HomeMy WebLinkAbout96-00847
D/O
'7/27/ .J'V
!::I1t/1(- of .l1aYll_"'-:)'.l"'_R._ _KanQd<'_____ __
fI/SO kilOit'll U.\ _,____..____~ _ ___,.._.~_,.____._
PETITION nm PIWUATE 1IIId (;nANT OF I.ETTEI{S
No, ____J:>21_=_q~_=_8Y!l__._
To:
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Sucit/I SccurilY Nu. ___2_Q.!l-=.0.7.:-3.19_1___.____
Regisler of Wil" fur Ihe
('ouuly of __c:_u-,-nb"'.!'_~an~ iu Ihe
COlllll1ul1\\'c.'ahh of 1'l'IlIl'yl\'ania
The peliliuu of Ihe uude"iglled re'pe,"fully repre,elll' Ihal:
YUUf pl,tiliollcr(Ii), who j\/al'l' IN yc;m'l of agl' or older unlhl' c:.'l'ctll_~ iXE'f? namctl
illlhe la>l will of Ihe ahove decedelll, daled __.____--E~QL.__L3_. , 19J1A-
and codicil(,) daled -.J.~JJ.uaj:'..Y-_.~.?,L_.l9.Jl.V_8-- <c~ _,
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1\I.lIc ,dl."\illll ~'il~'lIl11'lillh:"", ,,',J!. rCIIIlIIt.:lilliUIJ. dl.".lIh III "'\l''':IIIIII, '-'h:.J
Ikcendelll wa, domiciled aI de'lIh in CumbE'r land____ CoulllY. Pennsylvania. wilh
IL!']:'_ la,1 family or principal re,idellce al 3_6_2 Me1>s.ljl,lLYJ.llage..--He.chanics.burg.
LowE' rJlle n_T-o.wnship.._Cumber.lamLCounty-,-EJI
W,! 'lrl'CI.Il11lllhl'l illlllllllllldll;llil))
Decendelll. Ihen 84 years of age, died Oct. 8. .19 96
ar E.olycJ.inic-Hospit.aL.-H"rr i "bw:g.---EJI
Excepl a, follows. de~edel1l did nOlmarry. W;I' nol divorced IInd did nol hal'e a ehild born or IIdopled
IIfIer execlllion of Ihe will offered for probale; WIIS nllllhe I'iclim of a killing and was nel'er adjudi~aled
incompetent:
De~endel1l aI de'lIh owned properlY wilh e'limaled I'alues a, follows:
(If domiciled ill Pa.) All pmnnal properlY
(I I' nol domiciled ill Pa.) Personal properlY in I'enn'ylvllnia
(If nol domiciled in I'a,) I'el\'onal properly in Counl)'
Vullle of rcnl estate in Pennsylvania
silualed as follow"
S 75 . 000 . 00
S
S
S
WHEREFORE. pelilioner(,) re'pe~lfully requeM(s) Ihe probate of Ihe lasl will and codicil(s)
presenled hercwilh and the granl of lellel\' TE's t amE'n t arv
IhelOn.
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BETH SIDER'
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Milil.intown,_l'A--.lI059__
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OATH 0... PEnSONAL nEPIU~SENTATIVE
COMMONWEALTH 0... I'ENNSYLVANIA
COUNTY OJ" -.J;J).MIlERLAND
} tiS
Sworn 10 '~r affirm2~ tmd ,uh'~rihed
behne..' IIH: Ilns .__.____~__~__. da\' 01
. OCTOBER,.,; I/) , ')'l 9
-711a.l!tl(t:;jJl.V.to~, . 11. \
MARY P l.EWIS H"Rilll'r
The pelilioner(,) abme.named ,wearl') or affirm(,) Ihallhe "alemenl' in Ihe foregoing pelilioll arc
Irue and cmreel 10 Ihe he'l of Ihe knowledge IInd belief of pelilioner(,) and Ihal a, personal repre,en.
latil'C{\') of Ihe above ,:ecedenl pelilioner(s} will well and lroll' administer Ih..eSlate acc",ding 10 law.
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No. 71 - 96 - 847
Estate of
Maybpll~ R. Kanodp
, Deceased
DECREE 0.' PROBATE AND GRANT OF LETTERS
AND NOW OC10BER 7.1 19~, in considcration of the petition on
the reverse side hercof, satisfactory proof having bcen presented bcforc me,
IT IS DECREED that the instrument(s) dated S~pt ~mb~r 13. 1984 & Jan. 25. 1988
described therein be admilted to probate and filed of record as the last will of
Mayb~ll~ R. Kanod~
and Lelters T~stam~ntary
are hereby granted to Paulin~ Allison & B~th Sid~r
FEES
P b E 115.00
ro ate, Lelters, tc.......... S
Short Certificates( 2~ . . . . . . . . .. S 60.00
~'1r8r~ila[ion ................ ~ 10. ~o
X-PAGES ~
JCP TOTAL _ S ~.gg
Filed .. .Qq9~.~~.?1. '. . m.~ . . . . .1.~~.. ?Q .
. 7lJ/JA t(',,;e u n~ /W, {%1f'fh {) I. .
Regble, or win. UO
l '\ MARY C. LEWIS
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~an M. Wi'i:~v. Es UJ.r
(. ATTORNEY (Sup. CI. 1.0, No.)
'one S. Baltimor~ Str~~t
Dill"hllrg, PA 17019
ADDRESS
(717) 432-9666
PHONE
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Letters and order picked up by Executrixes on 10-21-96.
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WARNING: Ills II1c9nllo dupllcale this copy by photostnt (lr photograph.
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CO....ONWEALTH OF PENNSYlVANIA. DEPART"ENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(Coroner)
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Albert J. Car r
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Pauline C. Allison
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n .l205 S. 28th St.. Ik,rrlswr . PA 17111
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ROBERT l. FRY, NOTARY PUBliC
uppeR ALLIN TWP.. CUMBERlAND COUNTY
MY COMIAISSION EXPIRES AUG. 19. 1m
Mtmblr, Pefln: ,Ivanla Associalioll 01 Nolllin
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WILL
OF
MAYBELLE R. KANODE
I, the undersigned, MAYBELLE R. KANODE, currently of Borough of
Elizabethtown, Lancaster County, Pennsylvania, realizing the uncertainty
of this life, but with confidence in God and trust in His Son, my Lord
and Savior, Jesus Christ, who died for my sins upon the cross and rose
again to redeem me and give me eternal life, do hereby make, publish and
declare this to be my last WiLL and Testament, hereby revoking any and
all prior Wills and Codicils made by me.
