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PETITION FOH. I'IWnATE lInd GI{ANT OF LETTEH.S
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K~gi'l~r ur \Vii" rnr lh~
CuunlV ur _ ________________ in Ih~
COIl1I1\OIlWc;,lth of Pcnns\'l\'ania
J:.\/II/l' "J KATlIRYN SEEBOLD MJ\SON
al,\l1 kllOH'fI 11.\
l>t'n'c1\('d.
s""wISt'''l/r;l)' So, 201-16-7121-
The pl..'titiulI of lh\.' ulHh.'I",il!I\l'l! n:...pcctfulty n.'prc...cnt...that:
Your pditiolll'l("'), \\ho j..,lare IS yeal' llf al!!,.' 01 olllCI alllhe C\l'CULrj.x~^ ----.-
in Ih~ la'l "ill nr Ihl' alll\\~ d~,,\'dl'llI. dall'd __NoVCOlbcr-25--- --------
al\ll "udidlbl dal~d -- ----- - ---- ---------------
named
.19-85_
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I'l.l\l' Idl.'\.1II1 nldllll't.l11~'I.". I.' V. 1~'IHlII~'iilllllll. dc.1I1l 1,1 I.'\CI.'IIIIII, cll.'.1
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DC"l'mklll wa' dumi<ik<1 al d~alh ill____Cul11IJ()r~!!~------- ----- CuunlY. l'~nn\'yl\'ania. with
h~L-- I'hl ramily m prin~ipal r~,id~n"~ al 'l6YS-"-OJQ__~.9i!d,_SOOIJ-1!ill.,~enn!;Y1vania
EasL!-ennSucm- Township ,_ C\.JOlberland_Coun ty_____--
(li,1 ,lIl'..:I, 1I11111hcl alli.IIllIl11I.:IIM\iI~)
Dc~~nd~nl. Ih~n __.94 ,_____ y~a" ur ag~. died __,Janhl<tn'--L--
at __!l6 _ Erfor(LRooo.__Carr~:dlill,J'elUlSYJ.vania-----
E",~pl '" I'ollu" '. dl,,'cd~nl did nul marry. \nh nul di\,(lf~~d ami did nul ha\'~ a dlild burn or adoplcd
afl~r ~x~wliun or lh~ will off~r~d I'm probal~; lIa' 11l111h~ vi<tim 01' a killing and wa\' n~\'~r :Idjuui~at~d
in~0t11petellt: ------- -----~---.-~' -- ~---------_.-------
DCl.:cndent al death owneu property with e,tilllatcd \'ahle' a~ rnllll\\'~:
(II' dumidled in l'a,l All p~"'lIlal prup~r1Y
(II' l\lll dumi<iled in I'a.) 1'l''''lIlal prup~r1Y illl'~lIn,ylnlllia
(\I' nul dumiciled in l'a,l 1'~1'1lI",1 prnr~r1Y in CuunlY
Valuc of real c:-.tatc in Pcnll"oyl\'ania
xil\"'t~d a' rullull"-----------------------------
. 1\1 96
S~200..oo
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WIIEKEFOKE. r~lili(1n~r(') r~,p~",rully .l~qu~,t(,) th~ prnbat~ ur Ih~ laM will and cudicil(s)
Ilf~'~ntl'd h~r~lIilh and lh~ granl ur k\1~,,__Testamentary
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20_Poppsford-Road-----------
york-Jlavcn,--PA-17370---------
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OATH OF PEHSONAL HEI'HESENTATlVE
COl\lMONWEALTII OF I'ENNSYI.\' ANI A l "s
COUNTY ()Io' CUMl3ERllIND J .
Th~ p~lilion~rbl abll\~-"'"l\t'd ,w~ar(') or affirml') that Ih~ 'HlI~m~nl' in Ih~ ror~gnil\g pClilion ar~
trll~ .1l1l1 ~orrl'''' 10 Ihl' bl',1 of 1).0 ~f1l1wled~~ ami h~licf of r~lilion~r(\') and Ihal 'I' p~"onal r~pr~sclI-
lali\~('l or Ih~ ahu\~ d~~~d~llt 11\'lilion~r(') will w~1I alld trlll~ adminbt~r Ih~ ~'laIC a."ording 10 law.
