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HomeMy WebLinkAbout96-00794 \ , , t:-:"'i J' ~ ? <oj r' C.:J '- Cl-- ~ :b to.... . ~ i ..,9 'J! uj CJ - ~-'(\ ..... 0 CI) . a 0 1ft Z ~ 1'111-, h IL' <II! II \ 111,11 lilt" 1IlilllllLI! Hl)1 111'11' 1'1\' Ii 1-. II ir I I., I,,(.d !{q 1',11,11 III( ill 1,1',(1 \.11 ; 1,-11 11 Ii ,11(' \l t!1 11, 1,>1\'. II I, ,I !I'I I'I! ! 11"111 II IIli'lii,rI (I 1IIIi'-ll! Ii ,k.lill did\' illed 'XII!I 111(' I'; \"1111 1:1 "I 1\ ( Jlli' 1 1,;[ )ll'1111;11ll'11I 11111\)' WARNING: It Is IIlognlto dupllc;,to Ihis copy by pholostat Of pholograph. No, 2] -96. 7tH --iilllit.~Griitp{j.':;};~, #~'#,"";".'" :; ~.r...'ot"~ci,\\ I!l>..''''',,.'.,'r.::;:\ ',~. ,~', ~l w ,- \ :;;;1, . *". ..... ~y,*~ ~'.t'}l F{'>,;.i ~,yfNT n\ ~J,,~r ~11f!1,1tJ!-- ) /-~' /. /1"/;;'" Un:>u / '(' k{J,<..::t'C/~f~ Lm:d Itt',l:lstr;l1 cJ l-'Ct',f\lllhis \,('l Li(lldlt', $,I_{}() 37831.81. SEp I 6 1996 Date COMMONWEALTH OF PiiNNSYLVANIA. CEPARTMENT CF HEALTH. VITAL RECORDS . CERTIFICATE OF DEATH NAME Of OECEC6~T II'~. ModlM_lHI " Jose hine I. AUE(lttlkt>tllYl UHDEA1YIW'l ...... ""~ SEll 51An"tENiI~IlRI1 SOCIAL SEt'ul1lrv,iiJl.i8EFl 78 Y~ "-- COIJNTY Of ounl Fetzer UMOt!AtDAV HoUl. fii-Wt I J, Fema 1e " 204 --01 _.. 6450. ., ,5, OATil (y IlRltl I",,,,..lh o..~ /tati 81IfnUO\.J.CIlc:t;.~" o!,t,q'-'lhvIo\l<IC"','oI'vl Pl,I.CE 0# DEAHl iGt~_. 1lI>l'y "",,,.. ... "'.,t'~'lAA"m"""""j iiospw..l - OUUlA' Inpal>tnl~ Ef~tL4'" LJ (lOALJ ~inQ 0 1~IyI[J 2-10-18 CrTY.lIOI'lO.lWPOf' ,l,TfI ills burg ,Pa. L , FACtLTTYNAMEiH"""""'l\i1lOl1 OO...lIrHllfl(lrumboltl 3009 Camp Gettysburg Hill, Pa. Rd. 17011 l1bCQ..nlY_ -._Cum' (J ;I~__ "W!1ite _ OECEOtNl'$ FDUCAIION RUf\\IlV1NQ llPOOse u"';~m~~~~f~.) Wi~~~tyl Dec~i;::~~~'1 1. _L~ 1.1. Ih, !>>t11_..___P.a_____.___ (\I(l jh,()I......~kl..._-I.~--A~n...!twp .'--_f'a1l ""- .... 10YI1W\14>? 0 Ho.INo:_~ ~ 1111, ~"""~ualim~'?f~__ MOTHEA'SNAME tF~11 MoJo....l.tl>()OnSul""""'1 I Bess ie . Bushey INfQfll.IANl'S lol.\lUNa ADOflES3 tSuMl CtI)'l1q.m SllI'4_I.p {;....III 11 W00ded Dr. Shi ensburg, Pa. 17257 IllON.N.....oI.'IT\II.'Y,C""',l/lIV ,10 'C"",(b;;,,8hIO,~C<<II RACI!. AnlfllUn IFldiIll 11I"_. Wh~, .,q iSplo:;>ty1 lL~m~er1and, ..East Penn8b()-E~ '/,fY-Y 26. ! NClO( I'SUSVAlOCClIPMlON l(INOoPBlJSI~IESSJltiDUSlflY ~S~N1EVERIN lo.'"'rnpj"'lIk'kll"OVr""Jm<lIl-~"-" .~-~-~~_._--,._- LIS ,l,flM[OfDACES1 ol"",IIn9Illt,OOI'l(llV'll,161d1 r:J [v Secretory Hospital Ass.Pa,..... No ,0 ClECEl'ENT'S IoWLINQ-AOOi"iise (SII';;C;;il,;,,_ SQuj EJl(;Qd.l " FIIlIIt:"R'SNAMlilfwlI.M~ l~~1 .1I,-~L-~;erber INI'Of'J.lANT'SIIAMI!(lyP'/l'f',w"C) Linda G. Basler MIElIKXlOl'0I1POSHlON IuII/Il [1 C,~t"'" [): fWnovtl ~om lilli, 0 OItw1iSf>lo:lr\ 9-17-96 """_'UNE ~..l~PERSON~UCIj lICEN&ENU~&EA , ~ FD-011654-L III ~Itm. ZifI'i: 0Ny ,,"'n Clm'YlIllI TIlIhI * ~ Illy ..ro:>IO-..... <M&lh ocqutrl<! &1 1M 111M, dllll/lQ pl", 11&11<! ~.rllIl.".ll6blI.I\""'o'dI'lfIlO ISoqI""""....Jh..l '*IItye.lUIMoIdt.m Of cx".,Pt.KI ~_Eill6t b 1.. Cemetery NAMe ANO /lDOAEs.s Of FACiliTY ere-Harner FH -LIC~NStNullBEI1 Ill, Hbq, Pa . 17109 Inc. 1903 Market St. . O,l,fESlOfIEI)"'>:a --llil' P IM,.\~\_[l.lv 'rb'r'mp. .J-, a. " I~.O/I\tlt i=~= ! (, t --t.--t'U.;l... I , I Q -'--o~ij".<<:OiilloljfNCfOf~. r--- ~-'-""""()ljf"miOO'~oi.jrNC"fOf)~' -~_. t-.