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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
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! Cohick, Neltle N,
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11/22/29
275 Center Hoad
Newville, "A 17241
In Futull' InhHe\! COlTlpfomiH~
(lor dolflS of d('oth alter 12.12.821
Ol'cedent Died Tu\'Oht 7 Opccdl'nl MOlnloined 0 living Tru\1
(Aunch cop)' 01 Willi IAUoch copy of Tru\t)
[ALL CORRESPONDENCEANDCONFIDENTIAL. TAX fNFORMA TIONSHOU to-BE DIRECTEDTO;------. - ---- ---
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! 182-22-6764
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5/12/96
('-'''',
Cumberland
3
RemuindlH Return
(lor dale\ 0' doalh prior 10 12.13.821
5 F('defal Estate To...
Rp.turn Rp.quired
Totul Number of Safe Oepo\it Bo...o~
''''
VI;>!
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Vo.
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BrouJos. Gilroy & Houston,
4 North Hanover Street
Carlisle, "A 17013
P.c.
I B)
114.679.27
Total Gran A\\et~ (tala I linos 1.71
Funeral Expcmes, AdminiSlraljvo Cosh, Miscellaneous ( 91
E"'penso~ (Schedule H)
1 O. Oebh, Marlgage liabilities, liens (Schedule II
11. T 0101 Oeductions (10101 linn\ Q & 10)
12. Net Volue of Estate (Ii no 8 minus lino 11)
j13. Char;'a.bl.C an.d Govo..rnm.on.a.1 B.Oq.uo."'ISCh.edUle. J)
____n _l_~_:....~Of_Y~~~e_~~bi~~I_I_O }~_x._U!n~ 12_ ~~~_u~ .I~n~__!~!_
15. Amount of line 14 taltable at 6% rate (15)
(Includo ...alue~ from Schedule K or Schedule M_)
16. Amounl of lino 14 taltable at 15qb role
I (Include voluo\ from Schedule K or 5chcdul(! M.)
117. Principal tOll. due (Add 10... from line 15 and from line 16.1
18. Credih I'rior Paymenh Discount
Oriqinul Rt'Iurn
2 Suppl('ml'nlol Relurn
20,804.14
93,875.13
93,875.13
----~------.~-------- ---.
5,632..51.
117)
5,';32.51
J limih.d EstClh'
_0_ B
(I B)
11Q}
5,632.51
20. If line 17 i~ grunter than line 18, enter the difference on line 20. This is the TAX DUE.
A. Enter the interest on the balance due on line 20A.
B. Enler the 10101 01 line 20 and 20A on line 20B. This is the BALANCE DUE.
Mako. Check Payablo.to: Roglster of Will., _A_gonl
.. ..BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH..
Under penaltie\ 01 petiury:ld~c1Qre Ihol I ho...o e.omined Ih-is rrtufn, ";duding '~~Z;;;ponying schedules cnd ~lof;;;n!;:~d- 10 Ih;' be\I 01 my ~nowledgo and belie!.
it is Irue. (orrocl cnd complelo I dedofo Ihol all real eslolc has bpen reporled ollrue mar tot volue Declarolion of propmer olh~, rhon the pt't\onol reprc.nenlahve IS
bosed on all information of which preparer ho\ any knowledge
(\~j.l~r~~i?;"~j':.;;:~~'G "'U'N - m - A~~~'l. ?.-:,~.-;"-y-.i. }."~ I- r... . f. ;;/,..rf ,i. t /.~;..;".Ii(), fl.. If. d,..) DA "%.. .t4..-
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STGNAT~~.5l' JJJI'1t~2..lP1tlAU RfPll{!>ft-tlATI'..r A[)D~nS ;. -, . OAT[ ~
-~~[1~~h _ __ _ 4 N. lIanover St., Carlisle, I'A 17013 ~ Jj1}-.
Christopher c. lIouston, Esquire
lEifp"t,cnu"'N"i..lMBfR ~------. ___.on_
.... _j Lll7
243-4574
I Real E\la'e ISch,.dule A} ( II
2. Slack. and Bond. (Schedule B) I 21
3. Clo\ely Held SIod/Partnt.>r\hip Interest (Schedule q (31
Morfgagc\ and Noto\ Receivable (Schedule 01 ( 41
Cosh. Ban~ Oopo~ih & MiHelloneotn Personal Properly I 5)
(Schedule E)
95,000.00
19.679.27
Joinlly Owned Properly (Schedule F)
T,anlfe" ISchedule GllSchedule L}
{ 6}
( 7)
20.498.53
(10)
305.61
93,875.13
(II)
(l2)
(131
..._. __ JIJI
X .06 =
(l6)
X .15 =
Inleresl
+
19. If line 18 i~ greater Ihan lino 17, enter tho difference on line 19. This i\ tho OVERPAYMENT.
filL...
Check here if you are requesting a refund of your overpayment.
5,632.51
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (V') IN THE
APPROPRIATE BLOCKS.
YES NO
1. Did decedent make a transfer and:
a. retain the use or income of the property transferred, .......................................
b. retain the right to designate who shall use the property transferred or its income,
c. retain a reversionary interest or ....................................................................
d. receive the promise for life of either payments, benefits or care? .......................
2. If death occurred on or before December 12, 1982, did decedent within two years
preceding death transfer property without receiving adequate consideration? If death
occurred after December 12, 1982, did decedent transfer property within one year of
death without receiving adequate consideration? .................................................
3. Did decedent own an 'in trust for' bank account at his or her death?.....................
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
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.Y.II02IX+ lUll
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIOENT DECEDENT
ESTATE OF
Nellie H.Cohick
(All prop.,.y lolnlly.own.d with Right of Survlvonhlp mull b. dl.cloud on Sch~ul. "F")
SCHEDULE "A:'
REAL ESTATE
FilE NUMBER
2196-0404
ITEM VALUE AT DATE
NUMBER DESCRIPTION ASSESSED VALUE OF DEATH
1. Heal Property with lmprovements thereon located
at 275 Center Road, Newvllle. Cumberland County,
PA 95.000.00
TOTAL (Also enler on IIno 1. Recapilulalion) S 95.000.00
(If mor. IpIC. II n.ed~ In..,. .ddltlon.1 Ihu.. of um. III.)
