HomeMy WebLinkAbout96-00968
CommonwlIllh or P.nn.ylv.nll
Counlyol CUlnburlRlld
Oath of Personal Representative
()('
Tho PoUUonOl(a} lbovo-nomod OWUlll(O) 01 o'hrn~9J lhut Iho otnloltlut1ls Inlho 100ogoing Polillon 010 IIUD
and corrocllo lho basi 011110 knowtodgo IInd bollol of Pollllonor(s) alld lhnl, M pOloonal foprosunlallvo{9) 01
Iho Oocodonl, POlllloOOf(S) will woll and IndV adminlSlOf 1110 CJ5lnlo occordlng 10 low.
Sworn 10 or IlIIrmod .nd lubsC/lbod
boloro mo Ihls....1Q.... day 01
November
No.
--h O_'-..'./)'- Cl c: ~"--""'~, v-.-
7.1-96-968
Esla'aol Erick James Coleman Doccasod
AND NOW,
SocIal Socur1ty No: 186-58-0734 DlleelOealh: 06/01/96
November 26th.
,19 96,Inconslderation
ollhe Petition on tho rovllfSO side hereon. satisfaclory preel having been presenled boloro mo,
IT IS DECREED thaI Loners 0 Teslamenlary (]] Of Administrahon
BIa hereby granlod 10
(c.ta.; d.b.n.c.t.a.; pondenlo lile: dUranle absentia: duranle mlnortta'o)
Karen A. Coleman
In the abovo oslalo and thallhe Ins!rumonl(s) daled
FEES
descrlbod In Iho Peli1ion be admlned 10 probalo and liIod 01 record as Iho fasl Will 01 Doccdent.
Loners.......... S
Shan Cor1ificalo(s). . 7. . S
Renuodallon. . . . . . . s
Amdavlts ( ). S
Extra Pagos ( ).. . S
Codicil. . . . . . . . . . S
JCPFao......... S
Invenlory. . . . . . S
Other . . S
TOTAL. S
50.00
6.00
It .'-l- 'J t,t/JA~"J
Regisler 01 Wills Mary C. LeW1S
Anomev:
Dennis R. Sheaffer
1.0. No:
39182
Address:
111 N. Front Street
P.O. Box 889
Harrisbur~, PA 17108-0889
5.00
Telephono: 717/234 - 4121
61.00
MMLED LEITERS I\ND ORDER o.~ NOVEMBER 27TH,1996
Fo,," RW..t (lilt)
WAIlNING: IT IS ILLEGAL TO All Ell flil5 COPY Oil
TO DUPl.ICAlE OY PHOT05TAl OR PIIOTOGRAPIl.
COMMONWEAL TIt or PENNSYlVANIA
OEPAf1TMENT OF ItfAlTlt VITAL n[COnOS
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
CERT. NO. 2979942
_ wt.3 tfd ____
! ,~I. ..I !..~...- "I ",,' \ ..'1"" .!,. ,,,
Name of Decedent
tz.t..d!-___._____.___.'1c..,,'-'- _.._______-4t:.n..d.....I
..,,1 (7 ,lJ',' \.n'
Social Security No.__LJJ;_-'-_i~_.~2jy Date of Death t. I~)
Sex :n1A /.
Date of Birth
#_16.t.V
BirthPlace---L!U-J..-,-f--?\
Place of Death 1'" , ,,~;.l.., ')'),,;(',...../ I',.....t.~ 7J<..a-ta..~ /;'Utn',ll1'/'
'ac,j'uN&m" '"'J,,nT, c.!, II,'''''.~'' ('. l11...~'r (
Race /J'~"]'- Occupation_~r"'r, .~.;.. ArmedForces?(YesorNo)_~..
Deced'ent's It 01
Marital Status 12:u...1.~ Mailing Address -..:t.!. S'_.JIl.LJrv~~).t.S,q, ~ ~ '
Informant.-:1i<ll./-...I'r-I, _ . Funeral Director -.1-,-~,JI:uU.-
Name and Address of .
Funeral Establishment ~/llU'L~bJ~-.....r~~~~ "'Ill
. f
Pennsylvania
LIt!
f!.:IAlll
Part I: Immediate Cause
I nterval Between
Onset and Death
(a) ..J1!.~~(.jJD>'-.
