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HomeMy WebLinkAbout96-00696 PETITION Hm PIWnATE llud (;nANT OIi LETTEI{S (oqi.R No. 21.-%- 10: J.!.'sta({' (~I Alv(JrLa M. l.'OHLpr 11/.10 kllOll'1I a.I' 1)e'('('as('(I, Sodal S"('III'li,; No. '174-05-2820 '. Regislel or Wills lor Ihe ('<Hllill' 01 Cl1mlx,rland III Ihe ('ollln;onweall h llll'ennsyll'unlu The pelit,ion ollhe nndersigned respeelluliy rcpresenls Ihal: Your pellliolll'r(sl. who K/me I H years 01 ag(' or older anl"e exeelll 01:9.. illlhe lustwili ollhe ahol'e (I<,""delll, daledl\llgur~t 2Jl., . alld ('odleil(s) duled SOPt:urnbor 5,)989_ ~..,..,.._..~ nltmed ~. 19 86 ___'_'.__~_'L.._...__l ..___~ (\IHll' rdt'\'iHlI dl~'lltf\'.U\lll'l'~, l',~~. 1'I:lllllll'lUlil111, .lentil of l'\Cl'lllOr, ell',) Dccendenlwlts dnmidled ,\I dealh in..Cl1ffil?e.rl!l.n<:L .. .._.. _.._. COllnty, I'onnsyll'ltnla, wllh h...et...._lusl IUllllly or principal resi,knce al..1Q. LimekUn..R.Q<\d,.J:illrliale.,.__'__'' j~<;l.~1;..l"~lj1DB\Y:JrOTownBhiE)" . Pi'\J.70.1L. _ .,___.. .... ~_m_..... ..,_._____" llhl "'Im'l, 11lll11bn alld 1l1lH1dpaJilY) Deecndenl, then~7. JealS oluge, died _l\ugl1st l"i,.......uu.__.,,_.._.~, 19.2..~__, ut._Q~glOlle Hospital, (,ar11s1o, PA____ ~ .._" __..... __"...._,_..._._____. Excepllts follows, decedenl did nollllml'Y, wus nol dil'orced and did nol hal'c a child horn or IIdopled afler exc,'ulion of Ihe wili orr('l'('d for prohale; was nOllhe I'lelilll of It kiliing and was nCl'er adjudicated Ineompelenl: _..._.".., __.. '..m.. . ___....,._._.,.....__...,,_......__,_ Decendentul death oWI1('d properlY with eslilllaled I'alues as lollows: (If domleiled in I'n.) All personal propcrty $ ,,43S,.9_QQ...QQ.__ (If 11O! domiciled in Pa.) Pl'rsonal property in I'cnnsyll'ania $_. (If no! domicilcd in I'a.) Pcr.,onal properly In COllnly $ " Yuille or realcslmc inl'ennsrll'anla, ~120,000.OO __ slllllllCd as follows: . ". 30 , ,imekil.!U,oCldL\VEJs_t}?El01sl:()E()._Tow.r:~__"!!:lL,,_____, .9~fJap9~ounty, PA_..._..".,,____,_,__..____._. WHEREFOR!:, pl'liliooer(s) rl'speclfully prcsenled Itcrcwith IInd Ihl' grnnl or Iellers._ l!tcron, rC(~lIes!(s) Ihe probutc or the Insl will and codicil(s) _'I~stilffi~Dtary___,__. __".. . (1l''illlnlClilury; admillislrllllOJ) c.l,n.; Udtllinistrulloll d,h,!\,c.\.l\,) :;; JJ 5 '0" 'tf ~ "'" ,,~ ~-' ..,~ ~..... 30 ~, Vi 4:r~{-ir7f~-- nrWest: t.Olithii: Shee't: ,..... CarHslePl\ 17()f3 --(7f7n4~':4494 ~61-6H19B . ~.~l~'f.jl/ J02-WIlc1Wooa~R6aa-'-'-- 'CarlfsIe pA-...""riolj---- . .'\7"1'1)- 2"4~..:I8TI---..--'--~' . .2tJ2'-:?o:D:.439:=---===-.,__ .._.._,.____...._.~._u_..~__~___ ,_..._._____..n-_,.......h________ OATH ()I<' I)EI{SONAL REPRESENTATIVE COMMONWEALTII OJ' l'ENNS\'I.VANIA l "" COU NT\' OF ClJ!>:BE:RLAND I .. Thc pelilionel'(\) alH\\'e.llun",d swear(\) (1/' allil'llI(s) thai thl' slall'nll'nts Inlhe I'orcgolng petllion arc trlle IInd conWllo II", 1"'\1 01111(' koowkdgl' and hl'Iie'1' or p('lilloner(s) nnd Ihlll as personul reprcsen- Inlil'e(s) of Ihe ahov<' d('('ed('UI 1""llion"l'ls) will \\'l'lland Irllly adminisler Ihc ("lflle uecording to lu\\'. S\\'orn 10 o,r 111'1'11111"11 a/HI S1lhSCl'lb,l'd, I A,~ '(._:~"',1~,..' -.--, \!> he fore Illl' this 30T~ da\ 01 ~ _--~I1rj(eorgl~ S" F'~st(~r.. ~' - '. {lAU !?v, . /,(\ /12-,,91) f'l1 -1/. 11 ,~/b/'. tt. ~ 1l~ Jy.Lw~" I' u 'I. 'I i(....d.i"1lf" 'i' ~c.x;, trU#f'_O ~ MARYC. l.EWIS li,'~i\I'~.'! 11<'1<"11 L. Woj:{jd 2 \ .::. \;y \ l_ .) COMMONWEAlTH Of P[NN~YIVANIA DCPARTMENT Of REVENUE DEPT,2/10601 HAN.1I151111RG, PA 1l\2/1-0bOl [J'icr Of Nf -'5 NAMf(1 ^) i,' , 1~~r""^Njj'Mlu6i[itii iihlf---.--------- I.1'ostor, Alvorl:a M. 'O(~~~'~~:~~;~;'~. 1"~;/~'.;~~;1 ["~/;,i;;~;'IJ ",...",",.","""."","",,,,,, '''M' ,,," "." ^"" ""'I'" """'" .j">C'A!