HomeMy WebLinkAbout97-00828
lis/ale of JACQUI<:L1N.: M. MILU:R
a/so klloWII as
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f)ece~',\'ed,
P.:TITION If OR PROUAn: and (;RANT OF L1~Tn:RS
No, __.,.,.tXl=.~=~~e._~_"...
To: Register of Wills for the
County ofCull1berland in the
COll1monw\lalth of Pennsylvaniu
Social SecllritiNo.202-20-53Ji;
The petition of the undersigned respectfully represents that:
YOUI' petitioners, who arc I H years of age or older and the Exeeutor~ named in the last will of
the above decedent, dated February 19, 1993 and eodicil(s) dated [none].
Decedent was domiciled at death in Cumberland County, Pennsylvania, with her last tilmily or
principal residence at 1665 Walnut Bottom Road, Newville. Penn Township
Decedent, then 70 years of age, died Oct. 5,1997, at 1665 Walnut Bottom Rd" Newville, PA,
Except as follows, decedent did not malTY, was not divorced and did not have a child born or
adopted after execution of the will offered for probate; was not the viclim of a killing and was never
adjudicated incompetent:
Decedent at death owned property with estimated values as follows:
(If domiciled in Pa,) All personal properly
((I' not domiciled in Pa,) Personal property in Pennsylvania
(If not domiciled in Pa,) Personal property in COllnty
Value orrea! estate in Pennsylvania situated as follows: Penn Township, Cumb, Co,
$ unestimated
$
$
$ullestimated
WHEREFORE, petitioners respectfully request the probate of the last will and eodieil(s)
presentedhen:with a,.nd the grant of letters testamenary there,oll" " . /, "/ ..
-^~,";'Aj MJ(" ',<. (rI ,L) 1(6__.,
Keith J. ~lIer' Robert D, Miller
28 Ridge rive, Mohrsville, P A 19541 3151 Readsborough Ct., Fairfax, VA 22031
(610)488- 7360 (703)573-5325
I) II;"
./ )'1 r J I"L(,
Greg R, Miller
500 East film Street, Palmyra, PA 17078
(717)832-6337
---......-----------------.---------------------.----.----.--~----------_._------
-----------------------.---.---------------------------------~-------
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA)
: ss.
COUNTY OF CUMBERLAND
)
Sworn to or atTtnned and subscribed
before me this ~~ day of
. +:iJ~pOBER_,191!J.'. \
71!j(l),~., ',hIW/<> pi'.) ( 11,i(Yu:",J/fL1,
MAR C LEWIS RegIster' I,
The petitioners above-named sIVear or affirm that the statements in the foregoing petition arc
true and correct to the best of the knowledge and belief of petitioners and that as personal representatives
of the above decedent, petitioners will well and truly administer the estate according to law,
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Keit~ J., \leI' , (/ (
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Ropert D, MiJler( (.
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Greg'R, Miller
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REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
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REGISTER OF WlU8
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Carlisle, PA 17013
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18, TAIlIlul
DATE
;,gfr- 1998
~2/'5h'8
D.ced.nt', Com I.t, Addre..:
SlM~a'nut BottCXll Road
~il1e
l SlAtE FI\
Illf' 17241
1
Tax Payments and Credits:
1. Till Due (Plgll line 18)
2. CndtIiPIymenl.
A. SpouNI Poverty CIIIdIt
8, P!tor "ltll.,1I
C, DIIcount
(1)
7990.27
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Check box 0lI.....1lJn11.1II...... IIIMl4I (4)
5, .hl -line 311 QNIIlIIIhIn line 2, enter lht cifleIence, Thll II IheTAX DUE. (5) 990.27
II, Enter It1e 1nIereIl on Ihe \lie We, (511)
8, Enterlt1elolll 01 Une S-5/I. ThlIlsllMl8ALANCE DUE. (50) 990.27
Make ChecIc P8y'8~ to: REGISTER OF wrUs, AGENT
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PLI!AII! ANSWER THE FOLLOWING QUESTIONS
BV PLACING AN "X" IN THE APPROPRIATE BLOCKS
1, Old decedent I1IIIke I lrInlfer and: Vea No
I, retlln the u.. or Income of the PfOPIf1Y nnl!en'ed; ,...........................,..,....,........,..,..........., 0 IiCJ
b, ret.1n \he right 10 dealgnete wIlo 11I111 ulelhe property lrenafened pr lla Incollle; ................ 0 IiCJ
c, retlln. reverelon.ry 1n1_1; or...........,................,..,............,............................,.................., 0 IiCJ
d, receive \he promllllor life of elthtr peymen1l, benetlta or cere? ........,..............,..,....,......... 0 liD
2, II dellll1 QCCUmtd on or before December 12. 1982, did decedent wtlhln two ye.,.
