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PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estate of J ~lDY')/j (), 1:: \. \ II , I"i
also known as
cll- 9~-5Y/
No.
To:
Sorial SeclIrity Nil, ~L.d n
Drc('ost't/.
'(I;, \' . L
Regisler of Wills for the
County of ( '/ L I> ' , '( )'; in Ihe
Commonwealth of Pennsylvania
The petilion of the undersigned respectfnlly rcpresenls that:
Your pelhioner(5t, who is/are 18 )'ears of age or older, appL:'
for letters of administration
on the estate of
(d,h,n,; pcnd~'nl(, lilc; dur:ulle al1't'lllia: durante lIlintlrililll'l
the above decedent.
Decedent was domiciled at death in c "'-1' //, .I,J'I County,Pennsylvania,l':iJ.~ .,
h I f- last family or principal residence at ~ -, - '-', . f ,.. /, (('(, I " I' '( \ I1!:hI!l'De....
llisl street. number. Twp. or Boro.l
Decedent, then /13
at ./;'1('(:/ P 'r' I~','
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,19 ( ,
years of age, died _
/',"" III.i,"! , I",
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 Pen",ylvania
(If nOI domiciled in Pa.) Personal property in County
Value of real eSlate in Pennsylvania
shuated as follows:
s
s
s
s
r'.' ~,)
Petilioner__ after a proper search haL ascertained thai decedent left no will and was survived by
Ihe following spouse (if any) aod hei,,:
Name Relationship Residence
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THEREFORE, petilioner(>1 respeclfully request(s) the grant of lelters of administration in the
appropriate form to the undersigned.
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OATH 01<' PI<:RSONAI. RI<:IJRI<:SI<:NTATIVE
COMMONWEALTH 01<' IJI<:NNSYI.VANIA
COUNTY OF I ,
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The petilioner(s) above'lIamed \weal!s) III a""m(\) Ihal Ihe
stetemenl5 in the foregolllg pelllllln ale 1111. all1l WIfr.:1 tlllhe hell
of the knowledge and belief Ilf pelitlllntl(sl 01111111111 05 "e,."nal
represenlelive(s) of Ihe abllve dr.:edenl "elillllnel!sl wlli weli and
truly administer Ihe eSlale accllIdll'M III IIIW,
Sworn 10 or arnrmed and \lIh\crlhell
before me Ihls ______, dllY III
_~19_
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Estate of
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, Deceased
GRANT OF I.ETTERS OF ADMINISTRATION
AND NOW 19~. In consideration of the petilion on
the reverse side hereof. satisfactory "rullf having been presented before me,
IT IS DECREED Ihal ' . s' ' (NORTIII
is/lll'l:' enlilled 10 lellers of AdrnlnlSlralion, and ill eccord with such finding. letters of Administration
are hereby granted to
.r
in the estate of
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7),l.t'l. {, <,11"/1 N. (/f ':;r, u Ihl/J "'-<,u~
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ReaISl<r or Will.
FEES
lellers of Adminlslratlon ,.", 525.00
Sh C 'n ( 2) 5 h. 00
ort erll cales . , , . , . . , , .
Renunciation ..,."""".", 5
,IeI' 5 5.0ll
TOTAL _ 5'1h.llll
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ATTORNEY (Sup. Cr. I,D. No.)
ADDRESS
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PHONE. \
HAILEll LETTEltS ANIl llltllEltS Tll ATTllltNEY .JULY 12. 1996
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WARNING: Ills lIIegnl to duplicate this copy by photoslnt or photograph.
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CER1'IFICI\"lON OF IlO'!~JCr,: lJNO~:!L!~t!t.I': 2~Jl!J.
Name of Decedent:
JullN"n G. North
Date of Death:
Junu 24, 1996
Will No.
