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HomeMy WebLinkAbout97-00696 '!I ~ ~ . s Ul ~ . ..,. 51 '-& 0 w I CD ~ ~ -&~ Q.. . S 0, .. l- I- 0 '-' .' ~ V"l . . ':-, PEtiTION FOR PROBA l'E and GRANT 01<' LETTERS Estatt of GAfY M' \((""~ No, ~tJ.9!.1.:jldll also known II.! ___, To: ___ Realster of Wills for the . Decea,ltd, County of ~h.,.,lo.,,) In the Social Security No. I'l' 1 ~ t:> I" 78 J z. Commonwealth of Pennsylvania The petition of the underslaned respectfullY represents that: Your petitloner(s). wh(J Is/are 18 years of aae or older an the eKecuLOls.__ In the lISt will of the above decedent, dated :r "'v\.~~ I'" and codlcll(s) dated . named .,19~ (stlte relevanl circumstances, e... renunciation, death or executor, etc.) Decedent was domiciled at death In ~WlIw< l<:o.'-d fuH..----:-;;r County, Pennsylvania. with hi 11 last family or principal residence at..z&..~ te, < M'I,l::>.. Mt(.I1...."t I "-t ~,,(t>~ . Ullt eheel. number, Twp. or noro.1 Deceenl.lhcn_ '8'2- yea~ofaae,died :r~2-'1. ,19 "'-, at :'I I; \ '~'O-L- . ExceptllS ollows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the wlll offered for probate; was not the victim of a kllllna and was never adjudicated Incompetent: Decedent at death owned property wllh estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled In !,a.) Personal property in Pennsylvania (If not domiciled In Pa.) Personal property in County Value of real estale In Pennsrlvanla (") Iltuated lIS follows: 0S-'::. n ( S k~,> 'l"- S S S ~/c:tlD. 0 0 ~ , b WHEREFORE. petltloner(s) respectfu~reqUest(s) the probate of the last will and codlcil(s) presented herewith and the arant of letters !.f_&"~ (Iestamentary; administration c.t.a.j adminlstr.tlon d.b,n.c.t.I.) theron. i~ 1J ~~ 1'0 I 'J ) { . Lt./'.' '- ~ ,.- .., N! "A.tdu.x, PA noi.~ t717'y 3t..Z. - 3'7~ ~N .lIO~ - 32- '032.0 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLV ANIA } ss COUNTY OF CU.Il,d~~llcvl.d The petltloner(s) above-named swear(s) or affirm(s) that the statements In the foreaolna petition arc true and correct to the best of the knowledae and bellef of petltioner(s) and that IS personal repreHn- latlve(s) of the above decedent petltioner(s) will well and truly administer the est&Jt accordina to law. Sworn to ~r affirmed r~1 subscribed ~., ell leliA" /) )<'ll-lt.~A .1 hefDrcsme thIS . h d of -{/- L bL \.. II:lJ(,U: T ,( , 19 9 y C.' LEWIS Re,1 te~- -- ~ lhh I' tll (('nil)' that till' illlOltll.ltinn hl'll' ",I\Ttl I, ((Innd,\' (1l1'lnIIHHI1 .11\ 11IIi',11I,d <.('nllli;lI(' ~d Ik,llh duk lill'd \\'1111 111(.' ,I;, L',lenl Rq\'~ll;\l, TIll' udgitlalll'lIilh,III' willlH' {()IW,lllkd III lIH' \1.11(' \'1I,d !ZI'\<lld" i )111\ I Ill! 11\'I1\l.ll\\-lll ~;Iiflg WARNING: Ills 11Iogal to dupllcato this copy by pholof<lat or photognlph, !in.' 1111- dd'llt,ltilk,ltc, ',~,~,OO (liii/IIJIi''''''',,/.. i"";' \0,\'" Uf Pfi,~> ii.~"-" t "~''''I1\' "~"-Y;l-.\-, i/~' . .~.'. \0\' I(~.. ,~,,/~)I , ~...,~.! \_ ~}i - ," ~~,( " "'!MEN1 ~\ 'l1",," ~!!t!lIJ.-Ij!j!!!J' 4431758 ---,--<~....'--_......_-~-~~""-,.__._-"~. Nu. /) // '~~,,~!" .. U"o'" rr...<d""" .4!iPCJ. 111\ ,II I<l'j~!'ll;ll (I (J (\<<.l(1. .2-!l;;JLt...n if t} I )~Ill' tHIJ~ 111111, ~III COMMONWEAUH Uf PINNSYlVANIA .DIlPARTMENt Of tl6Al.fH. VlfAL AECORO. 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'''ld I ~ J ..,tUKlAiUU'INtK,COI'IONtK ~~.:::':r:':I':'''ItIl'I.llon "I<SIPI''''.'''~'I'ij'', "I (Hi ij~''''W'', d,"II> Q<<,,,,,d fl (!" 1"'1', ;,..., .,'d ~I.... "111 ~,,' I~ (I" <."ltml'~. '" '-"~'i.i'..'''.'.'.lIljltlNll''.llI:.'d'..'''U~. ,. , , j1 ,n ~ L',I,,'<,I,.I! !!. II ~.' !!!~ 'i:.d!,_ II ~n" L-t !..l ~ ~i~ ll"_ f.fiCiiliN'i1OWitloii"i""OCCi.Mo __w____~_._... "II",,/llf'I"IIW'11lll I I' (y1"I.JI~ Ie ~ L oj \...1 " I !I Itl~t4.I"".1 ['~r'jr~\d'CN~ !!_.tl.lmP lilt I(!' JNH flA'~illll',"''''''; 1...,_" .. 1,,/ r M; l'lYl ;' "-j i, .. '--,;J , (-)~, ~ Ci - ~ '" >-. - 3 :g - " ~ //I ~ ... '~~ ~lii~ -'" ~~C1.. X" ZUl'" //I' O~~ ,~ , Ill" ~"al ~ ~~ :t~f5 ~:fiz ce" ili"'< ~ ~ ~ 13 Z "' " C) ~ ;:; \4l :Ii .~ 8 0 . " - ; , , . . -..--.---.---' " . ' ...~ -..I I , )"AST WILL t\ND. TEST AMENT OF GEORGE M. KRAL Y I, GEORGE M. KRAL Y. of the Borough of Mechanicsburg, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my Last Will and Testament, hereby revoking and making void all fonner Wills by me at any time heretofore made. 1. I direct the payment of all my just debts and funeral expenses as soon as conveniently may be after my decease. 2. I give and bequeath any automobile which I own at the time of my death to my grandson, DAVID SCOTI KRALY, provided he is at least sixteen (16) years of age. lfhe has not attrjned such age, then the automobile is to be sold. In the event my car has been sold or is otherwise unavailable when my grandson reaches age 16,1 authorize my trustee, named below. to purchase a suitable car of a medium price range for my said grandson, In the event my said grandson predeceases me, this gift shall lapse and be considered part of the residue of my estate. 3. All the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situate, I give. devise and bequeath to my daughter-in-law , CAROLYN L. KRAL Y, Trustee, in Trust for the following purposes. In the event that she is unable or unwilling to act as such Trustee, I appoint MELLON BANK, to be Trustee in her place and stead. A. The income from said Trust Estate, as well as so much of the principal as is needed according to the discretion of the Trustee, shall be used and expended for the suppon and maintenance, including medical, surgical and hospital care, and college education, or other such fonnal education, such as any internship, apprenticeship, residence, clerkship, or the like of my grandson, DAVID SCOTT KRAL Y. The decision of my Trustee as to the completion of fonnal education by my said grandson shall be final. B. The amount to be paid for the benefit of my said grandson shall be determined from time to time by his need, and the amounts and times of said payments shall be detennined by such need. The said payments may be made by my said Trustee directly to my said grandson, if in the sole opinion of my Trustee, he be of such age and ability to handle properly the funds so paid to him, or may be made by my said Trustee directly to the person having the custody and care of him, /wh'~~ c;-n ~f!'1- , . ,. . , .iIf<._ or may be made by mysald Tnlslee dlrel'lly 10 8ny Instllullon entllled to such paymenl by reason of service,s rendered or tll be rendered III him, e. To pay the accumulllled hWOml\ lllld prlnelllll\lhen remlllnlng In her hands 10 him when he sh8ll, 8\l1llnlhc IIIlC Ill' lwenty-flve (2~) yellrs, D. I dlrec.'llhat Ihe Inlerests of 1111 henet1dllrles Inlhe 'I'Mt hereby crealed, whether In the prlnellllll or 11"'011I1-, Iherellf, sllllll he free fnllllllllblllly to attachmenl or oilier leglll pmcess Issued llllhe Ins\llllce Ill' Imy credllor or IIsslgnee of such bcnefldllry, lInd I dlrc,'t thlltlllll'll)'nlClll shllll h" nUllle, h)' WilY of anticipation of sums which mllY thcrellfter Ill'I'ntC tollny bencflclllry, E. If the Inlstee hilS \lIken lIun the '('ntsl Es\llle IIIIY relll esUlle, the trUslee may exercise her discretion from tl!llC III time IIIlllllcconllng 10 the circumstances liS 10 whether to renl or sell the sllhl relll esllllC, Inlhe event she decides to rentlhe premises she sh811 do so alII filiI' lInd rellsnnllhle fllle of renlllnd by 1I1ellse nollO exceed one (I) yellr III II lime 1I1lhe most. Should my sllld tnlSlee decide it Is wise 10 sell the said relll eslale she Sllllll hllve the Ilulhorlly Ilnd power 10 do so at public or private sale or sales, lInd 10 convey IIn)' such relll estale 10 the purchaser or purchasers Ihereof, lInd 10 give good lInd sufficient deed or deeds for the same. F. In the evenl my sllid grandson shall nol have attained the age of twenty-five (2~) years, bUI shllll be sufficlenlly malure to and desirous of purchasing a home. I AUlhorlze my sllid tntslee to give him a sum of money 10 help with a down pllymenl for such purpose, Such down pllyment shall be reasonable In view of his age, stallon in life, lInd Sil.e of Ihe corpus of the said tnlsl. My trUstee shall have full and finlll discretion as to whllt shllll be l'onsldered a reasonable sum for this purpose. G. My said daughler-in-Iaw, should she act as such trUstee, shall be compensllted at the rate of fifty ($~Il,(Xl) dollars per month or such lesser amount as may be rellsonahle according to the size of the corpus of the said trust. Should my corporllle lrIlslee llctas lrIlslee 11 shall be compensated at lIs regular and prevailing fees lIccordinlllo lis then current fee schedule. II, It Is my desire thllt my sllid dllughter-in-lltw, if she acts liS trustee, shllllUlke dlrectilln, helplInd lwvice from lilY lIt10mey as to how 10 best carry out her dUlles, keep II ledger book IInd the like. 4. In Ihe event that my sllld grandson predecellses me or dies during Ihe term of this trust, then his Inlerest shull go 10 his surviving Isslle, ~~. If he is not survived by issue, then my ~'~1i.4 9'17 f(fl,(.ed , ! \"", ' \ --, ?)""j'" " <,' I' ~ /:1 ~ o~'\\'\ , " 1 I j I I I r 'I ~ \ \ f I I I J I . \ \ =r.... "-I.. 