HomeMy WebLinkAbout96-00553
No, 2l-9h-l)r)]
Estate (If
MARY 13. MIl,I,lm
, Deceased
DECREE OF IJROnA TE AND GRANT OF LETTERS
AND NOW .JULY 18, 19~, in consideralion of the pelilion on
lhe reverse side hereof, satisfaclory proof having been presented before me,
IT IS DECREED Ihal the instrument(s) dated November 23, 1992
described therein be ad milled 10 probale and filed of record aslhe lasl will of MARY B.
MILLER
and LeneES testamentarv
are hereby granted 10 James Forry
--....-........
-rltfl''t f.' :l..r"~ ,l,.' () II ';'/-:: /0 , ,O"."IW1'
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Rosi..., of Will,
FEES
Probale, LeneEs, Etc. ......... $ 40.00
ShorI Cerlificales(2) .......... $ 6.00
~~1!l'OOtlX .EXTRA .PAGES..3 $ q.nn
JCP $ 5.00
TOTAL _ $ 60.00
Filed .~P.l,X .I~). .J.~~{>...................
Charlc:~ stone, #06357
ATTOKNliY (Sup. Ct. I.D. No.)
414 Bridge st., New Cumberland,
ADDRESS
(717) 774-7435
PHONE
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LETTERS ANll ORllERS HAlI.Ell TO EXECUTOR .JULY 18, 1~g:,
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COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF IlEAlTIl . VITAL RECOROB
CERTIFICATE OF DEATH
...
I Female
IWU '"'-""1M"
IOCIAl.IlCUfllIY HU"'III"
I 172 - 24 7794
OAJIOf DlAlH........l 11.1, 'lWr1
..July 9. 1996
91 Yra
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ork CountYtPA
or DUll' USUAl OCCUMION kINOOf UllHUMHOOS1RY
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. ep\~ills\miller.m
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LAST WILL AND TESTAMENT
OF
MARY B. MILLER
I, MARY B. MILLER, of the Borough of New Cumberland, Cumberland
County, Pennsylvania, declare this to be my last will and revoke any
will previously made by me.
ITEM I: I give my five piece bedroom suite to my great-grand-
son, NICHOLAS FORRY.
ITEM II: I give my cedar chest and antique dishes to my grand-
son, JAMES FORRY.
ITEM III: I give my blanket "with a dog on it" and smoking stand
to my grandson, TIMOTHY FORRY.
ITEM IV: I give Five Thousand ($5,000.00) Dollars to my great-
grandson, NICHOLAS FORRY.
ITEM V: I have placed certain money in joint names with my
grandsons, JAMES FORRY AND TIMOTHY FORRY, and I direct that upon my
death that account be considered the property of James and Timothy and
not added to my residuary estate.
ITEM VI: I have placed certain money in joint names with my
daughter, ARLENE M. FORRY, and I direct that be considered her money
except that if there is insufficient money in my residuary estate to
pay the Five Thousand ($5,000.00) bequest to NICHOLAS FORRY, then the
balance necessary to complete that bequest shall be taken from the
joint account I have with ARLENE M. FORRY.
-1-
CERTIFICATION OF NOTICE UNDER RULE 5.6/al
Name of Decedent: Mary B. Miller
Date of Death: July 9, 1996
Will No. 2196-0553
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
August 22, 1996.
Nicholas Forry
842 Silver Lake Road
Lewisberry, PA 17339
James Forry
842 Silver Lake Road
Lewisberry, PA 17339
Timothy Forry
52 S. Grantham Road
Dillsburg, PA 17019
Arlene M. Forry
536 Market Street
New Cumberland, PA 17070
Notice has now been given to all
rule 5.6(a).
