HomeMy WebLinkAbout96-00098
.,.
,.\': >'i';""CI)::>
i~\?';):::~ ~.....,."
."7::.. ..-
'0
....
In
LLI
.
'.'
f
,., "'"
"",-,
",-\
"
~~ ,.
1::':1
.'
'.'
,<
Esrare of F 10 q V\t <
a/.w knoll'/I as
PETITION FOR PROBATE and GRANT OF LETIERS
~
53 -r<J~, It ~
No. _
To:
Rcgi,tcr of Will, for lh~ l
, Deceased. Counly of /!u '"" \,t( ~'N in thc
Soda/ Sel'u,iry No. III tr - 0 ~ L/ ') '" /, Commonwcallh of Pcnnsylvania
Thc pClilion of lhc undcrsigncd re'pcclfully rcprc,cnl' lhat:
Your pctilioncr(,), who i,/arc IS ycars of agc or ol~~r,an lhc CXCCUI"" \(
in thc la't will of lhc ahovc dccedcnl, dalcd --!l1~ ",., '"
and codicil(,) datcd ---..1!.--.J:.!.l1 . h~'hL" { ~tct.'...(. -6-- ",........" ;"
Clc.~t, \ '" ill
(\131t' rtlt'\i1nl drnlll1\lan\.'C\, l'.Il. u'llundalinn, tJl'illh uf (,\(,L'lIlm, (Ie.)
Deccndent wa, domiciled al death in t.. '" b. f \ ....,.0.
h <-or la't family or princil)al re,idcnce al c..~ ",h'rJ.1n)..
,.Y1SQ..\......t.v.....lJl\r ~"fVL.. C,....".dt 6/f~
(11\1 "Uecl. numher and fI1Unl'l(litlil))
Decendcnl,lhcn Ii" r ycar, of agc, dicd :;:r """ I ~ ,19 Cj"
3t___CM.l,.I. . ,:I..
EXCCPI a, follow" deccdcnt did nol marry, was not ~ivorced and did not havc a child born or ado pled
afler cxeculion oflhe willofrcrcd for pro bale; wa, nOllhe victim of a killing and was never adjudicated
inl,.'ompl.'tcl1I: Y\u
Dccendenl al dealh owned properlY wilh cSlimatcd valucs a, follow,:
(If domicileu in I'a.) All pcrsonalpropcrlY S 3.'t<N. " '-'
(If not domicilcd in I'a.) PersonalpropcrlY in Pennsylvania S
(II nol domiciled in I'a.) PersonalpropcrlY in Counly S
Value of real C'lalC in Pcnn'ylvania S ...""...
,ilmlled a, follow,: no 1\ ~
WHEREFOIU.:, pelilioner(,) respeclfully
pre\CIlled herewilh and the grant of lellers
themn.
rcquest('L the Drobal~ of Ihc last will and codicil(s)
Admfnistr.at1on C.T.A.
-~-
tll.'\lamCnlnr)'; 3dmini\lralion C.I.a.; adminblnllion d.h.n.c.l.a.)
_..~-
,
"
~
"
=7
G";:
lX~
-;,~
c';:
!'S';:
-:-:::
~:
;,
"
._~:-.A-\' "",,,.1.1'"
_ _ ...,. o..4~
_.__ .~!3 I ;J;:.I""" lr"A..d<.. _C:tdt.. _
_n_A'\....0 LA"'. .b.,U i?~~.-,
"-
OATH 01-' PERSONAL REPRESENTATIVE
COMMONWEALTH 0... PENNSYl.V ANIA } ss
cou:-.n' Of- _ CUMBERLAND
The pelilillnerhl abuve-named ,wem(,) or amnn(,) thallhc statemcnt, in the forcgoing pctition are
true and ,'oneCI lolhe he" uf lhe ~nuwledge and helief of pelilioner(s) and lhal as pcrsonal reprcscn.
IiItivel') uf Ihe ahuve dec~l"'nt pelilioner(,) will wclI and truly admini,ter lhc cSlalc according to law,
S,,,,,n '" or alrirmed and 'uh,crihed 1-~"'\ 1 al'.<J.....~ ~
hcf"T<' m,' thi. ___~~f;cl____ d~' ( l
/5 - ~ :1'-~q~~~ftillLlr.4~~~~} 'P 1riTr- l
WARNING: IT IS ILLEGAL TO ALTER THIS COpy OR
TO DUPLtCATE BY PHOTOSTAT OR PHOTOGnAPH.
COMMONWEALTH OF PENNSYlVANIA
OEPARTMENT OF HEALTH VITAL RECORDS
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
CERT. NO. 2972725
-
JntV, Jt.. /.,,,(.
