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No. 21-96-942
Eslale or Leonil Il. Filrilbilu']h
, Deceased
DECREE OF PROnATE AND GRANT OF LETTERS
AND NOW FEBRUARY 10. 19.2..~. in comideration of Ihe pelilion on
the reverse side hereof, salisfaetory proof having been presellled before me.
IT IS DECREED Ihat Ihe inmulllenlK) daled-AugllSL9.~.9j
described Iherein be admilled 10 probale and filed of record as the lasl will of Leona R.
Farabaugh. Deceased
and lellers Testamentary
arc hereby granled \() Carol Ann Kirsch.
FEES
$ 50.00
$
$
$
5.00
TOTAL _ $---66-.00-
Filed ...... .~~~~.4~~Y. .1.9,. .1.~n.......
#37192
Pro bale. lellers. Etc. .........
Short Cerlifieales( )..........
Renuncialion ................
X-Pages
JCP
A TIORNEY : p. Ct. 1.0. No.)
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138 East Market street, York, PA
ADDRESS 17401
(717) 854-9506
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Mailed letters and order to attorney and receipt to Executrix on ?-11-97.
WARNING: IT IS ILLEGAL TO ALTER THIS COpy OR
TO DUPLICATE BY PHOTOSTAT OR PHOTOGRAPH.
COMMONWE'Al HI or PENNSYL VANIA
Of PART ME NT OF UEAlHt VITAlltl:cono~
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
CERT. NO.3225720
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Name of DccedenL__ il~Nl(l ..._ .^~ n _____._ .>lr.I..'!..(i J~ I(j/(/
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Sex, cal:lCu:..:.:..'-.___Social Security No.__.:I-:~__~.~-:":! j(..........__.Date of Dcath~..1 ,...,_ ~ '/C'
Dal~ of BirthLt;.c..J.2~ 19~ BirthPlacc-.L~2~1~':;I'I' (~i.~'[.....L2?:
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Place of Death (, 9 ). .:)(; Ii) II:,,,.. f c.,/!'i;-I,<:.d~ucd ( [;.m/7 dill Pennsylvania
Race l//;/it. ' '~:~:~'ation I!.d~!- (0.'" .__ Armed For~~~:"(z"~'::' ~,.;~:) ~(
. 1,/' ~ De~~dent's -- r I . ' i I... " ~J. (j ~!; 'J/"
Mantal Status ~!/.lLW.l.lt0 MUlling Address ,.(;.!. .,~3G ~/~-(/,.J.~...L-: c,fff./!'.P I'Ll t ( .' "let .
Informant _,.j);'rI:a1d~~l.,o1..L_ Funeral Director Jt':W!W ii'. '). &1JfJ.:ir.f../.tL'
Name and Address Of..1~ :J " I i I /' ,/? 1;. "l/J
Funeral Establishmen7~ '~:".1' l-i" '.'1/1 (I l.!cn:"G......Vd:.,.J.'t(; 1/ ~.ff)~ll. Clif[:"~h' 11'7: ~. I'Ll.
\ : Interval Between
Part I: Immediate ?r;& . '. ;: I ! Onset and Death
(a)_ /1' .~~u.i.c.....:... '
(b) fJ:..fOv' {71Ii/.k) __
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(c) Alf' i~2/)r(/l/tI x./Ueor:f.""'2.C.2dG:.:iL.__.
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Part II: Other Significant ConsWions,,' .. . , ;?I-/ ,j' .
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Manner ot Death: Describe how injury occurred:
Natural ~ Homicide 0 ----
Accident 0 Pending Investigation 0
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Suicide 0 Could not be Determined 0
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Name and Title of Certifie,o. '(,l:ltI ( (. /J::rr/J ~/l). If
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Address 9C16 'f)Jrurld .../1.' ( ;ul'/.!j!dr.'
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(M.D.. (},O..,.Coroner..M.E,)
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This is to certify that the information here given is correctly copied from an original
death duly filed with me as Local Registrar. The original certificate will be forwarded
Vital Records Office for permanent filing. ! ' I
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21 - 96 - 942
RENUNCIATION
In Re Estale of Leona R. Farabaugh,
deceased.
To the Register of Wills of Cumberland
CounlY. Pennsylvania.
The undersigned, Donald R. Farabaugh, son
of
the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters
Testamentary
be issued to Carol Ann Kirsch
WITNESS
my
hand this
I
day of
;:: ~,k
.
