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PETITION FOn PROBATE and f,RANT ell<' U~TTERS
No,_u,&t:-~(l::,--'1lS-~-
To:
Eslale 0/ J-l!~~'lil.~~~~~,__{.~~.__ i~, ~~:~1.,~~~.._...________._._
also known as ___~..m
_'__...____~..____ '" ". ' .. H'''' Register or Wills ror lhe
, ",_,."____'._w,."",, _ /JI'cea,lI!d. Counly or :l1.",l>-,')~1!JJ1!.L__ In the
Social Security No. _,l~r)..-,Dl~:Jui,'L ,______. Commonwealth of Pennsylvania
The petlllon of the undersigned respectrully reprcsenls Ihllt:
Your petllloner(s). whols/llre 18 years or age 0' older anlhe rxecuU-'l'l!_,___~_ named
In the last will of the ahove decl'dent. dated _.-,,','lLL',\~-r 16...,______._____.19...:L.1-.
and codicll(s) daled ,__,_"__".,,__,_,.__.._,___.~__,__"__________~______
____.___.__"".____~_U~"..__~__,.,..~_......,_'~__ ----.
..________~..____.h....__.____"._.,,__._._._..._~..__.'M._.-"_.--
--~._._,~~.._----------~_._~-----"_.._._.._-_......__.--'
(.~IlIIC rrleV,1Il1 clrC',"\SlanCCS, e.g. rcnllnchHlon. death of ellecutor, et~,)
. peccndcm was domiciled al death in "",__lJ,)4'll'())';"!:\IC] ",,__,~,County, Pennsrlvanla. with
ILLS . last family OJ princil'i'1 tcj!d!:llse at U",:YI'~,-,!..,or Goel -"DUO I ,01 1.0r'th ,[mIDV01'
~'oot , Qp'~,L!:'.,--0,,-,-,I,--~I(.,I](?1'Ih,.JY(ll(?Eon ~0\1l][l11i1')
(Iisl street, Iltll11hcr and mundplllity)
Decendenl, then ,_,Ill....".",. years or ag.~died ."i'.'L.lJ:,ltiTC~'fI;,~________. 19 g7 -.
(1\ J'C~-\ )-'" ('l)l'] lrf"'ll" ("\" ]''']0 't-.l,', 'I'_J
al 'OJ In. ,; .(-L-.J...-------'-Ll.~~~...'::..!;M:..:..~~";.-MJ.~-'--L...-;...:..L-::..-..:'"'----- .
Except as follows. decedent did notma,ry. was not divorced and did nOI have a child born or adopted
after execution of the wll\ oHered for probate; was not the victim or a killing and was never adjudicated
Incompetent: _,___,_"_''''_______,.__'_.,_'_'__'~'
Decendent at death owned property with estimllted values as follows:
(If domiciled In Pa.) All personal property $ (il. 000.00
(If not domiciled In Pa.) Personlll p,operty In Pennsylvania $
(If not domiciled in Pa.) Personal property In County $
Value of real estate In Pennsylvania $
situated as follows: 11 nno
WHEREFORE. petitioner(s) respectrully
pr.,ented herewith and the grant or lellers
theron.
re~~~~~\~)Ultl~(~ n't~~~e of lhe last will and codlcl1(s)
(le~tamentary; admlnistnllion c.I.a.; adminlstrallon d,b.n.c.l,a,)
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--1~: 01; c )-,t,,;. ~-~ r,-::i. tl'L-._.~_____._
..3-02 '1.lonr(llL~Q-'J,t____,,___.
HW:ll1Dnl ~.nh=p~:.i-1.'l..o;;.~._-
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..__..~-"_.
._~".__.u
OATH OF PERSONAL REI)RESENTATIVE
~g~~l?yN~::AL ~~;~~)~ l~,~i~~~"~~~V:~~~_ } 8S
The petltioner(s) above-named swellr(!') or affil'm(s) lhlllthe statements in the roregoing petition are
truo and correct to the best of the kilOwledge and belier of petitloner(s) and that as personal represen-
tatlve(s) or the above decedent petitione,(s) will well and lruly lIdmin\ster tt~ate according to law.
Sworn 10. .orar.firmed .1Ind subse,lbed .{.. 4.. /~.:d C:~j /L - ~
b f th' 25TH d 'I' .'\ ~ ",'
eoreme IS_____,_,~_ IljO ~ /((~. 2: ~ ..
~F.'JJ.fJt~'" '~' IO~ .--...--( ~ ~ i ..
