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HomeMy WebLinkAbout96-01004 PETITION ron pnOIlA TE and ConANT or LETTEns 1L~. ,'J6..Il . No. ~r - G'lo - / 0 () c.J ? To: Estate of 11 'I ...... 'H J . { also known as ' RCKi'ter of Will, for the Couuty of in the Conllllonweahh of Pennsylvania _ IJIXl'ClJ(.tI. Social Security No. LI f ':/.. .. I 'I (, ()J ') , The petilion of the undersigned rc'peclfully represent' thaI: Your pClitioner(s), who is/are 18 years of agei r older an the e.xccul' ,. in the last will of the above decedeut, dated , I,) I \. I '/ f 1 and codiciI(s) daled named ,19~' t~l;lle '(Ic....anl cin':llnUI311~'e\, C,l(. rcnul1cialion, iJCJlh or c\C'(ulor, etc.) Decendent was domiciled at death in (' I , ,,, i h ~"- I. ~.r,amilY otp'r~n~~pal,re;'!dfn;~al . . (" " ,i County, Pennsylvania, wilh , 1 ~ {.:.,', (l.~~ l.,j..' '\ " (Ihl ~trccl. number and mUndl"dlil)') Decendent,lhen ') L-. years of '!llc, died 0 _ < / U ,19 9 ., , at l ~l.. '\\. il ,/,Jl.t_ ,. t__.i{t . Except as folloCvs, dccedent did not marry, wa, not divorced and did not have a child born or adopted after execution of the will offered for probate; wa, nOlthe viclim of a killing and was never adjudicated incompetent: Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal propcrty in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsvlvania siluated as follows: . S ,l;' 7 J ()(_I (.> , S S S WHEREFORE, petilioner(s) respectfully equest(s) the probatc of the last will and eodieil(s) prr<ented herewith and the grant of leller' s-i (;- , ' ./<.'~.. n -:.I.a.j administration d.b.n.C'.I.a.) theron. ~ ., c U "'- ",-: o:U c ",0 c': 1\1": _u ~= == ;; c ~ in . {}< "\ !\t :. l ~,(~ l-" J{.r!{t',' 1. 4""'( Lt.''"L- J. { ~ ......L.l."'~ I\.. _(t.. \._, {JoIC' I 7 LI ~ 1 I -, -- . !J L (1 OATH or PEnSONAL HEPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA 1 'S COUNTY OF CIlMRF.RLAND .J ::; The pelitioner(s) above.named swear(,) or amrm(s) that lhe statement, in lhe foregoing petition are true and correct 10 the be,' of lhe kilOwledge and belief of pelitioncr(s) and that as perso031 represen- tative(s) of the aho," decedent petitioner(s) will well and lruly administer the estate according to law. Sworn to or affirmed and subscribed { '-)/0."'" /\..1" c: ~ (.....( .. J tJl before me this Stl1 day of J ~' DF.CEHllr::g 19~ a /7J(J~~ c... ~,~<.!, ~ U i!~ ~ ~ (J,f'':\\ R"Rist,'r :e: 15-1'-15-/ Thi.. i~ !tlll'nil\" Ih,11 till' illlllllll,lIillll hCIl gl\l'lll" \Iilrllll\ 1"J'll ! 11''11\ ,Ill \<lli'III,1! \111111,,111 "I ,k.ilh dllh Idt'd \~Ilh lilt' .1" I.IIl.II Hq;I\lLlr 'TIlt" tlrlr"l.tlu'llilil.lll' \\ III ill- "'I \\ .If- It.~ I., ! ill ',I .'11 \ I' ! HI ,I 'l' \" I 1111' t I, o! I" ; Ill,'! It III Iihllf" WARNING: Ills Illegal 10 duplicate this copy by photostal (H pholograph. i"ll.j'tlllhi"u'culll.llt. L)(1l1 21-96-1004 ~~,{~\,ii'oipf:;: '" Il.!.'~' :~:".:.'~~~ ~~,... "'j Q, ,j c.J .(.- ,'i: . .' a ..1:; \ ~\, I ~- .