HomeMy WebLinkAbout96-00163
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This is ro certify tharthis is a true copy ul rhe record which i, un Ii Ie inrhe Pennsylvania Divisiun ul Vital Recurd, in ",'COrdanee
with Act 66, P.L. 304. approved bY rhe General Assembly,June 29, 19~3.
WARNING: 1111 Illegal to duplicate thll copy by photoltat or photograph.
Fee lor this cerrilicate. S3.@
C:tJ..1I~
Charles Hardesrer
Srale Registrar
3734979
JAN 3 1 1996
Nu.
Date
-.,
HilI' IU"," ",
CCMUCHWEALTHOF PUfHIYLVAHIA. DEP"nTM!." Olf HEALTH. VITAL RECORDS
CERTIFICATE OF OEATH
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1455 . 1-21-96
',Alvin M. Fortno
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Cumberland
Carlisle
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Foreman
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622 Wsldwood Road
Carlisle,PA
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Mr. Robort J. lIofmann
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622 Wildwood Road Cor lisle PA. 17013
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LAST WILL AND TESTAMENT
I, ALVIN M. FORTNEY, JR., of Carlisle, Cumberland County,
Pennsylvania, being of sound mind, memory and understanding, do
make, publish and declare this as and for my last will and
testament, hereby revoking and making void all willa by me at
any time heretofore made.
FIRST. I direct my personal repreaentative to pay my just
debts. funeral
expenses. costs of the administration of my estate
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SECOND. It is my desire, and I instruct my personsl represen-
tative accordingly, that Ewing Bros. shall conduct my funeral and
burial ad that the same shall be at a minimal cost. There shall be
no viewing and no open casket at any time. There shall be a graves ide
service only.
THIRD. I give, devise and bequeath all of my estate.~.nd
personal, to my wife, Gayle H. Fortney, if living, otherwise to my
Robert John
LASTLY, I nominate, constitute and appoint my said wife, Gayle
H. Fortney, Executrix, if living, otherwise my step-son, Robert John
Hofmann, Executor, of this my lsst will and testament.
IN WITNESS WHEREOF, I have
t/).
!. day of )r~/~
hereunto set my hand and seal this
, A.D., 1982.
{ (/',;;%;7;<;"57
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(SEAL)
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Signed. sealed. published and declared by Alvin H. Portney. Jr..
the above named Testator. as and~r his last will and testament, in
,the presence of us, who. at his request and in his presence and in
the presence of each other. have hereunto subscribed our nalles al
witnlaals thereto.
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R 2 NAME COMPLETEMAJLlNQADDREl!IS
R 0 Michael R. Rundle Fowler, Addams, Shughart (. Rundle
~ ~ TELEPHOHEHUMOEA 28 South Pitt Street
- T 717 249-8300 Carlisle PA 17013
1. Roal Estale (SChedule A) (1)
2. Stocb and eonds (SChedule B) (2)
3. C1e18ly Hold StocI<IPlIln8nlhlp InlOfest (SChedulo C) (3)
4. MOrlgageo and Notes Reco/vable tSChedule 0) (4)
&. Cash, Bank Ooposita & MIocoI1I1l8OUI Personal Proplll1y (SCh. E) (&)
.. Jolnlly Owned Prop8l1y (SChedule F) (6)
7. Tronsl811 (Schodule G) (SChedule L) (7)
.. Tolal Gre.. "-Is (Iolal UIl8II-7)
I. Funeral Expenses. Adrrinlstra1lve Colli. MlscoIIlnooul
Expenoes (Schodule H)
10. Oebts. Morlgage Uabllltlos. Uens (SChedule I)
11. Tolal Oeduc1lolll (Iolal Unes I & 10)
12. Not Value 01 EstaI8 (Uno 8 mlnul Uno 11)
13. Ch_ and Govemmonla/ Bequests (SChedule J)
14. Not Value Sub to Tax Uno 12 mlnul Uno 13
1&. Spousal Transf811 (for dales of dellh anOf 6-30-94)
See InslrUc1lollllor Applicable l'erconlage on pogo 2.
