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HomeMy WebLinkAbout96-00373 PETITION FOH GHANT OF u:rnms OF ADi\I"'\ISTl~ATION 1::1/"'" of _.--.!<.'ll'p~ W. Du I 1 n ul.m klWU'1f 11.\' No, Ill; 0:>1-'1 ~ - 373 -.---___.~~..___. _'0 I{o~i,'o' Ill' \\'ilb Illr Ihe ClIlIlIIy III CU!l~rlill1<l.____ ill the ('OIlHIlOII\\ l'all h of PClllI,yl\'allia Ih'('I'I/Wd, Sod", S,'",,;,,): Nr;,'.-49J -:22-5756' The pClilion of 111",' undcl,i!;lh.'d rc\p\"l'lfully Il'J1rC'Il'lIt... 111011: Your J'\.'tilioIlCf(\), '\'110 i'lml' IN Yl.'ilr\ of a!-!,c or tlldL'r, appl i es (d.h,Il,; PI."lldl'llh:ltl..,: dUlilllll' OIh\I.'I1I1,I; dlll.lIIll'lllilhlll1.11l'l the tlho\'c dcccdc:nl. ------.,---. -----.. -.-..-.--------.. for leller... or m..hninislrill iOIl -..--_ on IlIe CslalC of I)" .r. I" .1 ','1.-1. 1",1' CUlTber I and ,. \ I' yl'll \ 1III . oeenuen \\.~, u~"lll" e~ .n, <,\ 1 1II-~-'904-Jrm' I C St::r.eeE~ '-C~~ Yf s {J:m v. Ii:, I'i , h 1 ~ IU\I tallllly (If prllll'lpal rC..,ldcIll.'\" al ___...____!! __,~_.____ on ___ til'l '!fI.:I.'I, IJlllllhl.'r illllllllunkip;lliIY) Dee~nd~1II Ihelj 6~___ \'ea" of "ge, died ___ Aer~ l_l9 ~Oq Haml ton Street, Carl lsle, 81 __.__. _._____._.___. .__...._. __ ,1996 ()eeendel1llll delllh ownod prolleny wilh e,'hualodl'alue, '" 1'011I011'.'; (If domiciled in I'a,) All p<'"onal property (If nOI domiciled in I'a,) Pe"onal property' in I'enlllyll'ania (If nol domiciled in I'a,) Per",nal propeny in Count). Value of real eSlale in I'enmyh'ania situated as follows: none S 1,000 S S S Pelilioner_ afler a proper ,enreh haE_ a'cenained that dooedenllen no will and was survived by the following spouse (if any) and hoir" Numc Carol i ne Shaw Richard John Du J i n Catherine Anne Dulin I ---- _Dauqhter 90_24 S. Sunburst Ct.. Sandy, - Son _, _ )~;30 Thaddeus Dr.. Mt. View, Dauq!'lter ____ ;llA Mount Park Crescent 1;a.Jl.ng, Londen W5 2M UK ...1)on_______ .25 Richards Street --- -- S.lgatsQ.l!r;g, NY Rdalion,hip Re,idenee Utah CA David Elton OuJin THEREFORE, pelilioner(,) r"peelfnlly ,,'que>lh) the granl of lellers of administrlllion in lhe appropriate form 10 Ihe unde"igned, J~~~-____ G':' _ __. ]J -3~ s. 8M'~/{D____ ~.~ .e..4R.t...l'i.?L.._'/f_12tJLJ____ -. ~: ~Q ;; C '" ;;:j --~~-~ -JO~'I_S~.slifl!Ittr.S1_6>~ --SR!lt/r---.PAIi~.flU - - -----.--.--- -....------ ----.---..-----. 1..5- 10\ - L\ p, " '. Thi, l\ III tt Ild~ Ih.ll ill. lId'lll11lllp!1 I.lll,ll Hq~l\1111 '1'111 '11l):Il!.!! H'lllth,lIt h, J. l~ r \ II, I 1".11'. 1'1 I 1''''lt 'II .dll'llid \."dllllt !II dt.H!l Iluh ...' .oi. \ I' ,! 1\". I 1.11111< \ '1 II I" f Iii Iln III ItlllI!' Il1t',1 \~ II II lilt: ,1\ \~ III l't /. '1",,01 if'! f.. I' WARNING: Ills IIlcgnllo dUJlllclllu Ihls copy by photostnt or photogrnph. ~II ,,,i,,'(~\iifUf;{t"', ..~~~:~. '~~\ ~~!' ......... .... \~}' '-' . ,fl. . \ .' II.. \ ~" ..' ,'. /.',./J ~ .'. .,.{>. ~/.ffENl~\ ~~,7- ~!!!J~~ 'i\ / J.v...N:' \-'\. \-~>-,_,~t;",,\ I'u' I"l lIll....llttlh.llt. ~_Iilll I "I.J! Ht 1:1"'",11 -l)l..~U 35359.'19 ,. .,. 'i,lll 1).lll "'ot'6J~'-''' COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH ... ""' .. .......Cl'OI<<OCII'..._,.., ... 1'11'1"-'_. \OC1.~lfC".'T"'tl,l"'... C..IOf"....,Il_O'....., t, Ral h W. Dulin AGCIl.........'" l/l'OOf.l~~ -- - .. , 6~ '.. UOIO\I.1Qll1r -1-" OAT(OfllHl" .......0.._. _,IOI'\.AU......_ _"'......,.r,.,... I'lKIOlI c..-"''''~.....~..__ _..................__ ..c"",,"~ ~D ,~[j .... - .~~l.J _.~i t.ouIlnOlCllR" CumberlRnd CIn, OI'ot.,.. Carllslo Al tnmont. MO . IACII.rrr...ut.._...._... 7""......___ 904 IInmil ton St. 1UCt._____.... ,..,...., Wh1te C ...I.l IQOl .....::: ~:.o::::~~-: II U.S. Armv Lt. eol 11 Hllitnn DI<<DI"Il......lI.JNQADOAIUo-... Uwo'o-o''''' zoc.- OIC(OI"" I OC'"', """''''' -- ,;.<1fI".._ .00f0 lIUI""'i.U,"'lOI.ol111' .. ........T.&t.$W...I."'..... ......-..-... ~..,~..., ........,-y "-7"''''-_ 904 lI.mil ton l' Carlisle PA ..,1O(1II..........,... ..o_~.., "."... .. PA Dol 1'-0...,_...... -- M_' Cum~crlnnd ......t 1"[] ::"'''''".:::':::,,-Cn.r.l isle WOIHllll'''.WI,I.. -.. ,,_w_ Norn Overton , ...Ofl......l'~~ro~~u~u~srtt~CI,c..S'nndy, Utnh 84093 - Stroet 17013 '.. , 1Nf'0000..AIlt.......... _f'<ftI Josoph Dulln Caroline Shnw .. '" "" ....0 .____r.l ow...~","'-~ ~loO"I"...o o I'U(.f.CJ/Il)$I"OSl'IOOI.Il__C_....~-,. ~oc.AJIQIIl.Coft< .....z. ..0-."..:. York. York Co.. PA ;"orktownc Crcm3t ion Service '. "Cl Ol\ol......,NO'l 0343-L ...... AIlO.OOII(UOl'ACIl"~ Hoffman-Roth FlIncrlJl llcmc h 219 N. IInnover St.. Lnrl1sIe. I'A 170lJ 00...._............._ ...._........... ~"..."0lU""11II C-aJIIlGfoIO ,\AcrlrIDIo_, . If .. r 'P."""" 1_...__...........__..__.._........... 010_....."__",... _....._.........,.."...... 1_'''''''''_' ~....,-~........- l.lAt1'J\OtoOVOlCIOOlIll,..._o.,_, Iff If€, .....~""U(lI"(l)IO..IOCAlI..........~lII. _00 ..u c......l<...4 ..."",-,tL_.~ Ol.ICfOIOIIAS'C""X.~'OOl ,c.-.........."""'- H:L-f t='......:.l__ I ~Q;lfOlUI...s.CO>6lwt..nlJ) . H'1.<><--ic-t,.o..- -dtllij'"'rO'I~.Coo.Sll,/l.IOot.llJl . .....1Il.ul'Orl"IOl()IOfQS -.....1~1O CClUf'\nI()flOlG-AUU 01 out"' .. I~.- ::::-.:.= , : ;1.~....1- ,..,11:"""'.....-....__-.........._.... ..-..,..---.....-............" t Ir oI"L....(""")-11U 1 '1~ _0 ...........01'01..'''' -. B'" -~ 0 - 0 '--._lOo9O'.... 0 ..- 0 ~..........- 0 0.-'101 ...........~ .........0.._, ""IO'~' ~,nlOl'Oll~f u("Al8f.oOOl~'OCC\IlUlfO .... 0 ..0 Nt ,... """..." <...-...... .tf.tlrnllQ"'"'SIO.IIl,.........'~(_~"...........,._.."'_...""poY>(V1l., .........,I'Y"'!............l)1 ,...._.....---..................._......._1'_..._........ .. .. "LACfOl-....'..'_,__,"""""". ~",s.-... - . ..0 "0 Oi"'C""(I...OClllll""lIlQ"""SICl.Il,l't.......to..,,'Y'<]VC"'I.............,.....~...~....._ 1...._"'...'...tHt....""..........1.._..... _......_h........_.!......_......... .. UO"'I.'''~_ If. 'k~'7iDao_' ", "'D OHf11 c: ,.. "'14 .....l.>oO.