HomeMy WebLinkAbout97-00790
J. hlH:LS
2040 Crum,8 M:lll
(Iarr:lsburg, Ph
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Ms. Mary C. Low:ls
~~j:lster of W:ll1s
Cumberland rounty
Court of Common Pleas
Ono Courthouse .Square
Carl:lsle, Ph 17013
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PETITION FOR PIWIIATE 1I11d (;RANT OIi LETTERS
[,'w,II(',,1 ~Ie. e.(r\ll~et'\!t\-I No. 0l1-I'IQ"/-'790
<</.\(I kilo 11'11 a.', C:r~\e:"~.~ u. II>:
-'I,.) ~ 1(<:1'''11'' 01 Wills 101 Iii"
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111 I Ill' 111'" will of 1 Ill' llhp\l' dl'l'nkl1l. d:llt'd '-'tJ \\.1. ~ .
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al ~lW\Sl\\.\~ 0' I.::l'r-e.o.."e7l.~liJ-~llto..__________,
1-:.\1.'1.'1'1 a.. h)lh)\,,~, dL'l'l'dl'Il1 did 1l011llany, \\<1., nill di\,(ll"n'd <lnd did IH~I ~V(' a l'hild born or adopted
(It'lL'!' l'\t'l'1I11011 Ill' 1 Ill' will offl'H,.'d rllr probate; wa.., !lot till' \'kliJllll~' a killing and was neve!' ndjudicHtcd
illl'OlllJwtl'llI: NOt\L__,______ ""..'.....
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OATil OJi PERSONAL I~EPRESENTATIVE
COMMONWEAI.TlI OF I'I':NNS\I.\'ANIA
em Nn' OF CUMBEI\},AND,
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Till' IWIHill!lL'I'(',) ilh(l\l' 1Ii1I111'd ""l'an,>) tH arrirl1\{q Ihat lhe qa[l'rnl'n[~ ill till' foregoing petition arc
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Set'tlement
Statement
u, S, 11(11\lll'lmOHl. () r Ilolltlll\9
_~.~~~~.~~~~rn\[I11l
(1MB No, 2~O:l. O~!G!i
~ .=-=--=--=-,
~'--..!~E_(1 0 f l,OcHl
1, I I FilA 2. fl,,~,~~-~'-{-)(;;;;-;,-ihJ~ Ii, fllo Numbor .-..-----.l,~..-i;;;;;.N\lI\\I~~~~lii.:M;;i~git91~~I~.~~-N~~,';i;;;-
~_~~.~____~, II Cunv,.IIH1. ...-L_!2~.~____..I.__~._. ,~__~,l.___
C, Note:'l'hln f01'1\\ III flll'lllshod Lo give YOll <1 f1lnU,mOIlL of llotlllll Elottlomunt lJOlltH, Alllountu p/lld to and hy t.lw f;;;Um]lOnt I~g~;;;t~;.-;
IJhowll. ltomlllMrked 1l{I'OCIII wtlro paid mltaido tho clonlnlll lhtlY arc Ilhown h{l!'ll fot' Inform/ll,jCltlnl purpoflofl Illld 111'0 Ilot
IllO}lIdol! III thel lot.lla. ,1.0 01.92 (l1/~'W'I',IlMPI
------..--.--.--.------- ._~-~--'_.__..._.....__._----- --~~-_.".._..-
Il. Namo "Ild i\ddreuB of Bon'ower E. Nmllc lInd AddnHlH of !lullur (0', Nill11tl <.Illd AddrtHlfl of 1,(lIldor
IlIHb,'I'" M, f'Jol
195 Baollie Circle
Now ClImbtlrland, i'A 1./(1'10
I':at.~lo of O,Wle I':' C,'ook[lr I y
(J/lloWilY fllnding [Hvonliflml
M~lrt~lll~'fI !l(1I'V!C)()l11 II.!',
OtlO Woul lal Avonuol ?ond f'loor
Conuhohockon, PA 190128
(J. ProP(\l'ty r,t1c:at~lol1
6201 'Ith Stroot
Now Cumberlandl PA 1./010
II, BoLlllJnlCtlt AgOf\l
Kat'wln &c Kot'wln
(Jlaon 'nf Soltltlll\ont:
'I'IlX P<lrool 1125-25-0U06.109
[U:/MAK offi(Jo
etllnp HL J 11 I'll
H.?!i Mllrket Stnwl
1'/o}1
t. Sell. lemont nata
MarlJh 26, 1998
,J, Summary ('I( Don'o\wr!a TumBuation K, .'lun~n<.Il'Y_of SeLlor's 'l'ratlB<wtlon
100. Oroat! Amount DlIO From Borrower <100, Oroas Amount nUll Tel Sollel'
101. ContL[QUMeB-p;'i-~e ~==.:-__ --1l!!....J!.QQ.....Q.Q... 11L Contl'ar:k2.i!l!!!Lf..rl-C'6 Ea.OOQ....QQ....
~ra()nal Plliller!;y' '102, 1I0rflOtlal jIop'e!:.1.Y.........