~--t, '. ---~_:_~.- i. fr. . I,;.l .-'" i:
~,,~.:... 1..~~.:J...;.'Jt'1 ,. a
MARY cl LEWIS Register ,'--,,----.-- <c.
1I1'11'~1
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This i'i 10 l'('rti(\' that the IlIltH'l\lllliulI IWIT !d\'l'll b l\llt{,.-tl~ l(lpil'd (11)111 ;Ill O!ljtlll,d I ntlliLilt. 01 dl',lIh (lid" likd with nH' II"
I,tled Rt'!'.i,trar. 'I'll(' odgillal l'cniliriill' will he f~ll-Wil1'dnIICl IIll. ')1.11(' Vil.li Hnllld', {Htil{' IllJ p('lI11;\lllrlll I;ling.
WARNING: It Is Illegal 10 duplicate this copy by photoslnt or photograph.
Pel' lill rid.. l'I'lIill(,lIl', ~,t,(HJ
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4432003
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No,
IH~UH"" 211'
COMMOHWf.AL," Of PI!NN8YLVANI~. DIP"RTMIlNT QF HEALYtt. VITAL REOORDS
CERTIFICATE OF DEATH
Jr".U"!IIWllol1I
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~'r~~d C. Smith, -'~-l---..----.'.--'--[ -=-7"'- ,---' ~~!~-, ~JI!L-=- OI__=mL_tiw~tJ.S l{ffl"L
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.r ci.:1.7f'::~~ [I (XI .~]Ill",,~'__ Orotf~fSIIoo;"t""
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801 t1anover Street RUIPI!hU . . ...,.. --
,.Carltsl~_~~_ . . ~.:~~" !!~_~~~!~;lb~rland. ~~I 1,.1,1:::''::::''';
MfHlIl"'NAMllf.. ..."".. "11I WOIII."'.H;l....;f... ""'... .......,...".,....
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-,l~..!J.,'~.j"'j!!!_-...--" __ _ ,._ ...)02 MQnrQL StreeLMel:l1:rlI-fA 110SS
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'*-_ ~~~f,~___,. __._. _. ___ _:_ j II!! ~-'19-=-1991 ,. _ .____ utl!~~~la~~~~g..f.:=ter1___ I Mechant~~rg PA 11055
~N'U "-/ell ftiCOISUM,jIIUl 1N.l.wt:....a.. Il'f Mvers unera nOme
__ _ __ ,llllQll~~~,l, "._,._, .JIJL.:iLLttatn Stree "allilSL_
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tJlST WILL AND TESTAMENT OF' RAYMOJlP_ C. SMITII
I, RAYMOND C. SMITH, of the TOW11llhip of HomlXien, County of Cumberland and
State of pl,lnnsylvanln, beinr, of sound and disposing mind, memory and understanding,
do make, publish and deolare this my Last Will and Testament.
1.
I direct the paymont of all my just debts and funeral expenses as soon after
my decease as the same oml convenient~Y be done.
2.
I give, devise mId bequeath all the rest, residue and remainder of my estate,
of whatsoever nature and wheresoever situate, to my wife, l1argaret V. Smith,
nbsolutl,lly and unoonditionall~.
3.
In the eVl,lnt that my snid wife, Marr,arl,lt V. Smith, should predeoease me or
should she die at about the same time as I do, such as in an aocident oonunonto
both of us, then in such event, I r,i ve, devise and bequeat,h my entire estate, of
whatsoever nntt~e and wheresoever situate, to my two sons, to wit: Robert E.
Smith, and Raymond C. Smit,h, Jr., share and share alike.
LASTLY, I nominate, constitute and appoint P\y wife, Margaret V. Smith,
Executrix of this my Last Inn and Testamont, and in the event that my said wife
should predl,loease me or should she for llny renson be unwilling or Wlable to act in
suoh capacity, then in Buch event., I nominat.e, cOMtitute and appoint my sons,
Robert 1];. 3mit,h and Itaymond C. Smith, .Jr., Executors 01' thls my Last \all and
Testament ln her place and stea,l.
,
IN WITNESS vnJERlWll, I have hereunto set my hand and seal this "(/I' / /. / '7 '/!
day of February, A. D. 1971.
