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HomeMy WebLinkAbout96-00315 ~ .... ~ , Sl.. . I 4000. '1 . o Z '0 CI) .. o .. VI LLI __ ~ PETITION l'0l{ PHonATE Ilnll (;&{ANT (n: I.ETTEltS c~1 ,. q() .:315' ~. ., - L'" ) '". ,~ . 1:\111((' of ,.j~_y~._-L__':" . \ "-J "'I .J.... dl.\O kno\\'I1 a\ ._.....~\.,;'~ri: _ ~.u....U~uL No. 10: Hq'l~h'l III "11l~ 1111 lilt ( 1111111\ III III IIH' (111111111111\\1'.11111 pI I'tllll\\I\,11I11I Ikn'IIH'f/. Socicll,~,;'~;;il.'" So. -?-_Jl.~,,'~l.:~:':f:2 The pl.tiliol1 ul" the llltdt.'r...j}!lll'd Il"l'l'l'lIl1l1~ U'IHl'\l'lIh Ih,ll Yuur pctitioIlCI(,\), \\110 j"dan,,' 1M Y"'OI" tll apl' 01 ohll'l illlllll' nn III I" in the la,t \\ill uf lhl' :lhon' dl'l."l'dt;lIl. tlal\,',,1 1 ~nt"" ; ~ I allll cOllid\ls) ,hucd ._, .Oct;Ol;('l' 'J, ' I,' 111'.111\.'\1 . PI, . -------.-.-...--.-....-.....-... - t'I.I1~' ,d,'\,1Il1 dhlllll'I.llh ~", t'.' 'dllll!- 1.,11"11 ,I. .,111 ,,1 , "" ,,,, '. . I, I J,'l :.1 ',':Ii ,!" ,. ,I . . '.' ,'.,"..J. ( 'II'!'I \, 1'\'1'"',1 1IIlIIlil,.'~ ill! , . , I, " ., ,tllt",HIIl.Cd )\11 L"I De~eI1dent WU\ d0111kilcd at dealh in ,,;. 'I IL1JJ_ lasl family or prillcipallc,illcllcc ;II r.Ll:'/O~t) m~.c H.BC'i\..t' tll'l '1lrd, 1l11lllhll ,11101011111111'1111\1 . 1'1 ,)(, IJeccndcl1I. 1 hcn ---n4 tC'" s l'( a~\,. di,'II.' ( I' t. ;; I ;II ?ol.ycllni.2..::,o_(H.c_~.L_.lLLI1lJ'" ""l,,.,:!1>::,' ,J ,,, E.xcept ns folluws, tkccdcllI did not many. \\iI' 1101 tl1\lIh.cd i1wll.lld tllll !Iit\l' il tlllltl hotn OIlldopll.'d after execution ut'the \\ill ulTered 1'01 plohatc: \\Ol' tHlllhl' \h:lllllll! 01 "-llhllt! ,lIId \\iI' IIl'\l'l itdjlllli\.'alcd incompelcnl: _--"..' .--,...----,.--- Dcccndcl1t al dealh owned plnpellY wilh l"lilllalcd \ahll" ii' ItlIIO\\\: (If domiciled in Pol,) All pctsonall"ol"'IIY (If nol domiciled in Pa,) Pel"lnnal prnpl'lI) ill Pl'III1,)hatliil (If nol dOIl1lcikd in Pol.) I'ctsollal p"'PCIIY ill tOllll.1 Value of real eslate in Penll\\'hania shmucl! 5s .1011(11\\: EQ:.l;;.Q~O'::'{l,::)';,...(J"';:'~'': 1,'; "~I.~ut/Jl' ~t l__~.!.... ~~':lE~Ol~_..~_~._._,....-!_~.<':~Lur:tG:;,;al': .. ,. .-..... ~ ~ ~ ~ . ~r,}OJ(;')';___.0.~..__. r',J'--' ij,~.:-;'~''',~'- J_ ...w._._' -~------_._------_._.._--- \\'IIEREHmE. pelili'lIlcrls) rcspcclfully lel/'""II') Ih,' I'","al" ..I' Ihc 1;1'1 \\ill 1111<1 ,'llllicil(\) pre~enleu hcrcwilh al1lllhe granl nf kiter, ~ _ ' 0 :l~" t", I L',; J 1h"'I,llllflll.II\, .hltllllll'II.llh'II' 1,1. ,ldIlHIII'II,llllllllthl1\.'.I.,),1 Ihcrou. " ~ ~, ,- xt c ~,; ;= -" ,::. ~~ ::;, -J; 'lj7:.!..':.4-::._1~~':'L. _' _""'.J' '. _~~6.t'::_.E<):1rn~ .;:},~:.,., 9-1' , .,/. 1.'111:1 tall "1'.1.' VO _~_L..__...!... .....0.1 ...~ . _aQ9_~~n_;\Jc:;1;)la'LJ h\ 1';'1.< ......"'---' --~- .,.--.---- -.-.,-.. -_.- ---..-...-.... OATil OF l'EItSON"!. ItEl'ltESENTATlVE C0!\1!\10NWEAI.T11 or l'ENN!ol\\.\'A:liIA I. tiN COUNT\' or". ".. I The pelilhH1l'I(') ahll\l"II;tllll',1 \\\t',lll\t III ,111111111\1111111 lilt' \1.11\'lIll'III' In 1111,,' hHC}!oing pelilion arc true and l:orrcl'l hllhl' hnlllllhr ~1IIl\\kd.'" ,1I1l1 hdwlllll'rlllllllll"bl alhllhal '" pcr"lonal rcprescn- latin'h) of Illl' ahtl\l' dl'\.'l'th'1I1 11\'11111111\;1 (\) \\111 \~ \'II 111111 Iluh "dlllllll'h.'t IlIl' l',lall: accoluing In law" S\\Orll In 01 "lllfllll"d ,lilt! ~lIh'tllllrtl hcfnrc 1II",'hlS 11 TII ,)'1\ "I I 1 . ,." 1 , f. ' 1'1 .to ''11f,.'..(r.."... \.' )-', ." ./1 ~tt7f _ .J... I '.1 . . < 1 i', i, II I. i r~AAY c. LEW! 5 /1,'""/'" IS-q/l- 'I .' , f .._1_' .'.~::.::~ tI') :iQ. :i .. ~ " ~ ~ '. - , .j No. 21 - 96 - 315 :;OS::'11 Estate of SCO'",'l' E. I-;0Shl1. SH. u1m 8CO'l''l' ;'i. /, Deceased IlECREE 'OF PROBATE AND GRANT OF LETTERS AND NOW A pl'il 16. 19..2L. in consideration of the petition on the reverse side hereof. satisfactory proof having been presented before me. lT IS DECREED that the instrument(s) dated July 21. 1991 und October 9, 1995 described therein be admitted to probate and filed of record as the last will of SCOTT ;.j. lWShTI, SR. aka. SCOTT 1.1. iWSER and Letters Ten tal1!entary are hereby granted to iIary !Conel' Snyder ,~. FEES J. Robert stauffer (~06356) ATTORNEY tSup. Ct. I.ll. No.) :larket Square l31dG. jj""bn,,; nflhlll"':, PA 1700;" AllllRESS Probate. Letters. Etc. ......... $ 305.00 Short Cenificates( 1?......... $ 36.00 Renunciation................ $-- Codicil $ 10.50 X-Pages TOTAL $ 9 .UU ~CP APRIL 16. 1996 S.OO Filed........................... .365.50 PHONE ~~ ;JA..~hd-&- ;(L.<,.. /Cl<4 /dS/- 9" s .s~-.,Jd 717-7(,(J-967'l, V'd ..,;",. lJl1'_\:'J "e.tUn:) _"~~')I:) DE: ld It HdV 95. 311':'.~ ju ;.:. ":: !:Jlj .'; : .it:.JJOI:f Called attorney on 4-16-96. ,0/,,,''-,-'' ~";'C~~~~~~l~iJ'~-K:}~~- _ ;' 11~lc l:'~~;-~""".~; .~:- 539ill~t!L7~1~~ ~......~....., ~~il~. \,::..rl~\ ,.II'.....'" I _I"t'..~,..., ,:.::':~7".'''''''''''''! .........!'..-l'~~ - ...------- 84' I ' 1~:t:J~ ~JlI ~Cll;-";;t'.~.'.I.;lI;'IJII.' ......y..l ,,~........., ....1 I t I ...-..ll ~,::,.,lj J)~~~Il.JJ~~-- kt'1:~~~".t;;:~-, IJ~rel;"1( )i~~f:(~;1. (411 f{~~\~t'~~~~~' ~~:l:-='-'- Ol ~ l~!~t'!.~'~ ....,J..,.,...\f......,~l),. \..-1L.I""""""1 ,"'1 ....'.11.."... } "''''''''''''II'-U''''' -.VOluM ---"E~-e-c"wT-c'..,'~."n".""~'" 'J "..._,,,....,. .....'.."..I11J'.~T!::' ....."'...""- .-,..--.-.... II tr ...- . , " .. I I ,..-....--.., ~ ~..,...-'II ,,. .__ 1,,~1I1l5tl'lI~tUll ".... "I?"" _ "."___'L.ni'yQr.~~:!1_!.L OlCIDl"'.W....lNU~.'~-..,.~_.'I<....'.' ..' \tdU"'\ 1'~lln';iylvalJl~ ',.11_......_... 15 East Simpson St. ::'~~i.... II. "... ~_. ., MechantcslmrCj. I'd IIU~S ... ':"', (IIn~ltH'I,Ullt ::~I II,IX:::'::::,:.:::'" Mcchanlc5burg ,~,,-i".o:w.-,,-;;...."-'-';' .-- ....,,,....;....,.-.. ...-~;;-~;-.;;:;;.;;.-...- tl Edward 8. Koser " Mtnnt(? (~~~1~ ~. __n__..__ ,..o...u.,.,.;;.j;,iT,...,.-;;.j ___ ..........., ''''......1''......'''.._,.",- _Ill... ....MACy Snyaer ",13'. Wln.Lnn IIr.._M"ch.n!fs~~r9,P' .~5_. "1,Q)ijlr..~r... .---.--- - \'......1........... ".....~.~....I......._~l_l.;,__' j.tll,;ii....c..o-_....r..c- _1)0 ..._..11 _.........1 ..... ,~,." ...--. Indtl1lltown Lil111 nt::""'( I ,_t_"l_ 1 . . .\-I)-I')lJh J!!..~!1t hm~Lf.elJlC\ery- _~ _. _. I!. Annvt Ilel. Pa 17003 ~-~'?;;~'~.:f.,~~t1"''''~'''''''''''''''''''''' It I','.'.'I.I)~I'I.I'.'J.'.')-l t.........","......l...'......'11 Hyers funeral Home . ~~" _" '"u< . I.~!~' M~tn_ H" l1~f!!~llisbllrg.-.f;l.lll!~ _ ......_. ......_.....,.......... .......,.........,... 1..............._ \........_A tlW,"'....o .,.,............._.._..... ... \0,.......,'_ .....,u.,..., ."""'._...... ,.. ____ ___ II' _ _______ ___ h- ...."t,.OI" I'..'...~l.......u'~.u....,.....l .....',.\olI"II...""I\l....t.O(..I..U#II~.., _.. __. ... .... "I (' ,I \. " / /J" . J,( I <j/.. .._IL___ -- ~~- ~IQ ., """,. ._...................".....,_......._.......... .........~.... .,.. ............ ..._...", .,...k:......,..... ,-,_,,,_ .....t. ~....,...._-...........'" 1....."_._.....,.. 1=-:'= -.--................-.,.....""'", ((', I.~ ( I (I~. ~1L4. c::U~l''?IJ;(- ....,..".. :: ~J:- ~e,;:Zci. ~,g,!t1!I.. ... ...~.."". .,.. .~'. I .. {/ ( ~ , : ,.III.~ ......" \t:MiUf~i~-l_."...'I.I.~:.I'I.\;..i,iiioM"''""~~O ...."..,... .- ... ....... "" "". . . -- -- ----- "'''I''''~'''' .........,_................. 1',.1l......~_....._- ;:..- ... ,~~.~;~~';'~:;;"t--!If.~~ ~~~..-~~-= ...k':"""". 1101.... ....... ..-. ,.____'1..'..'_.......'............ .. .,..,'. ,. .,..' t...IDO,' '(./'~. -Q6 ....._.....__............,........-....-...................,...,..."........."'.... II" r. J-.,J 'fl/J I" - -,- - ~-- ...... O#ol,.w~.""'" ....,......."'..I..~IUDt.w'\tI>>IJII&l"J _..,,'_.M G",t"-,, t.- K"o',At. ... 4 "lc.)C /.I. ~.l/. H~fTo'Sb~/,1i1 .. .. . _....._._______J.}I~ -........1'.........-, This b to n.rtily (h,lt lilt" illltlllll.lIl.,11 II, \I l't\,I' l.oclllh'gistr,lr. Till: nrit:III,lllnlllll.llt '~lill\t I. " t, d It I ,I 'l .!it 11Il\ lil. <I '.\ ltli lilt .h ,lIt ''''1111.1111\' " tll, WARNING: Ills IlIuonl to <lIII'IICIII" Ihl' l"IIV hV IIhlllo".I"I (11 I'IooloUI"I'"' ,. ..~.., , IJ i) 1\. .. '\IJ'~' ..., ~1. u.... "lIc.U.ll P-4!i!t1c{, I" Ii 1\1 ,.,,11.!! U Fn' fllr Ihi'\u.lltlL,.1!1 ;. '1)11 ~1'~:;'~\'l\IIII'I'" r~ . .r~\ '.~.'~'i" ';"1. ; t r ..., : I, f" h " " .', I! , 1;' I'" '. '<:~ ' W I "~ \ ..'f ,',;.' '~;4/1 Nl ~\ ~~;/ -.,<,,,,,,,,,",,",'" ..( ",.. L .\( 1114 hll" 35U9{I;j::\ ~o tll0t'U~I" CO",loIUUW1AI1ftUt .-l'tltbYl'w",.IA' U1.....III..'''' Of lit At IIII '111AI fllCOllUS CElllIFICAlE Of DEATlI "'L,_t . 