~ ~,~: Set t 1 Qm;~t ~~:~I.~~~~_~~U:ill!~L-LL!!iL1400 l_. __1..12l,~L ffi~~~~~- --__ -.- _~__=~~-=--=--- _ ___
l_QL-._._.__._~.~_ --1____._ 1.Q~__~~_, I
~l~?lmClntfJ~.~.~"'.ltom~...!:~ld by Beller In "dvilnoe ~__~:..IJ~H~~~!_~:,:~~,!~~._i_~~~~~:_palcl by sellol' in advance
lQ.L.._llghool ~s 01-2698 to 07-01-98 _._._----1J!.L.21,_ !Q.fi.,l...J.Lqill.!QL1.illtQft..~Ql.::li.:5!.L!&...Q.l::.Q1-98
101. CCllntv ta){~!!__~QL26.9~..J&_.Ql.:..rn":.29 .1ll....11_iQ'l. r.Ollnt_\L.J:.aX\'tf!..___QL!:.&..:2~ to 01-0 - 9
lQ!...J.!jHlh________-------91..:..26.9~1..:..!ll..:.ifl_ ____~.J.i. .1Q.~_,_T[a9h 0)-26.~Q1.01.il_B
1Q..2.l...- _____ ~__.~ ill.~ _,_._______
ll~,_. ______, i!.Q.~_,._._.~.__
111
ill..
120, Gross lImount DUll ~'rom Uorrow('Jr
6 J
__---11LiL
93,099,99
.- ==
D~le Ta .901 let'
98,346,15
-
~~_O, lImou~ntB pa ld lJy Or Tn Dohal f Ot' BOl'1'OWel'
.f!.!lL.....llilli..91itl_QL!!i!l'naut mon~i:.____
,;H1L~lllitLillllil\!!lt,.QL1l..Q.\:L1Q.dILlfll
ZQ1.'-.f;ll!!l!!!9...lQ~Il.(!1_----1ill;!.lll.l!--\iliJJ!Qt._~___
;lQL
~Q2.,____._______..___
iJ.Q~",--___
;}Ql'__h.
?'.Q~.l_
?'Q9.
~
l\eJllct.loll9 III lImollT\t Due Sellflt.
Hl......______
Ull.l__.____.._________,.
~1:L_ =:--<==_ ,_._ __
"::~' ~~,:~~:=~~_~ly/~'~:. 1l0lTOWEll'
300, C.l!lh lit !'lottlo(l1[.lnt FI',')m/'l'o Ilol'rclwer
-~.._- .-_.----_.
301. OI'OR~ l\tIlOllTlL dllo from bonowCll' (line 120)
llisillll!~ooit (S06 instructlollsl
SottlemenL eharQt19 tu Roller lllruLH~
~;x!.fr~<l.!ll!.......t.s_us.~[LJ!l.lbiect....to
!;i04 l'avof.L..9L first mortClaClO loan
~YQ1i.~Qnd mOl'lCl!!SlE'l 'lQlln
.li..Q6.
______. liQl._
-_.- ~Q.!!.....-
!iQ2...........
,l\djuHtrnontn for j u~ma unpaid by seller
--_._~._~.
~3,Q.\l!2Q.l-1.S1S!!fL______.10
_ __~__ ~2llilt.Y_!J.!K9g to
21~~L--. to
U......lil_ lilh_llil~er 01-01.:lfl to 03.26.98
._5101......
_____ ___.___ 51!J ____.___
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?E.._.
li!1.L.
......Q.QQ...JHL
8] 60 00
65
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fldJUllttTlimtl1 for IlQms unpaid by seller
~~_......_.____~_M._________
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111.,__._
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!lH.:..___,____
B!i, 6)).63
!i;!0. Totdl Rtlduol.ioll lImount [)1l0 .901 lot'
-
11,691.81
"-
Buyer/llarrowor' _..u__,___, .
Jl<lrl,,""[l 1-'. P}()l.
l'ocolpt.
It?
600, (,'.HIII lit, ~oU, 100nonL To/t'l'om S!lllol'
9~9"99 flGl -(j~ ~-;; .~~~~;ltclll{]--L-~-;;oll er-(lO~f~-4-i.0J-~--~~
~S,63~~_~!. ;~~_~~~.:!.-:~.~~(l1::~,:~~l~ ~~ ~~~~---.:itl[, !1~I.fl!..~.~.illO_.:~ ( 11, 6'.l~
_, 1,0166.36 (0). C/\IJII _~~..Io I) F:()~ Scllf'l , 76165494
~'tt2;;[.,~t-=;:;'i:{'"'Ti "k'~1;i~i:~ "~'""~:'" It"
- Sf,lltll'---
[:nt"te nf Clilyl'.t I';, C(lokm-ly
30?, I,osu amOUT\tn paJd bylEar bC>tTowal'{line no)
==.~- -- - :-=--=.,,----==
3D3, Caah {Xl From I 1 '!'o
==>- .-.--
'fho IIlld!'l'!II!lned heret
r-lorrowot'
lluyO[ /1I0I'l'OWtJ r .'--"'- --.-.-----~~----._---~-_-.."_.___._
'".,,_:~:,l,,::::,_.,~,.,:~~~~-~~=--__
IHIIl-1 (J-llC,) liESI'll, [11\ '1)05,
==__"'="'=-----~-====- ..'"-....'...---"'"=="''''===''''''''"''.,,,"'';J.~'''''=~=_=.-...='''''
~ ~~~ --.......................-=-.-."..--
(" Sot;tlf:mont Chal'~IO'J
1i1O:"~ B"l{lflil~~~;k;;~;- (';:;I~'~I~~;'I'o;~I~~d~(~;;;'~~-$~~ ~lir;', (JO(J, 00 ~~-- -~~-~-~-::;80-:OQ- --r~(lmII'~-j;i~--~
-'-I~"i~~'l;)~ ~-C~;m I ~l-f~j ;;1; (" ll~l<l :ii~ i;)~~f;I'1 (;;l~~'---~ --.- ~~. m .~-- -".. ~._~ - ~."_U U~__~_ flo [ rtJl% 111 8(111 01 . II
~---_..~ u___ ___T" ----.-.._..____h_._~.~_~___~~_.___._______ ___._._
IPl ,__u.._L-----...--ttLli~~ ,.QQ - - _!..~tl:i/~AK....Jil,!il.J ~.Z_l'I.ill.miillmLIl_.~__ n._~____ ~__.______.... ("Undll lit ~'\llldfl lit
'l!JiLL___....___L_. __fu ~ l~..L!{JL__-!..5.!..._HQ!MM_1!.!H!lL~---^-twf1Q.lft~nUL--..-.-.._._.u_~_ __ ._~__~~__ _____ .t'i!l.!;.U!lllillllL-..... ~{l.11! !lIU!lllL__
1.Ql....fm1lmJ!!111f!lL [>i!hL.dL_{i!j!!r.U!lillQ!It.____~_._u~ -----~~_ . _~!!J)_...r!'Q.....