pnlCIdlng death 1111l1.1ef plOllIrty wllhoul receMng .dequale conlklenlllon? II delIth occurred
.ftlf Decembef 12, 1982, did decedenll1en.1ef property wllhln on. Yler of de.th wIltloul
receiving edequlIle c:onllderallon? ........,....,........,........,..,....,..,..""..",....".."......"........,'"..,...',.. 0 IiU
3, Old del:edenlllWll In "In lruat lor" or pay.ble upon deelh blnk ec:counl or _Illy
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IF TliE ANSWER TO ANV OF THE ABOve QUeSTIONS IS VES.
YOU MUST COMPLETl! SCHEDULE G AND FIll! IT AI PART 01' THE RETURN
_UII -I_ nllll- I I .
72 P,S.18118 (I) (1,1) (I) proylded lor \he MuclIon of the I.. rettlmpOled on thane! vIlue oflr.nl"" 10 or lor \he UM of \he
aurvlYlng epouH from 8% 10 3% lor dele. of deelh on or .fter July 1, 11184 Ind before J.nullY 1, ll185,
72 P,S, 18118 (.) (1.1) (II) proykIed lor \he Muctlon of the relelmpoled on the net vllue of lrenlferelo or for Ih. UH of the .lIIVlYlng
lpouH from 3% 10 0% lor delel of dellll1 on or Ifllf Janulry I, 1998, The .lllul. doel nal exenlDl . Irenllef 10 . lurvlvlngepou..
from tu, Ind th. IllIlulOl)' requlrementa lor dlacloeure of IIHla .nd filing a lex retum .re IUN eppIlc:MlIe even If \he IUlYlvlngepou..
II the only beneflc:lliry.
I
FOR DATES OF DEATH ON OR AFTER JANUARY 1, iBIS. Plea.. enewer the following quealion by plllClng 1/1 ""In the
.ppropriale ~.
Did lhtI decedent CIW.. . truet or .Imller Imngement which I. .ol.ly for \he .urvlvlng .pou.... benefit for hla or her entl,.
lifetime? Vea 0 No 0
If you an_red yea 10 lhe lbove queallon, \he I.. on lI1e trusl or Ilmller .rr.ngemenlll po.tponed unlll \he de.th of thl second
lPOUH, el which lime It will be fully I...ble el the rele(.) appllcllble to lhe remelndlf beneflclllY(lea). Enter the v.lue oltha lruat on
Schedule J, Part II, In order to remove II from \he celculellon of \he I.. due In this eal.le, You may willi 10 file Schedule 0 In order 10
mlkelhe election Iv.llable under Section 9113, If lhe elecllon II made, lhe lrusl or Ilmll.r Irrangement IllIIed In the Istale of the
llnrt decedenl lpouae, Ihe porilon of the lNII or slmller Irrengemenl which beneflls \he .urvlYlng epou.. la lIIed Illh. Zlro lex rIIte,
Ind the rel1llllnder Ilt..ed ellhe rete(l) Ippllcablelo lhe remainder bellllflcllry(IeS). If you choo.. 10 I1IIIkelhe election, you mull
ettach Schedule 0 10 . lImely.flled I.. relum, .Iong with Schedule(l) K and/or M In order to Ihow Ihe apportionment of tht lrull or
Ilmll.r .rrangemenl betw..n the surviving spouse and Ihft remainder beneflel.ry(I..),
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IlEP_NTllf _HUE
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REV..1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
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Stephen L. B10001, Esquire
~EAAOORFF, WILLIAMS & aI'IU
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MARTSON, DEAAOORFF, wn.[,IAMS & arm
Ten East High street
Carlisle, PA 17013
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DATE I:
DArt .~O/19?R
Decedent'. Com lite Add.....:
Tm~'nut IlottOO1 Hoad
"
ille
Tlx Plym.nte Ind Credits:
1. T1IC0ue(P1gI1 Une 18)
2, CMtI/PIymInll
A, SpouNI PovIl1y CId
a, PIloIPIymIntI l1b~U. UU
C, 0lIaIunI 350, 00
H PA llI' 17241
(II 7990.27
TaUllCIed1I(A+a+C) (2)
7000.00
3, 1n...",..,jj1y K IppilcIbIe
D, Int....
