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PI~TITlON f'OR I)ROIIAl'E and GRANT ()J<' I,ETTERS
&Iale of _ffi_~l!'____I.'h_t~(C:!J-l:~..:,_ No, ___Q.2J ____q.'],_=..le_~.__
also known os ,______._...m_...._. ._~,. To:
____.~_____.___.____mm_._..._._. Register of '2')115 for thel. .I
--7-'~'---.----~ Dccea.ffd, County of _.!-l.'..!.\Le," (o/v(' In the
Social Security No. -Lt::lQ..:..1.....?...:_.3l.i:,2..._ Cornmonweallh of Pennsylvania
The petlllon of the undersigned respeclfully represents that:
Your petltloner(s), who Islare 19 years of age or older an the execut.\2I.L-_ .__ named
In the last will of the above decedent, dOled _.~!.I'; ~ "')I #1t!....l!:!.,t~__, 19~
and codicll(s) dated .____________.
(U8IC relevant circumstances, e,g. renunciation, death of executor, etc.)
Decendent was domiciled at death in C" ", 6:=t::!1L;v qI CountY., Pennsylvani~, wllb
her last family or principal reslde))ce ~t ~ ""~~rMt I?-cl,' C't>rhs.lc f,A
. r..:,1..,.'/t'IIt.-_ry. 7 ~ '
(list sltc('{, number and muncipalily)
DJicendent, then C-.R years of age, died _JCl. 1'.(0. "'rv Z- '7 ,ILZL..
at~6.',..I(j^'tf t:~.,..,y~ /Y~rl'J;."".y &I)lll. _~_.___ .
Except as follows, decedent did not marry,'was nOl divorced and did not have a child born or adopted
after execution of the willoffmd for probate; was not the victim of a 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 real estate in Pennsylvania
situated as follows: .I9 &Nr"cI ('C..,/
t" It ,../1 !. I.r .-r"2l
$ /0.<-'00
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17013
WHEREFORE, petitioner(s) respectfully
prtlented herewith and the grant of letters
theron,
request(s) the probate of the last will and codlcll(s)
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(testamentarYi admillhtCllllon c.t.a.: a.dmlni,tratlon d.b,n.c,t,a.)
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OATH OF PERSONAL REPRESENTATIVE
~g~~T~N~:~A,l,~~~_~.' .~ENNSYLV ANI~_ } ss
The petltioner(s) above.nall.'ed ,wear(s) or affirm(s) that the statements in the foregoing petition arc
true and Correl:l to ihe best 01' Ihe knowledge and belief 01' petitioner(s) and that as personal represen-
lalive(s) of the above decedent pClitioner(s) will we~und truly administer the estat, aecordlng to law.
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sw, om to, or, affirmed ,jnd,S, ubscr ibed {' -4. h, .'<Cd t' ,/1 1l:.~.J't4~' ~
b~ re me Ihis __..!..!:L.....:......_, "ld!?,~f ~'
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21-97-18:1
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COMMONWSALTH OF PENNSVLVANIA. OSPAATMENT OF HEALTH' VITAL 'UIOO"08
CERTIFICATE OF DEATH
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COMMONWtAllIl PfNN&VmNIA
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REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
fMNllMIIEr:JR
21 1997 0183
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MARKS, MARIE .I.
IlOCIAl B!:Cl.IRITY HUIDR -'-"'~'"---DITtor OfAi~'-------~- [lA'!! or AlRlIt
I~?_L:=-l? 16~~ 27, 1997 1.APRII, .6,1928 __---1
If" AJlf'lICNllff IIURYlVtW SPOlJ~['SNAMI: (lA!lT, r1RS1..4HO t.lIOOlE So..':lAl SECuRITY NUJ,IlfR 'T-rHSRETURN MUST 8E FILED W DlIPUCAfE .rH THE
':~~_~:A __________l__~ I __~ RF.GISTE~ OF WlLLS__.__
J8I 'ClrIgh~Rotum 0 2.SuW~menlolR.lum 03 R.malnoorR.luml"""""""."'><"
o 4 limited ,,1.1. 0 4.. Fulure Inlereot Camproml..I""."........ """") 0 5, F.d.rel Eal.I.1" R.I"m Roqulred
I8l 6, Decedef11 Died T..I.I.I....""'''WO} 0 7. Oeoedenl MaIntained. living Tru.II_'""," ''''''l Q. 8. 1u1al Nurrberof 5.,. Deposll Bo,..