:'!1,-.._-~ "'''''"..,~ -----u==-"""~= ~ -........___ .- ..~=<.._ _ J -L-- _ _~
9Qttl t'!ment 8lillom('ot PaHo ~
1100, Ilemf! P"y"blo In C~)llTIocl kn WHh !.olln
~---------,._---------_._.-.._---~----~-_._------~_..
~Ql-,-----Lfl.fl!LQr.1!JilhH.1lliLl'Q.fl_____!J.QQQQ.....'_---.1Q---Dft~~dy....rUl!sll1I.H_I1.iY!lrnilL.. ._~u__ ___JUy.....QfL..__
ft.Qil--,-.J&-i!1I..!1!!IQ.Ql1~.___~_WQQ.Q.'!_ to ._Qi!t!tIill\LllUJ.<lin<]-.DlYRrul.[i_~___.___.__ ~illl ___________
JlQl,..-111:!QrdJ.!u!Lt'.!d!!.____~_.._.~___._t.H._lUJllliJl.JJ!]\!~.____........~__....._._.....___._ ~___a.2Q....QQ._ __~__.
!iQL.-D:f!f!l!;'.J\JmQl~L1:'Q!L.....___._, ---~--tJ.L.JJS\rll!lb!leL..cr!:!s.UL.l!I11!lQ.\J__;_.____~ __ _2.Q..JlQ...... _________.
!!!li....J.!tl1Y!!,!J::. 1.'011 ._-------1~_l!?L~.._..___.~.____~_. !..:L..Ji
.!!.f.!!L.-!.19.Ql!l!illi.1.Lt!J!~!!r!!.llin.J::~____.____".__l9_..lliUJ!\tilY_fl.!IlfIl1liLDly.Q!!l.iU_.___.____ __--.l1.L!!Q_
!!Ql~.1._.c!lr!.l1.1Q1iUQll_J::illL to Os!.!=.!l't!!l'L.I::UlliHJ!LLl.LY.!U1!lLL______._._ _------.21.d!.0
~.QLl1m!1l!.h'I.llill9.1Q!L.. Lo _U'ltowav J:un\i1illLlUY!l:.m!.f 1 7!'....Q.U _
~iULB.!]!.Y.i!l.!.L..l'!!~_ to Ar!LqL!JHHLR!.ti!l.t~.1:f.l.1LJ!f.'{Q_______ "15.00
MlQ....___
811.
~------ ~--'---
--=-=:z=_..
_ -c=="'-="
=.-~--===__I
2.QJL--1l~!!HLIi!!fJ..Ulr!!Q..,!J'i..llQ~L.'[Q..Jl!Ll'!1liL~lL..A..!l'!sHlQfl .. ___ _
.2llL_111LO[!'JlL.LmUi.Jilc..1!L2!LJ.'Ul.LJH. " . S l!i 0 1 OQQ2Q.Q..L.dil~_{QL__jL..!l<II'Jl.~ l.. --"*
.~Mort{l<l9L!!H!1!!:IlllQ!!._tr!Jm!.IJ.!!L..!9.L__1!lilllt.b1!~. CM~___ ~ 101, 7L. .
lli:.-!1!!z<lrd_!ill!.lll"..l1\l10 PI.c.!!.!1llI!Lfor 1 vaarOl tQ ____~___~__ ______ _
901.-=-____.. to _ __. __
90S. ~__.,..---. _~~_ '_ ' I
1000...~arvfJ!L1J..QRQlitllilJiUh_J1lli~
1QQ.L-1l!'!~!lll..U!1lQft _
lQQ1. MortCla.fLlL.i!b'H!!:f!.l1CIJ
~guooLJ&lSQ!!__
lQQ1.-,-----.QQl[ntY...t,1 X6!!..
illS. Trash
1006.
1001.
10011, Agg Aoel Adjst
2~lli!.ntha rij S
~lonthE:l Iiil_i
9.0 Mon_Lh:i (,jl S 5].41
1..Q.J1Qnlhft Iiil L-19.21
-------1!2!llh~ W S
MonttlE:l 1iil._L
--MQllt.hs 14' S
Months @ $
~=.
1'L...1L-Ror monLlL-
Il!!LmCJ:Il!J1_____________
Dfll' mO!l!;.1L-_~__
[)er mQll.\JL....
lillLffiQ!1.!;.h
POI" montlL
L)fll' 1l1Qll1h
pOl' month
H 6
4 ~l), 69
19
~~[11a:-Q!l8
lliLJ!.ill!Jlfllent or ctosl.OQ foe
llQZ.~tl"ac:t ..Qr...t.i.U.!L!!!H!.r.~h
l~Tltle o~amlll!1i2n
1lQ1........'llUo In9\lranGft._~1'
J105 Docllll1en~__IH:.Qno'lra1.ioJl
ll~lttlv (Ofl9
l.lQL_M.1Qru~l.€lllJL....
