HomeMy WebLinkAbout96-00175
PETITION FOR PROBATE and GRANT 0'" I.ETJ'ERS
Estat~ oj /'lMi SLosS No. _~I-=JY f/ I.. . . /. (' J
aIm klloll'lI as To:
Regi'ler of Wilh fllr Ihe
R'i!fcascd. COllmy Ill' ......' III Ihe
Sorial Sccurity No. I q8. zJ- - /q'6 Commllllweallh III l'enn,yl""1111
The pelilion of Ihe under,igned re,peelflllly repre,enl' Ihal:
Your pelilionerl'). who is/arc 18 yea" of age or older anlhe c,ecll1."(, .~...
in Ihe la\l will of Ihe above deccdenl. dated r'Ifl{jl,....-. I.Tl.
and codidU,) daled
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(\IIIIt' rclc\anl ..:in:llImlancc,. c.~. Il'lIt1ndalilll1. lk.llh llll"l'ltll,n. ch' I
Decendell1 wa' domiciled al dealh in ~""---:D- - . . {'OIlIIlY. 1~~,,~,ylvlIlIl~J )lllll
~l~~ or~1)~dCnCe al .JR'1_C;;I':_r::~~..t\!~~,:,o_lJfil'1.1~~~,!!~:'=~
(Ii'l me..:I, numl1cl owl! lIUll1l'lpalll\ I
aI ~~~I~le~S;~"At.. . Y:M~ ~~'!G d)f~(M0l,-.ci:;FJ__6tifiHfr!!:'f'.~.~:I'I~~._~:
E'cepl a, follow,. decedenl'did nol marry. wa, n01 ~imrccd and did 11111 have a child hlllnlllndo(lled
afler e,eclllion of Ihe will offered for probale; wa' nOllhe viclim nf a ~illing IInd 1111\ never IIdjlldiclllcd
incompelenl: .fJO#J~ .---- .-.- ----------.---.-'---
Deccndenl al dealh owned properlY wilh e,limaled vallie, a' folh"": " J r'L
(If domidled in I'a.) All per,onal properlY L___37..7,_Tb.7..~_
(If nOI domiciled in I'a.) Personal properlY in Pennsylvania S_.
(If n01 domiciled in I'a.) I'er,onal properlY in .COllnIY .. L__. -~~... -
Vallie Ilf real e,rale in I'enn'ylvania ~ I . S ----, 12 _,.77. .,Jl.(L
,illlaled a, follow': ~oti BEE. 011, CUJ6~__c;I(oS~N6 ~ ,1\81~i:tJ---
(};;{]fl...N I-ry. ------.-- -- --.--- ------
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WHEREFORE. pelilioller(,) re,pe~lfllll)' r~!!te'll'l the plllhale 111. .Ihe la,1 111'.11 lInd eodicil(,}
pre,emed herewilh and Ihe gram of Icller,_.:.Jf.;~.t(UXH~nlLl\'-W-. n ..._n__._.___.~_
, 1",'\1,1111(111.11\; ,hll1ll11IQ.A,"I11 ,1..1.; ihll1lllll\!fiUltll1 d.h_I1.f:.I.a.'
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OATH OF t>>l-:RSONAL IU:lIRESENTATIVE
COI\IMONWEALTlI 01: I'ENNS\'''\, ANI". l >l:l
COlJl'iT\' OF --- r
The pelilillllell') ahllle-Il'llnell "'~ar(\1 111 allill1l('llhallhe '\all'mCI1I' il1lhe hllegl1illg petitil1n me
Irlle alld cmreelllllhe h~'1 111 Ihe ~llIl\\kll~e allll hdid Illl'l'llIilll1ell,)anll Ihalll' per'"1l1l1 repre'ell'
\ati\'~(\ll1f Ihe IIholl' lIecedelll 1'~lililll1elt') II ill lIell al1:1 ~I.:""I). i a'd.l1Il1n)'~r Ihe e'I.'.".e ac~nrdillg 10 law.
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REGISTER OF WILLS OF COUNTY
OATH OF SUBSCRIBING WITNESS
codicil
(each) a subscribing witnes 0 the will presented herewith, (each
law, depose(s) and saY(s) that
eing duly qualified according to
present and saw
1he test91
signed as a witness at the
the presence of each Olher) (in the presence of the
Sworn to or affirmed and subscribe
me this
RegLsler
(Name)
(Address)
REGISTER OF WILLS OF CUMBERLAND COUNTY
OATH OF NON-SUBSCRIBING WITNESS
WILLIAM JAMES SLOSS
(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that
I AM familiar with the signature of MARY SLOSS ,
ctMiicil-
will
1hat
T
presented herewith and
,ee4kjI
believes the signalure on the will is in Ihe handwriting of
test91 RIX of (one of the subscribing witnesses to) the
MARY SLOSS
to the besl of MY
knowledge and belief.
Sworn 10 or affirmed and subscribed before
me this 23rd day of
FEBRUARY 19~
w,u.uAn f!!~.f SUJ S ~
()J~ ~am~
fA j:t?_ Mol. 2.,(...
(Address)
fJ64'lkI fA 11d7~
(Name)
MARY C. LEWIS
RegLsler
(Address)
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P 282 345 854
Receipt for
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"u InsuranGe Covorago Provider
00 not use IOf IntornationDl Me
t5tlO Rovon.el
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ESThTE ~NrO~~TI0N SHEET
TESTl\MENTAR'l
CODICIL
BOND
X_pl\GES
copy OF WIU.l:\';l. ! !€I ')
l\OMIN!.STRATION
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( ) RENuNCIATION
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( ) l\DMIN. SIGN
( ) EXECUTORS SIGN.