Date: ~wJ'd'}J/f96
persons entitled thereto under
ca.C<./ ,4~
Charles H. Stone, Esquire
414 Bridge Street
New Cumberland, PA 17070
717-774-7435
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Personal Representative
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
''''.'''')lIwCAlII' 0' ,,,,,,,,,,AII" (TO BE FILED IN DUPLlCA TE ~'/;
,."..,..."" O. ",VI 1111I WITH REGISTER OF WILLS) 7-/ c.. (1, ",', ~
IlA"I..~U:b. ~~n~~1"0601 . _ (OlHHYCOUf f~R _ IW','IUQ
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I II! limited f.rol" I l.to rululflln''''f,t Compromit"
1101 dnl,., 01 dflfllh nllftr 11.12811
P<l: 6 O"cfdflnl Oifld f'ulollI I I 7 Oror..rl,.nl Mninlnillftd n U...ing ,,,,,'
lAUnch (Opy 01 Will) (AllfI(h (Opr 01 T,uI')
~~!-_ COR.R_ESPO~OE_NCE AND_ ~ONFIOENTlAL TAX INFOR",!A!ION SHqlJ!~B_~~REC.:rE~ T()'_ _ --..--J'-' _ .__ _
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1 R.ol E"o'. (5ch.dul. AI (11
7 5loch and Bond, 15ch.dul. BI ( 7 I
3 Clo,.ly Held SlocUPorlnenhip In!!!reU ISch~dolf' C) ( 3 1
A. Mortgagel and No"" Receivobll'l (Schedul", 0) ( 4 1
5 Cash, 8on~ oppol!h & Mi,cellaneou, Penonol rforu~lly IS)
(5,h.dul. E)
6 Joinlly Owned Properly ISchedule F)
1. T,nn,fe" (Schedul" G) (Scht'dole 1I
8. Tolol Gran Anch IlolnlUM, 1.11
Q Funelol Expen'l'l'. Adminislralive Cos". Misc..llanMlu\
Ellpt'ns'" (Schl'ldulf' H)
10 o"bh, Mor'gngfll Unbiliti",. Uenl ISch"dul" II
11 Total Dedoclions (tololUnes 9 & 10)
12. Net Voloe of E\lnte (line 8 minos Une 111
13. Chariloble and Governmenlnl Br-qul!"h (Sch"dulr. II
U t~~~_.~_I~e SubJ~~!.I_~_~o~lli~~ .12 ~i~u\ I ill,. 131 .~ ~ ___
1 S. Spousal T,onsf"n (fOf dote, of deolh aft..f 6.30.941
Sl!'e In'''Uelionl for Applicable Pe,centnge on R"venl'l 115)
Side. (Indudfll vnlu"s from Schndule K 01 Sch..dul" M_)
16 Amounl of line U lallable 01 6% ,oln
(Indode ~alu,", f,om Schedul" K or Srh"duln M )
11 Amounl of line 1A In.obl" 01 15% rol..
(Indude values from Schedule K Of Sch"dule M_'
18 Principal lOll dlJe (Add lOll from lin", 15, 16 nnd 17)
lQ C,,,di" Spousal Poverly C,t'dil ... ~i~~en.. ....
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lOR OATIS OF OIAm A"IR 12/31/91 Cltrc~ "'.,
II A SPOUSAL
'OVlAry CRIDIT 15 CIAIMID I I
fill NUMRIA
I I 3
I I ~
R"mninde, P.,,'urn
t'm dnl'" of dealh priOI to 1,} 11 "-'I
r"d",nl E'I"'" Tal Rlllurn R"fl"j"..l
B Tolnl Nunlbllt of SnFe o.."n,it p"....
//,3'/11
161
(71
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(101
(111 ----/1;.7--70
(171 1--,:>, r'1'1
(131 -- - . 7
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10 If line IQ j, 9,eole, Ihon line 18. enlf!r Ih,. diUe,ence on Une10.
IJI[J
!hi,;, ,h. OVERPAYMENT.
(1QI
1701
Check her. if you are re uesllng a relund of your overpayment.
