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HomeMy WebLinkAbout96-00048 ,r--'--' I .' " .~~:.;,. ...,., '\ ~ .,., " ,:< IJETITION .'OR IJROIIA TE and GRANT 0.' LEITERS No. _~L:!!l.- CIa-.. To: Rcgistcr of Wills for thc . /Jr('('as('d, Counly of Cunbcrland In thc Sodal SrmrllY No. 168-24-4929 Commonwcllllh of I'cnl1Sylvllnill The pctillon of thc undcrsigncd respcclfully reprcscnts thlll: Your pctilloncruo. who isiclee 18 years of agc or older IInthc cxccutrix in thc laS! will of thc abovc dccedent. dated -May-H; and eodlcil(s) dated named , 19-91- liS/aIr of Irvin r,...._G9!:9gn al,lll kll/lll'II as (~Hlle rdcH,"1 circllnlSlanl,.'C\, (',g. rcnundallon, dcalh or Cli,<<ulor, cte.) Decendent was domiciled at death in---..C:\mbPrlflnrl Coumy, Pennsylvania, wilh h ;" last family or principal residence,{t 1 ~~ ~ 1\ 1".nrl" 1.. J?""rl MeGllanksbuJ;g,-P~pptv Ilel ll'r (li\1 \1rC'CI. number and mundp3lilY) D<;>endem. then. 65 year.s of age. dij;d _ Deceni>er 26 . 19 95 at Kenova Rehcibl.ll.tat10n l.:enter, Luroerland COllnty, PeMsylvanl.a . Except as follows, decedem did not marry. was not divorced and did not have a child born or adoptcd after execution of the will offered for probate; was not the victim of a killing and was ncvcr adjudicatcd incompetent: Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa,) Personal property in Pennsylvania (If not domiciled in Pa,) Personal property in Coumy Value of real estate in Pennsylvania siluated as follows: $ 10,000.00 $ $ $ WHEREFORE. petitioner(s) respectfully presentcd hcrcwilh and the gram of letters theron. ~ l?.a4 Ot4~~ J_ Ruth H. Fite '6 ~ 214 7th Street ~,g New CUrrberland, PA 17070 ~'i: Tel. 774-6656 ~o. lr_ ~o ;; c " Vi request(s) the probate of the lasl will and codlcil(s) Testamentarv (Ieslamcntar)': administration c.t.a.i administration d.b.n.c.l.a.) OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND } 88 The petilioner(s) above-named swear(s) or affirm(s) thallhe statemcms in the foregoing petilion arc true and correct to the best of the knowledge and belief of pctilioner(s) and that as personal rcpresen- tative(s) of the above dccedent pelitioner(s) will well and truly administer the estate according 10 law. , ,~~ 79./ Sworn to or affirmed and subscribed { before me this 17th day of JANUARY .J.9~ ~ tf. ,YLih ,tJtJ(~~~ ~~~if/:: - 0::rp: ,;iV ,jt}'jof, '" ;;;- " .. i: ~ :s: 21-96-48 11th illi In lcrtif)' Ih.11 che illflllll\.llilll1 h~'lt. ~i\T1I 1\ "lIl1n II)' 101'11 \llllJlI1 .Ill IIfi,cIII.t1 1('11I1I(,lIt' III dc..III., ,dilly fill-II I.ufal ItcMi'liuJr. The oriltitltllll'uHilillt' will hl' ftl'y',lhhd ,,,lIll' "I.I It' VIl.&I Hnllld, I HIli I' fill 1'"'IIII.lIll'ltllIllI1~. WARNING: III. Illegal to dupllcato Ihl. copy by photo.tat or photograph. willi 1111.,' .l~ No, ./J / '--;':'1'-:'10"-",.11 W~(;:Y\ ~~..... /'-:_.",. . ' ' - 1.".i1lh'~i,".,":::' ~,,'222 5602 Akron Dr. Hllrrlsburg, Pa, 17109 '__ /~J-:'; g~~:F_,___u_ (),IIC 1"'0 (III' Ihi, ,,',lif;...IIC, Sl,lKI 3335051 ...." COMUOHWI!ALTH OIPlHHIYLVAkIA' OfP""'''!HT 0' HULTH' VITAL RCCORDS CERTIFICATE OF DEATH .. m ,................ tocIoIIl...""'n..,.... .IM - 24 -4929 lW.C'~......c...-. dlll:.2519!lS . , - . -...- IbIIO 19JJ - ........c.r..t ~'" -----..-- ... I~a DO :"0 0IIter1lnS ~ "....-...-....-. ,- --- lll-=- .......-.. ..................... Fta1c llxd:n Boay 0xcbI ,.. IlqtlIn 9.8phna 'l\p ...- -........... ...-.---. --- -.- ,- ..." .........- ... . -..- I' ...~!...--- . -- c.-~...., ..-- ... -............ .. - - - I!f' - - 0 -- ...0 .. ..0 - 0 ~............. ..0 wJi!{" ,==- j--- ~. -.............. -.....-~_~.IMtL ''''0I1i&AIn' ....-w,.1fIIIClMl ~'CJIIi""'" .. Cl ..0 -.. .. ......0-...... ~",.,....""-.......-....-...................--___Dl .....................-...............-.-...................................................... -...-.- ~NClCUTlNMN\'IOMrro.-....-.__~._..,. .......................-......-. .................."..~...-.......... .... ........ .... ....... , m-- "WI:ICAl"&-~ ~ 1 011...... If............... ................,................. . '" .... ......... ,.... ""............,... tta.-.......................................... .......................... ......... ................. ... ....... o .. 1.1I""":.', f... ,'".!:t3 .. 1..~I_'I~I?1 - - .. . ' . " ",I.r,r." " LAST WILL AND TESTAMENT OF IRVIN L. GDRDDN I, IRVIN L. GORDON, being of lound mind, IIl110ry and undlrltanding, do makl, publish and dlclare this to bl ay Last Will and Tlltamlnt, rlvaklng hIre by any prior Willi. FI RST: I direct that the IHplnslI of ay last ill nus and funlral Ihall bl paid from my Iltatl. 1. I dirlct my EHlcutriH to payout of IIY ntate thl COlts of plrpetual care and lIaintlnanCI of thl burial plot In which I Ihall be burlld, should arrangllllnts for lame not have beln cancludld and paid for prior to my dlath, and alIa thl cost of an apprapriatl toabltonl. SECOND: I givl and blqulath any autollobi les and any houllhold and plrlonal Ifflctl and othlr tangible proplrty of like nature, toglthlr with thl Insurancl therlon, to "Y friend, RUTH H. FITE, providing shl survivls ml by seven (71 daYI. , 1. If IIY friend, RUTH H. FITE, does not 10 survive ae, I givl and bequeath my household and plrsonal efflcts to ay son, BARRV GDRDDN, and to my daughter, ELLEN G. SANDERSON, or to the survivor of thlm. THIRD: All the rlst, residue and remalndlr of my estate, of whatlolver naturl and wherlsolver situatl, I give, devlsl and blqulath, in Iqual shares, among my grandchildren lurvlving lie. 1. I dlslgnate