HomeMy WebLinkAbout97-00705
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PETITION FOR GRANT OF LETTERS OF ADMINISTRATION
Estal, 01 -pa~.!!!-.~--,._~_avol8Skl
a/$o know" a.s -.-___.~___.m__.______
(j, / q 7__ 70-.5"-
No.
To:
--.-.-.------...-_.._ D'C'U.frd.
Social Secllrlty Nil. _-1!L~-32.:'.E_l!.L-___
Reglsler of Wills for Ihe
Counly of Cul!lJ1!lrlanJl_ In the
Commonwealth of Pennsylyanla
The petillon of Ihe undcrslgrled respectfully reprcsenls lhal:
Your petilloner(s), who is1lH~18 yean of age or older, appLJes __ for lellers of administration
--.-.--.---- --......---.----..-------.-___ on Ihe eSlate of
(d,b,n.: pendentt 1I1e; dUrlulle atncllllll; dmarue mlnnrlllllcl
the aboye dcccdenl.
Decedent Wall domiciled It death In __ Cumberland.______ County, Penns..l'lvlnla with
II Is last family or principal residence al--.1.1107 Glenwood Rd. I Camp Hill, PA 1.1011
111,1 .Irool. number. 'I'wp. fir Doro.) I_fml ['R._, I
fl' U (-fV
Decedent, then 58 years of aae, ~Ied _-..S.eJJ1ember 24_.___, 19 96, -
at 2907 Glenwoocl Rd., Camp nlll, PAI"~ll---"
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal propcny
(If not domiciled ill Pa.) P'rsonal properly in Pennsylvania
(If nOI domiciled In Pa.) Personal properly In Coumy
Value of renl eSlate in Pennsylvania
silualed as follows:
Lot 81 Locust Lane,
S 750.00
S
S
S-.l!WlOO.OO
Sliver Spr~ TownShip
Pelilioncr__ after a proper search ha.2- ascerlained Ihal decedemleft no will and was survivcd by
the following spousc (if any) alld heirs:
Nam, Relalionship Residence
Agnes A. Cavolas
Joseph Cav!lliJLkl
Oannlek' Cllvolasjd
Wife
Son
Dau hter
enwoOd Kd., I...amp HIli. PA 17011
Millington :square, Bel Alre, MD
1.ll3A Strawberry Alley. Shlrem;lRstown,
THEREFORE, petitloner(s) respcclfully requesl(s) thc grant of lellm of administration in the
appropriale form 10 the undcrsigned.
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'--~ C,.-. ..<-,..(9_
__MOBsA.Cavo.laskl.
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COMMONWIALTH OF I'INNSYLYANIA
COUNTY OF CUMIIRLAND
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III
___._.' ._.. .__..__ ._. ....._Agnes . CilVQlukl_.-.-.- -..-----.------...-..---------- .'.
being duly _..JWorn..--.-- .ccordlng to I.w, dopoles .nd "YI th.t she_1L1lllLf~.J.I1r.11L.--_.-.-
__h________....._ __._._.,.... ...___n... of tho esteto of _ Daniel A. Cavolaskl
lete of ___2907 .GlenwoQdRd., Cilmp Hill ...._,__.. ._._, Cumberl.nd County, P.., dece'led end thet the
. within II en Inventory m.de by.. ,__,_,__,,,__ .he.r.__. -__..._._______, the leld_ Executrix -...-
of the entl" estete of 1.ld d.ced.nt, con lilting of .11 tho perl on. I prop.rty .nd ro.1 est.te, exc.pt re.1 elt.te outside
the Commonwealth of Pennlylvoni., .nd th.t the figurel oppo.lt. each Item of the Inventory "pr...nt lt'l f.lr velue
tI of the d.te of decedent'l de.th.
19
~~~~~
Eucutor . Admlnhtrlt.,
___!lliIi.L.J.!:'9.....or1ve
Mechanlcsburg. PA 17055
.nd lublcribed bofore mo,
_.~-_.._----_.--------
Add,."
