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HomeMy WebLinkAbout96-00842 I - .~ . o Z .~ ~ '0 CI) '& 'Ii u.a "'"'> PETITION H)I~ PRORATE and GRANT ()I< LETTERS France" A. Shughart NO.':<( ~_9f>.:~.(L~.._.._. 1'0: I,:~ta(l' (~f" . IIlso knOll'II11S . ... .~~-.=~~~:.~:._ __ .., nt'el'II\"rI. ~~,~,i;~~~r (~'r~ill~J~b~I~~::I1~__ in thc Sn('/III S('('/Irity No. .... .J9_}:3~~~75Q......_. ('omlTtonwelllth of Pennsylvania The relition of Ihe umkrsigned resrel'lfullv repreSl'nts Ihlll: Your petltioner(s), who is/lI1'e 1M vears of age or older anlhe exeenl.Qr ....___.___..__.... named In Ihe IlIst will of the ''.!'Qve dec('denl, daled .._May 21.-1979..'n--...u.---.... D... .n ,'1.9-- IInd codicil(s) dilled .,~&..u~_...A--. .tAll, ,..."'-~...J:~+-_._ =~~.:.;~Lq;,t:..~~:::-... ... ~:.:.~_.....=,^,~'__.o-~. ~.:=--=-=:::::: /slatl' fl'IC\'llllll'irl'lltll<'!lIf1l'l'S, ('.1\. Il'lHHH.'i:llinn, dcmh of l'\Crlllnr, ell:.) Decendentwlls domiciled III death in .C.\IJ11per1a!l.'L... ...__._._ ____. ('ounty, pennsylvania\ with h_._er..~llIst fllmily or pl"lncipiJl residence III ... _nZ.2...Ch.oat~_HJ!YL..c;ll..r.!i.,,-~A 170 3 ___~.u..Il+1l'(JtILI,(TCU',)_ LtVJd.__ ......._... ..______..__._ (list ..tlel'l, lI11lllhl'r lInd flltllldpalily) 84 . October 10. 96 Deeendent, then ..._.. '_n years of age, died.. ._...__.n..___._.._._..__.___.., 19 lit _.__. nCar1islILHQ.sl1J.td. ..~llX1J~J!'.LJ'" ....._.......... ._...".._____..________. E.,ecpt n' 1'011011"', deeedelll did 110tmnrry, wns not divorced und did not have II child born or adopted after e,eeution of Ihe will liffered for plobntc; wus nOllhc victim of a kiiling und was never adjudicated inCOlll pClt'lll: ~___.._.______._____. __..____~_.. _ _________.~___._.~.._.~__._~____ ____ Decemkul III denlh owned rropel'ly with estimated values liS follows: (If domiciled in Pn.) All personal properly (If nol domiciled in Pn.) I'e"onlll propeny In Pennsylvania (If nOI domiciled ill I'n.) Personal propel'll' in County Vlllue of renl eSliue in Pcnnsylvnnin sillluti...d it!'. follows: .___ .__..____ '_.._.__._'___u________.___._~._______. $2:? .000 .00 $ $ $ ....-..--.----.-.. ~._.._~..~_.-._----..~.~._.._---_.._~- WHERI:FORE, pelitioner(s) respectl't,ily requ\:.sl(,l the probate of the IlIsl will IInd eodlcll(s) presellled l1erell'ill1 and the granl of lellcrs. ....._...T"E.'.t~~_~~ry _..._.__. . , tIC"la"~l'fltary; adl11jtji~lli\tj(Jn \';",(.Il,; odminlstratlon d.h,n.c,l,a,) Iheron. "7 " 'J ~.. ,n1:.71,.Yl/" ", ::;;',tJYa.HI'1B,r. H qf~.rj?IIYf.i.1SQt9Q-~ iig .CA..B..I..J:S_LIT;_f 'fI..j 70..1..") 1';1';': 7:i.. ~.~ ... ':i'i 'L~~__~ AL.~ ----_.._.__._..,.---------_._~._-- .__...._~..._.--. ----._- . ... - ... .'-------.--....--.. ._____.._____-0 __ __n ....._...___.__.____..._.~.___~_______.__ OATH 01<' I)ERSONAL REPRESENTATIVE ~:~~~~I(tN~:::AI;r~}I'~~"r~)I!';,~~S\'I:VAN~~.. J ti8 lht' JWliliol'll'rbl UhtIVl'.nilIHcd 'i\\L'.H('d or allil'lll(s) thai the stHlCIllCllts in thl' foregoing petition arc lrw.,' ~lIId L'nnl'I,'1 III rill' hl.....l 1.11 (!it' ~1I(l" ledge and hl'liL'f of pc:titiollcr(s) and thai as personal represen- lutivi.'(',) (II :/H' UIHl\I' dL'\.I'Ilt'nl PI'IIlIOIH.'I('-.) \~i11 \~l'Il and ~rulY lldlllinisll~ ~ ('stale according to law. S'\OIIl 1(1 tl1 allllrlll'd 1I1ld ....Ilh....crlhl'd I ?1Io(hk.. of L4Hy~J....__.. ~ hel/Ht' !lI1' 1111.... 11 d.J~ oj ____ _..m_..___. ~ -O\;tnh""r 1'1 96 l ~ ''/YltlA<j l.. 't(u..V(oJ _....... ~ () I) 0 fl (\ \. Hl'.!:f.\(('r t'l -I' 'I .? . .,. 1 ",J'I";l'( , .::: No. 21-96::.llA..2... Estate of FRANCES A. SHUGHART ___.__._____. Deceased DECREE m' PROBATE AND GRANT OF LETTERS AND NOW _._.._._._~Q.GTO!,'\.I!J.B_l.~.... .....__.__ I tj)..J.._....., in con,iderlllion of Ihe petition on the reverse side hereof, snlisfllclOry rroof hnving been presented before me, IT IS DECREED Ihal the inslrumeni(s) daled._...~_.!1!l.Y...a.....lil.2...___. described therein be udmilled to probate and filed of record as the IlIst will of ____.E.rAml-8 ,,-A..-Sh llgh art and Letters ._-T.e..s.t&l1'l\AI1t~r~~__. are hereby granted 10 .J1~rvi!! L. ShuJ;\hart -.....-._----~~....-._---~..-'_._--- FEES 7YbrW ~,~~p,..pBCl.,,,i;. ----c:r--R'gl'lcrof will, r'h Douglas, Douglag , Douglas George F. Douglas. III, Esquire ...-6.l&.8b-.