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HomeMy WebLinkAbout96-00880 , ct :;$ oc & I-j 0 rn tr ill " ~ rt j' ,. tf ~ >.J , I!) ~ ~ ~ '~ ..... > 0 r CD rl, .. . c 0 .... " , II>> cc a. Z ~ c( .". " . . . PETITION Fon pnOnATE and C,ltANT OF LETnmS No, ~-1-~J~q~_~_l3_0 Estat~ oj ~c.'.-,-:L.f.L...L-I,!~j_'-.!: 1"l..L~.!:.- a/so kl/o"'l/ aJ ,_ .___________ I\r>r\,'loJ ,i\lli~-4LNd~;J_____ ___, /)t't'u].'i('d. Soci"/ Security No, J_'lJ.-.!:I-fL_c.:.._LU,_____ Tn: ReRi'ler of Will, for Ihe COIlI1lY of _._,_____ in the Cnll1lllonwc:allh of l)cnnsyl\'i1l1ia The petition of the llllller\igned re,,,eClflllly re"rem1l\ thai: Your petilioner(,), who blare 18 years of aRC or older anlhe e"eclIlJ::'L'f_ inlhe last will of the aho"e decedenl. daled _...1.'.L":M_Li...i.3, and codicil(s) dated named .19_ hlalC' rt'lr\anl drClHmIJIK"', co.lt. n:nundalioll. deJlh of c,C'..:utor, (Ie.) Decendenl was domiciled aI dealh in L~." J. < . , ",-LLi_Counly, Pennsylvania, with h );sl/amilYor principal resi.dence;at -/1')" ':--J-..-J L L e /, , ,I" (.. -:. /. . IN,!. f-'~.,.J.,)._,. '..0:;; . t', '-,_....t.UI (/ llirrf/(,NII',f-',ttllll ~ )(11" 'HC't'I, numbcf and lIlunclpalny) '/' . '.', 'I ,1/ ,)(. Deccndem. II:en_ -/ ..., rars oL age. died. ((' ."..). I " . 19 -, at II,..L-"t,-,-:,,:;,~; - 'k~,I,.( ("Jon' II.it , .'{, ,'J,lll . Except as"follow" &,,'del1l did nol marry, ~'a\ nol disl,rced and did nOI have ;(ch'ild born or adopled after execlllion of the till ')ffered for probale; was nOllhe viclim of a killing and was never adjudicated ineompelent: _..LlL-\.L.L .. Deeendent at dealh owned properly with eSlimaled values as fullows: (If domiciled in Pa.) All personal properlY (If not domiciled ill Pa,) Personal properlY in Pennsylvania (If not domiciled in I'a,) Personal properlY in County Value of real estate in Pcn"..\,h'~nia situated as follows: s{;, )'J( s s s (I (l WHEREFORE, pelilionerls) re'pCClfully reque\l(s) Ihe probale of Ihe lasl will and eodicil(s) prr<ellled hercwilh and the granl of lellers-I~l-,..., < " I r." , , lll"\lamrnlary; admini'ilr:allon c.I.a.; admini~tralion d.b.n.c.t.3.) theron. ~ " " ..,- 'cf "'~ ..,0 c': 11': -" .;::" ~'-;: = . ~ ;;, ~ ) I 'C 1"'..../, ~( \, (!'r) /l.r,,,,, c ')" I 'J{lJ, ......G ) (J , " .,' .,,', I~ 1 ,,_ - ~/...Y \ ' " .~, ., /'1" t. l) -:z. J_ ~IA_LJ. , OATH OF PERSONAL nEPnESENT A TIVE COMMONWEALTII OF PENNSYI.VANIA 1 S' COUNTY OF _<:,UM13EHLAND 1 >; The pelilionell<) above-name.l \wear(<) or affirlll(,) Ihal Ihe 'talemenls inlhe foregoing pelition are true and corre<:1 to Ihe be\1 of lite knowledge and belief uf pelil;Oner(s) and Ihal as personal rcpresen- lalive(\) of Ihe ahove decedellt pewionerls) will well and Irllly adlllin;\ler Ihe eslale according to law. Sworn 10 or affirmed and sll:'scribed ! ->... before me Ihis 2 <J t II __ day of _./.1c ~<7 -Rfft;nRF'l ' . :9--2.6 ., \ \ iJ-t1' ' '~j.-i-r':"'" J!~J:.K.I MAHyl C. 'LE-WIS /It.cr.I/'.r/....~h7 15- 13' (. I , , .1 /~ [/ (I" 'J:"' '" ,0' " " ~ l: ~ 2 1/;I....,r. ,J'",nllJ W: .(,"',{. ,CYu.."", ,./ !/~". . t'.r,f .'H..IA;."tt.., ,Cfi,,,., ~f/"~r'~~ru.'II....It4. /lJfJ u&.nlUI'f' aElltlt.,. TO a~ A TnUE Aun cunllKa, au...,. - WILCOK, ~^MI:D '" COOK .. .. Ckl.~'..:~.)!L~-"J(l:_ A;ft:!l!t~ .1H' I N TilE COlllIT OF CONNON PI.E^S OF ^IlMIS COUNTY, PENN~;YI.V^N I ^ Pelilion of: IHl, 88-5-81 () IlHTEIl m:I.VIN FIlMlm, .Ill. CII^NC;E OF rlMIE PIlOCEEIlI NG OIlIlEIl OF COUIlT Mil NOll, lids ~ \ dllY of \\"<U\-H\\ul" I 1988, upon lIIotion of .Jeffery N, Cook, lInd lIfler hellring, the Court finding thllt it hoo jurisdiclioll ill lhis mntter nnd thnt llae ,'c'Iuirelllellls of lhe ^cl of ^sselllhly applying to this lIction have been lIIet and cOlllplied \~i lh, IT IS IIEIlEI3Y Olllll~IUm thllt the nlllne of the Petitioner, Walter Nelvlll Frllker, Jr" is herehy chnnged nnd will forever be knOlm ns ^d r inn Nyet.s Genevese, BY TilE COURT: ~ a:r(ll' ':(. 0. ~\)/(,Qr , \".1, J--..c. ~ 1999, This being a true and attested copy taken from and compared wich the original Attes t: ~1~ Cr,...._ /. h,l,\.~\/,V"-- ,0,/" ~p Pro thono tary . 