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PETITION n)R PIWHATE lInd GI(ANT OF I.ETTEnS
.2" 1- 9 !P: .2~.lt>.__.
E\lII/!' 01 .. .RlIs~ell K. Lackey
Ill", k"oll'" III _ _N/A
No.
10;
.~-';;':i<;l :~('(,i<~i,);ivo. 171-28-0534 ", :
f)(,(,(,tJH'd.
Ih'~i'lel of Will, Inr Ihe
COIlI1lY of ,ClUnlX!rland..__.. ill Ihe
ClUIII1IOI1\\'l,.'alth of PCI1I1!'<tyl\'ania
Tin,' IH.'lilion of tIll: ulIlh..'r...il!l1.:d (c\!lct.:tflllly 11'IlTc...cnt\ Ihal:
Your pl,tilioI1CT('), \\110 OC/.lIl' IX year... of 'Al' or oluer anthe C\l'c'lIriccs~__-._______ named
illlhe 1;1'1 will Ill' Ihe ilhllle den'delll. dilled.. ,llgll~,t:...16.1, ..19,~()... __,....._________. 11)__
illld e",licill" dilled ... None. ..,."--....' ,."-..,-...,-.-' -,-----
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--Sce-RenUIlci'ilti()i1' F'i lcd-'-'" ..---..-----'--
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1',I;II~' Idl'\.llll ~'lI~'lIt11"all~'\.", l",)!. ''''lllllh:iatil1l1, lk;llh ull'\l'(IHtll,l.'h:,1
[)eeelldelll Wil' dlll1liciled :l! deillh ill _ CUJT1Qe.r1.and _ ClllllIl)', I'clI1l\)'ll'ill1iil, with
hJ.5_.._I;"1 filll1i1)' or ptille;i'alle,idcllcc a1 ._630..Nor:th_Hanover..Street,-,=arlisle,-
~nn_sy!.vaJ}i'J.J l()J} JI)()[l)ll911Q.U:ar;lJ1>lg)
lli'l 'lIl'~'l, IHl1llh~'r illhlllHllIdlMlil) t
IJ<CCIllIeI1l. Ihcn ___9..1.___._ I'eaf' of ilgC, died )\PI;U_1~, . II) 96
:II Carlisl<J, Hosp~!:iI1.Lr.arker street, Carlislg,..1'h_J7llJ.:L
E'<cpl '" fullu\\\. dcccdcm did nlllmarry, wa' nol di",nccd allll did nlll hal'c a <hild horn or adoplcd
aftcr c,\c~Ulion of the \\i11 nlfcr~d for prohalc: wa\ nol the \"il:til11 of a killing and Wa\ I1c\'cr mljudici.ltcd
in<ompclcIH: no .(!]:(cgp~..ons , .-
Dcccndclll at dcath owncd propcrty with C~lil11atcd \'aluc~ as rollo\\~:
(If domicilcd in I'a.) All pC"'lIlal Plllpcrty S Unestirnated
(If not domicilcd in I'a.) I'c"'lIlal propcrty in I'clln'yll'ania S
(If nol domiciled in I'a.) I'c"'lIlal Plllpcrty ill CounlY S
Valuc of rCill eslale ill Pl'I1I1~\"I\"at1ia S
,ilUalcd a, folluw,: uQ.~9_J'b.!'tIU!<U19.Y~L,litrJ!.~!:,...9!,r-t.lsJ,g...J'.b 170n
titl~d wi..t:I:Lwife,_LeC;>,raS...1ackC!y...as tenants bv th9 entirety.
-'--"~---------'-----
WHEREFORE. p<lilillncr(\) re,pwfully r<quc,I(') Ihc plll!>:HC of Ihc la'l will alld <odicil(,)
prc,cmcd hcrcllilh and Ihc gram of IeHCf' Testamentary
(t..:,lilllll:1I1ary: ,Hhnjlli'iI,llilill 1.:.1.;1,; al!millhu;nhll1l!.h,I1...:.I,lI,)
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Carlisle Pji,.-f70]j'---'-.---
----_~____I, __ ,_,___ _.'__.___~_._~_,.______._"~'__
Jl]-=:...2A9-=-.417.L____.. ",----
,_s's'l'-l..2..0B.::-24_-2216 "..___..u__ _..,_
~LlJ..il.LL..~ '::)/(l.C_
Barbara Jo Bear
-BIG-Hamilton Street
=-~rl~s!.(!1 PA 17013
_Jl.L=-_243~_4.Q9
__Slit:U 76-34-7677
---,--,,_._---'-----' ,-------"--"_.
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OATil OF PEI(SONAL REPRESENTATIVE
C0!\1!\10:'o:WEAI.TII OF I'EN:'o:SYI.\' ANIA I .~
'. ::ia
cou:'o:n' OF __~UM13ERJ!.1!"} J ..
The peliliot1cll~) ahovc-namcd \\\'cilrh) ur affirmb) thilt the 'tillCI11CIl(~ in the foregoing petition me
truc and l.:~lrrc~1 to thl' he\t of till' klllw.kdgc ami hl.'lil.'f or pClilioIH~r(~} ami that a~ pcr\onal reprc~cn.
latin,'h) pI' the alHl\'l' dCi..'cdclIl pCliliol1c'(\) will wcll anLd tr~ly :u.lminblcr 1I,Il.' c~talc al.:l'O, ruing tn law,
,J ? ;1 f /
SWllrn III or alli,""l1e,,'d alld ,ul".:lihcd I .---- Cl.. ,1,,1.fu,'t1J1/J 11- ~U::Y0 ""
hclorc llIell1l\ .om ..._"..~.. dOlI or _,,_' ___S:~lynr Ann Hoover ~
""--.,~ r, ,/;/;,(, 1'~96 .... t'j't';l~ ',....jl."/L' "
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_~,__~ n.,J.._,",-l4'.J. L.t. ,J,..~t'-..,~,._..... -';I~/'j./---._---' ."---"-~.--'-.-- ~
,J Mary c. Lewis, Ut'l.!i.\/(', / =-_~_, .'_,___..___'_._ .E
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LAST WILL AND TESTAMENT
OJ!
RUSSELL K. LACKEY
I, RUSSELL K. LACKEY, of 6;lO North lIanover Slreet in the Borough of Carlisle,
Cumberland Counly, Pennsylvania, heing of sound and disposing mind, memory and
underst:lnding, do hereby make, puhlish and declare this as and for my Lasl Will and Testament
hereby revoking and making void any and all Wills by me III ,lilY time herelofore made.
I. I direct my hereinafler named personal representlllives to pay all of my jusl debts and
funeral expenses as soon afler my dealh as may be found convenienl 10 do so, including the
payment of any and all inherilance, eSlllle and delllh taxes which may be payable on account of my
demh regardless of whether the assets on which such laxes arc based arc part of my probllle estllle
or nOI. I direct that my body be interred on my buriallotlocaled in Weslminster Cemetery in
North Middleton Township near the Borough of Carlisle, Pennsylvania.
2. I give and bequelllh all mutual fund shares owned by me in my name, up to a value of
$600,000.00, to my two (2) daughlers, Carolyn Ann Hoover and Barbara Jo Bear, in trust, to
retain or reinvest the same as in their judgment is besl, and 10 pay the income arising therefrom at
least annually to or for the benefit of my wife, Leora M. Lackey, so long as she shall live, and at
her death said trust shall terminate and the principal thereof shall be divided equally between my
said two daughters, Carolyn Ann Hoover and Barbara Jo Bear, their heirs and assigns, provided
each of them shall survive my wife, bUI should either of them predecease my wife then the share
such deceased daughter of mine would have received shall be distributed to such of her issue as
shall be living at the date of my wife's death, per stirpes, and if there be no such issue the same
shall be added to the share of my other daughter, per stirpes.
3. All of the rest, residue and remainder of my estate, real, personal and mixed and
wheresoever the same may be situate, I give, devise and bequeath to my wife, Leora M. Lackey,
her heirs and assigns, to the exclusion of my children, born and unborn, provided my said wife,
Leora M. Lackey, shall survive me by a period of ninety (90) days.
4. Should my said wife, Leora M. Lackey, fail to survive me by a period of ninety (90)
days, then in such event all of the reSl, residue and remainder of my eSlllle, real, personal and
mixed, and wheresoever the same may be situate, I give, devise and bequeath in equal shares to
my two (2) daughters, their heirs and assigns, they being Carolyn Ann Hoover and Barbara Jo
Bear, provided each of them shall survive me by a period of ninety (90) days, but should either of
them fail to so survive me then the share such deceased daughter would have received shall pass
to such of her issue as shall survive me by a period of ninety (90) days, per stirpes, and if there
be no such issue the same shall lapse and be added 10 the share of my other daughter.
Should either of my daughters receive china or silver or other items of family use and
sentimental value, it is my request that the daughter receiving such items eventually pass them to
her descendants so that these items will continue to remain in the family.
5. I hereby nominate, constitute and appoint my wife, Leora M. Lackey, as Executrix of
this my Last Will and Testament, but should she fail to qualify or cease serving as such, then in
such event I nominate, constitute and appoint my two (2) daughters, or either of them, they being
Carolyn Ann Hoover and Barbara Jo Bear, as alternate or successor Executrices, and I fun her
direct that none of them shall be required to post any bond to secure the faithful performance of
her duties in the Commonwealth of Pennsylvania or in any olher jurisdiction.
6. In addition to the powers conferred by law, by hereinbefore named personal
representatives and Trustees are empowered:
a. To invest any part of the trust corpus in such securities, investments, or other
propeny as may be deemed advisable and proper, irrespective of whether the same are authorized
for the investment of trust funds under the laws of any goveming jurisdiction.
b. With respect to any corporation, the stoeks, bonds, or other securities of which
may be held, to vote in person or by proxy on any shares of stock; to consent to the merger,
consolidation or reorganization of such corporations; to consent to the leasing, mongaging or sale
of the property of any such corporations; to make any surrender, exchange or substitution of such
stocks, bonds or olher securities as an incident to the merger, eonsolid,llion or reorganizlIlion of
such corporations; to pay all assessments, subscriptions and other sums of money which may be
deemed wise and expedient for the protection and maintenance of the proponionate interest of the
investment in such corpol1llions; to exereise ,lny option or privilege which may be conferred upon
I'lIgc t of 2 I'lIgcs
.,
the holders of such stocks, bonds, or other securities of such corporulions either for the
conversion of the same into other securities or for the purchase of additional securities, and to
make any and all necessary payments which may be required in connection therewith; IInd
generally to have and exercise liS to all such stocks, bonds IInd other securities, the powers of an
individual owner who is under trust obligation.
c. To hold the trust corpus in one or more consolidated funds in which separate
shares shall have undivided interests.
d. To sell at public or private sale for cash or upon credit, or partly for cash and partly
on credit, and upon such terms and conditions as shall be deemed proper, any pan or pans of the
trust estate, and no purchaser at any such sale shall be bound to inquire into the expediency or
propriety of any such sale or to see to the application of the purchase moneys arising therefrom.
e. To keep on hand and uninvested such money liS may be deemed proper and for
such period as may be found expedient.
f. To compromise, settle or arbitrate any claim or demand in favor of or against the
trust estate.
g. And authorized in the discharge of fiduciary duties, to employ counsel and to
determine and to pay such counsel reasonable compensation which shall be charged against the
principal or income of the trust fund, and shall funher be entitled to charge against the principal or
income such other reasonable expenses and charges as may be necessary a:td proper to incur for
the proper discharge of fiduciary dutics and for the proper management and administration of the
trust estate.
h. In making any division of property into shares for the purpose of any distribution
thereof directed by the provisions of the trust, to make such division or distribution, either in cash
or in kind, or partly in cash and partly in kind, as shall be deemed most expedient, and in making
any division or distribution in kind may allot any specific security or propeny or any undivided
interest therein to anyone or more of such shares, and to that end may appraise any or all of the
property so to be allotted and the judgment as to the propriety of such allotment and as to the
relative value for purposes of distribution of the securities or property so allotted shall be final and
conclusive upon all persons interested in the trust or in the division or distribution thereof.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will
and Testament written on two (2) pages, this I r., iL day of C~ 1990.