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REGISTER OF WILLS YORK COUNTY
OATH OF SUBSCRIBING WITNESS
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(each) a subscribing witness'~~th~ c~\fil presented herewith, (each) being duly qUall~ccording to law,
depose(s) and say(s) that ~csent and saw ./
, the testat ~ ~ the same and hL signed as a witness at the
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Sworn to or affirmed and
..~ n,h ,fuoll" fu. p.=~ ,r ih.
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request of testat in h _
other subscribing witness(es)).
before me this
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For the Register
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C,LlI\IBtIZL/1N h
REGISTER OF WIl.LS \(GRK COUNTY
OATH OF NON-SUBSCRIBING WITNESS
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(each) a subscriber hereto, (each) being duly qualified according to law, dcpose(s) und say(s) that ttlif':)
familiar with the signature of k'A.1"liLE'fl.1 5EelL~L\SOtJ . teslatjtl '" of (one of the
subscribing witnesses to) the '~~llil presented herewith und Ihat 1<" N o.l believes the signature on
the e:1r is the handwriting of ~~~b~.&sQ!>lIO the best of ~ e lit -knowledge and belief.
Sworn to or affirmed and sub,~ribed ~{ ~ ..~." "1-:1}
before me this I ~ r _ day of 1..u :Ppp '" ~ b6.t./J /{l-
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This is 10 (l'rcif)' Ih.1I lhis is.1 (nil' fO(1)' 01 (hl' fl'ford whirh i... oil filt, illlhl' l~l'111l')"\'.lIIi:ll~i\'i...illll ot Yir",llh'll,l1d... ii,' .ll(t~rd_.II~ll'
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WARNING: It Is Illegal to duplicate this copy by photoslat or pholog'aph,
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St;lIl' 1tc..'J.:i"lrar
3796327
APR 1 0 1996
No.
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1lIfl\IUn..,,,,
COMMONWEALTH OF PENNSYlVANIA. DEPAnTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF OEATH
002347
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IJlIouary 6,1996
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Recoraed'.)(/iCO 01
Reglste~ oi W,lls
'96 lIAY -1 P3 :20
Clerl<'0','i~("':'1 Court
Cumborb'lli Co" PA
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ROBERT E;, MYERS
A1To~ATt.AW
100 YOJllt ROAD
NEW CUMBERLAND, PA 11070
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direct that nn bond be required of my Executrix.
TTEJoI TV.
) lIuthorlr.e IIIllI empnwer my pen;onlll reprellentatJve
to compromille, adjust, releaHe and diHchnrge in Huch mnnner all my personal
representntlve mny deem proper, 1111 debtH and c1almH owed by or to me or
my Estate; to sell. leaHe or exchllllge at publIc or private sale or in
such manner, at such prices, and upon Huch terms of credit or otherwise,
as my perllonal representative may deem proper, all or any part of my
property, real or personal; to execute, acknowledge and deliver instruments
of conveyance, inclnding deeds in fee simple; to borrow money for the
purpose of paying estate, inheritance or other taxes which are required
to be paid and to secure any such loan by pledge or morl!~age of all or
any part of my property and to execute the necessary instruments to
carry out such powers; to distribute my estate in kind or partly in
money or partly in kind, and to determine the fair value at which any
property so distributed in kind shall be received by the distributees;
to conduct any business in which 1 bave an interest at the time of my
decease, for such period as my personal representative may deem proper,
power to borrow money and pledge assets of the business and the power to
do all other acts that 1, In my lifetime could have done, to delegate
such power to any partner. manager or employee without liability for any
loss occurring therein and to organize a corporation to carryon said
business as capital to such corporation and accept stock in the corporation
in lieu thereof and hold such stock for the uses of this my Hill, and to
vote said stock or to se 11 the same as to my perHonal representative may
seem best; to retain all stocks. assets, bonds and investments owned by
me without bl'ing confined to what is known liS legal investments; to
