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HomeMy WebLinkAbout97-00747 PETITION FOR GRANT OF LETTERS OF ADMINISTRATION Deceased. No, 21-97- 7<17 To: Register of Wills for the County of CumberlAnd in the Commonwealth of Pennsylvania Estate of Larry R. Mullen also known as Decendent, then 62 years of age, died at 16 Peae.h Orc.harrl ROSld _ Npwvi 11 EM AUgJIRt: '7 ,19 q7 ~ ,J I" if il 1" I' I I, I \ t I r , I 1\ I, I, " l'i r Social Security No. 163-30-6244 The petition of the undersigned respectfully represents that: Your petitioner(s), who is/arc 18 years of age or older, applies for lelters of administration on the estate of (d.b.n.; pendente Iile; durante ab!lcnlia; durante minorit3lc) the above decedent. Decendent was domiciled at death in Cumberland ___ Ccunty, Pennsylvania, with Ids last family or principal residence at 5 West Pine Street. Mt. Hollv Sprinlls Bora (list street, number llnd municipalil)') Decendent at death owned property with estimated values as fol\lows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: $60.000.00 $ $ $ Petitioner_ after a proper search hall..- ascertained that decedent left no will and was survived by the following spouse (if any) and heirs: Name Relationship Residence Janice Ii. Shank sister 16 Peach Orchard Road Newville. PA 17241 THEREFORE, petitionet{s) respectfully request(s) the grant of letters of adminiSlration in the appropriate form to lhe ,undersigned. '!r u C ~ ~ "t;:::; AI ,-;, ~ ,lm, vrtn l' j)? 0: ~ Jil;rlce M. Shank ].g ~'= 16 Peach Orchard Road _u ~:: Newville. PA 17241 ~ 0 717-486-8044 c " Vi /S"- O!O~ / OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBE~ } 58 ,-..,r, r,:.i;." The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal representative(s) of the above decedent petitioner{s) will well and truly administer the estate, Recording to law. ., I ,I ~ ~ Tf .. ::> OJ .: co en Sworn to or affirmed and .subscribed ~ before me this 3r.:! _ day of ~ember _.19-:7 lm C. ~"ili ~ :ZiIL- j~ , IdJ Regis/er L ,::; I \<>'" '" ,.' 4h '\,,\~l a~..k. ,:{Janice K. Shank No. 21-97- 747 Estate of Larry R. Kul1en , Deceased GRANT OF LETTERS OF ADMINISTRATION AND NOW Sentember 10 19.-2L-, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that n is/lilt entitled to Letters of Administration, and in accord with such finding, Letters of Administration are hereby granted to .Janke M_ Sh'lDk in the estate of 1.~TTY R Mnl'pn "-r!1r. 'f (~ ;;10" J, fP:,ji!, (j . ':)10,-", ~X-'-j-. Ree~s\er (.If WiUs V IR~CKNIGRT& lIUGJlliS , '], dt-, Rage. . Irwin, Esq. (06282) FEES Letters of Administration $ I 15 . 00 Short Certificates{ 3) ., . , . . . . ., $.---2..Q.lL Renunciation .........,...... $ JCP $ <; nn TOTAL _ $ 129.00 Filed ~~f~.~I1~~.~. W...... A.D. 19.21-- ,-, TfORNEY (SuP, Ct. \.D, No.) 60 w. pomfret St., Carlisle, PA 17013 ADDRESS 717_?.t..Q_?1.Et.'t PHONE CALLED ATTORNEY SEPTEMBER 11, 1997 'j" '!' ';:[ , " :1 ", ! " , ", ;i' ,i! '1 ',' I;' " " " , , i!] I: I" "~ii " :1: " " ::" ;:. ,', 'i:;' !:: 'J :: '! ,i; '-}C:.;: , 'f; ;r- 0.' . ':: !j '!" " , ~ : " !:1 !i: :, 'id " '!.f1 ::: ";!t': , i' I' " : ~ \1 , i !' ,,,I " 'I!! :1; . , i ~ I :!i:' ;,.,. ii ii':1 .; Iii i!: I' ;1'. ::1 !i!i,!:.ii I'itlii [ ,.' ,ii,,:,! i :: ~..; i [ Ii 'i; 'I; , 'Iii :!