HomeMy WebLinkAbout97-00239
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21-97-239
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FAGER
hGOC'w. SECURITY NuMBER
EVELY N Ii
OATEof OEAIH
DATE or 8IIHH
1 9 8 - 3 6. 6 8 1 6 0 2' 2 0' I 'J 9 7 0 .n..i' , 1 9 0 7
(If mllCABl'1 SU'~W<G SPOUSFS NAM€ IlAST, "'ST. AND "'DOLE ,.",,, SOC'" SECU'''Y """a" THIS RETIIRH MlJS111E FIUD IN DUPLICATE W~H THE
N / A _ REGISTER OF WillS
ao 1.01lglnelRalum 02,Supplam<tntaIRalum D3.Ram.,ndorReluml_...........,1'W'
o 4, lImie<l E.tale 0 4., Fulure Inlore.IComproml.. ,,,,,.,,,,,,,,, 11,12"1 0 5. FO<ItflllE.tata la. Re~,m Required
~ 6 Oe<orJanl Died T..tale """,,,,,,.Wltl 0 7, DecedantMalntalned elMI19 Tru.t ("",,,,,,.T'~'I _ B. Total Number 01 S.le Deooa~ Bo.e,
o 9 LIIIil.UOn ProceorJe Received 010, Spou.el Poverty Cred~I...."..._'12.","..'.',"1 0 11 Eloctiofl to IlK under See 9113IA) I"""" C
THIS SECTION MUST BE COMPLETED, ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
NAAlE COMPlETE MAiliNG ADDRESS
Robert M. Newbury C.P.A. 305 South 32nd Street
flRM NME (If ApPllc;ltlIe1
Newbury and Short CPA's
TELF,PHONE NUl.18EA
717 761-1382
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1. R..I E.tale (Schedu~ A)
2, Stocka and Bond' (Schedule BI
3 Cklso~ Held Corporallon,P.rtne~hlp or So~.Proplleto~hlp
4, Mortgages & Nol., Recelva~~ (Sc~adule D)
5, Cash, Bank Depos~ & M~I.neous PersoMI Property
(Schedule E)
6 Jointly Owned Property (Schedu~ F)
7. Inter. Vivos Tr.f1,la~ & Miscellaneous Non.Probala Property
ISc~edul. G or LI
B. Total Groll AII.t1llotaILlnas 1.7)
9, Fun.ral E.pensas & Admln~tratlva Costs ISch.du~ H)
Camp Hill. PA 17011
(I)
(2)
131
141
(5)
(6)
(7)
.',
75.000'00
,120,746.00
42435
7.5 2
(9)
(8)
36,224
.8 .,
. 6 2
0,
103.52
10. Debts 01 Dece<l.nt, Moltgag.llabIllUes, & L~ns ISchedu~ I) (10)
11, 10111 Deductlono Il0tallln.s 9 & 10) (11)
(14)
3 6 . 2 2 4 ~ L
, 5 8 3 ,8 7 8 . 6 5
, 1 A q . , '\ , , .1 .1
-
. 1 9 4 .6 2 6 2 1
12, Net Vllue of EsIIII (lIn. 8 mlnu, lln. II) (12)
13, Charitable ond Gov.mm.ntal Bequ.sts/S.e 9113 Trusts for which an .I.ctlon 10 tax ~a' not be.n (13)
made ISeh.du~ J)
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)(;$
1$[
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14, Net Vllue SIIbjao1to TIK IlIn.12 minus lln.13)
15, Amount 01 IIn.14 ta.abl.
at tile spousal tax rate I ,
Seolnstrur:llons on rev.... s~.lor .ppllcab~ percentag.
16. Amount of Iln. 1411Kab~
.16% rete
17, Amount 01 Iln.14 taKable
.t 15% r.t.
194
16. Tax Due
19,
x ,0
(15)
x .06
(16)
(17)
(IB)
2 9. 1 9 3 '9 3
6 2 6
. ,15
2 9, 1 9 3.9 3
2 1
DATE
32nd Stroet Camp Hill PA 17011 1l./19/97
ADDRESS DATE
305 S. 32nd S t reo 1: Camp Hill PA 17011 11/19/97
---.-
Decedent'. CO!!!elete ~ddr.lS:
SlR~~rflsAno Stroot'
CIl'r
New Cumberland
I SIAIE
PA
lllP 17070
j
rax Paym.nll Ind Credits:
1, Tax Due (Paoe1 L1ne!S)
2, Credl18lPaymenls
A. Spousal Poverty Credit
8, prtorpaymenls 37, 050. UU
C, Dlscounl
(1)
2Q.1Q1.Q1
Total Credlls (A + 8 + C I (2)
37.050.00
3, InlereSUPenelty If appllceble
D,lnlerest
E Penelty
5,
TOlallnteresVPenelty (D + E) 13)
If line 21s grealer than line 1 + line 3, enter Ihe difference, This Is Ihe OVF.RPA VMENT.
Chack box on Plgll Llnl18 to requut llIfund 14)
If line 1 + line 31s greater Ihen IIna 2, anler the dlffarence, Thlslsthe TAX DUE. 15)
A, Enter the Interest on Ihe tax dua, 15A)
8, Enter the totel of L1na 5 + 5A, This Is the BALANCE DUE, (58)
Make Chack p~/e to: REGISTER OF WILLS, AGENT
PLEAGE ANSWER THE FOLLOWING QUESTIONS
BV PLACING AN "X" IN THE APPROPRIATE BLOCKS
1, Old decedent make e tranafar and: Yes
a, retain tha uaa or Incoma of the property tlanaferred; """ '"'' " "" "" """" " ",," " " " " " " " " """" 0
b, retain the right to deelgnate who ehall uee the property transferredpr Itslncoms; """""",". 0
c, retain a reversionary Intel'est; or""""""""",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,.,,,,,,,,,,,,,,,,,,,,,,.,,,,,,,,,,, 0
d, receive the promise for life of elthar payments, benefits or cara? """"",,"""""""'"" """ " " 0
2, If death occurred on or before December 12. 1982, did cter.edent within two years
preceding desth transfar proparly without racelvlng adequate consideration? If death occurrad
after December 12, 1982, did decedent transfer proporty within one year of death without
receiving adequate consldaratlon? ,",,""""""",,",,""''''''''''''''''''''''''',,'''''''''''''''''',,''''','""""",0
3, Old decedent own an "In trust fo( or payable upon death bank account or security
at his or her death? """""""""""""",,""",,""""",,''',,'''''''''''''''''''','''''''''''''''''''',,''''''""""'"'' 0
4, Old decedent own an Individual retirement account, annuity, or other non-probate property? "" 0
7,856.07
4,
No
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IF THE ANSWER TO ANV OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN
72 P.S, ~9116 (a) (1,1) (I) provided for the reduction of the tex rate Imposed on the net value oftransfers to or for the use of the
surviving epouse from 6% to 3% for dales of deelh on or after July 1, 1994 and before January 1. 1995,
72 P.S, ~9116 (a) (1,1) (II) provided for the reduction of the rate Imposed on the net value of Iransfer. to or for the use of the aurvlvlng
spouse from 3% to 0% for dates of de7,th on or after January 1, 1995, The statute does not axempt a transfer to a surviving spouse
from tax, and the atatutory r9qulremenls for dlsc!osure of assets and filing a tax return are stili applicable aven If the surviving spouse
Is the only beneficiary,
FOR OATES OF DEATH ON OR AFTER JANUARV 1, 1995. Please answer the following question by placing an "x" In the
appropriate space,
Old the decadent creale a truet or similar ~rreng8ment which Is aolely for the surviving spouaa'e benefit for his or har antlre
IIfetlma? Vea 0 No []
If you answered yes to the above question. the tax on the trust or similar arrangement Is postponed until the deeth of the second
spouse, at which time it will be fully taxable at tha rate(s) applicable to the remainder beneficlary(les), Enter the value of the trust on
Schedule J, Part II, In order to remove II from the ClIlculallon of the tax due In this estate, You may wish to file Schedule 0 In order to
make the election available under Section 9113, If the elacllon Is made, the trust or similar arrangement Is taxed In the estate of the
first decedent spouse, the portion of the trust or similar arrangement which benefits the surviving spollse Is taxed at the zero tax rate,
and the remainder Is taxed at the rate(s) applicable to the remainder beneficlery(les), If you choose to make the election, you must
aUach Schadule 0 to a timely.filed tax return, along with Schedule(s) K andlor M In order 10 show the apportionment of the trust or
similar arrangement between the sUlVlving spouae and the remainder beneficlal\'(les),
...y.... EX ,,,., o.aa..J/ . _ - fOA RE~OIST6iFS-Of:FiCE USli"ONL V __,_u
PA OEPAATMF.NT OF REVENUE ~ COunly c;;;;-....--l......... --v..T --]FiIO-Numtl.'--
ESTATE INFORMATION SHEET
__,,=__ .._~....:=_. _. '_.__'~'~==_='''~';':';'~i~_._7____.l-;;-;..,;.;':.~;"_~--:n___'';,,-;,:,;;..,;;",,";..;;..;;:u-- _..-~--- >.,.-------""----- ....,.,.,.- -- -"".-. n..........,
DECEDENT INFORMATION: Enter date.. It will appear on all documenls submitted to the department.