-",eUI!'" "I"""" XX 1, Origln,,1 Rolurn [J 2, Suprlomonlol Rnturn [] 4, limiled Eslole [J 40. futuro Inleroil Compromhe {for dellOt of dflolh of tor l~, 11..82) XX 6, Decodon! Dlod Tosl<110 [I 7, Docodon! MalrHolnod 0 llving Trusl (Alloch copy 01 Will) (Allach copy al Tlulll ALCCORRESPONOiNCEANDCONFIDENTIAL TAX INFORMATION SHOULD LIE DIRECTEO-TO, NAI~~arcl~;C~)O~W: Esq~.--'----"'--lC6~~ff:'~;~~O~~~~O~~.~-;L-reo~ -- .----- . HlEPflONf IHJMREf! C.I)-li"le I'^ 17013 " I 717) 243-3727 ' . ., , I. Real E,',," ISchodule A) (I) 9U, SOO. 00 2, S'ock! "nd Bond. ISchedul. B) (21 . 60.00 3. Clo.ely H.ld S'ack/Par'ne"hlp In'e,..' ISchedule C) (3) 0,.00 4. Mar'gagOl <lnd No'.. RocellOble (Schedule D) I 4 ) 0 .00 ~u ~ 5. Cash, Bonk Depall" & MilCollaneous Personal Proporly (5) _1}'?,.~!3_1.~ ~t ISchedul. EI 6. Joln'ly Owned Prope,'y (Schedule F) 161 O. 00 ~_u.......... 7. Tramle" ISch.dule G)IS,hedule L) 171 0.00 e. Tolol GroH AUOIS (Iolcllllnos l.ll fI, Funeral EKpOnsOl, Administrative Cosls, Mlscollaneous Expen.e. ISchedule H) 10, Deb", Mortgago Uobllltio$, lions (Schedule I) 11. Tolal Deductions 110101 Lines Q & 10) 12. Nel Valve of Eslol0 lline B minus line 111 13. Charitable and Governmental Boquosh ISchedulo Jj ~_._ .~ Net V~~~ Subject 1~~~.JLlne ~_!!linu, lino 131 15. ~~:I~~:r~~~~~:f~rlfArp~~~~b~' ~:t~~hn'~~~ ~~3~;~:!so 1151 ._..._____.__ ._..._.____._..__><,___- _~________._g_.~_OO_ Side. llnclude values !rom Schedule K or Schedule M,l 16. Amount of line 14 taxablo ot 6% rale (Include values from Schedule K or Schedule M.l 17. Amounl of line 14 loxoble 01 15% role (Include values from Schedulo K or Sc.hodule M.l 18. Prlnc;lpal tax duo IAdd lox from tiMS 15, 16 and 17,) 19, Credih Spouwl Povorly Crndil Prior Paymonh + }O,_OOO.OO + Illv t ~oo (X.. 179J) ~ ",5'" ...."'''' w...... :1:0'9 u"'", ~ ('- ., ., ~. 1l~':I~:Y(\ 'Iol,). ~ I r, /.l. q INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) NUMIt"" FOM OATIS OF DEATH AnlR 12/31191 CHECK HEAE IF A SPOUSAL POVERTY CREDIT IS CLAIMED I I FII.I NUMBER n - % - O(,i)(, COUHIY CODI YfAR lill Ilif'lI~J ('OMI'll H' ^ll(lill"~~' 1- ffi iii .... "' Q .10 J.,il,,,,V,iJII HOdel Cl.l:JifJ]U, P^ 17013 (,'''Inl CUIl\lx.~l."li.1nd f AM' "'" '~." [(, ,V, ",",,',,'N",'."."-' i'O":'.,.... [ I ~ Romalndur Roturn (for datos or deolh prior 1012.13.82) [J 5, Fodoral Eslole Tax f<elurn Roquirl'd -.L 8, Tolal Numbor of Solo Deposil Boxos ,... f'Ji5 "'Q "'z E:!e Z Q ;: :3 ~ III '" 19) 36,174.89 I 8 ),..__~.7.~!.1.~.4:9}. 110) n__~2J'l5J,.??,._, (II) __~_38,626.47 (12) ........5J.7..?J8L44 (13) .__.__..O.JlQ. (14) _'n" 537, 518 .n'!i-____..,~_ (161 ___x ,06 Itl 0.00 117) S37,518.44 80,627.76 .X ,15 J:I Z Q ~ lE Q U (18) 80,627.76 Intorol1 Discounl 3,6H4.10 (19) 120) ')3]684.10 0.00 ::; ... 20, If Uno 19 Is greolor thon lIno 18, onter Iho diHorence on Uno 20. Thi! I~ tho OVERPAYMENT. UIHJ 6,943.66 0.00 6,943.66 Chock ero I you a.ru requesting 0 rofund 'Of your ov.rpQ ment. 21, If lino 10 is groCllor IIHllllino 19, nntfJr 1110 dif[oroncf' on Lino?:l Thi~ i~ tho TAX DUE, A Enlf!l !ho inlfHfHr on lho Iwlun(o duo elfl lino '} 1 ^ B. Enlol tho 10101 of Uno 21 and .11A Olllino ?:IB. Thi~ i\ thfl BALANCE DUE. MClko Chotk F"ayoblo 10: R1JUhhlf 01 Wills, Agent 121) 121AI (21BI >- >- BE SURE TO ANSWER ALL QUESiioNs.oN REVER-SE S~IDE AND To"iiiii:-Ii"e"CK MATH- -<-;C., Ullde'i.'I;;~~f!i'~~'-;-f 'I~;;j~'r y ;', ~J,~~'((;;~ -I\~~;-' " ho~~-;;~;;ni no (.I .ihi~ rfJlur'r~',' i nc-f;;~j;I;~'I- ~;'(~~'~-;f'I(-lI1yi n9-~~I;~ d;II~~- ~1~~j'~''-~t~;~-';n.'';':~n-cTi~-ii~';-b~~i-~j"~y . ~ n~-~ed~j~ ~~d 'bo'li~( ,I i, trun, (011<>::1 CIne! <omph,tn I dlleloro thot 011 r(mlll\IUIO hen bO(II) rnporlod o! IrllO morbI! voluo Dutlorolion 01 proporor olher Ihan Ihn perHlnol ropre5onloliv{l II busftd on ull inlormolic,n of whHh p"!f)(JrlH hm (If'Y ~Ilowlndnu ", - JIl ~~I'~H~I"t4~;rllhJ~lj ^(lIlHI~!'q21 w. J-A)uUj(.~r ,~,.;t., CilrJ..i.slc,. P^ 17013 ~..J:" . " JO~ W.L1clw<.x>d I\d" <':m:lislQ,I'A 17.01L...... \!~J;;;:'2" 1!i~"Z'. i~' /./...-----~n'"''' " ._ .'.. ' ,~, '~r., 3(1 ~;. HanOVl,r :a.,. CilrlisIcr..l'^ 17013.. O^H ~/>c,;? (lAlI ,s.;-I.