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Eslall! of Edwa rd S, Frv
al,w known as
PETITION FOR PROBATE and GRANT OF LETTERS
No, ~-lqq~-'70
To:
Registcr of Wills for thc
Deceased. County of Cumberland in thc
Social Sel'lIrilY No, 141-18-1822 Commonwcahh of Pennsylvania
The pelilion of Ihe undersigned respeclfully represellls Ihal:
Your pelilioncr(sl, who is/arc 18 years of age or older an Ihe execuu:.1x
in Ihe lasl will of Ihe ahove decl!dl!llI, dated --Al!.rJ,L..l1.
and codicil(s) dalcd N/A
named
, 19.2L-
(\Iall' ,r1c\alll /':ir'llImlan,C\, r,Jl. rl'llundallnn. dealh or ""(!:lIlm, (IC,)
()eccndelll lias domiciled al dealh in Cumberland _ Counly, Pcnnsylvania, wilh
his laS! familvor principal residence 1II -9&t E. Simpson Street.
MechanicsburR BorouRh ~,D
(11\1 \1r,,",,,I. Illlmber and lIIundpillit))
DecendeJll,lhen 76 ycars of age, dicd November 19, ,19 95
al_.__lIu~)!....SnlIi.t.....ll.uB1'-1t.Jll .
bcepl as 1'.,11111'''', llccl!dcnt did nO! marry, wa, nol ~ivorccd and did nol have a child born or adopted
~rrcr ewcullon of Ihcll,jll offered for probate; was not Ihc viclim of a killing and was never adjudicated
II1colIIl'elelll: tA
Deccndellllll dealh owned properlY wilh eSlimatcd values as follolls:
(If domiciled in I'a,) All personal propcrlY
III' not domicilcd in Pa,l I'e<sonal properlY in Pcnnsylvania
III' not domiciled in Pa,) Personal propcrlY in Coumy
Value of real C~lale in Pcnns)"I\'ania
shualed as follolls:
S unknown
S
S
S
WHEREFORE, pelilioner(,) respeclfully requcsl(s) Ihe prohllle of the last will and codicil(s)
presenled hcrellilh and Ihe g"lI1l or Iellers_testampotary
. 11C\lal1lclllar~: ildlllllli\lralHln c.1.a,; adminimalion d.h,n.C".1.3.)
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_ __/11 t2_ctU:l!~C2.!3 L!.~(L.. ~i:.....
,-7t;uS-
_ .___._ ____l._U
OATH 01-' PERSONAL REPRESENTATIVE
COMMONWEALTH 0.. PENNSYLVANIA } ~<l
COU ;\iT\' 0.. __Cumhnri an,!..
The pelhillne<l'l ab",e.named ,..eml,1 or l,fIirmb) Ihatlhe 'laICI1lCI1l\ in Ihe foregoing pelition arc
trne llnd e"'r~'" hI Ihe h"'1 "I' Ihe kn(mkoJge lInd helieI' "I' pelili"n~r(s) lmd Ihal us personal represen-
lalive(s) "I' I hI' l.b,,\(' decedent pelili"/lI!'''1 ..ill ..ell lI/ld Ir/ll)' adminisler Ihe cslalC according 10 law.
S..oln hI IIr affi".nl!ll allll S1,b,crih,..d J _Lkcii(>.i. _1/'1-<1 '"
hefore IIIC :his___.25..th.......... _. dll} or _ ..-1'I{yJJ.ill L. Fry I ~'
-l'..~~t..~~!..ll(~.j. !o,jt{~J ~rL.:) ~. I
/5-&O-5{ MA'RY C. I.EWlS" ~~~~) .____ ~
No. ;;1./-/QC,(P -70
Estate of
EDWARD S. FRY
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW January 25 19~, in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the in51rUmenl(s) dated April 13, 1994
described therein be admitted to probate and filed of record as the last will of Edward S. Fry
and Lellers Testamentary
are hereby granted to Phy IUs L. Fry
MARY C.
FEES
P~bat8 Lellers, Etc. ..,.,.... S~_
-p g~s 1:!:11l1
Short Cerufieates( )"."."" S .
Renunciation",.."",..,." S
JCP S 5.00
TOTAL _ S 48.00
Filed . ,.:)(\m},~~X, 7,~". ~,!!?li,.,.,..".
