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PETITION Fon pnOnATE and GI{ANT OF LETTEnS
Es/ale 01 3,,1-1-J,.,. .:r-'___C.I~~~~'__ No, __<21-= qJ..!1-=-j_0~
a/so kno wn as
To:
_____ ,____ ___ Registcr of Wills fl1r ~IC /
__.____._.. /J('C('tHt~ll. COUIlI)' of ('....... hoJ." ...4r. in the
Sodal Security No. ,. (/ ~-. u 7 - .:!l.~_'__t.__ Commonwealth of Pennsylvania
Thc pClition of thc lIndersigncd rcspeClflllly 'cprescnls thai:
Your pctitilltlcrC4. who is/arc IN Yl',US of ilgc..'ur olqcr an,!.!H: cxcCUL~'"
in thc last will of the abovc ~cedelll, daled __~:.L- S - 7_'
and codicil(s) dalcd I' _____________________
namcd
,19 :;.s-
(\laIC rdc\;ull ,ircI1111\Ian'~',. C.l!. fCl1unci;uiun. death of e'C'ClihJr. ('tc.)
Dcccndcnt was d?rnicikd al death i!l (' v.,I,,,:)",! ' -r:-:- _ County, PcnnsYlvania,.w,~ /.,..)'
tt t'r last fanllly or pnn":lpal residence at _..::: g t: Sf" "" r~ ..,,~ C ""p H. '1/, (/"-l( 4,u
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(li,1 \Im:l, number .11111 munclpahl~)
Dcccnd~nl,th~n , ;?~- Yc,tr\Ofag~,died~::::.,I,~.-.?,. ,19 '7~
at I~-]I ~)';f't- /1"","""1. '''.'1' 1"../1, I"'~
Except as follows, dcccdcnt did nOllllarrl', was nol divorced and dill. not havc a child born or adopted
aftcr cxcclltion of lhc will offcrcd for probatc; was not thc victilllof a killing and was ncvcr adjudicated
incompclcnt: /01 /i
Dcccndcnt at dcath owncd propcrlY wilh cstimalcd valllcs as follo"s:
(If domicilcd in Pa.) 1\11 pcrsonalpropcrlY
(If not domicilcd in Pa.) PcrsonalpropcrlY in Pcnnsylvania
(If not domicilcd in Pa.) Pcrsonal propCrlY in COllnty
Vallie of rcal cst ate in Pcnmvlvania
situatcd as follows: . IV /}
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WHEREFORE, pctitionl'rN respectflllly rcqllest(s) ~yrobalc of Ihc last will and codicil(s)
p"scntcd hercwith and thc gralll 111' Iellcrs-l' ", f'fv'
tlr'\IJmCnlar); aJl1IimHrJlil)ll ":.1.01.; Jdminim;uion d,b.n.c.1.3.)
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OATH OF PEI{SONAL REPRESENTATIVE
COMMONWEALTII OF I'ENNJ;YLVANIA l.,
COUNTY OF .-!.::-" 1, ~, J~"r/ J ",;
Thc pctilioncr(sl ahovc-named sweart'l or aflirml') Ih:llthc 'talemcnls in thc forcgoing petition arc
IrllC and correct 10 thc hesl of ,hc .n,'" Iedgc ;IIlJ helief of pClilioncr(s) and that as pcrsonal rcprcscn.
lalivc(s) of rhc abo,e de,'cdcnl petilionerl\) will wcll anJ trllly adminislcr thc cslatc according to law.
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Sworn 10 or affirmcd and sllbscribed ['
bcforc mc lhi> __~_~-_ da~ 01
7X) ~.r:..'l;Zj---~-(f..--\ 1.'k-'t~4i~ .
(:t.~l.ur.u-f!- \-J'.,..!lLU~1ik(1
~'l\llV Ie LEW I S R,'g'J/dr IL:
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to my son, Leonard I. Bddo~s.
&1' [,. 6. In the udminiotrution oJ.: my estate, my Fiduciaries
shall have the following powers in uddition to such powers as
they may have by law:
(a) to invest any funds of my estate in any stocks,
bonds, notes or other securities, or property,
real or personal, notwithstanding that such
investments may not be of a character allowed
to fiduciaries by statute or general rule of
law.
