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HomeMy WebLinkAbout97-00503 , .) 1,',1(1/1(' 1~III/M:"Ic;.IJlc)^ lir';lM: 1.\ ), IllY/.t!f. 11/.1'1I kl/(l1I'1/ 11.1 PETITION nm t>>IWnATE lInd G1~ANT 01' LETTERS on- q1-5t)~ Nil, 10: ~el'i'ler lI1 Wllh III I 1)le .. , /)(,I'C'IIS/'rI, Couuly III (~/JHIKU.I.~I1I/IL. ill Ihe SlIdll/ Sc'C'urlly No.)'!!")) /)J/ COllllllollwelillh 01 Pellll'ylvania The pelhlollol Ihl' ulldl'l,i~lled re.lpe,:tlully leplell'llI' IIHW t" YOUI Pl'lltiollel(s), who ii/me I H )'ellll 01 a~c ololdcI 1111 I Ill' l'Xl'elll ,I{ ~ J IlIlhe III~I will lI1 I Ill' IIbol'l' del'l'dclIl, dilled .//II'f 1 .. .. . ,. .,_.,. IIl1d eodlclll" dllted. ._. .. ..... .,.. _ .~...'.'_."_n._~....... "'.._ n,\n~1 .~"._, 19...L.f: (~llIl\' Id('\"Ullll.'il~'lHll,llltli'l", (',I~_. Il'llIllldullnn, lIclllh of ('\l;'(;1I1ot, cle.) ()C.'eCII, (il'1I1 11'11,' dOllliclled III dellth ill, . ,'"l{JUfiffP!tlIJ3., " U'. ')lIII1IY, 1'1nSybl'anlA, wllh h.J.S'...~ IlIsl IllI\~~'OI prillclp"1 lelidellel' (JJJ..n::u\'u.v.f/fi.Tl1/~j"I-L.6..---(fl[!:.._---_. .J.JJt.~!llfj/J.C .LHf!.(!. /11:'_1.7 tJ.;[ 5._ .tlJl}ll Pt;./f.!. 1ifL...u......_____..__.._ (11\1 'Hl'l'l, Illlmhl" lllld IlHllh:ipilllty, 1I11~;11l(let1!t1~;.'i0/~:S/;rltl' 01 Il~e, died 'u= ..... _~II.41~=!:.:.=---=, 191- ~-=: FxecKi III 111111111'1, deeedl'lIl did 1I01lllUllY, 11'11' 1101 divorced IIl1d did 1101 hnve II child born nr adopted Aftel l'.lel'lIliolllll the wlllllllewl 1111 probnle; 11'11' 1I1111he viclillllll II killlllg nnd WIIS lIever IIdjudlealed In\'oI111'l'll.llll: ---..~.._...~- _ ---,"~",--~.~-,-"..~----- DOl.elldl'lIll1l deilll1 oWlled properly with eSlimllled vlllues liS lollows: J (1ldomicikd ill I'll,) All p('rsolllll plopl'r1~. $.,/~.jt?(), (!O (il 001 domiciled ill I'll,) I'I'r.sOlllll property ill l'ellilsylvlIllin $_ (1111<1\ domiciled ill I'll,) PI'ISOIIIlI propl'rly III COUIlIY $. __ V<1hll' "I lelll e'lUll' III Pellll,ylv.6l1ill ,.. , ' $-sL?iJ"C> ..:.1?L........___. ,111I1I1,'d ,III lolhl\\l: /1fl;.i!'vM:.,~:C .rJlOlCiL1!IJt.&'I.tIML_ .....:..._____ \\ HLKL!I IKL. peliliollel(;) lespeellully f<:l.~fl{~~N~~Rfrol1llle 01 Iho Illsl ,.vlll and codicil(s) pre'cllled he"',, 111111nd Ihl' gram 01 lellels t.. ..M .__..... ~. _.. ......._.__ 'n_~__. 11ll'IOll, \ll'\llltlll'lIIury: Ildl1lill1<;lliIlIOl\ l'.l.il,: ndrnjllislratll1l1 d,h,f1,,",[,l") , " .J c .a-- 7';" " - tt: ~, ":1~ 1::';: .,-;: , c1 ' .'// -~;:. . /~(.>7 I/~;Y; '~'. " . ". '1M,'yfj~"ij{:fJj .... I~ ,B.L-<u-r{' sr: A/~WOlJf1(!FP~/.P4 7?6'?D ~ ,. _'f{{.- rUfd:._~/ ,"';? ____ ~tJi{f~'1J.t.r:.--;-. ,: -____ M.N4Jc. AL f ,.' - Ail'uP !l1lf.':E_ .:.___J!ill::R.__ '- ,. ;j, '7-, .~---,----=-=,;=~-----== OATH 01<' I'ERSONAL I~EI.lmSENTATIVE COMMONWEALTlI OF PENNSYLVANIA I '''; COlW!'