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HomeMy WebLinkAbout96-00512 PETITION FOH PIWnATE and GltANT OF I.ETTEltS No. _21:::_9_6:::.5"1~ To: bllll., of-!acl<_M~Bret~~__ also A"WU'Il11.\ ._. __._~_____"____~__ _... ." __ .._m___.__t /)('('('(/.\(',1. Socilll S....urily No. _l96o- l4".,.l249_________ Ke~i\ler of Wills I'm Ihe ('oumy of Cumberlan<L_____ ill Ihe COl1lll1ollwcahh of Pcnll\)'IVallia The peliliollof Ihe ollde"i~lIed lespeclfully represellls Ihal: YUUf pctililllll:l(,,). who i,/all' IX YCaT\ uf agl.' or oldl.'r an (he c.\Ccut.r.i.!C illlhe lasl will of Ihe ahme dec<'deul, daled ___J1ay.23____,__ alld eodicilb) daled __ !I()nl~~__________ nanll..'d ,19-96_ l'IOlll.' ,dl'\;Inl \.u.......m!alll."l.'\. C.l!. rCllUlldalinn, lIl',llh oll'\l'....lIltn. clc.) \lccelldelll w,,, domiciled al dealh ill Cumberland ,_ ('oumy, Pellllsylvauia, with h...!.~ 1;"1 family or priucipal residelu:e aI 751 Pe'lnsylvania Avenue, Lemoyne, PA 17043 Iii" \n,,'cl. 1H11ll1h.'r am! 1ll1l1ldl'alil}'1 Deeelldem. Ihell_~L ,'ea" of a~e, died June 20 ,19 96 aI 751 Penns_Y:!'-'!9Jlj,<LAVe.D~-Lt..emqYl1~Jj\ 17043 EXeCI'I as follows. decedenl did 1101 marry, was nnl divorced alld did 1101 have a child born or adoplcd aflcr cxcculioll of Ihe will offered for probale; was 1I01lhe vielim of a killill~ alld was nevcr adjudiealcd ineompelem: ---.NQ.t..llpp.lj.~aJ)J~ Deeendem al dealh owned property with eSlimaled values as follows: (If domicilcd in I'a.) All pe"onal property S Unestimated (If nol domiciled in I'a.) I'crsonal property in Pennsylvania S (If nol domiciled in I'a.) I'ersollal property in ('oumy S Value of real eslale in Penn\\'lv'lI1ia S situaled as follow" Borou.9h of Lemoyne, Cumberland County $ unestimated WHEKEFOKE, pelitioner(s) respeclfully request(s) Ihe probalc of Ihe lasl will and codieil(s) prcsellled herewith and Ihe gram of ICllCrs_.t.es,tarnentary IIC\I;UlICIlI,It)-; ,ulllllni'lr,llil1l1 ":.1.;1.: iulrnini'lr,llinn d.h.n...:.l.a.) Iheron. , 1:i " c u ..,- "if a:$! ~E c'= :01'= -:'.j ~- u_ ;;0 ~ ~ :r. I) I. ,) 'r 1~1!'L t('1.r...{(...:.:- ,::.or.. ;~I'J ""' Barbara J. Strine . 751 Pennsylvania Avenue Lemo.YML-P..A-1.1Q!l3 OATH OI~ PERSONAL HEPHESENTATIVE COMMONWEALTH OF PENNSYLVANIA 1 os COUNTY OF CUMBERLAND J ::; (5'lllol. The pelilioner(s) ahove-named swear(s) or aHirm(s) Ihallhe stalemenls in Ihe foregoing pClilion arc Irue and correcl IOlhe hCSI or Ihe kno\lled~e and bclief of pelilioner(s) and Ihal as personal rcprescn- lalive(s) nf Ihe above deeellclll pelilioner(s) will \lell and trnly adminisler Ihe cslale aecording 10 law, / I ) '1 . . _. . //1' ' ,,' /" , J,) L. -' Sworn 10 m atl~'ed dnd suhscnbed _ ,'- (.~<I<.(\ Let . ~. - ~ ~ c. '" hcfore melhis Go - day of 1 / ......6.ad&lr.a.-J..._5_tdne ~. _--'1J.me .-u- 19...2L ' ' ~ 7J1l14 ''--.:B.f~,~c'J<.".2l~'-JJ;: oUl ~ ~- 43"/)<7R..