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PETITION "'OR PRODA n: and GRANT 0..' LETTERS
f .j:l:J!J 1 No. _Q2-.J - q /p -' 1lLJ
To:
Rcgj'lcr of Will, for Ihc
.,- D,'craml. Counly of CUMBERLAND in Ihc
Sodal Srl'llrity No. .1,E!J." I . , h i9 Commonwcahh of Pcnnsylvania
Thc pClillonof Ihc undcrsigncd rcspcctfully rcprc,cnl' that:
. Your pClilioncr(s}, who I,'arc IN )'curs of lIgI'J)LlI~~H~.thl'.J:xl'i~nz:l1JB
Illthc 11I't 11'11101' thc lIhovc deccdel1l, dOled _~'"' U,^ .~
and codlcil(,} dlllcd
EMat., IIf 0- 0 1 J I L
al,lI/ k'","'1I as
, 19~&!cd
l'IOIIC rCh~\iml drt:llImlan~'(". qc. h'l1undalinn. tJcnlh nl c'n'ulur, (tc,)
Dc~endent 11'11' domiciled III delllh in _C; I".... J.. ,,~ / ,,, d Coumy, Pcnnsylvania, wilh
h la't family or principal re,ldence at :'801 IV 1/ "'" rJ v...... ~ T C -:l J. I I < ,
/? n ..... r:J "t! C:J. ,. I , ~ ~
111\1 'UIXl, I1l1mber and mUlldpJIiI)')
DC$ndcnt, then 1~ yell" of age, died D.. '" L. S - ,19 ? ~- ,
al_ OLiJll-la...uVr_ S-r C!;J/./,sc- .
Exccpl a, follow" decedem did nol marry, wasnOl ~ivor~ed lInd did not have a child born or adopted
afler exe~ulion of Ihc will offered for probale; wa, not the viclim of II killing and was never adjudicaled
incol1lpelent: //10'1 I!..
Decendenl at dealh owned propert)' wilh eSlimaled values as follow,:
(If domiciled in Pa.) All pClSonalplOperty S /000." 0
(If not domicllcd in Pa.) Pe"onalproperty in Pennsylvania S
(If nol domiciled in Pa.) Pe"onalproperty in Coumy S
Value of real cst Ole in Penn,)'lvania S
silualcd a, follows: /1/0 '1 e..
WHEREFORE, pClitioner(s) rcspcclfully requesl(s) the probale of the lasl will and eodicil(s)
present cd herewilh and thc gram of lelle" 7'., 1'.:11>
, (/i,""'amCnlJr~.: ..' inimalion c.I.a.; adminhlr3lion d.b.n.c.t.a.)
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_..s:..;;.~-HLLI PA.
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNS\'LV ANIA } ss
COUNTY OF CUMBERLAND
Thc pClitioner(st abol'e-named s"ear(,) or afl'irm(,) Ihat Ihe ,Iatemenls in the foregoing petilion are
truc and ~llrre~llothe hCSlllf Ihe ~1Il1"ledge 'Illd helieI' of pelitioner(s) and Ihal as personal represen.
Hlli\'C('tllf Ihe 'lho\'C dc~edclll pClitioner(s) "ill well and Iruly adminisler the eSlale aeeording 10 law.
Sworn tl1 or 'Itlirmed and sub,cribed 1 r/}Ja....JII 'J; a,-11_c . '"
heforc me Ihis 4TH i~~,f ~.
~~UJe:" n '" IlL' (p.';/~ , , ~ ~
I {MARY C. LEWis R"~;.""r' <.l ~
15 - 1(., - II
No. 21 - 96 - 16
Estate of
GOLDIE E STAHL
, Deceased
DECREE OF PRODATE AND GRANT OF LETTERS
AND NOW MARCH 12 19~, in eonsideratlon of the petition on
the reverse side hereof, salisfactory proof having been presenled before me,
IT IS DECREED that the instrument(s) datcd MAY 22. 1985
described Iherein be admitted to probate and riled of record as the last will of
GOLDIE E STAHL
TESTAMENTARY
HAROLD FACKLER
and letters
are hereby granted to
77')f1 '-Ii] Jd /HUJ "'0 ~_ fYtn('/;t:v Lt-...
U Reallle' of wIn. "Yip
MARY C. LEWIS
FEES
Probate, letters, Ete. ......... S
Short Certineates( 1 ) . . . . . . . . .. S
~t~unciation ................ ~
TOTAL _ S
Filed MARCH 12 1996
18.00
3 nn
A lTORNEY (Sup. Cr. 1.0. No.)