( ) SUB. WITNESS
( ) NON. SUB. WITNE
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RECEIVED fROM.
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ACN
ASSESSMENT P:'
CONTROL i:iI
NUMBER
AMOUNT
WILLIAM JAMES SLOSS
101
.2S.109.0S
RD 2 BOX e74
NEWPORT, PA 17074
SBN 198-26-7999
(fiRST)
(Mil
llAI'E D!ATH
11/e4/9:5
REMARKS WILLIAM J SLOBS
m TOTAL AMOUNT PAID
.es,108.08
SEAL
CHECK" 2709
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RECEIVED BY I,' ., i, I (. ); ,.,.' ,>~
.IiONAJUl! .,.., ,.~ )
MARY C. LEWIS,... \';'/"
REGISTER OF WILLS . I
REGISTER OF WILLS
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IJETITION .'OR PRonATE and GRANT 01<' I.ETTERS
':iIUln I,r l.A Ail...., ,St.-O~I" NIl;' L. /qtil.:, " n<
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U/I11 kl/t/ll'II us -J:Ll:!:&.f-"";>'''!V_-- 10:
..___.___.___ Re~i,ter of Wills fl'~
(}- _ " ,.I~".u.lt.d, COli IIII' of Ckt!r.> in the
SlIdu/ S""I";I)' Nil, /q" 7.l; /'" ~7- Conunonweallh of Pennsylvania
The petilion of Ihc lInder,i~ncd re'pc~lflllly repre'cllls Ihat:
Your pClitioncr(,), who i,/mc IN ycar, of IIWrlldcr :1I1.Qle excCllI ~
inthc lasl will of thc allow dccedclll, dilled f'-Il- /l(.
~~cjJ(~) daJ>ll'''''~Ji'frr'-rAH ~:r;;;-..
Q?_~t;.t _~I""""'U,JJ ",.......nS, (JIG!)
.19~
Avwsr /'i/ fief
('Iall' fell'lOlnl ,i'~lllJ\'I;lI1'~\' l'.~. H'llundalinn, t!C;)lh uf c,,,'CUlm. CIC.)
Dcccndclll wa, domicilcd UI dcalh in tJ.;f16~j..dit)_ -,_ C'O\!l1th.ljenJ1'iyIXlVl.ia...."'!!~1 -r. "f.
h~~ oill~re'j5A.lcc :11 J.o_'f._B:rt':i-DR-1 vt:::j ~()\J I H f'1ILULC']ll'l """.
t (lI\l "IH.'l'I, numt'l,,'r alHlllltllldJ'lalil)'J
D...f'i.c!ldcnl. Ih~ .-fu ve:!rs of :Ige died Z oV€h66:... ,19 q {'
aL(.;tIl.\ LA'S c...e: J.JQ'*' ({ ffl-I {AZ /..I S
Except a' follows. deeedelll did 1I0l marry. wa, nol divorced and di not have a child born or ado pled
~f1er execution of J!le lUll offercd for probate; was not Ihe vielim of a killing and was never adjudiealed
lI1eompelcm: foLUkk
Deeendent al dealh owned property wilh estimated val lies as follow,:
(If domiciled in I'a,) All personal properly
(If nol domiciled in Pa,) Personal properlY in Pennsylvania
(If nlll domiciled in Pa,) Pcrsonal properlY in County
Valllc of rcal e'tUlc ill PellJl.,ylvllnia ". ... L
'i1ualfJn~lT:1- I O~- U-' v~
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WHEREFORE. pctilioner(s) respeelflllly requesl(s) Ihe probate of the lasl will and codicil(s)
pre'eltlcd herewith and thc graltl of Iellcr'
327. l.J.b 7- 51
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OATH 01<' PERSONAL REPRESENTATIVE
COMMONWEALTH OF l'ENNSYI.V ANIA ;1 S8
COUi'lH' OF _._~!1erland
Thc petitillllel(S' "hovc-named \\Ieart') or affirm(') thllllhc 'talcmeltls in thc foregoing petilion arc
true "nd eurreet 10 Ihe he,ll,f the kllowledge and hclicf of pelilioner(s) and thaI as personal represen-
lati,'c"l of Ihl' allow deeedenl pelllioncr!,) will \lell aud Iruly a mini'ler I e eSlate according 10 law.
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lIefo,,' me Ihh ___3.!'51... ___ ___ da, of
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No. 21-96-175
Estate of
MARY SLOSS
t Deceased
DECREE 01<' PROBATE AND GRANT OF LETTERS
AND NOW SEPTEMBER 1 7 19~. in consideration of lhe petition on
the reverse side hereof, satlsfaclory proof having been presented before me,
IT IS DECREED lllat the instrument(s) dated Apr.il 18, 1988
described therein be admitted to probate and n1ed of record as the last will of
Mar.v Sloss
Testamentar.v
william Ja~es SlOSS
and Letters
are hereby gran led to
'~A1J (l, ~,,~" ~.. PUCJ.o.l.
U Reai.ter of vim. I - '\
FEES
Probale. Letters, Etc. ",.',... S
Short Certlncates( 3) ,.,.,." .' S
Renunciation ........,.,..,., s
~a~ages s
340.00
9.00
ATTORNEY lSup, Cl, I,D, No,)
J.UU
s.aa
TOTAL _ S 1"7.00
. . . , . . .seElt~m~er., .1,7, , ).~ !l,~. " .