(b) to sell or otherwise dispose of any property,
real or personal, at any time forming a part of
My estate, for cash or upon credit, in such
manner and on such terms and conditions as they
may deem best, and no persons dealing with them
shall be bound to see to the application of
any monies paid.
(c) to manage, operate, repair, improve, mortgage or
lease for any term any real estate at any time
held or owned by my estate.
(d) to borrow money for the payment of taxes or for
any other proper purpose in the administration of
my estate.
(e) to distribute in cash or in kind, upon any division
or distribution of my estate.
(f) in general, to exercise all powers in the manage-
ment of my estate, which any individual could
exercise in the management of similar property he
owned in his olm right, upon such terms and con-
ditions as to them may seem best, and to execute
and deliver all instruments and to do all acts they
may deem necessary or proper to curry out the
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purpose of this will.
7. tlo interest of any beneficiary of my estate shall be
subject to anticipation or to pledge, assignment, sale or trans-
fer in uny manner, nor shall any such beneficiary have the power in
any manner to charge or encumber hi!! or her interest, either in
income or principal, nor shall the inter.est of any such beneficiary
be liable or subject in any manner while in the possession of the
executor, trustee, or guardiun for the liability of such beneficiary,
whether such liability arises from his or her death, contracts,
torts or engagements of any type.
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IN WITNESS ImEREOF, I, the said BERTHA I. EDD01~, herewith
set my hand to this my last Will, typewritten on three (3) sheets of
paper, including the attestation clause and signatures of witnesses,
upon each one of \~hich I have also written my name this 7- :,;'i!! day
of J,\t'I~'\P..1 , 1975.
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On the .. day of .....)...~N< - , 1975 Dertha I. Eddo'1.s,
declared to us, the undersigned, that the foregoing instrument
was her last Will, and she requested us to act as witnesses to
the same and to her signature thereon. She thereupon signed said
Hill in our presence, we being present at the same time. \~e now,
at her request, in her presence and in the presence of each of
us, hereby subscribe our names as witnesses. Each of us further
declares that he believes this testatrix to be of sound mind
and memory.
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CERTIFICATION OF NOTICE UNDgH HULE 5, (j (a)
Name of Decedent: ~?('; //,~ -/. E rI/.-"''''5
Date of Death: /Vol.. pJ" I.~)- 9' /7:10
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Will No,
J ~~& - 0(;> '73;/
Admin, N.).
To the Register:
I certify that notice of beneficial interest required by
Rule 5,6(a) of the Orphans' Court I~ules was served on or mailed to
the following beneficiaries of the abov(~-captioned estate on
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Name
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Address
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Notice has now been given to all persons entitled thereto under
Rule 5,6(a) except
Date:
3-3-~'7
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Signature
Name L t" u4"'1,//l./C'--/~;~""':::
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Telephonej?/l) '/3-{- '7/7r;
Capacity: V Personal Representative
Counsel for personal
representative
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(OMMONWfAlltl Of PIHN~Y1"'M~'A
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.iAUI~eUIIG. 'A 111180601
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
FOR DATES OF OIAIH AmR 12/31/91 CHICK HIRI
IF A SPOUSAL '
POVIRTY CRIOII IS CLAIMID II
FIll NUMBIR ,,;' I c,' (., . {) '/'3'1
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COUNTY caul
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NUMBER
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('1\,,,'; Hill. I'll 'lDII
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~ ~ I. Original Return ! 2 Supplemflntnl Retlurn
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l.tn Fulur6 Inletrolt Compromiul
(fol dolln 01 dealh offer 12.12.B2)
Decetdent Dilld Tellole 1 7. Docedent MainloiMd 0 li~,ng TfU\1
IAnach copy 01 Will) IAlloch copy of Trull)
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO.