I. I direct that all my just debts and funeral expenses, including
the cost of a headstone and the inscription thereon, be paid from the
assets of my estate as soon as practicable after my demise.
II. 1 direct that all estate, inheritance and succession taxes that
may be assessed in consequence of my death, of whatsoever nature and by
whatsoever jurisdiction imposed, shall be paid out of the principal of
my general estate to the same effect as if said taxes were expenses of
administration and all property includable in my taxable estate whether
or not passing under this Will shall be free and clear thereof.
III. I bequeath unto my husband, Isaac S. Kanode, aLL tangible per-
sonal property which 1 own at my death.
IV. All the rest of my property, of whatsoever nature and
wheresoever situate, including property over which 1 hold a power of
appointment, I devise and bequeath unto my husband, Isaac S. Kanode.
V. If my husband, Isaac S. Kanode, does not survive me, I devise
and bequeath my entire estate that would have otherwise passed under
Paragraphs III and IV above as follows:
A. I intend to keep with this my Will a separate
set of instructions concerning certain items of tangible
personal property. I bequeath said items in those
instructions to the persons designated.
B. The residue of my estate shall be divided equally
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CERTIFICATION OF NOTICE UNDER RULE 5.6Ia)
Name of Decedent: M"yhE'l](' R. KanodE'
Date of Death: OctobE'r 8, 1996
Will No. 1996-00847 Admin. No.
To the Register:
I certify that notice of beneficial interest required by
Rule 5.6(a) of the Orphans' C~urt Rules was served on or mailed to
the following beneficiaries of the above-captioned estate or.
November 7, 1996 :
Name
Address
PaulinE' Allison, R.D. U5, Box 448, Miff1intown, PA 17059
Beth Sider, 109 N. Fileys Road, Dillsburg, PA 17019
Messiah Villa9€', 100 Mt. Allen Drive, Mechanicsburg, PA 17055
Jacob Engle Foundation, Inc., P.O. Box 290, Grantham, PA 17027
Continued on back.
Notice has now been given to all persons entitled :hereto under
Rule 5.6(a) except N/A
Date: November 7, 1996
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znature
o1Ille Jan M. Wiley
Address One S. Ball imore Street
Dillsburg, PA 17019
Telephone (717) 432-9666
Capacity:
Personal Representative
x
Counsel for personal
representative
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21. If Un. 18 i'grlat., man Un. 19, .nter thl diff.r,nce on lint 21. Thi. i.lhe TAX DUE.
A. Enter the int.r.st on the balenu due on lint 21A.
B, Enllr Iho 1010101 Uno 21 and 211. an Uno 218. Thi. i'lho BALANCE DUE.
Mako Chock Payabl. 10: Aogl.t.r 01 Will., Agon'
~~"Em9H~N.J.EYJISUIDE.~DlJO..)lECHEC~
!J~d.r Plnalli., of p.,jury, I dldor. that I han examined fhi. '.tvrn, induding accompanying sch.dull' and .Iallm.nll, and 10 the bl" of my knowledge and b~Ii.!.
.. " tru., correct and complet.. I dldol. Iho. all rlGl "'at. hot b..n r.portld 01 trut mark., volul. D.daralion of preparer o.h.r Ihon the plrsonal ,.pr.Mlnlohve I'
baNd II informatlo"~Q.f whld'l pr.par.r hat any knowl.dg..
1""4 ,o.!t'ffl!t'f ~ 'f:.L~f~" .. I,.,__J.
. LLISON' S1:1'H ot~, 109 N.
Of '.I,.uu;~mu, fl( PlUI.,..'AllVI ADDIUS
. VWit"t'Y A soc., OnE'S. Balt imorE' St., Dillsburg, PA
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
YEAR
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NUMIER
.0. DARS O. DUTH Anll 12/31191 CHICK Hili
IP A SPOUSAL -
POVIl" C..~IT IS CLAIMID 0 \ /'
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01" 110601
H".llnU_O,'A 111214601
01 lOIN'" N,....IILAlI . 'IU . '&''''0 ",.DOlIINI rA'1
Kanodp Ma bpllp N.
'OC",~ !leu..n HUMIII
olon 0' lIt'"
2 8 07 3797
COUNTY CODE
QICIOIN' (",'U 100011'
{){J2 Mfll-j!i i all V 1 I lil(JP
Mpchanicnburu, PA
Call1'l'.., u1JIl r I"nrl
.U,IauNt UCIIYIO .'t( IN,nuCTION'l
17055
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OA,
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R,,,,oind., R.turn
(10' dot.. 01 d.ath p"or to 12.13.82)
fed.ral Ellar. Tall R.lum Required
Original R,'urn
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Suppl.menlal R.lurn
05,
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T 0101 Number of Soft O.ptllil Bo....
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(lor dol.. 01 doath ok.. 12,12,B21
e.Cld.nt Di.d T"'ol, 0 7. e.Cld.nt Mainlain.d a li"ing Trult
(A.ach c.py 01 Willi IA.ach copy 01 Trull)
A1l~OAAESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIAECTED TO: ~~.iiW'
NAill' COM'UU MAlllNG AOOU!!!!
Jan M. WilE' OnE' S. Ba1timo~E' St.