\' OF CUMBERLAND r :-;. 1'111.' Iwliliotlcl(s) aIHHC'lIfIIllL'd 'l\\t'al'(<.,) or alril'lll('>) Illalllll' 'It:ltl'llll'lll'> ill the foregoing petition are ll'lll' :Illd ulnl'!:l jn I Ill' Iw'll 01 I ilL' ~dHJ\,lL'd!!~' ;1111111l'lid of lll'lilioll~r(\) and that as p(~rsonul rcprcscn- tUII\('f'dld I Ill' t1hml.' dl.'l'l'liL'1l1 pl'llllOfll'I(<.) \\ill~. d lrld~:r' \ICI Illl',~S~~ucc()rdln.!:\ 10 Inw. ( J/" -;. ) . ," / S"",,, '" "' """'lIt'~ 1""1 ,,,hc,c.llh,'d I . r: fl.'. kt.f~) .. - i!> helll'" III' (YI , . uH (~'j III .~ ~ ..>IIC "tIf.7-C ~ NI' /J' ,l,'l\.\J/.) -' ~ 7J1tlMf . ~ww (J.t'l...Nmt.~ tltf/:/.fi'/" 4''11.~-:' ~ OMARY CLEWIS //1'1'/1/1" ;1/IJI).f~:IIII/ I NNII.F:, B \5- ,~s- \ ) 1111" 1, (II (l'nih I lit ,d Ri'l',hl!." Ih.u lht' Illllll"Ill,Il'llll hl'l!' gl\'l'1I I' llllrt't1h' trlp!l'll flUIl! ,11\ 'I\I!',II\;II ,_,'[lllll,lI'_' Id ,lv.llll did\- llbl ['hl' otlgilUd n'rlHk,lli,' wdllH' IOl\\',lIdnll'\ dl'_' \!.I11' "ILl1 [{"ll,rd', l )lli~... fIll lH'IIILII1l'1l1 lillll!'" \\1111 111l' ,I', WARNING: It Is IlIogal to dupllcuto this oopY by photontat or phptograph, No; 0,,-,,",111,';, ;?\"i~.~\\\\ Of PE~'.\ ~~/lr"..'.~'.~~.'.'.'..""'.'.ll.,....:t.J...:I~:.~~;"J I..."''' (I' ::Ia. .(, ".. " ,'i *, , """ "","' \-(f,.o--_ -i ,~'/ "':~!,frMENl ~\ ~\"',:'\ "5-''''%tl!tfw!iJ-lj!1!r- ~~/- ht, fill {hi.. u'Hilk>l!c, $,~,(l\l 4278432 JUN 0 9 199J' 4 r""'______~_~-----.--.n_r-r.~~~~.______" ~.-., llil\(' I COMMONWEALTN 0' 'IlNNSVLVANIA' DEPARTMENT OF ~EALT~ . YITAL RECORDS CERTIFICATE OF DEATH ~orOlClOlltrill,.,""",LIItJ ,. Fraricb J. Taylor ~-~ '""Uii5iifIvIM -.... ..... 1 . - '""" \1.b*'0e0t__1 Sepm~er 2, 1IIl1HP\J.Ct1Ct11lM l\lIWOl .(~...,.., C<:U>l111 York, PA . .'"HUM1C" ... -rSOC1AlSlCUFlnVlluIolDIA .. male _'. 197 - 22 - 1231 ~0I~1iI~'ICt<<~-_<'IIn"~<lnof'4llldfl HO$l'ItAl. OT"": -1(1 ._0 oo.o.D :t::;"D ~":~I 0 .. " MCa./l'ItMMIl(llNJl~,';"'..-lV(l~1 E. Pennsboro'I\Ip. l\91'-l Sa; 'f. 11bS,<1.'i:9l IU ~I v 'Hl.!lOf!CIDfNl!vll'llf/ ~Nl"iIiOC.QlOfi .WllW.tWlJ...../t.... [ ____________ UI,VUAfO'OOCf.ll ~n u-*lU~ ~"""l"'.~, ...0 flIitKl E~ ~ llI>Jot*~1 ious 1. (1}\~l 61140d.) .ver tJan:Jed . ~~~~Nl' l,.,a-~nn.!!Y..~vania Old "..[lCJ 'IM.~""'oJ" llam.xlen NSIOlNCll dI<:~ Is........ro..c......... ....."'. <lI,QIheI~1 I1HOIJI~I...__Cu~rl6:!!d ~'. u.Ll ~~~ol UOTt!."..~.uM!llf..1 M<l<Iloa,u...-"",5ur"""lI1 ,. Stella l". Duff Itl/'OOr,lAN1"' ,,"1l1NO ADOOIlI-S ~MI, C.t,-i'bwfl, SWe, 1" CoeloM .... 13 r.i.nco1nway p,astL1:JeW OXf9r~, PA 17350 ~OPOt'I"OlllTION.~otC"~O'''''tltltV l()CAJION, 1lyfbwn.1lIAi,.lIpCClOl .-- Ib1y CrOBS cerretery 9.oIatara ~'Wp" FA ~.l.HtlAOOf\lM~'ACIUT't par errore nera ,n . .1.1I.0. lbK .431, New Cuooer1and..l PA 17070-0431 UClEmc NUMeEfl ORE SIOllED ~o.y_l '" " CUll'l>erland .