'U'MAJof.HI IUC._ .---.-.-- ('ll~ I.. '."'''''''\' r . ...... ..,Ii",~f':;'_,,- _'.Iro-...tu ....wul.....'...,.. '1I"'''''' ......,.,..,...".,.'., .. ..........,..'.,.. .-. ..: "'" ,~". ~'... . _I ~, I .. ,.. .- Wi;,it..";... ..;,~.';'; .u",.,_,..,......,',..... ....,.... ..."....... , . '.' ...........,......... .._..,_.._..........,.......~.' ......... g 8 & J ."'lIo(....._.Mf.........." o._.........,~_...........I....'.... ...."...._.. ",.,..,......,,~...,""'. II" .....,'... ...,....,...,.......'.1..... -......... '" -..."Yw.."'.....~.. ""''''_''j 1t.-1)~...."'".'..... i)b".t4.l.~" LJ,I ";,1 .JJ e fJ f'f~.1 J;IJJ'''----- .J 't!'" t;\. ....- m: - 96 - LZ ~. ,. LAs'r \':1L1 ,u;n '1':':~;'r,\.li';I.'J' ul. ;i:;(l'P'l' 11. j-~OSlliil SF<. I, SCO';"P j'I. I:OSSF, ..~... ..:> ~~ . , oj' tiln P,or'oui'h 01' 1.jecilHnicsbul'g, Count:! of Cumberland Ilnd ;jtnte 01' i'ernw;llvllnia, be in[\ 01' sound and di.sposing mind, :nmr,or'y and unrlor'stundilll~, do Muke, publish and declare this MY Lust \;ill und 're:Jturnont, hOI'oby revoldnc and makinG void uny 9nd nIl prior Willn hy me ut uny time heretoforo made. 1. I direct the paYT~ent of nIl my just debts !Inn funeral expenses as soon after I\Y decease us tl10 same can be conveniently done. 2. I "ive tlnd bequeath my burinl lot IIhioh in located in the J.IechanicsburG Cemetery, to T.1;: daUGhter, jii\,;.'Y j-:OSEh SI;YDER. 3. I give, devise and bequontil all tho rest, r'csidue and remainder of 1~;1 estatc, real, personal nnd mixed, 1I:l!ltsoover and wheresoever the sarno I'in~' be situate, to !7l;: tllO (2) children, to wit, my son, SCO'r'l' n. ]\OS;~;', JR. IJ.I~d my daur;hter, HARY KOSER SluDER, Rnal"C nnd shnl'n alike. A. In the event thnt ~:.. son, SCO":,'P 1.:. jWSEH, JP., should " predecoase me, then i.n lJ'lch event, I ,-ivo llnr: bcquenti: Ilis ~h[\re in m:! es tute to his llii'o, LlI(;,' ::.-\(;1.1,', j,OSi.;n, und to hi.s Gnu;:hter, -1- .., .-..... , SUSAiJ KOSER, :;:lIJ1'U Il~Hl :il1lil'O uli~.:o, ur' to t;~ln :lu~Ivivor or :~tlld two (2), absolutely, H~lolllcl ..ith-,ll' of' thel" prodecoullO [ne. B. In tho ovent .~II:tt ny dlll1i~htor', ilj\:~~! r~OSE:~ S!,:YDER, should predecease Ple, then in Duell (,vcnt, I I-Ivo und bequeuth her shure in my estate to her rour (1d ehildrell, to Vlit, 'l'Il:A SliYj)En HESS, !UeBEL3 SI:YD3P Lu?OSE, ;;;,',': fd:l: S;;YD,,;n und BILLIE J()fdi Si;YDER NOREY, share 11 II (1 shure ulike. ). . For the purpose of fo.cil itatin;, t!w settlenent und distribution of m:r estate, I 8.uthol'ize urd OPlFo\.:el' my pel'sonal representative, hereinafter named, to sell any ~nd 011 renl eatate which I nay own at the tine of ny deceuse, us Vloll as, ny personal property, not otherHise specifically devised 01' be(;Uellthed by l11e, at either pub I ic or private sale 01' salen. LASTLY, I noninate, consti tllte and 1J.1'i'oint rny daui:htol', I:'ARY KOS3P. S;iYi)E''', ;';xocutrlx oj,' thi!; my Lust 'dill und Testament, and in the event thut ';.1:! said dau;'htcr should jJl'edecease [ne, or should she be unable or unwLllir:,; to servo in such capacity for an:, reason, thl1n in sndl event, ; nom:natc, constltute tinct ap;::oint my son, SCOTT :'i. KOSER, r.. "xecutor 0:' tilts l1l;r Lnst IHII and I~cstlll~ent, in her plfleo Hnd :;tc(!d, and i!1 eiti.er event, I direct tha t ,'y sa iel persona I !'epl'O~H1nttl t i ves bC' excused fl'ol1l FOS tlllf, bone' 01' ot:her s'~cllrity, in this .Iuri!3dicti.on 01' 01171' other jm'in- tlicti.on, for the faithful perfol'rr;ance 01' theil' duties. -2- this HI \nTllESS H!iEREOF, I have horounto sot :~y hllnd and soul 23rd dllY of' ~________' A. D., 1991. ~+",4./ 'l'..#-:f:;:.v" die. .._ __ (SEAL) Scott ~l~ Kosar, SI'. Sie;ned, sealed, published Ilnd dllclared by the ahove named, SCOTT !f,. j';OSE!i, SIl., us and for his Lust ',iil1 und 'l'estament, in the presenco of us, l~ho have hereunto subscribed our names hereto as \o1l.tnesses, at the re'1ucnt of' said tostator, in his presence und in the ,~ )' ~f/ r....../)/.dL/!p 'I ,_ ,.//,^t'~.~./ , " -3- .: :~:~;fiit~ '~,. .....'.m i5"1"~~:;~ :;;r1:J- ~ ._,,: ,1j' ,_~-"".'"' '(''li:-~ \~,y .':"': :.-~~?~~ i '~~'t. .;.:::J.l: .},i;,f.iI r;t"" .)i'~'''. ,.",.1; r{,.~ "'.f/)"'l~"~' " \V.iol~";!1 ;.BI~ ~f :; :i"."" ,>,:~ I.;. ;(,'7h::: : :;]~! .~W::~_ :..~~~ ~ ,... t~'[;j ,.;.t,,>.-t' + ~.,.,~ (l'lv,.: " '" ,\ .~.'''''..;c'"'. "., "'_>"~''t ufj 'o~ '5' . :'~;(r~;';~'i:i~j '.,fif, ;;ft~ .';,~".:.\.'\.:t..r..\r.t..l.; .~t"~"" ~'::!.{. ~_ ,.',;'J"- '~",~,~I.,.t?;-l.. :::' :-!tv'"'''' ,~. ':'.' ?~..;;~';"".Y ~-'-'1 .~'; (J '.' ;'l~ :j:tl.l:~t~-~-r~$~.~q.\ tiit~:)l "_lel'. ~,~,_"...~.... '"'':(.'},.-'''\t :! _::';;~. ~';':~:~~~~~:'1.~1~~:~ .,,; ";,~j;'f~ti~, .h.>'l't~-c:<-' ;;"~~ ."'- .".?Q$.~~~f~li , ;.... r' ;.;?"",. :...~;q~ ,~'\?i~~f~J '" " ....1.;<0 ~.\ ~~'- .~\ .. ~~. f ~~'i''' '>~i"a !. ^' _'~'r :,,!:"~:~~"J"";J'J/.1'l . t,. I. \':.; 'I ~,,,,,,t"'^'-' ~.... _' ": ~ :4:" ~ ~:~\ ~"JJ;'-ji':. .. n"'''S :>' ;(;\~=;<L.*;;'Ad~~ .. . :,".,., ,....h.~..,.."~ ~' .. '~"",'./:~t"\:~':~;~~~~~1:~ .\ _ '. _, ,'I. ~ ~.,..,.. "":'l-~,:'\~'1;. . ~:?{;/2>:,,:\'::~::':;~~ffi ,""" - "J"-'.' t.."" rt I ". .4.:~'~i~i;:~?r~:J:~~I*~ .. J ' .,"~' .'" '~~ - '. , ;:{;::~.rf~!~ ,1": ..' ' R8cordociomco ot R8{;\etor 01 Wills '-,' '96 N'R " P 2 :30 .' ClerK-O;~,1"r.:1'$ court cumberland Co., PA '., ,.'. ., 'i~" ..:~,.' , ~~;~:~r:.;;~.. ~~ji. . .,.:E: ~~~!~,:'/ ~J"~ ~;~~":' '" I- ~, ,', ., HI HI 01 .HI 'AI .01 01 " " ~/! - . . ~, ',> , . ~ f . . . '...: " ';, " -', . . :- .f~ 'i """'... . ...,.:",.. ~~.-. I'" '.'. .," ..' ,J' .. ~' "~' ' CQQI.!l.f.!! I, SCO'l"l' 1;. );0:>E1I, :.in., or tho 1\01'0\11;h of llochn.nicshurc, Connty of ClllllUol'lnllll nnu :.\tlll;o of POIlTlo;;l vnnin, hoin6 of oouml nnd di:Jpoo tng Inind, lnOlllOI';, II'IU 'lllUOI'O tt\l1cHnr;, do Illalee, puhlioh nnu uoclm'o thio the Ii'tr3t Couidl to l'lY r,::u,t \'lill nnu 'feotnlilont untod .Tuly 23, II)')!. 1. I gi vo nnd b0'1110o. l;il the :Hlln of I"i vo Thouonlld (:;;5,000.00) Dol1nl'0 apiece, to each of I'IY fJ.vo (5) Granuchi1dron, il'U110dio.te1;r hereinaftor mUllod, if thoy ollrvJ.ve \'10, to \lit, 'rIill\. SiIJ.1)E1I Hl~SS, IIIcllm,g SlrIlmn I,aTIOSE, HATIY A:m SlrrIJFJl, InUIE JOA11 SIIYDIm HonIrf and SUSAll j~OSIB. 2. InaSllluch ao I antic1pnte beinG bUl'iod 1n tho Indiantolm Ga.p 11111tal'Y COlllotory, nml ii' nuch be tho CMe, I r;i ve and bequeath Il\Y cO~lOtol';i 101; locnted in I;ho lloclmn1cob1.1rS Cell\otery, iiochan1csbUl'C, Ponnoy1van10., to 11\Y dallf:;htor, IIATIY lmSEH Slll1mn. 3. I herob;; ratify o.nu confil'll\ 11\Y l,nnt \'1l11 and TestOOllent, in all otlv)1' respect:l nnu \;0 all intents and PIll'POOOS not 1n- cons is tent hOrO\11 th. -1- III ':lI'.L'II!'~S~; ~Hll.:nEOl;', I h,lVO lH'l'ounto 00 t 1'IY hand and 80al thin --f~ dn:; 01' Octobo1', /I. D., 1995. ~::,}} J. A~.=fA-- , . P;-c-,- :~tJil. ::ounOl'J Sr. (SEAr, ) Signod, oealod, publ:'_shod antI declarod by the above numed, SCO'.L"~ 11. I:O:.mn, sn., as and for the Firat Codicil to his Luat \1ill and Testument dutod .July 23, 1991, in tho prosonce of us, ",ho havo subscribed our n!ll'les hero to as vIitnossos, o.t the l'oquest of said testutol', in hi.n presonco and in tho prosence of eueh other. v I , x- ~_' ..J .~..._~_ I -2- 21 - 96 - 315 REGISTER 0)<' WILLS OF ~;;,~i,;;,i,::ll COUNTY OATH OF SUnSCRIIUNG WITNESS J. Hobol't Staul','!)!' codicil (eaeh) a subscribing witness to the ;wllt presented herewith, (each) being duly qualined according to law, depose(s) and sa)'(s) Ihal ho IHl:J present and saw Scott ~l. l:o~or, Sr. Ihe lestalOr , signlhe same :lIld lhat _ ho signed as a witness at the requesl of testae!:-.. in I~ presence and (in Ihe prcsence of cach other) (in the presence of the olher subscribing witness(es)), "l'r,) '," 3r;uo.pc 17055 (Address) REGISTER OF WILLS OF CU:u,';:iL,\;m COUNTY OATH OF NON.SUBSCRIBING WITNESS Billio Joan ~orey (each) a subscriber hereto, (each) being duly qualined according 10 ,law, de~ose(~~ and say(s~ Ihat she 10 familiar with the signature of Scott d. hoser, r., codicil WfY{ Ihat sho presented herewith and codicil believes Ihe signature on the;wm:: is in the handwriting of testal 0'1" of (one of Ihe subscribing witnesses to) the Scott ~'1. l~onot', Sr. to the best of her knowledge and belief. --~, , \ Sworn 10 or afnrmed and subscribed before \-:---" . me Ihis 11TH day of \ )"1 (19~ 31.22; iHIlC:, n!L!