and appoint IIY son, BARRV GDRDDN, as Guardian 'for hill chi Idren during thllr minority for that which they shall recelvl under this IIY Will, and if my son, BARRV GDRDDN, should predlclasl me or, surviving me, dil before each of his children attains age lighteen OBI, then I designate and appoint, as lubstitute or successor Guardian, his wifl. 2. I duignah and appoint "Y daughter, ELLEN G. SANDERSDN, as Guardian for her children during their minority for that which they shall reclive undlr this my Will, and If my daughtlr, ELLEN G. SANDERSDN, should prldlclase lie or, surviving III, die blfore lach of hlr chlldrln attains age lightlen (IBl, thIn I duignate and appoint, al substltutl or succlssar Guardian, hlr hUlband. FDURTH: In addition to powlrs grantld by law, my EHecutriH is Impowlrld to compromise claims and controversilsl to SIll, IHchangl or llall any rIal or personal property, at such prices and upon luch terlls al aay bl proplrl and to distribute my Istatl in cash or in kind. . . . , ,. FIFTH. I naainate, eonstitute and appoint ay friend, RUTH H, FITE, as EHeeutriH under this ay Will. 1, If ay frhnd, RUTH H. FilE, fails to urve or to eontinue to serve as EHeeutriH, I designate and appoint, as subatitute or sueeessor EHeeutars, ay son, BARRY GDRDDN, and ay daughter, ELLEN G, SANDERSDN. 2. shall be required fidueiary aay aet, without surety. I direet that no fldueiary naaed in this ay Will to furnish bond in any Jurisdietion in whieh aueh and if a band ia nevertheless required, it shall be (21 IN WITNESS WHEREDF, I ".ff<. day of May, 1991, at pallea. have hereunto set ay hand and seal this the end hereof, eoaposed in all of two () . ,-: c:l;:;u-..., ,~ ~ . L_ (SEALl Irvin L. Gordan SIGNED, SEALED, PUBLISHED and DECLARED by the above naaed Teatator, IRVIN L, GORDDN,' as and for his Last Will and Testaaent, in the presenee of us, who, at his request, in his presenee and in the presenee of eaeh other, all being present at the saae tiae, have hereunto set our handa as wi tnellses. :::: tz',~f"tI~ Naae I Address Address Address f CERTIFICATION OF NOTICE UNDER RULE S.6(a) Name of Decedent: IRVIN L. OOROON Date of Death: 26th day of December, 1995 Admin. No. ::ll11fi 0049 Will No. 1996 99948 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 ~ Address Elise s. Gordon 3493 Green Street, Harrisburg, PA 17110 ElaR K. QgpQeR J49J GEeeR Stpset, ~itbu~, R~ 17110 Avi D. Gordon 3493 Green Street, Harrisburg, PA 17110 Ma\ll"i. i, .~ilIl~9I:t:9R 2110 SysJm:}pg gri"~, llarri~b,~, p~ ~"l'" Megan B. Sanderson 2130 sycarrore Drive, Harrisburg, PA 17112 Jaw9A i. ianQen:sR J1JQ ~ysarooJi9 b'rk'9, llarriab'll'/g, pl\ ] 71'" Ruth H. Fite 214 7th Street, New CUrrtlerland, Pa 17070 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: ~ ~O \l\,l\\' Signa~ Name RohPr~ E. Myers ~ I Address 100 Old York Road r'''' ,-._1 r..: " ;)0 21-96-48 County, PennsylvanIa Ea1Il.lII RegIster of Wills of OATH OF SUBSCRIBING WITNESS (~/!~ /_ A~ No. IIao known u . DlClued (oach) I .ubscrlblng wftnouta tho e codIcll(.) 0 wln(.) prellnled h.rewfth, (.ach) beIng duly qulllfled aocordlng III law d,poII(') and IIY(') thlt .hll hll thl)' wuJ w.r. prellnlllld .IW Ih.lbov. Ti.tltor(rbl)llgn the saml and that .h..1III\h.y .Ign.d I' a wftnu. at th. rlllualt of Tallllor(rIx) In hlan,,,Ilh.lr pr...nee and 0 In th. pr...nee of .ach oth" 0 In tho prellnce alth. ath" .ubscrblng wllnal'('.). 0" .' I' .." /lau. " /f'. .' / /. - -lanllUlI) /k ~"~(Aq/~ . 1II No:anal Seal Vera F. Frood, 'lc:ruy Nic Hanro..rg Dac;:ooCounlV MyC(lmmisslCnEl<prIlSAug,26,l907 Iry Pu Ie My Commlulon Exp~": lSIo..... ....... 01 ~ or 0'* oIIId.. ...fttd.. _'lor ..111I, 1'- daIo.. 1JllI1l1Ion" Noloty'a llOIl'IIllo~OIl.l NOTE: To be lIlt.n by oIIIcIr luthorlzed 10 admlnla1. allha. Pl.... h.v. prellntth. original or copy 1IIInIlNm'nl(.) at tlm. of nollllzatlon. ' ,""" lIlW.t PrtjlIIId br" P.,."."..... B. Auoddon 1111 I r 'COMMONWEALTH OF PENNSYLVANIA COUNTY' OF ~"'UdiQ'o YORK } II: Ruth H. FHa " - b.lnll duly ",,",,1'T1 .ccardlnq 10 ,.w, d'POIII .nd UYI Ihel Shl Gorclon Ruth H. FHa, Executrix of thl Eslell or Irvin L. IIII 01 Up~IZ...l~gen_~~+1?-,_,_ , Cumblrllnd County, P.., dlculld Ind fhot thl withIn Is .n Invlnlary m.dl by Ruth H. FHa _ _ , Ihl Illd Executrix or thl .nllre .Ihll of uld d.c.dlnl, conslstlnq 01 III thl plnonel prop.rly lad rul Istall, IXClpt rul Istlll outsldl Ih. Commonwullh 01 Plnnlylvanll, Ind Ihot Ihl f1gurll oppolltl uch Itlm 01 Ihl Invlnlary reprellnt 11'1 laIr vllu. al of lhe dll. or dlcldlnl'a dallh, . SWorn 19 96 r::?~ l1/, ~ E....tor . Admlnhtrot.. . . lad lublcrlbld bllore ml, Addro.. Do~ Deceniler "'onlh 1995 Dati or D.a,lh '6th v.., INSTRUCTIONS I, An Invlnlory mUlt bl fllld within Ihrll manlha artor Ippolnlm.nt of panonal reprel.nlatlve. 2, A auppllm.nt Inventory must be flied within Ihlrty deYI 01 dllcavery or .ddltlonal .lIi.., ], Addltlan.lahll" m.y bl all.chld .1 to persanelty or rully 4. SII, Artlcl. IV, Flduclorill Acl of 1949, ~ .,; w . M :t ~ S .. w .. : I ... u . 0 III .. e w c '" ~' ...9 ex: w ,: .' i!: ... IL oi E' 0- Z ... 0 I IL ... ~ 0 ... :l: " w ?~ i- > ex: < ~ Z " 0 c " - III Z c:l 0 ex: Z w < ... ... ... " ... ~ 0 ~ ;" u ... "0 oM .. E ... . 0 . 0 lC 0 ... ... .... . ....' h~.,."'