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PETITION I'"OR PROHA TE and GRANT OF LETTERS
No. __~J-=-19q(P- UL-
To:
R~~i'l~r of \\]11, for Ih~
COllllty of .(;thJS4:8.1./tAh') in the
Commonweahh of Pennsylvania
. f)('('('o.\l't/.
SociulScmrityNo. '~3-/~~~J.!!
The petition of the under,i~ned re'pectfully repre,enl' thlll:
Your pelitioner(,). who i,/me 1M yellrs of lI~e.!lf older IInlhe e'e~IIIQ'"
in the la" will of the ahove de~,'denl, dllt~d ~ecc,.,~~_;.../_'i
'I: I ~odicilr,) <I'lIed _____
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(\Iillt' rrlC\illll dl(IlIll\,aIKC\, l'.~. Il'IlIllKiillillll, IkOllh nIC\l'(IIIIH. CI(.)
De~end,"t '"'' dOlllicikd .,! death in _CIL~IA:U:;R.M""t2_ _ County, Pennsylvania, with
" ;~. ._ III" lamilyor prindpal re,iden~e:1I ._JIS:_.S.-A1QIfw,..y_ .JT~"" .
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Decendell', Ih~n _ 1'-3_ yem of 'Ige, di~d ~L~_.~,6!1e 31
al___________
E\~~pl a, follow,. dc~cdcnl did not mmry, wa, nol divor~cd and did nOI haye a ~hild born or adopted
after e'e~ulionof the will offered for pmhate; WII' nol the victim of II killing and wa, never adjudicaled
in~ompetelll:
D,'~endelll al d""lh own~d properly with ~'Iimated yalue, a' follows:
(If dllmk,kd in I'a.) All personal properly
Ill' nol domiciled in Pa.) Personal properl)' in Penn'ylvllnia
III nil' domiciled in Pa.) Personal prop~r1y in County
\'alll!: uf real ~'latc in Pcnn\}'h'ania
';Iual,d a, lollows: J. - . A.'1 '2-ls S, A.brw..~ ST1l~
~-<ha..:d_ ~ n:-~""N~~,8MA!k..
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WHEREFORE. pelilionef('} re'p~~tfllll)' r~qllest('} the prohate of Ihe la't will and codicil(s)
pre'ellled herewi,h and Ihe gral.t of lelle".__
. 11L'\lilJllL'lllilT}; ildll1ll1l\lral1l1l1 ~.l.il.; admini\tr.uion d.b.n.c.t....)
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OATH OF PERSONAL REPRESENTATIVE
COI\IMONWEAI.TII OF I'ENNSYI.V ANIA } S:oI
COli!,;T\' OF _ ~M'3~RLA.~___ .
lh~ peti,im,erlsl .lho""lIame<l ,,'carl'} or Hftirm(,} thallhe ,tatelllelll, in ,he foregoing pelitioll arc
Irlle ami ~orre~' 10lhe he'l olll;c hllm,ledge am: helieI' 01 p~ti,ioller(') and thlll a, pe"onal represen-
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S\\mll Il' or altllllH:J :tI1L1 \uh,,:lIh(.'(\ _<:::...;_ A c",
hefo"'I1I~lhi, _:?3rd_____ <la, 01 I ___ __' I ~.
~~~f'i,lll\W4LLtdlJ1~lL/l~y -- , ~
15 ().... 5 MARY C. Lt:~I1S H,'~/<"'r l' -.: ~
~ o() . l!,Jl fJ III If
This is to certify thut rill' infofm,lIion lH.'u' Hin'll i.Ii (mUll I)' fnl'wd hUIl1 .111 uri.a.:ill.ll u'nifi""lll' lit lit',uh dilly fill.d wilh lIll' .IS
l.ocal Registrar. The origin.,1 l'f..'r1ifif.:illl' will he fllfWHdl'11111 I lit, SUit. Vil.1I Ht.t1lld.. ()Hill' fllf pt.rtIl.11l<'tH tiling.
WARNING: Ills 1II0g81to dupllcato this copy by photostat or photograph.
(',,, for .hi, ",nifiLllc, S2.lKI
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3362870
No.
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CO....ONWEALTH 0' PENNSYLVANIA. DEPARTlUNT 0' HEALTH. VITAL RICORDI
CERTIFICATE OF DEATH
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. 183 - 12 - 1568
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G. W.tters
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Hech.nlcsbur9
215 S. NOrw.y St.
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Civil En lneer State
OICIOUfnlltMflQ.clClM"C!II_~'" ~c..-
215 S. Norw.y Street
. Hech.nlcsbur9. PA 17055
~''''''''"._UlIf
Potter Watters
.. -
Thomas . W.tters Jr.
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CuRter land
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Allee Kell
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215 S. Norway St.. Hechanlcsbur . PA 17055
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December 31 1995
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LAST WILL AND TESTAMENT
2f
THOMAS G. WATTERS. SR.
I, THOMAS G. WATTERS, SR., of Mechanicsburg, Cumberland
County, Pennsylvania, being of sound and disposing mind,
memory and understanding, do make, publish and declare this my
Last Will and Testament, hereby revoking and making void any
and all prior Wills by me at any time heretofore made.
L
I direct the payment of all my just debts and funeral
expenses as soon after my decease as the same can conveniently
be done.
2.
All the rest, residue and remainder of my Estate, real,
personal and mixed, whatsoever and wheresoever situate, I
give, devise and bequeath to my son, Thomas G. Watters, Jr, to
his own use and benefit absolutely.
3.
In the event, however, that my son, Thomas G. Watters,
Jr., should predecease me, or should die at about the same
time as I die, such as in a disaster common to both of us, I
give, devise and bequeath my said estate unto my niece, Diane
Stenger.
4.
I nominate, constitute and appoint my son, Thomas G.
Watters, Jr., to be the Executor of this my Last Will and
Testament. In the event that he should predecease me or for
any reason be unwilling or unable to act as such Executor, I
nominate, constitute and appoint my niece, Diane Stenger, to
be the Executrix in his place and stead. In the event that
she should predecease me or for any reason be unwilling or
unable to act ~s such Executor, I nominate, constitute and
appoint my niece, Virginia Serafine, to be Executrix in her
place and stead. I further direct that they shall not be
.. ...-
.
COMMONWEALTH OF PENNSYLVANIA
ss
..
..
COUNTY OF
(! .IbYJ(j~h1 f~
DD.t:ltll.A.t1l..A&.k...~_-;M6.'~Lgg.~~~_____, and
, and the testator and the witnesses
respecti vely, whose names are signed to the attached or
foregoing instrument, being first duly sworn, do hereby
declare to the undersigned authority that the testator signed
and executed the instrument as his Last Will and that he had
signed willingly, and that he executed it as his free and
voluntary act for the purposes therein expressed, and that
each of the witnesses, in the presence and hearing of the
testator, signed the Will as witness and that to the best of
their knowledge the testator was at that time eighteen years
of age or older, of sound mind and under no constraint or
undue influence.
We,
'-/%.~/iJCl ~/I71f/# Jr.:
Thomas ~./Wa ters, Sr., Testator
....,
~IU"-A
W tness
~ 7~JJ.hJ
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tness
Subscribed and sworn to and acknowledged
before me by Thomas G. Watters, sr., Testator
and subscribed and sworn to and acknowledged
before me by D."'1V14 /114nk , and
ff..:t ((~e.U. ;;O~~~;, witnesses this
/S'.A day of f1.A../ , 1995.
~/~.~~~
Nary P !!II
Nalarlal s..I
RIll C. MIlOM. Nol:uy NlIic
I.IxI1anIcsburg Bore. Cu_land CounIy
Uy Commielloll E,p"., ApfY 5. 11191
. f'omorMnaw .. om
CERTIFICATION OF NOTICE UNDER RULE 5.6 a
Name of Decedent: Thomas G. Watters, sr.
Date of Death:
12/31/95
21199667
Will No.
21199667
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 (ollowing beneficiaries of the above-captioned estate on
1:;/1/af; :
Address
Name
-
215 S. Norway Street
Thomas G. Watters, Jr.
M~~hanicsbura. PA 17055
Notice has now been given to all persons entitled thereto under
Rule 5.6(a) except N/~
Date: c; 11 lor;
. .
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Signature
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Name Michael D. Rentschler
Address ?R N. 32nd street
~~mp Hill PA 17011
TelephoneU17) 975-9129
Capacity:
personal Representative
Counsel for personal
representative
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COMMONWEAlTH Of PENNSYLVANIA
DfP"I'MlHT Of IfY(NUf
DE'T.210601
HAIIISlUaO. ,... 171'1-0601
o CIDtHI' HAMill'" . 'IIU . AND MIDOlllNIIIALI
Watters. Thomas G.. Sr.
IOCIAL $lCUllff HUM'U DAn Of DlATH
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.01 OATISO. OIATH Anll 12/31/91 CHICKHIRI
If A SPOUSAL
POVIRTT CRlOIl IS CLAIMIO 0
.ILI HUMIII
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YEAR
67
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
183-12-1568
12/3/95
,;)/
COUNTY CODE
O(ClDlNI'S COMPUIE ADOlUS
NUMBER
215 S. Norway Street
Mechanicsburg. PA 17055
c.." Cumberland
AMOUNT lfCllV!D ISf(INSnUCtlONSI
DAn 0' IllIH
N/A
6il1. Original R,'.rn
o 2. Supplemental R'fu,n
N/A
03.
05.
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o A. Limiled fllot. 0 Aa. future Inll'." Compromi..
(lor do'.. 01 d,a,h allor 12.12.921
IKl 6. DIC,d,n' DI,d Te,'ot. 0 7. olc,d,n' Maintained a living TruI'
(Allach copy 01 WillI (Allach copy 01 Tr."1
ALLCORRISPONDENCI AND CONPIDINTlAL TAX INPOllMAnON SHOUI.D BE DIRECTED TO.
NAME (OM'UIE MAltiNG "DOlin
Michael D. Rentschler, Esquire 28 N. 32nd Street
"'''HONE NUMIIA Camp Hill, PA 17011
975-9129
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Remainder R.lur"
Ifor do'.. 01 d,alh prior 1012.13.821
fed.ral Ellal. Tax R.turn Required
Tolol Number of 50f. Deposit 80....
II) 130.900
(21 17.400
( 31 None
(41 64.000
(51 265.829
(61 0
(71 0
(8) 478.129
(9) 33.908
(101 261
(II)
(121
(131
1141
(151 0
(161 443.060
(171 0
Dhcounl Inle,..,
+ 1,387 0
X._II
)( .06.
)( .IS II
(18)
(19)
(20)
34.169
443.960
900
443.060
o
26.583
o
26.583
1.387
25.196
o
25,196
BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH
Under Plnclll.. of perlury. I dedor. thai I hay. ..amln.d ,hi, r,lu'". including accompanying schedule. and Itot.menh, and 10 the bel' of my ~nowl.dg. and beli,f,
It I, lru., corred and compl.te. I dlclor. thai 011 r.ol .,1011 has bltn reporl.d at true mor~.' valu.. Declaration of prepar., olh., thon Ih, plrlonal r.presentativI Is
bOlld on all rmalion f which pttpor.r has any knowledge.