ADDRESS
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L1IST WILL J\ND TFSTJ\Mm1' OF
Ml\RY SLOSS
I, MAAY SLOSS of 2035 RIPLE'{ STREm', PHIllIDELPHIA, PA being of
sound mird, manory and Wlderstanding, do make, publish and declare
this to be ~ Last Will and Testalrent, hereby revoking and waking void
all fOJ:llleJ: wills made by 100 at any tiJre.
FIRST: I hereby order and direct ~ Executor hereinafter named,
to have ~ body cremated and to pay all of ~ just debts and fw1eral
expenses as soon after ~ decease as conveniently may be.
SEXXlND: All the rest, residue and remainder of ~ entire estate,
real, personal and mixed of whatsoever kind and wheresoever situate, I
give, devise and bequeath to ~ husband, WILLIJIM JOHN SLOSS. In the
event that ~ husband predeceases 100 or does not survive 100 by thirty
days, I then give, devise and bequeath ~ entire estate to ~ son,
WILLIJIM Jl\MES SLOSS, his heirs and assigns forever.
THIRD: I naninate, consitute and appoint ~ husband, WILLIAM
JOlIN SLOSS as Executor of ~ Last Will and Testarrent. In the event
that ~ husband predeceases 100 or is unable or unwilling to perform, I
then appoint ~ son, WILLIJIM Jl\MES SLOSS, in his stead. I direct that
~ Executor shall not be required to enter security of any kind in any
jurisdiction in which he may be required to act.
IN wrrnESS WHERroF, I have hereunto set ~ hand and seal, this
day of I ~/ /)(-<; J f~bl.D., One Thousand Nine HWldred and Eighty-
(198 ).
h~L
Ml\RY S
SIGNED, SEALED, PUBLISHED J\ND DEX:LARED by the Testatrix, WIRY
SLOSS, as and for her Last will and Testament in the presence of us,
who at her request and in the presence of each other, ha,ve at the same
subscribed....our names her~ as wit:nljSses. / I) '.. ~
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.
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lIM30
.
21-96-175
REGISTER m' WILLS OF COUNTY
OATH 0.' SUBSCRIBING WITNESS
codicil
(each) a subscribing witness 10 the will presented herewilh, (each) being duly quaUned according 10
law, depose(s) and say(s) thaI present and saw
lhe leslal . sign the same and that signed as a witness at the
request of teslal in " presence and (In lhc presence of each olher) (in the presence of the
other subscribing wllness(es)).
Sworn to or arnrmed and subscribed before
me lhls day of
19_
(Name)
(Address)
Register
(Name)
(Address)
REGISTER OF WILLS OF Cvk/5 6C<.A+-.tJ COUNTY
OATH OF NON-SUBSCRIBING WITNESS
(,V1I...V\.An JAt1~ St.o~S
(each) a subscriber herelo, (each) being duly qualined according 10 low. depose(s) and say(s) lhal
I AM familiar wilh the signature of MaryS loss
olNIlltHX
will
testa I rix of (one of the subscribing wilnesses to) lhe
thai
I
presented herewith and
OOIIicitx
believes lhe signature on the will Is in the handwriting of
Mary Sloss
to the best of his knowledge and belief. ~ L
Sworn to or arnrmed and subscribed before _W~ ' ~
me this 3 rd day of (Name)
September 19~ (<.f)iJ:-z. &D')( '2.,+
'7)/l'h~ c.~ ~/"" (AdcJ..ress)
U P.......~ 8.'J.cfb'\ Register NSJ.-f6fa f.JA nl57f
(Name)
(Address)
/5 - Si 'I - J ()
I:OR DATU O' DIATH AmR 12/31191 CHICK NIRI
INHERITANCE TAX RETURN ~o~:::~U~:~DIT IS CLAIMIO 0
RESIDENT DECEDENT ml~Nu/MIIR ,qqtg
, COMMONWIAI1HOf PfNNSYlVANIA (TO BE FILED IN DUPLICATE '75
OI',U:1M(Nlor It(Y[NU[
HA.mfJ:U~\"!IIl""'" WITH REGISTER OF WILLS) COUNTY COOE___ _ __ YEAR NUMBER
o LO$$" llAMAlD"'D~~' '''' 700ti'~' O~;~
iqr~2.t~11 q i~q lOi;1 @"'[ qf]D;f~-~',~- C~ USl.E~ fA 11()/3>
I" ,u'ue Illluhly,ffQ ..00111 NUll' R"" II." .'.0 ""D(jlf-;;;;!,.ij- - ~OCI.Al1i(U y "U~.(I A~~IVf~1I0N~1
N'A N
20. If line 19 iI grealtr than lint 18, tnler the dil'.rtnce on lIn. 20. This II ,hi OVERPAYMENT.
aD
21. If Lint 1811 gr.ater Ihon line 19, enle' ,hi difference on line 21. Thi, I, the TAX DUE.
A. Enter thelnl.r..' on ,he bolance due on line 21A.
B, Enler Iho 10101 a' lIno 21 and 21 A an lIno 21 B, Thl. i. ,ho BALANCE DUE.
Make Check Payable tOI Rtgl,'e, of Will., Agent
~l'bl~,;t'<;<<. . II SURI TO ANSWER ALL QUESnONS ON RIVERSE SIDE AND TO RECHECK MATH.M.!'.;I;;iI::;~~'5i;' .
