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HomeMy WebLinkAbout97-00041 , t.... w- e- 0 I - "6 CI) r .... . 0 0 1;; . . Z \"".1 LLI '- ~ No, ... I -')'/-11 Estllle of 'i'^Y SIl.vli:iWI.^,H: a/k/a ("AY c. nJINlo;!(tilJ\lJl'; , Decellsed DECREE OF PIWDATE AND GRANT OF LETTERS AND NOW - ,J<lIl11iJry I r" 19~, In consldl.ratlon of Ihe pelltlon on Ihe rcvcrse side hercof, satisfactory proof havinG been presenlcd before me, IT IS DECREED Ihallhc Inslrument(s) dated Ju1 Y I 4, 1992 described Ihercln be admitted to probale and f1lcd 01 record allhc last will o'f Fay Silverqlade a/k/a Fay C. Silverqlade and Lellcrs Testill11enti1ry arc hereby sranted 10 Pi1uline Lant'er Kelso -~_.._.-.....- ------.1 Jtw,. I t /) JA/ 0 '- .,.) _. if I /<- . i 'ut (- ,~X~.i}WJ-oJ,PLv ,1tLi<JI..I(l/- R'Ehm or Wills Mary C. Lewis v FEES P b L E $ C,O 00 to alc, ellers, Ie. ...."". ~~ Short Cerllncales(r,) ,...,..... $ 1 'i.00 Renunciation ................,' S~ n. On x-Pages (~) $ ,lCP 'i.OO TOTAL _ $ Fllod .,1~tlgC\l;Y. J~.,,1j~~7. , ,. , . j . . .7.~~9P. . Richard W, Stewart (18039) Johnson, Duffie, Stewart & Weidner 1 AklTORNEY (Sup. Cl. 1.0. No,\ 30 Mar et St" P. O. Box 09 Lemoyne, PA 17043-0109 ADDRESS (717) 761-4540 !'1I0NE Cl '5 In 1,1) 'get n N ') , ~: \- CI.. .j ~ i:,J " Cl '..1 - ;;.1 ~ ,; :1 "j -.. 0 :j; '" () m .0 Ola- f'; "E cr:" da MaLl.ed l,eHers /lnd Order 1:0 M1:orney on 1-16-97, I hi' " ,,' , ,_1111\ 111,11 ill\' Ild\lIl\1.lll'lll Ill'l' \'1,',11 , ,ill,:" "1".,1 fl' " , ", 'II' " ,I ill,j" .11 iil ,', 1111 ,1,,1 I, Iii I ,I 1:,!',1-,!1.11, I I" ,11 li',!I\.11 t ,-II ill> ,/1,' 011 , 1''11', lid, ,I , Ii" ,I I: lill; I,ll 111i11"lli lill " v- i" iI.11 I'll WAflNINCi: II is illorlal to dupllclIle Illis r:opy by ph()lolital 01 pll"toWapll. In 1(11 fill'. \-I.'lldl(~ 1(", !.,.'(Hl ,;/llt(~Z\'\'\i_~U'f-'P'i:f>:.' i# 4r, //$l!<<' .....~.t\ I~~ .. ~ '~~\ i ~, .." ,.......~, l~'. .'~, "'.1' i j , " ~ \\ *,'.. ..., ,-', * /1 \\.'~' ~,'.1 ''''%. ~,... :'~-?t::MIN1 ~\~~""" --"'-!".'{!!!!IIJI.'~-- ! j) . \ " .. /) , 'l/I,,_,(I"(('l..U:." .. _~l-("(~i_e.. I q,.1l 1Z--r,I',(;,d liJtP(CL), 4019064 ,..(l.( \_/ , u, CLu'/.-' ll"~ I,y/I" IJd\{' N". IIlO~ \; I H.. l-B1 COMMONWEALTH OF PENNSVLVANIA. DEPARTM~NT OF HEALTH' VITAL RECORDS CERTIFICATE OF DEATH ~i g l :lllll"11 ~I''''~fn 11''''EOfriii;EOijiTi''w!;;:;~;;.~iii-~'~.--'-' .~_._-~ ---- -~-f~- -~ ]SlJ'W~E(u~iNIill"'ilffl------~-JQAlTfji'li;ili""~ It.o,''';, - .. _F.a..Y.__C~n_.~Ll_~~r~~<Ii!..__ ..._ ___ ._m n___. _n.____'. F"lIIa!~ ,_30g_.n-=-. !Q.._':. 67~ ~celllh,!r_.2.~,_!.9~~ '.OfLI':ll:.~':.,., ~~.l!f!Of.';i~I!.~~t.-.! '.~i!&!"l M:;':~:~~08] "At?~~lfr~~~""~l I::::\~~I'~:~,~~~ J ~'~'~::I~~P~JI ~:~;~ ~ ~.~",.l ) - ~~I,d I ~oU;:;,~::;; a~~_~-n -.. 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Pa 70 .. _ '..'.~..._~~~..,____~~!:~_ C_~~l!lt)~rJ~~.I~f~_,_"~'_'_..,~,.~'_"I"I~.~.:'..:-:.,.,,.1,riJ,f.~,~~''''"-",, . _"_.__ _. __. _.;.=.;.,;__..",~",u ,-';illi-Il S ;....,ii ,i-,; i.l~~.. 1."1 ..---- "'" ,.^_ ....._. l!_. __M~~t___Fu_~Pl.~_.___ . _c__~......., _~_. !L_~~.~.,.~L.!:l~..~_.. .~____.,-;.._________...___._,.__._..._.__ .__.__.._.____._. II<HlflI.lANl SIl'l.l~lllr../'t.'1 'llfOIU.lM.I'~W.ll''<<)AOOflE"6S('''", Cl,I~._/",r""'l ,"- P~~ll.l.neL..~.~ 1.~."......___.. u._ '1- ... u. --......--.--- ",-2JjJer~Jl!jve '-~~.E!!Jani csburg c.!'L!J,9c'!.L. ----. 