SIGHAIUI, , II N 11$'0 l IUIN ADOIUS OAn
_~/2S)%
OAf
~,L"-V"m
I. 1'0\ E,'a', (sch,d.l, A)
2. Sloe" ond Bond. (sch,d.l, B)
3. Cla..ly H,ld slock/Partnmhip Inloro.' (sch,d.l. C)
.. Mortgog.. and Not.. Receivable (Sch.dule 0)
S. Calh, Bonk D,polltt & Milc.lIon.out P.nonol Ptop.rty
(sch,d.l, EI
6. Jolnlly Own,d Prap,rty Isch,d.l, F)
7. Tranil,., (sch,dul, Gllsch,d.l, II
8. Total Grall Au," (Iolal lIn" 1.7)
9. Fun.ral bp.nt", Adminllltaliv. Catts, Milc.llon.out
bp,n... (Sch,d.l, HI
10. D.blt, Mortgog. lIobiliti.., U.nt (Sch.dul. I)
II. T 0101 D,d.ction. (Iolollln.. 9 & 101
12. N" Vol., of E,'a', (lIn, g min.. lIn, III
13. Charitobl. and Govetnm.nlal 8.qu..ts (Sch.dul. J)
U. N" Val., s.b ,ct 10 To_llIn' 12 min..lIn, 131
15. spo..ol Tron.I,.. (lor dal.. of d,olh olt.. 6.30.941
S.. Inttrudionl for Af,plicobl. P.rcenlog. on R.vet"
Sid.. (Includ. valu.. rom Sch.dule K or Sch.dul. M.)
16. Amount of lIn. 1. loxabl. 01 6% rote
(Includ. valu.. from Sch.dul. K or Schedul. M.)
17. Amount of lIn. U 101tabl. 01 15% rat.
(Include valu" from Sch.dul. K or Sch.dul. M.)
lB. Principal tax due (Add lox from lIn.. IS, 16 and 17.1
19. Cr.dill Spoulol Pov.rty Cr.dit Priot POlm.nh
o + U
20. 1I11n, 19 Ii groOI.. ,han lIn, 1&, 'nlor Ih. dill..,n" on lIn, 20. Thl.I.,h, OVERPAYMENT,
gO
21. If lIn. 1811 greol.r Ihon line 19, enler Ih. din.,ence on line 21. Thit it the TAX DUE.
A. Enter Ihelnler"l on th. balance due on lIn. 21A.
B. En'.. ,h, 'olal ollln, 21 and 21 A on lIn, 21B. Thi. Ii ,h, BALANCE DUE.
Ma~e Chec~ Payable tOI Regl.t., of Will., Agent
fl' ,,"'1("11I1 tUI'n'f1HO "OJU't H....lll,lI'. '.1" "HO /1011001.1 INITI"ll
(hed. hl'll' if you 01(' tcquc1ting 0 tefund of you. oveTpoymcnf.
AODIf(U
(211
121A)
(2IB)
"1~IJ01I" (2"7'1
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
Pleole Print or 1 e
.
FILE NUMBER
.
.
COMMONWeALTH O' nNNSYlVANIA
INHllnANCllAX lnulN
IIIIDIH1 DICIDINl
.
E~TATE OF
Thomas G. Watters. Sr.
IAtl pnpeIly lol"tt'f"OWMd whh .he light of Su..lvonhlp mu.' ... dl..lo..d 0" s.hedulo PI
VAWE AT
DATE OF DEATH
$ 20,013.70
1.527.96
8.416.66
35.587.68
50.230.96
517.16
6,554.26
16,988.62
30.121.00
33,228.66
45.246.84
2.205.76
15,190.00
nm DS
NUMBER E CRIPTION
1. Certificate of Deposit 08100442673 (Dauphin Depoait)
2. Savings Account 05700387271 (Dauphin Deposit)
3. IRA 018-23-013884 (Harris)
4. Savings Account 018-60-002351 (Harris)
5. 1 yr. Cert. #18-56-242595 (Harris)
6. Checking Account 018-00010191 (Harria)
7. Checking Account 018-00011306 (Harris)
8. Checking Account #5080277618 (P.N.C.)
9. CDA Account 021001011185 (P.N.C.)
10. Investors Trust Govt. Fund Account #22895299
11. Money Fund (Checking) 00200019867 (York Federal)
12. Checking Account 0090649252 (York Federal)
13. Appraisal of Personal Property (Campli)
S 265.829
IAllach additional 8Vt- )( 11- ,h..1I II mort 'paCt I, n..d.d.)
IWtJOtp. (1'....
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COMMOHWIAUH O. P1NNSYLVAN'A
INHll'TANCllAX mUlN
liS/DINT DICIDINT
SCHEDULE F
JOINTLY-OWNED PROPERTY
ISTATI 0'
PILE NUMBER
Thomas G. Watters, Sr.
Jol.' '0.0.'1'"
NAME
ADDRESS
RELAnONSHIP TO DECEDENT
A.
None
B.
C.
Jol.,IYoOw.od property.
ITEM LETTER DATI
POR TOTAL VALUE DECD'S DOLLAR VALUE 0'
NUMBE. JOINT MADE DESCRIPnON OF PROPERTY OF ASSET 'HI INT. DECEDENT'S INTEREST
TlNANT JOINT
1.
TOTAL (AI.o onlo, on lino 6, Rocopitulotion) S
(11 more space is n..a.a ins.rt aaaitional shHts of som. siz.)
IIY.!SIO u. 12"7)
~~
COMMONWfAlT" 0' .!NN!YLVANIA
INHIIITANe. TAX .nulN
I..IOINT DletDINT
SCHEDULE G
TRANSFERS
PLEASE PRINT OR TVPE
.FILE-IlUMBER
ESTATIOF
Thomas G. Watters, Sr.
THIS SCHIDULI MUST III COMPUTED AND FILED IF THI ANSW~R_ T.()~_~!.5l! TH~~UIS_T10N~_()!lTHI REVERSI SIDI 0' THI COVIR SHin IS YIS.
I1EM DESCRIPTI~N OF PROPERTY EXCLUSION TOTAL VALUE DE~D. 8?~~~~tAV.~
NUMBER 'ttClvtHnom'o"""'ran",,,,,fhejr"'ofKJtllhlpto~~~!~.!~~~~~!!-~~~~'.r,_ _ __0_ _. .OF_~~~ ----1N INTEREST
-0-
________.__.____._.___!~!~~JAI.o .n!., on lin. 7. A.copitvlaIlOf'l) S
'If mot. 'POR i. n..d.d, ins.r' addifional .h..h 01 lam. Ii,..}
IIVIIIII.. (7.111
ISTAlI O'
ITEM
NUMBER
~~:9l\
~rii-
COMMONWeALTH O. PfNNSYlVANIA
INHUItANCe tAX ItUUItN
ItfSID(Nt DeceDENt
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
PIIOII Print or TYPI
FILE NUMBER
Thomas G. Watters, Sr.
DESCRIPTION
AMOUNT
A. Funeral Explnll"
1.
B.
1.
2.
3.
5,254.00
Myers Funeral Home, Inc.
Funeral goods and services, selected services of funeral
director/staff. embalming, facilities and equipment. auto-
motive equipment, and merchandise.
Admlnlltratlvl COI'"
Perlonal Representative Commissions
Social Slcurity Number of Personal Represen'otive:
Year Commissions paid
Attorney Fees Michael D. Rentschler, Esquire
23.906.45
Family Exemption
Claimant Thomas G. Wat ters, Jr 'Relotionship Son
Address 01 Claimant 01 decedent's death
Street Addre.. 215 S. Norway Street
3,500.00
City
Mechanicsburl~
State PA Zip Code 17055
340.00
Probole Fees Register of Wills. Cumberland County (Letters of
Administration)
C. Mllclllonloul Explnll"
4.
8.
9.
10.
1.
Death Certificates (6 additional)
18.00
67.30
2.
Classified Advertising Notice (Harrisburg Patriot-News)
3.
Advertisement (Cumberland Law Journal)
60.00
4.
Filing Inheritance Tax Return
15.00
33.50
5.
Exemplified Copy of Record
6.
Short Form Certificates (5)
15.00
7.
Appraisal Fee of Personal Property (J. Campli)
245.00
402.20
9.80
43.00
33,908
.
Real Estate Taxes
Personal Taxes
Commonwealth of PA
TOTAL (Also en'er on line 9, Recapitulation)
(If more IpOCI II n..dld, Inllrt oddltlonollh.... of loml IIzI.)
S
;{
~.
.-
r'
4~~1;>' oJ ~ ~'c\ ,
d:i;i'S, . ~ '
, ,~.. ::...,...:-.~,_. -;~3.--,,;:'::::<~.-rr;~
""........~.....-.. '" -
,
,'~ ," ..,:'.~..:.
~ .-..;-~"W~:,;':"':.,,:-\;..:.:;~" 04
'-
.
CQMMOHWIAl1H Of ptHNnWANIA
lNHllnAHCItA1lnUIN
I.UDlNf MClDI"'
SCHEDULE J
BENEFICIARIES
1''1,15111'' P"71
FILE NUMBER
ISTATI O.
Thomaa G. WatterS. Sr.
RELATIONSHIP
AMOUNT OR
SHARE O' ESTATE
ITIM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
A. Ta.abll BlquOlU:
100%
Son
I.
Thomas G. Wattera. Jr.
215 S. Norway Street
Mechanicsburg, PA 17055
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
AMOUNT OR
SHARE OF ESTATE
B. Charltabll and Gavernmlnlal Blqu..lt:
900.00
I.
Hammond Console Organ
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (AI.a Inler an linl 13, Rocapltulalian)
(If marl .paco I. n..dld, In..rt additional .h..t. of .aml .1"1
S 900.00
.... .
L~ST WILL AND TESTAMENT
2t
THOMAS G. WATTERS. SR.
I, THOMAS G. WATTERS, SR., of Mechanicsburg, Cumberland
County, Pennsylvania, being of sound and disposing mind,
memory and understanding, do make, publish and declare this my
Last Will and Testament, hereby revoking and making void any
and all prior Wills by me at any time heretofore made.
1.
I direct the payment of all my just debts and funeral
expenses as soon after my decease as the same can conveniently
be done.
2.
All the rest, residue and remainder of my Estate, real,
personal and mixed, whatsoever and wheresoever situate, I
give, devise and bequeath to my son, Thomas G. Watters, Jr, to
his own use and benefit absolutely.
J.
In the event, however, that my son, Thomas G. Watters,
Jr., should predecease me, or should die at about the same
time as I die, such as in a disaster common to both of us, I
give, devise and bequeath my said estate unto my niece, Diane
Stenger.
4 .