'J \ - /flllil - Y.',,(~ REGISTER ()Jo' WILLS OF COUNT/ OATil 0... SUnSCIUlUNG WITNESS (each) a subscribing whness 10 1\ law, depose(s) and say(s) thai codicil will preselllCd herewilh, (ellch) b" g duly qualified Bccording to presenl and saw the lestal , signlhe same and thllt requesl of leslat_ in h_ presence and olher subscribing witness(es)). ,igned as a witness atlhe re,ence of each olher) (in the presence of Ihe Sworn 10 or affirmed and subscribed me this day of 19_ RCRislcr (Namc) (Address) REGISTER OF WILLS OF (ltlllf'yf~LII1" ~ COUNTY OATH OF NON-SUBSCRIBING WITNESS /UDVI1c 5., f Aco. / .' . / (each) a subscriber herelO, (each) bcing duly qualified according to law, depose(s) and say(s) that I AM familiar with the signature of WAL'I'ER M. FRAKRR. .JR. codicil will I presented herewith and codicil believes the signalure on the will is in the handwriting of testat~ of (one of Ihe subscribing witnesses to) the that WALTYEIl M. FRAKER, JR. ___4._______ to the beSI of MY kllowkdge and belief. Sworn to or affirmed and subscribeu before J.7./"~".. ~/ A.{, /-7.--> me this 29th day of (Namc) _ OCTOBEIl I___~'~~' dC' x..<J;"" I, /J .1/ (I 11/(/ ,1'1Lt '-1 t:j,i ( It ;//}i \--lJiJ;:':f!?U-/11 (,. _ (Addrcss) MARY C. LEWIS RCRislcr Y (I.,. >,,' ),/, (/t1 .;;f."7 / 7tJ /I / ../ (Namc) (Address) 1,- ~) /,":,,'/ -I A['/. t~OO [",'-i41 A P P COB H R L E P 0 C R C K I K A 5 T E C P o 0 R N R D E E 5 N - T COM\AONW[AI.UI Cf' "['-iNS'll VA"'IA . o[rARlM[NTOrR[V[NUE QEf'Y.lIOeOl It"'fHH5~uno. fOA 111:'-lJIlOl INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FilED IN DUPLICATE WITH REGISTER OF WillS) ~On CA1F.~Of fU;,lftl AfTEH UJ3lJi>>1 CHfClI.llEPF I' ^ :!pnll~'l. POVrru"t CI\COIf 111 CL"IM(O 0 FILE NUMBER 21 199!i BBO (OUN1'V ((JO[ D E E D E N T O(CrOBH'5 NAME (LA5T. r1A5T, ",..,0 ~IOOl[ INITIAl 1 ORIAN ~1 GENEVESE AKl\ ALTER M F~\KER JR O( r:r Dl NT', caMPLE T[ .\OOR [';:> l065J ALLENOALE ROAD ~ECHANICS[lURG, Pl, 17055 Y[All rluM(I[R 50CIAl 5[ eUlll'\' 'WMO[ R OAT[ cr Of..\TtI [Mt[ ,:f IlIUrll 070551 (If ~"'.'I.IColoUL !'juI1\ll'Jlf'li j.'JU '~l'J 'lM.ll II..\Jr, fiRST AND l.,lIOCL( 'r~ITrAL, ",OCrAl "(~Vlllf'r "jt;'.l'H,ll ;;","" cur.IElERLAND Aw::vr" IH:[IV[ 0 I~[ ( Irj~HIUr. TIQrl:3, ~1. Qnginal RelUln 02, Supplel11Ulllal Rl!lurn 0 3, Remamder Return (lor dales 01 death pilar 10 1::!.13-8;'!) 04. Lnl'uled Estale o 4a, Futuro Inlcte~l Compronllse 0 5. Fudcral Esl3lo TAX (lor dales of doalh alter 12-12.82) Relurn ReqUIred III 6, Decedenl Died Testale 07. Decedenl Malnl.:lIncd a LMng Trust B. Tolal Number 01 Sale DeposIt 80lC05 (AIt,ch copy 01 Will) (Anach a copy 01 Trust) ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: .'" ~,J NAME OMA SUE BARLUP COMPLETE MAILING AOQRE33 AVE APT 1114 PA 17011 11.615.55 (B) 6,B10.04 21,B23.00 (11) (12) (13) (14) X. : x ,06 : lC .15 : (IB) Inll!rul (19) (20) (21) (21A) (21B) .. :-;: 11,615.55 2B,633.04 (17,017.49) 0.00 (17,017.49) Unci" p,n..II," OIIl"IJury. 1 "'cLl" Itut t lI"vl ....m.nl" trIOS "1~ln. tncTul!lnQ "cc~mp..ny'n~ SCT''Illttules ..nl! s!.Sleme"". .1ne!'o 'ht tnl ~t my t!'lO ..110;1 .11'\4 tlelltt. ,115 tru". cOlfl,t .11\e! compl"ft.l deel.1r,lh..I...U ".... ,,,..lllIn !lee" !lHlortll!.1t lrue m:sr.l!t valu.. Olcl.1r..IIO" of tl'!Il.1I'!' olh'!r Ih.1n Ihf' :I"son. ,,,'cr,,..,,, l,vl's sed on loll ,nIOlm..IIOII 01 ...hlchClftO.U.,hulolly.nn....ledo.. . II line 19 is greator than line lB. enter the difference on line 20. This is the OVERPAYMENT. ~ 0 !Check h.'. II Vau .ro roqu..Ung a r.fund 01 vaur avorpavmant I 'I Ii no 18 IS grealer than lino 19. enter the dil1crence on line 21. ThIS is the TAX DUE. A. Enter the Interest on tho balance due 011 tine 21A. B. Enter the lolal of hne 21 and 21A on line 218. ThiS is lho BALANCE DUE. Make Check Payablo to: Register at Wills. Agent _ _ BE SURE TO ANSWER ALL QUESTIONS ON PAGE 2 ANO TO RECHECK MATH 191--10 - BBll 1003% ?OB SENATE Al~P HILL, R E C A P I T U L A T I o N TELEPHCN( (717)-737-4405 1. Real ESlale (Schedule A) 2. Stocks .nd Bonds (Schedule B) 3. Closely Held SIOck/P.~nershlp Inlerest (Schedule C) 4, Mortgages and Noles Receivable (Schedule D) 5. Cash. Bank DepOSits & Miscellaneous Personal Property (Schedule E) 6. JOlnlly Owned Property (Schedule F) 7. Translers (Schodule G) (Schedule L) B. Tolal Gross Assels ttotallincs 1-7) 9. Funeral Expen~es. Admlnlstratlvo CoslS, Mi~ccllaneous Expenses (Schedule H) 10. Debts. Mortgage liablhties. lions (Schedule I) 11. Tolal Deductions (tolallines 9 & 10) 12. Nel Value 01 Estato (llno 8 minus line 11) 13. Chanlable and GovernmenlalBequesls (Schedule J) 14. Nel Value Subject to Tax (line 12 minus line 13) 15. Spousal ranslers (lor dales of death aner 6-30-94) See Instrucllons lor Applicable Percentage on Pago 2. (Include values Irom Schedule K or Schedule M.) 16. Amount at line 14 taxable at 6'% ratc (Include values Irom Schedule K or Schedule M.) 17. Amounl of line 14 taxable at 15% rale (Include values 'rom Schedule K or Schedulo M.) 18. PrinCIpal tax due (Add t3lC horn lines 15. 