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III':'I'ITION IIOI( '-I{(HlATE lInll (;RANT OJI LETTERS
",I/it/I' q! ClIl/te,L C:S T.. 7~(t:V No ?I - 91 - 1(11
(/1.10 kllll"''' CIs 10:
Regisll'l or Wilh rOllhl'
_.." , /)"(,I'(I,II'd, COllllty or CI/A1,1.e-&/IA'iJllthe
SodClI S"('/I/'Ity No, ;z..~ 1- d~" 7),~ k. Cl1l1l11l01llWllllh 01 1'1'llllsylvllllill
Tlw pelilioll of Ih,' 101lll'rsi~lled resl'l'ell'lIl1y lepresellls Ihlll:
YOlll' Iwtitiollel(s), 11'11<> is/are I H yellls or 1l~1' ololdolalllhe e,lel'lIl 0 ((... . ~., _' 1l11l1led
illlhe IllSI will or Ihe aho,e demlelll, dated z-/lak' ,.'/j},.r~ _. ''_._,.. ~_, 1'1,,____
llflt! 'F,I/,'illlt:l ,1"Itd-
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{,Wli' rl'll'\Ullt drClllll\lalll'l'<', i'.,.!. rl'l1l1lldUlltlll, di'illh of ('\Cl.'lIhH, ell'.)
J)eeelllll'lll "'liS d~'lllil'iled III dealh ill., ,CtI.,t11p.t:,K..?AA/ D_n Cnt~llY, PennSYI,~ ~~
hlS. _u Illsl 1!l!J1UY 01 plllWIJ,alleS\llellee III -/hLy._s.e;.lt.ITj)",fLi.M.L.,-C'. I~
___.00''''___''---'''#---- .__;___...._.,_____ ____ _..._.__... _._...___._,._. .__..___..__.__...____~....____.________.__
(11~1 ..trn'1. 1I11lllhi't and llllllh:ipalil~')
ot ~)"f)'~?I.tls.ej~jr;~'/'~~~(~Cd~f,-2-1+~ft~--, I'IE__~:
l'xl'('l'lllS{'1I0Il'S, deel'delll did 1l0tl1larry, lI'as{lOll,livoreed and did n(ftit;~~ehlld born or adopled
~:':'~11;1~1~~~'~:::~'11 .~~I~':~'il'~:I~I~'rohal~~I"~n~~I-ll~~I~lin~(\I~~~I~~- an~_~as never adjudicated
l>eeend('1l1 at death owned property wllh eSlilllllled values as fol'ows:
(1l'dol1lieiled in I'll,) AI' personal property ,~$$_._~..s;<'J(J~. -
(If nol dOl1liciled in I'll,) Personal propeny in I'ellnsylvania ~ ~
(1111(\( dOllliciled ill 1'1\.) Persollal property in County
Vahll' ur rl'nl..'sl:IIC ill Pcnnsvlvania
~~,~.~I:H~d..i.I.~ _~o.~~~~~'s: ~==.:..-.~_._~~~,~=_-_If/ll=~=~== ' ~_~__.+
WHEREI'ORI', pelillonens) respeetl'ully re'!}lesl(S) iJle probate of the last will aDd codicil(s)
plesc'llIed herewilh and Ihe granlol' lellers__~Llf.sY-/l~~)er
I ~mlt1ljl1i~lnlliotl c,t.I,:,(Hlmlnl~lrJ\llon d.b.n.c.l,n.)
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OAnl Oil PERSONAl.. REPRESENTATIVE
('OMMONWEAI.T11 OF I'ENNSYI.V ANIA I ,.
COliNTY 0.... ._ c:~~~~B.b~.~._..____ J :;:;
The peliliollerlS) "hOll'.llal11ed SII'l'ans) or allill11(s) Ihallhe sllIlel1lelllS illlhe foregoiog petition arc
Intl' (llltl 1..'{llTl'(1 [0 IIll' hl'\l nltht, ~llO\\kdgl~ and ht..'lit:r of pl.'litioncr(s) and thut us personal reprcsen~
IlIlil'I'I'" td' Ih,' IIho\1' dec'l'lklll l'eliliol1er(s) lI'ill 1I'I'II1111d Irlll\' IIdmil1isler Ihe eSUIIO according to law,
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Swnlll IiI or allirnll'd und slIhsL'nbl'd I ?~~~A - ~
I.'e1'0 ,\' II'" IliiS.." ..2-.. ifl dll~ or '. FtC~_~CLL ,)'-.e;,c.~.- ~
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IJETlTlON HlR IJIU>IIATE and GRANT ()I<' LETTERS
1::'1(/(1' qj e),.9r!e:. ,;t; )~'I( /; No. o<l-qrl-lj8'l.