o 9, lil~81i<l11Pro_d.Recelved 010 Spouaal Pov.rt'( Credit ""',,__ "'''''''''''''''1 0 II, ElecUoolo la, under Sec. 91 13(Ali""'h 8<h 0)
nils SECTION MUST BE COMPLETEll, "LL CORRF.SPONDENCE "NO CONFIDF.NlI"L TAX INFORMATION SHOULD BE DIRECTED TO:
NNA': COt.f'lf.'EtN;I~ESS-
DAVID E. MARKS
ffH.INAMI: lr~l
410 BLOSER VILLE ROAD
NEWVILLE, PA 17241-8702
1, Real E,IaI. (Schedule AI (I)
2. SlocI1. aod Bood. (Sct1edu~ B) (2)
3, CIoee~ H~d CorporatIon,P8II"""hlp a< SoIe.prOllllelO!1lhlp (3)
4, ~ag.. & Notes RecoIvabl. (Schedu~ D) (4)
5. Cash, Be"" Oepolllt& & MlacellaneotJll Personal Propert'( (5)
Z (Sohadul. E)
0 6. JoInlly Owned I'rope<ty (Sd1edu~ F) (8)
~ 7. Inlor.V"", Tmnefllfl & Mlacellaneous Non.f'rQbal. Property (7)
::I (Sct1edu~Ga< L)
I:: 8, Tel.' Gross Assets (Iolal LIr\88 1.7)
~ 9. Fu_1 Expanses & Admlnl.lrative CosI. (Soh.dul. H) (9) I
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~ 10. Dobl. of DeoedllOl. Morlgag. Lleblllti.., & L~na (Scl1edul.11
(10)
11. TOIII DecIucUos1s (Iolal Lines 9 & 10)
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34,277 21 CI>
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(8)
13,257 02
53,516 75
(II)
(12)
(13)
(14)
(15)
(18)
(17)
(18)
12. Hat v.... 01 ESlAle (L1.. 8 mlnu. Line II)
13. Chantabla.od Governmonl.1 BequeslsJSeo 9113 Tru.ts fa< whloh an election 10 I" hes nol be.n
66,773 77
13,078 44
14. IIeI V.... SUbjeClID Tu (Line 12 minua Line 13)
15. Amounlolllne 14 luabler- -I
.llhe .pou.eI tax rei. L- --1
Stteln&tructionaonrllVflftl8~IeD8fC&/l18CIe
16 Amounlofllne 14 taxable 13.07j8 44
al 8% ",Ie _
17 Amoonl of line 14 taxable
8115%1810
18. Tllll Due
13,078 44
1-:0-
1:06
,15
784 71
784 71
19. 0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
> > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < <
lkKhr pIOllIIiel 04~, I rteckre Ihsl hM..mn.d 1M r9ilm, lr'Ic:Mklg ~~ng lldledle& lIfId c1lJIenWlts,-and kJ the bool of my kMwkldgB IIld beflel, i1 is true, carecl m oomplMe Deollnlm 0( prep8W other
~.~oo"itformllmofwhd~.lI'lv~
SIGNA LIRE Of PERSON RESPONSiBlE FOR . .ING RE1L11N ADDRESS
I /
DATE
410 BLOSERVILLE ROAD, NEWVILLE, PA 17241 7/20/98
----------------- ._~-~
SIGNATURE OF PREPARER 01HER 1f'AN REPRESEN1AHI'E ADDRESS DATE
J?ece<!!!11~_ CO!!'J>I~!1l Ad~.res~.~__~._
S1 RfI r .AJlORF. s.~
_---.-22 CONRt\.!2JiOA12-_____,
em
CARI.ISLli
Tax Payments and Credits:
1, Till< Due (P"l/(\ 1 Line 18)
2, CnKlillIIPaymenls
A Sflou981 poverty Credit
(1)
9 Prior Peyrnen'"
C. Discount
Tol8I Credll9(A + 9., C) (2)
3,
InterellWenalty if llI'Plk.8b1e
D. Inwest 51.56
E, Penetty
4,
Tol8llntefesWenally ( 0 + E ) (3)
If line 2 is greater Ihen line 1 t line 3, enlsr Ihe li"efence This is the OVERPAYMENT.