Qnclude valueslrom SChedule K or SChedule M.)
1.. Amount of Uno 14 laxlble al6% rllo
(Include valu81 from SChedule K or SChedule M.l
17. Amount 01 Uno 14 taxable a115% rIle
(Include values from SChedule K or SChedule M.l
". Ptlnclpal \IX due (Add tax from Uno 15. 10 Ind 17.)
II.ClodItsISp Pover1y PIIor Payments Oiscounl
+ 600.00 + 31.58
:10. II Uno 1111 groalOf Ihan Uno 16. onlOf lhe d!ffOfOnco on Uno 2(t Thllll lhe OVERPAYMENT.
~ 0 IChock ha... If you are requelUng a rolund 01 your overpaymentl
21. II Uno 16 II groalOf than Uno 19, onlOf lhe d,lIOfOnco on Uno 21. This Is lhe TAX QUI;.
A. EntOf thelnlOfost on the balanco duo on Uno 21A.
B. Enter thelolal 01 Uno 21 Ind 21A on Uno 21 B. Thllll the BAlANCE OUE.
M.1Iko Check P 10: RIter 01 WIllI A nt
. . BE SURE TO AHSWER AU. OUESTlONS ON PAGE 2 ANO TO RECHECK MATll <II <II
Unci., ptnaltl.. olp.rJufY,1 dttJaltthatl have nUllnld Itllt r,tu,n.lnclud,ng aCCCllllpa"r'''g ach.dul...nd IUla"',nU, and 10 the ba.l ot MY k"O"'ldll' and b..."" ,.lIua,
am,cland cOMpletl.1 dlela,. thalllln,I.,talt tlu bIt" ,.po,t.d .Itrut ",.rhl valu.. Olc"",IIO" of pr.p.,., oth., Ih"" Ih, p,,,o,,.I"p'..'''utlv.l. b.nd 0" .1I1"to'IftIoUo" of
which p"plllf hU any bowllda',
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CAB
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REY.. '100 tx .(7...141
INHERITANCE TAX RETURN
RESIDENT DECEDENT
{TO BE FILED IN DUPUCATE
WITH REGISTER OF WILlS
FOR DAnS OF DEATH AFUR 121"/1t CHECK HERE
IF A SPOUSAL
R I AI
FILE HUMBER
COM~F~Wl.\'r'lJi p,fl1..WbrAHIA
HAA.'li~k&'. ~A~~l,,-OI.'
21-96-0163
COUNTY CODE
YEAR
NUMBER
D
E
C
E
D
E
H
T
DECEDENT'S NAME (lAST. FIRST, AND MIDDLE INlTlAll
Fortne Jr. Alvin M.
DECEDENT'S COMPlETE ADDRESS
622 Yi1dwood Roed
Carlisle, PA 17013
SOCIAL SECURITY NUMBER
174-05-1455
DATE OF DEATH
01/21/96
OAT[ OF BIRTtf
02/27/16
C.,"" Cumberland
(IF APPlICABLEIIURVMND SPOUSE'S NAME (LAST,FIRST AND MIDDLE INITIAL) SOCIAL SECURITY NUMOER
AMOUNT RECEIVED Isn INSTRUCTIONS)
X 1. Original Rotum
4. LImIted Estate
2. Supplomonlal Rotum
.... Futuro InlOfIll1 Co"l'romloo
(for dltes 01 death anOf 12-12-82)
[]I.. Oooodent llIed Testate 0 7. Oooodent Malnlalned aLMng Trust
A11ach co of Attach a co 01 Trust)
A1l. CORRESPONOENCE AHO CONFIDENTIAL TAX INFORMATION SHOULD BE OIRECTEl TO:
Roma/ndor Roturn
(lor da18l 01 death prior to 12-13-82)
Fodoral Eatalo Tax Rotum Requ~od
Tola/ Numb<< 01 Salo Oopolllt eo.es
0&.