-- ATI'ORNEY (s..p. Ct. LD. No.) 27 W. H.igh St., Carlisle. PA 17013 Probate. Lellers, Etc. ......... Short CerllficBtes( 113. . . . .. . . . . . Renunciation .........,...... x-pages JCP $,305.0.9_ $ 30.0CL. $ $ 3.00 ---- -'5701) TOTAL __ $.1.4.3.:.0.0.... ....... .Or.'l'QB~E. .18.,.1~9p.,.... ADDRESS 717 243 1790 Flied PHONE go -t:TI <'Ie ,~ ~ c, ;..)(1; C. FJ .~ - -...J -Q .f) r,-"l If; () :l' b,: -"+-1. \.oJ A0r; (1f n,~ . '96 ,ucr 17 IV ;,13 CI6,:: .W Curllu.' ?^ r' llll 1:1 ~ 0: :::s ~J i ; r6 .'~ ~ ~ ~ ;:) :t- sa ::t ~ 5 ~ ~ . - VI 110 . -. ~ , t. ~, (.I -",:) ~ "-t <( ~ . ~ ~ A = e VI ~ ., " Ii -.9(i) ~. l<l +-f UJ u ~ ~ ; ~ 0- m ~ ~ \ 0:: ...... ,~ \II ( (, Q L{ Ir;~) \II (....... ! ~ II I' ill (' . ) . r I () INHERITANCE TAX RETURN RESIDENT DECEDENT (OMMONWrAl1H Of "NNBYlYANIA (TO BE FILED IN DUPLICATE DEPARTMENT Of REVENUE OfPI 7",b01 WITH REGISTER OF WILLS) J~ARR,~~~.l1,R,~. PA !~.~?8-1J60~..._ _,n_ I ' _ _ _._~- OECEDENT'S NAME liA~l, fiRst, AND MI(JD(f INifwl--~~~~" $1\ 1.1(;, 11/\/(1 F,Q,AHlE~ f\ ~OE!ALSfCURI1YNUM6fR'" ]DAH (,f m"'TlI [PfIIl (If 81RW ,"i3'3e,.(.7,S'o en 10,IIH. I" ",,,,i,,,, ,,,'',,'"', ,;"Vii' "...,,,,,, "'1< "" .",." '"''''', 1'"'''' IfC""" '" 'M'" .. cr [\?( 1 Origlnol Return I J 2, SupplemonlClI Relurn r~1 4. limited eslel' ( ) 40, Fulurl'llnterell COinpromhe Ilor dol.. 01 death oft.r 12.12.B21 ~. Deceden! Died Testole [] 7. Decedent Maintained n living Trl)" IAnech copy of WillI (Alloch copy of Trulll ALL ClORR"'ONOINCI AJIlD CONflDINTIAl. TAX INPORMATION 5HOULD 8'1 DIRICTID TO.I NAME . 't:u .--"" COMPLfTE MAILlNQ ADO E S f~~tN:::"~iif:I_-':'GL",~,.UL_. . ~\~~L~E ,f-\~ G~1 ~~ 13 ........-.-. . c~~')c.~".,iL= 'f ~ ."..~~~.l.u.-=.. .. ...... ,,~,,==...=~c. ,=~~..c....,,"""'~.=.~~=4 IHV\.~OO ~~+ 1/.941 ~ :a.c~UJ trlf~ "'t;!O U$~ ,,~?~,y.. .~'fIt$ &i ~ Q .hI- ",ili "Q "Z Bit :Ie o ~ ~ ill .. 1. Rool Estate (Schedule AJ 2. Slocks and Bonds (Schedule B) 3. Closely Held Stock/Porlnenhip InlereU (Schedule C) .4. Morlgages and NOlos Receivable (Schedule OJ 5. Cash, Bank Depoil" & Ml,celloneous Penonol Properly ISchedule EI 6. Jointly Owned Property (Schedule Fl 7. Trantle.. IScheclule 01 (Schedulel) 8. T010I Gross Aneh (lalalUnes 1.71 9. Funeral Expenses, Admlnl$trollvo CO$ls, Miscellaneous hpenses ISchedule Hl 10. Debh, Morlgage liabilities, lie" ISchedulo I) 11. TOlol Deductions (',,'cIUnes Q & 10) 12, Nel Value of Ellote lllne 8 mlnusline 11) 13. Charitable and Governmental Bequ8sh (Schedule J) 14. Nel Value Sublect to ic:~~.! 12 mlnUl Une 13) 15. Spoulal Transferslfor dolos of death after 6.30.941 Setl Ins'ructlons for Applicable Percenlage on Reverse Slda. {Include value I fram Schedule K or Schedule M,l 16. Amount af Une 14 taxable at 6% role llnclude valuel from Schedule K or Schedule M.l 17, Amount of line 14 taxoble at 15% rote (Include valuel !rom Schedule K or Schedule M,I 18, Prlnclpal tax due jAdd tax from Une$ 15, 16 and 17.) 19, (redih Spousal Poverty Credit Prior Payments + Z o 5: I- ~ Ii '" u S FOR OATIS OF DEATH AFTER 12/31/91 CHiCK HIRE IF A SPOUSAL , POVERTY CREDIT IS CLAIMED [ I FILl NUMBER .2 I 'i I. .- oj 'I L COUNIY CODE YEAR NUMBER Of("f'[}ft:rr~ <:0Ml'im- AO'DRf'55-'-'--=~~':":':""':""':';'::;-;:;~---:""'':'':''"- c"unr Ovt".'\ fJ;,f'(.2..r....AN b ----A~\O\lNi"RE(EivfofSECjN.5TRU{floN sr---' __ __m______..._....._.........__._.___~___._M'..____________.._... rl3. [] 5. Remainder Return (for datos of dealh prior 10 12.13.82) Foderal e'lole Tax Relurn Required _ a. Tolal Number of Sufe Deposit Boxes . (I). 12)._?~J., J.'1(. 33 ( 3)_.. __......... 14) ._... c ...... .....__....__... (5) .__.....r..,/.fd.,,_5..L._ 161 -......-._-.....__.__. (7) ........_____~_ 19)__.4 "3,Sao. '11. (10) __.____~.___ =s-:JJ ~l ~ (-'1 0 ,..., " t;.J n LA) - ) "',11 )'.. :1 .-::~ L:'l Ln - , ;;.:;...J :..:~ (.II il; () .- 18) -3?.k'i..:?.LO,'iQ (III .-..11..__J)J22~ ~_.._u 1121 ...J~_S' ....3;L C, . 'iL__ (131_~__..___ _" 1141 _..2J,,F, 2> ),1, '1 ~: (15) ..._..____...______...X........ 116).),;l.. 5;" ,,1. ~ ' '/If _J'1..,._~..lj...'7J . X ,06 It 1171 _.. X .15 III IIBI Discount + q1 ~. '!l(L Interesl '1...15'., DC) 1191 (201 20, II line 19 is great..r than line I B, enter the differonce on Une 20. This is the OVERPA YMENT. liKI C1H,tk 111'1(' if you tll(! fcquC'~llng 0 lof,lIntl of you I o,vClptiyml'lll ' 1211 121AI (21BI / ~ ti 't~J':. I {t:4~. (',0 21. If Line 18 is greater thon Line 19, enhH the diffDfenc~ on Une 21 This is the TAX DUE. A. Enler the interest on the bCllonco duo on Uno 21 A B, Enter the 10101 of lino 21 ond 1.1A on lino 21B. Thi~ is !ho BALANCE DUE, __~_ake Ch.c~.