HomeMy WebLinkAbout96-00582
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COMMONWEALTH OF PENNSYLVAWA. DEPARlMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
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21-96- 5M2
REGISTER OF WILLS OF COUNTY
OATH OJr SUnSCRIIUNG WITNESS
codicil //'
(each) a subs ' Ing witness to the will presented herewith, (each) being duly,qGajified according to
law, depose(s) an y(s) that / present and saw
,
the testal , sign the me and Ihat / signed as a witness at the
request or testat In presence and (in Ihe p~nce or each other) (In the presence or the
other subscribing witness(es)).
(Name)
Register
(Address)
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REGISTER OF WILLS OF CUMBERLAND COUNTY
OATH OF NON.SUBSCRIBING WITNESS
Jere S. Heinze
(each) a subscriber hereto, (each) being duly qualified according 10 law, depose(s) and say(s) that
he is ramiliar with the signature or Mary Lucinda Heinze
codicil
will
test at
or (one or the subscribing witnesses to) the
presented herewith and
codicil
believes Ihc signnture on thc will is in the handwriting or
thai
he
Sworn to or aflirmed l\l!d subscribe:! bcrore
'Ie<,
me this __.---.:_______ day or
L l///n'(II.d:L...u i9'/h
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'Q 1'4 ''d.J..1 \4) J', I"~ 1.( 11..,-,: (- L1
i/ .L", I-.d) Register
Jere
17007
Mary Lucinda Heinze
to the best or _!~~ knowledge and bclicr.
1'.0. !lox 7,
(Address)
(Name)
(Address)
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CER'l'IF1C:!lT10N OF JIOTLCJU!!l_DI:F -'l{~LI5. 'i~l.QJ
Name of Decedent: ;fltJ-Wj /.u ~//(-z~
Date of Death: r
\: (''''~, . ~ , rei'i&
will No. q(p - 5~ z.-. Admin. No,
To the Register:
I certify that notice of beneficial interest required by
Rule 5.6(a) of the Orphans' COUI:t Hules was served on or mailed to
the following beneficiaries of the above-captioned estate on
Name Address
r llhl,/k';nl!. joJ<t? 4l~-H? I .1.tc..'~/~"<' ~~z~
.Jflttd/e f' ja" "("I.V 4,;,-<<, J".",~(:"',J. Ck',c.lcs /IH~ ~ ~c~1 ~., ,.
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#t(~ ~t.IY - n:..., c-.,..s:.'__,(.~ I ~_____._
Notice has now been given t
Rule 5.6(a) except
entitled thereto under
Date: k6 d-I , 1'117
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Name ' JtJ/~r ~J t//f'Z.e
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TelepllOne(7/71 '1-S~_:YJ.I'
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7~pacity:__~ Persona) Representative
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Counsel for personal
representative
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fOR OATU Of OlATH AlTER 12/21/'11 CHECK IlIR!
If A IPOUaAl.
POVlRTY CREDIT 1I CLAIMED
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COUNTY Cd Dr
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YEAR
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
u""r
COlNONWI IL nt OF P[HHIYl VAAIA
OIPN\TMf.HTO' Rl VlHUI
O[PT. a;)S)1
HMRIIIIURO,PA 1JI2S<le01
DlC1DlNT .NNM LAlT, U\lf, NiU MIOUU IHlTlH.l
HEINZE MARY LUCINDA
.ocw. IlCURI1'V HUMB[R
UIClUlN' . c;o....U 11 HJORt"
P.O. BOX 7, ALLENBERRY
DAIl or .,,,,, BOILING SPRINGS, PA 17007
03/04/09 c.... CUMBERLANO
'OCLAL I[CURITfNUMB[R lNOUNTftlCIMD 11[( ....""UCnoH.'
