HomeMy WebLinkAbout97-00346
I:.:I'/a/(' ,~l Eva M, LOACh
also knowlI (IS
I)ETITION Hm PIWIJATE lllll! GUANT 010' LE'ITEUS
~ \. -Q'1- 3 t{.1Jl
No.
10:
Social Sl'l'a/'ily No,
,
199~OH,309
[h'/'e'l/se'(I,
Registel 01 Wills 1", the
('ouuly,,1 ClIlnberlond __,__ in the
COIl1l11011\\'l'.dth of PCllll.,,-ylvaniu
The pelition or the undelsigned lespectlnlly l"l\resenls Ihat:
You I pt'lltloner!,s). who is/ure I H years 01 H!W or older un Ihe eweul
In the IUslwill "I Ihe uhovt' del'rdent, daled ____F'Elbruary5 ____n.__
!lnd codldl(s) duted __.'"'''__.m___.____._
ora ..__ u~lped
.,19~.
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._..~.~--"--,-, ~"_,__~___~--~_._..q "''',' .m'~_._' .,____~~_T.._. ._____....______~______._,......
(stull' rl'l~'ViUll drntll1sllltit:l',S, e,g, tl'tlllll<;iiltlOIl, d~'\tlh 0'] l'\cCUiOf, (He.)
Decendenl \\"11 dnl11idled III dellth in___Q.l!I1)~,~!.1and mn..,._. ,,"~_ Ct.\qnty, Pennsylvania, with
h.Jr.__c_. lusl Ini11ily or priocipal residence lIl. __ 4 73U.l1QJ.!!,J\-9~.t!,,- N~w'L1:1!_~..J!RE~--,-
l1r a~kfoJ:d....lUL.-.._______..__,,_. -',_,,~______-'__ ___...._~____
(lbl \l!Ct'l, Iltllllbt'l ilt:d IlIlllldpalil}')
PeeelldClIl, thell ._-.__82_____. yt'al's of age. died ---.____Ap-'J.LL.....-.__._~~~._, 19_-12_,
Ilt -..4734 llno la__Road..__New.vi11e_,__P.A~_ __'C .....c..._..~.________n"'_.n____.._..____.
Pxc~plas folloWS, Ill-cedclIl did llo1 Illarry, was nol \lIvoreed and did nol have 1I child born or adopted
aitcr ewc'litiollol the willorfeIed lor probale; was 1I01lhc viclim of a killing and was neve, adjlldlcated
Ineomp,'lelll; ...,..Illl.. eltCE!J,-,,-onB _. "'''-~---------''._''.'_'__~''_",_n... .
Decendelll al dealh oll'Ilt'd property with eSlimated values as follows:
(II domiciled in I'a,) All pe,,;ollal properly $~__.?'~C'c:t'
(If lI"t domiciled 10 I'a.) I'ersollal property ill I'ellllsylvallla $-..._~.
(If 1\01 domlciied ill I'a,) I'e'rsonal property ill ('OUllly . $.._._._ ___.
Vahle 01 realeslate in PenllSl'lvUlliu . Ic &(. . .. $.....-..t.,Ij.li!ii2..__
~~ln_~d__'t\..lolloll:~ .tt-~1fl~'Ait.;_.. j7~311~~~==:==~--=-__=='===
IVIIEREHJRE, pelillllller(s) respeclfully IWllIesl(s) Ihe prooale of Ihe lasl wiil and eodicil(s)
prCS\~fllt.'d Ill'rl'w;th and I Ill' grallt or klters. _Jf}JLtA.nWD_t..~Y~____..~,,_....__...~_~_.__.._____
\In(allll..'!l!,lr~'; adrllillhlraliofl ;;.(.i\.; ll(llllini~lrniion d.h.n.c,t,l\,)
IhL'IOl1.
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1::t~l R~R(B'1
I<,D, 1, Bolt 565
UQney Gr.~v~ p~^ 17035
u.i~.:;" Un llU,wO'N'
Anre1a S. Anderson
1.637 EnolB Road
Newvill" , PA 17241
.~~~t_~__
llJl.y~__ E.., 'C;r.!.e-"____-..__.
