HomeMy WebLinkAbout97-00076
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PETITION I,'OR IlROIIA l'E and GRANT (W LETI'ERS
Estate OI.__,,_/~t~jL//1jll);n"-,,,,,-- No, 'n"__U=n!q93.:Q~llL_____,,
al.vo known as ~___''''_n''''. ____, ____nn_" To:
_____,,___~'_"_n"_ _, nnnnn Regl~ter of Will~ for Ihe ! I
--'.....----c- ""m' "7^ I?ec/'Osed, County of _,,,.L1!..0d;i'[!<II.lf, in the
Social Security No, __J'JL.l..J.~,_",_'j'j>_n, _____,_ Commonwealth of Pennsylvania
The petition of the uoder~igned respectfully represents that:
Your petltloner(s). who Is/are 18 years of age, or \lld,r,an the exeeull I"y'
In the last will of the above decedent, dated __ _--'2I1!d:iL. ,21f
~~_ CO~icil~! d~t:d ~~:~\'~=-______--.:--==--=__
n~ed
,19 J
_._.~-------
(~lale relevant cirCllmstanccs. e.g. renunciation. death of executor, etc,)
Decendent was domiciled at death in _(/,/nj,,,rXlllt! _ , Coupty, Pe/wylvanla, with
1Lll........._ last femily or principal residence at I/O!) h7?iIL' - Or {11m JIM!, hl-1.Zf2ll
-- h}J/TI!t.'i,LJL "tn' _,
(lIs! str~el. number anf"t mundpality)
j j 71
De9F,pde~ ttv:n 7 ,vellrs of,a~e, died o/l1J1110rV.--L--... ,19,____,
aL.:fJP lok, () ( , , If/I 1:1 /1(/1/ I ".
Except as follows. decedent did not marty, was not diVorced and did not have a child born or adopted
after execution of the will offered for probate; was not the victim of a killing and was never adjudicated
Incompetent: ,,_______..__.
Decendent at death owned propen)' with estimated values as follows:
(If domiciled in Pa,) All personal property
(If not C:omlciled in Pa,) Personal propeny In Pennsylvania
(If not domiciled in PII,) Personal plopeny in County
Value of real estate in Pennsylvania
situated as follows: "
$ ~ ~OOOOO
$
$----
$
WHEREFORE. petltioner(s) respectfully r uept(s) th, probate of the last will and codicll(s)
pr..ented herewith and the grant of letters t's1't1mmMr
theron,
(testamemary. administration c.l.a,; administration d,b.n.l:,t,a.)
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OATH 01<' PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA }' ss
COUNTY OF CUMBERLAND
-~-___'_"'.__N__~_.
The petitloner(s) ablll'e.named swear(s) or afnrm(s) lliat the statements in the foregoing petition are
true and corrccI In the beSll'f the kilowkdgc and bl'iicf of petitioner(s) and that as personal represen-
tative(s) of the above deced~llt petilioner(,) will well,and"trulY adm/'Ilister the eS,ta"te according to law,
,)
Sworn to or affirmed and subscribed - /11 ~~(L ). 1;)-G.!/l!z)L",- _ ~
S<l{fWlliWYthis ___EJ.::cL..__ day ""~ [ j.,_,..,,_,,_____n_____,. ~'
, ~,_+"'" I:l
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COIIIIONWEA~TH OF PENNSY~VANIA' DEPARTIIEHT OF HEA~TH' VITA~ RECORDS
CERTIFICATE OF DEATH
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predeceased me. Any person other than me who shall have died at
the same time as any then beneficiary of income oj: my estat,e or a
trust created hereunder or under such circumstances that it is
difficult or impossible to determine who shall have died j:irst,
shall be deemed to have predeceased s~ch benefi,ciary.
ITEM V;
No interest in income or principal of my estate
shall be subject to attachment, levy or seizure by any creditor,
spollse, assignee or trustee or receiver in bankruptcy of any
beneficiary of my estate prior to the beneficiary's actual
receipt thereof. My Executrix shall pay over the net income and
the principal to the beneficiaries herein designated, as their
interests may appear, without regard to any attempted
anticipation (except as may be specifically provided herein),
pledging or assignment by any beneficiary of my estate and
without regard to any claim thereto or attempted levy,
attachment, seizure or other tJrocess against said beneficiary.
ITEM VI: In the settlement of my estate, my Executrix shall
possess, among others, the following powers to be exercised for
the best interests of the beneficiaries:
(a) to retain any investments I may have at my death so
long as my Executrix may deem it advisable to my estate
so to do.
(b) to vary investments, when deemed desirable by my
Executrix, and to invest in such bonds, stocks, notes,
real estate mortgages or other securities or in such
other real or personal property as my Executrix shall
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Name(s), addresses and telephone numbe~'(a) of all counsel
Name
Address
Telephone
S. Walter FOulkrQ>L.......IY.... Esq., 2215 Forest HilljLDr. 7l~41-0400
Harrisburg. PA 17112
Additional information may be
Date :1#7
obtained from the~unde gned
Signature~ ______~:
/
Name S. Walter Foulkrod. IV.
Esquire
Address 2215 Forest Hills Dr.
capacity:
P. O. Box 6600
Harrisburq. PA 17112
Telephone (717) 541-0400
Personal Rep~esentative
_ X
Counsel for personal
representative
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> > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < <
Uflder penallles 01 pwjury, I declllO that I have oK8mined this return, Including 9Xompanying $ChodllleS and statements, Md \0 the best 01 my kn~ and belie!, It I" lrve. correcl8f1d Complflla DeclaratJon of prepNof Oih;"-
than the OElrsOl'IaI rQ.t!!ionlallve Is bas&d on f11llntormalkm of whi.:h urOD8fer has nnv knowladae
:EG TURE Of PERSON RE,SI)ONSIB).E, FOR FllI~G RETURN AODRES~ I ~ j f
v- 1\..UQ.- i'I . (.j~~~~__ 1/ O~~t.:'/?~~f_~__ t!MK p rrdfPlt /761/
SI ATURE OF PREPARER OTHER THAN REPRESENTAlIVE ADDRESS '
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RIVII'(l')E)('ltel)~
COMMON:~SYLVAN,^
DEPARTMENT OF RE'/ENUE
fI RRI DEPU~~' , RESIDENT DECEDENT
DECEDENT'(, t>W.lE (LAST, FIRST,.-.NO MIDOlE INI1IAU UN!' b1~rI<. block... MIl-. WOIdl
'Ut:.6 s' :JbNAJ H
SOCI.4.l SECUfmV ~lt!MEI/;R -DAn Of DEAHl
S 0-( (," 7 8 1 z. b /I () (I; q 7-;
(IF N>flllCAfllE) $URVlI'1NO SPOUSE'S N,wE (lAST. FIRST, AND MID~lE INITlM) SOCiAl S~CURIT'( NWBfR
,.)';1
REV -1500
INHERITANCE TAX RETURN
FIIJ!NUIIlER
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[THIS RETURN MUST BE FILED ~ OUPLICATE WITH THE
, REGISTER OF WillS
1. Original Return 0 2, Supplemenlal Rolum 0 3 Remelnder Return I'..."..... 0",1>81,
o 4, L1mite<l Ealate 0 4a, FuMlllnler.al Compromise "..._ "'" ",'1-821 0 5, Fe<lera' ESlate Tax RSlum Re1Iulred
~ 6, De<>ldanl D~ Teslalel^"",,,,,,'W'1 0 7, Decedent Mslnlalnad a living Trust 1_' """IT""I _ 6 TOIaI Number 01 Sale Oaoo,IIBoxas
o 9,lltJg.tion Proceeds ReceNe<I 010, Spousal Poverty Credlll...."""_. ",M' "" ',',951 011. ElooIJon 10 Iaxundar Sac 9113(A)I_"'hOI
'rHIS SECTION MUST BE COMP~ETED. ALL CORREBPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOUl.D BE DIRECTED TO:
NAME Jet nit:!, e. If. ' 13 u ~ t- L) ~ coo:: ~~l~ ,"oR/~ / I ./) 1 e I.d j<.d
FIRMN.WE (1'~liC~l-' '/ --,- a
CfI+t p ;-I f LL rrl
g
170(1
I Real E'late(ScI1adule A) (I)
2 Slock., and Dond' (ScI1adula B) (2)
3 Close~ Hs~ Corporallon,Partnershlp or So~-Proprietorsnlp (3)
4, MOI1gtges & Notes ReooNab~ (S,nedu~ D) (4)
5, Cash, Bank Deposlls & Mlscollaneous Personal Property (5)
Z (ScI1e<1u~E)
0 6, JoInlly ONnecl Property (ScI1(ldu~ F) (6)
5 7, Inler,Vlvns Transle", & Mlscellanoous Non,Probata Property (7)
:;) (ScI1e<1ula G or l)
t: 6,10101 Gro.. A..llI1 (Iolalllnas 1-7)
!:c
0 9 Fun"al Expenses & AdmlnlstraUve Cnsis (ScI1edu~ HI (9)
W
cr: 10, Debls of Decedent, Mor1gaoellebllllles, & l~ns (Scl1adu~ I) (10)
", T Olal Deductlonl (tolallln.. 9 & 10)
, -
.' ,
6, ~ b 9
g 3
i~-<!
