' R.v~, lur.... D' Individual Tan., AnNI Po.t A......."t AIVI... Unit, DEPT. 280601, Hlrrlsburg, PA 17UI"06DI ~ (717) 717-6505. S.. paga 5 D' the bookl.t -In.tructlon. 'or Inharltanc. TIM A.turn 'Dr. A.,ldlnt Decedent- tREV-1501) 'or ~ 'MplBn8tlon D' ndalnl.tr.tlv.IY corract"'l. .rror.. DISClunl If ~y tu duI II p.ld .,lthln thr.. u) cal~r ~th. .U.r ttMI dIC.s.nt'. daIIth, . fly. perunt t5:U dl.count of the t.x P.ld I. allowed. P[HAlTVI The lSX tax a.na.ty non'partlclpltlon p.".ltv I. coaput~ on th. tot.1 0' thl t.x end Int.r..t ......~, and not paid bafora January II, 1996, the 'Ir.t day .ftar the ~ of thl tlX aana.tv parlad. Thl. non'p.rtlclp.tlon PMIIlty Is appulllbla In the ... .....,. end In lhl the .... tI.. period .. you would appeal the tu end Intar..t that h.. been ......~ .. Jndlc.t~ on thl. notlc.. JHTERfITI Intar..t I. charged besllmlno .,Ith flrat day 0' dllInquancy, or nine I') IIOt'lthl end ane (1) dly 'ra U. dlt. 0' death, to thl dIIt. of PIYHnt. Tax.. Mhlch bee... de1J~t baforl Jr.uary I, I'll baar Int.r..t .t the rat. D' .Ix (6X) perc."t par ~ calculated It . dilly rat. D' .000164. &11 tax.. Mhlch bacaae delinquent an or .fltr Jwtuary I, 19U .,111 bier Int.r..t .t I rat. Mhlch .,111 Y8ry 'ta C8lllnd1r v..r to c.landar y.ar .,Ith ttMIt rat. tIf"nDUnC~ bv thl PA Depart.."t 0' R.v....,.. The BPPllutlla Int.r..t tIt.,. 'or 1'12 through 1991 .r.a ~ Intar..t R.t, Dally Jnt.ra.t Fectar ~ Int.r..t A.t. O.lh lnhr..t Factor "II ur .000S41 1911 or .000247 I9IS lOr .DODoU' 1'11-1991 Ilr .000301 ".. IU .000301 I'" .r .000li" 1"5 ur .000554 1991-19M 12 .000192 ".. In .000274 1995-1997 ox .000147 --lnt.r..t Is calcul.ted O. followlI INTEREST. BALAHCE OF TAX UlIPAIO X Il\IllIIER OF DUB DELINQIICfT X DAILY INTEREST FAl:TOR --Anv Notlc. I.aued .,tlr t~ tax beeDle, delinquent .,111 r.flact an Int.r..t cllculetlon tD ,I,tlln CIS) daw. bayonet tt. dIIt. D' thII ........"t. If p.,...,t h .... .u., tM Int.r..t c"put.tlon eMit. Ihawl on the Notice, addltJanel Intar..t .,.t be CIIlcul.t~. ,'.1/"" (f)/"",I ,y' YOST & D.\\'\lIS0N JIll II'loSll'lllK'lIl.All. A\'I.NIlI, IIIl I")\.all IlERSIlEY. "ENNSYI.VM-lI^ 171lJ).1lH7 JON A, YOST JOliN S, IJ,WII>soN M^RK A, 1l0YIlR II:tHIIO~I: . 717.~)),~11I' lAX 717.~)~,1211) June 12, 1997 Mary C. Lewin, negister of Wills Cumberland county courthouso Carlisle, Pa. 17013 Dear Mro. Lewio: please find enclosed herewith duplicate original Inheritance Tax Returns for the Eotate of Naomi Gaughan, No. 21-95.0936. Sincerely yours, ''font & Davidson ::?f~;;:.'''' aS. ..ll"'~ ivtott cJr.L1; 1<-+-- 10-; ..:-- c,.".-...Jt 0 " I, 00 7'>>~ . " ~ ,\ -11 >:lC: c:: \D ..,.. z ~ r- p, ..r 0-' .- ;;> (,)w 14, Nul VatUfJ SllbJIICIIO Tax (LIllO 12 rnmuollno 13) 15 5puuuI '"nt'.,.t'o, ,ltl.. ,J' tluth .11" 6.JO-II"1 ~.. In'lIotl,un.lul ^llpl'uLI. I'.'~IJ""~. un JI..glll, Iln~"Hh' ~.Iu.. hum ~j'tJ.ltul. ~ UI !itt,.ltul, f,4,1 10. Amounl 01 Uno 14 IOICUbto 016% 'ulu (Includo volu09 horn Schudulu K Of Schodlltu M,) 17. Amounl or Uno 14 tOlCnblo 01 15% '010 (Includo voluo!! 110111 Schodulu K at Schudulo M,) 10, PUllcipollox duo (Add lax hOIll Linus 15, 10 and 17.) 10, C,udllll ~Ilouul "U~.'I't C'.dll Pllor Paymonl!! Omcolllll InlolulIl 0.00. 0.00 - 0.00 20, If Uno 10 Is 910810' Ihan L1no 10. OlllOllho dlllolonco 011 L1no 20, Thill IlIlho OVERPAVMENT. [!JJ CtIack here " you are requesting. refwtd 01 your overpayment. I 21. II Lino 10 Is groolor thon LillO '0,0111011110 dlllofOIlCO 011 Uno 21. TII19 19 1110 TAX DUE, ^ Enlor Iho Inlofool olllho balanco duo 011 linD 21A B, EnlOllho lelal 01 Lino 21 OIld 21A on Unu 21B, Tllill 11IIhu BALANCE DUE. Make Check Payable to: Register of Wills. Agent '" ~ Hunt.'I""4' DECEDENT CHECK APPRO- PRIA TE BLOCKS CORRES- PONDENT RECAPIT- ULATIDN TAX COMPUTA- TION jSn-i4 INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) FOR OATES OF DEAW AFTER 12131/91 CHECK HERE IF A SPOUSAL ,n POVERTY CREDIT IS CLAIMEDJ-L-- FILE NUMBER ;~1 9S COUNTY COOE VEAIl llICEIlUm; COMPLETE AODl'ES~i ',11 GElI/lY lIVENUE OATE or OEAlIt OATE OF IlIRlII NI'W CUolHERI lIND, I'll 1./070 11/2',/% OI/08/19Jl COIlI1'Y CU-lIlI.JlIIIND I "^" , SOCIAL SECURITY NUMBEIl AMOUNT nEcEIVEO (SEE INsrnUClIONSI 1 -l.l.-"/1 (, !;2,202.9./ Supplmnulllill Ruhllll D:J nUlI10mdm Rurum 05 o 4 llJnllud Eslalu 0 40. Fullllu InlO1(ml C0ll1plOflll5U (tOJ dolus 01 dualh 01101 12.12.02) (B 0 DucodulIl Olud TO:lll110 0 7, Docudolll MainlBillud 11 liVing Trusl (AlIaeh copy 01 Will) (AUach copy clTrusl) AU. CORRESPONDENCE AND CDNFIDENTIAL TAX INFORMATION SHOULD BE OIRECTED TO: NAME COMPLETE MAILING ADDRESS JOO A. YOST, F.9;;l. 320 WEST OI<XDl.J\TE 1IVE1'lUE TELEPHONE NUMBER P.O. !lOX 437 717-533-5101 IIERSHEY, I'll 17033-0437 " Rual Eslate (Schudulo A) ( t ) None 2. Slocks and Bonds (Schod,,!o B) ( 2 ) None 3. Closoly Hold Slock/Palll101uhlP InlolOst (5ch. C) ( 3) f'bne 4, MOrlgsgo9 olld Nolos Rocol.oblo (Schod"lo D) ( 4 ) None 5 Cosh, Bank Doposits & Miscullanoous PUlsonal ( fJ ) 63 , 777. 97 P,oporly (Sehodulo E) 6 Jointly OWllod PlopOIly (Schodulo F) 7. T,01l.10I9 (Schod"lo G) (Schodolo L) O. Total Gros9 ASS019 (Iolal Unos 1-7) 0, Funarol Ellponsos, Admlnistrativo COSIS, MI5collanoous ElCponsos (Schodulo H) 10. DobiS, Mongogo L1oblhlio.. Lions (Schodolo I) 11. Tolol Doductions (tolol L1nos 0 & 10) 12, Not Voluo 01 Enlalo (Llno 0 minus Uno 11) '3. Chnrlloblo and Governmonlol Boquosls (Schodulo J) rllt.lMllt~WI AL tllWI'1 M-t',u \lAtjIA III t'AHIMI Nt ('I III VI 'WI UII'I ill".,u' IlAllIll'dIUlll.. I'A ., 1,~. 1'1,'" IlECEtlENT'S NAME Il.ASI. flll~,T. AND MIIlIJI [INITIAl' GlIlx] llIN NJI(M 1 II SOCIAL SECURITY NUMBER 184-24-9955 (I Af'Pl tCA 1I1/5U .....VI 41 ,-,1'ou~1 'rl jA , IIIS1 ANIl 1.4111 III INIIIAl) GI\lXiIllIN , 1 I , PIlUI, V. lB7OIIgIllOI Rohlll! c. 0936 NUMOER Ilu' d.lnul "".11, P'HH Iu li.l) "I Fodurnl EulalfJ Tux AUhHII RuqUllud o 0 Total Nwnbor 01 Solu Dupotul BOIl:u!J ( 0) 16,650.81 (7 ) 1,875.00 (0 ) (0 ) 13,230.85 (10) 259.75 (11) (12) (13) 82,303.78 13 ,490.60 68,813 .18 None (15) (I~) 52 , 202.9'''.00 . 68,813 .18 0.00 (IU) 16,485.21. 00 . 989.11 (17) 125.00 Ie ,15 . 18.75 (to) 1,007.86 (10) (20) 0.00 (21) (2IA) (210) 1,007.86 0.00 1,007.86 .. .. BE SURE TO ANSWER ALL QUESTIONS ON PAGE 2 AND TO RECHECK MATH" .. Undur ponnluu!i 01 purJulV. I doclalo Ihot I havu uxommud Ihlll rulufI1. IIIcludmg occolllpanVlIlg uchodulus ond ulalOmonls, and 10 tho busl 01 mV knowludgo and bullOI, n 15 tlUO. corrocl and cemplelu, I doclnru lIull all runl oslalu 'I all boolllUPOllud olllUO markul valuo, OOC/Olollon 01 p,opalol olllor IlIon 1110 pUl!ionol ruprosonlOllvo 15 bosod on 01111l10"1101l0n 01 which plUplUOf has any knowludqo, ~IONA [OJ !If,If' N fl[SPON510l[ rOil f tUN!) m YUllPj AIJ(JlUS~ ~ ~~J'/ / ~ See Schedule attached 511 Al /Ill Of l'IlYI\'Al..'1 JI I It I 411 ' Hr'HA'IVI AlltJlH 'l~ L-t / \ 320 WEST ClIOCOLATE IIVENUE 001 "If "" IIEHSJIEY, PA 17033 Cup~l!yt\l r Ulm. 5ull....,. OlOl~, N\l4I'AuOI 1111#/97 ''G''!Jo /97 , _.'-"'~ '.~ ,. ,-.-. -' , Estate of I Nl\CMI A GAU3HAN 21-95-0936 SlM>l/\Ry OF ALT..OCATIOOS 'IO BENEFICIlIRIF.9 Class A PAUL V. GI\U3HAN, II I KEVIN J, GI\U3HAN TIM:mIY W. GI\U3HAN BRIAN J. GI\U3HAN EMELIE GI\U3HAN JJ\ME'S P. GI\U3HAN JaIN F. GI\U3HAN MADELINE E. GAlXlHAN JOANNE GI\U3HAN LAURIE GI\U3HAN RA'IE G.Il.1nlAN 1,748,90 1,798.80 1,748.90 8,832,16 . 535.00 535.00 447.15, 464.30 125.00 125.00 125.00 16,485.21 Class B LINDA BEJ-IRENS 125,00 . There were insufficient assets sUbject to administration ( due to the joint holdings and designated beneficiary on the IRA accounts) to pay all of the funeral expense. Therefore, Brian J. Gaughan cintributed $2~769.60 toward this ex~nse and the value of his jointlY held assets has been reduced accordingly. Although there were minimal bequests of tangible personal property which could possibly have been sold, the net tax consequences remain the same. , ':t . . , Estate of: NACMI A aa.tr.lIlAN '111e folla.oling person(s) are signing the return as representative(s) of the estate: PAUL V. GAOOHJ\N, III 812 AOU ROI\D MElCHANIC3BURG, PA 17055 -1. ~~~ ~J 0\"i1; ~l ~:.-~ .' .,.h<:'i ~". ! 3!.." ~lAJ! ~3.' l. rt! I .J'~~ ! 