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HomeMy WebLinkAbout96-00381 PETITION FOR GRANT OF U~TTERS 01' ADMINISTRATION Estate of hLt:'E!?L Jj'!/A1I:CJiL('1: No, ___c2J:_S1:>.-:::-O ~l_ al.w k"ow" as ._________... _. ..-- --....--. '10: .----_._--_..-_..~.~._--_.- --- .-- Regis,er of Wills lur Ihe Coul1lY of c,J/~ ,"~6_v;;:? in Ihe {'lll1unnnvlocallh ur Pennsylvania _-----..------------_----.1)('(.(.1/\(111. Social Security Nfl. /.7..2:.'~}/~:J. 'lL2-- - . . The pelition of the llll<lersigne<l respeclfullY represenls that: Your petitioner!&, who is/arc I~ years of age ur ol<ler, appIY,,~--- for lellers of a<lministration .__ ___n....- _--.--. -- on Ihe cst ale of (d.h.ft,; rcmkn1i: hl~'; lIm:l1l1i: atlwllli;l; 1.1111.1111\' llunPln,lld the above decedent. Decedent was domiciled at death in C w/'f.iJ/!.t?.LA tJtJ - county,pennsylvania, with II l.s last family or principal resi<lence at .!I-_'LU t,</r1<"'; .5 r.. HE r' #_1,o/'C.S rJl/~'6 {}1. lIi,t .t,,,,,t. numh",. 'I'WI" n' IIn,n,l (f!A>tfltJc,# r;-r>) Decedent, then :),1.. years of age, died _AEIi'IL :2 a. ,19 9' at~k-J.f.d Decedent at death owned property with estimated yalues as follows: (If domicile<l in Pa.) All personal property (If not domiciled in Pa.1 Personal property in Pennsylvania (If not domicile<l in Pa.) Personal property in County Value of real eslate in PennsYlvania situated as follows: . d.2.!!.X $./."00 $ , $ $ Petitioner S_ after a proper search t"ljL~as.:ertained that decedenlleflno will and was survived by the following spouse (if any) and heirs: )lame ~.t1LiF--~-...a 7IA~(! f!/(!,A" J3 J'!IlERL'I /}~ .1c. ;. Relationship A7/1.E;(!_ da:;:Jtff~ Residence . L/N/.JE.JJ..Y: ~/II_ cIlA""C.:>tJwft. PA 'i:i LtIY/J,:/OISr-hEC#AMCS/J ,,"''"' P/J --------- THEREFORE, petilioner(s) respectfully re<\ue'tls) the granl of letters of a<lminist"'lion in the appropriale form 10 the un<lersigned. ~ "G' u c u -0- 'cf "'~ -00 c': ft':: -:;:~ "G'_ ;;0 a '" iii \- t.-.L-<./ r ",10/ a~.~4.;.c' r-y ( ~ ) oX t1'M~j . ( " ~. -- ------------ 1f.J./[:I- 13 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLANO } r~t..> :.1 58 n. ,..;) '96 11tW -6 n 9 :57 The petitioner(s) above.named swcar(s) or affirm(s) thai the statements in the foregoing petition are true and currc:\:tto the best of the knowledge and belief of petilioner(s) and that as personal represenlalive(s) of the above decedent petitioner(s) will well and truly administer the estate a\:cording to law. Sworn 10 or affir"6% and sUbs.\:ribed f'~I(' - ...~7 ...../.<.. . /.. 'f" beforc me this day. of I . . MAY ( I 19~ ' , If M~R:(C: ~E'W[S (,., :1- /~~g";,ft)/L'~ ,&,.~, q d 1.;1<,,-<1 - cSt:- ~'I . '.I~t PA Clcl: Cur,',. ;.' .. ~ ~ 'tl' ~ " ~ .. ;. iii No. 21 - 96 - 381 Estate of KENNETH J MARCHICK , Deceased GRANT OF LETTERS OF ADMINISTRATION AND NOW ~'A Y 9 19~, in consideration of the petition on the reverse side hereof, satisfactory proof haying been presented before me, IT IS DECREED that JAI~ES B MARCHICK and BEVERLY A MARCHICK is/arc entitled to lellers of Administralion, and in accord with such finding, lellers of Administralion are hereby granted to JAMES 8 MARCHICK and RFVFRI Y A MARCHICK ------- --------. ------_. --- in Ihe eSlate of KFNNFTH J MARCH1CK ; I/~. . , /; ,', .... ~ . ) .. L.... Registcr/of Wills ~lARY C. LEWIS f .. / iI.' ; /1,/ .' /I,'! I ,(;\ /,'.1 FEES lellers of Administralion ..... Short Certificates(4 ) . . . . . . . . . . Renunciation ..,............. JCP S 18.00 S 1? nn S S , 00 TOTAL _ S 35.00 Filed .... ~.