HomeMy WebLinkAbout96-00513
PETITION FOR PROBATE and GRANT OF LETTERS
Est"'" of Mllry
lI[,wk//O\\'//lIS
c.
IInycock
No, ;:'J" c( (" - 5.' :3
Tn
Rc~"'c' III' Wilh Ii., Ihe
County of CUlllhcrlanu in (he
t"lllllllllll1w,,"allh 'If l'cnn,y)'o':ll1ia
Sod,,1 Srmrily No, 182-50.9725
The petition of the undersigned respeclfully rcpresenls Ihal:
Your petitioner(s), who is/arc 18 years of age or older and the exccutors
in the last will of the above decedent, dated
and codicil(s) dated N/A
named
No\'cmher 7,1984
(state relevenat Circumstances, e,g. renunclllllon. death of executor. etc.)
Decedent was domiciled at death in Cumberland
her last family or principal residence at
Decedent, then 76 years of age, died
at Forest l'ark Health Center, Carllsle,l'A 17013
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted
after execution of the will offered for probate; was not the victim of a killing and was never adjudicatcd
incompetent:
June 23, 1996
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows: 319 West RldJ:e Street, BorouJ:h Carlisle, PA
$ Unestimated
$
$
$ Unestimated
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant of lelters
th '.,),/(,("" C,-, r ,A,J-l"'", )
ereon, " . '--
. ~ 'i !
Jt/ /./.r/,:"'I.;1.'" XJ'~"/I-',"I(llif41!'
WIlliam G tiayt:oCK /
I 76 Goodhart Rd.
I ShlppensburJ:. l'A 17257 - > .(" 1
I
I
, OATH OF PERSONAL l{EPRSENTATl\1E
! COMMONWEA TLH OF PENNSYLVANIA
: COUNTY OF CUMBERLAND
(testamentary; admllllstrallon c.I.a.; administrallon d.b.n.c,l.a.)
!eLf lJ Ji.--{{I I~,
.' Jo, . Troyer oJ
87 East Yellow Breeches Rood
Carllsle,l'A 17013
The petitioner(s) above. named swear(s) or affirm(s) thai the statement in the foregoing peition arc
true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represrn-
talive(s) of the above decedent petitioner(s) will well and truly administer the estate accordin~lw.
Sworn to or affimled and subscribed !-( -:"" ";";""l'!fl1/ /, r A,1'( ':jp.lc.
before me this 27 day of ''1 {I. "I " . .' /
.June ~ 1996 ' " :( " ,
, .,
eli/sler
No. 21-%-'>1\
Estate of l\tury
c.
lIuycock
, DccclIscd
DECREE OF PRODA TE AND GRANT OF LETTERS
AND NOW ,1un"! ')7 19 % , in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated. November 7,1984
described therein be admitted to probate and filed of record as the last will of
Mary C. Haycock
and Letters Testamentary
are hereby granted to Joy
William
D.
Trayer
Huycock
Georg"!
'-mn!o C. 'iuP." (),~ Ph \l "...~
Register of Wills' I
FEES
Probate, Letters. Etc. $
Short Certificates, l} $
Renunciation $
x-pag"!fi $
,1r.P Tota1_ $
Filed........I!!.n~,..2.7..,.!.~.?!i,...
.). Oil
Robert M. Frey
ATIORNEY (Sup. CI.!.D. No.)
5 South Hanover Street
Carlisle, Pennsylvania 17013
ADDRESS
(717) 243.5838
PHONE
6274
23,.00
3.00
~L 00
24fl.(lf)
.00
\0 ':..,
~
') "
L-:
,
......
N
?
,
,,:,-, , ' " ..
~.)\ " ::i
a: Go
1\1\ .,..
11111 ~l\lll h ..ll It \ 1 h 1"I,q.1 II' ,Ill _Ill \11 Il'1I1,d 1("lltlli ,Ill III dt.I,1I .!lLl~
\\tllbe l'Il\\,l:.\I,I',,111I '11.1'1 \ll.d 1\~\"ILI\'HII.(lflll\ctlll,HltI11Idlll.l~
Idl,1 \\ Ilh 1I11' ,I"
Thi.. i.. Itllllllly 111,11 lIu llll\l'lll.llll~ll
l,m:.11 Hq.~I\II.11 Tilt HI 11:111,11 Hlllllt.lh
WARNING: It Is Illegal to dupllcato Ihls copy by photostat (lr photograph.
hi' fOI 1111" ll'llllll.111. ~.'O{l
21-96-513
.;..."'...-.......
...:" '"Df '~
/. '...\.'10\ ." "!(4' ,
~/;_;/'."'.MI, \.,'~~~\
~r~ ~. )~
. . , .
,~, I,.: ,~'f.""
'f09/I,( ~\.'i'~f
[Nt U\~.,,'"
~,..'
, (' r .
1',,,.,, 1,'\,I\\l:
a I lilt.'
V>J~1\\R.L~ \\\Lc(J~\.\
111\.1\ Hq';I'",1I G'
3G7143U
No,
"1~llJ,,"M'
10
COMMONWeALTH OF PCUUSYLVAUIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF OEATH
..
......"r_IO
1<;X.'...l""..""'......"~I"
CI...IIOl'lJt....n.,.......~......_
:NT
..
........Ol'O(U:l(......".....-.....
June 23 I gqr,
.
I. Mary C. IIn cock
"""1~~A(.1J(",,,,,
"-"',"''"Vc....."'
~"I[1
.I4I'l..._,'
lJI'tOf.'.I"'''
_ D.....
1J'.fl("'Dn
_1 !"......"
76 '"
....'1............._..110.............
-..
tou..h 01 "
.._.>1_"1
.'!tHe
.9-'
Carlisle
Forest Pork lIanllh Cenler
1oI."'11ol.101\1t".....,
..........._w~
O-"",.~__,..l
Widowed
.uIl."......:.."IJUU
"'-~......-_.
"
" Cumberland
'101"" IolOC:CUN'OO
..-:;'~.7:'''::~:.1;:r
, "
DltIOl"'.....I.IllNQ.ollOIII"~..C~.."""'''...lu'...'
."'Il( fI!\,"'\ ....~5"..
"
P'\
"
1,,0....._..__..
0It101""
'C'U.I
RlSU'<C'
'--.,."""
....,..-
.,.to...
""
--
--,
Cumberlantl -' ".~J::::=':::..
1oIOhOl"'.....YfI'.."........................
