HomeMy WebLinkAbout97-00253
))ETITION I'-OR I)ROUAn: llnd GRANT U1II,ETTERS
Estate of AyB-,Q(<A 1(. fl c (.1 ( No. . ..lJ.1-J :_~_..f.3._____
0150 known as __,....... To:
_.________.._ ~ .... Register of Wills for Ihe
____..___._.. '_. _ ,.. . I),>n'(/.\NI, COUnly of .cY~j) In the
Social Security No, :2..D,.$'...,C>l~L:'.:sl.J 7_ ,. Commonwealth of Pennsylvania
The pelillon of the undersigned respectfully represents thut:
Your petltloner(,). who Islare 18 yell" of uge or older an the execnt~m named
~~~~~~~~~: <;[a\~~ a~~~e ~~_c~~~~I_~t,_~~~~I.:~!==::.~l+~.=:~====_____~~:IUI-
(MAle relevun, cirClIn11i!AI1CrS, e,g. remlnchuloll, death of ell;e~utor, elc.)
Decendent was domiciled lit death In ...c.J1.Jd. L. ___ count~pennSYIVanla, with
h./!'p ... la,t family or principal residence at ~/$>U_8~. g
/#R1K-1Mt' <;;J!,.IJf2<>(--f24J--7. ' ...,~~ P
(list SHett, numher and llluncipAlhy}
Deeendent, then __6:Q..._,_ years of age, died --./:f.t11!:f:-.i:L........--!i- ,19_ct-f-. ,
at 1f1'Jf2.21 c:;' ~ () (J. ~_l!..-t.___~_________ .
Except as follows, decederll 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: -.iL/A.
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 dllmlclled In Pa,) Personal property in County
Value of real estate in Pennsylvania
situated as follows: ~(A
S Zb/ Due
S
s
S
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codlcll(s)
prt<ented herewith and the grant of lelters~"r'TI1,+1I!O""'~Y
(testamentary; administration ,=,t,a,; admlnlstnlllon d,b.n.c,t.I,)
theron,
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OATH OF PERSONAl, REPRESENTATIVE
COMMONWEAI.JT..H OF PENNSYI.V ANIA } 88
COtJNTY 011 _S:_~MBER~0~______ .
The retitioner(s) above-nalTled ;;wear(,j or affirm(s) that the statements In the foregoing petition are
true and eorree! to the best of the kilOwledge and belief of petitioner(s) and that as personal rtpresen-
talive(s) <;,f the ahove decedent petitioner(s) will well and truiy administer the estate according to law,
Sworn to or afflrIl19.<1and,SUhseribed l' ~'\- 5: () ~/L SIl ~
bef~me this __J.JL._______ '!U of 'ii
\ ---:(~f'-J;\{....:[!~..T~I?-- --;- .-.-------.-------------- ~
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No. 21-91.-253
Estate of AU ROllA. K. ACRr
, Deceased
DECREE OF I)ROBATE AND (;RANT OF' LETTERS
AND NOW ___J!ARCH_J.L_______.,__....___",......_.., 19...91.._, in consideration of the petillon on
the reverse side hereof, satlsfactmy proof having been presented before me,
IT IS DECREED that the Instrllmellt(s) dated___....JUNE_~Z_'___.19?l_...__..
described therein be admitted to probate and filcd of rccord as the last will of.
AURORA K. ACRI
and Lettcrs TESTAMOOaRY
are hereby granted to AIlOLPH S.......M;RI
YrYi ft.~ ,(1 , ,~./,~; ,12<-t (i a. ,.JIC;;",Z~ O.tfU/!}
Ro,l,ler of Will.
FEES
Probate, Letters, Ete, ......,., L5.a...O!L_
Short Certificates(6) ....".". $ 1B.00
Renllnciallon .,...",.,...... $
JCP $ 5.00
TOTAL _ $ 73.00
Filed "t-lMC\l, .l.~., ).~n""...."",.,
ATTORNBY (S"p. C'"",I1o'No.)