Ilvl)()1 II. \1"1
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J'J~'9C\
-~
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
Ploal~ Pdnl a!~ Typo
FILE NUMBER
COMMONWfAlfH 01 PENNSVlVANIA
INHIlIfANCI fAX I"UIN
IUIDENf DECEDENr
ESTATE OF
Nellie M. Cohick
2196-0404
IAII prop.rty lolntly.own.d with th. Righi of Survlvouhlp mUll b. dllclol.d on Sch.dul. FI
ITEM
NUMBER
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
DESCRIPTION
VALUE AT
DATE OF DEATH
2.000.00
Two Cemetery Lots located at Westminster Cemetery
1989 Chevrolet Celebrity - sale
3,000.00
Social Security
678.00
Kinney Manufacturing Corporation
46.95
Cash
1.008.96
Life Insurance Premium Refund
11.49
Automobile Insurance Refund
91.80
Health Insurance Refund
14.03
Life Insurance Refund
61. 85
Electric Refund
41. 32
Sale of Household Contents
5.157.31
Farmers National Bank Checking Account
7,312.56
Social Security
255.00
TOTAL (AlIa ontor on lino 5, Recapitulation) t- J1.67'h2~;--~-=~
IAlloch additional BV,H )( l1H ,huh if mote space i, needed.)
IIVUI11'.j1Ut
ESTATE OF
ITEM
NUMBER
. .... -. ..-0 .... ..
1I~.1~:9C\
- 5f/!~
COMMONWEAltH Of PENNSYLVANIA
INHERITANCE 'AX AnUAN
IUSIDEN'DECEDEN'
i SCHEDULE H
j FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
,_ MISCELLANEO~,S EXPENSES ,.Plea.e P,lnl 0' ,Typen..
J FILE NUMBER
2196-0404
n'__.______.___.nn________. .__
Nellie H. Cohick
DESCRIPTION
AMOUNT
A, Funa,al Expanses:
1.
1,000.00
Cremation
2.
Egger Funeral Home
475.00
B. Admlnlst,atlve Cosls:
C.
1.
Personal Representative Commissions
Social Sacu,ily Numbe, 01 Personal Rep,e,enlollve:
Yao, Commi..ions paid 1997
184 - 26
197 52
- 3559
3206
2,750.00
2.750.00
2.
Allorney Faas - Broujos, Gilroy & Houston. P.C.
3,000.00
3.
Family Exemption
Claimant
Add,e.. 01 Cloimonl 01 decedenl's deolh
St,eet Addre..
City
Stole
Zip Code
Relalionship
4.
Probole Fees - Cumberland County Register of Wills
261. 00
1.
Mlscallanaous Expanses:
Advertising of Executors' Appointment
74.71
2.
Advertising of Executors' Appointment
60.00
3.
Filing of Inheritance Tax Return
15.00
4.
Filing of First and Final Account
120.00
5.
Advertising for Sale of Contents
8.20
6.
Advertising for Sale of Contents
7.80
7.
Advertising for Sale of Contents
13.40
Jll.
Balance from Schedule H, Pages 2 and 3
9,963.42
TOTAL (Also enlar on lino 9. Rocopitulolion)
(II mo,e space Is needed, Inse,t additional shaets 01 soma size,)
5 20,498.53
SCHEDULE H
Estate of
File Number
2196-0404
Nellie M. Cohick
ITEM
NUMBER
AMOUNT
DESCRIPTION
C. Miscellaneous Expenses (cont'd.):
8. Food for Workers for Cleaning of Real Property
on Sale of Contents 53.69
9. Electric 53.20
10. Electric 68.23
11. Advertising for Sale of Contents 6.85
12. Advertising for Sale of Contents 11.97
13. Electric 48.72
14. Electric 31.95
15. 1996/97 School Taxes 729.46
16. Electric 26.69
17. Electric 23.49
18. Electric 24.90
19. Homeowner's Insurance 75.00
20. Costs for Water Purification 83.74
21. Estate Checks 17.24
22. Culligan Water Service 63.50
23. Electric 70.72
24. Gas for Lawn Mower 18.00
25. Stamps 6.40
26. Payment for services for cleaning of real
property and assistance in sale of contents 430.00
27. Mowing 300.00
28. Sign for Sale of Contents 13.00
SCHEDULE H
Estate of
Nellie M. Cohick
ITEM
NUMBER
DESCRIPTION
C. Miscellaneous Expenses (cont'd.):
29. Ad for Sale of Contents
30. Materials for Water Treatment System
31. Transfer Tax for Sale of Real Property
32. Notary Fees (Real Property Sale)
33. Real Estate Commission for Sale of Real
Property
34. Termite Certification (Real Property Sale)
35. Water Certification (Real Property Sale)
36. Septic Certification (Real Property Sale)
37. Disbursement Fee (Real Property Sale)
38. Electric
39. Clean up/removal of trash dump on real
estate
40. Income Tax Preparation
TOTAL PAGES SCHEDULE H, PAGES 2 AND 3
File Number
2196-0404
AMOUNT
6.65
135.00
950.00
5.00
5,700.00
30.00
175.00
250.00
35.00
120.02
200.00
200.00
9,963.42
~ .
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Iht I'flllllin.., "llhi, 1',""";11'11 trl.uiTlIt In mt..Ji.l!i1l11 \h,,1I ,tlf\'i\(' ,tlllemelll nn lhc ,"hic~ll'tIlrcIIY III ('",lic' lefluill,It1'lIIulllli, t\lt1c\"mtlll.
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11Im S~'lel1l.
