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HomeMy WebLinkAbout96-00594 ~. E I/) . <..J <t - -:t- <t cr \f) . \I) ..... ~ G I - V) -- 0 L.!J ~ <:r "'Z I <;:( CI) $ ... . 0 0 L!J ... S Z VI 3 -~ ;.} PETITION ...01{ PHOIJATE llnd GHANT 0... LETTEHS No, ~J::26- 5~ Tu: ElIII/!' of Jl^'\AJ;..--.SI.l1KQlIS____ (11.\0 /wU\\'n Ul ___~ _____._________..__________ Re~j,ler or Wills for Ihe fJl'''I'IIWd. CUUIIlY of CUHIIIllil""ND in SIIcill1 S"C/I,it,l' "'", 207":07-9015' Cornrnonweallh uf Pennsylvania The pelilion of Ihe unuersi~ned respeelfully represellls Ihal: YOIIr pelitiunells). \I hu h/arc 1M l'cars of a~c or older an Ihc exceuLr Ix in Ihe lasl will of Ihc ahuvc deeedenl, dalcd December 23 (lIId ellllicills) daled ~.AT\lLL._SNYJIIDLJt/.k/.lLK.ATIlY.J...-5N'iJlli]l Ihe narneu ,lljJ2- 1\1.ul.' U.'k\illll dh'llImlal\l,'C'\. c.~. rCllund.uinll. dcmll uf C'CCll1m, (1l,'.1 ()e~cndenl was dUlllicileu al uealh in CUHIIERI.AND hl!r lasl f(unily or principal rcsiden~c hi -.OlIIi.JlllSSElLRQAD. CAHP III 1.1. COUIIlY. Pcnusylvania. with !.OWER AI.LEN TOIillSIIIP. (1i\1 \If!:!:!, II\lIllhcr and lTlundpalil)") ()eeenuclll,lhen 81 ycarsofa~e. uicu JUI.Y 2 .1996 al-1lOLUPIRIT IIQSPITAL Ex~epI as folluws. ueeeuelll did nul marry. was nul uivorecd anu uiu nul have a ~hilu born or auopteu afler cxeeulion of Ihc will offcrcu for probale; was uOllhe viclim of a killin~ and was never adjudicaled ineompelclll: ()eecndelll (II dealh owncd properlY with cSlimalcd values as follows: (If domiciled in Pa.) All personal properlY (If nUl domiciled in Pa.) Personal properlY in Pennsylvania (If nUl durniciled in Pa.) Persunal property in COUnlY Value of real CS((IIC in Pcnnsy".ania shualcd as follows: ONE SUSSEX ROAD. CAMP IIlI.L S 65.000.00 S S S 85.000.00 WHEREFORE. pClilioner(s) respeelfully request(s) the probate of the last will and eodicil(s) presellled herewilh and Ihe ~ralll of ICllers TESTAMENTARY (IC\I;lIllcntar)': arJmini\lr:llion c.I.a.; arJmillhuillilln d.b.I1.I.'.I.i1.) SNYDER 717-245-0379 OATH OF PEHSONAL REPHESENTATIVE COMMONWEALTH OF I'ENNSYLVANIA } ., :;:; COUNTY OF CUHIIERI.AND The pelilionerls) abuve-named swear(s) or afl1rrn(s) Ilml Ihe slalcmellls in lhc forc~uin~ pel it ion arc lrtlC and ""rr~~1 wlhe hc" uf Ihe knowled~c anu hcl~~~~;. cthio ter(s and Ihat as personal reprcsen- ((uivels) of Ihe ahuve de~cuclll petiliuner(s) will wcll J.1!f ya y,i' I Wle 'le~Jlrdil1g 10 la\\', SlIorn IU or affirmcd and suhscrihed r. ---M./ ' '" heforc mc Ihis 30th di" of -f-j ~. -"JlJ.Y 19~L <2...ATIIY I.. SNYDER a/kIn KATHY L. ~ l/~(' .1'.'-'-1" ('{.. ", '("'1 SNYm:1l. ~ u I... OJII.ry Rt'gish." ~ '. No. 21-96- 5Q'-l Eslale of SARA C. SIMMONS , Deceased DECREE OF PROBATE AND GRANT 0.' LETTERS AND NOW --!UGUST 2 19.2.6..-. In consideration of the petition on the rcvcrsc side hcrcof. satisfactory proof having bccn prcscntcd before mc, IT IS DECREED thaI the Instrument(s) dalcd DECEMBER 23. 1993 dcserlbcd thercln be admilled to probate and filed of record aslhc last will of SARA C. SIMI10NS and Lellers TESTAMENTARY are hereby granted to CATHY L. SNYDER a/kl a KATIIY L. SNYDER FEES Probate. Lellers, Etc. ......... $235.00 Short Certlfieates( 5) .. .. .. .... $ 15. 00 JR'Qll\II~II11~ JlX'I;IH\. f.4GI':>. .. $ 9.00 JCP $ 5.00 TOTAL _ $264.00 Filed . Al!Gf,J:;:r..~ I. ).9.~~......,.......... YJl!lt.ij {l <f., ,,:LA p'\ (i. a . ,ne.J.!;,,/)/ fJ.pa.& Register of Will, ;t /)'1~"'. ~ IRWIN, IGHT & HUGHES ROGER B~RWIN (06282) A TIORNEY (Sup. Ct. 1.0, No.) 60 W. POKFRET ST.. CARLISLE. PA 17013 ADDRESS 717-249-2353 PHONE ..". , ~ p ';if. "i , C. .. , , 0 M . . -' ~ ., .. me.:' '0 - L; a: . p, ..:!?:J UU CALLED ATTORNEY AUGUST 3, 1996 ~I-Iqqlo -.:Rtf 00 \Q :0 c iF :p(~ =:1 [h 1..,' t_ <::: .. W 0 \. .. , .0 . l-J (0 h -,... 0 :.~ j:;;. .c. " " "- . " " ~ J "- '" ,,,, ';;. LAST WILL AND 'rEST AMENT OF SARA C. SIMMONS ~ I, SARA C. SIMMONS, of Lower Allen Township, Cumberland county, Pennsylvania, make, publish and declare this as and for my Last Will and Testament, hereby revoking all other Wills and codicils heretofore made by me. FIRST: I give and bequeath the sum of One Thousand and NO/lOa Dollars ($1,000.00) to ST. JOHN'S LUTHERAN CHURCH, of Shiremanstown, Pennsylvania, to be used for general church purposes as is deemed appropriate. SECOND: I give and bequeath the sum of Five Hundred and NO/lOa Dollars ($500.00) to my friend, JACQUELINE C. MYERS, of Meadowood Apartments, 105l-L Allendale Road, Mechanicsburg, Pennsylvania. THIRD: I give and bequeath my gardening tools and equipment, lawn mower, snow blower, any motor vehicle that I own at the date of my death, my clothing, household goods and personal effects (not including and excepting, however, all cash, securities, bank accounts, certificates of deposit and like intangible personal property) to my grand-niece, CATHY L. SNYDER. FOURTH: I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and wherever situate, including any property over which I hold power of appointment and together with any insurance policies thereon, as follows: ,j ..) '" , .. '" (A) One-half (1/2) thereof to my grand-niece, CATHY L. SNYDER; Should CATHY L. SNYDER predecease me, I direct that her share of the residuary estate as set forth herein pass entirely and absolutely to SANDRA L. SCIORTINO. (B) One-half (1/2) thereof to my grand-niece, SANDRA L. SCIORTINO. Should SANDRA L. SCIORTINO predecease me, I direct that her share of the residuary estate as set forth herein pass ~ .