HomeMy WebLinkAbout97-00010
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also k/lo;Trias .....__ . ... . .. ___..___
PETITION FOI{ ('I{OnATE !lnd (;RANT OF LETTERS
,,!-Q7" lD
No, ....0. .....__......._.._~_.....______
To:
----...----... n.. Register of Wills for the
......----...--..-.. --~ Deceased, County of O".J:.'-d'L~!1..h<:Ll,l..::in the
Social Securil.Y Na. ~'j.c. )L_,~__.C.C~"-'_______ Commonweaith of Pennsylvania
The petition or the undersigned respectfully represents that:
Your petitioner(s), who is/arc 18 years of age or aider an the execut,l,/....L,i/lI.-.___~_ named
In the last will of the above decedent, dated _C...t...:Lm2.L..__._~._._____, 19 q y~
and codicil(s) datcd ..... /1j/ -"il.______.............
_..._'-~---~~-,_.,-~-~~---_._--~.
-~~-~,----__,__~_~___..__H___.__~_
(staterclevnnt ClrC\Hllr.lanccs. e,g, rt:nuf\(:iafltlfl, death of executor, etc.)
Decendent was d?miciled at death in C ti, aLJ~.~2..b../4A!,t:L-...__ County, r,ennsylvania, with
h.....E-LL-_last famtly or pl'lncl\)al residence at ._5.c.i-4'L",-_J!1."."'" J., J ,..Id<'P'II.41
-,"-~ t1 c:,~ 1'=";/ (-l4~~_~ ~'J'I.:t.:.~ ~,L:J (~4"..a......_. /<');<,1.d'/) I _
----.,... .
(lis! street, number und mundpality)
Decendent, then ....:2t!__ years of age, died -P <' " v:A;L./<.t::e..... ~ 9 ' 19..2~,
at <"c, ^' ~ . .'", _ ,,," ~, .In -' 'r79L
.~~---.-li~~~-~-P_~-" .._____. ,
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted
after execution of the will offered for probate; was not the victim or a killing and was never adjudicated
incompetent: _/::Lc?...t- ,f':>_pn! _ { I' A,J;i'LE___....,...___...___
Decendent at death owned properly with estimated values as follows:
(If domiciled in Pa.) All personai property
(If not domiciled in Pa.) Personai property in Pennsylvania
(If not domiciled in Pa.) Personal pi openy in County
Value of reai estate in Pennsylvania
situated as follows: ______.___________,__________._.
--r' {\ l'i l-r..-,~._
$ ><-<; 11 <"t'
$ .....
$ C'
L. 0
(v Yf(" t'1('J()
,
WHEREFORE, petitioner(s) respectfully requQst(s) tne probate of the last will and eodleil(s)
presented herewith and the grant of lelters~--+:J;:..,r4 ''7-( 1"'1'17.1' 1
(testamentary; adminIstration C,La.; a.dminlslratlon d,b,n.c,t.a.)
theron.
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OATH (W PERSONAL REPRESENTATIVE
COMMONWEALTH OF I'ENNSYJ.V ANIA I,
COUNTY OF __E..ul~.')er;:':'~d~____.. .J"' 8,;
/-,-,-
The petitioner(s) above.nam"d sweJrV) or affirm(s) that the statements in the foregoing petition arc
true und correct to the best of the knowli:clge Jnd belief of petilioner(s) and that as personal represen-
tative(s) or the abill'e decedcnt pelition('I(s) wiil weil and truly administer the estate according to law,
/1'7/ \ )"1'('", J'
Sworn to or arfirll1c~ <llld stlbsc:ribcd .- -~':'-..'-lf.PJL_..-!]~__n_+---..s.I~-~I-t7t--'-..-c;.,
~ire. m.c Ihis ,.,,~_~3 '~-.'. -- ....... d~Y.Of'1' .... '. ------.-.-."--.--~._-.. i'
b~,",",..:'(jt- ... .'. ---.---, 19'7.2j / '.---?hr'-------------~-.~- ~
,,- '2?1Jcg' ... ~. ,;/CL"(o;iI';.p.1..i.'~,;lc; ,'/.t.;t.';/-',I'...____._.______.____ ~
Mary . Lewis RI'gIS(('f -." ---~-" .,---~._--._-----:9:
No, __!J.-2.Z.:lQ__m.__._~._
Estate of ..-'!~IUi1 Kw..i Lz~_I~".:'.LElu in~_____..u._._.., Deceased
DECREE OF PIWBATE AND GRANT OF LETTERS
AND NOW _......JilnlJal-y.6 th,. __.._......_ 19.9'1..., in considerution of the petition on
the reverse side hereof, sutisfuctory proof huving heen presented before me,
IT IS DECREED Ihut the instrument(s) duted.._....J::e.l?E'~El.JCY_.~~ ,1.~~5__..._.._
described therein be udmilled 10 prohule und filed of record us the lust will 01'._.__...__
Julia Kreitzer BeisL1.ine
und L;;lIers.. Te_~~~a;n!3nj:~~~~:'-~~=::':'~::---".._-'.-:'-:==:~=:~~~==~_..__
are hereby grunted tll _....!.3ett~_Mc~~y. Saca~..n~__._ '__"'_
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'/ Roslsler of Wills I~ary C. Lew.ls , :y'
FEES
Probate, Lellers, Etc. . . . . . . . . .