16 and 17.) 19. Crlldlts Sllous..a1 Po~"ty Creolt PrIOr P1yme'lfs OI5e~...nt (1) (2) (3) (4) (5) (6) (7) (9) (10) (15) (16) T A X C o M P U T A T I o N (17) . . 20, 21, OATE t-/1- 91 '6,/;iI/i7 I . a~.i7.~:J!1is..is IOo:c~tify that Ihis ~. lrue copyo( l.he r.ecor~:whj~.!!~il(~eIn"l~e~~ii~srlv'0ia Division o( Vil~1 R,'(oru.. in,3CCurdance f.;i::':WIlH"'ct66.P,L.:3()'I,.pprov~bylheGenml^,sembIY;Jone79,J953..~-= ,',"':',~,' ' . . ",..,,;;.:'.'., UP~'''::'.~'.~.." ..' ., ." '..~:... :'" -.. "::~."'-..."".:~"-.7'r".:~::-':5",...:'.:-'.', :; . ~~.:;.i~~ 1;": .J '" ' WAi'lNING: It I. Illegal 10 duplicate Ih'l~ copy'by ph~loslal or photograph. ..;:-:: i: ' .: . . ~.. Fee (or Ihis a:rtiCic.1te, B.DO ct.J..!I~ Charles H.rdeSlet Sl.le RCRismr 4065198 DEe 2 4 1996 No, DJte, "'lI'Sl....... "II C:OMMONWEALTHOF PtNNSYlVANIA. D[JIARTMINrOll HEALTH. VITAL nEconos CERTIFICATE OF DEATH (Coronerl 09/'d11 ....-, . "IMANIN' ..... .. ... ,.....-. 1UOoOoI....CU'lJTl~ . 191-40-8811 ~'Ol'talII'M_,~~ ... October J, 1996 3 ... ? 19 '" ~ Genevese ..., L Kale .........QlOlI'IDt..."..._~ Adrian till ....._...... H l,lNUIlI'OM - - UlI-...a:c.>r_ .....,..."..~ Hbg, ~a ~OIOLC"~______..__ 0""11 ...-.29. .~a ::::'0 :::"'0 o ;./ East PennBhoro ... -~ ,,-...-- '~ , Cumberland .- ......DIlIPillUI._ --- _....M 5Lngle .., ~o::w -;---=:.o-'::::L;'i' " ForK l,r(\; oper, "Army l)epot OIC.ot..'l...........-:!"OOl'IIIUQOo-.C'-__l.c- OC<<tc"'l 1065J ^llen~ale Roa~ ~~NU II. f.lechnn icoburg I 1'0. .::::- UII""",l_"._l"" ;inlter H 1'. raker ,.or II .., 0 "'~l l__ SU!lLc nnrlup ,~ ....u ~O "-""......llJ """"~I Uni{:'r.1 n..... ~nnn./lvani.a 'Jommberlan~ .. - ~., -, ".0 :..-:='.::.. ,~'"'"' IOOncJt'IWoII....__~ Emily M,ycr!l " ~-l"",",-"""'''''--''- <Ull senate Ave, ,Apt 1114., aamp 11111, o II. Enola OR nr o,F:nola, ~. ...- ,-. ~... - - ...- 1996 , Greenmount aemetery lCl_~JOI _~a.DOl'lI"Cl'o.oourr ?,o. 011897-L Sull1'{Dn P.lI, .51 .._.....-..__..._____ l,JC; ...-A -,.. 'Jumberlan~, M~ ... .... - :w . c,Q1~'DlItNI~,,"_1 ..0 I 7: 16 P." October 3. 1996 .',"",,'. --...__.-...___..._IM__..._...._._.--.__.__ a.....,__.._... !=- 1-"'- "",.. 0._......._-....._... ....-.,....-....._....""""'L Se Ills DUlIl:lU'......UJ<<au;"Ctll) lie aHc Stu.t:ollte DUlll:lllJll.....CO'ell;JAOOClDl DUlIQ~.....~OJl'<.U') . """I.UTOl',OJINW'OO --.._'" COWUTIClfrtOle.&1I1f 0101.11I"' _..~ ~.- Ol~~-...nOCQ,llWllO .........JOIOJ'ourt< DlfIOJ't'l,UO' -...- o o O J'\.JlClOI'ru.Jn'.""-.__..,..... --- - - - .... 0 ",0 .l'l o o - -- '" ~..O ",pq. ..0 ... .... UIII,."lIIo.o__ 'et''"IFniJQ~~.........~.____..___...___nl -..--..---...---.--.--..-......,............................................. e...t.... ....... - ~ --- 01.. ,M -oUlGaIIl~~""""''''~_____._''_ ,...--...,---..,....-"..-....-.......--...-..--.-............................ Coroner DlflIQOofU,.......o.w._ o ' I'" Oct. 6, 1996 IIWIII_ADDl'OIUOl':\lI;tQtf...-J~TI.QCAuUOIOUI" ,,,,.,,........ nichael Lo Norris. Coroner 405 Fairvay Drive Hechanicsbur . PA 17055 / I a I ,lll.... twUUO~OII.-' 101,/,.,(,/,/1 ... Fa Fa \~/'- ~ I. Walter M, Fraker, Jr,. p, 0, Box 204, Shipponoburg, Pa,. 17257, "liring on top of Sou~h Mountain, R, D, #1. Biglervillo, Pa" l7j07, be ng of sound and dlSposing mind, memory and understanding ~nd consldering the undertainty of life, do therefore make, puoliSh and declare this to be my last will and Testament, in manner and form following: Item l",I order all my just debts and funeral expenses to be paid by my executrix, Ne maBarlup, 610 Charlotte ?\~ay, Enola, Pa., Apt, 102, and as soon as conveniently may be after my decease, BE IT REMEMB'C:RED ' . Item 2",I ~ive devise and bequeath unto my Father, Walter M, Fraker,Sr. and three slsters: Noma S, Barlup, 610 Charlotte Way, Enola, Pa., 17025 ; Nancy L, Roth , Cara an Court. Middletown, Pa,; and Nora A, Crawl, Old Zion Church Rd" York, Pa, to share equally and alike all my estate real, personal or mixed, or wheresoever situate at the time of my decease It is my request to be buried in my ~randparents' David and Nora Fraker's Family Plot at Green Mountaln Cemetery, Cumberland, Maryland, I do make, constit~te and appoint Noma S, Barlup, 610 Charlotte Way, Enola, Pa" 17025 to be the executrix of this my Last Will and Testament hereby revoking all former willsand testaments by me made and declaring this to be my Last Will and Testament, In WITNESS WHEREOF, I have hereunto subscribed my name, and affixed my seal, the Seventh day of May, 1963. (\\ (\ () 1 )\1 \ ~,L', IJ\:( l~Vt~\.