1/1.\'11 kllflll'lI 11.1 _ 1'0;
Ilegister of Will, for II~ ~
. (l('('('II,W't!. ('Ollllly of t!v?III(.:r._il..IJ!<..___. in Ihe
So('/al '\("'11/'11.1' Nil, ,.;t~) 1.- C',j;'. ?..",,,)~.. ('onlll1ollweallh of Pennsylvania
The petilloll of Ih~' IInller,i~llecl n"peelfllll~' repre,elll' Ihlll:
YOlllllClilioner{", who h/llr,' IS yellr' of ll~(' or olcler allIIH: excell19C. .__ .._____.__~ named
In Ihe Ill'l 11'11101' Ill<' IIho\'<' dee,'denl. daled .,;; @ V".../7.~ _. ___.__.:'c....-,,_._. 19__,
rn' v'II.lF-:~..I~li .. ---.IV/4-..,- ,:~_.=:'=-:...~"::".=':::===~_---
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(~lnll' rcll'I'lIHIl'irl'IIIl1';tlllll'l'<', l'.g. rl'l1I1fll'!Urlllfl. dealh of l'\cctHnr, ole,)
lleeendelll\\'II' domiciled III dealh hi .COll11oe,r:p.ff..i..: "i-'l}'".,t:OI~I~PtEllSYIVanl~'$" ,
h.!.L"n IlIsl lamlly or pnnelplll reSldenec III. hi", 'f..._S"p;>..l..'-'- .tr.f'Jr:..' f..6 ;6~p----!.::L,I &/(11""';'
__-r'dL,_..._ .._.___, ..."., ___,.___... .,,_ ''--'~''_'__'''__._'_'_''_'.___''__~__..._
(Ii\! \Il'l'l'l, 1I111l1hl'r nnd nllHldpillll~')
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llee,ndclIl, Ihen ..._~':'_tlyell1" oj ltg,. die..Q_____" --!f'T,'$21..rc.!L..------.. 19...fZ_,
nt .-/fa/" .. 2P.l.):it_._..N"-~#2r:"iJ/.I.''.?lm/?_..IYc.!t.'-I.7?il.---.------.
bwpll.:s rolrnw"dee('delll dllf nnllllarry, IVa', IWI (,livoreed and did 1101 have a child born or adopled
~:'~~;'~I~~~~:::~n~~I~~~_\\.~I:~er~2.l~.b~e;..:.a~I~~.I:,:~_l~l~~~I~~g and WM never adjUdieale~
l)ec('I1<\(onl al dealh owned properly wilh esllmaled vlllue, as follow,: '00 ;1..".
(If domiciled in Pa.) . All pcrsonltlpropeny $~_ (). 00 ~
(If nol domiciled in Pn.) I'ersonalpropcny in I'enn'ylvania $__ ~ _
(II nnl domiciled in I'a.) Personal propcny in Counly $-'----_.
V~\hl(' Ill' t'l'Ull'''ilall' ill Pl'nnsylvnnin $_ __
~~I_\.l~l_~~:d...l_~~ .~~l~I_I~~:'~~~~~~=~=~~_~=.~~=-==~~~~_~~____,___
WIIEIlLH)IlE, pClilloner(" respeelfully reqllest(s) lite plQhale .01' i1J,C last will and codlcll(s)
presenled Iterewilh and the grnnl or lellcrs._.___.. ., i::eJ'z..&?tZl/f"IVt:Jor~
' \'\11l1llCnlllry ndmil1i<.trlllloll C,LII.; dminlstratlon d,h.noe,l.n,)
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEAI.TII OF I'ENNS\'LV ANIA }:O;8
eOl; Nn OF CUMBERL6~1J.._ .._ .___Hm_._. .
Till' Iwtitiol1l'rt"'l i1hm'\"'.nallled ...wear(."" or nffirll1(\J thaI the Slalt.'IlWIlIS in the forcgoingpetHlon are
lnll.' illlll '.:OrlCl'l [01111..' 111..'\1 (11 till' ~IHl\\k'dgl' and hdid of pl'litinncr(s) und Ihut us Jlersonal reprcscn-
lil\i\'cl'-) ulll1e ah(l\'l' dlll..'\.'.11l'1l1 Pl'litiol1l'I'(\) will Wl'lll:~Il'.II..lIY. Ildllli~liS.I.L'~_th('e.stat, ~'c()rdlng tq law,
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WILL 01" OHflHLJi:8 I. YElOH
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BE IT REMJ~MBERED that I, Chllrll3s I. Yeioh, of Wayne Township, Bohu-y'l-
kill County, pennsylvania, do make, publish and deolare this as llnd for
my last will and testame.t, in manner and form following, that is to 8aYI
1. I 01'0131' Dnd direot my herel.naftor named exeoutrix to PllY all my
just dobts and funerlll expensos 110 soon as r,onveniently may be Ilfter my
deoease.
