HomeMy WebLinkAbout96-00506
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
[J I. Original R,lurn
o ... Limit.d Eltot, 0 40, future Int.r..t Compromis.
1'0' do.o. of doo.h aho, 12.12.821
t9 6. D.ced,n' Di.d rll'a'l 0 7. Dec.d,nt Maintained a li'Wing Trult
IAHoch copy 0' W;U) (AHoch copy of Trull)
Att:CORRESPONDENCE AND CONFIDENtIAL TAlt'lNfOIlMA110InHOUUUt~.
NAMl COM'tfTl MAllINQ ...ooun
Lisa Marie Coyne, Esquire 3901 Milrket Street
TII"NON! NUM'" Camp Hill, PA 17011-4227
717 737-0464
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':OMMONWULtH 0' '!NNSYlVAN1.
OEP....UM!Nl' 0' ~lV[NU[
Of" 210001
HA.UISlUIIO. ,,, 11111.0601
Of IDe... i NAM! lLAU. 'liST. "NO ""COlt "HI'AII
WINJX).oIS, GORCON E.
'DR DATU 01 DIATH Anll 12/31/91 CHICK HIRE
1/ " SPOUSAL
POVlllY CRlDIT IS CLAIMID 0
'Ill NUMIIR
21-96-0506
COUNTY CODE
YEAR
NUMBER
CAli 0' OtAlM
WC1AL ifCUCIIY NUMIII
17.1-16-2685
5/29/96
DfelOtNI" (OMPUI( ..001(1$
DAlf 0' IIUH
5236 Terrace Road
Mechanicsburg, PA 17055
c." Cumberland
AMOUNt '(ClIVID \Uf IN$UUCTIONil
I" "'1',,,0.111 Il;,.,.t'l'...u voult ''''_I ,uU "UT "..0 "?OOI.1 ''''''''ll
5/1/21
o 2, Sup pl. mental RtlUrn
20, If line 19 is gr.af.r than line 18, .nt.r th. difftr.nct on line 20. This is the OVERPAYMENT.
DO
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a:
1. Roal ElIa'o (Schodulo A)
2. Slacks and Band. (Schodulo B)
3. Clos.ly H.ld StoddPartn.nhip Inllr.s' (Sch.dul. q
4. Mortgag.s and Noras R.c.ivabl. ISchedul. 0)
5. Cash. Bank D.posiu & Misc.llan.ous P.rsonal Prop.rty
ISchedulo E)
6. Jointly Ownod Propo"Y (Schodulo F)
7. Tran.fo.. (Schodul. G) (Schodulo II
9. Total Grall Au.rs (Iotal Un.s 1.7)
9. Funeral Exp.n.... Administrativ. COIU, Misc.llan.ou.
Expon... ISchodulo H)
10. O.bu. Mortgage liabiliti.s, U.nsISch.dule I)
11. Tolol OoduClions ('0'01 un.. 9 & 10)
12. N.t Valu. of Estat.IUnl 8 minuslin. 11)
13. Charitable and Governm.ntal Bequ.1U ISch.dul. J)
14. N.I Value Subi'ct fa Tax (lin. 12 minuslin. 13)
15. Spousal Transf.rs (far dates of d.ath aft., 6.30.9A)
S.e Inslructions for Applicabl. Percentag. an R.ven.
Sid.. (Include values From Sch.dule K or Sch.dul. M.)
16. Amount of lint 14 taxabl. 01 6% tat.
(Includ. values from Schedul. K or Sch.dul. M.)
17. Amount of Un. 14 laxobl. at 15% raft
(Include volues from Schedul. I( or Sch.dul. M.)
lB. Principal tax due (Add lox from lin.. 15. 16 and 17.)
19. Cr.dits Spousal Pav.rty Credit Prior Paym.nts
o + 0
03.
05.
R.mainder Rehlrn
(10' do'o, 01 dea.h prior 10 12.13.821
Federal estat. Tax R.turn Required
_ 8. Total Number of Safe Deposit Boxes
. -:.:-:-7:':;'::'-:-'; ,.-::' .:,4:,.~
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None
None
None
None
(1)
( 2)
(3 )
( 4)
(5) 1.311.17
(6) 12,449.81
(7) 116 , 900.00
(9) 20,553.95
3,080.57
( 8) 130.660.98
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(10)
111) 23,634.5"'-
112)107 ,026.lj~
(13) None
114) 107,026.%
115)
(16)107 ,026,IIh
(17)
None
x._=
)( .06:&
6.421 sA
x .15:&
None
(18)
h 471 ~R
Discount
+ 321.07
Inter.'t
o
(19)
120)
321 07
Check herl!' if you are requesting a refund of your overpayment.
121)
(2IA)
(2IB)
6,100.5/
None
6,100.51
21. If lina 1B i. greater than line 19, .nter ,h. differ.nc. on line 21. This isth. TAX DUE.
A. Enler the inter..t an Ih. balanc. due on Un. 21A.
B. Enl" ,hetalal of line 21 and 21A an line 218. This is the BALANCE DUE.
Mok. ChIck Payabl. to: R.ght., of WlIls, Agent
>- >- 8E SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH -< -< -.-
Under penaltie. of p.rjury. I d.c1are that I ha.... uamin.d this return, including accompanying 1chedules and stal.menfs, and !a Ih. best of my knawl.dge and beli.f,
it iSlrue. correct and complele. I d.c1ar. Ihol all real IIrOIl has bun repart.e 01 true mark.t ...alue. Declaration of pr.pa,.r arh., than fh. personal r.presentative is
bas.d on all infarmoflan of ....hich pre Darer hal any kno....l.dg..
$IQNAfUAf O~ /I eN ~!S;lC~~~'C~ ~r G ~E~~.~ ", 400HU OAa ,.~
.. .r: (. ...(. /.'<11.; c.-.'iL,-<:.o.J t-",.v'~ /'14,..WL ~ ;::'~ /i";'Y.'~ B!/L'/i6
SIQNArUllf 0' ;II1EPU!~ ~~..!~ ~"'''N ~('.EUf"jIAo,I"E ole::_U!. OAa
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SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
.
CDMMONw'AUN Oil "NNITNAHIA
..MDR&NCI1A.I lININ
IDIOINf DlClDIHf
PIOG" Print or l
o
GORDON E. WINDOWS
fl NUMBER
21-96-0506
(AI ,..,...,.lvb.ll. _~......... u.M '" s.....I._~ _............ - w..w. P)
ITIM
HUMID
1
DISClIPTlON
VAWI AT
DAJE OF DWH
$ 311.17
Dauphin Deposit Checking Account No. 0010555641
Personal Property & Furniture & Appliances (See Attached Inventory) 1,000.00
TOTAL (Allo enter on II". 5. Racaoihllotionl S 1 311.17
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COMMONWUUH O' 'INNS'ft\lANIA
INHUlfANCI 'A. .UUIN
_UIOIH'DfCfDfNr
0_- ___
UTATE OF
GORDON E. WINDOWS
Jolnllonanl!.I:
A.
B.
c.
Jolntly.ownod proporty:
SCHEDULE F
JOINTLY -OWNED PROPERTY
ITEM LmER DATE
FOR
NUMBE JOINT MAOE DESCRIPTION OF PROPERTY
TENANT JOINT
1. A 8/10/81 Posunark Savings Account No.
3961014
FILE NUMBER
21.96.0506
RELAnONSHIP TO OECEDENT
TOTAL VALUE DECO'S OOLLAR VALUE OF
OF ASSET % INT. DECEDENT'S INTEREST
TOTAL (Aho enter on line 6. Recapitulationl S
{II mor. space is nud.d Insert oddilionol sheets 01 some sin}
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liT.. WnrulIl, 11.....1, 'ihml ru.lII. AI'I tit lun" :11".1,. :ih'1'1,
o'IH, 111111, 1111'" lu.II"""_ 1'..
'I'ax Parcel No. 10-18-1319-163
.
mbt~
l\ttb,
MADE TIlE 2-'3 d. duy 0' (o.~l.
0' our lord ono Ihou.and nino hundrod ninoLy-r.ix (1996) U
In Iho yo or
BETWEEN
OOIllJa'l E. WINIXMS, Whlt"".!r, of lI,unlxlon 'l'oWI16hlp, CUltXlrland
County, Pennsylvanill,
Granlor ,
and CXlR!X)N E. WINIXMS, WidQ\oKlr of lIilllpdon 'l'oWl1shlp, Curherland county,
Pennsylvania, and CXlRlJa'l E. WI NIXMS, .1Il. of 1863 WHlow l.nne, MaclIngie,
Pennsylvania 18062, joint tenants wilh dghts of sllNivOl:shlp and not a5
tenants in common
GranlolS ,
WITNESSETH, Ihal In canslderallan of
ana Oollar ($1.00)
Dollars,
hereby oranl and
In hand paid, Iho receipt whereof II hereby acknowledged, Ihe .aid gran lor
conyey 10 Ihe .ald gran lee S ,
dcPS
ALL THAT CERTAIN lot or Iracl of ground siluale in Hampden Township. Cumberland
County,l'ennsylvania, more particularly bounded and dcscribed as follows:
BEING Lol No. 113, as shown on Plan No.2 of Good I10pe Terrace, recorded in lhe
Recorder's Office of Cumberland County, Pennsylvania, on the 191h day of November, 1954 in
Plan Book 7, Page 6, and fronting one hundred (100) feel on the western side of Terrace Road and
eXlending westwardly one hundred fifly (150) feet. BEING the same premises which Ray E. and
Laura M. Sleward, his wife, by deed dated October 5, 1972 and recorded Oclober II, 1972 in Ihe
Cumberland Counly Recorder's Office in Deed Book "V", Volume 24, Page 941 conveyed 10
Benjamin L. Breneman and R. L. Sheibley, t/a R.I.. Sheibley Conslruclion Company, a
partnership.
TOGETHER wilh Ihe right in Ihe owners and occupiers of Lots No. 113 and 114 in
common wilh Ihe owners and occupies of Lois No. 13 and 14 in said l'lan to use the Iwenty (20)
foct wide strip between Lots No. 13 and 14 for ingress, egress and regrcsslo and from said lots or
any of Ihem and Ihe Conodoquinel Creek.
tJNDER AND SUBJECT to reslriclions as contained in prior inslruments of record.
IIE1NO the same premises which lIenjamin I.. IIreneman el al by tbeir Deed, daled July 2,
1974, and recorded in the Cumherlllllll Coullly I{L'C(lIller of Deeds Office, in DeL~lllook 25-1{,
Page 600, granted and conveyed unlo Gordon E. Windows and Dorothy C. Windows, his wife.
The said Dorolhy C. Windows, being seized Ihereof, died on the 3\sl day of OClober, \994,
Ihereby vesting foc simple lille in her surviving spouse, Gordon E. Windows, Grantor herein,
This conveyance is from father to falher and his son and is exempl from Real Eslate
Transfer Tax.
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to
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AND Ihe luid grunlor hereby coyonunl" und uureo 5 Ihul Ihoy untl euch 01 Ihom will wurranl
specially Iho properly hereby conyayed.
BOUK 137 fACf115?
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AGREEMENT FOR Tim SALE ANI) PURCIIASE OIl ImAL ESTATE
Thi~ rorm recolllll1ended nml nJlJlrovctl ror I hul 1101 rc~lric:lcd III,
u'e by memh... of Ihe G'ealer IIa"i.lhurg A"odaliou of I\EALTOIlS"
EAGENT FOR SELLER:] [SUO AGENT FOR SELLER] E AliENT HlR IlUYEI{ J
(!61't(l{r(1.( 21 !/-r17/C n~/ll/ly fOlt:ll( A;<.:cr,JIVC .
