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HomeMy WebLinkAbout97-00045 !! WARNING: IT IS ILl H1Al TO AI.! Eli IIIIS COPV on TO DUPl.ICATF BV PHOH)!;TAl Of! PIIOIOOflAPII. (:OMMDNWh\1. OJ Of I'Um~,Yi VMij.-, llfJ"'AIHMrNT (If' 111:1\1 II! '1(1 fit III ((Ifni', LOCAL REGISTRAR'S CERTIFlCATIUN or DI:ATH CERT. NO, 33rl1225 '-li/r"i'i,,,,,,,,, ,i(~\JII QI ill, 4..~. ,.,.1' .0. 'tl't;:i"~ \.fl';d~.~ L'.'.. ,*'t.. ~ .'_ _ .ij:tl f ~'. '. ,:!,>~// ~t4lhfl ~\~~~I'ii' ~1!((1!1!!/! December 31, 1996 , ii~i(l "r ('~II(I-Or'rili,l'cn;IIii~;il;li;;-' . Mabel Catherine Epoley Name of Decedent ...~.__._..,h__...... . . .... I'r" ',:"'1'11.+ lilll Sex.! ern.a.l~ .~... Social Socurlty No.1?1~28:5179 DRte of Doatl1 December 31,__1996 H Date of Blrth.~ugust.~~.~~O~... BlrthPlaco..l.ower^.ll en Twp, Cumber 1 and County, Pennsyl van i a Harrisburg Hospital Dauphin County Harrisburg City .. ..E~nns.y.lyarlla Place of Death , -'--~M-"--U'._-------" .u-----~-.f;.;I:;;:;iV.--.--.---. .-~- ;;:; 'il,-;;-;;;;:),;'~;r-i~~';;: Ii",',-;:-" Race ._WI1i.t.e n' n. Occllpatlon nn~ou.:<;~\;.i f~m Wi d d Decedent's .~.w.e......,~. Mailing Address ._. --U'i''''IIIJIl! _ un Armed Forces? (Yos or No) NO Marital Status 1741 Malnstreet, Mechanicsburg, PA 17055 . ----- .---- --. -0 ',I('-'J! - - ':-d-;-;'-'--I;:;"'~<'~ ----~,.- '-~---"~i;~; ----.....- Informant Ke it:.h..^:... Ep~.~~........__.__.... Funer1l1 Director Name and Address of Funeral Establishment ....!~c.~~~n.~..~.a.l.Hol11.~,30 N. Chestnut St., Dil~~bu~~,_.p~~!~~.~u_____ J. Larry Cocklin, FD (c)_....._.____.._..._..____~.............._...n..._._ Interval Between : Onset and Death , , , -~-., ...-.~._.-,.._._.."___._+t.k.----..-.-....-~~..._____..._~...... , , , ,.~-._. -...-.---___.~,__.~_~~~_..I_~~...._T~_.__.~.__~..__._._"._ , , , ...."m_...._~______..,.__.~__...---.--......_.___...__~...___,_ , ' , , _._-.-_.,-..._--~._._~_.-I...~_.._-;,,"--~~-------- Part I: Immediate Cause (a )..E~l"e bra,l..v..a.~:~.~I:.~C~~I1!.._...........__ (b) _..~:::.:-hmsc 1 er(lt~!~~~s..cu l~~..~.i.s!.~s..e...___ Pa:1l1: (d) _. Other Significant Conditions _ Urinary Tra~!J.!.lfec.U.?!L.___..~_.__......._ --..--..----."-,.--._~_.___._.________.__....._~_T______~_.. Manner of Death: Natural DXX Homicide 0 Accident 0 Pending Investigation 0 Suicide 0 Could not be Determined 0 Describe how Injury ocCurred: .~--~--...,._.__.__."._"- ...._-~...'...~._-..._-_.__.~~._..._.._-----'-~. Name and Title of Certifier .-.....l:elln~.1:l!_~~.~'O~I!~I~L..MQ_...._..... Address~_.. 'J..' .Hnuse ^'!.~n.l.I..e.L~.i!.IIp~.HJJ 1.LJ'~u...170J 1 .... .-----..-(M.D,-;-5~6':-coroner,-M,E:j This is to certify that the Information here given 10 correctly copied from an original certificate of death duly flied with me as Local Registrar. The original certi1icate will be forwarded to the State Vital Records Office for permanent filing. Decembel" 31, 1996 ---.{i.iH-1i-;;~bYl;c\iin;;gi"iirlli--.-. ):I(&I,~"Ji\:,,;.,t:.,";~~{.c~.u,---- -. ....~~~,~{.:L i' J;) .' I (/', ' . I ./" '( 'IJ' ,,(. I"'.' I , I. I' . ,'-' -'-_-,5../.; . -f,:~;~h~J;~~~:U:k.\...,."...-.!.--L-..i.:.-J. ,;.;'t,(~~fi~~tt f;~~i;ji'I~-" ...'.- ..../ I , ) ..';I<~\wll."I'I,ley.mbl(jll) 1U~a,~\t lklHl allb Q[4~,~~tUltt~ttt OF MABEL C. EPPLEY BE IT REMEMBERED, that I, MABEL C. EPPLEY, presently of 1741 Main Street, Mechanic~burg, Upper Allen Township. Cumberland County, Pennsylvania. being of sound mind, memory, and understanding. do make, publish, and declare this as and for my Last Will and Testament. hereby revoking and making null and void any and all WlIIs and Testaments and writings in the nature thereof by me at any time heretofore made, ITEM 1: I direct that my hereinafter named Executrix pay all my just debts, my funeral expenses. and the expenses of the administration of my estate. With this direction, I authorize and empower my Executrix to expend for my funeral expenses and interment such amounts as may be considered necessary and proper, without regard to any limit that may be prescribed by a court of law, ITEM 2: I direct my Executrix to pay all inheritance, estate, succession, and legacy taxes of whatnoever nature and kind, to which my estate or the transfer of any property passing hereunder or otherwise passing by reason of my demise, may be subject and to charge such taxes against my residuary estate, it being my intention that none of the aforesaid taxes, either federal or state, on any property required to be included in my gross estate, under the provisions of any state or fede.rallaw now in force. or hereafter enacted, ., ~'w ~ :Dili' (j) P , ' en 2 ~!J , I ri:. t) (!, 'I \.L , -' ".. ; , ;' ~ ?J ;t:> "",-, f -c:'~: \~ CP ~-\\.