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HomeMy WebLinkAbout96-01056 PETITION HHt I-IWHATE IInd GHANT OF I.ETTEHS ~ -qw -ID5l.P. __~n~~_. /:",1/1111' ",CHARLES A. SWAHTZELL 11/'" All,;"'" 11\ ,CHARLES ANDREW nSWARTZELL . '1I'''''(/\j'd. Surill' S,'<,'lfil." "'u. .,. .174..16..9331 No, 10: Ill.~"lel III Wi'h IIlI Ihe (","'IIIY III cumberland_.. ill Ihe ('OllllllUII\\'c:ahh of Pc:nn..yl\'anii.l Thl' Pl'tilioll uf lhl' IIIl1ll'l"il!l1l'd ll....pl'rllllll\ I l'PI l....l.1l1 , Ihat: named ,19.Th- YO\ll pl'lition\.'I{'), \\1101,.lIl' IN ~l'al' of "~l' 01 "Ilkr an I he: ".\l.....II1. or illlhe 'a'l \\ ill III Ihe al'", e "e"',lelll. "ale" June, 25 ",,,lcll"icill'I","e". N/A-. - __n_.____~ Charles A.. swartzell,J r. has. renou_nc_ed.._a)~ Executor Lucille L._swartzeJ.ldied oILJanUary.1.,-_1992. l'Wh' Ich.'l,llll \'11..:"'11'1,11I,',". \'.~ 1\'l\llIl..:l,llitlll.llr,llh \11 ,'\\'nl!tlf. \'h:.1 l>Ccell,IeIlI'"'' ""micile" al "ealh ill .._. ~cumberla-nd~.--..-.. ..._'. l"llIUllY. I'ellnsylvania. wilh h~,^;5t-~;~,~lgl~t "~tf\~~'a' re,i"ellce al,2 MountainvJew._D_riy_e, Enola, PA __._.. _.n~_~.. _I\! -.....--". -.-.-.... -.--..---.--..-----..-. tlt,1 'lIl'l'I, 1111I1111\" ,lll;llllllllll\Mhtq l>ccclldent. Ihell _.36___ yea" III age, "ie" _ ____ Dec.emb_e.r_18 .1996, aI, _ Holy-Spi r-i t.Hospi tal.,_,Camp Hill, .I:'A-. ' b~el'l ,1\ foil,"", de~ellenl "id nlllllla"y. '"'' nlllllil'o"ed and llid mIl hal'e a ~hilll born or udopted ufler e,eculionof Ihe \\illollered for plllhale; 1Ia, nOllhe I'iclilllol a killing anll ""u, never adjudicated in,:ul1Ipl.'Il:III: .----------------------~---.-------- l>e,,'CI1lh:nl ill death t.\\\l1cd prop...rty with C...tiI1HHCd \"allle... ,,\ 1'0110\\\: (If ,h'lllicilcd illl'a.1 All pe"onal prol'erlY (If nOI dOllliciled in I'a,) I'e"onal plllperlY in I'enn,y!\,mia (IInnl dOll1idkd in Pa.) Pcr\ul1al pruperlY in County \'ahll' l,f real ...'1;11": ill Pl.'1U1"lvania ,ituale" a' h,II,,,,,: ___2_Mo.unt.ain'li.eJi..priy-e--------.. _d. ,.'... ._____.Enola,.l'A-----.--.-----.--.- S -AOJLJJD.Q.. 00 S S S 96.000.00 ---"--' .----- _.,,--- _._--_..._~._._-_.. ._---~--_..._- \\ IIEI{EHIHE. l'elilil1l11'rl'l re,peClfully reque,I(,) Ihe I',ohule of Ihe lasl will and codicil(s) pre,enled here\lilh alllllhe gralllof Ieue".____ testamentary-~--- , 11\"I.lllH'llI;H~; ,.dlll1Ili,lr;1111111 ~.l.".; admini\lralinn ll.h.n.I,;',1.a.' Ihe101l. :: ~~ - -- x~ ~.~ ~:~.~~t~: ~~~~:Jfil.~~ ~"tLJ6..~~.~'\J. .l\(_ .L~t:~__~_l"..-'t,!."._ -. .---..--------.----... -- . '- ',.- ---~...-._-_. .-.----- ---- ;.. l' ---- -....---. - -..-----------.----- OATil OF PEHSONAL REPRESENTATIVE COMMO:'olWEAI.TII 01' l'E:'ol:'olS\'U' A"'IA l " J" :s:s COl'~T\' 01' _ CUMBERLAND----... - rill' 1',..'litiOl1l'tl'-) allO\l'.naml'd '\\l'al("') or allirl11l'-) that thl' ,tatl'I1\CI1I' in thl' fUfeg.oing petition arc Inll' .1111.1 1,:Olll'dlU till' Ill"llll thl' J..IHl\\kd!!l' ;utd bl'lid of pctitioI1Cf(\) ami Ihal a\ pl'f,onal repfl'~en. lali\l....' "r 1111: ahuH' lkl.nknt pl,titiiHll'I(') will \\i.'1I .and Iruly adminbtl'f the l'\tale :.IcconJing 10 law, S\\IHII It' l'l altill11l'd ami 'lIh'\'lihl'd I i'Jr'i::v.L.r"Jh"J:!.:~hI '" hcfor,' 111" Ihi, .20 .. <la)..1 250_Kenmar- Dr.iv;[~ ~' -"<'-- _Decli!mbeE-., . V')- l I'/~, 1 New. Cumber~andl.J'A......l1.Q.1D. ~ ,11(( \\1 (. ',NlMoU ~l \ ./l (WI... l4iHi- -.