O",ol'nueol Th"C"'II.",11Url
Name of Decedent F/ D It ~ /II (' L r! h 1( I ~ r, R '" A
FiliI U,0<1141
Sex rlIH.. h Social Security No. / '19' . 0:3 - '{ 7 (, t
Date of Birth JA/V. jlIl9; 19" 7 Birthplace /lfl,',fi> ~.
Place of Deata f~. IIr~';"~ #""1 (!' l Nd
hClhly NlIr'Ia Counly C.l.,. B()/Ollgh or own,l'llp
Race ~j,;f( Occupation h"u.,IA4;', Armed Forces? (Yes or No) .."... ,
Marilal Status w,'JI1'U/.?cI ~~~I~~;~~dre"II",I1Z~/A",jr!.,lIufl~/--I!'rlIf. {lRIl/'s.lt ~./7"~
Informant ::riA'" /lIe1RNJett FU~:;~I Director ~': u/. !f'vtt,f;'~;/ .....
~~~e~:rn:S~~11~~s~~~wftIR~d!l. F(~fUU#1t/ ffll'/;iO $.nf,,~kil }~ vJlf. (J"~Hl/11. t:t: 17~S;1
: I nterval Between
Onset and Death
16",,,sl'ul,
lD'
--
Date of DeathJ..,"". /;(, /99t
Penns Ivanla
Part I: Immediate Cause
(a) C /I F
(b)
(c)
(d)
Part II: Other Significant Conditions n J .L
!c2R I?e If},
Manner of Death:
Natural ~ Homicide 0
Accident 0 Pending Investigation 0
Suicide 0 Could not be Determined 0
J11z / /,:J...L ~
Describe how injury occurred:
Name and Title of CertlfleC R IJ U f? t M. -;;; / F. J41.J7.
Address 1"1'3tJ rrtJ" d .J.It1Pf RP ,r: AJO/p ~. /70-;1..'7
I '-'1
(M.D., D.O.. Coroner, M.E.)
This Is to certify that the Information here given is correctly copied from an original certificate of
death duly flied with me as Local Registrar. The original certificate will be forwarded to the State
Vital Records Office for permanent filing.
,,--
:..J 19,v'. /5': 1'l9't
011. "K.'~ by Local "119''''''
r
~
'I
I'
l:
;
H
!;
"
~
I,
,.
I'
t1
I!
,
ti
Ii
Ii
f
II
I'
'1
I,
f;
"
,
r
,
o.
r
,
..
;
"
~:
,
,
r
~!
I!
;:
i:
f:
!
r,
,
,
,
0,
,
,
,:
I
,.
i
,
,
,
r
"
,.
I:
~
"
,
I"~
,
.
me
ft
itemember:eb
ijt~1rl ~, FLORENCE BROSIUS of 1>1ount Carmel
ill th6 County of Northumberland and State of Pennsylvania,
be(,nt of sound mind, memory and undersiandint do mau and publish this my
last Will and Testament, h6reby revokin~ and makilll void aU former Willa by me
at allY time h6retofore made.
. ~ ~ret, ~ direct that my funeral be conducted in a manner correspondint
with my e8tate and 8ituation in life and that all my just d.ebta and funeralexpen- !
868 be fully paid and 8atisfied Il8 800n Il8 conveniently may be after my decell8e.
!-nb to 8uch e8tate Il8 it has plell8ed God to entrttst to me, I dispose of the I
8ame as follow8, viz;
ITEM 1. I direct that my body shall be interred in the Church
of God Cemetery in Pitman, Eldred Township, Schuylkill County, Pa.
ITEM 2. All the rest, residue and remainder of my Estate of
which I die seized, whether real, personal or mixed and whereseover .
the same may be situate, I give, bequeath and devise to my beloved
husband, Harry Brosius.
ITEM 3. If my husband should predecease me or if my husband
and I should die simultaneous deaths or in a common disaster. then
I give, bequeath and devise my entire Estate, in equal shares, to
my two (2) children, Robert H. Brosius and Jean F. Alexander, and
under these conditions, I herewith appoint my son, Robert H. Brosius
and my daughter, Jean F. Alexander, Co-Executors, or the survivor
of them, to act without bond.
ITE1>1 4. I hereby authorize, direct and empower my said
Executors, by their sole act and deed, to sell and dispose of by
private or public sale any portion and/or all of my property, real
and/or personal as they may deem necessary or see fit for the purpose
of carrying out my desires herein stated and that the purchaser
and/or purchasers at such sale or sales shall not be required to
look after the proceeds thereof or the application of the funds
derived therefrom.
.