~;,\(('r J2 No. 21-96-512 Estllte of JACK M. BRETZ , l>eel'lIsed DECREE OF IJROIlATE ANI> GilA NT 01' LETTEI(S AND NOW June 27 _ 11}...2IL". III C11I1,hl"llIllllllllf Ihc IICIlIIIlIlOIl Ihc rcvcrsc sidc hcrcof. slIlisfaclOry proof hll\'11I8 hcclI IHC"'lIlcll I ,,'fnr ,. 11I,', IT IS DECREED Ihllllhc inslrIlIllCIII(S) dlllc"_May..._~~!,J9~6, dcscribcd Ihcrclll bc admillcd 10 problllC IIl1d filcd of ICCOIIIII' 1111'/11" 1111I111 .JIlC!<_t'1......J~rQtz and LCllcrs Testamentary arc hcrcby gralllcd 10 Barbara J. St;J::An9_,...,. FEES Probalc. LCllcrs. EIC, ......,.. S 340.00 __ Shari CCrlificalcs(5 ) . .. .. .. ... S 15.00 Itll1(~~j( .1l~TM,f"9.1l~.. s 9.00 JCP S 5.00 TOTAL _ S 369.00 Filcd . ..J\lf'J; :n >. .~~9!i... . .. .. .. .. . . .. . . '/) ll~' ~ ';~i. ''J.. J1i{,l:'tL-..2I::J;/L-<~ {),I,tU.J"f- 1.Je.." -:/ .-~rlll~"tl ..I LtW11h .: /...". -- 1 ..ill "., ..4....", ~ / l,JO~~...~~~W~Qr, III - 06273 C,/ ^,'IOHNI\' ISIlII, l'l, 1.11, Nil,) 20 South Pitt Street, Carlisle, PA 17013 MlIlHISS (717) 249-0300 PIIONI' .- ,.. - ~ ~(.t (:> ~'? , a... .:' \D .l N ::s -OJ r, , .'. -' ~. 'CJ F <Ila: a: ~:.h ~i! :J UU CALLED ATTORNEY .JUNE 28. 19% Ill1llEllS ATTACIIEIl 21-96-512 Thi~ i!"llo lUlil)' Ih.11 Iiu.' inltlllll.llitlll lint' gin'l\ I'. (Iittndy 11Ipil'.IIIOIl1 ,Ill llri,l:lll,d 1('(lilll.lll'lIl dt',lfh dilly till'd willi lilt' ..... I.Ol'i1llkgl'tlr.lr. Till' III igill.i1ll'rrifil.lll" will Ill" ltlrw.lhll.l H' till' .'"'l.lll' ViLd Hl'\ 1I1d.. {HIIl(' 1111 jll'IIII.1111'lll tillll~: WARNING: It Is Illegal to duplicate this copy by photostat or photograph. No. 4ritf~1~iert~. ~/'''' ,~, ~.""...".,~, ~/.;,.. .,~~} · ' , 1; a . ~ ,I~ ~'\2 ~{.~~ ~;AfEIiT Q\ ~~,'~ /) ~-- Un/)u /'( ':6_-MAot"':7t.~ 1.111.11 Ht'}':I~II.lr (/ Fl'c for thi... It'uil'il,ltL $),00 3 G ....., f.1 1 t:~ ') o f... Lf.... t_. JU', ~.1 I~~o D.lll' COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH Jw.IlClf aDlHTlf.. ....l_ t. Jack M. AOI Il_.........., \MOl,., 1""" - .... Bretz ... . Male IW.,........." SolXw..HC\l...rtI<<JUll.. . 196 14 - 1249 69"" UHOIlfIIlD/IW ORIOIMTH 1IIIl'nftACI~""'" 1"UC&00DlUiJH'O"....,....-_......,...llfI_... .... I ..... l.....ofl.~..1 "-ClIfD"'ll"ecu." ~tAL one", I 4-23-27 Lemo ne Pa. _0 ._0 :::::00 c:rt"Y,IOAO. fWPOf otRH MCLlT'f MWljl~,-", 114."Ird~, :"'0 utO I!JIIfoIISS/WC)IJSHI'l' 'HlIO(C(ot:KtIYlAIH U I NIUlO 'ON:lSl ...XJ ..0 CU;.IOEHT'SICluC;RlOH w.IlOAlSWUS,UImM --- -- l'l,.lCI. .""'-MW'IMI\.... wr....__ ,,-" .. White .................. --~-......... .- . ,...0............'" .t 751 Penna. Ave. .. Lemo ne Pa. 17043 HifHIA'I MAUl ikll. ...",. UIQ , William Bretz NOMWrrlJrWlll(Tl'P""mII ClClOlHrt .,:Tv.... ......... --- ~-- "L.... Pa. ... ... - .... -Cumhp-rl Rnri .....' If Nil ::..~:::" lIOlHl""MAM(jf...