\!l!Iil~ ~_.OIlOtdl.lf1llmlllfl ~_"j.dDNA...r...t41 pr .est Reli OICIoaHl"W.ll.lNO~"(Sll""C~. ..l1ICM1l S\JfMVIOO~- li'.....'I"'l'~....".1 ~.""'..-[l .. lIC1N$f,llUI,IMrI "m 012 849 L TD~"""'.Il!)'~,lMMho<<1O/ll~..thtll~,<)tl'*""~....td ~!fJI*\~.ffd '... I.-lJTINO.....tlJCII _...._.._.. ' "~~io"',"""".,"".." .--...-- . Lj:l5-e~..u.n.t.... '1 I q q Z ._INI.....-,...*...~"IIlQh~_(,It.alh Oclroot........If\lII'oOI.IfQI~.IlUCI\...~~IlI;"'rt&j)llliQryll ~.f/'MIo;llOltotllllUul. l..~_ct...onH(lIl... W< CASIlAEfEAAl!Orol,lt!Olr.Al.ElW<I1t+l ..[] ., ~O :=-:= \~------ou.-rolo.l"8"CQhS[Q.It~Of);----~- _'nlMUMIlIIlL,1MQ ~~fV-A~ ~-DiAli5ICflASACOHstOV~~Of} ,...AtoQ,,'*"ILAlT ._~-~-- ~~'1 'lW"'Ai~."iH&Ha" WldI'lOf'OE,utt P't""OONliM .IUlJl-AtLl'M)A '10 COUP\ITIOt-IOI1CAUM 0#\'lfAJH1 ~.. , ........ l1~.IiI '" [J "" [] ""'.. .. -~~ ,. .---------... tull.lIliIlO'~mI,ootl 'CIIITlf'1lMQ'HV.I(.lA"ll'1\......c..~~_.,ja...'_.......,."..pt>~'";-'l1""pI~~.,~j"orr,li..otlltMnr.1I ,....~tllll' U>eW'""',Nlllft..,.aurM.....\IIt...~.I.....lI\Nl...1 M 1..lt4,. ,.. -- 1=:= l'M~~__L~"'to<:l.!r5-.-__,____L- DlIIllO(CfI,t.9.-.CCHSEOUtNCf:ofiJ . I , +--- , , , , ...." 0lMt'.......~_~100M/Il,~ "'lI~......~_lI"'tft"'Pt>Kf1 -~~.... ~lIf;Ilbt....lttm'..... , , .. ~ OAHl()I lNJU"V J'"'''''''''''''' "''''''""".,,, ["''''Hqo'I''''''''Y~ 11,l(JI11.Uly'/llilll o D ... 0 ~O o ~________1lIII,__1.t '-rOO-Mil * - ~~~~~y~~t*hOmt_tll"'...,....~olIoI ._;;:::rsu-tlICl't'/\;.,uSttItl 6lOH,q\JM ANO mu Of Ci!A'''le" D ...._ tL...'~1 c.J"'1.....~-_...:._- llCe~*Fl OAl'tSlQNlDI~o..,"'-1Il ,.,..",,,.....,,,,,,, 0 11' \WlQ~~~:_L_.._.~_ ~':'~dS5.L-___ """"'I: oVlOAllOfUliS 01 '1IlSON WHO C()f,l,lElllOCAUSE Of DE"'H Ill"" ~~~A ,'1On:hkt,HD [J .. JlYI f\ou:,e /wt-., Camp Hill, I'^ 1'1011 o'Aii-'IlE6'iM.;:t;'T}iy w'--- ~1t"mIl1J .. ~ L2..2..? ~. II D ,- ,~lnvtflllQlllQ<1 .~JttOAHPCl"T"VlHQI"HVIl(t"NI""I'-:oWltlOf\"'Ol\Ql.lOO(\Q~'''-lI.l~..IItfo''oijIQC'','''QI<>>.l'''l _........ II """ k_......, IIHlhNC..-rMt''lltlllllt,...., tnIl ".t, t/'lllltu. '" Vlt41l1Mi'1 tnd IIIt""*' II t4tlMl_,. ....OIC,U UAW"'flICOflOMIP On .....1MtI8 .1..arnIAMlfl<ll""''''' In'J.flj,,'~, ~ IIlW .,IAIon, .ulll ~GUIl'III'llfl.t 11m.. d,'I, If\II plac., of\d d\ll I' 1M q.UM(t\11l4 II.NIlIltfM..tlMl..,.,',.,',.....,....,",..,...,.,.,..,.....,....,..,......,....,"',.. ,.......,..,.,.......... . A.Q!'l~" lIONAI'UN! oVIO llU.....1'\ 4-~ ~--- ~.' ..... '0" lC"!,,;ej.\, "L,.i/'i~;)Ji.....i~.,;,,.:,/I;M,,,;;,,,~'~!j'f.ii~J"W,,,,",,,A./i;.,,,,,,,~"'i..",,,,_ ';~~'''1i.