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Ellale of ETIIEL R. WINDOMAKER
allO known al . Deceased.
PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
No. ~ 1- q 6 ~ ~ "-
To: Reglsler of Willi
Counly of Cumberland In the
Commonwealth of Pennlylvanla
Social Securlly No. 202-20-~219
TIle petition of the undersigned respc:clfully represents that:
Your pelitioner. who is 18 years of age or older. applies for lellers of adminlstmtion on Ihe estale of Ihe
above decedent.
~
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Decc:dent was domiciled at death in Cumberland Counly, Pennsylvania. wilh her Iasl family or principal
residence 231 Pine Grove Road, Gardners, Dickinson Township. Pennsylvania 17324.
Decc:dent.then 68 years of age, died JanualY II, 1996, al231 Pine Glove Road. Gardners. PA 17324.
Decc:denl al dealh owned property wllh estimaled values as follows:
(If domiciled in Pa.) All personal property
(If nol domiciled in Pa.) Personal property in Pennsylvania
(IC nol domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situaled as Collows:
TOTAL
$11'.;> ScJt'.cJ"
$ 'N/A
$ N/A
$ N/A
$,'~ (('.l,,').dO
Petitioner, aIIer a proper scareh. has ascertained thaI decedenl len no will and was swvived by Ihe
following spouse:
NAME
RELATIONSHIP
ADDRESS
Charles W. Windomaker
Husband
231 Pine Grove Road
Gardners. PA 17324
TIlEREFORE, pelitioner respc:clfully requests Ihe granl of lellers of administration in Ihe approprlale
form 10 Ihe undersigned.
I' -
(:If/1(/~~ 11/ 11/'1f'~"'J"'t';L~
CHARLES W. WINDOMAKER
231 Pine Grove Road
Gardners, PA 17324
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
The pelltloner above-named swears lhallhe statements in Ihe foregoing petition are true and corrcctlo Ihe
besl oCthe knowledge of :>ctitioner and lhat as personal representative of Ihe above dccc:denl petitioner will well
and lruly administer the estale according to law.
Sworn 10 and subscribed
before me Ihis ~ t' p.
day of JannaI)'. 1996.
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t'. '1'1/' 1.(/ III/..,,(.?),,W'/f'/
CHARLES W. WINDOMAKER
yYp~ (1 ~:t: rut (lq 'JfZJt;u
'{Jut Reglsler
IS - fl - (. I
1110'." ".V ."" 21-96-82
This is to (:crtify that tht.. information hcft, ,Lti\'cn is (orn.ul)' fopil.d f~tll1l .ilt ori.~jll.I_I. lcrrifkatt' of lIl,.HI,1 ,dilly fill'll with
Localllcgisrrar. The nrigiflill u.'rtifkiltl" will he forw:lrlk.d III the Sr.lll' VIt,a1 Rnlllll., ()fIlfe lor I'crll1.III(.'1II fllll1,'.:.
WARNING: ilia 1II0galto dupllcato this copy by photostat or photograph.
F("c for (his l.l'rcificatc, 52.00
JAil 1 5 1996
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3341572
No.
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COMMONWEALTH Of' PENNSYLVANIA. DUAATMI!NT OF HULlH . VITAL RECOADI
CERTIFICATE OF DEATH
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~ERTIFICATE OF NOTICE UNDER RULE 5.6(a)
Name of Decedent: Ethel R. Windomaker
Date of Death:
January II, 1996
Will No.
1996 . 00082
Admin. No.
2196.0082
To the Register:
1 certify that notice ofbenelicial interest required by Rule 5.6(a) of the Orphan's Court Rules
was served on or mailed to the following beneliciaries of the above-captioned estate on February 8,
1996.
~
Address
Charles W. Windomaker
231 Pine Grove Road
Gardners, PA 17324
Notice has now been given to all persons entitled ther to under Rule 5.6(a) except: NONE.
February 8, 1996
36 South Pitt Slree
Carlisle, PA 17013
717.243-6090
Attorney for Eslale of Ethel R. Wlndomaker
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IIIlY.1500 EX. 11.IUI
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
~O. DATlS O' DIATH Am. 12/31/91 CHICI( HIU
If A SPOUSAL
POV"" CUDIT IS CLAIMID 0
PILI HUMII.