5.00
26.0D
ADDRESS
...................................
PHONE
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MAILED LETTERS AND ORDER TO THE EXECUTOR MARCH 12. 1996
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LAST WILL AND TESTAMENT OF GOLDIE E. STAHL
I, GOLDIE E. STAHL. of West Hanover Township, Pennsylvania,
being of sound and disposing mind, memory and understanding, do make,
utter, and publish this my Last Will and Testament, hereby revoking
all former Wills by me heretofore made.
1. I order and direct that all my just debts and funeral
expenses, including inheritance taxes, be fully paid and satisfied
by my Executor 8S soon a3 conveniently may be after my decease.
2. I give, devise and bequeath all the rest, residue and
remainder of my estate, real, personal and mixed, of whatsoever nature
and wheresoever situate, of which I shall die seized and possessed, or
to which I shall be entitled at the time of my decease to my nephew,
HAROLD FACKLER, of Camp Hill, Cumberland County, Pennsylvania, per
stirpes.
3. I nominate, constitute and appoint my aforesaid nephew,
HAROLD FACKLER, Executor of this my Last Will and Testament, and
Guardian of the estates of any minor beneficiaries, to serve without
bond of any type whatsoever.
In the event that my said nephew, HAROLD FACKLER, should
predecease me, or be unable to serve for any reason whatsoever, I
nominate, constitute and appoint HAMILTON BANK, of Harrisburg, Dauphin
County, Pennsylvania, Executor of this my Last Will and Testament, and
Guardian of the estates of any minor beneficiaries, to serve without
bond of any type whatsoever.
IN WITNESS WHEREOF, I have to this my Last Will and Testament,
set my hand and seal at the end hereof, this'1:v day of May, 1985.
Signed, sealed, published an~
declared by GOLDIE E. STAHL, :
the above named Testatrix, as and:
for her Last Will and Testament,
in our presence, who, in her : J.- tl ~ II L P Ii
presence, at her request, and in : RJ,r-{d-~ J. ~~A..A,(...A:i (SEAL)
the presence of each other, have: GOLDIE E. ST HL
subscri our names as attesting:
witne se .
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21 - 96 - 16
ISTER OF WILLS OF COUNTY
OATH OF SUBSCRIBING WITNESS
icll
(each) a subscribing witness to the w presenled herewith, (each) be
law, depose(s) and say(s) that
g duly qualified according to
present and saw
the test,' , sign the same and that
request of testa' In II presence and (in th
other subscribing wltness(es)).
signed as a witness at the
esenee of each olher) (in the presence of the
Sworn to or affirmed and subscribed before
me this da of
1-
Register
(Name)
(Address)
REGISTER OF WILLS OF CUMBERLAND COUNTY
OATH OF NON-SUBSCRIBING WITNESS
!-\o...yC lei Fu.t.K'\er
(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that
::r. 0.. ~ familiar with the signature of (10 I ell -e.. EO. S l-o..~ I
_J:_:I
will
testal rl'l(
presented herewith and
gaJi.1I
believe. the signature on the wlll is in the handwriting of
of (one of the subscribing witnesses 10) the
that
I.
C10ldl t.
my
~-<u..4I 'd- ~
(Name)
(it 2-0'f,O E"'r'/,,,-IJ ':,-,
'''1f7; . (Address)
(Name)
c..,.., ,I) /-1/ / /
to the best of
E- . Sk\..h ,
knowledge and belief.
Sworn to or affirmed and subscribed before
me this 4th day of
NUARY 19 96
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Register
L
(Address)
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NOTICE OF BENEFICIAL INTEREST IN ESTATE
BEFORE THB REGISTER OF WILLS, COUNTY OF C ",..,J,.. (~, J. , PENNSYLVANIA
In re Estate of c." Muz.. /:... 5 'C..I, / , deceased,
No.
of
TOI If30M I 1. I-;~ e./d ..,.-
7..oqo f5-.,-c ,.../d sT
( beneficiary)
(address)
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Please take notice of the death of decedent and the grant of
letters to the personal representative(s) narned below. You may have
a beneficial interest in the estate as follows I
(if additional space is needed, use back of page)
Name of decedent G-Il / J,... E. S 1';)..1, /
Last known address CI, u..vh "f C-od /J, ".., p I.., c-
of decedent lj,uf AI 11 :1..'1 0\1.,... ~t-
C ?-..I'~/p' PIL I>"/~
Date of death o"e 1-$~ /99 "
Place of death Ct,,,,...J, ,,~ c..J I-f",.,e..
