HomeMy WebLinkAbout97-00348
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Estate of ~.l~~. .. . ;(HI".~_!:,-,(_.~_~~_.~....
also known as _ --.---,..-,-----.
PETITION li'OR PROBATE and GRANT OF LETTERS
No. ______~\:-:q'1-=..3.1.a.--
To:
,.________,__.,.__._~___ Rcgl~ler of Wills for the
~ . Deceased, Counly of C"'iilJoplnnQ..,,__ In the
Soc/al Security No, ....l9x.Q]-1 ',() t,!Q,__".__ Commonwealth of Pennsylvania
The petition of thc undersigned respcctfully rCl'rc~ent~ that:
Your pelltloner(s), who is/are 18 years of Ilge or older a~~lc cxecl1t!:"i,x , na~ed
In the last will of the above decedent, datcd _.A.llL\Ull_t;, ;>, ,______, 19...2.Q...,
and codlcll(s) daled . .____________.
(state relevant circumManccs, I':.g. renunciation. death of executor. elc.)
Oecendent was domiciled at death in Curnborlund CQ,lUlly, Pennsylvaola..wilh
his lasJfamllyorprIQcipaltcsJd~DE"at}lofJ[)J.(l,h VU..lago, :::>~o DogW'OOCl v!'lve,
-1'1(lcllnm~sbu!'~~~2?_ =::DIi?J:ler Allen 'TOWnship, ,
(llsl meet, number al\d munclpflllty)
Oecendent. then 85 years of age, dled_. April ~ ,1997
at Holy Spirit; I1osni.t.nl. C4!!l12 if:tll. P!\ 17.1.1. ,
Except as follows, decedeot 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: ___..___
Decendent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal properly
(If not domiciled In Pa.) Personal property in Pennsylvllnia
(If not domiciled in Pa.) Personal property in County
Value ot' real est ale in Pennsylvania
situated as follows: None
$_110,000.00
$
$
L
WHEREFORE. petltioner(s) respectfully request(s) the p'robate of the last will and codicll(s)
presented herewith and the grant of letters. ct' est mne n t ary
(testamentary; administration c.t.a.; admlnl3tratlon d,b,noc.l,a.)
theron.
~ ) , -~
J ~ --1---/",-.<<,)/1 L~~./
!'ii .4' Joan H. Lebo
'" @ ,~/124 Stute Rond
;j:ij (/ l:!..!lohaniosbur" , PA 17025-
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OA TO OF' PERSONAL REPRESENT A TIVE
COMMONWEALTH 01<' PENNSYLVANIA } ss
COUNTY OF CUlm:i:nU\ND .__
The petltioncr(s) above-named swear(s) 01' at't'irm(s) that the statements in the foregoing petition are
true and correct to the best of the knowledge and belief of petitloner(s) and thai as personal represen.
tallve(s) of the abovt decedent petitioner(s) will well and truly administer the estate according to law,
/ '
Sworn t.o or. Ill'. firm cd j\nd subscribed ~. '--":;::;''', ;' ,:t/& /)'/ L, '~('r
before A'e~~ii _L.16IH :~ '_ .
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CERT!FICATION OF NOTICE UNDER RULE 5.6/a)
Name of DeoedentlOUY U. ~IES~'jIAF'Jm
Date of Death: /;JJrll I), 1997
Will No. 1997-00340
Admin. No.
To the Registen
I certify that notice of beneficial interest required by
Ru le 5.6 (a) of the Orphans' Court 'Rules was served on or mailed to
the following beneficiaries of the above-captioned estate on
,April 21. 1997 I
Name Address
JOANMAnI:m LEBO, 12/4, state Hoad, HejOl19.n1osburg, 1'A 17055 1709l
i'JANDA l1Anm SHEIGIi SlIi!:APJ"ER, 1065 !1ountnin Vie\~ Hond, Shermans Dale, PAl
ALl'iIA DAlUm,S, 3215 Heiohert HOad, llarr1sUurg, i'A 17110
SARAH JONES, n. D. 1, Box 496, NeH Bloomfield, 1'A 17068
GUY and GENJ!:VA iIES'I.'IlAFlm-Q/o 11. '.L'1!JUlY \'IE~'l'JiJ\l"jJ;H, uenter Tire Oorpul'e.t1or
Box 901, Verona, VA 2ljlj.tJ2
HARLIN CULl', L\.91i South Glenn St., l1eclle.nl0s burg, i'iL 17055
ROY and NAOMI j"lYEI1S, 1111 McDaniel st., Sun City, FL 33573
.:mi:'EMILY WES'l'llAlcl!m SNYDEH, 509 l1adison Ave., I"ort Wash1ngton, i'A 1 '70jL~
Notice has now been given to all persons entitled thereto under
Rule 5.6 (a) except FnnA
iHmPAUL and JANE iVES'l'l1AF'En, 6
Datel~Eril 21, 1997
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Address !1arket Square Bldg.
