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HomeMy WebLinkAbout96-00850 PETITION FOI~ PI{(mATE and (a~ANT OF LETTERS b/<lIl'lIl t!/'c.:.k' :~oll'd Nil. o?l-qlo_:-:_~':"SD_ 01.\0 Kl/fllt'1I a.\ . _ 1"0: -- ._h_______ . ... . . nt't't'c/.\l'd. . ' . ' , ~.I j' J"~~ ,\lI!'1l1l .\!'('lImy i'". .,., _ -'I :__ _ '^ _ '1__ 11_ _ ___ ___ ~~~hl~r of \\'illcJj:,n~IfLANo . lO1l1l11' of __________ 111 ,h~ ("()IIII1;nn\\'caltll (If Ilcllllsyl\'ania Thl' Pl'lilil1l1 of Ihl' tIlHkl\i~lIL'd n,'\l'cl'lfully rl'pn."L'lIh illal: YnUl' !ll'liliunl'I(\), \\110 j..,'an... Hi year, 111 .Ipe or ohll'r allllll.'I.'\CClIh.'f"> ill 11"'1,,,, willllf Ih~ ahll\~ d~,,,',klll. dal~d _ ____ .'-J",;"-~ L_-? or alld ""dkilN d,"~d ' ,___ _______ named 11l)~ l'I,lh' Idl'\;tlll nh"llll'l.lIh,'l'\. l'.~ Il'I1I1I1~'I;1I10Il, (k.tlh \\ll'\\.'~'llhlf, elf:,) Ik....clIlklll \\01' dUIllh:ikd al dralh in __(.~~,'t.~_b LV.jCtll(L~_ __ ___. Counl)', Pennsylvania, with lu:.c.. __ la'll family or prindpal n.."jdl'lh.'l' al .~_.~L~'-_._u...:.._-1_J~_dl!l._I1.../!:J1- fJlr"I',Lut!;; hH'"J t!ht"d _______._._. _ _,'H('~_JIt4nj,-_~.b.Li.1.{,_ _l~~L____ 111,1 -lll'!.'I, lllllli 'I.'I ;lll.lllllllh'JI'.dtl~t 7 -- {r I 'I () Dt,'~(.'llllt:l1l, .IIH:n_.--..,..? ... Yl'ar~ uf agc)dicd __ -----.~_.-..,"'"-.T-~iL~' v- I 19 '"" . 011_ _ /-l.".. t'" .!...I..._.".I-!:!/lrl.t.l,.j--~~f:..-.I_'~Lh,-^,:....!....b\tl'~~I_~LE.~.. , E\t,'l.'pl it, 1'0110\\', t.h.'~t"t.klll did 1101 marry. \\';1' lIul t.!hor~t,';l ;:1Ilt.! dit.!lI(lI hil\'l.' it l,.'hilr.l born or adopted al'l,,'r l'\'-'I..'lIliol1 of Ih.., \\ill urr"'I"l:t.I for prohillt,'; \\';1", not 11ll" \ktim of a killing anti was ne\'er adjudicated ill~')lI1pl'll.'nl: __________A>1L__u ____.__"_____ ()1.'~I'f1(kllt 011 dCillh ll\\'IIt,'d propl'ny \\ill1 l',limitll.'d vahll." a!'t follO\\"I: (If domidkd in I'a.) All r~"ollal pror~f1Y (If 1101 domh,:ilt:d in POI.) I'cr,ona) properly in Pcnn,yl\'ania (II 1101 dOluidlcJ ill I'll.) Pc:r,onal propcrlY ill Counly Vallll' ,If H.'all'!'ttall.' ill Pl'nll\~ l~allia, I _ ,illlill,'d ii' 1'0110",:_'-/"'(0 _ ,L_ ((.'__jJU_IJ'l'L __,:.>.1:.._____ S-L.f:t.J ~ t'(), .~ S S S t,-(). ,;,'() c'. ,~ . \\ III:RI:HlIU:. r~I;lilln~r(') '"'r~,:tflllly r~qll~,l(,) Ih~ rrohal~ ,,1' Ih~ 1"'1 will and ~odicil(s) prl.'\l'l1ll'd Iu.'rl'\\ ilh and I hl' grat1l or kllt,'r, _ __ .m_t{~t~J.!!.."_~\ I (1 ....2:) ... Ill"I,lI1'!.'lll.lI~; ,Hllllllll'lfilI1l11lI.',l.iI,: O1JllllnI\lIallnn d,h.n,l',l,a.l Ihl'I"II, -- ;: i: :J::~ l~ f(c~4. V ~le~J-', _ s;,& t.! l'Jk/,;' , 7, ?:<,.,(J;?-"- CDII-"':)<'-V/t'" /?.. 1.9f1%~ t/a I{'/, . h/oj;ki/.; ':'- _____..:5."'_4- ;( ./".. "'~ ..-.1.. -...,,--?4f.-2.-.LL~;( f.j ___.___Lr~.t..~~,,-~~~Dl..t/.''//~ I)r-.. //..'741' -. ~- =... r C'. --I' I . . _______U..u.Uh jI 1~~.')r..J'~Ic. - ~~-._---~-_.- ._-~--_._. ..._.._----~- --...---..-.- ..-.--- OATIl OF PERSONAL I~EPRESENTATIVE C0:\1:\10:'o\WEAI.T11 OF I'E:'o\:'o\S'\'I.\' Ai'iIA COl' \TY OFn__CUr~B~BI,AND__ I J :;:; lhl' I'l'tiliolll.'ll\1 aho\t,'-l1ill1ll'd \\\l'ilrh) 'H' aHirm(...) that thl.' "'1,lIl'l11ellh in the foregoing petition are Hilt,' ilmll.'OlTl'l.'1 10 I Ill' Ill"II,r Ihl.' "no\\kdgl' and ht,'lil'f' of I'clitinlll'rh) am.lthat ii' personal rcpresene lilli\l'(-.) of Ihl' ahl1\t" dl'I.'l'dl'Il1 I'l'lilhllll'rh) \\i11 wl'll alHllruly adll1ini\ll'r Ihe c,HHI.' according 10 la\\'. t? _; I W. {J&. S"l1I1l '" m "llinll~" alld ,"I,,",;I>,'d /{~_ __;j____ .. hcfor'iJe~' ~ . 11l~~- - Ul '5"~ j," - -_- --,-- ----- /". , l \ {.j,', /. , ,-,' ""'-. " ~5--- . -- --~A..--n'71 ;JL& / 1:' .