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HomeMy WebLinkAbout97-00695 ~ ?:'" E . k ~ " ~ ,." .~. "'- < .... ~ " OJ ~ ~ u.) c;:.,.. ~ ! ~ ~ '., PETITION FOR PROBATE and GRANT OF LETfERS 'NO'~~ To: . ",' RcPaler of Willa for the _ DIC,/lS,d. CounlY of ~berland In the Social SIC'Ur/11 Na. .:! 59- 38-08 75: ' ~ommonwca1lh of pennsylvania The petition 01' the undenlllled respectfully reprlslnll thaI: Your peddoner(s), who Is/are 18 years of aal or older an lhe execut\lr In the lasl wl\l of thl above d~edent. daled j " L V "'I and codlcll(s) daled ~ - Ella/l of _,Alethea M. also knoWII /lS .',. MyerB .19 ~f'ed = (II'" rel....1 circum"...... '.1. ,,"o"cl.,lo". dra,n 0' ,,""10', Ole.) Decedent was domiciled at death in S,!!!1!~tlJ1nd - CountY. Pennsylvania. wllh " or lasl family or principal residenCe al 6 South 34th Street ~ Cnm Hill PA 17011 11\1~ ' ,,, Ri). \Ult str..t. numtM'r. r....p llr Hllro.1 Decedent.lhen 84 years of age. died JulY 31 1997 al Cam Hill Cnre Center Cam H111 PA (llorough of Camp 1l1ll~ . ExcePt as follows. decedent did not marry. WLl nOI dl,orc.d and did not have a child born or adopted after eltecudon of the will offered for ilrobate: WIS nOI lhe Ilwm of a ~i1\\ng and was never adjudicaled incompetent: Decedenl at dealh owned property with eSlimaled 1310.'" folloWS: (ll domiciled In Pa.) All personal properlY S 2S. 000,00 (ll nOI domiciled In Pa.) Personal property In p.nnsyl,'anis S (ll not domiciled In Pa.) Personal property In Coonty S Value of real estate in Pennsylvania S_ situated as folloWS: ~ WHEREFORE. pc:titloner(s) respectfully requnl\ll Ihe probate of Ihe last will and codlcll(s) presented herewith and the pant of iellers tentamont:ar'/ -- , """"'.,,,.,,. adm;.!",.,lon C.I..,; .dmin!",.lio. d,b..,C,I,.,) Iheron, l-- 11 _Tl d, 'Il'. ~o 1 ill (:"/10-.(". _.?l..,--...-,~,~..,..., ~ _",<a. Charles av son Myers. Jr, 6 ,south3j4th Street c.:\~ lli'-. pA 1701\ - ~ - .==~ OATH OF PERSONAL RE.PRE.SENTATIVE COMMONWEALTH OF PENNSYLVA:'lIA } 88 COUNTY OF CUMBERLAND - The peddoner(s) above-named swe:u(s) or afrumtsllhlllhe ltatemenlS in Ihe foregoing petition are true and correct \0 lhe besl of Ihe know led Ie and behcf of pelil ioner(s) and Ihat as personal represen- Iltive(s) of lhe above decedenl pedtioner(s) will ...Ultld lluly adminisler the estate accord!na 10 law, sworn. 10 or arn~~ and IUbSCr\bed~, J'/)--!" ",)~.,,,..,, 1'" (T-~ : (f. ~ ~'Pe Ihis . b _ day 9 6 ~ . C I , r r i \. - I MI\R' . 1. :WIS ,Rtristl ' - ~ /5- Ag- Lr \ \ \ 1 , \ \ ! \ *.*. WILt. .*.. I, ALETHEA M. MYERS, of the Township of Mount Lebanon, County of Allegheny, and commonwealth of pennsylvania, do make this my will, hereby revoking any and all wills at any time heretofore mad~ by me. FIRST: I direct my Executors to pay from my estate the expenses of my lant illness and funeral as soon as may be convenient after my death. SECOND: I give and bequeath all household goods, furniture, furnishings, bOOKS, pictures, paintings, silver, chinaware, jewelry, auton~biles and personal effects, if any, which I may own at the time of my death to my survi v- ing children in such shares as they may determine, and the rest of said property shall be sold and the proceeds added to my residuary estate. THIRD: All the residue of my property, real and personal, and wherever situate, I give. devise and bequeath to my children, CAROL ANN MILLER and CHARLES DAVISON MYERS, JR., in equal shares. FOUR!tl: I nominate, constitute and appoint CAROL ANN MILLER and CHARLES DAVISON MYERS, JR., as Executors of this my will. In case of the death, incapacity or refusal to act or to continue to act as my Executor, of either of them. the other may serve alone in such capacity. No bond shall be required for either of my fiduciaries. I give and grant to my Executors, in addition to the authority conferred by law, the power to sell any or all of my property, real or perlonal, at public or private sale, at such time and for such price and upon such terms and conditiona as my Executors shall see fit, or in their discretion to retain the same and make distribution in kind. : I 11 I direct that all estate, inheritance and other taxes in the nature thereof, together with any interest thereon, becoming payable because of my death with respect to the property constituting my gross estate for death tax pur- poses, whether or not such property passes under this will, shall be considered a part of the expense of the adminis- tration of my estate: and no legatee or devisee or any person having a beneficial interest in any SUCll property, whether under this will or any codicil thereto or other- wlse. shall at any time be required to refund any part of such taxes. IN WITNESS WHEREOF, I seal this j..,/ t:f day of have hereunto set my hand and J 1 L ,~i'f- ()J -' 1914. /,"" ,",,&:c4<>- Alethea ')/(, '))t"'~ M. Myer!1 (SBAL) SIGNED, sealed, published and declared by ALETHEA M. MYBRS, the Testatrix above named, as and for her will in the -2- g~ 1lO 'U II 5 c:'" i I I III zP 1I~:E -t:J c 0 :II :II IE - . Gl III Gl i ~ % ~ :Jl . ~ . 004 "U Z' . )i :1\ f/l :"1lI1l1 . I CIIc~ i l::G= ~ N ~,o . Z Z Gl ;; o ii:) '1',1.,. r.'_ I.