-"_"_ Invonlory orlho roal and poraonol oalolo 01 liNIN L. oollln! docoaaod j I I, I . - 50 50 21- 00 J 410 00 0 00 4,200 00 35 00 40 00 1,906. ;,: 83 3,97 21 10 00 4,04 42 7,05 47 25 34 Refund - Auto Inouronco Refund - Tenonto Policy Houaehold FUrnishings , . PersCXUll /lpp4rol and Food !loom - to charity 1988 Pontiac AutCJTDbilo Refund - Apartroont Travelero Checks Money Market /\ccount - l'lItTOOro Truot John Hancock r-tltua1 ~undo VA gift to funerlll expcnoo U,S, Serieo E. Bondo Bcnefito fran John lIoncock Life Inouronce Policy Travelers Protection ADon, of J\rrcrica 'lUl'l\L I 21,865 77 ('" .~?? !' ~ , " ~l-(l(..:>-IIQ FIRST AND FINAL ACCOUNT OF RUTH H, FITE EXECUTRIX OF THE ESTATE OF IRVIN L. GORDON, DECEASED LATE OF UPPER ALLEN TOWNSHIP, CUMBERLAND COUNTY, PENNSYLVANIA DATE OF DEATH: December 26, 1995 LETTERS TESTAMENTARY ADVERTISED: LETTERS TESTAMENTARY: CUMBERLAND LAW JOURNAL - February 2nd, 9th, and 16th, 1996 January 19, 1996 INVENTORIES FILED: THE EVENING SENTINEL - January 23rd, 30th, and February 6th, 1996 State: August Local: August , 1996 , 1996 ATTORNEY FOR ESTATE Robert E. Myers, Esquire 100 Old York Road New Cumberland, PA 17070 (717) 774-3163 ESTATE NO.: 21-96-0048 PRINCIPAL ACCOUNT DEBITS - PERSONALTY Accountant charges herself with the following principal amounts received: Refund - Auto Insurance $ 50,50 21.00 410.00 r)f ' . __:;'J ,0.00' ' 4,~00.00 ~, -'35.00 40.00 " 1,908.83 3,979.21 100.00 Refund - Tenants Policy Household Furnishings Personal Apparel and Food Items - to Charity 1988 Pontiac Automobile Refund - Apartment Travelers Checks Money Market Account - Farmers Trust John Hancock Mutual Funds VA gift to funeral expense ESTATE OF IRVIN L, GORDON u.s. Series E. Bonds Benefits from John Hancock Life Insurance Policy Travelers Protection Assn. of America TOTAL DISBURSEMENT ACCOUNT - PERSONALTY Reese Funeral Home Chis uk Emuna Cemetery Rabbi Ron Muroff Rabbi Silver Administrative Costs Attorney Fees - Robert E. Myers Probate Fees and Short Certificates Cumberland Law Journal - Advertise Estate The Sentinel - Advertise Estate Enid Martin - Notary Auto Loan visa - Charge Account Master Charge - Charge Account PP&L Register of Wills - File Inventory Register of wills - File Tax Return Register of Wills - File First & Final Account PAGE 2 4,041.42 7,054.47 25.34 $ 21,865.77 $ 3,331.88 1,750.00 75.00 75.00 1,088.82 1,088.32 86.00 60.00 71.04 8.00 3,750.82 1,590.85 188.20 61.95 10.00 10.00 113.00 ESTATE or IRVIN L. GORDON Register of Wills - File Releases Bell Telephone Attorney Leslie Handler Holy Spirit Hospital Ruth Fite - Services for Last Three Months Freysinger - Auto Inspection Keystone Urology Two Rabbi for Tombstone Ceremony Monument for Burial Lot - Romberger Memorials Dr. Lester Lifton AAA Transfer Title to Auto R. Cook Auto Insurance Laundry Account Funeral Luncheon Stamps and Envelopes Gas - Auto Long Distance Telephone Calls Truck Rental - move furniture Clean Apartment TOTAL PAGE 3 12.00 10.62 152.00 73.70 300.00 120.18 27.07 50.00 1,365.00 57.65 54.60 264.50 25.00 92.17 10.00 13.25 35.00 33.22 220.00 $ 16,274.84 ~STATE OF IRVIN L. GORDON pAGE 5 pROPOSED SCHEDULE OF DISTRIBUTION TO: Ruth H. rite $ 410.00 In Kind - Household furnishings 4,200.00 II II 1988 pontiac Automobile TO: Barry Gordon Testamentary Guardian of his three children namely: Elise S. Gordon, Elan K. Gordon and Avi D. Gordon. $ 490.42 In cash TO: Ellen G. Sanderson Testamentary guardian of her three children namely: Maura B. Sanderson, Megan B. Sanderson and Jordon S. Sanderson. In Cash $ 490.42 THE BASIS FOR DISTRIBUTION The proposed Schedule of Distribution is based upon the provisions of the Last Will and Testament of the Decedent, Irvin L. Gordon, dated May 16, 1991. Respectfully submitted, 4l,-r.4 .:JJ. cV$.1 Ruth H. Fite Executrix and Accountant '1-; _ ;(0/:..;,})!' .- ~ t .-ot-"'> ..., i\';~~r{~ "vi...,,!\!:) : '___~~_ ",,-;::~:'::~it{~~~ \'j ':_'r~_ ,.-f_ :\___~_- ','1_: _"_-' j~~~ 'herebyOlftIfy that wrhtannotloe of theflllngof~t1I'Stli.rn.nf ' ,of Pr , lid Dll1rIbutlon, end of thldet8.tlme iilit~.WI\'." the'::e wllllle pre..ntld to the Court fot:oiiiItlmiiticKiind of the ,.., day to f\lewrlttel'rob~tO'''Id.~'~;4,t,,>\ Proposed Distribution. hubetn given to ~ ,1l1@~iI!Il~t!V:i;i::fl H'O'~ every otherper80nknowntotM'~nt:to"",ve::;;,:~~~}f o lllalm en Interest In the lltete la ctedhot,llenIlJcIIrI; hllt;''i,V;'i':~ or ""Jd Of kin'. ' . ),",. :, \' .~. ,j.l'i:~~";l~i-:tf~-",';l~.~'- '!~ , "l,)py of ..Id Statement we, Included With the ~;~ 'h'f;~,~' , .~ . ',; u,' ~ili:~'\~;"' . > I ~ ~'!,"_1,.lJ:,;J " , .~.. ~~r:':' ,r "~{)i't ~i~J'~~~ . ;- ~,,, '/""1"~;'/1~'''-'J.~ -l1 ~ "', 1,,';"'[" Vr't..it'A~,-:f"<.. '. ~ "~' . !( ~~, ',~L'"", -,I ',,' :~~ ' ;, i, '--::'::~:;' ,. 1': 'j..- J :,), .!I .~ ;ili;ll tdl1l ,~ll!l~ ': lSc '.i : C'!',8~l,I" tlilt ' tfiS:2.1:5 i ~.! i's~, ~ t: ~,' ,~, : liOC ,c: ;,-5 .,'f. e""~ Is _,s:, ~ a._ v.-.....'cu'.z:.- .= ; s.g u 2! '.< : .t~"~ I ~-" :.'~' l I I .1;..." ,<"'" l' I ..":I:i:~ ":,', ~~ ;, r .; , Ii " :'::/3;1 " ".:<." r ',,' ,1Y: .....,. ,,' ,:;. tg I l::rt'..., .'"_ ~ ~ ","(.1" i::".- ~ ' <- 'r ,~'~ 1 ~.,."', . y <- \ .' < -;,' or ". #:;1 J ' ' _ I i~~;I{I' .~: ~;~:: ~s:2f: i :~~ :<..: f", , ?1II,i. . ;~, ','f' " ?f~'~~Vi~'~\~~'ft:"'"t.. " ,.., ,-...... ",'0 ,0 " :. ".0 ... I ...' ,N " ~, ,- ',' ,,': .t,' ,: J..a . · " e:a... '. .'e_ . -::: ,r'5:". '", ~..-. "', cJ'" .m .-c:l:.: 00=,' = 0.. ~'O . "'~1I -= A.c B"e -a=O .- .. - c:e" .f.i~ ,~,'~i -,,- ;'8~~ -0 ::~. !s~ 1 "I; .:, '~.'~~~:</' l-: , .:; ..... :; 4' .- ", . ....;... , ----~_.. ROBERT E. MYERS AnoaJlll\' AT LAw .. YOU aaAD NEW CllMlDLANO. 'A "'" I':" -,-i', . _~.4:" ; ~.-; " .... ',",',~ .~-_.c'_~,r;"_:,~;i.rl'/'-~li;;;~ n "i, ....'.'!-~-~,.,>:.