('()IOf\lllt".\CIOl..OOOC('loll'l.tTICCauU(J1(of.ll.. ;~l""'Ir.'n-IIf__ :J John Eo RIco, M.D. fl24 HAUI5IUlG 'IK CAIUISU,'A 17DI1 .. ~.1ti;.l& 01.11,10,.........'.._, " ~~ \0... \"\,\f,,. 21 - 96 - 373 0'1 1::8: - .- o' j 0 !!! Cl ~i 1~1 ~: 6: ( ') l.i,~. . ) . Cl -' :.: .., " &: . I.: "" \ .:J 0 cu' .9 u ~ ..: c: mo: "'::> 0: UU 21 - 96 - 373 In Rc EstatcOf r<a lph W. Dull n RENUNCIATION deccascd. To thc RcgistcT of Wills of Cumber I and County, Pcnnsylvania. Thc undcrsigncd children thc abovc dcccdcnt, hCTcby Tcnouncc(s) lhc right to administcr th~ estatc and rcspcctfullY ask(s) that LCttCTS of AdministralJon bc issucd to Caroline Shaw and Robert Mulderig WITNESS 022 (,)F '-) ;-; :.1 " -' um OlD: a: 0\ - o E: t::~ ~n: ( . . ,:J '.J Cl l"'l IX ~ .l I .. c.,l <Dc -=' Uo ~ hand this 30 day of I/pd. 19~. -~ /J~~ r{ichard :John /SIiJ.l&le) 2430 Thaddeus Drive ML. View, CII (Address) 11~~ Catherine /lnn~liOO'Irfh 3111 Mt. Park Crescent Eel 1 i ng, lJondon W5 2RR UK (Address) ~~J./~~.L _ David 1:.1 ton D{ji8l'ffurc) 25 Richards Street Sloatsburg, NY (Addres,) - - -. ... ! \ of CBRTIFICATION OF NOTICB UNDBR RULE 5.6 (0) Nnme of Decedent: 11IIlph W. Dulin Dote of Deoth: April 10, 1096 WiD No. Admin. No. 1996.00373 TO THE REGISTER: I certify that notice ofbeneficinl interest required by Rule 5.6(0) of the Orphans' Court Rules wns served on or mniled to the foUowing beneficinries of the obove captioned estnte on Moy 9, 1996: Nnme Address Coroline Shaw 9024 South Sunburst Court Snndy, Utah, 84093 Richard John Dulin 2430 Thaddeus Drive Mt. View, CnJifornia Dovid Elton Dulin 25 Richards Street Slontsburg, New York Cntherine Anne Dulin 31A Mt. Park Crescent Enling, London W5 2RR, UK Notice hns now been given to nil persons entitled thereto under Rule 5.6(0) except S-h:h6 Date c;~~{IA<<~#= Robert J. ulderig, Esqw 32 South Bedford Street Corlisle, P A 17013 717.245.9688 PersonnJ representntive nnd counsel . ',.: co '7~ .,.~ '3x '" " IS: .) 0\ ,.1 I " >- ~ n ~ ., E _J! ::I ()() 'OJ , ~ ... 0',. u Cl a: 'j c....- 'III NOWI l!fMCU,INC, POBOX 8003 HILLIARD OH 43026 July 1.19% I CUMBERLAND REGISTER OF WILLS COURTIIOUSE ROOM 102 CARLISLE, J>:\ 170 I.l RE: RALPH W DULIN DISCOVER CARD ACCOUNT NUMBER #6011 0028 6250 1400/0 CASE# 2196373 To Whom It May Concern: Please file the enclosed claim against the above referenced estate. The original has been sent to the COURT with a copy attached. If you should have any questions please call 1-800-347-5515 ex!. 1004. Thank you, Probate Department NOVUS Services, Inc. CC: ATTORNEY ROBERT MULDERIG 32 S BEDFORD STREET CARLISLE, PA 17013 PR CAROLINE SHAW 9024 S SUNBURST STREET SANDY, UT 84093 00 y; :0 :Om : CJ , :-, l'~ j-: .~ <', , , , Q -, "- County of New Castle } } } ss State of Delaware POWER OF ATTORNEY Greenwood Trust Company, a banking corporation organized and existing under the laws of the Slate of Delaware and having an office at 12 Read's Way, New Castle, New Castle County, Delaware ("Principal"), constitutes and appoints the employees of the recovery center for NOVUS Services, Inc., located in Hilliard, Ohio, ils true and lawful attorneys-in-fact for the following purposes: To assert on its behalf any claims in bankruplcy or in probate that i: may have by reason of its having loaned money to a person who becomes a debtor or a decedent, and to sign on its behalf any documents necessary for the assertion, processing and filing of those claims. To act on its behalf in retaining legal counsel 10 pursue any legal claims that it may have by reason of its having loaned money to persons who have not repaid it, and to sign on its behalf any documents necessary for the assertion or pursuit of those claims. Principal, through its executive committee, ratifies and confirms everything attorneys-in-fact may lawfully do in the mentioned matters by virtue of this instrument. In witness whereof, principal has caused this instrument to beflealed with its corporate seal, duly atlested by the signature of ils Vice President on 'If I 'J.,....-- , 1995. (SEAL) oou Trust Company :\ll\ll'ncy ur "arty Wilhunt :\llUI'llCY I Fur Cuurllhc Onlv I :-':amc & Addrcss) i Filed for appro\'al {j1~EEN\\'OOI> TRUST ('Oi\II'.\NY i Duplicatc mailcd C/O NO"IIS SEI~"I(,ES, INC. I' on ox HOO] [Prcscntcd to coullli,l' IIILLL\IW 011 .B02(,-HOO] I :\ppl'O\'al _~~/1l1:~~?-=~15 E~'~.~04__..._, _._.. . I ' SUPERIOR COURT OF PA COUNTY OF CUMBERl.AND Strccl Addrcss : COURTHOUSE ROOM 102 Mailing Addrcss Cit)'. Statc and Zip : CARLISLE. PA 170D ........ Datc ................. Dalc ......""",,,......,,..,,,,. Dalc ESTATE OF (NAME): RALPII W DULIN ACCOUNT NUMBER: 61111 002H 6250 140()iO CREDITOR'S CLAIM [-.------..'......----------.-- .... CASE NUMBER 2196]7] DECLARATION OF CLAIMANT I. Total Amount of thc claim: $2110,00 2, Claimant (name): GREENWOOD TRlIST COMI'ANY ,I. an individual b. _an individual or cntity doing business undcr the Iictitions namc of (specify) c. _ a partnership. The person signing has authority to sign on bchalf of the partnership, d, XX a corporation. The person signing has authority to sign on behalf of thc corporation. Address of claimant (specify): c/o NOVUS SERVICES, INC. P. O. BOX B003. illLLIARD, OR 43016 I am authorized to make this claim which is justly due or may bccome due. tom)' knowlcdge thcre arc no offsets or payments that have not been crcdited. I declare under penalty of perjury under the laws of the State of Ohio that this crcditor claim is truc and corrcct. Date: July 1. 1996 KIMBERLY BRllSlI,lINIT MANAGER ........................................................................... I / (// \ //;, ... / // t' ." : (.;. jl /-/' (Signature uf Claililant) \.