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HomeMy WebLinkAbout96-00332 J . o Z ~ ... . o CD ... o ... VI ~- I'ETITIO\ FOH 1'lmUAn: :11111 (;JtA;"\iT OF I.ETTEHS dl-o,lLl- 3~~ 1.'1,1/,' '" ~IA_'I.\1 /JIII'11 1//\11 1.'''/11111/\ tl\'\. " ,\ ""II I.. . ",'II,,-,'d .\""",/.\,',!ililr ,,,. i !J. ('I --(("/'1 1;<'1""<'1 ..I \\IUt4a'eRel\'NIl ( tllllll\ \11 L III lhl' ( 111I1I11\1I\\\("lllh "I 1'....III'...~hilllla I h.... pl'lII hlll ill the lllldll"I~"ll~lll'\j1l'~lltllh Il'P!l"l'111\ ,h,t!' 1Ii111ll'd l'IJ.j. \'\1111 jl\"'lllllllll'II". ""1111'0 .Ill' 11- \\'.\1, ,I! .I!'l' 01 td,kl .111 lhl' l',"'\..I:' (.,.~/... 111111....1.1" "lIlt11Ihr,11'1\\I'dl'l.\'\klll.d"ll'd /./1\ \fj /1 ilnd ":11.11...111'1 d;lll\1 1-:,11,1\'1.'\.111: .il,lll1> t II~.."."''' ! 11;<1\,1.1:11\11 .:,'_,,!i "t ,"'dlh'l, .....1 I h.\:l'lIlk'llI \\i" Ihllllldkd ;11 dl"t1h III ....:1 h~Cl2.Lr.+ ".J l'Ollllty. Pl'lIn'ly!vani:I, wilh Ii ""'<, ,"" ,,,,,,,II ." 1'"I1'~';" "'".1"",,';11 LL:.l'o.l~L:l"l. 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' ~ tr"I"ikl ~\ .{-Ll~~(('" GALA'" 3"\ JT", \">Ic\\!t: /\,\/\\2.e:. \l)t-J c\.\ ILL 'J 1\)1"\ c.:.'i6L/\' j ___u_________~ -.----.----. OATil OF l'E1tSO:\:\1. ItEI'IU:SE\TATI\'E ('()\1 \10"" " 1-:\1.111 OF I'E.....'''YI.\':\....I:\ ('( II '\ 1\ (II CUMBERLAND , :-;:-; ( Ill-. 11,11111111\'11'1.11"1'" ll.li!l\,I"\\l'.1I1...1 ,II .1l1111111~) lhallhl' '1~11L'llll'lIl~ 111 I hI.' rtHl'!-,oin~ pClitioll arc Ill.. '::,; ,,111 ~ . j :" llll' 1','.1 111 I !J~' "',1\ l\\ It'drl' .1Ild lldit'l tlf 1'l'lIlipl1l.'ll ,) ,1111.1111011 a... I'cr"lonal rl'I'n.~"CII. 1,1:0\,,', . 'I 1\\.' ,d1'I',~' \k\~'dl'nl 1'l.'lilltIIH.'lt'o) \\111 \\\.'11 ;lnd lllll~ admI1l1...1";1 Illl' \.',tall:,il\.'l.:'ordillg.tn law. /.,' ,-) j i \ (, "/~,)r /._ ~:..fl:~[:~~~~ 1:/''''/,) U_'_ ."~~-I "YMAth C. LEWIS II'CI'I," ~~ 2: Nil. . 21 - l)(j - 132 Eshllc Ill' NAOMI MAR I [ IlURST , DccclIsed DECREE OF PRonATE AND GRANT m' LETTERS ANI) NO\\' APRIL 24, 11)96"\' fl .. ___-----..--.u----.-.--- .____.... 11\ ~On\l( cr:tllon 0 11C pCllllon on the rC\'Cf!\l" ,ide hereof. ,,,ti~faclmy proof IHl,"ing heell IUC\ClllCd hdorc me. IT IS DECREI'D Ihal lh~ in\lrllmcnl(\) ualcd__ __J-1flRi;ll? t.J_9.94 dc\cribcd Ihcrein bc admilleu 10 probale and filcd of record '" Ihc \;"1 will of NAOMI MARIE HURST anu LCllm _ TESTAMEtlTTiRY- :trc hcrch)' gralllcd 10 J:.YNN M.JiLUSC'p- BALAS ~:"~~Vm1?JM ftn. MARY C. LEWIS FEES I'rob:tIC. LCIIC", EI~. .... . . .,. s.-22..illl- Short CcrtificalC\12 ) . . . .., . . .. s_6..0.0-- R~~WDialion ................ LTS:aO- X-Pages ---..- s--6-;00- JCP TOTA\. -- S-5.00-. Filcu .,. .l\P.RIL. 24. ..1.996... . . . 5.7..00.. ,\nOR:-;EY (Slip. Cr. 1.\). Nil.) ,\IlIlRESS PliOi'll' 'D '0 .m :<r ~cE , -' ~ -' ;;; 6: ( ~... ,) .- .' ..' i "; 0\ - ., , B: - .- ... co: 'j ...n _jl 0 .u "J I1JO: ~ ,.: E a: ~:J UU Mailed letters and order to Executrix on 4-~4-96. 21 - 96 - 332 ~gJ :.~-.?; , ". .1 (" ~; v. o'~ 00> ala: a: ~ II) r;o SCE <', ( . ,0 ,.l - ~ 0\ - a: "" ~ ,- "J ,j -\.) 18 uu ~ ;""'.""::'?::S:~ :~~~~~_~~!i~!f;'~:'-:_J)~~'~'_'-_~::; ~~ ~ :0 :Om mo -J ,,,.. ::: 0 fI' .,., Ct. ;E ,~ r.' .. to: r. 0'- " .' .' -' o:'~ ~.) (: \0 -.. _... C;'",>" ...-: (.' fJ :) a ~~l r, - Vi 0 :Or:: W - )>.::l VI ~ N 0 10 CIl .. " ../ .. " .. <( o ~ '" _ -+-e .. j .. Z CIl III ~ ~ : o .. .. .. <( " .. 0: z" ~ ~ <( Z . Z II: Z ...., "",0" . ... ../ 0 .. II. wI: " Ii <<~ .. .. X III " <( u ., u - Z ~ j , ~ . '. LAST WILL AND TESTAMENT OF NAOMI MARIE HURST I, NAOMI MARIE HURST, presently residing and domiciled at Room 74, Country Meadows of West Shore, 4905 Trindle Road, Mechanicsburg, Pennsylvania 17055, declare this to be my Last Will and Testament hereby revoking all Wills by me at any time heretofore made. ARTICLE I. larder and direct my Executrix, hereinafter named, to pay the expenses of my last illness and funeral as soon after my decease as may be convenient. ARTICLE II. larder and direct that all Pennsylvania inheritance tax and/or federal estate tax that may become due and payable as a result of my death shall be paid out of the residue of my estate. ARTICLE I II. I appoint LYNN H. GLUSCO-BALAS as the Executrix of this will. ARTICLE IV. I give, devise and bequeath to my' aunt, ESTHER M. RUMMEL, if she is living at the time of my death, the sum of Three Hundred and Fifty ($350.00) Dollars. ARTICLE V. I give, devise and bequeath the sum of Three Hundred and Fifty ($350.00) Dollars to MILDRED GLANCEY of Old Forge Road, Lewisberry, Pennsylvania, if she is living at the time of my death. T-'- , , ~'4.' ARTICLE VI. I give, devise and bequeath all the rest, residue and remainder of my estate, both real and personal, of whatsoever nature and kind, and wheresoever the same may be located at the time of my death, including any automobiles and any insurance thereon, to LYNN M. GLUSCO-BALAS. In the event that said LYNN M. GLUSCO-BALAS does not survive me, I give, devise and bequeath all the rest, residue and remainder of my estate, both real and personal, of whatsoever nature and kind, and wheresoever the same may be located at the time of my death, including any automobiles and any insurance thereon, to her husband, FRED BALAS. IN WITNESS WHEREOF, I .21"jt- day of ~'\b\))~ have hereunto set my hand this , 1994. I) .