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'J'<.:-'- '-',. / '.' '. .,' .k,' .~ __(SEAL)
Russell K. Lackey
Signed, sealed, published and declared by RUSSELL K. LACKEY, the Testator above
named, as ami for his Lllst Will and TeSlam~nt, in our presence, who, in his prcsence, at !Iis
request, and in the presence of each other, have hereunto subscribed our names as attesting
witnesses.
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21-1)6-3%
REGISTER 01' WittS 01' ClInbcrland COUNTY
OATH 01' sunSClmUNG WITNESS
Robert G.,-E'J:cY...~g,--_______.
.~.m\.1Il
(each) a subscribing witncss III the will prescnted hcrewilh, (each) hcing duly qualified according 10
law, dcposc(s) lInd say(s) Ihal lie presenl and saw
Russell K. Lackey
the lestat or , sign Ihe same lInd thm _Ue signed as a witncss m Ihe
requesl of teSlat.2L....... in h.-is_ prescncc and lin the presence of each olher) (in Ihe presence of the
other subscribing witness(es)).
Sworn to or affirmed und suhscrihed hefore
me this 14 tn day of
:'Z Ma;,-. /9-9.6_
'Jll'tj- ( '0;'l/L~~h" fl.~pr.1'
MAR'l- C. LEWIS H('Rister'
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(', ,. I. ',/'" IAddress) ,'Ii
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(NUll/C)
(Addrcss)
REGISTER OF WILLS OF COUNTY
OATH OF NON-SUBSCRIBING WITNESS
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(each) a subscriber hercto, (each),b~.ing duly qualified according to ~; depose(s) and say(s) that
falililiar with thc signalure of L- ,
'-'. /codicil
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test at_ of (one of the subscrihiug \\'ilJ.!.Csscs lo)/the will presenled herewith and
...../ codicil
hclie~,es'lhe~nalure on the will is in the handwriting of
.) .......,
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that
to Ihe best of
knowledgdi;;d belicf.
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Sworn 10 or affirmcd and sUbs.1'ibcd bcfore
me Ihis day of
19_
(Addrcss)
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21-%-3%
HEGISTEI{ 01' WILtS 01' --.C.l.I.MUllliLI\NU_ COUNTY
OATil OF SlJIISCIUBlNG WITNESS
Hobert ~l~...l".!''='YLl::~'l illl(U!9.I"'I~t_G,-_Yr~'y ,.."'i'1,,,
,,1Ui~1I:
(each) a sul"crihillg willi'" III Ihe will pICsclIl.'d hClcwilh, (,'ach) hdllg duly qualiricd acemdillg 10
law, dcp"'c(s) alld say(s) Ihal _tl!cy._ wer9,..,_.__ ~.. _~___..~... ..____.__ prcselll alld saw
Russel !..~' L"ckey._,,~____ _.______,_.' ,__ ___.____....
the lc~laL.or~_1 ~iglllhc: !-l;lllll' allllthal .. .. UICY __ _~ ______.____.. \jgl1cd ,I!.. a willlc~s al the
rcqucstof IcslaL or_. ill I...!';,.. IlICSCIICC allll (inlhc IlIc'cllec of cadlolhcr) (illlhc Iltcscncc of lhc
other sub"rihillg wilncss(c.')).
'...., --
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Sworn 10 or afnrnll'd aud ,uh"rihcd hcflltc ~.
mc Ihb ......, 13Th .. day of lNamc) Holkrt M, Frey, Esq,
S.T:-./~YL_7."~''<.;;''~-- ' .. l'I.I)_~_.._ .. ,I"ive ~,:.J~~~l()-"er SL, Carlisle, PA 17013
J/2/':01!) "I/L~//o"'" .'.'",/.t....,) fA"d ,)
..__ ,.c!..7/ ..,----,' -'--'-.....-;t.l.,-'~,-:J/.I./ ..,. . u rcss
. WilY C, Lewi:;, 1I1'~;.\I"rl:'f,1'.1,,__...._,.._..__
~' ,'l
./ (NulI/I') Hobert G. Frey, Esq,
Five S, lI"nover 51:., Carlisle, PA 17013
(/1""",.\.\)
ImGISTEH OF WILLS OF COUNTY
OATH OF NON-SUnSCIUIUNG WITNESS
(cach) a suh.criher hcrClo, (cach) hdng dilly qualificd accmding III law, dcposc(s) and say(s) thai
___ familiar wilh the ,igu:nurc of
cmlicil
will
lhal _____...__..' .....
prcsclucd herewith :lI1d
codicil
..,.. ,__ hclic\'C\ Ihc sigllallllc 00 Ihc will is iu Ihe handwriling or
tcstal_ of (OIlC of thc snhscrihillg wilncsscs 10) Ihc
_ ___~.__ un __________.__~.._._._____..____._ - .---.--
tOlhc hcstor ,_ .....~ ~ll\lwlc"~e allll hdic!'.
Swurn 10 or affirmed allll \uh\l,,'rihL'd hct'mc
mc lhis _,.__.~. _, ,~.__' day of
(NUll"')
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(I I tltI"..I'.I')
N('~i.\f(lr
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CEIrJ'IFICATION OF NOTICE lINI>ElllWLE 5,6 (A)
Name of Deccdcnt:
Datc of Dcath:
Will No.:
To thc Rcgister:
Russcll K. Lackcy
April 17, 1996
2l-96~JI{p
I ccrtify thatnoticc ofbcncficial intercst required by Rulc 5.6(a) ofthc Orphans' Court
Rules was servc ....Q1l1 r, mailcd to thc following bencficiaries of the above-captioned estate on
" ?- Ult? :
Name Addrcss
Leora S. Lackey, 630 N0I1h Hanovcr Strcct, Carlislc, PA 17013
Notice has now been given to all pcrsons cntitled thcreto under Rulc 5.6(a) except: Nonc.
Date:
(1/171!Cita
/
.lit Y4 9 j/Z IYll/Yc
Robert R. Black, Es'quire
36 South Hanovcr Strcet
Carlislc, Pcnnsylvania 17013
(717) 243-3727
Capacity:
_ Personal Rcprcscntativc
-1l. Counsel for Pcrsonal Re'prcsentative
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146522 COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
.
D NO. AA
RECEIVED FROM:
i
ACN
ASSESSMENT r:'I
CONTROL Iii
NUMBER
AMOUNT
BLACK ROBERT R
36 S HANOVER STREET
101
$700.00
CARLISLE, PA 17013
ESTATE INfORMATION:
r:I fiLE NUMBER
~ 21-1996-0396
r:I NAME Of DECEDENT (LAST)
~ LACKEY RUSSELL K
II DATE Of PAYMENT
m POSTMARK DATE
COUNTY
SSN 171--28-0531.
(fiRST) (Mil
CUMBERLAND
DATE Of DEATH
04/17/96
REMARKS
m TOTAL AMOUNT PAID
$700.00
CW
CAROLYN ANN HOOVER &
BARBARA JO BEAR
CHECKtI 7
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RECEIVED BY .
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SIGNAtuRE j
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SEAL
REGISTER OF WillS
MARY C, LEWIS
REGISTER OF WILLS
..---
__,. _ M._...........M.._~ ~:-fnv..1M..
aN-Uti 111.."1
146768 COMMONWEALTH OF PENNSYLVANIA
. DEPARTMENT OF REVENUE
OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
tth
o NO. AA
DLACK RDDERT R
36 S HANOVER STREET
I
I
AeN
i ASSESSMENT m AMOUNT
CONTROL
NUMBER
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\ 't 101 ~"1~.23
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RECEIVED FROM:
CARLISLE, PA 17013
ESTATE INfORMATION,
f:II filE NUMBER
g 21-1996-0396
f:II NAME Of DECEDENT (LAST)
~ LACKEY RUSSELL K
II DATE OF PAYMENT
m POSTMARK T
COUNTY
\
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SSN t71-2e-0534
(fiRST) 1M II
CUMBERLAND
DATE Of DEATH
REMARKS
~ TOTAL AMOUNT PAID
~ltl5,23
PATSY A MOORE
C/O ROBERT H DLACK ESQUIRE
SEAL *This receipt is being reo!.a<::ed with
AA 185055 State notified our deparhnent of this,
Correstion made to r.i:Jrrect the credit to the Heishnan Mary C,
Esta1e. REGISTER OF WILLS
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RECEIVED BY ;ft-",.,. '('!I' ....Iull/v
'.' SIGNATURf;. I
MARY C. LEWIS .,/1/1, 0', If/j
REGISTER OF WILLS
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of:.
R(V.I~OO fl. 1'-'101)
A9,'~'-#:.'Y", INHERITANCE TAX RETURN
':~~'ifI~' RESIDENT DECEDENT
COMMO"W'Al1tl A. P1"",,"VAlUA (TO BE FILED IN DUPLICATE
OIPARIMIUI 01 Mlvwut W) 21 - <<J() - 0396
tlm"m:u~o'l'i\1801>01... .. ..WIT~ REGISTER OF ILLS. COUNIYCOOE..., .Y(AR.
ol'(,oi;'I'.~'t4"''''-'-II~-~1. 111l~1."'~;4U /,lIULlIlllllllolll .. .. . ... .\Ultltlflll'!o (0"'''1111. '.0 'IWI~"
Lackey, Hussell K, 630 NorUl Hallover strect
'O~';ll'~~~~'~;',~'------'r;/~~I;~~)'" 'r~Y~'/~~' .- COO", ~~U~d~~~~;ldI'A 17013
,,, ~~~~~~~~.~~:~ "~O:l "". ':" ~~~'-::'~~_ J:;~j~~?;~~;'~ '~~J::~ii~~~i~i~~'''1iUc''ioi''T-- .
IXl 1. O.;g;nal R.'"n [J 2. Suppl.m.n'al R.,u," I J 3. R.maindor R.I.,"
tlor dalo, of death prior to 12- t 3.82)
o 4. Um;,.d E,'ol. [140. ru'". In'..." Comp,am;lo 0 S. Fodoral El'a'. To, Ro'uln Roqui..d
(for dolo' of death 011 or 12.12.821
R'J 6. D.codonl Di.d Ta,'a'. [J 7. Doc.den' Main'oinod a U,ing Ttu\' -1l B. To'al Numb.. 01 Solo D.pali' Ba..'