Under penaltie, of perjury. I dedar. that I hove examined thi. relurn. including accompanying .chedule. and .tolemenll. and to the be'l of my knowl.dge and b.U.f,
It II true, corred and complel', I dedar. that 011 r.al IIlale hot been reported allrue morhl ...alue. Declaration of preparer olher than the penonal r.pr...ntali.... I.
ba..d on alllnformallon of which pr.parer hot any knowledge.
$1 H U~! 0 rU$O l! IIU 'O~ flUHG IlWRN OD;'R~ t..-.l "'-,,1 ~~I
fi,1I.-....:. IJU1o. 1-,"1' N~ PI\. IJIf1t./- ~ R:6 q~
ADORUS DATI
1EV,15~ ~.. 17,'\1
l!!
..:5::/
&lfu
="9
u~..
:315
.....
"'Z
flf
o 2. Supplemental Relurn
o A. limited Eltatt [J 40. Future Inlerllt Compromill
(lor dole. of death after 12.12.82)
'!Kt6. Oeced.nl Oi,d Tlllole 0 7. Decedent Mainloined 0 living Trull
(Attach cop, 0' Will) IAttach cap, of Trull)
!ALI;CORUSl'ONDINCIAND CONPlDENTIAL TAX INPORMAnON SHOULD II DIRECTID TO.
OMmu MAiliNG AOOR
~itz. />>I. ZlY-
f'o6NP~T/)A- 1101~
(11-''p6/_17.s:,-OO_
( 2)
P)
: ~ : ~jj;!i"!li---: llf
(6)_~,~~~O
(7) ,q,52L2.7
41/1,37. 51
"
~
15
61
&I
..
R'1. Original R,turn
Z
..
S
~
&I
lC
I. Roal E.lolo (Schodulo AI
2, Slock, and Band. ISchodulo B)
3. Cia Illy H.ld Slock/Partnenhlp Inlerllt (Schedule q
A. Mortgag" and NaIll Receivable (Schedule 0)
5. Calh, 8ank Oepo.i" & Mi.cellaneoul Penonol Properly
(Schodule E)
6, laln1l, Ownod Praporl, (Schodulo fl
7, Trantloll (Schodulo G) (Schodulo l)
8. Tolal Gran An." (lolaIUne. 1.7)
9. Funeral bp.n.... Adminiltralive Co.II, Milcelloneou.
Expenll' (Schedul. H)
10. Deb", Mortgag. liabililie.. lien. (Schedule I)
11. Talal Ooducllan. (Iolall;no. 9 & 10)
12. N.t Valuo of E,'ate (line 8 minu. lino 111
13. Charitable and Governmenlol 8equII" (Schedule JI
1A. Ne' Value Subject 10 Tax (line 12 minu.line 131
15. Spou.al Tron.fen (For dole. of death after 6.30.9.4)
Se. Inllructionl for Ar,plicable Percenlog. on Revene
Side. (Includ. volu.. rom Schedul. K or Schedule M.)
16. Amount of lIn. 1.4 taxable 01 6% ral.
~nclud' valulI from Schedule K or Schedule M.)
17. mount of line 1.4 laxobl. at 15% rote "
( nelude ...oruII from Schedule K or Schedule M.)
18. Principal lox due (Add tax from linll 15, 16 and 17.1
19. Credill Spou.al Poverty Credit Prior PSlmenll
o + C/
Z
..
8
it
:II
..
u
S
03
05,
I
_8,
Remainder Relurn
Ifar da'o. of doalh prior 1012,13,82)
Federal E.lal. Tax R.turn R.qulred
Total Number of Safe D.po.it Boul
"::';,,;.,i ",..~."t;,,:,%t~'~l-~-i;~
.--
-
(8)
1./-50, 1 L/-2., 5/
(91
(10) - 4-7 ~-;7. 9:;
(111
(12) 4 V 5; 'f-otl-. qz,
(13) -
(IA) 4-0 6; tJ.o lJ.. qz.
(151 )(,_11 -
(161 t.J.iJt5; 4-04-. q2- x .06 IS J. f. 37.. t. 2'i
.
(17) )( .15 =
(18)
zlf- 32.l/-, 2 C;
I~/~, 21
+ I j1~:"b.1
Intertlt
(19)
(20)
Chcc" hCfe if you arc requesting a relund of your overpayment.
;l. ~J 0 r. Of
,.
(21)
(21AI
(21B)
.
t
.
..
Ad '48 of 1994 provIde. for Ihe reduction of Ih. laIC rale.lmpo.ed on Ihe nel value of Ironde,. 10 or for
Ih. u.. of Ihe .pou... The rals. a. pre.crlbed bV Ih. .Ialul. will be:
e 3'11I (.03) will b. applicable for e.lole. of d.c.d.nll dvlng on or after 7/1/94 and befor. 1/1/96
e 2'11I (.02) will b. applicable for e.lols. of d.c.denll dvlng on or after 1/1/96 and befor. 1/1/97
e 1% (.01) will b. applicable for ..Iole. of dec.denll dvlng on or aft.r 1/1/97 and befor. 1/1/98
e Spou.al trande,. occurrIng on or after 1/1/98 will be .umpt from Inherltanc. talC.
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING A CHECK MARK (....) IN THE APPROPRIATE BLOCKS.
YES NO
1. Old deeedant make 0 tran.fer and:
o. rBtoln tha use or Income of the property transferred, .......................................................
b. retain the right to dsslgnote who sholl usa ths property transferrad or Its income, ...............