D.te of Death ---~q
DIY
_September
Month
1996
Vu,
INSTRUCTIONS
I. An Inyentory mull be fil.d within thr.e monthl .fter .ppointment of porion. I "pr...nltl1ye.
2. A lupplem.nt Inyentory mUlt be flied within thirty d.y. of dllcovery of .ddltlon.1 .......
3. Additlon.1 Ih.... mey be .tt.ched .. to personelty or re.lty
4. See Article IV, Flduclerles Act of 1949.
ell
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!o. DAns 0' DIA'H An,. 12/2 I 191 CHICK HI.'
INHERITANCE TAX RETURN :o'y:::'vU~:'lD"'SCLA'M'D I I
RESIDENT DECEDENT PILI HUM."
. COMMONWfAlIH Of rfNN''''AN'' (TO BE FILED IN DUPLICATE '1/ (.,. l
Of'AIl'MtN' 0, IlfV(NUI
HA"lSfJt~. ~~o!'!III06O' WITH REGISTER OF WILLS) COlJNl:COOf YEAR
---~."--.N-;'NAM/ II~iT,iii, ,it;-M"'iilfiiifiiA'i -="-~~.=-_..~_.c~__ (;f(fOl'~~b'if'~IJW~&d"i~d.
..__.Cgvolllskl, Daniel A. Call1f) HIli, PA 17011
SOCtAI UCUIUI'I' HUMI" lOA II. (U ll! All! In~. /~ i'i. ~.'
-1611:d~~~781 _ .. . 9/W96 I ...- -
'" "'''(~:' "",,""" ,,,,,,,., '"'' "'" "01' "", """'" """"I ""'AI 'lCU,," NUMO"
---.- AgJ_~.~.i\. cavolaskI168-32_378.1
IXVi. Original R.'uln I I 2. Suppl.mtn'ol R.lurn
(j 4, lImll.d Ellat. ( I 40. future Inl.r", Compromhe
(fa,doIOlafd.alhoh" 12.12.82)
[J 6, D.t.dent Died rellol. '-j 7. O."deol Maintained Cl living TruI'
(AUa,h ,apy of Willi IAUa,h ,opy of ',u..)
. ND CONPlDlNTlAI.:'l . flON 'HOULD.. DI~1D ro.
COM un MAIliNG AD I
""'HOHf~~M}~O~Y._.J.~.F_osc.!'-'__.______.._ ~~~u5m~~I~~s~~III;:rSr'y PR~:
1 ~ :~;;;.:;~~Elc=cc=--q'=="T;I"::;4~;:~:~o-lWJLc,F'.^, ~lyl.1 ~l - - ;iJf,
2. S'o,~, and 80nd. (Schedule 8) I 2 I _ ,. i
3. Clo.ely H.ld Slo,~IParlne"hlp In'.r."IS,h.dule C) ( 3) ___~
4. Marlgag.. and Not., Receivable ISchedule 01 f 4 ) _.___...____+,_.___ m~____.._
5, Cash, 8ank Oepotl,. & Mlleelloneoll' Personal Propflrl~ (51 ~..~1.1~_Q.._.Q.9 ..._____ ___~__
(Schedul. E)
6, Jointly Owned Prop.rty (Schedlll, F)
7. ',an.fe" (S,h.du'. OJ ISchedul. II
8, , olal Gran AUCllt ('olallin.. 1.7)
9. Fun.ral hpen..., Adm/nl.trall.... COI", MiIC.II(Jn.ouI
Expen.e, (S,hedu'. H)
10. O.b... Mortgag. lIabilille" lI.n, IS,h.du'. '}
11. 'olal Dedu<tlan. (Ia'allln.. 9 & 10)
'2, Nt' Valv, of E,'at. (lint 8 mlnul Un. 11)
13. Charitabl, and Go....rnm.ntal a.que." (Schedule Jl
14. Nel Yalue Subject 10 'a. (lin. 12 mlnu~ lln. 131
15. Spau,al Tran,f." (fa, da'e, of dea,h ah.r 6.30.941
S.. 'nllructlonl for Ar.pllcable Pernn'og. on R.....r..