,
"
":i
..~.",. ."N.""......',.",.., .,..~
;.~'.' ",." _:;..;",~.':"-"-;lCZ..;~!:'"'-"~~.:.'1 '~
!oub I hereby nominate, conatitlttc and appoint my husband, Harry Brosius
Executor of this my last Will and Testament. to act without bond.
~n ~lbtt.. ;m~trtof,;3J FLORENCE BROSIUS
the Testat rix , luwc to .t''ill, my Will writte1n f'fUJ sheet of paper, set my hand
and seal, this /1- 0'1 day of ~x .I.l, D. One Thou.aand
Nine Hundred and Seventy-eight (197g). U
...~~.,...~H:':e/.".......~
Florence Brosius
SiJned, Sealed, Pl/,bli.~hed and Declared by the above named
Testatrix as and forher last Will and Testament,
in the presence of UB, who have hereltnto subscribcd our names at her request as
Witnesses there tn, in the lJresence of the said Testa~ix , and of each other.
.~~m..mm.
........ .................................~..........:::.)....
I
~~...~1t"'n.o:n-...,..>;-..:r.J.~;L~..."'-f'~_'-.lo'.r;y~';:.)__<J:.<.'!:r',i'r.'-!1:.'--.'"tc!..~~r.:.'""""\'-'r~',".I'.\",,''''_,l..''"'''!!''-'\.,.'"''l-:~i'';;~~..r.~mt.~~+.~+
-
, r
: t'
~~'
!:~ ~
( ~)))
1;1 ~
I f
t~~))
~
~)))
l'5>
-
--
-
I
I
i
~~
~~
- ~
.........
~
fta
en
i:l
~
~
(iI
o
~
o
>-1
I%.
-
~
-
bill
~
-
(
I.~T.....~"LT:-t:_:~-".:J,C,.~.,',...;....+;::;'O:U...-..,,~..~....;:<J_.J"'......L;;._-i~r:''r.-; .""...~-......=~,...I~"'...,;u,.."'l,_..2iG~
"';
.,
N
::':1
~
~\
., :.,
00
, ~ ",' '. "., '';''. ".~'
to
I 1
I
I
!
~
1
I
i.
I
"
,;
I
l
- .j - '~~, ~
UY.UOO u. 17.lUI
l!!
..:5"
flIflj
:0:00
U~r:
[:..l'-./\:... "1- ~ 5. q0 o:!:.
,olt DATU 0' DIATH AmR 12/31191 CHICK HIli
If A SPOUSAL
POVIRTf CIIDIl IS CLA1MID 0
.,LI HUMIIR 21-96-0090
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS) COUNIYCODE 1 6 YEAR00090 NUMBER
1~"OI~1 o~,.. ~ooll" i
vUlnlJOl'.Lnnu vounty lIurs ng 1I0me
375 Claromont Dl'ive,
CarliD10, rA 1701)
Cou,,1
AMOurH IECIIV!O IUlltunUCllONSI
,
IS - h'.".l -7
Cumbor1on,
o A. lImitf!d l::slale
o 3. Remoinder Return
(10' do'.. 01 d,o,h prlo, 1012.13.821
o 5. Federal Eslate Tu Relurn Required
Q... 9. Tolol Number 01 Sofe Depolit BOUI
>IU
4,829.46
0.00
0.00
0.00
0.00
0.00
0.00
21. If line 191. greoler thon line 19, en!er Ihe diff.rence on line 21. This is Ihe TAX DUE.
A. Enler the Inlerest on Ih. bolonCl due on lIn. 21 A.
B. En.or,h,lo'ol 01 Un. 21 ond 21A on Un. 21B. Thi. It ,h. BALANCE DUE.
Make Chedl Payabl. 101 R.gl.ler af Will., Aglnl
. :'.tiJ~',', . .. BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH . .,. .
Under plnohlll of perjury. I declo,. Ihall hovl ..omlned Ihis relurn. Including occomponyln9 uhldules and Ilolem'nll. and 10 Ihe b." of my ~nowledge and bell.f
It II true, corred and compl.te, I declare Ihat all reol ellol. hat been reporleer allrUI morbt volue. D,c1orolion of preporer olher Ihon the personol reprt..nlolivt h
bOlld on olllnformolion o. which r.porer has ony knowledge.
IONAIU '.lIS0NlfSPON'IIU'01'Il!NQUIUIU Aoolfu7131 SQ,loll\ Park Circle: DAtE .1
)- . @eJ..-,...€t.A.- HechanlcsbllrB. PA r{u55 ~/...l S" 1-9t:
01 II 1H IIr NIAIIV! AOOI(n. ar to quare 131dB. DAtE .
/; Hechaniosbur PA 17055 7"/Z.3-;/9~
28.095.19
0.00
0.00
0.00
0.00
0.00
0.00
J
D(ClDW ,) ,~",--;~,- , .f.'" MJO-i;j'l)'lji l~lIl1AII
.
