HomeMy WebLinkAbout96-00260
PETITION FOR PRonATE and GRANT OF LE'n'ERS
Estate of si~MI~ .llflfi..1tt~tl
late of the Borough of Mechanicsburg,
Cumberland County, Pennsylvania,
Deceased.
Social security No. 183-12-3292
No. 21-96- ~l.oD
Tal
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner, who is lB years of age or older and the executor named
in the last will of the above decedent, dated February 23, 1984.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with
her last family or principal residence at 317 South High Street,
Mechanicsburg, Pennsylvania 17055.
Decedent, then 80 years of age, died March 3, 1996, at Holy Spirit
Hospital, East pennsboro Township, Cumberland County, Pennsylvania.
Except as follows, ddcedent did not marry, was not divorced and did not
have a child born or adopted after execution of the will offered for probate;
was not the victim of a killing and was never adjudicated incompetent: No.
exceptions.
Decedent at death owned property with estimated values as follows:
(If domiciled in pa.) All personal property $lD,DDD.DD
(If not domiciled in pa.) Personal property in PA
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania $9D,DDD.DD
situated as follows: 317 South High Street, Mechanicsburg, Pennsylvania
l7D55.
WHEREFORE, petitioner respectfully requests the probate of the last will
presented herewith and the grant of letters testamentary thereon.
ence of Petitioner
. P cK
1945 Spring Road
Carlisle, Pennsylvania
17013
OATH 0.1<' PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA )
) SS:
COUNTY OF CUMBERLAND )
The petl.tioner. above-n.,med swears or affirms that the statements in the
foregoing petition are ttue and correct to the best of the knowledge and
belief of p~titioner and that dS personal representative of the above decedent
petitioner will well and truly administer state accor to law.
Sworn to or affirmed and subecriced
before me this 25th day of
MAR~!:l 1~96
~f).'"u ('..Ir"'" ii' . ~'I\L I~ I..I(<I(,~ 1/1-<1-.
rvJ1\1< (,;. tE~-v_S' ./ Regia e2tl
t'::" -
PETITION FOR PROBATE lInd GRANT OF LE'n'ERS
Estate of Sarah V. Berstler
late of the Borough of Mechanicsburg,
Cumberland County, Pennsylvania,
Deceased.
Social Security No. 183-12-3292
No. 2l-96-26D
To:
Register of Wills for the
County of Cumberland in the
Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner, who is 18 years of age or older and the first alternate
executor named in the last will of the above decedent, dated February 23,
1984.
Decedent was domiciled at death in Cumberland County, Pennsylvania, with
her last family or principal residence at 317 South Hi9h Street,
Mechanicsburg, Pennsylvania 17055.
Decedent, then 80 years of age, died March 3, 1996, at Holy Spirit
Hospital, East pennsboro Township, Cumberland County, Pennsylvania.
Except as follows, decedent did not marry, was not divorced and did not
have a child born or adopted after execution of the will offered for probate I
was not the victim of a killing and was never adjudicated incompetent: No.
exceptions.
Decedent at death owned property with estimated values as follows:
(If domiciled in pa.) All personal property SlD,ODD.DO
(If not domiciled in pa.) Personal property in PA
(If not domiciled in pa.) Personal property in county
Value of real estate in Pennsylvania S9D,DDD.DD
situated as follows: 317 South High Street, Mechanicsburg, Pennsylvania
17D55.
On March 29, 1996, Letters Testamentary were issued to Ronald L. Peck,
the primary executor named under the Last Will and Testament of the above
decedent. The said Ronald L. Peck died on June 1, 1996.
WHEREFORE, petitioner respectfully requests the grant of 1ettere
testamentary on the said Last Will of decedent.
sidence of Petitioner
Road
Pennsylvania
l7D19
OA'm OF }>ERSOm.L1rEPRES~
COMMONWEALTH OF PENNSYLVANIA )
I SS:
COUNTY OF CUMBERLAND I
The petitioner above-named swears or affirms that the statements in the
foregoing petition are true and correct to the best of the knowledge and
belief of petition~r and that as personal representative of the above decedent
petitioner will well and truly administer e estate acco ing to law.
Sworn to or affirmed and subscribed
before ~e Ith s 1'1 "H, I day of
- / 1.2 , ,'" ',,' 19!!.6
.jJ1 (,,.;,, ( !" (, /'~:~#rl(1
I W'flY C LHIl S Reg st~r (
1:S - IC}-{- Ie;>...! G\::.('
No. 21-96-260
EstAte ot SArAh V. Dertsler, DeceAsed
DECREE OF PROBATE ANI) GRANT OF LETTERS
AND NOW JUNE 21 , 1996, in consideration of
the petition on the reverse side hereof, satisfactory proof having been
presented before me,
IT IS DECREED that Letters Testamentary
FEES
Probate, Letters, Etc. .$
25.00
Short Certificate(s). .$
Renunciation. . . . . . . .$
$
TOTAL $
Filed. . . ~U~E .21. .1~9~~.
?~.OO
CALLED ATTORNEY ON 6-21-96.
Wayne F. Shade, Esquire 15712
ATTORNEY (Sup. Ct. I.D. No.)
53 West Pomfret Street
Carlisle, Pennsylvania 17D13
ADDRESS
717-243-0220
PHONE
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LAST HILL AND TESTA~IENT
1, SARAH V. BERSTLER, of thc Borough of Hechanicsburg, County
of Cumbcrland, Commonwealth of Pcnnsylvania, being of sound and
disposing mind, mcmory and understanding, do make, publish and
declarc this as and for my Last IHll and Tcstamcnt, hcreby revokin
and makin8 void all former wills and codicils by me at any time
heretofore madc.
FIRST. 1 order and direct that all my just debts and funeral
expenses be paid by my Executor, hereinafter named, as soon as
conveniently may be done after ~y decease.
SECOND. All the rest, residue and remainder of my Estate,
real, personal and mixed, whatsoever and wheresoever situate, I
give, devise and bequeath in seven (7) equal shares unto my
children, DAVID G. PECK and RONALD L. PECK, and my step-children,
~ ROCHELLE HADE, SANDRA SHORT, JACQUELINE TRIANO, RICHi\RD T. BERSTLE
'2-. and KAREN DARHOI~ER, absolutely and in fee simple, in equal shares.
If any of my said children or step-children should fail to survive
me, then and in that event, I give, devise and bequeath the share
of the same unto such of them who shall survive me, absolutely and
in fee simple, in equal shares.
THIRD. In the event that 1 should, by reason of physical or
mental disability, become unable to take part in decisions for my
own future by virtue of \~hat is commonly knO\~n as "brain death", I
order and direct that, where there is no reasonable expectation of
my recovery from physical disability, 1 be permitted to die and th t
I not be kept alive by artificial means. It is my express desire
WAYl'fE fo~. SIIAIIF.
Attorne, at La.
S South IhnoYtr Strut
Carllll.. Pennl,tnnl. 17013
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WAVNB F. SIIAIlI!
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1701l
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CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent: Sarah Berstler, aka Sarah V. Berstler
Date of Death: March 3, 1996
No. 21-96-260
To the Register of wills:
I hereby certify that notice of beneficial interest as
required by Rule 5.6(a) of the Orphans' Court Rules was served
upon or mailed to the following beneficiaries of the above-
captioned Estate on April 1, 1996:
Ronald L. Peck
1945 spring Road
Carlisle, Pennsylvania 17013
David G. Peck
315 Camp Ground Road
Dillsburg, Pennsylvania 17019
Richard T. Berstler
114 Holly Drive
Mechanicsburg, Pennsylvania
Rochelle Wade
P.O. Box 2343
Show Low, Arizona
85901
Sandra Palmer
241 Kenmar Drive
New Cumberland, Pennsylvania
Jackie Triano
8559 Minvet Place
panarama City, California
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17055 IT " ~n
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17070
91402
Karen J. Darhower
212 Third Street, Apartment 7
New Cumberland, Pennsylvania 17070
Notice has now been given to all persons entitled thereto
under Rule 5.6(a).
Date: April 1, 1996
t1Y~r:-~.
wayn-e' F. Shade, Esquire
53 West Pomfret Street
Carlisle, Pennsylvania 17013
Telephone: 717-243-0220
Counsel for Personal
Representative
NOTICE OF BENEFICIAL INTEREST IN ESTATE
BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, PENNSYLVANIA
In re Estate of Sarah Berstler, aka Sarah V. Berstler, Deceased
No. 21-96-260
TO: Ronald L. Peck
1945 Spring Road
Carlisle, Pennsylvania
17013
Although you are probably already aware of the following
information, the law requires that you be provided with this
formal notice.
Please take notice of the death of decedent and
Letters to the personal representative named below.
beneficial interest in the Estate as testate heir.
the grant of
You have a
Name of Decedent: Sarah V. Berstler
Last known address of Decedent: 317 South High Street,
Mechanicsburg, Pennsylvania 17055
Date of death: March 3, 1996
Place of death: Holy Spirit Hospital, East Pennsboro TownShip,
Cumberland County, Pennsylvania
County of grant of original Letters: Cumberland
Decedent died testate.
A copy of the Will is attached.
The name, address and telephone number of the personal
representative appointed is Ronald L. Peck, 1945 Spring Road,
Carlisle, Pennsylvania 17013; home telephone 717-243-6741, work
telephone 717-795-4747.
The name,
follows:
Carlisle,
address and telephone number of all counsel is, as
Wayne F. Shade, Esquire, 53 West Pomfret Street,
Pennsylvania 17013 - 717-243-0220.
Additional information may be obtained from the following source.
