Loading...
HomeMy WebLinkAbout96-00669 PETITION FOR GRANT OF tEITERS OF ADMINISTRATION Es{a{~ III al.w knilli'll as CLOYD ". RUIlLE No. To: ~/- Cft, -/,.Jn9 ---- "-'--- .~--- R,'ghtcr of Wills for Ihc ('ouluy of Cumherlnnd in Ihc COllllllonwcallh of Pennsylvania Sllcial S~cllri{y No. 210-12-1799 _ DI'Ct't/\('d. The pClilion of thc undcrsigncd respcctfully rcprcscnls Ihal: Your pClilioncr(sl. who is/arc 18 years of agc or oldcr. appl leu for lellcrs of adminislralion on t hc eSlale of (d.h.n.; ptntl~'nIC lue; dtu.,n1C' atl\C'n1ia; dUfilnlC 1I1111Ilfll;UC) Ihe above dccedenl. DccendeOl was domiciled al dealh in Cumherland COUOlY, Pennsylvania. wilh h is lasl famill' or principal residcnce al 234 I/illside Drive. New Cumberland Bor,ough Uhl \Utel. number an" municipalilY) Dceendenl, Ihcn 71 years of age. died Augus t 14 at 234 I/illside Drive, New Cumberland PA 17070 .1996 DccendcOl at dcalh own cd properly with estimaled values as folllows: (If domiciled in I'a.) Allpersonalpropcrl}' (If nOI domiciled in I'a.) PcrsonalproperlY in Pennsylvania (I f nOI domiciled in Pa.) Personal properly in CouOIy Yalue of real eSlale in Pennsylvania silUated as follows: S 8.000.00 S S S Pelilioner_ afler a proper search ha~ asccrlained Ihal dccedent lefl no will and was survived by Ihe following spouse (if any) and heirs: Namc Relalionship Residence Kathleen M. Ruble Dean A. Ruble Cher 1 A. Ruble wife son daughter 234 I/illside Dr, New Cum erland PA 10890 Wildwood Dr, Greenville MI 5912 Mayfair Dr. I/arris urg PA 17112 THEREFORE. pcrilioncrls) respccl fUlly requcsl(s) Ihe grant of Jeners of administralion in lhe appropriale form 10 Ihe undcrsigncd. i u 5 "'- .iii "'= -g.g ~'= _u ~.. l:"~ ~o ~ .. Vi Kathleen E. Ruble 234 I/illside Dr New Cumberland PA 17070 ;y ,X;;//fu--J hJ e/~/ I ~- - I';), :J. -!,- OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF Cumherland } 58 n '" In "'3 . L .~J l~ ,,' :.,.1 The petitioner(s) above. named swear(s) or afflrm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal representalive(s) of lhe above decedenl petitioner(s) will well and truly adminisler lhe estate according to law. C., Cu: ,-,', Sworn to or affirmed and before me lhis ? < rn ,nn ~~ tH~;~:. " ~:-P.B Uer\.\ subscribed day of 19.91i- f y IW./ //uJ /)1 ~d0 Kathleen M. Ruble I L - ~ - u ~ " - .. c OD lii Register No. 21-96-669 Estate of Cloyd E. Ruble , Deceased GRANT OF LETTERS OF ADMINISTRATION AND NOW Auqust 27 19~. in consideration of the petition on the reverse side hereof. satisfactory proof having been presented before me, IT IS DECREED that Kathleen M. Ruble is/are entitled to Letters of Administration. and in accord with such finding, Lellers of Administration are hereby granled to Kathleen M. Ruble in the estate of Clovd E. Ruble FEES Leller5 of Administration Short Cenificates( 1) . . . . . . . . . . Renunciation............... . JCP '-mCl.....O C--. 'i.!,. L y, Ok ~'-1 Reliste, of Wills I '\ -I C. ,{~~~c.. '( ~ Ch~r~es H. Stone 06357 ATTORNEY tSup. CI. 1.0. No.) 414 Bridge St, New Cumberland PA ADDRESS 774-7435 Sdn nn S ~ nn S S 5. 00 TOTAL _ SdR nn Filed ..... A,Ug.us.t...27.. A.D. 19~ PHONE 0 t:"~ - "", ~fl .. .;j a.; - ~:'t ,.;..:;.-;; E! ( ..., ~ ) :::J " E5 . ,-- i)} "" {,5 ' ",.I-~ " '-' C' !'