__1t.I3,+.E;1]QJ_Lfu:i~ <1____
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1St' es , Be,
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7,
60 Ac orno Drive
Di11aburg, PA 17019
OATH OF PEI~SONAL UEPRESENTATIVE
COMMON\n:ALTII OF I'ENNSYI,V ANIA I "
em' NT\' OF CUMBE.~LAND J t;:-;
nIL' IwlllioIlL'r{'>'j llhtWL'.Il:lllll'd S\\L'ar(s) or nnirlll(s) that I hI.' statL'lllents ill IIlL' foregoing petition are
lruc and l'ilITl'l'lln I ilL' lw.sl 01 till' KllowIL'd!!e and hl'lid of PL'litioIH.'l'h) amltl1a{ as 'personal reprcsen~
lallvl'{',) (II' till' ahoYl' dl'l'cdl'111 !'iC!lliolll.'r(q will wl'll Hlld lrlll~' adlllilli.slL'1' the estale according to law,
SW(l11l III Of llITil'.I1lL'..J.1 and. SUhSl'llhcd I i- q~ ~ jt1'~J ~_~_____ V')
1..~."l'."11/.~II;i}Jlri\. I5TH~.; 1./'~7"1.. .,~~ I ~--_:: f
f /ip1't'1.' t:.J'UC/t>, pi t - ^' I) if ftt.mr^ ;tC:..c&; . ... ) ____ ~
I ,/ MARY CLEWIS liee/lll'l,.( ~~~-.__ B:
c
IS-\,\~-IJ-J -,(
Nt 21 - 97 - 146
I, _
Estate of .---!va M, l.oBch ~. Deceased
DECREE 0.' I)ROBATE AND (JRANT OF LETTERS
AND NOW _.~p.5-~~_~.1_5.__..._..~.~...._._..__ 19. 97..., In con~lderation of the petition on
the rever~e ~Ide hereof, ~utl~fl\ctory proof huvlng been pre~ellled before me,
IT IS DECREED that the 11I~lrlllllellt(~) duted_FebcuacY.~LJ.~~J~___
deserl\led therein he Udmilledto prohate and filed of record a~ the lust will of Eva M. r.o.~h
und Lellers _..J:n.t.mnnqJ:.)L.-._-'__
areherr.bygrallledto__._~yce_.!,~~i~L C~a\"les A,..J..oscJl, l.esley R, Ril~L
_ AngFlla 9 Ande.rAnn
.(~fh
FEES
Pro bale, Lellers, Etc, ," ,. , , ,,$ 235 . Q.O
ShortCertlrlcates( 3) , , , , , " , " $_.-.i..ill!
RenllnclRtlon ,,""""""" $
-~-- $
TOTAL _ L249.00
Filed"" ,~P,RJ~, ,1,~1, !,~~?,""""""
ATTORN!! Ip. C.. I.D. No.).
Ronald g, nson 1'1,(53
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Carlisle, P~~DRt~13
717-243-0123
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WARNING: It Is IIIogal to (ll/pllcate Ihls copy by photostat or photograph.
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CERTIFICATE OF DEATH
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Newville. Penna .172Jn ~<III'~:7"
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INHERIl'ANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
fOR OATIS Of DIATH A"IA 12/31/91 CHICK HIRr
If A SPOUSAL
POVIRTY CRIDITIS CLAIMTD I I
flU NUMllA
~ I..')l-O'j/i!,
(()MMONWfAlTlI Of PrNNSYlVAtHA
tlfrARTMfNlor RfV(NUf
DfPT ~f10601
HARRlsaURO, M ,,11A,OWI
-'-'."'--" o((1i~t'Ni"~;N"~Mr- (-tAlf:1inr.il~jj'MiDIJd~ iN;1 IAt-,.
W
I-
,,:$'"
"",,,
wO-u
:rOO
uS~
.. LORCh 1 Eva M,
50ClAl !i[CUIl!1Y NUMBf~ -]"'1' "'. (,I AlII li)AIf nI tll!1I1l
1'19-07-610'1 l./fI/'17 II/fI/11
I" '~I;:'" '""""... """" \ '''MIl'''' ,,,,,..'" .""'" '"'''''' :1")("" 1.1<."'"' '"".'""
t<& I Orl{Jlnol Roturn [- J 2. SUrpl8tT1onlol Rehllfl
[ --I 4, linllted hlale [ l4o. future Interell Camp/oml\o
llor dOlo, of doath aller 1 '2.12.82)
Rx 6, Deceden! Died TOitole [J 7. Decedenl Maintained 0 living Truu
IAlloch copy 01 Willi IAlIoch copy of Trulll
ALL CORRESPClNDENCE AND CONFIDENTIAL TAX INFORMATION SHOU'LD BE DIRECTED TO'.----.
NAMr-------.--~.~--...~-----~----jOMjimrMAllIN(=rA06if$T-----..---..-.-..---,.....-----.--. .
_.__.___R~_r\Il.l_d__I\_c__~o.hnsonL ERguil'(! .____....____ 78 W Pomfn'L Strr;~t .
