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I)ETITION H)It PIWHATE :lnd <;\tANT OF I.ETTEHS
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0:\'1'11 OF I'EnSO:'lAL ItEI'IU:SEi'iTATIVE
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DECREE OF PROBATE AND GI{ANT OF LETTERS
AND NO\\' , APRIL 16, 1'1 96_. 11I':IlIl,idofillillllllf tho J'etitillllllll
the u~\'cr"'l' ,iu!'" hl'fl'of, ,;ui,r",.:lmy prool ha\'inl! hcen prl.""l'1I1l'd hdOll' me,
IT IS DECREED Ihallho ill'IIIIIIIOIII(\) dilled JANUi\RY 13, t9B~____nn
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MARY CLEWIS
FEES
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CERTIFICATE OF DEATH
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l.lIST HILL AND TESTANENT OF FlDRA B. BOUDER
I, Flora B. Beuder, ef 1 Hest Penn Street, Apartment 208, Carlisle,
Cumberland County, Pennsylvania, being of sound and disposing mind, memory
and understanding, do make, declare and publish this to be my Last Will and
Testament, hereby revoking all other wills and codicils heretofore made by
me.
FIRST
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I direct the payment of my debts and expenses of my last illness and
funeral from my estate as soon after my death as conveniently may be done.
If there be no cemetary lot available for my interment, owned by me at the
time of my death, I authorize my personal representative to purchase such
cemetary lot with a contract for perpetual care, using therefor funds from
my estate, in such amount as my personal representative shall consider
necessary and desirable, and I authorize my personal representative to
cause title to er ownership of such lot so purchased to be vested in such
person as my personal representative shall designate.
SECOND
I appoint my daughter, Dorothy I. Carbaugh as Executrix of this will.
In the event of the renunciation, death, resignation, or inability to act
for any reason whatsoever of my said daughter, I nominate, constitute and
appoint the Farmers Trust Company, of Carlisle, Pennsylvania as Executor of
this my last will and testament.
llIIRD
I give, devise and bequeath all tangible personal property and real
estate owned by me at the time of my death, together with all insurance
policies thereon, in as nearly equal shares as is practicable unto these my
daughters, Dorothy I. Carbaugh, Violet N. Darhower, Esther M. Goodhart, and
Mildred Rawdabaugh.
FOURllI
In addition to the powers conferred by law, I authorize my personal
representative, in its absolute discretion to retain in the form received,
and to sell either at public or private sale any real or personal property.
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No EXcclltm' cw Exccutrix nruned under my Will shall be required to furnish
IXllxl In thl H cw /lny othCl' jurisdiction.
IN WI'INI'~o.;s I.HfolllVF, I hereunto set my hand and seal this
of .JlIIlIlIlI"Y , A.D., 1986
13th
day
....,'1 ~ 13, l3MA./iRA)
(SFAL)
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Signcd, sealed, published and declared by the above-named Testatrix,
FIero II. Beuder, as and for her Last Will and Testament, in the presence of
us, who, at her request, in her sight and presence and in the sight and
presence of each other, have hereunto subscribed our names as witnesses.
IJ.. (;: "J !- , (;(, (.--t.:,~ Address Chambersburg, Pa. 17201
C,,,,,"-..c../ /.? / ~ ~ Address Fayetteville, Pa. 17222
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CERTIFICATION OF NOTICE UNDEH HULE 5.6(a)
Name of Decedent: ,:f.)~ p. J3~r?I//l./
Date of Death: ()~lI,,:..I- It.), JOOt,
I / ' +-+
Will No. I C( Cj fa _ /)(') ~:;l I Admin. No. .1. Ie; t.. - 07., :2.1
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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 followi~.j:I beneficiaries of the above-captioned estate on
~<.;r 2) 1 Ird6 :
~ Address
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" ' ; .1L.ru-rP_/ 7/~) rdl!~->-&N,/Jy,t)-I (j,J-d~~/~
Notice has now been given to all persons entitled thereto under
Ruie 5.6(a) except 71j' t!:h....fJ~
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Add.~ess/ ~(l./)~ 'lj~ ~/J.d /jlJu.
La.__,pU.J!t'~) ,4;-. 17?'13
Telephone.12L?) ,2E/-3~t/.:2'13
Capacity: X Personal Representative
Date: ~/t 'ill J9C}t,
Counsel for personal
representative
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent: ~ !f./",VL"" 13.
Date of Death: OiC'."'~:/ /(1
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2/t:ttt, - OJ2.1 Admin, No,
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Will No.