CatiJsle
319 West Ridge St.
'. Carlisle, P,\ 17013
,~,
~..........o
,
""OfOI,I"""""'Il..oAllOlllt."r.o-"'C'I'-'-'so.../",~'
_ 87 E
1'\1oU0I0IW'O"IIO'<."_..C-....~
.0II'0P...... 1Joggoners United
1
\QC.AIo()It., ...,...~
..."(IlIIO.l.OOl"lUOI,.o.cIl'" lIoffmnn-Roth Funernl !lome
lWr.~r &t" Cn
hf 6-{!'11 {15 L
_'C"'!oO."IIl~'ll.> O...tOC..ll.......I"'(:
..,rJ ...?:
.~(..,1"6.tr~ '-...dt.ltl"C j,I......(.'ltl"1o
DI/('O'(".....,'.....t'."I....I'..
,"-.........
:-..--.
r { II," ~r-!;';~;:'~
,.,101. Cl\"e<'.~....--.-..,--.......... "'"
"".......-0......-..........._..",,,,,
\:
0VIIOr.-...\.l-<......'J'1.rl~.-'---_. --
tlutIQ,'1>...'.",......!.fJl'.(lI.'
1
'....tor....VOI.
"<Jl;.....MJO"..
",,,,'UII_"""""OCCUfO"fO
U.II"'....tJf'.
_(lo._1
...tJOl'\,I1tJI'5"'"f[)I"f('.S
-...IlI.,HlClII'O
'OU"'fT~OIC'uU
OIO(""H'
........1.00 ~(...'H
l,r-
o
CI
o
o
[J~...IU'''''_'_'''''''otfr''_'
~"I"'_"\
...
...0...0
.-.
-.-
P.......................
M_
...0
... [:y'"
....-
t_.......__
..
... ...
""'''"110.0''''',,,,,,,,
'CI"'~oIoQ'"">eI'"_"""_.-.o'"'''''''_';''''''_I''''''..'.''' .....I'>1.,........,'~,_:J
,...._.....,.................~_..........1I.1........_"......
\IG".I.I'--"'I."l
'JlIIlClIoOIJl<(IlIQ"OOOClU"'IIoQ,""I(.I"'"'" ..._t...,.'.u..... ~ ,.....I'..".......~..,.._.._,
,....-.....,...-........................- -.....,....,--.......-.,.......-"...,..
'YllMCAlIUWiI'I(Il1:0"00t11l
OII""'........._.._."lI'......."..._.,.....,................................"..-....'......,..1............1.1".......1.1....
".-,...,.,.......... '" . ... .... .-...... ............... ..
;).1.,."10...,,.-(.._1
[;.\ I'&UOJ
..
~
,_1_
,c.".
C1Q -n :o~
C (\I
:oj' 0' (':' ~l
c'
, ~
..
N
-.J
(
c. ;g -..,
") :;--.: ..~..
- iii 9..
'U ~
');>;0. C'\
~~ ~ :o~
::; A,.... $8
rr <'
:.;~ .) ,......
; ~~o
, l"J co
-' " -~ o.
~ N 9.6
-..I
C.';l ..;;:~
(~ a :::,0
n :=.11>
;.: - (if
" g,:
:l)C ~
~~ '"
Eo<
:z:
III ~
:2 <
~ C) tiil:5~.
0
(/J C) a:~S~
~ ><
~ 11;.. II ti
Q 11< ~ 'f,.,~ ~
z 0 c.5 ~t;z...
< Z 0( ll,
..:r >< 11I11:%..
g ll:: mOs.J
< 2~i~
::E
ti II ~
<
..:r
~. to
.
~
It
!~
. ...
, ~..
"-
LAST WILL AND TESTAMENT
OF
MAHY C. HAYCOCI:
I, Mary <:. Ilaycock, widow, of South Middleton 'rownship (mailing
address: 533 Highland Avenue, Carlisle, Pennsylvania l7013), Cumber-
land County, Pennsylvania, being of sound and disposing mind, memory
and understanding, do hereby make, publish and declare this as and for
my Last IHll and 'restament, hereby rcvoking and making void any and
all Wills by me at any time heretofore made.
l. I direct my hercinafter named Executors to pay all of my just
dcbts and funcral expenses as soon after my death as may be found con-
venient to do so. I direct that my funeral services be conducted by
Hoffman-Roth Funeral Home, 219 North Hanover Street, Carlisle, Penn-
sylvania, in a manner substantially similar to the arrangements which
I made for the services for my husband and that my body be interred
beside his on our burial lot locatcd in the Wagner's Brick Church
Cemetery in North Middleton Township, Cumberland County, Pennsylvania.
2. I give and bcqueath the sum of Ten Thousand ($10,000.00)
dollars to my son, William George Haycock of R. D. #1, Shippensburg,
Pennsylvania, provided he shall survive me by a period of ninety (90)
days, but should he fail to so survive me then to such of his issue as
shall survive me by a period of ninety (90) days, per stirpes.
3. I give, devise and bequeath the sum of Ten Thousand
($10,000.00) dollars to my daughter, Joy D. Trayer of 141 Trayer Lane,
Carlisle, Pennsylvania, provided she shall survive me by a period of
ninety (90) days, but should she fail to so survive me then to such of
her issue as shall surive me by a period of ninety (90) days, per
stirpes, and if there be no such issue the same shall lapse and be
added to the residue of my estate.
4. I give, devise and bequeath the sum of One Thousand
($1,000.00) dollars to each of my grandchildren who shall survive me
by a period of ninety (90) days. At the present time I have the
following four (4) grandchildren: Steven Allen Trayer, Gregory John
Trayer, Leanne Haycock born July 28, 1978, and Jason George Haycock
born June 1, 1980.
5. All of the rest, residue and remainder of my estate, real,
personal and mixed, and wheresoever the same may be situate, I give,
devise and bequeath in equal shares to my two (2) children, their
heirs and assigns, provided each of them shall survive me by a period
of ninety (90) days but should either of them fail to so survive me
then the share such deceased child of mine would have received shall
pass to such of his or her issue as shall survive me by a period of
ninety (90) days, per stirpes, and if there be no such issue then the
same shall lapse and be added to the share of the other child. My two
(2) children are William George Haycock, of R. D. #1, Shippensburg,
Pennsylvania, and Joy D. Trayer, of l4l Trayer Lane, Carlisle, Penn-
sylvania.
6. Should any person less than 18 years of age be entitled to
distribution from my estate, in such event I nominate, constitute and
appoint the then living parents or parent of such pcrson as Guardians
of the cstatc of such person but should neither parent be living or
willing to serve as such, then I nominate, constitute and appoint my
hereinafter named Executors or either of them as Guardians of thc
person, and I authorize and direct such Guardians to receive and to
invest the same and to pay the income arising therefrom together with
so :nuch of the principal thereof as in the opinion of such Guardian is
necessary or desirablc to be expended for the propcr maintenance,
support and education of such person, to or for the bencfit of such
person, and upon such person attaining l8 ycars of age to pay to him
or her the then remaining principal together with any undistributcd
income.