(b) t''''A..L.< /1/ ..&~~~"t..,.._
I
(c) ~ /,....., .-L ,(...A.At" I ..f.."'f
(d) ./n......t:,. ,,>"..~. /il'~. ~:.,.",--
Part II: Other Significant Con<4'itions
Manner of Death:
Natural 0 Homicide 0
Accident [3' Pending Investigation 0
Suicide 0 Could not be Determined 0
Describe how injury occurred:
~"..d--/...!.A.4dncO ,.
. .
~~~; I,
Name and Title of Certifier liy->1A.L
Address L&L-iJA~U'"'.,.f!A.--_.
(M.D.. D.o.,~roner0'1.E.)
This is to certify that the inlormation here given is correctly copied from an original certificate of
death duly filed with me as Local Registrar. The original certificate will be forwarded to the State
Vital Records Office for permanent filing.
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1'llVllll'(l lUlIlT 1',\ IAIMI D
IllV - 1"011 L" , 1'-1i41
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS
I ,Illtny, nlll
VI All
rHJ~..mrn
FilE NUMBER
ll-'H.-O%H
cn~Mp",w~~i 111111 1'1 f'1,",',11 VA"OI"
n .I'^"I"~~_'J(~~ll,lo\ Vll-iul
11AIII\I<; IU!lli, PA 1 "J~' 1;1", \
(II ; I III t~ I ", < , ,~,,oII'1 I II Antill! ',',
III') Ihllllllwl ^Vl'lltlt'
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C
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OECltlI "'1''', ,",A""" ItA'iT.IIIl';! ^NIIMilllllllt.IIIAll
COlt~lIIal1. Erick .IH1nl'H
(JAil (il 01 AlII
[U\111,IHII111-
",OC1Al',1 CUlltTVNuMlll1l
IH(.-~H-OJ]I,
01,/ \1./ I <1(,1,
O(,/Ol/I<J'I(,
C\1I11IH'rlalld
M~OUN I IH Cf (Vlll I'lL l ,,",'j T IHiC TlOri'Jl
0.00
. ,,,,..t.,.
',I,! tAl ',I (1)l111VNUMIII II
(If ^I'PLlCAlIlllr,UlWIVIt-l1i ';1'\1\1'-,1 ", NAMI U A',!,' 111',1 ANIl Millin I l~jl'll\ll
Coleman. Knrt'l\ A.
X t. anginal Return
4. Unwlod Eslalo
IHI-:JH-IOHl
Rel1Ullndor Return
(IOf dalos 01 doath pllOI 10 12-13M02)
Fodoral Eslato Tax Rolurn Roqullod
Tolol Numbof 01 Safa DepoSIt 6oxe9
2. Supplumolllnl Aulum
4a. Fullllll In1Olw;1 C()l1lprClllu~.U
(lor d.llu~1 01 dunlh .11101 12.12-02)
06. Decodonl DIOd Tosll110 07. Docudunt Mmnlalnud II lIvlllq Tlusl
(Anaeh co y of Will) (Anuch u copy 01 T11l~11
C P ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
o 0 NAME
R N
R 0 Dennis R. Sheaffer
E E
S N
- T
CAB
H P L
E P 0
C R C
KOK
P S
o 5.
o B.
LOMPl[l[ MAli INC, AnDH!. 'i~;
R
E
C
A
P
I
T
U
L
A
T
I
o
N
TELEPHONE NuMBER
717 234-1,121
I. Real Estate (Schedule A)
2. Slecks and Bonds (Schedule B)
3. Closely Held Slock/Paf1ncrship Il1tcro:;1 (Schedulo C)
4. Mengagos ond Noles RccClv.ble (Schedule D)
5. Cosh, Bank Deposits & MIscellaneous Personal PfepOltv (Seh.
6. Joinlly Owned Propel1y (Schedule F)
7. TranslCls (Schedule G) (Schedule L)
B. Tolal Gross Assels (101.1 Unes 1-7)
9. Funorol Expunses. Admimstrallva CosIS, Mlscollaneous
Expenses (Schedule H)
10. DobiS, Mor1gogo Uabllllios, Uons (Schodule II
II. Telal Deducllons (Iolal Unes9 & 10)
12. Not Valuo of Estalo (Uno 8 minus Uno 11)
13. Charil.ble .nd Govommenl.1 Bequests (Schedule J)
14. Nel Value Subjcclle Tax (Une 12 mmus Une 13)
15. Spousal TranslCl' (lor dales 01 death aller 6-30-94)
500 Instructions for Appllcablo Percenlage on pogo 2.
(Include vatue. Irem Schedule K er Schedule M.)