I'A.-t!:;;;~~ UROKER I'A. LICENSED IlROKER I'A. J.ICENSED IlROKER
Thl. AgleemenlmRde Ihi, -n- Lq'l/l lIay of --,1],111,;:- ____.__________. 1~_1.r2....
I. l'IIINCII'^I.~)lrJ..rrn.__l::2X-ti~'t:_.E._. ~'}ill~.s ,.;J;.. "-'-1J~I- -/ Old t-m.---
(,e.hllolg R( _ ..r:.t..3-1kIL.~~1~--. ~~~ /'T/.!.71;1-,-:..U..'tJ-.I.<..-.,.../..1..77 ...- ...!-.~-_L/I-'-'7::1'--'--";
hmillallrr callell Seller. ::,)11...1' '\\L-~ _lV., ;S,,:I, 1.111'. ._.11-.... ..A^''' " J)LtJ1"(',.__'I/_.:,,,LVCLrl/&
(,e.idiug a( ---1JQY_r-'cs.Duj~'-Dl'..,__L','11~JII!"L_L!.U:1Q.lI____
he,e1uaHer cRlled IIuyer.
1. "ROrt:RT": Seller hereby agree. 10 .ell aud couvey 10 IIuyer. who herehy ag.ee, 10 "\lIdm,e: AI.L TIIAT CEllTAIN 1.01 or "iece
of 8ru.UJ1~ ~il~ bu Idiug..a.ll\ hu"rov :",euI. Ihe.eoll gg;led. If allY. kllowlI al: :s'L!.J..1" -rEf..'I!./lt' l!" ~/'llt)
~fW;d.JJL .:. - } ):10S1, .
J. ZONING: ZOlllug Clalllficalioll 7o."t::.bJ).lJJ/Jl{}/....
rallure of Ihls Agreemeullo cOlllaflllhe 101l1rlR da"lficalloll ex celli ill cam where Ihe I'lIll'e,ly ((1' each l'arCcllhcreof. if ,uhlllvidahle)
Is lOllell .olely or "rlma,lly 10 "e,mil ,llIgle.(nmity dwellillg' ,hall rellller Ihf, ARrecmclI1 volrlahle '1lhe o"llolIUf Ihe Ih.yer alld If voided
depOIII, lelldered by Ihe IIUYe~al~ bl'-lKilllled III he ~yer ~hOUI 'l1 ,eQjliremcIII11(lti!'url .clioll. /" ' ~
4.. TI}J"MS: (a> I'urcha,e "9ce _ J '_l.~Vt\.l ,1 / 1.L2..LLc..?.l.-t....' ,/C-r;'-z,L-''..-,L.,'=1. l.../~VJl(;
"""1Lu.1/uLuJ CL~L d.ArJ ($ /Iq (){lO .
(0 be pnld by the III!)'er n. follow.: '
(hi I)m'n~1 r Chftk I\(, elld. II. Nole {J Illht "r."11l1 or Ihb ~ 0 (JO -
.llttmenl.ft<'tlfllor.hlchhht,th)'.dnnwltlll7-I......................................"...... S L I .
rr Nolt. In he ,tdttmrd nn ('If kraft the ....:n. _~.L dlY or . 19_.
ee) ADOI rroNAL Ol!rOSIT duc on or before l~t
d.yn' ""X.(..fl.,. .19__ ""......"...". $
(d) "AI.^NC1! or rURCIIMil! I'Rler: II' IcUltmtnl II"J q{)O.
.\ l~'''' ",lined '''tck. .nd/nr mnll,.,..undl) ...".....""..."................."""......." $ 4 ~I GOD' .
~ V' l TOTAL ....... .. .... $ II 1 I .
I W,llltn '''Nonl or Seller 10 be on or bdOI~ht r..2o t ~ day or .JU NC' t _. 19 fil .
&t1ltllltnlln he mlltlt 110 'If hdlllc lht _ ~'-J!fJ!J 11fty ul _JIlLt.(J~$_L , 19ftt:-.
Tlu~ rollowinll ahan he "r,rolllnlltd r,o"1l11l lIr '"UJ .1 lime of JclllclllclIl: '.u'.' It'fllI .1II1."t'"td, Itllll,llIlcleu IIn mll,lll:tIlC .ullmrtlplI', comlnrnlnlul1l ftc'
.nd homemrner ."ncl.l nn feel lr .ny, water .nd/or SUrC' rcnls Ir .ny. Illatlher wllh Iny other lIe"able nlUlll,ir.1 scnlets. All Rule)' r,anlrCf'....CS shill be divided
twtnly unlell nlht,,,,ht rlovlded htleln. /.
s. rRort:RTY SF.nLF.MF.NT CONTlNtfF.NCV: 1hls "ttemenl Is subj<<IIO Ihe KlIlemenl of lIuyer'l rlopetlylocated.1 -=n 'L
f
on or bdolt
6. t'INANCIN(; CONTINGt:.NCV: nb "rtement Is subjtd 10 Iht nlllnelnllS foHon: .
(I) rRINC,rAI. AMOUNT I 1/3 qoO. .- TYrrljl)l ~/Q wful)u C MINIMUM m M rSlJ q'-'tlA-~
MAXIMUM INITIAl...... 6" . ~ /
INTERI,ST RAlI! ",. '" MAXIMUM TOTAl. ron:i INCI.lJll'l:!O I.OA OR'C1~tTlON I'[E. TO 1m A : .TI~! IIUYER:
1llMMIN^L DATU fnr Oblllnin,I:lnandll~ CUlmnltmtnl C)1; 1:". W..!l2.~ _ I~
Ihnker may atlvise Ihlytr of ponlhle 'PUfCtl of mOfllale fllnd,. hut(Jannnl a,,,,U4c relrUluihilily fnr I'htalnill~ Ollye . :tile. If ,,,II IMII ullnnl he Ilbllllned
., herrin (lIovldetl, Ihis ^Iftemenllh"n be NlIl.I. ANI) vom Ind.lI deposll moniessh"U he Itlurned 10 Iht IIl1ye, on
luhJ<<t Ito.rver 10 Iht r,ovhlons In ra",nrhs "Cb) and "Ce).
tb) Duye, ,h.1I make I comr1eled 'rpUClllon 10 . ,cspondble lendlnllnslllullnn fn, Ihe said Inan .llhln S- nkhll:u d.y' hnm Ihe !\eller', arrrov.1 hfltnf.
Should Ihe Du)'t' rlillO mike sueh compleled .rrllelllon .llbln lht 'pedned tlme,ll shall be '1lhe opllon of Ibr Selle" ",'ilhin n"e (,) ulenda, da)'s Ihelufler 10:
(I) Dedlrt Ihls ^arttmenl NULL ^ND VOII>. II whith lime. 111 monies paid on accounl will be fo,feiled 10 Seller alliquidaled d.males, subjed 10 the Rules and
Relul.llon. of the renn.ylvanla Real Eslale Comml\llon, or
Cii) In ah\tnee of wrlllen nollee 10 Ihe Duye, hYlhe Selle, detl3rln~ Ihll Alrremenl NULL AND vom, Ihe eondillon anti ennlln,rney ruovlded fo, in Ihlt 1'3r"_,.,,II.
10lelhe, .....llh any olher flnanclnl conllnarnclCl lh31 may be herein or endouttl heltln, shall no lon,er luevliI.and Ihls ^.reemenl shall remain effective a<<onlinl
10 lis lermlln Ihe same manner.s If Ihe eondhlon nnd conlln.tney wtle not a r3rl h(feof.
Ct. ~lIcr 0' Alltnl mll'l Irctlve I w,lUen cnnllnlcmtnl valid IInlll rhe dale of lelllemt'nl, fn, Ihe ~ald In"n, nn 01 hefore the lerml",,1 dllle '" '1'<<IOed. If Ihe uld commllment 1
II nnl flunhltttl .ith IlIe Ifuns a' sr<<lricd heftln, nr on nllttr le,m, nccerlrd In .....,llinJll tlylhc nuyer, nn or herOIC the sr<<Uied dalC, Seller Ihln h~.ve Ihe ofltion,
.llhlll dille, or .ny olher lime Ih(lt'lflcr, dllllnlt Ihe lerm of 11111 ^_rtemenl, !llIliI. bill nol heYlllur lhf 11,11e of ,cctirl or Ihe cllmmllmCIl' hylhe Seller, n, ^JIlelll. In
dttllue Ihlt ^Illeemenl NtlU. ^NI> VOIU, hy.,lllen nnllce 10 Iht l1uye, of hI,/ltn dtchlon Incllletl, al "'hleh lime all deflOliC monln raid on accounl sb.n be tclllfned
In Ihe I1l1yer, III11JtCIln lht 11aymfnl ,equltell. If .IIY. r",vlllrcl rnr In 1'"r.JIlf:tJlh l1(h): (I), (ii), "nd (iii).
(.n Selle, hefebY.JIlftClln permllln'rc'elionl hy .1I11Ilullrcll'lrrui,eu, ,erUIAble ce.lUie" amI/or Illlye, In "':tyllt rellllllelll,y Ihe leOllinJllln'lllullon or In\lIIlnR ",tncic,.
(c) Seller htleb)' _,,<<t In rAY .dtlillon:tl mlltl~:tlle tlilCnllnl min" .ml/or 10.111 mlllln"llnJ It~ In c"e nr a Imyer n!1l:tillill~ rinandlll horn. Icndil1lln'lilutioll leltUilina
Illy I'ne 0' all I'f .forflAll) fCCI, prnvltlillJllhe Inl,,1 or ,,,ld fccI dt~s nol uefed 2l/_'-L'" IIf IlIe "lnllllnl of llle lIIoll,",e.
7. STATUS fir WA'n:R ANI) S.:\\If.R: Stllcr w/uf.n" Ih.1 Ihl, "Wlttll)' II ,,,vlcell IIV .---Tl-!..1.l1.1J.:.-.-_ .....Alel :Inti J?",I~Jll...' .
le.....er. rllllher, Stller ..u:Inhllt:tllht'e sYllern' .,t rully II:thl fnr nllll,:t, nf the dllle Ilf 1111, llllfetmclIl rue In ,"l1dIClllfY fll'C.'fIIt1nJll tlIn~itlnll. If cUht! :trolr",I.1 'yllem
II !'fIUle. Selle, warllnls lhnl he/she hll no nollet hllm lie nlllnlcil':tlily or frOIll munlelflAllIlIllulIltlc1 thai ruh1k walel .",l/nr ,c",er. will he "YCAletl or In'lallell.
a, MUNIClrAI. IMrR()Vt:A":Nl~: !\elle, has no notices of nlllnidrlllllllrronrncnll (Iueh:t' sltJc.'Alh, Clllh" ele.) t"eerl_'1v6.-e)lotl.J1.l1~t
. .m... CUO.....-t lb' ".;::: '";" 't.1';4;~:~.'-" ~~;;:- ":i~:.7 ~"\""I(,:'-:::o~ ~
L Wood InreUallon Ur adon Uiltlolule U I',ivlllt Wlle,/On.Slle Sew.,e OfIM/V^ ":;1
10. AtTACHEU AUUENUA arc made I part of 11th A'ltemelll:
U UUII Alene)' Con\Cnl rJ Home In~l'<<t1on U Olbel('):
II. rF.R!;ONAI.TV: ^" ulsllna rlllmbln., htllln,. Ih-condlllnnin, and Ii_hi In, fhlurtll!nehnlln, (hAlldtllm IInd ceilln. fan"lnd IYllem' .prmlellanl Iherelo Inll formln,
I pllllhe,rof, Ind olher pe,manenl O.lules, IS .ell 1,"11 IIn,es, laundr)' IlIb., T.V. Intfnut, millS and mlor sYlleml, Inlelher wllh will 10 wall CArpel In" I(fCCnl, II00m
,"h Ind/o, doors, sbades, Iwnln,s. vcnellan bllndl. cnurllnll fn, lutomlllc washen and d,yers. ele. ,adialo, cn\'efl, eOlnlees, ..ler ~orlen(n, kitchen cabinets, drllre'y
,nds, dr.mry fod hlfd..,r, curlaln rndl, e1ll1.'n ,t'fl h.,d".M~. ltlllrer'. Ih"tlt-rry. flbn""., ""....," 0' I'ln "rnmll'. J::tfllJ:;e dflC1r C1r"'nrn, ,hNh: if :tny. un'~u ,rt"illnlly
ncrpltd n Ihls A,rremenl, arc Included In Ihe ule and purcbase r,lce. None of Ihe allMe mentioned lien" shall tlt rtmoHl1 (II 'uh,ulllled bYlbe !\elltf f'l'm flltIT'lls" Iflu
dale oflhls A.,ctmenl. ^n)' 'emalnin~ htlllnalnd/ol (ookln, rueb Ilored on Ihe rlrmhcs II lime nf sclllC'menl Ire .1\0 Inchlded lInderlhls Alfeemenl. Seller hereby .."anlS
Ihal hellhe .,11 dellve, lond tllle 10 an of the alllclel dt'ctihed In Ihi, rAIl'lIlUrh, anti any nlher (iIIUI" or llfm' of f'CI\onaItYll'f(lncally schedlllttllO be Included In Ihls
ulc. Srller "'arnnl,.1I plttmhlnll. helllln.,lJ,U..el'l1dill!,~.n" mtth",lc.al "~tl e1ectllcal 'y'lem\ anti elllllrmenlantl'nrlian[e~ 10 tlt in r'Opel .'orklnll o,de! al time of selllemenl.