'i...~, , III r'-f r'-f 'M Il;: 4-l M o ~1 r'-f Ul '" \-II:> r-- (1)0 .-< +'III 1IlE-l .ti,~ ,~ & 8 'tJ ~ It) t> >:>< 0.-< +' ~ I>i:>' gr, (1)~ o C. III r:: UUW:::IW 'M 0 Po< 'tJ8-'4:S ~ ~~.~ \-I oi r'-f :>:::1'-< \-I 0 III 0) ~ uu.,-j ~~t~~ OUf'llOU -l~) L'\ -- - :!: "' ,- ~ "' '" '" ....... -- .- iI' - ~ ,.. i,' -- ...... " '" - t.: ,~ - .. ,,~l I~' ,\1 (II l'~' 1'(1 'I 1'1;1 .;of I~' I" ,,.4 ,e . " ,~~~ j ,i\ ~ i....~~" -' j-,' '. i \j_C,j_+' .~ '. '\ . /, l.\~1 t' . , .,ff.;t ,,' : I,' 1": : ~, '::-., /.. I. '. .~ '-'!\ '.~ t~' " IA 1: ~'.,\. -':'-"l r [t.:' .if ')" ~ ' r '.,f; , r~,j-' ~. ,i, 1l -~. , . , !. ", ... ~ !' ,-..-' ...,--- , ._~,-- --;,,"r-~;,J~::~~~?!,:7~' ,,' . ., -.~'. I ......-- ~'\- '-:-' ,"r~--'- I \' \ , ~ . , , '. j 15"j0'~_'7 \IO_OAIISOIOIATHA"I- 121all91 CHICKHI~ ~:1~'~1\ INHERIT ANCE TAX RETURN ~o~::~yUl:~olT II CLAIMIO I I '"';.:1i11i~~;;:'n j ~~~l~t~iT~~f~{Nf ::;~::: '),1'n. W~~;. d______O._ _ " CtOfN '\ NAMf t-l" .n'''.., "'..0. M'''....''''''.'. '''-1. ... .....n ....--. .n. ... .--.... ~..l""""'""""" .'.O..OIU .':l~ .....-... ..~..-. .' I .'ft~~;';'<' M, r~ 7 ;~.; 97 T;'~7:;'; 14 \,l.~~~~t;m~~:':d, ~ "~~: 55 ___ . ':<-".":' ._".,~" ,,,, .., .,,,,, .. \""'" ."" " ,.,,, I'.""''''''''',,' '''''',,'''~'. ~_ =n. .. [~ 1. Origlnol R.'",n LI 2 S,ppl.m.n'ul Ro",n II 3 R.molnd.r R.'",n 1101 dot., of dtath prior 10 12.1 J,8~ [J 4, Llmil.d EI'at. [ J 40, f,'''o 10'.'0" Comproml.. [J 5, fodo,al EI'a'o T,.. Ro'",n Roq,I,od (10' da'.' 01 d.o,h alto, 12,12,82) [] 6, Oocodon' DIod Tella'o [] /, O.codoo, Moin'oln.d 0 li,ing ,,," I"'''och copy 01 Willi I"'''ach copy 01 ''"''I ____.__ ALL CO_RI5PONDENCIANt:lcCllfflDiNtiAt TAXlNfORMATIONSHOULDiEiiliiiCfioto....-.-'---.-.------., N:t.'~---~-_.------------~- -- -- --'~-'----'- -~ rOM'ltTfMAIlTI'H:;-AOORE1~ -- - ---- -- ---- -- --_.--- - -- __- scotl..J'i_,_l'Qh1nl<:'1'-I-1':Sq,,--------.-- P.O. BOX 5120 'WPHON'NUM'" Ilarrishurn, pA 17110 I 717 I :32_B5?5.=_===----==-==~.-~~~=====-=-=.~.c7'---. ,,~ on" no '-. ;;, 1. Rool Elta'O ISchodulo A) 11 I --- <L ..'__m.Il_L,----- . , 2, S'oc.. and 80nd. (Sch.d,lo 8) (21 _,_,_Ji_-2_!i-~-.'..1.I-, 3, Clo..ly Hold S'oc.IPa,'no"hip In'.'''' (Schod,lo C) \ 3) --.----_::'--,-----'------ 4. Mortgage, and Not" Receivable (Schedule 0) t 4} ..-~.,.-_.".--- --_.-_.-~----_..------ 5. Co.h. 8an. Oopolill & Mi".llan.o", P."anal P,apo,'y 15) ,_1..'l,_5"J\l~.,~2__-----.- ISchod,lo EI 6. JOintly Owned Prop.rly (Schedule f) 7, T,anll." ISch.d,lo 01 (Schodul. LI 9. 10101 OrCin Au'" (tatolll"" \.7) Q, Funeral hpens8', Admlnl.trative Cosu, Misc,Uaneou$ EKpen..' (Schedule H) 10. Oeb'l, MorlgClge UabilllilU. liens (Schedule l) 11. Total O.ducllonl (lotallin.. Q & 10) 11., Ne' Value of Estot. (L1M 8 minut Une \ 1) 13, Charitable and Go....rnm.ntol Sequel" (Schedule J) \,4, Ne' Value Subiecllo Tax (line 12 minut Une 13) 15, Spou,allront'ers (for dOllS of dealh after 6.30.94) Se. lnllruc.lloll' for Applicable Percentage on Rever" SIde. llnclude "olue\ from Schedule K or Schedule M.) 16. Amount of Une 14 lOKable 01 6% rote (Include values from Schedule K or Schedule M.) 17. Amount of line l4 taKable 01 15% role IInclud. "Cllues Irom SChedule K or SChedule M.) \8. PrincipolloK due (Add IOK from LinlS \5, \6 l.1nd \7.) 19, Cr.dill &pou.ol Po,."y C,.dl' P,io' Paymonll Oi"o,n! In'.'." ._,_____- + H, 000 . OO+____,_~OJL,--\la --.--... ~\)~~!IOf:" I"" . \!! ,,5'" !Ilf'" QI~ ~ ii ... 82 _,_ 8, TOlol Number of Sof, Oeposit 80)(11', --" ,ei 1.(1 :1)::0 '28 ~. "1 ,fl.o.. fl) \ ,}, L, ~,; ~- -~ N , '.) . 2 S ~ i\1 16), -_.---,~,--- 17) ------.-=----,-- :;1 ~.~ \!J fF If I S. 18) -.:.....1_Bb,.1 51._46---- ' . ':.1 --~ 19) ._~m:LL_'!.l!9....l..<L..--..- 11 O)-.----1.t1E, 9 0 _- 35,2~~~l!....---- _' 2 51.!'!E.1..L---.. 111) 1121 1131 (14) 2">1,492.l!i- -- ~------~_._-_. 1151 __----,-,-~-x.-= 251,323.51 = 1161__..______----x ,06 -- ____..J:2~!~9 . 53-___ (17) __.___,--...-,..-..-.---x ,15 = --,~---- 1181 ____l2.r-~~-. 53.__--- ! ... ~ . co ... 20, If L1no 19 i. g,oa'o, ,han Llno 18, on'o' ,ho diff.ronco on Lino 20, 'hi. I.,ho OVUPAYMENT. aD 119) __..-1~-,.9-00,'-9~,-...--- (201 21. lIL1no 18 i. g'oo'O' ,hon llno 19, on'o' ,h. dlff.,onco on Lino 21 Thi. i1,h. TAX DUE, (21) --~~-4JiH~-"" ..., En'o, ,ho Inlo'o,' on ,h. bolonco d,o on Lino 21..., 12'''') ,____,____3 : -----' 8, Eo,.r ,ho '0'01 01 Llno 21 and 21... on Llno 218 lhl. i.,h. BALANCE DUE, 1218) ___,__2, 51]..?? Mah ChIck Payable.to: R.,lt'" of WlIlt, AI'"' ------"'".---.-------- > > BI SURE TO ANSWIR ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK "'ATH ..c:..c: Undo, ponaltio. 01 po'i"'Y' I doda,o ,ha' I ha'o .,aminod ,hi. ,o",n, incl,ding ~ponylng "hod,lo. ond lIa'om.nll, ond '0 ,ho b;;iO!my .nowlodgo ond boll. it i. '''0, co"oc' and compl.'o, I doda,o ,ha' all roal 0,'0'. ho. botn ,opo,'.d 0' ",. mo".! ,01,. O.c1o,a'iao 01 propa'o' o,ho' 'hon ,ho pmonol ,op,o.o",o'i,. ba.od on all info, motion 01 which p,opa,o, ha. o~y ~~owl.d~', .-,-..------,---------..----' -- - . NAT"" 01 ",ON' ON '" . 1 'NO "TU'N .00"," 0'" 1 ~ tl tI c- _ Cilrolyn Kraly 93 Whit~ oak...l'?adLHa_lifax, .PA 17032 IV 7J 16 fN'Allvf AOOlttS~ ~l..-- :l ... SL~tt W. rohlman, Robinson & Gera1do P.O. BoX 5320 _________----- __ ,--,-------rriifnsb\,lrg' p}l; '1 , .'VoI NI .. . 111,11, SCHeDULE A, RIAL eSTATe PI" Kraly, Q'Orge, M. ('NfNrty 1.'~Ily..w~." w"h III.h,.' 'urvl"...h,,, "'u., ~ ",..I..." a.. Ith"'.I. " All '.a' ..'a'. .hau'" .a ,."."." ., '.1, "'...., ual.. whlth I. ...11..... ..lIla ",Ie.., which .........., wau'" ~ ....h......, ~Iw.... a wl'".....u)'" a.." . willi... ..II... ...lIh.. ~,... '."'...II.d fa ~., oa". loa" h.", raa_I". ....wt. .., tho "'."a..' ,..,.. ITeM NUMI'" I. DesCRIPTION 205 E. Portland Street M9chanicsl:A1rg, PA 17055 Cumberland COlmty 2. ~ land in Tyrone ~bwnship (10% share) -Perry County Pennsylvania -Deed book Vol 141 Pg 635 -Property va.1ue ($~OO,ooo.OO) -Location: North and South sides of T-331 McCabe !bad 3 miles South of Ibute 233 '!yrone Township Landisburg, Perl;)' County; Pennsylvania TOTAL (AI.. "',.. an "n. I. II... 'I.'~tl.n' I'_~ ~~~,~"~n~r"t,)tH~l!H~,."4,,,,.- ,'" ,"".-",~ ...., VALue AT DATe 0' DeATH $75,000.00 $10,000.00 $85,000.00 / .'V; 1101 ". ,...., SCHEDULE B STOCKS AND BONDS Kra1y, George, M. - IAII "relHrly Ie'nlly..wn." with 1II11hl.f lurvlv...hl" ,"u.jj;~;.n Ich."ul. P,) ITeM NUMIU DeSCRIPTION vAbue ~T DATI Savings Bondsl 'OATH l. U. S. denomination class date of issue $25.00 E 5/69 $25.00 E 4/75 $25.00 E 11/74 $25.00 E 6/74 $25.00 E 1/74 $25.00 E 8/73 $25.00 E 10/72 $25.00 E 5/72 $25.00 E 11/71 $25.00 E 1/71 $25.00 E 8/70 $25.00 E . 3/70 $25.00 E 10/69 , $1,599.72 .,;' ... $1,556.25 $1,000.00 l! 1/76 $1,000.00 H 1/76 $1 , 5.56 . 25 $1,000.00 H ,1/76 $11556.25 TOTAL AI.. oilI.. en 111M 2, R... (II "",,., ,p.M /. _ded. In.." addltlonol .h", S 6,268.47 , . d........ II." Kraly, George, M. IA. ~ ""'~............. .....'01 s- ITIM NUM.I. SCHIDULlI CASH, lANK DIPOSITS AND MISCILLANIOUS PeRSONAL PROPlm ...11 M ...."'tt4 ... Iche4ulo I') OI5C.I"ION 1.) Me llon Bank 2 W. Main Street Mechanicsburg, PA 17055-6231 checking account No. 142-552-0465 . certificate of deposit No. 140-001860-C cArtifi"at", of nepnsit 1\10. , 40-05n95~C certificate of deposit No, 0-A08036-C certificate Qt depo.sit No. 140-001392-C certificate of deposit No. 00172213 certificate of deposit No. 14-A494.59...C ~ 11J1WJlol."... 11......._....,..........1 TOTAL VALUI AT DATI Oil OIAl'H $ 9,930.36 $10,001.05 $10,039.70 $10,011.01 $10,035.89 $ 5,529.19 $10,037.50 565,584.70 . "~I'" U ~ 114" *' , H, '.IIl"HIA 5CHIDULI I CASH, lANK DIPOSlfS AND MISCILLANIOUS PIRSONAL PROPIRTY Kraly, George, M. CA. - -- . PI..... ,"","'"-- ...... ... ."", eI '-!wi.... ,,"vII lie "'N...d .R .......v.. 1'\ lTIM NUM.I. DISCItIPT'ON 2. ) PNC Bank .P~U~ HOX 8874 Camp Hill, PA 17001-8874 checking account number 5000644888 - certificate of deposit No. 21001011065 certificate of deposit No. 21001011126 certificate of deposit No. 21001011148 certificate' of deposit No. 31500027214 certificate of deposit No. 31500051589 VALUI AT DATI 0/1 DIATH $ 25.50 $11,903.29 $11,761.13 $12,572.78 $10,333.53 $14,590.26 3.) CoreStates Bank P.O. Box 8630 Philadelphia, PA 19101-8630 certificate of deposit No. 6056923285696740 4. ) Household items (please see attached list) 5. ) PennsylvanJa-Delaware.District Council of the Assemblies of God note number 2422 note number 3070 note nnmbAr 31i35 not.. nUMbe" 2?l4 note nnmhAr 2189 $16,318.69 $ 5,666.50 $ 6,567.57 $ 5.805.06 S 4,000.00 ~11.80'i.75 S18.548.33 $129,898.29 TOTAL 'AI.. ent., on "n. ~ Ioca"'tv'.tlonl I. fA-.... -......... -a ..... ... ... _'-- _0_ .. 