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Home My WebLink About97-00599 ,\_.r" , ' ~.. .-i" .... ". ".. ~,-'" ........ , caMMaNWIMf\1 ai' I'I'NNS~I.V~N\~ \lFl,~\\tMIN\ 01' \\EV~NlI~ BU~t~U Of IMOW\O\I~\. 1~~1l9 Of.ll'\?l\060\ \~M,n\nO\Jno, \'" "1,?~\'O{lO' PEtoltolS,{I..\J""~I-' ltolHERI,.-.tolCE -.tolO ES,.-.,.E ,.-.1t Off\C\M.. RECE\P1" .' ~ ., ., ~ n11541 l\rlJ\lOZp,\\l116\ tolo.N\'- . ~ tl)ltl \\\~__--_------:-::-- ES1111E INfORMII1\ON: l'IlE NUMBI'I\ ~ n."~ -sN ,,~-o~...--_.. ."i\l~,~~,-,~,-----" - ,., i,"/_1li~"'''''''-------------- .- """.U \W-~?-- - - - -------------------- ...':JJ.l-:.'.~.....-..-....---_.----._.-- CO\lN''< .' CI.l~t.RI-~.._--.-------------...;:...------ Ol\l[ or l,El\ll1 ._.~.j~------------- fI\'M~RK5 PNC eAN\<. 101~\.~MO\J1'l1 PAID ~~~ ,I) C'II /7 l...-I'.. ' ..) uU- " ,"~.. s f!Jf;tl!.?(J l(i!.~tj \4II-Uf . (/ AMOlll'l1 IlECEIVED fIlO,",' \ ~cl'l A55f.SSMEI'l1 COI'l1'flOI. 1'l1lMBER '.'~' .. ~.;:lV.' _._._._.._..~ ------------. ------ .----.- PNC BAN\<. N PI P 0 BO)( ,;;\oa_'l'IECI-IANICSBllRGl CAl'IP \-Ill-\..' pp, \700\-030a ------ ----.-- -_._~------- ----- ------- .------ ---- ------- ------- ~~.-- .---- .----- ---. .REC\OIVED I\~ \ ~ .- - .--' .,. -,,'- ~...- .""( ..~..... -..' ._.._.'c..-..-........... -'''- \ __._~,- , ' " o' _ ..- t ' , '"' ',- ., SE~tCr\\::CKll '350/;>'5Q \\\. Ci\~'\U\ U\' IN\IU5 '. .. -......... ..... ..-.... "..' .-- .......-. ..,,' -",. " - .-.----~.- .. \ 1" '~1' l"j~h . J .l 1,'" \. .<', '\ t"l \~f "\'f\ .,J ~ II w""- --;.;::~._._.~.. ....--" _, .r ( '","" . ')'...... PNC Bll1k, NA. 1',lvatt 8ank l'enol1al Trull Srrvkcll PO 80x ~OK . Mechanlc.hn'g Camp 1111I. I'A 17001.0~OK, ,,~ I.. 91- 54'9 Arlt, /frq I PNC lPRllVATlE BANK July 14, 1997 Register of Wi1.ls cumberland County courthouse 1 Court House Square Carlisle, PA 17013 RII ISTATI 01' JACOB H. ItOLLIR DATI or DIATHI MAY ., 1~41 COMBIRLAND COUNTY I'ILI NUMBIIl 133. We wish to make payment on account of this Estate's Final Remainder pennsylvania Inheritance tax liability, and, accordingly, enclose our check in the amount of $30,030.00. Please date stamp the enclosed copy of this letter and return to the bank in the enclosed envelope. Please forward your official receipt covering this payment of tax ~o the undersigned at the above address. Thank you. Sincerely, ~a~ Susan A. Russell Administrative Assistant Enclosures ec: Anthony M. vittese, Jr., Senior Trust Tax offioe~ Ma~ia A. Tompkins, Assistant Vice President ' lnve,ftmetlts . Trusts . Banking Services --- ~~ I L' -~:~:'f~rmir27'~0~:~_!_:~F"~~'~';~~T:~':-~-~~-~~~~~"'- llfV'~'V'(1"I* ' . .;O~~ONWEAlTH P NNSYlVANIA OEPART~ENT OF REVENUE OEPT 28()6()1 , . ill i ~ u I c. fy L ;ell . /3, , '.')i't II~01500H REV -1500 INHERITANCE TAX RETURN 'UNU_~ RESIDENT DECEDENT n 97 599 !Z w Q W U W Q -- Kol.l..r, .)""00 II. socw. SECUAITY NUM8ER OAtEOF BIRH! DAlE Of OEATH 05 I Oil I It! I I THIS RETURN MUIT BE 'IF.D IIlllUPLICATE WITH THE REGISTER OF WILLS (If APPliCABlE) SUR....,~\NO SPOUSE'StWM: (LAST, FI~ST. ANOMIOOlE!Ni1141.1 soct~ SECURiTY Nl.lMAER o 1. OO9lnol Rolum 0 2 Supplemental Rolum \Xll R' I R.lum I""""" """. 11.1"'1 o 4 Limited f.tat. 0 40 Futur. inle,..1 Compromoe ,............11.12."1 0 5. Fed.,., EslateT.. Retum Required \Xl 6 Decedent Died Teslal.,,,,,, toO," W,OI 0 1. Deced.nt MalnlalnM . Livi09 TMII""'"", of 'rulll - 8 Tolal Number ot S.t. Depos~ Bo... o 9 LitigatiOn Pro<:oe<ls ReceNed 010 Spousal Pov.rty Cred~ IdIlI......._Il.J1.il..l.\."1 0 1\. EIec1ion 10 talUnder Sec. 9113IAIi""""'0l THIS SECTION MUST BEifoMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SI~OULD BE DIRECTED TO: NMIf Anthony H. Vittenp. Jr. t - COMfIlETEl.Wl1'fG.4DORtiSS Senior Tax Officer PNC 1Ifl1,k. II. A. FIR"""" 1"""....1 1600 Harkct Street. 8th FIr. PNC Bapk. N. A. Phillldelph'.a, PA 19103 TEl[PHONf.NuMBER 215 585-5598 > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < ~ '.0_'_ u.... ........,k.......,l\fm\l~fIIllIjledoeandoeliel,ilistrue.correclendcomple\l.Dec(...aoonolpl.pIf"~ Decedent" Complete Addre..: STRF.E1!OOflESS CITY lSI~E ~llP Cumberland Count Tax Payments and CredIts: 1. Tax Due (Page 1 Line 181 2, Credits/Payments A, Spousal Poverty Credit e, Prior Payments C, Dlscounl (11 30.030.00 0],,14-97 TOlal Credlls (A . B t C) {21 PAID 07-14"97 3, InlemUPenally If applicable D, Interest E, Penalty 467,1,7 TotallnteresUPenally ( D tEl (3) 4, If line 21s grealer than line 1 . line 3, enler Ihe difference. This Is the OVERPA VMENT, Check box on Pagll Llnlle 10 requ"t a refund (4) 5, II line 1 t line 31s greater than line 2, enter tha dlfferenca. This Is Ihe TAX DUE. (5) * Testator died prior to A,Enterthelnteresl on the lax due. enactment of 1961 Act. (5A) e, Enterthe total of Line 5 t 5A This Is Ihe BALANCE DUE, See At tached (58) Make Chec~~ble to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BV PLACING AN "X" IN THE APPROPRIATE BLOCKS 1, Did d~cedent make a transfer and: Ves a, retain the use or Income olthe proparty transferred; """",,,,,,,,,,,,,,,,,,,,,,.,,,,.,,,,,,.,,,,"'" """'" 0 b. retain the right to dellgnete who shall use the property transferred or Itslnr.ome; "",,,,,,,.,,,, 0 c. retain a reverslonaty Interest; or"".""""""""""."."""""""""".""."."""."""." """"""""" 0 d, receive the promise for life of either payments, beneflts or care? ,,,,,,,,,,,.,,.,,,,,,,,,,,,,,.,,.,,""" 0 2. If death occurred on or before December 12, 1982, did decedent within two years preceding death transfer property without receiving adequate consideration? If death occurred after December 12, 1982, did decedent transfer property within one yoar of death without receiving adequate consideration? ." '" ". ".., ".",,,, "" """ """'" """'" "",,,,,,,,.,,,,..,,.,, ,,,,,,,,,,,,.,.. ". 0 3, Did decedent own all "In trust for" or payable upon death bank account or security at his or her death? ."."".",,,,,,,. ".""""""""."""".""".".""""."."."."".,,"" "."""."" ,0 4, Did decedent own an Individual retirement account, annuity, or other non.probate property? ." 0 ~ , . 