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R
E
C
A
P
I
T
U
L
A
T
I
o
H
11.317.32
tB)
11.317.32
(8)
578.00
(10)
578.00
10,739.32
(11)
(12)
(13)
(14)
10,739.32
(15)
0.00 X
.
0.00
(16)
10,739.32 X.06.
644.36
T
A
X
C
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M
P
U
T
A
T
I
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N
0.00 X .15'
(17)
0.00
(1 B)
644.36
InlOfIll1
(18)
(:10)
631.58
0.00
(211
(21AI
(21B)
12.78
0.00
12.78
Robert John 1I0fmann
~f,~.~g~~?,~~.!l-.~l!~.. ..Gr.,......
Carlisle PA 17013
Fowler. Addams. Shughart (. Rundle
28 South Pitt Street
C~'riis-i~"'p^"'i7bi'j'-'-'--"-""-"'-------""
SIGNATURE OF PERSON RESPONSIBLE FOR FILINQ RETURN
"\\.:O=A;OSEAI HAE "-
Cop)'riaht(cllll4lo,,,, .ollwa" 0"'" CPS)'It''''',lnc.
oLl -fl~
OAT[
Fo'... 1500 IA.v, 7~"'1
FEB-14-":IlD ...c.u .........,; .... --.
.
BIDEL6PACH MOTORS
1. E. Bldebpllch
1603 Spllng ROlld
Colll8lo, PA. 17013
Febrll~ry 13.1996
Robert J. Hofman
521 WJJdWOO<I Rd.
CorlbtO,Pa, 11013
SubJcct Appraisal of 0 1984 5-10 Truck
Dear Mr. Hofman:
I hllvo reviewed several market roports to dctonnino the value of the 1964 8-10 trllck.
Based on tho following factors:
1. Body Is In poor condlllon due to severol small rust areas.
2. The point Is In very poor condlllon due to flaking, rust spots aod chocking.
3. The unit has excessive mneago at 156,000 miles.
4. Standard transmIsSIon snd no power equipment hurts tho salable valuo of this
truck.
Based on the ounne above. I estimate the value between $1000 and $1600.
If you have lIny queslfons regarding the Informlltion furnished. p1case do not hesitate to
caD. I can be reached from 9 s.m. to 6 p.m. at (717) 245,0241.
I.
Owner
Cc: Mr. Michael Rundlc, Esqulro
I I) '(( 1\
REV-1547 EX AFP 112-95*,
C~Al'H or P(NHSYLYAHIA
D[PAA'~N' or REVENUE
BUREAU OF INDIVIDUAL T'XES
DtPT. 1I0601
HARRISBURa, Pi 17111-0601
l ~ L
ACN 101
NOTICE OF INHERITANCE TAM
APPRAISEHENT. ALLOWANCE DR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAM
DATE 08-12-96
o FILE NO.
DATE OF DEATH 01-21-96 COUNTY CUMBERLAND
NOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT. SU8HIT THE UPPER PORTION OF THIS FORH WITH YOUR TAM
PAYHENT TO THE REGISTER OF WILLS. HAME CHECM PAYA8LE TO "REGISTER OF WILLS, AGENT" .
REMIT PAYMENT TO:
MICHAEL R RUNDLE
FOWLER ETAL
28 5 PITT ST
CARLISLE PA 17013
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
Altou"t R..Ht.d
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ....