21 96 0082
COUNTY CODE YEAR NUMBER
OI(!OlNI') (OMPUIl AoOIlfU
COMMONWfAUH Of 'fNNiYlVANIA
DlrAl'MfNI O' llYINUf
Of", 210601
HAUIUUlO. ,.. 11121.0601
N' NAM lAi. IU. AND MlOo\
INIIAII
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Windomaker, Ethel R.
WCI"l ueUII" NUMIII DAIl O. DfAIH
OAU 0' II.'H
231 pine Grove Road
Gardners, PA 17324
c.,,, Cumberland
AMOUN' II(IIVIO IUI INUIlUctION$1
202-20-5229 1/11/96 10/3/27
p' A"'lOlll'.u....1Y1HO 'fOUIU NAIoI' l\A". '1111 A"D 10110011 ""IIIAII $OCIAl $leu'll' HUMtlll
Charles W. Windomaker
QlI I. O,lglnal Ro'u,n rJ 2. Supplomon'al Ro'u,n
o A. L1mll.d e,'al. 0 Ao. fuMe In'I,,,1 Camp,ami..
(la, da'o. a' doa,h aho, 12.12.B2)
o 6. D.ud.nl Di.d T.lla', 0 7. D.ud.nl Malntaln.d 0 Living T,ul'
(Allach copy 01 Will) (Allach copy 01 T,u,')
CORRISI'ONDINCI AND CON.IDINTlAL TAX INPORMATlON SHOULD BI DIRICTID TO.
(OMPI( f MAHIN ADD
36 South pitt Street
Carlisle, PA 17013
I. Roo I Ella'o (Schodulo A)
2. S'ack. and Bond. ISchodulo B)
3. Cla,oly Hold S'ocklPar'no"hlp In'O'Oll (Schodulo C)
A. Martgag.. and Nol.. Rec.ivabl. ISch.dul. 0)
5. Caah, Banlc C,polil1 & Mhc.llan.oua P.nonal Propl,ty
(Schodulo E)
6. Jointly Ownod Praporty (Schodulo F)
7. Tran,lo" (Schodulo G) (Schodulo l)
8. Tolal G,on Au," (10101 L1n.. 1.7)
9. Funeral Exp.n.." Admlnlst,otiv. C01l1, Milc.llaneoul
hpon,o. (Schodulo H)
10. D.bl1, Martgog. liabilities, li.n. (Sch.dul. I)
11. Ta'al Doduelian. ('o'allino. 9 & 10)
12. N.t Valu. of Ealat. ILine B minuI lln. 11)
13. Charitabl. and Governm.nlol B.quests (Sch.dul. J)
1~. No' Voluo Sub oel 'a To. (lIno 12 minu.lino 13)
15. Spau.al T,on.lo" (la, da'o, of doa,h aho, 6.3D.9~1
S.. Inllructionl for Applicable Perc.ntag. on R.VlfI.
Sid.. (Includ. valu" I,am Sch.dul. K 0' Sch.dul. M.I
16. Amount of Line 1A lallabl. at 6% ,at.
(Includ. valu" f,om Sch.dul. K 0' Sch.dul. M.)
17. Amount of L1n. 104 tallabl. 01 15% ,ole
(Includ. volu" f,am Sch.dul. K 0' Sch.dul. M.)
18. P,lnclpal'a. duo (Add 'a. f,am lino. 15. 16 and 17.)
19. Credits Spoulal Pov.rty Credil Prla, Paymlnts
+
20. If lIno 19 It g,oalor Ihan lIno 18, on'o, ,ho d;lIo,onco on lino 20. Thi. It ,ho OVERPAYMENT.
gO
21. If lIn. 18 II greater than Lin. 19, .nler Ihe diHer.nc. on Lin. 21. Thil Is the TAX DUE.
A. Enter th. Inl.,.., on the balance due on Lin. 21 A.
8. En'o, ,ho'o'al alllno 21 ond 21A on lIno 2 lB. Thl. It ,ho BALANCE DUE.
M." Chock Payablo I., Rogl.,o, ., Will., Agonl
t'llfi
="'
flf
Irwin,
Harold S.
III
IUI'HONI NUMIU
:0:
5
g
bl
'"
:0:
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fl
S
Entire Estate
o 3. R.molnd.r R.tu,n
(for dolo. 01 doalh pria, 'a 12.13.82)
o 5. fed.rol Ellale Tall R.turn R.qulr.d
_ 8. Tolal Number of 50ft D'polit Ball"
,.
