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CERTIFICATIOtLQI..Jl.9_T1CI.'1 UNDER RULE 5.6 ( a 1
Name of Deoedent I OI':OROI\ II. MONN
Date of Death: JANUARY 2, 1997
Will No. - Admin. No.
1997-00025
To the Registerl
I oertify that notice of beneficial interest required by
Rule 5.6(a) of the Orphans' court ~ules was served on or mailed to
the following beneficiaries of the above-captioned estate on
January 16, 1997 I
Na'll.~
Addres!!.
Judy M. Gettle, 6650akville Road, Shippensburg PA 17257
Barbara A. Guyer, 49 _Tabor Road, Newburg PA 17240
Patsy L. Peters, 50 Tabor Road, Newburg PA 17240
Kathy J. Hampton, 14425 Shady Pine Road, \Hll.ow HiuPA 17271
fgJaldine R. Baer. 1433 Mountai~oa~, Newburg PA 1~_
Notice has now been given to all persons entitled thereto under
Rule 5.6(a) exoept._ N/A
..-:.---
Date: //.;13/9'7
/ I ,-
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V--n_].;'~,f."(,-'"'-')
Signature
Name Patricia R. Brown
, /.--)
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Address 4 East Liberty Avenue
Carlisle PA 17013
Teleplwne( ) 7~?..243-7n2
r-'
p'
,;.;.
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G0
capacity:
personal Representative
x coul1sf;'11 for personal
reprosentat.ive
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLlCAl'E
WITH REGISTER OF WILLS)
'I' FOR OATES Of' DEATH MHh. 12/31/91 CHfCK tHRf.
IF A SPOU~AL
POVERTY CREDIT IS ClAIMLO I I
FILE NUM8ER
/.1
COMMONW(ALlIl OF Pf NN~Yl VM~I^
Off'AIlTM(NT Of R(v[t.HH
DrPT 260601
HARRI~BURO, rA l/DS,O/,OI
_C"~1~~~~'~':N'2~~~~;~;;~~"';""~'iii";d ...
i i~A~'~~U~~i~i';~~'"'' "'1"";/';'/':;7
· J ",,,.,, ""-"~." ..", ,,,' "" '''''''", , ,,' ,
~ I)! 1. Original R,"" I I 2
","''''
frl g: i:i [] 4, llmilod E~tole
5~g
~"' IJ 6
[-lllo. FlJllJIC Inloreit Compromilo
(lor duloi of deolh ohor 12.12.82)
Decedent Died Tellale LJ 7. Oecudonl Mainlained 0 living Trust
(Allach copy of Will) (Atlach copy of Trult)
_n" ..-. - ALL CORREspor~DENcE AND CONFIDENTIA'CTAX.INp.olff.lA-TIONSHOUio BE-DIRECTED -fo~- -.-~-~.._., __~_V__'_'_" -..
t3 ffi NAMf--------.-----. -...~--.. ---......__._--.-j.c-OM~imMA.lrrt.rti~r----._--_.-._;_.---.-----.---
~~ ..~.~..~~.!.~_~~._~_~__}~9_~--"D_L__Es..q~iT~_._...__..___.__,o,..__n 4 East Liherty Avenlle
So: ""''7017"ul''''243-7922 Carlisle PA 17013
. _...._., =L=="="L="=,,,,,=,,==~== ,~,,=c=.= ,==",=,==,.,=,==="="",,'.,,,,,,,~,,,,,,,==,,",,,.,,,,,,,,="'.' ==".'."'''=",,='~~~==='='~=~''O''''' c=,"
II )..43,SgQ.QQ..ocod
: ~ :.~~~.=~:o~=~:==:==:::
I 4 )... __._ .9 ... ~.. ....---..
(51 ._l_Q.L~Q~!7.L.__.......
o
161 ._,.-,-...,_..~._."...._-~-
17 1 _"..__..._.(L~..._,_..___
(9 I _ .~Q.0?_~.:.~L.__.
793.67
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1, Reol Estale (Schedule A)
2. Slocks and Bonds ISchedule Bl
3. Closely Held Slock/PortneHhip Inler'" (SchCldule q
4. Mortgoges and Natos Recelvablo (Schedule OJ
5. Cosh, Bank Depo~its & Mi$Celloneous Personal Praperly
ISched,le E)
6. Jointly Owned Properly (Schedule f)
7, Transfe" (S,hedule GI(S,hedule LI
8. Tolol GroH Assets (tolalllnes 1.7)
9. funeral hpenses, Admin;strolive Costs, Mlscollaneous
Expernel (Schedvle H)
10, Dobts, Mortgage Uobililiu, liem (Schedule I)
11. Tolal Deductions (lolallinf/s Q 8.. 101
12, Not Value of blote (line 8 minus line 11)
13. Charilable Clnd Governmental Bequelts (Schedule J)
.~...!:!.,:~olue Subiec!~~line 12 mln~_line .13)
15. Spousal TranlfoH jfor dotol of death after 6.30.91\1
See Imtruclions for Applicable Percentago on Rovone
Side. (Include valuo~ hom Schedule K or Schedule M.l
16. Amounl alUne 14 loxable 01 6% rote
(lndude values from Schedule K or Schedule M,l
17. Amounl of line 14 talloble 01 15% late
(Indude values from Schedule K or Schorlule M.)
18, Principal tax due (Add tax from Une, 15, 16 ond 17.)
19. Credits Spouwl Poveny (rodit PriorPaymonts
+ 2800.00
<)7
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(CJUtHY COllI:
YEAR
IJ!('!(Jilih'(':','IMf'U lL-~r!(;RT',s -
1"";;;'7!':;/1'l
I"'"'' \lC"",,YIWf.""
SupplemenlC1I Rolvrn
47 Tllbor ROlld
Newburg I'^ 1721,0
'''''I .5::,::~ 1;'?."~~})/ll.'~f1\j'U{I'O"\I'.
I .1 3. Remainder Relurn
l'or dalO\ of doath prior to 12.13.02)
IJ 5, Fod"ol Ellale To, Relurn Ro~,;",d
Q...B.
Totol Number of Sale D(lpo~it Bo...e~
I e I
64,10?2L.._
1101
--,llL?~~ C) 0 n_~
1111
(121
113)
11,41
52-'839.....81.