~, I ~ l~~!J ~'''. ,"-il , '1'/,,' . \~\.i-" "'EHT ~ ,,,'" ~~~ 32834SG No. /J :1~.A- tt-l'MZ-' /- ~ /0;//2 v..e1 ("7~ 1,,\.t!{q':I'\ll.1l 0 Ote 1 W~J', Il.lll" COMMONWEALTN OF PENNSYLVANIA' OEPARTMENT OF HEALTH' VITAL RECOROS CERTIFICATE OF DEATH ,.......OIOCClDl.Hl'.. ~ L-* I. Hary L. Neighbers 141".~ UHDt:"I'rtNII - ..... ". I.Female tWlhlMl....ft \OC1Al $l.CuIVrY NUUIIA I. 484 14 6039 OAlIEOfllUlH.UonIIo..-1 .. Pc.. 11t0l~.1 O,UI 01 MlH lu.....O'-'_' ""I~~I/Id ~",hll"""'W.Y1 ~O#Ol6JHIO"'."'''''''''- _.''',aJd'''''gII'-._ """'.... _ f!( ........ 0 g:,.IO .. - -.. Cumberland --..0' t,.~:.w.-:::':::af New Cumberland lIOt.."........ul,r..~ ..._s..._l I. Margaret Kilpatrick rHlOtWAHt........IHOADORlSS~.. ~.~ l.,~ 1818 Brandt Avenue, New Cumberland. PA 17070 fl\ACIOIClIsPOSIllON.N_"'c.-tt'f,O............ lOCRIOf't.~IUt..r.c- .0IhtlP'la. Rolling Green Hemorial Pk Camp IIi 11 , PA 17011 .. NAUIE AHO AOORI$S Of rAClUtY Stone&MurrayFII 408 3rd St New Cumberland, PA UClNKH\lYlIlA OAJlllGtllO ,~o.,_1 UNDl" I [W .....,- , Aug.3,1923 Canton, IL 72 .,. Cumberland arr.lOf'IO. ,..,." 01 Dl.AtH East Pennsboro Tw OJ- .SOl OlHtIYIAW U,AIUoIlOr()f'lCut ...O..1iiI l- O(CIOlNt"S UlUCAJIOH 1UHD0I8USIHl5$11HOUSTA. a: JrfT"aUlUA&. Nil'IOfIl ,,~.:'O:::~:i Store Hano er one Art Photo ClICI:OIH'.........-.aADOMUItf-Clrt~ $We l.,c.oo.. ")fCC..t,IIT'O "'fUAl ..""'''''' ...- on"'_1 , If..S&.M PA 1818 Brandt Avenue 'LNew Cumberland, PA 17070 MntUrINMII,...1lHUt u.q Kett Watson "'"""'""- -- Jamel Neighbcrl O .....lii"'_O - -- .... 1995 "'7.6."-\.'" ......I:JH.....""""....".. .........11I""'''',..,... --- ORI l'AOHOU""lO OlAD'........ Pe,__1 1z--llI--'I~ , . ......-...-.____...-.cl'I~........ Ot........._tItJJ'O'Q.NII.IUiI_...........'..INInOlIltlll'..... ~..,-_...--.... . OAIl01 IfW'" ,~o.,_1 L W'lN~'INOING' .-...uer.rfOf\lOAlO OOU"-OrOMOIc.wM 01 CUI"' IoWItIl 01001" t.IAA1W,. SWUI. u.,... '- ........,. w-... tMIocM~_"" M01"ried _II'OUK ll"'~--"""" James Neighbers " "..0................ ... 17070 I==- I~............ P'M:T.z C)IW~"____""".""",,, ...,......... nN "'*"""'4-"""" fWfI I Wn M =PVD , , ~ "t.llOlIHJ\IA' INJ\.IA,RWOM' OlSCAlIll HOWIN.NR'fOCCUMlD ~ o o - '...........~1O'l c..A4.......dtt..-..d o o o !::.cIOl~'.A1""""_II'H1IkW'rollU .. ~_I~.I ... UX:6JIOfIl(\a'_~1ItItt \ ",0 ..0 -. - ..... " - .... cunlPtMo-a_onM .tulT~'"'&lOAHII"tfM*'~VJ'I'IQ~uI......-...".......~'.....,"-"'''~.,.....-t~~...l1I "N......""..............~...."...........I.....-...~ ........-..................... " ~ C t 1A1'1O""fW1IHO'"Ta.c&ANI"'.......I...IJII11"OJwO'CIlQ~..4'~.,u..,.uI~...,.1 ft......t1..,~......_....,..t1................................-UOOMI.I........-...."'.................... "MlDICAL DAMlHIruc:OAOftI" . CMN 1Nalt" ..erNMtlorllftdl.lm'..I~IlIon.II'lIl'l'.,wo<'I,d.t1" OCCWfltd .II!WIII/Ni. tI,I.. eM plK'. end dll.l. "" tluNl" tftCI u.~.._................. ................. .......... .... ."..... ..... .. .... ..... ... ..... ...... ... .... ...... A(GI"MA.~AItOHUW(A 19.,/,p.., /,/ I ... 