-..-.-..-- ~ M^RV t:. LEWIS /' ' iI ~ ) 5 -l'-Iq _II ,,',e/llt" --.-.-- ~ No. ~.I-q~-ID~ Estute 01' CIlAHI&S A. SWARTZ-ELL _. Ucccuscd UECHEE 0... I>>HonATE ANU GHANT 0... LETTEHS NI N \\' DBCBMI3EH 23 II) 91i. ...' ,. I . I ^ ) () _--.-.......------.--.. _ _, III ~lln"ucnlllon 0 I Ie pCIIIlln on Ihe reverse ~idc 11l:rcof, \~lti,fuclllry proof h.l\'ing been prc~cnlctll":rurc me, IT IS DECREED Ihallhc ill,uulIlcnH'j 1l:llcll__J.une_25.,.. 1.9_16 llc,cribed Iherein hc adllll\lcd III prnh:llc 1II1l1 filed Ill" rccord a' Ihc la,1 will or -.Chatles-A..- ~ell nnll Lcllers Tes.t.amen.t.aJ:.Y nre herehy grantcd 10 W/W/J(; :~lC r T ::'Wf\R.TlELL___ MAllY C. 111\' cy('j",u""p<Mn(ijyl~Q'f- LEW .s-:: Kcgi"', 01 Will, FEES Probale. Le\lers, Ele, .,....... $ 340.00 30.00 Shnrl Cerlificalc,(l 0 ' . . . , . . , .. $. Renuncialion ,.....,.,.,..... $ 5 . 00 JCP $ 5.00 TOTAL _ $ 380.00 Filed .. ~.~~f:MB.~~.. ?~!.. ~ ~.9~......... 29029 Charles E. pet.rie "nOK:-;H ISur. Co. I.D. No.) 3528 Brisban St.reet ~I%.isburQ, PA 17111 .~IJ\lKI'SS (7171 561-1939 !'\I0NE LETTERS AND ORDER TO A'f'rORNEY. CALLED 0(') ~ :0;' c- 3~ III 0 IT " t~.g t': C I,~ C'1 ~ C":l ~~. ;~ w. , ~ " .,.,. c' . ...~: ( ~ ~: -0 ;:; \'; <:I N en " ~r.. 0 - )>:::> (]) ... - .... __C.Y.mlu:.rland .......' ",rx~:'::.,-~:~mp_lIill 1,IQ1I1l",,~"1II""""-s.-....... I' rebecca Hetrick 1tIlf()RUAH'-S""'-UHOAOORlSlI!oll"'.u.ru- ~ ;..~."'I 250 Kenmar Or. New Cumberland, Pa. 17070 I'\ACtOllDl~SlIIOf\1.H_"C~C;'""""" 1()(;A100H'~"""'Cc* .0lt0eI",-, ,ndiantown Gap Nut. Cl!nl .. Annvil1c, Pa. 17003 I<4AY1AHOAOllf'LSlOI'AClUl" chardaonF.H.Z9s.Enola,Dr.Enola,pa.17025 llC(NS[ MJ\l6tA DCt &IQHlO ,.........0.,_. rl1i, II ,.. II "iI\ .11,11 ,11, j"t.., ",III"" I..." ~",." ",.."" iI\ '''I'''.j "..", .,,, """",01 ",.iI",'" ,,101,,1111 ,1,,1, 1,1t" ,,"11 \Ilt..II '-ocd Hq~,,[r.H Tilt "II~:lIl,d t ('IIl!i, ,lit" "Ill Ill' Ill! w.\l'!'.\ III tilt ""tll VII.L1 HI" "1'\" t HIIII' I'll l'I'IIIl,IWIlI llilllJ: WARNING: Ills IlIcgnllo dupllcnhllhls copy by pholostnl or phologrnph, 1'11'1,11 1111' 11'11111. ,Ill. S! Pl! ami:.~~"r OLe I 9 moo 3881280 I>,lIl' NIl J,,-,n' COMMONWEALTH Of PENNSYLV.IlIA' DEPARTMENT OF HEALTH' VITAL REconDS CERTIFICATE OF DEATH HIJr,IlOl'OlClPlHI,...WolJI.NI- t. Charles A. Swartzell ". I,Hale "I""HI......-.I" IolXIAl. 54C\.1RlU 'o\J"'lIlfl ..174 16 - 9])1 1'UlCl0000UJHO...."'....... - _.....,~...~.:...,.,... ~ _111tVa~1fl4 ,.....,"'..,."-1'~. Reedsville CWI 01 IlRIH \.........'...._1 AOIil........, uta.""lNl - .... UNDl" I OM .......1...... 11/11/20 """'.... _ 0 t....-.,Al "",II 76 ".. CClUtf"fOlOlRH cm'.IOfW). lWP 01 DlNH White -"""" .....9""1-- Cumb. rl and CIIC1OfH. ..-=:::.~~:J.