~ .~ ) , ~ entirely and absolutely to CATHY L. SNYDER. FIFTH: Should any of tho individuals namod in Clauses SECOND and THIRD predecease me, I direct that said bequests be and become a part of my residuary estate. SIXTH: In addition to all powers granted to them by law and by other provisions of this Will, I give the fiduciaries acting hereunder the following powers, applicable to all proper- ty, exercisable without court approval and effective until actual distribution of all property: (A) To sell at public or private sale, or to lease, for any period of time, any real or personal property and to give options for sales, exchanges or leases, for such prices and upon such terms (including credit, with or without security) or conditions as are deemed proper. This includes the power to give legally sufficient instruments for transfer of the property and to receive the proceeds of any disposition of it. (B) To partition, subdivide, or improve real estate and to enter into agreements concerning the partition, subdivi- sion, improvement, zoning or management of real estate and to impose or extinguish restrictions on real estate. (C) To compromise any claim or controversy and to abandon any property which is of little or no value. (D) To invest in all forms of property, including stocks, common trust funds and mortgage investment funds, without restriction to investments authorized for Pennsylvania fiduci- aries, as are deemed proper, without regard to any principle of diversification, risk or productivity. (E) To exercise any option, right or privilege granted in insurance policies or in other investments. (F) To exercise any election or privilege given by the Federal and other tax laws, including, but not necessarily being limited to, personal income, gift and estate or inheritance tax laws. ~ ~ ~ ~ ~ ~ , " .~ ~J (G) To make distributions to my herein named benefici- 2 \ aries in cash or in kind or partly in each. (H) To borrow money from themselves or others in order to pay debts, taxes, or estate or trust administration expenses, to protect or improve any property held under my will, and for investment purposes. (I) To select a mode of payment under any qualified retirement plan (pension plan, profit sharing plan, employee stock ownership plan, or any other type of qualified plan) to the extent the plan or the law permits them to do so, and to exercise any other rights which they may have under the plan, in whatever manner they consider advisable. SEVENTH: I direct that all inheritance, estate, transfer, succession and death taxes, of any kind whatsoever, which may be payable by reason of my death, whether or not with respect to property passing under this Will, shall be paid out of the principal of my residuary estate. EIGHTH: I nominate and appoint CATHY L. SNYDER, Executrix of this, my Last will and Testament. In the event of the death, resignation or inability to serve for any reason whatsoever of the said CATHY L. SNYDER, I nominate and appoint PNC BANK, of Camp Hill, Pennsylvania, Executor of this, my Last will and Testament. I direct that my Executrix or Executor, as the case may be, and their successors, shall not be required to post security or a bond for the performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last will and Testament, this~3 day of ;(.L<!, /lLi! v , 1993. j. . ,I / '. ,i' (.-It ( t. I J J,' I/( ,. ,It j SARA C. SIMMONS (SEAL) 3 :J I ('/lc" :..f /1-/ REGISTER OF WILLS OF COUNTY OATH OF SUBSCRIBING WITNESS codicil (each) a subscribing witness 10 the ill presented herewith. (each) being dul law. depose(s) and say(s) Ihat ualified according to present and saw the testal . sign the same and thaI request of teslat_ in h presence and (in the other subscribing witness(es)). signed as a witness atlhe nee of each other) (in the presence of the Sworn to or affirmed and subscribed before me this day f 1_ (Nail/e) (Address) .. REGISTER OF WILLS OF CUIlBERLAND COUNTY OATH OF NON-SUBSCRIBING WITNESS ROGER B. IRWIN and. K.. n" L. 5/V't o,,~ . .. (117".. L ~/J~rx:-<L. (each) a subscriber hereto, (each) being duly qualified according 10 law, depose(s) and say(s) Ihal they are familiar with the signature of SARA C. SIHMONS ntIicilx will testal ri x of (.....~;.,.,_.~) the presented herewith and llllrdillit believes the signature on the will is in Ihe handwriting of that each SARA C. _ ~IHMONS to the best of their knowledge and belief. Sworn to or arrirmed and subscribed before me this 30 th day of JUI~ 11% 60 W ~ ;}~ I ill ~'^Pl\-nl.11JiJ..,W_' MA Y__ E IS Reg~tr Jl.c AI. Jrf.l\.t Name) Carlisle. PA 17013 (Address) ..". e. R -:::~;C ;"3 'iG.. ,." , - . a.. ,~ 0 ,." , . ~ ; ?; '. " '" 1 ciiiC ~ .. E CC ~::J UU CERTIFICATION OF NOTICE UNDER RUU; 5.6(11) Name of Decedent: SARA C. SIMMONS JULY 2. 