Pagc 1 of 2 Pages
CERTIFICATION OF N01'ICE UNDER 1l111.F. ~ '_~w.
Name of Decedent:
Mary C. Haycock
June 23, 1996
Date of Death:
Will No.
Admin. No.
21-96-513
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
June 27, 1996
Name
Address
Joy D. Trayer, 87 East Yellow Breeches Road, Carlisle, PA 17013
William G. Haycock, 76 Goodhart Road, Shippensburg, PA 17257
Steven Allen Trayer, 141 Trayer Lone, Carlisle, PA 17013
Gre~ory John Trayer, 141 Trayer Lane, Carlisle, PA 17013
Leanne Haycock, 76 Goodhart Road, Shippensburg, P A 17257
Jason George Haycock, 76 Goodhart Road, Shippensburg, PA 17257
Notice has now been given to all persons entitled thereto under
Ruie 5.6 (a) except no exceptions
""
r '<-,{'h..... - 1.
Signature
"7
Date: October 16,1996
c
l.C
Name
Robert 111. Frev
5 S. Hanover St., Carlisle, PA 17013
,-
; ;?
Address
'"
('-: --
;...,
dJ
Telephone ( ) 717-243-5838
Capacity: Personal Representative
X Counsel for personal
representative
\
, .
R(V.UOOU..I,.QAI
...
..
llI:~cn
~If~
",00
........
t"'
..
, ..
"'z
......
"0
"z
8~
9.'~'Y_
~
15-/11 - I
{,
~
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
fOR OATIS Of DIATH AnlR 12/31/91 CHICK HIRI
If A SPOUSAL '
POVIRTY CRIDIT IS CLAIMID I I
fill NUMBIR
21-Ulj-5Ia
COUNTY CODE YEAR
IIAYCOCI<, MAHY C. a1U W. Hidge St.
SOCIAl SlCUllI'f' NUMi~- -~ rO-iHO,Oliiit-------!llill ClI 11111'1 ---- -- Curlisle, PA 17013
182-50-9725 6/2a/96 8/2!l/l9 c.,., Cumberlond
1" .,......" ".",,,~ "UVil. ,j,., '''~'_:.~.'o-~_::=i~,:'_ J'OC~A1 =:""-':M~'_ ~ -_ -~-r A.OU'" "C1I,,: '~~,_i".-,'UC"O..'I- -
~ I. Original Relurn !"J 2. Supple menial Rolu,n l'J J. Remainder Relurn
(for dole' of death prior 10 12.13.82)
[] 5. Federal E,'ole To.. Relurn Required
..!!.. 8. Tolol Number of Safe Depo.it BouI
COMMONW(Al!H 01 P[NN5Y1VAWA
OfPAIl:IM(Nt Of IUV(NU(
DEPT 780601
UARIlISBUAG, PA 11l~~ ~~I
OIClOINT'S HAM( IIASI, 'lIl~T. AUD MIOOII HIIH"lI
..
is
o
...
...
...
o
[)HIOHII'~ (OMPUII "'OO~1 \\
[J 40. Future Inleuest Compromiut
Ifor dolel of dealh alter 12.12.821
Decedent Died reSlale [] 7. Decedent Maintained 0 living Trull
(Alloch copy of Will) IAlloch copy of Trultl
'ALL\.cORRESPONDENCE 'AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TOI
NAM[ (OMPHU MAiliNG ADOIUS
20. If Line 191s 9reoter than Line lB, enter the difference on line 20. This is Ihe OVERPAYMENT.
1JI[]!1
04,
~6,
limited Estole
243-5838
:
5 S. lIanover Street
Corlisle, PA 17013
_136_, OOO~ 0_0
II)
121
I J I ___
141
151
161 _
17)
(91 ______~3,~~~ ___
104_,812.77
181
170,812.77
z
o
;::
:5
=
..
0:
..
...
...
..
I. Real E,'ate (Schedule AI
2, Slack. and Bond. (Schedule 81
3. Closely Held Stock/Partnership InleulIt (Schedule q
4. Mortgog" and Noles Receivable (Schedule 01
5. Cosh, Bonk Depolill & Mi"ellaneous Personal Properly
(Schedule EI
6. Joinlly Owned Property (Schedule f)
7, Transle" (Schedule GI(Schedule l)
B. Total Gran Anell (Iolallin" 1.71
9. Funeral Expenses, Administralive COlli, MilCelloneous
Expenses (Schedule H)
10. Debts, Mortgoge liabilities, Liens (Schedule I)
11. Tolol Deductions (lolollines 9 & 101
12. Nel Value of Eslole (line B minus line III
13. Charitable and Governmental Bequelll (Schedule J)
14. Net Value Subject 10 Tax (line 12 minul line 131
15. Spousal Transfers (for dales of dealh aher 6.30.941
See Ins'ructions For Applicable Percentage on Reverse
Side. (Include volues from Schedule K or Schedule M.)
16, Amount of line 14 taxable at 6% role
(Include volues ham Schedule K or Schedule M.l
17. Amounl of line 14 taxable 01 15% role
(Include values from Schedule K or Schedule M.)
18. Principal lox due IAdd tax From line I IS, 16 and 17.)
19. Credill Spousal Poverty Credit Prior Paymonts
+ _~,Z.~4.(HL_
110) _______ ____ _____
1111
1121
I1JI
1141
13,128.99
157,683.78
z
o
;::
~
=
...
'"
o
...
)(
..
..
157,683.78
1151
)C. =
116}
157,683.. 78
9,461.02
" .06 =
(171
_" ,15 =
(181
9,461.02
______---.!. 707 ~~__
246.03
DilCounl
+_,t73.Q5
Inlero"
(191
1201
Check here if you are requesting a rofund of your verpoymenl.
21. If line 18 is grealer than line 19, enler Ihe difference on lino 21 This is lhe TAX DUE.
A. Enler the interell on the balance due on line 21 A.
B. Enler Ihe Iota I of Line 21 and 21A on line 218. This ilthe BALANCE DUE.
Moh Check Payable to: Reglll., of Wills, Agenl
121)
121A)
(2181
~ ~ ~ BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH -0(-0(
Under penaltiel of perjury, I declare that I hove examined Ihis return, including accompanying schedules and stalements, and to the bell of my knowledge and beliel,
it iSlrue, correct and complete. I declare Ihal all reol ellole hal been reported 01 Irue markel value. Declaration of preporer olhor than the personal representative is
based on all informalion of which preporer has any knowledge.