Sid.. (In"ud. ,alu.1 ram S,h.dul. K ar Schedule M.)
10, Amount of lint 1.. taKobl, 01 6% rat.
(Include valul' from Schedule K or Sch.dule M.I
17, Amount of lint '4 taKabl. at 15% rat.
(Includ. valve. 'rom Sch.dlll. k or Sch.dul. M,)
18. P,ln,lpalla. duelAdd 'a. from lIn.. 15, 16 and 17.1
19, Cr.dl" SpolIsal Poverty Credit Prior Parmenu Ohcaunt Inl.r."
-~._._..._--_..- + ~'_.~-"._'-, +-----.--. .. ---.-----.-------
20. If line 191. gr.al.r Ihan line 18, enl.r Ihe dlUere"e an lln. 20. 'hlll.fh. OVERPAYMENT.
1'1' D......_.--._.~.,_.,._....,lu~....lt.~mmn~.&U.u_,....II.UJ.I..~..i1I
21. If line 181. gr.aler Ihanllne 19, enl., ,he dIUer.nc. an lln. 21. Thil I. 'he 'AX DUE.
A. Enter ,he lnl.r..f on the balonce duo on lint 21A,
8. En'er Ihe '0101 al lIn. 21 and 21A on lln. 218. 'hi. I. 'he BALANCE DUE.
Mah Ch.,k Payabl. tal h,I..., a' Will., A,.nt
!!':~naItIOl ~f ~"lu~~I~r~~I~'~ :~~~n~::;~!.u'n, I~g a<co~pan~~:.'~h~~.~~;lal~~.n..,~ ~~::I of ~y ~:na~%dg. and ~.II.f.
II II Iruo. 'o".<t ond ,ample'e. I d.dar. Iho. all real e"alO ha. be.n '.por'.d allru. markel ,alu.. O.c1o,alfan of pr.par.r o,he, 'han Ihe p.rlanal repre'.'"a'l.. I.
balOd aA olllnformallon of whl,h pr.e!"!!_"?"'_a.~!..k."..a."'.'!.~...___..~_.__..___..._...__...____.._.__.__ .._~___.
IONA U. 9"'"'01< ''''ON! "'0' ""HO "TtJ.~~~~_..___...~....._..._..._ '__..._ ...._.._.___.... ..._.....___ tt:-A .. J_~~\~
''''liVE . "OOItESS 0
.....---.... ----. ------.-----..__.._un___.. _n..__T__...____. .__OT..______ .. ______..._. ____, ______.._____.."..____.__.__.__
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c.Cc NY~~.~~
C''''''[ Cumberland
... ...AMnui"."(i:.nlllll"~"':~~".~..__._....___ ._:=
II J.
115
R.malnder R'furn
(fa, dole. 01 d.alh p,lar fa 12.13.82)
Fed.ral E.tat. Tall R.llml Required
~ 8. Total Numb.r of Soft Oepo.il lOll..
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(6) _._.____..__..__....____
( 71____.__.._____
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( 9)
9.li5.62
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.,,'.1 (X.l
18) _:.li~
(10)
(III 9,1!.~~___
(I 21 _lh424.38
(I3)
(I~)
"Transfers to 0
(15) Spouse..__._.c.__x._"
J.?,424.38
(16)
.---..-__X ,06 "
117)-..________.__.__X .15"
(I 81
-0-
(I9)
120)
(211
(2IA)
1218)
-0-
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.""111", cr....
.l.~~ SCHEDULE H
'tiW' FUNERAL EXPENSES,
COMMOHWULlH 0' P1HHm..HIA ADMINISTRATIVE COSTS AND
IITA" o. .- PILI HUM'"
Daniel A. Cavolaskl
_._-~.. ..---. --~---~--~----- -~~~-
DISCltll'TlON
ITIM
NUMIIR
A.