_---..lino ludo!l !!!.2Y.!L.ltmillLJillmbm:1l1
1108. TIU!Ll.ru!!!IAI!.QL- to 'rhe Ouarant-ee ',ritle 1i..T.r.llf.L~
--------1.lmJ.llil.os ,'bovo_lt!:lllill....llllmbt1!JLL..1J1Q-/.......lQO <l!ld 8 1
lLQ2...JJyng~!L.,gQY.!lHEl~. 83.600 00
!.1.l..Q........9:dn~.!LSlQ~Ii!.9.!.L..--.~___lU!., 000. O!l-._
111\. _.~_
l!ltl.~_._
1~1l. .'ltnJe~~lnl~fJati.~!~
==-'
-16] .47
Kerwin I< KelJ':'1n
to
to
to
to
to
to
to
'IS 0(1
liilt.....Urcflbllr.n
Kerwin I< Kerwin
2JL.Q!l.-
'.0
_1..
75
L_ ------.-
to
Bicchlm- I< Tillery
=
75,00
UQ!LJ]OVfll.'lffi!l!lLllilgOl'dill9....illld Trdn8fer.~~g
pOl. Rooonl!mLllQlU Ooed J 27 ~P_,.j}~gfl S )6.50 IBU1oi\!!.!1JLL-
gQ!L_..G!lYlQQll!l1Lta~h!.~ Doad. $ 68 , 000 00 _-LMQL!;,9!!SJ!LL...
11fLL.lit.fttUillSbl.t.fiml2l!.L....___-flg.f!.fL.LJ!.!!.,_Q.Q.Q..l..QJL~I!!..']O _ $
l.a!o!J.<---_______
.:.?:.~~ ~lhe.:l..~~ 'I~~ ~aymont La _~Qglst.:.:_ of Wills (~:9crowl
l1QQ.~lllilli!L~!!n.l!!l!lQnt....flli!!g!l.!J . . ~
l.H1L S".L'!!!~. U!._________. ~..~
illLJ'.gt!L1Il~Q!IQ1:jQIL.__ _.__I&......!~OWt1nL.f~.!j!<. C!oDt1:Q1. _ _ 3Q.....Q.Q...
l1.QJ...l._T!HL.Q!![UllgA!:.~gL~_--....1.Q_.....QillnQrQ!l..Bmllh . ___ __ 10,.1.10
llQi~!22LQQlJllWI10"lligjLJ"ur'"____hQJQ"llLQ!l.!!"O':<!\.1h...I'1Ll&.!.llli!\..QL...____ __ 2 )0. ..
1~05, Termite 1'reat:~~~_=... La BOWOI"B {lont C(mlrol _.,-.__,.. t==--- S7/~
1<100. Tot,ll .'ltJUlf'IIl('llt CIHlr~Jell ((lIltO!. on llllOll 103, Bectlon ,J .1nd 50::!, 'suction Kl <l,7!i3.24 I 11,658.18
-...~=- -- -- , 1._
Ily slgn\fl~J P,'190 1 of tills !lleILement, tho llLgnlllorLos fl(Jknowlodgo roaolp!. elf .l oompIE-led copy of Pilgo ? of this;! pflgO statemflnt,
.~
=-__",.00-
, .
880 00
4,500,00
11l/PI,O'I'.UMPI
COI'l1{l(ld lo 1m n tnlfl nory
2j /W<l2.<!i",~:t~--:0~'~~__
K{]L'wLn N KerWl'V
R[VI'hl~\'I\ill ~~l
COMMON~SYLVANIA
nrPAHTMENl or REVENur
flANNI ~r;:;f ~~~112 I RESIDENT DECEDENT
Ol:Cf:l1(NfS HAMr: (l,l,!';L mlSI, AND MI[)[)ll' !MIlA!) Ulft B b1a~ bled~) MIll". WQld!i
COO~ER~"" GRI./LE
f Real E,lale (Schedule A) 111
2. Slocks and Bonds (Schedule B) (2)
3 Closely Held Corporalion,P.rtnershlp or Sole-Propnelorship (31
4. Mortgages & Noles Receivable (Schedule D) (4)
5. Cash, Bank Oepo'l~ & Miscellaneous Personal Property (5)
Z (SchoOule E)
0 6. Jointly (Mned Property ISchedule F) (6)
j
7, Inter-Vivos Translers & Miscellaneous Non.Probate Property (7) ,/
::;) (Schedule G or II
t: 8. Total Groll Allet. (lotalLlne, \-7)
II.
01( 9. Funerel E'pense, & Adminl,lrati,e Co,~ (Schedule ~I) (9)
0
W
0:: 10. Deb~ of Decedent, Mortgage lIabllilies, & liens (Schedule I) (10)
1 f T otll Oeductlo", (Iotalllnes g & 10)
!E
w
o
w
o
w
o
I!:
dfJ
~~~
i
I
~
~;c
~i
(J
I,,!> c:.( C)/I . I'I
REV-1500
INHERITANCE TAX RETURN
./
FU HUMBER
Cf {
'79
dl
o
COUNTY'
'R
SOCI.+J. SECUflll'l' NUMIlU\
OAn'ororAHI
e
-'----OATlor DIRTtI
I e .&t - .1 ~ - e (, I a 0 9 I ~ 3/ qL___'?~~ 0 II 9 ~ () ,_
(If APPlICABlf:j SURVIIJ1NO SPOUSI & NAME (I ARI fiRST AND MIDOlE IwnAq SOCIAL I,f ClJRllY NuMB! R I THIS RETURN MUST BE fILED IN DUPLICATE WITH THE
-. _ REGISTER OF WILLS
~ 1,OriginalRelurn C12.SupplementalRelurn D3.RemalnderRetum(dalIlOldtatllPfiotkl\2.1J.62)
o 4. limited E~tate 0 4a. FlltUfe Internst Compromise (dalllofooathllfter 11.1].62) [] 5. Federal Estate Tax Relurn Required
o 6, Decedent Died Toslate (At\al;hCO\ltolWIII) 0 7. Decedent Maintained a living Trust (AM~tlcoMOIT(Y'i) ~. 8 TollllNumber of Safe Deposit Boxes
o 9 litlgalion Proceeds Received 010. Spousal Po,erty Credit I,..,r.."" ,,"'.., 12MI,", 101", 0 11. Elecl~n 10 ta, under Sec. 9113(A)IM>o.f<hOI
THIS SECTION MUST BE COMPLETED, ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
""" diL04'Co~ eUm~ In' RO~"D
c:t-lACc.i~bu~ I r.:z I?IIO
FIRM(IM4E (IIApllli(, )
ee,O 00,00
'go
_(1:\
. -1 ."