County of grant of original letters
Decedent died testate
intestate.
A copy of the will is
is not attached.
Narne(s), address(es) and telephone number(s) of all personal
representatives appointed
Narne
Address Telephone
7,0 rJ J:, <:- to D/ 6-r-C~"lP'1rI1 /3 > "'~.(j
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1. Roal E.lalo (S,hodulo A)
2, S'a'~. and Band'IS,hodulo B)
3. Clollly Held Stock/Portne"hip Inlerlll (Schedule q
... Mortgogll and Notll Receivable (Schedule D)
5. Calh, Bank D,poli.. & MileellaneouI P.nonal Property
IS,hodu'o E)
6, Jalnlly Ownod Proporty (S,hodulo FI
7. Tran.fm(S,hodulo GllS,hodulo II
8. Total Gran Aue.. (tolallin.. 1,7)
9. Funeral Expenl.I, Adminiltrativ. CoSII, MiltellaneouI
Expo..o. IS,hodulo H)
10. Debll, Mortgage llabillti.., Uenl (Schedule I)
11. Tolal Dodu<llan.(lalalllno. 9 & 101
12. N.I Value of Ellote (line 8 minuI line 11)
13. Charitable ond Governmental e.quII" (Schedule J)
U. Ne' Value Sublect to Tax (line 12 minuI Une 13)
15. Spoulal Tronlferl (for dalll of d.olh after 6.30.9..,
5.. Inllrudlonl for Ar,plicoble Percentag. on Rev.rs.
Side. (Include values ram Schedul. K or Schedule M.)
16. Amount af Une ,.. taxable 01 6% role
(Include vclu.. from Schedule K or Schedule M.)
17. Amounl of Une I" taaoble 01 15% rote
(Include valulI from Schedule K or Schedule M.)
18. Principal taa due (Add taa fram Un.. 15, 16 and 17.)
19. Credill Spoulol Pov.rty Credit Prior Parmenll
+
111
121
131
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(6)
(7)
(9) 12C..3S-
(10)
(IS)
(16)
(17) -U 0 'J'. .3 I
OilCount Inl.rlll
+
.01 DATil 0' DIATH Anll 12'~1191 CHICK H~
If A IPOUIAL
'OVII1' _CU.DI~~I CLAIMID 0___
flLl HUM..I /'19' .. 000 16
UUMIIR
_ 8. TOlol Numb.r af Safe Oeposil Boa"
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(111
(12)
(13)
(lA)
(I B)
(191
(20)
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
COMMOHW\AlI" 01 'umm'AHIA (TO BE FILED IN DUPLICATE
DIP," ,..u., 01 '!V,NUI
"A.",fJ:b,~~ol'llll""" WITH REGISTER OF WILLS) COUNIVCODI YIAR
N -: ~A~---'-', -l.a ~-A~. M' , III I IAll . (.l1(IDU~'''(O~'''UA(.lt:'''d Ii
5 1 MJLu(__._(;. c}l.J-l1/_", "_ . ,,--,- C'~I;;/L~VoJ-I ,)'~.~ 11...0;'.;-
lO(IAlllCUIIIYNU,d.. _ IOA"0I0IA.IH _ [)AII01 IIItH Qc ,,.'I~/e.. l)~ 11u/~)
t. U 4 - 0/- I) <> 0 fJ.l'( L~!..<L1~_ _...)_~'~(.!! It!!' Co~' _C'~~,l." '. , ,), <1,
,. ......." '""'"'''' ''''''"' ..., "" '''" .., ."", ,.'"", t"'IO' ,,,",,to "UM'" ~MOU'" "",vra I'" '''''IUCI.O'''1
o I. Original Return 0 2. Supple menIal Return 0 3. Remainder R.turn
(lor dOlO' of doalh prior 10 12.13.B2)
o A. Limited Ellote 0 "a. Fulure Inler..' Compromilt 0 5, Federal Ellate To. Relurn Required
110, dol.. 01 doalh aflor 12.12,821
o 6. Deced.nt Died T..lale 0 I. D.cedent Molnlained a living TrUll
(Atta,h 'apy of WillI (Atta,h 'opy 01 T,u.l)
'COUISPONDlNCI AND CONPlDINTlAL TAX INPORMAnON IHOULD .1 DI.lenD TO. .