~ lOa: I:R E . ' ili a: _:I UU CERTIFICATION OF NOTICE UNDER RULE 5.61al Name of Decedent: Cloyd E. Ruble Date of Death: August 14, 1996 will No. 2196-0669 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 September 6, 1996. Kathleen M. Ruble 234 Hillside Drive New Cumberland, PA 17070 Notice has now been given to all rule 5.6(a). Date: ..flt..,;-~~ (J f f, persons entitled thereto under (;{lcu(?'IJ~ Charles H. Stone, Esquire 414 Bridge Street New Cumberland, PA 17070 717-774-7435 Capacity: Personal Representative X Counsel for Personal Representative \D ...: ~t: ., ":2 .. ,'.I.. 0_ 0, I l:l.. '~I '" LJ \(J (l) u:: f" .:.; c a: -=> uu ~ -. ~.. '. JI .qtJ. ~,c.q ~ CITICORI> CREDIT SERVICES, INC. I'ROOF OF CLAIM (STATE OF MISSOURI ) (COUNTY OF PLATTE) ORIGINAL Jai Vaughn, bcing duly sworn, dcposcs and says as follows: THAT shc is an ofliccr of Citicorp Crcdit Scrviccs, Inc., 7930 NW 1I0th Strcct, Kansas City, MO. 64153 THAT said Citicorp Crcdit Scrviccs, Inc. is thc agcnt for Citibank (South Dakota) N.A., hcrcinaftcr rcfcrrcd to as "claimant" THAT thc basis of this claim is thc unpaid balancc of chargcs incurrcd or authorizcd by C E RUBLE, dcccascd, through usc of a Citibank crcdit card, account numbcr 4128002380104492 & 4271382979145063. THAT thc Estatc of C E RUBLE, dcccascd is indcbtcd to claimant, Citibank (South Dakota) N.A., in thc sum of $4483.73. THAT thc said sum is now justly duc this claimant. THAT no paymcnt has bccn madc thcrcon and that thcrc arc no offscts against samc to thc knowlcdgc of this dcponcnt; and thc samc is not sccnrcd by judgcmcnt or mortgagc upon or cxprcssly chargcd on thc rcal cstatc of thc dcccascd or any part thcrcof. Exccutcd this 06 day of Novcmbcr, 1996 CITICORP CREDIT SERVICES, INC. nY O.7/~L .Jai ~anagcr Swam t. b,f.re m', 06 day .f N."mbre, "96 ') C':, , ANNETTE NEWBERRY' 1 ;,\ l/: Notary Pubhc.Nolary S<al State 01 Y.ISSOlHI Clay Counl, SEAL My Appl. E.p"es Au,U\! 19. ,OOIl KC0150c/REV 4/87 09/06/96 $1433.00 $29.00 cr!'iJ!Ui'II.ii.!U l.~I-,,_mii!!~J [ _ "Il!.ii:!~! DUf] SITEIKC-CO TM,CD-6300 ACID.KCB9020 SD 00 Al 1 1205 VI 0008 VI 3 CITIBAIIK P.O. BOX 1747 IIAGERSTOWII, MD USA 21740-1747 10/26/96 02.10.54 C E RUOLE 234 HILLSIDE DR NEW CUMBERLAIID PA 17D70-1050 rOf Cu'lo"," S.nlu CIII or ""It. Citibank Visa 000-950-5114 BDX 6500 SIOUX FALLS. SO 57117 Ill! ",IlIllU lII'lll",~,,,"I.,t... tn'll1.hllll....."II."".llInett 11I~'r.f,eY'11l1 "Unll. Account 'Iumb., 4120 0023 0010 4492 PAYMENT DUE DATE 09/06/96 II.t.m.nl Dati 10111 Cr.dll LIM CI.h Ad"anu Llmll III"" Oel""cI 00/13/96 $4100 $4100 $1433 00 AlI.II,ttl, Cr,rlit L1n. AlIIII.bI, C..h L1n. $2666 $2666 0;,.,..,111''''''111 n..'.....'....... 1..'....., ",,""lil~I"Ul..,,'r"l ,.""""" '" "....... ".... " >t", 001 62203110 I>AYMEtlT THAIIK YOU 7000- 170 0000 0 0 Account SlI'tW'l Amount OUI P'....ioll. +Pulttla... . PIy""""tI . C"dlll .rlnanu .. lilt, . BII.TlCe "U.YUIU,,!! 2900 B,II"cI & Ad'l""C" ChuO" r:n",.. Advl.hnllue 1\.!lIllun10Cl rUleh"'''. 1479~0 \ 70100 \ 24110 \ 143300 ,,,... Adlln"'''. 143~00 "/1"1111" ".tnl 1479 0 7000 2(,10 IAtnAm'U"r. 2900 Ral. Summlff' PURCHASES PURCHASES ADVANCES B04/12193 A04/12193 NUlIl'If',ofu.l,. 32 ltu.n.'llnur......., 'v:~n;.r;,,"C~:I~~~ to 1416.05 50.60 rr,,"d,r.n.lln 1. 65000;( 1. 47000;( .04036;( Nflm'""'"""''''' 19.000;( 17.650;( 17.650;( "t'It't'"'"''t''''''''' Annual p.,untaQ' Rat. 19.000;( 17.650;( 17.650;( 00/30/96 $3049.65 ri1;.~i,i)ilriin'1'r:l Ctln;-ni\il\uii'1 $63.00 r-i.tII,\",r--r"IIJ-r"] SITE ,KC-CD TM,CD-6300 ACID,KCB9B20 so 00 Al 1 0106 PV 0003 PV (, CIT 1 MilK PREFERRED P.O. BOX 17(,7 IIAGERSTOWII, HD USA 21746-17(,7 10/26/96 02,10,55 C E RUBLE 234 HILLSIDE DR IIEW CUl.lDERLMlD PA 17070-1656 f Of (u'ICM"" S.nlu ull or ",It. Citibank Preferred Visa 600-950-5118 BOX 6062 SIOUX FALLS, SO 57117 Il" ''''''llU'''''Il",..".",..tn ""'.I.,.Il",,,...C;'lIt1lUw.lIl1,,1 1',......'V..YllUI11uhl1 Actounl Ilumb., 4271 3829 7914 5063 PAVMEIH DUE DATE 08/30/96 ^..i1.11bl' Cr.,lIll1"' Aul"bl. c.,," L1n. $6150 $8150 ,,,......,IlN. ,. <;,' &1I1,,,,.nIO.I. TDt.1 Cndilllrtf c.." '"l....nn Limit II..'" ",!.Inc" 08/06/96 $11200 $11200 $3049 85 ,.""