=:: II Office Manager ~aDI.HI,.t,LtAlHQAOOl'll"~""W'-'''' 'pea. Manor Core 1700 Harket St. "" I Pa. 70 II fRttUI.MAI4tf.....4M~ 1 Andrew Swartzell PlONIAHr.NMIll1'"*,,,lill W. Scott Swartzell WI tttOO 01 VOlt .......KJ c.-O ~"I&MO 0iNf~'" "".....,...,tAlus..,.....:t ......!,I..... w..-... ~<"":"-'#)' II Widuwer ,. "- II...'" H.. sa.. Pa. "..0 "'.____~... OICU)IHn """" fllSUNCI -. ~....- "" 1996 I'f.lIISOH.-c:f ..SUCH ._..."""'..,.....,_ ...,._pou...,tod _St.Ullll'l~I<t.UIO"'ll)O(;"~lO-"'Ikl~ ,,"ll HIID ,.......-.........1..... l==- :...-....,601lll , , , ! , , : , ,..111_, Q..............___.......OIdl,_ fIUl................-....._.......Nn'1 .J&U 'I.' '.:tk'L-_- OUllO~~t&l .--ttJ~~ \. OUllOl'-:f'~..CC>>At'OlJlttCl(,f1 OVlIOIOA~..COI6ll.M....ctOI . WlMIoU11,)Pn'lNOIHG. ......cJllOll[)UlH --'~"'lf1UOfIIfD COW\(1IOHOICAUM 0..'...... lUoI'[Qf.uuf" ,........14,_1 ,.t.llOf 1PUUfl' ......uHf.'............' l.lf.r.cAoKl1ClW'IIoUUfI'UCCUAAlD [] [J o ::'...clOfIfU\JH'.N_...... ........"lOI"Io""'. ~_l~.l ... -~ "-' {I ,...LI ...... M [] [] CauW!fIUl....,..........a 'IX '1..s04'~~ ,*"'''-- SWet ,~"""......- ...0 ...0 '""'" ..... .. .......... 0, .lIJJ/I (;,/w'.... . uC(NK UlIlh 0-.11 SIOHf.O,~ 0.. _I JM I_~.'l{!.~'l l . __. 1," th /1./1(, !Uul ..,.,0 oI.OOf'll't'li (I HtI!oII'l tlolfIJCntolftlllDCAU$l.QfOl.&l't4 ("-"'I1Jflfltf,lllPI~" ;;,.;, ,'" 7U,.., IJ ,.... o 2r.-, /Ic_.j, ""C,I('. it (~... #>.'1-~~:_"!!...C~ /70// 0.&1'1,,,10,"".11....-. ... CUlI..Il,n......'... .CtJIItl'11MQ'"'.ICI.ue',.,..._~..~c_oJ.,..._,.,...II'f......,.~.I.............I<lI1l........,......_,....14. f..........""'................_...................-et.I....~...'"I....... .P1lQIIIOI~""<I AHoall,ar,wOPtl"1CJAH ~tot..'b""""""".'IJ"""" .o)......,.....Iu.......~ .~,l ,...........,v.-............_............_._......,................._'...Ml'I.......I_.I..lItM . 'UIOtCALIIAUlMIIKOfIorclfl ()n1fl4b1...".._t~.......lIftfl".tI'"IO".tfl"',..-.d..I"OCC....II...11....'kM'.d.II.IJ'4p1.u.......dtl.l.I...."....'.I.... 111"'61\...'..1111...........,.....................:....................,... ..,.. ............................. ...' 1i3.L1.~{J " 11:L;;:; Go M J..I-Iqq l.D -/Oot.p 2~ l5! :o~ 30; ~g C" ~, ~'; .- :: :;'0 .. en t:: n ~o.. ::> ~ G or) ._~ b'. ;;..... . . -0 :::.ClI . . N iiio Cl ~~ 0 - !Xl ,; i ~. ~ ' ;H' HI' Recoro(:d (';I;i~\,1 of Rogh1!(;i J~ Wills '96 Ole 20 P2 :OB CIOlh' ,. \. ~url CumbulI(J in Co., PA ,.( " c;ll-q~ - I05{, REGISTER (W WILLS 010' COUNTY OATH 010' sUnSCIUlUNG WITNESS / / / /.. / , codicil / lhe will pre,cllled herewitl\.-'(c:ach) being duly qualified according to pre,ent and saw (each) a subscribing witncss law, depose(s) and say(s) that signed as a witness atlhe resence of each Olher) (in lhe presence of lhe the testat , sign the same and lhat request of lestat_ in h- pres cc and (in I other subscribing will1ess(es)), Sworn to or affirmed and me this scribed before day of 19_ ( Address) Register (Name) (Address) REGISTER OF WILLS OF CUMBERLAND COUNTY OATH OF NON-SUBSCRIBING WITNESS I nfL. (J I. ()) fJnfi ie. /1. .,,", ~'-'J \ () w (each) a