HomeMy WebLinkAbout96-00821
].ll\ll'i.'l[1\
ESIUII' of
also kllow/I as _
PETITION I'OI{ PROnATE llnd (;J{ANT OJ! LETTlmS
c':l/ - (7(;. '..'l;J./
Ji. T-TY 1':1\: ~
No,
To:
-....-.., "1.01_0"1_1('.2;' [)(,(,l'(/Sl'd.
Sociul S('('I/rily No. .1.. "I. .. ...
Registc'l 01 Wills fl" the
('0""'1' 01. G')!ihnl'llltlrl I" IIIl'
('ollllllollwenllh oll'cllllsylvuniu
The pelitiou ollhe underslglll'd respectlully lepresellls thnt:
YOllr pelitioner(s), who islare IR yeurs olnge or older nil the execllct'ix.." _"'....".,..__........ nnmed
in the Insl will olthc nbov,' deCl'del1t, duted _ u11QJ'_Ch__3Q.,''______......__ .."'....u__._......., 19.9.4.._
nnd eodicll(s) dnted ..._._. .........,__..... .~.__"__....."'....__.. ....____..,,___....._._.
.,-_..__._..._-_._..,.,_..~---.,-;~--"._,-.-._,._~-- ._'.~~,.... .----
(slilll' 1l:!C\'lllll d.r(,1I11l~larH'C~, l',g., rClltllldllllOIl, dCrlth or l'\:Cl'lllor, ell',)
Decendcnt wns domiciled nt denth in --.s.J\ll,!])()r1:.!)."t)c~..._.....__._... COllllty, I'cnl1sylvunln, with
h!ll'_. last family O! prindpnll'esidcnee nt3i~~"Ji(2mOl~inl,.HQ.oJli.t.l.l~__12Q_~outlh
.E.ilJLQJ:'"t...s..t....J:IO Q hAniCllp1.U'g.. _.J.'J.L ...l1J255__ilLLL/ltl2lu:~.(U(" I;;';"L ('l '~":'I .
(11,1 slrn'I, IHlllIhcl' illle! llltll1l'ipalllY) ,
Dcecndcnl, [hell ..._9.L _____ VeUl'S of ngei died ....". SeptJ'l1HQQI'.".2, __, , ' I'J')6
nl._~eic11!'U1Q.l1lQr'1f!.l. rrosP'I,tQ..-J.,,11Q.9J1f},.nJ0f1121W~J I'll. lID!..>':'
EXeCI'I as follows,Jeeedenl did nolmnrry, was nol divorced lInd did nol have II child horn or IIdoptcd
after execution of the will offered for probnte; wus nolthe victim of a killing nllll IVlls never IIdJudlcllted
Incompetent: __''''' ~__... _ _.._.~__.,_ .__..._....~...,___
Deeendcl1l tit death owned propel'll' with estlmllted values liS follows:
(If domiciled in Pa.) AIIpcrsonal propel'll' $. O;;,OOQ,O,o
(If nol domiciled in I'a.) Personal propel'll' in Pennsylvnnia $
(If not domiciled in Pu.) Personal propel'll' in COllllty $.
Value of rcnl cstal~' in Pcnnsylvania~. $".um.,
situnted as follows: ____...__.....___...___...J.!.2.!1~~..._____________.._____.
WHEREFORE, petitioner(s) respectfully
presented herewith nnd the grnnl of lellcrs.,
re~~ei;~~n~~~ri{'~'~\le of Ihe Inst will lInd c(ldlcll(.~) .
--..~---_.....~-_.__..... ----..,,---
(lcSlnmcnlllrYi adminislrUllotll.'.l,n,; Ildl1llnls(fnllollll.h,lI,l',I.II,)
theron.
~
~
'C_
'~~
c.::~
'Co
~ii
7:0..
"~
" 0
N
~.
Iii
----norIflGoC11ena1-i~-
_....i~)j:~_~t.J3iir\Ps0I:1 st '-''\i''?''
. l1e c rumiQs b_1J}'S~__J:'EJ.JJ,,9..:u..
J
. /0 /,L;
.../J.t- /ucv _./g~a.:r1'LLk:::'__
-..-.-,-____.._0-___-_,----...-------- ... ,_....,.,'. .._,__.~___,__..,'___,~__~..'___,_....___..___,.__,_..______
_____n."_._~.__.._____ ...... "._ _ ____ _'.._~___..'__..__.___.__..._____,____.____,_._,_.__._..____.
--., ;--,-,-
'iC?_"'C'--'II::,'-;',=
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH 0... I'ENNSVLVANIA 1 88
COUNT\' O.....(;ln~~Ji!~T:l\~n2......_____,,____ J '
The pelilioner(." "',ol'e."",,,,'<I \'wear(s) or al'firm(s) thm the stlllemellls ill tile 1'011,",,111" petition life
true nnd correct to the best "I' Ihl' knowledge and helieI' of pctitioncl(s) and thlllllS l"'l',onlll rupre~en-
tntil'e(s) of Ihe uhove deeedellt pelilioner(s) will \Vell}~~d :rUIY Udl1lU~I,stel.~tl~C l'stlll,' lIe"llIlIlII" In IIIW,
Sworn 10 or ul'nrl1led, llllil sul"crihed .;(1::: 3- ,,(.,-- -~ .J/'.?,( ''C?/! / ,\IJ
h9~~'t~()~~ts'~r . ,~yl, 1<}~160I' I I
J'nu. '4 C. IlL......" U 1 !t
o /) . ,) ,1 \ '.\ \,:_, I lir'RiSIl'1' ~
_,....., n "'l'f)ul\
TI1I'-, I', II.> It'ldly \11,11 till' Ild!tlllll!llHIIHII 1'f\TII h 1{llli,II., "'I>![ I 1111111,111 '111'III,d \1'1(111<-I!(' 1,1 ,(('-1111 ,lIlli, Ide,j \\'It!IIIH' .1',
1,III,d 1\1)~I'o(I',(1 '1'1,\, 1I11,1:I[I,d iUI Ilildl(' \\111111' 1,11 '.', ,11',11.,1 Ii, llli 'i,ll' \',1,11 1\(', 111-1'; (IIIi' ,. ILII' 1'('1111,\IIl'Il! lilllIJ_',
WARNING: It Is IIlognlto dllpllcato thl!! copy by photostat N photogruph,
21-96-B21
h'C fni' this (t'rtirJl\l[l', $.1.00
I ~.
,j ,) r~ t;
K ,l,lJI.. ",.a,'lLJI..' \~.<::.:.~y" ~ ~.h". ",01,
.\ I.IlCid ~(!gls(rar 0 ,j
3870057
{I fl (l "
,~,,I- /, ' " .- (
,; .L~.' " ~.' '.,' ' " ..'. " ,
'to ,"- 4; kl~f lXY'? .-
; Dille
N".
Ill()~ '011" ,-'H
COMMONWEAl.TH Of P~NNSYLVANIA . oePARTMENT OF IIEAl.Tli , VITAl- RliCOROS
CERTIFICATE OF DEATH
~
D
~IAH- ('(~ ';lJI.IQrn
'~'0~~tJ"'~~~;-'fuJ~ ~ -------]--~ --..-.-- - ----. :~~~.l~~Ifffi:;_n:L:JW
A{JI'~;~'~ n'll 111!(':if)(\ 1 'lt~1l UN n lllAv OAlE Of Illt{!ll DlfllllP,4Cf Ir I, ""I I'IA1;.I, (lr 1>!;AltliIN.II.,'lJ "". ""'''V',!':I,'K'.' l"-'AI,.. "'1"1 u _~,.. _'M.',"_~__
MOM;;'] ~;I Ilo"iI-i,M;;;'M' 1II,n I" "" Curn~erlan<t' to. IfOSPIT,ij----~-- _____~__._~.r__. ~-.--. cih'inr
1. q 1 _ Y". _ ~_--'-______.i._~ IO-~-()t/ PennsvlvanJ!__" '''!'~I'.''lll ~IW"'I"li.",1 J rlll(,I.j ~,;:,,:ql)f flll>4t,,,,[J ~~i:'",!l.l
::&" '~J!1~~ __ Ic~oc:' J"'''"'"~'~t'''. "~:;;~~~:~~;~~~~~;-=- ~X:;~Tk;~::;:~'~~:~J:U~;":'i1iii'.Mi ;;;
(){~liftHS!!SII~IOCCUP~I(OfJ I KIIIOQrDUSlf'~~)II:!O~W I'<l.SD[(Ep~l-l!r~~1l111 p~cel"fIl8rpl/(1AI~ M~llll~lt;IArljS t,l11r:Lld .l.C::omi'~~INo"'iPO(jiC--
It 0' I'" <' , ,,'" ''>I' ," U S ~nMEnr[111Cnl la'~ '1' ". t .1" l'lI'Jl!~\: (!ll.'~Jl fJhW' 1,14' it<o 1'1"""", 11'..-'. """,,,....,,,....,,.,
;')'~"'.'n~I,I. '1""''' "I""r".tI 'ujl) Bu~ EIf"8"~,~1'~~~'On"fll I,C~~1 O;.....,td,~p'.."I,1 tJ 1(\
IlL'J'&b~~.LCOOk--'''--_Lti."'tlt,~---, tl.___ ..___. ..___.____ l~d_ ___" ____
O<C[Oltj!'Dl.lA"lfl1"~)II~~5151'.'H ("1'\..-"" ~"l/"""'"; 1lt..'(..:Wl;Ij.'..... I )
-\. f bL ~ o\' ~cnl~l.. ... H' E"" I>,' 11.. ",..,,,,,,,,,,'''111,0<1,,_ . h.p
,,~'~~~ef\.__[lQ~'f ~'~=~:~~ ".... ",blANc,{: . ~i.:::;', ".1 J:;:,,:::;,~~,:,:::'~!....rY\g;ll~/J{(...sbl;..gj -"-'~'"
fATllffl Sll~~f II,,, I,O'J '"' 1""1 !,lO!ltlifnlflAMrl'."t ~I"",, ',I".,,,,, ",'''"l'l'.t '
.e. ...II1~rl ~~.~j ~~!Q,,~ iil11rull:vJaJlllQD.lIL______. _,,______ "_.__,,.______...__
lW'C1fl~'Aln 'S IIA"'~,r ,,,.--1',,,"') 'HfonMAN1'S~IAltll/() AOORESS ISI'bel r,I.,III)~r\ SIJ'" 11''-'<~'''1
i2l._.!!_~.t~___~.~h~na l!!:.__ _. _.., __.___ . _~ ~ -I"""""'-"'o,.-,~".-,-"",- _ _ .-. _ _ IJl! 11 J;.,~!.l,^,__,S Jq~~,Qn...~r..e:~l.L.. j*'tIA" n" i ~ ilHlC,9. .,_ P31 ll.illi5....____
1,lr,"Kl/>(\fllliWI1SI110,j < . -", plAa......,,1 ~,I '" ,..mt", W.....I.'Y,,"mllol'( 1,,,,~iJltCliy,",..n I'" ljI'A)/OlI
(',H," I)() (;,.,,,,,.,,, I I H."",,,,," I..>", &1<',( i !,I II I 1<, , "' (~t", PI.,.
li;",~,..l'__,""'''"",,__~, _ _ __ . ___ II", j@P'[t. 2~.. mL.. ,Ie T~I~dl~_~rl!1.[ .f~~~~ry __~' ,~i,~anlcsb!!rjl1 J'..!'.17055_
SI~'~.\!!1!?!.fUHHl~1 S;!)~IN;;:t;1 I (1ISdtIACllfIOAUI,lll I' lICHHlfrM,IlIln IlirM~-Mlfl;:btJfllSfiOf'rAII(n~ Myel'S un ra trorne
.L._:,~["_ _ C;.~,,~. "- ___ _. _ __ _n...fJt.Ql~~t:L___ ..U&-~L J1AilL..s.~tl ,h"ro. J>a..l1.Qlili___
coo"...,.,..".~""tl~h."'."'t;'hij r 11,.llot"'I'MI'oI..l\I* ~"I"P<(""ILII(I~.I'm. d.I..rnJI'/O,:o,I.II(1 IICf~Sf.HUl.1D[1I iiiJEiiOilfif
rhl..".",.'.!I"'''''''''I''''''"''~'''I'I''1' '~'f'LI',,"J"" I,L'"j (MI,,,,. II., "'.'i
,.",tyt'"U"Id4''',
~__.____..____._____~._.___....: ~~~..~,~~A:~~!,~~.~.~.~ '.~.'~..,']~:I'~"~~~~~~~;;;~.i~~?:i.J.~!J.~~~~ ==~~.M.~~:','~~~ :~~~.(::~~:iiifi'.RI~~i!~;Art..~~mf-' Nu~ .._-~-._~
II ''ART I. ~:;:~:,:::"'l::~~~~.~ ~:;~~:~ ~,:,,,,,,'k'hU"I"h~:~~I"'."lh. ,to"" I~, Ll<" .'~," "'~ ",,"to ofd,'I'V Iilch ..<IH""' <I( fO'I""(QlY ."..1. .""',", h..'III"'" ~:.ol":::l~"" . '.-'ljini-'~'Wo:::~~':''".::,~:~~~;:.~~;:;'-f-----
""'.11",111",,,
.
Co(,\lAe '\ j j I/'f., I~(LI) . f{l t\ LIT:€.
o'.~r..,rJ",[.""".,.\.,., . \{'\'I
. \r,ll. r, ;)l1I \ .., . {n\.
IJII~ IU!,,"^.~~I.L,,:,'!,';III'.:1 (~I
1-hJ1tlLhl'(lltd.1'J (hf1Idll~
'$JJrM-.d::w.)
i
~
!
'O"1~(t;L.:1
14()'''''
,
n+
,
I
~1~IiiTifi(if[lf~----~~--:IPAn(l' Iflll,lllY !IM~ ItiJUFI~ -1itiiUliY ~lWciniO .jrn s{;Alii~mmiN!linvoC(.'triUl[O--- ---
"'111"1""'1
U.I,.1 ~ "OF",'" II (I I)
A,,~t. I II 1.,)"~h"..I~.I<" I I III ,'"
II I l'hc ~'& - ~ II/!; [ I~ .
I ," ilK I ". '101.,.. "., I NA(;t OlllfJllflY Al ""ttl~ Il'i", II'''' 1_""'1 l}Il~, (1I{;A1KJtjl't... I .,I~"'I' &'.01'1
b"iWu'll,0< 1',j",l,1 .'
J.. nil!! 10. 101 _ __.__
Clih'WIi:IIL()of"",,'~;;1 .~.,.,.-.,..~",,~,. ..,-, -"- -~ - ~1<".",;"".,.,)i,,',,'"'.Z","'{Jijt~il.' 'l..'[h.-'lTUli--j--,~",~'-;!~.,-\.-tjJ. ,;:. ,~..,)0--:'-
'Cl''ITIHj~'llntmAI-lI''(;,,,'" ,,,,,, '-j""'" '''''''''''''--'''''''';''11''''"''__''''1 C" "..', ",'
10 ~ ~,j ~I "'y ""'.'1'4;1', ,1",1~ "<<~,,,ddY, 10 Ill, <OUujf!llII/mflln,t u ,1"",
'~IIOi'lOlJi'ltm(lAfj('tUII"YtN')"n'I(:IAff'F".", .,.,1'" """'""""""'''..,,,;1'''''','_''''''''''''..',1.,.,,1.1 II '" nlfj O'A{OI_,)~:-' '" '1-';>':1 C) 1-
~.lNlllt.'.lmlllJ'"w"d~I,lItllh"HW'"dlllhll'"". "'It, .,N!~I.,.,t''''D'''' Ittlh'U"nlll.>"lm.""".'.1i"~ '1-' \"i, ~ '"
/ojAlA. Allf>~I'nH!!I~OI~' 9011""11"\/11,0111 Itll'lJ~! I~ lli~l
"""!'II"'\ll'''..''':~. jl~
'lIlUIIC~1 UAIllINIIII{jOfWNUI 1 n ~ N '" -
1I,~~,~~tlh::~I:I:J.mIMII{tn''''III'''ln'''II~'"D'' l"mYDplt'I'UI.d"!l\",ru!"~lllh"lIti','l"t,tt\d,I'llet.'\d~','Iolh'(~ojnjl~"'" ) II l~ ~ ~~t ~ A l'lQ~'i
-_.jilw''lI~ln;~"li;~iiljiiA~ilN\)~lrii;-ji I 1I~'~~r 1l,'.O ", I.., ....'1
" c~U"md.,~.'f)dc ll,( (}iI..~1 H ~)"I.""I( I,u.:. .?'/,I!,]~
~"~""I"'rH'("""""'"
,I." ~'<lo""IO"h",.,"'"
......l".'LJHPtll'YINP
, CAUULl.",,,,,,,,,,,,>
"""'c'''~.J,,''''',
'''''''\I",l,,,,,t'IIUl
{I()~ I{l"~;.,, ~"("(',I 'I,ll 'I; I ('"
.,
';;-i'ii[-~Uiol'S"FlfinlljUS
~""I(Altlf Nlllll' 1'1
"O"'l'lll~)'j 01 CA''IiI
fJf{,"~I,n
\..11
"0 I~
Churcllt II ]11'0 gl' 1\1\1 of.' bnp.\.nr, oh\u'oh lllwvicOll and pl'ovlding CH\id
unpes to indlvldunl j:10mb0rs 1'1110 aNl unable to nuuona said sel'v.toos
clue to physioal hnntl:loup nnd 11111008.
II.
I r;lve and bO<;'1.10nt\l. the sum oi' Five 'l'hoU8o.ntl (Q>5,OOO.OO)
Dollars to lilY niaco, DOIUG GOClllmAUR, nnd dlreot thab the lnhe1'l tanol
tax on this boquost be putd out of my rosidunry estute.
5.
I gIve and bequenth all the ):'esu, resldue and remainder of
1'1y estatej of whatsoever natur.'o 0.1](1 whe1'esoever situate, to my
following named nieces and nephe1'l, share and share al:l1,e, to H1t:
].1y nlooe, HAnm rwp!,;
My nieoe, VIOLA BURKE;
"'y n:tooe, VIOLA N^,l"]~ JLT1:W S ;
].\y nleoo, DOn IS GOOJ[ENAUl11 and
l'1y nepheH, ~1. \'1ILBUn ]i'ARlINO.E, J11.
Should any of. the above named five (5) legutees predeoease
me, then in suoh event, J. direot that their shure in my estate
shall be pald over und cUstl'ibutecl to the survlvl11[l members of
said five (5) legatees, shave and ohare alike.
LAS'l'I,Y, I 110mi.nuto, 0011StltU'bO and appoint my nieoe, Dorns
GOClmNAlfH, llxeoutx'ix of t1\l8 lilY Lust \4111 I\nd Test;ament, nnd in
the event t;l1l'\t sho sho\lld j)l'ocleoeaflo me, 01' should she be unablo
...,:-
t' _~~~:u,nf~.~~~t~i~::==j
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, rA 17013
CUT ALONG THIS LINE ... RETAIN LOWER PORTIDN FOR YOUR RECORDS ~
REV: isiii - E'if -,\i:'jq 03':97") -NoT"far-oF - "fNHEiiif AN-cE- T"A'x - iiP'pfliii SEMENT -: - AiXoWAN-CE - 'OR""" - - - ---- - - - - - --
DISALLOWANCE OF DEDUCTIDNS AND ASSESSMENT OF TAX
MARTHA P FILE NO. 21 96-0821 ACN 101
I/l It) -I J
COhiONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU Of INDIVIDUAL TAXES
INHERITANCE IAI< [JI'IISION
[lEi'll, <,/\0601
IlA~RISBURG, f'lA 171Z8'0601
NOTICE Of INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
Of DEDUCTIONS AND ASSESSMENT OF TAX
J ROBERT STAUFFER AT TV
MARKET SQUARE BLDG
MECHANICSBURG PA 17055
DATE
ESTATE OF
DATE DF DEATH
FILE NUMBER
CDUNTY
ACN
ESTATE OF
MYERS
TAX RETURN WAS, (X) ACCEPTED AS fILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
J, R..l Estate (Schedule Al (II
2. stocks end Bonds CSchedlllB 01 (2l
3. Clos.ly Held stock/Partnership Inter.Slt (Sc~l..dula Cl (!l
4. Hortgauas/Notas Rnc.ivRbl. (Schedule DJ (4)
S, Cash/Sank DopoGllS/HlsQ, Personal Property ISchedull E) (6)
6. Jointly Ownwd Propody (Schedulll F) (6)
7. Tranlfars ISoh.duh G) (7)
8. Total An.ts
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm. Costs/Hisc. Expenses (Uchedule HI (9)
10. D.bts/Mor,gag. LI.blll,I../LI.ns ISch.dul. I) (10)
11. Total Deduction.
12. Net Value of Tax Return
15. Charitable/Governmental Bequest. (Schedul. J)
14. Nat Value of Est.te Subject to T.x
If an assessment was issued previously, lines
reflect figures that include tha total of ~
ASSESSMENT OF TAX:
IS. Amount of line 14
16. Allount of I.1ne 14
17. AmDunt of Lina 14
18. Principel Tax Due
TAX CREDITS:
._---,-~ --_._-_.__._--_._~ ---_.__._~,-_.,'-_._,..._-
PAYMENT RECEIPT
DATE NUMBER
o-FI5-97----- AAI8'!r072----.
NOTE:
0(,-14.97
~1VERS
09-22-96
21 96-0821
CUMBERLAND
101
CHANGED
.00
.00
.00
.00
95,024.30
.00
.00.
(B)
15,90.S.09
9. 511.~z..
(11)
112 }
113 }
114 )
.~
U~.\\"I \l If" 111,1/1
MARTHA
p
DATE
04-14-97
NOTEI To insure proper
credit to your eccountJ
sublnH the upper por'tian
of this for~ with your
tllx peYIflent,
95,024.30
?!i .416 Rl
69,607.49
1,000.00
68,607.49
14, 15 and/or 1&, 17 and 18 will
returns assessed to date.
at Spousal
hxabl. .t
hxebl. at
ret.
Line.l/Cles. A rat.
Coll.t.r.I/Cla.1 Brat.
lIS)
116)
1I71
.00
.00
68,607,(,9
X .00=
X .00=
X .15=
I1B)
DISCOUNT (I)
INTEREST/PEN PAID (-)
------------..~-inf"--- --.--------TD; 2 9T:-r2 -..-
AMOUNT PAID
.00
.00
10,291.12
10,291.12
TO-TAL" TAX CRfiifT-l-- ---1-O:-Z91.12--j
-- -- ---~ --- ~----_._,--
BALANCE OF TAX DUE .00
-. -- - - ---- - ~ -------------- -
INTEREST AND PEN, .00
. -- - . - -- ---
TOTAL DUE .00
- --- -. - , - - -._- - --- - -
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN 11, NO PAYHENT IS REQUIRED.
IF TOTAl. DUE IS RHLECTED AS A "CREDIT" (CR), YOU MAY DE DUE
A REFUND. SEE REVERSE SIDE Of TMIS fDRH fOR INSTRUCTIONS. I
PESERVATIONI
PURPOSE OF
NOTICE I
PAVMENT I
"EFUND (CR) 1
,()()
,-.~ ""~.
"---. ,1,
:'1 0
,
".n
.__,,1
ifl
,Y'
-[!
;;-t::i
~
,~.
- } j ~-.
-'.-,--,
.,
\i.l
0,
Eltat.. of riee_dents dY1MQ on or bQfor. Dooemb.r 12, 1982 .~ 1f rlnY future inter..t In th...tate 1. tr~nlf.rr,d
1n PO""llon or Gnjo~~.nt to C!a.s B (Qollet1rel) b~nlftoJQrle' of the decedent aftqr thl Iwplrntlon of any e.tate for
life or for ~.ar., the Co~~onwealth hereby Gxpr~'lly re,erve, the right to apprnlse and al'el' transfer Inheritance Tax..
at thtl lawful Clr.ltS a (collateral) ralll 011 any lJuoh future lnterlllt.
To fulfIll the raqulrement. of Section 2140 of the Inhlrltan~a and Estato Tax Aot, Act 21 of 1995. (12 P,S.
Slction 9140).
Oetaoh tho top portion of thh Notic. ftnd liubmlt with your Pft~mlnt to tt\l~ RIglshr of 1041111 printed on thl reVlr,. filh:ll.
--Mek'll OhflOk or fIlDne~ ordor pl'lyftb18 to: REGISTER OF HILLS, AGENT
A rofund of a hlle: crodJt, whloh was not rlquostld on thl Tnx Return. mllY b, requutllll.:f by oOllpllltlng nn "Applloation
for Refund of PennSylVlll1la InhlrHuMo and Estahl Tax" (Rf:II-I3Ul. App!jcatlons are avalhble 8t th_ Offloe
01 the Register of WIlls, any of tno 23 Revenue District Offices, or by call In; the special 24~hDur
nn.werlng servloe numbers for forllll orderlngl In PennSYlvania l'800~362-20S0, outsldl PennsylvanIa and
wJthln local Hurdsburg: area (717) 787-6094, TOOl (711) 77Z-US2 (Haarlng Impaired Only),
OBJECTIONSI Any party In Intere.t not satisfIed wIth thl npprnlselllent, 8110wo"ce or dl~611owanc. of d~duotlons, or a,..alment
of tllX (including discount or Intlrut) al shown on this Notice must objeot within sJxty (60) dillY' I;If reoeIpt of
thh Notioe bYI
ADMIN
ISTRATIVE
CORRECTIONS I
DISCOUNT I
PENAlTVl
INTEREST I
~'.wr1tten protost to the PA Departmllnt of Rovenue, BOllrd of Appealll, Dllpt. 281021, Harrhburo, PA 17128-1021, OR
.-Ileotlon to hllve the MlItter deterllllned at audit of the acoount of the perlonal reprel.ntativ., OR
.~eppaal to thll Orpt1en.' Court.
Faotuft1 error. dIscovered on this I'llSeUlIIent should be flddressed In writIng tal PA Oepartlllnt of Revlil>nuI,
BurallU of IndIvidual "lRxa., ATTNl POlt AaIlUI",lllnt Rlllvlew Unit, Dlllpt. 280601, Hflrrlsburg, PA 17128-0601
PhonQ (717) 787"6505. SOlI psge 5 of ttllll booklet "InstructIons for Inherltanclll Tax Return for a Resident
Ollolldllnt" (REY"lS01) for an explonlltlCln of admInistrat.lveh cl;lrreo"tabh Illrror..
If any tax due Is ~ald within three (3) calendar _onths aftar the dllloedllnt'. dllath, a fIve pllroent (S%) dlloount of
th. hlx paid Is ~l1C1wed,
The 15% tax allnllsty non"partlclpatlon p.nalty II COMpuhd on the total of th_ tax and Intlllrett flu....d. and not
ppid beforll Januery 16, IfJ96, thll flrllt doy aftor the and of thlll tax aMnesty Plrlod. This non-pl!!lrtjolpatlon
plnalty Is 8fl~.a18ble If\ tl,1 'tl"'lI "'antlllr- nnel In the thll sallie tllle flerlod a. you would nppeal thll tllX and Jnt.rllllt
that has blllen nssnss9d tiS Indloated on this notJ04.
Inhrut III chflrged tllllginnlng with fir.t d8y of dellnquenoy, or t\lnl (9) 1Il0nthl IInd one el) dftY fro. the datu of
dlllth, to thll detll of p8YllllnL TftX8S which beoa",. delli1ttlJent beforl JAnuary 1, 1982 beaf Intereet lit thl ratl of
.,IM (6%) pllr(lont per annul oalculllhd lit a dalJY fatlll of ,OOOlM. All tllxu whloh bQCa1l1 dellnqu.nt I)n and aftur
Jrmuary 1, 1962 will bear Intlrut 8t ft rate which will Vflry froll c8hndar yur to clIl.ndar year with that rab
announced b!l' thll PA Depart.ent of Revenue, Thll appllcablo Inhr8l't ratll' 'or 1982 through 1997 arel
~t Intorut Rato ~l.!.LJ.!1t9rut Factor :!!!r IntorflSt Ratl Dt'llly Inhrut Factor
1982 20% ,000S48 1967 q% ,000241
1983 16% ,000438 1986-1991 11% ,000301
1984 11% ,000301 1992 9% ,000247
1985 131. .OOO3S6 1993'19~4 7% ,OOO}lJ2
19&6 10% ,000274 1995.}lJ97 9% .000241
--Intereit II calculah.d ft. followsl
INTEREST . BALANCE OF TAX UNPAIO X NUKBER OF ~AYS DELINQUENT X DAILY INTEREST FACTOR
-~Any Notlcll Issued nftll" the tftx blcolllal dillllnquent will r.fleot. Itn Inter..t oalculatlon tu flft..n (IS) den
beyond the datil of the aSlesslllent, If p~ymont Is "'ftde after the totoront computlltlon datil .hown on thl
Notloe, additional Interest Illust bl calculated,
IN ~l'Jm 00lIH'.l' Oli' OOllHON PLIflAS OJ<' GUJ1BJi:HLi\11D OOUII'l'Y, I'v;JHlSYI;VAHIA.
1996,:".Q.Q921.d2.11EHANSI C01IH'l'.!--.___. .___
FIllS'l' Ar'D PIIIAL ACOO\JJI'[' OJi' DOHW ooem:Ni\UH, 1':XlDOU'.l'l1IX ()Ji' ~rm\ I.,J\q<l'
VIII,I, 1\ liD 'l'li::,'.l'i\ilJ,:tI'.l' Ole lli\ll'.I.'Il1\ 1'. Ir.mnS, INl'JD Ole '1'lm !30HOUGIl Oli'
I!1\C!lhNI OSlJU1W, COUlI'.I.'Y OJ<' UIIIlJJ1~nLi\W) hIll) :J'l'A'I'B ()P PJl:IIHSYLVAlIIA,
DgO,V:l\SgD.
Duto of ))oath: fJoptoll\bel' 22, 1996.
Dates of Advo~tisement of Letters Testamenta~y:
In the CUlllbel'1und I,m; ,Tournal: ])ovember 1;:;, 22 und 29, 1996.
In The Sentinel: Novembor' 13, 20 ond 27, 1996.
1'111 Ne I PAL A OCOUN'l'
Debits
--
Aooountant oharges herself w:Lth tho follovling pl'inoipo.l
assets ond reoeipts, to[',othor with lnoome received
of deo~dentls estate, as follows, to wit:
1996
9/22
9/22
9/22
9/22
9/22
9/22
9/22
9/22
11/18
11/18
11/18
12/12
12/13
1997
1/13
'1'(I'1'I\L
Oash on hand.
1'].]0 DanI" N. A.. Cert U'icato of Deposit
No. 210010132911'
PNO Rank, N. A., Certificate of Deposit No.
210010l320(J.
PHO 11anl" H. A., Cer't:lfioato of Doposit No.
21001011153.
PHO l1anl" H. A., Oe:rt:lfioate of Deposit No.
21001012835.
PHO BHnk, IT. A., Chooklng Aooounb !lo. ,;:;07000290;:;.
rHO Dan):, 11. A., Sav'1ngs Aooount Ho. ;,,03012(J622.
Bethany '.['OWOl'S, balanoe of p0tt~' oo.sh fund.
Pennsylvania Blue Cross/1l1uo Shield, pr'emiul11
l'efunc1.
American Travelers InoUl'anoe, medioal expense
reimbursement.
A\llEll'ioan 'l'rrwolol's Il1llUranOo, medioa1 expense
:reimbul'semont.
Amol'loan 'J'~avelers Inournnoe, medical expense
l'o'1mbul'IJement.
Amel'ioan 'rl'aVelOI'O IIIOUl.'!lnOe, med:loa1 e):ponse
reimbul'sement.
Amer':loan 'J.'l'avelero Inoul'ance, llleLlio!~l expense
l.'ell,\bul.'SelllSn t;.
PHIIJCTPl\T., ^~)nE:rJ18 ^HD TIli:CEIP'J\S.. I I................. "fj;
* 179.00
10,009.73
25,091.60
10,008.51
15,0~0.lG
7,1.0.96
21,723.2
11.52
196.10
1,566.67
36.90
1,280.00
1,922.00
_--S!:.. 20
95.075.~~
nWOl'1g AOOO1JN~l
Orli'd lt s
Aooountanb 9.s!w ol'edi t i'or tho i'olloN:l.ng amounts
oharged agail18 t inooUle I to Nit l
1996
None
1221
None
TOrrAL I NCOI'llTI
gXPJ]NDIf.NffiliJ8. If... .',. It ..'. It' '-.. ,'. ,........$
SU1IJ.lAHY
-----.--
Prinoipal Aocount
Debits
[~
95.075.;50
Oredits
36,099.93
Income Aooount
Debits
Oredits
791.p 30
0.00
-
BALANOE IN HANDS OF AOOO1JN'.rAN'r 11'011 DIS~'fllBUTION;........*
l~
0.00
.Q..&Q
0.00
$ . 58,975.57
794.34
?9. 769..~
. -.
IN ~rHm COUI1'1' OIP OOliilftON PI,EM DIP OUI!1I3J'iHLAlm OOUW~Y, PIUNNSYLVANIA.
1996~.Q.91321. OHPIIANS' COlJH'.l"
IN nE: ]S~'A'rl!: 01" 1.1AWJ~11A P. HYJ~HS. INI'F: OF' 'rIIIJ) BonOUGH OIP HEOIIANIOS-
BunCh.. COl!ll;.rY...2E.-.cur.JIJj,:nr.,1\ND AND S'l'1\l'JiJ OF PltllNSYLV 1\ IlIA../., DIICn:Mnm.
SClIF:DULlil 01" 1'1lOl'(Wji))) DIWl'IUI3\J'l'ION
~ "-
Suggestion io made, that tho balanoe in hands oi' Acoo.untunt
fol:' Distl:'ibut ion, to Hit, th0 Stun of [1;~9, '(69.91, be made entirely
in Oash to TI\INDLlI SPJUNGS JW1\NGJi:LrOAL LU'l'HEH1\N OHunOH, per item
".3." of deoedent's Last Vlill ltnd 'I'estament; to DORIS GOOIIENAUR, pel:'
item "1.~." of' oaic.l Will; and to HAHn: HUrl', VIOLA BUHlm, VIOLA
1')A'l"rIlEWS and DOnIS GOOllllN1\Un, pel' item "5." oJ' the vJill. It is
noted thu'b N. v!ILI3UI1 F'1\nE:NGB~, Jll., pl'edecensed N1\HTH1\ P. HYERS, the
deoec.lent heroin, and thorefore Distribution is proposod as follows:
In Oash, to '.rnINDLE: SPI1IHGS lW ANOELI01\I, LU'l'lIn:I1All
Cl\UnOlI, speolflo oash bequost. * 1,000.00
In Oash, to DonIS GOOllE:NAUI1, spooifio oash bequest. 5,000.00
In Oash, to llAnm nupp, a one -fOU1't h share of the
residuary estate. 13, ).142 .L18
In Oash, to VIOLA 13Umm, 0. one~fouX'th share of the
residual'Y ef.Jtato. 13,L142.48
In Oash, to VIOLA H1\'J"l' llli~'rs , a one~f'ouX'th shape of
the l:'es ldtttll'Y estate. 13,41\.2. L~B
In Oash, to DOlUS GO o Hl!iNAUH . l~. 411.2.1l1
$ ~9,769.91
-5~