16. Amount 01 Uno 14 laxablo at 6(10, fato
(Include value. Irom Schedule K or Schedule M.)
17. Amount of Uno 14 taxablo 0115(1/" rato
(Includo valuos from Schodulo K or Schedulo M.)
lB. Principal lax due (Add lax Irom Uno 15. 16 and 17.)
19.Crodits/Sp Povorty Prior Paymonts Discount
HEPFORD, SW^RTZ & MORGAN
III N. FRONT STREET
H^RRISBURG. P^ 17108-0H89
None
None
None
None
11,9H6.21
None
None
11.986.21
(I)
(2)
(3)
(4)
E) (5)
(6)
(7)
(B)
16.110.31
None
(II)
(12)
(13)
(14)
O.OD X =
0.00 X .06 =
0.00 X .15 =
(IB)
Intmost
0.00
0.00
(9)
(10)
16.110.31
(4.124.10)
(4.121, .10)
0.00
(15)
0.00
(16)
0.00
(17)
T
A
X
C
o
M
P
U
T
A
T
I
o
N
0.00
+
+
(19)
(20)
20. If Uno 19 is groater 1han Uno 18, entOf Iho dltteronco on Uno 20. This IS tho OVERPAVMENT.
[!J 0 Check here If ou are re uestlng a retund of your ove aymenl
21. It Uno 18 is gloater than Uno 19. ontor Iho dllfofence on Uno 21. This is 1ho TAX DUE.
A. Enter 1he inlerest on Iho balance duo on Uno 21A.
8. Enler tho IOlal of Uno 21 and 21A on Uno 218. ThIS IS tho BALANCE DUE.
Mak. Chock pa abl. 10: Ro Islor 01 Wills. A .nl
~ ~ BE SURE TO ANSWER ALL QUESTIONS ON PAGE 2 AND TO RECHECK MATH 4 4
u""" P"",,IlI.' III pe'luly.l "ecl.1l11 lh.1t I t1a~" eu.mlnl!d th.!> leluln. 'ncludma accump.1nymlJ ~chIHlule~ olnd !IolJ.leml!nb. and 1n the bl!!Iol 01 myll.nllwll!'dge .Ind beliel, ,t.:I true.
tlHI"ct and cumplete.l dll'ct.ue th.lt .Il1le.l1 "So'.I'" h.U lll!pn IPpuI,pd .1111..." m.\rk'" ~.tlup. OpCIJf.tlwn III pl..pJrO!' 11th..' lh.tn ,tip pPf!lollnJII"pl"s.pnlJll~" 'so bued on ,tllonlotm.almn of
whlttlpfepal"rhUaoyknu....ll!!dQ".
(21)
(2IA)
(2IB)
SIGNATURE OF PERSON RESPONSIBLE rOR riLING R(TURN Karen A. Co lernan
n~ _ ~1~1_~~~.1 _ _~':'~-'!l!~ _ _ _ _ _ _ _ _ - - - - - - - -' - - - - - - - - - - - - -'-
Lemovne, P^ 17(]l,3
HEPFORD. SW^RTZ & MORGM
III N. FRONT STREET
ilARRi -S-BURG-'- - i'A - - i Yios-:6lis<.j - - - - - - - - - - - - - - - - - - --
DAlE
z.IZllq1
DATE
7-/1-I/q7
form 1500 (Rev. 7-94)
0.00
0.00
0.00
.
, .
. .
REY" 1501 EX + 12.")
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
Ploaso Print or T 0
FILE NUMBER
21-96-0968
cO"'\I,~rt';i~'Il.l1 'V.~~rtt1t~hYANI'
atsiliEN1'bEdb't'NT
ESTATE OF
Erick James Coleman
SS# 186-58-0731,
06/01/1996
All r olnU -owned with RI ht 01 Survlvorahl must be disclosed on Schedule F
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 1983 Honda motorcycle (sale price) 350.00
2 1991 Chevrolet 8lazer (sale price) 9.200,00
3 Retirement Pension " Beneficiary is estate 2,436.21
TOTAL (Also ontor on IIno 5. Roca ilulallon)
(Mach addltlonalS 11'Z' x 11" shools iI moro spaco Is noodod.)