(J .... r::l ;'<:-Q """ u '. r.... fh ~~ ~ Go i!,J:tJ--..; 4" ., 'i ! ' Af.'':'-1100 [1(.V-1I4) COMMONWE~l TH OF PF:NNS'Y'lVANIA LH,PMHMfNT or ArV(NUl nrPT.21II11H' flAAI\I$OURG, I'~ '7 121"\UW I 1(1 \: '0 I" FOR DATES OF DEATH AFTER 1213'/1' CHF.CK ttERE IF A SPOUOAL POilE~~F.DIT IS Ct..A~ FILE NUMBER 21 199'1 COUNTY CODE YEAR DECEDENT'S COMPLETE ADORESS 6 South ]~th StrL'et DATE OF DEATH lDATEOFIlIRTH Camp IIllL PA 17011 0'//31/9'1 19]/1()/19lJ COllnt Cumberland ^M1'(i7i,r;-~CIAL SECURITY NUMBER AMOUNT RECEIVED (SEE INSTRU(;TIONS) -u7s~Plornontdl Roturn ~ Romalndot Rulum (for [ja,.,nlduthprinrto '2~':l-821 j INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE . WITH REGI~TER OF WILLS) 0695 NUMBER DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) ~ors. Alethei! M, DEC DENT SOCIAL SECURITY NUMBER E 159- 3808'/5 A LlcAiiITlllURVIVINn ~POlJ~r's 'lAST AND MID )l[ INlTIALI 14, N.I Valu. Sub ocllo Tax (Un. 12mlnu. Un. 13) 15, SpOil"! Trlnef.re (lor datu of d.ftt" .ft., 6-:l0-94). SII (15) lnetruttlont for Applicabl. Ptrtentlgll un Pag, 2. Onc!udll "llu'lhom Sch.dul. K or 5ch.dul. M,) 16, Amount 01 Line 14 taxable at 6% rate (16) (Includ. val".slrom Sch.dule K or Sch.d"l. M,) 17, Amount ot Line 14 tDable at 15% rate (17) (Includo .alu.slrom Sch.dul. K or Sch.dul. M,I TAIl ie, Principal tax duo (Add la' Irorn Unos 15, 16 and 17,) COMPUTA- 19, Cr.dlls SpoullIIPo".rtvCredil Prior Pavmonts TION . . CHECK APPRO- PRIATE BLOCKS CORRES- PONDENT RECAPIT- ULATION 1, Original Rolllrn o 4, Llrnllod Estal. [J 4a. o 7 o 5, F.doral E.lat. Taw Rolurn R.qul,od Future Intmost Compromlso (lor dalo. 01 doolh allor 12-12-821 Oor-odont Malntalnod a Living Trust (Mach oopy 01 Tru.l) I"' A'l1OH sllOUl.Q D~DIAl!ct.1l TO~ COMPLETE MAILING AODRESS 3401 N, Front Street, P ,0, Box :i950 Hardsbur , PA 17110.,0950 None 25.954, 22 None None 21,103,41 o S, Tolal Numbor 01 Sal. D.pos" &,.s rB 0, Decuden1 Died Tostato (Mach copy 01 Will) ~: !K:f!'I\!lOIlCM!lF Qt!Nt1I\~ NAME Elyse E, Rogers TELEPHONE NUMBER 717-232-5000 1, R.al E.lal. (Sch.dul. A) 2, Slocks and Bonds (Sch.dul. B) 3, CIoBOly H.ld Slock/Pa~norshlp Inl.r..1 (Sch, C) 4, Mo~g.gos and Nol.' Rocelvabl. (Sch.dule D) 5. Cash, Bank Doposils & Mlscallllnoolls Personal PropOl\V (Sch.dul. E) 6, Jointly Owned Prop.rly (Soh.dule F) 7, Transl.r. (Schadul. G) (Sch.dul. L) S, Total Grrlss As..'s (Iolal Lln.s1-7) 9, FUnolal E'p.n..., Admlnl.lrallvo Cosls, MIscollanoous e'p.n..s (Sch.dul. H) 10, n.bls, Mo~gago L1abllltl.., U.n. (Sch.dulo I) '11, Total D.ductlons (Iotal Un03 9 & 10) 12, N.I Valu. 01 E.lat. (Uno B minus Llo.11) 13, Cnarll.bIo and Go..rnmonl.1 Roqu..ls (Schodul. J) ';;,:;;1::;: ,. "t';i['!i"W::Wi! (1) (2 ) (3) (4 ) (5 ) 776,13 89.625.39 (6 )_ (7 ) 137.459. 15 (8 ) (9 ) 11.671.07 7. 19B, 52 (10) 18.869.64 118,589.51 None (11) (12) (13) (14) , , = 11B,589,51_ 11B, 5B9 , 5 ~, ,06 , 7.115,37 0.00, ,15 . 0.00 (IB) 7.115,37 Intorost (19) (20) 355.77 (21) (21AI (21B) 6,759,60 0,00 6, 7~,60 AnDRESS 3401 North Front Street Harrisburg, PA 17110-0950 DAlE I,' /1';'/"11 UATf. / I 16/ /'/f''1 , r -- ! "O!~'."""\<ri '""''f'--fO'"'T,...-" , ~- . ~ 21-1991-0695 Estate of: Alethea M, MYers slMMRY OF l\Ll..ocA'rIONS TO 13ENEFICIARIES Class [>. Charles D. Myers, Jr. Caro.l [>.,. Nunes 74,711,62 43,B77.B9 11B,5B9.51 " -( I , - ~ _,1 I' " .. " Estate of: Alethea M, Myers 21-1997'-0695 The following person(s) are signing the return as representatlve(s) of the estate: Charles D. Myers, Jr. 6 South 34th Street CllIlq:llUll, PA 170U " j ~ ;10, "I :";'--:-~I;'f,"~~~~:7.'~"" , ,'1,- PAGE 01 OF 01 17700 Defined - Asset Funds ,\ UNIT INVESTMENT TReST UNI....OLDER 1",111."111,","11".11,1,,1,1,,111,,.. .11.11,,,,11,,, ,11,1 ,n ...... AUTO ALL FOR AADC ALETHEA MYERS 6 SOUTH 34TH 5T CAMP HILL PA 17011-4403 TO CHANGE OR CORRECT YOUR ADDRESS. TAXPAYER ID NUMBER OR REGISTRATION. SEE THE REVERSE SIDE OF THIS DOCUMENT, FOR INQUIRIES, CALL THE TRUSTEE, THE BANK OF NEW YORK: 1-800-221-7771 OUSTOMER NUMB R 00988767 TAXPAVER 10 NUM8l!R / / PAVABLE DATE SEE REVERSE SIDE FOR EXPLANATION OF STATEMENT INFORMATION fREQ UNI" INCOMl: INCOME PfHHCIPAL PMINCIPAL ... INCOME '''INCIP'U RA fE PER UNIT PIITftIIUT!ON RAlE PER UNIT DIS'R,IUl'ION WI1HHHO .,. .,. AXABLE TRUSTS "C~ IISIF _II ,lllfi70 15,17 .1013'10 55,..R 112.aS 229,01 sua-TOTALS - ,0, Ufi.17 us... OTAL DISTRIBUTION: fO.83 OTAL AMOUNT REINVE TED(RI: 35.66 OTAL AMOUNT ON CHE K NUMBER 0107939024: 15.17 J.. L.--. ~ 'I- 7/:3'/ /,,'/ i I) .~ ~z.. 7.;) _(;;(i) 7 / '\ t> _\.'-- I 7'7; 11,0 17 ) ...... ....... .. ....."'..,....',,.i.. -'OET~CH E R l! . . . . - . . .. . ...... .. . I I , litE GNMA FUND lAP (,DOl I , I -;;;;;;;;--a-;;....l...... ...... ...nu", I ..a~..... "..q"" l' .Il"'''.'' '.'""l"".~' '.'","'.~.' ~M'" .... ~~~~' I .UM..~~~~.~_ i.. ...~~... ....., - 15q-38.0815 'l'IQq -oooryIOOOOO 0000 : Q!\!\ 80~26q12 15q ,\8,0815 _ .____.__'" ____ ._. ~ _. 1------------- ,_,___,,,_' ",___,-,-,--.,------'- I ---,--- ,. I ALE rHEA MVER~ I 6 SOU III 1,(1111 ~; T : CAMP ItlLL I I I I I -----,-,--------- I'LEASe: CHf:CK AOPRIUSI "B SHOwN ABOVE, If' INCORRECT. l!.l...!~~.~~Q.T~f..lo!:!"Ls..ti.~~,'!.~.!l~ Q.'1.'i.~.y:~~.!!..\!~E,:.. - _.- - - --- THIS STATEMENT REFLECTS THE FOLLOWING :ONSOLIDATED UNIT INVESTMENT TRUST o\ND ACCUMULATION PROGRAM STATEMENT q88 80326Q12 ~_..---~ "..lu"nIO"AI.ETHEA MYERS 6 SOUTH 34T1t ST CAMP H Il. L PA 11011-('('0~ I'A 11011. (,('o:~ c:' A 'U::1:J d/'-,\ ,"" /2:ttj"f 7 ,EFER ALL INOUIR'E~lm1ist.tONS TO TH! BANK OF tleiY1Oi1K,'AClENT"- ',0, BOX 914, WAL~REET ~~~?N, NEJ YORK. NV, 10268-0974 RCALL TOLLl~::~~:'~~ ' ISTRIBUTION', ATION FOR THE GNMA FlIND lAP ECORD DATE FOR ~CCUMULATlON PROGRAM 07/17/Ql !