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Remainder Return
If Of dolol of deolh prior to 12.13.82)
j 5 Fedelal Ellote Tall Relufn Required
_ 8 Tolol Numbllr 01 Safe Deposil BouI
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Real Ellalll (Schedulll A)
SloCkl and Bond, ISchedule 81
Closely Held Slod/Patlnenhip Inlerel' (Schedule C)
Mortgagll' and NOI"l Receivoble (Schedule 0)
COlh, Bonk Cepelill & MiuolloneouI Penonol Properly
(Schedule E)
Jointly Owned Property (Schedule FI
Tran\fe'I (Schedule GI (SchlldulllL)
T 0101 Gran Aneh llolallinel 1.71
Funeral Etcpen\lIl. Admini~trati...e COlh, MilCeUaneOu\
E...penlel (Schedule H)
Debts, Mortgage liobililiel_ liens (Schedule II
Tolol Deductions (loloIUne, q & 10)
NlIt Value of hlole (line 8 minul Line II)
Charilable and Govefnmenlal Sequel" (Schedule J)
Net Value Subject 10 To_x lline 12 minu., Line 131
Spoulol Transfers (for doles 01 deolh oher 6.30.9.t)
See InSlructions for Ar,plicoble Percenlogo on Re~elle
Side. (Include ~alue\ rom Schedule K or Schedule M)
Amount 01 Line 1.t ta.able at 6% role
(Include ~oluel from Schedule K or Schedule M.)
Amounl 01 Line 14 ta.able at 1.5% role
(Include values from Schedule K or Schedule M.I
Prindpalta. due (Add 10. from Linel 15, 16 and 17.)
Credili Spaulal Poverly Credit Prior Payments
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II Line 19 is grealer than Line 18, entllr the difference on line 20.
IJID
If line 18 is greater than Line 19, enlef Ihe dillflrence on Line 21 This i\ Iho TAX DUE.
A. Enler the inlerel' on Ihe balance due on Line 21A
B. Entllr the 10101 of Line 21 and 21A on linll 218. Thi\ is Ihe BALANCE DUE.
Mak. Ch.el.: Payabl. 101_ R.gl"" o~ WI~Is, Ag.n.
Check hero If you are requesllng a refund of your overpayment.
Ih;,;, ,ho OVERPAYMENI.
(21)
(2IA)
(21B)
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~ ~ BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH ~-<
Under penoltiel of perjury, I declare Ihat 1 have e.amincd Ihis relurn, including accompanying IChedule\ and \Iolements, and to the best of my knowl~dg;-~~d-belief,
.1 is true, correcl ond complete. I declare thai 011 real eslale ha, been ropofted 01 Hue markel value Dedoralion of preparDr other than Ihe penonal repro'enlotive il
based on aU information of which preparer hOl any knowledgll
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SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
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COMMONWfAUH 0' nNNS'WWANIA
INHIII1ANCI 'AX IIIUIN
aUIDIN' DICIDINT
-
ESTATE OF
_P_loa.oPri~t a,Tyeo
FILE NUMBER
2196-0934
Bertha I. Eddowcs
_,,_ ___ .__~,_.._ .._ __.n ,_ .__....__~
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IAII prop.,lv lolnlly.own.d with lh. Right of Survlvor~lp "'~~t~!._~~!~_~.~_.a.n_~c~~~~_l~_~)m
tTEM
NUMBER
DESCRIPTION
----_.-- --'~-'- -------
VALUE AT
DATE OF DEATH
-..------------
1-
2.
Money Market Account-First Natl Bank of Marysvillc
Checking Account - PNC Bank
Clothing
3.
4. Dishes, glasses, flatware,pots, pans, misc kitchen
items
5. Toaster, Mixer, Chopper, Can opener, Radio, Mops
Broom
6. Bedding, Blankets, Linens, Towels
7. Knick Knacks, & Misc decorative glassware
8. Costume Jewelry
9. Wedding Ring
10. Sewing Machine
11. Misc Furniture: Bed/China Cabinet/Sofa/Chair/Desk/
Bookcase/End table/Lamp/TV Stand/Dining Table & 4
chairs/2 Dressers
12. TV
13. Vacuum
14. Misc foods and Non Perishables
\
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$2,537.60
$4,942.23
$ 50.00
$ 50.00
$ 25.00
$ 25.00
$ 250.00
$ 25.00
$ 500.00
$ 100.00
$ 500.00
$ 50.00
$ 25.00
$ 10.00
TOTAL (Abo enlor on line 5. Rota itulalian) S 9,089.83
(Allot" odrlilionol8'nH l( UH ,heel' if mOl. 'pate j, needed_I
'1\I~'l\ 'I. l~ WI
ESTATE OF
ITEM
NUMBER
A,
B,
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COMMONWlAUU Of P(NN!lYl\o'AUlA
INtHRllAtK( 1,lJ Il(1UR~4
R(!loIOIUI o((lOf~H
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND ,
MISCELLANEOUS EXPENSES, ,I ,.Plea.e Print or Tv_pe
__.__.___J:LE N~;1B::_09 4
,I3,or.t ha.-l._Eddowcs
DESCRIPTtON
AMOUNT
-- ..-.--..... ...._~---'
Funeral Expense"
1.