."", I." o 0 6500-/0 0000 \ ,.""" ...."r'....'..".."",.. ,;..10' ,>I 1.,.~1111 I,...r,- '" ,. , 080562038ft02 AVI1t::IIT THAIIK YOU Our record~ show home phone 717-77(1-006(, And busi""ss phone 71"1-77(,-7~55. Plca~'e update abeve coupon if i~correct. Artlllmt Sumlftn" I\mn...t nil' P,'viout +pUlctofln_ . p"1""n'" . CI.d,tl .. rln.nlP ~h;lfll' .O.I.nu l'OI,U,lIl)lIn 6300 B,lan,. & Addn'I' CI1,\rOIlI ""'9'. "',lvl,l,nll"" "''''''II11'OCI rutr.h.,.,.", 307245 \ 6500 \ 42140 \ 304985 ".. Al'VlIntl''' I I I ",'0;11111" t.)"" 307245 6500 4240 304985 '1.",.",1""" 6300 nal.Summar, PURCHASES PURCItASES ADVAIICES UIl..,ll!"l""")" B12/06/93 A12/06/93 It....n."."".'......., 32 nltlnnrr"".,,rr.tto 2456.57 613.84 "":ll1",'Ch:IIUI! r..""'hcll.1l,, 1.40000% 1.30420% .04288% Iln,,,,,..,I,,",.,,.11 16.800% 15.650% 15.650% ,...tt.."laurll.lle Annual p"unl'9' n..t. 16.800% 15.650% 15.650% I I r ~lV.I!OOU:.llIUI + + 20. 11 line 19 is greatlr than line lB, enllr the differlnce on line 20. Thi. is Ihl OVERPAYMENT. g C .~:r.n"'I..Hill"..I'l...Il..,.I'I'1 ~IIIoI....l.IrTT':T':~Il".lll.'l.'J."".'I!.i.'jiil-l11 lIB 21. Uline 18 h greater rhan Unl 19, Inllr the differlncl on linl 21. Thi. is thl TAX DUE. A. Ent.r thl intlr." on thl balane, dt'l en Unl 21 A. B. Enro, ,he 10101 of Un. 21 and 21A an Un. 21B. Thi. ;.,h. BALANCE DUE. Mak. Ch.ck Payabl. 10' R.glsl., 01 Will., Ag.nl ~ ~ BE SURE TO ANSWER ALL QUESTIONS ON REVERSESIDEAND.TO RECHECK MATH 00( 00( Under peneltie. of perjury, I dedare Ihat I ha.... uaminld lhi. return including accompanying sch.dul.. and S1atementl, and 10 the be" of my ~nawlldge end bllief. it is Irue. correct and campletl. I declare that all r.ol estate has b..n' repalllo at lrul marklt value. Dedarotian of preparer other than the personal representative" bo.ed on 011 information of "",hich pr.parer has any ~na"",ledge. !lIGNA R[ Of 'lUON RU'ON!!lILl fO;/1l1NG IUUIN ADOIlU DAIl (It.tLu- 7 . (.~ _ 234 Hillside Dr., New Cumberland, PA 17070 !!IGNAtU or 'I('.UU ot l tH....... U(NlAlIV( ADOI(U ... . ... 2IC::!UI uO:'" ...~Ll ",00 ua:~ ~ID ~ .. .... on", ...... 0:0 O:z 00 u~ ~.i;~y /!J" /;?J-..~r "!S;:;;,-:: JI'JIJdJL ft'- COMMOt~WrAtlH 0' 'rHNsnvA~IA Iv au I DVAUMWlOllll\lWut I J. U Df" 210601 ~.... t4AUIUURG PA Ill,. C60I . ..) LJ J D(UDtt~n ,..,.......t liA!!T 'IUT. AND M.U[)U IWIl....ll 'OR DARSO' DIA'H AmR 12/31191 CHICK HIRI I' A SPOUSAL ~ C/ POVIR", CRIDlr IS CLAIMID U flU HUM.IR INHERITANCE TAX RETURN RESIDENT DECEDEN1 (TO BE FILED IN DUPLlC.UE WITH REGISTER OF WILLS) 96 tEAR 0669 NUMlEO 2\ COUNTY CODE DtClDwnCO""'P\ln ....DDIIU ... z ... c ... u ... o RUBLE. Cloyd E. ~OCI""L )ICUIIIY "U""U 210-12-1799 DAn 0' DlAIH OB-ll,-96 D....IIOIIIIIH ll6-07-25 234 Hillside Drive New Cumherland I'A Cow,,'" r. H! 1:1 cI A"",aU,.t It(UV(D l!lll IN!lTluClIOr.!l1 $10,05/,.1,9 I" j"II(A'i1I'~''''''''(i "010111 !",AIl' !LA!' "'U ANIl"',OOII,,,,.UAlI Ruble. Kathleen, M. 03. 05. ..Q. 8. TOlol Numbet of Safl D,polit Bo." Remainder R.turn 110' do'" 01 d,o'n prio, '012.13.82: Federal Eslat. Taa Rlturn Requlna o 2. Supplemental Return [] 1. Original Retu,n o ... limit.d Estate 0 .10. Future IntltlSl Compromise 1'0' dol.. 01 dea,h ah., 12.12.821 (] 6. Decedenl Died TeSlate 0 7. Decedent Maintained a Uying Trust IAlIat" tOpy of W,II) IAlIach tapy of 'ru,'1 I ALL CORRESPONDeNCe AND CONfiDeNTIAL TA:: mrO::M:'TlO~I.SHOULD.llt.DIIlECl'ED TO. NAMl CO"",'LlI( MAILlNO ADOIIU Charles H. Stone, Esq. 414 Bridge St. nU'HON( NUMIU P. O. Box E 774-7435 New Cumberland, PA \7070 (II (2) ( 31 (4) (5) z o ;: .. ~ :0 ... ii: .. u ... 