Nechaniosburg, PA 17055
Telephone (717) 766-9673
capacityl______ Personal Representative
-2l-_ Counsel for personal
representative
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lOR OATIS Of nSATH AFTlR '~13119' CHICK HIRI
INHERITANCE TAX RETURN ~o~::ryug~Dllls CLA!MID [ J
RESIDENT DECEDENT ml NUMIIR 21-')7-()_3HJ
(OMMO"W''''"' '" "'m~nV^'''^ (TO BE FILED IN DUPLICATE '
Dff'AR1MfNT or IUVENUE
"^'A1,lrr:ld'ltt!b',0601 WITH REGISTER OF WILLS) COUNTY CODE 1 ')<)? YEAR 003!~I3'~UMBER
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m io.-c.)."iI,L,;..y.;tiJ{\,N.'.~.li~\L QIl,_YuU L./OAif.6'.OlAi" I"A,". "',"".'" Mool1aniorlbul'g, PA 17055
lil 19;>-_qI-1390~_u ._Jlj~;/97 I, /?(,/ll
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_ 9 [I ., L1mlled E,'o',
u ..
atl 6,
r'J 4(1. Futul''' Interesl COr11promhe
1'0' dol.. 01 d.olh ollor 12.12.021
Oecedllnl Died Tenlale LJ 7. Ollndenl Maintained a living Trutl
IA"nch copy 0' Willi IAlloch copy 01 T,u"1
--.---- "~L CORRI.'ONDlNCI AND CONflDINTlAL TAX INfORMATION .HOULD BI DIR.clTrI) tOI.!".. 'pI;'", ..I'm, ,',\;t.l '"
J,.... Nr'Mr'" -- [.OMPIW MAILING AOORf5~ -
!!II ' ._ .__u_;r..I}Q.1.!~_!'.1!._stn.llfroX'LJ\.tJY_,____ Ilal'ket tSQbuaI'e 131p~r,1' 701':'1':'
82 ""'''''''''IU'',,," Bochan, on Ul'g,,, :;>;>
_..___n___ =J;Z.l-7)=;z2~~,~lL==,c==~~===~,.=_~==~=,o _n._ ...,.., ...._._
(11___._ _...0 ,QQ_
(21 _____15il.,JWl_LQQ.
131 _...____--9....QQ....
I.I---.--!----~~.....QQ--
151 ______~~~_!.~__
161 -'--_____._____~ 00 .
I r 1 ______--'l....Q.Q.._
28 &'95,01
217.98
I. R,ol E,lol. (Sch,dul, A)
2, Slo'\. and Oond, ISch.dul, 01
3, CI.llly H,ld SlockIPo,'n,,,hlp Inlm,' (Sch.dul. q
4. Mortgage" and Nolet ReceJlvable ISchenule 01
5. Ca,h, Bank DepNlh & MllceUaneoul Perlonal Properly
(Sch,dul. EI
6, Jololly Owned Prop"'Y iSch.dul. fl
7, T,on,I." ISch,dul. G) ISchedul, LI
O. Tolol Groll A",,, 1'0101 Lln.. 1.71
9. Funeral EKpen..., Admlnltlrallve CO$It, Miscellaneous 191 _.___
Exp,,,,, ISch.dul, HI
10, D.bll, Mortgog, Llobllltl.., LI." ISch.dul, II
11. Tolol D,ducHo" 1'0'01 LIII.. 9 & 101
12, N.I Voluo 01 ellol. ILl no 0 mill"' Uno 111
13. Charllablo and Oovernmenlal 8equeth ISch,dule Jl
... N., Vol~, Sublecllo Tax ILlno 12 mln", L111. 131
1.\, Spo",ol T,o"'.,, Ilor dOl.' 0' doolh 01101 6.30,9'1
See Inllructlons for Applicable Percentage on Rever'e 115)
Sid.. (Includ, volu.. Irom Sch.dul, K 0' Sch,dul. M,)
16, Arnounl of I.ln. 14 taxabl. at 6% rale
{Include valueI from S.chedule K or Schedvle M.l
17. Amovo' of line 14 'axable at 15% rale
(Includ" valves from Schedule K or Schedule M.l
10. Principal lox duo (Add lox Irom Lln.. 15, 16 and 17.1
19. Crodill Spo,,"ol PO'O':y _C~.djl ~~' POO'O:"O ~'OCr; 00 _ InlerO~ 00
___'__'_ + _~,_J____. 0._.._.____, _____
20, If line 19 Is grffofer than Une 18, enter Ih" difference on line 20, This II Ihe OVERPAYMf:NT.