.,/
V
.,/
V
c. retain a reversIonary Intere..; or ...................................................................................
d. receive the promise for life of althar poymants, benefits or cora' .......................................
2. If death occurred on or before December 12, 1982, did decedant within two years preceding
death tron.fer proparty without receiving adequate consideration' If death occurrad after
Decamber 12, 1982, did decadent trondar propBrty within ana year of dBoth without racelvlng
adequate conalderatlon.......................................................,..,.........................................
3. Did deeedent own on 'in trust for' bonk account al his or her death'......................................
.,/'
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YESr
YOU MUST-COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
\'.}
i
.
,
;
I
""''''0111. rtl71
*
.. COMMOHW!AtfH O' PfNNIYlVANIA
INNII"ANCI 'AX InvlN
I"IOINT DlelDlNT
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
PI. a.. Print or 1 .
.
FilE NUMBER
ESTATE OF
5u>s' I t1M1 G.
IAn _IIV ~.It~..d with Ih. RighI of Survl-,hlp ..u.' 1M dl"t...d .. Sch.dule ')
ITEM
NUMBER
,.
1..
.3.
4:
5.
10.
DESCRIPTION
()~ SAvWGS ~ L'ff/;&f,tt3b E'e (~5"O.C()) 11!,,/Q2.
US SPM,," (3oH/ C 3(''2.0~"q03a: (~/()o.c1D) lI{lg/~Z-
(1'1.) ~ 'l.1l) ~UL-t Rrofl 5AfE ~05rr fJJI. ItJ\I~~
Wl'Z.. S\.6Alev S€-oM V/~ 1fS36l(;?iZ-ON6bI3~3L.
flittA fbuct. ~ fl,{€ ~ Cf..Gof( WlcN .iJ 0145'Q(,o/
qOI M4l~. Pffilk fA 1~lol
HIS~WJ..t ~ Pt:..oPOt:>>t, Cwnh~, ~uteJ
111~~, ,€l.€uSLtN, RIroIO erL.
PtJt ~ C4Jt\.Ao!~I~~ Het-.21 ~
Irf,br. if- 50i()3~53'W
VALUE AT
DATE OF DEATH
M...oo
5"~. qf)
:;2.14.00
'l (JO'O, DO
I bo, (61. 7~
15'00, on
tf7 5"zS: if.f
I
(Anoth additional 8Y,'" X 11'" ,h".. if mar. 'pac. I, n..d.d.)
-
:1.'i-
lr40lJOtf" (ft...,
.
, COM/oIOHWIAIJH 0' P1NNIYlVANIA
. IHHtalTANCl tAX anUIH
R1SIDINT DICIDINT
SCHEDULE F
JOINTLY-OWNED PROPERTY
FILE NUM8ER
ISfATI OF
SL./).s~
c...
Jolnllonanl(I)' ~~S WIl..UAn J.
I
NAME
A. WllMAt1 J. SWSS
RELATIONSHIP TO DECEOENT
50,J ri:'tGr>>To!:.
AODRESS
r< ~ 7:7L1-
N~ PA
ncnlj.
B.
C.
Jolnlly-ownad praparly.
ITEM
NUMBE
LETTER
FOR
JOINT
TENANT
TOTAL VALUE
OF ASSET
DECD'S DOLLAR VALUE OF
% INT. DECEDENT'S INTEREST
DATE
MADE
JOINT
DESCRIPTION OF PROPERTY
um;(1~S oF 0Ef0S((' /:,0, 000 ,CO 5"0 0 , 0,000 .OD
PtJ (, e:AM<
I1J nA\).. ~USU;'pA-
Ac~ 1JLf'1tSB<
2.00 IOl/g()f.,/~D 8035531Jf
VOS
2/00 1()~4I1b (Ot<.)
~IOD rC~ q&11 (lOt<.)
~ I CO I o~ 5072.. l' ot<.
~ ,o!> I ot;; !)JJj{ ~ol(
Ol.,OO IO~ "()7~ '[tOI<.
I~ -ro~
I1A-f(J<I!:I!tlCfi ~iD-;<)~~
1.
A
TOTAL (Aha ontor an IIno 6, Rocapitulatian)
fll more spoc. is n..d.d insert additional sheefs 01 some sin'
IlV,lSlo,U+ (2,11)
". .
l
---..--=---'==::=~=~FILE NUMIiER
*
COMMONWULTH O' 'ENNSYlVANIA
INNIIITANCI TAX IUUIN
'"ID~tt' DletDINT
SCHEDULE G
TRANSFERS
PLEASE PRINT OR TYPE
ESTAlI OP
S!..O~~. ~1 Cr" -'
THIS SCHEDULE MUST BE COMPLETED AND PILED IP THE ANSWER TO ANY OP THE QUESTIONS ON THE REVERSE SIDE OP THE COVER SHEET IS YES.
ITEM DESCRIPTION OF PROPERTY 10TAL VALUE DECO, DOLLAR VALUE
NUMBER I u. oIlh,' "."" h' IaJ J , J I ", EXCLUSION OF AS'ET ~ 0' DECEDENT'S
IKIVVW nom. _' ,ans .,H. nwlt r. 0 IOftS'P tee en, 0.0 ,onl .r, ;l _~H.Ti- INTEREST
~t%ie' t101JE'f Fu..o -Olo W1)f.,~ 3.00'V 7U45'.lf3 IOOt1JD 1'-, 9?QIR>
~ora<.. ~ eM<1.ASl,6rfA 11013
:J.