~~~~_I~ to: R!UII..r pf Willi, Agent H__ .-.--.~_.~. 8E~URi-'C?~~S~~:AL~~u.~~!IOI!S oNj~\IE~~(~I~AN~TORiciiicK~ATH -C:. . ._ LJndflr p'/tnoltltu of pflrlury, I dedoto thot I hove e)(otnined this fehlfn, imludinu CHcompClnying Hhedules Cllld sta!emOllh, Clnd to the belt of my ~nowledgfl and belief, it iltrue, correct Clnd complete. I declare thot Cllt 1001 es!nlo has hnOl1 !flpr)rlod o! truo mtltkel volut Doclwolioll of prflporer other lhan the pflr$Dflul reprflsenloliv& il bOled 011 all informotian of whkh preparer hm ony knowledgfl 1.1~~~;Z::!I:..~'~X:1i;;'?IJ,;:;,~~' f~':~,~','~, ,\ L, \ :1U~ \\ h, "1:1\ '1 'I~. h ,,,. (.:~. (:, r (,)le.J'~:I>(J'~' ICI~.12 3(7b ~ I' .~ ("vc.r<(,-,l 1 .1.lOub,f..\ c I ~I', I' 1'J ,.. ['It) AlV.l'lo",. t...., . j COMMONWl!l\lTti 0' PI!NNSYlVA.NI~ INHUIT.4NCE TAX ReTURN RUIDE':'" DECEDENT .. ._.. ISTAtl Of . J_ _ PILI NUMifi <2 \ 'I l,- <,!.( L SCHEDULE B STOCKS AND BONDS . . - ~._--_. - -- .- l: (\ 1\ ,.I C l. \ 1\ )\\'.)(.I\~I'r (All proporty lolntly.ownod with Rl,ht 0' Survlvo..hlp mUll bo dllclolod on Schodulo P.) ITeM:T- _~UM8+- DESCRIPTION 1. DEAN WITTER REYNOLDS, INC.. 10 UNIT CTF CORP. INSURED @980.850 II UNIT CTF CORP. LT. @902.710 15000COCACOLA@90.719 lAB. (/)"t~ 'I./s....."..n) 9000 GEORGIA PAC. CORP. @104.734 DEI!>. (bu"- (.-1-;' ::'oz~) 13000 AETNA SERVICES @94.047 1)"0" (i)u"- r'I~- ;>l/Oll) 15,000 FLA. POWER & LIGHT @92.016(\ ~f' I" " '<T"'A"'.) 3,000 GEORGIA PAC. CORP. @96.250DL ~. (()ul' '1.1' ~o n.) 10,000 FORD CAP. BV BE @ $116.766 [.>t 6. (roue. ~+ 2-010) DEAN WlITER. LIQUID ASSET FUND AND U.S. GOVT FUND EDWARD JONES, ACCOUNT # 377.036991-0 NOVA SCOTIA POWER DEBENTURE $5,000 @ /0 7. 7L~ w.n, NJ;:WBOLDS & SONS, ACCOUNT #A25.0019823.AI8. GEORGIA PACIFIC. 13,O00@104.125 DUE 2022 @ 9 1/8% PITTSBURGH & WEST VIRGINIA RR 2,000 @7 PP&L RESOURCES, INC., (HLDG) 450 @$22.50 NUVEEN MUNICIPAL VALUE FUND 1610 @ $9.625 GTE CORPORATION 600 (ii)$J9.75 GENERAL MOTORS [)ES DUE 4/15116@8 1/8% VALue AT DATE OF DeATH $ 9,808,50 $ 9,929,81 $13,607.85 $ 9,426.06 $12,226,11 $13,802.40 . $ 2,887.50 $11,676.60 $ 1,723.48 $ 5, ~8b.30 $13,536.25 $14,000,00 $10,125,00 $ t 5,496.25 $23,850.00 $ 9,987.50 ______..__.__.___.~.!.~.l~~...!~.I.!'....~.!!."!..?" Rtcaet!!'~nL-__._ .L2:KL:i'i9 I, ~L (If more 'pac. I. n..d.d" inl.rl additional."",, 0' .om. 1111,' t/:/--/3 Lj - P COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE ci/ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAK OIVISION DEPT. Z8060 1 HARRISBURG, PA 11128-0&01 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR OISALLOWANCE OF DEDUCTIONS AND ASSESSMENT Of TAX DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 03-31'91 SHUGHART 10-10-96 21 96-0842 CUM8ERLAND 101 GEORGE F DOUGLAS III 27 W HIGH ST CARLISLE PA 17013 ESTATE OF SHUGHART TAX RETURII WAS I ) ACCEPTED AS FIl.ED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE --- .. APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. RaMI Estat. (Schedule A) 2. stockl and Bonde (Schedule 8) 3. Clos81y Held stock/Pa,..{:na,'ship Interest ISf:lhedul. C) 4. Hortgag../Nnt.. Receivable (Schedule 0> s. Cash/Bamk napa-sHs/Misc. Persnnal Property (Soh.duh F.) 6. JolnHy Owned Property (Schedule Fl 7. Transfers (Sch~dul. G) 8. Total Assats APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Fune,.al Expenses/AdM, Costs/Misc. Expenses (Schedule H) 10. O.bt./Hortg~gQ Liabilities/Liens (S~h.dul. 1) 11, lotal OaducUCin. 12. N.t Valu. of 'Tax R.turn 15, Ch.ritlbl./GoY.rn~ent.l B.qu.~ts (Schldull J) 14. Nat Valli' of E.t.t. Subject to Tex If 8n .ssessment w.s issued previously, lines reflect figures that include the total of ALL ASSESSMENT OF TAX: IS. A~ount of Line 14 16. A~ount of Lina 14 17. AMuunt of Lina 14 1&. Prln~lp.l TlX Due NOTE: at $pounl rate texabla It linaal/Cllsl A rite tlxabl. .t Coll.t.raI/CII.1 B rate TAX CREDITS: -- PAYHENT OATE ""I2-3F9"6 03-06-97 RECEIPT NUMBER --"Ma502l' AA185244 DISCOUNT (+) INTEREST/PEN PAID (-) 976,05 .00 *' U~'liol' U U, lU'''l FRANCES A 1............,~~,un~....cR;~.I,.~~.d~=~=3 DATE A TT ACHED 03-31-97 MAKE CHECK PAYABLE AND REMIT PAVMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~ iiE"v: isi'-i" Elf - AFii -r 03~" 97 Y" Nori at" "OF" YN'ii Eiif;: A'N"C E" 'fAX "i\"PPRii f S EHEN'r; -A rrliwA'N'C E" iili""""" -.""""".." -"" DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX FRANCES A FILE NO. 21 96-0842 ~CN 101 ( X) CHANGEO SEE NOTICE NOTE I Tn Insure proper tlrildH to )lour .ecoun'l, sU~Mit tha upper portion of this furM with your .t.x paYMent. 