execute any options to pnrchaHe, to apply for stocks, bonds
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lItvl'Atmenln. lo purchase or otlll!rwlse nC(lulrc rcnl eNlate and to execute
the 9nme powerH thereover n9 Ill!relnhefore provided; to retain Indefinitely
nny pnrt of my nHHet9, renl or perHonnl which IH or mny become unproductive
or to make Hnle thereof; to pay cnrrylnr. chnrr.e" and expenses of the
property out of other prind pn 1 or income of my estate, 11'e powers
herein conferred shnll be to my nnmed personnl representative and all
successors thereto nnd shall he in addition and not in limitation of
other powers conferred on snid fiduciaries,
IN WITNESS WHEREOF, I KATIIAIlYN SEEBOIJJ NASON, have, to this my Last
Will and Testament, typewritten on J sheets of paper, numbered consecutively,
signed my name at the bottom of nIL pages hereto for the purpose of
identification and at the elJd hereof on page J have set my hand and seal
this y.~- ,-[ day of~ru"/lltf/l/ , 19,\";,
~>/-':::--(SEAL)
Signed, sealed, published and de~lared by KATIIARYN SEEBOLD tlASON the
above named Testatrix on the ,-J!~;- r.A. day of!/"ru'n,ti',19r_.,~ as
and for her Last Will and Testament in the presence of us, who in her
presence and in the presence of ench other, have, at her request, sub-
scribed our names as witnesses hereto,
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CERTU'ICATIOtI OF NOTTel': lHlDER RilLE 5.6(a}
Name of Decedent:
KA'l1 IRYN SEEBOLD MASON
Date of Death:
January 6, 1996
Will No. 1996-00354
Admin. No,
2196-0354
To the RegisLer:
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 following beneficiaries of the above-captioned estate on
May l4, 1996
Address
~
Dr, David Zimrerm'lll
6 Market Plaza Way, Mcchanicsburg, Pa 17055
Janet McDermott, 850 cardinal Lane, Lewisberry, Ph 17339
Lois Ness, 10350 LocUst Street, Shiremanstown, Ph 17011
Louise Neidig, 20 Poppsford Road, York Haven, Ph 17370
Notice has now been given to all persons entitled thereto under
Rule 5.6(a) except
Date:
May 15, 1996
Signature
Name RnhPrt E. Mvers
Arldress_ 100 Old York Road
Npw n,mh<>rland. PA 17070
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Telephone (]17) 774-3163
Capacity:
Personal Representative
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counsel for personal
representative
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
COMMOUW'.I1"0' r..",",,"". (TO BE FILED IN DUPLICATE 'l \
orP^AIM(tH 01 R(v(flllf ff
,,.,,,,~J:b}~~\~h,060I_._ WITH REGISTER OF ~ILLS) COUNTY COOE
O(CIOW ~ flAMI 11"!l1. fIlS', AtH> MI()OU 111111"11 Ilf(lVfUI!I (OMfH II AOOIUS
_MA<:;hflLI_}(f\TJ\J\.\IlJ-__$'6c\aCU_D-- _ \.1(" \S(l.fUI'('>nR"A,r.>
!locrAl \Um.t', tlUMI' OJ I~ l!, Dr Allf ,trlr or Illlll (.. f\C\\ r .. It ~ ~L \ \'1\' lb \, G')
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~ 1. Original Return IJ 2. Supplemf'nlnl Relurn [J 3. Remainder Return
(for doles 01 death prior 1012.13.82)
o A. limiled estaht [] .4n. Future Inleres' CompromisfI (J 5. Federal eslale Tox Relurn Required
(for dOli" of dltDlh aher 12.12.821
06. Decedent Died Tel10te fJ 7. Daced,,", Moinloinlld n living hutl Q..8. Tolol Number 01 Safe Depolil BOIl8I
(AlIach copy 01 W;\II (AlIach copy a' lru,')
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO,
~.G\fj~.rr_~o ~f.l1~
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1. Real Ellole (Sthedule A)
2. Sloch and Bonds (Schedule B)
3. Clolely Held Slot~JPartnership Inlerell (Schedule C)
.s. Morlgogel and Nolel Receivable (Schedule 01
5. COlh, Bonk Depolils & Miscellaneoul Personal Property
(5ch.dule E)
6, Jainlly Own.d Prape,'y (Schedule fl
7, Tran.f... (Schedule GI(5chedule LI
8. Tolal Grou Au"ts (Iolollinel 1.71
9. Funeral E.-penlel, Adminillrolive COlts, Milcelloneoul
E.-penlel (Schedule H)
10. Debts, Morlgage liabilitiel, lienl (Schedule I)
11. Tolol Dedudionl (tololllnel9 & 101
12. Net Value 01 Ellole (line 8 minus Line 11)
13. Charitable ond Governmental aequellS (Schedule J)
U. Nel Value Subled 10 Tox (line 12 minulline 13)
15. Spoulol Tronlfers (for dole I of deolh oller 6.30.94)
See Inllrudionl for Applicoble PeHenlage on Reverse
Side. (Indude valuel from Sthedule K or Schedule M.)