1__ i It, i ~iJ: I :;;;.;: ~'J P' .".' ," .1: " I I I -.\' -' ~ '7 ~ t~ - COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF NACMI II G.I\lXW\N AU r . olnU -own.d with th. RI hI 01 Survlvor.hl ITEM NO. . . n[I/.I~o. I "'II-III SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY must bo disclosed on Schedule F DESCRIPTION 1 HARRIS SlIVIN3S IW<K 1M C.D.lt012550424B 2 HARRIS SAVIN3S BlINK 1M C.D. lt072551266S 3 HARRIS SAVIN3S BlINK 1M C.D. lt0725514933 4 HARRIS SAVIN3S IW<K 1M c.D.1I07B15175BB 5 HARRIS SIWIN3S IW<K 1M C.D.lt07B15175B9 6 HARRIS SAVIN3S IW<K IRA C.D.lt07B1517596 7 HARRIS SAVIN3S BlINK IRA C.D.n07B1521207 B HARRIS SAVIN3S IW<K IRA C.D.lt07B1523239 9 HARRIS SAVINGS BlINK IRA C.D.lt07B1523915 10 DJ:.I\M:lID RIN3 WI'll! 'IW:l S1O'&S 11 DJ:.I\M:lID RIN3 (OOLITAIRE) 12 MJIllER'S RIOO 13 WATOI 14 aJCKOO CLOCK 15 a:>RNER CUPBOARD 16 PI1\OO 17 SlIFE 1B Cash in safe FILE NUMBER Ploo!iO Print 01 T pu 21-95-0936 VALUE AT DATE OF DEATH 5,044.37 4,579.3B 2,917.72 21,152.21 2,529.B6 2,499.21 7,723 . 13 3,703.30 2/053.79 100.00 100.00 50.00 25.00 100.00 150.00 250.00 100.00 10,700.00 TOTAL (AlllO unlor on hllo !), Roea lIulollOIl $ (Alloell addlUonal 01/2" x 11M 8ho018 it moro spaco lu nuodod.) 63,777.97 PA15081 NTr Ul& ClIpyught Form. SlIlIw." Only, IIIlI4 N.h:o, 111(, Ni4PAOII REV-l500 EX . (12-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF NllCMI A GlIlXlHJ\N Jolnllen.nl(ll: NAME See Schedule attached JOlnUy-owned prop.rly: SCHEDULE F JOINTLY-OWNED PROPERTY ADDRESS I FILE NUMBER 21-95-0936 RELATIONSHIP TO DECEDENT LElTEH DATE DOllAR VALUE OF ITEM FOA MADE DESCRIPTION OF PROPERTY TOTAL VALUE DECD'S DECEDENT'S NO. ..OINT OF ASSET % INT. TENANT JOINT INTEREST ,sERIES EE U.S.SlIVIN3S BONDS FACE VAUlE 1 A 12/91 $500.00 #D29764004 299.80 50% 149.90 2 A 12/91 $5, 000 . 00 IfV2287291 2,998.00 50% 1,499.00 3 B 06/92 $500.00 IID29857697 290.00 50% 145.00 4 C 06/92 $500.00 IID29857698 290.00 50% 145,00 5 D 02/93 $500.00 IID31274832 281.10 505 140.55 6 E 05/93 $500.00 IID31306653 276.20 50% 138.10 7 B 06/92 $1,000.00 #H45688346 580.00 50% 290.00 8 C 06/92 $1,000.00 1IH45688347 580.00 50% 290.00 9 D 02/93 $1,000.00 11H46466460 563.20 50% 281.60 10 E 02/93 $1,000.00 11H55199148 552.40 50% 276.20 11 F 02/93 $5,000.00 #V2554946 2,816.00 50% 1,408.00 12 F 02/93 $500.00 IID31274831 281. 60 50% 140.80 Total from continuation oaae{s) 11. 746.66 TOTAL (Also onlOl on Imo O. ROCODllulollOnl $ 16.650.81 PA15091 NTF 12l11A COPYflght Fo'm, 50110...." Only. leg. N,lto,'"C, N94"AOil (II molO apaeo Is noodod, 1119011 addilional shools 01 somo 8110,) . . Page 2 Estate of: NN:M I II (JJIJ.)::;I U\N 21-95-0936 SOIEOOLE F' -- Jointly-o.'lI1ed P~-ope~ty Date Dollar Value Item Joint Hade 'lbtal Value Deed I s of Decedent I s No. Tent. Joint Description of Jlsset \ Int. Interest -- 13 G 02/92 $500.00 IID29780390 299.80 50\ 149.90 14 G 02/92 $5,000.00 jlV2292989 2,998.00 50\ 1,499.00 15 H 05/14/94 IllIRRIS SlIV1tnS BlINK amO<IN3 2,926.22 50\ 1,463.11 Ac:cu.Mr 1107-00022298 16 H 07/31/93 IllIRRIS SlIVItnS BANK SlIVItnS 11,295.25 50\ 5,647.62 ACXXXNr II 07-02-129309 17 H 07/19/88 IllIRRIS SlIVItnS BANK 4,036.57 50\ 2,018.28 CERTIFICATE OF DErosIT II 07-16-124368 18 H 02/94 100 SHARES ~ srocK IllIRRIS 1,937.50 50\ 968.75 SlIVIN3S BANK ., 'lUl'AL. (Carry forward to lMin schedule) . . . . . . 11,746.66 ~{ - . I -' I ,4.~_-'_-""~"""."'" -- ...~'- ;....._~. - 21-95-0936 Estate of: Nl\CMI 1\ G/\OOHI\N salEOOLE F -- Jointly-CMned Property The follO;ling states the nmre, address and relationship of each surviving joint tentant: Narre/Relationship Jv:ldress A. pJ\1.lL V. GI\OOH1\N, I II ~ B. EMELIE G/\OOHI\N GRJINl)1\!.XlH' c. J1\ME'S P. GAlGlJ\N GRANI:S:N D. JOHN F. GAlGlJ\N GRANI:S:N E. MADELINE E. GAlGlJ\N GRJINl)1\!.XlH' F. KEVIN J. GAlGlJ\N ~ G. TIMJIll'{ W. GAlGlJ\N ~ H. BRIAN J. GAlGlJ\N ~ B 12 IIC1U (lOAD MEOlIINICSBURG, PII 17055 527 RIOOE.VI~ RQl\D DIILSBURG, PA 17019 11739 DRY RIVER CXXlRl' RE'SlOO, VII 22091 11739 DRY RIVER CXXlRl' RE'SlOO, VII 22091 527 RIOOE.VI~ RQl\D DILtSBURG, PA 17019 11739 DRY RIVER CXXlRl' RE'SlOO, VII 22091 527 RIOOEVI~ ROT\D DIILSBURG, P1\ 17019 109 FM1' E!..M'P)D S'l'ROO' MEOlIINICSBURG, P1\ 17055 (o""r.~~1 Alltl lJf 1'1 "''''~H ...A.It" (If "ANI,.., HI Of III \'1 HUI IUlnAU U' 'l<llJlYlIIuAI IAlI \ VIP'. 11101,01 UANAIUIJIolG, IlA 1I1:II,Ot.OI f.?-~~'AQ.~ ,,~f.ittt~ , I INFORNATION NOTICE i FILE ND. n 95-1I931, TAXPAYE~N~ESPONS~' ACN 9bl01,08~ DATE 02'28-9b ....----...........-..,.----.. -,."'"_--._--- IYI'[ Of ACCOU/II [J SAVINGS [xl C/l[CK ING 11 TRUST r-j CIRfIF. ... ,10."1" " ", ----. ...,.- '.-.... r.ST. o/' "AOMI A GAUOIIAlI 5.5. NO. 18',-2""1955 /JATI: or IlI:ATII 11-25-'15 COUNTY CUMBlRLAII/J DR I AN J GAUGIIAI' 845 IIECK IIlll RD lElIlSBlRRY RlHll PAYMENr AND 'OHMS tOI REGISIER OF IIlllS CUMBLRLA"1l co CDURI /lDUSE CARLISLE, "A 17013 PA 17339 HARRIS SAVlNCS BANK hili pro'olld.,' Ill. Ih"IM I...nl wllh Ihe 11I'"r...lllm I I 'hili ".10... ..hlt;h 'lilt Ii.." uutl III tllltllll.III'g Ih. po'.nllal I.. d"., H,.I, ,.co'lh Intllcat. Ihlll lit It.. lI.aU. IIf Ill. ullll..... Ilul.,I.IlI, YII" ...,.. 101111 ....."U.III..IlII'I~I"'y 0' 1"11 Ilculllnl, If YOII f..1 Illh In'or.,"on Is h.corr,cI, '.1....... IIbl..." ..t1lt.III.1",..Cllull hn_ Ih. IInallcl.1 In,Ulullon, .tlttch a ClI,,-, 10 thll '0" .nd r.I,,'n II 10 Ih. atlova ..,dr'II. lhh lI(.coII,,1 h IlIullIl. In ,u;u'dl"'ca ..1111 I". 'l,h.,lllInca la. I.... of ltlll CII..on....1111 0' P.nn',ho..'h. QIIH1ie'" .., 1.I11 "'U".rlU tit uolllrlio (.'In '''' A'U, COHPLETE PART 1 DELOII . Account tlo. 07-00022298 · · SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUUTIDNS D.to Est',bl hh.d 05-1',-9', lu In'"t. 'lffll'lIr cr.dll tu ,""t "ccllunl. 1000 fll eo,d., n' Ihll "ntlC:1I ..-lI1 'CUI.PIt", yllllr I'.'y.'"1 lu ItllI NII'oIhht ul Wllh. 1111'" chll'" IllIy"lIh tal "Nllllhh., 01 Willi, "'011.,,1", Account Bahnc. rere.nt T.~.bl. A~ount Subject 10 Tax Ta. ht. rotunti.l r.. Du. x 2,926.22 50.000 1 ,',b3. 11 .15 219.',7 ~Urtl (f Ill_ ,,,,y_lInl. flIr. ..nt. ..Uti In Ihr.. III .onlh. of lhll ".e.ll"nl'I d,11 of d'.lh. ,C'II .., 1I".'"cl II \1. dlll;uunl Dr Ih. t.. dOJII, A"., 1I'''.tlt''IOI':I tfl. ..". ..III lI.to.. 1l111'UllJI"1 nil.. PH _onlh. ,,'hlr lh. d,,11I of lol...lh. x PART [iJ TAXPAYER RESPONSE FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT BASEB DN THIS NDTICE [CHECK J ONE BLOCK ONLY ", U 1h. oIlIu"," IIl'nr.llt1un "lid la. dllll I' cntr.ct, l. YOII .a, LhIlO'. 10 ,...It 1111......111 lu Ihll Nltllhlllt uf Willi wllh lwu cop I., uf Ihll noli,. In nhlllln II dl,colJnt fJr avoid Inle,..I, or yutl .lIy ch..d, 110. "A" ",ul 1IIIIIrn Ihll nollc. 10 Itl' Nllllt.l.r Dr WHI, tlflll ." offlclol .'Ull.....nl will III IUIIII" 1.I., I". I'A Cllpll".,,,,l uf A'''.''UII, I, 0 Ih. /It1I1". IIU.I hu. hlllln lit will b. rlll,orhll' IUlll ta. "lliI wllh tnll II..nn..,I".nl. '"rllff 1 tint.. fl. '.hun -. 10 b. f1hd II., 11111 1I1I(lIII..nl'. 'ItJl,.,.nllllllo/.. c. [J Iflll o'Iholl. III'Ot..llo" 11-I,neot'.cl IImllll' :11""1' .tnd 1I11tJIICllutll VOII ,,".I I.o.,.hlll 'IAWI l.U .nd/or f1ANT r~ balo.., 0011'11 "lIld bl' yOll, If you 'ndicMt. . dlffurM"t tu_ r.t., pleas. stal. your r.l.t ionlhip 10 d.clld..nt I __._._________.________..._ PART [~ TAX RETURN - CDHPUTATION LlNE 1. Oat. E,t.bl'~had 2, Account Hahnc. 3, rarc.nt Ta_abl. ~, Anount SubJ.ct 10 T.. 5, D.bt. ..nd Daduction. b, A~ount TA.~bl. 7, h. R..l. 8. h. Du. PA OF/'IC1AL USE ONLY 0 AAF DEPARTMEllT OF REVEllUE OF TAX ON JDIIIT/TRUST ACCOUNTS I 2 PAD 1 2 3 4 5 6 7 o CLAIMED 1 x '. 5 . 7 8 x PART ill DATE DEBTS AND DEDUCTIONS PAID PAYEE OESCRIPIIOII AMOUIH PAlO I I rOrAl IEnt.r on I.in.. 5 of h. Co""uhllonJ I I $ Und.r p.nulties of p.rjury, 1 d.clar. th.t the facts cGnpl.t. to Ih. b.,t of MY knoMledg. and b.ltef, h.v. r.port..d abolo/. .r. Ir~,., CQrrfle I and [!O_HL_L__.________.__ __._____ ______ .....____ IIORK ( ) r I 17l'iT{f;TnTiiITiiTrr----- Ilt;rr-.- (!lHO'Iijhwl" III III I".....,., "Ah!A iii I'llll"' "'I III "1....'..111 8lJ~IAU III l"IlI~IIHIAI "'., ~ 111111 lUI.OI IIAtllI I \,1<)1.,,; . I" 1'1:11 ~"u 1 t\ -.l~..g i'J~~f~'::;. ,,~!