Name (LIII) .---- (FI'''I -----.---''''----..(Mld'~-.-'---.-
FAGER EVELYN 11.
oo;;;;;;i;s.;ciOIS;';~"IY Numb;;;-'. '---"--L-;-,;Tfi..n; - D~I;~f'BI~t;---'-'-----".. .----0-.
198 I 36 I 6B16 ~'E:BIH:::.I~Y :~-,-~?22___._.. ,JUNE 26, 1'J07
TYPE FILING: Enter chock (.-) mllrk to Indicate the naturo of the return to be tiled with the department.
l_ 0~:I~::u'_n -~__:[]JOinIA"'" onl~_~=_ [::'~II. ;~~O;~----~~:::~~'PO'~.(NO-~lhO' A...u) \
LE TERS GRANTED' Enter oheck (.-) mark to Indicate the nature of the proceedlnge at the Register of Wills
T . Office. (Attach additional ,heeta If explanation Is neceslllry.)
~T..I~=:--- OAd_mlnl':'''I~~__=~~;~:~: -~~hO' (Pi.... EKploln) --J
ATTORNEY/CORRESPONDENT Enter all data concerning the attorney or other Indlvldulllto receive all
INFORMATION: tu Information and correspondenca.
IN.m.(LU~ -'-------(Fi'.l), , . . (Middle) '" ]sup,am. Coun 1.0. I
__NEWBURY , .,RQIJERf__.__...____.__.!:1-'-_G... P. A-,--. .t:l.LlL
SlrNI Add'.'.
305 SOUTII 32ND STREET
CAMP HILL
PERSONAL REPRESENTATIVE
INFORMATION:
Executor/Administrator
Slat. lip Code Fano-Numb., ~m_'_
PA 17011 l.Jl17) 761-1382
enter all data concerning the persons I representstlve(s) of the estate
."lh~rlzod by the Register of Wills
Clly
Nam. (L'II)
NEWBURY
Slteet Address
(Flr5l)
ROBERT
(Mlddl.)
M. C.P.A.
SOCIal S-ecurlty Number
161
30
2600
305 SOUTH 32ND STREET
----.-.-
Clly
CAMP HI LL
Slale
PA
lip Coda
17011
-I T .lophon."Numoer
(717) 761-1382
,
Co.Executorl Administrator
Nlme (LUll (Flrtl)
( NONE)
(Middlo)
J'SOCIII S.CU~ity Numb.. -1-_.__.__.
Streel Addr.,.
City
Sial.
Zip Cod.
T.lephon. Numb.,
Co-Executor/ Administrator
Nlml (Laall (FI'II)
(Mlddla)
I Social sacu~ity Numt>8'
I _
INONE)
Sir"! Address
Clly
State
Zip Coda
I Tel.phon. Number
10818
,
-l
r~.'.d By
"'...."''''''.
COMMONWEALTH OF PENNSYLVANIA
'NHERIIANC< lAX RETURN
I,
SCHEDULE B
STOCKS & BONDS
FILE NUMBER
21-97-239
ESTATE OF
FAGER. EVELYN H.
An property jolnlly'ownod with rlghlo' Iurvlvo"hlp mUll be dltclolod on Ik:hodulo F,
ITEM
NUMBER DESCRIPTION
101 Shares, 4~% Preferred, $100 Par Value, Pennsylvani
Power and Light Company @ $80.00
220 Shares, Common, No Par Value. pennsylvania
Power and Light Company @ $22.75
400 Shares. 7~% Noncumulative Preferred, No Par Value.
CitiCorp @ $25.9375
700 Shares of Beneficial Interest in Dean witter
Government Income Trust @ $8.3125
600 Shares. $1.90 Cumulative Preferred Stock. No Par
Value, Commonwealth Edison Company @ $24.5625
400 Shares. Common, $2.25 Par Value, U.G.I. Corporatio
@ $24.375
400 Shares. Common, $4.50 Par Value, U.G.I. Corporatio
@ $24.375
50 Shares, 4.4% Cumulative Preferred. $100 Par Value,
Philadelphia Electric Company @ $59.875
U. S. Government Series E Bonds
Accrued interest on item no. 9
U. S. Government Series H Bonds
U. S. Government Series HH Bonds
1-
2.
3.
4 .
5.
6.
7.
8.
9.
10.
J 11.
12.
./
I
11
11
I
,
I
I
TOTAL (Also enter on line 2, Rocapllulatlon) $
(If more space Is needed, insert eddltlonsl sheels of the same slzs)
VALUE AT DATE
OF DEATH
$ B,080.00
5,005.00
10,375.00
5,B18.75
14,737.50
9.750.00
9,750.00
7..993.75
17 , 500.00
22,736.00
12,000.00
2,000.00
-' ~-, ,.. "'.'
RlV''''''''''''.
COMMONWEALTH or PENNBYl VANIA
INHERITANCE TAX RETURN
I T
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
FAGER, .EVEI,YN H.
FILE NUMBER
21-97-239
Includelhe prooeedB ollmg.1Ion and the dalelhe proc&edB WO" ,000ivO<l by the .Btal.. All property Jolntty-owned with thl right oflurvlvo"hlp must be dll.losed on Schldulo F,
ITEM VALlJEATDATE
NUMBER DESCRIPTION OF DEATH
1. Checking account no. 51-4001-9152, PNC Bank Market
Street New Cumberland, PA 17070, balance at date of
death as per attached
Interest accrued to date of death on item no. 1
Savings account no. 900-095-9, Mid Penn Bank
Interest accrued to date of death on item no. 3
Savings account no. 333-829280, Fulton Bank
Interest accrued to date of death on item no. 5
Savings account no. 5-00060002, Harris Savings Bank
Interest accrued to date of death on item no. 7
Savings account no. 01-01-302681, Harris Savings Bank
(Formerly First Federal of Harrisburg)
Interest accrued to date of death on item no. 9
Bankers Life and Casualty Co. Medical Insurance refun
Certificate of Deposit, Dauphin Deposit Bank,
no. 8000142090-68039
Accrued interest on item no. 12
Certificate of Deposit, Dauphin Deposit Bank,
no. 8000142996-116538
Accrued interest on item no. 14
Certificate of Deposit, Dauphin Deposit Bank,
no. 8000143178-962860
Accrued interest on item no. 16
Certificate of Deposit, Dauphin Deposit Bank,
no. 8000158507-952776
Accrued interest on item no. 18
Certificate of Deposit, Dauphin Deposit Bank,
no. 8000154226-68016
Accrued interest on item no. 20
Certificate of Deposit, Dauphin Deposit Bank,
no. 8000141930-39480
Accrued interest on item no. 22
Certificate of Deposit, Dauphin Deposit Bank,
no. 8000153831-67868
Accrued interest on item no. 24
Certificate of Deposit, Mid-Penn Bank, no. 309000239
Accrued interest on item no. 26
Certificate of Deposit, Core States Bank (Formerly
Hill Financial Savings ASAociation) no. 033530670-
3530973-21617
Accrued interest on item no. 28
Certificate of Deposit Core States Bank (Formerly
Hill Financial Savings Association) no. 033570817-
3571120-56424
Accrued interest on item no. 30
Certificate of Deposit, Fulton Bank, (Formerly Hill
Financial Savings Association) no. 303-4123533-29-66- 0962 7,000.00
2.
