HomeMy WebLinkAbout97-00108
Estate of _fu::.t!.~J}~K..J.vJJ_f.J.1'!:llL<'.
also known as ______~__..___ ____..",,__
PETITION .'OI{ PROnATE and C;RANT (W [,ETTERS
.'1/...en -lot
No. __.....e!< ______. ____,__
To:
_,_____~_,~,____~,_ ,....,,'~_ Regl,ter uf Will, for thc
_..__,_, ,__'. De('('ased, County of ____ _ In the
Social Security No, ,Ji. "7 <, ,:"lJ,_...':.Jc..!' ,,_ ___ Commonwealth of Pennsylvania
The petition of the undcrsigncd rer.pectfully represents that:
Your petltloner(s), who Is/are 18 years of age or older arphe execut~!'..L-
in the last will of the above decedent, dated _ "" 7- ,L_~ "-
and codlcll(,) dated
" named
, 19_
(.~tate fe-levant circumstances, eo.8. renunciation, death of execUlor, Ctc.)
Decendent was domiciled at death In C""", 6'-~!:,;)___ County, Pennsylvania,
~_ last family or principal re,ldence at J I' a..,- ,'I "1'1-6: 1>12, 111 "L 0 r~
--11.0"'1""ti.:..-____ t1ff/ Ai#o1"",t:(,,(l'...,l. 1\(),'/t.... lJ I~
.
(list street, number and munclpallty)
Oecendent, then "":1'7 _" years of age, died ..:rArv ,011\ , 19I:J 7
at_ 1/2..< A~pl~~ ru.t__'!.'Vt..v.(HA~j(.~Ov{Ltr, ?A. .
Except as foliows, decedent did not marry, 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: __
Oecendent at dcath owned property with estimated values as follow,:
(If domiciled in P~.) All personal property
(If not domiciled In 1'8,) Personal property in Pennsylvania
(If not domiciled In Pa,) Personal property In County
Value of real estate In Pennsylvania
situated as follows: -' I ~" /t,l/I'llZ
1l1.~( H/:JJV,l.\flvol1..~ O~(lJlA..11
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t:Ml. .-'1:1t11{ 1-I/JNd!)"f/tt.~ ~A . /QC)~ c;.?t:'c)
a.. 1.,...1\ 1"'- -~V""r.y.,,:). ('L!I.I"",k... '
,
$ I~ p.'p
$
$
$
WHEREFORE, petitloner(s) respectfully
pr"ented hcrewlth and the grant of letters
theron.
request(s) the probate of the last will and codlcil(s)
-r~" -t"A '''Ii- MI\P f
(lestamentarYi administration c,l.a.: administration d,b,n,c,t.8,)
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t\Aeu\, ~)i'-" 17D55
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH Of' PENNSYLVANIA } '8
COUNTY OF, CUM1:lF.HLlINO s
, ..----
The petltiunr.r(s) above-named swear(n or affirl\l(s) lhat lhe statements in the foregoing petition are
true and correct to thc best of Ihe kilOwledge and belicf of petilioner(s) and that as personal reprcsen-
tatlve(,) of the above decedent petirioner(s) will wcll and truly administer the estate according to law,
Sworn to or affirmed and sub,cribed
before me this :n s to _" day of
'-II Jan\J~,!y____ 19...22...
"J(l~ c.Jm,
-1) fl JI. ~) .1"" Register
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Hl061llfltv 8-48
(f'Et,fOR THla
J bnmnc,t,n $200f
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WARNtN:i; 11 IS tLLEGAl TO ilL 'fER Tt1tS COf'V OR
TO DUPUCATE BY Pt10TOGTIIT OR PHOlOGr1APt1,
COMMONWl:'AlTtI Of J'fNNt>YI.VANIA
DEPAATMf'NT ot HI:AI TH VI1,AI. nrcoADl1
CERT. NO, 3351520
l.OCAL REGISTRAR'S CERTIFtCA flON OF DEATH
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Name of Decedent _~,t::JE'lLL_,.,u.,uun,D" "___n.__'._~__.l1lC.H~CLS____,~_~_
I'if.l MI/!'JloJ lM!