ADDRESS
PHONB
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, MAILED LETTERS AND ORDERS TO EXECUTOR
21-97-253
WIi, TlIU UNllllRSJONliP, AIlOl.PII S. ACRI, SR., ANIl AIIRORi\ K. ACRI, IlIlSIli\NIl AND WII'Ii,
RESIDI!NTS 01' IIARIlISllllllO, PliNNSYLVANIA, IlEING 01' SfJlINIl i\NIl IlISPOSING MINIl ANIl Mn~10RY,
DO 11IJRlillY ~lAKE, PIJBLlSIl i\NO nECLAIW TillS, OllR ,JOINT ANIl ~ll1TlIAL l.AST WILL ANIl TESTA-
MENT, IIDIlABY RliVOKING ANY i\NI} ALL WI LLS ANIl COIlICI LS BY EJTIIEll 01' liS TlmllTOI'ORE MADE.
1. WE DIRECT 'l'lfi\T ALL olin ,llIST 1ll1111'S, TAXES, ANIl COSTS OF AIlMINISTRA'l'ION
BIi PAIli AS SOON i\S PRi\CTICi\B!.Ii AI"lTiH (JlIIl lHiCIii\SE.
2. IN TIlE EVENT 01' TIll! PI\lOR IlfiATl1 OF AIlOLPIl S, i\CRI, SR., TIlAN ALl. PROPERTY
OWNED BY liS OR EITIIER OF liS, 110'1'11 Illii\L AND PliRSONAL ANIl WllliRESOINliH SITUATE, ANIl ALL
PROPERTY \~IIJCII WE ~IAY OWN OR '1'0 WIIICII wI: Mi\Y liE liN'l'ITLliIl AT TIlE TIME OF olin IlEATII,
SIlALL GO TO AURORA K. ACRI, TO liE IIIiR I'llOl'liH'I'Y ABSOLUTELY.
3. IN TIlE EVENT OF TIll! PIUOR DEATII OF AURORA K. i\CRI, TIIEN ALL PROPERTY
OWNED BY US OR liITIIER OF liS, BOTII RIii\L ANIl PlmSONi\L ANIl WIIERESOEVER SITUATE, i\NIl ALL
PROPEllTY WIIICII WE ~l,W OWN OR '1'0 WIIlCII WE Mi\Y BE ENTI'I'LEIl i\T TIlE TIME 01' OllR IlEi\TII,
SIIALL GO TO ADOLPII S. ACIlI, SR" TO BE III S PROPliRTY i\BSOLIITELY.
4. WilEN Wli ARE BOTII DECEi\SED, WllETllIlR IN i\ ,JOINT 11ISASTER OR OTIlERWISE,
TIIEN ALL PROPERTY OF EVI'RY NATURE OWNED BY liS OR EITIIER OF liS SIIi\LL (;0 1'0 OIlR
CIIILDREP, ANTIIONY R. ACRI, ADOLPII S. ACRI, ,)R" AND ANITA MARIE KLINC, '1'0 BE TIIEIIl
PROPERTY ABSOI.lJTELY. ALL CASII PROPERTY SIIi\LL BE DISTRIBUTEIl IN EQlIi\L SHAI\I1S AMONGST
TIIEMSELVES. REi\L ESTATE i\ND OTIIER PROPImTY SIIALI. BE III SPOSEIl OF IlY MUTUAL i\GREEMENT,
5, IN TIlE EVENT OF TIlE PRIOR DEATH OF ADOLPII S, ilCR I, ~;R., TIIEN i\lII\ORi\ K.
i\CRI SHALL SERVE AS EXEClITRIX OF AND IINDER TillS WILL, WITIIOIJT BOND. IN TIlE EVENT
OF TilE PRIOR DEATII OF AUROI\A K. ACHI, TIIEN i\OOLPII S, Aelll, Silo, ,;IIALI, SI'IlVl'. i\S
EXECUTOR OF IND UNDER TillS WILL, WITIIOUT BOND. WIII1N WE ARE BOTII DECEASED, TIIEN
OUR SONS ANTHONY R. ACRI i\ND ADOLPH S. ACRI, ,IR., SIIALL SERvn AS EXI1CUTORS OF ilND
UNI)ER THIS WILL, WI'I'IIOUT 1l0ND. WE IIEREBY i\IITIIORIZE ANY EXliCUTOR OR EXECUTRIX
SERVING UNDER '1'11I S WILL TO SELl. AND CONVEY i\NY OF TIlE ASSETS OF oun ESTATE, AND TO
IlANOLE, ~IANAGE, OPERATE, i\ND DISPOSE OF OUR ESTATE OR ANY PORTION '!'IIEREOF IN SlICII
MANNER AND UPON SUCII TERMS AND CONIlITIONS i\S WE ~IJGIIT OR COIlLIJ DO IF LIVING,
IN WITNESS WIIERI10F WE IIAVI! IIEREUNTO SET OUR IIANDS AND SEALS AT HARRISBURG,
PENNSYLVANIA TillS SEVENTEENTII DAY OF JUNE, 1971.