"""'ON!NUM'" Cadisl" PA 17013
__~L-.J)LJ="., 24}::l.lJ31"=.==~_-.,..,.,,=c~'c,=_-"'~o====_.,~"'=,~,,."=.-_c:,'~~"=_=,~""".".=,,==="_-"'~=.,'
l. Reol EUate lSchfldule Al
2. Slacks and Bandt ISchedulo 6)
3, Clt;llely Held StocklParlnenhip InlerestlSchedule q
4. Mortgage\ and Noles Receivabl6 ISchudule DI
5. Cash, Bonk Depo\its & MIsceUaneol)t Perional Properly
ISch.dul. EI
6. Jolnlly Own.d Proporly ISch.dul. F)
7. TranI/or. (Sch.dul. G) (Sch.dul. LI
e. Tolol Gron Anels (Iolalllnes 1.7)
9, Funeral Expenses, Administrative Costs, Miscellanooul
Expenses ISchedule H) ,
10. Debls, Mortgage liabilities, Liem (Schedule I)
II. Total Deductions (tolol Lines 9 & 101
12. Nel Voluo of Eitale IUne 8 minus llrlfl 11)
13. Chorhable and Governmental Bequl'lsls ISchedule J)
~~I Value Sublecl to Tax (Line 12 minus line 131
15. Spousal TranI/or, 1'0' dolOl 0' d.a'h ahu, 6.30.941
See Instrucllons for Ar,plkoble Percentage on Reverse
SIde, (Include valuei rom Schedule K or Schedule M.l
16. Amount of line It! taKable 01 6% rote
llndude values from Schedule K or Schedule M.l
17. Amount ('If Line 14 taKable ot 15% role
(Include values from Schedule K or Schedule M.l
18. Prlndpoltox due {Add lak Irom Unes 15, 16 and 17.1
19. Crodlts Spousal Poverly Crodll Prior Payments Dlscounl
+8. oo_o~ 00__ +. .../t.n. Q5
.._,...~.'O..__..
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ffi
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S
COUNTY COOl
flf(TnitH.{T<'jMjilrff-,;~tilt~~ .,---- -,..,.
tWM8H
YEAR
1161'; E,lO III !load
CarliH\". I'A 17011
(""..I, ClImlH'r 1_1111_<1,
I 'MOUNI '.1< 'IV'" II/( ,,","",!i0>l11
r -I J Remaindor Relu..n
llor oclle' of death pdor to 12.13.87'
[J 5. Fedoral Ellate Tax Return Roqulrnd
..0-.8, Tolol Number 01 Safo Depo'lt 80XOi
( 119 L 000,00 n._
12 I - n_ __.___.
( 3 I .___._.__... ________n.__._
(4 i ___._._.___.._.___
( 5 I_??...!l~~~~_._._____.
161 .---~-------
{71 .____~__
1661169,~4
21.289,16
( 81
191
(101 --L.!lM...~-L-____
III) _-23..,J..'i.l_12--- ...__ ..-.
. (12) __ 14 , 349.69 ________._ n
(131 ~_ .._~__
~ 143,011.62
1151 ~_.._..___.____ .._..____".
143,OJ 1.62
(16) ___....___.___..:___ n,'.___" ,06.
.
8,580,70
1171___
__ ..x
15 .
1181
In!fHO\1
1191
(20}
_...._IL!Jl.L'O'5__
20. If Une 19 l~ grealer than line 18, enter lhe dlfferoncfl on line 20. Thli Is the OVERPAYMENT,
IIU
21. If tine 18 i\ groalfH th(Jn Line It}, onlN t!lfl di/ferttnce or. Line 21. Thi1 is Iho TAX DUE, (211. ----159--..65..
A. Enlor tho intorest on Ihf! blllonco due on Line 21A. (21AI
8, Enter tho tolnl o! lint!?l (tnd 21A on tine 218 Thii It Iho BALANCE DUE. f2181 159-.--65.
.. Male. ChecM Payable to: Re"l.t.r of W~II.~__~g,.nt___ _ .__.,_~-n__.___..._m_____..__....
~=~=.~_:~-~~-!-B~ SURE T() ANSWER.ALi:~iJE~Ti()~..s_~N R~YERSi~~iAN[iTo. RECHEC.f M~.TH-=-(~~___=-===--
Under penoltlei of perjur)', t doc!mo lbol I hO'lt! ll~ol11inud th;~ relurn, includil1Cj accompclnying ~dlfldulo~ {Jod \talomenh, nod 10 Iho bott of my knowl~dge Clndb;II~1
t Ii Irue, corroct find (Omplotll, t dedoro thol ull fU(,1 ollnt" 11m bOlln roporlfld at true murkot "'(llull Dodmallon of IHepwor oIlier IhClrI lhlt portonal roprosenlative i.
~l~t_~~~_~__~n ~~;~~lrt~:~s:jhli;,~l~r J'w J _~l(I\ o~~ ~J;~i'e~~~. / __. ,
. x.r:~+ ''-'rN) (7 ~f ,.,.' '- co 7R W I\lllfn't Stn't't 00
____~.t..-{j'Ld..Q./.. f.L Carll.l.. I'A 1701.1 :AA~,',JC~"7~
, '~FPR[r"~fROTIf.RfIAr~ p .. A[l[)llI5~ 1 C'
<<'/:.' r> . IH \oJ P"nfl'!'t SI:r,,'I' I h "h:: "7'
, ..kZ C~ '-- (:"rliHlt,. PA 17013 ///a)/7~_
Check "0'0 if you mo roquosting 0 t(!fund of '10\1' OV(lfpoym(!nl
Act 148 of 1994 pruvlde. for tho IIducllon of the tax rat.. hnpo.ed on tho net value of 'randen to or for
the UIO of the 'P\'lU'., Th. rot.. 01 Pll.crlbed by the statute will b.1
. 30/. (.03) will be appllcabl. for "tate. of d.c.donll dying on or aft.r 7/1/94 and b.for. 111/96
. 2% (,021 will b, appllcabl. for ..totes of d.c.d.nll dying on or after 1/1196 and b.for. 1/1/97
. 1% (,01) will b, appllcabl. f\'lr 8ltot'l of d.cedents dying on or after 111197 and befoll 1/1/98
. Spoulal transferl occurring on or after 1/1198 will be exempt from Inheritance tax,
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING A CHECK MARK (1"') IN THE APPROPRIATE BLOCKS.