( M'Lf (MAlUNG AOOI(
- 20<;]0 IE....-C,.ld sT
c ;J."p 11111 PA,
1701
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0'1/2. 31. 66
/'2.6.3'!'-
11{)~-.-3/
/b 5-. '60
1'5". go
20. If line 19 II greater than line 18, .nler the diH.rence on Line 20. Thll II ,he OVERPAYMENT,
aD
21. If lIn. 18 I. greater than line 19, enl.r ,he diH.rence on line 21. Thil illhe TAX DUE.
A. Enl" thelnter..t on the balance due on line 21A.
B, En'o, lho 10101 of lIno 21 and 21A an llno 21B, Thi. is Iho BALANCE DUE.
Mob Chock Payablo to, Rogl.lor of Will., Agont
. ..IUD TO ANIWI. ALL QUUnONI ON IIVIUI 1101 AND TO .ICHICK MATH :';' :'(\f.t,;,.J,;N:"J
Under penahl.. of perjury, I declare thai I hav. examined Ihl. relurn, including accompanying ICh.dul.. and Itatemenll, and to Ih. b.II of my knowledge and belief,
It II true, corr.d and complete. I declare thot 011 real ellal. hOl been reported al Irue morbt value. Declaration 0' pr.par.r other thon the p.nonol repr..entative I.
baled on all Information af which preparer has any knowledge.
SIGN"'fUl( Of '('SON IUPON$11l( fOI f1UNO lnUlN AOO.US DATI
Che(~ h."l' .f you OIL' requc\tlng 0 rcfund of you I ovc'pavmcnt.
(21)
(21A)
12181
3 -'2.'1.7(;
DAn
Act .48 of 1994 provld.. for the r.ductlon of the tax ral.. Impo..d an Ih. n.I valu. of Iran".r. 10 or for
the u.. of the .pou... Th. ral.. a. pr..crlb.d by Ih. .Ialut. will b.1
. 3% (.03) will b. appllcabl. for ..Iat.. of d.c.d.n.. dying on or aft.r 7/1/94 and b.for. 1/1/96
I
,
I
. 2% (.02) will b. applleabl. for ..101.. of d.c.d.n" dying on or aft.r 1/1/96 and b.fare 1/1/97
. 1% (.01) will b. applleabl. for ..Iat.. of d.ced.nt. dying on or aft.r 1/1/97 and b.far. 1/1/98
. Spou.al tran",,, occurring on or aft.r 1/1/98 will b. .xempl from Inh.rltanc. tax.
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING A CHECK MARK (....) IN THE APPROPRIATE BLOCKS.
YES NO
1. Did dec.d.nl moke a Iransfer and:
a. r.lain the use or income of th. prop.rty Iransferred, .......................................................
b. r.tain th. right to design at. who shall use the prop.rty transf.rr.d or its incom., ...............
v
..
c, retain a r.versionary Int.r.st; or ...................................................................................
.....
d. recelv. Ih. promise for life of elth.r paym.nts, ben.fits or car.' .......................................
2. If d.ath occurr.d on or b.fore D.cember 12, 1982, did d.c.d.nt within Iwo years preceding
death transfer property wlthouI receiving ode quat. con sid. ration' If death occurred aft.r
December 12, 1982, did d.c.d.nttransf.r property within on. year of death without r.c.ivlng
adequate consideration...................................................................................................,
..
..
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3. Did deced.nt own an 'In trusl for' bank account at his or h.r d.ath'.............................,........
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.
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11"111111. I"~
~'~'91\
_Yflh;
COMMONW'AlIH Of rfHNl'lvANIA
INHUIIANC' TAl InUIN
IUlo,NIDlelDINI
5CHIDULI H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
. PI!a.. P~III',~! !.yp'
51
I
Gal I
h - 000 1 h
ITIM
NUMBER
DESCRIPTION
AMOUNT
A. Fun.ral Exp.n....
I.
I.
Admlnl.tratlv. Ca.t..
Personal R.presenlative Cammt..lons
Social s.cvrity Number of Personal Representative:
Year Commt..lons paid
B.
2.
A"orney Fees
3.
family exemption
Claimant
Addre.. of Claimant 01 decedent', dealh
streel Addre..
Relationship
Clly
A. Probale Fees
51-,0,.", C'e,.r,'fI<::i)1'e.