- I i I l r I :!]:'I ,! '" I: 'j' :! ".':;.! i 'Iii! "j::1 ':1 i I ;:':11! i , , , ! ~ I ". COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF nEVENUE BUREAU OF INDIVIDUAL TAXES DEPT 280601 HARRISBURG, PA 1"1128.0601 ,. NO. ,A./\ 242502 ,lEV ".2 EX 1"".) PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT RECEIVED FROM: I ACN ASSESSMENT CONTROL NUMBER AMOUNT ROGER B IRWIN ESQUIRE IO! 'L4.::l00.00 1 I 1 I I i I I I 1 1 I r ), \ \ : I I I 1 I I I \ I ~------------- ------ -..-- ---_.~:-----------_._----------:---- 60 wI?lFREl' STREET CARLISLE. PA 17013 FOlOHEAE fDLDHEAE ESTATE INFORMATION: FILE NUMBER 21-1997-0747 "AME OF DECEDENT (LAST) MULLEN LARRY R OATE OF PAYMENT SSN 163-30 6244 (FIAST) (Mil 11/26/1997 , POSTMARK DATE , O.LQQiOOOO COUNTY TOTAL AMOUNT PAID $4,300.00 CllMBERLAND DATE OF DEATH DO ~7 REMARKS ROGER B IRWIN ESQUIRE SEA~HECKII 12613 F{CG1STEn CJF V,/Il.LS ,. , ! , .._~ j ---~ -:.:..,~.._-_..-~;.Jlf. ~ ,\_~~I1..'I' :.~~., , \ \, ,;1/.9'7. c.J7Y7 Inventory of the real and personal estate of LARRY R. MULLEN deceased -- 1. PNC Brokerage _ Fund Account #57693299. 19,861 26 2. Oak Frequency Control Group - Refund. . 260 04 3. PNC Bank, N.A. _ Savings Account #5130332364. 10,062 83 4. PNC Bank, N.A. _ Certificate of Deposit /121001051415. 2.191 62 5. PNC Bank, N.A. _ Certificate of De pas it #21001051406. 2.191 62 6. PNC Bank, N.A. _ Certificate of Deposit 1/21001051417. 2,191 62 7. PNC Bank, N.A. _ Certificate of Deposit #21001051418. 2,191 62 8. $100.00 U.S. Savings Bond. Series EE - Issued 04/1995 54 88 'IOT~. . . . .. . . . . . . . . . . . 39,005 49 '_ "; ~' . J COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND I f IS: being duly sworn ~ according to law, dopo.e. and .ays that she _ is the AdmlnistragilC_.._ ___---- of tho E"ato of Larry R. Mullen late of _!:,h.e-..~.Q,rough..o.f- MountH,ollySp,ings_L___, --,-, Cumberland County, Pa., deceased and that the \ within is an inventory mado by ~.!!!lice M.!-_Sh!!!t!L_._.. ___. - ----, the said Administratrix of the entire e"ate of said decedent, consisting of all tho penonal propdrly and real e"ate, except real ..tate ouhide the Commonwoalth of Pennsylvania, and that the figures opposite each ilom of the Inventory reprosent it's fair value 01 of the date of decedont'. death. Janice M. Shank -_..~_.._-,~,-~_..- -- --.... --"- ---~_.._--------- ,-- -----_.----------- and .ubscribod bofore me, \ . anice M. '-In. .J h QIL~ Shank. Administratrix 16 Peach Orchard Road NDtmia! SO,l! J~uellne L Drowb<:lUOh. i'Jot;1r',' F, C8rUslo Boro, Cumbcrloild COlint" MyCommlsslon ExplrosAug, 1/;, 1~1~j~: Merrtler. PermyIvania /lsOOCiaIiOn of Nolanes Date of Death 27 Day j Newville. PA 17241 Address 08 Month 1997 V.ar INSTRUCTIONS I. An inventory must be filed within three months after appointment of penonal repre.entative. 