1i1l0
(Iwrlt lH'rt. ,f you (lfll "'qu~sIUlg (l rpfund of VO~II ovurpaVmenl
'I!~i~
z
3
!
..
z
~
~
.
fl
S
'''''''f'. , - . ,C\!ll1lJ9J'1~ng___..._
_ ,__ A~()UII1'''''VID_II~' IN\I~~C1l0N'1
[I 3, R.molnder R,'u,n
,- 1'0' dol.. 01 d.olh prlo, 1012.13.021
rl 5. Federal EdDie Tolt Return Required
-18. Totnl Number of Safe Deposll 80.lles
10)
19.6,6Q..~L_
1101.___.
28,912.99
16'(, 691. 32 on
. ~.._-_...__.
0.00
1~7, 691 :-32-
0.00
0.00
----------.
25!153~70_
(111
1121
1131
11')
0,00
)(,-"
0.00
1161____
167 691. 32 ~
1171 ____.._______L'________." ,15
1101____. 22.,15101_2_
119) _____~,900.00 _
120) _______ 0, O_Q,
" .06 .
21. If Une Hili grealer th(ln line lQ, enler the difference on line 21. This l'lhe TAX DUE. (211
A. Enler the Inlerett on Ihe bal(1n(e due on line 21A. 121A)
e. Enter the tOlol of line 21 and 21A on line 21B. ThIs i, Ihe BALANCE DUE. (218)
__.. _. _...__ __~.~~.!.~~~.~kJ'~va~.!!_~c:' ~._~~_~~~!~~!_.~!~I~!_~~_!_ ~.~._ ... _.._._~. .__. .. _.. .__... _ .___.___..,_.__~. .__.___._._
____ _.._..."jL~~~7!2_
-".-, .~ --"---b-~l':Q~ OB-
_ ,_______......!?:2.)~.l..
Ill.;,~,;'e;j\>"---,.. ~ BI '!JR! TC?~)~~R_~LL _9~~~TI!,lj;j!..C>.,~ RE~_ll!l.SIDE !oND T<:l._RECH!CK M~TH ~ ~ __
Under penalllo, 01 per!ury, I dfldorlt Ihal I hovo exominnd lhi, relurn, including C1ccornpony!ng "hodulf" Cllld Itotemsnl" and 10 the bll,1 of my knowledge ond belIef,
Ill, IrUL"J, correct and cornplete, I der.lorfl Ihol all fonl e,tolft hot boen rtlporlod ot Irve mCHket valva. Declar(ltion 01 preparer olher than Ihe porlonal represenlative i,
hourd on olllnformC1tion of which preparer hClS Clny knowlodge.
L:~ro,-piR$ON ilf.~j1oN~liii.~ f~iif}Lit~{i HIljRti _n_.... AOI)ilE~~ -..1211.---- Stu{ o.-I{ and-. . .------------.----- ...".___M___~m__ jjrff---~...---:=-..~~._:..-----
,(AlUi' '~;:~~~l'~:e- \.::"":\,;J~~i~;~~~~~~~t)4~("i~~;~- __om ~:~<~~;:;~--
//f
. .
~,.' 'Jtc,t, t SCHEDULE E l
'I;)~ CASH, BANK DEPOSITS AND
COMMt\1NWlAllH O~CfNN.\iWANIA MISCELLANEOUS
I 'lfmm?Jm~/~,R ~ERSONAL PR~PERT~ . __,.= Ploa.. Print or Txpe '
hTATE OF - FILE NUMBER 21-97-03!~13
_ ...____._gU:LU._ H~~'rllA!I'Jj:!L.___.____ .._ ,,_ . ____m____..__~____1(l21-0034.0_
L~I~p'o~,lv loln~:~~~~~l'h ~~18~ af sU,,,~!~!~lp ~~~!~~~.~!.~!!~.!~_ ~~~~~.~<I_!!L _.._.,__ ~_~____ ~____._____
UV1'OftHtI2,11I
ITEM
NUMBER
1.
2.
3.
4.
$.
6.
7.
8.
9.
10.
11.
DESCRIPTION
PNO BANK, N. A., Oheoking Aooount No. $0-1008-6711.
U. S. ourrenoy looated tn dooedent's Safe Deposit
Box at PHO Bank, N. A., Meohaniosburg offioe.
Brioker's Auotion, 93 Texaoo Road, Meohaniosburg,
Pa., net prooeeds from salo of ft~nishings.
1993 Cadillao sedan automobile, sold to one,
Elmer W. Blumanstook. SaJ.e prioe.
John T. Miohalski, ptu'ohase of misoellaneo~s
ooins looated in deoedent's Safe Deposit Box
at PNC Banle, N. A., Meohaniosburg Offioe.
Eugene Deimler, purohase of misoellaneous jewelry
looated in deoedent's Safe Deposit Box,at PNO
Bank, N. A., Mechaniosburg offioe.