1hl. ..uanly doel ~Olllllvive c1ntlnl....f:.k((~(t,..:!......~. L.. ill, "/t.."~ .(1 ^I'. "ldl./~ "' u..~. Ll~.l.l-' :),,\ .,"~~ ^-4:. ~-'L"''D''I.tlt-t.;
-.L-~'Il'!..lu-~.a~r'''::'h- i.l"J'''~l.>..'' .....l":_ I-.L<c..':;fl...'-"~l...!..!....'l."" ...l .,...-ot..U t.6Z
_~J!i..'''';::' _ _ ~.LIV-- LJlt.....~M-J-AL_-_ouL-:-.<:!..,<-e ,rIA<..- /1 ~6-:e.tAA->
. .,
".
,
IDo 'Nol Wrile in This Space)
. .
(5)
.--
.........,.
.1: ANU C'CISIl't:
Ihrr.tll1lw, .'CIUl1t(lllnt)'tllln lttl'IlII,le II, trcdal,u".nlylfrrd, hrr 11IiJdrar III aU lirll\. tilt IllllhlAlIl 1"\ ll",lu'.lIltllh,IXI 1I'IIUtj IIlJ\\'I.\'I,p,llIr ",1I""1ll~:
l:d,Un,l11ulhlh,.rUlllcllllllt,lIl1linlncn. fUClIlrnhnlw.lII',llIhilr"nfll .1,h"1I1 rllhlir In'lu' (11I111',11I1", iI.,",,; III ....\nlltlll\ 1111('\llI(lil1ll\ yiuhlt' 1I1ll'lIllhr ,.n,ulll
Cllht,wi\t Iht 1II1t In Iht .hO\(' dt\(ll~d lul tSlllt ,h.1I he 'IKKlud ml,hl.hlt or SInh II williit' in\lunl It,. IfJlIl..lhle Illlc illllllo1l1tr (UII1I'''")' illlhe If,"IJI I,un:
Cb) lilt I1I1)'e' .11I r.' fll, tilt fnlln..ln.~
(I) lht rURllum fen title I",unnct, mr,lIllli" litn InulI_mr'-lId/fIt lhlt 1I'lrch, Of Irt 'III \.ntrll..lilllln' IAmr, il ....,.
(iiI the rlC'lTllllm htf f1c'(Hllntuf.nc(' Intl/or filt jnluunu wl,h tllrndrd cuvrn.t,lntu,anu' hlmll" d,."n III UIIUll.llhtn 'tt, if all).
(iiil ^rrtalul 'tt. Inll (h...u J'l"ldln .dhner In mml,a,rr. If an,.
ti,) I1l1rr,'I nll.mll ulllrllltnl cnlla Inll atCluall unit" 11Iht,,,'hr .IAlttl hnrin.
hJ ^n, .unr, n. lunr,1 ..hlth nl'r hf ,rl\lIhl'd II, IlIr '11I1r Inlll',"et t'lIllll'~nr fIf tilt ahlluethl' Al!lIIllr, ,,,, IlIr "ltfl","UIIII fir all Illrlll",'t Ir,.IIIt\ull'tlun IIr lilt
r.tlnhn tn, Iht ruffntlnn Ihtltllfl. IIlal ht' IrClllttS.nllll.hl hll It, Ihl' Stllt,. IIn",[\'c.. all)' IlInCr H' UIf""I dullrd II)' tht IIl1tflll' lfllllilcd II)' hil '"ml,~.rl' Ih.lI
tit "(Ultel Inlll,.ltl hll fI, Iht nllyr..
(Ill In IlIr t\'tllllll, StUn II ull""'r In JI'I''' Jltltll '1I11lUlult'lthlr 11111' tU ullh I" "Ill Ill' 1I1"lIcll Ity., .qlUlolhlt till" ulIlIll;llIr. IlIltlflt 'I "flll,"'I,I, IIl1ru 1110111 hi"~ Iht
(lr'lnn III tl~ln, IIleh Itllt .llht Stilt' (III ,I\'t _Uhnul .haltlllcnl IIf flller or nl hrill, ICII.hl.llnmniu "..ill IIr Iht 1I11~"ln Ihf' !leUrllln aUllllnt '" lilt 111I1Ih.I,
l'flct udlhl' Mlltr _1Il.tlllllmut Iht 11IItff 'm .ny ruUI hltlll,ttl h, Iht III1)'t' Ill' Ihlll(' Ilnnl IfltlUit,1 In l'II.,lIIpll IJIII) tlrllll II), fill, (ill) .1111111 1'.111".1'11 I1h),
anllln Iht lalltl ntnllhtlr Ihlll tit n.. IllIlht. 11,,111111)' III UhJtllilln Iltl rUht. ullllt 11JIII('IlltHlnllwllhll ^.Ifflllflll I"ln hCOIl"t NlIl,1. ^NU \'OIlJ.
U. rA"M.:Nr tn' u..:rnSlIlllrrmlll, ltJ.lllllr" uf IlIr '1111I111' IIII,.mrnllllllllhl' 11t'I'lIn 11('III;IIII,t! .11 Il"~rr. Ih..1I h"ll.1111111 ^,"1I1 ,... Ihl' ~lIff. _hIt 'hlUlttlln Ihrmlll
.n "Iunw arcnllnlllnlll (It"'Unllllllllllll\f ",milllllnn III Ihll ^JIN'Ill'f11 IlIlnlllltlmilr wllh III 1l'l,hulllr 11"1 '1IlIltJ.ullllnlll. ^,f111 1111 Iht StUff mlr. II hll III IIr. 'Hit
nlllllln. hnlt.! In, lInUdll't.!lhC'\~ Itndtltt! II Ilrl_lIlI. 1If'II11111' lilt IIHll11n11' n' Ihlllllftl. .
If Iht,r II. Ilhl'Ult 11f'1_ttn Iht lIu,I" 'Iullllr Srl1ff l1'rl ",hlll1 tlllillrllllllhl' dtrlnh. ^,rlll...1II nl1lh, 11"1_11I,,"lr In.nnht 11111,111111111' 11111 _11I11111 IIf' Iilblt In rllhtf
ItU)'tl n' Iht StUn 1m Itltnln, In Itltut' Iht drrlllil .llltcml III '1lltllUalt _IlIlclI "Ittllltnlllf'l"'trn IhltCI lUll SrUn III . ulilllllllllllldrt. 1I11~tf allll ~r1ltf 11Icr 111.11,
In Iht t"nllht ^,tnl anll/m Sultll;tnllltlll Jnlllrlll" 1ill,IUnn Imlhr .rllllll III dlllUllllllllllltl, Iht ^,nll'I IIhl/HI Suh'l;tlll'l .u'unlhlt a"U'111)"1 ftll .11I11111h .,11
ht .,alt.! h)' Ihe "III, JlIlnln. Ihe ^.tlll Of Suhll,rnl. '
.4. r(Js.".~"'''IUN ANI) T.;NII.:RI
(I' Ilomnlnn II In be dtll"t.td 11, dtt.... h)'1 anll"h)'II(l1 rcmnlilln In I Vlunl hulldln, (If In)'1 .1 II., .nd lilllt ,,' Icllltll1enl. lit h, tlml Inll ,,,I,nlll,nl nl t,hUn,
IUK(I) Illht 11mI' nr trllltmrnlllll.tnll1u I, Itn.nl f'teurlrd allhr ,I,nln,"'lhla ^I;'ttmtnl. unlr" IIlhtf"ht 'I'frlfll'd hrltln. lIu)'tf ..lII"lnn...ltdlr uillln,lulttll
b, InlUalln, ..Id lralth) Illimt nl JllInln, nl Ihll ^lI.trrntnl nl Salr II Itnanl llu'uJ1lrd.
lhl ~tll('f _ill nlll tnlt' Inlo an, ntwltlltla). yullltn tllt,,"nn nl tllllhlllItlI'thl.II I"Y, "' addillonallt...tl') fmlllr .,Irmlltl _lIhlllll ur,r"..,llIen ennlt:nt nllhe 11I,.tl.
lc) I"lIImllltnd" IIf 'II t'tlUltll lItell 111l11'UHh"'t III11I\C)' it hcltlt)" _111\"1. .
hI) lIu)'tI .tKIVU Iht .llhllO ",ah I ."ri('lIltllltlll Intllf'clillll ul Iht lubit" rltmiltl. 'fllI ..III tltelllr 11'lll"llli'lt dnClIInt"laUou III III,h IlUllttllull,
15, RI~k or 1.IIs..:
(I) Mil" Ihlllmalnllln lilt l'fuflt"ll, (IncllllJillll all iltnllllltnlinutd In I""",nrll III htldn, .lId IllY ,'C'I\(IIl.lllfClI'C'II, IllttifiuU, II:hctlultd hl'lflllln ill rl(lclIl ulnlliliun,
onlmal ..rlr and In. uetJ1lcd.
(b) Sdlr. sl1'lIlltar ,I,k (II 1(111 "nm lirt III nlhtf (lIlIally unlillllnt nf ItlllcnlCIlI. In the t"rlll nr d.IlI;1,t In Iht r"'f1t'llV hy tilt nr nlhft cn\llall,.lIl1)',r ",;111 h;"'t Iht
ortlnn or ItlClndln. Ihll IIIletmtnl Ind '<<tl,ln, hanll mnne, .,ahJ nn .renunl "' nl .[(trIIIlJ Iht r,nf1t'rly In 11\ Ihen rnndllln" ...ilh lilt "rncrwa nt ,,,, Inlutlner
r<<n"rlY nbl.ln.blt h, Sellrr. Ilu,rr II hurh)' nnlllitd Ihal hI' may Inu"t 1Ii1 tqlllllhlr IlIlrrtllln 11I1I1'l11l'fll)' II nl Iht Iimr of Ihe Icurlaner 01 Ihil allftmtnl.