381,160.90 43.8110 96 337.279.94 .00 337.219.94 14. lS and/or 16. 17 and 18 will returns assessed to date. .00 20,236,80 .00 20,236,80 ------_..._..~_._._.- --.-- :~~~:~:~,~; ~~~ "''':-~~ _.,--'-"-'---~~'--'~-"--"-'-'--'''--~- .-.-.-----.--"-..- 11) 12) (3) 14) IS) (&) (7) .00 28L391.ll. .00 .00 99,769.57 . Oil.. .00 (8) . IF PAlO AFTER OATE INDICATEO. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. (9) (10) 43.880,96 IF TOTAL DUE IS LESS THAN n. NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU "AY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS,) .00 III ) (12) (13) (14) (151 (1&) (17) .O~X.OO: 337 ,279.94 X .06:_ .00x,15: (18) AMOUNT PAID 18,545.00 717 . 00 RESERVATION, E".'" .1 d......n.. dyln. .n .r b.I.,. D....bar 12. "02 -- II .ny lu'u". tn..rU' In tho ...... 11 'r.,..lorr'" 1n pOI'I.,lon or .njoy.ent to Cia.. B (col1et,rel) blneflo!arl.. of the dlced.nt aftar thl 'Mplratlon of any ..t.t. for Ilfa or for ylar., tha Co.~onw.ftlth hlreby IMPr...ly t...rvII tho right to eppry!.. and ...... tran,far Inherlt,no. Tlx" at thl lawful Cia" 8 (tolletarall rQte on any ouch future Intar..t. \,I,JRPOSE Of' HOlICEI To fulfill thl r~qulr.~.nt6 of Slot Ion 2140 of the Inheritance and E.teta Tex Act, Act 21 of 1995. (72 P,S, Seotion 914U), DetlftOh the top portion of this NoUel and Ilubnlt \ollth your pOYllllllnt to thl Reglshr of WHh prlnhd on thl rlvlr" d~. ~-l1ek' chIck or BOney order p8Yl!lbla to: REGISTER OF HILLtJ, AGENT PAVHfHT I RtFUHD (CR)1 .. r.fund of I taM tladlt, which waD not requested an th. TnK p.turn, May b. requ.,ted by to.pl.ting an "Applioatlon for R.fund of PennSYlVania InhQrltaMe and E.tate 'fax" (REV"1313l. Appllcetlon! are (waHable at t~ Offlce of the R.gister tlf WUh, any of the Z3 Revenue [lhtr1ct Office., or by cnlIlng the special Z4~hour ansWllrlng .ervIc. nUlllb.n for forll' ordllrlnQI In P.nntlylvanla 1-800-:!6Z~lOSO, o\ltsllJe penll.ylVanla and withIn laoal Harrlsbury arefl (717) 787"809~, TUO_ (717) 712-2252 (H..rlnG IMpaired Only). Any party in lnterut not uthflod with the apPf'allAMent, Allowance or dhal10Wllnce of deduction., or .........,t of tal< (including discount or interest) "'Ill .hown on thl. Hotlce lIlUllt obj.ct wHhln sbty (60) days of reoelpt of thh NoUe. bYI "-wrlttan protut to the PA Oep.artlllllnt of Re....onu., Boerd of Appuls, O.pL 281021, Harrhbur~, PA l7U8-l02l, OR --al.ct',o1' to have the lIlattar dehlrlllneu lit tll.ldlt of thll l5eeount of thll p.rsonul r.pruantaUv., OR '~epp.al to the orphon.' Court. OIJECTIOHS I AD"I" ISTRATtYE CORRECTIDHSl Factual .rrors disco...."r.cl on thh l!IUUIMAnt should be addressed In writing tOI PA Oepi!lrtlulnt of R.VMU4I, Bur'au of Indl....idunl 11.11(0s, AnN: POlt Auuu.nt ROlllew Unit, t"f1pt. 280601. Hl'lrrhbl,lrll, PA 17128-0601 phnf'. (117) 787-6{.05. See pllge S of thll booklet "In.truoUonll for Inhllrltance Tax Return fl)r a R.aldent Decedent" (REII-150l) for ftO eKplanation of ndalnistratlllelY cOf'rectnblll error,. If any tel( du. I, puid within tllr..e (!) call1ndnr Ilonths nU"r thll tllle.dllnt" dOf!lth, a fllllil percent (S:O dlscount of the tax paid 1. allowed. The lSA tax a_n.lt... non-participation penalty i. cOllPuted on the total of tho tax and intere.t .....sed, and not pllld before January 18, \996, the first day after the end of thl tfllK aWl.lity plriod. TtllI nowparUcdp.tion penalty is l!Ippealable in the sa.e ",annlr snd In the the ,ao. till. par lod as you would appeal the t.K and Il'lte,...t that ha~ b.l~ B...ssed as lndlcated on thl~ notictl. lnter.st is charg.d beginning wlth first dny of dollnqullney, or nine (9) Month' mnd onl (1) day fro~ the date of daath, to the date of pay..nt. Tal<~~ ~hlch became delin~nt buforo JanUllry 1, 1982 bear Int.rl8t at the rat. of Jlx ((.:0 percent per nnnuIII ulculated at III dnlly rAt. of ,000164. All till('" loIhich b.calllg dellnqulnt on Imd after January 1,~98Z ",ill baar inter-est fit II r8ta which will "'flry frolll clllandal' y.ar to cale"dar Year wlth thllt rate announc.d by the Pol Vnpart~ent of R......nua. The ap~11c",bl. Intar.Mt rateS for 19&2 through 1997 ar.l '!!!.!: Intllr..t Rflta Dai1'i Interest Fllctor ~ Intarut Rllto !l!.!.