1996-00541
I\dmi n. No. 2196-0541
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 Lhe above-captioned estate on
October 7, 1996
~
Address
Elizabeth J. North, 525 Colony Road, Camp Hill, PA 17011
Notice has now been given to all persons entitled thereto under
Rule 5.6(a) except None
Date:~
James E. Ruid, Jr., Esquire
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Address P.O. Box 963
Harrisburg, PA 17108
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Telephone f17 I 238-4776
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Capacity: Personal Representative
~Counsel for personal
representative
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IOIIN I, CONN[\,LI'. JR.
JA~mS R, Rrlll, IR,
IAMIOS f, SPAll!!
LAWRENCRI , NEARY
JOliN I', L\'ONS
CONNELLY. REm & SI'AIJE
IIIK . 112 IV AI.NIIT STRmrr
I'. O. Box 1)(,3
IIARRISIIIIRll, I'ENNSYLVANIA I7IUK
T1'1XI'1I0NE
(7I112lK41lh
HI.[COPI[R
(711)2)!.4193
FlI.E NQ,9611173
March 14, 1997
Cumberland County Register of Wills
Cumberland County Counhollse
1 Courthouse Square
Carlisle, PA 17013
RE: Estate of Judson G. Nonh
File No.: 1996-00541
Dear Sir or Madam:
Enclosed please find for filing an Inheritance Tax Return for the Estate of Judson
G. North. Also enclosed please find a check in the amount of $10.00 made payable to
the Cumberland County Register of Wills for the filing fee. Please time stamp and
return ~he additional copy and return it to our office in the envelope enclosed for your
convemence.
Very truly yours,
~''''''LQ.:) E, B'-tel I gL, ) J.m,J-
James E. Reid, Jr.
JER/lmk
enclosures
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
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COMMONWEAltH Of PfNNS'YlVAUlA
OlP,UtM[NIOf REVENUE
Of" 280601
HARRISBURG, PA 111280601
DlClOCNI'S NAME (LAS1.,..Sf. AND MIDIlll Itllll"1I
North, Judson G.
SOCIAL neuRIlY tlUMUR
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fOR OATIS Of DEATH A"ER 12/31191 CHECK HERE
If A SPOUSAL
POVERTY CREDIT IS CLAIMED 0
fill NUMBER
COUNTY COOE
1996-005/.1
YEAR
NUMBER
180-26-5917
6/24/96
~ iiAilofriTATH"-.---- OAI( 0' Illl:IH
11/9/02
SOCIAl S((URUY HVMIER
ot((own COMPUIf AOOUSS
525 Colony Road
Camp Hill, PA 17011
CO~I'l' Cumber land
AMQUHlIl[Ct!V{O ISH IN!llIl:UClIOml
I" ""\IC"',I) \Uh'w,t.C. "OU\I ,........, ,~.1' ,.." .""t) ""Clal ,".I'''Ll
03,
05,
Remaindor Rolurn
l'or dale' 01 death prior to 12.13.821
Fedorol ellole Tax Return Required
[] 2, Supplemental Relurn
_ e. Tolol Number of Sale Depo,it Boxe.
P.O. Box 963
Harrisburg, PA 17108
(I) 0
(2) 0
(31 0
(A) 0
(5 ) 500.00
(61 0
(7 ) 0
(B) 500.00
(9) 6,148.30
(10)
o
o 1. Original Return
o 4, limilod e'tole 0 40, Fulure Intorolt Compromilo
(for datol of deolh after 12.12.821
06. Deredenl Died Tellale 0 7. Decedent Maintained a living TrUll
(AlIach copy of Will) (Allach copy of Trulll
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
NAME COMPllTE MAILING AOOItESS
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TflfPHONE NUMBER
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I, Real E.tate (Schadule A)
2. Slack! and Bond. (Schedule B)
3, Clolely Held Stock/Parlnenhip Intorell (Schedule q
4. Morlgogel and Not~u Receivable (Schedule D)
5. COlh, Bonk Depolih & Milcellnneoul Perianal Properly
(Schedule EI
6. Jointly Owned Properly (Schedule FI
7, Tranlle" (Schedule GI (Schedule Ll
8. Total Grall Anel' (total lines 1.7)
9, Funeral Expenses, Administrative COSh, Miscellaneous
hpensel (Schedule HI
10, Debit, Mortgage liabililies, liens (Schedule II
11. Total Deductions (10101 lines 9 t.. 101
12, Net Value of Estale (lino 8 minuslino '1)
13. Cheritoble and Govornmentol Bequests (Schedule J)
14. Net Valuo Subied to Tax (lino 12 minus line 13)
15. Spoulel Transfers (for dales of dealh after 6.30-941
See In !!ructions for Af,plicable Percentage on Reverse
Side. (Indude value, rom Schedule K or Schedule M.)