r~
,,;
co
'0 :JJ
. ({l
(y, [-,
:::.;::
:t::-'
32J,$'1Q.70 ;~
q ILl
,('5'!>,J ~ .
13,1! 7 '~4- ~:; '<J,
(81 ' I ~ , ,,/, 3 5 0 . ~ 5"
e,~~q."'5'
q~3~,qO
12 Net Vllue of Eltlte (line 6 minus line 111
13. Charitable and Go,ernmental Bequesls/See 9113 Trus~ lor which" election 10 lax has nol been
made (Sohedule J)
14. Net Vllue Subject 10 Tulline 12 minus line 13)
15. Amounl of line 14 taKable
allhe spousal tax rate I' X ,0
SCfllnslructioM on revef50 side for applicable percentago
16. Am,ounl of line 14 taxable 'I .., I. ':1 J / 7 e 0
attJ%rate lCllll\ CJIIi (I ,,,...,.. x
17. Amount 01 line 14 taKable
a115% rate x
III) I ~,OO &.~
-
(12) ,~a? IJ,,;1 1.eo
(13)
114) I ~ IJ. (" a '" 7 .8 0
(15)
.06 (161 I 3 ,5 eo. e 7
.15 (17)
-
(16) I 3,5" B 0.87
16. Tax Due
19
> > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < <
,..__._u "._., ._.~.._ ,__.. ..;.. u...._ ;__....".._ __n.____..,__ __L_....:u u" _._._ ~~._ _... ,_ ,.._ "_AI A' _.. C.~...'_"__ AR" "_"A' ;1.. ,..,... ^^"~,. ~~... M,,,..I~'~ r\......j"."""n ^f"''''''''m,^Il,^,
Decedent's Complote AddroSB:
',::'iIlII"II-'-""""/. ~.I ~ Jh -"'-J~e \I....
m UlQI"t' OU~T "VT _ tr
'_i,,_Aw~vm beeIA~'D
H _1!\:PIt- . t'/707am
Tax Payments anet Crnrlils:
\ L1'< UP':! iPdqO I I ill!' 01)
2 Cr{!dll<;IPil'/l1l(~(\I':l
A SpOlISill Pnvflrly C:r('dil
(1 Prirlr I'ilyrnliflls
C [)(icmml
II) 1.J) 5.80.8.1
-. 4,~oo,()o..:
3
T()(al Crodils (^ ! ~1! C J
(/J
'*1,5"00. 00
InlmflfttJPfHlC\lly if (lfJpll(iabl(~
D Inl(l[oS!
E. PenAllY
o
::.: _:_q~C2~E1
4.
To,"llrllorostJPnnally III , E I (:1)
II line 2 Is grealer Ihan linn 1 , 1111" 3, onlor 1110 cI:lloronco. Tllis i< 1110 OVERPA YMENT,
Chack box on Page 1 Line 19to rnquesta re/uncl
5
Illina 1 f line 3 Is groaler Illi1n Iin" 2, nnlnr Iltn diffaronco Tltis Is lite TAX DUE,
A Enlflr Iho Inlora,' on lito I<1X d"". (~)t,.)
. fl. Enlor tho lolAI ollina S t SA. Tlllg is !lIO BALANCE DUE. loll) ~:~q':O-~::a1
. MAke ChACk p.t~!O, REGISTER OF WILLS, AGENT
~."i"At~mJtlq~",~~\'~IWJHa"~\W~,'" . ~,',,,~,_,~~~~1},'~t~~~!iw<<t~,;~~!r\i;~'j'W~$[\~,1:tt({/1~~i!;rii~t'~:i';~y_r~)~~{'f);~J::;WR~lir~lr;i;iJJRi
... .,.. .. . PLEASE ANSWER THE FOLLOWING QUESTIONS ..,.. ,'" .' .
BY PLACING AN "X" IN THE AI'PROPHIATE BLOCKS
1. Dill dftGftclent make a trangler and:
a. mtAin the use or lncolnfl of tho propnrty trallflforrod;
b, retAIn lhB rlgllt to dOfiiqtlnte who sllallusn thu pro~fHty tram;felrncl !)I i\~; IIlCOnH~:
'C. retAin fl Hwm~ionAry intt'lffJst: or
d, recflivA thfl ornmiRfl for life of ~llther payrnonts, benoflts or earn? .