.19~.
t1Q13M,1 '001
Aob'l<1 J bIInyol< Notal'/ PublIC
Carroij\o';n 110m. ca.;"brlN a C2~"~~
My eorilm\$(;lon E>plr8S ov. .
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(lrlrrufllJl-u:-Y\ PR ~57a~
(Address)
(Signature)
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BUREAU OF INDIVIDUAL TAKES
IHIIIAIUNCI tAl DiviSION
DIP', ".OhOl
HAIlNlsauWli, l'A 1/1:1 Ott01
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
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NOTICE OF INItERITANCE TAK
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
or DEDUCTIONS AND ASSESSHENT OF TAK
lit ~h' II .,. Ill.'"
VINCENT A
69 S 36TH
CAMP In LL
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
R
FARABAUGH
ST
02-03-97
FARABAUGH
10-30-96
21 96-09(,2
CUMBERLAND
101
LEONA
PA 17011
Anount Aenit tad
1-'.
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO CDURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
iiEWiS'4i-EiCAFP-iiF96Y-NiificE--OF-YNHEiiii'Aiicn'AX-'A-PPR'A-iSEHENT-,--"Li"OWAN-CE-iili------n------m
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF FARABAUGH LEDNA R FILE NO. 21 96-0942 ACN 101 DATE 02-03-97
TAX RETURN WAS, I X) ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: DRIGINAL RETURN
1. R..l Estat. ISchedule A) (1)
2. stocks and Bonds CSchedule 8) 12)
3. Closely Hald stock/Partnership Interest CSchedule CJ (31
4. Hortgages/Not.. Receivable (Schedule 0) 141
5. Cash/B.nk Oeposits/Hisc. Personal Property CSchedule E) 15)
6. Jointly Owned Property CSchedule f) (&)
7. T~an.fers CSchedule GI C71
8. Total Assets
CItANGED
.00
.00
.00
.00
577 .82
23.009.54
.00
IB)
NOTE: To insure proper
credit to your account,
subnit the upper portion
of this forft with your
tax paynent.
23,587.36
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Ad... Costs/Hisc, Expenses (Schedul. H) (9)
10. Debts/Mortgage Liabilities/Liens ISchedule I) CI0)
11. Total Deductions
12. Net Value of Tax Return
13. Charitable/Governnental Bequests (Schedule JJ
14. Net V.lue of Estate Subject to Tax
6.377.20
.00
Ill)
112)
113)
1141
6 .~77 ?n
17.210.16
.00
17.210.16
NOTE:
If an assessment was issued previously, lines 14, 15 and/or 16, 17 and 18 will
reflect figures that include the total of Bhh returns assessed to date.
ASSESSMENT OF TAX:
15. Anount of line 14 at Spousal
16. Anount of Line 14 taxabl. at
17. Anount of Line 14 taxable at
18. Principal Tax Due
TAX CREDITS:
PAYHENT
DATE
11-20-96
rat.
Lineal/Class A rat.
Collateral/Cla.s B rate
.00 K .00:
17,210.16 x.06:
.00 X .15:
118)
.00
1.032.61
.00
1.032.61
115)
1161
1171
RECEIPT
NUHBER
AA146964
DISCOUNT
INTEREST
I II
1-)
51.63
AHOUNT PAID
980.98
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
1,032.61
.00
.00
.00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
I IF TOTAL DUE IS LESS TNAN $1. NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. I
RESERVATION I
. I
E.t.t.. of d.ced.nt. dying on or be'ore Daceeber IZ, I'll .. If Itny future Intlrut In the utat. '.!:Jtr.nl'.rred
In po.....lon or enJoy.ant to CI... . Ccall.t.ral) ben,'lcl,rl.. 0' the dacadant aftar the e.plr.tlon 0' any e.tate
II', or lor y.ar., the Co..onw..lth haraby ..pr.,.ly r.,arva, the right to appr.i'e .nd G..... tran~~r Inh.rltanca
at the lawlul CI.,. a Icoll.t.r'll r.t. on .ny such future Int.r..t.
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PURPOSE OF
HOTICE:
to lul'lll the r.qulr...nt. 0' S.ctlon 21~0 0' the Inherlt.nc. and [Itat. ,.. Act, Act
Sntlon 21~a.
t.. ..
::>-. t...
t~ 0';' 1"1. UIJ P.S.