115} ..._.......''''..__....,____x,__= __..",___",...n._,
(161..."3,839.81..._.....x .06 = __.:LJ?0-,.}2...
(171
x .15 =
II B)
+
Di~cOl.Jnt
J 40 .05 ..
Inloresl
(19)
(201
.......2...940.,.0..5
20. If line 19 h greahH than Line lB, Ilrltor the difference on line 20. Thii h the OVE'R~AYMENT,
UU
Check here if you orc requesting a refund of your overpa m~nt.
21. If Une 18 ii groolor than line 19, enter the dilfen'nce on lino 21. Thii ii Iho TAX DUF.,
A. Enlor !he inlerost on Iho oolonce duo c;n lino 21 A
B. F.nler tho 10101 01 tine 21 and 21A on lino 218, This is tho BALANCE DUE.
_.___.~a~..__C.he(k ~~y(lbJ_~ inl R~_~!~t~!of WHI!!. ~~!nf
230.34
(211
121A)
(21 B)
2"'\(/'" l
_~~ .:..... ...~.;?_t
.___.-'..".__~__ ..._._..~ ____m..
====:.~===--=E~-~ESURE.TC> .~N_5W.E.R,,~L..~~ES.!I~~~..oH:~~\lEll.sI~IPi ANE T<<?Jl~H~CKMj;TH -~:~..:=...:=..== n
~~dllr penCllliel I')f perj\JfY, I doclorc Iho! I hove e~ominr>d lhis rilturn, including (H'omponyings,hEdull)~ and .slatements, end to 'he bosl 01 my knowledgc-a-~'d.nb~j'i-~f,
II IS true, correc' and complo!c, 1 rlcclare Ihnl 011 rIlol l1slote hos b('cn ropo/led nt Irue morkel vClluo. Declorollon of preparer olher lhon lh" perlOnol feplCll1ntolivc IS
bo~ed on ollll1formalion of which pn'pnrt'1 nOi any knowledge,
~IG'i-..i,.Tuil[" Cifi;(R~61~.iiI ~ro~i~I~lr r'c)~Tali~-ci Rfillr.:.N ,.- ~6r)pi~i." . -.. _n' h__ .-..-..-.----..---,-..~..-...-... r)'/;iC .- -.- ..-
~ ;1()~ ! ! ~
51(,~.j^ :fli~i-c)r;'R[fi~! 1l6ft1ii l'f":I~'~! i:~Ei'~IJ. ;1,,1:
1'7 . .J ,1
" ~l_ (I ( ,~. ,__"/1. ,,':n fl " I'\.
'IJ! [', ,;, '. '; .
/),'1'
('., I'
_( //(, {~', (< -7 ,/L
[;i.;r.
'// /,/ 'j ,I
I -j, 0 / .~~_
',,::t..u',.: .:"....;01 "'0'1, ,,111'''1'_11'\1 ~
"d,i"'li'l!illl"I"''''II\ Ir
lc:;:,;L;;;j.j.;" un.!: .L'.;.iUI..',,\J.;U..',;,_", '~'.. "~"~."".'" .'".'"""", '" ',::' "'.,,'; b,"',
II. IYIK, ot L~I.'UI _ I
_..~("''':::'~'._'::~~~~=,:~~=:.=JC;Ff;~~.~;~::~]''i-~;;C,:i~!~~_.T=~~"V~:';~:'~7"';:'-'7';'.'~';i.,;-.'=-1
C,llolII: Illis !{,I'm l~ i,j~l\I~hlld to Ilh'll YOII n ~ltltl';,,')lll (If 1l~\\1;11 !lI\llt.'/!Il'll\ w'ltr" "",(l\llll~ 1',1!!1 \0 IIIHI!.V 110'1
!.IIttll";I11nt n\,lllnl "rll ~h{\WI\, Itoll' m<lr~c(!'(I',"'c,)" >iIHO nlll 'J,Jlsldij tll') C~:)SII'lli \1)111 1lI1l $hOIlIl Illlr~ Ivr
InlOf'Mtlulllli Illlrp0511\ llnd 1I1'O not IflC(ll(lod In tllo 10111\',
,:-ii;;,,-;;,T iaJ;;.."TU"io.;';, Tr:r",;;;;-;;;;r;;;U'~'::I-;;;j "i------- 'T,-",,;:;-. ~!-;:I-;WJ;~"i;-;;.(-l;lii(j:if---~~--
Tfl/,(L[k ~orjl! II, ':[,TAft v, ~(llll(j[ 11, MO!iN P'lt!'!'l! f~;lpl'll( CrlHJ!t VOWII
' f1011\lIlyt\l!fwQI1'hl
' ,; 1111;1,1;(,0 I' ~. b\,,' Ii P A 17201
Ci-:-pt;)\;;rt71-;'::itiOil- ---- II. 51/\\lll.t_~l\t AUlmt '
Id IIlH.lf llHI'l I'ntrlclil fl, nrl.ll/n, E~qldrlt
lil/'~LJut'\I I'A 1'(2"0 ~-r---"
hK Parrill I, D. /10, 11.(1(...0043'069 "llle\,! II StlllGlfltjtll J. Set t(l'mllnl Ollt~
l;h..mbor~b,IrO, "Oll!l1y(vllJlIIl JIm, aSi ~9?
SI.l_r)' of fPrtolfOr's TrllOllnctton
GroS!I ^.-ll/nl I)lJll Tro" lIurrowor
COlllr,l~ I sll(e~ pr ICe
J:.S\JMllry l,I! SOHor'l T/'ItIlSIH:\lufl
(,00, (i/'fJU ^Muuql IHm lu Sollor
(,J, $f)iJ ,00 ,',01. C"ntrllt\ ~lllas r,r ieo
,,....---_.
{,J/SOO,OO
Pllr~o!l(ll f'I'operly
ChMUQ~ to llo/'rQwor (line
I,O:!. i'~r ~u/l<11 1'1'0/)(,>1' ty
,~,;>(,2, 1~ (,0.1,
1,01"
(,OS,
AdJuatJll'lnt~ illr ttO.1I pahl II)' soller in IIdvllncll
flrJJU~llllllllltl1 till' I tOM" IAdd b)' nullor tll 1}(j"'Il11CO
(,0(" Cll1/lo>l11 taxes 10
J 1 ,05 (,01, r.OlJllty tll ~O$ 6125/97 to '111/96
1,06. A~5t'SSrnQnts 10
3,95 1,0'1, School 11111./15 6/~5/91 10 7/1/97
1,10,
/,11.