-AONTHLV DISTRIBUTION OF CAPITAUINCOME, ' " ~CCOUNTS TOUN'THOLOERS OF RECORD 0//22/'/1 PAVABLE 01/7..\/97 1I-vlIIllf SHARESllr THIS AccuMUlATION PROGRAM liRE '"NOW WORTH $I ooff-o!fJl0Rf., YOU 5HOUI.I) THEM SO YOU CAN BUY AN ADDITIONAL UNIT OF THE GNMA TRUST SERIES, THERE IS NO CHARGE TO SEll. YOUR SHARES, CALL YOUR BROKER FOR A PROSPECTUS, READ BEFORE YOU DECIDE, I. DI.T'U.UTIDN ,."oM CAI"ITAt.'O" IH(lOMIL I, "e:n>4VIlITM-HT 01'" ACCUMIH.ATION ,."OI)"AM OIVIOr.NO/CAPITAI.. BAINS, CONSIDER SfllINr, IT CAREFULLY DATIt 06/24/97 07/23/'11 01/23/Q7 07123197 01/23/H TRAN.ACTION DItICRIPTION REINVESTMENT DETAIL DOLLAR. .HARI:S 100. U;'5 -' OPENING BALANCE DIVIDEND PAID AT $,116Q36 PER SHARE SHARES PURCHASED FROM DIVIDEND REINVESTMENT AT $20,89 PER SHAR DISTRIBUTION FROM BOND FUND UNIT HOLDINGS (SEE DETAil BElOW) SHARES PURCHASED FROM BOND FUND DISTRI8UTION AT $20,89 PER SHAR $11 ' 7Q $35.66 .56!, 1,701 CLOSING BALANCE; MARKET VALUE $20.8Q PER SHARE $2.153,68 103,09b UNIT HOLDINGS: DISTRIBUTION DETAIL INTEREST AND PRINCIPAL TRU.TU VliJ!8 TRAN.ACT10N DESCRIPTION' Pi'.rc!.tT BANK DF HEW YORK PRINCIPAL 26610 GNMA FUND SEll G iO,00134 DATIt 19'17 $16,14 ._-~-- -~.~-_._.._.._--_._-_.-~_.-- TOTAL ~:J!J. no 1",).Oq~ ,1...... _I , - IJj(,vv<- '" .; '7 (?> I / <j1 ~ (? (). q'f / .,1-._ ...'. II z. 1 I Gf?, '03 .-.....--.--------. 'aH.N 'H" .",.M.H' " M'R..n ",,,, IN'O," ".. IHFORM,,,ON .HowN W", ." ""0 W"" 'H' ,N'''AN'' ..V.NU' .,OVIO' 'U"."'"''0 '-'PL" ,..w 'liP" '0 .. "000 'N ,..,,'"'NO VO", ,NOoMO '" ,,,,,"'N, WH.N "." ,,'lAMEN'" M,".on",UMM ,N,.n," 'H" IN,OAM"'ON A,,,",,"N'" 'UMM'AV O. 'H. OI"...""ON' "'0 '" VO" .0. 'H' ",",,.'0'" ON' .00. nO'''''' 10"'" NO' "'" '0 INV..,"'N' OA 1I00."",ON 'A'N"""'" i ..~ l ~ Ii c> II: c> n co i .. J " IIII'IH jl ) WI WI .! H u il~ -< Iii.. '= J ! lIll- ~d III .. I'll : , .. !I J '" !:l .. . III = - ... ... e i c 85~C jiE ~8 1 ;;...i lIl'~ = 11 Jj ~ 9i..... '" "":0 .. tIl.... .... Q,I 80.. 1 J ~I;g ~ 0.. = '::I- e .. ~ ~ ~.., M" :::> -a- ~lll t-<.... .1- "1. .. 8) tlS ... ..~ ~~ of J~ ~ 0 .. s l ~ i j ~ i~ f I d N ... - ~ .. ~ I ... ... l- e:> ::! Ii - w....~ ...'" ="-, Il- t'l~ ci!!-' ll:t.l ..~ ...~; ll'cl c:i ~..&; :.-a ~;, ~I,O~ ~:g ...... co..!! IIlm i~ u - .- lI)~ co.c l::l:: -'" ~s oS . 0 ~ , j rf\ ~a'j! B ... o . 8 J " .. .. Q u"'. ,; CD Cl1 5l!'- ; n ~i ~ la' "' . r~! . . ~ rf\ rf\ l.\;)u'B . ~ IV N ~.~~~ 0 t ~ ~ ... ... ... " 0"' ~ . . Z 1-' II - 12 Cl) CIO ii: ito ' U W ~: " .. ... ~ ,:; c ;' ~' ~ E 11"\ ,; ~ .. i ~ -r] I!! fl , ~l~ " ~ ~ . ~ ~ . ~ ~ iil w ~ " , uJ t . ~ ~ " 7 if , ~ U I- " .... w ~ ~ \.I.Ct:W g;UICt: i - :'1- . 0"'1 I C7' :tI- N ~ I- ~ .... Ct:)(2: N ~IIIC '" 09 Cll;;'~ ~ <:) III ~ o ~ ~go i - r, 0 ~ ... \.I. .......0 0 l!\.rf\-o 5 "" l- ll' > ~ n 0 i ~C 00 l!\...! .. ~ :JU .. 0 '" I a::l":lQlI\ ~\.I.WO ... I-/fI ll\ Wl-....-r 0 11 II a:>U" 1:1 I <Cl....ln :'Il')..! .. '" " C O(.~ 0 N ~ -"""'1- 0 il I' w 5)( ,.. .- "" . Q;;' IU .. .J ~} C "- II , - CIO i~ - "" _i 0 r ~ , III - I a: ~~ ... w :..... ~. ~I / '" rf\ 1:"'-' "" 0 N ll\-' J N' 0 i C .... II l It\ , -r ~~:t '; lI\ fi ,.. I~ ~ . ell"- ; ~, ,.. W It II I" v -,oee .., ~ " CQ.I,) ) Q- ..J ." ~ USED VEHICLE APPRAISAL DATE (E:..:,j I'" ?' ? HOME PHONE HAM" /1 _CflE 1 ~p ADDRE98 '2'''' ~ , . ~~.';--- . AT~;i: ~~ BUSINESS PHONE -=rDDEL ..- / . - / ~;.P'.... ~. ~-_._-~- ~ BODV 8mE MILEAGE ~,4)P' JJ;r'- 3 ~~ LICENSE NO, COLOR I/A /h- V,I.NO, l' 4CVL 8CVL 0 SCVL 0 TURBO 0 UIESEL A'" AIR K TILT ;( CRUISE INTERESTED IN .~ COMMENTS: --.--- ,f AUTO ~POWER- 0 AUTO 010 AJ BRAKES 0 3 SPEED -1.f STEERING 0 4 SPEED 0 WINDOWS 0 B SPEEO ~ LOCKS 0 4X4 0 SEATS 0 AM 0 V-ROOF t AM-FM 0 SUNROOF l1If CAssmE 0 MDONRDOF 0 C,B. 0 T-TOPS STOCK 1/ MAKE J MODEL APPRAISALI '75' 1f'!J~ SALESMA~ g~ BY III b ,':>;C IlllOk, ,\,,1, P(11.hm'lil. \1\ IV)!;" PecdentReporting Two'PNC Pla~a, 33rd Floor Pittsburgh, pa 15222 PNCBANK September 23, 1997 Mette, Evans & Woodside 3401 North Front street PO Box 5950 Harrisburg, Pa 17110-0950 Re: Estate of Alethea M Myers' Deceased SSN 159-38-0875 OOD 07!3V 97 Dear Sir/Madam, Please find the date of death information you have requested listed beloW. sincerely, ......~ ;' \ ( ,I ' 1. '~', "'. ", 1 ......~.../ "7'~ ) I '.....;,.' .... :.,. /. i '. ' ,~l" f'J' '"./<'-- ,Donna Borman 1~800~762-1775 #3 LIFE INSURANCE ANNUAL POLICY STATEMENT EXPLANATION OF TERMS ACCIOENTAL DEATH BENEFIT (ADB): Increases 1116 paymonl upon death whon Iho doath Is calls.,d by accidenl. ADDITIONAL PURCHASE BENEFIT (APB): Guarantoos tho right to buy morn Insurance, wltl10ut prool 01 insurablllly, on scheduled dales and at certuin otl1or timos, ANNUAL PREMIUM: The amount payable once a year to keep a Ilfo Insurance policy in lull olloct, Wllon paid by ISA, there is a servico charge in addition to Il1e prornium sllOwn, CASH VALUE: Tho amount which Ihe Insurance cornpnny will pay In cash Illho ownor voluntarily term"",tos a lile Insur, ance policy, Total caRh value Is the sum of tho guaranteed and non-guarantaod portions 01 tile cash value, Net cash vslue Is tl10 total casl1 value of a policy loss any oulstanding loan bal, ance, Past year's cash value Increase IS 1I1e current cash value less the prior year's cast, value. COMPLlFE@: Family 01 lIexlble Insurance products inte- grating permanent and term Insurance and/or pBld-up additional