~ ~s......".. " Reba Coulson "'OAMAHl" WAllHIAOOAlN~~"'. ~CooIt 751 Penna. Ave. Lemoyne, Pa. 17043 ilUCIO/1'~."-"'"""""""o-,. lOCAllOfrt.~....~ ._- llsbur Pa. 17019 Of'I'(R$tWACTfrQAlIUttt .......'-....0 ".....,,""~...-*.... U''d'''' .. -"'Clltnp " 1f.P\UQt r-..............,...~wrr.cIl~N__ Dlf'IlII...N....,."~_..la"lWC.......--...'...tIlIldorflMrllaAn llIl....__..Ndl... CATII'flOHOulrCIDClADI~o.., -r WilSCASf: N,flMlD lOUl[llCA&.IIlAUMM:(IAONun ...0 ..0 l==- 1-...,.. I .... . 0lrItr .....~................ ...............~_....IIl""'"1 "'''m I: DUlTOIOAASACClr6lOUlNClOf) DUI to lOA AS A CQNS(0UlHl:t. Of')- WlNolU1OrSY,1fC>>GI uualI""'''' COW'lnlOHc",CAUII C<RH' WHHl"OI~H .... o..~ ... 0 .. 0 ... ... CUl.....~OJfyor'lll 'cunlt'BG,",ICLUlI",,-~c..tuMd_""'''''''''III''fW'''''''''Paru.oud__t~''''~ ,............,~...----.......UUMlII.".__..IUIt4I. ............... ......... ...... ............ .......... ..... - lit. o o OAJIOJlHJURl' I~o.,,,,,, lItH 01 1KJUA'f frtJUfl'fRWOAKt Ol$CfllAHOWIMNR'fCXCUMID - o o O MIll U. """(c",!kNA'f.Al,-,, ......_.......~.. ~-~" ... ... 0...0 '.....~IOII ....... ~...M.,..-.d . n, i<>I,I',.{,/" I , 1C(!($lHU"MI'I ~u 030$'11) , ......"1 .....01oOCAlUOl I'IA~ "'ttO(()I.If'\IUOCNJM OJ CUl" {'1I....m',~."- }!., ?~t-o"'--4\c..... o '!'Ht..T.:,.,,\\t. R,.t II Ca l' DAl'UII.IOI~OI._1 .,- ~ C IlNtOl';Ulllt1'ltQ","IlICU.NI"'~_PCif'QlCfIQ_""t~Ill'_r:J""'''1 ,.........,..............__.......................--..."....... ...1""""...__.............. ......... o .. I<;$~ 00 \(j :oiiP c- -,1(\ 0, :'1 :.~. (l) n t.; ''-:l.Q ~ ~ ~ ~~ ~ .. \" i" C. , N .. 0.. r " ")" ;';'1 O~ ~1;1. :. i-: '0 ?-":,t.. - in :or:' .. 0 )>;:; - - 0 i !! ll: 0 . .t . .:d ~ l- S 0' ~ ~ ~ i ~ VI ILl N , ~ ~ i it == Eo< 1-1 ILl 1-1 $ ~ ~ II: 1-1 ~ III ~ i 5 ~ ~ ~ , s:: ~ . ... ~ ! i I :E: GI 1 l::S ~ .-i :.: ) i:l ( 01 tJ 0 i:l N oec rs. < tS l") . c! ~ III ~ I:: J: ~ 0 l") . ' , . 2l-96:-5l2 -.:. ..', LAST WILL AND TESTAMENT OF JACK M. BRETZ I, Jack M. Bretz, of the Borough of Lemoyne, Cumberland County, Pennsylvania, declare this to be my Last will and Testament and revoke all Wills and Codicils previously made by me. ITEM I: I direct that all my legally enforceable debts and funeral expenses, including all expenses of my last illness, shall be paid from my residuary estate as soon as practicable after my decease as a part of the expense of the administration of my estate. ITEM II: I bequeath the sum of Ten Thousand ($10,000.00) Dollars to each of my following named nephews: Carl B. Kaufman; and John Kaufman. ITEM III: I direct that my personal representative(s) shall sell at public sale my electric train collection and accessories and suggest that Ted Maurer, Auctioneer, of Pottstown, Pennsylvania, conduct such public sale, and I further direct that the net proceeds thereof shall be administered and distributed as a part of the residue of