'u..e",' ..,.......,
1.
Parthamore Funeral Home
Headstone
Burial Plot
.. Adllll..lmatlve COlt"
1. Penonal Repre..ntatl... Comml..lonl
Social Security Numb" 01 Perlonal Reprellntatl...,
Year Comml..lonl paid
2. Anorllly Feel Shumaker Williams, P.C.
3. Family exemption
Claimant R.lolionlhlp
Addre.. of Clolmont 01 decedent'l deoth
SI...t Addre..
. City - State Zip Cod..
". Probate Fill
Cumberland County
C. Mlecella..tou. I.,..n...:
1.
2.
3.
".
S~
6.
7.
8.
TOTAL (Allo enter on line 9, R.capitulatlon)
(If more lpo.e II needed, Insert oddltlonallh.... of lam. Ille.)
AMOUNT
$6,984.62
t,370.00
650.00
$ 750.00
$ . 71.00
$ 9,825.62
.
Mn, Agnes A. Cavolaski
2907'Olenwood Rond
Caml1l1ill, PA 110 II
l'nt.thcItlCll'C l1uncmlllClltlc, I nc,
DO~ IIrid!le S\.-I'.O. lIox 4~ I
NeIV Cllmhcrlnnd, " A 17070.04 ~ I
(111)714-7721 '
Por rccelpt .on the acceunt of: Mr. Dalllol A. Cllvolaskl
Date of Payment: 10/10/1996
Cash/Chock II: 2246
Service Nllmhcr:%09HI
. MfA. Agnes A, Cavolnski
2901 Olenwood Rond
Camp Hill, PA 17011
I'osledlllllallce: $ 7034,62
I'aylnent Amollllt: $ .~().()O
Ilntauce: $ (,1)84.62
Pnrthemore l1uneral Home, Inc,
1303 BridgeS\..P.O. Dox431
NcwCumbcrlaud, PA 17010-0431
(717)774-7721
For rccelpt on the accollnt of: Mr. Dllulel A. Cllvolaskl
Date of Payment: 10/1011996
Cash/Check II: 988690
Scrvlce Nllmher:9609~.O
posltdllalanca: $ 6984.62 .
Pnymanl Amollnt: $ -6984,62
Balance: $ 0.00
.,
ADDRESS ,.;/'1(:,7 //(:.!.~II~T'b It/.!~._. __.~--._-- fAMILY PROTECTION -;:Z;;'L!.,~~::"-~'-
CITY ..___.__,:}!:.J)/~://~.(f.-...-.-- .__..___.___.llT ATE._~:/;_____._._lll' CODE -- / ~~~:'~---.-_.--
$.6L .~';--',( -,I
6. Dolorred poy",ont A",ount (3+41 . . . . . , . , . .
6. Total Prloo (1+41 . . . . . , . . . . . . . . . . . . , . .
$ ____ 7. Ap",o,l",alo Monlhly Pay",o"t , . . . . . . . . , ,
OIoc... arHM1ebUrV
tm Post OItlce Elo~ 3001
Honisbu'g, POMsylvanll1 '17100
Office of Catholic Cemeteries
NAME
.1
,/r/-,~l ),-1 ,~;,
./ (t' .
// _ //I.~"U!~'!~/
Inlormont Space. . . . . . ,@ --.-.- $ -~.--
Bronz. Memor,.I. . /. . . V ~..____ $L...f.P':;;, ~o....
,//~ ,K r 'r'
SilO _.____._.
-
Foundations. . . , . , . , ' . . ,@ --' $
Burial Vaultl . . . . , . . . . @
Cry,.1 S".ool . . . . . . . . . @ --- $
Othl" . . . . . . , . . . . . . . , . . . . . . . . . . . . . $ .--
Socllon
\.....:;'
Lol /1..3' Gu.e(s) c;.'l"'c~_
Block
__cry,>I("
Selecllon ",UII b. ",ed. wllhln 30 deYI or ..",.tory will mako chalco.