~~ .?........... A.D. 1912- ^ TIORNEY (Sup. Ct. 1.0. No.) ADDRESS PHONE Mailed letters and order to Administrators on 5-9-96. ld \ Thi'\ 1'\ III u'nify Ih,11 du' inl'IIIlUI'HII IH'lt l~t\lll I' \'0111\'11 I' 1" ~ tt"ill '111'11::11111 '1'lldl,.lll .01,11,1111 luh Illl,1 \\lIb lilt ,1'\ 1.1l\.l1l\t.:gI'\ILlL Till' lfflglll,11 H't [111\ .ill '\ dl ht II '1'.' 11.1~ ,1 I" I::. "1,'1( \' Il.d 1\. ., ,j, !'. (Ill III t, '1 IT! 1I1.Ultl1l tduLI: WARNING: Ills Illegal to duplicate this copy by photostat or photograph. h:t.lllr Ihi, U'llllh.lIl'. $.) Ill) ,.~t\iHvi'~" ;. ~~~. --:-r:rt~, ;,~./ !1i!\\"~".~~' !!~I' .. . \~ (..II I~ " ./ ~ a .-'(* \li~'"''~''''' .,,-~ '-'f, " . .~ ~'1",c.. \~\."'/ EN1 ~ ..,.~ ~/ ) , 1\~...u:.."k'''''' k,'c..t..LV J.Ljr.d,'l. II/I,d Hn:1\11.1I 0 3509741 (.J..CL .it., Ii fc. ./ 1>.IIl' i'o, 11I\61......1"1 COMMONWUlHI OF PEUNSYLYANlA. DEPARTMENr OF IlEAlTH. VirAL RECOHDS CERTIFICATE OF DEATH (Coroner) nH/PfllHl ~ ...._,,, ..... .. .l&IIIlI"'_" lIUCIAl."~\JHlT'I'fVUII{" 177-50-2419 OIIl(OIOl~IIU""". 00,_1 . ^llrll 22. 1996 .. , M.lle J Harchlck lH..... 1 u..... ~..lllM 1.0&11,-,,""'1" _11WlAl.t......... ""A(IOf(JI&l"~............ -.............."........1 ......-= ....--=;; uc~:;:.i;~')_ ,l<>l~;.;;;;;~i;:.~ 7:5~-=~;--=-:~1~~~-::..1-;-- ::::~~.1- 'Ill I.... ",,&III G"".II'''.Yl,;-.1I......................,...._, fW1\PlIClIlt"1Of """"""IlkoIioft' lUoCl-_..._....__ fWKI n.. "c_ ,.......1 IlUtll)lJI.'II bUS C:arllble 1'lkll.Hl.'chunlcsburg "'_;:'~I"':':- Whlt~ _ ~!!!H!,"I\II<t_~"!!..~I~!... _ ]"'\Plm~"fi";f" utl.lut""IlJU(.AJotllf _'i\....U'OUw ~~."..;"...;~.:::.:t:_i1' U _Dh"'-.' I.....:.:~~~ ltl..!:~1"t':..lI._.__ .......--....- Ma1ntcnanco ~ ___ ~~~~ IL_fir- ,.~. l.oICfOIl.I.....N1AOOM1..~...,U.,~,_l........... ~~~.~"'I II..,.... l'A_ _t'" I,.tck..._..._.......... lIafflm~n. HI.......l ............ .-........... ....... ."......... I"'....... ~.ullll9rlt.l~~~ -' u.II::.=-...~..:::,. loIO"IlIl."~....,Io........UOO-'-',........ llcvcrly A. lIC1w'ard -.-.---.... 442 Linden st. II McchanicsburlJ, PA17055 'NIIt...IU.Ul................ JilllI!' U. Ildrchick uO' 3 .SnlJ\lr,I<;lmvl\1 U~nll,lrl'l"!~t; r-...- 1U....~~~fl..... '''''-'0' ... K\llltllnaJ U~rry 1\1I":\II')'I1PI tAlllU~"~~'I."""""~ ...t ,.. . pllt lu,,-.,..~..,ft~"_"1 "1 .. .....11II...,It_ff.......S """..I'lOlllOlfO to"''UI'',"UlI~....~ 01101&1", I":'~ .~:.I~IC.ii:""..:M~'\"li",'-t> .... ... ".:&I"JOt ._...~~."_ "_1I1.[1I~!" ..-. )<l, II II ~){ ....... ..................,..-' ~ II ~~ " ,.. ,.. tllIllI...,......,.... .Ulltll'tNQ""'~'.....,.._".......j......,,,..~............,.,,.,.....,.,.,,,,"" "...... ..""......""~_........-......I.......I--......... i & J --------~4_ -~ Cornn~r j :~:..~ _K .. _ _.. .l~'~;;tC~~.:!22~~~-~~~- ...... "Ifll'l'''' ".ill t1"!-t...M~"..."llIU(_~unOla&lM .M.DoC:'~.U_.fl.c:'*UffIIl ,...,.'.',.....,.... MtclMcl I.. Nurrls. Cllroller =::.":.-:::::~....~lft.o.u....I_IIt...r....-;."..."...............I","_....,....,,.........,.................1.1..... ^ 4n~ Fullw"y Il.lvl' II. _.._ .__.__ . ____ __.. .__~_~ ~~._._._ ____Ml!t.IH1!!l~SL.!!.11I1SL_. u~:,:::'~~~f'L: Alt_,,~-:--__H I~/';J,IJI n ':.~};:~.,'(~l6,1'lt(. .~~U..,oIU'lQ,..'..c;,a."....." ...,,,......"...,.~,' ....,.".-,........ ....._.............. ................