--" ~_J!.c--" f:}- _ . M ~/hwrVI( R'~:~r }/------------ \ ~ - eX.. <<c L u- ------ - ------ '" ,.. " t:: ,. ~ 2 Thi\ I' 11\ ltlldy 111,11 till" illlullll,ltlllll tWit' ,~l\t"ll 1.I.q!1 Ill-. PII'lI,1 lJ'llll ,111111 t,l~tll.d tl'lllll' .llt. III 11t-.llh dllly fdt..! wtlll lilt. .... 1.1Il,II Ht gl\IfH Tilt, III1,clll,i\ \ l'llllll.llt \llll h I." ',\ ,oj, ~I.I It. rIll "l.HI \' 1I,d HI'! 111,1.. C III u t fill J'('IIIl,IIlt'1l1 Ilhll,L: WARNING: 1115 Illegal to dupllcnle this copy by photostat (lr photograph, ITl' ftll Ihi, ...('ltlll~,III. $,~ 00 ....,.i............ ,;,;I'~\oo\I\IP!j~ '1i.~/.,~1'lJ:f'~ ri;i,' '. v Q _, :ae (....J J,i;' ~." ,:/. '1"':;' . ~ - ,. l.. ~'.'::':'#:!../~ ',plj;-'{~\."" "'E~' 1 ,) 9 7'\ ,,"u h LlU"'-"- 1\d-d.U_'I. .9~~<IZ:j. Ltlt.lllh'}.:I\II.1f 4 0 111' J . v txe[Lt, 3870204 I', C!Y<~~. !J..le Nt,. "1~'lJ,,"l-" COlIlIONWEAllHOF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH ". I FumDle llllll'.."'_" ~,.:OAl ~U""'l'f_..It . October 7. 1996 204- 32 - ,. aGI............., ftllLlOl'hI"...c'............-.-.......-... ..:l""U4. ~U =",.0 76 ,.. WJIOT'fCl' " 1__-""'" - .-. , White .-...... ..-,..-- .. cu~b8 r 1 and ~~~I_.....fU _ .-i1- ......_:%.., Rut. ail Sorter WeohB.nioaburg _.IHtI(JI"IJIIol~~''''' Hone UNtI\.lt,11AIUS,_'" -"......""- ~r-"I Widowed Poato.l Service , ".(1",,___.. ~C101."T,,_HJJ.DONU~_c..-_ _1..(..... lArlutNT'1 ~,- 1'1(....""1 ................ ,......... ,~ 'r'~_ ow -- --, Cumberland --.' u,l~ :::==.. "l!~hanlo~bur_l uo''''A~~:Woik:i.'''s..- , ...-UfOU4IO,.u.uIlQAlIOI.- l5tr_t_.. _ "lM" 2310 Hill Road Perklomonvlllu. PA 18074 126 - B W. Portland St. ,. Wuohaniouburg. PA 17055 '.""-1""""'" ,. \;nar os to, hmer HOOS"JJ:n-i~";a rogowuki ""!OJ ~ _crc:.oo--U ____n ,...~' OAIWiii_,oe _II -ttdtt.bur 11. 1996 , UN\( 0i'i66" I. rvoctOfPSt\JSlToe _III --.~........ \t.M;.IloOlt.~"" - .~:""t.uko' 8 Cumetery Trappe. Pennsylvania ...r.oWllOOAtuOIloIb.Jt,MRtpo I -runum-tfom 8 Market Plaza Way. Wuohanlouburg. PA 17055 IlClN1l...-1I O,Ifl"""'O ...-, i 3 illt.ft"":P to....lc;Ai. t.-.tI\.COllOolfIl' _lJ ..;;J.. _1'l'I_"~'" I'" CJI u""tt =c1..~JU'.UDtl..O,........t~_1 ,..--,...........- . ~!JL-A-"- .t1,YM.,,- Z ,1ft' t_..._........-...__..-..-l>o-........-~~ a..J\......_..J._--...... -........,...... l.......__.._..... ._CQ(lq~~/lv~ _Ij~d UUCftt1"'.,.u..................IUlI \ :~~~~~ftJ~~':\'Ai~~.i~"'i~_i~I-_- 0Uf, to",flt,:o'u"let.YlA.t,.1 "1 ... - .' ""N""rcr'I'I'~' ......."Ufhltl'tl _............10 a-..'IOHOICIUM 0101""' ... ".,.,.: ~......---....._'" ...-..._........_....."""" ra,'/ Ul"'e, I==- l-....- ! -.-_._--- ! ~-~ - - .--------- , : -,-- : __,t 1_01""""" l.Il~HlJIOf.....ut,U,.CUMI.O --..----------- tlNIor "'..., ......1>1._. -,,,-, ... [J ..IJ I ! b 1 _. l~ ,__ 1.1 ..._ IJ ,.......,__.... ,'1 ... n ... u _... n c-t.......__ ('J ~.fI(tOf-ottJIJfI. ..""-..!:;.;;~.-;~ *---!tCiAJo;""=-l......-__ I. It ~_.\of<o"""_ arn.otJlol...._.... _.._--_.._-_._~- ~D,..~:.ttl"f...It .""1.'_""110..'.."......".-,.............,.-..,-",....."............-..... ..........._.....~JI' II A ".ro ....._...,............-......._....._.1--"- I' ---- -'" --~- -- ----- IlU..U........1I OotII\OCoNID_"tJo.-' -"'QtIoUCllt''''._...,s.u&II"'I-........."..........,..,,.........................'....' 10411 0'1'( tJTf II>... 9"'''l..f- ....._...,...___ ........_....__ _ _,.... __..............1-..-....- I ~-....vr.D(JN..~"'lIdilii-..lOtiJiii.I.':~c.Aliv-ti~"1iH ....OICAIIU....trll(OAQfIIIII ,.....'1\I,....l"I.. Bu&. G. L.o~_."Oo 011...........__..............."-,....,--......".."........1......,........."...-.....-..........Pl...... t J :Z"'lCr N.~""" SI-. """" 1'A 17"0 ::.i~::::~~tt~v-~~,~.~~.- H~-~-~-~_n_L~dL~11JI:.(9~~'6;~ 10 In' - 21 - 96 - 850 (")() c ~~- ,,; .,., " ~- 0, .r. l c::- c -. ..... - OJ -J ;-.: . . '..) "' : ~ -.. 