16. Amount of line 1... toJtoble 01 6% role
(In dude voluel from Schedule K or Schedule M.)
17. Amount of line 1.A 'oxl'1ble at 15% role
(Indude volu" 'rom Schedule K or Schedule M.I
18. Prindpoltox due (Add tax from line I 15, 16 and 17.)
19. Credits Spoulol Poverly Credil Prior Payments
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rOA DATlS or DIATH A"IA 12/31/9\ CHICK HIAI
" A SPOUSAL ..
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fill NUMBIA
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YEAR
COM'lflf MAltltlG ADDU!.!.
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-- ---------.-----)(,-=
____.___x .06 ::
(171 ___,_______" ,15 a
(181
Discounl
Inlerel'
+
(19)
1201
Chock horo If you aro requalling 0 ro'und of your overpaymont.
(2\)
(2IA)
(218)
21. If Une 18 il grealer .han line 19, enler the dilferente on line 21. This is the TAX DUE.
A. Enler the inl"'" on the balance due on line 21 A.
B. Enler ,h. lotol of line 21 and 21A on line 21B. Thil il tfle BALANCIE DUIE.
Make Check Payable 10. Aegl.ter a' Will" Age"'
:v...~.., ; '. .I'tl,....., BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH ;.t. ~l' }i"". ~!:".t' Jr.'
Under penaltle. of perlury, I declor. that I hov, examined thil ,,'urn, intluding accompanying schedules and Ilolemenll, and to the bill of my knowledge and beUef,
It II true, corllt! and complele. I declore Ihol 011 reollltale hOl been uported at Irue morbi value. Decloralion of p"par., olher thon Ihe personal ,epresentative it
bOlld on alllnformolion 01 which pre parer has any .nowledge.
l'ONA'UI( Qr ,UlON Rn'ON!ltllf fOR filiNG I(TUIN ADDInS DAtE
-)(..... . ...,Ll :},c. ."/.' k.J _Y'fJ h<1'''' /~ 7/~'/;~
"GNAIU Of PUPAl II QnUI HAI'I nlUIA"....1 AD R " ( (I DAtE t1 6
_1.1>.0 ,7i1l!=L~\l.D_,J\.tt.-yLLlA.J>\.13 ~R.kf\jJ0_IJ (1.- !/...:JJ-l
11'1,,11"'1'''1
^~,~:~(\
-w....
COMMOHWlAlHt Of 'lUH,nVAUlA
IHUUIIAHC( tAl IUUIH
IUIDlUt DIClDWI
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
__ _ __, Plo~lIo Print a! Treo
FILE NUMBER
i~_L:,3.':..Q~ 'i~
ITEM
NUMBER
A.
1.
B.
1.
2,
3,
4.
C.
I.
2.
3.
4.
5.
6.
7.
B.
k i L~_!2~8bl-,D_t1J\~P N
DESCRIPTION
AMOUNT
Funorol ExponSOSI
f Afl:(\\ IS (>\)~
I'I\f,PA\O IE J<,'-l;t'r
F"N"/!~L Hbf'\~ jjvc
'i)'9. y';-
. Admlnblrotlvo CoslI:
Personal Repreunlalivo Com minion,
Social soeurily Numbor of Poroonal Ropro.onlalivo:
Yoar Camml..ian. paid -
Allarney Foo.
.35o.i>\)
Family Exomplion
Clolmanl _v\lHtIi,
Add,e.. 01 Claim ani 01 deeedonl'. doalh
51'001 Add,o..
Cily
Relalian.hip
51 ale __ Zip Cado
P,obalo Foe.
4).. ~~
Mlscolloneous Expens...
~{t:(,\"'~jl. 6,= Ul\\..~s
Fll-t +M\.(llfl\tJ\~ 11.,. ~aL..~V
"...(16
l
TOTAL (Also onlo' on line 9, Recapllulallan)
(II moro spoco Is n..dod, Inso,l addltlonalshools of sam. s....)