1oll11l()OOf OlSI'OSI!lOIl DAlE [)'~Uf~lS('IOU ""AC~ Of tl1~!'09IllOH 'Iltmt<JltllTlllor,- C.."'.1Ofr lOC:.lJlOO~""""""', 61.1.. ",Coolol a....ril L......I...{ ] 1l"''''Tt/~"'''IiI.(.1 J ,LU", {..,.Wj "'Ol'...~t t~::'-~~--~,~~~~;:~. -'[li~iit~rUi~:"'~=I~(rA&~~; I, ,,) 11L...lfl-I~~.~l'~~~H--- .-,. .'-. lL~cU~~~~~h~~W&~~lr,y~Y.tH'~~~r~~~rd~'~--9R~~-i~l~L_-. ill.. .<2. ...,/;~,. _._uUH. _ ..f1:Q!.2~~2.:L__HII",~ L~Majll'5t.. MechdlliCSIllil;.J'd-lJ055....---u C l.umlll. "'I "'ot, .1(,,"'" ,..W~.~"',i^'l..I<t<Ivt.'lulhLlC<'.,'d.(I~"I"M L"llt'~lplOI<tll'''d lK,ENS~IlIJ~O~R 0 $lllllrO pII,"'...".""'.....t>Io..I.M.~"'.",'" 1...."......,11...1 ,~'.....tlol,,.,..l ""_"U~M.~';"~ ";;Nl-" 1.lm....w'Mij;:;;...-II1- '1~~Ofllt...Ht- r:"'HIlOHl){JNCdlor"'biMi'~' G., 1;.'1 -- - -- ~c15t'/lffEAf\[flloIiEO~l....{';loIiii[f\.c fin -- .--~~ -. _....~""I"O!....."",""..~ ... I J ~) __ ~__ _ ~ lL _ 2~.4? t.!l p~~~[nber f.QJ. 12.2.~__~_ ~~ _ __ _..'..~ _ ____.._. f""rll..ilo...." ...';".."'_~~~.''''''I..''"h't'''''<JI....''tI''' {~'~.""II'>4"..lt"I"''I\ij 'u<hIlC."M'Otr.'ll""....,.".,. """"1 01 lot"l I. "". "",,"0''''''1' 'llftlM OII\11I~~C_""<OnI''''''O>Q'''<lI'''' bo.C ,,,"W, """"M""."""" "l".tll"'....~ """t'uIIinll"lI'IIy~_.."..,..P'AlftI J{\-' ,on..""cl<lItlh .....ll>l...l(C...UH,'.... C". I .:~::.;~,'i~_::;;" .__ .-;'. _. . .' "1 :::::::::::::::::::::::::::: .1. Olll /011('..... An~'~(QII(/~:1 '~I I m:ltt:-Aum,.<!BYi'triiiioii" 1:~NIii"{o'-I>f""tj ---- - .-----.-..-. ----- p,\f(o; IIlJIJRl ----['Wf ~~ .......,l...llltrlIW)f1fO IMkI,(Jf, ....., ~~~~~)N 01 "Ault-l N.',u~ It I I"'",...~ ( ) A".It.t ( t ~tn"'~I"<t"....,u,, ( ) rJ II II rllk W\' !!*-I Hf___ r.1 "'" t\o"... (",,,~,,~""Jmu",,o.l "tAtf or Ifl.JWl~ ....1110"'. "''''.11I11' I!><I!/,"y ulII<. (OC""IOHI5ti", C~,lb..., 1lIo!Itl {--5i-uI'(Uhn...",,',-;;, I! ~~tt.,~..,t'l -~A(\)f~.ir.ull- l C':'Jl.II'ILA.-(.~-~-== -~ ." SJ 'CUUIHlf!(I '1IY~ICI"'N ,!'",...,.. """,." .".".,J,,,,<", .1.", ,. "1.'" <t',.. .,."1",, 1."...,1. "', "e"'I' ,j"), ''''1,.,.01",'''/11 I v" 1,> "'*1"f.1'1..,."".1to.I1l._".."."",u"...u.."''''.uu..IIllhlln'..''...'..'(.1.4 I tl. _ t~').a.. "- 11C[1l'" ,-\\j "1' ~ bAllI>lONUlIl4... I...,".... . ~~~~~~r~IH~t:~ ~,I.I~~~. ~~,':t.P~~ ~:~~~t~~ ~~'I' I;'~.' 'I""; ;;~,';J ~';'J'~:~"i~ :~~'~~~;~;II';';,:;~~~~'~I'( .. I(.(.d 1 I~ - \,,, I I t IlAl.lIA"rl.((lf. lfl;.SOfNf\$(j'IW'IOCjl.lPII'lUlj,U!ll OfOI.l~ / 1_',_,.1 (lh""lllrll:"OOp""l .,-, \ 1/.< 1\. _, ...'UIC...IU......Illlnrlo'mNlR " ()i~(j~~....-~....,-~,.\-ll,II'Tr)'?f.'\ \. .L~') . ~~,~~:fb::':I:I.~~IIoI""II'H\ .,ldiot I,w, 1(II/IBo", II\m~ "Iun,,,". ~"I~<'<<,,"UI II (hi (lilli, dll., .u~ pltH...1Il dut IU II" '"U"II!I"d I I l.. ~- _~ _' _ t 0" 1"'II",~,III~IlIII~I"'I"llt~IlIIN""'UlII i;'~lrli,tii''''''I''I;;,~,.;,--~ .. , --- ..- ../ ,j/, ".I ~ 1,1rll~,II,J.1 ,. Ji..." ",/"'Al ),/ I~~. t. "Jdtlj 1''/'\<(., ,\~(~t'l.l ,'tru,</-. . . !KIUii{i.'iVlOOiii- tiiiiiUitl~ IIl.IURV-c<<iJRiiO------.---.- YOI 11 IlitU . ~ W ~ J . ~_ --. '~,w .....-<C.-.' '. ',,_-' , (:J! -q '7 - Y I lAW Ofl'lCES JOHNSON. DUFFIE, STEWART Ii! WEIDNER 301 MARKET STREET p, 0, BOX 109 LEMOYNE, PENNSYLVANIA 17043-0109 In (~~.l REdISTE~ OF WILLS OFFIC~ COt<!BElRLAND COUNTY,COURTHOUSE 1. COURTHOUSE SQUARE CARLISLE FA 17013-3387 t: ~ G: U Ii '. ,!\,(./.l "':"...."-' <,.I (i) l.;w ..