__ -......-_......_.1--..-. c> -, (') - /L' / -I." 'OR DATES 0' DEAIH AnER 12/31/9\ CHECK HERE IF A SPOUSAL POYERTY CREDIT IS CLAIMED I mE NUMBER REV.l~OO Ut I' Q.at INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) ..1/ COUNTY CODE rf( YEAR 3PI NUMBER "CII:~':.'rll -to, . ....). ~ 0- Z .. o .. .... .. o COMMONW(AllH Of PfHtWHVAUIA DlPAR1M(NI 01 R(VOWf OlPI 18000\ UARIU~BURG. ~A_.'_'_~18 ObOl 0IUOIN1!l ""Mf \L"lIl. flfl!ll. At.D MIOml Vl,...tl / _.-LY,fMI2-flIC!!..1 r:-\ tJ":/':1I1 ." \ - ,O(IA' "-Jij,,, "U.'" , '"'' O,/~ UIA)III" pAn UI,!~W"'I I 77-_'Jo~_4L2._~i!n ~/( /(I!-,;:,3 i" ...,,,..,,,,,,,,,,,,,,,,0"," ",., ,,," ,,'" ,..,. . ",., '" ..." 1'0"" ,/cu'"" "U.'" [~. Original Re~~--- - --+-- - - !] -2. Supple~t!n'ol Relurn - [ i 3. r-15. Remainder Relurn (fol daten of dealh prior 1012.13.821 Federal [\Iole Tal Relurn Required UIUlllt11 \[0""'1111 "'DD.t~~ 1f'l.1 L, "-'IJ""",,Jr /1./ ,LIE (' "A.NIC' Jdlll'G /-", I /o~-5' C""'f (!. LI..'I/3 [,,1,1 L -4.v,l) A.UU'" "CI"'O 1111 ,,,""u(,;O,,,,----- . . - -- ,-- ..---- ._.__._-_.-._------~ W 0- ~:!cn ...."'.. ......... ",00 ...."'.... ..... ~ '" o 4. limited E,tote [j 40. Fulure I"lefl"t Compfomi~e {for dole' of death aher 12.12.81) 06. Decedent Died Te,tote [] 7. Decedenl Mainloined 0 living Tfu~I (Anach copy of Willi IAllach copy of T rusll ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO, HAM[ . ~ L (OMPIIH MA1I1UC. AOOI[!I!1 S JA,'fF-S.o, r,AJ!t!./i/CK- 'f/.{2 L I/-,OF,N r -" "'''HO'''''UM''' -.- /IF:CIHNI('.sd('tt'c..,~A//Q!t ~ -.7 Jolt{, Z~~r,;J. _ 8. Tolal Number 01 Sole Depo,il BO.le' ,0- "'Z .... "'0 "'z 8~ (1) ()-- o 12) ,___nO -- ---. ------.-- (3) ____.__Il________._ o : ~: ~-__.I,~:J.:J...1~.:I-J.=-: (61 ____ __0_______ (71 ____ _D_ .__n___ - z o 5 :0 0- ii: '" .... .. '" I. Roal h'alo ISchodulo A) 2. Stoc~, and Bond, (Schedule B) 3. Clolely Held Slock/Partner,hip Inteflnl (Schedule C) 4. Morlgoglll and Nole' Receivable (Schedule D) 5. Cosh, Bonk Depo,il' & MilCellaneou, Perlonal Properly (Schodulo EI 6. Joinlly Owned Properly (Schedule F) 7. I,anll... (Schodulo GllSchodulo LI 8. Totol Gton Aueh (Iotolline, 1.7) 9. Funeral hpen,e" Admini,trative Co,", Miscelloneou, E.lpen,e, (Schedule HI 10. Debt" Morlgage liabilities, lien, ISchedule I) 11. Tolal Deductions (tOlollines 9 & 10) Nel Value of E,lato (line 8 minus line 111 Charitable and Governmontol 8equllsll (Schedule J) Nel Value Subjeclto Tall. (line 12 minus line 13) Spousal Transfers (for dales of death aher 6.30.94) See In,truction, lor Applicable Percentage on Revene Side. (Include value, from Schedule K or Schedule M,) Amount 01 line 14 la.lable 01 6% rate (Include value, from Schedule K or Schedule M.I Amount 01 line 14 ta.lable at 15% role (Include volull' from Schedule K at Schedulo M.l Principal tOll. due (Add tOll. from lines 15, 16 ond 17.1 C,edih Spou,ol Poverty Credit Prior Poyments (lQI 1201 IB).1,3 .') 3/1-3 (Q )m_']f(".!J~';/~CJ" (10) _ ..1/ &.s~J.,fl_<J.__ (11) --'1.,..3 t11, 01- (121 _______12 (131 _______ cJ _. (14) C1 CJ 12. 13. 14. 15. 16. 17. z 0 ;: lB. '" 0- IQ. :0 ~ " 0 .... >< 20. '" 0- 21. -". = ----.-------- (151 _______C! ~_____ o ~ (16) " .06 = (171 " .15 = (IBI Intore,t Discount () (J + + If lino 19 i, greoler Ihan lino 18. enler Iho differenco on lino 20. Thi, i, Ihe OVERPAYMENT. II 0 ...:r.n1liNi'.1..Tl.II..U....I.I.I-.lIhl:...'.Im':'r.~"'..l'l..l'I 1J~.