HomeMy WebLinkAbout96-00777
1'lOTnON "OH I'HOIIATE 1I11t1 WtANT 0'" I.ETTEHS
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_.__._ _______.._______ __.m._ ___ .__ HI'~I'I~1 or Will, rlll'lhe
_____________________. l.h'n'''.II'd. l'llllllly or _CuUlhllrlHutl-- illlhe
SlId,,1 SI'I'II/it)' Nil. __125_:'28:-010J------- Cumlllullwelllth of l'ellmy(vlIlIllI
Th~ pelllloll or Ihe ul\ll~"lglledle'p~rllully lI'pl~,,'ul' Ihlll:
YUill pellllull~I('), whu 1,lllIe I" y~'"' or II~~ or oldel1111 Ihe exerulurs
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Rn:ut.. F.nnln. VA 17n?G
lJ~retlllelll.lheu-85_ yellls uf IIge, died ~eprpmh"r t6 ,1996
IlI-Haly_.5(li.l:l.Lllosplrol, rn",p-1I.llJ..--h\ .
Exreplll' fullOlI", d~red~ul,lidllulmll"y, IVI" lIul divUIC~dllllll did 1101 hllve II child !lUlII or ndopled
lifter execlltioll of Ihe will orr~led fur plllhllle; w'" lIullhe vklimuf II killillg IIl1d WII' lIever mljudicllled
illcolllpelellt:
Deceudellllll dellth oWlle,1 plllpelly wllh e,lllIlIIled vllhle, "' folluws:
(I f dumiciled ill I'll.) All persl1unl properly
(If IIUt dumiclled lu I'll.) I'e"ulllllplllperly iu I'ellll,ylvllllin
(If lIul dumiciled luPII.) l'elwlIlIl plllpelty III Coullty
Vollle of relll e,llIle III I'ellllsylvllllin
silunled as fullows: ('R?? I'ert."n, p ROIl,I,-Euol.>.-, P^
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WIIEHEFOItE. peliliollel(') mpedfully request(s) lire plu!lllle of Ihe Inst will alld eudlcll(s)
plesented helewllh nnd Ihe glllnl of lelle..--1:..C.fitJ1mentnry
(11:!liIRmel!l:u)'j nllllllllislrnllulI c.l.n.; RlllIIlulsllDllulI d.h.n.c.l.n.)
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5602 Silver Creek Drive
Nuchllnicsburg. PA 17055
OATil 01' I'EUSONAL UEI'UESENTATIVE
COMMONWEAl.TH OF l'ENNSYl.\, ANIA
COUNTY (w CUMBERLAND
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The pelllloll~I(<) IIhnve-lIl1med "I'elll(') or IIrnllll(') lhllllhe ,llIlemenl' III the foregoillg peUlion arc
lIuc IInd "OIled 10 Ihe he,1 uf Ihe kllowledge III1lI belief of pellliollel(s) IIl1lltlrnl as pe"ulIIII reprcsell-
IlIlh'e(,) nf the IIhoue decedcnt pellllullel(') will well allllllUly IIdmilllsler Ihe.e'tllte IIccordlng to InlY.
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SWUIII 10 ur IIffilln~d IIndsnb,rrlhed {_. .'~. -< . ". - 1 - ~
!lerme IIIC II~< __-'6.111 -- _ tiny nf -:1~ ..-"'71) .~ --~, ",,,r!'
1~A_1~PTEMBER Y. 1'l:J1b... /Tb_ '
, , .( Y.:.i- w.,r . t-^ -- ~' <'L/2It.(; 'A.:i';I!,J
L MARY C. L WIS Nt'J:iot/I" ,~
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Nu. ?1 - 96 - 777
Eshllc or
PAULINE M SGRIGNOLl
, UccclIscd
m:clUm OF .'.mnATE AND GHANT ()II' J$I"I'EHS
ANI) NUW SEPTEMBER 30. III1&..-. In eOll5hlcrnllon of lhc Ilcllllon on
Ihc rcvcrsc sldc hcrcof. snllsfnelmy I'lUuf hnvlng Ilccnlllcscnlc<lllcfOlc IIIC,
IT IS [)I!CIUlElJ lhnl thc Inslrnlllcnl(s) <lnlc<l MAY 1~. 1974
<lcscrlllc<l thcrclnllc n<lllllllc<llo III ollntc nn<l fIIc<l of rccord ns lhc Inst will of
PAULINE M. SGRIGNOLI
nn<l Lcllcrs TESTAMENTARY
lIIC hcrclly grnnlc<l to IRENE E MANGLE and KENNETH G SGR I GNOLl
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'. 'uu;, . " ie'Wfll 'fQ!L.~j I t~EIP.YfrO'
, Rrllsl.. III WIII,J
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MARY C. LEWIS
FEES
I'rollnlc, Lcllcrs, l.!Ie. ......... S 23~.00
Shorl Ccrtlflcntcs( 3) .......... S 9.00
1~~IIIc1ntlon ................ S ., .uO
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TOTAL _ S 249.00
Filct! ...... .m.1~~~FR .~9.. .1.~~~.......
ATIURNIlY (SUI1. cr. I.U. No.)
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Mailed letters and order to attorney on 9-30-96.