3.
4 .
5.
6.
7.
8 .
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
(CONTINUED tOTAL AI I' 5 R . I ) $
'T (so enle' on 'ne , ecapllu allan
(If more space is needed, insert addilional sheels of lhe sam~ size}
$ 18,736.09
14.97
1,141.45
3.46
2,185.30
6.11
11,981.57
37.16
1'7,678.46
54.83
1,035.23
5,000.00
13.11
5,000.00
13.71
5,000.00
7.15
5,000.00
11.92
16,000.00
43.73
20,000.00
33.37
40,000.00
140.55
35,000.00
90.22
15,053.49
44.04
15,000.00
19.80
33.
34.
35.
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
48.
49.
50.
51.
52.
53.
54.
55.
56.
57.
58.
59.
60.
61.
62.
ESTATE OF FAGER, EVELYN H.
FILE NO. 21-97-239
Accrued interest on item no. 32
certificate of Deposit, Fulton Bank (Formerly Hill
Financial Savings Association) no. 303-4123509-29-66-000762
Accrued interest on item no. 34
Certificate of Deposit, Fulton Bank no. 461-3728700
Accrued interest on item no. 36
certificate of Deposit, Harris Savings Association
no. 10-15-090907
Accrued interest on item no. 38
Certificate of Deposit, Harris Savings Association
no. 10-15-085819
Accrued interest on item no. 40
Certificate of Deposit, Harris Savings Association
no. 07-56-188728
Accrued interest on item no. 42
Certificate of Deposit, Harris Savings Association
no. 07-54-220017
Accrued interest on item no. 44
Certificate of Deposit, Harris Savings Association
no. 7-15-114215
Accrued interest on item no. 46
Certificate of Deposit, Harris Savings Association
no. 7-15-106694
Accrued interest on item no. 48
Certificate of Deposit, Harris Savings Association
no. 31-55-295300 (was First Federal of Harrisburg
no. 0266150967)
Accrued interest on item no. 50
Certificate of Deposit, Harris Savings Association
no. 31-55-295299 (was First Federal of Harrisburg
no. 0266150993)
Accrued interest on item no. 52
Certificate of Deposit, Harris Savings Association
no. 31-40-151450 (was First Federal of Harrisburg
no. 0240151450)
Accrued interest on item no. 54
Certificate of Deposit, PNC Bank (Formerly CCNB
Bank) no. 21001016272-84540
Accrued interest on item no. 56
Certificate of Deposit, PNC Bank (Formerly CCNB
Bank) no. 21001016301-117872
Accrued interest on item no. 58
Jewelry value at date of death (sold at auction)
Gold Coin value at date of death
Household Furniture and Furnishings (sold at abction)
TOTAL
5.92
5,008.47
10.29
28,356.39
19.57
10,000.00
74.44
15.018.49
101.63
20,000.00
140.28
11,000.00
74.44
10,000.00
67.67
10,010.48
67.75
15,000.00
109.12
14,000.00
101.84
12,000.00
100.44
8,000.00
13.34
10,000.00
0.00
621.00
200.00
32,910.24
$424,357.52
ESTATE OF FAGER, EVELYN H.
FILE NO. 21-97-239
The following Certificates of Deposit which were inventoried when
the aafe depoait box was opened, cannot be located by Harris Savings
Bank, the surviving bank when First Federal of Harrisburg was merged
into Harris. These certifj,cates were possibly cashed in and may not
have existed at the date of death. An investigation is being
conducted by Harris Savings Bank. An amended return will be filed if
these items are located.
The following items are in question:
1. Certificate of Deposit, First Federal no. 2-43-100638
(15,000.00)
2. Certificate of Deposit, First Federal no. 024313971
(14,000.00)
3. Certificate of Deposit, First Federal no. 0843130560
(14,000.00)
4. Certificate of Deposit, First Federal no. 0857145493
(12,000.00)
5. Certificate of Deposit, First Federal no. 0257144060
( 14,000.00)
6. Certificate of Deposit, First Federal no. 0857144144
(15,000.00)
7. Certificate of Deposit, First Federal no. 0843142759
(12,000.00)
8. Certificate of Deposit, First Federal no. 0243141556
( 14 ,000.00)
9. Certificate of Deposit, First Federal no. 0843141477
(15,000.00)
10. Certificate of Deposit, First Federal no. 0843136197
(15,000.00)
11. Certificate of Deposit, First Federal no. 0843133562
(15,000.00)
12. Certificate of Deposit, First Federal no. 0843139154
(12,000.00)
13. Certificate of Deposit, First Federal no. 0843131326
(12,000,00)
14. Certificate of Deposit, First Federal no. 0843134440
( 12,000.00)
15. Certificate of Deposit, First Federal no. 0843127390
(12,000.00)
16. Certificate of Deposit, First Federal no. 0843129928
(15,000.00)
17. Certificate of Deposit, First Federal no. 0243138295
( 14 ,000.00)
.CLAUDE C. WOLFE & ASSOCIATES
..IUCTJONf:l:'RS ,{ ES1'A n: APPRAISERS
113 01.0 FORD DRIVE. CAMP HILL, PA 17011
717.737.0734
TH I S AGREEMENT, made th Is 2- day of .l.I!!: 11
Estate of Evelyn Fag~
of 321 Reno Street, New Cumberland, PA 17070
Owner, and CLAUDE C. WOLFE AND ASSOC IATES. of 113 Old
hereinafter referred to as Auctioneer, WITNESSETH:
The parties hereto Intending to be legally bound hereby declare, promise and
agree as follows:
. 19.1? by and between
. hereinafter referred to as
Ford Drive, Camp Hill, PA 17011.
1. Owner hereby Elmploys Auctioneer' to sell to the highest bidder, except where
the right to bid Is reserved and Auctioneer is notified in writing beforehand, at a
public sale to be held on ___ _. .M_aL1L ..__' 19_n all of the property set
forth in the schedule attacliedliereto anC!STgned by the parties hereto.
2. All of the proceeds of the sale shall be delivered to the Auctioneer who
shall pay the net proceeds to the Owner upon completion of the sale, after deducting
the followl ng items:
a. Comml ss Ion to Aucti oneer on the se II I ng price of 8 % of persona lty
and -1-% of realty. Service fee for attempting to sell real estar.e L~_,
b. Sellers will employ 3 clerks and 3 runners for the sale.
Fumigation service, advance costsd'iid sale bills WTIT be paid for by the sellers as
well as labor for the sale preparation.
c. Payment of any liens against the property sold.
3. Owner to comply with the Bulk Sales Act when applicable, have all merchandise
in proper sale order, deliver at the proper time, good and sufficient Ivananty deeds
and bills of sale when demanded for all property sold, and to indemnify Auctioneer
for any loss he may incur because of injury t.o persons or propel'ty occurr'ing while
preparing or during the sale. Seller will assume any responsibility for accidents on
premises day of the sale.
4. Auctiurll:t:!r tu condu~t 5016, instruct ds'(ks, advise Ownel' on advertl3ing for
sale and advise Owner for the condition and arrangement that property must be in for
the sale. Auctioneer will not be responsible for stolen goods - unpaid accounts or
bad checks, armed robbery or merchandise broken dur'ing the sale.
5. Auctioneer reserves the right to employ additional auctioneers to be paid
out of his allotted commission.
6. Auctioneer will not be responsible for the amount of selling price of any
equipment, merchandise or any thing offered for auction.
IN IHTNESS WHEREOF. the parties hereto have set their hands and seals on the
day and year written above.
