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Home My WebLink About96-00813 tf) ..... Q.. -.J> ~ I - ~ .... 0 CD ... . .e 0 z VI LLI -"7':. . .... .... " ~. < _.'" Ol'," ..... ':~)ig . ::i~~ : .-: <~ ~ N. ("':l, a-i: ~ ~ ...; ~ ~ ~ '-< ~. ,) 9 ,.., ....... '" . "" t" 1 c ~ ~ :z: I:"' I ~ ~ >- &$? ~ I ~ z ~ txI S ~ ~ & g ~ t< ...; " '" ~:r iJi ~ 1:/ g s: It' ~ ~ 'j 'i ~. o tll w> () .~ :>'l ~[f ',j ( I. ,,") ,. ) .~ ~ '/"I 'II) ,', J;_: .," (,) '~h q-IP dlo.: cc ;J \Q . P' ~:j ,~ d~ . . ',i -, ~ ;,'.; . /,5,) PETITION I'OI{ 1)IWnATE und GHANT OF LKI'TEHS No, ... 2l-%.~.R'L3 To: 1':l'Ia'" of .. Jc)hn K. B.ix] er also knoll'n as .....N/I\ Regisln 01' Wills 1'01 11ll' lJl'Cl'asl'rI. CoU:lly 01' i:t.UI1l2<'X1illl,,1.. ._....... III Ihe Social Security No, ..J9(i-:-14-=:Q1Jl~.. ..._._.... COll1l11OIIWeallh 01' PellllsylV<1l1ia The pelilloll 01' Ihl' ulldersiglled rcspeell'ull,1' repre,It'II!.1 Ihal: Your pctilloller(s), who iWarl' IH years 01' a~e or older alllhe exeeIlLQJ;S,_____.._. named Inlhe IllS! 11'111 01' Ihe above deeedelll. dated .)"O~r.:~I~...ry..?"QJ.__~__,,____~__. 19LL__ alld eodlcil(s) dated. nQl]Q._.............. ...... _'"'''_''__''' ., El va 7;-; -I3TXlerdi.oQ" ciiiJuiK,' 28;' 1991j-'soo-Esla to"N0.2F94::rr01l __ _. _"_,,_.. u...__............__.._..__...._.._.... _.._'.1~.._...______,,____. (.Sl,ll\.' Il'kvUIlI dll'lumtallcCS, e,g, rClllllll'iullOll, <It'lIth or \.'\CI.'U!Of, ct~.) peeelldenl was domicilcd al dealh III ...._c:.ll!1tl:>cJr}ar:tcL_....._._.._ COUllly, Pennsylvania, with ILl!,!....... lasl I'.uulll' ord"ineipal residence al .J19 .I3~9Q.1'.troet, llc>iUnq..l1!2.t.inqs, . ..P('jllr1sy}vaJlia..1'/O 7 (Southf>1jdc:l)ctQ!1:J:O\'il1!3NI2L_.....__.._....... (list ..Ol'C!, Illlt1lhl'l ilnd 1I111lldpaliIY) Deeelldellt, Ihell .... 9S years 01' age, died.... ...I\..U9\lSt.21,. ... ..~......, 19...2.6._, 1I1.....J'LgiI9g Sl:,rcoL, IJql)J.!19 .SpLil!g2LYQJ.1!1lli'J"'flnlfl.....1I007 ______.~_..' EM'ept as follo\l's, decedent did 1101 marry. was nol divorced and did nol have a child born or adopted after exeeulion of Ille \l'ill offered for pro hale; \l'as not Ihe victim of a killing and \l'as never lldjudieatcd ineompetellt: . 1}9. .Q~QO.P:t,1Q!l~...-....... ..._......___..................._..____...".______. [)eeendeut III dealh OW lied p,opmy with esliuHlted values as follows: (lI'domiclled In Pa,) All personal property (II' not domiciled in I'll,) Personal property In Pennsylvania (If not domiciled in ,,",) Persollal proPl'rty In Counly Value of real estate in Pennsylvania situaled as follo\l's: _.__...__.._..__...._..._~____. $ LU1es tima ted $ .---"...- $ $ WHEKEI'ORE. pelilioner(s) res peel fully requesl(s) the probate or the Illst will and eodieil(s) presenled herewilh alld Ihe grllllt 01' lellers.___Testamenta~ .__ (IC~IU1lll'lllllry; udmlnistrulioll c,t.U,j mll11iniMrlIlloTl d,b.ll,c,l.a.) theron. I 'tl_ H "'~ l~ I'ii'~ lf~ 90 a, Iii ~1 . 'L .' cJr .~(. B~~fs~~___ ~'l5.JLaxk..Q;(ill'i) .. Rni l.ing...Springs.,_.PlL1Jil.OL_ ~'7.1.7",2SB",67.74..-..-...- -.-_ -..-SSNI-~~n-l~76 ...............----- ) C C1'...uw' ~;;:,€ /V E. Jc{irl Bixler P.O. Box 45 Boiling Sprinqs. PA 17007 ---217-258=3225_ ~SSN.:_20iL~B=Oc}7 4 _____,_________.._...___.__.__.~_ ..... '_'U .._.___._._._.__._._._~...___ _u__._____ __________._.. _.~__.__ _...... .____._._...__h___T.___.~__.._._.,__.._.___R._ OATH (W PEI{SONAL IUWlmSENTATIVE COMMONWEAI.TII OIII'ENNSYLVANIA }::I::I COUNTY 011 ..... t:;IJrvlBli:I\YINIL.... ______.._m . The J1etltioll~r(s) ahol'e'II'.III1"lI sweur(s) or al'flrlll(s) Ihul the slalelllellls ill Ihe foregolllg petit lOll arc Irue lllld eorreello Ihe hesl of III(' kllowil'dge alld helieI' of pelitiol1er(s) ulld thnl as personlll represel1' Inlive(s) of Ihe above deeedelll pell\ioner(s) will well ,")(1 truly adlllilllSler Ihe estnle according to law, Sworll 10 or aITir'"e'.1 ,alld \lIhScri.hc.'d I Rfr....~(J... .!~</4___.At..._.___ ~ hel'ore lIle Ihis u? I]r. .. dll)' of . .JgI1I1.!<._ !l~l(}.q!I_...;J:f.!.____.~ ~' d. q,C.'fO,13EH .J). (10 JfL.' 1 .r:-.....'.~....... ....,....u...._.........._.~_..__ ~ 'J (;, /.' 8 ) . '. "/ ., llal~';j__.,____(>{,tlP~"" .L1.'(f/,L'I ..(1._/ i.cL-t.'--_--t..I.".(I,.' __.m.._W_._._____~ ~ !. l'-1ary C. Ilcwin R'}.!f.\{l", E-J.._/Jcan._13b:lcr__~___._.______._~__ ~ /'. I" - ,.) REV, I ,~oo 0:. + I' .<;4) . W I- ","'''' ua::.:' w.... %09 .."'., ~ i' 1l~.':I~dn .,....,); w I', INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) FOR DATES OF DEAIH AFTER 12/31/91 CHECK HERE IF A SPOUSAL POVERIY CREDII1S CLAIMED I I FILE NUMBER , I "1 - lJG - OB13 ICOUNTY CODE YEAR .,..-..-.- j)f(jiJf.-tlB ((JMi;iTifAii{jlif5fu---~~-,- .___n_...___.______ H ~ RilcO Stn'et Boiling Springs, PA ,moo'f Cumberlilllrl .- AMOliNr-RlC[p,i[lI jsfi ItiSlIllj(IiliN5) . .:__. . ....__ ..______........._..u. ,___,._...__".__ [I 3. Remainder Roturn (for dato1 of death prior 10 12.13-82) DC] 5, Fedoral Eslelte TOlt Roturn Required 1- 8, Total Number 01 Safe Dep01it Ooxes 1700') ! 1 2. Supplemental Return !}j 1, Original Relurn [] 4, llmited EslCllo [--_'.1 40. Futuro Intoro~I Comproml~o (for doles of dealh oller 12.12.82) [~ 6. Decfldenl Died Te~lelle LJ 7. Decedent Mainlained a living Trust IAlloch copy 01 Willi IAlloch <:opy 01 TrUll) AU.CORREs'PONiiENCEANO'CONFIDENfIAL TAXlNFORMATIONSHOULO BE DIRECTED TOl ------.----,.-. NAME---"- --~----TOMml{/.iA!\itlGADDRESS -_.._-~--- (\ ,..... __RobertI'. 131 ack, .8s.9. .___ ..... 36 South HanOV6r S tlJ?et ',J :,t,J H\EPtlON[ NUM8(R Carlisle, PA 170131 717 243-3727 c=t=,~'--J=""==,,_~.,,=,,,. ,_._... . .__.~'_--.""",,-=c,,~.~~_c.' _,""==".'"=""==:.='~,==,,,,,,=''''.,='==_' ..__m.. .. ._. II) ..400,500,00. 121115,775.9__6__ I 3) ..._______,..Q.&O""'____ 14) 0.00.. 15) _l52,09?,4L ____Q.&O_ .--Q.,Q,Q, . ~ f:3ffi "''' "'z "" .... z " 5 :0 t: ~ ..., W '" 1. R.ol Eltot. ISch.dul. A) 2. Slock, and Bonds (Scl1edult\ BJ 3. Closely Held Slock/Portnftnhip lnterosl (Schedule q 4, Mortgoge$ and Noto1 Receivablo lSt'hedule DI 5, Cash, Bonk Deposlh 8. Miscollelneoul Person(11 Ploperly (Sch.dul. EI 6. Jolnlly Owned Property (Schedule F) 7, 1/0011." ISch.dul. 0) (Sch.dul.l) 8, Tolcll GroH Aueh (Iotollino$ 1,71 9. Funeral hpenses, Adminislrativo Cosls, Miscellaneous EKpenle1 ISchedule H) 10. Debh, Mortgage Llobllilio1, liens lSthedule II 11. T Cllal Deduclians (10101 lines Q & 10) 12. Net Voluo of Estale (line 8 minus line llJ 13. ChClrilablo and Governmental Boquosts (Schedule JI ...il '-1 16 ) 17)_ IB)_ _}~~(~23_.43 COMMONW[ALTH Of Pl:NNSYLVANtA DEPARTMENT OF RfY(~HJ[ DEPT. 280601 HARRIS8URG, PA 111211,060\ mCf';( NI:S -NAM[ - jt,;;ITFiil51. AN[;t"Mitfiu -(t<ifiA.l)c-"'--'-.....---.-.. _.-'---~_,.____,___u_ BiXler, John K. ~ 'oCl~ ;~~~~I~~~~~R(: - - - 1"^~;~I~t/l~IG IO^t~;:~!~f~ ._____~ m. o:~~."t'.:""": 1'0"" ''''MI '"'' ,..' ""'"'1'1"1 """", !\(X,^' ,tc""''' NlJM'" ___~..!..4.:...~f11 Valu~~_~ject 1?_Tol( .tLino 12 minus .~~..!..3L,~_ 15. SpoUJol Tronsfers (for daulS of doath after 6.30.941 Soe InslrucHons for Applicable Percentage on Rovnne 115) Side, (Include values from Schodulo K or Schedule M,l 16. Amount of Line 14 l(l)wble elt 6% rCllo (Include valuos from Schedulo K or Schodule M.) 17, Amount of Line 1.01 toxablo at 15% rote (Indude valuos from 5thedulo K Of Schodulo M,J 18, Prindpallolt due (Add tOll. from lines 15, 16 (lncl 17.) 19, Crndi1s Spousal Poverty Crndil Prior Poymonh Discount + 40,QOO.00 i .2,105.20 Z Q ii I- it .. Q .. 19)_~u___4~tJJj_~.<lJ____ , (10) ....u5,l:W.}L___ (II) _.__2.0,ll?,4L_ 112) ___._1l8,.z57~95 113) .h___._____ ,. 0.00 1141 .... 718/257.95 . .._)(, ____...11I 0.00 ..43,095,47 0.00 116) 718,257,95.. .".)( .06 = I (17) . ... ...K .15 = liB) .43,095.47 Inler01t s 20, H line 1911 gruotnr thon Linfl 18, onlor thn difforonce on line 20, This is lhe OVERPAYMENT, r.i.1U (19) 120) __42,105.20__ 0.00 Cock her. If you aro requesting a ro'ur)d 0' YOUf(OVerpaYl11ent. 1711 121AI 1218) 990."7 0.00 ~~0."7 21, II Lino III is gronlor ,!lon l.inn 14, Olllor thn dilf('1fo!lf.o on linn 21 Thi\ i~ tl\!' TAX DUE, A, (ntor lho inloro\1 on ll1n hul(l!\(fl dUll on linn 21 A- 0, Entor Iho tOlol of lirlO '}1 (lnd 21^ on lino 21(\ Thi~ i~ tho BALANCE DUE, Make Chock Pavable to: Rogllt.r of WIII" Agonl ~_:~~__'~~'__ ...>--u~-- ~E SU~!TOANS w(ii' AL L "QUESTION 5 ONIl EVERSE SIDE.ANl>urollE(HEcKt.\AfH'-=--<'O(--- Undar ponoltio~ of pnriury, I dncl(~rn tho! I hovn n.~{Jminnd rhil rllturll, in{ludirH) (t(wmptlllyinn HhndullH O!lel llutomllnll, clIld-to thn be,I 01 my ~nowl(ldfJfI ond bf'li(!f, il Is hllO, corrfl(l tlnd (omrlnlh . I dndwn therl u1l 10011'11010 hm hoon rnprl/lI!d ~rt 11lJ(! fl10rknl VUlll(1 Dot:!mnlion 01 prnpmnr 011101 thnn Ihn pnrwr1111 H1fHO\onlnlivll il -1(J.'.~.1 G.. .<111 in!o rm.".lrotl O.'WI."'.,I.'IJ/flPil....' hm {lny kllClwludnn 'IGt~A(,,~t''.l' ~o _\~I/~~ltr?,~?Y~YJlnJ:.ij.1 )U1i!~tj ^"[I~'!," P.O. Box 4~)1 Bo.ilJllq Spri.nqu, PA 17007 OA!( 0 f; , ( ".,' ',f../J'X1l,T, ' /', 1 k ,j :",C 'i1 . 1.1.', "'~J !\l); Pr" l30iliny Spdn\J:J, l'^ 17007 '.IGt~ .1 . t'l( I!fR(6)tJtI! lAN1E1'fr"ltjl~-lrVI A!JIII.tl.... (IAlI ...J .\J, ' II / ,( (" C . . }G ~;. lI,tllllVl)!: ~;t. / C,lI~IIHlc', P^ non 'i' I ' / . .~ :.1 ,,' I '/ '" .. .. ~ '" i!: ~ z 0 6 '" ,. z .. '" :; ~ '" z z 0 i': u ~ " '" '" 0 w U w ~ .. w '" 0 :; '" '" '" ~ w w Z <t " ~ w ij 0 ~ ~ 0 '" .. >- w '" V! C)o Zcc: 00 III I- -Z V!... ~> Uz 0_ l- V! <t Z ~w (5 r=' .0 VlZ q Zw '" z> t'l Qo~t~~~S :<tt,'~ oo:i:;.! .. 7'11, t-N. \J;'I ~Z"'''' <: ..,wo..<<. \~~~~~ ~~ ~ ;).~ rr. o ., ~ ;z; < o u I , . . j : ;1. r. ,1 ( \- ..., .. ..., "'" ~ 0 -:d ;;; ~ '- ..,w l.- I. I, I. 'J ~, ~ 0:; ~ ) Z<t 'J " ,:, ), ~ ~Z .J ~ ) ~ f ) ) ti) ~ ~a: - r::;) "'<0 ' <:l. ./ UO " 1 o~ In ,. .:!. .'l~/ J .! >- '" G w ( ") ~ \ .. '" -" .I. ) J ~ 1~ ) ." -~---~~~~~-~~ ~r ~~~ ~ ~ '".C t ~ ~ ~. ~ ~ ,.~ ~ l' ~ ~o~ ~ ~ :: s ~ ~ II \j\ ::: ~ ~ ~ .10 _.., \", -, .s .J, I ___ _._.._... ..n_ __ __._ __. _ ___ ____ .__ ___. __ .__._ ..._,__.V'I. __~_ __._=. __" '" ~ i ~ ~ ::i :r t .... :t z u ~ ~ ~ \~ ~ o J r "' ..,)0,.-0 ,'" IV\ ~'i1 ('" ~u" If) II f\,~ J) -..l ...J r- r r r- ~ rl' r r 1 ; 1 ---,-'--:!----' ..- ----- --. - -- .$.. 1-1 )1 "jl 'J"'" ) 'J t ,:., 0- ,.l ....., v, ~ ~ ,I') r C 1 -.::r ::. ..I.., V.rI~ r-l ''':. " ....) (' :;:. [M ,1\ ;- '\ 'J r r.; ('if'^, --.fl o Q",,- ~ .1. 00 ...J J...J vI IJ J) :J ~ t: ::;, <C. v -bj rj] ______~L~J,J ~__ .. ~ 4- "l- - ,;; r r r- r .1 :r n J S, l '" ("'I ..;l o,j ~ .:J ...) r ,)0 o ~ z ,. Z ~ :; o u :i ~ I ..A ~I 31 "<1"1 "1 ~ ~ J J ( -+: I 1 JI \..>1 ~. $0 ~ ) ) t1 " .,. - vi {' 0.1) :J - , ~ Cv .J -r;J C+- ()...... :t. .t ',:, vi - _____1--- . ~ ~~/~ - t 1 :( ~ ., 1" I ~ d ~dl. - I :) ___. ..._.J____ "'.u'" .__ ____._. ----!.- -' - -- ----- Z ., I I I ii;O ~ i ~ .., 'l .' ' w;:: 01" ,) 1 I I g~ 61 i :, ~ ~ ~ 1~~1 VI, 'v) ; ~ D I -- - -- --- ---- ~-- ---~, 1 , 1\ ') _;..A ? .:J .J, IiJ ('\ ~I J ...) ['1'- i>o -1 ., ., ') ~ 1I1 I) ) (\ - ') -..... '" .. ~ '" >: ~ ~ z o 6 ~ z "' '" :l; ~ " z z o >- u ~ 2: @ '" '" o w u :::: u.. ~ w ::.l 0 "" VI UI W ~ ~ co ~ .. ,~ ~_ w 0 o VI = 0 '"'" w u. O/l ------ li'l C)o Zcc: 00 lI:Il- -z 1fI... ~> v% ~- III --- " Z " ~w (; >-~ .() 'aZ q kW '" z> N Qft;-) ~~~5 ~_~i) ",,''''0 ..;~>OO~c! cii"~'1 ~Z,""d c;: _1"'l~Of. ~a~~ ?;~ '!! z~ ~ ~~ i 8 ! " . w ~ . ; II ... 1- o '7 '" 1>~ J'r a~ "I ~" 'j)- ~~ ';'cD\ t;~J - - " W '" W W :tu..:J QO~ C. <!. )-;; nill /\ -G~r--.::. ""-I"'" " , ..>0 I I", 1\\ - ..3 J !. I) (' I ~--^ , 'r <.::. I I <;> ::r-)- '-' tr, tr "'" )- r I if' - '-J'" I ') ,.J M ~ I. _-3~~ .5 ,__.., ~____ ___ __OP__ ~ --- ----' ;:1 .'" ..:;l I' '. " - .... ( - .J) '" w " :; ~ ~ /I M r\:\ '" 'J ...I, ,,- j-!l \' ..r 'v) I:r r\ M ~ r }'7 ..;r r - \ ..j r"\ ..:;l r4 ~ 0 (\r> - - - .- o z o e W :; U ;;: ;:: '" w U M 1"'\ ufo, I )- v,\ ,0)1 - It _'\ D r\ -l ~I '\ __ I -.r---- .-'- I \-1 "l ( l-' w ::: " z ,. z ~ o u ,-'\ ~ \. It\ J -\ ~I ~i ~ 1 ' <3\ I I I 101' I I i.f1 o .:r :n " w '" " '" " ~ u .., _ 0 Nlr -~ z ;;,0 ~~ "z >:- "':; dQ z- ~I \(1 .J -- .-----------.-- ~ ~ ~. ........ ------.----' \ I I I I \ I I kt'H~\'~, 1I~11 ~ .' v 11/k:tl:'" " -.,'i;h- SAFE DEPOSIT BOX INVENTORY COMMllNWI ^11l1 "f rftlN~nVMII^ IHI'^RIMlttl oil 111'/111111 INIIUllANf.llAlf IJIVlilON [llrlll1llN11 11"1I111~lll~~:~ _I;!~~~:~..~_;..,~__;..._..:..;.;.:.;,;;.....:._.. ,~c..;..:.:...__~__..:.;...__.:;;..:...............:.._~_..':;._..._,-;,;",~_~,._~;o- . PI.OQ~_~ _~_rl~!._.'!.r..!.y"p'_!. _._ MU5T BE COMPLETED BY ~EI'~E5ENrAJlVE Of flNMJClAL IN5TlJUlION WH(~l SAf[ lJ(pm,1T IIOX 15 LOCATlD AND REHIRNED TO ABOVE ADDRE5S cOuNfYC-6or-----D"FiLE-NlJriBER- -----USOCIAlSECURIIV OR DEATH CERTIFICATE NUMBER I . I ... I Li (, - I ~I' - 0 \ '2:,(., DECEDENT'S NA~E itA'" 111I~t MIDDLE) II OATE~?F DEAT~.-~.'" - ~-- .. --- --- --- _ f.,l'f..- L't (? ~..,h" k 'S,'~ L_ ._~.~_~_~_.__~____ ADDRESS OF OECEDENT (~lrRt(1f f- l(I!Yj I!.TAIfI IllP COO{I P () .I3N 1..( :;;,-. (~,-, , .1 , "'J .:., '.'''-' "'. 'u" . _.f::~~_.____.._._.l..:: 'D '7 NAME AND ADDRE55 Of PER50N REQUESTING THE OPENING OF TilE SAFE DEPOSIT BOX (NAMq ---.:J 'Lc, ~'_~' yL,>i:_.____n. _____._" (STRHT ADoRe!.S) _ (CIIYI ____5'..0__.\)..~f.___~t...s:.._.___......~__"_~~J~."_'__'_1..._s.._t:::-.'_,:,~~_ei::_ ~AM~:..All..D.~ESS AND RELATlo.N.S.HlPJ'~_"N_YlT()_Il.ECED~~T!.O~.~~~S?N.lSI.~~~S.~i'lT A.T.T.H.E BOX~~E..NING. u. (NAME) IRClAHO"'5tUrj ~. ... ,.sIC ,,- ,-1 8n,dc.r..____ .. .C.'_-:g':'LC_'-_..~_l'~:'_~.,_.____._..__..._._ (!.rRHI At>{)IH~~J ((IIY) (~M'[) IllPcoOq b, IflAMti---C ().___D " !-._~L~. f!, L~G.2....'1 S;>U::-'iR'Et;liSN1H;PI p;~ 1/ ",,,, '7 ___..____',-~.h.:'_.l_:_:.__~,~c.L...~ ~______"......(~,:. ..~:~-~--_-.-_--.__ (SIRUT ADDRES51..... _'" n . (CIIYI _ (SlATE) (liP cooel _.___.~.If.5_.___..i!~fl":___ 0 ('I oJ' 'L 8..:.'-I~1...-~r' "~ Ila... /70.0'_ c, (NAMe I IRELATIONSHIPI (SIATEI IllP CODE) I 7 " WI (STR(ET AOlJlH5!1) ._-_...._-._-_._--~----_._..- ICI1YI {SfATII (lIP COOEj NAME AND ADDRESS OF FINANCIAL INSTITUTION WHERE THE SAFE DEPOSIT BOX IS LOCATED ---~--_._._-_.._---~------- INAMt! -j",,(-(~\..t'IS' -~"~,,\; I i;iR"T'\DiliiESSi~-~--;~~-, '>(-.---~~---~::~- (, . ~ ICf~I;--:-:;-:-~- · NAM~;:~TP~S~N,~~KI~t::TtT,R;'--'''--------'--''--~DJE:A:~T~Mf~LA-SfE'NfRY -D~~~~t~~1Z~~:NT'BOX-~-:U(B?r~~~=_____E:1~_~N~E.~:CH~~~S i~G~!ERED NAME AND ADDRE5S OF PERSON(SI HAVING ACCESS TO BOX u"n':~-iN-^~Mli ___.m_. n_n_u ..- -.-.-.."..-...-- >-----. ~----._-..._,-~ 'b:' rN+A-Mij..~--.~ ..._-_..._~---------~-,---_._- ~S;'J c,,-~._€I\/~{€~r.:_.__~j!"~~.__ 15TRCCT ADDRC5;,) (5iRf.'E-T'A'Do~ilT55)----._'. ISI^'i~I'" CODEI fCiWj-'~"'''''-----'-'' .._n__'_'_---"15TMIT-'-'''iiip'-cooE'1 Ie"",,) ISTATir-liifc6~ -NAM'CANO'Tl'iLEOF EMPLOYE -iAKiNG"iHE-,NVENTORY----- WAS A WILL IN THE SOX? YES NO H V", a, Dol. of willI ____~_...___ b, Nom. and addrflu of penonal '.p,...nlallvl, " named In th, will (NAME) ($.iRtfT^Doiit.~i;i------n-.._-_-------- ICIIYI {IWE) (ZIP CODEI c:. N'~-~;;;d-~'ddr';;~-~-f ~~li~;~~~-jf -~~'y._.'--_._-'~ INMHI islRii:.fAD-o~-i5~1~-..-~.----_._-_._~-.---------ICIfYl---- ISlAli~IPCODi-l- '" .. ~ .. r I: ~ Z o 6 ffi z ~ =: ::> z z 8 ~ :z;; 0.: ~ Q w U w u. II) w ~ 0 ~ ~ I ~ ~ ~ a e E ~ ~ III C)o Zlll: 00 III I- -z VI... ~> Uz ~- VI :! z ~u, 0 ,.::> " IIlZ q ZIU to z~.....~ ,>fl ~ClL:~~ ~";!u..u..(,)~ ;.1. 100~c.; . ..' rt- 'l:)' u,t" t:<~K:1X ~~o;J 3:0: 't2 z~ ~ ow < ~o ;z; o U , ~ oJ > . to v t ,. 2 +. t > l -- oJJ-"\ _.~ \:;"--\~ . ("\ '-0 "" '"'" , ....... M --, '~....... I I N --, \ I ' ~~ ,.J~,~~'\, , . I -...... ( , ..::; rlJ"'.)o.::J-"" ... o .. ",ur ~~ ~z ~:; u~ 0.. lh~ ~ '" w w ~~::> G1O~ .. w " :E '" z o z o " "' 3 il: ii w U - \J - , I~ w cD :E <t Z '" ,. z , ~ " ~ ., <!' U Vl v') :::> ::J ;;; ~ ::t ~ :!1t U " ;:: o + f J:: j; 't .t u- r Il · " .:).J I~ : ~ ~t .{ J ~ j '.. ... ~ :t: \!'" r I., .,.. u., o SJ ...) o:J f"'\ :r M :1 ~ ). , (I" v ~ L 1 ...) LI1, ;./I n iY) A "'. --., \, ~ '~ . c:> oJ. ~ ... , <J ':';' '..l , ~ {', \ - ... -.:l '" ~ (' ~ I r' ~ I .., ~ 'J 1'\ ...) - 1,1\ - 1'1 M -!> v\, ~ " -;. , "'" ') ..:" \. "\ ~ \! c- "? "l " - I ~ , '" ..,.. "- j ',,- , J \t --- (, . (.::J " ~ 'i. l'..i u \.J z I'" '1 i:l~ " ~ .a "'<t ~l!: 0 1.- Ir, 8 - ([1 I) "':E M dO 0 0 - zili 0 j' Q J\ o .....l - h ~ ,- r L REV, I~Ol EX t (1 ].O}l " , 9,.~A'~ ~~~i/.iW COMMO~IW(MTlI Of rrNNSYlVAWA INHlRIT"'4(C 'AX I{CTURN ______~_.B ~.I.~~!!.! ~~_{E~ P.~!!L,--~_.-..-_--,..,-~. n. __ '_, ,U ..._- ":.-:" ESTATe"OF"-- "',-....--...---....... ,.' ---,., ,- .. ....--. 13Jxlef, John K. SCHEDULE A REAL ESTATE ,'..___... '~'_'_""'._ _'n'''_ .,,- .-...'--,.."',.." - ..... -,-, . _0 ."r...'___...._~_..-_._---~.,.- "fIU:'NUMDER n .. ...-...._L...___. .--. 21-96-0813 i.p.,~;;~~'iy.j~-I~~tl~:.~~-;;~d. ~lIh ftluhl of SurvlvofShll) l1\Vsl bo dhdolotl all 5,hntlulo F) AII'foul 0,1010 should"ho IOllotled (lj-r~~i~'~~~";k~~t~'~'~lu~ which's doflnod us tho pdto at which IHol,orlv would bo o)(chcH1\Jod botwoon u willing buyor and u willing sollor, l10lthar beiliU compellod ~~y-~!~I, ~~ I.~~~~ ~I!_'g _ r_o~.~!l~~~_b ~.!_~_~~~_~.I~.~_g.~ _?~~.I !~?_.~~.I2'~'!~~!~ c.l.~:.......~__._ .__. ... ~__.._ ..... ~_ Tr__ .____._...........___.. .._.~.__..~. ._r~'__'_~.~' --- -.. NU~~ER OESCRIPTlON VAb~ED~U~TE ___.____ .~.._..___...._.. ... .._._._..."_~. "._.__..._._.' __.___._._,____...,___..~_..______. ....._".._._ ,_ ._.............._..._._~.._n._.n_._._ _.__.......__ ___ .._n . --.~-._.--- -.-- .....-. 1. All that cOl.taJn .improved tract of land sit.uate In South 110,000.00 MJddleton 'l'ownshJp, Cumberland County, PennsylvanJa, known as and numberod 119 Hace stroet., 13011Jng Spdngs, PennsylvanJa. Soe Cumberland COLmty Deed Book "C", Volume 15, Page 246. Improved wJth a 2 1/2 story detached sJngle-family clwe 1 ling . Valued as par att.ached appraisal. 2. All that ce,rtaJn improved tract of land SJtUilto in South 134(000.00 Newton 'l'ownshJp, Cumberland County, PelUlsylvania, known as and numbered 168 East MaJn Street, Walnut Bottom, Pennsylvania, l'or chaJn of title, seo Estate of Ml.1ton J, BJxl(,r, Cumberland COW1ty Estate Numbor 2279, Schedule "A", 'l'ract 1. Improved with a two-story detached sJngle-fam.ily dwelling. Valued as POI' attached appraisal. 3. All that eertaJn improved tract of land sJtuato In South 102,000.00 Newton 'l'ownshJp, Cumberland County, PClIDsylVi1l1ia, known as and numbered 176 East MaJn Street, Walnut Bottom, PelIDsylvani,a. POI' chain of t..i tle, see Nwnbcr 2 above. Improved with a two- story detached sJngle-family dwelling. Valued as per attached appraJsal. 4, All that cerwin tract of ITIOLUllaJn land consJsting of 18 acres, 35,000.00 JTIOre or less, sJtuate :Ln DJck.i,nson 'rownshJp, CLunberland COWlty, Permsylvania. See Cumberland COW1ty Deed !look "!?", Volume 21, paeJe 1058. Valued as per attached appraJsal. 5, All that certain tract of mowltaJn lill1d consJstJng of 12.5 19,500,00 acres, more or less, situate In Penn 'l'ownshJp, Cumberland County, Pormsylvania, l'or cha:Ln of titlo, see Estate of Milton J. Bixler, Cumberli1l1d CaLmty Estate Number 2279, SchedUle "A", 'l'ract 2. Valued as POI' attached appra.isal. \ L ._._~..._.._~.___._._~._.___..__....___.._____..'"...__..n~_.___.________~____._____.~.__ ,-.--..~~.-._-..--".-. TOT Al,IAI.o olllor ,011 H~o_l, ,~oc_o,>i~ulollolll (If llIoru UIlJrr. 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COIl1PllZ:!rJ(1I\, t' .""III'.II"WIIIIIII\III~w ,,' 111l,OOO DUpl'UliluLJoll lllltlod (In {IUu .li(u ObUlll'vml ~,I."I )),!H 1'1,/\11.,1 I IIIU 11011.11 I,I~III,II o(lfldJl.lolI And Hl\l'kot, !lilt,a ^"fllyaioll, fi 1Il/""'llh" 40,I)O!l 1 ,'rIO,nOll 1':llt.Jmlll(ul HlllMllllllU ~:rHlII(Jml<: (,leu ~O-2~ Ihl.I.'I,lh"'/"I",,'IIIIII"""IfIl"HI', ,1 70,000 VII/lfIJ, '/,,:,.' '-',Ih, .,1 '.111 101I1'11'1"lIlu,1 '~J, uoa ..J!!!!.!~l!!1.^.!.!!!~5Jli!'.!~.J1.Q~j!tI!U __ ......:.1_-.J2JJHlQ __I .__ m~__ __~___ ! III I WIlJH.I [ l.oMl'fdMIIIIII\I I If!t.tI'AI!Allll UlI , WI.U'AlIAllltfM] 1'16 t: /1/1Jn flllfJot 11(1 Pnl':JonUI]1l :H.t:ool 4n;' CnrlJtllu It(Jud 1031 CUlIlm:vJllo HOlld ,ll!JIII W/lllllll. ~Pt:.I,QlJ'I t(~n(vll1l] s tllddlul.on '1'W{l llewv.l.l1e I'UIlI''''I,lo''IHIJII " Ml~oB 12 HilQ11 ~ HlIQtJ !"II1> I'll" N/^ ]l 10?,OOO Ii 10\l,POO . Is ~6/0QO I'lull,!II~,jI,.il~,1 oll.ni/ls 4:l,Oil/'J14.,!,J~ 1 5!J,091/,114.64 , 71,22I(!I~5,0G !I.lld.IIIII!" ,IYf!lIU,III"I,hllll",I:1 IVAIUI ^lljU~IMIII(f, I ~,II~I 111111',\11(11'>' l,;Ullft\\h'l>I I (l41~ III H,11~111I111 IUl,I!IIIII It,II"'",III'1111 ~1I111'1~ IiI!, } ; i\~~ ';(,11111111'"1' ~ I'II~I\": 1,1,111,1 t 11i~IIIII,II'1I11 ~ ' I;IU~'. I "III~ III,,! ,.f . II, I \ 'I H 10' II I ,', 110"', III ~ ,J R' IlIHIfII'.II'lhl'o t,!.!,I~ f, ~' 11m, 1~~,.llllIlhl.- II 1!~;f1l!IU 11~IIiIIoJ ~ ' I II~IV, lilt, I,'IIIII,!III : O,1f,1~~ !:,UjHIII , 1'1110 II /',111" II,', ~ 1111'il,I,I,.'I'""I' I' I I ~III'I 1'111'1 LII , : "",1"11'"',''' I I ' 1.1 " ~,OOO 1.1 ' ii" J, '/QO 1,,1. I, I J '!1 : M!"\I~Il~'.III\PIf,1 (irolttll0,.7,' I 01:0811 U,4t I Gr;otls.1.uI14J 1I11:tolllp.If,lhl, NAt,,,..,,~,,O,',' 99,200 Nut., 314t.' 113,6QQ,Net....."..fi,.3L' 102,000 1:lIllIllIl'III~. ,IIl'lj,lhl\ 1:llll1lt.1fllllll llll~lillllnu 1110 IlIhltCI Ilml,.no WIIII"lllliltfly 10 Iho MIUllhlllllllll'l ~II: I, Suuja(l~ ill QOITlPt\l; IblQ w Llh lIoiyhhorhood pmpnl't1u5, ~llllQtJ COI'!lp1lr:!4Qn l\nalydll nhowlI ft Va!\IQ l'<lflUO oC $9U, 000-$U3,5QQO, l.aok of lIull..llllo (:CIIllparflh1Qo withiq ~hll uuhjac:Ln Jl1Uno<llllLIl vic:LnHy l:QquinHI all Qxpandod /Iuut'nll drOll, '1'llollu ,'I"U UIQ 1101I!". (lOlup!trllhluu av,'1I.l/lldQ, VIHI I 1l~IIU"III'III'I'IIL"11 111101111/1111.111',111111,11"" , Illfljll,lc:l.I.Ofl r IlI!.rllll'lIt1/i I ~~:"o~,. . j ~'1l0 f.limplo : I ,I IH1/{IVU IlIouldollthl 111 llLoty/l\vU II,VU!fil:!r:k I 100 yaa r& : ^VQ~'IlU{J, I""" 111"',:1",1.\ 'I, :I :l,!i 11,0110 fill II . ~'lll j U:uIIL I lInf llllllhQd i ^Vlll'ligo ~'II^/Uol\o Typical 7. CU' GlI raga r:ol/,I'onJhuIJ 1 firoplaco I UOllO ~ Summllry APIHUI!ial IIOpOl1 (;il\ll. r,(H~J:~h(J\ll.lQ l\o(loJ:dtJ 111111:1\11'11(111 UOl1rt, COIIV nOM ~, 12/~S IwnuQa ~'on U ifill' 1u ,I'lau/iWV llQlddOlll,.iftl 2 Ql.;urY/^VlJ ^vU/~'tilll\Q 10Q yearn Mafoun, I,~,I i 1\1,"\ j I",l" ~ : 4 :;! 2.!iH !;'III ~'u 1,1 U:uIIL tlnfJllilihm! Morago IIW St,.."'/11 'ryplcal 2 Cat' Garilgu l'orch/na.lc: ~ ~'hQplac')(ltl UonQ COUI:IIIO\ISU Hocwl'Ila III ~LlllI'llutl . ( + I ~1I1"\i"~"1 flPl'l'ldlUH'n lIl!il:!l(l'IIHfj 1I01l0, ConY nOM tJnkllOwn ~I ~6 rwal'{uJo ~'UO UJwpll,l J,49aQ/avu 1\Q8i~onl-h 1 2 fH;p-r.Y!^V(l I~, OQQ AvglVlnyl 100 YQAl.'S hVOFlIO", I..", : !!oJ",1 : III'~1 -1,000 II ! 3 i 1 . ~ -2,300 I, ;1411 ftll fI L"ull U9mL lJnfif1111\lud Avot'llga FilA/None TypIcal 2 Car GatAoe POl'oh "2,OQO 1 .'lrophco None llR I,. (I ,I II ~,II",I"',H ,III ~~I,I""" I N(JIlO, C:OIlV POH 24 Q/!J5 ^V(H'IHJO ~'Ufl Hlulplo 1,l9lltl/av\J HOII idollt.hl 2 f1l:orY/^"'<I I\vll!l\lum 100 YOlleB l\VlJ pl\l11 , I"", . +~I".": III" t .~,ooo 'IS,OOO i 51 000 .'IIOOU "1(1,1100 Ii :\ :.1 I, O:l~ !,IIII !'Ill'll" 1 llUlIll.! 1I1lClnJfJhutl l\VQJ:a{JB ll'Ilr./NOllO Typical 2 Cal-' OIIl:liO'O: POl'nIl/l'Iuc:k ' HOllO HOllO I!)/OOO i 1, 000 ~l,OOO 6,000 ,,/1,1 ,~llI\lfI;1 (;(JMI'M~II!t rIU I t:UW'MI^lIl{ IW I C~/'HIMMU[WI ~ I ().jl~ IIII!I' ,lill!II,II,1 I Nono Nono NOll(~ NOllo I !.III(JIO hll1'!IIII '"II~\ I NorlO Non" Nonn NOlle I \'/llhlll\'Ulll!illllll,III.11 leotll'l.hue Hoo COIU;Lho\.lua ItmlOl"do Cotlrt.iloutlQ HQQOL'da Coul;t:houao RQool.'ds I AIIJ1','\I\ 111,111,/11111'111 aYI~olll~1I1 (JII,II~, 011111111. 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I I I r:O~tl'AIlA!ll L till. j I,ot I,tl llld I (1 Ilour.! lJl1por _1.11 (r tl II '1'\oi!l!:II{1 r IIII(!!! 11 .1:ljQnl I J !~(!~(^q( tll,S/C,illrl hOIJu(J Herdl; 11l1i(_;11I1'1I11~ I MI'~II~t" '\ . IJ ~I I ^V(I,t'lIIIf1. ! 9, ,S ^e 1/, I 1'{I.II!ill/lll-l/~(!.-.j - P.n'yC!~I. !19n(!. 1.- Y<;'!l I I. I .--.-------,....-.---....1, LJr,.1 r xlu"vl S ,L(!! ~Ol ,,-. -. __I'h'~' 19 'dl(. nvn IltlldQ, !llJl"ql,I/lII~lIl ~! ~JO() [In!!_l~h;'"v, ~.f ,~ rPQQ.p ,l,OOf , 101/.11H , 1.1 ~19 IICIMllhJI~I) lAdll"lflJ ~dluo IllSlih~d 19,'100 I III 0('10 CI."'wllfflll(jhM~I~rl{l~I. (Ill I:QlnIJl~.l'!l.b!rJu nl'O V(!I'!I'_loil C:!(lfIOI! Ilulpr. nnd tll'O t/l9. hfl!l.~, cllt'tfl!!lly tin I"Ilc:t!llL IInluH or IIcrn/lllO \IIllrO louull wllhtl' HIH1 11I11(1, (:IIII1I1II1.'lhll! li1.!!I!1I pnuflorl n It lnlll /1.1' n 1I11tllllllllHlltl /111/1111: uyullltn, :1uo Illllll! 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I , ()A.OOO'.9R 'I; // " I'Jovul1llJul2a, iDDG FARMEI\S m TRUST m Lalldi~ BilK\( b\ o 1.:1', Oi PI) 36 Soul II Hlll10Vel Sl Carlisle, p/\ 'i 70'13 Re: E<;tilll) of ,.10111I1< Ilixlel 8SN HI(1.14.0'18G Onte 01 Del1ttr /\uoust ;!'! ,wali DuLll MI, DliJd" In W15WUI to yuuI luqucsl cOllwlnlilg uccounls owned, eilllCl sepulO(ely or Joinlly, by tho abovo referenced (jccedenll1nd ttlC b,Jlnncc in eneh account as of the date of death, we have eheel\Cd 01.11 If')COII,jo; :,lild (II" '"dllllillin!.! 1110 [r.lllowiWJ infolllllltioll ill dllplh:ah;l, We 5I,I(')(')C~t (hat you file onu of [lies\:: iulluls ull;Jclwu to tile PCllIlsylv:miu Invul1lory fOlms (Ree) lo subslunliule IIw balnnec you rC[JOIt. Nole t1lol we have sl,uwl1 thl) COII(:C[ rC'Qistiiltion for each accoulll. Abo, interest accrued to the dute of d(:ulll, II any, I~i listed u~; D slJpurnte figure, Checlilng iJccounl tI'10:,~~,-1'/ WilS ori[jlnnlly opened 8/1/6'1 or beloro, Tho account was titled joint bt!lw'.'cn ,.1(11111 1< 13i~,[(\r (II Elv,j A 13ixlcr. The blll8ncc 1.15 of 8/21/96 WllS 1,1'10,(\OG.711 plus $139,83 iJccrued iilll:rc:;t f('lI iJ [utili ur $170,726,61. The uccoulll WiJS eLllnin~12,OO% interest ul the tunc of dratlt Savin[Js (lccullrll/l1.1G1113 Wib oiiUillillly open\;d 3/23/65, The uccount wus lilltJd in John K Bixlm's nWlIe DiL)f)(~, The bulunce us of 13/21/96 'NOS $11,447,32 plus $72.01 uccrued interest tor i:l toWI of ~ i 'I,~ji ~,J3. The iJccount was omnin9 2,80% intorest at the time of doaUt Sf.lvings ,11:1,'01.11\1 HI.?02';\21J W:,)::; Oli!J111:.Ii1y I,\p.~ned 3/1/(1), Tile accounl wus tilled in John K Bixlel's nU/lIe UIOI)(), Tile bulunce us or 13/21/96 was $35,036,[j/l plus $220.'10 uccruou Interest for a lotell 01 :l,:\~,;!!:li:~'l. Tile :lGCOllfll vms earning 2,130% mlcrasl at the time 01 dC:.It11, Wf.: hilll tI ~,JIt: .j',:ptisil bux 1I1J'12lill0J joint bdw0tJn John 1< Bixler or Elvll A Bixler ut our Muin Office, We [J1~;0 hod ~;f.lfo deposit box 11:269'1 !itled joint between ,John K Bixler or E Jenn Bixler ut our MUUI OIIICC, RECEIVED )~:,I^C!y, ,j~J)I!,(("d DEe 2 41996 ~Af\mvl~H11~WlHfl'I'1 :~,'I\)lr,' Landis Black & Schorpp 111" \\"",1 igh :,1/1','11',( l, 1111,\ "2i1C,IIIiSIt', 1'<'III'S)'i\,,'l1i,1 i'/III:\ (71'1) 2-1.1,,121" . R[V.l)Il(.'I1-Uj I~ COMMONWfAHlI Of PlNN~'l'lV^Nt^ INIHRIIANC,C 'Al( R[TURN Rf:510rNI t1[([IHNI SCHEDULE H FUNERAL EXPENses, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES ESTATE 'O-F " Bixler, Jolm K. ITEM NUMBER DESCRIPTION A. Funo,.1 expon.os: 1. 2. 3. Hoffman-Roth FWlOral Home, fW1ernl Carlisle Merrorial Service, Inc" l1<lrker Carlisle Merrorial Service, Inc., inscription 1. B. Adminl'I,.!i.o Co.Is, 2, 3, 4, C. 1. 2, 3, 4, ,5. 6, 7. 0, _.- Panonal RoprosonlalivD Commiuloll$ Social Socu,ilY Numbo, of Porsonal Rop,o.onlallvo: Voa, Cammiulan. paid 1997 204 & 207 Alla'noy Foo. Landis, Black & Schorpp Family Exomplion Claimanl E, Jean BiXler rli1u'ilhtAl' Rol.tlon.hip Add,ou 01 Claimanl a' docodonl" doalh 51'001 Add,ou 119 Race Street "...uu...u.p.!~a..~Prlnl,a,TV!'.~___. , llfCN'UMIIER 28 22 - 0974 1576 Cily Boilinq Sprinqs 51010 .J.>A...._ Zip Codo-11 007' P,obalo Foo. .. as advanced by Landis, Black & Schorpp Reserve for closing MI.coll.noou. exponsos: PP&L, invoice E. Jean Bixler, reimburse for electric bills Steven W. Barrett, real estate appraisals PP&L, invoice Thompson J91ergy, invoice PP&L, invoice Thompson r~1ergy, invoice 'l'hompson Energy, invoicl~ TOTAL (Aha onlor on IIno 9, Rocapllulallon) (If mo,e .pace II need.d, Inlo,I additional shoo II of lamo Ilze,) 21-96-0813 AMOUNT 5,966.00 344.00 75,00 16,000.00 16,000.00 3,500.00 534.69 500.00 21.10 15.73 1,125,00 19.70 179.33 17.84 243.39 213.49 $ ',')Ci ,-- - ,-i (L \(, ) ~n ~, \0 -,I PURPOSE OF NOTICE, To fulfill the r.qulr..."tl of S.otlon 2145 (b) of the InherJt!nc. and Eetat. Tax Aot, Aot 21 of 1995. (72 P,S. S.otlon 91451. PAYMENT I D.taoh th. top portion of thl. ~otlue and lub.lt with ~our pay..nt to the R.gllter of Will. prInted on the r.v.rl' .lda. u Keke oheok or .on.~ ord.r p.~abl. tal REOXSTER OF MILLS, AGENT. REFUND (CA), A r.fund of I!I tax credit lIa~ bll r.qu..ted b~ oo.plaUng an "Appllollltlon for Refund of P.nnt~lvllnJa Inh.ritano. and E.tate TalC" (RElJ~1315)' ApplIcation. art avalhbh flt the Offlo. of thl Rlahter' of WJ1lt, an~ of the 23 Rlv.nu. DJltr1ct Offloe. or fro. the DlpRrt.ent', 24-hour anlwlrlng "rv1o~ nuab.r. for for.. orderJng, In Penn.~IVania 1.800-362-2050, out,lde P.nn.~lvanla and within looal Harrl~burg ar.. (717) 787-8094, TDD' (717) 772-2252 (Hearing I.pelred OnJ~l. OBJECTIONSl Any party in Jntlre.t not ..tl.fl.d with the a.......nt of tnx a. shown on thl. notloe lIay objeot within sixty (60) dlY' of reoelpt of thl. NotiCe by: --written prot,.t to the PA O.p~rt.ent of Ravenue, Board of APP_IIM, nept. 281021. Hlrrisburg, PA 17128-1021, OR --.l.ctlng to have th~ Mattar d,ter.lnad at audit of tho p.r.onal r.pre'.ntatlye, OR --appeal to the Orphanl' Court. ADHIH" ISTRAnYE CORRECTIONS I Factual .rror. dilcovered on thl. al......nt .hould b. addr"'ld In wrIting tal PA D.part.'nt of Rlvenu., Bur.au of Individual Taxe., ATTNI Palt A.......nt Ravi.w Unit, OIPt. 280601, Hlrrl.burg, PA 17128.0601, Phon. (717) 787-6505. S.. pag. 5 of the bonkl.t "In.truotlon. for Inherltanc. Tax R.turn for a RI.ld.nt D.o.~nt" (REV-lS0l) for an eMPlanltlon of ad.lnl.trattv.l~ c~rr'ct.b1. .rror.. PENAL TV I The 1S% tax a.n..ty non-pertlclpatlon p.nal ty 11 cOMPuted on the total of tM tax and Inter..t a......d, and not paid bYfor. Januar~ 18, 1996, the first day aft.r the .nd of the talC a~e.ty p.rlod. Thl. non-pnrtlolpation penalty I. app.alab1. In the I." nann.r and In the the .a.. t1.. p.rlod al ~au would appeal the taM and Int.r..t that hat blan a'Io..ld a. indlcat.d on thl. notlc.. INTEREST I For dat.. 0" d.ath on or after 10-3-91, Plnnlylvanla Eshtl Tax baud on U'I Fldttral Eltat. fa); rlturn b.oa... dellnqulnt at the IMplratlon of nlna (09) eonth. frol the date of neath. For dat.. of d,.th prior to 10-3-91, Pannly1van!a E.tate Tax bated on the Foderal E.tat. TalC return blOo... d.1lnquent at the expiration of Ilght.en (11) .onth. fro. the date of death. Taxe. whlah bee..e delJnqu.nt bafor. January 1, 1912 b.ar lnter.st at the rlt. of six (6%) p.roent per Innua o.leulatld at a dally rate of .000164, All taM" whloh blc." dll1nquent on ar after J'tMuary 1, 1962 will b.ar Intere.t .t a rlt. whloh will vary frol ollendtir y..r to oal.ndlr y.ar with thlt rtit. announc.d by t~ PA O,plrt..nt of Rev_nu., The appllcabl. Int.rest rat.. for 1982 through 1997 .r'l V.ar Interllt Rat. Oal1Y Int.r..t Factor V'II' Int.r'lIt Rah Oal1Y Int.rut Fl!tCtor 1'12 20i( ,000540 1917 'X ,000247 1913 16X .00043a 1988-1991 llX ,OOO!OI I'" llX ,000301 1992 'X .000247 19.5 In ,000356 1995~1994 7X .000192 1916 lOX ,000274 1995-1997 9X .000241 "-Intirut I. o.loulat.d a. fol10w'l INTEREST. SALANCE OF TAX UNPAID X NUHSER OF OAYS DELINqUENT X DAILY INTEREST FACTOR --Any Notlo. luuld aft.r the tax b.OOM. d.lInquent will r.fl.ot 81'1 Inhr..t ollculaUon to flft.en UI) diu beyond the dati of tho ......-.ot. If pay.-nt I. lad. aft.r the lnt.r..t ooaputetlon det. Ihown on the Notiol, .dditlonal lnter..t wu.t be olloul~t.d. ' COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE BURE~U OF INDIVIDUAl. TAXES INt1Un lANCE lAl( nlVISION DEllI. 760601 IIM?~ISf\lJRO, f'A 1/1;'6-0601 (; ,--," NOTICE OF INflEHITANCE TAX APPRAISEMENT, AI.1.0WANCE OR OISAI.I.DWANCE OF DEDUCTIONS ANO ASSESSMENT Of TAX !f&~.", ',,~ 'Kj~- uv. J~.I tr ~" (J\-tll 06-23-97 BIXLER 08-21-96 21 96'0813 CUMBERLAND 101 [~~"_~=~:~~oR=~=~~='-1 DATE ESTATE Of' DATE OF DEATH FILE NUMBER COUNTY ACN ROBERT R BLACK ESQ 36 S HANOVER ST CARLISLE PA 17013 JOHN K MAKE CHECK PAVABLE AND REMIT PAVMENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS .. ilEV: is'4? - Eif -A jiii - (o'F 97 Y - NOY i cr "6 Ii - YNHEil iT AN-c E - YA X - "A'p P R"A- is Ei,fEN:r-; -A L. row ANtE - cili' - - - - - - - - - -,... -- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF BIXLER JOHN K FILE NO. 21 96.0813 ACN 101 DATE 06-23-97 TAX RETURN WA~ I i X) ACCEPTEO AS ElLEO RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE APPRAISED VALUE OF RETURN DASED ONI ORIGINAL RETURN 1. R&.l Est.t. (Soh.auls A) 2. stocks and Bonds (Sch.dule 8) 3. Closely Held stock/Pertnership Interest (Schedule Cl 4. Hortg&g../Not.. Receivable (Schedule OJ S. Cash/Sank Deposits/Hisc, P.rson~l Property (Schedule El 6. Jointly Owned Property (Schedule Fl 7. Transfers (Sohedule G) 8. Tot.l Assets APPROVED DEDUCTIONS AND EXEMPTIONS I 9. Fune~.l Expenles/Adm, Costs/Hisc. Expense. (Schedule HJ 10. Debts/Hortgege Liabilities/Liens (Schedule I) 11. Totel Deductions 12. Net Value of Tax R.tu~n 13. Charit.ble/Governmental aequests (Schedul~ JJ 14. Nat V.lu. of Est.t. Subject to Tax If an assessment was issued previously, linas reflect figures that include the total of ~ ASSESSMENT OF TAXI IS, Amuunt of line 14 16. Amount of Lin8 14 17. AInO~lnt of Line lA 18. Pr!ncipel Tax Du. NOTE I at Spousal t.xable .t taxable .t r.t. line.l/ClasR A rite Coll.t.ral/CIII. Brat. TAX CREDITS I [- PAVM~ DATE Lll'14-96 03-31-97 RECEIPT NUHBE R AA146940 AA185334 DISCOUNT it) INTEREST/PEN PAID i') 2,105,26 ,00 (9) llB 1 III ( 21 ( 3) i4 ) 15) 161 ( 7) CHANGED 400,500,00 115,775,96 ,00 ,00 252,097,47 ,00 ,00 18) 44,994,'i9 5,120,99 III ) ll2) 113) (14) NOTEI To insure proper credit tD your Icoount, sub~it the upp.r portion of this form with your t.x pay",.nt. 768,373,4~ ~0.11~ 4R 718.257,95 ,00 718,257,95 14, 15 and/or 16, 17 and 18 will returns assessed to date. ll5 ) i 16) ll7) ,00 X ,00. 718,257,95 X ,06. ,00 X,15. 118) AMOUNT PAID 40.000,00 990,27 ,00 43,095,47 ,00 43,095,47 -,-- .~ TOTAL TAX CREDIT 43,095,53 BALANCE OF TAX DUE .---.-'------:O;;CR --------_.,~ _._~-_._~------ INTEREST AND Pf.N. ,00 _._~-....-._._...,.._~_._._~ -,_..._._--_._..-----_.~ TOTAL DUE ,06CR .. ."___".,,.._.__,,___ ..',.. ..~ ..._._........,_. ,....,......---,1 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION Of ADDITIONAL INTEREST, If TOTAL DUE IS LESS THAN II, NO PAVMENI IS REQUIRED, Xf TOTAl. DUE IS REfLECTED AS A "CREDn" iCR), YOU MAV BE DUE A REfUND, SEE REVERSE SIDE OF THIS fORM fOR INSTRUCTIONS, I 'C)Cj ,.... iF" In :, n;!: r ~: !J..J RESERVATION I E.t.tu of dlaldlnts dyIng on or befDre OIlOllllber IZ, 1982 ~.. If any future Int.rut In th. e.tate II tran.hrrlld in POIIIlI.Ion or IInjoym.nt to Cia.. B (oQllateral) bInIflaiarIel af th~ dlloedent after th. e~plratlon of any Istate for life or for year,. the CO~lllonwllalth hereby e~pr.,.l~ re..rVa. the right to apprQJ.II and a"I" tr~n5fGr Inheritance TaxIs at the lawful Cla., B (Qollat,ral) rate on any sUQh futuru Interust. PURPOSE Of NOTICE: To fulfill the r,quIre~lnt. of Soot Ion 2140 of the Inhoritanoll and E'tato Tox Act, Act 21 of 1995. (72 P,S. Suotlon 9140>. PA'.'HENTI notaoh tho top portion of tills Notice nnd sub",1t with your payment to the Register of Wills pr!r-ted on the rllvors.; side. "-Make chick or ",onlY ordar payable to: REGISTER OF HILLS, AGENT REFUND (CR): A r.fund of a tax oredit. whIoh was not requastod on tho Tax RAturn, may be requested by cOlllpletlng an "APpllo~tlon for Refund of PennsYlvanl1!l Inherltl!lnoe and Estats Tax" (RE\'.'1313>. Appllcatlont !Ire available at thu Offloe of the R'olstar of WIlls. any of the 23 Revenu;a Dhtrlct Offlc.,. or by calling the speolal 24-hour answering ,.rvloll nUllber. for forM' orderingl In Pennsylvllnln 1-800-362-Z050. outside Penn,ylvanla and within 100.111 Harrhburg arlll (7}7) 787-8094, TOOl (7171 n,-?'2S, Ulellrlllg IlIlptl!nld Only). OBJECTIONS I Any party In interest not satisfied with the apprals~t, allowance or dls&11owBnce of deductions, or assessment of tax (Inoh'dlng discount or Interest) as $hown un thls Notice mUit obJoct wJthln sixty (60) dn~s of receipt of thh NoUee bYI uwrIthn protlllt to the PA Oepllrtlllent of Revenue, Board of AppealB, Dept. 281021, HlIrrlsburg, PA 17128-10,1, OR --el.ctlon to have the Natter d.ter~lnod at audit of the account of the p.rsonl!ll repres~ntatlve, OR "-appeal to the Orphans' Court. ADMIN ISTRATIVE CORRECTIONS I Factual .rrors discovered on this assaSSlllant should be llddreSlCld in writing tOl PA Depart"'ent of R."enl.le, Sur..u of Indlvldual Taxe', ATTN: Post Assa"lIlent Review Unit. Dapt. 280601, Harrisburg, PA 17128-0601 Phon. (17) 787"&505. See paga ~ of the booklut "Inatruotlons for Inherltl!lnoe Tax Return for a Ruident Decedent" (REV-l~l)l) for 8n ol(planallon of adllllnIstratIv'lY oorrectehle errora. DISCOUNT: If any tex due 11 paid within throe (3) cnlendar ~the aftor thy deced8nt.~ d.ath, a five percent (~%) discount of the tax paid Is allowed. PENALTV: The 15% tax slIIno.ty non-partlc.lpatlon penalty Is cOlllputed on the total of the tax nnd Int.ralt nl.....d. and not paid befor. Jnnuory 18, 1996, the first day nlt.r the end of the tnx lIlIlnuty period, Thl. non~partlcIpat1on penalty I. apP'1I1l!lb1e In tho sa"'lI lIIannor and In the the lIalle thl8 porlod 8S YOU would 8ppenl the tllx and Int.rut that has b.en aSlo.sed a. Indlo8ted on thJs netlOQ, INTEREST I Interest Is charglld bflglnnlng with first dl5Y of dellnqu.ncy. or nln. (9) months And one (I) da., froll the date of de.th, to the dllt. of paYMent, T8xes which bec~ dellnquant bafore Jonuary 1, 1~8l bear Int.ro.t at the rate of .!X (6%) p'rcent par t1nnUIIl ollloulatad lit a dtll!.y rate of .001)164, All taxes whloh bncaMe delinquent on and olter January I. 1982101111 bear !tlterut at a rllt. which will vary fro. oalendar Ylar to o81ondar YOllr with that rate announoed by the PA DlIlpart.ent of R.....nu.. The appl tC8b19 Interest ratllt for 1982 through 1997 8r'1 ~ IntDrilst Rnte. Dally Intarut faotor ~ Interest RIltu Dlllly InterOlt Factor 1982 20% .000548 1'11'17 9% .000247 1983 16% .000418 1Uf,-1991 11% ,000301 1984 11% .000301 ,.., 9% ,000,47 \985 13% .000356 IIJ93-1994 7% .000192 1986 10% ,000274 1995-1997 9% .000247 ~-Interest I. oalculated .. follow.z INTEREST' BALANCE OF TAX UNPAID X NUNBER OF DA~S DELINQUENT X DAILY INTEREST FACTOR --Any HattcD J..u8d aft.r th. tax beco.'1 d.llnquent will reflect 3n Interegt calculation to flft.en (1S) day. b.:.'ond the dati of the u......nt. 11 p~y..nt I. Ilade after the Intlrnt callputatlon date shown un the NatIoe, nddltlonaJ Inter..t .u.t b. oalculated.