Cheek box on Page ~ line 19 to requeat e mund (4)
If line 1 t ine 3 is lI'eelef lh8n line 2, enlsr Ihe li"erence. This is Ihe TAX DUE, (5)
A Enter !he Inlsrealon !he tax due (5A)
9, Enter Ihe tol8l 01 Line 5 + 5A. This Is Ihe BALANCE DUE. (59)
Make Check Payable to: REGISTER OF WILLS, AGENT
5.
I
PLEASE ANSWER THE FOllOWING QUESTIONS
BY PLACING AN X IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and: Yes
a, relaln the use or inoome of the property transferred;.. ............... ..............."...0
b. relain the right to designate who shall use the property transferred or Its Income;." ........ 0
c. retain a reversionary interest; or. ......".." ...0
d, reo~lve the promise for life of e~her payments, benems or care? ,,,,......... ".."."" 0
2. If death occurred on or before December 12, 1982, did decedent withlll two years
preceding deeth transfer property w~hout receiving adequate consideration? If death occurred
after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration? .........,.. ..............."""". ............,,,....'....,,,,.,, ..,0
3, Old decedent own an 'In trust for" or payable upon death bank account or security
at his or her death? . . ,... ...,...... .... . . . ....... . .. .. . . ...."........."... .."...."".." 0
4. Old decedent own an individual retirement account, annuity, or olher non.probate property?... 0
'I
I
I
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST GOMPlETE SCHEDULE G AND FilE IT AS PART OF THE RETURN
170 ;,---~
784,7\
0,00
51.56
836.27
836,27
No
~
~
~
~
~
I8l
72 P.S. !l9116 (a) (1.1) (i) provided for the reduction of the tax rate Imposed on the net value of transfels to or for the use of the
surviving spouse from 6% to 3% for dates of death on or after July 1, 1994 and before January 1, 1995,
72 P.S. !l9116 (a) (1,1) (Ii) provided for the reduction of the rate imposed on the net value of transfers to or for the use of the
surviving spouse from 3% to 0% for dates of death on or after January 1, , 995. ThA statute does not exempt a transfer to a surviving
spouse from tax, and the slatutory requirements for disclosure of assets and filing a tax return are stili applicable even If the surviving
spouse is the only beneficiary,
FOR DAlES OF DEATll ON OR AFTER JANUARY 1, 1995 - Please answor the following question by placing an 'x' in the
appropriate space.
Old the decedent create a trust or almllar arrangement which Is eolely for the surviving spouse s benefit for his or her entire
lifetime? Yea 0 No ~
If you answered yes to the above question, t/1e tax on the trust or similar arrangement Is poslponed until the death of the second
spouse, at which :ime it will be fully taxable at the rale(s) applicable to the remainder beneficlary(les), Enler the value of the trust on
Schedule J, Part II, in order to rerrove it from the calculation of the lax due In this estate. You may wish to file Schedule 0 In order to
make the election available under Section 9113, If the election Is made, the trust or similar arrangement Is taxed In the estate or the
first decedenl spouse, the portion of the trust or similar arrangement which benems the surviving spouse Is taxed at the zero tax rete,
and the remainder Is taxed althe rale(s) applicable 10 Ihe remainder beneficlary(les), If you choose to make the election, you must
attach Schedule 0 to a timely-filed lax return, along with Schedule(s) K and/or M in order to show the apportIOnment of the trust or
similar arrangement betweon the surviving spou.e end the remainder beneflclary(ies)
...."''''''.'''''*
GO~ONWfAl Hi Ol P[NNSYI VANI...
INHf:AlfANCr: TAX HFTUfm
Hr.~{)ENl {)('C(OfNT
SCHEDULE F
JOINTL Y.OWNED PROPERTY
ESTATE OF
MARKS, MARIE j,
FILE NUMBER
21 . 97 . 0183
".n .lIot WI' _ joIot within OM yell 01 tho cIIc....nt. d.1e 01 cIIIth, ~ moot be ropoltod OIl Schtd.". 0,
SUHVIVING JOIN! T[NANT(S) NAME
AOOHESS RElATIONSHIP TO OECI'OENT
A.