~4:'t\~,.. :::.." ' ,_i." ,:;"l'~,.lu' -tt"WI! " '~~-:~{\1~-::~:;~~;5{jl~~~\ ,.,,_.;.-;. -~ "'J.;-.."rl.~"ti.:r.4 ._/.1 (;{':"f:'('\., .i:JJ:i,; .- . ....,.~ "'11';*; "'l' .>i'~>"'~ .t .'~ ~~ '-fj"I.;t:~~I,~.tv ,/ ' , ,,~; ll' '~r~~' ~,~. ~ -.:.,~, ",;,..."".p ill ~'l B".!;~ ~,;;'\~,; , ':'I';SI~'P~)~~~i ?;~ .a/I~'II:\'jl&! {I' . :,:i~\Hl I' '~41 }....f.'t'! .It' , . t'~ :.{;'~;,~'4t1;' ::-r-""i"I;<,,':.:;.::;r; . "v\. I' ,'. t';'",,""')": ,J . ~,.~ .'~ ~_..,:.," il- -t"j tA~ :~r~{~lltl :(~ ~,. ",;, . _ ~;-e ,,[' , . .,.., r: :,. __;-~:' ,_"",-" i':.,j ~":', _,t, ~.l ." .,._:JI'J~ ,,\ ',. '.~ -. :> " ,c~.., ,'. .;i:.. ...L~,'-". ". > ' '>,f,"'~'"'' ~;t.-t',,'" . t'. . \~ :J:..;:"r~~::..,,";:j~-.\:" :<' _:"._,,--,._~~~i'! . '.~~~i~",,~~. " '" ~ '. .-\". .!"T:~ ~, ' " .:....:- , 20. II1Ino 191. groall' .han lIn. 18. .n'" ,he d;ff".nco an lIn. 20, This I. ,he OVERPAYMENT. riD 21. If lIn. 18 I'greot., than lIn. 19, Inl.r the diff.renc. on lIn. 21. Thills the TAX DUE. A. Ent., th.lnl.,,,, on the balanu due on L1n. 21A. B, En.".he '0'01 ollln. 21 and 21A on lIn. 21B, Thl.l. ,he BALANCE DUE. Mah ChICk Payabl. 'a. Rogl.,.. ., Will., Ag.n' ,,- ',-'81 SUU,TO:MSWIRALL QUISt\ONSONRMlSnlDI AND,TORlCltaar. Under Plnaltl.. of perjury. I dedor. thaI I have ,xamlned thl, r"urn, Including accompanying tch.dul.. and Itaf.menls, and to the b.., of my knowledg. and b.lI.f, Ilia tru., correct and compl.t.. I dedor. thai all r.ol "'01. hos bl,n '.parller at true matht value. D.c1aratlon of prepare' other than the plrlonol r'p,...ntotiv. I, balld on alllnformOllon of which prepare' ha. any knowledge. SIGNAl WN' SroNS1II( fOil m G '(lUIN "'DDIIUS ~JAn J /. . (1~ ,If} Li!- .,-c. DAn' , Q-16"fL Iry.!Soo lh (' ~Il l!! ",:5= !l!~9 ...~.. . - ~ . -/-- ~A~~ .0. DATlS O. DIAIH Anll 12'~ 1191 CHICK Hili " A SPOUSAL povl.n C..DIY IS CLAIMID 0 fill NUM". INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) 15 51 III .. COMMOHW(Al1Il 0' rum1YlVArll.A DIP..R'M(N10f Ir'lWUf Dr" lIC1WI H"'U'UURa,'~ 1111~.,~_1___ H' HAM! llA . .1 . "'~D MIOOIt INI 'AII GORDON, IRVIN t.. K)Ct,4,l neUR." NUMIU 1065 A AI.LENDALE ROAD MECIIANICSBURG, PA. 17055 c.", CUMBERLAND AMOUNt 11((1'1(0 tUI INSTRuctlONSI 21 COUNTY CODE 96 YEAR 0048 NUMBER 01 fOW 'So OM'U (ADO' So CA" Of DU.I" 168-24-4929 12-26-95 fl' ""I.lOIII,IU"'YIN(] I.ouU . 1'<1""'11"". II'" AND ".00t' INITIAII oa 1. Original Rllurn o 2. Suppl.mental R.turn 03, OS, R.mainder Return (lor do... 01 d.a.h prior '0 12.13,821 Federal EIlol. Tolt R,tur" R.qulred :il15 "'a "'z 52 o A. limited Ellal. 0 AD. Futur. 1nl.'.I' Compromis. (10' do... 01 d.a.h oft" 12,12,821 o 6. DIC.d.nt Di.d Teltal. 0 7. O.e.d.nt Maintained a living Trull (AHa,h ,opy 01 W;III (Allo,h 'opy 01 T,ull) ALLCORRUPONDINCI AND CONPlOINTIAL TAX INPORMAnON SHOULD 81 DIRICTlD TO. " ' COM'Lfl( MAIIINQ AODRf .,;. ~~1:",C(~-, ,t: ;~ ...~ ~:,'_~,,"";ti', _ 8. Tolal Numb.r of Soft O'POlit BOIleI ROBERT E. MYERS nUPHONf NUMIU lOa YORK ROAD :oJ '" NEW CUMBERLAND, PA. 17070 , , (I) ( 21 ( 31 ( 41 (51 lA,7R'ii Qt'l ( 6) 240.39 (7) (8 ) 15,026.35 (9) 16,279.94 (10) 774-3163 z .. 0: :5 ! '" I. R.al E,'a', (S,h.dul. A) 2. S,.,~. and Bond. (S,h.dul. B) 3, ela..ly H.ld Slo,~/Partn."hlp In',,,,' (S,h.dul. C) A. Mortgag'l and Not'l R.c.ivabl. (Schedule D) 5. Calh, Bank Depolill & Milc.llan,oul Penonal Property (S,h.dul. E) 6, Joln.ly Own.d P,op.rty (S,h.dul. FI 7, Tranol", (S,h.dul. GI(S,h.dul. l) 8. Total Gran An'lI (lolallin.1 1.7l 9. Fun.ral Ell:p.nSls, Adminlstrativ. COSII, MilCellaneous Ell:p.nsll (Schedul. H) 10, D.b... Mortgog. Uob;;;.i.., lI.n. (S,h.dul. II II. Talal D.dudlon. (Iotallln.. 9 & 101 12, N., Valu. 01 E.la', (lIn. 8 mlnu. lIn. 111 13. Charilabl. and Governm.ntal B.quests (Schedul. J) lA. N.t Volu. Subl'ct to Tall: (lIn. 12 minuslin. 13) 15, Spou.ol T,an.I." (I.r do... 01 d.alh aftor 6.30,94) 5.. Inslrudionl for Applicabl. P.rctnlog. on R.v.n. Sid.. (Includ. valuII from Sch.dul. K or Sch.dul. M.) 16. Amount of L1n. 1 A toxobl. at 6% ,at. (Includ. valulI from Sch.dul. K or Sch.dul. M.) 17. Amount of L1n. 14 taxabl. al 15% '01. (Includ. valulI from Sch.dul. K or 5ch.dul. M.I 18, Principal 'a. duo (Add .0.lrom Un.. IS, 16 and 17,1 19. Cr.dill Spoulal Pov.rty Credit P,ior Poym.nll + + (191 (20) (11) (12) (13) (14) 16,279.94 (151 (16) dWNT 240.39 )(._- )( .06 II )( .15 . 36.06 z 2 .. ~ :II a ... S (18) 36.06 Discounl Interlll (l1(.>(k hero If you Olt.> rf>quc!.ting 0 fefund of YOUf ovefpaymenl. (21) (21A) (2181 36.06 ...........III"'l. COMMONW'AUH 0' rlNNmVANIA INHIlIIANC. WlIllU.N '!IIDIN'DICIDIN' ISTATIOP SCHEDULE F JOINTLY.OWNED PROPERTY Jol.' '0.0.'(')' I1<lJ/N L. Go~ O(l A. NAME R.1:tC"" H ',1r. I. C. Jol.'iy-ow.od p.....rty. ADDRESS 'J. \1{ 1Tw $T'. N~ W G..""~at.~lWO ~. PILI NUMBIR 1. ~.Odl.l'i" RELATIONSHIP TO OECIDINT F ~\EAlO ITEM LmER DATE DOLLAR VALUE OF FOR TOTAL VALUE OECD'S NUMB!1 JOINT MADE DESCRIPTION OF PROPERTY OF ASSET 'Mo INT. DECEDENT'S INTEREST TENANT JOINT 1. ,.. '1,n-i\t FM""""~ "'~~(."Ec.KI""" Lt''\'''' Sf> ~1b. I)" S 1JT'. '15" 51 ,31 TOTAL (Allo onter on 11.0 6. Recopitulation) S '1Ut\.'\'t (II more spac. ;s n"d.d inserl additional ,h..,s o( some size) 11"!SlIlIt""1 . COMMONWIAIIH m 'INNn,V...NIA INHUn...NCI ,.... UrulN IUIDIN' DfCfDINJ IRVIN L. GORDON ITEM NUMBER A. Fun.ral Exp.n..., 4, 5. B. 4, C. 1. 2. 3. 4. 5, 6, Rabbi Silver Romberger Memorials -Monuments Admlnl.tratlv. Ca.t., Pe..onol Representative Commlllions Social Security Number of Pe..onal Representotive: Year Cammllllans paid Family E.emption Claimanl NONE Addrell of Cloimant at decedent's dealh Streel Addrell Cily 1. Reese Funeral' Home 2, Chisuk Emuna Cemetery 3. Rabbi Ron Muroff 1. 