- '1 ?" Pfv_.6JHt pm) ~@.}I' L \ 'O""ONW':'~H\o;;""m"'''' SAFE DEPOSIT BOX 00""""" 00 'IV""" INVEN'rORY INHIIITANCI f;.lC DIVISION DEP12ROlJOI """,""00." "'''''''' _ _ __.-~~~~TJP. MUST BE COMPLETEO BY REPRESENTATIVE Of fiNANCIAL INSTITUTION WHERE SAfE DEPOSIT BOX IS LOCATED AND RETURNED TO ABOVE AOORESS C::T,Y.~,02L.-_--_-~9 tMB.p I:.y.~, 7 ___~,.:OCIALr;U~R~/Y O~ ~tl)ER;~?AT~N::,__~_ DECEDENT'S NAM5 liAS!. '''''. MIOO"I DATE OF DEAl'H ("0 $7 CI at. tJ ((' h:; ,h\ '? -! 7- qt.. 'p.-ri-oIiESSOF DECEOf.~il;lli-ii1'------"-----;-'-------ICITYI ---- ISTAlEl IZIP coo,i- sO l,n1G/<"'.I/,' rf?-J L':'-.-'/f,L, /)/r /7ul_7 -NAMEANoAfJoiiEss-OFPfRSciNREOUe5TiNG TH'""EOi'ENiNG OfTHeSAFEDEPOSITBOX -- (NAME) _~-----..'L..flJ.-,","-",--.d./_-L-3.,~~,>-. _,_8 rf-~ - .'........., I'T"<1 AOORE5S1 ICI1YI ISTAlEl ______!.-S:---~-- /J-/ry'-" / (/. Q...~( _ {~.!.._A____L ,pP,;;-J-- .. tJ W I .J NAME" ADDRESS AND REL~~~NYI TO DECIDENT, OF P!RSON(SI PRESENT A~ TliE BOX OPENING G. I"AMEI/ IRElATIONSHIPI ___~.!'.!...("';i~-~ .rv 31--~,., s '(L':.:!L~(1jI.- (SfREET ADDRESSI ICilY) '1",); I,.J h) <./1Mr s, C""~/'JU r-", /7.'..1 b. ~i-~--;--. / ------IREIATlONSHIP~- ___! We:2-.-l.-F C.':.l.i--'-- ____ C r'~ C;,), ,4.-\ " (STt\EET ADDR~1 _ . (CITY) :> ,; ,)- lJ, / t/( W';.IJ.f~ c-"v_ f, ,L< (".J-' ?" '.7 c. (NAMEI ~RElATIONSHIPI ___ V VV"y:.( .t-- s,-c-)., 0 f' "'" v'}-,/,j,-,,,-,,t-?7- \SlREET AOORI:S51 {C\TY} :3 G> S ;-Jf'V"'-v/ "'~ r:::n' Cr..' L"- --- - ..----------' ._~ NAME AND ADDRESS OF FINANCIAL INSTITUTION WHERE THE SAfE DEPOSiT BOX is LOCATED IHAMf.l--... ~--_.----~-_.,,- __~.:E f~,::-_~~k: ;[",r,_f ~:: AO~'~-,,-~ ~()~__,,_~7 I NAME Of PERSON MAKING LAST ENTRY () <?:Y'_~~_&..A DATE OF CONTRACT TO RENT BOX r; -- 1_- ")__~L__-___ NAME AND ADORESS OF PERSON(S) HAVING ACCESS TO BOX (.t. (NAMEl . ---- __G ~~_...1.._,G.~~------ . \SlREf.l AODREssT (STREET ADDRESS) IlIP <.OOEI ISTATEI IZIP COO'I I!TAT'I (ZIP COO'I (t,TATE} IZIP CODE) /-'/t.- l,tV'f(. i... ,/ / I. IClTYI I'TAlEl ?--f,...., ~ r"F'-' 7 Uf.7 ~TE AND TIME OF LAST ENTRY j.he-. ,-,~_...L.J "2 ? ,'" { '-~TiiLE UNDER WHICII BOX IS REGISTERED ;'j.! "',,t;4-t:- />-t ,":;'.r '1'j'..... IZIP COOEI"- NUMBER Of BOX ~~J b. (NAME) -- '(Cml---'-~---'-'-- ------rlliiEl\wcOO,1 lellY) ISTATEI IZIP COOEI -- NAME'A"NoTiTLE OF'EMPLOYE TAKING THE INVENTORY ~--.--- llYES IJNO If Y"f a. Oat. of willI b, Nama and orhh... of panonol ,.pf...ntOtil,., If named In the will (NAME! [5TRfETAODRiSs\,'-"-- -----.-Tciiv\ 1ST AIEl liiPcOiiEl ---- ----- c:, ~';;-;nd-~-ddr.;';-;f-;;~-;;~y~f ;;;;y--' INAMEI iili""EEf"M)DltES5\-'--'~----' ICIlYI (STAt'EllziPcoOEj- _M_- --' ~I '" "' ~ '" :I: t: iI: z o P . i " I~ ., ? w "" a) ~ ~ 0 ~ ~ ~ ~ ~ 8 emit ~I III Cl)- ZIll: 00 =~ -z III"" ~> Vz e- III < z ol _ ::;w 0 >-:> <> I/lZ q Z'" "' z~....~ ~.. ~"'5i~ , I.l..L'-O . OOmC: '- , N A:~I' :r:z>"l:)' -'C' bwn..l'e ~~~~ ~'" !!? z~ a.: 0'" '" ~Cl ~ o u ~ .., \t ~ ~ .. ~ -l': 0 "' Vlnt ~ Lt ~ ~~ '" '-l " "- It .... ljlz " ~ ~ ~l!; ( ... \ ..... ~! , " , ,.z / ~ r . 'I -+- :t ffi * ~ 1- .. .Il ~ \ , -:;:, , ~ ~ .., " ~ I:J - <t' -- --\;- - - -.. - . -- -- () )- A ,., ~ f t j ~ ~ :s:: s, 11 0 i -.I \l' ""' \l' .... " " II- ~ j ~...~ \, ~ ~ I.. \. ). \. ~ -~ \.. t .r- ~ v ~ ~ ~o~ . € 0 ~ " '" I:: -"j () ~ - \..; ~ .10 r\ "" '" ., - '"\. ..... r\ (\ '" '" - J". M f'\ - - ffi , '" :I: II C) I- :> ~ )- , z ..) A ~ f '- ~ ... ~ " IS "" V, ,." iJ f ~ rI\ ~ )- \J" I) :z '^' V, lc 0 .r ....g ,...\ - -- ,..... 0 '" (' ~ -.. ill - ~ ...) -.I h r 1\ ..0 ,.... .... M I' 3 ') }. J- I") ") '\ " 1;; M ,.t\ I~ V' !J M .f I' rt Vl (VI G: If ('I ('\ (j ::r ti 0 ? Jt '" - - \) tJ d' u - ~ -i -+; l) ) - J ~ ~ ~ . (~ 'i t ~ :!. z . ~ (- - .. 1 ~ J ,~ (-.. z ~ ~ t V) <J. ~ ) ~ 0 ~ LC ! ~ ~ ,........ lJ ~ ~ c J .I 'v '" "' j -: j \. ~ J , \t <.l J ~ ~t (~ '- 0 -r -: >- - f-- -- l:l J .. rv--- '" ~ D. r il: ) 0 ~ I) 01 IC\ - ~ ..... '.l j ~ V \.J '.J ....> z 1"\ ^ '\" I "'I "\ ",,0 ... , ... 