29,554.46 30,030.00 467,1.7 8.07 No B o o o o o IF THE ANSWER TO ANV OF THE ABOVE QUE8TIONS IS YE8. YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN ____ . fl~'_~_ .m. 72 P,S. S9116 (a) (1,1) (i) provided for the reduction of the tax rate Imposed on the net value of transfers to or for the usa of the surviving Ipouae from 6% to 3% for detes of death on or after July 1, 1994 and before January 1, 1995, 72 P,S, S9116 (a) (1,1) (II) provided for the reduction of the rale Imposed on the net value oltransfers to or for the use of the surviving lpoule from 3% to 0% for datel of death on or after January 1, 1995, The statute does not mmm a trenlfer to a surviving spouse from tax, and the Itatutory requirements for disclosure of assets and flllng a tax return are stili applicable even If tha surviving spouse Is the only beneficiary. FOR DATES OF DEATH ON OR AFTER JANUARV 1, 1995. Please answer the following question by placing an "x" In the appropriate space. Old thl d.cldlnt create I trult or 11m liar arrangement which II lolely for the lurvlvlng IpOUI..1 b.nlllt for hll or her.ntlr. IIf.llme? VII 0 No 0 If you Inlwared yes to the above question, the tax on the trust or similar arrangement is postponed until the death of the second lpoule, at which time it wlil be fully taxable at the rate(s) applicable to the remainder beneficlary(les). Enter ttie value of the trust on Schedule .J, Part II, In order to remove It from the calculation of the tax due In thlustate. You may wish to file Schedule 0 In ordella mike the election available under Section 9113, If the election Is made, the trust or similar arrangement Is taxed In the eltete of the first decedent spouse, the portion of the trust or similar arrangement which beneflts the surviving spouse II taxed at the zero tax rate, and the remllndllr Is taxed at the rate(s) applicable to the remainder beneficlary(ies). If you choose to make the election, you mUlt attach Schedule 0 to atlmely.flIed tax return, along with Schedule(s) K and/or M In order to show the apportionment of the trult or limllar arrangement between the surviving Ipouse and the remainder beneficlary(les). "".....',.1,."'. C~THO!' PENNSYLVANIA INHERIIAII~ lAX REIUR~15015008 e8TATEOF Jacob II. Koller SCHEDULE B STOCKS & BONDS FILE NUMBER AM propelty jolntlyoOWMCf with right ollurvlvonlhlp mUlt be d,"lotod on Ichodult F. ITEM NUMBER 1, DESCRIPTION Under the terms of the Testator's Will, the decedent bequeathed residue in Truat, to pay income for Ufe to his daughter, Mary E. Elder and to his grandchildren, Robert G. Wise and Marjorie 1. WiRe Mohler. Upon the death of Marjorie 1. Wise Mohler, tllP Trust terminatea to the iS8ue of the grandchildren. PA Inheritance Tax, at Testator's death. was paid baBed on the Life Estate of the younger of the three, Marjorie I. Wise Mohler, at the 2% rate. Marjorie I. Mohler died On August 17. 1996 and Final , Remainder PA Inheritance Tal< i8 due on the Reaidu". at the 2% rate. The assets have been revalued as of August 17. 1996, per attac~ed Exhibit I. TOTAL (AI~ enler on line 2, Racepltuletlon) . (If more Ipace II needed, Inl8l1 addltlonallheell of Ihe lame Ilze) 21-97-599 VALUE AT DATE OF DEATH 1..489.360.29 , 'portfolio Vah.iat.io1'l Portfoliol' JACO. H kOLLBP. - 50.\5008 n.te of n.athl 01/17/96 Froe...ing O.t~l 0'/34/97 Valuat10n Datel 08/17/95 Numb.r ot S.ou~itie. 1& Shan. Secu['ity Me~fI Seourity or Pa[' Delcript ion Rlgh/^.k l.Owlald Vall.ll 11 .20 D^UPHIH DBP CORP (23828:i1107) oal19196 30.0 29.0 HIL 08/16196 2~.6 28,15 HIL NMDAQ 20.312600 l:1j~11,35 21 200 EXXON CORP (10229Cll01) oal19196 63.76 82.'1l1 IIIL oal16196 82.626 80,875 IllL NYSB " 12.100000 16, ~09. 00 31 200 GENERAL BLEC CO (369604103) oal"196 86.S .. ,17~ H/L 08/16/96 85;125 S4,E25 II/L NYaS 85.0312&0 ,11, OOfL:I!l .. 600 LILLY ELI k CO (532457108) ,011"/96 58,625 51,875 1I1l. oal16/9. 66.6 68,0 'HIL NYSB 58 . ~tOOOo, 34, no. 00 ,61 20000 UNITED STATES TREASURY NT (912821D90) DTD 01/31/92 ~tl 01; 31/1991 6,250' 08/"/96 100,40625 1.00.34315 ' Ala 081161.6 100.4315 100.375 Ala Dealer Quote. 100,390626 ~O.078.U 61 200ClO UNITED STATES TREASURY NT (912827Q70) OTD 08/15/94 MatI 08/15/1997 6.500' 08/"/'6 100.8126 100,.15 Ala 081161.6 100,U26 100,75 Ala Dealer Quotel 100,711a60 aO;1U.25 71 3S27 PNC INTERMEDIATE GOV' T FutfD 081161.6 ','45 "'46000 14/78$,52 ') 59'8 PNC MANAOED FIXED INCOME FUND 08/16/96 8,U6 8..S6000 S';l,498.37 91 US3 PNe INTERMEDIATE MUNICIPAL FUND- - PA 081161.6 1,IHh381 100.387000 13!:i/823.61 101 3700 PNC VALUE EQUITY FtJHO 081161.6 1$.319 15.319000 56.680.30 ' 111 150. PNe INTERNATIONAL EQUITY i'tJNIl 08116196 11,1li' 37,02.000 87,037,70 1>1 611 PNC SELECT EQUITY FUND 08/16/.6 n,"S8 31,086000 19/:131.99 131 33.7 PNC SMALL CAP VALUE PUND 08116196 ll;nl 'lJ.478000 ..,844.63 W 13.0 PNC SMALL CAP GROWTH PUNO 08116/96 68.111 68.619000' 93,OBti.?0 --;'-, .;, ._.;r_ -V~,.""",i''''''-'....~h . "."", .-- ~ ~r~ ~'" .. ..l~ "~) () lJ '~ :,~~:.,,"...~,,", c"'~_'~"""~~'''~c'''/~'I'i'f~.~'\'!tf~~~'!~'1'f':;;~:r'c,'''';'';'i'~j~''''''~ !'Icl'r~l\'~:'t, ,'n1:'l', ( ,j un ,>, -- '.'-""=~"''''''-'-~''';~'''.~ ~ - -~ -. " ." \: . ~ ,\: \ \ I'NCR.llk,I'M, II,iv,III'1\4IlIk I'NSOllil1 '!'rUM Sl'l ,'Ill'~ ItO I\ox ~\OK. tth'("h;\lIk!\hll1'~ C"1lI1' lIill, I'A 1711111,1I:IIIH t.-"..-,.-- l ,,, -"-.... (,~~::'! ,:~7':,.:~~ ,;r~I~\~'(I~f,;.:t.1j \ !'Ii 'i .~.1, ",rll< J ~ '. V t', ,,..~ _: .0 '" -_li;"-,_ 1 ,'00' ",.' '} ".}'" :'r ,1 I, ',. ~: ~ :r~ :,/ .',. -' - -, ',q' t'" ~",}; f'\ ' ... ' '-r,' ~ ~/'" q 1--~qq PNC PRIVATE BANK 7pQ Register of Wills Cumberland County Courtbouae 1 Court House Square Carlisle, PA 11013 (. ~ - i,' " l1U1lHl3U 12 1.,.111..,1111,,1..11,.1,.,,11,..11,..1.1,11,111.,...,111.,ill --'"'"'_.""'~-~- Wl":-..'....._....~;f~~"-~r'-..'''''~f'---- -~-"""""'~~~~~I"TI....'...,""~~~... , ' ""', ,f 'o!t:' , , " " '. <t _ ~, ~. ' '0' ,1 ,-_,, 'I, ..' ii- , \. '\., l\. .." .. ~ '; -f , , .~ ~-I1't \. ~, ' ' -I" , ~ \' ~, ,'I( ,.:. '~ c, i . " I \ \ ,I i ~-~~ 1/" b.,. W'..,j '__ -77 " '-f'f-_--- fi~H~';' 'J ]'-;:J \1 ,;:::~::~ "i~~,~i<<~~~i,~i:~;;"':~:,"~i,:'~;~~~:'7::";";:~:{~;;;::<f,"'::::':::,: ~~;;, ;, ~~\!~I':-"-' ~-' 1 ''''''",''''''. COMMONWEALTH Of PENNSVl VANIA INHERITANCE TAX RET~Wi;01500R ESTATE OF ,Tl1cob H. Koller SCHEDULE J BENEFICIARIES FILE NUMBER 21-97-599 Groat-gl'lIndAon 25% of Residul! outright NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I. TAXABLE DISTRIBUTIONS (Include outnghlspousal distrlbutlonsl RELATIONSHIP TO DECEDENT AMOUNT OR SHARE 00 Nol LI.t TrultNI') OF ES1'ATE 1, B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II. ENTER TOTAL NON.TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET S (111110I8 space I. needed, Insert eddltlon81 sheets of the lame size) 25% of Residue outright 3. Mary I.ouise Kauffman 1708 Hathaway Lane Upper St. Clair. PA 15241 Great-granddaughter 25% of Residue oul'tight 4. Linda M. Humes 103 S. Market Street Mechanicsburg. PA 17055 reat-granddaughter 25% of Residue outright ENTER DOLI.AR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, AS APPROPRIATE, ON REV 1500 COVER SHEET II. NON.TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTiON 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE I. Robert C. Wine 18 Sheffillld Drive Dil1sburg. PA 17019 2. William G. Wisll 315 E. Allen Street Mechanicsburg. PA 17055 Great-grandaon ,~ft_ ~ ' . . ,~ ,.' ". . ... '. 