To the Reg is Ler:
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 [\JUowing beneficiaries of the above-captioned estate on
Name Address
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Jf;././/l./LIAy\.'t (1,_~j~.L, JC?V6- .~.Jwc.hj&i- (r:-'.....l~.i"-l ~.
Notice has now been giten to all perso~s entitled thereto under
Rule 5.6(a) except
Date:
S';6 '<16
1.h..'1~.-nt/ ,9- (~^I!I"-~.!f!$d/
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Name l(;,fLl!/2it;/~. &-ALn-~r
Arldress .I r9,~- '/i?c-t.L--.b..--./ )fJ..,.
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TelephoneC7J7) 21/ ?-I;t :?v:::
Capacity: ~personal Representative
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(OMMO"W"'''' 01 ......"'VAl". (TO BE FILED IN DUPL\CA TE
01 'AIIMI H1 01 ..t vlfwt
1I..",rJ:u~f,\1I0"'" I WITH REGISTER OF WILLS) icoUllIY coul VI."
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BOUDER, FLORA B. 1 WEST PENN STREET, APT. 20U
'O(I.,>I(U,,,"WM'" \OA"O'I>lA'" \"'0"20/"1'"2"/' 12 CARLISLE, PA 17013
19U_30-226B 04/10/96
("""', CU~IUERLANl)
\ 1 2. 5upplemcnlol Return I 13. Remainder Return
(lor do... 01 doolh p,;or 10 12,13.B2)
l oS. Federal E\lolO To-.
pcluln Required
_ B. 10101 Number of Sole Oopo\il 801t0\
1<J<J6-0321
IL~ 1!JOO11. 111111
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Original Return
1 40. Futuro tnloro\' Comp'omi\o
(lor do',' 01 doo,h olt.r 12.12,B21
it I b, Dotodon. Died Te,'o" I 7, Dot.den' Moinloined 0 [;v;ng T,u.'
(Attath tapy 01 Willi (Attath tOPY 01 TruI'\
ALL CORRESPONDENCE AND CciNFID~ENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
'HAM; (OM"'" MAIl/..G ADD""
limited e\lolo
DOROTHV I. CARBAUGH
lB95 DOUGLAS DRIVE
CARLISLE, PA 17013
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1. Reol Esla'e (Sthodule A) ( t 1
2, Sloth and Bond. (Sthedule B) ( 2)
3, (Iolely Held Slotk/Pa,.nonhip In..,ell (Sthodulo q (31
4. Mo"goge. and No'o, Rot.ivoblo (Sthodulo 01 ( 4)
5. Cash, Bank Depo\ilS & Mi1oColloneous Pen anal Propenyl 5)
(Sthedule EI
b, Jointly Ow nod Properly (Sthodule F\
7, Tronllen (Sthedule G) (Sthodulel)
5,750.IHI
2,044.BO
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10,515.11
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( 7) , ,~~'
( B) 12_,..?551'~-~_--
8. T alai Gron Aneh (10101 lines 1-7)
Q. Funeral Expenses, Administralive Co\IS, Miscellaneous ( Q)
E>pen... (Sthedule HI
10. Debts, Mortgogo liabilities, liens (Schedule I)
11, Tolol Dodutl;on.(lo.al line. 9 & 10)
12. Nel Value of Estate (line 8 minus line 11)
13. Charitablo and Governmenlol Bequests (Schedule J)
14. Net Value subie~~(line l~_!!l~~~Jine 13)____
15. Amount of line 14 loxable 01 6% role
(Include voluos from Schedule K or Schedule M.l
16. Amount of line 14 laKable at 15% role
(Include values from Schedule K or Schedule M.l
17. Principal tax duo (Add tax from Ii no 15 and from line 16.)
18. Credih Prior payments Di\Counl
(l0) ~1~6 ,2?9..~~
(111_22-'-05Q.&L--.--
(l2) ~~~<l~0 .12.______~
(13\ NONE____~__ --~~~-~
__-~---~-~-----------l.!-4L- O. ~.<:l~~ ~,----
(151 " ,Ob = NON E '
" ,15 =
(lb)
(171
Z
o
:i
..
::>
...
:E
o
u
)(
oe(
..
Interesl
(lB)
(191
+
19, II Ii no 18 i. groolOr Ihan lino 17, .nle' ,he dill.,ent. on line 19, Thi. i.lho OVERPAYMENT.
aU
20, Illino 17 i. g,eo.e, Ihan lino 1 B. .n'o' .ho dille,.nte on line 20, Thi. ;. .ho TAX DUE.