1996 Date of Death: Estate No.: 2] -96-594 To the Register: I certify that notice of the beneficial interest required by Rule 5.6(B) of the Orphan's Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on August 13. ]996 , ~ Address SandrB L. Sciortino Kathy L, Snvder SI. Johns Lutheran Church Jacquline C. Myers ]8]4 S,E, ]5th Terrace. Cape Coral. FL 33990 360 North Middleton Road, Carlisle. PA 17013 44 West Main Street. Shiremanstown. PA ]70]] ] 067 Allendale Road. Apt B. Mechanicsburlt P A ] 7055 Notice has now been given to BII persons entitled thereto under Rule 5,6(a) except none Date: 08/13/96 r7/LUD '? d:L,. Signature ( mWIN, McKNIGIIT &. HUGHES . .) tr. \'J : ~::: r-, 'i.'. r... O. ~ = '-'J . . " , p, .J L -=> UU Nome ROl!LT D. In,;". Esouire Address 60 West Pomfrcl Street Carlisle PA 17013 Tek'[1hone I7I 71 249-2353 tl. -.- 0:"- Copacit)": Personal Representative x COWI..,\ for Personol RC'Pre..,nlltlive COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss: KATIIY I.. SNYI)"R bolng duly HWOI':'!L_.__ _ _ccarding la law, dopolo, and .ay. Ihat II ho _ nn __J.ILthIL _.-- "xccu_IC'=-!c~n_ ._ __. 01 tho E.tala al _._--'.;nr!.!-!;-'.~J~!!!l1!.___ lato 01 __Lower Allen TownHhip __ n' Cumbarland Caunty, Pa., docao..d and that tho within h an IlIvontory mado by _ ... __ hur- n __ _ - . - . -_, tho .aid -KIl"outr-lx- al tho ontiro odalo 01 .aid docodonl, con.i.liog al all tho porsonal prapdrty and roal o.tato, ..copt rool e.tato auhide Ihe Commonwoalth 01 Penn.ylvania, and thaI Ihe liguro. appo.ila each itom al tho Invontory repra.ant It's lair valuo as al tho data 01 decodont'. dealh. 96 -KAi;~tf~.~t~- SNYDER Sworn and .ub.cribod balora me, 360 North Hiddleton Road ---- Notaflul ~I;lal ",1cQuelino L. Drawbaugh. N:.llary Pulll1t Carlislo Bora, Cumbor1and coun~. ' tAyCommiSSionEJpirosAug 14.1,.U "",-..rour,~~a~ Date 01 Ooath 02 D.y Carlisle, PA 17013 Addr... July 1996 Month Vur INSTRUCTIONS I. An invontory mud bo filod within throo manths _!tor appointment al persanal roprosontative. 2. A supplement invontory mud ba filed within thirty day. al discavery 01 additional assets. 3. Additional sheots may be altached a. ta personalty ar realty 4. See Article IV, Fiduciaries Act al 1949. I J , I i .,; >- Ul CIlI ~ .. .... w ~ ~ '" .... 0 ~ w ~ ~I E-< .. a.. u 0 " . 0 VI I: '" w w ~, c :r '" " ~ I- a.. Ll. CIlI ..... a.. Z .... ..J :;;!. ~ Ll. ..J <( 0 . a.. W 0 <( w u, ...! i- > z '" ~I z 0 ~I ~ c ~ .; VI Z a '" <( CIl. .9, u .... z w , a.. "Cl ~ ~ - -.: a " ..c "Cl ... " E - ..!! a ~ ~ a ..J U u: CD , -..- -.________..llda ~_ ...,...... 1. 2. 3. 4. 5. 6. 7. 8. 9. Inventory of the real and personal estate of SARA C. SIHl10NS deceased One SUBRex Road. Camp lIi11. I.ower Allen Township. Cumberland Co. $1000 SerieB EE U.S. SavingB Bond iRRued 03/1983 Two $500 Series E U.S. SavingB Bonds iBBued 04/1974 $85.000 00 $1.251 20 $3.530 80 $1.674 20 $394 96 $403 1,8 $116 68 $118 38 $116 68 $3.000 00 $117 82 $12.720 19 $2.069 40 $3.000 00 $8.401 16 $8.457 47 $500 SerieB E U.S. SavingB Bond iRBued 08/1975 $100 SerieB E U.S. SavingB Bond iBBued 05/1971 $100 SerieB E U.S. SavingB Bond iBBued 03/1971 $25 Freedom Share U.S. SavingB Note iSBued 03/1970 $25 Freedom Share U.S. SavingR Note iBBued 06/1970 $25 Freedom Share U.S. SavingB Note iBBued 04/1970 Three $1000 SerieB 1111 U.S. SavingB BondB iSBued 11/1988 $25 Freedom Share U.S. SavingB Note iBBued 05/1970 MemberB FirBt Federal Credit Union BavingB acct. 18342-00 Meridian Bank BavingB acct. 18336556008 PerBonal property PNC Bank checking acct. 15140058522 PNC Bank savingB acct. 15130011616 c')~ " TOTAl. . . . . . . . . . . .. $130.372 42 L. I' , I ; . / ' , J REV. 1500 EX t(7.V41 ran DATES or OCAf,lAfTEfl lZ/Jl191 CI1CCK H(RE IF A SPOU~"'l . r.' FILE NUMBER CAB H P L E PO C R C K 0 K P S CO"'~F~~~~llmoF Poli~Jf~~l'NI' HAR"ISB5f1t,~~~'llJ.060 I INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS COUHfYCOOI: 21- 96.059/, D E C E D E N T DECEDENT'S NAME (LAST. FIRST. AND MIDDLE INITIAL) Slnunons Suru C. SOCIAL SECUnlTYNUJJDCR DAft OF OEAltt DATE Of Dlnlll 207-07-9015 07/02/1996 06/30/1913 OECCOCtU'S COMPlET[ ADORess Ono Sussox Road Cump lilli, PA 17011 Count.,. Cumbor land (IF APPLICABLE) SURVIVING SPOUSE'S NAME ILAST,FIRST AND MIDDLE INITIAL) SOCIAL SECURITY HUMBER 'rEAR NUMBER AI.lOUNT RECEIVED (SEE INSTRUCTIONS) 0.00 X 1. Original Relurn 4. LllT1llod Estalo 2. Supplemental Aoturn 41. Futuro Interost Compromise liar dales 01 doalh allor 12- 12-62) [R] 6. Decedent Died Testate D 7. Decedenl Mainlained a Living Trust (Anach co 01 Willi (Anach a copy 01 Trusl) ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: o 5. 1 6. Remainder Relurn (for dalos 01 doalh prior 10 12-13.B2) Federal Estale Tax Relurn Required TOlal Number of Sale Deposit Boxes R E C A P I T U L A T I o N COMPLETE MAILING ADDRESS IRWIN. McKNIGHT & HUGHES 60 West Pomfret Street Carlisle PA 17013 85,000.00 None None None 45,372.42 10,017.08 None C P o 0 N....E R N R D Ro or B. Irwin, Es ulre ~ Il TELEPHONE NU"'SER - T 717-249.2353 1. Roal Estalo (Schodulo A) 1 2. Slacks and Bonds (Schodulo BI (2) 3. Closely Hold StockIPannorship Inlerosl!Schedulo C) (3) 4. Mongagos and Nolos Recolvablo!Schodule D) (4) 5. Cash. Bank Doposlts & Mlscollanoaus Porsonal Propony (Sch. E) (5) 6. Jolnlly Owned Propony (Schedulo F) (6) 7. Translers (Schoduio G) (Schodulo L) (7) 8. Talal Gross AssolS halal Linos 1-7) 9. Funeral Expenses, Administrative Costs, Miscellaneous Exponsos ISchodulo H) 10. DobIS. Mongago Liabihlies. Lions (Schodulol) 11. Talal Doductlans hOlal Linos 9 & 10) 12. Not Valuo of Eslalo (Line 6 minus Lino 11) 13. Charl1ablo and GovornmonlalBoquosls (Schodulo J) 14. Nol Valuo Sub'oct 10 Ta. (Llno 12 minus Uno 13) 15. Spousal Translors (lor datos of doalh allor 6-30-94) See Instructions lor Applicable Percentage on page 2. (lncludo ualuos Irom Schodule K or Schedule M.) 16. Amount of Line 14 taxable at6',~ rate (lncludo ualues Irom Schedulo K or Schodulo M.) 17. Amount of Line 14laxable atlS'I. rate (lncludo valuos Irom Schodule K or Schodulo M.) 16. Principal lax duo (Add lax Irom Line 15, 16 and 17.) 