1. Old decedent make 0 transfer and:
0, retain the ule or Income Qf the prQperty transferred, "."""""""."""",,,,,,,,,,,,,,,,,.,,......,,,
b, retain the right tQ designate whQ shall use the prQperty transferred Qr Its Income, ,,,,,,....,,,,,
c; retain a reversionary interest; or ,.,.....", ".,."".,."""".."".""..""""",.,'"",..,'.....,.'...'"...
d, receive the prQmise fQr life Qf either payments, boneflts or care~ """""""""..;""""...."""
2, If death Qccurred on or before December 12, 1982, did decedent within tWQ years preceding
death transfer prQperty wlthQut receiving adequate cQnsideratlQn' If death occurred after
December 12, 1982. did decedent transfer property within one year Qf death without receiving
adequate consideration' ..............................."..................................."..........................",
3, Did decedent Qwn an 'In trust for' bank account at his or her death'.""""""".."...""".....,,..,
YES tlo
X
1C
X
X
X
X
X
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
",'\ ~""', 1\10 '.,' '.....,....., .' ,i,."
.', 1"-" ,.;.u.I-Y.\'~!r"',',,' , \ ~1'''':'':\lf lJ, ,: \ i. ,'I ,)II
T ~~..I.I(,.,.. ""'.l'~'i)~{j'IJUI\'f'" ",I""
11'1~"#.\ ~#i . "''''~IIi. I '~1/\" lJ:l.lYj: \ ;t,~ 1.1\,.: I ,.1 \~'l ,
, t 'ti r , I.\,l,t-,',.,."" i" 8 \ ,I '.
WiLli,
I, H:vfl M. Lr)Rch. of Lt" BOrO\l(lh of (;flrJlsle, h"nnnylvanlll.
declare this to be my Iflst Will and revoke any wilL preViously
made by ma,
1. 1 !live. deviss. IHld l)equeaf.t1 my entire est.ate 01: every
nature and wherever situat8 to my children. Jovce K, Uriee.
Charles I\. j,osoh. Lesley 1<. 1\1 lny. and Anilela S. AncterfJon, snare
and share alike.
~, I Ilppoint C:ommonwcllilt.il Nationa] Bank ICar'lisle Branch)
of r~8rlisle, ~'ennAylYr,ni". (1\IElrdI8n or Any property whiCh passsl'l
to a minor and with respect tn which j am authorized to appoint a
guardian and have not otherwise specifically done so, Such
_uardian shall have the power tn use principal as well as in60me
from time to time tor the minor's eaucation. support and weLtare
without re~ard to his or her parent's ability to provide for such
education. support or weltare. or to make payment for these
purposes. without further responsibility. to the minor or to t,he
minor's parent or to any person taking care of the minor.
3. 1 appoint. my children. Joyce E. Gries. Charles A.
Losoh, Lesley R. Riley. and Angela S. Anderson executors to
settle my estate. If none of them survive me. 1 appoint mv
grandson. George . Uries. Jr, executor to settle same.
4. I direct. that. my personal representatives and guardian
shall not be required to give bond for the faithful performance
of their duties in any jurisdiction.
IN WITNESS WHEREOF. I have hereunto set my hand thi8
day of February. 1991.
- c:A....
~
L~,-t~~ )/1 I
V\,.~' M, 1.oBoh
'---,.L 4c t
i-~-j1.t.
SiRned, sealed. publ ished and deo lared by Eva M, l,osoh. the
Testatrix herein named. as and lor her last will. in the presence
of us. who. at her request. in her presence. and in the presence
of each other. have Bubecribed our namee as witnesses thereto,
/':1-~K~~.
___~~ -",~~~J.,..__
'-." "l.t~'r' ~. ,I" ":l >I.l~'
'. ", . ' ...'. /" '/",':. ,\:rt'....l..ml?!~".
, , , . - .'... .' :"', ' . (I . "': ~ . . ~ ," .. '
, . . , , ,?ylo., ,,1 t,~' , . , I" " l'l~ '., '
~, ." " ., . , . .,' i.J 1.~
^ St.,l1lEMENT ~nAlIMHII
o Commonwealth
rif"ro'of Lon;;--------"---~-
'TTrW&'?~j7lliHA'TnCOTWlTririi~'J';;; .......' r;..... . ........ ...."'. 0... ._,
· II VA 5 11 Cor". II". L .