o 3, Romolndet R."m
1101 d.... 01 d..1h priot III 12-13-1l2l
o 6. Fod",oIE1totllT&JC
R.lUm RoquIrod
L 8, To'" Nurri>o, 01 5.1. CopoIlt B_
t;Y::::':!?I:,:~~:::('(f&~:.reg::4t::t;f
DATI Of DE Am
177-50-1228 1/05/96
.,jIffUCJIOl(llUN\NIlPQl.II:..N,Ih( lJIUt'.MS1' MJMa11 1N1IAJ
~ 1. Origlnol R."m
o .. lMrilod E .toto
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o 1. Supplomon'" R.lUm
o ~. Futuro lntcrolt COI11'rOlllilo
IIOId.lo. 01 d..1h .f1.r 12,12,82)
o 7. D.cod.ntMllnlolnod 8 U\lngTN.t
IAlloch copy 01 TNlU
DeN IDENTT INFOR L
CQIwV'l[TE ~l1NO AQORl51
52,887
26,025
(8)
78,912
P.O. BOX 1331
HARRISBURG, PA 17105
7,798
25,000
1111
(12)
1131
1141
32,798
CLARENCE E. ASBURY
nLIPHOH[ HUMBER
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III
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(717 761-7910
1. R." E.toto(Schedul. Al III
2. 5_ end Bond. ISchedul. BI I 2)
3. CIOIoIyHold StDckA'8f1nOrolip Inlo,..tISchedul. CI 131
., M>r1llogetl end Nolo. Rocolwbl.ISchedul. CI 141
6, C..h, Bonk Dopooito & M.cellonoou. P...onoI Prop.rTy I 51
ISchedul. EI
8. Jcln~yOv.nod P,op.rTyISchedul. FI 16l
7, T,onol.roISchedul. G) ISchedul.LI 171
8. TotoI G,OI. AI..IIIIo'" Uno. 1.71
9. Funeral E)lponaol, Adrri,.ltratiYII COlts. MsceUaMouI (9)
E>!>.ns..ISchedul. HI
10. Cohill, M>r1ll00. UebiU;.., U.ns ISchodul.n 1101
1 I. To'" Doduc;ons lIo'" Uno. 9 & 101
I:!. N.I VoIu. 01 E.,." (Uno 9 mnu. Uno 111
13. Cherilobl. end G.....rrvnon... Bequ..IIISchedul. JI
14. N.IVoIu. SubjeClloTexlUno 12mnu. Uno 13)
16. Spou.oI T,onsl.roUOI dolo. 01 doolh .llor &3().941
Soo InsU\JctiOOl for Appli~o Porcentago on Rowrlo (15)_
Sid.. (lnclud. wlu.. Irom Schedul. K or Schadul. MJ
18. Amount 01 Uno 14tl1Xl1b1. 016%'.10 116l
(lnclud. wlu.. from Schedul. K 01 Schadul. MI
17. AmounloIUnoI4tl1Xl1b1oeI15%r.1o 1171
(lnclud. wlu.. from Schedul. K 01 Schadul. Ml
19. Principoltoxdu.IAdd tox from Uno. 16, 16 end 17J
19. Credill Spou.oI P.....rTyCrodil PriOl P..,.,.,nll Ci.counl
46,114
X. .
'6,114 x.06 .
2,767
z
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g
x.15 .
1191
lntarolt
+ +
20, If Uno 191. gr...., then Uno lB, .nlo' the diff.r.nc. Ofl Uno 20. TH.I.the OVERPAYMENT.
~ Check h.roll yciu'oI.t. D..Ung. r.lund 01 your OY." 'm.nl.,?
21. UUno 181. gr..tor then Uno 19, .ntor the dill.'.nc. Ofl Uno 21. TH. I. the TAX CUE,
A. Enlo' the Inlor..1 Oflthe bolenc. duo Ofl Uno 21A.
B. Enll' the 10101 01 Uno 21 end 21A Ofl Uno 21B. TH. I. the BALANCE CUE.
Make Ch.ck Payabl. to: R.glltar o' Willi. Agant
1191
1201
1211 2,767
121Al
121B) 2,767
>\1';'." ",\!i)@;MhJC we " 'CUlt SURE TO ANSWEIIALL OUESTIONS CN REVERSE SIDEANCTO RECHI!CK,MATH.." J%':WW,f;,,,,,,*Wi9W0.0M
, . of p.r <V,I d.d...thell heYo ....,.;nod iii. ,."m.lncluding eccllfTllenllng .chedul.. end .Iolomenll, end 10 the belt 01 myknowodge end bCIIi.I,
. nd .,.. t d.d...thel 011 r.oI ..,.18 has b..n repor1Bd .1 IN. morl<.t wlu.. C.d..o;Ofl 01 prep...' othe, then the peroonel '.p'....n,.;'" I.
f 0 Wllch proparor has enyknowedga.