Sh0rt Certiflcatcs(2) . . . . . . . . . .
Renunciation ...,......,.....
x-paqes (2)
JCP
$ 200,O~_
$~.9..~
L.____.
L_~?~
TOTAL _. $ !i.00
... ~.L1I)l.lilFY.. 9~h,. 1?~.~..., .~l ?.pq
ATTORNEY (Slip. Ct. J.D. NO.1
ADDRESS
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PHONE
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Mailed Letters and Order to Executrix on January 7th,1997
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4019109
No,
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COMMONWEAll H OF PENr~SVlVANIA . DEPARTMENT OF HEALTH. VITAL AE~ORO$
CERTIFICATE OF DEATH
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oj~'~--'rl-'-Jl!!'Sftl1'~~--'~[_,."".,,-,-.[ ...--- - ~foma.lo__J'. 201 _. 16 - 0681 Oecomber 29, 1996
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It Mechanicsburg. Pa 17055 :"':.~ ".1 ~___!!!!.~.:!L_~um~~rlancl ~:'~:'~'1'1 l/lIkl~~.:~il'~I'~:~.i:'pl, f1~_~h~_'~.i~sb!:!!,g ";IWI~
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BEI'ORE 'I'HE R8GI STEfl OF WII,LS, COUN'l'Y 0I'C~t~.1rl.rPjI!4)j, Pl\NNSYLV^N I ^
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In ro Estat.r~ 01. __._..iJLk..jJ)....j<d.J:.j]:?.I.:~(i::..JI.lj,/a..l.fJ L.._-"-_...I deceased,
No. /2..9'7- Q(!!2I_0 0 f .___.. _..
TOI_jJLJ](!..LUfl.-..(~!l:0)L-fl."rL .._.....____.__.____" ..... (benef Lc LaI"Y I
___..._J..L-.-k.J.14J..I/..~f.llj:LA.'?./I,D-.-.--_._--- _________ (addres s )
)) it. L. -c iq //.f!<6rj..Zt.._I...?c:l2.... '_'__'__'__
Please take notice or the cleath of decedent and thp. grant of
letter~ to tho personal re~resentative(s) named below. You may have
a beneficial interest in the estato as follows:
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"/111: ~('t/-11m ..c;:.t_(~(!..!!.~~. __.~..,______..__.___.___..._.____
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.( if add.LtTo"la1"'s"'pace- is'I18'(j'ded;' L1S0 back of pageT--.....--.--....--
Name of decedent.____,10dll_}<;;L(I';//{.I. ~f. (.stl-l,1/f' __..
L II sty. now n add J:(J R S _,-r::I;':LiL?fL.../1J.:;ld..(},JUJ.1,_jL~? Zi:J"~~_"_""_'_"'h' __h_
of doc e dell l. .. 1/::_'0.... .S:".!'.tIL. PI 0(:,(;':'[.. 'h~~L7_/!.1.(;;J&IY<a<f.k/-l.~,{!4_,--LJ...r::.J,J=..
Da te 0 f dQ a tli=__~'J:J~:..0.;<d.'(J!L:.~~2f]lj' G =~_=--=.='===--=--==~'.-~~-=~:
PI <1 ceo f de a t h.s:BiJl.L.A2f'6.1.!.~!:j/' /_jL'"'.:.!.i.i.id.~' S~"i/[IL{j..?.l:(.1J T ~ 7 /l1[(il."./1f./7 "",r
County of grant. of or.lgind lettp.rs_.. l.'..uI1t1wU,A.{J)o._.
Decedent died .._Y_..... tt's~.(H."
A copy of the will ..~.__ is
{ntestate.
is not attacLed.
Name(s) I addresS(BS) and telephone number(s) of all persorial
representatives appointed
. . >\ Address Telephe,ne
[~f.(."IP"1 O(~) 7t"..t' )..,~c.
]Jf'.r!j!1120L2/-_...si)c;."''..4:1fb!.''I...._;..~~=-,(fJl.I/1...fJ( I/fI,l../1 !.-:r!'tL,WdL.8M?/'liJ#.!)1LI.?.!.<"'-::-
Name
NOT I eE OL~~!'!!\..FJ C I Al ~_} N_'l'EH!lS'!'_.l_r:L.~.fi_'l:~TE...
BEFORE THE REGISTt;H OF WIl,r,s, COUN'I'Y or.' .0<!HIlJ/i!::!-!!A//J, PENNSYLVAN IA
In re Es La t.e 0 f _..iI~lI.JlL.-..6 /J./L;: {'/._hl>5.ziL~I!J _' deC(HlSEld,
No./1i7-n~'~'/o of _'__on
TO : ___.--'J.~_:J.;:.ltJ::L_ ;;;:"",_ S(fkA3:JJ!J.~-(~_....______.__~_ (bene fie i "r y I
4/2. t..J..&:.J-.U!.......:!::.Z- _____________ (address)
il1l r.)/ /J .1// c' .W.1/./!.,.~j_/!L_.--L7 cJ ..1-;)--
Please Lake noLice of tho death of decedent and t.he grant or
letters to the personal representaLive(s) named below. You may have
a beneficial interest in the estate as follows:
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It/I.".. ..\/.)/1 <91- Ii/~.J;:.!.U,,:!
