HomeMy WebLinkAbout96-00192
No.
21-96-192
Estate of
cecilia H. Shearer
t Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW March 4th 19~, In consideration or the petition on
the reverse side hereor, satlsractory proor having been presented bdore me,
IT IS DECREED that the Instrument(s) dated February B, 19B4
described therein be admitted to probate and filed or record as the last will or
cecilia H. Shearer
and letters Testll1lE!ntarv
are herebygranled 10 Ann C. Hoy
~ o. d.,<!;#,.J~<(~
.~,..,.,.' _ C. ~'"
FEES
Probate, Letters, Etc. ...,..... $ 25.00
Short Certlncates(3 ) , .. , . ... ,,$ 9.00
Renunciation ........,."",. $
X-Pages (2) $ 6.00
JCP TOTAL _ $ 5.00
Filed .. .f!:!~WWY. .4!:h.,m~.... ~.!l~Q9.,
Charles E. Shields. III EF.auire
ATTORNEY (Sup, CI, (,D. No,)
2 w. Maio'! street, Mechanics~ PA 17055
ADDRESS
717-766-0209
PHONE
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Mailed Letters and Order to Attorney on 3-5-96,
21-96-194
REGISTER OF WILLS OF Cunberland COUNTY
OATH OF SUBSCRIBING WITNESS
" codicil
(each; a subscribing witness to the' will presented hercwlth, (each) being duly qualified according to
law, deposc(s) and say(s) that present and saw
the testal , sign the same and that signed as a witness at the
request of testa! in " presence and (in the-presence of each other) (in the presence of the
other subscribing witness(es)).
/
Sworn to or affirmed and.subscrlbed before
me this day of
/ 19_
(Name)
(Address)
Register
(Name)
(A ddress)
REGISTER OF WILLS OF CL01fI!3~ COUNTY
OATH OF NON-SUBSCRIBING WITNESS
Charles E. Shields III and Ann C. Hey
(each) a subscriber hereto, (each) being duly qualified according to law, deposc(s) and say(s) that
they are familiar with the signature of eeci 1 ;" H. Sh"",..,r
0QtlalI
will
testa! rix
that
he and she
presented herewith and
codicil
believes the signature on the will is in the handwriting of
of
) the
the said Cecilia H. Shearer
to the best of their knowledge and belief.
Sworn to or affirmed and subscribed before ~ E~.&.,.f7JI'
jlh c:l~ day of (Name)
~A ~ 19~// Charles E. Shields Ill, 2 W. Main St.
_ __~~.nJd4A~lCSbl.1rg, riddMs9~5
y .~is Reglue;.&;'- Q....1' J (' ~
Ann C. Hey . (!fame)
2275 Earth PO.. Enola. PA 17025
(Address)
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WARNING: Ills 1II0gal to dupllcato this copy by photostal or photograph.
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3399785
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CO......ONWEALTN OF PENNSYLVANIA' DEPART"'ENT OF NEALTH. VITAL AlCORDS
CERTIFICATE OF DEATH
(Coroner,
,.......,.,..~
Cecilia
.w..........."
IU IOt;I.IoLllCU'lT'rNUlolll"
I. Feaiale I 186-10-3200
""" .....
OAIIQfCllNH~o.,_1
. February t2. t996
II
Shearer
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UNCIAl'......
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Oct.25.1922 steelton,Pa _0 _0
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534 Good HopI Rd..Klchani.lburg
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cemetery
Silver spring
R~, Eno a, Po 17025
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UCINK NUWIIIIl
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Carbon Hunoxide Intoxication
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Smoke Inhalation
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3:30 P.. February 12, 1996
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21-96-192
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Ihercbyccnlfylhal ('A~c. d-'1/1 )./ 51"/1~(,/(
died on
day of
and requcsllhat Safe Deposll Box No. Y Y Cl
In Ihe Safe Deposit Vau\! at your ", IIIN' n1 mo/) ~", ,oJ
omcc be opened for the purpose of taking wlJllhcrcfrom.
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Y'VrJ
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punuancc of the ~ ~cst and Ihalthe will of
o was found % was nOI found.
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was named cxccutor(s) undcr said will.
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(To be Ilpcd by aUlldividllalt pm.rl.a. will Karca.)
I hcreby acknowledge rccclpllhrough Ihc Safc Dcpos\! Scctlon, <:/., I~ (' h? ""7" S ;7;':... -'
omc:c from Safe Deposit Box No. f/yP
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and hcrcby
. thc will of
agree 10 deposll said win with Ihc Reglstcr of Wills or Surrogatc of Cu..... J, f'1? L rnvl)
County for probate.
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CERTIFICATION OF NOTICE UNDER RUt E 661al
Name 01 Decedenl: Cecilia H. Shearer
Dale 01 Death: February 12. 1996
Will No. 1996-00192
Admin. No. 2196.0192
TO THE REGISlEA:
I certify Ihal notice 01 benellclal Interest requlrd by Rule 5.6(a) 01 the Orphans' Court
Rules was served on or mailed to Ihe lollowlng benel1clarles 01 the above-captloned estate on
Cecilia H. Shearer:
~
Address
Diane Thleleman
604 Hummel Ave.
Lemoyne, PA 17043
4721 East Trlndle Road
Mechanlcsburg, PA 17055
Denlene Dove
Notice has now been given to all persons entitled therelo under Rule 5.6(a) excepl
Date: 4-/'S-?f",
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----------
CHARLES E. SHIELDS, III
National Bank Bldg.. 2 W. Main St.
Mechanlcsburg. PA 17055
Telephone: (717) 766-0209
Counsellor Personal Representative
RECEIVED fROM:
&
ACN
ASSESSMENT '='
CONTROL ~
NUMBER
AMOUNT
IOtD H,,,
SHIELDS CHARLES E III
2 W MAIN STREET
Ivl
.c.,vuu.vu
MECHANICSBURG. PA 17055
21-1996-0192
DENT LAST)
SHEARER CECILIA H
ME
SSN 186-10-3200
(fIRST) (Mil
REGISTER OF WILLS
m TOTAL AMOUNT PAID 16 . 000.00
CW
C', " " ~.'
RECEIVED BY )/:1(...... -' UI'."J.I.,. ,'.:; :
I SlGNAJUI!! ,/ 1 A} ~
.f Vi I I'; f;/u'll
MARY C. L~WIS . ,"." ...( " '
REGISTER OF WILLS ., ,:
REMARKS
SEAL
ANN C HOY
C/O CHARLES E SHIELDS III ESQ
CHECK" OS3
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l fOR DA1U Of DIA1HA"IR12/3119\ CHICKHII
INHERITANCE TAX RETURN ~o~::~!U::~DI"ICLAIMID 0
RESIDENT DECEDENT fill HUM"R
CO""OllW'Al1" 0' ",,,,"'VA,,,A (TO BE FILED IN DUPLICATE 1/ 4/ ID2.