(, /. (SEAL) '~AOMI.MARIE HURST ~II,cu.,--, ~, THIS INSTRUMENT, consisting of three (3) ~,~itten pages, was, by the above-named Testatrix, on the date hereof, signed, sealed, published and declared to be her Last will and Testament, in the presence of the undersigned, who, at her presence and in the presence of each other, our names as witnesses. COMMONWEALTH OF PENNSYLVANIA, ss: COUNTY OF DAUPHIN, I, NAO~lI MARl E HURST, whose name is signed to the foregoing instrument, having been qual if ied according to law, acknowledge that I signed and executed the instrument as my Last will and Testament, that I signed willingly and that I signed it as my free and voluntary act for the purposes therein contained. NAOMI MARIE HURST of Affirmed and subscribed to before me, this , 1994. day COMMONWEALTH OF PENNSYLVANIA, t .it "e.<lSI Ue:.... ss: COUNTY OF DAUPHIN, , ) " ~.e, .1-)~,c\lC\ lei ~ '- \( \ \ I\':'\C \It.. and \ ( , .J .~ 1<:..( c ~ \ , the witnesses whose names are signed. 0' the foregoing instrument, being qualified according to law, depose and say that we were present and saw Testatrix sign and execute the instrument as her Last will and Testament, that she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed, that each of us, in hearing and sight of Testatrix, signed the will as witnesses and that to the best of our knowledge, Testatrix was at the time 18 or more years of age, of sound mind and under no constraint or undue influ;p~~ /4~ ~~ -:) f.-, ~ day of o\(\\c\\ Affirmed and subscribed to before me, this , 1994. . \ . '( , \ ( \\\q-iC) ~'OT:,R1AL S!::AL ,'r''':! \''''''J:':~.~::1i;;;'(PLl~t'C , ! ' 1, . ., :r: 7:~ CJ. ~,\. !'J\. -'t';:;'r~..J,r']17.;::5 t I \1 i . ( \- 21 - 96 - 332 REGISTER <>I" WILLS 01' COUNTY OATH 01" sUnSCRlUlNG WITNESS codicil (cach) a subscribing witness 10 Ihe will presenled herewhh, (each) heing duly lImllified according 10 law, depose(s) and say(s) Ihat - present and saw the lestat , sign the same and Ihal signed as a wilness at the request of testal_ in h_ presence and (in the presence of each olher) (in Ihe presence of the other subscribing whness(es)). Sworn to or affirmed and subscribed hefore mc this day of 19_ (Name) IAddress) R{'~b(er (Namc) (Addrcss) REGISTER 01" WILLS OF CUMBERLAND COUNTY OATH OF NON-SUBSCRIUING WITNESS UI-:lI0 \"f-, c;::::;U:-',S(C' .B~Ll::'-5 .'\"'"[.?t-:.i:)c:.l2lrIC .RAI A "5 (each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) Ihat THEY ARE familiar with Ihe signalure of NAOMI MAR I E HURST )IJOO(JII< testat1UL of ~Xx,XXlJl\.l(X\(lX1X<ltllllK~X~X\XI~~~~Xt(lI Ihe will presented herewith and .JOO(ilI K Ihat THEY believes Ihe signature on Ihe will is in Ihe handwriling of NAOMI MARIE HURST knowledge and belief. _ " _ "\ . ~ /. / !)-;! \1;' . -) {;' Sworn to or affirmed and suhscrihed before . t.. (..7" ~L~:---r:}''-'~'~'" -")..~- -C''"--- me this 19TH day of ./ f (Namc) 1 APRIL 19 96 _!3'; J/.; M. )/, ;'It'.. .J). ~h.r /J;Y}- l1i~~T - I ';frll t.i", , ~c..\...t.cniCWJ. . ~ ~ (Aldr6ii-- / V MARY C. LEWIS RCl:isrcr 7 '~ '" L..-/ (Namc) .3Y ..71'; /)'-;1 /J?r?,'C'S71/1./J /??/ar,,' /7'& (Ar/r/rcss) to Ihe best of THE I R r- ~~ 9- .., <3 N 0.' ~ (.... 0- r:. ... ,,- '.) ~::. :: / I 0- :) . .- 0: , .- :-:;. ..' ~ ,; .' . " '"\ ,.:. -i'E 0 ;:, ~ (.)0 "'::I 010: GO a: (1,\." cf / ,t~ ,J "'l V I~OO rx. I' "'I) 2 C ;:: .. .. => 0. '" C .... >< .. .. ~ ~.:. .~ ".(~ to ,\C\ - """ lOR DAIlS 01 DIATH AITIR 12/31/91 CHICK HIAI 1/ A SPOUSAL , POVIRTY CRIDIT IS ClAIMID , , IllI NUMBIA .. 2 w C w .... w c INHERITANCE TAX RETURN RESIDENT DECEDENT (QMMO"W'AL'" 0' '''''''mA'',A (TO BE FILED IN DUPLICATE " \qrl/. OC')'2'70 OfP""'TM(tH 01 1l[\I!tW( 'I V J ~'- Hml,fJ:U~or!:" OWl WITH REGISTER OF WILLS) !COUN1YCOOE YEA. NUMBER D"'\-\0R::~+'" 1::.,1.:0;':;:',' ""'MA~~ --~'L~Ac;,.~"~:~~[~~~:G~~ N?\\f\B em.. ~:~~~~~1;~"6'~'7 14f.'I'~~'~g(. j'~,_u;0":'07 I::~~~~~;'U~\) D _ ,I ""P(""'I \"''''0.1", V"J'! \........ ;;0\' . tIT ....~ ... ~ I- I ..,1.., !~()(I"l ~I((I~II' tW"'~IW 1 A'~;!lHjJ WICII'illll\11 It.')I.lJlfIUfl')l tJ(A ' I- I . w .. ~:!!:UJ ....,,>< wo."" ,",cC ....,,~ 0.'" 0. .. iV,'1 ; J Remaindor Return (for dale' of deoth prior 10 12.13.821 Federal eslale Tu. Return Rcquired Original Return 2 Supplrm(!nlol Return '.. "'2 Ww "c "2 8le ["] 4. limitod e,rolf! j 4a Futuro InhHflil Compromiu, (lor dOh'll of death after 12.12.82) t'/6. Decedent Died T,ntote ) 7 Decedent Maintained 0 living Trult IAlloch copy of Will) (Attach copy of Trull) -~~-~_. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NL\-lJlJ M. GL\)'SCO-BALAS 310:~4M~:S'~\\lS I(II'HON' "u.'" --------.. n_.__ - --. .-- tVV\1<::i1t:-l-JS M\lJ...,S, 1M 02648 I '5Cfu ,_42.6~ ,()c~?~~~_'''=_cc,'~~_" :,_,_, ,c""~,,'='O'~_-,,,,=''''_'==''-,- __==,.".~==,==,,=,,~~= ( II l-JC'\.)E=. 121 ~C'~E' 131 N C'\JE:: 141 \J(\\J~ 151 '2.ICOO '.5:' tvC'l:\e- 1J0P6 n ...-,_\ ~ , ,..,':'lle' ~G,8~5 €2. I i 5 .!8 TOlol Number of Safe Deposit 80..es 2 C ;:: :5 => .. 