Insurance, Dividends are usod In part to gradually replace the term wilh permanent insurance. Adjustable CompLlfe@ allows pollcyowners to custom, create a policy with the ability to make changes afler Issue. Joint CompLlfe@ covers the lives of lwo Insureds, with the death bene lit payable atlhe second d~ath. COST RECOVERED: Cumlllative dividends rncelved and other distributions made, such as the surrender 01 addillons, equal or exceed the cumulative premiums paid, Any castl dls, lrlbutlons al1er cost recovery are lax able ns ordinary income, DEATH BENEFIT: The amount which the Insurance company guaranlees to pay on lhe death of the Insured person. Total death benatllls the original lace amount of the policy plus any paid-up additional Insurance, as well as any dividends left to accumulate at interest. Net death benallt Is the total ,dealh benellt less any outslanding loan balance. DIVIDENDS: An amount which represents a return 01 pre, mlum due to lavorable mortatity experience, investment results and expense control, Depending on Ihe elemenlS of lhe poll, cy and personal choice, the diVidend may be used to pur- chase paid-up addllional insurance, reduce premium payments, be lel1to accumulale at Interest, or be taken in cash, INDEXED PROTECTION BENEFIT (IPB): Provides an Increass In death benelit, based on lhe Consumer Price Index and subject 10 a cap 01 8%, in the second through 10111 year. A similar feature 01 CompLife"') poliCies, availnble for 20 increases, Is called the Inllallon Protection Option, INSURANCE SERVICE ACCOUNT (ISA): Method to convenientl~ pay the annual premium on an installment basis, to combine tho payments on up to 15 liln and disability income policins, and/Of 10 make aulomaHc paymonls through a check. ing account. AIlISAf, have n sorvice chnrgo, LOAN: A loan lrorn thn insurer to Iho policyowner secured by the 110licy'g cash value, Loans may bo either a C8!=ih loan 50nt dlreclly to the policyowner or automatic premium loans used to pay Ihe premium. II an insurnd dies while a policy loan is outstanding, the amount of Iho loan and nny inlerest 15 deduct, ed Irom Ihe doath benefit. Loans also reduce the cash value of the policy and may reduce the dividends, MODIFIED ENDOWMENT: A lile insurance policy which is considered "Inveslmont-orlented" because the premiums paid exceod n limit set in Ihe Internal Hevenue Code. These policies receive lower lax preferences, As with tradltionallnsuranco,the cash value buildup is lax- deferred and the death benefit is Income tax free, However, any loans or withdrawals are taxed to lhe exlant of the gain In the policy and may also be subject to a penalty tax, NET PLUS: A payment method under which a portion 01 the dividend is used to reduce the premium, and any remain, Ing premium Is billed to the payer or charged as ~ an automatic premium loan: available only on certain CompLife(RJ policies, PAID.UP ADDITIONAL INSURANCE: Additional insurance purchased through dividends, or additional premiums paid into a CompLlfe@ product, which adds to lha policy's cash vaiues and/or death benellt, This additional coverage requires no further premiums, PAYOR BENEFIT: On a juvenile's policy, waives ths payments of all premiums until the policy anniversary nearest the insured's 25th birthday if the applicant dies or is disabled, PREMIUM AMOUNT AND FREQUENCY: The amount of the premium and how ollen iI is paid, When an Insurance Service Account (ISA) is used, this amount does not include any other policies in the account or the ISA service charge, QUIK PAY PLUS: A paymenl method under which the dividends plus partial surronder of inside addilional pald,up Insurance ara used 10 pay the premiums: available only on certain CompLile@pollcies. SURRENDER OF ADDITIONS: Taking in cash all or some of the pald'up additional insurance that was purchased through dividends, thus decreasing Ihe total death benefit, WAIVIlR OF PREMIUM BENEFIT: Continues the policy In force without payment of premiums during a period In which Ihe insurod is disabled, IMPORTANT: THIS GLOSSARY GIVES ONLY A PARTIAL DESCRIPTION OF POLICY TERMS AND PROVISIONS AND DOES NOT MODIFY POLICY PROVISIONS IN ANY WAY, PLEASE REFER TO THE POLICY CONTRACT FOR EXACT DEFINITIONS AND DETAILS OF TERMS AND CONDITIONS. The Northweslern MulU(lILilo Insuranco Compnny' 720 E~sl Wi[Jconsln Avonuo. MilwilUkofl, WI 53202.4797 . 414" 271 ' 1444 'Q" , ,{ ; ,,~Y GNA Corpomtioll , IIl1d SlIbsidillrillS YOUR QUARTERLY STATEMENT STATEMENT PERIOO: 04/01/97 TO 08/30/97 f')J /JeJ\,I!J(l SI!.Irf/rl IVA '/I1//I,/U,W) CUENT SERVICES: 1-100-221-81101 GREAT NORTHERN INSURED ANNUITY CORP PNC/PROVEST INSURANCE SERVIces - OO:l"IS AI "AUTO T4 0 0113 '7011.....030. 1".111...111"""11.,.11.1.,1,1"11I.,,,,11,11",,11.,,,11,1 ALETHEA M MYERS 8 SOUTH 34TH STREET CAMP HILL PA 17011.4403 GNA INSURANCE AGENCY, INC OOO~II" l.oao, SOC SEC NUMBER: 159-38-0875 ANNUITY POLICY N 11I111 04/01/'7 IIGINNING fA 01 NIW ""IMXUM DATI AMOUNT 01/30/.7 INTIIIEST ENDING IAIINID *ALAMOI 225.78 18,000,00 ............................ 225.78 18,000,00 0100254205 N 18,000,00 ................... 18,000.00 ,00 225,78 W .................................... ,00 225.78 ...................................