- Signed, sealed, published and declared by the Testator above named. as and for his last Will & Testament. in the presence of us, who have hereunto, at request subscribed our names in presence and in the presence of each other, as witness hereto, Wa1. ter Fraker. Jr. ., / ' ><r: IC....~_.,..I-:-I.,J.,.- ,-/ 0'~~ ~I ~LrA ~I..J....-~,-,~\ 1// I , ~~, "j / / '.~_.. .~ l/ /' IMR\' C. ICII^,IER, !Iul.,., r"hlic Ust Pl!rns.bofO l.,./II1,l,i1' CumM~I"M CC"Jllty ~'" Comminlun E.cplr.. 001, 30. "do - REV. I~O' u. U-UJ SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Ptl"!ol!ill Prml or TVPo fiLE NUMBER 21-1996-880 CO'-lMCNWEALTtt or P[NN~vLIJ"NIA INHERITANCE TAX R(TURN A[310[NT O(CEO(NT ESTATE Of ADRIAN r~ GENEVESE (All p,operty lolnlly-ownod with Right 01 Survivorship muot be dlsclo.od on Schodulo f,) ITEM DESCRIPTION VALUE AT DATE NO. Of DEATH ~EDERAL E~lpLOYEES GROUP LIFE INSURANCE INTEREST 179.00 bFFICE OF PERSONNEL ~lANAGEMENT RETIRENENT pROGRAHS 87,85 ISURBURBAN CABLE 9.78 ISIGNET BANK 05000552876 5.33 ELL OF pA REFUND ~.61 SF & G AUTO INSURANCE PPA10634687812 54.00 . ~EADOWOOD APARTMENTS SECURITY DEPOSIT REFUND 269.00 ALE OF TRUCK 10.500.00 ::::ASH FOUND IN WALLET 42.00 aRK FEDERAL SAVINGS 090-853056 466.98 --- - TOTAL (Also enter on hno 5. Rccl3pltutallonl S 11,615.55 (II moro spaco is nceded. IOsert olddlllonal sheels of sl3me sIze.) Capy'lI~~1t Cfullw, M,CUUylttmllnc., WUh'"lillO". O.C" 19a5 ,"~'", ' APARTMENT CIlECK IN/OUT LIST 'fllt-.. . :-J'J'U~~t~-n< qh-Ci -.iJdJII4~~ ~'V'4L' '. APARTMENT Housf TENANT'S NAME " -, 1()(.~9.- APT, H , InM COMMENrs ESCROW DEDUCflONS o. I .I , GENEnAL DAMAOES 000' ,mol.. OoofLoclllltf.ndlts Dl)l)f Slop~, ""111"9' !lInd/Porch ",.118011.ocll, T'It.~ ".mo.ed - K,)'. nlllur".d (.,~y ~ ) rift E.ll"OUI'~' "lining fr ...} Snloll4 OllOloclol M'nlno J:fr , ~I/ 'LOORING DAMAGES . nflfl" . 1}J . Floor, el.." / r~ 'V" TlI..Chlp V" 1I1etMIU'"0 e'IOtI CI,." elllOtISI,'n, ". 1/ CIIPlt' ",pl.e. , J "- .\ / ~\'-' WAll. DAMAGE C"iII"9 "01,. I. nepllnl 2nd COl' - \ ( 1_iJ' ",mov.WllIp.p" , ,,ji" ~\ "lIllftol" 101)' \ I 101ft LifO' IV' \ LtJ-' I 1\ UY V KITCHEN DAMAOU "'''Qte,""" n'"9' Hilling EI.ment B,olI" PI" Mining Oroll" R.cll Mlnln9 Dr'It'Rlng. V.nt HOOd CI.." "nll CI.." O'lpOUI n.,lf'g".IOI Cl"n Ice tr.y MIni";. Elc. e'bln'l, elll" C.b1n"1 Hindi.. CablNl11 Sht'.t. COunl., ChlPPtd/Butn Uark, Ol'h""htt Cllln - Ol'h.,.,htr Mlnlno IItm, OIIPOIII SloJlPfr ...~ . InM o. IIA'""OOM DAMADU I --- U"1kl"t C..bl""1 CI,.." . 1.1.,,,,, . !iho..., nod - ""0.., ....d - - ".lul" Chlpp.d/Bu," "''''' tuftCI".." SI". elfin Yanll"CI.." ''''11011':1111'' --- -- .- I!,""fllll' forlll'S"'t t"..,nle. T olltl p.~, Hold., ~"'"Ol'h UTILITY AOOM DAMAQU Lint Self'" CI'ln W..h., Of.", lln"" Clo.tt CIII" Dlrtl';' noom CI.." W'NDOWS. ScnnNS DAMAnn Wlndo.. 01... Shtldtt MI"'"91Toln W1ndo.. Ser.,n. PIlUO 000' Se'"n, L10HT FIXTUAES DAMAOlD rI_lu,.. U;hl Duln, ""nlng Olob.....'"'"O Plllo U;hl UDAOOM DAMAOES Clout 00011 CIOtti ROd. CIOttIS".I"" lC:.P" . ~ ),',,, k'lt'-\ 0,.,-,>/ T,n""r.SI9"IIU" '.J' Jk, f,,{lt.Oj tj- (",It",,,, '/..:u'};"" . it. (I..I.1lu. Jld li' ....tt, (tw. If. II ~ CA.,,,, 1'~/.,P,",,~J'f"'1 I O'."dl~ Add',.. I' YUill"; - I / - r 1/ - f 1/ '\. V - - I 1-1/ '- . .1, ~ O."ln,p!e'ltd .1U"......~ COMMlNfI I ucnow Or:OUCTlONS .f i\ 1I1fJ-'/ \ 'fell 00 rA IlIJ') 'ot,l D /-:)',' 'IV" ~ '.il c'" "'! :,,,! SIlCUIl'YO.P ..!?J_W...:.L. fW- Ten"n' IJ'7.~" Cb: [ """'CO , u ;10M /f.1-J uf)ftlfn',ndln"J SII}""Ult Ap.."m.,..It -' " .... .".-.- ... ..,.... -." . : ~ -,., ,".;,'.' ,-0...- .:~~ .~~:.~i) ~9fi~~::' Cf fl1fsE 6LOCKS. .f ~. l~CKEo. HTU. Wl..L. 6E. ~eo 1<S '.': . ' '_'ll..,:-.r.~t -.... -. "'~"','..':~. ''';'-'.-: . OF ONE C\'INEH. TTT1.E GO~'~IiYMNG OWNER. ';.--" '" OFCECEASEO CI\'NEH G HIS CR HER HEiRS CR ESTllTE. u_ O.:F BLCCK is CHECKED. L.."TE ANO' ATTACH FCAM MV.'L MESSENGER:~~r~I1'~' ; '_' .::!; .' .~fj'l ' ";"'~ '::3,,(4'1 "'~"". lf~~ral 3008 0006 ,766 Y 101 SOUTH GEORGE STREET POBOX 1506B .. YORK, PA 11405,,00B ST4T5~ENT OF 4CCOUNTS 090-'353056 STATEMENT PERIOD FROM THROUGH ll-16-9~ 12.-15-96 PAGe 1 OF : ., M ACRIAN M GeNEVESE (JT/WROS) T Ai'1MY L KUML::q 208 SENAT5 AVE APT 1114 CAMP HILL PA 17011-2322 o ::NCLCSURES ~ VALUE PLUS CH:.CKING PR::VICUS DEPOSITS/ STAT:MENT eALANCE CREDITS 648.98 1 .19 CHECKS/ DEBITS ACCOU~T: 090-353056 SERVICE 3 F"ES 649.17 .00 5:-l!)I~G 2ALANCE .00 PAl:> THIS Y::AR ACCCUNT/INTE~EST INFOR~ATIJN 52.43 FED TAX WITHHELD THIS YEAR .oc DATE ACT!VITY DESCRIPTION R:F::~ENCE DEPOSITS/ CHECKS/ Cil.:DITS D"BITS 11-16 BEGINNING BALANC" 11-20 CHECK 192 0015800::600 11....04- 11-20 CHECK 193 0015500::610 68.15 11-22 INTEREST CREDIT .17 11-22 CLOSING TRANS4CTICN 00547000150 466.98 12-15 :'IDING B4LANCE B4LMICE 643.98 4-66.19 .00 .00 CHECK NO 192 TCTAL NUMBER OF CHECKS CHecK * INDICATES SKIP AMOUNT 114. C4 2 SU:-1MARY IN CHEC~ ~IU'~'1::U CH"C:< NO 193 TCTAL AMCUNT OF CHECKS A!~GUNT 68.15 182.19 ANNUAL PERCENTAGE YIELD "ARNED DISCLOSUR5 Fil.CM ANNUAL PERCENTAG: YIELD EA~N5~ 4V"RAGE DAILY CCLL=CTE~ BALANCE !NTER:ST EARN"D 11-1(;-96 THROUGH 1. 98 ~ SSS.'!5 .19 12-:5-:;-:' u* .........*************..*..***.**.............*********.*... * I~PORTANT TAX INFORMATICN * * FORM 1098 FOR MORTGAGE ACCOUNTS WILL BE M4ILED THE WEEK * * OF JANUARY 15,1997. * * * * FOR~ 1099/1098 FOR DEPOSIT ACCOUNTS OR CONSUMER LOANS * * WILL BE MAILED THE WEEK OF JANUARY 22,1997. * ************************************************************ . -. -. ..-.....' . REV. l$nn.i1-UI SCHEDULE H FUNERAL EXPENSES, COMMONWEALTH OF PENNSYl'lANIA ADMI~IISTRATIVE COSTS AND INHERITANCE TAX RETURN RESIDENT DECEDENT MISCELLANEOUS EXPENSES Pleaso Pllnt or TVpo ESTATE OF FILE NUMBER ADRIAN M GENEVESE 121-1996-880 ITEM OESCRIPTlON AMOUNT NO, A. Funeral Expense5: SULLIVAN FUNERAL HOME 5,747.00 - . - B, Admmlstratlve Costs: 1. Personal Represenl311ve COmtnlSS10nS Social SecUrity Number 01 Personal Represenlilllvc: - - Year Commissions pmd 2. Attornev Foes 3. Famtv Exemption Claiman1 RelatlonsM:I Address 01 Cti:uman1 a1 decedent's death Slreet Address City State Zip Code 4, Probale Fce3 91.00 C. Miscellaneous Expenses: EATH CERTIFICATES 20.00 HORT CERTIFICATES 12.00 HE PARTIOT NEWS - ESTATE ADVERTISING 114.04 & R BLOCK PREMIUM 1996 FINAL RETURN 126.00 & R BLOCK PREMIUM INHERITANCE TAX RETURN 500.00 r"PARTMENT CLEANING & MOVING 200.00 TOTAL (Also cntflf an line 9. RecapItulatIOn) S 6,810.04 (II more space I!J needcd, msert addItional sMels at samo 5120.) COllYIIgh1 Clutl..' M."o..,.ttm. Inl;" WullInQIO", D,C., 19,)~ , .,.. '. .~. ',"'" , .',..". r-._...........__....'li...Jt,M~~~.....i~"'''J.,.I'j.N..lJ'.;.ii'....\..r..:..~t"'!J:....~Tf~.lri'l..H........~D:~~\'~;-'O-:.:. '~REFEAENCE NO. ':::.':.:>\ 'CU\SS.,-;::.START DAII::'!....-;....,IOP1lA~.l<:rlMES,' .i' ::.~:.1S1ZE......;..:~.$.\-l;.,~.AO AMOUr< I. .....:,~..~. ~~;'I~'J1131~ 'Tt~~:1110IZZI'l6 11111/05/96 rI:=Jll..ooIN I~'~l$ 113.04 V";: ,,~~... . ,.."......,. "t;l"I"",,'!lo .....;h:-t...:;..~...._'h....I.,.;..... . -,"< .....:,'d..". ...~,.~.,:.:._.. '. ~T' '. , .. . ... ... . , .... ',. ..~_:..;s-.=.T.:...:....._:"';~i!~,.:;:...:A.u:"''}:r;}'/;1;{.!lIl''m ~:BOXOHARGE'.\T. ~I~.:l.dn~:''': '.' ::. ;':'~' . :. . .- '"r~~'; ; c.... . .,..,,,~. ";':l..~~?~;..: 1~.:.i~~AVrrC~~~.,~:~:~:~.1.~:,::;.:.~. '. ... .' '. SUS IE 3AR LUP .:~17.~1.r5' :;'.!.:hl';~'" ~iI:~I' ~HWl'::!'~ ~'~i;:l/.~l_~OO .. ~O' SE'~AT': AV= .1114 ,i )...1tlr~.' .If ',':"':~I!i~ ..h.... '\T d;.Yln'i+::-.~~l., ,._'\11"'.:' ~ 0 I -'. P' 17011 ''''" :oj...."'.; . I .~ATTENT10NGETTER"nI'Yr ".,ro" CA'IP HILL " ".:" .';" ';." ".. .............. .."" l. -.....,.~ , ;,bi;3!;.>U'...lt ^~ :::. ~,1;:;'~i\r,.l'" Str..~~:, l~'t.hit ~!!.\'. ~'~. :IDa rr:; ~~....~:::;bEB1TMeMO:i 1....1 ~: ~~ \:r~","~,,\.'{ :-::;"~'j :1-::-: ?,1~!"~;~,":: ;_3 _'''I. ~~'.:;- -::- ~ - .,~t";:~ !:":' " . .~.":-::":r.''''i.:F.l:, :...:~;.:.~;....: ,~..:. .'CREOtTMEMO .. _.~ 'r~:.'" ..: .~ ".;: "J ....AcCaUr-rT NAME I ';US!: ~HLU!' I ::st.H:: . ~ ,- . ACCOUr-rT NO. I 73210405$US OESCRIPTlON OA TAG UNE Copy of Notice or Publlcatlun Estate Notices 'I"" No"ct LlttIn TntamentorY 'n IN EIfott of Adtlon Mnn GeM\tt'M. IOtt 01 city of Mecf'IOnlc.sourll. PA. CUmberland County,lIcrvl", bMn oranltd to tht unCItrtlentd. all oenons lnotbted to 11'10 IQld "tete are reaulred 11:1 mot, ImrMCJlcrtt DQYmtn' onG thoM hcNlMl Claims or OIrnotIdI to pr,..nlltle tomlwtlttOlltdlk2y tor.."I.ment to: S",I,'lII1u, '", .... ". . ..ucvtrtx 21>> s.nott AWl. .m. (am. Hili. PA 171111 OISCOUr-rTS " . ~ .:... t':_ AOVANCE PAYMEr-rT ..................-.... ." ~'I$ 114.04 'JF' Gc~::V E S:: TE~~SI DUE UPON ~ECEIPT , ..-...~.~..~.~:.:.~~.~.:~tl~{n1.~~............................................. N9Y.!?~;;:~ and sUbi~~~e~" be~o:e m~Ifit79.~.h......day of .T~-;;.;.~:.~s;l. N~~~;~IiC .f~~J;;bii~"" . . Harrisl1urg, OaU\lhlO Counry My com ~1lIrpISIC5 EllllcasJu...G..:~8.. .............. Statemen'fOrAilViniSiiig Costs S).l:;.i.~...B~r.l).lg........................................................... cal!'