Date: April 1, 1996
Wayne F. Shade, Esquire
53 West Pomfret street
Carlisle, Pennsylvania 17013
Telephone: 717-243-0220
Counsel for Personal
Representative
WAVN!! F. SHAIlI!
Attorney al lAw
5J Wesl Pom(",1 Slrttl
eartillc, Prnnl)'lvania
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NOTICE OF BENEFICIAL INTEREST IN ESTATE
BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, PENNSYLVANIA
In re Estate of Sarah Berstler, aka Sarah V. Berstler, Deceased
No. 21-96-260
TO: David G. Peck
315 Camp Ground Road
Dillsburg, Pennsylvania
17019
Although you are probably already aware of the following
information, the law requires that you be provided with this
formal notice.
Please take notice of the death of decedent and the grant of
Letters to the personal representative named below. You have a
beneficial interest in the Estate as testate heir.
Name of Decedent: Sarah V. Berstler
Last known address of Decedent: 317 South High Street,
Mechanicsburg, Pennsylvania 17055
Date of death: March 3, 1996
Place of death: Holy spirit Hospital, East Pennsboro Township,
Cumberland County, Pennsylvania
County of grant of original Letters: Cumberland
Decedent died testate.
A copy of the Will is attached.
The name, address and telephone number of the personal
representative appointed is Ronald L. Peck, 1945 Spring Road,
Carlisle, Pennsylvania 17013; home telephone 717-243-6741, work
telephone 717-795-4747.
The name,
follows:
Carlisle,
address and telephone number of all counsel is, as
Wayne F. Shade, Esquire, 53 West Pomfret Street,
Pennsylvania 17013 - 717-243-0220.
Additional information may be obtained from the following source.
Date: April 1, 1996
Wayne F. Shade, Esquire
53 West Pomfret Street
Carlisle, Pennsylvania 17013
Telephone: 717-243-0220
Counsel for Personal
Representative
WAYNH F. SUAUI!
^ l10mty I. taw
'3 Weal romrm Strffl
C.r1illc.I'rnnlylvania
I7UIl
i
I
I
r
NOTICE OF BENEFICIAL INTEREST IN ESTATE
BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, PENNSYLVANIA
In re Estate of Sarah Berstler, aka Sarah V. Berstler, Deceased
No. 21-96-260
TO: Rochelle Wade
P.O. Box 2343
Show Low, Arizona
85901
Although you are probably already aware of the following
information, the law requires that you be provided with this
formal notice.
Please take notice of the death of decedent and the grant of
Letters to the personal representative named below. You have a
beneficial interest in the Estate as testate heir.
Name of Decedent: Sarah V. Berstler
Last known address of Decedent: 317 South High street,
Mechanicsburg, pennsylvania 17055
Date of death: March 3, 1996
Place of death: Holy spirit Hospital, East Pennsboro Township,
Cumberland county, pennsylvania
county of grant of original Letters: Cumberland
Decedent died testate.
A copy of the Will is attached.
The name, address and telephone number of the personal
representative appointed is Ronald L. Peck, 1945 spring Road,
Carlisle, Pennsylvania 17013; home telephone 717-243-6741, work
telephone 717-795-4747.
The name,
follows:
Carlisle,
address and telephone number of all counsel is, as
Wayne F. Shade, Esquire, 53 West Pomfret street,
Pennsylvania 17013 - 717-243-0220.
Additional information may be obtained from the following source.
Date: April 1, 1996
Wayne F. Shade, Esquire
53 West Pomfret Street
Carlisle, Pennsylvania 17013
Telephone: 717-243-0220
Counsel for Personal
Representative
WhYNIl F. SllhlJ\!
AUomt'f atl..aw
.53 Wul pomrrt{ Stitt'
Carli.lt. Ptnn.yhrania
17013
NOTICE OF BENEFICIAL INTEREST IN ESTATE
BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, PENNSYLVANIA
In re Estate of Sarah Berstler, aka Sarah V. Berstler, Deceased
No. 21-96-260
TO: Jackie Triano
8559 Minvet Place
Panarama city, california
91402
Although you are probably already aware of the following
information, the law requires that you be provided with this
formal notice.
Please take notice of the death of decedent and the grant of
Letters to the personal representative named below. You have a
beneficial interest in the Estate as testate heir.
Name of Decedent: Sarah V. Berstler
Last known address of Decedent: 317 South High street,
Mechanicsburg, Pennsylvania 17055
Date of death: March 3, 1996
Place of death: Holy spirit Hospital, East pennsboro Township,
cumberland County, Pennsylvania
county of grant of original Letters: cumberland
Decedent died testate.
A copy of the will is attached.
The name, address and telephone number of the personal
representative appointed is Ronald L. Peck, 1945 spring Road,
Carlisle, Pennsylvania 17013; home telephone 717-243-6741, work
telephone 717-795-4747.
The name,
follows:
Carlisle,
address and telephone number of all counsel is, as
Wayne F. Shade, Esquire, 53 West Pomfret Street,
Pennsylvania 17013 - 717-243-0220.
Additional information may be obtained from the following source.
Date: April 1, 1996
Wayne F. Shade, Esquire
53 West Pomfret Street
carlisle, Pennsylvania 17013
Telephone: 717-243-0220
Counsel for Personal
Representative
WAYN\! F. SnAil\!
AUomcy at 1.&"
5lWul rootfrtlSU<<1
Carliilc. rrnnl)'lvsnia
1701l
NOTICE OF BENEFICIAL INTEREST IN ESTATE
BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, PENNSYLVANIA
In re Estate of Sarah Berstler, aka Sarah V. Berstler, Deceased
No. 21-96-260
TO: Karen J. Darhower
212 Third street, Apartment 7
New cumberland, Pennsylvania 17070
Although you are probably already aware of the following
information, the law requires that you be provided with this
formal notice.
Please take notice of the death of decedent and the grant of
Letters to the personal representative named below. You have a
beneficial interest in the Estate as testate heir.
Name of Decedent: Sarah V. Berstler
Last known address of Decedent: 317 South High street,
Mechanicsburg, Pennsylvania 17055
Date of death: March 3, 1996
Place of death: Holy Spirit Hospital, East Pennsboro Township,
Cumberland county, Pennsylvania
County of grant of original Letters: cumberland
Decedent died testate.
A copy of the Will is attached.
The name, address and telephone number of the personal
representative appointed is Ronald L. Peck, 1945 spring Road,
Carlisle, Pennsylvania 17013; home telephone 717-243-6741, work
telephone 717-795-4747.
The name,
follows:
carlisle,
address and telephone number of all counsel is, as
Wayne F. Shade, Esquire, 53 West Pomfret Street,
Pennsylvania 17013 - 717-243-0220.
Additional information may be obtained from the following source.
Date: April 1, 1996
Wayne F. Shade, Esquire
53 West Pomfret Street
Carlisle, Pennsylvania 17013
Telephone: 717-243-0220
Counsel for Personal
Representative
WAYNE F. SUAIlI!
AUornt')' all..Iw
S) W(lt I'omrm SlttcI
(".,Iitlt. Pmnlylnnia
170B
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IN RE: ESTATE OF
SARAH BERSTLER, a/k/a
SARAH V. BERSTLER,
Deceased, Late of the
Borough of Mechanicsburg :
Cumberland County, Pennsylvania:
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 21-96-260
STATEMENT OF PROPOSED DI~TRIBUTION
The Executor proposes to distribute the entire balance of
the Estate for distribution under the provisions of Item Second
of the Last Will and Testament of the decedent, as follows:
1. David G. Peck $13,700.52
2. Estate of Ronald L. Peck 13,700.52
'3. Rochelle Wade 13,700.52
4. Sandra Palmer 13,700.52
5. Jacqueline Triano 13,700.52
6. Richard T. Berstler 13,700.52
7. Karen Darhower 13.700.52
TOTAL $95,903.64
I, David G. Peck, Executor of the Estate of Sarah Berstler,
a/k/a Sarah V. Berstler, Deceased, hereby declare under penalty
of perjury that the foregoing Statement of Proposed Distribution
is true and correct to the best of my knowledge, information and
belief.
Date: January 30, 1997
~;2k
David G. Peck
WAYNI! F. SHADe
A_ II Law
S) w... Pumtrtl Strtd
Cattdle, Pawylvania
17011
I.
LAST HILL AND TESTAMENT
I, SARAH V. BERSTLER, of thc Borough of Hcchanicsburg, County
of Cumbcrland, Commonwcalth of Pcnnsylvania, being of sound and
disposing mind, memory and understanding, do make, publish and
declare this as and for my Last Hill and Testament, hereby revokin
and making void all former wills and codicils by me at any time
heretofore made.
FIRST. I order and direct that all my just debts and funeral
expenses be paid by my Executor, hereinafter named, as soon as
conveniently may be done after my decease.
SECOND. All the rest, residue and remainder of my Estate,
real, personal and mixed, whatsoever and wheresoever situate, I
give, devise and bequeath in seven (7) equal shares unto my
children, DAVID G. PECK and RONALD L. PECK, and my step-children,
~ ROCHELLE HADE, SANDRA SHORT, JACQUELINE TRIANO, RICIUIRD T. BERSTLE
~ and KAREN DARHOIo/ER, absolutely and in fee simple, in equal shares.
If any of my said children or step-children should fail to survive
me, then and in that event, I give, devise and bequeath the share
of the same unto such of them who shall survive me, absolutely and
.
in fee simple, in equal shares.
THIRD. In the event that I should, by reason of physical or
mental disability, become unable to take part in decisions for my
own future by virtue of what is commonly known as "brain death", I
order and direct that, where thcre is no reasonable expectation of
my recovery from physical disability, I be permitted to die and th t
I not bc kept alive by artificial mcans. It is my cxpress desire
WAY"! F. SIIADF.