~..I.111 If line 18 i, greoler Ihan lino 19, enler the difference on line 21. Thi, i, Ihe TAX DUE. A. Enler the inlerest on lhe bolance dUll on line 21 A. B. Enler the lotol of line 21 and 21A on Uno 218. Thi, is the BALANCE DUE. Me"_ Chc" Payable to: Reg!Iter of Will" Age":' >- >- BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH ~:.(,. Under penoltie, 01 perjury. I declofelhot I have e.amined lhi, return, including accompanying schedule, and ,Iolemenh. and 10 the best of my knowledge and beliel, il i, Irue, correct and complete. I declare that all realeslote ho' been reported at true markel "alue Declaration 01 preporer other Ihon the personal representative i, based on 011 informal ion 01 which prepnrof has ony ~nowledge ':~:::.~ca~~~~~'r;;:.,:t~,~..DD;~~;L,~,~;.~.:.s;-;i;(!;~P/~~~~Ic~~'~~-;i1-- O"~7Mt, ---- ',IGf'iATUllf Of f'1l[PAllr~, '''All Il(PIlf~Hjf,AA"II;'ff./: /", ?, Ill':>", ' ,," 0.1t,r Y 7 ~~.:-::--v:=-'1FQ'k'.-/~ _ /({r~ /.'1 ",'U,,-=.t .J.>- t</aM.v/O'$',V:l.--. j}0/'/?~--. (21) 121A) (21BI o Act #48 DI1994 prDyldes lor Iho reduction ollho tux ralus imposod on Iho nel yalue oltranslen 10 Dr lor Ihe use ollhe spouse. The rales as prescribed by Ihe slalule will be: . 3% (.03) will bo applicablo lor oslalos 01 docodonts dying Dn or allor 7/1/94 and beloro 1/1/96 . 2% (.02) will be applicablo lor oslales 01 decedonts dying Dn or alter 1/1/96 and belore 1/1/97 . 1 % (.01) will be applicable IDr eslales 01 decedents dying on or alter 1/1/97 and belore 1/1/98 . SpDusallranslen Dccurrlng on or alter 1/1/98 will be oxempt IrDm inheritance lax. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (....) IN THE APPROPRIATE BLOCKS. 1. Did decedenl make a Iransler and: a. retain Ihe use or income 01 Ihe property translerred, ....................................................... b. retain Ihe rig hi tD designate who shDII use the prDperly transferred or its income, ............... c. retain a reyersianary interest; or ................................................................................... d. receive Ihe promise lor life 01 either payments. benefits or care? ....................................... 2. II death occurred on or belore December 12, 1982. did decedent within two years preceding death transler properly without receiving adequate consideration? II death occurred alter December 12, 1982, did decedent transler property within Dne yeDr 01 death without receiving adequate cDnsiderDtion?.................................................................................................. 3. Did decedent own an 'in trust lor' bank accounl at his or her death?..................................... YES NO I V/ i/ v/ , ! 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 SCHEDULE H fl' ~;l.{\ FUNERAL EXPENSES, __f'/l:1'o' COMMONW""" O' PENNmVA"" ADMINISTRATIVE COSTS AND INt:\~:::!';.~'o't~,~\m'N \ MISCELLANEOUS EXPENSES I Please Print or Type ESTATE OF i / J ------iFilE NUMBER 'A;( C II / (' I<:_l'g~)../ij It. J_ ____ _____~_~: I 'Ii, DESCRIPTION .. tl~t)lI U. I".' ITEM NUMBER A. 1. :1. :;.Y/ AMOUNT ._._._._-~.._--"--- - --_.~_.__.~_.-._------- - ..~_..,.--.__._-' ..-.- Funeral Expense.. c.,,vcA'AL S~A'V'VCS CAj-eEr -=/c... T' ,I b.<'A vi: _ vt'r-,"',"c., C ". :ill"(' - V.-/UL r; L"H!. C, OClCJ. c'r:> f ~oo.C/CJ B. Admlnlstrallve CoslI: 1. Personal Representative Comminions Social Security Number of Personol Represenlative: Year Commissions paid ---------.