!lutter Agenoy, Ino., 1+1 VI. Main St., Neohaniosb1.lr I
Pa., Household fU1'nishings insuranoe premium
refund.
Penn National Insuranoe Co., refund on automobile
insuranoe premium.
Bell Atlantio, l'e,i'tmd.
Pa Blue Shield, medioal expense reimbursement.
Messiah Village, refund of unamortized portion
of aoquisition oost of residential oottage at
$26 Dogwood Drive, Meohaniosburg, Pat '
TOTAL ~llo enter on line 5, Recapllvlotlon) $
(Alloch addlllonaI8Y1" )( \1" .heell If more .pace II needed.)
VALUE AT
bATE OF DEATH
$ 6,109.21
137.00
1,880.00
14,$00.00
70.00
61.00
29.00
289.00
,.90
17$.20
17,000.00
4.0" a,6.,31
. .
..A." J SCHEDUI.E H
~ MFIUNNISETRRAAl,VEXEPCENSES,
COMMONWEAl1I' or 'ENNSVlVANIA AD T OSTS AND
INIlERlfANCf ,....X RETURN MISCEllANEOUS EXPENSES
RESIDENt Dfe!DfN' _ ._ _ _ _ ._ ___.._ PI.a.. Print or ..!t~.
ESTATEOF - ---1'"1 NUMIER 21-97-03i~O
_..___ _______ ~_~~_~~_..~~~STllAfo'J~1..___ __ _ ~_.. d _~_L_ ___ 19'tl.::903!~8
ITEM
NUMBER DESCRIPTION AMOUNT
_..__._.~~__ ...__.___._________.__...._.._..... _~_,. ........'".._.___.___._...___________.._...~.._.__.~__.R_
A. Fun.ral hp.nl~"
IUVI~11 fW~ lIU]
:1
B.
4.
C.
1.
2.
3.
4.
5.
6.
7,
0,
1.
Malpezzi FunerEll HOlne, Hoohanioaburg, Pennsylvania,
funeral expensos. $ 8,,41.00
2.
Rioe l1emorial ~Iorks, insoription to tombs tone.
1.
Admlnlltratlv. COlt..
Per.onal Repre.enlollve Commission. Joan H. Lebo" Exeoutrix.
Social Security Number 01 Personal Repre.entollve, 161 -. 32 - ~7..2lL.
Vear Commission. paid _.199B
2,
Attorney Fee. J. Robert Stauffer, Esq., Attorney's Fee.
3.
Famlly"empllon - N/A (None)
Claimant _
Address 01 Claimant 01 deceden". death
Slree' Address
Relo'lon.hlp
City
State
Zip Code
Probate Fee. Rtlgiater of: Wills of: Cumberland Oounty,
Pennsylvania, LetterS Testronentary.
Mlle.llan.oul Expon....
Oheok issued 3/21/97 to GrElce United l1ethodist Chure
and outstanding on 4/,/97 (Date of death).
Oheok issued 3/12/97 to Marlin Yohn, Tax Colleotor
and outstanding on !~/997 < Date 01' death).
Check issued 4./2/97 to SRW Cable 'rv and outstanding
on 4/997 (Date of doath).
Check issued 4/2/97 to the Internal Revenue Servioe
and outstanding on 4/5/97 (Date of death).
PNC Bank, N. A., Priority $0 Plus Ohecking Acoount
for April dues, deducted from Acoount on 4/7/97.
Cumberland Lal~ Journal, Estate Notioe.
Messiah Village, Maroh 1997 Oottage rent.
Bell Atlantic Visa Card aooount.
TOTAL lAlla enler on line 9, Recopllulollon)
(If more Ipae. I. n..d.d, Inl.,t additional ,h.... of lam. Ii...)
, l,
6,).00
9,000.00
9,000.00
267.00
1,.00
9.80
1$.30
,00.00
2.00
60.00
368.00
101.29
S Carri ed Forwarl
PAGE - I
I'
!lV1I1I'" I"" * SCHEDULE I l
COMMOII,""'"' or """""""A DEBTS OF DECEDENT,
''''~:::~~~,i'D':C;::~:'" MORTGAGE LIABILITIES AND LIENS I'I.a.. Print or T .
ESTATEOii'-"'- .- -'~~~--'---~-'''~'~='.=-==rrnitruM81R 21-9i';:!6jll((
_,___....___.~~:.: Y~,....~.~~'l:If!l!ry~.., _ _ _..___..J.._______.___~99..1-0Q34.lL
ITEM
NUMBER
DESCRIPTION
AMOUNT
I. Innero-Davis Asooolatos, pr'ofess!onal llledloal
servioes. $ 46.88
2. Innera-Dnvis ABBooiates, pl.'ofesslonal merUoal
servioes, final bill. 56.76
3. Oentral Pennsylvania Hematology and Medioal Onoology
Assooiateo. , professional servioes. 112.00
4. Oowley Medioal Assooiates, professional servioes. 2.34
TOTAL (Also enler on line 10, Rocopllulollonl
$
217.98
----.----...-
(If more spar.e /s needed, Inserl addlflonal ~hee" 01 .ame Jill,}
COMMONWEALTH Of PENNSYLVANIA
COUNTY OF CUM.ERLAND
I.