2. A supplement inventory must be filed within thirty day. of discovery of additional allets. 3. Additional sheets may be attached a. to penonalty or realty 4. See Article IV, Fiduciaries Act of 1949. '" bO <: .... " "" U) M M 0 :I: ... <: -ti E ::l U) w 0 ~ '" '" z :>:: ~ " (5 ~ < '" ~ .... w '" .... Q. I- ,..., ..... u ::l 5:l ""' 0 ,..., 0 ~ ~ .... 0 VI ~ 0 '" '" ,.. 0 w ..: w ..c:: .. '" ~ I I- J: Q. Q. " '" I- ..J U. ~ ~ .... Z <( 0 ::l Q. 0 fi1 a- u. ..J ~ 0 <:* W <( w I 0 '" ~I " i: ....<( '-' .-l > Z 0 ~ >-l N Z 0 '" c 12 0 ~ >-l VI Z '" 0 0 '" U u Z w <( ..c:: ... :>:: Q. ... -0 '" c . ~ " Z - -;: '" >-l 0 '" ~ ..0 ." .... 0 '" E 0 ~ >-l ... ~ ..! 0 ~ ..J U u: '" ."H",,".~_.'''''' E - cOM~m't.~m~01{:WJi'il'cr~ANIA HAARISR5~G,'ilA ~120'O'Ol I S - o2u,)... - I INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS FOR DAlES OF DEATH AFTER 12131191 CHECK HERE IF A SPOUSAL POVERTYCREOITISC AIMED FILE NUMBER 21-97-071.7 RE\ ISOOEX .(7.94) COUNTY CODE YEAn NUMBER DECEDENT'S NAME (LAST. FIRST ,AND MIDDLE INITIAL) Mullen Larr R. DECEDENT'S COMPLETE ADDRESS 5 West Pine Sereet, Rm 4 Me. Holly Springs; PA 17065 o E C E o E N T SOCIAL SECURITv NUMBER 163-30-624'> County Cumber land (IF APPLICABL.E) SURVIVING SPOUSE'S NAME (LAST ,FIRST AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER DATE OF DEATH 08/27/1997 DATE OF BIRTH 03/25/1935 AMOUNT RECEIVED (SEE INSTRUCTIONS) 0.00 cAB H P L E P 0 C R C K 0 K P S 2. Supplemental Return 4a. Future Interest Compromise (for dates of death after 12-12-82) 06. Decedent Died Testate 07. Decedent Maintained a Living Trust (Attach copy 01 Will) (Attach a copy 01 Trust) C P ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: ~ ~ NAME COMPLETE MAILING AOOA,"S R 0 Ro er B. Irwin, Es . IRWIN, McKNIGHT & HUGHES ~ A TELEPHONE NUMSEA 60 West Pomfret Street _ T 717-249-2353 Gar1tsle PA 1~013 1. Real Estate (Schedule A) 1 None 2. Stocks and Bonds (Schedule B) (2) None 3. Closely Held StocklPannership Interest (Schedule C) (3) None 4. Mortgages and Notes Receivable (Schedule D) (4) None 5. Cash, Bank Deposits & Miscellaneous Personal Property (Sch, E) (5) 39,005.49 6. Jointly Owned Property (Schedule F) (6) None 7. Translers (Schedule G) (Schedule L) (7) None 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses. Administrative Costs. Miscellaneous Expenses (Schedule H) 10. Debts, Mortgage Liabilities, Liens (Schedule!) 11. Total Deductions (total Lines S & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental BequeslS (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) 15. Spousal Transfers (for dates of death after 5-3D-S4) See Instructions for Applicable Percentage on page 2. (Include values from Schedule K or Schedule M.) 16. Amount of Line 14 taxable at 6% rate (Include values from Schedule K or Schedule M,) 17. Amount of Line 14 taxable at 15% rate (Include values Irom Schedule K or Schedule M,) 18. Principal tax due (Add tax from Line 15, 16 and 17,) 19.Credits/Sp Poverty Prior Payments Discount Interest 0.00 + 4,300.00 + 226.32 0.00 20. If Line 19 is greater than Line 18, enter the difference on Line 20, This is the OVERPAYMENT. ~ 0 Check here if you are requestin a refund of your overpayment. 