- '1" r . (Type or I'rint Name and title) (Items 5-10 to be completcd by the personal representativc) 5, Date of issuance of letters: 9. _ The representative is authorizcd to administer thc 6, This claim was presented on (date): estate under thc Independent Administration of 7. Estimated value of estate: Estatcs Act. 8. Claim i s allowed for $ _ Claim is rcjected for $ ........................................................................... (Signature of Represcntativc) (Typc or Print Name and titlc) 10. _ Approved for: $ _ Rcjcctcd for: $ Date: (Signalurc of _ Judge _ Commissioncl' _ Signaturc follows last atlachmcnt II. _ Number of pagcs attached: 6011 0029 6250 1400 CAROMEMBER STATEMENT 09:56:11 OULIN,RAL.PH W/MR CLOSING OA1E: 05/02/96 VIEW DATE: 05 / 96 CREDIT LIMIT: 5900 PAYMENT UUE !lATE: 0~)/27/9b PREVIOUS BALANCE: CREDIT AVAIL: 0 MIN PAYMENT DUE: 0,00 PAYMENTS/CREDns: - AMOUNT PAST UUE: 0.00 PURCHASES/MISC: + CASH ADVANCES: + BAL(.NCE TRANSFERS + FINANCE CHARGES: + NEll BAL.ANCE: = 07/02/96 1949.04 249.04 0,00 400.00 0.00 10.00 2ttO.00 PAYMENTS ANO CREDns 04/13 PAYMENT - THANK YOU 249,04- CASIl ADVANCES 03/31 1201 HARRISBURG PI CARLl SL.E PA 100.00 04/03 TRANSACTION FEE 2.50 04/07 1201 HARRI SBURG PI CARLlSLE PA 100. 00 04/07 TRANSACTION FEE 2.50 04/15 1201 HARRISBURG PI CARLISLE PA 100.00 041 15 TRANSACTION FEE 2.50 04116 1201 IlARRISBURG PI CARLISL.E PA 100.00 04/16 T RANSAC TI ON FEE 2.50 FI-HELP F4-MAC FS-CBB F6-FC F9-PREV FIO-NEXT FIt-RETRIEVAL FI2-DISPUTE FI3-MSG FI4-AUJ FI5-REPRINT MSU: LAST PAGE OF THE STATEMENT . ^ division 01 NOVUS Services. Inc, 330lO,PEnF PLEASE DETACH BEFORE DEPOSITING NOVUS Services, Inc. HI\II HWtJOOS. llUt4UIS u:m PLEASE DETACH BEFORE DEPOSITING 01-000-S23475 CREDIT SERVICES DIVISION 00111296 ..vOUCHER i >; . INVOICE PURCHASE INVOICE . .c. . ""''''''j ,"NUM.BER.,,? ORDER OATE OROSS AMOUNT DISCOUNT NET AMOUNT'i"n"~ " NUMBER . ~. .....~:.;, -;...(,'0;,' 062391 28 6250 1400 07-01-96 5.00 .00 5.00 RECORDIN FEES TOTALS I 5.00 .00 5.00 I , i. ( . - , , '/ ,) I. ( j . ) , , .. CHCK02 , '- ..--- --.~II~ "",-~, '1':. ._ CHEWCHPSE'BANK , Septcmbcr 17, 1996 Registcr of Wills Cumberland County Courthousc I Courthouse Sq Room 102 Carslisle, PA 17017 RE: Estate of Ralph Dulin Estate Number: 21-1996-373 Account Number: 4246152004066366 Dear Register of Wills: Enclosed is a claim against the Decedent's cstate plus $5.00 for the filing fee. Please stamp the enclosed copy and rcturn it in the provided postagc paid cnvelope. Thank you for your assistance. If therc are any questions. you may contact me at 1-800-392- 4257. ext. 3991. Sincerely, ~~~~ Susan Farr Paralegal Deceased Processing Ci ':-' .." J1 ", L;J : J -J { ~:; 5300 $jlll.'lnlll1 llTh\!. ~'lUlcrick. ~1:lI)'l:u\{12170\ a . t . ,', .J<,.;I'. ':1.., I', i' 'to , . I 'i'" i . - b~VJ*24 OQ ~ c , ,.' . ' 1'"1 -U ~ ~ . , ) :. ~ ... ''1 r, rf".. r1 ....... 'J l'- '" .~ tt........ - -l. "< \ , ). ~ BE SURE TO ANSWER ALL QUESTIONS ON "REVERfE SIDE AND TO RECHECK MATH ...c...( - ~ Under penahie, 01 perjury. I declare thaI I have ellomined this relurn, induding accompanying Hhodulc\ on~~;;'('nl;:-;;dl~h;hr,,'~-';'y-~;wted9" o~-d belief, il is true, correct ond complete. I declare Ihol 011 real C\'OIC ho\ been reportee 01 true markl'l volul' Of.do'ollOn of pft'pOIl'f Oint" thon Ihl' pMlonal 't'pre\(~nlali"'l' is based on 011 information 01 which preparer ho\ ony ~nowledge !;iGt."'U"l Of P!IlS0N'f!lro~~liti-'-OR ,'i"~-G Iii tuiii - - '-ACOill ~i,- (JA'I . , /. ' , _of ~. '_ - - / I / I . (tr,ti" "ij~-oditPAilrIlOTHtll"l~ A;. flr'Il;~.p;f-t.' L.' 11[11 1~.)Q ,.. I' ~.tl w .. ....'" ua:~ w"'u :00 u"'.... ..... ... .. ... "'z Ww "'0 "'z S~ 1l9:,,~,y(\ .:':~ffJ~ I" I! I \( INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) NUMBER lOR DATlSOI DIAlH AnlR 1"31191 CHICK HIRE II A SPOUSAL POVIRTY CRIOIT IS ClAIMIO 1I1I NUMBIR ;>1 COMMONW(A1TH O' PEtm!l'fL".At~IA DEPARTM[NT Of A[VWUI DEP' 280001 .~.U:1l15BU~C;;~" PA l' 128 OWl ~(, 00373 (ountv (ODE YEAR JlJtLl()I'jl(f)lJrll""'\I(l~I"'" ~04 lIall" It or, 51 r ('C'I ]tJ411 O'lJIAllt ill"" OIIIIII!ll Cal II ~ Ie, 1'/\ 17013 4/1 'J/% i 12/ 1 3/27 ("""" ('uIl,bC'1 1 ar,(j , , 1 "" '''' ..."" ,'" '."" 1'0<,,' '~""". .."",,, 1"'0'"'' '''''''0 "" ,,,,"U( ")"" j 2. Supplemental Relurn : J Remainder Relur" (lor dale, of death prior ta 12.13.82) Foderal estate To. Return Required OtClOHH ~ NAI,O.( (lA~1 'III!.I Alj() ",,'(JOll 1"ll1AIJ .. z w o w U w o ~ul..!!...~~J'ill (011 \1. !loOOAL !IlClJllllYr.ul,O.!11l 491-22-5756 1"""I'(A'''i\Uh',.N,','''!V\/\',.''1 None [XJ 1. Original Relurn o 4. Limited ellote r.l 40. Futuro Inlerest Compromi~e (lor dohn 01 death alter 12.12.821 06. Decedent Died Teslale [".I 7. Decedont Mainlained 0 li...ing Trust IAllach copy of Willi (Allach copy of Trus') ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: I ! 5 ~8 T 0101 Number 01 Safe Deposil Bo..es NAME Robert J. Mulderlg, U\fPHONE NUMUR 717 245-9688 CQMPlfTf MAiliNG AOOllf!)!. E.squll'e _,~___,_.., 32 Soutr, Bedford Street carlisle, PA qPJ3 .. .--.-.---- ----~---~---~-~~ -- ------~---~-----~-.----~_. .._.._----~--~~-~------- ----~----- --- --~-------~._-----~- I. Real Estole (Schedule AI (1) 0.00 2, StockS and Bonds (Schedule BJ ( 2) 4,304.81 0:00 3. Closely Held Stock/Partnership Interesl (Schedule C) (3) ---- ----..--- ---. ---. 4. Morlgoges and Noles Receivable (Schedule DI (4 ) __0.00, 5, Cosh, Bonk Deposi" & Miscellaneous Personal Property ( 51 21,972.06 z ISchedule EJ 33,417.97 0 6. Joinlly Owned Property (Schedule f) ( 61 ;:: :5 7, Tronlf... (Schedule GJISchedule l) (71 0.00 :0 .. ;;: 8. Tolal Gran Assets (lolallines 1.7) 1,605.00 .. u 9. funeral E...~enses, Administrati...e Cas", Miscellaneous I q I w '" E.penses ( chedule HI 10. Debls, Morlgage liabilities, liens (Schedule II (101 . }~,_~B9._~Q~ II. Tolal Deduclions Itolallines 9 & 10) 12, Nel Value of Eslate (line 8 minus line 11) 13, Charitable and Governmenlal Bequests ISchedule J) 14, Net Value Subject 10 To... Iline 12 minus line '3) (81 .56,6.4.9 "84_~_~_ (Ill _~0~,~~4:~.