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PETITION Hm PIWIIATE and GRANT 0... I.ETTEI{S
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COUllty 01 ~_,._~j_~~:.:........:.:~_ III
('0Il111101l\\'\,'allh or ('cun\ylvania
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The petilion of lhl' t1lllk'r,igru:ll f\."IH.'f.."lflllly Il'prl'\l'nt!-l thai:
Yom pl'litiollcrt'). who j,l.m,' IN Yl'.lT\ of it!!l' or older an the l'.\l'f.."UL())~P__.._ named
in ttll: 1:1\1 \\iII of thl' ahon: dCf.."l'f.klll, dall'c.I._ _J'\.;n~:._2l.t___________~____~_____. 19.23-
and l'\lc.lil'il(\) dOlled .--,------.----.----.---~--.------...--------.---.
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l'I,lll.' Idl.'\ill1ll.'lr(IlIll'lal1~'t.~'. l.'.~. rl.'lHllld;lllllll, Ikath l.Ill."l.'dlllll. ,,'1(.)
()el.:endelll \\a' domid1cd at death in _._9~_E..!..1)(J l'~ nryd _ ('ounlY, PCIlII,ylvtmia, with
h_er_ 1:1\1 famil\" m prilldpal re,ido,,,o 011. ~O[j ',;.::.;;.1;--'.\3 lcn...::>j;)'oet.
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Ooeolldo')I. Iholl _~,Q....... \"001" 01. ago. dlod,~D.l~lL2J,
at l!nrl"l:JburL~_})+~'!.r1:..t~lJ__ HUP:'::"'~:'O'l_u'f:J_ l'i\
E'''opl :" 1'0110\\\, do"odolll did 1101 marry. wa, 1101 di\"or"od alld did 1I111 ha\"o a child horn or adoplod
aftor o,o""liol of Iho \\ill offered for prohalo: wa, 1101Ihe "kl;m of a killillg alld wa, 1I0"or adjudkatod
ilH.:ompelenl:
IkcclUlent al dealh owncu property wilh eSlimated vahll's ~I\ follow,:
(If domidkd ill "a,) All pO"1lI1:I1 propOrlY
(If 1101 dllmidlod in "a,) "o",mal propOrlY ill "ollll'yl\"allia
(If 1101 domidkd ill "a,) "o",mal propOrlY ill ("IlUIlIY
Value of reall.'slatc ill Pennsylvania
situated as 1'0110\\'''1: Ii 0 no
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\\'IIEREFORE. pOliliollor(\) ro'po"fully re<)uo,I(') Iho prohato of Iho la'l will and eodidl(s)
prcsellled herewith and the granl of kUcrs. '.1. os t ~_::':c nt :ll"'Y
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l,.ochullicsburg, PA 1705:'>
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Vanilla L. Cormnlln
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OATH OF PERSONAL ImPlmSENTATIVE
COMMONWEALTII OF I'ENNS\'LV ANIA
COUNTY OF CU: m;.;:, LiliiD
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Tho pOliliol1or(,) ah",0-I1'II110d ,woar(,) or affirll1(') Ihal Iho 'laloll1ol1l' il1lho fore~oil1g pOlilion arc
InIO alld "lfro" Illlho ho,1 Ill' Iho kl1owkd~e :lI1d hdief of pOlililll1or(,) al1d Ihal '" pO"llI1:I1 repro,on.
"'1;-'0(') of Iho ahow dc"odol1l pOlililll1or(,) will wdl alld lruly adll1il1i,IOr Iho o,l:lIe a"mrding 10 law,
Sw.orn 10 (~r artlrmed an,d. I"Ull\1.:ri.h, ell. ..t A~.!.Lr:_-4-~, 'J1.L! .-Y", - ~
hdmo.lI1o lilt" ,____.2l!L___ ll<g 01 -_#..(,.c,",..L~-lj~cr~r-:':'"""'''''' ':i
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!, MARY C. LEWIS Ul'~illl" ,'1...___...________ 2
No. 21 - 96 - 280
Estate of
ELSIE 1. coru:i'iAI:
. Deceased
DECREE 01: J>ROBA TE AND GRANT 01: LETTERS
AND NOW April 2 19~, in consideration of the petition on
the reverse side hereof, sati,factory proof having been presented before me,
IT IS DECREED that the instrument!') dated Juno 21~. 1991
described therein be admitted to probate and tiled of record as the last will of
Eloie I. Cornr,mn
and lellers MA~t:nn".~nt:.n,...y
arc hereby granted to Svl van C. Cornman. Earli n 11. Cornman and
Donald L. Cornman
FEES
Probate, Letters, Etc, ,...",., S 80.00
Short Certificates! 3) ".,. , . , " s---9..DlL
Renunciation ",.".."",',. S
X-Pages S 6.00
JCP 5.00-
TOTAL _ Ll.00...0o...
Filed,., ,~~~,I.L, .?" ,l.~~~.,."".",..",
MARY C. LEWIS
J. Robert Stauffer (#06356)
ATTORNEY IS'!!'- 0, I,D, No,}
Hurket Square 1.\log.