~.ti~. NO. ;'1 IJI.,'llll.S'l 'J',I ()tdUU o;~ ;tit IJt, INFORMATION NOTICE AND TAXPAYER RESPONSE FILE ACtI DATE .u ..,,, ."" t" .". '. ... ~......L...___.~,_............,_. 1:5'1'. ur IIAIIMI A GAUGIIA/4 5.5. NO. ID,,'2(,'~~;; IlATI: or IJI:ATII 11'25-~5 COUNTY CUHIII~I AlW IV!'!: III ACCOUtU Ix, 5AU lI<G5 i ! Cllle< IfjG n IN<l51 i Cl RIll BRJAII J OAUOIIAII 0',5 IIECK IIILL ~D IEWISBE~~V !'A 17339 HIHII ItA...HIUI ANI) rllffMS 10; ~I.GISI!:R or WIII.S CUMBr~I.AIIO CO COU~l II0USl CARI.lSll. PA 1/1I1.! UARRIS SAVINGS BANK fl.. 1""\1.d... II.. 1111I....,1.11I11' .1111 It.. InfUIII.li"" 11\11111 ".h'", .hlo.l. IUI\ .ltU'" ",.,,1 I... ,,,....,.1111111 ".. ....I..l1tl&1 I"" d..... 11I.1f '.',",h j""lt.l. 1",,1 ..I Ihlll "1II.tll...1 tlu. ..hilI'" IIt.un""". )'1'" ....,. .. JolIII .".....,,'u.'.IIII.III...1 "I Ihlt. .1I~(J....t. I' yo.. 1..1 thl' .ntrU..lion It. 1I.r.cu,...I. l'I"i"" uhlllin .lltll+ll (I"'....II..n 110. It.. II".,no.I..1 ....tlt"IIUll. ,.11...11 ,. tllll, tu 1f.1' to.. ,trill ,,,111'11 It to HI" ,111'1"'. iII"'r"",. 'hi, .,,,ullml h la..'hl" III It'.HlI<llIh'.. ..1111 II." 1"1,..'11'" '.11I 1,1, I..." ,,' Ih" (o.....".."..llh <II 11111111,.,1\1""1<' ""..-.tl..... ...... b. ",,,,""1111 t." <"1111"1 filiI I.' ~\". COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FDR FILltlO AND PAVHENT ItlSTRUCTIDtlS 07-31-93 Account No. 01-02.129309 DAtu [stllbll.hud 10 """'11 1""IIt., ['...111 t.. ""II' .,,,,",,,,t. IIOU '~I U'I'III' II' Itll' I.ulllll ..1\' .u~o.J"m., ..II.., 1....,.11'" tll II,,, Illl\llt."" ul Wilh, """" &.II..U 1101,"111" hH ""..vit.,,"' n' oIllh. "\llIIIl1t", Account O.lance r.,.c.nt T..abl. A"ount Subj.ct to hi.. tall Rah "ot.ntlal TA" DUB 11.295.25 50.1100 5,6("', t,.\ .15 8(,1.1(1 "'""l II lIu I'.......n" ",. .".111 ..IIhlll tll'.. t.tl .""llh, ul ".. 11""lllhll1t', .10'" tit Illllllh. ,01.1 ....., d...'..'t .. ~'~ IO'LI'"'" III II.. I... "U.. All., In,."tll.llIl" Ill. II,ul .111 'I..IU_.. 1111111"1"11111 11111.. 1"1 "1m''', ..11.1 tll" II..tll III .h..,I". x x ,IART [111 TAXPAYER RESPONSE FAILURE TO RESPOND WILL RESULT IN AN OFFICIAL TAX ASSESSMENT BASED DN THIS NOTICE [ CIIECK "1 OUE BL OCK J OUlY A. Ill.. ,.1111'.. illh.,.".IIII'" .'fI\I 'ou 1111" it (,111111I,1. I, ~III.I 1Il1l)' ..11U1I'" III III_It 1,"",".l1t tll Ill.. NIl"I,I..1 lit will, ..'Ill 1..0 CIII'.II\ lit 1111' 1m' 110.11 1(1 "III,lln . diu!>,,'" III .....olu 1"'.,11.1. 0' fOIl....)' ..II..".. Inn -A" ..nit tlllllll1 thit. "II lit II to tl,. H"\li''''' al "illt. .nd .111 1Illltj,,1 .."...,"'"", "III ". .""..'1 II., It... 114 11.l'lIIt"....t Q' ~".....Ihjll. 8, [~11t,. ,Ilia.... ",..., h.", 1111"" III 10,11 1111 1""11111111 .11111 tn. ,,"Ill ..llh "'II I......"t.'tl""'li.. Ifll..rlllll1c. I... '''h.''l . 10 II.. 111.11' liy lit" tl."'"hHl'" f..p,,,,..nl,,II...., c. [-] 1',.. .,1111\00. ill"H""'ill" if JI1"'OI I 11I1 I ''''''''''..'''1111. .U1I' - 'UlI ....1 1;1.I_,.llIt.. IIANI ~ j"".lIo, IIAIII I' JIi.lu", IIIl/luel iun, _0+111 1,"111 llY .,011 I' you lndlcale a dltllll'tlnt t.... ,'at., llla.llI ,tale your r.ht.ton,hlp '0 dlU:::luJunt: .... .h._ PA OFFICIAL USE OlllV 0 AAF UEf'ARTHEtH OF REVEIIUE rART '2~ ~._I TAX RETURIl - COHPUTATIOIl I WC 1, O..llo Est.hl hhud 2. Account 8~I~ne. OF 1 TAX ON JOItlT'TRUST ACCOUNTS !'AU 1 2 3 " 5 b 7 o CLAIMED ~ !, I'.,.eant T....bh If. A"ount SuuJltct to fII. S, n.utl und Ouductlonl b. A~ount Ta..bl. 7. h. Rat. A. T.. DUM 1....1' <. 5 b 1 6 x PART 131 I, OATE OEBTS AND DEDUCTIONS PAID "AVE!: UESC~ll'r lOti AMOUl41 !'A III I I I I 101Al !Lnt..,. d' 11IlII !t uf Tn. Ctlt\llut.tlunl I $ Undar p.IIHllltlu of ,1."Jury, 1 d.c;I..r8 tI"d 'hu hct" cOlllphtll to thu h."t of "y "uowl"dy. and b.lllf', ha.... rllpnrtud ..I.tUVtI ill,." 'nIB, corrflct o1lld -Tr.'ijf.WJ'1:>-~Tr.rr;mmT'---'- - -- ---- .--- - ------- ItOME_.. .<.__ _ __ __.. __ I-IO~K ( ) ,,___n'_' ifTif-ifiIiii.-'iiiTiiITJf-------..-- -"'Ih1I-'--- REV-151O EX + (2-01) COMMONWEALHf OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE G TRANSFERS I FILE NUMBER PLEASE PRINT OR TYPE NAOMI A GAU]tNN 21-95-0936 THIS SCH. MUST BE COMPLETED & FILED IF TIlE ANSWER TO ANY OF TIlE OUESTlONS ON THE REVERSE SIDE OF COVER SHEET IS YES - DESCRIPTION OF PROPERTY DECD DOLLAR VALUE ITEM EXCLUSION TOTAL VALUE .. OF DECEDENT'S Includo 118mo 011110 t18118101oo, lholl .. NO. rolahonship 10 docudonl, dato olllol1slor. OF ASSET INT. INTEREST 1 $500.00 U.S. SAVINr~ ~) 125.00 250.00 50% 125.00 II045903818EE PURrnASED IN JOIN!' NI\MES WI1H LINIlI\. BEflRENS, A FAI-lILY FRIEND, IN ALUJSI',1995 2 $500.00 U.8. SAVINGS BOND 125.00 250.00 50% 125.00 II045903814EE PURrnASED IN JOIN!' NI\MES WIlli DECEDEN'1" 8 DAtnfI'ER- lAW, JCIl\NNE~, IN N.DJSf, 1995 3 $5,000.00 U.8. SAVINGS BOND 1,250.00 2,500.00 50% 1,250.00 IIVS212204 PURrnASED IN JOIN'!' NAI-lES WIlli DECEDENl" 8 SON, BRIAN ~,IN ALUJSI', 1995 4 $500.00 U.8.SAVINGS BOND PURrnASED 125.00 250.00 50% 125.00 11045903816 IN JOINI' NI\MES WIlli DECEDEN'1" 8 SON, BRIAN GAIXJHAN, IN N.DJSf,1995 5 $500.00 U.8. SAVINGS BOND 125.00 250.0q 50% 125.00 II O45903817EE PURrnASED IN JOIN'!' Nl\ME'S WIlli DECEDEN'l" S DIIU3HI'ER - IN -lAW, lJ\tJR IE GlIU3H1\N, IN N.DJSl', 1995 6 $500.00 U.8. SAVINGS BOND 125.00 250.00 50% 125.00 II045903815EE PURrnASED IN ,JOINT NI\MES Wl1H DECEDEN!"8 DI\lXlHTER- IN-lAW, KATE GAU]-I1IN, IN N.DJSl', 1995 TOTAL (Also unlor on hna 7. Rocapitulatlon) $ 1 875.00 PAI5101 NIF UI1A CllPYllglll Form. 5011.....,. Only, lU" ",Ieu, Inc, NY4PAlu1 (II InOIO UpUCO IS noodod, IIlsUl1 uddlllOllol shools oluurno SilO.) REV-Uti [kIt'.") COUUONwr Al 111 or I'l NNSVl \,/AWA INttUlIJANC( lAk JlUUflN flUiID[N1 UlCIO[NI SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES Pl.... P,lnl or Typ. FILE NUMBER 21-95-0936 .. ESTATE OF NACMI A GAU:iHlIN ITEM NO, A. Funerll Expen...: DESCRIPTION AMOUNT 1 PAR'lHEM:lRE FllNERAL HCME 2 Paul V. Gaughan, III-Reimburse for funeral luncheon 3 Grace United Metlx:dist Olurch-Rent social rcx:m for funeral luncheon 5,770.70 160,15 100.00 ! , I i I I i I I j i B, AdmlnlatraUv. Coata: 1. Personal RoplOsenlallvD Convnisslons Social Socurlty Number 01 Personal RoprosonhUivo: Yoar Commlsslona paId 0.00 2. Allomoy Foos Name: JCN A. YOST 3, Family Exomplion Clalman' Paul V. Gaughan, II Addross 01 Clalman' ., docodon"s dooth 511001 Addross 511 Geary Avenue 3,500.00 Rolslionshlp Husband 3,500.00 City New C\unberland St.to PA Zip Codo 17070 4, Probala Foos 200.00 C. Mlscellaneoua Expenses: None PA15111 NfF '218 COPYllght FOfm, Sollwaf. Only, IRR.. N,h:o,lnc, N94PAI11 TOTAL Also onlor on lino 9, Rocs ilulotiO" $ (If more space Is needed, Insert addlUonalsheets or sIme sIze.) 13,230.85 -- ,..-. - '....... ..., ----.- R[V-nU[Jr._tuu) COMMONWEALltt OF' P(~NSVL VANIA INtIERITANC( TAl "UURN fUSIOENl DeceoeNT SCHEDULE I DEBTS OF DECEDENT. MORTGAGE LIABILITIES AND LIENS PI....Prlnlo'T . i . FILE NUMBER 21-95-0936 ESTATE OF N/IDolI A GI\lGD\N ITEM DESCRIPTION AMOUNT ND. 1 wmw. PA HEMJroL03Y 20.00 -E:lCPI;NSE OF lAST II.mESS 2 aM-lIN:>S ASOCCIA'IES 80.00 -E:lCPI;NSE OF lAST lLUIESS 3 CAPITAL MFA PAIN MANI\GEMENJ' 108.50 -EXPENSE OF lAST lLUIESS 4 EKG AS9JCIA'IES 30.00 -EXPENSE OF lAST lLUIESS 5 SolI'IH KLINE BEEOlEM 21. 25 - LAB TE'Sl'S, EXP . OF lAST II.mESS ., PAI5121 NT' :1110 TOTAL Also onlor on 1111010, Race Ilulatlon (II molD lIpOCO Is nocdod, InGOf1 addlllonpl shoets of Demo silO.) s 259.75 COPYflghl FormISollwA'. Only, '1'4 N.lco, Inc. NII4PA12' Page 2 Estate of: NN:to11 A GIlly"; Il\N 21-95-0936 sou.nJW .J, Part II .. '1',1)('1\)10 1k.'C!ucota Item No. Nann and Jlddreou of Ilcllr~ficli1lY Helationship JIJrount 1 PIIUL V. GI\l.X]V\N, II 511 GEl\RY AVENUE NE.W ctMBElUJIND, PII 1'/070 2 PAUL V, GI\l.X]IJ\N, In 812 Aau ROI\D MECHANICSBUIlG, PII 17055 Sutviving spouse 52,202.97 0CfI/ 1, 74B. 90 3 KEVIN J. GI\l.X] IJ\N 11739 OIlY HlVEI~ CUJll'J' 1lES'IOO, VII 22091 4 TIM:11HY W. GI\l.X] IJ\N 527 HIOOE.VIE.W flQI\D DILtSBUIlO, PA 17019 5 BHIlIN J, ClIIU3HJ\N 109 ElIST ElMoO:lD SmEE:I' MEaV\NICSBUIlG, PA 17055 6 EMELIE GI\l.X:;IV\N 527 HIOOEVIE.W flQI\D DlLtSBUIlO, PA 17019 7 IN.lES p, GIIUlIV\N 1173 9 OIlY H lVER COOll'J' RES'J~, VII 22091 B JOlIN F, G1\UlIIJ\N 11739 D1~Y HIVEl~ CUJlfl' RES'J~, VII 22091 0CfI/ 1,79B.80 0CfI/ 1,748.90 0CfI/ 8,832.16 * ClRANl:lAU:m'ER 535.00 GIlJ\NOO:XII 535.00 GRAN1JSCt.l 447.15 9 WlDELINE E. GI\l.X]IJ\N 527 RIOOE.VIE.W flQI\D DILtSBUIlO, PA 17019 10 LINn/\ BEl~ 812 Aau ROI\D MEaV\NICSBUIlG, PA 17055 11 JnI\NNE GI\l.X] IJ\N 11739 DRY RIVER ~r RE'l'10>l, VII 22091 12 U\UIUE GI\l.X:;IIJ\N 109 EflSr FJ.M,o.