PAY"EHT: D.t,ch the top portion 0' this Hotlc. and lubelt with your p.y.ant to the R.glster 0' Wllh printed on the rav.ru .Id..
"Hake chack or .onay ordar payable to: REGISTER OF MILLS, AGENT
All p.y.ant. rec.lvad .hall flr.t be .ppllad to .ny Int.ra.t which '.y be due with any re..lnd.r .ppllad to the ta.,
REFUND ICRI: A ra'und 0' a ta. cr.dlt, which wa. not r.que.tad on tha ra. R.turn. .ay b. raqua.tad by co.pletlng an ~Appllcatlon
'or Re'und 0' Penn.ylvanla Inh.rlt.nc. .nd Est.t. Ta.~ IREV-I11)). Application. are av,llable at the O"lc.
01 the R.gl.tar 0' Will., .ny 01 thl 21 R.venu. District Of,lc... or by calling the 'p.clal 24-hour
answ.rlng s.rvlc. nU'b.r. 'or 'or.s ordering: In P.nn'Ylvanla 1-800-162-20S0, out.ld. P.nn.ylvanla .nd
within local HarriSburg ar.a 17171 787-109~, TDD' (711) 112-Z2S2 IHearlng I,palrad Only).
DBJECtIONS: Any party In Int.r..t not .,tl,'I.d with tha appr.lse,.nt. allowance or dl'.llow.nce 0' d'ductlon., or ........nt
0' ta. I Including dl.count or Intere.t) a. .hown on thl. Notlca .u.t Object within .I.ty (60) d.y. 0' recalpt 0'
this Notice by:
ADMIN
ISTRATIVE
CORRECTIONS I
e.wrltt.n prot..t to the PA Depart..nt 0' Revenue, Bo.rd of Appeals, Dept. 281021, Harrl.bura. PA
e..lectlon to have the .att.r det.r.lned at audit of the account 0' the p.r.onal r.pr.sentatlve.
eeappa.1 to the Orphans' Court,
11128-1021,
OR
OR
F.ctual .rror. dl.cov.r.d on this a....s..nt should be addre...d In writing tal PA Depart..nt 0' Rav.nu..
Bura.u 0' Individual t...., A1THI Po.t A.......nt Revl.w Unit. D.pt, 210601. HarriSburg, PA 11121.0601
Phon. (111) 187.6S05, 5.. pag. 5 0' the bookl.t "Instruction. 'or Inh.rltance t.. R.turn 'or a Ra.ld.nt
Olc.dent" (REV-ISOl) 'or on I.planatlon 0' .d.lnl.tr.tlv.ly corr.ctable error..
DISCDUHT:
I' .ny ta. due I. p.ld within three ()) calendar 'onth. a'ter the dec.d.nt.s death, a live p.rc.nt (5~) discount 0'
the tax paid I. allow.d.
pENAL tV I
Th. 15~ t.. ..n..ty non-participation p.nalty I. co,puted on the total 0' the t.. and Int.r..t .......d, .nd not
paid b,'ore January 18, 19'6, the 'Ir.t d.y a't.r the end 0' the ta. .~ne.ty p.rlod, thl. non-partlclp.tlon
pen.lty I. appeal.bl. In tha .a.e ..nner and in the the .... tl.. p.rlOd a. YOU would appe.1 the t.. and Inter..t
th.t has b..n .......d .. Indlcat.d on thl. notlcl.
INTEREST I
Int.r..t I. charg.d b.glnnlng with Ilr.t day 0' d.llnquency, or nine I') .onth. and one (I) day 'ro. the date 0'
d..th, to the d.te 0' paY'.nt, T.... which bec... d'llnqu.nt ba'or. January I, 1'12 b.ar Int.r..t at the rate 0'
sl. (6~) p.rc.nt p.r .nnu. calculated at a dally rat. 0' ,OOOI6~. All t...s which beca~. d'llnqu.nt on and a't.r
JanullrY I, 1912 will bur Interut lit a rllt. which will vary 'roe calendar Yllr to cal.ndllr year with th.t r.t.