FowS. 5lJ ~IN" #oqo ~50 l/-51f
'1- (, 32..
2.(, ~ 7-}t,p
TOTAL IAI.o .nl.r on IIn. 7. Recapltulallon) S 7 q f"2.f. ']..7
(" mot. spoCt iI n,.d,d. in..rl oddifiono,.It..h 01 10m. size.'
.,.lsl1i.. ""I
*'
SCHEDULE H
FUNERAL EXPENSES.
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
COMMONWfAltH Of 'fNNSnVANlA
INHfal1ANCf TAlC UTURN
USIDfNT OECfDfNT
PI.a.. Print or Typ.
NUM8ER
\,
I.
DESCRIPTION
Fun.ral Exp.n...:
~1i~ S04~'J1 f/F f6t-.+J~11J/A+J1A
1.4100 Jo~~ f:I) /4Ih<<'~/A 1110q
B. Admlnl.trotlv. Co.":
E F
Sl..OS~ f'W; r;..
ITEM
NUMBER
A.
Personal Representative Commissions /1/ -44- - 225'3-
Social Security Number of Personal Representative:
Year Commissions paid I 'i q 10
2, Allornor Fees
3,
C.
Family Exemption
Claimant
Address of Claimant at decedent's death
Street Address
City
Relationship
State
Zip Code
4,
Probate Fees~E61~ ~ Wtu..S, (;.,n(BlLAl.,O (.,(U(C1
1.
MI.c.llan.ou. Exp.n...:
Au-StIlU-,w1o /NSvfiwJce foWl 0 Dg ]'1K ~()~ fit(( /4Qz.
9.6MV
~ G(\O!.sf'J?S ~eof<Ch&s1 Q;f1t1I,fJI'f( ~J4u.Eo
rJ ~ r-..tA&.rt'f
~ Co. OU.~ftrTl(li'rl, 1hlC f<ci1T. t. eA1,~ ~ ~
U'ThA'1 P111tJ1S /01 E6€ ()t.. (J(~";G1t6 IJ~ 1000/JItrJ
UTi/$] t'J",.sf~ 1!7q €4: O~ t1€:r~ Jau: foJlJI/ I {)tL. )J4rJ
l1orST'Ut..1 ~ /(}q m e:t't ~ /JAtJ I~
2,
3,
4,
5,
6,
7,
8,
AMOUNT
~53. 00
40, 74 {. ~
?$7. CO
108,00
~, ~(, ,. q7
(6./n
~I ~.y5'
7'1,15'
I () 6"0. '-0
TOTAL (Also enter on line 9, Recapitulation) S 1./-1 y/~-,. 59
(II mora .pac. I. n..d.d, In..rt additional .h.... 01 .am. .Iz..)
J
/5-JI-/()
c.....-
REV-lS47 EX AFP 11Z-9S1*
CD"HONWUlTH Of PfJ.tSVlYAHIA
DEPARTMENT OF AEVEI<<JE
IURUU Of' INDIVIDUAL fAW[S
D(PT. 210601
HARRISBURG, PI uua-060.
ACN 101
NOTICE Of INHERITANCE TAX
APPRAISEHEHT. AllOWANCE DR DISALLOWANCE
Of DEDUCTIONS AND ASSESSHENT Of TAX
DATE 06-05-96
o FILE NO.
DATE OF DEATH 11.24-95 COUNTY CUMBERLAND
HOTE, 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 PAVMENT TO:
WILLIAM J SLOSS
RR 2 BOX 274
NEWPORT PA 17074
REGISTER OF WIllS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
\
A.aunt R..uted
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .....
iiili:iS47.EX."Fp.il'i=9ST"ilii'r"iCE-.oji-YHHEiiiTANCE-YAX.APPiiAisEHEilr.,-."Li."OwANCE-oli--...._.__..._..-
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF SLOSS MARY G FILE NO. 21 96-0175 ACN 101 DATE 06-05-96
TAX RETURN WAS. I X I ACCEPTED AS FILED
I I CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN
1. R..l E.I.I. ISchadul. AI III
2. SIock. and Bond. lSchadul. BI 121
a. Clo..l~ Hald SIock/P.rlnar.hlp Inl.r..I ISch.dul. CI lal
~. Horlgag..lHol.. R.c.lvabl. ISch.dul. 01 I~I
5. taah/8enk Deposita/Kisco Parlonal Property (Schedule E) (S)
6. Jolnll~ awn.d Prap.rl~ ISch.dul. Fl 161
7. Tran.f.r. lSchadul. GI 171
a. Tal.l A...I.
125.775.00
,00
.00
.00
217.939,24
30.000.00
79.528,27
181
453.242.51
47,837.59
,00
1111
Cl21
llSl
1l~1
t.7.R~7 S;q
405.404.92
.00
405.404.92
APPROVED DEDUCTIONS AND EXEMPTIONS I
9. Funeral E~p.".../Ad.. Costa'Kllc. Expans.. (Schedule H) (~)
10. D.bl./Horlg.g. L1.blllll../LI.n. lSch.dul. 11 1101
11. Tal.l D.ducl10n.
12. Hat Valu. of Tax R.turn
la. Charllabl./Dov.rnaanl.l B.qu..I. (Sch.dul. JI
l~. N.I V.luo of E.I.I. Subjacl 10 T..