my estate. ITEM IV: I bequeath any automobiles or motor vehicles I may own at my death, my personal effects, household goods, and other tangible personal property of like nature (not including cash or securities), together with any existing insurance thereon, to Barbara J. Strine, providing she survives me by thirty (30) days. ITEM V: I devise and bequeath the residue of my estate of every nature and wherever situate to Barbara J. strine, providing she survives me by thirty (30) Barbara J. Strine daY:2 Sh~Uld I ! /) ....!-. (! icA 7/7 7J,(~) predecease me or die on or before the thirtieth day following my death, I devise and bequeath such resJ.due in equal sharas to my nephews, Carl B. Kaufman and John Kaufman. ITEM VII All Federal, state and other death taxes payable because of my death, with respect to the property forming my gross estate for tax purposes, whether passing under this Will or otherwise, including any interest or penalty imposed in connection with such taxes, shall be considered a part of the expense of the administration of my estate and shall be paid out of the principal of my residuary estate without apportionment or right of reimbursement. ITEM VIII: I appoint Barbara J. Strine Executrix of this my last Will. Should Barbara J. strine fail to qualify or cease to act as Executrix, I appoint my nephew, John Kaufman, Executor of this my last Will. Should my said nephew fail to qualify or cease to act as Executor, I appoint Dauphin Deposit Bank and Trust company, of Harrisburg, Pennsylvania, Executor of this my last Will. ITEM IX: I direct that all fiduciaries acting under this Will, whether or not named herein, shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal, this dY" day of ('.\0-<.; J 1996. \ /l, I / /. )-:1'7/ \ .fleA:? 7J, /'-.J(01 / / [SEAL] . . .-. .... ..... E. -- CERTIFICATION OF No'rICE UNDER RUI,E 5.6(a) Name of Decedent: Jack M. Bretz Date of Death: June 20, 1996 Will No. Admin. No. 1996-00512 To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on July 2, 1996 ~ Barbara J. strine Address 751 Pennsylvania Avenue, Lemoyne, PA 17043 Carl B. Kaufman 56 Pheasant Court, Elizabethtown, PA 17022 John Kaufman William Slothower Carol J. Pierpoint llO Park Avenue, Swarthmore, PA 19081 III OVerhill Drive, Chambersburg, PA 17201 4610 Yuma Court, Winston-Salem, NC 27107 Notice has now been given to all persons entitled thereto under Rule 5.6 (a) except None Date: July 2, 1996 .... John B. Fowler, III, Esq. Address 28 South pitt Street Carlisle, PA l70l3 ,_" .C I:: '''In:) 1j:) Telephonelli~ 249-8300 ,"" , J' , u , "tJ X Personal Representative Counsel [or personal representative [0: t'.! z- 1m' ~,; Capacity: . u. I'::') --III -I.f) .,-t'i : .' .