Selle
( SEAL)
.!f..(~"T...,;1 (SEAL)
A. Settlement Statemont
, -.-.--
.!:....!i'p,. 01 ~o.n
8. FII.Nurnu.,
U,S. D'putm.nl of !lou.IIl"
.l1d U,ti.,. Oltv.lopmllnl
~
QMO No, 2502.0205 &
8. MorIUlg.lll,uf.nll'l Cua NUll1tJ.'~ r
7.10011/\ Nutrlu.,
1.0 FHA 2. [] fmHA 3. [J \:on\l, Unln..
~CO",.lnl, 6302
C. NOTE: This lorm Is furnished to give you a statement at actual settlemenl costs. Amounts paid to and by the
settlement agent are shown, ttams marked "(p,Q,c.)" were paid outside the closing; they are shown
hele lor informallonal purposes and are nollncluded in the tOlals,
----"
0, NAME AND ADDRESS OF BORROWER. FIRST CIlURCII OF 000
E, NAME AND ADDRESS OF BELLER.
EVELlIN II. FAGER
F, NAME AND ADDRESS OF LENDER:
OASH
G, PROPER ry
LOCA nON
321 N, RENO STREET
NEW CUMBERLAND, PA
II, SETTLEMENT AGENT:
PLACE OF SETTLEMENT:
TINI
A-l ABSTRACT ASSOCIATEES
STONE IIND STONE
414 BRIDGE STREET
I. SETTLEMENT DATE. 07/03/97
J, SUMMARY OF BORROWER'B TRANSACTION
iTo'D,allO$a AMOUNT DUE FROM QORROWE
101. Conlreet,a'.. prlco 7&,000.00
102, Poroonal p'oporly
'03, Solllomonl chorgo,to borruwor:
(Iremlln.'400) 1,410.49
104,
105.
ADJUSTMENTS FOR ITEMS PAID BY SELLER IN AOVANCE:
106,CltylloWn'.~a. 07/03/97'0 12/31/97 97.25
107, Countv t..o, '0
106, A..o"manll 10
109,
110,
111,
112,
120. GROSS AMOUNT OUE
,......,..,.!ROM BORROWER: .. . . 76,507.74
(2GO. AMOUNTS PAID BV OR IN BEHALF OFBORROWERi
201, Dopo.1t or aarnOl1 monoy
202. Prlnelpalamounl 01 naw laan(l)
203, E~ll1lng laanl'IIRkan subl.cl to
204,
205,
206,
207-
208,
209,
ADJUSTMENTS FOR ITEMS UNPAID BY SELLER:
210, Cllyllown Iua, 10
211, County la~a' to
212, AU.llmonl, 10
213. SCHOOL 'I'A 07/01/97
214,
215, EXCHIINOE
216, SEWER 4/5/6
217,
218
07/03/97
4.73
75,000.00
17.46
~'9.
220,TOTAL PAID BY/FOR
BORROWER,
.oo.OA\\H AT SEm~"'ENT 1'll0l.\lTO
~
75,022,19
o ROWER!.
TIN:
K, SUMMARY OF BELLER'S TRANSAOTION
400. 099 !MOU U TO 8
401, Controcl.alol prloo "/5,000.00
402, Poroonal proporty
403,
404,
405.
ADJUSTMENTS FOR ITEMS PAID BY BELLER IN ADVANCE:
405,Clty/lownla~e8 07/03/97'0 12/31/97 9'1.25
407, Counly 'axes 10
405. ASlaSlmenl. 10
409.
410.
411,
412,
420, GROSS AMOUNT
DUE TO SELLER,
500, !i!tl1l!CTIONS IN AMOUNT DUE TO 8ELLERt.
501, E~ce" dopolll (so. Instruct/ens)
502, Salllemant chorga, 10 .ollar (lino 1400)
503, E~I"lng 10Rn(s) takan .ublacllo
504, Payoff 0111", mortgago loan
505, Payoff olsocond mortoago loan
SOB,
507,
608.
609,
AOJUSTMENTS FOR ITEMS UNPAID BY SELLER:
510, Cllyllown I.~o. 10
511. Counly taxos 10
512. Assessments 10
613, SCHOOL 'I'A 07/01/97
514,
615,
516.
517.
518,
5 i 9,
620, TOTAL REDUCTIONS
IN AMOUNT DUE SELLER:
aDO, OASH AT SETTLiM'iffir TOIFA M lilel;LERr
75,097.25
6.50
07/03/97
4.73
EXCHANGE
SEWER 1/2/3
TRASH 4/5/6
SEWER CR TO
BUllER 4/5/6
75,000.00
18.33
37.38
17.46
75,084.40
301.. Gronlmount duo Irom borlowol (IIno 120)
302. L... amounl paid by'I" bOr<ow.r (lino 220)
76, 50? 74 601. Oroll amount dUll to sailor (line 420)
75,022.19) 602, L... 101&1 'aduct/on,ln amount duo ../ler (IIn.520)
'/5,097.25
75,004.40)
303, OABH( lKXl FROMIfD TO) BORROWER:
1,485.55 603.CASHI ~j: TO) ( 0 FROM) SELLER,
12.S5
Prtvloul Edition I. Oblolttt
IU.ITITUTE FORU loee 8ELLER "ATl::MENTl n..IQ'lflnlllllO wlIllllllll hllllud... ll, 0, 14, ,lid I and on IlQII 401 (ur, If 11111I 401 I, llleli.u,d, 11111.403 In.! 4Clo1J II 1r0l""1101 I.. InrCllm.lloll
-..d It "In, f~mlllw'd '(lIb! h,lCnlll Jl;6Vtl'.... So'vlu, If ~lIlIlI' ",,!wllcd III nI. " ",lUll, . hl:a)iltl'W pIll\&ll~ ur ulk, ..n~lhlll \frill be l,nllh.od un ~(l\l If lId. 110m II rcqllhcd LU he ff.polled "lid It.a IRS
.,Ol1nllll'lhilll....."(o(bMI'"'I"Ift.d.
IElLEflINSTflUCflON&1 111111. ,,,I'Il,Ie .... YO\Il' 1"lnel",1 tuldIIlU:", fill f1unIl1119, Slllllf Il~~h..n,. (It l'llllclrt! RUldanUl, lur "I~ ,,111, lII'itb ~It\l.lIQ"".1II I.. "IWlIli fur ult., IIIMnll"III,
uoI1'plIID Ibllppll"hlll"/I. 01 I'UUlI 4191, llurm '151 ,ud/c" Sdllld\ll. n (lIOl'rll 11>010).
y". III "'qlllAd by I." to J'fu.ldt 1- p." II/Willi YU\IJ ((II,,,, If..ptIr-1 j.Jnnllh'lliOllIl\lln~I, 11 YUII dUllut l"lIvl"'" Ilu b..1 111"1111 YUill (I>flell, tll,'I)'" IWlIlifk.liuG n\lmlJll" YUIlIMY I;>t '\lbjDtllll
(1,,11 ur "iUll~ll"n&h~1 hlil"".d by lu., t,nd In.k, pIllllltilll ol,./J\lry, I (.OIl,fy Ihlllht 0\11111., .lwf>1I olllhllllltlml'l,l I. 'lIY Ulf[.~l tUI")'" h"lIll(jHII''''lI~rnbc,.
_._._.__~__~.~"___~___+.,,_.._.__ ..._'''_...."____~..___._. Sollor'. SIonnlur8
G ,,!i01B (8801j.04 VIAll UOl\lO^"E FOflMS < (31Jj2I1J'1I100. (600l!,;>1.1:-'1l1 flAG( 1
.'
AFHDAVIT OF DEBTS AND/OR DOMICILE
STATE OF y-e.nc.'ul..sbYelVrRl'alniSd ..'................--.--} SS
., COUNTY OF ""'~....~m~..'~~......~
,
_____...... ~.!>..e.~~"...!.:.... Hewbury__~~._..,__~~____ u.____._.__
or ('o"wrate Hdue.ary Show 1I11e 01 Affiant. and Name alld Address of Corporation)
being
duly sworn, deposes and says.