2, Altorney Fees 3, SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES PI.a.. Prln~-"r Typ. NUMBIR 21-96-0048 DESCRIPTION AMOUNT $3,331.88 1,750.00 75.00 75,00 1,365.00 1.088.32 1,088.32 Relationship Stole lip Code Probole Fees & Short Certificates MI.c.llon.ou. Exp.ns." 81.00 Cumberland Law Journal -- Advertise Estate 60.00 Auto Loan Sentinel Newspaper -- Advertise Estate 71.04 Visa -- Charge Account 3,750.82 1,590.85 Master charge - Charge Account P.P. & L. 7. Register of Wills 7.A. Register of Wills 8. Register of Wills 8, A. Register of Wills 188.20 61,95 File Inventory File Tax Return File First & Final Account File Releases 10.00 10,00 113.00 12.00 TOTAL (Also enler on line 9, Recopllulotion) (If mar. spac. I. n..d.d, In..rt addltlonal.h..t. of .am. slz..) s CONTINUED "W,UII ,.. I",. * (aMMONW'IoU" Of "NN'nYIoNllo IHtlI.nAHCI,....nUIH tI.,OIH'DlelDlH' SCHEDULE J BENEFICIARIES ISTATI O. PILI NUMBIR IRVIN L. OORJn.l 21-96-0048 ITlM NUMBER NAMI AND ADDRESS O' BENEPlCIARY RELATIONSHIP AMOUNT OR SHARI O' ESTATE A. Ta.abl. B.quIIII: I. C/O Barry Gordon, Guardian Granddaughter 1/6th 3493 Green St. Harrisburg, PA 1 110 2. !an K. Gordon, c/o Barry Gordon, Guardian Grandson 1/6th 3493 Green St., Harrisburg, PA 1 110 3. lfi D. Gordon, c/o Barry Gordon, Guardian, Grandson 1/6th 3493 Green St., Harrisburg, PA 17 10 4. Sanderson c/o Ellen G. Sanderson, Granddaughter 1/6th Guardian, 2130 Sycamore Dr. Harrisb , PA 17112 5. Sanderson , c/o Ellen G. Sanderson, Granddaughter 1/6th Guardian, 2130 Sycamore Dr. Harrisburg PA 17112 6. Sanderson, c/o Ellen G. Sanderson, Grandson 1/6th Guardian, 2130 Sycamore Drive, Harris , PA 17112 ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE B. Charilabl. and Govlrnmental Bequel'l: I. TOTAL CHARITABLE ANt' GOVERNMENTAL BEQUESTS IAI.a .ntor on lin. 13, R"apitulatian) S (If ma.. .pa" I. ...d.d, 1.11" addltlo.al .h..t. of .am. .111) FARMERS- TRUST. February 3, 1995 Robert E Myers 100 York Road New Cumberland, PA 17070 ReI Estate of Irvin L Gordon SSN 158-24-4929 Date of Deathl Decernber 25, 1995 Dear Mr. Myersl In answer to your request concerning accounts owned, either separately or jointly, by the above referenced decedent and the balance in each account as of the date of death, we have checked our records and are subrnitting the following information in duplicate. We suggest that you file one of these letters attached to the Pennsylvania Inventory forms (RCC) to substanti'ate the balance you report. Note that we have shown the correct registration for each account. Also, interest accrued to the date of death, if any, is listed as a separate figure. Checking account *399027 was originally opened 12/27/91. The account was titled in Irvin L Gordon's narne alone. The balance as of 12/25/95 was $1,900.57 plus $2.80 accrued interest for a total of $1,903.37. The account was a Money Market account earning 2.50~ interest at the time of death. Checking account *553301 was originally opened 8/17/84. The account was ttt,led joint bet weer. Irvin L Gordon or Ruth H Fite. The balance as of 12/25/95 was $479.99 plus $.78 accrued interest for a total of $480.77. The account was a NOW Account earnira 2.10~ interest at the time of death. We do have a safe deposit box at our Highland Park Dffice ..143 titled in Irvin L Gordon's name alone. Sincerely, /~~~ Karen Tomassone Customer Service OneV'kstHighSlreet P.OBox22D Carl~.lbnsylvania 17013 (717)243-3212 ";.'W' 21-9h-I.R ,I "f'" Lnsr 1-111.1. nNIl TESTnNENT UF IRVIN L, GORDON I, IRVIN I.. 13URllllN. h.lng of und.ra~..ndlng, do ....II., puUIlsh ..nd d.cl..rll TIIs~",un~, ,".volllng hll,""by ..ny prior 1-I111s. saulld mllld. ...ory and ~hl s ~o bll ..y L..s~ 1-11 I I ..nd FIRST. I dlr.c~ ~h..~ ~h. .Hp.IIS.S of ..y I.,s~ 1IIIIIIas ..lid fUllllral shall b. p..ld fro.. my .s~a~.. I. I dlr.c~ my EH.cu~rIH ~o pay OU~ of ..y .s~a~1I ~h. cos~s of p"rp"~II,,1 c..,"" "lid ....I"~,,".'nc" of ~h" burial plo~ In which I shall b" bln-I.d, should ..rr""g""""~" for s".." 1I0~ have bll"n cOllcludlld and p..ld for prior ~o ..y dea~h. and also ~he cns~ of an approprla~1I ~o.bs~on". SECOND. I glv" alld be'1ulla~h any au~o..obllll. alld any hous"hold and personal "ff"c~s ..nd o~her ~..nglbl" prop"r~y of 1111" na~ur", ~ ogll~I"'r wi ~h ~h" I nsurallc" ~h"reon. ~ 0 ..y fr I I!nd. RUTH It. F I TE. providing shl! survlvl!s "I! by sl!ven (7) days. I glvl! GORIlDN. ~hl!.. I. If..y frll!nd, RUTH H. FITE. dOl!s 1I0~ so survlvl! ..... and bl!qul!..~h ..y housl!hold alld pl!rsollal I!ffl!c~. ~o ..y son. BRRRY and ~o my daugh~I!r. ELLEN G. SANDERSDN, or ~o ~hl! survivor of THIRD. All ~hl! rl!s~. rl!slduI! and rl!mallldl!r of ..y I!s~a~I!. of wha~sol!vl!r lIa~url! alld whl!rl!sol!vl!r sl~ua~I!, I glvl!, dl!vlsI! alld bl!'1ul!..~h. ill I!qllal sharl!s. ....ollg ..y gralldchlld'"I!n survlvlll!l mI!. I. I dl!si!ln"~I! and appoill~ ..y son. BnRRY GORDON. as Gllardiall 'for hi s chi Idrl!1I dllring ~hl!ir 1I1110rHy for ~h..~ which ~hl!Y shall rl!cl!ivl! ulldl!r ~his my I-lill, and if IIY SOil. BnRRV GORDON, should prl!dl!c..asl! "I! or, sllrvivln!l ml!, dil! bl!forl! I!ach of his chlldrl!n a~~alns agl! I!lgh~I!I!n lIBl, ~h"n I dl!slgna~I! and ..ppoill~. ..s subs~i~u~I! or SUccl!ssor Gu..rdlan. his wlfl!. 2. I d"sign"~I! and appoill~ ..y dau!lh~I!r. ELLEN G. SANDERSON, as Guardiall for hl!r childrl!n during ~hl!ir ..inorl~y for ~ha~ which ~hl!Y shall rl!cl!lvl! under ~hls ..y 1-1111, alld If ..y dau!lh~I!r, ELLEN G. SANDERSON, should prl!dl!cl!asl! "I! or, survivlllg "I!, dll! bl!forl! I!ach of hl!r childrl!II a~~ains agl! I!19h~I!I!1I (IB), ~hl!n I dllsi9na~I! alld appoln~, as 5ubs~i~u~I! or SUCCl!ssor Guardiall, hl!r husband. FOURTH. III addltioll to powl!rs 9rall~I!d by I..w. ..y EHI!cu~ri" i" I!mpowI!rl!d ~o comp,-omi"I! claims alld con~rovl!."sll!SI ~o "I!II , I!"chall91! or lI!asl! allY rl!,,1 0'" pl!rsonal p'-opl!r~y, ..