iiEv:is4-j-E'lCAFP-"ilF9ifi-NoricEuciFuiNHEiiiiAiicf-rAx-'A-P-PR'A-isEHEN:r-,--,U:rciiiANCf-jilimm_---_mm
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF FORTNEY ALVIN M FILE NO. 21 96-0163 ACN 101 DATE 08-12-96
If an assessment was issued previoUSlY, lines 14, 15 and/or 16, 17 and IS will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAXI
15. A.aunt of Lin. 14 .t Spau.at rat. CIS)
16. A.aunt of lin. 14 h..bl. .t lin..lIClasl A rat. Ub)
17. A.ount of Line 14 taxabl. .t Coll.t.raI/Cla'l Brat. 117>>
18. Principal Tax Due
TAX CREDITS:
PAYHENT
DATE
04-19-96
TAM RETURN WAS I I X) ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Roel Eototo ISchodulo A) III
2. stock. and Bondi (Schedule B) 121
5. Clo.aly Held stock/Partnership Int.r..t (Schedule C) (3)
4. "artgag../Not.. Rac.lvable (Schedul. DJ (4)
5. Celh/Senk Depollta/HI.c. Per.one1 Property (Schedule E) (5)
6. Jointly Owned Property ISchedu1e f) (6)
7. Tren.fera ISchedule G) (7)
a. Tat.l Aa.et.
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funerel Expenle./Ad.. Coat./HI.c. Expen.e. ISchedule"H) (9)
10. Dobtl/Hortgogo Llobllltlol/Llonl ISchodulo II 110)
11. Tate1 Deduction.
12. Net Ve1u. of Tex R.turn
15. Cherltebl./Govern..nt.1 S.que.t. CSchedule J)
14. N.t V.1ue of Eatet. Subject to T..
NOTE:
RECEIPT
NUH8ER
AA1l2750
DISCOUNT
INTEREST
1+1
I-I
32.22
I CHANGED
.00
.00
.00
.00
11.317.32
.00
.00
181
11.317.32
578.00
.00
Ill)
112)
1131
1141
1i7A nn
10,739.32
.00
10.739.32
.00
10,739.32
.00
M . DO.
M .06.
M .15.
1181
.00
644.36
.00
644.36
AHOUNT PAID
612.78
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
645.00
.64CR
.00
.64CR
. IF PAID AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATIDN OF ADDITIONAL INTEREST.
I IF TOTAL DUE IS LESS THAN fl. NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI. YOU HAY 8E DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)
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RESERVATIONI Estat.. of decedent. dying on o~ bafor. Oec.~.r II, 1911 -- If any 'utur. Int.ra.t In the ..t.t. 1. tren,'.rred
In po.....Ion or '"Joyeent to Cl... . (coll.t.rel) bIne'lclarl.. of tha dacldant a'tar the axpIratlon of InV a.tete 'or
II'. or for vaar., the C~aalth herebv .xpr...lv r..lrv.. the right to appr.I.. and ...... tran.f.r Inherltanca T.x..
.t the l.wful CII" . (coll.t.ral) r.t. on anv .uch 'utur. Int.r..t.
PlIlPOS[ OF
NOTICEI To fulfill the "qulr'Mnt. of S.ction lI,.O of the Inherltanc. Ilnd Eltat. Tax Act, Act lZ of 1991. 12 P.S.
Slction lI"O.
PAYMENTI Detach thl top portion of this Natlc. and .ubIIlt with your p.yaent to thl RIght.r of Wills printed on the raver.. .Ida.
--ttak. chick or HnlV order p.y..,l. tal REOISTER or HILLS, AOEMT
All P.,..nt. r.calved .h.11 flr.t b. appll.d to anJ Int.r..t which elV b. due with anv r..alnd.r applIld to thl tax.
REFUND (CAh A r.fund of a tax credit, which w.. not r.que.t.d on the lex R.turn, "V be r.....tld bv cOllPI.tlng en -application
for R.fund of Penn.ylvenl. Inherltanc. and Est.t. T.x" (REV-ISIS). applications Ira Iv.lllbl. It the afflc.
of the Ra,l.t.r of Wills, eny of thl ZS R.vlnUl DI.trIct Offlca., or by cllllng the .pacl.1 24-hour
an.werIng 'Irvlcl nuaberl for 'or.' ordlrlngl In Pann.vlvanl. 1-100-162-2050, out.lde Penn.vlvanII and
within lacel H.rrl.burg aria (111) 117-109,., TDDI (117) 772-2252 (Hllrlng lapalrad Only).