5
l,bl.L{~
I.M'J' WI 1,1, ANI) 1'ESTMIIlNT
ew
KATllARYN SEEIlOLD ~lASON
I, KA1'llARYN SEEIlOJ.D ~fASON, n reR/dent of 61/ Third Street, New Cumberlnnd,:
!
Cumberland County, Pennsylvanin heinll of sound mind and memory, do make,
publish and declare thiR to be my "RIlt Will and 'I'eRtament, hereby revoking
all Inlls and Codicils heretofore mnde by me.
I'fEH I.
T direct thnt nU of my Just debts, my funernl
expenses including 11 suitable monument at my grave and the cost of
administrlltion of my estate be paid as SOon 8R practIcable after my
death. I direct that my PerRonal Representative payout of my estate,
as a general charge thereon, all inheritance, estate, sueceRsion and
other taxes together with any interest or penalty thereon aSllellsed by
reason of my death with regard to all propertiell and alllletll Ilub.lect to
such taxes, whether or not such property and aRllets pass under thill
will.
ITEM II.
I give, devise .1nd bequeath nll the rest, rell/due
and remainder of my property, real, personal or mLxed, tangible and in-
tangible, of whatllol'ver nature and wheresol'ver ] ocnted nnd n 11 property
to which I may be entit led or OVl'r which I mny h.wl' any power of dlspollition
or appointment and whether acquired during or after my lifeti.me unto my
niece, "DUlSE E. NEInrG, now of 20 POPpll Ford Road, York Hnven, PA,
absolutely lInd in fee simple.
ITEl-! III.
I hereby nomLnnte, conlltltute and lIJ'point I.OU1SE E.
,I
NEIDIG liS sole Executrix of this my I.nst lUll nnd 'I'estnment; nnd r
L.7~Z!tA'J.-c.-/f.-u.I,,(!i Pk.:'h'-!
(f (/ I I
I
I
I
. .
,
.
invl!stments, to I'urchnse or otherwls<, ncquIre r<,nl estnte nnd to execute
the snme powers ther<,over nR hereInbefore provIded; to retaIn Indef1ntt<,ly
nny pnrt of my nRSetR, renl or perRonnl wh/.dl /.s or ~ny become unproductIve
or to make snle thereof; to pny carryIng chnrlles nnd I!xpenses of the
property out of other prlncipn/. or income of my estate, 111e powers
herein conferred shall be to my named personal representntIve and all
successors thereto and shnll be in nddttion nnd not in limitation of
other powers conferred on snid fiduc1nrl.l's,
IN WITNESS WHEREOF, I KATIIARYN SEEBm.D HMON, have, to this my Lnst
Will and Testnment, typewritten on 3 sheets of paper, numbered consecutively,
signed my name at the bottom of n11 pnges hereto for the purpose of
identifiea~ nnd at the e9d hereof on page 3 have set my hand and seal
this ..2._~-.. day of&..LU'-:I Htf"tl , J9 ,I'; . .
.tJ~i:' ~' If.,/ xl;d,ll )tl..r.c:'(SFAL)
1 'KA 'IAR;at.I SliEnOI.D HASmr~
Signed, sealed, published and declared by KATllARYN SEEBOLD ~IASON the
above named res tatrix on the ,'J, :j' r: (,. dny of ,,r/.. ~d.n,tff .1-9 f.,>, as
and for her Lnst Will and Testnment in the presence of us, who in her
presence and in the presence of each other, have, nt her request, sub-
scribed our names as witnesses hereto.
"41 i ,:, . i) /, .
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BUREAU OF INOIVIDUAL TAXES
IHllllUIAHU TU DIYISION
D[PI. ;"1I0bOI
IIAWIUSIIUWG, 11' III:A-OhOl
COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT OF REVENUE
~'~I'~
~ -... ,~
tJ}I....",.!.:,,!