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COMMONWULTHOF PENNSYLVANIA. DEPARTMENT OF HULTft . VitAL RECOADS
CERTIFICATE OF DEATH
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E. Pennsboro
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Analyst State of Pa
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6822 Wertzvf11e Road
.. [nola. Pa 1702S
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enneth G~ nolt
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Pa 17055
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1996
Stone Church Cemetery
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;>1-96-777
ItE(i1STEIt OF WILLS OF ~~~IlI':~.-^!l]~u.____ COUNT\'
OATil OF sUnSCIUBlN(; WITNESS
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__.___ __.'._. u__._ .__ E~u~I.:O:._CU Iwvidl_ _..________u
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(,'udt) II sll",,'Ii"ill~ willl~" h1lh~ lIill 11I~'~III,'lI h~Il'wilh. (~II~h) "dll~ dilly '111111i1l~dll~CllIlIiIl~ III
lull'. ,I"llI"~(s) 1I1111 SUl(s) Ihul _.___.___h"._w_~!'.___________ ._________ -----.---- pl~S~1I11111\1 SIlW
l'aul1lllL.U._Sflr.J.glloli----,---- .------
Ih~ 1~s((IL rix . si~lIlh~ MIIII~ :11I" Ihul ___.l!,,__________ si~lIedlls u willless ullhe
le'lIl~Slor leSlnlrJl!__ illlu:r __. l"eSell~e UII\\ (illlhe plesell~e of ellcll olhel) (illlhe plesellce of the
ulher SU"S~I iltill~ witlless(es)).
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nEGISTElt OF WltLS 01" CUMBERLAND COUNTY
OATil OF NON-SUnSCIUBlNG WITNESS
(ellch). u subscriber hCIClo, (elleh) beillg duly lIUlIlifietl uecllltlillg 10 11Iw. dcpose(s) lIIul SlIY(S) Ilml
..,;:,,_ ~ flllllilillr wilh Ihe siglllllllle of Pauliug M. Sl!rll!noli ,
oodicIk
will 11Iesellled hClcwith IIl1d
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111lI1 he believes Ihe siglllllure onlhe will is inlhe huntlwIiling of
leslal_ helieves Ihc slgnlll\lle uf Ihe will prescnled herewilh undllllll lie:
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belie,'es Ihe sigulIlure unlhe will is inlhe hllndwIiling of
Wlhe hest of ~_ knowledgc untl hclief.
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leslal...dJL of ~Xx.lXl>>aOv.'(ll>lQ\1MKIIXJOllliitX*llX~ Ihc
Pauline ~I. Sl!rll!noli
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(OMMO"W'^,'" 01 ,It,,,,,,,,,,,, (TO BE FILED IN DUPLICATE
IJfrARIM!UrUf RI'1(flUl
-m;~;~:::fiA~~l:~\;;;~:ii;I'-Ml"'" i 'ii';;iii,~~T~_~~~I~~ER .~F~ WI LL"~i~ "ii,n~~:i:\(~~~iE\, 1 ')')6 YE^-~OO'Cn I~UMBE'
:.;on 1r.1l0r~T, I'nul tllO j.\. (,(j;;~;; \'Iol't~wlllo Houu
'OOAl "",iii,i,uM.i; .\'.." <i' "t.,,, j""" ,,, '''"1 Enoln, PA l'{025
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~11. Original R"lurn r I 1. SUllplemenlal Reluln IJ 3. Remainder Relurn
(lor doles of death prior 10 12.13.82
0". limited hlot. I -I Aa. Fulule Inle,OI' Compromite IJ 5. Fed.fol Etlot. Talt Relurn Required
(Iof dOlft' 01 death 01181 12.12,821
~ 6, Dflcedent Died h\lole I" 1 7. OftCfldftnl Moinlrlined 0 living Trus' ~ 8. Tolal Numbe, 01 Sar. Deposit BouI
(Alloch copy of Willi IAllnch copy of T ru"1
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO.
HAM! COMPHlI MAUltlG A!lUAUS.
,T. 1101.>01'1; :j1;nuffIJV 11[\Vltot; SqUlll'r) nld~.
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15. SpoUlol Trans'en (lor dal.s 01 death ofter 6.30.941
See Inllrutlions for Ar,plicable Pllrcllnlage on Rovers"
Sid.. (Include valuet rom Schedule K or Schedule M.)
16. Amount of line 14 loltable 01 6% rale
(Include VOlU81 from Schedule K or Schedule M,)
17. Amount of line 14 loxoble 01 15% role
llnclude volue, from Schedule K or Schedule M.I
lB. Prindpalloll. due (Add 1011 from lines 15, 16 and 17.)
19. Credits Spoulol Poyerly C,edit Prior Paymenh Discount Inlereut
0.00 + ___3J?OQ L_X12.00 ----
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766-9673
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I. Reol E'lole (Schedule Al
2. Sloth and Bond, (Schedule 81
3. Closely Held Sloc~JPorln"nhjp Inlll,,"t (Schedule C)
A. Mortgages and Nolel Receivable (Schedulo D)
5. COlh. Bank DepaliU & MinellaneouI Penono! Property
(Sth.dulo E)
6. Jointly Owned Properly (Schedule FI
7, T,anlfoJlISth.dulo GIISthodulo E)
8. T alai Gran AUtllI (Iatallines '.71
9. Funeral hpente" Adminiltralive COlh, MilCflllaneou,
Ellpenses ISchedule H)
10. Debll, Ma'lgage liabililie" liens (Schedule II
11. 10101 Dedutlions (Ialallines 9 & 10)
12. Nel Value of Eltale (line 8 minus line 11)
13. Chariloble and Governmenlol Bequelts (Schedule J)
lA. Ne' Value Subjetlla la~ (line 12 minus line 13)
(
II
fOR OATIS or DIAIIl AnlR 12131/91 CHICK HIA'
If A SPOUSAL ..