2. I give, devise alii bequellth all my pl'oper\;y, (If whatever nature or
k1nd Ilnd wherever situate, to my wHe, stella M. Yeioh, and I do oonsti-
tute and appoint the said stella M. Yeioh to be the exeoutrix of this my
last will and testament.
3. But if the said stella M. Yeich does not survive me, or if she dies
w1thout having probated this will, then Pllrllgraph "2" llbove shall be null
and void, and 1nstead thereof, I do constitute and appoint my son, Francis
E. Yeioh to be the exeoutor of this, my lllst will Ilnd testament, and I
that he pay Illl the just debts and funeral expenses of myself and the said
Stella M. Yeich remaining uniaid, and then divide whatever rema1ns in
equal sharI. among all ou:tl children, namelYI F'raJ'Jois E. Yeioh, Hllrry W.
Ye10h, Arlene M. Febilln and Est;hel' M. Bros11n or their 1ssue per stirpes.
4. I hereby revoke any and all wills by me it any time heretofore
made un deolue thi! to be my last will and testament.
IN WITNESS WHEREOF, I heve hereunto subsoriberl my name and affixed
my seal this 2nd dey of November, A.D. 1965.
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Signed, sealed, publ1shed and d eolared by the testator above named,
as and for his last will and testament, in the presenoe of us, who have
hereunto, at his request, subsoribed our nAmes in his presenoe and in the
presenoe of eaoh other &s witnesses hereto.
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CERTIFICATION {IF NOTICE UND~R RULE 5. 6ill)
Name of Decedent I {!)"'~ ";ev~ ..1:..
9h
Dllte of Dellthl .Y - lei. ~
Will No. 1997- (JIJ 'l..i? ;)
Yel<.'h
Admin, No, ';'/97- t.J~.f:?
To the Registerl
I certify that notice of beneficial intere~t required by
Rule 5.6{a) of the Orphans' Court Rules was served on or mailed to
the following beneficiaries of thellbove-captioned ~state on
1./.3- '17.__'
!i!!!!!
Steib /J1, ,Ie/({
.
Address
$iNt'r are #eG?/!) SJ.Y'}'1t&S) ?o" )(;'1f 1f'w;.1~A;y/
Narr IS 1:>411"9/ f.3 /7/i:19
Notice has now been giveJ1 to all persons entitled thereto under
Rule 5.6(a) except 1V/.19
I
Date I I~,if' 97
.,-~,,~-. T'tfo::-^ ~/(J.(liC~R
Signaturlt ' (;
Namef(d'I/f(t5:...1Llelt~ Ni?rrtf If),,>> 1<1
",j I
MdressMN/ U /.</bik{/"'eQ~e D,,,;
/J1, j)/ei:;..w,13 17a.J-7 7:i'ott.1Ie, mo! .)Jd"//...I-
.
-',
"
Telephone (71'1) f,1J- 4>f;;?~ ~/-,:Jd"2..1Z6(J
Cllpaci~y: ~~ Personal Representative
Counsel for personal
l:epresentative
n
INHERITANCE TAX RETURN
RESIDENT DECEDENT
WMMONW'':'" Of HNN'VLVANIA (TO BE FILED IN DUPLICATE
DEPARTMENT Of R~VfNUE
"^"lsm:!d~o\'J:'80601 WITH REGISTER OF WILLS) COUNTY CODE t9'17YW clOf87 NUMbER
- "Dfe rl NT. .~. ';':~7:i. AN. ".M.InOil. ;;1;,/; ; ;r '-I"'''';IJ;;::::~.'(}..f~;r;;~. -~.... ..~'.r...J. '. -. ~;: ~d f-~'~----o-'
'~i~~~;;-~'.~';~".2' .. J I"~ Of;~^,I~17 I"A~ ': to:. /~ Coo,,, t:;tJt,r.rt;j~ 1iflt!?
I" '''''lI(~'I.I.''.UIVlflt/O HClII\'~ ~IMM [lA~r 11~\1 .Hj[l ""PN! "I'HAII 11~OC. 'A' .S[C\I~ll,( rIllM8fH rw""'" "nlV!~'" ''''''''ClIO..N51
__)le!.cJ., __I Sl,ellc'J IFl. /4>~ ...>:t ~ "/319 .. .
~ 1, Original Return [ 1 2, SupplomonlClI Rolurn
LJ 4, lImlled Estate [ J 40. Future Inleras' Compromise
(for d()le~ of death after 12.12.82)
~ 6, Decfldent Died Tostaro [ ! 7, DOtlldent MOl't11oinod Cl lI....ing Tru$!