;'lochanicsbur;;-. ?A 1701)<)
ADDRESS
717-766-96"(3
PIIONE
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Mailed letters and order to attorney on 4-2-96
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COMMONWEALTH Of PENNSYlVANIA. DEPARTMENT OF ItEALTtt. VITAL RECORDS
CERTIFICATE OF DEATH
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COMMONWEALTH OF PENN$\'I.VA~lA
5S.
COUNT\' OF CUMBERLAND
I. ::J::.J~.:!". Cc' , tht! testat pi.:-:
whose name is signed to the attached or foregoing instrument. having
been duly qualified according to luw, do hereby acknowledge that 1
signed and executed the In.trumenl as my Last Will and Testament;
that 1 signed it wiJ Ilnf',I\': and t" ': I signed it ,IS my free and volun-
tary act and deed, for the purl''''''' .ilereln contained.
Sworn and afflr",ed to 'In~ ucknowledged
?LSI:~ J. Gf.'!"~:-:~",:: I :he testae >'i~~
day of ,7"~,, . A. n., l' )3.
before me by
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COMMONWEALTH OF PENNS\'L\'AN 1 A
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COUNTY OF CUMBERLAND
and ::::)I~~':l. )J. L-:'.r~::;~;\G.~;~ I the witnesses ....those names arc
signed to the attached or furegoln. Instrument, being duly qualified
accordi~~ ...to law. ~~~p.~~~ ;nd (1~~~:~'~!-:~~~~ ,,"'e ,,"'ere present and saw the
testae '- ..~.. ..1'~..l_" _. _H,.,LI..._. I sign and exe-
cute the instrument as hl.7her In5t Will and Testament; that the
snid testat ~';~=: ':I',:.:r : '_1~. CC:';,~;~'~:- , executed it as
:lrtxIher free and vo TlI~1l:1 f\' a~:'-t i;;;- purros.;:.;t'here In expressed;
that each of us, in l.hl.! hl'Jri:1;: .l:1'.~;i~ht l)f lh~ tl!stnt pix. , signed
the \o.'il1 as W'itnc,:;s(::;; and tll.'lt It' the hl!Sl l,f l'Ur kt\llwl~dge, the
tcstat rix was, at th.. ti:tiC, c1ghtl!ClI (1';) or more years of agt!.
of sound mind, and ur~er no constraint. duress or undue influence.
We, the undersigned,
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Sworn and
me this
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subscribed to
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CEH1'!1' ICA1' l(}tl (}.!::.-.!!nT!CEJ!flDEH HilLE. 'j. 6 ( a)
Name of Decedent:
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Date of Death:
';arc:1 23, 1'.1 ') (J
Will No.
1')')6-:102[JO
I\dm in, No.
To the Register:
I certify that notice of beneficial interest required by
Rule 5.6(a) of the Orphans' Court Hules was served on or mailed to
the following beneficiaries of the above-captioned estate on
April 2. 1996
Name
Address
S~'l van C. Copn~an-1l9 !tor;en to\':t1 Hoad, ciocha!1 tcshur~, PI. 17055
!.!a.rli.n ~1. Cornnnn-) "[O1'1~ Gtl~cle, ::ccha~lic~bur~, }'.\ 1705~~
Donald L. Cornnnn-2199 irlncoton :'lace, Broomall, 1';, 190Q!3
Nntice has now been given to all persons entitled thereto under
Rule 5.6 (a) except :'ono
Date: April 9. 1996
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Arlrlress :'iarkot Squal'o BldG.
EochanicnburG, PA 17055
1'elephoneU17) 766-')673
Capacity:
Personal Representative
:-:
Counsel for personal
L-epresen ta t i ve
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
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+3~'_lyall <.:. GOP)l1~l.l\tl,
::al1lill ll. Cl))'lil :1\11 '~~lll j)l}nn~d 1,. f;Ul'n1rltl1l,
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boin9 duly.
H\.!.t)l 1.1 1
_ .1ccording to 1,1W. do pOlO' .,nd '''Y' .h411.; ho~' n,l'C J;I1P E;~ccut;{))':J
01 tho [,10'0 01;,:1:: 1.(1 I!-i:_UI'.llil~\n_
I.t. 01 ._. _ Ileclit\1l1 o:11J\11'!:. , Cumb.rl.nd County, p", doc."od ,nd 'h,' 'h.
within i, .n invonlory modo by ~it()I,1 _____, 'h. ..id._-,;;;o(J~IL(.H:g_ ---
01 'h. ontiro o.t.to 01 ..id docod.,,', con,;,ti"9 01 .11 'h" po"o",,1 p,op.rly and ,..1 0".'0, .xcop' ,..1 ..,.,. ouhid.
th. Commonwo.llh 01 Pon".yl,"ni., ,nd .h.. th. fi9u,., oppo,i1. ..ch it.m 01 'h.. Inv.n'ory r.p,o..n' it'. I.ir v.luo
.. 01 'h. d.'. 01 d.c.d."I'. d."lh. (/: ". ,./ /"- (' . ,'.r.'._~_
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and ,ub.crib.d bolor. mo,
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u/U j inl'li.n n. c.:Ol'nt'mn- 3 Yorlt Cl1'clo
j lauht\~l.i.uIJbUl'G 1'A 170~5
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Addr."