--(. I (I l/4I , .: REV. l!ll."ex 1{7.1}4) .f Hill O"1Pi 0'- DrAltt ArTen 111ll/lH CtUCII. ttCRE L '" 11- A ',I'OU!iAl rI l'OV[III'l."r[)I"'i('lli~ FILE NUMBER CAB H P L E P 0 C R C K 0 K P S co"'~e/ixrMN 'I 'l[~;;r~'fi7~~ ANIA ttAnnlsH5~t5-A ,~b~-Ot.()l INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS (:oml!l'CClIJ( 21.1)("WlI2 """''' flUMlI[l1 D E C E D E N T DECEDENT'S NAME (lA~f, flll~il, AND MIDDLE ItjITlAl) IIrul7. Jilek M. orClO[NI ~;(;()MI'1 [f[ A[)[)nl~l~i 7r-) I I'lHlIWY 1 van t II ^VI!II1IlJ I.tHnoyr\l!, I'^ 170/,'l COMPLETE MAILING ADDRESS Fowler, ^ddams & Rundle 28 South PI tl S,J;,r;l1,el Carlisle P^ 17013 113,000.00 58,589.22 SOCIAL !i[CURUY NUM[)[H 196.11,.12/,9 QAlcar DEATIl ll6/20/96 OAIcor U1IHIl 0"121/27 717 249-8300 1, Real Eslale (Schedule A) 1 2. Slacks and Bonds (Schedule B) (2) 3, Closely Held Sleck/Parlnership Inleresl (Schedule C) (3) 4. Mortgages and Noles Receivable (Schedule 0) (4) S. Cash. Bank Deposits & Miscellaneous Personal Property (5th E) (s) 6. Jointly Owned Property (Schedule F) (6) 7. Translers (Schedule G) (Schedule Ll 17l 8. Tolal Gross Assels (lolal Lines 1-7) 9. Funeral Expenses, Administrative Costs. Miscellaneous Expenses (Schedule H) 10. Debts, Mortgage Liabilities. Liens (Schedule I) 11. Tolal Deduclions (Iolal Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) 15. Spousal Tlansfers (for dales of death after 6-30-94) See Instructions fOI Applicable Percentage on page 2 (Include values from Schedule K 01 Schedule M.) 16. Amount of Line 14 taxable at 6.1. rate (Include values from Schedule K or Schedule M.) 17. Amount of Line 14 taxable at lS./. rate (Include values from Schedule K or Schedule M.) 18. Plincipal tax due (Add tax from Line 15. 16 and 17.) 19. Clcdits/Sp Poverty Prior Payments Discount 0.00 + 52,150.00 + 2,71,1.. 71, 20. If Line 19 is greater than Line 18, enter the dtlfcrcnce on Line 20. This is the OVERPAYMENT. ~ D ICheck here If you are requesting a refund of your overpayment.l 21. If Line 18 is greatelthan Line 19. enler the dlllerence on Line 21. This is the TAX DUE. A. Enter tho interest on the balance due on Line 21A. B. Enler Ihelolal 01 Line 21 and 21A on line 21B This is Ihe BALANCE DUE. Make Check Pa able to: Re Ister 01 Wills, A ent . . BE SURE TO ANSWER ALL QUESTIONS ON PAGE 2 AND TO RECHECK MATH .. .. Under penallles of perjury. I dec.loIre tholtl have examIned this return. Including accompanylnC) schedules and statements. and 10 Ihe best 01 my knowledge And bellel, It Is true. correelolnd complete. I declare thai allrealestate has been reported at hue marlel "aliji!, Oeclaratlonol prt'parer other Ihan Ihe personal representatl\le Is based on AUlnlorm.1ltlon of which preparer hn any knowledge, Cmmlt Cumber I Hlld JF APPlICAOlE)5UnVIVING SPOUSE'S NA~E IlA5T ,flR~t AND ~IOOL[ UllttAll !iOCIAl !;[CUflllY ,w~n[n ",; C P o 0 R N R D E E S N - T 2. Supplernenl'lL!1olurn 4a. Fulure Inleret. CompromIse (lor dales 01 death .1fter 12.12-82) [R] 6. Decedent Died Testate D 7. Docedont Mined a liVing Trust (Altach cop 01 Will) (A!t.1Ch a c rust) ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: X 1. Origln.ll Aotum 4. Limllod Estato o 5, () 8. NAME John B. fowler, Ill, Es . telEPHONE NUMBER R E C A P I T U L A T I o N 21,1, ,031. 