HomeMy WebLinkAbout96-00034
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PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Eslal, of ~~~~ L../.'!!1iL'.f.' ~,-
also known a.s _. lZ;I.n~~~_~
Dtccl/.lct/.
Social Sl'Cllril,l' No, -,-tf'!:{~;l5".;J.
.;? 1- qttJ - .3'-1
No.
To:
Rcgl~ter of WIJ!if for \he _ I \\
Counly of ~.in Ihe
Commonwealth of Pennsylvania
The petition of Ihe undersigned refpeclfully repre~enl~ thai:
Your pelltloner~l. who Is/_IS years of age or older. appL.'.c:5-. for lellers of administration
- - on thc estate of
Id.h.n.j ('I(ndcnlc lile: durnnle atl,cnlia: duranlC Illintlrhillcl
the above decedent.
Decedent was domiciled at death In c.. u...",", \"<lL\6..Nrl County, Pennsylvania, with
h '.,$ last family or principal residence nt31l' ""'o.~, k",,,,, {loll.L\,.L ,,,,,...1AL.,. t..,-:::.....,,:sL-:. P
lUst street, number, Twp. or Boro.l
Decedent, then 5q years of agel died _ D"c:..c.... b..t :27 . 19 'l,j- .
at l1fpf~ aJlu.d ,l1lOrl,,,.. II\'IJ\Al~ ::SL'J-:::I!;."... "'l~.,...
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property $ I. /l'Xl. 00
(If not domiciled In Pa,) Personal property in Pennsylvania $
(If not domiciled in Pa.) Personal properly in Coumy $
Value of real estate In Pennsylvania $
situated as follows: ~11..l .
Petitioner..i- after a proper search h~ ascertained thai decedentlefl no will and was survived by
the following spouse (If any) and heirs:
I '
hl amc Relallonshlp
s~""'^'-.
THEREFORE, petitioner(s) respectfully requesl(s) the gram of lellers of adminlstralion in the
appropriate form to the undersigned. '
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1.0r.11 Hcgio.rrar. The lIIiJiill,llll'r1i1iull' "III I'll' fllIW.lhll.,lllIlhc ~l."t. Vil.11 HI'llIld, C HIlt I' 101 j1l'llll.lllt III 1Ilinj.:
WARNING: 1111 1II0gal to dupllcalo lhls copy by pholollal or photograph.
)','" fur llii, "'rlirll''''", S1.fMJ
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3362884
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COMMONWEALTH OF PENHI"UMHIA. DIPAA'WINf OF HULTH . VITAL RICOADS
CERTtFICATE OF DEATH
(Coroner)
n_
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IUCll III
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lIornins
I 194-28-9252
o,qIOlDl.uIl.......~_1
. Decellber 27. 1995
I.IiCllI Mill
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Jan.19.1936
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Vec~mbcr 27. 1995
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n ItL ~. ,. ~,~.._ __6.15 A.
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U I _ Coroner
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n 11L-______..-=_=--_ It....P~!_1.Q.., 1995
fINOAOOMUOI' 1'l.......lIllHOtOWlITIDCAUII 01 OC.N
,...."""..""'" Hlchael L. Norrie, Coroner
'" 405 Fairway Drive
r" u Mechanic.hur . Pa. 17055
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CERTIFICATION OF NOTICE UNDER RULE 5;6(a) ,-.. (I,)
.."de." lIIlW;//l.>~.~ ; " ().
~ ~'!. ~?
Name of ~.
:B .~. r.
_4 ~...
- iiio
Date of Death: ~.:17, Jr;t75 ~~ N -
01 J -q/,p - z,t! -
Will No. Admin. No.
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
Name
Address
Notice has now been given to all persons entitled thereto under
Rule 5.6(a) except
Date: D11/).~/ 9IP
Name AI
,fi;;s;t '1ii~r:;;:d,
TelePhoneOI111.3J-JoS-S-
Capacity:
Personal Representative
Counsel for personal
representative
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IS- '7f;'-1 '0IDATlSO'DIATHAnll12/3tI9ICHICKHIII
INHERITANCE TAX RETURN ~o~::~U::~DIT IS CLAIMID 0
RESIDENT DECEDENT PILI NUMal1
COMMONWfAllHOf"NNSYlYANIA (TO BE FILED IN DUPLICATE "( ql
DfrAlnMfNl o. UV(NUf ~ I (;
HA"ISfJ:~. ~~nh'''''1 WITH REGISTER OF WILLS) COUNTY CODE YEAR
OIe;N '. NAM: Il;~' ~~O ..'DO" IN"'AL' O~';Pi~!~ i!'J.'Cr!;rP;.?J-
K)(IAl SICUllTY HUM'flt DAlf Of DIATH DAlf Of III'H {f:1jLj:.A.J,4-'-I--/ f/ (1._
194-213-9252 12-27-95 11-19-36 c",. 7-'A.I...m A--.
