HomeMy WebLinkAbout96-01017
I)ETlTION HUt I)IWHATE lInd GItANT 0... I.ETTEItS
21-U6- ./ 01 '~1.. ----
btll'" f/f__cb h\'Il':lJl.M II,J, 1m
,11.\0 kilo"''' (1.\ ----
No.
ro:
I(e~hlel or Wil" 1111 Ihe
COlllllY 01 C~I'1~b~I:IIII~c!____. in Ihe
t'tll1lllll)11WCillllll11'1Icl1l1,yl\'ania
_._~."-- ._- - ~
lkl'l'"wd,
~;;':i"is(.;'~;it:;; Nf/~-,-l G 7 ;;~G~~}2.'
_.,.~_..._...._.., -"
The pelilionollhe 1If\llersi~ned respeellllllY relllesenls Ihal:
rOllr pelilioner(s), who isliue IN years of n~e nr older nnlhe e\eeIlLrlx--.-,--.-.,-,. !Hlllled
inlhe 1;1\1 will of Ihe nhove deeedelll, dnled _____~!l-'!~!l--,-.----.. 1~_8J!_
and cmliciltsl daled -- ---,-----------------
NOTEu_.J"llITlIlne-M Iller_hils. r.enounccd,hcuighL to,scr,vc,ns,Exccutclx.
--------
t'lal~'ldc\.llIll'II(IIIll'lillKC'" c.l!. rCIHllh:I;llllHl. \tcillh III c\l'\:uhll. ell:.)
Decendenl was domidlcd al denlh in Cumberlnnd- COllnIY, Pennsylvania, wilh
h is lasl family or prindpal residence ,II 1 OOO..JY.l)J!.Ls.Qutlt.Str.ejlt..carlislc~
(Ii,. ..lIcet. IIl1l11hel iUlllI1lUlh:il'ilhl))
,19 96
Deecndenl,lhen 76 years of n}:e, died ----April 28
al Todd Home. 10_00 West South street. Carlisle. Pa.
Excep' as follows, deccdenl did nolmnrry, was nOI divorced nnd did nol have a child born or ado pled
afler execution of the will o[fered for prohale; was not Ihe viclim of a killing and was never adjudicated
ineompelenl: no exceptions
Deeendent al dealh owned property wilh eSlimated values as follows:
(If domiciled in I'a.) All personal property
(If not domiciled in I'a,) Personal property in Pennsylvania
(If not domiciled in I'n.) Personal property in CounlY
Value of real es"lIe in Pennsylvania
shunted as follows:
S unestimated
S
S
S
none
WHEREFORE, pelilionerts) respectfully request(s) Ihe probale of the last will and eodicil(s)
preseRled herewilh and the granlof lellers testamentary.
(ll...l;ln\Cnlar)': ;'ldmini,uuliun 1.".1.1I.: .ulminim.uion ..th.ll.c.l.a.)
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OATH OF I)ERSONAL REPItESENTATlVE
COMMONWEALTH 01-' I)ENNSYLV ANIA
COUNTY 01,' CUMBERLAND
} 1313
The pelilioner(s) ahove-named swear(s) or afl1rmts) Ihat the s!atemenls in the foregoing pelilion arc
true and cnrreet III the hesl nf Ihe knowledge and belief of petilioner(s) and Ilmt as personal represen-
!ative(s) of Ihe above decedenl petitioner(s) will well.~lrUIY administer Ihe 5sta,c,a 'enrdin~ to law.
SW?111 10 (~r affirmed and suhscrihed. /..x.,....' /1-1-< .... )(fJ;(z..t.?t'~rJ
helnre me thiS y.th- -- dav of i ':;
jJECEMI3ERJ-----=_-c-\,- 1<J.,!f!L.. !a I
Jl\.!ilifJ.::.'tI-~U..L-1ll.'0Ll) L!.UUu h . ~
Mar9 C. Lewis, /lc~;"I<'r"/ 01
J- -
IIlU\'U\ 11.1\' :.....