e, PtnIfty
TcUllnterelWenjj1y ( D + E) (3)
4. Klint 211 "'* IhIn line 1 + line 3. .... tie d1""'..ICI, ThiI "'" OVlRPA YMENT,
CllIdlIlox OIl .....1 LInt 1. to .......1'lIIunIl (4)
5, KIlna1+1Ine3I1greal81IllIllI1ne2.enlerll1adllltf.ICII, TlWIlItieTAlC DUE. (5) 990.27
A, Enlef lI1a inleIIIl on lI1a till eM, (SA)
a, Enletll1atotalolUne5+ SA, Thlall lI1a BALANCE DUE. (sa) 990.27
Make ~able to: REGISTER OF MUS, AGENT
_ 11I'111 _ IRfl r u - II III.
PLEASE ANSWER THE FOLLOWING QUESTIONS
BV PLACING AN .X. IN THE APPROPRIATE BLOCKS
1, Old decedent make. Iran.,., .nd: VK No
., rmln the ut. 01' Incoma of the proparty IIIn.lerTId; ....,..,....,......,..,..........,..,..,..,..........,..,.... 0 IlU
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d, recelv. the proml.. for 1If1 of elthIr peymentl, benefit. 01' cere? ...........................,....,........ 0 [)
2, If de.th occurred on 01' before December 12, 1982, did deced.nl within two Y'.II
precedlng de.lh 111IIl.'" property wtthouI receiving .dequ.l. conllder8llon? \I death occurred
.fter December 12, 1982, did d~1 tnInlflr property wtthln on. yeer of d..th wllhout
recelvlng edlqUl1II' coneklll'lllon? ..,..,.."....,..",........"...."........,........,....""..........,..,',..,""',...,...0 6U
3. DId decedenl own .n 'In Wit for' 01' pay.ble upon dllllh b.nk .ccounl or aec:urtty
4, ~~:I:=n:-O::~'i;;d~id;j;;;;i'~~;;i:';;;;~~~:.;;;'~ih~;'~~~t~.~~?:::: B ~
IF 'OlE ANSWER TO ANV OF THE ABOVI QUESTIONS IS YES,
VOU MUST COMPLETE SCHEDULE 0 AND FILE IT AS PART OF THE RETURN
IIfL ___ --.1_ _ ,If I ~
72 P,8, 19118 (.) (1.1) (I) proYkled for the reducIlon of thellll ,...Impoaed on the nel v.lu, of nII'fIIs 10 or lor the u.. of the
IUlVlvlng .pou.. ffom 8% to 3% !of d.... of death on 01' aftar July 1, 1994 .nd before J.nu.ry 1, 1995,
72 P,8. !l9116 (a) (1,1) (I~ provkIed for the reduction of the ral.impoled on thl nel valul oflllnlflre 10 01' for tha UII Ofth. ."rvlvlng
epou.. from 3% 10 D% lor d.IK of d.ath on or aftar J.nul/Y 1, 1995, The Ilatut. doel nol axlfllDl a Iran.fer 10 a .urvlYlng apou..
from till, and the atatulory raqulramenll for d1aclo1ure of ...... and IIlIng a tax ratum are IUN applicable .v.n If the surviving 'POUII
II th. only bell.flc18ry,
FOR DATES OF DEATH ON OR AFTER JANUARV 1, 1115. Plee.. answer the following qUKtIon by placlng an oJ( In the
.pproprIale .~,
Did the decedent era." a trusl 01' .Imlllr IlTlIngam.nt which I. lol.ly 101' the.urvlvlng .pow.', benellt for hi. 01' hit' antIra
llfetlma? V.. 0 No 0
If you answered ye,lo the abov. queallon, the tax on the IN" 01' similar errllllllemenll. po.tponed unl" the de.th of the second
.pou.., 111I which 111M II wi" be fully laxabl. .t the rate(.) appllcllble 10 the remainder benlftclary(les), Ent.r the value of the busl on
Schedule J, Pili II, In order 10 remove II frlMT1 the calculatlon of the lax due In thlllSlale. You may wlth 10 fill Schedule 0 In order 10
maka the alection av.llable under Section 9113. If tha .18ctIon 'I 1lVId., the Wit or simllllr .rrangement II taxed In the ....,. of the
filiI decedent lpauII, th. portion of the W.I 01' almllar .rrang.menl which benefttlthe IUlYlYlng spou.. I. b1xed .1 the zero till ral"
.nd the remainder Is laxed .llhI rate(l) applicable 10 Ih. ramalnder ben.ftd8ry(II'), If you choosa 10 maka the elecllon, you mual
allach Schedule 0 10 a tim.ly-flled IIll ratum, .Iong with ScllIdul'(I) K .ndlor M In order to alloW the apportlonmenl of Ih.W.t Of
.Imilar alTllngem.nt between Ih. .urvlvlng lPOU" and IhI remainder beneftcllryQK). 0
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llll'NmIEHT Of _HUE
~"',_t
REV.1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
-'_"__'~n__".. .. -"'1\; ii(.iI:l'\i!'ilj'~ tL"
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o 2, ".f ,~1lIl R",",
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o 7, 0I0Idenl MU1loinId Ilhq TIIlIl_..."'....