J
..1
,Toan H. r,obo
.--...- ~_.~..._---~...._.._.,._,~.__.._~------ '~------~_..-_..-.--.-.....-- -. .."
b.lng duly ...._..__,_._Il_'Lo.!:n.. __ _n.' .ccordlng Ic I.w. d.polOl and ny. Ih.fIl hi ......J..a...Ji.h!t...E.lr.o..\n!.1i.rl~.___
______........_____ ,_......_____..... of the E,t.t. of... Guy U. ~le8tha.r.!!!....___.____.
1.1. 01 'n.. _ UpPElr Allen '1'0l1l1sh1p. .._.._..___.__.___, Cumb.rl.nd County. P.., d.e....d end th.t the
within Is an Inv.nlory mad. by ...J9.!t,n.l1,!. _J;.~_~o..._~...__~_._,___,,_.,,_.__, the laid Ex,::~~ri~_h'__
01 tho onllr. .,talo 01 ..Id decod.nl, conllsllng of alllh. personal prop'orly .nd r..1 ..lat.. ..c.pl r..1 ..t.t. ouhld.
tho Commonw..lth 01 Ponnlylvanl., .nd th.t Ih. flgur., oppollte each Ilem of the Inv.ntory repr.,.ntlt', folr v.lu.
., 01 tho dot. of decodont', d..th.
SHorn
end ,ub,crlbod before me,
"")
~-
(/ -, ;rY.; '-..-- " /
Ie",", ,/ f' .. ~_:~/=--!:'___________..
c./ Ew.,.tor . ll.dti!WlHItal
124 State noe.d
~M..burp;, PA 17055.___
November
,;5-- 1"t)'1
YLL-_
Add....
Oat. of O..th
April
Month
1997
v..,
INSTRUCTIONS
I. An Inv.ntory mUlt b. flied wllhln thr.. mcnlh, aft.r appolntmonl of perlon.' r.pr...ntatlv..
2. A lupplem.nt Inv.ntory mUlt b. fll.d within thirty d.y. of dllcovory of .ddlllonal .......
3. Addlllonal ,h..h may b. at"ched .. to personalty or r..lty
4. S.. Article IV. Fiduciaries Act of 1949.
Xl
<II
~ 1
~ ~ E-l
~ w ~ g s;1 ~ '"
ell . ell
~ .~ ~ Q f ~" r
i!: .... ..J LL <ol .,; .... ~
l5 ..J ~ 0 II. i1l ~
W '" +>
~ ~ eX E-l ell i: rt.l
~ Q ~ PI "
PI " +>
- 8
0 ffi ?i p ... H
Z OJ
.... . -0 .g
~ "
IV
... -c ~
~ 0 "
..a 11 .... .
" E
t? .. g 1-:1
I IV " it
-' 0 ...
/1) I /,:~> 1'1
COMMONWEALTH OF PfNNSVLVANIA
DEPARTMENT OF REVENUE
aUREAU OF INDIVIDUAL TAWES
INH[RIUHct TAl( DIVISION
Df.lIT, 2110601
tlARRlSlURO, PA 111P..~0601
NOTICE Of INHERITANCE TAM
APPRAISENENT, AllOWANCE OR DISALLOWANCE
Of OEDUCTIONS AND ASSESSNENT Of TAM
03-02"98
WESHIAFER
04-05-97
21 97-0348
CUMBERLAND
101
[---.-' A.o':'nrii.~-In.d'-"-"I
.':."'-_,'=T=:.;:O;==~.'=",==",,,,__,.__,,,,
--~.~~--.._.-
MAKE CHECK PAVABLE AND REMIT PAVMENT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG TMIS LINE .... RETAIN LOWER PORTION FOR YOUR RECORDS .....