~ Intgrut FlIletor 1982 20Y. .000548 1987 9% .000247 19U 16% .OU04:S8 1968-1991 11i': ,00(30) 19&4 11i': .0005111 1992 9i': ,000Z47 1985 ax .000556 1993~1994 n .000192 1986 10% .1.1007.14 ~99S~1991 9X .000247 --lnterut 11 calculatad .. followSI INTtREBT . BALANCE OF ThX UNPAID X NUnDER OF nAYS DELINQUENT x DAILY INTEREST FACTOR --Any Notice Inuan after thY taK b.co"u dellnquillnt will refllct fin loterut caloulaUon to flfhan (15) day' beyond tho data of the a.......nt. If JHIYlllJnt 1. 111101 after the lnterast eOllf1utation dlt. .hl>>ln on the NoUoe, additional 1ntarut lIust be caleulllhd. DISCOUHt: PENAL TV I lNTEItESTI r"" ~ -,~~-'~" ~I I'" I" ii, I, ,I ,~~ ':\?f\ '-';,'-" INHERITANCE TAX EXPLANATION OF CHANGES .( (JMMUHWFAI111 01 I'I:rH,I:,'{1 VMHA . IHPARTMHH Of IHVI/JUI BUREAU Of INOIVIDUAlTAXFS Dfrl 2H0601 liARRI5BLJRG. PA \/12[1.060\ [JFCrDrt~i'~~-i,iAMV-- ;.- -".. . ~. SCHEDULE ITF.M NO, /\ I' '. I.. .\ \ \ I .I .ok \ (\ (:1. lot , /-1. , .1 ,. {I \ TAX fXAMINfR ,I ' . I, (,! eXPlANA TION OF CHANGeS i,..1 \ ( (-j \ ; \ ", l ' Ii II , /. I , il I't I' I...-n.-.n..-. '-- ..........,~..~..~ .-. filE NUMBER -..- I.:; 'j l'( I .' ACN I ..\ I . '(', "I ,- I, PAG[ tk( Ii Vi Ii/If( 21 "I" "1'1 II ~I ',_.. CllH Cun, . ~~~ !:'I l:JJ:I ... "",gB'Jr:I~ Ot:;) ~ U . H"-1<PlO ",>'i HU 5w~g! tlH~'" <~r::~w :;J", "-1~ Zl=l~f-t H!:CO,," ~tf) ..Ju "-1 ~.J!:;JA~ ~ f-lj.J.:lt--'i z '" ~ Pl ' [-<H"-1"''''< I/):> wzz ":":wu;'z H"-1!:CWOW "",~f-<AHp.. N ,~ o I '" '" .... N }l. ;i~ 'f,! _~~ F ? ~':... '_"-1)1' ,~ ~( I; V) 1';1' Q..;. CT. (,) "',1 ~. ( I!I C )~;) i: :~ ~~_i:'" (~,'I {\ nJ 'I ~til_ :~: ~~~~; '--'7 fill.; ..." ~ r:l ,\\ '?; -~: '~~l~ r.\ ~ ~ ~~ w ~::, -fi . (IJ Ul . \'7l~uCi I:~ ,~.:. (l , .::! g C) o a) ~t: II) IJl --'X it ::~ -; u . lE , ~~ 'j ~~ ,'11\1 r't, ,;( J'tl C 'tJ '" . E,\lJ"iii~i': ::> c ,~ .... .... ,U .1: ... l:;: ,- Q <(lij!~ c .~ 4> <;:; ~ "'.8. . oS ~ 2 Cl1 Cl1 ~. 'C."'"-. li'i~s-Sg ; 2'~-ScS31 L:Etii~c:b l;:: IV ".- !: VI (tl ifJ - CJ) 0 to iE~~c~~ '5~oJl5ffi 2J ~ 'P IJ, >.ll 'f': . c ~ Q; "' e: (l'J.c: o..s 91 c . ~ " C (Q 0 .- tv ,- al'a'-5.c:~ 'i 'tl ~ p- <> 1: c ... u ?' Q\ ct'~< ID E ... Ql C ,. .- III E 0 ~ Ql c: . of; 'j;) o. i . .;." fC1i5 2(:': . ;:.... 0 '0 ';0 0 t5 t: ... t: u .... ~ III :;) VI to ... ~ o c:: .... 0 .... CLl '0 III t; f, ~ 'tl f; '1'. .t: con' '\' l\l..... C (. 'aollOU 941 411M papnloul ~OM IUOW'lllJIS P!OS 10 Arlo" "i 'Ut>!}O 1)((=)\1 If) Jla4 '^JaIOIl9u9Q 'JOllpaJO S{l OlulHe a41 uJ ISSJBIUI ue lJ'"II" " 9A04 OllUOIunoooO a41 01 UMOlJ~ UOSJBd J9410 ^JBAB 01 pl." lUQWIOIO PI9dun ^J9A9 01 UQA!B uaaq sell 'UO!lllqIJIS!O poso'1<u,t . )0 IU0UJalQIS PIU8 01 9UOlloBlqo UUlIPM all' 01 ^up lsal alii I" pUO UOlleWJljUOO 10) uno:) a41 01 pOluasoJd 9q 111M ewes 0'11 U04M aoald pUll OWII 'Slap 941 )0 pUB 'uollflqplalO p980doJd 10 lUoWalQIS 814110 6UIIll 941 jO 0:JI1UU UllllllM lalll ^)llJ90 .iqOJ8111 " ., I \....1.. 1 ;.. 0 II; ,: ,~:' ~, .->., VI ~ Cl ~ :l 0 " 0 ~ .. ~ w '-' III w >- !( . ~ Ul - VI .. N Z ~ ~ ~ , ~ Z 0 % 0 W' Cl ~ . .. ~ ::> z % d LJ g a: 0 0 ~ " Cl '-' ~ .. Ul iii N J ~ 0: Cl 5 :l 0 0 IN THE COURT OF COMMON PLEAS OF CUMBBRLAND COUNTY, PENNA. ORPHANS' COURT DIVISION NO.2196-0H42 FIRST AND FINAL ACCOUNT OF MERVIN L. SHUGHART, EXECUTOR OF THE ESTATE OF FRANCES A. SHUGHART, DECEASED, LATE OF SOUTH MIDDLETON TOWNSHIP. CUMBERLAND COUNTY, PENNA, DA 1'8 OF DEA 1'11: October 18, 1996 NO. 2196-0842 LETTERS GRANTED:Oclohcr 18, 1996 FIRST COMPLETE ADVERTISEMENT OF GRANT OF LETTERS: October 31, Novembcr 7 and 14, 1996 DEBITS PRINCIPAL: REAL ESTATE TOTAL PRINCIPAL: REAL ESTATE None None ~UNilPAL: PERS()NALTY I.HARRIS SAVINGS HANK, LIQUID ASSET MANAGER 112103005200 $51,970.10 2.HARRIS SAVINGS HANK. CHECKING ACCOUNT 111700000202$ 7,006.14 3,DEAN WITTER REYNOLDS, INC.,I 0 UNIT CTF CORP. INSURED @980,850 $ 9.808.50 II UNIT CTF CORP. LT. @902.710 $ 9,929.81 15000 COCA COLA @90.719 $13,607.85 9000 GEORGIA PAC. CORP. @I04.734 $ 9,426.06 13000 AETNA SERVICES @94,047 $12,226.11 15.000 FLA. POWER & LIGHT @92.0i6 $13,802.40 3,000 GEOROIA PAC, CORP. @96.250 $ 2,887.50 10,000 FORI) CAP. BV BE @ $116.766 $11,676,60 DEAN WITTER, LIQUID ASSET FUND AND U.S. GOVT FUND $ 1,723.48 UEAN WI'n'EI{, TOTAL R.:CE1VEIl $87,561.73 7. EDWARD .J(}NI~S, ACCOllNT II 377-03699-1-0 NOVA SCOTIA POWER DEBI\NTlIRE $5,()()() (a)107.726 $ S,386.3() F.IlWARIl.IONI':S, TOTAL IlECF.IVIW $!I,!l64.17 8. w.n, NEWIIOLIlS & SONS, ACCOlINT #A25-00 19823-A 18- GEORGIA PACIFIC - 13,000 (111104.125 $13,536.25 DU F 2022 (i11 9 1/8% PITTSBURGH & WEST VIRGINIA Rll - 2,000 Vl17 $14,000.00 PP&L RESOURCES, INC.. (IIL1lG) 450 (111$22.50 $10.125.00 NUVEEN MUNICIPAL VALUE FUND- 1610 @ $9.625 $15.496.25 GTE CORPORATION 600 @$39.75 $23,850.00 GENERAL MOTORS DEB DUE 4/15/16 @8 1/8% $ 9,987.50 MUNICIPAL PREMIUM INCOME TRUST- 1600 @$9.25 $14.800.00 MUNICIPAL INCOME TRlJST.II(lO @$9J75 $10.312.50 GREATER ORLANDO AVIATION AUTII., DUE 10-1-2017 MUN. BOND 5.000 @$98.IO $ 4,905.00 SOUTHERN CAL. EDISON DUE 6,1-2024. DUE @ 8 7/8% MUN.BOND $6,000 rjvlOO $ 6.000.00 w.n. NEWHOLD TOTAL RECEIVEIl $123,546.49 9, GTE, DRIP - 1,095.130 (1;1$39.75 $43,531.42 GTE, TOTAL RF.CEIVEI> 548,567.92 10. NlIVF.EN MIIN. VAL. FIINIl,IlRII' 2.532.239 (II) 9.625 $24.372.80 NIJVEEN TOTAL IlECEIVlm $23,963.10 II. CIJMBEllLANIl CROSSINGS, COTTAGE REFUND $28,843.33 12. LONG TERM CARE SERVICES, INSURANCE PA YOUT $11,950.00 13. AGWAY,SALEOFSTOCK 106.90 TOTAL PRINCIPAL PEI~SONALTY: INCOME REAL ESTATE $3K9,OKO.88 NONE ~OME 1)llliSONALTY I. DEAN WITTER, U.S, GOV, MONEY MARKET TUST 62.KO 2. GEN. MOTORS CORP, ACCOUNT 37L50, DIVIDEND 406.25 3. MPIT. DIVIDEND SO.OO 4. MIT, DIVIDEND 52.25 5. GTE, DIVIDEND 514.71 6. HARRIS. INTEREST EARNING ON ESTATE REV 1500 ex+ 17-941 f- ><~., Illf>< :cog (.)~~ " (- . ')..>f \) Ie IvU'I'J'iI\ L_ / 'J I .;" ~: ( _.j 20. If Une lQ Is greater than line 18, enter Ihe difference on Un. 20, This Is the OVERPAYMENT. IICI 21. If line 18 Is greater than Un. 19, enler Ihe dlffer.nN on line 21, Thllll the TAX DUE. A. Ent.r Ih.lnlerell on Ih" bolance duo (III Une 21A. O. Ent.r th. tala I of Un. 21 and 21A on line 218. Thil il tho BALANCE DUE. _._._.~._.~ah _~h.clc '.!yabl. to: R.,I,'er of..~~~.!!..Ag!.~~_._..__.._~__..____.______ " ~ "".9.:-'~:91\ '04}.VQR ...... ~i!i ",0 ",'"' uf '"' o ~ ~ III '" 1. Renl E,tal. ISchedule AI 2. Slacks and 8ands (Schedul. 8) 3. Clollly Held Slack/Partnership lnterelt (Schedule q .4. Mortgages and Notel Recel...able lSchedule Dl 5. Cash, Bank Oepolill & Miscellaneous Personal Properly ISchedule E) 6. Jointly Owned Prop.rty (Schedule Fl 7. Tra"le" (Schedule GllSchedute LI 8. Total Grall An'lI (Ialcllln.. 1.7) 9. Fun.ral hp.nstl, Admlnlstrall....e COII" Mlscellnneoul Expe"e, ISchedule HI 10. Deb", Mortgage lIobllitle., Lie" (Schedul. I) 11. T 0101 Dedu<tlo" 110101 Line. 9 & 10) 12. Net Volue of Eliot. 11Ine e minulllntl 11) 13. Charltabl. and Go....rnm.ntal 8equellt. (Sc~edule Jl 14. Nel Valu. Subl'ct to Tax (Lint 12 rolnu. line 131 15. Spou.al Trans'e" Ifor dot.. of death ak.. 6.30.941 See lnllructlona for Af,pllcable P,rcen1og' on Revene Sid.. (Include yatu.. rom Schedul. K or Schedule M.) 16. Amol.lnl of LIne 14 taxabl. at 6% rate jlndud. ....alu.. hom Sch.dul. K or Schedule M.l 17. Amount of Un. 1.4 taxable at 15% rat. lIndud. ....alu... from Sch.dule K or Schedul. M.l 18. Prlnclpal.ax du'IAdd tax froro L1n.. 15, 16 and 17.) 19. Credih Sp('Iusal rl.werly Cr.dlt Prior Payments _______,~_._.._.__m_n._ + I FOR OATIS O' DIATH AmR 12/31/91 CHICK HUI IF A SPOUSAL POVIRn' CRIDIT IS CLAIMID U FILE NUMBER 2(Ci (p. OY'l-2.H YEAR NUMB,R INHERITANCE TAX RETURN RESIDENT DECEDENT COMMONWEALTN Of PINNSY('AN'^ (TO BE FILED IN DUPLICATE DEPARTMENT Of REVENUE HARRI,~J:b. ~~on:28060' WITH REGISTER OF WILLS) COUNTY COO, DfCEOEN!:. -NAMf--[l-;'it: flItS""AND MIDIHI: INlfIA..II.. . .. _ -_."-i\--~----- ]OEClDfNTStOMPlfTE ADDRESS ... _...~J\ u .~I:LI:\t~LJrI~,cl N( c" I ffi SQ(tAl SECURITY NUMBER DATE Of DfATH DATf Of I'oIRHI ...._..; _._ ,,,.t::~I':~~N~;'::'~~"'i'."""'N,g~"~N,,i.~. I (It'~IA' "CU"IY NUMB" ''"'''[ 'M:l'N~:,~:~,?~{,J~~:,~~- . ~H.....~-~ Ll 1. Original Roturn \(./1' 2, Supplemenlal Relurn [ 13. Remainder Relurn /"'" Ifor dot.. a' dealh prior 10 12.13.82) ["'] 4. limited Eltate r I 40. fulure Inlore,' CompromlJ" [01 5. Fed.ral Eslale TaK Relurn Required liar dato, a' death oher 12.12.82) LJ 6. Deced41nt Died leltale [J 7. OAeedont MainlaiORd a li....ing TrUll (A"ach copy 0' Will) IAllach copy 01 Tru'l) _ ~ ....J!IN'IiALtAx'N~~p~~AI~~~~~:!\r,Mt\~\'I~~ f .L_".'J"-'..<fl..\.ill____ ..... ;.)1 W. \ J h Sr. _.n.._. ___7_t....2-1,=J;~~~--.~~::L~'L()c=o==c=~~~=.~=c=cS-~ dlS Ie' '. p,,, I 110 I ~ z ! ~ . 8 l;l ... __ 8. TOlal Number 01 Safe DepaJU 80Kel (I) (2) .?I,_.7..!.t.<:LCJ_~._. (3 ) .._._.___.___.._._.. (4 )._.. ._____..._.__..m (5) ..........._......_......__. 16) .______.____ 17 ) __...__~_______. ( 8) _~J...2!..:'L.:'_~_____ 19) .____..