-- ---~---~_._--_.- 2. Attorney Fees 3. Family Exemption Claimant Addrell of Claimanl at decedenl's dealh Slreet Addrell Cily 4. Probate Fees 3.!J- f/ (J +-/(J c. MiscellaneouS Expense.. 1. :.0. 3. 4. 5. b. 7. B. Relalianship -.----. ---.---..------ .______.___.Slale __ _ Zip Code .--r 00 .!J..:J , TOTAL (Also enler an line 9. Recapilulalian) (II more space Is needed, Insert addlllonal sheell 01 same sin.) s 7 c.: j:): O(J COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss: ____ ..dt:vl.q'",r/l >//-1 -'fr: J,,/.!/-';(."J,{IC111C'1:' boing duly _~~"'^~-:'-' __ . according to law, dopo.o. and .ay. that h~ /.1>'''''1:''1]/-- J/.'k1I.:'C tI/(t/C,' __._._....._._._.._.. _ _. . 01 tho E.tato 01 ... .- -- _..- - . -- _. - ... --..- .--- lato 01 ..IfIf-,2 1 If! tJc AlSI, ./'k C 11/j'~1 c.<; 111(/'(, _, Cumborland County, Po., docoosod and that tho within is an invontory madD by .41' VF-,.1Ly' A /<J.l(,l(IIIICt'_ . -. tho saidE~E_~,/I,{'LJ~fi'J 01 the ontiro oslato 01 .aid docodent, consi.ting 01 all the porsonal propotty and rDal oslato, oxcopt roal estato oui:id; tho Commonwoalth 01 Ponnsylvania, and that tho ligurDs oppO.itD each item 01 tho Invontory ropro.ont it's lair yalue os 01 tho data 01 dace dent's death. ~ Z ~. / ..:-I. ~ /,- : ./ .((t,~c.cpV - -;7 c~cb . 4 (I)U::2Ad;';,,,,"'or 4(t 2. .l!/!'2'~ --" JL --- /'/~ Cf."'J~II.'I!..?)J ,,^'l6r-!1~L..!7(!!i?-:'- Addr." _ and .ubscribed boloro me, p--- ----..- ~- 19 ---_.--- ..... -------- Dale 01 Death ---- Vur Ooy Month INSTRUCTIONS I. An inventory must be liIed within three months alter appointment 01 personal roprosentative. 2. A supplemont invontory mu.t bo liIod within thirty day. 01 discovery 01 additional a..ets. 3. Additional .hoets may bo a"achod a. to porsonally or really 4. See Article IV, Fiduciaries Act 011949. ....:l "l.- - \-. ~ ::l ~I '" "'. ~I ~; "-.)1 "I '-.). '\;,:: ~. >- I '\' ... ~ ,I 0 ... w ~ ~ ~ ... '\i (\--1 ~ w <( ~ Q. ... , -')1 u 0 0 V1 ~ 0 w '~l c '" ~ ~ w .. " t- :t Q. ') Q. C ... -' U. ~I' ~ ~ Z <( 0 ,,' 0 u. -' Q. :s: w 0 <( w ~! ~I .;.. <( > Z ~ -, - Z 0 ~I c C , ~ ~ - V1 Z 0 0 ~ \IJ' U Z w <( ... Q. '; ... c .-'. ~ - -;: ~\~. 0 ~ .D ... ... ~ E ~ - ~ 0 ~ ~ u: 0 -' U CD Invenlory of the roal and porsonal oslato of /ftJlC/!/C,A( /~ "/'em J docoasod ._---~-- ---~ - I __ /9.fjl /~'ISS~I"v /^~uc.{...., Y""/Ir4I1--1 ~ ntf C,y~ c: E c!..11~(!,.f"'M'C; ACC-T - C<;)~€ J7.- ~....,t-" G <<'I rA,(J G ':/...,.S 3.:Jc:J fLC'o /0<;' ISo ./}":'57: 200 -6-0 I/~-o I I c..'LQ Tf'ES - 6't/F,vAlvA I ~Yt/"!E(!.A/ '3'73 (i. AS/! :1.00 TI/ 5 Tt:k'~CJ L: <;:t/lP~E""T nn \l:i :0 c: r5" :Um ::l (]) ,'" co i ~, c ~~ ~ r: -< 'u C r,l ~ C . ~:' 31 _. ; N i~; .1 ~ :"Oz:- .. )>~ - - 00 00 o 00 oC' 00 00 J/3 o AI- le/Clle- 3~ I CoreStates Bank of Delaware PO Box 8920 Wilmington DE 19899-8920 (800) 833-3010 NA June 6, 1996 . CoreStates REGISTER WILLS CUMBERLAND COUNTY COURTHOUSE CARLISLE PA 17013 ESTATE OF: KENNETH J MARCHICK WHO RESIDED AT: 442 LINDEN ST MECHANICSBURG PA 17055 DATE OF DEATH: 1707.81 BALANCE AT DEATH: 1653.09 CURRENT BALANCE: 1707.81 RE: 0131047144 Dear Sirs: WRITTEN NOTICE OF CLAIM GIVEN TO: JAMES MARCIIIK 442 LINDEN ST MRCHANICSBURG PA 17055 Below is our Proof of Claim to file against the estate mentioned above. Enclosed is a check for your filing fee, if such a fee applies, and a self-addressed stamped