I nominate, constitute and appoint my son, Thomas G.
Watters, Jr., to be the Executor of this my Last Will and
Testament. In the event that he should predecease me or for
any reason be unwilling or unable to act as such Executor, I
nominate, constitute and appoint my niece, Diane Stenger, to
be the Executrix in his place and stead. In the event that
she should predecease me or for any reason be unwilling or
unable to act as such Executor, I nominate, constitute and
appoint my niece, Virginia Serafine, to be Executrix in her
place and stead. I further direct that they shall not be
required to file bond or other security 1n the orrlce or the
Reqister of Wills for the purpose of administerinq my Estate.
.
IN WITNESS WHEREOF, I have hereunto set my hand to this
my Last Will and Testament, which consists of ~ paqes, to
each of which I have affixed my signature this ~ day of
J.QllflAN I..DA./ one thousand nine hundred and ninety-five
(1995).
L':~~(>:I/C.il t'/ ~i.J,' k
Thomas G. Watters, Sr.
GARAGE: (cont'd)
Aluminum extension laddcr.
Stepper exerciscr machinc.
Miscellaneous hand and garden tools.
Miscellaneous metal shc1ving.
$470.00
BOILER ROOM:
Electric beauty shop hair drTer chair unit.
Electric tread-mill excrciser machinc.
MisccllaneOUB house hold tools.
$100.00
CAR:
1988 Buick Century Limited tour-door. vith v-6 enginc.
autlllllatic transmission. air conditioning. paver
steering, brakes. v1ndovs, seats. a cassett radio.
and 22,996 miles.
$2.175.00
~
1985 CaMl1..c Coupe Deville tvo-door. vith V-8 engine,
autlllllatic transmission. air conditioning, paver
steering, brakes, v1ndovs, seats, door locks. a
casBett radio. and 32,584 miles.
$2,150.00
TOTAL:
$15,190.00
Signed:
. .
HI5ER2 Customer P,'ofile 2 01/19/96 13: 1'1
CFCP2 Pas A EC Fnds St",t Rsn S'.\\wM H PIN
Transaction code * Selected line H
THOHAS,G.WATTER5:5R CUST TYPE: P EHP CD: 0 AUDIO
215 11 NORWAY ST TAX-55N: 183-12-1568 BIRTH : 05/15/22
HECHANIC5BURG PA 17055 10: CRED RT:
ORIG BR: 18 OPENED: 01,/20/90
000 8-12-91, HARJORIE DECO DC CIF NBR: 708323 HSHOLD: 708323
HOHE PH:717-766-6353 BU5 PH:
LM REL AP ACCOUNT OB AT BALANCE AVL RATE HAT/DUE REG-PHT M5
01 50L 5V 1B60002351 1B 60 35.591.03 35.591 3.1,50
02 50L CD 1823013881, 18 801 8.1,16.66 B.H6 1,.890 1,/11/97
03 50L CD 185621,2595 18 56 50,000.00 50.000 5.620 8/26/96
01, JTO ND 1800007387* 18 57 CLOSED 0.000
05 50L ND 1800010191 18 57 516.88 516 2.500
06 JTO ND 1800011306 18 57A 6,087.97 6.087 2.500
TOTAL DEPOSIT5 100,612.51, AVG RATE 1,.586
, ,~.,-'-
.
THFT
STkT
ACTION
PROD CODE
P'IJ,c, .
co
STFD
1.0 OP
P AG E 2
ACCOUNT
1 THF TRANSACTION STATEMENT FORMAT 96/01/31 15.04.48
50 MS 50861 LAST PAGE OF TRANSACTIONS
SEARCH FROM 95/12/22 THRU 96/01/31
5080277618 SHORT NAMF WATTERS SR THOMAS G
DDA
ACTN POST EFFECTIVE CHECK NUMBER TRAN AMOUNT D/C BALANCE
TRACE 10 DESCRIPTION
* 01/09 0165 2,000.00 0 17,486.34
21032523 CHECK 165 REF" 21032523
* 01/11 0162 502.64 0 16,983.70
21289746 CHECK 162 REF" 21289746
* 01/18 0157 25.00 0 16,958.70
27310335 CHECK 157 REF" 27310335
* 01/24 29.92 C 16,988.62
I-GEN096012400002632 INTEREST PAYMENT
* 01/24 11.00 0 16,977.62
I-GEN096012400002633 CALCULATED SERVICE CHARGE TYPE HS
* 01/24 11.00 C 16,988.62
I-GEN096012400002634 SERVICE CHARGE WAIVE TO RELATIONSHIP PRICING
01/31 4.85 C 16,993.47
I-GEN096013100000001 INTEREST PAYMENT
01/31 16,993.47 0 .00
PH90264 CLOSING TRANSACTION
PF: 4-TOP 5-BOTTOM 6-INQ 7-SB 8-SF 9-ASUM 10-TRIG 11-CUTO 12-XTFD ..-STSM
DEPRESS CNTL/F7 TO RETURN TO BANCSTAR E 8
THFT STFT 2 THF CDA/REA TRANSACTION HIST 96/01/31 15.05.49
CI15 CO 40 OP 40 MS 50852 ACTION COMPLETE
ACTION COlD
PROD CODE CDA ACCT 21001011185 SHORT NAME WATTERS SR THOMAS
CURR CODE PAGE 2 SEARCH FROM 95/11/10 THRU 96/01/31
ACTN POST EFFECTIVE CHECK NUMBER TRAN AMOUNT D/C BALANCE
TRACE 10 DESCRIPTION
01/31 30,016.39 0 .00
11500PH9026404000TDA PAYOFF ACCOUNT - WITHOUT PENALTY
PF: I-HELP 2-MSGS 3-PLVL 7-SB 8-SF 9-ASUM 10-Cll0 l1-Cll1 12-CI15
DEPRESS CNTL/F7 TO RETURN TO BANCSTAR
8
IIV04UII.I'''JJ
~
COMMoHwIAltM or ""'",anVAH..
DI'....'...H' or "V'NUI
'''''''''4NQ IAI INVtIION
OIn.11Oe01
.""'IUIO.'A 17"....' Plea.e Print or Tvpe
MUST If COMrlETED BY REPRESENTATIVE Of f1NANCIAIINST'ruTlON WHERE SAfE DEPOSIT BOX IS lOCATED AND RETURNED TO ABOVE ADDRESS
COUNTY CODE fill NUMBER SOC'AL SECURITY OR DEATH CIRTlflCATE NUMBER
SAFE DEPOSIT BOX
INVENTORY
(lAST. "RST. MIOOLII
k~,A.S .
ADDRUS Of DECEDENT ISlIIIl) ICI~
?-/f S aJJJl-lU ..r~-r /~c-e.
NAME AND ADDRISS Of PUSON REQUESTING THE OPENING Of THE SAfE DIPOSIT BOX
INAMII ~
/'l.)J? ({'. LUjIJ-r~S ~t.
(STRUT AllORml n
~ k;".... I..oA-
NAME. ADDRUS AND RELATIONSHIP (If ANYI TO DECEDENT. Of PUSONISI PRESENT AT THE BOX OPENING
e. (NAME) 6; l.U~rr~S -J/t.. IUS:~
S~ (CIIY)
o.
T
,/
/2-JI_9J
'AnI (ll' coorl
.r. / )tJU-.r"
ICIlY)
ISTAIII IZ" cooll
.. INAME)
ISTAIII (ZIP COOII
IRlLATIONSHI'l
(STRUT ADDRISSI
IOIY)
ISIAIII
IZ"COOII
c. (NAMI)
IRILATlONSHI'l
(STUn AllOlISSj
(CIIY)
ISTAIII IZ" cooII
CIAL INsrmmON WHERE THE SAFE DEPOSIT BOX IS LOCATED
(C'IY)
(STAIII
IZIHooII
e.
.. INAMII
(STRUT ADDRISSI
ISllEIT ADORml
(CIIY)
(STAIII
(ZIP COOII IC'IY)
(STAIII IZIP cooII
LI Of EMPLOYE TAK'NG THEINVEKTORY
If 'I.', a. Oat..' wllh
I "",.Hftt.tlve, If ftGfMd In the wilt
(SlIEIT AOORISSI
ICIIYI
ISTAIII
Ill'COOfJ
c. He.... ON adtl,.1I ... o"orn.." If an"
INAME)
(STREIT ADORUSI
(CIIY)
ISTAIII IZ" COOII
~'''''''''._''''i<l>''"".;."..<,_ "''''';'~''''',
SAFE DEPOSIT BOX INVENTORY
INSTRUCTIONS
11) Ca.h, R.port 10101 only.
12) Stockl! Lilt In d.lail .y.ry cammon or pr.f.rred cerlificale, warrant or athnr righll found in box. S'ockl aro
to b. designaled by nome of company, cerlificale nU"lbcr, dale of l' rtHH ,Ie, nomo in which slock is rogi,tered,
and number of sharol and clall of Ilack
131 Obllgatlon. of U. S. Go' '-n' ~!"mber of i'em" dOle of iSlue. fo,o yoluo, nom., in which ,ogis'erod
and typ. of ownership, i.1 ," oyab'" on dea,h, o'c.
14) BondI! Oellgnole by name, amount, ,erial number, or ather de,ignation. (Bearer Bond.)
151 Bank and Saving. and loan Pa..books: Sla'e name of deposilor, number of book, 101' dale appearing in
book, name of bank and branch, and balance,
(61 J.w.lry, Coin., Stomp., Manu.crlpt., .Ic: lilt and demibo as fully 01 pallible.
17) O..d., Martgagll, Curr.nl In.uran, '"jll 0' ,ther nvl'.n,.. of ind.bt.dn...: lisl and domibe as
fully 01 palllble,
(8) All other cont.nts.
Pogo 01
ITIM
NO.
ITIM DESCRIPTION
€.-d
..s )..J~f'-U-'IH .r~ }t,~C'.-e,
-
Jh~
I~ ;I;>' J7'oJl y", ll..-
20 oJJ,
(\. I r
sv-1.
z.. '1'2.
-r
oJJ~ _
"
(!;/3fN
.$" 2,) r. 17
C,.1)
~
?
o
..r
,)/?.r7
H A:
e..,uloI(trlal OAdmlnllltalOf(lfiAI
Euol. R.p,.I,ntoli.... 0 Joint o....n.r 01 101. d.po~il ~~~._
NOnl A"ach additional aVo". II" .h.., (s) If n.....ary or u.. dupllcale. of Ihl. page of farm.
\
'.
, .
February 28, 1996
Michael D. Rentschler, P.C.
28 North 32m Sb:eet
C!Ilp HUl, PA 17011
lUHARRIS~
.Ii) SAVINGS BANK
lIarris SowinRs Operations Center
fi:15 North 12th Street
I.emoyoe, Pennsylvania 1711~:1
717n:11-1440
717n:1I.0l159 FAX
'lh:rras G. Watters,
The iD!ormation which you reque3ted en the accc~t(s) o~
Sr. ~~ Soc:.a.l S(!:1::'!.~y f.
is a3 1'ollo:ls:
Accou:t N~ber(s)
Cl~ss 0: Accoun~
D.,te.O::e.Ded .