(711
11I^1
17181
..33
.33
11 If lin& 18 i, Q'''OIf!' Ihon line 1Q, enl", Ilu. diU",enr" on Unf' 21 Thi, I, Ih" TAX DUE.
A Enl'" Ihe inlelflsl on Ih" balnnc,. do,. on I in~ 21 ^
8 Enler the lolnl of Unit 21 and 11A on Un.. 218 Th;, is Ih" BALANCE DUE.
Make Check Payable 10: Reg~"!r 01 Wll1,~__~gent
.. _ _ . __~ _>'BE SURE TO ANSWER -"i.i.aUESTlONS ON-REVERSE -SIDE AND TO-RECHECK MATH - -c -c .-
q...I.., p"nnlti..s of P'lljuly.l d,,-cinut th~llh;;~; ;*I~';;~"d Ihi, ;eiul~, il~ritJJ;n.r- n(~~mf'~-;'ying s~h~dul~,~d ~~~~-~~I;. ~-nd 10 1hf!-bllSI of ;-y-i~;;..J".dg;-nnli lu,l".I.
I' ,~ "U", rOll,,(1 and compl"'ll I d"dnrf! Ihol 011 '''01 ""01" has h",.n '''"OIIN 01 "u" mnrltlll vnlue Oetlofnlion of p'''pnrp, olh", thon the peflonnller,e,,,nl"l"" I'
1 ....... .,n 011 inlo,,,,nlion 01 which plepnre' hat any ~no....-Iedge. It /
)l. ," -''''H''o.iiiif6i~iloii"iiil;ifiiJ'ii n" ArrOi,i 8"'#'....3'?Zv.,.~X'~--;l.~ oAiI-
r.93Z?~.v_-R,- -~~~'\ ~;<ECtl7ic ~;~7<J/.5: /1LU!V;/?I/?.33tfJ< _u- )"-1[.;
ri0'\';:':''':;;;'/I .."" %~fJ3t~4~~@ //I/.1't
^r.t '~8 01 1994 plovldu 101 Ih. I.ductlon 01 Iho 10M 10101 Impol.d on Iho nol valu. 01 lran.I.1I 10 01 101
,h~ u.. 01 Ih. .pou... Th. 101.. a. Pl..crlbed by Iho .Ialute will bo:
. 3~~ (.03) will b. appllcabl. 101 ..tote. 01 d.ced.nt. dying on 01 aft., 7/1194 and b.lor. 1/1/96
. '1% (.02) will b. appllcabl. 101 ..talo. 01 doc.d.nll dying on or 011., 111196 and b.lol. 111/97
. 1% (.01) wl\l b. appllcabl. lor 011010.01 doc.d.nl. dying on or all.r 111197 and bolol. 1/1198
. Spousal Iranslell occurring on or oller 111198 will be eMempl from Inh.,ltance taM.
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING A CHECK MARK (,--1 IN THE APPROPRIATE BLOCKS.
I. Did decedBnl make 0 Ilansler and:
a. relain Ihe use or income 01 the properly Iranllerred, .......................................................
b. relain the righl to designale who shall use Ihe properly Iranslerred or ils income, ...............
c. relain 0 revBrsionary inlBresl; or ...................................................................................
d. receive Ihe promise lor Iile 01 eilher paymen", benen.. or core? .......................................
'). II dAOlh occurrBd on or bel ore December 12, 1982, did dBcedenl within two yeors preceding
d~ath Iransler property wilhoul receiving adequale consideralion' \I dealh occurred alter
December 12, 1982, did decedenl Iransler proporly wilhin one year 01 dBalh wilhoul receiving
adequale consideration? ........... ....................................................................... .................
3 Did decedent own on 'in trust lor' bonk accounl at his or her dBathL....................................
JES NO'
$.-
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X
IF 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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Itlll(ll1AtlCf 1M If 1lI1"
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ITEM
NUMBER
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A.
1.
7~,
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
_ _ . . ... .. PI. a.. PI!nl oLTyp~"""_
. -. FilE NUMBER --
7---/- 16- t'~~'J
DESCRIPTION
AMOUNT
-
Funeral ElCpen...:
~;({cr/ffl,llfy.ct/.-4./lWC ,~.....""C',
";:'R ~ - ~ f;d c:~,(1# /7(."';7C
J!o/L,,.rj 647- N4.-71L-~'..{.';<l'l '- t5:t'AI/C--
~Ar1f !lIt, "JIf /7t'11 /I1/'1;!PIt'
r;11p
Iii
B. ' Admlnl.tratlv. Co.h,
1. Pononol Reprftsenlotivo Comminions
Social Socurity Number of Personal Repre\nntalive: --
Year Commissions paid
2. Allornoy F...
A.