72 (9) 30,336.1,7 (10) 1,6/,6.65 (15) 0.00 X AI.40U'41 nrcuv[o(!j[[ H~~;tnuC'ION51 Rem,llndor Rolum (lor dales 01 dO.lth puor 1012-13-82) Foderal Esl.lte T.n Relum AoqUlred Tol.ll Number of S<1le DepOSit BOlles J1 -' (8C 1,i5,620,91, (11) (12) (13) (14) 31,983.12 383,637.82 383,637.82 0.00 o . 00 X 06' 0,00 (16) T A X C o M P U T A T I o N 57,5/.5.67 (17) 383,637.82 X ,15 ' 57,5/,5.67 Inlerest (18) (19) (20) 51, ,89/,. 71, 0,00 (21) (21A) (21B) 2,650.93 0.00 2,650.93 Barbaro J. Strine ??1. _P~.'!~~y.1.~~!,.i.~.^.,,:<:~~.~. _ _. _ _........... _.. _... Lemo ne, P^ 170/,3 fowler, Addams & Rundle 28 South Pitt Street c;;riis'i~;' 'p;': - 'i70iY" ..... ............ -........ ~A/f7 DATE ~,hl Form 1500 (At''' 7.9.' REV - 1MJ EX . (4.86) COlA~N\I\lfim~~WI,~~}h'f.NI. SCHEDULE B STOCKS AND BONDS ESTATE OF FILE NUMBER 21-96-0512 Jack M, IIrotz 5511 196.11.-12/.9 06/20/96 mUlt bo dllclolld on Schodulo F,) DESCRIPTION 144 shares AmerIcan Telephone & Telegraph, Common, NYSE. VALUE AT DATE OF DEATH 61. 9375 8,919.00 60.75 26, 2M.. 00 7.11. 3,/.69.39 10.30 9,908.60 102.20 9,913 ,/.0 2 432 shares lIell AtlantIc Corp., Common, NYSE. 3 485.909 shares AllIance Cap. II, N A Cv II. 4 962 shares Eston Vance Marathon, Po Tx F. 5 97 units Nuveen, Pa. Insured Tax Exempt Income Trust, SerIes #146, and valued as per copy of Broker's letter attached. Accrued Interest on Item 5 of $1.39 per unit. 134.83 TOTAL (Also enter on line 2. Reca itulation) (If more space is needed. insen additional sheets of same size.) Copyright (c) 1994 form soflwlr. only CPSyslems.lnc. S 58 589.22 Form 1500 Schedule B (Rev, .-86) /..') CIlHHONWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE BUREAU OF INDIVIDUAL IHIl(RlIolHCl Ux DIVISION D[Pf. :ao.ol llolRRISIlURC, Pol I/l;,a.ObOI -',' TAXES ('/ NOTICE OF INIIERITANCE TAX APPRAISEHENT, ALLDWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX JOHN B FOWLER FOWLER ETAL 28 S PITT ST CARLISLE DATE ESTATE OF DATE OF DEATH FILE NUHBER COUNTY ACN I II ESQ PA 17013 06-23-97 BRETZ 06-20-96 21 96-0512 CUMBERLAND 101 A.aunt ReMitted i~ :~ U'.I"'" ", 111'''1 JACK M HAKE CHECK PAYABLE AND REHIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ..... ii"iv:is4i-EX-AFi'--ioi-:Ii'fi-iioYicEuciF--iNHEiiii'ANCE-Y,{X-iiPPRiiisEif€iir;-,H.l-ciiiAN-cE-iili-mum-muu DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF BRETZ JACK M FILE NO. 21 96-0512 ACN 101 DATE 06-23-97 TAX RETURN WAS: I X I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) Cl) 2. Stocks