IF / ,r ;;" 7/
.. (1 J~r' ~'J J -{,-, J /#,-J I . . ... ,...: (,
(/ Raymond C. i'mith
(SEAL)
RIV,Il00'" IMII I !IO.D...UIOID....'H...nt.1213119'CHICKH..'
tib INH::~I~~1E ti~~~EE~~RN ~~:~jliii~'~)~' !~"'I~.II [l;c:~----
COMMONWEMl" or PfNNIVIVA",A (TO BE FILED IN DUPLICATE r 1 9/- (1 ,,~
OE'AR'MfHI O. RlVINUI
H'R!!!!J~~, ~~\'!beo~, "__ ..~~T~.~E.~ISTER.OF-\N,I~L.SI_. COU_NIYCOpl,~l2'n}!.A"~,OQ:L1.5, NUMI!.R
c. UU.'S. NAMI tIA~"fIII!'..' AND'.MI"..'J.'.! IN.,.;m".~II.. '.'-. ... --'~-.'--..~.... .----.--.-------1UfCfilITlfrdiM. ".'.If AI.'Illl:'.\.'.Ul.lUllOll.1.'.Ol' U.Od. HO".I.(>
__I~LLl,'m...l\llYJn,->n(t,GLI-- ,,,' .m'____ \"'____"____ i"(ll II. IlfU'OV"l' lJt.,
!OC~lUCUlln"'NUMIU IMuOf!)!"Hl 11,,-1[0,1111114 Uo.1'1101e PA 1'(013
1I10-0l-')II,l'7 1'/1':/9'1 2/9/111 Coool GlllllilOJ'llln<1
" ",,':~:~,u~;L~':I'~:'.~iii. ".ii.",; "",'" ,;,",.,,- .\,0('" "CU"lY ""M'" __.f 'M"uNi iIC'W':iii"N:jiUCjl~~':~__~=___~,'~.~~~,
5a 1. Original Rtlurn [J 2, Supplemenlal RfthHn I 13 Remainder R41lurn
Ilor datil 01 d.ath prlo' 10 \2.13,82)
04, limited E'lale [,140, fulure Inl"'" Compromltfl LJ 5, Federal Ellal' TOK Relurn Required
110, dol.. 01 d.alh 011.,12,12,821
lj 6. Decedent Died Te,lale LJ 7, Dec47denl Molnlalned a living Tru,1 n... 9. Tolal Number of Safe Oepadt 80K"
(Alloch c.py of Will) (AII.ch copy 01 Trult)
'ALL CORtlESPONDINCI AND CONFIDENTiALTAXINFORMATlON SHOULD II DIRICTID TO. fe", \::0', "
A ~ _._'-'------_."-"--Jf6~~;mrM;'t'itffi}AOrnn---------'-------~---'-
!!i'i'iHONrJu;..!lO_l'.0'.l,\;,il\;r\'-lg.<J.l'I,At\'.J,'_m :'~~~;;~~ t~~~~~'g) Bi,^clLS1' '/Or:t'
717 76b~96:r3 =:=~=~:--'c==~__=-~="'''------,:-- " ,__",,1 :.>.)
1. R.al El'OI. (Sch.dul. A) 1'1._,,,, _.___ a.go,
2, Sloch and 80ndl (Sch.dul. 81 (2) -""-------""-----,"'Q..--oo,,
3, ClolOly H.ld StockIPo'fn."hlp Int.,." (Sch,dul. C) I 3 } ,_.__._____",_,__.0 ~.QQ--,
A, MOllgog.. and Not.I R.c.ivobl. ISch.dul. D) (4 I n______ ,," __ _____,,, "__.(),,OO_
5, COlh, Bonk D,poII" f, MI".lIan.ouo P."onal P,op.,.y (5) ,___'n ,____.1()~,'J~5__,..g,,;L
(Sch.dul. E)
6, Joln'ly Own.d P,op.rly (Sch.dul. FI ( 6 ) ___________".._Q.LQ.Q..
7, T,an"." (Sch.dul. O) (Sch.dul. l) 17} ,,______,_______" ",_tL..QQ..
8. TOlol Gran Aue" ltatalll"" 1.71
9, Funeral hpenl", Admlnlstrallve COIU, Milcellaneoul
bp.n'.. (Sch.dul. HI
10, D.b", Mortgag. lIabllili.I, l'.n. (Sch.dul. II
11. Total O.du,lion. (.alallln.. 9 & 10)
12, N.t Volu. of Ellot. (LID. 8 minuI lIn. II)
. 13. Char liable and Governmenlal aequII" ISchedule Jl
lA, N., Volu. Subl.c' '0 'b. 11In. 12 mlnuo line 13)
15, Spoulal T,an"." (10' do'., of d.oth all" 6,30.941
See Instruction, for A.r.pllca~le P.u:enlage on Reve"e
Sid., (Includ. valu.. ,om Sch.dul. K 0' Sch.dul. M,)
16, Amount ollln. 1.4 laxabl. at 6% role
Ilnclud. valull from Sch.dul. K or Sch.dul. M,)
17, Amounl of line '4 'a Kable at 15% role
(Includ. valu.. fron\ Sch.dul. K,ar Sch.dule M.)