. . . ' . 'J" ;.~ .-~I! -,:.:(..'~ ,,>:
(1) NONE
( 2) NONE
(3) NONE
(~ ) NONE
( 5) 16,480.31
( 6) NONE
( 7) NONE
( 8) 16,480.31
19) 9,449.00
110) NONE
115) NONE
116) NONE
117) NONE
Diltount Inl"est
+
(II) 9,449.00
112) 7,031.31
113) NONE
(IA) 7,031.31
)C._- NONE
)( .06. NONE
)( .15 _ NONE
(18) NONE
119) NONE
(20) NONE
(21) NONE
121A) NONE
121B) NONE
C"l'(~ Iwlt! II you nit' 1Nlul'\ling n fl..fund of yoUI ovt..'lfHlyn1l.'nl.
.. ~.....Jl '._... 'J.._\.' '.: _ ., _
Rd Gardners, PA
2/20/96
DAlf
Carlisle, PA
2/20/96
36 S. Pitt St.
17013
..
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~OI P1NNIYlVANI...
I H IWlnulH
111I -
UTATI o'
Ethel R. Windomaker
SCHEDULE C
CLOSELY HELD STOCK,
PARTNERSHIP AND PROPRIETORSHIP
Plea.e Print or l' .
fiLl NUMBIR
2196-0082'
!TIM
NUMBIR
DESCRIPTION
VAWI AT
DATI O' DIATH
1. NONE
S NONE
(If mar-. space is n"d.d, ins.rt additional shuts 01 Jome sizl.J
If'#.lJOIn.(12....
'*
COMAIONWIAlJH O' 'IHHIYlVANIA
IHHllItAHCI we mUIH
IUIDIHT DICIDIHI
SCHEDULE F
JOINTLY-OWNED PROPERTY
ISTATI OP
Ethel R. Windomaker
"'11I' '.nan'I.I.
PILI NUMIIER
2196-0082
NAMI
ADDRESS
RELATIONSHIP TO DECEDENT
A.
NONE
II.
C.
'.
J.lntly....w..... property.
ITIM LamR DATI
POR TOTAL VALUE DECO'S DOLLAR VALUE OP
NUMBE. JOINT MADE . DESCRIPTION OP PROPERTY OF ASSET '"'INT. DECEDENT'S INTEREST
TlNANT JOINT
1. NONE
TOTAL (AI.o .n'or on IIn. 6, RtCopllulo'ion) S NONE
(II mot. SPD(~ is n..d,d ins,rl addilional shilts of IDm, sin)
.
: RlV."10 rx. p.l/)
*'
COMMONWr~H Of ,rNNSYlVANIA
INNIIIT a TAX lnulN
1151 DlClDIHT
mATI 0'
SCHEDULE G
TRANSFERS
J
--FiLENUMBER
PLEASE PRINT OR TYPE
Ethel R. Windomaker
2196-0082
THIS SCHIDUU MUST II COM'LSTID AND F1UD IF THE ANSWER TO ANY OF THE QUUnONS ON THI REVIISE SIDI OF THI COVlR SHEn IS YES.
ITEM DESCRIPTION OF PROPERTY TOTAL VALUE DECD. DOLLAR VALUE
EXCLUSION l~ OF DECEDENT'S
NUM.II ,ttdvdo..... oIth.tron"-. lito" roIaIionIWp to <h<odenI. dolo 01"...,10,. OF ASSET INTEREST
NONE
TOTAL (Also ...10' on I;.. 7. Rocopllvlollon) S NONE
I" -- .,..... is noodod. ..lOti oddilionol "'Hh 01..... Ji.."
11\l.ISIIU. (7.11'
.
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.
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
COMMONWEALrH O' PENNSYLVANIA
· INHUltANCf tAX llIETURN
llIESIDENt DECEDENI
Ethel R. Windomaker
ITEM
NUMBER
A.
1.
B.
1.
2.