!lIGNA f P[IIS0N t~'ONSI [fall fllltm RltUIlN AOOIl[S~-'---------- ~_________._h______'__~______"______ DATE
L, ';- it: i. )~,---___J!_7 _E'_Y_llllow BrllechcsHd.._C!lrlislc._Pul70l3__,__ Oct.' -')
SIGNAtUIE Pllt "1(11 OlH,1 lHAtl Ir,1fSHHA1IV( "DOlt S~ OAU
Y::z..fl'"'Vv'- J~/, "7- ,~__~~:__I!ol!oVer St:. Corl~sI~-"o.I?~ ~3 _ ______ Oct. ~\
.L!.~1_
,1997
Act .48 of 1994 provldll for the reduction of tho tax ratollmpolod on tho not valuo of tranlfen to or for
thl UII of the Ipoule. The ratll 01 prelcrlbed by the Itatute will be:
. 3% (.03) will be applicable for eltotel of decedenll dying on or after 7/1/94 and before 1/1/96
. 2% (.02) will bl applicable for eltatel of decedenll dying on or after 1/1/96 and before 1/1/97
. 1 % (.01) will bl applicable for Iltatel of de cede nil dying on or after 1/1/97 and before 1/1/98
. Spoulal transfers occurring on or after 1/1198 will be exempt from Inheritance tax.
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING A CHECK MARK (V") IN THE APPROPRIATE BLOCKS.
YES NQ...
1, Did decedent make a tran.fer and:
x
X
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, ...............
X
c, retain a reversionary interest; or ...................................................................................
X
d, receive the promise for life of either payments, benelits or co rei .......................................
2, If dealh occurred on or before December 12, 1982, did decedent within two years preceding
death transfer property without receiving adequate considerationi If death occurred alter
December 12, 1982, did decedent transfer property within one year of death without receiving
adequate cansiderationi.....,.,....".., .......,..,....,..........,..,.,..,....,...,.,..,..........,.,."...........,',...
X
X
3, Did decedent own on 'in trusl for' bonk account 01 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.
. .
L."'~nICP\atoft
. . roo TolM s.'-tl.~~..~ ~!".~.
Dt"alC\f'l ~, Com!'" JI!O'"_II:!!!2001
~_~_ . 10__
22.L..L_____ ._. 10
701 Comm...,o" P!.'C1 ~ Selllem."1
...
100,
1101
"'"
103
...
llO$
lOS,
110',
"""
llOO,
810.
811,
toa. ItMM R ltM I L~r To II Paid In AIfw'nu
POI. Inl.,"I'tom 10 S
802. Monoao..naul'lncl P"mlum 10'
1lQ3. HUlrd InaurlnCI p,.mlum lor
...,
005,
,ooa. R........ Oepot.nld With ~
1001. HUard InaU'I"CI
~_~~'!"~i! !!!'ur~!'~.!- _
'003. C., pr "Ia.""
1004. County property 11..a
100:5. Annu.1 ....um.nll
'000
1007.
'000
1100. nu. ~"aro"
, 101. Settlement a' CI'a,n I..
"=. Abatl'lct or UIlI ..I'C'"
11OJ. Title Eumln.hOt'
'104. Tlllelnlurence blncl'11
, '05. Doc...m,n!.!!l:llrIlIOn
11ot1. NOlary ,...
"07. Anom.,ys II"
lincludes lbe". Itlm. numtMt1.
1 '01. T,ll. '''....r.nc.
l,nC/uCla It)O". ,!!ma numblra
L.neltr'. co....,. .
Ownlr', CO"''''OI
f'don pr.c,: S..
3.!'!~!p"a
'J'..
__I,
r~,~ .';'r!l
.~ '..'0.....' .
''''''h41
~.I!I,'r?I~'.!
, P"" F,ont
54Ue",
Fl,rtlCf,"1
Stlllemt",1
"
,
I
. ,
i
I
flur-, ~~
~
"",,,,. abM In ConnKllon With LOin
lOin OrlglnlhOn FH
Loan O.acounl
Apprlial'l'M
C'lc:!ll R. t1
L.ncr.,'. In'Plet.o" FM
Uong~ Iruur'"tI Applicllion FH
Auumplion 'H
l('i~r
II"-:~~';:'
- ,)
..
..
~.,-
I.
I.
I.
'..
monlhs 10
Itllo
'1,.'0
manU" at I...
monlhltlll.
monlh, I
monCh'tal
monl". I
mont". I
monl"'~1
mo"''', I
permon,'"
pe, ",orm,
rmonth
, ",onl"
tmonlh
rmonl"
'monlh
, "'Ortlh
'i!~.~;".':'~
~~;::l'~';;'>~~
~~~~.:':.L'.;..~
~~:!.;'':.:;..,:'
5~:"t6,:;::;..:.
jt~.:i~f~~~~
~..u;1.>'~':1;~~
I.
I.
10 f,r
I.
I.
I.
I.
(,.,.....'
T
I
4".l{';;~(. I
, , "(~'l
I.
"og.
"'0
"U.
1112.
1113
1200.. eo..rnm.ntAICOf'ChtMIAndT""".r~ _'_
1201 RKard,no ,... ~ I JJj, 4) . Uortilti\:s-.;r~.~--'
1~ C.I,/counlr I..'"lm!), D.eCI' (rUn r,n. . ,",Otlolge I
1203 Slat.llll/lllmPt 0Hd S ,.-ltO, c:~-, : Mortglo, I
,...,
'''''
lJOG. AddtUorwIf "~I C~
1301. Su 10
1302. Pttllna~C"Uon 10
1303 ~t'lJ~~. rc;. I.<,J.'
1304 tJ
':!os
.
.
.RlleaMIS
II 7, ;~i
./
..,,-/,....,- f{t"t,.,-
,
'IlfI-(,7
.;,:.: "
,':'/
1400. To.... s.taemenl Ch.a.rvn (tn"'on *'" ICQ. IecUon J end S02., s.cUon K)
I 'j ',:< .; (;'?/. 't;;..
We. In. uhcre,...gntd "I,.by IC_nOwltdgl rKllp! 01 I COPy 011"" tOl'"lpl.l.d S.llIlt'!'I,,1 SlIl"tn'Ienl
......., f.'I' II Serrtr
'.' !.' 'I /1 ~
'-..' ( / !L.:4 !~ " . (,..-I~. ,. ~ , : .
. I, I
',,( &In r( II}~'~ '::),r!. 11 ,....
';'i.
:'1
...~'"
FARMERS m
TRUST _
May 30, 1997
Frey & Tiley
5 South Hanover Street
Carlisle, PA 17013
Re: Estate of Mary C Haycock SSN 182-50-9725
Date of Death: June 23,1996
Dear Mr. Frey;
In answer to your request concerning accounts owned, either separately or jointly, by the
above referenced decedent and the balance In each account as of the date of death, we have
checked our records and are submitting the following information in duplicate. We suggest
that you file one of these letters attached to the Pennsylvania Inventory forms (RCC) to
substantiate the balance you report.
