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COMMONWEALTH Of PENNSYLVANIA' OEPARTMENT OF H'EALTN' VITAL RECOROS
CERTIFICATE OF DEATH
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o. Cecelia M. lIale
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1East lUiH aub Ufestameut
I, CECELIA M. HALE, of C~mp IH11, Cumberland County, Pennsylvania,
being of sound and disposing mind, memory and understanding, hereby declare this
instrument, to be my Last Will and Testament, revoking any and all wills by me
heretofore made.
ITEM I. I direct my hereinafter-named Co-Executors to pay all my just
debts, funeral expenses, and administration expenses, including inheritance and
succession taxes, as soon as may be convenient after my decease.
ITEM II. All the rest, residue and remainder of my Estate, real, per-
sonal or mixed, of whatsoever nature and wheresoever situate, I give, devise and
bequeath, in equal shares, unto my children, Dolores T. ~ller and William J.
Hale.
lT~. I hereby nominate, constitute and ~ppoint my children, Dolores
T. ~ller and William J. Hale, as Co-Executors of this my Last Will and Testament.
iTEM IV. My Co-Executors are hereby authorized and empowered to sell at
public or private sale or sales all of the personal property of which I may die
seised and to likewise sell all real estate of which I may die seised, and to
convey the same by fee simple deed or deeds to the same effect that I could per-
sonally do, if living.
IN WITNESS WHEREOF, I have hereunto set forth my hand and seal to this
my Last Will and Testament, this
day of May, A.D. 1980.
~A.I~pt~~ ~(J1v
Cecelia M. Ha e
(SEAL)
WITNESSES:
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21 - 96 - 771
REGISTER OF WILLS OF COUNTY
OATH 01' SUBSCRIIUNG WITNESS
codicil
(each) a subscribing witncss to the will prcscntcd hcrcwith, (cach) bcing duly qualified according to
law, depose(s) and say(s) that present and saw
the testat , sign the same and thai signed as a witness at the
request of testat_ in h presence and (in the presence of each other) (in the presence of the
other subscribing witness(es)),
Sworn to or affirmed and subscribed before
me this day of
19_
(Name)
IAddress)
Register
(Name)
(Address)
REGISTER OF WILLS OF CUMBERLAND COUNTY
OATH OF NON-SUBSCRIBING WITNESS
Dole /2.~ So T 1"11 t..L" It
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(each) a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that -
(!-If 'I A~t? familiar with the signature of (b,,:Q.c-L,f'I "'" Hf\,LI:"
l~
will
that
-'-7./ F \1
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presenled herewith and
.codiGil
believes the signature on the will is in the handwriting of
test at_ of (one of the subscribing witnesses (0) the
_ Q G ~.:: L I A "^ 1-\ f\ l t.'"
to the best of IH E I R-. knowledge and belief.
<:::.- II
/1..') /J-Llt-'LC ~ --1, '-'11/. /' t, -
c . (Name) C'. /I}-A Pit /7/11
1996 1._ J. '7,3 .s>' Hl1-h~"--\ll~' L"- "l v Q
7/ (Ae/tlre,\s)
MARY C. LEWIS Register'- uJiv.:... r H.c:J.D
(Name) r Ii 1
~M_^D:.... O/t~ ,^--""'</d~Q, U/r.}1 0, I
(Atle/ress)
CERTIFICATION OF NOTICE UNDER RULE 5,6 ( a)
Name of Decedent: Cpr01 i il M. 11,,10
Date of Death: ^l)(JII~t 1 l, 1<)1)6
Will No .1 '1%-0077] Admin. No, 21 <)6-0771
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
Novpmhpr 77. 1'1'16
Name
\~i11iam J. HalE'
Dolores Mi1lE'r
Address
B Columbia Dr., Camp lIi11. PA 17011
6273 South lIiqh1and St. , Harrisburq, PA
17111
Notice has now been given to all persons entitled thereto under
Rule 5.6 (a) except None
Date: 11/27/96
C-" \
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I~J~.A, HCJD
Signat'tre
NameWilliam J. lIa1e/ Dolores Miller
Address 8 Columbia Dr./6273 S.HighlandSt
Camp lIill, PA 17011 / Hbg.,PA 17111
Telephone(717) 545-0020
Capacity: x
Personal Representative
Counsel for personal
representative
NOTICE OF BENEFICIAL INTEREST IN ESTATE
BEFORE THE REGISTER OF WILLS, COUNTY OFCumberland
, PENNSYLVANIA
In re Estate of Cecelia M. Hale
, deceased,
No, 1 of 2
TO: Wi 11i"m.1 11.,1" (beneficiary)
B Columbia Drive, Camp Hill. PA
170 II
(address)
Please take notice ot the death of deced~nt and the grant of
letters to the personal representative(s) named below. You may have
a beneficial interest in the estate as follows:
Residence 514,915
R~nk n.~,..nllnt'c:;, ,::.t-r- SR".h~n
(if additional space is needed, use back 0: page)
Name of decedent Cecelia M. Hale
Last known address A Columbia Drive
of decedent
Date of death 8/13/96
Place of death Hilrrisburo. PA
County of grant of origin.::l letters rl1mhprl"nn
Decedent died x
testat'!
intestate.
A copy of the will -2L- is
is not attad,ed.
Name(s), address(es) and telephone number(s) of all personal
representatives appointed
Name
William Hale
Address Telephone
8 Columbia Dr., Camp Hill, PA 17011 717-545-002
6273 S. Highland St.,Hbg., PA 17111 717-545-002C
Dolores Miller
Name(s)f address(es) and telephone number(s) of all counsel
Name
Address
Telephone
None
Date Novemb"'r 26, 1996
obtained from the undersigned.