21. If Line 18 is greater than Line 19. enter the difference on Line 21. This is the TAX DUE. A. Enter the interest on the balance due on Line 21A. 8. Enter the total of Line 21 and 21A on Line 21B, This is the BALANCE DUE. Make Check pa able to: Re inter 01 Wills, A ent . . BE SURE TO ANSWER ALL QUESTIONS ON PAGE 2 AND TO RECHECK MATH .. .. Und" penalUe. of p"jury,1 doc"r. that I h'" ."mlned thl. r."on, In,'udlng ",omp.nylng "h.dul."nd statem.nts, .nd to the best of my ,nowl.dg..nd b.II.f. II " tru', ,o"oct .nd ,omplets, 1 docl..e th.t.II re.'....t. h.. been ..porled.t true """.t ,,'u., o"I...tlon of prep.... oth" tOOn the p."on.' repr..on..tI" I. b...d on .lIlnform.tlon of which preparer has any knowledge. x to Original Return 4. Limited Estate 05. ...L- 8. Remainder Return (for dales of death prior to 12-13-82) Federal Estate Tax Return Required Total Number 01 Safe Deposit Boxes R E C A P I T U L " T I o N (8) 39,005.49 (S) 7,724.86 (10) 135.50 (11) (12) (13) (14) 7,860.36 31 ,145 .13 None 31,145.13 (15) 0.00 X = 0.00 (16) 0.00 X ,06 = 0.00 T A X C o M P U T A T I o N (17) 31,145.13 X ,15 = 4,671.77 (18) 4,671.77 (1S) (20) 4,526.32 0.00 (21) (21A) (21B) 145.45 0.00 145.45 SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN Jan ice M. Shank 16 Peach Orchard Road P; NewiHe -'-.p;': --ij2,i;C- .------ ___m______ - -- ---- S NATUAEOFPAEPAAEAOTHERTHANAEPAESENTATIVE IRWIN McKNIGHT & HUGHES "3. d:.-, ~~rn-iie~-~~P'-'l,~-H~~-t: ---------- ------------ --- ---- software only CPSystems. Inc. ., Act ##48 of 1994 provides for the reduction of the tax rates Imposed on the net value of transfers to or for the use of the spouse. The rates as prescribed by the statute will be: -3% (.03) will be applicable for estates of decedents dying on or alter 7/1/94 and before 1/1/96 _2'Yo (.02) will be applicable for estates of decedents dying on or alter 1/1/96 and before 1/1/97 _1% (.01) will be applicable for estates of decedents dying on or alter 1/1/97 and before 1/1/98 _Spousal transfers occurring on or alter 1/1/98 will be exempt from inheritance tax. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A MARK (X) IN THE APPROPRIATE BLOCKS. YES NO 1. Did decedent make a transfer and: x a. retain the usa or income of the property transferred, ' "....,...,... . ,....., . x b. retain the right to designate who shall use the property transferred or its income. . . . . . x c. retain a reversionary interest; or . , . . ",.."....... , x d. receive the promise for life of either payments, benefits or caTe? , . ....,.........,.... , 2. If death occurred on or before December 12. 1982. did decedent within two years preceding death transfer property without receiving adequate consideration? If death occurred after December 12. 