Attorn., I' La"
S South Ihnenr Slut!
C"lht.. P.nn.,I.,.nl, 17013
that I not be permitted to suffer the indi~nities of deterioration,
dependence and hopeless pain and that therefore, medication be
mercifully administered to me only to alleviate my suffering, even
though this may hasten the moment of death.
LASTLY. I nominate, constitute and appoint my son, RONALD L.
PECK, to be the Executor of this my Last Will and Testament, but i
.
for any reason, he should fail to qualify as such Executor or
cease so to serve, then and in that event, I nominate, constitute
and appoint my son, DAVID G. PECK, and my step-son, RICHARD T.
BERSTLER, as successive alternative Executors hereof, each to serv
without bond.
IN WITNESS '~EREOF, I, SARAH V. BERSTLER, have hereunto set
my hand and seal to this, my Last Will and Testament which consists
of three (3) typewritten pages to each of which I have affixed my
~
.
W Arft" F. SllA."
Attorn., II La.
S Soulh Ihnoyu SUtel
,
nlll1.. P,nn.,I".nl. 170U
- 2 -
signature this:< 3...J... day of F ~
One Thousand Nine Hundred Eighty-four (1984).
, A.D.,
,d~~~ (SEAL)
The preceding instrument, consistinp, of this and two (2)
other typewritten pages, each identified by the signature of the
Testatrix, was on the date thereof signed, sealed, published and
declared by SARAH V. BERSTLER, the Testatrix therein named, as
for her Last Will and Testament, in the presence of us, who, at
her request, in her presence, and in the presence of each other,
have subscribed our names as witnesses hE,reto.
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53 WCII pomr", SUtd
CarlUIe, Pmalylv....
17013
IN TilE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
IN RE: ESTATE OF
SARAIl BERSTLER, a/kin
SARAIl V. BERSTLER,
Deceased, Late of the
Borough of Mechanicsburg :
Cumberland County, Pennsylvania:
NO. 21-96-260
FffiST AND FINAL ACCOUNT OF,
DAVID G. PECK, EXECUTOR
Date of Death: March 3, 1996
Letters Testamentary Granted: March 29, 1996
First complete Advertisement of Grant of Letters: July 5, 1996
Account Stated to January 29, 1997
3/29/96
3/29/96
4/16/96
4/18/96
4/22/96
5/20/96
5/20/96
7/10/96
8/26/96
1/29/97
PRINCIPAL RECEIPTS
Net proceeds of sale of house and lot
of ground known and numbered as 317
South High Street, Mechanicsburg,
Pennsylvania
Suburban Cable TV Co., Inc.,
subscription refund
Members 1st Federal credit Union,
combined balance of Account No. 47117
Kevin G. Flaherty, proceeds of sale of
1985 Ford automobile
Shipley oil Company, oil service refund
Donegal Mutual Insurance company,
automobile insurance refund
Capital Blue Cross, health insurance
premium refund
Bell Atlantic, telephone service refund
Donegal Companies, homeowner's insurance
refund
Pennsylvania Department of Revenue,
inheritance tax refund
$ 83,218.57
14.73
25,764.74
2,500.00
69.25
61. 00
196.10
13.09
48.50
596.51
$112,482.49
TOTAL PRINCIPAL RECEIPTS
WAYlIP. F. SHADE
Aa.cner aI Law
53 w... I'<>mfrd SUttl
CarIialc. r-oylvaala
17013
!lRINCIIJAL DISBURSEMENTS
Bell Atlantic, outstanding check for
telephone service
united Water of Pennsylvania,
outstanding check for water service
Shipley oil Company, outstanding check
for fuel oil
Wayne F. Shade, reimbursement for
probate fees
Wayne F. Shade, reimbursement for
advertising Letters Testamentary
PP&L, electric service
Bell Atlantic, telephone service
Myers Funeral Home
Barry L. Heckard, sr., real estate per
capita tax
Donegal Mutual Insurance Company,
homeowner's insurance
Borough of Mechanicsburg, sewer and
refuse
central Penn Appraisals, Inc., real
estate appraisal
Register of Wills, estimated
Inheritance Tax
Bell Atlantic, telephone service
PP&L, electric service
The Sentinel, advertise Letters
Testamentary
Bell Atlantic, telephone service
United Water, water service
David G. Peck, reimbursement for
veterinary fees
PP&L, electric service
Register of wills, file Petition for
Probate
6/20/96 Cumberland Law Journal, advertise
Letters Testamentary
3/29/96
3/29/96
3/29/96
4/25/96
4/25/96
4/25/96
4/25/96
4/25/96
4/25/96
4/25/96
4/25/96
4/25/96
5/ 1/96
5/ 1/96
5/ 9/96
5/10/96
5/30/96
5/30/96
5/30/96
6/ 7/96
6/17/96
-2-
$ 19.22
35.86
87.00
220.00
60.00
78.74
21. 69
5,361.00
161. 54
99.50
70.70
250.00
5,500.00
19.03
24.08
78.38
19.45
39.54
232.00
19.85
25.00
60.00
6/28/96
7/ 9/96
7/11/96
7/17/96
7/17/96
7/24/96
10/ 2/96
10/ 3/96
1/29/97
1/?9/97
Bell Atlantic, telephone service
David G. Peck, reimbursement for refuse
removal
PP&L, electric service
PP&L, electric service
united Water, water service
The sentinel, advertise Letters
Testamentary
Register of wills, filing Inheritance
Tax Return
James R. Gingrich Memorials, grave
marker engraving
Wayne F. shade, attorney fees
Register of wills, reserve for filing
Account, etc.
TOTAL PRINCIPAL DISBURSEMENTS
INCOME RECEIPTS
4/16/96 Members 1st Federal credit Union,
combined interest on Account No. 47117
1/23/97 Farmers Trust Co., interest on certifi-
cates of deposit
TOTAL INCOME RECEIPTS
INCOME DISBURSEMENTS
1/29/97 Reserve for 1997 income tax
TOTAL INCOME DISBURSEMENTS
WAYN1! F. SHADe
A_" lAw
53 WUI PomIrd SIred
Carlisle. 1'alIu)'1v....
17013
-3-
20.86
220.00
22.05
9.80
21. 52
85.72
15.00
60.00
5,400.00
200.00
$ 18,537.53
$
103.47
1.955.25
$ 2,058.72
$
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17013
IN RE: ESTATE OF
SARAH BERSTLER, a/k/a
SARAH V. BERSTLER,
Deceased, Late of the
Borough of Mechanicsburg
Cumberland County, Pennsylvania:
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 21-96-260
RELEASE
KNOW ALL MEN BY THESE PRESENTS, That I, KAREN J. DARHOWER,
being one of the heirs of the Estate of Sarah Berstler, a/k/a
Sarah V. Berstler, Deceased, late of the Borough of
Mechanicsburg, Cumberland County, Pennsylvania, do hereby
acknowledge that I have this date had and received of and from
David G. Peck, Executor of the Estate of the said Sarah
Berstler, a/k/a Sarah V. Berstler, Deceased, the sum of Thirteen
Thousand Seven Hundred Seventy-Three and 88/100 ($13,773.88)
Dollars, in full satisfaction and payment of all such sum or sums
of money, legacies, bequests, intestate shares and family
exemptions to which I am entitled by Will or as an heir-at-law
and to which I am entitled from the Estate of said Decedent.
NOW, THEREFORE, I do hereby remise, release, quitclaim and
forever discharge the said David G. Peck, Executor of said
Estate, his heirs, executors, administrators and assigns, of and
from the said legacy or legacies and other shares in said Estate
and of and from all actions, suits, payments, accounts,
reckonings, claims and demands whatsoever, for and by reason
thereof, or of any other act, matter, cause or thing whatsoever,
from the beginning of the world to the date of these presents.
IN WITNESS WHEREOF, I have hereunto set my hand and seal,
this 7th day of March, 1997.
WITNESS:
Cv,~", 9 4,~
~({I piJA~d</
aren . Darhower
(SEAL)
COMMONWEALTH OF PENNSYLVANIA )
) SS:
COUNTY OF CUMBERLAND )
On this, the 7th day of March, 1997, before me, the
undersigned officer, personally appeared KAREN J. DARHOWER, known
to me (or satisfactorily proven) to be the person whose name is
subscribed to the within instrument and acknowledged that she
executed the same for the purposes therein contained.
IN WITNESS WHEREO
seal. Notarial Seal
Connie J. Trill, Notary Public
Carlisle. Cumberland Counly
My Commission Expires Oct. S. 2000
L
nto set my hand and official
~-<~i---/~
Notary Pu ic
WAYNE F. SHAIlI:
AlIomt'). Illl..1w
~., Wc~l l'l'lllrrrl StJed
t':uli,k.I't'ool)'lv:lOi.ll
1701l
IN RE: ESTATE OF
SARAH BERSTLER, a/k/a
SARAH V. BERSTLER,
Deceased, Late of the
Borough of Mechanicsburg
Cumberland County, Pennsylvania:
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 21-96-260
RELEASE
KNOW ALL MEN BY THESE PRESENTS, That I, RICHARD T. BERSTLER,
being one of the heirs of the Estate of Sarah Berstler, a/k/a
Sarah V. Berstler, Deceased, late of the Borough of
Mechanicsburg, Cumberland County, Pennsylvania, do hereby
acknowledge that I have this date had and received of and from
David G. Peck, Executor of the Estate of the said Sarah
Berstler, a/k/a Sarah V. Berstler, Deceased, the sum of Thirteen
Thousand Seven Hundred Seventy-Three and 88/100 ($13,773.88)
Dollars, in full satisfaction and payment of all such sum or sums
of money, legacies, bequests, intestate shares and family
exemptions to which I am entitled by will or as an heir-at-law
and to which I am entitled from the Estate of said Decedent.