Signaturew..LL.----}-: !-k.~. JDtl-t,'-L~l J. VhJ(l
Additional info:mation may be
Name Willi"m.1 H"l",/n",lnr",,, Mille:..r
AddressR rnlllmni" nr,/6?71 S.Ili~ndSt
r"m" Hill, PA 17011/ Hnq., PA.l1.ll1
Telephone 717-~4~-00?0
Capacity: x
Personal Representative
Counsel for personal
representative
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November 13, 1996
Cumberland County - Register of Wills
Room 102
1 Courthouse Square
Carlisle, PA 17013
RE: Cecelia M, Hale, Deceased
8 Columbia Drive
Camp Hill, PA 17011
Date of Death: 08/13/96
Social Security Number: 160-16-1087
Gentleman:
Please find enclosed a payment of $6900.00 for the Pennsylvania Inheritance Tax
for the Estate of Cecelia M. Hale, This balance reflects the five percent (5%)
discount for remittance within three months of the date of death.
The final inheritance tax return and any final payment will be completed timely.
Thank you for your consideration,
:1rU1Y yours,
::/l.:?~ ~~C
Steven M. Zeigler, ~:C" CPA, PFS
DO
,- .-
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~
. :'111.1$00 n.. 17 q4)
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....
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'01 OATIS 0' OIATH AnlA 12/31191 CHICK HIAl
II A SPOUSAL
POVlATT CAlOIl IS CLAIMIO 0
.i1Li-NUMIII-----.---------
~~
J
1.'111 -,-
;')'~ .J
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
COMMm4wfAl!H 0' PlNN\UVArltA
Of'AIIM(NI O. IfVHlUl
Of" 110M I
HAUISIUIO,'''' I1n.1 O^,?'_ .__
OICfOlN NAMlllA", flU "u~o MI[,lOIII",II"11
....
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...
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HALE Cecelin, M.
100(1"\ U(Ulm NUMI"
21
COU'HY CODE
..--- ---.
1](,
,YEAR_
771
NUMBER
160-16-1087
I" ",,,0("'111 '\11_11"..0 VQVU ,..."..., IIUI ..." A"'O ."DOtl ,,..1'''11
o 2
01(10"_'10 (0""'1111 AOOI(U
3LO lLOB
1oOCIA~ !lI(Vlm NUMUI
8 Columbin Drive
Cnmpllill, PA 17011
~'"' Cumberland
",..out.' 1((11'/10 I10U IN1oUV(tIO~.101
03
05.
LB
Remoindar Return
lfor dOl" of daath prior to 12.1 J.821
Federal Eltote To.. Raturn Required
Talol Numbar of Saf. Cepasil Bo..s
Supplemental Retuln
8J 1. Original Return
o 4. limiled ellote 0 40, Future InlaraU Compromisa
(for dates of death altar 12.12.821
KJ 6, Cecadant Died Tellola 0 7, oacadenl Mointoined 0 living Tru't
(Atloch copy of Willi IAllach copy of Trust)
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULO BE DIRECTED TO:
NAMl (OM'~lll MAiliNG "DOlUS
Steven M. Zei ler, P.C.
IIUPHONf NUMIII
697-7333
z
o
;::
~
:0
....
0:
.,
...
w
"
I. R.al E"." (Sch.dul. AI
2. St.ck. and B.nd, (Sch.dul. BI
J. C'ollly Hald Slock/Partne"hip Inlerest (Schedule C)
.... Mortgages and NaIll Receivable (Schedule 01
5. Cosh, Bonk Oapolltl & MileellaneouI Penanal Proparty
(Schodul. EI
6. Jointly Owned Property (Schedula FI
7. Tr.n",,, (Schodul. GI(Sch.dul. II
8. Total Gron Auets (Iotallin.s 1.7)
9. Funeral Expe""s, Administrative Cas", Miscellaneous
EJl.penlOl (Schedule H)
10. Debll. Mortgaga liabilities, liens (Schedule I)
11. Total Oadudians (IDlalli".. Q & 101
12. Net Value of Eslata (line 8 minus line 11)
1 J. Charitobla ond Govarnmenlal Beque..s (Schedule J)
14. Net Value Subia,' to To.. lline 12 minus line IJI
15. Spousal Tran,fan (for dOl as of death aher 6.JO.94)
See In,lructians for Applicoble Percentage on Revena
Sid.. (Include "alu.. from Schedula K or Schedule M,I
16. Amounl of line 14 la.-obl, 01 6% rate
(Includa valua, from Schedule K or Schedule M,I
17. Amount of line 14 toxobla 01 1 S% role
(Include valuOl from Schedule K or Schedule M,)
18. Principal to.. due (Add to... from lin.. 15, 16 and 17,)
19. Credits Spousal Pavarty Credit Prior Payment'
None + _B,Ogg
4909 Louise.DFive, Suite 104
Mechnnicsburgf PA 17055
(1)
(21~836
131
(41
1 5 I -2.3.,.1? R
(bl 67,216
(71
(BI..l60,7RO
z
o
;::
.,
....
:0
..
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o
...
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....