1,12,
I,S,797,91 fi20, Gron fllI'IQunt (hto to Sollor
31,63
c i Ir/lo~n I...~o~ to
COllnty tuxos 6/i!5/97 \0 \/1198
ASSe5~rnf'nI5 to
School TaKes 6125/97 to 7/1/97
3,9)
Gron ^'IOI,mt 000 TrOll Dorrowor
Of Ool'rowllr
-1
1,3,5H,78
rrln~lplll <'In\Ol/llt 01 !lIN loan(r.)
SOO. RlllhJctloos 1n flMOOnt Dlja to Sollor
/1,350,00 501, Exr.us doposit (solllnstructloi\s)
1,1, J;S,OO ~~~6) Sot \lemonl Chllr(105 to $0\ lor (11no
503. EKluing 10an($J tllhln SUbJllct to
SOl" POtO" 01 Ifrst mort{JOijl.l lo~n
50S, Pllyolf of ~OCOIHI tl',ortung>) IOlln
506,
)07,
506.
509,
435,00
Edslin\l IOlln(~) tOK'n suhject 10
AdjustllCnh for l!lulIS unfllllrJ b)' Ilollor
CltY/toOln~lo
County tll)(Or. to
to
AdjusllICnts for ltQ.s un/Illld by leller
510, Clty/lo;-mtIlXtl! to
to
51\. Count)' aKIlt to
512, A$$O ~smlJn t ~ "
51J, $ctlool III~{''; <0
:ill"
515,
516.
m,
~10,
Total Pnill lIy/For lIorrowor
CII~h fit Solttellll!nt rro.lTo llorrowilr
45,6/:',00
519,
520.1otlll Roductioll In ^lIICJUllt DUll to Seller
WO. C/lsh M Suttttlll'Jllt Tn/rroJll SoU"r
601. Oross {l;l,OlIl11 dUll to ~1I1 t~'r (l11111 I,;!O)
1,35,00
GrOH AmolJllI (lUll !,rom borro>lor ((j:lt
1,5,79/,'13
1,3,5J5,7i1
302, Loss 111;;0"/,1:. paid IJfltor lJorrowllr
([lllo nO)
1,5,675,00
60.'. Ll)f,S /'odllr,tl(Hl$ In /lilll,Mlt cJljl! ~1I\t{'r
(\Ino 520)
1.:>7,93 {,O3, en$h Xllo nrromSlltll'l'
.~---=- -'''--.hT -,~-
(,3S,OO
.~frolll
O!o!lorrOllor
(,3,100,7/1
unSTITUIE rORt! 1MIl S(UE~ ST!lTU1Un: Tho inlorn,ntlon eonttljnod 110/'I)ln Ir. IITlJIOr\nrll Ift~ lnfortl'lItion Ilflel Is loIIlnU furnished to Ihe
!lll.'flllll RftVI!I;UII S.orvleQ, If YOll nrll roqldrod to Ille n ruturn, /I nllgllUIHo;,O rlonn~\y lil' 1It!lOr ~1l1l~li(Jllllill tll! Impo~l!d Ofl )'o~/ II
hIs Ilolll i~ I'oqllln'd I" hlt f'oportod /Ill!! \110 illS (JotllrmIIHl't thllt it h.n nol Illllln rOfwr\Q(j, 11111 CO'ltr,lct filllo~ Price tlHcrlblld nn
Ino/,Ol nl/')ve' C';'r;~\(lUIIl~ Ihll ul'on rrl.lc"'lIiJ~ 01 11l1~ trll'l~<'cll(;n,
OIl lor!.' roqlllll'(! hi 1/1\1 '0 pruvlr,Jo wllh yOUl' eOI'rOCI IHpllYllr Idui\tilluJ\i<.J11 11<J:~t.l!r, II '1'0\) (10 not l,rli'li(11! 'four corrl'C\ tlt~JlIl'fllr
IlentilkatlcJn llumL,or, rOll 1t,Ilt bo ~lJhJllct 10 ~(vl( ur crimi/wI 'i',n'Il\;,," 1:'I",',(>d (" lll~, undllr 1'011,'ltl(''I (If pllrjllfY/ I eanlly thnt
(HI this r,lnlO/molll is my O(lfl',e\ 11l~plly('r Id'111\1\ !Ul', IIJn hlmlml
S[ll[fl S IGlo,', 111"1: :-___..._,._....w.w..__.___ ._.___
.~-__'.__..____w___
srU11, ~1l.tI^!I!I!l
.(I/IJllllo(I""l
ESTATE OF
ITEM
I~UMBER
A. Fun.ral Expenses:
1,
2.
3.
4.
5 .
B.
4,
C.
1,
2.
3.
4.
S.
6.
7.
Honorariums, Death Certificates, Plowers
l'ogelsanger-Bricket Puneral Ilome <~ Casket
Westminster Cemetery - Open/Close Grave
Oakville U.M. Church (Ladies Aid) Meal after Funeral
Clothing for Funeral
Admlni.trative co.ts,
1.
Personal Representative Commluions
50<101 Security Number of Personal Represenlall.e,
Yoor Commiuions paid
2,
AHorney Fees Patricia R. Brown, Esquire,
3,
Family hemptian
Claimant
Relationship
none
Addrell of Claimant 01 decedenl's dealh
Streel Addrell
Clly
Slole
Zip Code
Probate Fees Register of Wills (Letters of Admin) - 74.00
Short Cert. - 3.00; Advertising Costs:
Sentinel - 113.99, Cumberland Law Jorn -60.00
Mhc.llaneou~ Expense,:
Copy of Deed for 47 Tabor Road, Newburg PA
Appraisal - Sailhammer Real Estate
Carlisle Hospital (Penn Credit Corp)
Carlisle Imagil1g
PA, Transfer Tax (sale of house)
Costs of Public Sale of Estate Personal Property
(see attached for partial listing)
Ben Rowe, Auctioneerl 10% of $11,030.50
5% to Cashier
Advertising of Public Sale
Misc. Filing Fees
TOTAL (Also enler on line 9, Recapitulation)
(If mall .poc. I. n..ded, In..rt additional .h..ts 01 10m. .i..)