___ (10) __ (II) (121 (131 (141 :z. I 1 '" (1 ' 00 (15) ,_ 217~Jj' (16) ._::..L...L-.J._ _____" )(._- .06. I 30 S.'. 0 (J (17) . .__.________.." .15 . (181 Oilcounl +-"~.-.-.~-- lnl.rll' (19) (20) (IH'ck hi'" II Yla 011 11'(jul...llng {I II.fund of YOUI OV(''f}(IynH..nl (211 ____.__ 121AI __......._...___..._ (2181 ._..l.J_c'-:L~.<:'.__..__ Und.r p.naltlln of p'Itrjury, I d.dar" thai I hO"'fllKomined Ihls""'raturn, including accompany'ing IChedulol and Itat.menh, and 10 th. bill of my knowl.dg. and bell.f, It lllru., correct and lomplel.. I r1.darlt thai all roal ellate hal bun reported ClllrUll markel ...alue, Decimation of pre parer olhflr than th. penonal "por.llnlatl.... II baDed on all informollon of which pr'parer hen nny knowledge, :::::~:::: ::: 'oPONSl81;:;,i:~~ ~.~U~M1~PUG~A~-&~~~~~A~m :d/;lLL---- . CARLISLE, r.A.170~3 .j G' /.J /3', " BUREAU OF INOIVIDUAL TA~fS l"'tlf.RITAHC~: TAli DIVISION !lEPT, 280601 HARRISBURG, fl" 11128'.0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TA~ APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT Of TAM GEORGE F DOUGLAS 27 W HIGH ST CARLISLE DATE ESTATE OF DA TE OF DEATH FILE NUMBER COUNTY ACN III PA 17013 f 06-23-97 SHUGHART 10-10-96 21 96-0842 CUMBERLAND 101 AMount Re"itt.d ~ / C. * lu..a,' UA" rll"1I FRANCES A l MAKE CHECK PAYABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS .... REV: iS4"f" EX-Ai: p - l' 03:97 yo iiiiYi BE".o F -YNHEiiif ANtE - YA X - ';iP' PRA- i 5 EiiENr,- -A i.l."owANcE - ifFi' -- - - -- - u - -.. - - - -- DISALLOWANCE OF DEDUCTIONS AND ASSESStlENT OF TAX ESTATE OF SHUGHART FRANCES A FILE NO. 21 96-08{,2 ACN 101 DATE 06-23-97 If an a.....m.nt was i..u.d pr.viou.ly, lin.. 14. 15 and/or 16. 17 and 18 will rRfl.c.t figurn that includ. the total of ill return. a......d to datu. ASSESSMENT OF TAXI IS, '-lItCIunt of L 1n. 14 16. Allount of lin. 14 17. AMOunt of Line 14 18. Principal T.x Du. TAM RETURN WAS: I X) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APFRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN NO. 01 1. R..l Est.t. (Schedule ^ I (1) 2. Stoflkl In-tI Bond. (Sch.dul. B) (2) 5. tIo..ly Held Stock/Partn.rship Inhr..t (Schedule C) (;5) '1. "odg_g../Not.. R.c.tv.bl. (Sch.dul. OJ (4) S. Cun/Bank n.posih/Hhc. Parlonel Property (Sch.dul. El (5)__ 6. Jointly awned Property (Schedul. f) (6) 7. Trarllfera (Sch.dul. GJ (7) 8. Tohl A.aet. APPROVED DEDUCTIONS AND EX!MPTIONSI 9. fun.ral Expens../Adlft. Co.sh/H:1sc. EJ<pen... (Schedule Hl 10. D.bt./Hortgage Li.bi11tie./li.ns (Schedule Il 11. Tot.l Deduction. 12. N.t Value of Tax Raturn 13. Charitabla/Govern.ant.1 Bequ.st, (Schedule J) 14. Nat Value of E.t.ta Subj.ct tu Tax (91_ (101 NOTEI .t Spou.al taxabla at texabl. .t rat. lin..I/CI... A rat. Coll.taraI/CI... 8 r.t. 115) 1161 117) TAX CREDITS I PAYMENT DATE 12-31-96- 03-06-97 05-05-97 RECEIPT NUMBER --~Ar8502T- AA185244 AA211257 DISCOUNT (+ 1 INTEREST/PEN PAID (-) 976,05 ,00 ,00 CHANGED .00 21,749.00 .00 .00 .00 .00 .00 (B) ,00 .....Q..Q. (11) (12) (13) 11~) 00 M .PO, 359,028.94 M .06, .00M.15, 11ft) AMOUNT PAID ---18,545.00 717.00 1,305.00 NOTE I To insure prop.r cr.dlt to your accn~t, subait the upper portion of th1. for~ with your tax pay...nt. 21,749.00 .Il.lL 21,749.00 .00 359,028,94 .00 21,541.80 .00 21, 541. 80 - -TOTAL~_!AX C'!.EiiI~T .' 21,543.05' BALANCE OF TAX DUE 1.25CR ... ._- INTEREST AND PEN. .00 __~TAL..!~~.__.. I . 2.~CR_ If TOTAL DUE IS LESS THAN II, NO PAYMENT IS REQUIREO. If TOTAL DUE n REFLECTED AS A "CREDIT" (CR I, YOU MAY .E DUE A REFUNO. SEE RE~ERSE SIDE OF THIS FORM FOR INSTRUCTIONS. I . If PAI~ AFTER DATE INDICATED. SEE REVERSE FOR CALCULATION UF ADDITIONAL INTEREST. 00 '1 if,' '0 -,J -n 'TJ <>:,; ~.;. - \-0 :;~ ;---, ex; R€SERVATIOHI Elt.t,. of deoldlnt, dYing on ~r b.for. u.cIMber 12, 1912 ~- If any future Inter..t In the ..tate 1. tr*".f.rrtd In Po....,lonor enjoy..nt to CII.' 8 (col1,t.ral) bln,flcl.rt_, of the dtoedent .ft.r the IMplratlon of any ..t.t. for I1f. or for y,.rR, the C~onw..lth h.r.bv IKPr...ly r...rv., t~ right to eppr.l.. and ...... tran,f.r InheritancI TftKI. It the lawful ct." B (coll,t'r.l) r.to on _ny lueh future lnt.r..t. PURPOSE OF NOTICE I To fulft!l the rlqulr...nt. of Sletlen 21~O of the Inh.ritance and Elt,t. Tax Aot, Aot 21 o~ 1995. (12 P.S. Seotion 91401. PAVHENT, Deteoh tn. top portion of th18 Notlol and lub.lt wIth your pav.-nt to the Rlai,t,r of Will. printed on thl r.