(91 14,897
(101
14,897
145,883
(11)
(12)
(131
(141
145,883
(151 None
(1 b) 137,446
(171 _B_,AJ]
X._=
x .Ob = --.JL 247
x .15 = --1-r266
(1B) _~,.5,L3
Oiltounf
+_426.._ -
InlereU
(191 _8..-525
(201
20. If line 19 is greoler than line 18, enter the diUarente on line 20. This is Ihe OVERPAYMENT.
E1 O.tiI~..,I,JI..I...,.I'..II..I,I.II(I'IIII:..., .1rtr.r.~&.I.lll,....JI'~.~..I.J.1
gBB
121)
(2IA)
(21BI
21. If lina 18 is graatar than Una 19, enlar Ihe diff.,anca on line 21. Thi, is Ih. TAX DUE.
A. Enlar Ih. int.rasl on Ihe balanca dua on lina 21A.
8. Enler thalolal of line 21 and 21A on Una 218, This i, th. BALANCE DUE.
Malee Ch.ck Payabl. lal Ragl.l.r a. Will., Agent
BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH ~
Under p.nalli.. of per!ur)'. I dedar. thai I ho...e uomined Ihis rei urn. including attampanying uhedules and ,Ialemenh. ond 10 Ihe ba" of my Itnowledge and belief,
it is trua. cou,,1 and complete. I dedara Ihal 011 raal OItate hot boon raporled allrue marhl ...olue. Oecloration of preparer alhar thon lhe personal repr"enlati...e is
bas,d_on 0\1 information of which praparar has on)' Itnowladge.
'I NA'UI 0' PIUON IU'ON1oIIl( ,oe filiNG Iflull'(. ADORUS OAf(
A..~~', ( ()- L J <I. '-- J I (( ( l, 1).\ .~ fl, I, I, .}\. t: .1,.. i' /1 1)1/ f ,,(, ( (, (
SIGNA' fa' '11'''''(1 O'H( ,.... N 11,IUINfA',vl AOOIU1o DAn /;
_ I' I I
"\ } ';;iA ("., L....... b. It ,. I, II. ~(
f),. ,J, I L ") /-,,1 I)., I
IIV,UOJ U. ("'61
\
fiLE NuMBER
SCHEDULE B
STOCKS AND BONDS
~
COMMONWIALTH Of 'INNSYLVANIA
INHUITANCI1AX U1UlN
1I110lN1 OlClDlN1
UTATE Of
21-96-771
Cecelia M. Hale
(All p,op.rty lolntly.own.d with Right 01 Survl....h1p mutt b. dl.c1o..d on Sch.dul. F,I
VALUE AT DATE
Of DEATH
ITEM
NUMBER
I.
DESCRIPTION
6,924
$10,000 Savings Bond KX1891450EE
Issued 10-22-90 @ 6.01% Interest
6,924
2.
$10fOOO savings Bond KX2080573EE
Issued 01-09-91 @ 6.01% Interest
3.
$10,000 (two) savings Bonds KX2152593EE
KX2152594EE
Issued 11-27-91 @ 5.76% Interest
12,912
4.
$10,000 (two) savings Bonds KX2153112EE
KX2153113EE
Issued 12-09-91 @ 5.76% Interest
39,612
-: 2
12,912
-----
NOTE: ABOVE HELD AS A JOINT TENANT
w/Wil1iam Hale (Son)
------
19,836
TOTAL (Abo enter on line 2. Recapitulationl
(II mar. space is needed. insert additional sheeh 0' some size,)
S 19,836
.
"..~,"l'...,".., ~~ j SCHEDULE F l
COMMONWUllH O. "NNIYlVANI. JOINTL Y -OWNED PROPERTY
INHUIfANCf fAX anUIN
IESIDINT OICfOINT
--- ____________u.______.____..____._.._______
ESTATE OF FILE NUMBER
Cecelia M. Hale 21-96-771
Joint I.nanll.l.
NAME
A. Wi lliam J. Ha Ie
ADDRESS
8 Columbia D~ive
Camp Hill, PA 17011
RELATIONSHIP TO DECEDENT
Son
B. Dolo~es Mille~
627] S. Highland St~eet
Ha~~isbu~g, PA 17111
Daughte~
C. Agnes Walburn
c/o Dolo~es Lonca~
]94 Chambers Street
Steelton, PA 1711]
Sister
Jalntly-awnod prap.rty:
ITEM LmER DATE
FOR TOTAL VALUE DECD'S DOLLAR VALUE OF
NUMBEI JOINT MADE DESCRIPTION OF PROPERTY
TENANT JOINT OF ASSET % INT. DECEDENT'S INTEREST
1, A 1-17-7 Harris Savings Bank 14,201 50% 7,101
Savings Account
#31-01-602872
2. A 3-4-75 Har~is Savings Bank 43,697 50% 21,849
Savings Account
#05-00060772
3. A&B 4-17-8 Residence 89r500 33% 29,830
8 Columbia Drive
Camp Hi 11 , PA 17011
4. C 3-31-8 PNC Bank 16,874 50% 8r437
Savings Account
#5130074254
TOTAL (Aha enfer on line 6, Recapilulotionl 567,217
(11 mot. space is needed insert additional shuts o( same size)
,
"
.'
11y.1S11Ih t1",
~A:9l\
-!f;u.
COMMONWEALTH Of 'fNNSYLVANfA
INHUUlANCI T.... InUliN
IlUIOfNT OfCfOlN1'
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
PI.a.. Print or Typ.
FILE NUMBER
21-96-771
UTATE OF
Cecelia M. Hale
ITEM
NUMBER
DESCRIPTION
1.
A, Fun.ral Exp.n.."
B.
1,
2,
3.
A,
C,
1.
2,
3.
A.
5,
6,
7.