~,..w,''''''IJ.A;;.. !JHJlcll to Ijem III B: Change to read: The house I am buying at 1429 Bridge Street, New Cumberland, Pennsylvania, I bequeath to Saint Theresa Church, New Cumberland, Pennsylvania with the provision that Mary Nye, my housekeeper, be given the first opportunity to buy it if she 50 desires; if she does not desire to buy the house, I ask that she be given at least six (6) months to find other lodgings, MONSIGNOR FRANCIS J. TAYLOR #....//( 4d 1xtwt '; ~ Ii Witness residing at. UU l LD\..-.. 433 U""'!;/S~.e,rJ7 A!L .". A/~ 41'4_-"-~'J> iJ1/1p?o , / . a;7) ) re iding at: / &:Yo Ad~o . ~~~au.d/ fJlt/17070 rt~JJ ess _ d~ residing at: - . TJA. ~/ /.3a:' -;. _ (j1i1!... vc: . . A{,.jP d-...,&.c./~ ~. ') /'7II;t:J Ch ,;( .- rp.] 0 n.; Cl\ d: 0 .... ~7':. ' ~ .J q) (,1. f'.. t;; p\ .~~' :;J a: 00 1':;- p;<'.-I INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) C" fOR DAIIS Of DEAtH ArlEN 12/31/91 C1I1CK HEU If A SPOUSAL POVERTY CUOIT IS CLAIMED [ I fill NUMIIR ," MEV I.~OO fX... 1'-?4J j '*' COMMONWEAltH Of PeNNSYlVANIA flfPARtMENT Of kEVHIlIE DfPl 28060\ ~A~~J~.!.l!_R5~. ~~)n10 O~Ol .~_____ [1!CrofNN !-lAM!' (lA&l,'1i'lfS["'fp.frjMIDDtf INITIAl! .... 7'"Jllor . I"ralld", J, ! ':~~r:;~~:~:::,-_--- - IOAT'40;~~:;'7 /"A",;~ :~::'J .~_,_:.._ '" "'''''''''.'"'''''": ,w"", ",., "", "'" ..,,, .,,,,,,, '"""" I""'" Sf"JR'1V ,"'M'" I!! *:$.. lllfrJ ~Ii.j IX:J I. [.14 [J 6. Decodon' DIed hila Ie IAtta,h copy of Willi li. COUNTY CODE l ()1) 7-tJ() lj() l YF.AR .N.~~Jl~~ -- ("irfOffif~TdMJil~f[- ^tiflR~55---~-'''''''"~--- I'-J.-!/J IlrirlqL' 8r:. NL'w Cumbo!' ldnd I I'd. .1. 7070 COlHl!( (,'11111 j)(J 1 1 dwl AMOU'" RIellY", 1\~'~"UCl.~~Slm" ,_.~-~---, LlmUed e'lale I" I 2. Supplement(ll Roturn I ! 40. il [13. Li 5. Future Interest Compromite 1/0, dol.. of d.o,h oft., 1,.12.B2) 7, Dflcodenl Malnlalned 0 living Trusl (A"oeh copy of "Ul'1 ~lCIN'OltMAflOM"'OUt"."OII1~'~' ----.........-IOMPlEH MA.lllN'J ~OORfSS 13 Lil1c()lnwa~, J.;'ast 7.1.7 I 6?4,";L~_~~"==c=~=~,,=~=_,=_--' New.. c~~[::rd, Pa, _173..50 I. R.ol E.lal. (5eh.dul. AI 111 .....!L5.1.QQ,Q...QQ____ 2. Sloek. and Bond. (S,h.dul. 81 I 2 ) ........... ... .__ 3. Closely H.ld SIOek/Po'ln",hlp In'....I(S,h.dul. C) 13 I "_.._.._.____,.. 4. Mortgage, and Note, Recelvoblo (Sch"dule Dl 1.4 I ....._m_._u.__ 5. Cash, Bank Depotitt & Mltcellaneous Perlonal Property 151 ~ lOO..!-~4(j. 99 ISeh.dul. EI 6. Jolnlly Own.d Prop..ly (Seh.dul. F) 7. I,onsf." IS,h.dul. G)ISeh.dul. l) 8. Total Gran Aueh I'utalllnes 1.7) 9. Funeral Expfmun, Adminlurativo COlh, Mhcellaneous hpenles (Schoduht HI 10. Oebh, Mortgage L1abilitiet, liens (Schedule II 11. Total Oeduclionlllotal lines 9 & 101 12. Net Value of hlClle (Une 8 minus line 111 13. Charitable and Governmenlal Bequests ISchedule JI 14. Nel Value Suble~t.!~_!.~~J~.~~,~ .~~~J~I Line 13L___...._ Original Relprr lili5 .... 8f z 5 ~ III .. 15. 16. 17. z ~ lB i 19. . co u S 20. Spoulal Trantfer, (for dellll of death ofter 6.30.941 See Inslructlanl for Applicable Percenlage on Reverse Side, (Include values from SchfJdulo I< or Schedule M.l Amount of line 14 IOl(elblu 01 6eHI role llndude valuet tram Schedule K or Schfldule M,l Amount of Une 14 loxohle 01 15% role llnclude voluol from S(hedule K or Schadulo M.) Prlndpallox duolAdd 101( from linas 15, 16 ond 17.) (red!" Spovtrll Povorly Credll Prior Pnymenls + Remainder Return Ifor dOl" of doolh prlo' 10 12.13.82) Fed.wl Estale Tax ~8turn RequIred _~ 8, Total Number of Safe Deposit Boxet 161,.__ (7)... 191 9,647.9.1. Ie) 1101, 18 , 702 , 94 111) 112) 1131 114) 1151 X.,_- (161___~_~...m..._.._._~~ .06 m 117Iu_.26,.1.33~3.:1__.__.__~ .15m IIBI + DilCounl 1 ()(). 00 (19) 120) Inlerell If Line 19 it grellter them Un" 10, enler Ihe diffeHHlce on Line 20. Tllit ISlho OVERPAYMENT. IiILJ C.wc heru If you fll(l requesting tI Il.funcl of your ovcrp(lyml'hl' ",':,:;.:-!i~~i!!.;:t!~~11~J.J&1j,~~,\J;Ch~ 155.<146.99 28,350.85 127,096.14 100,962.81 "'--~---~ 26..1.J1.J3 3,920.00 _....l2 _Q_~!}O,_ 21. If UM 18 is graoler Ihon line 19, flhlar tho dHfaronco on tine 21 This Is Iho lAX DUll, A. Enter Ihe inleres' on the baluncf! dUll on Uno 21 A. 8. Enler tho 10lClI Qf lino 21 CHId 21A on line 218, TIl11 it the BALANCE DUE, ..........___Mak~.~~!~1c Pavable tOI Reghter of Will., Agent L___~_2':.~_.!!!lJ.~ TO_~,NSWER ALL QUEST'ON~4:).N..!EV.E~,~E~I~_E.AND-TCf RECHI(KMATH ~ <0( . Under ponaltlel 01 porjury, I declare Ihal I have examined !hlS return, mdudlng 0(COmpc1nymg schodule\ and .ICllemon", and to tho bosl of my knowledge nnd belief, it is true, ~orrecl and complete I dednre Ihot 011 rocll 611010 hos bO(Jn roport6(f 01 truo murkol vlIlu6 Doc!nrclIlol1 of pr.lJpmor other rhan Iho porsonal reprolftnlolivo il basltd on all informollon of which preparor liCIt (Iny knowlodga Z~WUii,OI ~lS"J{~~~;lliNn RElU'" I._<~:~, t1ift>ruj ft,~:Vl )~ 011"141 I;: /;\j:jzJ DAlE 'x1);9? . Slor P~EI'AREr#} T~"'RLJ.~~EN'AfI"{ AIiDR[~~ V f. (JAIE 77 ~ , L~lJ1,. ~ Smjtll & Smitll, CPA's, 1'. 0, Box (dUl, IIdtIOV(II, Pd. 173n ' 8/2<)/97 (21) 121A) (2181 3, 72.tI,()J!_.... .L7.Ztl_, QQ- " ,U~I'I!". j"I, -.lib ~.~ SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES AND LIENS PleQI, Print or Tvpe -'---"--"''"PILR NUMiIR'" . .... _......,__ 1991-0050L._.,__...",..._. lOMl.ltltlWIAlltt Of PfNN~Vl"'ANIA ItIIlUlll.NU l.URfIlJI,. ~t~IOfUllJt(IIHNI "TATrOF I:'r.'lTl(}1.~,,~~.'1'a y 1 '?!,.___ ITEM NUMBER DESCRIPTION AMOUNT 1. Bank of Amerioa - Mortgage 1429 Bridge St., New Cumber.!. and , Pa. 2. Physician Rehsb - Medical $ 18,177.04 2.21 155,00 55.00 74.00 164.49 65.00 10.20 3. . Grossman-Cohn Assoo. - Medical 4. Andrews II Pate.!. Assoc. - Medical 5. West Shore Ambulance 6. Holy Spirit Hospital 7. Central PA Oral Surgery - Medical' 8. Lanoo Therapy.Assoc. - Medical '.J TOTAL (Allo enlor on line 10, Recapllulallan) (If mare .poce i. needed. In.ert arldilionol.heet. o/.ame .Ize.) $.18702.94 I I I , , II I I I , ' I , , ., MIV.,J1IB+ Il.