Sex _~_Soclal Security NO'"..u5]CL~J.tJ~nUiQz..~____Date of Death_~".L.JO" ICro_~
Date of Birth L:t..l._ J~~n..lg2,Lu, BlrthPlace__-L~-.tl:lo.L..._rl\ ~_~_,,_.__.._.____._..___
Place of Death JJL5.J1.rru::: J)li\,!E..._._,~)t:1ft;.~At-::l-D..----[':'J'iL~,t-lic. Sf':,. \ Reo "Penn,~y!y.l).nt!\
fA()llily HArM Lmmly C,ty_ flflrnUII" o~''r~''~/1IP
Race .....J..o..lH.LTJ;;,...__ Occupatlon_Tt\;,L\;;".....tf'-1~(;L__._ Armed Forces? (Yes or No) ____'fF 5____..___
Decedent's ~ r ^ 1\ M' (\,
Marital Status .w.iLJLDQuJE~~ Mailing Address .1J6BB.'tL t.R'IJ€, ___...L'EQI^NJ~~~,7(j'jJ
NlJmt>f;J, Slleol City nl TfJY;n Sl~!~
Informant -k'C;;:l.L'Lt.,g,SEt--l E:&~,r: IS,,_, Funeral Dlrector_JEKt?i:.__W.L.B.lAt-I~----Li.Q.\~L__
Name and Address of D (' I .,,~ " (\
Funeral Establishment ,,_DL&t.._r~f&'\(... l~-,~I.,,!--'.t:.A)f\':L-r~J.]~\1
: Interval Between
: Onset and Death
,
,
,
,
,
,
,
Part I:
Immediate Cause
(a) __bUlLtj '('ex:: AR.C(I,\L "1 ~..(:T;O!:::L__.
(b)
(c)
(d)
Part tl: Other Significant Conditions
Manner of Death:
Natural 0' Homicide 0
Accident 0 Pending Investigation 0
Suicide 0 Could not be Determined 0
Describe how Injury occurred:
Name and Title of Certifier __,_~eL. l , rJ()Rr;,I~_c..cr,-,>.k)Ef(
Address ME;'-! ..11\1--1(( ~&K.~ ~1, 17c(/5
(M,O" 0,0" Qoroner, M.E,j
This Is to certify that the Information here given is correctly copied from an original certificate of
death duly filed with me as Local Registrar, The original certlfloate will be forwarded to the State
Vital Records Office for permanent flllng.-) ... , )
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A~)!Jil\Ci~',' Wills
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~T1F(CAT(ON Of NOT~C~ UNDER RULf. 5,6/aJ
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Name of Deeeallnt. f){)/(/;Vry'IJ
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Date of Death. / .Jh/l L/I,/<.I/ /(.', <I, /
WiU No. "J/97-'/!J(Jlf I Adm~n. No.'/YY~,(?d/~P
'7) j,)) >' /; . J C-"
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To the R8qilLICl
[ certity that notice ot beneficial interest require'l by
Rule 5.6(al of the Orphans' Court Rulel wa. .e,ved on or mail~d to
th~ (ollo~j/n9 beneficiaries uf the abovll-captioned e~tat. on
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Nntice has now been qiven to all perlona entitled thereto under
Rule 5.6(al except
c:iy
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c.pacity.~ Personal Representative
Counsel for personal
representative
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CO/.,,"ONWRALTH OF PENNSYLVANIA
COtJNTY OF CUM'ERLAND
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/IN' ':; .') , 78'1tf1Cl ,fq
II: 5 IN 3 ,? - O,N),:'~
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being duly, .,______. n_ __ .ccordlng to I.w, depo," .nd .ay. ~.t he __ _"h~"'~-'_____ ___
;... .f' ;;;i5 Ii/pi, iI <Ie: ~HI' hiul;::J:u~;,;[ ;'!tl.~;::: ~:"~ PIf:;!.::'::;;I~J.~1 ~;
within II an Invontory m.do by l/dk,-/l fiI:tb/LUleL.T:J.j}J ).thdlG.-C.L'::.-., th. uld {. K (. - ?__
01 tho onllre ..toto 01 uid do cedent, ~on.htlng 01 ~Ii th. p.rlonel prop.rty .nd rOIl ..hte, ..c.pt r..1 ....t. ouhld.
the Commonw..lth 01 Pennlylvanl., .nd thot th. ligur.. oppollt. ..ch It.m 01 th. Inventory r.pr...nt It'. hlr v.lue
II 01 tho deto of docedent'. de.th, " () j J ' Ci, "
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---, -:--_.~, //, (oR,/' .n~~ub.crlbed b.for. me, 1f~-,,~i'!~ {:;:6'~6C""" .,t.Lfia.1'Ji." ,
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NOTARIAL SEAL " ~~.."
DAWN E, ROOT, Notary Public
Harrisburg, Dau"llin County
My Commission Exprres Aug, 9, 1999
D.te of De.th _____..._,--'''-
o.Y
I
91.._
Month
VII'
INSTRUCTIONS
I, All invontory mu.t b. fil.d within three month. after appolntm.nt of p.rson.1 r.pr.unt.tlv.,
2, A .upplomont Invontory mu.t bo fllod within thirty d.y. of dl.covory of .ddltlon.I....h.