IAlIoch (Opy of Will, {AUoch COpy of Trust)
ALL CORRii;ONDINC~AND C.ONfIDINiiAL TAlC-iNFORMATioN SHOULii8EDIMICTID'TO,
~ ~ NAME #,'1. r r --~I, - ~~ Ie "h--'---'.]bMPiil! ~:?'t;~3":.iro~ K ,~~~..~]) '..-~~~_.
8~ i""HOiiE'NUiili"".~._.' - ~-- .- 80{~ht: rncJ ,,:1~;rIS
__. ... .~l..~~tb.=...i?~;{~. ~{,.o I ...=....=.=._~.o=.=...
-c -
I
'':',[VnOOfX. ('.941
i:!
~Sl:l
IIlE",
"'''9
"'Eoo
I. Real E,lote ISchedule A)
2, Slack, and Oond, ISchedule B)
3. Closely Held Slock/Parlnftrsnip Interos' (Schedule q
4. Mortgages and Noles Receivable ISchfJdule Dj
5. Cash, Bonk Deposits & Mi,celloneous PaHanlJl Property
(Schedule EI
6. Joinlly Owned Properly (Schedule F)
7, T,onlf... ISchedule GllSchedule l)
e. Tolol Gro15 Anels 110101 Lines 1-7)
9. Funeral EKpenses, Administrative CO$Is, Miscellaneous
Expenses (Sch~dulfl H)
10. Debh, Mortgage lla~ilit1es, liens (Schedule Ij
11. Tolol Deductlon$ (tolallinos 9 & 101
12, Net Value of Estate llina 8 minus line 111
13, Charitable and Governmental Beque11s1Schedule Jl
14, Nol Value s.ul:I!:'.~o Tox-'Llne.~~-",ln.".!.!!I1!...~..._.___
15, Spou1(:l1 Tranlfors (for datel of death offer 6.30.941 J.I
See Inuructionl for Ar,pllcable Percentage on Re"erse PS) __..~~~_T.L!L
Side. llnclude valuol rom Schedule K or Schedule M.l
16. Amouni of line 14 taxable at 6% role
(Include valuel from Schedule K or Schedule M.J
17. Arnounl of line 14 toxable 01 15% rate
(Include valuet from Schedule II: or Schedula M.l
18. Principal lux due IAdd lox from lines 15, 16 Clnd 17.1
19. Credih Spoulal Poverty Credil Prior Paymonts
20. If line 191s greulef than lino 10, ontor tho cHllolonce on tine 20. !hil h the OVERPAYMENT,
mLI
/(,
tb
...
iIi
~
"
z
"
5
i
w
"'
~
fii
~
II
..
'"
~
...
+
I " '.'
" ,
I fOR IlATIS OF DIATH AnlR 12/31/91 CHICK HIAI
IF A SPOUSAL .
POVIRTY CAlDI' 15 ClAIMID I I
fill NUMBIR
[ I 3.
[15.
0_0
RemCllnder R&lurn
lTor dolos of death prior 1012.13.82)
Federul f.uate Tax ROhHIl Requirod
Toltll Number of Solo Depolit 80)(el
III
(21
131
141
15 )
_o~
-C> -
_0 -
.- ..------,---"
9....'?1j3../(
(61
17) ...
._~ -
_0 -
I B I ._._9.J.9.....~, /1 .
I 9 )__..,J11o 9, O()..~.
(10) -1>-
____"._.w_____..__~-.-.-.
.,g 7~ 9. p(1
.------.-..,-.-.-.--..
. .,g,.-? t/" /1
(111
(121
(131
.1141 ..
.- () -
~~:ll(. 1/
..)( ,fJQ.. ..
-1:)-
(161
.-0...
_0.
.X .06 D
1171
_0-
-,,-
__.._x .15 I:l
(18)
~O .
Discounl
Interost
,...i!J ...
+
(19)
(20)
_0 -
Che(~ ....ere " you CUe roquesting 0 rolund of ydur ovefpoymonl
2J. If Une IS is greator thon lino 19, onlar tho difference on line 21 Thil h the TAX DUE, (~1) _0-
A. Elllel the intere1t ('In tho bellollco duo on line 21 A (21 Al - c. -
B. Enter the totcll 01 line 21 (lnd 21A (,nUno 21B, This i~ tho 8AlA~JCE DUE. 1218) .~_,l -
.w _..._._____ ..__--==~____~ak,.~h.(k_ P_~vabl_o_1o_; R,gllt._, of Will., Auen' _ _ __ _ __ _ ,., ___ _ ..,.m ,... ___ ___ __.