Note that we have shown the correct registration for each account. Also, interest accrued to
the date of death, if any, is listed as a separate figure.
Checking account #1117335 was originally opened 10/22/91. The account was titled in Mary
C Haycock's name alone. The balance as of 6/23/96 was $20,844,33 plus $3,42 accrued
interest for a total of $20,847.75. The account was earning 2,00% interest at the time of
death,
Money Market account #376418 was originally opened 2/21/85. The account was titled in
Mary C Haycock's name alone. The balance as of 6/23/96 was $28,504,96 plus $6.74
accrued interest for a total of $28,511.70. The account was earning interest on a blended rate
as follows: less than $2,5002.50%, $2,500-10,000 2.75%, $10,000-100,0003.00%.
We did have a safe deposit box at our Noble boulevard office #45 titled in Mary C Haycock's
narne alone.
Sincerely,
~ {Lu.. ,!rY>-''..c.'_c\r-J
Karen Tomassone
Supervisor Customer Service
PIll' \\bl 11;~h SlrL'e1I',o. n", ~~II C."Ii,IL" 1','111,,1'1\,,111;,1171113 (717) ~4J-J~I~
FARMERS II
TRUST
June 2,1, 1997
Frey &. Tiley
5 !oj, Ilanllvcr S\.
Carlisle, PA 17013
Estate of: Mary C, Haycock 182-50-9725
Dale (If Death: 6/23/96
11I1IIIS\\~II() )'l)ur re'llIest cOllccllIing m:cullnls m\lICtl, dlll!:c sCJllIratdy nrjoinll)', h)' Ih..: lIhO\'1: rclcrCIICI.al dCCClJCllt DlUJ Ih..:
hal:Ulcc III em.h uccuunt as of till': ,Illte tlf ,Ienth, we lliIvc du.-ckcll our n:cUlds ulld un: submitting the l"olluwing infonnation in
IlupliclIh:. We suggest thut )'nu liIe Olle of Illes..: Icllcrs uUuchcd to the Pellnsylvunia IlIycnlol)' funns (Ree) to subslwltiulc Uu:
11..101111.:": run n:pmt.
ell NUMBER OPEN DATE OPEN VALlIE DOD VALlIE
95988 7/19/91 $20,000,00 $20,030.36
100776 1/28/93 $12,000,00 $12,243.44
10.1926 3122/94 $12.000.00 $12,103,67
106(,44 7/19/94 $10,000,00 $10,011.43
Sincerely,
~J!J~
Doris Goodhart
CDIIRA dep\.
One WL'Stl-ligh Sh\.'C1 P.O. Box 220 Carlisle, Pennsylvania 17013 (717) 243-3212
'lv '\111" Pili
ESTATE OF
ITEM
NUMBER
I.
ITEM
NUMBER
I.
'!~:~~
(11......1))0'1",,1..111.0' ''','j\II~'''jIA
INHUnA"'U 'AI .IIU'H
.nIOINIOIUO,HI
SCHEDULE J
BENEFICIARIES
MAllY C. IIAYCOCI{
.---.- -- - ----'F(iTNUMOflim----.----- ----.--
21-UIi-51:1
RELATIONSHIP
AMOUNT OR
SHARE OF ESTATE
NAME AND ADDRESS OF BENEFICIARY
A. Toxoble Buquo,":
2.
Steven Allen Trayer
141 Trayer Lone, Carlisle, PA 17013
Gregory John Troyer
141 Troyer Lone, Cllrlisle, PA 1701:1
Leonne lIoycock
76 Goodhort Rd., Shippensburg, PA 17257
Joson George lIoycock
76 Goodhort Rd., Shippensburg, PA 17257
Williom George Hoycock
76 Goodhort Rd., Shippensburg, PA 17013
Joy D. Troyer
87 East Yellow Breeches Rd., Cllrlis1e, PA 17013
Grandson
$1,000
3.
4.
5.
6.
NAME AND ADDRESS OF BENEFICIARY
B. Charitable and Governmontal Bequosh:
NONE
Grandson
$1,000
Grllnddoughter
$1,000
Grondson
$1,000
Son
$10,000 plus one-ho1f
of residue
$10,000 plus one-ho1f
of residue
Doughter
AMOUNT OR
SHARE OF ESTATE
TOTAL CHARITAO_L~_~~~ GOVERNME~~~L BE~~;~~(~~~~~ler ~-n~;n~l~~:OP;~~I~:)~~] s_ ._=~~=~=-
IIf more space is ne.d.d, insert additionol sheets of some sin)
I' III S'I' AND FINAl. ACCOUNT OF .JOY D. TRAYIm AND IVILJ.lAM GEORGE IIAYCOCI<,
CO-EXI~CUTORS OF TilE I,AS'J' IVILI, AND TESTAMENT OF MARY C. IIAYCOCI<, (,ATE
011 TilE 1J00lOUOII OF CAltLISI.E, CUMBERLANIl COUNTY, PENNSYJ.VANIA, DECEASIm
DATE 011 DEA'I'II: June 23, 1 UU6
I,E'I"I'ERS TESTAM ENTARY ADVERTISED:
CUMBERLAND I,AIV JOURNAl,
June 6, 13, 20, 1997
TilE SENTINEL
May 2U, June 5 and 12, 1 UU7
ESTATE FILE NO. 21-96-513
PRINCIPAL RECEIVED
Accountants charge themselves with the foHowing principal amounts received:
1996
June 27 Balance Farmers Trust Company checking account # 1117335
Accrued interest to June 29, 1996
Balance Farmers Trust Company MMA #376418
Accrued interest to June 23, 1996
Bethlehem Steel, pension
Internal Revenue Service, 1995 Federal income tax refund
Refund, Forest Pork 1I0me
Balance Formers Trust Company C/O #95988
Accrued interest to June 23, 1996
Balance Farmers Trust Company C/O # 106644
Accrued interest to June 23, 1996
Balance Farmers Trust Company C/O # 100776
Accrued interest to June 23, 1996
Balance Farmers Trust Company C/O #104926
Accrued interest to June 23, 1996
27
July 1
Aug. 19
19
Oct. 5
5
5
5
1997
May 13
July 3
Proceeds sale of house and lot of ground at 319 IVest Ridge
Street, Carlisle, Cumberland County, Pennsylvania
Refund, 1996 Federal income tax
TOTAL PRINCIPAL RECEIVED
-1-
,
,
20,844.33
3.42
28,504.96
6.74
87.50
102.42
844.50
20,000.00
30.36
10,000.00
11. 43
12,000.00
243.44
12,000.00
103.67
66,000.00
30.00
170,812.77
INCOM E It EC HIVED
Accountants chnrgc themselves with the following income umollnts received:
1996
July 26 Interest on IMute checkhll~ uccollnt 86.38
Aug. 27 Interest on IMnte checking nccount 78.54
Sept. 27 Interest on I~~tnte checking uccount 80.47
Oct. 5 Interest on Furmers Tru~t Co. C/D #95988 283.69
5 Interest on Furmers Trust Co. G/D # 106644 130.33
5 Interest on Farmers Trust Co. C/D # I 00776 171.43
5 Interest on Farmers Trust Co. C/D # 104926 159.99
26 Interest on Estate checking account 20.27
Nov. 25 Interest on Estate checking account 7.40
Dec. 27 Interest on Estate checking account 7.46
1997