-tJ.(, 1 tlJ ' L EW 1 5 Hell/slcr (Name) En3n Cil1clc, itland, PL 3l.731 (Address) (Namc) (Address) Cl 1::0;( '0 ~ ::Ie.: !fl N 0 ,~~ 0- L ,j :t.> .. t.) 1..._ - -:;; t..'"; 0 - U '."': ~ (J t-J CJ l. J \-0... '..n ~, "';.' .~ E u ~) \Q Q)a: P' Q)j a: UU CEHTI F ICATlotl m'_~~n'.I:l.cr: lJtlDEH HilL!': 'j, 6 ( a) f d.,.. r") ('1' (' ) .,,-,.,/",r', Name 0 Dece ent: .:GU"\:;1 "I, LU~J"':", .),1.. n,{p .J\J~J.. .. ':C:3.:: ~ Date of Death: '~'i.l :" 1')()!,. Will No. 1 C)(~l( _ ~Jf:) 'J 1. t~ "'!mi n, No, To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the fcl !lowing bene f ic iar ies u [ the above-capt ioned es ta te on /,nri.1 2'1, lc)'l(, Name A<.Jdress :1ar:r :~ascr Sn:rdor-'.~6 ':~lnston ~)rlvo, :'pchnr:-!e:~-'l~ll'l'., ?f... 1705:; ~~cotu l~. ~\o~er, .J1"'., [l;[)'-} j)".nmonc orIvc, -D !..t~-:rn"~i:)ur~:J I-IT) '1" co ,1" "0" , c2 '....'1 ..' 'J' "//171' l.nn un'Y\,er '.053. .:.-. ... .o.~ 1 . 0.)...,1._ ~.rnve!". lit .. ~ u "'ch 'le co "'C~T_tJ_M "'0" "1 'l '''C "t"'f 'j' 17~l7 l"~ e_ unJL.. ~, L : 01'01..01, n{' ~L.., _ . ..0_ C, ~.;. ..J~ ::In''~;" Ann 3n,rdel', 10('~i 7:anr'oc1-: ~)rLve. :.:nc!:n':icsl'1.l"v.. :1.'~ 1 70t:;r; Jillic .TOf:.n Sn:j'cer ::oro:r, 31:-~~5 ')lnc1~ '~a~~;~ C:.,_"clo, _:'l"uLtl.:.nc ;':11"1:, l TJ .34731 Susan !:o!Jer nODS. en') D~n:'10n(~ Drive. (~alt1:o1'nhtlrf"', :rD Notice has now been given to all persons entitled thereto under Rule 5.6(a) except ~:onc Date: 'I,t, /9 Co I JI'Ja-1tf .5tt.."" A _ ~t.L).Cc,^ Signature ~ J Name _ Io.r.,r ~:oser :..iu.,"dcr' Annress 116 ',:Lnston Dl'i'vo .. ' .. 'r';,. 1-,' O[~~ ~.CCllanlc..~tJUl'C;,. ..,,;;J 1""1 ~~~ :"! ....:. vl c.' Co.:: l""\ ~. >- ~: ,:: .' ,- u , , '0 Q) 0: p .1' ::> a: Gu TelephoneV17) 76~~073 Capacity: .. Personal Representative Counsel for personal represent.ative UIJ.I!>OOIJ. tlq.a\ ffi lil III '" ... -=;cn ...",>< ........ ~CJ9 ...t.. '" :3ffi "'''' "'''' B~ '" '" S E ~ ... ... '" I !j (/,/-'1 20, II Uno Iq h gr.olor 'hon Uno lB, onlor ,ho dilloronco on Uno 20. Thi. I. ,he OVERPAYMENT. PO 21. II Uno 19 h groo.or ,hon llno lQ. onlor ,ho dilloronc. on Un. 21. Thi. I. ,h. TAX DUE. A. Enlel Ihe intelesl on Ihe balance due on line 2\A. 8, En,or ,he '0'01 01 Uno 21 ond 21A on llno 21B, lhi. I..ho BAlANCE DUE, Mak. Cheek Payabl. 10: Regl".' of Willi, Agenl {211 --- {2IAI--- 12181 6 J 1L1.6 . 8_.'3- 0.00 9J.l4''-~- , ~ ~ .. "" '0 AN"'" AU Oom,ON' ON ..."" "" .N' '0 ""'''' MArn .... IT... ,..... . ,..,.,. · ...... .~ · .", ..-'..' ... ....... ;...~" .....,..... ........ ... ..-.... .- " .- .. · ~ ,......... .., .... " "". ..,,~ ._ ......" . ,,,... .0. ." ... ..... .. ... ..~..'" · ". _.0. ...". o.....~ .. ,..... .." ... ~ ,...~' .~....... . bOlod .n olllnlormo,;on 01 which proporor ho. ony lnowl.dg. "{"." ".~J..._".".j."ill.: - ...m' 13& Win;tonDr,i. -- --- . <J..U--~-~~ (d_ '--:=:'::____t'\e.ChlmicobW.g. _J'J).__J.1.955- !:I 4A.1U ". 011 HiZ''ij!!J .."" Hork" S:m.rn "Jodg. _ t l'I~91t!!D;i,~!!-t1~g,-..A--110~2 / (, J:. e. Tolal Number 01 Sole Dlposil BolllS '" C> !:i >- ::> .. S C> ... ~ >- I. R.ol h'o" lSch.dulo Al 2. Slocl. ond Bond. ISchodulo 81 3. Closely Held SIQcklPollnenhip Intlfesl 'Schedule q 4. Mortgages and NOIII Receivable ,Schedule 0) 5. Cash. Bantt Deposits & MhcellaneouS Penonal Properly (Schodulo El b, Joln'ly Ownod Ploperly {Schedulo FI 7. Tr.n.lo" (Sch.dulo GIlSch.du1oq 8. Tolol Glon Aneh (Iotol lines ,.n 9. Funprol bpenses, Admini'Ualive Co,'', Miscellaneous Expenses ,Schedule H) \0. Deb". Morlgage liabilities, liens ,Schedule I) \ \. Tolol Deductions {lotol line' 9 & \01 \2. Net Value 01 Eslate (line 8 minus line 11) 13. Charitable and GOVefnmenlal Bequests (Schedule J) '4. Nel Value Subject 10 TOJ( 'line \2 minus line \3) 15. Spousal TransletS llol dolU 01 deolh oher 6.30.94) See '"'tluelions 101 Applicable Percentage on Reverse Side. (Include values ham Schedule K or Schedule M.) \6. Amount 01 line \4 laJ(able at 6% role (Include values Irom Schedule K 01 Schedule M.) 17. Amount of line \4 laJ(oble al 15% ,ole (Include valuu Irom Schedule K or Schedule M.) \8. Plincipa' laJ( due ,Add laJ( from lines 15. \6 and \7.) lQ, Crodill Spo"ol po,erlY Crodit Prior pOO.nll Di"oun' o,gg + ]'.9_,.9~_.oo.._-9$2..-00- (IQI (201 {bl- In {B 1 !l:70.044.06 35,096,87, l~34, 947.19 0.00 434,947.19 0.00 26,096.B3 {ll) {l21 {l31 (141 {l51 _____.--------.-2..-00",-= llbl ___ __--1.t3Y.,-9..41~" ,Ob = 0.00 26,096.B3 19,9$0.00 0.00 o .QQ" ,15 = {l71 ---- {lBI InlOlOSI O.OQ DAH 7/3h';' DAH ' .-3 . 3'- '] t . .-:.-' . WD.~A ~~.~, - ~ '. Ad #48 of 1994 provldos for tho roductlon of tho tox ratoslmposod on tho nol valuo of transfers to or for the use of the spouse. The roles as prescribed by the slat ute will be: . 3% (.03) will be appllcablo for oslatos of deeedonls dying on or after 711/94 and before 1/1/96 . 2% (,02) will be applicable for ostates of decedents dying on or alter 1/1/96 and before 1/1/97 . 1 % (.01) will be applicable for eslales of decedents dying on or afler 1/1/97 and before 1/1/98 . Spousal transfers oecurrlng on or alter 1/1/98 will be exempt from Inhorltance tax. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK tv) IN THE APPROPRIATE BLOCKS. YES NO 1, Did decedenl moke a transler ond: a, retoin the use or income of the property tronslerred, ......................,....................,..,........ b. retain the right to designate who shall use the proporty translerred or its income, ...........,... c. retain a reversionary interest; or ..,...............,...........................,........,......,.................... d, receive Ihe promise lor Iile of either paymenls, benefits or care' .................,....,................ 2, If dealh accurred on or belore December 12, 1982, did decedent within Iwo years preceding death transler properly withoul receiving adequate consideration' If deoth occurred after December 12, 1982, did decedent transler properly within one year al death wilhoul receiving adequole conslderalion'.",........, .....",....,....".."..,' ....", ........"...."........., ......' ....."".."..,... 3. Did decedent own an 'in trust lor' bonk occount at his or her death"'..........,......,..,............... IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE ~.cHEDULE G:~ND FILE IT AS PART OF THE RETURN. .'i~) , l . .~. t' II~"NI.' 1'111 'I!~;g- SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY COMMOUW(AlTt. or rlfw!lY,VMltA IHItUlIIAHCllAX ..IUIH __ .______ _.._ I_I~I~~~I DI~_IDIHl ESTATE OF _ Ploalo Prinl ar Typo _ FilE NUMBER 21-96-0315-State 1996-00315-County SGO'l"r H. IW3IID, ::m. iA"-p;~;..-;;y {~~,~!:_~~-n~cC~i~~~~-.Ri~~~"~1 s~~~~~~..h.I~~~!I.b;-di~-~I;~~d ~~.!~.-iul~- fl ITEM NUMBER 1. 2. 3. l~. $. 6. 9. 10. 11. 12. 13. 14. DESCRIPTION -----------~--------- ~-----~-- _._---~---- --------------.-- -~- - -- ---- 7. MELLO!l BAlli\:, 11. A., Choc1cing Account No. 1l~2-109- 6692. :I; COlmERCE BAIll\:, 11. A., Cortificlltoo as follouo: Certificato of Deposit 110. 935l~. Certificate of Depos tl; No. 91~29. YORK FEDERAL SAVIIlGS AIlD LOAl!, Cortificato of Deposit No. 800-299. HERIDIA1I BAlli\:, Certificate of Depooit 110. l~61~- 628030. HARRIS SAVIIIGS DANK, Certificates ao fol10wo: Certificato of Depos:l.t !lo. 18-66-2392$2. Certificate of Deposit No. 18-68-222017. Certificate of Depooit 110. 18-68-222026. PHC BAlrt.:, H. A., Checking Account and Certificates as to110ws: Checking Account 110. 50700B1646. Certificate of Deposit !lo. 21001010081. Certificato of Deposit No. 21001010703. Certificate of Deposit 110. 2100101301$. Certifioate of Deposit No. 2100102960B. DAUPllIll DEPOSIT BAlIK AHD 'rRUST COHPANY, Certifi cate of Deposit 110. 800040927$. BRICKER'S AUCTION HOUSE, net proceeds from sale of miscellaneous household f\wnishings. 19B8 Pord Taurus four door sedan automobile. Harold E. Lucao, Sr. and Carol J. Lucas, pro- rata reitnbursenlent for unexpired, prepaid property taxeo and sewer charges, as followo: 1996 County and Borough taxes. 1996-97 School taxes. Thil'd Quarter 1996 aewor rontal. International Brotherhood of Electrical Workers (113m'll, Local 1l~3, final pension payment. A. T. & T., refund. Ohio Casualty Insuranco Co., autOlllobile insurance premiUlll refund. Bell Atlantio, rofund. B. VALUE AT DATE OF DEATH 78,5l~9.68 10,02$.96 10,027.32 10,047.9$ $0,18$.19 10,00$.30 20,01$.:34 10,007.67 33,114.43 20,027.78 $0,216.31 10,029.72 51,337.88 $0,191.78 70$ . 