~lI '*' r(IMMClNW'''llll 0' ,t~l~I'iIVA~IIA INti"nANeltAlI I!I1UIN :..J:.==..,..~~'_I!I~!,!!._I)lS~OU1! .._~.:;..::..~_.;..:.;...;.;;.:--'.:.;.~.;~-,-,.;.;..:..;...___.....~..__.,;~_ _... _ ESTATE OF SCHEDULE J BENEFICIARIES franci.s J, 2'ayJor ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY A. Ta,obl. 8oqu'III' 1. ,7ohn 8. Tay.1.or 2. SteJ1~ M. Stott 3. ChaJ:les A. Taylor 4. Margaret M. Krepps 5. Rita Fitzpatrick " 11 . i i ( N~T~~ER NAME AND ADDRESS OF BENEPICIARY B, Charitable and Gavernmental BequOItll 1. St. Peter Catholic Church - Elizabethtown, Pa. 2. Sacred Heart Church - Lancaster, Pa. 3. 'Bishop Daley Seminary and Scho.1.arship fund - Diocese of Harrisburg - Harrisburg, Pa. 4. St. Theresa Church - New Cumber.!. and, PI!. FlU NUMBER 1997-00501 RELATlONSHIF AMOUNT OR SHARE Of ESTATE Brot;hor t 5,000.00 sist;er 5,000.00 Brother 5,000.00 aister ' 5,000.00 sist~r 5,000.00 AMOUNT OR SHARE OP ESTATE $ 5,000.00 5,000.00 10,000.00 80,'962.81 ----.-_._-._-~-----,,~._.__.~.._.-_._..~.__..._.~--~--~---------------"-.----- TOTAL CHARITABLE AND GOVERNMEI'ITAl BEQUESTS IAllo en lor an line 13, Re,opllulatianl III mar. .paco I. ne.d.d, In.ert addlllanal .1".11 of .am. .In) S 100,962.8.1. j/j-lf5 .j COMMONWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE ('~ BUREAU OF INDIVIDUAL TAKES INIIEAIUNCE fAN OllJUtoH DEPT, ZIIOIlOI HARR1SBUMG, PA 111l8-0601 NDTlCE Of INIIERIlAHCE lAM ArPRAUEMENI, ALlOWAt4CE DR DISAI.LOWANCE OF DEDUCIIONS AND ASSESSMENI OF TAK 12-29-97 TAYLOR 06-07-97 21 97"0503 CUMBERLAND 101 E~~~~m.d .J MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT /lLONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS .... ilEY': is;'-," EX "AF p" (ilF 97T "tliifi cE" "oF" "fNHEifi f ANC E" TAx" A PPRii i ii E'ifEtl'f,-"A L l"owAN"C! "'oR'"""""" -""".. -"..".." DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX FRANCIS J FILE NO. 21 97-0503 ACN 101 DATI! ESTATE OF DATI! OF DEATH FILE NUMBER COUNTY ACN MARGARET KREPPS 13 LINCOLNWAV EAST NEW OXfORD PA 17350 ESTATE OF TAVLOR TAM RETURN WAS, (X 1 ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST " SEE REVERSE .---- APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. R..l e,t.t. IS~h.dul. A) 2. stock. and Bond. (Sc~.dul. 0) 5. Clo.ely Hald stock/Partnership Intere.t (Schedule C) 4. Hortgag../NCltes Raceivable (Schedule OJ 5. C.an/Bank Oapolit./HiIC. Perlonal Property (Soh.