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Ihtlll hno,lIlllJh, Ihr~ ,hall !1;l\C no rUc(1 _hal\o('lel ill 1I('1('llIIininll Iht tighl' IIf uhliJalilln\ nr Ihe 11;\lli('\.
H \lilll.l"I1" , 1111' ,\I iH,nll'N I ('ONtA'N' IIII' \\'11011' A!iHIHII'NI ""'\\'I'IoN 1I1E'E1'I'H ANII "01'1'11 1111 HI' .\HI' NIIIIIIII'H II'HM', "'" hi,'
II11N', . Il\'l N 'N l\, MI"'HI \I'N'" liON'. \1 ," I'.MI'N" "" 10NIIIIIIIN', 11."1. IIH 111111'0\\'''1'. 0' "N' KlNII \\,11,"'''''\'''. (IIN'THN'Nli 111'\
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Inll NIlI Write ill This Splice I
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""'R~~ <::..;;t~~
II"''''
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Ill"
ISh\l,
Westmillster Cemetery, IIIC.
1159 Newville Road
Carlisle, P A 17013-1777
Phone 717-249-2029
Fax 717-249-9365
January 27, 1997
Broujos Gilroy & Houslon
4 North Hanover Streel
Carlisle, P A 17013
RE: Cemelery Property - Leroy C. Cohick (Deceased)
Nellie M. Cohick (Deceased)
The cemetery property (Garden of Benediction, Lot 233-B, spaces 1 and 2) deeded to the
late Leroy and Nellie Cohick has a current value of $1 ,000,00 per space.
If you have any questions please do not hesitate to contacllhe office,
~;s 0 /1-0' ~
Fonda 0, Moyer 'J
Office Manager
"...,'".,. ~ ,
. I
; l-i97rr' .'
T""-"
LAST WILl. ANU TESTAMENT
OF
NELI,IE M, COlliCK
1, NELLIE M. cOllICK, of Uppel' 1'l'llllklol'lJ 10\;(IslllP, l:lImhel'land
COllnty, Pennsylvania, I'evolw my pl'lOI' wills alld declar" Ihls 1.0
be my last WIll:
FJ,R$:I': PAYMENT OF EXPENSES - I dll'''CI. Ihal. all my .11ISI d..hlS and
funeral cxpenscH. Includin~ my ~r'nvenll'I'Il"el' nnd nIl expl'lI~es ot 1Il~'
Last illness, stulll be paid 1'1'011I my rPHldllur'y csLu.t.t! us goon ns
practicabLe after my decease as a part of the admlnlslral.lon of
m~' est.ute.
SECOND:
LEGACIES - I hereby make the followlnq legaCies:
(,\1 One l'housand DalLal'S 1$ l,lJUu.UUI to my
granddauqhtel', IIEATIIEll MCGINNlh; and
IUI One Thousllnd Uollars II I,UUu.lJUI to my grandson,
UUST 1:\ COli I CK.
'!'I:!JRQ_~ RESIDUE OF ESTATE - I hereby .lIreet that the l'esIdu" of
my estate, real and personal, be sold arid/or lIqUIdated and that
the proceeds therefrom be pLaced IN TRUST WIth my sister,
CATHERINE L. SOUDERS, as TRUSTEE, for my daughter, LANA L, COllICK
for and during her natural life, to "pply the income and so much
of all the principal thereof as the Trustee may deem proper for
her support, maintenance, weLlllre, medical and tunerlll expenses,
and at her death, any portion thereafter remaIning, I give and
bequeath in equal slU\I'es unto CATIIEHINE I.. SOUUERS, IIEATIIER
MCGINNIS, UUSTIN COlliCK, and JUlJY ANN UAUliJlEHT\, on a pel' capita
distribution basis.
fQ.URTH: EXECUTOR - I appoint CATJlEIHNE L, SOUU~:RS and DAVID
lJAUGHERTY as Co-Executors of my WiJL. ~either m~' Co-Executors
nor any successor shall be required to give bond,
FlFT,H:, PROTECTIVE PROVISION - An~' and al L pa~'ment 01' payments of
any sum or sums, whe>ther in cash aI' In kind and \;hethel' for
principaL or Income>, payable to thc saId benelIcIaries of
benel'iClaO', shall be made upon th" sol" I'ecelpt of the
respectl"" Indi\'ldual 10 \;llOm the pa~'ml'nl IS made, and Iree from
antlcl\llltlon, aLienatIon, assignment. attaclllne>nt, and pledge, and
free tram control by thp t'l'pdt1.or's oJ al1~' s\lch beneficiary. #\11
"AliE I
STATE OF PENNSYLVANIA
SS
COUNTY OF CUMBERLAND
I, N~:LLIE ~t. CUIIICK, havln!!
law, acknowledl!e that. I sl!!ned
Will and that 1 sll!ncd It. as my
purposes t.hel'ein expI'essed,
hcen duly qllalll1ed /lccorllln.; t.o
the 1'0reL\0InL\ Instrllment as m~'
fr'ee and volllntary act 1'01' the
(
\ I.,) ..// '
, /I U
~ J.. /:) ~t - .'/
]v.J'.(....~-, ~. /. . ()/Z-<..C<c. '.
NELLIE M, culllCK, TestaU'lX
We, huvin!! been duly qualified accordinL\ t.o law, depose and
say that. ,;e were present and saw NELLIE ~\. COllICK siL\n t.he
foregolll!! Instrument as her Will; that she Signed It as her free
and volunt.ary act 1'01' the purposes therein expressed; that. e/lch
of us In hel' Sight and hearing and at hCI' re<luest. sl\clned the Wi Il
as Witnesses; and t.hat. t.o the best of our knowledl!e she was at
the time 1M or morc years 01' aRC, of Round mind and under no
constraint. 01' undue inflllence.