16. Amount of lino 14 tall able 01 6% role
(Indude valuos from Schedule K or Schedule M.)
17. Amounl of line 14 lOll-able 01 15% role
(Include valuos from Schedule K or Schedule M.)
18. Principal tall duo (Add tax from lines \5, 16 and 17.)
19, Credill Spousal Poverty Credit Prior Poymenll
+ -.----- +
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Discount
Inlerost
20, If line 19 is groaler thon line 18, enter the differenco on line 20. This is Iho OVERPAYMENT,
Ii! 0 .1f:t":'n!WiI,U,.1"'l.I'..1 j;...>I.IHIHlhl! ... j; ;1 tn':"r.1r."I"'..I'I..l'J..U!C1'~ 11(,1,1
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(201
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(21) ___~__~______
(2IA) ____________g~_ ~-----
121BI ______ ----------- -----
21. If line 18 is greater than line \9, enler the differenco on line 21. This is the TAX DUE,
A. Enler the interest on the balanco duo on line 21A,
9, Enter the 10101 01 line 21 and 21A on line 218, Thil is the BALANCE DUE.
Make Check Payable ta: Register of Wills, Agent
> > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH -<-<
Under penalties of porjury, I declare thai I have uamined this return, including accompanying Ichedules and Italemenls, and to the belt 01 my ~nawledge and belief,
il is true, correct and (amplete, I declare that all real 811ale hal been reported 01 true markot value. Declaration of preparer olher Ihan the personal reprelentative il
based a 011' formation which prepar.r: , any knowledge.
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Act #48 011994 provides lor Iho roductlon 01 Iho lax ralellmpoled on Iho nel value 01 Iranllorl 10 or for
Ihe Ule ollhe Ipoule. The ralel 01 prolcrlbod by Ihe Ilalule will bel
e 3% (.03) will be appllcablo lor 0110101 01 decodenll dying on or oltor 7/1/94 and belore 1/1/96
e 2% (.02) will bo appllcablo lor oslolol 01 docodonll dying on or altor 1/1/96 and before 1/1/97
. 1% (.01) will bo appllcablo for ollalos of docodonll dying on or altor 1/1/97 and boforo 1/1/98
. Spoulal Iransforl occurring on or altor 1/1/98 will bo oxompl from Inhorltanco lax.
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING A CHECK MARK (..-) IN THE APPROPRIATE BLOCKS.
YES NO
1. Did decedent make 0 transler and:
x
a. retoin the use or income 01 the property translerred, .......................................................
b. retoin Ihe right to designato who shall use the property tronslerred or its income, ...............
x
x
c. retain a reversionary interest; or .............................................,.....................................
x
d. receive the promise lor Iile 01 either payments, benelits or coreV .......................................
x
2: II death occurred on or bolore December 12, 1982, did decedent within two yeors preceding
doath transler property without receiving adequate considerotionV II deoth occurred alter
December 12, 1982, did decedent tronslor property within ono yeor 01 death without receiving
adequate considerotionV ...................... ............... ..... ........ ........................... ......... ........ .....
x
x
3. Did decedent own an 'in trust lor' bank account at his or her deathL....................................
I~THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YESr
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
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COMMONWlAUtI 0' P(NNSYlVAt4IA
INltUltANCf lAK IInUIIN
IIUID[Nl D[CfOUH
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATE OF
FILE NUMBER
19<J6-0lJ5f, I
Judson G. North
Jalnl lenanll.).