19.Credits/Sp Poverty Prior PaymenlS Discount Interesl 0.00+ 10,000.00 + 526.32 0.00 20. II Lino 19 is groater than Lino 16. onler Iho diHeronco on Lino 20. This is Iho OVERPAYMENT. ~ 0 IChock hore II you aro roquosUng a rofund of yau, ovorpaymont,l 21. If Line 18 is greater lhan Line 19. entor tho dllferenco on line 21. This is the TAX DUE. A. Enler the interest on the balance due on Lino 21A. B. Enler Iho lolal of Lino 21 and 21A on Lina 218. This is the BALANCE DUE. Mako Chock Payablo to' Rogls'or of Wills. Agon' ~ ~ BE SURE TO ANSWER ALL QUESTIONS ON PAGE 2 AND TO RECHECK MATH . . Unaet peNlllleS 01 perjury, I deel"e'h'll h'veeumlne<J Ihls leturn.lncludlng .ccomJUnylOl) SCMdule$'nc1 stilements"lfld 10 the best at my knOWledgeind belief. II IS ttue. carreet'nd complete. I decl'relh.tall re.lr.>t'te hu bun reported It Iruem.1rkot villue. Decl,r.tlon of ptep.ill!lr ather thin the persaNlI rep,csen!IUve Isbised cnatllnlarntlllanaf which prep'ret hlS'rry knOwledge. (6) (9) 13 ,576,80 (10) 3,039.60 (11) (12) (13) (14) (15) 0.00 X = (16) 0.00 X .06 = T A X C o M P U T A T I o N (17) 122,773.10 X .15 = (IB) (19) (20) (21) (21A) ( 21B) SIGNATURE OF PERSON RESPONSIBLE FOR fiLING RETURN ',I, Kathy L. Snyder 360 North Middleton Road t;;':iis-ie:' 'PA-- 'i7iii':i" -- -.. - - -.. -..... - .... -.,... ERTH'~ REPRESEN""VE IRWIN. McKNIGHT & HUGIIES c-t ,,"-, ~~rn-~i/-~~fF'<:i 7g-ij~!'-~ --. -..... - -. - -... -. -....... -. (/0-- COpytlghl(C) 199 i" mscftw"tt anty CPS)'slems, Inc. , 140,389.50 16,616.40 123,773.10 1,000.00 122,773.10 0.00 0.00 18,415.97 18,415.97 10,526.32 0.00 7,889.65 0.00 7,889.65 ,~t; \~(^ ~ \~ 1}t) ~~ Farm IAev.7.94) REV. 1602 EX' (12.85) CCMrHmnm~WjOO~1hYAHIA SCHEDULE A REAL ESTATE ESTATE OF FILE IlUMBER Sara C. Simmons SSO 207.07-9015 07/02/1996 21-96-0594 (Proporty Jalnlly-ownod wllh Right 01 Survlvarohlp mUll bo dllcl.ood on Schodulo F) All ro.l..t.lo Ihould bo ropartod .1 1.lr morkol v.luo which 10 dollnod 00 Iho prlco 01 which praporty would bo o.chongod belwoon 0 willing buyor .nd a willing oollor, nollhor bolng compollod ta bu or 0011, bolh ha.ln rollcnabla knawlod 0 01 Iho rolo.anl ,.ct.. ITEM NUMBER 1 DESCRIPTION VALUE AT DATE OF DEATH 85.000.00 One Sussex Road, Camp Hill, Cumberland County, Pennsylvania, more particulary described in Deed Book "L" I Vol. 22, Page 83 (appraisal attached) TOTAL (Also ontor on lino 1. Rocapoulation) (II more space is needed. insert additional sheelS 01 same size.) Copyflghl {cj1994 'orm softw.re only CPSystems.lnc. S 85,000.00 form 1500 SChedule A (Rev, lZ.SS) REV. 1601 EX' Il.ll) ESTATE Of CO"lI.~~4\'WJIW~)hYANIA SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Pleaso Print or T 0 FILE NUMBER 21-96-059/1 Sara C. Simmons SSO 207-07-9015 07/02/1996 alnll -ownod wllh RI hI at Survlvarohl mUll b. dllclosod an Schodulo F) VALUE AT DATE OF DEATH 1,251.20 DESCRIPTION $1000 Series EE United States Savings Bond issued 03/1983 2 Two $500 Series E United States Savings Bonds issued 04/1974 3,530.80 3 $500 Series E United States Savings Bond issued 08/1975 1,674.20 4 $100 Series E United States Savings Bond issued 05/1971 394.96 5 $100 Series E United States Savings Bond issued 03/1971 403.48 6 $25 Freedom Share United States Savings Note issued 03/1970 116.68 7 $25 Freedom Share United States Savings Note issued 06/1970 118.38 8 $25 Freedom Share United States Savings Note issued 04/1970 116.68 9 Three $1000 Series HH United States Savings Bonds issued 11/1988 3,000.00 10 $25 Freedom Share United States Savings Note issued 05/1970 117.82 11 Members First Federal Credit Union, share savings account 08342-00 (confirmation attached) 12,720.19 12 2,069.40 Meridian savings account (see continuation schedule attached) Total of Continuation Schedule(sl 19,858.63 S 45,372./12 TOTAL (Also onlor on lino 5. Rocap~ulalion) (Attach additional 8 112' x 1 r shoots it moll spaco is noodod.l Copyright (el 1994lorm scltw.,e only CPSystllms,lne. Form 1500 Schltdule E (Rev, 2-117) REV. 1601 EX . (IZ''') co"'r..mnmc\1bgMhYAH'A EST...TE OF Sara C. Simmons SCHEDULE F JOINTLY-OWNED PROPERTY SSI/ 207.07-9015 07/02/1996 FILE NUMBER 21.96.059/, Joint Ilnlnl(o), .... N...ME Kathy L. Snydo.: "'DDRESS 360 North Middloton Road Carlislo, PA 17013 REL...TIDNSHIP TO DECEDENT noico B. C, Jolntly-ownod proporty: ITEM LETTER D...TE DECD'S DOLLAR V...LUE OF FOR MADE DESCRIPTION OF PROPERTY TOTAL VALUE NUMBER JOINT DF ASSET % INT. ~ECEDENTINTEREST TENANT JOINT 1 A 07/1993 PNC Bank, N.A., certificate 10,010.60 50.00r. 5,005.30 of deposit 1/21001030097 (confirmation attached) 2 A 07/1991 PNC Bank, N.A., certificate 10,023.55 50.00r. 5,011. 