subscriber hereto, (each) hemg duly qualified ac ording to law, depose(s) and say(s) that WE ARE familiar with the signature of C'HAIlLF.C:; A C:;WI\Il'1''7.F.f..L codicil will that WE CHARLES A. SWARTZELL presented herewith and codicil believes lhe signature on lhe will is in the hondwriting of a/k/a CHARLES ANDREW SWARTZELL testat--9rof (one of lhe subscribing witnesses to) the to the best of au R knowledge and belief. ' Sworn to or affirmed and subscribed before r1.'I'~ /l( () I'll"lcfl.l!ff..~ me this 20th day of /1 (Name) U .DECEMBVEH 19: 96 7 L Ctm/-I 11 '\t: /'-}If; gf 11 r~\. ( I (/,,['.1' lUllu 'l..,' I L U (Address) , MA Y C. LEWIS ,tC..{U".)))..iJ> / P-i /7//J.-- 'LV/,~.U tr~~)~--'p)J I ~r ~ Zl.o Y(t......., ~( '\J(~ c.-b)~~() 1\ I1c\1O !Xl ~cf - 'rl O.!!l N n al::;; a.. )8 /~ ;,;p , .i=. ,~~ ~ -- "0 00 ,) c "O~ c.:l ~ '" - Om CI ..~ '- ,.- o ;J, '. UQ) ~ =E C1Ja: Q)::J a: (JO I DEC-19-1'396 11'08 d-.1-qlp-/OStp CHAPLES PETRIE ATTOi>llE~' 717 ~G14121 P.02 R.~~.trBtion of Wills of CI~erlBnd County, pennnylvania RENUNCIATION Estate of cHARLES A. SWI\RTZELL No. ~ - l) also known as CHARLES ANDREW SWA~rZELL, Deceased ~he undersigned, son of the above Decedent, hereby renounces tho right to administer the estate and respectfully requests that Letters Testamentary be issued to W. SCOTT SWAR'lZl!:LL. \'iitnesS my hand this 19th day of December, 1996. /J/J. . Ii.. () Q. d_;J A. (Si9~~~ ~ F 4004 Mockinqbird Lane colleysvl11e, Ti 7603~ (Address). . sworn to or affirmed and subscribed before me this 19th day of c:.t;--C:j~ w&.y/ pUBLIC MY 0",.,,"10" EXPI,",' , Co I" /2.0 . .- ~......... - li.~:~:.tri;;\ i':~:'i \7.~:~:;x::~:~/ CHAll M. HOLTZ M'i COM!/I<"~:C~ i ',I".Hi S June 19. 2000 I ---..--- , 00 :offil c- \!l 3~ 0\ '" 0 C". ((~ 0 l:l ,. .~ .... n ",", .. . , ~ ~~~ ~: -- . ; : -0 :.S~'. (" N /.0- '0<-. 0 0 )>;:1 - co TOTAl P.02 REV- UOO U. t1 9.&' . w .... ~:5U) ...",,,, w..... :z:a9 ..."'", t e ,),.... wi5 "'CO "'z 8~ 1I~.:J~:r" -~\fIJ~ COMMONWEAltH Of PENNSYlVANIA DfPARlMfNl Of R[V(NU( DEPT,780bOl HARRISBURG, PA 171280bOl OtClDlNI'!t "'AM[ II"'!.'. 'IU1, A,m MIOOll 1t~1'IAlJ I ;;;, -- II.i'i - \ , INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) lOR DAllS01 DIATH AnlR 12/31191 CHICK HIRI II A SPOUSAL - POVIRTY CRIDIlIS CtAIMID IJ -- ,...-. ---- fill NUMBIR ,;)1 COUNTY CODE JiHAR.TZELLJ_Char.leJLA\.--------- _\_ ____ .. _____ 2 Mountainview Drive !.OCtAL 51CUlltT NUMI(R DA'l Of OtAH4 OAll 011,11111 (.E,_a, s tcuPemnbneSrblOa nrod TownshilJ 174-16.=.9-3.31 _1_2L1_8L'il7.-__1lJ11j2.0- .'f I" ........II ,,,,,,,'". ,~.. ,..., :~~: '" :oo'~':'~:~J~Q("~:~u:~~<u~", ..._ __ '_~o:'~ -.RiTvloi"i ",",uclio"" -. --- -- 00 1. Original Relurn r] 2. Supplemenlal Relurn [] 3. Remainder Return (for doles of deoth prior 1012.13.82) o .t. limited Eslale [] 40, Fulure Interesl Compromise [J 5. federal Eslole Tal( Relurn Required (lor doles of death alter 12.12.82) 00 6. Oec.dent Di.d Testate 0 7. O.tedenl Mainloin.d 0 living Trusl -18. Tolal Number 01 Sole Deposil Boxes (Allath tapy of