356.50
3,599.00
735.00
130.00
70.00
2,500.00
250.99
10.00
100.00
73.00
32.15
435.00
1,103.00
551. 00
489.59
40.00
S 10,475.23
:~ /.. ~"'~,A.I1t ~ ...~ __.-.,
~IV Hll Ht 11.11)
~,'J~,9_
~
COMMO,...wfAlllt 0' '<<,...,....nYMiIA
INHUIUNI;I tAll: ..TUI,..
.'"DI"'l.E.~C;IDI,..t
j
SCHEDULE J
BENEFICIARIES
_J
_._ '''R _no
FILE NUMBER
21-<)7-025
ESTATE OF
MONN. G EOROE II.
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARV
RELATIONSHIP AMOUNT OR
SHARE OF ESTATE
--
j)'augh ter 1/5 (20%)
Daughter 1/5 (20%)
Daughter 1/5 (20%)
Daughter 1/5 (20%)
Daughter 1/5 (2Q%)
A, TOKoblo Sequelll:
1, Judy M. Gettle
665 Oakville Rd., Shippensburg P^ 17257
2. Barbara A. Guyer
49 Tabor Rd., Newburg PA 17240
3. Patsy L. Peters
50 Tabor Road, Newburg PA 17240
4. Kathy.J. Hampton
14425 Shady Pine Rd., Willow Hill, PA
S. Geraldine R. Baer
1433 Mountain Rd., Newbutg PA 17240
,.,l,r:'o.
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARV
AMOUNT OR
SHARE Of ESTATE
&, Chorl.oblo and Clovernmontol Boque.t.,
1.
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (AlIa onle' on IIno 13, Recopitulotlonl S
(If more space It n..d.d, In..rt addltlDnal.huh of .am. .In)
/ ,~) /,~..J ,5' --', '"
COMMONWEALTH OF ~ENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
HUURllANU TA~ lIIVISION
OlP!. i'M60l
IIARRIS8UkO, II"' t71i'8"U601
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLDWANCE OR DISALLOHANCE
DF DEDUCTIONS AND ASSESSMENT OF TAX
10-27-97
MaNN
01-02-97
21 97-0025
CUMBERLAND
101
l~~:::~__~~~i~~~~~~~_=d"J
MAKE CHECK PAYABLE AND REMIT PAYMENT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV: i5i,-j "EX' -A FP' f 0 if: 97"i' NOTi c r 'oF' "iNHEii i;: A'tie E" TAX -"A- p iiR"A-i S Ei.tE"Nr,- -A i:.l"ow Aiie E "iiR" -. - -" -. - - - -" - --
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
GEORGE H FILE NO. 21 9'1 - 0025 ACN 101
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
PATRICIA R BROWN
4 E LI BERTY AVE
CARLISLE
ESQ
~A 17013
ESTATE OF MONN
TAX RETURN WAS, I X) ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST " SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Raal Est.t. (Schedule A)
2. Stocks and Bondi (Schedule B)
3. Closely Hftld Stock/Partnersnip Inter.st (Schedula CJ
4. Hudgagas/NoteJ Raceivable (Schedub OJ
5. Calh/Dank Oeposits/Hi3c. Parsonal Property (Schedula fJ
6. Jointly O"med Property (Schedule F)
7, Trflnlferl (Schedule GJ
8. Total ASS811
CHANGED
III
12)
13)
14)
15)
16)
171
43,500,00
.00
.00
,00
20,608,71
,00
...Q..Q..
IB)
APPROVED DEDUCTIONS AND EXEMPTIONS I
9. Funaral Expens../Adlt. Costs/Hisc. hpenS88 (Sch.dula to
10. nabts/Hortgaga Liabilities/Liens ISchedu1a XJ
11. Tct.l Deductions
12. Nit Value of 18x Return
13. Charitable/Governlllontal 8.ClU..h; Non-al.c.tad 9113 TrUitt (Soh.dub JJ
14. Net Value of eltat. Sut;j.ct to Tlx
If an asse$sment was issued previously, lines
reflect figures that include the total of ah1
ASSESSMENT OF TAX I
IS. A~ount of line 14 .t Spousal
16. AMount of line 14 taxable .t
17. A~o~nt of tin. 14 taxable at
18. Pri~oip.l T.x Du.
NOlf:
rat.
Line.1/CI... A rat.
CtJllll'terallCJ.a.. 8 rat.
TAX CREDITS I
1....._~ADVAMTEtT
03-25-97
, 07-18"97
,
i
,
L--
RECEIPT
NUMBF.R
AA185321
AA211550
DISCOUllT I')
INTEREST/PEN pAID 1-)
-147-:37
.00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
19)
110)
10,475,23
, '
.'
~~l~Jl
I~
793,67
(11 )
112J
113)
114)
'll-a~1 1M IfP IOt-tll
GEORGE
H
DATE
10-2'/-97
NOTE: To insure proper
oredit to your aocount,
sublllit the unp.r portion
of this forlll with your
tax p.YIII.nt.
_,,~!..!.08,71
]1 ,?68 gO
52,839,81
,00
52.839,81
14, 15 and/or 16, 17 and 18 will
returns assessed to date.
liS)
116)
117)
.00 x .00.
52,839.81 x .06.
.00 x .15.
118)
,00
3,170.39
.00
3,170.39
--3-;}7-7 . 71 ~
7,32CR
,00
----..--
7,32CR
IF TOTAL DUE IS LESS THAN .1. NO PAVMENT IS REQUIRED,
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YOU HAV BE OUE
A REFUND, SEE REVERSE SIDE OF TMIS FOR" FOR INSTRUCTIONS. J
A"DUNT PAID
--''2,800.00
230.34
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
---------
TOTAL DUE
",",
RESERVATION I E.tetu of d.o~lIj.ntl dyl,.. on or blfare O.ol.blr 12, 1982 -- If any futur. tnt.rut in thl ..tat. 11 tr,ntf.rred
In pouu.lon or .rl.1oy..nt tCl Ch.. 8 (ool1at.r,1) blnlUflillrtl. of thl dloldlnt aUer th. QICplraUon of any utah for
liflor for Vlarl, th. COllllonwlalth herllb)' IlCpr..,h rll.,vel th. right to appralu and uun tranlflr Inhlrthmol TalC"
at the lawful Clau 8 (oollatlrall ratll on any .uoh f..,tur. Int.r..t.