AMOUNT UC(lVID ISH INSllUCtlONSI
k!Y.1SOO U+ (7.9Al
l!!
..:5"
hlf~
:09
uEm
filS
Co
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82
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I" .rf'\ICAS'11 IUIVIVIHO .,ouu', NAMIIUST. 'tl$I AND /IIIDOU INIT.AII
r31
NUMIER
181-42-9932
o 2. Supplemental R.turn
o 3. R.mainder A,'urn
(lor dol.. 01 d.alh prior 1012.13,821
o S. F.d.ral Eltat. Tax R,turn Required
o Aa. future Inttr,,' Compromi..
(for dalll of d.alh oil" 12.12.B2)
Dlc.,d,nl Di.d Yes'ot. 0 7. Decedent Maintained a living TruI'
(A"ach copy of Will) (Allach copy 01 Trust)
'AND CONPlDENTlAL TAX INfORMAnON SHOULD II DIIICTIQ TO. .<,;, 'r;"./ ..r\': ""~l/,)",;,j",~!
COMPUTE MAILING ADO.
~1 IlreczcI,ood Coort
~bchanicsburg, Pa 1~
c -,
1. Real Ellal. (Sch.dul. A)
2, Slack. and Bond. (Sch.dul. B)
3, Clallly H.ld Slack/Partn.rshlp Inl....1 (Schedule CJ
A. Mortgage. and Not.. Receivable (Schedule 0)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Sch.dul. E)
6, Jalnlly Own.d Property (Sch.dul. F)
7, Tran.f.rs (Sch.dYI. G) (Sch.dul. l)
8. Total Gron An'lI (10101 Lines 1.7)
9. Fun.ral Exp.n.... Administrative COlli, Miscellaneous
Exp.nll' (Sch.dyl. HI
10, D.bl., Mortgage lIabllllltl. 1I.n. (Sch.dul. I)
II. T 0101 O.ductlon. (Iolallinll 9 & 10)
12, N.I Valu. 01 E.lal. (lIn. B mlnu. lIn. 11)
13. Charitable and Governmental B'qu,sh (Schedule J)
U, N.I Value Sybl'ct 10 Tox (lIn. 12 mlnUllln. 13)
15. Spousal Trond,rs (for datil of death che, 6.30.9A)
S.. Instructions for Applicable Percentage on Rlv,rs. (IS)
Sid.. (Includ. volue, from Sch.dule K or Schedule M.l
16. Amaunl allln. l~ laxabl. 01 6% rol. (16) 2,771.74
(Include values from Schedule K or Sch.dule M.)
17. Amaunl of lIn. U taxabl. 01 15% ral. (171
(Includ. value. from Schedule K or Sch.dule M.l
18, Principal lax due (Add lax from line. IS. 16 and 17,)
19. C,.dill Spousal Poverty Credit Prior Payments Discount
EXl1. Original Rtturn
o~,
06,
lImiltd E.tale
20. If Unt 191. grealtr Ihan lint 18. enl.r the difftrence an line 20. Thi. I. the OVERPAYMENT.
aD
21. If Lin. 18 It great.r than line 19, ent.r the differ.nce an line 21. Thi. It the TAX DUE.
A. Enter thelnterllt an the balance due an line 21A.
B. Enler Ih,'olal of lInall and 21A an line 21B, Thill.lhe BALANCE DUE.
Make Check Payable tal Regl,'er of Will., Agen'
}l;;~1~,i, ,'11 IUD TO ANSWU ALL QUESTIONS ON IIVIUI SlDI AND TO IICHIClC MATH,'
Under penahle. of perlury. I d.c1are that I have eJtamined thil return, including accompanying ach.dulll and Ilattmenl', and 10 the b.., 0 my nowlt ge an el. ,
It i. trut, carrtct and complete. I declare thaI 011 real 11101. hal been r.partter at true market value. O.c1aratian of pr.parer alher Ihan ,h. penanal "p"tlnloll.. h
bated on alllnfarmalion of wh~ preparer hat any knowledge.