0 VII - 1 devise and hequeilth i1ll of the rest, residue and remainder of my estate of whatever nilture ilnd "herever situate as follows: A. 'l'wo-thirds of Haid residue shilll be l1ilid to my daughter, Suszan Z. 1warogowski or her issue per stirpes. D. One-third of said residue ",hall be pilid to my son, Ralph W. Zollers, or his issue per stirpes, provided that the balance owed by him on a certain lIortgaqe in the original arount of $60,000.00 shall be treated as an advancement on his share. VIII - I appoint my Bon, llalph 1/. Zollers, and lilY daughter, Susan Z. Twarogowski, Co-Executors of this, my c.ast Will and Testament. Neither of my personal representatives shall Ue required to post bond in this or any jurisdiction. IN Wl'lNESS WHEREJJF. 1 have day of _~AJ!j-- hereunto set my nand and ~eal on lhis the dS 1-4 , 1995. QPa ~, /)) '-:J~Ur uJ (SEAL) ALICE W. ZOLLERS (J Page 2 FIt I' ';1 '0,:, ucr 13 OJ? .~ll , ,.' CI.., CUi. It I" \ w lfV,Uoo fX + (7.9") I!! ..:5" tlf~ ="'9 u~... :i:15 "'''' "'z: 8~ I ~'- /3 'J- d-- INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) . .9:~.fJ_ W 15 iii tl '" COMMONWfAlTH Of PENNSYlVANIA DEPARTM[NT Of R(V[NUE OUT. 21060 I HARRISBURG. p" 11111,0601 O((IO(NI'$ NAMII\ASI. ItIU. AND MIODlI INlttAII Zollers, Alice, W. $OCIAlllCU'"Y NUMIU DAlf Of O(A1H 204-32-8908 10-7-96 tlr ...."1(..."" SU.....'IHG lPOuSl" N.ull n"''', I'''! AND MI00\1IIllIl&11 i ' ~ ,,_I I. to "'I 'f FOR OATIS OF DEATH AnER 12/31191 CHECK HERE IF A SPOUSAL POVERTY CREDIT IS CLAIMED 0 flU NUMBER COUNTY CODE dl Clip <;J6z) YEAR NUMBER OICIOlNnCOMPUIl AOOUU 126-8 Portland Mechanicsburg, cOO', Cumberland AMOUNt UC(I\ltD I~H IN$UUClIONSI 17055 St. Pa, 04. []6. limited hlale o 2, Supplemenlal Relurn o 3. Remainder Return (for do". of deo,h prior 10 12.13.B21 o S. Fed,ral ElIot. Tax Return Required o 40, Futur. Inl.rl.1 Compromise (for dol.. of deolh alt.. 12.12.B2) O.ced.nt Died Tellol. 0 7, Oeudenl Maintained a living TruI' (Alloch copy 01 Willi (Alloth copy 01 Tru") ORRESPONDENCE ~ND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:"""~ ~., (OMPUl[ MAlltNG AOORUS 1915 Hickory Dr. Harleysville, Pa. + 20. lllino 19 i. grooler Ihon line 18, onler ,he dill..ence on line 20. Thi. Is Ihe OVERPAYMENT. aD 21. II line lB I. grooler Ihon line 19, en'er ,he dill....ce on line 21. Thi. Is ,he TAX DUE. A, Enl.r th,lnl,r.,t on the balonc. due on lIn. 21A. B. Enl..'he 10'01 of line 21 and 21A on line 21B. Thi. Is ,he BALANCE DUE, Make Check Payable tal Regl.ler a' Will., Agent OJ 1. Original Return 'AL NAM Edward J. Ozorowski Esq. THHHONE HUMtflt 234-0721 z: '" ~ E ~ tl '" 1. Real E,'a'e (Schedule A) 2. S'ock. and Bond. (Schedule BI 3. Cla..ly Held SlocklPartnonh;p Inl....1 (Sthedule C) ... Mortgage. and Not.. Receivable (Schedule 0) 5, Caah, Bank Deposits & Miscellaneau. Perlona1 Property . (Schedule EI 6. Joinlly Owned Property (Schedule f) 7. Tron,l... (Sth.dule G)ISchodule LI 8. Total Gron Au," (folollines 1.7) 9. Fun.ral Ellpln"., Administrative CosII, Mi1Clllanlous Expen... (Schedule H) 10, Debh, Mortgagl liabilities, li.n. (Schedule I) 11. Talol Oeduoion. ('olallin.. 9 & 101 12, Net Value of ElIote (line 8 minus lino 111 13. Charitable and Governmental BequlIlII (Schedule JI U. Net Value Subject to Talt (line 12 minus Line III 15. Spousal Tron,fen (for dat.. of deolh aft., 6.30.94) Se. Instructions for Applicoble Percenlag. on Reverse Sid., (Include volues ham Schedule K or Schedule M,I 16. Amount of line 14 tOlloble 01 6% role (Include values from Schedule K or Schedule M.) 17. Amount of line 1.4 tOllobl, 01 15% role (Include volulS from Schedule K or Schedule M,I 1 B. P,incipalloo due (Add lox from Lin.. 15. 