1 ., J ~ 1 r':I ~ -. I:I~ '" V " ..... "\ ~ ':.J ":! 'j . vi '- I h ). '[ ,. .. .. ..... . ~ "':I: '. -..\ .", , , 0 ') ., '. Il ('\ Cl ~ I> g~ 0 ~ /'II V. , :::> \,\ ';) .. J"-' '::> V I -' , ...P Cl () ~ 0 , ( ('" I..rl 0 ~ 0 \ M ...., r'\ "- VI ~ ~ l1(l r\ l ....dIASI'; OF HEAl. I';STATE .. tI!'!llmell fill, 11111 nol rl'~IIit'Il'd 10, , .,H'lIler IlIUfI,hurK A\\\ldnlloll or HHALTOItS'" I HUll AOIiNI' 1'01\ HI'.I.I.I'.ll -\ \(,(lt~~)~~~~~YI'.I\ ----\ ;&.rJ (;j /,)A IlcflMV~'r'i"'-" ' I'A. I.ICI!.NHI'.I> IlI\OKllIl-'- ~ ..- I'A. I.ICENSEI> IIIHlKEI\ ".-' -,"'.I'A. I.ICI'.NHI\I) IIl\tlKIiII-- " ' J ,~I ,{,I,(kU 1)1 1h\. A"""''''\ ",n., 'hI. -'--r..."'--'----;.(' 'I'"~ "I ".ji;- ..__. ,..-..---.-..,~-.-~--_., 19/__. I. I'RINCII'^U~ Utlwtrnj_/:Jl.J~JXt1:;._._.6-/!~,,"L.. ,__._~_.____,,~__..__.,-_..._..,-,-_.~-_._,._____"nr_.~----- (,..I<I\"S nl --~"----i~(~--A--:'lr-'-"'"'''-'-J2'Z-'--'----''-----'-------~--_.,-) hctcllll\f1c:r ~'lllle{J Seller, IIml. _J?&~J. _{~.O{_,~_j:~~/---- 1JJ'-2~::'--/'--"-Z'-T;J--,,,,-,,,,,,,------'_.....--'-'~~L------ l:~;;i::~r,:r' '''II,:h~;,,';f :'(j 'itfc(1f_f~f"..,J ;Vt!J.;Ii/_e r/(!.._:(_"-'IL.------.--------) 1. l'IUlI't;KW, S,II" herch, "g"" I" "II """ ,,,,,vej ,,, I""er, wh" hereh, "s"" WI""'''~'':. Al.l. TI1ATF\\I\TIl, liNN ~\'t or 111Cl:ll ~r-",o,?~!:II~I?~~~'~~ "'"I.I,:,,,,":e;:,~;,,~~~;;;e~"\, ~f~,':~k":::~'~:..::!~!.m.'!-:!~:(,V .J:.sf'r_CM.llifiC..,.- 3. ZHNIN(" t.nl1lnl\ l.lll~\lflcntlllll ___, f.':_'6__~1.-__.. ___,,__._~_'___h'<__.'_'___"__'______''''~_''~~._-~''~-''----"~-~ lI"llnl c (If lhh A!\lCCl11CIII III Clll1lnllllhc lonlllj.\ dil~~lrklllloll cllcclllln en..c.. wlwrr thc llllJ\lCrtr {or rneh IIlHCd IhcrC(lf, HUlhtllvltlnhlll) i, ",,,,,1...,1,1, '" 1'01,,,,,01\, I" 1'",,'iI ,II"le.,"",I\, ,1.ellil1g' .11,,11 ",,,\,, 1\,\, Ag,,"""" vol""h'" 'h' "l'tI"" 01 'he lI"y" nI'" II v,,\.e" <lep'''\'' """",,, h, ,he 1I",er ,~,,)\ be 't"'"'' 10 illS IIl'l'yr w\'h""'} r:,~" ";"';""'" 'II """ ''''''!J,.~~f) 4, 'n;KMS'("II'""III1IC l',iI, ..jViAJ/.;.,'!-J.ij.'.{__.'lIUIM~-"~''---'//~.l..'IL<. -'~/-.;:itg{,-<:,~"_--"_- _...____,.~_.~..._..'. ... ..________..__..~_.,~._.______~___... 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Principal Dnlancc Accruod Intercst Dalance at Do to of Doa th Accuunt Ownerahip Ilame of Joint Owner, if any Dote Ownorship WIlG tntnblinhod Additional Infor- mation Ro~\\o"tc~. 01:':("\ I:: I V r;.: r', f,~ .I .ft l...I.., SEll 1 IJ W96 Lanr!ls BlilCk & Sr.lwrpfJ IUHARRIS Ii) ~~^ VIN(-;"s"f1ANk-" 11;IITI~ :-;,1\'111;('\ (Jpnllll()ll:; ~<('IIh'1 Ii:lr, N"1'I1i l~11i SIII,..I L{'11I0~'IH', Pt'IIIIH.vlvillll;l 1 ?(M:~ 71 '717:11-1'1'1Il -,. lin:ll-!):I!):! Fax which ;fOU (Dor.il\l req\\eotod on the n.oouri ty Humber lIooount(o) of: 174..05-2820 Alverta M. ) is ns 1:0110'10. 17-56-246527 17-56-246634 1 Yr, cart, 1 Yr. Cart. 1-11-94 4-25-94 $38,557.74 $74,223,63 245.27 472.14 38,803.01 74,695.7'1 Irrlividual Individual we will need a signed W"9 form certifying the Esti:ite'IDH before "'" are are abl8 to 1'810080 tho :infonration ra:jUested concaming the interest on these particular a=:JUnta. 1-11-94 4-25-94 P1msG have the Executor of th.is Estate sign U1G enclosed W.9 fotm and return .i t to !TO in the provid<xl envelCJ!X'. '!hlnk you. Sin';'Ol-ely, (/ X '-'--/' \." ~._._~_..~.,,~_l,'c"L.., .",t...,---, ~~ ..1 \, ';'--.__..., - (',retchcn I" Qllo Sr. Rot.ail I'dniniatration ScrviG'e8 Rep. t'l\DE"I 1 rrWt: W/!.IA'!i nl'l');;!,' j:Nll ;~.,I:;tHtl': l.'llli:;.:'JI (1/\1, ,\."111 U^ ,';/1;:/,;11' (,':,.00 J~~"I I (Ill [1,1.:::<':,');; 1".'1.:[1 1.:i' JI1.;1.1:;I'1 ~'11i~,:lJ;,,!q . 'I #~'/ ~.J~)(() . (J") . 'R[VlSll(Xt ('M) SCHEDULE H FUNERAL ~XPENSES, (DMMOIMI AI '" '" 1'1 ""'oYlvAIIIA ADMINISTRATIVE COSTS AND II,,,,""A"" lA'" """ MISCelLANEOUS EXPENSES Pleuse Prl"t er Tvpe 1l1!.I[lff.lIIJlClUltll tSfAtf6F_~=I:~;;~_:'~~:~~~;t~~:;.:_~=,~~,_,._~...____ __. .... ..__~:_].FifE:'UM~E'R- 2 ~ -96=~~~~--~=:=~ lti~ ITEM NUMBER --~- --~--_.~----~~-_.._---~-_._~._._.__.__.. A. Funeral Expon.e" 1. 8, 1. 2. 3. 4, C. 1. 2. 3. 4. 5. 6. 7, 8. DESCRIPTION AMOUNT .~-- ---~---~.~-- Hoffman-Roth Funeral Home 6,737.00 Admlnl.tratlve C".Is, Personul Repre.entollve Comml..lon. Social Security Number of Personal Repre.enlative, Year Camml..ion. paid Attorney Feos Landis, Black & Schorpp Family Exompllon Claimant _. Addro.. of Clolmanl 01 docodent's doalh SIrool Addre.. '_" City 1.7,522.89 Relationship __ Slote Zip Codo Probale Foe. - As advanced by Landis, Black & Schorpp Reserve for closing MI.e.llanoou. Expen...: PP&L, electricity 8/19/96 to 9/18/96 545.78 500.00 29.20 Proclean Chern-Dry, invol.ce 74.15 PP&L, electricl.ty 9/18/96 to 10/18/96 21. 35 Jim Bistline, personal property appraisal PP&L, electricity 10/18/96 to 11/21/96 162.50 39.59 Steven W. Barrett, real estate appraisal 250.00 United of PA, invoice 3.46 PP&L, e1ectricl.ty 11/21/96 to 12/23/96 58.67 TOTAL {AI.o enler on Ilno 9, Recopilulotlonl 5 (If llIere spoco Is neoded, in.ert oddltlonol .heots of .om. ,I...) . , , Estate of 9, TOTAL SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES File Number Foster, Alverta M. PP&L, electricity 12/23/96 to 1/23/97 10, Griffy Mowing, August to October, 1996 11. Fry Communications 12, The Sentinel 13. PP&L, electricity 1/23/97 to 2/24/97 21.96.0696 67.38 205.00 20.00 18.27 69.65 14. Six percent brokers' commission, sale of real estate 5,910,00 15, One percent transfer tax, sale of real estate 16, Seller's contribution toward buyer's closing costs, see copy of sales agreement with Schedule A. 'f ,.,,-'-'.......-.--.-," \. 985,00 2.955,00 ~ I .' .1.2.22 8/17 Oak Flatfront China Closet $350.00 8/17 Softwood Blanket Chest $85.00 8117 Miscellaneous dishes, vases, baskets, & flowers $1,176.00 8/17 Cedar Chest $325.00 8/17 China Closet $65.00 8/17 Miscellaneous personal property $1,371.00 9/10 TV Cable of Carlisle - Refund $6.79 9/16 Sale of Personal Property $1,539.69 9/25 Sale of Personal Property $225.00 9/25 Hoffinan-Roth Funeral Home - Reflll\d $629.75 10/15 Cumberland County Nursing Home - Refund balance of security deposit $1,900.96 10/22 Cumberland County Nursing Home. Refund patient's account $8.76 11/19 Adams Electric Cooperative - Patronage refund $37.77 11/19 Financial Trust Company - Certifkate of Deposit No. 1-130047 $25,000.00 1221 4/22 Internal Revenue Service - Refillld, 1996 income tax $2,426.00 4/22 Pennsylvania Department of Revenue - Refund, 1996 income tax $3900 6/5 Prorated taxes - sale of residence $183.54 6/16 Nationwide Insurance Company - Hazard insurance refund $112.00 TOTAL RECEIPTS OF PRINCIPAL $601,440.45 - 3 . PRINCIPAL CONVER..sJQlis..:tQCMl! l222 QAJN J.QSs. 9/16 Dauphin Deposit Bank & Trust Company. Checking Account No. 0033806985 Proceeds Account Value $26,740,16 $31.028.97 $4,287.91 11/12 Dauphin Deposit Bank & Trust Company - Savings Account No. 5306615414 Proceeds Account Value $28,968.34 $+8.80 1.1 Q $167.18 11/12 Dauphin Deposit Bank & Trust Company - Certificate of Deposit No. 800081229 Proceeds Account Value $5,000.60 ~.003.05 . $2.45 11/12 Dauphin Deposit Bank & Trust Company. Certificate of Deposit No. 800082209 Proceeds Account Value $36,592.08 lli.218.81 $373,27 11/12 Dauphin Deposit Bank & Trust Company - Certificate of Deposit No. 8000082233 Proceeds Account Value $5,009.53 $5,012.51 $2.98 11112 Dauphin Deposit Bank & Trust Company - Certificate of Deposit No. 800082314 Proceeds Account Value $5,015.49 $5.073:76 $58.27 .4. .l9.2Z 5/29 Agway, Inc. . twenty year 6% subordinated , debenture Proceeds $35.00 Account Value lli..QQ $0.00 6/6 Residence at 30 Limekiln Road, Carlisle, PA 17013 Proceeds $98,500.00 Account Value $98.500.00 $0.00 7/7 Financial Trust Company- Certificate of Deposit No. 33745 Proceeds Account Value $30,405.76 U,0.541.23 $135.47 7/7 Financial Trust Company. Certificate of Deposit No. 40525 Proceeds Account Value 510,047.04 $10.094.02 $46.98 717 Financial Trust Company - Certificate of Deposit No. 72883 Proceeds Account Value $92,625.79 m,739.52 $3,886.27 7/7 Harris Savings Bank. Certificate of Deposit No. 17.56.246527 Proceeds Account Value $40,554.71 m80J.(1I $1,751.70 7/'1 Harris Savings Bank - Certificate of Deposit No, 17.56.246634 Proceeds Account Value $78,037.34 $74.695.77 $3,341.57 .5 . 7/7 York Federal Savings & Loan Association - Certificate of Deposit No. 100-192752 Proceeds Account Value $87,686,37 $83.962.22 $3,724.15 717 York Federal Savings & Loan Association- Certificate of Deposit No. 100-199694 Proceeds Account Value $30,149.35 ru.826.06 $1,323.29 7/17 Financial Trust Company. Certificate of Deposit No. 1-130047 Proceeds Account Value $25,470.00 $2~.000.00 $470.00 Agway, Inc. - one share membership common stock Proceeds $25.00 Account Value .lli...QQ $0.00 $0.00 Ii NET GAIN ON CONVERSION $10,503,37 - 6. 5/1 Nationwide Insurance - lire Insurance premium $126.00 6/4 PP&L. electricity, 4/23 to 5/22/97 $25.24 6/5 George Foster. reimburse for lawn service $175.00 6/5 Kevin E. Miller - credit to buyer, sale of residence $2,95500 6/5 Century 21/Breneman & Associates - commission, sale of residence $2,980.00 6/5 ERA Anderson Real Estate. commission, sale of residence $2,930.00 6/5 Notary fees - sale of residence $5.00 6/5 Francis M. Socha, Esquire - disbursement fee, sale of residence $35.00 6/5 Transfer taxes - sale of residence $985.00 6/5 Home Paramount - pest inspection, sale of residence $24.00 6/5 Real Estate Environmental - invoice, sale of residence $145.00 6/5 D&D Septic - invoice, sale of residence $150.00 6/11 Gerald Barrick - snow removal $20.00 6/17 PP&L - electricity, final bill $10.62 7/9 Landis, Black & Schorpp . attorney fees $17,522.89 7/9 Landis, Black & Schorpp . costs advanced to date $31.00 Reserved: Closing and filing releases $500.00 Landis, Black & Schorpp - costs advanced to date $18.0Q TOTAL DISBURSEMENTS OF PRINCIPAL $134,646.28 - 8- IillC..EIPTS OF INCQME 1m 9/6 Dauphin Deposit Bank & Trust Company - interest, Certificate of Deposit $11.50 No. 8000082233 9/6 Dauphin Deposit Bank & Trust Company. interest, Certificate of Deposit $18.89 No. 8000081229 9/6 Dauphin Deposit Bank & Trust Company - interest, Certificate of Deposit $18.47 No. 8000082233 9/16 Dauphin Deposit Bank & Trust Company. interest, Certificate of Deposit $18.90 No. 8000081229 9/27 Financial Trust Company - interest, estate checking account no. 13-37432 $19.02 10/2 Dauphin Deposit Bank & Trust Company.. interest, Certificate of Deposit $18.47 No. 8000082233 10/2 Financial Trust Company - interest, Certificate of Deposit No. 33745 $693.69 10/23 Dauphin Deposit Bank & Trust Company. interest, Certificate of Deposit $110.95 No. 8000082314 10/23 Dauphin Deposit Bank & Trust Company - interest, Certificate of Deposit $17.68 No. 8000081229 10/25 Financial Trust Company. interest, estate checking account no. 13-37432 $37.78 11/6 Dauphin Deposit Bank & Trust Company. interest, Certificate of Deposit $1788 No. 8000082233 11/19 Dauphin Deposit Bank & Trust Company. interest, Certificate of Deposit $18.47 No. 8000081229 11/26 Financial Trust Company. interest, estate checking account no. 13-37432 $59.90 12110 Financial Trust Company. interest, Certificate of Deposit No. 40525 $231.23 12/27 Financial Trust Company - interest, estate chccking account no. 13-37432 $22.97 1997 1/27 Financial Trust Company. interest, estate checking account no. 13-37432 $20.17 2/27 Financial Trust Company - interest, estate checking account no. 13.37432 $21. 48 - 9 . 3/27 Financial Tmst Company - interest, estate checking account no. 13-37432 $1935 4/3 Financial Tmst Company - interest, Certificate of Deposit No. 33745 $722.96 4/27 Financial Tmst Company - interest, estate checking account no. 13.37432 $22.64 5/28 Financial Tmst Company - interest, estate checking account no. 13.37432 $17,63 6/6 Financial Trust Company - interest, Certificate of Deposit No. 40525 $241.23 6/27 Financial Tlust Company - interest, estate checking account 110. 13.37432 $1051Q TOTAL RECEIPTS OF INCOME $2,48636 DISBURSEMENTS OF INCOME 1996& 1997 NONE ADV ANCEMENTS TO BENEFICIARIES 1m. 7/9 George S. Foster 7/9 Helen L. Weigel 7/9 Patsy L. Weigel 7/17 George S. Foster 7/17 Helen L. Weigel 7/17 Patsy L. Weigel $50,000.00 $50,000.00 $50,000.00 $75,000.00 $75,000.00 $75,000.00 $475.00 $706.00 $350.00 $85.00 Various George S. Foster - Hardman Spinet Piano with Bench, in kind George S. Foster. miscellaneous personal property, in kind Helen L. Weigel. Oak Flatfront China Closet, in kind Helen L. Weigel - Softwood Blanket Chest, in kind - 10- MAKE CHECK PAYABLE AND REMIT REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE . RETAIN LOWER PORTION FOR YOUR RECORDS ... R"EV.- i547 -Eif "AFi>- -f Oi-:97"r"NOYi 6E""lit?- "INHERIf At.icE "Y,(X - A'PPRA"i SEM"ENT",- -A L l:oWAt.ic E - c"Ii"" - -- - - - -- - - - - - -- DISALLOWANCE OF DEDUCTIONS ANO ASSESSMENT OF TAX ALVERTA M FILE NO. 21 96-0696 ACN 101 / < I{ - ~ " ~ "L---'/' I/-' #.-,-~ tl)r t-.""-- - '1 ,} I ~, '" BUREAU or INDIVIDUAl 'AXES lNfll f<J!MHI I^~ lllVI'oIOfI III PI. ,'IHH,lIj tIAlWJ'oIllJ1H., 1'0\ 1/1,'/1 1i1lUl COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICI' or INIIERI1ANCl lAX Af1PRAIS[HI'NT I AU OWANC[ OR IlISAtI.OWANCI Of DEOUCTIONS AND ASSES5HtNf Of TAX EDWARD I. SCHDRPP 36 S HANOVER ST CARt.ISI.E DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN ESQ PA 17013 ESTATE OF FOSTER TAX RETURN WAS: I X) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST " SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN 1. Real ES1ate (Schedule A) 2. Stocks and Bonds (Schedule 81 3. Closely Held stock/Partnership Interest (Schedule Cl ~, Hortgages/Notes Receivable (Schedule OJ .5, Cash/Bank Deposit s/Nhc, Personal Property (Schedule E) b. Jointly Owned Property {Schedule Fl 7. Transfers (Schedul& G) 8. Total Assets III 12) 13) 14 ) 15) 10) In APPROVED DEDUCTIONS AND EXEMPTIONS; 9. Funeral Expenses/Adm, Costs/Misc, Expenses (Schedule Hl (9) 10, Debts/Mortgage Liabilities/Liens {SChedule Il (10) 11, Total Deductions 12, Net Value of Tax Return 13, Charitable/Government.l a.qu..ts (SChedule J) 14, N.t Velue of Estet. Subject to Tex If an assessment was issued previously, lines reflect figures that include the total of abh ASSESSMENT OF TAX; 15, Amount of Line 14 16. Amount of Line 14 17. Amount of Line 14 18. Principel rex DUB NOTE; 08 - 11 - 9 7 FOSTER 08'-17-96 21 96-0696 CUMBERLAND 101 Amount Remi tted CHANGED 98,500.00 60.00 .00 .00 477,584.91 .00 .00 (8) 36,17(, .89 2,{.51.58 I III 112) _ 113 ) 114 ) ()/ \~ "l ~"~ .It ..' :~'~/""""~' . ~, "C''''' ", .. .!~~Yi:~;',,,;/. ._ .~,~ \' (L~',".,j:,,', ."',\ '-~r}~;~~'?' t :~,# ... j,./"l',"';!lIl AI.VERTA M i PAYMENT TO: DATE 08-11-97 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 576,144.91 38.6?6 41 537,518.(14 .00 537,518.44 14, IS and/or 1&, 17 and 18 will returns assessed to date. ad Spousal taxable at hxable at rate 115 ) 110) I1n l.in.al/Class A rat. Col1ateral/Cless 8 ret. .OOX,OO, .00X.06, 537,518.44 X .15, 118 ) TAX CREDITS I I~;~i~;j t :if;i\~~-~ ':';:'\~:~,:~~'i 1-=;';~;i:';;nl~1 l.l__ - ---- - ---- ~;~;:~,":;~~:'J&;F . --- ----- -------,- I 1.....ItmREST AND PEN. I TOTAL DUE , .______u_.__. ___ _ . If PAID AfTER DATE INDICATED, SEE REVERSE fOR CALCULATION Of ADDITIONAL INTEREST. .00 .00 80,627.76 80,627.76 =__60~~=7::~TcR1 .00 I . 