5~"'fOfPU50N~UPON51'U'O"'ftt1t4(io'InUIN ADDIUS ..' 1 DAU""J--. -I.--;'~"-.
-;,," /.1~ ' t..f . ,,' L' .....,., I..'...., .~'/,I/' ",' 'jl. l~.,I\ ~~,.IC'/~'I'"
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NA f' If'AIU HU 1HAN l( IU(N1A1IV( ADO' 55 bAll" -- .. '~.l"---'-'
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(4) -0- 0 l~ Q
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(B) 11, lffl. 24
(9) $ 8, 7l6.~
(10)
(II)
(121
(13)
(14)
8. 7l6.~
2.771.74
2,771.74
x._-
x .06.
166.31
x .15 .
(IB)
Int.rllt
+
(19)
(20)
Chl'(k hl'rl' If you ore Il'questmg 0 refund of you. o\ll'rpoymenl.
1(/).31
(211
(21A)
(211)
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COMMONWfALtH O' 'ENNSYlVANIA
INHERITANCe TAX IUUIN
USIDINT DICIDINT
.
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
Plea.e Print 0' T pe
F E UMSER
ITEM
NUMBER
A. Funeral Expenlell
B.
4.
C.
1.
2.
3.
4.
5.
6.
7.
8.
DESCRIPTION
AMOUNT
1.
lilyers I'\Jnem1Ib1E , Inc
37 E. I1rln Street
l1rl1anicsburg, Pa 17055
6,716.:0
1.
AcImlnlltratlve CO.1I1
Personol Repro,ontativo Commission,
Sodol Socurlty Numbor of POllonol Repro.entatlvo:
Yeo, Commission, pold
2.
Anornoy Foo,
3.
family Exemption
Clolmant M.rinr:i.. IInminQ
Addross af Claimont ot docodenl" death
Slroot Addross 343 /ohpl.. rAIl!!
City On- lisle,
Stolo
PA Zip Code 17013
Relatlon.hip Wi fp
2,OOJ.OO
P,obato Foo,
Mlleellaneoua Expen,ul
TOTAL (AI,o onler on line 9, Recapltulollon)
(If mo,e .paee I. needed, In.ert additional .heet. of .ame aile.)
s
8,716.:0
51... 1910
@vtyef~
Funeral Home, Inc.
BOYD L. MYERS, JR., Supervisor
37 E, MAIN STREET
MECHANICSBURG. PENNSYLVANIA 17055
(717) 768-3421
BOYD L, MYERS
Pre.ldenl
TO Marjorie I.Hornina
501 Breezewood Court
Mechanicsburg. PA 17055
FOR THE FUNERAL OF
Robert E. Horning
December 27,
95
19_
itemized Account On Ins/de Page
PROFESSIONAL SERVICES & FACILITIES'
CASKET
VAULT
CASH ADVANCED:
CEMETERY CHARGES
MINISTER (2
ORGANIST
NEWS ITEMS
CLOTHING
FLOWERS
CERTIFIED COPIES
CEMETERY EQUIPMENT
TRANSPORTATION
$2595.00
2295.00
875.00
645.00
150.00
132.50
4.00
TOTAL
CREDITS
$6716.50
Received Payment
19
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1
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1
1
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1
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RECEIVED fROM:
6
ACN
ASSESSMENT P:'
CONTROL ~
NUMBER
AMOUNT
MARJORIE I. HORNING
~OI BREEZE WOOD CT
lul
.166.;,10
MECHANICSBURG, PA 1703~
rotDHrtr-
,
I
SSN
(fiRST)
SR
194-28-9232
(Mil
..
B POSTMARK
COUN
CUMBERLAND
~T Of DEATH
REMARKS
fa TOTAL AMOUNT PAID
.166.30
PB
MARJORIE HORNING
CHECK" 276
-nus WIU. a:IUCB ~l'1' I 0112658
. 11M) QI!DC
REGISTER OF WI LLS
9. I ~. -1/ ,
RECEIVED BY I (0."" S ':. c.. ," .' " f,'/./
f/ " AJ"u.,. . . , I
MARY C. LEWIS I, :,.';',1f/t
REGISTER OF WILLS
..