Keith O. Drcnnernun
P47077
ATTORNH tSup, Cl, I,D, No,)
44 W. Main Stre~t, Mechanicsburg, PA
ADDRESS
717-697-8528
!'/lONE
C:CJ
C'
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LETTERS WERE PUT IN ATTORNEY BOX JANUAkY 26, 1996.
-
.
, .
LAW o,ner.
SNIlLBAICER
a
BRENNEMAN
.
'.
. .
..
LAST WILL AND TESTAMENT
QE
EDWARD S. FRY
I, EDWARD S. FRY, of the Borough of Mechanicsburg,
Cumberland County, Pennsylvania, being of sound and disposing
mind, memory and understanding, do hereby make, publish and
declare this as and for my Last Will and Testament, hereby
revoking and making void any and all wills by me at any time
heretofore made.
1. I direct that all my debts and funeral expenses be paid
as soon as practical after my death by my Executrix or Executor,
whichever the case may be, hereinafter named.
2. All the rest, residue and remainder of my estate, real,
personal and mixed, and wheresoever the same may be situate,
I give, devise and bequeath to my wife, PHYLLIS L. FRY, her heirs
and assigns, provided my said wife, PHYLLIS L. FRY, shall survive
me by a period of sixty (60) days.
3. Should my said wife, PHYLLIS L. FRY, predecease me or
fail to survive me by the aforesaid period of sixty (60) days,
then in such event, all the rest, residue and remainder of my
estate, real, personal and mixed, and wheresoever the same may be
situate, including, but not limited to any and all stock that I
own at the time of my death, I give, devise and bequeath in equal
shares to my sons, ROBERT E. FRY, STEPHEN A. FRY and JAMES M.
FRY, their heirs and assigns.
Should any of my children predecease me, I direct the
share such deceased child would have received shall pass to his
issue surviving me per stirpes and if there shall be no such
issue, then such share shall lapse.
. .
, .,
LAW OtFtCEt
SNILDAlClft
l!r
BftlNNIMAN
. .
~
4. I hereby nominate, constitute and appoint my said wife,
PHYLLIS L. FRY, as Executrix of this my Last Will and Testament.
If she should predecease me or fail to qualify, then in such
event, I nominate, constitute and appoint my son, STEPHEN A. FRY,
as Executor of this my Last will and Testament. I further direct
that no person serving as Executrix or Executor shall be required
to post any bond to secure the faithful performance of her or his
duties in the Commonwealth of Pennsylvania or in any other
jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to
this my Last Will and Testament written on Two (2) pages this
13th day of April, 1994.
J!,l.--(l J0t
(~S.yy
(SEAL)
Signed, sealed, published and declared by EDWARD S. FRY, the
Testator above named, as and for his Last Will and Testament, in
our presence, who, in his presence, at his request, and in the
presence of each other, have hereunto subscribed our names as
attesting witnesses.
_~lf/tf't4t~
(SEAL)
jN:?a~L ~LI
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LAW O"'ICU
SNIL8AICIR
III
BftlNNIMAH
.
, .
..
COMMONWEALTH OF PENNSYLVANIA)
: S5.
COUNTY
OF
CUMBERLAND)
We, EDWARD S. FRY, KEITH O. BRENNEMAN, ESQUIRE and SUSAN L.
ZYCH, the Testator and the witnesses, respectively, 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 illstrument as his Last Will
and Testament 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 his or her knowledge the Testator was at
that time eighteen years of age or older, of sound mind and under
no constraint or undue influence.
t'~'/~
~1.
Testa
~{/~III"--
W tness
subscribed, sworn to and acknowledged before me by EDWARD S. FRY,
Testator, and subscribed and sworn to before me by KEITH O.
BRENNEMAN, ESQUIRE and SUSAN L. ZYCH, witnesses, this 13th day of
April, 1994.
~"~~
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Nary Publ c
....... Som
P*lB J. 'l11onmn, ttltIrY I'll*:
MiIlt:ImbI'lllbo. CUtbrird Colny
My CllrIrrA!Bon EliI*M 00c:l1 '9(W
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IS- S'o-'6
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
, IW ,miSTER OF WILLS)
*
COMMOHWIA\'H or "NNUIYANIA
DIP.' MINI?J '\YINUI
HAllllfJ,6 J.1'I1I460'
,
MID 1 INIIAI,
fOR OAns Of DIATHAnlR 12/31191 CHICKHIRI
If A SPOUSAL
POVIRTY CRlDIT IS CLAIMID 0
FILl NUMUR
2!