2. If dealh oGcurrml on or he lore DeGE!mber 12, 1982, did decedolll wllhllltwo years
preceding df1flth trAflRfm property without recoivino aciequElte r.omilduri:ltion? If dsatll OGcurrod
after Docemhm 12, 19ft2, did df1cedftnttmnsfor propert!, withlll ono yom of doolh wllllOlIl
recelvin9 HdnCluate conslcJEll'fJlion? [J
3, Did decedent own ('HI ';in trust fJ( or payable upon death hal1~, ~ICCOUIlI or security
at hi. or her doath? ............ []
4, Old dflcAc10nl own an Individual rnHrAlllent,wr:ount, annuity, 01 other non-prohato properly? ,.. ti(I
Yea
[I
...... ....... .[ J
[I
[j
No
~
~
I
~
l~
[J
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN
~mr~'~~',~~f);~~'ji\iH~'J\;j(!,~" ",~~\~,~,\;(d/i:i_:'~':;j:',;:~'!' ,/,
72 P.S. ~9'116 (a) (11) (I) prOVided lor 11'0 rod\lcllOIl of Iho tax rillo Imposerl on nol valllo of Iransfars 10 or for tho \lsa the
survlvinfl SpOUflfJ from 6% to 3% for e1alos of rlfJilth on or aflnr .Julyl, 1 ~Hl4 rlnd hflfore ,)iHlllmy 1, 1995
7') P.S. ~CJ1'lG (;:-1) Cl. 'I) (ii) provjrl~)(j for tho rodllclloll of Iho ('<-lln lmposnd onllltl !lul Villu(J of IrfHwfnrs to or for the usa of the surviving
;:;pouse from 3% to 0% for datos of (loath on or nflm ,lllllLlillY '1, 1 ~195 Tho HtHluto cj(~~}~__!lC~J__Q~~JJnp~ a trangfm to [;1 survivIng spouse
from tax, ami tho stahllory reqtliifJI11Anls fOl cliscl()~;IH'n of tl!-lHf1ls and filinq ;'1 tdX mturn are ~till applicable evon if tile ~lllVlvlng spollse
is lhfl only berlflficiary
FOR DATES OF DEATH ON OR AFTER ,JANUARY 1, 1U9S. 1'loil>lO "IlSWO' II", f\lilowillq q\lftstlo" hy placlnq an "x" in the
appropriate space
Did tha decedent create a trust or similar a"""nement which Is soleiy for the survlvlnn spouse's benoflt for his or her entire
lifetime? Ya" [] No ~
If you answered YflS 10 the abovo qutJstion,lhe lax nllllw trust or similar arrflllgolllt'Jf11 is pORtpollecl until BIB rlflflth of tho second
spouse, at which limB il will bo fully taxablu fit tlw rato(s) applJcatJlo tn tho rornnindnr bfJlloflc!f1ry(iO!,) Enler tho valuo of tlm trust on
Schedulo .J, Pmt II, in ordor to rAmove It from the calculi-llioll of ttw tax dUfl Illlhis estellO, YOtl rmw wish to filo Schodule 0 in order to
make the olection available unner Section 9'11 J. If 010 elE-H~tion iH IllrHIO, the tnl1it or similar arrangnfllHnt is taxed in the ostate of lhe
first r1ecedent SpOllSA, the portion of ttH1 trusl or smulnr ilrrnn~lfllTl(Jllt which bwwfHs ttlfJ Rurvivtng spDuf,e is taxed at tho lero tax rate,
and tho remainder is tc;1)(od at tho rnle(j;) applicablo 10 tho rnrnnlndw tlllnelicIiHY(ll!~) If you c;ho(lse 10 mako tilE} election, YOll must
attach Schedule 0 to A Hn1f)ly.f)Ied lax return fllonq wilh ScllodlJlo(~) K ,mellor M In ord81 In show tho apportionment of tho trusl or
similar arrangement betwoen the Slllvivinn spouse ilnd tlll~ r€Hllamdor bellflfic!HI)/(lfi!.i)
!IIV"'''''''~.
COMMONWE~L HI Of PENNSYl V~NI~
IN"f.RIT~NCE TAX RETURN
R. NT:' 'NT
ESTATf OF
Gaylo Ii:. Cookerly
SCHEDULE F
JOINTL Y .OWN~D PROPERTY
II.n ....1 WI' m.d. joint within on. Y"' ollho d."donl'. d.t. 01 dllth, It mu'l be ,'poll.d on Sch.dul. 0,
SURVIVING JI]NT TENANT{S) NAME
A.
Jamey A. Abels
B.
Keri Moore
c,
JOINTLY-OWNED PROPERTY:
ADDRESS
2040 Crums Mill Road
Harrisburg, PA 17110
4938 Baikel Court
Harrisburg, PA 17112
FILE NUMBER 21-97-0790
RELATIONSHIP TO OECEOENl
Daughter
Daughter
LEmR DATE DESCRIPTION Of PROPERTY %OF DATE OF DEAn!
ITEM FORJD,"T ""'DE Include name 01 financial institution and bank account number or similar identifying number, Mach D~TEOFD€ATH DECO'S VALUE OF
NUMflER TENANT JOlm deed lor joinUy.held realeslato, VALUE Of ~SSET INTEREST DECEDENT'S INTEREST
1. A/B /27/'t11 PNC Bank
#5140275279. $3,043.97 .33 $1,014.66
2. A/B 5/14/'t11 PNC Bank
#5130213306 $2,195.38 .33 $ 731.79
3. A/B 10/?/J/:;:' Dauphin Deposit Ba!lk
#23938013 $3,646.48 .33 $1,215.1.9
,4. A/B /12/95 Dauphin Deposit Bank
#,8100776350 $10,016.39 .33 $3,338.80
5. B /14/95 Dauphin Deposit Bank
#8100940878 $5,007.20 .50 $2,503.60
6. , ,A/B 2/21/93 Snyder County Trust Bank
#5114277 $2,548,15 .33 $ 849..38
...