A. Enter the inlerest on Iho balance due on line 20A.
8. Enter the total 01 line 20 and 20A on lino 208. This is the BALANCE DUE.
~ak~ ~h8(~.P~y_~_~18 tc:J.:_~~_9i"8r 0.!.~_i~,,_A90~~__.
NONE
(20)
(20A)
(20BI
NONE
---- ----------
.. ..BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH....
ii~der pen ohio. 01 perjury, I ded~re .holl hove e.amined ,h~~ro'urn, induding-~,Z~;;;ponyi"g "hedul~;~;;;;d.I~.~men", and 10 ,he be,1 01 my knowl.dge and beliel,
i. i. !rue, ,arret' and ,ompl.'o I dedo,o .hol 011 real el1a'e hOI boen repor'ed o'!ruo morke' .olue DedO'o'ion 0' pr.poror olher .hon ,he p.nonol rop,o.en'o';vo i.
based on on information of whi(h preporer ho\ any knowledge.
~'t.'~A1URr()f-tl"[A:S -N'.AHr6N~18in()1'-ll"G'[j'''''' "ADD""" ,,-' ~n ~" .,' n.d'" ,-'- o.jC---~
I /1 -,' .; ,
, ' ' / '.' ; / " ,I" , 1/'"
. ,~"J) .V:)-; ("A. '~~"al'-;' I" L ,;...... ,e'$"'. '-<'.AI d-~ h./f p ,.,~'I;.';'I"
,,~fu.i D. p~,~[j, D."" "'A" ''''''''l'l'" [ ADD'E" f~n ! - DA~~I
___~{{5c. /? yr/. So~p, >1. url,sL<. PA I~ 8'/1.'96
.,
,
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (...) IN THE
APPROPRIATE BLOCKS.
, ,
1. Did decedent make a transfer and:
m N.a_
x
a. retain the use or income of the property transferred, .......................................
b. retain the right to designate who shall use the property transferred or its incame,
c. retain a reversionary interest or .....................,....................,.........................
d. receive the promise for life of either payments, benefits or care? .......................
2. If death accurred on ar before December 12, 1982, did decedent within two years
preceding death transfer property without receiving adequate consideration? If death
accurred after December 12, 1982, did decedent transfer property within one year of
death without receiving adequate consideration? .................................................
3. Did decedent own an 'in trust for' bank account ot his or her death?......................
x
x
x
x
x
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
... It[V.UOJU. (liBtJl
"~:'\.\~"
_Io~~
COMMONW(Al1H Of P[NN!.',WANIA
INH(IIltANC( YoU. M(tURN
R(SIDlNf DfClOUH
SCHEDULE B
STOCKS AND BONDS
u__,..._.._~.__ ._.___..~____ ,'.'_ .._ 0' _" ..' -.-.'-- ..-
-----_._...._--~._._-.. -,-------..----.---,.--.-... ,-.- -. ..-----..--
ESTATE OF
FLORA B. BOUDER
(All property lolntly.o_wned with Righi 01 Surulu~'.'~~ mull be_d~!.~'_e_d~~!_'_~.~ule F.~
ITEM
NUMBER
DESCRIPTION
1.
2.
FIFTEEN (15) $25.00 Series E Savings Bonds
THREE (3) $50.00 Series EE Savings Bonds
TOTAL (Alia enler on line 2. Rocapitulation)
(II more space is needed, insert additional sheeh 01 some size.)
FILE N(jMilliR~C"'"C"~-
1996-0321
VALUE AT DATE
OF DEATH
$1,828.50
$ 216.30
S 2 r 044.80
't""1I1 t.. 1 III
C). " .,
~
::::"MO,,",WUl'''' 0' .,......"\...11......
'NMIIII"M" ,,,. 'nU'"
IIIIOt"", OK lOt..,
SCHEDULE J
BENEFICIARIES
ESTATE Of
FILE NUMBER
ITEM NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR
NUMBER SHARE Of ESTATE
~. ia.aDi. alaulus:
1, DOROTHY 1. CARBAUGH DAUGH'rER 25%
1895 DOUGLAS DRIVE
CARLISLE, PENNSYLVANIA 17013
2. VIOLET M. DARHOWER DAUGHTER 25%
85 BUCKTHORN DRIVE
CARLISLE, PENNSVLVANIA 17013
3. ESTHER M. GOODHART DAUGHTER 25%
2604 WALNUT BOTTOM ROAD
CARLISLE, PENNSVLVANIA 17013
4. MILDRED RAUDABAUGH DAUGHTER 25%
17 WEST YELLOW BREECHES ROAD
CARLISLE, PENNSYLVANIA 17013
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
AMOUNT OR
SHARE OF ESTATE
B. Chori'oDl. and Gov.rnmlnrcl alqulm:
I.