16. Rt:rRt:''if:NTATlONS: 1llluntltlllnndlh.1 flu)'rr hlll1ln'J1tt:ll'd Iht J1wl'frl)', nI htlrh, wai\'tl Iht rl"hlln do In anll hr!lhr h., ,,,'ttd In rUleh.'e II II a 'tlllll nl aueh
In'l'<<llnn .nd nnl btcllllr nl 0' In ItU.net upnn In)' .tr,tl('nl:llinn madt by Iht Sellt.", any nlhl',"Ulcn. r...lntr nI tmrlnyte nr Stllff, Of h)' Ihr Ilenl n( Ihr Sr1lu (11
any of tht "lIu', I.lnf'lC'unnlllltl tmrlnYC'C'I, nf h)' I cnlljl('uli". IlInkt.. IIltny. or Inf, nf hll/hl" \1llt'll('..nn\ and rmplo)'ttl ""lllhal IItllllt h." a,rttll In rlltch:.'t il
In III p'tl('nl (undillun unlt" IIlht,""I\t IJ'f'Clfil't! ht.tilland '1II1hrr lu~nn"ll'tll;('\ Ihal I It atnfCllltnlioIlCII'1.lllll'\ all' 1I1l1 qu.liflttl In rtndc. "n nrininn IIn rnnlllllclicm.
tn,intrIII1J, IIf tnvi!nlllllrnllllll.llr" lInd 11I.llhr IIII,tl hal Il('cllall\'i'rlllh:l1 htl,ht ma, 'tllllilr III widlln 'cr~ Ihr ."i'I"lIlr III tlf1C'lll In Ihllll' neld" II i\ IlIrlhrrlllllltulllUIJ
Ihlllhb AI;'C'C'mrnl conllln, Ihe _hnlr Illttlllrnll'C'IWl'tlllht Sdlc. .nd lIu)'tl and lime IUt nil fllhtllCllIlI, llhli,llIlllII. rnltnanU. .tr'tltnl:'lli"n" ".'tmwll m wlIdilinnl,
IlIllur nlht..llr nt In)' kind whahnt\'tf ennec.ninl Ihll lilt. l;ullhr.llln1t. 11th Alltrmrnl ,h.1I nClI hr alleltd. amtnded. ehJlIscd nl Illtldlficd tl(tl'l in wlillnl tl<<ultd
h)' Ihr I'larlln IIr.tlo.
11, Rf:COROIN(t: Thl, II.trmtnl Ih.lI nnlll(' '<<OItlttlln Iht Orrlrt 1m Ihr Rrcnrdilll; nt I)('tlll n. In In)' ol!lrr uHlct (lr rll\cr 01 rllhllc .ttnrd. and II Du)'r' shan .rturd Ihh
.",rtmtnl (I' (lUle elf ('It.mlllhe ..mt In bt .<<orded. Stllr. mlY. .1 hll/ht'f nrllnn, cl<<t In I'I'.JI lu(h lei al' '"rich 01 Ihi. 1,.C'C'mtnl.
II. ASoItIHNM.:NTllhil ^.'ttll1cnl Ihall he hlndln" urnn Ihr .t'r<<IlVt Iidn. tlCCIIlml. ,u'mlnhulllln. IUn't"nll and. III Iht elltnl ond,n.:lhlr. nil Ihr I,dlnl 01 Ih(' (':l"ln
htftln. II t!f'ln, tlr.tul)' lIndrnlnod. hnwtvtr. Ihal Iht "")'r. shill nnllflnl'tr (If l"lan Ihil AF:lttmtnl ""IIlInlll Ihe ""illrn cnn~enl 01 Ihr Sellr, brill' nnl nblllintlJ.
19. NnN.I.IADll.ln' 0.' A(if:NTI Elctfllal ml)' be: p'Cl\'idrd b)' I ,crafl1e .J,.ttmrlll 01 Iddtndlln11n Ihll A,'ttlnenl. Alltnl(l) II' Sub.^ltnl(I).1f U'. Ill' .erlucnllllJ, Seller,
nOllht Ru,tl.
II h tlrrr"l)' lIndtnlood Ind al.ttd tltl..rtn Ihr ('arlltl ht.tln Ih.1 Iht htltln named 'Icnt, hlvht'f ultlre"nnl .11I1 tnlJllnyrn n. In, nfnetl n. rallntt IIr altnl and
any tnof'lC"llInl h,okC'. Ind hil/hr. lalrsrrnunl .nd tlllrln)'tt. and an, nflict. III ralllltf n' Ihe cnnpt.alllll hloktr IIr aClhl" II laenl on I, In h'inl;lnlllht III1)'t' IlId Sellff .
In,elhrr. Ind _11I111 no ClIC ..h'liIIC\'tI he hrld lilhle JolnU, n. ItvrraU, In tllhcr rolllr Inl lite fltrfolln3ner nl Iny Itelll 0' conn,ol 01 Ihb A,ftemtnl D' '01 d,m'ln fill
Iht lIonl'f"Il.mallct Ihr'tnl. ' ~. " ,
10. 1If-:"AIIf,T - lUn: IS ft.. TIn: .:.'i.~I':N"f-:: 'I ht I"lIllInlt Inr ~clllclllrnl nnd all olhcf Ilerna relmtlllu lur Iht rrtfnrnl.mre nf :'In)' 01 Ihr uhlia.lllnn' 01 Ihh AlICemell1
all' IItttlly "Il,rtll In ht nl Ihr tutnet nl Ihll ^J.lttmrnl. ~hnultllht lIuyt.:
In) rail In m....e an, .tldielnnal r",mrnll ,. l(1tdtitd In IIArallfllllh 4. .
(bJ I:u.nhh 'lite n, IntOIll"ltlt Inln.m"Uon 10 Ihr ~lIr.. Ihe Stllcr', IlIenl. nl Ihe Inntlll:tl;t Itnllt.. rOlletrnloll: Ihe IIl1yrr'lltp:~1 nt nnand~1 ~Iahll. or I.Uln cool'f,.lr
In Iht pflIrtnllll nl Iht morl.nle Ina" l"r1ic.allnll. which .cl\ _lluM ttlllllln lilt II\.IIUlt In nhlllln Ihr nrrlClVJlI lit :llIInrlr.~,r In..n rmn,"ilmr:lIl. n.
Cc) Vinl.ut Of laUlo lulfilllnd l1t.ln'm An)' nl Ihe Irlml n. enndillons 01 Ihll ^.rttmr:nl. Ihrn In luch cast, all dr(lOsillllnnlts 3nd olher sums "aid b)' Ihr lIuyt. on accounl
01 Iht .,u"hnr JlII<<, ..hrllltf .tquhrd h)' Ihll ^Il.ttmrnl nt 1101. may he .tlaintt!:
(I) hy Ihe Stllr, on Ictollnl or Iht 111IIch"'t '"let. IlIould Ihe sellrr dtmantllhr (ull Jlurchale J1ricr. 01
(II' II monlts In he Irrllrtllo Iht Srlltr's dalllalrl. 0'
(lit) I.t. IiquldllN dlml'rs 10' luch b,ueh.
Al Ihe Stllr. ma, tlnrt. Ind.lnlhe ~tnllhallht Stlltl rlttlS In rtl,dn Ihr mnnirs ..liquhJalrtl damalrs In .ctOld:lncc willt Ilaralrarll 20(c)(lil'. Ihe Stilt' shin tit .rJrurd
It(tm IlIlilhilil, Of obUlatlon IS ltd. Allttmenl shall be NUI.1. ANI) VOIO., . .
11. Rf:(:nVr.RY ""NIJ: ^ ,ul t\l:llt }<<ove.y lund ul\" 10 frhllhtlue "n)"l1tlStlln .'l1n Ita\ obl"inrtl a nn:ll civil jmlr.nlelll :t,,,ln'l It Iltnnl,lv:mla It,,1 tllalr lirrnsrr nl'11I1;
In fraud. mlllrJlrtsrnlllion, m limit In I .tal tllnlt IIanl:lcllnn nlld who has berlt unable In colltcllht jlldlrlllenlatler tlhaUlllnJ, .J1l1c,Allnd C'1fUilahle .emrdin. ':(11 como
Jlltlr dtlllb lhoullhe rund. ull (717) 7U-4",4. '
U. Rt:AL t:''iTATt: D1srUTF. R....ItOI.lJTION SYSlF.M: ^ny dbJlllle nr c1:tim :ulslnl oul nl 0' .eblin,ln Ihls ^,.cCllltnl.lhe brrath nl Ihls ^IIrtrlllenl (lr Ihr ~tlvirt Jlrovldtd
In "Iallon 10 Ihll ^..temtnl shin be lubmlllrd 10 mrdl'llon 10 acco.dlnce _lIh Ihe Rults and r,",rdurrs orlhe Rt,,1 f!slllr Dispult Rtlnlullon Syllrm. Oi'llUltJ shalllndullr
.tprtsrnllllonl madr by Ihe bu)'n. stllr" 0' Iny hrnke" a.tnl, ,ub,"tnl. 0' olhrr pruon or colilY In cnnntellon wllh Ihr sail'. IIlIrth.:l\t. lin"ncin,. condlllons. or olhrl Ilro<<l
01 Ihr rropr.lr 10 which Ihl, Alllrtmrnl pelllln.lndudln<<, ..Ilhnul Ihnlllllloo. alltK.Ulnn. nl ronculmchl, mi\lrrrtSrnllllinn. nr~lil;rncr .nd/o. rflutl.
Tilt .,.o\'l\lons of Ihb J1al"II'I"h .rI.Un, 10 medial Inn shalllllf\'ivr stllltlllrnl on Ihe slIhj<<1 1I,0rcrlY 0' tl\.rlirl Irrmln"llon 01 Ihi\ AJlrcmrnl.
Du)'r' and nlles Id,nowltdle Ihlllhr)' hIVe 'rtel"w. .ead. and undrulllld Iht slandlrd InnDunrtmrnl brochule and rults and Jllocrdufes 10' IIII' Rull!slllt l>isrulr Resolu.
t1nnSYlltm.
13. n.:''i(;RlrTlvt: IIF.AIJIN(.: The desc.lpllve ht.dinll' Ulrd hrrtin lie 10. rnnvrnlrncc onl, Ind Iht, Ill' nOllnlrndtd In IndiCllt III o( Ihe maul" In Iht I<<tlonl which lollow
Ihtm. ^rcoldlnal" Ihey Ihlll hive no dfrtt ..hallOCVtf In drlt.mln!n, Ihe .I,hll 0' obU.lllonl nr Ihr ('.Jlllrs.
U. ACiRF.EMF.NT: TIII!i AGRI!I!MP.NT CONTAINS Till! \\'IIOI.I! ^ORr:liMENT nETWI!l!N Till! sm.U~R ^NI> 1IIJ\'rR. TIII~Rr. ^RIi NO OTIIER Tf!RMS, OIlI.lG^.
"IONS. COVEN^NTS. RI:I'RI!SI!NT^TIONS. S-rATI:p,mN1S OR CONUlTlONS. ORAl. OR Ollll!RWISl!. OF ANY KINO WII^ISOl!Vl:R CONCEKNINU TillS
SALC, CXCm'T AS A1TACIICO TO TillS CONTRA<.,.,
"
(Do Not Write ill This Space)
, ,
TIlls Is a 10Rolly blndlnR oonlraol; lr nol undor~llloll, con~ull Yllur nllllrno)',
.... Slllt"'''I: Thll IJncumenl nIl)' hf tu'cUlttl h, IIIc Ihl,r, III StUn lItullrnllu"ltltllllllllc (lllItl tm tI<<utinll by Itltl;u. \\'IItn tltcUltl) .nll dtllvcrrtl in \lIeh malllltf. Ihl.