1 ~. , ' " ~i. I cr. ,\0 ".:~;\',7 ~ r"" \. . I U ~_' O. J . ' It Jnoob II. KcllrH', of the Oorourrh 01' lloohf.mlcAblll'(~, Cnul,ty ol' CumbarltHHJ, HtntR of POlln!ly-lvnnln, hnln~ of' noun(l Mind, I'IOnlOl',\{ noel - undel'ntnmllng, thnul{f1 hn to non 1'01' thfl nltM\o, do malce nnl.l publish th19 "11 lo.t will and \;011 tllmonl; h.roby l'ovol<in~ nntl IMldn_ voit! nll forMnr Vlllln by mil fit. nny 1;1"'0 heret%l'e II\(\de. As t,Q Buoh Oftt.ntA RfI tt hnth planned nOD 1;0 ontt'llnl; 11\1" wlt.h, I dl.poo. of tho onmo no rollnw.l-~ I tllroot that my .11101; '.lobt.nml funol'ol expon'oo by paid by n\Y ExeoutoJ1 hl;ll'elnafter namell DR soon nftel' my flooeano QA it may be convenient no t.o do; ~ml thot n 9ultnl>lo mOI1t1.rnont bo 6I'edtflu'to mark "'y rrnve, tho I:cmt 1'01' tho name to cOl'rc~pond wIth my .'Jt.nt'l.on in Hl'e. x I rivo, devi.e, nnd he"nooth 011 01' my Eeto~e, 1'001 and pereonal and mixed, 1;0 tho Horrleb\ll'~ 1'ruot Compo.ny 0(' ,he Clby of IInrrlsbur!l. r \ \ , state or PennoylvolJio, in trust, howevor, t.hot the soU 1'rustee pay the not lntero.t nOli incollo nrlsing from tho Mid E.to,e to lilY Dauo'ht.er, l1ary E. j~l'lo!', o.n'.1 tlor tv/o chl111ron, ROOOJ't 1 Wl:'io nnu Mar,jorio I. Wloo ,lLlrin", !,holt. natural 11fo in equal ",hare., end upon tho llo th 01' the sold Mery Ii. ),lclor, Robol't n I/leo nntl i'OI'jode I.Wi.o I ~ivo, dovlse, oncl lJequo.,h the oaid ll,otot.o to tho .Io.ue of the sald Robert G. Wi.o lIntl 1.10rJol'io I. Vllee, ohol'o nnd share all.l<or nnd 0110u1cl .1ther 01' tho notll t.wo childl'lIn dle without l.uvin", tsoue, t.hen the Bald E.tato is to be palll oml uonveyed to the l..uo of tho .urvi.WI upon the 'looth of any of tho .oid throe port.los I lllreot. I;hnt t.ho saId int.rent nn,j 1.noomo bo pottl in .qual .hol'oo t.o tho survlv~rs, the laet Burv,tv~r to rooelve nll 01' the .ald .Interost .nd inooone ,11Irin..: Ide or her natural lil'o. / Anti r.1'OHhl the sal.d Hohel't 1.1. Wi.o IlntlllnrJol'ie I. \'/1se tlio without lonvin~ i,,,"e to sUl'vive tilen\, l;hen in such ovont I r:tve, dov tee f.J\d boquOB 1:11 all 01' my salll r,. to to to the laY/Clll heirs of I'll doooao.,1 I"nthnr, ,Jones Follol', tho .wne to be 'llstributo<1 aooord- lng to tho provisions 01' tho Intestato 1,,"," of the Gommonwenlth of Pennsylvania. x \ I " r~" ;',,';"..:.. " " I C0'HUI_L to \.lln lnnL Wl11 f\f\d '!'nnl;OrH1l11-, or ,Innnh Ii 1;011\11'. J. ..Iuonb II. 1,ollfJl'. l;il" \'III;l\ln nnltlnd 'f'nntnl'.cH', ,.\11 1\(\1'"h,V lllnlcft rnd ",'\\1,1\1.<11\ 1',llln (~ulllo11 tiO bt1 IllldfHl IjO In;/ r,nn!; rll11 litH I tl'fJDbl\l\lQnt~ h'WI'_lr11' th" '\1\1:0 tho 1\1.11 f.lU,VOI' Ootnhr-tr h.IJ, .tn?d In lilnm''lr l'Q UOI'/I. "'", 1.0 II I. l.:- .I '10 Ilnrnuy \If'Vnl{1l 1.110 {'ollowLnf~ POI"~t:t)n ('l{' 11~/ md.'l':il.l.lt- "If'lvo, devton IIn.l hnqll.(}(lLh n11 of my 1"ntrl1:(,. ~{"'l\l I\w:i P'_ll'nnnnl un,1 ml:{(\d to lill,.., ll'u'I'tr:blU'" '('l'ttflt _Corl1p~n;r of' t.llflCl.l;~' or liol'l".eul1ri', gt,[lf;n of' I'ollilny-lvnlllu, 11\ Lt'I!!lt, 1l0\'IOvor"; Al1'l, l r.llb":ltlLlILn 1',IIOI'nf'nl'o Lhe J'o11owlnf"J.. liT rrtvo, levten nnc\ h(ll'lllnnth nll 01' lilY !~I1t;,,\,(\, HfJnl nnd P(ll'r\;":\Il[\l nnd flU:od tio 1;118 F'l1'nt nnnlc: ,. '1'I'IU',t (Jompnny ot' l1~oht\tl1Qf1I)Uf'''', I!OlHlfl,lTlvnnln 1n Lr'I!_'t, Ilownvopu. Atl'J I ,to 1I01'oh,\' t'ov,,:li:c t.lp:, ~"molntmont () f tho llal'rlnLlIll'f" 'l't'lIflt <lofl.~nn:r 01' Lho OiLy 01' l;aJ'l'i~lHll'r-,. al;nto oj PCllnnylvnnln, C\9 &Xrynlltnr of IllY nrll.J .1111. And r 1.\0 horeb~ Ilomlnnt.(" nonnt-,11;Ilte nnLl nll/lOlnt Lho Fll'sL !.lank !~ Trl1nt. Comp', 11:'>' 01' '!lcuhnn.l.ont)UI"', PeIl1l8v1vnn1.f\, to he tlle Exaolltol" 01' 1l1Y nol<1 WI.l1, flll'.l of thJ.n r,odlctl; nn'\ I (to hn1"eby r_tify ,'nrl cOllflrm my nuB 11111 I.n all otlicr r"opod" on,l I hereb,v nOl"olnt .Jo8_o_P)Lr.....,}~OJ\O~I_~ At,Lornoy in tld.o my \'1111. In wltnofll':1 ',dlt'l'oOl' I bnvo herounto oet my hnrl,j nnd neDl th.'s _2.0th ., dny ol'._J>,'V:'\o.t .1.:':'3P' .__ _i!2.~L._l\O-'\.'!.o)~~!.L_.A t torlloy. .2.~.P_c.:~L-- J~9..~l;.e_~__Senl. 81r'11e<,1., neale'l, pllhl1.llhe<l <lml deolnre.! b'l the on1.:1 ,T<lo<Jb 11. I(oller lIS !Inti 1'01' a Go.doll to 111.0 hot Wlll and 'I'ontomnnt, In the . \lre.ellce or "", who, ln h19 pr~"enon, o.nl\ 11l the pt'eoonoe of ..oh othAr, htA,V~l, Clt his reflu6st, subnOl'lbed our nnmeo un wltn6BAGS thernto. Ohn~. Yi!~I'.n.o_r__~___ ~~ ~~;-~ ~llI!',"ililr.... ~ .". . " . ~ I' /,.1 ~ \ \ CUMBERLAND COUNTY. III n. it r.m.mb..~d th.t on Ih......U~l\............d.y 01................11(\x.....................................A. D" 1$.:!l.., b.lore m. ...........l"IN~J)...A.....Il.l;rmR)::.lL.................................................. R.rtllor lor tho Prob.1I of Will. and Ironllnl loU.r. 01 Admlniatr.Uon in and lor ..id County, w.. Iruly prov.1I th. la.t Will and To.lam.nt 01.. ........ .....1.~~~.lI.JI......!\!I.u.\l.r....... ........... .................................... ...... ...........,....,.....,.... Loll 01 ., ,............I.t~~.\Jn..O'~,Q.p.lmr.I!..." ...,......', ...,....,.."... ..,..... ....,....',.....".. ,.....,..,..,Oumb.rl.nd County. P.., d.c....d, .nd L.tll.. T..t.ment.1'}' 'lIu.d thor.on th. aanl' day to.1'.\ln...nr.~.t..~n'.IK.."'....,... ... ...1'.r.~).p. ~...R[),I.I!l1.(\!)l. ,..9. ,L!4,~.~', ~ Il,!. ~,~.l~~ I.:.~...,...."....,..,. ,...."............,...."...,. ,.., Ex.c..!A ~9.1:... ,..... .... who belnl duly.......n~Nr.O'...............nccordlnll' to law 10 w.1I and truly admlni.ter th. 1I'00d. and chat- t.I., rllh" and cr.dlla 01 the .aid d.c.a.od accord ill II' to law, and w.1I and truly comply with th. lawI relaUve to the Gollateralllld trlo.fer InherHance Tax... ..........~.~Q,':Il......................,....1o th. day and date \ ,.'r!J.i;...i:!,'~~:r...lJAll~...{l;...:m\!:).T...<!.