COMMONWfAUH 0' 'fNNSYlVANIA
D('AR'MfNf Of A!V(NUf
Dfn 210601
HAUIUURO. ~A 1712' ONH
..
i5
fil
flI
o
llQs.I!l.S. PIOJ' nl.:o___
SOCIAl SfCU."V NUM'~ DAn or Df.IH
19J-03-1~766 1/12/96
[~~~~/i07
SOCIAl SftUllt'f NUMIfI
pf ..,..,tCA.II,IU'''''''tNO "OUR' NA'" (tAU. 'II" AND ..'POtI tHlII"ll
IXJ 1. O,iginol Relurn
o 2. Suppl.menlol Relurn
:1l15
a:o
:!i'"
uf
o 0110. Fulurelnlertll Compromill
(10' do'.. 01 d,o,h oft" 12.12.82)
I 06. 0('(. ',nl r ied Tf'\tate 0 7. Oeced.nl Molntorn.d 0 living Trull
(".t. h (Cpy of Will) (^"och copy of TruI'1
'ALL CORR(;PONDENCE AND CONfiDENTIAL TAX INfORMATION SHOULD BE DIRECTED TO,. .. .;~ /., i ,"(N! ,~".,~t,-'~:"
NAM! COMm n MAllI~m AODIf
Jean F. AloxAnder 7131 301om parlt Circle
-- - IlochanicDburG. PA 17055
'(66-7460
'"
o
~
~
flI
a:
1. R.ol E..o.. 15ch,dol, A) II )
2. 5'ock. ond Bond. 15ch,dul. B) (2)
3. ClolOly H.ld 510ckJPar'n,,,htp In',ro,' 15ch.dol. q (3 I
A. MO"808" ond No'" R.col,obl. (5ch.dul. 01 I A I
IS) COlh, Bonlc D'POlits & MilceUon.ous P.nonol Properly (5)
\J 15ch.dol. EI
6. Joln'ly Own.d P,oper'y (5ch.dul. FI (6 )
7. T,ontler. 15ch.dul. GI15ch.dul. LI (71
9. Tolal Gron Aile" (Iololllntl 1.7)
19~ Funffol ellpenlt.. Administrative COlis, Mhulloneoul (9)
J hpflnlts (Sch.dule H)
10. D,b". Mor'gog. Liobiliti.., L1.n'15ch.doi. II (10)
,11. Tolol Ouductionl (Iolalllnts 9 & 101
12. N.I V.rue 01 E..o,.(L1n. 8 mlno. L1n. 111
13. Chorltoblt ond Governmenlal B.qUtsIS (Schedul. JI
IA. N.I Volue Sub .cllo Tox (lIn. 12 mlnulUne 13)
15. Spoulol Tronsfe,. (for dolts of d.olh oliff 6.30.9-')
. 5.. lnstrudion. for Ar,plicoble Ptrctnlogt on Rne,.e (15)
Sid". (Includ. voluts rom 5chedul. K or 5ch.dule M.)
16. Amount of lint IA ICkobl. 016% role (16)
(Include \'OIUlill from Sch.dule K 0' Sch.dule M.)
17. Amounl 01 L1n. lA 'o,obl, 01 15% '0" (171
(Includt valuts from Schedul. K or Sch.dul. M.)
18. P,lnclpol'o. do. (Add la. from L1n.. IS. 16 and 17.)
19. C,.dill Spoulol Poverty Credil Prior Paym.nll Discount
0..00
0,00
0...Q.9
0.00
l~, 029 .lj:6
0.00
0.00
740.07
27,31)1).12
(8)
(III
(12)
(131
(lA)
O.OOx.__
0.09,. .06-
O.OOx.IS_
'"
o
~
..
o
u
1.i!
..
(18)
Inltre"
+ + (19)
20. II L1n. 191. groo'or ,hon L1n. 18, .n'or ,h. dill."nco on L1n..20. Thl.1t th. OVERPAYMENT. (20)
gO
Clwei! hew If you nrt' 'l'quullng n refund of your ovt'rpoymcnl.
(21)
(21A)
121B)
1f\lIjIlU.V"'1
ESTATE Of
ITEM
NUMBER
A,
2.
3.
Ploa.o Print or Typo
FILE NUMBER 2l-96-0098-state
1996-00090-County
AMOUNT
~Bb
COMMONW'AUH 0' ,1NNSVlVAHIA
INHUltANCe: 'AX .nUIN
ReSIDfN' OfCfDENT
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
FLommCE BROSIUS
DESCRIPTION
1.