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS IAho ,nl.r on lin. 13, R.cooiluloloonl IS
(If more spacI i. n..d.d, ins.rt addltlonalsh...s of sam. size)
.
lAST \~11.1. N~D Tl'SI'N,n,nl' OF 1'l!lIU\ II. IIOll\lEIt
), nom II. Iloudcf, of ) Hest Penn Street, ^po1rtment 208, Co1r1is)e,
Cumberland County, Pennsy)vania, being of sound and dis\xlsing mind, 111l'11l0fY
and lIIxlefstanding, do IIln~:e, declare amI pub] ish Ihis 10 be my Last Hi II and
Testament, hereby revoking all other wi]]s and codici Is herelofofe I1mle by
me.
F IIIST
I difect Ihe pnyment of my debts and p'xp~nses oC m}' ]nst illness and
Cunernl CrOl11 my estnte as soon aflef my death as conveniently mo1Y be done.
H there be no cemetafY lot avnilnble for my intcnnent, OImed by me at the
lime oC my death, ) authorize my personnl representative 10 pUfchnse such
cemetary lot with a contract for pefpetual care, using thereCor Cunds {rom
my estat~, in such amount as IllY pefsonnl represenlalive shnll consider
necessary and desirable, and I authorize my persona] representative to
cause title to er ownership o{ such ]ot so purchnsed to be vested in such
person as my personal representative shnH designate.
SE<XJNO
I appoint my dnughter, Oorothy 1. Carlx'lUgh as Executrix o{ this will.
In the event o{ the renunciation, death, resignation, or inability te act
{or any reason whntseever of my said daughter, I nOl11inate, constitute and
appoint the Fanners Trust COI11pnny, o{ Carlisle, Pennsylvania as Executor of
this my last will and testament.
1111RD
I give, devise and bequeath 0111 tangible personal property and real
estate owned by me at the time o{ m}' death, together with 0111 insurance
policies thereon, in as nearly equal shares as is practicable unto these my
daughters, Dorethy 1. Carbaugh, Violel N. Darhower, Esther N. Goodhart, and
Ni Idred Rawdabaugh.
FOURllI
In addition to tl\e powers conferred by law, I autl\orize my personal
representative, in its absolute discretion to retain in the form received,
and to sell either at public or private sale any real or persona] property.
-)-
1'11-'111
.
No Executor Of Exccutrix nnmed undel- Ill}' IJi]] !;lvlll he rC'quln'l' to fUnllr.h
bond In this or nn}' othcr jurlr.dlctlon.
IN IJITNFSS 1.JIIEHr:JJF, I hercunto r.et my hnnd nnd sen] this
ef January , ^.Il., 1986
13th
dny
:/ ~/L.tA- 13, J3 ()-u.d.&u
(SFJ\\.)
Signed, sealed, published and declared by the nbove-named Testatrix,
Flora B. Bouder, as and for her Last Will and Testament, in the presence ef
us, who, at her request, in her sight and presence nnd in the sight and
presence of each other, have hereunto subscribed our nnmes as witnesses.
IJ.- o:~, /., r.O{iA'1;.- J
^ddress Clmmbcrsburg, Pa. 17201
c- ..c.I.e ///(,~Mdress
,
Fayetteville, Pa. 17222
-2-
/.) .//../,,'
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INtI[AIIAHC[ fAll DIVISION
DEPT, Zl060l
twuusauru;, PA 11UI-0.01
NOTICE OF INHERITANCE TAX
APPRAISEMENT. ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
DOROTHY 1 CARBAUGH
1895 DOUGLAS DR
CARLISLE PA 11013-0505
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
11-25-96
BOUDER
04-10-96
21 96-0321
CUMBERLAND
101
AMount RaMittad
*'
....n.' n "''''.''1
FlORA
B
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 11013
CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS .....
