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OATH O}i' PERSONAL REl>>In:8ENTATIVE
COMMONWEALTH OF PENNSVLV ANIA
COUN1'V OF _ CUllnERI.ANlJ
} sa
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The pelllloner(.) ahove.nomed Iwenrls) or nffirm(.' lhnl tile
ItatemCUlS In tb. lor"80ln8 petition Ir.llu. and COIm:tto the besl
or the knowlcd.. and bell.! of IlClJUun.rls) Olld IhatllS PUIOlwl
fCllrCleDllllvell) oC Ih. aboye deccdClltllClltloner(.) will weU and
Indy administer the estnt. ll<:Cordlna 10 IDW,
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Sworn to or afflnned _~~ aublcrlbed [ '--- It, " /,,, /)/, " elL' < ~
before 111ft . l' do C ' l' I
.J. ,- 19 { ,
M~RY c, LEWIs RCR (cr~t.(( ,'-;. Iii
1 DC,
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No. .:21- , qq~ - ~l.Pf..p
Estate of
JACK W. SHADER, JR.
, DecellllCd
GRANT OF LEIIERS OF ADMINIS'fRATION
I,P
OCTOBER 28 96
AND NOW 19_ In cunsld~otlon Of the petltlon 011
Ih. reverse side hereof, BlltlsCoclory proor having been presclIled beCure me,
IT IS DSCREED Ihlt
b/ar. .nlllled to Letters oC AdmInistration, and In oecoid Wllh such find11l8. Letters or AdminlstrulIolI
are her.by 8I'llIIted 10
~tlj l<(Ll:,;Y M. ~lIt\Dt:H
In Ih. C3lale or
-~;r.'SIll\DI':II., JR.
MARY C.
.1\\(t\.(I(,.....l:,;':;;)~t'l~lr)il,?}(e' ~ ~
LEWIS Ror!lluorW,u. ~J,I
FEES
Lelters oC Administration "'" $
Short CertlOCIIlcs( 1 p. .. , .. .... S
Rcnuncladon ................ $
JCP S 5.00
TOTAL S 110_00
OCT 26 - ~
FlIed .......~............. A.D. 19_
RICHARD C. RUBEN 27767
70.00
JU.uO
~.UO
ATI'OnNBV (Sup, C\.I,D, No.)
113 Locust St., HarrIsburg, PA 17101
^DDRIlSS
(717) 232-2227
PIlONn
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\. .:h.\SOO[lC~ 17.9'1
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15-1.3L.:-I
FOR DATlS OF DEATH AFTlR 12/31/91 CHICK HIRE
INHERITANCE TAX RETURN ~O~::~yU~:~DIT 15 CLAIMED 0
RESIDENT DECEDENT 'ILINUMBU ------------
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS) ~OUt:llY~~~6-086(v~AR
OIC(Oltn'~ COMPUf( AVOU~~
flQ,/~.tJ
-~
COMMONWEAlTH Of PfNNSYlVANIA
DEPARTMENT Of Rf....wm
Of PT. ]80601
HARRISBURG, PA 17128,O~1
DICtOtNI') NAMlIlA~', 'IR!l1. Arm Ml00U 'WIIA'I
DAf( Of BlllIt
131 Brinn Drive
Eno]n, Pa 17025
Co.., ~umbcr.land...-Co un r y
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1\1 ""11("'111 'Uhl~lflG "0\111" N..loll 1'''''- III" "liD "'I[lOll IUIII"1 ~OCIAl UCUIUlY tlUMl1R
03.
05.
(LB.
[) 2. Supplemen'al Relurn
Remainder Relurn
(far dol.. 01 d.alh prior 10 12.13,82)
Federal Estate To. Relurn Required
o 40, Fulure Inler,,1 Compromiso
(far dale. 01 dealh oller 12,12.82)
Decedent Died Teslale 0 7, Decedenl Mainlalned a Living Tru't
(Anach copy 01 Willi (Mach copy 01 Tru,')
ALL CORRESPONDENCE AND CONfiDENTIAL TA:. INfORMATION SHOULD BE DIRECTED TO.
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NAME
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lU PH N Me R
N/^
~ 1. Original Relurn
o 4. Limited Estate
06,
Tolal Number 01 Safe Deposit BO.ln
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1. Real E,'a" (Schedul. A)
2. Slack. and Band. (Schedule B)
3. Clanly H.ld SlacklPartne..hip Inlere.' (Schedule C)
A. Morlgages and Noles Receivable (Schedule D)
S. Cosh, Bank Deposits & Miscellaneous Personal Property
(Schedul. E)
6. lainlly Owned Property (Schedule F)
7, T,an.f... (Schedule G) (Schedul. II
B. TOlal Gron Allels (Iotallines 1.7)
9. Funeral Expenses, Administralive COlli, Miscellaneous
Expe..e. (Schedule HI
10. Debts, Mortgage liabililies, liens (Schedule I)
11. Tolal Deductions (Iotallinos 9 & 10)
12. Nel Value of Estate (line B minus line 11)
13. Charilable and Governmental Bequests (Schedule J)
14. Nel Value Subjecl to To. (line 12 minus line 13)
15, Spou.al Tran""" (lor dol.. 01 dealh alte, 6.30.94)
See Instructions for Applicable Percentage on Reverse
Side. (Include values from Schedule K or Schedule M.)
16. Amounl of line 14 ta.able at 6% rate
(Include valuos from Schedule K or Schedule M.)
17. Amounl of line 14 ta.oble at 15% role
(Include values from Schedule K or Schedulo M.)
lB. Principal 10. duo (Add lax from lines 15, 16 and 17.)
19. Credits Spousal Poverty Credit Prior Paymen"
COMPItIl MAil lUG AOORE!l!l ,--,.-
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113 Locust s~iect
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( I) -5-7~!lO_OO
(2) 'l,Oo..o---45
(3) D-
(41 _n
(5) 44 r'lO'l 'i'l
(6) 2.220.3'i
(7) -0-
(9) 21,442.91
(10)-A.fi...ll0'l 'i'l
~17101
\8
18 J
114,030.39
67,452.50
(11)
(12)
(13)
(14)
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4h.'i77 nQ
(15) _0_
(161 _ -0-
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(17) __4Ji.,5-7-7--8.!l
x .15 =
6,9116-.6.3
6,986.68
(18)
Discounl
Inlerost
+ 4-.AO.o-.-n0- +---368-.-0.0- -
20. If line 19 is greater Ihan lino IB, enter Iho difference on lino 20. This is the OVERPAYMENT_
Ii! 0 '-II :T'n!lII'U..t..I.II.-W.I'.-IIl'I' 1111: ...1<1 tI'r:'r. tr.1"-I'III."'I,U:l..:J,'IUl'J II
(191 -4-r1{)~~O
(201 0
(21) -2,2..l8~6.B
(2IA) 0
1218) _2.,2..1.8.._6 fl
21. If line 1B is groolor than line 19, enter Iho difforence an lino 21. This is tho TAX DUE.
A. Enter Ihe inler.s' on Ihe halo nee due an lino 21 A.
B. Enter Ihe 10101 olUne 21 and 21A an Lino 218. This is the BALANCE DUE.
Make Check Payobl. 10: R.ghl.r of Wlll~, Ag.~t
~ ~ BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH ..c:
Under penalties 01 perjury, I dedare thaI I have e,,-omined Ihis relurn, indllding accompanying nhedules and Slalomenh, and 10 the be'l 01 my 5cnowledgll and beliel,
il is Irue, correct and complete. I declare Ihal all real eUale has been roparted otlrue marKer value. Declaralion 01 proparer other lhan the personal represenlalive is
based an all information of which pre parer has any knowledge. ,
"0" U"' I "~'a" J"'a""l\~'a. """ ~ .on"'~ .'. / . I / r 0'" ,I.. /
, Le_c /7, /(JlJf~L...:/ftc'....:/(.Hdtd~ -'i!/!" /-"L /7//(/ ;f!:3~/?'1
"o""u",a' ........0 'H.~.""".t1V ~ 1'1..'00"" iT I.) 0'" II 1/ --
/4'c; CA"-'~ - /13 l"L(..t~, 5/. ",,~..t?I~al\R(,... f/(l. ,7/; . f~] 11/97
, ,
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IIV.Il.I,U> 111.1'1
~~
COMMONWEALTH Of PENNSYlVANIA
INHERITANC[ TAX RElUAH
~t~~~.U,!!~~~~~~N2=; :_~_-_.:-,~-:;: --.'.-_ _.-: _"._:_':.;;'~..