Ch.!'_~nj.L'V r- ;YLL{lIlk-P,l;)
C. / L
-Cd~L7J' ( ,t.: '
-------
Subscribed, sworn to or affirmed,
and acknowledged before me by the
above-named Testatrix and by the
witneRses whosc na~es appear
opposite on this !:J.Jb. day 01'
___NC~y~011l~c.:J"-....' I !l!l;l.
If I l
.ou'jU! .j'h{/I:~,- fl
Notar~' I'ubllc r
.-
No"lI1"Is"n1
Rdwd L W(-tjJl<, J'. NoWY "'l:foe
Sh1lf""':oo.g l)'ltO. C"ro~,md c"",1y
My ~l'o!'M'" bOi1':tS Ot~.~. 1~m
PAUl' ;\
;.;" /t1J ~ 1
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BURI.AU Of INDIVIDUAL TAX[S
IHlIlMIIAHlI "'.IIIVI<:.IO",
DIP'. ,'8OhOI
11"~\lISlIll"'r.. 11' 1/1:1\ ohOI
NOIIC[ or INHI.RIIANC[ lAX
Al'f'RA15[tUNI, AllOWANcr OR DlSAllOWANC[
or DEDUCTIONS AND ASSrSSM[NT or TAK
CHRISTOPHER C HOUSTON ESO
BROUJOS ET AL
" N HAllOVER ST
CARLISLE PA 17013
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
,
,
L_
08-11-97
COlt! CK
05-12-96
21 96-0',0"
CUMBERLAND
101
^Moun f" R-~~. i-t ted
~~ -1
.... Ii .
. ..... 'f.
~r;~."~<'" ~~\.
'(, r..";'~~' ,," ~.,
.,~ ~).~;' .....t
'4~r"\{":'''f .l:?
.t.,h/l.I",:I-tll
NELLIE
1'1
_..~- -_.~ -- ._------~ ------
_-""-_0--=1
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 ..
R-Ev:is4-j-E)f-AFP--io:i:97i--NoificE--oF-i-NHEiiiTAiicE-r-Ax-iipPRiiisEM-ENT~--ALi:OWAiicE-iiR-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
NELLIE 1'1 FILE 1'10.21 96-0404 ACN 101
If an assessment was issued previously, lines 14, 15 and/or 1&, 17 and 18 will
reflect figures that include the total of ~ returns assessed to date.
ASSESSMENT OF TAX:
15. Anount of Line 14 at Spousal rat. CIS)
1&. Anount of line 14 taxable at lineal/Class A rat. 11&)
17. ^nount of Line 14 taxable at Collateral/Class 8 rat. 117)
18. PrincIpal Tax Due
TAX CREDITS:
PAYHENT
DATE
02-10-97
ESTATE OF
COHICK
TAX RETURN WAS: I
I ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGltlAL RETURN
1. Real Estate ISchedule Al 111
2. Stocks and Bonds ISchedule BI (2)
3. Closely Held stock/Partnership Interest ISchedule C) 131
4. Mortgages/Notes Receivable ISchedule Dl 141
5. Cash/Bank Deposits/Nisc. Personal Property ISchedule EI 151
&. Jointly Owned Property ISchedule Fl 1&1
7. Transfers ISchedule Gl (7)
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
q. Funeral Expenses/Ad~. Costs/Nisc. Expenses ISchedule H) lql
10. Debts/Mortgage liabilities/Liens ISchedule II 1101
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/GovernMental aeqUests (Schedule JI
14. Net Value of Estate Subject to Tax
NOTE:
RECEIPT
NUHBER
AA185155
DISCOUNT (0)
INTEREST/PEN PAID (-I
.00
( X I CHANGED
SEE
95.000.00
.00
.00
.00
19 ,679 .27
.00
.00
181
20.498.53
305,61
Ill)
112)
1131
1141
.00
86.253.41
7.621.72
K .00=
X .06=
K .15=
liB)
AHOUNT PAID
5.632,51
INTEREST IS CHARGED THROUGH 08-26-97
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX CREDIT
:BALANCE OF TAX DUEl
I INTEREST AND PEN. I
, TOTAL DUE :
DATE
A IT ACHED
08-11-97
tlDTlCE
NOTE: To insure proper
credit to your account,
subMit the upper portion
of this forM with your
tax paYl!'lent.
114.679.27
?O .804 14
93 .875 ,13
,00
93.875.13
.00
5,115.21
1.143.26
6.318.47
5,632.51
685.96
33.04
71 9.00
. IF PAID AFTER DATI. INDICATED. SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REflECTED AS A "CREOn" ICRI. YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)
RESERVATIONI Estates of docodonts dying on or before O.co.bor I" 198, -- If any futura Intorost in tho estate Is transf.rr.d
in POII.lslon or enJoy..nt to Clals B Icollaterall benaflclario. of tho decad.nt aft.r tho expiration of any estate for
lifa or for vaars. tho Coooonwealth horobv ..preslly r.s.rvol tha right to apprail. nnd assoss transf.r Inhorltanc. Taxos
at tha lawful Cia's B (collateral) rato on any such futuro Intarelt.
PURPOSE Dr
NOflCE:
To fulfill tho requlrQnants of Suction 21~0 of tha Inheritanc. and Eltato Tax Act, Act 21 of 1995. 11, P.S.
Section 9140).
PAYHEHT:
Dotach tho top portion of this Notlc. and subelt with your pay~ant to tho Ragistor of Will, printed on the rov.rsa sid..
-.Hake ch.ck or .on.y ordar payablo to: REGISTER Of' HILLS, AGENT
REFUND (CR):
A nfund of a tax cr.dlt. which was not requested on tho fftx Return, .ay be requeltod by co.platlng an "Application
for R.fund of Pennlylvanla Inharitanco and [stat. fax~ IA[V-l1111. Applications are avallabl. at tha Dfflco
of tha Rogl'ter of wills, any of tho ,1 Revonu. District Offices, or by calling tho spacial 24-hour
answ.ring servlco nuebors for foro' ordaring: In ponnsvlvania l-eOO'~b,-,OSO. outside Ponnsvlvanla and
within local Harrisburg araa (111) 761'609~. 100' 1111) 112-ZZI:J, IItoaring I.palrod Onlyl.