Princip:u Il&J..ar.ce
Ac=rued In~eres~
!ala:1ce at .
Date 01' Death
ACCO\:Dt
OIr.Iership
Name or Joint
Owner t 11' UJY
Date Ownershi?
was Established
Additional In!or-
mation requested
183-12-1668
18-60-002351 18-56-242595 18-00010191
Savin;Js lYr.~. Chec::Id.n:J
6-17-92 8-26-94 8-25-94
,.
$35,487.05 $50,000.00 $516.88
100.63 230.96 .28
35,587.68 50,230.96 517.16
Inlividual
Inlividual
Inlividual
6-17-92
8-26-94
8-25-94
ACCOUNT NUMBER(S)
18-00011306
01cc::ItlnJ
CLASS OF ACCOUNT
8-24-95
DATE OPENED
$6,543.67
PRINCIPAL BALANCE
10.59
ACCRUED INTEREST
6,554.26
BALANCE AT
DATE OF DEATH
Joint
ACCOUNT OWNERSHIP
NAME OF JOINT
OWNER (if any)
'Iharas G. letters,
Jr.
8-24-95
DATE OWNERSHIP
ESTABLISHED
Siooerely,
~~~~
Gretcben L. Cale
Sr. Retail ldninistratial Services Rep.
ACCOUNT NUMBER(S)
CLASS OF ACCOUNT
DATE OPENED
PRINCIPAL BALANCE
ACCRUED INTEREST
BALANCE AT
DATE OF DEATH
ACCOUNT OWNERSHIP
NAME OF JOINT
OWNER I if any)
DATE OWNERSHIP
ESTABLISHED
IDHARRIS~
D SAVINGS BANK
Second and Pine Streets
P.O. Box 1711
lIarrisburg, Pennsylvania 17105.1711
717/236-4041
February 28, 1996
Michael D. Rentschler, PC
28 N 32nd St.
Camp Hill PA 17011
Dear Mr. Rentschler:
The information which you requested on the account of Thomas G.
Watters Sr, (Social Security Number 183-12-1568) is as follows.
Account Number(s)
Class of Account
Date Op.ened
Principal Balance
Accrued Interest
Balance at
Date of Death
Account
OWnership
Name of Joint
Owner, if any
Date Ownership
Was Established
18-23-013884
IRA
04/11/88
S 8.309.27
S
107.39
S 8.416.66
Private
N/A
04/11/88
Additional Infor-
mation Requested
Sincerely, (~ ~
7.i.tt, -:;1 ~
Bette F. Deiter
Retirement Plans Supervisor
Primary beneficiary was Thomas G. Watters, Jr.
his son. The account was closed on 1/19/96.
D
Dauphin Deposit Bank
and Trust Company
MA'N OFFICE, 2'3 MARKET STREET. ItARRIS8URQ. PENNOnVAN'A 17101
n7 2S!t-2121
Decedent Confirmation
Name: Thomas G. Watters. Sr.
Socia I Securit y No.: 183-12-1568
Date of Death (000): 12/31/95
Accxx.nt No. 8100442673 5700387271
------- -----
Type Certificate of Deposit savings
--------------
Date Opened
or Issued 08/26/94 06/29/93
Date Closed
or Matured 03/01/96 (Closed) 02/29/96 (Closed)
Date of Death
Balance $20.000.00 $1,527.96
PIJ.5
Date of Death
Accrued Int. $13.70 -0- (Paid on 000)
Joint owners
(if any) None None
-----
Date of Joint
OIInershi p
Special O__.ts: N/A
Addlttonal tnforaatlon a.atlabla at 120.00 par hour. ana hour atnlauo.
Date Prepared: March 15, 1996 Prepared by: carolyn A. Berkebile
OJstomer Management Information Dept. (a-tIl
Telephone No. (7171 255-2054
Paga 1 of 1
rani 00-020-218 (REV 7/13)
Register of Wills of CUMBERLAND County, Pennsylvania
Certificate of Grant of Letters Testamentary
No. 1996-00067 PA No. 2196-0067
ESTATE OF WATTERS THOMAS G SR
\~fl~~, r~K~~, M~UU~~)
Late of
MECHANICSBURG BOROUGH
~UM~~~~U ~UU~~I,
,
WHEREAS, on
dated December
was admitted to
the 25th
18th 1995
probate as the last will of WATTERS THOMAS G SR
(Lfl~~, r~K~~, M~UU~~)
Deceased
Social Security No. 183-12-1568
day of January
19~ an instrument
late of MECHANICSBURG BOROUGH
31st day of December 1995 and,
WHEREAS, a true copy of the will as probated is annexed hereto.
THEREFORE, I, MARY C. LEWIS , Register of Wills in and for
the County of CUMBERLAND in the Commonwealth of Pennsylvania, hereby certify
that I have this day granted Letters TESTAMENTARY
to THOMAS G WATTERS JR
who has duly qualified as Executorlrix)
and has agreed to administer the estate according to law, all of which fully
appears of record in my Office at CUMBERLAND COUNTY COURT HOUSE,
CARLISLE, PENNSYLVANIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my Office the 25th day of Januarv
,
CUMBERLAND County, who died on the
1996.
~nt~(l (1~\~~t~~ll(U)
L l}c! td.:t.r
**NOTE** ALL NAMES ABOVE APPEAR (LAST, FIRST, MIDDLE)
~ --..
Proof of Publication of Notite in The Patriot and The Evening News
and The Sunday Patriot-News
Uader Ad No. AT, Arprorod ~I.J IS. IlI:!lI.
Commnnwtallh of Ptnll8/1lvan/a, }
COlml~ 0/ nOllJJhin II:
.............,.................~U,R.lliM:.J....flI.9.h.!;.9.!L......................belnil' duly sworn according to law, deposes and says:
Asst. Controller
That he Is the ............................of THE PATRIOT - NEWS CO., a corporation organized and existing
under the laws of the Commonwealth of Pennsylvania, with Its principal office and place of business at
812 to 818 Market Street, in the City of Harrl.burg, County of Dauphin, State of Pennsylvania, owner
and publisher of THE PATRIOT and THE EVENING NEWS and the SUNDAY PATRIOT-NEWS
newspapers of ll'Cneral circulation, printed and published at 812 to 818 Market Street, In the City,
County and State aforesaid: that THE PATRIOT and THE EVENING NEWS and the SUNDAY
PATRIOT-NEWS were established March 4th, 1854, and February 15th, 1917 and September 18th,
1949, respectively, and all have been continuously published ever since:
That the printed notice or publication which Is securely attached hereto Is exactly aa printed and
~etro West 13th, 20th, and 27th
published In their regular .editions and Issues which appeared on the ..........................................................
days of February 1996.
........................................................................................................................................................................................
That neither he nor said Company Is Interested In the subject matter of said printed notice or adver-
tlsllli'. and that aU of the allegations of this statement aa to the time. place and character of publication
are true: and
That he haa personal knowledge of the facts afores d and Is duly authorized and empowered to
verify this statement on behalf of The Patriot-News . aforesaid by virtue and pursuant to a resolu-
tion unanimously passed and adopted severally by th s kholderlland board of directors of the said
Company and subsequently duly re.:orded In the office fo t e Recor of Deeds In and for said County
of Dauphin In )tbcelllneouo Book "M". Volume 14. PIKe 317
Cop)' of Notice or Publication
r'- ~'.,_.'., E......NotIces. -...~ -,.
." 'c. - JIYI. .! .'
,~.." '_ITA'faNOTIC. . ';.
, , LIttIr1 Ttlh..._."". onttMntatt.."..,.,.
,.G;_It._..__~=.
'=-"='fi~.:~_
bowInI h...... "" ........
.wll'",,*,_b..,_,,___
..lIlIdrltrNwtll..........IfWn................~, ,.
.""'O.WItWIr.;lr. '. t .
. ',.t.,.."..,ltNIIt' ,.... oD ",~_'... 1
':'At.rn 'V-".PAU. . -...wf ':~""'d' .J.
.,......IIII.~~ "~,'':'O _.1" :..,
.1~=='D...........,'.c.
.N.IIftf....... "'''1''''''
c.wHAL'Alm1 ! ,.,'
InJIfJJ.tltt
Michael D. Rentschler P.C.
........................................................1...............................
Camp lIill, PlI. 17011
..................................................................................
To THE PATRIOT.NEWS CO,. Dr.
For publishing the notice or publication attached hereto on the
66.30
above stated dates. $...........y...............
.00
Probating same $........b7.;.3.1I.......
Total $............................
Publisher's Receipt for Advertising Costs
THE PATRIOT.NEWS CO., publisher of THE PATRIOT and THE EVENING NEWS and the
SUNDAY PATRIOT-NEWS, newspapers of general circulation, hereby acknowledge receipt of the
aforesaid notice and publication costa and certifies that the same have been duly paid.
TilE PATRIOT-NEWS CO.
Ry .....................................................................................
PROOF OF PUBLICATION OF NOTICE
IN CUMBERLAND LAW JOURNAL
(Under Act No. 587, Approved May 16, 1929), P.L. 1784
STATE OF PENNSYLVANIA
ss.
COUNTY OF CUMBERLAND
ROGER M. MORGENTHAL, ESQUIRE, Editor of the Cumberland Law Journal,
of the County and State aforesaid, being duly sworn according to law, deposes and says
that the Cumberland law Journal, a legal periodical published in the Borough of Carlisle
In the County and State aforesaid, was established January 2, 1952, and designated by
the local courts as the official legal periodical for the publication of all legal notices, and
has, since January 2, 1952, been regularly issued weekly in the said County, and that the
printed notice or publication attached hereto is exactly the same as was printed in the
regular editions and issues of the said Cumberland Law Journal on the following dates:
viz;
Februarv 16. 23. March 1. 1996
Affiant further deposes that he is authorized to verify this statement by the
Cumberland Law Journal, a legal periodical of general circulation, and that he Is not
Interested In the subject matter of the aforesaid notice or advertisement, and that all
allegations In the foregoing statements as to time, place and character of publication are
true.
Watten. Thoma, G" 8r.. dee'd.
Lale or Mechanlcaburg.
Executor:Thom..O. Watlen.Jr..
125 5. Norway street. MechanJca.
burg. PA 17055.
Alt0mey8: Mlchad D. Rmtachler.
Law OmceorMlchad D. Rentach.
ler. P.C.. 28 N. 32nd Street. Camp
Hill. PA 17011. (717) 975.9129.
~~~;
SWORN TO AND SUBSCRIBED before me this
1st day of March , 1996
,---. -
l N01ARI.\l.SllL
~Ei1'JNf VARIIEVKA HoI:uy Nfc
c.'. .... CllIrIloI1arwlCoiRy. P.