~ul. El 6. Jointly Owned Property (Schedule F) 7. T,..nlf.,., (Schedule OJ 8. Total A_eat. ) CHANGED ll) 55,000,00 (21_ .00 (3) ,00 C't) .00 (S) 100,446,.2.2. (61 ,00 (71 ,00 III APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funargl Ey.p.ns.m/Ad~. Co.t./H1Ic. Exp.n..o (Sohedula H) 10, Dabt./Hortueu. liabiliti../Liana (Schadul. 1) 11. Tohl Deductions 12, N.t V.lue of Tax R.turn 13. Charitable/GovernMant.1 Sequelt.) Non-alaotad 9113 Trult. (Sohedule J) l~. Nat Value of Elt.t. GubjaQt to Tax If an assessment was issued previouslY, lines reflect figurer. that include the total of ill. ASSESSMENT OF TAXI IS, Allount of Una It, .t Spou..l r.t. (5) 16, AMount of lina 14 taxable at lin..l/CI... A rat. (16) 17. Allount of Lina l~ taxable .t Coll.t.re1/Cl.., 8 rat. (17) la. Prlnolp~l Tax Dua TAX CREDITS: PAYHENI DATE 09-0!,-97 NOTE I RECEIPT NUMBER AA242205 DISCOUNT (.) INT~REST/PEN PAID (-) 19 ,00 9,647,91 18,702.94 (UI ll2) 1131 ll4) (9) llO) - IIV. \I~' (I I" I It- '11 FRANCIS J DllTE 12-29-97 NOTEI To inlur. proper ~r.dlt to ~our .~oount, lub.it the upper portion of thl1 for. with your tax P.~Mnt. 155,446.99 18.~~0 8~ 127,096.14 100,962.81 26,133,33 14, 15 and/nr 16, 17 and 18 will returns assessld to detl. .00 K ,00, .00 K ,06. 26~1 K ,15,_ (181 AHOUNT PAID 3,724,00 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE ,00 ,00 3,920,00 3,920.00 3,920,00 ,00 ,00 .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INIEREST, If TOTAL DUE IS LESS IHAN 'I, NO PAYHENT IS REQUIRED, IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU HAY BE DUE A REFUND, SEE REVERSE SIDr OF IHIS FORM FOR INSIRUCTIONS.) ;- ! .__1C. RESERVATION I E.tlt,. of d,e.dent. dying on or b.far. Dle..a.r 12, 1982.. If Iny futurl Intlrl.t In thl ,.t,tl I. trln.flrr,d In Po.....lan or enJoy..ot to CII.' . (ooll_tlrel) blneflel.rll' of the dleldlnt .ft,r thl .xplr.tlon of Iny ..tlt. for I1fl or for v..r., thl COllllonw.,lth hlr.by Ixpr...ly r...tv.. thl riGht to IPprll.. and ...... tr'n.f.r Inherltancl raMI' .t the II..ful-Cllu a (calletarlll rete Ofl ,nv 'UClh future Intar..t. PURPOSE Of' NOUCEI To fulfill thl r"qulrl'.ntl of Slotion 2140 of the Inherltano. Ind E.tlt, TIM ~et, Act 21 of 1995, (12 P.S. Slotlon 9140), PAVHENll D.tteh 'hi top portion of thll Notlol and .ub.lt with your PIY.lnt to the Rlgi.t.r of Hill. prlntld on thl rlvlr., .Id" - -Hlk, cn-ek or .on.v ordlr payabll to 1 RECISTER 0..' MULS I ACENT REfUND (CR) I A r.fund of I tax credit, which WII not r.qu..tld on thl riM Return, .ey bl r.quI.tld by coepl,tlng an "Applleltlon far R.fund of Plnn.Ylv.nll Inhlrltanol end Elt,te Tax" (RE~-1515). APplloetlon. arl avallabll at thlOffloe of thl Re,l.t.r of Will., any of thl 25 ReVlnUI Ol.trlot Offloe., or by oallln,thl ,plolftl 24-hoor an.w.rlng .,rvlol n,Hlblr. for for.. ordlrlngl In Plnnlvlvlnle 1-100.562-2050, out.ldl p.nn.ylvlnlt and within 10011 Hlrri.burt