'Ih~.a1 nf hnt-h QrohAA,116 1;'1 ~, n~ ^^ ..",.IIIIU.t'"1 , ITlM NUMBER A. . COMMONWIALlH 0' PlNNIYLVAN'. INHIR".NCll.. 'llURN UIIOINT OICIO NT 5CH.DULI H FUNIRAL EXPENSES, ADMINISTRATlVI COSTS AND MISCELLANEOUS EXPENSIS Kraly, George, M. DESCRIPTION I. Puneral "pen Ie.. Myers ~xneral Home, Inc. 37 E. Main street. M:JchanicsbJrg, PA 17055 . .. Achnlnllfratlve Calli. 2. 3. ., C. 1. 2. 3. .. 5. 6. 7. 8. 1. Pw,.onal R.p,...nlall.. Commllllonl Sodal Security Numb.r of Pw,.onal Rep,...ntatl.., V.ar Commllllonl pole:!, 1998 206 - 32 - 0320 A"orney ....1 Charles E. Shields Ibbinson & Geraldo family Exemption Claimant R.latlonlhlp Addr.1I of Claimant at d.c.d.nt'l d.ath St,..t Add,.1I City Zip Cod. Stat. Probate ....1 Cumberland county Register of Wills MllcellanHul IxpenMIl Ted Weaver - Property J\ppraisal Larry Vallier Auction Services TOTAL (Alia .nter an IIn. 9, Recapitulation) II' M".. ...... .. .......... I....... ...........81 ....... .f ....... ...._, AMOUNT $ 8,200.00 $13,500.00 $ 475,00 $ 8,500.00 $ 96.00 $ 250.00 $ 2,965.30 S 33,986.30 :"'''''''''''1. CO/IfI.MOf\tWUm4 Of H..."'''...... IN""IIANe' ". Iflu.. ..'IOtHt M(IMNf SCHEDULlI DEBTS 0.. DICEDENT, MORTGAGE LIABILITIES AND LIENS Ploa.o Prln' or T 0 PILI NUM R A 10' Kraly, Georgo, M. ITlM DISCRII'I'ION AMOUNT NUMIIR I, SUsquehanna Intel-nal Medicine Assoc, $ 29.64 2. Holy Spirit Hospital 5.64 3. ERG Associates 10.30 4. Sandford & Raunm RhelUlPtology. . 10.08 . , 5. OSlDBA Orthopedic Institute of PA . , 16..06 I ' . 'f, 6. Smith Kline Beechiun Clinical laboratories 226.2!l . 7. Central PA Gema & Medical Onc Associates 68.04 " 8. Siege1batun & Gunder Gastroenterology Associates 12,27 9. Pinnacle Healtll System, 42.06 10. West Shore EEergency Medical Services 105.00 11. Associated CardiolOgists P.C. 11 :56 12. Cowley Medical Associates 7.40 13. Famil.y Internal Medicine Associates, P.C. 3R.09 .14. Physeians of Rehabilitation Medicine P.C. 36.14 15. West Shore Pathology 1.41 16. Pulrronary and critical Care Medical' Associates 13.92 17. Barry L. Heckard, Tax Collector - ~chaniosJ:urg 429,52 18. United Water of PA 17.45 19. Borough of MeohanicsJ:urg 81.29 20. Bell Atlantic of PA 36.41 21. P P & L 40,13 22. 001 33.64 TOTAL (11.110 "",0' O. ".. 10, Rocopll.lotlonl . 1 (II _Ill 'flOCO I, MOdod. '.'0" add/l/oltot ,,,.... nI ,_ tI.o.) -.., ." ,--, ~.- .... .," < " 11\111 I (lli.\llfI,d,II,-U,'("'1 lUlU I \lUll oUM HI.III_I.MLUl l"""eMIT I ' ~I\jl' I A":--U:i"iisPARTMsiifOFiiOusiNOANOUh_, ltioi:-vilOriie'N'---..-..-------...-. __._._____....._.__._~_u._,.__. ,_,_._n__~_.' 8Etlll:MENl StAlEMEm ~"'Nllnlb4l' --- 8, Type OF LOAN 'II f"^ 'II Fml" 6 file Numbef; 6~IOg28 31_1 COIN. UNINS '11 VA & II CONY INS 910.739 e Morl\JAgfl Insufllllr.e e"ll Nunlhftr C NOn:- lilt. 101m lumllh.. II ,t.lemenl of 'I"ltmllnl cOlli Amountl II.kllO IInd by IhliJ utlldmenl ,glnl Ire Ihown tlft~ik~~':-;;'-e' paid out.~ Ihe c:lotlog: lllly .11 thown 101' Inktrmltlonll rurJlOI.I IIrld II,. nol Included In II~ tolllll NOlf!' lIN..Tt~JlIlYl'l'" IdflnllfIGllkm Numbef D_ NAME & AUUfU!SS Of nonnO'Nf:H . TNAMf:, AIJllrU:SS & ,IN 0" Sf.U.F.ft .0- r-NAME AmI AUorU:SS (jrt:F.Niif.R- N,mt: lhomllt Bewley N,mll 1:1111'11 olOMrgll M KIlty NOIwl'l!\t MorIO'l\l8. lno LPO I') c/o Scott W- Ponlmln, E.qulr. SUitt: 4 E, Mlln SII..t Sl"et - 6oo~ e.fllsle Pike, Suite 202 p,o nOli 6320 CII;, New I(lngllon C", Hllullburg Mf!cl1.nlclhurg, PA '705!'l SI.Z~ Penntyw.nll 17072 51 & Zip --- Pennsylv.nl. 17110.!I320 TIN 123-7001810 Q. PROPERTY lOCATiON PL"CE OF SF.lTl(M~- '.SHIlEMf:Hf DAlE 2M ell' Portl.nd s".,t, ~chlnlc.buIO. PA 17055 law O!lIces . Millin fl_ McC.leb WedneldllY, Novllll1tler 26, \091 J, SUMMARY OF BORROweR'1I TRANIIACTlON K. SUMMARY OF SELLER'S TRANSACTION 100, QROSI AMOUNT DUE FROM BORROWER: 400, DROSS "'MOUNT o"li'ETOiELLER: '101. ConlFlCI ..III pllce 75,00000 '0' Contr,cl 'tile, price 75,000 00 t02. P'ffloo.1 PIgpeny 402 Pel'Of'11 Properly ~~". .,nllmenl ehlfge.~oo) 2.117026 .03 '04, .04 ..- ,.. .0& Adju.Imentt fOf llelnt p.1d by "lief In Idv.nce Adjllllmenl. lot Items paid bylllllel Wl ,dvloce 108. CoIMunc la... 11I2M1 to 12131/97 1---'--- 112q 1129 400 CollJlunc la~"1 11/26/97 to 12131197 107 Schooll'lI" 11nM7 10 6I3Ml8 24826 0107 School ll~et 11/26/91106130193 24826 loa. ........menl. ,. ~~AIIIl"mIlnll~ -- ---ToTo 109. SIwtIrlReru.. W26197 10121311'91 '870 409 SewetlAefuse 11/26197 to 1213l/97 110, 410 - 11" 411, - 112. ~- 113. 413 120, DROSS AMOUNT OUE FROM 78.158.61 420. GROSS AMOUNT DUe TO SEtlER 15,28825 BORRO'M!R '2OO:"AMOUNTII PAID BY OR IN BEHALF OF BORROweR: ~oo REDUCTIONS IN AMOUNT Due TO SELLER: 201. Depo.lt. 01 ..rne.1 money 7,500 501, Elle..s dtpolll (Ine Inslluctlonl) 7,50000 202. Pllf\eipll .mount 01 new Io.n(.) 40,000.00 502, Sllttlemenl ehllgllt 10 llllel (line 1400) 1,22!i~!i 203. Elllttlng Io.n(.) ltken .u~e' to &Ol Elll'tlng Io.n(&) liken lubject '0 '04, &04 P.yoft olllffl morlOlt1le Io.n 20! &0' P.yoff of .IlCOn<! moltgage loan ,oa. - &06 20; &07. '011, roe, - '09, &09. -- Mju.tmenl. for Meml unp.1d by "lIIr Adjultmenl1 for It.ms unplkl by lelllll 210, COIMune lelll. ,. 510, COIMunc 1'11" I. 211. County Illlet I. 511. County 1'1111' ,. - 212. AII,"menl' ,. 512, ",".umenlt I. "3. m - '" M' 2'5. m 2~e. 616 217. 517, 218 M6 21'. - -- "" 220 TOTAL PAID BYIFOR BORROWER 41,&0000 &'0 TOTAL REDUC110N AMOUNT DUE SELLER 8,72545 / / 300, C~IIH AT IIETTLEIoU!NT FROMO BORROweR 3('11, OIOt' lmounl due from borrow" (line 120) 302, Lit. amounll peld byllOl borrower IN", 2201 303 C~SH 1"1 FROM 0 TO BORROWER 78,'5HI 600. CASH AT SeTTLEMENT TO/FROPl 8f.LLER 601 Of 01$ .mounl due 10 ,.,Ilef (Bile 420) --75.288,25 30,658,5' 602 Let.,eductlons'ln IIMunl \1ue tellor (line 8,72545 520) 50), CASH (XI TO D FROM SELLER 66,562-80 47,50000 ,oo~!f.i;'I(1roklflr'l <:0I1"1I,1l..10I\ bal.d 0", ,I~-'.'-_.'-'---'-'@%'--~ I 'rAlUfROM--'-_.'--' f'AtOfnOM--'. HonAOWCU'9 FUNDS BF.l.IJ!HS nlNlJS AT SETTLF.MENT AT SETTLEMENT 1111, 1112. 11\3, 1200, GOVERNMENT RECORDING AND TRANSFER CHARGES 1201, F\tcOfdlng feu Deed. 2UO Mortglge' 3000 1202 CIty/co~,"ly la-.Jl1al1'41': 1203,8111.III(,/III~: 1204 E_p,...MIII 1205, 1300, ADDITIONAL tu!nU!MENT CHARGES '301, SurvlV 10 1302, rlllln'pecllon 10 ~e;rough 01 Meeh.nk:'burg~IRIIUll oilh QUlrlli 130<. \lOS. rliOO. TOTAL Senlf.MENT CHARGf:S (tnlt numbel 'r'l'I,ler' 10 Unit 103 & S02 lbo'll) UI\lIIIoo of COITWTlIltlon 111M 7(0) I' 101~I' , IOU ~.- ,- 10'), COIf(nltllon plld II S,"lemenl 104 800 ITEMS PAVAOLE IN CONNECTION WlTtllOAN 101 lOin 011(,1"'11:01'1 ftfl 100% 10 Norwlll Moll0agfl, lne -- 802 loin Ollcounl F.. 1,00% 10 NOM'II Mortglgl, Ine 803 Awrllnl Fit STMlN 10 27!1 00.711100 ro_c - 804 Cftdit Aepoft CREOCO 10 SO_OOlSO 00 , p ,0 C 805 t.ndeI'I Inlpecllon r:., ~ Morllllg' In,urtnee Apptic'lion Fl. 10 e01. Till Stlvlct f',. &011 f'foOd Slllreh 80Il Documenl PllptlliltlQn F.. 10 Nor:lIl MOIIgtgl, Inc e;o-- 511 900. ITEMS RIQUlREO BY LENDER TO BE PAID IN ADVANCE tot Inle",t trom 1112&19110 12101197 ft 7,nOOO IdlY 1102 Mort". Intullnet plII'nlum 1lO3 tllllrd Intultnce Pltmlum for 1 Y"" 10 Erie Intur.nee $f1600 8<)4, 1000, RI.ERVES DEPOSITED WITH LENDER 1001. Hlilfd Inlullnee . 1002 MoI1qlge Intullnet t003 CltylMunc tall" 1(X)oi. Sehool property 1.11.. 100!l, Annutt ......menl. 1()()e AggftQ.le Adjullment 1001, 1001 1100, TITLE CHAROES 1101. St"ltmenllelOtlng let 1102. Ah'lrleIJ\ille 1,ltch .,..~ 1103_ Tille ,..""n.llon 110.4, Title In'UfllnC4l blnder 1 to& Oocumlnl Pleperlllon ~~. NO~1'f 'H' 10 1101, Attorney't ree. 10 Marlin R. McC.leb; ElqulUI, noblnton "Oflltldo (lntJudt, .boYe Item numbell 1108. Tltlllnlutlnct 10 The S.nllntt Agent,y, tno (InClude, Endor.tmtnl NOI 100, 300 .. fl_ ~ 11lXl. linder', coveI'Ue $40,000.00 1110, ~vntl" coy,"ge $1&,00000 10 to monthtCS rmnlhlOS 11 rnonlh, OS 7 monlh, C' monthtO' 10 \0 \0 10 10 ~) / Relene S -- --- ")000 --.oooo~'---- -- 9600 --~ 1000 22500 ,_C--. ~ 3165 roc loi67 per month 68~_ 1111I1//1111111/1 JW'frnonth 000 lilli/III/III/I/! Ul pel month 10J'.91 1/1111I1111I1/11I ,..e ~., month 24472 /1/111/111I1//1/1 per month 0.00 I/flllI/lIIlII/1I .230,10 3M 2S "1/111/1111I11I1/11I/1111/11/111/11/1/ 3.62S 54.S0 160_00 000 oioooo -- 750,00 1&,4& 2,81026 ---- l,m.s v' !~ i ~ I i ~ J I : i i I lit 1= i~ =11I ~! I~ - 'i!J .