], Addltionel ,ho.h may bo attachod .. to p.rsonalty or realty
4. S.. Artlcl. IV, Flduclarl.. Act of 1949.
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
COMMONW'''''' 0' 'INNIV'''N'' (TO DE FILED IN DUPLICATE
,NflAIITMfN10f IUVfNUI I 1 q'l ( 1
I<~"",fJ:l, ~~orl:" 0601 WITH REGISTER OF WILLS COUNTY COOl 'I WAR() Ii
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ai l'f ""IIt.'111 ~lJh'IVINli "oJh1 NA"'IIIAtI 11I1l"'NClIl~flf.ni~ ~IAII'CU.tt'f' NU"''''' AMOUN~ .,(11'110 ,m INUIIU\.l'iON'1
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ri'l:'o',~i~'';;~,;';'--'--- 0 Uup..!....n'.1 R,'u,n [J 3, R.m.lnd., R,'u,n
l'or dot.. Dr <Math p,Ior 10 12.IJ.'?1
[J.. limit.d Ellatt 0 .Ia. future Inl.rlll Compromit' [J 5. f.d.ral E.,fl'l Tax R.lurn Rtqulr.d
If., do'.. 01 do.,h oh., 12,12,B21
LJ 6 Olt.d,nt Olld ".1"11 0 7. D.ced,nt Malnlnln.d a living TruI' _0_ 8 Total Numb.r of Sol. o.pollt to",.,
IAI<ock .opy 01 Willi ____ ,,,.,_~".ch C~t~0.',,~'L_,,_____, ...d___" ,
AiLcoRREi~NDiNcI AND CONPlOINTlAl fAX INPO~TlON SHOULD II DIRICTlD fOI
N.....' I ....\-mN~.....o.ilfr
QiatlP M.......ll.1J+li..ch 1017 N. Pront Street:
flurllOHI HUM'!.
IIi1l'Ti r;burg, P^. 17102
,-1'1) '}i'l .n.::L.:l:4=- N _
1, R.al E.,o'. (S,h.d,l. "I
2, S'oc" ond Bond. ISch.d,l. 81
3. (lolll)' H.ld Slock/Puttnenhlp Inl':'11 ($ch.dul. '=)
~, M."goW" .nd No'., R_I.obh IScho<lulo DI
5, Co.h, Ban, O'pu,I,. & MIKeIl....u, Po'tonal P'optfly
(Sch.d,l. EI
6, Joln'ly Own.d Prop.fly (Schodul. FI
7, 1ro",'." ISck.d,l. GIISch.dul. LI
8. Tolal Gro.. AU.I'llololline, 1.7)
q. Fun.ral hP'I'II", Admlnlllrollv. COI'I, MIK.Uaneo"'l
hp.n,., ISch.dul. tll
10, D.bll, MO"Ao9' lIobillll.., lI,n, ISchedul. II
II, !.I.lll.d'cll.n, 1'.'.1 Line. 9 & 10)
12, Nt! Val.. of E.I.'. 11In. 8 mlnu, Lln. 111
13, Choritobl. .nd Go'"nmon,.1 a.qu,," ISch.dule JI
1... N.I yalu. Subj,cl 10 ~lln. 12 minUl L1n. 13)
15. Spoulal Tranlf." If~r dat'l of d.a,h ah., 6.30.94)
S.II Inlll'Uctlonl for Applkabl. P.rl:.ntag. on Rev."e
Sid., (Inct,do ..1.., t'OM Sch.dule K 01 Sct.odule M,I
16, Amount of line I" la",aLI. 01 6~ ra'.
(Indude value. from Sdw.dul. K or Schedu~ M.)
11. Amou~'1 of line 14 laKabla 01 15% ral.
jlndlJde \lolulI from Sl;h.dvl. K or Schtdl.ll. M.)
18, P,'ncip.I,.. d..IAdd I.. f'OM tin". 15, 16.nd 17,1
19, Cr.dill Spou1QI Pov.rly Cr.dlt Prior Poymenll
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'(1. PA'1S 0' PIA fH A".. uta I /9' CH.CIl HUl.
" A 5POU$AL "
POV.." CUPIY II CLAIMID r.l
PILI NUM...""....- -,-----,-,,, _'__'_h_
NUMIU
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,1110.
( 11 ....1-Q r, . Q QQ. 00
121 ()---__
(J),_-O-
(41. 0
(5) 23,17Q 7(,
5,000.00
, ,~: ,
16)
(7)_--'.1..
(B)
11~r17Q.7h
(91
4rA14 AO
(10)
1~.1(;1.:Q
/.0;1' qqfi ~ 1,0
1111
fl21
(13)
fI~)__112,383.26
11?lA) 16
fl5)
(161_..112,lAl <6
No_Ill
N ,06 .
6.74J 00
fl71 ..,
. ,IS .