3,/7~.73
u;
ItJ,O,/"O..5b
(6)
I
8,17 b.75
(11)
(12)
(13)
g,77b.75
(,2.(,,3 '61
12, N.t V.lul 01 Ellat. (line 8 minus Lina 11)
I 3, Chanlab~ and Govemmental BequeslslSec 9113 Truais lor wh~h an elec1lon 10 tax haa not been
noda (ScI1edu~ J)
14, NttV.lu. Sub)eot to T..(LlneI2 minus Line 13)
15, Amount of line 14 Iaxab~
al the spousal tax rale 1 ,
See Instructions on ",verse s~e for appllosb~ percenlaile
16 Amounl of line 14taxab~
816%"1.
17, Amount of line 14 Iaxab~
a115% rate
-
I,Zb3.~ I
(14)
, ,0
(IS)
'75. g 3
X06
(16)
(17)
(18)
x ,15
75. g '3
'16, T.x Due
19
CllfCK IIERE If YOU ARE REQUESTING A REFUND OF AN OV[ RPAYMENT
DATE
t:"
/ {J/7iJ ()()
Decedent'lI Complete Address:
~"~"'"~':~~~~~~;=~-=~~-__=r;;';1t ~~~liOII~
7.S"- ~2
Tax Payments and Credits:
1 Tax Due (Page 1 Uno WI
2, Credlls/Paymenls
A, Spousal Poverty Credil _______,______,___
8 Prior Paymenls
C, Dlscounl
(1)
Tolal Credlls (A + 8 + C I (2) ______
3,
InlA'AsUPenally If applicablA
0, Inlerest
EPenally
_It/.., 03
5,
TolallnleresUPenally ( D tEl (3)
If line 21s greater than IIno 1 + line 3, onlar Ihe difference, n,ls Is Ihe OVERPAYMENT,
Ch.ck box on P.g.1 L1n.19 to request. r.fund (4)
II line 1 + line 31s grealer Illan line 2, entar Iha diffarence This Is Ihe TAX DUE. (5)
A, Enler the Interest on th" I.x dua (5A)
8, Enler the lolal of Line 5 t 5A This is :he BALANCE DIlE, (58)
Make Check ~yable to, REGISTER OF WILLS, AGENT
. . .dIl
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING AN "X" IN THE APPROPRIATE BL.OCKS
1, Did decedent make a transfer and:
a, retain the use or IncomA of the property transferred; "'" """""" "",,""""
b, retain the right to designate who shall usa the property transferred pr its income; ,
c, retain a reversionAry Interest; or""",,,,,,,,,,,,, "
d. receive the promise for life of either peyments, benefits or care?,
2. If death occurred on or before December 12, 1982, did decedent wilhll1lwO years
preceding death transfer property without receiving adequate consideration? If dealt1 occurred
after December 12, 1982, did decedent trensfer property within one year of death without
receiving adequate consideration? """ "",,,,,,,,,,,,,,,,,,,,,,,.. """",,,,,, ,,,, []
3, Did decedent own an "in trust for" or payable upon death bank account or security
at his or her death? ".., ,,,,,,,,,,,,,,,, "",,,,,,,,,,,,,,,, ",,,,,,,,,,,,,,,,, 0
4, Did decedenl own an individual retirement account, annuity, or other non'probate property?",.l8l
~ q , g~-
4,
_.,
Yes
"" [J
"",0
,,0
"".,..,.0
No
M
~
~
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IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN
72 P,S, ~9116 (e) (1,1) (i) provided for the reduction of the tax rate Imposad on the nel velue oftransfers to or for the use of the
surviving spouse from 6% to 3% for dates of death 011 or after July 1, 1994 and before ,Jenuary 1, 1995,
72 P,S. ~9116 (e) (1,1) (Ii) provided for the reduction of the rate Imposed on Ihe net value of Iransfers to or for the use of the surviving
spouse from 3% to 0% for dates of dealh on or after January 1. 1995, The statute does not exem.li! a Iransfer\o a surviving spouse
from tax, end the statutory requirements for disclosure of assets and filing a lex return ere stili eppllcable even If Ihe surviving spO~lse
Is the only beneficiary,
FOR DATES OF DEATH ON OR AFTER JANUARY 1, 1995. Please answer the following question by placing an "x" In the
appropriate space,
Old the decedent create a trust or similar arrangement which Is solely for the surviving apouse's benefit fOl' his or her entire
lifetime? Yes [J No ~
If you answered yes to the above queslion, the lax on the trust or similar errengement Is postponed untillhe dealh of the aecond
spouse, at which time it will be fully laxable atlhe rale(s) applicable to the remalndar beneficlary(les), Enter the value of the Irust on
Schadule J, Part II, In order to remove It from the celculatlon of the tax due in this eBtate, You mey wish to file Schedule 0 In order to
make the eleclion available under Section 9113. If the election Is made, the trust or similar arrangement Is taxad In the estate oflhe
first decedenl spouse, the portion of the trusl or similar arrengement which benafits the surviving spouse Is taxed at the zero lax rete,
and the remainder is taxed at the raters) epplicable 10 Ihe remainder beneficlary(les), If you choose 10 make Ihe election, you must
atlach Schedule 0 to a timely filed tex retu;n, along wilh Schedule(s) K nndlor M If' OldOl to show Ihe apportionment of Ihe trust or
similar arrangement between Ihe surviVing "pouse and Ihe remainder beneficlary(les),
predeceased me. Any person other than me who shall have died at
the same time as any then beneficiary of income of my estate or a
trust created hereunder or under such circumstances that it is
difficult or impossihle to determine who shall have died first,
shall be deemed to have predeceased such beneficiary.
ITEM V:
No interest in income or principal of my estate
shall be subject to attachment, levy or seizure by any creditor,
spouse, assignee or trustee or receiver in bankruptcy of any
beneficiary of my estate prior to the beneficiary's actual
receipt thereof. , My Executrix shall pay over the net income and
the principal to the beneficiaries herein designated, as their
interests may appear, without regard to any attempted
anticipation (except as may be specifically provided herein) ,
pledging or assignnlent by any benefici~ry of my estate and
without regard to any claim thereto or attempted levy,
attachment, seizure or other process against said beneficiary.
ITEM VI: In the settlement of my estate, my Executrix shall
possess, among others, the following powers to be exercised for
the best interests of the beneficiaries:
(a) to retain any investments I may have at my death so
long as my Executrix may deem it advisable to my estate
so to do.
(b) to vary investments, when deemed desirable by my
Executrix, and to invest in such bonds, stocks, notes,
real estate mortgages or other securities or in such
other real or personal property as my Executrix shall
2
deem wise, without being restricted to so-called "legal
investments. "
(c) in ord~r to effect a division oe the principal of my
estat~ or for any other purpose, including any final
distribution of ~y estate, my Executrix is authorized
to make said divisions or distributions of the
peraonalty and realty partly or wholly in kind. If
such division or distribution is made in kind, said
assets shall be divided or distributed at their
respective values on the date or dates of their
division or distribution. In making any division or
distribution in kind, n~ Executrix shall divide or
distribute said assets in a manner which will fairly
allocate any unrealized appreciation among the
beneficiaries.