That he/she resides at __~05 South .3~nd Street
City of _.. CRmp~!!gL..._______ ___ County of
_..._~e.!~~l~.v..a_'_l..!!.._..._ and is
Street,
Cumberland
,State of
. executor l
.W.lkl~.IIi'-lIIIDI_ of Evelvn H. Faller
~y
~
I deceased,
who died on
20th
day of
,Februa!'L-
,19~.
rhat at the time of death the decedent's
.321 Reno Street
residence and
, County of
domicile (legal
Cumberland
residence) was in the City of
I and
State of
Peunsylva..'?-..!!...._._
,,_ had been the same for the preceding.. ~O
the year 19 ~_ ) was filed during the year
years;
thai the decedent's last Federal incnme tax return (for
19 ~_
'h II fl I R 'h S f Pennsvlvanis
Wit a co eClOT 0 ntema evenue, 10 t e tate 0 "_~__L..__.___~_
_ ; and thst the
decedent last voled in the City of __...1!ew G!!.!!!!!~rland _..........___, State of .__ Pe'!~l'Llvani.!'_,_.~___,
That Ihe decedent was not at any time during the year prceeding the date of death a resident of or domiciled in any Slate within the United States
of America other than the Stale of domicile shown ahove and Ihatthe decedent executed no will or instntment within three years prior to death
in which the decedent Slated that he/she was a resident of any other State,
Thatlhe deceased WIts not a resideot of Stale of ,_ He..", York ..._.______.._..._,_"
That all debts, taxes, claims, funeral and administration expenses and prior legacies payable by the eslate have been paid or provided for; that
this amd~vit is made for the purpose of securing the transfer 01' delivery of the following described property owned by decedent at the time of
her I his death to n purchaser or the person 01' persons legally entitled thereto under the laws of decedent's domicile and that any apparent
inequality in distribution has been satisfied 01' provided for out of other assets in the estate,
_____MM..__.____~__________
Or,antit)'
SeclIrit)' TItl., Killd & Class ~r Security
Qua/llil,l'
Security TItle Killd & Class ~r Seellrity
-- '.~-~'-
Qua/llit,l'
Security 71th>
Kind & Class of Security
Funher these securities were physically located in the City of
In the Stale of ,..~..,_...
on the date of death.
_' nnd S\I';l\fore me this
atuteof D,'pollent ~
'lJJl_mLW~
I/olie (Affix Scul)
9th
day of
AprH
19_~,
PrHlItKlln U,S.'"
I
.......l
I
...... ...._...._~ ~.. J
. .,' /1 r1 I
/.../ .." Vi /-.,,~
COHHONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
c
C
~MEAU OF INDIVIDUAL TAXES
JHHf.RtTANCt "K DIYISION
DtPT. 1I0Ul
IiNMUIURQ, PA 1712t-QbOI
NOTICE OF INHERITANCE TAX
A~PRAISf."ENT, ALLOWANCE OR DISALLOWANCE
DF DEDUCTIOHS AND ASSESS"ENT OF TAX
DAn:
ESTATE OF
DATE OF DEATH
FILE NUHBER
COUNTY
ACN
02-16-98
FAGER
02"20-97
21 97-0239
CUMBERLAND
101
[~~_~:AMO~~:_~MIH~. -,]
MAKE CHECK PAYABLE AND REHIT PAYHENT TOi
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
CUT ALONG THIS LINE .... RITAlN LOWER PORTION FOR YOUR RECORDS ....
it EV = HiltY-iieu Ii i'P -f eiF 9'ri" NflYi CE- -0'- i:"NHEiii rANC'E .. TAx" A"P PRA-i SEMENr;-AL i. oWANC'E -iili' on - ____m - -........
DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX
EVELYN H FILE NO. 21 97-0239 ACN 101
ROBERT H NEWBURV
NEWBURY . SHORT
305 S 32ND ST
CAMP HILL
PA 17011
ESTATE OF FAGER
UK RETURN WAS 1 1 X) ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST .. SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..l Eat.t. (Sch.dule AJ
2. stocks lInd Bond.. (Sch.dula 8)
3. Clos.ly Held stock/Partnership Int.,...t (Schedule C)
4. Horta.e../Not.. Receivable (Schedule Dl
5. C..h/Bank Deposita/Hlsc, Parsonal Property (Schedule E)
6. Jointly Owned PrQp.rty (Schedule F)
7. Transfa,.. C Schad,.l. G)
8. Tot.l A...ta
( ) CHANGED
llJ
(2)
(5)
14)
IS)
161
171
75.000.00
120,746.00
.I!J!..
.00
424,357.52
.00
.00
(B)
APPROVED DEDUCTIONS AND EXEHPTIONS:
9. Funeral E~penl.~/AdR. Coata/Hi.c. Exp.n... (Schedule H)
10, Dobh/"odgogtl Llobllltlu/Lion. ISoh.aulo 1)
11. Tot.l Deductiona
12. N.t ValulI! of Tax R.turn
15. Ch.ritabla/Gov.rnn.nt.l B.qu..ta; Non-.lected 9115 Trulta (Sohedule J)
14. tMt Valua of Elt.t. Subjeot 'to Ta)(
If an a.....m.nt was i..u.d pr.viou.ly, 1in..
r.fl.ct figur.. that includ. the total of Abb
ASSESSHENT OF TAX:
15. A.o....'t of line 14 at S"ou..l rDt. 0.5)
16. A.ount a1 llna 14 hXllbl. at I.lhael/CI... A rate C16)
17. Allount flf Line 14 h)(obl. at CoUet.,..,l/CI... Brat. (17)
18. Prlnolpal T.~ Du.
NOTE:
TAX CREDITS:
PAV"ENT
DATE
05-20-97
RECUPT
NUHBER
AA211322
DISCOUNT (+)
INTEREST/PEN PAID 1-)
1,459.fo
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
19)
(10)
36,224,87
*'
tU.lUI um (It.t"
EVEI.VN
H
.00
Ill,)
(12)
(15)
(14)
DATE
02-16-98
HOTE. To In.ur. proper
oradl t to your account J
lub.lt the upper portion
of thl. for. with your
ta)( pay...nt,
620 !..~..:E..
~fi. ."4 87
583.878.65
389.252, 4~
194.626,21
14, 15 and/or 16, 17 and 18 will
r.turn. a......d tu dat..
,00
.00
29.193,93
Z9,193.93
38.509.70
9,315.77CR
,00
9,315.77CR
If TOTAL DUE IS LESS THAN tl. NO PAV"ENT IS REQUIRED.
IF TOTAL DUE IS REflECTED AS A "CREDIT" (CR), YOU "AV BE DUE
A REfUND. SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS. I
.00 X .00.
.00 x .06.
194.626.21 x .15.
I1BJ
AI10UNT PAID
37,050-.00
TOTAL TAX CREDIT
BALANCE OF TAX DUE
lNTEREST AND PEN.
--.
TOTAL DUE
'I' j.
..,..,',h,t -
/'
,,:2 ,. / f{ 9 1('
RESERVATION I Eltet.. of aOldentl'dylng on or be'.r, Uto....r U, 1912 ..- if Iny future Int.r..t In the IItlt,' it trln.f.rred
In FOI....lon or ~Joy..nt to Cl.., . (~oll.t.r.l) btntflcl.rl.. of thl d.o.~nt .ft,r t~ ,"plr.tlon of en~ I,tat. for
11'. or for y..r., thl Co.aonM..lth har,by Ixpr...ly r...rvI' the right to appr.J.. and ...... trtn,'.r JAhlrltano. T.~..
at t~ l.wful Cl... I (ootl.tarll) rat. on DnY ,uch future Int.r..t.
_01'
NOTICE I
PAVttENTI
REFUND (CRll
aBJECTiONS,
ADHIH
ISTRAilYf
COfWECTJDHSI
DISCOUNT I
PENAL TV I
JNTERfSTI
To fulfill the requlr"lnt. of haUon 2140 of thl Inh.r!tllnC. and bht. hx Act, Aot n of 1995. (72 P.'.
hcUtln 91"0).
Detloh nIl 'Cop portion of thlt Notlc. and lubaU wJth your payunt to thl P.ghttr of Will, prlnttd on the r.var.. 11M.