8,
Musselman Funeral Home
Rolling Green Cemetery
Adminl.tratlv. Ca.",
Pellonal Representalive Commi..ions NONE
Social Securily Number of Pellonal Representative:
Year Commi..ions paid
AlIorney Fees
None
Family Exemption
Claimant Wi 11 iam Ha 1 e
Addre.. of Claimant at decedenl's death
StreelAddre.. R Columbia Drive
Relationship Son
Cily Camp Hill
Stale PA Zip Code 17011
Probale Fees
Mlsc.llan.au. Expens..:
Funeral Meal
Internist (Last Illness)
Lower Allen Twp Ambulance
Copy of Short Certificates
West Shore Medical svcs
Accounting Fees/Steven M. Zeigler,p.C., CPA
TOTAL (Also enter an line 9, Recapilulalian)
(II more 'pac. I, n..d.d, In..rt additional ,he." 01 .am. ,II..)
AMOUNT
3,232
2,355
3,500
280
132
6
130
15
497
4f750
S l4f897
\
I
I
\
.'
J'
\
j[asl lUiU Clttb W~5htnrettt
I, CECELIA M, HALE, of Camp Hill, Cumberland County, Pennsylvani~,
being of sound and disposing mind, memory and understanding, hereby declare this
instrument, to be my Last Will and Testament, revoking any and all wills by me
heretofore made.
ITEM I, I direct my hereinafter-named Co-Executors to pay all my just
debts, funeral expenses, and administration expenses, including inheritance and
succession taxes, as soon as may be convenient after my decease.
ITEM II. All the rest, residue and remainder of my Estate, real, per-
sonal or mixed, of whatsoever nature and wheresoever situate, I give, devise and
bequeath, in equal shares, unto my children, Dolores T. Miller and William J,
Hale.
lTEM I~. I hereby nominate, constitute and appoint my children, Dolores
T. Miller and William J, Hale, as Co-Executors of this my Last Will and Testament.
ITEM IV. ~~ Co-Executors are hereby authorized and empowered to sell at
public or private sale or sales all of the personal property of which I may die
seised and to likewise sell all real estate of which I may die seised, and to
convey the same by fee simple deed or deeds to the same effect that I could per-
sonally do, if living,
IN WITNESS WHEREOF, I have hereunto set forth my hand and seal to this
my Last Will and Testament, this
day of M3y, A.D. 1980,
.A' 1/ ~ -
. j.-(opL. ~ (JPe./
Cecelia M. H;):e
(SEAL)
WITNESSES:
r) ~ -- -~
. "/1IA /. -,-/ifrvC.CV
~
Q...,....,l III ,1-,:::;;t.F.",:
I
I
/7
.....
,
i
I
I
11
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INOIVIOUAL TAXES
IIH:RIUHC[ Ux DIVISION
DOr. 1I060l
HAAAIS.UA~, PA 111:1.0.01
NOTICE OF INHERITANCE TAX
APPRAISE~ENT, ALLOWANCE DR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
.3 t.'J. .!]C/
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WIllS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE __ RETAIN LOWER PORTION FOR YOUR RECORDS ...
iiE'v:if;:;-i-E:CAFP--[Oj-:m--lici'r"ica--OF-iiiHEiiii'AiicE-i:Ai(A-PF~A"iSEi(Em'-;-,m.-OWAirc~-cf;;-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
CECELIA M FILE NO. 21 96-0771 ACN 101
If an assessment was issued previously, lines 14, 15 and/or 16, 17 and 18 will
reflect figures that include the total of abh returns assessed to date.
ASSESSMENT OF TAX:
15. Anount of Lin. 14 at Spousal rat. US)
16, Anount of Lina 14 t.~.bl. at lin..l/Class A rat. (161
17. Anount of LJna 14 taxable at Collat.ral/Class Drat. (17)
lB. Princip.l Tox Du.
TAX CREDITS:
PAYMENT
OATE
10-31-96
11-18-96
12-02-96
STEVEN M 2EIGlER
STE 104
4909 lOUISE DR
MECHANICS BURG
PA 17055-1324
ESTATE OF HALE
TA~ RETURN WAS, (X I ACCEPTED AS FILEO
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..l E.t.t. (Sch.dul. A)
2, Stock. and Bonds (Schedule 8)
3. Closely Hald stock/Partnership Int.rast (Schedule C)
4. Hortg.gas/Hot.. Receivable (Schadul. 01
5. Cash/Bank Depo.lts/Hlsc. Parson.l Property (Schedule EJ
6. Jointly Own.d Prop.rty (Sch.dul. FJ
7. Transf.r. (Sch.dul. Gl
a. Totel A.s.t.
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Exp.n..s/A~. Costs/Hlsc. Expens.. (Sch.dul. HJ
lD. O.bt.lHortg.g. Li.biliti../Li.n. (Sch.dul. II
11. Tot.l D.duction.
12. N.t Valu. of rex R.turn
13. Ch.rltabl./Gov.rnn.ntal Baqu.sts (Sch.dul. JJ
14. N.t Value of Estata Subject to lex
NOTE:
RECEIPT
HUMBER
AA146907
AA146960
AA184911
OISCDUNT (t 1
INTEREST/PEN PAlO (-I
63,13
.00
.00
PAYMENT MUST BE MADE BY 05-14-97_,
· IF PAIO AFTER OATE INDICATED, SEE REVERSE
FOR CALCULATIDN OF AODITIDNAL INTEREST,
03-24-97
HALE
08-13-96
21 96-0771
CUMBERLAND
101
Aftount hill tt.d
( ) CHANGED
III
(21
(31
(41
(S)
(6)
171
,00
19.836,00
,00
.00
73.728,00
67.216.00
,00
(8)
*
11"lltl ""'.111'''1
CECELIA
DATE
03-24-97
M
IF TOTAL QUE IS LESS THAN '1, NO PAYMENT IS REQUIREO.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YOU MAY BE OUE
A REFUND, SEE REVERSE SIDE OF THIS FORM FDR INSTRUCTIONS.)