78 of deposit #21001030118 (confirmation attached) .. I TOTAL (Also onlor on lino 6. Rocapilulalion) 10,017.08 (If more space is needed. insert additional sheets of same size.) COpytlghl (c11994 form software only CPSyslems.lnc. Form 1500 SChedule F (Rev. 1Z.S8j " " ':- ~ " ~ "- ... ~ ~ ~ ..\ ~ .:-:. ') LAST WILL AND TESTAMENT OF SARA C. SIMMONS I, SARA C. SIMMONS, of Lower Allen Township, Cumberland County, Pennsylvania, make, publish and declare this as and for my Last Will and Testament, hereby revoking all other Wills and Codicils heretofore made by me. FIRST: I give and bequeath the sum of One Thousand and NO/100 Dollars ($1,000.00) to ST. JOHN'S LUTHERAN CHURCH, of Shiremanstown, Pennsylvania, to be used for general church purposes as is deemed appropriate. SECOND: I give and bequeath the sum of Five Hundred and NO/100 Dollars ($500.00) to my friend, JACQUELINE C. MYERS, of Meadowood Apartments, 105l-L Allendale Road, Mechanicsburg, Pennsylvania. THIRD: I give and bequeath my gardening tools and equipment, lawn mower, snow blower, any motor vehicle that I own at the date of my death, my clothing, household goods and personal effect~ (not including and excepting, however, all cash, securities, bank accounts, certificates of deposit and like intangible personal property) to my grand-niece, CATHY L. SNYDER. FOURTH: I devise and bequeath all the rest, residue and remainder of my estute of whutever nature and wherever situate, including any property over which I hold power of appointment and together with any insurance policies thereon, as follows: (A) One-half (1/2) thereof to my grand-niece, CATHY L. SNYDER: Should CATHY L. SNYDER predecease me, I direct that her share of the residuary estate as set forth herein pass entirely and absolutely to SANDRA L. SCIORTINO. (B) One-half (1/2) thereof to my grand-niece, SANDRA L. SCIORTINO. Should SANDRA L. SCIORTINO predecease me, I direct that her share of the residuary estate as set forth herein pass ,) .J t :J. .", . .j , ._~ ~ ~ \.l entirely and absolutely to CATHY L. SNYDER. FIFTH: Should any of the individuals named in Clauses SECOND and THIRD predecease me, I direct that said bequests be and become a part of my residuary estate. SIXTH: In addition to all powers granted to them by law and by other provisions of this will, I give the fiduciaries acting hereunder the following powers, applicable to all proper- ty, exercisable without court approval and effective until actual distribution of all property: (A) To sell at public or private sale, or to lease, for any period of time, any real or personal property and to give options for sales, exchanges or leases, for such prices and upon such terms (including credit, with or without security) or conditions as are deemed proper. This includes the power to give legally sufficient instruments for transfer of the property and to receive the proceeds of any disposition of it. (B) To partition, subdivide, or improve real estate and to enter into agreements concerning the partition, subdivi- sion, improvement, zoning or management of real estate and to impose or extinguish restrictions on real estate. (C) To compromise any claim or controversy and to abandon any property which is of little or no value. (0) To invest in all forms of property, including stocks, common trust funds and mortgage investment funds, without restriction to investments authorized for Pennsylvania fiduci- aries, as are deemed proper, without regard to any principle of diversification, risk or productivity. (E) To exercise any option, right or privilege granted in insurance policies or in other investments. (F) To exercise any election or privilege given by the Federal and other tax laws, including, but not necessarily being limited to, personal income, gift and estate or inheritance tax laws. (G) To make distributions to my herein named benefici- 2 aries in cash or in kind or partly in each. (H) To borroW money from themselves or others in order to pay debts, taxes, or estate or trust administration expenses, to protect or improve any property held under my will, and for investment purposes. (I) To select a mode of payment under any qualified retirement plan (pension plan, profit sharing plan, employee stock ownership plan, or any other type of qualified plan) to the extent the plan or the law permits them to do so, and to exercise any other rights which they may have under the plan, in whatever manner they consider advisable. SEVENTH: I direct that all inheritance, estate, transfer, succession and death taxes, of any kind whatsoever, which may be payable by reason of my death, whether or not with respect to property passing under this Will, shall be paid out of the principal of my residuary estate. EIGHTH: I nominate and appoint CATHY L. SNYDER, Executrix of this, my Last will and Testament. In the event of the death, resignation or inability to serve for any reason whatsoever of the said CATHY L. SNYDER, I nominate and appoint PNC BANK, of ca~p Hill, pennsylvania, Executor of this, my Last Will and Testament. I direct that my Executrix or Executor, as the case may be, and their successors, shall not be required to post security or a bond for the performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, this ;l..5 day of ;tl.t!.(-..,nJ--iV , 1993. l L' / tfI..( ./l.-' (!. . .J /V!/LC-XL SARA C. SIMMONS (SEAL) 3 Summary Applaloal napar! Caw. PrOD.,lv Oncr'nllon UNIFOnM nESIDENTlAl APfJI1AI9^L nEPOnT I'll. U" I ,r,c~.'tp ~Urm Ona. :luuox 1\0ft\1 1,', CM1' 11111 !,l,,- 1'^ I-~ 1l!~1 Ilfllll'HI'e!M Dood pook 22-L. prllJU BJ J.OWU1" ^llon Tuwllllhlp lrn.~11 Curnborhml ! "'"l11ol".!'r""ll 13-24-0791-013 lUlU' 9~/9~ III I,,,, I eBa ~ ~1"(','AIltIl"""'1 '!f/" ",""...." RIII'1I V..t-lItn r~"'.ln..," n"'u1.1iourun rJhT1T\OflIt flff1,n~t 1111",.,,, n 1I~1"1 fx 1 ....'Url P'Ul"ltv" ~llu~'.n' I Il,....,..r. I It.,,,r<l'~ 1'11','11'11' I I rOll ! Iln.~"~1'''~'''IIIl!IlI'VAM1" htlA1 ULJ. IY~ "";~lloll~OO~llrP'n,UI"''''' Curnborlaml1'lIrk 1,I.rU.'....1I 24-0.':17 C.rlullllll 0111.00 !loa"".ul "'A 1I.I.uI5.-. tl/^ ()rll'fl'c~I.~""'Il,"ll1l'tll~(tl'i'lrtl'~fllt'M't"~'rl'b,1I1'.. If/A l.nd"It:I".1 Irvin, HCKnlght. 'IIL1lJhqll Md'fII GO WilDt. PQm!&;ol;. St.roUt., Cadhlo, PA '"'''''' nn1l~ "".1.'. u' ""'" ",. 11...", ., -..11.10. 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'-1 flllNellIlI -R ~1l~1 !:J I Wlill _PlaDtoz::_ fu.1 _Gas~_ n1n;r,Oyt1 .JL Sll,r1 ~ PII'o G~I';' lolCI!1 IlIm"flnl'~ _Wood tend~~-c!!.^vorago 0'100111 --i OrepSll,r ~ Ot~. _____~ "'!lICh'~ .1___.___. B~l~floor _Vinyl tOOLING O'I~flUt,tI I Scull. ~ I'tlrcn Otllttu ~_ Blt~WII"ItIlI_i'laator/.Coz;am._ C.ntral _YOlJ__ hMli)Od ::J 1100r I- f,nt' __~ 8Jllll" 00011 -----1Jood__ O:~u ~N/A~__ \l'CllllIl.. -I IlUlt~ Poot ___ CIIIlOII ---._~- AvnranQ I"'''ndltion CoM,I,a, Av-rano W.n~rr:Or.rl --j fl~'1~rd ~I Or...rwl~ i;;"-;;-- "'da,~llnll 'Ulu!t1 11C1C11t .ntl;V .IIICr'~1 I~,ml, ,lcl __Enclo:lcd .porch. 8_x_6.__front__etQop,__cedar_clolllot_in_ba:lCtN!nt, _ open_con:nodo/ahowor_in ,baacmont____ __m _._.__.. ___ ___,_ ___________~_______._____ ____. fi CO~='I,on ot ltot IrrcrO'l."'.nll. dIClttl~le~ 11l")IIUI, '~~tlonll, ar~ "~rrr~'l. rltl,rl ruerd, a~I,.tl Cl consl~utl.c'. ItmC=':'~;'Id=.t'o~l, tiC _ ._. " ,I1rprovemcntlJ _aro~in_a:\!orago_c:ondition. with _no physical_or~functional__in.lldc:quacies,_apparQnt._. I--.--~-==-=~===-:-=::~_.~~~~:=---::--~~::-~-=---====.:.-=-=.-.-~ '. Aa.tln '1l.IIO~~tr.11l condi!:onl lIuc~ 11, bul Ml llml:'d 10. ~IUrdoul flUln. 10lre lut'!I~ctl. .IC I ~rt1.~t lit I'" Im~ll"'fr.'.r.I1. on l~t I':', o~ In l~' ImmUI~:t _Itl~'fy 01 ltl. 'Ubltcl prll~lrTY No_advor:lo__Qnvironmantal._condition' _aro .app.llront/diecloacd.~____ __.., I~SULAIION ~::;, =F~. floor P4on. U"1l0Wl'l I"U,U,,,..-lun "(11 r.t,llr'1 t,..,Uul...'OCI:'Ul Summary Appraisal Roparl Caso' V.'nllon Seellon UWol"'lIlHIl(VAlU( 15111,l11lDAI'AOlJut'IO~(O\1 "'WOf II,lPllOVII.lI"'S 6 0"11'"1 ..812 50 liDS 6B.00.I 55.216 l Duomont _8125t"0' 9.00' 7,J08 ~ncl. Porch/stoop . J,500 I Garag..tarpoll 352 'j,g fillS _15.00 5.260, ToWIIl:mltllCollPUw .1 71.304 lUI 21. 0\ r~r',UI lunCl'O'III 1.1.,,'.1 0"""",,, __15,OOa __ ______1._ .1 _15.000 D.prltl.lld V.III' 1I1lmplO'lI"'11I1I . I ,_ 56, 304 ~_, ....'I..V.I....olSrr.lmprOVlm.lIlt ., .s 3,500.-.-. ____ ... lNDlUIID VAlUlIycon A"nOACIl IIU Inn\ ., -".t' an4- On. S'~':OBX R;;~ci-!.U!lJ1C~_-. BW~l~~t::"~~o,---.. -18 -E~~~;.;;:'~ ~OJ ---izJJC~R;i';;;~'R;;~d-- ~Hachoni SbU<gC0ll1Ullll.______..__. CIl"1Ulill.____ C0ll1Ul11l l~~llmIIJIOS...biICI ...s.-m11e-I.-.~-..--..-- _..10_mL~ ______, _..l0-.rn11~._____ ."'''P''" '.JI/A.. .',-;;-89..000.._ .L,--USOO j~".--1B..90Jl. PlluJGroulty,Aru L-10.4.6~ '~1.43_ltU'....'1_l___91.29--'~1 I 88.,8~lL..53_ DIU an4lllr Inspect10n CourthouBo Rocorda Courthouse P.ocorda CourthouB8 P.ocords V.nliuho"SOIlfCU UNIFORM RESIDENTIAL APPRAISAL REPORT FII,lIo. o<.n<,. ., 2~, 000 CII",m.MI 1I1\ CoU ArtllOJtl'l uwtl'l 11. lowfl. 01 CDII .IT'''''!I, I'll UI".. Uy," 100: UIC"I,MII. .nd 101 IIUO, VA .nO 'mlt.... III flllmllld """,n,nl "OllomlC Ill. 01 I~I proptrt)'j Coat na" Crom H4~ahlll.S"l't_Vllu.tlonSarvlcQ -~-" lIandbook and ,loc:aLcoat._enalyah.L.nd-_. . valUG feom ~rkot_D.t. Compl~laQn._ _m__ Dopcocht.1.on band .on age l1fe obaervad_". condition .10<1 KukatDlltll.MIlyoio... __._ _ Eotlma tad _l\omIlining..Economlc_Llto..JS . to__ _40.yallu. ._._. . _._..._._____________._ VAlU[AOJUSTUfNTS Of SCRIPTION __P!.~~I~_!.!.O~_..-!u~~,~:::!:!_ ~_p'f~~~-.-!}.!!!...-y...!.ll~l~ ~CIUPIIQ!4---.~~!::!'.!- Slrnolfln.nc,n, None, Cony : None, Cony l Nono, Cony : ConCtUlon1 POH.,Unkno'IfIL..; OOH_2_~_;__ .POH_.Unltno~ OlllOtSli,mm. '1J.19J!J_ ,5/2/96___;___ J/29/96__~ ~71S/!JS_: lac.l:on ___Urban Urban.____.__:.___ Urban________:__ ,Urban_:__ llll,Mlil.1'tlSUT101. FJltlJiirt'plCl- FeL.Sinplo._.:___ Foo_S1mplo_l FOQ_Slnlplo_i SIl. Averaga_ AVQrlgQ__i AVQugo__! Aver:age__l \'1.. J\eDJ,dcntJ.ol_ l\Oa1dcntlal_l RQ~1dent111 JteBldential : OUlqll.lld ACCU!_ J\Anch/.AYlil--"-- RanchlAvg ._: Ranch/Avg o-l Jtanch/Jwg-----1 Ou.~oICOf\lIrUCllO"l Avorage_ .Average--l Avocage--l .Avor:age_J ~ 1;' UJeaZ::I_ _44_'X'eor::l: _46Jear:l: 43Jeac:I CondillOIl ln~QfagQ_ AVefage--l .Ayefago ,I .l't,!Qfaga A~. GII~' It'll : \lI:., : II~I lVII: &:I", : 1,1'1 : kl' : &:I., : ""'"I 11t'11 : &:"" : ".., 6 Room CM' _LJ.': . ...s.J...3...L1--1 w_LLlJ.--1 Ji-iJ_cl--1 P, G10UU'l'llId"'ru A12 Sa fl ,1,.2~6 Sa II i-::.4,_3QJ1_81L-SQ II 88B So It L---::800_ 9ISfm.nl&flnll~'0 Full DlSmt Full D:smt: Full B:smt None i, +3,000 I Room.B.lfI.GII~' Unf1n1Dh.;L JJnfln1ah~d : ~Unf.1nlDh~d e funCllonllUIIII!y :.~ve~agG..-- ^verago~ _^veraga_: IlullnclCootlna I r:UAI."''' GHAlNona.: +2..0_110_rGllA/C1\. : i [lilt.... [lfIclt~I1t.mt .1yp1ca' I "'ypical: I "'yp1cal : G.rmlC.rpafl lJ:al:'_GaZ::J,gB Mone : -+2,-SOO None : PflrCll, P.tlo.O.CIl, Stoop/Encl. 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A'DOIl Sli:!..d,_July _24, _.19.96_______._______ l?~~...!!..t~.!2:;~!.2"July ..24,_1996 ~!!!.9Ili!'CI!!.2."_.LRI,=.0_O_l519..:'L _~_'.&]I~.A _.~ s!~:!..~~I:!~C,~!~0.':!.GA':0002 98-=L OrSI.I.lICfnu' SlJ~' OrSIJ~ll'ctnll' RB-026921-A sw. sur. PA- PA IflfUllllIOO''''lltJ llOt 'lU 1C'l 11..,II"'Il''''~41''II !,...II .,...... . In.t "'.'1:1/ '.'~' AUO-Ol-19~ 15'53 "IlI'ltUllUtt. R'A I:)~UC. P.OOI~OOl PNClRANK Tax Sorvico Contor Two PNC P1Qza 33rd I Pitt:burgh pa 1522: AUgUllt 1, 1996 Xcwin McKnight and Hughea W.st Pomfr.t Profellllional Building 60 West Pomfret Street Carli:l. Pa 17013-3222 RE: Elltnte of Sara C Simmon~ Social Security No: 207-07-9015 Date of Death: July 2. 1996 CERTIFICATES OF DEPOSIT 121001030097 000 Balance Year to Date Int9res 121001030118 000 Balance Year to Date Interest CHECKING 15140058522 ,.:;~ 000 Balance Year to Date Interest SAVINGS 15130011616 000 Balance Year to Date Interest Established 07-23-91 Sara C Simmons or Kathy L Snyder $10,000.00 + $10.60 Accrued Interest $217.08 Established 07-12-W Sara C Simmons or Kathy L Snyder $10,000.00 + $23.55 Accrued Interest $217.12 George A Simmons Sara C Simmons Establish9d 01-01-6 $8,391.32 + $9.B4 Accrued Interest $67.69 Sara C Simmons Established 10-29-9 $8,456.38 + $1.09 Accrued Interest $98.15 Could you please fax a copy of her death certificateso that we can complete and mark her records deceased Fax (412) 762-7149 ~ ...,..... ...,."' "....... .a... 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C IU~ \) I T lJ N ION SIIARE SAVINGS ACCOUNT: Account Number/Suffix Date Opened Principal Balance at Date of Death Accrued Interest to Date of Death Name of Joint Owner. if any Date Joint Ownership Created 2 8342-00 2-2-66 $12717.89 $2.30 None N/A Int from 1/1/96-7/2/96: $209.56 CHECKING ACCOUNT: Account Number/Suffix Date Opened Principal Balance at Date of Death Accrued Interest to Date of Death Name of Joint Owner, if any Date Joint Ownership Created INVESTMENT SAVINGS ACCOUNT: Account Number/Suffix Date Opened Principal Balance at Date of Death Accrued Interest to Date of Death Name of Joint Owner. if any Date Joint Ownership Created INDIVIDUAL RETIREMENT ACCOUNT: Account Number/Suffix Date Opened Principal Balance at Date of Death Accrued Interest to Date of Death Name of Beneficiary HEl-~S 1ST FEDERAL CRE\lIT UNION , c~ ;( j 'J!-t& , CU Authorized S gnature Estate of Sara Simmons Date of Death 7-2-96 Social Security No. 207-07-9015 July 17. 1996 Ins Claims Supervisor Date Title 5275 East Trindlc Road. P.O.llox 40 . Mcchanicshurg. l'cnnsyh'ania ]7055 · (7]7) 697.] ]6] lIVoIWIII....1 146968 COMMONWEALTH OF PENNSYLVANIA DlPARTMENT Of REVENUE OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX ttk D NO. AA RECEIVED FROM: fJ ACN ASSESSMENT 'l' CONTROL iii NUMBER AMOUNT IRWIN ROGER D ESU 60 W POMFRET ST 101 :l>7,I;U:t9.0;) CARLISLE, PA 17013 I l-fOtD"ftf I ESTATE INFORMATION: ~ FilE NUMBER ~ 21-1996-059/, Et NAME OF DECEDENT (LAST) ~ SIMMONS SARA C II DATE OF PAYMENT m POSTMARK DATE COUNTY SSN 207-07-9015 (FIRST) IMII CUMBERLAND DATE OF DEATH REMARKS D IRWIN ESQUIRE m TOTAL AMOUNT PAID \ " $7,889.65 VZ REGISTER OF WILLS ,'.... / ,--". RECEIVED BY n'l., ,;. ,j -"f./../ SIGNATURE i/ ' ': .__ )''' / I' I , MARY C. LEWIS ,/,': .', .'.' .' , REGISTER OF WILLS ' SEAL CHECK II 11271 -'. .- ----.. ---.. .... - ..- .....................- -.---....u.'Vla- ~..fu... .,:. 6'/1 7-3 BUREAU OF INDIVIDUAL TAXES INtlEAltAHCr fAil DlvlSJOH OCP," 110601 IIARRISBUQC, PA 111ll-o.OI COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE DR DISALLOWANCE Dr DEDUCTIONS AND ASSESSMEHT OF TAX ROGER B IRWIN ESQ IRWIN ETAL 60 W POMFRET ST CARLISLE PA 17013 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 02-03-97 SIMMONS 07-02-96 21 96-0594 CUMBERLAND 101 r AIlount R...ttted c... 1* III'lh' ('11' 1\I.hl SARA C MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE. PA 17013 CUT ALONG THIS LINE .. RETAIN LDWER PORTION FOR YOUR RECORDS ..... iiEV:i54-j-Eif-AFi'--irF9i.Y-Niil'-icE--ciF-i"NHEiiifAifcE-~"-liiriipPRAysEiff:iW,--,\Ll-ciwA'N-CE-Cjli----------------- DISALLDWANCE OF DEDUCTIDNS AND ASSESSHENT OF TAX ESTATE OF SIMMONS SARA C FILE NO. 21 96-0594 ACN 101 DATE 02-03-97 TAX RETURN WASI (X I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Roll Estoto ISohod"lo Al III 2. stocks and Bonds (Schedule 8) (2) 3. Closely Held stock/Partnership Int.ra.t (Schedule C) (3) 4. Hortg.g../Not.. Receivable (Schedule OJ (4) 5. Cash/Sank Deposits/Hlsc. Parlonal Property (Schedule EJ (5) 6. Jointly ONnad Property (Schedule F) (6) 7. Transfars (Schedule CJ (7) 8. Total Als.t. APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral E~p.nle./Ad... COlts/Hlsc. Expanse. (Schedule HI (9) 10. Debts/Hortgage Liabilities/lians (Schedule II (10) 11. Total Deductions 12. Net Value of Tex R.turn 13. Charltable/Governnantal aequests (Schedule J) 14. Nat Valua of Estat. Subjact to Tax NDTE: I CHANGED 85,000.00 .00 ,00 .00 45,372,42 10.017,08 ,00 IBI 13.576.80 3,039.60 Illl 1121 IlSI 1141 NOTE: To insure proper credit to your account, subnit the upper portion of this forn with your tax paynent. 