ULf'HQNf NU......U
limittd ElIa't
432-9666
Dillsburg, PA
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1. R.al EIlalO (Schodulo A) (I )
2, Slack. and Sand. ISchodulo B) I 21
3, Clollly Hold SlockJPar1no"hlp InlOr... (Schodulo C) ( 3 I
.s. Mar1gaglS and NailS Rtctivabl. (Schtdull 0) I 4 I
5. Cash. Bank O'posits & Miscellan,ous P"tonal Property I 5 I 11 q 1 n R n 1
(Schodulo E)
6, Jointly Ownod Prop'My ISchodulo F)
7, Tron.lo" ISch.dulo G)ISchodul. l)
8. Toral Gran As"rt (Iorallinu 1.7)
9. Fun,ral E.ll[)en"s. Adminiurarive Casls. Miscellan,out
Expon," ISch.d.l. HI
10, Dob.., Mo.gago Uabmli.., Uon. ISchodul. I)
11. TOlal Dodudion'llatallin.. 9 & 10)
12. Nel Valul of Eslar. (Un, 8 minus line 11)
13. Charilabl. and Ga...trnmlntal aequl1ls (Schldule J)
U. N,t Valul Subj.ct to Tax (lin. 12 minus lint 131
15, Spau.al Tran.I." (lar dot.. of doalh ok.. 6-30.9A)
51. InSINdiana for Applicable Ptrcentag. on Rt...tne (151
Sido. I'ndudo valulI /ram Schodul. K or Sth.dul. M,)
16, Amaunl 01 Un. lA laxabl. 01 6% rolo
llndudo valuos/ram Sch.dulo K or Schodulo M,)
17. Amount of Unt 1A tC1.llabl. at 15% ralt
Ilndud. voluos /rom Schodul. K or Schodulo M.I
lB. Principal lax duo (Add ta./rom Un.. 15. 16 and 17,1
19. C"dils SpaulGl POytrty Credit Prior Parm.nu Discount
+ 7 ,4 0.00+ 390 .00
20. II Uno 19 I. greoler lI1an Un. 18, .nl.. 111. dlll..onco an Uno 20. Thl. 1,Iho OVEAPAYMENT.
(19)
(201
7,800.00
566.13
r"
6,424.37
(6)
17)
145,732.38
19 }
9,692.08
I B I
(10)
1,857.66
(111
(121
(13)
(14)
11,549.74
134 .182.64
13,618.27
, In <;hJ 17
X._II
(16)
120,564.37
x ,06 ..
7,233.87
(17)
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12181
Fi1E'Ys Rd., Dillsburg,
DAn
PA ~ 117/1 7
DAn: ' ,
.-J //'1 /9 I
. .
17019
!W:h
.!!f.
M YBELLE R. KANODE
I, the undersigned, MAYBELLE R. KANODE, currently of Borough of
Elizabethtown, Lancaster County, Pennsylvania, realizing the uncertainty
of this life, but with confidence in God and trust in His Son, my Lord
and Savior, Jesus Christ, who died for my sins upon the cross and rose
again to redeem me and give me eternal life, do hereby make, publish and
declare this to be my last Will and Testament, hereby revoking any and
all prior Wills and Codicils made by me.
I. I direct that all my just debts and funeral expenses, including
the cost of a headstone and the inscription thereon, be paid from the
assets of my estate as soon as practicable after my demise.
II. I direct that all estate, inheritance and succession taxes that
may be assessed in consequence of my death, of whatsoever nature and by
whatsoever jurisdiction imposed, shall be paid out of the principal of
my general estate to the same effect as if said taxes were expenses of
administration and all property includable in my taxable estate whether
or not passing under this Will shall be free and clear thereof.
III. I bequeath unto my husband, Isaac S. Kanode, all tangible per-
sonal property which I own at my death.
IV. All the rest of my property, of whatsoever nature and
wheresoever situate, including property over which I hold a power of
appointment, I devise and bequeath unto my husband, Isaac S. Kanode.
V. If my husband, Isaac S. Kanode, does not survive me, I devise
and bequeath my entire estate that would have otherwise passed under
Paragraphs III and IV above as follows:
A. I intend to keep with this my Will a separate
set of instructions concerning certain items of tangible
personal property. I bequeath said items in those
instructions to the persons designated.
B. The residue of my estate shall be divided equally
" l' L .
- ... .:-..
?hoJ.tfv R ~
t-tf3
between my two (2) daughters, Pauline Allison and Beth
Sider. If either of them predeceases me, her share shall
pass unto her issue per stirpes. If she leaves no issue,
said share shall pass to my other daughter or her issue
per sti rpes.
VI. I appoint my husband, Isaac S. Kanode, Executor of this my
Will. If he fails to qualify or ceases to act as Executor, I appoint my
two daughters, Pauline Allison and Beth Sider, as Co-Executrixes of this
my Will or the survivor of them as sole Executrix.
VII. I direct that no bond be required by my fiduciaries for the
faithful performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, 1, MAYBELLE R. KANODE, herewith set my hand to
this my last Will, typewritten on two (2) sheets of paper, including the
attestation clause and signatures of witnesses, this '~l day of
- ,
~)~~....v- ....
1I:iihJv'A" p/~
r~AYBELLEtk. KANODE ~ (SEAL>
, 1984.
Signed by Maybelle R. Kanode, by her declared to be her Will in our
presence, who have hereunto subscribed our names as witnesses in her
presence and at her re~uest, this ',7,-tl day of '~ti.....J..\&. ,1984.
(~'" \. ~- l :'1.' - residing at \..i"~~:1 \
I - ~ ,7
~~~ re.- i::).:l.oVV Go(_~n- ,?~
,esiding at - -
-2-
Pogo of
SAFE DEPOSIT BOX INVENTORY
INSTRUCTIONS --~
(1) Ca.hl Roporllolal only.
(2) Stock.. li.1 in dolail ovory common or proforrod cortificolo, worronl or othor righl' found in box. Stock. aro
10 bo de.ignalod by namo of company, corlilicolo numbor, doto of corli/icato, namo in which .tock i. rogi'lorod,
and numbor 01 .horo. and clall 01 .Iock.
(3) Obligation. of U. S, Government: Numbor 01 itom., do to 0/ illuo. faco valuo, nomOI in which rogi.torod
and Iypo 01 ownorship, 1.0., jointly hold, payablo on doath, ote.
141 Bond.. Oo.ignalo by namo, amaunl, .orial numbor, or othor do.ignation, (Boaror Bond.)
IS) Bank and Saving. and Loan Pa..book.: Stalo namu of dopolitor, numbor 01 book, lalt dato appoaring in
book, namo 01 bank and branch, and balanco.