'C-;fu~--1t;i;lo~l;/";j;;;;jj~ U'V.1 you Ill\lnlor11f1nl oIIlOWaIIGIlUlItu)n! cO'Ii. Amounjip,'d 10 Ind by 1110 UWllfTlenllgenl_ro ",own Ihtm. mlllkod
_~._.._~~.:!!..~~!:~llJlllirl.!!~ildu J!!.'!J~~~' lhl!.t.IHlJ_ihuWfl hmu hl'_I!\Il!!.mallonal-nUfPClIOIi and lIf(l nol inchKlod In Ihe lotal, ___
'0 'Ui......I.(.....nl~tlJ<lI'\I.11 l J4~I....''IlAllIhll.!a...' " N"'Wf/QAddr...oIltrdtf
12MB No, 2502,0265
Sll~phun .1. Slutlr and
Autumn .1. Bluor
EYn ~l. !.oach Y.1Jt4ttr
H~mbur8 P{rlt Fud~ral Cr~dit
Union .
to;;;;;;;L~.loOn
----..
46JS ~;nlllll Road
NutJvill\l, JlA J72~1
U"lllt~/.o''''
Ronald E, Johnson, Eflquirl;!
~:......-_-----
~~'Oltitlll4~rw
I s~\O"''',_''' IJ.'~
. - -
J, SUMMARY OF BORROWER'S TRANSACTION K, SUMMARY OF SELLER'S TRANSACTION
100. GROSS AMOUNT DUE FROM BORROWER: ____ ~ GROSS AMOUNT DUE TO SELLER: ~~
JQh,....QQnlrMtsalasorlca _. . 91 000,00 ..j01. ConlraclsalesDrlee ...21&00,0.0
102. PersDna!Jirooertv ___'--___JQL. Personalpropertv ___'-'___
103. S.III.menl charges 10 bOllower (line /4QqL_ .._2..J..598, j 6 403. ._
104. 404,
105, 405.
Adluslmenl.lor 110m. paid bv sellor In advanco: AdJuslmenl,'or lIems paid jJy seller In advance:
1 06. Cllv~own laxes 10 406. Cllv~own taxes 10
107, Counlvlaxe. 9119197 lOI'lll.~ -r--"ROn 407, CounlVlaxes9/)9197 1012111197
108, AssessmenlS 10 408, Assessmenla 10
109. Malnle;;a;;ce--. 10 409, Malnlena'lCS to
110, SmVlaxes 0110'07 10 &L1o,.. ---5.~ 410. CommllmenlFeo 10
-tJ.,l,- 10 __~ 411""""", 9110107 10~'1n'..
112, 10 412 10
120. GROSR AMOUNT DUE FROM BORROWER: 94.203,56 420. GROSS AMOUNT DUE TO SELLER:
18 W Pomfrut Struut
Corliol_, PA 17013
9/19/97
loR_ 9n
556,50
200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER:
91,605,40
201. Qeoosll or earnest f!lQ!JQ.'L
tzQt-PrlnCioal amounl 01 now I~__
203. E,lsllna loan(s) lak.n sublcCllo
204. QommUmenl Fee
205. lhtll.ll'II'IIf1l1iJltllnr.H
12L-__
""7,
1Oe.
1200
500. REDUCTIONS IN AMOUNT DUE TO SELLER:
AdluSlmonls lor 1I0ms unpold by sollor: AdjuSlmonls lor lIems unpeld by soller:
. 210. Cllv~own la,os 10 510, Cllv~own taxes 10
:_llLS.ounlvlaxes ..J!t_._:._ _ 511. 10
I 212. A.s.sSmonls 10 _-= 512, Ass&ssmonls 10
. -- -- _, 513. Mainlenance 10
._.213. SchooVTaxos _l'L-_~~-'=:-__ -----:._ ....:_514. SchooVTaxes 10
214. 10 515. 10
215. 10 '-"-~- --518 10
----m:--- 10.. _ ~ W 10
217, -12. "__ ___....__ _...Q.t!L.- 10
.118. -12_... .___ .._________ .._ 519. 10
219. 10
220, TOTAL PAID BYiFOiiiioRROWEff,- ---'-. "iiB-ijiio~oo 520. TOTAL REDUCTION AMOUNT DUE SELLER:
300, CASH AT SETTLEMENT FROMITO BORROWER: fiOO. CASH AT SETTLEMENT TO/FROM SELLER:
I QllJL.QJL 501. Exc&SSd~elnsllucIIOIISI . '
86.',OO,OQ ..502. Selllemenl charsoslD sellor IIIne 1400C ":'1.--:1.44 ,21~'1
503. E,lsllno loanlsllakon sublecllO
- - 504 f 01 first mor1asCl9 loan . __ _ .~
to RLlY~_ --1......2.0.Q....o..o.. ~05.. Pavoff 01 second morloaae loa'L-...__.~ --.;..___1
50fi ""lIH". ..o1.t.n". rn Bu.ltL..__......L1QQ...QQ. .
507.
508.
_ 509.