<J....___ (121 _tB,105-'..?L_~____ (l31~15.00, (l41~18, 0~O.54 _~~..,~.... 15, 16. 17, z 0 ;:: 18. .. .. 19. :0 ... '" 0 U >< 20, .. .. 21. Spousal Transfers Ifor dates 01 death after 6.30.94) See Instruclions for Ar,plicable Percenlage on Reverse Side. (Include values rom Schedule K or Schedule M,I Amounl of line 14 ta...able at 6% rate (Include values from Schedule K or Schedule M.) Amounl of line 14 ta...able at 15% rate (Include values from Schedule K or Schedule M.l Principal to... due (Add 10'" from lines 15. 16 and 17.) Credits Spousal Poverty Credil Prior Pay men" ~..~.. O__,__,~,..... + 3,800.00 (lql 120) 3,~35.68 1,222.10 (151 )C. = (161 (17) 18,090.54 . .06 = . ,15 = 2,713.58 (18) Discount Inlcrest +135.68 If line 19 is greoler than line 18, enter the difference on lino 20. This i, tho OVERPAYMENT. IJlIRJ Check here If you are requesling 0 refund of your overpayment. If lino 18 is greolor lhon line 19, enler the difference on line 21. This is the TAX DUE. A. Enter Ihe interest on the balance due on line 21A 8 Enler the lotal of line 21 and 21A on line 218. This i, Ihe BALANCE DUE. ~o~. ~h.c~ P,!Y~~~~!.9111~_oi~~!~.~~.g_.."..!-____ ~____ 121\ 121A) 1218} , , AL'[;~! j" l'''''1 Act #48 of 1994 provide. for the reduction of the tax ratu Impo.od on the net value of transfer. to or for the u.e of the .pou.e. The rate. a. pre.crlbed by the .tatute will be: . 3% (.03) will b. applicable for e.tate. of decedent. dying on or after 7/1/94 and before 1/1/96 . 2% (.02) will be applicable for e.tate. of decedont. dying on or after 1/1/96 and before 1/1/97 . 1% (.01) will be applicable for e.tate. of decedent. dying on or after 1/1/97 and before 1/1/98 . Spou.al transfer. occurring on or after 1/1/98 will be exempt from Inheritance tax. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (1"') IN THE APPROPRIATE BLOCKS. YES NO 1. Did decedent make a transfer and: x a. retain the use or income of the property transferred, ....................................................... b. retain the right to desionate who shall use the property transferred or its income, ............... x X X c. retain a reversionary interest; or ................................................................................... d. receive the promise for life of either payments, benefits or co rei ....................................... 2. If deoth occurred on or before December 12, 1982, did decedent within two years precedino X death transfer property without receiving adequate consideration' If death occurred after December 12, 1982, did decedent transfer property within one year of death without receivino X adequate considerationi .......... ..... ............. ........ ..... .......... ............. ................ ................... X 3. Did decedent own an 'in trust for' bank account at his or her deathL.................................... IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YESr YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. f ./'" lUV I~OO fl. t,Q.I\ fl~:!k:9ro -)of/).,... I" I! I q INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) \' fOR DAlES Of DEATH AnER 12/31/91 CHECK HERE If A SPOUSAL IPOVERTY CREDn ISCIAIMEDJ,L_,. -- , filE NUMBER \ 21 CQUN'.V CODE 010 Utili ~ (QMPlIll AOOlll ',):. ... ~ x~cn u"'>< ...~u :c09 ug:aa ~ \ COMMOHW(AllH Of f'('m~YlVAH1A OfPAAlMINt Of RlvlNU( DEP1 noWI . H~~RI~aUR,!, P~.I!.I'_8,,~OOI . . OICIOI'4t-~ t,AMI ILA\l. 'l.~l ,ulD "'1001111.111"1\ ~ % ... c ... u ... c .~ on% ...... "'c "'% 8le HAM! Robert J. Mulderlg, THIPHONI NUMI1R ( 717 I 245-9688 E.5q~~_,___ '.16 YEAR 00373 ,_,_ _~~",-~ER '.104 lIanollton Street CarlIsle, P/I 17013 en,,"" curnber \ and ,.r.U""'",W;'OI\~~':"'U"'iO""i- _- I 3. Remainder Relurn tlor dale' of dealh prior to 12.13.82) Federal E,tate loll. Return Required I J 5. .Q.B TOlol Number of Sofe Depo,il BoJl.c' Du J....J.I1~~<'lJ.f'I~ -'II~ - \ \ '~.; ~;;'~ ~u~;~_____ _ _ o~~;' 1"~'~~''.1 6 ";'; ';' ;'~.~ 27 '~:~:." ",,,,'k0 "0:~'~."'''' . ". ...,," e<," " .,." rot'., ""_u",,, 'H'"'" {Xl\. Originol Relu'" l ] '1. 5opplcmenlol Refurn o A. limited h'a'e [J Aa fu'''o 'n'"e.t Comp,omi.o - liar dotf" 01 dealh oher 12.12.821 06, De,oden' Died To"a'e I.] 7. De,odon' Main,ainod a li,ing T",' (Altoth copy of Will) (Attach copy of Tru\l) ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: -~ % c S " t:: ~ '" ... '" 1. Reol E,tale (Schedule A) 2. Slod", and Bond, {Schedule Bl 3. Clo,ely Held 510c.k/Portnenhip Inlere" {Schedule q 4. Mortgogel and Nole, Receivoble (Schedule 0) 5. Co,h, Bonk Depolit' & MiH.elloneou, Penonol Property (S,hedule EI b. Jointly Owned Property (Schedule F) 7, Ttanlle,. (S,hedule GIIS,hedule II 8. ToIo1 Gran Antill \!ololline, '.7) 9. Funeral Ellpen'es, Administrative COSh, Miscellaneous Expenses (Schedule H) 10. Oebls. Mortgage liabilities, lien, (Schedule I) 11. Total OeductioM (lotolline' Q & 10) 12. Net Value 01 e,tale (line 8 minus line \ \) \3. Charilable and Governmental Seques" (Schedule J) \4. Nel Value SubjecllO Tax (line 12 minus line 13) \5. Spousal Transfers (for doles 01 dealh aher 6.30.94) See Instructions for Applicable Percentage on Reverso Side. {Indude values horn Schedule K or Schedule M.} 16. Amount 01 line \4 laltable at 6% role (Indude values horn Schedule K or Schedule M.) 17. Amaunl of line 14 laxable 01 '5% role (Indude volues from Schedule K or Schedule M.) lB. Prindpaltax due (Add lox from lines 15. \6 and 17.) 19. Credits Spousal Poverly Credit Prior Payments ____0'______ + 3,800.,00 COM'ltH MAIlING AOOllt!l!l 32 south Bedtord Street carlisle, I'll qP13 (11 _p_--O.OO------- (21 _ __<l'_3..tl6~~b----- --, 13) ---------------- 1 Al ___ _____0. OO_~____,.._ (5)2.1" 9]2 .J)(i-----~- (6 1:.~,~7~-~?------ 171_____,_0.00. -,-----.. Q 1,605.00 ( 1 _,__._.______...----. ._n__ (10) ].2..'_~~~.2-,----- (151 (161 (171 . _____x.__._.