COPYflght{c) 19114 'arm 1011...,e only CPSy.lems.lnc.
s 11 986.21
FDrm 1500 Schedule E IRev. 2"171
. ,
. .
REV. un EX t 1'-111
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
cO"'~N~fi'Xff.'IlI"O[A~"n~ 1,;\!\,ANIA
,.tslO[N't'bLC[OlNT
ESTATE OF
Erick James
ITEM
NUMBER
A.
B.
C.
Pl.... Prtnt or T .
FILE NUMBER
21-96-0968
Cu 1 eloun
55" 18(,- 58 -07]1.
06 01 1 y%
DESCRIPTION
AMOUNT
1
Fun.ral Exp.n...:
Funera 1 Expense
Funeral. grave. opening. and headstone
8,048.00
1.
Admlnl.traUv. Coab:
Personal RoprosonlBllvo Commissions
Social Security Numbor 01 Porsonal Roproson1otlvo:
Yoar Conmlssions paid
2.
Anarnoy Foos
HEPFORD, SWARTZ & MORGAN
600.00
3,500.00
3.
Family Exomptian
Clalmanl Karen A. Coleman Rolalianshlp Spouse
Addross at Clalmanl al docodonl'S doalh
StroolAddross 975 Hummel Avenue
City Lemoyne Slalo ~ Zip Codo 17043
4.
Pro bale Foes
Register of Wills
3,561.00
1
MI...nan.oua Exp.n...:
Cumberland Law Journal
estate notice
40.00
2
Hepford, Swartz & Morgan
costs
3
Register of Wills _ Filing fee for inheritance tax return and
Inventory
23.00
4
Reserve - Reserve for additional administration expenses
250.00
69.88
5
The Sentinel - Estate Notice
6
Travel expense for paralegal
14.65
$ 16,110.31
TOTAL (Also onlor on lino 9, Rocapllulatian)
(II more spa.. I. n..d.d, Ino.rt addlUanal oh..b 01 sam. .Iz..)
COPV1'Ightlc) UI94 tOlm lOft WAr. onlv CPSyIoIIIIIS,.lnc.
FDrm 1500 Sch.dull H(R'v, 7-U)
3.78
--
,
. ....-
. _.-. --;......-..
c
"
Register of Wills of
County, Pennsylvania
CUMlllmlJ\Nll
INVENTORY
No. 21-96-0968
Esl.lool Erick James Coleman
DaloolDoalh 06/01/1996
also known 89
,Docoasod Social Soculily No. 186 - 58 .0734
Karen A. Coleman,
POlsonol Roplosonlallvo(s) ollho abovo ESlalo, doceased. vellly Ihallhe ilems appealing in Ihe 101l0wln9 Invenlory include 011 01 tho
personol assols wherevel siluale and 011 ollhe roal eslale In Iho commonweallh 01 PennsylvaOla el said Docedont, thallhe valuaUon
placcd epposlle each ilem 01 said Invenlory replesenls lis lail value os ollhe dolO 01 the Docedant's dealh. and thaI Docedenl owned
no rool estale oUlslde 01 the Ccnvnonweallh 01 Pennsylvania e'cepllhal which appoalS in . momolandum allhe end ollhis
Invenlory. I /We vellly Ihal the slal.menlS mode In Ihis Inventory ole lIue and COflOCI. I/We undalstand Ihallalse slalemenls helein
aro made subject to tho ponaltios ot 18 Po. C.S. Seclion 4904 rolilllng 10 unsworn talsificalion 10 Dulhoritios.
Porsonal RoprcsonlallVO
Name 01
Attorney: Dennis R. Sheaffer
Signalule: -t<O.l\.l.J'V\.- 0.., e..ct...:l'V\cVY\..