Uoc:umrnl ..III h<' hlndln, I' IhoUlh uteutrd h, Ihe I':utln nil Ihe llIi.ilul t1Ol,:lInlenl,
~~Rr.~11. "" "O\'~.It Y" .It,,,..,,,Io. ~..1I.. 10m'.., ".."",,".,.. be 1...11, I.",". Iom"',~r hrltUllllt~ fllhrit 1 11111 allll IUI~I~lt Iy IInd )'ear rllll .ho\'t wllllrn,
--'-'-\J111-1 . 'l'~!.dv.,J II11Yl'R_~_~Y/~' _~_ ~ '~I!AI.)
w\!!:,rI". ~p 'VI ~ "(
, . _.' t~ ' ,.......J.-fL ':l ~,- 1I1l\'''R _ _ ~~ .zI- (SI!AI.)
wnN~.\.A.' (J nml;M 71.\
ArrRO" ,R' ~ELI, 'R: 5cIlM'~~""'"'' .hil I q d., o~ J....f.t,.b::'C- , I'~
:~:~fJy~-(!e',b;;i~L ,fT71i~ ~t~_ :::~:':::- - -./{a!;</4
(SI!Al)
IIS^ 110
(S~A1.)
)/96
II'IoUIIII.I'-",
. .
ITEM
NUMBER
A.
1.
2.
3.
B.
-!~
COMMONWfAlfH 0' PfNHS'f'lYANIA
INHUITAHC! fAX _nUIH
lUID!Nf D!CfD!NI
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
OF
OJROON E. WINOOiIS
DESCRIPTION
AMOUNT
Funeral Expenl":
Neill FUneral Hare
S 6,210.00
410.30
482.29
Reception
Lo:lging
Admlnlstratlve Calls:
N/A
1. Personal Represenlativo Commillians
Social Securily Number of Personal Roprosenlative:
Year Commissions paid
2.
3.
4.
C.
1.
2.
3.
4.
5.
6.
7.
8.
Altarney Fees
Henry F. Coyne, Esquire
4.500.00
Family Exemplian
CIDimanl
N/A
Relationship
Address of Claimant al deeedenl's dealh
Street Address
Cily
Slate
Zip Coda
Probale Fees
255.00
Mlleellaneoul Expens..:
Inheritance Tax Return Fee
15.00
32.00
51.70
60.00
25.00
2.52
PA 5,897.66
PA 612.48
Postage
Legal Advertiserrent - Patriot News
Legal Advertiserrent - Cunberland Law Journal
Haneowners Insurance Premiun
Certified Mail
Linderran Mayflower - Moving Expense frcm Mechanicsburg.
to Macungie. PA
Mileage - Travel of E.'(ecutor to and fran Mechanicsburg,
(2.112 miles @ 29c)
TOTAL (Also enter on line 9, Reeapilulalion)
S 20,553.95
(If mora spaco II n.edod, Insort additional Ihoetl of lama Ilze.)
,
...,''':''.''....,.
(OIilMOHW'AUH O' "",""''''''"1.4
.NNunA"'(1 r.... "'UIN
IlSlDINf 01(101""
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE L1ABLITIES AND LIENS
ISTAfE Of
GORDON E. WINDOWS
FILE NUMBER
21.96.0506
ITEM DESCRIPTION
NUMBER
I. PP&L
2. Water Bill
3. Sewer Rent
4. Sammons Cable
5. Bell Atlantic
6. Real Estate Taxes (1995.1996)
7. Bill Otte - Lawn Service and Maintenance
8. Holy Spirit Hospital
9. Harrisburg/Polyclinic
10. A. Z. Ritzman
AMOUNT
S 288.39
35.45
98.00
41.96
110.62
2.044.00
170.00
230.00
35.15
27.00
.
TOTAL (Also Inler on line 10, Recapitulation)
(If more 'POCI i. n..d.d insert additional .h..1s 01 lam. .i%l)
s
3.080.57
Register of Wills of CUMBERLAND County, Pennsylvania
Certificate of Grant of Letters Testamentary
No. 1996-00506 VA No. 2196-0506
ESTATE OF WINDOWS GORDON E
1~S'l', r!K~'l', M!UULt;)
Late of
HAMPDEN TOWNSHIP
l.:UMHlmLI\NU l.:UUN'!'Y,
Deceased
Social
No. 174-16-26B5
day
Security
of June
1996 an instrument
WHEREAS, on the 26th
dated December 23rd 19B1
was admitted to probate as the last will of WINDOWS GORDON E
(LI\~'l', ~!K~'l', M!UULt;)
,
CUMBERLAND county, who died on the
late of HAMPDEN TOWNSHIP
29th day of May 1996 and,
WIIEREAS, a true copy of the will as probated is annexed hereto.
THEREFORE, I, MARY C. LEWIS , Register of Wills in and for
the County of CUMBERLAND in the Commonwealth of Pennsylvania, hereby certify
that I have this day granted Letters TESTAMENTARY
to GORDON E WINDOWS JR
who has duly qualified as Executor(rix)
and has agreed to administer the estate according to law, all of which fully
appears of record in my Of flce at CUMBEHLAND COUN'l'Y COUll'!' HOUSE.
CARLISLE, PENNSYLVANIA.
IN TESTIMONY WHEREOF,
of my Office the 26th day
I have hereunto set my hand and affixed the seal
of June 1996.
'7Jjl~" (J~"r~" . 12m(!;, ~IO
o g e~ WJ.
**NOTE** ALL NAMES ABOVE APPEAR (LAST, FIRST, MIDDLE)
(
/l~
\\\~
.)~
~~tw
->~
~~
\
LAliT WILL
or
GOIlDON E. WINDOWS
I, 0011110" ro. WINflOWS, of the TDW'hip of lIampd.n, Cumberland County,
I'.nn.yh.nla, d.el u. thl. to b. lilY Lut Will .nd tftvDk. any willa previoualy
ude by lIle.
ITEM 11 I devl.. .nd b.queath all of ~y .It.t. ot .very n.tur. .nd
wbtrualvet al tuato, tOllether wIth In.unnol thareon, to my wlte,
DOIIOnlY C. WINDOWS, provldlnl Ihl .haU lurvJvIl mil by thirty (30) day..
ITEM 2. Should my wIC., IlOROTlIY C, lIINOOWS, pudac.... mB or dh on
or batora tha thh,tleth (JOth) day Collowlnl my d..th, 1 daviae .nd b.quuth
.11 at my I.tat. of ev.ry I~ture Wh.r..Dlver .itulte, to ~Y .on. GORDON E.
WINDOWS, JR.
IT!!H .. Should lilY 'Dn, OOlIDO" E. IIINDOWS, JII., bOt hIVe attain.d the
aal of tWlDty~thr'l (23) year. at thl tillle of di.tributlon to him, I d.vll.
.nd bequeath hll .hare to CClID DANK, M,A., 2ht .nd Uarket Strllta, Camp
lUll, CUIIlbnland County, PllnnaylVI"la, IN TlIUST, to hOld, Noagl, inveat
and rllnve.t the .harl ao recIlved, and aCCUlulntJon of Inc~ thar,oD, to
U'I and apply the Income and prtnclpll, or .0 Much ther'OI, a., In tru.tl'"
di.cr.tlon, may b. n.c....ry or .pprDprlate lor my .on'. medical earl,
.upport .nd .ducatlon (lncludlna colleao educ.tlon, both Ir.duat. 'Dd undlr~
araduot.) or to IIIIke paJllllnt Cor thea. purpo..., without further rllpoDalblllty
to my '00, or to any p.r.on takina care ot my .an. Any prlnnlpal or Income
not .0 .pplled .hall b. dlltrlbuted to ~y 'Dn ab.olutlIy when h. attain.
'111 twenty-thrle (23) years. 1f he diu before attdnlnl aSI tWflnty~thr..
(U) the tru.t sh.ll tertninde Ind .uth .hare shill be dhtdbutld to ilia
per.ott.l tapr..entatlve. All .lIlrlS of prinCipal and Incomo hlrlby liven
.haU b. Cree frOlll anticipation, Ul1glldllnt, pledgl or obllgatlDB of my
'OD, .nd .hall not be .ubJect to allY .xecutIon or .thcllllent.
.T~ 4. 1 dlr.ct that all tax.. thlt Dlfty be a......d in COD.lqulne. of
my de.th, of what.ver nature and by what.ver Jurl.dlctlDn Impo.ed, .hall be
plid frOlll .y r..ldulry e.t.t. a. a part of th. 'XP.D'I of the a~lnl.tr.tlon
iJ
01 "Y .... te.
IrD{ '.1 r appoint "Y IIU" IJOIIOT/fV C, WIHOOWIl, ..cutrhc of ."..
IQY La.t Will, Sbauld lilY "Ua, 1lO1ltI1'IIV C. WIHllOW61, f.U to qllalUy OJ:
c.... to .ct ., '~C1Uttlw, 1 APPOint my 'on, OORnON 2. WINDowS, JR"
....... r · f .... "" ..... "ut. ""," '" wit.. "ClI""'" C. "''''''"'. ...,
"Y .... co_ '. "IMlOlrn. JR.. bo.. ...,,,.... ... or fdl .. ."It f.
.r ..... .. ... .. "y ..,..... """"""," '....f.. CCH. "NK. .....
21" .... ""''' ........ c.., "fll. C"""'''' eoDD',. .....,....... .......,
ot tbb Illy 14.. Will,
lTJ!H 61 I d.l",ct that II)' P.nond r.pr...ntauv. aad tru.ta. OJ:
...., ........,. ...,. ... .. .....,., .. .f" boo' t., 'lo t....t., ....
fO~aCl. of ~ir dllti.. 10 lay Jurl'~IGtlon,
IN WITNl!/1/1 JJHlrRroP, I hlY. Nraunto ..t lilY Mad
C'~ ~
'j-- o.ri<! L, 1981.
tb.. ,~:;::t -< ~)'- ot
Th. .....,... ........... .......... .f ..., 'Dd ... ...., ...........
"'" .,.."t.., " ... .......,. .f ... """'" """" '. ","",s. ...
.. 'lo ,., .Dd ,... "',..f .....,. Po""'" ... d'.I..., by CO,", t.
"""""'. ... r....... ....... _d. .. OD' tor bI. t... ""f. .. ... P.......
.t 0'. .... .. ... ........ .. h.. ......... .., .. ... P....... .t .... .....
Mve .ub.crlb.d Our nam., a. IIltD..... her.to.
J f e1 r ))-Z~J..o..
r..1d.lna at - ....-::""-.f' "-?)'P ~~'5j <g~
. 4tr2 Jl~?{1 j)r
.....ldlaa It 7/{11 (AIi.44..{ C"(JlV1:1JIlA_
/709.tj -
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 ~
iiiy=is4rEx-iij:ii-fij:;:9ijj-NDYICE--ciF-YNHERlfilHCE-~"-"x-iippRiiIsEiiENT-,--m:ciiiiliicE-cili-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
GORDON E FILE NO. 21 96-0506 ACN 101
If an assessment was issued previously, lines 14, 15 and/or 16, 17 and 18
reflect figures that include the total of ahh returns assessed to datu.