0: 1. R.al Ellal. ISth.dul. AI 2. Slock. and Bond. ISth,dul. B) 3. Clollly H,ld S'otk/Portnenhip In'''''' ISthadul. q ... Morlgage. and NOles Receiyable (Schedule D) 5. Cosh. Ban~ D,polits & Miscellaneous Personal Prope,ty ISth.dul. E) 6. lain"y Own.d Prop.rty ISch.dul. FJ 7. T,an,I... ISch.dul. G)ISch.dul.l) B. Talol Gran As"ts (total tin.. 1.7) 9. Funerol bpenses, Adminislralive COlts, MiscellaneauI E.p,n... (Sch.dul. H) 10. D.blt. Mongog. llabili'i... li.n. (Sth.dul. II 11. To,ol O.du<1ion.I'alol Un.. 9 & 10) 12. Nel Value of ESlate (line B minus line 11) 13. Charitabl, and Governmental BequIsts (Schedule J) U. Net Value Subject to Taa (line 12 minus line 13) 15. SpoUlal ',on.I'''llo, dolo. 01 d.alh ah.r 6.30.94) 5.. Instruction. for Applicable Percenlage on Rey,,,e Side. (Include valu" from Schedule K or Schedule M.I 16. Amount of line U taxable 01 6% rote (Include yalues from Schldule K or Sch.dule M.I 17. Amount of line 1A taxoble at 15% roll (Includ. valulI from Sch.dule K or Schedule M.I lB. P,incipol 'a. duo (Add 'a. f,am lin.. 15. 16 and 17.) 19. Credits Spousal Poverty Credit Prior Payments (191 (201 ) 10.0~4.4<J (6) (7) (B) 10.054.49 10.943.50 10.206.69 111) 21,150.19 (12) -11.095.70 (13) .00 (14) .00 -0- x...Q..... -O- X .06.. X .1S .. lIB) Discount Intlres' (9) (10) I1S) (16) 1171 z o ;: .. ... :0 ... :E o Ll )C .. ... (21) l21A) (21B) -0- OAn ( I) if 9 "7 1/.,.,..197 P.O. Box E. New Cumberland. PA 17070 r- .,( '7) , n_ , ,. - . 'D I ~;..~ t... 'N~n.13~ 3~.1 :10 t~'Vd S'V .11 311:1 aN'V ~ 31na3H:JS 3.131dWO:J .1snw nOA 2 ,,- 'S3,(SI ~I.1S3nO 3AOS'V 3H.1 :10 AN'V 0.1 ~3MSN'V 3H.1 :II I I I I .\ I I x x ON S3A ......................................!YID9P J9Y JD Sty ID lunD"D ~uoq ,JDjlSnJI U!, uo U"'D IU9P9'9P PIa 'C ...........,......"....................................... ......... ...... .................. ....... !UD!lDJ9P!SUD' 9lDnb9pD 6U!^!9'9J InDYll'" Yl09P jD JD9,( 9UD U!Yll'" ,(\J9dDJd J9jSUDJl IU9P9'9P PIP 'ZB61 'z 1 J9qW9'9a J9ljD p9JJn"D YI09P jl aUD!lDJ9P!SUD' 910nb9po 6U!^!9'9J InDYII'" ,(\J9dDJd J9jSUDJI YlD9P 6U!P9'9Jd SJ09,( 0"'1 U!YI!'" IU9P9'9P PIP 'ZB61 'z 1 J9qW9'9a 9JOj9q JD UO p9JJn"0 YlD9P II 'z ....................................... a9JO' JO SIIj9u9q 'Slu9w,(od J9YII9 jO 9m JOj 9S!WOJd 9YI 9^!9:)gJ 'p ................................................................................... JO ~119J91UI .<JOUOISJ9^9J 0 UI019J ., ., . ............... '9WD'U! Sl! JO p9JJ9jSUOJI ,(\J9dOJd 9YI 9sn nDYS Oil'" 910u6!S9P 0111l6!J 9Yl U!019J 'q ....................................................... 'p9JJ9jSUOJI ,{jJ9dDJd 9YljD 9WD'U! JD 9sn 9YI U!019J '0 :PUD J9jSUOJl 0 9~DW IU9P9'9P PIa '1 'S>lJ018 31'VIHdOHdd'V 3Hl NI ("") >lH'VW >lJ3HJ V 9NlJV1d A8 SNOllS3nO 9NIM0110:l 3Hl H3MSN'V 3SV31d 'XOI o,uoI!JOIlU! WDJjldwoxo oq II!NI B6/l/L JOijo JO uo Bupm"D SJoJsUOJI IDmodS · B6/L/L OJDJOq puo L.6/l/l JOijo JD uo Bu!^p SIUOpo,op JO SOIOISO JDJ olqo'Uddo oq II!NI ILO') "IoL · L.6/L/L OJDJOq pUO 96/L/L JOijo JD uo 6u!^p SIUOPO'op JO SOIOISO JDJ olqo'!Iddo oq II!NI Ito') %t · 96/L/L OJDJOq puo t16/L/L. JOijo JD uo Bu!^p SIUOPO'op JO SOIOISII JDJ olqo'!Iddo oq II!NI leo') %1: · :oq II!M olnlOIS olfl ^q poqlJ"oJd SO SOIOJ olfl 'osnods Olfl JO osn Olfl JOJ JD 01 SJoJsUOJI JO onloA IOU Dill uo posodWI SOIOJ XOI olfl JO uO!4,npoJ Dill JOJ sOPIAo.d t166 L JO 9t1# 1''1 , ----- - . - ...._....,...n ESTATE OF .;~ coMMONweAlTH o. PlNHSYLYAHIA INHlInANCl lAX IINIH IUIDIHt D1CIDINt SCHEDULE E CASH. BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Pleall Prinl or l' e FilE NUMBER 2196-066 RUBLE, CLOYD E. 1"" p""rtY loIoI1.,.