~. 00' t] (' 0)1 cr If1 Do;' ; --;:~; r~ ~-,\ tLlE5 13C,) i7013-33'-12 02. 11111l11Idlllllllllhlll1l1Ihlllldllllll.hIIlIIII11111l11l1 I "'"I" , "d 'I'" f.~: ~ ~",' -,~ . 4.'..\ .... It ,.,,'~ -- ,. t, \ I ',l t. --:~, . ',~. '" ,\" ,'<" ~ ....' ~ t.._." "I ,TIiji; 'i '.. ~ \' ,"" --~'. ,.' 'f: "t 111 .. -,' TI"..........-- ....r:;-.~--._._-"-::....._"~-..J" ~ - ~ 'f-e!.. r J !,,- ~" 1 , , ( " I rOR DATES or DEA1tlArTER 1~IJ1I91 CHECK HERE IF A SPOUSA\ POYERTY C,REDIY IS CI.AIMED [ ) Fll! NUMB!R ;n ~fv 15C'O E K 1" (1 Q~) "' .... ","v> ucc)C IlJ~u =~9 u~'" ~ 1'. t\'i&'" M,."f"' (1'\ ,;'t, ..", ~ .. INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) NUMBER .... z w C> w u w C> COMMONWEAltH OF PENNSYl,YANIA DEPARTMENT OF REVENUE OEPT.180c.ol HARRISBURG, PA lJl18.0601 tiECEDENT'S N"'M~ IL,AST, 'lIi;l,i,~"bMIDDl!-i;;ll~-~-li':'=~:="-:':-.;:.-"'--._..,.:.;.::.;.;~,._..:...:=---.... SII.vERGT,AD'~, F'lIY C. 'OC';L~~~";Y;~~~ 3 4-- . ~-~~~;9_6__ t~'~_~i'~;_~- , '" ...",."" "''''''0 "OV>I' NO"' '"'' "'" '"' "':':' JIOCIA' ~,,~~"~ ~:""_ IX) 1. Original Return [J 2. Supplemenl,,1 Rolurn o 4. limited Eslole rJ 40. Fvture Inlore~1 Compromiu Ilor do'.. 01 doo,h of,or 12.12.82) ~ 6. Oecedenl Died Tostole 0 7, Oecederlt Maintained 0 Livi"g Truu IAllo,!' COP)' 01 Will) IAllo'r copy 01 TrUll) ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO, NAME . - COMPlEHMP-llINOADDR1Jj. -rt"---id ~_._~-- Richard W. Stewart, Esquin~ ,Johnson, Duuw, Stewa.' & We!. ner "'"HON'"UM''' .~-_.- 301 Mark(!L St., P. O. IJox 109 761-4540 leIToyrK\, PA 17043-0109 'J" 0041 COUNTY COD! YE AR JDfC~~)~N;'-S-(I~~~l{;:D:~f~r~~d..-"'- ~ - - ~ ..---- ~.---..._",."-"". Mpchilnicnburq, "A 170',5 _ C,"",[_ _ClIMlIllliLlllilLh _ ___ ___. AMOUN! a.fCElvlP (He IN~UUCTIOt~~1 .._ o.__~ _..__________._,__~_.___ []3 [J 5. Remaindor Relurn liar dol.. 01 d.a,h prior '012,13.82) Federal EUole Tox Relurn Reguirad _ 8. TOl01 Number of Sofe Depolit BOlltlS ..... v>z Ww "'C> COz Co u~ z '" ~ ::> .... ~ u w '" I, Real E,I01. (S,h.dvl. A) 2, Slo,k, ond Bond. (S,h.dul. B) 3. Clo..ly H.ld Slock/Parln",hip Inlor..1 IS,h,clul. CJ 4. Mortgoges csnd Notes Receivable (Schedule 01 5. Cash, ~onk Deposits & MilC(~lIoneous Personal Property (S,h.dvl. E) 6. JoIntly Owned Proporly (Schedule F) 7. Trand", IS,hedvl. G)IS,h.dule LJ 8. Total Gran Anets ltolol lilIes ,.7) 9. Funeral Expenses, Admlnislrolive COSh, Miscellaneous e xpenlOS (Schedule H) 10. Dobts, MorlgClge Uobilities, liens (Schedule I) 11. Tolol Oedl.'ctlons (10101 Lines 9 & 101 12. Net Volve of Estote (Une 8 minvl line 11) 13. Charitable and Governmental Bequests (Schedule J) 14, N., Value S.vbjocl 10 Tax (Line 12 mlnUi Line 13) 15, Spousal Transfers lfor dotes of dealh ofter 6.30.941 See Instrvctlons for Applicable Percenlage on Revene Side. (Include volue, Ir/;'lm Schedule K or Schedule M.l 16, Amount of Line 14 taxable 01 6f.>/(l role llnclude volues from Schedule K or Schedule M.) 17. Amount of line 14 loxoble ot 15% role (Include volues from Schedule K or Schedule M,l 18. Princlpollox due (Add tal( from Unes 15, 16 and 17.) 19, Credils Spoulol Poverty Credil Prior Payments --__ + lLJlQQ..DlL 119) 120) 12.631. 5B ( I) __.____._____ 121,___. 13 ) 14 ) 15) 73.122.41 16 ) ( 7 I 166,476.2B 24 . 5B1. 54 I B ) 264,180.23 19)_.