NAME
A. Elizabeth S. North
RELATIONSHIP TO OECEOENT
ADDRESS
525 Colony Rond
Cnmp lilli, "A 17011
SpOUHC
B.
C.
JoIntly-owned property:
ITEM LETTER DATE
FOR TOTAL VALUE DECO'S DOllAR VALUE OF
NUMBER JOINT MADE DESCRIPTION OF PROPERTY
TENANT JOINT OF ASSET % INT. DECEDENT'S INTEREST
1. A Real Estate $100,000.00 non-tmmble
525 Colony Rond
Camp Hill. PA 17011
2. A 1996 Ford Sedan $ 10,000.00 non-taxable
All transfers are from
jointly owned property
in the name of husband and
wife and are non-taxable.
,
,
~..~.. -----------.-..-- __L__ ----..
, --------. TOTAL (Aha .nler on Hne 6, Recopi.ulolion) S 110 000.00
____._u, _ ___J_.____ ___ .....-.
(II mort' spoct' is nceded ;nu."rt additional sheets 01 samt," si:,.)
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IIV1tlll_t I~UI
ESTATE OF
"f,>~~'9~
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COMMONW(Atltt at '(NN~"~""U'A
INHUIIANC( IAI It WIN
A($IO(Nf OfCIOWI
-.- .... ---.---..
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
. Lm... . p.~."se_Prl~t .ar .Type
FILE "lUMBeR
.'udAon G. North,
ITEM
NUMBER
A.
DESCRIPTION
1996-00541
I
I
,
1.
B.
1.
2.
3.
4.
C.
1.
2.
3.
4.
5.
6.
7.
8.
Funeral Expens...
Neill Funerlll 1Iome
3401 MlIrket Street
Camp 11 ill , PA 17011
. Administrative Costs:
Personal Representative Commissions
Social Security Number 01 Personal Representative:
Year Commissions paid
I Allarney Fees
Connelly. Reid & Spade
Family exemption
Claimant
Address 01 Claimant ot decedent's death
Streel Address
Relationship
City
State
Zip Code
Probate Fees
Cumberland County Register of Wills
Miscellaneous Expenses:
The Patriot News - Legal Notices
TOTAL (Also enter on line 9. Recapitulation)
(II more space is needed. Inserl additional she.ts 01 sam. siz..)
'.
AMOUNT
$5.295.00
$ 750.00
$
36.00
$
67.30
56 148.30
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INHIII'ANCI tAl tlfUIH
.IIIDIHIOI(IDIHI
SCHEDULE J
BENEFICIARIES
ESTATE OF FILE NUM8ER
Judson G. North 1996-00541
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
RELATIONSHIP
AMOUNT OR
SHARE OF ESTATE
I.
A, T a_able Bequosh:
Elizabcth S. North
Spousc
Entirc
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
AMOUNT OR
SHARE OF ESTATE
8, Chariloble and Governmenlal Bequo,":
1.