0: .. .... w " 1. Real Estate (Schedule AI 2. Stocks ond Bondi (Schedule B) 3. Clolel)' Held Stoc~/Partnenhip Interei! (Schedule C) 4. Mortgages and Notes Receivable (Schedule D) 5. Cosh, Bonk Depolits & Miscellaneous Personal Properly 15chedule EI 6. Joinll)' Owned Properly (Schedule FJ 7. Transfers (Schedule G) (Schedule l) 8. Total Gross Assets (10101 lines 1.7) 9. Funeral Expenles, Administrative Co its, Miscellaneous Expenses ISchedule HI 10. Debts, Mortgage liabilities, liens (Schedule 'I 11. Total Deductions Itotallines 9 & 101 12. Net Value of Eslate (line 8 minus line 111 13. Charilable and Governmental Bequests (Schedule JI 14. Nel Value Subject to To.. (linlt 12 minus line 131 15. Spoulal Transfen (for dates of deolh ofter 6.30.94) Site Instructions for Ar,plicable Percenlago on Re...ene Side. (Include voluel rom Schedule K or Schedule M ) 16. Amount 01 line 14 talloble at 6% roto (Indude value I from Schedule K or Schedule MJ 17. Amounl 01 line 14 tallable at 15% rote (Indude voluel from Schedule K or Schedule M ) 18. Principal lox due (Add to.. from lines 15. 16 and 17) 19. Credits Spousal PO...l"t)' Credil Prior Payments Inleresl 161 171 .. '2, (:CQ~____ ( 8) 191 (101 (111 26,~51~ (121 - 0- 1131 - c- -0- , -,-f!..4.L______----=----'c=_ (151 x. = (16) )( 06 = (17) x 15 = (18) Oj~count + + (191 120) If line 19 is 9reater lhon line 18. enler Iho difference on line 20. This is Ihe OVERPAYMENT. a 0_4IlI:rn1l.I,II .'....l.I...U.,I.I'j.J111,1:...lltl"l":"P':f':!...l.J.I..~.IIl~.~,,1101 21. If line 18 is 9reoler Ihon line 19, enter lhe difference on line 21 This is Ihe TAX DUE. A Enler the interest on the balance due on line 21 A 8. Enler the 10101 01 line 21 and 21A on line 218 This is the BALANCE DUE. .MDIa~ ~~,~~~ !~Y~~!~_!~.:._~!tJ_I_~~!_r of Wills, Agent 20. 1211 121AI 12181 ~ ~ BESuRETO"-NSWERALLQU-eSnONSONREVERSEuSIDE AND TORECHECi<MATH -0( -0( ~~der penalties 01 pltrjury, I declare that I hove clamined this r(Olurn. ;;'dvding accompanying Hhl'dulc~ (]nd ,~latl'm('nts, (]nd 10 !h" bt"st ~'-~y-~nowled9(' and belief, IllS true, correct and complete I declare thot oil real eslale hos b(,f"n reported at hue marh.t ...alue Dodorotlon of prepO'f"f othl'r than the pl'r\onol represcnlati...e is based on all information 01 wfU.ch p'eparer hO\ any ~n{]wledge ,~':.'AIU~~~~"'~1~~~"'ti'i. ~t~\r: PR'IMN~SiC'~~) lY\\U'~INA 02b4rs '.J~IJ 1511qqr"] .. ,~;~,;tI.P(", or;.)E... '''''-,'',1''.., .",: ".. ".,., --- Act #48 of 1994 provides for Ihe roduction of Iho lalC roles imposod on Iho nol value of Iransfers 10 or for Ihe use of Ihe spouse. The roles as proscribed by Iho slalule will be: · 3% (.03) will be applicable for eslales of decedenls dying on or afler 711/94 and before 111/96 · 2% (.02) will be applicable for eslales of decedents dying on or afler 111/96 and before 111/97 · 1% (.01) will be applicable for eslales of decedenls dying on or after 111/97 and before 111/98 · SpOusallransfers occurring on or afler 1/1198 will be elCempl from inherilance lalC. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK Iv) IN THE APPROPRIATE BLOCKS. 1. Did decedent make a Iransfer and: YES _NO 0, retain the use or income of the property transferred, ...........................................,.........., b. retain the right to designate who sholl use the properly transferred or its income, .............., c. retain 0 reversionary interest; or ..............................................,.................................,.. d. receive the promise for life of either payments, benefits or core? .........,.....................,....... 2. If death occurred on or before December 12, 1982, did decedent within two years preceding death transfer property without receiving adequate consideration? If death occurred afler December 12, 1982, did decedent Iransfer property within one year of death without receiving adequate consideration?" ,.. ......,. ,.,...., .,... ....... ...,...,.,.,...,. .......,.. .........,.,....., '" .......... ...., ... V' V V' 3, Did decedent own on 'in trust for' bonk occount at his or her death?..................................... IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YESr YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. v ~ ./ HcylsLcr of IHlls of CUHIlEIU.AND CounLy, Pennsylvalli. CcrLl flc.:i1Le of Ur:i1I1L of LeLLers 'l'esLalllontary No. 1996-00332 PA No. 2196-0332 ES'/'M'E OF IIURS'I' NAOm HMIE Tl,7\ST;-nRST;-MffiOI;E ) Late of CARLISLE DOROUGH CUMBERGnTIO-COUNTy, WHEREAS, 011 Lhe 24th dated Harch 21st 1994 was admitted to probate as tho last wIll of IIUIlS'l' NAOMI MARIE ( 1;I'iS'J~FTRS'IfJl'lTUDLt;) Deceased SocIal SecurIty No. 172-01-6017 day of~rIl 1996 an Instrumen' late of CARLISI,E BOROUGH CUMBERLAND County, who dIed on the 13th day of AprIl . 1996 and, WHEREAS, a true copy of the wIll as probated Is annexed hereto. 'l'HEREFORE, I, MAllY C. LEWIS , RegIster of WIlls in and for the County of CUHBERLAND ill the Commonwealth of PennsylvanIa, hereby certify that I have thIs day granted Letters 'I'ES'l'AMEN'l'ARY to LYNN M GLUSCO-DALAS who has duly qualifIed as Executor(rix) and has agreed to admillister the estate according to law, all of which fully appears of record In lilY Office at CUHDERLAND COUN'l'Y COUR'J' IIOUSE, CARLISLE, PENNSYLVANIA. IN TES'l'IMONY WHEREOF, I have hereunto set lilY hand and a f f1 xed the seal of my Office the 24th day of April 1996. -' J (.1. J L - /'It,. t(; 7JJ.o.