(d) to sell either at public or private sale and upon such
terms and conditions as my Executrix may deem
advantageous to my estate, any or all real or personal
estate or interest therein owned by my estate severally
or in conjunction with other persons or acquired after
my death by my Executrix, and to consummate said sale
or sales by sufficient deeds or other instruments to
the purchaser or purchasers, conveying a fee simple
title, fre~ and clear of all trust and without
obligation or liability of the purchaser or purchasers
to see to the application of the purchase money or to
make inquiry into the validity of said ~ale or sales;
also, to make, execute, acknowledge and deliver any and
all deeds, assignments, options or other writ:ings which
may be necessary or desirable in carrying out any of
the powers conferred upon my Executrix in this
paragraph or elsewhere in this Will.
(e) to mortgage real estate and to make leases of real
estate for any term.
(,f) to borrow money from any party, including my Executrix,
to pay indebtedness of mine or of my estate, expenses
of administration, death taxes or other taxes.
(g) to pay all costs, death taxes or other taxes, expenses
and charges in connectior. with the administt'ation of my
estate, and my Executrix shall pay the expenses of my
last illness and funeral expenses.
3
PROVIDIAN CORI'OI~ATION
TIIIUFT SAVINGS PLAN
Participant Statelllcnt for thc Pcriod 10/01/96 " 12/31/96
-r-_
Soc. s.c. NOI
Bidh Date
Hi re Date
Status
180-16-7892
09/14119
I 11112190
I ACnVE
HUOOINS, JOHN H
605800
09
01260-001
247 BALLIOOMINOO RO
OULPH MILLS PA 19428
STATEMENT NLC PROfiT POST 9/94 NL
ACTIVITY SItARINO PROfiT SItARE TOTAL
OPENING 8ALANCE 1,9Z1.53 1.199,83 3,121.36
DIVIDENDIINTEREST 31,93 19,94 51. 87
feE 1.54- 0,96- 2,50-
GAINILOSS 0.00 0.00 0.00
ENDING 8ALANCE 1.951,92 1.218,81 3.170,73
VESTED PORTION 1.951.9Z 1.U8.81 ,~ )
( 3,170,13
- X VESTED 100 X 100 X '--::+--
SUPPLEMENTAL INFORMATION AS OF 12/31/96
Y-T-O EMPLOYER CONTRIBS 616,47 BEFORE-TAX CONTRIBUTE RATE o "
AFTER-TAX CONTRIBUTE RATE o "
.
'.
n014:'
: ':' ,,~ i.ll \ J:l: ,.J
,
, I
PHOVIDIAN COI{POHATION
TIIHIFT SAVINGS PLAN
Pnrticillant Statcmcnt for thc Period 04/01/97 ' 06/30197
Soc. See. No I
Birth Date
Hire Date
Status
174-36-6987
08116/43
11/12190
BUXTON, JANE
400 RUPLEY ROAD
CAMP HlL l.
605800
09
00753-001
PA 17011
STATEMENT L&H RETIRE L~,H RETIRE
ACTIVITY PRE 9/9~ POST 919~ TOTAL
OPENING 8ALANCE 0,00 0,00 0,00
DIVIDEND/INTEREST 29.26 23.55 52,81
TRANSfF.R IN 1.816.92 1.462,15 (3.279.0!)
FEE 1,39- 1.11- 2,50-
GAIN/tOSS 0.00 0.00 0,00
ENDING 8ALAtlCE 1.844.79 1.484,59 3.329.38
VF.STEO PORTION 1.844.79 1.484.59 3.329,38
.. X VESTED 100 X 100 X
-,
SUPPLEMENTAL INFORMATION AS OF 06/30/97
BEFORE-TAX CONTRIBUTE RATE AFTER-TAX CONTRIBUTE RATE ,
o Yo o X
.
UIU.:!
ooun
'" "'."i' ''I
. ,j ; ",~Ld
PENNSYlVANIA MOTUn VlIlICIE INSTAlIMINT SAlE ClINlI1ACT, dilled
-
-
--
w
ANNUAL
PERCENTAGE
IlATE
Itil' 111.1 iii 10111 t 11'.111
il~, .1 YI' ,j[ Iy r .111'
--'
fiNANCE
CttARGE
111('111111.11,111111111111111'
11<'<111\',,111,,1\'11(1
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1111' ,11111111111 of 111'>111 1I11I"ldl"[
Iiljldl!lIIIIIYlllltlH'll,ill
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%
$ 2465.Sl
1]512,"0
l'(lWarh ilOn!,lllllillu
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!III' dlllllllOI YPII willllilvP p.lId ,lIl!'1 yUIl
hdVl' 01,1111' ,III \l.llI'dllh'd Iljl~IIII'III',
$
10970.2"
...- ....--"..p.-
Your l'ilYIIII!1l1 ~;l.lll'dlll(' willllf'
Nil 1l11',rYllHd)(, Ii AlllliIJlilllll';\Y(\\Pllh
GfJ \ .l02.97
$
lilillg I",: \ N/A
llllo ChiHl~a: 11 ,1 [ld'i!11l'I\1 h LIII', YOll Will 1m cli~rl:tld /% 01 M1Y P,IYIIIl'lil1l11l01l1l1lor (J;lch I1wnlll, 0/ pilll ul n mouth Ufoalullhilfl 10 d
S{~C (lIdu\'.' ilutl ally utlwr COllllilcl dO(:IlIlH'f1ls 101 dny ilildlhurlillmlo/lll,Illtln !lIHlIII flonpaYllwnl, ddilulL IIny flHllllflld rOIMymtl!1t III hll
[{'hmd', ilnd pL'rlilll[('~
Wlil'fl P,IY!l\!'flt<,^Ii' (hiI'
M(Jfll'!I~,_I~!):!IIIlHlI'.
MAHCIl 13,' I!,I 92
Security: You ale KIVIll~: II ~ill
pUlfhil'il'rl
Pr~jl.~ment: II you 'lilY 011 (';Hly,
1111) COl1lrllr.IIS belwor.n Sullo/ find !lIlYu!. All dilCloiUlllS havo bnanrnadlllJy Sollol SoUnr IUtunds In 85Slun tillS !:untlacl to Iho AssiUnoR nBnHlIl hlllnw
III Ihl~ Conlrllct,
SU1'L U'l" CW:VH()I,Il'r CO.
BOX 1307 IIl\RRIS!3.U1~d)l\
NOlllo----- .
WIIIHIl
1710',
1I11~ Sullllr
Addllm
-llpCodo
JOHN Il IIUGGINR 247 BAI,I,IGOMINGO !lOAD GUI,PH MILl,S, PA 19420
III, BuY"lsl DONALD R BUX'l'Ol~ 4"0 RUPI,I'~\' HI)i\I) CA"1P ,1lILI<1 PA_U\lJ]._,___,m
-'.-"Nanlolsf --... ----.--~~.._-_..-.. ."". Address -~--- 7.111 Cudn
llthuloi:;moflllhl1noncUuycI.ollchwiHboobliijlllod,sollarDlolya'111 logolhor. 11IrollsUIllSlIIIll us and thn plllforlllollco of all ugroB monlslllovltJO{llllthls
Cnllllocl
Thlller11l5 shown il1lho boxus Ilhovo Mllllort ollhis Conlroct. YOIl hllvllllyrood 10 pUr~hil!iH, IUltlCllho larms 0111115 ConlHlcl, Ihu followinu molor vohiCht
~~I! ~~!,~!.I!I!P~'E!!~~l'.i~.I~j.~_~_~~~~_~~~!i!!~~_I!I!.S ..~!,~l.l!ilCl ..m _____.. ...._. .._
__~l!...~_.__ Voor.~.~~~_~_a~,_.__ Sfl,~__~ody~~_ N~.~~yl_. _ _._.. T~~.c_~ Ton_CllllncIIY~~__.~..o~~~~J~,I~~r,
VOllilfO
"JL.__,,~_,GUIlyBQ!,.t~_r.ORS lQ!L),DN
EIIUipp,d [] AT. [] PS [] AM,fM Slo,"O [] 5 Spd
~"~,_____I:::J.iIcE:_Q!~c[]__AM'I~,!!,,~o [] V"'VI1'I'
_ ._4 _
Olhllf ._.,._~,
, _____.,__lCllLT53GlMl:2328 6L
You hove ~radod i,n $ A _$ ';$
Iho lollowluQ "llIclo: ,,__.', _,,~__._.___ ':___'____.." ,. _ ,NL, "" ____,,__ ___.NLA__,_.___....",__"N/A_
_.__...,..____~~.".~.'!i!!~.~!!~.~. _._._,_.._. ,.._..~~!!!5____. . . ___._-" _O~.o.~s_~!~!'O:~I~~~~..:____ __S!(!I"O.~;P\l~______._ _. .._~_~l!~~.n~jn. ._____ . ,_
PROPERTY INSURANCE: You ore IIIqullod 10 oblaln and l1luinlain Iho followinu insufllnco on tho Vohitle, HUT YOU MAY CHOOSE THE AGENT OR
BROKER OF VOUR CHOICE:
Automobile Physico I Ol:llllogolnsU/anco: 00 Cornplohensivo L,_._.,,_.._... ._____; lXJ Oedllr,liblo Collision $___._~.__n~._.._; D TO~"'IU
and labul; [] OIlier (0",,,11'1 __,,______' ,-.-,-"NJP" _ --- -,,------------- ..-----------.