FI N
2196-0082
DESCRIPTION
AMOUNT
Funeral Expenl'"
Gibson and HOllinger's Funeral Home
Mount Holly Springs, PA 17065
6,994.00
Admlnlltratlve COlli,
Personal Representative Commissions
Social Securily Number of Personol Representative:
Vear Com millions paid
AllorneyFees Harold S. Irwin, III
350.00
3. Family Exemption
Claimant Char1 "s Windomak"IRelallan5hip
Addrell of Claimanl at decedent's dealh
Slreet Addrell 231 Pine Grove Road
4.
C.
1.
2.
3.
4.
5.
6.
7.
8.
Spouse
2,000.00
Cily Gardn"rs
Slate ---ElL- Zip Code 17324
Probate Fees Register Of Wills
70.00
Mlltellaneoul Expenl'"
Register Of Wills
Harold S. Irwin, III - Notary Fees
25.00
10.00
1.~
TOTAL (Also enler on line 9, Recapitulalion)
(If more Ipace II needed, Inlert oddltlanallheell allame Ilze.)
5
9,449.00
.
.
Kemper Life Insurance Companies
Federal Kemper Lire Assurance Company
Fidelity Lire Associalion
Kemper Inveslon Lire Insurance Company
.' ,
~~~
. .
I Kemper Drive
Long Grove. It bOO~9
(70") nll.4500
EXPLANATION OF BENEFITS
Policy Number: FK404241S
Insured: EHTEL WINDOWMAKER
Beneficiary:
CHARLES WINDOWMAKER
POLICY BENEFIT AMOUNT
$6032.07
PLUS ADDITIONS
Interest Paid on Settlement
$18.57
Your portion of Policy Settlement
$6050.64
$6050.64
TOTAL POLICY SETTLEMENT
Prepared By: Dianne Green
Date: February 2, 1996
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P.O. BOX 15068. YORK. PA 17405.7068
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}A~~ FI~ l3-147J15d
.'
;TrlcL ~ "l~nOW~AKE~
211 ~!~E ~RaV~ RD
;J~~~~~5 PA 17324-894~
ST ~ TEMENT
DATE
rr=n'-'/b
PERIOD
FROM TO
J 1-')1-.1 '; 1 l- JT";'#?
; ... .: \ L ~ ~ ': ! J .~ r r y ,~ ': .
?~GE
1-
202-2)-~!2) ~~Tr~~~ENr IJ. ~I~. ~202~0~1~~
-- " c: 'CTIO.j ....E-CRIPTIO.I 7~.I~.S~~-":'" TR~NS~CTICN B 'L" -~
, ,.....1 '_M I' U ;:, I' : ~"= AMOUNT " ,'" I'J::
.- "'1;-[r:T3-:ru"''J~:NT-o..-OT=rnr''-:-,UP::i:~-:Jr;l!{Ji<E\l:trr-f~4-f. 3-=11"/'"
.\C'; .:~~, T
,'1HU1lTY
!~T::~r:ljT
INT:~.:~T
I~T;:RfST
HIT=,~fST
INT:flfST
INT:~f.ST
INT!:REST
HIT SRES T
INTC:~tST
INTEREST
INE,~eST
1!4T::~EST
110-0C:l824b
01-19-q~
TP~ - F [xcD
PP.I~~ 3ALMIC::
91-31-15 '
02-23-95
())- 31-~!)
,
04-3\)-9&:
, -
05-31-95 I
b~-30-15
07-31-95
I
03-31-95
,
01-30-95
,
~0-31-15
11-30-9J
12-31-9!:i
12.10
10.97
12.19
11.d3
12.28
11.93
12.36
12.41
12.06
12.51
12.14
12.60
- - - - - - - - - - - - - - - - - - - - - - - - - -
I
3 ,~~~~y Oo^~~<ii~~ENTS
.00 FED TAX WITHHELD
145.38 ST TAX WITHHELD
.00 CONTRI~UTIONS SINCE
3,383.30 FOR 1994
FOR 1995
TOTAL PLAN VALUE 3,383.30 ROLLOVERS
FAIR MARKET VALUE OF PLAN AT THE END OF 1995
PRI:JR CASH BAL
PLUS CREDITS
PLUS HiT~R::ST
L~SS OEflITS
IE.. CASh :\U
THE FAIR ~ARKET VALUE IS BEING FURNISHED TO
THE INTERNAL REVENUE SERVICE
iPT: 4.4')0
I 3,.:'17.QZ
I 3,l50.02
3,21,0.99
3,173.1':1
3,285.01
3,297.29
3,309.22
3,321.53
3,3)3.99
3,346.05
3,358.56
3,370.70
3,3113.30
.00
.00
.00
01-01-95
.00
.00
.00
3,383.30
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COMMONWEALTH OF PENNSYLVANIA l
COUNTY OF CUM'ERLAND J
II:
Charles W. Windomak~
beIng duly sworn eccordlng to lew, deposes end 5eys thet he is the
RdminiRt:r"t:or of the Estete of F.th..' R wtndnm"l<..r
lete of --D.ic::!dns.oJL1'.oxnship--_.- , Cumberlend County, Pe., decused end thet the
within Is en Inventory me de by him , the uld administrator
of the entlre estete of uld decedent, conslstlng of ell the per50nel proflarty end rulestete, e.cept rul estete outside
the Commonweelth of Pennsylvenla, and that the figures opposite uch Item of the Inventory represent It's fair velue
es of the date of decedent's death.