PURPOSE OF
NOTICEI
PAYHENTI
REFUND (CR) I
OBJECTIONS I
ADHIN
ISTRATIVE
CORRECTIONSl
DlSCOUNTI
PENALTY I
INTERESTl
To fulfUI th. rllqulrulntl of Seotlon 2140 of thl Inhultenoe and Elhhl Tax Act, Act ~1 of 1995. (12 P.S.
S.ctlan 9140),
Oltaoh thl top portion of thl, Notice and sub. it with your pay.ent to the Reghter of WUta prlntld on thl reVlr1ll ,lde.
~~Hake check ar money order payable tOI REGISTER OF HILLS, AOf-NT
. r~fund of . talC ~radlt, whiCh wal not r,~ullted on the TalC Return, may be requ'lted by oOMPleting an "Applloatlon
for R"und of P.nn.yll....snla Inheritanct find Estate Tal(" (REV.13131. AppJ IC8t101\1 81'1 !vallabh at the Offlo.
of thl Righter of Willi, any of the 23 Revenu. Olttrlot Offlcfll, or by calling thl special 24~hour
anlwClrlng ..rvloll nUllb.," far forlll ordlrInlilI In P.nnsYlv~n1u 1-800-~(.2.2050, outside Pennlylvania and
wlttdn lo~al Harrisburg arn (717) 767-8094, TOn* f717i 772.2252 (Heartng I.palred Only),
Any party in lntllrllt not ~atlBfllld with the apprais...nt, allowanall or dlsallowanQII of deduotionl, or all.'I~lInt
of teIC (tncluding diacount or Interlltl III Ihown on this Natic&! IIIU.t objoct within ,IKty (60) day. of rlc.lpt of
this Notice bYI
M.wrltten protut to the PA DlpartMllnt of Revenue, 80ard (If Appul., nept. 2IHOZl, Harrllburg, PA 17128-1021, OR
-"allcUon to havI thll lIattllr d.t."lllinlld at audit of the aaaount of thl plrson,,! rlprullntlltlve, OR
--appeal to the Orphan.' Court.
Factual .rror. dl.COVllred on this ~'Iess.ent should b. addrlllsed In writIng tal PA Depart..nt of Rllv.nue,
Bureau of Individual Tal(lII, ATTNI Post A.......nt Rlvlew Unit, Dlpt. 280601, Harrisburg, PA 17128-0601
Phonl (717) 787-6505, $1111 pRge 5 of thll booklllt "In.tructlans for Inh.rltanoll TRK Return for II RI.id.nt
Ollc.dlnt" (REV.lS01) for an IICplanatlon of ad.inlltratlv.lY oorrtctobl. errOf..
If any tax due II p8ld within threa (3) oalendar .onthl aft.r thll dRc.dant's d.ath, a flv. parclnt (5%) dl.count of
the t.x paid It allow.d.
Thl 15% tax allnuty non-partlolpatlon pllnalty 11 co.puted on th. total of the tax and 1'1\8r..t a......d, and not
paid b.for. January 18, 1996, the first day aft.r tht end of th. \Ix "lInewly pltiod, This non-participation
p.nalty I. app..labla In the salll .annar and in thll thu la.. tl.e perIod SI you would appeal the tal( and Intar..t
that hal b..n allullld u IndJollhd on thls notlc..
Int.r'lt 1. ohargld b.glnnlng with flrlt day of d.llnqu.ncy, or nln. (9) .onth. 'nd onll (Il day frOM th. dftt, of
d.,th, to th. dati of pay.ant, TaKe. which b.ae.. dallnqutnt b.fore January 1, 1982 blar Jnt.r..t at the ratl of
.Ix ((,;0 p.rc.nt p.r aMUlll calcu1ahd at a dally rata of ,000164, All talC.. which bKN' d.llnqulrlt on and aft.r
January 1, 198Z will blar Int.r..t at a ~ate which will vary froll cnl.ndar y.ar to cellndar y.ar with that rata
announo.d by thl PA Oepartlllnt of Rev.nuli" Th. applloabl. Int.rllt r~tu for 1982 through 1997 ar'l
t!.!t 1n1llr..t Rat. 011 hi Inter..t Fl!ICtor !!!r Inttrut Rate Delly Int.rut FaotDr
US! lOX .000548 1987 ., ,000247
1983 16;( .000438 1988-1991 11% ,000301
198~ IU ,000301 1992 'X , 000~~7
1985 U;( ,000356 1993.1994 ]X ,000192
1986 lOX .000274 199!iw1997 .X ,000247
--Intll'..t i. o~lculatad a. folloWl1
INTEREST . BALANCE or TAX UNPAID X NU"BER or DAYS DELINQUENT X DAILY INTEREST rACTOR
--Any Hotio. I..u.d .ftar th. taM bleoll.. dlllnquent will r.fl.ot an int.r"t caloulatlon to flft.4n (IS) dlY.
b.yond th. dati of the u......nt, If paY.lnt It ..d4 aihr th. Inhr..t aOllpuhtlon d,te ahown on the
Notlc., addIt.\onf)l Int.r.at .u.t be cfllaulatld.
- '" ,.'
it,n.,-
"lltt'
PAYMENT:
DotaQh HIli ttlp portlpn of this Notlc~. find !lub,l'I1t with YQurp,aYnlIH\t 1l\1ldl1pn_Yllblo to tho nl\!IlO and lIddrull
printed on the t'$ver'1G $Ide,
If RESIOf.HT OECEllENT fllako check or moneY ordat PllYflblo tal REGISTER OF WILLS J AGENT;
If NON-RESJDEHTtlECEOEIH make chock or 1I10ney order pBynblu tClI COMMONWEALTH OF PENNSYLVANIA,
REFUND <CR" A "funO of , t.x ,,,0 It , .hloh ... oct "'u..,,, on tho Tax R.'urn, mOY b. ",u"toO by cOmpl.tln. ,n
"Appilentlon for ..fund of P.nn"iv,"l, Inhorll,"co ond E,t". To<" ,",y'U'" , Appllention.." .v.ll,bi. .t
the Off 100 of thCl Regls\CIr of WillS, MY of tha t3 Rovl'Inua Dlstrlot Offloos or from the DOPllrtfll~lfit'S ?4.hour
answering SIlrvlc8 number!. for forme orclorlngl In ponns'/lyanla 1-6Q(i~36Z-2050-, outside Ponnsylyan\s
Md w1thln loc81 H8rr1sburg aroa (717) 787"609(" TODM <7}71 77Z.2252 (f!oarlng ImpalrodonlY),
REPLV TO:
QU811tlone fagnrdlng orrOl'S contalnod on this notice ShOuld bo o'iddreuad tOI PA OePl'lrtmQnt of RQven\Jo, RUf"UIU
of Indlvlduld T8)(05, AnN: Post Assos.smont ReYllilw Unit) Dept, 280&01, tillrrlsburo/ PA 17128-06-01,phOne
t717l 781-6S05.