Funlral Expon.otl
None.
Shearns Restaurant, Lavelle, Pennsylvania, funeral
luncheon.
Fantini's JoIonuments, Ht. Carmel, Pennaylvania,
engraving date on cemetery monument.
B, . Admlnl.'rallvo co.ttl
4.
C.
1.
2.
3.
4.
5.
6.
7.
8.
I.
POrlonol Roprosonlotive Commi..ions Jean F. Algxan~r~ llis.eou~rix
Social Security Number of Perlonol Represenlative: 1 1 0 44 7
Year Comml..lons paid 1996
2.
Allornoy Foel J. Robert Stauffer. Esq.
3.
Family Exemption
Claimant
Addro.. of Claimant 01 decedenl'. deolh
Stroet Addre..
City
Slale
Zip Code
Relationship
Probale Foe. Regis ter of '-11lls of Cumberland County,
Pennsylvania, Lettera Testamentary.
Mllclllan.oul Exp"n'"tI
Bell Atlantio, eto., telephone expenses in
arranging funeral, eto...
Sohell's Flower Shop, Jolt. Carmel, Pennsylvania,
funeral flowers.
Register of Hills, filing Insolvent Pennsylvania
Inheritanoe Tax Return.
TOTAL (Also enler on line 9, Recapitulation)
(If more Ipaco II noodod. In.orl addlllonal .hooh of .am. .1...1
Prepaid
$
159.00
85.00
245.00
75.00
41.00
39.86
85.21
10.00
s
740.07
./
l.y,f~ -1
C '-
R!V-1547 EX AFP (12-95*
CDKMOHWEILfH OF PENNSYLVANIA
DEPAATItEH' Of' REY[NIJ[
aUREAU OF INDIVIDUAL TAKES
DEP'. ra06DI
HARRISIURG, Pi 111l.~O'Ol
NOTICE OF INHERITANCE TAX
APPRAISEHENT. ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
ACN 101
DATE 07-22-96
FILE NO.
DATE OF DEATH 01-12-96 COUNTY CUMBERLAND
NOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT. SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAX
PAYHENT TO THE REGISTER OF WILLS. HAKE CHECX PAYABLE TO "REGISTER OF WILLS. AGENT"
REMIT PAYMENT TO:
JEAN F ALEXANDER
7131 SALEM PARK CIR
MECHANICS BURG PA 17055
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
A.aunt H..Ht.d
CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ..
iiEV:is4i-EiCKFP-nZ-:9ifi-iicj'''-icE--OF-YNHEiiii'ANCE-'i'"A'x-APjiiiA-isEHE"ii:r;-KLi"owANcE-iflim-----m---m
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF BROSIUS FLORENCE C FILE NO. 21 96-0098 ACN 101 DATE 07-22-96
TAX RETURN WAS. I X I ACCEPTED AS FILED
I I CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Rool Eltoto ISchodulo A! III
2. Stocko end aondl ISchodulo BI 121
3. Clo.ely Hald stock/Partnership Int.r.at (Schedul. C) (3)
4. Korte.g../Not.. Receivabl. (Schedule OJ (4)
5. C..h/8an~ Deposita/Hilc. Pa,.lon.l Property (Schedule E) 15)
6. Jointly Owned Property (Schedula fJ (6)
7. Trande,.. (Schedul. OJ (7)
e. Total A...t.
.00
.00
,00
.00
4.829,46
. .00
.00
IBI
4,829.46
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expans../Ad.. COlta/Hilc. Expans.. (Schedul. HJ (9)
10. Dobtl/Hortgogo Liobilitiol/Lionl ISchodulo II lID)
11, Totol Doduction.
12. Hal Value of Tax R.turn
15. Ch.ritabl./Gov.rn..nt.l B.qu..t. ISch.dul. J)
14. Not Voluo of Eltoto Subjoct to To.
740.07
27.355.12
1111
UZI
US!
U41
~R.OQ~ IQ
23.265.73-
,00
23.265,73-
If an assassmant was issuad praviouSly, linas 14, 15 and/or 16, 17 and 18 will
reflact figura. that includa tha total of Abh raturns a.sassad to date.
ASSESSHENT OF TAX:
1S. A.aunt of Lin. 14 .t Spou..l r.t. (15)
16. A.ount of Lin. 14 t.x.bl. .t Lin..l/Cl... A r.t. (16)
17. Aaount of Lino 14 to.oblo ot Collotor.l/Cloll B roto 1171
lB. Principol To. Duo
NOTE:
,00 X .00.
,00 X .06.
,00 X .15.
uel
.00
.00
.00
.00
TAX CREDITS:
PAYHEHT
DATE
RECEIPT
HUHBER
DISCOUNT (.)