MARTflA M. MARTYN
63 CONRAD ROAD
CARLISLE, PA 17013
DAUGHTER
B. MARTflA M. MARTYN 63 CONRAD ROAD CARLISLE, PA 17013 DAUGHTER
DA VID E, MARKS 410 BLOSERVII.LE RD, NEWVII.LE. PA 17241 SON
C, MARTflA M. MARTYN 63 CONRAD ROAD CARLISLE, PA 17013 DAUGHTER
HELEN A. ymlE 135 SOUTHSlDE DR. NEWVILLE. PA 17241 DAUGHTER
GRACE J. YINGER 1955 SPRING ROAD CARLISLE, PA 17013 DAUGHTER
D. DA VID E. MARKS 410 BLOSERVILLE RD, NEWVILLE, PA 17241 SON
JOINTl Y.OWNf:D PROPERTY:
-- -- - -- -- -- -~'40F
lETTE:R DATE DESCRIPTION OF PROPERTY DAn: OF DEATH
nEll FOOJOtNT WollE Irdodll name o1ln8r1Ol1ll instiiltion and blrlk aocoont nurrber or simillr Identifying nunbef DATE OF DEATH DECOS VALUfOF
NlMER TENANT "'NT AftICll dood.. "n'yMld"",_ VALUE OF ASSET INTERtST DECroENT S INTEREST
1. A 12/87 MEMBERS FIRST CU CHECKING #76769-11 12,430.58 50.0 6,215.29
2. B, 6/92 PSECU CHECKING #0180223169 5,887,28 33.3 1,962,43
3. B. 6/92 PSECU SA VINGS #0180223169 5,621.58 33.3 1.873.86
4, C. 9/87 l.AND, LOTS 90 & 91. PROSPECT RD. CARLISLE, PA 10,500.00 25,0 2,625.00
APPRAISAl. BY WOLFE & SHEARER
5. C. 9/87 l.AND,l.OTS 118 & 119. PROSPECT RD. CARLlSl.E, PA 4,500,00 25,0 1,125.00
APPRAISAl. BY WOl.FE & SHEARER
6. D. 4/92 4,026,674 SHARES VANGUARD GNMA @ $1 0.17/SHARE 40,951.27 50.0 20,475.64
TOT AI. (Also enler on line 6, Re~llulellon) S 34,277.21
--
(If lTlllIe space Is needed, ilfllllt addillon8l sheets Dllhe IBI1e size)
"."''''''''''''',*,
COMMOtMEAl.l~j Of Pf:NNSVl..VANIA
IN'II'RITANQ I/o)( IWIURN
Rf.~OENT IJEctOENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
EOTATE Of
MARKS, MARIE J.
FILE NUMBER
21 - 97 . 0183
DtblI 01 decedent mutt be ~.d on Schedule I.
ITEM
NUMBER
A,
1
2"
),
4,
5.
I 6,
i 7.
,j
e,
1.
2.
3.
j
!
4,
5,
6,
7.
DESCRIPTION
Fl,JNERAl EXPENSES: -
EWING BROTHERS FUNERAL HOME
GRA VE OPENING FEE
FLOWERS
MINISTER
CHURCH RENTAL & MEAL
MONUMENT
GRA VESITE
AMOUNT
5.575,00
m,oo
145.00
100,00
125,00
600.00
400.00
ADMINISTRATIVE COSTS:
P.""".I Ropl....IoIf;t 0 Commission>
Nam. al Porn"",,1 Repr.senlotiYe(s)
Sooiel S"'UII~ Numbe!(s)I EIN Numbe! 01 P.IIIOM' Repr.senloliYe(')
SI,..t Addr...
CI~
_Sial'
Zip
Yoa~sl Comm~aIon Pa~,
^"orOO'f F",
1,000.00
3,500.00
F'ml~ Exemption' (II_I' od:Jr... is oollho .ame as cI.lmenlo, atlllch e'PI'Mtian)
C~lmenl BARBARA J. SHULTZ
SII80I AckI... 59 CONRAD ROAD
CARLISLE
Zip
17013
CI~
R'~llOf\$h" of Clalmenlla Docedenl
Sl,le PA
DAUGHTER
Probalo F...
252.02
Accounlenl s F...