COUNTY CODE
DfCfCfNT'S COM,un ACDIUS
1996
YEAR
0070
NUMBER
I
F~V' Etlw
wet'" u uii'f'i'NU'iia
1/.1-18-11122
11/19/95
DAn 0' IIITH
910 E. Simpson Street
Mechanicsburg, PA 17055
c
AMOUNT UCtlVfD 15U INsnUCTION51
See
CAn 0' DfATH
1"..'...I(....,I.U.YI'otf().I'OU..."'_III..II,'I..I.....O..I~.I..."'..11
Fry, Play III H J..
'1!i 1. O,lglnal llelu,n
o 2, SUh
11/10/19
18/,-12-',042
Schedule J
o 3. R.maind.r R.turn
(for do'.. of d.o,h prio, '012.13.82)
o 5. Fed.ral E.tat. Toll. Rtturn Rtquir.d
....Q. 8. Tolal Numbtr of Saf. D'posit 80ll.ls
01 P,' n
o .., lImlttd !slott 0 Aa. Fulurt Inttr..t Compromis.
(for do'.. 01 d,o,h oh., 12.\2.B2)
~ 6. Dec.d.n' DI.d T..lat. 0 7. D.ced.nt Mainloin.d 0 living Tru.t
(Allolh 10py 01 Will) (Alloch copy 01 Trul')
A CO....'OND.NCI AND CONPlDINTIAL TAX INF lRMATlON SHOULD BE DIRECTED TO:
N.u.. ~ ICO""lUf MAIliNG ACOIUS
II
UrClllI'mUII ':H( litre
697-6528
44 W. Main Street
Mechanicsburg, PA 17055
(1)
(2)
(3)
(A)
(5)
(6)
{ 71
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1, R.ol E"olt (Sth.dul. AI
2. S'otls o.d to.d. (Sth.dul. I)
3, C10..1, H.ld S'OtUPorl.."hlp 1.'''''1 (Sch.dul. q
A, Morlgog" o.d No", h..lvobl, (Schtdul. 01
5 Catht Ion. O.po.11I & Mlsc.llan,oul '."onal Prop.rty
ISthedul. EI
6. Jol.", Ow..d P,op.,ly (Schtd.l. ')
7, T,o.,fmISchtdY'. 01 (Sch.dul. l)
I, Tolol 0'0" A..... ('o'oIU... 1.7)
9. 'u"ltal hp.".... Admlnl.trativ. Colli, MI.e.llan,ouI
lop..'.. ISthtdvl. HI
lD. Dob.., MOrlgog. Uobill".., U,., ISch.dul. I)
11, To'ol O.ductlo.'I'o'oIU... 9 & 10)
l7, N" Volu. 01 10'0" (U.. B mi.u.U.. 11)
13, Cho,lIobl. o.d Oo....m..'ol Roqu.". ISchtdul. J)
lA, N" Volu. Subl'ct '0 To. (U.. 12 ml.u.U.. 13)
15. Spou.al T,an,'.n (for dot.. of d.alh aft., 6.30." ~)
S.. tnurudlon. for Af,pllcobl. '.retntag. on R.veno
Sid.. II.dud. volu., rom Schtdul. K 0' Sch.dul. M,)
16. Amount ollln. 14 laxabl. at 6% talt
(I.dud. voly., Irom Sch.dul. K or Schtdul. M,)
17. Amount 01 Unt 14 la.abl. 01 15% rat.
(Indud. val",.. from Schtdul. K or Sch.dul. M.)
II, P,I.cipol'o. duo (Add 10' I,om U.., 15, 16 a.d 17,)
19. C"dill Spou.al Pav.rty C,edit Prior Paym.nts
+
19.50
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IB) N 5,019.50
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(9)_
(10)
(11)
112)
113)
llA)
5.019.50
5,019.50
(1;1 5,019.50
1161
(17)
x 0 .
'-
-0-
x .06 II
)( .15 .
liB)
Dileount
Int.r..t
+
119)
(20)
20. If U.. 191, g"o',,'ho.lI.. lB. ..,..,h. dill..,... o. U.. 20, Thll" ,h. OVERPAYMENT.
110
CllI'dll 11t'1l' .1 you (Jfl' fl~qul'\flng 0 refund 0' your oVNpayment.