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f j '.
RECEIVED FROM:
&
ACN
ASSESSMENT P:'
CONTROL ~
NUMBER
AMOUNT
RENTSCHLER MICHAEL DAVID
29 NORTH seND STREET
101
.e~, 196.00
,
I
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-I
CAMP HILL, PA
17011
ESTATE INfORMATION:
m fiLE NUM.E
r.1 el-1996-0067
II NAME Of DECEDENT lLAST)
II OAT Of PAYMENT
II POSTMARK
COUNTY
SSN 19s-1e-l~6S
IfIRST) IM'I
REMARKS
m TOTAL AMOUNT PAID
.e5.196.00
DO
RECEIVED BY Ibl/'.LI / -I. '" ./. u'.!.;
I (I ~GN.u6{II' 'r
, " ,., . ,I '.," . l'
MARV C. LEWIS " . · . .
REGISTER OF WILLS
SEAL
~~gM~YC~A~~~~SCHLER
CHECK. 1905755
11115 CIIECK REPLACES M l~~Bfu!rER OF WILLS
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RECEIVED FROM:
&
ACN
ASSESSMENT P:I
CONTROL Iii
NUMBER
AMOUNT
RENTSCHLER MICHAEL DAVID
ee NORTH 32ND STREET
101
.C;J . 1 ~o. 00
CAMP HILL. PA
17011
CUMBERLAND
DATE Of DEATH
.2~.lqb.OO
SK
ESTATE INfORMATION.
m 'l N MIER
Ii el-1QQb-OOb7 SSN
m NAME Of DECEDENT (lAST] (fiRST]
ia WATTERS THOMAS G SR
II DATE Of "'YMlNT
B POSTMARK DATE
COUNTY
m TOTAL AMOUNT PAID
REMARKS
THOMAS G WATTERS JR
CIO MICHAEL D RENTSCHLER ESQ
CHECK" 40~
\t.
RECEIVED BY 1/1.(1/;-
,.
SEAL
REGISTER OF WILLS
MARY C. LEWIS
REGISTER OF WILLS
:
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REY.ISOO EX. 17.9.,
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IS-rs'O- 5
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
'*
...
is
lil
III
o
COMMONWfAlfH Of 'fNNS,YlYANIA
Df'..RfMfNf Of RfVENUf
Of". 210601
HAUIUURG.'A 17121.0601
o (0 HI'S HAMf ItA~ . ftUt. AHD MIDOlf INIIIAll
Watters Thomas G.
iOClAl ~ICUIlf' HUMin
'01 OATIS 0' DIATH Ami 12/31/91 CHICK HIRI
" A SPOUSAL
POVIITT CRlDIT IS CLAIMID 0
"e~M"1 C(1o ~1
COUNTY CODE
YEAR
NUMBER
163-12-1566
N/A
o 1. Original R.tum
Df(fDfNI'S COM'UTf ADDIU~
215 S. Norway Street
Mechanicsburg, PA 17055
c.,,, Cumberland
AMOUNT If(fIVfD!Sf! IH~'.UcrION~1
N A
03.
Os.
04.
06.
Umit.d Estal.
~ 2. Suppl.m.ntal R.turn
o "a. Fulur. Inl.rtst Compromise
(for dat.. of d.alh ak.r 12.12.82)
Dec.d.nt Di.d TIStal' 0 7. D.c.d.nt Mainlain.d a living Trust
(A"och copy of Will) (A"och copy of T,ull)
AHD.CONPlDINnAL TAX INPOIMATIOH IHOUUIII D1R1CrEDTO,' <c""
COM'lfll MAIliNG AOOIUS
:!IS
"0
"z
Bf
D. Rentscher, Esquire
R.maind.r R.turn
(far dollS of d.olh prior 10 12.13.82)
F.deral Estat. To... R.turn R.quired
z
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:5
=>
t:
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...
..
1. Rtol ElIo't (Schodulo AI
2. S,ad, and Bond, (Schodulo BI
3. Oo..ly H.ld Slack/Partnership InterlSt {Sch.dul. q
.c. MortgaSlS and NotlS Rec.ivabl. (Sch.dul. OJ
5. Coth, Bank D'posil' & MiK.llantous P.rsono1 Prop.rty
(Schodulo EI
6. Joln,ry Ownod P,oporty (Schodulo F)
7. Tran,ron (Schodulo 0) (Schodulo II
8. Total Groll AII.ts (total Un.. 1.7)
9. Funeral Exp.n..s, Administrativ. COllt, Milullon.ous
Exponll' (Schodulo H)
10. D.bls, Mortgag. Uabilili.., U.ns (Sch.dul. I)
11. T 0101 Doductlon, ('o'ollin" 9 & 1 0)
12. N.t Valu. of Estot. (lin. 8 minuI lint 11)
13. Charitabl. and Gov.rnm.ntol B.qu.... (Schedule J)
1... N.t Volu. Subj.ct to Ta...IUn. 12 minus Un. 13)
15. Spousal Transf.n (for dat.. of d.ath aker 6.30.9.)
5.. Instructions for Applicabl. Percentog. on R.v.r..
Sid.. (Includ. valu.. from Sch.dul. K or Schedul. M.)
16. Amount of Un. 1.. taxobl. at 6% rat.
(Includ. valu.. from Sch.dul. K or Sch.dul. M.)
17. Amount of lint 1. ta...abl. at 15% rat.
(Includ. volu.. from Sch.dul. K or Sch.dul. M.)
18. Principal to... due (Add ta... from Un.. 15, 16 and 17,)
19. Cr.dill Spousal Pov.rty Cr.dit Prior Paym.nll
0+0
_ 8. Total Numb., of Saf. D.posit Io..s
::;<\..
-...,''...;j;
z
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26 N. 32ND Street
Camp Hill, PA r\t911
(11
( 21
131
(41
(5 I
(61
(7)
L-'
~n
,~
e
z
. ..
N
o
333.00
( 81
:'1
~,J
(...j
-..J
333.00
"
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f.ng.
(9)
(10)
(111
(121
(131
(IAI
333.00
(151
(161
(17)
)(._=
333.00
o
)( .06 tz
19.96
)( .15 .
o
19.96
(181
+
Discount
o
(19)
(20)
o
Intertlt
o
20. If Un. 19 is greater rhon line 18, .nler the differ.nc. on lint 20. This il the OVERPAYMENT.
aD
Cflt'c~ h~f(! If vou nIL' rl'qu~"hn9 n wfund of you, oV~lpnvml.'nt.
(211
(2IA)
(2IB)
19.98
o
19.96
21. If Un. 18 i. gr.ater Ihon lint 19, .nler th. differ.nc. on Un. 21. Thi. isth. TAX DUE.
A. Enler rh. inter..t on ,h. balanc. due on Un. 21 A.
B. Enler the fatal of Un. 21 and 21 A on lint 218. This is the BALANCE DUE.
Mob Ch.ck Payable tOI R.gIII., 0' Will., Ag.nt
o ,'~c'C' II SUII TO ANSWD AU QUunONS ON IEVlISI SIDI AND TO IECHICK MATH .... .
Under p.nolli.. of perjury, I d.c1are that I have examln.d this relurn, including accompanying sch.dul.. and stot.m.nll, and to Ih. btlt af my .nowl.dg. and b.li.f,
it is tru., cerrect and compl.t.. I declare that 011 real ..tot. has bltn report.d at true marh, volu.. O.clorotion of prepor.r olh., than Ih. personal reprtl.nlaliv. is
balld on 011 information 01 which prepar., has any knowl.dg..
SIGHATURE Of 'USON .UI'ONSI'lf '0. filiNG RETU.N AODlUS DAU
SIGNAtU_1 0' 'U'AU. otHU tHAN If'U~ AODUU
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."'IMY".'....~id :I" Ml'Vi~!'!()~"~ 10l "QlAed .......0 AeuotI ..0 ,,~ ..... JN1CIl)1CI JH)(IJllIHIOH II
'.lHJDY '5111" ~O Hal51DJH '0' .,q.... 'DO'O ...- .. ._ .... lH]lIn]lllH]lIII3ll /I ..
oepts ....IIM.. MA uo ,.,ut..d
"."ppII pue MN MI' 0' .tQl<<.d ..... lUM.<.d ..no<< ~U" U..,. ... .:tUON st~l '0 uoU..ocI dol MI' lpe'lIO
Rec(1(.,..c.l ;"1 i~ of
RI? \.:,I,s
'96 JUL 18 A11:14
Clur'
Cun- J." i.', .1.
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' ''"11. ;~ .~ ,.,~,...:..,'-"'_~'CN l;.;,', ,', -..) ~I"""I
\i: ~~;~~:~~cW:_" '. PlNNsYLVAHIAlNHIltTANCI'AND ISTAnTAX
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RECEIVED FROM.
&
ACN
ASSESSMENT P:'
CONTROL ~
NUMBER
AMOUNT
.\
i
RENTSCHLER MICHAEL DAVID
eB NORTH seND STREET
Ivl
.1.~t:I/.VU
CAMP HILL, PA 17011
fOIDH'"
SSN IBS-le-l:56B
(fIR5T) (M'I
G SR
REMARKS
m TOTAL AMOUNT PAID
_1.3B7.00
CW
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t: ( i
EJ P05TMARK I
COUNTY
CUMBERLAND
DA E Of DEATH
MICHAEL D RENTSCHLER ESQUIRE
SEAL
CHECKtI IB0611B
RECEIVED BY
irclNAlUI!
REGISTER OF WILLS
MARY C. LEWIS
REGISTER OF WILLS
1",
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REVo1547 EX AFP (12095*
C~Al'H or P[NHSYlVAHIA
D[PUlTftE"T Of' R(Vf.MJE
IURfAU OF INDIVIDUAL JAMES
IJ[Pf. za06l1
HlRRISIIJtQ, Pi 17UI-06Dl
NOTICE OF INHERITANCE TAM
APPRAISENENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSNENT OF TAM
ACN 101
DAT! 07-29-96
FILE NO.
DATE OF DEATH 12-31-95 COUNTY CUMBERLAND
NOTE. TO INSURE ~ROPER CREDIT TO YOUR ACCOUNT, SUaNIT THE UPPER PORTION OF THIS FORN WITH YOUR TAM
PAYNENT TO THE REGISTER OF WILLS. NAME CHECM PAYABLE TO "REGISTER OF WILLS, AGENT"
REMIT PAYMENT'TO:
MICHAEL 0 RENT SCHER ESQ
28 N 32ND ST
CAMP HILL PA 17011
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
AlIOunt H..Uted
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
iii';:Ei4'7"EX-AFP-mi:9SY"iicificE-"OF"YNHEiiiTANCi-i'-A"x-iipjiRiiiiiEifEiii'~--Ai.i.-oiiANCi"ijJi------------""---
DISALLOWANCE OF DEDUCTIONS ~ND ASSESSMENT OF TAX
ESTAT! OF WATTERS THOMAS G FILE NO. 21 96-0067 ACN 101 DATE 07.29-96
TAM RETURN WAS, (X I ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST 0 SEE REVERSE
( I CHANGED
APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL
1. Reel E.tata ISchedule Al
2. Stock. and Bond. (Schedule Bl
3. Cla.aly Held Stack/Partner.hlp Intere.t (Schedula CI
4. ttortgag../Hot.. Racelvabl. (Schedule DJ
S. C.ah/~ank Depolita/Hilc. P...aonal Prop.rty (Schedul. E)
6. Jalntly Owned Property ISchadula FI
7. Tran.f.... (Schedule QJ
a. Total A...t.