-
TOTAL (Also enter on line 6, Recapitulation) S $9,65.3.72
-
(It mOle space Is needed, insert aedltlonal sheets of the same size)
. SCHEDULE H ~ Page 2 of 2
DESCRIETION
ITEM NUMBER
13.
14.
15.
16.
17.
18.
19.
20.
2l.
22.
23.
24.
25. .
26 ..
27.
28.
11/23Eri.e Insurance
House insurance
12/3 Keystone Oil
12/23 American Water -
11/5-12/4/97
12/23 Bell Atlantic -
10/19-11/16/97
12/23 PP&L -
11/4-12/5197
1125 Mike Kahn -
House maintenance, lawn
1/25 Jamey A. Abels -
Mileage
1/25 Keri Moore -
Mileage
1/25 UGI -
1/14-214198
1/25 Bell Atlantic
1/17/98
1/25 American Water -
12/4-1/5/98
1126 Erie Insurance -
House Insurance Renewal
2/11 Bell Atlantic ~
2/7-8/98
2/11 Ameri. can Wa t er -
1/5-213/98
2/12 UGI - Disconnection
2/23 Borough of New Cumberland
AMOUNT
$132.00
$ 62 .85
$10.61
$13.48
$25..81
$100.00
$519 . 2 6
$324.40
$18.U.
$lt;\.07
$9.74
$106.00
$14.22
$12.37
$10.00
$53.60
I-~~ ,,;;' o{ / 'I
'UREAU Of INOIVIDUAL TAMES
IIlHf.RI1ANc:[ r." OIVISlllH
PEPl. za06D!
HARRlSIURO, PA 11128-0bCl
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
c/
*'
NOTICE OF INHERITANCE TAK
APPRAISEMENT. ALLOWANCE OR DISALLOWANCE
Of DEDUCTIONS AND ASSESSMENT Of TAK
'H-114' U AlP U'.'1I
01-21-1998
COOK ERl Y
09-23-1991
21 97-0'/90
CUMBERL.AND
101
E~~,:_=~~-~!_-~..~t~~_~- :J
MAKE CHECK PAYABLE AND R~MIT PAYMENT TO:
REGISTER OF WIllS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 11013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV: iSf.-i-ix'-Aj:P--[o9""=9'ri-iloi''icnW iiiHEifii'AiicE - T"A'X-iiPPRiii sEifENr;- Ai:.l-oiiAiicE - oii- -- -- -----. - - - - --
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
GAYLE E FILE NO. 21 91-0190 ACN 101
JAMEY A ABELS
2040 CRUMS MIll
HBG
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
GAYLE
RD
PA 17110
ESTATE OF COOKERLY
DATE 01-21-1998
TAK RETURN WAS I I X) ACCEPTED AS FILED
1 CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RE'TURN
I. R..I E.t.t. ISch.dul. A)
2. Stookl and Bonds (Schedule 8)
3. Clos.ly Held stook/Partnership Int.rest (Schedule C)
4. Hortg."../No'tall Receivable (Schedule D)
5. Ca.h/Sank Deposits/Hisle. Parlonal Property (Schedule E)
6. Jointly Ow~d Proper tv (Schedule f)
7. Tran.farl (Schedule OJ
8. Total A.s.t.
88,000.00
,DO
.00
.00
33,519 .10
9 .653.52
113 .117 ,23
(8)
(1)
(21_
13)
(4)
IS)
16)
17)
NOTE I To in.u~. proper
oredit to your account,
.ub~it the upper portion
of this for. with your
tax pay..nt.
244.350.65.
APPROVED DEDUCTIONS AND ~XEMPTIONS:
9. Fun.rel E~p.nl../AdM. Cost./Hiso, Expanses (Schedule H)
10, D.bt./Mortg.g. Li.biliti../Li.ns (Sch.dul. I)
II. Tot.1 D.duotion.
12. N.t Value of Tax R.turn
13. Charitable/Govern..nt.l Bequests; Non~.l.ot.d 9113 Trust. (Schedule J)
14. Hat Value of E.t.t. Suhjact to Tax
(91
1101
8.669.95
9,332.90
Ill)
112)
1131
1141
la.oO? RI;
226.347.80
.00
226,347.80
11 .n .......ent was i.sued previously, line. 14. 1S and/or 1&, 17 and 18 will
re11ect 1igure. that include the total 01 ~ return. a..e..ed to date.
ASSESSMENT OF TAX:
1&. A.ount of Line l~ .t Spous.l rat. (IS)
16. AMount of Line 14 taxable at line.l/Cla.s A rat. (16)
17. AMount of Line 14 t.xable .t Collateral/Class 8 rat. (17)
18. Principal Tax Due
NOTE:
.00 K .00.
226.347,80 K .06.
,00 M ,15.
118)
.00
13.580,,87
.00
13.580,81
TAX CREDITS:
PAYMENT
DATE
U3-27-1998
05-28-1998
DISCOUNT (+l
INTEREST/PEN PAID (-)
,00
,00
RECEIPT
NUMBER
AA269896
AA270145
AMOUNT PAID
4.500.00
9.080,87
TOTAL TAX CREDIT
---------
BALANCE OF TAX DUE
-.----.---
INTEREST AND PEN.
---_._-.-,._-_.~._--
TOTAL DUE
13.580.81
.00
,00
------ ~
,00
. If PAID APTER DATE INDICATED, SEE REVERSE
fOR CALCULATION Of ADDITIONAL INTEREST.
If TOTAL DUE IS LESS THAN .1. NO PAYMENT IS REQUIRED.
If TOTAL DUE IS REflECTED AS A "CREDIT" (CR), YOU NAY BE DUE
A REfUND. SEE REVERSE SIDE Of THIS fORM fOR INSTRUCTIONS. 1
E
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RES~RVATION' E.tat~. of deo.d_"ts dying on or before Deoo.ber 12, IQS2 -. 1f <<ny future Interest in the v.tate i. tran'ferred
in pou..don or enJCly.ont to Clan B Icollatura}) beneUciarie. of the d8Cledont after thu expirQtjon of "ny e.tato for
lif. or for yoars, the COHonw.alth hereby .wpreuly re..r".. the right to llppraho and aulISs transf"r Inheritanoe raw.s
at the lawful Cl..s B (aollat.r.l) rate on any suoh future interest,
PURPOSE Of
HOTlCEI
PAVMENTl
REFUND (CR)I
OBJECTtONS I
AOHIN
ISTRATIVE
CORRECTIONS I
DISCOUNT I
PENAL TV I
INTEREST:
To fulfill the roquirtlllenh of Seation 2140 "f the loherlhno8 and Eltate TIlx "ot, Act 21 of 19Q!i. 172 P.S.
Section 9140),
Detach the top portion of thls Notloo nnd sub,,1t with your paYllent to tho ~lIl1htor of Wills printed on the re"erse side.
~~H.ke check or lIoney \)crder payable tOI REGISTER or MILLS, AGENT
J. refund of ('I tax credlt, MhJch was not requested on tho lax ~eturn, lIIay bll rDquested by oOIlPlotlng an "Applioation
for RlIIfund of Pennsylvania Inheritanoe Hnd EstatA lax" (REV"UnJ. ,lppllcetJons arlll available at the Offlc.
of ttllll Rogister of WHls, el1Y of the 23 RlIIvenue District Offlco!!, or by CRill"" tho sJlecial 24Nhour
an'lIlerlng ..rvlce nUllbers for forlls orderJr,g: In Pennsylv8nin 1~800~:-;62~2050, outside Pennsylvania end
Id thin local Herr hbUlII IIr.. (717) 787~1I094, TDDI (717) 772~22S2 (Hellrlng I~ltil'ed OnJy),
Any porty In Interest not satisfied wJth the Ilpprlllsollent, aJlolllllnc9 or dlsallowanoe of doductions, or a.......nt
of tax l1ncluding dlsoount or Interest) liS shown 011 this Notice 11\11\ objeot within sJxty (60) days cf recelflt of
this HoUce by:
--wrJtt.~ protest to the I'l. Departltent of Revenutl, Board of Appeals, Dept, 281021, Harrisburg, p" 171:!8-1021, OR
--el.ction to have the lIatt.r deterllined fit QudJt of the acoount of the plllrsonal repre..nhUve, OR
--appel'll to the Orphans' Court.
Factuai error. dl.covered on this assasssent shouid be addressed in Mritlnll tOI PA nepartllent of MlIIvenue.
Bureau of IndivJdual Taxes, ATTN: Post '1I...llent Revie., Unit, nept. 280601, Hnrrhbul'g, PA 171211N0601
Phone 0'17) 787-6S05. See page ~ of thft booklot "Instructions for Inherltence Tax Return for 0 Resld.nt
Oeoedlllnt" (REV-}SOU for an explanation cf ad"lnistrativelY oorreotable errors.
If Itn~ tex due Is paid within three (3) callmdlll' Months after the deoedent's duth, e five percent (Si:) dhcount of
thQ tex Pllld i. alJowed.
The 15~ t.~ allne'~y non-partlolpatlon p.nalty i. oOllputed on tho total of the tax and int.r..t 1l.lelsed, and not
paid before January 18, 1996, the first dllY after tho lIInd of tho tax lllltnestv parlod, This non-partlClJpatlon
p.nalty Is appealable In the salle Slanner llnd in the the ulIIIe tiSl8 poriod ItS YD\1 would appeul the t8l< fIlnd Irttor'lt
that has b.en a......d as Indicated on this notlca.
Interest Is charg.d beginnin\i NUh first day of dalinquenoy, or nine (?J lIonths IInd one (II deW frolll the date of
de.th, to the data of pays.nt. laxes whlClh beoa.a dllll1nquont before January 1, 1982 baa!' lnter.st at thft rate of
MiliC 16~) p.rcent p.r ennus oaloulat8d at It dltJ1y rata of .000164. Ali taxIS which bec"",, delinquent on and after
January I, 1982 wlii bear inhtrest at a rate which wIll vary froll calendar Yllltr to calendar year with thl'lt rate
announced by the PA Oepart..ent of Revenue, lh" applioabh lnterest ratas for 1982 through 1998 llnl
"'e.r lntere.t Rllte ~terelit faotor ~ Interest Rata llal1y IntorQ5t Faotor
-,
lQa2 lO% .000S,.8 J987 9~ .000247
1983 16% .000,.38 198ft-1991 11% .000301
1984 11% .000301 1992 9% .000247
19115 Hi: .0003S6 199:~d994 7'/, .000192
1986 10% ,000274 199~'1998 9% .(100247
ulntar..t Is calcuiat.d .. fol1ow51
INTEREST c BALANCE OF TAX UNPAID X NUNBER DF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Jr4oUoe luued "ftllr the tl!IliC b.coll8s delinqu.nt wUJ reflect an Interut calculatJon to fUben OS) days
b.yond the date of the au.....nt. If pay..ent Is ..ado lifter thCl intur.ut co.put"t Inn date shoMn on tho
NoUc., addltJonal inter..t ltus1 blll calculated.