~ sllch prlcl!s and IIpOIl such ~I!r.." as ..ay bl! propl!rl and ~o dls~ribu~I! illY I!s~a~I! In cash or III Idnd. , ~ . ( r FIFTIII I no.dnllte, con.tltute Ilnd Ilppolnt IIV f..hnd, RUTH H. FilE, .. EMecut..IM und... thl. IIV Will. I. If IIV fr!.nd, RUllI II. I'ITI=:, fAI h to ....ve 0.. to continue to ....ve A' EM"cut..IM, I dellgnate and appoint, al lubltltute 0.. IUCC"IIO" EMecutorl, IIV lon, SnRRV GORDDN, and mv daugl.t..., ELLEN G. SANDERSDN. 2. Ih.11 b. ..equl.."d flducl...V lIav act, wi thout au..et V. I dl..ect that no flducla..v nallled In thll IIV Will to fUl'nlah bond In IlnV ju..hdlctlon In which luch and If a bond II n"ve..thel"ll ...qul..ed, It IhAl1 b. C21 IN WIlNESS WlIEREOF, I f,.ff, day of MAV, 1991, at pagea. have he...unto I.t IIIV hand and 1.111 thll th. IInd h....af, cOlllpol.d In all of two ~ ./ ~r.L- I..v I n L. Go..dan (SEALl SIGNED, SEALED, PUBLISlIED and DECLARED bV th. abov. nall.d Testata.., IRVIN L. GORDON, al and fa.. hll Lalt Will and T"ltam"nt, In th. p""I"nc" of U', who, at hll .."qU"lt, In hll p""I"nc" and In th" p""I"nc. of "acll oth".., all b"ing p""I"nt at th" lam" till", hav" "".."unto ."t au.. handl a. witn"..".. :::: Id;'.~r;'{;;;~ Nail. Addr"ll ," ,1 , I' .J. . ~(lt:~1 .': .. t/. f/l; I l ,," "'f ,. / Add.."n Add..... KAKE CHECK PAYABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 1701~ CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REy:i5'4i'iif'AFP""ii1i:96riiiifIcn'FuiNHiiiITANCE'YAx'A'pjiiiA'IsiiliiiT~"Ai.LciwAijcE''ijR'mmu'mm- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF GORDON IRVIN L FILE NO. 21 96-0048 ACN 101 DATE 03-03-97 TAX RETURM WAS, I I ACCEPTED AS FILED I XI CHAHGED SEE ATTACHED NOTICE RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN 1. Roel E.t.t. IScheduI. Al III 2. Stock. end Bond. IScheduI. II 121 S. Clo..ly Held Stock/P.rtnerohlp Int....t IScheduI. CI ISI 4. Hart_.lllat.. R....lY...I. IScheduI. 01 141 S. CIIohII_ Ilepoolhlltha. P.r."""l Property ISchedul. EI 151 6. Jointly Owned Property IScheduI. FI 161 7. Tren.f.r. IScheduI. 01 171 I. Tat.! A...t. APPROVED DEDUCTIONS AND EXEMPTIONS I 16,279.94 9. Funar.l Expen.../Ade. Co.t.lltl.a. Expen... IScheduI. HI 191 10. Debt.lllortgege LI...Illtl../Llon. ISchedul. II 1101 ,00 11. Tat.l _tlon. 1111 12. Het V.lue of Tex R.turn n21 IS. CherU"'I./Gov.........tel ~.h ISchedul. JI IISI 14. Het V.lue of Eat.t. _J...t to Tex n41 NOTEI If.n ........nt w.. i..u.d pr.viau.ly, lin.. 14, 15 .nd/ar 16, 17 .nd 18 will refl.ct figur.. th.t include th. tat.l of ~ r.turn. ......ed to d.t.. ASSESSMENT OF TAXI IS. _t of Line 14 .t Spou..l r.t. nSI 16. _t of Line 14 tex...l. .t Llne.l/CI... A r.t. 1161 17. _t of Line 14 tex...l. .t Coll.t.r.I/CI... I r.t. 1171 II. Prlnclp.l Tex Due TAX CREDITS: PAVllENT DATE 10-04-96 6-7(J-/ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE IURfAU I~ INDIVIDUAL TAXES INHlJJ'ANCL 'AX DIVISION DlPr. II"" tlM.IIIIlIIG, PI lIUI."'1 HOTICE OF IHHERITANCE TAX APPRAISE"EHT, ALLOWANCE DR DISALLOWANCE OF DEDUCTIONS AND ASS!S~EHT OF TAX ROBERT E HYERS 100 YORK RD NEW CUMBERLAND DATE ESTATE OF DATE OF DEATH FILE NUHlER COUNTY ACN 03'03,97 GORDON 12'26'95 21 96'0048 CUMBERLAND 101 _t Roelthd PA 17070 .00 ,00 .00 .00 14.785,96 240,li .00 11'_ .00 X .00. .00 x.06. 240.39 x.15. nil RECEII'T HUHllER AA146820 DISCOUNT I + I INTEREST I-I .07- AI10UHT PAID 36.06 INTEREST IS CHARGED FROM 10-05-96 TO 03-18'97 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE ~ * WfoI'uu,"m.MJ IRVIN L NOTE I To Inaur. proper c.-.dlt to your KCount, oubeU the _r portion of thl. fa.. .Ith your tex p._t. 15,026.35 16.?79 94 1, 253.59- .00 1,253.59- .00 .00 36.06 36.06 35.99 .07 .00 .07 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. I IF TOTAL DUE IS LESS THAN U, HO PAVllENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YDU HAY IE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.I COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE Ill>- -'''-"''*' BUUAU a"NDIVIIlUAL TAXlI 11Kl11lo11Ct lAll DIVIII... DlJII, ,,'''1 HAllIIIIUIIO, PA 1711...... HOTICE 0' INHERITANCE TAX APPRAISEKENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AHa ASSESSMENT OF TAX DATI ESTATI OF DATI OF DIATH FILE NUMBER COUNTY ACN 03'03'97 GORDON 12'26'95 21 96-0048 CUMBERLAND 101 A......t R..i Ued ROBERT E HYERS 100 YORK RD NEW CUMBERLAND PA 17070 ....1..'.. ".IU."I IRVIN L "'I,l'l-' CHEtK I'AYABLE AND REMIT PAYMENT Tal REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE, PA 17013 cur IILIlNU nUll LUI~ _ K"I"~" I.UUK I'U/(I11l1t ~UI< 1"'''1< """"""" ~ ifiv:UioTiX-AFP'fiZ:9iii'iiiificni;:-YliiiiiiifANCi'TAX'APPiiA'isii1iii:r;-ALLOiiANCn'Ii--.--.__.'._-"_. DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATI OF GORDON IRVIN L FILE NO. 21 96-0048 ACN 101 DATI 03-03'97 TAX RETURN liAS. I I ACCEPTED AS FILED I XI CHANGED SEE ATTACHED NOTICE RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE APPRAISED VALUE OF RETURN BASED aNI ORIGINAL RETURN 1. R..l Elt.t. ISchedUl. Al Z. stock. end Bondi ISchedUl. II S. Clo..ly Held Stock/p.rtnerShlp Int.r..t (SchedUl. CI 4. IIort_"/Hot.. RIIC.lvabl. ($chedUl. 