\!I:w.f1.tl~".Q.F . ~~o.v....~,~.:::;:" ~::.~.;:~.I:I.~~,~.............. R'II'14t.r. .:;'~.::~::.:~;'~~: ~~:~~~~:;!:;.~ T ~!:..:..........._. 1 I = lL. 0 ..J ~ ..J - L ~ ,II 1 ~ I 1 '1 \ Cumberland COQnty, ~s: 1'hl. eth ..' day of "IllY. A. D. .<Al ,bolo.. on., .l..LOYO A.. .1lE:t!Ot:R. n.gl<\.' lor lhe p.ob.t. 01 WILLS, .nd 8unlillg I.RTTnRS OP ADMINISTRATION'ln .nd 11Ir Ih. ClIonly of 1I..s:. A"I\n"~Qn..~...' Cumberlantl, In the Cnmmonwelllth of P(!l1n~ylv.I1I:l, 11ononally (ROle . .CI1"rl~n \'forl\or who IHlin8 doly ...sworn according to I.lW dcpo!e And ~"Y that they arc well I\cql,lllinllld with the handwriting of ..JMQ\) II. . KoUer . who\C! Raine is aUllchc:tl as t99tn.t.o~ - - - - pu.porling 10 be ..........~....Cl().B. It. 1(.9~LEI\. late of . ...J,len\ln.ntQ9\>!\rg.. . Ind that the Slid signature Is true and genuine, and that the uid ." 10 an 1"!llIUme"t or wrUln,1J the Lilt \VIII .nd r..t.on."t of .,."""".....".."""" <1"'....<1 .o1MOB It. 'iOLL.l!:1\ ..' ......... I. now d.c....<lIMIIIII,I,iI,{I ....."lmrn . .hd .ob"rlbed b.lo.. m.. Ihl. ,.. ...........!l.th....... ................ d., 01 ...........MU... ......A. D., m:l<l .....J..LOYD...A...aF.NDEIL . RBGlSTER ""E,l>,Np~I\BO.~. .,,,,..,.....,,,,,,..,,,,,,,,,, CltAIILEB VI AAllli:R "."......",.,,,......,,,,,,,.,,..;,,,....,,..,,",,"""....H" CUMBERLAND COUNnr, !!: rn t' RY TilE TENOR OF TIIESE PRESENTS I, ......!.t1.9XJI...1I.....IlEll.IUm..................................... F.q" Rellllter 'or the Probate 0' Willi .nd OrontlnR I."U..e of Admlnlltratlon In and for the County 0' Cumber!.nd, In tho Commonwealth of Penn.yl..nla, do mako known unlo .11 mon thlt on lho d.y 0' lho d.to heroo', .1 Cor- lisle, before me WI' provfld, I\ppured .od In"lnuRled, Tln1 LAST WH,I. AND TESTAMENT OF .. ,1.~.":-lq .11. .~Qner.. ~r"r.. o!.I,te.c.hnnLc.I\ounSr .CUl.b.~loni. C?llfl.ty.. ,r.~,I\"1'... _ _ _ _ _ _ - _ - O"'Cr'lor.on . , . , . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . , ' . . . , . . . . . . . . , . . . , . . , . . . , , . I:.: &I\iJr.v (a true copy whereol i. 10 Ihese present. ennexed). having whil.I'- he lived at the time 01 ht 0 death divers good. and challel., rillht. and credt. within th" Commonwealth. by realon whete- ollhe approbation and in.inualion ollhe laid l.est Will and Testament. and Ihe committing the Admini.tration 01 .11 and .inQUlar. the g_ and challel., righl. and credits. which were 01 the said decea.ed. a1.0 the Audilinglhe Account.. and Calculation aod Reckoning ollhe .aid ,\d- mini.tration to me are manifestly known to belong. And thai Admini.tration 01 all and .io~- ular, the llood. and challel., righl and credits 01 the .aid deceased, any way concerning il1 R .. W'II d T ./10.1 CQd1D1.1~ THO' rxnST SO"K .. "'R""'" COI"'AN'l OF .....1 I an estamenl4 was commlllea 10, . .,.. ."... ,",', . ,", ., . yy r. . . "'1 . . . . . . .. . 1!~ql!~~~9~\l\l1\91. n..... . . ... ..in Ihe said Testamenl named. .. ~H9V:rP!\. ...... . . having finl been duly. n)1,n.:t.V.I,R,'\ . . . . . . . well and truly to adminisler the good, and chat. tel.. righls and credit. 01 the deceased. and make a true and perlecllnventory Ihereol. and f'!X- hibitlhe same into the ROIlister's office. in the borough 01 Carli.le. within thirly days Irom Ihis date. also a ju.t and true account. calculation and reckoning !II. . . . . .t.h.A.1.r: . , . . . adminislra. lion to render within .ill. monlhl lrom the date thereol. and diligently and laithfuUy to regard. and well and lruly comply wilh lhe provi.ion. 01 the law relating to CoUaleral and Direct inher- itances. IN TESTIMONY WHEREOF. I have hereunlo sel my hand and caused Ihe .ee1 of said ol1ice 10 be hereunto affixed, dated at Carlille aloreSlid. the . . . . . P.ttl, . . . . . . . . . . . . . . .. day 01 , . . . . . . . . t . . I . . .. . . . . , . ,. . , .. , . ,. . ,', .L\f\Y. I . . .in the year 01 our Lord One Thous'ind Nine Bundred and.fQrt'Y~P/lI'...,...,. ;;[t~ a.~ ,Reai,ler LL';;-J;;~" ~Jl:UDJ1:R ..' '\ 15/t/1-' 13 IUREAU OF INDIVIDUAL TAKES INHERitANCE tAX DIYISION DEPT. 210601 HARRISIURO, PA 111ll'0601 COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE ~:/') ~C-. NOTICE OF INHERITANCE TAK A,'UlIfHINT, AL\.OWAHCE OR OlSALLUWAHCE Of DlOUCTIONS AND ASSESSHENT OF TAK In.IH'" "',.1.'h 05-25-98 KOLLER 05-04-41 21 97-0599 CUMBERLAND 103 E-~~ount ROMlttod ===j MAKE CHECK PAVABLE AND REMIT PAVMENT Tal REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 CUT ALONG THIS LINE . RETAIN LOWER PORTION FOR YOUR RECORDS .... REV: iS4;" iii' "AFP" iCiF97"i "iioT i ar "op" i"NHiiiifANCE "TAX" APPRAi iiifiii'r; -ALi:6WANCE "jili"" -" ..-.. -". -"- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX JACOB H FILE NO. 21 9'7-0599 ACN 103 DATE 05-25-98 TAK RETURN WAS' 1 ) ACCEPTED AS FiLED << X) CHANGED SEE ATTACHED NOTICE ANTHONV M VITTESE JR PNC BANK NA 1600 MARKET PHILA !lATE ESTATE OF DATE OF DIATH FILE NUHIIER COUNTY ACN JACOB H ST 8TH FL PA 19103 ESTATE OF KOl.LER RESERVATION CONCERNING FUTURE INTEREST " SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI REMAINDER RETURN I. R..I eobt. ISch.dul. Al UI 2. Steck. .nd londo ISchodul. I) (2) 5. Clo..ly Held stock/Pertnerlhip lnt.reat (Schedule C) (3) 4. No"t..gu/Not.. Roc.lv.bl. (Schodulo 01 141 S. Caah/Bank D,pOllta/Hllo. Perlonal Prop.rt~ (Schedule E) (I) 6. Jclntly D.nod P.cpo.ty (Sch.dulo F) (6) 7. Tren.fe,.s CSch.dul. Q) 17) ., Tohl Au.t. HOTf: To in sur. prop.r credit to your account, lub.it the uppa,. portion of thil forM with your tal( pay".nt. .OQ 910.383.53 .00. .00 .00 .00 .00 181 910,383.53 APPROVED DEDUCTIONS AND EXEMPTIONS I 9. Funerll EXPln.../Ad~, Coata/Hi.c. E~penle. (Schedule H) 10. DoOt./Ho.tgo.. LI.bllltl.o/Llon. ISchodul. II 11. Tot.1 o.ductlons 12. Not U.luo of T.. R.tu.n 11. Charitable/Goyern..ntel 8.qu..tIJ Non-.llcted 9111 Tru.t. 14. N.t U.luo cf Es..t. Subjoot to T.. 11,637.50 .00 (11) (121 (IS) , (14) , 1 .ft~7 liD 898,746.03 .00 898,746.03 191 UOI ISch.dul. JI If .n ......m.nt w.. illu.d pr.viou.1Y, lin.1 14, 15 .nd/or 16, 17 .nd 11 will r.fl.ct figure. that includ. the tot.l of ~ r.turn. ..I....d to d.te. ASSESSMENT OF TAXI 1&. AlIOunt of Lln. 14 ot Spou..1 .0" US) 16. A.ount of Lln. 14 t...bl. .t Llnool/Ch.. A ..to (16) 17. AIICunt 01 Lln. 14 t...bl. ot Coll.tor.l/CI.o. I ..t. (171 11. PrincipII TIM Due TAX CREDITSl PAVHENT DATE Nonl .00 K .00. 