~ ~~Ii dfi 6zd II"! v I ~ I! I ,-~ -- ,~ ,--- ~n._ .. . . ~- --- --- , ~ \ ~ ..) "" _9 ...!) J i~1 ~ ~ ~ ;::. ^ " ) " ~ ;:: ~ ~ ,,:} f'\ (\ " ~ ~ \ I ~ ~ , 'I I \ ~ ~ .J ~ ~ ~ .::::: ...) , ~ \; ~ ..J C'\ "\ ......... ~-- -. I I I .., I ~ I ' r - -- , ,4 , 'v\ ~. ~ .., I ~. ~ ~ II .~ ~ '!. ~ ,>' ~ ~ - ',\ ~ . '. 0 Q \'\J\ ~ .,~ ',( IV,II' I' 1\( Ii)( I, ( (1111 II III t;;). IliI, 1/ ',II,I( 1)11111111] f (11111 '<!!J Thll In(onn.tlon II beln, fumllhtd to '7 tM lnt,m.1 Rf\""lJe Servie. for 'I. ye., 19.il....L. Company No. tJi ') Dlte: hI. II, "f Office: <. ! ? 8 I.> 7 ,J / I I 'r . '[(.',:) 17 I, U,S. 8.\1n.. Bond. R.d.mptHm Valu. I H-+~ , Numht'r of Itl!mM _ I" o Bond COY n. ' CUlllom.r Mm. and .ddteu 'JlIl'lUl' print or tyPf' leltibly' 1\( I,' -' "._,. /''f,; I ....--; -' ( () 'I" F l'" )" , ( f~' "t II.., \ ~\ , p ~ I ,-, ''" I efJ, " T.....yer Id41ntlncatlonNwn"', 01 Perlon RedNmln. Boadl UJ [Bj [j] G][t] [1] 0 6J [8J [2] 0 I , : ~ , fl' 1\'( .' 11~~ CUltome,81 .lure r" ,) I,. ," ({1, ~.I (( i/ .{',/ L-"'[ (,.I I r. c' I- / 'I '~ ..t-...~, .I / -../ , .1 27 4;4l<,lt')('l"1 \.oi,:':: ;,:,:., L'::',~' (:GNfI fHM Ie. M.tkln Iknk, N..\., M.Uon Dank mEl N~Uon.1 Anoc:IaUon, M,lIoo Dank IMI)l, MeUon (IS'S (NJI NaUonal ,.\,UoellilUon, 00IWn lIAr. o.~.I' and TNa' C'.ompt;ny-M8mlMln F!lIO DR.313:. R41v, (lJNlil LC lWlS PO ~ i i::~(;, ,: CUSTOMER COpy 13 'D S ~ '" g, it, ~, .... '" ~ .l~ IGi g 0\ .... ~ ~ "a '" t"- o 11'I t:I t:I .... t:I t:I .... ~ 11'I '! 18 '" .... 0 '" '" g 0'1 M ~ '" 00 ~ .... d .... r..: vi .... 0\ ~ M .... M ..... 8 M 1-0 0'1 0 0 0 0 '" 0\ 0 0 c; 0 0 ~ 11'I .... .... ,... .... .... ~ a "" 11'I (A "" "" 18 00 .... 0 0'1 '" 0 0'1 '" 0 'n 00 ~ t"- oo :;;j .... r..: vi .... 0\ ~ ..l 0 .... t:l t:l "" t:l Jj "" !ll< rl 00 8 8 8 8 8 0 '" M 18 r..: ~ ~ g ~ ~ 00 ~ 0 \; l-o ~ 0" 0 0" <0 0 In" .... ,... ,... .... .... 11'I .., .., 11'I .., .., jl., t. g ~ ~ !: ~ ~ @ ~ < &l M .... .... ~ ~ 0'1 '" $ ~ ~ 00 ~ J 0\ --- 00 V\ ~ '" N. .... t:! ,... .... ~ 10 --- ~ "- ;::: M .... V\ '" '" ;; , 11 ~ ~;z: ~ ~ a 0 0 a a 0 ~!~!~!i~~!~!~!~! j::~:>a ~:>a ~:>a ~~ ~~ ~~ ~::2 ~ 'Il ~1J.l IllIJ.l IllIJ.l ~1J.l IllIJ.l IllIJ.l IllIJ.l III g "'~ e!l~ ~~ "'] e!l.. e!l.. e!l~ e!l ~~!t~!t t!5!t ~~~]~]~!t ~ u I '" 0'1 .... N '" o , o '<t .... ~ a 00 ~ o "-? 0'1 '" ~ ~ ,J. U I ~ M 8 o '<t ,... u , o '" 00 ,... .... 8 o '<t .... N .... O(l ,J. .... '<t M .... ,~ .... .... 8 , , ( ;iIH:';Lllil'l (10111"-, N_^ r ) Ll!\~ /f) I f\ P uLldnlpl\1d PA I q 101 ,NJ I fl April 17, 199M I Cor.States Bank Scott W. I'ohlman Attorney at LlIw P,O, Box 5320 Harrisburg, P A 17110-5320 RE: Estate of: Oeorge M, Kraly Date "fDeath: July 24,1997 Dear Scott Pohlman: In response to your letler, please be lIdvised that the decedent held the following account(s) with our bank as of the date' 01' death: ACCOUNT # ACCOUNT T1TU, DATE DATE DATE OF DEATH , ACCR, OPENED CLOSED BALANCE lliL 09/30/96 16,318,69 742.45 Certificate of Deposit Oeorge M, Kraly 6056923285696740 Interest paid January I to July 24, 1997: $.00 Rolled over frol11 CD 5692788 - 06/30/94 to 09/30/96 ltruslthat we have been of assistance to you in th is matter, Sif1(;erely, CORESTATES BANK, N,A. f:f6!4'- fJ LtL.u,~ Ei leen 0, Clvr6hera ~ EOC/cl11/423 IN REPL V REFER TO: REPORTING SERVIOES FO 6-90-3-235 POBOX 1102 READING. PA 19603. e 1 ().65!:'l"3353 ~rn~m3wmTh1 III APR 2 1 1998 lID ........................... 'j4rl7 (1?'(J.I) cqfttu:;;'~:::::; ';::::';::."' '"w Sl'ATIlMI\NT OI' l'IJ~II\RAl, GOOJ)S ANI> SI\RVt<:l\S SI\I,IlC'I'Iil> th;f~U .rt unll' Illf thmt Ut!1lt lh.t ~HU ult(tfd lit Ih~; Aft ft~ulrtd If ,,'r .rt rrllUlftl1 h~ Ii'k \Ii h) . (tlllelt'!) III (,('m,llff\ III 1M AnI' 11('111', 'Io'f ....'11I upl.lhlIn ,..,llh,.b(IIIW If llltl "Iflled. IUflff.lth.IIlIII-,f1Iuht' rmhllmln., '!lIh ,at a "UltrA! willi l'i('whIM, yuu m.~ h,H III IUY Ill' t'l1Ihllolln. \'1111 tlu nullul'f III 1'.Iy 1m rmhl!mlnlt :~:;:~~';:,:j~;";; ~"W~~~'2~'If"'~"'d~~~' '" ''''''If,II.., II,,,,,, If.. '""I~d ";', ';;':::';:::,:' .~t"~'\t",~~ C:har..,., .('1~y!oJ.M_AL,7'__ 'l1.{..I!tii"-,,,..t: - .;t;,'J _1!..1,'lM ~_I:/J.. N;nlt' .\\1111("1 Cuy 'il.lt I "JoJl. A, CHUGI fOR !I!lVI(~U SUtiCTElJ1 O\llf, dHlhlo~ I Pllillft:SSHlN,U st,IIi\'I(JS ~t\'im(lfhlnmlltlft(llIrISulf fmh.htllnlt OlhtIJl/qutlilnnultM~ly no\'u I" M\'I':MS"IM" Sllpm'imr III MMN~IIlIU Ml,t '11^NIl.~tIIJltll, l't'NNSYI.YANIA 11l\\\ 11111/hIIl~11 1.L.,!c Lk'. ...---" ___.____ ____.._______, .. L____, (;r~lllAllunl.,n L.__ (Ik'mlrlllln) ._~-,-_._.."'-'-"-'------_. . j ---'---,.,------.:~ SIlI,TOTAl UP "OFU~ION.u Sf.IIVICU ! fAtll.I1US ANI) SU\'IUS lIM'uf fAl'iIIlinlndmvlm fur \'I~"lnA(Vljlllllun/WJkt) 11M' of fJcUllkt Jnd ~trVlcn for funtul ctltffiony , ll,~ offJdhdttJnd m'ilcu fot Mtmntl,ISmln ll~ 01 cqlltp",~nl ,nd tmlen fur,rhclldt~ml(t. (l1ht'IUM'ofluUIUu AI '.:b",<'- U1"ll~M ._.____.____ .---.- __._,...____,______ L._ ____________...._ 1._,__,- TOTAL 141.UtANDIU 8Ulf.TIlU c:. 8P..(:I,4.I. t:lIA1GlSl fUI",,,dh1llllfrcffillullU ~(ii'ui\criT1i()mt)--'-"' Mcccl'iln,ufrcffiallUlwm ------.---.-, tFunC'Ullton\C) ImmtdlJlt RUIIII 1J11((l(;tcml!ton. , M ,!:&~,,,t. " ,. ~_..-.-~--_._._-~-----~.. .., ,,,,,~- ."I_~~ ,.,~ .,~,(.. -----.---,-;:r,;t .,.,..,...,.........,..,-.- SUI,TOTAL 0' 'ACillTlES/!QlIlPNENT .\, MlTOMOTIVE EQIIIPMENT \'thl(lt IU lUnlftl ,(mllnllll funmlll~L LO(JI..,.,.,.,..,.",.,......I- 1I0fM' (Cltktl [Old" ,Local. Llmtllnlnt llKII. family ur tOCll, ..".-=- flllWCf ut or f10lll dllpollllon J.,. lOClI, ..".,I~ lud m/det,y (I~ \ LIK.I"",.,. ,[A""'\'''^~'~~:)l~ CIt for JlJllbt,arttA lOClI,. . I_-=- (lul of lo,,"'n lun'(ItlrullllA . ,. I-===--. .__________I_=. ,-=- SUIt.TOTAl. 0' AUTOMOTIVE EQUlPMIlNT, TOTAL or PII0fl!S510NAL SE.VICES, fACILITIES AND AUTOMOTIVE I.QlIIPMENT "Al'~ ..1. , .,___" SUB,TOTAL Of SPECiAl eH....OES ' n, CASH ADVANC!D OptnlogGtnc . .~~ (cmmlY f.~ulrnltnl, " .._~~- lotJndlkcd. .I~ Ncw'luj)(' Notlct'l-loul . ----.-- Ncw'pJptr NlIlIcu-OUI"Jf.lown. ,f ._._ Ttlcphollf A Ttlcl'lnu . I-~_.- ^Itfut, ,.1- (;'t'r.y~ffcrln.. ,I_~ PJtlbtarcu. .- CCIUlled Corln of ttlt OtJlh ~ (;crUf\ulc ....,.~ i'ollcC'.J(Orl ,I~, flowm. .I~ VaultStI\Il(cOIU,t. ..1- .~""~::~'lr! OIt"A.-'\~ .~'*" ,__- _1- "'MOTAL Of AlIVANCU:-' '-- ,.., !! , 10 ( ~ M'~ We ch~tlt' you for out .mlct't In obellnlnl' (,~clly nub Udl"'1fm ,IMI (IN marttd.,4/'J A ,~"9(.~:==- f>."!.,f( --=-=--=:-:-===-=== SUMMARY Of cIlAlUa:S A rru(utltlllJI Str~lcu, hdUllc~ Inti t:~lllpmcm, IfW Aulunlullvc t:qulpnlCrll 1\, MmhlmUK' C S~dll Chl'll('~ I> (;nhAdvJl\l"c' T01'A,L Of AU U(.TIOi~S PAlO AT TIME m O. PKIO. TO AMOANlil.NENTS ^J pM>ol- BALANU OUt! <:.~ ..",ll....l ",'~ R, CIIAIliG! foa MEJ~ItANl?ISE 8EUtTED, ?"J "'" (.. (;~tktl,.,.M-'n"!t~~,<,. ,~, ll}(ICflpllnnl_..llr_E!? ' . . ___._.u-slv\'\....... ~ OIl'lttkc~.Crl"lr, .."",,'_ (()mrlptlufl) I (;ultl b~~l~l wnl~~;--:---~-=eSO~ IO(t(flpll!.nl_llil~____ :> ~.NI"" l. P A'k'.w"dl'm.......d' ...",I~ Mtlll\ltrluJU.(sl I. MrIllUl)' IlIllkr\ 1J.~lo' PIJI'('r unh . Mm__n hmpuru)' _mc "lIIkrl ,_____ RllII~1 ~'lulhlnM ,----.--- I~L:'" ,. l.lj~~Hfhld , I_.'~'_._~_.::- 1_'lo.L"" ,I-'t'~''''' ,~ ,- ......!ON ',911 f;MB,AUIINft U ' i i'I'~ ;I~-~~ ~;;l~:~~,~;::;~~~;i'~-I;; :r:~(;;;;I:.i:~-~~tIlUj~c:i~h~-r~~.\I-;~~ uf~~y! ~ l~~~~~~=vc Ihr :r~;I:I~I~n;;I. ~ _~~:_I~~:.I MIII~'~ t ~1I'rt lhlll hJ\'c t~~ml"fd IlK' lI~mllll _uutl, Ind ltivlm ltlulflt IhUH Ind fuund thtlll 111)l( UlIIW Inll ~ln'r(III'1l1n lht lfunKCmtnll I hAI'l' WII1I'\lttl I ~\kntl\l'lflIKl' rtltlrl 1I'_ill'(lrl.uf lhl, SWtnM'n111r FUl\ml t1tllllh Inti S(rvlm ~1f\'I(d I rtrlt\(~"I~h V( ,uffilil'ol hln!h ~v~iI,hlt IlIr rilymtnl uf tht wh rfla IlIIlht Illllllh ilntl 1(III\C1 \(ICII(ill ~I~) J"tC III n\~lr.f r')'mtlll 01 1______.,_..'" 'It'lIhh __... ..__.- IIJ}\ I Jilin" lulw: 11IInlly 11111 \(w~1I1 h~hlt.....llh ilfllll"I' thr _hll \llIn. t>tlll~- A 1m fh~IMf o( __~~_.__II(I munlh IlllllunllnM W _ ..~_... ._. ~tJI "'11111( Jlllllkd III 1M un Jld IlllJllrt Ilrlllnnlnll ..-~.._--...., II~\\ [rllllllht' dm uf Ihh IMr1tll1t1l11 .'11I illll'Il~~ In Ihl' tlln~ullllrmur all It IUnilh ,u u rIll' hy 1M .'\ln~'ulllirt~h11ll1 wflt(1 .mmllll\ I n",r umlu Ihi\ IlIfcl'l\It'nt 1 hu\t' 1U11\ nlll lndlldt illlm"t~t' lttl, Willi (1)\1' ~11l11l1hu (11m An)' ~dtltUunll M:I\'I,C' lJl nltl(h~lltll\r 1I11tal'tl ut ItllutSI(d dler lilt dm IIllhl' '1I'~tm~f\\ \Po ill ::.:;:~'llk~~_~~::.:I~.:h~~.~~:.~.~.~~:"I:~_.I:~:~~~7"",.,,'II_~,":"'d ""~h' """"I1~:.:?'_ .'?lj7:~ . \( --~~1L.~/ ......-;;C".----- ~_ _... G (; """'''.11 ) 4- ,: ~'lfl i./~ ,,,". 'j....,(L~,<I'U. 'r.".._.._. _\. ...DC! '__,.. ,. . /~- ....6 .~:.!-J-(..rlr. ..,' ,.' i-jll'mthmll /,.-. / (1.1(t'n~dfunruIHl:,pc"lIl) L Wlur! 1""",11"""'" 1'11111\\' I,..,,,,,.,, ,/' O~,:JSPll~+ 1....1 *' COMlolO"'WIAL!