(91
(10)
14,897.00
,00
(11)
(12)
(13)
1141
.00 X ,DO.
137,446.00 X ,06.
8,437.00 x.15.
IlBl
AMOUNT PAlD
1,199.48
6,900.00
988.00
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
NOTE: To Jnsure proper
credJt to your account.
subnJt the Upper portJon
of thJs for. "Jth your
tax p.Yllant.
160.780.00
14,RQ7 on
145,883.00
.00
145,883.00
.00
8,247,00
1,266,00
9,513.00
9,150.61
362.39
.00
362.39
/'Y.IN ')
BUREAU OF INDIVIDUAL TAXES
IHIIlRI'AHCl TAK DIVISION
DlPT. lllObOI
IllAAISBUAG. PA I/I:a-O&OI
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
(~,
f~~
I('-lhl II "' lll,t/I
CECEL IA
M
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ....
riEV: iS4-j-EiC"Fji - i 03-: irrniii'ficE- -oF- YNHEiii f AiicE-Y A i(- iippjiii iSEMENT-;- "L.'i."owAiicE-iili-- --------- - - - - --
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF HALE CECELIA M FILE NO. 21 96-0771 ACN 101 DATE 03-24-97
If an assessment was issued previously, lines 14, 15 and/or 16, 17 and 18 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Aaount of lina 14 at Spousal rat. (15)
16, Amount of Lina 14 taxable at line.l/Class A rat. (16)
17. Anount of lina 14 taxable at Collateral/Class 8 rat. 117)
18. Principal Tax Due
NOTICE OF INItERITANCE TAX
APPRAISEMENT. ALLOWANCE OR DISALLOWANCE
or DEDUCTIONS AND ASSESSMENT OF TAX
STEVEN M ZEIGLER
STE 104
4909 LOUISE DR
MECHANICS BURG
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
03-24-97
HALE
08-13-96
21 96-0771
CUMBERLAND
101
Anount Rami Had
PA 17055-1324
TAX RETURN WAS: (XI ACCEPTEO AS FILEO
I CItANGEO
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..l Est.t. (Schedule Al
2. stocks and Bonda (Schedule 8)
3. Closely Hald stock/Partnership Int.r..t (Schadule C)
4. Horta.g../Nota. Receivabla (Schadule 0)
5. Cash/Sank Deposits/Hisc. Parsonal Property (Schedule E)
6. Jointly Owned Property (Schedule f)
7. Transfer. (Schedule G)
8. Tobl Auet.
111
12)
(31
141
151
161
(71
.00
19.836,00
.00
,00
73.728,00
67.216,00
,00
181
APPROVED DEDUCTIONS AND EXEMPTIONS:
9, Fun.ral E~penses/Ad.. Costs/Hisc. E~penses (Schedule H)
10. Debts/Hortgeg. Liabilities/Liens (Schedule I)
11. Total Deduction.
12. H.t Value of TaK Return
13, Cheritabl./Govern.ent.l a.quests (Schedule J)
14. Not Volu. of E,t.t. SubJ.ct to T..
(91
IlDI
14,897,00
,00
Ill)
112)
1131
1141
NOTE:
,00 X ,DO:
137.446.00 X,06:
8,437.00 x.15:
1181
TAX CREDITS:
PAYMENT
OATE
10-31-96
11-18-96
12-02-96
OISCOUNT It I
INTEREST/PEN PAlO (-)
63,13
.00
.00
RECEIPT
NUM8ER
AA146907
AA146960
AA184911
AMOUNT PAID
1,199.48
6,900,00
988,00
PAYMENT MUST BE MADE BY 05-14-97~,
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
HDTE: To in sur. proper
credit to your account,
sub_it the upper portion
of this for. with your
taK paY.Bnt.
160,780.00
14,RQ7 nn
145,883,00
,00
145,B83.00
.00
8.247,00
1.266,00
9.513,00
9,150.61
362.39
,00
362,39
. IF PAlO AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADOITIOflAL INTEREST,
I IF TOTAL OUE IS LESS TitAN $1, NO PAYMENT IS REQUIREO.
IF TOTAL DUE IS REFLECTEO AS A "CREOn" ICRI, YOU MAY BE DUE
A REFUND, SEE REVERSE SIDE OF TItIS FORM FOR INSTRUCTIONS,)
ADttIH
ISTRATlVE
CORRECTIONS:
DISCOIMT :
PEHALTYs
INTERESTs
'.
"
-
\'.;
,- .....
. "
i ''1.:
0...
a
N
~;
dl :;:
0::'
r-
P'
.,
Jj-
.- ::>
Uu
E.t.t.. 0' d.c.d.nt. dying on or b.fore D.c..b.r lZ, 191Z -. I' any future Int.r..t In the ..tat. I. tran.f.rr.d
In po.....lon or .njoy..nt to CI... a (coll.t.r.U ban.f1clarl.. of tha dac.d.nt .tt.r the e.plratlon 0' any ..t.t. for
Ilf. or for ye.r., the Co..onw..lth her.by .xpr...lY r...rv.. the right to .ppral.. and ...... tran,'.r Inh.rltance T....
.t the l.wful Cl... a (coll.t.r.l) rat. on any .uch 'uture Int.r..t.