(.Of) S'ml~I' MEaIl\NICSBURG, PII 1'1055 GRANI:lAOOI-frE 464,30 FRIEl'lD 125.00 lJ..II.WiTER - IN- U\W 125.00 lJ..II.WiTER - IN- U\W 125.00 · Not of contribution toward funeral expense. Estate ofl N1\CMI A Q.I\U3HAN SOtEOOLE J, Part A - - Taxable BeqUests Item No. Narre and Address of Beneficiary Relationship Anount - 13 KATE G/\U3HAN 527 RlOOEVIEl'l ROAD DILLSBURG,.PA 17019 DI'JXlHTER - IN -I/IW . .',) -:: , REV-lIMa EX. (0/05) SCHEDULE 0 TRANSFERS TO SURVIVING SPOUSE COMMONwr Alllt or f'tNN!>YL\lAN1A INll[ A11AtICt 1Ak n[tURN Ilt51OlUl1)(CI-OI NI Fllo Numbo, ESTATE OF NJlCMl ^ CllItJ:..OII/1N 21-95-0936 PART A: I:nlll1 Iho thlbCllpllOllltlld vnlllll oj nllln!llluhlU, lJollIllJ-.;pblu Dnd non~IB.oblo, rogardloss 01 laealian, (nol at deductions) wluch pOtullO 11m dllcudulll'lI U\lI\liVllIg LpUU!iU by will, illlusll1CY, oporollon allow. or olhorwlsQ. OOllClIplion ulllUln!l Amounl I 1 52,202.97 II/II1IUS SlIVll'GS IWlK JIl^ C.I).'S LlSI'ED ON SCllEDULE E Port A lulol: EIlI'" OIl.,UllluhoWIl olllhu lIIeo IluloliollOhoulllllho Doeodonllnfo,m.tlon Soellon. 52,202.97 Elocllon To Sub)oct Proporly To Tax Under Secllon 2113(A) As A Taxable Transfer By This Decedent. It n !l1Iflt Of ulnllhu nllnnnlJllMJnl motllll tho luqullumonts 01 Section 211:J(A), and: n TIIU 111101 Of Dln\ilnl RIIDngolllOnl ioUuled on Schedulo 0, and b. Tllu vnlutl allIIn tlUnl 01 olmdol ollnngolflonlls clllorod In wl101D Of In pall as an assel on Schodulo O. 1111111 tho "I\I\OIIllOI'U POIU0l1PllUPlo501llnllvu may spocllicnlly Idunllly lho IIttst (nil or 0 IUlcllonal pOltian or percontago) 10 bo includod In tho ulocliOIl to havu nueh \luul 01 oll111lo1 proporty Ilonlnd 09 0 taxablo transler In Ihis oslalo, II loss Ihon tho entlro value of Iho tru~t or similof ploporty lu Illcludnd All A IAMablo II "nulOl on Schodulll 0, UlO porsonnl Toprosontolive sholl be consldOled 10 havo modo tho olochon only 8910 a traelion 01 1110 tlUol 01 Dlmll'" ftlfnngUI1'IOlll, Tho IlUmOlnlol of this traction Is oquallo Iho amounl at tho trus1 or similar ollongmonllncludod os 0 taxablo assol on Bchudulu 0, Tho dOllon~nnlof 10 oquolto 1110 lotal value of tho lIust or sImilar arrangomont. ELECTION: Do you oloel undo' s.ctlon 2113(A) 10 1'0.1 a. 0 taxablolran.'o' In Ihl. o.talo all 0' a portion at · \ruulO' .Imlla, a"angomonl cre.ted for the 80le use of thlll decedent's surviving spouse during tho surviving spousals enUre lifetime? YES D ND ~ Slgn.luro Note: If theellcUon a lIe8 to more than Dna trust or similar arran 0.10 ement. then a se arate form must be 81 ned and flied. Part B: Entor 1ho doscrlpllon and valuo 01 011 Intorosls, both taxoblo and non~taxablo, rogardloss ollocatlon. (nol of doducllol1s) which pass to tho docodont's surviving spouse tOf which B Soction 2113 (A) olectlon Is being modo, Amounl Oonell lion 01110019 t None .f!!!!.!!TOlol 0.00 PA1649t NlF 1021 clIrvllghl Forml 5oltwll. Onlv, IglI~ N.lto, Ine, NII5PA4111 LAST WILL AIm TESTAMEIH 01' liE IT KNOWN, Ih:1I I, Nauml 1:0. Gaunhan ' a , I f .\ .IlIUi1y m Cumberl and . !C~IlCI~IO 511 Geary Ave. New Curnberl'ln1" 'lIf~uulldllliml dlllllakcallddcclare II1lhe Stale of Pennsylv.ania ' 1~1Il1l , " V'II" I (' ,I' "I" this 10 be 111)' 1.0151 Will IIIllI TCSI:Ullellt expressly rc\'okll1g all lilY prior \ I ~ am .Oulet S ,II allY lime llIade, I. EXEClJTO!l: I aJlpoilll Paul V. Gaunhan III,. ,of. Ha.rri~,b~~~. PA . as ExeCUlor of Ihi1i my Las! Will am11 eSlamcnl and provide If 111IS Executor is unable or unwilling 10 SCNC Ihcn IlIp)lOII1I Bri an J. Gaughan , i b' PA as altcrnalc Execulor. My ExeCUlor shall he aUlhorlzc,IIO carry LeWo~t :I~~rrbvisions of this 'Will i\llll POlY my jusI debls, oblignlions IInd ~uncr!11 expenses. I funher provide my ExeclllOf shallnol be rCIJuired to pOSI surelY bond In IhlS or "ny other jnri~diclion, and direcllhm no expcn appraisal be llIade of my eSlate unless rcqUlred by law. II. BEQUESTS: I direcllhal aflcr paYllIenl of all my just debts, my propeny be beqncathed in lhe manner following: Diamond Ring with two stones each side to James P. Gaughan (Grandson) Diamond Ring (Sol1tare) to Emelie C. Gaughan (Grandaughter Mother's Ring to Madeline E. Gaughan (Grandaughter) Watch to John F. Gaughan (Grandson) Bonds and certificates that are made out to me and one other person. The person whose name is on the bond or certificate receives that item. Any cash in the safe should go to my four sons equally. 1 would like Tim to get the Cuckoo clock, Brian the corner cupboard, Kevin teh Piano and Paul the safe. (Grandpas), Thi s will is made wh il e PAUL V. Gaughan my husband, I s still 1 I v i ng and is based upon my death preceedlng him in death. The houses and cars and other assets will go to my husband with the provision that upon his death all of our wDrldly assets will be divided equally among our four sons. In the event that we both die at the same time, (accident) or whatever, our entire estate is to be divided amoung the four sons equally with all four sons getting together to discuss how to divide it. No Bickering please. only love. My IRA's should be divided among my four' sons. P"IlC _ of _' '/I~"t"",,~, 1/ /I.....f./".~ , , , I I I; . - If I PIIIH" AWI.1' wlt.h 1111' 11111'<)"11101 (:"""\''''nl I. ull III\' w"I'loIlI' l='(let~A~Btr.II1H with \lll~ P.XG€f)..t,l"-lI} lIt 11\,., Ihilh~;~: '::.l"t.#Jdv mr;III,jr'netl allolllo1 Ii" dlvld.'1I "'I"" Ilv 1.111"'"1 11,\' fml/' 1""111">. 1'1.111 I I I. Kevin. Tim ,"ld 1l"IIotIl. If none (If t.IH.m Wi,nt, I,,, Ill'" 101 !oI1 11"".,.\,. JI In I,f) h", /luJd hod the 11rt:1ceedA to bf- dlVid(~d Ilrn"III'~ t.he tr.lllt' Hnnn. I:ttl(~t. eXJlt;otlHef:5. 1'hf.4 Pl'III-'~t.t V ,,1, tt~:;. 15::.,1 f-J/.JI'kr" :.:r,"""(:tt/, 1.",II(1VOf:' t;he,"1 d Ii" k",f'l. "f; kn J IIvl1Hlm'",l w \ t.h 'J'III' h'",dl I IIp' L.h'" lI[.okpf'P c.f Lt, &nd h,dnll l'rdmllllrfiQd '"I' hlu t.lmr:. ThF1 monthJy pror:...eda /tft.fol' 1~~:pF.<nf<"a ,,11'-'11 J d hr.. d i V I 01,.'/ ,..,'1' I,d 1 V hI'< tW""'I' l.hr: fOllr RMW. In t.hr't ,,'v>Jnt. th"l, V('II tlri"l( II d,'.'lIl'! 101.' IOi.loI, t.hrm tho PI"~(,I1",dn shollld lor: d 11'111..,/ r":,, I', II \' iII"""~' 1.1", t(JIlr sonu. l.'orA fllllJullI Iw "J.'r'I'(OI({f~d 1J/10I I t "II\' on.> ...J." 1,10,;, LO,)n~: Wl.tlltR th.: ClIl'a lh,:y should 1II.(;'r.'L.ic.t.e wi t.h t.hr;dl' 1.,rot,hl:I'R for' U'''IlI. Hm.lf;f':hold Inl'n I f;hl nil'" BlwlIl rl I..F.: d j v I. Io:.ol ,'''n'.,,,,mt t.lw T 0"0111' fl(JOfl. '~"f.'h (,on... t"kln~ will.!. they w/tnt., 'I'''>J t.hLnl!ll l.tOf,I. tho;'y drJ nrJ\.. wf.lnt slr')IIJd be Hold 1.1110:1 I.h,: Iw'nl,-:;: o:Iivld,..d F.:<:i 1I 101 Iv ho:.twee.n the tOlllr l'lo;.nR. HI.I AI.It:'I'/OU. PIlI., (\11 lid in lll,.. r".r'O;-I' and sell it thllt way. If I1IJII': cd L.h... SIJllfl w(.nt. thr~ Rlllt "nd p"~'pel' ()oller:l.lon. U; If: t".1 1'1.., dlvidr-d b"'I.\~pr-n m~' [;j :':1 "l'f;. Mary (,IJU I.nll Lilll/1n. 11y t:lotlrin[(. ,."hQ',s I,nol P'H'Elf',<' f;Ir,"lIl,l be divided betw~lf.m my C:liat"r's. It t.hey dr, nQt want. I.hem. dona ta to the S61 I'll L.Ion Army c.'r I.r, HI. I. L.p.rerl WQmen Assof.:. The ailver'wl.tre should p'O 1;0 ,)""nn r:lIlIJghal1. t.he China In t.he hutch to Kate Gf.llIphall ..nd the oryatal to Lind... The crystal in th", m88ter bedroom on !.he cloRet Bhelf goes to Brian. My greatest desire if; to keep my f~mi1y C1DRS tousther always. nu flp,ht.s. I\IWr.1~'S rel:ldl' t..:. ttEolp on<r "lOot.hel' .:.,,1. I.he same aB when] war... "mongut y':tI1. A]w"~'n love, .mE' looc'llr...l'. lilY !rJur sons. df.l\1ghters..ln JIM alld I!.rf.ll1dr.:hi I 01 "'.1l1, 'I'hF.:r''': w...s nothing in thia world t.l11.I1' lrlfofJIlL. tIEl lIluch toO:' III" 118 Y')I.l, I.ll Cot you. I knrJW t.httt ( wIJf1n't, the o.r-r:I.1I;F.!sl, Nr.ther 1.1l th... w,)!'ld but I did eivr: I I. my bo'1/?o1 llh.:o\"" [t"Vf.' yo:,u ~oJ I VAI'Y lIIu,:'h I)nd beJiftve me. 1 will Itlwl.1Yf: I,... 