envelope. please return the copy of the claim with your stamp to verify it was received. Enter the claim of CoreStates, 3 Beaver Valley Road, Wilmington, De 19802, in the amount listed above against the above estate on this date. Finance charges will continue to accrue at the applicable account rate until the balance is paid in full. For information, please contact person and extension noted below, rather than the calimant's counsel. NOTE: Accounts for residents of Delaware and some other states may be with CoreStates Delaware NA, an affiliate of CoreStates Bank of Delaware NA. Refer to your CoreStates Account Agreement. Ext. III ,/ C'lC'l c- \0 :0 -~ :IJm a, n (""' c... ~ ~ ~ ..~ - . C) to ~: -:'0,. !~ -- ..... ~. ~ d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report. d~(1)1f~ Signature / I ~Evt:K'LY A.' J-i4 -<!eff/C~ Name (Please type or print) ./jf-.) jlj./JF'fi/J; - /!J3C/-//1A-I/CJOt/.(-1{, Address "' STATUS REPORT UNDER RULE 6.12 Date of Death: _,;/r-:,;t./)./E 7f1 j /-/i ,('(' II /~,1/ /!/'f('/L .J.J, /I;{. Name of Decedent: Will No. Admin. No. :2 / - 7G -03!1 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, 1 report the following with respect to completion of the administration of the above-captioned estate: 1. State w~ther administration of the estate is complete: Yes V 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 perso~l representative file a final account with the Court? Yes ~ No . b. The separate Orphans' Cuurt No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes ~NO Date: ~//7/1{' f'J ! t.,_ " ,., L'\ (1/7) 7t.,t, -..:l } 7.2. Tel. No. Capacity: ~ersonal Representative ,.30 Counsel for personal representative (MAIl:rmflAM31 ~ -. .-. -{ ~ 0::::1:','.110111 E.t.,.. .f .......,.. .,'1,.. .n~' b.f.," D;...... 1%. I". .. It .0' f'o'"" Ir...... t.. ".. ..,.u .. t....",...,.J !. ,."",'" c. '.l.'....' .: ~!,:: . ,.:....,.,,1 .,..:..:!:,!:: .f .., 0":,"-' .'1:. t.: .x,.,.t.:...' ~" ::..t, ,., II" .r f.r ...r., th. C........l.h h.r.b. ...r...1. r...r..' .h. ,Ight t. ...r~I.. end ...... tron.'.' Inh.,ltan.. I.... at the lBwful el,l. I CcollBt.rBl) r.t. on any luch future Int.r.lt. PIIRl'05E DF HOneE: To ful.111 .h. r.QUlr...n" of 5..tlon %l'D of .h. Inh.,lt.n.. end E...'. I.. A.', A.t %% of 1991. 7% ..5. <<:.,..1"" ",,.,,. t' L' " I;,;' . --., r- . --*_- ~-'-"-:<"'...--...A.~ .$.T~J' ,.-:. , } . ! ": ~ CERTIFICAT IOtI Of .l!..n~rrCE IlNDEH RilLE 5.6 ( a) Name of Decedent: /{ ,./". f T II J /-1<1 ~ '(' 11/ (' /( Date of Death: A f'1t\' II... J) !'I j( I\dmin. No. / '7'1(. - (c 031'1 Will No. To the Register: 1 certify that notice uf benef1cial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the f\Jllowing beneficiaries uf the above-captioned estate on Name Address /6/:1/0,'1.. y /J. i-. JA'fE j h /i41X.~J//l',f' "'/'1;/ J ~L' )1/~." J'r /1 /5'C'f/.4,I.,'i{'. S 6 L/,.('t. /) / .7t''j ~- Notice has now been given to all persons entitled thereto under Rule 5.6(a) except m I d~ A /1J,~L_'t-: Sig~e I Name /k-vE,('L.IA 'T.)/j/iE. s.4/kfJCII/~f' Mdress Jj--If.~ L I,~; /J r;- ",/5'7 /'1/: l'H. /?.4 / 7('. j'':J- TelephoneilJ'n 7 L. 1.2 -:; '/ "~ Capacity: L.~Personal Representative Date: f-!J'--<J{ t' L! I "I' ci: -. ':::J ~'. ...:.! :J OU Counsel for personal representative NOllt! or INIIERITANCE TAR APPRAI51NINI, AllOWANCE OR DISAllDWANCE Ilf OlOUCIION5 AND A5SESSHENT DF TAR DATE 09-10-96 J ..'FII.E'~No~:-...