To fulfill the r.qulr...nt. 0' S.ctlon ZI'O of the Inh.rltanc. and E.t.t. Tax Act, Act ZI of 1995. (7Z P.S.
Sactlon 914D).
O.tach the top portion of thlt Notice IInd .ub.lt with your p.y..nt to the R.gltter of Wlllt printed on the r.v.rs. tide.
."Hak. cMck or ItOn.y ord.r payable tor REOISTER OF HILLS, AGENT
A r.fund 0' . t.. cr.dlt, which wa. not r.que.t.d on the Ta. A.turn, ..y be r.qu..t.d by co.pl.tlng an "Application
'or A.'und of P.M.ylvlIl1la Inh.ritance .nd Estate T.." (REV-UU). Appllc.tlon. .r. .v.ll.ble .t the Office
0' the Aegl.t.r of Willi, any of the 25 Rav.nu. Ol.trlct Offlc." or by calling the .p.cl.l Z~-hour
an.N.rlng ..rvlc. nuaber. 'or for.. ord.rlngl In P.nn.ylvanl. l-aOO-56Z-Z050, out.ld. P.nn.ylvanl. and
within 10c.l Harrl.burg .r.. (717J 717-a09', TOOl (717) 77Z-ZZ5Z (HI.rlng I.p.lr.d Only).
Any p.rty In Int.r..t not .atl.fl.d with the .ppr.I....nt, .llowanc. or dl.allowanc. of deduction.. or a.,..,.ent
of ta. (Including dl,count or Int.r..t) a. .hown on thl. Notice .u.t object wIthin .Ixty (60) d.y. of rec.lpt of
thlt Hotlce bYl
..wrltt.n prot..t to the PA D.p.rt.ant 0' A.v.nue, Bo.rd 0' App.al', O.pt. ZIIOZl, H.rrl.burg, PA 17IZI-I0Z1, DR
...tactlon to have the ..tt.r d.ter.lnad at audit 0' the .ccount 0' the p.rsonal rapr...nt.tlve, DR
"app..l to the Orphan,' Court.
Factual .rror. dI.covar.d on this a.......nt .hould b. .ddr....d In writing tal PA O.p.rt.ant 0' A.v.nue,
Bureau of IndIvldu.l T...., ATTNs po.t A.......nt R.vl.w unit. D.pt. 210601, Harrl.burg, PA 171ZI-D601
Phon. (717) 117-6505. Se. page 5 of the bookl.t "In.tructlon. for Inh.rltanc. Tax A.turn for a RI.ld.nt
Oec.dant" (AEV.1501) for an .xplanatIon 0' .delnl.tr.tIvaly corractabl. .rror..
If any t.. due I. paid within thr.. (5) c.l.nd.r .onth. .ft.r the d.c.dant'. d.ath, . flv. percent (5X) dl.count of
the tax p.ld I. allow.d.
The 15% ta. san..ty non-p.rtlclp.tlon p.n.lty 1. co.put.d on tha tot.l of the tax and Inter..t .......d, and not
paid b.'or. January la, 1996, the 'Ir.t d.y .,t.r the .nd 0' the tax ..ne.ty p.rlod. Thl. non-p.rtlclpatlon
p.n.lty I. appa.labl. In the .... .ann.r .nd In the the .... tl.. p.rlod a. you would .pp..l the t.x and Int.r..t
that ha. been .......d .. Indlcat.d on thl. notlc..
Int.r..t I. charg.d b.gInnlng with flr.t d.y 0' dellnqu.ncy, or nine (9) .onth. and on. (1) day fro. the d.te of
d..th, to the data 0' p.~.nt. T.... which b.ca.. d.lInqu.nt before January 1, 19IZ b..r Int.r..t at the rata of
,Ix (6X) p.rcent p.r aN'IUtI c.lculated .t a dally rate 0' ,000164. All tax.. which b.ca.e d.lInqu.nt on and aft.r
Janu.ry 1, 1912 will b..r Int.r..t .t . rate which will vary 'roe cal.nd.r y.ar to cal.nd.r year with that r.t.
announc.d by the PA D.part..nt of Rev.nu.. Th. .ppllc.bl. Intar..t r.t.. for 1912 through 1997 .r.l
!!!! Int.r..t A.t. Dally Int.r..t Factor :!!!r tnt.rut Rat. Dally Int.r.st Factor
198Z ZDX .0005U 1917 9X .00QZ47
19a5 16X ,000431 1911.1991 lIX .OD0301
1984 lIX .000501 199Z 9X .GoaZ"
1915 UX .000356 199]-1994 7X .00019Z
19a6 lOX ,OOOZ" 1995-1997 9X .OOOZ"
"'Int.r..t Is c.lcul.t.d .. follow..
INTEREST = BALANCE OF TAX UNPAIO X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
uAny Notice luuad .fter the ta. b.co... d.lInqu.nt will refl.ct an Int.r..t calculation to flft.en (15) d.y.
b.yond the d.t. of the .......ant. If p.~.nt I. ..d. a,t.r the Int.r..t co~t.tlon d.t. .hown on the
Hotlc., addltlon.l Int.r..t BU.t b. c.lculat.d.
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.____ u_ .._.
DNo. AA 184911
.tV-IIUDr....'
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT 0' REVENUE
OFFICIAL RECEIPT · PENNSYLVANIA INHERITANCE AND ESTATE TAX
, ,
..
.
~ ;.
.