\//.1. . "II (t&'W.l ~ IV717.C:Uo l Reg1st or W111S **NO'I'E** ALL NAMES ADOVE APPEAR (LAS'!', FlRS'J', MIDDLE) " LAS'!' WI LL AND '!'ES'!'AI1EN'!' OF NAOm ~lARI E IIUHS'!, , I, IlAOl.u 11l\HIE IIURST, prcscntly Hmiding and domiciled ilt Room 74, Country H~adows of \~cst Shore, 4905 Trindle Road, Mechanicsburg, Pennsylvania 17055, declare this to be my Last Will and TCGtn~ent hereby revoking all wills by me at any time heretofore made. ARTICLE I. I order and direct my Executrix, hereinafter named, to pay th~ expenses of my last illness and funeral as soon after my decease as may be convenient. AWIICLE I I. I order and direct that all Pennsylvania inherililnce tax and/or federal estate tax that may become due and payabl~ as a result of my death shall be paid out of the residue of my estilte. ARTICLE III. Executrix of this Will. ARTICLE IV. I give, devise and bequeath to my aunt., ESTHER M. HUHHEL, if she is living at the time of my death, the sum of Three lIundred and Fifty ($350.00) Dollars. ARTICLE V. I give, devise and bequeath the sum of Three lIundred and Fifty ($350.00) Dollars to MILDRED GLANCEY of old Forge Road, Lewisberry, Pennsylvania, if she is living at the time of my death. I appoint LYNN H. GLUSCO-BALAS as the , ARTICLE VI. J give, devise and bequeath all the rest, residue and n'mainder of my estate, buth real and personal, of whatsoever nature and kind, and wheresoever the same may be located at the time of my death, inclUding any lutomobiles and any , insunince thereon, to LYNN ~l. GLUSCO-nALAS. n the event that said LYNN H. GLUSCO-BALAS does not survive me, I give, devise and bequeath all the rest, residue and remainder of my estate, both real and personal, of whatsoever natul-e and kind, and wheresoever the same may be located at the time of my death, including any automobiles and any insurance thereon, to her husband, FRED BALAS. IN WI'rNESS rJ "31- ....; 1 . . day of WHEREOF, I 1V\b\))(~ have hereunto hand set this my , 1994. . II?. " ~' ~OI11 HARlE 1<.-n1~ (SEAL) HURST ~~itten pages, THIS INSTRUMENT, consisting of three (3) was, by the above-named Testatrix, on the date hereof, signed, sealed, publishAd and declared to be her Last will and Testament, in the presence of the undersigned, who, at her presence and in the presence of each other, have hereunto subscribed our names as witnesses. COHHONWEAL'I'II 01' IlllNSYLVIINIA, COUNTY UI' UIIUI'IIIIl, ['.... .~. I, NIIOHI 11ARJE IIURS'I', will 'f! nnmu is signed to the foregoing instt'uml.nt, IliIvinlj huen ,,"\lified ncconling to law, acknowledge that J signed nnd exocut< I tho instrument as my Last will ~nd 1'estament, that I signed wi! I ngly and that 1 signed it as my free and voluntary act [01' the PUI'l'u!Jes thel-ein contained. NIIUHI MIIRIE IIURST of Affirmed and r:;uhm:I'ib"ll to he fore m", this , 1994. day COl1110llWEALTII 01' PENNSYLVANIA, ULlU~. a.s-l U?... ss: COUNTY OF DAUPHIN, ) We, _ V11ChC\..ld 0 ,-\c.,1n r\~\ N\L and l () ,J :\").1'St ( l \ _ , the witnesses whose names are' signed Uta' the foregoing instrument, being qualified according to law, depose and say that we were present and saw Testatrix sign and execute the instl-ument as her Last will and Testament, thnt she signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed, that each of us, in hearing allll sight o[ Testatrix, signed the will as witnesses amI that to the best o[ our knowledge, 'l'estatrix was at the time 10 01- more ye,1rs o[ 'lye, o[ sound mind and unden- no constraint or undue influe ~ . ~~ D\ClJc\, Affirmed and subscribed to be [ore me, this ill')\- day of , 1994. ~/ . -)\ ' -, ? I \.. ~.~ . 0--- - l. do.. ~J I d:t~ .\ . NOTAIllM. S!:Al t:~'~ I "OUlIC-. rl:JTAny Plr.lllC I) ,.-., ,'fll. U.!;::ASiER co rA. I!, C,. - ,." Etp;,'ll,Ju", 17.1?,l5 ~~~s, rOR ACCOUNT ANO RATE INrORMATION .. NOW AVAILABLE 24 ItOURS A OAY .. CALL: CArE COO riVE'S CALL CENTER AT 255-3052 OR 1-800-576-0555 1't1...tIIIIWt' HIl\ III t IIk;Il'.... i\L\ 11,'(1'1 \ I XlIII II/X I x)~ .. ~.~-- - _...~ ----.------ NAOM I liAR I E HURST I.YNN II IIAI.A5 la.U5CIJ I'llA 31, JII DR HARSTllUS MII.I.S KA U26/18 ACCUUNT UI-88-6U59815 PAGE I ACCOUNT ___NUHlJI;(\5---- ENIlING R-E-M-A-R-K-S _ _BALANCES..-AS-.Q[:-3.-:.tlM::.2.6 ST A TEMENT END !JATE 5_~HAV-lJ(,_- SIJIIMARY: NOW ACCUUNI UI-88-6U59815 2.897.10 1996 INTEREST 1995 1 NTEREST 29.45 105.75 j "l- e) >-. ~ ~ ******************************* NOW ACCOUNT 01-88-6059815 ******************************** BAI.ANCE OESCR II'T ION OEPOS I TS WI T110RAWAI.S ------- DATE 6-APR-96 "PREVIUUS BAI.ANCE" ---------------------------------------> 11 APR CHECK DEI'OS I T-MA5HI'EE CUMMUNS 1.345.33 { 15 APR CHECt~/I 372 UJI'5>,...L I~ME' py...,r 16 AI'R CHECK!I 373 -ll::l\:Pll<>\.lC 22 APR CHECK OEPUSIT I'RUDErlTl AI. I'I'C I'RU PYMT 181712104-9895 4 HAY INTEREST CREll1T-Eff. 5 HAY 4.91 5-MAY-96 "NEW BAI.ANCE" --------------------------------------------> ------ ----------- 1,607.37 \- 16.00 ( 292.04 I?l?tult\e~ 2,897.10 2,897.10 1,623.37 2 TOTAL AMOUNT Of CREDITS NUMBER Of CREDITS 1,642.28 3 TOTAl. AMOUNT Of DEBITS NUMBER Of DEBITS ",.",,,,.,,.,,.,,',,,,.,,.,,'01, Hb""","'oI"bH,,', ANNUAL PERCENTAGE YIELD EARNED (APYE) ,b'.,'oI","'oI,,,,,"',,H.,,,.,,.,,.,,.. DAYS IN PERIOlJ ~ 30 INTEREST EARNED D 4.91 AVERAGe nAl.Ar:ce _ 2,9~~. 