II obtained through us, 11111 cosl 01 Ihis insurance is $ _____.____.__N/A_lor ___ ..___. . 1I1001h5, beuinning 0111h8 dale ollhi5 Conlrucl. Thi511\5UralltO
will_~e provided 11~~_~~gh us ~!~.~I_!~~.!'..~oOli\Jm is included inJ~~!!.I~~inllt1ce~_~!~~~~_~iy~~_~.~______.__.._,_.__.'~'~'_"W_"'~_
CREDIT INSUAANCE IS NO'f REQUIRED: SubjoCllO 8CCOIIIUOCO by tho irmJlllll1ul11lld helow. cledil losural\co is availablo thlough uIlor the 101m 01 this
ContrBcl stlhe costs shown below, Singlo Cflldilliio Insuranco and Sinolo Credit Atclllllnt &: HllOllh hl5tllanCOIIlIl available 10 nny ono RUYllr slUning
billow lor inSllrlll\~lI, Joint Cfodillile Insuranco is avolloblo 10 holh Buyers SiUIIIIlg helow lor inSIHilllCe. No Cflldll inSUfonC8 will be provided unllln Iho
apllrollfialo sllIlomunt(s) is signed by tha Ruyar(s) 10 ho insuled and Ihe cosls shown ~1)low aro includod in tllu Amounl Financed, (SeBlho NOTICE OF
PROPOSEO CAEOIT INSURANCE on II" ,ov"" sid"
101:11 Sail! PIILU
1lI!'IIII,1IclI.lldyl\lIrplIlIll'\'d'lIlI
I Ii'dl!. lIlt Illdlllj~ \'11111 dl,.....IIfI.lyilllllllll
WOIl.flll
$
11''''11.20
r11'?~I'r.~t.J.I,~I.,~'II,I'~'-h'"
'~ r'llll~ trv 1?"'6 i119~6' )
'III~'I' "!rd'
!'Iult' IIII' , h' 11 III :f:
I!pnllIAllnnnIAIIIUlllllllllillll:mJ]
Cil~h Pt!(;f! I
I a095.00
lulill [ll1wopaYlllcnl
_L -1l:tJW...J!0
1I111lMd Cn~h Prl<;;c Halancn
1 "$ 7895.0"
III (;fll(llllnwrallCr. Company
1 '$ W^
10 PHI{'l{!fly Imwanco Companv
:1 ',\ ,NllI
10 !.iC:CIlSC lar,e, and Ht!r,I~lfal!ol1
4 '$ 79.00
lotlOn!!!t1
~ +$
.5.00
111 SALgS TIIX
Ij __"":I.~._ .. !i3J.'lrJ
10.______ _,____,______
7 +$
I\mounl financed
.II,!I,II!~]J.",L,--S512.-70--
Net Tradc.ln
"Ln
.N/A--
Cash [)ownpaymonl
'$
TolalDowllpayrnent
__._, :$, ,--1000.00--
By signing, you bolh wnlll Joinl t:IlHhllilo h1811f1llltll,
which cosls L__._....._.....N/.A. Wh~II\lO
YOlllogcs?
By slgniny. ynu weill Singl!! Grodit L1lo InSllllltlCO,
which costs $ _--Nl...A__
u~ siUnil111, YOIl want ~IIlUlo (;Iodil Acddllnt & HCllllh
Insuranco, which cosls $ ...---...-.-.N/A.
I.
s,i1naliire"ofBliyor -l'oTIi-lliiwod iorsJiigiii'-ciiidil We-
Insuranc!!
Whalls your ago? __.N/.A__. Vllllrs
RrUllilllllU 0; lIuyor III Ito inS\lllld io,-Slnulo tru'tJiI'Accld'i"li",-
IloflllhlrrsUlllhcll
Whal is yuur auo? ...-l-VA-- VeDIS
2, -N/A v....
slunitillltlft-oi boll, Hu-vO:i~ io Ill! iiisilfe'ct -
fOf Joint Credit lIfelnsu:ancB
N/1I Villi"
Insurer: [J Olhm
..__....'..__. ...'.___.____ n_..~_____'_""'
PAYMENT SCHEDULE: YOIl ayrae III pay us the Total Salo P,ica fOf Ihe Vehiclo by makmo Iho TollIl Downpoymonl8nd paying tlllhe Amounl Fi1l81lClld, pillS Inleflnl. in Ih" nurnher and umount 01 monlhly
IIQVOlOnli shown in Iho Paymolll Schlluulo. Puymonts lire ~uo UII Of 11llrorolho sumu allY 01 cucll monlh liS Iho firal poymollt dalo, Puymullls 1ll\1~1 bll Inolle 01 ally nllltllllr
DAUPHIN DEPOSIT BANK AND TRUST COMPANY
_~_....~_____..n.'__~" ,.__._._,._...___._._ .'..____~__.._.________'
!tow THE TOTAL OF PAVMENTS IS COMPUTtO: 111, T'I,I 01 POYIII'"" is 11" SIIII' ollh,
Amounl Finllllcod lI/ld Iho ~il1onco CllD1lIO. Thl! flnllnC8 Charuo cunslsls sololy nllntcrosl ClIllll1llted
dndy nn Iho OUISlrlruhllO IJJllullcu!l1 tho ^mutlnt HllllncotJ. Tho ~illnllr" l:hurllll ShOWlIllhuVIl hilS
hl!l1l1Cnl\lllUlnllonlhollsSUllIfI\lUlllllullIll,IOYlllontswlllherecoivndnnthIlIlSl:hollulliddlllldllll!S
llIlIlY{lIlYlllcnlisllllll,YOuwllllJonhliUlllodtoj1llynlolllfino!lceChlUge Ihul1 IS shown hllflluse ul
Iho i1l1l1iliOlllJlilllClusl wliicll ur.r.IlIos_IlYOUIIIlYlllllly, Ihu finllflcut:h<HllllwiUhuluss lhl1llluuunl
uf Iho incrnllso Of dur:HlIISO will 111I relloclml in Iholnsl paymllll\, which, nlunu wilh 1~1I1 Tlltal III
Pnyments, willlnl IlIlJlllliud ul:l:ullhnUly, You mny IIIOPllY un or !lIlY pull nlthu hlllullcu Ihlt! III /Iny
~i r~~_. ~i I Ii 0 U_I~U.~~o.I.1 r..O~~~_I_I_I~llll1 .
lATE CUARGE; VlIlI nurlllllo ruy us lllutll rhnrlle of 2% of nllY pllYll1unl DIIHJ\1I11 1m 1I11th lliOllllt or
IInrl 01.1 mOlllhllreulnr Ihlll110 lI<tys, Ihill it is l/llU
SlCtlRITV AGRHMf:NT: TII SllJ:IIll1 Ihll jlllYUlllllI nl 011 sums tluo /llld till! IUldormltllfH 1111111
rlHIUifl1d ul1liUllliollsundllr 11m, !:Ulltr:lr.1. YUII nrOll1 us II socurily 1Illnlllsl ill 1110 VIlllirl/1, III 1111 IliH1S
(cnllod "/lcc/J&siuns") nllllchltllInlhnVohitlllIII /lnylllleflilllo, nndhlllflYIUUtllOdsulttlll Vuhido,
includlnllin'[lr8IlCOprucoeilsllllllothcrsaCIJfityaglOOJlllflIDrmorllIogllcovnlinglllOp{lllyyollown
~~h.~.~_~~~_~~~~~~~_I~ ~~__ 0 ~ist~ _h:~_~~_~!l..YU.!lu~~~_I!~~_~_w.~_I_~~_lh" ~IUhl 10 ~!O-'" Ihnl Olhof_
By ~lgllinU llO!lIW, WII 11\11110 IlIlil\1! \lilt Vnlllclo 10 YOIl undOllho IOlmS Urlhls COlllrUI;I, Wo 0150
imiUllllllS Con\lULt Inlhll "A~SI!llltlO" HPl11ull ulrovo in lleCOrdmll.v wilh tllIl ^Uilllllllllllt ulllhn
InV",SO ,,~u L}/)(VITlIOU11IlWUlISI, l.J WlTllfllll AlCIJUIISl, [] Wl1IllIlI'lIllCIIASl
__ ......__..~..__..".n~_________ ..tll~u "ASSIl]llfle]
proportYllssllcmitylolrollflymenloflhlsCUlllfllclllnwllvol,yn1I1lcknnwlodgnlhollholnwUives
".s iI rluhlll! r.11_1:?_!~!!!.~~y'?!'y'~~!~,~.I.OIlIHIY which is in ollllln~MI~si(ln III any lilllo
REINS TAl tMENT: II wn Illka J1U~UI~511H1 ul Ilro VUllllhl hl'ClllIs\1lJI YUUl dolnllll, YUlllllll\', Wllh (Jill
IlpplOV1I1. lutlalullossllssion ollha VIIlmll' hYllllYlrry u.~ nil pnnt dUll Illlymenls, Iltlo 1:IUHIIl'S IInd
l111uIIIIII1 Born chOlllOS, OUI c{nls 01 SUlI Hlld, if VlIlr WIIIIl III dn/llull Uln/lllhan l!l d/lYs whlJll \'I'll IfInk
JUlS~1I5sllJn 01 the Voluclo. our cosll ollllking Ilosslluiun, rllpuirinU lInd SIOlllllllhll Vl!hiclll whiCh
~Hll IIlllluuillll1 I~y In.w
IF THIS ClINTnACT INVOLVlS THl SALl OF A USLO VlHICIl, THlINIOI1-
MATlON YOU Sll ON THl WINlIOW fOllM lOR THIS VEHICLllS PAin 01 THIS
cONTRACT, INfORMATION ON THI WINDOW fOHM OVERllIlIlS ~,NY
ClINTlllIll'f PROVISIONS IN Till CONTRACT Of SALL
ADDITIONAl. TERMS AND CONDITIONS: 1I11S i:UN1Il^Cl CIlNIINlIlS ON TIlE III VIII~I Sill!
VOU Mil OIlLlOAHD TO ALL lHE TEIlMS 01 TIllS CONlAACT WIIII:H APPEAR ON lIUlllONT
ANIIIH VtnSE SlllES,
NOTICE TO BUYER - 00 NOT SIGN HilS CONTRACT IN IlLANK,
YOU ARE ENTITLED TO AN LXACT COPY m '! HE CONT RACT YOU
SIGN, KEEP IT TO PROTECT YOUR LEGAL RIGHTS,
JP PHil 1J1IVIIl~i ~v.v..Jv..., ~ (~~,\yt).
r ISlAlI III1Yllf:.<.P 'J 1./[ ! c Ie j)/ I,\,}' Y L-
GLS LCLlPT DI A COMI'I [lID Clll'Y (If H~ CONT A T ITJ~P1IML I SIGNING
(",/' { 11'1,' /\-
"""""'''''.
COMMONWU,llH OF I'FNNSYl VANtA
INlif:RIlANCI TAX RIIlJRN
...IlWII
ESTATEOF '
Ohh
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
.
~t0S
FILE NUMBER
1..-1 ~ ~ '7.' 1(,
Debts of decedent mUll be reported on Schedul. I.
, ,-
ITEM
NUMBER
A, FUNERAL EXPENSES:
1.
----
I.
AMOUNT
/I U~ ~ 0 OlJ
I
DESCRIPTION
8, ADMINISTRATIVE COSTS:
1, Pal1Cnel Rap_nltllvt'l Comm~~nl
Name of Pel1Cnal RopresenltUvo (II _
Social Sewl1ty Numbe~l) I EIN Numbel 01 Pal1Cnel RapreSlln"'f~e(al
StreelAddresl
City
Sltle
lip
Yea~'1 CommlSllion Paid
1. ,1/
"1,43/,75:
2
3,
4, probIIfe Fee.
J
PA- Zip { 7 (J ( ( 131~DD ' 00
01 ~o DD
5, Aooounfanf. Fees
6,
rex R.fum Prepllrer. Fees
" l) I z..S'" 0 0
7,
TOTAL (Also enlel on line 9, Recapitulation) S 8 7 7 h. 7 t
(If moro splice is needed, Insert eddillonal sheels ollhe sarno size)
Mycrs-lIl11'IH'I' FUllcl'al II 0 IllC, Inc.
\no:! MMII<I I :;111111 ' 1'1" IIOX ;'111
CAMP 11111 , I'II,r,:;YI VAIIIA 1/011
lIollol! II !lllrllnf, ,'iu/lo,yU;O( PIlOllrl (I III r:If.Wllll
S'l'Al'IIMIINT ()II JIlINIIRAI. (,OODS ANI) SlmVICI\S Sm.I\C'I'Ill>
CharKcs art' onl)' (IIr thou' 1ll'1Il~ Ihal )'tllI ~t'I('fl('d or 111011 .Ul' Il'tJlIlrl'd II W(' :In' H'!llllll'll h~' lJW IIr h)' Ii lTI1H'lI'r)' or lrl'flIilltlq' ltlll~l' any IlCIll\, we will
r.plaln In wrillnR hrlow,
If you ~'.'Il,rt('ll a rUllrullhill m~~' rt'ljlllrl' t'rnhillrnill!{, ~1I('h il~ II 11111('1.11 wilh \'j('Whll(, )'\ll1IlLlI' h~\'l' W II")' fm t'lI1hillmlllM \'011 1I0ll0l hill\'{' iii I'll)' (or ('llIlI+lIIIIIIIM
you did nlll .pprlll" If IW\-\(h'lln' """R<;P'9''' I!J;'Y' dlll'll Ift'nlll'Oll II[ Iml",'<I',I(' htlr!,liI wr dlarR('d 'II[ l'mh'lmlllR, we ~1I1,1;x12In !IllY hrlow
for I~r Srr!J,!:U1f _L/~i:k'Le;~-H..k4~//'V.:i, ' "" , ,'. ""., , ,---"- lIalr 01 llro~ ~,L2,2-, ----
(;harR< lo,V..&L1!(?'-'f#~I<R"'- :&'a~}~..,t~I/,i!1:i ~~""'/~-.L' :?~/r -".-
N,Jfll(' durn\ /. I,ft;'''''-'''; SliU('
A, UIARlil! I'OR SliRVICI'.S SliUiCl'I',II, 11I11I'r dlllhlllR ..,.-....-.
I, I'ROHiSSIONAI. SI;RVICliS ,_~-~.,,~--,__,,",.-...-.-_ 1.-.,--"
Smlers of I'unmlll!rrl'lor/Su(f ' , 1,_._.._.., .. -."..,..,,' -----~-,_.""--- I LIt'"'
ElIlhalmll1R . . ' ,_~~..____ en'milllun urn . , . ., ,.. "",. ::.:.,.a.5'. C)"r./
Olher prcp:irallllO of ho~ly 'l)l'~(riplhlll) ~-----~,._-~---~..,-~-
~----_._----_.
1....._.,-,
SUB.TOTAL Of PROfl;SSIONAI, SliRVICP.S AI 1_..",_
2, I'ACII.ITII'.S AND SI:RVICI;S
U'e o! (,dl\rle, al1<1 ,,,,,1m for
vlrwlnR (VlsllatlllllfWake)", I_~
U~C of hdlllh.'s allll SNvlcC!i
for funeral n'ft'lIlOny . . , , .~--
Us< of fadlll"" and ,ervlm (or
Memorial Smlre " " 1,-
Use ef equlpnwllI ;llld lien' Ires
for Kr;wcslul' !>en'lce. . , .-
Otlll'r use uff;ldlJtlt's
1-
SUB,T01'AI. Of "ACII.I'rIESIP.QU1PMP.NT , , , , A2 '----.