NOW, THEREFORE, I do hereby remise, release, quitclaim and
forever discharge the said David G. Peck, Executor of said
Estate, his heirs, executors, administrators and assigns, of and
from the said legacy or legacies and other shares in said Estate
and of and from all actions, suits, payments, accounts,
reckonings, claims and demands whatsoever, for and by reason
thereof, or of any other act, matter, cause or thing whatsoever,
from the beginning of the world to the date of these presents.
IN WITNESS WHEREOF, I have hereunto set my hand and seal,
this l,.I" day of March, 1997.
WITl\E, SS:
/ Jr. .
. '/ I , I.
i t' ':
/', fr/" ,-
_) ',_n
, ~, ;L( ;.:a It'
Richard T. Berstler
(SEAL)
./il( , .11
../
COMMONWEALTH OF PENNSYLVANIA )
) SS:
COUNTY OF CUMBERLAND )
On this, the I.,i" day of March, 1997, before me, the
undersigned officer, personally appeared RICHARD T. BERSTLER,
known to me (or satisfactorily proven) to be the person whose
name is subscribed to the within instrument and acknowledged that
he executed the same for the purposes therein contained.
I hereunto set my hand and official
IN WITNESS WHEREOF
sea 1. ";''';t.'''~ :-..'J
""'l'''. ~ I '),,'r':~.., .......1.';./ Pt':-~:-
. ;:;~~:::_~.~::;~~;L~::;,':'::~j
tt.unbui, I 'U\fhP.'Ul~I/\tWV.."'JlIOI Not..,...
.,! \ \
Notary Public
'.l. \ I,,' '/ .
WA\'NH F. SHAIJI!
AIIOfT\r)'at t.aw
~\W(J11'lIIl11rrr1SIrt"rt
('.;uJi,IC', "rnn'ylnni"
1711I\
IN RE: ESTATE OF
SARAH BERSTLER, a/k/a
SARAH V. BERSTLER,
Deceased, Late of the
Borough of Mechanicsburg
Cumberland county, Pennsylvania:
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 21-96-260
RELEASE
KNOW ALL MEN BY THESE PRESENTS, That I, KARIN G. PECK, being
one of the heirs of the Estate of Sarah Berstler, a/k/a Sarah V.
Berstler, Deceased, late of the Borough of Mechanicsburg,
Cumberland county, Pennsylvania, do hereby acknowledge that I
have this date had and received of and from David G. Peck,
Executor of the Estate of the said Sarah Berstler, a/k/a Sarah
V. Berstler, Deceased, the sum of Thirteen Thousand Seven Hundred
Seventy-Three and 88/100 ($13,773.88) DOllars, in full
satisfaction and payment of all such sum or sums of money,
legacies, bequests, intestate shares and family exemptions to
which I am entitled by will or as an heir-at-law and to which I
am entitled from the Estate of said Decedent.
NOW, THEREFORE, I do hereby remise, release, quitclaim and
forever discharge the said David G. Peck, Executor of said
Estate, his heirs, executors, administrators and assigns, of and
from the said legacy or legacies and other shares in said Estate
and of and from all actions, suits, payments, accounts,
reckonings, claims 3nd demands whatsoever, for and by reason
thereof, or of any other act, matter, cause or thing whatsoever,
from the beginning of the world to the date of these presents.
IN WITNESS WHEREOF, I have hereunto set my hand and seal,
this ~ d, day of March, 1997.
WITNESS:
~q.f~
K~ C. ~o?
Karin G. Peck
(SEAL)
COMMONWEALTH OF PENNSYLVANIA )
) SS:
COUNTY OF CUMBERLAND )
On this, the 6d day of March, 1997, before me, the
undersigned officer, personally appeared KARIN G. PECK, known to
me (or satisfactorily proven) to be the person whose name is
subscribed to the within instrument and acknowledged that she
executed the same for the purposes therein contained.
IN W
sea 1. NOlan81 Seal
Connie J Trill. Notary Public
I Carlisle. Cnmberland Counly
. Mv Commission Expires Del. 5. 2000
1_
unto set my hand and official
~ c:.7 ,-f~
Notary Pu)!S'1 ic
WAYNE F. SIIAIlE
Allt1mr)' al I..w
~U W,,\t l'tllnhrl Sllcel
('atli,I".I\-nn'yl\'ani.l
17111.\
IN RE: ESTATE OF
SARAH BERSTLER, a/k/a
SARAH V. BERSTLER,
Deceased, Late of the
Borough of Mechanicsburg
Cumberland County, Pennsylvania:
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 21-96-260
RELEASE
KNOW ALL MEN BY THESE PRESENTS, That I, SANDRA PALMER, being
one of the heirs of the Estate of Sarah Berstler, a/k/a Sarah V.
Berstler, Deceased, late of the Borough of Mechanicsburg,
Cumberland County, Pennsylvania, do hereby acknowledge that I
have this date had and received of and from David G. Peck,
Executor of the Estate of the said Sarah Berstler, a/k/a Sarah
V. Berstler, Deceased, the sum of Thirteen Thousand Seven Hundred
Seventy-Three and 88/100 ($13,773.88) Dollars, in full
satisfaction and payment of all such sum or sums of money,
legacies, bequests, intestate shares and family exemptions to
which I am entitled by Will or as an heir-at-law and to which I
am entitled from the Estate of said Decedent.
NOW, THEREFORE, I do hereby remise, release, quitclaim and
forever discharge the said David G. Peck, Executor of said
Estate, his heirs, executors, administrators and assigns, of and
from the said legacy or legacies and other shares in said Estate
and of and from all actions, suits, payments, accounts,
reckonings, claims and demands whatsoever, for and by reason
thereof, or of any other act, matter, cause or thing whatsoever,
from the beginning of the world to the date of these presents.
~N~~NESS WHEREOF, I have hereunto set my hand and seal,
thisC-:- day of March, 1997.
WITNESS:
9~,
deb<< /t~ Aldt!-t/'
Sandra Palmer
(SEAL)
COMMONWEALTH OF PENNSYLVANIA )
) 55:
COUNTY OFC\<""LIClr0 )
On this, the ~ day of March, 1997, before me, the
undersigned officer, personally appeared SANDRA PALMER, known to
me (or satisfactorily proven) to be the person whose name is
subscribed to the within instrument and acknowledged that she
executed the same for the purposes therein contained.
IN
seal.
WITNESS WHEREOF, I hereunto set my hand and official
~'--'- . . -:'-~:'J. c----,~/f/7'"
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WAYNI! F. SIIAIlE
Allomry al l.aw
H\\'nlll(ll1tfrrlSltrd
('alli,I~'. l'mR,)h'.:u\i:r.
I7llLl
IN RE: ESTATE OF
SARAH BERSTLER, a/k/a
SARAH V. BERSTLER,
Deceased, Late of the
Borough of Mechanicsburg
Cumberland county, Pennsylvania:
IN TilE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 21-96-260
RELEASE
KNOW ALL MEN BY THESE PRESENTS, That I, DAVID G. PECK, being
one of the heirs of the Estate of Sarah Berstler, a/k/a Sarah V.
Berstler, Deceased, late of the Borough of Mechanicsburg,
Cumberland county, Pennsylvania, do hereby acknowledge that I
have this date had and received of and from myself, David G.
Peck, Executor of the Estate of the said Sarah Berstler, a/k/a
Sarah V. Berstler, Deceased, the sum of Thirteen Thousand Seven
Hundred Seventy-Three and 93/100 ($13,773.93) DOllars, in full
satisfaction and payment of all such sum or sums of money,
legacies, bequests, intestate shares and family exemptions to
which I am entitled by Will or as an heir-at-law and to which I
am entitled from the Estate of said Decedent.
NOW, THEREFORE, I do hereby remise, release, quitclaim and
forever discharge myself, the said David G. Peck, Executor of
said Estate, my heirs, executors, administrators and assigns, of
and from the said legacy or legacies and other shares in said
Estate and of and from all actions, suits, payments, accounts,
reckonings, claims and demands whatsoever, for and by reason
thereof, or of any other act, matter, cause or thing whatsoever,
from the beginning of the world to the date of these presents.
IN WITNESS WHEREOF, I have hereunto set my hand and seal,
this 6th day of March, 1997.
WITNESS:
pi
K o//-{ d~
David G. Peck
(SEAL)
~.,;f4
COMMONWEALTH OF PENNSYLVANIA
SS:
COUNTY OF CUNBERLAND
On this, the 6th day of March, 1997, before me, the
undersigned officer, personally appeared DAVID G. PECK, known to
me (or satisfactorily proven) to be the person whose name is
subscribed to the within instrument and acknowledged that he
executed the same for the purposes therein contained.
IN WITNESS WHEREOF I hereunt set my hand and official
seal. NolarialSeal ~
Connie J Trill. Notary Public, A .
, Carlisle, Cumberland County C). r I~
PI" ~~mmlssion Expires Del. 5, 2 ary Pu[jl ic
I _____
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0: 00
IN RE: ESTATE OF
SARAH BERSTLER, a/k/a
SARAH V. BERSTLER,
Deceased, Late of the
Borough of Mechanicsburg
Cumberland county, Pennsylvania:
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 21-96-260
RELEASE
KNOW ALL MEN BY THESE PRESENTS, That I, JACKIE TRIANO, being
one of the heirs of the Estate of Sarah Berstler, a/k/a Sarah V.