-' -0 t; 1i,-r;;, ;;;;< t;, \0 ,- t "'fl~~ ~~ , t = I ~', . I ~ 15- ~ ,~ t't I tIll./ <5 ~ ~ ~'tn I"""l ~ ,- ~ M > - - .bO .... - --- --- H I-< >I J>, - ~ ~ -- H ~ 0 Ul H .c ~ 1'1 ,.cr ro ...... Ul 1'1 '" "'1"1 Q,I QJ .....l /6 d-~t ' -' t:i . 1><11-<<)1><0 ~ y,. -- I'.) ~H'~ " --- ~ '--" ........- i <<14-1 ......-I m ~ p:j 44 bO - - o ~I -- 1./ " ~ "- r.t.I(I).l-I,.O ~ oJ III Ul , , . 13 0 r-l i~t A Po<.... ~d -<t ,~ (t "'\""" ) .N A i'lil'" '\_ ~ '- ,i1J -'~ -j.. '.; "'," " . , "~ 1:- go ,cp QIlRTIJ'ICATION or NOTICE UNDER RULE 5.61.1 'CJ --..J :u 1f? :(1 .) . . '-) ...., IT1 tD I .1>. U'. ).'" ~I.j (".:) 1, >. --.J In (J Name of Decedentl Date of Deathl Estate No. KABEL C. EPPLEY December 31, 1996 21-97-00045 ,.l!' To the Register: I certify that Notice of Beneficial Interest required by RUle 5.6(a) of the Orphan's Court Rules was served on or mailed to the following beneficiary of the above-captioned estate on Februarv 3. 1997. ~ Address Keith A. Eppley 15 Burd Road Middletown, PA 17057 Scott R. Eppley 701 Hamilton Avenue Mechanicsburg, PA 17055 Susan K. Cupp 15 West Winding Hill Road Mechanicsburg, PA 17055 Mark D. Eppley 221 Brindle Road Mechanicsburg, PA 17055 Notice has now been given to all Rule 5.6(a) except none. I Date: c:2 /3 97 persoys ~itled thereto under ~/n~---- ~. SCHRACK, III, ESQUIRE 124 West Harrisburg Street P.O. Box 310 Dillsburg, PA 17019 (717) 432-9733 Counsel for Personal Representative ___n______.l.......__............!,.....,."'''.,.F "~-.:.~:I>t",:"....iH."....'._ t. WM. D, SCHRACK, III ATrOANEY AT LAW '~ 'Ai/y. ~I(' , [,..", /~I L ,\_ . \ f : I ',;'1l,/~ t --- "'~.-\" _10"'..;__....:_~-.~t---__".~-,,-;1; - -.~ ~""":77~ri,.-~~-"~.". ~~i;~~_ :,,~- ':;-:':~.':__"_->-"~~--~~t_. ," ~._", ~_"'_~_ "oF' ...."":-:".,.,_....~'~,~_...__"'."'.. '..--......... ,_T" ,~~:'-.~-;,.....~"'..;...-....".<...'''-- , ~- ~ -- IH W, HAKRISIIIJI<USTKH,I 1',0. BoX 010 1lII.I.SlIlIRr;,I'A 1701lJ.0310 n"'Qrded..O ,', ,;t,.,' ..",- j'\i:\ (\1 ;97 l \I\H iA ;"~ L..,... Ci<c' CUi Register of Wills I1F\ Cumberland County Court Ho.use Carlisle, PA l.70l.3 . l-'1;~ 1 ij- 3 ~-~-2 '0 rif' ".."l"'",I!I"""II"II",II",II,I,I""I,III"""11111,,1 .' t , . j ) :~~p.',' y. ,"" It 'l:\ '1 . ,~: ; ~\ . I . , ...'. 'TT"j' '{ f ~. '\l' n__' ..... ~.__.l ---~ m~_",.~_AI" ~ _ .,.. ,...... ---t ...-....~..- f " ! ')"-j':> '/ . / (/ " " fl ,i" .__ h, ( ) \ ~\..' ~ l I ,I,' .' I,d'- i' 1 REV. \500EXi(7.9.4)'l j');1 \,_\, f.l C A 9 H P L E P 0 C R C K 0 K P S C P o 0 R N R D E E S N T c Hm DAH~; of' [JEAnl AI ILll W3119\ CHECK HlH[ If A Sf-'()lJ~;Al. 1-J ..['!l'iIli1.tQlii:UjU.:H:J..!1L~.m_ .... .__ .u_."u"_" FILE NUMBER COM~Ft':IMi1n\'b'lW'j.1MANIA HARRIS H5~t ,1',N~ b - 060' INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS COUNTY cOOt D E C E D E ~ DECEDENT'S COMPLETE ",nDH[SS 171jl Main SL.. DATEOFDEA1H ]-A~F~~~'~--- Mochanl('~;burg, PA ]2/3]/]996 08/05/1904 _ ____ Count,L Cumborland IIF APP='SUR~'VINa SPOUSE S NAME {lAST ,FlflST AND ":DDl (I:~TL ',(CU"'" NUMOto X 1. Original Return -------OZ. Supplernontal Return 4. Limited Estate 0 43. Futwe Into rest Compromise (for dates 01 death al!or 12-12..82) []] 6. Decedent Died Tast&te D 7, Decedent Maintained a Living Trust (Attach copy of Will) (Attach a_ copy of Trust) ALL CORRESPONDENCE AND CONFIDENTiAl. TAX INFORMATION SHOULD BE DIRECTED TO, . --- ~ DECEDENT'S NAME (LAST, FIRST, ANO MIDDLE INITIAl.) ~l'.Pley, Mabel C, SOCIAL SECURITY NUMBER 171-28-5179 7197 -00/,5 YEAR ]7055 NUMBER AMOUNT RECEIVED (SEE INSTRUCTIONS; 0,00 [Js, o 8. Remainder Return !for dates 01 dealh p,ior to 12-13-821 Federal Estate Tax Return Required Total Number of Safe Deposit Boxos COMPLETE MAILING ADDRESS \1m, D, Schrack, III Esquire 124 \I, Harrisburg Stroot Dil1sbur' PA 17019-0310 53,000,00 68,1,81.,50 Nono Nono 213 ,085,73 None 21,355.71, NAME ~!"