1,)I-,lllng rlO:oWll (d. yuu l-oJdng "/ire of you. IHopefully, lookilljJ. down r.md lIul; up). I tr'i"d 1;0 f\ltVt: I.. II tl.le f;0mp.l.hlng for my p,r..ns nnrl grl.nclc:hlldrl'lfI. [ did th" hest I r:ould, l.hlt; 11/18 1l.',I.hing t,r) dr, with your tllther'. L.h!B I did 01l wlwt I f."H'nod. You wi 1J find p.lt.hel' IJ cf:tr.tifli:llLe or' hond in YOIII' nallle III 1.1"" f:lllf". \~I";1l r pUrCh!lRed thftlll I W/J8 eo.lne wll;h th... laI!:"hf1flt. Int(,I,/;,;"t l';ol,.~ so thftr",fr,re. Ii",,,, L.h... dlfiftrl.'Ili't'o wlr,;,tI',,,,1' t:oI' nr,t Y':'" \'('O:'o-iv" '-' bUild ,,,. ,;'el'ti[h'l.tl.t:. J , i . ., IN WITNESS WIIEHEOJ!, I hllve hcreunlo sClm)' hmullhis // ~i1)' of 1 .r ..... _,199,) ,10 lhis my Last Willllnd TCSlmncnl. .. Qo I ..... ~~-..u.., /I. )/a4<-q~ Siglllllure ---r;- III. WITNESSED: TIlis WI Will and Teslllmcnt of was signed and declared to be the siglllllories Last Will and Testament in our presence and at the signatories request and in the signatories presence and in the presence of each other, we do hereby witness same on this If iJ... day of S<.pi , 197'3 . ':\~'l<.t, \\~( Il')x' ~(\ (~\(\ 1,1" ,I. \.... ((t\ (\J,,,;, e" ,,,,I 'nl','I,. Witness Signatun! Address \, ,.\ \ 1(' -, G qq rx.d UtJl.K /!d. Mt.LJ CurnbtJrind 121 Address t nOlO ' 31 (JiJJ If' k ,Q NWCrJ-J fj, Address I (0 TO ACKNOWLEDGEMENT Date: q -II-q 3 STATEOF PJL. COUNTY OF Lf rJL Before me, the undersigned Notary Public, personally oppeored the obove Signalor ond Witnesses, respectively, known 10 mc or snlisfaelOrily proven to be the person whose namcs are subscribed to this instrumellt. 'nlese persons, being duly sworn, did hereby declare thot Signator signed and executed this instrument as Signator's L.osl Will and Testament and hlld signed willingly or direeled anothcr to sign and executed it as Signalor's free and voluntary oct for the purposes therein expressed, and thlll each of the Witnesses, in Ihe presence of Signator, Signed this Last Will and Testamcnl os witnesses and thaI 10 Ihe best of their knowledge, Sigllator was at the time an odulr, of sound mind ond under no constraint or undue inOuence, This instrument was subscribed, sworn and acknowle<lged before me. C/U-l-to~LtL NOlary Public My Commission Expires: Page _ of _' C~_..~.._._- "'U.IlLlI~.~',11 CNoIA .1tl'.III,Nc-.t:..r/I\1l1c FlW\"lWlA ,"Ofk(~lfIl' ~r~~~ ~~:~~:~=!~r03 Murh..f, r,;fJI:../o/.Jl..1 A.'j,l~::'I:,c.Jllot Jt.-ttItlS ,!flltll (tJ/~'r.1 ,y' YIlST & o'\\'IIISIlN lZO Wlc~T ('IIIK'OI.AH ^\'I:Nllli 1'.0 IIOX 4)1 llIiRSlIH\', I'ENNSVI.VMM l7tm.(l4l1 JON ,\. YOST JOliN s. IJAVIPSON M^RK ^. 1I0YHR 11111'I\l1~1' 117.m.5ICl1 I'A' 711.534'12~l June 16, 1997 Register of Wills Attention: Sue Cumberland county courthouse carlisle, PA 17013 In Re: Estate of Naomi Gaughan No. 21-95-0936 Dear Sue: please find enclosed herewith my check in the amount of $15.00 representing the filing fee for the pennsylvania Inheritance Tax Returns which were forwarded to your office last week and which you received on Monday, June 16. Thank you for your assistance. Sincerely yours, ":tOST & DAVIDSON uy: JA":tlsat Enclosure 97LT16 r- ~i.. 0 \'! lj,.. .- ~ r- .- '~ L..' '." ~". ".1 "- -:.u"f~ Iii u.: 9' 0: u8 ..... ~, ._ .-",. 0< --~ ,~'. ~ ~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE * BUREAU OF INDIVIDUAL TAKES INHERITANCE fAK DIVISION DEPT. 210601 HARRISBURG. PA 1712'.0601 NOTICE OF INHERITANCE TAX APPRAISEHENT. ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX 1l1'I'CI'" ,,, III.". l DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 09-15-97 GAUGHAN 11-25-95 21 95-0936 CUMBERLAND 101 NAOMI JON A YOST ESQ 320 W CHOCOLATE AVE PO BOX 431 HERSHEY PA 17033 Allount R...Uted ~ 'j, (.? MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER DF WILLS CUMBERLAND CD COURT HDUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ..........." .... ...._ ____.._.._..:-__~,__,"';::'''"..::_7:,;::~,~,::,:JL'7:;.n ::~.!,.-.,....,:~,:,-;"'",~-""-~" ......-..-----------..-.... ..-.. -...... ......--. .. -..- -. '~,...... . " " ,"~,I' !" .,'t'1' '1 l"'~ F' ," . 'u .... f" ," . .-1 .. 'I'" ...;'. .' "t .... 'ft." - . I ~. :"~~ ~. , , ", \ , , ..---I r~ . -~,-' .--....A..~ "''\1'' \'" A ) ! , "j I . . : .'" -1." ..iF-". ..... _... ~., I , ,.2'~~'~""'''"""V'''i",,;;,,,-~~~..,;.....,-.. ..... ."...;.:....;1.fr;'::";;r.-:[.,t.";.'.',;.~......;'. ,"'".'" ,~: ; , . .....j.u.., '1 "'1" .., ul ,,,,,,ul .,.,nl .... 11 .. lV" 'u '......0 ".", ,. uo OU\.. .'u...... 10 ","'J 'HOU,^.lU. f; . "_'1,,,i"'- -, -" I,,', '. ,~, ,-'. ",'''' ~ ., ;/ \.__,u.' , .-~\ . . r f. ..1 :.',_~- :-,'4" .~. ,4_ ' ': ~',)- -..,,' .- 1Ijl, ....;.,,-f '". " " " '\. ", t, . .J , '-.- ..... ..-- ---- " "-'j~""--~' ._-~,-,-~-: --~ '1 ~~. ~:,,'''''.--..;.J:l4.~ - " \ , I , I ~. 7 . . "'C:_ I ~. "0 .... . \ , j \ i .' e " i ! ) I ~ Ul ;> g tl p o Ul"l .... Ul >. 0 HE-<r- ::l~"" :;:0 U.o: ~~P< . e>: ~ ~ H E-< [/1 Ul~H tj~~ ~o6 r o , , I ! I i I .1 , I .. . ~ ., ':" 'j '.;';',' . '".''' , r / I ".\ II, " ' tJ t: <- /J: ~ I' I ",' '"J ," I \iV,~, , )0 .' !:l c:; a r: .1 ,. . .. 'u. ... I' . ,I . 'I" ~ 0 . o'."f or"~ i':'"' O~ ~... ~ - ~~:;: ~ .....~ ~ ~....~ ~ ~i~ ~ ;:;;z ;'::!:"i'; ill ~ t hO ~ ~ ~ ~ == ~ ~ '. " . . ........ ...~ , <, or' .1 I " \' '" ;, t . . - .- . '.----- .. 7:~:~-~-....-........t,..~ _-r~... ...1.~'. , ~u fQDtIlR[ I I , I I 1 I I I I I I I I I I \ ~--_._------------------_.~:--------- ~ -. ... ...' ... ..' I t \ I' "n NO, AA211420 IIIVII""""" COMMONWEAl1.. or fJENNSVI-VANlA orf'AntMtNT or REVENUE BUREAU OF INDIVIDUAL TAXES O[l'T 28(}(;OI ttAnAlsouno. PA 17128.0601 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT . RECEIVED FROM: r ACN ASSESSMENT CONTROL NUMBER AMOUNT YOST JON A 320 W. CHOCOLATE AVE P.O.BOX 437 HERSHEY" PA 17033-0437 101 "1.\107.B!\. fOlDtlERE - ESTATE INFORMATION: filE NUMBER "I -1 "95=0236 NAME OF DECEDENT (LAST! C::Stll-W"-i:!"-9Q55 IFIRST! IMII ---GQUG~~N-NAOMI ~ DATE OF PAYMENT ___6L1:JJ...97 POSTMARK DATE __bf.J':7..1.97 COUNTY TOTAL AMOUNT PAID '" 1 ,007.86 -----CUM R I'" RI ANn DATE OF DEATH SK '..Yi . ~-) o_~ J/fU"~~ ~ REMARKS PAUL V GAUGHAN C/O JON A YOST SEA~HECKIl lib RECEIVED BY III ESQ MAR V C. LE~ REGISTER 0 HEGISTEI1 or WII.LS " : ,-, 0;' "t~ !" J fro ,. \ .' . --.--- -;-.,-.:-----..-...~...1ld.~... _---.r <'f-.:. .. \ t , \ 4 \ \ 1 '\' 'v y-=-' \ \ \, \ \ i \ j I , ' i, Ii ~ ~ \: \\~,'I'_'{~_-'t' ." \ \\tJ '-_ ~ ,: -i ! 1:1':1 : ~! \ f- h ) -! ,r_' ! " i~"*.j _of 1. ~t ~ I ,:""" j.' F ' , rt-~;- ';;t. ~,,~ H:,l '--:J -;. \_:~"~~1 \ L \ V'),,\ "\"'\:l~~~ !;)\< - "--~'-. :! _ ""; ni ~,. ! Ij;' ti' "'1 ~'~-.j ):---"_:'~~,~:.\>- ~,_: , \ ;' -..Q r<'I ,13- I \!') (j I '0 , \ \ I '1 I \ .1 j, ! \ ! 1 I -1 .. , .' . .<,1 i] Ii ,. !:l ~ ...__ ;.;.I; ;; -c;- ---' ~ .., :I'~ t;:a.-' ~~~ !~:;. ~ 5?,~ ~-~ ~ :.. " .' n Ci to: = 'T, ~ .,. - '-' 'Ii. - - ;; ~ ~ ~ 2~ t; ~-) .. .,- '"""" -.., _., l>l III g ~ PI ::> o Ut!l"l Ul,>l .s: ..-l o4t.. ::>0 04:.:101.... ....PlIl..-l lIl~O .... ul>ltt ....9~,,' 1Illl< 00::> ... :2:;0 ... ~i<;,::ll>l . l>l tl t.. H tJE-lp'PllIl ,1Ill>lP!-I ~H3~8li1 :z\Uu..-l6 ..... "':.1 -''(1 -:;1 " ':-',;' _-.0 _ -I .U :~ ( ~*~ '1 --.-.o;------~-~-.-...-y-.-- E E 1 :: - . . - - =:- - :' 0, -.' . :.1" ('I ~ ... <r f'J I f'J i I .') I .. i ~~ , 1" .. '. t. "'; -J'- , ~ , ~' ,- ,,\ " - ~ i.. _ ... -, r,' ~ ; '('.' t_, -{"j., ! / , ,..l. , , , !-, .' t ,..'] : '. ~" {. . .0,. . ',_ ;;. 'u' ~ :~->-.. ; i. .1 . r., I ''I -\. :~'.:,::'.: ~ I~ "'~:- -. -'. . ....;..,. l :f" j I , I \ I,. \ I i ! .1'--- }c '. ~. t . . '1' \. ~, " }. " I .