1161
h.7U.nO
OJ,eounl
Inl.....,
s
C'H'I~ I.. '4' d yn" "" "'I' 0 . ,,,,,, '\" '"",1 nf yo", ovl 'phy.".''''
fl91
1201
'10. If line 19 i1 greoler lhnn Un. 18, .nl.r Ih. dIH....nc. on Un. 20. Thh h ,he CiVU'AYMENT,
IICJ
21. Illln. 18 It 9rel,1'.1' thon lln. 19, .nler lhe dlHerlnCl on line 21. Thl. I. the TAX DUI, (21)
A. Enler Ih... inl.r.,' on Ih. baloncl due on lin. :ilIA. (21AI ._._____
8, En'" 'h.to'ol.' L1n. 21 .nd 21" on Line 211, !hl.I.,he IALANCI DUI, (21B)
__~o~~ Ch!~" ,..,.11,.. tOI ..,Iat.,.f WIII,/ A,_.., ________.~. _ .
~ .e SUII TO ANSW" ALL QUISTlONS ON REVIRSI SiDI AND fO RECHICK MATH o<(..c -
nd.r p.nllhi.. of perjvf)', I d.dmt Ihol I hav. 'Komln.d 'hi. return, Including Qccompanying JCh'~\jl.. and lIol.m.nll, and 10 Ih. bItt of my ~nowl.dg. and b.llef,
I i. HUll, co"'.,1 and compl.te, I d.dar. thai 011 real e.loI. hal bMn reported 0111'1.1. ma~lc'l valu.. D.clarollon of preparef olh.r thon th. perlOna! ,.preMnlallvl II
.a..!..__~_~)~~~~~_~lion.~ WhlcfreE!.!r hat any knowl..!Q." ,
~lU"f' ~UUO IU,ON Illl' rnlNG anUIN ADDU,i -j OAlE
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I' _~'l.!lf" o~ ,urA. ~P'H~I:J'H~N ItPUUNlA, 'IV( ',/ .,~O.f,J,'I/ / J, " ,,' ....1 (/T.' I, DAn _
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'1" !:..L4-,-YI( /1\' 1;li/I...L,I-LIJ::!I, /, _ Nip',i/. /(/,(1,' ',;''' c'" c, ";''<1 I t.., 1/1 tl..~ I " ,,' .' I
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IIfV-1511,H+ (J-lllll
Michaels
I SCHEDULE H I
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND EIN 23-7876089
MISCEllANEOUS EXPENSES, , Pi.... Print or Tvp.
.,.____.,. ,~-=..-~ ~r~~u:~7B~~O.1 ;:. ~:,:. ""_~=~..~=
~t~
COMMONWEALTH m PENNSYlVANIA
INH~RITANCE TAY. RETURN
fI~S10!NT rDr:~~PEN'
ESTATE Of'
_ Kenneth__1L....
ITEM
NUMBER
-----~--
A.
1.
DESCRIPTION
AMOUNT
_.._..__._._.~_._-_.~~_._---~-~~.__._--~----,
Fun.rol Exp.n....
George P. Garman Funeral Home
3r986;60
B, Admlnl.tratlve COft..
1. Perlonal Reprelen'Iatlve Commi..lonl
Saclal Security Number of Personal Repr.sentatlve: N fA
Year Commiulan. p"ld ..,__
2,
Atto~ney Faos
Diane M. Rupich, Esquire
509.00
3, Family Exemption
CI"lmant ",_-1llA._,_____ Relationship
Addreu of Claimant at decedent's deoth
Street Addr." ,.,
4,
C.
1,
2,
3,
4,
5.
6,
7,
8,
Citv ----,-"""
.,---State _-'--- Zip Code
Prabate F.e.
Register Of Wills
15.00
155.50
Mlsc.llan.ou. Expen.e..
Sentinel-Advertising Costs 59.50
Patriot News 118.20
TOTAL IAlso .nter on line 9, Recopltulation) S 4 834 80
, .
(If more .pac. Is need.d, In.ert additional .h..h 01 sam. IIz'.1
to,
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II!; I Jrl'MIIMI:NT ()f Iii Jl!~;IN(j IIlld UIIIIAN I)I=VII flf'MI'NI
lil IILLMLNI :ilAII MI NI
CORNERSTONE
LAND TRANSFER, INC.
ClMB N'l ;?f,O? o2lifl
ltlllt'llo
llf~uqJlIIII
Il t YI'!' 01' LOAN
5 Wast Main Slreet
Shlremanstown, PA 17011
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',I,LLY~.________
(i litE NUMIJUI
9'10255
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1_ LUAt~ Nt JMtlUt
461015901
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Phone: (717) 730-9664 Fax: (717) 730.9665
II MOl IT, INn CNir- NO
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'( I' f \ (: )' IVI_I~(.' 11. i.I~(.1 ~)( ~~:;~.~Y.~J,,::~::.:~~!J ~Y~~~~I~:.:.,.I_~~~I~\~:.!~:!..~I~~~~:~~~t~I~! ~~~~J ~~!~!~~_. :~I r~!__'_I.~_(j l_r~~I._ ~1.1{;~\_l~ff~( ~_ u_~ H_lf)__~f~~~~; ________ __'" ._~___,.,..___~_.."..