,Jc.P ;:'ce..,
C, MI,e.llan.ou. Exp.n...:
I. F' /otu ~"..5
2. p~ 5 1 0 ~
3.
A.
5.
6.
7.
8.
Stale Zip Code
z. C. 00
5-0.35-
~- 0.00
TOTAL (Also enler on line 9, Recapitulation)
(If mar. .pac. I. n..d.d, In..rI additional .h..t. of .am. .Iz.,)
5
IL~, 35-
. '.
1...110I1.. P.1I1
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~_mi~llrNIA
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
PIID.. Print Dr l I
UM ER
19 '16 - 0() 01 6
S i ~ h / Co Id 1 e 6.
IAll...-otYIoMII. 1...4 with tho IIthl ef.....~ ....1 M 41......4... k........'1
ITIM
NUMBER
DESCRIPTION
VAWE AT
DATE 01' DEATH
12.3I.G~
/-I <Jfr'~ S ,w'''jS B D1..,k
(Anoch additional 8'""" )( 11" alttetll' mor. 'pace I, nt.ded.)
i-". __"....
.- - _.- .- - - ~ .-- ._.~, ,~--. -_. - _. .--- -....
___ .__,_ _ _, _~,..L ,_, __,
..
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RECEIVED FROM,
&
ACN
ASSESSMENT I!'
CONTROL Ii;I
NUMBER
.. "
. ,
I'
AMOUNT
~, .
HAROLD FACKLER
2080 ENFIELD ST
101
.16:5.BO
CAMP HILL, PA 17011
HXDHfU~
,
ESTATE INFORMATION,
I!! I NUMIER
Iii 21-1996-0016
EJ NAME OF DECEDENT (lAST)
IlIlATE OF PAYMENT
B POSTMARK
COUNTY
SSN 204-01-17:50
IFIRST) (Mil
,.
.'i
CUMBERLAND
IlATE OF DEATH
I m TOTAL AMOUNT PAID .16:5.80,
I REMARKS RUTH FACKLER DO :.
I SEAL .~ / / __' 00
I CHECK" 4023 RECEIVED BY ,// If .'. , t , . '.', ,~
..; S1GNAI\lI! LJ. / '/ '
/ .r-'JI":/ v'/. , . .J
l MARY C LEWI S' , J>. (
REGISTER OF WILLS REGISTER OF WILLS -'.~/U'!r
--- - - - - - -- - -- - - - - -- - - - - -- - --'--- -~ - -- ~
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~IV.la~7 IX APP (12.95_
I ~ c_'"'' Of .....mVA',A
Dl''''UtUn Of .('IUU
IUlfAU or INDIVIDUAL I..r.
DrPJ. II'" I
~IIIU.O. P' 1'.'.....1
IS. 7 L. - II
L' L
NOTICE or INHERITANCE TAM
APPRAISEMENT, ALLOWANCE OR OISALLOWANCE
Of OEDUCTIONS AND ASSESSMENT Of TAM
ACN 101
DATE 07-15-96
FILE NO.
DATE OP DEATH 12-25-95 COUNTY CUMBERLAND
HOTEl TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUa"IT THE UPPER PORTION Of THIS fOR" WITH YOUR TAM
PAY"ENT TO THE REOISTER Of WILLS. "AKE CHECK PAYABlE TO "REOISTER Of WILLS, AOENT"
REMIT PAYMENT TO:
HAROLD FACKLER
2080 ENFIELD ST
CAMP HILL PA 17011
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
AMount R..i t t.d
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .....
ii"EV:i5'4TEx-lij:ji-rIF9sT"iioYicniFuiNHEiiiiiiiicE-YAx'A-PPRA'iSEif€ii'r;-,H.tciiiiiiicE-olimummmu-
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF STAHL GOLDIE E FILE NO. 21 96-0016 ACN 101 DATE 07-15-96