= (B) _5..6_,.6A9-",a4 (II) 40,944.30 (121 _lJ!., 705.54 615.00 (131,..__'_-' (lA) 18,,090.54 ______~___ .'n____._ --- , x ,06 = ---------- -- ~-------------- % c ;:: .. ~ " ~ '" c u >< .. ... 18,090.54 Discount +..1.35.68- - Inleres' 20, II line IQ i. 9,oa'e, ,han Une lB. en'e' ,ho dille,en,e an line 20, Thi. i.,ho OVERPAYMENT. I!t\] x .15 = .2,.7,1.3 ..58_______,_ 2l. IIlino 1B i. 9,ea'or ,han lino IQ. en'or ,he dille,on,o an lino 2l. 1hi. i.,ho TAX DUE. A. Enter the inleres' on the balance due on line 21A B. EnhH Ihelolal of line 21 ond 21A on line 21S. th;, is the BALANCE DUE. Moke Check Payable to: ~egl.'.r of Will., Agenl (1 B) (IQI (20) J, 935.68.., ,. ,---..--' 1, ;!22 .19_________ (21) (2IA) (21B) ----- ------ ------- ..---- .---------- ~ ~ BE SURE TO ANSWER ALL QUESTIONS ON REVERsESIOEANDTOIlECHECK-MATH .:.(- ~---..- U~der penahio, 01 pe,jury, 1 docla,e ,hat' ha'o e.am;nod ,hi. ,.,urn. including ac<ompanying "hodul.. and .'a'omonlt. and '0 ,h. bo.' 01 my knowledgo and boliol. ., "true. ,000e,' and ,amplo'e I docla'o ,hat all roale,'a'. ha. bo.n "po,tod at truo ma,k.' ,alu. D.da,n'ion 01 p,op"''' a,h.' ,han ,ho p.nanal rop,o.on'a';'. i. based on 0\1 inlarmolian 01 which pfcpofer ho, ony ~nowledgc "O....u.,' o"""'''''',POti>iii'-io.'i';';G .Ii""'-"-""oo'-,,"" . .-, ..-"....." .,' . O' o,ii-- ,--.O'....--.-- :-t,~- ./.. _. .'.1 / // I' '"I' '- '~..', '.' ,. / '(,r;I,.lui1-o,f.;"..r. o,;;t..,~.;, :.;.j':"l""'" .",,,,,, oAli .C,O' --,-- REV.ISO] EI( + 14.861 ~~ COMMONWEALTH Of PENN!tYLYANIA INHU!lfANCE TAX RfTURN RESIDENT DECEDENT SCHEDULE B STOCKS AND BONDS ESTATE OF FILE NUMBER Kalf'h W" Dulin 21 %-00373 (All praporty 'alnlly-awnod with Right a' Survlva"hlp mull bo dl.cla..d on Sch.dulo F.I ITEM NUMBER VALUE AT DATE OF OEA TH DESCRIPTION 1. 445.633 Shar.es of Keystone Small company Growth Fund (5-4) 4,304.81 .. . TOTAL (AI.a .nl.r on lino 2. Rocapitulatian) (If more space is needed, in"r' additional shee's 0' same size.' 54,304.81 " \ FILE NUMBER 2196-00373 IIYU09I't 111111 _9.'&'~(\ ~ COMMONWfAltH Of PENNSYLVANIA lNHrRIlAHCE tAX afTUIH _(SlOtH' OECEDENt SCHEDULE F JOINTLY.OWNED PROPERTY ESTATE OF Ra I ph W. Du I i n Jolnl 'ononl(')' ADDRESS 4857 VIllage Gardener Sarasota, FL 34234 RELATIONSHIP TO DECEDENT ('.x-Spouse -->-.---------- ~. NAME ~Nancy W. Dulin B. c. ITEM LmER DATE FOR TOTAL VALUE DECD'S DOLLAR VALUE OF NUMBER JOtNT MADE DESCRIPTION OF PROPERTY OF ASSET % INT. DECEDENT'S INTEREST TENANT JOINT 1. A 1968 Residence of deceased 96,500.00 50% 33,417.97 904 Hamilt.on St., cadisl 17013 - Joint. owner with right. of survivorshi,p subject. t.o a mort.gage 1 ien - Signet. Mortgage Co. (29,664.07) --------- 66,835.93 TOTAL (Also enler on line 6, Recapitulation) S 33,419.99 Jotnlly-ownod proporty. (II more space is needed insert addi'ional sheel, of same size} IIvUI"'U'I'.'" SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES -!:'1- COMMONWfAlTH O. "NN~YLVANIA INHERITANCE TAX InUIN R!SIOfN' OfCfOENT r<a I ph W. Du I i n Ploalo Print or Typo MBER 2196-00373 ITEM NUMBER AMOUNT DESCRIPTION A. Funoral Exponl"l $1,205.00 1. lIottman-r<oth Funeral lIome Carl isle, P/\ B. Admlnlltratlvo COlt II P.rsonal R.pr.s.nlalive Commissions Social S.curily Numb.r of P.rsonal R.pr.s.ntativ.: Y.ar Commissions paid 1. 2. Allorn.y Fe.s -The Law ot t ices at Ron Turo 300.00 3. Family Ex.mption Claimant _ Addr... of Claimanl at d.c.d.nt's d.alh Str..t Addr.ss R.latianship City 4. Probal. Fe.s C. Mllc.llan.aul Exp.n.... 1. 2. 3. 4. 5. 6. 7. 8. Stat. Zip Cod. 100.00 TOTAL (Also onl.r on lin. 9, Rocapitulalion) 5 1, 605':O.~ (If more Ipac. II n.od.d, Inlort addltlonallh.." of lam. slz..) 'lw''''1I1,19JI _Cj\"J~,~, W SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES AND LIENS (OMloIOt.wlAilH O' "k'I\""'''''l'. IfIH...t""" f"IUtU'" 11\IOfWOICIDlld - ESTATE OF f(a I ph \~. Du I i n P,loa.o P,lnt 0' Typo FILE NUMifER 2196-00373 ITEM NUMBER 6. 7. 8. 9. 10. DESCRIPTION AMOUNT ~--,----~._._- -----_._-_..~._._-----_._----_... ------- _. .------.---.----- 1,572.78 I. Mellon Bank Gold Mastercard - #5432-1930-0002-7243 Wilmington, DE. f<on Long -1106 FranklIn Street', Carlisle, P/\ Gardening services Visa Cal:d - #4246152004066366 - Chevy Chase Bank Frederick, MD Di scovel' Ca I'd - # 60 11-0028-6250-1400 - Greenwood Trust Company - Dover, DE. First Gold Visa Gold - #4217-3913-5190-0455 - Providian Bancorp. - Manchester, NH Sprint - Phoenix, AZ Signet Bank, Richmond, VA - Loan #2013276874 DaUphin DepOSit. Bank, Harrisburg, PA - Loan #00000100166584909001 - Secured lien on vehicle United of PA Mortgage on 904 lIami Iton Street - ent.ered on Schedule "F" (29,644.07) 2. 3. 4. 5. TOTAL (Also enter on Ii no 10. Recapitulation) (II more spaco is Meded, insert oddiliona' sheets or some s;ze.' 55.00 6,493.26 2,108.56 3,334.00 43.21 4,762.92 21,000.00 19.56 S 39,389.30 .' -1,;I\IJII_IJ"1 -t~ eo""""oNwUlIH Of ,rNN,,,,/ANIA INMllnaNel IAI "IUI.. InlOI..f OIUGINI SCHEDULE J BENEFICIARIES ESTATE OF Ralph W. Dulin ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY A. Taxable Bequt'u: 1. Caroline Shaw - 9024 South Sunburst Cour' Sandy, Utah 84093 2. RiChard John Dulin - 2430 Thaddeus Drive Mt.. Vi ew, CA 3. David ~lton Dulin - 25 Richards Street Sloatsburg, NY 4. Catherine Anne Dulin - 31A Mt. Park Crescent, ~aling, London W5 2RR, UK ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY 1. B. Charitable and Governmental Bequests: Goodwill Industries Clothes and Furniture FILE NUMBER 2196-00373 RELATIONSHIP AMOUNT OR SHARE OF ESTATE Daughter 25% Son 25% Son 25% Daughter 25% AMOUNT OR SHARE OF ESTATE 615.00 TOTAL CHARITABLE ANO GOVERNMENTAL BEQUESTS (Also enler on line 13, Recapi.ula.ian) 5615.00 Ilf more spac. II needed, Inlert addltlonallhe.tl of sam. siu} Gtl29A ,.~I '11.:) /3 l1HWlTOH WJTlloUl' ATIOR,n;y: lU,tl'llCru: rm: FOIl l"OIJIolT US/; ONI.Y 'PROVIDIAN NATIONAL BANK FKA FIRST DEPOSIT NATIONAL CREDIT CARD BANK P.O. BOX 9053 PLEASANTON, CA 94566 (ttolll ;,!