---- --~- r -. ~"~A. _ _"'''Z, ~-::- . , ,"'. rJ /') I ) /_-."""' -"\ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY SSN"DC ACN ~~~ t~' C' BU: :.U OF INDIVIDUAL TAMES IHIlERltAHC[ tAx DIVISION '';PI. UOttOI Il,lARISBURO, Pol l7ua'OftDl III.IU_III" III.'" BRIAN J GAUGHAN 845 HECK HILL RO LEWIS BERRY 09-09-97 GAUGHAN 11-25-95 21 95-0936 CUMBERLAND 184-24-9955 96106083 Anount R.nltt.d NAOM I A PA 17339-0000 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 11013 CUT ALONG TMIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ---------------------------------------------------------------------------------------------------------------- REV-1604 EX AFP (03-97) .. INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS .. DATE 09-09-97 ESTATE OF GAUGHAN NAOMI A DATE OF DEATH 11-25-95 COUNTY CUMBERLANO FILE NO, 21 95-0936 ADJUSTMENT BASED ON: S,S/D,C, NO, 184-24-9955 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORMATION ACN 96106083 FINANCIAL INSTITUTION: HARRIS SAVINGS BANK ACCOUNT NO. 07-02-129309 TYPE OF ACCOUNT I (X) SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTIFICATE DATE ESTABLISHED 07-31-93 Account Balance .00 NOTEI TO INSURE PROPER CREDIT TO YOUR Percent Taxable X 0.500 ACCOUNT, SUBMIT THE UPPER PORTION Amount Subject to Tax .00 OF THIS NOTICE WITH YOUR TAX Debts and Deductions ,00 PAYMENT TO THE REOISTER OF WILLS Taxable Amount ,00 AT THE ADDRESS SHOWN ABOVE. Tax Rat.. X .15 MAKE CHECK OR MONEY ORDER PAYABLE Tax Due ,DO TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID ( -) TOTAL TAX CREDIT ,00 BALANCE OF TAX DUE ,DO INTEREST AND PEN. 0 TOTAL DUE . IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST, I IF TOTAL DUE IS LESS THAN n, NO PAYHENT IS REQUIRED, IF TOTAL DUE IS REFLECTED AS A "CREOn" ICRI. YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS,I PAVftEHlI D.'.ch the top portion of this HoUel and Iubtllt Iflth your p.Ylent ..s. p.,abll to the nM' " eddr... prlntMl on the rev.,.. .Id.. .. "...... check or HMY C1~rhr p.,lthl. tal RECISTER or WILLS, ACE NT . REfl>>lD (tAl. A refund of . tal< ("IC . which w., ""~I rlCI'M.t.d on the T.lC R.turn, .., bl r.qu..t.d by coaplatlne an "Application for Rafund of P.,vl.,h,lInla Inha,.ltanca and Elt... "It" (REV-UU). 'ppllcatlon. ar. Iv.llabl. .t lll. Offlu of the R'lIhhr of Willi, ...., of thtl n A.v.nu. Dhtrlct Office. a,. froe the Depart.ant'a "-hour ........rlng ..rvlce "...,. for for., ord.rlng. In P~"lvanla l-aOo-562-Usa, outllda PaM.,lvenl, and within locII Hu,.hburg ar.. nU) 187-a094, 'DD' 1717l 771-1152 Wurlng IlIpalrad only). REPLY TDI Due,tlonl r...rdl", .,.ror. contllnld on thl. natlc. ,hoUld b. .ddr.'.~ tal PA Deplrtaant of Rlvenue. Burlau of Indlvldu.l ...... ATTHI Put ........nt Rlvlllf Unit, D.,t. 210601, Hurhbur., PA 17121-0601, Phone e7l7l 717.6505. DlltDllt'. If an, tn due Is p.ld Iflthln thn. (J) cal.ndar .onth. .,tar thtl d.cadent'. etalth, . flv. p.rcent en) discount of thl tilt p.ld I. al10Nld. PEHAlTVI Thl 15X t.. .an..t, non'p.rtlclpatlon p.nalt, II eoaputld on the tot.l cf 'h. tl. and Int.r..' .......d, ~ not paid Mfor. JIlI'IUIt, II, 19", the fl,.t d., aUu tha MIl of tha t.. llIftllt, pulod. IHUAUT I Int.r..t I. ch.r,.d ba.lnnlng with flr.t da, of dlllnquency or nln. C,. .onth. Iftd on. el) d., 'ra. thl data of da.th to thl d.t. of p.,..nt. T.... Ifhlch b.c... d.llnqu.nt b.for. Janu.r, 1, 19., b..r Int.r..t at the rlt. of .1lC e6X. p,"cant p.r ~ c.leuhtad It I dill, r.t. 0' .0001". All t.... which b.c.. d.llnqu~t on and IftU J~r, I, l'IZ ifill ba.r Int.r..t .t a rat. Which will wlr, fro. e.land.r ,..r to c.lend.r ,..r with that r.t. announced bW thl PA Oap.rt_ant of Rlv,nu.. ThI appllcabl. Intar..t rat.. lar 1..2 through I.., '''.1 V..r Intar..t ht. Dllh Int.r..t FltCta,. V..r Intar..t Rat. Dally Inter..t r.eta,. 1912 zax .000541 19" OX .00U4' 1915 .OX .OODUI l"a-l"l IIX ,000111 I.., m .000501 1991 'X .OOUU 1..5 ISX .DOOSS6 199'-199' 7X .001191 19" .OX .00027' 1"5-1997 'X ,OOUU "-lnta"lt la e.lculatld .. foUow" INTEREST . BALANCE OF TAX UNPAID X NUnBER OF DAYS DELINQUENT X DAlLY INTEREST FACTOR ~l I ....an' Notlc. Inuad aUar the taM b.eoa.. daUnqu.nt ifill relhct WI Intar..t ulcul.tlon to flft.an US) d.,. b.,ond thl datI a' thl .......ant. II p.r.ent I, ald. .ft.r thl Intar..t coaput.tlon data .hewn on thl Hotlca, additional Int.r'lt .u.t b. calculatad. . ......"'0..'...' ~)ll~ . ~ IId.r-\l\ - ~"f'lr~ . COMMONWEAlTH Of PENNSYlVANIA DEPARTMENT Of REVENUE IURlAU OF INDIVIDUAL TAXIS DEPT,280601 HARRISBURG, PA 17 28,0601 fCEDENT'~ NAME INHERITANCE TAX EXPLANATION OF CHANGES tbL.\ ~::NU~~_ o93~ 9(/0 tLJf / EXPLANATION OF CHANGES r; (/O(J>2.J 9 t./lJt lJ:tE... are bolng odJuoted to reflect zero t6x due oince on the probate return. " SCHEDULE ITEM NO. Above-referenced ACNes) they have been reported ,- - '".,'" .-.... "-'~"'>' , .. Jj), Yo; -_.~ ';t , " ,;I-/, :~:f- PAGE " (j " " }(~.1 PAYHEHT I Dltlch the top portion of thh Notlcl Itnd .ublllI with your p.y..nt ..d. p.y.bl. to the n... Iftd add,.... prlnt.d on thl r.v.r.. .Id., ..- H..... chick or .oney ord.r pay.bla tal REGISTER OF WILLS, AGENT. REFUND (CR)I A refund 0' . '.x cradlt, which .... not raqua',ad on the 'IX Return, '1'11' b. raqua.t.d by co~l.tl"1 ~ "application for R.fund of P,nn,ylvanl, Inh'rlt~. and E,tat, T.." CREV-ISIS), Appllcatlona ar. Ivallabl. at thl Of,IcI of thl RIII,'ar of Willi, any of thl IS Rav.nul DI.trlct Df,lc.. or 'rot the D.p.rt..nt", "-hour an....rlng ..rvlel ~b.r. for for.. ordering I In P.nn.ylvanla l-IOD-S6Z-20S0, outslda Pann,ylvanla ~ within lOCI. Harr..burg .r.. (111) 7.'.'09~, TOO' .'17. 71Z.1252 (H..rlng lap"rld only). RtPL\' TO. Duestlon. rl.lrdlng .rror. cont.ln.d on thl. not Ie. .hould b. .ddr....d tal PA D.p.rta.nt of A.V.nul, lur.eu of Incllvldu.1 r.u., ATTHI Past A.......nt A.vl... Unit, D.pt. 210601, H.rrllburg, PA 17UI-0601, Phon' t717J 787-6S0S. D1SCDUNl'I If an~ t.. due I. paid within thr.. (SI cal.ndar aonth. .ftar the dlc.d.nt'. d..th, . flv. p.rc.nt CSXI dl.count of tha t.. paid I. allowld. PENALTYI 'h. IS~ t.. .an..t~ non-participation panalt~ I. co.putad on the total of the ta. and Int.r..t .......d, and n~t p.ld bafor. J'nuar~ 18, 1996, th. flr.t d.~ .ft.r tha .nd of the t.. aan..t~ p.rlod. IHJERESTI Int.r..t I. charg.d baglnnlng with flr.t d.~ of d.llnqu.nc~ or nln. (91 lonth. and on. III d.~ froa Ih. d.l. of d..th to the d.t. of p.~.ant. T.... which b.c... d.llnqu.nt b.for. Janu.r~ I, 1'12 b..r Int.ra.t at tha r.t. 0' .Ix 16X) parc.nt p.r annUl calculatad at a dally rat. 0' .000164. All ta... which b.ca.. d.llnqu.nt on and aft.r Januar~ I, 1'82 will b..r Int.r..t at . r.ta which will v.r~ 'roe eal.ndar ya.r to caland.r ~.ar with that rat. announc.d b~ tha PA D.partaant 0' R.v.nu.. Tha appllcabll Int.r..t r.ta. 'or 1'12 through 1997 .ral V.ar Int.rut Rata Dally Int.rllt Factor Yur lntar..t R.t. a.lh Inlarllt Factor I'll ,U .00U41 1987 .. .000247 191.5 16' .DDOUe 19....1991 11;( .OOUOI 1ge4 llX .DOUOl 1992 .. .000247 1915 u. .DOUS6 199)"1994 n .00al'2 1986 10lC .000274 1995-1997 .. .000247 "-Inlar..t II calculalad .. fallow.. INTEREST . BALANCE OF TAX UNPAID X NUHBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR ."Anv Hotlc. I..u.d .'tlr tha t.. b.co... d.llnquent will r,'I.ct an Int.r..t calcul.tlon to fl't.an liS) d.y. b.yond th. d.t. of thl a.......nt. I' pay.ant I. .adl aftar thl Intara.t cOlput.tlan data .hown on the Hotlcl, additional Int.ra.t lU.t ba c.lcul.t.d. r) /) I.) COHHONWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE INUERITANCE TAX RECORD ADJUSTHENT JOINTLY HELD OR TRUST ASSETS DATE ESTATE OF DATE OF DEATH FILE NUHBER COUNTY SSN/DC ACN C-- ~* BUR.AU OF INDIVIDUAL TAXES uunlt"Ne[ lAM DiviSION I .Pl. IID6Dl IIARII I UUtf 0, Pi 11UI,o.OI '"'111$11''' III.'" BRIAN J GAUGHAN 845 HECK HILL RD LEWISBERRY PA 17339-0000 09-09-97 GAUGHAN 11-25-95 21 95-0936 CUHBERLAND 184-24-9955 96106081 AMount R.nltt.d NAOMI A MAKE CHECK PAYABLE AND REHIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 11013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ---------------------------------------------------------------------------------------------------.