~n"lk. check or lonty ord.r Ply_bl. tOI REOISTER OF MILLS, AGENT
A r.fund of a talC ell'.dlt, which WI. nat r.quut.d on the TalC Rlturn, .IY bl raquI.t.d by cOllPlltlno an "Application
for Rlfund of Pann'Ylvanh, Inherltancl and E,htl TIIC" (RE"~131S). Appllcatlonl ara l"'IUull It the ,,,flca
of thl R.,hter of WHit, any of thl 23 RI"'lnue DJltrlct OffiCII, or by olllllng thl ,plclal 24~hoUr
answtrlnu ..rvlce nUlber. far for.. ordtrlng: In Ptnn.ylvanla 1-800-S62-2050, out,ldl Penn,ylvanlu eod
within 10081 Harrhbur, Itr.1 (717) '187~8094, TOOl (717) 772-2252 (Hurlng IlIPalred OnlY).
Any party In Int.r'lIt not uthU.d with the apprah...nt. .1Iowano. or dllllllowancl of dadu<ltlon., or .....Ment
of tllC (InclucUna dh<:ount or lnt.r..t> .. .hown 011 thh Notice .u.t objlct within IIlCty ((,0) dIY' of r'acalpt of
th I. MoHe. t1y I
~~wrlttln protl.t to the PA O,plrt.~t of R,..,lnu., Baird of ApPlals, D.pt. 281021, Harrl'~rl, PA 1712'-1021, OR
--.Iactlon to h...,5 the .aU" eMterlllnld It ludit cf tha acColUf'tt of the p.rsonal rtpr..ent.Uv., OR
--.ppul tl:l thtl OrF/httn.' Court.
Factual .rror. dllcov.red on this ft.......nt .hnuld ~a .ddr....d In writln, tOI PA D.part.."t of R.venue,
BIJrltu of Ind!vldual Tal<.', ATTNI po.t Auu'''lnt R.vlaw Unit, D.pt. 280601, HarrI.burg, PA 17121~0601
Phon. (717) 787~6505. SM p... 5 of the bookl.t ''In.trucHoo. tor Inh.r1tanc. T.l( Return for e R.tld."t
Dacadent" (nE"~15011 for an .lCplln.tlo~ of I~Jnl.tr.tJv.ly corractable .rror.,
If .,y talC dul 11 p.Jd wHMn thf'.. (3) c.hndar IIOnth. IIfhr the d.c~t". dliath, a fiv. p.rc."t (SX) discount of
the tu peld II .llow.d.
The 15~ tll< .-nalty non~p.rtlclpatlon panalty II tOllPutld on thl total of the taN end Int.r..t .......d, Ind not
p.ld b.far. January 18, 1"6, the flr.t day aft.r the .nd of thl taK aln*.ty p.rlod. Thi, non~p.rtlolp.tlon
penalty it appnl.bl. In the .... M'nnlr end In the the .... U.. period III you would appall thl t.1< Md Int.r..t
th.t hi' been ....u.d III' Indlult.d on thit ooUc..
Intarut I. charged b.,lnnJ"u with flr.t day of d.Unqulncy, or nJn. (9) .onth. and on. (1) dlY frOll the dat. of
death, tu the dlt. of ".ynnt. h)(1I whJch bIe... daUnquant b.for. JanulrY 1, 1982 bI.r lnttrllt It thtlr"~' of
,Il( (6Xl p.rc.nt p.r ~ calculat.d at a dally rat. of .000164. All t.N.. whlQh bRca.. dellnqu.nt on and Iftlr
Janu.r~ I, 1981. wJII b.ar IntAr..t at . rat. which will vary frol oal.ndar y..r to eellnd.r y..r wJth that rate
announced by thl PA D,part..nt of Revenu.. T~ appllcabl. Int.r..t ratl' for 1982 through 1991 .rl'
t!!! l'l!.!r..!.!.t.!!!! O.ily Int.r..t Factor :!!!r lnt"..t R.t. DallY Interut Factor
1982 20X .000541 1987 'X .000247
1985 16i: ,000458 1968-1991 lli( .000501
198, lli: ,000301 1992 'X .0002'"
1985 15:< .000356 1995-1994 'X .000192
1986 10i: .000274 1995~I'98 'X .n00247
uIntar..t It c.lculat.d .. follow'l
INTEREST . BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
~~Any Hotic. luuad .ft.r the ta)( baeo... delinquent will raUlelt an lnt.r..t calcuhHon to flfte." (lS) dly.
beyond the d.t. of the ........nt. If ~fty~.nt I. .eda aft.r the Intar..t co.put.tlon d.tl .hown on the
HotlCI, addltion'l Inter..t au.t hi olloulttad.
PA'IllEHT.
hteoh the top portion 0'1 thh NoUoe end IIUtMIlt with YOUI' PI)'IIM'It .... payable to the 1_ w.d liddr...
print.. on thIl reve,... .1et..
If "'SIDENT Df.caQT ... ct.-ck or IIOM~ orct.,. PIlyllbl. tcu REQISTi:R OF WILLS, AGENT.
If tQj-RESlDENT OECElIENT... cheuk or. Il000Y brchr PIlylllbh tOI COMHOHMf.ALTH OF PENNSYLVANIA.
REFUICD (CR)l A ..efund of fl ta)( Clr-adlt, lifhlch Nail not r~.ted on the h1x Return, IMy M requut<<l by cOMp!eU"lIII an
-Appl1"Uon for Refund of Pw.0,lylvl!lnl. Inhtlritanc. nod Estat. Tax" (Rr.Y"1313). AppHcatlons er. .",,1111b1, at
the Dffi.- of the R_htar of ~1Ih, any of the 23 RI\l1IhUe Dilt"rlct Offlc.. or frotl the o.partwnt'. 2it-hour
......ring _,.,,10. rlUIIbers for forMIl ordering: In Pllnnsylvnnl.. 1"aOO-362~2050, outside Pann,ylv."l.
IIhd wUhAn 10ce1 Herrbburo ern (717.1 787"3094, TDDI! (117) TfZ"2252 ctluring IIIIp.lr~ only).
REPLV TOI Que,Uans regardIng ertnrs conta~nq,d on this noUell should be eddl'....ed to: PA o-pertunt of RevMl!JII, Bur..,
of Indlvldulll rex.., ATTN: Post AuasHent R....iew Unit} o.pt. 280601, Harrisburg, PA 17118-QIJDI, pI:'JclnII
(717~ 707-6505.
DISCOUNT I
If MY tal( due h paid wUhin three (3) calendar IIOflths aft.r the deoedont's death, II five perCMlt (5:0 dillcOl.,t
of tha tmx paid J. alIGNed.
PBU.l TY I
TtMl 15:< tex --"st~ non-partleipetlon paoalty is COIIputtld on thll total of the tax and Int.rflat anDued, and not
paid before .lMluary HI, 19%, the firlt dfly after the ..00 of the tax .-nesty porlod.
INTEREST,
Int.r..t is char~ ..."hmh", wHh firlt day of deUnqu.ney, or nllla (I)) ItOOths IIOd one (1) dtly frOM the flit. of
death, to th. date of "IIYllW1t. hMa. which baC',eau delinquent before January 1, 1982 beI.r intere.t at the rat. of
ab (6X) percWlt pIlIr ~ calculatetl lit II daJiy rate of .000164. ~11 tOM.1I which bltc... Hllnquent on Ind aUa,.
~r)' 1, 1982 ..111 b..r lntlr..t .t a rate which will vllry frOll caltlOdat' year to cIIlennllr ylttlr with thlt rat.
~ by tn. PA Dq,Pllrtunt of R.v.nUII. TtM IIppUcllblf'l interest rates for 1982 through 1998 erll'
V..r Int.r..t R.t. Dally Interest Factor
Ve.r
Int.ru1 Rl!:lt.
Dally Inhrllt FKtor
19(12 20X .OOO~f, 1987 'X .000l47
19(1, "'" .OOO4~ 19a8~1991 11:< .000101
19M 1U .000101 '''''2 'X .000247
19as n" . 000156 1993-1994 n .000192
1916 10;( .00027" 1995-1998 'X .000247
~-Int.rllat hi caloulatlKl .s folltttts:
INTEREST = BALAN~ OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
~-Any Notice i..ued efter the t.~ b4~~8S dell~,t wIll reflect en lnt.relt calculation to flft.-n (1&1 deya
~yond ttM date of the ...es....,t. If pa-yNnt h nde aft.r the Jntlll'8iIt cOIIf.IlltaUon dlIIt. thown on the
Hotiow, ~ltlonal lntar.lt .ult be calculbted.