Will) (Allath tOpy of Trusl)' ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO. .... z w co w hl co NAMf nLtPHONf NUMIER 561-1939 z co S ::> l: .. e ... w '" 1, R..I Ell." (S,h.d," A) 2. S,.,k. .nd Bond. (S,hed,'. B) 3. Closely H.ld Slot~/Partnership Inleres' (Sth.dule q ... Morlgages and Notes Rec.eivable (Sthedul. D) S. Cosh, Bonk Deposits & Misc..llaneous Penanal Properly (S,h.d,'. E) 6. Jainlly Own.d Property (Sthedule F) 7. T,.n,r... (S,h.d,l. 0) (S,h.d,'. I) 8. Tolal Gran Aue" (Iolallinll 1.7) 9. Funeral Expen"s, Administrative Cas". Mi"ellaneous Expenses (Sth.dul. H) 10. Deb". Morlgage liabililies. liens (5thedule I) 11. Total Deductions (Iolallinll 9 & 10) 12. Net Valu. of Estal. (line 8 minus line 11) 13. Chariloble and Governmental Bequel" (Sthedule J) Net Valu. Subject to Tox (line 12 minus line 131 Spousal Transt." (for dales of deolh after 6.30.94) See Instruttions for Applitoble Petunlage on Re....n. Side. (Indude values Irom Sthedule K or 5thedule M.) Amount 01 line 14 taxable at 6% role (Include values from Sthedule K or 5th.dule M.I Amount of line 14 tax obi. 01 15% ral. (Indud. values Irom 5thedule K or Sthedul. M,l Principal 101( due (Add lox ham lines 15, 16 and 17.1 Credill Spousal Poverly Credit Prior Poymenll Ulin. 19 is grealer than line 18. enlet the dill.,.nc.e on line 20. This is Ihe OVERPAYMENT. a O...:r:n~iI,U,.I..Tj.ll..U,.I'I.I'I.I'I..I1_....Inr.r:I":'I.-.I.l"..l'J.U!l!.Io'IIII,hl If line 18 is greoler than line 19, enler Ihe diUerente on line 21 This is the TAX DUE. A. Enter Ihe inletesl on the balanc.e due on line 21A. B. Enler Ihe totol of line 21 and 21A on line 21B. This is the BALANCE DUE. Make Ch.de Payable 10: Reglst.r of Wills, ~~ent ~ BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH ~ ~ ~~der penalties of perjury. I deda,. thai I hove e.omined Ihis return, induding actompanying schedule\ and slalemenh, and 10 the besl 01 my ~nowl.dge und belief. II.s !rue, torrett and (omplele, I declare that 011 real e\lale has been Iflporled allrue mOI~t'1 value Declaration 01 preparer other Ihan Ihe petlonal rep""nlalive is ba"d on all inlarmolion of whith preporer ho\ any ~nawledge :~:r':~: :"~\;';':c~~.:::~~~~~~,...UI~(~::( ~ r- ~<-.J~~~,.;1~.~~7:-;1-u~1) ::~~i;~/~l-- _ ;;c..o""O 1I...4,.,!,/.... ,/t- . N~ ,..., /'J.HfJ/,,/17 14. 15. lb. 17. z co ;:: lB. e .... 19. ::> .. lE co ... " 20. e .... 21. ----~---- + C/(., YEAR ID.9c NUMBER Ul{({)!ttl ~ (OMPIII( AUO.U~ COMPLft[ MAllINQ AOORfU 3528 Brisban street Harrisburg, lPih1711.1 c: .... :n ... .J (1)____9.5-'.620_.66___ (2) ___2.6L~-6-~.9-8_-- (3) (41_.___._._._ (51 ~49J_2]_:t. 19 -~ . :.rJ - en ""7J N l' :-1 (b) (7) . , ..'- :- ,;~' . '-, -J (6) --5~..93.95 (9)__-13.961-..56 (10) --1.0.061~-42 (111 24,..Q5.5.....00 (121 (131 (14) ----53.B_,.8JllL q c; (15) _~~__,___.____-__.___)(. :: (1bl 55J,.5J9...1.2___ x .06 = _~J-, 328.54 (17) _ ._......___._________ x .15 = (161 Oiicounl +.J,6.l6.13- Inletest (191_...__1, _6JJI-,..'IL____ 1201 _.____._ --------- (211 _.. 121AI (21B) U)_ 0 ,712 .11_._____ UYISIIlltl',1I1 "~~}I\ -~u. COMMONWEALTH Of PfNNSVlVANIA INHUIIANCE TAl( .(TURN AfSIDfNT DECEDENT SCHEDULE H ~ FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES PI.aa. PrInt or TVp. FILE NUMBER CHARLES A. SWARTZELL ITEM NUMBER A. Fun.ral Exp.nl... . , , i B. 4, C. " 2. 3. 4. 5. 6, 7, 8, DESCRIPTION AMOUNT 1. Richardson Funeral Home $3,042.00 145.52 2. Peelers Flowers Admlnlalrallv. Coala: 1. Personal Rep,e.entolive Commission. Social Security Number of Personol Repre.enlolive: Veor Commission. poid 2. Alforney Fee. 2,500.00 3. Family Exemption Clo/mant None Address of C1oimont at decedent'. death Slreet Address City Zip Code Relotion.hip Stote Probale Fee. 410.00 Mllc.llan.aua Exp.na.a: Real estate sale costs 7,624.00 Capitol self-storage 266.06 TOTAL (AI.o enler on line 9. Recopitulalion) (If mar. apac. la n..d.d, Ina... addlllonal ah..,. of lam. al...) 5 13,987.58 ~IV.UU II. 1117j * COMMONWUUH Of .fNN~nVAN1" INNllnANel "I..IUIH IUIDINIOlelDINt SCHEDULE J BENEFICIARIES FILE NUMBER ESTATE OF CHARLES A. SWARTZELL ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR SHARE OF ESTATE 1. A. Ta.able Sequesh: Virginia Swartzell 90B Hawthorne Street Enola, PA 17025 Daughter 2. W. Scott Swartzell 250 Kenmar Drive New Cumberland, PA 17070 Son 3. Charles A. Swartzell, Jr. 4004 Mockingbird Lane Colleyville TX 76034 Son ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE B. Charitable and Governmental Bequesls: 1. TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (AlIa entor on line 13, Recapitulation) 5 (II moro .paco I. noodod, In.ort additional .hoo'. 01 .amo .Ize) -. .'" ~. D ~o: AA 185279 COMMONWEALTH OF PENNSYLVANIA DIPARTMINT O. RIVINUI OPFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX .. ....1162111'-"1 ACN ASSESSMENT r:t CONTROL ~ NUMBER AMOUNT RECEIVED FROM: fJ CHARLES E PETRIE ESQUIRE 101 .:!IO,"'l!.!! 3528 BRISBAN STREET HARRISBURG, PA 17111 ESTATE tNFORMATtON: ~ FilE NUMBER Ii1 21-1996-1056 1:1 NAME OF DECEDENT (LAST) ~ SWART2ELL CHARLES II DATE OF PAYME;T EJ POSTMARK DATE COUNTY SSN (FIRST) A 174-16-9331 (Mil CUMBERLAND DATE OF DEATH m TOTAL AMOUNT PAID .30,712.11 DO 12/18/96 REMARKS WAYNE SCOTT SWART2ElL CIO CHARLES E PETRIE ESQUIRE SEAL RECEIVED BY ... S1GNA'U~( CHECKtl 10 REGISTER OF WillS MARY C. LEWIS REGISTER OF WILLS '. , / - - --- --- -- -- -- - ----..- _.- ---- .~ _ ____ __> _. .___ _ h>_ ___'_ __ __ --- -- -_. -- ~ ---~ . -------. ,.,""- ---.~..JlI. __. .1 ! . , . . p:' . /~--/VCJ -,1/ BUREAU OF INDIVIDUAL TAMES tMtERllAHC[ lAX DIVISION DEPT. 280601 HARRISIURe, PA l1l11-0601 COHHONWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE *' (/ NDTICE OF INNERITANCE TAM APPRAISEHENT, ALLOWANCE DR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAM 1".li" II "'111.'" CHARLES E PETRIE 3528 BRISBAN ST HBG DATE ESTATE OF DATE OF DEATH FILE NUHBER COUNTY ACN 07-07-97 SWARTZELL 12-18-96 21 96-1056 CUHBERLAND 101 CltARLES A Allaunt Aa.Utad PA 17111 HAKE CHECK PAYABLE AND REHIT PAYHENT TO: REGISTER OF WILLS CUHBERLAND CO COURT HOUSE CARLISLE. PA 