C.
1.
2.
J.
~.
5.
6.
7.
8.
J.
Family Exemption
Cloimont/Mk/l~':' ~'/7JNY Rolatio",hip b,l'tt/c;j6:~-
Addr... of Claimanl 01 d.c.d.nl', dnnlh
Str..tA~dr...~jtb/!f;1;(k~/S.,! _.. - . d__ ~-
City#ZUt!tlHJ3~1fM/.v'!JStal.~d- Zip Cod. /__7010 -
Probate F... ~~/'f6i{: tJ;=-~/ILls - C:J/M,&lf'4w~ 4p,.vlv
(~t) r/:>-) I
Mlseollonoou. Exp.n....
,-1~J,AI;? ~'f., ell!; Acltff/~, /7:-/
cA~/,;!:-.A{7LI ~/l.6,;1: AIIIAIJ/lL-d;rs. i1J;;J..f?
~ A~r,e:5 I\'. hA',<-'I: ;;;?AI ~ z' (tl/ '&71<:;;.-- )
,...
I'YP
......
3/~ 00
15"
I;~ II
r'j
TOTAL (Aha en'.r on lin. 9, R.capitulation)
III more .pae. I. n..d.d, In..rl addlllonal .h.... 01 .am. .bo.)
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ep'willn'milJ~r.m
LAS'l' WI J,J, MID 'l'ES'I'MlEll'I'
OF'
I1AIlY B. HI 1,1,lm
I, MAllY B. HTT,T.F.Il, of the Oorollgh of NC\~ Cllmbor.land, Cllmberlnnd
County, Pennsylvnnin, declare this to be my last will and revoke any
will previOllsly made by me.
ITEM I: I give my five piece bedroom suite to my great-grand-
son, NICHOLAS FORRY.
ITEM II: I give my cednr chest nnd antique dishes to my grnnd-
son, JAMES FORRY.
ITEM III: I give my blnnket "with a dog on it" and smoking stand
to my grandson, THIOTHY FORRY.
I'!'!,;M IV: I give Five Thousand ($5,000.00) Dollars to my great-
grandson, NICHOLAS FORRY.
ITEM V: I have placed certnin money in joint names with my
grandsons, JAMES FORRY AIID THIOTHY FORRY, and I direct that upon my
death that account be considered the property of James and Timuthy and
not added to my residuary estate.
ITEI1 VI: I have placed certain money in joint names with my
daughter, ARLENE M. FORRY, and I direct that be considered her money
except that if there is insnfficient money in my residuary estate to
pay the Five Thollsand ($5,000.00) beqllest to NICHOLAS FORRY, then the
balance necessary to complete that bequest shall be taken from the
joint account I have with I\RLENr. H. FORRY.
-1-
ITEM VlIO .11 thc ,c.t, ,c",h", "u, ,.,".im'c, of mY e'''to, I
gi.ve to my daughter., 1\RI,!':llE M. FORltY.
ITEM VIII:
I appoint my grandson, .JI\MES FORRY, Executor of
this my last will.
ITEM lX'. I ",cct that my E"cato' aod hi. ,"cce.."e .h.il .ot
be "qui"d to ,ive bond fo' the faithfui pedo",a.ce of hie dutiee i.
any jurisdiction.
III WITNESS WHEREOF, I,
and seal this ~'3rc!. day of
MI\RY B. MILLER,
/(/(JVcw-.O.....A
have hereunto set my hand
, 1992.
" p, ') '( /
tJ)'J "M1\RY B: ?~l{1:ER
SIGNED, SBALED, PUBLIS"BD aod DBCLANBD by MARY B. MILLB', the
Te.tat,i. above named, ae and fo' he' La.t Wl11 and Te.taeent, and in
the p,..ence of .., who at he' ,eque.t, in her p,e.nnce and in the
of each other, have subscribed our names as witnesses.
.~ (;1
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Miress
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1\ddr.ess
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t:f J{.;:--
,.Witness
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1fV.IWfI(4."1
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
.