-- , II . ~_ -----L-.., .." \'oII.I~fOPi'Y"Jwt!RfAl)TOP8YI'IN0IN<lS MANNEfl~OtiAIH o"u::Of INJUf\Y' IIMEOf INJUflY PlfIFOOMED1 'MULABlE PfllOfllO IMI.~, OJy .....1"1 COlIP,l>TlcmorCAUSE ~ [J 0I'0EATtt7 N.alUlII,~ Holnl<1dI [ KClt)trll [) p,n~"'lIIIl"'.hllll~!) ... [J "'1jl ...[1 ",r:J ""'''' ['] c,"""",,,,,,,,,,,"",,, U~"""UIuR"''''.;'''.'''''''''"';;",.!L:L1i''''']'''~'ii''----'------~ L<IIklioQflCtSfl"',ljl ~ m 20 ~ ~ ClII1WII!IiIC,;n~'';;1 '--- ,--------" SION,I,1~ANDTlTlEOI'CEfll~IEFl.f). ____________..._ 'CtAHI''/'IHQ 'IlYlICI""4If'h,'K""'("'~)'1I'i1 elUlI 01 <lcIlU, "',." OIIOU,..- >A'I"""'" t'd1 (J!(,hCIIII1c;t<J J'~lh .'\(\C'lIr'11~11l<J It,,-" JJi . r\ II....{ T.IhI....10ltll'~""..lIdl/l,0I.IhOCCII""1l...kllI\.~."..llJ./'ld"'.nMrll.I.II'Cl" """""'" """"""" IJ ,~~~ } _ ._ ......__~_c'_._, LfCE"'SE'<Ut.lBEA ..... Ol\TESlONED'U'Z'"'7''' "IlONOOt<<:IOOANOCIRTIFYIHO'H~IICIA.Hif"''''IoIr\I'Jh~(IIl<k'''C~'J<l.J~'~'~1,."h""'<Ilo':'~:wrI~Hed'hl Iv'I' M", to., "1..' .. r- ~ IS' Q L. T. u-.. bftl '" ~'Y ~""..llHill', elIllII <xc,,,,'" Illht UmI, If,... .I_d 1lI1~', It>cl dUllo Ihlc.u,,~,) 811d m.n",.II Ililtd ~ !.Ii,!: j~ b.:'7 _.D~_.__.._. -:___ ~!fL.. ~._____ , ,_ J._.. ...__~_. N....~EANOAC\ORrnc.v:Ptf\SONWHOCO...Pl"Hor.~U IEOf' UtH (11p'm;mTr~IlIf'II~1 '^_ ~^~ O. ",' '~" ~', I ~-"/_.) 'W.OICAlIlUMINERICORONEA r-~ ~,. _ V VI . ,..-\ ~~~~:rb::I:.~,'~.,~~,I~~I,j~" ,11l~~ ~::~~I,I~~I,~~: 1." ~,f. ~~~/I.I:~: ?~~~~ ~~~~:',W.~ ~~ ~~~ ~l~~..~~l~: ,.~?,~I&~~: ~~?,~~~ ~~ ~~~ ~~~,I~~~I,~~~ 0 \ ()\ 1 _S \l) r \' I u:i ~\ I of-. \ JII fllulSfRAii"'iiSION.U~lit-iNOtMiiitif---~-'---'---~___ ~~Ti.7ii:IDi;;.;;~~......,L:-J:.LJj-_...,__j2il_"_~ -.al2J.I_.<"!L.:&;~______~______. l.,l.UI.aI/1.l! DATi! PRONOUNCED OEAO 1M"""" D8V VWl '1I1~!II'HIIl'lCIdIOfl/yI~~~I'IOry&I!"I'lt'ox"'QI"'IIII.~U" 'M!l CASE A~mlAED TO MEOlCAl. ElCAMINEHlCOf1ONER? '1'..1] "',M; ....RTUI CXhotrloQl\ll\(llnl~<<>I1tItK.<llt>glQd"lh,bul noIlf_iI1llln'''''~''''''''''''WltIIPAATI ,------~~'YI\ "------C{) \J'~_._ DlIElOtOflASACONSECMI>IC:EOf) <:j,Wn-~_~\1...o~!b,-'- _____ ~':i-.~tc~~1- !11-<~:::,=-_ (,M. - \O"~;':,'cl~-C::-~E-- I~UFlYAT'M)fII(' oeSCRIIlEttOWI~UAYOCCUfUtfD l-- .t,{,d.j..i,r-L12-~_.____________ ---..... ._-_._--_._,------,_.~~. ~ ;i, '10M ~? ',..) 'l""- C'~ ~,. N 0.. I.j~1 C'-j , , 11) :s (t)(i: P\ ;l} IX 13 (,) ... R. SCOTT CRAMER ATTORNEY AT LAW B 8. MARKl::.r ST, p.O, DRAWER 111II PUNOANNON, PENNSYLVANIA 17020 (117183.,8700 ~^I( NO. 11 \ 7) 834'80'.2 December 11. 1996 Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle. Pennsylvania 17013 RE: Estate of Josephine I, Fetzer ~ 1996-000794 ., Dear Sir/Madam: Please find enclosed herewith an original and one (1) copy of the Pennsylvania Inheritance Tax Return with regard to the above-referenced estate. I have enclosed a check in the amount of $47.838,66 for the tax owing and a second check in the amount of $28.00 for the filing fees. Should you have any questions regarding the above. please do not hesitate to contact my office. Very truly yours. 'J J /J 11 ._, C'().:.tIUIJ~_' R, Scott Cramer RSC/lmc Enclosures cc: Linda Basler ~~ ~ :o~ L" ',' (g] 0 (' t:'l (/1' ".':l :\ ......- u' n ' ~ , I i :':1 C I'-I -' (~ , N f , F3 >0 i ;;~ II' I.' &}' CI ;g~ t:!J ,- co , / ~ "/,' '" ' i, ') , :!)Y INHERITANCE TAX RETURN '::~~;;;.~ RESIDENT DECEDENT CO/AMONWfA[THOf """IYlY""''' (TO BE FilED IN DUPLICATE ) DfPARlli~~H2~66~~VfNUL WITH REGISTER OF WillS I ( .