0 ..0 ... SIONAllIN AHO fllll 01 ctAllfl(" 0, . '''''''.'?r.''' /1.,-'0 G / "". 'iHl.::::r."~n ti4, 1!&.J2.TI....~~ '" 'Z- I Q 7 -> NJ,1,t( AltO AOOAI" 01 ttASON WltQ COW\I 110 CALl$( 01 Ol.sH 1"....lllfr~OIPIl..1I Kenneth L. Smeltzer, HD 425 21st Street, Camp IIi 11 ,PAl701I o " o.oJ['''lO,.......... , - /11. II 95 " ~..J If I r..: ; ~:.; <,1;_ (.: ~; \ ,::..; :.:: oU ..f-i CER'l'IFleJ\'l'ION Of 11000'ICI, UNDEI1...!!~J1~~~2~.Q..{2J. Date of Death: ()) l~,\ ~ d, J. /'2. -I ().. (if--- ;). I - '1 (,.- / c') () ll_ J\dmin. N'~. ,- f"./' 2/ Li H /~ -(""Ii.'. r Name of Decedent: will No. To the Register: I certify that notice of benoficial interest required by Rule 5,6(a) of the Orphans' eourt Rules was served on or mailed to the following beneficiaries of the above-captioned estate on J\ddress ~ &~V C<.....t...--'l__J.....'iL---1 (), . (4-- , / .. . -::ffJ fh "'.s rJ C2 ('-~ I-to /~ C.4'(J' J g I & ,1$-'\ ct--oLI /7lJ 70 Notice has now been given to all persons p.ntitled thereto under Rule 5.6(a) except ., o .~ 0>0: ex: r- 9' .- t: J)=, aU . d~~-...... /u..~-"J kl---. Slgnature 7 Name ~ /11 ~ J .1'/'" 14 Itrl E A f .0) La AddressD I J ~..r' ../"/r "--. )1...'-<-"...1 {~~I-.....J--,-....J 67 Te1ephone(lnl 7741- .("20:-;0 Capacity: Personal Representative ~ Counsel for personal representative Date: j-?CJ7 o~ .';.~ co .'d ~ ~.o: Cl' c!: ,') n I o~ ---: :=: IEV.uoon+ 119"1 I- " ... ffl ... ... a ... I- ",:!&n ...",,, ........ :c09 ug:CQ .. c , I- "''' ...... "'a "''' 8~ ~~~ COMMOUW(AtTtIOf PIUU!lYlVAWA DEPAIIMENIOf l(v(NU( DlPl lBOhOl _ H~"~AI!lIU.I~! _P~ _I !1~_B ~bOl DIClVIt41-) N.,,~( 11"!>>l. 111\1 "tll) MIOOLI 1t4111"1I ;.S- - / II r;- - / If INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) YEAR 'OA OATIS 0' DIA'H Ann 12/31/91 CHICK HIAI I' A SPOUSAL 1-..1 POYIUT.CAlDIT IS CLAIMID... 'Ill NUMIIA ,;2/ COUNTY CODE 1'10 100L/ NUMBER 01 CI tll tll ) (O""l( H "OVI()\ I '1'1 ~. I}I/I) v(JIII (,. t' ~) .-v,:.,,, ,: < 'I?/J/~').-I).I Cov'" (.'"-~ CO ",11/'1,."/1'-/1",-/1 fA"'OtJ'4111(IIVIOI~t-( -llj\IIlUelIO-U\1 - --- - ----~---- L. ___lJt..f,-c:"j)l.'.l)~ p /.'11'J I) j \0(1"\ )leUIITl' NUMatl 0"" 01 01 AI" '-/ '3'1 l'-f' 6.~:_~~l l/. -/r' "J 1_' ""l'("llllll;Io,.",.(,\'O\IUl"""'I,"\l II\! ."l'..t'l'l'-"'-.'l r'/) I '1' ,.. jllAll Ollllltl I( J ;1:3 j~O(I"t !lleUIIT' t.UMItI _ ::;;''j)'-/ 7(. i,C' 11 2. Supplemental Relu,n [J Aa. Future Interell Campromile (for datel 0' dealh aher 12.12.82) Decedenl Died Tellale r 1 7. Decedenl Maintained a living Trult (Allach copy 0' Willi (AUoch copy 0' Trull) ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO. ./ /J /I! ':"5' ~~._--~--- IV f(<O-IIIJ.wi ft"3'T. Original Relurn o 4. limited estate 06. [13 [J 5. Remainder Relurn (for dot"s of death prior 10 '2.13.821 Federal estale Tall Return Required _ B. Tolol Number of Safe Depolil Bo..", NAM( J'f).~1,'fo) "'.,/0N15. lH(PHON( NUMltA 77'1 i.lC'.J COM'L(H MAlmlG ADDIU\~ i 'S 1 f; /lr//}~IJF 11 vE A/ ., .., } /l /'/1 /7,"'/C" /v,:..v ,:.t.O .?' I,.