18, P,lnclpolt.. duo (Add 'o.lrom lIn.I 15, 16 and 17,)
19, (,.dlll SP~~I~~.~O:r'6o~~~ + "PriO~~,O..'"OnO DIscounl Inlere.'
- . +---.....Q.QQ.. - --Q~,Q..
20, If Un. 1911 g,.al.' ,hon lln. 18, .n'.r th. dilf.,.n,. on lIn. 20. 'hi. I. th. OVERP...YMENT.
II [],..ftIII.J'IiII...I_T.li:lI....,.....UIlIll..IIIU...."'mmn...I..,._.....................
21. If Une 1811 grtol., thon line 19, .nler the difference on Une 21, Thll II the TAX DUE.
A. Enler Ihelnl"..1 on th. balance due on line 21A,
8, Eo'.' .h.tolol ollln. 21 ond 21'" on lIn. 218, Thl.l. ,h.IALANCE DUE.
Mob Ch.ck Payobl. '" Ro.I,I" .f Will., .....0'
ptftV,'1tt:I"":::I;,c '. . '.~ ~ . II IUIlE TO ANSWER ALL QUISTlONS ON REVIRSI SIDI AND to IICH'ICK MATH ~ +II( .. -,-,- .-
Under penohl" of perlvry, I dftclar. Ihal I hove el'larnln.d lllb r.lurn, IncludIng accompany'lng schedule, and Ilatemenh, and to Ih. bill of my knbwl.dge and b,llef,
II Is tru cor eel a d complele. I d.clor t I all real e,lole hOI been reporleer oltru. mark", valve. O.c1arotion of p"partr other than th. p.nonal rtpr..enIQllv. It
bat. a Inf lin 01 r hOI allY knowledge.
II .- .m'N~ --Mioi!l"1 G?-!1oliror;"''1:)l';';',l1eCllati rcs1)i.jl'g;'rl\-l'~ );;77,1l ~
;~r){; Old lltono :!o{WO HOllrl, \.Iechnnicsburg, I'^ l70;;5
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,=,_1'10__ Chl~l.l!' C nJl,\1TItL1:!L 17 022___".____,_ I ( /z., 1'1---
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181 ___~06,365.22
(9) ._____.!2..tJ],Q.l!j.-
flB7.70
(101..-,----,-----
(Ill 11,217.(J4
(12) ._95;11; 7.30
(13) __.__.____,_(2..Q.Q..
(l4) . 95.l47.,38
~
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(151 __,_.____9~iLx,,___. -.----' .Q..QQ..
(161 __._,___' 9S.J.41_..1Cl.. ,06. _,__,.______",_5.. 700.04_
(l7},,____________,_...c>,~,OO.. ,15. ___._,______..Q!.O~
(l8) ____.__,__2.1 '{oo, 0ll.
(19)
(201
__________ ,_._g.~.oQ.
__,,________O.()Q,
1211____._2.,I?Q...~11!:
(2IA) ... -.---,~(7('jH--:-gp--
1218) ,,_____' ..___.~?,'_,__L__t
\
UV-Im,W+,'.II, l 1
COMMO"WI~Nl<!vtV."'. AD~~~~f;~~~~~;~1::'AND
''''~:~::~~\',,~'c',Wl\!N MISCELLANEOUS EXPENSES PI.o.. Pllnt a' Typ.
~STAT".O' _, ~~--[{ ~:{~;~)~:~(;: '.'~'i'l~rl1 J l'.==--_-~.'_-~~~.~,.__.-.~._,._,_._J: NUMBER-
ITEM
NUMBER
A.
1.
2.
DESCRIPTION
. _ ,____.~_____...,_...._.._________...."_r____._______._.. ..,._.____n___._
Fun.,al Exp.n.."
Hyer(J 11unoral HOllIO, I no., 37 U;. Haln St.,
Meoha.nlosburg, Pa., funeral elcpenses. *
First Ohu1'011 of God of Hechanic sburg, Pennsylvania,
funeral luncheon.
1.