()(,.~.HIO COURT: CUMBLERLAND COUNTY ORPHANS COURT 1 COURTHOUSE SQUARE CARLISLE, PA 17013- ESTATE OF: RALPH W DULIN CASE Nt.rMnf.R: 4217-3913-5190-0455 DECEDENT 211996373 CREDITOR'S CLAIM 1. Total amount of the claim: $ 3,334.00. 2. Clalm.1nt, PROVIDIAN NATIONAL BANK FKA FIRST DEPOSIT NATIONAL CREDIT CARD BANK has the authority to a1gn on bch"l! of the corporal1on. J,Addr...o!clalm.1nt, P.O. Box 9053, P1easanton, CA 94566. .. Th. Clalm.1nt 1. the oredi tor. 5. I am authorized to make this claim which 10 just and duc. All payments on or offsets to the claim have been credited. Facta supporting the claims follow: DEBITS, CREDITS AND PAYMENTS FROM 08/18/94 TO 04/19/96 EQUALS THE BALANCE DUE OF $ 3,334.00. I declare under penalty of perjury under the laws of the State of Cal1Cornia th.lt this creditor's claim is true and correct. Oat., fES 1 9 1997 > CATHERINE H. PICKHOVER, OPERATIONS OFFICER ~It J , PROOF OF MAILING 1. I am the person acting on beha!! of the creditor. At the time of m.llUng twas .1l le.lst 18 years of .1ge. 2. My bu.ln... .1ddr... 1., 4900 Johnson Drive, P1easanton, CA 94588. l, I mailed a copy of this Creditor's Claim to the p~rsonal representoltlve by First Class Mail. J deposited II copy of the claim with the United Slates Post,ll Service, In ..1 sealed envelope w1th postage fully prepaid. I am employed In the county where the mailln'] occurcd. The envelope was .1ddresBed and mailed as (ollows: R.J. MULDERIG/CAROLINE SHAW-CO-PERSONAL REPRESENTATIVES C/O ROBERT J. MULDERIG ESQ 32 S. BEDFORD ST. CARLISLE, PA 17013- Date of mailing: Place of M.liling: fES I 9 1997 Pleasanton, CA. . . I declare under penalty of perjury under the laws of the glate of Coll1fornlil that the foregoing 19 true and correct. D.lte: FES I 9 1997 > \. , , , '\ ' ,. i ~.. ~ '. r " ,\.\.L .:..,,\ \ vJ q \ ALLISON NOLE - DECLARANT TCSI 001 CODE IHB ACCT 4217391351900455 CYCLE 28 AGENT 7519 12 MONTH HISTORY ).......,......,.......................,................... . .......................................................... . SCREEN SELECTION ( A M N 4 ) => DULIN RALPH W CURRENT (Oll 01/29/97 (02) 12/30/96 (03 ) 11/27/96 (04) 10/29/96 PAYMENT 0 I 0 I 0 I 0 I 0 . I I I I 040196 .00 .00 ,00 .00 .00 MIN PYMT 67.00 I 668.00 I 601. 00 I 534.00 I 467.00 PURCHASE 0 I 0 I 0 I 0 I 0 041196 .00 I .00 I .00 I .00 I .00 CASH ADV 0 I 0 I 0 I 0 I 0 041896 .00 I .00 I .00 I .00 I .00 CREDITS 0 I 0 I 0 I 0 I 0 i .00 I .00 I .00 I .00 I .00 MISC CHG 0 I 0 I 0 I 0 I 0 .00 I .00 I .00 I .00 I .00 INS FEE .00 I .00 I .00 I ,00 I .00 LATE CHG .00 I .00 I ,00 I .00 I .00 OVRL FEE .00 I .00 I .00 I .00 I .00 PURC F/C .24 I .00 I .00 I .00 I .00 CASH F/C 51. 02 I .00 I .00 I ,00 I .00 LIMIT 6,000.00 I 6,000.00 I 6,000.00 I 6,000.00 I 6,000.00 BALANCE 3,334.00 I 3,334.00 I 3,334.00 I 3,334.00 I 3,334.00 :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: : "- \0 -:) - ,.. <1. ~{.? .. (-., . ,)~ ()- N ,. m t ., . '- (, (1) u.; .- ... CI: fh c)~ -::I ()() ..D II'" ..D II'" II'" CI I I ~U il~ J . ...I <C :E t/) t/) S o l- t/) a: - u. .-~-: 0.. m {': ~ (" c.' (l <.\. 'Z (.) ,,( i"'; C;) (5 2 ~. c-r .:ox ~g~ ~d~ 0.0:0. a. -, MAKE CHECK PAYABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iiE'v:is4-j-EiC"FP--rIF96Y"tiOi'"iCEnciF-i-NHEiiiTiliicE-YAX-iippRiiisEHENT-,--"L.i-ciWiliicE-iiR--mm--m---- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX RALPH W FILE NO. 21 96-0373 ACN 101 . ... ~ /5. ~'I/ - '-/ BUREAU OF INDIVIOUAL TAXES INDITAHa fAX DIVISION DEPf. 1I060I HARRISIURC, PA l11ZI'0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE c~_ NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLOWANCE OR nISALLOWANCE OF OEOUCTIONS AND ASSESSHENT OF TAX ROBERT J MULDERIG ESQ 32 S BEDFORD ST CARLISLE PA 17013 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 01-28-97 DULIN 04-19-96 21 96-0373 CUMBERLAND 101 Alto\.nt R..1 U.d ESTATE OF DULIN *' m.II.UU"'IU."1 RALPH W TAX RETURN WAS: I ( X I CHANGEO SEE ATTACHED DATE 01-28-97 NOTICE APPROVED DEDUCTIONS AND EXEMPTIONS: 1,605.00 9. Funeral Expens../Ada. Coats/Hisc. Expans.. (Schedule H) (9) 10. O.bh/Hortg.g. l1abIUU../l1.... ISchedul. II llOI 39.389.30 11. Tatel Deduction. 1111 12. Net Velu. of Tex Return 1121 13. Charitable/Govern..antal Bequ.st, (Schedul. J) (13) 14. Nat Value of eat.t. Subject to Tax (14) NOTE I If an assess_ent was issued previously, lines 14, 15 and/or 16, 17 and 18 reflect figures that include the total of Ahh returns assessed to date. ASSESSMENT OF TAX: 15. Aeaunt of Lln. 14 et Spousal rete (151 16. Aaount of line 14 taxabl. at Lin..I/CI... A rat. (16) 17. Aaaunt of Lln. 14 texable et Calleterel/Cle.. B rete (171 lB. Prlnclpel Tex Duo I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. R..I Est.t. ISchedule AJ 2, Stock. end Band. ISchedule BI 3. Clos.ly Hald stock/Partnership Int.r..t (Schedule C) 4. Hartgag../Hot.. Receivable ISchedule 0) 5. Ca.h/Bank Oeposits/Hisc. Pa~sonal Prop.~ty ISchedule E) 6. Jointly Owned Prop.~ty ISchedule F) 7. Transfers ISchedul. G) 8. Total As.ets III (21 (31 (41 151 161 171 .00 4,304.81 .00 .00 21.972.06 33,417.97 .00 (SI .00 X .00= .00 X .06= 18,700.54 X .15= IlSI TAX CREDITS: PAYHENT DATE 07-18-96 DISCOUNT 1+1 INTEREST I-I 140.25 RECEIPT HUHBER AA146538 AI10UNT PAID 3,800.00 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. HOTE: To insu~e p~ope~ credit to your account, sub.it the upper po~tion of this fo~. with you~ tax pay..ent. 59,694.84 40.994 30 18,700.54 .00 18,700.54 will .00 .00 2,805.08 2,805.08 3,940.25 1. 