16 and 17.) 19. C"dill Spousal Poverly Credit Prior Paym.nll -0- z: '" ~ . '" u ~ _ 8, T alai Number of Safe D.polif B0ll81 ;,..~i.,,:~!,.t "..: ,.~:,.)::'~'. 19438 (11 $62,000.00 (2) $ 163,556.52 131 -0- (4) $38,806.92 (5) $7,878.11 (6) $1.043.66 (7) -0- (9) $9,496.30 (101 $844.45 (B) $273,285.21 (11) $10,340.75 (121 $262,944.46 (13) $2.500.00 (14) $260,444.46 (151 (16) (17) $257,944.46 $2,500.00 X,_II X ,06 = $15,476.67 X .15 II $375.00 (IBI $15,851.67 (191 $15,059.09 (20) (21) $15,059.09 (21AI (2IB) Discount + $792.58 Int. rill -0- Check hero if you oro rcquc\ting 0 u.,fund of your ovefpayment. .. ) R SWER 1<LL'QUESTIONS ON ,REVERSE SIDE AND JO..REQlECKMAl Und.r p.nahi" a' p.rlury. I d.c1ar. thai I have txomin.d thi. r.turn, including accampank'lng ICh.dul.. and stat.m.nll. and fa the bllt a' my ~nowl.dg. and b.li.f. It Is truI. corr.ct ond campi.!.. I d.c1ar. that 011 real .1101. hot bltn r.port.d of true mark.t volue. Declaration of pr'por.r olh.r thon the p,nonol repr...ntativ. I, ba..d on 011 Information of which pr.par.r hot ony ~nowl.dg., DAn 1-3-97 OAII 97 1-3 - lIV.I!Ollh 1'1 III W COMMONWIALTH O' '!NNSYlYANIA INHUnANCf lAX U1UlH 1II10lNT OICIOINT ESTATI OF SCHEDULE A REAL ESTATE J -FILE NUMBER Alice W. Zollers ------ ----- IPtoptrty Jolnlly-own.d with RighI 01 Survivorship mu.t b. dl"lo..d on Sch.dul. FI All ..ol..to'. .hould b. ..port.d 01101, marht valu. which I. d.fln.d a. tho p,l.. at which prop.rtv would b. ...hang.d b.twttn a willing buy.. and a willing ..II.., n.lth.. b.lng camp.lI.d 10 bu or ..II, bath having ..o.anabl. knowl.dg. 01 tho ..I.van"ael.. ITEM NUMBER DESCRIPTION 1. ALL THAT CERTAIN tract of land together with the improvement thereon consisting of a single family dwelling situate and known as 126-8 West Portland street, Mechanicsburg, in the County of Cumberland, Commonwealth of Pennsylvania. The above dwelling is a two bedroom condominium. The fair market value of this realty as of the VALUE AT DATE OF DEATH ( See real estate appraisal attached to this owner's date of death is.......................... $62,000.00 Schedule "A" ) TOTAL Ailo 'nl.. on lin. I, R.co il.lollon (II mort .poc, ;s n..eI.d, inslrt aclJilionof Ih..rs o( 10m. size. 'b2,OOO.OO ~ .J t_ '> .' .t ,I OJ .. .J ~.I, .... .L .. J U l o 4 ~ ~ \. ~ ~ .J .~ ~ 1 ..t ,J ,I. ., ..J j .J J. - 'J J ., ..J .... .1 ,"" ..... - 'l . ,J .": -' .. . '. ~ oJ ~ ) ~ \' .... .J ., .( ~ :L. _. - ., 'J .J ~ ., .. J r. \. , , r . , " . . .' I .J ., " .". .. L I. .. , .' J .., ,. 1-' .,," I' _.., j" f . I II U .t:, .J .1' C I :, .'"":' - n ., -. :t . . . . . . . . .. .... J" ',' U'" 0 J~ :1'" J -. I' ., LJ .U .. .l.... ...... - 11 . . . . . . . . . . . ,'I ' 'I " r 'f ~ f'l ., .1 J ..' J. ,. I '.. ... .. I ~) ., "J II IJ." I' .f '-4..... '0":" tl tJ 'I (I". - I J" " ...., .-4 . . ... -, 'r ' <'oil .... 'J "."l J\ ..... .' ~ . . . . . .. ..J'" .1 l' ., J\ ,. .<4 . . . .1.. I' ", ., ,. oJ '.... ',,' II ., . . I ,., ,~ ,) I .) ~. II t " . . . . , .f' ;' -J II ...1 ;OJ ..,. '.. , ... .J'I ,I .) '- .J .:' q . .. . . - ,,' .' '. "J " tI I,.f II." J' . ,. r, ,- J .':l .., ~, ~, ""I .. ... ;, ., .., :'. ;-, ~, .. .. r ". II .Ii ,. .4 - oJ l', .' ~ I . . . . .f.... '..' 1" . . . . . . . . . . . . . . . . I' ;-, " _ .... ~., 01 ,.,...-. I" .........1,. '. , .,' ., " , -. .. ... .. ., il ., . . . " , Ii ,J . , " .1 -'.I.J'4 ;.,1', ,) J '- . ,I . . . 'J ,J J\ .:' \ " , J. .r J .... . . I . "..J.J'J .J Lo li .J .', ',"1 U J) ..., "..:J.... ""'1 .1.) -.: o,,_.r . .... I ..... J' I'" .u '" .'