76 ANNUAL I'ERCElITAGE Yl :1.0 EARNED ~ 2.01% ............................................................., .................... _________ -CIIECI~S ____ --- -- - __________CIIECKS----- ----- ITEM DATE AMOUNT ITEM DATE AMOUNT ----CIIECKS--------- I-,:M DATE AMOUNT 372 15APR 1,607.37 373 16APR 16.00 ....,1 '(l"" (I' 'i' :\.'/'(I , /."'(;'1 -/9~ . /r) -7 IV~ ;1 ~;il'0'/ ;'0" /1':1)- /~'l (':1/'" ('",/" ('"",,,""';1.'- /!'/IIk S;/le,' /855. 11';1// III cI", /'.,',/1;,,/1' & ,'\h'/ld..d "","-, "'" .I ,'/1" (','111..11;"11...'. [l~""", ''''."~...,,. . .~.,........."~....._........ "_...,.".."".... ..." \1ib~:'-U."='''''""w,~,''''u'''''<u>=m:u"",.. '""-,,,, -"""''''''''"uum . u;m--"'j ',' "., .' ,...... , . ',.. ;, . IMOMI MAn/E HUnST '.' .1. '...' ,;, '...' J. J " . , , 372 t ., LVNlI M. GLUSCO.BALAS, P.O.A, 1 ':7. :u JU Wi' )lfll''':!lfJOj'I~Hr'loi_ I u, ~-,l.! l.!.) '.,:/IJ p3 q/. j.' I.tAIlsrOIlS I,lIls. I.lA 026.10 -'----.ZjL, ,. L~_ 5.1l1nlilll.1 Q ~ 7 , 11\ 1\"'''11,,' <.. L/'LJ . '6i-~""'---J (,k,A~07<!J $;;~' '0{)7 J? , " O'd,',01 -0, 4L-'<=t<: /Vi.....:r;llIc;...!/-"_. - ,..,......, _ ......v'c:..1 -'<>- l ~ ./" I !;; <;'.J.. .., , , )y, .11,' . ;' ,-'<0 ~e5:1.'~ ";-""'~ ""to ""--Y T". ,'7..i-;~:;-~ ,,- 1 ~ .rod,,,:,,..,, /71 'J.e ? ~ I Alrm"I};:Y}J7f . :~'!!.~-'1"..- -- l'.~'>;('4. .:"~C:~<-""., ~~~-i ". , . "1:1,., r;;:;"c::. (: ': ~ ~ ~ :I 1 W 18': B B 1;05 qB ~Sll' 0:1 ,;,:'2 A...Jl}'jJ,.9HQ'~fgi.'lJil..~ ," ,,,.. .... ................ ......... ....... ...... .._f.............. ........... ....... ...",. ./... ...'u /I",.... ." '.w. .. ...,........''''.....~.7'?m''.... '~7""7""" ..'''"". .~~"., "" ,:." .."" ",.n 'U.n .,. ", I, """',./.,..', ':,:::. ; NAOMI MARIE HunST '.' .: ..' t... '. ,;'.. I ,;.;, LVNN M. GLUSCO.BALAS, P.O.A. :It JO DO Pit 500.120.05.10 . y-:o> . 0.(. MM1STOflS MIllS, MA 02fHH ________ I. -L._ :~~v:uz..uZJJ \ , ".,.'. . : ~-: " ;.i f:;.,;. r.. 373 ;". ~ {: '!" i~r,:~'.'~'~ t,wIn=zJ__(:lI.=._.ZJ.___.___J $ /~;. f s-;x,;..~d'<(!.<!~~ ,_ .---=_,"~. ..,~~~~t. · t:/4&.;;t; ~ AI,'"'' 717-"'?"5J'-9Y9.6. "."~'f;t'__,....._-:.~~.-:_~ . .:--- / ~ . reV! FdIC. "f .~:..~.~.~ ~.:..~??~~:",,>.~.~...:? .~.~~~.~:I:,,,,?~,~..~.~.?f~~~,~P9.~'.'.,,u! S.111l111',iJ .I' <. i ~ 1 :. , ],ynn M. G1usclJ-Da1as 31, JD Dr. Marst.ons Mills, MA 026/10 (500)h20-0530 December 9, 1996 Ms. Donna Downaze FULTON DANK Downtown Branch P.O. Box 1189 1,'hird & Locust Harrisburg, PA 17100 Rei Estate of Naomi Marie Hurst (55 #172-01-6017) Date of birth I 6/10/07, Date of deatlll h/13/96 Registry of Willsl PA No. 2196-0332 Safe deposit boxl Office 12, Box 253 Dear Ms. Bownazel .. 1.'his letter is to serve as authorization for your institution to open and inventory the referenced safe deposit box without my being present. And request that you return to me all of its contents intact via certified mail. I do so as duly qualified executrix of the above referenced estate. As requested, enclosed please find an original copy of Death Certificate No. 352h2'l2 and a Short Certificate issued by Mary C. Lewis of Cumberland County. Also enclosed are two safe deposit keys for Box 253. Please let me know when this can be arranged. Thank you very much for your attention and effort to help resolve this matter. ~ ~ d:~ enc. \ \ . . . M. c........on r.,,;... AugUJI 22, IiP1 \ Pugo 01 SAFE DEPOSIT BOX INVENTORY -iNsTRUCTioNs (1) Cosh: Repolt IfJlfll ani:. (2) Slocks: li~1 in delail """'''1'1 ,,:ommfJf1 or pr,~f"",!d cc,"ficult" ""'CHrnnl or olhor righu found in bo.K. SIock5 orf! to be dC5ignolcd by n0l1!0 of compo ny, ccrlllicute numbf!!, dOlO of cellllicQlo, "amo in whicn \Iock i5 rl]gi~IOff}d. and numbor of "lOrO\ Illld clou of \Iock. (3) Obligations of U. S. (;ovornmonl: Number of ilf!IIl\. dull'! of iuue. fow ...alue. noml!~ in which rogi\lered and typo of owncr\hip ! 0., joinTly hHld. puyobl" on dealh. tHe. (4) Bonds: Desiqnule by 'Iom'}. ~lTlounf. \'HialnumbN. 01 olllor designation. (Bearer Bond\1 (5) Bank and Savings aruJ Loan Poubooks: Slnl(> n'l/Ill' of deposilor, nurnb,.r of bOOk, 1011 dnlo appearing in book, non"? t)f bonk nnJ h"Jndl. nlld boll1ll(f' (6) Jewolry, Coins, Stomps, Monuseriph, ole: lisl and df'!\(ribu 05 fully m poniblo. (7) Deeds, Mortgages, Currenlln5uronce Policies or ather evidonces of indebtodness: U,I and describo 0' fully a. possible. (S) All olhe, conlenls. ITEM UO. ITEM DESCRIPTION , I --;-'.-..---.-----------.-.-- :--.-- -.;'--;--;-' . ~_~Lm...i.ZL. ~" ~[J ;1-.5,... __.~,-_ ....L<.!,l- , 5"<./ ,.- ! G "--vz.~ cP =[=-2f0..~.~~~TJ~:::~~~..;~~~;]..~~=_lL?.: ~_~e... S" -<'cCJ I __LI!~fA1':.' ?:.-:t'.:C_.j.-~c.r;e~~._~:/__IL:<:.,:..A~ '-'!~-&W..-' C~.",...,....'/<.., L._~ I I .!J;d Cy"~;;'_'7~~/~54(:~~ ~Lz.:r /)..<.$'"",,-, 0I,'i7Y;' I I ;r--- . I ri~~:~~~~~~?~2;:~'~; ~~~~-c ~~~v J?::2~:~~ ~~ I I ! I I I I -L==~= .~- .-.. .....---.-.----- -~.=_.=~--=------~..=.:====-~:==-_.__. .Y ~'II;.;.'~.) --- . U~'-/ " L. -----------. --------------. --.-- ----------_.- _._-.-- - -- --.