-0.d wllh th. Right .1 S.",I..nhlp m." b. dl......d .0 Sth.d.1e fl ITEM NUMBER VALUE AT DATE OF DEATH DESCRIPTION 1. PNC Bank. N.A. _ Checking Acct. #5140094363; Prine. $10,051.8 Interst 2.6 $10,054.49 TOTAL (Also enler on line S. Recapitulatianl S 10.054.49 ("nom .dd;.,..al av." " \I" "'"" if ma" .paco II ....locl.l IQ)-20-19% 1:3:0;1 1'l1hlllllJ.:h. I'A l.t~ljj F't1C BAIl< (IF P.OOI 001 Decedent Reporting PNC Bank. N.A. T\lO PNC Plaza, pittsburgh, PA PNCBANK 33rd Fldor 15222 I I I I I November 20, 1996 Attorneys At La\l stone, LaFaver & Stone 414 Bridge Street P.O. Box E NO\l Cumberland. PA 17 70 RE: Estate of Cloyd E. Ruble, Deceased SSN: 210-12-1799 I' 000: 08/14/96 I I Dear Mr. Charles H. Stone: please find the informJtion you have requested listed belo\l. CBRTIPICATE OP DEPOSIT '21001017091 Kathleen Ruble or Cloyd E. Ruble Established 06/16/95 000 Balance: $1,050.01 + $7.32 accrued interest '21001017092 Kathleen Ruble or Cloyd E. Ruble Established 06/16/95 000 Balance: $1.050.01 + $7.32 accrued interest I .21001017093 Kathleen Ruble or Cloyd E. RUble Established 06/16/95 000 Balance: $1,050.01 + $7.32 accrued interest '21001017094 Ruble or Cloyd E. Ruble Established 06/16/95 Kathlee~ 000 Balance: $1,050.0 I + $7.32 accrued interest .21001017095 Ruble or Cloyd E. Ruble Established 06/16/95 Kathleel1 000 Balance: $1.050.01 + $7.32 accrued interest CUBCKING ACCOUNT .5140054206 Cloyd EJ Ruble or Kathleen Ruble 000 Balance: $2,630.5~ + $0.86 accrued interest '5140094363 J Cloyd E. Ruble '000 Ba~ancel $10,051'16 + $2.63 accrued interest L~ Decedent Reporting I 1-800-762-1775 (13) I Established 01/01/78 tstablished 10/30/89 TOTAL P.OOl 11'1.1511.....'.... ,;~ COMMONW!AlJ'H O' 'ENNSYlVANIA INHlltITANCE TA. RETURN IlSIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES PI.a.. Print or Typ. F LE UMBER 2196-0669 STATE OF RUBLE. CLOYD E. ITEM NUMBER A. 1. 2. B. 1. 2. 3. 4. C. 1. 2. 3. 4, S. 6. 7. 8. DESCRIPTION Fun.ral Exp.n...: Parthemore Funeral Gingrich Memorial Admlnlllratlv. Co.t.: Personal Represenlalive Commissions N I A Social Securily Number of Personal Represenlative: Year Commissions paid Attorney Fees Stone, Lafaver & Stone 414 Bridge Street F 'I E . New Cumberland, PA 17070 am. y xemptlon Claimant Kathleen M. Ruble Relationship Wife Address of Claimant at decedent's death Streel Address 234 Hillside Drive Cily New Cumberland ,State PA Zip Code 17070 Probate Fees Letters Testamentary & short certificate (48.00), filing Inheritance Tax Return (15.00) Mlscellan.ous Expens.s: Reserve for closing expenses AMOUNT 5,750.50 1.030.00 500.00 3,500.00 63.00 100.00 TOTAL (Aho enter on line 9, Rr,capilulalion) IS (II mare ,pace is needed. insert additional ,heets of same size.) ..--.:r--~. 10.943.50 1tE\'.1649 Eo..... (1191) '* SCHEDULE 0 TRANSFERS TO SURVIVING SPOUSE ~mQf'PIHCIYLV"""" NGlJAHCI: fAX tmaH 1Z:llllOIf"""""" ESJ'ATEOF rutNwnbtr Ruble, Cloyd E. 2196-0669 PART A: En'" the dcs<npuon and value DfaU inlCl"csu. bolh Lu.&ble and .on.lLUble. R&wl... DflowlDn. (nel Dr deduel'DIII) -ruch pw to the dcccdmI'llUIVivinR spouse bv will intauey, opcnlion onaw, or othcrwiH'. Descri lion of ilems I PNC B~nk. M.A. - Amount Ch~~k!ne Arrt. 05140094363 Principal -$10,051.86 Interest a 2.63 $10,054.49 PIlt A TDLIl: Enlcrthe IlllDWIl shown 011 the "",,'lUl...OI1 ~ '" the Dee"'... IarD""""Dn St<tlolL 10. Elecllon To Subject Property To Tu Under Section 2113(A) AJ A Tauble Tr:uJsfer By Tbis DecedenL II .llWl oreimilar unn_...... the rtqIIimna1la orScclion 21IJ(A~ and: L Tbc llWl or.imiIar urancm- is lisud 011 SdIcduIe O. and b. Tbc value Drthe llWl or similar unn&cmcnI is cnt.cr<d in whole or in pIlt u an uscl on Sd1<dule O. then the 1tInsfcnn'. pcnonaJ rcprcscnlalivelDlY opociIi..uy idcntifythe llWl (all or .1naional ponion or pcrcmt.c&e) 10 be included in the election 10 have such truJl<< similar property tre:a1ed... LutabI.lrVWcr in this c:suu. If lcalhan &he aWrr valUI or !.he UUSl or similar property i. includtd U I lUahleltlnsf... on Schedule 0, the pcnonaJ rcprcscnlalive chaJl be oorWdcmIlo Iuve mcdc the c1cctillC1 only u 10. fraaillC1 Dr the llWl or .imilu amn&cmcnt Tbc IlWIlCl'&lOt orlhic fiutioa is cquallo the....... orthe llWl or .imilu crnncancnl included u. Lu.