~.............................................,.... Mll INFORMATION ANNUITY POLICY . NUMBER 0100254205 ANNUAL INTEREST N 5,050 DAILY RATE 4.928 GUARANTEED RENEWAL THROUGH INTEREST 04/30/97 5.200 DAI L Y RATE 5.089 GUARANTEED THROUGH 04/30/98 YOU WILL RECEIVE NOTIFICATION OF YOUR NEXT RENEWAL RATE SEVERAL DAYS AFTER THE EXPIRATION OF YOUR "GUARANTEED PERIOD". ..................................................................................... INFORMATION REGARDING GNA'S FINANCIAL STRENGTH IS AVAILABLE UPON REQUEST. STATEMENTS ARE SENT FOUR TIMES A YEAR, YOU WILL RECEIVE YOUR NEXT STATEMENT APPROXIMATELY TWO WEEKS AFTER SEPTEMBER 30, 1997. 'SEE ~1':VER{-;f: ::111.)1'-: FOR KI~Y Th. OE logo on your Itit.mtnl rtfltcts GNA', prIdt !hit w. ....In our fourth y.ar of beings GE CIpltsI Strvlcu oompany. 1'/1,\.\,/, rut F(lA' \ '(I' H I 'usn.'" 'HI I fI(',....'/.\'f.\....' I1ti/ GNA OIl II.. 1_ 1II111tf1'/Iwww.".CO/lI/pc/p ". :l! , J . .~ ~ 1i . " g ~ .~ ~,"':::M ....."N '" i ~". , ' r .~/"O ',~,.!'N ] :;;' ~N , " ~ .~o ,~ '. J,U . 'j \.0 ,. n ,; ,roD ~ i~ ~ ," ... ',~ \.0 I ',f~! ~< ru . >, 1Ft..;",', w , t:: U 0 ru C .. ru .I ~ c, . ! .- ... >>.no~ ~~ Ll1 , 1: ~, ell ... . (.)~' u q Ll1 ... ~~,:t 1 ~! "t',C ~ a- I ~ ..,~ 0 0 r1'I 0 0 J d:l .. - d:l ... 0 0 0 0 ru 0 ... .. - .../. ,,',.' 61 .:,'" 1 1i;," i ~ .' ~ )l! c .. l 5 ,~ ' '15 , .~~ l!~ ., it'i t ~a l~ 0: ,'Ii!! ,\" ,,,,~,,,,,..A.,,,,,~ ",,"'~"r> ",.~.',"i'" ..IlJI. Page 2 21-1997-0695 Estate of: !\1ethea M, Myers SCllEDULf~ H, PART A - - FunerP! ExpenSes Item No. Description !\J1'Ount 1 Myers Funeral Home crpJOation services 1,145,88 2 Fort Steuben Burial Estates !\ssociatibn 430,40 3 Clergy fees and expenses 690,55 4 Organist 75,00 5 Food/lodging 268,92 2,610,75 TOT!\!.., (Carry forward to main schedul.e) . . . , MIG'I''I'IG. 'IGVANH ,. W()()UHIIUQ A ..,U\tI'KHHUINA', 1'()RI'(IHA'I'UIN A'1"I'OkNIQVH A'I' f.AW TICI.III"I,ON1U 17171 VIUl.nooo (iA"'Y,' IIEIM (lAYll) ^ nl'l~IMON~ MlCtlAF,llJ I'IM (illY ~ Ilf,HF.VI'HTANO 1I10M^~ I' ~Mnl^ fl.ohYN 1(^I'lMM~ ftOWMAN ,10111'4 t ,(MllNl:t:. KAtlIU1.f.N rKWI.l' YAN1NEK IIANUL M CAMI"'UI. MInioN'!' r,\.UclI){) fobl} ^ flll.t.E" f.Ll/Ahlilll,IGOl.tl!lHIN' 1l!lAIJI,EY ^ W^t.Kf.R ,jfffll.-I'-Y 1 RU\.ULl' , lloWf.li. (' MHTB JM.U\!l W' fVM~-" l\OIlER1' MOOR!: cHM.LI\.\ " lW^U.Y I'I\1'ER,' IlU-"l.I:R llovtl fl., l'fR,~IlN C"'AtG ^ !.lONf. ,fAMES ^ UUHI I1^NIEll. MlllIV^N !iltVfH 11 ~NYI)fill. CII,-,~n'll'lltR c (;ONNUI, !I.Y$t t: 1\0r.f."5 Jffltlf.'i ^ r....WCli I', MHIn. ^l.ll,^"m "HPP-f.W II hOWI.ING M1CIIAf.t.11 RHn p.O~Ulll' IIAVNI,!. III MUt.A ,llllCIIf 11401 NHI~'I'11 '''HoN'I' H'I'IUiHli'l' ,I,n. ltoX f\Df\O IIAH:H.lrtUUHH. I"A. "/1 u...mnn "AX In7J 9ltO,tH1U htlp:/fWWw,metto.c6m tUTlkf.D 1l0Bf.ll.f p, WOOI}~IDI! 'Il,j ~^'" Ootober 21, 1997 Register of Wi1Is Cumberland County Courthouse One Courthouse Square Carlisle. PA 17013 Re: Estale of Alethea M. ~yers - No. ()0695.1997 Dear Sir/Madam: Enclosed herewilh please nnd the folluwlng: I, Inheritance tax return (filed in dupllcate); 2. Inventory; ), Check in the amount of $6.759,60 as payment for taxe,s due; 4, Check in the amount of $2!UlO as paymenl of your filing fee. Kindly acknowledge receipt of these documenls by time-slam ping the (\nclose~ copy of this letter and relllrn1ng it to us, Si9cercly yours. /-) /" / i~('G~.) ysc ,Ro<te.,S u EER/cds 9061.1 Enclosures 1190191 1':0-, r C0l\11\10iVW . Orl>4F/r C41,rl; Or p, BIJ""IIIJ ~~~ Or "1'Vi'~~:SYIV4tvI4 01,pr280601 OIVIOIJIIL r",~" 1-f4'~rl1,98Ufl(j p S . :<111(28'0601 f "~Cl!I~~O "110M: E'c YSt. f2 R 340 J fVORi,?GE;:RS f2SQU[O PO" F"ROfV' ,"Ii: J.IARR[&/:X S<;SO r STl'lf2t:7' <J8URt, "A . 1'JJ10~09S0 FOlD/If/If E:8r;;;:;;M;i~_ rllli tvIJM8f'F/ FlMA,liofV: --""S'J,~ 1 99'1 IV"'Mf 0" OE-'-., -",,':06 9S CCOi'tvr '''''~" -"-" !:is^, J S -..'..t1'(E:RS (/4S!) '-~-----~:t&-O& D4rf Or 1'4-y;;-l:I.b€.~Ijf2 ^ '" IrlF/srl --'::::-7Z '"ctv, ___~ '" _____",,~ -',)O/e", "---"-~-~____ (1011) , POsrM4ii,,"o,S(L'?9'7 ------,~~ .. '" 0 /0 4 rf"""".."" "'''__~~____~ _____" ~,_ (;OUiVry--,.2/2(>00 -----~-------~ "..- ~~-- '-- CUI1l.1Ii:"'1. . "--""~'--------- ~-- 04 rf 0'-0""",-_ '" ,/~^1lI ___~~~ f4r" . "~, _~___ Atl.t~'7 ~~ '____"_____________~,,______ ''''____ 11ARI..E::SO---~ ",__ _______. 7/0 tl.. '1'$1:- ,.,~~~~,;!!__________ St4!.CI-fE::C/(H Joot 1T0GE:.'Rs E:.'SQU[RI>' h". ......~. i'lti'fn , ",,/ ., '(fIOr ", " . 'V/I.I." "'.. -~ ". -"-"" , , ." " f 1/V"'eFi,.r::~:s 1'1.. 'I4/V14 OF:F:/C/41.. 4:D eS7'47'e 7'4X rJl:Cl:/pr "'" /Vo f1 J1 242 ~ ''1 3 70 HIIV"'6:!i;" . ... (11'98) 4CN 4SSfSSMfNr CONrAO( NUMSfA . "'. -~~. '. ~ ~.... .---."..,-...... ~, ..... - '/,' '-----------~ ~ ~~Q.. ------------ -------------- ~--~ '------------ --------------.. ~ ----- ~ ~ ------ ------ ~ 'otoHERE_ ------------- . ~~ ------ .~- ---------------- --------------~- -==------= . .--------- rOT4!.4" , '"OUNr P41D __________ to6. '70,_ , ~60 AfCfl~€'D{J'r' 9;;/ ", ;; " II.?'--- MARy ~~ (.(7' 1'1"'", C. I.E::WY<'~~~(c-Vn """SiE::f/ .. "'--f.,,?;," ----":"'<:"'''- Of:' W[,I."" /.1<,,<. "1,1,. ~ ... " "''/',~!r 4MOUNT ..,., , ,! ;..r.--" "'" 1,')~/q 11- Co COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE (.-1 *' .U~EAU OF INDIVIDUAL TAMES IHHE__nAHCf. lAX OIl/ISlOM DEPT, 210601 HARRISIURG. PA 111~R'060\ NOTICE OF INHERITANCE TAM APPRAISEMENT, ALLOWANCE O~ DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAK .U'lf41U "...,.." 03-23-98 MYERS 07-31-97 21 97-0695 CUMBERLAND 101 E=~'-~- ~-.