. IJ .... - I' (, " 1; .1 1.1 ", :. .) U ., ..... II :.J U 1 . . , , , t '1 .' .; ,.0') . . . J ., . .. I .. .' . , '1 , ., , : 'I -. "I' , I~ ., ., -f .,.f _'0 .. . . . , " ., I ') ,iI" . 1'." " -0 .- ." .. r ,I.J ,I . 'I J, ,) I, . . 'J l.: .. . . . . . .' "..... . . . . I" .., . " 11 J' .T' ,J ......,.... ., . J . I .., .r .r l\ J t .' ~.... ... 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" , _.ytWltltIIU., I W COMMONW(AllH Of 'INN,nVANIA INHU"ANC! lAI IUUIN _!SIDtH'DIClDINf __ SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE Of fiLE NUMBER Alice W. Zollers Joint 1'0001(.). NAME A. Ralph W. Zollers ADDRESS 386 Main Stl Trappe Collegeville, Pa. 19426 RELATIONSHIP TO DECEDENT Son B. C, Jolntly-own.d property: ITEM LmER DATE , fOR NUMBER JOINT MADE DESCRIPTION OF PROPERTY TOTAL VALUE DECD'S DOLLAR VALUE OF TENANT JOINT OF ASSET % INT. DECEDENT'S INTEREST 1. A CheCking Account # 142- 110-6053 lodged with Mellon Bank,Mechanicsburg, Pa. 17055 . . . . . . . . . . . . . . $2,087.32 50% $1,043.66 ( see attached Exhibit IIBII to this SchedUle) , I TOTAL (AlIa enle' on line 6, Recopitulalian) 51,043.66 (II motl spoce is "ndvel insert ocldilionol shuh o( some s;n) . '. 1''#\11111. pll, ITEM NUMBER ~ COMlo\ONWIAIJH OII1NNIYLYAN'A INHIII1AHCI W .nUIN 1I11DINT DICIDINT SCHEDULE H fUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES , . ...... Ploa.. Print or T . Alice W. Zollers DESCRIPTION A. Funeral Exponl'll Malpezzi Funeral Home I. otterbein United Methodist Church-honorariam 2. Loyal Bible Class- honorariam 3. Pamela's pantry- funeral repast 4.' Tombstone inscription B. 4. C. 1. 2. 3. 4. 5. 6. 7. B. I. Admlnlllrotlv. COIIII Pononal Reprllentative Cammiuianl Social Security Number 01 Penanal Representative: Year Cammiuians paid 2. Attorney Feel 3. Family Exemption - None claimed Claimant RelatianJhip Addreu 01 Claimant at decedent's death Street Addreu City State Zip Code Probate Fell Register of Wills cumberland County Mlsc.llanooul Expenses: Patriot News- estate advertisement Patriot News-notice Cumberland Law Journal - estate advertisement Pinnacle Health - last illness Health America- accrued bill TOTAL IAlsa enter on line 9, Recapitulation) III _. IPOC' II Med.cI, In.." addltlOtlol oh,oll of lam. IIz..) AMOUNT $7,936.70 $50.00 $300.00 $434.60 $75.00 $299.00 $200.80 $6.00 $60.00 $120.00 $15.00 S9,496.30 . " ll...nUII.I"~ ~.~.~ 1';'. ' -- (()t,lMONW'AUH o. ,tN...\nVANIA INN'IIt.NU..... ,nUIN .nIDI'" DletDINI SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER Alice W. Zellers ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR SHARE OF ESTATE A. TOKobl. B.qu.llI: B. Wesley E. Zellers 445 Peach Glen-Idaiville Rd. Gardners, Pa. 17324 grandsen $500.00 ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE B. Charitable and Goyernmental 8equelh: 1. TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS lAlla .nle, on lin. 13, Recopi'ulol;on) S (II mo.. .poc.1s n..d.d, In..rt oddltlonol .h.... 01 .ome .In) .. . - " SMITH BARNEY A MtmbcrorTtd\'tltnGnJup .,. October 22, 1996 Ralph Zollers 386 W. Main St. - TRAPPE collegeville PA 19426 re: Estate of Alice Zollers Dear Mr. Zollers: As discussed with Bob please find enclosed the values on Alice's accounts as of 10-7-96. In order to distribute the assets in her single name account we will need the following: 1. Short certificate dated within 60 days 2. Affadavit of Domicile (form enclosed) 3. Letter of authorization, signed by the co-executors telling us how to divide assets and what to do with the assets. For her IRA account we will need: 1. Short certificate dated within 60 days 2. Affadavit of Domicile (form enclosed) 3. Letter of authorization, signed by the co-executors telling us how to divide assets and what to do with the assets. --4. IRA distribution form (enclosed) Do you happen to have anything that shows the breakdown of how the assets are to be distributed? The beneficiary form we have on file names both you and Susan but it does not clarify the portion you are to get. Should you have any questions please let me know. my' Debbie Koons Registered Sales Asst. to Robert L. Beard EXHIBIT "e" SMITH BARNEY INC. 11 NOIlh 31d Stroet. 