~ ~ nii SURETO ANSWER ALCQuISTioNSON REveRsE" SIDEAND'TliRECHECK MATH ... ...--
Vnder pe'~Tt~~1 po;~~~'i dflcl71~~-lh-(li-li;Cl~~ ~-;(~;lljno(i ,-h-jl--;olurn''- ili;ll~dinq- ~lCU;~;p(Jf;yinB--~-ll-fHllli~s'-('l~j 1rC1le~n-;;;t~: '~di;Ih;~'-;;(~y-k~~~i~~ig~-~nd'b~jief;
I is true, correct and comploto, I dodoro th(lI 011 rOCll 0.1010 hm butll\ rooorled 01 truo morkOI yoluo, Doclaration of propCHer olher Ihan the porlonal repreulntutive is
n~~e.~ 0 ___,!_I~ ~~_Io~~~ti_on of. whi(h preporof hm Clny ~'1owlltdge .
>ION T f. Of PERSON RE~PONSIBlf FOR Flll~~(, rn.rURN ADUR! J) i)-All
..all, (e. \)t,(., /, /:1//3 l~{.K,(e,.l;tt'ih,vc Bt"""'IJ;.I~c);Tt..J.'
; "'D[)Rl~".rJ J j 1 I Oldf
:lO 1C?7 !\{),I,~ lJJ,jll~ Lt''<W, id. 17tJ !J-7
;'P/97
///517/
.
mllll II, '"'' LA." SCHEDULE H
~ FUNERAL EXPENSES,
COMMoNwfA;r" Of PENNSYlVANIA ADMINISTRATIVE COSTS AND
__~~~I.::p"~}'Dr,^,W~~'N .. ..... ...... .... MISCELLANEOUS EXPENSES_...n.__ PI.a.~ Prl.~t or !Y!'~_ __
mAWor- --.----.----------~ NUMBER --
y~_~c_~___J~ C6fJr/e.>' ... :r. ._.. ..L____l'ltjZ__~'!.i!.~~__
ITEM
NUMBER
A.
B.
DESCRIPTION
AMOUNT
1.
Fun.ral bp.n.."
Rev; [liul J'"Ne.s'J st. mao:~\' I./N,Le./ (//'I/rc;' "lCUm
{J res'SoA!&} J Pa ,
f?elf/?h.'r.remt'Nt *-r .["Ner,.,/ LI/Nc,l,ecw
St. rrJ4rI<'.r JllI/lted ('j,,'rt./' of (/ho.d {}re~S()Nd f'o
f(eNLil/ "f (!h"rc.J, hit/I f'c... I.""",,'l('.:" . I
tJ7J,M
11..4'.00
.P.
1.
Admlnl.tratlv. CO.t"
Perlonol Representotlve Comml..lons
Soclol Socurlty Number of POrlonol Reprosontollv",
Veor Commllllon. paid .....__n_______,--
2.
Attorney Fees
3.
Family Exemption
Clalmont St-e/Ji1 l11.)le Ie J,' Relationship
3 $l:lt:' I d()
WI.fe.
Addrell of Clalmont at decede"t'. death
S'reet Addrell _lI'()o._-.k'Li'~p-,. RiJS S~aJ
City JI.9,. r.u.P....JI..r-?- ". StotLe:.L.. Zip Code
1'1/()'/
.
o!J7,()()
4. Probate Fees
C. MI...llan.o~. Exp~n.e"
1.
2.
3.
4,
5.
6.
7,
8.
TOTAL (Also enter on line 9, Recopitulatlon)
(If more .pa.. I. no.d.d, In..rt additional .h.." of .am. .1...)
$ .!l1t.9.aJ
. .'
.
--
WILL OF OHARLES I. YEIOH
-------
BE IT REMEMBERED that I, Charles I. Yeioh, of Woyne Township, schuyl-
kill Oounty, P,nnsylvaniG, do meke, pub11sh onq deole~. this es and for
my lest ,,111 end testeme~t, 1n menneI' end form following, thot 1s to sny:
1. I ornor and diroct my horelnijfter named exeoutr1x to p~y ell my
JURt debts and funel'ol expensos as soon 0 [j conveniently may be oft.er my
deoellse.