3, AlITOMOTIVli EQUII'MENT
Vehicle to lcansler remains In funeral HOnle,
1.0e.I"" ,L_
lira'" (Casket Co,('h)
I.neal, "",1__-
Umou,lne
1.0e,I, "L_
11jl.lnlly (:af
1.0c.I."" """,,, I_-
Flower ear or nll,,1 dl'posltlon
I.ocal.", "",1-
I.ead car/dccR), ('ar
I.ocal" " " ",,1-
Car lor pdlbearrrs
1.0c.I, I_-
Out of toWll !r;I,mpofUllon " ' . .-----.
1__-
1-
SlIB-T01'AL Of AUTOMOTIVE liQUlP\lI!NT, " A3 1-
TOTAL Of PROfESSIONAL SI!RVICP.S,
FACILITIES ANIl AlITOMOTlVE
EQUIPMENT A L_._,__
II, CHARGE FOR MERCIIANlllSP. SliLEC1'E\),
Casket" 1-
(Ileser!ptloll)
Olh" Rmptad,' ,
(Oe""lpllon)
1_,
OLller hurlal (,ollt:!ln!.'f . ,
(Omrlp'lot\),
,1-
Acknuwkdf(tl1\Clll rards
ReRlmr hook('1
Memory folders , , '
I)u)'er carc.ls < ,.
TC!mpurary ~ril\'t' Illllfkcr .
lIurlal c10lhlnM '
,1_--,
,,1-
'---
,1_-
1_-
,,1_--
.. .... ,._-_._-~..~_._.-~-_.".,.._.__..._.~----
OTlWR ,__,__,,__~_______.__ 1_,_-
-~,-------_.~,,_.I._-
_._...,---"-_.,_._,.,-,,,-" I_,~-
TOTAl. MliRCIIANIlISP. SP.l.liCl'\i(), , , , , 1113:L!'s.?V
C, SPP.C1Al. CIIARliP.S,
11urwardhlM ue r('malm tll
--.--li~i;;,,-,'ii 11"nii,i--.""-- 1--.,_..,
1t(,1'l'1\'IIlK of rt'l11lllm fWIlI
."_,__.,__,~..,,',,.,..-,-.---"'_.. 1___-
("'ulH.'f.lllliulIc)
IIl1l11elllll"lIlIrl,l,
Dlm:1 Crl'1l1.lIton,
SIIIFJ'()TAI, Of SI'liCIAl. CIIARllliS
(), CASII AllVANCEIl
OpcnillM (iril\'l'
(:l'llll'll'r)' Ji.tluipmclll '
tot and Dt.'cd. .
Nl'WSpilllcr Nollcc!i-\.OI.:al
Nl'wsflilfler Nntlces-OUH)(.town.
Tekl'hnll' & TcleRrall"
Alrl,"' "
C1('r~l'fM'" Orr<rIIlR '
p,l\h,,,,,, , '
CI'IlIlIe,1 Cnpl" of Ihe Ik.lh
CI'lllllrarr
l'ulirl' H\l'lIrt . . ,
j:lowl'rs.
\':<1111 Servll'e Ch"Re , '
::~J3~?"'"
.,_,.1....-_--
":;;"-' Cd
, C 1...c.J.ul '
1..___,
,1,__-
I-
e 1 ,1~?2', c.V
'.' ,
1_-
I~--
1-
I~-
, , , 1_7:"~,a;.i
L....___
1_-
1-
_~_I.-
___..__ 1.--
1,_..
..__,.1_,-
,-_..._..1.,_-
, . _,_._______,_.,,__.~ 1_-
SUII,'(OTAl. Uf AIlV ANCf.S,
ulL'E?4J
We I..'h:lr~l' )'ou lnr our Sl'r\'k('s 10 lI~laini~IM:
(SPI'CiJ)' msh acll'tlllrcs null C4ft' "ldrkl'(/,ujJ)
----_._._---~.
S\lMM!\It\' lit CIIARI;(iS
^. Proln~lul1lll !<il'n'kes, hKilllll's ilnd
Fquipnlt'nl, ami AUHl/llOII\T
Eqlllptlll'Il1 . .
II. ~kr('h;tlldl"l'. ,
C SJwdal Ch:.&r~l'S ,
1>, ush Ad\'IIIlU'S,
TOTAl. Of Au'SIiCl'IONS
I'AW AT TlMIi 01' OR I'RIOR 1'0
ARRAN<iI!MI!Nl'S, " ' , ,""'" """,,' "L~7-
IIAI.ANt:IiIl\lP." " "", ",(...,~d2.w
~1:~~O~~ll~I!~I~~~~~ ~~__ ,.___.L~~lJ ItJ!./ /;'
If IIn)' 1;\Yo', rl'IlH'u:ry, or m:Illt;~;~'('qUlrt'II\l'lllS h:lVl' fl'411lrl'd Ihe purdusr
o( any or rhl' 111'111' iiiit'd "Y-'I' Ih,' I,w or [I'II"lft'nl<'nt Is ('.pl.ln,tI hdow
,._. .'-_...,-.,/l./ /..",.z--- , --".,.- ,.,-,-_.,--. --. .------" ,-,
, :~~d'-:V'GJ
I ~~r15-: c>>
1;L"-<2_',:Y"/
1__. _
.--------...----------..--.----------.-.-------..--
I agret Ihat I ha\'e t'umlnrd tll(' IH'm~ of ~OOl.l~ :lnd sl'rYkcs sl'lt'tll'(l alm\'(' IInd foumllhl'l11 to hl' lumel and il(('unlinK In llil' arrllnRl'lIlrl1ls I hil\'l' rl'qul'S!l'd I acknowkllKl'
(('crlpl of a ropy of Ihl~ SUlcmt'nl of hlllenl crom!s lI~t~~l'rrk('s St'lt'dl'd I ft'Jlf('Sl'IIIll.I;lll hnt' SlIJfk,l('1l1 (uml, as';IUilhk lor (l:l)'nlt'nt IIf 11ll' rash prll'c for tI\(, Roods
and ~('r"kf~ st'lr<:tl'J. ! aim ill{:2~iI~ I'aynll'nt of y_~t-I!.C2..~ within.. .....~;:2.--... ._~ (I:CY,S I i1l{fl't to 1)(' lolnlly illld M:n'rally Ii;thlt wilh allDJlu' rl~t' who
~I~m hrlow, ^ latr {'har~l' of S 4d---. per monlh amounllll)t to '-/...d~i-. pn l'('~r Wilt 1)(' ~llplit't1ln llil' ullnl :lId hilbun' hl'Rlnllill)t ---'=C'_Q._.. dill'S
from thl' dall: of lhi~ i1~rfl'n1('nl- llin ill~(l pa)' In tilt' ~'ull\'ul !)Ir<Tlur all rt'.I~(Jl1~hit' rlJ\l~ Il~ld hI' till' l'ulIl'ra 1)lre<:lor tll {"lll crt anHlllnt~ I OWl' uIHkr lhls i1)tr{,CRlI'nl
Those ('oMS may lndude a\l(~rllt')'s' f!'t'S, ('lHlrll'Om ilnd olher l'O~ls. Anr iHldlljoml ~t'n'kt'_~ or mnt hand',(' ordcrtll or rrqunlt't1 aflt'r till' (bll' of lhis a~fl't'm('nl will
~e::;:~~~~711,'Ll~;':1 ;~~~r~':("donth' IIII'I_hlll """I('ml'e;'~f1'.'J;:" . '~~I .)?_r._?_,,___~
p....- (l'uld"'I'1) 7-'-" ~- ,_ _ -~)W"I.;}
(S':all____ ,.. ' p-#r.~/ j ,.. , ';..2""-""--
(Pllrdu~trJ (Ill("l<i'l~ flint' 1)11t'llllr) .....
S. WALTER FOULKIWlJ, III & ASSOCIATES
22/5 Jo'{JNI,:STJII/,/,," /JI11V1'; SI 11m 35
POST OFF/(,/~ /iOX (,(,()()
//AWI/S/JII/((i, /'A /7112-0MIO
1'IIOIIe7l7-54/,().I()() /'(/x 7/7-54/-/727
Mrs, Janice H, Buxton
Administratrix of the Estate of John 1-1. Higgins, deceased
400 Rupley
Camp Hill, PA 17011
FEDERAL TAX 10#25-1743514
For profcssional services rendercd through Febmal)' 28, 1998
and disburscmcnts postcd to dale,
RE: Estate of John H. Huggins
DATE LA WYER DESCRIPTION
Jan-17-97 SWF Office conference with Jan Buxton,
SF Meeting with Jan Huggins Buxton re: settling
small estate. probating will,
SF Telephone call from Jan Huggins Buxton
scheduling probating of John Huggins will.