INTEREST 1-)
AHOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
,DO
.00
.00
.00
. IF PAID AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN tl. NO PAYHENT IS REQUIRED,
IF TOTAL DUE IS REFLECTfD AS A "CREDIT" ICRI. YOU HAV BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.!
0-. t~
- r')
0 cl{l .. '3.
C>
'.'J'_-:"; r.r. C
~ ,.,
0-.
'.' c3
...,
(; ., ..,
U <1'
OJu: ~ E
a: .!t!::l
UU
RESERVATION, E,t,t.. of decedent, dVlng on or bl'or. Dec.~r 12, l'IZ .. .f any lutur. Int.r..t In the I.t.t. I, tren.f.rr~
In poI...,lon or enJo~nt to C1... . (coll,t,rel) beneflcl.rl.. 0' the decedent ,'t.r the IxplretJon of any ..t_t. for
11" or for YI.r., t~ C~.lth hlreby Ixpr...ly r.~rv.. the rIght to Ippr.... end ...... trenl'.r Inheritance TIM"
It the l.wful C1... . (colllt,r,l' rete on any such future Int.r..t.
PIJRPOSE OF
NOnCEI
'0 fulfIll the r.qulr.-.nt. of Slctlon 21~a of the Inheritance end Elt,t, rlx Act, Act ZZ of 1991. 72 P.S.
Section 214D.
PAYMEHTI
o.t.ch the top portion of thl_ Notle. and Iub.lt with your PIV-.nt to the RIDSlt'r 0' WIll, prlntld on the r.v.r.. .Ide.
.....M... check 0,. lIOMy ord.r pIYMlI. tal REGISTER OF MILLS, AGENT
All p.~t. r.c.lved ,hill '.r,t b, Ippllld to any Int.r..t whIch 'IY b. due wIth eny r...lnder applIed to the t.x.
AEflJrfD (CAli
A re'und 0' . t.x cr.cUt. whIch .... not r.que.t'd on the T.x R.turn. .ay b. requuted by cOllpleUng en "'ApplluUon
'or R.fund 0' Penn.ylvanl. Inh.rlt8nC. end Estat. Tax" (REV-ISISI. ApplIcation. .r. avallabl. at the Df'lc.
0' the Regl.t.r 0' WIll., any 0' the ZS R.vanue DI.trlct D"lca., or by c'lllng the ,plclal 24-hour
an.w.rlng ..rvlca nuabar. 'or 'or.. ordarlngl In P.nn'Ylvanl. I-BOO-56Z-Z050, out.ld. P.nn.ylvanl. and
wIthin local Harrl.burg .ra. C7171 717-1094, 'DO' C7171 772-Z252 CH.arlng lap.lr.d OnlYI.
OIJ[CTlDNSI
Any p.rty In Int.r..t not .atl.fled wIth the appr.I....nt, ellowancl or dl..llowanc. 0' d.ductlon.. or .......~t
0' tax Clncludlna dl.count or Int.r..tl .. .hown on thl. Notlc. .u.t obJ.ct within .Ixty C601 day. of racalPt o'
this NoUc. bYI
ADtlIN
IS'RATlVE
CORRECTIONSI
--..rltten prot..t to the PA D.partlento' R.venu., loard 0' App.al.. D.pt. 211021, Harrl.burg, PA
--.Iactlon to hava the ..ttar dltar.lnad .t eudlt 0' the account 0' the parlonal r.pra.ent.tlv.,
--app.al to the Orphan.' Court.
17121-1021,
OR
OR
FlOtual .rror. dl.covar.d on this ......-.nt .hould b. addr....d In wrIting tOI PA D.partlent 0' R.venu.,
lur.8U 0' IndIvIdual Tax.., ATTNI Po.t A......ent R.vlew unit, Dapt. Z10601. Harrl.bura. PA 17121-0601
Phone 17171 717-6505. S.. p.g. 3 of the bookl.t "In.tructlon. 'or Inh.rltanc. 'ax R.turn 'or a R..ldent
Dec.dent" CREV-ISOII 'or en axplanatlon 0' ~Inl.tr.tlv.ly corr.ctabl. .rror..
DISCOUNT I
I' any t.x due I, p.ld withIn thr.. 151 c.landar lonth. e,t.r tha d.c.dent'. death, a 'Iv. p.rcant (S~I dllcount 0'
the tax p.ld I. allowed.
PENAL TV,
The IS~ tax .-na.ty non-partIcIpation penalty 1, coeputed on the tot'l 0' the tlX and Int.r..t ......ad, and not
paid ba'or. January II, 199'. the 'Ir.t d.y a't.r the and 0' the tax aana.ty parlod. Thl. non-p.rticip.tlon
penalty I. 'ppe.labl. In the .... '~r and In thl the .... tl.. parlod .. YOU would app..1 the tax and Int.r..t
thllt hili b..... .......d I' Indlc.tact on thl. notle..