~CRo;~~ to'dl MAKE CHECK PAYABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS .... RIV: iiii'nx - AF"P' - i 09: 9ri -NoYi 61" -OF -YNHEiii f;ific;."TAirAPpiiA'isEHENr;. At. tow;'Nc;,- 'Oli- .--.- - - --- - -. - -. DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ALETHEA M FILE NO. 21 97-0695 ACN 101 -- TAM RETU~N WAS' ( ) ACCEPTEO AS FILED ( X) CHANGED SEE ATTACHED NOTICE ElYSE E ROGERS 3401 H fRONT ST PO BOX 5950 HBG DAT!. ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN ALETHEA PA 17110 DATE 03-23-98 ESTATE OF MYERS RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN 1. ~..l E.t.l. (Sch.dul. Al 2. stoc~' end BOnd. ISch.dul. S) 3. Clo,.lY H.ld stock/Partnership Int.r.lt (Sohedul. C) 4. Hort,.,.,/Note. Rlr.elvabl. <<Schedule 01 S. Calh/Bank Oepolit./MIIC. Personal Property (Schedull El 6. JointlY Owned Property (Schedule f) 7. Transferl (tohedule OJ 8. Tot.l AI.et. HOTE: To inlurl prop.r credit to ~our account, sub",l t the ~IPper port Ion of thi. forM with your hx pe~Ment. .00 25.954,22 .00 ,00 21.103,41 776.13 89,625.39 la) III (2) (3) (4) IS) (6) (7) 13'/ ,459,15 11 ,671,07 1.438,52 (11 ) (12) (13) (14) , ~. 1 nQ lit) 124.349.56 ,00 124,349.56 APPROVED DEDUCTIONS AND EXEMPTIONS I .. funer.l Expens../AdM. Co.ts/Hilc. Expen..' (S~h.dul. H) 10. D.bt./Norlg.g. LI.bllltl../LI.n. (Schodul. I) 11, Tol.l O.ductlon. 12. Net V.lue of h)( Return 15. Ch8rltabl./GovlrnMent.l alqu,.tl) Non-eleated 'lt$ Tru.t. (Schedul. J) 1~. Net Valu. of E.tete Subject to T'~ (91_ UO) If an ......m.nt w.. i..u.d previou.1Y, lin.. 14, 15 .nd/or 16, 17 .nd 18 will r.fl.ct figur.. th.t includ. the tot.l of ~ r.turn. .......d to d.t.. ASSESSMENT OF TAXI 1&. "MOunt of Line 14 et Spoulal rat. (lS) 16, AIIIOunl of Lln. 14 Ie..bb .1 L!1I..I/Cbll A r.l. U6I 17. "Mount of Lin. 14 t..able at Colleterll/Cl.11 Brat. (11) la. Principal Ta)( Dua TAX CREDITS I PAVMENT DATE 10-22-97 NOTE I ,00 7.460.97 ,00 7,460,97 ,00 124,349.56 .00 M .00. M .06. M .15. ua) --~._---~- _.------~._~- --------~-----'-- AMOUNT PAID DISCOUNT It) INTEREST/PEN PAID (-) -- 355,77 RECEIPT NUNaER AA242370- --r.759:60 PAVMENT MUST BE MADE BV 05-01-98M. TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. ------------...--.- TOTAL DUE 7.115.37 345.60 ,00 - 345,60 M . IF PAID AFTER DATE INDICATED. SEE MEVfiRSE FO~ CALCULATION OF ADDITIONAL INTEREST, If TOTAL DUE IS LESS THAN .1, NO PAVMENT IS ~fiQUIRED, IF TOTAL DUE IS REFLECTED AS A "CREDIT" tC~)' YOU MAV aE nUE A REFUND, SEE REVE~SE SIDE OF THIS FO~M FO~ INSTRUCTIONS,) -'---'-.::J-.4 .. w RESERVATION, E,t,t.. of ~c.d'nt. d~lnt on or blfor' O'OIIber 11, 1912 .. If ."~ future int.r..t 1n the ..t.t. J, t'In,f.rred In Po.....lon or enJov..nt to Cl... . (0011_t,r,l) ~flci.rl.. of the dlcad.nt .ft,r ,ht IMPlrltlon of any ..'ata 'or 11'. or 'ur y..r., thl Co..onW..lth hareby 'Mpr..,IV r...rv.. the rIght to appral.. end a..... tran,f.r Inherlt.nc. T'M., at thl l.wful Cia.. I (coll,t.ral) r.t. on any such future lnt.r..t. PURPOSE OF NOtICE I PAYMENt I REFUND (eA)1 OBJECTIONSl AIIUN JSTRATIVE CORRECTIONSI DtsCOUNT I Pf,NALTYl INTEREST' To fulfill thl requlr...nt. of S.otlon 2140 0' the Inheritanol W1d ht.t. Tall Aot, "(It 21 of 1995, t72 P,S. $lct1on 91~O). n.tach thl top portion of this Notlo" and ,ubalt ~lth your ply..nt to thl Rlglt'.r of Will. prlntad on tht r.v.r.. .Ide, u"aka chack or 1lI0nay ordar payabla tal REGISTER OF MILLS, AGENT A rafund of a taM cradit, which we. not r.qu..t.. an the TaM A.turn, ..y b. r.que.t.d by cOMpl.tinl In "Applloatlon for Rafund of ,.nnlylvenla lnherltanca end Ettata raM" (AEY-13U). Application. .r. aVllleble atth. Offlca of the R.,I.t.r of Will., an~ of the 25 R.vanue DI.trlct Offlc." or by ceiling tha speolll 24~hour en.w.rlng ..rvle. nu.ber. for for.. ord.rln" In P.nnlylv.nJa 1-100-362-2050, out. Ida P.nn.~lvanla .nd within lout Harrltbur, .,aa (711) 717-1094, TbOt (717) 772-2252 CHlarln, lapeir.d Only), A"~ party in Int.r..t not .etl.fl.d with the ~.l....nt, allowanc. or dl..llowance of d.ductlon., or ........nt of taM (Inoludlng dl.count or lnterut} II .hDMn on thlt Notlu IIU.t objlct within '1Mb (60) da~. of rac.lpt of thh NoUe. by I --wrltt.n prot..t to thl PA O.part.ent of R.v.nue, Board of App..l., O.pt, 211021, HarrA.burg, PA --.l.otlon to hlVI thl .atter d.t.ralned et eudAt of thl account of thl per.onal rapr..ant"tl"., ~-Ipp.el to the Orph.n,' Court, OR 17121-1021, OR feetual .rror. dl'co~.r.d on thl, ........nt .hould b. addr....d In wrltln, tOI PA Dep.rt..nt of R.~'nUl, Bureau of Indlvlduel raMa., ATTHI Po.t A......tnt R.vl.w Unit, Oapt. Z10601, Harrl.burg, PA 17121-0601 PhonI (71J) 7.~-6505, s.. pIM. 5 of tha bookl.t ~In.tructlon. for Inh.rlt.nc. TIM A.turn for a A..ld.nt D.cad.nt" (REY-ISOII for In .MPlanltlon of ada'"I.tratlv.ly corr.otabl. .rror.. If .,,~ taM due It Plld within thr.. (3) col.nd., .onth. aft.r the d.c.dent'. d.ath, . fl". p.rc.nt (S:<) dhcount of tha teM Paid I. allowed. ,.,. ISX taM aana.ty non~partlcApatlon panalty A. co.put.d on the total of the taM and Int.r..t .......d, and not p.ld be for. JiIr'lUary II, 1996, thl first da~ .ft" the .nd of tha talC allRe.ty parlod. Thlt non~partlclpatlon p.naUy It .,.,e.l.bla In the .... .ann.r and In the the taa. tI.. p.rlod a. you would IIfIP..1 the taK and Int.re.t th.t h.. baan .......d .. Indloat.d on thl. notlca, Int.r..t I. char..d b.,lnnlng with flr.t d.y of delinquency, or 1'111'1. (,) .onth. en~ ona (1) da~ frOl the dete of de.th, to the d.te of pav-ant, TaM.' which bec... dallnquent b.for. Jenu.ry I, 196Z bear Int.r..t at the r.t. of .IM (6X) parcent par .nnuII calcullt.d .t . dally r.t. of ,000164, All taMe. whlr.h baca.. dellnquant on Ind aftar Janu.ry 1, 1911 will b..r Intera.t et a r.t. which will vary fro. cal.ndar yaar to c.lendar ~..r with that r.t. announcad by the PA D.p.rt.ent of R.v.nu.. Th. .,.llelbla Inter..t rate. for 1961 through 1"6 ar.l '!!!r Int.r..t Hat, Ollly Inter..t Feotor !!!! Int.r..t Rlt. DailY Intar..t F.ctor 19l1 ZOX .0005'. 