I. Admlnl.t,atlv. co.lI:
2.
3.
4.
C.
1.
2.
3.
4.
5.
6.
7.
8.
Personal Rep,e..ntatlve Commission. - None
Social Security Number of Personal Repr..entotlye,
Year Commission, pold
Attorn.y Fee. J. I1obel't Stauffer, gsq., Attorne;}'1 s fee.
Family ex.mptlon
Claimant ,__, II/A
Relotlon.hlp
Addr.ss of Claimant al decedenl'. death
Street Addross
City ____________,Slole __ Zip Code
Probale fee. Reglster of Hills of Oumberland County,
Pe,nnsylvania, Letters Testamentar;}'.
MI...llon.ou. Exp.n....
Cumberland Law Journal. Estate Notice.
The Sentinel, Estate Notioe.
Mellon Bank, servioe oharge against Estate oheokin
acoount.
Gingrich 1,lemorials, cemetery monument and
installation.
Oingrich Memorials, inscription to cemetery
monume nt .
Register of Wills, filine; Inventory and Pennsyl~
vania Inheritance 'rax Haturn.
TOTAL (AI.Q enlo, on line 9, Recapitulation)
(If "'0" .pa.. I. n..d.d, Ins.'1 additional sh..1I of sam. .1...)
AMOUNT
s
6,927.00
100.00
0.00
1,600.00
220,00
60,00
82.l4
6,00
1,250.00
60.00
25.00
10,330.l4
--
--
-
''''''''''('''I~
""''',,;,,,,,,,,,,,,,,,,,,,,,,,,, I O,a.!CoH,EODEUCLE'O'ENT, j
'''"..""",,,..,,,,,,, 'iI
"'.'''.. ^,ORfGAO'"AIII/nlS A". '''''.
Olllt'f<"" "".,.,...,..,..""~ _~.~~~_ "-'.....".
I;'YII01/1/ u, 8i1"'11 ." NO ... 21-97-071,
""""'ON:::::='::"::::'-=:~
.....".......... "" -..
"':::;'l;~fj':"ffo :',' b.,o,,, do, ";';"~":;;'~o~'-'-"-______
,!"'"""., 0 '''''I.,,,, bO',"" d,,, '" 'I '70,),
.,,,"'" ",do,o "'.." Y h", i", b.,o,.. ~: ':;::';"'0"' 11: fff
'r.",
HU",..,
I.
2,
3.
_I;
=-----
rorAL (AI,o 'n/" on Iln. 10, RtcoP/tU/ol/on)
(If more 'po," i, n'.d.d, in,,,, oddllionol,h"'1 0' 'om. .i...)
$ OS? "^
-
COMMONWIALTH Oil PINNSYLVANIA 1
COUNTY Oil CUMIIIlLAND J
III
Huuot'\; J.:;. :.J1'l.t\;h unu HtlYl1lomt U. ..avl.lth,...J_X'.<________.____,''_________
, occordlng to low, dnpo.'" Ind toy, th.t t h. ;[._"-1:,~_,t;J:t,o_.!ilx~.~'!.t.9X',fl_.,,_
01 th. E.lole 01 ._il~l.Yll1R1lJ1..Jl.L_Qill1t.ll________
1.1.01 _ lIul'bh iil.].llnbol1 'J'OI:ItWhl.P___H.' Cumb.rlond Counly, P'" d.c.lI.d end thot th.
within II .n Inv.nlory mod" by Hll bod. V:. Ilnu ll!\:W ,ntlG~__ SlIli.tl.1 ,._-, th. "Id _l~.utHn',a-",,__
01 Ih. .nll,. .".Ie ollold dec.d.nl, consl.llng 01 oil Ih. p" IOn.1 prop.,Iy .nd r..1 ....I., ..c.pt r..1 ,""te ouhlde
tho Comm.nw..llh .1 Pnnn,ylv.nl., nnd th.t the Ilgur.. o[>polll. eoch 110m 01 the Inv.nlory ropre,.nt II'. Ilir volue
.. 01 th. dol. 01 d.cedont'. d..th.
[II-Iol'n
b.lng duly.
.-1!.9 V o,!'"lb 0 1'--------------'-'-,-
1921-,__
/'\ "/){7" g
.~~~':f.~ ~ --J .~~ <'
_~kLc.~--,---
h.cuto, ' mlIiUi1'o~
302 MOl1l'OO st.. Nochunlcnbu1'8.
I'll 17055
S\-Iovn
Ind lublcrlb.d bolorl mo,
.,___.____._.._....____...______..._~~_~m_4___
29,~ Old stono Houso 11011d. l1ocha.nlcsburg.