TOTAL CHARITABLE AND GOVERNMENTAL 8EQUESTS IAlsa en'.' an Hne 13, Recap;,ula.;on) S
(If more space is neoded, lnso,' addillonalsheels of sama size)
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All" <1,\ 10 <Ill Ihe r~sl, re,\idue <III" rellwillller of my Estllle. re<ll, /'er,\OlItlI or mixed, oj
wh<lte!'er n<llllre or 'iill" or w/lere.lOwer .\ill"lIe <It Ihe lime of my "eceaS(. I "0 hereby
(;t~~;~;:;""'~.'?H~). ;;;.-'. -O{,"';': .~. --,,~,tI'"':l ;r~0
['____Ct ~r 0.~a.,(JU V\ L':t--f t1.1~ V;-?/14(J~r.-d._ J;l;;J1;Joe,v;[j
! ____~_ '/n-v:.-y;j;.~'L,J~/VJ1. .::;::t/)1"'-(J,~, ~JlrLOr:'-<u!_ fj/-'71(J
-- dL~# ~~~~-if~(J~L;<J1(~~/ t?2t1~1:7f;, /tcfJ;1~
Cf? Cct.7;< t'0f -~-VI:1r1u71/~~~- ( C'X:<-tt 4!.-<< / /7(/J{){ /
'__~~~~-4tl_4&~f2i~-~::f~ U~/~~;/a .te.. i
--o4,e~~~:~~~1:-t:;--~~;;;a;Ae_la, ~
1_J!,v;tt~~v.:t.~~~'!t4~?:I/S=.1.:-u-_-- c;;t~ __ _ . ?tiv-(t
I J ~ 1/ ~'j ~ I . -/ '-tt,
: if: ;-:t;;!o-rt:;:~i1i;;!;:;itlY1:t'
:-~~ 1~~Id'Jft.- ~ '-j~!I'~"m-i:-<
ImJi1~-~~7f1ir~. i~ ~
;-~d~n-~~- 4'-~/a:.~7;1~1'4?!
: - -0---------------- '----1-------------- 0- - - - -- __n_____ ____.n_ -' ---,---------
0" ~1f;:=,y' ~;tXT,pa'""'<r'~"'">;(;(
~__&_ _ ,~JdP...~"af).kd.-;.P;/--7:j-&.~1------ _____n__ - ' ,I
I ~P:~y7~atr~-,.--m--.--- n____n__n_ -
I AndlasllyJ_~0..J1Ulke,col!stitute an~ointn_ . (j?' _n~;-____. ,__ ___
_u ----- -- -- -:77-1~r_n. (71A.':[7---0<,--/ r-;~ .--
to be the _Execut ': " J(
of Ihis my la.lt Will
alld 'f eslament. hereby revo~illg all fonner Wills and_ 'fc:slaments by me at any tillle here'
1,.,_ __ tofore llIade alld declarillg this .roP_~.!!Iy ,last WWCI_114 J:.e_sICllllellt. _.
,
11\ illllltl1coo illlll)crcof,
AS'
I llave Ilereullto subscribed my lIame alld affixed lilY seal the
day of fl.w;,f e 1/
ill the year of our
Lord olle thousand lIille hU!ldr~d_ alld_ cJi. )'.(/)'7',11. _ -LLULL__ ____d_ _ .___ _____ -
( ~)' 2
Sign,.!. "d. "d. p"bllSh,d dnd .1","".1 by th') , /, C /;; 't.".. .' -- /(-.,...
/ t /l-" ()( < t )/'-.
tt'shU wHllln nCllflto. I1S t1tl(1 for /" ~ _ -'
'n.ll WIll nnd 'T '"Inlll,nl. in th, p""'''' of tIS.
. .
""
. .-.--..:.-.....;;...--:.,:.:..--
~-
-.
....
....
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d ..
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f~~ -" o,=_A..o~Un~!~~lt,\,~~,,~~o\
MAKE CHECK PAYABLE AND REMIT PAYMENT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS .....
iiE...i:i5'4"'-EX-AFP"io3-:9:fi-iioYicE--ciTYtiHEifiTANCE-i'-Ax-;."PPRAisEHEiir-;-ALi:ciwAiicE-olin---n-m"-----
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
JUDSON G FILE NO. 21 96-0541 ACN 101
If an assessment was issued previously, lines 14, lS and/or 16, 17 and 18 will
reflect figures that include the total of ~ returns assessed to date.