19 96
1?iO/.tt, (,f.(lJ/~~Je~
Ellcufor . Admtnhlr.tor
Sworn to
and subscribed before me,
231 pine Grove Road
Gardnens. FA 17324
Add....
Dete of Death
1 1
Day
IT;tnllrtry
Month
lQQIi
Yea,
INSTRUCTIONS
I. An Inventory must be flied within three months after appointment of personal representetlve.
2. A supplement Inventory must be flied within thirty days of discovery of addltlonal u5ets.
3. Additional sheets may be attached 15 to personalty or realty
4. See Article IV, Flduclerles Act of 1949.
ID
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tll .., .... ... III
D E 0 :J::
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... U III
Inventory 01 the real and personal estate 01
E~hel R. Wlndnmakpr
deceased
1.
Kemper Annuity Policy No. FIC4042415
Prudential Annuity Contract No. 98-173-945
,
6,050.64
6,985.68
3,383.30
2.
3.
York Federal Savings & Loan Association IRA No. 0202205229
-", )11,
Knouse Foods Retiremert~.Check
\
,
\
\
60.69
4.
!
,
------ ---
------ ---
TOTAL
16,480.31
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\ REV-1547 EX AFP (12-95*
COHHQHW[ALTH OF PENNSYLVANIA
D[PAAnEHT OF REYEfIJE
BUREAU Of INDIVIDUAL TAXES
DEPT. lID6Dl
HARRISBURG, Pi 1711a-0601
1.5- J'/ ~ (,
CY
NOTICE OF INHERITANCE TAM
APPRAISEHENT. ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAM
ACN 101
DATE 05-13-96
o
DATE OF DEATH 01-11-96
FILE NO.
COUNTY
CUMBERLAND
NOTE. TD INSURE PROPER CREDIT TO YOUR ACCOUNT. SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAM
PAYHENT TO THE REGISTER OF WILLS. HAME CHECM PAYABLE TO "REGISTER OF WILLS. AGENT"
REMIT PAYMENT TO:
HAROLD S IRWIN III
36 S PITT ST
CARLISLE PA 17013
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
A.aunt R..ltt.d
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ..
iiEV:is4i-Ex-"i:ii-n'2-:9SY"ililYicE--OFuiNHEiiifANci-Y,ix-jipiiiiiiisEii€il'T-;-"LDiwAiici-olimn__mmm-
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ETHEL R FILE NO. 21 96-0082 ACN 101 DATE
TAM RETURN WAS. ( I ACCEPTED AS FILED ( Xl CHANGEO SEE ATTACHED
ESTATE OF WINDOMAKER
05-13-96
NOTICE
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: DRIGINAL RETURN
1. Raal E.tata (Schadula Al III
2. Stock. and Bond. (Schadula BI 121
5. Clo.aly Hald Stock/Partnar.hip Intara.t (Schadula CI (51
4. HortgeD.I/Hot.. Receivabl. (Schedul. DJ (4)
S. Caah/Bank a.politl/Hlla. Parlonal Property (Schedule E) IS)
6. Jointly Ownad Proparty ISchadula FI 161
7. Tran.far. (Schedula GI 171
a. Total A...h
.00
.00
.00
.00
16.480.31
.00
.00
IBl
16.480.31
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Fun.ral Expanl../Ada. Co.t.'Hllc. Expan... (Schedule H) I')
10. Dabt./Hortgaga Liabilitia./Lian. (Schadula II (101
11. Total Daduotion.
12. Nat Value of Tax R.turn
15. Charitable/Covern..ntal Sequa.t. (Schedul. J)
14. Nat Value of E.tata Subjact to Ta.
10.949.00
.00
1111
1121
1151
1141
In.Q4Q nn
5,531.31
.00
5.531. 31
will
If an a.....m.nt was i"u.d pr.viou.1Y, lin.. 14, 15 and/or 16, 17 and 18
r.fl.ct figur.. th.t includ. th. total of 6hb r.turn. a......d to dat..