~,,<...t \(./ I If - I. Reol estale (Schedule A) (II 2. Stock, Dnd Bond, (Schedule 81 ( 2) 3. Clo1ely Held StoddParlnership Inlerell (Schedule C) (3) 4. Morlgag"s and Nalos Receivable (Schedule D) ( 41 5. Cosh, Bonk Deposits & MisceHaneoul Personal Properly 15) " (Schedule E) a 6. Joinlly Owned Property (Schedule FI 16) ;:: :5 7. ',an,le" (Schedule G) ISchedulel) 171 => l- e:: 8. Tolol Gran Auets (Iotallinel 1.7) cC ... Q, Funerol Ex~en'e'. Administrotive COll'_ MiuellaneouI 191 ... '" Expenses ( chedule HI 10. Debls, Mortgoge liabililies_ lien, (Schedule I) 110) 11. Tolol Deductions (Iolalline' 9 & 101 ~ -0 {iL 7 7 c-<.' 18) m 11\1 __2L~7 00. 1121 0 113) c7 1141 ~c> = C K. " a ;:: c l- => .. '" o ... >< C I- 12. Nel Value of eslot. (line 8 minus line 111 13. Charitable and Governmental Bequo'" (Schedule J) 14. Net Value Subject 10 To", (line 12 minus line 131 15. Spousal Trans'en (for dale' of dealh alter 6.30.941 See Inl'ruClions for Ar,plicable Percentage on Revene 115) Side. (Indude valuu rom Schedule K or Schedule M_) 16. Amount of line 14 taxable al 6% role 116) (Indude values from Schedule K or Schedule M.) 17. Amount of line 14 taxable 01 15% role (17) (Indude values from Schedule K or Schedule M.) 18. Prindpoltax due (Add tax 'rom linel 15. 16 and 17.) 19. Credits Spousal Poverty Credil Prior Poymenh + ---~-------- + (19) 120) c., .~___. K .06 = ',' _ ___.__.__ _~__ K .15 = (] (18) (? Inlerell Diuounl <":> If line 19 is grealer than line 18. enler Ihe difference on line 20. This is Ihe OVERPAYMENT. iii D.tt~"II'H'.la'J:'I,..u..(~'I'I'Io'lhl~.'..,Irtr.r.l':'laTI.111..l.Tl'U.I'l'jltl'J,1 21. If line 18 is greater Ihan line 19. enter Ihe difference on line 21. This is Ihe TAX DUE. A. Enter Ihe interest on the balance due on line 21 A. B. Enter the rolal of line 21 ond 21A on line 21B. This is Ihe BALANCE DUE. Mah Chuk Pavable to: Register a. Wills, Agent 20. ~, (21) (21AI (21BI c:;. " ___~..___~c~ ~ ~ BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH ~ ~ Under penalties 01 perjury, 1 declare that I hovlI examined this relurn, including occomponring uhedules ond slalllmenll, and 10 the besl of my knowledge and beliel. I is Irue, correcl and complele. I declare Ihor all real ellote has been reported ot Irue markel value. Declaration of preparer olher Ihon Ihe penonol representative is ~as on all information of which preparer has any t..nowledge. ' "ON TU" 0"'" N ""ON"""O' ""NO '!lU.N ADO'''' 1 C c. ~:) . II (~ OAt( I- ) ? -'Lv-." lll------ -1_Q/u.<:1'l.cr'1ol'/T' ,{,'L. )030 CJ ADO'''' l -- d r'r-, OA" -- LlLt-_""-~~"~-"- 6-.v-O{~../ 'J?, /_7.0.0 0 . - IIVlill tu ll"1 1l~1~'~l\ _!fi/iv;. COMMONW[Al1H Of '(NN~'fl"'ANIA INtURIIA.HCl 'A. .(tURN ~, O(~(D[N' 1 F SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES 1-" PI".,,,","""'" T". FI E UMBER t?'t. " IVE/t:II'Jt:IlJ'---__.__ DESCRIPTION HI ITEM NUMBER A. AMOUNT 'J.177.r''''' Funeral Expense.. -Stcwf, 1. /11,-/111}" rt/1/IIIJI" ({r-1I1/: t( C' '0' TIIIII/J ') r /VfVV C(.A7;JM41~!'J j?