121)
(21A)
(21B)
21. If lIn. 18 I. gr.al.r Ihan lIn. 19, enl.r the diff.renc. on lint 21. This iI the TAX DUE.
A, Enltr ,helnl.r", on the balanc. due on Lint 21A.
I. E."r ,h. '0101 of 1I.. 21 o.d 21A 0.1I.. 218, Thll II ,h. BALANCE DUE.
Mo" Chock Payobl. '01 R.gl.,.. 01 Will., Ag..'
~ ~ BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH <l( <l(
Under ptnoltl.. 0' ptrjury, I declor. Ihall hay. tll.omin.d rhis r.turn, including accompanring "h.dul.. and .tolemenls, and fa the b..t a' my .nowl.dg, and beliel.
It ,. t,u., (0".(1 ond (ompl.,., I dtdor. tho' all r.ol ..101. hOI bltn "ported at 'rut markel value. Declorolion of preporer olher ,hon the penonal r'presenlaliv. il
boltd on alllnformalion of whi(h pr.por.r has any ~"owl.dge.
9f1jffuI , ~1'lO~fl~ON'IIU '01 '1IINO IflUIN ACDU$S 910 E. Simpsun St feet OAn (
r{0 c,L, Executrix Hechnnicsbur PA 1 7 2.1('"
I""''' 01...'1 1M 1,"ntNI"IIV( ACOlfSS OATf
44 W. IL1in St.. Nechnnicsburg, PA 17055 1(2J(9'&
-0-
Ad '48 of 1994 provide. for the redudlon of the tax rate. Impo.ed on the net value of transf.r. to or for
the u.. of the .pou.e. The rate. a. pr..crib.d by the .tatute will be:
e 3~ (.03) will be applicable for e.tate. of decedent. dying on or after 7/1/94 and before 111/96
e 2~ (.02) will b. applicable for .state. of d.c.d.nt. dying on or after 1/1196 and before 1/1/97
e 1~ (.01) will b. applicable for estate. of decedent. dying on or after 1/1197 and before 1/1/98
. Spou.al transf.r. occurring on or after 111198 will be .xempt from Inh.rltance tax.
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING A CHECK MARK (vol IN THE APPROPRIATE BLOCKS.
YES NO
1. Did dec.dent mok. a transfer ond:
o. r.toin th. use or income of the property transf.rred, .......................................................
b. retain th. right to designote who sholl us. th. property tronsferred or its income, ...............
c. r.tain a reversionary interest; or ...................................................................................
d. receive th. promise for lif. of .ither payments, benefits or care9 .......................................
2, If d.oth occurr.d on or before December 12, 1982, did decedent within two y.ars preceding
death transfer prop.rty without receiving ad.quote consideration9 If d.oth occurred oll.r
Dec.mber 12, 1982, did decedent transfer property within one y.ar of deoth without r.ceiving
adequate considerotion9...................,.....................,...............,............,.................,.,........
3. Did decedent own an 'in trust for' bonk account ot his or her d.ath"'....................................
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
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&A.Of?lCIS
IHn.AU"
a
e"INNIMAN
LAST WILL AND TESTAMENT
I2l
EDWARD S. FRY
I, EDWARD S. FRY, ot the Borough ot Hechanicsburg,
CUmberland County, Penneylvania, being ot eound and disposing
mind, memory and undsretending, do hereby make, publish end
declars this as and tor my Last Will snd Testament, hereby
revoking and making void any and all wills by me at any time
heretotore mode.
1. I direct that ell my dabts and tuneral expenses be paid
as soon as practical etter my death by my Executrix or Executor,
whichever the case may be, hereinatter named.
2. All the reet, residue and remainder ot my estate, real,
personal and mixed, and wheresoever the same may be situate,
I give, devise and bequeeth to my wite, PHYLLIS L. FRY, her heire
and assigne, provided my eaid wite, PHYLLIS L. FRY, shall survive
me by a period ot sixty (60) days.
3. Should my eaid wite, PHYLLIS L. FRY, predecease me or
tail to survive me by the aforesaid period ot sixty (60) days,
then in such event, all the rest, residue and remainder ot my
estate, real, personal and mixed, and wheresoever the same may be
situate, inclUding, but not limited to any and all stock that I
own at the time ot my death, I give, devise and bequeath in equal
shares to my sons, ROBERT E. FRY, STEPHEN A. FRY and JAMES H.