UNO. AA 146804
RECEIVED fROM:
i
ACN
ASSESSMENT Pi'
CONTROL IliI
NUMBER
AMOUNT
JAMES FOHRY
lul
~l ,...:.u.uu
B42 SILVEH LAKE HOAD
LEWISBERRY. PA 17339
ESTATE INFORMATION:
Ell filE NUMBER
Y 21-1 99b-05~1:~
I:t NAME OF DECEDENT ILAST)
I;iI Ml LLER MARY B
II DATE OF PAYMENT
m POSTMARK J
COUNTY
SSN 172-24-7794
IFIRST) (Mil
CUMBERLAND
DATE OF DEATH
REMARKS
m TOTAL AMOUNT PAID
$1.450.00
SK
JAMES R FORRY
REGISTER OF WILLS
~IAHY C. LEW
REGISTER OF
SEAL
CHF:CKtI 52'1
..---
-.-. _ -...-.....~.1'1:1... _.-~u"....,:.
/S-IN -'j
BUREAU OF INDIVIDUAL TAXES
l...tUltAH([ fAX DIVISION
DlPI. ZlD61H
HARAUIURC, Pi 11111.0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
t'1./
NOTICE OF INIIERlTANCE TAX
APPRAISEMENT, AllOWANCE DR DISAllOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
JAMES R FORRY
842 SILVER LAKE
LEWISBERRY
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
RD
PA 17339
02-10-97
HILLER
07-09-96
21 96-0553
CUHBERLAND
101
Anaunt Re.ltt.d
*
"t.U" ..", tll."I
MARY
B
HAKE 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 ~
REY:is4"'i"Ex-AFP-nZ:9&Y"No'i'"IcEuoF-YNHEiiIi'AiicE-;:AX-A'ppRAIsEHENT";-ALLoWANcE-olium,uu--m_-
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF HILLER MARY B FILE NO. 21 96-0553 ACN 101 DATE 02-10-97
If an assessment was issued previously, lines 14, 15 and/or 16, 17 and 18 will
reflect figures that include the total of ~ returns assessed to date.
ASSESSMENT OF TAX:
15. Allount of Line 14 at Spousal rat. (IS)
16. Allount of Lina 14 taxable at llna.I/Cless A rat. (16)
17. Anount of Lina 14 taxable at Coll.t.raI/Clasl Brat. (17)
18. Principal Tax Du.
TAX CREDITS:
PAYMENT
DATE
10-01-96
11-06-96
TAX RETURN WAS: C X J ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Rod Estoto ISchodu10 A) 11)
2. Stocks and Bondi (Schedule 8) (2)
3. Closely Held stock/Partnership Inter..t (Schedule CJ (3)
4. Hortgag../Not.. Racelvable (Schedule DJ (4)
5. Ca.h/Bank Deposlts/HI.c. Parlonal Property (Schedule E) IS)
b. Jointly ONnad Property (Schedule F) (6)
7. Transfars (Schedule GJ (7)
8. Total Alsat.
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funaral Expensas/Ada. Costs/Hisc. Expanse. (Schadul. H) (9)
10. Debts/Hortgag. Liabilitie./Liens (Schadule Il CI0)
11. Total Deductions
12. Nat Valua of Tax Raturn
13. Charitable/Govarnmental aaquasts (Schedula J)
14. Nat Value of Estat. Subject to Tax
NOTE:
RECEIPT
NUMBER
AA146804
AA146911
DISCOUNT
INTEREST
C+)
C-)
76.32
.00
) CIlANGEO
.00
.00
.00
.00
11.374.00
.00
24,873.00
CB)
10.270.00
.00
(11)
1121
113)
U41
.00 X .00=
25,977.00 X .06=
.00 X .15=
I1B)
AMOUNT PAID
1,450.00
33.00
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
NOTE: To insure propar
cradit to your account,
subait tha uppar portion
of this fora with your
tax pay..ant.