ASSESSMENT OF TAX:
1S. Anaunt of Line 14
16. Anaunt of line 14
17. Anaunt of Line 14
18. PrincIpal Tax Due
TAX CREDITS:
PAYHEHT
DATE
6~11:, ,
BUREAU OF IHOIVIDUAL TAXES
1HIll-RUANe[ IAll DIVISION
D[PI, lahDI
IIAMAISIUNC. PI. 111:8-DI,DI
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
HeliCE OF IHItERITAHCE TAX
APPRAISEHENT, ALLeWANCC OR DISALLOWANCE
OF DEDUCTIONS ANO ASSESSHENT OF TAX
JAMES E REID
PO BOX 963
HBG
JR ESQ
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
PA 17108
ESTATE OF
NORTH
TAX RETURN WAS: I X) ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Ra.l Elt.t. (Schedule A) 11)
2. stocks and Bondi (Schedule 8) C2J
3. Closely Held stock/PartnershIp Interast (Schadule C) (3)
4. Hortg.gas/Nota. Receivabla (Schedule OJ (4)
5. Cash/Sank Deposits/Hisc. Parsonal Property (Schedule EJ (5)
6. Jointly Owned Property (Schedule F) (6)
7. Transfars (Schadule G) (7)
8. Tot.l Assats
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funa~.l Expansas/Ada. Costs/Hisc, Expenses (Schedule H) (9)
10. Dabts/Ho~tg.ge Liabilities/Lians CSchedule I) (10)
11. Tot.l Daductions
12. Net Value of Tax Retu~n
13. Ch.~it.bl./Gova~n~antal Bequa.ts (Schedul. J)
14. Het V.lue of Estata Subject to Tax
NOTEI
at Spousal ~ate
taxable at Lina.l/Class A ~ata
taxabla .t Collat.~al/Class B ~at.
115)
Ub)
U7l
RECEIPT
HUHBER
OlsceUNT 1+)
INTEREST/PEN PAID 1-)
06-16-97
NORTI!
06-2,,-96
21 96-0541
CUMBERLAND
101
CHANGED
.00
.00
.00
.00
500.00
.00
.00
(8)
6,148.30
.00
Ill)
U2)
U3)
U4)
.00 X .00=
.00 X .06=
.00 X .15=
U8l
AHOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
G
I*,
11t.IU,II'",II'''
JUDSON
o
DATE
06-16-97
HOTE: To insu~a p~ope~
c~edit to you~ account,
sub.it the uppar po~tlon
of this for. with your
tax pay..nt.
500.00
6.148 30
5,648.30-
.00
5,648.30-
.00
.00
.00
.00
.00
.00
.00
.00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS TNAN $1, NO PAYHENT IS REQUIREO.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FDRH FOR INSTRUCTIONS.)
-"'~-llcIJI~ __--a".~.~:.
-~ ~. -,
RESERVATIONI E.tat.. of d.c.d.nt. dying on or b.for. n.c..b.r Il, 1981 -- If eny fulur. inl.r..t In the ..tet. I. Iran.f.rr.d
In Po.....lon or enJoy..nt to Cle.. a tcollat.ral' b.n.'lclarle. 0' the d.ced.nt after Ihe ..plratlon of any e.tate for
II'e or 'or y.ar., the Coa.on~.alth h.reby ..pre..ly re.erwe. the right to appral.. end a..... Iran. fer Inh.rltance Taxe,
.t the l.w'ul Cl... a (collat.ral) rnl. on nny .uch 'ulure Int.r..t.
PURPOSE OF
N01'lCEI
To ful'lll Ih. r.qulr..ent. of S.c110n 21~0 of Ihe Inherllanc. and E.I.t. TaM Act, Act 11 0' 1995. (ll P,S.
SICtlon 9JttOJ.