17013 CUT ALONG THIS lINE .. RETAIN lOWER PORTION FOR YOUR RECORDS ~ ifiv:i54'nX-jiFP-ni:f:ijrniejricE--oF--ftiHERifANcE-TAX-APPRAisEHEHr-,--jiLLOWANCE-O!i-m----------m DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX ESTATE OF SWART2ELL CHARLES A FILE ND. 21 96-1056 ACN 101 DATE 07-07-97 TAM RETURN WAS: I X I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Rool Eatoto ISchodulo Al 2. stockl and Bandl (Schadule B) 3. Clo.aly Hald Stock/Partnar.hlp lntara.t (Schadule C) 4. Hartgagas/Notas Aaceivable (Schadula 0) S. C.sh/Sank Daposit./Hisc. Parsonal Proparty (Schadule E) 6. Jointly Ownad Proparty (Schadula f) 7. Tran.fer. (Schedula Gl 8. Tot.l A..at. I CHANGED NOTE: To In sura propar cradit to your account, sub. it tha uppar portion of this for. with your tax pay"ant. 95,620.68 26,966.08 .00 .00 440,277.19 .00 .00 181 III 121 131 141 151 (61 (71 562.863.95 APPROVED DEDUCTIONS AND EXEHPTIONS: 13,987.58 9. Funeral Expansa./Ad". COlts/HIsc. Expansa. (Schadula H) (9) 10. Dobh/Hartgogo L1ab1l1t1oa/L1ona (Schodulo II 1101 10,067.42 11. Tatol Doductlano (Ill 12. Not Voluo of To. Roturn 1121 13. Charltable/Govarn.antal aaqua.t. (Schadule J) (13) 14. Not Voluo of Eat.to Subjoct to To. (141 NOTE: If an assessment was issued previouslY, lines 14, 15 and/or 16, 17 and 18 will reflect figures that include the total of All returns assessed to date. ASSESSHENT OF TAX: 1S. ~ount of Line 14 at Spousal rata (IS) 16. A.ount of Lina 14 taxable at LInaal/Cla.s A rat. (16) 17. A.ount of Lina 14 taxabl. at Collataral/Cl... a r.ta (17) 18. Principal Tax Due '4.n~~ no 538.808.95 .00 538.80B.95 .00 x .00= 53B.808.95 M.06= .00 M .15= 1181 .00 32.328.54 .00 32.328.54 TAX CREDITS: PAY"ENT DATE 03-18-97 DISCDUNT It I INTEREST/PEN PAID (-I 1.616.43 A"DUNT PAID 30,712.11 RECEIPT IlUl11IER AA185279 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 32.328.54 .00 .00 .00 . IF PAID AFTER DATE INDICATED. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAY"ENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI. YDU "AY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS. I 1-. IV) I ., , nj ., n: 9' 1'-, ij(; RfS[RVATtD'h E.t.I.. .f .'C'donl. ..In. .n .r bof.ro D.c....r Il, I'.l -- If on. futuro Inl.ro'l In lho ..toto I. Iron.f.rr.. In .......Ion .r .nJ...onl t. Ch.. I (c.lI.toroll ....flclorl.. .f tho .,co.ont .ftor tho ...Iroll.n .f on. ..toto f.r Ilfo .r f.r "'r,. tho C....n..ollh horob. ...ro"I. r.'.r... tho rloht I. ...rol.. and 0'.... tron.for Inh.rllone. T.... at the Ilwful Cl.,. . (collet.rl.) tat. on any ,uch lutur. Int.r..t. PllRPDsE OF HaTlCE, T. fulfill lho r.qulr..onl. .f SOCllon ll<D .f lho Inhorlloneo and E.I.I. To. 'cl. 'ct II .f 1'95. (ll '.S. SectJon 9140). PAYHEHTI Dot.ch tho lop ..rtlon .f thl. Notlco and ''''It .Ith .our ......t t. tho ...I.tor .f WIll. .rlnto. on lho ro..r.o 01". "."ak. check or unay order payebb tor REGISTER OF HILLS, AGENT REFucaCCRh · r.fund .f 0 I.. cr..lt. ....Ich .0. n.t r.....'t.. on lho Te. ..turn. ... bo r.qu..t.. b. c...loUng on ....lIc.Uon f.r ..fund .f ......Ivonl. Inh.rltoneo and Eot.t. I... C.EW-lslsl. ".llcotlon. er. o..II.blo .t lho Of fico of the Reg..t.r of Will., any of the 25 A.v~ Dlltrlct Offlc.., or by cllllng the 'Plcll. Z4-hour an'..rlng ..rVlce ~.r. 