NO. 01
.00
.00
.00
.00
333.00
.00
.00
(BI
333.00
RETURN
UI
121
Ul
(41
l~l
(61
17l
APPROVED DEDUCTIONS AND EXEMPTIONS:
.00
9. Funeral Expen.../A~. COltl/HIIC. Expens.. (Schedule HJ I')
10. Debt./Nartoaoe Llebl1ltle./Llen. ISchedule II 1101 '.00
11. Tat.l Deduatlan. 1111
12. Net Value af Te. Return 1121
13. Cherltable/Cavernaentel Beque.t. ISchedule Jl IISl
14. Net Value af E.tate Subject ta Ta. 1141
NOTE: If an assass.ant was issuad praviously, linas 14, 15 and/or 16, 17 and 18 will
reflact figuras that includa tha total of ALL raturns assassad to data.
. ASSESSMENT OF TAX:
15. Aaaunt af LIne 14 et Spau.al rate 1151
16. A.aunt of Line 14 t.xable .t Lin..I/CI... A rat. (16)
17. Aaount af LIne 14 ta.able at CalletereI/Cla.. B rate 1171
18. PrJnclp.l T.. Du.
TAX CREDITS:
PAYNENT
DATE
04-10-96
06-20-96
00
333.00
.00
443,393.00
.00
443.393.00
..00
M .00.
M .06.
M .15.
UBI
.00
26.602.98
.00
26,602.98
RECEIPT
NUNBER
AA1l2720
AA1l2955
DISCOUNT
INTEREST
It I
(-I
.00
.00
ANOUNT PAID
25,196.00
19.98
PAYMENT MUST BE MADE BY 10-01-96..
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
25,215.98
1,387.00
.00
1,387.00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
I IF TOTAL DUE IS LESS THAH '1, NO PAYNENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRl, YOU NAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FDRN FOR INSTRUCTIONS. I
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RESERVATIDH. E.t.t.. a' decedent. dying on or be'ar. Dece.blr IZ, 19.Z _. If ~y 'utur. Int.r..t In the ..t.t. I. tran,'.rred
In po.....lon or anJa~t to CI... . (coll.t.r.l) bene'lcl.rl.. 0' ~ decedent .ft.r the axplratlon 0' any ..t.t. 'or
II'. or 'or y..r., the C~lth hereby .xpr...1Y r...rv.. the right to eppr.I.. ~ ...... tr~...r Inherltanc. T....
.t thl l,,'ul CI... I (coll.t.r.l) r.t. on ~ .uch 'utur. Int.r..t.
.
PIIRPClR ..
NOTlal To fulfill the r...lr....t. of SMtlon Zl40 of the Inherltanc. ... Est.t. Tax Act, Ac' ZZ of !"l. n. P.S.
Section ZllItO.
PAYMEHT. Detach the top portion of thh Notice ~ .mlt ..Ith yaur p'YNnt to the Aegilter of NU" prlntad on the reVlr.. "de.
........ c:hKk or IOMY order payable tal REGISTER OF MILLS, AGEffT .
All p.~ta recllved &hill fint bIi applied to any Interllt which Ny be duIi ..Ith any r...lnder 1ptII1Ied to the t...
REF\JftI (CA) I A r.'und 0' . tax credit, which .... not requelted on the Ta. A.turn, ..y b. reque.ted by ~1.tI"' ., "application
for Aafund 0' Pennlylvanl. Inherltanca and E.tat. T.... (REV-1515). Appllcltlonl ar. 1V1111b1. at the offlc.
of the Aegl.t.r of Will., ~ 0' tbe 25 Alv~ DI.trlct afflc'l, or by CIlllng the spacl.l Z4-hour
~lWIrl", ..rvlc. ~r. for 'or.. orderlngl In Pann.ylvanl' 1-100-56Z-2050, aut. Ida Pann.ylv.,l. and
..I thin loc.I Hlprl.bura .r.. (717) '1'-lr94, IDDI (717) 772-2152 (Ha.rlng 1.,llred Only).
aUCTlONSI My party In Int.rest not satl.fled with the IptIInll..."t, .1louMC' or dlnllOtfanc. of deduction., or ......."t
. 0' tax (Including dl.count or Inter..t) .. ~ on thl. Notlc. .u.t Object ..Ithln .I.ty (60) day. of rec.lpt of
thl. Motlc. byl
--wrlttan prota.t to the PA Deplrt-.nt of A.vanue, laird 0' Appaal" Dept. 211021, Harrisburg, Pi 17121-1021, OR
....Iectlon to hava the ..Uar dater.lnad .t .....It a' the account of thI ~rsonal raprllantaUva, OR
-.."..1 to the OrPhan" Court.
ADMIN
IITRATlVE
CORRECTIONS I
Factual .rrar. dl.covarld on thl. .....l8Iftt ~Id ba addr...ed In writing tar PA Dep.rt,,"t of A.v~,
lur.eu 0' IndIvIdual T.x.., ATINI Pa.t A....l8Iftt A.vlew unit, Dept. 210601, HarrllbUrg, PA 17121-0601
~ e717) 7.7-6505. SII p.,. 5 0' thl bookl.t "In.tructlon. 'or Inheritance Ta. A.turn 'or a A..ldant
Oac~t" (REV-1501) 'or an ..planatlon of ~Inl.tr.tlv.ly corrlCt~l. .rror..
D11CDUNT1
If any ta. due I. p.ld ~Ithln thr.. (J) cllendar eonth. aft.r the dacad6nt', 6aath, . flv. parcant (5%) discount of
thl tax p.ld I. all~.
PENALTYI
1M U% ta. .-MI.ty non-partlclp.tlon penalty I. caputed on the tot.1 af the tax and Int.rllt ......ed, and not
p.ld bafor. January II, 1996, the 'Ir.t day .ft.r thl ~ 0' the t.. aane.ty p.rlad. Thl. non-p.rtlclpatlon
,.naity II ~lllbl. In the ... .~r and In thl thl! .... U.. p.rlod .. you would appeal the ta. and Intarllt
that has bIIn ......ed .t Indlc.tad on thll notice.
Int.r..t I. ch.raad blglnnlng ..Ith 'Ir.t d.y 0' delinquency, or nine (9) eonth. and ana el) d.y 'rOl the data of
dMth, to the data of p.y.....t. T.... Mhlch bee... d.lInquent bafora J.,.,.ry I, 1'82 blar Intarllt .t the rata of
.1. (6%) parcent par ennua c.lculatad .t a d.lly r.t. 0' .000164. All t.x.. ~Ich bee... delinquent on and .ft.r
Jenuary I, 19.Z will ba.r Int.r..t .t . r.ta ~Ich will vary 'roe c.lendar y..r to c.lend.r y..r ~Ith that r.t.
~ed by the PA Dep.rt.....t 0' A.vanua, The appllcabla Int.r..t r~t.. 'or 191Z thrOUGh 1996 .r.,
INTEREST I
'!!!! Intarllt A.t. n.lly Int.r..t Factor !!!! Intarllt ht. n.IIY Int.rllt Feetar
.
191Z ZDX .000541 1917 'X , GUZU
1915 I'X ,000411 1...-1..1 IIX . U0501
19" IIX ,000501 I..Z OX .OODZU
1915 ISX .OD05~ 1'''''1'''' 7X .000192
1916 lOX .000274 1995-1996 OX .ODDZU
.....lntar..t II c.lcul.ted .. follou'l
INTEREST . BALANCE OF TAX UNPAID X HUMBER OF OAYB DELINQUENT X DAILY INTEREST FACTOR
__Any Notlc. I..ued .ftar the ta. bee... dlllnquent ..111 reflect an Intar..t c.lcul.tlon to flft.an U51 dsy.
bayond the data 0' the ...........t. 11 p.y..,..t II alda .ftar the Int.rllt cQlPUtltlan data lhown on the
Notlca, addltlon.1 lnt.r..t .u.t be calcul.tad.
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<0
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PAvtENT I
DetKh the top portion 0' thh Notlu and .ue.1t with your p.r..nt .ad. pav.eJl. to the n... and IIddr..a
printed on the r...ra. .Ide.
If RESIDENT DEt[DEN' 'M' check or ItOf'IIIV order plvlibl. tal REGISTER OF WILLS, AGENT.
If NON-RESIDEN' D(t[O[HT .... check or aonev ord.r p.v.eJl. tal COHHOHWEALTH OF PEPffSVLVANIA.
All Plpenta rec.lved thll1 be -..lIed 'Irst to MV Int.r..t Which .IV b. due with ."v r...lndtr applied to the t...
REfUND (CAJI A r.fund 0' a t.. credit, whIch .... not reque.t.d on the T.. R.turn, .IV b. r.que.ted bV coapl.tlnt ."
"Appllcltlon 'or A.fund a' Penn.vlvenl. I~rlt~. and E.tlt. T..- CREV"1111J. application. .r. av.llabl. It
the Df'lc. of the Aeol.t.r a' WIll., any a' the 21 A.venue DI.trlot D"lc.. or froe the o.part..nt"' 24"hour
."....rl"' ..rvlc. nuabera 'or 'or.. orderlngl In P~.vlvanl. 1..00"162"2050, out. Ide Penn.,lvenla
and within local Harrlfburl Ir.. (717) 7.7.1094, 'DO' 1717J 772"2252 lHelrlng tapa Ired onlv).
REPLY TDI Due.tlon. regardIng .rror. cont.lned on thl. notlc. .hould ba addr....d tOI PA O.p.rt.tnt 0' A.~tnuI, lur.eu
0' Individual T...., ATTNI Po.t A.....-.nt A.vl.w unIt, O.pt. 210601, HarrIsburg, PA 17121.0601, ~
17171 717'6~O~.
DISCDUNT.
I' an, ta. due I. p.ld within thr.. Cl) c.lendar aonth. .ftar thl d.cadant". death, . flv. p.rcant 15XI dl.count
0' the ta. p.ld I. allowtd.