~-21~f6.-.il3n~~ CDUNTV CUMBERLAND REV-1547 EX AFP (12-95* CO""OHWIAIIIIIlf 111~"'\"IV'HI' DIJlANI"IHI Of HI vi H"I IIUN(AU Of lfillllVIUI.JAI IIJI' DIP', ...ObOl , ' Illlllll5lUNQ, I" 111.'1 01>111 . Es'iifilCOF - 'HMCIlI CK DATE OF DEATH OG-27.9h KrtllirTIl , '- ACN 101 NDTE. TD INSURr I'ROPIN ENIOII 10 'OUR AILOUNI, 5lH"'" III! UPPER PDRTlDN DF TlflS FDRH WITI, YDUR TAR PAYHENr ID 1111 MIGUlIN III WillS. HAR' EIIIER l'AYAnU 10 "REGISTER OF WILLS. AGENT" REMIT PAYMENT TO: JAMI S n MANCil I CK ',',7 I I NIII" S 1 MICItA"ICSnUNll I'A I 'O',~ REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 'I Anount Renitt.d CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECGRDS ~ iiE'v: is '4"'j - [if -;. F ii - f 1 F 9 iI Y -No Y i c [. -oF' "INH [ii iTA ifc E - Y AX" APpiiii iSEHENT -;- Ai.i.-owAifcE-iili" - _m - _m" - -- -- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT DF TAX ESTATE OF MARCItICK KUlIlllI! J FILE NO. 21 96-0381 ACN 101 DATE 09-10-96 lAX R[lURN WAS. I X, ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Rad E,tat. ISch.dul. A) (1) 2. stock. and Bond. ISchadul. 81 (2) 3. Cla..ly field stock/Partnerlhlp tnt.,...t 15ch.duh C) (3) 4. Hartg.gaI/Hot.. Racaivabl. ISchedule DI 141 5. C..h/Bank Oapolltl/Hllc, rarlonal rrop~rty (Schadul. EJ ISI 6. Jointly Owned Proparty ISchadula r) 161 7. Tran.far. ISchadula 01 e7) a. Total A.latl APPROVED DEDUCTIONS AND EXEHPTIONSI ,. Funaral hpan..I/Ad., Cnsh/" lie. [.panu' ISchedule to (If) 10. Dabt.IHortgage Llabllltla./Llanl (Schadul. .) (10) 11. Total Oaductlonl 12. Hat Valua of fa. Haturn 15. Charltabla/Govarnll.ntal Baqua.ts (Schadul. J) 14. Hat V.lu. of l,t.t. SUbJ.ct to f.. CIIANGED .00 .00 .00 .00 1,923.43 .00 ,DO IB! 1.923.43 7,655.00 1,653.09 .1111 1121 1131 1141 9.308 l\.i.. 7,384,66- .00 7,384.66- NOTEI 14. 15 and~Dr 16. 17 and 18 will returns assessed tD date. If an a..al.ment wa. i'Bued preYiDusly, lines reflect figure. thet include,the tDtal Df ALL ASSESSHENT GF TAXI .., A.aunt uf 11n. If. Ib', A.munt uf I.ln. I', II, Alluw\t uf Iln. If. .1, Prlnelllat f.. Dua at S'lou..l I...bla .t t...bl. .t r.t., Llna.I/CI... A rat. Call.t.raI/CI... 8 rat. IlS! Ilbl 1l7! TAX CREDITS I rAY"'NI UAIl J DISCOUNT I" INTEREST I"' MI ClIPI HOHnlR 1___._ .00 X .00= .00 .00 X .06= .00 .00 X .15=- .00 IlB! .00 AHOUNT PAID I TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE .00 .00 .00 .00 . II PAIU AlliN OAll INOICAlrD. srr REVERSE IIIN fAil III AI ION III ADOIIIONAI. INTEREST. I IF TOTAL DUE IS LESS TIIAN $1. ND PAYHENT IS REQUIRED. IF TOTAL DUE IS REfLECTED AS A "CREDIT" ICRI, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF TNIS FDR" FOR INSTRUCTIDHS.! ()C RESERVATION: Eltat.. of dlcedant. dyl~g on or blfore Dlc..bar 12, 1982 _e If any future Intarl.t In thl ..tata 1_ transf.rrad In pOI.I.llon or enjoy..nt to Cia.. a (collateral) banaflelarl.. of thl dlcldant after the expiration of any I.tat. for 11', or for ya.r., the Co..onw,.lth hareby axpr.,sly rl.arv.. the right to appralsl and a..I" transf.r Inheritance Tax.. at thl lawful Cla.1 B (collat,ral) rata on any such future Int.r..t. . PURPOSE OF HOTICE: PAYHENT: REFUND (CA); OBJECTIONS: To fulfill the requlra..nts of Sactlon 2140 of thl Inheritance and Estata Tax Act, Act lZ of 1991. 