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O'Y
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Month
1996
Vu,
INSTRUCTIONS
J. An inv.nlory mu.' b. liI.d will.in 'hroo monlh, .1I0r .ppoin'm.n' 01 p."on.1 r.pr..on'.live.
2. A .uppl.mon' invon'o,y mu,t b. fil.d wilhin 'hirty d.y. 01 di.covo,y of .ddition.1 ....h,
3. Addition.1 sho.h m.y b. .".chod .s '0 po"on.lly or r..lly
4. S.. Articl. IV, Fiduci.ri.. Act of 1949.
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(1) rIlc Ul\;n~, 11. 1\., Chocl~i.n/', AceoulIt, :Jlwlnco I\ccollnt amI
CortificatoD of Dopoolt, ao fol10wD:
(2)
(J)
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3,705 90
10,015 90
10,62l 97
1l,!)lO 30
12,(.67 l2
lO,153 72
l'ofllml. 196 10
OXjJ01HlO 1'Ollllbu1'OO
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Chocking I\ccount 110. 507007'1997.
Savinr.;s Account 110. r~03007()('I~n.
COl,tificato of Dopooit ]10. 2100l010!)05.
COl'tifJ.cato of Dopon11; I10. 2100101071\0.
COl'I;.i.flcato of Dopolllt Eo. 2l001010'(9!).
COl,tlrlcal;o of J)oJloDil; Ho. 2]Jl01010f!13.
Cortirtcato of DO]1ooJ.t; Ho. 2100l0l09n2.
Ponnoyl vania l3luo Crooo/THuo Shiold, pl'OmiUlll
Ponnoy1 vania Dl\\o C1'ooo/Bluo 3ld.nld, IIIodica1
mont.
l3ricker' 0 I\uction Houoo, 93 Toxaco fioad, J.!ocl1allicobUl'C,
Ponns;{lvunia, not jll'ocoo!1o from public auction of houoohold
fUl'llio hill~O .
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(Q~~Q"W(AI'" 0' 'If"'''''^'''' (TO BE FILED IN DUPLICATE
lHPAAlMWI Of R[v(rnH
""RI~~Jn. ~~O_~\,~ 0001 WITH REGISTER OF WILLS) wurm COUE 1 ')1)(,
VICIOINl !l "AMI ItA!.!I_ '1'!lI. AlW M'llt"lli"iiliAli~--"';'~"';"":"':=':'-;-'''''''':-';;''::':';'''~'''''''';';' -jjiTWltl-'!l 1.00,\'1111 ...lJIIIl ~\
COHlIW\lI, innio 1. Jon \'Iont Allon
~cijiiifijuMili -- -- \"';3"/"2' ,.~,/,,~() !"'/'\'/"'].',".'/"Or, I 10c!lElnics!>uJ'g ,
.J.nlL~_05.:-_ogYJ_ ,.JJ --
". .''''f.'''' """''';'i/~'' ,..... "." "" ..."., '" ..,." \''''''' """,,, "OM'"
20. If line 19 is grealer thon line 18. flnler tlUt difference on lino 20. This is the OVERPAYMENT.
a 0 .t1:r.n~ il'U..t.'l.'II.'U ,. '<{.IIJ,lt 11I1! .... '1t'r.r.lr.'la'I.III..l',1'U !l!.l'Jul'JiI
21. Ulina 18 is greater thon line 19, enl." the difference on line 21. This is the TAX DUE.
A. Enler the inleflul on the balance due on line 2'^.
8. Enler the lolal of line 21 and 21A on line 216. Thi' h Ihe BALANCE DUE.
Make Ch.ck Payabl. 10: R.gl".r of WllI'r Ag.nt
f" ;. ~ ~ BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH 00( 00(
Under penallies of perjury, I declare Ihall hove eltaminnd Ihi, relurn, including accompanying ,(h~dul,., and ,Ial('m(lnh, ('Ind 10 Ihe belt of my knowledge and belie!
ill, true, correct and complete. I declare thai all ,eal e,lolo hOl been reporled allrue markel yalue Declarolion of p,eparer olher Ihan Ihe peflonal repre'enloliye I
bated on 0\1 info,mal!on 01 which pleparN ha, ony knowledge.
~~~lU~} oi'r.~9" 'P"~,!~.iffo: ,~~~"iUfi; -'-"00';'; --cl.ollU.l~n 1.1".'](';- C.O.l-;ll-lno..~n.;-J -Yol;'.c-C ircltt"- . ,/
/ld:'~Y..,-~~-", .....' _~,,-_________....lioc)H1l1icsbtll'~' PA_l:LQ55__n_ ..-- __]1: 'flj /.
~ EO'f' EP .ERO tE["y:!'')_EPRJ'222 '''0'''' J1nl'l:ot c\qUUl'O BIUi...... VA~f;"J J ~ J,
. . 9....a.' 7.~...-..o.._JIOC\H\1l1C:Jb.\U'J~' _1'A.170~5----... ../~..'l..!I---L-U
Il:IV.I!lOO O. 11 'lAI
...
is
fil
U
w
CI
w
...