Jiiii:'" 27 Interest on Estate checking account 5.34
Feb. 27 Interest on Estate checking account 5.63
Mar. 25 Interest on Estate checking account 4.76
Apr. 25 Interest on Estate checking account 4.93
May 28 Interest on Estate checking account 23.74
June 29 Interest on Estate checking account 19.68
July 27 Interest on Estate checking account 17.28
Aug. 27 Interest on Estate checking account 19.16
Sept. 5 Interest on Estate checking account 6.81
27 Interest on Estate checking account 11.77
Oct. 27 Interest on Estate checking account 18.58
Nov. 27 Interest on E.~tate checking account 19.23
Dec. 27 Interest on Estate checking account 18.63
TOTAL INCOME RECEIVED 1,201. 50
-2-
,
IlISJlU HSEI\1 ENTS
Accountants cluim crcdlt for thc foJlowin[r IImollllts pllld:
1996
June 27
27
July 5
13
22
22
22
22
29
29
29
31
Aug. 19
19
Sept. 4
4
9
19
19
25
25
Oct. 5
21
21
26
26
Nov. 25
25
25
Farmers Trust Company interest forfel ted
Register of \Vl11s, I,etters Testamentary
Mark Devos, mowing
Emerald Drug Billing Dept., uecount
Murk Devos, mowing
PP&L, electricity
Borough of Carlisle, water and sewer
United of PA, telephone
Hoffman-Roth Funeral 1I0me, funeral services
Emerald Drug Billing Dept., account
Mark Devos, mowing
Belvedere Medical Center, account
Mark Devos, mowing
PP&L, electrici ty
United of PA -17.41 less refund of 4.26
Borough of Carlisle, water and sewer
Mark Devos, mowing
Darlene L. Moyer, Tax Collector, school real estate taxes - 826.65
less pro-ration of 337.31
Register of Wills, Agent, Pa. Transfer Inheritance Tax - 9234.00
less refund of overpayment of 246.03
PP&L, electricity
Mark Devos, mowing
Borough of Carlisle, water and sewer
Borough of Carlisle, water and sewer
Mark Devos, mowing
Carlisle Memorial Service, engraving
PP&L, electricity
Mark Devos, mowing
PP&L, electrici ty
Borough of Carlisle, water and sewer
-3-
10.16
246.00
60.00
11. 64
40.00
20.83
11. 82
18.56
1,474.20
362.82
40.00
95.35
60.00
16.58
13.15
11. 82
60.00
489.34
8,987.97
15.71
40.00
11.82
11. 82
60.00
150.00
14.21
80.00
12.26
11.82
. ,
Dec. 6 The Sentinel, ndvertislng 27.68
6 Medlq Mobile X-HIlY 124.14
21 I'P&L, electricity 29.49
24 Borough of Cllrllsle, wnter nnd sewer 11.82
24 PI'&L, electricity 48.89
1997
Feb. 5 Borough of Carlisle, water nnd sewer 11.82
21 PP&L, electricity 57.34
Mar. 3 Borough of Carlisle, water and sewer 11.82
8 Darlene L. Moyer, Tax Collector, County and Borough real estate
taxes 356.48
25 Borough of Carlisle, water and sewer 11. 82
25 PP&L, electricity 28.94
Apr. 14 The Sentinel, advertising 37.93
20 PP&L, electricity 22.41
May 2 The Sentinel, advertising 30.41
2 Borough of Carlisle, water and sewer 11.82
8 Greg Trayer, mowing 42.37
13 Greg Trayer, mowing 20.00
13 Recorder of Deeds, realty transfer taxes 660.00
13 Borough of Carlisle, final water and sewer 21. 82
22 Cumberland Law Journal, advertising Letters 60.00
23 PP&L, final electric bill 21.53
June 25 The Sentinel, advertising Letters 68.04
Oct. 6 Register of Wills, filing Inheritance Tax Return 15.00
Notary Public fee 6.00
Frey and Tiley, Attorney's fee 7,832.51
Reserve to file Account 1I5.00
TOTAL DISBURSEMENTS 22,122.96
-4-
, "
, .
It ECAPI'I'UI,A'I'ION
'I'otlll Principal Itccclved
Total Income Itecelved
Total Heceipts
Less Total Disbursements
Balance for Distribution
17ll,UI2.77
I ,2lll.50
172,ll14.27
-..1!J 122. 96
149,891.31
PHOPOSED SCIIEDUI,E OF DISTlUBU'I'ION
BALANCE FOR DISTRIBUTION
149,891.31
TO: Steven Allen Trayer
141 Trayer Lane
Carlisle, PA 17013
Bequest in Paragraph 4 of Decedent's Will
TO: Gregory John Trayer
141 Trayer Lane
Carlisle, PA 17013
Bequest in Paragraph 4 of Decedent's Will
TO: Leanne Haycock
76 Goodhart Road
Shippensburg, PA 17257
Bequest in Paragraph 4 of Deccdcnt's Will
TO: Jason George Haycock
76 Goodhart Road
Shippensburg, PA 17257
1,000.00
1,000.00
1,000.00
1,000.00
TO: William George Haycock
76 Goodhart Road
Shippensburg, Pa 17257
Bequest in Paragraph 2 of Decedent's Will
One-half of residue of estate:
Partial distribution October 5, 1996
Partial distribution May 14, 1997
Balance for distribution
10,000.00
32,500.00
28,000.00
2,445.66
62,945.66
TO: Joy D. Trayer
87 East Yeliow Breechcs Road
Carlisle, PA 17013
Bequest in Paragraph 3 of Dcccdent's Will
Onc-half of residue of estatc:
Partial distribution October 5, 1996
Partial distribution May 14, 1997
Balance for distribution
10,000.00
32,500.00
28,llOO.00
2,445.65
62,945.65
149,891.31
-5-
/,)~/I/ ~ I
COHHONWEAtTH OF PENNSYLVANIA
DEPARTHENT OF REVENUE
BUREAU OF INDIVIDUAL TAKES
.,.I.AIlAHC[ IA. DIVISION
DlPl. 18060l
IlARRIUUNC, f1A 111:a-hOI
NOTICE OF INHERITANCE TAK
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAK
DATE
ESTATE OF
DATE OF DEATH
FILE NUHBER
COUNTY
ACN
01-19-98
HAYCOCK
06-23-96
21 96-0513
CUMBERLAND
101
FREY & TILEY
5 S HANOVER ST
CARLI SLE
PA 17013
Allount R...Ht.d
c,
*'
'1'-\hI1l1l""','"
MARY
C
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 ~
REV:i5'4-j-EX-"F'j'--iiiiF97rNoi'YCE--Oj:-YNHEiiii'ANCE-YAin-ppRAisEifENT-,--"iTowANcE"iili-----------m---
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF HAYCOCK MARY C FILE NO. 21 96-0513 ACN 101 DATE 01-19-98
TAX RETURN WAS: (X I ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..I E.t.t. (Schedula A)