and Bond. (Schedule B) (2) 3. Closaly Held Stock/Partnership Interelt (Schedule CJ 131 4. Horta.ges/Note. Receivable (Schedule OJ (4) 5. Cash/Sank Deposits/Hisc. Personal Property (Schedule EJ 151 6. Jointly Owned Property ISchedule FJ IbJ 7. Transfers ISchedule G) 171 8. Total Auets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral E~penses/Ad.. Costs/Hisc. E~pense. {Schedule HJ 19J ID. Dobta/Hoctgogo Liabilitios/Lions ISchodulo II 1101 11. Total Deductions 12. Het Value of Ta~ Return 13. Charitable/Govern.ental Sequests (Schedule JJ 14. Net Value of Estate Subject to Tax I CHANGED 113.000.00 58.589.22 .00 .00 244.031.72 .00 .00 181 30,336.47 1.646.65 IllI 1121 1131 1141 NOTE: To insure propar credit to your account, subnit the upper portion of this for. with your ta~ paYllent. 415,620.94 31.983 l' 383,637.82 .00 383,637.82 If an assessment was issued previOUSlY, lines I4, 15 and/or 1&, 17 and 18 will reflect figures that include the total of abh returns assessed to date. ASSESSMENT OF TAX: 15. AMount of Line 14 at Spou.al rat. (lSJ 16. Allount of Line 14 t.~.bl. at Lineal/Class A rata lib) 17. Anount of Line 14 taxabl. .t Coll.teral/Cla.s 8 rate {17J 18. Principal Tax Dua NOTE: TAX CREDITS: PAYHENT DATE 09-20-96 03-11-97 RECEIPT NUH8ER AA146763 AA185261 DISCOUNT 1+1 INTEREST/PEN PAID I-I 2,744.74 .00 .00 X .00= .00 X .06. 383.637.82 X .15. l1al AHOUNT PAID 52.150.00 2,650.93 TOTAL TAX CREDIT BAtANCE OF TAX DUE INTEREST AND PEN. TOTAt DUE . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST, ,00 ,00 57,545,67 57,545.67 57,545.67 .00 .00 .00 I IF TOTAL DUE IS LESS THAN tl, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FDRH FOR INSTRUCTIONS. I ,:')C, ,- . , c:.: RESERVATIONI E.tat.. of d.e.d.nt. dying an or b"or. O.c..b.r 12, 191Z -- I' any 'utur. Int.r..t In the ..t.t. I. tren,'.rred In po.....lon or .nJoy.ent to Cia.. B Icollat.ral) bene'lcl.rl.. of the d.c.d.nt aft.r the ..plr.tlon of any ..tat. far JI,. or far y..r., the Co..onw..lth h.r.by ..pr...ly r...rv.. the right to appr.I.. and ...... tr.n,'.r Inh.rltanc. Tax.. at the law'ul Cia.. I leoll.t.r.l) r.t. an any .uch 'utur. Int.r..t. PURPOSE OF NOTICEs PAYHENTr REFUND (CA), OI.n;CTIOHSI AD'IIN ISTRATlVE CORRECTlDHS, DISCOUNT, PENal TY1 INTEREST I To 'ulflll the r.qulr...nt. of S.ctlon ZI~O a' the Inherltanc. and E.t.t. T.x Act, Act ZI of 1995. (12 P.S. S.ctlon 91itO). D.t.ch the tap portion of thl. Notle. and .ub.lt with your pay.ent to the A.glst.r 0' Wills prlnt.d on the r.ver.. .Id.. "Hak. check or .ontIy order p.yabl. tal REGISTER OF MILLS, AGENT A r.fund of . t.. cr.dlt, which wa. not r.qua.t.d on thl T.x R.turn, ..y b. r.qu..t.d by co~l.tlng an "Application far R,'und 0' P.nn.ylvanla Inh.rlt.nc. and E.tat, Tax" IREV-131!). Application. .r. avall.bl. at the Of'lc. of the R.gl.t.r of Will., any of the Z3 R.v.nu. DI.trlct Of'lc", or by c.Illng the .p.clal Z~-hour an.w.rlng .ervlc. ~b.r. far for.. ord.rlngl In Penn.ylvanla 1-100-36Z-Z0S0, out.ld. P.nn.ylvanl. end within local Harrl.burg ar.. (117) lI1-I09~, TOO. (717) 71Z-ZZS2 IHearlng lepalr.d Only). Any party In Int.r..t not s.tl.fl.d with the appral..