~O' "",NmV.NIA I"'MUllA'" I 'AX InUIN 1I110lN OlCIOll<' SCHEDULE B STOCKS AND BONDS Kra1y, George, M. (All p,o,",ty lolntly.ownod with RI,hl 01 "",Ivo,ohlp mu.l 100 dl..lo.od on S.hodulo P.) ITEM HUMIER DESCRIPTION VALUE AT DATE Of DEATH 1. U. S. Savings Bonds: denominatio~ class date of issue $25.00 E 5/69 $25.00 E 4/75 $25.00 E 11/74 $25.00 E 6/74 $25.00 E 1/74 $25.00 E 8/73 $25.00 E 10/72 $25,00 E 5/72 $25.00 E 11/71 $25.00 Ii: 1/71 $25.00 E 8/70 $25,00 E 3/70 $25.00 E 10/69 : $1,599.72 $1,000,00 H 1/76 $1,556.25 $1,000.00 Ii 1/76 $1,556.25 $1,000.00 H 1/76 $1,556.25 6,268.47 , I,. ,_J"', ,..,-Il 1 "~IM4"" IHI) SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY *' c~EI~.~lr'''. Kraly, George, M. IA" ".,.tty jolAtly.ew..4 ""'" '100 a..h. .11...1_.hl, ..... 100 41..1...4 .. Sth.4.1o P, ITlM NUMBIR DESCRIPTION PI.as. Print or l . R VALUI AT DATI 01' DEATH 1.1 Mellon Ban.k '2W:'" Main street Mechanicsburg, PA 17055-6231 checking account No. 142-552-0465 $ 9,930.36 - certificate of deposit No. 140-001860-C $10,001.05 cRrtifif'atp of nep"s1.t ~10. 140-057195-C $10,039.70 certificate of deposit No. 0-A08036-C $10,011.01 certificate Q.f depo.sit No. 140-001392-C $10,035.89 certif icate of deposit No. 00172213 $ 5,529.19 certificate of deposit No. 14-A49459-C $10,037,50 TOTAL Alia .n'.r on IIno S Reca llu,.'lon lA""'" ....tloMl.". II "" .......11_. .,...1. ........,1 $65,584.70 ~"-' ; .,YIM4U.1141) SCHEDULE E CASH, BANK DEPOSITS AND MISCILLANEOUS PIRSONAL PROPIRTY Kraly, George, M. CAft ~_rty ,","-M4 wltlo tho a"hl .. S...I_.hl" ...., ho "'......4 .ft ..ho4.1o " ITlM NUMBER DISCRI"ION 2. ) PNC Bank P.u. HOX 8874 Camp Hi. 11 , PA 17001-8874 checking account number 5000644888 . certificate of deposit No. 21001011065 certificate of deposit No. 21001011126 certificate of deposit No. 21001011148 certif icate.of deposit No. 31500027214 certificate of deposit No. 31500051589 3. ) Corestates Bank P.O. Box 8630 Philadelphia, PA 19101-8630 VALUE AT DATI 0.. DEATH $ 25.50 $11,903.29 $11,761.13 $12,572.78 $10,333.53 $14,590.26 certificate of deposit No. 6056923285696740 $16,318,69 , 4. ) Household items (pleaie see attached list) 5.) Pennsylvania-Delaware District Council of the Assemblies of God note number 2422 note number 3070 note nl1mbAr 3635 not" number 2714 note nl1mbAr 2189 $ 5,666.50 $ 6,567.57 $ 5.805.06 S 4,00000 sll.80~,7r; 818.548.33 TOTAL AI.o .nl., on IIn. 5. Reo:o ltulotlon (AIIIMh .~.~..oI.". M 11' .....,,_. "M. J. ~t-al of both Sch€! UJ.e E ., 2.99 $129,898.29 ,_, ".._,_.J!<,"'I.,~..'~"""'" ... c' Hanging Plant Fan Box - Pots - Pans Small Applianoes Covered 3 Foot Dish 3 covered Baking pishes Car Vacuum Irons Rainbow Vacuum Frog in a Jar Electric Clock 6 custard cups Table Cloth crocheted Table Cloth Bread Knife sewing Basket Crock Pot Table Clothes Jewelry Boxes Pots (0 Pans 2 small Food Choppers 2 Figurines Plates (0 Bowls 2 Jewelry Boxes 3 Tier Candy Dish 2 Bags of Jewelry Clear Glass Set Mirror in Frame 2 SAD Irons Glasses GE Air conditioner 9700 BTU cambridge China Dishes Clockl cutting Boards 3 English Figurines Roaster with Box 3 Copper Bottom Pots Quilt Letterholder and Slaw cutter Dishes 2 Small Dishes 2 Clear Glass Dishes snifter (0 Juicer 4 Ball Bats Total 1.00 ,50 6,00 1.00 2,00 3,00 .50 13.00 22,50 3.00 3,00 4,00 3.50 7.00 .50 3.00 3.00 4.00 $.00 3.00 1.00 13.00 1.00 10.00 5.00 1.50 5.00 1.00 9.00 2.00 45,00 1.50 4.00 10.00 10,00 7,00 20.00 2,00 2,50 1.00 1.00 .50 27.50 51666.50 \ \ \ 7 p ,./Qr'7 IUREAU Dr INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEf'T, 'l"Ol HARRISIURQ, PA 17128-'601 COMMONWIALTH OF PINNSYLVANIA DIPARTMINT OF RIVINUI HOTICE OF INHERITANCE TAK ArrRAISEMENT, ALLOWANCE DR DISAlLONANCE OF DEDUCTIONS AND ASSESSMENT or TAK DATI IIlATI OF DATI OF DIA TM FILE NUMBER COUNTY ACN 08-24-1998 KRALY 07"24-1997 21 97-0696 CUMBERLAND 101 F -,!iOUn!. RMlIU.d-l MAKE CHICK PAYAILI AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS L1NI .. RITAIN LOWIR PORTION FOR YOUR RECORDS ~ it'i'Y-:ii'4f-ijf"Ap;;-io'9-:nr-ilili''ici--OF-INiiiiiifANci-YA'x- 'A-PPRA-iSiiiiil'r;-Ai.i-owANCi-oi----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX GEORGE M FILE NO. 21 97- 0696 ACN 101 APPROVED DIDUCTIONS AND EXEMPTIONSr 9. Funeral EXPen.../Ad.. Coat.l"lac. EKpen... (Schedule H) 10. Dobt.IHOrtgogo Llobllltl../LI.n. (Schedul. II 11. Tot.l _Hon. 12. Not V.lus of T.. R.turn 15. Cherltobl./Ilo..r......,t.l B._.hl Non-.l.ct.d 'l1S Tru.h (Sche"',l. JI 14. Not V.lus of E.t.,. Subj.ct to T.. If .n ........nt w.. i..u.d pr.viDu.ly, lin.. 14, 15 .nd/Dr 16, 17 .nd 18 will refl.ct figur.. th.t include the total of Abb return. .......d to d.t.. ASSESSMINT OF TAXI IS. AIoount cf Line 14 .t SPGU..l r.t. (1S! 16. AIoount of Line 14 t.xobl. .t LI....I/Cl... A r.t. (161 17. AIoount of Line 14 t.xobl. .t Coll.t.r.l/Cl... B r.t. (171 18. PrlnclPlll T.x Duo TAX CRIDITSI rAYHENT DATE 10-21-1997 06-11-1998 SCOTT W POHLMAN ESQ PO BOX 53Z0 HARRISBURG PA 17110 ESTATE OF KRALY TAK RETURN \lAS, (X I ACCErTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN 1. R..l E.t.t. (Schedul. AI 2. Stock. end Bond. (Schedul. BI S. Clo..ty Hold Stocl</P.rtnerohlp Int.r..t tSche"',I. CI 4. HOrtgogo./Not.. R...lvobl. (Schedul. 01 S. C.sh/Bonk Depo.lt.IHI... r.r.o...l rrcp.rty (Schedul. EI 6. Jointly Owned rroperty (Schedul. FI 7. Tr...f.r. (Schedul. DI a. Tot.l A...t. NOTlI RECEIrT _ER AAZ42369 AA296311 DISCOUNT I + I INTEREST/PEN rAID I-I 631.58 29.14- · IF rAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. I CHANDED 11) 121 U) 141 tS! 161 171 85.000.00 6.268.47 .00 .OQ 195.482.99 .00 .00 (8) d~ '* (91 I1DI 33,986.30 "'.IHI" ", 4"-911 GEORGE M 1.272.9Q 111) U21 US) U41 .00 K' 00. 251, 492.26 K .06. .00 K .15. U81 AHOUNT rAID 12,000.00 2,517.22 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE DATI 08-24-1998 HOTEl To in.ur. proper oredit to your IICOOll'1t, .ubelt the upper portion of thl. forM with your t.. p.y...,t. 286,751.46 ~1;."IiQ ,n 251, 492.26 .00 251,492.26 .00 15,089.53 .00 15,089.53 15,119.66 30.13CR .00 30.13CR ( IF TOTAL DUE IS LESS THAN tl, NO rAYMENT ~S RE~~RED. IF VDTAL DUE IS REFLECTED AS A "CREDIT" (CRI, VDU HAY aE DUE A REFUND. SEE REVERSE SIDE OF THIS FDRN FOR INSrRUCTIONS.1 , ", /;> (\I"~I ' l'\ ."-"",.," ['l(l '98 AIJi; 24 r:! :(U CI~\n GUill:" 1'1\ I'.' RESEltVATlONl ~.t.t.. of deo.cteut. dying on or belfar. o.c...r 12, 1912 ~- if ..y future lnt.r..t 1n t.. ..b,t. 11 tr.-t.terr. In po.....lon or enjo~t to C1..' . (oollater.l) benlflal.rl.. of ~ ~t .ft.r the expiration of ~y ..t.t. for 11.. or for y..rI, the C~lth hIIreby .)Ilpr...h r...r\/.' the diM to .,.r.". .,d ...... tten,f.r InheritwIN '.1(.' .t th. 1.ful Cl." . (coUatet.l) t.t. on '"v luch future Int.r..t. _Of MDTJCf.1 To fulfUl the requlr.-nh of Seotion 2140 of the Inherltllf'lCl .net Estate hI( Aot, Aot Zl of 1995. (72 P.S. Section .140 J. PAYMENTt DetltCh t.... top portion of thh MoUoI -.ld .ubIIlt Nlth your paYHnt to thfl Reoiater of NUll pdnt" on thlt rever.. l1de. ~_..... cMok or IlOMY order Plvable tOl REGISTER OF MILLS, AGENT RtfUMD (CAll A r.fund of . tax credit. which "'.. not r.....tect on the 1.)( Return, ..v be r.que.tact bY COIlPIIUn(I en "Applioation .for "-fund of penn,y!v."ia InMrltanc. and E.t.t. T.x" (l'EY~nn). Appllo.tlon. .r. IYIUllibl. .t ttMt Offlc' of the R.glat.r of Mills, any of t~ 23 Rlv.nue Dl.trlot Offlc.s, or by cllllng t~ .paclsl Z~Mhour enswarl", ..rYlel ~r' for for" ordarlngl In pann.ylVlnla l-ftOO.562~2D50, out. Ide Penn,Ylyanla and within local Harrllburg .r'l (717) 781.a094, TOO' (717) 772w2252 (Ha.rlng 1~llred Only). DIJECTlOHSI Any plrty In Int.r..t not "tllfl.d with the IlPpr,hMlnt, ,Uowanc' or dhlllow~' of dMtUOUonl, or .....-'t of tlX (Including discount or Int.r..t) .. .hOMn on this Motlc. .u.t obj.ct within .Ixty (60) ~Y' uf r.c.lpt of thh Mot1~ byl -..rttten protl.t to the PA Depll't.mt of R.Yenue, Board of Appe.lI, .....t. Z81021, W.rrisbUrl, PA 17128.1021, OR ...lectlon to 'n.V' th.. ..U.r det.rllned .t M.MIlt of the "count of the personal repr..ant.tlY', OR wM.....l to the Orphenl" COllrt. A1IlIIM ISTRAT1VE CORttECTlOMSl tactual .rror. dlscov.r.d on thl. ........nt .nould ~ lddr....d In .rltlng tOI PA o.p.rt..nt of R.venue, IUreIU of IndlyldUal 1Ixe., A1THI po.t A.......nt R.vl~ Unit, Dept. 1,60601, Kerri.bUrl, PA 17126.0601 Phone (717) 767M650S. s.. page S of the bookl.t "In.tructlon. for Inherltene. 'ex R.turn for I R..ldent DlCadlnt" (REY-IS01) for an 'MPI~tlon of ~lnl.tr.tlv.IY corr.ctabl. .rror.. If any tlX du* I. plid within thr.. (3) c.lender ~th. .ft,r tha decedent" deeth, . flY. petOlnt (&X) dl.oount of tM t,l( p.id h IUOMed. 1h1 15:< tlX _.ty non-plrtlclp.tlon penalty I. COIIPutM en the totll of the h)( Ind Int.r..t ......Id, and not pt!ld blfor" JMuIIty 18, 1996, thl fint dlY eft.r the etnd of thl te); .....ty ~tlod. thls nonwp.rUolp.tlon penalty is lIPPI.labl. In thl! .... .annar lInd In tM thf>- ... tI.. ptIr10d .5 you lifOUld appellll thlll t.)