I. il'\I,IIIdj(II\IIIIJIf'i~;lillHJIIHoWln f NAM(ANlJAtlIJltl!;!;OI tiUI.HI I f-II\MI Nll)MJllIU~;~;{i1lfNUln
I':I-:I.I.I~Y j,llLGJ/ M, RUSENKO Kl<:LLI~Y L. GULICK & JOHN W, GMM~ MOR'l'OMJE CORPORATION
MICHAELS, CO..EXEC, FOR
KENNETH BOYER MICHAEL,S 101'7 r~UMMA lWAD
LEMOYNE 1'A 17043
ti flnOI'Llll Y LOGAIION
It SETTLEMENT AG!:NT:
I SETTLEMENT DATE:
j L~5 1\PI'LI, DRIVE
r~IWH1\NICSf:lU)W BOROUGH
CUMBERLAND COUNTY
CORNERSTONE L1\ND TRANSFER
PI ^CE or SE T IIEMrNT
5 WEST MAIN STREET, SHIREMANS'J'OWN Pl\
06/23/97
\\11 I:CJllllllcl ~;Illl'!l pll\:O
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~()n OROSS AMouNT Due TO SELlER
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J, SUMMARV OF BORROWER'S TRANSACTION,
...u_.....~..__~
I,,,) GllOSS AMOUNT DUE FROM BORROWER
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ill!,
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b, 0111 SWR: $78, 5 ()7Q-lllm ~~Z3(r:::-~: ~_=,=--6:,O~
~ 12
1.'(1 (lnous AMOUNT DUE FROM BORROWER
103882.43 ,,"GROSSAMOUNTounOSELlER
100175,39
'!ill ^MOUN I S PAID flY OR IN BEHALF OF BORROWER LOU ReDUCTIONS IN AMOUNT DUE TO seLLER
"II I )(:!~~!-'~~.~~~~II(I~'-i~l~,)~~===-._ _~[Yo U~OO ~ . LO ( r xc~;-(i;~~~iI0;;J~Q~~~~~lj~ ;'l-~~[_~~~~~~.~= ~-----_.-:-~~~
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"'" ^I'I"""..,I I "" I" GMAC MORTGAGE ,,275 POC
""., ';''''I'III;';;''<lI';'-'--~ ---------.-.GMAC-MORTGAGE$50 pac ---- __m______
1~~I~".I-m~~Tr~;;-il{;,;T(I-O .~~.-
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"" lHiL!i.!:....I1B_:.t(~~--._--..------::=------c;MlicMOR'J'GAGE CORPORATIO. ....--....'i9E:o[
.",,, 'TIMS REQUIRED BY lENDER TO BE PAID IN ADVANCE
":'Li~~~~'0"II((~;'c.. "U67'23/97 1007701/97 @$
'Ill;' MwIUilfjflIH,\\II;mc(J Protnlllln lor rno 10
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-........----..-----
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--..---.-----.
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1~1;~i.t;;iY!loWI1I11X mo, @$
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,uu,;-'AGCr- ADJ mo @ .$
I \00 TITLE CHARGES
1101. Soltlorrlonl or closing 10910
ill);., Ab!;II'act or tilla seafcll to
IllH 11110 oxmnillalion 10
I I!'! I IlIloillr.LHrUlcobhldor 10
11lI:, IJOClHllllll1 p/upllwlloll 10
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-~(i~l-:i~'j(tns Ilbovo"iimils No.:)
",," 1,11;;11,;,;;;;;;:0---10---- CORNERSTONE LAND TRANSFER
i";;:t;;,T.,;:"I,;;v'~'iill(lI,,N()) 1.l02 1103 1104 100 300 aT---.--.
II(J~I 1-(;;0~r;f~~.;~Y;;II\Vl)~;. . 8~OO
II \;1 ;.\wl';~-;;'~-(':;-;~~i-o~'''''---r5o 1000
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23.75
lIlia, 71.2';
lillO,
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Irno, 12 0 -.-IS
lillO,
11110, 1022.97
Ilno
lillO, - 143-:56
24.03
78.69
.'
12.00
85.00-
6.00
DIME RUPICIl,
NO'!'ARY PUBLIC
ESQ.
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Regiater of Willa of CUMHERL^ND county, Pennaylvanl,
CorL I (lctlLo of Ul'illll ul LoLI," fI 'l'I)Iil.,tlI\Unl.ill'Y
No. 1997-00108 P^ No. 2197"0108
ESTATE OF' MICIIAELS KENNE1'1I 13
(tA\:>'1' ,...'1" I l(b'I', -M I IJ1JLt; ,
Late of
MECIIANiCSHUHG /JOHOUGH
CUMBERLl\NrreOUN'I'V-;------" "~,...._---~ ....L_.m.__,.