.0"Ll fa. ....~ .'l\Jf\' "fP~.0 BOX 7. ED I LI NG SPR I NGS. PA 17007
Rt [5 TA ADDR[SS
~ P.O. BOX 1331 HARRISBURG PA 17105
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SCHEDULE E
CASH, BANK DEPOSITS AND
MSCELLANEOUS
PERSONAL PROPERTY
Please Prlnl or Typa
FILE NUMBER
CQMMONWIIL TH O' 'INNIVLVN41A
INHINTMCI TUftlNUI
"IIIDlNT DlelDINT
IITATE OF
MARY LUCINDA HEINZE
IAlI p,.pOIty 1.lndy........d Nth th. RighI.' Bu,vlv.r.hlp mUll b. dllet...d .n Bchldull FI
ITEM
NUMlER
VALUE AT
DATE DF DEATH
DESCRIPTION
I.
2.
PNC BANK CHECKING ACCOUNT . 51-4044-8168
fiNANCIAL TRUST CORP. ACCOUNT . 00D45Z505
1,309
24,716
TOTAL (Also enter on line 6. Recaphulalion) .
26 025
lAaach oddIdonolB 1/2" X II" lhoollll more Ip..oll noododJ
.""A0UQ2""
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SCHEDULE H
FUNERAl. EXPENSES,
ADMNISTRATIVE COSTS AND
MSCELLANEOUS EXPENSES
Pi.... Print or T .
COMMOHWIH.lW 0' 'INN.v\' VN4lA
tlHlftITIINCI TAAIU1\JRN
"
MARY LUCINDA MEINZE
ITEM
NUMBER
AMOUNT
DESCRIPTION
A.
funeral Elt\Ienl8.:
MOFFMAX-ROTM FUNERAL MOME
7,798
1.
B.
Admlnl.tradve Co.ts:
Pe,sanal Rep,esentaliW Commissions
Social Secu,lty Number of Pe,sonal RepresentaliW:
Year Commissions paid
1.
2.
AtlDmey fees
3,
family Exemption
Claimant Relationship
Add,ess of Claimant at decedents death
SlIeetAdd,ess
City
4. Proba1a fees
C. M.celleneou. Expenl8.:
1.
2.
3.
4.
6,
6.
7.
6.
Slate _ Zip Code
TOTAL (Also enter on ine 9, Recaphulation) ·
7798
(If mora .pece I. needed,ln.erteddldenel .heots of I8mo .Ize.)
Ilf PM2021P.12
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DEFERRED PLEDGE AGREEMENT
In consideration of my interest in education, for and
in consideration of the similar promises of other dDnors and for
other Rood and valuable consideration, the receipt of which is
hereby acknowledged, an~ intendinR to be leRally bDund hereby,
I, MARY LU BBHlZE, of Boilinp, SprinllR, Pennsylvania, hereby irre-
vocably pled~e and promise that my a5tate sholl be obligated to
pay THE PENNSYLVANIA STATF. UNIVERSITY (the "University"), subse-
auent to my death, the sum Df TWENTY FIVE THOUSAND AND 00/100
($25,000) DOLLARS,
The aforesaid sum, when paid by my eXeclltDr frDm my
estate, shall be used by the University for the School of Hotel,
Restaurant and Institutional Management and shall entitle me or
my family to nome the administrative 5uite in the new facility to
house the SChDOl of Hotel, Restaurant and Institutional ~anagement.
I direct my executor, administrator or other personal
representative to pay the aforesaid sum within one (l) year frDm
the date of my death, without interest if so paid within such
period.
J acknowladge that the aforesaid use by the University
and the University's promise to use the amDunt herein pledged by
me for the purposes specified shall each constitute full and
adequate consideratiDn fDr this pledge.