POVIR" CRIDIIIS CLAIMID LI
JIll NUMBIR ;ii':'<)C':::OT{"I-;3\;lttu-
11ll,500.60
_ ",2 tjl~~f. i)b
(21 __ ___ __~_n'-'-__
131________ O.gg
(4) _________n ---6fJ~!--
151_______~~_'_n_') .Xl
127.33
161_____,_______~____
171 _n_____ _ ___ --P_eJ1Q
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(II)
(121
(131
(141
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(IS) .________._____X. --
(161 11,.1,0'l2_.99x .06:
(171 _____ __________ g_.-.9~x ,15 =
23,387.61
ll~1,072.9,)
0.00
ll~l, 072. 99
0.00
8,l~(,4.38
0.00
8,l~('l~.38
IIBI
20. II line 191s great.r Ihan line 18, enlor the diUerence on line 20. Tlli, is the OVERPAYMENT.
a [l....:r.n~il,u,.I.'....I'..'I,.I,I.I'I.J.'11iIl...I'IrYr.r.l':'Ja'''''III.'.l'.I'U:.l:.Ii'jul'hl
IIQ)
(201
I1m.00
0,00
(211
121AI
(2181
509.38
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______ ______ __3-
21. If line 18 is greoler tl10n line 19. enler the dillerence on line 21. Thi, is the TAX DUE.
A. Enter the inlerell on the balance due on line 21 A.
B. Enler thetolal 0' line 21 and 21A on line 21B. This Is Ihe BALANCE DUE.
Make Checle Payabl. 10: R.gllt.r 0' WlIII, Ag.nl
F'" ~ ~ BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH ~ ~
Under penalties of perjury. I declOlethol I hove f!JIlamined this "Iur". including accompanying sd;;dul~, and slolemen". and 10 Ihe besl of my .nowledge and belief.
it is "ue, COffeel and complele. 1 declare thol 011 real estol" flol been reporled otlrue mnlkel value. Declaralion 0' preporer olher than the penonal representolive is
bosed an all informal ion or which !,repnrer hal ony I,-"owl~dgfl. 1 01 ~ 01'1':3 n l'J. dr.;c n oUll
"~'O' "'P"W~.fQ'..l!'~Gii,u'ii-Aiio;"'-\Ici:rlorli \,J:lU\IPE - ft', nO):' - - ii't!.'/JI/9?
~~ ~. ,. ",bUt_ :':'l.lVor C{'co t 1Jr1vo '=.lIJ17
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)~ /i IIUl' wt ~<1UOl'!! hl<.1['
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COMMOt~W(Al"l or r{Uw""VA"IA
INlIUIIAHcr fA. AlTURU
I!SIOWI O(n DUll
SCHEDULE A
REAL ESTATE
ESTATE OF FILE NUMBER 21-'J6-0Tl'l-Stute
PAUfJIIm 1,1. 3011IUIIlITJI l')f)6-00Tl7-Count;
(Prop.rly lolntly-own,d wllh Right of Survlvonltlp mUI' b. disclosed on Seh.dul. F) All 1001"'01. .hould b. report.d at fair morhl valu.
which I. dlfln.d a. th, Pllu of which properly would b, ..chang.d betwun a willing buy., and 0 willing nll'f, n.1th., b,lnD comp,lI,d
!~ buy or ..11, both I.DYlng reasonabl. ~"owr.dg. a. the 1.I.vant faclI.
ITEM
NUMBER
I.
!JESCRIP1ION
VALUE AT DATE
Of !JEATH
ALL fl'110Sl~ CEl1'rAIll tllO (2) pEIl'cols of' roul 00 tu to
01 tun to ill 311 VOl' Spr1ng 'rolll1oh1p, Cumberland
County, Ponnoylvania, doocr1bod as follolls:
PAHCEL 110. 1 - Sovon (7) acro tract of' land locatod
-alone:; tl10 HOl'tzv1l10 Hoad, blpl'Ovod Hi.th a 31n(';10
fmn1ly, 1'1'111'10, l'l',nch t:rpo d\olol11n('; ImOlm unrl nUlllbol'O(
ao 6022 HOl'tzvJ.llo I:oad, Ello1.u, 1'0nl1oylvania, and ao
!nOl'O purt lculm'ly dOllul'lbod in Dooc1 1'1'0111 Ch(\1'loo O.
Dunbul' and VJ.ola iin:r DUl1hul', hio \TJ.fo, untou AUGust
30, 1911h Cl11l1 l'ecol'uod in \;ho Cttlllborland Count;,' Ile-
coruol"o offico In Doed nool: IIH", VOltlll10 12, PaGo
256, to JOl'l'Y 3grignoli nnd Paullno II. l3(';l'ignoli, hi'
\TUo. JC1'ry S(';l'ignoli diou on AP1'll 22, 1971~, \,/hol'o
upon 0010 tltlo vootocl ill hin Hifo, PauUno II.
3gri(';noli, by l'J.e:;ltt of sl\l'vivorshlp, tho latter of
\lhOlll 10 tho c.1oco<1ont hOl'O in.
PAnCBL HO. 2 - An Unhlpl'Ovod parcel of lanu locatod
alon('; tho \1el'tzvillo Hoad and adjacont to pnl'col Ho.
1 horeInabovo dOSC1'1bod, nnu ao 11101'0 purticularly
uesor:l.bou in Doo<1 from St. Puulln EvanGolical
T.uthol'an Church of Sllvor 3pl'lng 1'ounshlp, datou
HOVClllbor 27, 1951~ and 1'0cordod In tho Cunbol'land
County nocorllorl 0 Offico in Dood Dook 11])11, Volumo 16
pago H,5, to .T01'l'Y 3{;l'lglloli and 1'ou11no II. Sgrie;nol ,
hio \lifc. 'rho oalcl .Torl':r :3gl'ignoli diod on AP1'il
22, J.971~, HhorouJlon 0010 titlo ventod In h13 HJ.fo,
Paulino 11. Sgl'i(,;I1Ull, by 1'1r;ltt of 3Ul'vlvol'oltip, tho
lattor of ",hom Is the c.1ocodont 1101'0 in.
Sold to Lana II. 38r1gno11, for *118,500.00.