.P....gJJ.t:.,.......I?~.........b.?9JJ............................... To THE PATRIOT-NEWS CO., Dr. For publishing the notice or publication attached hereto on the above stated dates - $.......}.~.~..~.?~.... P b . $ 1. 00 ro atlng same ............................ 114.04 Total $............................ Publishers Receipt for Advertising Costs THE PATRIOT.NEWS CO., publisher of THE PATRIOT and THE EVE}lI}lG }lEWS and the SUNDA Y P ATRIOT.NEWS, newspapers of general circulation, hereby acknowledge receipt of the aforesaid notice and publication costs and certifies that the same have been duly paid. THE PATRIOT.NEWS CO. Ry ..................................................................................... rz1 ~::: (f.l M 0 ~ M ~ rz1 .; Z o.l'l; ~ I'l; P, t1l . ~:3 .H t1l:I: ~p, ~~ UlU ~ ~ ~ ~ (Xl o N co o o o o J.t1 o <l' <l' 1 .. r- C"l r- 1 r- M r- .. tIj 1-1 ::I m+l ~~ Z +l ~ m !::: 0 om~ ;j~QJ 4-l l\1 e olllg \0 0\ . o o \0 1'1 M QJ 1Il QJ QJ t1.QJ t1. :J I:: I:: o 01 ::l ..-4 I:: 0 :J..-4" U nlM 1Il 1Il 1-<..-4 QJ ..-4 nlt1.QJ Cl 0. t1. , QJ U ..lIl 1-<'.-4'" W XC>l P;CM I-<nlC>l o C>l QJ E-o t1. C I-< "U I-<:JQJI-< 1Il..:l ::lUWQJWQJ.o: WQJnl.!::......E-o QJ...W:J..-4nlO ~C>llllO~lIlE-< >0 I:: C>l I-< ...:l ::l C>l W C>l QJ Cl ~ ~ ~ 'r- MOIl-< 0'0 CO r- ..-4 0'1-< ONP; QJ E QJ nl 0. .. QJ Z.. ';>.QJo...lIl ,QJ E-<o.';>.QJI-< I-< :J :>'E-< 0.>0 QJ nl C E-< :>, ~ Cl I-< I:: E-< :>, ::lC Be~E'i:j z 0 QJ..-4 wI-< nl ..-4 ~t1. QJ'.-41-< I-<W ~t1.1-< QJ nl ..t1.t1. nl I-<I-<QJ..:l...:lt1.t1.~ nlnlUC>lr.l..:l..:l 0. 0.1-< r.l C>l X QJQJ::lClCl nl 1-<1-<0r.lC>lE-<E-oE-< P;P;lIlt1.t1.lIllll. M M M CO Ul CO 01 , M o , <l' Ul , , M r- 01 M QJ QJ 1Il 1Il ::l ::l .. 0 .. 0 ..p; o...p; 0. ZE-<lIli:llE-olll III 0 III Cl o o \0 1'1 M I " , 1 , I , , 1 , I I nl U o ...:l QJ W nl W III '0 ... E-< I QJ III II.!:: II.!:: II ~ I II ..-4'.-4 QJ II ~'Ol-< II QJ nl II 1Il:;: U II QJ II X II nl II E-< II II III II II III II II II ... II nl II I-< II QJ II '0 II QJ II t1. II II \0 01 Z o H ~ ~ o t.. Z H III I ..-4 QJ '01-< QJ nl :;:U 1'1 III , ~ :;:1Il ~ QJ QJ 1Il o O1W 1Il t.. nl nl 0 ~WI-< II lIl~ II II II E-< II III I ... nl <l'1I I-< lIlM II QJ 1Il r- II 'OOCOII QJ I-< II I t..~ II II II II II III II 'E-< II E-< II II II II II r.l II U II H II :> II ~ II C>l II III II II ...:l II H II :> II QJH II UU II I-< II ::l Cl II 0C>l II lilt.. II II II II II II II II II II II II II II II II II II:I: II "' II II ~ II II II II 0. II 1I::l II II ~ II II U II II nl II II i:ll II II II II W II II 1Il II 1I::l II 11-,..., II II '0 II 11.0: II II II II W II II 0. II II E II II QJ II II X II C>l II 0' II o X II <l' nl II *W II C II ZO .o:Z - - E-< II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II lIllllNII lIllllUlII r.l 0 II ..:ll-< II ~ II C>l II :;: II o U ZQJ Ho. E-< ?:~ III r.l ~I-J r.l' E-<lIlE-< Z' HE-< II II II II II II II II II II II II II II II II II II II II II II II II ..:l II .0: II 0:: II r.l II Cl II r.l II t.. II I-< II QJ:<: II :>,~ II nlO IIP;>O II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II II Z o H ~ ~ o t.. Z H ..:l .0: Z o H E-< H Cl ~ II II II II II 0 II 0 II 0 II II r- II 01 II 11M II II ., II C II 0 II '.-4 II 1Il II I-< II QJ II :> II II QJ II I-< II nl II ~ II :J "'" II 0 II 1Il II 11M II nl II I-< II QJ 11'0 II QJ II t.. .. , ',':',,'." ,"". .", ' " Ii. 0 C . PREMIUM .... ,,' DATE':-"O'S ~iii: i997' ESTATE OF ADRIAN M. GENEVESE NOMA SUE BARLUP, EXECUTRIX 208 SENATE AVENUE APT 1114 CAMP HILL, PA 17011 For professional Services Rendered: . . FOR THE PREPARATION OF THE INHERITANCE TAX RETURN TOTAL FEE.............. $ RECEIVED ON ACCOUNT.... $ AMOUNT DUE...... ....... $ 500.00 0.00 500.00 OM. Libtrty Squarr 4811 J.nm"vn Road Suitt 126 HarriJ6urg, PII 17109 (7171 6S7.03 16 . REV- UUU.I'.'UI SCHEDULE I COMMONW(Al ftt OF PENN5YlVMflA DEBTS OF DECEDENT. INt-,(nlrANC[ T... R[fUIH, RE510tNr DECEDENr MORTGAGE LIABILITIES AND LIENS PIllR511 Pnnl or Tvpo ESTATE OF FILE NUMBER ADRIAN M. GENEVESE 1'1996-880 ITEM ... CESCRIPTlml AMOUtlT NO. !PERSONAL LOAN , WALTER FRAKER SR 7,867.91 SIGNET BANK 7,001.33 HASE VISA 3,298.57 EERLESS CREDIT 2,660.00 ELL OF PA 23.27 EARS 903.77 Jp & L 68.15 . TOTAL (Also enter on line 10. ROC.1pltulallon) $ 21,823.00 (II mora spaco i3 ncoded, mscr1 addlllonal sheots 01 S.1mo SIZO.) cllPy'''~ht Ct..t,v. M,CtOlyI1.mllnc.. WUPllnlllon. D.C.. 199!!1 . , I I .1 ':.j ..... ... ',:! ~~~ I -ara PO. BOX 555 COLUMBUG 01143210 ACCOUI1I Numhor: Billing dalo: 0558810137031 Navomhor 22, 1990 ~~...