-,-!?.: Schrack I II E':9.; TELEPHONE NUMBEn R E C A P I T U L A T I o N (9) 33,653.1.9 717 /.32-9733 1.. Real Estate (Schedule A) 1 2, Stocks and Bonds (Schedule BI (2) 3. Closely Held Stock/Partnership Interest (Schedule C) (3) 4. Mortgages and Noles Rijceivable (Schl:)dule OJ (4) 5. Cash, Bank Deposits & MiscElUaneous Personal Ploperty (Sch, E) (5) 6, Jointly Owned Property (Schedule FI (6) 7. Transfers (Schedule GI (Schedule LI (7) 8. Total Gross Assets (total Lines t-7) 9, Funeral Expenses, Adminlstratlve Costs, Miscellaneous Expenses (Schodule H) 10, Debts, Mortgage Liabilities, Liens (Schedule II 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (line e minus line 11) 13. Charitable and Governmental Bequests (Schedule J) ,-4. Net Valu4 Subject to Ta:< (Un!. 12 minus Line 13) 15. Spousal Transfers (for ddtes of death after 6~30-94) See Instructions lor Applicable Percentage on page 2 (Include values from Schedule K 0' Schedule M.) 16. Amount of Llna 14 taxable at 6% rate (Include values from Schedule K 0' Schedule M) 17. Amount of line 14 taxable at 15% rate (Include values from Schedule K or Schedule M,) 18. Principal tax due (Add tax hom Line 15,16 and 17.1 19. Credlts/Sp Poverty Prior Payments Discount 0.00+ 18 ,000 , O.Q.. . _--'!!!l,37 20, If Line 191, greater than Line 18, enler the dille"nee on Line 20 This IS the OVERPAYMENT, ~ 0 rCheck he,. If you a,e ,equestlng a ,efund of your ove'paymentJ 21, If Une 18 Is greater thiln Une 19, enter the diflaranco on Line 21 This is the TAX DUE. A. Entel" the interest on tho balrlnce due on Lino 21 A B. Enter the lotal of Line 21 ilnd 21A on Line 218, This is the BALANCE DUE, Make Check Payahle to: !leglste, 01 Wills, Agon! . . BE SURE TO ANSWER ALL QUESTIONS ON PAGE 2 AND TO RECHECK MATH ~ . Under penalties oj perjury, I declarelhatl have o~amirwd lhls return, Incl;rdlrl9 accompanying schedlJlil$ and sli1ien;onls, and to lho 1W~1 of my knowledge ftnd belief, 1I i9 true, correcl and complete. I decline lhftl ftll rOill eslillfl hll!l been rnptlrll'd allrllll mark!!\ vall/!l, Dm;liHiltlon of rropd/or other Ihiln the personal represenlalll,lG Is based on 1I111nformallon 01 ~1'ICh prepArer hft9 any ~,nowledge _______..._._.__._,_..._..._~.~.._.____..__.."__._ _~ SIGNATURE OF PERSON RESPONSIBLr rOR FIliNG R[lUHN Mill'l Ul1U C. Epp 1 ey Do'\TE 1,/.:) W 111111l1ls Grove h'>...~......." C' (~""~/'-',. M"ch""lcsl>_'~L~I....7..'~.~~___.____':-"'.~~ SI<lN^,UREO ~FRTHAN>R(f'1\[.''''NIA\rVl \1m, .n. SChl'n.Ck,.lll Esquire ~ '/ 1?/, II, Hllrrl,;burl\Strout. ... _. ..... _ -::: .- .__~_~...~UI:~)).\1.!:i..:L!'~._l?_{2..I_9":..()311l"___________ Copyright c) 199~ form soflware only CPSyslems,r~ -. (10) 5,288.47 , (15) (16) (8) (11) (12) (13) (14)-- X , 316,981. 31 X 06' ~ (17) C o M P U I T I o N Interest X .15 ' (18), (19) (20) (21)___ ( 211\) ( 219) 355,922,97 38,91,1. 66 316,981. 31 316,981. 31. 0,00 ]9,018,88 0,00 19,018,88 18 ,947,37 0,00 '71,5] 0,00 71. 51 ....9....::...i~:s 'J Oo'\lt IO'"~ttM.i , A. ,JE""~'I,I;:HI::N'l' t.:'I'A'I'I';NEll'I' (1'\UUO, l',02-{ji'('S ,., 1r U,S. DtI'.4.WItIlI OF 11(1)5111(, MIO UI/IlAIl DrV(l(Jf>MElll ~, lYPE 0' LOAI! f r Cfr.:~[IL;?:";~: ~; ~~_ c_or~v~~~~1~~16_.~.~.'~E".~~J~~~;.:~~__.."..._ ..:-.:1 :.:_-__l~:_N_. U.0~.Il(~- ______ . ____.-t.__~oK~~~,r;~-:~-Il_S_ ~~S_E NlJMll(~ C. NOTEIThl1 forRl I, hlrnillheu to "I...e you n &lnlolllOll\ of ~ttllflllllltlr.moJlt cOlta, AIIKllUlt8 p~ld 10 /lroJ lly thl! uttle/l'Mltll lI"ont are .hOWfl. Itcllli lllllrkod 1I0'OC}1I wllre pllld o\IUlde tho (;lolltn~1 they 01'11 IIhown hllro lor tnfol'lMllunnt pllrpolllll nnd Ilft not InllllJded In thl! totnt.. 4,2 05'95 (1/IEIIJ:ER,IliIO/06?6.20) 0, NAHEANOAODRE$S.~Of--06RiI(Nifii--"" _,.__a e:':'.NA"HE .AOO"ADORE"fiS--C!f'.SEl-LHE'R'-----.. .. ...-- T:--NAJ.!E' ,t;ij(j-'AO.ti-llts'S-Ot-lEND-E'it u -------" Henry l. Lenker Phylll.E.Lenkor 1243 EllIt llsburn ROlld Hcchllntosburg, IIA 170S5 G~piOP.ER."Y--lOCAfrC;N-...n_----- . 17"1 Hlltn St., lIsburo He,hlmlcswrg, PA 170$5 "'MIone C, Eppley. hcc-utrlx of f6tote 01 H/lLXll C. EppLa,/, clo ~n. Schrock, 111,1'0 0011310 lllLtnburll,l'A 17019.0310 ii:"iir! !lEHEN! AO[Ni."~--. . ---- ~. 2jio~i1175 Dol/or" Sheelly lllw attice!! I'A21S0 PlXCE""oT-SEOOMijir.." -."'-"----~---_.<-~---~~ -. . One 'W/lit HlIln St, Sh!rllflllln,town, PA 17011 n_~_ Jul y 1! 1997 ----- T;'-su.!liilc-ti'-Q'^TE ,:,,:::::--.._~SUMHAR1 Of DORRO\./ER'S TRANSACTION I:"SUHHARY Of SE~lER'S lRAIlSACllON 100. GROSS AHoot'" DUE fROfoI BORIH)\./(R 1,00, Ci;!O!>S AHfJ.1Il1 (llJ~ 10 sElLEIl j~ ::.~72:s~~;?'-'~:1::1~~~~~~~~-F:= AdJUilmonlll for l t~ms pllid by Sol lor In ocl...anco AdJU!llIOOIl~i tur t teluS plI!d by Set lor In odvllllce 10'6. COUllty/Twp Taxes Ol.OI.9Y-to-OI,Ol.9S.---' .'-"-~-f04:9""" 406; couniyiTwi~-Tii~;;-07--:or:"9f\0QT:0f'9if-'- .-..'04:"97"" 107. sChoOi,;m-M_-_~"_-~;o---~~- .__._..~--- -4oY,-s~ilool-'Tn-;;;-S-'~".'.-"."~~-'IO"-~ ~.---~_. 108. ",'Ifl,sments '-~---t~~-"-~-~ ----.,~. ~Q6."Asso.sg~;;Or\iB-~-~--_.'" "'--t-o.--.."...-.-.-r ~-~_."~..._.. 109. Buycr Resporlalblo for Y7'~O--"-'------'--"- ~_.'_._---_.. 409',"iI~y;;'--ii;a~~;1~-I-bl;-.f~-9j:96-'-----._._' .~--~. rro-:-Scl;~~.biJ3~Q~-'-"".'--.~-'- ~m.~_----'-"4'io~ -S'a;~-~Cr~~~;tM~t"'3r"c(~t-t-r-:.' - --- -- -- .. -. .---~-. 1~fuu Bllt 'M.~._,._.___~__"M'~___~ -_._~- ~n--:-Rij'jl/;~-IiTl-I--_m.... ..---------~.... ..__.~- ----...-.-. -,-- ~-'---_.__._--._- -~.-~--- 412:--------.. ~--~---~...------.,.__.._--- -~.-.-._.- 120. GROSS AMooNT DUE fK'*l OORRO'.JER S3,661.~7 ~lO, GROSS MICXIIlI DlIE 10 SHLER 53,104.97 lOO. ,I,M()lJ1lT5 PAID BY OR IN IIE1!o~lf Of aOkRO'w'ER SOO. Rf(1UCTlO/1S 1/1 AMOOHI DUE 10 SEllER ' '01. "f"" It ,;..";.,;0........,,., -.----.--- .....';-;-",);ijo \0;;. ";-;;;'-."i;;;i''-'(",',;;;ilI,j'',OO;)--.---~ .....--- jill. Pr lnctpal AmoUnTofNm;tOilil(a.)-.n~~- ---.._...._~ s'of--s'o'tti'clllot\\.Chnr'gct<- \~iTQ-r--.'.-"'..'iTn~OO- -"-"--..-556.00' 201. EIt i 61 in" LOlln(ll) ~i llkl1nsubJ~O----- --,~ _..~ S~i8t.lng-l~~nsT'nk;nh.5UbTllctto---'"--'- ~___U...._.M_ 2~--'-"-------"~'---~-._-- -....---..".... Si)I;":-~-;yofToT'fl'i:&tn~;Mgngo-roii"rl"---~---'~' ...-- ~ 2'05. -.---------,---~-~ -------. f6s-:p~Y-~-f-f-orBe~.r~h(OO;:i9~iOttn-------'~ .."--....----- 206, ----~-~----.~- .-"-~-".----~ s06-:t)~ro!iTi-or.-~nrncS"l"lno;;;;y-----_..-h-'. .--.-...--. 207;--~-~~-._"'------ ....---.-.---.... ~of,-'i/JIlPosTt- diiib\;r-~~~.;-o;;-PrC;c.I!Qds)-~-._~ T__.'__~__ 208. -----...--~--_._...~- S06~--.-"-------,..._...-..-----~.-~----~ 209. ~--~- 509-.-...,-.-"-----."--~-----'---.~----. AdjUlltJllllI1I11 for ttelM Uf'lpnldby solter ..~------- ~-..-AcIIljst"lQ;li5.~it;;;m..u;;p~fdbYS;;rror.----'-----<-- llO. Coutlty/Twp TnKol to-----. -_.-.~.~ ~ro:c~y71wrT;Xo.;-~...'I~~-~._------ 2"'-1. School T8KOS- 10 .-.--..---- ~n-:-sCi;~oTln;;;;ii--..'"-....-------..,;;--~- ...-,-,---- ~~r~: ASllllU!OOl1ts -----.{o-.-~-- --....-- ~12":_Aiiii.cs;;,;;-;t;.---_..h-_._-~.--t'o-....-'"~-. ..._._..._~.-,_. 2Ti~--- 513, -.-------..---.----~-----~-_.--- 214. .__._hh__'___ 5\4':"-~--"--"._~--------~-- 215. --. _..-~_.- Si5',----.~------.-----.--. 216-:---"-- ..-'.".-------------~- .."~-----. 51{;:".~~"'._-"._---'--'~-~.. _._--,- 217. ~- .._"._.__.~.-- 5'i7~.'-'''-~~~_..'-----~_..'----~ _._--..~...- 2\6. --- ...._~._- $flf.""-------..~'~-~-------_.~ ~._.-.,.--.- 219..... ...~--------.~- \;1'9",_4- ..--~~--.__._-~ --_...__..~. 220, TOTAL PAID BY/fon DORkCI'.tEII 5,300,00 5~0. toTAL REOUC1l0H AMOOHT DUE SEllER ~56,QO 300. C",SH AT SETTlEMENT fROH/TO BORRO'WER 600, CASU AT SElTlU\l:HT TO/FlloH SELLER 101. 'Gran Amt Due 'rom (Jorrowor ~"(Tinll 120) -~.--'53:-66l':'tf7 601. Gro;8-.AiM~'(jlrot.o-s-~rf;;-"-~llno 420i'. --"-S~~.91 302. leu AmtPlIld by/for Borro..;;;r-.(~ilo) (-.-S.~JOO.OO) 602, LII&6Riid~ti;;;ouo -$oTi~'~~TinCS10)- ( 556.00) 303. C",SH IMl fROtI [ 1 TO 1I0R~, ~n,J6\./j7 603, CASU l)O 10 ( 1 fROO SElLER 5l,5~6.97 Tile \lndor,'ol',C'R.~,:h,d"}Z~"~~~f~~="~'\od'~'_.Of r"llc8 1&2 01 \hh I;tlllomt'nt & IIny ottneh/llQf'lte rcfllrrod to horoln. ~ bt ~.f!.7-'~'" SElLE~~-':L~c...~)~ .,.~IJ.-:u",,____.. lIum . Lenhr (7 \..1-'/ Martollo C, [prloy. hccutrtit - 80RROII,' ';;:'1 ct' t~'t.J:!i~;6L~::::'--_.-... 'EllER ;i '[,'-"'-;;;'"~I;,,"i"'C:-'E'f~l.y-.." ........-.--.- !lUO.1 ().&6) kES~A, 118 U05,Z " SEllllHr.tll stAHHUlIl'Mi( 2 l. S"-IllEMENI CII^,HI(S 70{i~torars.TtIIBr~k;rllCOO;nT;;I~~i'-iiB5n(rl~\-pr Ii:;i- - -------.--.". .- P/ll~--~It~- 'p,,-iO:-'ril'QM --.0 Ivt II Ion u1 c-~ii1I-;To-;-;(TiI;~-'70(1)--;;-Tonowli I . -------------...-..--. .___.m_~_~~ DORRMR' S SHLU I S 7Of:""i-~-.-------.__......--------..~...,.n-~----.-~...-.".-----~..-.-~.-"-----.- fUNDS A1 fUNDS AI 1cif.S- to -----.--.. ......_______u._...,,_. ______..._..,"______~'.__~T__._."... SETTLEMENT S~lfLEHEN' fol.COiifj;il;TonP;Tdili-s~t\rm~;t--.-,..~---------...."-.-....".-~--..-_~~._______..__n__.__ .___~~m__ --- ...-~,--------- ro4:--~-----"" ,.-------.-.----..-.-..--.-..~---.--..- .-.--..------.--.. --........,..--- 800.IlEHSP^V"OlEl~~fHLOAU ~a" orlginiitTo;,'-oo.,..-.-----~.-.,-~~~-.-."..-..-~.--~--..-.~~-~ .~_..-.._- ...,.._~~- 80Z:-lul'ln'-D'jiiCoiH~ --..~...--- ,.--- "X'-' --t-o-" '-'-'~-- --~-._._..--~.---.. .-_.-,----~~-..~---~ _-'--~___'.,__'n"'~~_._ ---~---.---_. 80j:-Apprii"ii-6j"ro~"---- .. ..".- -...----...---,.,..,..---to.--'-~...-- "'"-------.~.., ., _.____h__._..<.__________~_' _____.....n'_.'_n___ ~..--- ____._~....-u,,__ ~~:rr7~::,:'t:~;I;:;;;~.:.--=-=:::~::::=-.:::::::=:=.::::::::=--..:::,.-....:::~====:.= :::.:--=::::=--- 806. Mor~App. -F;O'--.-.-.-~--------~----".--~--~.--~--..--.~- --~~~ ........-~ IlOf.A-;;~;e~-----.-" ~ --~--..-t;;--~_m-..--.--.------+~~-.--.---.--.---.---,.--- _n.._~~_~""""_ ~--~- 808:' {)OC~)lI-,:ntTOn''''''''-~..'. ..._~___~._n<~_.'_~----". ._~----..--- .-.--.----.--. 809:-T AIt scrvfC"O"fc;---.---~-..-------~-." ----....----------.-------'.- .----------------.--- 610. courlor fee --.".----~.--~- ---~~- .--~---,~--~ 8\1. . ..____._.n.~____~_ ,~-...---._-, 900. ITEMS REOUIRED OY lEND[R TO liE PAID IN AlIVANCE ~:: :::::::::~~:;.l :i:~..~:;:~r::::~:::~:;=~}~y(~~~==-iI=-~-.- :"'I~---. 904. -.------~---~o' . ------------.-...~-._~-. ---~._..- 9~-----.~-~--.._~-.- .- . .------------------- 1000. RESERVU. DEPosiTED \/ITII LEliOER ' 1001. Huard Insurance IllOn~h,~=~:(i-~-~=-. ~!..month :':.-:~---:==_-:::' ~_______ -,-~- 1002. Hortgage In$ur'III;C;-~-'- monlha Q' per JOOflth tOOi7"COlSItY/Twp yDX;;;---_....-""-~roon\hRili--.'.."________por-;oonii\."~---"-.,.-...-.-~- _".~.~w____~.._ -~~_.~----- 100U~hoollllXes - "---'-n;;;:;'ih~ Q, par montr;--~._..-...~-_...-~~' -~-- 1005. AUl'laanlQnts .-~nthlt -~-,-'------p;r~;'U;~'------------"""~' 1006. ---.----;;;;miiis Q' per mont}\n-'--- 1007. months '''-'-------por month 1008. Agg,Escrow .i"dJ. -~-----~-~-. 1100. TiTlE CUARClES 1101. settlcnlOnt._~~~~;~..!.~~~_ 110il. Abalr(lct or lltlb SIlnl'ch to \10]7T1tre[;;n.in;tlo"-.-..-...-.----.-IO-.~----- ,~--~._- .-_._~-.. -.-..~ --~ r;or.-TTlTOit,.;u';~cooTr;do;-'...'---io-.---------_.---.-----.~-"..-----... ~~~u_..__ -.-----~ 110S. DOC\(IlCr;t-prepnrntTo;;~.-"-to'--~--- ---..-----.-.-----.--.-- --------- i 106. Notllry -;e-;~--~---'.- ".--.-~--t.oi:;s~.----~-_.--~~.....-~..--- -~--'"i7oo~ ----.----rOO. ~Oroeyi...,eoii.-.......-~t~J-nmoaO:iOii;;:.T6WOnTc;.--~.-~--,.poC- ~-..._~-~ .------- C1ncllXllls Ilbove (tlllll nlJrVllrli1 1I01i~110JI1\OSI AUy, Cllrt. ;~illn;lir;nc~----' to (lnclldos above ltcm~~r~~-w 1109. lemllr'. COV;r8~------'- rffO~-ownor~;g~~-$~--~-"-~----~'- ITi1:'otRoor'.-enwmt fee to JOIllU 0, DOllar lnw olflcos 1112. ~_..._--_. 1200. llOVEIlNHENT RECOll.OlllG AliD TRANSFER CIlAROES 1201. R!~~~nll hO~~!?-.!...-l~5~JHO,rtgl'lllO S ... /Ro{oQliOQS ~- - "l' . - \202. Clty/l:otrlty 1Il,l(/5tnlliplil Clccd' 530,00 /Hortllllgll' ._" .' 510.~a 1203. State hK/StlllrpBI . Deed' s'fri:'oo./Horl\loge , -.-----'~o:oo-- ri04-:-AIIIg~~-o,-~rtgllgo---"._~_._.~--~-~------.-.--~---.------ 120S:-StlpJllltlon v'i:l're;;-~~~-- ----~.. ~----_. 1100. ADDITIONAL SEl1l0lENT CltARGES -~._--_._-_._.~.,--_._--- 1301. SurVllY to 1jO~P';&t Inspection to------..----4--..'m---~_._~.m -~--- ----.,----- ,iin. hll Certlflcatlon~~-'~-==-t?_ HO!...y Arm Prlo.t.!c T';Il~__. un 1~_'].';-i\3l;701~=""-----" 3.00 130'4, ------ ,-~~.~--~_. ."._~_..~.- -----------------.- 1l0S. HOC. TOTAL SElllEHENl CnARQEli (Enter On L1noa 1011 SectIon J and 5011 section ~) SS6,SO SS6.00 8y Ilunlng rage 1 of \h\. Itlltemotltt the ldgnotorloa acknowllldlle receipt 1,11 n coo~llotod copy of pnllo l! of th\I 2 pn,,' Itlttment, ..l.....-_. ._--'~- (1/lENI<ER,HUO/0626'CO) Certffhd to bt I 'rue tOI'Y C:/:#t..IJ~~' -----_.____. Ub;~r" Shea I w Oflltll~ PA2150 Sottlll!llcntAlil\t SCHEDULE E CASH, BANK DEPOSITS AND MISCEllANEOUS PERSONAL PROPERTY REV. 1508 EX + (Z-67) COM~IRA11lm~'V~\l~fh)"NI' ESTATE OF Mabel C, Eppley (All .0 ert ITEM NUMBER 1 10 11 5511 171"28-5179 12/31/1996 olntl -owned wllh RI hi 01 S';-,vlvorohlp ';;;"1 be disclosed on Schedule F) DESCRIPTION 2 CoreStates Ban'k C,l), 1157058774305881/,3 CoreStates Bank C.D. '5708688610869261 CoreStates Bank C.D. '5720201982020598 CoreStates Bank savings acct. 118336523509 Dauphin Depos it chocking account '0030968356 3 4 5 6 Harris Savings Bank - savings acct, '31-01-705335 7 Invest Finane ial Corp, .. balance in money market account 112687" 6870-1 8 Refund from PP&L 9 Reimbursement of county/township real estate taxes . see HUll.l settlement nheet Hardy Auctioneers proceeds of sale Prooeeds of sale of four burial lots TOTAL (Also ent.r on line 5, R.capltulation) (Anach aoditional8112" x , 1" shs.ls II more spac. I' n.eded,) Copyrlghl (e) 1m form aoftw.r. only CPSySlemll,lnc Please Prim or T e FILE NUMBER 2197-001,5 VALUE AT DATE OF DEATH . 25,051. 07 25,780.53 21,023.95 32,590,01 38,611,00 59,082.54 8.31 6,35 104.97 10,627.00 200.00 $ 213,085.73 Form 1500 Schfldllle E (Rl'Iv2-f171 COhtSl:II(lS 8iHlk, I~;\ POBox 7818 PhilfIC!nlphlil PA 1~ll01.';"61fj I February 14, 1997 CoreStates Bank Willial1l D, Schrack 111 Attorney nt Law 124 West Harrisburg Street p,a.Box 310 Dillsburg, PA 17019-0310 RE: Estate of: Mabel C; Eppley Date ()fD~: December 31,1996 Dear William Schrack: In response to your letter, please be advised ,hat the decedent held the following aceollnt(s) with our bank as of the date of death: DATE DATE DATE OF DEATH ACCR. ACCaUNT# ACeO!)NT TITLE QEENED , CLOSED BAL<.\NCE lliL Certificate of Deposit Mabel e, Eppley 11113/90 25,000.00 51.07 5705877430588143 -- CCliificate of Deposit Mabel e. Eppley 03/21/91 24,908.84 871.69 5708688610869261 Celiificate of Deposit Mabel C, Eppley 07/01/92 20,563.81 460.14 5720201982020598 Savings 8336523509 ,Mabel e. Eppley 02/02/76 32,590.01 .00 I tl'llst that we have been of assistance to ~'Oll in thiS 111alter. Sincerely, eORESTATES BANK, N,A, (I, . ! f /) C-ct'.G": /~ g Cd.t<!c.!. (..-('-r". Eileen G, Caschera EGC/maJ277 IN REPLY REFER TO: REPORTING SERVICES Fe 6-90.3-235 PO BOX 1102 READING, PA 191303 610-655.3353 9497 (12/94) SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCEllANEOUS EXPENSES REV. 1611 EX t (7-88) eOM~IR~1~:4li,<1f~~~'N" ESTATE OF Mabel C. E ITEM NUMBER A. B. C. Please Print or T 8 FILE NUMBER 2l97.00l,5 ley SSII 171..28.5l79 1 2/3.!L1 996__. DESCRIPTll'IN AMOUNT 1 Funer.1 ElCp.nse.: Cocklin Funeral Home 6,395,68 1. Admlnlst'.II.. Costs: Personal Representative Commissions - Mar 1 ene C. Epp 1 ey Social Security Number 01 Personel Representallve: l71. 24.5230 Vear Commissions paid 1997 17.796,15 2. Wm, D. Schrack, III Esquire 4,950.00 Attorney Fltes 3, Family Exomptlon Claimant A.ddress of Claimant at decedent's death Slreet Address City State Zip Cod. R.lationshlp 4. Register of Wills 33l, 00 Probate Fees 1 Mlsc.lIsneous Expen.." Ball Atlantic . PA telephone service during administration 61. 20 50,00 73.09 60,00 556.00 2,394.28 42,00 50,00 21.9.00 6114,79 $ 33,65~ 2 witness fee Charlotte R, McCoy 3 Columbia Propane . fuel oil at property prior to sale I. Cumberland Law Journal. estate advertisement 5 Expense of sale of real estate. see HUD.1 6 Hardy Auctioneers . expense of public sale 7 Lower Allen Twp. . refuse disposal at property 8 Miscellaneous expense. postage, Notary, ete, 9 National Grange Mutual insuranco homeowners i nsur.anco' promium Total of Contim'ation Schodulo(s) TOTAL (Also .~l.r on Iln. 9, Recapitulation) _ (lImo,. .pace Is ne.ded, In..rt .ddlllonslah..ts 01 urn. sl...) Copyright (el 199. hnm loftware only CPSy.tems, Inc, Form 1500schedulfl H(Ro,,1.88j Estate of: Mabel C. Eppley Soc Sec #: 171.28-5179 ' Date of Death: 12/31/1996 Item II Continuation of Schedule H-C (Miscellaneous Expenses) Description Amollnt 10 Pennsylvania' Power & Light Company. electric service during administration 1.6.09 11 Recorder of Deeds Re1eas.. Register of Wills addit.lonal short certificate Register of Wills fi ling fee Reserve for future administrative expense The Apprsisa1 Firm . appraisal of real es,tate The Patriot-News . estate advertisemeDt 15,50 12 3,00 13 15.00 14 250,00 15 250.00 16 65,20 644,79 /" I ,/ ,:' '.J....; I /, ' BUR, AU or INDIVIDUAL JNHUH1ANCI lAX tlIVIS\ON UtilI. ~8060 \ IIA~IHSl\URO, IIA \11211-0(,01 TAXE S COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE or INIIERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISAll.OWAtICE Of DEDUCTIONS AND ASSESSI1ENT Of TAX 12-08-97 EPPLEY 12-31-96 21 97 - 0045 CUMBERLAND 101 I''::-}-';o,,_~~..~j,.~!:t.-d=----:'l [....._~____._______.._____J MAKE CHECK PAYABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARI.ISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ... REV: iS4T Eit""FP"foij:9'ff-No'ficE--oF- i"NHEliii AiicE - T rix-iiPPRA"i SEMENT-'-- m:OWANCE - iili---- _om -- - - - - -- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX MABLE C FILE NO. 21 97-00'.5 ACN 101 DATE ESTATE OF DATE OF DEATH FI LE NUMBER COUNTY ACN WH D SCHRACK III ESQ 124 W HARRISBURG ST DILLSBURG PA 17019 ESTATE OF EPPLEY TAX RETURN WASI I X I ACCEPTED AS fILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON) ORIGINAL RETURN 1. Re.l Est.te (Schedule ^) 2. stocks and Bonds (Sch.d..ll. B) 3. Closely Held stock/P.rtnership lnhrest (Soh.duh Cl 4. Mortgagos/Notes Reo4l!v8ble (Schedule Ol 5. C.tlh/8~nk Deposi t s/Mise. Personal P,'op8rty I Schedule E) 6. Jointly Owned Property (Schedule F) 7. Trenlfers (SchedulGl QJ 8. Tohl Ass.t s CIIANGED III 121 (3) 14 ) 15) 16 ) 17J 53,000,00 68,481,50 ,00 ,00 213,085,73 ,00 21,355,74 (8) APPROVED DEDUCTIONS AND EXEMPTIONS) 9. Fun.ral Expenses/Adm. Costs/Hisc. Expenses (Schedul. HJ 10. Debts/Mortgage Li~bilities/Lienl (Sohedule I) 11. Total D8~uotions 12. Net Value of Tax R.turn 13. Charitable/GovernmGntal Boquests; Non-elected 9113 Trusts (Sohedule J) 14. Net V.lue of Est~tm Subject to Tax If an assessment was issued previously, lines 14, lS and/or 1&, 17 and 18 reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. A~ovnt of Line 14 ~t Spousal 1&. A~ount of Line 14 taxable at 17. A~ount of Line 14 taxable at 18. ~rincip.l TDx Due NOTE: rate Line.l/Cless A r&to Collateral/Class 8 rate 115)_ 1161 1171 (9) 110) 33,653,19 ( ~~~''''' ;fr~," '11"\ 'Jtif4~'~ .,~..f,'j ~[~.Ihl [. 1>"' IO~-HJ 5,288,47 (11 1 112 ) 113) 114) ,OOX,OO. 316,981,31 x' 06, ,00 X ,1.5,_ lIB) MABLE C DATE 12-08-97 NOTE 1 To ins~Jr. proper eredit to your account, submit the upper portion of this form with your hx payment. 355.922,97 38,941 66 316.981,31 ,00 316,981.31 will ,00 19,018,88 ,00 19,018,88 TAX CREDITS I . :;~H;~::r---::~;E~~R:7---LINTE~EI;TC/DpUENNT ~A:;-,~-; --- 09-09-9~ I AA242221 ,00 I .:f:~,'*-~'~tl-- --::" ,,,,::- _______.__.__.____ .