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..l E.t.t. ISchodulo Al III
2. Stock. end aond. eSchodul. al 121
5. Cloa.ly Held Stack/Partnership Int.r..t (Schedule C) (3)
4. Hartg.g.I/Not.. Rlcaivable (Schedule DJ (4)
S. Ca.h/Bank Depolita'Hi,c. Parlonal Property (Schedule E) 15)
6, JoIntly Ownod Proporty ISchodul. fl 161
7. Transfers (Schedul. G) (7)
I. Tot.1 A...t.
I CHANGED
.00
.00
.00
.00
1.231.66
.00
.00
eal
1,231.66
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Fuwral Expan.../A.. Coata'Hhc. E)Cpan... (Schedule It) 1'1
10, Dobt.l"ortooo. Llobllltlo./Llon. ISchodul. II 1101
11. Tat.l Deduction.
12. Net Va1u. of T.. Return
15. Ch.ritabl./Cov.r~ent.l aeque.t. ISchedu1. J)
14. Net Va1u. of E.tat. Subject to T..
126.35
.00
1111
1121
1131
1141
1~~ 3~
1,105.31
.00
1,105.31
will
If an assassment was issued previously, lines 1~, 15 and/or 16, 17 and 18
reflect figures that include the total of ~ returns assessed to date.
ASSESSMENT OF TAX:
15. Aaount of Lin. 14 .t Spou..l rata 115)
16. Aoount of Lln. 14 toxoblo ot Llnool/Clo.. A roto 1161
17. Aaount of LIne 14 t.xoblo ot Collotorol/Clo.. B r.to 1171
18. Principal T.. Du.
NOTE:
.00
.00
1,105.31
M . DO,
M .06.
M .15.
Ilal
.00
.00
165.80
165.80
TAX CREDITS:
PAYMENT
DATE
04-01-96
RECEIPT
HUI1aER
AA1l2688
DISCOUNT C+ I
INTEREST ('1
.00
A"OUNT PAID
165.80
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
165.80
.00
.00
.00
o If PAID AfTER DATE INDICATED, SEE REVERSE
fOR CALCULATION Of ADDITIONAL INTEREST.
I If TOTAL OUE IS LESS THAN tl, NO PAY"ENT 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. I
C' t..(
..' 9- ,c_
<l !~ N
D- .,
"
\D
.....
~
-,
'D ,us
&0:: 9' GU
RESlRVAT10NI Elt.t.. 0' decedent. dvlno on or before Dec-.ber II, ."2 -- I' ~y future Int.r..t In the ....t. I, trln,'.rr~
In po.....lon or enJo~t to C1... . Ceolla',ra.' beneflcl.r... 0' the dlcedent .'t,r the ..plt.tlon of eny ..tat. for
11'. or for y..r., the C~..lth har,by ..pr..,ly r...rv.. thl right to appral.. ~ ...... trena'.r rnherltenca ,....
at the l~'ul Cl... . (calla'ar,l' rata on InY luch future Inlar..t.
PIIRPOS[ Of
NOTlCEI To fulfill the requlr-..ntl of Section Zl~O 0' thl tnherltenca end Eatat, 'IX Act, Act ZZ of .991. 12 P.S.
Section 214D.
PAYMEHTI DetKh the top porUon of thh NoUce end lubIIlt with your pIYllant to tM hlhl.r of WUtl printed on tht rav.r.. .Ide.
--lWr.a check or .",.y order pIYMlh tOI REGISTER OF MILLS, AGENT
AU PIYNn" r.calved ahall first be appll~ to ."y Int.r..t which an btI ctu. with My ,...lnder 1IPP1Ied to the tlX.
REFUND (CAh I r.fund 0' . tax crMiIt, whIch WII' not r~.ted on tM h. Rdurn, ..y be reque,.t.d by cOllPI.tlng WI "Appllc.tlon
'or Rafund 0' Penn.ylvanla Inharlt~. end E.t.ta Tax" CREV-1S1S). application. ar. avallabl. .t tM o"lc.
0' tM R..I.tar 0' Will., WlY of tM 2S Ravenue DI.trlct Offlca., or by calling the .paclal 24-hour
AnlV8rlng .arvlc. ~r' for 'or.. ordering: In P~'Ylvanla 1-100-S62-2050, out.ld8 Penn.ylvWlI. end
withIn loc.1 Harrlsbur. ar.a (717) 717-1094, TOOl (717) 772-2252 CHearln. I.,alrad Only).
OIJECTIONS: Any party In Intar..t not .athUMi wIth tM .,rah-.nt, aUowanca or dh.Uow.w:. of deduction., or ..........t
of t.x Clncludlng dl.count or Int.ra.t) a. .hown on thl. Hotlc. au.t ObJ.ct withIn .Ixty (60) day. of racalpt of
thll Notlca by.