DISCOUNT I
If ony '0< duo t. p.ld .lthln the" (""I.ndor .0nthO .ft., tho d."dont'. d..th. . flv. p.r..nl (SX, dl..o.nt
of the tal( paid Is allowed,
lh. I" to, nmn..'Y non'pArti,lp,tlon poonllY Is ""put.d on 1I," lotnl of tho '0< ond Int,,"t 8ss....d. ond not
pole! beforo ,Janullry 16, lQCJ6, thl! first dr\Y .,Her the and of ~ho tal( 1I111n9sty pQrlod,
pENALTY I
INTEREST I
lnt""t I. oh"..d b.,lnnln, wi 'h first d'Y of d.lln,u,"'Y' or nln. I q 1 .on'h' And ono (\ 1 d,y fro' tho o,to of
d.,th, to Ih. d.to of p,yn."" T"OS .hl'h b..... d.lln.".nl b'W' J.nuorY t, 1981 boor Intor"..t tl10 ",. of
.Ix ,.Xl ""con' p.r onnu. "ioul".d .t , d,lly cot. of ,00016'0, All to<" .hleh b'''mo d,'ln,u.nl on ond .ftor
Jlmuan I, 1962101111 boo!' Intoro&t at II retu which will VClI"Y from calendar year tel cnl"ndar yel'lr with that rllto
nnnol,lnolld by tho PA DltPl'lrtment of RovQnuQ, lhll lIPpllcebla lntorost rllt.' 'for 1(182 throulih 11)1)7 arel
YGflr
Intorest Rate Ol'lllv lntofO&t Footor
Year
lI\tofast Ratti
Onlly lntarest roetor
1982 20% ,OOOS48 11181 9% ,OOOl4?
1963 16X ,000438 1988.\991 11% ,000301
19&4 111: ,000301 1992 Ill: ,000:!47
i98S 1:S% ,000356 19l)?:.-11)94 7% ,000192
1986 10% ,000274 1995-IQ91 9% ,OO02It?
.~tntGr8lt Is calculated .. fo11Ollll1
INTEREST ~ B^L^NCE OF T^X UNP^IO X NUHBER OF O^YS DELINQUENT X D^ILY INTE~ES1 f^CTOR
_ -Any Notice I fUued Ilftflr the tax beeolllU delinquent 1'1111 reflect /In Intllrut calculation to f \fUln tl~ l dlWS
beyond the dllte of ttle flUUlllllllnt, If Ilay",oflt Is ",'Il.l11 flft"r tl111 IntBrut COnlPUtlltlOn d!\te shown t1n thl
Notlte, lIddltlO!1ll1 Inhl-ol1t must bll cAlcullltad,
the children of the said decedent and ,heirs under the intestate laws of
Pennsy 1 vania of the said decedent, do hereby, each of us, acknowledge
that we have this day had and received from the aforesaid personal
representatives, in full satisfaction and payment of all sum or sums of
money, which amounts we have received this day, and which amo\,lnts .are in
the amount set opposite our respective names in the table and schedule
of distribution in said statement attached hereto and marked Exhibit A;
AND, each of us does hereby stipUlate that in order to avoid the
expense and time involved in ,.he filil1g of a formal account and schedule
of distributiol1, we each agree that no account is l1ecessary and we do
hereby agree that we do consent to distribution being made without the
filing of an account and schedule of distribution, the same to be with
the same force and effect as if they had been filed and confirmed by the
Orphans' County Court.
THEREFORE, we and each of us do hereby remise, release, quitclaim
and forever discharge the said perr;;ohal r,epresentatives ,Judy M. Gettle,
Patsy L. Peters, Barbara A. Guyer, Kathy J. Hampton and Geraldine R.
Baer, their heirs, executors, and administrators and assigns, of and
from the said estate and from all actions, suits, payments, accounts,
reckonings, claims, and demands whatsoever for or by reason thereof, or
for any other use, matter, cause or thing whatsoever touching upon the
estate of the said decedent, and each of us do further hereby covenant
and agree that should any liability come due to the estate of the said
decedent after the si,gning of this agreement, we and each of us do
hereby covenant and agree with other and the aforesaid personal
representatives that we will contribute pro rata our share of the estate
to satisfy any and all claims, demands, suits, or causes of action which
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BURl AU (Jf Hlf)lVIOUAl TA)(!:5
[Nlll!l1 IMH I I^~ IIlV[f,](lfl
IUIII, ,'flO(oO\
IlMml~;HI)~c;, [fA 1/1i'/I O(,Ol
NOIICt 01 HOUfnTMKI lAX
APPHAISIHtNl, AII.OWANCI em I}J~;M I llWMIC!:
or IJLllUC:l']ONS ANn ASSf:SSNI:Nl Of lAX
!JATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
I
I
MAKE CHECK PAYABLE AND
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
R"E""': i 54-7" EX" A j': j'-"f09: 9'iY "NoYiiJ i( "oF" i"NHEiii TA;'fe E - 'fAX" iiPPR Xi 5 E~iE Ni'",- -A L rowA NO' E - OR - - - - -"" --" -" - - - _.