/l /7<' 7"" 1. B. 1. 2. 3. Admlniltrallve Costs: Personol Representative Commi..ions Social Security Number of Personal Representative: Vear Cammi..ians paid Attorney Fee. Family Exemption Claimant Addre.. of Claimant at decedent's death Street Addre.. City 4. Probate Fees C. Miscellaneous Expense.. 1. 2. 3. 4. S. 6. 7. 8. Relationship State Zip Code s 5"" CJ77-co<;: TOTAL (Also enter on line 9, Recapitulation) (II more space Is needed, Insert additional sheets of same sl...) ':oJ 0 :;: .. _ 0 ~ ~ ~ ~ ~ ~ lit: ~ 0 _.,W 1/111'1 ::s >=fC z" Lt., < Iii Z 'l' ~ Ill" ~5~ ,,:1: t:~~O~ ~t18~t. ~ ~..ffi ~., ~ cu a ~ ~ c;:; z I~ " ~ Cl ~ UJ ..J UJ !! Cfl !{1~~ ~ - ~;, u ~~.Q ::-' .... h8 ~ 0... tll .... "0 ~ UJ ~ ~~ (j)~~t o ~ ~ ~ z g f: ~ .A" "" 0 '40 i;:...:G (j)S~~ r\ III 0 C 1-1 E ~ iij 8 ~!2!1. Q).s~ (j h~ -J ~ ~ ClJ ~,!Jp. 0:: ~.... VI UJ a~~ Z ....." fa~~ ~ ~~: eo,;" u... 'lJQJ:J otis Z ~ UJ ~ UJ ';;: tn ~ I! r II \ ': t h . i' ,,1; ... u.. o . . :; r r I. I, II' ~ ~ d\:' ~ to ~ hi~ q,,! h~L' ;. :t .~ 11 ' .. "~n t N t g. f. ~ ~ ~ . t~~t~ 1Il:i ~ l"":' f ~.. ~ i ~ i i1 :>'i ~;;t.. ~~n'l" 1 ..J!..;j' . u i! ~ Co ~ !!! \:.[,-; -.'"' ~ ~,~ . c 1,;. . "oil.. 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" " ~ ~ " " " s s s - s ~ s CI) CI) ~ 0 CI) CI) 'Cl <Cl .E - ~ <Cl <Cl <Cl C I Q 0 ~ c J III III ;: l & l!' .~ ~ .., It 7iI ~ ~ '0 '0 ~ " " - c ~ ~ ~ ~ ~ 0 11 S It ~ - - - - - ~ .. ~ 1 ~ ~ 0 0 0 0 0 .. ~ .. ~ ~ .. ~ ~ ~ .. c .. .-: :s :s l!! .. 0-; :r: ; o E .::; ': >- C> Q; U c ~ .. CI) i- t . "- 'is ~ ~ ~ ... ~ .c ~ C '" 3 -... ~ Jl UI "';. ~ \:.. ";., .: .. " ~ .1(J~~~'E~f'cj 1I~f>C~'l"O~ ~~:;U~f.". -', _ .. CI . ~ 10 . _ u ~ t :..3~" l;j '0 ~" .. ~~ 'lb..ut:)F..~ , [['... ~ 0 ~ ::: <'II f. n "~UJ'6-o'l'c.l'~ Ol"'C::"'E~O.[ . Co-~c Euhr, !lz'" It tJl 0 ro .. :J ro_ '~I Z g": ~ : !i . ~b1 .,. l(t'tJl ..J tJ;! CI)!! ....f,-. "w' c' - ~ . "'n. - .. .. C CI Ii t;e. ~\;/..~~-!',tJ-.n I '\ , ~ iJ;..Ji;::: r. ~ t (; "r. . ii}ooubocdl 6' i.8..!!Uc_Euo.., .i -':!.J;croT,..... 1;9 ..Q_~R;lIj;...ao 2 \1 h~~~a~~~~"" .. ~ ~.'!f.:Jc~~!!~~ ~,~ ~:l!i~:1?il:Et (' ! _l't.VCl)S:::~=>O } fi ~"D- .tioal i F cS-."~""-' >. :J C )0.0.2 c i a~ ~~EE:g~~i'liI-~) = ro -QJ>-On,6uu'O ~l &:=og~~'U;g~'g~li ~~ '" ~ 13 ~ g n e C> c 'c n; :0 o S e: :3 u m ~ u '" z ~ " > :; o .9 ::) ~ q " .. C>" - '" ...J ~ g ~ 0 ~ g ~ ~ ~ ~ " J ~ ~~ t ~ ~ ~'lJl ! ~ ~ <( U li-: · ~ i ~ i~.~~ ~ = ~ (~ -J (lJ J \ . ..: ~ ~ t- "' " ::? l> 0 ~ ~ 6 . m . ~ .. '" e> ::! ~~c 0 Un";;' fE Q) fU Q) 0 E ~ g w o 0. to ;t > >~g.t;b~ a:!:!=c{....w <t~Jol~Wa; :E ::) cu nl t:; ~ lLt-u...Jw :E - IJ) - D. ::E :J~.!!~~>- cn~~~8~ ~ W ::l " W o z ~ ... ~ m III1I1 It:] I~ ~ , .. u 1:0 , u .. u :0 u Q; ~ .. ci: c " ~ E .It ~ C ~, 0 0 :; g ~ J" c ~ a. . ."S? ~_ o - c ... c I!I ( E .c t; g' QJ ~ 1? cf a:::! u U "! ~ " W t- o W ..J W III W III 5 z .. I o c: w ::; u. o ~ .. t- . 