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SCHEDULE A
REAL ESTATE
ESTATE OF
SIIhPJ::R ._JlICL\1.--JR.--------------- ________.____ 2196-0866
(P,op.rly lolntly.own.d wllh Right 01 Survivorship mu.' b. dlIClo..d on S,h.dul. Fl AII..ol"tat. .hould b. ..po,t.d at '01, mark.t valu.
whIch I. d.lln.d a. th. p,l.. at which prop..ty would b. ..chang.d b.twttn a willing buy.. and a willing ..II... n.llh., b.lnD comp.lI.d
'0 buy.!!.~\I,_b~t~_havlng..a.onabl.-knowl.dg..o' th.r.l.vant loci., ____.._____._
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
1.
57.900.00
131 Brian Drive, Enola, PA (See attached)
__ ._,...~__.._.__...~_..~._.... __ ._.______.u___
_______ ___ _______ TOTAl.tAho enter on line I, Recopilulollon)
fit """,... ,"""... :. .......rI..,.l :..~...I ...:'..I~.:......., ~I:....I~-...-'- ;..._.. -::~.. ,
S
5-7T900....00-
. 11;- SE'!:TLEMEllT STIITEMEII'f
U... W,AJlTMIltrO, MUSING
AJrIO v..aAll VrvlLO'M!1fT
OHIt tfO 2101 DIU
.0 TU. 0' UlAJI
I, . I"'" t" "-'\A J. III COIl'l, unh'I" rn.. NU"nu T',t.OAlfIroMIIU I" """""" INI e.ul tlUMIlDl
I, I 'VA 0,' I COllY, Inl. tlODn IIUI10111
c, MO'nITM, fOI_ II furnld".d to tl'U fl:N . Ihh..nt of Ictllll ..UII..,,'- eMtI. Aawntl pdd to end bJ' the ..ttl_.nl ''1'nt
"I .hewn. Il.. ...ked -,'OC)' ".,. pdd OOoIhld. the dolin'll tll_, "I Ihuwn h,,1 for Inla...llDlld 1"lll1OIn .nd "I
not lnchll~.d 1n lh, tatlll. .., u.n IUltlD0I5,lIUD/tlOOn,
o. twCI AHP AgOg.. 0' IOUlOWDl ., kUCI IJfU Al(IUIS 0' IlLLlll. r. MAXI AND AOO.... 0' UNDn.
llIbe.nA. Alh" IIlhtt 01 .:luk v. Ih,d,., ", roAe h<Mul s..h,,). ,~."
101 .0 c.or'll' .u..t
'01', fA UU'
0, '.()fUn LOCAtIOll I, ItnUJU:Mf ACVfT U_III_Un I, IrTrUMtJfT DATI
1J1 Irt.,. Od.. llJ'dgnt lArd Tund..., ,_,
lllOl,,'A Ilon Kuch n, un
~rl.ndCO\l"t,. ,. ,LACI 0' 1r1TUIWtf
UU "-rht It,..t
cup lilli, fA 11011
J, ItlJUt.U.T 0' tlOMOWU'D TUlf:lACTIOH I. GtooWI1' (I' uu.n'. TtAKU,CTJOH
100. cao.. ,,"OtUIT D1.II 'ItOM tlOlIJIOWIJl toO. CIlOSSAltOtnlTDt1ITOI~a
101. ConluCtt Id.. 'de. 51,'00.00 401. Conluel Id.. .rlc. 5'.'00.00
IOJ. 'anonel'roperty 402. '.uonal'roperty
IOJ. ..tth.nt CII.,.,.. to Darr_., Iln.l100 1,21,.11 tol.
104. 104.
US. 405.
Mlu'I..nt. for It.. podd by .aUer In attunc. Ad'u'Ulanll lor I".. podd by .alhr In IdYane.
10'. Clt,/t_" TU.I t. 40'. Cllr/town TUII t.
In. COIInly TUII OI.1J.'"to OI.OI.n IU." eo,. cmnty Tn.. 01.1J.,., 1001.01." UI.JI
10'. khool Tu 01.n.'" 10 01.01." 1t0.01 40.. 'd,eool Tu 01.1J." 100'.01.'" nO.01
lot. I.wu and a.,u.. OJ.21.'" 10 oe.ol.,., ".n 40.. Sever and hlu.. 01.21.'" 10 04.01.'" 4.n
110. Dua. OJ.1J.'" to 01.01.'" '.It no. Dull 01.21.,., to 04.01.,., t.n
III. 411.
IU. 412.
no. CltOII AMllUIlT DUI noM >>OUOWtlI. lO.n1.n no. CIUlla AtOUMT 001 TO 'lLUR SI.2U.U
100. AIOJIn'I .AIO IT OIl. I" HIlAU' OP aoUOWEll soo. UlIUCTIOtlI IN AItOtnIT DUI TO IinJ.Vl,
101. Depallt or "fMlt _., 1.000.00 501. a.e... Depollt C...ln'II'1lCUon.,
101. 'rlnclpal Moqnl of "." IDlnt'l 41.100.00 501. 'dU..nt Ch.r.,.. to'IU.r Un. 1400 s,ul.n
101. hhllft9 1.oInlll Tlbn S..bllet 10 501. EdlUn, 1oIO.n. Tlbn '..bJa.c:t 10
104. 504. ",oU of lI,.tllOrt,I,.loln
10S. S05. 'l,aU of ..cond M""I'I 101"
10'. 50'.
10'. 50'. IDlpolU. dhtNrud II proc..d.)
101. 501.
10'. Clod.;'J eo.l. Iy 'IU.r 1,500.00 50'. Clad"'J Coati I, 1.111r 1,500.00
AdJ"'lMntl lor Jl.I IInrald by '.Ulr AdJ...talnll lor 1"" t1npald by IIdllr
210. CJly/tcwn T.... t. 510. Clt':'/town Tn.. t.
211. t'olInty tu.. t. SII. COIIntyTn.. t.
112. Sehoul tu t. SI2. School tu t.
111. SUo
114. Credll for "Ic.--..- 100.00 514. CrNlt for MlnOlil'''' 100.00
IU. US.
111. SUo
IU. 511.
n.. 511.
n.. sn.
no. TOTAl. PAID n/roR IlOIlJlOWtlI. ....too.oo Slo. TOTAl. ktOUCTlotI AM:AAfT 001 IIIJ.D '.oll.n
100. CAlli AT .lmZMlIfT PItON/TO &olUtOVla 100. CASH At .I."TTLDtDIT TOlpROM nun!.
101. aron Ailt Du. h_ lion_I' fUnll201 &D.nl.n 101.Cfo..~ntDll.to'llIlr IUI\eUO) SI,ns.u
JOI. lA.. bt ,.Id bvllor Borrowt 'lIu110 ""00.00 401. La.. Illductlon. 011. '111.1' IlIn.SlOI 'OIl.JJ
JOJ. c.u. IrlPAOll . 'TO ......... Il,S12.U 401. c... III TO . , ,,,,. ..W11 SI,I)J.DI
n.. .notlnl,"", hlr.by 'Cbl_led'JI nellpt of . ea&flllt-.J copy of 1"'1"
........A~ f). Ww
IU of thh .t&t.lnl , Iny Ithct-ntl r.f.rrad to henln.