iiEV:iS4TEX-AFP--iii:i:96Y'NiificE--OF--iNHEifiTANCn;'AX-il-PPRil-isEioilfN'i'-,--.\L,i.'OWANCE-cfli-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF BOUDER FlORA B FItE NO. 21 96-0321 ACN 101 DATE 11-25-96
TAX RETURN WAS: (X I ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Re.l Est.ta CSchadula A) 11)
2. stock. and Bonds ISchadula B) (2)
3. Closely Hald stock/Partnership Interast ISchadula C) (3)
4. Hortgages/Notes Raceivable ISchadula D) (4)
5. Cash/Sank Deposits/Misc. Parsonal Property ISchadula E) (5)
6. Jointly Owned Proparty ISchadula F) (6)
7. Transfars ISchadule G) (7)
8. Total Assats
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expanses/AdM. Costs/Misc. Expanses ISchedul. H) (9)
10. Dabts/Mortgaga Liabilities/Liens ISchedula I) (10)
11. Tot.1 Deductions
12. Hat Value of Tax Return
13. Charitable/Governnental Saquasts (Schedule J)
14. Het Valu. of Estat. Subject to Tax
NOTE:
CHANGED
.00
2,044.80
,00
,DO
10,515,11
.00
,DO
181
5.150.88
16,299,15
Illl
1121
1131
1141
NOTE: To insure proper
credit to your account,
subMit tha upper portion
of this forn with your
tax pay"ent.
12.559,91
??,OGO 03
9.490.12-
.00
9,490,12-
If an assessment was issued previously. lines 14, 15 and/or 16, 17 and 18 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Anount of Lina 14 .t Spousal r.t. (15)
16. Anount of Line 14 taxabla at Lineal/Class A rat. (16)
17. AMount of Line 14 taxable at Collateral/Cla.s B rata (17)
18. Principal Tax Due
TAX CREDITS:
PAYHENT
DATE
RECEIPT
NUHBER
DISCOUNT (.)
INTEREST (-l
,DO X .00=
.00 X ,06=
,DO X .15=
1181
AHOUNT PAID
TOTAL TAX CREDIT
BAtANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
· IF PAID AFTER DATE INDICATED, SEE REVERSE
FDR CALCULATION OF ADDITIONAL INTEREST.
.00
.00
.00
,DO
,DO
.00
,DO
.00
IF TOTAL DUE IS LESS THAN Sl. NO PAYHENT IS REQUIRED.
IF TDTAL DUE IS REFLECTED AS A "CREDIT" (CRl. YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FDRH FOR INSTRUCTIONS. I
RESERVATION: E.tat.. of d.cld~t. dying on or b.for. O.c.ab.r 12, 1982 -- If any futur. Int.r..t In th. ..tat. I. tran.f.rr.d
In po.....lon or enJoy..nt to CI... a (collat.ral) b.naflclarls. of th. d.cedant .ft.r th. ..plratlon of any ..tet. for
Ilf. or for y..r., thl Co..onwa.lth h.r.by ..pr...IY r...rv.. th. right to appr.I.. and ...... tran.fer Inn.rlt.ne. Ta."
at th. lawful CI... a (collat.r.l) rat. on any .uch future Int.ra.t.
PURPOSE OF
NOlICE:
To fulfill th. r.qulre.ent. of Section 21~0 of th. Inherltancl and E.tat. Ta. Act, Act 22 of 1991. 72 P.S.
Section 2140.
PAYK[HT:
Detach thl top portion of thl. Notice and .ub.lt with your pay.ent to tha R.gl.tar of Will. prlntad on the r.v.r.. side.
--Hak. chick or .on.y ordu payable tal REGISTER OF' MILLS, AGENT
All p.y.ents rsc.lvsd .h.11 flr.t b. appll.d to any Int.ra.t which .ay ba dua with any r...lnd.r appll.d to the ta..
REFUND (CR}I A r.fund of a ta. cradlt, which was not r.qu..t.d on tha Ta. R.turn, .ay b. r.qu..ted by coapl.tlng an ~Appllc.tlon
for R.fund of P.nn.ylvanla Inh.rltanc. and E.tate Ta.~ (REValll]). Application. ar. avallabl. .t th. Offlc.
of th. R.gI.t.r of Wills, any of th. Zl R.v.nu. Ol.trlct OffiCI', or by c.lllng thl .p.clal Z~-hour
an.w.rlng ..rvlc. nu.b.r. for for.. ord.rlng: In P.nn.ylvanl. 1-80D-]6Z-ZDSO, out.ld. P.nn.ylvani. and
within local H.rrllburg .r.. (111) 187-8094, TOO' l111l 112-Z25Z w.adng I.p.lred OnlY).