010, SjlOuuI ,,-\,CtIdI.,,__ ,.11.......,..
o 3, RIrnoIndItWlm"'''_'''''"lI,IMlI
o 5, FednI E.... Till RoUIl RoquiIId
Jl 8, ToIIllUnbol "'_ DopooIIlauI
o II.EldJnlD......1lIc. 911:l(Al_1lO0I
-
Stephen L. Bloom, Esquire
~EARDORFF, WILLIJ\MS r. arm
m__
717 243-3341
MARTSON, DEARDORFF, WILLIJV>1.'3 r. C1l'ID
Ten East High street
Carlisle, PA 17013
(I) ..,,""-....'lPlil, '.. "...f"'fJ ';' ''":~ ..__....'.....of"<,'i:,J!,;'ilii:i.,-.., ...."
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(6) 'l~,i';~f.,.\!f/ 1ft'''''r...~-t.,-.f.i}.~n~" r.;i:,_..~~,! .:";".t~...c ,.', ; "'."" ti}
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(111 I . i 31 9;" 0 7 ~ 8:.\ 1 i 4 'l!
1. Roll EIilI (SdldlII AI
2, Sbilllld IIondI (SdIIIlMI B)
), CIoNIrHoll (;<lfporoIon,P-.Np 01 ~~""olh!p
4, "......, NaIll R-... (Sc:IlIdWI 0)
5, CollI, 8aNI1lopclIIII' MIIooIol_ PwoonoI ~
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8, JoInIr 0lInId """*' lsa.IoAI F)
7, InlIf.Yig T.....' MIIcIIiIIo_ NcIrH'wlIlIlo Plapor1r
ISdllcUl G OIL)
8, ToIIIO_Au*("lAIII1.7)'
11. ToIIIr~'''':lIrna(lDllllAlll9& 101
12. IlIIVIIoIol~(\i'e8ninu1llnlll)
13, ~ InlI (be"..~1lIl1lequll1llSoc ell3 Tn. lor whldllIllllc:llon lD... hit not bIIn
modI(SdlodtllIJ)
14, IlII VIIoI"'lD Ta (\i'e 12 nWluIlInIl3)
15.AnwntdIne1411ub11t:tr--' i -'--, , i" i~ or/, ",' ~ lr" I' \~ f'!f' y~
.............,. ~il.".,L^'"i"L"i ,.k,.,I,.,.,.!. to'", * ~ l~. 1;,'
lB,~~r=r~..~~~;I""''',. .'f"""(
118'4" t , i L, ijl . 3 3 t 1 i 7, l~ 0 , 9\;> ~ ,08
17. Amounta"ne 14li11l1tlfe t'-'''f~\~A<'~~j''' :~t)i''''1 ,",.l'~""~'!r;",...t\-:},>".~
1115"" ' . . ,~, n ~ ,15
(12) l' . 'ii ! i I I ~ '.
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(14' *' : ~' ~. ! 1": !.,; , I Q:
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~ . :-'. :rjt ~i",'-?~J ,":':;""'X*-'if'F,~- >" ;o."u.:-l-O~;..'
'"..., , ,.'__' _ 1<1'".,_, ','" ~" .,'_",'""....,"'/"~.- >::<;:"'fI:"~" '.'t
(181' ,< , 7 , 9, 9' 0" 2 7
u..; ,. ''('''-~.""r#.'I!(h~'Iv;:,\t~i\~I.',i ';',\\'<,\;-,'0:' J.!".lt'\)~,'--
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3~flm~' FCWlFLW<<lREMN
MONA I OF PREPAllER OTHER THAN REPRESCNTAnve
ADDRESS 500 East Elm Street
Palmyra, PA 17078
ADIlRESS 10 E. High Street
Carlisle, PA 17013
::YVrg-
Deced,nt', Com let, Add,...:
,--
8lm~ nut. Bottom Road
~ille
Tax Payments and Credits:
1. Till DuI(""'l LIne 1e)
2, ~1Yfl*llI
A. SjIoUNII'ovIrly CIIdIl
8,PltalPI,n.ilI bb~U.UU
C, 0II0alInl 350. 00
STAlE
PA
liP 17241
(1) _ 7990.27
Total CnIdtI (A + B + C) (2), 7000.00
3. InlnlWWltr w IppIiGIIlIe
0, InterIIt
E, PwIty
L
TotallnterelWenlllty ( 0 + E I (3)
4, f1lnl211",*1hIn hI + Ilnl3, enIIflhediflel1nce, ThilII theOVl!RPAYMENT.