-!.?,6BO.89 (10). Ill) 12,6BO.B9 112) 2S1,4'l'l l4 113} -0- 114) 2~1,499.34 ___x._= -0- ----~- X .06 ;; 15.089.96 X .15 :I ---=Q::- 118) 15,OB9.96 115) 116) 251.499, 34 (17) z C> :i .... ::> ~ :e '" u :;! .... Discount +_QJ.L r,8_ _ 1"loroll 20. If Une 19 is greoter than Une lB, enler the differenclI on line 20. This iSlhe OVERPAYMENT. aD Cheelc here i ou are requesting a refund of your over oymool. 21. If line 18 is grooter than LIne 19, entar Iho difforClnct'l on L11'1fl 21. This is the TAX DUE. A. fnlor Ihe in!erelt on tho bolance dUll on line 21A, B. Enler Ihe 1(>101 of line 21 clnd 21A on line 218. Thi~ iSlhe BALANCE DUE. Mak. Chec_1c Pay~bl.".'ol.~~.g.~It..' ~!_~_I~A~~~__ __ _ ~. >- BE SURE TO_ANSWE(~~~~!!.~TIONS ON REVERSE _SIDE AND TO RECHECK MATH. -C:. -<,;.. Under ptl/"lolllu of perjury, I df'!c1arfl thaI I hove exomined Ihi, return, including accomponying schedules ond Slolemenh, and 10 the best of my knowlCldge ond belill'f, il h truB, correct and compltlte. I declare that all real o~lol8 hos bel'ln roportod atlrull morkel volue. Declaralion of preptHer other IhCln the penanal representotivtl ;, based on 011 informotion ol....hich pr(lporer hell any knowledgfl, SIONA'ldll\ OF Pf.SON ~!~ '-N~le_~f ;O~fi("i"NG.Rili.i~----._~.-. -~.'66fi~~- -..tj7l')'-r~1f)1 c,yKo:i(1--~-----~--------- ~"---_.-~--=--:-- /i. .(< /( .--~I ( ('l.t.<t) .t,,-~t/,',(j(,(- ~'l('('h(1ni('~;hllrq, P^ 170r:/l ,,"J-'o IbJ /) , '." 'J ," '?,_ t'f,l,'ilI'tfi!IUJ.x. """-,,. -- \(liM;ll:J0:l:;i-:-;1'.(Y~- 11(;x-"10'1---'--,-_n ~--_.-----. -RTc1~flw:-::'~~~'1~t;';r::fii( 1"I,"yl]", i'^LLn~ l::OIO'lm_'m_______. ._!L:'---'- 121) __2..45a..]B___~ (2IA) .__-::.O:::c________.__ (< I 8) ._2.-45ft..3B._________._ . --- -~---_..------.. ..---.- -.---_.. ----~--- I I 1._ P~e_".~e Pri~. or TlP'':,__ FilE NUMBER' --_..~_..-. A!V.IJ08 tl(. ll.8r} ~.-:J~:~~ ~J-rr!J.m- COMMONWEA.lTH OF PENNSYlVA.NIA INHERITANCI fAX RlfURN RESIDENT DlelDINf SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY ESTATE OF 5ILVEI,GLADJ-:, FAY a/kin 51 r,v8HGLADE, YAY C-'____n_..___'_______~_~l -97-0_041 (All property lolntly.owned with the Right of Survl\lorlhl!, mu~b~~f(lo.~_d on Sl;h.dl.ll. PI ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH $ ],000.00 176.00 53.00 607.68 14,208.96 46,500.00 4,978.12 5,130.00 116.00 352,65 L 1987 Oldsmobile Sedan - date' of' death va lUll 2. Internal Revenue Servicl' 1996 income tax refund 3. PA Department of Hevenue - 1.996 income t.ax refund 4. 46.037 Shares - Eaton Vance Traditional Stock Fund Account No. 000] 528470 @ $13.20 jx'r share. 5. 286.0040 Shares - Cincinnati Bell Reinvestment Account. No. 000-026-537-1. ~I $49.681 per share 6. 800 Shares.. Cincinnati Bell, Inc. Common Stock @ $58, 1250 [X~r share 7, 150 Shares .. CINergy Corp. COlTUT\On Stock @ $33.1875 per share 8. 120 Shares - CSX Corporation COITlTlOn stock @ $42.750 per share 9. AllState .. automobile insurance refund 10. Blue Cross/Blue Shield" premium refund .._____ TOTAL (Also enler on line 5, Recopltulallonl S 73,122.41 (AUoch addltional8VJ" )( 11" .huh If mc.re .po(.l. need.d.) ffiATE 0 F ._...__~n""'___~ .._....._.. .._....._...... _.. --.-----.----.- J UY,IH~ (.~ 112-18) ~' . .9 ~\(\ COMMONWEALTH Of PENN!>nVANI" INHERITANCE TAX ReTURN RESIDENT DECEDENT L SCHEDULE F JOINTlY-OWNED PROPERTY SILVEI\GfJ\DF:, FAY a/k/n SI_~NF:I\Gf.l\DE, rAY C, Joint tenant(.ll FILE NUMBER 2] -97-0041 ___.