(Attach ,apy 01 Will) (^tlo,h ,opy 01 ltuII)
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO,
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Robert R, Black, Esq,
tU(PllQti[ HUMUR
~7.-l_ 243-3727
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1. Reol estate (Schodule A)
2. S'o,h and B.nd, (S,hodul. BI
3. Closely Held Stock/Parlnership In!fUlts' (Schedulo C)
4. Mortgages and Noles Receivable (Schedule 0)
S. Cosh, Bonk Deposits & Miscolloneou\ Penonal Properly
(S,hodul. E)
6. Jointly Owned Property (Schedule f)
7. T,anol... (S,hodul. G) (S,h.dulo L)
8. Tolol Gron ^"els (Iotallino, ,.7)
Q, Funerol EltpenS8S, Adminhlfoli'tlo em". Miscellaneous
Eltponslts (Schedulo. HI
10. Oehh. Mortgage liabilities_ lions (Schedule I)
,1. TOlol Deduction, (lolclUnes Q & 10)
12. Not Voluo 01 eslate lline 8 minus lino 1 'I
13. Charitable and Governmental Boque'" (Schedule J)
lA. Net Volue Subject to 10lt {line 12 minus line 13)
15. Spousal Tronsfers (for doles of death aher 6.30.941
See Instructions for Applicable Percentage on Reverse
Side. (Indude values Irom Schedule K or Schedule M.)
16. Amounl of line lA 10Kable 01 6% rolo
(Include value, from Schedule K or Schedule M.)
17. Amount 01 line 14 10Koble a' 15% rolo
(Include value, Itom Schedule K or Schedule M.)
18. PrincipalloK duo IAdd lox from lino, 15. 16 and 17.)
lQ. Credih Spou,al Poverty Credit Prior Poymen"
+ 700,00
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lOR DAIlSOI DIATIt ^nlR 12/31/91 CHtCK HIRI
II A SPOUSAL .
POV_IRT.! CRIDIT lS CLAIMID I ] __. ----
1I11 NUMBIR
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NUMBER
(0",P11n M"'IW~C. "'DOIl[~~
36 South Hanovcr Strcct
Carlislc, PA 17013
(I) ____._0...00_______
(2) ______Q.Jl_Q____
(3) _0_.00
(4) _....-~~~---,-
(5) .-21.&51-.)3_--
(6),_,_15.8.)8
P) O.Op
I B)
21,815,51
(9) __.!l,2.2ti.~.--
250,88
(11) 12,177,87
(12) ..-2,637.64
(131 0,00
(141 9,63],64
(101
(15) _8"8].9..,,.1.1>----..-0,0:
(16) ___0.00_.. .00 =
(171__._751h!1L---.---. .15 =
___0-,-0.0
0,00
113,73
------~-_. - ~ -----
(1BI
113,]3.___-
Diuount
+,~8.1.-
Inlere,1
.__.7,3l1.,84
623 ,11
--~------
(191
(201
------ -------
20. ULina lQ is greoler than line 18, enter the difference on line 20. Thi, i, the OVERPAYMENT.
a ~1t4:rn'llil u .1....L.II..U..ilI'III.ltlhh...Hm:r.Ir.'I...L.III..l.'LJj~'JIIIIlI
21. Illino 18 i, grealor than Une 111. onlor the differenco on line 21. Thi, i, tho TAX DUE.
A. Enler Iho inleroU on tho balance due on line 21 A.
B. Enter tho 10101 of lino 21 and 21A on Uno 218. Thi' i, the BALANCE DUE.
Make Check Payable to: Reg~ Wills, Agent
(211
(21^1
(21BI
--*---~---
~--------
--_._-~----
~ ~ BE SURE TO ANSWER ALL QUeSTIONS ON REVERSE SIDE AND TO RECHECK MATH """'"""
Und.. p.nalli.' 01 p..ju.y. I d.d... ,ho' I ha,. .,am;nod ,h;, .0'",0, ;ndud;ng accompany;ng "h.dul., a.d ,'olomenh, and 10 ,h. b.1l 01 my knowl.dg. and b.Bol,
;1 il IIUO. ,all." and ,amplo'.. I d.daro ,hal 011 ,,01 .110'. hOI b..n .opa,'od a' "u. mark.' ,olu.. D.da.a';an 01 p..pa... o,h., ,hao ,h. p...onol ,0p,0Ion'aH,0 ;,
baled on all information 01 which prl!parcr hos any \..nowlt!dge.
"",,AlU ",,, "~"~\'W 'O~:;!}V -Too.." 91) Altcrs Rd,; Cill:lisle,PA-1701S------
..' 816_lIamiltDn,St., Carlisle, FA 17013...__
t Of (PAIlI OTtHllIIlAU:IA.ItHATIYf AllOII(!:o~
J ~'rtfJt- 36 S. Hanover St., Carli51c, PA 17013
n'i.i'lrrrra1 q 6
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I ..IS I. 11'11.1. .1"'11 TI'XI'.I~IENT
III'
II I ISSEI.1.1(, 1..lel\!:\'
I.ICI'SSIII. I,. Llt'I\I:\"..1 hIli ",.."h 1I,,,,,,,,cr SIrCCI ill Ihe 1I..lIlIIl:h..r Calli,le.
('lIl11bl'll.IIUI C'PIIIlI), 1'1'1111\)'1\'111I1,1, hl'illl~ lit" MUlIltl illlll disposing millll. memory and
Ul"lrf'I,llhhllJ', 1111 hl'll'''~ 1Il,1~1'. p"lth..h illllllkdilll',hi';l\ ;lIItl for m)' 1."\1 \ViII :nltl Testillllent
11\'II'h 11'\ 11\ IUl'. ,Il\lllll.l~ IOf \11111 ,1I1~' ;11111 ,Ill Will.. II)' lIle :11 ;IIIY lime hcrcloltnc milllc.
I 1IIIIn 1111\' Illll'lll.lllt'l 11,11111'111'1'1\011;11 H'IIfl'!Il'lIlali\'l,~s 1(1 1M)' "nof Ill)' just dchls illlll
IUlh'l.llnp"'l\'" .,\ "'Mill ,.fln Ill)' llt-.llh ;1\ ilia)' he luund (nnVCl1iclIl to tin \0, illl'hlllill~ the
1'.1) lla'Hllll ,111\ .11111 illllllllrlll.llh ", ,',l,lll' ;11111 .killh 1;1\1"; whidl WilY he paYilhlc 011 :H:cunnl of lilY
Ik,llll Iq',II""''' III \\h.'111I'1 1111' iI\'.I'I\ lltl \\ till'l, '"L'II 1;I\I's:ue l!;Isl..1 :ue part (If m)' prohalr csl;llC
III 111\1 1.lul'll Ih,11 Ill)' !Indy h,' 1II11'IIl'11 (11111)' huliill 101 luc.ucd ill We~lInin~lcr CClIll'lcr)' ill
NlIll" ""hldkllllllll\~Il\11I1' '1\',11 II,., 1t1l11l1lJ:h 01 ('.nlhlt., I'cnu\yl\':lIIiOl,
.' 11'1\t' ,lllil ''''llllI''lI11 ,llIlIIlIllIill IUlltl ~h;ul's nWllcl1 by me ill 111)' lIi1l11l', 1Ij1 Itl i1 val Ill' of
~hOO,l)l)O 00, III III)' 1\\0 (J 111,1111:1111'1', C.lIl1l)'1I ^"11 Iloover ;1Iul B:uh:lril Jo BC;lr. in trusl. In
1t'1,1I11111 H'mH'" Iln' ',llIlt' il\ inlht'lI jllllgml'l\l is hcsl, alld 10 pay Ihe incollle ;uisin~ Iherefrom:ll
k,l\l ,lI1llu,dl)" hI 01 1111 Iht' 1""Il1'11! of III)' wik, I.cma ~1. Ladcy. Ml long :IS ,he shallli\'C, :llld;1I
111'1 tlt'lllll \,1I1111l1\t \11,111 h'I1I111lOllt' .lIullhe IllinciJ1ill thereof ~h;11I he divided eqll:ll1y hetwcen m)'
",IIIII\\1I11,IIlI~hlt'I\, (';11111)'11 ^1I11 Iluowr mHIIl;uh;lr:1 1n Be:lr. Iheir 1I1'irs illltl :ls!oi~IIS. I1rn\'itlecl
t',1l II llllht'lI1 ',h,ll1 \1lI\'iVl' III)' \\ik, hUI ,hould eilhcr of Ihl'lII prcdl'ce",e lilY wifc Ihcnthe share
\lIth Ih'n'.t\t',l tl,IIlJ:hlt"lIf millt' wtluld ha\'e rCl'civccll'lhall he dislribulcd In MICh nf her issue ;IS
\kllll,,' Ii\'inl: ,II Illl' 11,lh~ (II Ill)' will.'\ Ill'alh, Pl'r \lirl'cs. :lIul if Ihcre he IIn Sill'll issue Ihl' same
,h,1I1 I'll' .llldt'tlllllllt' ,h,lIl' of lI1)'lIlhl.'r di1l1J-:llIl'r.l~r \liI11C'i,
.\. All 01' 1111' IC\I, H'l'Iitlue :HUlll'm:lilUler of my CSI;tll.', rcal. pcrsonal OllUlmixc:d :lIul
WhCII'\tll'nr tilt' Silllle lIIil)' he situillC, I,:ivc. devise :nul heqtlc:llh 10 my wife, Leora M. L;lckcy.