..."'''
ua:)C
wGou
:z:C19
ug:aa
Go
'"
,...
..z
Ww
"'C1
"'z
8~
~ 1. Original Relurn
o .t. limiled Ellale I l.ta. fuluf" Inl"'ell Complomile
(lor dule' of dealh aft,., 12.12.821
lXl 6. Of!cedenl Died tflltole [ I 7. Oeu.denl Moinloined {] liying Tru,1
(Alloch copy of Willi (^"ndl copy of TfuI11
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TOl
tlAMf ]{UMrlllf MAlllllCo ADOllf!l!l
.T. nobopt [,tl1\lr.rOJ', At!;,!. llnl'l{nt :.lqUnJ'O Bld[';.
;1i"iiO"itiU"i1766:-~-6iL cc~,~oc~-~c--~o~ 1I0.c!lUniCObUl'~' PA l7055
Il~ih:~(\
_).fII.v.-
I I 7
z
CI
5
::>
t:
Go
'"
U
W
'"
l. Reol EIlole (Schedule A)
2. SlaCks and Bond, (Schedule B)
3. Clo,ely Held Slack/Porlnellhip Inlerell (Schedulo C)
.t. Mortgage, and Nole' Receiyable (Schedule Dl
5. COlh, Bonk DepoI;I' & MilCellaneouI Pellonal Property
(Sch.dol. E)
6. Joinlly Owned Proporly (Schedule F)
7, T.on,l... (Sch.dul. GI (Sch.dul. II
B. 10101 Gran Aneh (Iolallinel 1.7)
9. Funeral EJl.pf!nlel, Adminiltralive Co,II, Miuelloneou,
hpenle' (Schedule ill
10. Debh, Mortgage liabilitie,_ lin", (Schedule I)
11. ToIoI Deduction I (loloIUne, 9 & 101
12. Nel Value of E,lole (line 8 minuI line 11)
13. Charitable and Governmenlal Sequelh (Schf!dule Jl
U. Net Value Subjecllo Talt (line 12 minuI line 131
15. Spousal Tranlfen (for doles of dealh after 6.30.Q.t)
See In,lruction, for Applicable Percenlage on Revell"
Side. (Include value, from Schedule K or Schedule M.)
16. Amount of line U laltable al 6% role
Ilnclude valuel from Schedule K or Schedule M)
17. Amount of line U laltoble 01 15% rolo
(Include value, Itam Schedule K or Schedule M.I
lB. Principallalt due (Add to... from UnfI' 15, 16 and \7.1
19. Credils Spoulal poverO Crodit Prior POy'monh
__Q_!-Q...__ + 0.00 +
z
CI
E
::>
Go
:E
<0
U
><
'"
...
)~ :! ',- J' I
lOR DATU 01 DIAIIl AIIIR 12'31'91 CIIICK HIAI
II A SPOUSAL
POVIRIT CRIDIT 15 CLAIMID I ]
flU NUMBER r'l-')(,-I);'l;O
.YE^R00200 "UMBER
St.
I'A
l7055
SUf1pll'tTlcnlol Relufn
(0'"'[ ,.ou2;\ ::?~'~;:'~i~;i~uc~o,:_u- .--.' -. - -----
I I 3. Rllmainder RelUln
(for dales of deolh pfior 1012.13.821
I I 5. Fedelol ellole Toa Relurn Required
_lB. Tolol Number of Safe Depolit Bou,
(11
(2)
(3)
(~ I
( 51
0,00
0.00
---- ----- n_ Cr.-aa
---------0-;00
67~_~j.?~I~J:
30,326,36
-~..__._---
n_____.Q.QQ
Q,917.90
_l,JJ5..Q4
lO,252.94.
87,909.83
0.00
87,909.83
(61.
(71
98,162.77
(S)
(91
(101
(11)
(171.______
(131 _
(14)
(15)
p/A_ _._______X-.__c
8] ,'2.Q9.~~. .06 C
_________2.J27l~.59 .
0.00.
5,274.59
(161
(17)
___0.0.0. ,15 C
(1S)
Oi"ounl
0.00
- ---~--
lnlerell
0.00
(19)
(20)
0.00
0.00
(7\)
(7\A)
(7IB)
5,27l~.59
n___"__ 0.00
_ .____-5,2.74.5.9-
Act #48 of 1994 provldol for tho roducllon of tho tax ralol Imposod on tho nol valuo of Iranlfors 10 .., for
Iho UIO of Iho IpOUIO. Tho ralol 01 prolcrlbod bv Iho stalulo will boo
. 3% (.03) will bo appllcablo for 0110101 of docodonts dvlng on or altor 7/1/94 and boforo 1/1/96
. 2% (.02) will bo appllcablo for 0110101 of docodonts dvlng on or altor 111196 and boforo 1/1/97
. 1% (.01) will bo appllcablo for 0110101 of docodonts dvlng on or altor 1/1/97 and boforo 1/1/98
. Spoulal Iransfors occurring on or altor 1/1/98 will bo oxompl from Inhorltanco tax.
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING A CHECK MARK (vol IN THE APPROPRIATE BLOCKS.'