Myers Funeral Home-
Professional services/Facilities/Equipment/
Automotive Equipment/Merchandise/Flowers!
Opening Grave!Cemetery Equipment/Death Certs.
st. Paul's Evangelical Lutheran Church
Grave plot
Ginrich Memorials
Headstone
Administrative l:ost..
$ 430.00
$ 621.00
N/A
$4,160.00
2.
3.
1.
Personal Representativo Commissions
Social Security Number of Personal Representative:
Year Commissions paid
2.
Allarney Fees
N/A
3.
Family Exemption
Claimant
Address 01 Claimant at decedent's death
Street Address
N/A
Relationship _.
City State __ Zip Code
4. Probate Fees N/A
C. Miscellaneous Expense..
1. N/A
2.
3.
4.
S.
6.
7.
8.
TOTAL (Also enter on line 9, Recapitulation) 55r211.00
(II mare spaco Is neoded, insert additional shee" 01 same size,)
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COMMONWI...llllOr rrm.l'lv...,.I...
INHflnAHCI IoU ,I1UIH
InlDINI DIClDIH1
SCHEDULE J
BENEFICIARIES
FILE NUMBER
2196-0934
ESTATE OF
Bertha I. Eddowes
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
RELATtONSHIP
AMOUNT OR
SHARE OF ESTATE
A. Taxoble Bequtih:
1.
Leonard N. Eddowes
132 E. Shady Lane
Enola, PA 17025
Son
100%
ITEM
NUMBER
NAME AND ADDRESS OF BEN EFt ClARY
AMOUNT OR
SHARE OF ESTATE
B. Charitable and Governmenlal Boqu8lls:
1.
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Aha en'er on line 13. Recopilulo,jon) S
(If moro .poco I. noedod, In.ort additional .hoot. of .amo .110)
,,-,II/a .I!
BUREAU OF INDIVIDUAL TAXES
IHUlRllANer. IAll DIVISION
DlPT. laDfalll
UARRISBURC, PA IIlla'DbOl
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISENENT. ALLOWANCE OR DISALLOWANCE
OF OEDUCTIDNS AND ASSESSNENT DF TAX
(!.
LEONARD N EDDOWES
132 E SHADY LN
ENCLA PA 17025
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
06-23-97
EDDOWES
11-09-96
21 96-0934
CUMBERLAND
101
Allount Renlthd
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1l11h'1I1IJ 111."1
BERTHA
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 ~
rfilj:is4TEinj:puili;f:j17Y"iici'ficEuOF-YNHERiTANCE-TAX-'A-P-PRAisEiiEiii'~--,m.-oiiANCE-ifR----------u---u
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF EDDOWES BERTHA I FILE NO. 21 96-0934 ACN 101 DATE 06-23-97
TAX RETURN WAS: I X) ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..I Est.t. (Schedule AI ell
2. Stocks and Bonds (Schedula 8J (2)
3. Closely Hald stock/PartnershIp Int.r..t (Schedule C) (3)
4. Hartg.g../Not.. Receivable (Schedule DJ (4)
S. Cash/Sank Deposits/Hi.c. Parsonal Property (Schedula EJ IS)
6. Jointly Owned Property (Schedula f) C6J
7. Transfars (Schedul. G) (7)
8. Tot.l As..t.
I CHANGED
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Fun.ral Exp.n..s/Ad~. Costs/Hlsc. Expanse. (Schedul. HI (9)
10. Debts/Hartg.ga liabilitias/Lians ISchedula I) (10)
11. Totd Daductions
12. Hat Valua of Tax R.turn
13. Charitabla/Govarnnantal Saquasts ISchadul. J)
14. Hat Valua of Estata Subjact to Tax
.00
.00
.00
.00
9,089.83
.00
.00
IS)
5,211.00
.00
Ill!
112)
113)
114)
HOTE: To insura propar
cradit to your account,
subnit tha upper portion
of this forn with your
tax paynant.