00 1,$00.00 4B.61 372.03 63.01 367.37 64.29 130.1$ 11.29 TOTAL (AlIa onlor an lino 5, Rocapilulalian) S 417,044.06 (Alloch oddilionol 8VIH )l. 11" ,heell if mOle Ipon jl nertded I fllIltlll', PUI ESTATE -OF ,~ COMMf)UW( 101111 Of "IHI\,tvAIUA ItuU"I'AtKI 'AI III WI" .'!llmul tJl(f()ltn SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES Plea.e Print or Type ~------~~------"'--------l Fi[ENUMDER 21-96-031S'~~~~~0 sn. . , . _1.2'j6:-{)Q3.1?_-C.Q\!llty sco'rT H. I:Omm, ITEM NUMBER _._--~- A, Funeral Expen..s: DESCRIPTION AMOUNT l. Hyel'o Funornl Homo, Inc., 37 g. /oInin st., lIechnnics- burr;, PA 1'/05!) , funeral oxpensoo. * 5,638.10 B. Admlnl.tratlve co.ts: 4, C, l. 2, 3, 4, 5, 6, 7. 8, l. Penonol Repre.enlolivo Commission. I1ary Kooor Snyd~, EXQ..CUtl'ix Social Security Numbor of Porsonol Repro.enlolive: 200,,"24.~0043-------- 11,000.00 Year Commissions paid _________.. 2, Allorney Fcc. J. Robert Stauffor, Eoq., a ttorneyl s fee. 11,000.00 3, Family Exomplion II/A Claimant _u.___,_,___________.______~~_ Rolaliomhip Address of Cloimonl 01 decedonl's doolh 51roel Address ______..__.__ . City .________..... .., ,_ _,_00_...._.51010 _..__.__. Zip Code_______ Probole Fcc. Cumberland County ReGister of \'lillo, Letters Testamentary. MI.eelloneou. Expenses: Bell Atlantio, April 1996 telephone Penna. Power &. Lie;ht Co., April 1996 eleotrlo. UOI Corporation, April 1996 gas servioe. Cumberland Law Journal, Estate Hotiee. United Hater of PA, water rent to Hay 1996. Gingl'leh Hemorials, cemetery m!l.rker. Joseph Glasoel', t/d/b/a Quality Hauling, hauling refuse and trash from dwellinf?; and garage. Penna. POHer &. r.ight Co.. Nay 1996 eleotrio. 365.50 13.B7 22.2B 50.B3 60.00 20.50 370.00 270.00 13.50 TOTAL (Aha enlcr on line 9, Rccopilulolion) (II more space I. needed, Insert additional .heels ol.ome .1...) S Carried Forwo.r PAGE - 1 \A SCIIEUULE tI IfK~s3' fUNERAL EXPENSES, (OM",,'IlWfAl;;1 ur rrtllll.WAlIIA AIlMINISTIlATlVE COSTS ^NIl mAj,"' -- ~:'::;J!;;;;;:!:I::' ;~~1~.' .;;~I'CE~l!,~!OU' 'X,""'!' -I jij'IiUM~ri1~E~glIT:~~~~: tl~I~~En ------------'---~~~:r;I~~~~;~-'--..--.-- I AMOUNT _.____1.______ ......----..-,----.,--......'..- .-. -". --..--P.'''.-'-- 9. Devall Traoh Hauling, hauling tr!l9h and rofuoo froln Garage buildinga, final cloallup of property. Bell Atlantic, Hay 1996 telophollo. united \~ater of l'A, final bill. The Sentinel, Eotate lIotico. Penna. power &. Light Co., Juno 1996 electric. Borough of Hechanicoburg, 3rd Quartol' 1996, sewor and refuse charGe. Barry L. Heckard, 'rax Collector, 1996-')7 School real estate tax. Penna. Powor & Light Co., July 1996 electric. Jack Gaughen Realtor, cOlnmiasion on sale of premises No. 15 East Simpson Street, l1echanicsburg, Pennsylvania (decedent1a dwelling) James D. Bogar La~1 Offices, Notary feos chal'ged at final settlement on sale of residence. James D. Bogar Law Offices, Disbursement fee charged at final settlement on sale 01' residence. Cunfuerlgnd County Recorder 01' Deeds, real estate transfer tax on sale of residence. Yingst Exterminating Co., termite inspection and treatment of decedent's residence at 15 East Simpson Street, l1echaniceburg, Pennsylvania. Penna. Power &. LiGht Co., final bill. Register of Wills, filing Inventory and Pennsyl- vania Inheritance Tax Return. . Registor of Wills, reserved to filing Account. ...'ulllltl'..1 10. 11. 12. 1.3. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. $ 100.00 16.00 , 9.30 71.04 7.95 64..30 421.71 8.82 3,710.00 2.00 35.00 5.30.00 1,116.18 7.95 25.00 110.00 Totnl.................$ 3~,o67.83 PAGE - 2 '1-/ 1:-/DNo. AA .~. ..- \ IOlI\62 0 '."1.1 ,- , 146700 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE d,FICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX . RECEIVED FROM: ACN ASSESSMENT '=' CONTROL ~ NUMBER AMOUNT D IVI 'l>b. 1,.6. 83 SlAUFFER J ROBERT MARKEl SQUARE BUILDING MECHANICSDURG. PA 17055 ESTATE INFOR/MTlON: I:t FilE NUMBER U 21,-1996-0315 ~ NAME OF DECEDENT (lAST) ~ K ER 5 M R II DATE OF PAYMENT m POSTMARK I COUNTY 5SN 20'.-Ql-5392 /- (FIRST) (Mil!. ! ,". /-,./ l DATE OF DEATH m TOTAL AMOUNT PAID "M 14M Fl3 V7. REMARKS f.' {" . " t'l" ,.i.' l (, 'SIGNA'URr . , / ~IARV C. LE~II5 . REGISTER OF WILLS MARV KOSEH cIa J RODERT STAUFFER ESQ CHECK II 3\ 'i , I. RECEIVED BY I, ,j , ' SEAL REGISTER OF WILLS ., __t ., ." .--,-. .-.' --'''--'' ,-.-- ...--.---. _. -" .-- ~ ' ..--- -..-~...N.~4j..-,.- "<1:' (1) (2) (3) (h) (S) (6) (7) (0) ( 9) (10) (ll) (12) (13) ( ll.) ( 1~) ..).1 J'Lr 3/5 Inventory of the real and personal eslate 01 " "",,",,,.,.. 1'()" '1 . 1 '..' \} ~ .! . .' ..J ~"1 J __ .___ __.._.___.... deceased .).,. _______._____ _0' _,_._____._ .-.-~"-"'-- ... _ _____"~___u___..__H ..__._" !loun 0 and r,ot of (h'OU1V] Iocr. toe] n t I:' Elln t ~ll.:lpoon Stl'CO t, 1l0chanicobUl'G, l'onnnylvania. Hollon Danl" i1. A., Chocldnc hccollnt 1'0. 11.2-109-(,(,')2. COl'llnorce Dank, 11. A., Ge1'tifl.catoo no fo1101W: Cortificate of Doposit ;;0. ')3~h. Cel'tificnto of Dopooit llo. ()J~29. ~ol'k Fedel'al Savings nnd Loan, Cortif.l.c!lto of Doposit !lo. 000-299. lloridion Dnnk, Cortificato of Dopontt 1:0. 1.(,l.('2(lOJO. llarl'io SavinGs Dank, Certificates as fol10\0w: Cortificnte of Deposit 110. 10.('6-2J9252. Certiflcnto of Deponit l10. 111-60-222017. Certificate of Deponit lIo. 111-611-222026. PHC DAme, II. A., Ghecldnr; Account and Certifi.cato of Depooit ao 1'0110\'10: Checkinr, Account !!o. 50700111(,1.6. Certificate of Deponit 110. 210010100fl. Cortificnto of Deposit lIo. 21801010703. Cortificnto of Doposit lTo. 21001013015. CortUicate of Donosit roo 21001029603. Dauphin Deposit Dani, ond 'Prl1ot Conpany, Certificate of Deposit 1:0. (J000I.09275. Dricker's Auction Eouse, not Pl'ocoocln i'rorl 8nlo of furnituro. 1980 Forel "nm'us four door noean nutol1ohile. Harold ~. L'~cnn, S1". unci Cnr~)l tT. IJucus, reimburso1'lont of real ootato taxes and nOHOl' charces at final settlouent on salo of rnsidonco, ao 1'0110\'10: 1996 County and 13orour;h tn."<oo. 1996-97 School tax. 3rd quar'tor 80\'101' charGe. International I1rothorhood of .nectl'i,c;al ~,;Ol'l:Cl'fJ (. :I,;;',') final pOl1oion pl\Y:lOnt. A. '1.'. t,., rll. and ,\,';.i\. C l~.lb, l'of'':lnds. Chto Cnn1lalty Incul'flncc Co., ro['und oi' nncJ.l'ncd autol'lobilo insurance premiun. !3011 Atlantic, refund. 0("'1 C' ", t 1 ,I, ...0 :1. ................ ..... .t;) I" U 53,000.00 70,549 6Q 10,025 96 10,027 32 10,0!j.7 95 50,1135 19 10,005 30 120,015 3l. ,10,007 67 I \ 33,111. 1.3 '20,027 78 150,216 31 10,029 72 $1,337 no 50,191 70 70$ 00 1,500 00 I.B (,1 --'? 03 ,)! .. 63 01 367 37 6l. 29 130 1~ -, 11 29 70,Olll. 'Jb I ,;", "J COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND IS: -- according to law, doposos and say. that Cho _~ _ t: lO_,i;';,('e1.!.t_J'~x_ - . of the Estato of _. ;jc:~}t~~~:.'.:--~0.~;I. _____ SHorn and subscribod boforo mo, 2n(u.~-4~'='^- ,<),1-<._,(,,''- u 'Eucu'or . A"inrn1itf~Jr 1,3(' ',!inn ton Dl'i va - J ";,,,,,",,,",'''",'', ?!, '70" _ _ __ _ __~___ ;~ll1':r :'~O:;Ol' .jll:.rdnr boing duly -~Ql'JL _ _ _ . .- ---- ~ -- - -- --- --- - -- -._- -.. _..- late of --- :.:nc'Jn'l i c:J1:.t1l'i;, .. _, Cumberland County, Pa" decoaud and that the within is an inventory mado by -_. _.:~~X':: :~(J~C~I__ :;~]~~~~:F _._ _ __ __I tho said i;xocutl'ix of the ontiro ostato of said decode nt, consisting of all tho porsonal prop.rty and real estato, oxcept roal estate outside the Commonwealth of Ponnsylvania, and that tho figuros opposito each item of tho Inventory repr..ent it's fair value as of tho dato of docodont's death, 19 <J(; Add,... Date of Death __ ._~.th.. D.y 1':96 1\ }l'P i' Month Yu, INSTRUCTIONS I. An inventory must be filed within three months after appointment of personal repre.entative. 2. A supplement inventory must bo filed within thirty days of discovery of additional a..ets. 3. Additional shoets may be attached as to personalty or realty 4. See Article IV, Fiduciaries Act of 1949. I I I >- I f n .,; I " I- W ,~ I [1 ~ ~ ~ I- ~ H w ~ .. 0.. ,r: u " l!J 0 III c~1 t:: " ~ 8 w w () C '" ... :r ~ "I ~ ~ " 0.. LL .c1 .,; 0.. C I- ..J ~ Z ..J ~ 0 ~ . ; I r; 0.. al 0 W LL -< <J .p == > 0 ~ (;) , ." ,;, U1 -< z 'JI '-' - Z 0 c C ' , (;.' ~ ..., ." III Z 1--. 0 ~, 0 ~ .i . U Z w -< ... G> 0.. ' ., " ,0 t_,; C ~ 0 r:.,: - -;: r-:~ ~~l J 0 " .., " E ." .... (" - ..!! 