1. Did decodent mako a transler and:
a, retain the use or income 01 the property transferred, ....,.................,.............,..,...............
b, relain the right to designate who shall use the property translerred or its income, ...........,...
c, relain a reversionary interest; or ......,..................,..............,....,...............,................,....
d. receive the promise lor Iile 01 either payments, benefits or careW..,....,...............................
2, II death occurred on or belore December 12, 1982, did decedenl within two years preceding
death transler properly without receiving adequate consideration' II death occurred after
December 12, 1982, did decedent transler property within one year 01 death wllhaut receiving
adequate consideration'.., .t. ......... ...... ..........., ........ ...... ........ II... .................... ......... ......,...
3. Old decedent own an 'in trust lor' bank accaunl 01 his or her deathL...........................,..,.....
YES NO
v
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE\G AND FILE IJ::AS PART OF THE RETURN.
,. ",.,
'1-..'
(~~. ~, '/,,:...
'I
.-.. -...
r ,""1' '1111 {,1'1) ,;",,,,,],}\,, "JI',' ('1" J"'L"J"', G01,lI1,:^1_1
1.'hJ ,_ . !..~ --=--~_~~_'--l-- . u._ I .. lJ\
I, j':I,~jH: I. GOH1IliA!I, 01' :;110 nOl'OIl,~\1 of iloclH\IILCnl.ll.lrlj,
Gotlnty of CU"lbol'luml nnd stnto of FOIIIW)'lvUlllu, baing of nound
nnd dinpos inr~ \'l.i.n<1, lIOl'\Or;: nnll IUldol'[; t"11(1 1111 ;, do )'lalw, publlnh
r.m] doclnl'o tld.:J I'i:! T,r.:: t \TiLt and 'l'on tmlcnt, horob;r rovol:inG
nnd lIa]dll!; void nllY 11.11'.1 nll 1'1'101' \'lUlu b;r lIO ut uny t11010
horotoforo "IUllo.
1.
I dil'oct tho PI'.)'I'10nt of nll li;{ junt dobts nnd funol'nl
o;:ponnon nn noon n1'tol' \01;: doconso un tllO ntH'IC cun bo convonicntly
dono.
2.
I r;ivo, t1ovino nnd boqucath nll tho I'cnt, roniduo and
remaindor of my on tuto, l'onl, pornonul nnd ni;:od, \/hatnoover
nnd \,/hol'onoovor tho nU1l1O "my bo n i tun to, to my thl'OO (3) SOilS,
to \-lit, SYLVA!! C. COHlHli\H, ;1t\IlT,II! H. conml1\ll nnd DOilAT,D L.
COHllHAll, uharo and nhul'o alil:e, pOl' nt:1rpos.
LAS'fT,Y, I n0111inn\;o, constituto nnd uppoint nlY thl'OO (3)
sonn, tho afOl'C\'lonti.onod s,:r.v Ail C. COlllEiAJ!, 1 ~\HLln n. COmHlAl!
and DOllAr,!) L. GamBIAn, Co-J-:::OClltOl'S 01' thln 1'IY Las t Inll and
'rontalnont, nml tUroct thl\t l;ho;r be e::cunotl from pontine bond
01' othor nccm'i.ty 1'01' tho faithful pCl'1'ol'l'~anCo of their elutton.
-1-
III '.II'l'J:].;;.ilj \Ili,;J;:';()]o', I have !tel'ollul;u no t l'IY huml aud :loal
thio 2y~ day of ,hUlO, A. D., l<}')).
6' ld....e: I {'_~r.ea.l..=
(SEAL)
~anic I. t:Ol'nlnun
Sicnod, noalod, publ~,shod aml declaJ.'od by tho abovo
named, ELSI:~ I. t:OnI:il1\I!, [',S and 1'01' her Lant Hill and Tontalllent,
in the }ll'osonco of \In, lIho havo :lubncl'ibed our nUl'lOS hero to as
\litnossos, at the l'oquest of naid tostutrix, in hor prosonco and
in tho pl'030nce 01' oach othor.
. 7 0~!:r~
~' ~ I., / '1.,_.
0!~~_ rl-!~,.:J~y~ './
/
-2-
'V
-'-.- -- _-~. ,.--.----..:.......11 v__
{
IfY.IS~I"I'2"1
Il~J~@
...,1fl{IW'
COMMOUWEAllH Of PENNSYlVANIA
INtlERIlANCE TAX RUURN
RESIDENT DECEDENT
SCHEDULE F
JOINTLY-OWNED PROPERTY
ELSIE I. COHlliL\JI
UIFllENUMiiiR ~i:'0IJ-(d)o-:1I;1l\;"
1 ')')(1-()();~1!0-(;\)1I111.
ESTATE OF
Joint tonontl.).
NAME
ADDRESS
-----~,- --..-
319 IIo(',ostoHn Hoad
Hechanicsbllre;, I'A l7055
RELAlIOflSttlP 10 ()[CIUltH
A. SJ.'LV Ail C. conm'L\JI
:iOll
B. HAnLIH n. COnJliL\Il
3 YOl'k C11'lo
Hochanicsbm'c;, 1'A l70~5
~on
c. DONALD L. CORljJ.IAIl
2199 Princoton Place
Droolllall, 1'A 19000
:Jon
_._------- ---- .