Karen A. Coleman
1.0. No.:
39182
SignalUIO:
Add,ess:
III N. FRONT STREET
Addless: 975 Hwmne 1 Avenue
HARRISBURG, PA 17108-0889
Lemovne, PA 17043
Telephona: 717/234-4121
Telephone: 717 /975-0188
Doled ->>!c)l \ q 1
Value
Description
00
c-
:"c
\!i
-J
:0
:Of')
[~~ \,)
(See continuation page(s) attached)
'Tl
fT1
LJ:l
N
-J
-0
N
iJ1
\D
"'0
-
"
J
).Jl __~
Tolal:
9,550.00
(Attach addilional shools II nocessary)
NOTE: The Momorandum 01 leal eslale oulslda the Convnonweallh 01 Pennsylvania may. allhe elOClton ollhe personal leplesentaltve,
lncludo tho valuo 01 oaeh itom, but such IIgUIDS should nol be oxumdcd into 1ho total ollho Inventory.
Fon" .RW..7 1'1)921
P,,,pollld by the PennIY"'""''' Baf Auucl.almn
COPYflohtlcl1996 form lo1twale only CPSys11!m5. lIlG.
I !J~- /1/3 - ~;
IUREAU OF INDIVIDUAL TAXES
INHlRItANCE lAX DIYISION
tl(PT. unOl
HARAlSIURC, PA 11121'0'01
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'*'
c-
NOTICE OF INNERITANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
....IUl II '" 111."1
DENNIS R SHEAFFER
HEPFDRD ETAL
111 N FRONT ST
HBG PA 17108
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
06-03-97
COLEMAN
06-01-96
21 96-0968
CUMBERLAND
101
ERICK
J
Anount R.llitt.d
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 ~
iiiy:is4i-EiCAFP-io3:97"i-iioi''iCE--OF-YHHEiiiiAHCi-YAX-iipPRiiisEHEiir-;-Ai:.DiwAHci-olimmm--------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF COLEMAN ERICK J FILE NO. 21 96-0968 ACN 101 DATE 06-03-97
TAX RETURN WAS I (X I ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R.d E.tot. (Sch.dub Al nl
2. stocks and Bondi (Schedule B) (2)
3, Clos.ly Held stock/Partnership Intar..t (Schedule CJ (3)
4. Hortg.gal/Hot.. Racelvable (Schedule OJ (4)
S. Ca.h/Bank Deposits/Hilc. Parsonal Property (Schedul. E) IS)
6. Jointly Owned Property (Schedule fJ (6)
7. Transfers C Schedule G) (7)
a. Tot.l AI..t.
I CHANGED
NOTE: To in sur. proper
cradit to your account,
sub. it the upper portion
of this farn with your
tax paYllent.
.00
.00
.00
.00
11.986.21
.00
.00
ill
11.986.21
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral E~p.n.../Ad.. Costs/Hi.c. Expense. (Schedule H) (9)
10. D.bt./Hortg.g. LI.bllltl../LI.n. (Sch.dul. II (101
11. Totel Deduction.
12. Het Velue of Tex Return
15. Ch.rit.ble/CoYern~.nt.1 Bequ..t. (Schedul. J)
14. N.t Velue of E.t.t. Subject to T.x
16,110.31
.00
(111
I1Z1
1131
n41
H.1l0 31
4,124.10-
.00
4,124.10-
will
If an assessment was issued previously, lines 14, 15 and/or 16, 17 and 18
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. AftOunt of line 14 .t Spou..l r.te (IS)
16. A~Dunt of line 14 t.xable .t lin..l/CI... A r.t. (16)
17. A~ount of line 14 t.x.ble .t Coll.ter.I/CI... Brat. (17)
18. Principel T.M Du.
TAX CREDITS:
PAYHENT
DATE
NOTE:
.00
.00
.00
.00
.00 X .00.
.00 X .06.
.00 X .15.
nil
RECEIPT
NUHBER
DISCOUNT (+1
INTEREST/PEN PAID (-I
AHDUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
.00
.00
.00
.00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN II, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" lCRI, YOU KAY IE DUE
A REFUND. SEE REVERSE SIDE OF THIS FDRH FOR INSTRUCTIONS. I
,i
.'
,'1
. ,
;\
n.