(if additTonal--:9pace is --ncedecr~ use back of page)
Name of decedent__(jlJ_0.LL_&a.t~:7.::J:I1.. 1161"z::!:::u.v..tf
Las t known address ._0:.E.:LIJ/,LJ!'LrA1~:/Y.l11- 1!t:'4? J(.dko...____-.-----..----
of decedent..-l2-'J.._:L:...P',/..!lEP.L_LL..__j1.!1ldl/JlJ/J...~/1,~ fA , /7/J .(r__
. . / .-
DaLe of death~ /)f.:~LI;" ~? I /-i'-il. ----------~~.~~:~:=
P lace of deaLh sr://II.( MCMu/-fiJd fI.::.1...f./l71 /.- /." .r, f( L(I,l'p-r W t11fd/tf-t/I/r",.,;7_~' .tJ~, !7t1!..;J-
, /'
County of grant of origind. letters ,~tld4IJt/...t.d.;'.h'\
Decedent died :x
testat.')
intestate.
A copy of the will ~_ is
is not attad.ed.
Name(s), address(es) and telephone number(s) of all personal
representatives appoinLed
Name
Address
Te 1 ephone
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SAFI DEPOSIT BOX
INVENTORY
1'1.0.. ~rl"f ., TYl'4
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SAFE DEPOSIT BOX INVENTORY
----rNSTRUCTlONS -----______u__.....___________
1'1 CaoJo, ROj)O~ lOloI O<\1r.
(2) Stodal Lin in ~ wory common or pr.f.rt.d Ctninl;O'I, warront Of ot~r righf1 fovt'td in boll., StoOl ore
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book, rlolN of bonk: and branch. C1nd bolon".
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C(lMMONWElI.lTH OF PENN5YlVANIA
DEPARTMENT Of REVENUf
DEPT. 180601
H~RRI5~,~,Rq: ,p.^ ..IX 1.2~:069!
,--.--.....-- DECEDENT'S NA-ME JLAST, fiRST, AND MIDDll It~I!IAI)
_l.lr:'U.]1-Jj/J: :11/ t. /11 (' , /,' ,'r I:
SOCiAl SECLlRII-f HUMBER ,I [IIAII Of (JIAIH , [[I'I,[[ {H 1l'~II!
6r::,j-l6-c'/-KJ 1).:,.'j.'Ii. Ji'l !7('I~
I" .::"':~":"'" ''','''' \ """ "'" """ "'" """," '" ,.." ["'>< 'A' ",""'" ""!.In"
!t<i 1. Original Return IJ 2 Supplomontal Roturn
r-j 4. limited E$toto [ i 40, Futuro Inloro$t CompromiHI
(for d(l'6~ elf dO(llh <lIt or 12.12.82)
~ 6, Dectldont Died TO$lolo IJ 7, Decadonl Mclint(linod (I Living Trl1~!
jAlIoch copy of Will) (AUClch copy of Tru'l)
ALL'CORkESPONOENCE AND'CONFiiiENTiALTAXiNi'OIiMATIONSHOULO'iEliIRECTEO' TO;---.----.---..--..--.....
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
(~....,
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I fOR bAIlS Of blAIII AflER Il/JI/91 CHICK HERE
If A SPOUSAL
POVIRTY CRWII I~ CLAIMED I I
I fill NUMBER
, ,~/ 'iJ If)
ICOUt'lTY COOl Y~AU NUMBER
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115.
Rem(Jindor Return
(for dates 01 dO(ljh pdor 1012.13,(2)
Foderal blote TOK Return Required
___ 8, Total Number of SCllo DOfiosit ROKCl5
I. Real Estate (Schedulo A) (I)
2, Slocks ond Bond, (S,h.d,l. B) (2)
3, Clo,ely Held Stock/Porlnorihip Interest (Schedule q 131
4, Morlgoges and Nole' Receivoblo (Schedule 0) (4 I " '16 ~6
5, Cosh, Bonk Deposits & Mlscellanoous PtHsonClI Property (51 / Lv' '0'-- - -- ----
z (Sch.dul. EI
0 6, Joinlly Owned Properly (Schedule f) 161
~ "-----------.- ~"'
=> 7, T ro"I." IS,h.dul. G) (S,hodul. l) 171 --- -----.-----.-----------
I:: a, T olol Gran Anets (total line, 1-7) 1";-
..
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U 9, Funeral Exgemes, Administrollva Costs, Mlscolloneous (91 ,c_
w
"" EKpenses ( chedule H)
10, Debh, MortgogE! lIobilities, lierls (Schodulo I) (101 "'---~'-
11. Total Deductions (total lines 9 & 10)
if? '7 I b 1'6
(B) __ ~_LP.~
("r
1111 jJ:~~(lL= :lc ..