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tlW.1 !J'''I USU. WI UO\.2
GE CARD SERVICES
.-'.P-;,O.'BOX 429307
CINCINNATI, OH 45242
MARCH 17, 1997 11/
--
ESTATE OF JACK W SHADER
C/O ATTRNY RICAHRD RUBEN
113 LOCUST ST
HARRISBURG PA
17101-0000
DEAR CARDHOLDER,
A RECENT REVIEW OF YOUR GE CAPITAL CREDIT CARD
ACCOUNT INDICATES A CREDIT BALANCE OF $2,00. ENCLOSED
PLEASE FIND A REFUND CHECK FOR THIS AMOUNT.
WE VALUE YOUR CONTINUED PATRDNAGE AND WILL CONTINUE TO STRIVE
TO PROVIDE YOU WITH THE BEST CUSTOMER SATISFACTION, IF YOU
WISH FURTHER ASSISTANCE, PLEASE CALL OUR CUSTOMER SERVICE
DEPARTMENT AT 1-800-544-5232. FOR YOUR CDNVENIENCE, OUR
CUSTOMER SERVICE OPERATING HOURS ARE FROM 8:00 AM TO 12:00
MIDNIGHT (EASTERN TIME) MONOAY THROUGH FRIDAY AND 8:00 AM TO
5:00 PM SATURDAY AND SUNDAY,
SINCERELY,
SUPPORT SERVICES
ENCLOSURE
PLEASE DETACH BEFORE NEGOTIATING CHECK
-
70763116
MARCH 17, 1997
GE Card Services
CHECK AMOUNT
GE Capital Consumer Card Co.
$2.00
NOT VALID OVER $10,000
PAY TO THE ORDER OF
ESTATE OF JACK W SHADER
C/O ATTRNY RICAHRD RUBEN
113 LOCUST ST
HARRI SBURG PA
~~7f.';t5~
17101-0000
AUTHORIZED SIGNATURE
PAYABLE THROUGH:
STAR BANK, N.A,
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IZO,Z ~~Jlt~ Jl0VAVd S1Nno~~v J/iJ/OJI!IU
~
-
HAI10NW1U~ MUIUA~ lNSUHANC~ CUM~ANV
PO BOX 3878
HARRIBBURG PA 17105.3676 0012Qq
t) NATIONWIDE Check No: 5B022267
Date: 11 -26-1996
.l~.!M~~!i.C~ Polley Number: 5B37C 03721B
74.1292
724
~CTLY: .'SEVENTY TWO AND 51/100 DOLLARS..........................................................................
PlY
To Th.
Old.,
Of
ESTATE OF
JACK W SIlAOER JR
131 BRIAN ORIVE
ENOLA
PA 17025-1565
$~****72. 51
Void If Not C..tI.d Wfthln 10 OIY'
ThllII I\In p*vm.nt unl... othll'lA..
Indlealldon Itub.
NAnONAL8AIIKOF DEmOlT' OEAAllOAN DEAAIlOAN,t.UCHIGAN "".
t/~t:t.rl-<
lI'sBo 2 2 2E.'i'II' I:o'i' 21, ~ 2q 2'i'1:
00~~sB2E.II'
This refund was Issued for the following reason(s):
CANCELLATION CREDIT REFUND,
II you have any quesllons, please conlact your Nallonwlde representallve,
Agent Name: P BENTZ
Agent Phone Number: 717-761-6666
Agent Number: 00077IQ
Detach Stub Before Cashing And Keep For Your Record
,
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JACK W. SHADER, SR.
PRESIDENT-<:HIEI' EXECUTIVE DI'I'ICER
11111/4-(/ :
,(/./~ f<; I; ;t~ Ji. .././
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(fiKn) HARRIS ..vlns, ...od.llon
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..,....... ....
"
HARRIS RETIREMENT SAVINGS INCENTIVE PLAN
STATEMENT OF ACCOUNT AS OF 09/30/96 FOR JACK W SHADER JR
07101/98 InvI.tmant Fund 09130198 Veetld
Accaunl CantrlbuUan OllnlLa.. Farfallu,.. WllhdrowIII Trlln".r' Account Amaunl
MANAOED FUND
401k E'al $ 2,012,10 20ol.72 54,35 0,00 0.00 0,00 $ 2,271.26 $ 2,271,26
Molchlng 503,36 51,20 13,60 0,00 0,00 0,00 566,18 566,18
Rallavar 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00
Total $ 2,515,57 255,02 67,05 0,00 0,00 0,00 $ 2,630,44 $ 2,630.44
ORAND TOTAL
401k E'oo $ 2,012,10 204,72 54,35 0,00 0,00 0,00 $ 2,271,26 $ 2,271.26
Molchlng 503,38 51.20 13,60 0,00 0,00 0,00 566,16 568,18
Rollovor 0,00 0,00 0,00 0,00 0,00 0,00 0,00 0,00
Totol $ 2,515,57 255,92 67,95 0,00 0,00 0,00 $ 2,839.44 $ 2,839.44
VasUng Porconlogos: 401k E'oo 100%; Malchlng 100%; Rollovor lOll';
APPUCA110N 1;oIUIF.NJWI1'S tifASf:. kf:l2iI!N
HARRIS SA VlNGS IIANK EMPWYEE STOCK OWNERSIDP PLAN
PART A -Recipient Inronnotlon
Nome Ylckle M, Zunn meneficlnr:y)
Address 821 Bosler Avenue
Lemoyne. FA 17043
Soclnl Security 1# 180.56-2356
Dote of Birth
Dole of Terminotion 10-19-96
PART II- To be Completed by Recipient
Hoving reod ond understood my righlS ns described in the nuoched ''Tox Informntion," I request thot my
benefits be poid ns follows nnd woive tile right to have them paid in 0 different manner (complete one of the
following and SIGN ON PAGE 1):
o 1. Cash Payment.- Distribution of bcnefil~ in cash. I understand that the omount which I receive will
be bnsed upon the omount received from the salc of shares of employer stock plus ony cash
bnlonce in the occount. I understand that the distribution moy be more than or less thon the omount
shown on the lotest ESOP statement of account, depending upon the mnrket price per shore ofthe
employer stock at the datc of snle.
OR
o 2. Stock Distribution -- Distribution of benefits in whole shares of employer stock, with 0 fmctional
shore paid i,n cnsh.
OR
o 3. StocklCnsh Distribution -- Distribution of benefits in a combination of stock and cash.
Complete the following:
% in whole shares of employer stock.
+ % in cash.
% Totnl Stock Distribution
"".,Date
-':Recipient's Signature ,
m.le or Nolire . 11122/%\
""HIOJ Nfl .a ~n'"
.~
If\lfSOtlhllJi'l
~,,~'9
'I...'lWf'
COMMONWfAU" Of P(NNSYlVANIA
IHUUIlANCr tAli 'UUltN
IUllO.Ht Of((OfNI
SCHEDULE F
JOINTLY-OWNED PROPERTY
-__, __h__~____,_____._,_. .._._. __~______
ESTATE OF
-ShildCLJ<l.CJL..W...,_,IL._______
Jolnttonantt.)l
NAME
A.