Jolntly-ownod proporty:
ITEM LEnER DATE
FOR TOTAL VALUE DECO'S DOLLAR VAlUE OF
NUMBE JOINT MADE DESCRIPTION OF PROPERTY OF ASSET % INT, DECEDENT'S INTEREST
TENANT JOINT
---.- .. -..-.-^ . --. .---..----"
1. A. 0/9/ PIlC Dank, Il. A. , Certlfi-
1990 cute of Deposit Ilo.
2l00l0l09T' !!;20,l37.01 ~O" ,', lO,OlU.9l
;.> 1" 'I'
2. B. 9/27/ PIlC Danle, Il. A. , Certifi-
1990 cate of Deposit Jlo.
21001010904. 20, 307 .l~5 ~Q'. 10,153.73
;) "
3. C. 9/27/ 1'lIC Danle, 11. A. , Certifi-
1990 cute of Deposit 110.
2l00l0l0983. 20,307.l~5 50;~ 10,153.72
TOTAL (^ho .H"'" nil IHUt tl, A.IIII"Il,lnhul\!
~
30,326.36
IIf mOle space is needed ;1111'" mJdr'mllul ,I'flltl, nl I'""" 11,.1
I'V'''''''I''''
~
~~
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES Please P,inl or Type _
_ _ _ ______________lFIL~ NUMBER i~~~~~g~~g:~~~U~~J
COMMQ'.W(AnU or f'ltlU!.YI'o'M"A
"UHAIIAUer 'A. AI IliA"
Af!.IlHfU lJf({llltll
mATECW
EfJsn; I. GOIl!:llAlI
ITEM
NUMBER
DESCRIPTION
AMOUNT
A. Fune,al Expen....
1. HYOl'D FIUlol'al Homo, Inc., 37 J-;. !-lain St., Hechanics-
burg, POll1l1l;rlvanln, i'unol'nl oxpensos. $ 6,367.60
2. Jmnos H. UInr;l'ich, Inc., }ll'inting il1scl'iption on
cOl1lotory 11l0Jllll'lont:. 60.00
8, Adminlshallve Casts,
1.
Personal RopresontativQ Commis~ions - llano
Social Securily Number of Personal Representative, ____
Year Commissions paid ~~_~______
0.00
2,
2,035.00
AllorneyFees J. nobel't 3taul'i'er, Esq" attorney's fee.
3, Family Exemption
Claimant
_ ____ Rolalionship
Address of Claimant 01 decedent's death
Street Address _________ ___
Cily _____________Slote
Zip Code
4,
C.
1.
2,
3,
4,
5,
6,
7,
8,
Probate Fees Cumberland County neGIs tel' oi' l'Tills, Letters
Tostamental'Y. .
Miscellaneous Expen.e..
Cumberland LaH Journal, Estn te 110tice.
FA Department of nevonue, balance due on 1995 person
01 Incollle 'fax.
Patrick Golden, preparing 1'195 personal State
Inc 01110 Tax rle tw'n.
Penna. POller [: TJight Co., finnl olectl'ic bill.
94.00
20.00
3l.26
29.10
l7.56
70.30
100.00
60.00
A. T. ~ T., final bill.
Bell Atlantic, finnl bill.
The Sentinel, Estate Hotiee.
rlegister of Wills, i'iling Inventory and Pennsylvania
Inheritance Tax Heturn.
25 . 00
TOTAL (Also enter on line 9, Recapitulation)
5
8,917.90
(If mo,e space is needed, Inse,1 additional she.1s 01 sam. size.)
Ih' ''''U. U '~l
:.
-eJ/jlj-
COMM'll''''fAllII 01 ,rWj5.II~AIl!"
IN"U"AN(f In IIIUI..
InIOIN' OlelOINI
SCHEDULE J
BENEFICIARIES
ESTATE OF
FILE NUMBER
2l-~6-0200-State
1??6-00200-County
AMOUNT OR
SIlARE OF ESTATE
Ef,Sn: :r. COnmlAlI
N~'J.':eR NAME AND ADDRESS OF BENEFICIARY
RELATIONSIlIP
A. Taxablo Bequo",:
1. Sylvan G. Cornman Don
3l? 1l0[,ootOlm Heau
Hechanlcsbul'[';, rA 17055
2. Harll n Il. COl'nman Son
3 YOl'lt Circle
HechanicobUl'~, PA 17055
3. Donald L. Cornman Son
2199 Princeton Place
Broomall, PA 19000
One-tldl'd .ahare
of Estate.
One-thh'd aharo
of Eatate.
One-third ahare
of Eatate.
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
AMOUNT OR
SHARE OF ESTATE
B. Charitable and Gavernmenlal Bequosts:
L
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (AI,a enler on line 13, Recapitulalian) S
IIf mar. .pace Is n..ded, In,.rt additional ,h.... of lame ,Ize)
II NO. AA
146558 COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
.~
1Iv.1162 IX 1.".1
RECEIVED FROM:
i
ACN
ASSESSMENT 'l'
CONTROL ...