Iler hl'h, illlll ""i,:II'. Illlhe ndu,iulI (If lilY l'hilllrel1, hurll :lI1l1 unhorn, provided illY s:lid wife,
I.l'ttl;l M, 1.;ld,I'Y, \hall \lIf\'iw Ilk.' h)' il pl'filltl nfllil1ely (1)0) days"
,I. Sh,ullilm)' ,,,ill wife, I.l'm;1 M, L.u:ke)'. f;lilln survive IIlC hy a period of nincty (90)
11;1)'\, Ilu'lI ill \111.:11 C\'1'1l1 all uf the le\l, reshluc 1I1Ulrcll101imler uf 111)' el'll:llc. fe:11, pcr!iUnaluthl
III1~t'll, illltl \\hl"l."IK~\'l'r Iht' ';IIIIC 111;1)' hi' silll;IIC. I give, devise 01111.1 11ClIIIC:llh in cll"al shilrcs to
Ill)' IWo (2) 11.11Il:htt''', Illt'ir hcil\ Ollltlll\\igll'i. they hcill~ Carnl)'1I Anllllunver :nul Barham In
1....II.IIIII\.uk,1 t'iu'h IIr Illt'lII ,hall \l1I\'iw me h)' it 11crind lIf ninct)' (l)()) da)'s, hul shuultl eithcr uf
till' III 1,111 10 'Ill \llf\'I\"t' 1Ill' IIWl1lhc \hall.' '"l"h ,1t~CC;l'l't1 t!,lI1ghter \\'(lulll ha\'e n'l'civcd shall pass
In \111 h III !In i\\tIl. il\ \hall \tllviw IIlC h)' ;ll'erin~llIr nim'l)' (I)(J) d;I)'S. IIcr slirpcs, :lml if thcrc
I~' 1111 \lit h 1\\lH' Illl' ";Il1lt' ..h;IIII.II'\I' alltl h.' OUltll'llhl thc ,haw nf my othcr c1;IIIJ~lllcr,
SIlUllM \.'llhl'llIllII)' I!;llll:hh'rs len'ive chill:! or silvcr or ulhcr itl'ms of family u,e :Iml
\l'lllllllt'lIlill \',11111'.11 i, Ill)' H'IIIIl'\llh,lllhe Ilalll~hh:r n'l'civilll~ Slll'h ilem'i cVl"lluall)' (1a~s Ihem In
1Il"lk\t fllil,Hlh ".llh,lllht'\I' 111'11I' Will l'lllllillllt'lu Il'lIlllill in the f.lIlIiI)',
~. IlwH'hy 1I11Iltin.Ill', fllll\lilllll' 011111 :ll'poinl Illy wifr.l.l.'nril M" 1.:1l'kc)', :IS Ih:cclltrix uf
Illh Ill)' 1..1\1 Will ,lIhl Tl'\lilllll'1I1, hlltl'lholllil she ..:!itlll IllIillify or l'C:lSC scrving:ls slll'h.thcn in
!\lIt II t'vt'lIlI IlIJlllillalc', l'IlII'lillllC ;tllll :IPl'uilll my Iwo (2) daughlers, or cithcr or Ihem,lhc)' heing
<<';11111\11 1\ nil Iltltl\'cr OlIulllalllilrot Jo Ilc;n, '" :ahcrn.llc or SlIl'l'cssnr I~xcclllril'es, "'1l1 I funher
tlinTI"lh,lllllllll'llf Ihl'lIl \hOllllk.' le~llIill'd 10 1)lI~1 :IIIY hOlld In secure Ihc [.lilhfull1crfnnn:lIll'C of
IH'I lllllh'\ IIIlln' ('lIIllmtlll\\'l'ahh of I'l'IlIl'.ylvani;l or in.IIlY olher jurisdil'lion,
(I. III :lllllilillll In Ihl' I'uwrrs conferred hy law, h)' hercinhefure 1I01l11l'I) person;!1
It'Plt'\c'nl,lli\'t'\ illltl Tl\Isll'c' me t'lIlpO\\'ell'd:
;1. 'I'll ill\'l'sl :111)' pari uf Ihc lrust l'nrJ1us in stich sccurilies. invcstmcnts, or 1I111l~r
"'lIPl'lI)' a\ 111;\)' I~ ~11'Cll1l'll iulvis;lhle iIlHl pmpcr, irresJ1cClivc nf whcthcr Ihe S:\llle arc :ullhori/ctI
1111 1111' 111\I'\lllk'nl 'If 11'1\1 fumls under the laws of any l:11\'eming jurisdiclion,
h_ \Vilh rc\pcl'lln :1I1Y l'nrJ1omlioll, Ihe ShlCks. honds. ur olher sCl'urilics (If whk-h
111.1)' 1)(' 11l'1iI, In \'ole ill pcrson nr hy I'roxy un :lIIY sh;In~' of slnl'k: hi l'Ollscntln tile mcrcer,
flllt\lIlltl.llltllI or rl'oq:;lIli/:lIinlt (If slIch l'nrpOraliol1s; to l'un\cllI to the le:lsill~, lI1ortt:i111inll nr s:llc
lillIit' 1I'''lll'It)' of an)' such cnrpor.llinll~; 10 make :111)' sUITCmll'r. eXl'hanl:e or suhsliullinll of sudl
\ll~-~\, Illllltl\ Ilr tlllll'r sl'l'Ilrilics:ls all incident to Ihc II1crl:er, c'1I1sc)lillatinn nr n'nr~:lIIil:llh1l1 ()f
\Ill. II fllll't'lalitlll\; 10 pay :111 :lsseS'Il1CllIS, slIhscripliulls :1I1t1 olher MIII1S of mOlley which 111:1>' hc
IltT1I1\'11 WI'" ;IIUII"J't'tlit'nl for the pmlcclinll :lIId lI1:1inlcnam.'e nrllle prnJ1nninn:uc inll'rcl'll of Ihe
1II\i'\IIlll.' III III \1It'h t'(l'l,nr;uilllls; In exercisc all)' oplion or I1rivik'};e \\'hich ma)' he l"nnfern:tlllplllI
1'111:11 I of :! I'nl:('~'
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~:ara::~c:1 at:: your requcs t concerni nB accounts owncd, e i ther:.>';~,(-:r~;~
separatcly or jointly, by thc abovc rcfcrcnccd deccdent and the;.";',:,.',::';'\i
balance in each account as of the date of dcath, wc have .chec.k.e((;;:..:;J'.<~;i?
our records and are submittinll the' followinll information'4'Tn;;::.':.:,.~'::;:,t;j,
duplicatc. Wc SUBBcst that you file one of ',these letters attached:-\,').'/~,J..'
to the Pcnnsylvania Inventory forms (RCC)' to substanti.atc 'tn.~'.T.,,:h;:~:!\
balance you report .';: :::".,:,.:,,::;:~
. ....:. ' . ,
. .,'; :,_.;.~';. ';-"~:+:':>J~~i
No'te that wc .havc shown thc correct rCllistration for c~ch ~ccounf,.::::.,..,.:.;\;~({.:;!
Also, interest accrued' to the datc of death, if. any, 1S 11stcd.as..'>':,ii'.'..:...~'"..;i
a separate fiBure. .' .'.i,.\'{,:~..>.,..;.~;,':i
Checkine account 1/423327 was oriBinally opcncd 9/1/67 or b.efore,;:..,':'(:";;::i\;
The account was t i tied Russell, K. Lackey or' Leora S Lackey.. wi th' 'Ii.... ".::;:';;..,'.
Carolyn Hoovcr as Powcr of Attorncy, The balance 'a's'of 4/17/96wa:s':':,~'~;:::::\0!:,')
$156,764,26 plus $17,13 accrued interest. for'a total'!"o{:"':;\~:~::'f:{.;.:'~
$156.781.39, The account was a NOWAccount earninc'2,OO% in'te'~e's'"~\;.;!.,:i!~~~?i'i,~\;!
tth t. fd th ."'. .... .' ....'.. .' ,."."..,...,'.,...,...~'~
a e Ime 0 ea . . ' .' ." ,":'. .- . '. . '.: ..~ ~.~, ::':;.f.':.itl ..'
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. .ChcckinB account 11~47803 was oriein~llY oPc,ncd..9/1/67 or 'be~0'r~\,'\:\::)}~~::,lk.1
The account was t1 tied Russell K. Lackey W1 th ~Caro'lyn . Hoover a,s.~,.';:.,"'."i::\:,:,f,~",
Powcr of Attorney. Thc balance as.of 4/17/96'was"$20,799.4.9,..The~\;(.':.\I.;,:'::Fin~.:!
account was non-intercst bcarinu, . . . ,.,,' .. ". .. ,.:.,:";:',i..,'\';):.~::.'..~
o . . "'.' '..' c' I,'I',{."
. ... . ..;' ., ' '. " ~ ":'f:" . ..-.,' oi~"~2" :.'
SavinBs account 111-344736 was o'~iBinallyopcncct 1/29/86, .... Ti;~~>/:,;!:~:~.,:;~
account was titled Russcll K Lackey,or Dr Paul Crcedon with Car.oly~: ,,::!'.;:~I;O:~i~;:i.:l
Hoovcr as power of attorney" The balancc' as'of 4/17/9~wa~,'--..""'!::::i;'=1
$1,514.39 plus $1.97 accrued .1ntcrcst for a total of $1,516,36.': '. :"..:.:;,;,\,
The account was carninB 2,80% interest at the time of dcath,: '....... '.': 'J.:':.:~~:,i\
I . ,. .-" " ., ';",::.. ~"'(""
W~ have no record of a safe dcposit box in the dccedcnt's name,..r::'\~..:~t:.,;Ii:~.~
. . -- '.:-::~'.: ::.;', :~;,:'.",; ,:.;~~::( ;~':i
Aincc ely, RECEI"V" ED' ......:.;;<:,
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T ~sonc ," ,',.~... 1..":,,.~"..'I.~~llY.'
Karen oma;t'..",. .", " "';""-';;';'~~;
Supc rv i 91.\I!,Wilsl:lligll15trccf)p.Ql,\lifilQ20 Carlislc,l'cl1l1syl\'ania 17013 (717) 243_32~fndis Black &' Schorpp"l'; ;
.
May 17, 1996
Landis Black & Schorpp
36 South Hanovcr Street
Carlisle, PA 17013
Re:
~statc of Russell K Lackey SSN 171-28-0534
Datc of Death:
Apri I 17, 1996
'. '
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.
1I'tlSot... 111",
W
COMMONWIAllft O' PrNHSYlVAHIA
INIlUIIANCl TAX UIUIN
tUIDIN! DICIDIN!
urATE OF
Lnckey, HUSl.)oll K,
Jalnlllnanll.),
A,
NAME
Dr, Paul Crocdori
B,
c.
Jalnlly,awned properly:
SCHEDULE F
JOINTLY-OWNED PROPERTY
ADDRESS
625 West South Street
Carlisle, PA 17013
FILE NUMBER
21-96-0396
RELATIONSHIP TO DECEDENT
None
ITEM LETTER DATE
FOR TOTAL VALUE DECO'S DOLLAR VALUE OF
NUMBEI JOINT MADE DESCRIPTION OF PROPERTY
TENANT JOINT OF ASSET '!bINT. DECEDENT'S INTEREST
1, A 1/29/86 Fanners Trust Ccmpany 1,516.36 50% 758,18
savings account #1-344736
see letter attached to
Schedule E,
TOTAL (Also enle' an lin. 6, R.copilulolian) S 758.18
(II more space ;1 needed inserl additional sheets 01 same size)
ESTATE OF
Lilckey, Hussell K,
ITEM
NUMBER
I'YUIlI', ""1
.
SCHEDULE H J
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
M~~CELLANEOUS EX~ENSES Ploa.o P~nl or Typo
FILE NUMBER
COMMOUW( AIlIl Of '(NNSVWANIA
IWlUIIANCl lAX R(lURN
~~~lP-('!'.O,[~Lo.!!.!.'u_ _ _+_
21-96-0396
DESCRIPTION
AMOUNT
A, Funoral Expon.os:
B.
1.
2.
3.
4,
C,
1.
2.
3.
4,
5,
6,
7.
0,
1.
6,144.00
116.60
220.80
1,588.88
Hoffman-Roth Funeral Home
Wayne Noss Flowers
Westminster Cemetery
Carlisle Memorial Services, Inc" headstone
Admlni'lrativo Co.ls:
Personal ReprosentalivQ Commissions
Social Securily Number of Personal Repre.entative:
Year Commissions paid
Allorney Fee.
Landis, Black & Schorpp
Family Exemplion
Claimant Leora S, Lackev
Addrell of Claimanl 01 decedent'. doalh
0.00
Relatian.hip Spouse
3,500.00
Slroel Addrell
630 North Hanover Street
Cily
Carlisle
Zip Codo
17013
Slale PA
Pro bole Fee.
As advanced by Landis, Black & Schorpp, to date
Closing and filing releases
Mi.cellaneou. Expen.es:
206,71
150.00
TOTAL (AI.a enler on line 9, Recapitulalian)
5 11,926.99
(If more .pace i. needed, In.ert additianal.heets of .ame .ize.)
NOTE: To insure prop.r
cr.dit to your .ccount,
sub.it the upp.r portion
of this for. with your
tax paYII.nt.
(J
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*
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
IHHlRITAHC[ TAX DIVISION
OCPT. ZI06DI
HARRISBURG, Pi 1111'-0601
NOTICE OF tNllERITAHCE TAX
APPRAISEHENT, ALLOWANCE DR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF rAX
In. 114' II ", Ill.'..