------ I CERIIFY UIIDER PENAllY OF PERJURY THAT tHE ABOVE'RECOiD 15 PERSON RECEIVING COPY OF CORRECT AtlD COMPLETE TO THE BEST OF MY KNOWLEDGE AlID BELIEF. SAFE OEPOSIT BOX INVEl'TORY, lvHA1Uir r-- ~IGNA~'"i~ ./ i: - ,:.,,:t-1:2' -;o~---- '- / '1.'S-LU;'~!'i..Ll\-'!N PIl:I:1 UAIoIE-- ~:-:I~. -w; -~~/----- -------- .--------:- \Plllt~'"FliMfAtjO(HRIl. -,rffiiOpQIAlfiOi7ELOW /'./l_JJ.?': '7'(;./LJ),-,'~' ,ijt.nirlr-~~"'-/~. -::.I ~ .----- __4 - - - - . -~-_.i:Hfc~ppwphAlfw.-- o \ iJe_,.ClJ,O,(lIioJ OAdmini,,,olor 11i_] JL---("'C'~"o 0 _ 0 _ uo_o_n~w_~ C~~'1'" R~~.'.":!~~ [] ..!.o;nl''',*M' 01 ,of" d"po,,' !:).,. NOTE;--A.;t'~.~.ho-~dcii;.ion-~1-8\!1;' ;~.l'l;'.~h~-~I-{S-) if nocl.!ssary or use duplicates of this page of rorm~ J I , 1 In'," fl. ,In ... C' ,t ~ ,..l,..l." .~::' h (OI,lMOt~W( .lITH 01 PI fH~!aH..'AtII'" ItmfA'II..uKf I^_ IH IUllt~ Rf~IIH'" lJt(l 0011 SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES PI.a,e Prlnl or Typ. -~:.FllE NUMBER , \q% (i(',S3'Z. ESTATE OF H\"~ <:-" ITEM NUMBER A, fJ~DI'I.\ \ /\"AR}c DESCRIPTION AMOUNT - ---_.---- ----. Funeral Expen,." 1. ~p",\D ~C>- B. I Admlnl,trativ. Ca,ts: 4. C. 1. 2. 3. 4. 5. 6. 7. 8. 1. Personal ReprC$enlativc Commiuions Q Social Securily Number a' Pe"onal Repre'cnlalive: I A4 --;3b -Rl8c: Year Commissions paid 1> \'::;-CO ~ 2. Attorney Fee, 3. Family Exemplian Cloiman' _~,~~m___~_" Relolion,hip Addre.. of Claimonl 01 decedenl', deolh Slreel Addre.. Cit y -------,-'~----- ",Slale Zip Code Probole Fee, (P{Cot~f:>itl?""' $57 J (?ot-...\~ "ie\,7"'> ') \ 3~ g;l 'I'~ ,> Mlscellaneau, Expenses: \-\f\fj'Rl~BD(2b 1....1....' (.~/I'il11<~I~ '1/((.,) I~\.)\N\AL I~IJ (4/1'1 -I11BJ 4f:!\} ~ESiDALC , MA 11<I\\I\:::""1- (IClSa M\ (' ,~Cl ) ~~f.PNe:1 N'011)(c()I\;-').I~Th6~ 'I0E1..IVl:1!ID fl,\t=P-L5 (4/1'1 "\li12U 4/2\) I e- L' (,:Q 6l(1 C;2 ..., \ z::- S2. oJ -.J \ ~b Q9- 1:40 OJ;.. TOTAL (AI,a enler on line 9, Recapilulolianl (II mar. 'pac. I, n..d.d, In,.rl additional shee" 01 ,om. 'Ito.) S 2.1 15b \ ~ BOND HE<;ISTEI{ OF WII.LS OF ClllIBEnLMJIJ COUNT\' .---_..._----+ ---" .--- ------- BOND AND SlJHET\' FOI{ I'EHSONAL HEI'HESENTATIVE I\N()\\, ALL BY TlII'SE I'llESENIS, Thai ... . J,nm..N... GJ,USCO.::.DALAS .--------..-.-.-.- -.....- ----.---.--------. - - --~..- --- ilS prim:ipal(s) ami ____ __.. \'IEST'-'HN..sUlU~'l'LCmll'ANY_ jlli SUlTI ~ (\Ulctil'l;j) all' Ill'll' ami I ir Ill!Y hOllnd tIIHu the l'oIllIllUI1\\'l'ahh of Pcnnsylvania in Ihe sum of fI V E 'I'll (}1J S/\1 ILL.. . . dulhn' ($ !i ,noa. ) lu he paid lulhe C."'l1llllullweahh, fill \I hkh l'a)'l1lelll \I C do hind otlfsdn-s, jointly ami sc\'clally, our heirs, e.\CCIIlOI'S. i.UllllinislIatllrs amI SlIccessors, Ihe mlldilillll (If Ihb (lhli~aliulI hdll~ Ihal if _...k'LNIL r-t,-_QL]J~.C.Q- DALAs.. . a' ('laiC fidlldar y capadlY) _._I\D.Nl NJ.STHi\ 'l'.QH --- ----+--_._--- .-+. .._--_._------_._------~ uf Ihe e'lalC (If _ ..._N~_JI!\H U_JI.lIJ1S.:L__ h_.'. I deceased, or any 01' them, shall well and 1I111}' administer the c\talL' acc{)rding 10 law, then this obligation shall Ill: \'nid iJ'; to thl' !1l'lsonall"cpll'Sl'lItali\'c or rl'prCSCI11ilti\'l:s wllll shall ~(l adlllini~tcr Ihe csttltc nnd his III IlId!" \ml'IY OJ ~tllc(ir'; hilI othcrwisc it ~halllCl1lllill in r\lll rOft.'C, Sigllcd I1l1d ,ealed lhi, __._._._____l2lh_..._ Ilal' uf APHIL . IY..9JL.___, cach inlellllillg 10 he k~ally hOlllld hnehl'. ,'J -' s2~' / / )'/,. - / /. I ). &.~7 .... 1,~.r1_~ 7 // _ /. / ~/;\-.. .... (,.~ - - .:' "t..'_J__.~_!___,_. .,..:..~('_..~~_(IiC"1l / LYNN H. GLUSCO-IJALAS / /. '/' \ . ,)./ ,'...-" : I ,\,,, J .-\ " ,. I. , ....0&. . 't. L I Hr') 1 .~L1J,.-l\,.I~- I\A'I'IJY I.. SNYDEH (Seal) (Scal) " .'VI'"'''''''' . CQMMONW'''''" O. PlNN~n'lAN'A INI'IIIlo\"'Cl ,A.IIIUIN 1I\IDINI0IClOIH1 SCHEDULE I \ DEBTS OF DECEDENT, MORTGAGE LIABILITIES AND LIENS ___ Plea.e Print or Type FILE NUMBER I C\ q (, CO:3.:~'L. ESTATE OF \-\lJ\~S\ lJK~~ \ ~M\f2\t: AMOUNT ITEM NUMBER DESCRIPTION -------- I. C'()^M\j\ONW~1\-C'D:\ O'r- ()1:::~\lJ ~\flV ~\..)IA c::e'PT. d=' P\l(.'JLI c. UJ~.fl\-F~t; IPL ~-,cC.\\()~ ?O' \307\ S+8~ f-\P,RPIS~ORb I PI'- III 05 (~A-Tl1\C~-o L.i12 PROM ..\p\{'(\~S 1,.., l--A\l\J~ @.. (1D) ,7'2. -6141) t:>2t;" I SC\5' f:l2 1 i , II Ii \ i i \ i i i ! I , I I \ i \ i ! TOTAL (AI.o enler on Bne 10, Recopilulolionl (f( more spoce is needed, insert additional sheets 0' some size.) S '2.5 ~q5" gl. U...'I,IIIH 11','1 ,,~J~:9(\ ....Ulur (l)y.,O{)Ij'ftIA\'"01,ftj,;\.\yAljIA It4HUUAHClIU .nUIH IIIlDIHI OIU~IJ<41 " SCHEDULE J BENEFICIARIES FILE NUMBER tqqb 0033'l.. ESTATE OF ~\J{2ST ~AOMI Mf'\R'~ -- -- .._~"._.__._- .---------------'-_._._-_.~_.------ ------ AMOUNT OR SHARE OF ESTATE ITEM NUMBER RELATIONSHIP NAME AND ADDRESS OF BENEFICIARY A. Taxable Beque,',: I. M' l.-DRE:P 6L..~NceY 940 CLD FO~ RD lEI0\SP~6. 