1961 'X ,000247 1913 16% .000456 1"'-1991 11:< ,000501 ','lit 11% ,OOnOl '992 .x ,000241 I"S 11% ,DOnS6 199]-I"it 1% ,oOOl9r 1916 lOX .aa0274 1995.199. 'X ,OOOl41 --Intere.t ls caloul.ted .. follow'l INTEREST' BALANCE OF TAX UNPAIO X NUIlIlER OF DAYS DELINQUENT X DAILY INTEREST FACTOR .~An~ Notle. I..ued .ft.r the taM b.eo... dalln~t will r.fl.at an Int.r..t oalcul.tlon to fifteen (IS) day. b.yond the data of the ........1'1" If pay.en' J. ..de aft.r tha Inter..t co.putatlon d.ta .hown on tht MoUe., ackUUonal Intar..t IRIlt b. c.lculated, UownL c, Mf.TTE JAMU ;V, tlVANS ROllfll. T MOO~!! (:HAkLtj J, ZWAI.I.Y rnu. J, I\U~LI!k LLOYD R rER3UN CIlAIC A, StON!. JAME3 A UUH bANlll. l. ,SUlliVAN MBTTJII. JlIVANH a WOOIlHIJ)J11 A J'JW"'II'lH'UONAI, (J()RI'OWATWN ATTORNKYM AT I.AW Sff,VEN D, 5NYtlf.l\ CHIlI.\1'OPHfl\ C CONNU. f.1.Y!lf. F" 1l0G~.IlS JffFlU-Y A P.RNICO P. MNlfI. ALTLAND ^NDREW H OOWUNG ....ICI-tAH 0 IUlI!P I'.OBEll r r, "'^ nolES III ,,^U~A J LF.ICIlT Register of Wills Cumberland County Courthouse. One Courtbouse Square Carlisle, PA 17013 11"01 NORTII "'RUNT ATRIlIIIIT r,o" "OX r\9ftO JlA1UUSUUHU, I'A 1711o,ourm GARY ,I flUM IlAVIIJ A flU3JMoNs MICHMI.h,pIM ' {illY r III1Nf\VEl'ITANO njO~M t, .\MID^ 1l0!lYN ;:^TlM^N nOWMAN ,!OIlN r Y A NIHf.K HU^I<.T l KN^PIi VIcKY ^NN TkIMMl!k' KAtIlLEliN tlOYLf. YANINEK "'IlIr.,lIIrJlONIIl 17171Iau.t\ooo "AX (71711188.181.0 ht1p:/fw...ttw,m.n..qom April 2M, 199M Re: Estate of Alethea M, Mvers - No, (Xl695-l997 Dear Sir/Madam: tlANIP.I, MCAMplliLL ANtHONY T, lUCIOO !:.LILA III! m ()OUlSTf,IN DIXON IIMDlEY ^ WALKEk ,'EHkP.Y T, RUS.'f.ll kHlkED kOIlEkl' E, WOC>D!IDE Enclosed herewith please find a check in the amount of $345,60 as payment for additional inheritance tax due for the above-referenced estate, Please return a receipt in lhe envelope provided, Thank you. /cds 9061.1 E'ticlosure 1401164 I Sincerely yours, , . (" /' I (" 'II 1\ '\~J-.., 1\:) . C~l\(I()",:\:J. Cayle D, Swindler, Legal Assistnnl to Elyse E, Rogers ''--,' ~~ ~ :j "" cr " (1' t ~ (~ ~ ;,) ~, (i - -DC r.J )'>;:, .l:oo ffi'ili' to g 'l"'" ~~ Q {"/ (0 ''< '::1. ,~':~ i'~ :;:;l.m iJ;' sa. l5 (0' 0: ,d--; n-::, () \') ~. ~I ~ R . . 0 " Q ,. ~ R >- " m ,,' 0 ( a b " ~ >- 0 0 ., . 0 g ~ a -, . " I' I, m ~ 0 . . u " 0 . < . " " a 1. ., > " 0 < li1 J " '~ ~. . . , " " 0 " . 0 ;J "' 0 0 " m ~ . ,. Z . ~ ,.1 , ff " , 0 ~ 0 ~ , " t ~ . ~ < ~ r. ,.".' -', \'~ '-" * f}1 :.:> o tI: }.1 . g~ Up i; &L<; UlStAl.... 2o~g a;Uo.... ~~~g: o~....~ ~1~5u1 ~~UH UlESw~ - ~ ~ ~ p r. ' IXiUOU C) f",J .' ....( U~ p~ tY. !l; r; D f' ;n,=:"" 08 , fl- -, .,.;'" :.:~ .' ::~ , -.') ''"'7. ~:~ -. ,... ..~. .'~. ._, _. r.~1 iSI f\l ,,:il ,(1 ,1'1,1 Ii' ((I ,,, 1~1 1'" ,('I \ll> " .i ;" j" I :" '" II r ~ ' ", ".1; .' , "/1 >>- ~ . " "4' 'iF '''--1 1') I 'f,Ii .. .r:. j ,i, t' l; or"~ . ,,+~~. j, , ,', . .~, "',,' '1', '4' J' ril'~;, ;.. "t ,f'J\j, . j ~. po. '! , \' I .;i; ~" "0 "~'_., 1/- ~'\~ ,~~ '~; (T""" ~"".. ,\ ') , I ~ ~)U O. INOIYIDUAL TAMIS AlIUUMCf lAM DIVISION lP', "0'01 ~MI'.~O, pa l11ZI.0'01 COMMONWEALTH OF PENNSVLV A DEPARTMENT OF REVENUE IN 1 D 1S~~* NOTICE Of INHENITANCE TAM APPNAISEHENT. ALLOWANCE ON DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT DF TAM UHU,..."tn,t/1 , i I 03-23-98 MVERS 07-31-97 21 97-0695 CUMBERLAND 101 [, ~.oq~,~.lttod '--'l MAkE CHECK PAVABLE AND REMIT PAVMENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 CUT ALONG THIS LXNE ... AlTAIN LOWER PORTION FOR yOUR UCORDS ... iliV:U47-ix 'AFP"(09':97Y-NOYicr-ciF-"iNHiiiifANCi-i'AX-APpitAisii1iiii'~" -mOWAN-ci- oli'" ---..... .-- --- --- DISALLOWANCE OF DEDUCTIONS AMD ASSESSMENT OF TAX ALETHEA M FILE NO. 21 97-0695 ACN 101 Roc"'II'" n(J(" flf ",..:dl'; ALETHEA M '9B ArR 29 All :Z() DATI ISTAU OF DATI CiF DEATH FILE NUMIIR COUNTy ACN ELVSE E ROGERS 3401 N FRONT ST PO BOX 5950 HSG Clt'lI P~'~9m' I , lllrt ',,), PA ESTATE OF MVERS DATI 03-23-98 ATTACHED NOTICE TAM NETUNN WASI I I ACCEPTED ~S FILED I X I CHANDED SEE RESERVATION CONCERNING FUTURE INTEREST .. SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN 1, Nool E.toto ISohodulo Al 2, Stook. ond lond. ISchodulo I' 5, Clo.olY Hold Stook/P.rtnor.hlp Into.o.t ISchodul. CI 4. "art..I.a/Not.. Receivable CSohedull Dl S. C..h/l.nk D,polltl/"llc, Plrlonal Property (Schedull E) .. Jointly O.nod Proporty ISohodulo FI 7. Tranaflrs CSchedull Gl e, Total A..oto MOTEl To in.ur. proper oredit to ~our account. .ub~lt the upp.r portion of thtl forM Nith your te)( ply.ant. ..J.Q.. 25,954,22 .00 ,00 21.103,41 716.13 89.625,39 (el \11 12) UI 141 ISI (" I'll 137 .459 .15 1'1 1101 11.671,07 APPROVED DEDUCTIONS AND EXEMPTIONS: .. Funaral E~pan.aa/Ad.. Coata/Hiac. Expan... (Schadul. Hl 10. DObt./Hort,.,o LI.bllltio./Llon. ISohodulo II 11, Tot.l Doduotlona 12. Nat Value of T.~ Return 15. Charitable/GovernMent.l .eque.tsl Non-eleoted .115 Trulta (Sched~l. J) 14. Net V.lu. of E.t.t. Subjact to rax 1.438.52 (11) (12) _ (15) \141 1 ~. 