1982. did decedent transfer property within one year of death without receiving adequate consideration? , . , . . . . . , , . . . , . . , , , . , , . ' . . . . . . , ' , . . . , x ...",.. . x 3. Did decedent own an 'in trust for' bank account at his or her death? . . , , ,..."",....,.,' . IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. , ~~ (., Form 1500 (Aov, 7-9') Copyright (c) 1994 form software only CPSystems, Inc, 'REV .IS.SEX. (z.a,) SCHEDULE E CASH. BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY co"rN'll\1~4'bg~/hYANIA ESTATE OF Larry R. Mullen 5511 163-30-6244 08/27/1997 Please Print or T e FILE NUMBER 21-97-0747 olnll -own.d w"h AI hI 01 Survlvolshl mual b. dlsclos.d on Sch.dule F) 2 3 4 5 DESCRIPTION PNC Brokerage, fund account 1/57693299 Oak Frequency Control Group, refund PNC Bank, N.A., savings account #5130332364 PNC Bank, N.A., certificate of deposit #21001051415 PNC Bank, N.A., certificate of deposit #21001051416 6 PNC Bank, N.A., certificate of deposit 1/21001051417 VALUE AT DATE OF DEATH 19,861.26 260.04 10,062.83 2,191.62 2,191.62 2,191.62 2,191.62 54.88 S 39,005.49 TOTAL (Also enter on line 5, Recapitulation) (Attach additional 8 1/2~ x 11" sheets if more space is needed.) Copyright (e) 1994 form software only CPSystems,lnc. '~~j,:~!',,;j., ;,L. \,'-' 7 PNC Bank, N.A., certificate of depos it #21001051418 8 $100.00 U. 5. Savings Bond, Series EE, issued 04/1995 ~~"~.""-:";"'''',~~~''',.",....~."..,'c'' ..,;";~..~:";'H,~,,,,,~'oj.~,,.~cl;';";,~'i',\,;,,,;,,,,:,;',,; ~'.r;,,':~i:~~"""':'I!,,".~. Form 1500 Schedule E (Rev. 2~87) REV -1511 EX. (7-88) SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES cOM~N\l\l~~%Of~~~jhYANIA ESTATE OF Larr ITEM NUMBER A. R. Mullen SSII 163-30-6244 08 27 1997 DESCRIPTION 1 Funeral Expenses: Ewing Brothers Funeral Home B. Administrative Costs: Janice M. Shank Personal Representative Commissions Social Security Number of Personal Represenlalive: 161- 32 -4288 Vear Commissions paid WAIVED 1. 2. Attorney Fees Irwin McKnight & Hughes 3. Family Exemption Claimant NONE Relationship Address of Claimant at decedent's death Street Address City State Zip Code 4. Probate Fees Cumberland Law Journal C. Miscellaneous Expenses: Cumberland Law Journal estate notice publication 1 2 Patricia A. Rosendale, CPA, personal income tax returns 3 Patricia A. Rosendale, CPA, fiduciary income tax returns 4 Register of Wills, filing fee , 5 The Sentinel - estate notice publication TOTAL (Also enler on line 9, Recapilulalion) (If more space Is needed, insert additional sheets of same size.) CopyrIght (c) 199~ form software onlyCPSyslems.lnc, Please Print or T e FILE NUMBER 21-97-0747 AMOUNT 5,434.00 0.00 2,000.00 0.00 0.00 60.00 60.00 75.00 25.00 70.86 S 7 ,724. 86 Form 1500 Schedule H(Rev, 7-88) REV. \513 EX . (Z.87) COM~'1~%W~~~r'IY'NI' ESTATE OF SCHEDULE J BENEFICIARIES FILE NUMBER 21-97-0747 Larr R. Mullen ITEM NUMBER SS/! 