iiE"v: iS47 - EX - AFP - ((iF 97"i- NoYic E - -oF -i"tiHER iT ANC E - '"fAit - AP' PRA-i SEHENT -; -Ai: UiWAiicE - DR'- - - -- -'-. - - - - - - - -
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
GUV U FILE NO. 21 97-0348 ACN 101
DATE
ESTATE OF
DA TE OF DEA TH
FILE NUMBER
COUNTY
ACN
J ROBERT STAUFFER ArTY
MARKET SQUARE BLDG
MECHANICSBURG PA 17055
ESTATE OF WESTHAFER
TAX RETURN WAS I C X) ACCEPTED AS FILED
,
RESERVATION CONCERNING FUTURE INTEREST - SEE R VERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL R TURN
1, R..I e.t.t. (Sch.dul. Al
2. stock. .nd Bonds (Sch.dule 8)
5, Clo..ly Held stock/p.dnlt,.hip tnhr..t (Sch.duh C
4. Hortg,gl./Not.. ReoAiv8ble (Schedull DJ
S. C..h/Bank D,pollts/Hisc. P.r'Dn~l Property (Schedu ~ EJ
6. Jointly Owned Proporty (Schedule f)
7. Trln.fers (Schedule OJ
a. Tn"1 A...h
I ] CHANGED
.00
156,348.00
,00
,00
40,256,31
, Q!!..
.00
(1)
(2)
(5)
C4J
IS)
(6)
(7)-
CSJ
APPROVED DEDUCTIONS AND EXEMPTIONS I
9. Funerll Expenselll/Ad,". Co.h/Hhr:. Expen... ISohedule HJ
10. Ollbt./Hodflll"e Liabilitie./Lien. ISell.dule II
11. Tot.l Deductions
12. Nat Vllu. of Tax Return
15. Charitabll/Gov.rnM.nt.l SequI.t.; Nonwlllcted 9115 Trult. (Schedull JJ
14. Nit ValUI of e.t.te Subject to Tlx
If an assessmant was iSRued previouI1Y, lines 14, 15 and/or 16, 17 and 18
reflect figures that include the total of Abl raturnl Blle.sed to date.
ASSESSMENT OF TAXI
1S. AMount of lin. 14 at Spousal ret. (15)
16. A.ount of line 14 tax.ble .t Lineal/Cla.. A r.t. (16)
11. Allount of Una 14 tex.ble .t CoU.teral/ClI.. Brat. (17)
18. Pt'inciplll Tlx DUI
NOTE I
TAX CREDITS I
PAYMENT
DATE
06-26':97
11-05-97
RECEIPT
NUMBER
AA211466
AA242435
DISCOUNT I')
INTEREST/PEN PAID C-J
947.3
.00
28,695.01
217 ,98
(11)
(12)
(15)
114J
19)
(10)
.OOX,OO,
,00 X .06,
167,691.32 x, 15,
(18)
AMOUNT PA1,D
18,000.00
6,253.70
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
*'
IHlhl" '" lot t/l
GUY
U
DATE
03-02-98
NOTE I To insure prop.r
crldit to your lecount,
,ub.it the upper portion
of thll foro with your
tex p.~".nt.
196,604,31
~8.912 qq
167,691.32
,00
167,691.32
will
,00
.00
25,153.70
25,153.70
25,201.07
47,37CR
.00
47.37CR
. IF PAID AFTER DATE INDICATED, S~E REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
If TOTAL DUE IS lESS THAN '1, NO PAYMENT IS REQUIRED,
If TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU nAV BE DUE
A REFUND, SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
..F ",., ~,. ."'" r'-'
'"
t;#,i
hi
Ctri
(',1
I
C\;:':
~
[,'j
p\
,..;
_: :~
u(.)
RESERVATION I f..tate. of d.oadent. dying on or be fora D.c.~ber 12, 1982 1_ if anY futurl tnterl.t in thl .,tatl 1. tran,flrred
In po.....lon or anjov~.nt to CIa.. I (collateral) b.neflol~rl'B of the dlcedlnt aftar thl ,~plr.tlon of InV I.tat. for
lif. or for Ylar., the Co.aonw~alth h8rlbY Iwprelllv r...rvI' thl rIght to appral.e and ....., tran.flr Inherit.nct Tax"
at the lawful CIa" B (col1atlral) rate on any .uch future tntlrl.t.
pURPOSE OF
HOTICEI To fulfill the r.qulr...ntt of S.otlon 2140 cf the Inhlritanfl' and E,tllh Tal( Act, Act 2\ Ilf 1995. (72 P.S.
SectSon 9140).
PAVHEMTI Dltach the top p<,rtlon IJf thh Hotlc. and .ubalt with your pl!lYlant to the Raghhr of UUlI prlnhd on the rayer.' .leN.
-~Hak~ check or 1I0no~ ordlr JUlyabll to: REOISTER Of MILLS, AGENT
REFUND {CR)1 A refund of a tel( credit, Which waf not requutwd or, thQ Tal( Return, 1l5Y bl rllquutad by oOIPlet1ni I!In "Application
for Refund of Penn.ylvanl. Inheritancl and l::.tatlll Trl)(" (REV"UB). Appllcation. ar. ave)labh .t thl QfOfll
of the R.gittlr of ,HU" any of thl 23 Rlvlnul Olstrlot Offlcu, Of' by calling thl 'Plcial 24~hdur
an.w.rlng ..rvlca nu.blrli for for" urdllrinol In Pllnnsylvllnla 1-800-362-20SG, outside Plnn.ylVania and
within 10cllll Harrhburg IIru (7171 787"8094, TODII (717) 772-22!;2 (H~lIlrIng bpalrld Only).