135 .17CR .00 1, 135 .17CR IF TOTAL DUE IS LESS THAN fl, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A ftCREDIT" ICRI, YDU HAY SE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FDR INSTRUCTIONS. I .. -. ~_. .... RESERYA TION r Estat.. of declldMt. dying on or Mfor. Dec.m.r Il, 198Z -- If any future Intar..t In the utata h tran.farrMl In po......on or MJOYHnt to Cia.. 8 (colhtaralJ b....flc1arl.. of the daclldent afhr tM axplratJon of any utata for Ilfa or 'or yaar., the Co..onwaalth h.r.by axpr...ly r...rv.. the right to appral.. and a..... tran.f.r I~rltanc. Ta... at the lawful Cia.. 8 Ccollat.ral) rat. on any such future Int.r.st. PURPOSE OF NOTICE, To fulfill the raqulre.ant. of Section ZI~O of the Inharltanc. and E.tat. Tax Act, Act Z2 of 1991. 72 P.S. SactJon ZI~O. PAvtEJIT: Datach the top portion 0' thl. Hatlc. and lubalt with your pay-.nt to the Raglltar 0' Will. prlntlld on the r.ver.. .I~. --"aka check or ltONIy ordlr payabl. to: REGISTER OF MILLS, AGENT All payaent. r.c.lv.d .hall flr.t b. applied to any Int.r..t which .ay b. dul with any re.alnder applied to the ta.. REF\I(D (CA): A r.'tN of a tll)( credit, which .... not reqotl.ted on the Tax R.turn, .ay be r.quuted by CDllpI.Ung an "'AppllcatJon for R.fund 0' P~sylvanl. Inherlt~. and Estat. T.... (REY-IlIl). Application. ar. avallabl. at the O'flc. of the R.gllhr of WUII, any 0' the Zl RevlmUll District Offlc.s, or by calling the sPKlal Z"-hour an.warlng .ervlc. nuabars 'or for.. ordering: In Penn.ylvanla 1-800-16Z-Z0S0, out.ld. Pennsylvania and within loc.l Harrl.burg ar.a (717) 787-809ft, TOOl (717) 77l-2ZS2 (H..rlng lapalred Only). OBJECTIONS, Any p.rty In Inter." not satlsfl.d ..lth the appralsl.."t, allowanu or dlsallowanc. of deductJon., or ........"t 0' ta. (Including dl.count or Int.r..t) as lhown on thl, Notlc. .ult Object within Ilxty (60) day. of r.c.lpt of this NoUu by: ACHIN ISTRATIVE CORRECTIDHS: .-wrltten prot..t to the PA D~.rt.."t of R.venue, Board 0' Appeal., Dept. Z81021, Harrl.burg, PA --.Iectlon to have the .att.r deter.lnact at audit of the ItCCOl.nt of the personal npre.ant.tJv., --appeal to the Orphans' Court. 171Z8-1021, OR OR Factual .rror. dl.covered on thl. .....,eent ~ld b. addr.'.ed In writing to, PI. Dlpartaent 0' Rav~, Bur.au of Individual T.n., AnN: Po.t b.....ent Ravllw Unit, Dept. 280601, Ilarrlsburg, PA 171Z8-0601 Phor4 UI1l 787-6505. S.. pl!tVe 5 of the booklet "'In.tructlons for Inhsrltanu Ta. R.turn for a R.sldent Dac~t.. (REV-1501) 'or an .xplanatlon of ~Inl.tratlv.ly correctable .rror.. DlSCOlIfT: If any t.. due Is p.ld within thr.. (3) calendar IIOl'1th. .ft.r the decadent's d.ath, a five p.runt C5~) dlscOloWlt of the ta. p.ld I. allowed. PENAlTVI The 15:C t.. -.a.ty non-partlclp.tlon penalty Is caput.. on the total of the tax and Intarut ......ed, and not paid be'or. Janu.ry 18, 1996, the first day aftar the end of the t.. a.M.ty period. This non-p.rtlclpatlon penalty I. appealable In the s~ aann.r and In the the .... tl.. period ft. YOU would app.al the tax and Intar..t that has bean ........ as Indicated on this notice. INTEREST: Int.r..t I. charged bqlnnlna with first day of d.Unql.HInCy, or nine (9) IIOl'1ths and one CI) day 'rOIl the data of dMth, ta the det. 0' p.yant. Taxu which ~ dal1~t before JMUary I, 19U b..r Int.nst at the rat. of .b (6X) pereant par ~ calculat.. .t a dalh r.ta of .000IM. All tan. which hK.... dellt'IqUWIt on and aft.r January 1, 198Z ..III baar Int.r..t at II rat. which will v.ry frOll calendar y.ar to calendar year with that rat. nnnounced by the PA Dep.rt.."t 0' R.venue. The appllCabl. Int.r..t r.t.. for 198Z through 1997 .r.1 ~ Int.r..t Rate Dally Int.r..t fectol' !!!!r tnt.r..t Rat. Dally Int.r..t Fector 198Z 2'X .000~8 1981 OX .000ZO 19U lOX .00Oltl8 19aa-I991 IIX .000lDI 1... 112 .OOQSOI 1992 'X .OOOZO 1985 UX .000156 1995.11)94 12 .00019Z 1986 lOX .000Z74 1995-1997 OX .OOOlO .-Int.r..t Is alculated .. fol1'*'1 INTEREST = SALANCE OF TAX UNPAIO X HUKBER OF DAYS DELINQUENT X OAILY INTEREST FACTOR --Any Notice I....... aft.r the tax bacOM. dall~t will r.flect an Interut c.lculatJon to flft.... CIS) d.y. beyond the d.t. of the a',..s.."t. I' pa~t Is aada .ft.r the Int.r..t coeputatlon data .hown on the Notice, additional Intar..t MJIt ba calculated. /!J IDI - J.j BUREAU Of INDIVIDUAL TAXES INtlERIlA-HeE fAX DiviSION DEPT. ..80601 ItARRIS!URC, PA "1:a-ObOl COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX STATEMENT OF ACCOUNT ROBERT J MULDER1G Esa 32 S BEDFORD ST CARLISLE PA 17013 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN C/ t~., ~.J'ffi ~"" 11..111111 ,If Ill-hi 02-18-97 DUll N 04-19-96 21 96-0373 CUMBERLAND 101 RALPH W ~~nt Ro.lttod MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 EST ATE OF DUll N THIS STATEHENT IS PROVIDED TO IS A SUMMARV Of THE PRINCIPAL A PROJECTED INTEREST fiGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-21-97 PAVMENTS (TAX CREDITS): DISCOUNT (+) INTEREST (-) 140.25 .00 NDTE: To Insuro propor crodlt to your occount. sub.lt tho uppor portion of this forn with your to. poy.ont. CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ R_iV:i&-Oj-iii-AFii-iiif:9&i-------..ii-iNiiERiirANC-i-TAii-SriifEHifNT-CiF-Al:COUiif--.-..--------------------- RALPH W FILE NO. 21 96-0373 ACN 101 DATE 02-1B-97 ADVISE Of THE CURRENT STATUS Of THE STATED ACN IN THE NAMED ESTATE. SHOWN BELOW TAX DUE. APPLICATION Of All PAVHENTS. THE CURRENT BALANCE. AND. If APPLICABLE. PRINCIPAL TAX DUE: 2,B05.0B PAVMENT DATE 07-18-96 01-30-97 RECEIPT NUMBER AA146538 REFUND l1'I AMOUNT PAID 3.800.00 1.135.17- ~, . . TOTAL TAX CREDIT 2.805.08 .:,,!,': u. !