IN'EREST I
Int.r..t I. chargad baglnnlna with 'Ir.t day 0' dallnquency, or nine C" .vnth. and one (11 day 'rOl thl data 0'
dlath, to thl data 0' payeant. Taxa. which bee... d.llnquent b"or. January 1, 1.12 b..r Intar..t at tha rata 0'
.Ix C6XI parcant p.r annua calculatad at a d.lly rat. 0' .000164. All t.x.. which bac... d.llnquent on and "t.r
January 1, I'IZ .,111 baar Int.r..t .t a r.ta which will vary 'roe c.landar y.a,. to c.landlr y.ar .,Ith that rat.
announced by the PA D.part.ant of R.venu.. The applicabl. Int.r..t r.ta. 'or I.IZ through 1996 1,..,
!!!! Int.,.ut Rat. D.lly Int.rut Factor !!!r Int.rllt Rat. Dally Intarut F.ctor
1917 7ax .ODDS41 1.17 OX .ODDZO
1915 16X .DOGUI 1'0-1991 11:C .000501
1914 lIX .000501 1992 'X .00020
1.15 UX .000556 1'95-1'94 7X .DDOl.Z
1.16 lOX .DDOZ74 1995-1996 'X .DDOZO
--Inta,.n Is ulcul.ted .. 'ollowII
INTEREST. BALANCE OF TAX UNPAID X NUIlBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any NoUc. is.ued _ftar the t_x bacON' d.Unquant will r.fI.ct WI Int.r..t calculation to '1ft.." 1151 d.ys
b.Yond thl data 0' the ......-.nt. I' paY'ant I. _ad. "t.r the Intara.t co~tatlon d.t. .hown on the
Notlca, IdcUtlOMI Intar..t lU.t be C8lcul.ted.
"'.. .----
...
<::>2/- 96- c:f"'7
C:"'\IM tOR-it
OlU'!'..AllS' COURT 0 rvUXOIl 0::
/' COURT 0. COI'J{OII l'~ OF
~ o..::.-c--."",=>Q.'<>..ocJ. COUIlT'! ,\~
ESTAT!: OF k~ Q_ ~('~~~~~,~dc::Q.~~ HO.'d-\.~\o..~
lIacJ.c. at cbim by ~~~r~...::> .... .
in che U1aunc at s'd-I...c;. '0 _ ~S til.d punUAnc Co ..c:J.an :1:184, Pz:ollAC., t.CAce. And
FiducJ.4ri.s Code taw. at 1972, Ac: No. 104 .tt.~iv. July 1, 1972 AI amendad.
'1'0 TIU:~RJ( OF 'l'HE ORPKAHS' COUR'1' DIVISION:
Eneer the claim at ~~c- ~' ')
(Cla~ane and Addr...)
Du. 1.0- d-\c,~\a
9441 LBJ FREEWAY
Lock Box 30
Dallas, TX 75243
19
-
. in ehe amaunc at S rl \..,:, ~.. ~ S
agaln.c the above entitled tltate. Th. decedent
who resided ae '-J.... '-'"d (~~<...c.;,,<"\ ~ A.:,~ .. ~'-"'\.~'" ~~l:1, ,\cl.ied an .. l .. 3 :tip
(Addnu) '''' (DaCe)
. ~.;..:~~ \.... . ......... ..
Write.n naeice at said claim was n . t ta~~~ . '- c:;;;.,~
(Personal Repz:esencacive or counsel)
al: 'J \c> ~, SlO'tL.~'\ ~. C ""..:Q '\..~ \..., ~ \1<:::> ...'3 an C..., _ ~~~
(Addrasl) (DaCe)
'1'he basis at atar.laJ.d claim il al tollawl: (ItamJ.:e tully to en&.\)l. perianal repre..ncaeJ.ve
make proper inv.seig&eian).
:laimane's CQunsel
BY
~-~~'-
(~i LBJ FREEWAY
Lock Box 30
Dallas, TX 75243
(Name)
(Address)
(Addr... )
~~
'\)~.. ~ ~..... p...... e:., '-...:c:-~ '-:.Q~
~ '-~ C:::, \......~~ ~ ,"<
~~\..:~"\ ~~~~"L~'~ \.)C)~ \
.
'.
.,
.
o
...oi-........."".,,""
I.,
.~~~\:.;;.~
..............
,1i.' . -. -L~ I ...,
N
j' I
'i; lr!