0 ... COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE /',/'/:1 .1'/ BUREAU Of INDIVIDUAL TAXES IHULAlfAHC[ TAlC DIVISION O[PI. 110.01 ItAAAI$lURC, Pi 111:'-0601 NOTICE Of INHERITANCE TAX APPRAISEHENT, ALLOWANCE DR DISALLOWANCE Of DEDUCTIONS AND ASSESSHENT Of TAX DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 01-27-98 NEIGHBERS 12-10-95 21 96-1004 CUMBERLAND 101 JAMES NEIGHBERS 1818 BRANDT AVE NEW CUMBERLAND PA 17070 Anount Renitt.d * ,".I"'U &I' lit.'" MARY L 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 ~ iiEV:i5'4TEit"Aj:i.--riiii:ij'fj-iioYicE--OF-YriHERii'iiiicE-YAX-jiPPRjiisEHEiir-;-AL.LOWANCE-iiR'----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF NEIGHBERS MARY L FILE NO. 21 96-1004 ACN 101 DATE 01-27-98 TAX RETURN WAS: (X) ACCEPTED AS fILED RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. R..l Est.t. (Sch.dul. A) 2. stocks and Bonds (Schedula B) 3. CloselY Hald Stock/p.~tn.rlhlp Int.rast (Schedul. C) 4. Hartg.gas/Hot.. Receivable (Schedule OJ 5. Ca.h/Bank Deposits/Hi.c. Parsonal Property (Schedule EJ 6. Jointly Owned Property (Schedule f) 7. Transfars (Schedule GJ 8. Total Alsat. APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expanse./Adn. Costs/Hisc. Expans.. (Schedule H) 10. D.bts/Hortgog. Li.biliti.s/Li.ns (Sch.dul. I) 11. Total Deductions 12. Hat Value of Tax R.turn 15. Ch.rlt.bl./Gove~naent.l aaqua.t.; Non-elected 9113 T~u.t. 14. N.t V.lu. of Est.t. Subjoct to T.. NOTE: TAX CREDITS: PAYHENT DATE RECEIPT HUHBER DISCOUNT 1+) INTEREST/PEN PAID 1-) ( ) CHANGED 11) (2) (3) (4) IS) (6) (7) .00 .00 .00 .00 .00 .00 .00 18) NOTE: To inJu~e proper c~adit to you~ account, subnit tha uppa~ po~tion of this fo~n with your ta)( paynent. ~ .Q77 00 5,971.00- .00 5,971.00- will .00 .00 .00 .00 .00 .00 .00 .00 .00 . If PAID AfTER DATE INDICATED, SEE REVERSE fOR CALCULATION Of ADDITIONAL INTEREST. If TOTAL DUE IS LESS THAN .1, NO PAYHENT IS REQUIRED. If TOTAL DUE IS REfLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REfUND. SEE REVERSE SIDE Of THIS fDRH fOR INSTRUCTIONS.) If an assessment was issued previously, lines 14, IS and/or 16, 17 and 18 reflect figures that include the total of ~ returns assessed to date. ASSESSMENT OF TAX: 15. Aaount of Lina 14 at Spousal ~ata (15) 16. A.ount of Line 14 ta)(able at Lineal/Cla.. A rat. (16) 17. Aaount of Line 14 ta)(able .t Collateral/Class a rat. (17) 18. P~incipal Ta)( Due (9) 1l0) 5,977.00 .00 Ill) (12) (13) (14) (Sch.dule J) .00 X .00= .00 X .06= .00 X .15= (8) AHDUNT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE RESERVATION I E.tate. 0' decedent. dying on or be'ore Dece.ber lZ, 1,8Z -- I' any future Inter..t In the e.t.t. I. tr8n.,.rr.d In po.....lon or .nJoy.ent to Cl... . (colleter.l) b.n.flclerl.. of the dec.d.nt .,t.r the .xplr.tlon of any e.t.te 'or II'e or 'or y..r., the Co..onwe.lth h.r.by expr...lY r..erve. the right to .ppr.l.e end ...... tran,'.r Inh.rltanc. T.x.. .t the I.w'ul CI... a Ccoll.t.ral) r.t. on any .uch 'uture Int.r..t. PtJRPOSE llf' NOTlCE1 To fulfill the r.qulr..ents 0' S.ctlon Zl40 0' the Inh.rltance