1 nQ IiQ 124.349.56 ,00 1~4. 3',9,56 If.n ......m.nt w.. i..uld pr.viou.ly, lin" 14, 15 .nd/or 1&, 17 .nd 18 will rlflect figur.. th.t includ. the tot.l of ~ r.turn. .....s.d to d.tl. ASSESSMENT OF TAXI 11. A.ount of Lin. 14 .t Spou..1 r.t. (1S) 1', A.ount of lino 14 t...blo .t Llnoo1/Cl... A ..to (161 17. A.ount of Llno 14 t...blo .t Coll.t...l/Clo.. I r.to (17) 1a. Principal Tax Dua NOTlI ,00 124.349,56 .00 M .00. M ,06. X .15. (181 ,00 7.460,97 .00 '/,460.97 TAX CREDITS I PAVHENT DATE 10-22'97 NECEIPT NUHIU -;\A242370 DISCDUNT I" INTENEST/PEN PAID I-I - 355,71 AHOUNT PAID 6'.759,60 PAVMENT MUST BE MADE BV 05-01-98*, TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOT AL DUE 7,115.37 345,60 .00 345.60 . IF PAID ~FTEN DATE INDICATED. SEE NEYENSE FO~ CALCULATION OF ADDITIONAL INTENEST. IF TOTAL DUE IS LESS THAN .1. ND PAVHENT IS NEQUINED. IF TOTAL DUE IS NEFLECTED AS A "CNEDIT" ICNI. VDU HAV IE DUE A NEFUND, SEE NEYENSE SIDE OF THIS FONH FON INSTNUCTIONS, I c_, '* /5-'./f/,f-~ IUREAU OF INDIVIDUAL TAMES . IMHERITAlICE TAX DIVISIOIt Dl!PT. 1.1601 HARAlllURO, PA 171tI~a"1 COMMONWIALTH OF PINNSVLVANIA DIPARTMINT OF RIVINUI INHERITANCE TAl( STATEMENT OF ACCOUNT n~."" ..,..m-.1I DATI 06-15-98 ISTAT! OF MYERS ALETHEA M DATE OF DIATH 07 - 31- 97 FILl NUMBIR 21 97-0695 COUNTY CUMBERLAND ACN 101 f ~A~t R..IUed =J MAKE CHICK PAVABLI AND RIMIT PAVMINT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 MOTE I To Inour. pr_r or.dlt to your eooount, ......It the _r porUon of this fo.... "lth your t.,. P._t, CUT ALONG THIS LINI ~ RETAIN LOWER PORTlON FOR VOUR RECORDS ~ itlv:Uicij_i.iCA;:P-iD:i:9Iff------.iiii-iiiHERiTANCi'"fAX-S;:Afiiiitif-OP-AccoiiNf--ii..------------------ --- EL VSE E ROGERS. 3401 N FRONT ST PO BOX 5950 HBG rA 17110 ISTAT! OF MYERS ALETHEA M FILE NO. 21 97-0695 ACN 101 DATI 06-15-98 THIS STATEHENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE, sHOWN IELOM IS A SUHHARY Of THE PRINCIPAL TAX DUE, APPLICATION Of ALL PAVHENTS, THE CURRENT IALANCE, AND, If APPLICAILE, A PROJECTED INTEREST fIGURE, DA1'E OF LAST ASSESSMENT OR RECORD ADJUSTMENT I 03-16-98 PRINCIPAL TAX DijE, 7,460.97 PAYMENTS (TAX CREDITS), AMOUNT PAID PAvMENT DATE 10-22-97 04-28-98 RECEIPT NUMBER AA242370 AA270004 DiSCOUNT (+) INTEREST/PEN PAID (-) 355,77 ,00 6,759,60 345,60 TOTAL TAX CRIDIT BALANCE OF TAX DUI INTIREST AND PIN. TOTAL DUE 7,460,97 - .00 ,00 .00 . If pAID AfTER THIS DATE, SEE REVERSE SIDE fOR CALCULATION Of ADDITIONAL INTEREST. ( If TOTAL DUE IS LESS THAN .1, NO PAYNENT IS REllUIRED, If TOTAL DUE IS REfLECTED A$ A ~CREDIT" (CRI, YOU HAY IE DUE A REfUND. SEE REVERSE SIDE Of THIS fOllN fOR INSTRUCTIONS. I '. '0 11 '1,1 r:: (0' ('-/ ft t:':;C ::>0:: ('1 P~VIlEIfTI \:1 ',., , . 'I po", ~ tho ~ ..,\Ion .~ thlo Noll.. ond ......11 .lIh ..., po_t _ P....1. to tho _ _ odd,... '....I1\t... on IIiJ' ,...,.. il!do, {j < L~~I "tJ ~.&if RUt""" DE~~. oheat or IMNMIY or.r ,.,,1Ib1. tOI REIISTER OF WILLS, AIENY'. -, If NOIl.RfsillEllT ~ .... _ 0' ...... o'do, p...bl. tOI ClIlIlOlllIEAI.TH OF PENNSVLVAHIA. .... (apt" r.hnI of . tlM C1rtldlt_ NhlOh w.. not r.....t.. on the hI\' 'Return, "Y be r.....tlld by oOllPIIUne en ....UnUon for Rthnd of Pww'l'y~"',"I. Inhllrltenc. .net bteh Tlx" UtEY~151J). "'UOIUont .r. lvallllbl1 .t the 0'f101 of the Rel1lt.r of Nilll, ~y of the 23 Revenue Dlstrlot 0'110" or frOl the o.p.rt-.nt'l r4~hour en.uerlne..rv'ce ~r. for for.. orderlntl In ~~ylvenJ. 1.laO.S62-ZD50, out.lde Penn'ylv~l. Ind within 10081 Herr'~r. .r.. (711) 1a7-'O~, TDDt (717) 772-2252 ("--ring 1~.lred only), REPlV TO: ...t.lont r...rdlng .rror. cont.IMd on this notice should be IIddr...Mf to: PA Dep.rt..... of R.~, aurMlU oflndlvlduel Tlk", ATTNI POlt .....-.ent R.vi.w Unit, Dept. 210601, ~rrl~r., PA 171'1.0'01, phone (117) 717.1;505. DISCOUNTt If ..y tlM; dl.M h PIIid NUhln thr.. OU eal-*r aonth. aft.r thl! decedent.. _ath, a ,i.,a perunt (&X) dllClOW'lt of the taM; ...id it aUowd. PENALTYI The ISX taM .....b non.partlelpaUon pWMIlty h e-..uted on tt. total of the taM; and Int.r..t a'H'Nd, Ind not paid before JMMMry la, 1996, the fir.t ....)' aft.r tM end of the taM -.aUy per-locI. INTnESTt Int.r..t it ahaI''' bellnnlng ..Uh first ct.y of delinquency, or nine (,) .outha and OM (1) day frOll the dlt. of death, to the datft of "YMnt. 'a... Nhleh bao_ "'Unquent bafore January 1, 1912 ball' Int.,...t at thll rat. of aiM (6X) ,.rCMit fNIr ann... ualoulattd .t I ct.Uy rlt. of ,0001". All t..a. whloh bee.. delinquent on and .ft.r "'*"'-ry 1, 1M2 ..HI ....1' Jnt.r..t at I rat. Nhleh ..Ul va,.y fr_ ell.,.,. y..r to cIlandsr !iI"r ..lth ttwlt rlt. ~ by the PA .....rtMnt af R.venu.. TM IIPPlIcllbla Int.,...t rlt.. for- 1911 thrOUlh 1993 .,.s, Y.., Int.r..t R.t. n.ll)' Int.r..t Feetor V.ar Int.,...t Rat. DaUy Int.r..t Factor 1... !OX .0005411 19.7 9X .100147 1"5 16;( .000458 1918-1991 UX . ''''01 I.., 1U .101501 199' 9X ."U47 1915 15;( .IOOS56 1995~lm r. .1001'2 1916 lOX ."0214 1995-199. 9X ....'47 -.Jnt.re.t it OIlloul.tact I. foU_'1 IIITIU8T . IALANCE OF TAX UNPAID X NUDER OF DAYS DELINQUENT X DAILY INTEIIIlIIT FACTOR -.Any Hotio. I..ued .ft.,. the ta. bee.... delinquent ..ill ".flaot an lnt.r..t c.loulatlon ta flft-*" (11) day. beYOnd t~ ct.t. of the ..H....,.t. If p.y""t it ... 1ft.,. the Int.r.U co.putittJon det. IhoNn on thl Notlel, *ddltlonal Jnt.r..t IUlt be oalculated,