Vickie M. Zuni!
B.
C.
Jolntly.ownod proporly:
. . --------H.-n------'FiLENU-MBER-
_2.1.9.6=.0.06.6
ADDRESS
-- '._- -- --_._~-~-_....__.. _.'._~--,-_.._-~
RELATIONSHIP TO DECEDENT
P.O. Dox 1363
Ci!mp lIiUr l'A 17001
Friend
ITEM LmER DATE
FOR TOTAL VALUE DECO'S DOLLAR V ALliE OF
NUMBEI JOINT MADE DESCRIPTION OF PROPERTY
TENANT JOINT OF ASSET % INT. DECEDENT'S INTEREST
1. A 10/95 Christmas Club Acct.
1st National Bank 977.87 50% 488.98
2. A 2/94 Harris Savings Bank
200 Shares Stock
Cusip 414570101 3r050.00 50% 1,525.00
3. A 6/93 Dauphin Deposit Bank
5 Shares Stock
Cusip 238282107 158.75 50% 79.37
4 . A 6/92 Dauphin Deposit Dank
4 Shares Stock
Cusip 238282107 127.00 50% 63.50
5;0 A 12/92 Dauphin Deposit
4 Shares Stock
Cusip 238282107 127.00 50% 63.50
TOTAL (Aha enler on lino 6, Recapitulation) S ",22n 1~
(IF moro spoce ;s needed ;nserl additional sheels of samo sizo)
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ESTATE Of
Shader, Jack W. Jr.
ITEM
NUMBER
A. Funeral Exp.n....
,IlYI'III.."U,
B.
4,
C.
1.
2,
3,
4,
5.
6,
7.
8,
1,/:( "
" j,l'rl\
""'I,lj,
.... [I:'"
COMMQUwrAlltl 01 P(tJUSYlVAI~I"
INHIRI''''U([ IA. IUURU
R[SID!UI ()~(.C(~.~~!._ _
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES Ploa.. Prln! or Tvp.
- - ----J:::M:~:8-66'---
DESCRIPTION
AMOUNT
1.
Neill Funeral Home
7,034.00
2 .
Rolling Green Cemetary
2r492.36
359.91
3.
Children's garden - Luncheon
Admlnl'lrallva Ca.l..
1. Personal Represenlative Commissions
Social Socurily Number of Parsonol Reprasenlotiva:
Voar Commissions paid
-0-
2,
AUorney Feel Richard C. Ruben
3,700.00
3,
Fomily Exomptian
Cloimont Ralotionlhip
Address of Claimont 01 decedenl's daolh
Slreel Address
Cily Slala
Zip Coda
-0-
Proboto Fees - Cumberland County
110.00
MI.collanoaul Exponlo..
Estate checking a~cou"t check charge 26.22
Cumberland Co~nty Legal Reporter 55.00
Paxton Herald - Legal advertising 30.50
Real Estate settlement costs and commissions 6,622.92
Cumberland County - Short Certificates 12.00
Reserve - Accounting fees [or tax returns, additiona
attorney fees, final utility bills lrOOO.OO
TOTAL (Also onler on Ii no 9, Rocapitulation) S 21 r 442 . 91
(If mare Ipac. II noodod, Inlart addlllonallhee.. of 10m. Ilzo.)
df/~
.'UNERAL HOME INC.
"Fur the Perfect Tribute"
3401 MARKET STREhl
CAMP HILL. PA 17011
(717) 737.8726
IAMBS p, ~lCKI!5, FU. SUPERVISOR
November 7, 1996
Jack W. Shader Sr,
3800 Sarayo Circle
Harrisburg, PA 17110
Services for: Jack Jv. Shader Jr.
Visitation Concluding at Graveside
Cemetery
Death Certificates 10 @2,OO ea,
Houorariwn
MusiciansIV Dcalist
Flowers
P68 Desert Sand 18 ga - crepe illt.
Guardian
Additional DCs ordered (12) @ 2.00 eal
.
o
Total FWlernl Charges
l)a}111e!lt Reccived
Dalnncc Duc 011 Account (Due datc: 11/18/1996)
Contract No,: 1000486/ Case No,: 10676
. ~ '-{~
r~\\,,\" ·
~.
3501 DERRY STREET
IlARRISDURQ,I'A 17111
(717) 564.2633
S1l!PIIIJN I, WILSDACII, I'll. SUPERVISOR
CARL R, 1I0RN,IR,. Fa
$ 2,975.00 o'
695,00"
20.00"
100,00-
50.00 -
150.00-
2,295.00
725,00 -
24,00 .
$ 7,034.00
$ (1,015.00)
$ 6.019,00
IN RE:
JACK W. SHADER, JR. ESTATE
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 2196-0B66
DISCLAIMER
I, JACK W. SHADER, SR., of 3BOO Sarayo Circlet Harrisburg,
Pennsylvania, 17110, Father and intestate heir of Jack W~ Shader,
Jr., deceased, who died leaving no Will, no surviving spouse and no
surviving issue, do hereby, with the intention to be legally bound,
disclaim, waive and give up the one-half (1/2) share of the estate
to which I am entitled to receive as an intestate heir under the
laws of intestacy and in connection therewith do aver and
acknowledge the following:
1. I have been fully infurmed and understand that under the
laws of intestacy, I am entitled to a one-half (1/2)
share of my son's estate.
2. I am fully aware of the assets of the Estate of Jack W.
Shader, Jr.
3. I have either consulted with an attorney prior to
executing this Disclaimer or do hereby waive the right to
do so.
4. I understand that this Disclaimer is a complete and total
renunciation of the one-half (1/2) share to which I am
entitled of the distribution from my son's estate and
that as a result of said Disclaimer, I will be not be
entitled to any of the assets of said estate.
5. I understand that as a result of this Disclaimer and in
accordance with the laws of intestacy, the amount I have
disclaimed will be distributed as follows:
t
."
. -i' -. _ .....'. '" ,~ '
.
A. My one-half (1/2) share of the estate to Sharon
Kreitzer of New Cumberland, Pennsylvania, sister of
the decedent Jack W. Shader, Jr.
Dated:
/~ :19/1(,
CJ{(L(~8/
Sworn and subscribed to
bef~e me this ~~~ day
of ECEn<.bu:: , 19 ~.
0hllHon {J tzrft f
Notary Public
Sharon ~~arial Soal
Harrisbu' yle. NOlary Public
My Commlssl~'EOauPhin COUnly
M X/lIros Jan 22
ember, Pennsylvania AssOClaliO~ 01 ~:,~~~
"
.
.. ,'.
"
A.
My one-half (1/2) share of the estate to Sharon
Kreitzer of New Cumberland, Pennsylvania, sister of
the decedent Jack W. Shader, Jr.
~A,.#,,~
./ SHIRLEY M. SHADER
Dated:
Jzj:z.1, /9(,
.
Sworn and subscrib~d to
before me this ~c day
of ;o~("Fm..6~,e , 19 ~.
C0'h~'/'b>1 TP ~
Notary Public
NOlarial Seal
S~:gnbuR, Kyle, NOlary Public
M C s rg, Dauphin Counl)'
Y ommlsslon E'plres Jan, 22, 2000
Member, Pennsylvania ASSOCI'lInn n' UM,.'.,
. .. -, ,.. ~
r'
R. f W'II f CIHlBEIlt.^No.. PI'
eglster 0 ISO l.OUntyr ennsy vania
INVENTORY
Estate of
Jack W. Shader, Jr.