CMcllIlox 011 PIgt 1 Unt 11. ...... MInd (4)
5, fllnal + line 3 1egraU' U\II1 Une 2, lllter!hedllleltllCl, nlil iI !he TAX DUE. (5)
A, Enlel!he InIerIIl on !he IaK clJa. (ilA)
8, EnIIr!helWlolUne5+ ilA, This II !he BALANCE DUE. (58) 990.27
Make Check Pst'.bIe to: REGISTER OF MUS, AGENT
ITIII ~ r . _ L ~
PLEAIl! ANSWER THE FOLLOWING QUEST10NI
BY PLACING AN .X. IN THE APPROPR....TE BLOCKS
1, OId~maIleatrlln.ferand: Yea No
., llIlaln IIw uae IX Income of the property lnIn.lemId; ,....,..........,........,........,..,......,..,........,.... 0 ILl
b, llIlllln the right 10 dnlgM1e wl10 ahell u.elhe propeIIy tran.fened pr II. Income; ............'..' 0 ILl
c. lellln e reveralontlry In'-'I; 01..,................,..,..,..,........................................,..,............,......, 0 ILl
d. receive the proml.. for life of atther payment., benellla 01 cere? .....................,....,....,..,..,.., 0 [)
2. If lIeell1 oa:urred on IX before December 12, 1982, did decedenl within \WO yealS
pIeCIdIng death tran.fer property w\lhoUl receiving adequate conlideratlon? If death oa:urred
.fter December 12, 1982, did decedenl tranlfer propeIIy wllhln one year of death w\lhoUl
IICIivIng adequate conalderellon? ....",....,..,....,....,....,..,..,....,.....".........."",......,',........,.. ,..",..,.. 0 6U
3, 0Id~ own en "in lNal for" or payeble upon death bank lICCOUllt or .ecurtly
.1 hll 01 her deell1? .."".."....",..,....,..,.."..,.....",.."....,....,....,......"....,........,...."..",........"",..,....,.. 0
4, Old decedent own an Individual llIllnlmenl account, annuity, or other non-probele property? ,.., 0
990.27
1m
~
IF THE ANSWI!R TO ANV OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART Of' THE RETURN
, -111 -n~- __ _ I I
72 P,8. 19118 (.) (1.1) (I) provldecl for tha reducllon of the lax ralelmpoaad on the nel value of tranlfarl to or for th. u.. of the
IUlVlvlng lPOU" from 8% to 3% for d.... of dealh on or .fter July 1, 1994 and beIora JanulllY 1, 1995,
72 P,8, 1111 18 (.) (1,1) (10 provided for the raduclJon of the rate lmpoaad on the net valu. of tran.lelS 10 or for Ihe u.. of the .urvlvlng
'POU" from 3% 10 0% for dele. of deell1 on or after January 1, 1llllll. The ...lute ~oe. not uamDla tranafer 10 alurvlYtng apou..
from laX, and the "atutory requllemenla for dlaclolure of ...... and ftllnga We llIlum ara IlIIleppllcablt even If the 1lIIVlYlng apou..