OfrA.'MIHt OF RIV(HU( ..... 7" I
"mllm:Ul."ri\"ow. WITH REGISTER OF WILLS) COUNTY CODE YEAR NUMB
OIC(OlN .~ NAMlllA". 'IU ,AND MtOOlllt~llIAII U((fOltl"$ (01,1"111 ADOlf"
$H€I1IlIi~ CGCIl./1I H. 5'.1'1 6tJol> ;to;4.1f ~b.
iOCiMSiCUiiiYNU~R DAn Of OfAIH fiAi(o"iiifi~- II1ECHANICS dlltf.6~ PA':
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Remalnd"" Relurn
(for doles of death prior to 12.13.8
federal Ellale Tall Relurn R.qulred
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o ... limited Eslale n AD. fulure Inler.lt Compromiu,
IIor doles of dealh aher 12.12.821
~ 6, Detedenl Di.d Tesla'. IJ 7, D.t.d..nt Mainlained 0 li...ing Trusl
(Allach copy of Will) (Anach copy of Trutl)
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TOI
NAMt -riT"'" COMPLtlt MAilING AOOltn
eIlAIU,GS If, SHltWS .J//- :z. (,IJ. 1M/IV Sr.
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1. R.al Ella" (Schedul. A)
2, Stockl and Bondi 15chedul. BI
3, Clol.ly H.ld SlocklPo~n...hlp In....'' ISch.dul. C)
... Morlgag.. and Not.. Recel~able (5ch.dule 0)
5. Cath, Banlc D.posits & Mitcellaneous Penonal Property
15ch.dul. E)
6. Jolnlly Own.d Prop'~y ISch.dul. FI
7, Tran,'... (Schedul. GIISchedul. l)
O. Total Gran Aneta (tolal Lines 1.7)
9. Funeral Expens... Admlnislrati.... Costs. Misc.llaneaut
hp..." (Schedul. HI
10. D.bts, Morlgage L1abililies. L1ent (Sth.dule I)
11. Tolal Deductions (Iolallln.s 9 & 10)
12. Net Valu. of Estale (lin. 8 minus Une 11)
13. Charilable and Go....rnmental 8equelh (5th.dul. J)
1... N.I Value Subl'ct to Tax (line 12 minus line 13)
15. Spousal Trantf.n (for dat.. of death oft., 6.30.9..)
S.e Inslructlont far Af,plicabl. P.rcenlag' on R....en. (15)
Sid.. (Indude valu.. rom Sth.dvl. K or Schedule M.)
16. Amounl of lIn. U laxabl. at 6% rol.
(Include valuel from 5th.dule K or 5thedul. M.)
17. Amounl of Une 1.4 lallabl. 01 15% rote
(Indud. valu.. from Schedule K or Sth.dulo M.)
lB. Princ.ipalloll due (Add lax from lInet 15. 16 and 17.)
19. Credih Spousul PO~tfty Credil J Prior Paym.nh ~ Discount
/J/A +r_'.t!OD "'~ + r .300'ao
. .
20, If lIn. 19lt gr.alor Ihon line 18. enler Ih. differ.nc. on lIn. 20. Thlt Is the OVERPAYMENT.
iii 0
21. If linn 18lt grealer than lIn. 19, enler Ih. diff.rence on line 21. This Is Ih. TAX DUE.
^. Ent.r Ih.lnl"..1 on the balance due on line 21A.
B. Enror rh..o.al 0' lIn. 21 and 21A on lIn. 21B, lhll II lhe BALANCE DUE.
Make Check Payable tOI R.ghl., 0' Wllh, Ag.nt
.c.. __.___.__>- >:J1.!.SUR~ TO ANSWER ALL QUES!!l?NS ON REVERSE SIDE AND T~ RECHECK MATH -c: -c: . . '
~nd.r p'1I1Jhies of perjury. I deda,. Ihall ha.... tIlamin,d this rClIUln. Inc.luding oc(omponring sch.dules and slolem.nlt. and 10 th. best of my .nowl.dge and b.Ii.1
lilt Hu', co"etl and complete. I dedare ,hal all ,.ol,s'IJ" hal bun reported 01 true marh' ~olue. Oedoralion of preparer other Ihan th. penonol repre..nloti.... I
based on olllnfo'malion of whlth preporer has any knowledg..
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II.
SliGAi26f
('roporty 'olnlly.ownod wllh IUghl a' Survl.o"hlp mu.t bo dl.d..od on Schodulo FI All roolo.lolo .hould bo ,0po,Iod 01 'ai, markol valuo
which I. don nod a. tho prlco 01 which p,aporty would bo oxchangod bolwoon a willing buy.. and a willing lOll.., nollh.. bolng compollod
10 bu a, lOll, balh having ..a.onablo knowlodgo a' tho ..Iovanl 'acl..
ITEM
NUMBER
\,
DESCRIPTION
VALUE AT DATE
OF DEATH
DECEDEN'1" ()WNED ,4 FEG S/AIPIE I?srllTt:
IN 7"wo ("1.) ADJDININ Go -m,fC 7"5 O/=- tAN/) IN
H A mPOcN 7Pwfll.s1l1 P , C.W1I f!. c /GUN D CiJUAI TY"
PEAlN.f. SEe t!lI'Y pF DEE./) DA 7Ej) .J11A1e /I,
/982 / ~E~~iJc{) lit) lU:eP -BooK U I VDL, 29.. I1AdtF"
.5f1 ,i/77>>tIlED flli~Efl/.
Jt-fJL€JS(; /lorE: 11- FIR€' Oc.c.ute~Ef) &w 7ffE
,
'P~EIHISf:S W/{It/.{ '€ESut 1"'E/) IN f)ECEDEtJTS
'DIE 1J.7H tlfJj) VI~71It1./.l.y 70771UY l)G$necYE])
7ilG fJIZEI11ISES. 1)EMOl/ 710N ANlJ eLr:/fN uf
of TilE PR.r:fI1IS t:.s /,pI/oS If aeP/t DINO/.Y AJEtEs-
SIrt<.Y,
/N.5U,fIl-Nee (Jl1ymeAJr.5 HI1YE Bt::7?7V oFIi!R!'Et>
M./) /la.CE tJ'{1.ifb ;fiV.tJ /1RE' A ttJR EJI Nv~ y /. Isnm
,1/..,- 77I€ ,4 fJ,oI(O!,Rll/rlir JOLII-as p/ll 7.1//.5 ~l?fI..
III!:!!E /s :St:rhL:" VAt-tiE /;1) 7-VG" A2E1J/1I-/N/Nu-
f(.cA-L ;:6mrc Elf r/ CitIVeV 7ile t!//?cll/n6T-
ANtes, /r.s Vll-luE 105 G'XL!E,o-r}p/1/A-uy b/FF-
I tUCt -n E~"-//1I117€, 7J.1Gft<'ETiJ!2E, ff H/fs
8E7fl'I LlS71!f'J> r:ote SA-l..t:: IPlr,</ "1 t2E"/fl..7j;R AAJ./)
IS 8~/NG- :DISC/LJ.st:D He:?l:tJN ;fs AIJ 11/tJ€S r/ll1-
If-ret> rrtml If.s 70 rll-lUE'.
In"UWlce flOflttenc Dr ~I, ()OO !r>r va.//Ae DI
cJ~-h-oyed dwelli,:! house.. (sa /elkr (;IJN Ib/
Ze.clon:s allpdlul)
--
1/1, 000 . DO
TOTAL Alaa onlor on lino 1, Roco ilulalion
(11 mort .poc. ;s nlldftd, insert additional shll'S Dr Jaml size.'_
s 1/1. "0" ' DO
-
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ICO 01" or D1fU
ClIlIlUllAlD !;.JVII"
Plun",nt.
JUN 15 2 ~o f~ 'Bl
-(
'n'l~rlJl DtEo-Tnt""'"
No. U~
",'>...
~"'h.';'; '.
~biS 3htbruturr f iitu~c milt
11th 4"',. JUNE ,. ,., ,N' II till' lAr4 0..
10'1....... ~'l.' 11",11,.. ,." BIQHTY"TWO (1982)
~Jrllurr\l CECILIA H. BASEHORE SIl!ARER AND ANNA 0, IlASEHORI'; HOY, her
dau~httr! both ot Hampden 'l'ownahlp, Cumberland County, Ptnllllflvanla.
and.horeinafter known ~I the partie. ot the tlrlt part
AND
CECILIA H, SHEARER AND LEROY S, SHEARER, her hUlband, both ot Hampdon
Townlhip, CUlIIblrland County, PtnnlylYanh. herelnatter known all the
parti,. at th, .Ioond part.
'TRIS IS A CONVEYAlICE BETWEE~ DAUGHTER AND PARENTS AND IlUSIlAND
AND '~IFE ArID IS THEREFORE EXE~Il'T FROl4 REALTY TRANSFER TAXE:..
---
., ''''UNII4 ,.'1. mUl1rSnrUl Thill" ''''11'''''1 leD It' .", ",,1 ,..,rl".,uJ'1I .....'..".11..
",... ..""., On' Dollar ($1,00) and Love and Attection '
",,,,,,;,..,., ,,""If' '" ,,,, Utili," ",..,(,.,, ",u,l.",. .,fl' ,,,.., f,.l, ,..w., ,.. ..." ,..."i.. .,,., "'I
'(till. ,..111,. ,.. ...14 ".,Ihl ."""1,., ,Itld.'" ...... "',,,,,,.. ,nUll' 'll. J""ft' -/ It'"
..,,'UIlIt,'" ,ft'fl". d,""/ II '''''; '.d<<.lfl,..,.." have . I .
,....,nt, hi,,..llIloI. ""', .11'"''', ,./"""', ,,1,.,. of. ,.,,"'r.J IlK'; C1'1I11,..,J .11I ., IU" ",1,.1. .. ' ,
,,.d. ....,,.,,.. ,,11. .11'''. '111'1111. "",",, ",,"U', 1111" """,,.11 ..'Ill f" 'If'" pi'" i..' If
,'" ,""'.. ""'. their ' ., "," ..." ....I,,,. '. " .
, '.
t,li,thoae certain ~wo adjoining tracts or land. with all improve-
fl\anU thereon, situated in Hampden Township; Cumberland County, PeM-
eylv~nia, more specifically dl.cribed al tolloWl'
'I'RAr.'I' uo. 1 ,
L
BEOINNING at In Iron pipe In tho publiC road hIding louthlrly '. \-
to what 11 now or tormerly the Erb Bridge over the ~onodogulne~ Creek'
and l75 teet. more or less. northerly nlonc sald rond troM the corn.r ot
the LandI now or tormerly ot H.D. Rhein and laaao Dobbl thence alons
Baid pUblic road North 13 de&reea, 15 minutes Welt 160.85 felt to an- .'
other iron pipe in laid road and at.eorner ot other landa noW, or tormer-
ly o~ Albert B. Radabaugh. t~enee along thr lands now or tormerly or
Albe~t Radabauch Harth 73 degrees. SS minutes Eaet 263 t.et ~o a poat
in \:\8 tmel or Albert Radabauch. thence along lands now or tormerly
of ALbert Radnbaush South 7 decreoe.!aat 91.) t.et to a postl th.nee
by other land noW or tor~erly or Albert Radabaugh South S8 dogr.ea.
~o minutee West 266.) reet. more or le08. to an iron pip. in the
.ror.lald public road, the pl,ce or BEOINNINO.. CONTA1NINO 116 3/4
perchla.
BEING t~e Dome pre~llel which R.D. Rhein, by ~11 dlld datld
S.ptombDr ~, 19)8 and recordl~ }n the orrlce ot tho Recordor ot Clede
. Bool(;29/ACE 597 i ".,..
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or CUl'lberhnd County at Dud DoC'lc a. Vol. 12, rase 414 IrenUd and.
convoytc!. unto lI.r. Ballhore, d.cldent hire In.
,.RACT NO. Z.
BEGINNING at an lron plp. driven ln thl clntlr ot thl Publlo
Road 11.dlnK to _hat 11 now or tor~lrly Erb BrldKe aora.. thl
Conodosulnlt Creekl thlno. along .did raid North l' dl~r"', l~
~lnute. We.t 2S rl.t to . polnt In aald rand. thine. by othlr tand, nOW
or tormlrly or Alblrt B. Radabaur-h North 73 de~rll'! ." alnute. Ea,t
265.7S r.lt to ft point at othlr lands now or rormer~ ot Albert B.
Rada~aughl thence by .,m. South 1 deCree. tnet 25.27 telt to a poet
at other lands rorll\erly or n.r. Baaehore, decldent herdn. thlncl by
thl ",ml Sou\h 7) dlArll1 and 55 mlnu\11 Weet 26) tilt \0 thl Iron
pipe In thl centar or \hl Public Road. thl placl ot BEGINNINO.
CONTAINl/lO 42 1/2 ptrch.. or land.
.' BEING THE eaml preda.. which Alblrt !, Radabou~h and lIarrllt
S. RrLlt.baush, b:f thllr dud dated April 16. 1934. srantld and oonv'Yld
unto H.P. BaRehorl, dlcedlnt herein. r.corded In thl ortle. at the
Recorder at Doed8 ot cumblrland County at Deld Book X. Vol. 1'. PaS' 211.
H.P, BASEIIORE dhd lnt..taU on January 8, 1947 IIhld ot thl
above delqrlbod traatl Dr realty 'wlth ill\provlmtntl thlreon whloh.
undlr tho In\eDtDtl Act-ot 1917. P.L. 429, ao amlndld 1917. P.L, 755.
Slctlono lta' nnd 7ta', p"o..ddlrecUY to h11 only ourvlvlns hllro
Cecllta H. BBoohorl, hll witl. and Anna C. Baelharl, hie dau8ht1r,
tho Crantorl' horeln ( S.. E.ltaU I 5091, .RIslotlr ot,!lll~' or C\lllbl~Iand
co~nty,. ~a.rU.le, :~.). '. ., ." . '.,', '.' '
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(!!u"'Q.&~ COUNTY, ss:
Ilrmb,b In tho Offlco for Recording of Deeds, Mortgages, ete., In and
(orthoCountyof.~6.U,(;l_~ln Deed Book _t/_ Vol. ..:29-
Poge ._..f...!lZ. -I.)?';; ~:~:~\~.
mUnm My Hand and Seal of Office, thla /5.>:r:..'" o'!, ~ C:":':;'::'a~ of
_.:IVI1.L-_. .___ Anno Domlnl19/z. J.U~'~ .;\~ :~,
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ALAN, CLARKE & ASSOCIATES. INC.
Cl.AIM ...Vlce8
CON8lA. TING
"0. .OM '010
HA""I.""'o. .... 17112
'7171 e..o-'OOO
P"A)C.: 11<40..117'
Novembcr7,I996
Mr. Charles E. Shields 1lI
Attorney At Law
Mellon Bank Building
2 West Main Street
Mcchanicsburg, P A 17055
.- ..
Re: Insured: Estate of Cecelia Shearer
Company: Farmers Mutual Insurance Company
Date of Loss: 2112196
Type of Loss: Fire
Our Claim No. 96-459
Dear Mr. Shields:
We aeknowledge receipt of your telephone eallto our office on November I, 1996. You
indicated that you had been authorized to accept our full and final settlemenl offer of $41,000.00
on this matter.
We are enclosing a Release in the amount of $54,414.05. Farmers Mutual Insurance Company
previously issued payment in the amount of $13,000.00 on August 16. 1996 under Coverage C
accompanied by payment in the amount of $414.05 for emergeney expenses.
Please have your client execute the enclosed document before a Notary and return it to the
undersigned III your earliest convenience, We shall then forward it onto Farme1'9 Mutual
Insurance Company requesting that payment be directed to your attention.
We thank you for your assistance and cooperation in bringing this matter to a conclusion.
Very truly yours,
Paul Zedonls
Adjuster
PVcp
cc: Farmers Mutual Insurance Company
tifij
COIolMO"WIAlIH O' P1""nlVA"IA
I"HUIIA"CI lAX 'l'U'"
UI1DI"1 DICID "I
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SCHEDULE B
STOCKS AND BONDS
FILE NUMBER
~/-9' -/92.
CG'CILII1 H. .5fIEl1eae
(All p.....rty lolnlly..wnod with Right 01 Su",lva..hlp mu.1 bo dl.cla.od an Schodulo '.\
ITEM
NUMBER
1.
"
.:}.
VALUE AT DATE
OF DEATH
DESCRIPTION
5eltlE,S Ii iI.5..s11 V 110/(;.$ SON.DS IN 71Ie NAME oP
CECILIA H. SJlE'I/Il~ "'S; '". s.s-
(.s~e fJDI'Y 01 .$(J~ t:y~5il: 130.< :r;,ve,nl-D,.y I1If"eJ,ed
fkrdP ).
.5E1t/8"S E II. s. SAJlIN'6..! SMJD IN 7)11: /tHIHG
O,t: . t.li'ltoy :So :SNefltE~ *"
* 1IJr. Skttrer eIt'e/ ;,,14"- Me ..shlrHr 6cbu"e if IS "",'k..
C!ui/ia. 7kftlm, htr ;nfere$t i" Ii.'s ;fu" tvloS ~-k4 ' /73.71
eVeII oIRIHt" ~ nllllfe -n,/e l'/All /t01 been c.han'lu/,
(~ab()ytrtleruueJ :t:nven'ivry ,dfa~hul)
S 5. 7'.2..33
TOTAL AI.o onto, an IIno 2, R..a lIu1atlan
(1/ maIO .paco I. noeded, Inllr! additiana' .hoo" of .amo .In,)
-
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IIV..UI..,1..,.
..
SAFE DEPOSIT BOX
INVENTORY
~rMOf"NH'Y\V""''''
"PAlI....H10f IIVINUI
I.....AMCI1,U DMIIOH
Dln.tlCMOl
.............,. "".....' PI. a.. Print or Typ.
MUST IE COMPLETED IV REPRESENTATIVE OF FINANCIAL INsmUlIn" WIIIRI SMI DIPOSII lOX IS lOCAlED AND REtURNED TO AIOVI ADDAISS
C:OUNTY COOl FILl NUMBEA SOCIAL SECURITY OR DIATH ClATlFlCATl NUMIIR
~b"O' ~ZOO
"2.- 1'2.. f"
IS..III II"COOII
-, () r-~
I?~ III'COOII
170 ~ \'
ft
ISlAm _IISSI IIIPCOOII
't:z. 7~ 701.')
~,
IStRlll _IISSI ISIAlEl II"COO'I
CO pwoIQ IRlLAlIOHSH1p)
ISllIn ADORnS) ICllll ISlA"1 IIIHOOII
NAMI AND ADDRESS O' fiNANCIAL INSTITUTION WNlAE THE SAFE DEPOSIT BOX IS LOCATED
IHAMII
~f'\ Ie...
) . ICilY] "SIA"I It" COOII
S IlreJl1,,'/lS Ow (It 170"
DAll AND TIME O' LAST INTRV
~. ., 9:0(
TITLE ~DIR WHI~H BOX If REG)1~ERED
C ec,Jlil Jt :J111'Artr
".INAMEI
..
No 1Jf.;
(STRUT ADDRUS,
ISIRlll MORlSSI
ISlA"1 It" COD')
ICIlY)
ISlA") II" COOII ICilY]
If Y'" a. Dat. of wllh
It. No.. nd adekeu .. "fIOnal ,.pnMntatlvl, If named In Ih, will
(lIl,MQ
ICilY]
ISlA"1 IIIP COOII
ISlAIIT MOAnSI
c. HelM oM ....... ef ottern,y," any
(HAMil
ISlA"1 11" COOII
ICilY]
ISIRIIT AOOlml
Page
I
al~
SAFE DEPOSIT BOX INVENTORY
INSTRUCTIONS -
(1) Calhl R.parllalal only.
(2) Stockl' llllln d.lall.y.ry cammon or pr.l.rrod eo,'ilieat., warranl or olhor rlghll found in box. Slaekl oro
10 b. d.llgnal.d by nom. of company, eorliliealo nu",bor, dolo of corliflealo, namo in which Ilaek il rogj,torod,
and numbor a' Ihar.1 and clall of Iloek,
(31 Obllgatlonl of U. S. Gav.rnm.nll Numbor 01 Homl, doto of illUO, loco yaluo, nom.. In which rogiltorod
and Iyp. of own.nhlp, I,." lolnlly h.ld, pay obi. on doalh, .Ic.
(4) Bondi' O.llgnal. by nom., amaunl, I.rla\ numb.r, or olhor dOllgnollon, (Boor.r Bond,)
(5) Bonk and Saving. and Loan POllbook.. 5101. nom. of dopolltor, numbor of book, 1011 dolo appoaring In
book, nom. of bank and branch, and bolanco.
(6) J.w.lry, Colnl, Stamp., Manumlph, .Iel llll and domib. 01 fully 01 pOlliblo,
(71 O..d., Mortgag.., Curr.nt Inluranc. Polltlll or olh.r .vld.nc.. of Ind.bt.dnll" li,l and d.lcribo 01
fully 01 pollibl..
(8) All ather cant.nta,
ITEM DESCRIPTION
ImFY UNDIR PINALTY Of PlRJURY THAT THI ABOVE RECORD IS PERSON RECEIVING COPY OF
RRICT AND COMPLOI TO THE BEST OF MY KNOWLEDGE AND BElIEF. SAFE DEPOSIT BOX INVENTORY,
A "On INAU
~' CI. ~~C_ '-f...t
IHAMAN Kit. Xl
.. ~
o becvIOf(tfb,) t:::::JAdml"lIlraIOf(tfhll)
DEIlot. R.p'..."lotl.... 0 loin' own., of lof. d.potlt bo.
""aoh acldltlonat 11'1" .. t t" ahllt III If n.c.uary or UI. dupllcat.1 of thll pag. of form.
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'*
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
COMMONweAlTH O' PENNSYlVANIA.
INHI.nANC. TAX I"UIN
IIIIDINT DICIDINT
ESTATE OF
CecILIA H. SIlEIf~E'1(
Plea.e Prinl or T e
FilE NUMBER
r5l.1- 9&'- I'll.
(An property Jolntly.ownld with thl RIght of Survlvor.hlp mud be dl.doled on Schedule '1
ITEM
NUMBER
I.
.:/.
.3.
1,
DESCRIPTION
.s:
SQII'aful a,/~c:fDI'; cPrds- ,
(.sa ~/Jrt,,'s41 ), tJml//!J' /l111t'pUe.l -/ (!,~t:AJIe.r
(/IIR diet! herr. ~)
/)/".$(!elllll1~"1IS per,SMl11 ,'fem.s .soli/(J!~d fi."1N
jJrell1/us (,fee. ;''sl,~ (/ /fa eltul)
~~ DI "lkr StI/l'ar' /fe/W' by (lAud( 8,./~"
aucf/on~r
:r nsu,.~ m:e p'1",e4'1s t
a. ;:;r dllma/I! ~t:I /PM ~I jJt:r.$t>n4/1y
b. ';'1' emer~II'7' t:1</M$eoS /1"';,1It fJay1l61e. ~
Alt.x Su:.IU' ~.
(.s~t:. Idler Df /lzu/ '2eA"MI'.s- p/f(/cltd ~ JcIt&!.,f,)
'Ifem.s re.tr/ered .b,v a#U! :s"b5~Ue/1f7 rec.eived
IrMf m,'c1l1u./ L. Norr/s, ~rOl1e.r:
(/, 1}OId ~fpreJ l1eeK c.hllln ",;If, lHu/f;- cd~red
Sp,ne.r
b. I iDki to/,,"-J lwct:./et M'It /HId/,'- CDIt>r~
5 ~ IlI!.5
f j,,,1t, pf abPYe were &/tUnllr4 hI' h're, ~tr!~
ore /i,sh'nt P.$ /v1R/ J/(2/ue of -If). "D
e., /h,',sc. &In/oS f fllfkW pi lull)' vkttrer
d, 'I ecllfll,'f/er,s "I UI1.eDunle.e1 w.s. (};,'I7S
t., ~//S.31."o 1M 6,'110$
(,fe~ /e/kr of l11/cluud L. Il)"rr,',s allnd,~~)
&sA ffl Sa.; ~P5;t &x at lJ1e/ln ~
(see. ::Myurl()'7 .sh~ets al/1zd,u/ n, Sckd. 13)
"
(ADam additional 8\01,- x 11- .h"',lf mo,. .pacell n..dld.)
VALUE AT
DATE OF DEATH
,c IS-&:). ''''
"'I". ..s (:)
f Jfa'l.SlJ
~
13, Dtt)O.OD
~ ~/i/.D.s-
,.~ co
tt).
no va.lt<e
"/2/,00
"
I, S.3/1. DO
7t ,,'
1..:/ / 'f2o. OD
S loq, 'l:l 3.1/3
.'
.sell€]). I:. &NTiNIu/'77p#
-r.
rite -#
t=.s7lfn; oF' eliCll./1I 1/. .5IIRl1tetr,f 21- ?6-/?Z
If?1 ehtvrDltt Stln V.r.No - I r 19 "l 8 as,! <J 0 1. 7"
hlllE,46-G !1XCE E DIffD I1IEMA-AlIt:AL LltHl roS', /11I 7J(c
nl'lHR or t.~l.5AI11UIf' .5NGlft(tflf. (set! eyJlantt/'DII
().Cf,omp4ny ill! Ius ,series E /Jlm" hi .sd,,:t/.~. .,t;r
ru.St:>/1 IPr inc.lllS:M ill .$,'s e.sfA'k).
fJal'f~a/ Re~nd on ~l1fellt Df /tf9S"{, Jd,<<;/ Izvw, 117'1.17
,4J,/,f,'tw./ ,'ktt1.s refnevd!rom f~d1"~.J by clect.dU1!3
1"U1d":wfhkr. DeniU/t fl.. kbw.: ~
a.) iJ 6ma/1 ch,'U,.ens cha/fIS .a.oo
b.) ((~/'Id)' Ann (bIt "1, D<D
't!..) S,'6/e ~. -
r/.) /JIt""um si'JeI d11l/r . ~ .s; ID
,U/'i'. ~./ /7../ ~
~ c:Jl.HI .:Jt}. trlJ
l1t./usif.s re,fledJ~, culd;h~nll/ (!PoSh p;untl I/Jhel1 c/t:4ninj
oM wrecl<are "f/ frelhl~ /;eiD~ {,'na/ ckhf,,/,'hpn tlMtilol'
frU.5u?, fund eHa/!.s- fp Iff/ace jl4r1ia!7 dqIHPf~t/ lUtif
/Jut/irafeel eutrel/ty:
l'
a. oS; 7P~fO
.0. " I, $'Y. -
a. II Ill. ...,
'"
eI. .s; 721.-
11
{".32'. ...:
"{;, .s.sS.....
, ..
".5; 'I9',co
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11 3, 6(, 3. 00
,. 1~. liD', SS"
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13. ':h...~~t tLe.t.rlAt.a .", ::c.Jem 1"7-
(~tr. .(.;~"l'r.!. /l..l\u.~J Co.\c....\a.ha cwcl ~l"ov;dcA 'oy
~t(. \4.o\\\!."'bf4"" I V\\e.\\I1~ W\ec"Cl.l\\c""'oLl.~ 13r1L~)
-r;h./ !
,
l?llf, ,~a.~
~~~f. "
OIorbier
~diques nub QIoUedihles
David cl Sandra
(717) 731-8662
307 N. 25th Street
Camp Hili, PA non.
RE: Estate of Cecilia Shearer
4/29/96
Aporaiw
l1m1
Est. Valu~
Baseball Card Collection
1970's-1980's
$150.00
David J. Cordier
~(UlWDITil!SJ, ~@~~DITil!SJ IWlTilldl ~IP>IP>I1'IWD~~$
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e~. ~ - t7-!J1
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().:::C 30 t
[2J fZ~ 061--
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,
SA 00160-019044
10. 03/31/94
11. 06/30/94
12. 09/30/94
13. 12/31/94
14. 03/31/95
15. 06/30/95
16. 09/30/95
17. 12/31/95
18. 03/15/96
19. 03/31/96
SA 00160-019044
20. 06/30/96
11/29 SHEARLS.Ol ORG.00416 REGULAR PASSBOOK
BALANCE.......$69,701.98
INTEREST CREDIT $327.31 $70,029.29
INTEREST CREDIT $332.51 $70,361.80
INTEREST CREDIT $337.76 $70,699.56
INTEREST CREDIT $339.39 $71,038.95
INTEREST CREDIT $333.58 $71,372.53
INTEREST CREDIT $338.88 $71,711.41
INTEREST CREDIT $344.24 $72,055.65
INTEREST CREDIT $345.90 $72,401.55
WITHDRAWAL I $20,000.00 $52,401.55
INTEREST CREDIT $325.17 $52,726.72
. MORE .
11/29 SHEARLS.Ol ORG.00416 REGULAR PASSBOOK
BALANCE.......$52,726.72
INTEREST CREDIT $249.67 ,$52,976.39
21. 09/30/96 INTEREST CREDIT
$253.61 $53,230.00
END
d.o.J.
'1.~rz.-"" ~ ~ 4i.$
;/63. D'
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~7:?1 'I()I. Sf
.,V,UIl,.. V.I',
ITEM
NUMBER
.
~
.
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
COMMONWEAlTH 0' PENNSYLVANIA
INHUITANCE TAX InUIN
1!SIDENf OEcrDINf
CG(!ILlII I/. .s1la1b;;f
Plea.e Prlnl or Type
NUMBER
;ll - 91> - 1 '12
DESCRIPTION
A. Funoral Expen".,
1.
5u.Lt./VIfAl FUIVGI!IfI. Jln1ft? (I'U"I'''IJ>), iiiIVD(.I1
B. Admlnl.Irallve Ca.I"
4.
C.
1.
2.
3.
4.
5.
6.
7.
8.
1.
Personal Repre..nlative Commllllon. /MIA) a. }lOY
Social Socurlly Number of Personal Reprllentative:
Year Commllllon. paid ,III"
2.
Allornay Fee. CII,40I!.U:s E. ,sfllB-AS :;0:
3.
Family Exemption
Claimanl U.I>UE Et.IGll!1lF Relationship
Addrell of Clalmanl 01 decedenl'. dealh
Slreet Addrell
City
Slole
Zip Code
Probate Fee. W oS/',rt aerNt'ca.f(.(
Mlscellaneou. Expen.e..
AtltI,'f,'Ma/ ,q.,6aft! k
J""'6,n./ J/mt ee/'fihCafes
l>,.i//,y PAt Jalc ~psit Ikr Ik,,~se ~ kscf;j7:;
RDbu-t I!!i. FP'$~ fDr Pt'efJ III l~fP ~ /I)n,..""
AJterf,',s'1J ;'1 I1driot-ltJews lJfelrp-kJ8Jt
I1d"erfi~in7;11 eHm 6trlC4ftl ktw .Journ.1
F.-I;", 4 A-CCDli.nt (."hin.)
17'1" pf :J;, her; hflce ~)c fe~rn
TOTAL (AI.o enter on line 9, Rlcapllulatlon)
(II more .pace " needed, In.ert addlllonal .heel. of .ame .'.e.)
AMOUNT
l'aG"AID.
bJAIVE/)
,lit/P, IiI/, /,3
AJ/A
~
'Is: po
;& .:J'IS".PO
'1'9."0
}l es. "0
I1ll eha."'It.
".5"1.70
1'''O.OD
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~ IS.ao
s ~3/1o~.3f
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10.
II.
1-1.
13,
PI.
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If.
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4.
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d.f.
30.
SCHED. H. etJAITllVtllf71t?11/
t::ST,-f~ p,t: MCILlA If. SIlQl,e~
r. lf~chPI1U/s (jl1lll,'.$.sion aluI Ha to C/ruc.( ,8r'~r
1?f!t1./ fJ~;;ert; 1ifa lb &u.n~~ Iff'
~r";clI ~arftS ~ E~nx.1'e cJ..uk/1/ 4~Dunt:
Q. A,Jr.
h. htAj'
Co, ~ne
J. .kly
;. ~.
1.' Pc}.
A. NIl!.
~6"t /fxfJ!'l~(.jp ~~t. hI. ~r Ma;/:11j currency
&'1'- !;,r tltla','hpl1a/ clef/()$it sf,~~" &n:.
eJzattt fpr aIJ/I1'MIlI so/If t?/ ckeKs
I.oui.s 1It1,.fzel/ - Ltzwn m,Uh'aj a.uI /J1ainlt!lUna
~I'K fVtlstG D;sflC$al - ~P5i/~,.. p,'c;('V'
l1I/d"te/ L. /111W/S -dWl'Uf Wll'k -'" n,,,,J$1II6.
)'wI( N,.$f't. ;P,',sfDsa/
l1Iex Szele.s - If'me"lMC;- /<HI-I( -IIlSUr. ckdt.
Y,/"K UJI/.$'/e ])I.sfDsa I
fe-ntl 'D. O. T. - ~r d14pJ,'c. Dt CAr f-;r1e
IItll/lfelM 7iuf. - ~we" ~ 7rtJd, (J"'f'kpt.)
JlIlIII/a'M ?t:1" 1/191. /i~ tb. (;:;~ 5erY;e;e)
/hie-hatl L. I/JNris - "[;en(p/,'/'(;n, I?MJn'4~ dz:..
fb,,, ~. P. 7: - ?hen.si,. ..f 7i'f/e
lI1,'dtle/ L. tflPI'l'is - ,1IId,'f, 5em'us ~'. cle.ffl"Uf
au'!f" ~IlJ~i' Mc.I //6,./17 ~ ~ Iff~
ScJ1",,/ ]),',j!rid ~ did l'if~
:J"",~"i1 1J11l:/,'Ij/ .,f Currency ID IrfJtSI/7 1It."f.
~ :';.......'''1 I'Y\':' \i" J c.u.....I"U\"j ~ I~SU.tJ rJc{I'f.
At.F#
Oll- '1~ -192-
, J'II/..so
II ~~. Iz'
"'~.t?'D
f& '1' 110
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. 022.jW.n
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10.20
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!:$,ItTG 0': CJ:C.ltlA H. 511~
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,"" _ ,,,,,__' '" "MIA,,,, . """"",,~., ,. .~~ .....",
D
ACN
ASSESSMENT III
CONTROL Iii
NUMBER
AMOUNT
i
"
RECEIVED fROM,
101
.4.&94. U!
CHARLE9 E SHIELDS ESQUIRE
2 WEST MAIN STREET
MECHANICSBURG. PA 17055
SSN 191.-10-3200
IflRSTI (Mil
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ra TOTAL AMOUNT PAID
.4.994.12.(
CW ..
I
RECEIVED BV (),JI/J~f ~,.u..v ~,...x
'/J... "0 .,. ~"'-l
MARY C. LE I S 'if.J'X/J~i~
REGISTER OF WILLS NI (J',
, ~'t4
RE/MRKS
ANN C HOY
CIO CHARLES E
CHECK" 097
SHIELDS ESQUIRE
SEAL
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REGISTER OF WILLS
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
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a-
IU~!AU OF IHDIVIDUAL TAXES
1NH[~I'AHCf 'A' DIYISION
DlP!. uun
HARl11aun, PA 17UI..,01
HOTICE OF IHHE~IT.HCE TAX
APP~.ISEHEHT. .LLOWANCE D~ DIS.LLOW.HCE
OF DEDUCTIONS AHD .SSESSHEHT OF TAX
"'.154'''''' 11'_"1
CHARLES E SHIELDS III
2 W MAIN ST
MECHANICSBURG PA 17055
DAT!
UTAT! OF
DAT! OF DEATH
FILE NUMBER
COUNTY
ACN
02-25-97
SHEARER
02-12-96
21 96-0192
CUMBERLAND
101
..ount ~..lttod
CECILIA
HAKE CHECK PAYABLE AND REMIT PAYMENT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
iiiv:i54j-iX-AFji-nZ:9lif-iiOYicr-OF-YtiAiiiii'AiiCE-YAX-APPRAisiHEiir-;-Ai:LoiiAiicE-OR'-----u----------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
UTAT! OF SHEARER CECILIA H FILE NO. 21 96-0192 ACN 101 DAT! 02-25-97
TAX RETURN W,SI (X I ACCEPTED .S FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN
1. Rool E.tot. ISchedul. Al
2. stock. _ 1Iond. ISchedul. BI
S. Clo..l~ Hold Stock/P.rtnerohlp Int.r..t (Schedul. CI
4. Hart_.lMot.. Roc.ivobl. (Schedul. 01
5. C.ohIBonk Oopo.lt.lHl.c. P.r.onel proport~ (Schedul. EI
6. Jolntl~ Owned Proport~ (Schedul. FI
7. Tran.f.r. (Schedul. 01
I. Tot.l ....t.
( I CHANGED
HOTEl To inaure proper
erectl t to your IKcount,
.ubIIlt tho upper porUan
of thl. foro .lth ~our
tox pOyoMlt.
83.900.00
5.792.33
.00
.00
139.923.43
.00
.00
.11
(II
121
151
141
151
161
171
229,615.76
APPROVED DEDUCTIONS AND EXEMPTIONS:
43,706.39
9. Funor.l EKPOn.../Ado. Co.t.lHl.c. Expon... (Schedul. HI 191
10. Qobt.lMortgego Llobllltl../Llon. (Sch.dul. II (101 .00
11. Tot.l Qoduotlan. (Ill
12. Hot V.lue of Tox R.tum 1121
15. Charltobl./Go..rnoont.l B.quo.t. (Sch.dul. JI (151
14. Hot V.lue of ht.t. SUbJoct to Tox 1141
NOTE: If.n ........nt w.. i..u.d pr.viou.ly, lin.. 14, IS and "or 16, 17 and 18 will
reflect figur.. that includ. the total of ~ r.turn. a...B..d to date.
ASSESSMENT OF TAXI
15. Aoount of Line 14 .t Spou..l r.t. (151
16. Aoount of Line 14 toxobl. .t Llne.l/Cl... . r.t. (161
17. Aoount of Line 14 toxobl. .t Coll.t.r.l/Cl... B r.t. (171
II. Prlnclp.l Tox Duo
TAX CREDITS I
PAYHEHT
D.TE
05-10-96
12-10-96
4~.7n~ ~Q
185,909.37
.00
185,909.37
.00 x .00. .00
185,909.37 x.06. 11.154.56
.00 x.1s. .00
1181-11,154.56
RECEIPT
tMIIIER
AA112829
AA184936
DISCOUNT (tl
IHTEREST (-I
315.79
33.46-
6,000.00
4,894.12
AHllUlfT PAIO
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
11,176.45
21. 89CR
.00
21.89CR
. IF PAID .FTER D.TE INDIC.TED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL IHTEREST.
I IF TOTAL DUE IS LESS THAN '1, NO P.YHEHT IS REQUIRED.
IF TOTAL DUE IS REFLECTED .5 . "CREDIT" (C~I. YOU HAY 8E DUE
A REFUND. SEE REVERSE SIDE OF THIS FDRN FOR IHSTRUCTIDHS.I
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E.t.... 01 ...._to dYI.. ... or bolor. Ooc_r U. I'.Z .- II ... Ntur. Int.r..t In tho ..t.t. r.' tr...,orrad
In .......1... or ..jo....t to CI..' . looll.t.r.11 bonOllol.rl.. 01 tho ...._t .It.r tho ...Ir.tl... 01 ... ..t.t. lor
III. or lor ...r.. tho C........lth hOr'" ...r...I' r...r..' tho right to ...r.I" and ...... tr...I.r I...rlt.... T....
.t the .tw'ul ele.. I (collatlra.l rtt. on .ny IUCh future lnt.r..t.
,
To lulllll tho r...lr....t. 01 ...tl... ZI'. 01 tho I...rlt.... and E.t.t. T.. Aot. Act ZZ 01 1"1. 7Z ..S.
section 1140.
Dot.... tho too ..rU... 01 thlo MoU.. and .....It ,Ith your ......t to tho ...I.tor 01 MII1' .rlntad ... tho r.."" .Ido.
.... c:hKk or ....v order p.-l. tOI REGISTER OF MILLS, AQEJCT
All _to r...lvod ""II flrot bo ...lIad to ... Int....t oI1lch ... bo .... ,Ith ... r_I_r ...lIad to tho t...
a ..""" 01 . tox .radlt. oI1lch ... not r......tad ... tho T.' Rotum, ... bo r......tad b. ._I.tI.. .. ....II..tI...
lor Ro""" 01 .-..1_1. I...rlt.... ... [ot.t. T... IRlV-ISISI. ...U..U....... ...Uolll. .t tho alll..
01 tho ...Iot.. 01 Mill', ... .1 tho Z3 ........ al.trl.t 0111..., or bY ..IU.. tho _101 Z'-hOUr
.._rl.. ..",I.. ..-" lor I.'" ordorl... In ..-..1_1. I....-..Z-Z.S., out.ldo ......lv..l. ...
,Ithln locol Horrl....r. .r.. 17171 717-10... TOO' 17171 77Z-ZZSZ (Hoorl.. 1...lrad OnI.I.
",.., ..rty In Int....t not ..tlollad ,Ith tho _..I_t. 011"'-' or dl..II"'-' .1 .......U..... or ....._t
01 tox Ilnolu.U.. dlocount or Int....U .. ..-. ... thl. MoU.. DU.t Dbjoet ,Ithln o1xty (601 .....01 r...I.t 01
thl. Notice byl
..,rlU" .rot..t t. tho PA Qop.._t 01 ......... ...rd .1 _I.. Qopt. ZII.U. Horrl....r.. SA 17U.-IOU. OR
.-.I"U'" to __ tho ..U" dot...I..... .t audit .1 tho ...ount 01 tho ..r....1 r.."_toUv,. OR
....... to the OrpMn" court.
f..-I ..ro" dl_..ad ... thlo ....._t ..-Id bo oddr..'" In ,rlU" t.. SA Qop.._t .1 .........
...r_ 01 In.Uvl....1 T..... am" Po.t AI..._t ...1... ....It. Qopt. ZlO..I. Horrl_r.. SA I-UI-DlU
..- 17171 1I7.6S.S. _ _ S 01 tho _I.t .In.t""'tl.... lor I...rlt.... T.. ..tum lor' ...I_t
Oec-,-"t- (REV-1SOI) fOf .n ..,l~tlon of ~l"l.tr.tlv.lv correct~l. error..
II ... lOX .... I. ..Id ,Ithln thr" ISI ..I....r _tho .It.. thO ...._t.. _tho . IIv' ..r...t (SXI dlo.ount 01
the talC peld I. aUowed.
ThO ISX lOX _.ty __..rU.I..tl... ....1 ty I. ._tad ... tho toto1 .1 tho tox and Intor..t ......... ... not
..Id bol." _rv II. I"" tho llrot .... .It.. tho and 01 tho tox -.ty ..rlocl. Thl. __...Uol..U'"
....tty 10 _lollI. In tho _ _r and In tho tho _ U.. ..rlocl .. .ou _Id _I tho t.. ... Into...t
thet M' Men .....sed .1 lnclluteel on this notice.
Int....t I. ....r.... ...IMI.. ,Ith lI..t .... 01 doll""-" .r nino 1'1 _tho and - UI .... Ir" tho doto .1
_tho to tho dot. .1 _to T.... oI1lch _ doll_t bolo" _rv I. I'"Z bOOr Int....t .t thO ..I. 01
.10 16XI ..re..t ..r .... ..Iculotad .t . ...11. ..t. .1 ....1... All t.... 0111'" -- doll_t ... ... .tt..
_rv 1, n.Z ,1\1 bOOr Int....t .t . ..t. oI1lch ,lII v... Ir" .00....r ...r to ..I_r .... ,Ith IMt ..t.
_ad bY thO SA Qop.._t 01 ......... ThO ...11"'1. lnt....t ..t.. I.r nlZ through 1"7 ....
~ tnt.r..' .et_ n.lly tnt.r..t ,.etor v..r Int.r..t A.t. DIUy tnt.r." Factor
-
.9It ZlX .DDDSIt' 1917 'X .UU'"
1..S 16% .oaoltiU 1911-1"1 IIX .ODOSn
1'" 11X .oaasol I"Z tX .DODZU
19.5 lSX .DOas~ I"S-I'" IX .DDIlt!
1'16 10X .DODZl.. 1"S-1"7 tX .aano
."Int.r.,' II cllcullted '1 follOlll1
lllTERES'f . aALAIlCE OF 'fAll UllPAlD X IMIBER OF DAYS OELINQUEII'f X DilLY lllTERES'f FAc:rol
..",.., MoU.. 10...... .ltar tho t.. __" doll_t ,lII roll..t .. Intor..t ..lcul.Uon to Illt- USI .....
bo'- tho ...t. .1 thO ....._t. II ......t I. _ .Itor thO Int....t ._t.U... ...t. ..-. ... thO
Motlcl, ~lt,~l lnt.r..t .us' be c.lcul.t~.
STATUS REPORT UNDER RULE 6.12
Name of Decedent: C'eeiJ,'Q S),e4nt'"
Date of Death: 02 - I J... - qlJ
Will No.
Admin. No. 1'l9i:.-oo(9z..
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 whether 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 r~Bfesentative 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.
~t!?~~~
Signature
(furieS" c: cf"e,/~ :0:
Name (Please type or print)
~ e~kser IY.
A~/C.S~"? PA 17M;)
(717) 7,"w"ozP9
Tel. No.
Date:
,- (,- ZnI'
~.J
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.:J
Capacity: Personal Representative
~counsel for personal
representative
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1,jC,
(MAH:rmf/AM3)