PUIlPOllEllI'
NOTICE I
PAYMENT I
ReFUND (CRl I
oaJECTIDHSl
AllllIN-
ISlRAlIVE
CORRECTIOtIS:
PENAllV I
INTEREST I
To fulfSll the requlr..-nt, of S,Qtion 2146 Ib) of the Inharitanoll ~ Elt.te T.~ Aot, Aat 21 of 199&.
(72 P.G. It~tlon 914S),
rJ.taoh tha top portion Ctf thh NoUe. Itnd .UbIlIt \lIlth 'lour pft"..nt to t~ R,gittor of Willi p,'lntod on the
r.v.r.. .I~.
__ Make C1htK1k or .oney oror payebll to I R!OISTER OF HILLS, AOENT.
A refund of . t.~ ~redlt "'I be rlque.tlu ~~ oO-Vl1t109 ~l "Ap~llc.tlon for Refund of Penn.ylv~l.
IntMrltllN\(lll end f;'.tlt.tf1 Tax" (REY-UUL Applications are IIl/lIllablQ tit the OHICle of the "-ohter of WU1I,
any of the es R.VeflUO 01ltrlot OHio.. or frOB the Def.!llrhl8nt's 2r+-!lOur an.w.dng .arl/lcl flUIIbar. for for.. orOtringl
In Ptnnlylvanl_ 1~800-56Z~'-050, outside P~nn.ylvllnlll and within 10001 Harrisburg ar.. (717) 787-&094,
lOb, lrtlOO-4lt7-50Z0 (Ser"loII for ta>o:p.tvers with sped"l hudng IImd Ipuking nMd,>'
Any p.rh In ,inter..t not uthfl"d with tho aUlou.ont of te)( ('11I1 ,hown on this notioe .ay (lbj~t withJn
.1~t~ 160J day. of reoelpt of this Hotlo~ by:
~~wr1tt.n prot","t to tha PA Depart.ant of RQvemJa, Uoerd of ApPlle1., Dept. 281021, HarrhburD, PA 171211-1021, OR
--.lttatlOSl to he". tM ."ttor tkltRrMlnlild at audit ()f tOll PliIrsonal roprlluntatlve, OR
--ltflPolll to the Orph.ns' Court.
Factual errurs dIGClov..rod Of! thh usoullont should bo nd-drauAd in writing tal PI. D.part.ant of Rov.nu-,
8uroau of Individual 1a)(05, AnN: Post AIII8n..nt RevillI' Unit, D.pt. l80601, H8rrhburll, PA 17U8-0601,
Phono (717) 767-6505. Su paw. !i \,'If tho book lilt "Instruotions for lnhodtanotl Ta)( R_turn for a Rosichtnt
Doc.dantH (REV-1SQ11 for nn a)(planatlon of ad~iniBtr8tiv.ly correotabl. errors.
Thll IL:I. tal< Hn..ty non-plIIrtldj:lutJon peno!ty is cOllputod em the total of the tall and Intore.t a..aued, and not
paid bators January 16, 1996, tl>. flrRt dew !lft"r tlUI .nd of th$ tfll< a.nasty perAlld. This non-partloipation
pWlalty ill ~p.141Itblll In thu lo.a .anner IIInd In the the ..a.o U.. period IUi you would appal!ll thta tal< ItOd lnt.rllt
th"t has bun ...""..d all .IndJulItud on thls notice.
For d.tll' of Math on or aftar 10-3-n, P8t\tlItvlvanlo Estahi Tax based on the Fedoral Estate Ta>o:
raturn bflOl)lllu delinquent at tho e)(pirftUon of nlM (01]) .0nthG frolll thll dftto of doath.
For data$. of death prior to IO-3~lJI. PannNylvanla Estnto T~)( bued all the r.deral Estato Tax raturn
beaOllOs dllllnquant at th8 ltl(plrlltlon of f1lghhuUl (18) Months frCtIll ths datil of death.
Taxa. whiah bsODUe delinquent '~for~ Jlllnuar~ 1, IlJS2 bear Jnture.t at the rata of sl>o: (6%) p.roant per an~
oahlulatad lit a dally rot. of .000164. All tal(05 which lleoe," d.lInquent on or 8ftsr Januftry 1, 1982 will HDr
l"t.,r..t at a ratu which will varY frolll calondar year to cfl1endar y..r wUh that rate announoed by tM PA
lllJPart.aot of R.v.nue. Ths IIlPpllmlblfl Intsl'lIst rfttes for IlJa2 through 1991J arel
Vear lnt.rut Rat" Dally Interut fectol' Vaal' Interut Rate Daily Int.rut Faotor
1962 ZOi: .000S4l\ 19a3~1991 11% .000301
1983 16:1. .000458 1992 9:1. ,000247
1984 lli': .000301 199!d994 n .000192
1985 13i: .000:SSb 199~-19911 9:1. .01'0l47
1966 10i: .000274 1999 7i: .000192
1981 9% ,000247 lOOO 8:1. .000l19
utiLer,st 15 ('llONbflltad itS hlllmfsl DAILY INTEREST FACTOR
IN E T . BA A E OF TAX UNPAID X NUNBER OF DAYS DELINqUENT X
~~AnY Notloa Juuod IIftsr the tal( b4tCOIIlIS delinquent ",Hl r.fhlot IIn Into,...t oaloulatlon to flftHn (1S) cht~s
bIIyond tho dab of tho 1I.......nt. If pay.ant is nado fllfter the int_r..t oOllPutlltion dote .hown on thfl
NottOR, Ilddltlonflli int.r.lt 1HJ1It bo c(lloulatad.
PtJIIPOSEOf
NOTICE I
PAYMENT I
.,.0+"......--..... ,. .....~.,
To fulfill thA rlqulreaent. of S'ct~on 2146 (bl of the lnh,rltance and Elt,t, T.~ Aot, Act 21 of 1996. (72 P.S.
hotlon 9145).
ht.eh the top portJon of this Notlol and lublth with your plynot to the Righter of Willi printed on it.
rlv.r.. .Ide.
-- HIIk, chlok or lIIoney order peyable tOl REGISTER OF MILLS, AOEN'l'.
REfUND (eM)1 A refund of . tax oredlt ..y b. reque.tld by GOIPI.tlng an "Applloatlnn for Refund of Pfnn'Ylvln18
Inherltanc. and E.tgt, llx" (REV~1513). ApplIcation, IrQ IVlllable at the OfficI of the RIgIstlr of MIIII,
.ny of the 23 R.venue Dhtrlot OHio.. or frGIII the Dlpart..nt's 24-hour enl"'lrlng urvla. maber. for for.. ordlrln,u
In PennSYlvania 1~800-36Z~2050, out.ld. Plnn.ylvanla and within looal Harrl'burg at.. (717) 187~a094,
Servic.. for t.~p.Y.r. with .p.c\al h..rlng and .peaking needs I 1~&00~447~3020 (TT only).
OBJECTlOHS I
ADttIHw
ISTRATJVE
CORRECTIONS I
PENALTY I
INTEREST I
Any plrty in int.rut not IIlthfled with the bI......nt of tax 8R shown on thh notic. .ay objlct within
abty (60) daYII of ,.,cllpt of thh Notlcl hYI
~~writtln prot..t to the PA D.part..nt of Revenue, Board of Appeals, Dept. 2blOZl, Harri.burg, PA 17IZ8-1021, OR
-~.18ct1ng to hllva the ,Ut.r dllterained at ftudit of thlt p.rsonnl rlpr..entativ., OR
~~appIII to thll orphens' Court '
Flctual orror. dlwoovor.d on thl, "'I'I.ont .hould be addr.ssed In writing tal PA Oepart-.nt of Rlvenue,
Bureau of Individual 'ax.., A1THl Po.t A....I..nt Rlvla.. Unit, Dlpt. 280601, Harrl.burg, PA 17126~0601,
Phone (717) 7a7~6S0S. S.. page 5 of thl bock let "Instruotlon. for Inherltanoe l.~ Return for a Rllld.nt
Dlcldent" (RfVwI501) for an .~plan.tlon of Idalnistratlvlly correctabll errors.