, 1"/'" /i!:)j; < {{> \ ( ,
ADOLPH S. ACRI, SR.
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AURORA K. ACRI
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(ATTESTATION)
THE FOREGOING INSTRUMENT WAS ON THIS SEVENTEENTH DAY OF ,JUNE, 1971, SIGNED,
SEALED I PUBLISHED AND DECLARED BY i\DOLPII S. AeR I, SR., AND AURORA K. ACR I, TO BE THEIR
LAST WILL AND TESTAMENT IN TilE PRr.SENcn OF EAClI OF US, WilD THERElIPON AT TIIEIR REQUEST
AND IN 'I'IIEIR PRESENClJ, i\ND IN TilE PRESENCE OF EACII OTHEI\, HAVE IIERElINTO SUBSCRIBED
OUR NAMES AS WITNESSES TIITJ DAY. AND YAAIt Li\ST AllOVE WIUTTI1N,
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21-97-253
REGISTER 0.' WILLS 01<' ~6~U:V!~. COUNTY
OATH m' SUBSCRIBINf; WITNESS
~___._.-'--'-~~~_______." ,____._...,___,_,.__.~."_"~___~. __ _ __."~...n____"_.__.'_
codicil
(each) a subscrlblng witness to the will presented herewilh. (each) being dnly qualified according to
law. depose(s) and say(,) Ihat _____,_._..__,______...._..___'__..__'_____ present and saw
the testat . sl~n the same and that . _'__'''- signed as a witness at the
request of testat__, in 11-.._, presence and (in the presence of each other) (in the presence of the
other subscribing wltness(es)).
m.~.._.'~________".'__._..'.__"""_.__~'V"
Sworn to or affirmed and subscribed before
me this day of
19_
(Name)
(Address)
Register
(Name)
--
(Address)
REGISTER OF WILLS OF Cu ftlBUAA.) COUNTY
OATH OF NON-SUBSCRIBING WITNESS
Auo L.-fJl~...._/fSd'kL-sr..-4&1b-~_.f2-~(.
(each) a subscriber hereto. (each) being duly qualified according to law, depose(s) and say(s) that
.. r- ~,ti---.._,- familiar with the signature of .~(2.-01?4 ?- ,.Ar 1'1-.
codicil
tcstat~ of (onc of the subscribing witnesses to) the will presented herewith and
codicil
that ~E...... U <;, __ believes the signature on Ihe will is in the handwriting of
~~~_~L
to the best of _W..l2.=,-- knowkdge and beli:f.~. f) '~. (" /) J L .
Sworn 10 or affirmed and subscribcd before ......- ~p .:::" (~-":1:
I t? 1::1.
me ~......L1LT-'----"- day of (Name)
~())J J 1..1.---- 1'JtL CjL~ G12-~rJ1?/'..(lrt{Z 7JrL At?ltfWICS~1It61;<?4
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CoUJ"uD6 (Address)$P'€/M:r5,C{) cfbfM,
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
101
AdolptJ S., Acri
bolng duly, ..,~m ,... according I. law, dopo.tH end 'eY' thet ho __Agolph.E.!-...1lGr:L.,., .....,.., _..,.
Exe<;1,!t;:Qr 01 Iha E.lelo 01 _~._._..____Aurora K,_Acri_,~__.__
1.1. 01 m~19 c,;t:eenbriar Or., 1<leqIl(ll1icsburg,_PA_____, Cumborlend Counly, Pe.. d.couod ond thet the
within i. on Invonlory modo by ""uMQlphS._AcrL..___..__"___ ___"._,_,.._, tho ..id_ Executor
01 Iho onliro e.lol. 01 said docadonl, con.illlng 01 olllho parsonel prop.,ly end ,e~1 .,101., oxcept rool 0.101. ou!lldo
tha Commonweolth 01 Penn.ylvonia, ond Ihol Iha Ilgure. oppo.ih o~ch Itom ollho Invontory ropresonI11'. Iolr volua
.. 01 tha dole 01 decodont'. doolh.