FRY, their heire and assigns.
Should any ot my children predeceaee me, I ~irect the
share such dsceassd child would hava received ehall pass to hie
issue surviving ma per stirpas and it thers shall be no such
issus, thsn such shara shall lapee.
\
I
I
. '
-
4. 1 h.r.by nominate, conetitute and appoint my ssid wife,
PHYLLIS L. FRY, as Ex.cutrir of this my Last Will and T.stament.
U sh. should pr.d.c.... ~., .,r fail to qualifY, th.n in such
.v.nt, 1 nominat., constitut. and appoint my son, STEPHEN A. FRY,
as Ex.cutor of this ay Last will and T.sta..nt. 1 furth.r dir.ct
that no p.raon ..rvinq as Ex.cutrix or Ex.cutor .hall b. r.quir.d
to post any bond to secure the faithful performence of her or his
duties in the Commonwealth of Penneylvania or in any other
jurisdiction.
IN WITNESS WHEREOF, 1 have hereunto set my hand and seal to
this my Last will and Testament written on Two (2) paqes this
13th day of April, 1994.
oj' ,
4r~,...~~"r:, .~.~. .
Ed~ry
(SEAL)
Siqned, s.al.d, published and declared by EDWARD S. FRY, the
T.stator above named, as and for his Last will and Testament, in
our pres.nce, who, in his presence, at his request, and in the
pr..ence of each other, have hereunto subscribed our names as
atte.tinq witne.e...
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COMMONHEALTH or PENNSYLVANIA)
COUNTY
: BS.
or CUHBEIU.oA/fD)
H., EDHl\RD S. FRY, KEITH O. BRENNEMAN, ESQUIRE and SUSAN L.
ZYCH, the T..tator .nd the witn....., r..p.ctiv.ly, who.. ne...
.r. .ign.d to the att.ch.d or tor.going in.tru..nt, being tir.t
duly .worn. do h.r.by d.cl.r. to the und.r.ign.d authority that
the T..t.tor .ign.d and .x.cut.d the in.tru..nt a. hi. La.t Hill
and T..t...nt .nd th.t h. h.d .ign.d willingly, and that h.
.x.cut.d it .. hi. tr.. .nd voluntary act tor the purpo...
th.r.in .xpr....d. .nd that ..ch ot the witn....., in the
pr...nc. and h..ring ot the Ta.t.tor, .ign.d the Hill.. wi tn...
and th.t to the b..t ot hi. or h.r knowledge the T..tator w.. at
th.t ti.. eight..n y.ar. ot .ge or old.r, ot .ound .ind .nd und.r
no con.traint or undue intlu.nc..
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SUb.cribed, .worn to and acknowl.dged betor. .e by EDHARD S. FRY,
T..tator. and .ub.crib.d and .worn to betor. m. by KEITH O.
BRENNEHl\N. ESQUIRE and SUSAN L. ZYCH, witn....., thi. 13th d.y ot
April, 1994.
c?~...;.u ~. ~
Nary pu c
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Mod ~_QtltMrdCluto
Mr e.p.. Ore" .~
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Inventory of the real and personal estate of
Edward S. Fry
deceased
REAL ESTATE:
NONE
PERSONALTY:
1. 12 shares common stock of Atlas Corporstion:
$ 19.50
2. 1985 Ford Motorhome:
5.000.00
$5.019,50
TOTAL PERSONALTY:
$5.019. 0
RECAPITULATION
TOTAL VALUE REAL ESTATE: NONE
TOTAL VALUE PERSONALTY: $5.019.50
TOTAL APPRAISED VALUE: $5.109.50
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
'l
J
IS:
Phyllis L. Fry
Iccording to Ilw, doposls Ind soys thlt s hi is the
Execu trix 0' tho Estltl 0' Edwa rd S. Fry
lit. of __ ~!tp. .!lo.r,u!lgl) _of. Mechllllicsburg _ ____, Cumbtrllnd County, PI., d.c.I..d Ind thlt the
within Is In Inventory med. by Phyllis L. Frj' , the .lld Executrix
0' the .ntir. ..tat. 0' soid decedent, consisting 0' III the personal prop.rty Ind ,,"I ..tete, except rill ..tlte ouhld.
the Commonweelth 0' Penn.ylvlnle, Ind that the figure. opposite each Item 0' the Inventory represent It', '"Ir velue
II 0' the date of decedent'. delth.