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
GEORGE H FILE NO. 21 97-0025 ACN 1 r11
PATRICIA R BROWN
4 E LI BERTY AVE
CARLISLE
ESQ
PA 17013
ESTATE OF
MDNN
TAX RETURN WAS I (X I ACCEPHD AS fILED
RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN
1, Ra~l fstate (Scl,edLlln A)
2. stocks and Bonds (SClllldule Ol
3. Closely Held stock/lllll'tnorst,jp Interest (Schedul(l l)
4. Mortgages/Notos RncoJvable (Schedulo 0)
S, Cash/Bank Dopos 11: s/N1 sc. Parsonal P,'opedy I Schedule E)
6. Jointly Ownnd Propnrty (Schodule F)
7, Transfers fSchodul" (JJ
B, Total Assets
10 - 21" 9 7
HotH!
01-02-97
21 97"0025
CUI111ERI.AND
101
.,~~'~ "'II
,~";",,, 'I,lff'
~tr7',:';r.~""1:.,'(\\
r'1Ltj~~'! ~~\.
I~'$I':~~;~:/:.J.' t\~(,
~ j , - 1'" I [I I i ~ (11. 11 ,
GEORGE
II
...-1
."
,. I
REMIT PAYMENT
AnlCJllni Ramittod
I CHANGED
III
(2) M
( 31
f (fl
15 )
16 )
( 71
(,3,500,00
,00
,00
,00
20.608,71
,00
,00
(81
APPROVED DEDUCTIONS AND EXEMPTIONS I
9, Funeral E~pentas/Adm. Cost~/Hi6c. E~ponsos (Schedule H)
la, Dubts/Horlgflge Liabilit1es/l.ians (SchedlJle I)
II, Total Doduction~
12, Net Value of Ta~ Return
13. CharHnble/Govornmantal Docjuashi N"n~elect8d 9113 Tn.sh (Schedule J)
14. Net Valuo of Estate Subjoct to Tax
If An assessment was issued previously, lines
reflect figures that lnclude the total Of ~
ASSESSMENT OF TAXI
15. Amount of Line 14
1b, Amount of Line 14
17, Amount of [.ino 14
]8, Principal Tax OlIO
NOTEI
at Spousal
t wxab Ie ,It
hxablo at-
rah
Lineal/Class ^ rate
Collatornl/Cls5s n rate
TAX CREDITS I
[n p^Dy;\rENT "". -I
63:25~9r' u_,
07"18-97
RECEIPT
NUMOER
-1\)\1853'21"-'
AA21l550
Inn ._-'DISCOUNT I"
INTEREST/PEN PAID 1-)
.._._d______..T.___.___ 'il'-]-,37"
,00
191
110 )
10,(,75,23
793,67_
1111
(12)
ll3 )
(14)
TOI
DATE
1027.01
,00
52,839,81
,00
X ,00..
X ,06.
X ,15.
(18 I
NOTE: To insure propElI'
credi t to your account I
submit the upper port irm
of this form with your
lax paymont.
64,108,71
11.?68 gO
52,839.81
,00
52,839,81
14. 15 and/or 1&, 17 and 18 will
returns assessuu to date.
115 )
(16)
1171_
AMOUNT PAID
.-i,600~o1i~H
230,34
.~. J__ _
"H___.'.__ ~."~ _.__.___.... .__ __~_. ._.__..-
TOTAL TAX CREDIT
'._'_'_'~_____'_'.n_. __... _.__., _._.
BALANCE OF TAX DUE
..___... n_. ___._ . ._-... .-~__~._._.._
INTEREST AND PEN.
TOTAL DUE
. If PAID AfTER DATE INOICATtD, SEt REVERSE
FOR CAl.CLJLATION Of ADDITIONAl. INTtREST,
,00
3,170,39
,00
3,170,39
3,177,71
. .. _.-..~----,~----- .---..,
7,32CR
.. --~-_._...._----- _._------~
,00
l ,32CR J
_ 1....___
If TOTAL flUE IS USS TIIAN $1, NO PAYMENT IS REQUIRED,
IF TOTAl. DUE IS REI'l,rCHO AS A "CRrDIT" (eR) I YOU HAY At our
A RrrUND, StE RrVERSE SIDE or TillS rORM FOR INSTRUCTIONS, I
R(S"VAllOH, (,Ial" 01 ~'cadon" c1ylnp on ., .,'oro n,oo.." 11, 1081 .. If ,n, h,Wo InW'" In Ih' ,,'0" h lron,IO".d
In po"",I.n '1' .nj""nl to cl,,, , (ooIlOW'\) ..".\lcl,rI" ,,' IhO ""odO'" 0"0' \I" oxpl",\lo, 01 ,nY ".101' '0'
)110 " I" y.o".thOC...onw"llh h,rohY .,pro..l, ,,,''v., 'h, ,I'hl 10 ",p"'" "",' ''''0,,1'''''''' "hal'l","'. I".'
nt tho \p~lful Clnlisl\ (cOUlltoral) rll\OOn-llny fi\loh futllro In\ttrlist.
ruHPOSE OF
HOTIC" 10 'ulflll 'ho roqulra.onl' 01 s..o<lo' 21',0 01 \1\0 In,,.rI'..'oo .,,, l".t. ,." ,01, ,., 1\ .1 1'1%, ('/2 p,S,
Soction 9140),
PAYHf.Hr, n.'"'' \I'" t., porll'"'' Itd' ",\100 ",d ,,'hml\ wllh you' ",y.onl \0 lho ""I''''' 01 wll" p,I"I.c1 0' Ih. 1'."". ,Id.,
~-l'Inlq'l chock or monoy Clrdor pCl'lllblll to: RF.OIS'l'ER OF' i'lILLSj AGENT
RlFUHO (e",' , roh,,,d 010 tox ,rodll, whl.h wo, no' roqu"'"'' on Ih' 1" R.W', .., I" ,,,,,,,,,0<' 'rY ,0"p)'""9" ",ppl loot I"
I" R.hmd 0' p.",,,I,o,,l,, In\1OcI',,'oo .nd I'''''' ,,," m,'13I", "","ootlo,,' "ra ,w.ll"hlo ,,' ,ho Offl'.