___ :Ja)(Y~ .nd .ub.crlbod baloro mo,
-1;7 i'i:n- 19~
(~~t!#~.. 1l-~<;~. - J
' I,OTAHIAL SEAL 1
t FRANK,.1. SIMt\IW:, Nntary Public
. Ham~;blJ'[.', ~aU(II.:fI f;Otlflly
,lilY C~~~I~r~.[.:~:~:~:.!:'n...~2.!!~!....1
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E)Cteutor . Admlnhtretor
~91~....9~!~ Drive
~lanicsbur9, PI'. 17055-1916
AddNU
09
Date 01 Oo.lh __~__
O'Y
March
Month
1997
Year
INSTRUCTIONS
r. An Invonlory mu.t bo f1lod wllhln Ihroo monlh. ollor ~ppoinlmanl of pOlSonol ropr.$Ontetlv..
2. A .upplomont Invenlory mu.1 bo filod wilhin thirty day. 01 dl.covory of edditionel euots. (') ()
), Additionel .hoats moy ba ottechod o. to palSonolly or roelty c:: 'F
4, So. Artlclo IV, Flducl.,ie. Act 011949.
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REV.l.'iOO EX. (79'()
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fOR DATES Of DIATH AnER 12/31/91 CHICK HIRI
If A SPOUSAL
POVERTY C~IDIT IS CLlJMID I I
fill NUMBER
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
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1. R.ol E,'ote (Sr,h.d,l. A)
2. Stocks and Bonds (Schedule B)
3, Closely Hold Stock/Porlnonhip Inlorosl (Schedulo C)
4, Mortgages and Nolos Receivable (Schedule 0)
5, Cosh, Bonk Depotits & Miscellaneous Pflrsonal Property
(Sch.d,l. EI
6. Joinlly Owned Properly (Schedule f)
7, Tronl/." (Sch.dul. GllSchadula L)
8. Tolal Gran Auel$ ltolal Lines 1.7)
9, Funeral Expenses, Administrative Cosls, Mhcollonoous
txponuu {Schedule HI
10, Oobh, Mortgage Liabllitlot, liens (Schedule I)
11. T 0101 Deductions (total Unos 9 & 10)
12. Nol Value of Ellale (Line a minus LIne 11)
13. Charitablo and Governmenlal Bequesl~ ISchedule J)
1.4, Net ValufI Subjeclto Tax (Une 12 mlnu, tine 13)
15, Spousal Tranlfers Ifor dotes of dealh after 6.30.9.4)
Soe Instructionl for Applicable PorcenlogD On Reverse
Side, (Include values from Schedule K or Schedule M.l
16. Amount of Une 1.4 laxable al 6% rate
(Include values from Schedulo K or Schedule M.)
17. Amounl of line 14 IOKoble 01 15% role
(Include values from Schedule K or Schedule M,l
18. Prindpullox due (Add tOK frorn Unes 15, 16 and 17.)
19, Credils Spousol POYllrty Crodil Prior PClymonh
COMMONWEAlTl1 Of PfNN~n"ANI^
DEPARTMENT Of REVENUE
Dm,18D601
HA~~I~at!'!.O. PA ..1'1 1_~~.OtJO\
lH fD(N1" NAMf l.... T. fIRST. "'r~(1 MlllDllINITl"IO)---.--.------.-.-....-...
21-97-253
COllNTY CODE _" YEM _ _ _ NUt.\8tR
ilY('rGfil'frtoMf..lfifA05ifs.~--._._-----_._._.
919 Greenbriar Drive
Mechanicsburg, PA 17055-1916
Acri, Aurora K.
'~C;~~~~~~Y_~~;;-~-- - I~A~~~;~~'~ I"A~~~~~~16
Ilf A"Ll~AILII ~U.VIVINO HOUU S ~IAMI IlA~1 fl..' AI~O M'L'I'll ''!''IAII I SOCIAL S!CUllllV NUM8lR
.___._ ...l\.<;:,riL...JIfi2!PB_I). :95-07-6044
Iii] 1. Original Relurn II 2. Supplllmenlol Rolurn
rJ 4, limited Eslale t] 4a, Fulure Inleresl Compromise
(for datfls of Joalh after 12.12.82)
lJ 6. Decedent Died lDsloto LJ 7. Cilcedenl Malr.toined Q living lru,t
(Allo<h copy 01 Willi (Alloch copy of TMII
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INfORMATION SHOULD BE DIRECTED TO,
ii NA~lPh S. A~ri ___u._ .__ _. _ ____. __._ ----I- COMPLEH MAiliNG AOORfSS
ult mfPHONE NUMft,fR
____ =_.Ll17 L 766-:1692 . ~ ._
~
",:51:1
Irlf:s
5Cl...