250.00
Tax Relurn Properel s F.....
175,00
PROPBRTY APPRAISAL PEES
400.00
TOTAl. (Also snler on line 9, Rs~Il\llallon) S 13,257.02
(II more 8plICe Is nMded, l/leert 8ddillonel sheets 01 the 8IIIl8 0)
-
~
LAST WILL AND TESTAMENT
",
OF
MARIE J. MARKS
I r MARIE J. MARKS, a resident of 59 Conrad Road, Carlisle,
Cumberland county, Pennsylvania being of sound mind, memory and
understanding, do hereby make, publish and declare this to be my
Last. Will and Test.ament, hereby revoking all Wllls and Codicils
heretofore made by me.
ITEM l: I direct that al.l my just debts, the expenses of my
last. illness and funeral expenses be paid as soon after my decease
as the same can conveniently be done.
ITEM 2: I direct that there shall be paid out of my
res~duary estate all estate, inheritance and like taxes together
with any interest or penalty thereon imposed by the government of
the United States, or any state or territory thereof, or by any
foreign government or political subdivision thereof, in respect to
all property required to be included in my gross estate for
estate, inheritance or like tax purposes by any of such govern-
ments" whether the property passes under this Will or otherwise,
excluding, however, any property over which I have a taxable power
,of appointment, provided, however, that no residuary beneficiary
shall by reason of this provision be denied the benefit of any
deduct ion, credit, favorable rate of tax or other benefit which by
law enures to such beneficiary,
-1-
COMMONWEALTH OF PENNSYLVANIA
DEPARTM!NT OF REVENUE
I") Ie.,.) -;(
lURE AU OF INDIVIDUAL TAMES
lHtIERITAHCf TAl( DIYISJfJtil
DEP1. 280601
IlARRISlIlMG, II"' 1712'lHI60J
NOTICE OF INHERITANCE TAM
APPRAISENENT, AI.LOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSE~SHENT OF TAM
10-05-1998
MARK S
01-27-1997
21 97-0183
CUMRERLAND
101
E. __:. ^1lO~~!!.-1tt==:J
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WIllS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ....
REy:isij'f-iir-A;:'jouliiF97riio'ficE"OF-YNHiififANCE"YA"X-A-PPRAisEifEN'f,--ALUiwriNCniri-----------------
DISALLOWANCE OF DEDUCTIONS AND ASS~SSMENT OF TAX
MARIE J FILE NO.21 97-0183 ACN 101
DATE
ESTATE OF
DATE OF DEATH
FI LE NUMBER
COUNTY
ACN
DAVID E MARKS
410 BlOSERVILlE
NEWVILLE
RD
PA 17241
ESTATE OF MARKS
TAM RE'TURN WAS, (x) ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
--..- - .
APPRAISED VALUE OF RETURN BASE,D Otl: ORIGI~Al RETURN
1. Rul Ed.t. (Sohec:kll. A)
2. stock. and Bondi (Schedulo 8)
S. Clo..ly Held Stock/Partnership Int~r..t (Sohedule C)
4. Kor'tgagel/Not.. Raceivabl. (Soh.du}_ DJ
S. C.ah/Bank o.posits/Mlsc. Parsonal Property (Schedule E)
6. Jointly Ow".d Property ~ Schedule F)
7. '(r...81.r. (Sah_dul_ G)
a. Total A...t.
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expense../Adel, Costs/Mhe. Expen..s (Schedul.e Hl
10. Debta/"ortgau- Liabilitias/Li.ns (Schedule Il
11. Total Deductions
12. Net Value of Tax k.turn
13. CharUllbla/Gov.l"'rmantal a.quests; Nono'.l.ot.d 9113 Trusts
14. Net Value of Est.t. Subjact to Tex
If an assess.ent was issued previously, line.
reflect figures that include the total of 6bk
ASSESSMENT OF TAX:
15. AltOunt of U.ne 14 at Spousal rat. US)
16. AltOUnt of Lino 14 taxablo at Lineal/Clan A rat. (6)
17. A.aunt of Lino 14 taxable et Co11~t~rel/Cl.es Brat. (17)
18. Prlnolpal Tax nu.
NOTE:
TAX CREDITS:
PAYHENT
DATE
07'20-1998
RECEIPT
_IER
AA296438
DISCOUNT (+)
INTEREST/PEN PAID I-I
51.56-
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
I CHANGED
(1)
(2)
(3)
(4)
($)
(6)
(71
45.000. 00.