,_________ I'll l7052__
Add,...
Det. 01 D..th _,__."15_,__.,,
D.y
lI~ust
Month
1997
V..r
INSTIlUCTIONS
I. An Inv.ntory mull b. fII.d wllhln three monthl ollor oppolntmont of po"on.1 r.pr...ntolive.
2. A I.ppl.m.nt inventory .mUll be fIIod within thlrly dlYI of dl,covery of .ddltio""1 .......
3. Addltion.1 Ih..h mlY b. ,""ohed .. to po"onllly or r..lty
4. S.. Articl. IV, Fld.cl.rl.. ,1.01 of 1949.
p,
'R
"
00
t'
"
.r-
0
(;'1
~1 .
~ ~ 0 1 ~
~ 4-' . Q)
Q) '" <0-'1
... !.i rl u . !J
~ w ~ I'll 'lJ c!: I ...
.
i!: ... .... E" '"~ 1 (1j I!
... II .,-1 '. 4' 0
.~ -' ~ 0 \..1 ... (I) ~
LIJ ~ ' , ,'-t
~ IX ,J) i:
,(I c .p
O. . ,I' ~ ~,
- VI Cl 0 ~, III
:! ffi ~ 0 U ~ .g
Fl I'. ."
... '-1
" C rc:
0 .
... "'C
.,t 0
(. .8
l~ I 1 ... t--,
c:~ ~ E J
1111 ...
. ~ tt
... u
Inventary 01 the real and porsonal oslato .of
nA Y.}IQl!R,_~llIj1.'C1L_.-----c--'~' deoeased
.--:=__--.::....-.~-;:~~~~:::-::~:--;-::-:;:::;;::.::.::--:::-,c:.::-~---
._r~' ".. - --.--.".--.
--_.---+_..~..._~- .
---.---- --
11e11an Banlc, H. A., Ghealctnp; ^aaount No. 112-01\2"2305.
Hollan Banle, H. A., lloney HarIcot ^aaQunt liDo llb5-000-3222.
Church .of Gad llomo, Ina., rofund .of' t\n\\sed portion of pa'Y'nont
made for room, bOI:\1,d nnd care for mon\.h .of ^ur;uot 199'7.
Church of God Home, 1na., refund of SeallrltyDepoolt.
Un! tad Ileal thOllx'e I pramlulll rofund.
'roba.l. .,11.... .'... f.... .,$
$11,,1~73 91
96,~21 27
1,O1l7 00
3,286 00
_.JXLO
06,36$ 22
/5"-/(1'(1 /1
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*'
L/
BU~EAU Of IHDIVIpUAL TAMES
IMtttRllAMCE lAM DIVI'ION
DOl, 210'0\
~."'I'IURQ, PA \'11.1"0'01
HOTICE Df INHE~ITAHCE TAM
APP~AISE"EHT, ALLOWANCE O~ DISALLOWANCE
Df DEOUCTIOHS AHD ASSESS"EHI OF TAM
uw.lU' u'" e...."
02-24-98
SM [ TIt
08-15-97
21 97-0715
CUMBERLAND
101
E' "__:000\ Ro.}n=-~
MAKE CHECK PAYABLE AND REMIT PAYMENT TOI
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE. PA 17013
CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~
iiiv: iili7- i.iCAj:ji" (09:97"1" "iiii'fici." -OF -ytitii."Jiif ANei -TAX - AP;iiA'i ii.Mliir;-"LtoWANei "oli- -- -" - - - n_ - - - - --
DISALLOWANCE OF DEDUCTIONS AND ASSESSMEN'r OF TAX
RAYMOND C FILE NO. 21 97-0715 ACN 101
J ROBERT STAUFFER ATTV
MARKET SQUARE BLDG
MECHANICSIURG PA 17055
DATE
UTATE OF
DAT! OF DEATH
FILl NUMIER
COUNTY
ACN
RAYMOND
C
DATE
02-24-98
UTATE OF
SMITH
-
( I CHAHPED
TAM ~ETURN WAS. (X I ACCEPTED AS fILED
RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN
I. R..l E.t.t. tSch.dul. Al
2. stock. .nd land. <<Schedule 8)
S. Clo..IY H.ld Stock/P.rtn.rahlp Int.r..t ISch.dul. CI
4, "ort...../Hot.. Raceivable (Schedule Dl
5. C.ln/lank O.politl/Hila, Parlonal Property (Schedule E)
6. JointlY Own.d Prop.rty (Sch.dul. FI
7, Tranlfarl (Schedull QJ
I. Totol Au.to
NOTE~ To insure proper
credit to your acoount,
lubMlt the upper portion
of this for. with your
ta)( p.y...nt,
(11 .00
t2) .00
(31 . OIL
(41_ .00
IS) 106.365.22
(6) . 00
(71_ .00
<<II
106.365.22.