Ie the only benelIclaIy,
FOR DAreS OF DEATH ON OR AFTER JANUARV 1, 1885. Plea.. anawer the following qUllllon by pleclng an "X' In the
appltlpriale .~,
DId the .c.dant _a" a truat or ,'mlla, arrangemenl which Ie .olely for the aurvlvlngapollM'a beneflt for hla or her entire
lifetime? Yea 0 No 0
If you anawared yea 10 lhe above que.tlon, th.lIX on tha trull or .Imllar arrang.menll. poatponed until the de.th of the lecond
.pou.., a1 IYhld1l1me II will be fully laxable al the rele(l) applicable to the ""Mlndll beneflcllIY(In), Enter the value of the truat on
Sdledule J, PIIIt II, In order to remove II from the calculation of the tax due In thle .atale, You may wiall to ftle Schedule 0 In order 10
maketha "action avaMable under Section 91 13, If the election I. made, the INII or Ilmllar arrangement II taxed In the ....,. of lhe
ftrat decedent apou... th. portion of lhe tru.1 or Ilmllar arrangement IYhICh benetllllhe .urvlYlng apou.. I. laXed althe zero tax 181.,
and the remainder 1.laxed .llhe rala(.) applicable 10 lhe remainder beneftc:lIllY(IeI), If you cI1oo.. to make the eIec1Ion, you must
allactt $chlldule 0 10 a timely-ftled tax return, .Iong with Schedule(l) K and/or M In orllel to ahow the apportionment of tha tru.1 or
.Imllllarrangamenl betwaen Ihe surviving lpouae and the remainder beneftcllll'f('.I),
· I FU~~R~~~~~:N~IS, 1
COMMONWUUH m ',NNIYlV.NIA I ~~MINISTRATlVE COSTS AND
'H~I;:1f.~~ID~~M,~I:::'N ~ISCELLANEOUS EXPENSES Pl.... PrI"I .r Tvp.
ISTATI O. - -" JfltfRilMm
MILLER, JACQUELINE M. ~ 21-97-828
I
~Ivnn Ih I""
ITEM
NUMIER
DESCRIPTION
A. 'un.r.1 Exp,"""
1.
2.
3 .
4.
Ewing Brothers Funeral Home, Carlisle, PA
VFW, funeral reception
Georges' Flowers, Carlisle, PA
Engraving monument
I. Admlnl..rallv. Co.I..
2.
3.
4,
C.
1.
2,
3.
4,
5,
6,
7,
8,
1,
Porsonal Rop,."nlallv. Commillion.
Social S.curlty Number of P."onal R.p....ntatlve:
V."r Commission. pRld
Attorney F... MARTSON, DEARDORFF, WILLIAMS & OTTO
Family ex.mpllon
Claimant
Add.... of Cloimanl at d.c.dont'. doalh
51"., Add....
Rolalion.hlp
City
Stal.
Zip Cod.
Probato Fo..
MI...llo".ou. Exp,"""
Short certificates
Advertising Grant of Letters
Roy Gottshall, appraisal of personal property
Sprint, telephone service through anticipated
settlement of real estate
PP&L, electric service through anticipated settlemen~
of real estate
Ecowater, water filter service through anticipated
settlement of real estate
Register of Wills, filing fee
Reserved for miseellaneous expenses and fees, such
as maintenance services, settlement charges,
owner' R i nRur.a.nce+--Etc_
TOTAL (AI.o onlO, on lino 9. R.copilulotlonl I S
(If more .po.. i. "..d.d, I""" addltlo"al .h..ll of sam. sil..1
AMOUNT
6,684.00
477.95
265.00
200.00
none
8,000.00
none
264.00
6.00
130.86
45.00
225.0,0
630.00
180.00
15.00
1,000.00
18,122.81
~~/e~/\~~T \3142
Jrc:. GIIIJi'El'l Wt.~ \
T\7.'24~.e<a~~
. ,,... "", ..,.,,, .~.-...-....-... ,~'-"-"" "
l~hI~' r~~IY .oo~ 'o...~
...... "" ...'...." ".. ......, .",,, ," ,,,..
10\ CI,UI ,tll' wr' \. If'
....,....."",.........""...,',..".,""',..".,",..-,.,...-..
\ ... n" .. ... .... ,.. · ,..n'" \
.. - ..-.. ,.. ... . ..
'" - _..~"... .. " . " n'''''' · " - " ·
\ 110 .to~i'" 1.0 \
..... ..... ,.. ,...... ... . . .. ....",. ,..'
.."..- "...." ~.- ..""
I .... _...,..... ... ..... ........,_., .' ",..., .. I
."."..,..""".....".,",..".,"',..,",.,""'"."....,,',...
\'" ~,~::.: ~.' ~.'.... '\:~.. ,::::, '.', ::::..., .:~....' ..' \
,.. ...... w' ..... I.' _' _.- ",,, I
.. . ....." .... "..".. 1"- I
.. . ,,'." .... ,,'0" I.... .._,... ........, I
\ .. ... . ",.." ,.....- "',,'" ,.. . I
... ... ,.......... _"'_'" I
I'''' ...".', p' 1"_ _" -,- I
",...".""",."..",..,.,',.,.,.,.,",....,...,.,."..".,.."...