72 P.S. Slctlon 2140. Detach thl top portion of thl. Notlea and lub_it with your pay..nt to thl Raglst,r of Will. printed on thl ravar.. .lda. -.Make ctleck or Man.y ard.r payable to: REGISTER OF MILLS, AGENT All pllYM.nts rec.lv.d shllll first b. appll.d to any Int.r..t which May b. due with any reMalnd.r appll.d to the tax. A refund of a ta.' cr.dlt, which WIlS not requ.st.d on the Ta. R.turn, .ay b. r.qu.st.d by ca.pletlng an "Application far Refund of P.nnsylvanla Inheritance and Estat. Tax" (REV.l!13). Applications Ire avallabl. at the Offlc. of the R.glst.r of Will., any of the 23 R.v.nu. Ol.trlct Offlc.s. or by calling the sp.clal Z4-hour answ.rlng s.rvlc. nu.ber. for far.. ordering: In P.nn.ylvanla 1-800-36Z.ZDSD, outsld. P.nnsYlvanla and within local Harrl.burg Ir.a (711) 181.S094, 100' (117) 772-2ZS2 (Hearing I.palr.d Only), Any party In Int.r..t not .atl.fled wIth the apprll.e..nt, allawanc. or dl.allowanc. of d.ductlan., or a.......nt of tl. (IncludIng dl.count or Int.r..t) a. .hown an thl. Hotlc. MU.t obj.ct within sIxty (60) day. of r.c.lpt of this Hotlc. by: ..wrltt.n prot..t to the PA O.plrt..nt of R.v.nu., Board of App.als, Dept. Z81021, Harrl.burg, PA 171Z8-10Z1, OR --.lectlon to have the .Iltt.r d.t.r.lned at ludlt of the account of the p.r.onal repre..ntatlv., OR .-IPP.al to the Orphan.' Court. ADMIN ISTRAlIVE CORRECTIONS: Flctual .rror. dl.cov.r.d an thl. als.....nt should b. addr....d In writing to: PA D.plrt.ent of R.v.nue, Sureau of Individual Ta..., ATTN: Post A.......nt R.vlew Unit, D.pt. Z80601, Harrl.burg, PA 17128-0601 Phon. (717) 787-6S0S. S.. page 3 of the bookl.t "In.tructlon. for Inh.rltanc. Ta. R.turn for a R..ldent Oec.d.nt" (REV-ISQI) for an explanatIon of adalnl.tratlv.ly corr.ctable .rrors. DISCOUNTs PENAL TV I IHTEREST: \ , If any tax due I. paid within thr.. (3) calendar .onth. aft.r the d.cedent's d.!th, II flv. p.rc.nt (5~) discount of the tax Pllld I. allowed. The 15~ ta. a.n.sty non-PlrtlclpatJon p.nalty I. coaputed on the totll of the tax and Int.r.st a....s.d, and not paid b.for. January 18, 1996, the flr.t day'aft.r the .nd of the ta. n.n..ty periOd. Thl. non-participatIon p.nalty I. app.alable In the sa.. .anner and In the the sa.. tl.. periOd a. you would appeal the tllX and Inter..t that ha. b.1n Ill.....d a. Indlcat.d on thl. notlc.. Inter8.t I. charged b.glnnlng with flrlt day of d.llnqu.ncy, or nln. (9) Month. and on. (I) day frail the d.t. of d.ath, to the d.t_ of plly..nt. T.... which beca.e delinquent before January 1. 1982 b.ar Int.r..t .t the rate of .1. (6~) p.rc.nt per annu. calculated at a d.lly rate of .000164. All tax.s which b.ca.. d.llnquent an and aft.r January I, 1982 will b.ar Inter.st at II rate which will vary fro. cal.ndar y.ar to cal.ndar year with that r.t. announc.d by the PA O.part..nt of Revenu.. The appllcabl. inter..t rate. for 1~8Z through 19~6 ar.: !!!! Inhrnt Rat. Dally Int.re.t Fllctor !2! Inter.st Rllta Dl'Illy Interest FPlctor 1987 "' .000Z47 19a8-19~1 11;( .000301 1992 9~ .000247 19~J.19~4 1~ .000192 1995-1996 9~ .00DZ47 1982 1983 1984 1985 l~a6 --lnt.r.st zox 16~ 11;( l>X 10;( Is calcul.t.d as .000548 .000438 .000301 .000356 .000174 fallow.: INTEREST = BALANCE DF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Hotlc. I..u.d aft.r the ta. b.co... d.llnqu.nt will r.fl.ct an Int.re.t calculation to flft..n (15) day. b.yond the dat. of the a.......nt. If pay..nt I. M.d. after the Inter..t cOMputation date Ihown on the Notlc.. additional int.r..t aust b. c.lculat.d.