( tnd Int.r..t that Oa. Nan .......d .. indicated on this notlcI. Int.r..t 1& chltgad beglnnlOl MAth fint day of dlUnqusncv, or nlM (9) ItOOths end one (1' day frOll thl dlt. of deeth, to thl dlt, of p.y..,t. 1Ix.. lIIhlch bee.. deUnquIllnt befot. JanuarY 1, 1982 be.t lntl!lr..t et the r.t_ of .iM (6X) percent pit ennu- c.lcul.ted at . dIlllIV ret. cf .OOOI~. All t.x.. which bIQ~ delinquent on and efter JIlnUIr~ 1, 198? ",U1 belr Int.r..t .t . rlt. which ",Ul v.ry fr. c.lend.r y..r to Cllttndlr )lNr with thet nte .nnounoed bY tM PA o.partIMRt of A.yenue. the sppUc.bl' Inter..t ,'.t.. for 1912thrOUllh 1998 .rll !!II Int.r..t R.t. Dlil1v lnt.r..t F.ctor l!!r Int.r..t R.t. DIllUv Int.r..t flllOtor 1912 Z'X .000548 1981 9X .000Z~1 1965 162 .OOO'tS6 l'Uwl991 ni .00nOl 1914 llX ,00nOl .99Z 9X .000Z47 19.5 m .001'&6 199~wl99't n .0001'12 1916 lOX .000274 1"{j~1"' 9X .000241 M"l"t.r..t I. c.lcu1.tea .. tollON'1 DISCOUNT I PENAL TV I IMT~Rt!STI IHTEl\1l1lT . BALANCE OF TAX UNPAID X NUKIESI OF DAYS !lELINllU!lIT X DAILY INTESlPT FACTOR ~MAny Motlc. IwlUld after the tlllM blc~' delinquent will r.fl.ct en Int.t..t c.lcU~llltion to fifteen (15) day' bIIYond ttMl dat. of thlll .....lMflt. If p.YMnt 11 .... Illft.r tM lnt.r..t cOIIPut.Uon det. mown on tM MoU,"" Iddlt10MI Int.t..t -.0.' be celculatact, Ro~!lOO @x. (1-9') (~ REV-1500 -'-"---~~ui\ili'\L (H~l y-~-- ~"~~~~~~L~-::J.I!I~ - ~L~,~"- FILE NUMBER COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT, 280601 HARRISBLlRG. PA 171]!.0-0801 1, Aoa' Estole ISchtldule A) (11 Nooe 2, Stocks and Bonds (Schodule B) (2) 8,762.00 3. Clostlly Held COIpOlalion. Partnorshlp 01 Solow Proprietorship (3) None 4, Mortgages & Notos Receivable (Schedule D) (4) None 5, Cash, Bank Deposits & Miscellaneous Personal propeny (Schodule E) (5) None 6. Jointly Owned Propeny (Schedu'e F) (8) None 7, Inler-Vlvos Transfers & Miscellaneous RECAPIT - Non-Probale Proper1y (Schedulo G or L) (7) None ULA nON 8, Total Gro.. A...Is (Iolal Lines 1-7) (8) 9, Funeral E)(penses & Admlnislrallve CoSIS (Sohl/dlllll ~I) (9) 3/725.00 10. Debla of Decedent Mortg. UabllUies, & Liens (St.!!. I) (10) None 11. Total D.ductlons (Iotol Lines 9 & 10) (11) 12. Nst V.lue 01 Estate (Line 6 minus Line II) (12) 13 Charilable and GOVfJrnmenlal Bequosts/Soe 9113 Trusts lor whloh an elacllon to fiu< Ilas not beon made (Sr;hodulo J) (13) 14, Nil Vslul Sub 10110 T.. L1no 12 minus L1no 13 15, mOllnt ollino 14 h1)(llble at the spousal tal< rale See Instructions 011 pago 2 lor applJcablo porcenlago 16, Amount of line 14 tallable at 6% rale 17, Amounl olllno 14 ts.obleat15%,ale 0,00 .15 117) 16, TI. Due (16) 19 JJJCiiCK HIRe IF vou ARe REQUllSTlNG A REFUND OF AN OVl!IIPAVMIlNT C .... BE IUAE TO ANSWER ALL QUESTIONS ON PAGE 2 AND RECHECK MATH cc unaerpenaltles 01 p(trjury, I declare Ihall have flllamlnod Ihls return, Including tlccompanylng schodules and slslomanl\!, and 10 the bost of my knowledge - and bellol, It is truA, corrocl and cCJmplele, Doclaratlon of pmparm othor than 1110 pmsonsl mplO9ontatlvo is basod Oil all inlormaUon of which preparer has any knowledge, ._ _" SI~AH)REO~PER' NRESP~,~IBlti' AlILlNGnlTtlAN ?W~A";l.) /),,t- 'i~l, I '){ JI J"IO')7} DAHl.. _ ( 11 X L- "d 3 l-(. ->1-< U { a/c ~ , _ Ie. _:6 ( I , .. SI ~) A R Rt l~t-tAN R Rf '>[fHA1IVI A1HlfIL':iS CJA1,'FJJ4j~1q t.... 1013 MllTlTii Road, Suite 100 'if !f!. f 16 NT 10'69 lESlDyne, PA 17043 right Forms S(If!WiI"" Onlv, 1997 N8lcu, lnG, DECEDENT CHECK APPRO- PRIATE BLOCKS CORRf,S- PONDENT TAX COMPUTA- TION INHERITANCE TAX RETURN RESIDE_N!cP~~S~,[:)~~!=,,"__....'.' '\!"-~\"'~___.~?f{_~c,=~=-,N~~t~~~== DEOEDENT'S NAMl (LAST. fIAST. AND MIDDLE INITIAL) ~~~~~~I~~LJ~~EA -~=_=tAli-~r D,~li/\' I .- __ ___~]~:~~/;:L~T;14 =-------------~- I" A"" "A",II ",H(VIVI"(( "PD'P', " N'MI (I "<I SOCIAL SECUHITY NUMOf n r THIS RETURN MUST BE FILED IN DUPLICATE lA'll,MlllMIUtHIINIIIAII ' , , WITH THE REGISTER OF WILLS 1, Ollglnal ROlil111 . ~ St'PpIOl~~~I~ln~;t;~-.._-_._._- ~'~~':::(~-r~}:~~~I:,7Ht(ll;> 1.\-~2l E I 4a 1,.lwlllnlnftl!,1 C"mp'''''H!;n fj F diE I T AI A I d 4, lImltod slao )'Litll(dd",'I/1'lItHr 1; \) 1l~1 ,I, 0 uta uate ax rn. aqUID 6, necQden\ [li811 Iltst,1tll 7. )lll,lldlllll M~IOIl<"n,!'1 ,I LIV!lI\lll\lsl 0 f.I T I I N IS f Doposlt 80)(0 (AUiH1h rnllvn! Will) IAtl<H II (,1l!lY 01 JllItit) , 0 a 0.0 R e 8 9, LIII atlo" Preceeds Ao,',ol'v(,d 10. .\pou~,\II'''v!llly Crlld., (r[Mllot (i,I,I! I, IHll'....llllOl 11, 11.,,,!oo., III t,u under ~;IIG, 1111 :\(1\) 1/ :ll ,\II ,1IHI I 1 W,) Attach Sr,h I) TIlle BECTlON MU8J BIl COMPLETf.D, ALL CORII1l8PONDllNCl! , CONFIlll!NTIAL TAX INPORMATIOH 8HOULO BIl DllIll~TED TO: NAME COMPLETE MAILING ADDAESS Scott W. POhlllaIl _.__.__._. 1013 Munl'a Road, Suite 100 FlAM NAME (It Applicable) Leovyne, PA 17043 Gates & Associates / P. C. TELEPHONE NUMBEA (717) 731-9699 ~ Of'FICIAL USE ONLY 8,762.00 3,725.00 5/037.00 Nooe 14 5 037.00 x~ (15) 5,037.00 . (16) 302.22 .00 0.00 302,22 Pago 2 pA REV-lllOO EX (1-97) Dtc~ Complete Addr..a: STREET ADDRESS 205 East ~rtlan1 Street ~ STATE PA ZIP 17055 CITY Mechanic TI. Plym.nt. .nd Credit.: 1, Ta. Duo (pago 1 L1no 18) 2, Crodlts/Paymonlfl A, Spouaol poverly Cl8dll 8, Prior Paym..,ta C, Discount (1) _ 302.22 Total Crodlls (A t 8 t C) (2) 0.00 3. Interesl/Penally Ilapplicablo D, Inlorosl E. Ponally 5, Totallnlorosl/Ponally (D t E) If IIno 2 Is grea,", Ihen line 1 t Iino 3, ontor tho dlll..enco, ThlaIs Ihe OVERPAYMEllT, Check box on Plge 1 Line 19to 'equlatl ,elund IIl1no 1 t line 31' groalor than line 2, entm Iho dilloronco, Thl,ls tho TAX DUE, A, Enter the Interest on 1ho la)( duo. 8. En\Or Iho 10101 01 Llno 5 t 5A. This Is Iho BALANCE DUE, Make Chock Payablo 10: REGISTER OF WilLS, AGENT (3) 0.00 4, (4) (5) (5A) (58) 302.22 0.00 302.22 -- PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1, Old decedent make a tre.oslor and: a. retain 1he use or Income of the property transferred; , b, retain the right to designate who shall use tho property lranstorred or its Income;, c, retain a loverslonary Intomst; or. d, receIve the promise 10r life of either payments, banoUts or caro?, . . ?" It death ocourred on or boloro Docember 12,1982, did decednnt wllhln two years preceding death transfer properly without receiving adequate consideration? If death occurred after December 12, 1982, did decedenltranslor property wilhln ona year 01 death without receiving adequate consideration? . . . , , . , . , . , . , 3, Old decedent own an "in trust tor" or payable upon death bank account or secl/rlly al his or hor doalh? 4, Old decedent own an Individual retirement account, annuity, 01 olhOl non-probate properly?, , . , Yes No ~ I o Je\: 8 I IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN 721',5,89116 (a) (1,1) (I) provided tor tho roductlon of Iho to. ,alelmpo,ed on Iho not value of transters to or tor tho uso of Iho surviving spouselrom 6% to 3% for dates of death on or 8<<er July 1, 1994 and befote January 1, 1995. 72 1',5, 19116 (a) (1,1) (II) provided tor Ihe ,oducllon at Ihtl role Imposod on tho nol value 01 tren,IOIs 10 or tor Ihe llBO ollho surviving spouso from 3% to 0% tor dal6s of delth on or aher Jonuary 1, 1995, Tho slatulo doo, nol o.empl a Iranslor 10 a surviving spouso tlom 10', ond Iho 'Iatutory roqulremonts lor dlsclosuro 0la9sell> ancltlling a taK return are slill applicable even If the Slllvlving spollse Is tho only boneflciary, FOR DATES OF DEATH ON DR AFTER JANUARY 1. 1995 .- Ploaso anawOl tho lollowlng quostlon by placing on .....In tho applOpnolo spece, Old the decldent o'elte It,u'l 0' Ilmllar ",,"ngement which Is solllY tcr the lurvlvlng spOU.I'S blnell110' hla 0' her enllre IItlllme? v.. 0 No@. II you snsw.red yos to Iho abovo quostlon, Iho 10' on tho Ilust or similar ."angomonl is poslponod until tho death ollhe socond spouse, .1 which time II will be Iully la.able at the r.to(s) appllceblo 10 Iho remalnde, benollclary(los). Enlor Iho valuo 01 tho \rusl on Schodulo J, 1'.,111, In ardor 10 remove il tram tho calculallon 01 tho la' due In Ihl' ostate, YOLl may wish to file Schodulo 0 In ordOl to mako the elocllon evallable unde, Section 9113, "the olecllon Is made, the \lusl or similar arrangemenlls 'axed In tho o,late 01 the tlISI docedent spouso, tho porllon 01 the \rust 0' similar a".ngement which bonollts the ,unlivlng .pouse 10 t..ed at Iho zero to. rate, end tho romalnder Is ta.od at tho rale(,) appllcablo 10 Iho romalndOl bonollclary(ios), II you chooso to meko 'he olocllon, you must a\tach Schodule 0 to e tlmely-Illod ta. relurn, along with Schodulo(s) K and/or M In orde, 10 shoW tho eppOltlonmont ollho trust or similar Irrangoment betwoen Ihe BUr\llvlng f1pouse and the remainder boneUclary(los). 