-.nt, .llowanc. or dl.allowanc. a' deduction., or .......ent a' t.x (InclUding discount or Int.r..t) a. .hown on this Hotlc. .u.t obj.ct within .Ixty (60) days of r.c.lpt of thh Notlc. bY1 ....rltt.n prot..t to the PA D.part..nt of A.vam,., Ioard of App.als, a.pt. ZIIOZI, Harrisburg, PA 11UI-lOZl, OR --.l.ctlon to have the .att.r d.t.r.ln.d .t .udlt 0' the account of the p.rsonal r.pr...nt.tlv., OR --appeal to the Orph.n.' Court. Factual error. dl.cov.r.d on this ........nt .hould b. .ddr....d In writing t01 PA D.part.,nt of R.v.nu" Bur.au a' Individual Ta..s, ATTNs Po.t A.......nt A.vl... Unit, aapt. ll0601, H.rrl.burg, PA 171ZI-0601 Phone 1'1" 781.6S05. Sa. p.g. S 0' tha bookl.t "In.tructlon. 'or Inh.rltanc, T.x R.turn 'or. R..ld.nt O.cad.nt" (REV-ISOI' far an a.pl.n.tlon 0' adllnl.tr.tlv.ly corr.ct.bl. .rror.. I' any tax due I. paid within thr.. (3) calandar .onth. .ft.r the d.cad.nt'. d..th, . 'Iv. p.rcant 15Z) dl.count of tha ta. paid I. allow.d. Tha 15Z t.. .~.ty non-p.rtlclp.tlon p.n.lty i. coeput.d on the total of th~ t.x and Int.r..t .......d, and not paid b.for. Janu.ry II, 1996, the flr.t day .ft.r the .nd of the tax .en..ty p.rlod. Thl. non-partlclp.tlon p.n.lty I. .pp..labl. in the .... .enn.r end In the the .... tl.. p.rlod .. you would app..1 the t.x and Int.r..t th.t ha. b..n .......d a. Indlcat.d on thl. notlc.. Int.r..t I. charg.d b.glnnlng with 'Ir.t d.y of d.llnquency, or nln. (9' .onth. .nd ana II' d.y fro. the d.t. of d..th, to the data of pay..nt. T.x.. which b.ca.. delinquent b.for. Janu.ry 1, 191Z b..r Int.r..t at the r.t. 0' .Ix (6~) p.rc.nt p.r annul c.lcul.t.d .t a d.lly rat. of .00016~, All tax.. which b.ca.. d.llnquent an and "t.r January 1, 1912 will b.ar Int.r..t .t . r.t. which will vary fro. c.l.ndar y..r to cII.nd.r y..r with that rat. announc.d by the PA Depart..nt 0' R.v.nu.. Th. .ppllcabl. Int.r..t r.t.. for I'IZ through 1991 .r.s '!!!! Inter..t A.t. D.lly Inter..t Factor Y.!!! Inter..t Rat. Dally Int.r.st Fl!lctor 1982 ZOil: ,000541 1987 'X .OOOZU l'U 16;( .000418 1918-1991 IlZ .000301 1984 1l:C .000301 1992 OX .000lU 1985 UX .000356 1993-1'9~ n .000192 1'16 lOX .000Z1~ 1995-1991 'X .000l1e7 --Int.r..t Is c.lcul.t.d .. follow.: INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notle. 1.lu.d .ft.r the t.. b.co... d.llnquent will r.fl.ct an Int.r..t c.lculatlon to ,I't.an (IS) day. b.yond the data of the ........nt. If payaant I. .Ida .ft.r the Int.r..t coeput.tlon dlt. .hown on the Notlc., addltlon.1 Int.r..t lU.t b. c.lculat.d.