0 t..1 (I) ~ ~ 0 ..J U ii: 00 R[V.ISOOUt l,lUI ,; ... ili lil ... W Q w ... )C~tn ..a:'" w"" xcc ..a:-' .... ~ ,... ::Jili a:Q a:z 8~ I'] 040. fuluro Inlorell Compromile -- (for doll" of deadl aile" 12.12.B21 lJQ 6. Decedenl Died T 1!I1tole I] 7. Decedenl Moinloined 0 living Trull (Anoch copy of Will) (A"och copy of TfU\I) ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO. NAME CQMFU It MAllltlV AOOAf!l.!t ,J. Robert stuur.rCl', Atty. Jlur1wt 3quurO Illde. mUHciiliIlUM'" ---- 1.lochunicshur~, PA 17055 766-')67 15. Spousal Tran\'en ('or doles of deolh olter b.30.QA) See In\!ruction\ for Applicable Percentage on Revene Side. (Include values (rom Schedule K or Schedule M.) lb. Amounl of line 14 taxable 01 b% role (Indude \lolues hom Schedule K or Schedule M.) 17. Amount a' line 14 101l0ble at 15% fole (Include \lolues from Schedule K or Schedule M.) lB. P,incipallox due (Add tal. from lines 15, 1b and 17.) 19, Credill Spoulol po..ra Credi' p.ior Poymenll Dileoun' Inl....' .00 + 25.149_.1)3 L..95Q.._00_ -- 20. Uline IQ is 9reole, Ihon line lB. enler Ihe difference on line 20. This 11 Ih. OVERPAYMENT. a O,Ii:r.n'lliI.U,.t"'I.I...U...,I.lllo.lollhh.'..'1nr.r.r:1.'.'lJI.'l.'~~~III''101 21. Uline lB is greol.r Ihon line 1Q, enter the difference on line 21. This ilthe TAX DUE. A. Enler th. interesl on lhe bolonce due on line 21 A. B. Enler the tolol of line 21 and 21A on lint! 218. This islhe BALANCE DUE. Mak. Check Payabl. 10: R.g"t.r of WUI., Agtn' o 4, limi..d Ellol. z c 5 => .... Ii: of: .. w '" I. Real Eslole (Schedule A) 2. Slocks and Bonds (Schedule B) 3. Closely Held Slock/Parlnenhip Inleresl (Schedule C) A. Mortgages and Noles Recei'loblp (Schedule 0) 5. Cosh, BanI.: Depo,its & Mi,ulloneous Personal Properly (Schedule EI b. Jointly Owned Property (Schedule f) 7, lran,le" (Schedule GI (Sch.dule l) 8. Totol Grol1 AUtls (tOlallines '.71 Q. Funeral hpens8s. Administrotivo Cosls, Mistclloneous Expenses (Schedule H) 10. Debls. Morlgoge lIobililies. Liens (Schedule II 11. Tolol Deductions (tolollinGs Q & 10) 12. Ne' Value 01 Eslole (line B minul line 11) 13. Chariloble and GO\lernmenlal Bequesh (Sch.dule J) '4. Nel Voluo Subject 10 Tax (line 12 minus line 131 C/ 1.- (1)53.000.09 - 121--- __________..0.0o-. (JI_.__._____O~.OO- I 4 1___ _nO. _ _.__..0.00- (5 I_.n____ 303.9_29.63-- ( 61______..1.6_,~5J...!.~2_ (71 ._______ _____ 0.00 (8 I l~53 ,l~(l6. 85 I .... BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH ~ ~ Under penolli.. 01 perjury, I d.c1a.. ,ha' I ho," ..omin.d Ihi! relurn, including accompanying "hedul.. and .'a..menh, and '0 ,h. b.., of my Inowledg. and b.H.1 i' il"U', CO"'" and (ompl..., I declo.. ,ho' all reol ..'ole hot boen reporled o. true marlo' value, Decloralion 01 pr,polOr olh.. ,hon Ihe p."on"' ..p....nlo'iv. i based on 011 information 01 which preporer has ony lo:nowledge. ,'l0"~1U" O' ,!RIO" ~1;'0""'" .0' ","'0 "'u.,, AiiOim-l'ibuino to 11 Dr i ve'-'---' -- OA" -,4' ,,) , r.' ' I I_ /_ .:.~"..-:...~,,~j,,'.{.. ^- ",--.__.--l!ec:}lanicolJ2g:w-l'^-.-11Q22 '///.2./,~ !tlQ UIE (II ltl(R ~IAt'fi1,:SJHA,T1V( ~ AOOII(!t!l. IlUl'l\:et Square Bldgo, OAll' ',J.M.d...i'~ lIocllUnicshurGL..!~_}J02.~ -9..-- I 2 - <) " .f?/ z c ~ ... => .. '" o .. ~ ... (91 ___-)$,067.83 29. Ol~ 35,096.87 418,389.98 0.00 l~18, 389.98 0.00 24,109.97 2,483.58 26,593.55 {l01 ---------.- (ll) (l2) (IJI (14) 0.00 x,_= {l51---- {l61_u~}91..Q~2.]~x ,06 = {l71_.__---.16,2?~!..2..?...x ,15 = {lBI {l91 {201 26,096.83 0.00 (211 {21AI (2181 l~96. 72 0.00 491):'72 ^. !llll' 11'11l'H1t Hlnl HlI\I'"' 1I,',I"I'4,1..."IIl'.""'."1I ...1 u.I''''1 0..'1......111 UlI 110. nul-O/"" ':-111" III If''''' ::: ::' !::: :~::. ,,;,;,1' (h., Ii,,,,\"" ii'~,;~~.'.- -:]i,i~;;.~;~~~n..__~~'~.li~.:~'::~~'~ Co hl,d"il 10'11I II ""uhi.,.I 10 ,h' t'.1 . .i.i....;."j ~i '1'1..11 ..111_..1 fI,.t.. '",01.1. r.ld 1<'1 iIl"II.,. II., ..lIl....."I '1",1 .,. .10....... II,... _,...1 "I't"-I" Ifll- rllol ..",.101. 1"_ Iln.II,,: ",'t I" .hQWI.I,ff' '01 11"0'_1101',"1 f.l',........ .,.1 If' IlIJl I..rlul.... 111 It.. 11I1.h, 1.0 0191 O/'IK""UUJ11 (1,11_ ,...t .<~j.... fI; I""ll"" I. 11...._ ...i ;,.."u,.i "illl i. N';'; ;;~i ~'i.ii;.;;;i';;;j;,--- 1I.llIhlr, III'u. II, CIIIII ~. It... 1'" I. I...hl.."y .rld M"tt..,lnl.",. tA lIo'U M..,lMIII",.lo,.lnc...t,l, "' f'llt. "' 111111 M. 10'''.'' tlo ., Uno,lIu, ""h' ",.lld M,rh.,.lnl_..,.,A 11051 ii.-itiii;;';;,,;It.ii- .------ ....., I 1",.1., hlil 0111,.. 'AI no ri;;.;ri;ill_ut 01.. \ltll ...In U. 'hll.-.I.I"-. 'A 11011 ,: ;;",...fi"loilii;"l---'- ----.-- n '..I '1.,..,... ""., "".....lctl."..rAItIl\\ i. hul'-1l1 DI" _UVU" U. 1996 ~,S"'I""I"'OI,o~'I'."'IfII('t' Ino. C'''.I ".."." (I,.. '101 IO!llJ..f'1 tnl.i....,i..iiilli,.r.iu iUl.r,i.,:",.irIl1...i.,. Hii: .,iti;.,..i ci,;i". 10 i..,I.".." tilt,,, i,Oii; ;oi.-------.---- --...- .- ---.,- ,-.'" -.- -."---' ;u~.-.-.----..-.-- -..------- --- ... SIUM.YO' S,lh"1 "1..IICIlIllI 4110, C:lIlut.R...,,1 D...1as.ll,r ,oL t;-"~ii;~i ili;;'r,ie; .- ~ -.---- 'ljl.'rf.i';~ii"rllll,;;at -.-. -----....-- 40i. . .... .-_.-....-.~---. ,o~:---- i,o~:'_. . ---~;jjtl.i;;;..jM'i';;r;iJ h1"iler III .d,I!lt't ,06, i;;.irij';'~ i;;..--i1n:;;'96t;"of:of.ii- 48.61 401,' Scj;;,i-.r.~"--08' ij:96,;o;:Qi;i'--- ---r;iM "j8..~;rn00il---.---- i;----- '09:.j;';;'08.ii-%t;o7:io:~6------- -6i:O, ';0,-'. --------. --- i.ii.---------- ---' ,;i....- ~i.iioo,vo -j~ ___ _.!.oii~oo. ----.i..ji."i~..i..if'i-ii""-i,"i,ii,.,.iriiri i'18.i,..;; iili. 'c()I,.irii"" 'i.." - f.ft ii ~;. to oi -oi i; - ii,;.- ',I'Mi ill~f; - --- ,- '(18 ii ~6 '" o;.oi -9; - ir'n. ...,......."i. In 1U9. i,..,. (Ill U ~6 ,.; ~7 ;0 ~6 -- iio. -. - --.----.-" iii:"-'..--- --.---.------ ...---------...---- iil,---~------.~-.---. i.n,ii -Hl.iij ;,Loi )).(,8J." \4. ,\,;,,,,.'\ 410. C. 0" ~1"o,"1 OtH 10 Itl hI' ~OO. ..,u:t 111I" In ~I' DU4 hllfl "oi.-[",,!u d~ro.lt (u. i;;m;cij;;;)-- \OI.-i..,I.-111 ,hlr," 10 .rii;riii,~-H~ \OJ:i.ii'I..,1OOi't;t~'.~j;ctt;,_--_m- \oi:"rlro;;orii,s. ""181111,';0;;;--'--- \o~,r;~-;;;i--;; uCllld I'lltlglll' loin S06.o;~fi'or ,",,,..IIPDIIC'f' -..--- \of,----------- \05. so'9. -s.m:1i' 11n, G'''U ~""..I I'll", fin<! 'MI""O' i"IO. .........1. rlld.., 0' III ",,"lI of IOllowU loi: oll..;,.ii 01 -r~il.;;t'.;;.;;f-~---...- ~--- lo1.-"i.":ir.i ;.,;.~;;, ~i ..;W io;;,i,j- liii." i.i,d..., jOln(.) 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Siller i'.5\6:6\- 601:C;;;;-;;;;.~;..ii;r(i;;;;-~m- - - ;.500;00; 601.I.-i".-f~;;'~-;;i:' ~.itir;;(iiM1lOi ~'.n'\6,6\ "QJ. ellh tltllo 11'11<11 hllrr --si;ii1.M .---s;m:m 1,11.090.41 i~""I,,,,,,'1 ""..1'~ "}.,,,wl...';' .,fl'lrl (lr . fI.."If'I,.I tl"l'f 01 r.';'" III "' Ihll ,'"1....."1 .. '11)' ItUchll'lf'IlU rr"rud 10 h,uln I"l~ """Y"I~'VI "Iv~' "'~I '11\""1 !l'/'.'" ... ,n 1''''1'' "I "' "MI"'I'"' '\"'1 l'll'll'" IN' '\a~"1 HI ,I~', rr,., Ll,n 'I,ll : Vtj l ~,! :m.,~~ 1".' ,""I. .. ,.( . ,." ,"" ""., / II III' ." iii" '" ."1""'''.... Uti. _~ ""t)d.o-- f.,___ ..1I,,2.}]11.<.~r~1,"'~Y.2~lt ,(~ '''I"ltll'. luu", 'I. , "'flty rQV I"~t." [."wld. {/ "I)'''I.''lt,,~.r .C,<'Vl..oN J>.-~~ _~____-_ J,lhr&l..<:"rJ,b0t CI'ol ~. lllrll 0' I.UII 01 Seoll N. 10ur.lr Ul'ln'JI!,.~I:,~^~\r.itr lI'I.~~ ~III'W~m"llr!'~I.I,rl,ir."I",lW..'''lI'~? ,I' .',lmM..'(OOI'I.llli'I'II.s~ "' "'.'lS /.... :tt_f.!lJlMt~it! ___.__......_ 'fI"" I 'hnly IIIW offlcn ,..11\0 'illll lS..",lyl. Iflr..rUnll ~:.lllm"'/,I',MrJ!'J It!''tl~'\:rmt.',m~ IU'(,tllll.'Yrl:' ,\'II'~. ~~I~'l",r..m1. %o,'!'"lIIIL',.IIr." ""'"'' lJI'OM tllO" n.M) .nr-.. "IUO\.l ,UV.U01(Xt tlleSI 1\~:,'~,:9t' ......~..!.Ho (OMMOIIWfAlIIlor rrWI\"YAflIA UUI[II:I1AU([ '^lllf IUIUt RUlDWI O((,uatH u..__.._." _u._ SCHEDULE A REAL ESTATE EsiA1E OF "<':O'i"l' 11 rOSFll Sit. FilE NUMBER 21-96-03l5-st~to .., ." , 1996-0031$-ColUlty IPIOf1t1ly lolnllv-owned willi Rlgl.1 of SUlvlvonl1lp I11UI' tJ. dlscloUld 011 Schedulo FI All raal astalo ,lIould bo reportod at fal, mar~al valuo which I. d,flned as lit, p,lI:o 01 whtcl. prop.fly would b. u:cllnngatl "otwoon a willing buv" and 0 willing sollar, neith.r b.'ng compelled ~~_.