and E.t.t. T.x Act, Act 21 0' 1995. C7Z P.S. Section 9140). PAYMENT 1 O.t.ch the top portion of this Notlc. .nd sub.lt with your pay..nt to the R.gl.t.r 0' Wills prlnt.d on the r.v.r.. .Id.. --"ak. ch.ck or .on.y ord.r payabl. to: REGISTER OF MILLS, AGENT REFUND (CA): A refund 0' a tax cr.dlt, which wa. not r.qu.sted on the Tax R.turn, .ay b. r.qu..t.d by co.pl.tlng an MAppllcatlon 'or R.fund 0' P.nn.ylv.nla Inh.rlt.nc. and E.t.t. TaxM (REV-ls1]). Application. .r. .vallabl. .t the Of,lc. 0' the R.gl.t.r 0' Will., any 0' the ZS R.v,nua DI.trlct O,'lc.s, or by calling th. .p.cl.1 24-hour an.w.rlng ..rvlc. nuab.rs 'or 'or.. ord.rlngl In Pann.ylvanla 1-800-56Z.2050, out. Ida Pannsylvanla and within 10c.1 H.rrl.hurg ar.. (717) 787-8094, TOO' (717) 71Z-ZZSZ (Haarlng Iap.lr.d Only). OBJECTIONS: Any p.rty In Int.r..t not ..tls'l.d with tha .ppr.I....nt, allowanc. or dl..llow.nc. of d.ductlon., or ........nt 0' ta. (Including dl.count or Int.r..t) a. .hown on thl. Notlc. au.t objact within .I.ty (60) day. 0' r.c.lpt of this Notlea byl DR a.wrlttan prot..t to the PA D.part..nt 0' R.v,nu., Board of App.al., D.pt. 281021, Harrl.burg, PA ...I.ctlon to hava the .attar d.taralnad .t .udlt of tha account of the p.r.onal rapre..nt.tlve, -..pp.al to the Orphan.' Court. 17128-10Z1, DR AD"IN ISTRATlVE CORRECTJONSI Factual .rrors dl.cov.r.d on thl. ........nt should b. .ddr....d In writing t01 PA O.part..nt of R.venu., aur.au of Individual T.xe., ATTH: Po.t A.......nt R.vl.w Unit, O.pt. 280601, Harrl.hurg, PA 17128-0601 Phon. (711) 181.6505. 5.. page 5 0' the booklat MJn.tructlon. for Inheritance Ta. R.turn 'or. Re.ldent D.ced.ntM (REValS01) 'or an e.plan.tlon of .dalnl.tratlv.lY corr.ctabl. error.. DISCOUNT I If any t.. due I. paid within three (]) cal.ndar .onthl a,t.r the dec.d.nt". d.ath, . flv. p.rcent (SX) dl.count 0' the t.. p.ld II allow.d. PENaLTYI ThI 15X ta. .ane.ty non-p.rtlclpatlon p.nalty Is co.put.d on the tot.l of tha t.. and Int.r..t .......d, and not p.ld b.for. January la, 1996, the first day .ft.r the end of the t.. a.n..ty parlod. This non-participation p.n.lty I. .pp..I.bl. In the .... .annar and In the tha .... tl.. p.rlod a. you would .pp..l the ta. and Int.re.t that ha. b.an .......d a. Indlc.tad on thl. notlca. INTEREST I Int.r..t I. ch.rg.d b.glnnlng with flrlt day of d.llnquancy, or nln. (9) aonth. and one Cl) d.y 'roe the date 0' de.th, to the data of pay..nt. Tax.' which baca.. d.llnqu.nt b.fora Janu.ry 1, 198Z ba.r Inter..t .t thl r.t. of sl. (6X) p.rcent p.r annua calcul.t.d at . dally rate of .000164. all t.x.. which b.ca.. d.llnquent on and aft.r January 1, 1'82 will b..r Inter.st .t . r.t. which will vary fro. c.l.ndar ya.r to calendar y..r with th.t r.t. announced by tha pa Dapart..nt of R.v.nu.. Th. appllcabl. Int.r..t rat.. for 1ge2 through 19ge .r" '!!!! Int.r..t R.t. Dally Int.r..t Factor !!!! Int.r.st Rat. Dally Interest Facter 1982 ZOX .ooos"e 1981 ,~ .00OZ"7 19U l'~ .00001 1918.1991 llX .00OSOl 1ge4 