'or for.. ordarlngr In PennsYlvania 1-800-56Z-2050, out'lda Penn.vlvanJa Ind within lOCI. Harrl.burg .t.. (717) 717-8094, TOO. (717) 77Z-2252 (H..rlng lap,lred Only). DlJE:CTJOHSJ In. ..rt. In Int.r..t not ootl.fl.. wIth lho ...r.I...ont. ell.wonc. .r .1..II..one. of .oductlon., .r e........t .f t.. (InclUding .I.count .r Int.r"11 o. ohovn on thl. H.tlc. ou,t .bJ.ct .Ithln .I.t. C.D, .0.. .f roc.l.t .f thh HoUca bYI IIlHIH ISTR'T1VE COIlIlECTlOHSI --wrltton .rat..t t. tho .. Do..rt.ont .f ........ I..r. .f ....01., D..t. l.l.ll. H.rrl.bur.. .. 11Ill-l.ll. DR "-.lectlon to heV5 the ..tt.r d.t.r.l~ It BUdlt 0' the account of the p'r'onel rapt.,entatlvl, OR -.'PP..I ta tha Orphan.- Court. Foctuol .rr.r. .I.c...r.. on thlo e'..'....t .haul. b. ...r...o. In wrltln. t.! PA D...rt.ont .f ..vonuo, luroou of Indlvlduol To.... 'TTH. 'a.t .........t ..vl.. unIt. D'Pt. ll"'I, H.rrl.bur.. P. 111......1 ...... (1111 1.1-.S05. S.. p..o 5 .f tho _lot "In.trucuon. f.r Inh.rltoneo I.. ..turn f.r 0 .ooldont Decedent- (REV-ISal) far ~ explanatIon of ~lnl.tratIYaIY correctable errar.. Dlseourr, If on. t.. duo I. ..1. wIthin thr.. (51 cOlon..r 'onth. oft.r tho .'cOdont'. ..oth. e fl.. ..rcont (5XI .I,count .f the tax PaId h eHawed. Tho In t.. uno... non-..rUcl..uon ....It. II C_I.. on tho t.t.1 .f tho h. and Int.ro.t ...0..0.. and not ..1. bof.r. Januar. II. l.... tho flr.t ... ofl'r tho .nd .f tho t.. eono,t. ..rl... Thl. non-..rtlcl.otlon ....1.. 10 _'1""10 In tho .... O.....r and In tho Iho .... U.. ..rl" .. .ou _I. .....l tho t.. and Int.r... thIIt h.. be., ......lId e. Indicated an thh notice. PEHALTVs INTERESTs Intoro.t I. chor... bo.lnnl"" .Ith flr.t ... .f .ollnqu.nc., .r nln. (., ...th. and one (II ... froo tho ..to .f ...th. t. tho .... of ....ont. T..o. ....Ich "'''0 ..Ilnquont b.f.ro Januar. l. 1912 bo.r Int.ro.t ot lho rot. of .1. ('XI ..rcont ..r ennuo colcul.to. ot 0 ..11. rot. .f ....1... '11 I.... which boc... ..llnquont on and .ft.r Januar. I. 1.ll wIll b..r Int.r..t ot 0 ret. whIch wIll ..r. fr.. c.l.nd.r ...r I. colander ...r wllh th.t r.t. ~1Id by the PI Depart.."t af Rav.,.,.. The IlPpllcabh Interut ratu far I'll thrOUgh 1997 aral . ., Ve.r Intera.t Rat. Dally Intere.t Factor !!!r Intare.t Rata Dally Tntere.t Factor - I'IZ l'X .aUs4I 1'17 'X .aaulU 191$ lOX .aaauI l'II-I9f1 IIX .auuI 19" IIX .aOUOl 1991 'X .OUZO 1915 ISX .UUS6 1993-1"4 n .U019Z 1916 lOX .OaaZ74 1995-1997 'X .aUZ47 --Intere. t h cal~l.tlld .. fal1ON.1 INTEREST ~ BALANCE OF TAX UNPAID X NUIIBElI OF DAYS DELINQUENT X DAILY INTEREST FACTOR --In. NoUc. II.... .ft.r tho h. boc.... ..lInquont .111 r.fhct on Int.r... colculoUon t. f1ftoon CI5) .... bo.ond tho dolo .f tho .......ont. If ....ont II .... eft.r tho Intorool c_I.Uon ..t. ohovn on tho Matlc., addItional Intarut IIUIt be ulculatact. .. "' \