PfNAL TV I
The 15X t.x .-nt.t, non"partlclpatlon penalty I',coaputad on thl tot.l of the ta. end Int.r..t ......td, and not
p.ld bafor. Jenuary I', 1996, the flr.t dav .f~.r the and of the t.. .-nt.t, p.rlad,
IHTEREST t
Int.r..t I' charl'd. blllnnl", wIth 'Ir.t d.V of d.llnquencV, or nln. I') .onth. and ~ II) d.y 'rot the dlt. of
de.th, to the dat. 0' p.v.ant. T.... which b.c... d'llnquent b.for. January 1, 1..2 baar Int.r..t .t the r.t. of
,I. (6X) parclftt Plr ~ c.lcul.ted .t . d.ll, rat. a' ,000164. All t.... whIch bee... delinquent on and .'t.r
Jenuarv 1, 1"2 will b..r Int.r..t at a r.t. which ..III v.ry fro. c.landar y..r to c.land.r y..r with that r.t.
lMOUnCed by the PA IIep.rt.ant of R.venue, The appllCablt Int.,..t rat.. for 1.12 through 1996 ara.
V.ar Int.r..t A.t. Dally Int.r..t Fector V.ar tnt.r..t Aat. Dally Int.r..t fector
1912 ZOX .000S4I 1.11 'X ,GOOZ47
1911 lOX .0110411 19....1991 IlX ,GOOSOl
1914 IU '.OD01DI 1"2 'X ,GOOZU
1915 UX .DDnS6 1"1.1'" 7X ,DODl"
.... lOX ,OD0l7' 1995"1"6 'X ,GOQ2IU
ulntar..t Is calculated .. fallow..
INTEREBT . BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREBT FACTOR
..Any Katlee I..ued aft.r the t.. baco... d.llnquent ..Ill raflect an Int.n.t calculation to flft..., US) day.
beyond thl d.ta of the .......ant. If pa,...,t It .ade .ftar thl! Inter..t ClMlPUtatlan data .hown on the
Katlca, addltlon.1 Intere.t au.t be c.lcul.ttd.
I
/./t-!jJ ~,)-
REV-1547 EX AFP (12-95*
C~'lTH OF PENNSVLVANIA
DEPAJlTttEHT Of It[vou:
IlItfAU OF INDiviDUAl TAXU
DEPT. lIOUl
HARRISIURG, Pi 1711'.0'01
(! L--
ACN 101
NOTICE OF INHERITANCE TAX
, APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT DF TAX
DATE 06-17-96
DATE OF DEATH 12-31-95
FILE NO.
COUNTY
CUMBERLAND
HOTE. TD INSURE PRDPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAX
PAYHENT TO THE REOISTER DF WILLS. HAXE CHECK PAYABLE TO "RECISTER OF WILLS, AGENT"
REMIT PAYMENT TO:
MICHAEL D
28 N 32ND
CAMP HILL
RENTSCHLER ESQ
ST
PA 17011
REGISTER OF WILLS
CUMBERLAND CO COURT
CARLISLE, PA 17013
HOUSE
A.aunt H..Ht.d
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ....
iiEV:is4-j-EX"AFjo--m---9ifj-iiilYicEuOF-YNHEifiTANCE-i:Ax-jipjiiiA-isEiiEiiT~--ALi.oiiA';cE-iiFiuu------U_-""-
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF WATTERS THOMAS G FILE NO. 21 96-0067 ACN 101 DATE 06-17-96
If an assessment was issued previously, lines 14, 15 and/or 16, 17 and 18 will
reflect figures that include the total of ~ returns assessed to date.
ASSESSMENT OF TAX:
15. ~t of Line l~ et Spousel rete 1151
16. Aaount of Line 14 taxabl. at Lin..I/CI... A rat. (16)
17. Aaount of Line 14 taxable at Coll.teral/CI... 8 rat. (17)
18. Principal Tax Du.
TAX RETURN WAS. I X I ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Reel Estete ISchedule Al III
2. Stocks end Bonds ISchedule BI 121
S. Closely Held Stock/Pertnershlp Interest ISchedule CI 151
4. Hartgaga./Not.. Racaivabl. (Schedul. DJ (4)
S. Ca.h/Bank Depollta/Hilc. Parlonal Prop.rt~ (Schedule E) IS)
6. Jointly Owned Property ISchedule FI 161
7. Tronsfers ISchedule GI 171
8. Tot.l A...t.
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. fun.r.l Expen.e./Ad.. COltl/"l.c. Expen... ISchedule H) 19)
10. Debts/Hortgege Llobllltles/Llens ISchedule II 1101
11. Totel Deductions
12. Net Velue of Tax Raturn
1S. Cha~ltabl./Gov.rnaant.1 Bequ..t. ISchedule J)
l~. Net Velue of Estete Subjeot to To.
NOTE:
TAX CREDITS:
PAYHENT
DATE
04-10-96
RECEIPT
NUIlBER
AA112720
DISCDUNT It I
INTEREST 1-)
.00
PAYMENT MUST BE MADE BY 10-01-96W.
I CHANGED
130.900.00
17.400.00
.00
64.000.00
265.829.00
.00
.00
ISI
478,129.00
33,908.00
261.00
1111
U21
1151
1l~1
~4. 169 nn
443,960.00
900.00
443,060.00
.00 X .00.
443,060.00 X .06.
.00 X .15.
UBI
.00
26,583.00
.00
26,583.00
AIIOUNT PAID
25,196.00
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FDR CALCULATION OF ADDITIONAL INTEREST.
25,196.00
1,387.00
.00
1,387.00
I IF TDTAL DUE IS LESS THAN 'I, NO PAYHENT IS REQUIRED.
IF TDTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. I
0- ~r_~
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RlSLRVa'IOM. E.I.I.. of ..cedenl. d.l.. on or bOfor. D.c....r 12. 1..2 .' If on. 'ulur. Inl.,..1 In I" ..1.1. I. Iron...,rad
In .......Ion or onlo..onl 10 CI." . lcoll.I.,.I' bonoflol.rl.. of I" doCadonl .fl.r I" .,.Ir.llon of on. ..1.1. for
Ilf. or for ...r.. IhO Co.......llh ..,.b' .,.,...1. r.'.".' I" rlghl 10 ...r.I'. ond ...... I,on.f.r Innerll.... ,.,..
at the l.wful Cl." I (collatarall rata on .nV such future Inta,..t.
PIJIlPOU '"
IIOTlct. '0 fulfill IhO r_I.....1I of S.cllon 2\" of Ih. Inne,II"'. ond EaI.I. 10' acl. a.1 u of 1..1. 72 ..5.
secUon UIlO.
.a~" 001." I" I.. porllon of Ihl. Holl.. ond .ubll. .llh .ou' ...oonl 10 I" ...I...r of Will. .rlnl.d on Ih. r...r.. .1".
....... ..... or _. or..r ...obl. 10' REOISTER OF MILLS. AOENT
all ......11 ,..oI.ad ...11 fI..' bO _lIad 10 on. Inl.r..1 which ... b. ... .lIh on. ....I....r ...lIad '0 I" ..,.
IlEf\lHD lCRlI a r.fund of . I.. cradll. whl" ... no' r._.lad .. IhO ,., ..Iu,n. ... b. ,,_,"d b. ._1.11.. on "a..II..llon
for ..fund of .......I.onl. Innerll"'. ond E..... ,.," tREV.mS'. ...lIc..lon. .r. ...Ilobl. .. I" ofllco
01 IhO ...hl.r 01 Will" on. of ... n ......... Dhlrl.' Dffl.... or b. collI" I" ....1.1 2,'hOUr
on...rl.. ..r.lc. .....r. for for.' or..rl... In ,ann..I.onl. 1-....S62.2.S.. oul.l.. ,......I.onl. ond
.1Ih1n locol Ho"hbUr. .,.. 1711> ,.,...... '00' (111' 112-US2 (Ho"I.. l..oI,ad onl.,.
OIJEC'IOKS' an. ,.r', In Inl.'." no' ..II.flad .llh Ih. _,.I....n.. .11.."'. or dl..II""'. 01 doduC.lon.. or ..........
of I.' Ilncludl.. dl..oun' or Inl.r..I' .. ..."" .. Ihl. .011.. au.1 obl..1 .llhln .1.1. (6" d..' .f r...I.1 of
thl. Mattea by1
...rl.lon ,rol..1 10 IhO ,a D...r..onl of ....nu.. lo.rd of a....I.. 0..1. 211.21. H.,rl.bUr.. ,a 11121-1.21. OR
...I..llon '0 .... IhO ..tt.r ..I.r.lned .1 """ of IhO ...ounl of Ih. .......1 ...r..on..II", OR
....~..l tD the DrpMn" court.
ADMIN
\ST..T1VE
CQRRf.CtlOMSI
,..IUDI .rror. dl.c...,ad on \hI. ........nl .nould b. odd,...ad In .rl'I" '0' ,a D...r''''' of ....nuo.
IUr.au of Indl.ldu.1 '.'." a,TH. '0.1 a......onl ...1.. Unll. 0..1. 21.6.,. H.rrl.bUr..,a 11121-.6.1
..... (111) ,.,'6S'S, 5...... S of I" ....1.1 -'n.lruell... for Inn.rl''''. T.. ...urn for. ...Idon'
Docedenl" (REV'IS.I) for on .,.Iano.lon of odDlnl.lr..I..I. cor,..lobl. .rror..
DISCOUHTI
If on. I.. ... I. ,.Id .llhln Ihr.. (S' ..I.nd.r ooolh' .fl.' IhO d..adon'" d..lh. . II.. ,.rcon' (SX' dl.counl of
~ taM paid ,. allowed.
PEKALTVI
T" ISX I.. ....... ......r.lol,..lon ....11. I. coopulad on I" 101.1 of I" .., ond Inl.'." .......d. ond nol
..Id bOfor. J....r. II. 1..6. ... fir" d.. .fl.r I" ond of I" ... ....... ..rlod. 'hi. non.,.r'I.I..'lon
.....11. 10 _oIobl. In I" .... ......r ond In I" I" .... 1100 ..rlod .. .ou would _..1 I" I.. ond In'.'OIt
tMil hll bee" .......d .. Indlcatlld on thlt notlee.
INTEREST 1
Int.r..t I. ...r.ad ...Innl.. .llh flr.t d.. of d.llnqu...', or nino (.) oooth. ond ana (I,d.' froo t.. d.l. of
d..lh. '0 t" d.t. of ......t. ,.,.. which b..... d.llnquont b..or. J....r. ,. "12 bO.r Int.r..t .t th' r.t. of
.1. (6X) ..,cont ..r onnuo ..Icul.t.d .t . d.ll. ,.t. of ....1... all I.... whl.h boc'" ",lnquont on ond .fl.r
J....r. t, ,.12 .111 bo.r Inl.r..t .t . r.t. which .111 ..,. Iro. c.lond.r ...r to c.lond.r ...r .llh Ih.t r.t.
........d b. I" ,a Oo..rl_t of ...onuo. 'ho ...,I.obl. Int.r..t r.I.. for 1.12 Ihrough t"6 .,..