IIX .GOOlDl 1992 ,~ .OOOZU 1915 13~ .000556 1995-199" 7~ .00U9Z 1986 10~ .000274 1995-1991 ,~ .0002'" -aInt.r..t Is calculat.d .. followl: IHTEREST . BALAHCE OF TAX UHPAID X HU"BER OF DAYS DELIHQUEHT X DAILY IHTEREST FACTOR _.Any Notlc. I..ued aft.r the ta. b.co..' d.llnqu.nt will r.fl.ct an Int.r..t c.lculatlon to fl,teen (15) day. b.vond the data 0' the ....II.ant. If pay..nt I. ..de a,t.r the Int.r..t co~tatlon data lhown on thl Notlc., addltlon.l Int.re.t ault b. c.lcul.t.d. STATUS REPORT UNDER RULE 6.12 Name of Decedent: In (-I R '/ L "lc:: I (., 1./ r:: L /2... "- Date of Death: 'L -/0 .. r,' .J Will J '1 'i (, -l.:.lIOOLJ. Admin. No. "7 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 th~ above-captioned estate: 1, State whether administration of the estate is complete: Yes .-J.... 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. I is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes X No b. The separate Orphans' Cuurt 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. Date: -'L 1 -(1'6 , /~I /..-N"-~ \\~ Signature ..- ~ frIll) ~ 5 Name (Please type or print) / g If; B 1:':'/"1t1./ I) ,- Ii- \/"L- n Address rYGcU (hl,l/llc:-'1l. L.,.r-N~) (;-'1 ',0'10 (lt7) )7'i--.!,2A.s Te I. No. ,~ E I C1 fl ;:,' F ~ !;' Capacity: )( Personal Representative Counsel for personal representative (MAH :rmfl AM3) , IRIl/June 30, 1992/17858 nEtmiJ'lm OF WII.I.'i CUlIlhrrluud Cuunty Ctlurlhuns,' Onr Cuurlhuusr S'IIJ:lI'l' Carlisle,l'A 1701.\ NOTICE PUnSUANT TO IWI.E 6.12 PENNSYLVANIA SUPREME COURT Onl'lIANS' COURT RULES To: Personal Representative Counsel: J,\MI::S NI::IGIIBEIlS RE: Estate of MAllY NI::IGIIBERS , Deceased, Late of NI::W CUMBERLAND 1l01l0UGII Estate No,: 21- 1996 - 1004 Date of Decedent's Death: I 2 - I 0 - 1995 Pursuant to Rule 6.12, the above named personal representative or the above named attorney, if applicable, within two (2) years of the decedent's death, and annually thereafter until administration is completed, is required to file with the Register of Wills a Slatus Report as required by Rule 6.12, in substantially the prescribed form, showing the dale by which the personal representative, or attorney, as applicable, reasonably believes administration will be completed. 'lle purpose of this Notice is to advise you that unless the requisite Status Report is filed with the Register of Wills or Clerk of the Orphans' Court, as appropriate, within ten (10) calendar days after the date of this Notice that the Register of Wills is required to notify the Orphans' Court Division, Court of Common Pleas of such delinquency and to request that said Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative and the delinquent personal representative's counsel, if any. Accordingly. if the requisite Status Report is not filed by 2-1L1-9B ,19_, you are hereby advised that a request will be submitted to the Court in accordance with Rule 6.12. Date: 1-27-98 '---:0 i~) -llLLGpltj- Deputy Distribution to Estate File