------------ REV-1604 EX AFP (03-97) .. INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS .. DATE 09-09-97 ESTATE OF GAUGHAN NAOMI A DATE OF DEATH 11-25-95 COUNTY CUMBERLANO FILE NO, 21 95-0936 ADJUSTMENT BASED ON: S,S/D,C. NO, 184-24-9955 ADMINISTRATIVE CORRECTION JOINT OR TRUST ASSET INFORHATION ACN 96106081 F I NANC I AL I NST nUTl ON I HARRIS SAVINGS BANK ACCOUNT NO. 01-16-124368 TYPE OF ACCOUNT I () SAVINGS ( ) CHECKING ( ) TRUST (X) TIME CERTIFICATE DATE ESTABLISHEO 01-19-88 Account Balance ,00 NOTE: TO INSURE PROPER CREDIT TO YOUR Percent Taxable X 0.500 ACCOUNT, SUBHIT THE UPPER PORTION Amount Subject to Tax ,00 OF THIS NOTICE WITH YOUR TAX Debts and Deductions ,00 PAYMENT TO THE REGISTER OF WILLS Taxabla Amount .00 AT THE ADDRESS SHOWN ABOVE. Tax Rate X ,15 HAKE CHECK OR HONEY ORDER PAYABLE Tax Due .00 TO: "REGISTER OF WILLS, AGENT." TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+J AMOUNT PAID DATE NUMBER INTEREST/PEN PAID ( -) TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE . IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST, I IF TOTAL DUE IS LESS TIIAN U, NO PAYHENT IS REqUIRED, IF TOTAL DUE IS REFLECTED AS A "CREDIT" YOU HAY BE DUE A REFUND, SEE REVERSE SIDE OF THIS FDRH FOR INSTRUCTIONS, I ,00 ,00 o ICRJ, r- ,'-.-J r- p, PAVPtENTI r'-. Dat.ch thl top:partlon D'~thl. Hotle. and lubalt with your p.y.eftt .~. paYab1a to thl "... and addr... p~'I-nt'd on t~ nv.",i.i(~. .. "_I check Dr ltOftIIy ordar paYabla tal RECISTER OF WILLS, ACENT. REFUND (CA)I A r.fund of . tax cradlt, which w.. not r.qua.tad on the rlx Aaturn, ..v b, r.quel,ad by cDaplatln, an -,ppllcatlon for R.fund of Penn.ylvanla Inharltanc. and [It,t. 'I.w CREV~IJIJ). Application. .t. .v.ll~l. .t thl af,lcI of the AI,I,ta, of Will., any of the IS .Ivanua Dlltrlct O"lc.. or fro. the Departaant"1 '4.hour an'wlrlng ..rvlcl nuabar. for '0'" ordarlngl In Plnn.vlv.nla l-IOO-)6Z-2D50, out. Ide Pennlvlvanla and within locII Harrl'burg .t.. e7171 7.7-aO'4, TOO' (717) 772-t252 (H..rlng 1.,.J,ad only). REPLV Tal ou..tlon. rl,lrdlng .tror. cont.l~d on thl, notice .hould be .ddr....d tal PA O.p.rt..nt of R.v~, lur..u of Indlvldu.1 '..." A"HI Po.t A.......nt A.vlew unit, O.pt. 2'0601, Harrl.burg, PA 1712'.0601, Phone 1111' "'.6505. DISCOUNTI If .nv t.. du. I. p.ld within thra. (Sl c.l.nd.r lonths .ft.r the d.c.d.nt's d..th, . flv' percent 15%1 dl.count of the t.. p.ld I' .llow.d. PEHAL TVI Tha lS:C t.. ..,..tv non.partlclpaUon penaltv II coaputed on th. tot.l of the tI. end Intlr..t .......d, end not paid bafore Januarv 1', 1"6, the flr.t dav aftar the .nd of tha tlM aan..tv p.rlod. IHUAUTI Int.r'lt I. charg.d b.glnnlng with first dav of d.llnquencv or nlna (,) aonthl and one (1) dav fr~ the d.ta of d..th to tha deta of plv,ent. 'I..S which blea.. d.llnquant blfor. Janulrv I, 19.2 b.ar Int.r..t at the r.ta of II. (6:C' parcent p.r annua calcul.t.d It . dally rat. of .000164. All t..a. which bac..' delinquent on end .ft.r Janu.ry 1, 1"2 will b.ar Int.rast at . rata which will varv fro. caland.r v..r to cal.nd.r y.ar with that r.t. announcad bV the Pi Dap.rt,ant of A.v~.. Tha .ppllCabla Int.r..t rat.. far 1'.2 through 1'" ar.1 Ya.r Intara.t A.ta O.lly Int.r..t F.ctor Yaar Intlr..t Rat. O.llv Int.ra.t Factor 1..2 ..X .00054' 19., 'X .000241 I'U l6X .00041' 1....1"1 llX .000501 1"4 llX .000301 I"Z 'X .000241 1915 UX .OOOSS6 1"'.1"4 7X .000192 I'" lOX .000214 1995.1'" OX .000241 "-Int.ra.t I, c.lculat.d .. followsl IHTEREST . BALAHCE OF TAX UNPAID X HUHBER OF DAYS DELIHQUEHT X DAILY INTEREST FACTOR ".Any Hotlce luuad .ftar thl tlM baco... d.lInquant will r.flact an Int.rllt calculation to flftaan us. d,VI bavond the d.tl of thl .......ant. If p.y.ant I. .eda .ft.r tha Int.r..t coaputatlon d.ta .hown on thl HoUca, additional Intara.t lU.t be calcul.tad. I,", 'I') ,'J ,"') 1.1 0/'1 COHHONWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE BUREAU OF INDIVIDUAL TAXES IHU[RIUH(( TAW: DIVISION DEPT. 2'lIDul IIARRISlUAO, PA 11IU-O.OI NOTICE OF INItERITANCE TAX APPRAISEHENT. ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX JON A YOST ESQ 320 W CHOCOLATE PO BOX 437 HERSHEY DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN AVE PA 17033 09-15-91 GAUGHAN 11-25-95 21 95-0936 CUHBERLANO 101 A"aunt R."ltt.d ["-''' ,*' "'."""tU 111'''1 NAOHI A HAKE CHECK PAYABLE AND REHIT PAYHENT TO: REGISTF~ CO- WILLS CU~~cRLAND CO COURT HOUSE CARLISLE. PA 11013 CUT ALONG THIS LINE ~ RETAIN LOWER POR~ION FOR YOUR RECORDS ..... REV: i54i-Eif" "Fpur iii-:m--iirii"icni"uiN'HEifi rANcE- i"Ax-iippjiiiisEHiii:r;- "LrciiiAifcE -iili--m ------ - - - - -- DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX ESTATE OF GAUGHAN NAOHI A FILE Nt. 21 95-0936 ACN 101 DATE 09-15-97 TAX RETURN WAS, (X) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RtTURN 1. R..I E,t.t. (Schedule AJ 11) 2. Stock. and Bonda (Schedule 8) (2) 3. Clo..ly Hald stock/Partnership Int.r..t (Schedule CJ (3) 4. "ortvagaa/Not.. RecelYable (Schedule OJ (4) s. C..h/Bank Deposlta'Hi,c. Parlonal Propert, ISchedule EJ 151 6. Jaintly Owned Propert, (Schedule f) 161 7. Transfara 'Schedule OJ (7) 3. Total A...t. APPROVED DEDUCTIONS AND EXEHPTIONS: 9. Funaral E"pan.../Ad... COlh/MlIe. EMpa",.. (Schadul. H) 191 10. Debt,/Hortgaga Liabiliti../Lien. CSchedule IJ CIOI 11. Tot.l Deduction. 12. Het V.lu. of T.M R.turn 15. Charit.ble/Govern..ent.l Beque.t. CSch.dule JJ 14. Het V.lu. of E.t.t. Subject to T.~ I CIIANGED .00 .00 .00 .00 63,777.97 16.650.81 1.875.00 leI 13.230,85 259.75 Ill) 1121 (13) ll41 HOTEl To in.ur. proper credit to ~our account, .ubeit the upp.r portion of thi. for. with your te~ p.~...nt. 82.303.78 13.490 60 68,813.18 ,00 68.813,18 NOTEI 14, 15 and/or 16, 17 and 1B will returns assessed to date. If an assessment was issued previouslY, lines refloct figures that include the total of ~ ASSESSHENT OF TAXI 15. Anount of Line 14 .t Spou..l 16. Anount of Lin. 1~ taxable .t 17. AMount of Lin. 14 t.~abl. .t 18. Prlncipel TeM Du. rat. Line.l/Cl... A r.t. Coll.t.r.I/CI... B rete llSI ll61 (171 TAX CREDITS: PAYHENT DATE 06-17-97 RECEIPT HUHBER AA211420 DISCOUNT I') INTEREST/PEN PAID 1-) ,00 52.202,97 X ,00, 16,485,21 X ,06, 125.00 X ,15. ll81 AHOUNT PAID 1,007,86 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE BALANCE OF UNPAID INTEREST/PENALTY AS OF 06-18-97 ,00 989,11 18,75 1.007,86 1,007.86 ,00 73,69 73,69 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST, IF TOTAL DUE IS LESS TitAN .1, NO PAYHENT IS REQUIRED, IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI. YOU HAY BE DUE A REFUND, SEE c- R[stRVlnOHa htat.. 0' deud~'.! ~'"' on or be'on Dace"" Il, 1911 .. If W'ly lutur. Intar..' In the ....t. II ,ransf.rred In pa.....lon or enJo'.'n' to Cia.. . leall,'.r.l) beneflcl.rl.. of thl dlcadent .,t., 'hI ..plt.tlon of an_ 1.I,t. 'or llf. or for v..r., thl Co..onw..tth hat.by ..pr..,l, rl.ltVI' thl right to .ppt.t,. and ...... tran.f., Inn-tlt...e. tl... It thl lawful Cl.... (collahr.ll n" on MY luch future Int.r..'. PURPOSE OF NOTICEI To fulfill thl reqult...nt. of Slctlon 11~D of thl Inherlt...c. and [,tat, ,.. Act, Act 21 of 1'95. 11' P,S. s.ctlon nUl. PAYKrHTI Detlch the top portion of thl, Notlcl and ,ubalt with ,our ply..nt to thl Algls'" of Willi prlntad on t~ rlv.r.. .Id., ..."_. check or lIOn'., order p.,.aJl_ tal REGISTER or MILLS, AGENT REFUND (CRII A r.fund of . t.. cr.dlt, which w.. not r.que.tad on the 'a. Aaturn. .ay b. r.que.tad by co.platlng 8n "Application for Aafund of P.,..".ylvenla '''''arUence end Esht. fa.- (REY'UUI. Application. .,.. .y.Uabl. .t the Dfflc. of the R.gl.t.r of Will., any of the ZS R.y.nua Ol.trlct Dfflc.., or by calling the spacial l4'hour en...rlng s.rvlc. ~,.. for for.. or~rlngs In pann.ylyanla 1-IOO-S6l-l0S0. out.ld. P.nn.ylyanla end within 10c.1 H.rrl.burg .raa e71') 717'10'4. foot (f171 77l-ll5l (Hearing lap.lr.d Onlyl. OBJECTlONSs Any p.rty In Int.r..t not ..thfl.d with th. appr.I...ent. ,UONanc. or dlullowanca of d'ductlon., or .......ant of t.. (InclUding dl.count or Int.r..tl .. .hown on thl. Notlc. ~.t obJ.ct within .l.ty (601 day, of raCllpt of this Notln byt .-.,rltten protl,t to the PA D.part..nt of RIVlnuI, Bo.rd of App..ls. Dlpt. ll10ll, Harrl.bur., PA 171ll-IOll, OR .-alactlon to hi.... thl .Itt.r d.t.r.lnld .t .udlt of tha .ccount of the p.r.onal r.pr...nt.tl..... OR --appeal to the Orphan.' Court. ADMIN IIfRAflVE CORRECT IONS I DlstOUteT I F.ctual arrora dhcovar.d on this ........nt .hould b. .dd,.....d In writing tos PA D.p.rt.ant of R,v.nue. Bur.1Y of Indlyldu.l T...., AllNI Po.t A.......nt A....I.w unit, D.pt. 110601, H.rrl.burg, PA 1711a-0601 Phone UI7J fl7-6SOS. S.. PI" 5 of the bookl.t "In..ructlon. for Inheritance T.. Raturn for I Ruldant OIC.