ASSESSMENT OF TAXI
15. Aaount of Lina 14 at Spou.al rata 1151
16. AROunt of Lina 14 t..abla at Linaal/Cla.. A rata 1161
17. A.ount of Lin. 14 taMable at Coll.taraI/CI... Brat. e17)
18. Principal Tax Dua
NOTE:
5,531.31
.00
.00
M .00.
M .06.
M .15.
UBI
.00
.00
.00
.00
TAX CREDITS I
PAYHENT
DATE
RECEIPT
NUHBER
DISCOUNT 1"
INTEREST I-I
AHOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE:
.00
.00
.00
.00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION DF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN fl. NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" lCRl, YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIDNS.l
<< ...
RESERVATION. E,t,t.. of decedent, dVlng on O~ ~for. Dece.ber 12, 1982 .. If any lutur. Int.r..t In the ,,'at. 1. tr~"'rred
In po.....lon Dr enJo~t to Cl... . (coll,',r,l' b~flcl.rl.. 0' the dlcedent .'t,r the Ixplrallon of InV ..lata 'or
11,. or for y..r., the Co..onw.alth har.by Ixpr...l, ral.rv.. the right to appral.. ~ ...... tranl'.r Inheritance T....
at the l~ful Cl... . (colll'.r.l) rat. on eny such future Int.r..t.
PUIlPOSf: I1f
NOTICE I To fulfUl tt. r.....r..."tI of S.Uon 2140 of the InhtlrltBncl end Eltat. h. Act, Act ZZ of 1991. 72 P,S.
s.cUon 2140.
'AnEMTa o.tKh the top portion of thh Notice and I_It with your pIYtlent to thl hallh,. 0' WUh print" on thtl rav.,... .lde.
"'"-11.. check or IIOMY order Plwabh tOI REGISTER OF MILLS, ACENT
All p.~t. rlC.ly~ shall flr.t b, eppl1ad to Iny Intar..t which "V b, due with eny "...Inde,. ~11ed to the t.x.
RUl.IfD (CA)I . nfund of . tl. credit, .....Ich "I' not rlqu..tad on tM r.x ':aturn, ..., ba nqullt.d by co.pllt1ng M "AppllCltlon
for Rlfund of P~..,lvenla Inherltanc. ~ E.tatl Tax" (REV-ISIS). application. arl .vlllabll at the OfficI
of the Regl.t.r of Will., My of the 25 R'venua DI.trlct OfficI., or by calling the .peclll 2'-hour
M.werlna ..rvlca ~r. for far.. ordarlngl In Penn..,lvenll 1-100-562-2050, out.ldl Penn.ylvMla end
within local H.rrl.burg araa (717) 7.7-10.., TOOl (717) 772-2252 CHe.rlng lapalred Only).
OIJECTIOHSI Any party In Intara.t not .atl.fled vlth the eppral...ent, allovenc. or dl..llowanc. of deduction., or .....~t
of t.x (InclUding dl.count or Int.r..t) .. .hown on thl. Notlc. .u.t ObJ.ct within .Ixty (60) d.y. of r,cllpt of
thh Notlc. bYI
AIlIIIN
IITllATlVE
ClIIlllfCTlIlNI.
uw,.1tten protl.t to the PA Dlpart..,..t of R.v.nu., Bo.rd of ApPI''', Dept. 2110l1, H.rrhbu"lI, PA 17121-1021, OR
--.lactlon to hev. the ..ttar det.ralned .t .udlt of the .ccount of the p.r.onal repr..entatlvl, OR
--."..1 to the Dr~.' Court.
factual .rro,., dl.cov.red on thl. ......-.nt should be ~r".ad In writing tal PA DIP.rt..,..t of R.venue,
Buraau of Individual T.x.., ATTNI Po.t A......ent R.vl.w unit, D.pt. 210'01, H.,.rl.burg, PA 17121-0601
Phone (717) 717-6505. S.. page 5 of tM bookl.t -In.tructlon. fa,. Inherltanc. T.x R.turn far. Ra.ldant
Decedent" (REV-1SOI) fa,. M ..pIMatlon of .dalnl.tr.tlvlly correctabla .rra,...