No,
19<J6-llllR66
also known as Date of Death 1 II - II) _I) 6
,Deceased Social Security No, .14iT-:J:/l 7) 16
llolr 4l& -o3!S5
Personel Representetlve(s) of the ebove Estate, deceased, verify that the ilems oppearing in the following inventory include ull
of the personal Olletl wherever situate ond 011 of tho '001 ostate In tho Commonwealth of Pennsylvonio 01 soid Decod6nt, that
the valuation placed opposite ellch It6m of soid Inventory ,ep,osents its foir volue as of tho dote at tho Decedenl's death. and
thllt Decedent owned no reel estate outside of the Commonwoalth of PennsVlvonia except that which eppeers in 0 memorandum
at the and 0' thit invento,y, IN/e varify thot the statements mode in this InvontolY o,e true and corroct, IfWa unde,stond thot
'elle Ilotemantl herein ore modo subject to the penalties ot 18 Po. C,S, Section 4904 relating to unsworn falsification to
8uthoritiel,
Nome of
Attorney:
Richard C. Ruben, Esq.
I,D, No,: ----1J. 7 6 7
tr/ll~~
I
:J'l
/
11'17
Addrell:
113 Locust Street
Doted
Harrisburg, P^
17101
Telephone:
(717) 717_7777
Description
Value
57,900.00
1.
2.
131 Brian Drive, Enolar P^ real estate
Harris Savings Bank - 247 Shares Common
Stock - Cusip 414570101
Harris Savings Bank Employee Stock option
GE Card Services - refund
Harris Savings Bank - stock dividend
Suburban Cable - refund
Bell ^tlantic - refund
TV Host - refund
Harris Savings Bank -Cleaning fee
Nationwide Insurance
Gualts Gun Shop
Harris Savings Rank - Payroll
Kevin Meckley - Personal belongings sale
Haars, Inc. - Sale of furniture
L.B.Smith Ford - Sale of 1989 Ford
Haars, Inc. - Sale of furnishings
Tom Sakorsky - Sale of refrig & Ent. Ctr.
Beth Yorlets - Dining Hoom Hutch sale
Haars, Inc. - Sale of furnishings
Harris Savings no1nk - Savings ^cct. 0230007520
Tom Sakorsky - Sale of stereo speakers
3 .
4.
5.
6.
7.
8 .
9 .
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
3,766.75
5,233.70
2.00
35.82
11.30
8.61
19.51
441.00
72.51
1,918.00
lr655.83
500.00
278.15
2r065.00
375.50
150.00
200.00
238.75
28 r 770.72
150.00
X~
(Attach Additional Sheets it necessa'vl
continued
NOTE: The Memorendum 01 real ellele oullide Ihe Commonweallh 01 Penn.yl....nl. m.y, .tthe eleclion ollho pellon.' fllprnllnl.U...II..ncludll
the value 01 uch l1em, but .uch tlgUfll1 Ihould nol bo 8Iltended into the 10t.1 01 the In"'lIntory
I_IM'It)a.."...C_, ,...11111
~
c
IN RE:
JACK W. SHADER, JR, ESTATE
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 2196-0866
DISCLAIMER
I, SHIRLEY M. SHADER, of 3800 Sarayo Circle, Harrisburg,
Pennsylvania, 17110, Mother and intestate heir of Jack W. Shader,
Jr., deceased, who died leaving no Will, no surviving spouse and no
surviving issue, do hereby, with the intention to be legally bound,
disclaim, waive and give up the one-half (1/2) share of the estate
to which I am entitled to receive as an intestate heir under the
laws of intestacy and in connection therewith do aver and
acknowledge the following:
1. I have been fully informed and understand that under the
laws of intestacy, I am entitled to a one-half (1/2)
share of my son's estate.
2. I am the administratrix of the Estate of Jack W. Shader,
Jr., and am fully aware of the assets of said estate.
3. I have either consulted with an attorney prior to
executing this Disclaimer or do hereby waive the right to
do so.
4. I understand that this Disclaimer is a complete and total
renunciation of the one-half (1/2) share to which I am
entitled of the distribution from my son's estate and
that as a result of said Disclaimer, I will be not be
entitled to any of the assets of said estate.
5. I understand that as a result of this Disclaimer and in
accordance with the laws of intestacy, the amount I have
disclaimed will be distributed as follows:
" !' I
A. My one-half (1/2) share of the estate to Sharon
Kreitzer of New Cumberland, Pennsylvania, sister of
the decedent Jack W. Shader, Jr.
Dated:
/2/ :lI, / '/(,
.
/dI~ ~1'~
/ SHIRLEY Mt:HADER
Sworn and subscrib~d to
before me this ..z. '" day
of ;j).!('f~.!":" , 19 ~.
Q5h~/rb'" if? ~..(,
Notary Public
NOlarial Soal
Sharon R. Kyle, NOlary Public
M Harnsburg, Dauphin Counl
y Commission ExpIres Jan, 22~ 2000
Member, Pennsyl'/ann A<:".nrq1i.,n !'It ~'''!:'l.;..r
.,
0'1 ~~
N :Ja:
.. .:J
'0 .f!1 OJ , .-i
a>i:; cC :.'
~? :>> 0'1
-, .
i:'; () I .-
~;
" ~
.,.) ~. ~~J
II) '..
i.-, rry ,.0
o'~ p; ~E
lrl~ Ql~
uu
a:
,
LAW OFFICES 01<' RICHARD C. RUBEN, ESQUIRE
113 LOCUST STREET
HARRISBURG. PA 17101
,-.....,,'-'....
t7171 232-2227
FAX' t7171 232-2707
Januory 14. 1997
i
I
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Cumbcrland County Courthousc
Attn: Rcgistcr of Wills
One Courthouse Squarc
Carlisle, PA 17013
RE: ESTATE OF .JACK W. SHADER. .JR.. NO. 2196-0866
Dear Sir:
Enclosed plensc find a chcck in the amount of $3.000.00 ns payment of thc
estimated inhcritance tox regarding the above rcfcrenccd Estote.
,
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Sinccrely,
\.54a.1ttm t? t.dJ:.
Sharon R. Kylc YT
Paralcgol - Legal Secretary
Enc1osure(s)
c: Mr. and Mrs, Jack W. Shader, Sr.
Connie L. Kopp
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LAW OFFICES
RICHARD C. RUBEN
113 LOCUST STREET
HARRISBURG, PA 17101
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One Courthouse Squnre
Cnrlisle, PA 17013
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21. Suburban Cable - refund 11.30
22. TV Host - refund 19.51
23. Cellular One - refund 10.95
24. Nationwide Insurance - Claim 2,145.97
25. GE Card Service refund 2.00
26. Net Proceeds from Sale of Real Estate 51,227.08
27. ITT Hartford Life Insurance 115,000.00
DIVIDENDS
1. Harris - dividend 35.82
2. Harris - dividend 35.82
INTEREST
1. Harris saving Bank
Acct. 02-30-007520
Int. at closing 18.88
2. Nov. Est. checking interest 6.68
3. Dec. Est. checking interest 10.26
4. Jan. Est. checking interest 10.34
5. Feb. Est. checking interest 4.22
6. March Est. checking interest 7.62
7. Nov. Money Market interest 30.98
8. Dec. Money Market interest 51.10
9. Jan. Money Market interest 57.40
10. Feb. Money Market interest 100.32
11. Mar. Money Market interest 231.97
12. Apr 11 Money Market - Interest 345.08
13. Apr 11 estate checking interest 47.01
TOTAL RECEIPTS $216r084.23
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DISBURSEMENTS
Check # 091
Harris savings Bank - Mortgage Payment
340.47
4.
Check # 092
council of Westwood village
Check # 093
Jack Shader Sr. - reimbursement for
Rolling Green
Check # 094
Jack Shader, Sr. - reimbursement for
payment to Neill Funeral Home
Check # 095
suburban Cable
43.88
70.64
2,492.36
950.00
5.