ROBERT R BLACK ESQ
36 S HANOVER ST
CARLISLE PA 17013
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
RUSSEL L
12-30-96
LACKEY
04-17-96
21 96-0396
CUMBERLAND
101
Allount R..itt.d
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ....
iiEV:m-j-EX-AFii-m---96Tiiiii'-icE--OF--iNHEiiifi,ficr"'-/ix-iippiiAisEi'-EiiT~--Ai.l-ciwAiicniR-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF LACKEY RUSSELL K FILE NO, 21 96-0396 ACN 101 DATE 12-30-96
TAX RETURN WAS. I X I ACCEPTED AS FILED
( I CHAHGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Rool E.t.t. (Schodul. A) (II
2. stock. and Bond. (Sch.dule Bl .2)
3. Clos.ly Held Stock/partn.r.hip Int.r..t (Sch.dule C) (3)
4. Hortg.ges/Not.s R.calvable (Sch.dule D) .4)
S. C.&h/Sank Deposits/Hisc. Personal Property .Sch.dule E) (SJ
6. Jointly Owned Property (Schedule f) (6)
7. Transfars (Schedule GJ (7J
8. Total A.set.
.00
.00
.00
,00
21,057.33
758.18
.00
IBI
21.815.51
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funer.l Expans../Ad.. Cosh/Hhc. Exp.ns.. (Sch.dul. Hl .9)
10. DObtI/Ho,tg.go Liobiliti.I/Lionl ISch.dut. II 1101
11. Total Deductions
12. N.t Value of T.x Return
13. Charit.ble/Governnental a.que.t. (Sch.dule J)
14. Not Votuo of Elt.to Subject to Tox
11 . 926 . 99
250.88
Ill)
112)
113)
C14)
l?,I77 87
9.637.64
.00
9.637.64
NOTE:
I~ an assessment was issued previously, lines
reflect ~igures that include the total of ahh
ASSESSMENT OF TAX:
IS. A.uunt of Line 14 at Spous.l
16. Allount of Line 14 t.xabla .t
17. A.aunt of Line 14 taxable at
18. Principal Tax Du.
TAX CREDITS:
14, 15 and/or 16, 17 and IB will
returns assessed to date.
8,879.46 X ,00=
.00 X .06=
758.18 X ,15=
UBI
r.t.
Lin..l/Cl.s. A rat.
Coll.t.ral/Cl... Brat.
.00
.00
113.73
113.73
USJ
1161
1171
PAYHEHT
DATE
07-16-96
09-23-96
RECEIPT
HUHBER
AA146522
AA146768
DISCOUHT C"
INTEREST (-J
5,69
,00
AHOUNT PAID
700.00
415.23
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
1,120.92
1,007,19CR
.00
1.007.19CR
· IF PAID AFTER DATE IHDICATED, SEE REVERSE
FOR CALCULArION OF ADDITIONAL INTEREST,
I IF TOTAL DUE IS LESS THAN 'I, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECrED AS A "CREDIT" ICRl, YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORK FOR INSTRUCTIONS,)
K
O() J.J
1- (, \ ~ -' .1,
) -,J ~
~.
I
--.J
" , ,..
,:-,0, "..-,
RESERVATION, Eltat.. of dec.~t. dying on or before Dec~r Il, 1982 -- If any future Int.r..t In t~-..t.t. I'rtran,f.rr.d
In po.....lon or enJoyaent to Cia.. a reall.t.ral) b~flcl.rl.. of the decadant .ft.r the aMPlr.tlon of any ..tet. for
II'. or for y..r., the Co..~.lth har.by aMpt...ly r...tv.. the right to appral.. and ...... ttanl'.r Inn.rltanca 'a.B'
at the taMful CI... a (collat.ral) rat. on any luch future Int.r..t.
PlIll'OSE Of
HOTICE I
PAVHEHTI
REFUND(CRh
OaJECTlONSz
ADHIH
ISTRAT1YE
CORRECTIDHSz
DISCOUNT I
PENAL TV J
INTEREST J
To 'ulfJ11 tM r.qult..ents 0' SactJon 21ltO of tM Inheritance and E.tat. Tax Act, Act 'lZ of 1991. 72 P.S.
SKt10n 2140.
Detech the top portion of thl, Notle. and lubalt with your pay..nt to the Ragl.ter of WIll. printed on the ravar.. .Id..
--"aka cheek or ~y order payable tal REGISTER OF MILLS, AGENT
All p.r-ent. r~.lv.d shall 'Irlt b. .ppll.d to any Interelt which e.y be due with any re..lnd.r applied to t~ t.x.
A r.'und 0' . tax credit, which wa. not reque.ted on t~ T.x R.turn, ..y b. requ..t.d by coapl.tlng an -ApplIcation
for Re'und of penn.ylvanl. Inheritance and E.tate T..- (REV~I]l]). Appllc.tlon. .r. .v.llabl. .t thl Df'lc.
of t~ R.gI.t.r 0' Will., any 0' the Z5 R.venue DI.trlct D"lc.., or bv c.lllng the .p.clal Z~-hour
anlwerlng ..rvlc. nuabar. 'or 'or.. ord.rlng: In P.nn.vlvanl. 1.800.]6Z.Z0S0, out.ld. P.nnlvlvanl. and
within local Harrl.burg area (717) 787-8094, TOO' (717) 77Z-Zl5Z (He.rlng lap. Ired Onlv).
Any p.rty In Inter..t not .atl.fled with the appr.I....nt, allowanc. or dl..llowanc. 0' d.ductlon., or ......eent
of tu (InclUding dl.count or Int.r..t) .. .hown on this Notlc. au.t Object within .lxty (60) d.y. 0' rec.lpt 0'
this HDtlu by:
-.wrltt~ prot..t to the PA Depart..nt 0' Rlvenue, Board 0' Appeal., Dept. Z810ZI, Harrl.burg, PA 17IZ8-10Z1, OR
--.l.ctlon to have the .att.r det.r.lned at audit of the account of the p.r.anal repre.antatlv., OR
n~.l to the Orphan." Court.
Factual .rror. dl.cov.red on thl. .......~t should b. .ddr....d In wrltlna to: PA Dapart.ent of R.vanua,
Bureau of Individual T...., ATTN: Po.t AI'.....nt R.vl... unit, D.pt. Z80601, Harrl.burg, PA 111Z8-0601
Phone (717) 787.6505. S.e page S of the booklet -In.tructlon. for Inh.rltance T.. R.turn 'or. R..ldent
D.ced.nt- (REV-1501) 'or an e.planatlon 0' .d.lnl.tratlv.ly corr.ctable .rror..
If any t.. due I. p.ld within thr.. (]) c.l~r .unth. .,t.r the decedent.. d.ath, . 'Iv. percent (5~) dl.count of
the t.x paid I. allowed.
lhI 15~ t.. aana.ty non-participation penalty I. coaputed on the total 0' the t.x and Inter..t ......ed, and not
paid ba'or. Janu.ry 18, 1996, the flr.t day a,t.r the .nd 0' the ta. aana.ty period. Thl. non-partlclp.tlon
penalty I. app.alabl. In the .... .annar and In the the .... tl.. p.rlOd .. you would appe.1 thl t.x and Int.r..t
that h.. b.~ ......ed .. Indlcat.d on thl. notlc..
Int.r..t I. charged b.glnnlng with 'Ir.t day of d.llnquency, or nine (9) ~th. and one (1) day 'ro. thl data of
d.ath, to the data 0' payaant. Ta... which bee... d.llnquent b.for. Janu.ry 1, 198Z bear Int.r..t at t~ rat. 0'
,I. (6~) percant plr ~ calculated at a d.lly r.t. of .000164. All tax.. which b.c... dallnquent on and .'tar
January I, 198Z will ba.r Intere.t at . r.t. which will vary froe calendar year to cal~.r year with that rate
8Il"lnOU1Cad by the PA Departaent of Revenue. The appliCable Int.rut rat.. 'or 198Z through 1997 are:
"!!!! Inhr..t Rat. Dally Int.r..t factor !:!!r Int.rest Rata D.lly Int.rest fMtor
198Z ZO~ .OODS41 1987 'X .0002U
1915 16X .000411 aU-1991 IIX .000101
19" lU .000lDI I.., 'X .OOOZU
1985 UX .000]56 199]-1994 n .00019Z
I... lOX .OOOZU 1995-1991 'X .000l47
--lnt.r..t Is calculatact .. follow.:
INTEREST = BALANCE OF TAX UNPAID X NUIIBER OF DAYS DELINQUElIT X DAILY IIfTEREST FACTOR
--Any Notice luuad after the tax beeOH' delinquent will raflect an Intarut c.lculatlon to flfte'" Cl5) day.
bayond the data 0' the a..e.~t. If paraent I. aada a,ter t~ Int.re.t coaputatJon date .hown on the
Notice, additional Interut w.t be calculated.
BUREAU OF INDIVIDUAL TAKES
u.I:JtllAHtE fAX DIVISION
DEP'. ZIDUl
HAARISIUAG. PA 11111'0'Dl
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
*
tn."" U if' III.'"
01-Zl-97
LACKEV
04-17-96
Zl 96-0396
CUMBERLAND
101
RUSSELL
K
ROBERT R BLACK ESQ
36 S HANOVER ST
CARLISLE PA 17013
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
AMount R..1tt.d
MAKE CHECK PAVABLE AND REMIT PAYMENT TO:
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 1Z-Z3-96
PRINCIPAL TAX DUE,
PAVMENTS (TAX CREDITS),
PAVMENT
DATE
07-16-96
09-Z3-96
1Z-31-96
RECEIPT
NUMBER
AA1465ZZ
AA146768
REFUND
DISCOUNT (+)
INTEREST (-)
5.69
.00
.00
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
HOTE: To insure proper credit to your account, sub"it the upp.r portion of this for. with your tax p.y...nt.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
Rifv:i60-j-Eif-AFii-fi;f:96i-------..ii-iNifERiifANCif-fAif-sriiiEHifNi-CiF-Ac:Couiii--ii..---------------------
ESTATE OF LACKEV RUSSELL K FILE NO, Zl 96-0396 ACN 101 DATE 01-Zl-97
THIS SrATEHENT IS PROVtDED TO ADVISE OF THE CURRENr STATUS OF THE STATED ACN IN THE NAHED ESTATE. SNOWN BELOW
IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYHENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
. . . ~
0'0
R
~j
- -
'"
. .'L'
113.73
AMOUNT PAID
700,00
415,Z3
1,007.19-
"1
I
TOTAL TAX CREDIT
113.73
BALANCE OF TAX DUE
'"
!:I
~ .....
INTEREST AND PEN.
TOTAL DUE
.00
,00
.00
I)~ r- ,,- t..:
c.:.: ?' 2::J
. IF PAID AFTER TNIS DATE,~ii REVERSE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
I IF TOTAL DUE IS LESS THAN 'I,
NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI,
YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. I
PAYJENTI
Det8Ch the top po,.tlon of thll Notlc. and .l.CMIJt with YOU" PI)'Mnt .ade PlyBbh to the n... end IIddr...
printed on the r.v..... .Ide.
-.. If RESIDENT DECEDENT .ak. check or ~y ord.,. p'v8bl. tOI REGISTER OF WIllS, AGENT.