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'-
SALES CONTlIACT AND
TEMPOHAIW UUnlAL AGnU:MENT
I."
~(-" ,
DATE t7:);;J/f.(
......' -/ / )
ctMHERY ("...1/,..', / .r,f .,.,i." ,(,_~ NO.
.._ AlN ::.1... PIN
SALESMAN NO, . .
EASEMENl NO.
.._______ AIR _.__..___n__
_._'. _._.___.____...._. PIIONE (
1....._..___...--.........-..------
1. Prlco , ' . . . , . , , ' . . , . , . , . . , , . . , . ' . , ,
1'''-/
~.~\_.~,~~~-~.~-
+/.1.-'"
2. Down PaYlnnnt . ' . , , , , , , , , . , , , , . , , , , ,
3. Un""I" Oala,",. (1.2) . . . . . . . . . . , . . . . . . .
4. r Inuneo ChanJo , , . , , , . , , , . , . , ' . . , , . . .
__M....___
-----~--
j~,~?;)'1, ,'_('
L~_._~___
-_.---->.._.._~
8. Nllrn~or of Monthly Pay",ents . . . . . . . , . . . .
9. Flllt Monlhly I'ay,,,ont OliO .............
_.---~,,--_.....
_....._._--~-
10. Annual Porcenl"'Je Roto
,.~._----
",." 0."."...
Torms:
J ' 1 .
Cash ~~~..0-~
90 DaYI
Installononl
~._._---_.._.-
,
...----- . -.. --- .-." -..-. .-..__..---_.~_...------~. ..~..._......-~_.._----_..- -'--- --.-_._--~...-
. .--.-..-. --- .__..._~_.._-------,..-_.....,,-~-~---.-~-_.. --. _._----,--~.,-----_._.,,_......~----_.-.-
_ Tho pay",ont Is duo on tho dato ,tatod aho." amllh" ,o",ainln\l pay",unts on Iho ,ame day 01 oach ,ucc""ding monlh.
_ Ouyor may p,""ay In ad.anco tho lull amount duo wilhout ponalty aud willi", onlltlod tn a pIOpOItlonalO ,,,fund of the llI1Omn"r1
finance chaf~ln.
_ Llllon d"falllt ;n tho pilym"nt of any ;",Iallmonl duo hO"""11I", for a ",,1Iod In "Kl"'" of nllo hllllrlr"d twonlY (l~O) day'. S!!llor
may I at its npti"'"1 void this il\lll:I!I11Ulll i\lld ,"lain ,Ill p<lYlllunts l1wdtl by BUYI'il (15 llquidntud diillldHt:a.
_ Buyo" horohy ackonwlod\l'" locol"t of 00 O,"ct c,,,cuIIII1 copy of thi, a\l,oomenllll 11:0 lilll" 01 ",!!clltlon ho,oof.
_ O"forn any hurlal i, "",mitted In thl, lot, or any ",omorial plat"d on Ihi, 101, Iho p,ico 01 Ilw 'I' a." and ","lllorlal",u,1 h" paid
In filII.
~-_.-~"-"---'- ...----...----.-.'
.-----_-._.._-.----~._-----_.. ---.. ...--.-
__ Th" Purcha,..") 0\1""'(') to ahid" hy all Il,h" IIl1d ,o\llllallon, of Ih" celll!!tlny noW ill fOleo as w!!11 ., any rill", and '''\lIII.llon,
which may horl/after he i1doptmL Silhllulns and It!Hulatiolls mnv ho St!lJll upon ItHIlH!5t ilt tho St~llol 's oflicn,
_. Upo" fulflll,,,,,,,1 nf U.. "o",lltio", of thi, a\l"""",'ol a'Hllo""ipl "I all tho al1o.o d"",,""'" paymoot'. S"II01 ail""" a",ll1iod, 1t,,,I!
to coo."y to th" Buy"', hy lIS co"",I"'y "a'O"HII1I, 10' 1"1"'"11,,,t pUlp""" o"ly.ll", al,o.o """,II",,,,d ",,",ho, of .it"'.