This is to (t'rrify 1I1Jt this is il rrul' fOP)' 01 rial' n'(llul ",hidl is 011 fill' ill I Ill' Pt.'III1\)'I\'i1l1iil I>I\'isjOllllf Vil,tl Ht..tord, ill iHXlIfd,lIIfl'
wilh A(l66,P,1.. ,\l~l, "1'1"11\'.-1 hI' Ihe (;m"",1 A''''lI1hll',Jllll'' 2'1, I'I~\.
WARNING: Ills 1II0gallo dupllcalo this copy by photostat or photogrBph,
Fee lor Ihi, 'l'rlili,ale, $\.IKl
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SI,Ilt.'lh',a.;jsuar
3861992
NAY 2,0 199&
Nil,
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HIOtI&.l~I'"
CO....ONWlALTH 0' PENNSYLVANIA. OIPARTMENT 0' HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
036558
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0, Calvin
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Miller
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1000 ~est ~outh Street ~~~
,.CArlisle,P..nnll. 1701) .::::-
Cllrliule
White
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Lorraine Faust
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Robert
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Vir inia L. Gallowa
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Carlisle
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.u,vive me bY' pe,iod of ,i,e'Y (90l d'Y' .,d if ,he,e be no .,ch
i.,Ue ,hnn 1 di,ec' 'he ,.me ,h.il be p.id one-h.,f (1/2l '0 'he
pe"on. who won1d co,,'i,u,e mY hci,.-.,-l.w h.d 1 died i,'e",'e,
unma"ied .nd wi,hou' i,.ne, .nd ,he o'he' o,c-hnlf (1/2l tc the pe'-
,on' who would con,'itute 'he hei,.-.,-I.w of my wife hnd ,he died .,
my date of death unmarried, intestate and without issue.
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LI\S'f WILL I\ND 'fES'fI\MENT
OF
CI\LVIN R. MILLER
I, C.LVIN a. NILLER, cf 29 ,cn,h E'" ",ee' i' 'he Oo,ough of
C,,'i,'e, cumbe,'nnd Coun'Y, pcnn,ylv.nic, being of .ound .,d .i.-
po.ing mind, memo'Y .nd unde"t.nding, do he,cby m.ke, publi.h .nd
decl.,e thi'" ..d fa' mY La,t Wili .nd Te".men', he,eby ,evoki"
.nd m.kin9 void .ny .nd .1i Will' bY me ., .ny ,ime he,e,ofo,e m.de.
1. 1 di,ect mY he,ein.f,e, ,.med E.ecu"i' tc p.y .11 of my ju"
deb'. .nd fune," e.pen.e. ., ,oon .fte' mY de.,h ., m.y be found con-
venient to do so.
I direct that my funeral services be conducted by
EWing a,o,he" Fune," Home, 630 'on'h ..nove' 't,ee', C.,'i,ie, Pe,n-
,yiv.ni', .nd th.t mY body be in,e"ed en ,he bn,i" iot cf my
p.,en'" .,. .,d .". Robe" .ille', 10ccted in T,.dition.' 'ectio' of
We.tmin"e, Ceme,e'y 10c.,ed ne" the Bo,ough of c,,'i.'e in Nc,th
Middleton Township, cumberland county, pennsylvania.
2. ." of the ,e'" ,e.idne .nd ,em.i,de, of my B".,e, ,e.1,
pe"on.' .nd mi.ed, .nd whe,e,oeve' ,he ,.me may be ,itu.te, 1 give,
devi,e .nd beqne.th '0 my wife, E. La".ine .ille', he' hei" .nd
.,.ign" to 'he e.clu,ion of my child,en, bo,n .nd unbo,n, p,ovided my
,.id wife, E. La".ine Milie" ,h.l1 ,u,vive me by · pe,icd of ,inety
3. 'hould my ,.id wife, B. La".i,e Mille" p,e_dece.,e me 0'
(90) dayS.