898,746.03 K .02~ .00 K .10. ua) .00 17_,974.92 .00 17,974.92" RECf.lPT NUHBER DISCOUNT I') INTEREST/PEN 'AID (-I AHOUNT 'AID INTEREST IS CHAROED THROUOH 06-09-98 AT THE RATES APPLICABI.E AS OUTLINED ON THE REVERSE SIDE OF THIS FORM TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE .00 ---- 17 ,974.92 124.31 18,099.23 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL OUE IS LESS THAN .1, NO 'AY"ENT IS REqUIREO. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YOU HAY IE DUE A REFUND. SEE REVERSE SIDE OF THIS FDRH FOR INSTRUC-TIONS.) . ~EIl!~V'lIlM" _01' NOTlel. PAMMY I REFUND (C'U, DIJECTIONSI AI>>nN III~ATlI/E CORRf.CTIOHSI DISCO' J PENAL TVI INTEREIT I ,. [.t.t..of_d.c~t. dvJ", on or blfor. Deo'~r 12, 19a2 ~M ., any future Int.r..' In t~ ..t.~. ,. trtn,..rrld In po.....lon or Ihjovllent to ellll . ((loUlterIU beneflc!.."" of tht'dl(ltdent .'tlr thl IICP!r.Uon .'1 Inv'I"et. for llf. Or for v..r., the t~..lth hlr'bY 'lCpr,aIIV r'..rv.. thl right to ",r,l.. Ind ...... ttln.'.r Inhlrlt~. TIIC" It the llwful Cl... . (oolht'rt1) rat. on anlt .uch future 1"'.r..t. ',. fulfill thl rlqulreunti of Slctlon 2lttO of the Inh'rltlool and E.t,t, Tile Aot, Act n of 1995. (72 P.I. Slotlon'140), Detlch the t~p portion of thl, Hot lei and tubalt with Your ply..nt to the R'I,.t,r of Mill. printed on thl r.v.r.. llde. ~M"ak. CMck or lonly ord.r p.yltbl, tOI REGISTER OF HILLS, AGENT . r.fund of a t.~ oradlt, which we. not taquaetad on the TaM Aaturn, .ay be r.que.t~ by co.platlng In "Applloatlon for Rafund of P.nn.ylvlnll Inh1rltanc. end E.tat. ,.~" (REV-}515). Application. ara aVlllabl1 .t tho OfficI of tha R.,I.t.r of Will., any of thl 25 Ravlnu. DI.trlct Offlc.., or by oalllng thl .poclal l44hour ."....rll'll .erulc. nUlllbar. for fora. orderlngl In PeM.yl"lnl. 1-100-362-2050, Dut.ldo Pan",.ylvanla Met within 10cII Harrl.burg .r.. (117) 717-1.94, TOO' (717) 772-22S2 (H.arlng 1~.lr.d Only). Any party In Intlrl.t not ..tl,flld with tha ~pral.a.I"t, allowanc. or dl.ollowanco of deduction., or ......-.nt of taM <<Including ah(:ount or Int.r..t) I' .hown on thlt Notlc. au.t obj.ct wUhln tidy (60) day. of rtel.pt of thi, Notlo. bYI --written prota.t to the p~ Dopartllnt 0' Rlvlnu., loard of App.al., Dept. 2'1021, Harrl.bur" Pa 17121-1021_ GR --.llctlon to hava thl ..tt.r dot.ralntd It .udlt of the IOCovnt of tho plr.onal repr..lnt.tlvl, GR --MII"I..I ta tho Orphlnl' tourt. r-actua. .rror. dl.cov.r.d on thl. .......-nt lhould be Iddr....d In writing tOI PA o.plrtaent of R.vtnUl, 'ur.~ of Indlvldu.l '.M", ATTNI Po.t A.....-.nt R.vl.w unit, Dopt. 2.0601, H.rrl.bur" PA 11121-0'01 Phone (717) '.'-'SOS. S.. p... S of tho booklot "In.tructlon. for Inhlrltanc. T.M R.turn for I Ra.ldant Daoldent" (REV-1S01) for an 'MPlln.tlon of ~lnlltr.tIY.1Y corroctabl. .rror.. If onv tax'" 11 p.~d tdthln thr.. U) col.nd.r "nth. .ft.r tho dte"nt'. d..th, . flva p.rcent ts:U dllcount of U,. tlM p.ld It Il~ON.d. Thl 15~ t.K lInI.ty non-p.rtlclp.tlon p~alty I. coaputld on the tot.l of the tOM and Intor..t ......Id, end not paid b.for. January II, 19'6, the flr.t day after tho end of the tlM lRnO.ty p.rlod. Thl. non~partlcJpltlon penalty It app..labl. In till .... unn.r Itnd In thl the .... tI.. p.r led .. YOU wauld applal thl t'M Ilnd Intlr.., tMt ha. be.n ......Id It Inc:llutlld on thlt noUc.. Int.t..t I. char gad bttlnnJna with flr.t dl~ ~f d~llnquenc~, or nine (,) .onth. end ona el) daw froo thl d.t. of dI.th, to tho d.to of PIy,,"t. T.KI. whlQh boo... dell~t before Jenulry 1, 1..2 bllr Intero.t It tho rata of .I~ e'~) poroent p.r annUl c.lculattd .t ~ dall~ tlte of .000164. All t'~a. which b.c... delinquent on In, .ftlr Jonuar~ I, 1.11 wHl b..r Int.,...t .t II r.t. which will V'''~ fro. Ollna,. Y." to cal.ndery,., with thllt tit, ~ctd by tho PA D.p.rt"nt of Rev.nue. Tho appllCabl. Inter..t r.t.. for 1..2 through 1991 .r'l U!I: tnt.,..et Rltl DallY Inter..t Flctor :wr 1ntlrllt R... Oally Int,,,"t FlHltor 19.r ZO:c .OOOSttl 1.., 9X .OUltt7 I9IS I'~ .0OOttS. .".-1"1 lU .0IlOSOI 191_ I1X .OOUU 1"2 9X .0002tt1 191. ISX ,0005S6 1995-19M 7X .000192 191' IU .oa021~ 1995.199. 9X .OOaltt7 --Inter..t II ollcul.ted .. follo.l'l INTEREIT . .ALANeE OF TAX UNPAID X NUNIER OF DAYI DELINqUENT X OAILY INTEREIT FACTOR --Al"IV NGtlee I".... .fter thl tlM btCOlll. eMllnquent will r.Uoct ." Int.r..t colculatll)f1 to flft.an Uil dew. beyond thl data of the ......-.nt. If pay.ont I. ..d. .ftl,. tho Int.r..t oO~Jtatlon d.t. .hewn on tho Notlc., Iddl tlon'l Intlrllt ....at be cllculated. " 'j I' 0\ 'glf '511I ':'=f (t;. ". .... () ,~ ~~ S! If"t" N "",\ t..~) ~.I {.\~ "@ ai 11 ~j ji IR 'j, ,. ~ i_' 1.' II l, L I I! II Ii' r' I i. ~ - ' 6~/q/~ /lJ * COHHONNE~LTH OF PENNSYLV~NI~ DEP~RTMENT OF REVENUE IURIAU OF INDIVIDUAL TAMES INHERITANCE YAIC DIYIIION OfP'. 11"01 H..MI.IURO, Pi 17121-0601 NDTICE OF INHERITAHCE TAM A~'RAlSEHEHT, ALLOWANCE OR DlSALI.OlIANCE OF DEDUCTIONS AHD ASSESSHENT OF TAM "V.lld U m nt,'1I 05-25-98 KOLLER 05-04'41 21 97-0599 CUMBERLAND 102 E---~--:J _ _~M:"R.~~=-__ MAKE CHECK PAYABLE ~ND REHIT P~VHENT TOI REOISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ~LONQ THI8 LIHE ... RETAIH LONER PORTION FOR YOUR RECORDS .. R'Ev:iijl;i'ix-A;ii-iiiFm--iloYiciuo;-YNiiiiiiTANCi-YAin-pjiilA'iiiifiilr;-AiXciwANCi.oli._.......u...... DISALLONANCE OF DEDUCTIONS AHD ~SSESSMENT OF T~X JACOB H FILl! NO. 21 97-0599 ACN 102 ANTHONV H VITTESEJR PHC BANK NA 1600 MARKET PHILA D~TE E!lTATE OF DATE OF DEATH FILE NUHBER COUNTY ~CN JACOB ST 8TH FL PA 19103 ESTATE OF KOLLER DATE 05-25-98 TAM RETUNN WAS I C X I ACCE~TED AS flLED RESERV~TIDN CONCERNING FUTURE INTEREST . SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI REMAINDER RETURN 1. R..l E.bt. CSChlll"'l. Al 2. Stock. Inri londl (Schedule B) S. Clo..ly Hald Stock/P.~tn.r.hlp Int.r'lt CSchedul. C) 4. He.t...../Net.. R.o.l.obl.. (Soh.dul. DI S. c..h/lank 0I,olltl/"110. Parlonll Property (Schedula E) 6. JclntlY O.n.d ~.op..ty (Sch.dul. FI 7. T.an.f... CSchedul. OJ .. Tcbl Au.to I I CHANDED NOTE I To inlure proper oredit to your Iccount, .ub.it the upper portion of thll for. with your tax ply...nt. .00 .00 .00 .00 .l!J!.. .00 538.976.76 (II (II (21 131 C41 151 161 C71_ 538,976.76 APPROVED DEDUCTIONS AND EXEHPTIONSI .. fun,,..l Expln.../Ad... Coata/Hile. E)(pan... (Schedule H) (,) 10. Debt./Hort,... Llabllltl../LI.n. CSch.dul. II (10) 11. Tct.l D.ductlon. 12. Not V.lua cf T.. R.tu.n IS. Ch..ltabl./oo...noant.l '.qu..t., Nen-.l.ct.d 'lIS T.u.t. CSoh.dul. JI 14. N.t V.lua of E.t.t. Subj.ot tc T.. .00 .00 UIl U21 US) (4) nn 538.976.76 .00 538,976.76 If .n .....I..nt wa. i.lu.d pr.viou.1Y. lin.. 14. 