'P~ \/33':1 $ ""3SaQ:l rJDN ~ ~"3ffi~ ^^, If( \IN\N\ a (ia~Sc:l::::l Iv\f\'/ '~4 L\)N\Bffil~N~ ~) AU~I .f 350~ ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE B. Charitable and Goyernmenlal Bequos": I. TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (AI.o enle, on line 13, Recopi.ulolion) S (If more 'pac. i, n..d.d, Innrt additional ,h.." of ,ome ,izel . I 21 - 96 - 332 IJONI> REGISTER OJ. WILLS 01. CUNIJERLAND COUNTY BOND AND SURETY FOR IJERSONAL REPRESENTATIVE KNOW All UY THESE PRESENTS, Thai LYNN N. Gr.USCO-RAT.AS as principal(s) and NESTERN SURETY COHPANY as surelY (surelies) are held and firmly bound Unto Ihe Commonweahh of PennsYlvania in Ihe sum of FIVE THOUSAND dollars ($ 5,000. ) 10 be paid 10 Ihe Commonweahh, for whieh paymenr we do bind ourselvcs, joinrly and severally, our heirs, exeeulors, adminislralors and successors, Ihe eondilion of Ihis obligalion being Ihal if LYNN N. Gr.USCO-RAr.AS as (slale fiduciaryeapacilY) ADNINISTRATOR of Ihe eSlale of N. NilRIE HURST , deceased, or any of lhem, shall well and truly adminisler Ihe eSlale according to law, Ihen Ihis obligation shall be void as 10 the personal represenrative or representalives who shall so administer Ihe eSlale and his or their Surely or sureties; bUl otherwise il shall remain in full force. Signed and sealed Ihis 19th day of APRIL , each .1996 intending 10 be legally bound hereby, '0 ~~ ~:~~ Cl ~ N 0.. 0\ - t~ :lCl': " ,.:;, '..) .: ..J 7 ,?;? ~, . (, -'l " ~; g: "" ) o -.. E <ll;J UU C :-:~ ;. ~ ';;;.:. U all' Clt: a: ~ (Seal) (Seal) .. POWER OF ATTORNEY lhll"\lH.lhld 11'1\11 '...11' " ''Ill II} 4.,,, " KI/m\' 1\/1 MI'II 11.1' n,l'.\(' I'n'.\('III\: .dl,I\I.\d t" 11" 1",,,.1 "1,,,11 It 1I;1II,oIl!\" \'\(\lIl,'1I bill llU\ hl' ,kl.l~hl'\1 h\ ".II"'1,\IIO.,j ,t",. Ihld,., 111.1~" ,,'II,tdlilr .111.1 .11'1""lIl ,111' holh'\\Hlj! 1 h.11 thl' 1'''\ln pI \lIl'llh.'1 I' 11,,1 \.dld .., 11\ dt., I t;liI, Ihl.' .ll'l'ltllllll.' nil 11('1 .1 i11"llf.l I h.ll \\,"1'-111 "':;1,"11 I "IItI'.III\ -l- '" 6J .11~1ll<'rlll'd 111,11\ 1111..11. '.!-'lIfl!l.!lLPI,-IHI Inlll' -S.lL II 111111111111."1111111111.'. RICH4RD KATHY L DARRELL II MOORE SNYDER o DIODATO JEFFREY KA TttY J GIL!lERT LI GGE TT SCOTT HII~ES L 5HAFFt~E~ III the ('II) Ilf--L..A1l1 T ,I F .*"l.II,' ,.1 _.___P_E.NNSY.LVANIA----.\\'th IlllUIl:..! OlutI1l1rll). 1;l\\ful,\llortll.'ll..111l 1,ld \lllh lull IllIII," ,\llll ,1I1Ih.'rl'~ hrrd\~ (t'IIIl'III'd. III '1j!11. ,'\\'l'uh', .ldncl\\I(lI~l' .llld lIdl\!:! 1'111 <IlHlllll SUr(,I~. Illlt: III illt: 1t,llcl\\IIl~ hilmI, __~m_____._'_~___~'_~__ :\11 OH;Uil\.\1 hnnd Il'q~~1.!.~~.L~.~~_I_)~~_15_l:. HI {OlITl PI 1!_~~~I.I~~I:~Y_'~~. 1\1 \1I\1I"\IW\IIIW WIl'WIII\\'\IHIIIU' 1\111 lOW I 0\1\11""10'1 W !lI"'IIIU \11\1\11 1'1 N"I"\I WII'WI..I 'I \11\ I 1111 "III 1llllH 111\ III -I" 1i.1Il~IUI'''\ II uhlllin, I h.'pll" hi \11111\'111 "10\11'111 'I 1111 \loll 10'''1 H\ \1111(01 "111\11'1 11"tCl'"11\ \11 I 10\1\11111101 "111\11'111'1 "\11 III NI \1 11111'111"" \1 1'11111'1111 \ _ \\1.. n ,"" """l'.,nl II." 'I,].ll.tl il1~ lu>l,,1 "~I ,,1"'11 il i\.1 "I"""'" tu,,,,1 h" ...."UUII"l"r 1'11".""",...,1. .,,,1, Ih Inlt: ilnd II' hdl.lll a.. 11\\1111 II I'I:-',IU Y ________~__________ ..___H ______.._._._~___.__ 11I1 hi \1(1)1" III ""0111111 10"1 N\ \l1I1l1l1 \I"flll l( I 'III \1(\ 1'111I11 --~-----H1II-I'I~------;.~:;;~;,~--;-;,.,'t ;;~.J-'------~~ 1'111I11 1111111\1 \'111111'1111' IIU"'II ,1,-1,1"":"'''' """, IIlI 1'1 \1'1111'''(01 NIIlO'l' -II,"'" '" "'\ I., -~1.;-:;:7(:-;;---------'._-_._---'~~'---- II ,.(1'1 1l,'l!.I.I',:'~ I".I,'! 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'1t.1 t',uH,(I~'"",' 1'..1 '"~I,' 'i ,'i,,1 0,11,1..., ," " 1J.tI'~ . \01,11\ I'u!llk, \nlllll 1);1"111;1 , ,:,", ,,'I i. nol ll. .!I.l.',.-,~ 1', ,,;i ,! \l1,'!no " :Ii 1"111,,,.... ,Ihl dlnl \TI . '. .~ '" t,,:,.- _..____.11111.\ "J"'" ,"",,' '..,' "1\" " I' 1"lfll"","''''''",''T li.n<"I,'.,"!' ,," .:! \1," I',L""_""" \I , , II II , 'I Il I I IOItI',.I'" - ./ !. --/ .~-:/ i....t?LL OI\II'ORIA\I: I Iii.. dillt' l1m..t hl" liIll-ll inlll'ltlfl' il i.. alliu'lwil In lilt' hUlld :111t1 il 11I11..1 ht' Iht' "illlll' dilll' il\ Illl' hum!. Pili "Ill 'I NOTICl: 1'\.. t. .(1.~ 11'\j',' I..' Illll[ I! 'I ,., ,...,IIlLUf. I'....., '"J' ,1 (...l-I~'ll[ '''''Y -. II~ " 1.,'f:~'Y/( ':' ......) ", J.. Form9<J.A,)."" ---- ...........Jl4...~ ..-....y 0":' .1/ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE ~* BUREAU or INDIVIDUAL IAXlS 1"'11' NIIA"'C1 'All IlIVlSlllN 011", .~aobO I ItUNIUIJNG, II' III,'" 01,01 NOIICl or INlllHIIANCl lAX ...fJPHAISlHlNT I ALLOWANCE OR DISAllOWANCI. or DIDUCIIONS AND ASSlSSlllNI or lAX III Ihlll 1"'11 '" LYNN M GlUSCOBAlAS 34 JB DR MARS TONS MIllS DATE ESTATE OF DATE OF DEATM FILE NUMBER COUNTY ACN M 05-12-97 HURST 0',-13-96 21 96-0332 CUMBERlAtlD 101 f_~~,~~,Dunl RO_"Ilh!l_==j MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WIllS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE . RETAIN LOWER PORTION FOR YOUR RECORDS ..... iiEV:i54YEif-AFi'--iiij-:97Y-Niii'"iCE--liTYNHEifiTAtfcn"AX-A-pPRA-isE;'fENr-;-.m.OWANCiriiiin---n-------_-- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX NAOMI M FILE NO. 21 96-0332 ACN 101 NAOMI MA 02648 ESTATE OF HURST DATE 05-12-97 TAX RETURN WAS: I X) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. R..I Est.t. (Schedule AJ 2. Stacks and Bonds (Schedule OJ 3. Closely Held stock/Partnership Interest (Schedule C) 4. Horta.ges/Note. Receivabl. (Schedule OJ 5. Cash/Sank Deposits/Hisc. Personal Property (Schedule EJ 6. Jointly Owned Property (Schedule FJ 7. Transfers (Schedule GI 8. Total As..t. CHANGED .00 .00 .00 .00 2,600.15 .00 .00 181 11) (2) 13) (4) 151 (6J 17) NOTE: To insure p~op.r c~.dit to your account, subait the upp.