Thl 15% ta~ IIIlf1l1ty non-participation panalty II cOlIPuted on the total of thll tax and Interllt .......d, and not
paid blfor. January 18, 1996, the flrlllt day aft.r tho .nd of thll ta~ unuty periOd. Thh nnn~parUolpat1ofl
penalty 1. epp.alable In tho ,... ~ann.r and In the the .,.a t~.e perIod a. YOU would app..l thl ta~ and Intar..t
that hat b..n an......d III Indlcat.d on this noUea.
AdditlQnal Plnn.ylvania Est.ta Tfl~ .......d as a result of 8 change on the Fed&r~l ~.t.te Ta~ olo,lng
lettar blCoallk delinquent .t tho .~plratlon of one (1) eanth frOM the data the final notice of the Incr....
In fQderal E.tate T.~ is r.celvod.
T.we, which bec... ~llnquGnt be for. January 1, 19&2 bear Intere.t at the rat. of SiN (6~) parcent per annul
ctdcllletad at. dally rate of .000164. All ta~" which bec..e d.LJnquent on or after January 1, 1982 w111 b..r
lntare.t et . rata whioh wll) vary fro. oalandar ya.r to cal.ndar year wlth that rata announc.d by the ~A
ttoplrt..nt of R.v~. ThI Itppllcabl. lntarast r"t.. for 1982 through 2000 arel
~~ Inter..t Rat_ bally Int.r~.t Factor !2r Inter..t Rate O.ih Interast factor
1982 20;( .001l!i~& 198b~199) 11:< .000301
1965 ~6~ .000458 1992 9% ,000241
1984 11;( .00030) 1993wlQ94 7f. .000192
1965 15% .000356 199!i-1996 9:< .000247
1916 10): .000274 1999 7X .000IY.:?
1911 9% .000247 200(1 a:< .000219
iri~~L,,,t .I'B1~:Ublt'gF.H~'\rN'~bD X NUnBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
uMY HoUcu h.IHtd aftar the tllN b.co.os dallnqu.nt will refhll01 IIn Jnt.ra.1 c~lculatloll to flfttln <1S) days
bIlYCind th. data of the allS,"""1. If pfly..nt is .ada IIftar thl lntarut cOlIPuteUon data .hown on the
Hotlc.., IKkIltioolll Intera.t 1lU.1 be olllcuh1.d.
l'lE~UBL~ SHORT
C<<fIlTI'tIO ,"UIIL.IC: ACCOUN,."tojU
04-10-97
04-10-97
04-14-97
04-14-97
04"14-97
04-21-97
04-21-97
04-21.-97
04-21-97
04-21-97
04-25-97
04-25-97
05-20-97
05-20-97
05-27-97
06-23-97
06-23-97
06-25-97
06-30-97
07-02-97
07-15-97
08-26-97
11-03-97
11-20-97
11-20-97
11-21-97
01-06-98
05-30-98
10-14-98
11-16-98
12-15-98
PRINCIPAL DISBURSEMENTS
Cumberland County Register of Wills -
Probate Fees
" " " Additional Short Certificates
Stone &. Murray Funeral Home - Funeral Expenses
Internal Revenue Service - 1996 Federal
Income Tax Return
PA Dept. of Revenue - 1996 State Income
Tax Return
P.P.&L. Co. - Feb &. Mar 1997 Electric Bill
Bell Atlantic - PA .. Feb & Mar 1997 Phone Bill
U,G.I, Utilities, Inc, - Feb & Mar 1997
Heating Bill
PA American Water Co,
Robin Gasperetti, Tax Collector _
Real Estate Taxes
Newbury & Short, CPA's - Preparation of 1996
Federal & State Tax Returns
Borough of New Cumberland - Sewer & Trash
Bell Atlantic - PA - April 1997 Phone Bill
Register of Wills - Agent - PA State
Inheritance Tax
Stone & Murray Funeral Home _
Death Certificates
BeLl Atlantic - PA - Final Bill
PA Water Co, - Final Bill
P.P,&L. Co. - Final Bill
George C, Clauser, BRA - Property Appraisal
A.T,&T. - Telephone Lease Final Bill
Claude C, Wolfe Associates - Real Estate
Commi.ssion
U. G. I. Util ities, Inc. - Final Bill
Brachendorf Memorials - Down Payment
on Headstone
Stone, Lafaver & Stone - Legal Fees
Register of Wills - Filing Fee
Reserve for Robert M. Newbury, Executor Fees
Reserve for Robert M. Newbury, Executor Fees
Brachendorf Memorials - Balance Due on
Headstone
PA Dept of Revenue - 1997 Final Income
Tax Return
Newbury & Short, CPA's - Preparation of Final
Federal & State Personal Income Tax Returns
for 1997 & Federal 1041 & PA 41 Estate Tax
Returns for the periOd ended Jan. 31, 1998
PA Dept of Revenue - Additional PA State
Tax Due
Dauphin Deposit Bank - Bank Charges
$ 356.50
30.00
5,226.00
993,00
251.00
42.24
32.48
179.11
45.59
191.13
750.00
55.71
10.80
37,050.00
32.75
3.18
26.42
26.40
250.00
9.50
1,500,00
338.76
1,000.00
2,505.20
15.00
6,562.00
12,041.10
1,751.00
97.00
1,175.00
28.63
20.00
S 72.595.50
~EWBURY ~)HORI
C.",TI,.IIO ~U.l.IC ACCOUNT "NTa
11-24-97
" "
" "
" "
" "
" "
" "
" "
12-01-97
12-18-97
01-02-98
01-20-98
02 -02-98
(J2-1B-98
03-02-98
04-01-98
05-01-98
06-01-98
07-01-98
08-03-98
09-01-98
10-01-98
11-02-98
12-08-98
12-15-98
01-15-99
02-12-99
03-17-99
05-23-97
06-30-97
07-03-97
07-03-97
09-15-97
09-17-97
12-22-97
12-22-97
12-22-97
First Church of God - Residuary Cash Bequest
New Cumberland Fire Co. -" "
Robert M. Newbury - " "
First Church of God - Residuary Bequest - Home
Located at 321 Reno St" New Cumberland, PA
New Cumberland Fire Co. - Residuary Cash Bequest
Robert M. Newbury -" "
First Church of God - "
New Cumberland Fire Co. -
Robert M. Newbury -
Fulton Bank - C.D, Interest
tl It II"
" II II It
Corestates Bank - C.D, Interest
It II II II
"
"
"
"
"
"
"
"
"
"
"
"
Dauphin Deposit Bank - Estate Alc Interest
PNC Bank - Checking A/C Interest
Dauphin Deposit Bank - Estate AIC Interest
PNC Bank - Checking Ale Interest
Dauphin Deposit Bank - Estate A/C Interest
PNC Bank - Checking AIC Interest
Dauphin Deposit Bank - Estate A/C Interest
II II II
"
"
"
"
"
"
"
"
"
"
"
"
"
"
"
"
"
"
"
"
"
U,S. Treasury - Interest on Tax Deposit Refund
Dauphin Deposit Bank - Estate AIC Ipterest
It II II It
"
"
"
"
"
"
"
"
ADVANCE DISBURSEMENTS
"
"
"
"
"
TOTAL ADVANCE DISBURSEMENTS
$
18.19
25,42
17,58
40.82
40.96
39.50
39.65
40.82
698.53
16.72
991.22
18.41
307.63
7.27
321. 91
351,71
350,46
357,13
338,08
373.10
323.12
332.62
343,46
68,00
450,59
351,77
318.86
377.02,
.s.- 16 J ~89. 12
$ 10,000.00
10/000.00
10/000.00
75/000.00
75/000.00
75,000,00
75/000.00
75/000.00
75,000.00
$480.000.00