7 PA15002 NTf \11610 COPVrlQhl Fnrmll 3ol1warll Only, 1991 NelGO, Inc, REV-ll103 EX + (.1-$7) COMMONWEALTH OF PENNSVLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT !!ITATf. Of .GfllXge M. KralY All pr.....rIY Jointly-owned wI1h r111ht 01 .urvlVorohlp mU'I b. cII.olo.ed on Soh.dul. F, J SCHEDULE B __STOCKS & BONDS J FILE NUMBER 21-1997-696 --- VALUE AT DATE OF DEATH ITEM ~ -~"~ 1 m::~ US TreaS\UY Strips ACownt No. 10402940 7 CPA31 NTF 10'" CopyrIght Forms Sntlwar' Only, 1997 Nelbo, Ine, 8,762.00 ii, TOTAL (AlsO enler on line 2, Rooa Ilul.llon (II more sp.ce Is naeded, Insert additional shoel. of the .ame size) 8 762.00 ~ . - '" AEV-l!107EX+(1-U71 ~ SCHEDULE D L COMMONWEALTH OF PENN~VLVANIA MORTGAGES & NOTES INHERITANCE TAX AETUAN RECEIVABLE AESIDENT .DECEDENT ::.,__, . _ ' _ I!BTATI! OF FILl! HUMIII!R 21-1997-696 All r ITEM NO. t 01 lurvlvo'lhlp mUll bl dllolollll on 8ch!dull F, DESCRIPTION VALUE AT DATE OF DEATH Na1e 7 CPA7. NT""" Copyright Fmms Software On IV, \991 Ntlco, Inc. TOTAL AI.o enle' on line 4, Aeol Ilulallon . (II more .paoel. needed, Insert Iddlllollalsh9lll. of lhe same .Ize) 0.00 ,.--- ,.... - ~.,~ .... ~>,' ~, ~ ~ ------- ------ ------ ----- ----- ----- ------ ----- fO\.OI-lE.f\'t. .' ----- ----- ------- ----- ------- ----- ----,-.----- ----- . -. ,..'~' ~ ..., '".. '-" . , ~ . ,- ~." .. ,- .-' .\ i" J' "1-.1 Cf'f.IJ.\\62EX\,\.96) .., ~,,_\ ...IV. ~ '\ . . \ NO,p..~ t:Ol.ll.lOll>Ne~\.111 Of. petltl~~\.~~tll~ oep~Rllo1etll Of Re~etlUe .Ulle~U Of 'tlDWlDUI\\. 1 ~v.e.ll oep126()(\0 \ I1I\RRIsoURl'. pl\ 17126,060\ . PENNS'I\..'J1>.NI,.. IN\,\ERI,.,..NCE 1>.NO ES,.,..,.E ,.,..~ Off\C\M. RECE\P1 --====---== I\CN I\SSESSMeNi CONiRO\. NUIoIBER I\MOUNi --= -- --=------ --~ I'EcE\~e.o ,I'ot.l: \'" set)""" w PO\,\\..~\I'IN 10\.11 it:. \00 \0\::1 \,,\\.11'11'\1'1 r,OAO \..(.1'\0'11'11'.. pA . \"/O'.~3 ,oeD I-IE.~E. ESi~iE \l'lrOf\M~i'Ol'l~\ ------ fl\.e llUloIoeR \ \3 \-0 \_.70-':1'.'1 8 \ - \ q<(I' 01>91,' St1N (fIRS1) \1.11) Ill\l.Ie Of OEceoetll \\.1\51\ \<\1l\l.'1 G\i.\JI,GC \'\ ol\le Of p~~l.Ietll "lea I \ qq'1 --- POS11011\1I~ Ol\le ----- Q /00 /C'0(10 coUtll~ CU\,,\t;f:.\,d~':".P Op.,iE 0.. OEp.,1t\ '7/81, / \ '1</'} ~ t.' ,C .:.=-= ' ' ' RECEiVED B~ I.\A\('< C. Ij.wl"" f(l:J\I \'lH;J\ of' ,,j 1 \..\.,<,; tfo'j~-_)l~. 2(~, iOil\\. ~MOUNi PI\\O ------::.:.:-:--- \.'X REMI'-R\<.S 5COi1 W \'aHU\AN L "I~U \ \ \:\CC;\~\\ t:iI or ~\!I\ .11.', CrlEc\<J\ sEI'-1 'i~C1 l,.l4 , ,r ~~~--'-I'"- .-....-.... - .~.-~-.. A ", .." -'..- ~_.-. . i _}t -to .._~ T1-~' .......~~ -', ,- PA_' Do.ooh tilt. ,op porUon .f thl. Motl.. ... _It with .ou' po_' - po....I. .. tilt - ond -... pr'nttld an the rwer.. ,1.. ._ If RESlDEMT DECEIllllT .... _ ., .-.. .rdo' po....I. .., REIlISTER OF WILLS, AIlENT. __ If IlOM'RESlDE1fT IIECEGEIlT _. _ ., _. .,do' po",l. .., ~EALTH OF PENMSYLVAll1A. _ ICRI' ;. ,._.f . to>< ......1., ...101> oa. no' ,_..... on tho To< "".um. M'" ,_..... by _I.tlno on '~U..tlon fo' .._ of Ponn..I....I. Inhorl_ _ h"" Tox" (IlE'H5ISI. ~U..tlon. or. ",.11...1. .. tho Off I.. .f tho ...1...' .f WIlIt, on. .f tilt 23 .._ 01..,1.. om... ., f," tilt -,-'" ,4''-' In...ring ..rvloe ~r' tor for.' orderingl In Penn.vlvanl. 1~'DO.56~-20S0, out.l~ ~.ylv.nl. ... within 10C111 ...rrhburu .r.. (117) 717-1094, TUO' (117) 172-21St (....r1ng 11lP8'red onlY), Rfl>IT TO, ......tlon. ,_,dlno or"" con..I..... on ,hlt notl.. thOUld .. odd".... '00 .;. Oto.,-, of .._, IU'_ of Indl...ldUel hM.', A"NI Po,t A......-nt R....'_ Unit, Dept. 2'0601, ..."rUbur., Pi 11121"0601, phone (717) "7-65IS. 01_' If ... to>< _ It pol. .Ithlo 'h'" "I ..1.....' ...'h. .ftor .ho -'" _'h. . fI... po,_' (5l0 .It_' of the t'M ,.ld ,. tllowed. PENAL TV I Tho ISX ... _.." __po,tI.I..Uon .....,." It _'''' on tho '0,.1 .f tho ... .... In'or..' .......... ... no' ,.ld before ......rv 11, 1996. the Hut MY ,ft.r lM end of thli tex ~.ty ptIrlod. INTPESTI In''''.' Ia _,.... ...Imlno .Ith fin' .... of doll"'-" 0' nino (9l _'h. ... .... (1) .... f'" tilt do'. of ....th. .. tho do" .f po_" "... .hloh __ doll_' ..foro JonuorY I. ..., ..or In',,''' .. 'ho ro" .f .10 ('Xl po,_' po, __ ,,'.ul..... ., . ..II. ro" of ......... ;.11 ..... ...1.. -- doll_'. on .... .f.or _rY I. I'" .111 _, In..ro.t .. . ro" ..loll .111 v... f," ........, ..., .. ..1.....' -, .lth tilt' roto ennounoed by ttMl PA o.p.rt~t of R...,.... 'hi! eppUoebl. inter..t rete. far 1'''2 thrClUlh I," arel T..' lnter..t Rat. hillY tnt.r..t hctor ..., tnter..t Mat. DoU' lnt.r..t FltOtar- I'" ..X ..OOMI 1918~1991 llX .000101 1913 lfolC ...USI 19'1' 'X ..IOZ47 1914 llX ...0511 199:\-l'l9ft 1X ."0192 1..5 1'" ....SS6 1995~1996 'X ....Z47 I.... lex ....2:74 i_ T.. ....192 1"7 'X . "'247 ~-Inter.lt il oeloul.ted .. follOW.' IJI1'DBI'l' . BAUNCE OF TAX UNPAID X NURIER OF DAYS OELINqUENT X OalLY IMTERE8T FAcrOl ..... No.1.. I..... ."., thO ... ....... ...1...... .111 ,.fl'" on .In','." ..,.ul..lon .. flf'", (15' .... ...vond _ det. Df the; .........,t. If paYMf't h .... .tt.r thl lnt.r..t c.,utaUon det. IhOWO on U- Notl.., eddltionel lnt.ra.t .ust be oalculeted. /j:/tJg>-1 IUREA~' Of IHDIVJIlUAl TAMES INHERITANCE TAM DIYISION DEPf, '."01 HARRIIIURG, PA 1112.~"Ol COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF RIYENUE *' (I,., NOTICE Of INHERITANCE TAM APPRAIsENENT. Al~OMANCE OR DISALLOMANCE Of DEDUr:TIOHIl AND ASSESSHEN,. Of TAM 0.,1"'''''' C".t" 07-05-1999 KRALV 07-24-1997 21 97-0696 CUMBERLAND 101 F.~_~,~---t'R"'!~ ,l MAKI CHICK PAVAILI AND REMIT PAVMENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 CUT ALONG TH18 LINI .. RITAIN LOWER PORTION FOR YOUR RECORDS ... iiiv: iSlif.ix.AF'p.iil9-:m--iioi"ici..o,.i"NiiiiiifAiici.TA'x.W;iiAiiiii"iiiY.;.ALrliiiAiici.ori'--..--........--. DISALLOWANCI OF DEDUCTIONS AND ASSISSMENT OF TAX GEORGE M FILE NO. 21 97-0696 ACN 101 SCOTT W POHLMAN SUITE 100 1013 MUMMA RD LEMOVNE DATI ESTATI OF DATI OF DEATH FILl NUHlIR COUNTY ACN GEORGE PA;t17045 ISTATI OF KRALV DATI 07-05-1999 TAM RETURN HAS. I XI ACCEPTED AS fILED iiilRVATION CONCIRNING FUTURE INTIREST . SII RIVIRSI ( I CHANGED APPRAISID VALUI OF RETURN lASED ONI SUPPLEMENTAL 1. R..l E.t.t. (Schedul. Al 2. Stooke oncl 1oncI. (Schodul. III 5. Clo..ly Hold Stook/P.rtner.hlp Int.r..t ISohedul. Cl 4. Hort...../Hot.. Roo.lvobl. Isohodul. DI 5. C.oh/llonk Dopo.lt./HI.o. r.r.on.l Property ISoh.dul. EI 6. Jointly _ Proporty (Sohedul. fl 1. Tron.f.r. (Schedul. 01 a. Tot.l A...to NO. 01 RETURN nl 121 151 141 (51 161 (1'_ NOTE I To In.u~. prope~ or.ell t to your lIOCount, ....It the _r portion of thl. for. with your tax p.y....t. .00 8.762,00 .00 .00 .00 .00 .00 (al 8.762.00 APPROVED DEDUCTIONS AND EXEMPTIONS I 9. Funeral E)(pen,../A~. Coata/"J,o. EKpen... (Schedule H) 10. _to/Hort.... LloblllU../Llon. (Sohedul. II 11. Tot.l Doduotlon. 12. Not V.l... of T.. R.turn 15. Chorltobl./Oov.rnoent.l lIoqueltlJ Non-.l.ot.d '115 Trultl 14. Not V.l... of Elt.t. SUbj.ot to T.. 1'1 nOI 5,725.00 --.u. (111 n21 n51 n41 ~.72~ 00 5.057.00. .00 256.529.26 (Sohodul. J I If an ........nt w.. i..u.d pr.vioualY. lin.. 14, 15 and/or 1'. 17 and II will refl.ct figur.. that includ. the total of ~ raturn. .......d to dat.. ASSESSMINT OF TAXI 15. Aoount of Line 14 .t &pou..l r.t. 1151 16. Aoount of Line 14 t..obl. .t Llne.l/Cl... A r.t. (161 11. Aoount of Line 14 t..obl. .t Coll.t.r.l/CI..1 a r.t. 1111 la. Prlnolp.l T.. Duo TAX CREDITS I PAVllENT DATE 10-21-1997 06-11-1998 04-22-1999 NOTlI .00 M .00. 256.529.26 M .06. .00 M .15. nal .00 15.591.75 .00 15.591.75 REcnPT NUHlER AA242369 AA296511 AA554736 DISCOUNT 1+1 INTEREST/PEN PAID (-I 631.58 .00 50.15- 12.000.00 2.517 .22 302.22 AHOlINT PAID TOTAL TAX CREDIT IALANCE OF TAX DUE INTIRIIT AND PIN. TOTAL DUE 15,400.89 9.14CR .00 9.14CR _ If PAID AfTER DATE INDICATED. SEE REVERSE fOR CALCULATION Of ADDITIONAL INTEREST. ( If TOTA~ DUE IS LESS THAN .1, NO 'AYHENT IS REquIRED. If TOTAL DUE 15 REfLECTEU AS A "CREDIT" CCRI, YOU HAV liE OUE A REfUND. SEE REVERSE SIDE Df THIS fORM fDR INSTIlUCT1OH1l.1 M REIERVATl0t41 E.t.t.. of ~t. dw'IM on or hefon INlOMNr 12, 1912 u if MY future lnt.r..t In thl .It.t. h tr....f.rrld In po.....ton or Inio~t to Cl... . (coll.t.r.ll ~fto1.rl.. of thl denldlnt ,ft.r thl IMplr.t1on of InY ..t.t. for 'llf' or for VIIr., thI C~.lth herebY 'MPr..,ly r...rv.. thl r1ght to "'f,l.. Ind ...... tr..,.f.r InhlrlttnOl ,..., .t thl llNful Cll" . (ooll.t.rill r.t. on MV .ugh future 1nt.r..t. _Of MOnal Tel fulfUl the requlr.-ntl of Section 2140 Ctf ttw InMrltlOO' end Est.t_ TIM Act, Act 21 of '995. (72 P.S. s.ot1on 9140J. PAYMENT I OItllCh thl top portion of thh MoUe. ..1d .ubllt with your pRv..nt to the M..lIter of NUll printed on thrl r.ver.. .... --MIke ohtflk or tonIY orct.r p.yllbl. tOI REGISTER OF MILLS, AOENT REfUND (QUI A r.fUnd of . t,M credit, tft11ch .... not r......ted on the TIM R.turn, .,v be rlquI.tld by cOllpl.Ung In '"Appllc,Uon for k.fund of Penn.vlv..... Inhlrltenc. and E.t.t. ,.~'" (REY-.31S1. Appllc.tlon. ar. .",Iltbl. .t the Offlc. of thl Regllt.r of Mill., ,"v of the U R,,,,,uII Olltr1ct Offlc.o, or by c.lllna the .plIcl.1 2(dlOUr .......ri"l ..ryiOl ~r. for tor.s or.rinel In Penn,Yl","I. 1-100-)62-Z050, out. Ide Penn.vl"..,i. and ..lthIn loc.l Hlrrl~r. .r.. (7171 717-&094, TOOl (717) 772-225Z (KI.ring 1~.lrtd Only), O.Jf~TIDMS, Any p.rtv in lnt.r.at not ..tl.fled Nlth the tppr.l....nt, .llow~' or dl.AllowlnG' of dIduotion., or .......-nt of t.~ (Including di.count or Int.r.st) .s .hewn on th', Hotlc. ~.t obj.ct ..Ith'n .1Mty (60) dlYJ of rlO"pt of th1. HoUc. bYI ~.Mr.tten prot..t to thl PA Dtp.rt.-nt of R'''~, IOlrd of App..l., Dept. Z11021, Harrl.bury, PA 11128-1021, 01 --alection to hII"~ the .att.r det.r.irMtd .t audit of the atCoouot of thl ptraonll rtpr..ent.tlv., OR ..-.....1 to the Orphln" Court. ADIIIN lSTRATlvt: CORRfCT1DN11 DllCOlIIT I FlICtUlI flrrOrt dl.coy.r" on thJt ........,t .hould be Iddr...td In ..rlUng tal PA BlIp.rt.."t of R.l/'InUII, tur..u of Indl"Sdull T.~.', ATTNI Po.t A....'.-ot R.vi... UnIt, Dlpt. Z'O'Cl, ",tri.bUrg, PA 1112'-~611 Phone (717) 717-6505. SM P'" 5 of tht bookl.t '''In.truoUon' for InhtrJtarnCl. lal< R.turn for. R.tldlnt o.o.dtnt~ (REY-1S01) tor en 'MplMnttlon of edllnlttratl".IY aorraot~I',.rror.. If tny taM due i. p.ld ..Ithln thr" (5) o.l.~r ..nth. .ft.r t~ dI~edent.. death, . tlv. peroent (S~) dl.c~t of thl t.,t( p.ld it aUotMd. ThI ISX taM ..neltV non-p.rtlclp.tlon penelty II ootpUtld on thl total of thl t.~ end Intar..t "Ifl..td, and not p.Sd b4for. Jtnutry 1&, 1996, thl flr.t dty .ft.r the end of the taM .-ne.ty p.riod. Thl. non-particlp.tlon penaltY it .,..llbl. In tht .... ..."..r tnd In tM the .... U.. p.riod.~ ,)U would lP"a. thlll t'M Iftd lnt.r..t thlt hll bMn .....Nd It Indlo.t.. 00 this noUc.. Int.r..t I. ohtrlld ..Inning with flr.t dey of dlllnqtJlOClY, 01' nln. (91 IMHlth. IInd 0f'tIi (1) city frot the d.t. of ~th, to thl dlt. of pav-ent. '.M" Nhlch bee... delinquent blfor. ~ry 1, 19.2 bI.r Int.r..t .t thl r.t. of .1M (6Xl percent pe,' IMUI o.lcul.tld .t . d.lh r.t. of .000164. All t.MII which bee... al1nqutnt Of' end after Jtnutry I, 1982..111 be.r lnt.r..t .t a rata which Nlll "ary fr.. ealand.t y..r to calendar y..r with thlt r.ta MWlOUnC6d by thll PA Dlplrt,,"t of Ravenurt. ThI appllClablt int"..t t.t.. for 1"Z through 1999 ,rll PENALTY I lNTER!ST I U!I: Int.r..t Rat. Dallv Inter..t flOtor Y.!!! Int.r..t R.t. D.'h Intlre.t FlKItot '91' lOX .O'O~I 1"1~1991 l1X .000501 1915 I6X . '000' '''' 9X .0001.41 ,.... IIX .eoasOl 1'995-1994 7% .010192 1915 nx .000556 1995-199' 9X .000247 '916 lOX .10021ft ,... 77- .000192 1917 'X .oaOl47 ~-lnt'r'lt I. 0I1oul_ted .. tollow.' IMTllBlT . IALANCE OF TAX UNPAID X NUNIER OF DAya DELINqUENT X DAILY INTEREST FACTOR --Anv MoUc. 1.1UIId _ft.r thl t'M beoOIM' dtllnqulOt .111 r.fl.ct an Int"..t a.lOlll.Uon to fifteen (5) dly. blY9"d thlt dat. of thl ........"t. If p.yMOt It atdt .ft.r ttM lnt.r..t cQllpllt.t1on dIlt. thCM<<l on tM NoUOI, IlddIt1on11l Int.",t "It be c.lcul.ttd. ;.C;./tV 1 ~EAU OF INDIVIDUAL TAKES IIHIUIAIOCE TAM DIYIIIOH DE". !I"'. HAltAlllURG, PA I1U,*"Ol SCOTT II POHLMAN SUITE 1 00 1013 MUMMA RD L EMOYNE COMMONWIALTH 0' PINNSYLVANIA DIPARTMINT OF RIVINUI :ENHEUTANCE TAX STATEMENT OF ACCOUNT '* c/ In-I..,u",m.HI DATI ISTATI 01' DATI OF DIATH FILl NUMIIIR COUNTY ACN 08-16-1999 KRAL'V 07-24-1997 21 97-0696 CUMBERLAND 101 Allo""t R_lttod _~ M GEORGE PA 1',7.045 I MAKE CHICK PAYABLE AND RIMIT PAYMINT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE. To In...r. proper orodlt to ~our 1I00ount, .ubIIlt the upper portion of thl. forll with your t.. PIIYllllOt. CUT ALONG THIS LINI .. RETAIN LOWIR PORTION FOR YOUR RICORDS .... Alii: lliii'rixuAFP -(O''-:99Yo... --.iiiij-iNiiiii i'fAiici'-fAif"iTAfiiiilif-o,r-Accoijiif--jiti.------...--......o... ISTATI OF KRALY GEORGE M FILl NO. 21 97-0696 ACN 101 DATI OB-16-1999 THIS STATEHEHT IS rROVIOEO TO ADVISE OF TH. CURRENT STATUS OF THE STATED ACN IN THE NANED ESTATE. SHOWN IELOW IS A SUHHARV OF THE rRINClrAL TAX DUE, ArrLICATION OF ALL rAVHENTS, THE CURRENT IALANCE. AND, IF ArrLICAILE, A PROJECTED INTEREST fleuRE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 06-28-1999 PRINCIPAL TAX DUE,. PAYMENTS (TAX CREDITS). PAYMENT DATE 10-21-1997 06-11-1998 04-22"1999 OB-02-1999 RECEIPT NUMBER AA242369 AA296311 AA354736 REFUND 15.391.75 DISCOUNT (+) INTEREST/PEN PAID (-) 631,58 .00 50.13- .00 AMOUNT PAID 12,000.00 2.517.22 302.22 9.14- TOTAL TAX CRIDIT BALANCI OF TAX DUE INTIRIST AND PIN. TOTAL DUI 15,391.75 .00 .00 .00 II IF rAID AFTER THIS DATE. SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. << IF TOTAL DUE IS LEIS THAN tl, NO rAVHEHT IS REeuIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCRI. YOU HAV IE OUE A REFUND. SEE REVEIlSE SIDE OF THIS FORM FOR INSTRUCTIONS. I PAYllEllT' DltlClh the tOf': portion of thb NoUe. .net .ulMIlt with your p.y..-nt ... payllb1e to tM ,... Ind Itddr'lII prlntlet on thI rlyer" ai.. ~~ If RESIDEItlIlECEDEMT ... check or IlOMY order p.vlble tal RBGISTER OF MILLS, AlENT. ~~ If MOH~RESIDEMl DECEDENT .... cm.ck or ItOMiY order p.vlbla tal CottMOt4WEAL TH Of PEtltSVLVANIA. .,.,. (CAll A r.fund of . tal< oredit, Nhleh "a' not requllltlld on thl taM R.turn, .,y be r.....t. by clMIPlaUng Ill'\ "."lIOltlon for R.fund of penn.ylv.nla Inherlt~. .od E.t.t. lax" (REY-1313J. application. .r. .valllbla .t the OfflO1 of the Retl.t.r of Will., ~y of tM 23 Revenue DI.trlct Offlc.. or fr~ the o.p.rt.-nt', ~-hoUr IhlNert"' .."vice ~r' for for.. orderlnt' In penn,Ylv~l. 1-'OO~362-20S0, out.lde p.nn.ylvenla Ind within looal Herr'shUr, .t" (717) "7-8094, TOO' 1-100-441-3020 (service for t.xp.yar. with ,...,1.1 hearlnt ClOd ,,"_lOll nHd.J. _LV TOl Out.tic"" r...rdlnG .ttor. contained on thh noUo. .hould " addr....d tOI PA IMpsrt..nt of RIVe;nutl, Illr... of Indlvl~l l'MI', ,All"' po.t A.....-.nt RsvleN Unit, o.pt. 2'0601, Harri.burg, PA 17126-0601, phone (717) 7'7~'S05. DJICOIIfT I If ~y t_M due I. p.ld within thr.. (!l c.landar aontn. eft.r the decadent'~ death, a flva p.rc.nt (SX) dl.count of the tlM paid la IUONed. I \ , PENALlY I The lSX tlX .-nasty non~partlcip.tlon p.nllty I. COIPutad on t~ total of the tlM ~ Int.r..t ......ad, ~ not ,.Id tNtfor. ~rY II, 19%, the first dlY after the -.ld of ttM tex ....ty ,.rlod. lNTEllEST. Int.r..t 11 on.rllld blglnnint wlth fir.t day of d11lInquanov, or nl". ('1 ItOnth' and OM (1) day frOll thtl _te (If dMth, to the ut. of PIly..nt. hM.' .....Ioh blc" del1nquMt before JMUlry 1, 1'12 blar Int.r..t at thtl rat. of .IM (6Xl ,.roent per .nnua calculat.d at e dilly retl of .000164. All tIX.. Nhich bee... delinquent on and .fter ~ry 1, 1"2 will buer Int.r..t at . r.t. Which will very frOll oelender v.er to allender y..r Nlth tn.t rete ~ by thl PA Depart5.nt of R.v.nut. The epplloebl. Int.r..t r.t.. for 1962 through 1999 erl' V.., lnter..t ftat. Deily Int.r..t factor V..r Int.rut R.t. o.ih Int.r..t fKtor 1912 20X .OQ0541 1.81-1991 llX ,000301 191' I.X .000451 1992 .X .000241 1914 lIX .00OSOl 1993-1'911 n .000192 1915 ISX .OOOS~ 1995.1996 'X .000247 1.16 UX .00Of74 I.... n .010ln 1917 .X ..On47 ~~lnt.r'lt I. oalcul.ted '1 follON" IHTBRI8T . IALAMCE OF TAX UMPAID X MUMIER OF DAYS DELIM~UEMT X DAILY INTEREST FACTOR ~-AnY Notlc. Is.ued ,ft.r the t.M bIo~' delinquent will r,fllot 10 Int.r..t calculetlen to flft.-n (IS) o.yl bewond thl dIlt. of thl.......-nt' If ,.vant Is HdI after thl Inte,..t cOllpUtaUon data ehoNn on the ~ttOl, Iddltlonal tnt.re.t .u.t be ,alculated, . ~US REPORT UNDER RULE 6.12 Name of Decedent: Kraly, Georeo M. Date of Death I 07/24/97 W1ll No, 1997-00696 Admin. No. Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rulas, I report tha following with respe(:t to completion of tha administration of the above-captioned estatel 1. State whether administration of the estate is complete: Yes No X 2. If the answer is No, state when the personal representative feasonably believes that the administration will be complete I year 3. If the answer to No. 1 is Yes, state the following I a. Did the personal representative file a final account with the Court? Yes No b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report. ~-~f;~L-_ Datel & /;//91 . i nat.ure Scott \J, Pohlman Name (Please type or print) 1013 Murrona Road, Suite 100 Address Lemoyne, PA l/U4J ;i li (717 l 731-9600 Tel. No, Capacity: _____Personal Representative :..: :.J ()C~- X Counsel for personal representative (MAH I rmf/AM3) -~.-,- ,-" -r" , \, ...~~.-~ L ~;(!,\!,-Y)E-'--'~A,~;;_' . ,