163-30-6244 08 27 1997 AMOUNT OR SHARE OF ESTATE NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP 1 A. Taxable Bequests: Janice Shank 16 Peach Orchard Road Newville, PA 17241 sister remainder ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE B. Charitable and Governmental Bequests: , TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13. Recapitulation) (It more space is needed, insert additional sheets of same size.) Copyright (c) 1994 form software only CPSystems.lnc, s 0.00 Form 1500 Schedule J (Rev. Z.87) .. 5 I ~ ~.. !l ~ ~~~ .." .. .. ,: " hS ~..i:! ~ ~e " !" =~hl ei=~~" .. - " 11 .... .... ..ilC i!i . u t "";; u...~ .. .." . ~.. u" "l! .:a . fof.'" Di Cl c:a..!SH Bl!t; !l il ~ ill .. .. .. " ~ ~ , . . : e ... . : !; ,- "Il S.. U~ o .. .. .. .. .. .. o .. , . , : .. , , ~6 ~E ".. at! ~6 > 2 ,S ,"" 19~ 'IOU . 'N '0 1" ,~:~ :: ~ : ~ 1;1" , .. g .. ... B ! .. "'.1 . a . 0 . . . 0 . . . . . . . . . 0 . .. . . . .. , .. a ~ " .. " .. , . . . . .. .. .. .. .. .. " , .. o lj .. " ~ !l .. o " " .. .. .. .. .. -;; , o "6 "'-I "'" ~ ~ ~ ~t/) ~\:s- '-J - ~ b<J '3'"" - ~ ~ I"- ~ ~ \') ~ --- l' ~ ~ ~ ~ - ~ '...... \)S " " 0: i a: " .. - ", ~ ~ ~ Cl . ~ '::;::: ---t:: ~ V1 e3 (0 ~ ~-..-.. I::'-' ~ :S :"\ 0)~ ~ r& ~ Zl ,--- ~ ~ Inventory 1 Inventory cetall Redemption Date: 8/1997 Serial Number Denomination Series Issue Date Value Interest C0516652096EE $100 EE 4/1995 $54.88 $4.88 * , N/E = Not yet eligible for redemption; less than six (6) months between issue date and redemption date, . See footnote on Inventory Totals page. 1 /5 -J6J -, COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE c BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION OEPT. 280601 HARRISBURG, Pi 1112a~0601 NOTICE OF INHERITANCE TAX APPRAISEHENT. ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 04-20-98 MULLEN 08-27-97 21 97-0747 CUMBERLAND 101 A.ount Re.1thd ROGER B IRWIN ESQ IRWIN ETAL 60 W POMFRET ST CARLISLE PA 17013 r * UY.I~'U"'P ltt-"l LARRY R MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ifEY:iS'4j-EX-"j:ji-rOij:97T"NOTiCE--Oj?-ytiHEiiii'ANCE-TAX-APjiRAis~HENr;-"i.LoiiANCE-iiR----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF MULLEN LARRV R FILE NO. 21 97-0747 ACN 101 DATE 04-20-98 If an assessment was issued previously, lines 14, 15 and/or 16, 17 and 18 reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 .t Spou..l rat. (1S) 16. Amount of Lin. 14 taxable at LinD.l/Cless A rat. (16) 17. ~ount of Line 14 taxable .t Colleterel/Cle.. B rete (171 18. Principal Tax Due TAX RETURN WAS: I X I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Ra.l Estat. (Schedule A) 2. stocks and Bonda (Schedule 8) 3. Closely Hald stock/Partnership Inter..t (Schedule C) 4. Mortgag../Not.. Receivable (Schedule OJ S. Cash/Bank Depolits/Hisc. Parsonal Property (Schedule El 6. Jointly owned Property (Schedule FI 7. Transfer. (Schedule Gl 8. Total A..et. APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expensos/A~. Costs/Hisc. Expenses (Schlldule Hl 10. Debts/Hortgege Liebilitie./Lien. (Schedule II 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Govern.ental eequQstsj Nan-elected 9113 Trusts 14. Net Velue of E.tete Subject to Tax