~:::-r""'-::--\ . 00:': " . .. I ... ACCOUNT'SUMMARY ':.. '."'iI, ~ {rjl~1 .__._...__..___...,#., . I.. Provloll' halanco $888.23 Pavmonl, & crodll. 0,00 Purchaso. . 0,00 Otho, chargo. . 0,00 FINANCE CHARGE. 15,54 Now halanco S903.77 1",111",111".,1.1"1,1"1"1,1,,1,11,,,1,,1,11,,,1,1,,,11,1 ADRIA" M GE"EVESE 1065 ALLE"DALE ROAD APT J MECHA"ICSBG PA 17055-4464 , Schodlllod payrnon!: $22,00 - ...._._.- .-- .-...........-. --.......-..- Minimum due: $2.00 Duo dalo: December 21, 1996 HELPFUL INFORMATION Avallahlo Crod!!: S4,304 II tho amounl 01 Available Credit I. not sllfficlenl. or you havo a quoslion, call: 1.800.347.8414 M. S 9.9, SUN 12.5 ET Mail any hilling error nolices to: P.O. BOX 8 BOISE 10 83707.0008 Pleaso Include your account number with any corrospondence. TIMEL V OFFERS FROM SEARSI Call1.800.733.STYLE lor YOllr neare,t HomeLife Fllrnitllro Slore. ...s> 'II.?/ ~ ~ .... SEARS BONUS CLUB Great Newsl Now the Sears Bonus Club pays you back In monoy-savlng certificates every lime your Sears account pllrchases build up to $3000r more. Vou need oRly $57.48 more In charges to earn your bonus. II pays to shop at Searsl FINANCE CHARGE SCHEDULE ANNUAL PERCENTAGE RATE 21.0% Monthly Average FINANCE Periodic Dally OHARGE Rale Balanco 1.75% $888,23 $15.54 Total S15.54 Sears Nalional Bank Averago Dally Balance over $0,00 NOTE: See other side lor important inlormation 1-- ,- -- --""----=------=--=--=--=--=--=--=--=--=- -=-~-.~~~~~~~ I g Tear off and malllhis cOllpon with YOlll paymenl in 'APRiAN r;'Lci~I'iEVE~E ','/': ':./:;:,:;: . :::: Iho enclo~ed envelope. YOllr paymenl mllsl arrive Account Number: 05 5881 D 13703 1 ! ~ by Ihe dlle date to avoid additionallinance ch"gos. Billing dale: Octobor 22. t998 Make check payable to Sears and il1c1ucto your accollnl nllmber on Ihe check. 8414 I New balance: S888.23 Minimum due: SO.OO .".:~:,::',:-:~: .-~;'\-;,. ..,. ..... ," ':-"'~L~.."'f". 'f ~ ~!-._~.I:... ,oJ, ","0 : _.'... ..,l.1+.~.~..:"i..~,"""",,,,,,,, ., Due date,: :; :',~=-:-. ",No)lemb~r .2J:,1.9!l6 ~' 1,1"1.,1111I1,1,"111"1".1,1,,,11,1,,11.1.,,11,,1 SEARS PAVMENT CENTER P. O. BOX 182149 COLUMBUS OH 43218.2149 Amount Paid $ Address change? Check in box below and write your new address on 'he back. P0558810137031 88823 2200 2500 - ..../ . . CITIBAN<C 4003163069:3200000000000056135 ....11I.......,..,... ~~~'r~..-.. 4128 0031 6306 9332 SEP 13 1996 CREDIT II II II II LEUIITI "''''''-'' Ywl...........Iy. ....1bte'........,... .."-,..,........0... 1436535 VI 00 00A0604 R2010033 1",111",111""..11..,11"1.1,,11,,,,111,,1,11.,,1,,1,1,,1,1 ADRIAN H GENEVESE 200 SENATE AVE APT 303 CAHP NILL PA 17011-2310 CITIDAtlK P.O. BOX 1747 HAGERSTOHtl. MD US4 21748-1747 1"1,1",111",1,1"11,;1",,111,,,1,1,.11,,,11,1,,1 NI'" H,., ,....... Hill 1Iot,I"n. 'h.". 'l.... .rlnt .1'I.tllI II ..,ru. If' ,1'1.". "Uti" n.... eitibank Visa Wllh NO ANNUAL FEE Account Number 4128 0031 6306 9332 PAYHENT DUE DATE 09/13/96 Slalement/Closlng Dale Total Credit Uno Cash Advance Limit New Balance 08/20/96 $1000 $100 $10.00- fol CUllom., S'''''ICI. e.11 Of ....111. 800 -9 5 0 - 5114 BOX 6500 SIOUX FALLS. SO 57117 Available Credit Une $1000 \"l'tJOI',~..tllI1I..,... 'lI......"....~.... "CtDt9_wtrU'"1"f' Available Cash Urnlt nOD "1 . Sa" Dlte ., Poll Dlte ~ "-'."nc. NumbW Acth'lCy Sinn la.1 S~llfMnl Amount .. Our records show home phone 717-763-4999 and business phone 000-000-0000. Please update above coupon if incorrect. llllll llllll llllll Your account it to offset tlo Payment Required has a credit balance. future purchases. llllll llllll llllll You may use - YOU ARE EtlTITlED TO AN ADDITIOtlAL CARD ON THIS ACCOUNT AT NO EXTRA COST! Hhen you give someone in your family an additional Citibank card. you give them access to the credit line on your account! Call us at 1-800-950-5114 for details. FOR YOUR PROTECTION...Do not reveal your account number to unknown individuals over the phone. In addition. only provide Mother's Maiden Name/Password if you initiate the call. This will help prevent anyone from using your account fraudulently. PrC'oIOUS B.11:mco I "I PufCh.1~CS I-} P.Jymenls I (-l Credits & AdvOlncCS 1(+IFINANCE,I"Il..11C CHAROe Cho'\;c' Amour'll eu. t.I~~N8Jbrce PO.rt.'\.ntS~C\;t ""'-wet l4nrlVIl n. AI'!'OIIItOvttCrfOlltlf .... -10.00 PutOA -10.00 ",""",".\lIWlIo... Ar:count SUmm.ry . PurCh.l!!le, M3nces -10.00 TeI., -10,00 Ralt! SumrNfY '~cld3y't","e.ft~~OO 32 Purchases Advances a.'bn:o Sl.b1Kt to F .".mcll Ch3r;cI ~IOdcRa"I~.l.'11l'tyolo1..nt>t~1 ~bTWIat Atnal ~('rI~ nOlle ANNUAL PERCENTAGE RATE I J,7080? 