___.._._,_.____.n____~~. .__....__....._____ _.__.,~__....___.._.d"'._._ ...,____...._.._._ ADDRESS RELATIONSHIP TO DECEDENT NAME A, Cynthia A. Kelso 926 F:ppJQY Road ~k'chanicsburg / PA J 7055 Granddaughter B, PauLine T. Kelso 926 F:pplE,y Hoad MeChani.csburg / FA 17055 Daughter C, --- Jolntly.owned prop.rtYl ITEM LETTER DATE FOR TOTAL VALUE DECO'S DOLLAR VALUE OF NUMBE JOINT MADE DESCRIPTION OF PROPeRTY OF ASSET % INT. DECEDENT'S INTEREST TENANT JOINT 1, A 217 /92 Harris Savings Bank - Certificate No. 18-55-291777 31,752.98 50% 15/876.49 2. B 5/88 3 - $10,000.00 Series HH Bonds - decedent or Pauline T. Kelso, daughter 30/000.00 50% 1.5,000.00 3. B 5/88 1. - $5,000.00 Series liB Bond decedent or Fauline T. Kelso 5/000.00 50% 2/500.00 4. B 5/88 4 - $1.,000.00 S(-~ries liB Bonds decedent or Pauline T. Kelso 4,000.00 50% 2,000.00 Accrued interest Series HB bonds 11/1./96 - 12/26/96 360.08 5. B 10/16/9 Harris SAvinos Bank Certificate No. 18-55-298250 64,251.1.5 50% 32/1.25.58 6. B 7/8/93 FNC Bank - Savings Acct. No. 5130431936 1.2/898.89 50% 6/449.45 7. B 10/16/9 PNC Bank - Ccrti fi.cate No. 2100J 058850 33/777.75 50% 16/888.88 8. B 3/26/91. Savings of I\merica / Margate Plod da Acct No. 236-0088732 75/297.84 50% 37,648,92 Total fran additional sheet 37/626.88 TOTAL IAI.o enler on line 6, Recapil"lo'lan) S 166,476.28 (If more speeo i~ needed imerl additional sheels o( some size) SrLVERGLlInE, STt.VERGLIIDE, ~ , NUMBER I A, Funeral Expensell I[":-:-ll,,'ll .. - ESTATE OF 2. B. 2, 3. A, C. 1. 2. 3. A, 5. 6. 7. 8, -- e~ (~.9~ '.~..:h< COMMONWEAlTH Of f'fNN!lYL'I...NIA. INHfRITA,NCf lA)( RfTURN RHIDENT DtCWfNT t A~ 5CH EDULE H j FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND _. MISCElL~N~O~SEXPE~SES . . . PI.a.. PrI~! or Typo F,1\Y iI/k/il . IFILENUM,BER FIIY C. ~ 21-97-0041 DESCRIPTION AMOUNT 1. Faul R. Young Funeral Home, Cinci nnat:i., Ohio - funeral expenses (burial in Arlington Ml'IDxial Cl~metery, Mt. H{-lalty, Ohio) Myers founeral Home, lnc" Mechanicsburg, PII .. funeral expenses for transport to Ohio, Pauline T. Kelso.. Motel charges, rreals, t.ransportation - Pennsylvania t.o Ohio for burial $ 4,898.6R 635.00 3. 618.00 1. Administrative Casts: Personol Ropr..entatlvo CummillJons Social Security Numbor of Personol Representotlve, __ Vear Commllllons paid Morney Fe.. - Johnson, Duffie, Stewart & WeiQner 2,500.00 Family Exemption Claimant Pauline T. Kel so Addrell of Claimant at decedent's death Slree' Addro.. 926 Eppley Road City Mechanicsburg.Sta1e ,PA Relationship Daughter 3,500.00 Zip Code 17055 Prabote Fe.. .:. Register of Wi Us .. Cumberland County 76.00 Miscellaneous Expenses; The Patriot-News Co. - advertising letters 69.21 Cumberland Law ,10urnal - advertising letters 60.00 Register of Wills - short certificates 9.00 Register of Wills.. file inventory & inheritance tax return Waggoner, FrutIger & Daub.. preparation of decedent's 1996 income tax returns R8serve for close-out costs 25.00 215.00 75.00 TOTAL (Also enler an line 9, Recapitulalion) (If mare .poce I. needed, InlOrt addltlonul.hoets of same .In.) S l2, 680.89 ..,.' '" ,~<,.. ~-_., I . .~ JOHNSON, DUFFIE, STEWART IX WEIDNER ATTORNEYS AT LAW 301 MARKET STREET P. O. BOX 109 L.EMOYNE, PENNSYL.VANIA 17043 1, I '91 Virl'! 2:: 1'1 :First Class Mail CIl) " ' ,Alll,,J REGISTER OF WILLS OFFICE CUMBERLAND COUNTY COURTHOUSE 1 COURTHOUSE SQUARE CARLISLE FA 17013-3387 1-":; Ill,' -,- ~\ '" ~, :, Io'!' ill- .. -.............-- --~-____--",--""":''''''~JI' ~ _ I tJ ...,,:!. r-'" , 1 f,,\, , r' '.' ., I r~ COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND } 55: Paul illl' r."mh)r Kl1l so d' I d d h sh is FXl'cutd X _. accor Ing to aw, .po... an ..y. t .t' 0 _' , -- ot the E.tato 01 Fay Silv('fglade R/II/a li'flY C, Silv('fglilc1,' I I Monroe' 'I'ownshi!.I) C bid C t P d d d th t th ate 0 ____.___,. ,___ n._'~___,____~____~' um or an oun Y. .!I'I ecease an II e " Paulin<' r.,lnt.c'f Kl'l so EXl'cutri X within Is an Inventory mado by ._ ___'_', the said 01 the entir. estate 01 said docedent, con.isting 01 .11 th. p.rsonal propdrty and ro.1 estoto, except real estate outside th. Commonweelth 01 Pennsylvania, and that th. ligures opposit. each Item 01 the Inventory represont it's lair valuo " 01 the dato 01 decedont'. death, being duly sworn ',<,'\ ''-')C (--." ," ~'",.,.> ....,.' \ <>, 'l k, 19 "\') 'J" . I. . /.,,-/ C :t l"'::'tt / f,j ., , ' ,./ ., ~.. _ - / - I "_ ." _ '. ..., d'/ - "'/' . ,,' 1.('. 4. L' /t.; 1..(..';' ./<( d i ,/, Euc1.lfor . Admlnl.trl'or PAULINE T J\NTER KELSO, EXECU'l'RTX 926 Epplev Road Sworn to and .ub.cribed betoro me, (', NO rAIIIAl E DIANNE l.ENIG, 1~1I1,IV "Illllie Lemoyno BOIOII(lII CllmbO'.I;lIll1 Cn My Commission txl'III:S lioe, 21, \997 Mechanicsburg, PA ]70'>5 Addrul D.y December Month 1996 Dato 01 Death 26th Y..r INSTRUCTIONS I, An inventory mu.t be filed within three months alter appoinl'ment 01 persona' represenhtive, 2. A supplement inventory must be lIIed within thirty doys 01 discovery ot additional o"ets, 3, Additional sheets may be .ttachod a. to personolty or realty 4, Se. Article IV, Fiduciaries Act of 1949. '" 0 .-< 0 I O"l " 0 ~ I"- .-< ~ -d . ~ w ~u I> 0' .-< I- ~ ~ " ~ J , 0 w ~ I> c.. u <1> 0 0 I> I> , Ii 0 ~ w C '" ~ I "" W ~ l"- i!: c.. .; .... ~ '" ..J '" U. ..J ~ c.. ...... W 0 -( i +' -( ~ Z "" !:I . j Ul , 0 c '" ! c UlU ~ 0 Vl Z 0 ~ ,-j 0 I a:: -( ~~ U ... Z w 'd :< c.. ." c ~d al ~ I - -.: ,r.: 0 I> LJ .0 ." .... 'cl! 0 I> E 0 - " ..!! 0 , Ii ~ () u:: '" ~l. I ..J Inventory of the real (lnd porsonal ostnto of I"^Y S I1.VI':I{G1.^I1I,: il/k lil ____~L~:..!_t~.!.l,v~~~~l)]~._______._. deceased 1. 1987 OldsmobilE' Sedan - Date of death VElluo 2. Internal Revenue Servi.co 1996 income tax rdund 3. PI'. Department of Revenue 1996 income tax re~fund 4. 46.037 Shares - Eaton Vance Traditional Stock Fund (Acct. No. 0001528470) @ $13.20 per share 5. 286.0040 Shares - Cincinnati Bell Reinvestment Account No. 000-026-537-1 @ $49.681 r~r share 6. 800 Shares - Cincinnati Bell, Inc. Corrnron @ $58.1250 per share 7. 150 Shares - CINergy Corp. Common Stock @ $33.1875 per share 8. 120 Shares - CSX Corporation Corrnron Stock @ $42,750 per share 9. AllState - automobile insurance refund 10. Blue Cross/Blue Shield - premium refund Total " I, '~j V'" (\ ~J ;,." 1._ '.._i "'I (5(;, ] ,000 00 176 00 53 00 607 68 14,208 96 46,500 00 4,978 12 5,130 00 ll6 00 352 65 73,122 41 ,I;. /')'/ & COMI10NWEAL. Tft OF PENNSYL VANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAWES INHERITANCE TAX DI~ISJOH nt;PT. 280601 liAIlRISBURO, PA 171Zlw0601 NOTICE OF INHERITANCE TAW APPRAISEMENT, AI.LOWAWCE OR DISAl.1.0WANCE OF DEOUC'fIONS AND ASSESSMENT OF TAX [- _:~.!'"un~~'.I.tt'd 1 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 ~ iffY': iS47" iii "AFji" f oi": 97"i- NOT ici "oF - INH iii if AN"c E "YAX" iiP' pilii is EMEN'r,- -A L l"owAiic E" OR - - -" """ ".