NOTE: TAX CREDITS: PAYHENT DATE 11-26-97 01-26-98 RECEIPT NUHBER AA242502 AA242690 DISCOUNT (.1 INTEREST/PEN PAID (-) 226.32 .00 III (21 (31 141 (51 161 (71 191 (101 I CHANGED .00 .00 .00 .00 39.005.49 .00 .00 (8) 7,724.86 135.50 (11) 1121 1131 1141 (Schedul. J l .00 X .00= .00 X .06= 31.145.13 X .15= (181 AHOUNT PAID 4.500.00 145.45 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE NOTE: To insure proper credit to your account, subllit the upper portion of this for. with your tax pay..-nt. 39,005.49 '.R"" 3;1 31,145.13 .00 31.145.13 will .00 .00 4,671.77 4.671.77 4,671. 77 .00 .00 .r . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN .1. NO PAYHENT IS REQUIR' IF TOTAL DUE IS REFLECTED AS A "CREDIT" lCRl. YOU HA. A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTI~ ,~ RESERV'TION, E.t.t.. of doc....t. d,ln. on or bOfor. Doc....r 1'. ,.0. -- If on. futuro Int.r..t In tho ..t.t. 1. trOn.f.rr" In po.....l'" or .nlo...nt 10 CI... a '.oll.t."ll b.n.flelorl.. of tho d...d.nt .ftor Ih. "pl"lIon of on. ..t.t. for Ilf. or for ,..r.. tho C........,th hlr.b, ..pr..." r...rv.' tho right to oppr.l.. ond ...... Iron.f.r Inherllone. T.... at ttt. lawful Clan II (coUat.Un rot. on any such futun lnt.r..t. PlIRPDSE Of NOTICE: p.VItEIIT. To fulflU tho "qui"..... of Soctl", 2140 of tho Inherltone. ond E.t.t. To., ..t. ..t 21 of '''5. (7' ..S. SKtlon 9140). D.t..h tho to. .ortlon of thh Rotl.. ond .....It olth .our p......t to tho R..hlor of Will. prlnl" on lho "va..' . leI.. --Make check or .."ey order payable to: REGIStER OF MILLS, AGENT REF1JHD ,CR): . "fund of . t" cr"lt. whl.h 0" not r.-.t.. on Iho Tox R.turn. ... b. "qu..t.d b, ._,.lIn. on "...U..tlon for R.fund of '''''''IYI.onl. Inherit.... ond E.toto To." (REY-UU', ...U..lIon. or. .v.llobl..t tho Dfflc. of tho R..lstor of willi, on. of tho Z3 R.v..... Dlltrlct Dffl.... or b. c.Uln. tho spocl., 24-hour onso.rlng IOrvl.. .,.-rs for for" ordorlng, In ..nnsylvonl. 1_a,,_S6,-2DSD. out.ld. ,,,,,,,,,'vonl. and within local HarrisbUrg araa (711) 787-8094, TDDI (711) 712-2252 (H.arlng I~.lred Only). OBJECTIONS' An. ..rty In Int.r..t nol satl.fI.d olth lho ...r.lI_nt. .U...one. or dl..lloooneo of d.ducllon.. or ......_t of tox ClnelueU.. dl......t or Intor..t> .. .- on Ihll Notl.. "".t obloet olthln six" '6D' da.. of "..l.t of this NoUce by: AnKIN ISTRATlYE CORRECTIONS: DISCOl.JlT: PENAL TV: INTEREST: \ ... '\ , --orltt... .rot..t to tho .. D...rt...t of R........ Boord of .."..,.. Dopt. 201.21. Horrl.bUr., .. 171.a-lD'I. OR --.loctlon to havo tho IItt.r d.tor.l... .t oudlt of tho ..c....t of tho ....on., r..r.....t.lIv.. OR __appllal to thll Orphans' Court. F..tu.' orro" dll.ovor.d on Ihll ..........t should bo .ddr....d In .rllIn. to. .. D..or....1 of R.v,nu.. Bur." of Indlvldu.l T."'. .TTR. .o.t ........nt R.vl.. unit. D..t. 2.D6.'. H.rrl.bUr.... 1712.