(6) Jewelry, Coin., Stomp., Monu.crlpt., ete: lill and doscribo 01 fully 01 pouiblo.
171 D..d., Mortgage., Currentln.urance Pollcl.. or other evldenc.. of Indebtedne..: lilt and dOlcribo 01
lully a. pouiblo.
, (8) All other content., .
ITEM DESCRIPTION
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_IN I L CH It "'PROPRIA J.:
DEuculorltrix) o Administralor(lrill.)
Detlat. R.pr.llnlaliYI 0 Joint own., of lof. d.posil boll.
NOTE. A"och additional 8"''' x"" Ih..t ('111 nece..ory or UIO dupllcotol 01 Thl. page 01 lorm.
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'*
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
Ploa.. Prinl 0' T po
FILE NUMBER
1996-00847
ESTATE OF
COMMONW!ALTM Oil II!NNSYLYANIA
IHHIIITAHCI TAX ,nulN
IOIDIHT DKIDINT
Mayb~lle R. Kanod~
(All prop.ny loinlly.owntd with ,h. illghl of Sut'ljvonhia mull b. diuloltd on Sthedul. F)
ITEM I
NUMBER
I
l'
2
3.
!
4:
I
5i
I
6 ;
!
I
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,
8 ~
9~
,
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,
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T
DESCRIPTION
VALUE AT
DATE OF DEATH
PNC CD #21001006060:
Interest to date of death:
PNC CD #21001006161:
Interest to date of death:
PNC CD #21001014860:
Interest to date of death:
PNC CD #21001015337:
Interest to date of death:
PNC CD #31200031183:
Interest to date of death:
PNC CD #21001015188 (Irrevocable
Burial Trust):
Interest to date of death:
PNC Checking #5080029702:
Interest to date of death:
Mellon Bank, N.A. Checking #312-002-0882:
Mellon Bank Savings #00310-443914:
Interest to date of death:
Mellon G.C. #00150305:
Interest to date of death:
Mellon I.C. #0-A06514-C:
Interest to date of death:
Core States Bank CD #200112582-7049218:
Interest to date of death:
MidState Bank CD #9600259283:
Interest to date of death:
MidState Bank CD #9600259316:
Interest to date of death:
Jacob Engle Found. Savings #1120-A:
Interest to date of death:
Jacob Engle Found. Cert. #11655:
Interest to date of death:
Jacob Engle Found. Cert. #8547:
Interest to date of death:
Jacob Engle Found. Cert. #11356:
Interest to date of death:
Jacpb Engle Found. Cert. #10107:
Interest to date of death:
Jacob Engle Found. Cert. #11705:
Interest to date of death:
Jacob Engle Found. Cert. #10126:
Interest to date of death:
$ 5,000.00
$ 13 . 79
$ 6,000.00
$ 9.20
$ 11,748.69
$ 171.73
$ 1,500.00
$ 39.79
$ 2,526.48
$ 6.45
$ 4,026.72
$ 198.21
$ 249.87
$ .19
$ 1,719.41
$ 1,588.90
$ .58
$ 5,218.84
$ 188.99
$ 10,000.00
$ 28.72
$ 18,657.89
$ 991.88
$ 1,000.00
$ 16.45
$ 1,200.00
$ 17.39
$ 1,853.52
$ 1. 93
$ 3,000.00
$ 41.12
$ 10,000.00
$ 164.38
$ 5,000.00
$ 68.49
$ 5,000.00
$ 78.77
$ 5,150.64
$ 32.84
$ 6,000.00
$ 7.56
TOTAL (Alsa onlo' on lino 5. Ro<api'ulalion) Is 13 9 , 308.01
(Attach addilianaI8~- x 11- Ih.." if mar. Ipan i. nMd~,1
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November :2. 1996
Jan M. Wiley
Attorney at Law
One South Baltimore Street
Dillsburg. PA 17019
RE: Estate of: Maybelle R. Kanode
Date of Death: October 8. 1996
Dear Jan Wiley:
I
CoreStates
Bank
In response to your letter. please be advised that the decedent held the tollowing accounHs) with our bank as olthe date
01 death:
ACCOl 'NT :i
DATE
OPENED
DATE
ClOSED
ACCOUNT TITI.E
Certificate of Deposit
200 II 2582-7049218
Maybelle R. Kanode
1:/02/92
I trust that we have been of assistance to you in this matter.
Sincerely.
COREST A TES BANK. N.A.
~ ,-n .nh, ~h:;j:r lk
Bnan K. Harvey ()
BKH/dh/576
DATE
OF DEA TH
IlAL.-\:-':CE
ACCR.
lliL
518.657.89
5991.88
tN REPL V REFER TO:
REPORTING SERVICES
FC 6.90-3-235
PO BOX 1102
READING, PA 19603
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COMMONwlAllH 0' 'lNN$YlVANIA
INHlllTANCl TAX .nU.N
.lSIDlNT DlC1DlNT
SCHEDULE F
JOINTLY-OWNED PROPERTY
Maybelle R. Kanode
FILE NUMBER
1996-00847
ESTATE OF
Joln""nan'I.I.
NAME
A. Rhonda B. Sider
ADDRESS
'-----j--RELATIONSHIP TO DECEDENT--
granddaughter
B. Eric R. Sider
granddaughter
C. Beth Sider
D., Pauline Allison
109 N. Fileys Rd.
Dillsburg, PA 17019
RD 5 Box 448
Mifflintown PA 17059
daughter
daughter
Jolntly.ownld proplrty.
ITEM J L~=R DATE TOTAL VALUE I DECO'S i DOLLAR VALUE OF
NUMBER! JOINT MADE DESCRIPTION OF PROPERTY OF ASSET I % INT. : DECEDENT'S INTEREST
I TENANT JOINT
1. A r9/95 The Jacob Engle Foundation 321.67 i 50% I 160.84
I
Savings #2733-A I
150%
2. B /19/95 The Jacob Engle Foundation 321.67 i 160.84
1/23/85 Savings #2734-A I
,
I
3. C 241 Shares Keystone Financial, 6,115.38 ! 50'5 3,057.69
I ;
Inc. Cammon Stock !