announc.d by the PA D.p.rt..nt of R.venu.. Th. appllCllbl. Int.re.t r.I.. 'or 198Z through 1991 ar.:
'!!!! Int.ra.t Rat. Dally Intarut ractor !!!!' Int.rut Rate Ollily Intara.t rllctor
1982 2n .OOOS~I 1981 'X _QOOZ~l
1911 16% .000418 1'88el"l II~ ,000101
1981i 11% ,000101 19'2 'X ,ODOZ~1
1985 13X ,000156 19')-1"" 7% ,OOOl9Z
1986 In ,DDOZ1~ I"S-I", 'X ,QQOZ~1
u Intere.t Is calculated at follow.:
INTEREST = BALANCE OF TAX UNPAID X NUnBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
e.Any Hotice I..ued aft.r the t.. beco... d.llnqu.nt will r.fl.ct an Int.r..t calcul.tlon to 'Ifta.n II~I d.y.
b.yond the data 0' the ........nt. I' pay.ent Is .adl after the lnt.r..t co_pul.tlon d.t. .hown on the
Notlc.. .ddltlon.l Intar..t lU.t be calcul.t.d.
If line lQ is greater than line lB. enler the differenco on line 20. This is the OVERPAYMENT,
aD ....:T:n~II..:JI..I..Tj'I'..ll.."I'I'I,HIII(!.'.'.Irrr.r.I':'!""'III.'l'..I.U~'.I..I.111
If line 18 is greater than line 19, enter the difference on line 21. This is the TAX DUE,
A. Enter the inleresl on the balance due on line 21A.
B. Enter the 10101 alUne 21 and 21A on line 218. Thh is the BALANCE DUE,
Malee Chick Payable 10.: R.~l".r of Will., Ag.nt
~ ~ BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SlOE ANO TO RECHECK MATH ...c:...c:
U~d" penohie, of pe'iu,y. I dedo,etho' I ho," e,omined 'hi, ,"u,n. induding oc<omponring "hed,le, and <10 "men". and 'a ,he be,' 01 mr knowledge-and belief.
I ., Irue, correct and complete. I declare Ihol 011 real 8sl0le hos been tt:!porled 01 true market ...clue Declaration of preparer other thon the penonal representative is
based on 011 information of whit" prepare' has ony ~no."..ledge.
ilQNA1URE 0' P(RSON R(5PON!lIBlf fOil 'II\UG AtTUIlN "OOIl[:!!:!! --.-------------- -- _n___ --..-------~~------- 0.,["-------.-
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.01 OAT150F DIATH Anll 12/31191 CHICK HIRI
1/ A SPOUSAL
POVIRTY CRlOIT IS CLAIMID I I
flU NUMBIR
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COMMQNWIAllti 01 rftm~H"A'lIA
OlPAIHMIN' Of NI\lINUI
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tlAARI!llUIPG. rA l1nll 0001 1
OICIOlflt ~ tlA"'lltA~t ',.~I AlIII ""lltlLl ItlI""1l
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
Y(AR
NUMBER
qu,
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I COU'llY COOl
----- (li'(iljit.-i\,Ti.1Oo'..tlll "IJIJ'I~~
to q $ j t. Sl
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)( I Original Relurn 2 5upplumenlu! Return
[] 4. limited h'o'e
[] 6.
Tolal Number of 5ale Depo,it Bou'
Remoindar Relurn
(lor dale' of dealh prior 10 12.13.821
Foderal Edale Tall Return Required
I i 3.
~5
_QB
! 40. Fulule Intelo,1 Complomiu!
lIar dole' of death oller 12,12,82}
Decedent Died re,lote 7 Decedenl Maintained 0 li...ing Trust
(Anath copy of Willi IAllath copy 01 T ru,tl
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULO BE DIRECTED TO,
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I. Real E,tale (Schedule A)
2. Sloch and Bond, (Schedule Bl
3. Clo,ely Held Slock/Portnenhip Inlere,' (5chedule C)
4. Mortgage' and Nates Receivable (Schedule 01
5. Cash, Bonk Depo,ih & Mi"elloneou' P,,"onal Properly
(Schedule E)
6. Joinlly Owned Properly (Schedule Fl
7. Tron,f,," t5chedule GI(Schedule l)
B. T 0101 Gran Anet' (lotolline, 1-71
Q, Funeral Ellpenull, Admini,trotive Cosh. Mi"ellaneou,
Ellpen'es (Schedule H)
10. Deb", Mortgage liabilities, lien, (5chedule I)
11. Totol Deduction, (10101 lines 9 & 101
12. Net Value of Eslate (line 8 minus line 11)
'3. Chariloble and Governmental Beque," (Schedule J)
lA. Net Value Subject 10 Toll. (line 12 minus line 13)
15. Spou,al Tron,fen (for dole\ of dealh alter 6.30.9A}
See In\lructians for Ar,plicable Percenloge on Revene
Side. (Indude volue\ rom Sthedule K or Schedule M.)