~ portion of this fo~. with You~ tn: paya.nt. 2,600.15 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Fun.~al Exp.ns.s/Ad". Casts/Misc. Expenses (Schedule H) 10. Debts/Mo~tgage Liabilities/Liens (Schedule I) 11. Tobl Deductions 12. Net Value of Tax R.tu~n 13. Ch.~it.bl./GoYe~naent.1 aequests (Schedule J) 14. Net V.lue of Est.te Subject to Tax (91 110) 2,561.60 25,895.65 Illl 1121 (13) 114) ?R .4~7 ?~ 25,857.10- ,00 25,857.10- NOTE: If an assessment was issued previously, lines 14, lS and~or 16, 17 and 18 will reflect figures that include the total of ~ returns assessed to date. ASSESSMENT OF TAX: 15. Anount of Line 14 at Spousal 16. Aaount of Line 14 taxable at 17. Anount of Line 14 taxable at 18. Principal Tax Due ~ate Lineal/Class A ~ate Collat.~al/Class a rato .00 x .00= .00 x .06= .00 x ,15= 1181 .00 .00 .00 ,00 1151 1161 (17) TAX CREDITS: PAYIlENT DATE RECEIPT NUIl8ER DISCOUNT (.) INTEREST/PEN PAID (-J AIlDUNT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE ,00 .00 .00 ,00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FDR CALCULATION DF ADDITIDNAL INTEREST. IF TOTAL DUE IS LESS THAN $1, NO PAYIlENT IS REQUIRED. IF TDTAL DUE IS RErLECTED AS A "CREDIT" (CRI, YDU IlAY 8E DUE A REFUND. SEE REVERSE SIDE OF THIS FORIl FDR INSTRUCTIONS, I ., ,;;,~ .J '-' .1: RESERVATION I E.t.t.. .1 ..e...nt. .,Ino .n ., b.,.,. D.e..b., 12, 1.82 -- II an, lu'u" In..,..t In tho ..t.t. I. .,.n.I.".. In .......I.n.' .nJ.,..n. .. CI..' 8 'e.II.,.,.I. b.n.,lel.,I.. .1 tho ..e...nt .1..' tho .,.I,.tl.n.1 an, ..t... I., III. ., I., ,..,., tho C...on...I'h h.,.b, .,.,...1' ,...,... tho ,IOh' .. ...,.1.. .n. ...... t,.n.I., Inh.,llane. I.,.. at the lawful Cia" B (callat.ral) rata on any such future Int.r8.t. pURPOSE Of NOTICE I To fulfill the requlr...nts of Slctlon Zl~D of the Inherltanca and [st.t. Ta. Act, Act 21 of 1995. e1Z P.S. S.cUon 9lltO), PAYMENT t D.I.eh Ih. I.. ..,.I.n .1 Ihl. N..le. .n. .ub.11 .llh ,.U, ..,..nl .. tho "01.'" .1 Will. .,Inl.. .n Ih. ,...,.. .1... .~Hak. chack or 80nIY order payable tOI REGISTER OF MILLS, AGENT REFUND (tRU A ,.Iun. .1 . ... e,..lt. which ... nol ,.ou..I'. on ,h. I., '.Iu,n. .., b. ,.ou..... b, e...I.llnO an .A..lle.ll.n for R,fund of PennSYlvania Inheritance and [stat. T..M CREV-1113J. APplication, ar. availabla at the Offlc. of tha Ragl.t.r of will., any of the 23 Ravanue District Offlc." or by calling the spacial 24-hour answarlng ..rvlca nu~.r' for for.' ordering: In Pennsvlvanla 1-800-362-2050. outs Ida Pennsylvania and within local HarrisbUrg at.a (7171 787.8094, TOOl (7171 772.2252 (H.arlng I.palr.d Only). OBJECTIONS: An, ..,1, In Inl.,..1 n.1 ..11.,1.. wllh .h. ...,.I....nl. .11..one. ., dl..ll...ne. .1 ..dUell.n., ., ........nl .1 I.. <Inelu.lno .I.e.unl ., Inl.,..I' .. .h.wn .n ,hl. N.lle. .u.1 .bJ.el .I.hln .1.1, '00' ..,. .1 ,.e.I.1 .1 this Notlc. by: --.,lll.n .,.1..1 I. Ih. .A D...,I..nl .1 ....nu., 0..,. .1 A....l., D..I. '01021. H."I.o.,O. .A 111'0-1021. OR .-.l.ctlon to h.v. the ..tter d.t.r.ln.d at audit of the account of the per.onal representative, OR .-appeal to the Orphans' Court. AD"IN ISTRATlVE CORRECTIONS: Factual errors dlscover.d on this assess.ent should b. addressed In writing tOI PA Depart.ent 0' R.v.nu., Bur.au of Individual lax.S, AITN: Post Assess..nt Revl.w Unit, Dept. 280601. Harrisburg, PA 17128-0601 phone (717) 787-6505. S.. page 5 of the bookl.t "In.tructlon. 'or Inheritance lax Return for. Re.ldent Dec.dent" (REY-1501) 'or an explanation of adalnl.tr.tlv.ly correctable .rror.. DISCOUNT: lIon, I.. dUo 1. ..1. .llhln 'h'" '" e.l.nd.' ..nth' .11., Ih. ..e...nl" ...Ih, . II.. ..,e.nl IS~' .I.eounl .1 the tax paid I. allow.d. PENAllY I 'h' IS~ I.. ..n..I' n.n-..,llel..tl.n ..n.II' I. e...u',. .n Ih. I.t.l .1 Ih. I., .n. In..,..1 ......... .n. n.1 ..1. b.I.,. J.nu." 18. 1"0, Ih. II'.' .., .11., Ih. .n. .1 Ih. I.' .on..I, ..,1.., 'hi. n.n-..,llel..II.n ..n.ll' I. .....I.bl. In Ih. .... ..nn.' end In Ih. Ih. .... II.. ..,1.. .. ,.u ..ul. .....1 .h. I.' .n. Inl.,..1 that has been a......d a. Indlcat.d on thl. notice. INTERES1: In..,..1 I. eh.'o'. b.olnnlno .llh 11,.1 .., .1 ..llnqu.ne,. ., nln. <.. ..nlh. .n. .n. 'I' .., "., ,h. .... .1 ...Ih. I. Ih. d.l. .1 ..,..nl, ,.,.. .hleh b.e..' ..llnqu.nl b.I." J.nu." I. 1'02 b.., Inl.,..1 .1 .h. ,.1. .1 .1. 10~' ..,e.nl .., .nnu. e.leul.I.. .1 . d.ll, ,.1. .1 .000100, All..... .hleh b.e... ..llnqu.nl .n .nd .11.' J.nu." I. 1..2 .111 b.., Inl.,..1 .1 . ,.1. .hleh will.." I'.. e.l.n..' ,.., .. e.I'nd.' ,.., .llh ,h.1 ,... announc.d by the PA nepart.ent of Rav.nu.. The applicable Int.r..t rata. for 1982 through 1997 .r.: '!!!r Intarast Rat. nally Int.r.st factor !!!! Intere.t Rata DailY Intenst factar 1982 20X .000548 19117 .~ .000247 1981 16X .000418 1988-1991 llX .000301 1981, l1X .000101 1992 .~ .00020 1985 UX .000156 199]-1994 n .000192 1986 1O~ .000271, 1995-1997 .~ .00020 ulntar.st Is calculat.d a. follows: INTEREST = BALANCE OF TAX UNPAIO X NUNBER OF OAYS OELINQUENT X OAILY INTEREST FACTOR --Any Notlc. I..u~d aft.r the tax baco..S dellnqu.nt will refl.ct an Int.r.st c.lculatlon to fifteen (15) dlY' b.yond the date of the as.e.s..nt. If pay.,nt Is .ad. .ftar the Inter.st co~utatlon date shaMR on the Notlce, additional Inter..t au.t b. calculat.d.