'h_ ..4
( , , ~
....''''-,
RESlRYATIOHI E.t.t., of d.c.dant. dying on or b.for. D,c..ber IZ, 1912 .. I' eny future Inter..t In the ..t.ta I. trlft.flrrad
In pO"...lon or InJoYlant to CI... I Icolllt.rll) benaflcllrl.. 0' the d.c.dent .ft.r the ..plrltlon of any ..tlt. 'or
Ilf. or for Y'lr., the Coaaonw.llth her.by ..prl..ly r...rv.. the right to appr.I.. end ...... trlft,'.r Inhlrltanc. T'.I.
at the IlWful CI... I Icoll.t.r.l) rat. on eny .uch future Inter..t.
_Ear
NOTICE: To fulfUI the r.qulr.'ln.. of S.ctlon laO of the Inh.rltlnCl Ind E"lt. TI. Act, Act Z1 of 1995. C7Z P.S.
Section 91ltO).
PA\?tENTI o.ll.c:h the top pOrtion of thh Notice and .ubalt with your p.pant to the R.ght.,. of WUla printed on the rav.r.. .Ida.
u"ek. check or lIOnIIy ord.r plyabl. to, REGISTER OF' MILLS, AGENT
RErUND (eR)1 A r.fund 0' . tax cr'dlt, which wa. not r.qu..t.d on the rlx R.turn, .ay b. r.qu..t.d by co.pl.tlng en "Application
for R.fund of PeM'Ylvenl. Inherltanc. end [st.t. Ta." (REY-UU). AppllCltlon. .r. av.Uabl. at the Offlc.
0' the Rlglst.r of Wills, eny 0' the ZS Rev.nue DI.trlct Offlc.., or by cllllng the .p.clll Z4.hour
en.w.rlng ..rvlc. nuab.r. 'or for.. ordlrlng: In P.nn'Ylvanle 1.100.]6Z.Z050, outsld. Penn.ylvanla and
within local Herrllburg ar.e (717) 717-10'4, TOOl (717) 772-Z25Z IH.arlng IIPalred Only).
OBJECTIONS: Any p.rty In Int.r..t not s.tl.fl.d with the .ppr.I....nt, .llowanc. or dl.allowanc. of deduction., or ......aant
of tax Ilncludlng dl.count or Intere.t) a. .hown on thl. Notlc. IU.t obJ.ct within .Ixty (60) day. of r.cllpt of
this Hotle. by:
AO.U"
ISTRITIVE
CORRECTIONS.
"written prot..t to the PI Depart..nt of R.venue, loard of App.ala, D.pt. ZIUU, Harrisburg, PA 17121.lOll, OR
...I.ctlon to hev. the .att.r d.tar.ln'd .t audit of the account 0' the p.r.onll repn..ntatlv., OR
..app.al to the Orphan.' Court.
DISCCJUrfTI
ractu.1 .rror. dlscov.r.d on this a"....ant .hould b. .ddr....d In writing to: PA Depart..nt of Rev.nu.,
Bur.au of Individual T...., ITTN, Po.t 11......nt R.vl.w unit, O.Pt. 210601, Harrl.burg, PI 171ZI.0601
Phone (117) 111-6505. SI' page 5 of the bookl.t "In.tructlons for Inheritance Tlx R.turn for a R..ldent
Dec.dent- IREV.1501) 'or en I.plan.tlon of ad.lnl.tr.tlv.ly correctabl. Irror..
If Ifty t.. due h Plld within thr.. U) c.lencf.r Rnths .lter the dKadant'. d..th, . flv. parCent (5:,0 dlsc~t 0'
the t.. p.ld I. Illowed.
PENALTY.
The 15% t.x .-na.ty non.pertlclp.tlon p.n.lty I. co~t.d on the total of the t.x and Int.r..t a......d, and not
peld befor. Janu.ry II, 19'16, the first dly aftlr the 'nd of the tax eanesty period. Thl. non-plrtlclpltlon
penalty I. app..labl. In the .... 'annlr and In the the .... tl.. p.rlOd .s yOU would appa.1 the tax end Int.r..t
that hat b.an .......d I' Indlelt.d on thh notlc..