A copy of Settlemont 3tatoTIlont Is submitted herowith
:~ 118,500.00
TOT AllAlso enler on line 1. Recapilulalion)
'If mor., spoce is needed. in,e,' additional sheels 01 same sin.}
118,500.00
s
, ';. -. ~... '... ~c. .., ... .
UV.uo3U+IUbl
1l~'J\!.'~l\
.....'MWw
COMMONWfAltlt OF PfNN!tYlVAUIA
INHIRlfAUCf tAX .(tURN
lnlowt D(UortU
SCHEDULE B
STOCKS AND BONDS
--FilE NUMBER
21-~6-011'7-Stnto
1996-00'777-County
mATE-OF
PAurJIllI~ II. SanIGllOTJI
(All properly lolnlly.ownod wllh Right 01 Su,vlvonhlp must bo dlsclolld on Schodulo F.l
VALUE AT DATE
OF DEATH
ITEM
NUMBER
1.
DESCRIPTION
2,62{).J~I)J~ nhal'eo of )'utnom H.G. Govt Inco~lO Fund,
Account Ho. AOY-l-l ~~-20--0103-nI3I3L, at :\112 .~3
on 9/1(3/~6.
Q 32,93l~e90
TOTAL (Also entor on Uno 2. Recapitulatlan
(11 more space js n..d.d, jns.,t oJdjlianal she.1s 0' same sin,)
S 32,9311,.90
11'11\011" 11111
~i~~
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
t
COMMONW[A1Ht or PlUU!tYlVAIIIA
INHUltAHCltAX. IlIUIN
IISIDIH' OlelDINt
ploaso Prinl or Typo ,
FILE NUMBER 21_96-0777-Stato
1996-00777-00unty
ESTATE OF
ITEM
NUMBER
1.
2.
3.
!~.
5.
PJ\\JT.,IJ1j~ '1. :lQHIGlIOr.'I
~~IOI"'ly..wn.d wllh ,he Right oISu,v'v."htp mull b. dllClo..,j;;;;5;-h.du\.ii--
DESCRIPTION
----
6.
l:ETJ[,Oll BAliK, ]!. ^., nuurnntood i,onoy I!arlwt
Account 110. nes-ool-3700. '
Slluunons Cnblo 'l'V, l'ofund.
Intornal 110vonuo ::Jorvico I rofund on 1<),;6 porsona1
Incomo 'rn:~.
Proooeds frOl1\ privato salo nnd/ol' ynrd so.l00 of
IlousoholLl oontents.
Lana H. Sgrignoli, rofund of Pro-rata ohare of
1997 County and '1'ol-ll1sh1p roal estate taxes at
final settlemont for purchase of decedont's
residenoe.
Lana ll. Sgrignoli, ref\md of Pro-rata share of
1996-1997 School real estnte tax at final
oettlement for purchase of decedent's residence.
TOTAL Also ontor an line 5. Roca itulotian) S
IAnoth od~ilionol 8\'1" )( 11" ,he.I' if more 'potlll II needed)
VALUE AT
DATE OF DEATH
'I'
.,
10,ll~O. 07
6.31
h32.20
1, 909 .l~O
134.12
67.27
12,689.37
D
Dauphin Deposit Bank
and Trust Company
MAt" OFflC~: 213 MMIKfT SIREET. IIAJlRlS6URO. PEtmSYLV^NtA 17101
711255.2121
Decedent Confirmation
Name:
Pauline M. Sgrignoli
Social Security No.: 195-28-0103
Date of Death (000): 09/18/96
Account No.
0061184306
------------------------ ------------------------ ------------------------
Type
Checking
------------------------ ------------------------ ------------------------
Date Opened
or Issued
07/22/83
------------------------ ------------------------ ------------------------
Date Closed
or Matured
10/15/96 (Closed)
------------------------ ------------------------ ------------------------
Date of Death
Balance $654.66
------------------------ ------------------------ ------------------------
PLUS
Date of Death
Accrued Int. Non-Interest Bearing
------------------------ ------------------------ ------------------------
Joint Ot/ners
(if any) or Irene E. Mengle
------------------------ ------------------------ ------------------------
Date of Joint
ownership 08/19/83
------------------------ ------------------------ -------------
------------
------------- ------------------------ ------------------------ ------------------------
Special Comments: N/A
Addtttonal tnformatton avsUable at '20.00 per hour. On. hoUr .'n'IlUII.
Date Prepared: October 17, 1996 Prepared by: Cheryl A. Bowers
Customer Management Information Dept. (CMI)
Telephone No. (717) 255-2054
Page 1 of 1
pono 06-020-210 (REV 7/93)
_IVISQt ,.. I'"''
W
COMMONWUltll OF PumSYlVANIA
INIlUnANCf lAX RnURN
RUIDENI DfCfD(NI
ESTATE OF
SCHEDULE F
JOINTLY-OWNED PROPERTY
rAurJIIfl~ :,. 8rm IGl1qr.I
Jalnllenanll.).
NAME
A. ITlBIIE r~. 't\l1GTJR
B.
c.
Jointly-owned prope,tv.