,
,
,
4. D. /23/85 240 Shares Keystone Financial, 6,090.00 50% I 3,045.00
,
Inc. Cammon Stock ,
I
I
,
I
I
,
I
TOTAL (Ar.o onllr on lino 6. Rocopilulolion) S 6,424.37
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.""11 a. i1...
ITEM I
NUMBER I
A.
B.
01.
C.
1.
2.
3.
4.
S.
6.
7.
8.
*
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
Ploa.o Prlnl or Typo
II
CC~NWU~ O. 'INNULVANIA
IHHIIlrAHCI tAl: UlU''''
"SIDIH' OICIDIN'
MAYBELLE R. KA~ODE
1996-00847
DESCRIPTION
AMOUNT
1.
! Funoral Expon...,
: S. Gerald Weaver Funeral Home:
1,267.58
Admlnistrallvo Co.ts:
I.
?enonai R.cresentative C~mmiuions
Social SeC"Jrity Numcer or ?!nonai ~eDresenrcrive:
Year Commissions pcici
Anoml)' Fe..
Jan M. Wiley & Assoc.
6,000.00
3. Family :xemplion
C:aimanr
Reicricnsnic
.Address or C:cimanr :r aec:ecenr's cecrh
SlreeT Address
~ ~~
Z:o C~ae
Prooa~ Fees - Register of Wills:
199.50
, Mlse.ilanoou. Expon...:
I
i Cumberland Law Journal (advertise):
60.00
125.00
Patriot News Co. (advertise):
Filing Fee:
30.00
10.00
~otary Fee:
Escrow for add'l expenses, taxes, etc.:
2,000.00
TOTAL (Also entor on line 9. Recapitularion)
(If mo.. spaco i. noedol!, insort additional .h
!
i
is 9,692.08
,
~
Inventory 01 the real and personal estate of
~lilyllf? 11C' H. Kanmlp
1. PNC CD #21001006060:
Interest to date of death:
2. PNC CD #21001006161:
Interest to date of death:
3. PNC CD #21001014860:
Interest to date of death:
4. PNC CD #21001015337:
Interest to date of death:
5. PNC CD #31200031183:
Interest to date of death:
6. PNC CD #21001015188 (Irrevocable
Burial Trust):
Interest to date of death:
7. PNC Checking #5080029702:
Interest to date of death:
8. Mellon Bank, N.A. Checking #312-002-0882:
9. Mellon Bank Savings #00310-443914:
Interest to date of death:
10. Mellon G.C. #00150305:
Interest to date of death:
11. Mellon I.C. #0-A06514-C:
Interest to date of death:
12. Core States Bank CD #200112582-7049218:
Interest to date of death:
13. MidState Bank CD #9600259283:
Interest to date of death:
14. MidState Bank CD #9600259316:
Interest to date of death:
15. Jacob Engle Found. savings #1120-A:
Interest to date of death:
16. Jacob Engle Found. Cert. #11655:
Interest to date of death:
17. Jacob Engle Found. Cert. #8547:
Interest to date of death:
18. Jacob Engle Found. Cert. #11356:
Interest to date of death:
19. Jacob Engle Found. Cert. #10107:
Interest to date of death:
20. Jacob Engle Found. Cert. #11705:
Interest to date of death:
21. Jacob Engle Found. Cert. #10126:
Interest to date of death:
deceased
--...--.--.---
._----" ~.-.
E
5,000. 0
13. 9
6,000. 0
I 9. 0
~:11,748. 9
i: 171. 3
: 1,500. 0
I 39. 9
I
I 2,526. II
6.45
4,026.72
198.21
249.87
.19
1,719.41
1,588.90
.58
5,218 84
188 99
10,000 00
28 72
18,657 89
991 88
1,000 00
16 45
1,200 00
17 39
1,853 52
1 93
3,000 00
41 12
10,000 00
164 38
5,000 00
68 49
5,000 00
78 77
5,150 64
32 84
6,000 00
7 56
..
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF OUMIH1AND YOIlK
u:
__,__._._..,_Xi.H.L!JJ1~ _ ^1..Ii ROil. lIne! IlP I h S i.(I('l~_ _ ,___ ________. _ _.__, __ __
b.lng duIV.- Hworn ._._ .ccording to I.w, de po... .nd "V' Ih.t Ih.y.-'l.E!:_.____.__,_.._.. .__ _
Co-"XP~lIJ.J:i,C_"_Ii__ __ ____ ,... ,01 the E.hto 01 Muylwllp Il. Kunodp____
1.1. 01 ___ Low" L' ^ I J l' n Town H h i Jl ______ ___, Cumb.rl.nd Counlv, P.., d.c....d .nd Ih.t Ihe
within i. an Iny.nlorv m.do by .J'i?lIJil]'<'-^.l U f>.9..!l._'!fl'.'_ IIPI.!: ~i~.:!,._, Iho ..idCo-ExPclIl I" j ~~
ollh. .nliro ..hlo 01 said d.c.dent, con.isling 01 all the p.rsonal prop.rlv .nd real ....1., exc.pt re.1 ....1. ouhid.
tho Commonw..lth 01 Penn,.vly.ni.. and Ihat the (;guro. oppo.it. oach)itom 01 the)nv.ntorv.r.pr...nl it'. lair valu.
.. 01 tho d.lo 01 d.cedonl. dealh., / , /'('
l( ~'{"L' ( ({ /5n,--
k.Jieh,/ 1L,J"",/
Sworn to
.nd .ub.cribed bolor. mo,
'-'/1/cU (. L / 7
.
_~, /J>L~
19 97
eucutor . ....o'mlnht",or
/.
Oat. 01 O..lh
7
Nolarlal SrJ'~\ary publiC
8 o.wn Gladle\\OfYotk countY
. 0 lIabUIO \l01O. IAay 11, 1997
I \ ,\00 E,plr9S .
tA1 Con\m 6 ...._(...("'.\on ~1 tlf',.l\I~
t .'" ""'l\.~d ":"~
a Octobpr
1996
Yu,
Addr."