INTEREST:
Int.r.st I. Charg.d b.glnnlng with flr.t day of dellnqu.ncy, or nln. (9) .onth. and on. (1) day fro. the dltl of
delth, to the dlt. 0' P'y.ant. Ta... which b'cI.. d.llnquent b,'or. January 1, I"Z b.er Int.r..t It the rete of
.1. (6%) percent par ennu. cllculat.d at . dilly r.t. 01 .000164. All t..a. which b.c... delinquent on end Ilt.r
Jenu.ry 1, 1911 will b.ar Int.r..t .t I rlt. which will v.ry frOl c.landlr yelr to celandlr y..r with that rlt.
ennounc.d by the PA D.part..nt of Rev.nu.. Th. appllcabl. Int.r..t rlt.. for I'IZ through 1"7 arll
'!!!! Inter..t Rate D.lly Int.rut Factor !!!r Int.rut R.t. D.Uy Interut Factor
1911 ZOX .000541 1917 'X .000Z47
IOn lOX .0004'1 1918.1991 IU .000501
1'" llX .000301 199Z .X .0D0247
1915 lSX .OD0556 199]-1994 1X .DD019z
191' lOX .000l7. 1995.1997 ox .GDOlltl
--Inhr..t .. Cllcul.t.d .. followll
INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notlc. I..uad Ift.r the t.. b.coae. delinquent will r.flac:t an Int.r..t cllcul.tlon to fifteen 115) dlY'
barand the d.t. of the a.......nt. If p.yaant h lade .fla,. the Inhrut COllputeUon d.t. shown on the
Notlc., addltlonll Int.r..t ~.t be c.lc:ulltad.
.
~
.;
v
STATUS REPORT UNDER RULE 6.12
Name of Decedent: ERICK JAMES COLEMAN
Date of Death: June 1, 1996
will No. Admin. No. 1996-00968
Pursuant to Rule 6.12 of the supreme Court Orphan's 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 X
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete: Unknown. estate is involved in a personal injury case.
As soon as any settlement proceeds, if any, are received, the
estate will be 3. If the answer to No.1 is Yes, state the following:.
finalized.
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
formal or informal accounts may be files with the
Orphan's Court and my be attached to this report.
approvals of
Clerk of the
, .
,.
In:)
oJ:)
V2/r.$~
s~gnaturel -;1
Dennis R. Sheaffer
Name (Please type or print)
P.O. Box 889, 111 N. Front St.
H:1","';c::hnrl) on. 171nQ-Qeo9
Address
Date:
7-:.;-91
I.,'
\,(1
6::;: Z d LZ OJ I L6.
,
'.
:::1
. 'OU
d
(717) 234-4121
Tel. No.
jJ
Capacity:
Personal Representative
X Counsel for personal
representative
('
'-~
./
STATUS REPORT UNDER RULE 6.12
Name of Decedent: ERICK JAMES COLEMAN
Date of Death: J 1 1996
une .
Will No.
Admin. No.
1996-00968
Pursuant to Rule 6.12 of the supreme Court Orphan's Court
Rules, I report the following with respect to completion of the
administration of the above-captioned E:state:
1. State whether administration of the estate is
complete:
Yes
No
x
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete: Unknown. Estate is involved in a personal injury case. As
soon as any settlement proceeds, if any. are received, the estate will be
finalized. 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 files with the
Clerk of the orphan's Court and my be attacherl to this report.
Date: 2 - /9 ' f) ~ a )( l-i../L
signature! /1
Dennis R. Sheaffer
Name (Please type or print)
111 North Front St., P.O. Box 889
lIarrisburg, PA 17108-0889
Address
(717) 234-4121
Tel. No.
-,
" .
-....,
Capacity:
Personal Representative
X Counsel for personal
representative
Ql".> \c,c'0 C--
STATUS REPORT UNDER RULE 6.12
Name of Decedent:
KRICK JAMKS COLKMAN
Date of Death: June I, 1996
Will No. Admin. No. 1996-00968
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 l(o
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. I 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 t.he personal representative state an'\
account informally to the parties in interest? Yes No ~
d. Copies o~receipts, elea s, joinders and
approvals of formal or infor~l, accounts ay filed with the
Cerk of the Orphans' Court and ma:(~a l hed~ 0 \~\ report.
Date: s- \~-~
Name (PI
type or print)
'-'1
III North Front Street
Address IInrri~burg. Ph 17101
;j:,.).
1'-,.......
-
!3
(717) 234-4121
Te 1. No.
.,, .-
- ~
~ " , ..
-~
Capacity:
~
Personal Representative
Counsel for personal
representative
(MAH:rmllAMJJ