6.
Check # 096
PP&L
169.00
7.
Check # 097
Core states Bank - credit card pay-off
1r891.64
8.
Check # 098
GE Card Services
credit card pay-off
1,202.73
9.
Check # 099
Nationwide Mutual - Condo - Auto Ins.
48.74
10. Check # 100
Cellular One
96.41
11. Check # 101
Richard C. Ruben - reimburse
for probate
110.00
12. Check # 102
Robert courtois - cleaning
67.50
13. Check # 103
CHOICE - Pay-off balance
14. Check # 104
Dauphin county Reporter
15. Check # 105
Pa. American Water Co.
702.53
55.00
17.81
33. Check No. 125 - PAWC
0.55
34. Check No. 126 -
Chi1drens Garden - funeral lunchoon
359.91
35. Check No. 127 -
council of Westwood - AOBoOBmont
86.00
36. Check No. 128 - PP&L
159.19
37. Check No. 129 - PAWC
40.00
38. Check No. 130 - WeBtwood Vlllnqo
39. Check No. 131 - K & M.~. Inc.
86.00
2095.97
40. Check No. 132 - K & M.~. Inc.
1202.40
41. Check No. 134 - 1'1'&1.
149.87
42. Check No. 135 -
Sales Tax Return - Uuslneuo
48.00
43. Check No. 136 -
Department of Revenuo
15.00
44. Check No. 137 -
1996 Local Tax return
21.64
45. Check No. 138 -
Tax Preparation 1996 return
68.00
46. Check No. 140 - Richard C. Ruben -
reimburse for disclaimer filing foe
12.00
47. Check No. 142 - PP&L
72.83
48. Harris savings Bank - Mortgage
pay-off from money market
funds transfer
22,333.81
49. Check order charge from 10/30/96
50. Harris Mortgago Payment 12/30/96
51. Atty. feos paid to Richard C. I{uben
52. Pa. Inheritance tax
26.22
12,341.91
3,700.00
TOTAL DIODURBEHENTB
2,148.34
$64,896.24
SUMMARY
TOTAL RECEIPTS
$216,084.23
DISBURSEMENTS
$ 64,896.24
RESERVE
1,000.00
TOTAL BALANCE FOR DISTRIBUTION
$150,187.99
IN-KIND DISTRIBUTION
SHARON KREITZER:
Harris savings Bank - stock
247 Shares
3,766.75
VICKI ZUNA:
Harris savings Bank - stock
200 Shares jointly owned with
vicki Zuna
3,050.00
Dauphin Deposit Bank & Trust Co.
Stock - jointly held with Vicki
Zuna
412.75
1st Natl Bank - Xmas Club -
Joint with vicki Zuna
977.87
BALANCE FOR DISTRIBUTION TO BENEFICIARY
$141,980.62
Beneficiary:
SHARON KREITZER 100%
141r980.62
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~LEY M. SHADER ~-K-.. .
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BUREAU OF INDIVIDUAL TAXES
O[PT ~80601
ItARRlSnURG, I'A 17128,0601
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PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. 1\1\211248
IHV.l1Iill),111-~61
RECEIVED FROM:
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ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
RICHARD C RUBEN ESQUIRE
113 LOCUST STREET
1 ill
...p ~ 1/1t) 311
HARRISBURG. PA 17101
fOlOHER[ rOlDtlERE ~
ESTATE INFORMATION:
FIlE NUMBER
--E1-IQQ6-0B66
NAME OF DECEDENT (LAST)
SSN 11,6-',6-<13f15
IFIRST)
,Mil
SHADER JACK W .TR
DATE OF PAVMENT
5/02/Q7
POSTMARK DATE
0/00/00
COUNTY
oor !';IlaIiN
TOTAL AMOUNT PAlO
$2.148.34
CliMBER I ANn
DATE OF DEAlll
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RECEIVED BY ( ;/.(." . / ( , j"';' ) ,-' ,'l./
~It.nY c. U,,111 S /I;flh!/ AJI)f'J'~
R[GIST~R OF WILLS ~
REMARKS SH I RU~Y M SHADER
C/O RICHARD C RllUEN ESQUiRE
SEALCHECKII II,S
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COMMONwtALTtI OF PENNSYLVAWA
OlPAIHMl:tH OF REVENUE
BUREAU OF INDIVIDUAL TAXES
OEP1260601
ttAfmISOUHG. PA 17128,0601
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
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NO. ^A211249
H1Y1tG2[ll.tlHj61
RECEIVED f-ROM:
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ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
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VICKIE ZUNA
POBOX 136::J
1"1
"-'0 'J(t
CAMP HILL, PA
17001-1363
rOlD HERE ...
roID H[ R[
ESTATE INFORMATION:
FILE NUMBER
;;> 1 - 1 q<U,-Oa6'<'
NAME OF DECEDENT (LAST)
-SHAnER JA'
D~TE OF PAYMENT
~5N-....l..6J. (1/.._~30f;;
tFIRST)
iMII
POSTMARK DATE
O/QQLOO
COUNTY
-CU/'1BEflU\NTI
DATE OF DEATH
TOTAL AMOUNT PAID
'&70.34
SEALCHECKtl 290
c; )/, (; j V~
RECEIVED BY //1(.')."1 '}"'.' ,.I /'/'_
MlVlY C. Ll{~J1S I.:/'U/G//',.""J:-
REGISTER OF WILLS !?
REMARKS V I CK I E ZUNA
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LAW OFl.ICES 01' RICHARD C. RUBEN, ESQUIRE
113 LOCUST STREET
HARRISBURG. PA 1n01
(717) 232-2227
PAX' (717) 232-2797
May 2, 1997
Cumbcrland County Courthousc
Registcr of Wills
Attn: Vickic Zuna
One Courthousc Squarc
Carlisle, P A 17013
RE: ESTATE OF ,JACK W. SHADER, .JR.. ADMJNJSTRATION 1996.00866
Dear Vickie:
Encloscd pleasc find a check in thc amount of $44.00 payable to thc Cumberlond County
Register of Wills for thc filing fccs of thc Invcntory, Rcceipt & Rclcasc and First & Final
Accounting for the ohove-rcfcrcnced cstatc,
Thank you for timc and attcntion, 10m,
Sinccrcly yours,
14#1~
Richard C, Rubcn
RCR:clk
Enclosure
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DUREAU Of INDIVIDUAL IAXES
HtIlIIIIU"ll ,,,. 111...I~W~
mil!, :IlUhot
IlAWIllnUIlG, 1''' III,'" oho1
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOIICE Of INHERITANCE lAX
APPRAISEMENT. AllOWANCE OR OISAllOWAHCE
Of OlOUCTIONS AND ASS[SSHENT Of TAX
RICHARD C RUBEN ESQ
113 LOCUST ST
HBG PA 17101
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
c
08-18-q7
SHADER
10-IQ-Q6
21 Q6-0866
CUMBERLAtlD
101
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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 ~
ifiV': i54i-EX -AFP - i03: 97 y- NoT" it E- -OF- "iNH Eii i lANc E- T"Ax 'AP Pi'lA is EHENT -; - ALi-ow ANc E"oR' - eo _..- eo - -. - - --
DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX
ESTATE OF SHADER JACK W FILE NO. 21 96-0866 ACN 101 DATE 08-18-97
If an assessment was issued previouslY, lines 14, 15 and/or 16. 17 and 18 will
reflect figures that include the total of abh returns assessed to date.
ASSESSMENT OF TAX:
15. Anount of Line 14 .t Spou.el rat. (15)
16. Anou"t of Line 14 taxable .t Line.l/Class A rat. (1&)
17, Anou"t of Line 14 taxable at coll.t.reI/Class Brat. (17)
18. PrlncIpel Tax Due
TAX CREDITS:
PAYMENT
DATE
01-08-97
01-14-97
05-02-97
05-02-97
TAX RETURN WAS: I X I ACCEPTED AS filED
RESERVATION CONCERNING FUTURE INTEREST " SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule AJ (11
Z, Stocks and Bonds ISchedule 5) 12)
3. Closely Held stock/Partnership Interest (Schedule C) (3)
4, Hortgages/Notes Receivable (Schedule D) (4)
S. Cash/Bank Deposits/Hisc, Personal Property (Schedule E) (5)
b. Jointly Owned Property (Schedule F) lb)
7, Transfers (Schedule G) e71
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Adm, Costs/Misc. Expenses (Schedule Hl (91
10, Debts/Hortgege Liabilities/Liens (Schedule I) (10)
11, Total Oeductions
12. Net Value of Tax Return
13. Charitable/Governmental aequests (Schedule J)
14, Net Value of Estate Subject to Tax
NOTE:
RECEIPT
NUMBER
AA185049
AA185079
AA211248
AA211249
DISCOUNT I' I
INTEREST/PEN PAID 1-)
73,68
157,89
,00
,00
I CMANGED
57.900,00
9,900,45
,00
,00
44.909,59
2.220,35
,00
IBI
21.442,91
46.009,59
1111
112)
1131
114)
,00
,00
46.577 ,89
X ,00:
X ,06:
X ,15:
1181
AMOUNT PAID
1.400,00
3.000,00
2.148,34
70,34
INTEREST IS CHARGED THROUGH 09-02-97
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX CREDIT i
BALANCE OF TAX DUEl
INTEREST AND PEN.
TOTAL DUE
NOTE: To insure proper
credit to your account,
submit the upper aortion
of this form with your
tax payrrtent.
114.030,39
67,4~? GO
46.577,89
.00
46.577,89
,00
,00
6.986.68
6.986,68
6.850.25
136.43
1.52
137.95
. IF PAID AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATION Of ADOITIDNAl INTEREST,
I IF TOTAL DUE IS lESS THAN $1. NO PAYMENT IS REQUIRED,
IF TOTAL DUE IS REflECTED AS A "CREDIT" ICR1. YOU MAY BE OUE
A REFUND. SEE REVERSE SIDE OF TNIS FORM FOR INSTRUCTIONS,)
, .; ~_J
RESERYAtION: E.tnt.. of d.c.d.nts dying on or before Doco~b.r I~, Iqez -- If any future Inler.st In Ihe ..Into I. tran.ferred
In Po.....lon or enjoy..nt to Clas. B (collateral) ben.flclarle. of tho decedent aft.r the e.plratlon of any ..Iate for
life or for yearl. the COllllllonwealth h.reby e.pr...ly re..rv.. lhe right to appral.. and ""." tran.fer Inherltanc. t....
at the lawful Cia.. B Icoll.teral) rnte on any .uch future Int.rost,
PURPOSE OF'
NOtICE:
fa fulfill tho requlr...nts of S.ctlon ZI40 of the Inh.rltance and [.tat. fa. Act, Act 2'1 of P)lJ~, (n P,S.
S.ctlon Q140),
PAYMENt:
O.tach the top portion of this Notice and .ub.lt with your pay..nt to the R.gl.ter of Wills printod on the rov.rs. sid.,
uMah. ch.ck or ~on.y ord.r payabh to: REGISTER or WILLS, AGENT
REF'UND (CR):
A refund of a ta. cr.dlt. which was not requested on the tn. Return, nay b. r.quest.d by co~pl.tlng an ~Appllcatlon
fo.. Refund of Pennsylvania Inh.ritance nnd Est"t. ta.~ (REY-LU1L Applications ar. available at the Olfln
of the R.gIst... of Will., any of the ~3 P.y.nue Di.trlct Offlc.s. or by calling the sp.cial Z4-hou..
answ.rlng ....vlc. nU.b.rs fa.. for.' ordering: In Pennsylvania 1-&OO-3bZ-2'OSO. outside Pennsylvania and
wlthln local Har..lsburg are" (111) 1&7-IWJ4, 1001 (111) 17Z-ZZSZ Wearing Inpair.d Only),
OBJECtIONS: Any party In Int.re.t not .ati.fl.d with the appraisen.nt. allowanco or disallowance of deductions. or a.se.,"ent
of tax (Including discount or int.r.st) ft. shown on thl. Notice .u.t obj.ct within sixty (60) days of r.c.lpt of
this Notice by:
....dll.n protest to the PA D.partlll.nt of R.venu.. Board of Appuls. n.pt. 2810Z1, tlarrhburg, PA 11128-10ZI. OR
--.Iectlon to have the .att.r d.ter.ln.d at audit of the account of th. p...sonal repres.ntatlve, OR
--app.al to th. Orphans. Court.
ADMIH
IStRAtlVE
CORRECTIONS I
F'actual .rrors dlscov....d on this ass.s...nt .hould bll addr.ssed in writing to: PA O.part..nt of R.yenu.,
Bureau of Individual tu... ATTNI Post ".."...nt R.vl.'" Unit. n.pt, Z&O&OI. tlarrhburg, PA 11lZ8-0&01
Phon. (717) 1e7-bSO~. S.. page S of the boohl.t -In.truction. for Inhe..ltance ta. Retu..n for a R.sld.nt
Oac.dant- IREY-IS01) for an ..planatlon of ad.lnlst..atly.ly co..r.ctabl. .rrors.
DISCOUNt:
If any ta. dua i. paid within thr.. (1) cal.nda.. lIIonths aft.r the d.c.d.nt"s death, a flv. p...c.nt (5~J discount or
the ta. paid Is allow.d.
PENAlty:
the I~Z ta. a.n..ty non-pa..ticlpatlon p.nalty I. co.put.d on tho total or th. ta. and lnt.r..t a.s..s.d. and not
paid b.fo... Janua..y 1&, l,lJb, th. first day aft.r the ond of tho tax allln.sty p.rIOd. This non-particlpallon
panalty is app.alabl. In the sa.. .ann.r and in th. th. sa.. tl.. porlod as you would app.al the ta. and Int.ra.t
that has b..n as.....d a. indlcatad on Ihl. notic..
INtERESt:
Inter.st Is charg.d b.glnnlng with flr.t day of dellnquancy, or nln. (lJ) ~anth. and on. (I) day f..o. th. date of
d.ath, to the date of pay..nt. ta..s which b.ca.. dellnqu.nt b.fare January I, IlJBZ b.ar Inter..t at th. rat. of
six 16~J p.rc.nt p.r annu. calculat'd at a dally rate of ,000164, All ta... which b.ca.. d.llnqu.nt on and afl...
January I. 198Z will bear Int.r.st at a rat. which will va..y r..o. cal.ndar y.ar to cal.ndar year with that rata
announc.d by tho PA Depart..nt of Rev.nue, Th. appllcabl. Inlerest rat.s fo.. IlJ8Z through 1'91 are:
~ Int.r..t Rat. OI!lIIY Int.rnt ractar ~ Intor..t Rat. Daily Intore.t rl!lctor
198Z 20% .000S48 IQe1 'JZ ,000241
1'81 16% .000418 IlJU-1991 IIZ ,000101
19B4 11% ,OOOSOI 1'J9Z lJ% .0002'1,7
1985 11% ,OOOS~b l'lJl-l9lJ4 1"1. .0001lJZ
IlJ36 10% ,OOOZ14 IlJ9~'I'J'J1 lJ% ,0002'41
-.lntll"..t Is calculated ., follo,",s:
INTEREST = BALANCE OF TAX UNPAIO X NUK8ER OF OAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notlc. Issu.d aft... th. tax b.co.as dallnqu.nt will r.fl.ct an Intor..t calculation to flft..n 115) days
beyond th. dal. of th. as.esSlllant, If pay".nt Is ~ad. aftor the interest coeputatlon date shown on the
Notlc.. additional Int.....t .ust b. calculated,
~6
RICHARD C, RUBEN, ESQUIRE
346 OW YORK ROAD
NEW CUMBERLAND, PA 17070-3122
17171 930-2922
FAX. (717) 231-6186
Scptcmbcr 5, 1997
Cumbcrland County Courthousc
Rcgistcr of Wills
One Courthousc Squarc
Carlisle, PA 17013
RE: ESTATE OF .JACK W. SIIADEI~, .JR.. ADMINISTRATION 1996 - 00866
Dcar Sir/Madam:
Encloscd plcasc find a chcck in the amount of $138,29 payablc to the Cumbcrland
County Registcr of Wills Agcnt for thc Commonwcalth of Pcnnsylvania to covcr the
balance duc in thc above rcfcrcnccd mallcr,
Thank you for timc and allcntion.
Sinccrely,
, ,)('/.t
.\.ilia'''.'>? X; ~- (
Sharon R. Kylc
Paralcgal - Lcgal Sccrctary
Enclosurc(s)
c: Mr. and Mrs, Jack Shadcr
Enclosurc
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........
.,
,
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LAW OFACES
RICHARD C. RUBEN
113 LOCUST STREET
HARRlS5URC, PA 17161
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PAYMENT J
D.tach the top portion of thl. Notlc. ~ .ub.lt with your Ply..nt lad. Ply.bl. to the n... and .ddr...
prlnt.d on the r.v.r.. .Id..
If AESIDENT DECEDENT ..... chick or eon.y ord.r payabl. tOI REGISTER OF WILLS, AGENT.
If HOH.RESIDENT MCEDENT lak. ch.ck or .on.y ord.r p.yabl. tal COHHONWEALTH OF PENNSYLVANIA.
REFUND CCA)I , r.fund of . ta. cr.dlt_ which WI' not rlqu..tld on thl T.. Rlturn_ .ay be r~.tld by cOlpl.tlng an
-Application for Rlfund of Penn.ylvanla Inherltancl and E.tat. TI." CREV-IlIl). application. ar. av.llabl. .t
the Dfflc. of the Algl.tlr of WIII._ any of the 21 A.vlnu. DI.trlct Offlc.. or froe the D.part.ent.. 2~.hour
an'wlrlng 'Irvlc. nu.b.r. for for.. orderlngl In Penn.ylvanla 1.800.162.Z050_ out.ldl Plnn.ylvanla
and within local Harrl.burg ar.a (717) 787.80"_ TOOl (717) 77Z.ZZ5Z CHearlng I~alred only).
AEPLV TOI Qu..tlon. rlgardlng .rror. contaln.d on thl. notlcl .hould ba .ddr....d tal PA O.parta.nt of Rlv.nua_ aur.au
of Indlvldu.1 Ta..._ ATTNI Po.t A.......nt Rlvl.w Unlt_ Dlpt. Z80601_ Harrl.burD_ PA 17121.0601_ phon.
C711J 787.6505.
DISCOUNT:
If any tax dua I. p.ld within thrll CS) cal.ndar lonth. aftlr thl dlcld.nt.. d.ath_ a flv. Plrc.nt C5~) dl.count
of the ta. paid II allow.d,
PENAlTYI
Th. 15~ tax .-n..ty ~on.partlclpatlon plnalty I. coaputad on the total of the tax and Int.r..t .......d_ and not
paid bl'ore January 11_ 1996, the flnt dlY aftlr thl MKI a' tPM tax a."..ty p.rlod.
INTEAESTI
Intar..t I. charg.d big Inning with flr.t day of d.llnquency, or nine C91 lonth. end on. CI) day 'roa the dltl 0'
d.ath_ to thl d.t. of ply.ant. Ta... which b.ca.. delinquent blrorl January 1_ 1911 b.ar Int.r..t at the rata of
.1. (6X) p.rc.nt plr annul calculatad at . dally rat. of .000164. All tl.I' which blca.. d.llnquent on and aft.r
January 1_ 1912 will bear Int.r..t at . rata which will vary frol calendar yaar to cal.ndar y..r with that rat.
announced by thl PA Dlp.rtlant 0' Aavenua. The appllcabl. Intlra.t rat.. for 1982 through 1997 ar.1
V.ar Intar..t A.t. Oalh Intlr..t factor Vur Intar..t Aat. Dally Intlr..t rltCtor
1982 'OX .ODD541 1917 9Z .DOOZU
1915 lOX .ODOUI 1988-1991 IIX .000501
19S4 IIZ .000501 199. 9Z .OOOZU
1985 15;( ,000556 1995-1994 7Z .000192
1986 ISX ,00027. 1995.1997 9Z .000247
ulntlra.t II CBlculated .. follow.:
INTEREST = BALANCE OF TAX UNPAIO X NUnBER OF DAYS DELINQUENT X DAILY IIfTEREST FACTOR
uAny Notice Inu.ct .ftlr the ta. becCMMII delinquent will nflKt an Int.r..t ulculaUon to flft.." US) d8y.
beyond the dati of tM ........"t. If p..,..,t la IIIda att.r the Int.r..t c.,.putatlon datI shown on thl
Notlc._ additional Int.r..t w.t be calcuJatltd.
cmmElu./\NIl COUN'I'Y
~T'-"J\J_LgEt(JH'I' JLfl~_~.I~_,I_~UL0..:J_~
1I1l1ne 0 [ lleced<.!I1 t. I
.J/\CK \~. SII/\DEH, JIL
Dilte O[ lle,lthl
1 0-1 ~.=,~.li
Will IIn.
/\dlllln. 1IIJ'-l-9-9-~
Pllrsllant to Ihll" fi. 12 IJf I.h", SlIl'rr!l1ll' COln't Orphans'
COllrt Hllles, I .'1'1'0.'1. I.h,' followIng with rp.spect to completIon o[
the adminIstration o[ th" .1bove-captloned Astal.el
I, State wh.~thAr ildmLnlstt.otLon vL the estilte is compiete:
Yes __'....., till ___X__
2. If thA illlsw"r Is 110, st.ill"! wh",n the pel'sonill
representative reasunably believes that the administration will be
complete: Septemh0r 1, 1997
J. If lhe an!"wer to lIu. I Is Yes, slate the following:
a. Old tll"! personal n!presenta tl ve file a final
account wit.h the Courti' Yes__ lIu_.L.
h. Th"! S'!I"'.'ilt.! Orl'll1ln5' C'.l\lrt. Nn. (Lf <lilY) [or
the person"L represental.i,ve's al:COllnl: ls:
c. Did I,he pn.rsonaL repres<!ntative state an
account informally to the ",HUes In lnteres!:? Yes X No
d. Copies IJ f reel' Lpts, t'e leases, joinders and
approvals o[ formaL or informal accollnts may be filed with the
Cerk of the Orphans' COlll't and may be att.ilched to this re rt.
Date:_1;'~s:~q~
/~4
Signatllre
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l.'<ll'i1<:ll.y: ,____,_.J'ersonilL Representatl'Je
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.....x ._ COllnse I for personal
represp.ntatlve
( NI\Il: rill I.' 1\/13 )
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