This pledge is to be irrevocable and 0 binding obligation
upon my estate, This Deferred Plcd~o Agreement may also be
satisfied in part or in full by payments made at my discretion
:'(' UL..,LJ-"'~ ~,,-,_ur I -'.<:." I <:....
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Deferred Pledge Agreement
Page 2
during my lifetime and so designated by me in a writing dolivered
to the University at the time Df the ~ift. Any amounts paid by
me to the University from the date of this Agreement to the date
of my dQath which are so designnted s~all reduce the amount my
estate is obligated hereby to pay after my death. Any amounts
not so designated shall conclusively he presumed nDt to be in
reduction of the amount pledged herein.
In the event that the University is a heneficiary under
the terms of my duly prohated will or living trust, whether a
specific or residuary lORateo, the amount rec~ived by the
University under the ter~5 of said will or living trust shall
l'Oduce the amount herein pledlted.
This A~reement shall be interpreted under the laws of
the Commonwealth of Penn5yl~ania.
BXBCI/Tp.n this :;..:.~ day of iltttl C!../i.."
. 1990.
WITNBSS:
/7)~~~fr{S.ALJ
'l~^ 1.
ACCEPTANce
The undersigned, bein~ a duly authorized officer of
The Pennsylvania State University, does hereby accept the within
, pledge.
THE PBNNSYLVANIA STNrB UNIVBRSITY
BY:
~.r. ·
DavId e. Br~--
Asslslanl Treasurer
10/119
fa TOTAL AMOUNT PAID _2.767.00
/~) SK
(/j. /, /
RECEIVED BY , /;fJ'2~.1 (. >if/(L".-t. ,:/t..
" ~IGNA1'UREJ f /
MARY c. LEWIS ..::.'/IC '(/'.',
REGISTER OF WILLS
-, .-.....
UNO. AA 146557 COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
.
.1~1"21114."1
ACN
ASSESSMENT Ii'
CONTROL Iii
NUMBER
AMOUNT
RECEIVED FROM:
a
CLARENCE E ASBURY
101
~.::, } b J . 00
POBOX 1331
HARRISBURG, PA 17105
ESTATE INFORMATION:
~ FilE NUMBER
~ 21-1996-0582 SSN
~ NAME OF DECEDENT (LAST) (FIRST]
~ HEINZE MARY LUCINDA
II DATE OF PAYMENT
m POSTMARK DATE
COUNTY
177-50-1220
(Mil
CUMBERLAND
DATE OF DEATH
REMARKS
JOHN J HEINZE
C/O CLARENCE E ASDURY CPA
CHECK" 527
SEAL
REGISTER OF WilLS
M '~._ .
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BUREAU or INDIVIDUAL TAXES
IHIIt NIIAN(f ,All IIIVI\IOH
1Il11f, .'II~bQI
IIANM:\IUJNQ, JIA IIlta-aUI
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
,*
e
NDTlCE OF INIIERITANCE TAX
APPRAISEMENT. ALLDWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
1('-lhll1 ", 111-"1
CLARENCE E ASBURY
PO BOX 1331
HBG PA 17105
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
10-28-96
HEINZE
01-05-96
21 96-0582
CUMBERLAND
101
MARY
L
Anount Renltted
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 ~
il-EV:is4TEx-"i=p-io7-:96-nlOTicEuO"-YNHEifii'ANCE-TAX-APiiR'A-isEHiN,.-;-"Li:owANcE-olimmm--------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF HEINZE MARY L FILE NO. 21 96-0582 ACN 101 DATE 10-28-96
TAX RETURN WAS: (X I ACCEPTED AS FILED
CNANGED
RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE
APPRAISED VALUE OF RETURN BASED DN: ORIGINAL RETURN
1. Red est.t. (Schedule AJ tll
2. Stocks end Bond. (Schedule 8) (2)
3, Closely Held stock/Partnership Interest (Schedule CJ (3)
4. Hortgagel/Not.. Receivable (Schedule OJ 14J
5. Cash/Sank Dapollts/Hlsc, Personal Property (Schedule EJ IS)
6, Jointly Owned Property (Schedule fl (6)
7. Transfers (Schedule G) (7)
8. Tot.l Anet.
NOTE: To insure proper
credit to your account,
subnit the upper portion
of this forn with your
tax pay"ent.