2. I give, devise ard bequooth 1111 my propel'ty, of' whatever nature or
k1nd and wherever situlte, to my wife, Stella M. Yeioh, Gnd I do consti-
tute end epp01nt the odd Stello M. Ye1ch to be the executrix of' this my
lIst ,,111 Ind tostoment.
3. But if the sdd Stelll M. Ye10h does not surv1ve me, or 1f she dies
w1thout hlv1ng proboted th1s will, then POI'ogroph "2" above shall be null
end void, and 1nst~ld thereof, I do const1tute Gnd Ipp01nt my son, Francls
E. Ye1ch to be the e~ecutor of th1~my lost will and testament, end I dire,
that he pay a~l the just debts Gnd funeral expenses of myself 8nd the sold
Stelll M. Yelohromaln1ng un.o1d, and then d1v1de whatever remains ln
equal shol'es among all ouil ohildren, nomely: F'Nlnois E. Ye1oh, HArry W.
Yaioh, Arlene M. Fab10n ond Esther M. Bres11n or their 1ssue per stirpes.
4. I hereby revoke any Ind all wills by me at ony tlme heretofore
mode 1m deolOI'e th1e to be my last will 1l11d testament.
IN WITNESS WHEREOF, I hllve hel'eunto Bubscr1bo(1 my nil me and afflltsd
my ssal thls 2nd day of November, A.D. 1965.
.t~M ~l ~
( SEAL)
signed, sealed, published andd eolared by the testliltor Ibove named,
e s and for h1s la sl: will lInd te stament, in th(1 presence of us, who hlilve
hereunto, at h1s I'equest, subsorlbed our names 1n his presenoe IiInd ln the
presenoe of eaoh other as wltnesses hereto.
~~ W~
/~, ----
{j~\_~ vf~
"
.'Ii,;:...
- l\"~;"
, '1,""
.( ," ! Y :;,,)..:'')
I,) ,
BUREAU OF INDIVIDUAL TAMES
INtfERITANCE TAM DIVISION
Ol-:Pl, l80601
tlARRiSBUAC, II. 111l8.0601
COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT OF REVfNUE
,-',
NOTICE OF INHERITANCE TAM
APPRAISEHENT, ALLOWANCE OR DISAllOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAM
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUIlTV
ACN
02-09-98
VEICH
03"10-97
21 97-0487
CUM8ERLAND
101
c= AMount...":~~\~.d
MAKE CHECK PAVABLE AND REMIT PAVMENT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ..
it il"V: istii- Eie" - AFii - ro'F 9'1'i -NoYi cr -OF - i:"NHEiii fANc E - TAX - "A-p PitA- i BEMENi'", - -Ai.UiWAticE - iili' - - - - - - - - - - - - - - - --
DISALLOWANCE OF DEIIUC:TIOtlS AND ASSESSMENT OF TAX
CHARLES I FILE NO. 21 97-0487 ACN 10~1
APPROVED DEDUCTIONS AND EXEMPTIONS I
3.769.00
l), fu".rat Expans.,/Ad.., Cosh/Hilc. Expen.u (Schedule H) (9)
10, Dobh/Hortgogo LlobllltJ../llons ISohodulo Il (10) ,00
11. Tobl Deductions (11)
12. Nat V.lue of Tax Return (12)
13. Charit.bla/Govarnftant.l Bequasts; Non~.l.ot.d 9115 Tru.t. (Schedule J) (13)
14. N.t V.lv. of Elt.t. Subject to Tax (14)
NOTEI If an assessment was issued previously, lines 14, 15 and/or 16, 17 and 18
reflect figures that include the total of ~ returns as.e.sud to date.
ASSESSMENT OF TAXI
IS, Anount of lin. 14 .t Spou..l rat. (IS)
16. AMount of Line 14 t.xabl. at Lin..l/Clas. A rate (16).
17. A~ount of Line 14 t.xable .t Coll.teral/CI... B rate (17)
la. p,'ineipal Tax Due
HARRV W VEICH
12113 RDCKLEDGE
BOWIE
DR
MO 20715
ESTATE OF VEICH
TAM RETURN WAS: 1 X) ACCEP1'ED AS FILED
RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
I. R..I e.t.t. (Sch.dul. A)
2. Stock. and Bonds (Sch.dul. B)
3. Cloa.ly Held Stock/Partn.rahip Int.r..t (Schedule C)
4. Horta.g../Not.. Racaivable (Schedul. 0)
S. C.sh/Oank De~o8its/Hisc. Parsun.l Prop.rt~ (Schedule E)
6. Jointl~ Owned Property (Sohedul. F)
7. Transf.r. (Soh.dule G)
a. Tot.l Ass.t.