being duly
sworn
Sworn to
Ind sub.cribed be'ore me,
day of 9~ 19 96
C) .::JJ~
NoUlr1.! SenI
Patndll J Tl1omsOIl, Notaly NlIIc
MechnnicoburlI Born, eurnbe<18nd County
lAy eonwnisslon &pI'.. Doc. aI, IIl9El
1Im'Ilor,1'\lrn!yMn<l- cj-
19th
P-L~ ,;/, Cf~/~
Phy lli! L. FrY'"!''' Adrnlnht,oIor
910 E. Simpson Street
this IrYt/..
gm.h:'~d)
Hechanicsburg, PA 17055
Add,...
Olte of Oeeth
November
1995
O'Y
Month
v..,
INSTRUCTIONS
I. An Inventory must be flied within th..e months efter appointment of personel repr..entetlve.
2. A .upplement Inventory must be filed within thirty dlYs 0' discovery of Iddltlonel I..eh.
], Additionel ,heets mlY be Ittlched II to personllty or rellty
4. See Article IV, Fiducilri.. Act of 1949.
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DlPT. nun
HARAISIURO, PA 11121.a'01
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
KEITH 0 BRENNEMAN ESQ
44 W MAIN ST
MECHANICSBURG PA 17055
DAT!
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
10-28-96
FRY
11-19-95
21 96-0070
CUMBERLAND
101
Allount R..l U.d
c.....
*'
1"'11""'" II',HI
EDWARD
S
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
ii!',;:is4i-Eic-Ai=ji-filJ":9lii-iliITicEuOF-TNHEii'ifliNCE-YAX-APPRAisEii€il,.-,--"L'LoiiliiicE-ijli-----------mm
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF FRY EDWARD S FILE NO. 21 96-0070 ACN 101 DATE 10-28-96
TAX RETURN WAS I I X I ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1, R..l E.t.t. ISchedul. Al III
2. Stock. _ 1Iond. ISchedul. BI 121
S. Clo..ly Held Stock/P.rtner.hip Int....t ISch.dul. CI 151
~, Hortg_./Not.. RltC.helll. ISchedule 01 I~I
5. C.oh/lenk Oepo.it./Hi.c. P.r.on.l Prop.rty ISch.dul. EI 151
6. Jointly Owned P.operty ISchedul. FI 161
7. Tr...f.r. ISchedul. 01 171
I. Total AI.at.
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. funeral Expen.../Ad.. cOlt./nIIC. Expen... (Schedul. HI (,)
10. Debt./Hortgag. Lielliliti../Liana ISchedule II 110)
11, Total Deduction.
12. Net Velu. of Tex Return
13. Charltabl./Covarneant.l Bequalt. (Schedule J)
l~. Net Value of E.t.t. Subjact to T..
I CHANGED
.00
19.50
,00
.00
5.000.00
.00
.00
IBI
.00
,00
Ul)
U21
USI
U~I
HOTEt To inlur. proper
credit to your account,
lub.it the upper portion
of this for. with your
tax pay.ant.
5,019.50
nn
5.019.50
.00
5.019.50
If .n ......m.nt was i..u.d pr.viou.ly, lin.. 14. 15 .nd/or 16, 17 and 18 will
reflect figure. that includ. the tot.l of ALL r.turn. .......d to dat..
ASSESSMENT OF TAX:
15. Aaount of Line l~ .t Spou..l r.t. 115)
16. Aoount of Line l~ t..eIl1e .t Lin..l/Cl... A .ate 1161
17. Aeount of Line l~ t..eIl1. .t Coll.t.r.l/Cl... B r.te 1171
lB. Prinoip.l T.. Due
NOT!:
TAX CREDITS:
PAYHENT
DATE
RECEIPT
NUHIER
DISCOUHT It I
INTEREST I-I
5.019.50
.00
.00
X .00.
X .06.
X .15.
uel
MOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
.00
,00
.00
.00
.00
.00
.00
.00
. IF PAID AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATION OF ADDITIeNAL INTEREST.
I IF TOTAL DUE IS LESS THAN fl. NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI. YDU HAY BE DUE
A REFUND, SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)
.