10.330.14
887.70
(11)
(121
1131
(141
11 .?1./ A4
95.147.38
.00
95.147.38
APPROVED DEDUCTIONS AND EXEMPTIONS I
,. Funaral Expans.s/AdM. toats/Hisc. Exp.nse, <<Schadul. H)
10. D.bt./Hortg.g. LI.bllltl../LI.n. tSch.dul. II
11. Totol D.ductlon.
12. Nat V.lu. of Tax Return
lS. Ch.rltable/GovlrnMantal aaqu..tsJ Non-elacted 9113 Trusts
14. N.t V.lUD of E.t.t. Subj.ct to T..
(91
UO)
ISch.dulo JI
If .n ......m.nt w.. i..u.d pr.viou.1Y, lin.. 14, 15 .nd/or 16, 11 end 18 will
r.fl.ct figur.. th.t includ. the totll of ~ r.turn. .......d to d.t..
ASSESSMENT OF TAXI
1&. AMount of Lin. 1~ at Spou,.l rata
16. AMOunt of Lln. 1~ taxabla .t Lineal/Class A rata
17. Aeount of Line 14 taxabla at collateral/Cl.'S 8 rat.
18. Principal T_x Dua
TAX C:REDlTSI
PAV"E"T
DATE
11-24-97
NOTlI
.00 M .00.
95.147.38 X.06.
---:00 M . 15.
UII
.00
5.708.114
.00
5.70B.84
USI
UbI
(7)_
RECEIPT
NUHBE R
AA242490
DISCOUNT (.1
INTEREST/PEN PAID 1-)
.00
A"OUNT PAID
5.70B.84
TOTAL TAX CREDIT
BALANCE OF TAX DUE
--
INTEREST AND PEN.
TOTAL DUE
5.708.84
.00
.00
.00
. IF PAID AfTE~ DATE INDICATED, SEE REVERSE
FO~ CALCULATION DF IDDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN 'I, NO PAV"ENT IS REQUIRED.
IF TOTAL DUE 15 REflECTED AS A "CREDIT" (CRI. YOU "AV BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FOR" FO~ INSTRUCTIONS. I
REIElYAIIOHI
PURPOSE Of
MOTlCE I
PAVttEHTI
REFUND (CA) I
OIJECTlOHSI
ADHtN
1STRATJVE
CORRECTlONSl
DISCOUNT I
palAl TV I
INTERESTl
nQ
t~ (1;1
g,~~-
td
Co
:1)
;:Utt,
n. (')
~(-- .,
i+1
L,\!
t....)
Ch
,I'
,j-.
(,'
( ~,':I
h->
EI..... .f dI..dln.. d.ln. .n .r b,'.r. D......r II. 19'1 .. If on. futu'. Int.r..t In Ih. ..tot. I. Ironll.rr.d
1n po.....ion or ,"Jaw.tnt to Cl..' . (0011at.r.1) bln,flolarl" of the dlc.dlnt ..tar thl ,"plr,tlon 0' ,ny..ttt.
11f. or for yl.r., tht C~w..lth h.r.by 'Mpr...l~ r...r~" therltht to IPpr.tl. and ...... trantf.r Inhtrltano.
.t the lawful el... . (lIolll,."lJ nt. on MY luch future lnt.r..t.
fer
hl(,.
To fulfill thl r.qulr...nt. of 5.otlon 2140 of the I~rlt.nc' and E.t.t. TIM ~ct, ~ct 21 of 1995. (12 P,S.
section '140>'
Oat.oh the top porUon of thh HoUc, .nd tUbMIt ",Uh your PI\I.'"\ to thl RIght" of Willi prlnt>ld on the r.VI'" std..