&bte uscl llC1 Schedule O. The dcnomiJwor is C1jUaJ 10 the IOlal value orthellWl or cimiIat ~ ELECTION: Do you dtct lIIUI,r Sccdoa 1113(A) to.rat .. .lapb., tnDIrrr ID thb ataU aD Dr. portion or. 'nut or.1miJ.ar arr&nCfmrnt maUd (or the sole UN orthb dfud,al'.llIn1riDC1poUM durtnc the lunb1nClpowt'. ralJ.rr r YES D NO ~ Sl(IU~~t"/.iJ .-tUG. Dale '. ,/ " "f Nott: Jtth, ,ltcdon appUn to more than one U1II1 or almlbr uranClment. thlD a up.nte rona mWI bt Ilmrd and lUte!. Part B: EnIcr the dcscriptillC1 and value Drall intcrau, bolh Lu.&bte and 1lOI>laUb1c, Rgard!cu Drlocation. (net or deductions) which pa.u to &he dtcedau'J suMvil1ll spouse ror whith a Sedion 2113 (A) clca.ion is bcinlrnade. Dcscri lion of items AmoW1l 1 PIltBTDLIl where possible to the minor or to :lOother for the minor's benefit. Such guar- dian shall have the power to use principal as well as Income from time to tlce for the minor's support and education (Including colle!:e education, both gra- duate and undergraduate) without regard to his or her parent's ability to pro- vide for such support and education, or to make payment for these purposes, without further responsibility, to the minor or to the minor's parent or to any person taking care of the minor. ITEM IV: 1 appoi nt my wif e, KATIILEEN M. RUBLE, Execut rl x of this my last will. Should fIfj wife, KATHLEEN H. RUBLE, fall to qualify or cease to act as Executrix, 1 appoint fIfj children, DEAN A. RUBLE and CHERYL A. RUBLE, Co-Executors of this my last will. ITEM V: 1 direct that fIfj Executrix and Guardian, and their successors, shall not be required to give bond for the faithful performance of their duties In any jurisdiction. IN WITNESS WHEREOF, 1 have hereunto set my hand and seal this r[t, ,) day of I I . .,- "...' , 1987. .- ----- /)?"" t:2 P .-d. /~-?"7~ ..,:;,. /; < CtOYD E. RUBLE (SEAL) SIGNED, SEALED, PUBLISHED, and DECLARED by CLOYD E. RUBLE, the Testator above named, as and for his Last Will and Testament, and in the presence of us, who at his request, in his presence and In the presence of each other, GTONE & STONE e subscribed our names '--"Q,CJ I k Witn ss-- - /""\ ' -'\' \ as witnesses. Attorneve ., Lew '" 1 '" O,ldge St,ee' New Cumberlend. Pa. Qf' I, ~ ~',1'_.l llit'ness II J 1'1...", ...:.., oJ \_1 ,~..... / 0 t. ~ ~ -Y~_~..i.."-! Address ( ...,.' i .' '~, I 11' I ,f ll..:" 'l'/t Address ,) i '- pA 17070 P3tje ~ of 3 Is-/a,} -,oj- BUREAU Of INDIVIDUAL TAXES INlIUUtAH{[ tAlt DIV1510H O[P'. nOIlOl UARAlnUAG, PA 1I118-0nOI COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE ., ~ ~~~(t. ;[tfj~~ NOTICE Of INIIERITANCE TAX APPRAISENENT. ALLOWANCE OR DISALLOWANCE Of DEDUCTIONS AND ASSESSNENT Of TAX I".lh/lll" III-HI CHARLES H STONE 414 BRIDGE ST PO BOX E NEW CUMBERLAND ESQ DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 0(,-28-97 RUBLE 08'1(,-96 21 96-0669 CUMBERLAND 101 CLOVD E Anount ReMitt.d PA 17070 MAKE CHECK PAVABLE AND REMIT PAVMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iii\;:is47'Ex-"i:j.--tilj:97riioTicE--o"F"i"NHEiiii'Aiicn'-lix'APPRA"iSEHiii:r-;'Ai.'LOWAiicE'OR----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF RUBLE CLOVD E FILE NO. 21 96-0669 ACN 101 DATE 04-2B-97 TAX RETURN WAS I (X) ACCEPTED AS fILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. R..l E.t.t. (Sch.dul. Al 2. Stock. and Bondi ISchedule OJ 3. Clos.ly Held stock/Partnership Intere.t (Schedule C) 4. Hartgaga./Nota. Receivabla (Schadul. OJ S. C..h/Oank Deposits/HiIC. Parlonal Property (Schadula EJ 6. JointlY Ownad Property (Schedula fl 7. Transtars (Schadula GJ 8. Total AI..t. I CIIANGED NOTE: To inJure proper credit to your account, subnit tha upper portion of this forn with your tax paYlllant. .00 .00 .00 .00 10.054.49 .00 .00 (8) 1I1 (21 131 (41 (51 (61 (71 10,054.49 APPROVED DEDUCTIONS AND EXEMPTIONS: 10,943.50 9. Funaral Expanses/Ad.. Costs/Hlsc. Expanse. (Schedule H) (9) 10. Debts/Nortg.g. LlobUiU../l1.n. (Sch.dulo II lIOI 10,206.69 11. Tot.l Deduction. (Ill 12. Net Value of Tax Return (12) 15. Charitable/Govarn.ental aeque.ts (Schedula J) (13) 14. N.t V.lu. of E.t.t. Subj.ct to T.. 1I41 NOTE: If an assessment was issued previously, lines 14, 15 and/or 1&, 17 and 18 reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Alllount of Line 14 at Spou.al rate (15) 16. A.ount of Line 14 taxable at Lina.l/Clal. A rate (16) 17. AMount of Llna 14 taxable at Collateral/Cia.. a rate (17) 18. Principal Tax Dua TAX CREDITS: PAYHENT DATE :>1 .1 ~n 1 q 11,095.70- .00 11.095.70- will .00 .00 .00 .00 .00 X .00= .00 X .06= .00 X .15= lIBI RECEIPT HUNBER DISCDUNT (. I INTEREST/PEN PAID (-) ANDUNT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE .00 .00 .00 .00 . IF PAlO AfTER DATE INDICATED, SEE REVERSE FDR CALCULATION OF ADDITIONAL INTEREST. ( If TOTAL DUE IS LESS TNAN II, ND PAYNENT IS REQUIRED. If TOTAL DUE IS REfLECTED AS A "CREDIT" (CRI, YOU NAY BE DUE A REfUND. SEE REVERSE SIDE Of TNIS fORN fOR INSTRUCTIONS. I (";(") c: -- --1 " " , \.1 L.'..J RESERVATION: E.tat.. of dec.dent. dying on or b.for. O.c..b.r lZ, 191Z -- If any future Int.r..t In the ..tat. I. transf.rr.d In po.....lon or enJoy..nt to Cia.. I (collat.ral) beneflclarl.. of the dec.d.nt .ft.r the .Mplratlon of any e.tat. for lIf. or for y.arl, the Co..onw.a1th h.r.by .Jlpr."ly r...rv.. the right to .pprals. and ...... transf.r Inh.rltance TauI at the l.wful Cia.. I (coll.t.r.l) rat. on any .uch future Int.r..t. pURPOSE OF NOTICEs To fulfill the r.qulr...nt. of S.ctlon ZI~O of the Inh.rltanc. and E.tat. 'a. Act, Act Zl of 1995. (1Z P.S. S.ctlon 9140), PAMNT, O.tach the top portion of this Notice and .ub.1t ..Ith your paw..nt to the R.glst.r of Willa prlnt.d on the r.v.r.e .Id.. --Mak. check or .on.y ord.r payabl. tal REGISTER OF MILLS, AGENT REFUND (CA)I A r.fund of a ta. cr.dlt, which wa. not r.qu..t.d on the Ta. R.turn, .ay b. r.qu..t.d by co.pl.tlng an "Application for R.fund of penn.vlvanla Inh.rltanc. .nd E.tat. TaJl" CAtV-ISIS). ApplIcation. ar. avallabl. at the offlc. of the A.gI.t.r of Will., any of tha ZS R.v.nu. Ol.trlct offlc.., or bV calling tha .p.clal Z4-hour an.w.rlng ..rvlc. nuab.r. far far.. ord.rlng: In Penn.ylvanla l-100-S6Z-Z050, aut.ld. P.nn.ylvanla and ..lthln loc.l Harrisburg ar.. (117) 781-8094, TOOl (117) l1Z-ZZ52 Ule.rlng I.palred Only). OBJECTIONS I Any party In Inter." not .atIsU.d with the .ppr.Is...nt, allowance or dlsallowanc. of d.ductlons, or ........nt of ta. (Including discount or Int.r..U .. .hown on this Notice au.t obJ.ct within .hty (60) day. of ncelpt of this Notice bYI --wrItten prot..t to the PA O.part..nt of R.venue, Board of App.al., D.pt. Z11021, Harrl.burg, PA --el.ctlon to have the .att.:- det.r.ln.d at audit of the account of the p.r.onal rapr..entatlv., --.pp.al to tha Orphans' Court. 