PAYMENT:
aelach 1h. lop portion of Ihl, Nollc. and lubllt ~Ith your pey.ent 10 Ih. Regl.tlr of Will. prlnled on the rlwer.e .Id.,
uMake check or eoney order payebl. 10: REGISTER OF MILLS J AGENT
REFUND (CA):
A re'und of a taM credit, ~hlch wa. not r.qu..led on Ihe Ta. Aeturn, aay be requ..ted by coapletlng .n ~Appllc.tlon
for Refund 0' Penn.ylw.nla Inherlt.nca and Esl.te T.M~ (REV-I]I]). Application. are awall.bl. .1 Ihe Office
of the Aegl.t.r of Will., eny of Ihe 1J Aewenu. DI.lrlct Of' Ice., or by calling the .peclal l4-hour
.n'~lrlng ..rvlce nu.b.r. 'or for.. ordering; In P.nn.ylvanl. 1-800-]61.Z050, out. Ide P.nn.ylwanla and
within locel H.rrlsburg ar.. (717) 787-8094, 1001 (717) 77Z-ZlSl (H..rlng Iapalred Only).
08JECTIONS: Any party In Inl.rest not .atl.fl,d wllh Ihe .ppr.I....nt, allo~.nca or dlsallowanc. of deduction., or a.......nt
0' t.. (Including dl.count or Inl.r..t. as shown on Ihl. Nollc. .ust obj.ct wllhln .I.ty (60) day. of receipt of
Ihls Notlc. by:
"~r1t1.n protest to the PA n.part..nt of A.wlnu., Board of Appe.ls, D.pl. l810ll, Harrisburg, PA 17Il8-1021, OR
--al.ctlon to hawe Ih. aatt.r det.r.ln.d at audit of tho account of the per.onal rapr...ntatlwe, OR
--appeal to the Orphan." Court.
ADHIN
ISTRATIVE
CORRECTIONS:
Factual .rror. dl.cow.r.d on Ihl. a.......nt .hould b. addr....d In writing to: PA neparta.nt of A.w.nu.,
Bureau of Individual T...., ATTN: PO'I As..s..ent Aewlew Unit, D.pt. l80601, Harrl.burg, PA 17128-0601
Phone (111. 781-6505. S.. pag. 5 of Ih. booklet "In.tructlon. for Inh.rltanc. TaM A.turn' for a R.,ld.nt
O.c.d.nt" (REY-ISOI) for an .xplanatlon of adalnl.tratlw.ly corr.ct.bl. .rror..
DISCOUNT:
If .ny taM due I. paid within thr.e (]) cal.ndar lonth. efter the d.c.d.nt'. d.ath, a five p.rc.nt (5~) dl.count of
the ta. p.ld 1. allo~ed,
PENALTY:
Th. 15~ taM aan..ty non-p.rtlcJpatlon p.nalty I. coaput.d on the 10tal of the taM and Int.r..t a......d, and not
paid b.for. January 18, 1996, the flr.t day aft.r tha .nd of tha ta. aan..ty p.rlod, Thl. non-p.rtlclpatlon
p.nalty I. app.alable In the .... eann.r .nd In the the .e.. tl.e p.rlod a. you ~ould .pp..l the taM and Int.re.t
that h.. ba.n .......d a. Indlcat.d on thl. not Ie..
INTEAEST:
Int.ra.t I. ch.rged beginning wJth flr.t day of dellnquancy, or nln. (9' lonth. .nd on. C1. day fro. the data of
d.ath, to the data of pay.ent. r.... which bac... dallnqu.nt before J.nuary I, 198Z baar Int.re.t at the r.t. of
.IM (6~) p.rc.nt p.r .nnua calcul.l.d at a dally rat. of .00016~, All tax.. which beca.. dallnquent on and aft.r
January 1, 1981 will b.ar Int.re.t at a rata which will vary 'ro. cal.ndar ye.r to c.l.nd.r yaar ~Ith th.t rat.