TAX CREDITS:
PAYHENT
DATE
RECEIPT
NUHBER
DISCOUNT I t I
INTEREST/PEN PAID 1-)
. IF PAID AFTER DATE INDICATED, SEE REVF.RSE
FOR CAlCUlA lION OF ADDITIDNAl INTERES1'.
) CHANGED
,00
,QO
,00
,00
9.393,11
,00
,00
(B)
11)
(2)_-
13)
14)
(B)_.
(6)
(7)
5,624, 11
,00
.00
M . DO,
X.06,-
M ,15,
UB)
*'
U~'IUl II ." I".tll
CHARLES
I
AHOUN1' PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
l
DATE
02-09-98
NOTEI To in.ure proper
cr.dit to your account,
.ubwlt the upper portion
of thl. forM with your
t.x payrtent.
9,393,11
~ . U9 00
5,624,11
,00
5,624.11
will
,00
,00
,00
,00
~O~.
,00
,00
,00
IF TOTAL DUE IS lESS THAN fl, NO PAYHENT 15 REQUIRED,
IF TOTAL DUE IS REFLECTED AS A "CREOn" ICR), YOU HAY BE DUE
A REFUND. SEE REVERSE SIO~ OF THIS FORH FOR INSTRUCTIONS.)
i
'!
,
), ( .~
RESERYATIONI Eetat.. of dlcedent. dvtnt on or before Dlca.a.r 12, 19.2 M~ 1f tny future Int.r..tln thl ..tate I. tran'f.rrtd
In POII..,Jon or enJoy.."t to ctl.' . (coli,t.ral) bln,'lel.rl,. of thl dlcldent I't.r the IMplr.tlon of eny ..tet. for
II'. or for YI.r., the C~onw..lth hereby IMpr...ly r...rv.. the rloht to .ppral.. and ...... tr.n,'.rfnhtrlktncl rIMI'
It 'hi Jew'u! C11.. B (ool1,t.r,O rat. on ,!ny .uch future .lnt.r..t.
P\JRf>OSE Of'
HOTICEI
To fulfIll the rlquir...nt. of Slotlon 2140 af the Inherltanco and Elta'. rIM Aot, Aot 21 0' 1995. (12 P.I,
Stctlon 9140).
PAVI1ENTI
Det.~h the top portion of thl. Hotlcl and lubelt with your ply..nt to the Rlgllt,r of Will, prInted on the rlv.r.. ,ide,
~.Kek. check or lonty ord.r payablll tOI REGISTER OF MIl.LS, AGENT
REfUND (CR)I
A r.fund of . tax or.dlt. which wa. not r.qu..tad on the Tax Return, .ay ba requ..t.d by coapl.tlng an ~Applloatlon
for R.fund of Pann.yllJanl. Inherhanc. .nd Elt.t. Tax" (REV-Ul3). Application. ara avaUabl. .t the OffIc.
of th1t R.Ollttr of Wlllt, Iny of the 21 Rav.nu. Dlltrlct OffiCII, or by ClUing the .p.clal 24~hour
anlw.rlng ..rvic, nu.o.r. for for.. ord.rlngl In Penn.ylvanl. 1~aOO~562-2050, out.id. P.nnsylvanJ. and
within local Harrl.burg Ir.. (717) 787-8094, TDDt (717) 772-2252 (H.arlng 1.~.lr.d Only).
OIJECTlbHSI Any party In Int.r..t not .atl.fl.d with the appral....nt. aliowanc. or dl.litowanc. of, d.ductlon., or ........nt
of t.x (Including di.count or Int.r..t) a. .hown on thl~ Nutloe .u.t Object within .Ixty (60) day. 0' r.calpt of
this NoUce bYI
--wrlttan protut to the PA V.p.rt.ent of Revelnu., Board of Appeals, n.pt. 281021. HarrhburQ, PA 17128-1021, OR
--election to have the .atter dater.lned at .udlt of tha aocount of the per.onal repr..entatlve, OR
--app..l to the Orphan.' Court.
ADMIN
ISTRATlYE.
CORRECTIONSl
Faotual error. dl.cov.rad on thl. H'.Q....nt .hould ba addr....d In writinG tOI PA D.part..nt of R.venut~
Bur.au of Individual Tax~., "TTNI Po.t A.......nt RI~law Unit. Otpt. 280601. Harrl.buro, PA 17128-0601
Phon. (717) 187-6505. S.. paOli 5 of the booklet "In.truClUon. for Inhe"ltane8 TalC Rlturn for a Rnld.nt
Olcedent" (REV-15011 for .n IlCplanatlon of ad.lnilttatlvllY corr.ctable error.,
DISCOUNT 1
If any t.lC due Is paid ~Jthln thrlle (31 ulend,,' .onth. aftlr th. dlcld41nt'. d".th, a flv. percent (S;c) discount of
the ta~ paid I. allo~.d.