Day
Month
INSTRUCTIONS
I. An inv.ntory mu.t b. fiI.d within Ihr.. monlh. aft.r appointment 01 p.rson.1 r.pr.s.ntaliye.
2. A suppl.m.nt inyenlory must be filed within thirty days of discoy.ry 01 additional asseh.
3. Addition.1 sheets may be .ttached os to personalty or really
4. See Article IV, Fiduciaries Acl 011949.
I ,~
i .c,
l/l'
e!
r- >- <1>1 ~I .,;
..
:r I- w '01 01 ~
~ '" I- 0' E-<, ..
';.'1(_ W ~ Ci "
"- u
I 0 V1 1'0: C 0
0 w w :'::' <I> C :>- .
CJ '" ..
I- J: "- u. "" .; c:>-
'J' Z I- ..J "" l;t<l
, u. ..J < 0 l>: .0:' "- :t..<
W 0 < w I ,;. _.<H
n > z '" <1>1 1-<' - ~1 :=:
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C ""I ~I "
V1 Z "" 0
0 '" <1>, U :::
Z w < 0, ...
"- .0 ....)' -0
:>. I c :.:
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- ;:
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" E 0
- .!
.. " 0
..J U u:: CD
ESTATE OF MAYBELLE R. KANODE
FILE NO. 1996-00847 PA NO. 2196-0847
INVENTORY (CONTINUED)
22. Jacob Engle Found. IRA Cert. #185
(beneficiaries: 10% to Isaac Kanode
Memorial Fund; remainder to 5 grandchildren):
Interest to date of death:
23. Residue of property situate at 962 Messiah
Village, Mechanicsburg, PA:
24. Personal property situate in home:
25. Refund - Patriot News:
26. Refund:
27. Sharing Program (car title):
28. PA Taxes - Refund:
29. Travelers checks cashed:
30. Proceeds from united Services Annuity:
$ 5,033.70
$ 6.90
$ 11,750.00
$ 1,100.00
$ 3.10
$ 30.19
$ 200.00
$ 66.00
$ 60.00
$ 12,545.61
JOINTLY OWNED PROPERTY:
1.
The Jacob Engle Found. savings #2733-A
Joint with Rhonda B. Sider (Total $321.67):
The Jacob Engle Found. Savings #2734-A
Joint with Eric R. Sider (Total #321.67):
$
160.84
$
160.84
2.
3.
241 Shares Keystone Financial, Inc. Joint
with Beth Sider (Total $6,115.38):
240 Shares Keystone Financial, Inc. Joint
with Beth Sider (Total $6,090.00):
$ 3,045.00
$ 3,057.69'
4.
TOTAL ASSETS:
$145.732.38
7i If) ~~:
.~i ., '-
N
. ,. L-:
-
N
d.'
.:~;
\~ :.:: ?; '-'
ci~"" ~=>
00
I I '/ /-:
I : )
BUREAU OF INDIVIDUAL TAXES
1""(11) JANet lAIC DIVISION
DLllt. :8OhOl
tlAlUUSBUPG. Pi IIHI.abOI
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INIIERITANCE TAX
APPRAISEMENT. ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
JAN M WILEY ESQ
1 S BALTIMORE ST
DILLSBURG
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
PA 11019
06-23-91
KANODE
10-0B-96
21 96-0847
CUMBERLAND
101
A"ount R.ltt t led
J
~/
W~
I(~'"
."."., Ill" 111.111
MAYBELLE
R
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 11013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
ifflj:i5'4TEiCAFP--iiij-:muiiil"ficE--ciTYNHEiiii'ANCE-YAx-iippRA-isEHEii'r;-.\i:rOWANCE-OR'-------mmm-
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF KANODE MAYBELLE R FILE NO. 21 96-0841 ACN 101 DATE 06-23-91
If an assessment was issued previously, lines 14, 15 and~or 16, 17 and 18
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
IS. A~ount of Lin. 14
16. '"ount of Lina 14
17. Anou"t of Lin. 14
18. Principal T.~ Due
TAX CREDITS:
PAYMENT
DATE
01-07-91
TAX RETURN WAS: (X I ACCEPTED AS FIleD
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..I Est.t. (Schedule A) n J
2. Stocks and Bonds (Schedula 81 121
3. Closely Hald StDck/P.rtn.~shlp Int.r..t (Schedule CJ (3)
4. Hortg.gal/Hot.. Receivable (Schedul. OJ (4)
S. Ca.h/Sank Deposits/Hi.c. Parsonal Property (Schedule EJ 151
6. Jointly Owned Property ISchedul. fl (6)
7. T,..nsfe,.s (Schedule G) (7)
8. Total Alsets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Fune,.al Expense./Ad~. Costs/Hisc. Expenses (Schedule H) (9)
10. Debt./"o,.tgage liabilities/liens (Schedule I) (10)
11. Tot.l Deductions
12. Net V.lue of T.. Return
13. Charit.ble/Govern~ent.l aequests (Schedule JJ
14. Nat Value of Est.te Subject to Ta.
NOTE:
.t Spousal r.t.
t..able at line.l/Class A r.t.
ta..ble .t Collataral/Class B ,..t.
1151
1161
117l
RECEIPT
NUMBER
AA185044
DISCOUNT ('1
INTEREST/PEN PAID (-I
361. 69
CHANGED
.00
.00
.00
.00
139.308.01
6.424,37
.00
181
9,692.08
1.851,66
1111
112l
1131
1141
.00 X .00:
120.564.37 X .06:
.00X.15:
1181
AMOUNT PAID
7.410.00
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
NOTE: To insure prop.r
credit to your account.
sub_it the upper portion
of this for~ with your
t.. p.y~ant.
145.132.38
11 . ~(,g 74
134,182.64
13,618.27
120,564.31
will
.00
7.233.81
.00
7.233.86
7,111.69
531.83CR
.00
531.83CR
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCUlATION OF ADDITIONAl INTEREST.
( IF TOTAL DUE IS LESS THAN $1. NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI. YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF TillS FORM FOR INSTRUCTIONS. I
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PURPOsE OF
HaUCEr
To fulfill the requlr...nt, of S.ctlon 2140 of the Inh.rltanc. and E'tate rax Act, Act 21 of 1995. (12 P.S.
Section 91"0).