\ ..", _, _. ...__........-..-' I
_.'- ," - -.... - ~ .... ".. \
lQUIIJIII .1I'l' ~ .r.1C't p!lClI.CCII.L&'fl\ol U,'I\1~'rI1lI~ll
-" ," ..... .... - .... -' "" ,,,,.,, -. ,
, -' -'" - -' ,~... ..... ....' '
I I
.",.,...",.""..,.,."",..,.,.,"',.,.,""',.,',.""".".."..
\ ...,... ",,' ............. ..."" .. -" ..,."" \
1.A a\IJ1MAl1. 1U<LPlI '3~_UOI ,/110 a.s pC a,s LT 1\1II
\ \II> 0'11 JQ\loLL
...,.....,."""..."".",.....,..,...,...,...."...,..",.,.,......
5C~' A
it!
Decedent Confirmation
Name
Social Security No
Date of Death
- Jacqueline M. Miller
- 202-20-5336
- 10/05/97
Description Account Account Account
Acoount No. 60543213
Account Type Checking
Date Opened or Issued 02/11/74
Date Closed or Matured
Date of Death Balance $12,372.53
PLUS PLUS PLUS PLUS
Date of Death Accrued Int. $5,82
Joint Owners (if any) None
Date of Joint Ownership
Special Comments: N/A
Date Prepared: October 29, 1997
Prepared by: Amy L, Haivor
(a.. an6/")
Page: 2
Sc H, E I-k-t.-t
)
P.O, BOX 22077
TULSA,OK, 74121.2077
PNClBANJl\
Accounl Numbel'
N_ B.lance
P.ymenl Due 0.1.
Minimum Payment Du.
IAmounl EnclOleel
5447 0800 0470 0740
$1,335.34
lI/OM7
10"
_."".~....:
HAARV J MILLEA
11105 WAI.NUT BOTTOM AD
NEWVILLE PA 11241.9520
PNC BANK
P,O. BOX 15387
WILMINGTON DE 18888.5387
1".11I,1,,1,,1.1,,1,,1111I1.1.,,11.1.1,,111I1.1,,11
111.11I11I1"1,1.111111I11I,111.1.111I1.11I,,,,11.,,1,1,1,,1,1
Add,... Ch.., 0 Chick _. Pnnl MW add,... and 'I"phone "umbM' on blck of ItlWnMt.
5~~70~00047007~0
0000000
01033S3~
-I
IlIETU,.N U",.II POflTlON WItH I'...VMlfrfT tN ,"IIMClOUD IWlLON.
ACCOUNT ACTIVITV
10101/97
$1.614,28
$300.00
$0,00
$0,00
$0.00
$21,05
$1,335.34
Accounl Number
Tol.l Credit L1mll
Avall.bl. Cr.dlt Umlt
O.yl In BIlling Cycl.
BIlling Cyel. ctaalng 0.1.
Palt DIM! Amount
Minimum P.ymenl Due
Payment Ou. 0.1.
5447 oeoo 0470 0740
$&,200,00
$4,164.00
30
10/08197
$O.lllI
$0.00
11/02/97
NaM'NAL
ANNUAL
'UCENTAOE
RATI
PURCHASES $2000 OR LESS 17,89'1, 17,99'4 1.498'10
CASH ADVANCES 17,99'10 17,98'1, 1.489'1,
PURCHASES OVER $2000 15,24'10 15,24'4 1.270'10
I perla e ral. I.e o. on Ih. ac.o Ihl.. ....n may vary,
SOIl your leeoont agrllOrnenl lor more precl.. dol.II.,
Pl.... ... lur. 10 ...Ih. bllllng rlghl. .ummlry Ind Imparllnl dl.closur. Informltlon on lho ""..... .Id.,
S.nd Paymenl To:
P,O, BOX 15387
WILMINGTON DE 111I18-5387
i
i
I -'
I -'
I -
I -
--'
I
I
,
I
i
I
I
SI.I.m.nt Claalnll Oat.
Pr.vlau. Balanc.
P.yment.
Credit.
PUfch.... and Advancel
Other Charllel
"NANCE CHARGES
New Balanc.
for 24-hour cullom.r Mrvlca: 1.800.712.2273 I' card II kill or atolon c:aI1: 1.800,SSI.Sl7I
Or wrlla: CREDIT CARD DIVISION P,O, BOX 21660 TULSA. OK 7412..16&0
HAVE vou tIEARO?
THE PNC MILLIONAIRE SWEEPSTAKES
EACH TIME YOU MAKE A PURCHASE WITH YOUR PNC CREDIT CARD FROM
NOVEMBER 1,J117 THROUGH FEBRUARY 28.1. 1998 YOU WILL BE ENTERED
INTO A SwEEPSTAKES FOR A GRAND Pt1IZE OF 81,900,000 CASH,
SEE ENCLOSED BROCHURE FOR DEtAILS,
lRANSACTIOtiS~
DDlCflpllon
D~I. a' Olt. o' Reler.nc.