2nd FI, Halrlsburg. PA 1710'.1702 800-237-1700' FAX 717-233-2090 ll~;;:;\;:j' .',1. ::l "';"""'\ '.".\ ''',;,,' ~' '. -""~-"" , f/ .:..;~ ~ " 1.... ,:" ~:t--':'" ::)} ',\\,,\1 . ", ,1; i\ - ,~ \'.\' . 1" . , \ \, ,,' , . N f'f'\ " ~ ~ ~ . L'>,~' ..... ' ,~ -::J f'l M .- '" ;t :) ~ -'" r: ,.. ...._ !:! C .'" ,.,...,.~"IIlI f) f>V f'l _'f'l M ~~';' _::.. - :> f'l :- ~.~~ '-',.'~li .. ~~I - ~.= - - - I r ....,.-....--. ,~ 't:t ,~,_ =-;. ....r:.. - - - - - .,,:~~z3.a _. _. "- _. ..... . - ,~ - - r ,~ - ....) :'~.;:"':<m , .. 0 " - f'l ~~- ~I=. L ~;; . ..... .A -, ~ t , t i " ~,' f'l M__~ , ~,,",,, ... , ~ . :> . .'~ .;.,~,~ .....,).,. '"""" -:' ~ c" ." "',....0.. ,(- -- - . . ..... I 1111111[1\\1\\11111111\\111111111\11\\111111111\\11111\\\\11\\\\\1111111 . I II 6 J I, " 1. S i.J 'I h uS' ~doO aaSSaJpPV ......_-_..--~---- ,. ., t:-; t ttl CI) fa a: Q Q q: e UJ o ii: u.: o .... CI) o Q. " ., ., " I:. :'..: n " :, n ." :.' G _.. ~.' \ II I; 1i I'; I~ t - <Il1~ ~ \'i <Il ',i-\L_, - ai' I' ~ tl ~ ~ 1',,' .. _ 10 'I \~ ii . I 3i:i ii ,Ii 1.1:; I" !~. _l~. ;~ VI ~ g::::! ~ ~~ . II: , " , " " .~I C - .. 01.; ,,1~ ~'I ..t. " < # - '",,:;,:.~ " . .}., l ~~ ~~ ." ~ ~' :-.' . , '1-': ~,~ ... p ..8 ~~ n ,- ;d~ rt 1. ~ . r! .1 ~ ~;'~ ~ ~ ':'1 Lt. h~ :1~ b~~ 'I '3 i ., , ~ ~ \ ~ [ l:!P t ~~;~ 1 ~;: f ,~Ii [' ~~r <<,!:ot ~~~ Jd f'l M - ...... .~ ~ r ~ i ~~ o ... r J i ~ :i!~ o IE f'l _ M .- ., " - - r -, - i:;;:,;:al f'l M , " ~ ::. , 8: ~ Ii III ~ .J , .J - .'. ,.0 ,. ---..---- ---'"/...- / , I i t , I . , t I I . t I I I I I , I , I , I I I . t_ '010 HflE I I , t , . I t t , I I . . . lNol162 DI"'4J COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX '* IINo.AA 185041 RECEIVED FROM: f3 ACN ASSESSMENT 'l' CONTROL ... NUMBER AMOUNT EDWARD J OZOROWSKI ESQUIRE 101 $15,059.09 1915 HICKORY DRIVE HARLEYSVILLE, PA 19438 IOIDHflE ESTATE INFORMATION: fa FILE NUMBER 21-1996-0850 E1 NAME OF 2'6t~l!RS ILtWI CE W II DATE OF p~~ErJ6/97 I!I POSTMARK DATE 1;1 1/01,/97 COUNTY CUMBERLAND SSN 204-32-8908 (FIRST) (Mil DATE OF Di"6H/07 196 $15.059.09 CW fa TOTAL AMOUNT PAID REMARKS L W LL c}!)'~lRll~~l ES(1JIRE CHECKll 1007 ..' (- " RECEIVED BY,' 1,'/' ~, "'.,,,;) /...'.........L SIGNATURE I ... J MARY C. LEWIS . i' I. ,/.....;. REGISTER OF W1LLS - SEAL REGISTER OF WillS _.., .._.. - .. _.-_,' _._... __ _'d ._.__ 0 __ _0.. -.-- ~ ..--- , -..-. -.."7'.M4~ ~-:'T 41:. /5-'/.15'-~~7 BUREAU OF INDIVIDUAL TAXES INHERltANC[ lAX DIVISION D[P!. ZlOba. tlARA1SBURC, Pi HU8-0bOI COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE c_ NDTICE OF INHERITANCE TAX APPRAISEHENT. AllDWANCE OR DISAllOWAHCE OF DEDUCTIDNS AND ASSESSHENT DF TAX EDWARD J OZOROWSKI ESQ 1915 HICKORY DR HARLEVSVILLE PA 19438 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 04-28-97 ZOLLERS 10-07-96 21 96-0850 CUMBERLAND 101 Al'lount R...1tt.d ~. r~. 