'!!!! tnta,..t A,t. O.ny tntar..t fllCtor '!!!! Int.r..t R,t. DallY tnta,..t F.ctar
1912 !OX . DOOSlt. 1917 OX .DanU
1915 I6X . aDDUI 1911..1991 llX .,'UU
"14 llX .OOUSU '''2 .X ,uau"
1915 UX .oaGS" 1'91-1"4 1X ..uu'z
1916 lOX .000214 ,..5-19'" 'X ,OOaz41
__Internt ,. calcu'eted .. follow"
INTEREST . BALA"CE OF TAX UNPAID X NU"BER OF DAYS OELI"QUEMT X DAILY INTEREST FACTOR
..an. Hollco III"'" .ft.r thO t.. b...... ..~Inquonl .111 ..fl.ct on Into'OI' colcul..lon to 11ft... US> d..'
b..ond I" d.t. of t" .........t. II ......1 I. .... .fl.r I" Inl.r..t cooPUl.tlon d.t. ..... on I"
Kottca, addlttonal lnternt .....t be calculated.
PAYftDfTI
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Detach the tDP portion 0' thh Notlc. and .ubIIlt with wour Plpent ..... p.wlbl. to the n... IInd Mldr...
,rlnted on thl r.v.r.. .Ide.
If RlIIIl[HT O[C[o[HT ... check or ItOMW ord.r p.wlbl. tOf REGISTER OF WILLS, AGENT.
If f<<)H-RfllDEHT Il[CEDEHT .... chKk or ItOMW order "rlbl. tOI CDHttONWEALTH OF PENNSVLVANIA.
All P'YNnt. rKIIldd thl11 be ...lIed Unt to ...y Int.r..t .....1d1 ..w be due with ."y r...lnder ~lIed to tM tn.
RUl.ICD (aUI A r.,lnI of . tax credit, ..,,1d1 .... not reqw.ted on tM t.. R.turn, ..y be r.que.t~ br cc*pl.tlng ...
-"'llc.tlon 'or ..fund of Penn.ylvanl. Inherltanc. IInd E.t.t. T.." CREV-ISIS). Appllc.tlon. .r. 1Y.111b1. .t
the OfficI of the ...I.t.r of Will., any of the 11 RlYenue DI.trlct Offlc.. or froe the DIP.rt.-nt'. I.-hour
.......rl"' ..rvlcl ~r. for for.. orderlngl In Penn.ylv.nl. 1-100-56Z-Z0S0, out. Ide penn.ylvanl.
and within locIl Harrlabura .r.. (717) 117-a094, TDDI (717) 771-IIS1 CHI.rlng IIP.lrld onlw).
RfPlY Tal DuI.tlon. r...rdl". .rron conblned on thl. notlcI should be IICIdr...1d tOI PA Dep.rt....t 0' RIY___, lur...
of Individual ,...., ATTHI Po.t A.........t Rlvl... unit, Dept. la0601, H.rrlabur" PA 1711'-0601, phone
17m 7.7-.....
aJ1COLIIT1
PDUlTYI
INTEIlUT I
If any tn due I. p.ld within thr.. (5) c.lendar aonthl .ft.r thl dectdlnt'. d..th, I 'Iv. percent CSX) dl.count
of the t.. p.ld I. Illowed.
The 15% t.. -..ty non-p.rtlclPltlon penalty I. cDlPUtld on the tot.1 a' thl t.. and Int.rllt ......Id, IInd not
p.ld bI'or. Jenuary II, 1996, thl 'Ir.t d.y .ft.r the end of thl tl. lInt.tv p.rlod.
Int.rllt I. cMrgad blalmlna with flr.t d.v of dellnquencw, or nine e'l aonth. and OM (I) dey fro. the det. of
de.th, to the det. of PIYNnt. T.... whld1 bee... dllInquant be'ore JMUlry I, 1912 bMr Intlrllt It the rltl of
.1. (611 percent PI' ennui c.lculet.d It I d.lly r.t. 0' .000164. All t.... which btc... dlllnquent on. and .,t.r
January I, 1"2 will bier Int.r..t .t I r.tl NhId1 will very 'rOl Cllendar w..r to cllend.r Wllr with thlt r.tl
announced by the Pi DIp.rt....t 0' R.venue. ThI ~llclbl. Int.r..t r.te. 'or 19.1 through 1'" Ir.1
V..r lnt.,..t R.tl a.lly Int"..t Factor V.lr Int.rllt Rlt. D.Uy Interllt factor
ulr lOX . GInn 1917 'X . DOn"
UOS 16% .ODDUI 1'11-1"1 IIX .OOOSIl
I... IIX .ODOSDl I..r ox .0ODI47
1..5 UX . Doon' I"S-I994 7X .000191
I... lOX .IOOZ1. 1995-1'" ox .OODZn
utnt.rllt Ie calcul.tad .. followlI
INTEREST . 11LAllCE OF TAlC UNPAID X NUKIER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
~-Any Hotlcl I..ued .,t.r thl t.. b1c~' delinquent ..Ill ra,lect an Int.r..t cIlculltlon to fifteen C1S1 dlY'
beyond thlt det. of thl ..........t. If pQMf'lt I. udII .ft.r the Intlnlt CHPUt.Uon det. Ihown on the
Notlcl, additional Int.r..t lU.t be c.lcul.ted.
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STATUS REPORT UNDER RULE 6.12
Name of Decedent: - /OM. tJIt7l,/R5/ 5/<.
Date of Death: /.~/3~1.s-
will No. /71t- OWl.' Admin. No. )111. --ot'JG67
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 No X
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 ~te 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: /~~/Z'l)
~4~~~
Signature
k/4-"-,,ddf-.?- .a ~~~
Name (Please type or print)
/. ~.tm ~A:T/?d:/ ~?!z~y~i'J
Address kt"<~J R />a ~~
(}/2 5').5--7'/.77
Te I. No.
-
I
I;:':
o.
, :--
- ....
'..J(;
Personal Representative
Capacity:
~
Counsel for personal
representative
(MAH: rmf/ AM3)
... .~
~ '-!""
STATUS REPORT UNDER RULE 6.12
Name of Decedent I
7;;r;,A'~A.., r.:-. /..Mrr"r<---e<;. .Y?
/
Date of Death I /~/s5/3.s-
Will No. 01 /- /'J'i? -G 7
Admin. No. ~?/- /77'/.- (. '/
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 estatel
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1. State whether administration of the estate is complete I
Yes No X
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
completel:? H?,~5
3. If the answer to No. 1 is Yes, state the followingl
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 iSI
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.
Datel ~/~~9M
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Signature
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Name (Please type or print)
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AddressL..._ ~ ~ I -:>t:Jii3
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STATUS REPORT UNDER RULE 6.12
Name of Decedent:
/A0_h.n<; ~
t'Jrl7T~.,tX. ,SR..
.
Date of Death: /a./-v /'7'~
, ,
will No. ,~/-<J~ - C;;7
Admin. No. cJl- '7G- t: '/
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 No .x
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete: b ~_7r-^
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 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: ~ /,;;/1/'1'1"
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Name (Please type or print)
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Address 13. /70r..9
(?~ 9?C-<<)'/o/
Te 1. No.
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Capacity:
Personal Representative
)) Counsel for personal
representative
(HAH:rmflAM3)
STATUS REPORT UNDER RULE 6.12
Name of Decedent:
/"A',,#<..d <' 6-. !./A77if.R-S. S~'
."
Date of Death: /c;./J<h,
Will No. ,;)/- 91- (, 7
Admin. No. ,;)/- 76 of,)
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 No X
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 X
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.
~~..P~
Signature
/~,C-#''''' <- D. R~N:-:SC.#4f'?
Name (Please type or print)
:2. ff' fil. 3;l. -t? S d. J &r-<P#Ic'(_ .Iii / 'tW
Address ,.
Date: Po/9'R'
(7/7) 7/,(""-7/.;29
Te 1. No.
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Capacity: Personal Representative
~ Counsel for personal
representative
(MAH:rmf/AM3)
PU?ASE mE 1lIIS REPORT Wl1lIIN 'M YEARS OF DATE OF DEAllI m;ARDL&')S OF 1lIE STAWS OF 1lIE
ESTATE. IF ESTATE IS oor cntPI..Em), mE A 6.12 FORM YEARLY lImL aJoIPlEl'IOO.
STATUS REPORT UNDER RULE 6.12
Name of Decedent,
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/..J..k 17~ p< . .$ ~
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Date of Death, /01/3/ /"7 S-
I' ,
Will No. Admln. No. C)./-/7-:76'- 6?
Pursuant to Rule 6.12 of the Supreme Court Orphans'
Court Rilles, I report the following with respect to completion of
the administration oC the above-captioned estatel
1. State whether administration ot the estate is completel
Yes No_~_
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete, a '"" k s
J. 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) Cor
the personal representative's account iSI
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 aLtached to this report.
Datel ~;4c:>,,;J...
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SIgnature
/4'/<'74/t-<:. c:. .0. ./c?~...., 7"-SCff 4..e-
Name (Please type or print)
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.(ddress ,L,-,_:;.-- ,I? / /Oy ~
{/I'/l 7'><,.--5'/4
Tel. No.
CdlJacity:
rersonal Representative
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Counsel for personal
.- representative
(HAH I rmt/ AMJ)
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82/82/2882 15:31
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IUASE rD% 11IIS UJI(Itr W11UIM M yws at MTE ~ IlPA1H PJr~1U)I J:S.C; at 'l1I! S'IA1\IS at 'DI!
.1lSfm. IF !STATE IS tor (JJIU:l'!D. fILE A 6.12 F(Iltt YlAILY OOIL aJI'LEl'lOf.
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STATUS REPORT UNDER RULE 6.1~
NaM of Decedent' ~)~ D'--AJ
oat. of O.athl /o1.h~ /~ S-
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will No.
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pur.uant to Rule 6.12 of the suprellle court orphanl'
Court Rul.., I report tho following with re.pect to conlpletion of
the administration of the above-caption~d ostate,
1. State whether administration at the e,tate is cOlllpletel
Yee No ~
2. If the answer is No, Rtate whAn the pereonal
repre.entative reaaonably believel that the adMinistration will be
cOIIpletel a c;.K.s
3. If the answer to No. 1 il Yes, Itate the followin91
a. Did the peraonal r.prelentatlve file a final
account with the court? ye. No
b. The separate Orphans' Court No. (if any) for
the personal repre.entative'. account is,
c. Did the perlonal reprelentative Itate an
account infor.ally to the parties in interest? Yea No
d. Copiel of receipt.. relealel, joinderl and
approval a of for.al or info~al accountl may be filed with the
cork of the orphane' Court and may be a~tached to t~i. report.
Date, aY'.!.;~b ~ ~---~~-: - ~
Signature
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Name (please type or print)
/.-? lRJ ~~C6.q' ~ ~~
Jl(ddrelll Lr-1- ~ /?P"f' 3
(/1'71 9>.5.- - 7/~
Tel. No.
CdpacitYI
rersonal Reprelentative
~ ..,counlel for peraonal
repre..ntlltive
(KAHlr..t/AMl)
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