If an assessment was issued previouslY, lines 14, IS and/or 16. 17 and 18 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Aaounl of L1n. l~ .1 Spou..l r.I. 1151
16. Aaounl of Llna l~ I..abl. .1 L1n..l/Cl... A r.I. 1161
17. Aaounl of L1n. l~ I..abl. .1 Call.I.r.l/C1... B r.I. (171
11. Principal Tax Due
NOTE:
.00 x,OO.
405,404.92 x' 06.
.00 X .15.
Clal
.00
24.324.29
.00
24.324.29
TAX CREDITS:
PAYHENT
DATE
02-23-96
RECEIPT
HUHBER
AA112553
DISCOUNT 1+1
INTEREST I-I
1.216.21
AHOUNT PAID
23.108.08
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
24.324.29
.00
.00
.00
. If PAID AFTER DATE INDICATED. SEE REVERSE
fOR CALCULATION OF ADDITIONAL INTEREST.
I If TOTAL DUE IS LESS THAN .1. NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI. YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH fOR INSTRUCTIONS. I
00 t:::'!'(
- P.
(J !!! "!l:
0'\ ,)
...,:"::: o;:z: C
~ "
" "
u If)
I .'
,; ~. ~
( ..,
0 ~) ,;; -9
u OJ ~
<ua: -c
a: ~8
RESERVATIONI E.t,t., of dec~t. drlng on O~ before Dec.-ba.. 12, 19.2 ~. If eny future Int.r..t In the ..tata 1. tren".rrld
In po.....lon or enJo~t to Cl... . (coll,t.r.l) beneflcl.rl,. of the decedent a't,.. the I.plratlon of eny ..tata for
11" or for y..r., the C~lth hereby Ixpr....v r...rVI. the right to .ppr.l.. end ...... tren,',,, Inherltinel TaXI'
at the l~'ul Cia.. . (coll_t.rm!) rlta on en, such future Int.r..t.
PlIII'OU '"
NOTICE I To fulfill thI r~lr...nt. of Section 21~a of the Inherlttnel and E,t,t. Tax Act, Act ZZ 0' .99.. 72 P.S.
haUon 214G.
PAvtEHTI htKh thII top portion of thl. MaUCI end lublilt with vour p.pent to the Reallt.,. of W1111 prlntld on the nv.r.. .lde.
......... check or 110M' order p'Ylibl, tal REGISTER OF HILLS, AaEHT
All "~t. received shell first be applied to MY Int.r..t which .., be due .,ith eny r"llnde,. IlPPlled to the t...
REFUND (CAli A nfund 01 a t.. credit, which .,.. not r8qU8.ted on the T.. Return, ..y be reque.ted by cOllpI.tlno ." "Appllc.Uon
far Refund of Penn.ylv."la Inherltanca BOd E.t.t. T.." (REV-ISIS). Application. .ra .vallabl. at the Dfflc.
of the Ratl.tar of Will., any of the ZS Revenue DI.trlct Dfflca., or by calling the .pacl.l 24-hour
."..,.rlng .arvlc. ~r. for for.. ordering I In Penn.ylvanla 1-80D-S62-2D5D, out. Ida pann'ylv",.. and
within local Harrisburg ar.a (7171 787-8094, TDD' (717) 772-2252 (Haarlng 1~.lred Only).
OBJECTIONS I Any p.rty In Int.r..t not .atl.fled with the appral..-.nt, .llowanc. or dl.allowanc. of deduction., or ......-.nt
01 t.. (Including dl.count or Intara.t) a. shown on thl. Notlc. au.t object within .Ixty (6D) d.y. of rac.lpt of
thlt Notlc. by,
--writt." protut to the PA Dep.rtHnt of R.venue, Ia.rd of Appaals, Dept. 281021, tt.rrllburg, PA 17121-IOU, OR
--alacUon to hav. the ..ttar delaralned at .ucl1 t of the account of the parsOl\llI npra.."taUva, OR
-.~.l to the Orphan.' Court.
&llltl"
IST1lATlVE
CORRECTIONSI
Factu.1 .rror. dl.cov.red on thl. .......ant .hould b. eddr....d In writing tal PA Dep.rtaant of Revenue,
luraau of Indlvl~1 T...., ATTNI Po.t A.....eant Ravla., unit, Dapt. 210601, Harrisburg, PA 17121-0601
Phone (71J) 7.7-6505. Sea page S of the bookl.t "In.tructlon. for Inherltanca Tax Raturn for a Ra.ldant
Decadent.. (REV-ISOI) far ." a.pl~tlon of ~Inl.tratlvaly corr.ctabl. .rror..
DISCOUNT,
If any tax due I. p.ld within thr.. (Sl calandar .unth. .ftar the decadent'. death, . flva parc."t (5~) dl.count of
the tax paid It allowed.
PENAL TVI
The ISX tax --.a.ly non"pertlclpaUon penalty It CDllPUtad on the tot.l of the tax and Intar..t ......ed, BOd not
paid bafora January II, 1996, the flr.t day aftar the and of the ta. .-na.ty p.rlod. Thl. non-partlclp.tlon
penalty I. ....labl. In the .... .....,.r and In the the .... U.. period .. you would ~al the t.x BOd Int.nlt
thtit hII. bMn ......ed a. Incl1cated on thlt noUc..
INTEREST t
Int.r." It chllr", beglnnlno with first dI.~ of dallnquancy, or nine (9) IKInth. BOd OM (I) day ft. the data of
death, to the data of PQMnt, T.... which bee... dellnquant before JWlUery I, 1982 baer Inter..t at the nt. of
.1. (6X) parcant par ennua calculated et . dally rata of .000164. All taxa. which bac... delinquent on BOd alt.r
January I, 1912 will ba.r lntara.t .t . r.t. which will vary 'rOl calendar ya.r to c.landar yaar with that rat.