_ YOU, TltE PUI1CHASEI1, MAY CANCEL TillS THANSACIION AT ANY TIME 1'1\1011 TO MIDNIGHT 01' TilE TIIII1D
UlISINESS DAY AHEIl DATE OF TillS TBANSACTION. SEE nil' ATTACIIED N01ICE OF CANCELLATION FllI1M ron
AN EXPLANATION OF litIS I1IGHT.
/1 ,/ ~ /
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(A'l'~orj~ed lIepfll,."latlvo)
BY
NOTICE: So. other sid. for addltlo"all"lollnallon.
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'PUlchasor's Sil.llHlturn)
(CO'l'Uldl.''''''.si\lllatlllor------
8Plb900
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J ;'i'.......;,,~11;t.'L..... i"":': ....':".--/' ....:,"i-..., :....' ....
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DANIEl. A OR AGNES A 'CAVOl.ASKI
2907 Gl.EKHOOD RED .;;.
,CAMP HILL FA 17011'1',.
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**************************~~********~**********~*****************************************
,\~"~ CEMETERY'''EASEMENT ", ,!~y.i:'~:;,;.v:.h :'<'~;:>;'.;:.';~..~,"'-:.~-.' r'-::;' ~t~,x:;~~:;,;i.~:~";~\:...
---'--~ ,,'~:"--""- '~::".';:;i";:c":;'~""-/'
~'i:",.. ,.',-"p I, ~lti ";:'~'O::<'!~~_jt " I ';'(':;:'.::, "..,,~,>~::, ~;':;t~:.~~,:::[:; ,_,"
~.', ',,-- j ,",',:-.(.('" .-, ',:';\~"::" "':':-~;,--,: ",,-:';.:., <,;;-~.' "._'.' -;" :-
i'.This easement by and between' the Roman Catholic 'Bishop'ofthe' DIo'cese of Harris- :'.~: " '.;,' :-
,,;'1 burg, ,as t rUH tee for. the Catholic. Church of', the ,Diocese. . of. Harrisburg ,";;throils:~':;~yT;'..', .
. and by his duly authorIzed agent, the Grantor, in consIde'rationof. the. sum 'of ":o.;.,:;::;'.;." I:
Six Hundred Fifty Dollars ($650.00) in hand' pa'id, 'grants'and assures.unto' :':~.''. .
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Daniel A. or Agnes A. Cavolaski
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the Grantee, an easement for burial purposes with a guarantee of ~~dowed
"
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Cemetery Named
Located in
Area described
Gate of Heaven
Mechanicsburg,
'SEe:" 3 LOT:
PA
113
GR:
2-3
"
The Grantee shall hold this easement ,subject to the following
'limitations:
I,.
This grant shall not he assigned or transferred except to th~ Grantor.
.':
2. This grant shall be sub.Jcct to the rules and regulations now in force or
that ITay hereafter be adopted hy the Bishop of Harrisburg or his duly
authurized agent in respeet of the goverement of the aforesaid cemetery as
construed by the Grantor, including the rules and discipli.ne of the Roman
Catholic Church, the rules and regulations of the Diocese of Harrisburg,
which said rules and regulations and disciplines are herein made a part of
this Ilgreement as though set out herein.
,.
3. In the event of a hreach by the Grantee, his heirs or assigns of any of the
ahove mentioned conditions or limitations, the ensement herein contained
shall revert to the Grantor, and it may reenter and repossess itself of the
let and said ensement and hold the snme ns the Grantor'. former estate and
the same as if said casement llad not been made.