.00
52.887,00
.00
,00
26.025,00
,00
,00
(8)
78.912.00
APPROVED DEDUCTIONS AND EXEHPTIONS:
9. Fun.~al Expans../Adn, Costs/Hlsc, Expenses (Schadula H) (9)
10. Debts/Hortgag. liabiliti.s/lians (Schadula I) CI0)
11. Total Deductions
12. Hat Valua of Tax Ratu~n
13. Charitabla/Govarnmental aaquasts (Schedula J)
14, H.t Valua of Est.t. Subject to Tax
7.798.00
25.000,00
1111
1121
(13)
1141
3;>,7QR no
46,114.00
,00
46,114,00
If an assessment was issued previously. lines 14. 15 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 lina 14 at Spousal rat. CIS)
16, Anount of line 14 taxabla at linaal/Class A rat. (16)
17. Anount of lina 14 taxabla at Collat.~al/Cl.ss a ~at. C17J
18. Principal Tax Due
NOTE:
.00 X .00=
46.114.00 X .06=
.00 X .15=
1181
,00
2.767,00
,00
2,767.00
TAX CREDITS:
PAYHENT
DATE
07-25-96
DISCOUNT (+1
INTEREST 1-)
.00
AHOUNT PAID
2,767.00
RECEIPT
NUHBER
AA146557
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
2.767,00
.00
.00
.00
. IF PAID AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATIGN OF AODITIDNAL INTEREST,
( IF TOTAL DUE IS LESS TIIAN Sl. NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI. YOU HAY BE DUE
A REFUNO, SEE REVERSE SIDE OF TillS FORM FOR INSTRUCTIONS. I
r
~.
RESERVATION: [Itata. of decadent. drlni on or be for. Dec..ber 12, 1982 -- If any future Intere.t In the a.tate II t,an,f.rrad
In po.....lon or enJoy..nt to Cia.. B (collat.ral) beneflclarl.' of the dlCldlnt .,ter thl ..pitatlon of nny ..t.t. for
11f. or for YI.r., the Co..anw..lth hereby a.pr.ssly r...rv.. the right to apprals. and a..... tranl'., Inherltftnca f....
at the lawful Clas. B (coll.t,r.1) rat_ on any such future Inter..t.
PURPOSE OF
NOTICE:
PAY"ENTI
REFUND eCR}:
OBJECTIONS:
AD"IH
lSTRAT1VE
CORRECTIONS:
DISCOUNT:
PENALTY:
INTEREST:
To fulfill the requlr...nts of Section 214Q of the InherItance and E.tate Ta. Act, Act ZZ of 1991. 12 P.S.
Section 2140.
c.t8th the top portion of thl. Notle. and sub.lt with your pay..nt to the Regl.ter of Will. printed on the r.v.r.. wid..
"Make check or .onay ord.r pllyabla to: REGISTER OF MILLS, AGENT
All pllyaants recalved shall flr.t ba applied to any Intere.t which .ay be dua with any raaalnd.r IIppllad to the ta.,
A rafund of a tll. cr.dlt, which wa. not r.qu..t.d on tha T.. R.turn. ..y b. r.qua.t.d by co.pletlng an -Application
for R.fund of P.nn.ylvanla Inharlt.nc. .nd Estllta f..- (REV-IlI1), Appllc.tlons ara avallabla at the Dfflc.
of the Ragl.t.r of Wills. any of the 21 R.venua DI.trlct Dfflc.s. or by C.lllng tha .p.clal 24-haur
an.w.rlng s.rvlc. n~b.r' for for.. ard.rlng: In Pannsylvanl. 1-800-362-20S0, out.ld. Penn.ylv.nl. and
within local HarriSburg ar.a (117) 787-8094. fDOI (717) 172.22S2 (H.arlng Iap.lr.d Dnly),
Any party In Inter.st not satl.fl.d with the appralsa..nt. allowanca or dlsallow.nce of deduction.. or .....s..nt
of tax (Including dl.count or Int.ra.tl as .hown on thl. Hotlce .u.t obJact within .Ixty (60) d.y. of r.celpt of
this Hotlce by:
"wrltt.n protnt to tha PA Dapart.ant of Rallanue. 80ard of Appeal.. D.pt, 281021. Harrisburg. PA 111za-loll, OR
...lactlon to halle the .attar detaralnad .t audit of tha account of tha personlll repr.santatlve. OR
.-.pp.al to tha Orphan.' Court.