Berstler, Deceased, late of the Borough of Mechanicsburg,
Cumberland county, Pennsylvania, do hereby acknowledge that I
have this date had and received of and from David G. peck,
Executor of the Estate of the said Sarah Berstler, a/k/a Sarah
V. Berstler, Deceased, the sum of Thirteen Thousand Seven Hundred
seventy-Three and 88/100 ($13,773.88) Dollars, in full
satisfaction and payment of all such sum or sums of money,
legacies, bequests, intestate shares and family exemptions to
which I am entitled by will or as an heir-at-law and to which I
am entitled from the Estate of said Decedent.
NOW, THEREFORE, I do hereby remise, release, quitclaim and
forever discharge the said David G. Peck, Executor of said
Estate, his heirs, executors, administrators and assigns, of and
from the said legacy or legacies and other shares in said Estate
and of and from all actions, suits, payments, accounts,
reckonings, claims and demands whatsoever, for and by reason
thereof, or of any other act, matter, cause or thing whatsoever,
from the beginning of the world to the date of these presents.
IN WITNESS WHEREOF, I have here~to set my hand and seal,
this I( d- day of March, 1997. //
}/
~ ,-
f k/ ./; ,/ ' Ii'
[Jackie Triano
I
WITNESS:
..------ '
/'},
(SEAL)
STATE OF CALIFORNIA )
1 ' ) SS:
COUNTY OF lC':;1 lIf?r'l<=' I,;)L:, )
On this, the lO'l) day of March, 1997, before me, the
undersigned officer, personally appeared JACKIE TRIANO, known to
me (or satisfactorily proven) to be the person whose name is
subscribed to the within instrument and acknowledged that she
executed the same for the purposes therein contained.
WAYNI, F. SIIAIJE
Allomry.ll.aw
!l.l \\'(~t l'omJIt'1 Stm:1
('atlidt.l'mn\}h'ania
nun
IN WITNESS WHEREOF, I hereunto se,t, m~ hand and official
seal. ~ ~ ~
' .. OSCAR A LAGOS ).)'
Q' . 4 COP/.M '1053162 ""'" /r,i l," J '.
l- r- ., ..."",- "U'." CAL',)"'" ~ ~ ( ,
~ r;'t\,:;'~ '~ll~~~~"7;~r~!:" :i~.";~ i# Notary public
.."~,...... . ......... _..... ._'0.' ....~. ...._.,.~
IN RE: ESTATE OF
SARAH BERSTLER, a/k/a
SARAH V. BERSTLER,
Deceased, Late of the
Borough of Mechanicsburg
cumberland county, Pennsylvania:
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 21-96-260
RELEASE
KNOW ALL MEN BY THESE PRESENTS, That I, ROCHELLE WADE, being
one of the heirs of the Estate of Sarah Berstler, a/k/a Sarah V.
Berstler, Deceased, late of the Borough of Mechanicsburg,
cumberland County, Pennsylvania, do hereby acknowledge that I
have this date had and received of and from David G. peclt,
Executor of the Estate of the said Sarah Berstler, a/k/a sarah
V. Berstler, Deceased, the sum of Thirteen Thousand Seven Hundred
Seventy-Three and 88/100 ($13,773.88) Dollars, in full
satisfaction and payment of all such sum or sums of money,
legacies, bequests, intestate shares and family exemptions to
which I am entitled by Will or as an heir-at-Iaw and to which I
am entitled from the Estate of said Decedent.
NOW, THEREFORE, I do hereby remise, release, quitclaim and
forever discharge the said David G. peck, Executor of said
Estate, his heirs, executors, administrators and assigns, of and
from the said legacy or legacies and other shares in said Estate
and of and from all actions, suits, payments, accounts,
reckonings, claims and demands whatsoever, for and by reason
thereof, or of any other act, matter, cause or thing whatsoever,
from the beginning of the world to the date of these presents.
. IN nITNESS WHEREOF, I have hereunto set my hand and seal,
thlS () day of March, 1997.
)
WITNESS:
\" ~
I ~t-c.'\..\..
(C'e.Ql) n .
);;( kll' ;-/"" ~/c._
Rochelle Wade
(SEAL)
STATE OF ARIZONA
55:
COUNTY OF ;0 ~ , ~ \L
On this, the ) C. day of March, 1997, before me, the
undersigned officer, personally appeared ROCHELLE WADE, known to
me (or sati~f~~torily proven) to be the person whose name is
subscribed to th~ ~ithin instrument and acknowledged that she
executed the S3me fe,r the purposes therein contained.
W^\"NE F. SII^IlE
Allnmr)' a11.aw
n WC'~1 I'umlrcl Surel
('lIrlidi:,I'cnn,)l\'ani.l
\1UIl
IN WITNESS '~HEPEOF, I hereunto set my hand
seal. I
and offis:ial
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PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN X IN THE APPROPRIATE
SPACES.
YES NO
1. Did decedent make a tranefer and:
a. retain the use or income of the property transferred, X
b. retain the right to designate who shall use the property transferred
or its income, X
c. retain a reversionary interest, or. X
d. receive the promise for life of either payments, benefits or care? X
t:
2. If death occurred on or before December 12, 1982, did decedent within two
years preceding death transfer property without receiving adequate
consideration? If death occurred after December 12, 1982, did decedent
transfer property within one year of death without roceiving adequate
consideration?
3. Did decedent own an 'in trust for' bank account at his or her death?
IF TIm ANSWER TO ANY OF TIm ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
r'\
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X
X
IU!V,unll~'\" (12.IS)
. COMMONWI:AI.TII 01' )'I:NNs\'I.VANIA
INllliRnANCIlTAX RlrrURN
IUJ.'IIUI!NT DP.CllDl!NT
SCIIEDULE A
REAL ESTATE
ESTATE OF
FILE NUMaER
21-96-26D
Sarah Beretler, a/k/a sarah V. Doretlor
r r1 OInt ownt WI I I . UNIYOn r mllll lie OUt (~I. t. U
ASSESSED
VALUE
VALUE AT DATE
OF DEATH
ITEM
NUMBER DESCRIPTION
1.
Net proceeds of sale of house and lot of ground
known and numbered as 317 South High street,
Mechanicsburg, Pennsylvania
83,218.57
"
.'
TOTAL (Aleo enter on line 1, Recapitulat on)
83,218.57
(II nKm tpICe IS ottdcd InK" IW&lluonal SU('cU 01 umt t'U)
A. Settlement Dtntcmont
U.S. CtpMlmcnt or tloullnl
.r.J UrL>.ln C~...e\tlnent
~8 tlo. 2!loz.on~
I. 1)-pe of LOin
1.0 '"" 2.0 '11\I'" ),0 Conll. Unln..
4.0 VA 5.0 COOIl. Ins.
c.. fllelooll1tJer
. LOI:l h\,ll~..er
8. HorlYol~r Ill\. Cn... liulmr
fiT.MARK'n
C. 1hls torlll " furnhhed as . sUlC!f!lCnl of .clual ,...tttt~nl cosU. AmoU'l'. paid 10 .nd by Ihe settll.'1'P\('n1 ..,enl Ite Iohown.
lieN Nrlcd (p.o.c) were paid ouulde Ihe clo1.ln.,j Ihty ore "ho..n t.or InfotNllonal purposes Ind .re not includrd in louts.
D. SlIN' .od Ad<JreU ot 10rtOw., E. WIIft1C Ind AdJrns of suter f. Hllftlt Ind Addreu of Lef'lJer
THE EVANGELICAL LUTHERAN DAVID G. PECK,
ST. MARK'S CHURCH OF Alternate Executor of
MECHANICSBURG, PA tho Eatatc of
Sarah V. Berstler
G. Property Location H. SettleG\tnt Agenl MURREL R. WALTERS III. ESQ.
317 SOUTH 'HIGH STREET Pl.te of Settlement I. Senlemcnl D'U
MECHAIIICSBURG, PA 17055
53 WEST paM FRET STREET 07/10/96
CARLISLE, PA 17013
J. SUXHA.1l.Y or SCAROIlER'S tUNSACflONI K. SUXXAAf Of SELLER'S TRANSACTION I
100. GROSS AKOONT DUE fROH BORRMR 400. GROSS AKOONt DUE to SELLER
101. Canlratt uln price 84.000.00 401. CanU.tt IIln price 84.000.00
102. PersCt\lI propertY 402. Personal properly
10]. Setllement chlrlles to borrowerellne 1400) 964.00 40J.
104. 404.
105. 405.
AdJUJ.tNnU for' ttlllS paid by sel let In .d'ilnce Adjustllltntl for IttfllS paid by sellet tn .cN.nte
106. City/town uu, .. 406. City/town taUI ..
107. COI.I'\1Y uus 07110/96 to 12/31/96 72.75 407. COlllty tun 07110/96 to 12/31196 n.n
108. Auenmenu .. 408. AUUPlenta ..
109. 409.
110. 410.
111. 4".
m "2
,
120~ GROSS ~T DUE FROH BOUMR 85,056.75 '20. CROSS AMQJN1 DUE 10 SELLER 84.072.7S
200. AMCl./Nts PAID BY OR IN SEAAlf OF SCRROU'ER 500. REOUCflONS IN AXOONT DUE 10 SELUR
201. Deposit or earnest IllOncy 501. heen deposltenc Instructions)
202. Principal IlIlOII\t 01 new 10an(l) 502. Sl!tHfl!lent tharlltl to nlhrUlne 1400) 1540.00
20l. Exhtlnll 10anU) uten lubJect to 50l. hlstlnll 'Clln(l) uken lubJect to
204. 504. Payoff of flnt IllOttgag. lClon
205. 50S. P.yoff 01 lecard rortlla". loan
206. 506.