Ir.. (7l7) 787-1094, 1001 (717) 772-22S2 (He.rln. IIPllr.d Only). OBJECTIONSl ~nV p.rtv In Int.r"t not ..tl.fl.d with the .ppr.i....nt, eltowana. or di.ellow.nol of dlductlon" or ........nt of tlX (Including dl.oount or lnt.r..t) I' .hown en thl. Hottol .u.t obJ.ot wlthtn .Ixtv (60) d~YI of recllpt of thlt Notlo. bYI ~-wrlttln protl.t \0 the PA Deplrt..nt of Revenu./ Baerd of App.el., O.pt. 281021, H.rrl.burD, PA ...I.otlon to h.v~ the latt.r d.t.r.ln.d at audit of thl Iccount of the per,one! rlprl..ntltlve, ~N.pp..l to the Orphan.' Court. 11124-1021, OR DR ADMItl ISTRATJYE CORRECTlONSl Faotull .rror. dilcov.r.d on thl. OI.I...ent .hould b. addro...d in wrltin. tOI PA Dlpart..nt of R.venue, Burlau of Individual T.~e., ATTNI Po.t A.......nt RRvlew Unit, D.pt. ?,80601, Herrl.burg, PA 17178-0601 Phon. (717) 787-6505, SI. p... 5 01 tho booklet "In.tructlon. for Inh.rltenoe TeK Rlturn far. R..ident D.o.dlnt" (REY~IS011 for an 'MPlan.tlon of Id.'nl.trltlv.lv correotabl. .rror.. DISCOUNT 1 If any t'M due I. plid within thr'G C3) r.allnd~r lonth' after the d.csd.nt'. d..th, I flv. pero.nt (5~) dl.oount of the t.M paid 1. allow.d, PENAL TV I Th. lS~ t.M aln..ty non4pertlclpltlon p.n.lty I. COlputed on the total of the tlK and Int.r"t .......d/ Ind not plld before Jlnu.ry II, 1996. the Ilr.t day aft.r thl .nd of the tlM ..nl.tv periOd. Thl. non-partle'p.tlon plnlity i. arp.alabln in the .0.. .ann.r and In the the .... tl.. p.rlod e. you would IPP..i thl taM and int.r"t th,t he. b.." .......d e. Indlcat.d on thl. notlo.. INTEREST I Int.r.ot I. ch.r..d b.ginnlng with flr.t day of dlllnqu.noy/ or nine (i) lonth. and on. (1) day frOll the d.tl of d..th, to the d.tl of p'v..nt. T'M.a whlah b.o... d.llnqu.nt before Janu.ry 1, 1'82 bI.r Int.r..t .t the r.t. of .IK (6X) p.ro.nt per annu. 'llIlnu1"t.d It . dellY r.te of .000161t. All tlXU which blo"" d.lInqulnt on end .ftar Janulrv 1, 1982 ~111 bear Int.r..t .t I rat. which will vary frol oliender Yllr to Oll.ndar YI.r with thet rlt. .nnounc.d bv the PA V.perta.nt of Ravlnu.. Th. applicabl. Int.r..t rlt.. for 1982 through 1991 artl '!!!! Int.r.,t Rlt. D.lly Int.rut Faotor !!.!! Int.r."t Aatl D.lly Int.rut F.otor 1982 20% ,000541 1987 9X .000241 un 16% .0004311 1911B-l9qt 11% ,000501 1984 !t:( ,000301 1992 9X .000247 aas 13% .000356 U95-1994 ]X .000192 11116 lOX ,000274 1995"1998 9X ,000247 -~Int.r..t 11 c.lc:uhted .. follo"" INTEREST . BALANCE OF TAX UNPAID X NU"SER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notlo. I..u.d .ft.r the t'M b.co... rt.llnquent will r.fl.ot an Inter..t c.lculatlon to flft.ln (IS) dlV' beYond th. date of the ........nt, If pav..nt 1. .ad. eft.r the Intlr"t oo.putltlon dltl .hown on the Hotlel, addltlon.l lnt.rllt .u.t b. caloulat.d.