ADDRESS
---
1015 OrrD Dridco Road
IlochaniclllJurc, 1';\ 17055
FILE NUMBER 21-96-0777-Stato
1996-00777-Gounty
RELATIONSHIP TO DECEDENT
Dauchtor
ITEM LEnER DATE
FOR TOTAL VALUE DECD'S DOLLAR VALUE OF
NUMBEI JOINT MADE DESCRIPTION OF PROPERTY OF ASSET % INT. DECEDENT'S INTEREST
TENANT JOINT
1. A. 0/19/ Dauphin Deposit Banle and
1983 Trnst Company, Chocking '. 65!~. 66 5o;~ ,'. 327.33
Account 110. OO6110l~306. I' _I>
TOTAL lAlla onto. an lino 6. Rocapitulatianl S 327.33
"t mate space is needed inset' addilional sheels 01 some size}
. \ SCHEDULE H \
FUNERAL EXPENSES,
CO"''''OIlWI~;''' 01 rI""""VA"" ADMINISTRATIVE COSTS AND
IUtl[RITAUC[ IAK It:llllAU MISCELLANEOUS EXPENSES
RI"DIIIIDlelDlIlI .. _ .. _ __ -- Please P,lnt or Type
.",i. "'- PAL"''''': ,.:"--~"" ral'O~'- ___'__ _' _.1'" 'OM'" ~;,~;~ ~~ii; :~~:~~,
DESCRIPTION AMOUNT
IIY 1~1l1" I' III
ITEM
NUMBER
A.
1.
2.
B.
1.
2.
Funeral Expense..
1lJ'01'1l punol'ul !1Olno, IIlC., 3'( i';. linin :.it., Ilochanicll
\.Jure, Ponnu;rl vuuia, 1'unernl 0 xponocll.
::l 7 ,1~')II'So
Gingrich Ilol1l0r1alo, Inc., lottoring COlnotory
monumont.
60.00
Admlnlstrallve Casts: I '" 11 1 1-' t i
. rono ~. nnr; 0, ~;:ocu l' X
porsono\ Ropresentalive Commillians .;3 110. 200-21~13ll
Social Security Number 01 Personal RepresentolivJ::Onne th -0. S~i1mloli
.... I' -="l,-rr 3" 2=1
. . . 1 nC)7 t,)IJ.O. t)L- 1-- _u -4-
Year CommISSions pOld I '.L---
3,020.00
3,020.00
4,700.00
Allarney Fees J. no\.Jert Stnuffer, ];;0<1., at torney' 0 fee.
3. Family Exemption
Claimanl
4.
C.
1.
2.
3.
4.
5.
6.
7.
8.
II/A
Relationship ..
Addross 01 Claimanl 01 decedenl's duolh
51reet Address
Cily
Stale
Zip Code
Probate Fees TIegister of \'1illo of cumbcrlnnr1 County,
Pennsylvania, r,cttorll 'l'ostmlOntary.
Miscellaneous Expenses:
SUbUl'ban Cable Co., final bill.
21~9 e 00
0.14
73. 34
20.00
60.00
Penna. pOllor ,: Lir;ht Co., Septomber 1')')6 e loctric .
Dell Atlnntic, :.iopl;Oll1\.Jer 1')')6 tolephone.
Cumbol'land I,IlH J ournnl, Botnte Hotico.
Sorvice Oil COI\lpnny, heatinr; fuel.
Penna. POHor i: r,ight Ce., Octobor 1996 eloctrie.
Dell Atlantic, October 1')96 telephone.
Service Oil COlllpllny, heuting fuol.
lSI~ e 00
63.13
19.61
77.00
-----.-------"
5 Carriou Por~rarl
TOTAL (Also onter an line Q, Recapitulatianl
(If mare space Is needed, Insert addUlonal sheets of same sin.)
rAGE - 1
",,,,,,"1'''1 ~ \ SCIIEUUU. II \
'f:K~I~' fUNERAL ~XPENS~S,
COM^,O'IW!M::1 or rtlllll"V^,"^ AUMINISlllAllVE COS1S ANI>
""IIR"^,,,.I'^' HIII.1l MISCELLANEOUS EXPENSES PI.,," r,llIl or TYI'.
,,,"1111\ 11111\11111 .' .' -.- -
mAl,"' .. 1:'~Il;;~I.- -S;'~':~I:~~--: - -] fI["IU.'" ~~~i':o~,i;;:~:~::~,
_ N~.:t.I" r ",,,,,,,,'ON I ^MOU'"
_.-.-L-----,......---...--.....-...-....-- .-' -...- ...-.-.....--
9. ponnll. 1'0\101' 1:.: I,ir;ht Co., l1uvom\Jur 1996 0100 t1'ic .
~O. Dell J\tlo.nt:tc, l1uvolnhor 1996 t0101'\1ono.
11. Hll1'lt E. Hilbert r: J\s30clnt03, ll~ 11. \lnlnut :.it.,
Iloc\1llni03htlrg, ri\ l70~S, npP1'ni3inl) rOlll 03toto.
13011 Atlllntic, DOC0111bor 199(, tolophone.
Penna. P01/er [0 rJip;ht Co., DOC01~bor 19')6 oloctric.
Sorvice Oil COlnpun;J, heating ruol.
ponna. POlIOI' [: r,i{;hl; Co., JnnUlll'Y 1')97 0100tr10.
nell J\tlllntic, .1anUI11';r 1997 telophono.
pennl1. powor r.; Lil~ht: Go., l~oh1'tlnry 1997 oloct1'ic.
nell AtlC\l1tic, fO\J1'\\Il1';1 1')97 tolophono.
Sel'vice Oil COlllpnn;J, hoo.tlnG ruel.
nollon nanlt, chnrc;o for choclc boolt.
Debra Basehoro Weist, Tax Collector, 1997 County
Rn<1 TOIJnship l'oal es tute tllxes.
Service Oil COlnp:my, hentinG ruel.
Pennn. P01'1Cl' [0 LiGht Co., Bllrch 1997 e 10ct1'ic.
nell J\tlllntic, Ullrch 1997 telephone.
pJ\ Department or I\evenllO, 1996 pe1'Gonal incO\1\O tux.
13ell Atlantic, J\pril 1997 telephone.
The patriot ltOllS Co., and Shopper's Gulde, advertising
':I'llI'd sales.
Penna. 101./er [.: r,ieht Co., J\pril 1997 eloctric.
yorlt \'lllste DiSPOSlll, haulinG trllsh.