-D6Dl Phono '7171 787-6SDS. s.. P... 5 of tho bookl.t "In.tructlon. for Inh.rlt.n.. T.x R.turn for . R..ld.nt DecedentR (REY-ISOl) for an explanation af ~lnl.tr.tlv.lY correctable .rror.. If on. t.x duO h ..ld olthln throo m ..l.....r eonths .ftor tho ___t'. do.th. . flv. .or....t (S" dl......t of the taM paid 1_ allowed. Tho lSZ tox ....." non-p.rtl.l..tlon ....ll. I. ..-.tod on tho tot.l of tho tox and Inlor..t ......od. and not p.ld b.fo" Janu'" 16, ,.... tho flrst d.. .ftor tho and of tho t.x .....lY porlod. This non-p.rtlcl..tlon ..n.ll. Is _.,ob,. In tho .- o.....r and In tho tho s_ tl.. porlod .. 'OU oould ....., tho tox and Intor..t that hili. b4Mn 1I.....ud Ill' IncUcated on this notice. lntor..t Is .har.... ...lml.. .lth flrst d.. of d.lInquoncY. or nino ,., eonth' and one (lJ M' fr" tho d.t. of do.th. to tho d.t. of ...-t. Tox" ohlch ..._ d.lInquent bofo" ......." 1. 1'.' ..or Intor..t .t tho r.t. of .Ix (6Z' po"..t por onnuo ,.'cul.tod .t . dally "t. of .000164. .11 t.... whl.h ...- d.lI",,","t on and .ftor Jonu." I. ,... .111 bllr Intor..t .t . "t. whl.h om v." fr.. c.l.ndor ,oor to ..,.ndor ,oor olth th.t r.to onnouncod b, tho .. D...rtoont of R.v,nuo. Tho ooollc.bl. Int.ro.t r.t.. for "., through ,,,. .r.' ~ Intorast Rate DallY Intllrut Fec:tor !!!r tnt.ra.t Ratcl DallY lnt.rolt Factor 1982 zo;t; .000548 19&7 .Z .000241 1983 16:;( .000438 1968-1991 112 .000301 "" 112 .000101 1992 'Z .000247 19115 132 .000356 1993-1994 r. .000192 "" 102 .000214 1995-1998 9Z .000241 --lnter..t is calculated .. follOW' : INTEREST = BALANCE OF TAX UNPAID X NUNSER OF DAYS DELINQUENT X DAILY INTEREST FACTOR __An, Notl.. l..uod .ftar th. t.. ..._. doll_t 0111 "floct on Intor..t ,,'cul.tlon to flft.." <IS' do.' boyond tho dot. of tho .........t. If p....nt Is .- .ftor - Intor..t ..-.totlon d.to .- on tho NoUc., addltlOl\llll Inter..t IlUlt be CDlculatltd. STATUS REPORT UNIlER RlJLE (,,12 Name ol'Deeedent: LARRY R. MULLEN Date of Death: AUGUST 27.1997 No. 21-97-0747 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the flJllowing with respect to completion of the administration of the above-captioned estate: I. State whether administration of the estate is complete: ..lL- Yes _ No 2. If the answer is No, state when the personal representative reasonably believes that the administration will bc complete: 3. Ifthc answer to No. I is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes --X- No b. The separate Orphans' Court No. (if any) for the personal reprcscntative's account is: c. Did the personal representative state an account infonnally to the parties in interest? ..lL- Yes No d. Copies of receipts, releases, joinders and approvals of fonnal or infonnal accounts may be filed with the Clerk of Orphan's Court and may be attached to this report. / l Date: 06/01/98 Signature - N 0 '" 0 t::~ '. (!);: - 20; ,:~! :1: a.. '., , ci ;j N :') \-.; '. J ::.1 ~:> '" ~ Cl Tn vi! ~- .-. OU) Uw ill &0: ~ "'.0 o::s:: od IRWIN, McKNIGHT & HUGHES Roger B. Irwin, Esquire Name (please lype or print) 60 West Pomfret Street Address Carlisle, P A 17013 City, Slale, Zip (717) 249-2353 Telephone Number x Personal Representati ve Counsel for Personal Representati ve Capacity: