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"~ftate of .Jl.fuc!...LL____L~_..'.i_,..'.I.~(!' /
also know/! a,f __.,_________..._____
PETITION FOR PROBATE and GRANT 01' LETTERS
No. ....._J...L-.Cfl:...'lL._....._-
To:
"___' Register of Wills for the
[Jec/'ast'd COUIllY of (.Ii../I" (I /!-'-.!...L.!t.!.i:._ in the
Social Security N~=~2~~) . - 'I ')J~:' Commonwc~lill of Pennsylvaniu
The petition of the undersigned rc>peetfully represents thut:
Your petltioner(Rj, who is/lll'e 18 yeurs of age or 00dy ullthe exec lit p. / A
In the last will of the above decedent, dateCl_~ ' I) I "I 1,' ~
and eodlell(1) dated .. ' .' ..
named
, 19_
(stale relevant cirCllmsumccs, e,g, ftnunclatlon, death of executor, etc,)
D~eend~nt was domiciled at death In (I {(t;.lli { ArJ I'J
h IF t1 last family or principal residence at :::::IZZiZ ,/, \J t
(Y\ IW V Ie ,r.c..-_ 1/1(1\ I' /'1 ( (I. f( 1
. (list sHeet. number and.muncipalhy)
Deeendent, then... J")-7T/i y.earslolJ. ge, died J f) /') (J - .' IL~,
at I'^ 1 \ (-Ie' (l '...L<!!..t "-.,:11. T,., ..L'( ,I() , ,,(,' ~.!:...1i1 (, p /1 .
Except as follows, decedent did not marry, was not divorced and did not have a child born Dr adopted
after execution of the will offered for probate; was not the victim of R killIng and was never adjudicated
Incompetent:
Decendent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(If not domiciled In Pa.) Personal property In Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of leal estate In Pennsvlvaoia _
situated as follows: \,~ ~, J ~ (([1'\ 'r Ii In 0 J l 1 / t" "f f' ( .
A"lr) tl(1h8/(lj,/tf'-'f) (It'iAp (t)Au-lN"t /('.") (/1 f
County, Penn ylvanla, with
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WHEREFORE, petitloner(tf respectfully
presented herewith and the grant of letters
theron.
request(~) th~. probate ~f the last will IIIl4 mllol1(1j
{",J rf:~lli'N
{tcslameotary; administration c.I,a.; administration d,b,n.c.t.a.)
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF' PENNSYLVANIA
COUNTY OF .......J..J..L.Y:..O {I' L ('"Ii'
} I:lS
The petitioner(Rj above-named swear(s) or affirm(s) that the statements In the foregoing petitlon arc
true and correct tn the best of the knowledge and belief of petltioner"",and that as personal represen-
tative(il of the above decedent petitloner(B) will well and truly administer tpe estate according to law.
.)( 1/ !:' (R
Sworn to or affirmed and subscribed _ /y--<:'u l{ .' .A""u.,......... '"
. 'j ,-~ ~"'4 ..'
before me lhls~._.....~~.___ day ot "
(J.y}~L.t'l ~'-../.Ir--- 19__'.L.L-r..! ' .-- ~
...../-/-fL'1(/'-<;/ '. (~i.L~f'<.o n~ ...I.~~ IL'!. A9t-ff.j. ~
Mary Cr/L0Wis /' Register /1 ~
IS-j:}' -jO
,
No.
21-97-75
J
EstateofJ(tf1f\I( t,,"(), (\O/I~I(},":\)/ _
. Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW ____ T(1 ,....~._1~_,_ 19..'i..L... in consideration of the petition on
Ihe reverse side hereof. satisfactory proof having been presented before me,
lT IS DECREED that the instrument(s) dated (J /.. <'. I)
described therein be admitted to probate and filed of record as the iast will of
_ Q~I!.~"" (y {.II
and Letters I [ .- r II (f\ (' "..1 I (I 111
are hereby granted to I ( ("I- [" t-l
c
FEES
P b I L It Et $ 270.00
ro a e, e ers, c.. . , , . . . , .
Short Certiflcates( 4) . . . . . . . . .. $ 12.00
Renunciation .........,...... $__
x-Pages (6) $ 18.00
JCP TOTAL' $ 5.00
Filed . .J,'!t;I~~.r:Y.. f~.~ '. ~?7.,. . . . . . ~9?.,q9.
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~J A11'ORNEY (Sup. Ct. I.D. No,)
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ADDRESS
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Maileq Letters anq Ortler to I\ttoiney on ~anuary 27,1997.
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WARNING: It Is Illegal to dllpllcllte this copy by ph()tn~'tal 01 photograph.
4017293
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"" ." ( COMMONWEALTH Of PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
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$t~ SOCIM.SfCUI\ITYNUI.I8Ef\ DATEOI'OC!ATH!MJlllh.CIIlyl'Nll
.female ..188 - 32 _4757 ..Jan.15,1997
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Nu .....[ llfy..~Clllun (SrAloj,'~Yl
Cumberland co. Camp Hill lor Care Healt.h Services ."" ".M""".' ,wn te
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It" camp lUll, p~'1 ",'I"hlj(j..(~'1 m,coolllyCU~~r:l~!:ld lQw,,'hlpf
MTHEfI'SHAMf.llnIMd{1<llt'ill
I Frank W. ~euwel'
INf'OfWAiil~8 NAM~ ((n",I',~'I)
." \Jelen E. Reu""r
MI!'l'uooOf' Ol~PO$ITB DATt ofDlsrosl~~
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O<H\&tiOOrJ ~~... y~I~I:-::".~~~:'~~_____________[l ,Jan.18,1997
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illil~. 'jlllll i:' I'll! !1111 fi!III'111'I'! 111 (...il !~.~.:.II ~~. ~.!.~.:I~ 1.:1.. '.:.I.,i I.I!..J
'.1 ,.,1../ '.'1. III :.i.l. I'. '. Ii '."....1'..1'.11..:....' '. '.'.1,..1'..11'.1.' '......1... II. I'......;. 1"1 1..1, I' 11'1""'" I,' ,', !i!'1 'I'!
" ': ;'11 I "~I ,i: I' '"I II.' '>11:1" i' I!i I'i !JIIII,II!. ,I, 'I , I
,:1111::1 1,11'1 Ii! I! I'i i I: II,,!! I'! II! III ": I I i'! ' I:',!, 111:1 "i i I:: Ii: I,I" i' Ii 1
: i i 11"1: i III !',I i ,i : I I, !: ~ ,1"11: I: ,,' i I : I'I: I! II: ~ i { I! ii: ! II'I,!: ' Iii! II '
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tAST WILL AND TBSTAMBBT
121
.RAHCBB D. QRMmOHlI
I, FRANCES D. GRANDONE, of 2204 Yale Avenu., Camp Hill,
cumberland County, Pennsylvania, being of Bound anddispoBing mind,
memory and understanding, do hereby make, publish and declare this
a8 and for my Last Will and Testament, hereby revoking any and all
prior Wills and all Codicils made by me at any time heretofore.
ITBK I. I direct that all my legally valid debts, funeral and
administration expenses, and inheritance and estate taxes incurred
on account of my death shall be paid by my Personal Representative
out of my residuary estate as soon after my death as practicable.
ITEM II. I hereby give and bequeath the sum of Five Thousand
($5,000.00) Dollars to st. Teresa's Churoh in New CUmberland,
Pennsylvania.
ITBM IU. I hereby give and bequeath the sum of Five Thousand
($5,000.00) Dollars to the Reverand I~uis Ogden, of saint Joan of
Arc Church in Hershey, Pennsylvania.
ITEM IV. I hereby give and bequeath the sum of Five Thousand
($5,OOD.00) Dollars to the Sisters of Mercy in Dallas,
Pennsylvania.
paq. 1 of .
W)f.
..D.G.
CER'l'I.t!.CATIQN O~..llQ.TICE UND~!L.R~I,E 51..Hll
Name of Decedent, F-lAf'JC 1I- .L_1r.~ ()QtJ'tE
Date of Doathl_J~___,
Will No. .,____Admln. NO.jjq 7- O~t~')u-
To the Register.
I certify that notice of beneficial interest required by
Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to
the )9110wing benef.ic.laries of the above-captioned estat.e on
rtl'>) ("lCf 1 :
. r f) ')..'>3 ~o(;r{'(IrO(''''l. I(t. 'J,?r
Name Cl1l\oq.,J (l,..... v ..1) · ." 'Address
HtrJ"~ T. (Ltv t.J(,t. , In. (l.1l. ttl f~6f()";""- tr't. Ol.{~(( I
r tJ r,l,." . r- (\"fC Ar 'r PI) ^1I]1 1) ~ ,.j2.f\ 1J.f11.::....../P- I ~ , I.I._._._~__
,rr'rF:(l.fJolJ- (?H\.ql d'('~('H d~" fJ(\/lJvt' J'Y: {'Ievl tv,," ~E"..,f'1J'1'" (Ii. / )d)'
..#~E1J ~'CI1"'''(.fJ-' (4 "t\l'" _~.1~fj,J ~ (, '->4:. /l..1/JP~t","'(vJr'/,H. I ).,l')
~lIt7""I' {If..v..f'J/',... ~f2aLiY''''rJ :P1," (!.(.,..,/....,. ,r., dull'> ftl,t~(... .,I,A . ',;.u,;.,
--S..!:.t!1~t' (If./A",fA-1"'...f1..l:UL__Ju'l:.. fl;:"'f.tr::f,f;_"'ff. ANt. t;<!.fY:!.~llfC fjJ '(111((
1'(1(""111- ",.{I(v(Jf'" Ir~ ,",,,,,,-,,(' 'L OI$/,,<f'II~'<O.I'" u()V,,-
...I..M "u.{,~", Mt<.....;;g MllrJ I~~~ {I....(J nlH ,P.O , 1)j1l).lrf,,J PA / 'pll!'
rr.",,,r fft.,. ,,"[ult l'ftf(\( ?~iil'('~ (f.'ff"f}it.-pii'nr/~",. t /(,..,'"
Notice has now been given to all persons ent.itled theret.o under
Rule 5.6(a) except
.,-
oY2
N t'": "1~
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.~
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Address. U\'? I10AI..~ l\. 'to 01;7'
_~~A. ()(C''J.
Telephone{)l'!l. ,)'.)J) ,~n/(..
Date:~
,
(l; CJ:
tL.:
Capacity:.__ Personal Representative
___~ounsel tor personal
representative
None _.._._______.
[XI 1, 8tiqin,'Rttum (] ~,:llluptlmenIlIR.tum 0 J. Remainder Retum I. ofllMlll llOOI' 0 12"3-42l
o 4, LlmnO<l E,la,. [".1 '; fulllm In_IComo",r".. ""'d_'" ".Il.~ j[] 5, Fedoral El1a18 rax Relllm RllQuired
(]I 6, LlilCll()onl 0100 rellalO 1...."...'d""l [J 7, c-...t MI~~InO<l aLNlnQ TNOI (AIo:h""'dT""'1 ~ 6, TOIaI Numbero! Sale Oeposrt Bo,..
o 9. L1l1qlbOn PIIlOOIClIR8<XIIY8<l IJ 10 aOOUUlPovtf1yClI(jrtr"'__II'l'.91"".',I~ 0 II, Eloction 1Ol!X under See. 91131AI (,-,SchOI
THIS see: I N -O'COMPLlTllD. AU IlO~II"POHlilNCR AND CONPIOENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
IW.IE ...; t.WUHO ADDRess
---.J.ohn D. Shllridall. ('PA 3905 North Front Street
FIRMHN:il'!IIA-...1
Sh idan.&. F it P.C. Harrisburg, PA 17110
IEtEPWJ.!i ~"OIA--. .,' r ' l\ .
I '717) ? 14 _ A l) n r;
,
I ,
~.t
COMM("\NW~SYlV^NIA
8t:P,&ATMENT or REVENue
OEP'f IIlO!OI
HARRI R ?A \11 I
05CEOfNTS NoANf! (lAST. FIR 1, ,I,NfIIM(lO ~ I"
1.....lIInllW1llJ..........
" I ~ (. '"
,I I
~(I.v.)
REV.1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
I-
Z
w
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Grandone 111"111"''''' n.
$OCWo Sl!cuAn't~ .L...--'-~--liAm10i!;~""----_._--0i:7f:57it~
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fUNU_
21 9700075
3/1911
!li1S RETURN MUST BE FILED iN BlJPllCA TE Willi THE
REGISTER OF WILLS
2 Sloe," and Bono. (SclrOOUI8 81
. 5 4 2
,202,50000
14700
III
], C:o,elV Hold CO/llOllbOnP&lV1I11'"0 0' 6olt-ProPMlOllnlO III
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(SclrO<luI8E)
6, JOinlly OwnO<l P"'DlI1V (SMed"1I FI
7, Inl.,.Vivos Trant/." & MiloelllntcJlJ. Non.p"'DlIO p",PIIlY
(SM8du~ G or L)
6, r01l1 Orolt A.If.. (lotllUntt 1.7)
9, Funeral e'Dln... & Adm<nlmUvo COI" (SCIlIOlUIl HI
'131'695
I 0, 0 6 5
(11)
1'1
(S)
161
(7)
14'800
.465.555
(8)
Ii)
10, Oelilll 01 08C8donll.lonQlII/.l.J.sbllltltt. & lJtne iilG!lOdult II (101
II, rOIlIDlductloM/IoIlllJ/1ttU lal
12, Nil V.lu.ofE.IIIIIUn. 6 mrnu!Lln.1I1
13, Cn.meo,o end GO'tmm.nlll BlOue;1iIS"" 9113 T,~..,or wnlC/l on oltcl!on 10 la' 'IS nol been
meal lSd18C1UII Jl
(12)
(131
.~
'4, Nit V.lut SUl)jtc1tO rUILij\1 1~ m!nUI Lit'" 111
I '5, ~mOUnlOI!II'e 1~1A1~""-"--""'-'.
.11 the ,poUUIIAA IIlla
S..,I\I1I1JCIlO/\I on ,_ ,'''' 11lI'llIlluIlJlt pon:anllQ'
16 .~mounlotlln.14IAuDil
,UII';'. (I.
11. AmoUnl of line 1 ~ I1l1n..
AI1~%fI".
x
15
1141
, 0
(15)
3
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,08
x
(IS)
(17)
(18)
() 7 :l, 2 4 2
o 0
o 0
o 0
1 · 2 2 5 '0 0 2 '0 0
o 0
o 0
, 1 4 1 I 7 6 0 .0 n
1 I 0 8 3 . 2 4 2 '0 0
lOlono'on
I . 0 7 3 ,2 4 2 ,0 0
, 1
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on (I
, 1 6 0 ,9 8 6 '0 0
." .1 dU l! TO ANSWER ALL QUESTIONS ON RIlVERSE SIDE AND RECHecK MAlll < < __
'-"~;;'-.:n~~;;;;~.':':;;;;;;,";;;i;...~~;;;;;;:r-'V'~'~;;;;;.;j ~ ~ n31~"" kllhloeslo1rrty~nbelM, nn en. CCWl'8CIlndcmwa ~otprlOlf'llOhl'
.ulQ\(l.\tilINflwtl1Jl~iIl'I,W-Jf~lratl.{lJJlnU1L!1DoHl f It WTY f~
.A ;:..i1.f' ;;FP!;JA~ 'If''fJP()Njiln~: I ('ill II! ItKlllf,,'.rURN AC::lRESS
"
1/,( ," ,~ ..." , .
"i-f.r{~Mj "!P~f,W-,j'; ,',7-~:'.
') . '(' .. f"'I'~<--~ '.~.~
2204 Yale Avenue
Camp Hill, PA 17011
c~hecidan ~ Fritz, P.C.
90~,~. Front Stl~
arr,SbULy, PA ,110
J' ; "Ilfl n.;j';/
if"'.. ; -f ...~-
, '
.::'::::3
DATE /
/ ;lKI'j S
JATE;illtt_
Decadent's Compleje Address:
~~~::~ 'V""""
Tax flaymenta and Credits:
1, Tax Due (Page 1 Une 181
2, Credits/Payments
A, Spousal Povsny Credit
B. Prior Paymonls
C. Discount
"I
STATe
PA
I ~?7011
(1) ---1..60.986
170.00n
7.500
Total Credits ( A . B - C ) (2)
17.7 ,500
3, InleresVPenelty II applicable
D.lnterest
E. Penalty
~.~., '.:'~..i"
;olallnteresVPenalty (D - E) (3)
4. It line 21s grealer Ihan line 1 -line 3, enler Ihe dlffsl9nce. This IS I~e OVERPA VMENT.
Check box on P.g.l Un.19 to reqUHt ar.tund (4) 1 6 . 5 1 4
5, It line 1 -line 31, greater then line 2, enter Ihe dlffslence. This IS Ihe TAX DUE. (5)
A, Enter Ihe Interest on the tax due, (SA)
B, Enter the 10lal at Une 5. SA. This is (he BALANCE DUE. (581
~~"""",~"_~~~C!.eck!.~!::;!::!.s.!~~7"~~:L__"'''''~''''',,,,"'''''''
PLEASE ANSWER THE FOLLOWING QUeSTIONS
BY PLACING AN "X" IN THE APPROPRIA TE BLOCKS
1. Old decedent make a transfer and: Yes No
a, reteln the use or Income of the property transferred: ' ....,......,.........." ,,,,,,,....,,..,........, ..",,,,, 0 IX]
b. retain the nght to designata who shall use the propery Irensferred or its income: ....,..""",.. 0 IX]
c. rotaln a reversionary Interest; or......,......",..,......".."......"....,,,,,,,....,,,,,,,,,,,..,,,,,..,..,,,,..,,,,,,,,,, 0 lXJ
d. receive tne promise for life of either payments, bene1its or care? '''''' """".... ,,,,,,,,,,,,,,,.,,,,,,. 0 IKl
2. If death occurred on or before December 12, 1982, did cecadent within two years
precadlng death transfer prop arty without receiving adeQuate consideration? If death occurred
after December 12. 1982. did decedent transfer property within one year of death without
receiving adequate consideration? ..,........,.."".",,,,....,,,,,,,,,,,,..,..,.,,,,,,,,,,.,,,,,'..'....,,,,.,,,,,,.."."....0 IX]
3. Old decedent own an 'In trust for" or payeble upon deatl1 oank account or security
at his Dr her death? ,'.."""""..'"'....",.."",,,,,,,,,,,,..,,,....",,,..,......,,....,....,,,,.,,,,,",,,..,,,,,,,,,"..,,.,...,, 0 IRJ
4, Old decedent own an IndiVidual rerlrement account, annUIty. Dr other non-probate property? "" 0 IX]
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETe SCHEDULE G AND FILE IT AS PART OF THE: RETURN
"~'" !-::;,.~.'...;--',_,'~ltA-..tJlh.'!.... ,,'~'.~y~ .;',:.tf~ ~:~:' (..~~t.~...-.~l~~l.~...:.!;..".,.It'W~.....~t:.~~...;t' "~..:.~.,!..~-........'f.';;...~.
i2 P,S. 99116 (a) (1,1) (I) plovided forthe redUellon oflha tax rale I"':osed o/1lhe net value of transfers to or for the use of the
survIving spouse from 6% 10 3% for dates of dealh on or after culy' . "94 and before January 1, 1995,
72 ~ S, ~9116 (a) (1,1) (ii) orDvided for the reduction of Ihe rate ImDo'eo on the net value of Iransfers to or for the use of the surviving
socuse from 31% to 0% for datdS Of death on or artar January 1. 1995, -~e statute does nOl exemo! a tranSfer to a surviving spouse
;rom tax, and the stalulDry requlraments for diSClosure of assels ano ":ng a lax relurn are 51111 applicable even if the surviving spouse
IS the only benefiCiary,
FOR DATES OF DEATH ON OR AFTER JANUARY 1, 1995. Please answer the following question by placing an 'x' In tha
appropnate space.
Old the decedent create a truat or slmtiar arrllngem.nt which Ie solely for the surviving spouse's benefit for his or her entire
lifetime? Ve. 0 No rx:J
If you ~nswered yes to the above question, the tax on the trust or slrr:llar arrangement Is postponed until the death of the second
soouse. at which time II Wilt be fully laxable at the ratels) applicable t~:ne remainder benefiClary(les). Enter the value of the trust on
Sc.~eoule J. Part II. In order to remo'e !t from the calCUlation of the tax ~ue in this estate. You may wish to file Schedule 0 In order to
",aKe the election available under Section 9113. If the election is mace. tile trust or similar arrangement is taxed In the estate of the
,rst cecedent spouse, Ihe oortlon of thE trust or SimIlar arrangement 'Nl1Ich benefits t1,e sUlVlvlng spouse is taxed at the zet~ tax rate.
ann :~e remainder IS laxeo at the ratels) aaplicaole 10 Ihe remalnoer :enerlClary(les). If you choose to make the eiection. you mllst
anae., Scnecule 0 to a HmelY.lilec lax return, along with ScneculelS, ' anrlJor M in order 10 shOW the apportionment of the trust or
SIIi'~lar arrangement between The surviVing SOOllse ana l~e remalr.ce-r :enenclary(iesl.
"'''''''''''''*''''
~"', '.
. .
CCMMOIM'liAL iH OF ;ISNNSYLV,&.NIA
INHe~IUNCG: fA)( RI!TURN
lIES'C!'ll',)E.~'::"'nlr .
ESTATE OF Frances D. Grandone
SCHEDULE B
STOCKS & BONDS
FILE NUMBER
AU proptlly jolnllY-oWl,td WIllI riQ", ol.ulVlYo"hl. muW! be dlcelo.td on S,nldU", p,
ITEM I
NUMBER I DESCRIPTION
I, 100 Shares Airtouch Communiations
2 100 Shares AT&T Corp.
3 60 Shares Ameritech Corp. (new)
4 200 Shares Aetna Inc. pfd C1 C 6.25%
5 400 Shares Avon Products / Inc.
6 300 Shares Baltimore Gas & Electric
7 200 Shares Bell Atlantic
8 90 Shares Bellsouth Corp.
9 400 Shares Dial Corp. (new)
10 200 Shares Exxon Corp.
11 100 Shares Finova Group Inc.
12 200 Shares Ford Motor Company
13 500 Shares Putnam Master Inc. Tr SBI
14 600 Shares GTE Corp.
15 500 Shares GPU Inc.
16 200 Shares General Motors Corp.
17 200 Shares HarsGo Corporation.
18 100 Shares IBM
19 32 Shares Lucent Technologies
20 400 Shares Mellon Bank Corp.
21 1000 Shares Merrill LynGh 9.00% pfd
22 200 Shares Mobil Corp.
23 6 Shares NCR
24 800 Shares Newscorp Overseas Ltd Ser B
25 40 Shares Nynex Corp.
26 200 Shares PP&L Resources
27 40 Shares Pacific Telesis Group
28 132 Shares PNC Bank Corp.
29 100 Shares sac Communications
30 200 Shares Sovereign Bancorp 6.25% pfd
31 100 Shares Sears Roebuck
32 100 Shares U.S. West Media Group
33 100 Shares U. S. West .Communications
34 400 Shares Viad Corp.
35 200 Shares WHX Corporation Series B pfd
36 31/142.7611 shares Equity Income Fund Real
Estate Income Fund Defined Asset Funds
37 1,296.7331 Shares Alliance Growth Fund Class C
38 1/220.3740 Shares ML CApital Fund Class C
39 2,478.4070 Shares ML Global Association Fund Cl C
40 487.0000 Shares Federated Utility FUnd Class F
41 458.0000 ML Corp. Bond Inv Class B
42 1/381.0000 Shares Alliance Mortgage Secs Inc. Cl B
[All shares of stock listed above are C8~mon
stock unless identified as preferred ("p~d").J
VAL'.EAT DATE
CF JEA TH
2,4G3
3/'871
3,627
15/450
23,150
7/988
13,394
3,778
5/700
20/650
6,713
6,575
4,188
27,000
17,000
12,125
13,,750
16,550
1,656
29,400
29,125
26/300
209
18,400
2/009
4/700
1,493
5,098
5/218
14, 150
4,913
1,788
3/413
6,450
8,150
35/372
40,187
37,356
35/714
6/399
5,148
15,527
I :J.q.:::, l"t I
'DTAI.,Also..,..er:1'lI:ne2.,~!lC:!OItUlaDonl $
l :-:"aB scaca 'S i.eecea. .:",~ :.=cr.a Y:eetS Cl' ~e S&':"" S"'.:.el
4Jt1;"'''''''II'')~",
, , 0
I~~'~ '
-'!,.""
CCMMONWfiALtN or- Pf:NN5YL'/AN1A
INHI!RlfANCS fAX RfiTURN
q" I Nt r
SCHEDULE J
BENEFICIARIES
ESTATE OF
Franeea D. Gr'alldone
NUMBf:R
I.
I,
2
3
4
5
Iii
7
8
NAME AND ADORESS OF PERSON(S) RECEIVING PIlOPERTY
TAXABLE DISTRIBUnONS (inClude oUlrighl spousal dlSlribuuonsl
Jacquelyn Reuwer Ryan
1604 Red Hill Rd., Dauphin, PA 17018
Mary Reuwer Seurkamp
29 Brickston Dr., Pittsford, NY 1453
Cathryn Reuwer Wood
P.O. Box 233, Petersburg, IL 62675
Henry T. Reuwer, Jr.
RR 1, Freedom, ME 04941
Loretta Reuwer Bf.lckman
3795 Benson Ct./ Dumfries, VA 32026
Claire Reuwer Mayers
3512 Bellemeade Ave., Evansville, IN
Frank W. Reuwer
700 Marcie Ct., Deerfield, IL 60616
Rever'and Louis Ogden
Seven Sorrows Church
401 Conewago St. Middletown, PA 1705
FILE NUMBER
REtA T10NSHIP TO DECEDENT
Do Not Lilt TrulfM(11
Niece
Niece
Niece
Nephew
Niece
Niece
47714
Nephew
Reverand
21 97 00075
AMOUNT OR SHARE
OF ESTATE
108,790
108,790
108,790
108,790
108/790
108,790
108,790
5.000.
S 766,530
ENTER OOUAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17. AS APPF10PRIATE. ON REV,1500 COVER SHEET
U. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1.
1,
s. CHARITABLE AND GOVERNMeNTAL DISTRIBUTIONS
Sisters of Mercy
P.O.Bo:x: 370/ Dallas, PA 18612
2
St. Teresa's Catholic Church
1300 Bridge St., New Cumberland, PA 17070
5,000
5,000
TOTAl. OF PART n. ENTER TOTAL NON.TAXABLE DISTRIBUTIONS ON UNE 13 OF REV 1500 COVER SHE.I'T $ 10, 000
(111TlOf8 space IS neeooo. In5en aaaitional sneets of the same Sl1l!1
:','rm
Unit.... 'ates Estate (and Gllnerallon-:'O(lpplng
Tax R.lurn
E.stolle ,It .l ~r'tlzen or r6slrj.ent 01 ~tl6 'Jnll4<i SI.1I,,"s ('~ '}. ':!Point., In:ltTl/ctlon!l1. To be
tUed far de<:fIOent9 dylnq .loNer 0<:100.r .i, 1m. For P~rwa,.'K Rftduct!on ,""ct NoUC8:.
'8>8 instructions.
11b O.e,It'"". ....u ,..."'. 1':2 :)'Cl4'"1'1I1U:. hlCl.1a.
GRANDON::: 188-)2-4757
:lob 'f,&I dOl'l'lIQllt II I.&OM11'I.;r; 0". of I..,H' 15 a,l, of Q"l"
1911 I2fJ/u 1/15/97
Ib I. ~'Cl.IIO'" UIO,....llll.'I'Io.r Il'Iet .1""lnCI"dll'l' HM1m,1\1 Dr lUll. "., Dr N"lla"I"'~
Cltv, 10....". or pa'l ,HIU1.I..Ia: '1'1' 0\:111 ~od'l
H..." Apnl 1!)97)
706
)'III'lm8nla/ln"rr..',,'Y
~!t1"~II~.,...,n'j' ';~"""'~!!...
--'-
Oil" 011111'4'"1"1,,"11'1'.1'1' '1'If1 ""'001. "'"I'II(.,.a ,.,..,d'" "''''','' .1'11'1
. FRANCES D.
OJ ------
P 'I 3rt I.'Qoa'If'ld'"11'llIlII'I'tlllIlI um. lit ~..lhlC.lI"I'IIY, '.'1', Ula liP C.:ta',~'
d IOf,ICln CDunttYJ
, ,t...f.UMBER1..AND CO.. PA., 17011
r nl 6.1 N.",. of ...OI.llo'llllllllll,UDllonll
, HELEN E. R~ER
, 6c ,.."",,/', ..~.. ''''''''y ..m'" "" ...."""",
I!
,
.. 7a Nam..no 10c.&Ulln III aa",ttwn.tI ..111 IN'" G'OM,.d a' II'..' 10"'ln.","d
~ REGISTER OF WILLS CUMBERLAND COUNT~ PA.
I a I' deoedlnt diad lesta'8, cMecl< hft(e ~ X and aRscn a c.,rnlled copy 01 the 'Mil,
01-- -
ri 10 II Sc"edUI8 A-I IS anacne1, check herB ..
1 Toral grot! !MtllB (from PIr1~. Recapllulallon. page J, llem 10) ,
2 TOlaJ aUowable d.~ucnona (from Pllft~, Recapltulanon, page :J, Ilem 20)
J 1'..lbll ..lltl (.UbtrICtlln. 2 from IIn. ,)
4 Adlu&led taxable grtta (toralllJCatll8 gifts (wnnlO lne molning of s<<:tion 25J.J) made by the dlCedent after
Dec.mber Jl, 191e, oln.r ,nan glf1s Inal ar.,n'ludlbl. in decadent'. gross ..tata (soction 2oo1(b)))
!i Add Unee 3 and 4 ,
P . Tentattve tax on the amount on line 5 trom Table A in the inatt'Uctlons ,
199:.Q]-8627
2204 ~ALE AVENUE
CAMP HILL, PA 17011
QMB ,'10, '~-A~-')C)1'j
~ C....lIUlfla4' --
197-00075
~~ 4~88 IS anached, cnede hefll! .. ~
.
7. II line e ..c..a. SIO,OOO,OOO. ,nil' 1114 I.....' of lin. 5 0' SZ 1,040,000, If lin. 5 il: lO'OOO'OOO~
O'I...,..,lOitn"',,.,,07bUlo,nllr-O-onltn.7C, ,. , ' , ' , " ,...", 7.
D SubU'act $10.000,000 Irom Una 7a ' , . ' , , , . , , , . , . , . . , . , ,. 7b
C Enler 5% (,05) 01 line 1b
0.00
1 1225002.00
2 151760.00
J 1073242.00
4
5 1073242.06
6 375829.00
0.00
375829.00
375829.00
-
192800.00
183029.00
37302.00
145727.00
0.00
145727.00
145727.00
180000.00
-34273.00
J"OIl' O~ltl.. al Oerl"'''',I dllC~' that I nan ..amu'.. lhll rlll/,n, jl'\t1UOln~ .cca",a&n'l'I'IQ Icn,oul.. &netltal,m.nlS. ""0 10 In. 0..1 af my IlnO....OQ4.&nO b,.,f. lllllrut.
:~,.,.ct. &na tamot.le, O.Ci&t&uan.,1 PflntllH olnH 1nall 'h' ..,cutor I' lIu.d "1'1 ..tlmlo,m.tlon of "",",cn o,.ou" IIU MY .nO....IIO;.,
!LI
18 I
lilli"!!';
I)'!'!IIIII
j.II@llliii
lliu:!,illi
20
21
22 1-
221
241
180000.00!1
l.,
2
8 TOlaJ lenlaDVe tal( (add lines 6 and 7c)
g Total 91ft tAXO....Alll. wit" r<ua.eIID 9111. mold. av tll' ~'eto.nl&fHH O,c,","r J t, '~7lI, Inelua. 91H taullly ",. o.cUI'M',
spaun latlLlCh 'Dauu',.n." 01 JDllt 91It.!uet1a" 25131aniYII Iha d.cld.nl wn Ihlt donor 01111... 911l'''M HIt '1 ~.
InctuQlbf.,n Ill. Qle.Cllnt'. oreu "11.1' tll' InltNclIDn'l
Gross estate tax (SUbtrRct line 9 trom line a).
Maximum unlftea credit agams1 eSlate lax t 1
Adjustment to \Jnlned crscrt. ,Th"..Clluat",.nl 1'""'1 (Ial IMc..d 18,000. 5"1(111',\, .' 12
AlloWlbl. unrfled cre~~ (SUDtTaCllln. 12 from IIn. 11)" """,,"
Subtract lIn'1:J ITem 11118 10 (but do not ent8f'lea1l1an zero), , . . , , , . ,
Cfedtt for stlte death taxes. 00 not enter more lhan line 14. FIgure the credtt by using tl18 amount on Uno J
I.... $60,000, See rabl. B in ,".Instructions and attach credit evidence (see Instrucllonsl.
SUbtract line 1~ trom line 14,
C{~rt lor Federaj grn taxftS on pre-19n gifts jS'c1lon 20 1211&tuCh eomautatlonl 17
Cred~ lor loreogn des1l1 ,ax" (ITem ScI1Odulll{') PI. (Anacn Form(,,108-CE.) 18
Clodlllor ,ax on pnor tI'lIlIS1.... (from Scneculo Q) , 19
Total (Idd IIn.. '1.18. and 19) , , , ,
Net _we II,)( (SUDD'act Une 4:0 from Une 16), . ,
G.norlaon..Mippll19 transf'" lax.. (from Schedul. A. Pon:" IInl 10) ,
Soction 4980A ",a.ased ..tll.lax (from Scnedul. S. Ponl. !Ine 11) (seo instruc1lons) ,
Totai trlll'lsler tax_ (add lin8S 21, 22. and Zl) .
?r1or payments. ~cla," In an anacned stlt8l1l8nl
Unrteo Stales ireasurv bOnes rEldeem&a in payment 01 estate lax
TOlaJ ladd lines:;:5 and 261
BaJlnca due for ovemavmeml (Subtract line 27 trom line 24\
r
,10
'111
,
12
13
C
14
o
15
192,800.00
m
~ 16
11
18
a
t 119
120
~1
o
22
22
26
2S
26
27
28
u
n
2S
2tI
,).L /<~'1 [
/--.,
I/t<'~
_~...e_f.._t-f..<,'+'<I'
Siqnanmt(s) ot 81C8C\.lIOrlSl
--
/"
-", ;/ ______ /:jZ ,0
(,~ '~~J~
'S;qnaNre 01 oreall8f olMet' "&n ~xecuIO(
':'.'"
,/ ,.
10
5
9
10
li!]'''I::
lll!!h~i'
IIJ.~~~
13
14
127
, 21
11./0;2/7'(
~ '
SHERIDAN AND FRITZ, PC
'3- 9 0 S- -N-:' -fRoNT - STREih' -.. - - - - - - -. - - -- -. -- _.-
i;iARRI satiRe;": - 'pA- - i -.,- fi 6" -, - - -.. - - - - - - .-----..
Address (and ZIP ,,"cel
f?/4ci1
J~I I , I
:'Ir'" 701 I,ln, ,l~~n
;:1'1 ::~ '"' ,:t ~I
Applicaflon ror 1:,\\"""'"'' '" . ..;::
and/or P:JY U.S. E5t:lt~
(:md Generation-Skipping Transfer) iJxes
I
I '~'"a "" ""..;" I
--~---
;100.,,11,.111 UI"..,_..N
'1__ ......~I'tl~. IF'Jr 'H'f'1 .,_ r.,rmKl :Od, :08..1.. ;1nCl :rA...'~AJ
---'- ----
,'lot.,: '.)s.:,um 2753 :0 t.a~'.S( U1 ut'/Ulan ,'er ':';fms iOo.,"JJ{Cl VIet ;'C5...3.Jt'~.
~ijfIC~}lon" --
:te.a-"I.J mil "am_ .I11a ""ICldl.IMIU.1 ~oKl~III't J I"'~ ,'lam.
';".. ~., (..ac;
'l,Im. ot ,.e<:ucnr
'-:elen E. Rau'..!!!"
""
--
Oo~done
,'11m. o. 19C1lc.auaM :~.. ,if 01....' ;MM I". fuoutOO
John D. She:.-ic!:1, C?~
(NUmalW. ,W.Il, sncJ toam or 111/1' no.l
:l.aI,<JI<I_Ul
1/'~/07
O_.o.t\r', Nfllli l'Nun'V ~umo.'
1"8:": ,,-="
~ Q '" f.. ..., 1 .. '
ast.1t III I"lm O'.l. Gat.
~ClClIU' 01 ..'nCuler
No':~ ~=ont Street
10/15/97
:/0 She:-ida:1 I~ F:-:.':.z, P,C" 3905
;:N:""JI.t.. aM ::1F' ,:ca.
~ilt:':'isbu::'11 P,,," 17110
~tensTon of Tlme To File (SdC. 6081)
',''JU must artac,"l 'jour written statement to t,lCCIOln in delail why It IS imposslbie or imcracucnllC W.
] 'lIsonlcly '=0,"01818 retum 'Nllhin '1 months atter \h. datI 01 :hl dtcsdln('3 dtath.
~"tenSion 01 lima To Pa Sec. 61611
'I::'J ."'nC'!t ltt3cn yt~tJr wntten ~latGm.nt to .xclaln in de tall why It is imcoulble or impractical to oay lhe
'U11 amount 01 the Ulal. lor GSn tax ':iy the ,etum due date. tf the Ii1J(BS c.:mnot be OQllrminlla ':.CtlUS8
'~l! ~IZI! of Ihe ~ros~ .!!rnI8 I~ 1jn;"c9r\ronIlCI-', ":necK hftr!! ~ 0 artc.l "nler ...0.... or alher aooropria<<8
amount on ?"rt IV, line J. '(ou must :lUoch .:In '))(Olo.I1o.lIon,
tm!L.1:ayment To Accomcany Extension Request
, .l..mount -:t i6taCS :!.nd GS7 ta.xes -estimated :0 be due,
:. ':'mount ,:;1 '=35n !ncrt:1.;e (comolete ?3rt :11). .' '
~~ce due lsubtrQct line 2 ~rom line n {Pay with tl'\js apollc.1Uon.l
Signature and Veritlcation
. .""..
If :-lIed by 9XaCt.ltOr""":.fncer ~enaltles at per[ur/, I dec!are that: am an ~:<ec:.acr :f ~r.8 estate at '..he acov~&IC1~ dec9dent anc
:~al:' ;'8 :.ot 01 my '<ncwle<:~e ano ~ollef, :no slatement. maco horeln and at!achec are truo ano CO!!~c:;",:,,'Jl:1J ·
'14.:.:.1.....'_. ~ -
~lll'\SIon a.t1,'tcN"11Cl
~"'-'''' '~-:
( ;L j1r'.J",'1
...L0./ I ,
a..'11'f'l1KV' GlltltQtJelllld
,.:If'l rH"n
"
.
J
.ljC,OOO
--,-"
,...,..:..i\.'.,!oA~1!.. ... ""
. :...V'-;;;
If flied by someone other then tho ox.cutor-Under ~enalllos of ~e~ury. I declare :nat to the best 01 n;y ;"OWladQ' and I:ell.t,
',h. stat.ments made her. In and artacnad are :rue and correc~ that I am aulhcriZ'!d ~y :ha oxecutor 10 Ria :h~~qL~ and
~'at I am (ChecK ;'OXI..' that .00IleS): ','.' " ,', -:;,.
C A ;"ameer in gocd standing of the bar 01 the hlgnest court of (seedy iurisdlct!cn) ,.. ...............'..~.~,..~~.._......."..
:0 A csrnned ~uellc acccuntant cui\' quallnad to practlc. 'n :sceoltv jurisdiction) ,.. ..........<',),....................................
C A ~.rson enrclled to oraot!o. 'oetore the Internal ;:;evenue Service.
.,...~.~.~~~.~~~.~~~#to~.~~.~~~~~.~~:.~~,.~Zlf.:~.~~.~.~~ not,~~. :~~~~~27A~~~.t~::.."
4~4.L'-t.., '~a., !- tJt.cl.lcarl ~I
~otlcl! :0 ~oolioant- To be oomCleled by the Intemal Revenue Sdl"/icl!
7h...~ccocatlCn ~=r extBnSlcn 01 :lme :0 tile (Put a} is: I :2 The <1001Ic:1Ilon ~or extenSion of time :: cav l,F'V1l1l\ is:
" ~ "'oorove<: I,l. - I)' -'7 1 0 ,\oproved
,"Jc:: ac:rC'J9C ::ec:1US9 ...,........................ ,Net a.ccrcvea C&C3US8 .....................................
""......................,.............................,.....
...............................................
iill.
a.'M:~cor , stc;nalur.
'"
........"...............,...
....,.....,...,,,...........,......,,.,.....................,....
...,.............................................................
................."....,..................,..........,.............
ether .......................................,..................
C Olhor ...",,,....,,....,,,,..,,,,..,,,,,,,,,..,,..,,...,,.,""
....................."........................................."
.......................,...............".,........,...........,.
.................................................................
............,........,...........................,................
..................................,..........................,",
.......................................,.......................,.
"..,.........................................,.....".........
........................................".......................
..............................
"...,.................,.........................................
1 9 1Si7 "1."" '=:ownu. SatYCl. aliicw
:lle
,"
;'
(/. - -
'~r "1cerwonc r1.a
1:on ,.:.c: ~lalic.. S'" Ul$lnJc1Jons on the \JICJt ~t n1lS torm.
:.iI. .'to. ..1?e.P
''''" ~i6a
~. ':::.;~51
~ f,
=';:~:snM1 ~, -IX '.ianac;:!m~nt ~:1C., 1 E'.;..""SIC:ary ct ~Ie Surl!!lu c! ~I.auonal ~"'2Jf'!. r.c.
4168. ;
~"I:" '\-:13 0 P,'I . ., ~"T'
------
~5lJte of: :?.\:IC:;:S J,
G~-.;ncc~rs
Part J. - Elections by Ihlll Executor
PIn... cn.::K !1'l. "'Y_'" .,,. "No" t>oW: 1nr ...en f1\l..tton. Is.. InalnlGUo"..\ I Yu ' No
.. , :)0 l(o~7~ iU1~".11 '/Itluaaon"' - . I :<
: 00 you ,Iect 1Qecl" IJIUa "IIUlaon" . I I X
f .,.... 'IOU mUll ,omol.,. .n~ .".en Scn.dUl. A.. 1. r-r-
J 00 you "ect 10 ~,.y Ih. lax_ In Inll.UrNn".u (jMCf10ea In aecnon "1118" ,! 1:<'
" '"{.... 'OU mull ,n,en "'0 .00lnon.' inlorm...n d"cnO.O in ,n. .nDlruonon.. , r I
Ull 'IOU elect 1Q 005100n8!n1l ON1-2Lll!! lun o1M~O a fQVI\'lIlOnarv or lom8Jndlllr rnUtflS1 as dtacnb.C1 1t1 sacnon dH5:JL I 1;<
Part 4. _ Qenerat Information {Note: PlIU. anacn Ine nec:eSllAfY !lUpplemanlal documents. '(ou muse .rtac:h the deattl cent1"lc.at..)
(SlKI ir\dUUCUOng.)
Ault!Onu,non \0 rOClllve coniidenllftllAX lntorm;c;on una8f RequlIllons ~ecnon d01..504(bl(21(1), 10 act ill lhe eal.tes tIllPtesenflO". befOt. the InlernaJ
A.....enue SttrvlCI. anCl 10 male I 'NOndn or oral preMnflOOn' on benlJt 01 tnl I!SlAlll1 reMn preQartld by an I1notr.ey, Iccount.or. or t"rolled agenl lor
ins 'ixecUIOr:
Name 01 repr""nIIUVe (pnnt or ryP8' I Slatl !Addreu (nU'T\oet. ,treel, 4tH::: room or !Iun. no" erry, stili, 4na ZIP code I
JOHN D. SHERlQAN Il?A b905~. FRONT ST., HA.RRISB~G, ?"'- 17110
I dOClare '~'lllI/Tll~. U .norneyl L.:ij cenrftOd puclle accounllnV U Inrolled agent (you muUI ,nOClC tn. I!'pllcllllll bO') :or tn. ..ocuIO'
ana :lrSOllf8d thIS (IlUrn 101' In_ elC8Cutor, I am no' under suspenSion ot dlsDatment tram praene. oelare Ine tntarnlli RevenuI SeN1C8 and am I:IUalified
to otaene.. in t".~lal' snown &00"..
SignaaJra
I CAF numt>Of 10111
__ 12600-17541R I ~--fO
Ith cemticDII numc.r and is:.swng aUlnonry (anacn a copy ollhe DUlO ceru1le:uI 10 lhlS rerurn).
4017290 COMMONWEALTH OF ?r..., DE?"'. OF HE."'-LTH, VIT.U RECORDS ---
;;~. :ecooen', ~u."'... 01 ooeuo..on, If r..r.o. ,nocx nere ~ W .no ,,,,. coe,eenl' lormer bUOInoss or l<=,"OatlOn,
S:.::.:. 'L '<
J 'v1amlU alllUS 01 tne dacSCf1nt at time 01 ceatn:
!-I MlUT18d
I:r; WldUW or Widower _ Name, SSN. and call 01 dum ot aeceasea soouse .. GEORGE .~. GRANDONE
11 ~~9~ -: ~ 7 :: 1.6. g}. . . . ... ? J. I: ~ i J. ~...... .. .. ..............: :: : ::: ::::: : :: :::::: :::::: ::::::::: ::::: :: : :
o Legllly 'IOar.",d
I I Dlvorc.d . 0811 divorce deer.. became nnel ~
~ SuMVing saouS8'S name I'.sa SOCIal s8Cumy numcer II 4C Amount rlCSlV&a (see instnJc:ton$)
~IONE
5 inoiv1Qul1t {omlr tnan lne sUrvIVing seous.), J'USlS, .)t O[n8l' alates wno rltC8Nd oeneft1s from IMe estate (ao nOllnc:uoe cnantacle beneftClIl188
snown In SCt'lBdUI8 C1 (!lee instrU~on$i. ~r Prrlar:1 Act Noace (aCcllc:1Cl1 [0 lnaMdual ben.ftdM8S onM. !lee In. InstnJC:Ons lor.=arm 1040.
'tame allnal....au... ~I'\l.t. :lr IIUle r.c.,lIInq u.ooo ar mOt. 'd-'!nt....ntl mll'llo" I :lI.",aOll,"'a 10 gK.Uftll .\lMNI't'''.,"2V\I~on'l
';;"C~UF.L:lN REUWER RYAN J46-J4-6Z97NIECE 108790.00
MARY REUWER SEUaKAMP J14-54-022JNIECE 108790.00
C.;':SRYN REUWER WOOD 13 6-38-5250NIECE 108790.00
H~IRY T. REUWER. JR. 1J6-38-5250NE.PHEW 108790.00
L.OPSl'TA REUWER 3EC:-a1.AN JJ4-J4-3717NI:::CE 108790.00
C:...;:::<E REUWE.'l. MA'lERS 137-40-3156NI3:CE 1.08790.00
:?_lJr<< 'Ii. REUWER J 17-54-34Z2NEPHEW 108790.00
i:.ot;:.5 OGDEN UN1GIO\ol11 ;RIEND 5000.00
.:.14 '.nucet'l'llInIDle clnenc:llI'ttJI :me Inose wno rl!'C8N1I '''!'SS lOIn ~.COO
-OQl
=::r::nu80 on r:9Xt ~aqQI
~.
7565: 0.00
P.qe l
~."m iOlll~-. "..in
?rt ~. .' Gu"oml Inlormallo" (CO"lInuadl
Pl.uft ene<:I'. tn. '''(e.s~ Of' .~o. t;)QJI f(p ".ch ~u..lton, ---- -~~-
-----.--..... ._---_._-~-_. --.-------
Ii !Jou lilt> qltl'. .,\.jlt '.onl.,1"I ""'0' ..r:;lton JO..... IIIIIUltrh' 1<I"'l!l''''lllm,flUl!t ""U'"IIl'"l1tflV'O''''' ~"H'" line" i,II'" HUll"'" .flllrUo;tll"u1 :<
--r:;H;v. FlJdal'; grn IllC r..turna Illlltf ~n-;;j;;r;-----"---- - '''i:(-
1I "Yet.' pleu. art..Ch CiOnlftl 01 !he 'tlf\Hns, II 11\1811.018, .lnd turMrsn 1M IOIIo'M.!!9J.nIOrmaOOn:
- 7b Ponod(_) ctlv...d ~ 70 InIO,;;;R;;;'uo OI~CO(') ",nOlO IIIOd
I' yO\! .nrN.' ..V.... to .n" Q' quuUonll ."11, you m~.. .lCtach jddtUon,,' Imonn.don u deM11botG In th_ InatrUc1fona.
$a Wain,." .nv IAIll,lnCI an Ihl dlnulnl'llIll lllalllnollncluclld on In. ,.tu",~'ll"'Df tlllOfOU utal., ,
.-- - -
bOld .". dICtd.n, 01lln '1"1'0' '1"Ill.IunCI on \l'lllIh OII,.OU,.,U"II, nOllnClII,Ulld IrI Ol.."O....t.lI.'
9 Dill 1111 deCldlnt al tll. lima "'!'Ita'PI (I\IIO'n ..ny prbpI"YU 1I0lnl ,.nan' Wlttl "lJM 01 'Ih,"""Vorlnl' In .....Illon (I~ on. 0' mO'lltl III.ltllll' lOlli' IIIIanUl ","u
IGmlon. at'." tPl'" 1111 d.celtln,', ,pou", "nd (b) 1..lln&l\ thllull ~.1Il1 01 11I'lItOllertVlIlltalUdld on 11I,"\Urn u ,1",t of thl oroll uta'" If ......., 0
"'OUrtiU'IC,"lI'Io'atl.n.f1tt.o"5G"~':-;"":"";
10 Old thl 1I.c:.'d':!.!~",~,~.!!!!.umt III d.. III. o....ft "nv Ilti.r..' In. oatln"'hID III UnlnGClI'OO,.I.1t bU',""' or An.,. .toor, In ,,, lIl'OUY" or 010"'" "lid 2!..~'
11 Old Ih. liloUI.,,, m.U ,"V Ir&tl.,er dUClflbl. In 'tOllon 2031, 2031, 20H, or 20:11 (...lhIlMtnlctlon,lor Solltdull QI? to "V1t,' YOII mult Gompl,il
.lnIUlt&CnSQ".IJUlla,
12 WI",,,.,.,.n .\III,...,,0.,,11"IUm. 011"1 aIClfllnt"lI,.ln:
II A"VlfIlIUGt..ltl3bytttldlaAid.n'dtomnOllllo,h'fU,.tIMI?, ' , . , , , , ' , , , , . ,
-L MV tN'" not enl'l. ttv thll d.o.d.'" under .....hlon "'1 dteld.nt po......o ."'1' oa.lff, atn'"Cl1~ Jnt.nll" or tN,I''';''1I1
13 Old Ihl dtelatnt .Vlt 1I11....~nl.., 0' ,.t.u. any O'l'l"'I.!!!.~..:!.!!.!.!~OClln""lnf f I' ....".. yall mu" comol."."d .l1ll1h 501l.dUI, M
1. Wa.s 11'\1 IfIUltaj deduOtlon ,-OMOllt.d undlM' 1"IItIll~tlonIINI,ol PuCIllO 1..W t'_:l4.,ItGIIDn~3('K31(60ona"'loA.C\OvtfV fuAol ul 1''''11
If .fll,. attlon I. 'IOU'" computAtJOn 01 tilt Mlfltal dlduc;t1on, .n,ar thl .",ount on It.'" ,. Cll1". A.Cloltulltlon, Md nOli Clft Iltm 18 .complIlItiO"
IlUcn.d,"
15 Wall'" a,elld.nl, ,,"mlaIAIClIV "Ifo,. d..tlI, Itc....fInQ.n .a/\nully dllUlb.O In In. .0Inll..00""01&1I'1I at t",lnlltl,lOllonl '0' Se".ou..I?
11......,.VOU mUI1COtftOIt" Ina anacn Sell.aul.1
,."" ,
.-
18 Old ll',e (I111.o.ntlllv,. lotal .ue.., ItCillm.nl.&eCl,ImU1&tlon'I.1l ....llIn.a In ..etlolt 4UOAldllln IIUlllfi.a ''''010'1'' ;ll.In' "nd Inal~ldu.1 tIUII",I,.f pWll1
F'........ _ou muatco"'oll" 1'10 .It.en Soileau!' S '
Part 5. - Recapitulation
-~
1\11"
'Iufl\Otf
.l,1\.rna,.v.lul
Valu..tdlllnfoa'h
0'0....'.'.
1
2
3
4
5
I
7
I
i
10
SChedule A - Roll Est.,e
ScI1edule B . Slacl<S and flonds .
SChedule C . 10.10"989'" Natss. and Casn
sonodUle 0 _ Insurance on lhe Oec8dln(, Ufe (anaoh Form(s) 712) ,
SChedule E. JOlnlly Owned PropBll'/ (onach Form(s) 712 for me '''''''''"",) .
SChedule F . Other Mlsc8llanoous Fropsny (onseh Form(s) 71210r me Insurance) ,
SCh8<lUle G _ Transt8lS Dunn9 08C8<lon(,l.Ifa (onoen Form(s) 712 for l~sll1suranee)
ScI18dule H - I'ow<<8 01 AppainlmOnt . , , , , " . , , , , , , ,
SChodUla I . Annurtl..
I ~:a~a:~ (oad ~smt 1 IhrOUg~ 0). antor h818 and on.~ 1 01 U18 Tu
.1
'10m I
~\l"'ClI'
alOUllnon,
l'
12
13
1.
IS
II
17
II
l'
I ScneaUIB J - Funet'al Expenses ana EJcpenwtllnCUrred In Aommmenng Progeny SUDlect to Cllln'lS
SCnedul8 K . DeolS 01 me Decedent ,. .,..' ." .' ""...,
Scnedule K ~ Mangllges and ljens
Total of items' 1 ,nrougn ,:1
AUOWIOI. MnOun1 01 deCiucUQna tram 119m 14 (see !he mstnlC:lons lor nem 15 01 the AecacllUlaDonl
Scn9dul8 L - Net l.QBSQS Dunng A<.i'mmSO'loon .
ScI1edule L _ Expensoo Incurred In Alin1nlStllllng PropBll'/ Nat SUO""" 10 C:"""
ScI1ClC1ule 10.1 . BeQu8SUl. SIC.. 10 SUrvMng Spouse
ScI1I1<lUla 0 _ CharnsOla, PUOIIC. and Slmrior Gilta snd Ileou....
..".."". ,
...::,"fl
I :ouu wlowlble ceaucuons (aCId Items 1!5 tnrouan ,g\. Em8f r.ere ana on line 2 of lhl fax COmaullaon
x
--1.2__
x
X
X
X
X
X
X
-
.
X
X
---.-
141760.00
141760.00
10000.00
151760.00
PIC)e J
::u
~0"1'l 7OIIR..... .....n
-
-'
.._,-
:o:-:n 7')6
~3tate of F=ances D. G=ancone
CONTINUATION SCHEDln..c:
Continuation of Schedule a
aem
Numb*t> O.,1c:r1pcion
,.\lCarnAC'
Unit Value v.lu.~1on Oac.
t\lt:u-nace
value
lfAlu. At ;'/lC'
o( ~..eh or
ilImounc
Oeducti.ble
1. 100 Shares AirtouCh
communications 24.625 2,463
Exchange:US/NYSE
CUSIP #: 00949T100
2. 100 Shares A'r&T
Corp. 38.375 3, s.71
Value includea
accrued dividends
of $33.
Exchange: US/NYSE
COSIP #: 001957109
3. 50 Shares .~meritech
Corp . (new) 59.875 3,527
Value includes
accrued dividends
of $34.
Exchange: OS/NYSE
CO'SIP #: 030954101
4. 200 Shares Aeena
Inc. pfd C1 C 6.25% 77.250 1$ , 450
Exchange: US/NYSE
CUSIP #: 008U7202
5 . 400 Shares Avon
produces, Inc. 57'.875 23, 150
Exchange: US/NYSE
CUSIP #: 054303102
- 300 Shares Saltimore
~ .
Gas &. 21ect.:ric 26.625 ji988
Exchange: US!NYSE:
COSI? "'. 059155100
fT.
7 . 200 Shares Bell
Atlantic 66.250 13,,394
Value includes
acc:::ued dividend
of $144.
E.,"(change : OS !NYSE
C'JSIP "'. 077853109
fT.
. ..-,
. :'lff'n ~IW ,RollV .1...};'\
-........-.
---
~,,,,..f: FRANCES D. GR.lI,Nf::ONE
-
SCHEDULE K _ Debts ot the Decedent, snd MortQ8oJes ~nd Uens
I -"
lien' O.aU 01 tn. O.u..n... Ct..1I10' ,"II 11&111'. 01 C~U'll, ""'0111111111..'. 10 1I&'t A""lIl1llo'lunt.11 A"'Ollnl'~"'..""
llu,.,1l1t .u'U'&lfowalll.l:l.alll I''''f .l:llllucu-tl'l
1 ~EDICAL PERSONNEL POOL - NURSES H42.0(
2 ~EADING OKQC STAFF - NURSES 408.0
3 ~OR CARE HEALTH SVS - MEDICAL 4394.0
4 ~ITALINK PHARMACY - PRESCIPTIONS 498.0
5 RISTAN ASSOCIATES - XRAYS 8.0
6 REDIT CARD DEPT. - CARD BALANCE l444.00
7 ELL ATLANTIC - PHONE 7.00
a NTERNAL REVENUE SERVICE -
1996 INCOME TAXES l523.00
9 PA DEPARTMENT OF REVENUE -
1996 INCOME TAXES 240.00
10 PA DEPARTMENT OF REVENUE -
1997 INCOME TAXES , 1.01. 00
rota! trom conunu.Don sonedules ('Or adCliuonal oheelSl anaohed to IhlS SCf1eOUI8 ' ,
TOTAL. 'Also .nlor on Ptr1~. F\ocacINloUon. 01083, .1 118m 12.1 ' , ' ' ",. . " , , , 10065.00
a.M Mon~o.. and ~I."... O..cnotlon "maun1
IIlImo.'
,
I
-ouu tram contlnuaoon scneaUI. lor aadrtJOnal sn,""sl anaenea 10 Ihl'l tCo""lfKll18 ' ,
i'OTA!,- :ALso omlr on Part~. RecnDllUllllon, :108:),11 rlem ':1.\ 0.00
)
o
o
o
o
,it more ,,,ace IS "~ea. lttaCn In' conanuloon !lCt'IIOU11I ITorn lne ena 01 ~ tlcuge or oloamon. sneers at tn. tame SIZII,I
..~.. fnstJ'UC1lons 10 Scnem,1I8 r< are In IMe sealtlll8 InsmJC':0l'l5.1
SooltI..,1a K - Page 25
11"0'''' 101 SC"eou1e K I A..... ...~n
..::.:.!~~:/;Ili-..':..!'/t ..-,);"\
-
'~al.of:
F'R~::S D. GRANDONL-_
SCHEDULE 0 _ Charitable, Public, and Similar Gifts and Bequests
b Acoordlng 10 the Inlorml1lOn Ind bellet 01 !he p....n or p8flDn. nllng thIS ,.11I,". I. anv alleh oellon pl.nnad? ,
_~ "Ie.." lull dllall. mu'l b' .ubmln,d wtlh Ihla oehldUlI,
V.. No
X
X
1
1a 1l1he lTanstar 'N" mid' by WIll. hi' iliny Acuon been inSIJft.nld 10 have tn18rprelld or 10 conlest thl will or any 01 ill proVTSlOns
IlteclUf9 thl chamlbla deductlonl claimed In Ihl' 8Ohldute1 ' . . . . . . , . , , . , , , , ,
II "Yea: f\JU del.... musl bl sl.lbMln.a wtth lhll sohedul..
-----..
2 Old .nv proplt'ty p_ \0 Ohsrity II Ihe ,..un 01 1 qUall"'d dloOlalmer1 '
If "YeI,. anaoh a cop ollhl wrll"ln dlsclll"*, rlClUifld bv QCuan 2!518(bl,
.".",..",..".".".,' .
X
li'I,f.!'i, !II' ,,:,
I1.M
n"lflllft
Nt"" Ind ldd,... 01 t;.n,llclary
Cha,.al.,allnlll1lullan
Amount
ISTERS OF MERC'l
o BOX 370, DALLAS, PA.
18612
ELIGIOUS
5000.00
2
T. TERESA'S CATHOLIC CHURCH ELIGIOUS
1300 BRIDGE ST., NEW CUMBERLAND, PA 17070
5000.00
;0111 from oonbnu.Uon ..hedul.. (Or .ddltlonal .hHllIl onacned to thlt DCI1l1dUle
",.,." .
3 I
\III\IIII!!!I
11111!1;II:i;
1",,1,'
:lli,'.I:'
'.'1 "!:I
i,d!!I!i'
,(I'i;,I'i...
10000.00
3 iotll,."".,."" .."",..",.,'"
.. i'9dersj ..Ilte tax (Inclualng aec1l0n 4S80A t...., pavallle out ot prooony
Inter8St8 listed BI;)O\l8 , , . . ,
..
b Otner dBII~ taxes payaele out ot propeny 1n18f8SlS lIs1&a aeave
oil>
Q Federal ana Slate Gsr laxes payable out 01 prooertY Int&rests HSIao 8DO'/e '
4<l
""..,.,. ,
4d
0.00
d Add~llI11I" b. and 0
5 Ne' valUe 01 propany inter.... IISled abOve (suDtr\1Cl4<l ~om 3). AIao ernor on Port e. RllClPltUlaaon. page 3. It
't8m'S ' , , , , , , , 5
ilt "",'0 SOICllII n_ea. .aacn the oonunuaaon DCI1l1<1Ule ~om !ho ona 01 !hIS pacl<age or addltlanll.h..llI 01 the umo _.)
(ThelntO\JcDons 10 Scnltdl.lle 0 are,n the S8Qara18 u'ISD'UctlOns.1
10000.00
S...tll T1a. 0 - PI90 31
Fat'" 7'DI Sc;A",IlW 0 lAn, 4-oJn
~:I '.;>[~'.:
" .
WARNING: Ills illegal 10 dupllcalo Il1is copy by ptloloslal or pholugrnpn.
lTE:.! ,d .s.~
SHOULD READ AS
4017290
,"",;'Ii7"',"''''~
"oij"""K Of ';r~>0,.,
",,,\~\.I,_.~. ,~" '"
,/~f;,""/ -- '~".k~\
'1:~/ !~C~\
'-' ',III, ~l
"'c .'~."'""''''~
*, " ~,..
~' _.~."
, il')';;--.. ~<.; ,i
, '"~Nl ~"". '
a .... -'
.V'I~
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LIll:.\1 R.:glsrf.lr (/'~
FcL' t'or rhis ..:crntkarl:. :'2.1)0
rouows'l,o,
/J ~-
U-n?t.; /f%2"'~'<\'Z~
Dat; (/
JAN 17~
/ /Ir/'?')
/}" /lj~,'t.::;r,t~ '
U-7M..J c.. 1
I A..,. "' (, COMMOMWIALTH 01' PI!HN8YLVANlA It DEPAATMENT Ofl HEALTH. VITAL RICORDS
CERTIFICATE OF DEATH
-~-
"""'-...._
-.E_UJCIIIIUINO
CIoUUJo.-_iNIrl
---
,~...~u.Il
D. Gmndone
UHOIAI OAV 011I'1 1111 B1FfThPV,CICClv_ i:.ACtIYOE/ofH foVotor.__~on__)
HolI,Vt I WinI.IIoN IMonrI.OIyl'Mll S4Marf",~~ HOVrfAl.; IOTHUt
I .... eb.3,1911 i5b~rg,PA ::-"~ tf\.'C'MlNl.......~ 0000\0 ~~k:. "-"'lCtO
c. ,rwfOOFOE.An1 ~4ClUTYNAMIII~I(ljt--...ot\_~"'.'INIW>llrunc.1 ~~OENTOI-HlflAt.I'lICOf\ttllHl ltACe'",,-".&'IInNtI.~""""'M
, ~~,"O~~~c-. (~
CUmbE>.rland CO. camp Hill ~Or' Care Health SerVlces " """'-,- w te
N (IN f1lJ.~NOOTI1V V~l~~~~;~NI ~:EClOft;;r'EDUCAl'~_.i ""',_~i~_"-
\ 'n:lIll__lIOI'''''''''t'lI"_ ;:" ~ ____
~M..-..,..~'...a.1 ate Dept. Revenu:.. \ ......0 :~1J. ,..,v.\~i~::.r.1 ...WJ.d~~
tlIClO<fHrSIo&ALlNllAlJONl"(9I-.C~,~l>Qeoo.t ~~rs ,JL$UIM_ Pennsylvania Oid 1,..0 .....,_IwOn...~
2204 Yale Avenue::~ ~
ilL Camp Hill, PA 170'1 Otl_'" l~~~land -, If'Pl..==='::~_Clrnp Hill
MfHI"'KANI""~" MOn,UUKol.Mll(~~,"*-,~
Fronk W. Reuwer ", Eliz<J.be EgOOJ:l er
r'-"-;;;:lan E. Reuwer , ... 4 '1f:\Te~:;~/'r'jj;;pi""F!!tf~A 17011
~ ME 0lIf'0Sffi0H 1~a'l.IlSPOSITlON'~uc"""c.-VILOC'A'Ot.~iJaio.l\clCo*
~O ::~~O "--'''-...~ ,Dlj;~r81,1997 ::rro1Y Cross Cem::!te.ry _Jll~arrisburg,PA 17111
~ uc:lNSU~P(MOH~'\lCH UCfldIlNUWMll: ~!lQlI~
/ UI4( ~~~_ 013163-L ~ F\.rnl:aL H:ne,J241i.mlel !\\e./IBn:1xre/m 17043
c....-_o/:ItooI..,_~ .. .__OI""'...........-~.....-._------~-'~s:-lUCtHflllHUWMR lo.ft&lOMlO
~."'__._Il""". (SQnta..-,...,.. / ".....,0Ir)0.'fNI1 ~l
...........Ilt_ '~'~'.L~ c.. ~ ,.,-- ht () 2. ,;t-:t~L. 1-11"~r
...Jwt_.._1Iy ~OFoe.AJ'H... j5REPf'ONOI.JHCIiDCIEAO~c...--. ~'CA$lAU'I!MIlDrol4Ol('~'~t
---- , I.. </:; ~.~ 1.lt''}'1- lu..._"'O ...~
n,HInI! ~"_"'-OI.....-__.._OaNlll_""'_Ul~_b_III"--'__.'__ I____~"*'"II cw-......._~IU_OUI
u....__~........ :__ _"",,"_~_..-...IW'\TI,
. fl1,,~J,....;f'f-,..,(W'~ i-;':z:. I&-.,L.,~r~a....-'-+-
OUtT01~Alj,....roN$i:OUiHCl~ /) '7"i--, -,
.----.tt!~.!.!1.<,z.".,.L,(~ ?r:'~L....,) ''C_L--~-~<VVV1 ______ --
[ ~___:ru(OO...s....tOl'lSEOlI("-'CiO'\ B/
""m,OA..,,",,,,,O",""'" ,---j
d. ~ 1_. "
ww nNDl! 1MHHlA0l'1:lIAJl.l CMTI01l1UMf nWIOI'llolJl,lAV iHJURY~WOfII(1 c:-.5CIIIIIJ~IH..JuflYOCC\lM'D.
~~ ,.. (! ,........ 0 ~~,.
......... 0 ,............. 0
s.- 0 ......""001__ 0
T. Frances
AO (\.Nt UHOII'l , VI,AA
85 ,~I-! "'"
"-"L._:':J..__L
CCU1400l'0lAlll
-4757
~aQ'~1~00Il,o.1'_'
.,JIl1l.15,1997
Ol'OllCtDllNTII""~.UlIlI
::.vI 0
S(IAvtvlHOtn.lM
1"""'..~lNo<MnNIIfW'
......""
..-
..... 0,.0
- -
~lChD_....
'~~~~_.~_"'-IlI\'rlIIOM"'lII'on:u'lQID__"-_T.Jl
T.........,----.......__......~......_....._..,.. ....,., ,.. "".,.,
",
. *- II.
1'\.Ir.CI:00foUJlV......._,-..-.,;lIIfw
----
....
... 0 ..1i1
...0
..0
NfQ~~~_~__~IO'--I1~
T.__.............__._-. -._..-.__.1'IlI-..,....._..-....,
-...cM..... ~~"
O'........_....,..L ~.-y'""'*"",_____.IM........,_......__.....___..
--........""".,."""'."""""..,. .........,.................,
...
CP~ 11/01
I..
""'.......
~)7l ~
.;< ,/ ,", /, /1
--
_Of
NOTICE I
PAYMENT I
REFUND (CR) I
Hv,
fk!i. I'd,
t>f
I Jdif;
'98 :i[P 16,1' i. :11
elflf. ill
CUInI 1'1\
To fulfill the r.qulrlHntll of SlOtSon t145 (b) of the! Inhtrltttnoa Md E,tat. TaM; ,lot, Act 21 (if 19'1'.
(12 P.S. GlHltlon 9145),
PltaOh the top portion of thlt Hotlo. Mnd .~It with your Ply*-nt to thl Raol"tar 0' Willr printed un tht
rlVlrn aide.
~~ Makl oheok or ItOMY orMr plyebla tal REGISTER OF MILLS, AGENT,
A refund of II ta~ oredit ..y b, r.qu..t~ by oOlPlltlng ~ "Appl1cfttlon for Refund of PtnnlYlvenl.
InhlrltlMlOl IIlfId Elt,t, TII<" IIf[VMU15). Applloatlons ara .".U.tJh at ttM Offlol of 1h1 Regis"r of Wllh,
any of tht 25 Revenue Dhtl'iot Offlc.. or fr~ the OtipartHnt'. f4.oour MI",rlng ..ndo. I'lUIIberl for for"l ol'dering1
In PGfWllylvanl, 1-1\00-]62-2060. ouhldfl Pannl)'!",.,la and wJthln 100111 Uarrhburll ar.. (17) 781-8094,
TOOt e7l7) 772.2252 U".rlno l"Pllrld Onl)fl.
OIJECTIONSI Any party In Int.rl"t not ..tl.fl~ with the ........nt of tax a. .hown on thl. notl08 ~ay objlot within
.Ixty (60) dayn of receipt of this Notlc. hYI
-~wrlttWl flrot..t to the PA Depart.ant of Relllnu., ao.rcl of App.ah, DIPt. 281021, Harrhburlil, PA 17128~1021, OR
--tiNting to ha...a the .atter det"",.ined at audit of the per.on,l r.pre..ntat!...., OR
Ha~t.l to thl orphan_' Court,
AlMIIN-
ISYRAnVE
CORRECTlOMSI
PENAL TVt
lMTEREST J
Fmotual .rror. dl.cov.r.d on th!. ..s.....nt .hould be addr.s.ed In wrltlno tOt PA Oepart-.nt of Rov.nul,
Bur.au of Indivldu.l Y,x'" ATTNr POlt A.."....nt R.vllw Unit, D.pt, 280601, Harrhburo, PA 17128-0601,
Phon. (717) 787-6505. See pao. 5 of tho bookllt "Instruotlons for Inh~rltance TaK Return for I Re.lnent
DeolNtent.. UW:V~150U +Or ItI't explenatlon of adtllnhtretJvely correotllbhl Irrorfl,
Ttw 15X tax Hnlllty non-partioipatlon penllty It oOllput.d on the total of ttHt tax and int.r..t ..1I....d, and flat
paid b.for. January 18, 1996, the flr.t d.y aft.r the Ind of the tax aaneaty p.rlod. This non~p'rtlolp.tlon
Ptna1ty is app.,lable In tht .... ..nn.r and In the the .... tI.. par'lod .. YOU would IIPPI'.1 tht tlx Ind Int.r..t
that hat been .......d II 1~lo.t.d on this notlc..
For dat.. of death on ~r .ft.r 10HS~91, Penn.ylvanla F.lt.t. Tax ba..d on the F.deral E.tat. Tax
r.turn b8c~. dellnqu.nt .t the axplratlon of nine (09) lontha frol the date of death,
Fur dat.. of d.eth pritlr to 10wSH91, Penn.ylvllrlla E.tflt. Tex be..d on 1he F.d'I'e! E.tate 'ax return
baoOM' daUnquent et the e"plreUon of .Ight..n (8) _onth. frOl the det. of de.th,
rlXII whloh b..o... d.Unquant before January 1, 1982 bur Int.relt at 'hft rat. of .Ix (6X) percent P41l' IIMIJI
oalculated .t . dally rete of .000164. All tllxe. which bloa.. delinquent on or after January 1, 1982 will bier
Inter..t at a rate Nhlch wIll vary frOl caland.r year to oalendar y.ar with that rat. announced by the PA
o.art..nt of R.vanua. The ttppllollbl. Inter..t rates for' 1982 thl'ouOh 1996 ar'l
Vear Int.ra"t Rat. O.Uy Int.r..t Factor Vear 1ntereet Rate Daily tnterllt Factor
1962 20:< .00054& 1967 97. .000247
1985 16:1: .0004S6 1948-1991 11:<- .000501
1964 11:< .GOnOl 1992 9% .000247
198& 15X ,000556 1991-1994 7'1. .000192
1966 10:< .000274 1995-1998 9% .000247
w~lnter.1lt I. o.louletad .. folloNDI
INTEREBT . BALANCE Dr TAX UNP6ID X NUHBER Dr DAYS DELINQUENT X DAILY INTEREST FACTOR
wwAny Notle. luued .fhr the tax beeo... deUnlfUlnt wUl reflect an Inter..t calcullltlon to flft"" (lID d.yi
"yond the delt, of thl ......."ot. If pay..r,t It ..de eft.r thll Int.r..t coaputatlon d.te .hoNn on the
NoHce, additional Int....f1t lIu.t be oaloulated.
( , . ')
/) 1-') (, /1
BUREAU OF INDIVIDUAL TAMES
INHERITANCr TAl( DIVlSJDH
tlEPT, 2806001
ItARRISIURG, PA 11128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*'
NOTICE or INHERITANCE TAM
APPRAISEHENT I AI.I,OWANCE OR OISALI.OIIANCE
OF DEDUCTIONS AND ASSESSHENT OF TAM
nV-lu, u." U~.nl
09"15-1998
GRANDONE
01-15"1997
21 97-0075
CUMBERLAND
101
F::~=~Ount~~L~i.- j
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17nl3
CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ~
R 'EV :iSi,"j-Eif-AFP - f iI9-:9;T" iiili" ici""OF--itiHiiiif ilNCE- T AX- ,)ippiiiiiiii~fIfNr;-Aii."ljiiilNCE- iili - - --------- - - - - --
DlSALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
FRANCES D FILE NO. 21 97-0075 ACN 101
DATE
ESTATE OF
DATE OF DEATH
FILl! NUMBER
COUNTY
ACN
FRANCES
D
JOHN D SHERIDAN
SHERIDAN & FRITZ
3905 N FRONT ST
HBG
PA 17110
ESTATI! OF GRANDONE
DATE 09-15-1998
TAM RETURN WAS, 1 X) ACCErlED AS FII.ED
RI!SERVATION CONCERNING FUTURE INTEREST . SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R.al Est.t. (Snhedule A)
2. stot:ks and Bonelli (Sch.dule B)
3. Clu..ly ...ld St:ook/Pllrtne"ahip Inter.st (Sch.dl,J.e C)
4. Kortg.gee/Not.. Receivable (Schedule D)
!i. C..h/8ank D.pod h/Hisc. Pa,'sonal Property (Sohedule E)
6. Jointly Owned Property (Schadule f)
7. T~an.fer. (Schedule G>>
8. Tot.l Aseets
) CHANGED
202.500, QJL
542.147,00
,00
14.800,00
465,555.00
.00
,00_
(8)
NOTE: To in.ure proper
oredit to your .coount,
.ub.it the UPP.~ po~tion
of th1~ forM with your
tax paYHnt,
III
12)
13)
(4)
(5).
(6)
(7)
1.225,002, OJ!,
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Ft..NWI~.1 Exp.ne.../Adtt, Costll/Hho, Exp8n... CSchtldul1l to
10. Debtl/"ortU.UCl UabUt ties/Uens (Sch.dule I)
11. 10tal D~ot1Dn'
12. Net V.lue of Te~ R.turn
15. CharUable/Oovarn...nt.l B'QU.fltSj Hon~el.ot.d 9113 Tru.h (Schtldul. J)
14. Net Value of e.tet. Subject to Tax
131, 695,00
10,065.00
Ill) _141 ,760 nn
1I21 1,083,242.00
(13) 10.000,00
(14) 1, 073,242,00
(9)
110)
If en essessMent was issued previously, lines 14/ IS end/Dr 16, 17 and 18
reflect figures that include the tot81 of 6lJ.. re'l:urne en..sed to date.
ASSESSMENT OF TAX:
16, AltOunt of Line 14 .t Spou.al ret. C 15)
16, AltOunt of Line 14 taxabl. .t Lin..l/Class A rat. (16)
17, AfIK)unt of L.in. 14 t.>:;abl. .'l Collat.r.l/Cla., 8 rat. (17)
18. Prinoipal T_x Due
NOTE:
will
,OOM'OO.
,00 M .06,
1,073.242.00 X .15,
(18)
.00
.00
160,986.00
160.986,00
TAX CREDITS:
PAVHENT
DATE
04-01-1997
10-13-1997
RECEIPT
NUHBER
AAIB5343
AA242331
DISCOUNT l+)
INTEREST/PEN PAID (-)
7.894.74
.00
AHOUNT PUD
150.000,00
20,000.00
177.894,74 ~
16,908,74CR
.----
,00
------"._--
16,908,74CR
TOTAL TAX CREDIT
-----
BALANCE OF TAX DUE
INTEREST AND PEN.
~--,~
TOTAL DUE
. IF PAID AFTER DATE INDICATED. SEE REVERSE
fOR CALCULATION OF ADDITIONAl INTEREST,
IF TOTAl DUE IS LESS THAN U, NO PAVHENT IS REIlUIREO.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" lCR). VOU HAV BE DUE
A REFllI<D. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS,)
I'lu,i
H',
'I
i l--~
'9B
SIP 1 rJ
n ') : 11
I f._
CI,:I
CUITII
l\
RESERVATION I Eat_t.. of o.o.o.nt. dying on or Hfor. Dee..,. 12, 19&2 w~ if INwfutur. intar..t In the ..t.t. 11 t,..".f.rr,d
In po'Hnlon or ",jov""t to Cl... a (OOU_tl,.1) beneflol.rlu of the decleant Ift.r th* INPlr.tlon of ,,"v alt.t, for
llf. or for ~..rl, the C~..lth her~y Ixpr...ly r...rvel t~ rJlht to IPpr.I.. Ind ...... tranlf.r Inherlt~. rIX..
at t~ llWful CI... . (0011,tar.1l rat. on env .uoh future Int.rolt.
_Of
NOTICEl To fulfill the r.qulr...nt. of slctlon 2140 of thl l~rlt.no' ~ E.t.t. Tlx Act, Aot 21 of 1995. 172 P.S.
s.ctJoo 91ttO),
PAVMfNTI Dthoh thlt top portion of thlt NoUoe 11M taU with your pIYlent to thl Righter of Willi prlntlld on thIl rlv.r.. .tdt.
--Hilke chuck or tone)' order plyllble tOI REGXSTER OF MILLS, liOENT
REFUND (ath A r.fund of iii t'l( orMllt, whloh Nil' not rlquflatld on thl rllC Return, ..y b. nqu..ted by cOliPl.tln~ M1 "Appl!CIUQrI
for R.fund of PInn.ylvenll lnhtrlt.nc. and Eltat. Tlx" (REY-1313), Applloltlonl Ir. avallJbl. Ii the Offic.
of thtl RliIIllt.r of "11h, lItly of the 23 R.venue DlItrlct DffJoer., 01' by oaUlng the .peoSll ?if~hour
Inawtrlng .wrvic. nu.bar. for for~1 ordlrintt In p.nn.ylvanla 1-800-362-2050, out.id. Pann.ylVlnia end
~lthln looal Harrl.burg ar.. (7173 767-8094, TDD' (717) 772-2252 (H.arlng 1.~llrad Only),
OIJECTIONSr Any plrty In Int.rl.t not .,tl.fled ~Ith the appraJ.~t, allo~.noe or dl'allowlnc. of ~tlon., or .......-nt
of tal< (Including discount or intlr..t) I' .hown on thh HoUoe .u.t objQot within IIxty (60) dlV' of reo.lpt of
th1t Hotioe bYI
--..,r Itten protl.t to the PA D.part.ant of Ravenue, lioPlrd of Appel15, Dept. 261021, Hlrrhbl.rrg, PA 17128-1021, OR
--alaetlon to h..vII the .ltY:lr d.hr.load nt audit of the eooount of the per.onal repr..ent.Uv., OR
--"POSit to tht Orphan.' Court.
ADltIH
ISTRATlVE
CORRECTIClN$1
factual arror. dJlcov.rld on thl. ........nt Ihould b. addra..ad In wrJtlng tOI PA D.p.rt..nt of R.venue,
Bur.1Y 01 IndJvldUll T.xI', ATTHI Phlt A.......nt RavJI" Unit, Dept. 280601, Harri.burg, PA 17128.U601
Phone (717) 7&7-llS0S, s.. plge S of the; booklet "In.tructlonll for InhorltanClI T.IC R.turn for I Relldtlnt
Deoedent" (REY-1501) for dO Ixplenfttlon of ~Inl.trltlv.ly corr.otlbl. error..
DISCQUHTl
If any tax due JI pIld within thrl' (5) eal.ndlr 80nthl after the d'Q,d.nt'. death, . five peroent (5X) dl.oount of
th. talC Plid JI .Ilowed.
PENAl TV;
ThI 15>. tax .,..b non-plrth:dpaUM p.nalty It oOlput.d on the total of the tlX and Inter..t .......d, Ilnd not
p"ld blfor_ Janu.r~ 18, 1996, the Brit dillY Iftcr the and of the telC lIInI.ty p.rJod. This non-pllrtiolpaUon
penalty 1. epptalabl1 In the .... aennar end In the the .... tl.. Plriod II ~ou ~uld app.al the tax end Int.r..t
that h.. b-.n ......Id .. lndlnlt.d on thh noUo..
INTEREST I
lntlaralt 11 chlrgad baogJnnlng with Ur.t dfIy of d.llnqu.ncy, or nllll (9) IIOOth. and one (1) day froa 'ttul dab of
aath, to ttM d.ta of paYlen'!:. Ta)(.. whloh b.e... dlllnqu.nt bllforl Jlflulry I, 1982 b..r lnt.,..t at the nte (if
.b (6;() pflretnt par' lMUII oalcuhttad It . dally rete of .000164. All tll<.. which baO... delinquent on and Ift.r
Jenulr~ 1, 1982 will bear Jnter..t at . rlt. whloh ..,ill vlr~ frOl c.l~r y.ar to c.lendlr Yllr ..,Ith that r.t.
ennou:'Ie~ by the PA Dlpll'tHnt of Rovenu.. Th. applicabl. Jnt.r..t rat.fl for 1982 through 1998 Irlll
l:!!f. Inter,..t R.t. D.ily Int.re.t factor :!!.!r Int.r"t ".te Oll1y Inter..t FlIOtor
1981. 20;: .0OOSifa 1987 9X .OO02~7
1985 16;: .OOOif36 19.a~I991 11;(' .000301
1984 11;: .000501 1992 OX .DaoU7
1915 15;: .OOn56 1995-1994 7X .000192
1986 lOX .00OZ7if 1995-1998 9% .000247
~-Int.r..t it calout.tad ." follo...1
INTBREST . 8ALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any MoUee lllUld .ftlr tN t.x MoOMC d11lInquent wUl rflnlot Itl'l Jnhr..t cIlouleUon to Hna.n (IS) diy"
beyond the dlt. of tht .........,t. If pay..nt 51 ..de lifter the IMer..t ooaput.tton date lhoNn on the
NoUo.., additional Int.rllt !lUlt ... o.lculated.