9,089.83
~.?11 nn
3.878.83
.00
3.878.83
If an assessment was issued previously, lines 14, is and/or 16, 17 and 18 will
reflect figures that include the total of abh returns assessed to date.
ASSESSMENT OF TAX:
15. Anaunt of Lina 14 at Spous.l rat. (15)
16. Anount of lina 14 taxable at Lina.l/Class A r.t. (16)
17. Anount of Lin. 14 taxabl. at Collateral/Class 8 rat. (17)
18. Principal Tax Dua
NOTE:
.00 X .00.
3,878.83 X .06.
.00X.15.
I1S)
TAX CREDITS:
PAYNENT
DATE
03-17-97
DISCDUNT I')
INTEREST/PEN PAID I-I
.00
RECEIPT
NUNSER
AA185271
ANDUNT PAID
232.73
TOTAL TAX CREDIT
BALANCE OF TAX DUEl
INTEREST AND PEN.
TOTAL DUE
.00
232.73
.00
232.73
232.73
.00
.00
.00
. IF PAID AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATIDN OF ADDITIDNAL INTEREST,
I IF TDTAL DUE IS LESS THAN .1. NO PAYNE NT IS REQUIRED.
IF TDTAL DUE IS REFLECTED AS A "CREDIT" ICRI. YDU NAY SE DUE
A REFUND. SEE REVERSE SIDE OF THIS FDRN FOR INSTRUCTIDNS.)
'.it,
. ,
RESERVATION: E.t.t.. of d.c.d.nt. dYing on or b.for. D.c..b.r 12, 1982 .- If any future Int.r..t In the ..tat. I. tran.f.rr.d
In po.....lon or .nJoy..nt to Cia.. a Ccollat.ral) b.n.flclarl.. of the dec'd.nt aft.r the ..plratlon of any ..tat. for
Ilf. or for y.ar., the Co..onw.alth h.r.by ..pr...ly r...rv.. the right to appral.. and ...... tran.f.r Inh.rltanc. Ta...
at thl lawful Cia.. a (collat.ral) ral. on any .uch fulur. Int.r..t.
PURPOSE OF
NOTICE:
To fulfill the r.qulr...nt. of S.ctlon ZI~O of thl Inh.rltanc. and E.tat. Ta. Act, Act ZI of 1995. (72 P.S.
S.ctlon 9140),
PAYflENT:
DII.ch the lop portion of thl. Notlc. and .ublll wllh your pay..nt to the Regl.tlr of Will. prlnled on the r.vlr.. .Id..
--Hak. ch.ck or .oney ord.r p.y.bl. to: REGISTER OF HILLS, AGENT
REFUND (CR):
A r.fund of I tl. crldlt, which w.. not rlqu..tld on thl Tax R.turn, .ay b. r.quI.t.d by coapl.tlng an "Application
for Rlfund of Penn.ylvanll InherltanCI nnd E.t.t. Tax" (REY-1313). Application. ar. .vallabl. at Ih. Offlc.
of the R.gl.t.r of Will., any of the 23 R.v.nu. DI.trlct Offlc.., or by calling the .p.cl.l Z~-hour
an.w.rlng ..rvlc. nu.b.r. for for.. ord.rlng: In P.nn.ylvanl. 1-400-362-Z050, out.jd. P.nn.ylvanl. and
within loc.l H.rtl.burg ar.. (717) 787-8094, TOO. (717) 772-2252 (H..rlng rap.lr.d Only).
OBJECTIONS: Any p.rty In Int.r..t not .atl.fl.d with the appral....nt, allowancl or dl.allowanc. of d'ductlon.. or a""...nt
of tax Clncludlng discount or Intlr..t) a. shown on Ihl. Hotlcl IU.I obJecl within SJkty (60) days of rec.lpt of
this Notice by:
AOttIH
ISTRATJYE
CORRECTIOHSr
.-wrltt.n prote.t to the PA Dlparl'.nt of RIV'nu., Board of App..I., Oept. Z810ZI, Harrl.bura, PA
--Il.ctlon to have the ..tt.r d.t.ralned at audit of the account of the p.r.onal r.prlslnt.tJv.,
.-appall to the Orphan.' Court.