~.,
z
co
S
~
,.
c
u
S
+ . _...n...__.."__~___
'''""'f C\lJT1berlarrl
M\c)UNl RfCE!vro (S!:! INSTlWCflONSI-. - - - --_.. ".-,,--..
45,032..0_5.. . ,
[] 3, Remaindor Return
liar dales of death prior to 12.13.021
[J 5, Federal Ellale Tax RellJrn Requlrfld
f'"
III .________.___.____..___:.." "
(2I,_----.l.<L.994_.40_____
(31 ____n____
(41_______.__..___,___...__...
(51_._~~~:w.45__--._.
(61.._______,,________,
(71 --____
(9) ___)8, 51id~__"..__
(10) _...__,..,_,__-'_~.___
(151
_8, Tolol Number of Sofe Depolil 80;.<el
-;1
f"1
I 8 I ,'--.......li,.Q32. 85 _...
(Iii 18,594.15
(121 _.~,43!!.0.Q..
(13)
(14)
26,438.70
x._=
None
.00
(171 -._-
(161 ..___._.._,___x ,06 =
.00
______.__~__~_)( ,15 I:il
(18)
.00
(19) ,,__~OO __,,___
(201 _________..Q1L___
(21) ______ ___~ 00_,_____,_
(21 A) .__ ...___ _._. 01l.....______
12181 _____,_____--'-JLL____
>- > BE SURE TO ANSWER ALL QUESTIC?NS ON REVERSE SIDE AND TO RECHECK MATH~~
Lind", penalties of perjury, I de-clare Ihot I hO\'o oxominod thi~ rflturn, includinq accompanying ~choGulo\ Clnd stalomentl, and 10 th(l bell of my knowledge and belief,
~I h Irue, CClrrecl and complete. I docloro Ihell all rool oslalo hen boon rfJporlCd at lruo markot voluo. Doclorotion of proporflr othor Ihan the personal represenlatlve II
ooud on alllnformotion of which proporer hm ony knowleugo.
t{iI~'trJ:~~,i('L!_j!7~:~J~~-~;;~~i.:r- ~r., ~., -, ;~.~~;~~~~~9~;==-~~~ DO_~A'~I;E -26-;~~~~-=
S10NAlU~~ 01 .'/;d,/,,,,, hlAN """'NIAIIY' A(O""
..,.Ldl.:,,!._L....:.._____'-"__'-L_. ____}14_S. PrD<,lEes.sJlve.Llllx.J, L PA 17109-5722.. _,._____ _()]-2_Q-9L___..
Discount
Inlorost
+._~_.
20. If line 19 is greater Ihan lino 18, enter tho difference on Lino 20. lhis it IIw OVERPAYMENT.
IilO
Cl1c,~ horo if yOll are rcqucstin a rofund of your ovorpaymont.
21. If Une 181s greater than linf.! 10. ontor lho diffaroncl.l on lillo 21. This is lho TAX DUE,
A. Enler the inlorosl on rho bolclncfJ duo on lin(J 21 A.
B. Enler Iho !otal of line 21 ond 21A on line 21B, This is lhe BALANCE DUE.
Mak. ~~._d:_.~"~_y~.~.~. to: Rllgl".!.__~_~ ~~n~~~_~genl
.
. .
R1....I~\\ IX I 118ft)
.
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES PI.II.. P,lnt or Typ.
-~~-- ------L~M.:I~ 21-97~!3 ~___m_
(,OMMONW[AlTIt Of Pf.NN!lYLV^NIA
INHERITANCE TAlC RE1URI~
II.UIOlNlOECfOfNt
ESTATE-oF- - ...- m_
ITEM
NUMBER
Aurora K. Acri
DESCRIPTION
AMOUNT
1.
A. Funtrol Expon,,",
7,177.60
B.
1.
WeidOOlllll Funeral HorOEl, Inc.