__._----~---l INTEREST AND PEN. ,00 I' -_~~i()f~~:il~E-==- -=-~=~-=-=':::--:O'"Q'".n_ AMOUNT PAID 18,000,00 71 ,51 . If PAID AfTER DATE INDICATED. SEE REVERSE FOR CALCULATION Of ADDITIONAL INTEREST, If TOTAL DUE IS LESS TIIAN $1. NO PAYMEtIT IS REQUIRED. If TOTAL DUE IS REflECTED AS A "CREDIT" (CRI, YOU HAY BE DUE A RHUND, SEE REVERSE SIDE Of THIS fORM fOR INSTRUCTIONS, 1 " :-.. !,~' RESERVATIONl E_tat", of dllced4'lnH ditl."lU on Qr blfor. Dlolilb.r 12, 1911Z ~.. If ftny lutur. Intor..t in thlt utfttl 11 tran,flrred 1n pon...lon or ."jOy.,,"t to el....B (collatlraU blnflf1cdBrlot of thl d9Cldlilnt 'afttr the IxplrfltJon of nn,Y uhtIR for lif. cr for Ylar., thl Co~~onw.ftlth hlr.by Ilxpr...ly r..erv.. thl right to npprnl.. and a..... tran.f.r Inhlrlt6nol Taxlf at the lawful Clal. B (ooliat.ral) rat. on any .u~h future Interest. PURPOSE OF NOTICE I PAVHEIHI REFUND (eRl I OBJECTIONSl ADHIN ISTRATtVE CORRECTIONS I DISCOUNTI PENAlTYl INTEREST: To fulfill thl requlrellllnts of ~.ot1on Z140 of the Inhlr!tencl and E,tat, hlC Act. Act 21 of t9QS. (7Z P,S. Section 9140), aetach thQ top pert Ion of this Hotlce and sublllIt w1th your pnYlIIlnt to the Regl.tor of Will. printed on the revar.e side. - -Make cnQak or ",oney order pnyeble to: REGISTER OF HILLS I AGENT A rafund of 8 telX orAdlt, which wns not requuted on thQ TlIK Return, "'ftY be requuted b:>>> co",pllltlng ~n "Appllt;atlon for Refund of Penn.ylvlllnla InherltanclI and Estntll 18x" (REV-13L\l. Appllootlon. are llvallnble tit the Offloe of th~ ReQIster of Willi, any of the l3 RevllnuQ Olstrlct Offlc8s, or by cblllng the speolal Z4'hour an.werlng .ervlce nwmbers for for~s orderlngl In PennsylvAnia 1-800-36Z-Z050, out. Ide PennsYlvania nnd withIn lotlll HtlrrJsburg oroll (717) 187-8094/ TOO~ (717) 77l-U52 wnrlng Impaired OnlYl, Any pllrty In Interest not 5ntlsfled with the opprftlsement, ollowonce or dlSllllowance of deduction., or alse.s~ant of tllX (Including discount or' Interut) II' shown on this Notice must objQct within sixty ({)O) d8Y' of r'IHlelpt of thh Notice bY1 --written protut to tha PII DQpartllumt of RQvQnue, ft08rd of IIppellls, DQpt. 2810ll, Harrisburg, PA 11128-1021, OR --eleotlon to have the lIatter deterllllned at eudlt \If the Meouflt t'lf thfl personal repruentetJve, OR ~~!'lPPUl to the Orphenll' Court. factual arror. discovered on thlv assessment BhoulrJ be !lddrllllQd In wrltlng to: IIA Oel'artment of R.tvenue, Bureeu of Indlvldu!ll Texes, ...nN: Post "'.sus.ent Review Unit, Oept. 280601, tiarrlsburg, PA 17128.0601 Phon. (717) 787-6505, SQe pegll fI of the booklot ttInstruotlonll for Inherlhlnce TOK Return for n R..ld,nt Oeced,nt~ (REV-1501l for nn Qxplanatlon uf ad.lnlstratlvely correr.teble Qrrore. If Bn~ tax due Is paid within three (3) cnlendar .onths after the decedent'. death, a fIve percent (S%) discount of the tox pal~ Is allowed, The 15% tax amnesty non-pllrtlelpetJon penalty l~ co~puted on the tot81 of the ta~ and Intere.t n..esled, and not peld b.fore January 18, 1996, the fIrst day after the ond of the tA~ tllllnUtv rarlod. ThIS nowPtirtlelpllt1on penalty Is appealable In the sallie mflnner IInd In the tho sallie tlIlIe perloo fl5 you would apPQlll the tax and Interut thet has been asses led al Indloeted on this notice. Interest II charg8d beginning with first dey of delinquency, or nine (IJ) months and on8 (Il d~y from thfl dnta of death, to the d8tll of pay""nt. Taxns which hlca.a delinquent bllfore JenlJary I, 1982 bear Intere.t at thl rate (Iof .1x (6%) percent pllr IInnUIIl clllculated lit a tllll1y rete of .000164. All texu which be08me dollnquent on and after January 1, 198Z will boar InterflSt 8t II rate which .1111 vftry frolll cftlondllr yellr to cftlondllr year with thtt r.!lh announud by the PA Oep8rhtent of Revltnue. lh. ftPpllollble Int"rest rll\U for 1982 through 11)1)7 are: '!!!! tnter..t Rote Dell:>>> Interest FlIttor Y.!.!! In'tal'o.t Ratll Dally tnhrut Fnctor 1982 20% ,000548 1987 9% ,0002ft1 1985 16% .000438 1988-1991 11% ,000501 19M 11% .000301 1992 1)% ,000247 1985 15% .00DlS6 1993-11'94 7% .000192 1986 10% .OOO174 19115-1997 9% ,000247 --Int.r..t II celQulated .. followl! INTEREST = BALANCE or TAX UNPAID X NU"BER or DAYS DELINQUENT X DAILY INTEREST FACTOR .....ny NoUe" luued after the tll'ol beoDlllu dellnquftnt will refloct IIn IntClrut cal(;ulat1on to fifteen (is, dl'lY' b.yond the date of tha at......nt. If pllly.e"t 11 .ad. efter the Intlr..t COlllputlltlon dll\e .hown on the Notlc., a(idltlonal Int.re.t IlUlt b. caloulated.