OBJECTIONS: Any party In interolt not satl,fiod with tho nppralso~ont. allowanca or disallowance of daductlons, or assoss.ont
of tax I Including discount or Int.r.st) as shown on thl. Notlca .ust objoct within sixtv (60) days of roc.lpt of
this Notice by:
-.wtitton protest to the PA nopart"ont of Aovenua. Board of Appoals. Oopt. ,81021. lIarrhburg. PA 11128-10,1. OR
.-.loctlon to have tho natta~ detar.inod at audit of tha account of the personal ropr.sentatlv., OR
-.appoal to tho Orphans' Court.
AOHIN
ISTRATIVE
CORRECTIONS~
Factual orror. dlscoyorad on this al,.ssoent should b' addr.lsld In writing to: PA nlpart.ont of Aav.nu.,
Buroau of Individual Tax.s. ATTN: POlt ASlals.ant Alvlow unit. nept. 280601, HarriSburg, PA 11128.0601
Phon. 1717) 787-6S05. Sa. page 5 of Ihe bOOk lot "Instructions for InharitanCI rax Rlturn for a Rosldent
O.cadant" (REV.ISOI) for an ..planatlon of adalnistrallvoly corroctabl. Irrors.
DISCOUNT:
If any tax dua I. paid within thra. 13) callndar aonths aftar the dacadlnt's daath. a five parcant (5Z1 discount of
tha tax paid is allowad.
PENAL TV:
Tha ISZ tax aan.sty non.partlclpatlon p.nalty I. cooput.d on tho total of the tax and Int.ra.t assaSlld, and not
paid bafora Janu.ry 18, 1996. tho first day aflar the ond of tha ta_ a.nlsty parlod. This non.partlclpatlon
p.nally Is applalablo In tho sa~a "annar and in tha tho sa.o tl.a porlod as you would applal tha tax and lnl,ro.t
that has b.an as'.lsad as Indlcatad on this notlCI.
lNTERESh
Intaralt Is char gad b.glnnlng with first day of dlllnqu.ncv. or nlna 191 aonths and one III day froo tha data of
d.ath. to tha data of pay..nt. Taxas which baca.a dalinquant boforo Januarv I. 1982 baar Int.rost at tha rata of
sl. (6~) parcont p.r annul calculat.d at a dailv rat. of .00016~. All ta.a, which bacaao dolinquant on and .ftar
January I, 1982 will baar lnt.ro.t at a rata which will vary froa callndar Ylar to calondar yaar with that rate
announcld by tha PA Olpart.lnt of Ravlnua. Th. applicabl. intoro't ratal for 198, through 1991 ara:
~ Intare.t Aate Dally Intarlst rltctor !!!r Inl.rllt Rat. Dally tntorast Factor
1982 ,0:< .000S<<08 1981 .~ .0002<<07
1981 16Z .QODU8 198e.1991 II~ .000101
198<<0 IU .000lDl 19', .~ .0002U
1')85 13;( .ODD356 1'91-1994 11. .000192
1986 10;( .00027<<0 t995.I'J'I1 9% .000241
"Int.rnt i. calculatad as followl:
INTEREST = BALANCE or TAX UNPAID X NunSER or DAYS DELINQUENT X DAILY INTEREST rACTOR
.'Any Notice 1.luad aftar the tax bocc... dallnquent will refllct an Intorasl calculation to fift.on CIS) day'
b.yond thl dati of tho a"I,..ant. If pay.ent Is oade aflor tha Intorost co.putatlon data shown on tho
Hotica. additional Intarost .ust ba calculatod.
Itl V .~ .,'1' ,'. ".1
~\\~J~
1~I~w
CCl"U,II''''\\1 AlIll,'1 1'\ ......'1\.'.."
(lII'AIH"IN1I" !it \1 "\'1
DUR[AU or INOl\1IlU-'1 UU!I
1'11'1 ;/1,"....'.
tlAIl.l~j!\llll'~,; 1'.\ . .. ;11 ,~',"
DECEDENl S NAMI. Nellic M C~';i~k
INHERITANCE lAX
EXPLANA liON
OF CHANGES
I'lmnA If I JOA
6/4/97
1111.1. NUMBER 2196-0404
ACN 101
SCHEDULE ITEM EXPLANATION OF CHANGES
NO.
J 4&5 Two of the rcmalndcrmen arc potential 15% beneficiaries. therefore, the remainder
interest is taxable y, at the 6% tax rate and y, at the 15% tax rate.
TAX CALCULATION IS AS FOLLOWS:
Net Estate $ 93,875.13
Less: Life Estate @ 6%, see attached calculation - $ 78,631.69
Trust Remainder interest 15,243.44
Less Yo remainder interest to grandchildren @ 6% - 7,621.72
Yo remainder interest to sister and niece @ 15% 7,621.72
TAX EXAMINER J Paul Dibert
ROW Copy
PAGE 1
>.~;'
"
In
~
f7?
,.",.
~. ....
t!..:
~.;
__ ::l
r"" '"
..,-.J
.-
~ ,.,,-"'''''.'''''r. ~
/..' ./
RECEIVED BY /, 1/1 ,I.'~ . " ..' . . .y' ~..I!t/.
./ 5IGNA'U,Rf;>' ,. '. "
MARV C. LEW'IS ,'//,:/;.,/:/ j- :,
REGISTER OF WILLS'
.1~I1UIII''''1
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
I
*'
o NO. AA 185155
ACN
ASSESSMENT t:'
CONTROL ...