.... If NOH-RESIDENT DECEDENT uk. ch.ck 0,. .on'Y ord.r payabl. tor COKHONWEAl TH Of PENNSYLVANIA.
All Plv.ent. rle.lv.d .hall b. 'PPlled fl,..t to eny Int.r..t which '.y b. due with env r...lnd.,. 'Ppll.d to the te..
REfUND (CR)r A r.fund of a te. credit, which w.. not ,..qu..t.d on the f.. R.turn, "V b. r.qul.t.d bv caapl.ting an
~APPllcatJon '0,. R.fund of Penn,vlvania Inh.ritanc. and E.tat. f.." (REV-I1Il). 'Ppllc.tlons ar. .valllbl. at
the D'flc. 0' the R.gi.t.,. 0' Wills, eny of the Z5 R.venu. DIst,.lct O'flc.s a,. fro. the OIPart..nt.s Z4-hour
an.we,.lng ..rvlc. nuab.r. fa,. for.. ordarlngr In P.nnsYlvanla 1-800-56Z-Z0S0, outsld. P.nnsVlvanl.
and within local H.,.,.lsburg .r.. (717) 787-8094, TOOl (717) 17Z-ZZ5Z (H.a,.lng lap.lr.d only).
REPlV TDI Questions r.gardlng .rrar. contained on thll notlc. should b. addr....d tor PA DePlrt.."t of R.v....., Byr..,
01 IndIvidual T.x.., ATTNI Post ,......ant R.vl.w unit, O.pt. Z80601, Her,.l.burg, P' 17IZ8-0601, Phone
(717) 187-6S05.
DISCCUlTI
If any ta. due I. paid within thr.. (1) c.landar .onth. I't.r the dec.dent.. d.ath, . flv. p.rc."t (S~) dl.count
of the tax paid 11 aUoWed.
PEHAlTV:
The 15X t.. aane.ty non-P.,.tlclpetlon penalty I. COlpUt.d on the total of the taw and int.r..t .......d, and not
p.ld b.for. January 18, 1996, the flr.t day aft.,. the Ind of the taw aane.ty P.,.IOd.
INTERESfr
Int.r..t I. ch.rg.d b.glnnlng with fl,..t day of d.llnqu.ncy, or nln. (91 lonth. and on. (I) d.y fro. the dlt. of
d.ath, to the date 01 pay..nt. Ta... which b.ca.. d'llnquent b.for. January I, 198Z b.a,. Int.r.st at the rat. of
.1. (6%) Plrcent pe,. annua calculated at a dally ,.at. of .000164. All ta... which ble", dlllnquent on and aft.r
January 1, 198Z will b.ar Int.r..t at a rat. which will va,.y 'rOl callnda,. y.ar to cal'ndar y.a,. with that rat.
announc'd by the PA D,p.rt..nt of R.vlnUI. Th. appllCabl. Int.r..t ret.. for 198Z through 1997 .r'l
V..,. lnt.r..t R.t. Dally Int.r..t Factor
V..r
Int.,...t Rat.
Dally Int.rl.t Factor
1982 ZOX .aaOS48 1917 OX .OOOZO
1981 IU .OOUlI 1988-1991 IU .OOUOI
19" IU .OOUOI 19" 9X .00DZ47
1985 ISX .OOnS6 1"5.1~ 7X .00019z
1986 lOX .OOOZ74 1995-1997 9X .000Z47
--Int.r..t II calculated II foUow"
INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
."Any Notice Iuuld aft... the tl. becOll. d'lInqu.nt wUI r.flect an Int.r... Cllculatlon to flft.." ClS) dau
beyond the date 01 the ........"t. If pay.."t II ... 1ft.,. the Intlr..t c~tatJon date _hewn on the
Notlc., .dcUtJonal Int.....t ..,.t be; c'lculatld.
\
r;
.J ./
- /(1
')
/ ...
COHHONWEALTH OF PENNSYLVANIA
DEPARTHENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
c
*
BUREAU OF tNDtVtDUAL TAMES
...IlA1TAHC( lAX DIVISION
OCP'. ZlD601
HARRISBURe, PI. l1ua-0601
ROBERT R BLACK ESQ
36 S HANOVER ST
CARLISLE PA 17013
DATE
ESTATE OF
DATE OF DEATH
FILE NUHBER
COUNTY
ACN
_'HI" II "'IU,'"
05-05-97
LACKEY
04-17-96
21 96-0396
CUMBERLAND
101
RUSSEL L
K
Allount H..ttted
MAKE CHECK PAYABLE AND REHIT PAYHENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
HOTEl To insure proper credit to your .ceount, sub.it the upper portion of this forB with your t.x p.y..nt.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ....
R-iv:i6iij-E)f-AFfi-io:i:97i-------...--iNifiRiifANC-i-YA)f-SriifEHifNY-iiF-Ac:Couiif--.-..---------------------
ESTATE OF LACKEY RUSSELL K FILE NO. 21 96-0396 ACN 101 DATE 05-05-97
THIS STATEHENT IS PROVIDED TO ADVISE DF THE CURRENr STATUS DF THE STATED ACN IN THE NAHED ESTATE, SHDWN BELOW
IS A SUHHARY OF THE PRINCIPAL TAX OUE, APPLICATION OF ALL PAYHENTS, THE CURRENT BALANCE, ANO, IF APPLICABLE,
A PROJECTEO INTEREST FIGURE.
DATE OF LAST ASSESSHENT OR RECORD ADJUSTMENT, 12-23-96
PRINCIPAL TAX DUE I __,_
.--..----.-..--.---.------...-.-.-..... ---------..
PAYMENTS (TAX CREDITS),
PAYMENT
DATE
07-16-96
04-15-97
RECEIPT
NUMBER
AA146522
REFUND
DISCOUNT (+)
INTEREST/PEN PAID (-)
5.69
.00
113.73
AMOUNT PAID
700.00
591. 96-
TOTAL TAX CREDIT
113.73
.00
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
.00
.00
. IF PAID AFTER THIS DATE. SEE REVERSE
SIDE FOR CALCULATION OF ADDITIDNAL INTEREST.
( IF TOTAL DUE IS LESS THAN II,
NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI,
YDU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. I
",
"\
I
,
"
"-
PAYltEHT~
, I ~, _ ,
Detach thl top portlqn,of:thll Hatlc. and lub.lt with your pav-ent ..de payable to the n... end addr...
......-.,
prInted on tha r.v.r.. ,Ida.
If RESIDENT DECEDENT aaka check or RIley order paYable tor REGISTER OF WILLS, AGENT.
If NOH-RESIDENT DECEDENT .aka chIck or aoM'I order payable tal COHHOHWEAlTH Of PENNSYLVANIA.
REfUND (CA), . r.fund 0' . tl. credit, which wa. not r.queltad on the Tax Rlturn, ..'1 bl raqua.tad by cORPI.tlng an
RAppllcatJon for R.fund of Plnn,ylvanla Inherltancl and E,tat. Tax" (REV-1313), Application. ar. avallabla at
the Df'lcI 0' the Rlot,t.r 0' Willi, any of the 23 Alv.nu. District O"lc.. or fr~ the Dlpart.ent'. 24-hour
answering ..rvlce nuaber. for for.. ordering: In Pennsylvania 1-800.362-2050, outllda Pennsylvania
and within local HarriSburg ar.. (717) 717-109', TDDI (717) 172-2252 (Hla~lng I.pal~.d only).
REPLV TO: Due.tlon. ~.ga~dlng .rrar. cant.lned on thl. notlc. .hould b. .ddr....d to: PA D.p.~t.ent 0' Rlvlnue, lur.au
of Indlvldu.l T...., ATTH: Po.t A.....eent Rlvl.w unit, D.pt. 280601, H.rrl.bu~g, PA 11121-0601, ~
(117) 717-6505.
DISCCUlTt
If any t.. due I. p.ld within thr.. (l) calendar eonth. .'ta~ tha dacadlnt'. death, a flva perc.nt (5%) dl.count
of the tax paId I. .llawed.
PENAL TV:
Tha 15% t.. a~.ty nan.p.~tlclpatlan panalty I. co.putld an the total 0' the ta. and Intera.t ..I....d, and not
paid b.for. Janu.ry II, 1996, the 'Ir.t d.y a'tl~ the and 0' the tax .~.ty perIod.
INTEREST:
Intlr..t I. charged b.glnnlng with 'Ir.t day a' delInquency, o~ nln. 19) eonth. and on. (1) day 'roe the d.t. a'
de.th, to the data 0' pay.ent. T.... which blea.. d.llnquent be'ar. January I, 1982 b..r Inter..t at the rat. 0'
.Ix (6%) percent per annue c.lculated .t a dally ~.t. of .000164. All t.... whIch bee... d.llnquent an .nd .ft.r
Janu.ry 1, 1~12 wIll blar Int.r..t at a rat. whIch wlll.vary fro. cal.ndar y.ar to calendar yaar wIth that r.te
announc.d by the PA Dapart..nt of Rev~, The .PPllcable Int.r..t r.ta. for 1912 through 1997 ar.1
V.ar Intlr..t Rat. Dally Intar..t r.ctor Y.ar Int.r..t Rat. nally Inter..t recto~
1982 ZDX .000541 1987 9X .0002'7
1983 lOX .000'38 1911-1991 llX .000301
1984 11% .00OSOI 1992 9X .000247
1985 13% .000356 1993-1994 7X ,000192
1986 lOX .000274 1995-1997 9X .000247
"-Int.ra.t I. c.lculat.d .. followlI
INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINqUENT X DAILY INTEREST FACTOR
--Any Hotlc. h.ued att.r the tax bacN" d.Unquent will r.flect an Inter..t calcul.tlon to 'Ute.n US) d.ys
beyond the d.t. of the .......ent. If pay.ent I. aade .,tar the Int.r..t coaput.tlon data .hown on the
Hotlc., additIonal Intlr..t .....t b. calculatact.
\
PUIIPOSE OF
NOnCEI
To 'ulflU the r.qulneent. 01 Section ZlllS (b) of tM IntMrltanu and Estat, Ta. Act, Act 21 of 19'JS.
(72 P.S. s.ctlon 91"51.
~ ' \ J
PAYMENTl Detech ~ top portion 01 thl, Natie. and lubalt with your pay..nt to the Ragl,tar of Will, printed on t~
nV.rla llde.
n H..... chKk or ltOMy order paYable to: REOISTER OF MILLS, ACENT.
RUUNQ CCR) I A r.flRl of . talC eredl t ..y be requested by coaplaUna en "Application for Rdl.rld of Pamlvlvllnla
I~rltenc. ~ Eltat. ralC" CREVplllS). application. .r. a"allebl, at the OfficI of the Regl,t.r 01 Will.,
MY 0' the ZS R.v~. District O'flc.. or fr~ the Departaent', Z4-hour enlwlrlng ..rvlea nuaber. for for.. orderlnGI
In P~.ylv,"l. l-IDD-16Z-ZD5D, out.lda Pann,ylvllnla end withIn local Harrllburg ar.. (717) 7.,-a09.,
TOOl (717) 77Z-ZZSZ (H..rlna lapalred Only),
OBJECTIONS: Any p.rtv In lnt.r..t not .atl.'led with t~ a.....-.nt 0' tax a. shawn on thl. notice "1 object within
.lxt1 (60) da1' 0' r.celpt of thl. Hotlce b1l
....wrlttM prot..t to the PA D.part...,t 0' R.venue, Bo.,.d of App.ah, Dept. 211OZ1, Ha,.,..lburll, PA 17121-1021, OR
-..Iectlng to haY. the .att.,. det.r.lned at BUdlt 0' the par.onal r.pr"Mtatlv., OR
-.appe.l to the Orphan.' Court.