-. - - - - -. DISALLOWANCE CF DEDUCTIONS AND ASSESSMENT OF TAX FAV C FILE NO. 21 97"0041 ACN 101 RICHARD W STEWART ESQ 301 MARKET ST PO BOX 109 ' LEMOYNE DATE ESTATE OF DATE OF DEAnl FILE NUMBER COUNTY ACN PA 17043 ESTATE OF SILVERGLADE TAX RETURN WAS 1 I X) ACCEPTED AS FILED RESERVATION CONCERN.NG FUTURE INTEREST ., SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. R..l E,t.t. (Schedule A) (ll 2. Stock. ."d flond. ISchedlJllI BJ (2) 3. Clo..ly Hdld Stack/Pmrtn.rship Int.r.lt (Schedule C) (5) 4. Hortg.g../Not.. Rlle.iv.blll rS~h.dul. Dl (4) &. C..h/Banl( nepal! ts/Hhc. Parsonal r'ropII,'h (Sch.dub E>> (S>> 6, Jointly Own.d Property (Schedule Fl (6) 7. Transfar. (Schedule OJ (7) a. Tohl A...t. APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Fun.r.l E~pen.../^dM. Co.t,/Hilc. Expen... (Schedule H) (9) 10. Dabt./Ho...tg.". lbbilH1../U.n. (Schadule I) (10) 11. Total Deduction. 12. Net V.lue of Tax Return 15. Charitlablo/Gov.rnaantal Bequa.t. (Schedule J) 14. N.t Value of E.tat. Subjeot to Ta~ 09-01-97 S IL VERGl ADE 12-26-96 21 97-0041 CUMBERLAND 101 ) r.HANGEO .00 . OQ. .00 ,00 73.122,41 166,476.28 2~.581.54 (8) _ 12,680,89 ,00 111) 112) (15) (141 (, '* IU-liHn11' 11""1 FAY C DATE 09-01-97 NOTE I To In.u.... p...op.r o....dit to your account, IUbMit the upp.r portion of this fora with your ta~ paYMWtt. 264,180,23 1?,680 8Q 251, 499.34 ,00 251, 499.34 If an assessment was issued previously, lines 14, lS and/or 16, 17 and 18 will reflect figuree that include the total of ~ returns assessed to date. ASSESSMENT OF TAX: 15. Anount of tin. 14 .t Spousal r.." (15) 16. ^""""'t of Line 14 to,ob1. .t L1no.1/Ch.. A rote (16) 17. ~t of Line 14 taxable at Collat.raI/Cl... B rata (17) 18. Pr'lnclpal Tax Du8 NOTE: TAX CREDITS: PAYME~T DATE 03-24-97 05-21J RECEIPT NUMBER AA185318 AA211338 DISCOUNT (+) INTERESTIPEN PAID (-) 631,58 ,00 ,00 251,499.34 ,00 X .00_ X ,06_ X .15. 1181 ANOUNT PAID 12,000,00 2,458,38 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. ----------., TOTAL DUE . IF PAID AFTE~ DATE INDICATED, SEE REVERSE FO~ CAlCULATI~ OF ADDXTIONAL INTE~E5T. .00 15,089,96 .00 15,089.96 15'089'9~ ,00 ,00 M___~___~_._...._.... ,00 ._.__..~._------~- IF TOTAl. DUE n lESS THAll n. NO PAYMENT IS REllUUED. IF TOTAL DUE IS REFLECTED A5 A "CREDIT- (CN), YOU MAY BE DUE A REFUND, SEE "EVERSE SIDE OF THIS FO~ FO~ INSTRUCTXONS.) , I " '.):,J RESERVATIONI E.tat... of cMcldlnh dvlng on or belal" Dec:..tMr 12, 1982 ... if any future tnt.rut 1n thtl ..tatl h trBnlf.rr. In po.....lan or enjoYllent to ell" . (oo!lIt1ra1J beMfJcllrl.. of the dtctdent ,ft.,. the .~plrIUon of any .,tet. for Uf. or for YIt.t., the Cononw..1th hlt,by IlCprulh rUliIrv.. the; right to eppraha and ...... tr'I\.f.,. Inh.rlhnClIl Tax" at the lawful Cia.. . (col1at,r.l) rat. on any .uoh lutur. Inter..t. PURPOSf: OF NOTICEl To fulfill the r.qultilHnh af s.otlon 2140 of the Inherltlno. and E'tah raJC Act, Act 21 of 1995. (72 P,S. Seotion 9140), PAVHENTI OltlHlh the top portion of thh NoticI ami lubelt with your ply..nt to thtl Righter of 141111 printed on the tever.. ,Id.. uHah ohttck or lIOI"IIy order Pl!lllabl1 tOI REGISTER OF MILLS, AGENT REFUND (CR)I A rafund of . tax credit, which wu not reque.ted on the Ta)( Rlturn, .ey ~ r..,.ltlld by clMIPlltlng an "Applh:atlon for Rdund of J.lWlnlylvllnll1!1 Inherlt.nc. end El'tah T.x" (REV-BUl. App1.