NUMBER
RECEIVED FROM:
D
AMOUNT
CHRISTOPHER t: HOUSTON
101
t3,b3e.31
_ N HANOVER STREET
CARLISLE, PA 17013
_IOlDHflf
ESTATE INfORMATION,
I:t fiLE NUMBER
Y 21-1996-01,01,
1:1 NAME Of DECEDENT (LAST)
~ COHICK NELl.IE M
~ DATE Of PAYMENT
iii 02/10/97
m POSTMARK DATE
COUNTY
SSN 102-22-6761,
(fiRST) (MI)
CUMDERI.AND
DATE Of DEATH
m TOTAL AMOUNT PAID
$5,6:32.51
PH
05/12/96
REMARKS
SEAL
CATHERINe SOUDERS &
DAVID DAUGHERTV
C/O OlRIS'IOPHER C HaJSTON
CHECK II 30
REGISTER OF WILLS
.----
~"""""'M."~ _'-~"<l... .,:.
PAVMENT:
O.tach the top portIon of thl. Notlce and .ub~lt with your pay.ent ~ade payable to the na.. and addre.'
printed on the rever.e .lde.
I f RESIDENT DECEDENT. u. chack or ~on.y ord.r payabl. to: REGISTER OF WILLS, AGENT.
If NON-AESIDENT DECEDENT .aka chack or .on.y ordar payable to: COHHONWEAL TH OF PENNSYLVANIA.
AEfUND (CA): A r.fund of a taM cr.dlt, which was not r.qu..ted on the TaM R.turn, ~ay b. r.qu.st.d by co~pl.tlng an
"Application for R.fund of Pennsylvania lnharltence end Estate TeM" (REV-Illl). Appllcetlons are avallabl. at
the Office of the Regl.ter of wills, any of the 2l Rev.nue District Offices or fro. the Depart.ent's 24-hour
answering ..rvlc. nu.ber. for for.s ord.rlng: In PennsYlvania l-aOO-36Z-20~O, out.ld. Pennsylvania
and within local Harrisburg araa (7171 787-8094. TOO' (7171 71Z-ZZ52 CHaarlng lepalred only).
REPLV TO: Que.tlons ragardlng errors contained on thl. notice should be addrassed to: Pl D.part..nt of Revenu., Bureau
of Individual TaM.', lTTN: Post Ass.ss..nt Revl.. Unit, nept. Z80601, Harrisburg. PA 11128-0601, phon.
(711) 161-6505.
DISCOUHTl
[f anv taM due I, pald within three (l) cal.ndar .onth. aft.r the dec.d.nt'. death. a fly. parcant (5~) dl.count
of the taM paid It allo",.d.
PENAL TV I
lh. 15~ taM a.ne.tv non-participation penal tv I. co.puted on the total of the taM and Intera.t assa.sad, and not
paid be for. January 18, 1996, tha first day aft.r tha and of the taM a.n.sty parlod.
INTEREST:
Intar..t I_ tharvad baglnnlng with first day of dallnqu.ncv, or nlna (9) .onth. and on. (1) day fro. the data of
daath, to \tIe date of pay.ent. Taus which baca.e dallnquant b.for. January I, n8Z bear Internt at tha rat. of
,I. (6~) parc.nt per annu. calculat.d at a dally rat. of .000164. All ta... which b.c... dellnqulnt on and aftar
January I, 198Z will b.ar Int.re.t at a rat. ",hlen will yary fro. cal.ndar year to calandar ya.r .Ith that rat.
announced by the PA Depart.ant of R.venu.. The applicable intere.t rat.s for 1982 through 1997 are;
Vaar [nt.r..t Rat. Dally tntarlst ractor
Vear
tnternt Rat.
Oally Intar.st factor
1982 ZOiC .000548 1987 .. .000247
19U 16~ .000438 198a-1991 1\X .000301
1984 l1iC .000301 1992 .~ .000247
1'91S U~ .0003~6 1'93-1994 7X .00019Z
1'986 lOiC .000274 1995-1997 9X .000Z41
.-[nt.r..t Is celcu18ted .. folio"'.:
INTEREST = BALANCE OF TAX UNPAIO X NUHBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
.-Any Hotlca I,.uld aft.r the taM b.co.e. d.llnquent will r.flect an Int.r..t calculation to flft.en (1~) days
b.Yond the data of the as.a.s..nt. If pay.ent I. .ad. aft.r the Int.rest co.putation date shown on the
Notlc., additional Int.re.t .ust be calculat.d.
STATUS REI'ORT UNDER RULE 6,12
Name of Decedent:
N~:LLIE H. COllICK
Date of Death:
HAY 12. 1996
will No.
2196-0404
Admin. No,
pursuant to Rule 6.12 of the Supreme Court Orphans'
Court Rules, I report the following with respect to completion of
the administration of the above-captioned estate:
1. State whether administration of the estate is complete:
Yes X No__
2. If the anSW0r is No, state when the personal
representative reasonilbly believes thilt the administriltion will be
complete:
3. If the am;~:el' to No. I is Yes, state the following:
a. Did the personill representative file a final
account with the Court? Yes X No
b. The ~H'i"~J',ILL' Orphans' Court No, (if any)
the personal represenLati~~'~ uccounL is:
lor
c. Did the personul representative state an
account informally to the parLies in interest? Yes Ii No
Kre-
. ,
d. Copies of receipts, releases, joinders and
approvals of formal or inlormal accounLs may be filed with the
::::,'f"::~97orPh"'" CO",r ,,,' m,y~shi' rep''''
19na Lure
CIIRISTOPlIER C. HOUSTON, ESQUIRE
Name (Please type or print)
52 WEST I'OHFRET STREET, CARLlSLE, PA 17013
Address
(717 ,241-5970
Tel. No,
CapaciLy:
Personal Representative
X
Counsel for personal
representative
(MAH: rmfl AM3)
CSIUI(' of __Ne 1_1 I e_ ~1.__Coh lck
also klloU'Il UJ __..___ .. ._____._
PETITION FOn PIWnATE Ilud (;J(ANT OF LETTEnS
No, .0:>1-=.9. lo -yQ_Li_____
To:
--- - -- - 1l<'gi>lcr of Wilb for Ihe
---- --- -_____ _. . 11<'('1'11.1(''', COIIIII)' of __(;~lIl1herl and______ in
Social Se('urity No, _~G9-1i!_-.6-7;!f1~ l'if:!..:.<~ -(,.fl<.. '(Commonweallh of Penll'ylvallia
The pelilion of Ihe IInder,igned le,peclfllll)' leIHe'elll' Ihat:
YOllr pelilioner(,), who i:l(are I K )'ear, of age or older an Ihe execnl ors
in Ihe lasl will of Ihe ahove decedenl, d,ned Novemher _9, 1993
and codicil(s) daled
Ihe
named
,19_
('Iilh,' rrlL'ViUll 'UI.:IlI1l'lilll~'c\. c.',g. fl'lllllll:iilliun, death of c\C'ctllor, ell:.)