01 s. eashlBenk Depa.ltl,"ll.. p.r.on.l Property l$chedUl. EI 6. Jointly OWned property ISchedUl. FI 7. Tr....f.r. ISchedUl. gl e. Tot.l AI..t. III IZI ISI 141 151 161 171 .00 .00 .00 .00 14.785.96 240.39 .00 NOlEI To inlure proper creel1 t to your eccOU'\t, aubelt the _r porUon of thl. fore with your t"" p'yeM\t. leI 15,026.35 APPROVED DEDUCTlONS AND EXEMPTIONS I 9. F......l E><P8".../AdII. C..b,"tlo. E><P....I.. IS_cI\ll. HI 191 16,279.94 10. Debb/Hortg_ LlablUU../Ll.... ISchedUl. II 1101 .00 11. Totel o.cNoUon. 1111 1/;, nq q4 12. Het Vel... of T"" R.turn I1Z1 1,253.59' 1$. ChIlrHabl./IloV.........te1 I.......b ISchedUl. JI I1SI' 00 l~. He' ~.l... 0; ..~.~. :;';:"jo,t {. T~ 1141 1,253.59- NOTEI If an a.......nt wa. i..u.d previou.1Y, lina. 14, 15 .nd/Pr,J6. 17 .nd 18 will r.n.ct figur.. thlrt in::lud. the total of ALL r.turn. a.~d to.dlrt.. :D ASSESSMENT OF TAXI '" II ~ iP~ 15. _t of Llne 14 .t s........l ..t. 1151 .00 X' 00. .. ,-, .00 16. _t of Line 14 t""abl. .t Llne.l/Ch.. A ..t. 1161 .00 X' O~ . ' " .00 17. _t of LIne 14 t""abl. .t CoU.te..l/Cl... I ..t. 1171 240,39 X .19;" , 36.06 , I Ie. Prlnolp.l T,"" lJue l11Do-' 36.06 ,-J" TAX CREDITS I . PAYIIENT RECEIPT DISCllUHT 1+ I DATE HUI1BER INTEREST I-I 10'04-96 AA146820 .07- INTEREST IS CHARGED FROM 10-05-96 TO 03-18-97 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM A/1OUIlT P~" 36.06 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE "\ ,.. -.... [?e.. . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATIllll OF ADDITIONAL INTEREST. I IF TOTAL DUE IS LESS THAN '1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YDU KAY eE DUE A REFUND. SEE REVERSE SIDE OF THIS FORK FOR IHSTRUCTIOHS.I 35.99 .07 .00 .07 Ily.I."....... . . INHIRITANCI TAX IX PLANATION 0' CHANGIS COMMO~weALTH 0' ,eNNSYlVANIA De'ARTMeNT 0' ReVeNUe IUU.U 0' INDIVIDUAL TAXII om. 210601 HAUISlURO. 'A 17121.0601 D N NAMe Lt' lIle NUMIU ,:)/ (/6 e~v</8 ,tCij. seHIDULI ITIM NO. IX'LANATION 0' CHANOIS F . '<'l ~~) /} J .l~"" ,/?" V\A- --<: -() , ,.-L./ C/.<:J Jt..-0 ~. 2Q 3g. r.' ~^..,.. . ~" ;0 J. .. .:D..... :DC\J 11>8 <c:- . _.._.__ ~_ _.-_0._. . I" Q ;;.:'(t) c- '"Ci O'j" .~ c."" Co," .: \ l ,. :-of- )j-::' - :!2' N (oJ, , -.J -;' ,', .~(ti--- (;)2.. TAX EXAMINER: ~...-..A'..- ~ PAGE STATUS REPORT UNDER RULE 6.12 Name of Decedent: IRVIN L.GORDON Date of Death: 2lJ> DECE1Y1BrR. I'IljS Will No. 21-ql.l-trD~~ 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 whether administration of the estate is complete: Yes V 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 followings 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 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. Date: ROBeRr E.. m'/E:R5, E:~Q. Name (Please type or print) " , IlJD DLD '10R.1(. R./)., NEW c.umeeR.l..MfD Address Pit. 11Dl0 ( m I 71lf--31l;3 Te I. No. - -, " . '..'''' Capacity: Personal Representative )( Counsel for personal representative (HAH: rmfl AM3) ,. , At:IERYATlCI" bht.. of deeMMntl dyS"I on or bIIfar. o.c.tMr n, I'll ... If en, lutur. Int.r.1t In the ..tat. II t,.ndarnll In po.....lon or enJor-ent to C1... I (coll,t,r,.) bene'lclar... .f the decedent .'t,r the IxPiratlon .. .ny ..tata 'or 11'. or for ,..,., the ~.lth hereby ,,,,...1, ,...rv.. the right to .,pr.l.. ~ ...... tren,'.r Inherlt~ ,.... at the l..ful Chu . (caUat.raU ntl on .,., such future Intl,..t. "'-01' NOTlCEI To fvUUl the ''''.''''''1 of Section 2140 of the Im-rlt-.cl ... Elt,t, Tax Act, Act 2Z of 1"1. 12 P.I. Section Zl4D. PA'tMDfT1 Det.... the top portion of thh Mattei... .w.1t with your ,.v-It to the A....t.' of NUh printed on the r.....r.. ,.dI. --..... ctMlCk or ..-..y orde, PQ1lbla tal REGISTER OF MILLS, AaEMT All ,.,..,ta received ...11 fint be 1PP1Ied to .,., lnt.r..t which MY be dull with WI' r_Indllr IIPPlJld to the ta. REnIGI CCAII , rtIhnf .f . tu credit, whIch .... not nqullted on the TalC Altum, MY be r.....ted by cOIIPlat11'4 en -ap,UClltlon for A,fund of P~1Y1V8ftJ. Jnherltence ... E,t,t. Tax- CREV-I!.S). &,plleltlon. .r. av811~1. at the Dfflce of the A..J.tar of WIll.. ~ of ~ ts Aevenue DI.trlct Offlc... Dr bv callIng the ~I.I 24.hour ......rlng ..rvlca ,.,.,.r. for fo~. ordlrlntll In Pwwlnl.,.,l. l.100.S62"2050. autll_ ""'nl.,.,l. Ind Mlthln 1000I Herrl~rl er.. (717) 717"1094. TDD' (717) 772.2152 CHearl", Ie,81rld Onlv). DUCTIONSI AtrI party In lnt.re.t not ..thfllNt Mlth ttM ..r.ll1Mnt. .llownce Dr dh.llownce of deduoUon.. Dr .....l8Mt of tax Clncludlng dhCOU1t or lnter..U .. ....., on thh NoUel wst object Mlthln .bety (60) _. of rec.lpt of thll Notice bvl "..rIU., prot..t to the Pi DIpIrt--.t of AIV...... IoIr4 of Appall. Dept. ZlUZl. Herrlaburl. PA 17UI"UZl. OR ...lectlon to t.v. the att.r .t....1Md It MJdlt of thII ecCDU1t of the perlOMl r.,rlMntltlv.. OR ........1 to the Drp'''''' Court. AllIIN IITIlATI\/! CDRAECTIONSI Fecul Irron dhCOvtIrlCl on thll ..........t should be Iddr...'" ln wrltlnt tOI PA DIp.rOMt of AIYMUI, lureeu of Indlvldu1l ,...., ATTNI Po.t A.........t A.vl... Unlt, Dept. 210601, Hlrrlabur., PA 17121.0601 Phone (717) 787.6505. SaI 'III 5 of the bookl.t -In.tructlon. for Inhlrltencl 'ax A.tum for I A..ldlnt 0IcedIn~ CREV"ISOI) for In .xpl.".tlon of IdIlnl.trltlvelv corr~t~l. .rror., n1lttVlfT' ,. "'''':' ~ ~ !: ::a!:t dthk t:\..~. (:. _1..":'0' _,UIIl .it.o. U- deceo.,,'. druth, . flYl parcent CS%) dlKOUnt of 1:.. la.t ...:" I. ..1lc....J.. PENAL TVI TN 15% tax ~.ty non"Plrtlclp.tlon PlMltv 11 COIIPUtlNt on the total 0' tha tax .