01 It" R"h\ol ,I Will" on, 0' 'h' ",'ovonUO OI,ldo' OHI.", " 'IV "">I,,, Iho ,podol ,,'1100'
.n,w"ln, ,",vloo """.." ,,, ,,," "dodo" 1" p,nn,yl,,,lo 1,.00.;6HOIO, 0'1,,1'" I',nn,yl,"nlo ond
ollhlol 10001 "",,1.0'110 ''','' (1\7) '18/'M94, lDO' (7)7> m-ml ((10"1,,. l,p,leo" 001,),
OBJECTlOHS' "', ,,," In 'nl"'" 001 oo",lIod wllh Iho ,,,,,,1'0""" 01\000"'" "' eII",lIowon" of ",,'ocllon', or """.on\
,d I'" tlndudl", ,11"0'10\ 0' 1,,'o""U '" .h"'o 0" lid' Ho\loo '0,1 '"J"" ollldn ,I,,, ,6Dl """ olro"lpl 0'
\hls Hot lco by1
..wdllon .eol'" to Iho PA 00"01"00\ 01 R"""'o, .oo,d 0' ,,,,,,, " , 00,>1, "lOll, "",I,hU", PA 1112'-10'1, OR
'-oloo'l,n 10 hooO tho '011" do\".lood hi omilt 01 "" ooo",n' 01 "" ,o,"on,1 'OI',o"n'olloO, OR
-"tlllllll<ll \0 tile vrrhnns' Court.
ADMIN
lSTRAT1\lE
CORRECTIONSl
Fo,\uol 0'0'.," eII".vo"d 0" thl. ",o",onl ,0'1001<' .. "W,,'od In wdllo, to, p, 001',,'.00' 0' R,voo".'
'0,"''10' lndlvldo" lax"" AllH' poo' t.",,,.,,,1 R",low ""II, Dol'l. 1''''"'' liard"""" 1" 1111,-0(,01
Ph"" l117l 7&"'105, So, p,go , 0' 'ho boOklol "'",t,,,,'loo' '" 10h"l\onoO 'iax Rolu,n ,,, 0 R"ldon\
Docadont" (RtV"lSOl) for on oxplrmatlon of ntlmlnlstrntlvol'J co~roctnlllo arron;,
DISCOUNT:
If ,ny lox <I'" I' p,dd wllhl' thr'" (;j o"ondo' ,0"11,, 011" 'h, "",0"00'" doo'h, 0 Ovo p"oo,' im dl"ou,1 0'
tho tax paid is ~llownd,
PEH^\ 1'1':
lho lS% 10' ,,,,,,I.y OO/l',,,II,lp,'lon p.noll, I' GO,polo" '0 Iho 10\0' 01 \1\0 lox or" 10"'''' """.d, on" nol
p'''' .01"0 J""'''''' 18. ,,", Ih. 11"" "" 0"'" 11\0 0011 01 If.., ,,,' "1''''' p"l.d, lhl' non.,nrtltlp.\lon
",nollY I. a"p"lobl. 'n Ih. '"'' .onnor ond In tho Ih. "'0 ,I" ""I,,,,, yOO w""" ",,,..>\ 'hll 10< ond 101.",1
\hs\ has boon tlssoli!;Od as Indlclllod on this natlco.
IHH:REST \
1"'0'"" I' oh...o<l ho,I,,,,ln, with 11,,1 "" 01 dol 100"",0>, " n'no \OJ .onlh' ond on" III "" from 'h' dot' "
""Ih, 10 10' d"" 01 pay.on\' ,,,.. whl,h h"." ",'Ioquon' b""" J"mlO" \, "" bO.' 10"'''' 0\ 1t\O rat" ,f
.1>< (",l ",,"0" "" .nnUm ."''1'''''' al ''''''I, ,,\0 01 ,000""', 'II t"'" whl.h h"'" ".11...",,1 ,n and .11.,
Jonu"y 1, 19" will b'" In"'O.1 ,I a rata whl.h will vorv from "'on"'" y"'" ,,, "'on"" "or WI,h Ihot ,,10
..,n'",,"''' b' 1110 p, 110""""'" ,,' R,,""uo, 'ho ""11,,"1,, I""''''' ,."", ,or 19" IIII",.h ,,97 "'"
'U!!r lntor(lst Rata DlIlly 1ntnrolit Factor ~ tl\tnro!lt R.,I\O Un \\~ lrdllfOsl rnc\or
1962 211'l, ,OClQ!i(jfl 1967 9% ,0002(/7
1983 16'1. .OOO(t~8 1?8&~1991 1\'1. ,000:\01
19&4 11'1. ,000301 199~ f,l'l. ,0002(.7
19Mi I!X ,'Ol}03~b 19C)~-1'J94 7'1, ,000192
1986 10% ,000(7(\ 19%.19cH I),: ,0110241
..lnletro5t 15 Cfl~CU\lItQd "' follO\llI;!
INT~R~ST = B~LANct or TAX UNPAID x NUMs~R or DAYS D~LINQUtNT X D~ILY INT~REST FACTOR
_.,,,' Holl'. I""od a"" Ih, 'ox .0,o.OS dollMoon' will roll'" ,n Int"oo' ,,,1,"1"'10<1 t"fllloon (IS) d,,'
boyond tho do" ,,' Ih. """.on\, 11 "",.,n' I> ,,,",, ,floC Iho IMl""" co."II,.lIon d," 'hOW, on 'ho
Nollco, (Jlldltlonlll lntornrot must bo cnlr.ultltnd,
.
J
... ,~
STATUS REPORT UNDER RULE 6.12
Name of Decedent: GEORGE H. MONN
Date of Death: 1-()2-97 21-1J0025
Will No. Admin. No.
Pursuant to Rule 6.l2 of the Supreme Court Orphans'
Court RulAs, I report the following with respect to completion of
the administration of the above-captioned estatel
1. State whether administration of the estate is complete:
Yes X No
2. If the answer is No, state when t.he personal
representative reasonably believes that the admil1istration will be
completel
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 X No . Filed Family Set tlement and Release
which indu<iecl Statement of Account
b. The separate Orphans' Court No. (if any) for and
the personal representative' 5 account is I Distribution
(11-21-97)
c. Did the personal representative state an
account informally to the parties in interest? Yes No
d. Copies of receipts, releases, joinders al1d
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be attached to this report.
Date:
12-17-99
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Signat.ure
Patricia R. Brown
Name (Please type or print)
4 E. Liberty Ave., Carlisle PA 17013
Address
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(717) 243-7922
Tel. No.
Capac ity I
Personal Represent.ative
(MAH I rmf/ A,M3)
X Counsel for personal
representative