15 and lor 16. 17 .nd 18 will rafl.ct figur.. that include the total of ~ r.turn. a.I....d to dat.. ~SSESSMENT OF TAXI 1&. AMcunt of Lln. 14 .t Spcu..l ..t. (1&1 16. AMOUnt of Lln. 14 t..obl. ~t Lln..l/Cl... A r.t. (161 17. AMount cl Line 14 t..obl. .t Coll.t...l/Cl... ,..t. (171 10. ~.Inclp.l T.. Due NOTE I .00 538.976.76 .00 x .00. M .02. M .10. UIl_ .00 10,779.54 .00 10,779.54 TAX CRIDnSI --" ~AVHENT DATE DISCOUNT Ctl INTEREST/~EN ~AID C-I AHOUNT 'AID RECE1~T MU"IER INTEREST IS CHARGED THROUGH 06-09-98 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM TOTAL TAX CREDIT BALANCI OF T~X DUE ,----- INTEREST AND PEN. TDT~L DUE .00 10,779.54 1,267.37 12,046.91 . IF PAID AFTE" DATE INDICATEO, SEE REVERSE FOR CALCULATION DF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN '1, NO 'AV"ENT IS REqUIREO. IF TOTAL DUE 15 REFLECTED AS A "CREDIT" CCRI, VDU HAV IE DUE A REFUND. SEE REVEISE SIDE OF TH15 FOR" FOR INS1'RUCTIONS. I C-/ H 00 't'a5 - R 0#.,1 :? .- (j , \1 :~ iii: . d 00 .l " N >:} Ci , ~ tp " " ";-? () ~'! t\) 1) \If ~~ hla: ~ a: RESE.YAT1ONI E.tat.. of ~ldInt. dVlng un or bl'or, Deo.-ber 12, 191Z ~~ 11 any future lnt.r..t In thl ,"at. I' ,ranff.rred In po.....lon or enJov-.nt to C1I.. . (0011",rall blne,te.arl.. of the dectdent .'t,r the Ixplratlon of env I.t.t. for 11f. or for y..rl_ the CQllOnNallth hlr,bY Ixpr...lv r...rv.. the rllht to IPPra'.. ~ ...... tran,'" Inherltencl "M" at the lawful Cl... I (00110t.ral) rata on any .uoh future Inter..t. PllI!POIf Of NOTlCfI To fulHll thl r.qulruent. 0' SICtlon 21~D of thl Inherltlnol and E.t,t, Tel( Act, Aot 21 of 1995. 02 P.'. ,"tlon 91ltO), PAYMENT: Oet.ch the top portion of thle Hotlel end .~lt Mlth your PIV-.nt to thl Rlg..tar of Will. printed on thl raver.. .I~. ~~"... aMok or lIO~y order paylble tOI REaIITER OF MILLS, AGENT REFUND (CA)1 Ii rafund of I tllC cr.dlt, Nhlch .... not r.....t.d on thl hlC Aaturl\, HY b. r.....t" by co.,laUng In ....pplic.Uon far Refund cf penn.vlvanta Inh.rltanca Ind E.t.t. TalC" (REY~l]l]). Appllc.tlonl .ra avallabl, .t t~ Offlc. of the R.gtst.r of NJ1h, anv of ttM U R.venue Dhtrlet Offlc.., or bv c.lllnll the .p.ol.l 2ft~hour In.Wlrlng ..ryic. nu.bar. for for.. ord.rlng, In penn,vlvanta IM800-]62~2050, out.lde Pann.vlvlnl. and ..lthln loc.l Harrl'bur, Ira. (711) 1'7-'0'4, TOOl (717) 112~ZZSZ (Hear In, IapalraU Onlv). OIJECTIONSI Anv plrtv In Int.r..t not .Itl.fled Mith the appr.ll..-nt. .llowane. or dl,.llowanc. of dadUotlon., or ........nt elf talC (Including dhcount or Int.rll" I' .hown on thh NoUoe au.t objlct within .IMb (60) dlv' of racll,t of thlt Notlel bVI --wrlttln protllt to the PA DlplrtlNnt of R.v.nua, loard Qf Appa.h. Dlpt. ZII021, Harrl.bur" PA 171Z'~lOZI, 0__ n.laotlun to hay. tha ..ttar d.t.r.I,,~ at ludlt of the .ccount of thl p.r.onll! r.,r..antaUv.. O~ ~-.p..l to the Orphlln.' Court. ADHIN ISTRATI'" CQRRfCTlDNS I DISCOUNT I factu.1 .rror. dllODy.red on thl. ......-.nt .hould b. addra..ed In writing tOI PA DlPlrtllnt of R.v~~, 'ura~ of Indlvidull TIlCa., ATTNI po.t A......ant Reyl'N unit, D.pt. Z10601. Hlrrl.but" PA 17121-"01 Phone (711) 117.6505. S.. P'" 15 of thl booki.t "Inltructlon. for Inh.rltanc. hlC R.turn for. RllliMt OIc.o.n1" (~Y~1501) for en IlCpi~tlon of ~lnl.trativ.lv corr.ctabl. .rror.. If any till due Ia plid Nlthln tht.. U) CIlendar ItOnth' .ft.r the dlca..,t', de.th, . fly. parcent U:CJ dlllcOWlt of the t,lC paid i. .llowed. PENALTY I The ISX till .ana.tv non-partialpation penalty I. c~tad on thl tatal of thl talC ond Int.r..t ......ad, and not paId bafor. Januarv II, 1"', thl flr.t d.v .ft.r the and of thl talC -.na.tv period. Thl. non-participation ,~alty It appaallbl. In thl .... lMOIr and in thl the .... U.. period It you NOUld ."..1 thl t,1I and Int~r..t that ha. b4.n .......d a. Indicated on thl. notlc.. UITERESll Inten.t I. eharlld bqlnnlnw ..Ith flr.t day of d.llnql.lanov, ar nlna (.) aonth' andona (ll dav 'rCMl thl dete of d.ath, to thtl data of PI.,..,t. TaMI. which bee.. "Unquant bafc.r. January I, I,IZ blar Int.rllt It the rat. of .IIC (6~) p.rcant p.r InnUl c.lculati4 .t . dillY rat. of ,00016~. All t'lIa. Nhlch bac... delinquent on and .ft.r January 1, I'll will b..r Intar..t .t a rat. Nhlch will varv frol oalanrl~r v.ar to c.lendar Yllr ..Ith thtlt rate ~ed bV thl PA Dlpart.."t of RavlnUl. The IPpllctbla Intar..t rat.. for 1'12 through 19'1 arll '!!!! lnt.r..t Rata Blllv Int.r..t Factor r.m Intarut Rita Dalh tnt.rllt FlCltor 1912 ZOX .OOOS"I 1'17 'X . DOOloit7 1'15 lOX ,00001 1911*1991 1IX .000101 1914 11;( .oonol 1'192 'X .000241 1..15 IU .00nS6 1~3-19'" 7% .01l0l9Z I'" 10:< .000l74 J 99S~ 1991 'X .000Z47 --Intlra.t I. calculated .. follow'l INTEREtT . BALANCE OF TAX UNPAID X NUNIER OF DAYI DELINQUENT X DAILY INTEREtT FACTOR ~-Anv Hotlc. I..~d If tat thl taw bacON' delinquent will rafl.ct IIn Int.rut calcul.tlon to flft.1In US) or. be'f'and thl data of thl ......-.nt. If pav-.nt l. .adl If tat thl Intar..t co.,ut,~lon d.t. .hown on thl Hottell, tddlt1CM'~l Intal'lIt -,It be calculated. 15-/91-13 COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE *' IUREAU Of INDIVIDUAL TAMES INHERUANCE TAM DIVISION DEPf, tlO'Ol HARRIS'URa, PA 11121-0601 NOTICE Of INHERITANCE TAM APPRAISI"ENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESS"ENT OF TAM IIHtuumiH..H 05-Z5-98 KOLLER 05-04-41 Zl 97-0599 CUMBERLAND 104 E---- ~---=1 A~ount R.~I~ MAKE CHECK PAVAILE AND RIMIT PAVMENT TOI REOISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE. PA 17013 CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~ iiEv=iiiij.iif.AFP""iiI9-:9'fj.iloTicE-ofYNiliifii'ANci"TAin.pPR'AlsEMiili'.;.Air6iiAiici.olim.............. DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX JACOB H FILE NO. ZI 97-0599 ACN 104 ANTHONV M VITTESE JR PNC BANK NA 1600 MARKET PHIL A DATE ESTATE OF DATE 011 DEATM FILE NUMBER COUNTY ACN JACOB ST 8TH FL PA 19103 ESTATE OF KDLLER DATE 05-Z5-98 TAM RETURN WAS I (X) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: REMAINDER RETURN 1. Real E.tot. ISoh.dul. AI III 2. Stook. .nd lond. ISoh.dul. II 121 S. Clo..l~ H.ld Stook/P.rtn.r.hlp Int.r..t ISch.dul. Cl IS) 4. "ort..ae'/Not.. R.c.I..bl. ISch.dul. 01 141 5. C..h/lank DIPoaUI/HlIc. 