2. Stock. and Bonds (Schedul. 8)
3. Clos.ly Hald stock/Partnership Int.rast (Schedul. CJ
4. Hartg.gas/Hot.. Racelvable (Schedula OJ
S. Cash/Sank Deposita/Hlsc. Parsanal Property (Schedule E)
6. Jointly Owned Property (Schedule fJ
7. Tran.fars (Schedule Cl
8. Total Assat.
I CHANGED
III
121
(31
141
151
161
(7)
66,000.00
.00
.00
,00
104.812.77
.00
.00
IBI
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Fun.ral Expanses/Ad... Casts/Hlsc. Expanse. (Schedule H)
10. Debts/Hortgage Liabilities/Ll.n. (Sch.dul. Xl
11. Total Deduction.
12. Net Value of Tax Retu~n
13. Cha~ltable/GoYe~n.ental aeque.t.; Non.elected 9113 T~ust. (Schedul. J)
14. N.t Value of E.tate Subject to Tax
13.128.99
.00
Illl
1121
1131
1141
191
IIDI
NOTE: To inlu~e p~ope~
c~edit to your account,
subnit the upper po~tlon
of this forn with your
tax paYMent.
170.812.77
13.1:>8 99
157.683.78
.00
157,683.78
If an assessment was issued previously, lines 14, IS and/or 16, 17 and 18 will
reflect figures that include the total of Abh returns assessed to date.
ASSESSMENT OF TAX:
15. Anount of Line 14 at Spousal rat. 115)
16. Anount of Llna 14 taxable at Lin.al/Cla.s A rat. 116)
17. Anount of Lln. 14 taxabl. at Collateral/Class a ~at. (17)
18. Principal Tax Du.
NOTE:
TAX CREDITS:
PAYMENT
DATE
09-19-96
RECEIPT
NUMBER
AA146757
DISCOUNT (+1
INTEREST/PEN PAID I-I
473,05
. IF PAID AFTER OATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
,00 X .00=
157,683,78 K .06=
.00 K .15=
IIBI
AMOUNT PAID
9,234,00
TOTAt TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
.00
9,461. 02
.00
9,461.02
9,707.05
246.03CR
.00
246.03CR
IF TOTAL DUE IS LESS THAN .1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A '"CREDIT" ICRI. YOU MAY BE DUE
A REFUND, SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. I
RESERYATIONs [.tat.. 0' d.cadant. dying on or befora Daceeber Il, 191Z .. If any futura Intere.t In the a.tate 1. tr~.ferred
In po.....lon or anJoyaent to CI... . (collatar.l) banaflclarla. of the d.cedant .ftar the .xplratlon of any a.t.ta for
Ilf. or for yaar., the co..onw.alth h.r.by .xpr...ly ra.erva. the right to appr.I.. and a..a.. tran.far Inharltanc. T.x..
at the lawful Cia.' B (collataral) rata on any such future Intar..t.
PURPOSE Of
NOTICE s
To fulfill the raqulra..nt. of S.ctlon ll~O of tha Inherltenc. and E.tat. T.. Act, Act II of 1995. (7l P.S.
Sactlon 91"0).
D.t.ch the top portion of thl. Notlca end .ubalt with your payaant to the Ragl.t.r of Will, prlntad on the rayer.a .Id..
..Mek. chack or lon.y order payabla tOI REGISTER OF HILLS, AGENT
PAMNTs
REFUND teR): . rafWMI of . tax credit, which Wal not requast" on tha lax R.turn, .ay b. requuted by cOlIPlaUng an '"application
for Rafund of penn.ylvanla Inh.rltenc. and E.tat. Tax'" (REV.l]I]). application. .ra .vallabla .t the Office
of the R.ghter of Willi, any of the ZS R.venue Dhtrict Offlc", or by c.llIng the .peclal Z4.hour
an.werlng ,.rvlca nuabar. for for.' ord.rlng: In P.nn.ylvanla 1.100.362-Z0S0, out,ld. P.nn.ylvanl. and
within local Harrisburg ar.a (717) 7.7.1094, TDDI (717) 77l.ZZSZ (H..rlng IIIP.lred Only).
t,',
OBJECTIONS: Any p.rty In lntar..t not .atl.flad with the appralsae.nt, allowanca or dl..llowlnc. of d.ductlon., or .......ant
of t._ (Including dl.count or Intar..t) a. .hown on thl. Notlca au.t obJ.ct within .I.ty (60) day. of r.calpt of
thh Notlc. by:
..wr.ttan prota.t to the Pi Oapart.ant of Rav~, Board of Appaal., Dapt. Z11021, Harrl.bura, Pi
....actlon to hava tha .att.r d.taralnad at audit of the account of the par.0n81 r.prasantatlv.,
.-appaal to the Orphan.' Court.
171ZI.lOZI,
OR
OR
AOftIN
ISTAA TIVE
CORRECTIONS1
F.ctu.1 .rror. dl.cov.rad on thl. ........nt .hoUld b. addr...ad In writing tal PA D.p,rt.ant of Ravanua,
Buraau of Individual Taxa., AlTN: Po.t A......ant R.vlaw Unit, Oapt. 280601, Harrl.burg, PA 17128'0601
Phone (717) 717-6505. Sa. p.ga 5 of tha bookl.t '"In.tructlon. for Inherltanca Ta. Return for. Ra.ld.nt
Dec.dant'" (REY-ISOl) for an .xplan.tlon of adalnl.tratlvalY corractabla arror..
If any ta. due II paid within thraa (]) calander aonth. .ftar tha d.cad.nt', death, a flv. p.rc.nt CSX) dllcount of
the t.. paid II allowed.