--
301. Gross amounl duo from bClI/OWO, (Ilfl/! 1.10) GOl GtO!;S amounl due 10 sellel (line 420)
-- -.-- ..2.4...~gl:1.6.. _'___
302, loss amounts paid byl10r borrow!), (IIno 220) I I GO;? loss IOlallOducUons In amount due SOlltH ""M',
BB 900.00
-- ----
-------
I -.~844,~-1
-l
91,605,4;!
303, CASH (iii FROM)
(0 TO) BORROWER:
603. CASH (ijlTO)
5303,SL__
(B 844.:n
( OFROM) SELLER:
82761.19
!lVOI
Jim 30~2 (REV. 6fV5)
ACCOUNT NUMaE~(S)
CX,ASS OF IICCQUwr
DATE OPENED
PRINCIPAL BALANCE
ACCRUED INTEREST
BALANCE AT
DATE OF DEM'H
ACCOUNT OWNERSHIP
NAME Or' JOINT
OWNER (if any)
DATE OWNE1\SHIP
ESTABLISHED
ACCOUNT NUMBER(S)
CLASS OF ACCOUNT
DATE OPENED
PRINCIPAL BALANCE
ACCRUED INTEREST
BAl.ANCE A'Ii
DATE OF DEATH
ACCOUNT OWNERSHIP
NAME OF JOINT
OWNER (if any)
DATE OWNERSHIP
ESTABLISHED
l'l-€o-2ll<<)52 17-<XXJl..W
....
Oatti.ficate Q1ed(.ltl;J
3-s..% 1l~25-91
$23,1.'.(>3.34 $8,W.44
323.24 10.31
23,\05.58 8,2Xl.75
Wi vid.B.1 :trr:Jivid.l!u
~~
11-25..e1
SiO:a:'e).y I .
~"~'~ &><<--
~ L. caJ.e
Sl:. Petai1 h:ilrlnistraticn Servioae Pap~
-.."
SCHEDULE II
FUNERAL EXPHNSES, ADMINISTRATIVIl
COSTS AND MISCELLANEOUS IlXPIlNSES
ESTATE 0[<'
Eva M, Losch
ITEM
NUMBER
A. Funeral Expenses:
I.
2,
3,
DHSCRIPTION
Ewing Brothers Funeral Home. funeral expense
Westminister Cemetery
George's Flowers. funeral flowers
D. Administrative Costs:
1. Personal Representative Commissions
Social Security Number of Personal Representative:
2.
Attorney Fees to Andrews & Johnson, Attorneys
3. Family Exemption
Claimant Relatlollshlp
Address of Claimant at decedent's death
Street Address
City Slate _'_ Zip Code__~.
. Probate Fees to Register of Wills
4,
C.
I.
2.
3.
4,
5,
6,
7.
8.
9.
10.
Miscellaneous Expenses:
Harris Savings bank . checking printing expense
The Sentinel
Valley Times
Adams Electric Coop. . utility bill
Adams Electric Coop. - utility bill
Sprint - telephone bill
Adams Electric Coop, . utility bill
Karen S. Gamer, Tax Collector - 97/98 school real estate
taxes
Sprint - telephone bill
Erie Insurance Group - homeowners insurance
TOT AL (Il~tftteron line I, Ro.;apitulllloJnl
FlU: NUMDEI{
21.97.0346
AMOUNT
$5,551.00
$735,00
$ 133,56
$4,800.00
. $249,00
$14.78
$35.96
$6.00
$44,21
$20.88
$16.04
$33.08
$715.21
$16.09
$218.00
$ continued
'j
SCHEDULE "
ImNFlFICIARlES
FILE NUMDER
21.97.0346
ITFlM NAME AND ADDRESS OF BENEFICIARY
NUMBER
RELA TIONSHI P A MOUNT OR SHARE
OF ESTATIl
t. Joyce E. Gries Daughter 25%
4734 Enola Road, Newville, 17241
2, Lesley R, Riley Daughter 25%
R.D. 1, Box 565, Honey Grove, 17035
3. Charle~ A, Losch Son 25%
60 Acomo Drive, Dillsburg, 17019
4. Angela S, Anderson Daughter 25%
4637 Enola Road, Newville, 17241
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
AMOUNT OR SHARE
OF ESTATE
B, Charitable and Governmental Bequests:
TABLE AND 00 ERNMENTAL,BEQUESTS <AI;o.."''''!U" I', iIAooplwl..n)
I,:
I A~o.unr '!...M~tt.d ~
MAKE CHECK PAYABLE AND REMIT PAYMENT 10:
REGIS1ER OF WILLS
CUMBERLAND CO COURl HOUSE
CARLISLE, FA 17013
CUT ALONG THIS LINE .... RETAIN LOWER PORTION FOR YOUR RECORDS ....
REv'- iS47 "Eif "APi; -f fi~j: 9'7T" Noff C E. "O,,-i"NHER f i' ANCr fAX - A-P'PRA f S EttEN 'f; -A [i:ciwAifcE" 'OR --- - -". - - - - -. - - --
DISALI.OWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
EVA M FILE NO. 21 97-0346 ACN 101
If an assessment was iusued previously, lines 14, 15 and/or 16, 17 and 18 will
reflect figures that includu thu total of ~ ruturns aSBessud to datu.