Deceased
Social Socur.lLy No, ;i7.1..l!L.<J!!'Q,2..
WIlEHEAS, on the ~------.!!:h.._ day of February 1921 an instrument
dated October 1st 1992
WiJS ilumJLtfJ(j to probate as tlw last will of MICII^ELS KENNE'1'1l B
( [;I\S'I' ;'-'FTHS'I' ;-MI lJJ.lI;E r-"~--"-"'-"'_.'_.-
_ t:iJ::.L:IlA~ 1 CeBUI!.9 BOROUGII
,.lQ.~1 day 0 ( ;1.il11.!l.a r Y .__ 12.2...? and,
WIlEREAS, a trUG copy of the will as probated is annoxod herBto.
'1'IIEHEFORE, I, .J.,l\HY f-,-LEW~.. ._._' Hegisler of Wills in and for
County of CUMBERLAND in the Commonwealth of Pennsylvania, hereby certify
that I have this day granted Letters __,_'rf:0~fAMENT^RY
I.O.....!OHN_W MJ..cll~~!"S __._~,_and _GULIfL_~J:;!=.!=.EL!-_. A/KIA
-'
CUMBERLAND County, who died on the
IInd
'._~'-'._-----_.........,..
FUSSENEGGEH KELLEY L
ha'!.~ duly qualIfIed as __Executo~(rix)
,Il!~~,~ agreed to admInister the estat.e accordIng to law, all of
lppears 01' record 1.n my Office at CUMBERLAND COUN'!'Y COUR'!' IIOUSE,
_ARLISLE, PENNSYLVANIA.
IN ',l'ES'!' 1 MONY WllEHEOF,
f my OfUce the __'tV.! clay
--_._---~p----.........~----~-
which fully
I have hereunto set
of February 1997.
my hand and affixed the seal
'~(l, ~Jq1~~~~~-
UNO'I'EU ALL NAMES ABOVE APPEAH (LAS'I', F'lHS'I', MllJlll,E)
t-I~.a..':'''''41~'''', "',tg..'I;I\lfc;.... .........\4........., ...1'..................&,1.':1 ""'.1 t""........t-'..........J .........*-- .................. ."....J
hnve II pow!",f of Ilppointment to my daughter, KELI,E'l, and my son,
JOHN in equal Ghare. per ollpita.
'l'E1B'l'AMEN'f
I, KENNE'I'1l O. MICHAELS, a resident of Cumberland County,
Pennsylvania, being of Bound and disposing mind, r~emory and
underst.anding, do make, publish and declare thili to be my LAST WILL
and TESTAMENT, hereby rElvokinq any llnd all Wills and Codiclll1
previously made by me.
, ,
I
r declare that I am not married, my beloved wife, FERN having
predeCeased me, and that I have two ohildren, KELLEY L. CULICK, and
JOHN W. MICHAELS.
II
I direot that my debts and funeral expenses be paid as soon
after my de,!ith as is practioable by 'my ~~Xecutor out of my residuary
estate, but not from any assets, funds, death benefits or insurance
proceeds which are otherwise exclUdable or exempt from my gross
estate for federal estate valuation or tax purposes.
III
otheL- transfer taxes, however designated that shall become payable
by reason of my death in respect of all propl;lrty comprising my
I direct that all estate, sUccession, legacy, inheritance or
gross estate for death tax purposes, whether or not Slleh rrOpArty
passes under this LAs'r WILL, shall be paid by my Executor out of my
residuary estate, but not from any assets, funds, death benefits or
.
insurance proceeds which are otherwise exclUdable or exempt from my
gross estate for federal estate valuation or tax purposes.
IV
I give, devise and bequeath all my property, whether real or
personal, Wherevilr Hi tUllte, inchldinll Olny prop.l'ty aver \~hich I may
have II powp',r of IIppaintment to my dllUghter, I<E,LLEY, and my son,
JOHN in equal shares per capita.
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BUREAU OF INDIVIDUAL TAXES
~~RnANtE TIll( DIVISION
OfP', za06b1
UAARlSIURO, flA 1111.'-0601
COMMONWEALTH OF PENN9VLVANI~
DEPARTMr.NT OF REVENUE
( "
NOTICE OF INHERITANCE TAM
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESS~IENT OF TAM
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTV
"CN
11-24-97
MICHAElS
01-10-97
21 97-0108
CUMBERLAND
.I 01
E_~~:~~t_R..~~~
MAKE CHECK PAVABLE AND REMIT PAVMENT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ..... RETAIN LOWER PORTION FOR VOIIR RECORDS ....