(12) ~Ll'SiJL /
(13).1..(;.'.0.(; ;;f.:'f{f
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12, N.a! Value of Estate (Line 8 minus Line 11)
13. ChorildQle and Governmental Baquesh' (ScheduloJJ
1 ~~.~~"~~!~_~.~,~.~j!~!..,t~_~5'.K_J~!~,~._~,~__~~~~~!l~.~_)~L___~_.___________~__~__~~-<_
15. Spousal TrQnsfers (for datos of death after 6-3'0.94) ,
See Instructions for Applicable Porcentago on Raverse (15) ______________ _____"_,)(, _ =
Sid/), (Indude values Irom Schedule K or Schedule M,) cf S ()
'i6, Amovn' of L1n. 14 '",obi. 0' 6% 'CI" 1161 ' .11<2.s_Ss:_..:L_~___. ,06. _.1."'.2.3_____
(Indude voluos from Schedule K or Schedulll M,)
17, Amvunt of line 14 tOKable 01 15% rC1te
(Include volues from Schedule K or Schedule M.)
18, Prindpollux duo {Add lox from Uno~ 15, 16 (lnclI7,)
19, Credit' SPOUH1\ Povorty Croelit Prior Payments
(17)
_x ,15 1:1
(lBI
~i33~
4mm.
Discount
Inlerest
+
+
(19)
(201
~
>-
20, If Line 19 is gracileI' thun line 18, orller th(J eliHorenctJ on linu 20, This is tho OVERPAYMENT.
mu
Choc~ hero if you uro roquestino (1 rofund of.your ovorpovmonl.
21. If Line 18 is gre(lter thon Litw 19, onlur tho diffolOll(O (>n l.lllll II, Thi~ is tho TAX DUE,
A Entor Iho intMos' on tf\(l holonco cillO Of' litH! 21 A
B. Entor tho total of linn 21 (lnd 21A on linn 21B Thi\ 1\ Iho 8ALANC~ DUE,
Male.. ChC\'ck Pavable 10: Reglller of Willi, Au."t
(211
121AI
(2IB)
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'i l>_',;. ,-
... ---)0-')0- BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE ANO'TORECHECK MATH '0( 0(
U~-d Q r '~~;-Ij;;$-~;Ti~~j~-t-y ~'i- -cl~ -c-I ~ ;-~'! h (~'i--Tf-l-(-;~~-'~-l(~l;;WlO ~i -j I; h r n t II r n _ i n d II din q U l'_ \.) rn p {l n y i n fl- ~{ h ~;i; I,; ~ -Zl-~~f~t ~- i; ~~~-~-i~~- ~-;;~i -1~,T~~-l~;~I-~r~y -k ~~;I ~ dg (I 'l; fl~l-l) ~ I i-a (
1 1$ lruo, carrllct and complol-s_ 1 doclmo tho! all ronl ollule hOl bonn Iflf'odnd (It lflJH morkot "oluf', DuclCHatlon of proporer othor thall lho porsonol representotivu i~
)_a_5~d on 011_ in_I_~fmation of which propCHor h(l~ CHI)' knowlodHO
'iIG-N^'URE -Of~I-:RSON Rt~rONStlll [ fOR [t(IN" 1.:[ IlJl!~'1 o\!l[lRl ',S
/:\..(','4 AJ l!~.~ ~;;;'-~~"'~J"V'-'2~;'\' ,<; ~ll..)!,^" ('rl,/AHf A/\, 11(, t:..I1/1,fl,;; (-~-_"u.e__r; _Pl). _I_?f~_,~~/~_-
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OAH
SCHEDULE E
CASH, BANK DEPOSITS AND
cOMMONWlALTH O. .'fNN'''VAI.IIA MISCellANEOUS
INWllt,'l.Wtc~&:~V'N I PERSONAL PROPERTY
ESTATf-6r--------'-----'---..---.
] l/(lfl k t!.U't-.:.';Jl.. ;.!'['I' 7/.) /1/ I
(All p,operly joint lv-owned with the Righi of Survlvorthlp mutl bo dl,clatftd Qn Schodulll Fl
I . ......... n . .
ITEM
NUMBER
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10,
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." TilE'NUIvIBER ~~~____,____cc_,
_ ;' q17__~()(~<~(r.;~ ,_.__
DESCRIPTION
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ESTATE OF
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COMMONWEAltH Of ~lNN5y\'{ANIA
INtllalTANCllAX utUMH
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SCHEDULE J l
BENEFICIARIES
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FILE NUMBER
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AMOUNT OR
. SHARE OF ESTATE
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NAME AND ADDRESS OF BENEFICIARY
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8, Charhable and Governmental Beque$h:
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N; Ill<' Address elf)' Slall'
A, ClIARCiI' I'OR SERVICI',S SIU.ECTEIJ, Oll",r d"lhll1~ . uu .~._~.