ADMIN.
ISTRATlVE
CORRECTIONS I FeetUIII .rror. dhcov.nd on this ........"t should b. addr....ct In writing tOI PA Dep.rt.."t 0' R.v......,
Iur.1U 0' Indlyl~l T.x.., ATTN. Po.t A..a.....,t Revl.w unit, Dept. 210601, Harrisburg, PA 17121-0601,
Phone (717) 717-6505. See page 5 0' the bookl.t "In.tructlon. 'or Inherltanca Tax R.turn 'or a R..ldent
Decadent" (REV.lS0l) 'or an axplanatlon 0' ~Inl.tratlv.ly correctable .rro,...
PENAL TVI
The 15X tax ~.ty non.p.,.tlclp.tlon penalty I. coeput.d on the total 0' the tex and Int.r..t a.....ad. and not
paid ba'o", January 11, 1996. the 'Ir.t d'1 a,t.r the end 0' the tax aana.ty p.rlod. Thl. non.pa,.tlclpatlon
p."alty h appealable In the .a.. a8nntl,. and In t~ the .... tI.. p.r lod as 10U would appeal the tax and lnt.rast
that has bean ......ed a. Indluted on this notlc..
INTERfST I
Fo,. dat.. 0' d.ath on or a'ta,. 10.S.91, P~'1Ivanla E.tat. Tax ba.ed on the Flderal E.tata Tax
r.turn bee..s delinquent at the .xplntlon 0' nine (09) aonthl 'rOIl the data 0' death.
For d.t.. 0' death prior to 10-S.91, P~'1Ivanla Estat. 'ax ba.ed on the Fader.l E.tat. 'ax r.turn
beco-.I delinquent at the .wplratlon 0' .Ight.., (11) aonth. 'rH the data 0' dI.lh.
Tawa. which bK8M delinquent b.'ora Januar1 1, 1912 tMar Int.r..t at the rata 0' .he (n) pa,.CMt par 8l'V'IU8
calculated at a dally rata 0' .000164. All taxe. which beca.. delinquent on or a,t.r Janu."1 1, 1911 will b.a,.
Intars.t at a rata Which will vary ',.oe calendar y.ar to cal.ndar yaar with that rata announcad by the PA
Oapart-.nt of R.venue. The appllcabla Int.,...t rat.. for 1912 through 1997 a,..1
V.ar Int.r..t R.t. DailY Int.r..t facto,. V.ar Int.r..t Rat. D.lh Inter..t fecto,.
1912 20X .00054' 1917 'X .000247
1915 lOX .000431 1918-1991 I1X .000301
I'" I1X .000301 1992 'X .000247
1915 I!X .000356 1995.1994 7X .000192
1.116 lOX .000214 1995.1991 .X .000247
ulnt.r.st I. calculated a. followlI
INTEREST. BALANCE OF TAX UNPAID X HUlI8ER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
_.Any Notlc. Is.ued .ft.,. the tax baeo... delinquent will r.'lact an Int.r..t c.lculatlon to 'If teen (15) da1s
M10nd the date of the ........,t. If paYMf'lt Is nda aft.r the Int.ra.t coaputatlon dIIt. ~ on the
NoUc., addltlon.1 Int.r..t .....t be calculated.
PURPOSE Of
NOTICE I
To fulfill the r.qulr...nts of S.ctlon 2145 (b) of the Inherltanc. and Estate fax act, act Zl of 1995. (7Z P.S.
S.ctlon 9145).
paVK[Nf l
D.tach the top portion of thl. Notlc. and lub.lt with your pay..nt to the R.gIst.r of Wills prlnt.d on the
r.v".. lid..
-- "ake ch.ck or lon.y ord.r payable to: REGISTER OF MILLS, AGENT.
AErUND (CA)I
a r.fund of . tax cr.dlt .ay b. r.qu..tad by co.pl.tlng 8n "Application for A.fund of P.nn,ylvanla
Inharltanc. and E.tat. Tax" (AEY-ISIS). Application. are avallabl. at the Offlc. of the A.glst.r of Will.,
any of the Z3 A.vanu. DI.trlct Offlc.. or fro. the Dapart..nt'. Z4-hour an.w.rlng ..rvlc. nu.b.r. for for.. ord.rlng1
In P.nn.ylvanla 1-aOO-]6Z-Z050, out.ld. P.nn.ylvanl. and within local Harrl.burg ar.a (717) 787-8094,
TOOl (717) 77Z-ZZ5Z (H..rlng lepalr.d Only).
OBJECTIONSl Any p.rty In Int.r..t not .atl.fl.d with the a.......nt of tax a. .hown on thl. notlc. .ay obJ.ct within
.IMty (60) dan of r.c.lpt of this Notice byl
--wrlttan prot..t to the pa Dapart..nt of R.venu., Board of Appeal., D.pt. Z810Z1, Harrl.burg, PA 17IZ8-10Z1, OR
--.I.ctIng to haY. the .aU.r d.t.r.ln.d at audit of the p.rsonal r.pr.sentatlv., OR
--app..l to the Orphan.' Court
ADtlIN-
ISlAATIVE
CORRECTIONS1 ractu.1 .rror. dl.cov.r.d on this ........nt .hould b. .ddr....d In writing tal PA D.p.rt..nt of R.v.nu.,
Buraau of Individual lax.., AlTH~ Po.t a......ant A.vl.w Unit, D.pt. Z80601, Harrl.burg, PA 171Z8-0601,
Phon. (717) 787-6505. S.. pagl 5 of the bookl.t "In.tructlons for Inh.rltanc. Tax A.turn for a A..ld.nt
D.cadant- (REY-ISOI) for an .xplanatlon of ad.lnlstratlv.ly corr.ctabl. .rror..
PENALTV~
Tha IS~ t.x .an..ty non-participation p.nalty I. co.put.d on the total of tha tax and Intarl.t .......d, and not
paid b.for. Janu.ry 18, 1996, the flr.t day .ft.r the .nd of the tax ..n..ty p.rlod. Thl. non-plrtlclpatlon
p.nelty I. appe.labl. In the .... .ann.r and In the the .... tl.a p.rlod .. you would IPp..1 the tax and Int.r.st
that h.. b.en .......d a. Indlcat.d on thl. not Ie..
INTEAEST I
Addltlon.1 P.nn.ylvanl. Estlt. f.x .......d .. a re.ult of . chang. on the r.dar.l E.tat. Tax Closing
latt.r baco... d.llnquent .t the .xplratlon of one (1) .onth fro. the data the final notice of the Incr....
In F.d.ral E.t.ta T.x I. r.c.lv.d.
Tax.. which baca.. d.llnqu.nt b.'or. January I, 198Z b.ar Int.r..t at tha rat. of .Ix (64) parcent p.r annul
calculat.d .t a dally rat. of .000164. all tax.. which baca.. d.llnqu.nt on or aft.r January 1, 198Z will b..r
Int.r..t at a rata which will vary fro. cal.ndar ya.r to calandar y.ar with that rat. announcad by tha PA
O.Plrt.ant of Ravanue. Th. appllcabl. Int.r..t rat.. for 198Z through 1997 aral
'!!!! Inter..t AlIt. Dally Int.r..t Factor V..,. Int.r..t AlIt. Oally Inhr..t Factor
1911 20~ .000548 1'187 9X .000247
19U IU .000418 1988-1991 IIX .000101
198,. 1IX .00OSOI 199Z OX .OOOZU
1985 UX .00OSS6 1991-1994 7X .00019Z
1986 I'X .000Z74 1995-1997 OX .OQQZ47
--Inter..t Is calculat.d a. follows:
INTEREST = BALANCE OF TAX UNPAID X NUnBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Hotlc. I..uad aft.r the tax b.co... dallnqu.nt will rafl.ct an Int.r..t calculation to flfta.n (IS) day.
b.yond the data of the ........nt. If p.y.ant I. ..d. aft.r the Intar..t co.put_tlon d.t. shown on the
Notlc., additional Intar..t au.t b. calculatad.
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,
RECEIPTS OF PRINCIPAL
1996
4/96 Farmcrs Trust Company. checking account no, 447803 20,799.49
5/28 Capital Blue Cross. rcfund 235,10
5/28 Troy Laundry - rcfund 22.74
6/18 Chubb Life Insurancc Company - policy #000222503, procceds 2,046.15
1997
5/1 Pennsylvania Treasury Department - refund 591.96
717 Pennsylvania Treasury Departmcnt - 1996 tax refund 369.00
Total Receipts of Principal 24,064,44
1996
5/28
PRINCIPAL CONVERSIONS TO CASH
Gain
Loss
Farmers Trust Company - checking
account no, 447803 Proceeds
Account Value
20612.97
20799.49
186.52
186.52
Net Loss on Conversion
DISBURSEMENTS OF PRINCIPAL
1996
5/28 Wayne Noss - funeral flowers
5/28 Cocklcy's Electrical Service, Inc. - invoice
5/28 Darlene L, Moycr - 1996 personal tax
5/28 PP&L - invoice
5/28 Hoffman-Roth Funeral Homc - funeral
6/3 Pennsylvania Department of Revenue - 1995 tax
7/15 Register of Wills - on account, Pennsylvania Inheritance Tax
8/19 Westminister Cemetery
116.60
24.50
10,00
37.70
6,144.00
178,68
700,00
220.80
2
8/19 Carlisle Memorial Services, Inc,
1,588.88
1997
10/3 Landis & Black - costs advanced to date
Total Disbursements of Principal
224.92
9,246,08
RECEIPTS OF INCOME
1996
6/27 Farmers Trust Company - interest, estate checking account no,
2670002639 25.52
7/26 Farmers Trust Company - interest, estate checking account no.
2670002639 27.37
8/27 Farmers Trust Company - interest, estate checking account no.
2670002639 25,58
9/27 Farmers Trust Company - interest, estate checking account no,
2670002639 24,72
10/25 Farmers Trust Company - interest, estate checking account no,
2670002639 3.54
11/26 Farmers Trust Company - interest, estate checking account no.
2670002639 6,07
12129 Farmers Trust Company - interest, estate checking account no.
2670002639 32.43
1997
1/27 Farmers Trust Company - interest, estate checking account no,
2670002639 2.84
2/27 Farmers Trust Company - interest, estate checking account no,
2670002639 3.04
3/27 Farmers Trust Company - interest, estate checking account no.
2670002639 2.75
4/25 Farmers Trust Company - interest, estate checking account no.
2670002639 3.05
3
5/28 Farmers Trust Company - interest, estate chec1:ing account no.
2670002639 3.82
6/27 Farmers Trust Company - interest, estate checking account no.
2670002639 4.06
7/25 Farmers Trust Company - interest, estate checking account no,
2670002639 3.91
8/27 Farmers Trust Company - interest, estate checking account no.
2670002639 4.50
9/5 Farmers Trust Company - interest, estate checking account no,
2670002639 1.60
9/26 Farmers Trust Company - interest, estate checking account no.