REV;' isi;'7- EX--A;: ii -f 0'9-: 97r -Nirr"i cE" -oF' - i"NHER"i TAN-cE- TAX - AP pitA-is [ifENT"; -A [lowAN-cE -b-Ii - - _u --- - - - - - - - --
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
KENNETH B FILE NO. 21 97-0108 ACN 101
DIANE'M RUPIeH
1017 N FRONT ST
HBG
PA 17102
ESTATE OF MICHAELS
TAM RETURN WAS, (X I ACCEPTED AS FILED
RESERVATION CONCERNING FUTU~E INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN DhSED ON: ORIGINAL RETURN
1. Roal Elt.t. (Schedule A)
2. ~toek. end Bond. (Schedule ft)
3. Clo..ly H.ld stock/Partnership Inter.,t (Schedule C)
4. Harig_ge./Net.. R*cllvabl. ISchedule OJ
S. C'lh/Bank Deposits/Milc. Personal Property (Schedull E)
6. Jointly Owned Property (Schedull F)
7. Tr_nlferl (Schedule G)
8. Total AI.at,
~~PROVED DEDUCTIONS AND EXEMPTIONS I
9. Funaral Expans../4d~. Costs/Hisc. Expan~a. (Schadule H)
10. Debt./HortgRV_ Liabilitia./Lian. ISchadule I)
11. Total Deduction.
12. Hilt Value of hx R.turn
13. Charitabla/Gov.rn~.nt.l Daqua.tsl Non-elacted 9113 Trolt.
14. Hat Valu. of E.tat. Subjact to rax
If an assessment was issued previousl~, lines
reflect figures that include the total of 6bh
ASGESSNENT OF TAX:
IS. AlItOunt of Line 14 at Spou.al rata (15)
16. AlItOunt of Line 14 tAxabl. .t Un..l/Cl... A r", (16)
17. A~Dunt of Line 14 t.xabla .t Coll.t.r~l/Cl... 8 rat. (17)
18. Prinnipal Tax Du.
TAX CREDITS:
_...._~._,.- ._._--~_..__.
PAYMENT
DATE
08-19-97
NOTE:
RECEIPT
NUMBE R
AA211655
DISCOUNT (')
INTEREST/PEN PAID (-)
.00
. If PAID AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATION Of ADDITIONAL INTEREST.
) CHI,NDEO
(II
(2)
131_
(4)
(5)
(6)
(71
105,000.00
.00
.00
_...19-
23,379.76
5.000.00
.00
(el
*'
.nl~H u If~ llttll
KENNETH
B
(91
UO)
4.834.80
16.161. 70
(UI
U21
(131
U41
DATE
11-24-97
(Schadub J)
NOTE I To in.ur. prop.,.
crad! t to your account,
lubMit the upper portion
of thh 10r.. with Yl)ur
ta)( pay..nt.
133,379.76
20.996 50
112,383.26
.00
112,38~.
14, 15 and/or 1&, 17 and 18 will
returns RDse..ed to date.
.00 X . DO.
112.303.26 M .06.
.00M.15.
ue)
AMOUNT PAID
6,743.00
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
.00
6.743.00
.00
6,743.00
6,743.00
.00
.00
---~-~-
.00
( IF TOTAL DUE IS LESS THAN .1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REflECTED AS A "CREDIT" (CR). YDU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
RESERVATION I
IJURPOIE Of'
NOTICE I
PAY tENT I
REFUH[l (CRll
1 {.,
E.tat.~ of decedent. dyln, on ftr ~fora Dtealber 12, 1982 -- If ~"y futura Intar..t In the a.t.t~ I. trln.farrad
In pO..I..lon ~r enJoYlent to Cia.. . (collataral) bantflolarl., 01 the ~adent .ftar the expiration of any I.tata for
life ,ot' for yaar., the C~..lth haraby a!Cpr...IY r..arv.. U,. rllIht to apprlltl ,net ...... trlll,f.r II\herltMWa T'IIII
It thl lawful Clu' a (collataral) rata (W'l lilY lIuch futura tnt.r..t.
To fulfill thl reqYlr..ent. of Slctlon 2140 of the Inheritance and E.t,t, Tax .ct, Act 21 of 1995. (72 P.S.
SacUon 9140).
Dtt.ch thl top portion of thl, Notice and .ub.lt with y~r pIIY.lnt to thl Rlgi'tlr of Will, prlntld on thl rlver'l ,Ide.