OBJECTIONS: Any p.rty In Int.r..t not ..tl.fled with the .ppr.I....nt, .llowanc. or dl..llowanc. of d.ductlon., or .......ent
of t.. (Including dl.count or Int.r..t) a. shown on thl. Notlc. .u.t obJ.ct within .I.ty 160} day. of r.c.lpt of
this Notice by:
--wrltt.n prot..t to the PA D.p.rt.ent of R.v.nu., Bo.rd of App.al., O.pt. Z810ZI, Harrisburg, PA 11128-1021. OR
--.I.ctlon to h.v. the .attsr datar.ln.d .t audit of the account of the p.r.on.1 r.pr..antatlv., OR
--.pp.al to th. Orphan.' Court.
ADHIN
ISTRAlIVE
CORRECTIONS:
F.ctual .rror. dl.coverld on thl. ........nt should b. .ddr..led In writing to: PA D.part..nt of R.v.nu.,
Bur.au of Individual Ta..I, ATTN: POlt A.......nt R.vl.w unit, n.pt. 280601, Harri.buro, PA 11128-0601
Phone (111) 787-6505. s.. page 5 of th. bookl.t "In.tructlon. for Inh.rltance Ta. R.turn for. R..ld.nt
D.cedant~ (REV-ISOI) for an ..planatlon of .d.lnl.tratlv.ly corr.ctable .rror..
DISCOUNT I
If any t.. dug I. p.ld within thr.. Il} calandar .onth. aft.r th. d.c.d.nt'. d.ath, a flv. p.rcent IS~) dl.count of
the ta. paid I. .Ilowed.
PENal TV:
ThI lS~ tax aan..ty non-participation p.nalty i. coaputsd on th. total of thl tax and Int.r..t a......d, and not
p.id bafor. January 18, 1996, the flr.t day aft.r the Ind of th. ta. a.na.ty p.rlod. Thl. non-participation
panalty I. app.alabl. in the .... .ann.r and In th. th. .a.. tl.. p.rlod a. you would .ppaal the tax and Int.r..t
that ha. b..n .......d .. Indlcat.d on thl. notlc..
INTEREST:
Inter..t I. ch.rgad b.glnnlng with flr.t day of dellnquancy, or nlna (9) .onth. and on. II) day fro. th. data of
d..th, to th. date of pay..nt. Ta... which b.ca.e d.llnquant baJora January 1, 19a2 b.ar Int.ra.t .t th. rat. of
.1. 16~) p.rc.nt p.r annul c.lculatld at . d.ily rat. of .DOOI64. All ta... which bacaee d.llnqu.nt on and aft.r
January I, 198Z will bear Int.r..t at . rate which will vary fro. calondar y.ar to cal.ndar yaar with that rat.
.nnounced by the PA Dopart..nt of R.vanu.. The appllcabl. Int.r..t rat.. for 198Z through 1996 ar.1
'!.!!! Intar..t Aat. Dally Intorelt Fllctor !!!!' Tntaro.t Rat. Dally Intorut Factor
n8Z 20:<' .ODOS48 1981 OX .000Z41
19U 16:<' .0004]a 198a-1991 11~ .00DlOI
198~ 11;( .00OlOI 1992 OX .ODOZ41
n8S UX .00DlS6 199].1"94 IX .000192
1986 ID:( .000Zl~ 19'5-1996 OX .000Z41
uInt.,..t Is calculatad OJ follow.:
INTEREST = BALANCE OF TAX UNPAID X NU"BER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Natlce (IIUld aftar thl ta. baco," d.lInqu.nt will r.U.ct an Intarelt calculation to flft.." CISI day.
b.yond th. d.t. of the .......ent. If pay..nt I. .ad. aftar th. Int.ra.t co.putatlon data .hown on the
Notlc., addltlon.1 Int.ra.t lU.t b. calculat.d.
STATUS REPORT UNDER HUI,E G. 12
Name of Decedent: 11 F/t1N\ IJ !fr,,,lie;
Date of Death: '1./&'96
Will No, 2/ 91,- 032.) Admin. No.
pursuant to Rule 6.12 of the Supreme court Orphans'
Court Rules, 1 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 x.. 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 X No~
.
d. Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be attached to this report.
Date:
/'2.1;"'16
~-~
Signature
/!1;~/u,el A. .)'; 4 ~r~,.... ';-"2
Name (Please type or print)
/1 }(,s;..1t. fl"' ~rl," k
Address
( 717) 2.'1'\-'87$
Te 1. No.
l()
Capac it y:
Personal Representative
~counsel for personal
representative
(MAH: fmfl AM3)