~t" (REY-ISOlI for an ..plan.tlon 0' .d.lnl'Ir'Ilv.ly corracl.bla .rrors. If any ta. due I. paid within Ihr.. {SI c.l.nd,r lonlh. afl.r lhe d.c.denl's d..lh, . flv. p.rcant {S~I dllcount of thl ... p.ld II ,UDWad. ThI 15X t.x .-na.ty non-parlJclp.tlon PM.1Iy Is coapul.d on the tDt.1 of lhe hx .-,d Int.rut ......ad, .-,d nat p.ld bafor. Janullry II, 1"6, Ih. fI,..t day .ft" Ih. .nd Df thl h_ ...,uty p.rlod. This non-p"Uclp.tlon p~lty I. appealabla In the .... .annar ~ In Ih. the .... tl.. p.rlod .1 you wDuld .pp..l the t.. and Int.r..t th.t hal bean .......d .. Indlc.t.d on thl. not Ie.. PfNAL TYs I"URESTI Int.r..t I. ch.rg.d b.glnnlng with flr.t day Df d.llnquency, or nlna e'l ~tha and one ell d.y 'roe thl date D' d..th, to the d.t. Df p.y..nt. T.... which bacaa. d.llnquent bafDr. Janu.ry I. I'" b..r Inl.r..t .1 IhI r.t. Df IIx ('X) percant p.r IIV'IUI calcul.t.d .t . d.lly "I. af .00Dl64. All t.... which b.u.. dallnqu..,t on Ilnd a"ar Januarv ., .,IZ will b..r lnt.r..t .1 a r.I. which will v.ry 'roa c.l.ndar v..r tD c.land.r v..r wllh that rat. announcad by thl PA Dep.rtaent of A....anua. ThI appllcabl. Int.r..t ral.. fDr I.IZ through 1997 .r'l !!!! Int.rut R.t. Dally Int.rnt raetor ~ Intera.t A.ta D.llv Int.,...t r.etor 1912 ..X .0DO!tU 1917 'X .000l'" 1915 "I .000-.51 1911-1"1 IIi( .DOasOI 1914 III .00OSOI I'" .X .000Z47 I9IS UX .ODOSi6 I"S-I.tM 1% .000192 I'" lOX .ODOn-. 1995-1"' .. .0ODI47 ulnl"ut II c.lculatad a. followu INTEREST a BALANCE or TAX UNPAID X NUHBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR uAnv Notice luuad .fter IhI t.. becoau delinquent will r.U.ct an Int.rut nlcuhtlon 10 fllte.... (IS) d.V' bavond thl d.I. Df thl .......anl. I' p.yelnl I. aad. afl.,. the Inl.r..t coaputatlon d.I. .hown on the Notlc., ~Itlonal Inl.r..t au.t be c.lcul.tad. COMMONWEAL'" or PENNSVLVANlA OEPARTMENT OF REVENUE. BUREAU OF INDIVIDUAL TAXES DEPT 280601 UARR1SnURG. PA 17128.0601 '* NO. AA 242288 III.".,,,,,,.., PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT RECEIVED FROM: r ACN ASSESSMENT CONTROL NUMBER AMOUNT JON A YOST ESQUIRE 320 W CHOCOLATE AVENUE P.O. BOX 437 HERSHEY" PA 17033-0437 101 &"73 J..O 'OlOljfllr faD HERE . ESTATE INFORMATION: FILE NUMBER --El-1995-0936 NAME OF DECEDENT tLASH ___GAUGHAN NAOMI A OAtn Dr PAYMENT 913Q/1997 POSTMAflK OATE 9./2.9../.1':1-92- COUNTY B5N 184-24-9955 (fiRST, IMII _CUI1BEflLAND DATE or DEAlti TOTAL AMOUNT PAID .73.69 .. REMARKSJON A YOST ESQUIRE RECEIVED BY SEA(:HECKII 18398 REGISTER OF WILL::. .-- ---.,.-- -- ---__._.__..~rl-_,-_- -":".-'--:-7.,:,,~-.--~-_._t----:-T-----:----.__~1 , " ~ t-";;. - ~ I , t':. " ... : ---- . __--.._.----_~-~............_ I~ _--i'<l. T ...~.. \ Icf--l,'j. /;{ BUREAU OF INDIVIDUAL TAXES INlllRItAH([ lAX DIVISION OlP'. 111060. IIARAlsaURO, PA 111U-ObDl COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT ~* 1t'-laHUII"U,", JON A YOST Esa 320 W CHOCOLATE PO BOX 437 HERSHEV DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 10-20-97 GAUGHAN 11-25-95 21 95-0936 CUMBERLAND 101 A tlAOMI AVE A...o~nt R...ltt.d PA 17033 MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTEI To In.u~. proper credit to your .ccDunt, lub...t the upper portion of this forn with your t.~ p.y....nt. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iIEV:il,ijj-Ex-"j:p-io3":97y---m...--iNHER'i'fANc"E-i'Aif-si'iifEH"ENi'-ilTAC-ciiuN"fnj;...-----------mm---- ESTATE OF GAUGHAN NAOMI A FILE NO.21 95-0936 ACN 101 DATE 10-20-91 THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE, SHOWN BELOW IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYHENTS, TilE CURRENT BALANCE, AHD, IF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 09-08-91 PRINCIPAL TAX DUE, 1,007.86 PAVMENTS (TAX CREDITS), PAYMENT DATE 06-17-97 09-29-97 RECEIPT NUMBER AA211420 AA242288 DISCOUNT (t) INTEREST/PEN PAID (-) ,00 73,69- AMOUNT PAID 1,007,86 73,69 ,"" ,'\J TOTAL TAX CREDn BALANCE OF TAX DUE INTEREST AND PEN. 1,001,86 ,00 ,00 ,00 TOTAL DUE . IF PAID AFTER TillS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST, I IF TOTAL DUE IS LESS TIIAN .1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU "AY BE DUE A REFUND, SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS, PAyttEHTI O.t.ch IN top portion of thll Notlc. and .ubtllt ..lth your payeant e.d. payabla to tha na.. and addr... prlntad on the ravar.a .Id., If RUIDENT DECED(NT .aka chad or .onay order payabla tOI REGISTER OF WILLS, AGENT, If NOH-RESIDENT O(CEOtNT ...... check or eonay ordar p.....bl. tOI COHHONWEAL TH OF PENNSYLVANIA. REFUND lCR)1 A r.fund of a ta. cradlt, which ..a. not requa.t.d an tha Ta. R.turn, "'1 b. requa.t.d by coapl.tlng an "APpllc.tlon for R.fund of P.nn....lv.nl. Inherltanc. ~ [.tat. T.." (REV-ISIS). Appllc.tlons ar. avallabla et tha Offlca of tha Raghter of Will., any of the U Ra".nu. District Offlc.. or froe the D.pertaant", 14"hour an....rln. ..r"lc. nuab.r. for for.. ord.rlngl In Pann.ylvanS. 1-800-562-2050, out.lda P.nn....lvanl. and within 10c.1 H.rrl.bur. .r.. (111) 187-809~, TOOl 1111) 171-1151 IH..rlng I.p.lrad onl...). REPLV TOI Du..tlon. r..ardlng .rror. cont.ln.d an thl. notlc. .hould b. addr....d tal PA D.p.rt..nt of R.v.nu., Bur.au of Indlvldu.l T...., AT1NI Po.t A.......nt R.vla.. Unit, Dapt, 110601, Harrl.burg, PA 11S11-0601, phona nil) 717-6505. DISCOUHTI If any ta. due I. paid within thr.. 15) c.l.ndar eonth. .ft.r tha d.c.dant'. d..th. a flva p.rc.nt 15~) dl.count of the t.. paid I. allow.d. PENAL TV. Th. 15X t.. ..n..ty non-participation p.n.lty I. coaput.d on the total of the t.. and Int.ra.t .......d, .nd not paid b.for. January II, 1996, tha first day .ftar the .nd of the till a,,"a.ty parlod. INTEREST I Int.r..t I. charg.d b.glnnlng with flr.t day of d.llnquancy, or nln. 191 aonth. and on. III day froa tha d.ta of da.th, to the data of pay..nt, 1.... which b.c..a d.llnqu.nt b.for. Janu.ry 1, 1911 b.ar Intar..t at the rat. of ahe UU pareant par aMu' c.lculatad .t a daUy rat. of ,000164, All t.... which baca.. d.Unquant on and aft.r January I, 1911 will baar lntarut at a rat. which wlU vary fro. c.landar y.ar to calandar y.ar with th.t rat. announcad by th. PA Dapart..nt of Aavanu.. lha applicable Int.ra.t rat.. far 1982 through 1991 aral Vaar Inllr..t Rat. OaUy Intar..t ractor V.ar Intarnt Rat. Dally Int.r..t Factor' 1911 ZOX .000548 1911 OX .000l47 19aJ I" .000411 1918-1991 1l~ .000501 I9I~ IIX .000501 1991 OX ,00010 1915 U~ ,000556 S99)-I"" ,. .0aOnl 1'16 IO~ ,OOOZ74 19n-1991 OX .000l41 ulntar..t 1. calculat.d .. followl! IHTEREST u BALANCE OF TAX UNPAID X NUHBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR "-Any Notlc. 1..uad aftar tha taM b.eo.a. dlllnqu.nt will r.flact an Int.ra.t c.lculatlon to fl,t.an (15) day. bayond the data of tha ........nt. If pay.ant 1. .ada aftar tha Intara.t cOlPutatlon data .~ on th. Notlca, addStlon.1 Intara.t au.t ba calculatad. .. C/ STATUS REPORT UNDER RULE 6,12 Name of Decedent: ,J.A il ",', A, GA"',y ~..~ Date of Deathl 1/ /Z.r /9J'" Aut. z-,...9S- 00 YJ" . I Will No, Admin, No, Pursuant to Rule (',12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1, State whether administration of the estate is complete: Yes y' No 2. If the answer is No, representative rea~o~ably believes complete: ~~ 3. If the answer to No. 1 is Yes, state the following: state when the personal that the administration will be a, Did the personal representative file a final account with the Court? Yes No 'I- b, The separate Orphans' CouFt No. (if any) for the personal representative's account is: ~/~ c, Did the personal representative state an account informally to the parties in interest? Yes ~ No d, Copies 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 this report, Date: /~(z.Dl ~? Sign ture -::::r; J A, 'i 0 r- Name (Please type or print) }l,.O v.lCll'51,: ~c..ol,,1e:: f'iI.J~ .:M"'~ . K l?o~':, Address (//7) ~<;33-SIl) / Te 1, No, (HAH: rmf! AM3) Capacity: Personal Representative ~Counsel for personal representative