17128-IOZI,
OR
OR
Factual .rror. dl.cov.red on this a'......nt should b. addr....d In writing tal PA O.part'.nt of R'Vlnu.,
Bur.ey of Indlvldull r.x.s, A1TH: Po.t A".....nt R.vl.w Unit, Dlpt. Z8060l, Harrl.burg, PA 171Z8-0601
Phon. (717) 787-6505. S.. page 5 of the booklet "In.tructlon. for Inh.rltance Tax R.turn for a R..ld.nt
O.c.dent" (REY-1501) for an Ixplanatlon of adllni.tratlv.lY corr.ctabl. .rror..
DISCOUNT:
If any tax due I. paid within thr.e C31 callndar lonth. aft.r the d.c.d.nt'. d.ath, . flv. p.rcent (5~) dl.count of
thl taw paid Is allow.d.
PEHAl TV:
The 15X tlX aan..ty non-participation p.nllty I. co.put.d on the tot.l of the t.. and Int.r..t a......d, and not
Plld b.for. January 18, 1996, the flr.t day aft.r the .nd of Ih. taw oan..ty p.rlod. Thl. non-p.rtlclpatlon
p.nllty I. app..labll In the .... ..nn.r .nd In the the .... tl.. plrlod .. YOU would ftpp..1 the tax and Int.r..t
th.t h.. bl.n .......d .. Indlcat'd on thl. not Ie..
INTEREST:
Int.rl.t I. charg'd b.glnnlng with flr.t d.y of d.llnqu.ncy. or nln. (9) 'onth. .nd on. (I) day (ra. the dlt. of
dl.th, to tha dlt. of pay..nt. T.x.. which blc... d.llnqu.nt b.for. Janulry I, 198Z b..r Int.ra.t It the r.t. of
.lx (6X) parc.nt p.r annul c.lcul.tad at . d.lly rat. of .00016~. All tax.. which b.c... dellnqu.nt on and aftlr
January I, 19aZ will b..r Int.r.st at a ratl which will varv fra. cal.nd.r y.ar to calandar y..r with th.t r.t.
announcld by the PA D.part..nt of R.v.nu.. Th. Appliclbl. Inl.r..t r.t.. for 198Z through 1991 ar.:
!!!r Intl,..t Rat. DIIllv Int.rut rftctor ~ Int.,..t Rllta Dallv Inlera.t ractor
19az 2DX .OOOSU 1981 .X .000Z~7
1983 16~ .000"'38 1988-1991 IU: .000301
198~ In .000301 1992 'X .0002"'1
1985 15:( .0003S6 1993-1994 7X .000192
1986 lOX .000214 1995-1991 'X .0002...7
.-Internt Is c.lculst.d .. follow.:
INTEREST = BALANCE OF TAX UNPAID X NUnBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Hotlea Is.ued aft.r the I.x b.co... d'llnqu.nt will r.fl.ct an Int.r..t c.lculatlon to flft..n (15) d.y.
b.yond the data of the a.......nt. If p.y..nt Is aad. aft.r the Int.r..t co.put.tlon d.te .hown on the
Hotlel. additional Intlr..t lUst b. c.lcul.t.d.
STATUS REPORT UNDER RULE 6,12
Name of Decedent:
lip/-//',?
,.. p/
) ) - ';/ - " V'
/::-rJ/".. P5'
.z~
Date of Death:
Will No,
2 I - (1 V - Cf ,.3/-1
Admin, No.
Pursuant to Rule 6,12 of the Supreme Court Orphans'
Court Rules, I report the following with respect to completion of
the administration of the above-captioned estate:
1. State whether administration of the estate is complete:
Yes L/' No
2, If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete:
3. If the answer to No, 1 is Yes, state the following:
a. Did the personal representative file a final
account with the Court? Yes No
b, The separate Orphans' Court No. (if any) for
the personal representative's account is:
c. Did the personal representative state an
account informally to the parties in interest? Yes No
d. Copies of receipts, 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,
Jt~/? $06'..~
Signature
!. pv."../ IJ,. Ec-/~ ,,_ ,a ,^J
~
Name (Please type or print)
I 3.:( E<'J'I- 5'J~....~/ /..<;>;,/"
Address Etl<~/... )--:J"f' ) ,/0.:<.5
".)
())/I 7.3...<- 9)76
Te 1. No.
Date: /O-);2-'l~
Capacity: v" Personal Representative
Counsel for personal
representative
(MAH: rmfl AM3)