'Irlonll Property (Schldul. E) (I) i. Jolntl~ O.n.d Prop.rt~ ISch.dul. Fl Ii) 7. Tr.n.f... eSch.dule Gl e71 eo Tot.l ....t. I CHANGED NOTE I To lnlur. proper orldit to your Iccount, .ub~lt tho upp.r portion of thll forM with your b)( ply..ent. .00 .00 .00 .00 .00 .00 40.000.00 181 40.000.00 APPROVED DEDUCTIONS AND EXEMPTIONS: 9. funarll b:pln.../Adltl. Coat./"lIc. Expan... eSchadule H) (9) 10. Debt./Nert.... Llobllltl../LI.n. (Sch.dul. I) 1101 11. Tot.l D.duotlon. 12. N.t v.luo of To. R.turn IS. Ch.rltobl./Oo..rn~.nt.l I.quo.t., Non-.l.ot.d 9115 Tru.t. eSch.dul. Jl 14. N.t V.luo of E.t.t. Subj.ot to T.. .00 .00 elll 1121 eU) tl41 no 40,000.00 .00 40.000.00 If .n .1....M.nt w.. 111u.d pr.viouIly, 11n.. 14/ 15 .nd/or 16, 17 .nd 11 will r.fl.ct f1gur.. th.t 1nclud. th. tot.l of ~ r.~urn. ....I..d to d.t.. ASSESSMENT OF TAXI IS. AMount of Lln. 14 .t Spou..l r.t. Ii. AROunt of Line 14 t..obl. .t Lln..l/Cl... A r.t. 17, AMOunt of line 14 taxable .t CollateraI/CI... . rat. II. Prlnclp.1 T.. Du. TAX CREDITS: PAY"ENT DATE NOTE: I1S)_ Uil U71 .00 M .00. 40.000.00 M .OZ. .00K.10. UIl .00 800.00 .00 800.00 .-----.---- RECEIPT NU"IER DISCOUNT et) INTEREST/PEN PAID 1-) AIIOUNT PAID INTEREST IS CHARGED THROUGH 06-09-98 AT THE RATES APPLICABLE AS OUTLINEO ON THE REVERSE SIDE OF THIS FORM TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE .00 800.00 78.84 878.84 . IF 'AID AFTER DATE INDICATED. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL OUE I~ LESS THAN .1. NO PAVHENT II REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREon" eCII. YOU "AY II DUE A REFUND. SEE REVERSE IIDE OF THIS fOR" FOR INIT~UCTIONI.I t!/ H :,. lXl R ~. ~ ~ fl. S8: o ) (.) '1 '6 ,~ ~ i1\ ,~ ~i (1 ~ ~ ~~ MURVAllOlh E,t,t., of d.cad.nts dvlng on or bafora IMe.llbtrU, 1912 ~- If ."y future Inter.,t In tM ..t.t. It trlM'l,ferrad in po"e..lon or .njov.ant to CII... (colllttrallbtntflol.rl.. of the dlc.o.nt aftar tM 'Mp'ration of ,nY I.t,t. for aUe or for y.ar., the C()IIIIOnW.Uh hlr"" IKprl..IY r...r"" thl right to _nil. and ...... tran.f.r IflhairttanCt TtM'" at the ....ful CII" a (coll.tlrlll rlt. Ofl MY 'UGh future Intlrl.t, _Of NOTICE I T(I fulfill thl raqulrHlnts of Slctlon 2140 of thl IntltrU.nol and E.tlt. hM Aot, Aot 21 of 1995. (72: P.S. IIcHon 91"0). PAVH[HTI Detach the top portion of thlt Notlo. W\d .ub,it with yuur ply..nt to the R.,ltt.r of willi prlntld on thl r.v.r.. .1.. u-"fIk' cheok or .0nlY ord.r p':tlbl. tOI REOISTER or MILLS, AGENT REfUND (tR) I A r.fund of I tlM crldlt, which MOll not rlqulltld on the TaM Rlturn. .1'1 bl rlqu..tld bv cOllplatlnl an "Apolloltlon for R.fund ofPlnn.ylv.nla Inh.rltanu Rnd E.tat. Till" (REV.15U). Application, art IVIUlbl. It thl offlc. of the R..ht.r of WUh. "''1 of th. 2J R.""",. Olttrlct OffIClII, or by c.lllng the ,p"del 2ft-hour '"....rlnt ..rvlct ~.r. for fnra. orderlngl In PInn.y1vant. 1-100-)62.2050, out.ldt P.nn.yl~.nll Ind within 10c.1 Harrl.burg .r'l (717) 7.7-60'4, TOOl (717) 712~22S2 (H..rlng ..p.lrld Only). OIJECTlONSl Any p.rty In lnhr..t not tttltfllld with thtl IIPprlltl.."t, eUOM"'c, or dlt.UoMM<i' of deduction., or ......Mnt of taM (Including dlleount or Intlrlllll .. shown on thlt Notlel liU.t objtct wlthln .1Mb (60) dlY' of rKalpt of thh Nett Ie. by I ~~wrltt.n prota,t to the pI, Dep.rt"."t of A.v,nut, IOlrd of .pp,,,h, Dlpt. 211021, Hlrrhbur" PA 1712I~lD21, OR ~.Iltctlon to hlvl thl ..ttlr dttlr.lnlld lit audit of thl account of the p.r,onll rapr...ntltlvl, all ~~appe.1 to thl Orph,n,' Court. ADMIN IIIRATlYE CORttECTJOMll FlCltu.1 .rror. dhoov.r.d on thh ......Mnt .hould be addr....d In wtltl"8 tOI PA alPlrtHnt of R,vtnUl, lurlltU oflndlvlctu,l TIM", AnNI pu.t '"Cl"lllnt R.vl... Unit. DlPt. 21"01, Hlrrhbur" P. 171U-0601 fl'honl (717) 717~650S. Slct P'" 5 of tI~ bookl.t "InstructiOn. for Jnhtrlttne. TilM R.turn for" Ruldtnt OIoldtnt" (REY.l!i!)l) for an 'Mpltnttlon of tdllnlltntl".lY corrlClttbl. Irrort. If aM tlM dut h p.ld within thr.. (]) uland.r IIOnth' .ftlr thl cMUdtnt" dllth. . flv. p.relnt UlO dhoount of tht t.M plld It .11oMld. Thl 15:< t.)C una.ty non.plrUclp.tlon p.nllty it oOlPutlltd on the total of the h)C IIftd Int.rllt I,,""d. and not p.ld b.forM J~lrV II, 1"6, the flr,t dey Ift.r thl Ind of thl t.M ..nastv p.rlod. Thl. non-p.rtlCllp.tlon p.....ltv It lJ$IpI.llbl1 In thl .... ,ann.r Md In thl the .... U.. p.rlod .. vou would app..l thl t.1t and Intlrllt thllt h.. bIIln .......d .. Indlo.tld on thl, naUol. Int.r..t It ohlr,ad Mglnnlng with flr.t day of dtl.lnquanoy, or nine (9) IIOftth. IncI OM Ol d.y fr" thl d.tl of de,th, to thl dlt. of pav..nt. hll.1 NhIClh Ma'" d.lInquant b.for' JllnUlry 1, 1912 bllr Intlrut at the rlt, of ahe "Xl plrelant p.r annuli Cll1cutltld at " dilly rtt. of .000l6lt. All tflMII which b.c". dlllnquant on IrId Iftlr Januarvl, 1912 will b..r Int,,"t .t . r.tl Mhleh wll1 "arv froll c'l.nd.r yair to oll.nd.r vllr Mlth tt1llt r.t. ~.d bv thl PA IMp.rt.."t of R.vlMM. The .pllcabl. hlt.rllt r.t.. for 1912 through 1991 Inl DISCOUNT I PEI4AL TV I INT!""'TI 'WI lnterllt Rat. Ollilt Intlrut factor wr Int.rllt Alt. O.tllt Inter..t flctor 1912 20X .OOOSitl 1911 .% .00021\7 I'll 16:< .00043' 1"1-1"1 11:< .OOOJIH l"tt 11ie .000$01 1992 91: .000247 1"5 I5X .000$56 1991-1'94 'X .000192 191' lOX .00021lt 19,.-19.1 " .000247 --lnUr..t l. ulcull1t.d .. folloM" INTEREIT .. IALANCE OF TAK UNPAID K NUNIU OF DAVI DELINQUENT X DAILY INTEREST FACTDR -~Anv "OUCl. I..uad .H.r thl t.1C bROIl' daUnquln' will r.n"ct an Int.r..t ulcullUon to fift.", US) d.y. beyond tn. d.ta of the ......aent. If payltlnt I. .ade .HIIt thl Intarllt Co.,utlUnn d.t. shown on thl ' Motlea, Iddltlonl1 Intlr..t MI.t bII CIIloU1tttd. /:;-1(1/'/3. auRIAU 0' INDIVIDUAL TAM.I INH!RIIAHCE lik DIVI.ION DE". ,.0601 KiRk,'IURU, ,i "1".0'0' COMMONWEALTH 0' PENNSYLVANIA DIPARTMINT OF REVENUI INHERITANCE TAX STATEMENT OF ACCOUNT c... '* .....Im.."'''...'' ANTHONV M VITTESE JR PNC BANK NA 1600 MARKET ST 8TH FL PHILA PA 19105 DATI 05-26-98 ESTATE 0' KOLLER JACOB H DATE 0' DIATH 05-04-41 FILE NUHBEII 21 97-0599 COUNTY . CUM8ERLAND ACN 101 EAMOU.,t hMIUod I MAKI CHECK PAYABLE AND IIIHIT PAVHINT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 MOTEl To lnlura proper credit to ~our acoount, lub.lt the upper partinn of thll fDr~ with your t.. paYMent. CUT ALONG THI8 LINI ~ RETAIN LOWIR PORTION FOR YOUR RICOIIDS ~ iIIY;'UiiWix-Aj:p"loY:97y------iiiiii-iNHiRii.-ANCi--fiiiC-iTA-fEMENf-bTACCouiifuiiili----..