~ad b~ the PA Departaant of Ravenue. The appllcabla Inter..t nt.a 'or 198Z through 1996 aral
'!!!! tntar..t Rata D.lly lnt.r..t Factor !!.!r tntar..t Rata Dally lnt.ra.t F.ctor
"'2 ZOX .000541 1911 9X .000247
1915 IIX .000438 ""-1"1 IU .000501
".. IIX .OOIJOI 199Z 'X .000247
"IS UX .00IJS6 1"3-'994 12 .000192
".. I'X .000274 1995-1996 'X .000247
ulntar.st i. C8lculatad aa 'ollowsl
INTEREST . BALANCE OF TAX UNPAID X NUHBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
"'An~ Notlc. l..uad aftar the t.x bee..s delinquent wIll raflact IIn Intar..t calcul.tlon to ,1ft..., US) d.ya
bII~ond the ..t. of the ........,.t. If payant Is uda .ltar the Intar..t co.putat1on data shown on tM
Notice, additional lnt.raat .ust bII calculated.
if"
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:
JRD/June 30. 1992/17858
?Ill
.".,.-,0,7
In Re: Estate of MARY SLOSS
Late of SOUTH MIODLETON TOWNSHIP
ORPHANS' COURT DIVISION,
COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY
PENNSYLVANIA
Estate No.:
21 - 96 - 175
No,
NOTICE OF FAILURE TO FILE CERTIFICATION AND REQUFST TO
CONDUer A HEARING PURSUANT TO RULE S.6(e), SUPREME COURT
ORPHANS' COURT RULE
Personal Representative: WILLIAM JAMES SLOSS
Counsel for Personal Representative:
Date of Grant of Original Letters: SEPTEMBER 17 1996
Date of Delinquency Notice: DECEMBER 31 1996
The undersigned, Mary C. Lewis, Register of Wills, in accordance with Rule 5,6, Supreme Court
Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of
Cumberland County, that neither the above named personal representative nor the above named counsel
for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his,
her or its certification required by Rule S.6(d), Supreme Court Orphans' Court Rule and that the requisite
notice, pursuant to Rule S.6(e), Supreme Court Orphans' Court Rules, was given by the Register ofWlIIs
on DECEMBER 31 , 191.li and that the ten (10) day notice to file the certification has expired.
Accordingly, in accordance with Rule S.6(e) the Court is hereby notified of such delinquency and the
uDdenigned requests that a Court conduct a hearing to determine whether sanctions should be imposed
upon the delinquent personal representative or counsel for the delinquent personal representative.
@
Date:
FEBRUARY 5, 1997
lifry.
Distribution: Personal Representative
Counsel for Personal Representative
Estate File ,
A HEARING IS SET FOR Fiti~ II,?/l., / IJ 1991AT II :.1(;) Ii 41'1
IN COURT ROOM #1. ' ~
IF THE CERTIFICATION OF NOTICE IS FILED PRIOR TO THE HEARING DATE, THE HEARING
WI~L AUTOMATICALLY BE CANCELLED. J I =: rJ
~,~ 4--3-'1'7 .~C~{ _.~
STATUS REPORT UNDER RULE 6.12
Name of Decedent: !/lltf\.'f &- .5ws S
Date of Deathl 21./- ~v Iqq-;
Will No. l,-C/b-/15 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 estatel
1. State whether administration of the estate is complete I
Yes No i/
2. If the answer is No,
representa~i~~ re~~~ablY believes
complete I .J WI:: I c.f 'I
state when the personal
that the administration will be
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 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.
sw.~
J,v'/u...lA-M J. SLo $~
Name (Please type or print)
1<..0"2 (3()){ 27tf ~cJ? T PIi n6l'f
Address
Date: 3'.4f'~ '11
'it f ..~:;
]:I"
: 'JJn:)
llel~l
II: ZeI (- ~dV 1.6.
1717) S&2- Q02."L
Te I. No.
SII'Io'\
JO ,";
,Clj
, "~JU
~'.1 C
Capacity:
V Personal Representat,ive
Counsel for personal
representative
(MAH: rmfl AM3)
'" . ~ -' "
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent: I'\~i b.. ~[...Oc;,s.
Date of Death: 2.4/oJOV Wi{
Will No. 2/ ,q/.;- /'75 Admin. No.
To the Registerl
I certify that notice of beneficial interest required by
Rule 5.6 (a) of the Orphans' Court 'Rules was served on or mailed to
the following beneficiaries of the above-captioned estate on
Name
Address
WIU-lA11 ..J. S/..OSC;
(e-tft ~
RIJ 2 6c"l 27L/
NQ..{Joe] P4 nrJ1{.
Notice has now been 9~ven to all persons entitled thereto under
Rule 5.6(a) except NIA
Vel "':') ..
line>" ,
. '~IJJn:)
dill:)
Si9~~AL
Name /jJ11-l-lI\i1 J. .0<;$
Address Rf:) 2 &;t 2'1';'-
tJ6JPoKT PA 1701l/.
TelephoneVrJ) ~'2.- 'f02. '2...
Capacity: ~ Personal Representative
Date: 3 ~ '17
60: lcJ (- Hdll L6.
S;:YI'1 ..' ;, :',',QU
)0 c: '"
. , \';;(':13l:j
Counsel for personal
representative
.
"
:~,