17IZ8-IOZl, OR OR ADMIN ISTRATlYE CORRECTIONS I Factu.l .rror. dl.cov.r.d on thl. ........nt .hould ba .ddr....d In writing tal PA O.part..nt of R.v.nu., lur..... of Individual YeM", ATTHI po.t A.......nt R.vl... Unit, O.pt. za0601, Uarrhburg, PA 11121-0601 Phone (117) 181-6505. S.. pag. 5 of the bookl.t "In.tructlon. for Inh.rltanc. Ta. R.turn for a Re.ld.nt Decadent" (REV-1501) for an .MPlanatlon of .d.lnl.tr.tlv.ly corr.ctabl. .rrar.. DISCOUNTs If any ta. due I. p.ld ..I thin thr.. (3) c.l.ndar .onth. aft.r the d.cadant'. d.ath, a flv. p.rc.nt (5~) dl.count of the ta. p.ld I. .llow.d. PENALTY: The 15~ t.. .ana.ty non-p.rtlclp.tlon panalty I. coaput.d on the total of the taM and Int.r..t .......d, and not p.ld be for. Janu.ry la, 1996, the flr.t d.y aft.r the .nd of the t.. .an..ty p.rlod. Thi. non-p.rtlclpatlon panalty I. appealabl. In the .... .ann.r and In the the .... tl.. p.rlod .. you would app.al the t.. and Int.r..t that ha. bean .......d a. Indlc.t.d on thl. not Ie.. INTEREST I Int.r..t I. ch.rg.d b.glnnlng with flr.t day of delinquency, or nln. (9) .onth. and ana (1) day fro. the data of de.th, to the data of p.yaant. T.... which bee... d.llnquent b.for. Janu.ry 1, 1982 b..r Int.r..t at the r.t. of .IM C,~) perc.nt p.r annua calcul.t.d .t a d.lly rat. 0' .00016~. All t.Ma. which b.c". d.llnqu.nt on and a,t.r Janu.ry 1, 1'8Z ..Ill ba.r Int.r..t at a rat. which ..Ill vary fro. c.lend.r y.ar to c.l.ndar y..r ..Ith th.t rat. announc.d by the PA O.part..nt of A.v.nu.. Th. applicable Int.r..t rat.. for 1982 through 1991 .r., '!!!! Int.r..t Rat. O.ltv Inler..t F.ctol' !!!! Intll'..t R.t, Dally Int.rnt FactoI' 1'12 'OX .000548 1961 OX .00OZ41 1983 In .ooo~sa 1'&8-1991 11;( .0DDUl 1'84 \IX .000101 199' oX .00D241 1985 tsX .000156 1995-199~ ]X .00D19Z 1986 lOX .000Z1~ 1995-1991 OX .DDDZ41 --Int.ra.t Is calculat.d .. followlI INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS OELINQUENT X OAILY INTEREST FACTOR --Any Hotlca Inuad ,ft.r the t.. b.co... d.lInquent will r.U.ct an Int.r..t c.lculatlon to flft..n US) d.y. beyond the d.t. of the .......ent. If pay.ant I. .ad. .ft.r the Int.r..t co.,ut.tlon d.t. .hown on the Hotlc., additional Int.ra.t .u.t b. c.lcul.tad. .. ~. ... ... " COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND u: Kathleen M. Ruble being duly .worn-- according to law, doposos and saYI that she ,,, ~hf' Adm;nl..~r"~ri1( of tho Eshto of C) "~rrl R RI1 h 1.... lato of -the .Borough_of New Cumberland , Cumborland County. Pa., decoased and that tho within is an inventory mad. by. K"~hl,,pn M RlIhlp ,tho laid Administrritrix of tho entiro oshto of said decedent. consisting of all the porsonal prop.rty and real ostate, except real ostato outside tho Commonwealth of Pennsylvania. and that the figures opposite each itom of the Invontory ropresont it's fair value as of tho dato of decedent's death. and subscribed boforo me, '.(~ll/u../ JJ7 4;~- Kath11en M. mevtor. Adminhtfltorrix Ruble 234 Hillside Dr. 19 New Cumberland, PA 17070 Addrul Date of Death 14 D.y 08 Month 96 V..r INSTRUCTIONS I. An inventory must be filed within three months after appointment of personal represonhtive. 2. A supploment inventory must be filed within thirty days of discovery of additional assots. 3. Additional sheets may bo attached as to personalty or realty 4. See Article IV, Fiduciaries Act of 1949. 'tl l:: nl .-i I-< (lJ .0 e ::I U ~, (lJ .,; >- Z ~ Ul " I- 4-1 ~ >- '" I- '" W < 0 " ~ Q. I- .<::1 u 0 " " 0 V'I (lJi c '" ~ 'i , Ul w I J: '" ~ '" " I- Q. .-i a- c 'I I- ...J u. ::II .; ~ \C " Z < 0 .0 0, a- 0 ~ u. -' ::I 1-<' :t: w 0 < w 0' .;. 1< N > Z '" Cl: ml - , Z 0 c C . " .; V'I Z r.l (lJ1 0 '" < .<::, U .... I z I, W 'tl I r Q. +" ." >< , c I 0 - ~ .-i 0 ~ " U .D ... " E ." - ~ 0 " '" " 0 I ...J l~ u: ., Inventory 01 the real and personal estate of C- Cloyd E. Ruble deceased r PERSONAL PROPERTY PNC Bank, N.A.-Checking Account *5140094363, princ. $10,051.86, Interest $2.63 10,054 49 REAL PROPERTY NONE 00 c: gl \C3 :0 ~. - -...0 (~ , " " "T1 I~I to I I C'\ .- .- - ~ ~- ']l'.: ~ ,? W I -, ~. --.I