140.3B9.50 16.616 40 123.773.10 1.000.00 122.773.10 If an assessment was issued previously, lines 14, 15 and/or 16, 17 and 1B will reflect figures that include the total of ahh returns assessed to date. ASSESSMENT OF TAX: IS. Anount of line 14 at Spousal rate (IS) 16. Anount of line 14 taxable at lineal/Class A rate (16J 17. Anount of line 14 taxable at Collateral/Class a raie (17) 18. Principal Tax Due TAX CREDITS: PAYMENT DATE 10-02-96 11-21-96 RECEIPT NUMBER AAI46B08 AAI46968 DISCOUHT 1.1 INTEREST I-I 526,32 .00 .00 X .00=_ .00 X .06: 122.773,10 x.15:=-" llBI AMOUNT PAID 10.000.00 7.8B9,65 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE · IF PAID ArTER DATE INDICATED. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .00 .00 18.415.97 ~B.415.97 IB.415.97 .00 .00 .00 I IF TOTAL DUE IS LESS THAH $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 ~~'_. -- ---- - 00 '0:0 c:: F .0 :1 -.J ~ ft\ -, W () r \-; '" HJ J. " ;-3 ".. , 0 in "0__ .. 0 )>.~ ,.... -. (Xl RESERVATIONI E_..t.. of dlcld.nts d~lng on ar be for, Olc..bet 12, 1982 .. If any lutur. lnt.r..t In thl I.lat. I. transflrrad In POlsI.tlon or .nJoy.ant to Cl,.. a Ceolll',rell bin"Icier I.. 0' the dlcadlnt a't,r thl IMplretlon 0' any I..et. for II'. or for y..t., thl CO'.onN'llth hltebY ..pr..sly rl.ltv.. thl right to appral,. end ...... tran,'.r Inh.rltancl TI.I' at thl lawful ct... B (coll,',rel) rata on any .uch future I"t.r..t. PURPOSE Of NOUeEr To fultlll thl requlr...nt. 0' Slctlon 21'D of thl InherltanCI and E.tat, T.. Act, Act zz of 1991. 72 P.S. Section 2UD. PAYtlENTr D,tlch thl top portion of thl. Notle. and lubalt with Your ply..nt to thl Rlgl,t.r of Will, prlntad on thl r.v.r.e .Id.. u"ak. ch.ck or .on.y ord.r panbl. to: REGISTER OF MILLS, AGENT All pay..nt. r.c.lv.d .h.ll flr.t b. appll.d to any Int.r..t which .ay b. due with any r..alnd.r appll.d to the tax. REfUND eCA): A r.fund of a tax er'dlt, which wa. not r.qul.t.d an the Ta. R.turn, .ay b. r.qu..t.d by co.pl.tlng .n "Application for R.fund of P.nn'Ylvanl. Inh.rltanc. .nd E.tatl Ta.R IREV-1313). Application. .r. avallabl. at the O'flc. of the R.gl.t.r of Will., any of the 23 R.v.nuI DI.trlct O'flc.., or by calling the .peclal 24-hour an.w.rlng ..rvlc. no.b.r. for far.. ord.rlng: In P.nn.ylvanla 1-800-362-Z050, out.ld. P.nn.ylvanl. and within local Harrl.burg ar.. (717) 181-8094, TOO' (111) llZ~2Z5Z (H.arlng Iapalr.d Only). OBJECTIONS: Any party In Int.r..t not ..tl.fl.d with the .ppral....nt, allow.nc. or dl..llowanc. of d.ductlonl, or ........nt of tax elncludlng dl.count or Int.r..t) a. .hown on thl. Notlc. au.t obj.ct within .I.ty (60) day. of r.c.lpt of thh Notice by: --wrltt.n prot..t to the PI. O.parta.nt of R.v.nu., Board of App.al., D.Pt. Z810ZI, Harrl.burg, PA 11128-1021, OR --.I.ctlon to have the latt.r d.t.r.lnad .t .udlt of the account of the p.r.onal r.pr.,.ntatlv., OR --.pp.al to the Orphan,' Court. ADHIN ISTAATIYE CORRECTIONS: Factual .rror. dl.cov.red on thl. a.......nt .hould b. addr...ad In writing to: PA D.partaant of R.v.nu.. lur..u of Individual T...., ATTNI POlt A.......nt R.vl.w Unit. D.pt. 280601, Harrl'burg, PA l11ZI-0601 Phon. (711) 187-6505. S.. page 5 of the bookl.t Rln.tructlon. for Inh.rltanc. Ta. R.turn for. A..ld.nt D.c.d.ntR eREY-IS01) for an ..planatlon of adalnl.tratlv.ly corr.ct.bl. .rrorl. DISCOUNT: If any tax due I. paid within thr.. (3) c.l.ndar aonths aft.r the d.c.d.nt', daath. a flv. p.rc.nt e5~) dl.count of the taM paid I, allow.d. PENAL TV: Th. 15X tax .an..ty non-participation p.nalty I. co.put.d an the total of the tax .nd Int.r..t .......d, and not P.ld b.for. January 18, 1996, the flr.t day aft.r the end of the ta. a.n..ty p.rIOd. Thl. non-participation p.nalty I. app.alabl. In the .a.. .ann.r and In the the .Ia. tl.. p.rlod a. you would app.al the tax and Intar..t that hi' ba.n I.s.s..d a. Indlcat.d on thl. not Ie.. INTEREST: Int.r..t Is eharg.d b.glnnlng with flr.t day of d.llnqu.ncy, or nln. (9) aonth. and on. ell day fro. the data of d.ath, to the data of pay..nt. Ta.., which b.ca.. d'llnqu.nt b.for. January 1, 1982 ba.r Int.r..t at tha rat. 0' .lx (6~) parc.nt p.r annul calculat.d at a dally rat. of .000164. All ta.., which bac... d.llnquant on and .ftar Jcnuary I, 191Z will ba.r Int.r..t at e ret. which will vary froa cal.ndar y.ar to cal.ndar y.ar with that rat. announc.d by the Pi Dapart..nt 0' R.v.nua. Th. eppllcabl. Int.r..t rat.s for 1982 through 1991 ar.: '!!!! Inhr..t Rata D.lly Int.r..t Factor !!!! Inhr..t Rllt. Dally Inl.r..t Factor 1982 lOX .000548 1981 9X .000Z4tl 1983 16~ .000438 1988-1991 11% .000301 1984 llX .DOUOI 1992 9X .000Z47 1985 I3X .000356 1993-1994t 1X .00019Z 1986 10" .000Z74 1995-1997 9X .000Z41 --Intar..t h calcul.t.d o. 'allows: INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Hotle. I..u.d .ft.r the t.. baeoa.. d.llnqu.nt will r.fl.ct an Int.r.st calculation to fl,t..n (IS) day. b.yond the data of the ....s...nt. If pay.ent I. .ad. aft.r the Intar..t co.putatlon d.t. .hown an the Notlc., additional Int.r..t au.t b. caleul.tad.