Ij~ / 5 c~'1O
COMMONIft:AL1'H OF PENNSVLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
c.
*'
BUREAU OF INDIVIDUAL TAKES
INtl:IUfA,f(:!" Uk IlIVISIOH
PfPT. za0601
HAARlSIUfW, "A 11ltoll..06't
'~HIII II ~" U'.HI
JOHN D SHERIDAN
SHERIDAN . FRITZ
3905 N FRONT ST
HBG PA 17110
OAT! 10-05-1998
ESTATE OF GRANDONE FRANCES D
DATE OF DEAT.' 01-15-199'1
FILE NUMBER 21 97-0075
COUNTY CUMBERLANP
ACN 101
f---"iiiOunC Ral U;;;;---j-
~- - - - --
-.-----------..-.---
MAKE CHECK PAYABLE AND REMIT PAYMENT TOI
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE, PA 17013
HOTEl To 1naur. p"'ope,.. o,...dtt to your acoount, aubtdt the upper portion of thh forti NHh )lour tax p.YMnt.
CUT ALONO THIS LINE ... RETAIN LOIfER PORTION FOR YOUR RECORDS ~
Rifi=i60-;-Ej["AFfi-io3i:97i-------...--iNiiERiY"ANCE"OTAj[-STA-fEHifNi-iiF-Ac:Couiif--.-..--------""--"--------
ESTATE OF GRANDONE FRANCES D FILE NO. 21 97-0075 ACN 101 DATE 10-05-1998
THIS Sl'ATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE ST^TEO ACN IN THE NAHEO ESTATE. SHOlfH BELOW
IS A SUHI1ARY OF THE PRINCIPAL TAX DUE, APPtICATION OF All PAYHENTS, THE CURRENT BALANCE, AND, IF APPLICABLE"
~ PROJECTED INTEREST FIGURE,
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 09-08-1998
PRINCIPAL TAX DUE,
160,986,00
PAYMENTS (TAX CREDITS),
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (- )
04-01-1997 AA185343 7,894.74 150,000.00
10-13-1997 (,-, AA242331 .00 20,000.00
09-14-1998 , . REFUND .00 16,908.74-
,.
\--.)
,..
"
1'.1
"
1- I~'
"I ~
--.. ....j
'..)C:
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
160,986.00
.00
.00
. IF PAIP AFTER THIS PATE, SEE REVERSE
SIDE FPR CALCULATION OF ADDITIONAL INTEREST,
I IF TOTAL DUE IS LESS THAN n,
NO PAYHENT IS REQUIRED.
TOTAL DUI!
.00
IF TOTAL DUE IS REFLECTED AS A "CREPIT" fCR),
YOU KAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. I
PAYMENT I
o.t., the top portion of thh HoU~ Ilnd 1Ub111t ..ith your plvrwnt ..eft plyabl' to the ,..1 Ind Ilddr'III'
printed on the ~.r" .Ide.
If RESIDENT DECEDENT ... ohlIok or IIOM~ arU.r pe~lbl. tal REGISTER OF MILLS, AGENT.
If NllOl-RESIDENT DECEDENT .... chOCk or ...... or.r ...obl. tOl C_~AL TK OF PENNSYLVANIA.
REfUND ((:II) I A refund Qf . tal( arMJJt. which "II' not requ..ted on the TII( Return, .ey be r",",.ted by cOIlpleUng !In
"Appl101Uon for Refund of Ponn.ylYWlle Inhllrlt.no. end E.tlt. Tel(" (REIJ.Ul:5l. Appl1011Uonl.,.1 twllllbl. .t
~ Office cf the Reelttlr af Will., ~y of the 2! Rlvlnu. District OffiCI' or fr~ the OIpart-.nt'. 24-hoUr
..tI",el'lntI ..rvlcl OOIIbtr. for for.. orderlngl In PMln'vlvanla 1~800.562-205D, outflide Penn.ylvWila
end withIn looaI HarrllbUrg arem (117) 787~8094. TDOI (717) 772-2252 (Hearing IIP.lred only).
ftEPLV TOI QuI.tion. rlllerdlng error. contained on this noUo. IIhould be addr"1I1td tOI PA o.partMnt of R.VInUI, aur...
uf Indlvlduel TeM'" AllNI POlt A.......,t Review unit, D.pt. 280601, Harrl.burg, PA 17128-0601, phonI
(717) 7'7-6505.
OISCOUNTl
If ~y tal( dUe I. paid withIn three (3) cal~r aonth. after the decedlnt'. ~ftth, a five percent (iX) dllOOUnt
af tM taM paid Is aUowed.
PENaLTY I
Tho 15;( tex .......tv non-pllrUclplUon penaltv Is coaputed on the tot.l ('If the teM .m Intere.t .....Nd. end not
paid before In..rlf 16, 1996, the fir.t dev after ttM end of thti tek MmI.ty porlod.
INTEREST I
Int.r..t 11 charged beginning with flr.t de:! of d.UnQUflnCIv, or nIne (9) .onth. and one (1) day frOll thli dIltt of
~th, to the date of pey.ent. rex.' Which h.onAI d~llnquent before J.nuerv 1, 1912 beer Int.r..t It the rate of
_II( (6;() percent per ~ calouleted .t a delly r.te of .000164. All teM" which bee... delinquent on end .fter
Jenuar~ 1, 1982 ~Ill boar Int.r.,t at . r.te which NIll vary fr~ calender y..r to calendlr ~r with that rlt.
ennounoed by the PA DtpartMnt of R.Venull, The IIPPllcatll. lnt.r..t ut.. for 1982 through 1m er.l
V..r lnt.r..t alte Dallv lntere.t factor Veer lntere.t Rat. Ollh Intlre.t flKltor
1982 m .000"' 1987 9~ .000247
1965 16)( .000458 1986-1991 11~ .000301
1.... Il~ .000301 19'12 9;: .000247
1915. 13;( .000356 1993-1994 n .000192
1_ 10~ .010274 1995-1991 9~ .000247
~"Int.re.t 11 celcu1eted IS fallaw.,
INTBRBBT . .AWeE OF TAl< UNPAID X NUNBER OF DAYS DELINqUENT X DAlLY INTEREST FACTOR
.-Any Hotl~. i..ued efter the tax bec~.. dllln~"t NIIl reflect an Int.ra.t ce1auletlan to fifteen (IS) dey.
beyond the _to of thti ...Q.-.ont. If pay...,t I, aide aft.r t.... lnt.rl.t cOllputetlon det. tit""'" on the
Hotlc., additional lnter..t ault be ca~culltld.
, ,
~Of
NOnCE I
To fulfill thl r.qulr..-nt. of Saotlon 21~& (b) of thl InhlrlttnOt Ind E.t,t. lax Aot, Aot 21 of 1"5. (72 P...
hctlorI914&),
PAvtI!MT I
INtlKlh the top pot Hen of thh NQtJOIl and lubIIlt with your P.YHnt to J:hI Reghter of NUll ptlnttd on thl
r'var.. .ld..
MM Mek. ohootr or ItOMY order p8v~1. tOI REOISTER or MILLS" AGENt.
REFUND (CR) I
A r.fund of . teK orlldlt Itft~ ~ reqUlllttd by 09Phtlng an "ApplJoIIUon 'ai' R.fund of P.",-..y.lvlIfll.
Inherlt.no. .od E.t.t. rex" (REY~1313). Applloations .ra eval1eble at the OfficII of thl _..I.tar of Nll1',
8nY af the 2S Revenue District Offl08' or 'rOM the Depart..nt'. Z4-hour In.werlng lervle. ~~r. for fori' orderlngl
In P8nn.ylv~J. l-eOO~56?-Z050, out. Ide P~.ylyenl. and within looal Hartl.burg er.. (717) 717-8094,
TbDt (717) 772-2252 (....ring lIP' Ired Only).
OBJECTIONS I Any parb In Int.re.t not ..thfled MUh tM ........nt of tllK U .hown on thill noUel ..~ objeot within
.1~l~ (60) da~. of reoeipt of this Notlc. bYl
~~wrltt~ protest to the PA Depart..nt of RAV~, Bo.rd of Appeals, Dapt. 281021, Harrisburg, PA 17121w1021, OR
--.I.oUng to have th, Clatt.r dlt'r.lM;d at audit of the p'rsontll rtIPra..ntsU\'I, OR
--lIppasl to tho ()rph.n.' COU1't
_IH-
JSTAATIVE
CORRECTIONSl F~tUll .rror. dlsoov.r~ on thl. ........nt .hould be Iddr....d ln wrltlng tOI PA o.p.rt-.nt of ReY~,
Bureau of IndividUal Ta~", ATTNI Po.t A....u.nt R.vllw Unit, o.pt. ZI0601, H.rrlsburg, PA 11'121-0601,
Phone (717) 717~6505. s.. page 5 of the booklet "In.truotlons for Int~rit~. Tlx R.turn for I RI.ldant
OIcldclnt" (REY-ISO!) for lIn .)(planatlon of e.dIllnhtr.tlvel~ corrlotltbh .rror..
PENALTVt
Tho 15% tal< "n.st~ llon~Plu.tlolpatlon pen..l h' II oOllput.d on tho ':ohl of the hlC MltJ Int.r..t ........., Ilnd not
paid before J*"Uer~ la, 1996, tn. flr.t dty .ft'r the and of the ta~ .-ne.ty perlod. lhl. nonMPlrtlo1,.tlon
penalty h eppealabll In the .8M .antler end In thflt thel .... U.. plr lad I' YOU would Ilppeal the tlM end Inter..t
t~t h.. baln .......d .. Ihdloetld on thl. notloe.
INTEREsr f
Additional Penn.~lvanl. E.tate Tsx ....s.~ a. . r..ult of . change on the F~rel E.tatl lllC olo'lng
laU.r blOOM. deUnquent at the expiration of 0",1 (1) lonth frOll the det, the fin.l natiol of the lnar....
ih f.o.r.l E.tate T~~ I. receJvad.
hill.' whJch tMoUII dIIlJnqtMnt b8forl Januarv 1, 19a2 blllr intlralt .t the rite of .1~ (6X) pe;to..t per ~
a.loul.tld It .. dally r.t. of .000164. All taM.' whloh beo~ delinquent on or .fter Januer~ 1, 1982 Nlll bear
Interelt It . r.te whloh wl.I1 Vi1ry fro. owl.OOar y..r to ollW1dar YI.r NAth that ntl wmounc.. by the PA
Deplrt-.nt of N.venue, The appllcabll Inter.lt rat.. for 1982 through 1999 Ira:
!!!r Int.r..t Rllt. D.lly Interut FtKltor ~! Int.r.1t R.te DIlly Intlr..t factor
1'82 lOi: .OOOM8 19aa~1991 IIX .P0030l
1983 16% .00043-8 199. 'X .0002lt7
1.04 11% .000101 1993~1994 7X .OOO19l
1915 U% .OOO~S6 1995~11J98 'X .OOotl\7
1_ lOX .000274 199. n .000192
1.17 'X .010l47
.-Int.r.~t II oBlnullt.a I' follow'l
INTEREST . RALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
.-An~ Hotlol alsued .ft.r thu tlM beoo... delinquent will rlfllC~ an Intere.t calcul.tlon to flft-.n (IS) dlY'
btI~ond thai dIIt. of tho ........."L If pay.ant 11 ..dtI eftlr the lnter...t Ct)llpUt.Uon dllte showrl on the
NoUe., .tdltionaJ Int.r..t .Ult be calculated.