~~Y ~~_~oll, b~th haYI,"; '!Dsonobl, knowl.dge of Ih, rolttvonl fueh. ITEM NUMBER VALUE AT DAlE OF DEA III [)ES(RlrIlUl~ I. AT,L 'l'HA'f GEH'fAIlI House and r,ol; of Ground ,~il;u(\to on I;ho North sltlo of gaol; Sl11\poon Stl'eet, in tho Socond \~ard of the 13ol'our,h of I'lochanio sbtU' 13, GUlnbe1'land COWlty, Pennsylvanla, dOS01'ibod as follows: DEGIlIIlIIIG al; the 1l01'I;heast cornor of oaid BasI; Sitnpson stroot and 131'andl; I a Alloy; thence along aaid Alley HOl'tlmal'dly 152.0 feot to I3\;. John's Alley; thence nlonr; salll last 1l1Ontlonetl Alloy F.astwardly l~9.0 feet tu Lot /]()W 01' fOl.'IIl01'1y uf B. F. Snolbakor; thonce alone; said propol.ty now 01' forlnorly of 13. F. Snolba1cel' Southwtlrdly 155.0 feot to said gnst Sinlpoo streot; I;hence alone; said gasl; Simpllon Streot \'Iost- wo.rtlly 20.0 feel; to tho polnt and place of I3BGIllllUIG. HAVING tho1'eon erectell a tl-lO story frmne anu stuoco uwell1ne; Icno~1I1 anu ntUltbored ns 15 gas t Simpson Street, Hechan.tosbUl'B, Pennoylvania. Sold to Ila1'01d E. Lucas, Sr. anu Carol J. Lucas, his \-life, for *53,000.00, final settlement on \-Ihich ,-ms hold on August 12, 1996. A copy of the final Settlement Stal;ement is sublllitteu herewith. $ 53,000.00 .-..-- ------ ---.-----_. TOTAL IAlio cnler on line I, Rocapitulation) (If 1110,e 'poee is "peeled, ;nsp,' oddilionol 11'01'11 o( IOnll~ ';IP J s . ,. ?.h~,~O.!..O_O .IVUOI f.. IJIlI ESTATE OF Ploas. Prinl or Typo FILE NUMBER 21-96-0315-State 1996-00315-County ,. ^~'Ih'9 '~!.f COMMQUW(Allllor PUW!lllVAUIA IHflUU.AUCI ,.AX ."UIN RUloun OICIO.,n J SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY 1_- 3VO'1"f [.I. IWSEII, Sll. _.-----._--- --.--.- -_._~-- --. - -. -.--.--- (All pfOp.,'~ I.olntfyoown.d wllh ,h. Algl.t or su;vivorti.lp-,~., b~~~~~lo..~~_~ch.d~i'-ii---- ITEM NUMBER , 6. '7. o. 9. 10. 11. 12. 13. 1!~. DESCRIPTION 1. I1ELT.O!J BANK, N. A., Vhoolclng Aocounl; Iro. l!~2-109- 6(,92. CQlIHElWE DAIU(, !J. A., CorUfloal;eo us 1'oI10~t:J: Corl;l1'loul;o or Deposit; !Jo. 9351,. Certi1'ioul;e of Delmst~ No. ~~29. YORK I~EDElIAL SAVI/lGS AIlD LOAIl, C:ol'Ufloate 01' Deposit; No. 000-299. 1IERIDIAII DAIlK, Cel'tifloate of Depos it 110. l~64- 620030. HARJUS SAVIIIGS BAliK, Cel'tifioates as follows: Certifioato of Doposit Ho. 10-66-239252. Certifioate of Deposit No. 18-&0~222017. Certifioate of Deposit 110. 10-60-222026. PIle DAIIK, H. A., Certifioates 01' Deposit as follows: Cheoking Aocotmt 110. 5070001646. _.5...rS,'"..D.,""- Cel'tifioate of Deposit; Ho. 21001010001. Certificate of Deposit 110. 21001010703. Certl1'icate of Doposit; !Jo. 21001013015. Certifioate of Deposit No. 21001029600. DAUPlIIII DEl'OSI'f BAliK AlID 'j'RUljT COBrAN!, Certifi oate of Deposit 110. (\0001~09275. DR ICKER, 3 AUC'fIOII HOUSE, not prooeodo fl'om sale of misoellaneous household furnishings. 1900 l~ord 'faurus four d001' sedan automobile. Harold E. Luoas, 31'. and Cal'ol J. Lucas, pro- rata reimbursement for unexpired; prepaid property taxes and sewer oharGes, as follows: 1996 County and Dorough taxoD. 1996-97 School taxos. 'l'hl1'd Quarter 1996 Se\101' rontal. Interna tional Drotherhood of Electl'lcal Workers (rnmVl, I,ocal 1l~3, final pension payment. A. T. & T., refund. Ohio Casualty InSUl'nnoo Co., automobile insuranoe premium re1'uml. Dell Atlantic, rofunu. 2. 3. h. 5. VALUE AT DATE OF DEATH * 70,5l~9.60 10,025.96 10,027.32 10,047.95 50,185.19 10,005.30 20,015.31~ 10,007.67 /.-. , , ,J- 11c '-:j rI. 20,021.78 50,216.31 10,029.72 51,337.00 50,191.78 705.00 1,500.00 40.61 372.03 63.01 367.37 64.29 130.15 11.29 I^"adl addilional 81'," )( 11" d,ellh if mOIl! 'pace Is needed.) ~~TAI:J.~lso_.f1lnr on lino 5, Rocapilulalian) S .383,929.63 ItVl)09IJf Ill'" II~' ,It.,~_ ....~ COMMONW[AUIl Of 'fHHSYlVAHIA INHUIIlAHCf TAX RETURN .[SIDUU DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY FILE NUMBER 21_96-0315-stato 1 <J96-00312-coW1t., ESTATE OF ,-sco'rT Ii. !COSER, SI1. --- -------------.--- Jotn! l.nonl(')1 RElA~HIP TO DECEDENT Brothor ADDRESS -- .-"--~. .._---- --..- ....--..".. . .--. NAME A, TIIOHAS H. !COSER Lontler llUl'oing lIome Cal1\p II ill , PA 17055 c/o llAHOLD T. KOSER Attorney-in-Fact H. D. 1, Box 3l~1 Loysvil1e, PA 17047 B. c. ITEM LEnER DATE FOR TOTAL VALUE DECD'S DOLLAR VALUE OF NUMBi:~ JOINT MADE DESCRIPTION OF PROPERTY OF ASSET '!bINT. DECEDENT'S INTEREST TENANT JOINT 1. A.. 1/11 Pile BAIli~, 11. A.., Checldng 1979 AccoW1t 110. 507001316l~6 33,lll~.l~3 50% $ 16,557.22 mH~PLEASE 1I0TE: This iteTlt '\-Ias inadvertently included in Schedule E of the oriGinal l1eturn and ohould have been entored in Schedule F as noW oho\,m. The same being the reason for filing thio Supplomental amenocl 110turn. TOTAL (AI.o onlOr on lino b. Recapitulation) S 16,557.22 Jolnlly.own.d prop.rty' (If more spoce is needed inserl addilionol sheeh of same size' ,,""\111" I"~l I~~ COMMOUWrAUU or PIHU!lYlV,ltHA umtllllAUC( 1AIl p(lIJIUl ll:(smltH VEcrvrlll - - -----' SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES ESTATE OF ITEM NUMBER S.~~!'1'..li... jWS!~R,__Sn.._ Plea.. p.lnt o. Typ. ." _ .~___ _-..__~~~___J~~~_~~MB-ER ~~9~~ogill:~~~~ 'I _.___-. _.__.__.____._____~.____ ___._____~_ _____~__________4______._~__ -.----~-----.-." DESCRIPTION AMOUNT A, Fune.ol Exp.n.e" 1. l1yero FUllOr11.1 lIon!O, Inc., 37 g. l'lain st., Hechanics- bur[\, PA 170~5, fnnel'al expenses. * 5,638.10 B. Admlnl.t.atlv. Co.": 1. 2, 3, d. C. 1. 2, 3, d, 5, 6, 7. 8, P.rsonol Rep.e.enlolive Comml..ion. l1ary Kosor Snydlli' , EXll.cutrix Social Securily Numbe. 01 Personal Repre.enlolive: 2.00~24~..o43 Yoor Commissions paid 11,000.00 Allomey Fee. J. Robert Stauffer, Esq., attorney' s fee. 11,000.00 Family exemplion Cloimonl _ lI/A Relolionship Add.e.. or Cloimonl 01 decedenl'. dealh SI.eol Addro.. ___._-._-_..._-.___.._. City _____.___________..51010 _ _ Zip Codo p.oboto Foe. Cunlberland County ReGister of \'I111s, Letters Testamentary. MI.cellan.ou. Expen.e.: Bell Atlantic, April 1996 telephone Penna. power &. LiBht Co., April 1996 electric. UGI Corporation, April 1996 gas service. CUlllberland La~T Journal, Eotate Notice. United vIator 01' PA, water rent to Hay 1996. 365.50 13.87 22.28 50.83 60.00 28.50 370.00 Gingl'ich Hemorials, cemetery marker. Joseph Glaosel', t/d/b/a Q.uali ty Hauling, hauling refuse and trash from dwelling and garage. Penna. POI-Tel' &. Light Co., Nay 1996 electric. 270.00 13.50 --- ------------_..__._---_._-----~._-----_.--_._- .~- s Carried FOrWl1.l TOTAL (AI.o onlo. on lino Q, Rocopitulotion) (II mo.. .pac. I. n.ed.d, In...t additional .h.... 01 .om. .110,) PAGE - 1 ~ SCIIEUULE tI '~.~1;~\ fUNERAL EXPENSI:S, COMA"'llYlIAlllI or rllllj1'II'MllA ADMINISTRATIVE COSTS ANIJ 1I11~l~::~II',l'II'~~W:\'" MISCELLANEOUS EXPI:NSES rlo,,,o r,llIl or Typo mAle {if.' --- "~~~-;-;-~-.';;~I;~" s~'.' .= .-... .... IfilnIUMiirn-~~~i~;g~f~:~~~~ l '--------------------. - ~ .!.l~~~En _________.,___.___._.._..' .__.~~SC~~,I~I_I.~r~.___ _ ..____ _' 9. Devall '.rrash Hauling, hauling trash and l'of\100 froln garage buildings, final cleanup of proporty. Boll Atlllntic, HIlY 1996 telopltol1o. Unitod Water of PA, final bill. The Sentinel, Estate Notico. Penna. Power & Light Co., Juno 1996 olectric. Borough of Nechanicsburg, 3rd QuartoI' 1996.sewer and refuse chargo. Darry L. Heckard, '.rax Collector, 1996-97 School real estate tax. Penna. Power & Light Co., July 1996 electric. Jllck Gaughen Realtor, commission on sale of promisos No. 15 Eaot Simpson Streot, Moohanicsburg, Pennsylvania (decedent's dwelling) James D. Bogar La" Offices, Notary feos chal'ged at final settlement on sale of residence. James D. Bogllr Law Offices, Disbursement fee charged at final settlement on sale of residence. Cumberlend County Recorder of Deeds, real estate transfer tax on sale of residence. Yingst Exterminating Co., termite inspection and treatment of decedent's residence at 15 East Simpson Street, Mechanicaburg, pennsylvania. Penna. Power & Light Co., final bill. Register of Wills, filing Inventory and Pennsyl- vania Inhel'i.tance Tax Return. . Register of Wills, resorved to filing Account. ..~u:l... I' "j 10. 11. 12. 1,3. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. ^MOUNT :to 100.00 16.00 . 9.30 71.04 7.95 64.30 421.71 8.82 3,710.00 2.00 35.00 530.00 1,116.18 7.95 25.00 110.00 Total.................$ 35,067.83 PAGE - 2 , , "'''"'', ."" ~~ COM""'''...... AUtI Of '1 ,.U'''VAU1... IIjl1(tllAIlCl 'AI'HU." '(\1011" DICIDIU' I SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES AND LIENS Ploa.. Print ar T po FILE NUMBER 21-96-0315-State 1996-00 15-Count ESTATE OF SCO'l"r 11. !WSlffi, sn. ITEM NUMBER DESCRIPTION AMOUNT 1. 2. Fleet Credit Oard Servioe, balanoe due on aooount. Ilarrioburg polyclinio lIedioal Centex', balanoe duo. $ 23.04 6.00 TOTAL IAI.o .nl., on lin. 10. R.copilulolion) IIF mor., space ;s needed, inse,' additional sheels 01 same size.' $ 29.04 ~ \ ,,~.kr.l'91' .. ~~u; (OMMOU....fAIIIl 01 'hm~'I\,AHI.. IIIHIII1AH(lI,U IIIUI,. '.. ,...... "'" ",""",",,,, __ n _ . ESTATE OF SCHEDULE J BENEFICIARIES SGo'r'r Ii. IWSJo:\l, :.m. __________ ._.