PENAL TV I
The 15X t.M .-nIlty non.pertlclratlon p.nalty I. eo.~ut.d on the total af the t~M .nd Int.r..t ......ad, and not
p.ld before Jrtmlary 18, 1996, the flrMt day after thl Ind of the tux a.nnty Pflrlod. Thlt non.partlclplUon
Pamllty It app..Uhla In the .... nnnar find In the the 1&11. tie. period IS you would Ipp..1 thl hM and Int.r..t
that hn b.." ".lIl1ed II Indlc.t.d on th1l notice.
INTEREST I
Int.re.t I. ch.rgld blglnnlng with flr.t day of dellnquancy, or nine (9) lonthl and one (1) day froe the date of
dl'th, to thl d.t. of p~Ylent, Taxe. which ble..e d.llnquent before Jenuary I, 1982 b..r Int.r.~t at the ret. of
11M (6Y.) p.rclnt per annu. lIIlculat.d .t a daily rat. of .000164. All tu.. ~hJch bae... dallnqu.nt on and "Uer
January I, 1982 will b.ar intere.t at a rate which will vary froa cllendar ye~r to c.lendar y..r with that tat.
.nnounoad by tha PA Dlparte..nt of Rev.nue. Th. applioabh Int.r..t rcttes for 1982 'through 1998 ar'l
'!!!!: lnterut...!!!!! palh Int.r..t Factor ~ Interes1; Rat. De 11 II Intere.t Faotor
1982 ZOX ,000548 1987 'X .000Z47
1985 16Y. .000438 1988~1991 11:< .000301
I'I~ Iii': .000301 199Z 'X .000247
1915 UX .000356 19Q5-1994 n .000192
196ft lOX .000274 1995-1998 'X ,0002~7
--Intere.t It c.lculated .. followSl
INTEREST . IALANCE or TAX UNPAID X NUHIER or DAYS DELINQUENT X DAILY INTEREST FACTOR
..Any Notlel I..u.d ftfter the t,M b.cOll.' dlllnquent will refllct en Jnt.re.t 0110ul6tlon to flft.en (IS) dlY'
b.yond the dltl of tha ........nt. If pay..nt I. ..da .fter the Int.rl.t eOlputltlon data shown on the
Notloe, addltlonll Intere.t lIU.t b. uloulated.
/
/"/
[TA 'I'.lJfl. ~I!E PQJ~T.J!NQ~g!{ UI!~Li?..!J1
Name of Decedent 1 eM.;; "k:L..;7:~' I( IL_..._.__..____.:...__.__..
Date of Deathl____.ol-=-(O,YZ'.......___
Will No. /99'7- eO"'I.!'2...,..._______ Admin, No. --:;/97.t1.:tJ:.?
pursuant to RulA 6.12 of tho Supreme Court Orphans'
Court Rules, I report the lollowing with respect to completion of
the !ldministr!ltiun of the Ilb()ve-captjolll~d ostatel
1. State whether administration of the estate is completel
Yes...~.. No...__ ......
2. If the anHwor Is No, st.atn when the personal
representative reasonably bfl!ipves that t.he administration will be
complete 1____ ... _. _m......__..
3. If the answ!:r to No. I if> Yf?S, state the following:
a. Did the personal representative file a final
account with the Court 7 Yes.....__... No_.!-~/,.,
b, Th8 seral"tltf! ()l'l'h,IIlf;' ('''lll.t No. (If any) for
the personal ropresontat.ive's necount. Is:
c. Did the perHonal represnntative state an
ar:count informally to the patties in intnn,st7 Yes .;- No
, --..,.-"
d. CopieR of receipts, releases, }oinders and
approvals of formal or informal account.s may be filed with the
Cerk of the Orphans' Court and may be attached to this report.
I,')
,(
. ,~~-('",.,'--/, -Ik-t.. ".~~?'L
Signat-ure r.....r= (7--(/
fYi'IV(jIL~/d)__~r'i1 k~je,(),
Name (Ploase type or prTri )
^~rtt~,fcl- ~~_._P.~()!!:~A ~;1(~~~~.>
1t/,""ltI(;()/(W; I'd 1711.i-7 I
.t'lI.IL9fi_"k!;.:?..t _...Jq~";I:. ..s'(;;~,,,
'I't~ 1., Nu.
C lacil.Yl _"-~ _PlJrsonal Representative
Datel
/".. .PC - 91'
"-I
rf",
(....~
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