.00
.00
.00
575.00
34.277.21
.00
(81
i
l.".
*
(9)
(10)
13,257.02
53.516.7~
I1Il
(12)
(13)_.
(14)
UY-I'41 nup u.-,,.
MARIE
J
<<Sohadu1. J)
DATE 10-05-1998
HOlE: To inaur. proper
credit to your Rcoount,
eubMit tn. upper po~tion
of this fOnM with YOUr
tax pay....nt.
79,852.21
Itlt.'7'!. 77
13,078.44
.00
13,078.44
14, 15 and/or 16, 17 and 18 will
returns ass...ed to date.
.00 M .00.
13,078.44 M .06=
.00 M .15=
(18)
ANOUNT PAID
836.27
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
------.
TOTAL DUE
.00
784.71
.00
784.71
784 ~71 =
.00
.00
.--
.00
( IF TOTAL PUE IS LESS THAN .1, NO PAVHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE
A REFUND, SEE REVERSE SIDE OF THIS FORtI FOR INSTRUCTIONS,)
1
I
!
I
I
, I
i
I
RUERYATlONI
_Of
NOTICE;
PAVMENT :
H( ,
FI"
IJ~
'SIB
UI'I 1 r'
_ J J
1'1:' :115
011:,11
GUill'
, I
bt,tel of deMdlntl dying on or before o.otDr U, 191t .... if "Y 'future intt,...t in th. ..tet. .. tren."rrtcl
l~ po.....ton or tnjo~t to CI... I (0011at.r.l) bInIfJolerl.. of tht ~t .ft,r tht IMPlretion ft' InY ..t.t. for
lJ.. or for yur., thtt eo.onwe.lth hereby txpl"...h r..."v.. the ,,1..,. to .,.,.11... end ...... tr"lf,r tnherltlnOl Tax..
.t the lawful CI... 8 (onllatl,.al) rat. on '"~ SUCh future lntafl,t.
To fulfill th& requlr..-nt. of Section 2140 of t~ lnhtrit~. Ind Eltat, TIK Aot, Aat 21 of 1995. (72 P.S.
s.oUon 9140).
0.... the top portion of this Hotlc8 Bnd .ubIll. wlttl your plYIlWlt to the A..1I'.,. of WHis printed .on the ,.Ivar.. .lcIt.
~~..... ctlMlk or llOOIy arMr paYlKlh tOt REGISTER OF MILLS, AUGHT
RERItD (CA): A refund of . t.x cr~lt, which wa. not rlqullltltd on tM 'al< Return, .IY be reque.t_ by COIIPlaUng WI "~l1011tlon
for Refund of P<<WlJl!lllvanl, InMl'JtlNlCe and E.tat. Tax" (REV-1S1])' Applicationll ar. avaUml. It the Office
of ttM Raghter of WIlla, any of t;hcl 1.3 Ravenue Dt.trlct Off 10.', or by oel1Ing the IPtKll.l 24-hour
ansvarlno ..ryJ~ ~rft for foral or~rlng: In Pann,ylvanla l.800-~2-2050, out.lde Pannlylvunla and
wIthin locel Hartisburg ar.a (717) 787-8094, TDDI (7171772-2252 (....ring IlIPairad Only).
OBJECTIONS I Any party In Int.rl.t not .atl'fl.d ~Ith the appr.l....nt, allowano. or dl'al~ONanc. of daduotlon., or ......-.ot
of tax (Jnoludlng dhcount or inter..U liS sl'tOMn on this NlItlal Mi.t objaat within sixty (60) days of raoelpt of
thh NoUco by:
ADMIN
ISTMATlVE
CORRECTIONS I
DISCOUNT ,
PENAllY:
lKTERESll
--wrlttan prot..t to the PA Dep.rt.ent of Rev.r~, Board cf Appa.ls, Dept. 28~021, Harrl.burg, PA
ualectlon to hay. the utter dater.lned ,ftt audit of the ltOoount of the paraGOlll repre.antative,
ufIPpMl to the Drphans' Court.