NUMBER
AMOUNT
STAUFFER J ROBERT
MARKET SQUARE BUILDING
101
$::>,;: 1'+. ::>'t
MECHANIC5BURG, PA 17055
ESTATE INFORMATION:
~ FilE NUMBER
g 21 -1996-0280
m NAME OF DECEDENT (LAST]
i:iI CORNMAN ELS I E I
II DATE OF PAYMENT
m POSTMARK TE
COUNTY
SSN 18'1-05-0263
(FIRST) (Mil
CUMBERLAND
DATE OF DEATH
REMARKS
m TOTAL AMOUNT PAID
$5,274.59
MARL! N CORNMAN
CIO J ROBERT STAUFFER ESO
CHECKII 17
SEAL
,
RECEIVED BY " ,I , . (.,
. r S1GN>,IUR'
. \. ".,,.. ( . ~
MARY C. LEWIS r" .
REGISTER OF WILLS
REGISTER OF WILLS
+- '-
..---
-."~.A.'9'ij). 4'.'''''' ..,:.
'~D HUE-'
V2
r-
- '
/,.', 'I;' . /'/
P"REMI OF INDIVIDUAL TAXES
INtIf RI lAHCI TAIt DIVISIIlH
D{Pt. l80.0l
IIAPII!SBUWC. ill 1/1;11.0,,01
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE or INItERITANCl lAX
APPRAISEHENT. ALLOWANCE OR DISALLOWANCl
OF DEDUCTIONS AND ASS[SSH[Hf or fAX
J ROBERT STAUFFER ATTY
HARKET SQUARE BLDG
MECHANICSBURG PA 17055
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
, '
11-0',-96
CORtlMAtl
03-23-96
21 96-0280
CUMBERLAND
101
~rM
fl. ih' "''','' fll
HS1E
::_~---~-~~C;~+n"~,~R~;-1:-~.I~~~:~:-_~;c~~~= l
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAtlD CD COURT HOUSE
CARLISLE. PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
iiiv:i5i;j-Ex-"FP-niF96Y-NoYicE--oji--iNHERiTANcE-YAx-iiPPRiiisEHENT-;-"L'LowANcE-oli----------- ------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF CORNMAN ElSIE I FILE NO. 21 96-0280 ACN 101 DATE 1l-04-96
If an assessment was issued previouslY, lines 14, IS and/or 16, 17 and 18 will
reflect figures that include the total of abh returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 .t Spousal
16. Anount of llna 14 taxable .t
17. Anount of Lina 14 taxable at
18. Principal Tax Dua
TAX RETURN WAS: (X) ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..I Estat. (Schedule AJ (1)
2. Stocks and Bonds ISchedule BJ (2)
3. Closely Hald stock/Partnership lnt.rest ISchedule C) C3J
4. Hortg.g../Hota. Raceivable ISchedulo 0) (4)
5. Cash/Sank Oaposits/Hisc. Personal Property ISchadula E) IS)
6. Jointly Owned Property ISchedule f) (b)
7. Tran,fers CSchedule G) (7)
8. Total As.ets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expense./Ad.. Costs/Hisc. Expens., CSchedule H) (9)
10. D.bts/Hortg.g. Liabiliti.,/Li.n, CSch.dul. I) (10)
11. Total Deductions
12. Net V.lu. of Tax Return
13. Charitable/Govern..nt.l a.qu.,tl (Sch.dule J)
14. H.t V.lu. of Estate Subject to Tax
NOTE:
rat.
Lin..l/Cl." A rate
Col1ateral/Clasl Brat.
llSI
(16)
(17)
TAX CREDITS:
PAYHEHT
DATE
07-26-96
RECEIPT
NUHBER
AA146558
DISCOUNT It I
INTEREST 1-)
,00
CItANGED
.00
,00
,00
.00
67.836.41
30.326,36
,00
(8)
8,917,90
1,335,04
Ill)
(12)
(13)
1l~1
.00 X .00=
87.909.83 x' 06=
.00 X ,15=
llBI
AHOUNT PAID
5.274.59
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
NOTE: To insure prop.r
cr.dit to your account,
sub.it the upp.r portion
of this forn with your
tax pliy..nt.
98.162,77
1 n . ?~? 94
87.909.83
.00
87.909.83
,00
5.274,59
.00
5.274.59
5,274.59
.00
.00
,00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN $1. NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT'. ICRI. YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)
. .1;.l
RESERVATION: E.tat.. of d.cedent. dying an or belore Oeceab.r IZ, 198Z -- if any lutur. Int.r..t In the ..t.t. i. tran,'.rr.d
In Po.....lon or .nJoy..nt to Cia.. B lcoll.t.rall b.n.flcl.ri.. 01 the d.e.d.nt alt.r the ..plratlon of any e.t.t. lor
III. or lor y..r., the Co..onw.alth h.r.by ..pr...ly r...rv.. the right to appr.I.. and ...... tran.f.r Inh.rltanc. ,....
.t the lawful CI... B leollat.ralJ rate on any such future Int.r..t.
PURPOSE OF
NOTICE:
PAYKENT:
REFl1ND (CR):
OIJECTIONSI
_IN
ISTRATlYE
CORRECTIONS:
DISCOlMT:
PENALTY:
INTEREST I
To fulfill the r.qulr...nt. of S.ctlon ZI4D of the Inh.ritanc. and E.tat. Ta. Act. Act ZZ of 1991. 1Z P.S.