Steelton, FA 17113
CARE - Air Ambulance Flei,ght
Naples, Florida
7,365.00
Admlnlltratlve COlli'
Personol Repre.onlotivo Commission.
Social Socurity Number of Por.onal Repro.entatlve,
Year Commllllorl! pold .
2. Allorney Feo.
3,
4.
C.
1.
2.
3.
4.
5.
6.
7.
8.
9.
Family EKemptlon
Claimant
Address of Clalmont at decodent'. doath
Stre.t Addrell
Relationship
City
Zip Code
Stota
Probato Foe.
Mlle.lIl1neoul EKp.nloll
Board of COunty Coomissioners
Diocese of Harrisburg, Catholic Cemeteri~s
Diocese of HarriSburg, Catholic Cemeteries
River Rescue - Harrisburg, FA
cardiovascular Association, Naples, Florida
50.00
1,830.00
1,535.00
50.04
12.01
steven F. seigelbaum, M.D. / Harrisburg, PA
West Shore Emergency Medical Service, Camp Hill, PA
Moffit, Pearce and Linn Associates
Old rorand Buf~~t --=-R.~!il.E!:J.9n
23.86
69.10
66.29
375.00
16,594.12
TOTAL IAI.o ontar on lino 9, Rocapltulalion)
S
(If more Ipoee I. needed, In.ert IIddltlonlll .heoll ollllme II...)
I!)-/~>,.p.. {
BUREAU OF INDIVIDUAl. TAXES
INHERITANCE TAX DI~ISIOH
DfPT. 280601
HARRISBURG, PA lJ'JU-0601
COMHONWIlALTH OF PIlNNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEMENT, AllOWANCE OR DISAI.LDWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
DATE
IlSTATE OF
DATE OF DEArH
FILE NUHBER
COUNTY
ACN
C=_. ~~~~RO.~tt.d
MAKE CHECK PAVABLE AND REMIT PAYMENT TOI
REGISTER OF WILLS
CUMBERLANO CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONO THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS -4lII
it 'EV: iS47. iif-AFp.- io'ii :m- - iio'fici--OF . YNHEiii fANeE. TAX -XP'iiiiA'isEHiii'f; . ALUiwAiic E - 'Oii _m -- - - - -. - -. - -.
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
AURORA K F'ILE NO. 21 9'/-0253 ACN 101
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expans../AdM. Costa/Hilc, Expens.. (SClhadub H)
10, Oebts/Hortgage Uabiliti.s/Liens (Schedule 1)
11. lohl Deduction.
12, Nat Value of Tax R.turn
13, Charihhla/Govarnl"antal 8aqu..hJ Hon-alected 9113 Trust. (Sch.dul. J)
14. Nat Valu. of esht. Subject to Tax
ADOLPH 5 ACRI
919 GREENBRIAR DR
MECHANICSBURG PA
17055
ESTATE OF ACRI
TAX RETURN WAS, (X) ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE XNTEREST - SEE REVERSIl
- .
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..I Eshte (Schedule A)
2. Stocks and Bonds ISchadul. 8l
S. Clo..1y Held stock/Partnership Inter.lt (Schedull C)
4. HortglgII/N~te. RMceivabl. (Schedull Ol
S. Ca.h/Blnk DIPositl/Hilc. Plrlonll Prop.~ty (SChldull E)
6. Jointly Owned Proplrty (Schedull f)
7, Tranafttrl (Sch.duh Ql
a. Total A..et.
If an alsessmBnt was issued previously, lines
reflect figures that include the total of ~
ASSESSMENT OF TAX:
U, AMount of Lin. 14 lit SpauI.l rat.. (15)
16, Allount of Line 14 tftxlbl. at Linl..l/Cllua A rat. (16)
17, A.ount of lina 14 taxable at CoUateral/Clasa 8 rab (17)
18, Pr tne lpal TIIX Du.
NOTE:
TAX CREDITS:
PAYMENT
DATE
RfCEIPT
NUMBER
DISCOUNT (,)
INTEREST/PEN PAID (-)
· IF PAID AFTER DATE INDICATED, S[E REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST,
11-10-97
ACRI
03-09-97
21 97-0253
CUMBERLAND
101
) CHANGED
III
121
(3)
141
(51
(6)
I7l
-..ll.
24.094.40
,00
,00
20.938.45
--:..2.!L
,00
II)
c-
*'
(9)
(10)
18,594.15
In.liH U In m.",
AURORA
K
..ll.