2670002639 2.76
10/7 Farmers Trust Company - interest, estate checking account no.
2670002639 1.60
Total Receipts ofIncome 179,16
DISBURSEMENTS OF INCOME
1996 & 1997
0,00
0,00
None
Total Disbursements of Income
ADVANCEMENTS TO BENEFICIARIES
1996
9/27 Carolyn Ann Hoover (Beneficiary of Leora M. Lackey Estate)
9/27 Barbara Jo Bear (Beneficiary of Leora M. Lackey Estate)
Total Advancements to Beneficiaries
6,000,00
6.000.00
12,000,00
,;1 An
(Lt/r,~n VI
Carolyn Ann Hoover
,/ )
'. '{LL~0aJ.t\ ",_OJ
Barbara Jo Bear/
I-ktJ U.1l.K
,
'-..ir (U.-
4
.
o. '.
COMMONWEALTH OF PENNSYLVANIA )
: SS.
COUNTY OF CUMBERLAND )
Carolyn Ann Hoover and Barbara Jo Bear, being duly sworn according to law, depose and
say that the Account as stated is true and correct, and that the Grant of Letters Testamentary and
the first complete advertisement thereof occurred more than four (4) months before the filing of
the Account.
{!(Jv.-IJ~)n Iko(j-lj(.-
Carolyn Ann oover
,
,:{~
Sworn and subscribed to before me this
15~ dayof_~,joVFCiYl60. ,1997
(1o-f~ f'-fYC09L
Notary Public
NOTARlAl.SL\I.
Illl.olU. wgtJ.N01AIlY PUBlIC
0lIlUSl11l81. W118[RlNtD CO" PA.
fmIS SEPt ID, 2001
5
INRE:
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
ESTATE OF RUSSELL K. LACKEY,
: ORPHANS' COURT DIVISION
: NO, 21 - 96 - 0396
DECEASED
SCHEDULE OF PROPOSED DISTRIBUTION
Combined Balance for Distribution
Remaining as per First and Final Account
TO: Carolyn Ann Hoover (Beneficiary of Leora
M. Lackey Estate)
- final distribution
_ close checking account
Barbara Jo Bear (Beneficiary of Leora M.
Lackey Estate)
2,811.00
1,404.70
1.60
1,406.30
1.404.70
- final distribution
TOTAL BALANCE FOR
DISTRIBUTION
2,81100
STATEMENT OF THE REASONS FOR THE PROPOSED DISTRIBUTION
The above distribution is proposed in accordance with the Last Will and Testament of Russell K. Lackey,
f!,tL~.f1.'i1 AliI" ;,If.d()--l!K..-
Carolyn Ann Hoover
v:~6~ 9. 4~(M-
Barbara Jo BeaF'
6
"
"
COMMONWEALTH OF PENNSYLVANIA
)
SS,
COUNTY OF CUMBERLAND
)
Carolyn Ann Hoover and Barbara Jo Bear, being duly sworn according to law, depose and say that the
facts set forth in the Statement of the Reasons for the Proposed Distribution are true and correct.
U\M:4r tJ.n n l+rotJli-(.,
Carolyn Ann oover '
"
./ '
. /t.u.6tl,.t.(\. ( I
Barbara Jo Bear (
Sworn and subscribed to before
me this ~ day of
t..hll"MA~ t ,1997,
_ILu~0 /t(3Jt~vc]L
Notary Public
NlIAL stII.
am llOOl.1I01M'l P\J8tI:
CMUSLE ecm. aJiI8[Rt.Illtl co.,...
Il'IlXlIIlISSOl Dl'IlES SEPT. I 200t
7
,
. -, ..-..
I.,\ST Wll.t, ,\Nll 'n~';TMIENT
OF
ItllSSEl.t, K,I.'\CKE\'
,/
1.llllSSEI.I. K, J.,\CKI':\" nr (,JII Nnnh lIannvcr Slrcel in Ihe Il"'nn~h nr Carli,le,
Cumherland County, PCl1l1sylvnniil, hcin~ tlf snulul :11111 di!\pnsing millll. lIu~l1mry itlll)
underslandinG. dn herehy make. l1uhlhh :uul dcclllrc this :IS mul fur my 1..:1\1 Will ami 'l'csl;11111:1I1
hcrchy rc\'uking ;\mlmakillG void ,lilY :lIul 0111 Wills hy me .11 lllty time hcrclnforc madc.
I. I dilCl'l my hcrl'ilmflcr lliUlICd I1c~nl1,,1 n,.'prc!'iclIl:lIivcs In 11:1)' illl of m)' jU!l1 dehls muJ
funeral expenses as sunn liner my t1Cillh llS may he fnumll'unvcnicnl In dn sn, illChulillt: Ihe
11OI)'l11cnl (If i1l1)' nlld :111 illlu~rit;lI1cc. cM:Uc iIIul death taxcs whkh 1I~:IY he 11:1)'01hlc un ilL'l'Ullnl uf my
dCillh n:t:anllcss (If whelher Ihe us\CIS {111 which such luxes arc h:I!rlOO inc piut nf my prohate c!\l;Ilc
(lr IInl. I dircclllm' my hody he irllem:d un my huriilllot h'K,.'aled ill Wesllnin!'ller Cell1clery in
NUT'" l\liddlclUlI Township nCOIr Ihe nnruu~h uf Cmlhle. Pellll!'lylvill1iil.
2. I give ;nul hcquc:uh ullllluluill fund shilrcs uWllcd hy me in my mllllC, ul,lu n v<llue of
$(~K),(KK),()(), III illY IWIl (2) dau~lllers, Carolyn Ann I hKlVer and lIarl",m JIl IIcar. in Ir",I, III
n:lain or reinveM the s:nnc a.. in Iheir jUtI~lI1cnt is hcsl, ilnd In P:lY ,he income :Irisill~ Ihcrefrom :11
len\1 mUlU:llly 10 ur fur Ihe hellelil uf my wife. Leora M. L;lckcy. sn Inl1~ liS she shalllivc. :nul :11
hcr dcalh ,aid IruSl shalllcnninale alllllhc prineil'allherenr sl",1I be divided cqually bClwccn lilY
sailllwn dallghtcrs, Cilrulyn Ann IhMlver :mtl Umlmm Jo BCilr.their heirs tlml assigns, provided
cm:h (,rlhem shill I survive my wife, hul slumld eilher uf thcmllfcdcl.'ca!tC my wifc Ihen ,he slH1rc
such deceilsed daughler of mine wuuld have received !rIhilll he diSlrihuled In such nf her issuc itS
shall he living ;,lIlhe date of my wifc's de:lIh, per !ilirpes. :Uld if there be 110 such issue Ihe same
sh.11l he .,,"!l'd 'n Ihe !rIharc uf my uther c1:lIIghtcr, per Mirpcs.
3. All of Ihe rest, residue :lIul rcmainder of my est:lte, real. persOIml and mixed llnd
wheresoever the s:nnc may be siluate. I ~ive. devise und beque:lIh 10 my wife, Leor:ll\t. I..adey,
her heirs and Assigns. 10 the exclusion or 111)' children, horn and unborn, provided my Solid wife.
I.com M. I."ckey, shall ,urvivc lIIe hy a pcriod or nincly (9()) days,
4. Shoultlmy said wifc,l.eora M. L:lckcy. rail to survivc me by u pcriod of ninety (90)
d..y~, Ihen in such cvent nil uf Ihe rest, residue amI relmlilll..lcr ur my eSlalC, rC:II. l'erslln:tlunJ
mixed. imd wheresoever ,he smnc may he sit mile, I give. devise and Ilcqllenth in e(IUal sh:m:s 10
lilY Iwo t2) dau&lllcrs, Iheir heirs allll as,i&ns, Ihey hein& Carolyn Ann IllxlVcr allllll'lIhanl In
Bear, provided each or IhclII shall snrvivc l1Ie hya I'crind nr nincly (911) days. hUI should eilher or
Ihem rllitlo so survivc mc Ihen the share sud. decci1sed daughtcr would have received Sh:ll1l'ass
10 sueh ur hcr i"uc a' shall survive lIIe hy a !,eriod ur nincly (911) day', per slir!,cs, and ir Iherc
he no such i""e Ihe ,allle ,halllal"e and hc addcd lu Ihe sh'lIe or lilY nlher t1aU&hlcr.
Should eilher of my di1Ughters receive chiml or silvcr ur other itcms or ramil)' II\C and
senlimcnt:ll v;llue, il is my n:llllcslllml the d:llIghlcr receiving such hems evenllmlly P:ISS ,hcl11 hi
her dcscendarHs so 1IuII theM: items will conlinue 10 remain in the rmnily.
5. I herehy nmninate, constilule itnd appoinl my wife, Leom M, Lnckey,lIs EXl:culrix of
lhis my l.m..1 \ViII ,11111 TeM:ul1I:nl, hut !'hnllhl !'hc f;lilln II1Iillify or CC:l!'l' sl'rvin~:I\ snch, IIll'n in
snch evcnt Ilu)lllin:lle, clnlslilUIC lUnl t11'1'KlinlIl1Y Iwo (2) d:lugllters, tJr cilllcr llf lllel11, Ihey h..'ing
C:lmlyn Annllnovcr and Barham Jo BC:lr. :IS iIlternalc nr MICl.'es!'nr l!xel'utriccs, mull runhcr
direcllhat nOlle or thel11 !rIhilll hc rCtlllin:d In 1'Klst :IIlY hund In M:cure tht' fililhfull1erfnnn.lI1l:C of
her dudes inlhc CUl11l11nnwc:llth of Penllsylvillli:l or in :lI1Y OIlier juristlktinn.
6. In additinn hi Ihe powers l.'onferretl by 1:1W. hy hercinhefure named pcrsonal
rerrescnliltives ami Trustees ,Ire empowered:
:1. To invest :1I1Y P:lrl uf the trusl corpus in such sel.'urilies, invCsUllerlls. or nlher
propenr as nmy he deemed advisahle ;md I1rnpcr, irrespeclive of whether the smne arc authmi/.ed
ror Ihe mvesuncnt of lrust funds under ,he 1:IWS ur :IIIY guveming jurisdktioll.
h. \Vilh respecl to :my corporalion, the Mllcks. lxmus, or uther securities of whieh
nmy he held, to vole in persun or by proxy on any shares or stock; 10 cnnsentln Ihe l11crser,
consolid:l1ion or reurg:llIi1..1Iion of such corpm.uions; In l.'OnM:nltu the leilsing, mortgaging or sale
of Ihe properly uf :my such cnrporJlions; 10 f11:1kc any surrender, e~ch:llIge orsuhslitlllion nf such
stocks. honds or othcr sccurities :IS an incidenl1U the mergcr. l.'on!'nlitl:l1inn or rcnrganil:uinn nr
Sill'll corporations; 10 pOly itll :lsse!rlS11lCIIIS. suhscrilllinns :md c!lher slims or muney which m:1\' he
deemed wise illld expedienl rur lhe prtllel.,tinn :lI1d m:1iI1ICllanl'e of Ihe prnpnninn:lIc inlercM nr the
inveMI1k:flt in SllCh l'nrlJt1r.llioIlS; h,cxeR.'isc ;IIIY l'luinn ('r privilege which 111:1)' he l."U1rCrTI.'t1upclII
Pn~c I or 2 1'1l1:C~