ASSESSMENT OF TAX:
IS. A.ount of llna 14 at Spousal ~.t. (15)
16. AMount of Lina 14 taxable at Lin..l/CI... A rat. (161
17. A.ount of Lina 14 taxable at Collat.raI/CI... Brat. (17)
18. Principal Tax Due
IS- /IL)-N
BUREAU OF INDIVIDUAL TAXES
...€AIUH([ tAX DIVISION
Dl:PT. 110'01
tlARRISIlRG, PI HUI'OUt
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
d-
NOTICE OF INIlERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIDNS AND ASSESSNENT OF TAX
LISA MARIE COYNE
3901 MARKET ST
CAMP HILL
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
11-11-96
WINDOWS
05-29-96
21 96-0506
CUMBERLAND
101
ESQ
PA 17011
Aao4..W'lt R..ltt.d
ESTATE OF WINDOWS
TAX RETURN WAS, I
I ACCEPTED AS FILED
I X I CIlANGED
SEE
RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Ra.l eat.t. (Schedule Al (1)
2. Stock. and Bonda (Schadule 8J (2)
3. Clo..ly Hald stock/Partnership Int.r..t (Schedula C) (])
4. Horta.gal/Not.. Raceivable (Schedule DJ (4)
5. C..h/Oank Caposttl/Hisc. Parlonal Property (Schedule EJ 15)
6. Jointly Owned Property (Schedule f) (6)
7. Transfara (Schedule GJ (7)
8. Tot.l A...t.
.00
.00
.00
. DO
1.311.17
12,449.81
116 .900.00
181
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Fun.ral Expans../Ad.. Coats'Hlsc. Expens.s (Schedul. H) (9)
10. D.bt./Mortg.g. Ll.bl11tl../L1.n. (Sch.dul. II (101
11. Total D.ductlons
12. N.t V.lue of T.x R.tu~n
13. Charlt.bl.'Gov.~n..nt.l B.qu.sts CSch.dule J)
14. N.t Value of Est.t. Subject to Tax
14,656.29
3.080.57
1111
1121
1131
1141
NOTE:
.00 X .00=
112,924.12 X .06=
.00 X .15=
llBI
TAX CREDITS:
PAYMENT
DATE
08-13-96
DISCOUNT l+ I
INTEREST (-I
321.08
RECEIPT
NUMBER
AA146620
AMOUNT PAID
6,100.51
PAYMENT MUST BE MADE BY 03-01-97..
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
*
11"1"' II "'111.'"
GORDON
E
DATE
ATTACHED
11-11-96
NOTICE
NOTE: To Inlu~. p~ope~
c~adlt to your .ccount,
sub. It the upper po~tlon
of this fo~. with your
tax pay..nt.
130,660.98
17 .736 R6
112,924.12
.00
112,924.12
will
.00
6,775.45
.00
6,775.45
6,421.59
353.86
.00
353.86
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
I IF TOTAL DUE IS LESS TIlAN fl, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF TillS FOR" FOR INSTRUCTIONS. I
~
RESERVATIDHI Eltat.. of decedent. dying on O~ before Dec~r 12, .982 a. ., eny future lnt.r..t In the ..tat. 1, tren.flrred
In po.....ton or enJov-.ot to el... a (coll.t.rall beneflcl.rl.. of the dec~t .,t.t the expiration of any I.lat. for
11'. or 'or y..r,_ the C~.lth har.by expr...ly r...rv.. the right to apprat.. end ...... tran,'.r Inherltencl Ta...
.t the lawful C1... a (collat,ral) rat. on any luch future lnt.r..t.
PtJRPOSE OF
NOTICE I
PAVJtEKT:
REAlm (CR) I
aUCTIONS:
AOft]N
ISlRAlIVE
CORRECT IONS I
DISCOUNTt
PENAL TV:
INTEREST I
To fulfill the r~lr"ent. of Slctlon 2140 0' the Inherltanc. end E.tat. Tax Act, Act ZZ of 1991. 12 P.$.
SKtlon 21"D.
o.tach thl top portIon of thl, Notle. and l~lt with your pay-.nt to the Rlallt.r of Will, printed on the r.v.r.. .Id.,
uttaka check or lICHNIy order payable tal REGISTER OF MILLS, AGENT
All paywent, r.calved ,hall 'Ir.t b, applIed to any lnt.r..t which .ay b. due with any r...lnder eppll.d to t~ tax.
, r"wxt of a tax credit, which WIIS not r~.ted on tM Tax Return, aay bII r.Cl'M.tect by cMPhtlna an "Application
for Refund of Penn'Ylvanla Inn.rltanc. and E.tat. Tax" (REY-1313). Application. are avallabl. at the Dfflc.
of t~ Regl.t.r of Will., enyaf the 23 R.v.nu. District Offlc.., or by calling t~ .peclal 24-hour
an.werlng servlc. ~ber. for for.. ordering: In P.nn,ylvanla 1-800-362-20S0. out.ld. Penn.ylvanla end
within local Harrl.burg ar.a (711) 781-8094. TDDI (717) 772-22SZ (H.arlng 1~.lred Only).
Any p.rty In Int.r..t not .atl.fled with the appral....nt. allowance or dl.allowanc. of deductIon.. or ........nt
of tax (Includlna dl.count or Intera.t) a. shown on thl. Hotlca au.t obJ.ct wIthIn .Ixty (6Q) day. of rec.lpt of
thb Notice bYI
--wrItten prot..t to the PA Depart.ent of R.venue, Board of Appaal.. Dept. ZII0ZI. Harrisburg, PA
--electIon to have the .atter deteralned at audit of the account of the per.onal rapra.entatlve.
--app.al to the Orphan.' Court.
171ZI-lDZl.
DR
DR
Factual .rror. dl.cov.red an thl. a".,...nt should b. addr.".d In writing tal PA D.partaent of R.v.nue.
Bur.au of Individual Tax.., ATTNI PDlt A.,...eent Revl.w unit, Dept. Z10601, Harrllburg, PA l11ZI-0601
Phone (717) 717-6505. Sae page 5 of the bookl.t "Inltructlon. far InherItance Tax R.turn far a R..ldant
Dec~t" (REY-ISOI) for an axplanatlon of adalnl.tratlvaly correctable arror..
If any tax due I. paid within thr.. (3) calendar aonth. aft.r the dec.dent'l d.ath. a flva p.rcent (SX) dl.count of
the tax paid I. allowad.
The IS;&: tax ......tr non-participation penalty Is cu.putad on the total of tM tu end Int.r..t ......ad. end not
paid bafar. January II. 1996, tha flr.t day aftar the and of the tax ..,..ty period. This non-participation
penalty Is eppaalable In the .a.. .ann.r and In the the .... tI.. period a. YOU would appeal the tax end Inter..t
that h.. bean a......d .. Indlc.t.d on thl. notlc..
Int.r..t I. charged beginning with flr.t day of d.llnquency. or nine (9) aonth. and ana (I) day froe the data of
de.th, to t~ data of payaant. Tue. which bee... d.llnquent b.far. January I, 191Z baar Intar..t at the rat. of
.be: (6X) parcent p.r annua calculated .t a dally rate of .0001". All taxa. which bee... cMlInquent on and aft.r
January I. 191Z will baar Int.r..t .t . r.t. which will vary froa c.lendar yaar to c.l~r y.ar with that rat.
announc.d by the PA Depart.ant of R.venue. The appllcabl. Int.r..t rat., far 191Z through 1996 ar.1
'!!!! Int.r..t R.t. Oalh Int.r..t Factor :!!!! Int.r..t Rat. O.Uy Int.r..t FlltCtor
198Z ZOX .000548 1987 .~ .000Z"7
1913 16~ .000438 19aa-I991 11~ .0003D1
1914 m .000301 1991 .~ .000l47
1985 UX .000356 1993.1994 ]X .00019l
19.. IO~ .000Z74 1995.1'196 .~ .DDDZ47
--Int.r..t Is celculatMl II fallow. I
INTEREST = BALANCE OF TAX UNPAID X NUKBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notice l..uad aft.r the tax heea... d.lInquant wUl r.flect an Int.r..t c.lculetlon to flft"" US) day.
bayond the data of the .....lIIant. If paYll8l1t Is Ada aft.r the Int.r..t cu.putatlon data shown on the
Notice, adeUtlonel lnt.r..t ...,.t ba calculated.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
AU OF INDIVIDUAL TAl\E:>---. - --.___._
.lUUH<:[ TAlC DIVISION 'm rr=:,: r,-;:-t \
.;. %..... 'D Ls ': - '.' I ' ,
..RISIU1lC, PA 171""'01 j :/~I-I"""_"'~'~--~ -= -
~~ 2 0 I:;~'i
11}7~-.
INHERITANCE TAX
RECORD ADJUSTMENT
LISA MARIE COYNE
3901 MARKET ST
CAMP HILL
ESQ
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
PA 17011-4227
05-07-97
WINDOWS
05-29-96
21 96-0506
CUMBERLAtlD
101
Allount R..1thd
*'
In.IlU II '" 111.111
GORDOtl E
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit ~o your account, ~ub~lt the upper portion of this for. with your t.x paYllent.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
RE".;:is9-j-EiC-iiFP--CD3-:97i------M-.-iN-HERI-fiiNc-E"-Tiii-RE-CORb--iiDj-USTiiE"NT--..-----------------------------
ESTATE OF WINDOWS
GOROON
E FILE NO. 21 96-0506
ADJUSTHENT BASED ON:
VALUE OF ESTATE:
1. Reel Estate (Schedule Al
2. Stacks and Bonds (Schedule BJ
3. Closely Held stock/Partnership Inter.st (Schedule CJ
4. Hortgage./Notes Receivable (Schedule OJ
5. Cash/Sank Deposits/Misc. P.rsonal Property (Schedule E)
6. Jointly Owned Property (Schodule FI
7. Tr.nsf.r. (Schedule G)
8. Tot.l Ass.t.
DEDUCTIONS AND EXEMPTIONS:
PROTEST BOARD DECISION
III
121
(31
(41
(51
(61
(71
9. Fun.r.l Expensa./Adllinistr.tlva COltsl
Hi.cellanaaul Expense. (Schedule HJ (9)
10. Dobts/Mortgage Liabilities/Lions (Schodule II (101
11. Total Deductions
l:!. t,.l V.luca of T~", r..lurn
13. Charitable/Govern..nt.1 Blque.t. (Schedule J)
14. Net Value of Estete Subjoct to Te.
TAX:
15. Anount of Lina 14 .t Spousal rat. (15)
16. Anount of Line 14 taxable .t Lin..l/Class A rat. (16)
17. Anaunt of llna 14 taxable .t Collateral/CI..s 8 rat. (17)
18. PrincipII Tax DUI
TAX CREDITS:
PAYMENT
DATE
08-13-96
RECEIPT
NUMBER
AA146620
DISCOUNT It I
INTEREST/PEN PAID I-I
321.08
ACN 101
.00
.00
.00
.00
1.311.17
12,449.81
116,900.00
(81
14,806.29
3,080.57
(111
1121
IUl
1141
.OOX.OO=
112,774.12X.06=
.00X.15=
1181
AMOUNT PAID
6,100.51
INTEREST IS CHARGED THROUGH 05-22-97
AT THE RATES APPLICABLE AS OUTLItlED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
DATE 05-07-97
130,660.98
17,886.86
11~,7;';.12
.00
112,774.12
.00
6,766.45
.00
6,766.44
6 421.59
344.85
7.07
351. 92
. IF PAID AFTER DATE INDICATED, SEE REVERSE (IF TOTAL DUE IS LESS TIlAN '1, NO PAYMENT IS REQUIRED.
FnR r&1 rill ATTnN nF AnOflynNAI TNTFRF5T. tF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU HAV BE QUE
/;
,
, I
\ . .
\ .'"
f:'"
. "",'
>( . , ,
, L ' .
'------:;::;1
~.~.... .-,--
.~-
,
S30D CL6E.N m
eMM,qUS /kI t.fb <1'1
~~~~
(' p ~,' ".\
. 101 FUb 100 -
.I"'~
-
--.
I?E6/5j~:R of WI (,LS-
(UM.6'C.<'L:4N.6 G (w~r Ib"J.Jc-
C-1R,uSI.2 PA J~/61..3
\.IQ\.7':.r:a:.":"'~~7:.
1",111",11I"""'1"11","",11,1,1""'",,,,,,
"-,,,,.,,,'.. ......,.
".^':,..-,.-,.;-,'"
,',;"_'-""~'--- ..."