a.JECTIOMSI Any p.rty In Intlr..t not ..tl.fled with thl apprll..,ent, .llow~. or dl..llowanc. of deduction" or .....atent
of t.x (Including dl.count or Int.r..t) .. ahown on thl. Natlc. lU.t obJ.ct within ,I.ty ('0) dlYI of rac.lpt of
thll Natlc. bVI
--written prot..t to thl PA D.p.rt,ant of RIVInUI, lo.rd of Appael" D.pt. Z11021, HarrI.burg, PA 17IZI-IOZI, OR
--.lactlon to have thl ..tt.r d.tlrelned .t IUdlt of thl .ccount of the par.on.1 r.pra.entatlvl, OR
--appa.1 to the Drphan.' Court.
ADKIN
ISlRATlIIE
CORRECTIDHS I
FactUlI .rrors dl.cov.red on this .......ant .hould bI Iddr....d In wrIting tOI PA Dtplrtaent of R.venue,
Burlau of Indlvldu.1 T.x.., ATTNI Po.t A.....Mnt R.vl." unit. a.pt. Z10601. H.rrl.burg. PA 11111-0'01
Phone (717) 717-650S. S.. p.g. 5 of the bOOkI.t "Instruction. for Inharltancl Ta. R.turn for. R..ldlnt
Dacldlnt" (R(V-I50lJ for an ..plen.tlon of IcMlnlttraUv.h corr.ct.l. error..
DI~TI
If ~ ta. due I, paid within thra. (5) clland.r eonthl aft.r the dec.dant', d..th. I flv. parcent (SX) dl.count 0'
thl t.x p.ld 11 IlIowed.
INTEREST I
Tha 15X t.x aena.tv non-plrtlclp.tlon panalty I. coaput.d on the tot.1 of the t.. end Int.r..t .......d. and not
paid b.for. January II, 1996, the first d.y aft.r the .nd of th. tax .~..tv p.rlod. Thl. non-p.rtlclpatlon
panaltv It appealabl. In the .... .ennar and In the the .... tI.. parlod .. vou lifDUld app..1 the te. and Inter..t
that has bien ......ad .. Indlcat.d on thl. notlc..
Int.ra.t I. charg.d beginning wIth 'Ir.t dlv of d.llnqu.ncv, or nlna (9) ,onth. and one (I) dav fro~ thl date af
death, to thl ~t. of p'Y'ant. T.x.. which bee... d'llnquant b.for. Januery I, 191Z balr Int.r..t at the rat. of
st. ('~) parc,"t p.r ~ calcul.t.d .t . d.lly rat. of .000164. All t.... which bac... d.llnquent on and aft.r
Janu.ry I, 191Z will b.ar Int.r..t at . rata which will vary fro. c.l.ndar y..r to cal.ndar v..r with that r.t.
BnnOUnC.d bv the PA Dep.rt,ant af R.vanue. Th. .ppllclbl. Int.r..t r.t.. for 1'81 through 1996 ar'l
PfNALTVI
'!!!! Inter..t Rat. D.lly Intar..t F.ctar !!!! Inter..t R.t. D.llv Int.n.t FKtor
1911 ZDX .000S4I 1987 OX .DD02It1
I9U lAX .DOUn 1988-1991 I1X .ODOSOI
1'1" I1X .DOOSOI 1991 'X .0DOlU
1915 UX .00nS6 1995-199" 7X .0DOI9Z
1916 I'X .000274 19415-1996 OX .0D02U
--Inter..t I. c.lcul.tld .. follow"
INTEREST . BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any NaUc. l..uacI aftar thl tax beCH.. d.lInquent will nfllct 11ft Intlr..t c.lculatlon to fifteen 115) d.y.
blvond thl d.t. of thl ........"t. If papent h .ad. .ft.r thl Intlr..t COl8pUt.Uon d.t. IIhown on the
Natlc., ~Itlonal Int.r..t au.t be c.lculat.d.