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R[SERV"IDNI E,t,t.. of decedent, dyinG an or before Dec~r 12, 1'12 -- Sf .ny lutur. Int.r..t In the ..tat. I, tren.f.rr~
In pa.....1on or ~Jo,..nt to Cl... . Ccoll_t.r,l) beneflclarl.. of ~ decedent .,t.r the expiration of eny ..tet. for
l1f. or for ~..r., the ~lth her~y IXPr..lly r'l.rv.. the right to eppr.l.. end ...... tren,'.r Inherltinel T....
et the l~ful el... . (co11,t.r.l) tat. on MY luch future Int.r..t.
PIJAPCIS( OF
NOTICE_ To fulfill the requl,....,h of Section 211'0 of the IntMrltlnCl end E,t,t, rllC Act, Act ZZ of .991. 72 P.S.
s.cUon 2141.
PAYttEHTI DetKh the top portion 0' this NoUe. end ~lt with your p..,.."t to the Reglst,r of IUlh prlntM on the rev.r.. .lde.
..._. c:htdt or- ..,.y order plvllbl1 tal REGISTER OF MILLS, AGENT
All P8YMllt. received ...11 Ur.t be 1IPP1htd to eny lnt.r..t which ..y be due with ...y r_lnder -..l1ed to the tax.
RUUND (CAJI A r.*'-"d of . tu credit, Wllch "'.. not requested on the TI. Rlturn, ..y ba rM:\Mltlld by COllPl.UI"II M "Appllutlon
fo~ A.fund of Pennt,lvMla Inhe~ltenca end E.tata T.... (REV-ISIS). Appllcetlon. a~a evall~la at the Dfflc.
of the A..I.t.~ of Willi, en, of the ZS R.venue Dltt~lct Dfflc.., a~ b, calling the specl.l 24-hou~
enlWe~lng ..rvlc. ~~. fo~ fa~.s o~derl",z In Penns,lvMI. l-100-S62-2oSo, out. Ide Penn.,lvMla end
.Ithln local He~rlsbu~1 '~'a (717) 7'7-'094, TOOl (717) 772-2252 (Hea~lng lap.I~1d On),).
OlJECTIDHSz AnJ p.rt, In Int.~..t not s.tl.flld with the app~.I.eeent, allowanc. or dls.l)owlnC. of deduction., a~ ......-.nt
of t.. (Including dl.count o~ Inter..t) .. ~ on thl. Notlcl .u.t object within .Ixt, (60) day. of recalpt of
thl. Notlc. bJz
--~~Ittan p~ota.t to the PA o.p.rt-.nt 0' R.venue, .o.~d 0' App..I., Dept. ZIIoZl, H.rrl.burg, PA 171ZI-IOZ1, OR
".Iectlon to heYtI the ..tt.~ det.r.lned at IlUdIt of tM ICCCM'lt 0' the ,.rlonal repr"Mt.tlv., OR
......1 to the Or""',' Court.
AllIIN
ISTRATlVE
CORRf:CTlOHS I
Factual .rrors dllcoverld on thll ...........t shoUld be Iddra..1d In ~rltlng tal PA Depart.."t 0' A.venue,
lur.au of Individual T.x.., ATTNI Po.t A......."t A.vlew unit, Dept. Z106ol, Harrltburg, PA 1712'-0601
Phone (717) 7'7-650S. See Pili S of th. booklat "In.tructlon. 'or Inherltanca T.x A.turn 'or a Aa.ldent
Decedent.. (REV-1501) 'or M axplanatlon of adalnl.tratlval, corrlCt~l. arror..
DISCOlMTI
If en, tex due I. p.id within thr.. (S) calendar ~th. .,t.r thl dec~t'. death, . 'Iv. p.rcent (SX) di.count a'
the tex paid i. .llowed.
PlMAL TVz
The 1SX tax ....t, non-partlclp.tlon penalt, II coaputld on the tot.l of the tax end Inter..t ......lid, and not
p.id ba'ora J~ry II, 1996, the 'ir.t da, .ftar the ~ 0' the tax eanesty period. Thit non-p.rticlpatlon
penalty It .....I~l. In the .... unnar and In the the ... tI.. ,.,.Iod .. you ..uuld appa.l the tax and lntar...
that hII. bean ......ed .. IndlcatH on thl. notlc..