\' ( >I"","URO, PA 11126.0601 COUNTY COOL ~ -N I A:"'-. (tAs'Y';.:fiBtAJffi MIDDlE INifiALT."--' ___n ._.~. ~ -~- ~: " TCT5INf7SCCMPlEH ADOA~SS m Fetzer, .Jost:!phinc' I. WDq Cl'LLysbutg I~Ofld, ~ SOCTATsfc.URtfy"NYj,inER----r jDAlE OF DHTH IDATE OF BIRTH - l\lInp 11111, P^ 17011 _ ~_ --2Jl4,~_OJ:.J:1-4.51L____~_ "9!IS!'JG 2/.l0jliL __ <:,,'"'d~u-"'.k.c<L~!L- lUll. Original R.wrn [J 2. Suppl.m.nlal Relurn [] 3, R.malnd.r R.lurn Ifor dolO. of d.olh prior 10 12.13.02) [] 4, lImlt.d E.lal. U 40. Fulur. Inl.r..' Comptomll. 05, F.deral E.tol. Tax Ifor dOl.. of d.alh ah" 12.12.021 R.turn R.qult.d 6. Decadent Died Tostate [] 7. Decodenl MclllloirHId a living Trust _" 8, Tolol Number of Safe Deposit Boxe~ (Allach copy of Willi (Allach copy of Trulll ..- ALL t6RR~SrONDHlii' AND CONFi'lieNi'IAi'TAii"iN-PORMATION SHOULD BE OIRECTED TO: 'ii'iM' R,sco~t Cramer _-=~j~-COM:~'.jr~:T"~::~:~'~-~'9 TF.l~P ON NUM8ER Duncannon, PA 17020 _ ( ~17.-1 834-0700 r RIV.!",QO rx+ 111.'(1) I fOR OATIS 0.. fO....I.A. IH.. A. " IR 1. 2/31/91. ClUCK HEME If A SPOUSAL- POVERTY CREonlS CLA~M"OJ) . fiLE NUMBER A, Enter the lnlvrest on the balance due on line :?OA B, Enlor Iho 10/01 of lin. 20 and 20A on lin. 20B. Thil i, Ihe BALANCE DlIF., ..._M_ak..ch.'kl'<lVob!.uta:R.yl.t.r of Will" Ag.nt -- '*'...u1if,sITliffo AN5WER'AliOlJ~STI6~1i; ON REViiilSESIDEANOTO-RECHECK MATH...- l.Il,ldpl 1)(11\0111<1\ (~(pllq~ry, l d:"Llfllu'lf,nll {,OI{I! n;'JI;,;i;,~Xi-hi\ rOllllll, Il1dlldlll('j m'Cl;l\!l(lr~y-i;;-(i-~-~-f;~"d~d;~~~l-~-~(~~;l;;~~~~~~to tho best of my knQwlo~fg~-~-;;~Ti;~)-li(;I, tt IS Ir\lo, COHue! Clod wmplolCJ, I ';!(Hlorn tho! 011 run I n!!(Jlu hm twon [upnr[od (11 truo mmkol yollle, Doc!aro!ion of proporor othor than tho per,oncll rOprOltlntotlvu il hU,'ifld ,onQUinlormotio.'l_ofwhkhpropnrnr _hCII ony knowlfld[)1l SICif.iA'llj~_~'_0i,uiiI,R50fi 1i(~P'~N5-fBlf jPR-lllIN-G -RETURN Ar'!)fH5S .,"'- 'j ,1/,' /.-, f)/! ~~~j5'~Rl";(';iI'Riq~{'~jf['~I!^I':' n !{[)hkil;' .{.._L_, /t:.~'::Jt:':JC'-?:'rL(_k"''''''.w l:. (J , ~',.( In'; ,~'.. ). ^' ~ ",,-'" U"''''' lJ.,D.U :>;00 U"'.... a.'" a. <( I ",>- W Z '" w '" Q o Z u ~ ('I 'I if 'i YEAR HUMBf:P 1. Real E,'al. (Sch.dule AI ( 11-. 2, Slack> and Bond. (Sch.dul. 81 (21__,_..-..!...lli6RO,}.1._._.__ ~~ :3 -, 3, Cla..ly H.ld Slack/Porln.rship Inl.r.,' ISch.dul. C) (3) _..__" ._,..______..,_.___ r.r :,. (, 4. Mortgag.. ond Nale. R.c.lvable (Sch.dul. 01 ( 41 ~~__"__"___..______. 5. Co.h, Bank D.po.it. & MI"ellaneou. Po..anal Prap.rtyl 5) ___"__.lJ,.~Lfi.2.~L~.l_h_'-"__ [. ISchedul. E) 6, Jointly Owned Properly (Sch.dul. F) ( 6) _------".'-295 ' 11 7. Tran.f... ISch.dul. G) (Sch.dul. II ( 7) B. Talal Gra.. A..." IlalaLlin., 1.71 9. Fun.ral Exp.nI.', Admlnl.trallv. Ca.", Misc.llan.au' ( 9) ___J}.L424. 8B Exp.n... (S,hedul. H) 10, D.b", Marlgage lIabilitl.., li.nI(S,h.dul. I) 1101 11. Tblol D.ductian. (Ialallln.. 9 & 101 . (111 12. N., Valu. of E.lol.(lin. 8 minus lin. 111 (12) 13, Charllabl. and Gav.rnmontal B.qu.." (S,h.dule J) (13) .._.....__"~4" N., Valu. Subj.clla Tax (Iin. 12 n,lnu. IIn....~____. 1141 15. Amaunl of line 14 laxabl. 01 6% ral. 1151----__"__._____.-__.__._"_~ ,06 = (Include valuos from Schedule K .or Schedule M.) 16. Amount .of Hna 14 to)((Iblu QI 15% rale Ilnclud. volu.. from Schedule K or Sch.dul. M,) 17. Prindpallox duo (Add tox from line 15 Clnd from linf! 16.) 18. Credits Spousol Poverty Credit Prlor Paymonls --_..------- + '0 0\ :0 :0 (D wo tn,S') o CJ .... N z o ~ :J ... 0: ;3 w '" \ t;> :!2 :~'~; ~ . N . ,. (f) (I 3~,n4,7t' " - '\), ;';;(~I 17,424.88 33<.70Q.A5 335.L,709.85 (161_. .ll?/.]JlY_.,8.,?.._..,___..__ x .15. ~~ 5 0 . .3. ?.2J.Q._____.. z o ;:: :3 :J .. :l: o u ~< '\ .- 117) Discount + .____?:_L~LL2.~.fi2- Interest ---'lil.l.2...A 2 (18) (191 19, If Uno lB is groator thon Ilno 17, enlor rho diHeronco on line 19, This is tho OVERPAYMENT. ,A1l ['] ltB:rrl1.mJlfR~t:~~:~k~tllltl'J 1lliIf.~~ ~ 1r.'I.'I'l' 1..1'1'11 ~'~ I J I ,I, ~a 20. If line 17 is grotltor than lino 18, lint or tho diffmonco on linn 20. This is thEl TAX DUE. (20) u_42,jll!L_~L___ (20AI ..._....,_..___._._.__ (20BI ._....Ed!;)J)-'-~J!.___." DATE"--. i '_,.-, ",/i ,--' J ,1,-',' / " -;---.l-'-"'-';Ml:.I-~:'''~;r--i~--'--{---.l~/~~--,.J_L-- /'--U(-",.-,'<"(' o'AirV--.<-L /1 ' 1/ {} t: --1.+_"_ .....1.. ) .~'.~~__~~_ .:"1.__~'__~j__t.rt._L~_____ I 1')'- .'_'\ Invnntory and Appraisoment List of Decodent'. E.tate, (0) GENERAL ASSETS, Within throo months after his appointment, every por.on.l represontativo shall file with the register an invontory and appr.isomonts, vorified by his nffidavit, of all roal and porsonal e.tate or the decedent, excopt re.l est.te outside of the Commonwe.lth: Provided, Thot on ancillary perlonal representative shalliaclude thoreln only assets for which he is responsible, 20 PS. 320 . 401, (b) REAL ESTA'rE OUTSIDI~ OI~ COMMONWEALTH, The inventory sholl include at tho end. memorandum of Teal eMate outside (Jf the C~mmonwolllth. 'rhe momornndull1. at tho election of the personal representative, moy indlca\o the vnlne of each il.<llll of renl ostntc Includod thoreln, but the valuos so fixed shall not be extended Into the tot.l of the Invontory or Included os renl ostate in subsequent accountinlJll' 20 ps. 320.401, IN THE MAT'rER 01<' TIm '"STATE OF u}O~!,PH~t:l!'.J~~':E:I:~r~I~n___u_____uu_____ 1] h' ) - fl".,be<<ka'"'/ late of LOIver II .en 'I'owns .li'u' In t 10 County of . nn Stnto of Ponnsylvnnin, doconsed. INVENTORY AND APPRAISEMEN'r of the goods .nd ch"tl.<,ls, righl. nnd crerllts nnd ,.enl e.tato which were of the above named ____}oscp.l:>.in~,._~~e_~~_u____.____, doceased, Token and appraised th. ________u___ d.y of .,19__ (DATE OF DEATH: September 15, 1996 Executor or Administrator Valuo 1. AMERICAN EXPRESS IDS Tower 10 Minneapolis, Minnesota 55440 a. Account 9300-2840334 29,888.06 b. IIccount 9300-4211582 33,413.00 c. Account 9300-2659818 97,193.55 d; Aooount 9100-4276357 (Refund of Premium) 131.48 e, Fulton Financial Corp. 220 shrs. @20 1/4 4,455.00 f" PP&L Resouroes 580 shrs. @22 1/2 13i050.00 , g. Aooount 0000 0010 6455 7483 0 002 538.687 shra. @19,977 10,761.35 h. Account 0000 0011 5455 7483 9 002 19,578,376 shrs. @4.501 88,388.17 1. IIccount. 0000 0012 6455 7483 6 002 588.467 shra. @1..083 7,110.45 2.. HARRIS SIIVINGS BANK 635 N. 12th St., I,emoyne, PennsylvanIa 17043 a. Account 10-60-003597, Sav. 22,149.60 aoorued int. to d.o.d. 31.05 22,180.65 b. Account 10-54-286142, Cort. 10,000.00 accruod i.nt. to d.c.d. 9.01 10,009.01 c. IIcoount 10-000118241 Ck. 9,662.49 ttccr.ued into to d,o.d. 2. 12 9,664.61 d, IIccount 10-',4-.BB404 10,OOll.00 llCcruec1 int, to d.c.d. 18.95 10,018,95 The undersigned of the per.onal and re.1 estote of ,Jo~;('I)h i nc' I. !;'(....!t7,or late of Lower Allon 'rowQsh i.p ..__ deceased, respectfully certify: thllt .fter having been duly sworn mode the appraisement of the peroonal property and reol e.tote of said decedent al Nt Corth heroin. Persenal Property,. 355 , 459.73 Roal Eltate,. 0 /) ,j., /:?./ , /.',' "'1'..",17,. / ..--' / ",Dc:c.:J.t ~ Exr,(l'Adm, w - 0 () ~ .... 1:' ( ~ g, Z .. ~ (\) ;! () " ~ ~ >-. m ~~~ p, ~ I: a' ~i p, r () t'" ~ ~~ ~ 0 0 ~ F. Z " (\) ~ ! rT " :xl 0 ~f p , !:l~ ~ " 0 [ l >-' '0 >-' ." r~ o 0 p, (\) '" ~~ ~ , " ~ '" i" :x '" · f i >3 m I ~ 0 !=' ~ ;j~~ m 0 g, " " ~ ~ ' .... Ul l/I '" '" ~ p.. '" ~ '" ~ ~, n I ~ ' ~ ~ .. m .. ~ p.. (-"ii'7//( i?''')( { hUP WIO I - .!t{. 9W 9JOJeq peq",>sqn. pUU UJOMS 'h.l<>lU9^U! 9t{.JO PU9 9t{,.0 umpUOJOW9W o UI SJu.ddu IP!t{M .ut{, .d9'x. UIUU^lh.uued JO t{HU9MUOwwoD 9t{. 9Pl.lno ,,<0,.9 109J OU P9UMO ,U9p.'9p ,ut{, puu :t{.U9P .,.U9p.'.p 9t{, JO ,,<up 9t{. JO.o onlo^ JfUJ ~,I.u9..JdoJ h"<>lUOhUl Pro. JO w"'! t{'o. "IBOddo o,uld uonunlM .t{. .ut{, :,u.po,.p Plu. JO 0!UU^lh.uu9d JO t{Ho.MuowwoD ot{. U! 0.0..0 IOU ot{. JO IIU pUU ..on". JOh9J'I{M e....U 10UOSJ.d 81{. JO 110 Opnl'U! .u.w..!vJddV puv h.lO.UOhU! "l< U! llu1Jv.ddv BWe" '1{. .vl{. hOB puu '..od.p 'MUI O. llu\pJO"O hlnp lluleq 'P"o",p Ja2:l8d . J 8U1400S0r JO '.0,.3 '1{. JO xXIJ1QI~I'VX xP,noex3 - -- -- - - - - - --- -. - - - - -- --~. -- -- - --- _.- - - -. - - - - - - - ;~;t) l fi D8 --; D -1~[)li'1:-1-',T --- - - _.~ - - -- ----- :BI 'hJ.ledJo h,unoD :oIAI.LV.LN:!IS:!IUdmI 'lVNOSll:ild..{O .LIAVUM..{V RfV.1SOQ f)'_t F.B]l (OMMONWfAlH-IOl PENNSYLVANIA INt!fRllAN(f lAX Rf1UIIN Rf~IDENr Df((DfNT SCHEDULE /IF" JOINTLY -OWNED PROPERTY I FILE NUMBER 1996-00794 ESTATE OF JOSPEHINE I, FETZER Joint I.nonl(.), NAME A, Linda Basler AODRESS 11 Wooded Drive Shippensburg. PA 17257 RSLJ\TIONSHIP 10 DECEDENT niece B, c, ___"____~__.,c____.~ .......__. _...____"__..r__...___ Jolntlv.ownld proportVI LITTER ITEM FOR NUMBE JOINT TENANT __ ....M~_ 1. A . ~~i\-1 JOINT DESCRIPTION OF PROPERTY TOTAL VALUE DECO'S DOLLAR VALUE OF OF ASSET % INT, DECEDENT'S INTEREST 3,902,80 J, 1.951.40 3.752,62 L 1,876,31 " 1.284,80 J, 642,40 4.650,00 J, 2.325,00 -.-.-" 3-1-79 ......_-~._------ --- PNC Checking Account #5140256027 A 7-3-91 PNC Savings Account #5130160574 A 1-17-83 Series EE Savings Bond 1000 A 1-25-9 Harris Bank 300 shares @ 15,5Q per share as of 9-13-96 (Cert. 00003646) TOTAL IAI.o Inler on line 6, Recapltulallonl (If more space ;s n..dfld ins.rt additional ,h..I. of same S;Z6) $ 6.795,11 _,..qJIII., (1,") SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOU_S EXPE~SES_._. u. 'ploa.. Prlnl or Typo --------------:'mr'NUMBER 1996-00794 I -t.~ CDMMONWf~UM 0' PfNN$nV4NIA INHlRH4NCf 14111f"J~N . R{.~_I.~f_~!_DfcrJ>.H~.I__ _ m:h OF JOSE:PIIINE: I. ["E:'I'ZER ITEM NUMBeR A, Funoral bponlo" B, 4. C, 1. 2. 3. 4. S. 6. 7, 8, 1. 2. 3. DESCRIPTION AMOUNT ...--'-..- Myers-Harner ['uneral lIome, Inc, Gingrich Memorials Rolling Green Cemetery Company 1,916.00 1,080.00 390.00 Admlnlltratlvo Ca,U, Portonal ReprolOntatlvo Cammlulanl Soclol Socurity Numb.. of Porsanal Ropr..ontalivo: . Voor Commiuionl paid 1. 2, AHo,noy Fo.. R. Scott Cramer 3. Family exempllon Clalmanl Add.... of Cloimanl 01 docodont', doath 5"001 Add,o.. Clry Probote Fo.. - Register of WIlls Short certificates MI,.ollanoaul Expon.o" The Sentinel Cumberland Law Journal 13,600.00 Rolalion,hip ___ 51010 __ Zip Code 340,00 9.00 69.88 20.00 (II m.... 'po.o II "..dod. In..rt additional Ihoo" of lame II...) TOTAL (Alia en fer on line Q, Rocapilvlotionl IS 17, 424.88 .. Financial Advisors October Il, 1996 R Scott Cramer Attorney at Law 5 S Market St 1'0 llrawer 159 Duncannon I'A 17020 0000 0010 6455 7483 0 002 0000 0011 5455 7483 9 002 0000 0012 6~55 7483 6 002 Dear Hr, Cramer: Thank you Cor your rocont Inquiry rognrdlngLho nhova ncoount(a), reglatornd in the namo of JORophlno T FotMor, The above Investment(a) is rogl"Lered In tho nnmo of Josophlne I Fet?er, Individually, Upon the dOllth or Jo"ophlllo I Fet~...r, tho shnros bocame n part of the ostato Cor distribution by th. Ingnl roprosontntlvo oC the eatato. Following aro tho sharn nmounls nlld va IlIos f"r nndt of tho"o accounla on Septombol: 13, 19.96: ASS!'T VM.UI, A.l!.Q.QY N T iU1F &.ll1.\Bl~L ,r.mL1iUllRF._ ruiAI, VAI,UE 0000 0010 6455 7/.83 0 002 538,687 $19.977 $10,761.35 0000 00 II ,~455 7/.83 9 002 19,'\78,376 $1, ,50 I $88,388.17 0000 0012 6/,55 7483 6 002 588,1,67 $12.083 $7,110,45 Tho totnl vaJuo Includos dlvldands ncorllNI dnlly, The stock market waR closo,1 on Soptembor 15, 1996. Thornforo, we lIated the vnlue on the preceding bu. InD.. dny, To tran.Cer or rodMm thoao .haro!!, tho nnclo"od ...tnlo seltlament Corm(s) must ba completed and slgnod, If (J radomptlon Is reqnORtod, WO wIll redeem tho sharos using the prlcn "n tho doLe Wo recelvo nnd npprova the requirad documont(.). We also wIll nood thn rol1nwlng Lo complntn aalllement: --. ^ cortiCled dnnth eartl [lenLo, Wo apprnc!ate tho opportun I Ly 10 bn (1 fan rv I 00 to YOII. . If yon hnvo any' questions, pIonRolnt liS kllow. JS.f coroly, 2 . 1)jt~"-o:"'" /I~ GOK{nri J~on EnRt Sorv~'~oam Insurll!1ce and annuitins nrn issuod by IDS lifo Inllllr8f"lCO Company, en AmerICan hpross compBfl~ ~~ 10, 1996 R. soott crarrer 5 Scuth M'U'ket Sb;&st P.O, orawer 159 [)Joo!lrlral, PA 17020 The i nformlltion Fetzer Estate -- Account Ihlmber(f1) Cla~f1 of Account Dnte OpeMe! Principal Balance Accrued !nterellt nalllllce n t Dote of Deat.h Account Ownerohip N8m~ of Joint Owner, if n:1Y Date Ownnr~hijl ....no tstnbli n'lt'd Additionlll :fnfor- motion Re~\'nf\te(\ N' HARRIS _ _,___..__....m.___' .. SAVINC;S BANK Harris S<lVillg:-; {JPl'I',lt\(Jll\ Cl'lllt'l H35 Nurth l:J.lh Sln'(.t Ll~m{Jyne, Pennsylvania 17{)'\:~ 717!7:11.j<1411 71717:11.9:194 Fax which you (!lor.llll req\le~,terl on the S~curi ty Num\)p.T I\Ccount(o) of 204-01-6450, Jos9[:hine I. ) is nil follo~m. 10-60-003597 10-54-286142 10-00011824 - -- Savings 6 MtllS, Cert, O1eckirlg - 3-8-96 3-8-96 3-8-96 $22,149.60 $10,000.00 $9,662.49 31.05 9,01 2,12 22,180.65 10,009,01 9,664,61 ------ ~ --- rn1i vidual In:iividual In:1ividl.lfll - Year. to /late int~t I $277.95 $258,04 $155,36 stock infOl.'ll<ltioo uMvailable. Yoo rrust call the O\E{lIioal Ba.nk far this -infom..tioo, the 8ec\l1:'ity Holder Relati~ ~t, 'l11at phone nUllter is #1-800-851-9677, 3-8-96 3-8-96 3-8-96 - ---..---- - .- Please have t.hf! enclosed W-9 foms certified and returned to ma in the provided envelope. 'lt1ank YOO' ..---- _.*------ -- / .) I{ ;-) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE G BUREAU OF INDIVIDIJAL TAXES INHlRIIMKI '^X 1llIJlSI()N DIll r. ~6U"O 1 I!ARRISBURG, PA 17176-0601 NOTICE OF IN~ERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX 03-17-97 FETZER 09-15-96 21 96-0794 CUMBERLAND 101 [__~~~~~~o,U~!~c!~~:!~~~~_ :J MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~ iifv: m-j -Elf -;;i'p-ioi-:9'irNci'ficniF - -iNHERii';,NcE-'fAii" APPRA-i ii EiilfWf;-;; L -CciWAifcE - ,(;Ii --- --- --- - - - - - - -- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX JOSEPHINE I FILE NO, 21 96-0794 ACN 101 DATE ESTA'rE OF DATE OF DEATH FILE NUMBER COUNTY ACN R SCOTT CRAMER PO DRAWER 159 DUNCANNON PA 17020 ESTATE OF FETZER TAX RETURN WAS I I X I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Est.te ISohedule A) 2. stocks and Bonds (Schedule B) 3. Clos$ly Held stock/Partnership Interest (Schedule CJ 4. Mortu.ges/Note~ Reoeivable (Sch~dule OJ 5. C~sh/8~nk Deposits/Hisc. Personal Property (Schedule El 6. Jointly Owned Property (Schedule F) 7. Trlnsfers (Schedule G) 8. Tat.l Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. N.t V&lu. of Tftx Return 13. Ctllritslble/Governmental Bequests (Schedule J) 14. Net Value of Est.t. Subject to T.x If an assessment was issued previously, lines reflect figures that include the total of ALL ASSESSMENT OF TAXI 15. Amount of Line 14 at Spou~al 16, Amount of line 14 tax.ble at 17. Amount of line 14 tax.bl. at 18, Prino!pel Tax Due NOTE: Nd_ lineal/Class A rate enll.taral/Class 8 rat. TAX CREDITS: r :;.;~" L___ CHANGED (11 121 131 (4) (5) (6) 171 ,00 126,680,31 ,00 ,00 219,659,31 6,795.11 ,00 (81 .,~i,I..'I1J I ~i'~}~'('{t. !~'i:::.,.j';~'i~~\~ rif....'Iii';:.,_t.. ~~~~~~ ..t:~ U~ _1...1 II If~ [11 III JOSEPHINE I DATE 03-17-97 (9) llU) 17,424,88 ,00 Ill) 112) 1131 114 I NOTEI Tc insure proper credit to your account} submit the upper portion of this form wi th YOUI' tax payment. 353,134,73 U,4?4 88 335,709,85 ,00 335,709,85 14, lS and/or 1&, 17 and 18 will returns assessed to date. ,00 .00 50,356 ''!.~_ 50,356,48 =}::tl;,,:;f,~::{~f~ --;-;:,'::.... B:~{E~E~l~~Af;D:;::iEl----=~- ~~:: 35:S-~i~- TOTAL DUE ,00 ------- - ~--- 115) 116) 117) ,OOX,OO, ,OOx,06, 335,709,85 X ,15, 1181 , IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CAI.CULATlON GF ADDITIONAL INTEREST, IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED, If TOTAL DUE IS REflECTED AS A "CREon" ICRII 'yOU HAY BE our: A REFUND, SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS, I d.J 0\ i,';l C~! ~ co .- rr~ t- o> LC P' o'[} ;;:.\ CC 00 RESERVATIONt Estates of deoedents dYing on or bafor~ Docembor 121 1982 t- If anY future JntarQlt In tho os tate Is transferred in p08li8&slon or enjoyment to ChIS 8 (collatarall beneflclar.lu of thll deoedent nHor the 81<plratlon of any utah for life or for year, I the Commonwulth-hl'lrabY QxprGssly rourv8I the right to <lpprallHI Md-lIss$QQ-transfer Inheritance TnX9S at the lawful Clnl~ B (collatornlJ rato on any such future lnterost. PURPOSE OF HOTICEl To flllflll tho requirements of Seotlon 2140 of the Inherlhmol and Estate Tax Aotl Act 21 of 1995. 72 P.S, Stictlon 9140, PAVHEHTI Detatoh the top port Jon of thls Hotlco find submit with your payment to the Register of Wills printed on the re\/erll'l shilL .