c/
NOTICE or INItERITANCE TAX
APPRAISEHENT. ALLOWANCE OR DISALLOWANCE
or DEDUCTIONS AND ASSESSHENT OF TAX
'II Ih"IIU III t/I
ROBERT E MVERS
100 YORK RD
NEW CUMBERLAND
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
03-2(,-97
MASON
01-06-96
21 96-035('
CUMBERLAND
101
KIITlIRVN
S
PA 17070-1324
r
AnDunt Renitted
MAKE CHECK PAVABLE AND REMIT PAVMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
ifEV:i54,n.iC"j:-no:F97Y-NiificE--Oj:-YNHEii'ii'ANCCfAiniPPRAisEHENT-;-"L.i:owANcE-oli-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF MASON KATHRVN S FILE NO. 21 96-0354 ACN 101 DATE 03-24-97
TAX RETURN WAS' I X I ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..l Est.t. (Schedule A) (II
2. stocks Bnd Bonds (Schedule 8) 121
3. Closely Held stock/Partnership Inter8st (Schedule C) 131
4. Marlo.ges/Hat.. Receivable (Schedule OJ (41
5. Cash/Bank Deposits/Mise. Personal Property (Schedule E) IS 1
6. Jointly Owned Property (Schedule f) Ib)
7. Tr8nsfers (Schedule G) 171
8. Total Ass.t.
I CHANGED
NOTE: To insure prope...
credit to your account,
sub~lt the upper portlon
of thls fora wlth your
tax payment.
.00
.00
.00
,00
.00
.00
,00
181
,00
1,361.45
.00
1111
IlZI
1131
1141
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Exp.nses/Ad~. Costs/Hlsc. Expenses ISchedule H) (9)
10. Dabt./Hortgaga Ll.bltltla./Llans (Schadul. II 1101
11. Total Deductlons
12. N.t Va1u. of Tax R.turn
13. Charltab1e/Governnenta1 Bequests ISch.du1e J)
14. Net Value of estat. Subject to Tax
1 .~;;1 41i
1. 361. 45-
.00
1.361.45-
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 Llne 14 at Spousal rat. (15)
16. Anount of Line 14 t8~ab1. at Llneal/Class A rate (16)
17. Anount of Llne 14 taxabl. at Co1lateral/Class B rate (17)
18. Prlncipa1 Tax DUB
NOTE:
.00 X .00:
.00 X .06:
.00 X .15:
1l8l
,00
.00
.00
.00
TAX CREDITS:
PAYHENT
DATE
RECEIPT
NUHBER
DISCOUNT (+ I
INTEREST/PEN PAID I-I
AHDUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
.00
.00
.00
.00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
I IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REflECTED AS A "CREDIT" ICRI, YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. I
RUERVAUOH:
PURPOSE Of
NDUCE:
PAYHENT:
REFUND CCR):
O!J[CUOHSI
ADHIN
ISTRATlVE
CORRECTIONS:
DISCDUHh
PENAL TV I
IHTERESTI
i' ! ~. ...
('-
c.""1
l'oJ
f'.:
t...;:.
'7" :;
00
Estate. of dec.dents dying on or b.for. D.c..b.r 12, 1~82 -. If any future Intore.t In the e.tate Is tran.ferrod
In Po.....lon or enjoy.ent to Cia.. a (colllterll) bonellclarle. of the decedont alter the eMPlrltlon of any ..tat. for
llf. or for y.ar., the Co..onwealth hereby e_pre..ly re.erves the right to appraise nnd asso.. tran.fer Inheritance Ta_o.
at the lawful Cia.. a Icollat.rall rate on any .uch luture Intoro.t.
fa fulfill the requlre..nts 01 Section 2140 of the Inherltanco and [.tate Ta_ Act, Act 21 of 1995. 112 P.S.
Soctlon 91401.
Detach the top portion 01 this Notice and .ubelt with your pay.ent to the Regl.ter of Will. printed on the tev.r.e sid..
--"ake check or .oney order payable tal REGISTER OF HILLS, AGENT
i refund of . tax cr.dlt, which was not requestod on the Tax Roturn, .ay be reque.tod by co.pletlng an wAppllcatlon
fat Refund of Pennsylvania Inh.rltanc. and E.tate Tax" IREY-I!I!). Application. are available at the Office
of the R.gllt.r of Wills, any of the 2! RevlnUI District Office., or by calling the sPlclal 24-hour
an.w.rlng .arvlc. nuebers for for.s ordarlngl In penn.ylvanla 1-800-362-2050, out. Ide Penn,vlvanla and
within local HarriSburg ar.a (111) 181-8094, TOOl (111) 172-2252 CHearlng lapalr.d Only).