17 .650? 17 .650? . 04836? 17.650? 17.650? SEND PAYHENTS TO. CITIBANK P.O. OOX 1747 HAGERSTOWN. HD 21740-1747 143653S /'-/~"// .') .-1 / . BUREAU OF INOIVIOUAL TAXES IHUUUlAHtL fAIt DIVISION DlPI. leOIlOI IlARRnaURa, III 111:"8'0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INIlERITANCE TAX APPRAISEMENT. ALLOWANCE OR OISALLOWANCE OF OEOUCTIONS ANO ASSESSMENT OF TAX NOMA SUE BARLUP APT 1114 208 SENATE AVE CAMP HILL DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN PA 17011 1- 10-13-97 FRAKER 10-03-96 21 96-0880 CUMBERLAND 101 AMount Renitted ,- [~ ,*' l'f,\"'I1I1'III..11 WALTER M MAKE CHECK PAYABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETUN LOWER PORTION FOR YOUR RECORDS ~ ifiv:E;'4i-Ex-AFP-fiii"':9'fi-iioricEnoF-YNHEiiiiAN-cE-i'jiiniPPR'AisEHiNT-,--Ai.i.-OWANCE-OJi-m_m_m__m DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF FRAKER WALTER M FILE NO. 21 96-0880 ACN 101 DATE 10-13-97 TAX RETURN NAS, I X J ACCEPTEO AS FILEO RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN I. Rod Est.lo ISchodulo AJ (lJ 2. stockl.and Bondi (Schedule 8) (2) 3. Closely Held stock/Partnership Intera.t (Schedule C) (5) 4. Hortg.g../Hat.. Receivable (Schedule DJ (4) 5. C..h/Sank Deposita/Hilc. Parlonal Property (Schedul. EJ IS) 6. Jointly Owned Property (Schedul. fJ (6) 7. Transfars (Schedule OJ (7) &. Total AI..t. APPROVED DEDUCTIONS AND EXEMPTIONS: 9. funeral Expans.,/Ada. COltl/HiIC. Expans.. (Schedule H) (9) 10. Oobls/Horlgogo LlobIIIII*s/Llons ISchoduIo IJ IIDJ 11. Total Deduction. 12. Hat Valu. of Tax R.turn 13. Ch.rlt.bl./GoY.r~.nt.l Bequa.t. (Schedul. J) 14. Hat Valu. of Elt.l. Subject to Tax J CHANGEO .00 .00 .00 .00 11.615.55 .00 .00 laJ 6.810.04 21,823.00 Illl 1l2l 1l3J 1l4J NOTE: To in sura proper credit to your account, subll!! the upper portion of thi. forn with your tax paYllant. 11.615.55 ;>R.~:n 04 17.017.49- .00 17.017.49- If an assessment was issued previously, lines 14, 15 and/or 16, 17 and 18 will reflect figures that include the total of ~ returns assessed to date. ASSESSMENT OF TAXI 15. Anou"t of Lin. 14 at Spousal rat. (15) 16. A.aunt of Lin. 14 taxabl. at Lin..I/Cla.1 A rat. (16) 17. A.aunt of Line 14 taxable at Collat.ral/Cla'l Brat. (17) 18. Principal Tax Dua NOTEI TAX CREDITS: PAYHENT OATE RECEIPT NUHBER OISCOUNT 1+) INTEREST/PEN PAlO I-J .00 X .00= .00 X .06= .00 X .15= IlBJ AHOUNT PAlO TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE .00 .00 .00 .00 .00 .00 .00 .00 . IF PAlO AFTER OATE INOICATEO. SEE REVERSE FOR CALCULATION OF AOOITIONAL INTEREST. IF TOTAL OUE IS LESS THAN '1, NO PAYHENT IS REQUIREO. IF TOTAL OUE IS REFLECTEO AS A "CREOn" ICRJ. YOU HAY BE DUE A REFUNO. SEE REVERSE SlOE OF THIS FORH FOR INSTRUCTIONS.l 'pa,.,n3'" aq l'n. l..J"UI ,.ualll~ "'I,ON ~l uo ~. allp ualll'~o' ,"J',u, ~, J'". ep.. 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IUlPI'IIP 1141 'a "IJ"'I,.uaq (I.J"'1103) ; "'1) a' IUe.AOrU. .10 uOI.....ad uI P'''J'''UIJl .1 .,.,.. .41 ul ~'.JIIIU( .Jnln, Aua 'I .. l'61 'll J.qal'.O 'Ja,.q .10 uo DUIAp 'IU.p.3.p '0 '11111'] 'HOI1.^~]S3t( .. , j ~ j1 rdl- /776" fYO ~~ o;j tfjjZ-~, STATUS REPORT UNDER RULE 6.12 Name of Decedent: ,r::,"a /<( r IJrd r~ r fY? 'l) r... Date of Death: /()- 7- 9 h n' 0 Y '8 0 . ) Ll ~ . Will No. /991- tJ 0 X''(''O - 'P/},/voq-dmin. No. pursuant to Rule 6.12 of the Supreme Court Orphftns' Court Rules, I report the following with respoct to completion or the administration of the above-captioned ostatel 1. State whether administration or tho estftte in complete: yes+ No 2. If the answer is No, state whon the pornonal representative reasonably believes that the administration will be complete: 3. If the answer to No. I is Yes, state tho [ollowing: a. Did the pe~na1 representative account with the Court? Yes No_____, b. The separate Orphans' C,,\lrt No. the personal representative's account is: [Ue a Cinal (it any) [or c. Did the personal representative state an account informally to the parties in interpst? Yes~ No d. Copies of receipts, releases, 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. l Date: 7' LI - 99 :J/fL~ xl ;JcvJ!..-A? Si:gnature T- F4t:. tv$ ~ fiP-r~d flJDd1C, S, 'j?nr L....,/ '. 11 _ /!, // If Name (P 1p.aso type or print') ~ \...:.~ (Y;-, fl' . .;lu g_55:J)("/ t' /) V l' - /11 yJ 7- 3- 9 7 C.o~~_;t<>l. Addrf!SflCq ""1.1 II. L(, e", 170 II U/.!:L.73:J..:--'LY'o .~ '1',,1. N..1. C,lp,!<'lty: ._?_pnrflonal Representative __Co\lnnol (or personal .."pronontative (MAH: rmfl AM))