Servico Oil C011lpuny, hontlnc; ruel.
Hollon Bllnlc, II. J\., sorvico chllrgo J1lIlUO 1l&llinst
Estato Chocltlnl\ Account.
Tho sentlnol, Estnto ltotice.
Recorder or Doo<1S, rOlll ostato tro.nsrer tnx paid on
sale Ilnd rinlll settlemont or 1'00.1 estate.
~aralnount Post control, tormite inspoction.
Dillsburg septiC, clellning soptic systO\1\ Ilnd
certirication.
Real Estllte Environmontlll Sorvices, Well certirication.
Register of \'lills, filinG Inventory a11l1 l'enns'Y1ve.nia
Inheritance Tux Roturn.
Rogister or WillS, riling Account.
'I'
..
12.
13.
11~.
15.
16.
17.
lB.
19.
20.
21.
22.
23.
2l~.
25.
26.
27.
2B.
29.
30.
31.
32.
33.
31}.
:35.
36.
37.
3B.
23.1\7
19.2'7
250.00
19.27
1\0.26
l51~. 00
1.,.6.37
19 .1~B
1~0.36
20.57
77.00
50.00
223.1l~
'n .00
3'7.63
19.3l~
76.00
20.31
Il-1e 55
hl!..12
30.03
77 .00
27.2B
74.00
790.00
40.00
225.00
50.00
25.00
113eOO
Total...................... e~t> 23,305.25.
PAGE - 2
fa TOTAL AMOUNT PAID $7. ~OO. 00
DO
C .1
RECEIVED BY , I . '" ,( ,,' ''''.-;J) tV
/ SI NA .. ~
MARY C. LEWIS ..: '}/t.}(ji9/14-'
REGISTER OF WILLS (1
n. .' ~.
.- .. .-.-. - ---..- _.----' . ,--... --- -- ~--- .--
D NO. AA
184940 COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT Of REVENUE
OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
'*
....,.....-
RECEIVED FROM:
&
ACN
ASSESSMENT r:t
CONTROL ~
NUMBER
AMOUNT
J ROBERT STAUFFER ESQUIRE
Ivl
'tt I , :JVV . VU
MARKEST SQUARE BUILDING
MECHANICSBURG. pn 17055
ESTATE INfORMATION:
1:'1 fiLE NUMBER
5i 21-1996-0777
~ NAME Of DECEDENT (lAST)
~ SGRIGNOLI PAULINE
II DATE Of PAYMENT
Et POSTMARK DATE
COUNTY
SSN
(fiRST)
M
195-28-0103
(Mil
CUMBERLAND
DATE Of DEATH
REMARKS
IRENE E MANGLE
CIO J ROBERT STAUFFER ESQUIRE
CHECKtI 96
SEAL
REGISTER OF WILLS
_ __ .__ __._ _._ _._n U_ _._ ___. ._____ ..__. .__ -
,
___I ---&~
_,_ - __ .__" -. ~...~~"" '--. v..,:.
'OlD HUf -'
\
(
I
!
J
,
;
..
, // / j -!) '1- / /
CDMMDNWEALTH DF PENNSYLVANIA
DEPARTMENT DF REVENUE
BUREAU OF INDIVIDUAL TAXES
IHti[RUAHC[ fAX DIVISION
D[Pt. :aa"OI
HARRISBURC, PA 11128,obOI
t
NOTICE OF INItERITANCE TAX
APPRAISEMENT. ALLOWANCE OR DISALLDWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
J ROBERT STAUFFER
MARKET SQUARE BLDG
MECHANICS BURG PA
DATE
ESTATE DF
DATE DF DEATH
FILE NUMBER
COUNTY
ACN
17055
09-09-97
5GRIGNOLI
09-18-96
21 96-0777
CUMBERLAND
101
r
Anount Renltt.d
r~~
ItrrJp
IIV.lh'lI lit IlI,tll
PAULI NE
M
MAKE CHECK PAYABLE AND REMIT PAYMENT TD:
REGISTER OF ~ILLS
CUMBERLAND C~ COURT HOUSE
CARLISLE, PA 17013
CUT ALDNG THIS LINE ~ RETAIN LDWER PORTIDN FOR YOUR RECDRDS ....
iiEV:i5'4YEif"AFir-{o:f:97Y-Niii''icr-OF--iNHEiiii'AiicE-i'AX-A-PPRA-isEHENT-,--Ai:.i:liwAiicE-oli---mmm-----
DISALLOWANCE DF DEDUCTIDNS AND ASSESSMENT OF TAX
ESTATE DF SGRIGNDLI PAULINE M FILE ND. 21 96-0777 ACN 101 DATE 09-09-97
TAX RETURN WAS: I ) ACCEPTED AS FILED
I X) CItANGED SEE ATTACHED NOTICE
If an assessment was issued previoUSly, lines 14, 15 and/or 16, 17 and 18 will
reflect figures that include the total of 6hh returns assessed to date.
ASSESSMENT OF TAX:
15. Anount of Lin. 14 at Spousal rat. (15)
16. Anount of Line 14 taxable .t Line.l/Class A rat. (16)
17. Anount of line 14 taxable .t Collateral/CI... 8 ret. (17)
18. Principal rax Due
TAX CREDITS:
PAYMENT
DATE
12-11-96
06-06-97
RESERVATION CDNCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..I Est.t. (Schedule AJ III
2. stocks and Bonds (Schedule OJ (2)
3. Closely Hald stock/Partnership Int.re.t (Schedule C) (3)
4. "orig.ges/Not.. Receivabl. (Schedule OJ (4)
5. Cash/Bank Deposits/Hisc. Pe~sonel P~ope~ty ISchedule EJ ISJ
6. Jointly Owned Prope~ty ISchedule FJ 16J
7. T~an.fer. ISchedule GJ 17J
8. Totel Assets
APPROVED DEDUCTIONS AND EXEMPTIDNS:
9. Fune~al Expense./Adn. Costs/Hlsc. Expenses ISchadule HJ (9J
10. DObts/Martg.ge Llabllltl.s/Llons (Schedule I) (101
11. Total Daductions
12. Net Value of Tax Ratu~n
13. Ch.~it.ble/GoYe~nnental Bequa.t. (Schadule J)
14. Net Valu. of Estat. Subject to Tax
NDTE:
RECEIPT
NUMBER
AA184940
AA211393
DISCOUNT (t)
INTEREST/PEN PAID (-)
394.74
.00
118,500.00
32,934.90
.00
.00
12,689.37
327.33
.00
(BI
23.3B5.25
2.36
(11)
lI21
lI3)
lI4)
.00 X .00=
141,064.00 X .06=
.00 X .15=
liB)
AMOUNT PAID
7,500.00
589.38
TOTAL TAX CREDIT
BALANCE DF TAX DUE
INTEREST AND PEN.
TOTAL DUE
· IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
NOTE: To Insu~e p~opar
c~adlt to your account,
subnit tha uppa~ po~tion
of this fo~n with you~
tax paynent.
164,451.60
n.387 61
141,064.00
.00
141,064.00
.00
8.464.00
.00
8,464.00
8,484.12
20.12CR
.00
20.12CR
( IF TOTAL DUE IS LESS TitAN 'I, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YOU MAY BE DUE
A REFUND. SEE REVER.. SIDE OF TItIS FORM FOR INSTRUCTIONS.)
.
,
RESERvatION: E,'_tl' of d.c.~.nt. dying on or blfor. Olc..ba,. 12, 19a2 .. If any future Int.r..t In thl I.tat. II tran,f.rrad
In pOI'I.,lon Dr enJoy..nt to C1... a (col1at.ral) beneflclarl.. of thl daeadant aft.r thl .~plr.tlon of any ..tat. for
11'. or for y.ar., thl Co..on~..lth har.by .~pr.I.ly r...rv.. thl right to apprals. and ...... transf.r Inh.ritencI l....
at thl l.~ful Cl.,. a (collat.ra.) rat. on any luch future l"t.r..t.
PURPOSE Of
NOtICE:
To fulfill thl requlra..nts of Sactlon Zl~O of thl I~rlt.nc. and E,tat. Ta. Act, Act 21 0' 1995. (ll P.S.
Slctlon 91~D).
PAYMENT:
D.tach thl top portion of this Notle. and ,ub.lt with your pay..nt to the Rlglst.r of Will. prlntad on the rav.r'l ,Id..
uHaka check or eonlY order payable tOI REGISTER OF MILLS, AGENT
REFUND lCR);
A r.fund of a tax cr.dlt, which wa. not reque.t.d on the Ta. R.turn, .ay b. r.qu..t.d by co.pl.tlng en "Application
far Refund of Penn.ylvanla Inherltanc. and E.tate ta." (REV.l]I]). Application. are .vall.ble .t the Offlc.
of Ihe R.gl.t.r of Will., any of Ih. Z] R.venue DI.lrlct OffiCI', or by calling the .peclal Z4-hour
en.w.rlno ..rvlce nu.ber. for far.. ordlrlngl In Plnn.ylvanla 1-800.36Z.Z050, out.lde P.nn.ylvanla and
within local Harrl.burg arIa (111) 181-8094, TOOl (111. l1Z.Z25Z CHllrlng I.palr.d Only).
OBJECTIONS I
Any perty In Int.r..t not ..tl.fl.d with Ihe .ppr.I....nt, allow.nce or dl..llow.nca of deduction.. or ........nt
of tax (Including dl.count or Int.re.t) .. .hown on thl. Notlc. IU.t object within .I.ty (60) day. of r.celpt of
thlt Notice by:
..wrlttan prot..t to the PA D.part.ant of Revanu., Board of Appaal., aapt. 281021. H.rrl.burg, PA
..alactlon to have the .ett.r detarllnad at audit of Ihe .ccount of the p.r.on.1 rIPr...nt.tlv.,
..app.al 10 the Orphan.' Court.
17128.1021,
OR
OR
ADttIN
ISTRlTlVE
CORRECTlONSs
F.ctu.l .rrar. dl.cov.r.d on thl. ass.ss..nt should b. addr....d In writing tOI PA D.p.rt.ent of R.Vlnul,
Bur.au of Indlvldu.l T...., AtTN: Po.t A.sI.s..nl R.vllw Unit, D.pt. 280601, Harrl.burg, PA 11128.0601
Phone (111) 781.6505. Se. page 5 of the bookl.t "In.tructlon. for Inh.rltance T.. Return for a R..ld.nt
Olcadent" lREY.1501) for an ..planatlon of ad.lnl.tratlvllY corrlctabll .rror.,
DISCOUNTs
If any tax dul I. paid within thra. (l) cal.ndar lonth. aft.r the d.c.dent'. d.ath, a flv. p.rclnt (5~) dl.count of
the tax Plld I. allow.d.