~ fJ() INTEREST AND PEN. TOTAL DUE .00 .00 .00 BALANCE OF TAX DUE .;, . If PAID AfTER THIS DATE. SEE REVERSE SIDE fDR CALCULATION Of ADDITIONAL INTEREST. I If TOTAL DUE IS lESS THAN $1. NO PAVHENT IS REQUIRED. If TOTAL DUE IS ReflECTED AS A "CREDIT" ICRI, VDU MAV BE DUE A REfUND. SEE REVERSE SIDE Of THIS fORH fOR INSTRUCTIONS. I PAVHENT I Oltach the top portion of this Hotlce and sub.lt with your p"y.ent a"dl payable to thl na.a and address printed on the rIvers. .Idl. If RESIDEHT DECEDENT aalo.e chlclo. or aonlY ordlr payabll tal REGISTER OF WILLS, AGENT. If NOH-RESIDENT DECEDEHT aalo.l checlo. or 1I0n.y order payable tal COHHDNWEAlTH OF PENNSYLVANIA. All paY.lnt. racelved shall bl appllld first to any Interost which .ay be duo with any re.alndlr applied to thl taM. REFUND (CR)1 A refund of . taM crldlt, which was not requested on thl TaM Return, oay be requested by coopletlng an "Application for Rlfund of Pennsylvania Inhlrltance and Estate TaM" (REY-llI1J. APPlications aro avallabl. at thl Office of thl Regl.tlr of Will., any of thl Zl Revenue District Offices or fro. the Depart..nt.s Z~-hour answarlng slrvlc. nuabar. for fora. orderlngl In Pennsylvania 1-800-16Z-Z0S0, out.ld. Penn.ylvanla and within local Harrhburg area Oil) 181-809~, TOOl Oil) l1Z-ZZSZ Olearlng lapalred only). REPLY TO: aUDstlons regarding errors contained on this notice should ba addressed to: PA Depart..nt of Revenue, Buroau of Individual TaMes. ATTN: Po.t Assess.lnt R.vlew Unit. Dept. Z80601. HarriSburg, PA 17IZ8-0601. phona (111) 787-6505. DISCOUNT I If any taM dua I. paid within thr.. (1) calendar eonths after the decedent's d.ath, 8 flvo p.rcent (S~) discount of the taM paid Is allowed. PENALTY: The IS~ taM aan.sty non-participation penalty Is co.put.d on the total of the tax and Interost asse.sed. and not paid before January la. 1996, tho first day aft~r the end of the taM a.nosty plrlod. INTEREST I Inter.st I. charged beginning with first day of delinquency, or nino (9) aonths and one (I) day froa the data of d.ath. to the data of pay.ent. TaMas which beca.. dallnquent be for. January I. 198Z bear Intare.t at the rata of six (6~) percent par annua calculated at a dally rata of .00016~. All taMes which beca.. delinquent on and aftlr January I. 198Z will blar Interost at a rate which will vary froe calendar year to calendar year with that rat. announced by the Pi Depart.ent of Rovenue. The applicablo Interest rat.s for 198Z through 1991 arOI Vear Inter.st Rat. Dally Interest Factor Year Interest Rato Dally Int.r.st Factor 1982 ZO~ .000S~8 1987 .. .000Z41 1983 16~ .000418 19118'1991 11~ .000301 198ft 11;( .DoolDl 19lJZ .. .000Zftl 1985 In .000356 1991-1994 ,. ,OOO19Z 1986 10;( .ODOZ14 1995'1991 .. .000Z41 --Int.rest Is calculated .. followu INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Hotlce l,su.d aftlr the tax bleo.e. dlllnqulnt will reflect an inter..t calculation to flftoen (IS) days beyond thl data of thl assoss.lnt. If pay.ent Is aadl after the Interest co.putatlon data shown on the Hotlce, ftddltlonal Inter.st lUst be calculatld. . Summary or Account ~ Current Value Proposed Distribution to Creditors 6 $ 2,327.87 Principal Receipts 3 $28,466.95 Less Disbursements: Funeral Expenses Administration Expenses Federal nnd Stnte Taxes Secured Debts of Decedent Fees nnd Commissions In Kind Donation Principal Bn1nnce on Hnnd For Distribution 4 $ 1,205.00 4 $ 214.00 4 $ 2,805.00 4 $21,000.00 4 $ 300.00 4 $ 615.00 $ 2,327.87 $ 2,327.87 Balance before Distributions 2 MeUon Bonk Mnstercard United of Pennsylvnnln Signet Bonk Discover Cord Providlnn Visa Sprint Chevy Chase Visa RonnJd Long Totnl Claims against the Estate $ 1,572.78 $ 19.56 $ 4,762.92 $ 2,108.56 $ 3,334.00 $ 43.21 $ 6,493.00 $ 55.00 $18,389.03 5 Proposed Distribution to Clolmonts Mellon Bank Mnstercard $ 199.10 United of Pennsylvnnin $ 2.48 Signet Bank $ 002.94 Discover Cord $ 266.92 Providinn Visa $ 422.05 Sprint $ 5.47 Chevy Chose Visa $ 821.94 RonnJd Long $ 0.97 Total $ 2,327.87 6 ......'~_.~ "---,,.- .~._- ,..~--". - .... -.'. ~'.-.--~~-~.. 'I-~. -, . j . .:.. (~ oJ ..j o d :3:- ~ l ~: .~ ~ o C ., oS oS 'i ~ 'tl .S .. ~ - .:' " .. ,-. ~ ;.1 . " C .. " :., . c....; C- .' (,- " ~ " , .' " . Ii') '. V .J , ~J d " r)~ C- ,.... .~ !' ..: "0 c:: 'C... .. t.2I 01 r5 ~ ~ ::: C t: 0. _ .,U o Q.I'i: c: c: 0 8~~::Jg~ <l:~Gl"'UC: U'I 0.= !:: U GJ ._Q,l_-CO.a -5,Qoi)CU': _=... "CQ 0'- > 0...... ~ .. ~ .- g''''''C2-g :::eliiGlc:l:; :;: ",!g'~ ~ .. cuV> tJ)OCO .c~~CCQ) ::.......CU,xCO oco,8gtii ~~'OU'I~Q) '",~C:"Gl~ O~caS;a.... c:: U C . "" C C CQ 0'" CU'- ~., ~.~ 15 ~ ~ c: ~ ~., 10 :~" ~~ . fi.g lS.- &i ...c ~ail5::!2e~ ._...- o"'O.tij 0 t:~t:~C:u1C 8.,"......., >,C 8 E c 0 C .c'" .- to Q) ~ Q,lgCUUeaO ... .c GJ ...... CD 'C .. ._'ra.c.- oCeon-om _m...Ou....c ,4) C'~) ~ ~ ~ ." '-J " -~ ,-.. -.' \::> " ,,'\.:I ~\ , (', I.... , -'\.. ,\j ''IS Ii':' ~F. ")-" ~b I~' -:",t " ~. JRD/June 30, 1992/17858 In Re: Estate of HALI'II W. OOLIN Late of CAHLISLE ORPHANS' COUnT DIVISION, COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA Estate No.: 2]-1996-0373 No. 1996-0373 NOTICE OF FAILURE TO FILE S'TATIJS REPORT AND REQUEST TO CONOUer A HEARING PURSUANT TO RULE 6.12, SUpnEME COURT ORPHANS' COURT RULE Personal Representative: Counsel for Personal Representative: HOBEHT J. MULDEHIG, ESQ., Date of Decedent's Death: 4.19.96 Date of Delinquency Notice: 5.1.2'98 The undersigned, Mary C. Lewis, Register of Wills. in acconlalh:e with Rule 6.12, Supreme Court Orphans' Court Rules, hereby nOlifies the Orphans' Cour! Division. Court of Common Pleas of Cumberland County, thai neither the above named personal represenlillive nor the ahove named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuantto Rule 6.12, Supreme Court Orphans' Court Rules, was given by the Register of Wills on 5.12.9A ,19_, and that the ten (10) day nOlice to file the Status Report has expired. Accordingly, in accordance with Rule 6.12 the Court is bereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whelher sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: fi.J.QA ~IJU\..{ . (1, "/1.<-1 t1J;1}lUu<f2/~ Mary . Lewis, Regisler of Wills ' , , Distribution: Personal Representative Counsel for Personal Representative Estate File A HEAHING Sr:r FOH IN COUHTHCX:M NO.3. ' IF THE ST, TU_ ;ro HEAHING WILL AtJ1U-lATICALLY Br: C\N :r:LLr;