RESERYATIDN: E,t,t.. of d.cedant. dying on or b.for. D.ce.b.r 12, 198Z ~- If any future Int.r..t In the e.tat. I. tran.f.rred
In po.....lon or .nJoY'lnt to Cia.. I (collat.ral) beneflcl.rl.. of the d.c.dent .fter thl e.plratlon of any ..tate lor
Ilf. or lor ye.r., the Co..onwe.lth hereby e.pr...ly r..ervI. the right to appral'l and a"I" tran".r Inh.rltanc. T....
at the lawful Cia" I (collatlr,ll rat. on any .uch future Int.r.,t.
PAYMENT:
D.tach the top portion of thl, Notlc. and .ub.lt with your pay.ent to the R.gI,t.r of Will. prlnt.d on the r.v.r,. ,Idl.
"Ha'" check or .on.y order payabl. to: REGISTER OF MILLS, AGENT
REFUND (eA):
i refund 0' a tax crldlt, which wa. not r.qu..t.d on the ra. Rlturn, .ay be r.qu..t.d by coapl.tlng an .Appllcatlon
for R.fund of Penn'Ylvanla Inh.rltanc. and E'tatl rax. (REY-1l13). ApplIcation, are avallabl. at the Offlc.
of the R.gl,t.r of Will" any of the 23 Rev.nu. DI,trlct Dfflc.., or by callIng the ,p.clal 2.-hour
an.w.rlng ..rvlc. nu.ber, for for.. ord.rlng: In Penn.ylvanla 1~800-362-2050, out.ld. Plnn'Ylvanla and
within local Harrisburg ar.. 0'11) 787-8094, TOOl (717) 772-2252 (Ifearlng bpalred Only).
OIJECTIDNSI Any party In Intlre.t not .atl.flad with the appral,e..nt, allowanc. or dl,allowanc. of d'ductlon., or a"""lnt
of ta. (Including dl.count Dr Inl.r.,t) a, shown on thl. Hotlc. au,t Objlct within sl.ty (601 day, of reCllpt of
this Notice by:
AotUN
ISTRiUVE
CORRECUONS:
.-wrlttln prote.t to the Pi DIParl..nl of Ravlnua, loard of ApPlal., D.pt. 281021. Harrllburg. Pi 17121-1021. OR
--.llctlon to haye thl .att.r det.raln.d al audit of Ih. account of the plrlonal rlPrlllntallva. OR
--appeal to the Orphan,' Court.
Factual Irror. dl'covlr'd on Ihls a'I'I'..nt .hould b. addrl'l.d In writing 10: PA Depart.lnt of Rlvlnul.
lurlau of Individual Ta..,. ATTN: Post A'I""lnt Rlvllw Unit. Dlpt. 280601, Harrl'burg, PA 17128-0601
Phone (717) 717-650~. Sle page 5 of the bookl.t -In.tructlon, for Inh.rltanc. Ta. Return for a RI,ldent
Dlc.d.nt- (REY-ISOI) for an I.planatlon of ad.lnl.tratlv.ly corr.ctable Irrors.
01 SCDlINT:
Jf any tax dul I. paid within thrl' (3) callndar .onth, aft.r thl d'cldent'. dlath, a flv. Plrc.nt (S~I discount of
the tax paid I. allowld.
PENAL TV:
The ISX ta. a.n..ty non-participation panalty I, co.putld on thl total of thl ta. and Inter.,t a'le".d. and not
paid before January 18, 1996, the flr't day aft.r the end of the ta. a.ne,ty p.rIOd. Thl, non-participation
Plnalty I. app.alable In the la.e .anner and In the thl ,a.e tiel plrlod a, yoU would appeal the tax and Int.r.,t
that has b.en a',e"ed a. Indicated on thl, notlc..
INTEREST:
Jnt'r.,t I. charg.d b.glnnlng with flr,t day of dellnqulncy, or nine (9) _onth, and on. (II day fro. the dat. of
d.ath, to the date af pay.ent. 'axI' which blea.. delinquent b.for. January I, 1982 bear Intlr'lt at the rate of
.1. (6~) perClnt per annu. calculated at a dally rat. of .000164. All ta.e, which beca.. dellnqulnt on and aftlr
January I, 1982 will b.ar Inter.lt at a rat. which will vary fro. callndar y.ar to calendar yaar with that rat.
announc.d by the Pi Dlpart..nt of R.vlnue. The applicable Int.r.'t rate, for 1982 through 1997 ar.:
!!!r Inter'lt Rate Dally Intlrnt FRctor ~ Internt Aate Dl!llly Intarllt Fllctor
1981 ZOiC .ODDS...8 191!17 .% .000247
1983 16% .000.38 1988-1991 1I~ .000301
193... 11;( .OOUOI 1992 .% .0002"'7
1985 13~ .000356 1993-199. 1% .000192
1986 1.% .000274 1995-1997 .% .000lli7
--Inter..t I, calculatld a. follow,:
INTEREST = DALANCE OF TAX UNPAID X NUNDER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notlca II'u.d after thl ta. blcoee. dellnqulnt will refl.ct an Intere't calculation to flftlen (IS) day,
b.yond thl dati of the a.,e".ent. If paY.lnt II .ade aft.r the Int.rl't coaputatlon date shawn on the
Notice, addItional Inter..t au.t be calculatld.
15'~/:1, i - /3
L/
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COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
BUREAU OF INDIVIDUAL TAXES
IHtIlAITANC[ tAil DIYISION
DlPI. II06Dl
UARRlSlUAC, PA 111l.'060a
....\lU II'" '".1"
JAN M WILEY ESQ
1 S BALTIMORE ST
DILLSBURG
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
08-04-91
KANODE
10-08-96
21 96-0841
CUMBERLAND
101
MAYBELLE
AMount Re..ltbd
PA 11019
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 11013
NOTEI To insure proper credit to your eccount, sub..it the upper portion of this for. with your tax pay..ent.
CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~
Rifv:i60-i-Eif-AFii-io3~97i-----.-...--iNiiERiT-ANCif-TAif-sriiiEHE-Nf-iiF-Ac:Couiii--.-..---------------------
ESTATE OF KANODE MAYBELLE R FILE NO.21 96-0847 ACN 101 DATE 08-04-97
THIS STATEHEHT IS PROVIDED TO ADVISE OF THE CURREHT STATUS OF THE STATED ACH IH THE NAHED ESTATE. SHOWN BELOW
IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYHEHTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 06-16-97
PRINCIPAL TAX DUE:
7,233.86
PAYMENTS (TAX CREDITS),
PAYMENT
DATE
01-07-97
07-08-97
RECEIPT
NUMBER
AA185044
REFUND
DISCOUNT (+)
INTEREST/PEN PAID (-)
361. 69
.00
7,410.00
537.83-
..MOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
7.233.86
.00
.00
.00
. IF PAID AFTER THIS DATE, SEE REVERSE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAl DUE IS LESS THAN el,
NO PAYHENT IS REQUIRED.
IF TOTAl DUE IS REFLECTED AS A "CREDIT" (CRI,
YOU KAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIDNS.
R
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PAMHTI
Detech tM top pa,.tlon of thh Notlc. WId lubIIlt with YOU" PIYNnt I-.M plv.tJl. to the n... Met Mkf,...
printed on t~ ,..v.,.,. llde.
If RtSJDEHT D(CEUEN' lake chick 0,. RMy ord.r p'vabl. tal REGISTER OF WILLS, ACENT.
If HO'HtESJDEHT DECEDENT laka check or lIOMy order pavabl, tal COHHONWEALTH OF PENNSYLVANIA.
REfUND (CAl, , ,.efund of . '.x credit, which .... not r~.ted on the Tlx Rlturn, "v be requested by co.platlng en
"AppUcaUan for R.flRl 0' P""lvl",."I, InherltMCI end Eatat, T.x" (R[V.llUJ. AppUcatlon. .r. IvaUable at
U. OffiCI of the Aaahhr of WUh, enV of the lJ Revenue DIa.del Dffle.. 0,. 'rOIl the o.p.,.tuntO, '4-hou,.
~.werlng ..rvlel nu.be,., for lor.. orderlngl In Pemsvlvanl. l-100-162-Z050, out, Ida P""lvlvanl,
end withIn IDCaI! "-,.r!lburg ara. (717) 7.7-1094, TOO' (717) nZ-ZZ5Z (....rlng 1.11,... onhJ.
REPLY TO,
DISCOtlfTI
PENAL TVI
JHTERfSTI
Dueltlon. reg,rdl", .,.ror. contained on thh notice should M 1ldd,....1Id tal PA D.p.rt.."t 0' R.v....., Bur...
0' Indlvlduel T._.., ATTHI POlt AII....."t R.vl.. unit, Dept. Za0601, Harrl~rg, PA 171Z8-0601, phone
(71n 787-6505.
If My tax dull Is p.ld within thr.. (3) calender ItOnth. .ft.r the dec""t.. _th, . filii" perunt (5;(1 dlscOU'lt
0' the tex paid II .U~.
The In tax --.ty non-p.rtlclp.tlon penalty It COllpUt8d on the tot.l 0' the tu 8nd Int.rut ......ed, IInd not
P.ld H'or. J&"IU8ry 11, 1996, the flnt d.y .ft.r the end 0' the tax ""Ity period.
Inter.st Is Ch8rged beginning with flnt dey 0' delinquency, or nl". (9) ItOnthl IInd one (1) ct.y fra the dIIta of
de.th, to thli dIIt. 0' P'YHnt: Tax.. which He... delinquent before JllnUllry 1, 1982 bur Intarut .t the rat. of
lhe (~) percent per ..... celculatlld .t a delly r.t. of .000164. All hUI which bec8M delinquent on end aft.r
Jenuery 1, 1"2 will bear Int.r..t It . rat. which will v.ry fra calender y..r to calender y..r with thet rat.
8rWMM.nced by the Pi o.p.rbent of R.v...... The eppllc8bl. Int.r..t r1tu for 1912 through 1997 .r.r
V..r Int.r..t R.t. Oally Int.r..t Fector
Vu,
Int.rut R.t.
O.lly Int.r..t Fector
1911 20X .OOOSU 1917 '2 .ooozu
191] 162 .oousa 1988-1991 112 .000101
19114 112 .ooun 1992 .2 .00OZ47
1.IS 132 .0OUU 1995-1... n: .00019:
1'16 102 .OOU7" 1995-1"7 92 .COOl47
.-Inhre.t I. C111culated .. follow..
IHTEIlEllr . BALANCE OF rAX IITIPAIO X HUKBER OF DAYB DELINQUENT X DAILY IHTEIlEllr FACTOR
"-Any Notice 1.1UId after the talC Heo." delinquent ..Ill reflect... Inter..t CIIlcu1aUon to flft.." (5) dIIn
beyond the det, 0' the ........"t. If P')'MtIt h __ after the Interllt ~tatlon data shown on the
Notlc., additional Interllt ....t be c.1cuht8d.
STATUS REPORT UNDER RULE 6.12
Name of Decedent: /Z-tl Sf 1"".- /J~
Date of Death: ICJ,I:P/ <'h~.
will No. ;e]ql, _/)Ci? '/7
j{ /(dllt'd('.
Admin. No.
Pursuant to Rule 6.12 of the Supreme Court Orphans'
Court Rules, I report the following with respect to completion of
the administration of the above-captioned estate:
1. State whether administration of the estate is complete:
Yes v No
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete:
3. If the answer to No. 1 is Yes, state the following:
a. Did the personal representative file a final
account with the Court? Yes No ~
b. The separate Orphans' Court No. (if any) for
the personal representative's account is:
c. Did the personal representative state an
account informally to the parties in interest? Yes ~ No
d. Copies of receipts, releas I, joinders and
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be attached to this report.
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, . 12"L V\I\. I.,J JL-...
( Signature ~ .
"---.::1 ('[I ILl I) Ie' I E::.;r,' II ,("
Name (Please t e orrint)
{)IIt" .S B,,{-!'.IIf."('.- Sf .
Address ']),//sLu,,], ~rl 1701']
(In I l/,)) .fl(t 1,/1'
Tel. No.
Date: .3/17/1'7
I I
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0:-
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Capacity:
Personal Representative
,,/ Counsel for personal
representative
(MAH:rmf/AM3)