PENalTY:
Th. 15% tax .ena.ty non.parllclpatlon penalty I. coeputed on the total of Ih. tax .nd Int.r..t e.s....d, and not
peld b.for. January 18, 1996. the flr.t day afl.r the .nd of the tax aen.sty periOd. Thl. non.partlclpatlon
panalty 1. app.eleble In Ih. .el. lann.r and In the the .el. tl.. Plrlod a. you would app..1 the tex and Intlr..t
that he. b..n e......d a. lndlcal.d on thl. not Ie.,
INTERESTs
Inter..t I. charg.d b.glnnlng with flr.t day of d.llnqu.ncy, or nln. (9) .onth. and on. CI) d.y fro. the d.t. of
d.ath, to Ih. date of p.y.ent, Texa. which baceaa dallnquent bafora January I, 1'8Z b..r Intar.lt at the rete of
.Ix C6~) parcant par ennua calculatad at a dally rata of ,000164. All ta.a. which bac.a. d.llnquant on and aflar
Janu.ry I, 1982 will baar Int.re.t at a rata which will vary fro. calandar yaar to cal.ndar y.ar with that rat.
announcld by tha PA a.part..nt of R.vanue. Tha appllcabl. Intara.t rata. for 1982 through 1991 .r.:
'!!!! Intere.t Rate Dally Int.r..t FACtor !!!! Int.r..t Rata Dally Inter..t Factor
1982 ZOX ,000548 1981 9X .000241
nn 16% ,000458 nM.I991 U:C .00OSOI
1984 IlX ,000301 1992 9X ,000241
1985 In .OQQS56 1993.1994 7X ,OODln
1986 lOX .000214 1995-1991 9X .000241
ulntara.t It calculated .. follow':
INIEREST = BALANCE OF TAX UNPAID X NUHBER DF DAYS DELINQUENT X DAILY INTEREST FACTDR
..lny Hotlca Ilsued aftar the t.x bacoa.. delinquent will r.flact an Intlra.t calculation to flftaan CIS) day.
b.yond tha data of the a,s.ls.ent. If pay.ant II .ad. .fter tha lntar..t coeputatlon data lhown on th.
Notlca, .odltlonal Int.r..t lUst b. calculat.d.
. -
MV.'.roUI....1
.
INHERITANCE TAX
EXPLANATION
OF CHANGES
COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT,280601
HARRISBURG PA 11128.()6()'
DECEDENrS NAME
FILE NUMBER
2196-0777
101
Paulino M. Sgrlgnoll
ACN
REVIEWED BY
ArCOBBla Byrd
SCHEDULE ITEM
NO.
EXPLANATION OF CHANGES
Total on Schedule B was not correctly carried ronvard to recapitulation page.
B
ROW
Page 1
"",",' ~., -
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
I
I
II:
11'0110 E. 111\11(;10 1\11<1 1:l1llllol;h G. :Jg!'1{:;l1011
-----.-----.-.,-.-.--.-- - _. - . --.--- -.--. -- - ~_._~- ~.._..~-_._-- --'---"--- ~ -----.-- -- .--.
bolng duly _~H'~~~1.. _. _ _.___ .ccording 10 I.w, deposos .nd s.ys th.t Ihe;' ~!_'o_..!iJ.1'Ll';-;S>.Qt_l_t_qJ'u__._. ___
--0----- --.__ _. _ __ '0_ ___ af tha Est.le of _J.'E2-tl~_!.l~!l!__:,;.O'J.C_'.!.oll__.___
iH1VI!1' :.}ll'ltW '!'ulltwhl" I
lat. of .-.,. . -' . _ .0_.,. _ ___. Cumber '~~'~'lunIY~ft., dec...ed and that the
wilhln Is.n inv.ntory m.da by J~',:~110_B_..111!I1C;lo _~rHl_ I:rHl~f)~IU!._i'_,lih. s.ld ExocUtOl'[J___
of tho .ntir. ost.to ar s.id d.ced.nt, consisting or .11 th. porsonal propdrty .nd rool ollete, except re.1 est.te outside
tho Commonw..lth of Pennsylv.nl., .nd th.1 the liguros opposite ..ch Itom of th. Inventory represent It's f.ir velue
.s of the d.t. of d.c.d.nt's d..th.
S1101'n
Juno
)
19 'J7
~~.:~,;<! g ~
- Executor. :Uftil,,'" I6r
lOll) 01'1'U Dl'idGo nOat
liochanicolJul'g, Pi\. 1705~
and subscrlb.d b.fare m.,
~-<J +Z~~}/!;
5602 S i.l VOl' Cl'eo1t"l~l'i vo
IIochuniculJul'g, PA 17055
D.te of Death
1G
Oey
[;optcmbel'
Month
1')96
Y..,
INSTRUCTIONS
I. An inventory must be filed within thr.. months after appointm.nt of personel ropresentetlve.
2. A supplement inventary must b. filed within thirty days of discavery of .ddltlon.1 ...eh.
l. Addition.1 sh.ets m.y be alleched .s to person.lty or re.lty
4. See Arllcle IV, Fiduci.rles Act of 1949.
P.
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STATUS REPOH'r UNDER RULE 6.12
Name of Decedent: PAULI:IE H. SGJlIGIlOI,r
Date of Death: soptOlnbor 18, 1996
Will No.
1996-00777
Admin. No.
pursuant to Rule 6.12 of the supreme Court Orphans'
court Rules, I report the following with respect to completion of
the administration of the above-captioned estate:
1. State whether administration of the estate is complete:
Yes x No
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete:
3. If the answer to No. I is Yes, state the following:
a. Did the personal representative file a final
account with the Court? Yes No x
b. The sepal'ate Orphans' Court No. (if any) for
the personal representative's account is:
c. Did the personal representative state an
account informally to the parties in interest? Yes 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.
(/ /~" '~~/)j' /I J
Date: J1nv, ;:>~s 1<190 ':" Y ( /t_ '/A-!L~1I
'/slgnat.ur .1J
I ?'tf
v J. j~obert Str,uffor
Name (Please type or print)
:lnr1(ot Sq'l[1rE' I31df3.
_ I:oc\1anicsbnrr., :';" 17()l)r,
Address
( 71.7) 7"6-9671
Te I. No.
Capacity:
personal Representative
cJ
Counsel for personal
representative
Yo
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