~.r.. ,idl. --Hakl cMok or lIonlY orelar payable tOI REGISTER OF HILLS, AGENT kEFUHD (CRh A r.fund of . tax cr'udH, which w.. not r.quut.d on tha Tal< Rlturn, aay be reque.t.d by cOllPlating an "Application for R.fl~ of Penn.yivanl. InheritsncI and E~t.t. Ta~" (REV.13l3), Application. are avallabl. at thl Offlo. of thl Regllt.r of WHI., any of the 23 R.v.nu. Dittrlot OffIOI., Dr by caUlng the sp~ial 24.hour anlwaring .arvJo. nu~.r' for for.. orderlngl In Penn,vlvanla 1-800-362-2050, out.ld. P.nn,ylvanla and within looal Harrisburg ar.a (717) 787-8094, TDDI (717) 772-2252 (H.arlng I~.lr.d Only). oeJECTIONS, Any party In Intar..t not satlsflld wJth the appral...ent, 811~enc. or disallowance of d.ductlons, or .s....-.nt of tax (Including dllcount Dr Int.rest) as .hown on tht. Notle. .ust obj.ot within .I~ty (60J day. of r.celpt of this Notlol by, "written protut to the PI. O.partll.nt of Rflvenu., Board of Appe.lI, O~t. 2111021, Harrisburg, PA 17128-1021, OR --.I.ctIGn to have thl ..ttor d.tlr.ln.d at audit of the account of the p.r.onat rlprl.ent.tlva, OR --appaal to the Orphan.' Court, ADMIN ISTAATIIIE CORRECTIONS, Factu.1 .rrors dl.cover.d on thl. ........nt should be .ddr....d In wrltinu tOI PA Olpart.lnt of Rlvlnu., luro8U of Individual Ta~os. ATTNl po.t A.......nt R.vlew Unit, O.pt, 280601, Harrl.burg, PA 17128-0601 Phont (JI]) 787-6505. SI. page S of the bookl.t "Instruction. for Inheritanc. Ta~ R.turn for a R..idlnt Oecl\Jent" (REY-IS0l) for an lIKplanatlon of adtlllnhtratl\l'ly corrMltabl. errors. DISCOUNT I If en~ tax duG J. paid within three (3) oalender Month. aft.r thl d.c.a.nt'. da.th, a fivo par cent (S%) dJ.count of the ta~ paid Is allowed. PENAL TV, T~ 1~~ tax aan..tv nan-participation penalty 1. cOMputed on the total of the ta~ and lnt.r..t a.....Id, Ind not paid baforl JllnUarv III, 1996, tnll first day aUar the .nd of the ta~ lMlnI.ty Plrlod. Thh non-participation p.n.lty I. bPPoalabla In the la.. mann.r and In the the .... tl.. p.rlod a. YOU would app.al the t.~ and Int.r..t th.t hili. bien ......Id a. Indicated on thit notlo.. INTEREST, In~8re.t 1. charg.d beulnning with fir.t dl~ of dall~cy, or nlnl (9) .unth. and on. (1) day fro. thl data of a.ath, to the d.t. of pav.~t, T.~.. whloh bao... delinquent b.for. January 1, 1912 bear Int.r..t at thw r.t. of "Ix (6):) plrfl."t p.r annUM calcul.t.ld lit a dally rat. of .000161t. All tax.. which b.c.... deilllqu.nt on end aft.r January 1, 19&2 will b..r Int.r..t at a rat. which will very fro. cII.ndar v.ar to cal.nd.r y..r with that r.t. announc.d by the PA nepart.ent of R.y.nue. Tha appllcabla Int.r..t rat.. for 1912 through 1997 ar.' 'l.!!t Intlr..t Rate Oallll Inter..t Factor :!!!! lnt.r..t Rat. Dally Inter..t Factor 1982 (0)( .00051t1 19117 '" .000247 1913 16)( .000458 191h-1991 11% .00OSOI 1984 11)( .000301 1992 'X ,000247 1915 UX ,000356 19'15-1994 7% .000192 1916 10% ,000274 1995-1"'1 'X ,000247 -~Int'r..t I. clhulat.d at follow" INTEREIT . BALANCE OF TAX UNPAID X NUHBER OF DAVI DELINQUENT X DAILV INTEREST FACTOR --Anv ~tjol I..u.d aftar the ta~ b.c~. dlllnqu.nt will r.flact an Int.r..t caloulatlon to flft.an (IS) da~s bay(tMd thl data of th_ u......nt. If pl"..nt II ..de nUtlr the inter..t cOllpUtatJon data .hown an thl Notlc., additional inter..t lIU.t ba c.lcullo;;lcI, ; .\ ,. -.........--.........."."..-.. STATUS REPORT UNDER RULE 6.12 ---------------..- -- A S' tlV '\ ~a. r- r Name of Decedent: h~c1M c. e ) . 10 /, g / tl_____ Date of Death: ( , Will No, Admin. No._-.l1"j~ - 6~f+2- _.._~--- 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 abov~-captioned estate: 1. State ~ether administration of the estate is complete: Yes.....'L.... No 2. If the answer is No. st.ate when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No, I is Yes I state the following I a. Did t.he pers9na 1 representative U Ie a f lnal account with the Court? Yes._~. No___n. t7~ 'f(l-<. /17 b. The sepal'ate Ol'phans' C"urt No. (if any) for. the personal representative's account is: c, Did 1.he personal representative state an account informally to the parties in interest? Yes No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of t.he Orphans' Court. and may be attached to this report. Date:_ 4/EA/...Q .. ~ P. ~'!5 ~ Signat..ure Cif? vC' LU- Name (PIe se type or print) .2] ~v '-~: )/ , C!~ile lA I7rJ t) Address lJi]12.Y..~__ll C( tJ Tel. No. . , Capacity: __Personal Representative ~ Counsel for personal lCepresent.ative (HAH:rmtlAM3)