DISCOUNT.
INTEREST I
If any t.x due I. p.ld within thr.. (5) c.landar aonth. aft.r the decadent'. de.th, a flv. p.rcant (5~) dl.count of
the t.x plld I. 8110Y1d.
Int.r..t I. charged betlnnlng with flr.t de., of dallnquenc." a,. nine (" aonth. and one (I) d.., froe the d.t. of
death, to the d.t. of p'vaant. T..a. which bee... delinquent b.farl J~ar., 1, 1"2 baar Int.ra.t at the r.ta of
.1. (6XI p.rcant per ~ c.lculat.d at a d.lly r.ta of .0001". All tl.a. which bee... d'll~t on and .fta,.
January 1, .'12 will ba.r Intara.t at . rata which will vir., fro. c.l~ar YI.r to clland.,. ya.,. with that ,..ta
announced by the PA Dep.rt.ant of R.venue. Tha appllcabll Int.r..t r.ta. for 19.2 through 1996 a"'1
Va.,. Intar..t R.t. 0.11'1 Int.r..t F.cto,. !!!! Int.....t R.t. alii., Int.ra.t factor
I'll ZOX .OOOMI 1917 9X .GOO2"
I9IS IU .000'11 1911".'" IU .000501
19.' IIX .DOO501 1992 'X .0002'1
IUS ISX .000S5' 1995-199' 7X .oooln
1'16 lOX .00027' 1995'" 99' 9X .DOO2U
ulnt.rllt I. cIlcul.ted .. follow'l
INTEREST . BALANCE OF TAX UNPAID X NUHBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notlc. IlIwcI .ft.r the tax baCOH' d.lInquent will rafl.ct .., Int.rllt c.lculatlon to flft.an US) d.y.
beyond the data af the ......lInt. If p'v.-nt I. aide .,tar the Int.ra.t coaput.tlon data .hown on the
Notlc., additional Int.....t ....t b. cllcullted.
.4J
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.
INHERITANCE TAX
EXPLANATION
OF CHANGES
COMMONWEAlTH Of 'ENNSYLVANIA
DfPARTMENT Of REVENUE
IURIAU 01' INDIVIDUAL TAXU
DEPT. 210601
HARRISlURO. 'A 17121-0601
E DEN!'S NAME
filE NUMBER
IHndoraak r
2
ACN
101
. SCHIDULI
mM
NO.
EXPLANATION OP CHANGES
H
83
____]!'.LS!'_c:!:_i9_n.3.1.21._o.f. 19.9~. Ac:!:. . effec:tiveH January;J,Q J _1.~.9_~_ .t!te,Jalli.ly_...._______
exemption va. amended increaaing the amount of the claim Croa $2.000 to
_.____.~.3..50().._ ___ ..._ _._,'.. ___ _.... ..... ..._U_..nmH.._._._
TAX EXAMINER:
ArtwUlia Byrd
PAGE
STATUS REPORT UNDER RULE 6,12
Name of Decedent: ETHEL R. WINDOMAKER
Date of Death:
JANUARY II, 1996
Will No.
21-96-0082
Admin No. 96-0082
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:
I.
State whetl)pr'8dministration of the estate is complete:
Yes ~ No_____
2. If the answer is No, state when the personal representative reasonably believes that
the administration will be complete: N/A
3. If the answer to No. I is Yes, state the following:
a.
Did the personal representativ:v final account with the Court?
Yes _____ No
b.
account is:
The separate Orphans' Court No. (if any) for the personal representative's
N/A
c.
interest?
Did the 70al representative state an account infonnally to the parties in
Yes No _____ _
d. Copies of receipts, releases. joinders and approvals of fonnnl or infonnnl
accounts may be filed with the Clerk of the Orphans' Court and may be allached to this
report.
May 9, 1996
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36 South Pill Street
Carlisle, PA 17013
717-243-6090
Allorney for Estate of Ethel R. Wlndomaker
I
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