17Ull-l021,
OR
OR
FlI(ltual arrors dhaoverMl 011 thh u..,....nt should bll addra..ad In ~rlUng tal PA ~.rtlMflt of Revenue,
lureeu of Indlvlduel T.xes, ATTH: POlt A.....Ment Review unit, Dept. 280601, Harrilburg, PA 17128-0611
~ (711) 187-6505. Se. page S of the bookl.t ''In.truotlont for Inherltano. T.x Return for I R..ldent
rkcadant.. (REV-ISO!) for IlIn .xIllanetion pf IldIIlnhtretlvll)l corr.ctable arrar..
If WI)' tax due it paid ~1thln throe (31 ealendar aontha lIftar the dao.ant'fJ Math, a fili'I p.rc.nt (5:0 dlloount ot
tM tax p.ld Is aUotftKt.
ThIi 15~ t!IIx _..ty non~partioiJIIIUOIl penalty is oOllputlld on the total of the lex and Intar.st ......ad, .w not
paid bafora Janl.Mlry 18, 1996, the fIr.st day "ftar the and of the tax ...,...ty period. This non-partlci,..Uon
penalty Is IIppallab" in the s__ aaonar and In the the 'Me U.. per lod .s YOU would .-pp..l tho h)( Met Int.r..t
that has ba.n ."Olled as Indicated on this notice.
Inter..t it chIIrgacl ~'nnlng ldth flr.t day of d8l1nquancy, or nl.... (9l ItOnth. and one (1) day frOll the ct.t. of
~th, to tho date of pav-ent. T~~e, wh~oh ~c'" dallnquent bafore J~r~ 1, 19&2 ba.r Inter..t It tho rat. of
,Ix (6X) pero.nt P41r WlnlM calcuhtt.d at 0 delly rat. of .000164. All tax.. which lHtC8llle delinquent on and after
oMnuery 1, 1982 will bear lntnrest at " r"ta !:thlah ~111 vary frOll cal.ndar y.tI., to aalander YUt with that rat.
IlnhOl.ftCId by the PA Dapart..nt of Revenue. Tho appllcllblll Intate.t rates for 1982 thrtlUgtl 19M ar.=
'!!!L Int.r..t Rata ~nter..t Faotor Y.!!r Intar..t Rete Dally Intar..t Fentor
191' lD:( .DOOS48 1987 ., .000247
1915 16;: .OD04M1 1988-1991 11;: .00OSOl
I'" 11:( .000]111 199' ., .000247
1985 13;: .000356 1993~1'% n .000192
I'" IIJ;.c .000274 1995~1998 9>: .000247
--lntera.t 1. oalculetad a, follow'l
INTEREST. BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUEllT X DAILY INTEREST FACTOR
~.An)' NoUca lsstHtd ,ftar the tax ~a delinquent ~111 raUect an lntereU oalculatlon to flft..., US) day.
bayond the data of tM ........nt. If paYHf\t 11 Uda eftar tn. Int.,...t C1011pUtaUon data shown on the
Notloo, additional Intar..t llU.t be caloulated.
e" \.>_
~TUS REPORT UNDER RULE 6.12
Name of Decedent: MetA II! cT M 1'1/1 A's
Date of Death: "I - a. '1" / 9'17
Will No, 3-/-1'191" IO.a Admin. No,
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 I
1, State whether administration of the estate is complete:
Yes No X
2, If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete: ;p..., z.. 00 1'_
3. If the answer to No. 1 id 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 iSI
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 attached to this report,
,CJ~ ~. J#d4k
sf'friatllre
:DAVID i, ;111/".8;...{
Name (Please type or print)
70/0 8Ioserrll/e..-)2~ ;Yt!'WYI,4.1I'~
Address /72/11
(117) 17(,0 'i.ft.!.i".5
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(MAHlrmflAM3)
. Complete Items 1, 2, snd 3, Also complsts
Item 4 If Restrlcled Delivery " ds.lred.
. Print your name e.nd addross on the reverse
so that we can return the card to you.
. Atlech Ihl' card 10 tha back of the mallplaca,
or on the front If space permits.
i, Artlc>>G Addres$OO 10:
A RacelvEld by (Plaase Print Clearly) ,
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If YES, enter delivery address below:
D Agont
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()0Cb 00), 5
Domestic Return Receipt
(5' q '-I
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