207. 507.
2015. 508..
209. 509.
ldJultlltnU for Hems lIIpatd by stUer AdjulllltnU tor items ~ld by ....\Ier
210. City/town toiles I. 510. City/town Ules ..
2n. Cwlty uxes .. 511. COt.nty tau. ..
212. Alsen~ntl 01/01196 to 07110/96 14.18 512. Assu~nl' 07101/96 to 07110196 14.18
2Il. 513.
214. 514.
Z15. 515.
216. 516.
m. 517.
Z115. 5'15.
219. 519.
220. 10tAL PAID 8y/fOR BOlRMR 14.18 520. tOTAL REDUCtiON #J4CUNT DUE SELLER M4.UI
)00. CASK AT SEttlEHENT fR<>>f110 8CAROU'ER 600. CASH AT SE11L[M[N1 TO/fRCIi SELLU
]01. Cron AI!lOUOt dYe Irom borrower(line 120) 85,056.75 601. Cton I/I'lO\lf\t due to "Itere line 420) 8/'.071.15
l02. leu I:nount paid by/tor borrowcrellnc 220) I 1&..18 I 602. Leu red\JCtlon olIl'Cunl due sellerelln... 520) I B~/'.1B I
303. CASH( m fROH)(O 10) 8ORROU'ER 85.042.57 t.Ol. C.lSH( m TO)( 0 fROM) SELLU 6J.21!,S1
t'
1hc inlorNtlon e:onulncd tn 8loe:h E, C, H and I al'd on \lne 40Hor. It line 401 II Ulerhled. linn &.OJ Ind 404) II
hrporunt u. Inforll\oStlcn.nd I' bel~ furnished 10 the Inlernal .~...r~e Ser....ln. If you Ire rrqulred tu f'le I return. I
ntlllillrnce penalty or olher unttlan wHI be IlrpO....d on you jl 1hl!. It('!'l " req...htd to be rrportell Ind Iht' lIS d,I'flllinn
thlt it h.u not been reported.
1l1.O'''' SEllU.u:N1 StAtEHENt
\.~.t;I"~: It i,. [fh~' In ~,,,,,,h'11)' ,...)1",1.1111" ,l.lh"."hlo tI'l' tlllilt',j U"lt\
en Hd, IIf '''1 olllfr "imillU tOf",. "t'II,II"", OJ'''' OH.lllllllO t;I'I I'w:h~lt'. fh'f
.r~ int'''''''''.:''!' for th:lall, 'I!f; Ihlt" III U.S. ({"It ~t'n'OI'I lulll , 1010.
~1';'J"I'I.lmElI'I' :;'j'h'J'EI1EII'J'
PAGE 2
------ J'AIV '~C14 I;:i-D'-I-~~--
L. SC1HEtoltlH tIW,CU
100.IOUL SALES/8I.O([Il'S COHHllSlOJrl b.St"d on flrle: , fl__,OGO.OOOl , . . 80UO\JlI'S SUIU'S
Dlllhlon of c~Jiulon (IIn. 700) u 10110"": IUloOSAI IU,,:JS AI
701. . 10 UIJUH[Jrll nlTlUI(Jrll
702. . "
701. Cl)'llnlulon ~Id at S.UItr.lent
704.
1100. IUHS PAYABlE IN CO"~ECtIOJrl \lIIH lOA~
1101. Lo.n OrlglNltlon hf! ,
e02. loan O"eO\l\t ,
eOl. Appr.."..t In 10
1104. Crtdlt Rfport I.
eos. Lender" InsPfctlon fu .
e06. "art gage Insurance Application he ..
e01. AUl.IfPtlOl'lfn
1105.
1109.
1110.
1111.
900. ImlS REWIIED BT LENDER 10 8[ PAlO IN ADVANCE
901. Intt"rnt fren .. " Id..y
90l. HOrlg..;e Insuranc. Prtnlhlll far months to
901. H"!lrd Insurance Prt"llllun for yurl to
901,.
90S.
1000. I[SUVES DEPOSlHO UItH LENDER
1001. Huard Insunnct" t:lOnths il , P" IPlOnth
IDOl. Hortglgt" Insur..nce months g , p("r Mnth
1001. City property tun t:lOnths il , pt"r month
1001,. C~typropertyt...n months il , 12.65 per lllOnth
1005. Amu..l anen/llents monthsilS 43.12 per rrmth
1006. tIlOnths Q' per IlIOI'lth
1007. II)f\ths il , Pfr lllOnth
10011. tlOnths D S per month
1100. TITLE CKARCU
1101. Seullt1lltnt or Closing fft t.
1102. Abstract or tltl~ search ..
1101. tltlt ellllllnatlon t.
1104. Tille Insurance blnclu t.
1105. Docunent pUp.lratlGn I. IJA'NESHAOE,ESa. P.O.C.
1106. Not..ry feu t.
1107. AUorneyrs fns t. MJRIIEl Jt. IJALTERS, [SQ. POC
C lncludu ..bove ItttrlS Nu:tltU: )
1I0S. Tlth Insurance t.
(Includes aboll' ftftlll Nl.Ilbcra: )
1109. hnder's cover..ge ,
1110. Owner's cover..ge ,
1111.
1112.
1113.
1200. COVERNMEJrlT RECOIlOING AND TRANSfER CHAlICES
120l. Ilfeordln\l hes: Dnd' 21.50 ;"ortgo\gt' , 25.S0 ;Rt"lt".'l~t", , 49.00
110l. Cltv/county t"/U.."ll': Oet"d' e40.00 ;~ort\ll;t" , 840.00
1l03. SUtlP t"l/su~s: Dft"d' 81,0.00 ;Hortg..ge' 640.00
llOI,.
120S.
1l00. ADDitiONAL SETtLE"ENr (KARCn
1301. Surlley ..
130l. Pt"st InsPfttlon t.
1303.
1301,.
1305. RAOO~ I ES I res 95.00
1400. rOlAl UTtU/'IEJrll CHAIlCts fenter on lint" 103. St"ctlon J end lint' 502, hellon l:) 96~ .00 8t.O.OO
CUIlflCAlICJrl
I h...... carefully relllhled the tll.~'1 SfUlt'fllfnt Statt'll'lt"nt and to thlP ~,t of III'( knowlrdllt" I~ bellt'l, It h II Hilt' ..nd IUlIr.t.
U"Cftnt"nt of ..ll nCt"lpts..nd dlsburSt'll'lt"nts m.:ade on ey .fCCO\lll1 cr by r.'IC' In this tr..nsattlon. I fllrtht'r certil) th..t I h..ve rt"c.,..td
. co~/'_ th:,H~'O'1 l~j'ltmt"nt St..tl'fflt"nt. _
~~I . '/['')''J r,~, ft. /' _&/~!.p"1 J:....,J, V. ;3"!.."'I..U.4JI12-L-~_
/ - -~1' ~~MJ r...s:.;vd.I,JL~
:.~lI" , _
~r("p,)I\'J ,~. Ir..... ,:I'''' .1('Io'"t.. .H(QlJfll of thi!, tr.n\.Iclio... I 1'0.... c.u,.d or ~tlt
"Ith thi, ..1.llrn"L
....., D, l.;e.
-DMr
"
MI!V.I)'l'Il:'~. (11.11II)
. CUMMON\'.'I!AI.TII (U'I'I'.N,..,~rl.V^NI^
INIIltMrrANCI! TAX KlnllMN
MI!,,'iIlJI'NTIJI!c'mllm
SCIIEDULE F
JOINTLY-OWNED PROPERTY
Sarah Dorotlor, a/k/a Sarah V. Dorotlor
FILE NUMDER
21-96-26D
ESTATE OF
Joint tonanl:(o).
lW1f<
ADDRESS
315 Camp Ground Road
Dil1sburg, PA 17D19
RELATIONSHIP TO DECEDENT
A. David G. Peck
Son
B.
C.
Jointly-owned property.
LETTEF .
ITEM FOR DATE
NUMBER JOINT HADE DESCRIPTION OF PROPERTY TOTAL VALUE DECD'S DOLLAR VALUE OF
TENANT JOINT OF ASSET \ INT. DECEDENT'S INTEREST
1. A 11/2]
1984 Members 1st Federal
Credit union, Share
savings Account No.
47117-00 364.85 50 182.43
2. A 11/2]
1984 Members 1st Federal
Credit Union,
Checking Aucount No.
47117-11 2,317.56 50 1,158.78
3. A 11/21
1984 Members 1st Federal
Credit Union,
Investment Savings
Account No. 47117-05 23,082.33 50 11,541.17
t'
TOTAL (Also enter on 111 e 6, Recapi ulation) 12,882.38
(II mafIC Irace II nc'tlkd ulltn alWltIOnIl IhtcUl or &lme lue)
~
tll:\'.1\I' I~X. (1-"')
. t'I'MMIH4WI~I.1I1C1I'I'IJ;rh\'I.\'MH^
IHI11:HIl"ANt'H1AX tll:IIHU4
JtMlUlm'lIl!l'I~III".NT
SCHEDULE J
DENEFICII\RIES
t:STATt: O~.
FILE /lUMBER
21-96-26D
Sarah Beratlor, a/k/a Sarah V. Berotler
NAME A/lD ADDRESS OF BENEFICIARY
RELATIONSHIP
AMOUNT OR
SHARE OF ESTATE
A. Taxab 0 Boquootol
1.
David G. Peck
315 Camp Ground Road
Dillsburg, PA 17019
Richard T. Berstler
114 Holly Drive
Mechanicsburg, PA 17055
Rochelle Wade
P.O. Box 2343
Show Low, AZ 85901
Son One-seventh
2.