Any party In Int.r..t not satl.fl.d with the appral....nt, allowance or disallowance of doductlons, or as...s..nt
of tax Clncludlng dl.count or Inter.st) a. shown on thl. Notice .u.t obj.ct within .I_ty (601 days of r.c.lpt of
this Hotlce byl
--wrltt.n prot..t to the Pi aepart..nt of Rev.nue, Board of Appeals. Oept_ 281021, Harrisburg, PA
.-.I.ctlon to have the .att.r d.t.r.lnod at audit of the account of the p.r.onal r.pr...ntatlv.,
.-app..1 to the Orphan.' Court.
17128-1021,
OR
OR
factual .rror. dl.cov.r.d on this a....s..nt should b. addr.ss.d In writing to: PA a.part..nt of R.v.nu.,
Bur.au of Individual Tax." AfTHI Post A.s.ss..nt Ravl.w Unit, Dept. 2B0601, Harrl.burg, PA 171:8-0601
Phon. 17111 787.6505. Sa. page 5 of tho bookl.t "Instructions for Inh.rltanc. Tax R.turn for a R.sldant
D.c.d.nt" CREY-1501) for an .xplanatlon of ad.lnl.tratlv.lv corr.ctabl. error..
If any tax duo I. paid wl,:.ln thr.e C31 cal.ndar eonths aft.r tho d.c.dlnt'. d.ath, . five p.rcent (5~) dl.count of
the t.. paid Is allow.d.
Th. 15~ ta. a~e.ty non.partlclpatlon p.nalty I. co.put.d on tho total of the tax and Int.r.st n...s..d, and not
paid b.fore January 18, 1996, tho flrlt dav .ft.,. the end of tho tax n.n.stv p.rlod. This non-participation
p.nalty I. appealnble In tho la.. .annar and In tho tho ,a.. tl.. p.rlod .. you would app.al tha ta. and Inter.,t
that has b..n .'s....d as Indicated on this not Ie..
Int.r..t Is charg.d b.glnnlng with flr.t day of d.llnqu.ncy, or nln. (9) .onthl and one CII day fro. the date of
d.ath, to the data of pay.ent. Ta.es which been.. dellnqu.nt b.for. January I. 1982 bear Intlr..t at the r.t. of
six (6~) p.re.nt per annu. ealculat.d at . dally rat. of .000164. All tax., which b.ca.. d.llnquent on and aft.r
January I, 1982 will b.ar Int.r.,t at . rat. which will vary fro. calendar year to cal.ndar y.ar with that rat.
announced by the PA D.part..nt of R.vonue. Th. appllcabl. Int.r..t rat.s for 1982 through 1997 ar.:
'!2! Int.rut Rat. Dally Int.rnt Facto" !!!! Int.r.st Rat. Dally Int.r.st fllctor
1982 2ax .000548 1987 .. .000247
19U 16~ .000438 1988-1991 10e .000301
1984 \IX .OOUOI 1992 OX .0002"7
lOSS 13:< .00U56 1995.199" n .000192
1986 lOX .000274 1995,-1997 OX .0002,.7
".Int.r.st II c.lculat.d .. follows:
INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
.-Any Notlc. I..u.d aft.r the ta. beco... d.llnqu.nt will r.flact an Int.r.st calculation to flft..n (15) day.
b.vond the data of the a.,.,s.ent. If pav..nt Is .ad. aft.r the Inl.r..t co.putatlon date .hown on the
Notice. additional Intar..t .u.t b. calculat.d.
( ,
v
ST A TlJS-.B..~1~91l.:L UN D~ ~_.!~!!!,~;_~,-L~
Name of Decedent: KAfHfZ"If'..i 5r:t?[3(jLI) \11 /100 N
Date of Death: LP SPrN. 1'1l)Lt
Will No. l.1 -I qqu' -,3511 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 o( 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. I is Yes, state the following:
a. Did the personal representative file a final
account with the Court? Yes No~.
b. The sepaJ'ate OJ'phans' C"urt No. (if any) (or
the personal representative's account is:
c. Did t.he personal representative state an
account informally t.o the parties in interest? Yes ~ No
d. Copies o( 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: 1-11.17" t7r rrt",_ ",y
~r,Jl
Kc,I3I:R.T t;. mi[..R,~, ESQ.,
Name (Please type or print)
IDO \fORK- RD.) NEv" C~1I'Y113(-RL.rrN8A.
Address 11010
(111) nL.J -0/lt3
Te 1. No.
.:::"\
,',\
I
,,j(~
Capacity:
Personal Representative
~ Counsel for personal
representative
(MAH:rmf/AM3)