16. Amount of line 14 lall.able at 6% rote
(Indude value, from 5chedule K or 5chedule M)
17. Amount of line 14 tallable 01 15% rote
(Indude values from 5chedule K or 5chedule M.I
18. Principal tall. due (Add loll. !ram lines 15, 16 and \7.1
19. Credits 5pousal Poverty Credit Prior Payments
(1Q)
(20)
(Q)
!tJ J 371, a ()
"'10..... t! .
(10)
(11) ... (p, 3 ?'!!n.~.J2___..
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*
COMMONWfAltH Of '(NN~VlvAN1A
INHUItAHCl tAX IIltUAN
IUIDEH' Dl(lDlNt
SCHEDULE F
JOINTLY.OWNED PROPERTY
_,_ .____.._~u___._'___ _ ~~_,__.__._...__~
ESTATE OF ..--~_._-._~ .-. ---.-.-. . .. . [FILE NUMBER
/.... e 0 ,JLf}_LfJ1.IlILbIULI! !L._..._.. - ---' ----- --- -
Joint tonontl.)'
NAME
A. G-/t)/'I'R 3, FAR fl~AL('11J
ADDRESS
~ q S. ESt. S-l .
Gttmpfll/II fJ/}. l'lt:J/I
RELATIONSHIP TO DECEDENT
D IJ {HI/; -Ie? ;- I.P /.IJtU.
B.
c.
Jolntly.ownod proporty.
ITEM LmER OATE
FOR TOTAL VALUE DECO'S OOLLAR VALUE OF
NUMBEI JOINT MADE OESCRIPTlON OF PROPERTY OF ASSET % INT. OECEDENT'S INTEREST
TENANT JOINT
1. ff. l/M9 to .<J Ilv /)}7S !iCC+' TI'/I.l1sFer/'~ '6ti:lJ dOO 100 % t/;;l(j dOd
-1.0 . /
g/~g/9v C!.e i-'I I~ Ie J+-f e 0-\ DepoS rr-
71. /3-5:1{,3 loaf, ~J /'00
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q. t}. '8p.slq~ 't...J-I e r es-f (JCC rt,( e d . , '7g ,8 fi, Illo~ 17 f. i ~ .
Fill!. me I' ~ F/J.}(H'(IAI itUAd olp.
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k'AflIP 1-1"/) (J/L. l'ICI/-J/EJ7
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TOTAL (Aha enler on line 6, Recapitulation) S ~. D09' . C; 1 _
?
(IF more space is needed insert addilional sheels 0' same size)
1.'0'1)111'11'111
B.
1, Personal Reprosentative Commissions -
Sociol Security Number of Penonal Represenlative, -".----.
Year Cammillians paid
2. Attorney Fees
3. Family Exemplian
Claimont
Addrell of Claimant at decedent's death
Slreet Addren
City
4. Probate Fees
C. Mlscellan.ou. Exp.n...:
1.
2.
3.
4.
5.
6.
7.
8.
Relalianship _.
Stato .__ Zip Code
AMOUNT
r;.so,otJ
45.tJa
~OP;;'..;1.0
'1;J.~.OO
r", "0
1'1.60
51.1 '13. 00
;<.;I.3.;}D
TOTAL (Also onter an lino 9. Recapitulation) S
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STATUS REPORT UNDER RULE 6.12
Name of
Decedent: ,.:L.) ,',.,'<1.. 1:.';.X.VL'L/l-,.....1/'
,j
Death: tJ..,), i-<u .1(.) N?('.
,
Date of
Will No. .;U . 'f (, . 9 'I ').
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~_ 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 reffesentative file a final
account with the Court? Yes No .
b. The separate Orphans' Court No. (if any) for
the personal representative's account is: ND~t
c. Did the personal reptesentative 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. VOIJ (
,
Date:. X .h..J. If. IQqCf .I. ..M': ~~,:("H.I...
~ Signat.ure "
,'J'll.4"1 I\/'I')L /.
Name (Please type or print)
7()O .~Cl\U)1 "R}) k 1\0 .t:1J1l~S, Pn ml9
Address
( '711) nK -Uil/
Te 1. No.
Capacity:
,!Personal Representative
.
,'o^- fl.L-
0"~SC'Counsel for.personal
Ire-- representatlve
(MAH: rmf/ AM3)