S.ctlon ZI4D.
Detach the top portion of thl. Notlc. and .ub.lt with your p.y..nt to the R.gl.t.r of Will. printed on the rev.r.. sid..
u"ak. ch.ek or .on.y ord.r payable to: REGISTER OF' MILLS, AGENT
All pay.ent. r.c.iv.d shall fir.t b. appll.d to any Int.r..t which .ay b. due with any r...lnd.r applied to the ta..
A r.fund of a ta. credit, which w.. not r.qu..t.d on the Ta. R.turn. .ay b. r.qu..t.d by co.pl.ting an "Application
far R.fund of P.nn'Ylvanla Inh.rltanc. and E.t.t. r.." (REV-IJIJ). Appllc.tlon. .r. avallabl. .t th.Offle.
of the R.glst.r of Will., any of the ZJ R.v.nu. Ol.trlct offle.., or by calling the sp.cl.l Z4-hour
an.werlng ..rvlc. nuab.r. far far.. ord.rlng: In P.nn.ylvanl. 1-8DD-!6Z-ZD50, out.ld. P.nn,ylvanla end
within loc.l H.rrl.burg .r.. (7171 181-8D94, TOO' (717) 71Z-ZZSZ (He.rlng lap. Ired Only).
Any p.rty In Inter..t not sathfled with the appr.Is..ent, .Ilowanc. or dh.llovenc. of d.ductlon., or 1I......ent
of t.. (Including dl.count or Int.r..tl a. shown an thl. Notlc. au.t abject within .I.ty (60) day. of rec.lpt of
thlt Notice by:
-.wrltt." prot..t to tM PA Dep.rt..,..t of R.v*"U8, loard of App..Is, O.pt. Z81OU, H.rrlsburg, PA l1US-IOU, OR
--.Iection to have tM .att.r d.tenlneel .t ItUdIt of the account of the p.rson.1 npr..ent.Uv., OR
--appul to the Orphan.' Court.
Factu.1 .rror. dl.cov.red on thl. ........nt .hould b. addr...ed In writing tOI PA O.pllrtaent 0' R.venue,
Bur.au of Individual Ta..., ATTN: po.t A.......nt R.vl.w unit, D.pt. 180601, Harrl.burg. Pi 11128-0601
Phone (717) 787-6505. See page 5 of the bookl.t -In.tructlon. 'or Inh.rltanc. T.. R.turn for a R..ldent
Decedent- (REV-1501) 'or an ..planatlon of adalnl.tr.tlv.ly correctable .rror..
If any t.. due Is paid within thr.. (J) cal.ndar .onth. aft.r the d.c.d.nt.. d..th, a flv. p.rc.nt (5~) dl.count of
the ta. paid I. .llowed.
The 15% ta. aene.ty non.partlclp.tlon p.nalty I. coeput.d on the total of t~ t.. and Int.r..t .......d. and not
p.ld b.for. January 18. 1996, the flr.t day aft.r the and of t~ ta. .en..ty p.rlod. Thl. non-participation
pen.lty I. app..labl. In the .a.. .ann.r and In the the .a.. tl.. p.rlod a. you would .ppe.1 the ta. and Int.r..t
that h.. been a......d a. Indlcat.d on thl. notlc..
Int.r..t I. charged b.glnnlng with flr.t d.y of d.llnqu.ncy, or nln. (9) .onth. and on. (1) day fro. the d.t. of
d.ath. to the date of p.y.ant. t.... which b.ca.. d.llnquant b.for. Janu.ry 1, 1982 b.ar Int.r..t at the r.t. of
.1. (6~) p.rcent p.r annu. calculat.d at a dally rat. of .000164. All t.... which b.c... d.llnquent on and aft.r
Janu.ry I, 1982 will b.ar Int.r..t .t a rata which will vary fro. cal.ndar y.ar to eal.ndar y.ar with that rat.
announced by tha PA D.parteent of R.v.nu.. Th. appllcabl. Int.r..t r.t.. for 1982 through 1996 ar.:
!!!! Int.r..t R.t. DailY Int.r..t rftctor !!!r Int.r..t Rat. Dally Inter..t rllctor
1981 lOX .DDDS4S 1987 .~ .00D247
19U l.~ .DD04JS 1988-1991 11% .00D3DI
1984 11~ .OD0301 199Z .~ .000Z47
1985 IJ% .DDOJ56 1993-1994 ,~ .ODDI9Z
1986 1'~ .DDDZ74 1995-1996 .~ .ODUlt7
--Int.r..t Is c.leul.t.d .. follow.:
INTEREST = BALANCE OF TAX UNPAID X NUnBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Not Ie. I..ued aft.r the t.. b.eo... d.llnquent will r.fl.ct an Int.r..t calculation to flft.en (IS) day.
b.yond the date of the a.......nt. If pay..nt I. .ad. after tha Inter..t coeput.tlon date .hown on the
Notic.. addltlon.1 Int.r..t au.t b. clllcul.t.d.