I PIIOI'I'SSIONAI. S1!1tI'ICI!S
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TOTAl. MERCHANIJISE SIiI.ECTIiIl,
C, SPECIAl, CHAIlGE",
rorw:lrdlll~ of rt'fmlll~ If I
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Clrr~)'IMil" Offerln!! ' I..!iS ~,
Pallhearers, .__
Conlflrd Copies of 'hI' .Il('ath / Ie- ,..,
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I. I'ACII.ITII'.S ANIl SI'HI'ICES
lI~c of fadlllks and Sl'fvlccs for
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Use {If facllHlcs and srr\'kl's
for hlfll'rnl fl'rt'mony. , , , , . , " ,-I'~;~~~.~..
USl' of filcllHk's lInd .~t'f\'k('s for
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SUn.TOTA!. OF FACH.ITIESiI!Q1IIPMENl' .
I. AtlTOM(lTIVI'. EQUIPMENT
Vrhklt to !rilllsfer rClllalns to Fun('ralI10n~
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---.____--_1-:"'..::...-
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SIIlHOTAI. OF AUTOMOTIVE EQUIPMENT.
TOTAl. OF PIlOl'ESSIONAI, SERI'ICES,
FACII.ITlES AND AUTOMOTIVE
EQIJlI'MENT
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SIIMMAIlV OJ! CHAIlGES
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Equlpmenl, :llld 1\1I10IlHlll\'('
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B, Merl'handlst',
C, Spl'c1:11 Ch:lrgl's .
D, C:l~h Advanc('s,
TOTAl. 01' AU SECTIONS
PAm A'I' TIME OF on 1'1l101l TO
ARRANGF.MI!NTS. I. -- '-' ."
""'M!CE "',II' 'f1C(";
REASON !'Ol( (!i,f1li\1.MIN[, ).' '. ,P,; I ....
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Acknowledg,mont ""d.' . . . . . . elk-t.:...
Iirgl'ler hook(.\) . . . . . I::Iht.L
Me(ll"')' fold"" .. 1_TIc<.L.
!'rarn rards , . , , , , , , , , ,. ~ .,_._...___
n'mpor.lf)' Rravr marker. , S
1I11,1~1 r1o'hln~ . . . . . . . . . . . 1._._._._..
I aRrf'I'lh,1l1 h:l\,(, rxamloNllhe Items or Roods and ,~rrvln's sdwrtl :lh(J\'(' and fountllhl'n! 10 II{' (orren nnd :lnflttlln~ to tll(' :lrr1l!lRI'lIlt'n" 1 hav(' frq\l(''il{'d I a('kfl(l\I,lt<d~('
H'{'('lpt of a mr)' of Ihls SUlt'IIH'nl of FUlleral fioods alld Stf\'A~('s ~~'k'f\('(LI r{'!,fl'sc'nt th:11 ,.1..11:11'(' <;llHh.lt'.nt fllnd'i iI\';lll~hk for paymcnl of tIlt' ('a,h pric(' fur tlH' ~OIl{h
,IIlIl srrl'k(',s sdrclr(\, I ,11m llArl,(, In m~k.(' payment nH:::,l'::'.L.\l.t~'_h' within _~~.:-._\_U. (bp I a~n't' toll(' )olnll)' and s('\Trallr Il.,hlt' Idlh :l11\'Ollr ('Is\, who
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from thl' datt' of Ihl~ :IMft'r01rllL 1 wllll1l.~n par 10 thr rlllwfal Oltt'C'lnr all f(':ISflll,lhl(' roW. paid h)' 111(' hlllt'r:ll Dirl'('lor 10 ('olen allllllJtllS I OWl' undn thi~ a~r('('l1lt'nl,
Th()~l' rmts 111,1)' lndudl' aUornrp' fl'l's, ('ourt ('nsl~ .lntl nlll{'r rmK Any addlll"n~l'i('r\'krs or m{'rrh;lIHII~(' Orlil'f('(1 or f('tjll('Sll.'d artl'f the dlllt' of lhl~ a~H'{'nH'!1l \\'111
he (,ol\~ldl'rl'd parlof Ihls a~rCl'nlrnl ;\11(llhl' rmt Ihrrl'or will ht'H'n('('lrt! 0111hl' flIlal hili fir ~lall'Il\('llt, .., ,'" I
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TELEPHONE
766:c~691
: SefOlE MEMORIAL HOSPITAL
SIMPSON & fiLBERT STS.
MECHANICSBURG, PA. 17055
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PLEASE DETACH HERE AND RETURN TOP PORTION WITH YOUR PAYMENT
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~AST WILL AND TESTAMENT
I, JULIA KREITZER BEISTLINE, of the Borough of
Mechanicsburg, County of Cumberland and Commonwealth of
Pennsylvania, being of sound and di3posing mind, memory and
understanding, do make, publish and declare this as and for my
Last Will and Testament, hereby revOking and making void all
tormer wills and codicils by me at any time heretofore made.
f1Jl~. I order and direct that all my just debts and
funeral expenses be paid by my Executrix, Executors or Executor,
as the case may be, hereinafter named, as soon as conveniently
may be done after my decease.
~ECOND. I give and bequeath the sum of One Thousand
($1,000.00) Dollars unto SILVER SPRING PRESBYTERIAN CHURCH,
J absolutely.
,~
'.-
\,
\..:.:.~ ')
l.AY! O'''IC;I:II
SNlIl.BM<:ER
.
THIRD. I give and bequeath the sum of Two Thousand
($2,000.00) Dollars unto each of my eight grandchildren, namely,
PA'L'RICIA GRAMM, STEVEN L. SACOMAN, THERESA WER'rZ, CHARLES E.
SACOMAN, JOSEPH E. SACOMAN, MICHAEL A. SACOMAN, ELIZABETH A.
SACOMAN and T~OMAS R. SACOMAN, absolutely.
FOURTH. I give, devise and bequeath all the rest, residue
and remainder of my Estate, real, personal and mixed, whatsoever
and wheresoever situated, unto my daughter, namely, BETTY McKAY
SACOMAN, absolutely and in fee simple. If my said daughter
should predecease me, I order and direct that said residuary
estate be distributed unto her issue per stirpes by
r~presentntion and net per capita.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INItUHTANCr. TAl( OIl/I Sf ON
nEPT.2110601
ItARRIS~UkJ, \lA \7126-0(101
NOTICE Of INHERITANCE TAX
APPRAISEMDH, ALLOWANCE OR OISALLOWMICE
OF DEDUCTIONS AND ASSESSMENT or TAX
0',-14"97
BEISTLINE
12-29"96
21 97-0010
CUMBERLAND
101
t:._=~}~o~nI:R~}(f.~=::~:J
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: i5l;,n.iCAFji' [0'3: 9'iY-Nclfi cr"ofYNHER ii' ANCE" 'fAx - APPR'iii SEMEN=(; - AL L"OWANcE - '(ill" - - - ___n__ -.. - --
DISAl.LOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
JULIA K FILE 1'10.21 97,,0010 ACN 101
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
If an assessment was issued previously, lines 14, IS and/or 16. 17 and 18 will
refl.ect figures that include the total of ALl. returns assessed to date.
ASSESSMENT OF TAX:
16, ","ount of Une 14
16. AMount of Line l~
17. Amount OY Line 14
18, Principal Tax Due
TAX CREDITS:
-,.--_.~_.. _.-,-~.-.-- '. -_..--_.....~.__.. --.. .__.~..._~.~-~..._-~--~--_.-.- .----,--_.".~~._~-_..__..-
PAVMENT
DATE
OI-15~7
BETTY MCKAV SACOMAlI
255 SALEM CHURCH RD
MECHANICS BURG PA
17055
ESTATE OF
BEISTLINE
TAX, RETlIRN WAS' (X) ACCEPTED AS FILED
RESERVATION CONCERNING Fu~iNlffiS'f'7 SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schodule A)
2, stocks and Bonds (Schedul* Ol
3. CloselY Held Siock/Par-tnership Interest (Schedule Cl
4. Mortgages/Notes Recoil/able (SChild"ll. Dl
5, Cash/Bank D8Poslt$/~'il'>c, Per$ionAl Property (Schedule E)
6. Jointly Owned Property (Schodule fJ
7. Trenshrs (Schedule G l
8, Total Assets
--
APPROVED DEDUCTIONS AND EXEMPTIONS:
9, Funfwal Expenses/Adm. costs/Mhe, Expenses (Schedule H)
10. Oebts/Mortgage Liabilities/Liens (Schedule 1)
11. Total Deductions
12. Hat Value of Tax Re1urn
13. Char Hable/Governmental BeQ"Ies15 (Schedule Jl
14. Nflt Valu" of Estato Subject to Tax
NOTE:
at Spousal ratA
taxable at Lineal/Class A rate
taxablo at Collateral/Class 9 r~t.
RECEIPT DISCOUNT (')
NUMBER INTEREST/PEN PAID (-)
--- AAi8506ij~- -.-----..-331:68
) CHANGED
(1)
(2)
(3 ),
(4)
(S)
(6)
(7)
.00
,00
.00
.00
122.160,06
.00
-:ll
(8)
~~~."...
~ff~ ~. ':'
0;) ~V,..t;..
H~,I'i'i11l ,rp (11"1
JULIA
K
( 9)
(10)
10.601.65
.00
(11l
(12)
(13)
(14 )
DATE
04-14-97
lIS)
(16 )
(17)
.OOX,oo:
110,558,41 X .06:
.OOX,15:
(18)
NOTE: To insur8 proper
credit to your account,
submit the upper portion
of this form with your
tax payment.
122,160,06
10.601 65
111.558.41
1.000.00
110,556,41
.00
6,633.50
.00
6.633.a
~:~:;~~~~=~~~~-~~~I~===:=~~_~~~: ~:_CR ,
INTEREST AND PEN. .00
~:::i"". ,~,~ :::::. ':::~." ',"ii,.