f.ii to ,u,vive me bY ,he .fo,e,.id pe,iod of nine'y (90l d'YS, 'he'
in ,uch eve,t .il cf the ,e." ,e,idue n,d ,emainde, of my Est.,e,
,e.1, pe"o,nl .,d mi.ed, .nd whe,e,neve, the ,.me m.y be ,itu.te, I
give, devi,e .nd beqUe.'h '0 my d.,gh'e" Vi,gi,i' Lee G,llow'y, he'
hei" .,d ."ign" of 29 'ou,h B." ",eet, C,,'i,'e, pe,nsylv.ni.,
p,ovided ,he ,h.l1 ,u,vive me by . pe,icd of ,i,ety "ol d.y' , bU'
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.hould ,he fail '0 '0 ,u,vive me the' '0 such of he' i"ue ., .h.ll
page 1 of 2 pages
.... ,
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. .
4. I hereby nominate, constitute and appoint my said wife, E.
Lorraine Miller, as Executrix of this my Last Will and Testament but
should she pre-decease me or fail to qualify, then in such event I
nominate, constitute and appoint my daughter, Virginia Lee Galloway,
as alternate or successor Executrix, but should she fail to qualify,
then I nominate, constitute and appoint Farmers Trust Company and its
successors, 1 West High Street, Carlisle, Pennsylvania, as Executor
and I further direct that none of them shall be required to post any
bond to secure the faithful performance of her or its duties in the
Commonwealth of Pennsylvania or in any other jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this
my Last will and Testament, written on two (2) pages, this 21st day
of June, 1985.
Cr,,~,""':" 1\ n,/ ~
Calvin R. Miller
(SEAL)
Signed, sealed, published and declared by CALVIN R. MILLER, the
Testator above-named, as and for his Last will and Testament, in our
presence, who, in his presence, at his request and in the presence of
each other, have hereunto subscribed our names as attesting witnesses.
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Page 2 of 2 Pages
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REGISTER OF WILLS 01" CUMBERLAND COUNTY
OATH OF SUnSCRlBlNG WITNESS
Robert M. Frey and Krista King
K>>JIiPJx
(each) a subscribing witness to Ihe will presellled herewith, (each) being dnly qualified according to
law, depose(s) and say(s) Ihal they were present aRd saw
Colvin R. Miller
the testBI or , sign the same and thaI they each signed as a witness at Ihe
request of testat~ in It is presence aRd (in the presence of each other) (in Ihe presence of the
other subscribing witness(esll.
r2/I""-o.A -)",. r,~
Robert M. Frey (Name)
5 S. Hanover St.. Carlisle. PA 17013
~ ' (At{;.:S)
<1-r.__ , (.
Kri a King (Name) 1
924 Burr Avenue, Carlisle, PA 17013
(Address)
Sworn to or affirmed and subscribed before
me this 9 th day of
DECEMBER 1996 6
- iY~\ I( (' tl-J..li<-l;P #. l \. II () I ~'(t
) Mary C. Lewis, Regisler
REGISTER OF WILLS OF COUN
OATH OF NON.SUBSCRIBING WITNES
(each) a subscriber hereto, (each
testa!
of (one of the
presented herewith and
codicil
. nalUre on the will is in Ihe handwriting of
that
10 the best of
knowledge and belief.
cd and subscribed before
day of
19_
(Address)
Regisler
(Name)
(Address)
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RENUNCIATION
deceased,
In Re Estate of
CALVIN R. MILLER
To the Register of Wills of
cumberland
County, Pennsylvania,
The undersigned E. Lorraine Miller, Executrix named In l,ast Will and Testament of
the above dc<:edent, hereby Tenounce(s) the Tight to administer the eslate and Tespcctfully ask(s) that Letters
Testamentary
be issued to Virp:inla Lee Galloway.
WITNESS
mY
. -
hand this (v .ft?.. day of December, ,19~'
f-:- ,r . ~~\,\
.:: jrf ~.C:~uk '\" l.::,\-\\t"
E. Lorraine MiBllhatur.) .
(Add,es.)
(SIBnatur.)
(Add,es.)
tSIBnalur.)
(Addrcu)
CERTIFICATION OF NOTICE UNDER HIJl,E 5,6 ( a l
Name of Decedent:
Calvin R. Miller
Date of Death:
April 28, 1996
will No.
Admin, No.
21-96-1017
To the Register:
I certify that notice of beneficial interest required by
Rule 5,6(a) of the Orphans' Court Rules was served on or mailed to
the following beneficiaries of the above-captioned estate on
January ~O, 1997 :
Name
Address
E. Lorraine Miller, c/o Virlrlnia Lee Gallowav. 1915 Esther Drive. Carlisle, PA 17013
Notice has now been given to all persons entitled thereto under
Rule 5.6 (a) except no exceptions
Date: January 10, 1997
rc1~::-)"
Signature
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Name Robert M. Frey
Address 5 South lIanover St.
Carlisle, PA 17013
Telephone (717) 243-5838
Capacity:
Personal Representative
x
Counsel for personal
representative
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COMMO~jwl.111l Of PUH4~nVA'lIA
OIP.'IMINIOf'IVUWI
Of PI 1I0bOl
H.....I~IU.G.'.... 111110bOI
OICIOIN '~N"""IIIA~ . 't,~t, "'4IJ MIIJDII IItlll"lI
I ',) I'll" - I ,',
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
E
fOR OATIS Of DIATH AnlR 121J1I91 CHICK HIRI
If A SPOUSAL .
POYlRTY.CRlDI.TISCLAIMID 1,1
flU NUMBlR
;'1
CQUllTY CODE
/u
1(11
YEAR
NUMBER
(JI(IIJUll~ (0"""" AO{)'U\
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MILLEliJ CALVIN n. . . . . 11Illll West South Street
1~'~;~(lu~:,;;;~-,-- ---!~;~ ;'~:" 1996-j~~;;:.!~~ ~~!~~ C2~1 .__~~11iS~~,~)A 171113
1"....<0.." ".."... llOUII' "'" ".., "'"'""."~' '''''''II IOCI',lICu"" "UM'" ]'M:'~'~,~,,'IO 1111 """UCIIO"II
~ 1. Original Relurn [J 2. Supplemental Relurn LJ 3. Remainder Relurn
(for doles of death prior to 12.13.82)
o .4. limited eslOIO 0.40. Fulure Inleresl Compromise 05. Federal eslole To. Relurn Required
(lor doles 01 deolh aher 12.12.821
06. Decedent Died Tlltal. 0 7. Decedenl Mainlained 0 liYing Trusl E-8. Tolol Number of Safe Depolil Bo..,s
(Alloch copy of Willi (Allach copy of TrUll)
ALL CORRESPONDENCE AND CONFIDENnAL TAX INFORMATION SHOULD BE DIRECTED TOI
, ..
::Jill
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8~
NAM(
(O""PII Tf MAIlINQ "'0011(55
Frey and Tiley
f(UPHON( NUMlfI
5 South Hanover A\I=-pet
Carlisle, P A 170~3; - . -,
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243-5838
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L Real Ellole (Schedule AI
2, Sloch and Bond. (Schedule B)
3. Closely Held S'oc~JParlnership Inleresl (Schedule q
.4. Mortgages and Notes Receivable ISchedule 01
S. Calh, 8an~ Deposits & Miscellaneous Personal Proper'y
(Schedule EI
6. Joinlly Owned Praperty (Schedule FJ
7, Tronoler'ISchedule G) (Schedule II
8. Tatol Gron Anels (Iatollinll 1.7)
9. Funeral hpenlll. Adminillroliye COSIS. Miscellaneous
Expenlll (Schedule HI
10. Oebll, Mortgage liobili'ies. lien I (Schedule I)
11. To'al Deductions (total lines 9 & 101
12. Net Value of Eslale lline 8 minus line 111
13. Chari'able and Goyernmenlol Bequesll (Schedule J)
14. Ne' Value Subjec'lo Toxlline 12 minus line 131
15. Spousal Transfers (for dotes of dealh after 6.30,9.41
5.. Inuruclions for Ar,plicable Percentage on Reyerse (IS}
Side. (Include valuII rom Schedule K or Schedule M.)
16. Amount of line 1.4 taxable at 6% role (161
(Include YO lues from Schedule K or Schedule M.)
17. Amounl of line 1.4 'aolable at 15% ralo (17)
(Include yalues from Schedule K or Schedule M.I
18. Principal lox due (Add 10. from lines 15. 16 and 17.1
19. Credill Spoulal Poverty Credil Prior Payments Discounl
Inlores'
(11
(21 5.203.48_
131
(4 I ___~...__ _,_______,
151 _',~_______
(61~_.,_
171 _____~__~_,
17,164.21
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(B I
5,203.48
(91
110)
17,164.21
(11 ,960.73)
111)
1121
1131
114)
(11,960.73)
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x .15 =
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119)
(201
20. If line 191s greoler than line 18. enter ,he difference on line 20. This h the OVERPAYMENT.
aD
Cht'c~ hero if you arc requesting a refund of your overpayment.
21, II line 18 il grealer than line 19, enler the difference on line 21. This is Ihe TAX DUE.
A. Enler Ihe inleresl on the balance due on line 21 A.
9. Enler ,he 10101 of line 21 and 21A on line 21B. This is the BALANCE DUE.
Malee Ch.c1e Payable to: Regllter of Willi, Agent
I >> BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH <( <(
~~der penaltiel of perjury. I declare Ihat I haye examined thh re'urn. including accompanying schedules and sla'emenll, and fa the best of my ~nowredge and b.elie~.
,'"true, corflcl and camplele. I declare Ihol all real ol'ate has been repor'ee 01 true mar~el yalue. Declaration of preparer olher than Ihe personal reprelen'a!lYe .s
based on 011 information of which preporer has any ~nowledge.
51 Rf Of P('50 1I( N5'II~r.' lUNG Il(tUIIN "00llf55 O"U
. . -<- . ./ ~lel.'-f.,(.Jt~ 1915 Esther ))rJveLCorlisle,j~ 170J1...._____ Feb..: (. 1997
SIGN'" -I Of PIlf.....III otHfl IHA j IfnUfN''''I.....';; AOOllf55 DATE
y((t~- I", 'J-' T 5S.lIonoverSt..Carlis!e, PA 17013 Feb. ,h 1997
121)
121AI
12lBI
Act #48 of 1994 provide. for the reduction of the tax rotn Impo.ed on the not value of transfe,. to or for
the u.e of the Ipoule. The rate. a. prescribed by the .tatute wlll bel
e 3% (.03) will be applicable for eltote. of decedenll dying on or after 7/1194 and before 111196
e 2% (.02) will be applicable for OltotO' of decedenll dying on aT after 111196 and before 111/97
e 1% (.01) will be applicable for eltate. of decedenll dying on or after 1/1197 and before 111198
e Spou.al tranlfe,. occurring on or after 1/1198 will be exempt from Inheritance tax,
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING A CHECK MARK (.--) IN THE APPROPRIATE BLOCKS.
YES NO
1. Did decedent make 0 transler and:
a. retain the use or income 01 the properly traRslerred, .......................................................
b, retain the right to designate who shall use the properly translerred or its income, .....,.........
c. retain a reversionary interest; or ...................................................................................
d. receive the promise lor Iile 01 either paymBRts, benBlits or co rei ......................................,
2. II death occurred an or belare December 12, 1982, did decedBnt within two years preceding
death traRsler properly without receiviRg adequate consideration9 II death occurred alter
DecembBr 12, 1982, did decedeRt traRsler properly withiR aRe year 01 death without receiving
adequate caRsideratioR9.,... ......,.... ..................................................,................................
3. Did decBdent OWR an 'in trust lor' bank account 01 his or her dealhL....................................
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
x
x
x
x
x
x
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I'VUIlI_.I'-1I1
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
I
L,_, , Plaa.e Print ar Typo
fiLE NUMBER
,,~.'~:9l\
_~l}lp
COMMONWEAltH Of PENNSYlVANIA
INHUIlANCf TAllt[tUIN
IUSIDlNf DECEDENT
lSTATE OF
CALVIN R. MILLER
21-96-1017
IUM
NUMBER
A. Funeral bpen...'
1.
DESCRIPTION
AMOUNT
B, Admlnl.tratlve Co.t..
750.00
1.
Personal Represenlalive Commissions
Social Security Number 01 Personal Representative:
Year Commissions paid 1997
175 - 34 - 8230
2.
I
Atlorney Fees
1,500.00
0.00
3.
Family bemption
Claimant
Address 01 Claimant at decedent's death
Street Address
City
State
Zip Code
Relationship
41.00
4,
Probate Fees
C. Miscellaneous bpense..
1. Register of Wills, 1 short certificate
2. UMB Bnnk, bond premium
3. Register of Wills, 1 short certificate
4. Register of Wills, filing Inheritance Tax Return
S. Department of Public Welfare, claim
,
,
6. \
7.
,
8. I
TOTAL (Also enter on line 9, Recapitulation) S
3.00
25.60
10.00
14,831.61
17,164.21
(II more space Is needed. Insert additional shoels 01 same ol...)
3.00
UY.I503 U. 1...61
*
COMMONWlAllH 0' 'lNN$YlYANIA
INHUIT ANC! 1 All: lUUlN
IUIDlNf DfClOlNI
SCHEDULE B
STOCKS AND BONDS
FILE NUMBER
ESTATE OF
CALVIN R. MILLER
IAII pr.pertV ,.Inllv-owned wllh Righi .f Survl....hlp mUll be dl,cl.,ed .n Schedule F,)
ITEM
, NUMBER
1.
DESCRIPTION
2.
2 sirs. Ameritech
120.4707 shs. Sprint Corp. Dividend Reinvestment Plnn
TOTAL (Aha enter on line 2, Recapitulation)
'If more spoce ;s needed. inse,t oddifionolsheeh 01 some s;,.'
21-96-1017
VALUE AT DATE
OF DEATH
109.15
5,094.33
S
5,203.48
tJ./'/{, /3
BUREAU OF INBIVIDUAL TAXES
INHlAI,aN([ 1'. DIVISION
DEPt. llO601
HARAISlUAG, PI 11121-0'01
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INItERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
FREY II TILEY
5 S HANOVER ST
CARLISLE
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
PA 17013
06-03-97
MIL LER
04-28-96
21 96-1017
CUMBERLAND
101
Allount R...I tt.d
L'--'
*
"'-UtP.. '" III.'"
CALVIN
R
i
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 ....
iiEY:istii-EX-AFji-io3':97Y-iiii'ficEuciTYtiHEiiiTAHCE-YAX-'APPR'AisEHEiii'-;-,\L,i."owAHCE-iilim.uu.u._-_u
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF HILLER CALVIN R FILE NO. 21 96-1017 ACN 101 DATE 06-03-97
If an assassmant was iSSUBd previously, lines 14, 15 and/or 16, 17 and 18 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. A.ount of Llna 14 .t Spou.al rat. 1151
16. A.aunt of Lina 14 taxable at Lin..I/CI... A rat. 116}
17. A.aunt of Lina 14 taxabl. .t Collataral/Cla.s Brat. 1171
18. Principal Tax Due
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..I Eohh ISch.dul. A) III
2. Stock. and Bondi (Schedule OJ (2)
3. Closely Hald stock/Partnership Int.r..t (Schedule Cl (3)
4. Hartg.gaI/Hata. Raceivable (Schedule DJ (41
S. Cash/Bank Daposits/Hilc. Parlonal Property (Schedule E) (5)
6. Jointly Owned Property (Schedule f) (6)
7. Trensfers ISchedule G) (7)
&. Tot.l ASletl
APPROVED DEDUCTIONS AND EXEHPTIONS:
9. funeral Expense./Ad.. Coata/Hiac. Expenses ISchedule H) 19)
10. D.bt./Hortg.g. LI.bllltl../LI.no ISch.dul. II 1101
11. Totel D~ductions
12. Net Velue of Tex Return
13. Chariteble/Govern.entel aeqUelts ISchedule J)
14. Net Velue of Est.te Subject to Tex
NOTE:
TAX CREDITS:
PAYMENT
DATE
RECEIPT
HUlIBER
DISCOUNT I.)