__.___._~_u .________ ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY . -.--- -.,-.--- ----------.-- RELATIONSHIP AMOUNT OR SHARE OF ESTATE --- -------.------------------~---_..- A. , OItable B"qu.uh: I. tlAnY lCOSlm SI!Y))I;;H 136 Wino ton Dvivo HochanicsbUl'G, PA 1'70~;5 sco'r'r H. 1WS1':l1, .m. 009 Diallloml Dri va, Go.itharslmr(;, HD 201370 TIIIA SlfIDE11 m:S:3 P.o. Box 52, Stllhro.tOl', l'A 1'7070 IHCIlELE SlrYDE:H LaROSE 20 11. 2nd st., lit. \-IoUo, PA 1731~7 llAHY A11l1 SIrIDEn 1063 lIanroc1t Dri va He chaniODbUl'13 , PA 1705$ BILLIE JEAiI SllYDm 1l0m;y 3422$ Blaclt Bass Circlo Fruitland Park, FL 3h731 SUSAll KOSm BOS:J 009 Dlo.mond Drive GaithorsburL;, ND 20070 2. 3. 4. 5. 6. 7. L FILE NUMBER 21_96_031$-stnte 1996-0031$-Gounty Duu~htor Ono-ho.lf of rooiduary eoto.t( Son Ono-half of reoiduory estate Gl'anddaughte ~;5,000.00 co.sh boqueot. Granddaughto ' $$,000.00 cash bequeot. GranddauGhte $5,000.00 cash boquest. Gl'o.nddo.ughte $$,000.00 cash bequest. Grnnddaughte ' $5,000.00 cash bequest. ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE B. Charitable and Govo,nmenlal Bequo~I': 1. TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Aho .nl.r on lin. 13, Recopitulotion) S - (If more 'pac. II need.d, lns.rl addUlonalsheel. of same size) D NO. AA 146752 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX * 6 ACN ASSESSMENT r:'l CONTROL ~ NUMBER AMOUNT Irv.UU It ",tA' RECEIVED FROM: 101 5',9b.72 STAUFFER J ROBERT MARKET SQUARE BUILDING MECHANICSBURG, PA 17055 1010 H(U ~ ESTATE INFORMATION: ell FILE NUMBER la 21-1996-0315 ~ NAME OF DECEDENT (LAST) ~ KOSER SCOTT M SR II DATE OF PAYMENT m POSTMARK COUNTY SSN 204-01-5392 (fiRST) (MI) DATE OF DEATH m TOTAL AMOUNT PAID 549b.72 REGISTER OF WILLS SK RECEIVED BY Cj ) I I '. [' , '7; i /,~'.Y f.,?v ~ SIGN'rR~/ ,- MARY C. LE~IS \~ !)II[f1',i!J.,'t;ct REGISTER OF WILLS REMARKS MARY KOSER SNYDER C/O J ROBERT STAUFFER ESO CHECK\! 35 SEAL . -' ..._- ._- .. - -,.. .- ._-~ .--- -..-.....Jl4.~ .:-#~... .1:. MAKE CMECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 CUT ALONG TMIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iiEV:E;'4"'i"ExuiiF-p-i"iI'i:9&T"iiil'ficEuoF-YtiHEiiii'AN-crrAx-XpPilXisEMEiiT-;-iiLi:OWANCE-iiR'-------u-------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX SCOTT M FILE NO. 21 96-0315 ACN 101 l .1/'/. ".,! ,_J' , COMMONWEALTH OF PENNSY~VANIA DEPARTMENT OF REVENUE (, BUREAU OF INDIVIDUAL TAXES lfoIti!NIUH([ laX DIVISION DrPt. ;,aObOI ""IUHS!ltJNG, "" lll:a-obol NOIICE OF INItERITANCE TAX APPRAISEMENT. ALLOWANCE OR DISALLOWANCE or DEDUCTIONS AND ASSESSMENT Dr TAX J ROBERT STAUFFER ATTY MARKET SQ BLDG MECHANICSBURG PA 17055 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 12-02-96 KOSER 04-05-96 21 96-0315 CUMBERLAND 101 AMount Renitt.d I~-=."'-----"'- I I ESTATE OF KOSER TAX RETURN WAS: I I ACCEPTED AS FILED I X I CItANGED SEE ... ~~ '?'1 r~~~"\ '..tt.,q-t!~.. '10.;\01 III" ':1 III SCOTT M DATE ATTACHED 12-02-96 NOTICE RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL AND SUPPLEMENTAL RETURN NO, 01 1. R..I Est.t. CScheduh AI III 53.000.00 NOTE: To insure prop." 2. Stocks and Bonds <<Schedule OJ (2)' DO credit to your account, 3. Closely Held stock/Partnership Interest ISchedule C) (3) .00 subnit the upper portion 4. Mortgages/Not8. Receivable (Schedule OJ (4) .00 of this forn with your 5. Cash/Sank Deposits/Misc. Personal Property ISchedule E) IS) 383.929.63 tax payment. b. Jointly Owned Property (Schedule FI (bl 16.557.22 7. Transfers (Schedule G) (7) .00 B, Tohl Ass.ts 181 453,486.85 If an assessment was issued previouslY, lines 14, 15 and/or 1&, 17 and 18 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: IS. Anount of Line 14 at Spousal rat. (1S1 lb. Anount of Line 14 taxable at Line.l/Class A rate (lb) 17. Anount of Line 14 taxable at Collateral/Class 8 rat. (17) 18. Principal Tax Due TAX CREDITS: PAYMENT DATE 05-13-96 09-06-96 09-17-96 APPROVED DEDUCTIONS AND EXEMPTIONS: q. Funeral Expenses/Adn. Costs/Hisc. Expenses (Schedule H) (q) 10. Debts/Hortgege Liabilities/Liens (Schedule I) ClO) 11. Total Deductions 12. Net Value of Tax Return 13. Charit.ble/Governnental Bequests (Schedule J) 14. Net Value of Estate Subject to Tax 35.067.83 29,04 1111 112) 113) 1141 NOTE: ,00 X ,00= 401.832,76 x. 06= 16.557,22 X ,15= lIal RECEIPT NUM8ER AA1l2833 AA146700 AA146752 DISCOUNT 1+1 INTEREST I-I 1.000,00 .00 .00 19.000,00 6,146,83 496.72 AMOUNT PAID TOTAL TAX CREDIT ' ,BALANCE OF TAX DUE' INTEREST AND PEN. TOTAL DUE 3~.nq6 R7 418,389,98 .00 418.389,9B ,00 24,109,97 2.483,59 26,593,56 26,643.55 I 49,99CR , ,00 I 49.99CR I . IF PAID AFTER DATE INDICATED. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. I IF TOTAL DUE IS LESS TitAN $1. NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU MAY aE DUE A REFUND, SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIDNS,I RESERVATION: Estat.s of d.c.dents dying on or b.for. D.ce.b.r 12, 1982 -- if any future Int.r.st In the .stat. Is tran.f.rr.d In Po....slon or .nJoy..nt to Class B lcollat.ral) b.n.flclari.s of the d.cedent aft.r the .kplratlon of any ..tat. for Ilf. ar far years, the Co..onw.alth hereby .kpr..sly r...rv.s the right to appraise nnd as..ss tran.f.r Inh.rltanc. Tak.' at the lawful Clas. B Icol18toral) rat. on any such future Int.r..t. PURPOSE OF NOTICE: To fulfill the r.qulre.ant. of Section 21~0 of th. Inh.rltanc. and Estat. lak Act, Act ZZ of 1991. 72 P.S. S.ctlon 21U. PAYHENT: O.tach the tap portion of this Notlc. and sub.it with your paye.nt ta the R.gIst.r of Wills printed on the r.vers. sid.. "Hak. ctl.ck or eoney order payabl. to: REGISTER OF HILLS, AGENT All paye.nt. rec.iv.d shall fir.t b. appli.d to any Int.re.t which eay b. due with any r.ealnder applied to the ta.. REfUND (CRI: A r.fund of a tax cr.dlt, which was not reque.tad on the Jax Return, .ay be roqu..t.d by coepl.ting an "Application far Refund of P.nn.ylvanla Inh.rltanc. and E.tate Tax" (REY-131)). Application. are available at the Offlc. of th. Regllt.r of Willi, any of the 2) Revenue Oistrl~t Offices, or by calling the .peclal Z~-hour an.w.rlnG ..rvlc. ~b.rl for for.. ordering: In pann.ylvanla 1-800-362-2050, out.ld. Pannsylvanla and within local Harrisburg arn 11111 181-8094, 100' (111) 71Z-Z2S2 CHurlng I..palr.d Only). OBJECTIONS: Any party In inter..t not latl.fied with the apprai....nt, allowanc. or di.allowanc. of deduction., or as......nt of tax I Including dl.count or intar..t) es shown on thl. Notlc. eu.t obJ.ct within sixty (60) day. of rec.lpt of thlt Notice by: "wrltt.n prot..t to the PA D.part..nt of R.v.nue, Board of App.als, O.pt. 281021, Harrisburg, PA 11128-1021, OR --alection to have the eattar detarelned at audit of the account of the p.r.onal npr.sentetiv., OR --appeal to the Orphan.' Court. ADHIN ISTRATlVE COAAECnONS: factual .rrors dlscov.r.d on this ass.ss~.nt should b. addre.s.d In writing to: PA D.part.ent of Aev.nu., Bur.au of Individual lak.s, ATTN: Post A......ent Revl.w Unit. D.pt. 280601, Harri.burg, PA 11128-0601 Phon. 11111 787-6505. 5.. page S of the bookl.t "Instruction. for Inheritanc. rax Return for a Re.ldent Oec.dent" (REY'150!) for an explanetlon of adelnl.tratlv.ly corractable errors. DISCOUNT: If any taM due I. paid within thr.. (}) cal.ndar .onths after the decedentOs death, a flv. p.rc.nt (S~) discount of the tax paid Is allow.d. PENAl TV: The 15~ taM aon..ty non-participation penalty I. co.puted on ttl. total of the taM and Inter..t a..e.sed, and not paid b.for. January 18. 