IN WITNESS THEREOF, the Grantor has caused these presents to be signed by its
duly authorized agc"t this fourt.enth day of October 1992.
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Poge of ~
SAFE DEPOSIT BOX INVENTORY
INSTRUCTIONS
111 COlhl ReporllolUI ollly.
1211tol~1I \.lIt In delull 6vory ,on\lnon <>I IlIofollod certilicolo, worronl or olher 'ighl' found in bOK. Slock, ore
to bo do,l\1nuled by no." 01 ",mpony, ce,tilicole numbor. dole of <o,lilicole, nome in which .Iock I. ,ogille,od,
and nurnbe' "llh(1lol and dOli 01 .tork
ISI o..U,otlo,,' 01 U. I, Governmenll Number 01 itom., dote 01 i\lue, loce value, nomel in which regi.torod
ond type 01 ownOllhlp, I..., jointly held, poyoblo on death, ole.
1"llon.1I1 0..19not. by nomo, omounl, ,oriol number, or other delignotion. (Beore, Bond.)
1511on~ and 50vln,1 and Loan Pa....oo~1I Sloto name of depolitor, numbe, of book, 1011 dato appearing In
boo\', name of bank and branch, and balance.
161 Jewelrv, Colnl, Itampl, ManulCllpll, et" lilt ond d.wlbo 01 fully 01 pO\lible.
171 Deed., Mo.t,a,.., CUllent Inlu,onu Policl.. or other evlde"c.. of Indebt.dn.... lill and de"ribe a.
lully 01 pOllibl..
III All other contenll.
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NO.
I1EM DUCRIPTION
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I CIRTlPV UNDIR PENAUY Of PERJURY THAT THE ABOVE RECORD IS PERSON RECEIVING COPY Of
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RESERVATION I Eat.t.. of deoedtnt. dvlne on or blfor. o.oe.bIr 12, 1'8r -- If In~ future 1ntar..t Int~ ..t.t. il trlnlf.rred
In po,.."don or IN'jOYMnt to Cl... I (collat,raU __flol.r." tlf ttMI deCledM'lt aft.r ..... ..ltaUon of MY ..t_t. for
11f. or for y..r., thl C~.lth hereby IKPt..'lY r...tv.. the rllht to .,pra.,. Iftd ...... ttenlflr InhlrltlnOl 'aMI.
tt thel IMff\tl CI... . (ooU.t.ral) rat. on MY ..1Oh future Int.t..t.
_Sf: IIf
MOTlCE. To fulfill the requir...,ta of Section 21"0 of tht lntMtdt.no. ~ Elt,t, '1M Aot, Act 'I ('If 1995., (12 P.S.
s.ctJon 91~O).
PAYftENTI Det~h thlt 'top porUCfI of this MoUe. end IUMlt ..lth your ply...,t to the R....t.t of MUll prJnted on ttMI raver.. .Sde.
u...., chectc. or IIOMV otcMt plyllbl. tOJ REGISTER OF MILLS, AOENT
Mf'UMD (CA)1 A nfund of . tlM crlKlJt, whloh MI' not r~.ted on the Tlx Return, uy be raque,ltect by cHPlaUnt ., "ApplioaUon
for R.fund of Pennlylvanla I~rJt~. .od Elt.tl llx" (REY-1313). Appll~tlonl arl aVIllabll It the Offlc.
of t~ R.-I.tlr of Will., any of t~ !3 ".v~ DI.tr10t Offic." or b~ cllllng t~ ~0!11 24-hour
an...r!na ..rvlel ~r. for for.' or~r!nal In P.on.yly~l. 1-.OO~362~2050, out.ldt P~.ylv~l. ~
within logll HarrlsbUr. .r.. (717) 717-1094, TOO' (717) 772~225Z (Hllrlna l~alr.d Only).