IF TOTAL DUE IS LESS THAN II, NO PAVMENT IS REQUIRED,
IF TOTAL DUE IS REFLECTED AS A "CREOn" (CR). VDU MAV BE DUE
A REFUND, SEE REVERSE SIDE OF TItIS FORII FOR INSTRUCTIONS,)
-_._~.------._~-
. IF P^ID AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST,
AIIOUNT PAID
-~---6-.633..50--
00
L:: ;:
If_
o,l
:TJ
,1,.'.
;:i:~
;,'n-j
_.l
.w.
'"\!
i-,)
j'\
0\
RESERVATION, Estat.. of decedGnt. dying on or beforo V,OIMbef 12, 1982 -- 1f Clny futurll InUrlllt In the nut. 11 tranllferrld
In po.....ion or enjOYMent to CIal, R (colla\erall beneficlarl.. of the decedent after the expiration of any .,tute for
Il'lI or for Y8I'Ir., the COlllmonwulth hereby Ql<pr811h' ruorv.. the right to apprahll nnd an"1I transfer 101\8rl\8n08 18)(81
at the lawful Clu' IS (00110\orIl1) rat. on any such future IntClr..t.
PURPOSE OF
NOTICE I
To fulfIll the requlrolllcmh of SQoUon 2140 of the tnherltrmco llod Eltate hx Aot, Act 21 of 1995. (12 P,S.
Seotlon 9140).
PAVMENTI
Detnoh the top portion of this Notice end subllllt ulth your pRy'umt to the ReGiltter of wills printed on the r.....rse sId..
w'Hake ch.ck or money order paY8b1e tOI REGISTER OF HILLSj AGE~IT
REFUND (CRll
A rofund of a tax credit, which "l'IS not requested on the Tnx RClturn, IUIY be requutCld by COlllP1ClUng an "Application
for Refund of PClnnsylvanla Inheritance and E.tete Tax" (REV'13131, Appl1clltlonl lue avallable at the Offlc.
of the Registar of Willi, IIny of the 23 R.venue District Offlcu, or by call Ing the sp.clal ?'4"hcur
an,w.rlng service nu.b.rs fcr for~s orderlngl In Pennsylvania }-800-36Z-,OSO, outsldCl PennsYlvania and
,,!thin local HlIrrlsburg ar8tl (717) 787'8094, TOC_ (717) 772-U5, Olea ring Illpalred Onlyl.
OBJECTIONSl AllY parlY In Internst not satisfied with the apPl'alsClmont, 11l1C\tll'lr,CCl or disallowance of deductions, or lllSe9sflllnt
of ta)( (Incllldlng discount or Inhrutl as sho"n on this Notlc, Inlst Object "Ithln sixty (60) days of rec.lpt of
this Notice bYI
uwrltten protlllt to thCl PA DflpartmClnt of RevenuG, Board of Appeals, Oopt. ,81021, Harrisburg, PA
w~.l'ctlon to have the ~atter detClr~lnQd at Budlt of the BccDunt of the personal repr.,.ntatlvCl,
--app.a1 to the Orphans' Court.
17128-1021,
OR
OR
AOHIN
ISTRATtIJE
CORRECTIONS I
Factual errors dhCOVlIred on this ass.sslllent should bO llddrClssed In writing to: PA OePllrhlent of Revenu.,
SureBu of Indlvldulll T8xe5, ATTNI Post AsselSlUtnt Rnvlew Unit, Oopt. 280601, Harrlsburg, PA 17l28w0601
PhonCl (7171 787~6505, Sue pllge 5 of tIle booidot "Instruotlons for Inheritance T8x Return for a Ruident
Decedent" (REV-1S01) lor 8n explanation uf 8dmlnlotratlvgly ~orrectable errors.
DISCOUNTI
If any tax due I. paid "lthln three (3l c81endar lIIonths after the decedent's dCll'lth, II five peroent (5%) dlsoount of
the tll< paid 11 11l1owed.
PENAL TV:
The 151: till< aMn.sty non'.partlclpelt1on penalty 11 co",puted on the tot81 of the tax and Intere.t u.e".d, and not
paid beforo January 18, \1:196, the first day after the Clnd of thCl ttl)( amnesty period. This nnn~part101patlon
p.naltY Is appnlable In the 1I11.e Iltmnnr and In the thCl stlllle thle period till you "ou1d "p~nl tll. tax and Intere.t
that hu belln alleued as Indlcfttad en thh not1c.e.
INTEREST I
Int.rut I. charged beginnIng with first day of dellnquClncy, or nino (91 months and on. (1) day froll thll datCl of
duth, to the date of paYllllllnt, fa)(OI whloh becalllQ delinquent bClforlil Janutlry I, 1982 bear interelt at the ratCl of
Ilx (61:) peroent per nnnuII ctllculated at a dally ratCl of .000164. All taxes which b.ca.e delinquent on and tlfter
Janutlry 1, 1962 will bear Interelt at 8 rate which will ~nry fro. ctllendar year to c8lendar year with thelt rat.