-Hoko oheck or mone.y order PftvnblG tal REGISTER OF WILLS, AGENT REFUNP (CR1: A refund of 1I hx credit, whJch WftS not requ8st&d on the Tal< Roturn, may be requuted by complClUng an "Applioatlon for Rflfund of Pennsylvania Inheritance ~md EIlt!lte Tax" (REV-1313). Appllcatlans aro available at the Office of the RggIster of Wills, <'Jn~ of tho 23 Revonue DistrIct Offlcllll, or h~ calling thlol sosclal 24-hour onsworlng sel....lce nlflllbQrs for tarms ardorJn;: In Ponnsylvflnlo 1"600-362-2050, autsido PQnns~lvanln and within 10ea1 Hftrrlllburg area (117) 767-8094, TDn~ (71n 772-2252 Oioarlng Impaired Only), OBJECTIONS: Any perty in interest net slItlsfhd with tho appralselnont, ftllawsnco or disallowance of deductlonli, or assessment of tftX (IncludIng discount lIr Intor"stl l'll shown an thls Notice must Object .littlin sh:ty (60) days of rocolpt of this Hotice by: ~-wrltt9n prohst to the PA Oepsrtment of Re...enue, Board of Appeals, Oep\. 281021, Harrlsburgl PA 17128-1021, OR --fllectlon to have the matter detor",lned at audit of the Docaunt of the persolial roprCl8ontatlvo, OR M-appeal to thQ Orphl'lns' Court. ADHIN ISTRATJVE CORR[CTIONSI Fuotutll errors dlscovnrQd on thla aGsessment should be addressed In wrltlng to: PA Dopsrtment of Rovenue, Bureau of lndlvldul'll Ts)(u, ATHII Post Assfl&sment Ravhw Unltl Dep\. 280601, ~t8rrlsbllrg, PA 17128.0601 Phone (717) 787~6505. See page S of tho booklet "Instruotlonio for Inharltance Tax fletw'n for" Resident Decedent" (REV-ISOl) for an oxplftnatlon of adml~18trfttiv~ly correctable errors. OISCllUHTI If Any tax due is paid withIn throCl (3) clilondar months nHor the decadent's death, a ftvo f1l1rcent (Sin dhoount of the tax paId 1s allowed, PENAL TV: The lS% ta)( alllflutv non-par'Uc1patlon peMltv Is camput.ed on thQ total of tho tal< And 1nterut alSuud, and not paid bllforo January 18, 1996, the flr'st dll,! lIftor the end of the t8)( smnosh' florlod, This non"partlclJifttlon paOllI b Is appealable in tho ssme msnner and In tho thll SMIl limo per lod CIS YOU would sPflflal the tax llnd lnhrest that has been 88g~s&ed a8 lndlcDted on thi, notice. INTERESTl Interest Is charged beginning with first clnv of dollnq\lancy, or nine (9) months 8nd one (1) (lilY frolll thQ dah of death, to t~'Q dab of f18ymant. Tal<fls whloh becftme delinquent before .Jllnunrv I, 19B1 beAr Intllrutat the rate of sJx (6%) Jiercent per annllm oalc~118hd at n dlllly rnte of .ODOIM. All taxell which bllcllllle dollnquent en nnd ftftGlr Janullry 1, 198Z will bur Intorut st s rate whltJh will vary frolll onlenclnr yur to calendar' YIHIr with thftt raie announoed by the flA Oep8rtlllent of Revenu., 1hll l'Ippllcsblll Intl.uut ratu for 1982 through 1997 arel '!!!! ~terut Rate Dally Intllrut Fsctor mr tnterClSt Rnttl 0811'1 Interost FftCtor 1982 20% .DOOS48 1987 9% ,000241 1983 16% ,OD0438 1988-1991 11% .DOD3Dl 1984 11% ,000301 1992 9% ,DOO247 1985 13;: .000356 1993-1994 1% ,000191, 1986 10% .00O?74 199!;-}!J97 ?% .000247 ulntllr..t Is calculfthd ., fol ~Jws: INTEREST . BAt.ANCE or TAX UNPAID X NUNBER or DAYS DELINQUENT X DAILY INTEREST FACTDR uAny Notice I$luld lifter thl tax bllCOIIIU da1Jnquent will rltflGltt 8n Interest cnlc:ulntlon to flfhen (IS) dtWI blyond tho dati ot thl a..usllent. If paY"Qnt Is 1118de flUor thll Intllru'( COlllPlItlltlotl dflto shown on the Hotlce. additional lnterelt .ust be cftltuletad.