ASSESSMENT OF TAX:
15, A~ount of line 14 at Spou,.l rat.
16. A~ount of line 14 taxabl. .t lin..I/Cla.s A rat.
17. A"ount of Line ]4 taxable .t Collateral/CIa.. 8 rat.
18, Principal Tal< Due
TAX CREDITS:
PAYHENT
DATE
07-02-91
11-20-97
/5"1'7 3 ~ I;),
COMMONWEALTH DF PENNSYl.VANIA
DEPARTMENT OF REVENUE
BUREAU Of INDIVIDUAL TAKES
tHHE~ITAHCE Ul( DIVISION
O[PJ. U0601
IlAnRIlllUAO, PA 111Z8-06UI
NOTICE Of INHERITANCE TAK
APPRAISE~cNT, ALl.CHANCE OR DISALLOHANCE
OF DEDUCTIONS AND ASSESSHENT OF TAK
RONALD E JOHNSON ESQ
78 W POMFRET ST
CARLISLE
DATE
ESTATE OF
DA TE OF DEATH
FILE NUMB!R
COUNTY
ACN
02-09-98
LOSCH
04-08-97
21 97- 03tl6
CUMBERLAND
101
PA 17013
ESTATE OF LOSCH
TAK RETURN HAS, I X) ACCEPTEO AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
- ,
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
I. Real Estate (Schedule A)
2. Stocka and 8ond~ (Schedule B)
3. Clos.ly Held stock/Partnership Intere.t (Schedule Cl
". Hortgagal/Nota. Receivable (Schadulll 0)
~, Ca.h/8a~k Depolits/Hisc. P~rsonal rroperty (Schadu1e EJ
,. Jointly Owned rroparty (Schadu1_ F,
7. Transfers (Schadul. GJ
8. Tob1 Assats
) CHANGED
III
12)
(3)
(4)
IS)
(6)
C71
91.000.00
.00
,00
,00
75.169,34
.00
.00
(8)
APPROVED UEDUCTIONS AND EXEMPTIONS:
9. Funeral f,).:per,.../Adlll. Cootll/Hhe. Expense. (Schedule Hl
10. Oebta/Hortgag. liabi1iti../Lians (Schedule X)
11. Total nedyr,tionl
12. N.t V.IlY.j of Tax R.turn
15. CharHablc';/Govern...ntal 8equuhJ Nonwel.otad 9113 Trust. (Sohedule J)
14. H.t Value of Est.te Subjeot to Tax
C')
1101___
21.289,16
1.868.56
Ill)
(12)
(13)
(14)
NOTEI
115) .00
(16) 143,011.62
(17)- .00
x . DO.
X .06.
X .15.
(18)
RECEIP1'
NUHBER
AA211486
AA242480
DISCOUNT (+)
iNTEREST/PEN PAID (-)
421,05
.00
8,000,00
159,65
ANOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
~INTEREST AND PEN.
TOTAL DUE
--.
/-
U~'lH' 1M If~ lit-HI
EVA
M
DATE
02-09-98
HOTE: To insur. proper
credit to your .ccount,
IUblllit the upper portion
of thl1 for.. with your
t.U( pay...nt.
166,169.34.
n.I~7.7.z...
143,011.62
.00
143,011.67.
,00
8,580,70
.00
8,580.70
8,580,70
.00
,00
,00
. IF PAID AfTER DATE INDICATED, SEE REVERSE
fOR CALCULATION OF ADDITIONAL INTEREST,
IF TOTAL DUE IS LESS THAN fl, NO PAVHENT IS REQUIRED.
If TOTAL DUE IS REFLECTED AS A "CREDIT" ICR) I VOII HAV BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORN fOR INSTRUCTION!.)
I
,
:
,
,)
.j
RESEAVATION, E.t"'. of ~~t. dVing on or blforo o-otlber 12, 1912 ~- if tnV' future 1"tar..t In the ..t.t. 1. ttent'arred
in po.....ion or .nJoy.ent to Cll.. . (col1,',r,1) ~flol'rl.. of thl dlCldlnt .ftYt thl Ixplratlon of env ..t.t. for
Ilf. or for YI.r., thl C~onw..lth heroby .xpr...l~ rl..tv.. thl right to ."r.I.. and ...... tran,f.r InheritlnGl TIXI.
It the bwful Cl... II (coll.'t,raU tat. on WIll' .uch future Intar...t.
PURPOSE OF
NOnCEt
PAVHEHT'
I
"
To fuUH! the rftqlJlrG..ntl of Seotlon Z140 of the I~r1tltlCl. end Estat. Tile Act, Aat 21 of 1995. (72 P.S.
SecUon 1)140>,
DetlKlh the tOf! portion of tnil Notlcl and BOOalt with your ply..nt to the RIghtar of WUh printad on the ray.r.. IJde.