1111
(12) _
(15)
(14)
J
DATE
11-10-97
NOTE I To In,u~1 proper
cradit to your account,
aub.it the upper portion
of thi. forM with your
tax pey...ut.
45,032.85
18.~94..l..5...
26,438.70
,00
26,438.70
14, IS and/or 16, 17 and 18 ~il1
r~turne asseBsed to date.
.00
.00
.00
,00
.00
,00
.00
.00
IF TOTAL DUE IS LESS THAN '1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED As A "CREon" ICRI, YOU MAY BE DUE
A REFUND, SEE REVERSE SIDE OF THIS FORM FOR INSTRVCHONS,)
26,438.70 X .00=
.00 X .06=
.00 X .15.
Ill)
At10UIlT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
( \;
RESERV"T1CHl Eltat.. of dtoeHntl ct~Jng on or b.forl Deflober 12, 19at .. If Jn~ futur. lnt.rllt lntht ..tltl 11 trenlhrrtd
in po.....lon or enJoY'unt to ClIln I (ooU.t.r.D bl".flol.rl.. of the d.ctdent .Utr the 'KPlrlUon of MY' .etltl for
lif. or for ~I'r., tha Co..on....lth h.r.bv .)Cpr...ly r...tv.. the right to appr.11I and ...... trln.f.r tnhldhncl hIC"
It the lIwfuA Cl,.. e (ool1"t,,.1) rite on Iny .uoh futijrl Inter'lt.
PURPOSE Of'
NOTICE I
PlVHENT I
REFUND (CR) I
OeJECTIONSI
ADMIN
ISTRATIYE:
CORRECTIONS I
DlSCOUHTI
PENal TVI
INTEREST I
To fuUI11 thl r.qulr...nb of SectJon ?140 of the Inh.rltlnol..nd fltatl Tilt Aot, Aot 21 of 199&. (12 P,S.
S.ction 91~0),
D.tach the top portion of thh Nothlt Ind IUbllllt with your paYllItnt to thl RIght.r of Willi printed on thl r.v.r.. lid..
--Kek. chl<lk 01' .onlY order paYlbl1 tal REGISTER Of' MILLS, AGENT
A r.fund of I tlM credit, which wa. not r.quI.tld on thl TIM Raturn, .ay bl rlqua.tld by co~plltlng In "Applloltlon
for Rlfund of Pannlvlvlnl. lnh4lrlhncl and E.tlt. hx" (REY.UUL Appllcltlon. .r. .....lIabh lit thl Qfflca
of thl R.gl.tlr of Willi, ."y of thl 25 R'\I'lnUI Dlltrlot Offlc.I, or by oll11ng the IPlo.l.l 24.hour
In.wlrlno ..rvlc. nu.o.r. far for.. ardlrlngl In P.nn.ylv&nll 1~80n-!62-~OSO, out.id. Pennlylvenla Ind
within 10cII Hlrrhburg ar.a (117) 181-8094, TDDI (717) 772-12S2 (Hurlng llIp.lr.d Only),
Any party In Int.r..t not .atllUld with the Ipprnl....nt, l110wnnClI or dluUownnu 0' dtduotlon., or n...u..nt
of tax (Including discount or .Int.r..t) a. .hown on thh Notlc. .u.t objeot IoIlthln .IMt~ (60) din of r.c.lpt of
thh NoUcl bYI
hNf'lUen prot..t to thl PA Dlplrt,ent of Revlnu" laird 0' Appellt, DlPt, 281011, Htll"rl'bur., PA
--Ilaction to hlva the I~tt.r det.rlln.d at audit of the .ccount of the p.rlon.l r.prl.entetlv.,
hIPp..1 to thl Orphalll' Court,
OR
nUI.IDll,
OR
FlatUtl Irror. dllcover.d on thlt "....'II.nt .hould b. ntldr....d In writing tOI PA nep.. ~,lIIllnt of Rt....nu.,
Burlau of Indlvhfull TaICa., A7TNI Po.t A.......nt Revl'l) Unit, Oept, 280601, Hlrrhbur., PA 17121-0601
Phonl (111) 111~6S0S, S.. page 5 of thl bookl.t "In.trucUon. for Inh.rltln<ll T'M fl. turn 10r I fI..ld.nt
Dlold.nt" (REY-1S011 for an IxplamlUan of ad.lnlttr.Uv.ty corrlcbbh .rror..