1996, the flr.t day aft.r the .nd of the taM a.nestv porlod. This non-participation penalty i. appealable In the sa.a .ann.r and In tha tha .a.e tlee p.rlod as you would appeal the tax and int.r..t that hat be.n a......d as Indlcat.d on thl. notiee. INrEREST: Interast Is charged baQinnlng with first day of delinquency, or nine (q) "onth. nnd one (1) day fro~ the date of death, to the date of payeent. Ta... which becae. dellnqu.nt befora January I. 1982 bear Interest at the rate of six t6l) perc.nt p.r annUM calculat.d at a daily rat. of .Oa016~. All ta.e. which becaee dellnqu.nt on and aft.r January I. 1982 wlll baar int.rut at l'I rate which will vltry froe calondnr year to calendllr year with that rat. announced by the PA Oapart..ent of Ravenua. Jha applicable intere.t rate. for lq82 through Iqqb ore: 1982 1983 19M 1985> 1986 --Intarul ZOl 16~ 11~ III 10% I. calculat.d ftS . OOOS~8 .00043B .000301 .0003S6 .00017~ follows: ~ tnter.st Allt. Dnllv Intorest ri'tctor 1981 9% .000241 1988'1991 11% .000101 1992 IJ% .0002'''7 1993.1q9~ 1% .000192' 11J9S-191J6 IJ% .000~~1 !!!! Intarost Rnt. Dolly tntar.st fnctor INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notlc. I..ued lifter the tax becoM.' delinquent will r.flect IIn int.rest calculntlon to flft..n IISI day. bayond tha date of the a...s...nt. If payftont i. ead. alt.r the Int.ro.t coeputallon date shown on the Notice. additional Intar.st MU.t b. calculat.d. 6 il'! I bUREAU OF INDIVIDUAL rAXES INliUUlAHct 'All DIVISION OEPI. :aOttOl tlARRISSUAG. Pi 1I1:'lI"OtoOI COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT d ~.a, ~rrii~," ':\ 'lj.i .t....u III" Il'.'t! J ROBERT STAUFFER ^TTY MARKET SQ BlDG MECHANICSBURG PA 17055 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 01-06-97 KOSER 04-05-96 21 96-0315 CUMBERLAND 101 SCOTT M Anount Rell'litt.d F , MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WIllS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 NOTE: To insure proper credit to your account, subn!t the upper portion of this forn with your t.x payn.nt. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iiEWi6iij-EX-Aiij>--iiF96Y------.ilii-iNHERITANC'E--;:AiCSTATEtt'E"ti;:-ii"-ACCouiiT--.-..--------------------- ESTATE OF KOSER SCOTT M FILE NO. 21 96-0315 ACN 101 DATE 01-06-97 THIS STATE HE NT 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: 11-25-96 PRINCIPAL TAX DUE: 26,593,56 PAYMENTS (TAX CREDITS), PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST (- ) 05-13-96 AA1l2833 1,000.00 09-06-96 tn AA1'467 0 0 ,00 09-t:h96 :'-{ AA1'4't'752 .00 r- 12-23~96 :-::-, REFUND .00 1". - - ~ ....., : '.) r : r-. C ?, :!!:> CJ.: uU AMOUNT PAID 19.000,00 6.146,83 496,72 49,99- TOTAL TAX CREDIT 26.593,56 BALANCE OF TAX DUE ,00 INTEREST AND PEN. . IF PAID AFTER THIS DATE. SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1. NO PAYHENT IS REQUIRED, TOTAL DUE .00 .00 IF TOTAL DUE IS REFLECTED AS A "CREOn" (CRI. YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS, PAVHENT I Detach thl top portlon of thlt Notlce and sublllt with 'Jour pay.ent ude payable to the na.. and addreu prlnt.d on the rev.rse side. If RESIDENT DECEDENT ..ke check or lIoney ordu payable to: REGISTER OF WILLS, AGENT. If NON.RESIDENT DECEDtNT .....e chick Dr .onlY ordU payable to: COMMONWEALTH OF PENNSVLVANIA. All payelntl received shall bl applied first to any Interest which eay be due with any re.alnder applied to the talC. REFUND (CA): A refund of a talC credit, which was not requuted on the TalC Return, .ay bl requuted by coepleUng an "Application for Refund of Pennsylvania Inheritance and E.tate TalC" (REV.l]l]). Applications are avaliable at the Office of the Reglltu of wills, any of the ZJ Revenue District Offlcu or froe the Depart.ent's Z4.hour answering service nuabers for for.s orderingl In PennsYlvania l.eOO.J6Z.Z050, outside PennsYlvania and within local Harrisburg area (717) 187-8094, TOOe (117) 11Z.ZZ~Z (Hearing lapllred only). REPLV 10: Questions regarding ertor. contained on this notice should bl addressed to: PA Departeent of Revenue, Bureau of Individual la.es, AttN: Post Assess.ent Review Unit. Dept. Z8D601, Harrisburg, PA 17IZ8.0601, phonl c717J 787-6505. DISCOUNT: If any talC due I. paid within thrle (]) calendar eonths aft.r the decedlnt's death, a five plrcent CSX) discount of thl tu paid Is allowed. PENAL TV: the lS~ ta. allnesty non.partlclpatlon penalty Is cOllputed on thl total of the talC and Interest assessed, and not paid beforl January 18, 1996, the first day aftlr thl end of the ta. a.nesty periOd. IHtEREST: Interest Is charged beginning with first day of delinquency, or nine (9) lIonths I!Ind on. U) day froll the date of d.ath, to the date of pay.ent. TalCu which beca.e delinquent before January I, 198: be.r Inter..t at the nte of .i_ C6X) plrcent per annue calculated at a dally rat. of .000164. All ta..s whiCh bec..e delinquent on and .fter January I, 198Z will b.ar Interest at a tate which will vary fro' calendar y.ar to calendar ye.r with that rat. announced by the PA aepart.ent of Aevenu.. thl applicable Interest rates for 198Z through 1997 are: Vear Inter..t Rate Dally Intere.t Factor Yllar Inter..t RaCII Dally Intllrut Factor 19B2 ZO;( .000!.48 1987 .Z .000ZIt7 1985 16~ .000418 1988.199l llie .000301 1984 llX .000301 1992 'Z .000Z47 1985 In .000356 1991.1994 n .000191 1986 10;( .000174 1995'1991 .Z .000147 .... Inter" t ls calculatld a. followS! INTEREST = BALANCE OF TAX UNPAID X NUnBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR .-Any Hotlce issulld after the ta"ll blCo." deUnquent will reflllct an Inter..t calculation to flft..n CIS) day' beyond the date of the as.es..ent. If pay..nt I. .ade after the Int.r..t coeputatlon date shown on the NotlC8, additional Int.rest .ust b. calculatlld. JRD/June 30, 1992/17858 REGISTER 01: WILLS Cumberland County Courthouse One CourthoU5e Square Carlisle, PA 17013 NOTICE PURSUANT TO RULE 6.12 PENNSYLVANIA SUPREME COURT ORPHANS' COURT RULES To: Personal Representative Counsel: J. HOBl::HT STAUFFl::H, ESQ., RE: Eslllte of SCOTT M. KOSl::H ,Deceased, Late of Ml::CHANICSBUHG BOHOUGH Estate No,: l ],. ], YYb' U Jl:' Date of Decedent's Death: 4'5'96 Pursuant to Rule 6.12, the above named personal represenlative or the above named attorney, if applicable, within two (2) ycars of the decedent's dcath, and annually thereafter until administration is completed, is required to file with the Register of Wills a Slatus Report as required by Rule 6.12, in substantially the prescribed form, showing the date by which the personal representative, or attorney, as applicable, reasonably believes administration will be completed, TIle purpose of this Notice is to advise you that unless the requisite Status Report is filed with the Register of Wills or Clerk of the Orphans' Court, as appropriate, within ten (10) calendar days after the date of this Notice that the Register of Wills is required to notify the Orphans' Court Division, Court of Common Pleas of such delinquency and to request that said Court conduct a hearing to detennine whether sanctions should be imposed upon the delinquent personal representative and the delinquent personal representative's counsel, if any. Accordingly, if the requisite Status Report is not filed by 6. 1'98 , 19_, you are hereby advised that a request will be submitted to the Court in accordance with Rule 6.12, "'-llMl t u De ty egister of Wills Date: 5,12.98 ~ Distribution to Estate File STATUS REPORT UNDER RULE 6.12 Name of Decedent: '..conr;1'" J'O'" ,'P !oJ _ _ 1.. . ~.~.\ , :;n. (film) :>COT'l' n. l~OSl;:n Date of Death: April ~, 1906 Will No. 1996-0011<: Admin. No. Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes:: No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No.1 is Yes, state the following: a, Did the personal representative file a final account with the Court? Yes No - b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes - No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be .tached to this report. ('/ 0 "-- Date: , .,-.' , - -- " ,- OJ!2 ~:~ '> '..; ,.:- \0 IfI 5~ " ) , o ,. ) ,.., _-_ ,":; ~, ", . (~.~ ~ . 1 , ,,, ~ - , - N~m~(';l~~~/:type or print) a.. '<r - .. ._. l. -", ,,}J:['. T' . -4 10,':"'\'":'r' , ".' ?~ ;~'J o (f} ~. .- 0:Jl OQ) Q)a: a: '"'J Address ~ ,U ",.0 _s:: .\J- OG ( ';".7) ',':' _r-(~',~1 Tel. No. ~ Capacity: Personal Representative counsel for personal representative (MAH: rmf / AM3) 1rv.IWIXI4-'4 112833 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX . D NO. AA RECEIVED fROM: I ACN ASSESSMENT r:'I CONTROL IiiI NUMBER AMOUNT STAUFFER J ROBERT MARKET SQUARE BUILDING 101 ..1'1,000.(10 MECHANICSBURG, f'A 17055 . '~OHflf- ESTATE INFORMATION: !:I FILE NUMBER Y 21-1996-0315 I!:I NAME OF DECEDENT (LAST) ~ KOSER SCOTT M SR II DATE OF PAYMENT m POSTMARK DATE COUNTY SSN 204-01-5392 (FIRST) (MI) \ ~.. r CUMBERLAND DATE OF DEATH ~ REMARKS ~ TOTAL AMOUNT PAID $19,000.00 DO MARY KOSER SNYDER C/O J HOBERT STAUFFER ESO CHECK" 15 RECEIVED BY ,/ , , / SIGNATuRE SEAL REGISTER OF WILLS ~IARV C. LEt.J I S REGISTER OF WILLS - ' "-' -~ _ - _ -.'-~....ba.~ .__1. .';!-.