OIJECTlONSI Any party In Int.r..t not ..tllfted with thl IlPprahlHnt, .UOMMe. or dhaUowanc. of dedUction., or .....-.nt
of tlM (1~ludlng discount or Int.r..tl .~ .hown on thl. Hotlc. au.t obj.ct within .IMty (60) day. of r.c.lpt of
this Motle. bYI
--wrlttan prot..t to the PA o.part-.nt of R.venue, Board of Appa.11, Dlpt, Z81021, Harrl.burg, PA 17128-1021, OR
--alMltlon to NYI thl ..ttlr detaralned at audit of the account of thl IHlr.o...al repr.sentltlvl, OR
uappaal to thl Orptw,.' Court.
ADMIN
ISTAATlVE
toAttECTlOMS I
FactUIIl .rror. dlacov.r4td on thh .....lIMnt lhoUl(t be addr'''ld In wrltlna tOI PA o.plrtHflt of R.y~,
aur..u of Individual TIMa., ATTNI Po,t A......-nt Rlvlew unit, Dept. Z10601, Harrl'~lrg, PA 17128-0601
Phone (7171 717-6505. h. P'" S of the lHlc*llt "In.tructlon. for Inhel'1tancl T.x Rlt"rn for I RlSldarlt
Decadent" (REY-ISOIl for an 'MPlenatlon of adalnl.tratlv.ly corr.otlbl. .rror..
DISCOUNT I
If In~ tll( due II plld within thr.. (3) oalendar HRthl .ft.r thl dloldent'. de.th, a flv. percent (5:0 discount of
thl taM paid .hi Illotted.
"HALTV,
The ISX tlM .-nesty non-plrtlolPltlon pen.lty 1. c~uted on thl total of thl tlx end lnt.r..t ......ed, and not
paid b1for. January la, 1996, thl flr.t day .ft.r the end of thl tax .-na.ty period. Thl. non-Plrtlolpltlon
penalty hi .".a111b1. In the ... unner and In thl the ... tI.. par lod .. you ltfOUld appall thl taM and lnt.f,..t
tMt has bien .....1IIld .. Indlc.ted on this notio..
IttTEREIT I
Inter..t 1. charged bltlnnl", with flrlt day of a.linquenoy, or nine (,) eonthl and one (ll dlY fr~ thl data of
de.th, to the dati of p.~t. law.. which blo'" delinquent blforl Jtnuar~ I, 1912 bI.r Intara.t .t thl rat. of
.1w (6Xl percent per ~ oalculated .t I dilly rlt. of .000I~. All tIM.. whioh bee... delinquent on and aftlr
January I, 1982 wUI bur Int.rllt It . rat. which will Vlry frOl ulandlr y..r to ollendar y.ar ..lth thllt rat.
lIIWWMInOed b~ the PA Deplrt.."t of Revenus. The apfllle-*tl. Intar..t r.t.. for 1982 through 1"1 Ir.1
U!t Intar..t Rotl P..Uv Int.r..t Faotor ~ Intlra.t Rlt. O.lh' Intlr..t Factor
19.~ ..~ .0elMa 19.7 .~ ,GGUit7
1913 16X .000,,31 l'I.~1991 11i: .000301
I'" IIX .000301 '99' .~ ,0002'it7
19.5 IS~ .ooOSrth 1993~199't TI. .00019i!
1916 IOi( .000274 1995~I99a .;: .000lit7
--Inter..t I. o.loulltad .. follONl.l1
INTBRBlT . IALANCE OF TAX UNPAID X NUNIIR OF DAYS DBLINqUBNT X DAILY INTIRF.BT FACTOR
~~AnY Notl~1 1..UId aftar t~ tlK bao~. dlllnquent NIIl refl.ct .0 tnt.r.st c.loulltlon to flfta4K1 (15) day.
bey(tf1d the dati Df t~ a,HI...,.t, ]f paYMnt II .Ide _ttar the Int'l'.st oOltput.UOfl data .hown on the
Notlc., Iddltlonll lnt.r..t ~.t be caloulated.