Factu.l errors dl.covared on thl. .....s..nt .hould be addras.ed In writing tal PA D.part..nt of R.vanua,
8ur.au of Indlvldu.l T.xa.. ATfN: Post A.s..s.ent R.vlew unit, Dept, Z80601. Harrisburg, PA l11Za-0601
Phone (717) 787-650S, Saa p.g. 5 of tha booklat -Instruction. for Inh.rltance f.. Raturn for a R.sldant
D.cedant- (REV-ISOI) for an explanation of adalnlstratlv.ly corractabla .rror.,
If any tax dua I. paid within thraa (3) calandar .onths after the decadent's death, a five p.rc.nt IS~) dl.count of
tha tll. Pllld I. allowed,
fha IS~ tax a~e.ty non-participation panalty I. coaputed on tha total of tha ta. and Int.ra.t IIssas..d. and not
paid bafora January 18. 1996, tha flr.t day aftar tha end of the ta. aanesty parlod. Ihl. non-participation
panalty I. appealabl. In the sa.a .anner and In tha the sa.. tl.. periOd a. you would appeal tha lax and Inlar..t
that ha. b..n essaw..d as Indlcat.d on Ihls not Ie.,
Intarnt Is charged beginning with first day of delinquency. or nln. (91 eonths and on. et) dillY froa the data 0'
de.th, to tha data of paye.nt, Ta... which becae. dallnqu.nt b.for. January 1, 198Z baar Int.r..t at th. rat. 0'
.Ix (6~) p.rcent per annUM calculated at a dally rata of ,000164, All ta... which b.cae. d.llnqu.nt on and .fl.r
January I. 1982 will baar Intera.t at a rat. which will vary froe calendar y.ar to cat.ndar y.ar with that rata
announced by tha PA D.part.ent of Revanu.. Ihe applicable Int.re.t rate. for 1982 through 1996 aral
'!!!!; tnterest Rate Dally tnternt Fector !!!! Intarest Rat. DAily Intera.t ractor
1982 20;( .000S"8 1987 9X .000Z47
198] 16i! ,000418 1988-1991 m .000301
1984 m ,000301 1992 9X ,0002'"
1985 13;( .G001S6 1993-1994 IX ,000l'lZ
1986 lU .000214 1995-1996 9X ,OOO~H
-.tn"re.t Is cnlculated .. foUows:
INTEREST = BALANCE OF TAX UNPAID X NUnBER OF DAYS DELINQUENT X DAILY INTEREST fACTOR
--Any Hotlca Issu.d after tha tax becoa.. d.llnquenl wUl raflect an Int.ra.1 calculation to f I' I..n 11"1 da..
b.yond the data of th. asse.s..nt, If payeant il .ad. aftar the tnter..t coeputatlon data ,hQwn on tha
Hotlce. additional Int.r..t aust b. calculat.d.
STATUS REPORT UNDER RULE 6.12
Name of Decedent: NARY I.U ImIN7.E
Date of Death: JANUARY 5 . 1996
Will No. ,~J -qL, ...SlI',;l.. Admin. No.
Pursuant to Rule 6.12 of the Supreme Court Orphans'
Court Rules, I report the following with respect to completion of
the administration of the above-captioned estate:
1. State whether administration of the estate is complete:
Yes x No
2. If the answer is No, state when the personal
representative reasonably beiieves 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
approvals of
Cerk of the Orphans'
Date: ~~'1 (~~
:'~~
,[
J..:
c6.;..g na: eu r e
\
JOHN J. HEINZE
Name (Please type or print)
P.O. BOX 7 BOILING SPRINGS, PA. 17007
Address
'"
c,.
"-
"J
'::1
'..;J
'~.
,.
,
;3~
,
,'J ::i
00
( 717) 258-3211
Te I, No.
Capacity: Personal Representative
Counsel for personal
representative
(MAH: rmfl AM3)
,