')q .j 0
iJ,
~ I :.'j f:l
!li ,../.,~..:G
::r!': "T):"\;~:~~
1\ r., It'
:. "7 ~.. ~
,...J ~ W
..J ~ l-
i A ~
., [) /
~l.~
~nu lUl.l
nlllQSiri
I
I
I
I
~~
>~
~~
en '.
::Ej;!
-~
~~
0-;'
w~
I-~
eta:
1-3
en~
wi
:r:.:":-",,,";"<';V.l '_...'_
v'c, '_'...'
..---- -....-..-....
III
.....
.....
.....
~
....
o
..
c co
0..
..... ...
III III
or-4"" 111
> co I-tM
....a.la:.....
l"l~=O
.,.,...
l1I 't/)f""f
... 0
cou Cl<
,.Q !!ill.
0"0 _
.. C C
ll. coo<: Cl
.............
"J.4... rn
.lol Cl" '....
....0 0.....,
Cl au..
....." co
uu.....u
.,.
N
ISl
~~ ~.
~ ;
1
,.;,
...
ISl
I" .
...
oJ
...-....
-
-
-
-
-
==
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
._-~ .. ." .--.-.
.
.
.
\
t
j
,," .J
'.
, .
'i(,
.
.
.:..; ,
oJ . "'..
. . - ,'\
C . .. ~< . l-
1" ',""
~ '..
.#\. - ) I
'.
;
! ~ I,'..J
...:. ,," ~~ '; )0'
"
f .,. \
. ..... ~.
. 'Q .. r o. \
1 ' .
I ....1. \
'''.f ~ . .
. , .
'. t:;' ,_ .," '...~
i .
~.
\ ','
f
i
I
, ,
'.
.,
..,.
i
.--"
.j
t"
r.\. ",'
\. -, ..
~, . ..
.
.
.f
-r~-
,
-1'() /. \.>\
~ \
'\J)<<- ~ \
\ \ ._ -r " " L ....
1\ ,>, ~ ). v'"
. / ' l~
V,
\
STATUS REPORT UNDER RULE 6.12
Name of Decedent:
i"LORENCE nROSIUS
Date of Death: January 12. 1996
Will No.
1996-00098
Admin. No.
Pursuant to Rule 6.12 of the Supreme Court Orphans'
Court Rules, I report the following with respect to completion of
the administration of the above-captioned estate:
1.
State yhether administration 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:
3. If the answer to No. 1 is Yes, state the following:
a. Did the personal re~entative 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.
'0.1')
0\
R
,- -
L_ .....
".
~i.~
signat~e
::rt...." r. A.1c:.x...4"J~r
Name (Please type or print)
rJ I '3 J ..At-., tP....At- ~
Address ~ ~......
(1)/1) '), ,. 11./t. 0
Tel. No.
Capacity: ~Personal Representative
I?..~-j-
Date:
q-/:J. 'I ("
C'.
'D
~
Eh
'....
'.i '.
c' .....
0:"-
'r:>
p,
Counsel for personal
representative
'-'
~:J
UU
(MAH: rmflAMJ)
,._----....-.--~.. .-....
I
.~{~~flK".?"',.....; _
.,..,~~'~~:" ' . -'....-.,'..
-.~
.
.
e
REV-1547 EX AFP (12-95'*
CQttttONWEILTH OF PENNSYLYANIA
DEPAATttEHT OF REVENlL
BUREAU OF INDIYIDUAl TAXES
IVT" 210601
HARAISIURC, PA 1712'-0601
ACN 101
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
DATE 07-22-96
FILE NO.
01-12-96 COUNTY CUMBERLAND
NOTE, TO INSURE PROPER CREDIT TO YOUR ACCOUNT. SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAX
PAYHENT TO THE REGISTER OF WILLS, HAKE CHECK PAYABLE TO "REGISTER OF WILLS. AGENT"
REMIT PAYMENT TO:
JEAN F ALEXANDER
7131 SALEM PARK CIR
MECHANICSBURG PA 17055
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
AJlount ROJlUtod
.00
CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS
______~~~..~_~_~_____~_.~~.~~~~-~eI.-------.~.
~
., ' ~-
, ,I
:h-.
I- . ..,j.
. ,
-l ...
.'. "
'.'
/
(
)
..\
r ~ '..1
: . ..... f' '.
- ,.
. ..
: w
'Q ~ .
i . r .' I
,1 ... ' i'
"'.;
" .
. .
'1 " ..
'. .~
-':
.t
~.
" '.
\. -, ~'
t, , ~
.
i
;
I
II
'.- -..
0.... ...-. -...
.- -. ..--
., j
I .
----.j-' .
- ,... "'--...-... ..
.._- .',--"