INTEREST/PEN PAID I-I
I ) CItANGED
.00
5.203.48
.00
.00
.00
.00
.00
181
17,164.21
.00
1111
I1Z1
115)
1141
,00 X ,00=
.00 X ,06=
,00 X ,15=
1181
AMOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
HOTEs To insure proper
credit to your eccount,
sub. it the upper portion
of this forft with your
tex pey.ent.
5,203.48
17.164 '1
11.960.73-
,00
11.960.73-
.00
,00
,00
.00
.00
,00
.00
.00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST,
I IF TOTAL DUE IS LESS TitAN fl, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YOU HAY BE OUE
A REFUND, SEE REVERSE SIDE OF TItIS FORM FOR INSTRUCTIONS.)
f')
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)
i.:~
(~ .
,
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iJ(i
RESERVATIONl E,'at.. 0' dle.dlnt. dying on or balor. Dlc'.b" 12, 1911 -- l' any future Int.r..t In thl ,,'at. I, trensflrrad
In po.....lon or enJoy..nt to ct... . Ccol1".r.l1 beneflclar... 0' tn. dlcldent aft,r thl .~pJr.tlon 0' any ..lat. for
II'. or for y..r., the Co..onw..lth her.by I.pt...ly r...rv.. the right to appral.. and ...... trans'.r InherJtlnC1 'IX"
It thl l~'ul CI... I (co111'.ra.) rat. on any luch lutur. Int.r..t.
PUlPOSl OF
NOUCE,
To fulfill thl requlr...nt. 0' Slctlon ll~O 0' thl tAherltanel and Elt.t. 'IX Act, Act 21 01 1995. (7l P.S.
Ssctlon 'litO).
PAYftEHTI
D.tlch the top portion of thl, Hotle. and tubalt with your p.y..nt to the Rlg.lt,r 0' WIll, prlntad on the rav.r.. .Id..
u"ah check or lonay order payabl, tOI REGISTER OF HILLS, AGENT
REFlIHD (CAh
A r.fund of . t.. cr.dlt, which WI' not r.qu.lt.d on t~ Tax A.turn, ..y b. r.qu.lt.d by coapl.tlng an "Appllc.tlon
far R.fund of P.nnlylvanla Inh.rltanc. and [It.t. Tax" (AEV-11Il). Appllcatlonl .r. avallabl. at t~ Offlc.
of the A.gl,t.r of Willi, any of the 21 A.venu. Dlltrlct Offlc.l, or by calling the Ip.cl.l Z~-hour
an.w.rlng ..rvlc. ~b.r. far far.. ord.rlng: In P.nn'Ylvanl. l-aOO-362-20S0, aut.ld. P.nn'Ylvanl. and
within local Harrisburg ar.. (7171 787-8094, TOO' (117) 17Z-ZZSZ (llurlng IIIP.lr.d Only).
OBJECTIONS:
Any p.rty In Int.r..t not .atl,fl.d with the .ppral....nt, allowanc. or dl.allowanc. of d.ductlon., or a.......nt
of t.x (Including dl.count or Int.r..t) a. .hown on thll Hotlc. .Ult obj.ct within .Ixty (60) day. of r.c.lpt of
thh Hotlc. by:
ADIHH
ISTRATlVE
CORRECTIONS:
--wrltt.n prot..t to the PA D.part..nt of R.v.nue, Board of App..I., D.pt. Z810ZI, Harrl.burg, PA
--.I.ctlon to hlv. the .att.r d.t.r.ln.d at audit of t~ account of the p.r.on.l r.pr...nt.tlv.,
--app..l to the Orphan." Court.