Decendelll was domiciled al dealh ill Cumberland Counl)', Pennsylvania, wilh
h er laSI fmnil)' or principal re,idellCe at 275 Center Road, NeW" Ule , PA 17241
(Ll!2f" " 1-", n,,,,C,"_I"<'> ':Lf)
(Ii'l !lIfl'l'l, numher illld IlIllllclpaluy)
Decendelll, Ihen 66 )'ears of age, died Nay 12,
al Harrisburg IInspital , Dauphin County, PA
Except as follows, decedent did nOI marr)', was nol divorced alld did nOI have a child born or adopled
afler exceulion of Ihe will offered for probate; was nOllhe viclim of a killing and \\':1\ never adjudicaled
incompelem:
Deeendelll al dealh o\\'ned properl)' \\'ilh eSlimaled val lies as follo\\'s:
(If domiciled in Pa,) All persollal properl)'
(If nol domiciled in Pa.) Personal properl)' in Pennsylvania
(If nOI domiciled in Pa,) Personal pro perl)' in COllnly
Value of real eslale in Pcnnsylvania
siluated as follo\\'s: 275 Center Road, Newville, Cumberland
1996
,
$ 3,000.00
$
$
$110.000.00
County, PA
WHEREFORE, pelilioner(s) respeelfull)' requesl(s) Ihe probale of Ihe lasl will and eodicil(s)
presellled here\\'i1h and Ihe grant of lellers testam<mtar.y
(1c.'\lamClllilry; admini\lralion c.I.a.; ildminhlralion d.h.n.C,I.a.)
Iheron.
t a .l7r .' h l~:. ~ ,J -,j~-tJ{;; I.::>
.:it Catherine L. Souders
]-g 7'; Bonnybrook Road. Lo_t-2.L_
.'= Carlisl~A 17013
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David t. Daugherty
---32..l-.Car:tv:1n Court
-M1dd1~n. PA 17057-2814
OATH O}O' PEI(SONAL REPnESENTATlVE
COMMONWEALTH OF I'ENNSYLV ANIA I::lS
COUNTY OF CUMBERLAND J .
The petilioner(s) above-named ,wear(s) or affirm(s) Ihallhe slalemellls in Ihe foregoing pelition arc
!rue and correello Ihe beSI of Ihe kno\\'ledge and belief of pelilioner(s) and thai as personal represen-
lalive(s) or Ihe above deeedenl pelilioner(,) will \\'ell and IIIIIy adminisler Ihe eslme according 10 law.
It. ,4,. ' -
5"'orn 10 or ,a f1,-i IIlIC4L and Sllb,"'ribc,'d~.v&Ji/-"<- i -)~....<d,""~ '"
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CO....ONWEALTH OFPEHHSYLVANIA. DEPARTMENT OF HEALTH. VITAL FlECORDS
CERTIFICATE OF DEATH
~O#Df.atltNI,.. _~
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,. ~1 - 96 - 404
LAST WILL AND TESTMIENT
OF
NELLIE M, COllICK
I, NELLIE M. COHICK, of Upper' Fr'unl_lord '['Dlmslllp, Cumber'lund
County, Pennsylvllnia, revoke my priol' wills und declare this to
be my lust Will:
U_R..s_t:_ pAnlENT OF EXPENSES - ( dir('cL Lhat all my ,just debLs und
funeral expenses, includin~ mv <;ravcmar'lwl' and all expenses at m~'
last illness, shall be puid from my resIduury estute as soon as
practicable after my decease as a parL of Lhe adminisLruLion of
m~' esLuLe.
~~COND: LEGACIES - I hereby make the followi",~ le<;acies:
(A lOne Thousand Do I la!'>; (:$ 1, UUO, OU I to my
!p'anddaughtcl', IIEATIIEH ~tCGINNIS; and
IBI One Thousand l)o11ars IS 1,00U.UUI La m~' grandson,
DUSTIN COllICK,
'!'JlJRD: RESIDUE OF ESTATE - I hereb~' direcL LhaL Lhe I'esidue of
my est.ate, real and personal, be sold and/or liquIdated and that.
the proceeds therefrom be placed 11\ THUST WIth m~' sisLer,
CATHERINE L. SOUDERS, as TRUSTEE, for my daughtcr, LANA L. COllICK
for llnd during her naLul'al life, to appl~' Lhe income and so much
of all the principal thereof as Lhe TrusLee may deem proper for
her support, mainLenance, welfare, medical and luneral expenses,
nnd nt her deaLh, any pOl,tion ther'eafLer remaining, I give and
bequeath in equal shal'es unt.o CATllEH1NE L. SOULJEItS, HEATHER
MCGINNIS, DUSTIN COH ICK, llnd JUDY ANN IJAUUIIEItTY, on a per capi ta
distribuLion basis.