If InY tax due I. paid within thral ()) ollendar .onth. aft.r the dlcedant'. dllth, . flvl pwrcent (SX) dl.count of
thl taM plld .It allowed.
Thl 15X tax a.nl~ty non-partlolpatIon penalty I. co.puted on thl totll of the t.M ~ Intar..t .......d, Ind not
palU bl-fon, January la, 1996, th. Ur.t day aftar tha end of thl tax "",nuty plriod. Thl. non~Plrtlclp.tlon
panalty It .PPllhbh In thl .1111 unnlr anlt In thl thl Ill" tllll p.rlod II~ :iOU would Ippell the t.lC Ind Int.rut
that h.. bean .......d II Indlcatld on this noUcl.
Intlre.t It thlrgld b.alnnlnu ~lth flr.t dlY of da) inqulnuy, or nino. (91 ~th. and onll (UdaY' fro. tPM dllt. tlf
cklath, to the dltl of pay"ant. Tuu which blc". d.linquent blf'or' J.nulry I, 1982 bur Jnt.r..t at tPM ratt of
.he (6X) perunt par annul c:alculat'd at I daJlv ratl of .000164. All tt".. whiCh blc", delinquent an end Iftlr
January 1, 1982 wUI bur Intorut at a ratl which will vary frol callndftr Yllr to alllndar Ylllr with th.t rat.
~nnouncld by thl PA Dopert'lnt of R'~.nu.. lha applloabJo Intarl.t rat.. for 1982 throuQh 1997 .rll
'!!.!! Int.r..t Rata Dall!.! In\lrl'llt Factor !!.!r lDJlrllt Rat. DillY' Intlr..t Flctor
1982 20:< .000S48 1911 9% . 0002~7
198] 16% .0004J' 191111~1991 11% .000101
19114 llX ,OOOJOI 1992 9< .OOO21t7
1915 15% .000SS6 1995-1994 IX .000192
1986 lOX .000274 1995.1997 9% .000247
~-I"t'r.,t It calculated .. folloWl1
INTEREST. BAr.ANCE OF TAX UNPAID X NUHBER OF DAYS OE~INqUENT X DAILY INTEREST FACTOR
uAnY' Notte.. Ie.u.d aftlr the tax b'(Io... d.11I4quant 101111 rlfl.ct an Int.rllt c.lcuhtlon to flftlln OS) day.
blyontl thl date of the ......unt. If ply..nt II .ad. efhr thl lntlrut COltPutltJon dati .hown on the
Notle., ltddltJonll lntar..t IlUtt be r..lcullt.d.
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III
,
STATU~J~.~J'ORT UND~!L.RULlt~.dl
Name of Decedentl-A- YE_DR.i1._~_~l..___
Date of Death: ~< -- ~~~--!i-:l-
/.' Q) _C) '7 / c' 17 '-2 r 3
Will No,_ ILl f 7 --L..il2S=..:::::.-_ Admin, No. ",,-,- 1 --0 ~-
P~rsuant to Rule 6.12 of the Supreme Court Orphans'
Court Rules, I report the following with respect to co~pletion of
the administration of the above-captioned estate:
1, State ~ther administration of the estate 1.s complete:
Yes _k~,_ No _____..
2. If the answer is No, stat.e when the personal
representative reasonably believes that the administration will be
complete I .____
3. If the answer to No. I is Yes, state the following:
a. Did t.he personal representative file a final
account with the Court? Yes V No____,.
b. The separate OqJhans' Cllurt No. (if any) for
the personal representative's account is:
c, Did the personal representative state an
account informally to the parties in interest? Yes__ No
d. Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be aLtachea to this report.
.
'C
~~~
-.
,Ii ~3
\JO
{J (j:6l t jz Ii <) (l~AA:
Signature
11 t---, >\) p 11 .s, Ace /
~ise type or print)
(J).Jl {, f.J}:;. IUj.J3R/ AI:::. D }2 M t: (H,
Address J 7DS::s'
(JiJ._L {(! &'_1-1.:, {} 2-
'fel. No.
Date: ,3 -s-="'. 11(/
:;Cl
iii
J
Capacity: _____personal Representative
(MAH: rmf/ AM))
__Counsel for personal
representative