".Hek, aMok or IIKlnay ord.r payabh tOI NEGISTER OF HILLS, AGENT
REfUHD (CR)1 A r.fund of I tlX oradit, which WI' not raqu..t.~ on the TaM R.turn, ..~ b. reque.tad by c~latjng an "App11,.tlon
for Rafund of Pann.~lv.nla Inh.rltance and E~tate T.M" (REV-131S). Appllc.tlon. .r. avallabl. at the Off1c.
of t~ R.gllt.r of Will., any of the 23 R.v.nu. DI.trlct Offlcel, or b~ oalllna t~ .peel.1 24-hour
M.w.dnu ..rvlet nultber. for foru ord.rlng: In Pannlylvllnla 1-800.362-2050, ouhlde PeM.ylvarlJlI M'MI
within local ~rrlsburg ar.. (717) 747~^094~ TOOl (717) 77t-2lSl (H..rlng I~alr.d Only),
OBJECTIOHSI An~ part~ in Int.r..t not .atl.fl.d with the apprall..tntl ellONenc. or dl.alloNanca of deduction., or"~I...nt
of taM (Jncludlng dl.count or Intlr..t) ft. thoNn ~h thl. Notlct .u.t Object within .IMty (60) U.YI of raoelpt of
thlll Notlce b~l
,I
--writt.n rrotfllt to the PA Depart..nt of R_vanue, Bo.rd of Appnl., n.pt, 2111021, Uarrisburg, PA 11lZl-1I21,
--.lacUon to hay. the ..att.r dltlr.lned at IIUdIt of the IICCOUl'lt of the p.r.onal r'pr...nt.tlv., OR
--appe.l to th. Orphan"' Court.
OR
ADttIH
ISTAATlIIE
CORRECTIONS I Factu.l .rror. dl.cnv.r.d on thlt ........nt .houlu be addr....d In writing tftl PA Depart..nt of Rev~,
lureau of Indlvldu.l TaM", ATTHl Po.t ''''UhOt R.vl'N Unit, Dept, i!a0601, Harrisburg, PA 1712a.0601
Phone (717) 187-6505. S.. pagll 5 of the booklet "Instruction. for Inh.rJtann. h>e Return 'tor a Ruldant
O.c.a.nt" (REV-1501) for an tKPlanatlnn of ad.lnl'tr.tlv.l~ corr.ctabl. .rror..
DISt.Ot.tlTl
PENALTY'
INTERF.ITI
If ....~ tax due II paid within thr.. (]) calandar .onth. lifter the d.cad."t', death, . fiv. plrCltnt (SiO dh4lount of
the tlM pl'lld hallowed.
The 15;( taM ;A.,..ty non-participation pcmlJlh 11 (:Caputlel on thlll tohl o~ the tlI)j end Int.r..t .......1.1, WId not
p.ld btlfon Janu.ry 18, 1996, the fir.t d~)' afhr the .nd of the hy. .ne.b p.rlod. Thh non~p'rtlolpltlon
p.nalb I' app.alabl. In the .... .anner and In the the .... tl.. period a. YOU would ap~.1 the hue and Int.r..t
th.t hi' b.en 1".I,.d a. Indlcat.d on this notIc..
Int.r.,t II ch.rS!'flt b.glnnlng with flr.t day of d.lInqu.ncy, or nln. (9) .onth. and one 0) da~ froe the de.. of
death, to thl date of p.y..nt. T'M" whJ~h b.e... delinquent bafore Janu.r~ 1, 1911 b..r Intar..t .t the r.t. Gf
,1M (6iO "rcant ptlr ......... calculat.d lit III dally r.t. of .000164. All taM" which b.n.. cMllnqo.nt on end Ift.r
January 1, 1982 will b.ar Int.r..t at . rat. which will vnry frow cal.ndar y..r to calandar y..r with that rat.
announc.d bJ the PA Dlpart...nt of R.v.nllll. Th. appllCIlbI. Int.r..t rllt" for 19112 throu"h 1994 Irl'
t!!! tnhrnt Pata balI~ Intarfllrlt Factor :!!!r Int.r..t R.tll Dolly rnter..t Faetot
191~ lO:C .00D548 1987 9X .000247
IlJU l6X .ODD438 1986-19'1 Hi< .000101
1914 m .0DOnl 1992 9X .000241
1985 m .000356 1993-1994 r. .000192
1986 10i( .000274 1995-199. 9X .000247
--Inhr..t It ccIcuhted .. followll
INTEREST . BALANCE OF TAX UNPAID X NUNBER OF DAYS PELINQUENT X DAILY INTEREST FACTOR
uAn)' Hotlc. luuad .fter the tllle bKOIH. deUnquent Nl11 r.fJ~t .... Int.r..t c.lculatlon to fifteen (1,) .,.
beyond the d.t. of the .......ant. If pay.ant is lade .ftar the Int.r..t cOIlPUtaUon data .hown on the
Notlc., addi\Jon,1 Int.r..t lIIJlt b. cllculltotd.