INTERESTz
Intara.t I. cha,.ged baIlnnlng with 'Ir.t d.y of dallnquenc" 0,. nine (91 ~th. and one (1) da, f,.~ the d.t. a'
death, to the d.t. of pavaent. T.x.. which bee... delinquent ba'ora January 1, 191Z baar Intar..t at thl ,.at. of
.Ix (lX) ,.rcant ,.,. ~ c.lculat.d .t a dally r.t. 0' .000164. All t.xa. which bee... delinquent on and ,'t.~
January 1, l'IZ wIll baa,. Int.,...t at . rat. whIch ~III v.,.y '''01 cal~,. yaar to caland.r y..r with ~t rete
announcH by the PA Depe,.t.."t of A.v~. The eppllc~la Int.ra.t ,.ata. fo~ 1912 th,.ough 199' .ral
!!!! Intar..t A.t. D.llv Int.,...t Fteto,. !!!r Int.rut A.t. Dallv Intar..t Facto,.
1912 ZOX ,OOOs.. 1917 .~ .000l47
1.11 I'~ .00UlD l.g-I"1 IIX .000lDl
ItI4 IIX .aOOlDI 199Z 'X .000247
1915 UX .aaOl56 199]-1994 'X ,0001'2 [-
I'" lOX .UU'" 1995-1'96 OX . DOGZ47
"Int.r..t I, calculatad .. followlI ['
INTEREST . BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notice IliuM .fta~ the ta. bee... delinquent will reUect ." Intera.t ulculatlon to flftHn U51 daYI
beyond the d.t. of the ........"t. If paPMt It alda .ft.r the Int.r..t CDIIPUtaUon data thavn on the
Notice, additional Intar..t ...t be ulcul.tad.
LAW OrPK:II
SNILDAKIR
.
BRENNEMAN
.... ,''-''.~,
,1/" 1f/'1(, - (J()t) 70
RECEIPT AND RELEASE
WHEREAS, EDWARD S. FRY, late of the Borough of
Mechanicsburg, County of Cumberland and Commonwealth of
Pennsylvania, died on the 19th day of November, 1995, having
first made his Last will and Testament in writing dated April 13,
1994, which since his decease was duly probated before the
Register of Wills of Cumberland County and Letters Testamentary
were issued to PHYLLIS L. FRY, the Executrix named in the Last
will and Testament of said decedent.
NOW KNOW ALL MEN BY THESE PRESENTS, that I, PHYLLIS L. FRY,
being the sole legatee and distributee named in the Will of said
decedent and the sole person entitled to share in the residuary
distribution of the Estate of said decedent, do hereby declare
and say that I have examined the attached Schedule of Proposed
Distribution, and find the same to be true and correct, and in
strict accordance with the terms and provisions of said Will, and
I do hereby acknowledge that I this day have, had and received of
and from PHYLLIS L. FRY, Executrix of the Estate of EDWARD S.
FRY, the cash andlor personalty set opposite my name in the above
stated Schedule of Proposed Distribution, in full satisfaction,
payment and discharge of all such sum or sums of money, legacies,
and bequests, share or shares, purparts and dividends which were
due, owing and payable and belonging to me, by any means
whatsoever, for or on account of my full share, part or dividend
LAW OfFICe.
SNELDAICER
a
BRENNEMAN
of the Estate of EDWARD S. FRY, Deceased, and all interests
accrued thereon.
NOW, THEREFORE, I, PHYLLIS L. FRY, do by these presents,
remise, release, quit-claim and forever discharge the said
PHYLLIS L. FRY, her heirs, executors and administrators, of and
from my said share or dIvidend of the Estate aforesaid, and of
and from all actions, suits, payments, accounts, reckonings,
claims and demands whatsoever, for or by reason thereof, or of
any act, matter, cause or thing whatsoever, from the beginning of
the world to the day and date of these presents.
AND, desiring to avoid the delay and expense of the
settlement of said Estate by filing a formal Account of said
administration in the Office of the Register of wills of
Cumberland County and by having the balance in the hands of the
Executrix, as shown by the Schedule of Proposed Distribution,
distributed by the Court of Common Pleas of Cumberland County -
orphans' Court Division, I do hereby agree that the foregoing
schedule concerning the matter of settlement may be recorded with
the same effect upon me as if the same had been reported upon by
said court, in a decree of distribution made on such report by
the said Court of Common Pleas - Orphans' Court Division.
AND in consideration of the aforesaid settlement being made
without the aid of such Court of Common Pleas - Orphans' Court
Division, that I, PHYLLIS L. FRY, do hereby agree that if any
-2-