.nnounced by the PA nepart..nt of Rewenue, Th. applicable Int.r..t rate. for 198Z through 1997 .r.:
'!!!! Inl.r..t Aat. Dally Int.r.st 'ftctar !!!! Inhr..t Aftte Dally Intlrest Factor
1982 ZO~ .000548 1987 .~ .000l47
1983 16~ .OO04Ja 1988-1991 lliC .000301
198ft 1l~ ,aoOSol 1991 .~ .000lO
IUS 13~ .000356 199]-1994 " .00019Z
1986 10~ .000274 1995-1997 .~ .000l47
ulnte,.ut Is c.lcula1.d .. follow.:
INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notlc. I..ued .f1.r 1h. tax b.co.a. dallnqu.nt ~III r.fl.ct an In1lre.t calculation to flft,.n (IS) day.
b.yond the date 0' the a.......nt. If pay..nt I. .ada after the Intera.t co.put.tlon d.t. .ho~n on the
Notlc., additional Inter..t au.t b. calculatad,
STATlJS_ HE!:QJl'J' UNDEJ.l RULE 6. 12
Name of Decedent: )C JilJ" t' (~ po\ I'di [I
Date of Death: (.-, ( 2 (( lilt-
Will No. Admin. No . .J.t - Y t:- O,S' I.f I
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-captioneu estate:
l. State whether administration of the estate is complete:
Yes / ./' No
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete:
]. 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 ~
b. The sepal-ate Oq)hans' Cuurt No. (if any) for
the personal representative's account is:
c. Did the personal representative state an
account informally to the parties in inter"st? Yes t./ 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.
Date:~
''': 'r.f:. ',....
~ ,,,
..
) il\ ij)',t;:~ ((
S'ig a 'ure
\"- J/\ \v Jilt I '( I) ;,-,
Name (Please type or print)
.) {te( r"t\l (r( " ,ri
Address (6"V\\i ftlll (/l. ()()(I
nU..l)J)- IIf- CI-
Te l. IV!.
o
N
-~
:::J
--,
~ 'J
ClC:
a:
0')
p,
- ;.:.
~5
Uc.;
(HAH: rmfl AM])
Capacity: __.____l'ersonal Representative
~C:o~nsel for personal
representative
,
JRD/June 3D, 1992/17858
llEGI:,'mll OF WiLl."
Cumberlund Counly Conrlbollse
One Courlho\l.~e Slluure
ClIrlisle, I'A 17013
NOTICE PURSUANT TO RULE 6.12
PENNSYLVANIA SUPREME COURT ORPHANS' COURT RULES
To: Personal Representative
Counsel: JAMES Kl'.lU, ~SJ.,
RE: Estate of JUosrn G. t'OHTII
HilMPDf1>l 1WP
Estate No.: 2l'l996.0S4l
Date of Decedent's Death: 6.24.96
, Deceased, Lule of
Pursuant to Rule 6.12, the above named personal reprcsentalive or the above named allorney, if
applicable, within two (2) years of the decedent's dealh, and annually thereafter until administration is
completed, is required to file with the Regisler of Wills a Slatus Report as required by Rule 6.12, in
substantially the prescribed form, showing the date by which the personal representative, or allorney, as
applicable, reasonably believes administration will be completed. The purpose of this Notice is to advise
you that unless the requisite Status Report is filed with the Register of Wills or Clerk of the Orphans'
Court, as appropriate, within ten (10) calendar days after the date of this Notice that the Register of Wills
is required to notify the Orphans' Court Division, Court of Common Pleas of such delinquency and to
request that said Court conduct a hearing to detennine whether sanctions should be imposed upon the
delinquent personal representative and the delinquent personal representative's counsel, if any.
Accordingly, If the requisiteStalUs Report is not filed by R.l.QR ,19_, you are hereby
advised that a request will be submilled to the Court in accordance with Rule 6.12.
Date: 7.lS.9B
Distribution to Estate File