Step-son One-seventh
3.
Step-daughte One-seventh
4.
Sandra Palmer
241 Kenmar Drive
New Cumberland, PA 17070
Step-daughte One-seventh
SEE ATTACHED
ITEM
NUIIBE NAME AND ADDRESS OF BENEFICIARY
AMOUNT OR
SHARE OF ESTATE
B. Char table and Governmental Bequests.
"
TOl'AL CHARITABLE AND GOVERNMENTAL BEQUESTS (AlJoml<,on Iin< 13. R".pitubtioo)
mOKlpaccl1
uu.rn a lllma I <<lJ (I l&nlC' Ill':
LAST HILL AND 'mSTAI,mNT
I, SARAH V. IlERSTLER, of the Ilorough of Mechaniesburg, County
of Cumberland, Commonwealth of Pennsylvania, being of sound and
disposing mind, memory and understanding, do make, publish and
declare this as and for my Last Hill and Testament, hereby revokin
and making void all former wills and codicils by me at any time
"
heretofore made.
FIRST. I order and direct that all my just debts and funeral
expenses be paid by my Executor, hereinafter named, as soon as
conveniently may be done after my decease.
SECOND. All the rest, residue and remainder of my Estate,
real, personal and mixed, whatsoever and wheresoever situate, I
give, devise and bequeath in seven (7) equal shares unto my
children, DAVID G. PECK and RONALD L. PECK, and my step-children,
~ ROCHELLE WADE, SANDRA SHORT, JACQUELINE TRIANO, RICHARD T. BERSTLE
~ and KAREN DARHOWER, absolutely and in fee simple, in equal shares.
If any of my said children or step-children should fail to survive
me, then and in that event, I give, devise and bequeath the share
of the same unto such of them who shall survive me, absolutely and
Altorn,)' .t Law
S South Ihnovcr Sltut
.
in fee simple, in equal shares.
THIRD. In the event that I should, by reason of physical or
<'
mental disability, become unable to take part in decisions for my
own future by virtue of what is commonly known as "brain death", I
order and direct that, where there is no reasonable expectation of
my recovery from physical disability, I be permitted to die and th t
I not be kept alive by artificial means. It is my express desire
Attora., at Law
Bouth Huonf Strlll
lilli, P.DDI,I.,nla 17011
signature this;( 3...J- day of r..~
One Thousand Nine Hundred Eighty-four (1984).
, A.D.,
J_ I ~ ~
~st~
(SEAL)
The preceding instrument, cons is tine of this and two (2)
other typewritten pages, each identified by the signature of the
Testatrix, was on the date thereof signed, sealed, published and
declared by SARAH V. BERSTLER, the Testatrix therein named, as
for her Last Will and Testament, in the presence of us, who, at
her request.. in her presence, a:nd in the presence of each other,
have subscribed our names as witnesses he,reto.
t1~ r-SYL
rc/~?
.
t'
- 3 -
11\l.1WhI4..41
112803 COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OP REVENUE
OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
'*
D NO. AA
RECEIVED FROM:
fJ
ACN
ASSESSMENT I:'
CONTROL ~
NUMBER
AMOUNT
SHADE WAYNE F
53 WEST POMFREl 51
Ivl
..~.:lOO.oo
CARLISLE. PA 17013
ESTATE INFORMATION:
Ell FILE NUMBER
~ 21-1 r~96"0260
f:II NAME OF DECEDENT (LAST)
~ BERSTLER SARAH
II DATE OF PAYMENT
ra POSTMARK DATE
COUNTY
SfiN 183"12-329,?
(FIRST) (Mil
CUMBERLAND
DATE OF DEATH
REMARKS
WAYNE F SHADE ESQUIf1E
fa TOTAL AMOUNT PAID
$5.500.00
SK
REGISTER or WI LLS
"), ,y
'11/ ' J. ' .' ,-
RECEIVED BY //...//1... L-' .-:lJ- r.'LI..l/ /_/!/
.,/ SIQN....TURE .: _ ,.,
'. , . .J' , .
~, / l.',.'
, ...,' ~
,
NARY C. LEWIS
f<El;)fjlTR OF WILLS
SEAL
CHECKII '1126
- .
. - ------
.. --.~.-~ ... "1" .::..
IJ-q,~ .1
BUREAU OF INDIVIDUAL TAXES
JNlt[RIUHC[ TAX DIvISION
DEPf. l80&Ol
HARRISBURG. PI 17Iza-0&01
COMMONWEALTH DF PENNSYLVANIA
DEPARTMENT DF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
*
l~
"1.\.11..11'111.'"
DATE
ESTATE OF
DATE DF DEATH
FILE NUMBER
COUNTY
ACN
03-03-97
BERSTLER
03-03-96
21 96-0260
CUMBERLAND
101
SARAH
V
WAYNE F SHADE ESQ
53 W POMFRET ST
CARLISLE PA 17013
Anaunt He.ttt.d
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER DF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
NOTE: To Insure proper credit to your account, subnit the upper portion of this forn with your tax pay.ant.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YDUR RECORDS ~
iiiY:i6ilTEx-AFP-iiF96y-m--iiiiii-iNHERITANi:CTAx-sTAfEHENT-oF-iiccciiJiif--.-.iimum----mm---
ESTATE OF BERSTLER SARAH V FILE NO.21 96-0260 ACN 101 DATE 03-03-97
THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE. SHOWN BELOW
IS A SUHHARY OF THE PRINCIPAL TAX DUE. APPLICATION OF ALL PAYHENTS, THE CURRENT BALANCE, AND, IF APPLICABLE.
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT. 01-21-97
PRINCIPAL TAX DUE, . 5,161.57
PAYMENTS
PAYMENT
DATE
05-03-96
02-11-97
(TAX CREDITS),
RECEIPT DISCOUNT C+)
NUMBER INTEREST C-)
AA112803 258.08
REFUND .00
"<r
..
,..-
cr,
~
,~
1-
';.... ~ .:J
UO
AMDUNT PAID
5.500.00
596.51-
TOTAL TAX CREDIT
5,161.57
BALANCE DF TAX DUE
.00
.00
INTEREST AND PEN.
TOTAL DUE
.00
. IF PAID AFTER THIS DATE. SEE REVERSE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
I IF TOTAL DUE IS LESS THAN tl.
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
paYItENft
Detach the top portion of thl. Hotlce and .ubelt with your paye.nt .adl peyabl. to thl na.. and addr...
prlnt.d on the nv.r.. .Ide.
If AESIDENT DECEDENf ,ak. check or .on.y ordu payabi. to: REGISTER OF WILLS, AGENT.
If NON'RESIDENT DECEDENT .ak. ch.ck or lon.y ord.r payabl' tot COHHONWEAL TH OF PENNSVLVANIA.
all payl.nt. r.caiv.d .hail b. appll.d flr.t to any int.r..t which .ay b. due with any r'lalnd.r applied to the taM.
REfUHD (CA): a r.fund of a taM credit, which .a. not rl~.t.d on the TaM R.turn, lay b. requa.tld by coaplltlng an
~I.ppllcatlon for Rlfund of Penn.ylvanla Inhlrltancl and E.tat. raM~ (R[V-1515J. Application. ar. avallabl. at
the Offlc. of ~ R.gI.t.r of Will., any of the Z5 Rlvenu. DI.trict Office. or frol the Depart,ent". Z4-hoUr
answering .ervlcl ~r. for for.. ord.rlng: In P.nn.ylvanla 1-800-562-2050, out.ldl P.nn,Ylvanla
end .ithln local HarrisbUrg ar.a (717) 787-8094, TOOl (717) 77Z-2Z52 (Hearing lapalr.d only).
REPLY TO:
au..tlonl r.gardlng arron contained on thlt notlCI shoUld tM eddr.ned to: PA D.partlent of Ravenue, Bunau
of Individual TaMI', ATTH: Po.t A"I.saent R.vlew unit, Dept. za0601, Harrl.bUrg, PA 17IZ8-0601, phone
(7171 787-6505.
DISCOUNT:
If any tex dua I. paid within thr.. (5) calendar aonth. aftar the dlcldent". death, a flv. parcant (5:() dl.count
of the tax paid it allow.d.
PENAl TVt
TM 15% tax .-na.ty non-partlcipetlon penaltY I. cOllpUted on the total of the tax end Intarnt ....ned, and not
peld before January 18, 1996, the flr.t day aft.r the and of the tax aan..ty p.riod.
INTEREST:
Int.ra.t I. charged bIg Inning with fir.t day of dellnquancy, or nlnl (9) lonth. and on. el) day fro' the data of
daeth, to the date of payaent. Tax.. which b.c'" d.linquent bafor. January I, 198Z b.ar int.r..t at the rata of
.lx (6%) p.rcent per annu- calculated at II daily rat. of .000164. All tax.. which b1c~ delinquent on and aftar
January I, 1982 will b.ar Int.rl.t at a rat. which will v.ry frol calendar y.ar to cal.ndar y.ar with that rat.
announced by thl PA Oepartaent of R.venu.. Th. applicable Int.r..t rat.. for 198Z through 1997 ar.:
Ynr Inter..t Rat. Dally Internt rector
Ynr
Interelt Rat.
Oally Int.r.st ractor
198Z 10' .000S4a 1981 9X .000247
1911 16% .000,.58 198a-19'n 11:( .00UOI
1984 11' .000501 1'" 9X .0002,.7
1985 UX .000356 1993-1'194 7X .000192
I'" lOX .00D274 1995-1997 9X .0DDZft7
--Intlrut I. calculated I' follow.'