The ISX ta. aana.ty non-p.rtlclpatlon penalty I. co~t.d on the tot.1 of the ta. and Intar..t .......d, and not
p.id b.for. January II, 1996, the flr.t day aftar the .nd of the ta. aana.ty period. Thl, non-participation
pan.lty I. app.alabla In the .... .annar and In the the .... tl.a p.rlod a' you would appaal the tax and Int.ra.t
th.t ha. bean ......~d .. Indlc.t.d on thl. notlc..
DISC~h
PENALTY I
INTEREST:
Intara.t I. chargad bealnnlng wlth 'Ir.t day of d.llnquency, or nine C,) aonth. and one (1) day fro. tha d.t. of
de.th, to the data of payaent. Tax.. which b.c... dallnquent bafor. January I, 1982 baar Intara.t .t tha r.t. of
.1. C6X) parcent par annu- calculatad .t . d.lly r.t. of .00016'. All t.x.. which baca.. dallnquent on and aft.r
Janu.ry I, 1981 will b.ar Int.r..t at a rata which will v.ry fro. c.lendar ya.r to cal.ndar y.ar with that rata
announcad by tha PA Dapartaent of R.vanua. Th. appllc.bl. Int.r..t rata. for 198Z through 1998 .ra1
'!!!! Intarast Rata D.lly tntarnt r.etor !!!! Interast R,t. Oalh tnt.rast ractor
1982 'OX .OOOSU \91' 9X .000Z41
1983 IIX .OOOU8 1988-1991 I\X .000301
198" I\X .000301 1992 9X .000241
1915 UX .00nS6 199]-19'" n .00019l
1986 lOX .000ll,. 1995.1998 9X .00021't7
..Int.rast I. calcul.ted .. followlI
INTEREST a BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
.-Any Notlc. I..ued .ft.r thl t._ baeo... delinquent will raflact en Intar..t c.1cul.tlon to flftaan CIS) d.ys
b.Yond the data of the ......Hf'lt. 11 payaant II .ade aft.r the Int.rast cDIIPUtatlon d.t. shOWn on the
Notice, additional Intarnt ...,st be u1cuhtad.
P'YIt(Hh
Detach the top portion of thl. Hotlc. and 'ub.lt with your p.y..nt 'ad. p.y.bll to thl n.e. and addrl"
prlnt.d on thl r.v.r.. .Id..
If RESIDEHT DECEDEHT .ake chIck or .on.y ord.r payabl. tal REGISTER OF WILLS, AGENT.
If HOH'RESIDEHT DECEDEHT ..k. ch.ck or eon.y order p.yabl. tal COHHONWEALTH OF PENNSYLVANIA.
REFUND (CR)I , r.fund of a ta. cr.dlt, which w.. not r.qu..t.d on the Ta. R.turn, eay b. r.que.t.d by coapletlng ~
-Application far R.fund of P.nn'Ylvanla Inh.rlt~. and [.t.t. T..- CREV-ISIS). 'PPllcatlon, .r. .v.Jlabl. .t
the Offlc. of the R.gI.t.r a' Will., eny a' the Z1 R.v.nu. DI.trlct O"lc., or 'ro. the O.p.rt.ent's Z~-hour
an.w.rlng ..rvlc. nueb.r. far 'or.. ord.rlng: In P.nn.ylvanl. 1-'OO-16Z-Z0S0, out.ld. P.nn.ylvanla
and within local H.rrl.burg er.. (111) la7-'09~, TOO' (117) 17Z-ZZSZ CHaarlng lap. Ired only).
REPLY TOI Qu.,tlon. r.g.rdlng .rror, cont.ln.d on thl, not Ie. .hould b. .ddr....d tal P' D.part..nt of R.vanue, Bur.au
of Individual ,...., 'TTHI Past ,.......nt R.vl.w unit, D.pt. 2'0601, Harrl.burg, P' 1712'-0601, phone
(111) 1'7-6505.
DISCOUNT I
If any te. due I. peld within thr.. (1) cel.nd.r .onth. .ft.r the decedant', d..th, a 'Iva parcant (5X) dl.count
of tha te. peld I. allow.d.
PEHAlTY,
Th. ISX ta. aen..ty nan-participation p.nalty I, coeputad on the total a' the t.. end Intar..t .......d, and not
paid bafor. J.nu.ry I" 1996, the 'Ir't dey .ft.r tha .nd of the t.. aena.ty p.rlod.
INTEREST:
Int.r..t I' ch.rg.d b.glnnlng with 'Ir,t d.y a' d.llnqu.ncy, or nine C') lonth. .nd on. (1) d.y froe the data a'
d.ath, to the date of pay..nt. T.... which b.c... d.llnqu.nt b,'ore January 1, 19.2 b..r Int.r..t at the rat. of
,I. (6X) p.rc.nt p.r annu8 c.lcul.t.d .t . d.lly r.t. of .000164. All t.... which bac... dallnquent on .nd .'tar
January 1, 19.Z will b.ar Int.r..t .t a rat. which will vary 'ro. c.l.nd.r YI.r to cal.ndar y..r with that r.ta
announcld by the P' D.Plrt..nt of Rlv,nu.. Th. appllcabl. Int.r..t r.t.. 'or 19.2 through 1'9' arl:
Y..r Int.r..t Rat. O.lly Intar..t factor
Year
Inter..t R.t.
Dally Int.r..t f.ctor
I'll lOX .DDOS4' 1911 .~ .000l41
1981 16~ .DDDUa 19la-I991 1l~ .DD0301
191" llX .DOnDl 1991 .~ .Doal"7
19as UX .DOnS6 1995-1994 ,% .Doal'l
1'36 IDX .Oaol7" 1995.199. .~ .000l41
--Intlr..t It celcul.t.d .. 'allow. I
INTEREST . BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
.-Any Notlc. I..u.d I't.r the t.. blco", d.llnquant will raflact an Int.r..t c.lcul.tlon to flft.-n CIS) day.
b.yond the d.t. a' the ........nt. I' p.y..nt I. .ada .ft.r the Int.r..t co.putatlon d.t. .hown on the
Hotlc., additional Int.r.,t aust be c.lculatad.
STATUS REPORT UNDER RULE 6.12
Name of Decedent: Mary C. lIaycock
Da to 0 f Dea th: June 23, 1996
Will No.
Admin. No.
21-96-513
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 X No
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 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 attached to this report.
Da te : March 10, 1998
r<L'(.'Vvf - hI,
Signature
J~_,(
, ~ "
Robert M. Frey
Name (Please type or print)
5 S. Hanover St., Carlisle, PA 17013
Address
( ) 717-243-5838
Te 1. No.
Capacity:
Personal Representative
, -'
".a.
'~....,
(MAH: rmf/ AM3)
X Counsel for personal
representative
1