\oaUont Irt av"Hable at thti Offioe oftM "..htar j)f MJill. any 0' ~hti 23 Rlvenl.M Dittrlot O"!c;:... or by calling tn. 1~I.l 24-hour "'I,"rlng ...rvlol r'l\lIIbtirl for for.. ordtrlnOI In Penfl.ylvanla 1-800';\62-2050, out. Ide F'ltMlylvanla end ldthln locel Hlrrhburg .re. (717) "'87.8094, TOOt (717) 172.21.52 (Hlarlng lI.pair.d Only), OBJECTIONS I Any p.,"ty In Inhre.t not ..thfl~ with the ap~rahCl..nt, 1I110W8nCl. or dhaUONanol of d.ductIon., or a.......nt tlf tax (lncludtng dhcount or Intere.t) III thown on thlt Notto. .u.t Obj.ot wUhln .htty (60) day. of r.Cl.Jpt of thh Notlc. bYI --written prot..t to the PA DapartHnt of Revenu.. loard of Appeal.. Dept. 281021, H~rrl.bura, PA 17128.1021, OR -wel8<lUon to have the ..thr dehr.Jned tit audIt of tt__ acoOl.rlt of the ~r.onal r~r..ent.t1va. OR ..appttal to the Orphans' Court. AD"tN ISTRATIVE CORRECTIONS I F&Cltual erro,.. dhc;:ov.,.ad on thh u......nt .hould b. addr....d In writing tOI PA Depart.ent of Rlv.nue, Bu,..eu of [ndlvldull Tax.t, ATTNI POlt h......nt R.vi... Unit, Dept. 280601, Harrhburg, PA 1712&-0601 Phone (711) 787.6S0S. Sea pDgtl 5 of the bookl.t "In.tructlon. for tnn-rltanc. Tax R.turn for a R.t1dant 1llolKMnt" (REV-ISOll for an explanaUon of adelnhtratlvelY correotabl. .rror.. DISCOUNTl If any tax due It p.ld .,lthln thr.. (3) c.IWKter ~tht aft.r the dec~."t.. de.th, . flv. perClent (S;() dhcOWlt of the tllX paid 11 IUOW<<t. PEHAlTVI The 15;( taM ..,..ty non-p.rtlclpatlon panelty It c;:aput~ on the total of the tll)( and Intar..t ......Mi, .. not prlid bafor. JMUery II. 1,"" the first dl'lY .ft.r the end of the hx 8IIn4I.ty period, Thh non-p.rUclpatlon penalty 11 lIpplIal8bl. In the r:.. _Mn.r and In the the 10lMI U.. p.rlod QI you would appeal the t.x and lntarut thllt hal ~ ......act .. tndlClatH on thh noUe.. INTEREST I Inhr...t II CMrgad beginning ..lth fIr It .y of dallnquenc:y, or nl,. (,) .unthl and OM (1) dllY froa the dltl of Math, to the data of PIIYtMMt. Tax.. which boc... ckIl1nquent bafora J....ry 1, 1912 baar Inhr.,t .t the rata of tile (6:0 percent Plr NYll.. Clllcuht~ .t II d.lly rlt. of .00nlM. All tex.. whloh bee... cMlInquent on and IIIft.r J.~ary 1, l,at li!UI b.ar lnhr..t at II rah which wJll vary fratl Clelandar y.ar to nll~ar y..r li!lth thlt rlltl llIMOUI"lcad by Uti PA [)apllrtunt of R.vlNlY... Th. appl1cabla Inter..t r.t.. for 1982 thrOUgh 1997 eral !!!! Int.r..t R.ta Dally tntar..t fltCtor !!!r Intlilr..t Rat. D.lly rnt.r..t Fac:tor 1982 20;': ,OOOS4& 11)87 .~ .000247 1985 lOX .000416 1988.1991 11;( .OOOr01 1... 11:( .000501 ..., .~ .1100247 1985 15:< .000556 1995'-I~ n .000192 "66 10:C .OOOi!74 1995RI997 'X ,OO02U R-Inter..t h calculltMi .. follCIWl1 INTEREST . BALANCE OF TAX UNPAIO X NUNBER OF OAYS DELINQUENT X DAILY IHTER'~T FACTOR -.Any Notln I..~ .ftar the t.x bec:OM. dtlllnquent will r.f1Ht an Intarlllt c.lculatlon to ,1ft.." (1S) daY' beyond the data of thli ........"t. If p..,.."t It Hda .ft.r thol Intarut ClOllplJhUon qt. shoNn on the MoUoa. addlUDnIIl Interelt lIU.t be oalClulatecl.