.- ,.,.~. ....,."-~,-~..'_......
~~''\f;.''''.I''''''
..-......~
-1 , ,.. ,.
- ~{',',
I' n.~
, ,
{ '.
,..' ',.
'.
i
.' rl..'}
:', ..... t, ": :I-
~ ......
. lit. \
... ." .of'
. '(ll '. r.. I
.1 .. :, . ~
, "'.f i' '
.1 ' , , ,... " ,~.'
... , ".
,. ..
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., , ,
.1
i. , .
"" ~
",'
....
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I -,
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f
.
, .....
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'~'-' ---
,
..-..._---~-.,.._- .
.
" .
COMMOUWlAlTtt or fl[fmSVlVAtlIA
OEPAlHMDH Of H[V[NU[
DUREAU OF INDIVIDUAL TAXES
DCP' 280601
IiAFHlISnURG, PA 17128-0601
\'
~~
NO. AA 2114 4 3 111."""'1""'1
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
RECEIVED FROM:
1-
ACN
ASSESSMENT
CONTHOL
NUMOER
AMOUNT
GORDON E WINDOWS JR
101
Q35'I.I0
5360 ELGEN DRIVE
EMMAU5. PA 18049
lOlDH[RE ..
fQl.DHtll(
ESTATE INFORMATION:
FILE NUMBER
_a1=,I~%~SO,,----5Sl1l 17" - I b~t.a5---
NAME. OF DECEDENT (lAST) (FIRSn tMlt
_WlNDOWS-GOROON ~
DAlE OF PAYMENT
_.b-I20~::).
POSTMARK DATE
---O.tOO-,lOO
CQUtHy
TOTAL AMOUNT PAID
$354.10
-CUMOl;R6AN()
DATE OF DEATH
(j : / . DO
RECEIVED OY I /!~./! (/. (. ,.:7;111,).1/,-
MARY C. U::.d15 1.-1/ A"'/1.
REGISTER OF WILLS .//)1 ~/"
REMAR
GORDON E WINDOWS JR
SEALCHECKIt 894
, ,
" '. ,I ~ '.3
--------- -.--------
r-----~---------
..---
,
. ...----..N..~ _ i..,.. ....,:.
-----
,. j'j//(i PI
BUREAU OF INDIVIDUAL TAXES
tNt'UUANCE laX DIVISION
t)(PT. 210601
tlAARISlURC, PI lIlla-a'OI
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
RECORD ADJUSTMENT
LISA MARIE COYNE
3901 MARKET ST
CAMP HILL
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
ESQ
PA 17011-4227
(i.
05-07-97
WINDOWS
05-29-96
21 96-0506
CUMBERLAND
101
Anount He.ttt.d
*
....UIIII II' III.tll
GORDON
E
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To In.u~. proper credit to your account, sub.it the upper portion of this for~ with your tax payne"t.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ....
RE-.;:is9-j-E;C-iiFP--ioj-:97i------.-.-iiiHERi-fiiNl:E"-TA-i-RifcORb--iioj-USTtiE"NT--..-----------------------------
ESTATE OF WINDOWS
GORDON
E FILE NO. 21 96-0506
ADJUSTHENT BASED DN:
VALUE OF ESTATE:
1. R.al Eat.t. (Schedule AJ
2. Stock. and Bond. (Schedule OJ
3. Clo..ly Hald stock/Partnership lnt.r..t ISch.dule C)
4. Hartg.gas/Not.. Receivable ISchedule DJ
5. Cash/Bank Deposits/Hilc. Parsonal Property ISch.dule E)
6. Jointly Owned Property (Schedule f)
7. Transfar. (5ch.dule G)
8. Total AII.h
DEDUCTIONS AND EXEMPTIONS:
9. Fun.ral Expan.../Adnlnlstr.tlva Costsl
Hilcallan.aul Expans.. ISchedule HI
Debts/Hortg.ge Liabiliti.s/Lians (Schedule II
Total Deduction.
N.t Value of Tax R.turn
Charltable/Goy.rn.ant.l aequ..t. (Sch.dul. J)
N.t Value of E.tat. Subjact to T.x
PROTEST BOARD DECISION
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(9)
(10)
10,
11,
12.
13,
14.
TAX:
15. A.ount of Lin. 14 .t Spou..l r.t.
16. AMount of Lin. 14 taxabla .t Lln..l/Cl... A r.t.
17. AMount of Lin. 14 taxabl. .t Coll.tar.l/Cl... a rata
18. Principal Tax Dua
TAX CREDITS:
1151
1161
(17)
PAYMENT
DATE
08-13-96
RECEIPT
NUHBER
AA146620
DISCOUNT Ctl
INTEREST/PEN PAID (-)
321.08
ACN 101
.00
.00
.00
.00
1.311.17
12,449.81
116,900.00
(B)
14,806.29
3,080,57
Ill)
(12)
(13)
(14)
.OOX.OO=
112,774.12X.06 =
.00X.15=
llel
AHOUNT PAID
6,100.51
INTEREST IS CHARGED THROUGH 05-22-97
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
DATE 05-07-97
130,660.98
17 ,886.86
112,774.12
.00
112,774.12
.00
6.766.45
.00
6,766.44
6 421,59
344.85
7.07
351.92
. IF PAID AFTER DATE INDICATED, SEE REVERSE (IF TOTAL DUE IS LESS TIlAN '1, NO PAYMENT IS REQUIRED,
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE DF TillS FORM FOR INSTRUCTIONS.)
PAYHEHTI
D.tlCh t~ top pa~tlon of thl. Natlc. and .ub.lt with vou~ paya.nt ..d. pavabl. to the n... and eddr...
p~lnted on the r.v.r.. .Id.,
n ".... chack or aonav ord.r p.vabla t01 REGISTER OF WILLS, AGENT.
REFUND (CR)1 A rafund of Ita. cr.dlt, ~hlch ~I' not r.qu..t.d on the T.. R.turn, ..y b. r.qu..t.d by coapl.tlng an
wAppllcltlon for R.fund of P.nn,ylvenl. Inh.rltanc. and Eltata Ta.~ (REV-llll). applIcation. ar. .vallabla at
the Offlc. of the R.gI.t.r of Will., any of the 2l R.vanu. DI.trlct offlc.. o~ fro. the D.p.rt.ant'. Z"hou~
an,w.~lng ..rvlcl nueb.r. fa~ far.. ord.rlng: In P.nn.ylvanla l~aOO-162-2050, out.ld. P.nn.Vlvenl.
and wIthin local H.r~l.burD .r.. (717) 7a7-a09~, TOO' (717) 772-225Z CH.arlng rap.lrad only),
REPLY
TO:
DISCOUNT:
PENAL TV:
INTEREST I
Du..tlon. r.gardlng .~ror. contllned on thl. notlc. .hould ba .ddr....d tOI PA D.part.ant of R.venu., Bur.au
of Individual Tlx." ATTNI Po.t A......ant R.vl.w unit, Dapt. 2a0601, Harrl.burg, PA 17121-0601, Phona
(717) 717-6505,
If any tl. due I. paid within thr.. (l) cal.nd.r lonth. .ft.~ tha d.c.d.nt'. d..th, a flv. p.rc.nt (5Z) dl.count
of the tlx paid I. allow.d.
The 15Z t.. -.na.ty non-partlclp.tlon panalty I. coaput.d on the total of the t.. and Int.ra.t .......d, and not
paid bafora January 18, 1996, tha flr.t dlY .'t.~ the .nd of the tlx lan..ty p.rlod.
Int.r..t I. ch.rg.d b.glnnlng with flr.t dlY of dallnqu.ncy or nln. (9) .onth. and on. Cl) day f~OI tha data of
d.ath to the d.t. of pay..nt. Tax.. which b.ca.. dallnquent b.for. January 1, 1982 b.ar Int.r..t .t the rat. of
.l. (6Z) parcent p.~ annu. calculatad at I dally rat. of ,000164. All ta... which b.ca.. d.llnqu.nt on and aft.r
Janua~y 1, 198Z will b.ar Int.r..t at . rat. which will vary fro. c.l.nd.r y..r to c.lend.~ y.ar with th.t r.ta
announc.d by tha PA D.part..nt of R.v.nu., The appllcabla Int.r..t rat.. for 191Z through 1997 ar.,
Y.a~ Int.~..t Rat. D.lly Int.ra.t F.ctor
V.ar
Intlr..t Rat.
Dally Int.r..t fie tor
1911 ZGZ ,000548 1917 .~ .OOOZO
1.11 I'~ .000411 1911-1991 IU ,000101
1914 II~ .000101 1992 .~ .OOOZO
1915 U~ .000156 1993-199. 7~ .00019Z
1986 I'~ ,OOOZ7. 1995-1997 .~ .OOOZO
.-Int.r..t I. calculatad I' 'ollowtl
INTEREST . BALANCE DF TAX UNPAID X NU"BER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notlc. I..ued aft.r the tax baco... delinquent will r.fl.ct an Int.r..t calculation to flft..n (IS) day.
b.yond t~ data of the ........nt. If paYlent I. lad. .'t.r the Int.r..t coaputatlon data .hown on the
Notlc., addltlonl. Int.r..t IN.t be calculat.d.
,.;
PAVH[Nh
D.tach the
prlnt.d on
top portLaq pi this Notln and sub.1t ..lth your pay..nt .ad. payebla to tha na.. and addr.ss
-, -..J
the r.v.r.. .Ida,
If RESIDENT DECEDENT .ak. ch.ck or .onay ordar payebl. tal RECISTER OF WILLS, AGENT.
If NON-RESIDENT DECEDENT .ak. ch.ck or .on.y ord.r payabl. tal COMHONWEALTH OF PENNSYLVANIA,
REFUND (CR)I _ r.fund of a tax cradlt, which .... not r.quast.d on the Tax Raturn, .ay b. r.qu..ted by co.platlnG an
"Application 'or Rafund of Pannsylvanla Tnh.rltanca and E.tata Tax" (REY.1313). Application. .ra av.llabla .t
tha O"lca of tha R'GI.t.r of Will., .ny of the Z! Ravanua DI.trlct Offlc.. or fro. the D.pert..nt". Z4.hour
an.warlnG ..rvlc. nuebar. for 'or.. ord.rlnGI In Pannsylvanl. 1.800.36Z.Z0S0, outsld. Penn.ylvanla
and within local Herrl.burg .raa C117. 181-80'4, TOOl (1171 17Z.Zl5l (H.arlng I.palrad only'.
REPlV TOI
Qua.tlon. raglrdlnG arrar. contalnad on thl. natlc. .hould ba addr...ad tal PA Daplrt.ant of Ravanu., Bur.lu
0' Individual TIX.', ATTN: po.t _.......nt Rlvl.w Unit, a.pt. l80601, Herrl.burg, PA 171Z8.0601, phon.
(7171 731.6505,
DISCOUNT I
I' any tax due I. paid within thr.. (3) calander eonth. aft.r the d.c.dant'. d.ath, . flv. p.rc.nt (SX) dl.count
0' the tax paid I. allo..ad.
PENALTY I
Tha 15X tax aan.sty non.partlclpatlon p.nalty I. co.put.d on the total 0' the tax and Int.r.st .......d, and not
paid b.for. Janu.ry la, 1996, the flr.t day .ftar the .nd 0' the ta_ a~..ty p.rlod.