--written prota.t to tM PA D.,art.ant of Ravenue, Board of Appeal., Dept. 211021, HarrIsburg, PA 17121-1021, OR
--alectlon to have the uttar d8taralned at audit of tM KCCM'lt of tM panonal repre.entatlv., OR
-.....1 to the Orphan.' Court.
ADIlIN
ISTllJTlVE
toRRf:CTIDHS:
FKtual .rror. dl.cov.rMi on thl. .....seant ahould be ~ra..ed In writIng tOI PI Dap.rt.-nt of R.venue,
Juraau of Indlvldu.1 Taxa., ATTH: Po.t A.....-.nt R.vlew unit, Dept. 210601, Harrl.burg, PA 17121-0611
Phone (717) 717-6505. See page S of tM booklat "In.tructlon. 'or Inherltanca Tax R.turn 'or. R..ldant
Decadant.. CREV-1501) 'or an .xplanatlon 0' adalnl.tratlv.ly corr.ctabl. .rror..
DISCOtIIT,
If any tax due I. paid wIthin thr.. CS) c.lendar aonth. a't.r the d.cadant'. d..th, . 'Iv. percent C5~) dl'cCM'lt 0'
the tax p.ld 11 .1Iowed.
PENALTYI
The 15X tax .-na.ty non-p.rtlclpatlon penalty I. c~tad on the tot.l 0' the t.. end Intara.t ......ed, and not
paid ba'or. January II, 1996, the 'Ir.t day .ft.r the and of the ta. .-na.ty period. Thl. non-p.rtlclp.tlon
panaltY I. .".alabl. In the .... aamar end In the the .... tI.. period .. YOU would .....1 the tax end Int.r..t
thait has bean ......" a. lndlutMi on th1l notlu.
INTEREST,
Intlr..t h cf'Mlrgrad bagllV'llng with first day of dellnquancy, or nine C,) aonth. end ana (1) day frOll the data of
de.th, to the chlta of papant. Ta... whIch bacaH dellnquant bIIfar. JMUllry 1, 1912 baar Intar..t at the rat. of
11. C6%) percent per ..... c.lculated at a chillY rata of .0011". All ta... which bee... dallnquent on and aft.r
January 1, 1912 will b.ar Intar..t .t . r.t. whIch will v.ry froe c.lend.r ya.r to c.lendar y.ar with that rat.
MnOUnCed by the PA Dep.rt.ant of RavW'IUII. The appllcabla Inter..t rat.. for 1'12 through 1996 .r.1
'!!!! Int.r..t R.t. D.Ilv Int.r..t FKtor !!!! Int.r..t R.t. D.lIv Inter..t FKtor
1912 ZDX .GOOS.I 1917 9X .000247
Ins IU .aoool 1911-1991 IIX .aoosal
1914 IIX ..OOsal 1992 9X .000247
1915 UX .aOOSS6 1995-19M 7X .000192
19" I'X .000274 1995-1996 9X .GOn41
ulnt.rut I. calcul.ted .. followll
INTEREST . BALANCE OF TAX UNPAID X NUKBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notlc. I..ued .fter the tex btH:aeal delinquent will r.Ulct an lntlr..t calcul.tlon to flftlen (15) daYI
btIronc1 the dlt. of tM .........,t. If pa,...,t II .... .ftar the Int.r..t coeputatlon date shown on the
Hotlc., Iddltlonal Int.r..t au.t be c.lcul.ted.
STATUS REPORT UNDER RULE 6,12
Name of Decedent: bIJ /)/'e. E
/J-/dI.5;fS
Will No. ,:)./-/tff6-0/Jlh
05~,h/
Date of Death:
Admin. No.
Pursuant to Rule 6.12 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~ether administration of the estate is complete:
Yes No
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete:
3. If the answer to No. 1 is Yes, state the following:
a. Did the personal representative file a final
account with the Court? Yes No No .
b, The separate Orphans' Court 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 accounts may be filed with the
Cerk of the Orphans' Court and may be attached to this report.
Da te: 1. ~ I ~ - 'f ~
~-,-J.{ J"' eeio. ./
Signature
/-It~~o/J ~,4c.i./e~
Name (p~ase type or print) J?
d. 0 9~ ~lJf,dj Sf, (!/1l1Jj) 1/,/1, n-
Address
( 1-;/7) 1,$ 7- ,.1..53
Te l. No.
. ~-:'
..-\,.I
Capacity:
v
Personal Representative
Counsel for personal
representative
(MAH:rmf/AM3)