Janr23,97 SF Research P A Procedure for probating will in
Dunlap-Hanna and Goodrich Amram,
SF Telephone call to Cumberland County Register
of Wills to determine County requirements for
probating,
SF Travel to Carlisle with Janice Buxton to
probate will of John H, Huggins,
May,06.97 SF Receive and read 5/1/97Ieller from
Cumberland Co, Register of Wills re:
certification of notice,
May.07-97 SF Prepare Certificate of Notice Under Rule 5,6(a)
and Notices of Beneficial Interest in Estate,
SF Travel to Cumberland County Courthouse to
file Certification of Notice of Beneficial
Interest in Estate,
May-30-97 SF Review/pay bill to Patriot-News for
advet1isement of Huggins Estate,
Totals
March II, 1998
File # 3145
Invoice # 425
HOURS AMOUNT
1.50 225,00
1.50 150,00
0,10 10,00
0,90 90,00
0,10 10.00
2,50 250,00
0,10 10,00
2,70 270,00
1.30 130,00
0,10 1000
(0,80
$1,155,00
. - "....,..'.'-....~ ........
Initiuls Honrs Rute Total Fees
S. WALTER FOULK ROD, III SWF 1.50 $150,00 $22500
Inltiuls HOllrs Rate Total Fees
SCOTT FOULKROD SF 9.30 $100,00 $930,00
DISBURSEMENTS
Court Costs $180,00
Photocopies $18,75
Postage $5,73
Long Distance Phone Calls $3.44
Patriot News Notice $68,83
Totals
$276,75
Total Fees and
Dis~ursements
$1,431.75
! ~ --
i;.,
-
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w
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'--' e ~ 0
L, . . ()
~ \).. -::\ w
z
~ :{ tl 0
e " ~ z
~~ 0::
~ :J
tu
- lD
ffi 0::
~ :~~ ~ w
en
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Zz ;>: ,,' :)Cl.
Wo lD Cl ."'\. 01
::E- )-0 en
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ZCl
~ <Cz
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(1)0. 1-1-
W "i.- IZ
a: "- :~ J:
0. 0; I-
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~ I'() m :'" I-
~ ~ en z
~ ~ I- W
,~ Z ~
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0 ::E '<C
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e ~ c1l ,5 I 0::
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- \ 1Il en :a a: 0
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(; ~ Q, Q) 5 w
3l ~ ~ !;(
1..0 en E 8 ~
'{ ~ ,5 ~ i 0 Cl (3
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0 - C l.: 'Cl.
m c '" 0. .g .e a: Cl.
') ,12 c 'I w <C
,~ l'! 'E Jg ~ z
:t Q) ~ Cl
[ ::l ::l C ..l
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a: 8 ~ 0
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l'i ~ >>'
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;.1J;- 1<;6 '-1/
c/
COMMONNEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
'*'
BUREAU OF INDIVIDUAL TAKES
INHERITAMf,[ TAX DIVISION
DEPT. Z80601
HARklSaURO, PA 111te~0601
NOTICE Of INHERITANCE TAK
APPRAISEMENT, ALLOWANCE DR DISALLOWANCE
Of DEDUCTIONS AND ASSfS~ENT Of TAM
UHU' II "P elf,"1
04-17-2000
ItUl:lGINS
01-01-1997
21 97-0076
CUMBERLAND
101
E :_ A~t-R"ltt~ ~~j
MAKE CHECK PAYAILE AMD REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE .. RETAIN LONER PORTION FOR YOUR RECORDS ~
R'iv-:ist;'j'iin;rp-nF99T"tliificr-oii-YNHiiiifANcrfA'x-il-pp;i:(iSEHEN:r,--.m:ciwii'N-ci-ifi......_....._....
DISALLONANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
JOHN H FILE NO. 21 97-0076 ACN 101
fill(
110.,
DATE
!STATE OF
DATE OF !'lEA TH
FrL,E NUMBER
COUNTY
ACN
JOHN
H
'00
{lUll 24
1)/ :(11
JANICE H BUXTON
400 RUPLEY RD
CAMP HILL
,I
i , lit,
~lal71l1l
Cumbc ii"
DATE 04-17"2000
ESTATE OF HUGGINS
TAX RETUIlIt liAS: (X) ACCEPTED A~ FILEll
RESERVATION CONCERNING FU1'URE INTEREST .. SEE REVERSE
APPRAISED VALUE OF RETURN RASED ON: ORIGINAL RETURN
1. R..I e.t.t. (So~l. A)
2. Stocks ond Bond. (Schlldul. BI
:5. Cl(1..1y ...ld Stock/Partnership Inter..t <<Schedul. C)
4. ttort"...../Mot.. RtaeaiYabla (Schedule D)
5. C..h/Bank o.poaH:s.lHhc. Personal Property (ScMdula E)
6. Jointly Owned Property (Schedul. f)
7. Tranofar. (~l. G)
8. Total Assots
) CHANGED
.~
.00
.00
.00
6.B69.83
.00
3.170.73
(8)
MOTE I To in.ur'. proper
credit to your ItCcow.t,
.uboolt thll upper portion
of this fOI~ with your
tax peyltllrtt.
(1)
(2)
(3)
(4)
IS)
(6)
(7)
10,040,56
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. funer'al Expenses/AdII. Cosh/Hi.c. Expense, (ScMdul. H)
10. Dobt./Hortooo- Llabllltl../Llen. ISchedul. I)
11, Totel Deduction.
12. ~t Value of T.~ R.turn
15. Ch.rlt.ol./Gov.r~t.l Bequests; Non~.l.ct.d 9113 Trults (~dul. J)
14. Met Value 0.' Ellt.t. Subjaot to Tax
8,776.75
,00
1111
1121
1131_,
(4)
(9)
UO)
8.776~
1,263,81
,00
1 ~:!!.
lIill
If en .1II....ent W.B issued previously, lineD 14, 15 end/Dr 16, 17 and 18
reflect f~gures th.t include the tut.l of ~ returns essessed tD dete.
ASSESSMENT OF TAX:
16. ~t of Line 14 at Spou..l rat. CIS)
l~. Aaount gf Ll~ 14 taxable at Llo.al/Cl... A rat. (16)
17. A.ount of Line 14 t.~~l. at Coll.t.raI/CI.as 8 rat. (17)
18. Prirtcipal ral( Due
NOTE:
,00
75,83
,00
75,83
.00 X .00,_
1.263,81 X .06,
.00 K .15,_
(8)
TAX CREDITS:
, PAYNENT
DATE
01-11-2000
A_~
89.86 I
J
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
RECEIPT
NUIlIlER
AA407474
DISCOUNT 1+)
INTEREST/PEN PAID I-I
14,03-
75~8-3
,00
,01
.01
I If TOTAL DUE IS LESS THAN tl, NO PAYNENT IS REllUIRED,
If TOTAL DUE IS REFLECTED AS A "CREDIT" <<CR), YOU NAY BE DUE
A REfUND. SEE REVERSE SIDE OF TNIS fORN fOR INSTRUCTIONS.)
. IF rAID AfTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL, INTEREST.
RESERVATlONl
_Of
NOTICE I
flAVtENT I
REFlICll (CAll
oaA:CnOHSI
ADttIN
tSl'RAlIVE
CQRRECTJ.ONSI
OlSCOUMT I
PENAL TV :
INTEREST I
Elt.t.. of dIOedenh dylftoll on or btIfora ~r 12, 1M2 -- if WlY future Intlra,t In the ..t.t. II tran.ferr..:l
In pu.se,.lon or ..,jo~t tl) Chn . (ool1lltlral) __flclariw. of tht> ~t .ft,r tho ttMPlr.Uon o~ MY I.tat. (.or
life or fot ~..r., the ~lth har_)' .)(:pf....h r.narv.. Ute right to IIPPral.. aod .....'" trln.fer t",...rlt.,. ll)C"
.t tM i_ful tJ..1l I (colhtar.n tata on "")1 .uch f\ltilr. Int.rellt.