RECEIVED FROM:
ACN
ASSESSMENT '="
CONTROL ~
NUMBER
AMOUNT
,"
"
&
STEVEN M ZEIGLER PC
SUITE 104
4909 LOUISE DRIVE
MECHANIC5BURG, PA
101
"98e.oo
17055
ESTATE INFORMATION:
E1 filE NUMBER
21-1996-0771
!II NAME OF DECEOENT (LAST)
~ HALE CECELIA M
II DATE OF PAYMENT
B POSTMARK DATE
COUNTY
SSN 160-16-1087
(FIRST) (MI)
CUMBERLAND
DATE OF DEATH
081 3196
REMARKS
m TOTAL AMOUNT PAID
S988.00
CW
STEVEN M ZEIGLER P C
SEAL
CHECKlI 2508
RECEIVED BY /:'~!, ',~ " :~ ,\,,:;'! ",,-,<.J ,oJ.!:...
// 5rGN"rU~( ';"", - t. '.It '
MARY c. LEWIS/;""U.-lj/l'fJ";t
REGISTER OF WILLS _
REGISTER OF WIllS
- - - -- -- - - --- --_.. -- .--... -_._ ._0.- .._~. _
--- ----- _.. ...h
-._- -- .. -- -- --.- --- -- .-- --- -- - --... --. -
,
1.1<0
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---, r""""""'-
..3l4. _ ~r- ,..:....
__ . __ .__..0 . _~
- -- --- ---~ -'-- .-. . .. --- . -.- ---.- --".-. - -. ---
- ---.. - ,-, ----- ..- -.- -. --. ,_.. .'--_. .--. ~_. - --
II NO. AA 185384 COMMONWEALTH OF PENNSYLVANIA '*
DEPARTMENT OP REVENUE
INoII62UIUIJ OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
ACN ,"-,0'
RECEIVED FROM: & ASSESSMENT If] AMOUNT
CONTROL
NUMBER
I
I ,
I
, "
, WILLIAM J HALE 101 ..::I6c.~9
, ',,
"
I 8 COLUMEllA DR
I
,
I CAMP HILL. PA 17011
I
I
L '010 Hill
I
I
t ESTATE INfORMATION,
. fa filE NUMBER
, 21-1996-0771 SSN 1(,0-16-1087
I
, EJ NAME OF OECEDENT (lASTI (fIRSTI (MI)
I HALE CECELIA ~l
I
I II DATE Of PAYMENT
I
I
I B POSTMARK DATE
I
:
I COUNTY
CUMBERLAND
OATE Of OEATH
08113/96 fa TOTAL AMOUNT PAID $362.39
REMARKS WILLIAM J HALE CW
& DOLORES T MILLER
SEAL CHECKIt 255/,
REGISTER OF WILLS
- ---- -- .--- -, -. ,..-. -... -._- ..-
J
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. -"-:"'Jld'II~ ~~ ""1:':_"
,
--..-
/j ''IN ,,)
BUREAU OF INDIVIOUAL TAXES
'NHERltAHC[ lAX DIVISION
_iPT, Zl0601
HARRISrUAG. Pi 171Za-060l
COHHONWEALTH OF PENNSYLVANIA
DEPARTHENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
C/
'*
I(,.UII.. ", III.'"
STEVEN H ZEIGLER
STE 104
4909 LOUISE DR
HECHANICSBURG
DATE
ESTATE OF
DATE OF DEATH
FILE NUHBER
COUNTY
ACN
05-05-97
HALE
08-13-96
21 96-0771
CUHBERLAND
101
CECELI A
H
AMount R."ltt.d
I
PA 17055
HAKE CHECK PAYABLE AND REHIT PAYHENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
NOTEs To in lure proper credit to your account, sub.it the upper portion of this for. with your tax pay".nt.
CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ....
REV: Hjii'j-Ex-"i:inc)F9:rj------...--iNHERITANCE-yAx--si'iiy EHE-riY-OF-Ai:coijN'y--ii..---------------------
ESTATE OF HALE CECELlA M FILE NO. 21 96-0771 ACN 101 DATE 05-05-97
TNIS STATEHENT IS PROVIDED TO AOVISE OF THE CURRENT STATUS OF THE STATEO ACN IN THE NAHED ESTATE. SHOWN BELOW
IS A SUHHARV OF THE PRINCIPAL TAX OUE, APPLICATION OF ALL PAVHENTS. THE CURRENT BALANCE. AND, IF APPLICABLE.
A PROJECTED INTEREST FIGURE,
DATE OF LAST ASSESSMENT OR RECORD ADJUSTHENT, 03-17-97
PRINCIPAL TAX DUE ,._ .
9,513.00
PAYHENTS (TAX CREDITS),
PAYHENT RECEIPT DISCOUNT (+) AHOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
10-31-96 AA146907 63.13 1.199,48
11-18-96 AA146960 .00 6.900.00
12-02-96 AA184911 .00 988,00
04-09-97 AA185384 .00 362.39
TOTAL TAX CREDIT
BALANCE OF TAX DUE
9,513,00
,DO
. IF PAID AFTER THIS OATE. SEE REVERSE
SIDE FOR CALCULATION OF ADOITIONAL INTEREST.
I IF TOTAL OUE IS LESS THAN $1.
NO PAVHENT IS REQUIREO.
IF TOTAL OUE IS REFLECTEO AS A "CREOn" ICRI.
YOU HAV BE DUE A REFUNO, SEE REVERSE SlOE OF THIS FORH FOR INSTRUCTIONS. I
INTEREST AND PEN.
TOTAL DUE
.00
,DO
(')CJ
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vi
,
-t")
"n;"
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PA'fflEHTl
Detach the top portion 0' thlt Notice and .ubalt with your pay.ant ..de pnabla to the n... end 8ddr!"
pr Intad on the ravers. tide. ~-~1
\!