INTEREST = BALANCE OF TAX UNPAIO X NUKBER OF OAYS OELINQUENT X DAILY INTEREST FACTDR
--Any Notice luued after the t8X beeo'" delinquent .111 r.flect an Int.ra.t calculation to fifteen US) day.
b.Yond the date of the .......~t. If pav..nt It .ad. aft.r the Int.rut coeput8Uon data .hawn on the
Notlc., addltlonel int.rnt "".t tM calculatlld.
" ~I 'J.'I /
BUREAU OF INDIVIDUAL TAXES
HIUII,AH(( UX DIVISIOM
DlPl. llu,at
HARRlSIUtG, PI 11UB.e.GI
CDMMONWEALTH DF PENNSYLVANIA
DEPARTMENT OF REVENUE
'*
(I.
NOTICE OF INHERITANCE TAX
APPRAISEMENT. ALLOWANCE OR DISALLOWANCE
OF OEOUCTIONS AND ASSESSMENT OF TAX
'11""' II fI' IU.tu
WAYNE F SHADE ESQ
53 W POMFRET ST
CARLISLE PA 17013
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
01-28-97
BERSTLER
03-03-96
21 96-0260
CUMBERLAND
101
SARAH
Allount A..Bted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FDR YOUR RECDRDS ~
iIE.j:is4j-Ex-AFii-iiz:9&Y"NiiricE--oTYNHEiiii'ANcE-YliiOtPPRiiisEHENT-.--,\L.L'owANcE-ifli-----------------
DISALLDWANCE DF DEDUCTIDNS AND ASSESSMENT OF TAX
ESTATE OF BERSTLER SARAH V FILE NO. 21 96-0260 ACN 101 DATE 01-28-97
TAX RETURN WAS: I X I ACCEPTED AS FILED
RESERVATION CDNCERNING FUTURE INTEREST . SEE REVERSE
APPRAISED VALUE DF RETURN BASED DN: ORIGINAL RETURN
1. A.al Est.te (Schadule A) el)
2. stock. and Bond. ISchedulo BI (2)
3. Clo..ly Hald Stock/Pa~tna~ship Intere.t (Schedule C) (3)
4. Hortgag../Hota. Aacaivable (Schedula D) (4)
5. Cash/Bank Daposits/Hisc. Personal Property (Schedul. E) (5)
6. Jointly Ownad Property ISchadula F' Ib'
7. t~ansfars (Schedule G) (7)
8. Total Assets
) CHANGED
HOTE: to insu~. p~op.r
c~.dit to you~ account,
subllit the uppa~ po~tion
of this for. with you~
tax pay.ant.
83,218.57
.00
.00
.00
2,902.67
12,882.38
.00
181
99.003.62
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funa~al Expansas/Adll. Costs/Hisc. Expansa. ISchedule HI (91
10. Dabts/Hortgaga Liabilitias/Lian. ISchedule I) (10)
11. Total Daduction.
12. Net Value of tax Return
13. Ch.~ltable/Gove~nllental Baquasts (Schedula J)
14. Het Value of Estata Subjact to tax
12.977 .53
.00
Ill)
lI2)
lI31
lI41
1:>.977 ~3
86.026.09
.00
86.026.09
If an assassmant was issued praviously, lines 14, 15 and/or 16, 17 and 18 will
rBflact figuras that includa tha total of ~ returns assassad to data.
ASSESSMENT DF TAX:
15. ADOUnt of Lina 14 at Spousal ~ate (15)
16. Aaount of Lina 14 taxable at lina.l/Clas. A rata (16)
17. Aaount of line 14 taxabla at Collataral/Cla.. B ~ata (17)
18. P~lncipal tax Due
NOTE:
.00 X .00=
86.026.09 X .06=
.00 X .15=
lI8)
.00
5.161.57
.00
5.161.57
TAX CREDITS:
PAVMENT
DATE
05-03-96
OIScDUNT (.)
INTEREST 1-)
258.08
AMOUNT PAID
5,500.00
RECEIPT
NUMBER
AA112803
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
5.758.0B
596.51CR
.00
596.51CR
. IF PAID AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN el. NO PAVMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI. VDU MAV BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
V
r,d
,
, ,
H
")1
." ',' 1 ',I i,l
JI,:' '."
Ck
CUI,
RESERVATION I E.tat.. of decedent. dying on or ~for. o.ce.o.r Il, 1911 -- If any future Inter..t In the ..tat. I. tren.f.rred
In po.....lon or enJoy.ent to Cia.. I (collat.ral) beneflclerle. of the decedent eft.r the ._plratlon of any ..tat. for
Ilf. or for y..r., the Co..onw..lth heraby a_pr...ly r.sarv.. the right to appral.. and a..... tran.f.r tnherltence Ta_..
at the lawful Cia.' B (collat.ral) rale on nny .uch future Inter..t.
PlJIl'OS[ Of
NOTICE I
To fulfill the rltqUlr..."h of Section ll40 of the Imerltenc:. and E.tate Tax Act, Act II of 1991. 7l P.S.
Section Z140.
PAVHEKh
Detach the top portion of this Hotlc. and .ubIIlt with your peye."t to th. RIght.r of Will. printed on the revlr" "de.
uHah check or .-oney order payable to: REGISTER OF MILLS, AGENT
All pay.ent. rec.lv.d shall flr.t be appll.d to any Intere.t which .ay be due with any reaalnder appllad to the tax.
REF1.IGJ (CRl: A refund of a tax credit, which was not raqo.Mltad on the Tex Return, .ay ba requasted by cMIPletlng an "Application
for R.fund of pam.ylvanla Inhllrltenc:. and [slllt. Tax" (R[V-UU). Applications are evallable at the Offlu
of the R.glster of Wllh, any of the U Ravenue District Offlcn, or by calling the .peclal l"-hour
answering lervlce nuebar. for foras orderlngl In PennSYlvania l-IOO-36l-Z0S0, outside PennSYlvania and
within loc.l Harrl.burg ar.a (717) 717-1094, TOOl (717) 77l'lZSZ (He.rlng lapalrad Only).
OBJECTIONS: Any party In Intar..t not .atl.flad with the appralsaaent, .lloWBnc. or dls.llowanc. of deduction., or .....s-.nt
of tax (Including discount or Int.rast) a. shown on this Hotlc. .u.t objact within .I.ty (60) day' of r.celpt of
this Hotlu by:
--wrltt.n prot..t to the PA Dap.rt..nt of Ravenu., Bo.rd of App.al', O.pt. l110ll, Harrl.burg, Pi
--.Iactlon to have the .att.r det.ralned at BUdlt of the account of the p.r.onal reprasantatlve,
--appeal to the Orphanl' Court.
HU8-IOZI,
OR
OR
ADttIN
ISTRiTIVE
CDRRECTIDHSI
feetual .rror. dllcov.red on thl. as.....ant should ba addr..sed In writing tOI PA Oapartaant of Rav~,
Bureau of Individual Ta_a., ATTHI POlt A.s...aant Ravlew unit, Oapt. Z80601, Harrl.burg, PA 171Z8-0601
Phone (111) 717-6505. Sa. pega 5 of the bookl.t "tn.tructlon. for Inherltanc. Tax R.turn for a Resident
Decedent" (REV-1501) for an e.planatlon of &dalnl.tratlv.ly correctabl. arrorl.
DISCOUNT:
If any tax 00. is paid within thra. (]) calandar ~th. afhr th. d.ced.ntt. dlath, . fiv. parcent (5~) discount of
the talC paid It aliovad.
PENAL TV I
The 15;( tax ..,..ty non-partlclpaUon penalty It cc*putMl on the totel of the tlUt and Int.rnt a.....ed' and not
paid b.for. January 18, 1996, the flr.t day after the .nd of the tax .-ne.ty p.rlod. Thl. non-participation
panalty It appaalabl. In the SaM un".r and In the the ... tI.a pariod at you ..auld appaal the tax and Intarnt
that has bien ........ at Indicated on thlt notice.
INTEREST I
Inter.st I. cherged beginning with flr.t day of dallnquency, or nine (,) ~th. and ana (1) day fr~ the date of
dMth, to the data of pe~t, Tax.1 which blCaM delinquent bafon JMU8ry I, 1981 ~ar Int.r..t at \he; rat. of
.he (6%) parc.nt par ~ calculated at II daily rat. of .000Ur4. All ta... which blc:MI delinquent on and aft.r
January I, 1981 will bear Inter..t at a rat. which will vary fraa calendar yaar to calendar y.ar with that rat.
announced by the PA Oapart-.nt of R.venue. Tha appllcabla Intar..t ratas for 1981 through 1'97 ar.:
'!!!! Inlara.t Rale Dally Int.rut FlMltor !!!!' In1.r..t Rat. DailY Inlan.t rnc:tar
1982 ZOX .Oaa548 1981 'X .ooazu
198] lOX .000U8 1968-1991 'IX .ODDlOI
1'" 11;( .aaOlOI 1'" 'X .ooazu
1985 UX ,oOn56 199]-19'94 IX .00019l
1.86 I'X .00OZ7" 1995-1991 'X .000l"7
--lnt.r..t I. calculated .. foliov'l
INTEREST = BALAHCE OF TAX UNPAIO X HUKBER OF OAYS OELIHQUEHT X OAILY INTEREST FACTOR
--Any Hotlc. Is.ued aftar the tax becu.. delinquent will r.flect M Int.rnt calculation to flft.." (15) d8y.
b.yond the date of the a...s..."t. If pa~t I. ~ aftar the Intera.t coeput.tlon date shown on the
Notlc., Mldltlonal Internt .,.t ba calculated.