11'.1'" ..,., III.". All CE W MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV:is'47-EX--AFP--ni3':97T"NoYicE--OF-YNHEiiiTANCE-YAx-jiPPRiiisEHENT-;-ALLOWANCE-iili----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF ZOLLERS ALlCE W FILE NO. 21 96-0850 ACN 101 DATE 04-28-97 If an assessment was issued previously, lines 14, IS and/or 16, 17 and 18 will reflect figures that include the total of ~ returns assessed to date. ASSESSMENT OF TAX: 15. A.aunt of Lina 14 .t Spous.l rat. 16. AMount of Lina 14 t.xable at Lina.I/Cle.1 A rat. 17. A.aunt of Lina 14 taxable .t Collat.raI/Cla.1 Brat. el" 1&. Principal Tax Due TAX CREDITS: PAYHENT DATE 01-04-97 TAX RETURN WAS, I X I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. R.al Eatet. ISch.dul. Al III 2. Stock. and Bonda (Schadule BJ (2) 3. Closely Held stock/Partnership Int.r..t (Schadule C) (3) 4. Hartg.gas/Hot.. Receivable (Schedule DJ (4) 5. Cash/Bank Deposits/Hi'c. Parsonal Property ISchedule E) CS) 6. Jointly Owned Property ISchedule F) (6) 7. Transfars ISchedule G) (7) 8. Total A.sets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expansa./Ada. Costs/Hisc. Expense. ISchedule H) (9) 10. D.bt./Ho,tg.g. ll.bllltl../ll.n. ISch.dul. II 1101 11. Total Deduction. 12. Het Velua of Tax Return 13. Cheritable/Govern.ent.l aequ..t. ISchedule J) 14. Het Value of E.t.te Subject to T.x NOTE: lIS1 1161 RECEIPT NUHBER AA185041 DISCDUNT 1+) INTEREST/PEN PAID I-I 792.58 I CHANGED 62.000.00 163.556.52 .00 38.806.92 7 .878.11 1.043.66 .00 IBl 9,496.30 844.45 Illl 1121 1131 1141 .00 X .00= 257.944.46 x.06= 2.500.00 X .15= 1181 AHDUNT PAID 15,059.09 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE HOTE: To insure proper credit to your eccount, .ub.it the upper portion of this forn with your bx p.y..ent. 273.285.21 10.340 7~ 262.944.46 2.500.00 260.444.46 .00 15.476.67 375.00 15.851.67 15.851.67 .00 .00 .00 . IF PAID AFTER DATE INDICATED. SEE REVERSE FOR CALCULATION DF ADDITIONAL INTEREST. IF TDTAl DUE IS lESS THAN 'I, ND PAYHENT IS REQUIRED. IF TOTAL DUE IS REflECTED AS A "CREDIT" ICRl, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FDR INSTRUCTIDNS.l r...'..... ~~" .. -:) , , (-) ,_U RESERYA1IDNI E.tat.. of d.c.d.nt. dying on or b.for. D.c..b.r 12, 1982 -. If any future Int.r..t In the ..tal. 1. tran.f.rr.d In Po.....lon or .nJoy..nt to Cl... a (collal.ral) ben.flclarl.. of Ih. d.c.d.nt a't.r the .xplratlon 0' any ..tat. 'or III. or for y..r., Ih. Co..onw.alth h.raby .xpr...ly ra..rva. the right to appral.. .nd a..... tran.f.r Inharltanca T.x.. at the lawful CI... 8 (collat.ral) rat. on any .uch future Int.r..t. PURPOSE OF NOTlCEI To fulfill tn. r.qulr...nt. of Sactlon 21~0 of the Inherllanc. and E.t.t. Tax Act, Act 21 0' 1995. (72 P,S. S.ctlon 9140). PAVKENh Det.ch tha top portion 0' thl. Hotlc. and .ub.lt with your p.y..nt to the Ragl.t.r of Will. prlnt.d on the r.v.r.a .Ida. ".".ke check or .on.y ord.r payabla tal REGISTER OF MILLS, AGENT REFUND (CR): A r.fund 0' a t.x cr.dlt, which wa. not r.qu..t.d on tha rax R.turn, .ay be r.qu..t.d by co.pl.tlng an "Appllc.tlon 'or R.,und of P.nn,ylvanla Inharltanca and E.tat. Ia." (REY-1313). ApPlication. ara avallabla at the O'flc. of the R.gI.tar 0' Will., any of the 23 R.vanu. DI.trlct Offlca., or by calling the .paclal 2~-hour an.w.rlng ..rvlc. nuBb.r. for for.. ord.rlngl In P.nn.ylvanla 1-800.362-2050, outslda P.nn'Ylvanla and within loc.1 Harrl.burg area (717) 787-8094, 1001 (717) 77Z-2252 (Haarlng lapalrad Only). OBJECTIONS I Any party In lnt.r..t not .atl.fl.d with tha appral...ent, allowanc. or dl'.llowance 0' daductlon., or .'......nt of ta. (Including dl.count or Int.r..t) a. .hown on thl. Notlc. .u.t obJ.ct wllhln .Ixty (60) day. of r.c.lpt of thlt Notice by: AOHIN ISTRATlVE CORRECTIONS: .-wrltlan prot..t to the PA n.part..nt of R.v.nue, Board of App.al., n.pt. 281021, Harrl.burg, PA ....I.ctlon to have the ..tt.r d.t.r.ln.d .t audit 0' the account of the p.r.onal r.pr..ent.tlv., "-app..1 to tha Orphan.' Court. 17128-1021, OR OR Factu.1 .rror. dl.cov.rad on thl. ........nt .hould b. .ddr....d In writing tal PA D.p.rt..nt of R.v.nue, Bur.au of Indlvldu.l Ta.e., AITNI Po.t A......ent R.vl.w unit, n.pt. 280601, Harrl.burg, PA 17128-0601 Phone (117) 787-6505. 5.. p.g. 5 of the bookl.t "In.tructlon. for Inh.rltanc. lax R.turn 'or. R..ld.nt Decadent" (REV-1501) for an e.plan.tlon of adalnl.tr.tlv.ly corraclabl. arror., DISCcu.TI If any t.. due I. p.ld within thr.. (]) c.l.ndar .onth. aftar the dac.d.nt'. d.ath, . flv. p.rc.nt (5~) dl.count of the t.. paid I. .110w.d. PENal TV, The 15~ t.. ~.ty non-p.rtlclp.tlon panalty I. co~t.d on the 10t.1 of the t.. and Int.re.t .......d, and not p.ld b.'or. Janu.ry 18, 1996, the flr.t day .'t.r the and 0' the I.. .an..ty p.rIOd. Ihl. non-p.rtlclpatlon p.nalty I. app.al.bl. In tha .... eann.r .nd In the the .... tla. p.rlod a. you would .pp..1 the t.. and Int.r..t that has b.an .......d .. Indlc.tad on thlt notlc.. INTEREST' Int.r..t I. chargad baglnnlng with flr.t day of d.llnqu.ncy, or nlna (9) eonth. and on. (I) day 'roe the data of d..th, to the d.t. of pay.ant. T.... which b.c... delinquent bafor. January I, 1982 baar Intar..t at the r.le of .Ix (6~) percent par ennuI calculat.d at . dally rat. of .000164. All tax.. which baca.a d.llnquent on and a't.r January 1, 1982 will b.ar lnl.r..t at a rata which will vary 'roe cal.ndar y.ar to cal.ndar y..r with that ral. announc.d by the PA Dapart..nt 01 R.vanu.. Th. appllcabl. Int.r..t rat.. for 1982 Ihrough 1997 .ra: !!!! Inl.r..t Rat. Dally Inl.r"l Factor !!!r Int.r..t Ret. Dally [nlar..t F..ctor 1982 20X .0005~8 1987 .~ .OO021t7 1983 IU .000U8 1988-1991 In .00OSOI 1984 11;( .000301 1992 .~ .000247 1985 U~ .000356 1993-1"4 7~ .000192 1... lOX .000214 1995-1997 .~ .000241 ....Int.r..t 11 calcul.lad .. follow.: INTEREST = BALANCE OF TAX UNPAID X NUnBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR ".Any Notlc. I..ued a't.r the ta. b.coa.. delInquent wIll r.flact en Int.r..t calculation to flft..n (IS) day. beyond the det. of the ........nt. If payaant I. .ada .ftar the Int.r..t co.put.tlon data ~ on the Notice, additional Int.r..t au.t b. C8lcul.tad. 12/01/94 COURT OF COMMOIl PLEAS OF ORPHANS' COURT DIVISIOIl STATUS REPORT UNDER RULE 6.12 ESTATE OF : \ \ \ ( , ' \ \ ,', FILE NUMBER: j {- clC:- - S'b-u DATE OF DEATH ,DECEASED . "~I '\'" ,. II'/t. Pursuant to RULE 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to the completion of the adainistrat~on of the above captioned estate: 1. State whether administration of the estate is complete: YES: ~'-.. HO: . 2. If HO, state When the personal representative reasonably believes that the administration will be complete: 3. If YES, state the following: A. Did the personal representative file a final account wi th the Court: YES HO " B. Has final distribution to the beneficiaries been made: YES)( NO C: Has an account been stated informally to the parties in interest: YES" NO 11 OJPD'S Of l!aIP1S, mwrs, JOIIDPlS 01 J.mOVlIS OF POmI. 01 IIl'OWL lCXXlOlTS w: mlClllD JS tmIllrrs to ms l!POiT, m OiICIillS!IIST msr BE lIL!Il1/ml m em or m OJPWS' amr lID iUlmlCE mST BE IlDE ro m: Dm or YlLIiG 011 tlCll OJPY. .'/ - -?, ,. / / L / / . , , (1-tr-<1 .,. (... Lt./~..~ (SIGNATURE )' /Ii. (Ii, t...'. r-.' d,' ( NAME) PLWE mt OR PiIliT /' I J. l" -".:.,.1' DATE: :,'/,,)., J I 'I I .~\,', ",. \ -- ..J."J ,..9' ~. , ,.' / /, ,..,.... .';', / i(/ ) j,',."" ,/'1. ( ADDRESS) ... " 1/ / .. _ I / t . / "/ 'r .',i ,'_ '" "" .~ J . .. . (CITY, STATE, ZIP CODE) i- ,',' 1'1' /\/ ,. ," 1/:..' .' II ,: " ;. (l.' 't.",' (/- ''J.. 'J / (TELEPHONE NUMBER) l-~r('6,fr:.'- CAPACITY: F..-.-,.I,:" PERSONAL REPRESENTATIVE COUNSEL FOR PERSONAL REPRESENTATIVE