------------ ---- ISTATE 0' KOLLER JACOB H 'ILl NO. 21 97-0599 ACN 101 DATI 05-2!:!!. THI~ ITATIHENT IS PROVIDID TO ADUISE Of THE CURRENT STATUS Of THE STATED ACN IN THE NAHED ESTATE. SHOWN IE LON II A IUHNARY Of THE pRINCIpAL TAM DUE, APpLICATION Of ALL PAYHENTS, THE CURRENT BALANC., AND, I' A,pLICABLE, ~ PROJECTED INTEREST FIOURE. _ DAlE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 05-13"98 PRINCIPAL TAX DUE, .00 PAVMENTS (TAX CREDITS), PAVMENT DATE 07-15-97 RECEIPT NUMBER AA21l541 DISCOUNT (+) INTEREST/PEN PAID (-) .00 AMOUNT PAID 70.32 ~ t.,( '15 r. :;>0.; !/l ~ n !l)~ EC " 1:1 s~ }.'? .- , , I{' !l ,-j '.- ~ "I ibJ) tJ 711 .j) ji' ~ ~! TOTAL TAX CIIIDIT BALANCI OF TAX DUI INTIRIST AND PIN. TOTAL DUI 70.5Z 70.32CR .00 70.52CR M I' 'AID AfTER THII DATI, lEI REVEllE 1101 fOR CALCULATION 0' ADDITIONAL INTlREIT. C I' TOTAL DUE II LISI THAN '1, MO pAYHINT II REOUIRED. I' TOTAL OUI II R.'LICTEO AI A "CREOIT" (CRI, YDU NAY II DUE A REfUND. lEE REVillE 1101 Of THII 'DIN fOR INSTRUCTIONI. I /5"" /0, / ~ (b c~~. COMMONWIALTH 0' PINNIVLVANIA DIPARTHINT OP RIVINUI INHERITANCe TAlC 'TAT~~ENT OF ACCOUNT * SURIAU OF INDIVIDUAL TAN..I IIKoITAIIC[ lAM DIYIIIOII DE,' . . nuu HAllI'IUlI. PA IIII.-IAII IINmUU'lIJ.m ANTHONV M VITTESE JR PNC lANK NA 1600 MARKET ST 8TH FL PHILA PA 19105 DATI IITATI OP DATI OF DIATH PILI NUHIIR COUNTY ACN 05-26-98 KOLLER 05-04-41 21 97-0599 CUMBERLAND 102 A_t ReoUtod 'J JACOB H [ HAKE CHICK PAVAILI AND RIMIT PAVHINT TOI REOISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 HOTI, To inouro ,ropor credit to ~our ..count, ouboit tho uppor portion cf thia foro with ~our tox p01OOnt. CUT ALONG THIS LINI .. RITAIN LOWIR PORTION FOR YOUR RICORDI .... ili-V: llili'f-iic--AFP-rrli-:9'iru-uiiiiii-iNifiR irANi:'f" fA'ji"iTATiHi-tif-OF-Aifcoi.iiif--iiliiiu---------u--- no u IITATI OP KOLLER JAGOB H . FILl NO. 21 97-0599 ACN 102 DATI 05-26-98 THII STATEHENT IS 'ROVIDED TO ADVIIE OF THE CURRENT ITATUS OF THE ITATED ACN IN THE NAHED ESTATE. lHONN IELOW IS A SUHHARY 0' THE 'RINCIPAL TAN DUE, AppLICATION OF ALL PAYHENTS, THI CURRENT IALANCE. AND, IF A'PLICAILE, , A ,.~eeTED INTEREST FIOURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 05-18-98 PRINCIPAL TAX DUE I... 10,779.54 PAVMENTS (TAX CREDITS), PAVMENT DATE 07-15-97 RECEIPT NUMBER AA211541 AMOUNT PAID 11,170.95 DISCOUNT (+) INTEREST/PEN PAID (-) 591. 59- '5", 0 ~ ~~ . . (I) iF .... ,(?~ a! -.) \') !. , .. If' I:) 1.'1, , .') QI-fL. ~ "I e.0 '. '0 Q) ([) 1& ~ .><; ~ TOTAL TAX CRIDIT IALANCI OF TAX DUI INTIRIIT AND. PIN. TOTAL DUI 10 , 779 . 54 .00 .00 .00 o . If 'AID AftER TNII DATE, SEE REVEIISE IIDI FOR CALCULATION OF ADDITIONAL INTIRIIT. I I' TOTAL DUE II LEII THAN tl, HO PAYHENT II REQUIRID. I' TOTAL DUI II REFLICTIO AI A "CRIDIT" ICRlr YDU HAY II DUE A RE'UNO. lEE REVERSI 1101 OF THII 'ORH FOR INlTIUCTIDNI. J ("' 15 -1(11/3 IUAIAU or INOIVIOUAL TAMil 1...."m*E 'A. DIYIJIOII Dl". 11"0. HARAI'Juoa. PA 171'....01 COMMONWIALTH OF PENNSYLVANIA DIPARTMINT OF RIVINUI lNHEtnTANCE TAX STATEMINT OF ACCOUNT * ....,..,..", III.'" ANTHONY M VITTESE JR PNC BANK NA 1600 MARKET ST 8TH FL PH1LA PA 19103 DATI ISTATIl OF DATI 0' DIATH PILI! NUMlIR COUNTY ACN OS-26-98 KOLLER OS-04-41 21 97-0S99 CUMBERLAND 103 AlIOunt MHltt.d JACOB H [ MAKI CHICK PAYAILE AND REMIT PAYMENT TOI REOISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTII To In.ur. ,roper .redlt to 10ur ...ount. .ub.lt tl~ up,.r portion of thl. for. with your t.. ,.yaont. CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ... illv:Uio1-ix.AF.....io3 :97"i ... '--.iiii"iNiiiliiTAiici"i'A'iCii,'A'iii4INi'-OF'-Accouiii.. ii....----..-----.. --- --- ISTATE OF KOLLER JACOB H FILE NO.21 97-0S99 ACN 103 DATI OS"26-98 - THIS STATIHINT IS PMOVIDID TO ADVISE OF THI CUMMENT STATUS OF THE STATED ACN IN THE HAHED ESTATE. SHOWN BELOW 11 A IUNHARY OF THE 'MINCIPAL TAX OUI, A'PLICATION OF ALL PAYHENTS. THE CUMRENT IALAHCE, ANO. IF APPLICABLE, A PROJECTED INTEREST FlOURf.. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, OS-18-98 PRINCIPAL TAX DUE,...... 17,974.92 ..""........~.........--_.,_....."... . .........-............"."'''.,....,- ....-.......". PAVMENTS (TAX CREDITS), PAVMENT DATE 07-15 RECEIPT oNUMBE ;":'AA21l5141 s: .' " DISCOUNT (+) INTEREST/PEN PAID (-) .00 AMOUNT PAID 17,974.92 (!.I~ I:; ',~~ ,"-,i ~ u , ' Ii, (II b 1"7< ~" 0' ~a:: ~ ~ 'j B~ TOTAL TAX CREDIT IALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 17.974.92 .00 .00 .00 . l' PAID AFTERTHII OATI. lEE RIVEIlSI 1101 'DR CALCULATION 0' ADOITl~L INTEREST. C I' TOTAL OUE IS LEII THAN U. NO PAY"INT 11 MEllUIRED. l' TOTAL OUI II IIFLICTED AI A "CREDIT" ICRI. YOU "AY BI OUI A REFUND. SEE REVEIlSE IIDE OF THIS 'OR" FOR INSTRUCTIONS. I I ~; /f1;' I 3 - COMMONWIALTH OF PINNSVLVANIA DIPARTMIHT 0' RIVINUI XNHI!UTANCI! TAlC STATI!MI!NT OF ACCOUNT IURIAU OF INDIVIDUAL TAME I INHERII~l lAX DIY..IOM IllP" ,....1 ~II~, 'A 11"a-0"1 "".1"''''''11I'''' ANTHONV M VITTESE JR PNC BANK NA 1600 MARKET ST 8TH FL . PHILAPA 19105 DATI IITATI OF DATI! OF DIATH 'ILl NUMBIR COUNTY ACN OS-26-98 KOLLER OS-04-41 21 91"OS99 CUMBERLAND 104 JACOB H L A....~~..ltt.d l MAKI CHICK PAVAILI AND RIMIT PAVMI!NT TOI REOISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17015 HOTEl To tneur. proper oradit t~ ~Dur .coount, I,..it tho upp.r portion of thll for. with your t.~ pay-.nt. CUT ALONG THIS LINI .. RITAIN LOWIR PORTION FOR YOUR RECORDS ~ illv: U.ii1-ii{"A;:p- i 03': 97Tn - ---iiili'--iNH'i'R iYAiliii-- TAX - STA'fiiii"NT - oF' - ACCOUNf -- i.-.ii ------ -- - -- --. 00 - -- -. IITATE OF KOLLER JACOB H FILE NO.21 97-0S99 ACN 104 DATI 05-26-98 TNIS ITATENENT IS 'ROVIDED TD ADVIIE OF THE CURREHT STATUS OF THE STATED ACN IN THE NANED EITATE. lHOWN IELOW II A I~RV OF THE 'RINCIPAL TAK DUE, A'PLICATION OF ALL PAVNENTS, THE CURRENT BALANCE, ANO, IF A'PLICAILE, A PROJECTED INTE~EST FIOURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, OS-18-98 ~RINCIPAL TAX DUE, 800.00 PAVMENTS (TAX CREDITS), PAVMENT DATE 07-1S-97 RECEIPT NUMBER AA21lS41 DISCOUNT (+) INTEREST/PEN PAID (-) 13.83- AMOUNT PAID 815.113 '0 (I) .- S~ " '~ -. .- i.? Ei: D ",.,,';>' ., U fj u If' I) , (~J f;' ~ '') nt' d '\....._1 (J C'J) ~.; 1& ~ aJ TOTAL TAX CREDIT IALANCI OF TAX DUI INTERIIT AND PIN. TOTAL DUI 800.00 .00 .00 .00 . ,IF PAID AFTER THII DATE ,SIE REVERSE IIDI FOR CALCULATION OF ADDITIONAL INTERllr. C If TDTAL DUE II LIIITNAH U, NO PAVNENT II REquIRED. I' TOTAL OUI II RE'LICTED AI A "CREDIT" CCRI. VOU HAV I. OUI A REFUND. lEE REVERlI IIOE 0' THII FORN 'OR INSTRUCTIONS. I