To fUlfill the requlr..-nts of Secti"" 2140 of the Inharltance and Estate la~ ~ot, Act 21 af 1995. (72 P.S.
s.otion 91ftO).
OIhtd1 the tnp portion of thh t4(ltlee and subalt with your pn)'..nt to ttl4l Aqistar o~ Willa ptlnt.t on thl raver.. 11M.
--Kttka chec* 0\" ItOnIlY order payable to: REGISTER OF MILLS, AGENT
A I'.fund of It tax credit, whlch was not raq\,...tod on the Tax Return, aay IMI rlPqlllttted by COIlPI.th\it an "APplhlltUon
for Refund of PermlylYDnie Inherltenolt end Estab Tax" (REV-BU). APpllcat1Clns Ire ava118ble .t 1" Offl~
tJf the R.ght.r of WHh, an!l' of the 23 Revenue Dht!'lct OffiCilltlO, or by calling the SfJeciltl Z4-hOlJr
enswerlnQ ..tV ice ~fl for foras ordering: In Penns!l'lvnnle l-ftOU-362-l0S0, outside pannsylvani. .nd wlthin
l~al ....rl,hbUrg IIr., (7171 7ft7-ftO~, Sarvicel\ for taKpayers with .pecinl ...rlrijii end .p.aklng ,lHd'l
1-800-~47-5020 (TY only),
An!l' party in intetlst not .atisfled wlth the appralle..nt, allowancQ or disallowonce of de~tion., or .....saent
of tat! (including discount or inter..tl at shoWn on this UotiCII IlllIllt objoct within IlKh' (60) o.YII o~ r~lpt o~
this MoUee b~l
OR
n",rIU", protalOt to the PA O/JpertlHHlt ('If Reveoue, Board of APpeals, 0efIt. 28AO?1, Herrhburg, IJA
....taction to IlIlIVI the ,.oUer cHlterained at audit of tho ltCc:ount .of the personal r-s:aresWltatlve,
--eppaa1 to tt. orph$ns' Court.
171lb-10l1,
OR
factual atror. dl.cov.rlMl ou thla aun...,t should be addressed in writing tOI PA Dapa."t.ent of f.lavtInUII,
lur... 0" Individual laxes, ATTN: Post Auen..nt R....ie~ Unit, Dept. Z80601~ HarrisbUrg. flA 171Z8-0601
PhOM ern) Ja7-650S. S.e P.... 5 o~ the bookht "InstruotiNl5 for Inheritanoe Tax Return for II RnidWlt
o.o~t" (REV-ISOl) ~or an e~p)anatlon of ItdMini.tr8tl~.lY corr.ctable errors.
If IIIlIW t.~ dUe 15 paid within three (3) calelular ItOOths after tho deefldent's d'flth, a fiv. Pflrcttnt (5:0 dhClomt of
thll ta~ paid 15 aUO\If8d.
Tho lSi: tax ......ty non-participation pemll1 ty is e~t8d on the total of the bill. and Interest aueued, Itfld not
~.id befa-e Jantmr!l' 1&, 1996, the first dl!llY aft.r the tlnd of tho tal< .-n88ty periOd. This non-pl'lrtiolpetion
penalty i.t appaeletll. in the .... .anrlfn- and In the the SlIM tid period IllS you ~ld appeal the tal( end interelt
that halO bafln ........d a. Indieltttd on thh notioe,
Intar..t 11 chltr..ll heglnnlng "Uh firat day of d8l1llqOtlnc~" or nlr\8 (9) IIOnths and OM (1) daY fro. the det. Of
death, to the det, (If peYllent. YaK.. which bee.. dfI11nqullnt tMlfor_ Janusry I, 19&2 baltr int_rut at t.... rat. of
Jl~ (6~) ptIro~t ".r ItOflUIt calculllted .t " dltlh rate of .000164. All tt~l(tlll Nhich bite... d81iI)QU8nt on lInCi .ft.t
JanuIIry 1, 1982 wUl baar inter...t .t It re'te which wUI Vftl'y fr()ll cltllll'tder' year to OBlander yeer ",Uh that rat.
announced by tn. PA Depert.-nt of Revenue. Tho II{.lplloltble interest ret.lIl for 1911Z through ZOOO rlre~
1m tnter..t R,tlt Oftn~ Intera,t hctor ~ Int.test R!.!! DaB\' Intere.t fBCltOt
1.&2 i!OZ .OOOYttt 1~~&.1~1 11i( .000301
19&5 Ifl:( .OOO~)8 1.,92: qi( .000247
19&4 11i( .000501 199!d994 7'1. .000192
IMS 15): .0OOl~ I9IJ!i-1IJ9a ., .000247
19" lOX .000214 ,.... 7X ,000192
19&7 ?X ,000247 ZOOO 6Yo ,000219
--Interlnt is cltlouletad as follow'l
INTEREST . BALANCE OF TAX UNPAID Y, NUnBER OF DAYS DELINqUENT X DAILY INTEREST FACTOR
--Any NoUo' hsued .tt.r thlll tI~ banDlMl. dtllinquMlt will rtlflltClt IIIl lnter...t ollculatlon to fl~tlttlf1 OS> d;ly.
beyond the dlte of the u.........t. If pay.ttnt hi aade .Her the I"talf..t c:oaputaUon data at10lIIn on the
KaUo"" 1Mki1t10l\ll1 lntllr.llt w.t be oalc,\lltlted.
'<<1 ...
mTUS REPORT UNDElt RULE 6 ,,12
Name of Decedent! .....7 oAI1 H. Ilu Cf(/; 11 S
Date of Deathl '<-~MY ,) 1917 0
Will No. /c)~7 -{JOC/lt, _ Admin. No. Z/ q7 -16
Pursuant to Rule 6.12 of the Supreme Court Orphans'
Court Rules, I report the following with respect to completion of
the administration of the above.captioned estate:
1.
State whethe~a inistration of the estate is complete:
Yes No
--
2. If the answer is No, state when the personal
representative reas9nabl~ believes that the administration will be
complete I h~ 7, 0 I 7_00 ,
3. If the answer to No.1 is Yes, state the following:
a. Did the personal representative file a final
account with the Court? Yes No_~.
b. The separate Orphans' Court No. (if any) for
the personal representative's account is:
c. Did t.he personal I'epresentative s~e an
account informally to the parties in interest? Yes _ No
d. Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' COIJI't and may be attached to this report.
Date:~.,
r.
(/
.-
6,1-001
,
~:U/. )) ):Lp-~
Sig~ure '
:::J::c rll 'r~ ~ ;-/ ,45 a~ Iz, IL
Name (Please type or pr nt) '1\A
If M Ii") f led ~d Ca-,r fLJfl (1+
Address 170 II
flil) 7h3 -CfJ7 ~
Tel, No,
(MAH: rmf! AMi)
Capacity: _~personal Rept'esentative
Counsel for personal
representative
STATUS REPORT UNDER RULE 6.12
Name of
Date of
Decedent ,_=L'i h r\ . ,f-I, /-! lA a a I lIS
Death. ~ tJ.Ultk* II (997
{ q ~7'- DO {)-fJln Admin. No. Z- I ~-l -7?L
Will No.
Pursuant to Rule 6.12 of the Supt"eme Court Orphans'
Court Rules, I report the following with respect t.o completion of
the administ.ration of the above-captioned estatel
1. State whether admi.nistration of the estate ie complete I
(Yes~__ No_____
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete I
3. If the answer to No. 1 is Yes, state the followingl
a. Did the personal representative file a final
account with the Court? Yes No_____
b. The separate Orphans' Court No. (if any) for
the personal representative's account is:
c. Did the personal representative state an
account informally to the parties in interest? Yes No
d. Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be ~ttached to this report.
~~f~;/~
st)'!;.ature _
,10. f1'IC~ r-/. BLo<-1-Dn
Name (Please type or print) 1
Lf 00 j( ,pDI eo---R-d Wfpit-
Address ( ,
I 7011
(717) 1b,,-q~/!f
Tel. No. -
Datel~~OD I
~f ~ ..~~
Y;,,,,, c\Ei ;(~
l..1 V . ..
" '0
JL:/AMJI
Capacity: __~personal Representative
_____Counsel for personal
representative