17U8-IOlI,
OR
OR
factual .rror. dllcov.r.d on thl. I.......nt .hould ba .ddr....d In writing to: PA D.part..nt of R.vanu.,
Bur.au of Individual Ta..., ATTH: Po.t A.......nt R.vl.w Unit, O.pt. 280601, HarriSburg, PA 17128'0601
Phone (717) 787-6S0S. S.. page S of the bookl.t "In.tructlon. for Inh.rltanc. Ta. R.turn for a Ra.ldant
Dac.dant" (REV-ISOI) for an ..pl.natlon of ad.lnl,tr.tlv.ly corr.ctabl. .rror..
DISCDtJrtT:
If any tax dutI It paid within thr.. (5) cIl.ndar IIOnth. Ift.r the d.cadant', da.th, I five p.rea"t en) dhclN'tt of
the tlX p.ld I, allowed.
PENALTY.
Th. IS~ tl. .an..ty non-partIcipation panllty I. cOlput.d on the total of the t.. and Int.ra.t a......d, and not
paid before January 18, 1996, the first dlY .ftar the .nd of the tax "".Ity p.rlod. Thll non-partlclpltlon
p.n.lty II app.alabl. In the 188. .ann.r end In the the .... tl.. p.rlOd .. you would app.a. the tax and Intar..t
that hll ba.n .......d .. Indlc.tad on thl. notlc..
INTEREST.
Intlr..t II ch.rgld b.glnnlng with flrlt day of dallnqu.ncy, or nln. (9) aanth. and on. (I) day fro. the data of
d.ath, to the dati of pay..nt. Ta.al which bac.aa d.llnqu.nt b.for. January I, 1982 b.ar Int.r..t .t t~ rat. of
.Ix e6~) p.rcent par annu. c.lculated .t a dally rata of .0001". All t.... which bec... delinquent on and aft.r
January I, 1.8Z will b.ar Intara.t at a rata which will vary frol cal~ar y.ar to cal.ndar y.ar with that rat.
announcad by the PA Dapartaant of Aavanua. Th. appllcabl. Int.r..t rat.. for 1912 through 1997 ar.:
!!!r Int.rllt Rat. Dally Int.ralt Factor !!!r Int.r..t Aata Dally Intar..t Flctor
191: 2U .OOOS~8 1987 ,~ .00020
19I5 16~ .00nSl 1988-1991 ll~ .000301
1984 II~ .000301 1992 ,~ .000247
I91S IS~ .0003S6 1991-1~ n .000192
1916 ID~ .00027" 1995-1"7 ,~ .0002U
ulnt.rnt It calcuhtld .. follow"
INTEREST = BALANCE OF TAX UNPAIO X NUNSER OF OAYS DELIHQUENT X DAILY INTEREST FACTOR
uAny Hotlcl I"ued .ft.r the tax beco... dallnquent will nflact an Int.rllt calcul.tlon to flftun (IS) d.,..
beyond the dlta of the ..I..leent. If ply..nt I. .eda aftar the Intar..t coaputatlon data .hown on the
Hotlea, acldltlon.l Int.rllt IN.t be ulculat.d.
S'fATUS REPORT UNUER RULE 6.12
Name of Decedent:
Colvin R. Miller
Date of Death:
April 28, 1996
Admin. No. 21-96-1017
Will No.
pursuant to Rule 6.12 of the supreme Court Orphans'
Court Rules, 1 report the following with respect to completion of
the administration of the above-captioned estate:
1. Statp. whether administration of the estate is complete:
Yes X 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 X .
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 X 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: October 22. 1997
rc{C-v.-t - 17[. t>V7
Signature
Robert M. Frey
Name (Please type or print)
5 S. Hanover St., Carlisle, PA 17013
Address
( 717) 243-5838
Tel. No.
(MAH: rmfl AM3)