OBJECTIONS: Any parh' In lntlrast not lUltl.fild with tho l!lppralsallent, llllowanca or dhllllowallca of deductions, or ....n..nt
of tal< (Jncludlny disoount or inter..\) III shown on this Hoth:. Ilust o~j.(lt w1thll'1 .ll(ty (60) day. of rao.ipt of
thlc Notice bYI
-.wrlttan protllt to tha PA Olpartlllmt of Ravtm\lo, 80ard of AppulG, I).pt, 281021, Hflrrltblll'lJ, PA 17128-1021, OR
~~llActif.\n to have the uthr dlter.lned "t audit of ~ha account of thl plI'sonal rlprellGlntaUvlI, OR
ua~palll to thfl Ilrph-'.Uls' Court.
AOMIN
ISlRATIYE
COImECTIONS:
Faotual error. discoverld on this ass;lllllllltnt should bel addrlllld In writing tOI PI. Oflpartl.nt of Ravanue,
bureau of Individual 181(11I. AnN: po.t AUIISSDl.nt RllVlRW Unit, Dopt. 280601, Harrisburg, PA 17128"0601
Phona ('i'17) 787-uSGS. Sa. pBg' 5 of thl booklot "Instruct II,"' fOl' Inhal'lhncG TIl)( flaturn for & Ruidant
o.oldarjt" (REV"150!) fOl' on Ixplanatlan of adIlJnhtr8t11ol.IY corrlctable error.,
If any bl( dUll h paid within thraG (3) cshndar 1I0nth' "Her the daeldllnt'" daath. l!l flvI p.rclnt (5.0 dhcDunt of
thl hili pl!lld is allowod.
Tha ISI: ta~ ~.n..ty nowPl!lrt1c1patlon penalty I. co.put.d on the total of thll ta~ l!lrtd Intor'lit aUlu.d, and not
peid bafor. JanuBry 11\, 1996, tha first day aftlr tha Ind of tho tAX a.nut\' period. Thh non~p8rtldp8t1on
panalty i. 8rpfl81ahle In thl n.1 unflar find In .ha thl sa.1lI tl.e periOd 8' ~ou would applak tha tal< find In'terut
that h8s been 8......d ftl lndlc.ted on thl. noticl.
Intare.t .Is charged beginning with flr.t dt'iY of dlllnquency, or nln9 (9) llonths "nd onl (1) dsy fro. thl dote of
dneth, to tho d~tll of pa~~~nt, Tax.~ which bacsll. d.llnquant bafora Januury I, l~&l baar Inter.,t at the rate of
111( (6%) per cant per annuli calculated at a dalh rl!ltl/l of .00016(1. All tr!)(U which btlca.e d,llnquent orl and,aftar
.lanu.ry I, 1982 will bal'lr Intarnt at a rato which will Vl!lry frtlll o81andar yur to (,ltlandar y..r with thst rat.
.mouncld by the PA nlpart..nt of R.vlnul. Thl appllcabll Interut ratlill for 1982 tnrol.lgh 199ft 8r~1
'!!!! InterClst Rate nedl'J Intcaralt Facto!; ~ Inhra.t Rate !!!!..!:L Interut Faotor
1981 20% ,000548 191\7 9% ,000241
1983 16X .000438 1988"1991 111: ,000301
19&4 11% ,000301 1992 9% .00GZ47
1985 131: .000356 1993"1')94 7% .00019?
1986 10:1. ,000274 1995"1998 9% ,1}00247
~-Intlr..t .is calcuhtld .. followll
DISCOUNT I
PENALTV:
INTERESTl
INTEREB'r = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTDR
~~Af\'f Hotlo. issued afttlf the tal< bacOIllII dlllrlquant will rlfl.ct an Interut otllculatlon to flft'ln US) day.
beyond the datI of thl ~""S.lt,t. If p"Yllant is lIado aftlr the Intlr..t cOMPutation datI 5hown on the
Notlca, addltlon"l Intlrllt .uat be elllculatad.
IN 'rim ooml'l' (lIP (J()111'I()N I'LlnAS QlP OUI1I3J11U.IAUD aOUl~'.rY, PENNSYlNANJ.A.
HO.97M003hO on.I'HANl3t aOUIl'l' DIVISION.