f_O_UR_Tll--'. EXECUTOR - I appoint CATHERINE L. SOUDEHS und DAVID
DAUGHERTY as Co-ExecuLors of my Will. Neither my Co-Executors
nor any successor shall be required La give bond,
fJJ:T1U_ PROTECTIVE PROVISION - An~' and all 1"'~'nlCnt aI' payment.s of
any sum or sums, whether in cash aI' In kind and \;heLher fOl'
principal or income, payable t.o t.he said beneficiaries of
beneficiury, shuLL be mude upon t.he sole l'ecelJ>t of the
respective IndIvidual to whom the payment IS made, und tree from
anticipation, alienation, assignment, Ilt.Luchment, and pledge, and
free from cOIlLl'oJ b~' Lhe credit.ors of uny such beneflcian', All
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IN RE:
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 21-96-0404
ESTATE OF NELLIE M. COHICK,
Deceased
FIRST AND FINAL ACCOUNT AND
PROPOSED DISTRIBUTION OF
Catherine L. Souders and David Daugherty, Co-Executora
for
ESTATE OF Nellie M. Cohick, Deceased
Date of Death: May 12, 1996
Date of Executors' Appointment: May 20, 1996
Date of First Advertising May 31, 1996
Accounting for the Period: May 20, 1996 to ,.. . -..,
August 31, 1997
Purpose of Account: Catherine L. Souders and David Daugherty, co-
Executors, offer this Account to acquaint interested parties with
the transactions that have occurred during their administration,
The account also indicates the proposed distribution of the estate.
I..
I
It is important that the account be carefully examined. Requests
for additional information or questions or objections can be
discussed with:
Cartherine L. Souders and
David Daugherty, Co-Executors
c\o Christopher C. Houston, Esquire
S2 West Pomfret Street
Carlisle, PA 17013
717-241-5970
I
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RECEIPTS OF PRINCIPAL
Cash:
Cash in possession Of Decedent
Farmers National Bank Checking
Account
Misc. Refunds
social Security
Misc. Receipts
Tangible Personal Property:
Household Contents
1989 Chevrolet Celebrity
Mower
sump Pump
Realty:
Residence at 275 Center Road,
Newville, pa
Two Cemetery Lots
TOTAL INVENTORY
Fiduciary
Acquisition
Value
$ 358.66
7,312.56
661.49
933.00
171. 95
$ 5,157.31
3,000.00
500.00
50.00
$ 9,437.66
$ 8,707.31
$95,000.00
2,000.00
$ 97,000.00
$115,144.97
3
DISBURSEMENTS OF PRINCIPAL
Debts of Decedent
5/28/96 Adams Electric $ 65.79
5/28/96 Montgomery Ward 219.96
5/28/96 United Telephone 19.86 $ 305.61
Funeral Expenses
8/28/96 Cremation $ 1,000.00
6/10/96 Egger Funeral Horne 475.00 1,475.00
Administration Expenses
5/28/96 Register of Wills - Probate
Fee $ 261.00
6/9/96 Cash for Mower Gasoline 6.00
6/12/96 The Sentinel 8.20
6/12/97 Adams Electric 68.23
6/18/96 Postage 3.20
6/21/96 Valley-Times Star 7.80
6/24/97 The Sentinel 13.40
6/28/96 Cash 2.98
6/28/96 Nell's Market 31. 67
6/30/96 Labor 430.00
7/2/96 Adams Electric 53.20
7/6/96 Lawn Mowing 20.00
7/10/96 A. Z. Ritzman Assocs. 393.00
7/12/96 Grass mowing 20.00
7/20/96 Signage 13.00
7/20/96 Grass mowing 20.00
7/26/96 Gasoline for Mower 6.00
7/26/96 Grass mowing 20.00
8/2/96 Grass mowing 20.00
8/2/96 Valley-Times Star 6.85
8/5/96 The Sentinel 11.97
8/8/96 Grass mowing 20.00
8/9/96 Misc. Expenses 19.04
8/13/96 Adams Electric 48.72
8/17/96 Grass mowing 20.00
8/19/96 Postage 3.20
8/23/96 Yard Sale Ad 6.65
8/23/96 Grass mowing 20.00
8/31/96 Grass mowing 20.00
8/31/96 Cash for gasoline for mower 6.00
9/7/96 Grass mowing 20.00
9/9/96 Adams Electric 31. 95
5
9/12/96
9/24/96
9/29/96
10/7 /96
10/7 /96
10/15/96
10/22/96
11/6/96
12/2/96
12/3/96
12/4/96
12/10/96
12/22/96
12/23/96
1/6/97
1/29/97
2/4/97
2/7 /97
3/6/97
8/14/97
TOTAL
Administration Expenses (cont'd.)
Grass mowing $
School Taxes
Grass mowing
Grass mowing
Adams Electric
Grass mowing
Grass mowing
Adams Electric
Adams Electric
Homeowner's Insurance
Water Treatment Supplies
Checks
Supplies for Treatment of
Water System
Culligan
Adams Electric
Culligan
Adams Electric
Register of Wills - Agent
Adams Electric
Register of Wills - Agent
Reserve for Attorney's Fees
Reserve for Reimbursement to
Christopher C. Houston, Esq.
The Sentinel - Adv. $74.71
CLJ - Adv. 60.00
Short Certificates 15.00
Reserve for Filing Final
Accounting
Reserve for Executors'
Commission
6
20.00
729.46
20.00
20.00
26.69
20.00
20.00
23.49
24.90
75.00
83.74
17.24
1. 35
63.50
70.72
31. 75
120.02
5,632.51
191.87
719.00
3,500.00
149.71
125.00
5,500.00
$18,818.01
$20,598.62
DISTRIBUTIONS OF PRINCIPAL
TO BENEFICIARIES
3/6/97
To: Heather McGinnis, in satisfaction of gift
under Article SECOND of Will
3/7/97
To: Dustin Cohick, in satisfaction of gift
under Article SECOND of Will
$ 1,000.00
$ 1,000.00
Total Distributions of Principal to Beneficiaries
$ 2,000.00
7