INTEREST I
[nt.r..t I. charg.d b.glnnlng ..Ith 'Ir.t day of d.llnqu.ncy, or nln. (91 .onth. and ~ Cl) day fro. the data 0'
d.ath, to the data 0' pay..nt. tax.. which b.ca.. d.llnqu.nt b.for. Januery I, 198Z b.ar Int.r..t at the rata 0'
.1_ (6X) p.rc.nt p.r annu. calculat.d at a dally rata 0' .000164. All ta_.. which b.c... dallnqu.nt on .nd aft.r
January 1, 198Z ..Ill b.ar Int.r..t at a rat. which will vary fro. calandar y.ar to cal.ndar y.ar with that rat.
announc.d by the PA a.part.ent 0' R.venu.. Th. .ppllcabl. Int.r..t rat.. for 198Z through 1'97 ar'l
V..r Int.rnt Rat. OaUy Int.r..t Factor
V.ar
Int.r..t Rat.
Oally Int.r..t r.ctor
19U ZOX .000548 1987 .~ .000l""
1983 l.~ .000438 1988.1991 In .000301
1'84 11~ .000301 1991 .~ .000Z47
19.5 13~ .000356 1993.1994 n .00Dln
1986 10% .000Z74 1995.1997 .~ .000247
uInt.rast Is c.lcul.ted "" '0110...1
INTEREST = BALANCE OF TAX UNPAID X NUMBER DF DAYS DELINQUENT X DAILY INTEREST FACTOR
uAny Notlca Issu.d aft.r the tax b.coa.. d.llnqu.nt will rafl.ct an Int.r..t calculation to 'ift.an US) day.
b.yond the date 0' the .......~t. I' pay.ant I. .ad. aft.r the Int.r..t co~t.tlon d.t. ahawn on the
Notice, ~Itlonal Int.r..t IN.t be C81culated.
".
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STATUS REPORT UNDER RULE 6.12
Name of Decedent:
Gordon E. Windows
Date of Death: May 29, 1996
Will No.
21-1996-0506
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 answer is No, state when the personal
representative reasonably believes that the administration will be
complete:
3. If the answer to No. 1 is Yes, state the following:
a. Did the personal representative file a final
account with the Court? Yes No X
b. The separate Orphans' Court No. (if any) for
the personal representative's account is:
c. Did the personal representative state an
account informally to the parties in interest? Yes X No
d. Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be attache is eport.
~..IAVU
Signat.ure
Date: 12-
~q~
Jw-
o.~
co
:q
.~; :1-
'-
Lisa Marie Coyne, Esquire
Name (Please type or print)
3901 Market Street, Camp Hill, PA 17011
Address
~
~::c
lrI
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u ~.
<llCI:
CI:
?3
-,
(717) 737-0464
Tel. No.
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UU
Capacity: Personal Representative
X Counsel for personal
representative
(HAH: rmf! AM3)
1:'.\",,,, '~I G,\'),~ i~(lN
abo kilo"''' a\ ___
I)ETITION FOI~ PIWBATE :tlld GHANT OF I.ETTEI~S
..921- q to ..:-...~oCa____
c,
L\J j N ;')"H~) :J
No,
10:
. /)~'n'(/\('d,
Sucia/SC'l'lIr;lyNu. _11q~_I(,,.....'~6.r;.'s:_
l{r~i'lrr 01 \\'.ill\ 101 Ihr
('OIlIllY 01 (.v m B C-l<.Ltll;Ji>. ill Ihr
l'lHIIItHlIl\H'alth or IJel1llsylvania
The Pl'lilioll ollhe lIIHkl'iJ!lIl'd Il"I"-.'Cllully Il'lltl''ll'l11\ Ihal:
Your Ill'liliOlIl'I(\), \\ho j,,'Olr\' IN Yl'ar' 01 a~l' 01 Ilhll'l" all Ihl'l'\l'l..'t1I" r
illlhr 1;1\1 1\ ill ollh,' aho,,' d,'.:,'drlll, dal,'d _ _2 3 ,'>_Er.:.._ __11:;-./._.
alld l'l1di.:il(\1 dalrd _ .. _... ___. . . ____ _______
_ArG'/A.:; C (("""_".CI"~,_.I>Oh'_.._____ __ _._____.________
...;, eut.e..- 3/, _1_'1.'1'/ _.__ _____. _...___ ____
_.__....______l1Il1l1rd
,19_
1'lah'ldl'\"llIl11(IlII1'I.IIl\'~', \.,.' Il"llll11~'I;lIinll, dl'o"h IIll'\l'nillll. loll.',)
Ik~l'lIdl'llt \\a' dlll11kikd al dl'iUh in __.._~_{-..c!4L".t;;8.--.t...A:1v_~_ ___,_ Count)'. Penns)'lvania, with
h.I:'.. _ 101\1 fami.ly "'prilldpal (l'~drll':c;I1_5.'2_2' _._~T.!;..L'::,~r_........_.gJ.
-1U.a..,-W.\.H.~(. ';,.I:1\i'J--.- -------L-Ib"'f'&f7\.-Tw~_)
tll\l '11".,,'1, 1Ill1l1lll.t and 1lI1l11dp.llll\1
I k.:rllt"1II , ,lh~1I .. "l_S__._.. YhJ 01 a~r, died _ _ -.t'ltGt'1--- '2..~ , 19 '1 t. .
OIl I' ~~~'I ], 1~1r.;::~.,~lr.:~'~~~~i;I,~"III;;;';~_:-\~:~\.;H~-di~,_;;~~j-;;;,;1 did lIot haIr a child born or adoPlrd
afll'r l.\l'....ulinl1 of Ihl' \\iII uffl'rcd fur prohalc; \\',,\ 11Ollhe: \'ktil1l uf a killing and was never adjudicated
illl'\lI11pl'11'111: _~~~_~'n__._'______...__.__._.___.____..__
l)l'~clllklll Oil lkalh ll\\ !led prOpl'rty wilh c"llil11all'd values a, follm\'s:
(If dOlllidled ill 1'01.1 Allpr"'"1O,lp"'p"IIY S 2. <I, mrn. ,'"tr
(If 11111 dOllliciled ill Pol.) I'r"ollalp"'prrty ill I'rllll\yllallia S
(II 1101 dOllliciled ill l'a.J l'r"'lIlal p"'prrty ill COllllly $
\'alt", .,1' Iral c\lalr ill I'rllll\~hallia . L..... $_11 C\ lOCI'. ~
~~ 1:'II~~~..::~~:!o_-:'~=_!'-~~~~=-(C<~.-l~~tL__..I~1 C., ~ "",e... d
\\ III:RI:nlRE, prlitiollr,(\, 'r\llC~lflllly lr'I\,r\I(\) Ihr p",h:llr of thr laS! will alld codicil(s)
pll....l.l1ll'd hcrc\\ilh and till' granl of 11'1Il'r, u~:r~_____
, 11-~'~I:lIn~;;~I;:;ltlllllll'lr;IIl\lll (.1.01.; .1lJmini\lr:1li\m d.h.n.~.I,a.)
Ihl.'"III.
7o~ ///~{/
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... /f?~'j' LVi""".J U\<-<::
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--- - -..--
OATH OF PEI~SONAL HEPHESENTATIVE
(,O:\I\lO:\WEAI.T1I OF l'E:\:\SYI.\'AI'iIA I "
^ I'. :;>i
('Ol '\TY OF I' v rl1 Il ".., . D
. '- ._'.J'-E_,--L./.rv. ______
I hI..' Pl'lilitHll'I(') aho\l'-llal11l'd '\\l'ar(') or affirml') Ihat the 'Iall'menl\ il1lhe foregoing petition arc
HUl' .ll1d 1o.',HIl'~llo Ihl' hl". oJ' till' ~IHmkd!!l' ami bl.'lil'f of pl'lililllll'r(,) and Ihm a, pef!\onal rcprc~cn.
lall\l'f-.llIllhl' ..hoH' lk~l'lkllt pl'liliol1l'f(\) \\ill \\l'Il ano lrllly adlllini\lCf the e\tate according tn law.
S\\tllll It\ lH OIf1illl1l'd and 'lIh'l'rihl'd I -A.t/t/...'-D<<t&._,.?_.._.. '"
hl'ftlll' 111\' thi, 25TH. da\ or ___.____.H _ !__.__ .;,;'
1!Ja.-C~:, fL'''- 07i1~ fi-'i1::=~:-=-=~--==:--- I
, ~ARY C, LEWIS 1I,'c/;;'~""[ . .... L. __n.___ ~
/5- I /I..) - I L(
No.
21 - 96 - 506
Estate of
GO,t.'PoiJ r:-. \0 If-I DOl" ~
, Deceased
DECREE 01' PROBATE AND GRANT OF LETTERS
AND NOW
,IUNE 26,
19~. in consideration or the petition on
the reverse side hereor, satisractory proor having been presented berore me,
IT IS DECREED (hUI the instrumcnl(s) dated Dee Z. ~ ( ,'1 t I
described thercin be admitted 10 probalc and rilcd or rccord us (he last will or ('.,.. 0(( r)c.l '"
e. w I/IJ !) Ot-\} S
and letters Te?-r1A M EtvT (I-l<''1
are hereby granledto C;-I'JLt'~lloJ e. tN.N1'>...,,'~ ::r-....
,
7rfA(f~ J(J~ P-Vu f}mfiw f]n.. .
Register of WIII$ . Ua
MARY C. LEWIS
FEES
Probate, lettcrs, Etc. ......... $
Short Certificatesl3 ) . . . . . . . . .. $
Renunciation................ $
X-~ages $ 6.00
JCP --5-;00-
TOTAL _ $ ?J;~.OO
Filed ......... ~~.N.~. il? .... ] ?9.l!... .. .. . , .
?35.00
9.00
/,,,>,4 1?1*~ /t=" ('/l)'A/~ .<;"'37'i?"'ir
A TTORNE\' (Sup. CI. 1.1). No.)
3?tJl ;1.111-1-/01 sl. Cill....pll,/I~,4
....DDRESS
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Mailed letters and order to attorney on 6-<7-96
21 - 96 - 506
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of rrry eIIttt..
.L'I:.I.~I 5: 1 "llpoinL ..y ",Ue. W\lO'rHY C. "'WW\I~, uacutrix of thls
lay Lul \ill1. Slllluld illY 'file, OOkO'I'IIY C. wtNlJOWS, fall to qud1fy Dr
"Ollac 1.0 act .Ill 1111;eC\ltr1l" T np[HJlnt MY ~on. COnnON r.. I:INDO\,'S, JR..
executor of this ~'Y Lost \.!Ilt. '~h)1I1d my ,,1 [", I'O;\OTlIY C. "'I!lJJ(l'.!S, and
my lion, GOROOll r.. W!N!)!)liS, ,lH., hoth prcdecenso lIle, or Cull to qudify
or CQlISC to lIct n. my person.d r~prcsentntlvc, I appoint CCNIl BAl;(, N.A.,
21st nnd Hllrket Struts, C81Up Hill, Cumberland County, Pennsylvania, executor
of this my Lut \1111.
ITF.M 6. 1 direct thnt my penon,,! representntive llnd trustee Dr
their .UCctlUDr& shnLl rot be required to give oond for the faithful per-
formance oC their duti/16 tn nny jurtsdiction.
~., 17
/ J. " '-<"lIay- of
,
IN \iITNE$::: \:HP:lll'..oF, 1 have hereunto set my hnnd this
C> f!
f .) :.rl?~"(")./ , 1981.
,
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Y /j yC 9:") -11.' ---..,
'-~.J . .......1.......,:.t-"..\.... ( _," ;;--~--r-,...." l!-1' -'l ~I
GORDON E. tHNDO\iS - --'"
Tho preceding instrument, consisting of this nnd one other typewritten
page, identified by the s1gnsture DC the Testator, GORDON E. \iINDOWS, \IllS
on the day ond date thereof signed, published and declared by COnDON E.
WINDOWS, the Tostntor therein na:ned, as and for hin Lnst \li11, in the presence
of us, wl~, at his request, in his presence, and in the presence of each other
have subscribed OUT names as witnesses hereto.
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residing at
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