,
nRS'.l' AND li'INAL AOOOUN'l' OIP JOAN H. unBO. EXlnUUTHIX OF 'l'Hln LAST IHtI,
AND 'l'JUSTANIJJN'l' (n;' GUY U. V1liJS'rllAli'EIl I I,A'l'ru OIl' 'J'H.m TO\~NSH:rP 011' UI'PillH
ALLnal. (JOUlfl"~..9)~q_Ill:4lli1ltl~AlP...Lili.!lJJ'JIA'l'E OJC PJ1:NH sYLVAIU A , DEOJl:ASEJ,2.
Date of Deathl April $, 1997.
Dates of Advertisement of r,otters 'J'estnmentar'y:
In the Oumberlo.nd Lo.w J ourno.l: Hay 9, 16 ond 23, 1997.
In The Sentinel: May 3, 10 and 17, 1997.
PHINOI PAr, AOOOUNT
Debits
Aooountant.oharges herself' 10ri tll the following prinoipal
assets and reoeipts of' deoedent's estate, oonsisting
enti~oly of personalty, as follows, to wit)
1997
t~/5
11./5
V5
4./20
1~/30
5/1
5/9
5/9
5/9
5/9
911~
5/15
5/15
5/28
Series I~E U. S. Savings Bonds issued from December
27, 1900 through OotOb01' 29, 1996. $
U. S. currency located in deoedent's Safe Deposit
Bo;c in tho lleohaniosburg Offioe of mo Bank, NA.
1'110 Bank, NA~ prooeeds of ohocking acoount
No. $OM700uM6711.
Bricker's Auction Ilouse, net p1'ooeeds from. sale
of deoedent' s porsonal f\\l'nishings.
Elmo l' H. nl1.llnn.nntocl~, proceocls from sale of
decedent's 1993 Oudl11ao sedan automobile.
AmerIoan Legion Post 109, Death benefit.
Nat:l.onal Insurnnco Oompnny of Vermont, prooeeds
of Life Insuranoo Policy.
~rho Patl'iot-HeHS 00., oubocription refund.
Eugene De:l.mler, ppooeeds from Dale of deoedent's
misoellaneous Itoms of' personal jeHelry.
John T. Miohaloki, prooeods from purohase of
miscellaneous coins looated in Safe Deposit Box.
Huttor AGency, Inc., l'ofund of unearned premium
on policy insur:l.ng hOUDOhold furnishings.
National Servioe Life Insuranoe, Life Insuranoe
Policy prooeeds.
Oounty of OUlnberl/lnd, Vetoran 1 B De ath benefit.
Penn 11(1 t.ionn.l lnouranoe Ooml'Elny, refund of
unearned premium on automobllo insurance.
-1-
156, 31~8. 00
137.00
6,109.21
1,880.00
14,500,00
200.00
4,16ll..42
43.60
61.00
70.00
29.00
3, 2!)1. 60
100.00
289.00
IIWOlllTIJ\(JOOUWl'
Dob1ta
12.2.7.
l~/22 PNOB~n)c, HA,:l.ni:.orMJt on Cheolting Aooount
5/20 No. 5070000711. $ 3.16
PliO Bank, NA6 :lnt0l:'00t on Chool\:1. ng Aooount
6/19 No. 507000 71.1. 156.65
rNC Banlt, !lA, 1ntor00t on Ohooklng Aooount
110. 5000061909. 23ll..35
7/22 rNO Bank, NA, 1ntores\; on Chooking Aooount
Ho. ;;000061909. 70.66
0/20 PIW 13anlt, !lA, :l.nto1'oot on Chock:lng Aooount
No. 5000061909. l~2 .l~l
9/17 PNO Bank, NA, int61'6st on Ohocking Aooount
No. 5000061909. 52.79
10/22 FNO Bank, !lA, intoroot on Cheoking Aooount
No. 5000061909. 77.10
11/19 PNO BanI:, NA, 1nt61'oot on Ohooking Aocount
No. 5000061909. 52.21
12/17 PliO Bank, NA, intor6st on Choolclng Aocount
1998 No. 50000619[J9. 43.85
1/21 PNd Danle, NA, :l.nt01'ost on Chook:lng Aocount
No. 5000[\619[19. 48.02
2/J.9 ,PNO Danlt, 11A, i nt01'OS t on Cheoklng Aocount
No. 50oo(J61909. 3'7.88
3/20 PHO Bank, HA, intorost on Oheoking Aooount
No. 5000861989. 35.89
.3/29 PNO Bank, NA, Interest on Oert1.t'ioate of
Deposit from 6/24/97 to 3/29/98. 5,274.32
3/30 .1'NO Bank, NA, final interost ps.rc;6nt on
Ohoolclng Aooount No. 500086199. 5.64
Gnoss INOOl'1E. . . 0 . . . . i . . . . . ,I . ~ . . . . . . . . . . . . . . . . . . . It i . . . .$ 6.148.6~
MI,M