t1nnounced hy the PA Oepartlllen\ of Revenull. The 8PpllClable Interest rotes 'or 198?, through 1997 tlrel
~ Interest RatCl DailY Interut Factor U!r Intetr..t Rl!lte 0811v Interest Foctor
1982 20% .000!i48 1987 91: ,000247
1983 161: .000438 1988-1991 Ill: ,000301
1914 Ill: ,000501 1992 91: .0002it7
196f, 131: .000356 1993w199/, 11: .000192
1916 10% .00OZ74 11l9!i-t997 91: .000241
--Int.rut is llltcuhted .. folloWl1
INTEREST . BALANCE OF TAX UNPAID X NUKBER OF DAYS OELINQUENT X DAILY INTEREST FACTOR
--Any Notice Iuuld aftlr the tax beOOfllell dlllnllulnt will reflect an Intlra.t calculation to flfte.n (1S') dlY'
beyond thl dati of thl "....."'.nt, If ptly",ent Is lIIftde "1\41r the Intar.lt cOllputlltlon date llhowr. on the
Notlo., addltltlOl'll Interest fIllISt h, crtlculllt.d,
f'--j
1"1
I
PAYMENT,
d~
Iltot..h tho
pr Intl~ on
._-. __oj
top pgrUw Qfi thJt NoUoe and lubltH "lith Yo\.lr PIIYHnt
the roverlw ,iUD,
lil
.ade payabl. to the nftu end addrl"
If RESIDENT DECEDENl .Me chick or 1I0noy ordllr Pilyabh to: REGISTER OF WIllS, AQf:NT.
If t40H~RESIOENT DECEDENT IIMI cheok or .0n1Y ordlr paYlllble tOl COMMONWEALTH OF PENNSYLVANIA.
REF'LflD (CRl I A rtflAld of 0 talt ortdJt, which was not r.que.ttd on thfl ralt Rlturn, ..y be rlqu..ttd by oOllpht log an
"Appl1oltlon for Refund of Pennlylvanla Inhorltl!ln(jl and [.tat. Tlx" (RfV-Ul~). AppllcatlDf"l" Ire IIvlIIJlble fit
thl Dffl01 of the Rqhtlr of Willi, any of thl 2J RlveflU1l DlItrlct Off!o.. or frOll the nlPart.ent', 24~tmur
anlwer!ng lervl08 nl.lllberl for for.. orderinOI In P~lylvanla t-800~J62~Z050, out"!de Pennlylvf\flh
and withJn local Harrhb~lrQ aru (717) 787~8094, TOO' (717) 772-225<' ;':11.arlno I.paired only),
REPlV TOl QueIlUon' regardln; error-" oonbinld on till. noUo. .hould be Itddr....d tOl PA DlPllrtlllnt of Revenue, BUrtl!U
of Indlvhfulll TIlXIII, AnNl Po.t A.....Il.nt RIlIlll... UnH, D.pt. (,80601. ttarrhburo, PA 1112"-0601, ~
(17) 787-6505.
DISCOUNT I
If tiny taH due II paId within three (!) cahodar IK)Oth. Ilfttr the lleClodent', death, a fil,. ~rc.nt (SiO dhcNrlt
of tht tllX pe!d II allowed.
PENAL TV I
Th. ISi( tal( l!Ian..ty non-participatIon penalty I. otlllpuhd on th4l total of the tax and lntllre.t a......d, and not
paId b.fore Janullry 18, 1996, tho flr.t day ~ftlr the .nd of the tal'( DINlUty periOd.
INTEREST I
lnhrllt 11 charAld beglmlng Nlth I1rllt dllY of dellnquenoy, or nlnl (9) IIOnth, nod on. (1) day froll the date of
dflllth, to the dah of paylt..nt. Tfll'(" whlllh ba<:NII delinquent b.fore Januftry 1, 1982 bur interest at thai rat. of
i\Jx (6%) perclnt plr annua calculatld at n deUy rata of ,000164. All tax.. whiCh beoR.e delinquent on and IIftlr
January I, 1982...111 tHUllI' Interallt fit II rah which wUl vary fro. olll.mdar YeIlr to cl!lllndar Y811r with thllt rUe
announced by the PA OePDrt-.nt of Revenue. Thl sppllcable Int.rllt rat.1 for 1982 thrOUgh 1997 arll'
Vur Int.rllt Ratll DaJh Interut Factor VIII' Intero.t Rllh Dally Intlrut factor
-----
1982 20% ,OOOCj48 1987 .. ,000l47
19&3 16% .000438 1988~1991 11;( .00O~01
19M 11% .000301 199Z 9% .000247
1985 Ui: .0003S6 199!-1994 7~ .OO!l192
1986 lOX .000274 1995~1997 9~ .000247
-~Inttr..t II tlllculat.d .. follow"
INTEREST = bALANCE OF TAK UNPAID K NU"BL~ OF OAYS DELINQUENT K DAILY INTEREST FACTOR
uAny NotJCI JUU8Id !!1ftIII' the hl'( tHt(:Oh. d.ltnqulnt ...111 rlU.ct an Inhre.t oalculatlon to flUe.n (11;) dalYI
tHI~~ the dati of the u....Mnt. If flllvnnt II II8dtI afttr- the Intlrut caputllUon dIIt. lhoNn on the
NotlcI, additional lnterut .Ult b. calculfltld,