~M"ak' chick or .onlY ord.r p.yabl. tOI REGISTER OF MILLS, AOENT
A r.fund of a ta~ cr.dlt, which wal not r.qu..ted on th. T~~ R.turn, ~'Y b. r.qu..t.d by co.pl.tlng an ~Appllc.tlon
for A.fund of p.nnlylllanl. Inh.rl\en<l' and Estat. )'.x" (REIJ.UU), Appl1c.Honl Ir. IVIUabl. .t thl Offlc.
of the Rlgl.t.r of WUlI, any of thl 21 R.",enoe District Offlc.., or bV c.Ulnl thl .paclal 24"hour
,".w.rlnt ..rvlc, ~r' for for" orderlnll In Plnnlylvanla lMI00-S6Z-Z0S0, outlld. Plnnlvhlnl. and
within local H.rrl.burg .r..(717) "7-1094, TOOl (111) 71ZM2252 (H..rlng I~palr.d Only).
Any party In lnt.r..t f,ot ..thU.d with thl apprlh...nt, a11owanc' or dlullolltlno. of deduotlon" or .......ent
of ta~ (including dhcount or Int.r..t) .. .hown on thh NoUce lIlust objact within Ihb (60) dayl of rlcllpt of
this Notle:.,. bVI
OR
.Mwrltt.n prot..t to thl PAO.part.ent of Rlv.noe, aoard of Appa.ls, n.p\' 281021, H.rrisburg, PA
Mo.l.ctlon to hllVI the .atter d.tar..ln.d at audit of tM IIC(:Ooot of tnl plrsonal r.pr...ntatl"'l,
.-ItPPlal to thl Orphan.' Court.
uua-uu,
OR
F.ctual .rror. dl.coy.r.d on thl. ......~.nt .hould be .ddr..s.d In writing tOI P~ O.p.rt..nt of R.v.nul,
Bureau of IncU..,ldu.1 1a)l'II, ATTNl Po.t A......ant RI",llw Unit, n.p\, 210601, HlIlrrisbUrg, PA 1712I"D601
Phon. (711) 717M6505. SI. p.g. 5 of the bookl.t "\n.tructlon. for Inhlrltanc. 'a~ R.turn for I RI.ldant
o.c.dlnt" (REY-1S01) for an .~pl8natlon of ad.lnl.tratl"'llY corrlctabl. .rror..
If &ny t.~ due II p.ld within thr.. (1) cal.ndar aonth. .ftlr the dlcldlnt'. o..th, a flvl parclnt (S~) dllCount of
thl tax paid, II .llow.d.
Th. 151. tax .-n..ty non"p.rtlclpatlon pen.lty I. coaput.d on thl totll of thl tl~ and Int.rllt ......ed, Ind not
p.ld b.fore J8nUary 18, 1996, the flrlt dey aftlr the end of th. ta)l IlInllty pldod. This non~p.rUclp.tton
p.nalty I. .pp..labl. In the I..' ..nn.r .nd In the the ..MI tilla period al you would app.ai thl tl~ and Intar.,t
that h.. beln .I....ed .. indlcat.d on thl. not lea.
lnt.reat I. ch,r.ed b.glnnlng with flr.t day of delinquency, or nIne (~l eonth. and on. (ll d.y froe thl d.t. of
dllth, to the dati of pay..nt. 'axil which bee." delinqulnt b.for. J.nuary 1, 1962 baar Intarelit .t tha r.t. of
IlK (6X) pareant p.r annul calculatad .t a dally rat. of .000164. All ta~" which baca.1 dellnqu.nt on end .ftlr
J.nu.ry I, 1912 wIll b.ar Int.r..t .t a rata which will vary fro. callndar y~.r to c.l.nd.r y.ar with th.t rat.
announc.d by the PA Dap.rt..nt of R.~.nua. Th. applicable Intar..t rat.. for 191Z through 1991 .ral
'W! Int"..t Allte DaUy tntare.t Fador !!!! Intar..t Rata DailY Int.r..t Factor
1912 20~ .000!t41 1911 9% .000247
1961 16% .000411 191111~1991 H% .000301
1914 11% .000301 199' 9X .000247
1915 IS% .000156 1"S~1"4 n .000192
19" lOX .000214 1995-1'" 9Yo .000241
ulntarelt It calculat.d o. folloWII
INTEREST' BALANCE OF TAX UNPAIO X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
uAny NoUce l..u.d .ftar the t.x beco,,' d.Unqu4lnt wtH refllct an Int"a" c.lcutatlon to fl1t..n OS) day'
bayond thl data of the ........nt. If p.y..nt It .ada aft.r the Int.r..t COllPutatlon d.tl .ho"," on the
Hotlcl, addltlon.l Int.ra.t .u.t b. calculat.d.