11CR. IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YOU MAY 8E DUE A REfUND. SEE REVERSE SID!' OF THIS EDRM FOR INSTRUCTlONS.) ! ; ,-" , , , RESERVATIONI I:stetu of de~'Gtfents,'tIy~ on or before Decomber ll, 1982 -~ Ir llny futuro Inlerut In the utnta III trnn,ferred In poneulon or enjoVIllel'il to CIlIss 8 (colt1lteral) benefioll'lrlAI of_ thO decedent lifter the oKplratlon of MY Qstatn for 11 fa or for YlIlIrs, tho Co",monwefll th hereby olipro&&IY roservlIS the right to appnli lie and nSllellS trimsler Inher I ten08 TaltOI at the lawful ClfIu 8 <collateral) rnto on llI'W suoh futuro Interest. PURPOSE Of NOTICE: To fulfill the roqulrelllents of SQctlon 2140 of the InnerltnneD I1nd Estlllo Tall Aot, Aot 11 of 19C)S. (n P.S, 500\lon 9140), PAVMENT: Dotnch tho top portion of this Notlt.e lllle! slIhn1\t lollth your pay",ont to the Reglshr of Wllh prlntod on the ravor58 sIde. --Mako oheck or Monoy order paynblo to: REGISTER OF lULLS, AGENT REfUND ceR): A r\'lhmd of 1I tall crodlt, whloh was not rnquosted on tho Tllll Rut\lrn, nlllY bo roquostee! by completing 1In "Application for Rofund of Pennsylvtlnln Inherltnnce and Estllta Tax" (RPJ-1313I. ^ppllcatlons aro aVlIlJable fit the Offloe of tho ReQlstQr of Wills, any of tho 7.3 Revonue Olstrlct Offices, or bY milling thfl special 24-hour llnliwerlng sorvlco Il\lmbors for forms orcl~rlnn: In Pnnnsylvllnl<l 1-800-~(12'?0!iO, outside Ponnsy'lvlInill and within local .larrlsburg llroa UI71 '18/"6094, TUD" !7171 172-27.52 (I!oarlng 11'1}'1lIrntJ Only). OBJECTIONSI Any pflrty In Interest not satlsflod with tho <lPPrlllsoMont, allOWllnce or dlsol10wllnc8 of deductions, or assassment of tall (Including discount or Inte"l'lt) <IS shown on this NotlcD mllSt object within sixty <60J days of receipt of this Notice bYI .~wrltten .,rotut to tl10 PA 08plIrtment of Reyonuo, Boarel of API'081s, Dopt. 261021, Harrisburg, PA 17126-1021, OR ..olection to have the ",8ttor detorf!llnod at audit of the account of tho personlll reprllSwntntlvo, OR "llppeal to tho Orphnns' COllr t, ADMIN ISTRATIVE CORRECTIONS: factual errors discovered on this a5s05smont should be addrossod In writing to: PA Department of Rovenue, Buruu of Indlvldunl hiles, ATTN: Post AsOoUllIent Reylew lInlt, Dept, 26060\, Harrisburg, PA 17128-060\ Phone (717) 787'65050. See pagR 5 of the booklet "Instructions for Inheritance lex Return for ~ Ruldent Decedent" (REV.1501) for lln 81lptsnatlon of ad",lnlstrat Ively correctable errors. DISCOUNT: If any tall due Is paid ulthlr, three (3J calendar months nfbr the decedent', death, a fille percer,t (S%J dIsoount of the t81l paid ,~s allololod. PENAL TVI The IS% hl< allln8lty non~partlclpatlon penl'llty Is cOInputed on the total of the tlllx llnd Interest alluud, and not paid beforfl JllnUtlty 16, 191:16, the first day lifter tho and of the tflx alllnesty per lad, This non-participation penl'llty Is appolllab1e In the Sll"IR 1'l1lMor Ilnd In the the !;lll'lO tlmo rorlod (15 YOU would appefll the tllll and lntlreat lhllt hilS boen IItsossod II" Indlt.atod on tlllG not Ice. INTEREST I Ir1tcll'u~ Is chArged beginning with first dAY of delinquency, or nine (91 months Bnd one (II dRy frOM the date of death, to the date of pay.ent, Tallu which becfl~e delinquent before Janullry 1, 1981 bn-r Interest at the rate of ,ill (6%) percent per IItlnUIIl clIlculated at II dally rato of ,000164, All tAU' which bucnJlle delinquent on and !liter JanUl'lfY I, 1982 will be"r Interut at II rllte which will vary frolll calendAr YllAr to clllendar yellr with that rat. announced by the PA Department of Rey,,'llle, The appllcablo Intorut ratn for 1982 through 1997 flto: '!!!!! Int.rut Ratl! Olllly Intor8t;t rAct/)f US! Intoro&t Rata Onll" lntorut Fllctor 1982 lO% .000548 19M 9% ,000247 198~ 16% .000438 1988-1991 11% ,000301 1984 11% ,000301 i99l 9% ,000:U.7 \98\i 13% .000356 1993-1994 1% ,0001n 1986 10% ,000274 1995'191)1 9% ,00021'+1 ..Jntefest I, olllculated .. follows! INTEREST = BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR "-Any Notice luued 8nor the tllK hucomu delln'l\lont will reflect tin InterOlt 'elllct/llttlon to fifteen Ci51 day. blyond the ufth of tho IllIe"IIIent. If IUIYlllent Is lIIadR ftfter HIll Intotlllt COlllputlltlon dllte shown on the Notice, nddltlonfll llltl1irnst IIlUSt be clllculflted,