-"M.te:. chaok or "",y order plyable tOI REGISTER OF' MILLS, AGENT
~ r.fund of a tax or.dlt, which WI' not rlqut,t.d on thl Tax R.turn, .ay be rlqu..tld by cv.pl.tln. an "Applloatlon
for Mlfund of Penn.y!vanla InhlrJtlM\Ol and E.t~t. Trlle" (REY-Ul3). ApplloaUon. arl Iv.ihble at the Offill'"
of the Re.l.tlr of Willi, &My of tha ZS Rlv.nul Ol.trl~t Off Ie.., or by cIlllng thl Ip~el.l t4~hoUr
anlw.rlng .~rvlol nuabar. for for.. ord.rlngl In Plnnlylvania 1~800~36l-2050, out.ldl PennlYlvanla Ind
",!thin looal HlrrltbUrg arll (717) 7&7-8094, TOOt (717) 77Z~t252 nl.lrlng IIlP.lrad OnlY).
OBJECTIONSl Any p.rty In Int.rllt ~ot letl.fled with thl appral"wlnt, allowan~e or dl.allowln~' of dlductionl, or ....I...,..t
of taM (Including dl,count or int.rlltl a' 'hown on thi, N~tl~. aUlt Object Hlthln ,ll1ty (60) d.y, of r,ollpt of
thit Notic. bYI
ADtUH
ISTRATIVE
CORM.CHOHS I
DISCOUNT I
PENAlTVl
IHTEAUTI
--wrltt." protl.t to the PA n,p8rt..nt of R.v.nuI, Boara of ApPlal., Oept. Z61DZl, Harrl'burg, PA 171l8.1021, O.
~..llctlon to have the ..tt.r d.t.r.ln.d at nudlt of the aocount of th. plrlo~al rIPr.l.ntatlvl, OR
--app.al to the Orphnn.' Court.
FtQtual Irrorl dl.cov.rld on thl. ........nt .hould b. addr~.,.d In writing to\ PA D.p.rtnant of R.venue,
Bur.Mol of Indlvldu.1 hMtI., ATTN: POlt A.......nt Ravlew Unit, D.pt. 280601, Harrhburg, PA 1712'~0601
Phone (717l 181-6505. S.. pag. 5 of thl book lit "tn.truCltlon. for Inh.rltlMlC' T.IC Rlturn for I R..iant
DtC.ctlWlt" (REV~1501) for an .Jepl."eUon of adlllnhtr.tivlh (lorr.otMlI, .rrorl.
If any taJe due I, paid within thr.. (3) cal.ndar .onth. aftlr the dlc.d.nt'. de.th, . flvl pare.,..t (5Z) di.count of
thl tlM plid It 1I110\1fad.
Th. 15:< taM ..,....ty non-p.rtJelpaUon p.nlllh II coaput.d on the total of thl \Ix and Int.r..t .."..~, IIftd I~t
paid baifor. January 18, 1996, thl fir.t day ofter the Ind of the taM aw.uty p.rlod. 'hit non~p.rUoip.tlon
pan.lty it IPpaalllbl. In thl .... IInn.r and In the the 15" U.. p.r lod II you ",ould app.1l1 the taM ..a Int.rflllt
th.t hi' b.~ .......d au jndl~at.d on thl. notl~..
tnt.r..t II ch.rg.a b.glnning with flrlt day of d.llnqutncy, or nine (~) .onth. and one (1) day frv. thl d.t. of
de.th, to thl data of pay..nt. TaJe" whloh b.ca.. d.llnqulnt b.for. January I, 1982 be.r Int.re.t at the rata of
.Ix Uti() p.rcant p.r annUlI calculahd at II d.ily rata of .000164. AU talC.. whloh b.a... dellnctUlnt on end Ift,r
Jenuarv 1, 1982 will be.r Intlr'lt at a ratl whIch will vary fro' oalandar y..r to c.lendar Y.lr ",Ith th.t rat.
annou~wd by thl PA Depart..,..t of Rlvenu" Th. appllCabl. lntor..t ret.. for 19.2 through 1997 arll
'!!!r Inter..t Ral! naUy Int.rut Factor X!!!' Inter..t Rat. DallIJ Int.rllt FltCtcr
1982 tlli( .000S48 1987 9% ,000241
1963 16% .000458 19&8-1991 11% .000501
1914 lli( ,DOO30~ 1992 9% .001)247
1985 13% ,000356 1993~199~ IX .00D1')2
19B6 lOt. .000;!74 lC)9S~1997 OX ,000247
--Interut II calculat.d II folloWll
INTEREST . IALANCE OF TAX UNPAID X NUNIER OF DAYS DELINQUENT X DAILY IN~REST FACTOR
--Any Hotlc. II.uld eft.r the taJe b.eo... d.llnqulnt will rlfl.ct en Int.r..t c.lculatlon to flft,," (IS) daya
baIJond the d.t. of the ........nto If pnyll.nt I. lIad. aft.r the Intarllt co.putatlon d.ta Ihown on the
Hotlc., lKkIltlonal Int_rut lIutt b. talc::ulated,