If RESIDENT DECEDENT lak. check or .only ord.r pay8bl. tal
If NOH.AESIDENT DECEDENT .akl chick or laney ord.r p.yable
REGISTER OF WILLS. AGENT.
,., COHHONWEAL TN OF PENNSYLVANIA.
o
REFlIID (CA)I A r.fund of . t.x credit, which wu not reque.ted on the Ta. A.turn, ..y h r.qu..t.d by co.,.l.Ung an
"Application for R,fund of Penn.ylvanla Inheritance and Estate Ta.- (REV-l]13). Appllc.tlon. ar. avallabl. at
the O,flc. of the R.gItt.r of Willi, any of the Z3 R.venue DI.trlct Offlc.. or frOB the Dap.rt..nt's Z4-hour
an.warlnt ..rvlc. nuab.r. for fors' ordering: In Penn.ylvanla l.aOO.]6Z-Z0S0, out, Ida P.nn.vlvanla
end within Jocll Harrl.burg ar.a (717) 717-a09', TDDI (717) 77Z-2Z5Z (Halrlng 1....lr.d only).
REPLV TO:
au..tlon. reg.rdlng .rror. cont.lned on thl_ notlc. .hoUld b. .ddr....d to: PA Dep.rt..nt of AIVlnu., Bur.au
of Individual T..... aTTNI Post A.......nt A.vl.., Unit. Dept. 280601, Harrl.bUrg, PA 17121.0601, phone
(711) 717-6505.
DlSCQtl(la
If any ta. due I. paId within thr.. (3) calendar ~ths aft.r the dlc.dent" d..th, . ,Ive p.rc.nt (5~) dl.count
of the t.. paid I. allowed,
PEHAlT't:
The 152 ta. a.na.ty non.p.rtlclpatlon p.nalty II co~tad on the total of the t.M and Int.r..t .......d, and not
paid be for. January 11, 1'96, the flr.t day after the and of the t.. ..na.ty p.rlod.
INTEREST:
Inhr..t It charged belllmlng with first d.y of delinquency, or nine (,) ItOl"Ith. and OM (1) dly fro' the data of
d..th, to the data of p.yaent. Tax.. which blc". delinquent befor. January 1, 191Z b..r Int.r..t at the rat. of
tix (6X) percent par annua calculat.d at . dally r.t. of .0001". AU ta... which bee... deUnquent on and aft.r
January 1, 191Z will b..r Int.r.st at a r.t. which will vary fro. c.l~ar y.ar to calendar y..r with that rat.
~ad by the PA D.parts.nt of R.venue. The appllcabla Int.r..t rat.. for 198Z through 1997 .r.:
V.ar Inter..t Rata Dally Inhr..t Factor V.ar Int.r..t Rata Dally tnt.r..t Factor
1912 ZOX .aoos41 1917 9X .ODD247
19U lOX .ODDoa 1911.1991 \IX .000301
19M lIX .000501 199Z 9X .OO02U
1915 ISX .000356 1995-199'l 7X .000192
1916 I'X .000Z7' 1995.1991 9X .00alU
..Int.r..t I. celeulat.d .. fOUOWSI
INTEREST = BALANCE OF TAX UNPAIO X NUKBER OF OAYS OELINQUENT X OAILY INTEREST FACTOR
.-Any Not1ee l"uH .fter tM t.. McOMS dsllnquant will raf1act IIn Int.rest calculation to ,1ft.en US) dey.
bayond the dat. 0' the a......."t. If paY.llnt It ead. aftar the Int.r.lt co~tat1on d.t. .hown on the
Hotlc., addltlonel Int.r..t eu.t b. calculat.d.
~. ~.,
DfX$$ f9.0J! ~
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DEP~RrMENr OF REVENUE
0." '.,f.", of W,""
"d''''d", wilf If.d, 0"",,,.( Od'","",,(,( "'f,' ..~ '~I"", by ,b. D.p,..".., 'J ....... . .~,.
These may be processed aCCording 10 normal procedures.
....'NOSl, "" POsY ...... DArE .. "".p. ""'.d .. "y ""'" '''''..d "." 'pP"" .. yo"
OHicial ReceipI,
Thank you.
Sincerely,
John Murphy, Chief
'nherilance Tale Division
(717) 787.6201
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STATUS REPORT UNDER RULE 6.12
Name of Decedent:
epC'e'l; " r-.,. II., lp
Date of Death: B/13/96
Will No. 1996-00771
Admin, N02196-0771
Pursuant to Rule 6.12 of the Supreme Court Orphans'
Court Rules, I report the following with respect to completion of
the administration of the above-captioned estate:
1, State whether administration of the estate is complete:
Yes x No
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete: N/A
3. If the answer to No. 1 is Yes, state the following:
a. Did the personal representative file a final
account with the Court? Yes No x
b. The separate Orphans' Court No. (i f any) for
the personal representative's account is:
c. Did the personal representative state an
account informally to the parties in interest? Yes x No
d. Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be attached to this report.
Date:Novpmhpr 76. 1996
\\,'1L:~ fr . Ifu./-o ~)I~J~ln ,]''-jILLC'Cl---.
Signature
William J. Hale/Dolores Miller
Name (Please type or print)
B Columbia Or/6273 s. Highland St
Address
Camp Hill, PA/ Hbg., PA 17111
(717) ')4<;-0020
Tel. No.
Capac i ty: 'I. personal Representative
Counsel for personal
representative
,.,.,
(MAH: rmfl AM3)