36.247.00
In.:>7n nn
25,977 .00
.00
25,977 .00
.00
1.559.00
.00
1.559.00
1,559.32
.32CR
.00
.32CR
o IF PAID AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS lESS TIlAN $1. NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REflECTED AS A "CREDIT" ICRI. YOU MAY BE DUE
A RErUNO. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.l
nn
l.~ (-
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ll:
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\.,7' C
RESERVATIOHr E,'et" of dlcldlnt. dvlng on Q~ b.for. Dec'~'r 12, 1911 .. I' any future lnt.r..t In the I...t. 1. tran,f.rred
In pOI....lon or .nJov.'n' to CI,.. B (collet,rel) bln.flcl.r... 0' the dlCldlnt .ft'r thl ..plretlon of any,,'et. for
11', or for y..r., thl CO"anw'llth hlreby '.pr...ly r...rVI. thl right to apprals. and ...... tran,'.r Inherltancl raMI'
It thl llwful el... B (coll,',r..) rat. on any .uch future Int.r..t.
PURPOSE OF
MOneEt
To fulfill the requlr...nt. of S.ctlon 2140 of the InherItance and E,tat, Tlx Act, Act ZZ of 1991. 72 P.$.
Section 2140.
PAYHEHTr
D,tlch thl top portIon 0' thl. Hotlcl and lub.lt with your paY'.n' to thl Rlgl.t,r 0' Will. printed on thl r.v.r.. .Ide.
--Hake chick or lon.y ord.r p.yabl. to: REGISTER OF MILLS I AGENT
All pay..nt. ne.lV.d .hall first b. .Ppll.d to any Inter..t which ..y b. due with any u.alnd.r appll.d to the tal(.
REFUND (CR): A r.fund of a t.x cr.dlt, which wa. not rlqu..tld on thl Tex Rlturn, .ay b. r.qu..t.d by caapl.tlng an ~Appllcatlan
for R.,und 0' P.nn.ylvanla Inn.rltanCI and E.tat. Tax~ IREV-Illl). Application. ar. avall.bl. at the Offlca
of the R.gl.t.r of Willi, any of the Zl R.v.nu. DI.trlct Dfflc.., or by c.lllng the .p.cl.l 14-haur
anlwarlng .ervlce nuabarl 'or far'l ard.rlngl In Pann'Ylvanla 1-800-361-1050, autllde p~.ylvanl. and
within local Harrhburg .r.a (717) 787-809"', TOO' 1717) 711-Z15Z m..rlng lapalUd Only).
OeJECTIONS: Any perty In Int.r..t not ..tl.flad with the .ppr.I....nt, allowanc. or dl.allowance of d.ductlonl, or ..I.....nt
of tax r InclUding discount or Intuuu .. lhown on thlt Nolle. IN.t obJ.ct within .lwty r60) day. of uc.lpt of
this Hotte. by:
ADttIN
ISTRATlYE
CORRECTIONSI
--wrlttln protl.t to the PA Dlpart..nt of R.vanu.. Board of ApPlal., D.pt. 181011, Harrllburg, PA
--.I.ctlon to have thl ..tt.r d.t.r.lnld at audit of the account of the p.r.onal rapr...ntatlvl,
-.ap~.1 to the Orphanl' Caurt.
11Ila-IOlI,
DR
F.ctual .rror. dllcov.r.d on thl. ..I.II..nt Ihould b. .ddr....d In writing tal PA O.part..nt of R.v~.,
Bur.au 0' Individual Ta..., ATTNI Po.t AI......nt R.vl.w Unit, D.pt. 280601, Harrl.burg, PA 17128-0601
Phon. (711) 787-6505. 5.. p.g. 5 of the bookl.t ~In.tructlon. for Inh.rltanc. Ta. R.turn for. R..ld.nt
D.c.d'nt~ (REV-1501) for an ..pl.natlon of .d.lnl.tratlv.ly corr.ctabl. .rror..
DISCOUHh
If any ta. due I. paid within thr.. (1) c.l.ndar .onth. aft.r the d.c.d.nt.. d..th, .. flv. p.rc.nt (5XI dl.count of
the tax paid I. allow.d.
PEHAl TV:
Th. 15X tax aan..ty non-participation penalty I. co~ut.d on the tot.1 of thl t.x and Int.r..t .......d, and not
paid b.'or. January 18, 1996, the flr.t day .ft.r the .nd of the tax sana.ty parlOd. Thl. non-p.rtlclpatlon
p.nalty I. app.alabl. In the .... .ann.r and In the the .... tl.. periOd I. YOU would .pp.al the ta. and Int.r..t
that h.. blln .......d II Indlcat.d on thlt notlc..
INTERUT:
Int.r..t II chargad b.glnnlng with flr.t day of d.llnquency, or nln. (9) eonth. and on. (II day froe the data of
d.ath, to the data of pay.ant. Ta... which baca.a d.llnquent b.for. January I, 195Z b..r Int.re.t at thl rat. of
.Ix r6X) p.rc.nt p.r annul calculated at a dally rat. of .000164. All ta.e. which b.ca.. delinquent on and aftar
January I, 1952 will b.ar Int.r..t at a rata which will vary fro. calandar ya.r to calandar y.er with that rat.
announc.d by the PA O.part..nt of R.v.nu.. Th. appllcabl. Inter..t rat.. for 1981 through 1997 ar.:
~ Inter..t Ra" Dally Internt Factor !!!!' Inter..t Rat. Dally Intlr..t Factor
1981 lOX .000541 1987 'X .000247
1981 lOX .000438 1918-1991 lIX .000l01
1981t lIX .00DlOl 199Z 'X .000247
1985 UX .000n6 1993-1994 'X .000192
1986 lOX .000274 1995-1997 'X .00021t7
--Intar..t It c.lculet.d o. fol1owlI
INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notlcl I..u.d eftlr the tex b.co... d.llnqu.nt will r.fl.ct en Int.r..t celculatlon to ,Ift'an (15) dayl
b.yond the date of the all.'I-.nt. If payaant I. .ad. .ft.r the Int.r'll coaputatlon data shown on the
Notlc., additional Intarllt ....t be calculeted.
DR
STI\TUS [lEI'~n'I.:.._U.N[)1':1l [lUl,E,6 .l?
Name of necedent 1,.LC !;ff:r)JJ/.!U~A~.:L-H_-
-/w);.
Date of Oel\th: //1(/ f':.t::>'---------
Will No. J!/~.::-OtY..jj/3.------ I\dm In. tlo. k/fb - t.:7~~ 'j
Pllrsuant to [llllp 6.17. of the supreme Court Orphans'
COllrt [lules, 1 rl'!port t.hl"! following with respect to completion of
t.he administration of thl"! I\bnve-cl\pt.ionml estate:
1, State wheth,,!I' iHlministration of the estate is complete:
Yes ~._ No
7.. If thl'! a 1l!1Wl"! I' is tlo, !1t.ilt.e when the personal
repre!1entative rel\sonably believe!1 that the administration will be
complete: ------.----.---
3. If the I\n!1wer t.o No. 1 1!1 Yes, state the following:
1\. lJ I d I hI"! ppn;onal r<!prpsl'!ntat i ve r I Ie a f i nil I
ilCcollnt with t.he COIII't.? Yl'!l _w__ Nn.K__'
b. Thl"! !ll"!pilrill.p OI'l'hnlls' Court No. (If I\nyl for
t.he per!1onal representnl.ive's nccolIlIl. 1!1:
c. old t.he personal represl"!ntative state I\n
account. informally to the I'nrl.ir>s in Interl"!st? Yes--X-- No
d. Copies of receipts, releases, joinders and
approvals of formal or informl\l I\ccollnts may be filed with the
Cerk of the Orphans' COlll.t I\nd ml\Y be attached to this report.
Date: fVuv, <( l'I'lL - Ie""",,/" -",tC(\!V'y
JC. )CS ign~ ure /
.- J.~(~fe:;; ;;{~:r~r!ftY
7<7 2- .5/LI~?y,~-:jJJ
~].il/,[,&.~', ~.J-,~:;_
I\ddress 7'-
,--)U
@',1i 93 t" - ~"j''f2
'Ipl. N"b-:-
><- Personal [lppresentl\tive
Capnel I y:
Counsel for personal
repn'!sentative
(MJ\II: rmf II\M3)