-.I Intlr..t .....IId, end not paId before .....rv 11, 1"', thII flnt dlv aUer the Met of thII to: _stv perIod. Thh non.partlclpatlon ,...lty 11 .....111II1. ln thII ... .....r ..s In the the .... tI.. period a. you would .....1 the tax Ind Int.r"t that hII. bIIn .....sed II Indlcatlld on thl. noUe.. JNTEJlUTI Interllt 11 cMraad ta.llmlnt .,lth flnt day of dll1~, or "1", (9) -nth. Ind _ cn day 'rDII the d8t. of dIIIth, to tha data 0' ~t. T.... Wllch bIc-. .11~t bI'ora .......ry 1, Ita! bear Intlrllt .t thII ret. of ,1. (6%) percent par ...... c.)cul.ted .t . dallv rat. 0' .000164. All h.... Mhlch bee-. dlU".,...t on ..s aft.r JaroaMI")' 1, 1.1l ..111 bear lnt.r..t at . r.t. Wllch ..Ill VIII")' froe calandlr year to calandar PII" .,lth that r.ta announced by thII PA Depart--.t of Aavanua. The appllc.bl. lntara.t rat.. 'or 1982 through 1"7 .ral '!!!! Inte,..st Aeta DaIlY Intara.t Factor !!!! Intarest A.t. Dally [nhr..t Factor 1"2 U% .ODOS48 1.17 tX .D01247 UU 16% .01045' 1'"'1"1 11% .000SOI 1914 11% .00UIl 1"2 tX .010247 1915 ISX .00OS56 1"'-1'194 n .000192 UN lOX .001274 1"5.1997 tX .000247 --Interllt I' calcul.ted a. followlI INTEREST . IALAllCE OF TAX VlfPAID X HUlIBER OF DAYB DELIHQUEIlT X DAILY INTEREST FACTOIl "Any HoUe. b..... aUar \hi tax ~. dllInquent ..111 r.nect In Int.....t CII1culaUon to flU.., US) he beyond \hi dlta 0' \hi ........,t. If ,.,.ant 11 IIda en.r the Intarllt COIIPUt.Uon dlta thoMn on \hi Mot Ie.. addItIonal Int.ra.t lU.t be calculated. REI[Jtv"noth E.tst.. of dendentl dvl,... on or before O'C....r 12, 1.11 -- If .,y future Int.r..t In tM ..t.t. II trM.f.rr" In po.....lon or tnJo~t to CI... . (coll,t.r,l) ~flol.rl.. 0' tha decadent .ft.r tM .xplr.tlon 0' any ..t.t. 'or lIf. or for y..r., tM (: __lth hlIrliQ axpr...b ,..Mrv.. the rllt'lt to ."r.l.. n ...... tr","r IMerltanctl Tu.. .t the l_tul CI... . (coU.t.nl) rat. on any IIUCh future Int"..t. ..- .. HOnCE. To fulflU the rllClUlr~tI of SeoUon 214D 0' U. InMrltMC' and Est.t. Tu Act, Act 12 of 1991. 7Z P.I. SaoUon 2140. PAVftENTI Dat8Clh \hi top portion of thl. Notice MIl MlbIIlt ..Ith your .,.~t to tM R....t.r of WIU. print.. on tM r.".r.. .Ida. ...... check or 1tOM)' ordar p.yabl. tal REGISTER OF MILLS, AGENT An ~t. racelved ...11 flrat ba applled to .,y Int.n.t Mhlch ..y ba dull ..Ith MY r..lnller appllad to the tax. REFlIGI (tAh A r.fund of . tu crlldlt, Mhlch .... not r..,..ted on thlI Tax R.turn, ..y ba r....tad by ~I.U,... ." -AppllcaUon for R.~ of Ptnn.)'lvanl, Inharltanc. and E.t.t. TIX- (REV.15IS). application. .r. ~Ilabl. .t tM Offlc. of thII R....t.r of 11111., any of u. Z3 RavanJa Ohtrlct Office., or by e.UI,... thrI .,.cl.l 14.hou,. ."....,.1,... ..rvle. ruIIbIi,.. fa,. fora. o.....rl"'1 In PemsyIVMI. 1.100.36Z.115O, outllda Pan'lsyIYWIII and ..Ithln local Ha,.rllbur. .r.. (717) 717.1094, TOOt (717) 71Z.ZZ5~ (Hlerlng 1.,11,... Only). DUCTIDNSI Any "rty In Int.,...t not SlU.fIM .,Ith tN appnl....,t, .UOWWtC. or dh.Uonnc. of dlducUon., or .....~t of tax Unclucllng d"cotllt or Intl,...U II shown on thh NoUe. .,.t obJlCt ..Ithln IIMty ('0) dIIn of racelpt of thlt M.1t1ca b)'1 ....rltt., prot..t to thlI PA Dep.rt..1t of A.vlf'lUll, loI,.d of 1oppM1I, Dapt. 111021, ..,.r"bur., PA 17121.1021, OR ...IKUon to haYI the ..u.,. datlr.IMd .t eudl t of the. KCOIIIt of the Plrtonal r.rt..,..Uv., OR .......1 to the Orphan.' eou,.t. AllIIN UTllATlVt: a:JARECTlDNSI factusl .rro,.. d"cov.,.ad on thlt .....l8WIt Ihould ba Ilddn..ad In ..,.1 Una! tol PA Depart..1t of RavlnUll, lur..... of Jndlvldual Tax.., ATTN1 Po.t A....~t A.vl... Unit, Dapt. ZI06DI, ",.rllbur., PA 17121.0601 Phone (717) 717-6505. Sea,ega 5 of the bookl.t -In.tl"UCtlon. fo,. lohe,.ltane. Tax A.tum for. A..ldent Dacadlnt" (REV.JSDl) for WI 1XP1W\ltlon of adllnlltratlVlIY c:or,.actabl. "tOrt. If .ny t.. due .. paid .,lthln thr.. (3) caltndllr aonth. .fhr thlI dac:adent'. dHth, I five percant (n) discount of thrI t.. ,.Id h .Uowed. . ThlI In tax _.ty non.parUc1p.Uon ,.,.1 U 11 eoaputad on the total of the tax 8nd In"r..t ........, MIl not "Id befare J....ry 11, 1"', the IIrtt dIIy .ft.,. the and of the to --.-.ty "dod. Thll non.,.ttlc:1peUon panalb 11 .....Iabl. In tht ... ---.ar .-.I In tht the __ U.. Plrlod .. you MOUld .....1 tM tax 8nd Int.,...t that hat bean ........ .. IncUClltM on thlt noUc.. DJICOI.IIT. PEMALTYI INTDEST. Int.,.... II chargad batl.....11'II .,Ith fl,..t day of cMlInquenc:y, or "Ina (9) aonth. and ana (1) dIIy frM the dIIt. of death, to tha deta of payMnt. Tua. tlhlch bee-. dell"..,t bafo,.. J.......ry 1, 1'12 baIIr lnt.,...t .t the rat. of .lK (6%) pe,.cent ,.r ..... e.lcuhtad .t . alh ute of .0D0164. AU tu.. Mhlc:h __ delinquent on and .ft.r Januaf'J' 1, 1.11 ,ifill bear Int.r..t .t . ,..t. Mhlctl ..Ill van frM calandltr )'Hr to cal",. )"H" .,Ith that rat. ~ II)' thI PI o.p.ru..t of Aavanull. The ...Ucabl. lnt.,...t ,..... fa" 1912 through 1997 .ral !!!! Int.,...t Ret. D.lly Inhr..t hetor :!!!r Int.,...t R.ta DIlly Int.,...t factor nlr rox .00D54I 1917 'X .ODOZ47 I9IS 16X .ODD411 1911-1991 IIX . ODUIl 1'14 IIX .DDDsal 199r OX .DDOZ47 I'"S ISX .000356 I99S-I'" n .000192 I'" lOX .DDOZ7" 1995"I997 'X .0002:47 ..Int.r..t I. celc:uletad .. follow.. 'INTEIlEllT . eALAHCE OF TAX UlfPAID X HUllBER OF DAYS DELINQUEHT X DULY IIlTERE8T FACTOR u""" NoUc. I..uad .ft.r the tax bac:0fII. cMlInquant .,111 rlnact ." Int.,...t calcul.t1on to flft.., US) dIIy. beyond the date of the ........,t. If "'YNnt 11 ... .ft.,. the Int.,...t eoaput.Uon data Ihowl on the Motlu, additional Intlre.t .,.t be c.lcubtad.