SEAL
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REV-1547 EX AFP (12.95*
CD.110HWULlH Of P[NHIYlVlNIA
DEPART":NT Of R[YUIlJ[
IURfAU Of INDIVIDUAL "XES
DEPT. IIDU1
HARRISBURG, Pi 17Ill.0'01
NOTICE Of INHERITANCE TAR
APPRAISEMENT, ALLOWANCE DR DISALLOWANCE
Of DEDUCTIONS AND ASSESSMENT Of TAR
ACN 101
DAT! 07-22-96
o FILE NO.
DAT! OF DEATH 12-27-95 COUNTY CUMBERLAND
NOTE. TO INSURE PROPER CREDIT TO YDUR ACCOUNT, SUBMIT THE UPPER PORTION Of THIS fORM WITH YOUR TAR
PAYMENT TO TNE REGISTER OF WILLS. MAKE CHECK PAYABLE TO "REGISTER OF WILLS, AGENT"
REMIT PAYMENT TO:
MARJORIE I HORNING
501 BREEZE WOOD CT
MECHANICSBURG PA 17055
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
Allaunt RellllU.d
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
ii"eV:is4i"EiC"Fii-m-:9SY"iiiificEnOF-YNHEiiiTANCE-YAint'pjiiiA'isEHEiii'-,--"U-OwANcE-ijlim_mmn__m
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ROBERT E FILE NO. 21 96-0034 ACN 101
TAX RETURN WAS. ( I ACCEPTED AS FILED
SEE
DATE
ATTACHED
07-22-96
ESTATE OF HORNING
( Xl CHANGED
NOTICE
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Rool Eatoto (Schodulo Al III
2. Stock a and Bonda (Schodulo Bl (21
3. Clos.ly Held stock/Partnership Int.r..t (Schedule C) (3)
4. "artg.g../Nat.. Receivable (Schedul. OJ (4)
S. C.sh/Bank Deposits/Hilc. Parlonal Property (Schedul. E) (5)
6. Jointly Owned Property (Schedule f) (6)
7. Transfar. (Schedul. OJ (7)
I. Tot.1 Auat.
,00
.00
.00
.00
11.488,24
, ,00
,00
(BI
11.488.24
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral E.pan.../Ad... COlts/HiIC. Expan... (Schedul. H) (9)
10. Oobta/Mo.toooo Llobllltloa/Llona (Schodulo II (101
11. Totol Doductlona
12. N.t Va1u. of TaM R.tu~n
15. Ch.~ltabl./Cov.~n..nt.1 B.qu..t. (Sch.dul. J)
14. Not Voluo of Eatoto Subjact to To.
10,216.50
.00
nil
(121
nSl
1141
1n,'16 ~n
1,271.74
.00
1,271 . 74
will
I~ an assessment was issued previously, lines 14, 15 and/or 16, 17 and 18
reflect ~igures that include the total o~ abh returns assessed to date.
ASSESSMENT OF TAX:
15. A.aunt of Lln. 14 .t Spou..l rat. (15)
16. AMount of Line 14 t.M.bl. .t lln..l/CI... A ~.t. (16)
17. A.ount of lln. 14 taMable .t Col1.t.~.1/Cla.. B rete (17)
18. P~lnclpal TaM Du.
NOTE:
1.271.74 X. 00.
,00 X .06.
.00 X .15.
nBI
.00
.00
.00
.00
TAX CREDITS:
PAYMENT
DATE
04-22-96
RECEIPT
NUMBER
AA112754
DISCOUNT (+1
INTEREST (-I
.00
AMOUNT PAID
166,30
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
166.30
166.30CR
.00
166.3DCR
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN .1, NO PAVMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRl, VOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. I
STATUS REPORT UNDER RULE 6.12
Date of Death:
Admin. No.
Name of Decedent:
Will No.
Pursuant to Rule 6.12 of the Supreme Court Orphans'
Court Rules, I report the following with reapect to completion of
the administration of the above-captioned estate:
1. State whether administration of the estate is complete:
Yell X 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
b. The separate Orphans' Court No. (if any) for
the personal representative's account is:
c. Did the personal representative atate an
account informally to the parties in interest? Yes X 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.
Date: /)(} /1JfJ. / ~
I /
Jf{ft;~~,1J-~ILt{L
S gna, ure
/J?4~/JP/1!' J: IIvRA/ IJtI~
Nam (Please type or print)
.jc) 1 ~~/{}-{hJ-d_ t7.h j!l.Ld'IQ~
Address / I
0/7) 13/-/oss:'"
Tel. No.
Capacity:
Personal Representative
______Counsel for peraonal
repreaentative
(HAH:rmf/AH3)
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