Tranllcllon POlling Number
08118
10108
09/18
10/08
'AYMENT . THANK YOU
'URCHAIE. IIMI CASH AOYAHCI ..."
11441011111'"'1'
tIoF1MANCI CHARGI'
An amount prtCIdld by . mlnu. Iltl'l I-) II . crllllt Of . crtldlt blllnC8,
FINANCE CHARGE
ANNUAL
PlRCENTAGE
RATE
Monthly
Periodic
RI"
Blllfa
S'b1tc:1
To Finance
Ch'''''
1 ,404,28
0,00
0,00
$U-I,:L
I :r ~'yY) 3
,....Ief'
...
AWO ,
,
.
.... ... .... -
$
,...
Amounl
. 300,00
21.05
,INANCl
CHARGE
21.05
0,00
0,00
."...
,lito
I
I
I
I
I
I
i
I
j
1
j
1
j
I
I
1
I
"
Incomo artsloa therefrom, and after paying all oxpel1lellncldcnt to tho lIIIlIlJomeRt of the tna6t,
to UIe and apply .s much of the Incomo and principal u may be nccCSIUY In the solo discretioa
of my Tm., In equal shares, for tho support, weD-beln, and education of tho I.suo of my
decealled son.
(b) I direct that the ISlUo of my deceased son shall have the right of withdrawal of
bis or her equallhare (If the principal and accumulated IlIOOmo of such trust u he or she attains
the i&e of twenty-one (21) yoan.
(c) Prior to the distribution of the principal of any share, my said Tnastee shaD havo
the sole discretion to Invade the principal of said share for the support, maintenance and
education of the Issue of my decealled son, regardless of age,
(d) To the extent that the same is permitted by law, none of the beDeflclarlcs
hereunder shall have any power to dispose of or to charge by wI,y of anticipation any InteresJ
. given to such beneficiary; and all sums payable to such beneficiaries hereunder shall be free and
clear of the debts, contracts, alienations and anticipations of the beneficiaries, and allliabllities
for levies and attachments and proceedings of whatsoever kind, at law or In equity.
(e) I aominate, constitute and appoint the natural mother of the issue of any of my
deceased sons as TlUstce of her chUd's tnast under the terms of this paragraph of my Last Win
and Testamont.
(I) In tho ovent any of my said son.. shall predecease or fail to survive me and shall
,not leave issue survivln" then his share sbaD be added to the shares of my other sons u if
.,t
"un rn
I.M.M,
Pag02 ofS PageS
(t-)J,w ? - ?
IU~!AU OF INDIVIDUAL TAMES
INHERITAHCE 'A)! DIVISION
DEPT. lB0601
ItARRUIURG, PA l7\2e-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
L
NOTICE OF INHERITANCE TAM
APP~AISENENT, ALLOWANCE DR DISALLOWANCE
OF DEDUCTIONS AND ASSESSNENT OF TAM
DAT!
UTAT! OF
DATI OF DEATH
FILE NUMIER
COUNTY
ACN
04-Z7-98
MILLER
10-05-97
ZI 97-08Z8
CUMBERLAND
101
STEPHEN L BLOOM ESQ
HARTSON DEARDORFF WILLI
TEN E HIGH ST
CARLISLE PA 17013
.
UW.lhl U '" H..tlt
JACQUEL I N M
[__AMOU~~~~ltted J
MAKE CHECK PAYABLE AND REMIT PAYMENT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
RiV: is;; i' iie' AF ii" i 09'- 9'fi "Niifi c r '(iF" i"NHiiiii' AN"ci" 'fAx" jipjiilA"i iii-rENT"; " Ai.i"owAN"CE "oli"" -"."".. - -.""...
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ISTATE OF MilLER JACQUELIN M FILE NO. ZI 97-08Z8 ACN 101 DATI 04-Z7-98
TAM RETURN WAS, I X) ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN
1. R..l f.,t.t. (Schedule A)
2. Stocks and londl (Schedule 8)
3. Clo..ly Held stock/Partnership Int.r.lt (Schedul. C)
4. "ort.al../Not.. Receivable (Schedule 0)
S. C..h/lank Depolita/Hilc, Parlonal Property (Schedule E)
6, Jointly Owned Property ISohedule F)
1. Transfers (Schedule G)
I, Totel A..ete
) CHANGED
(I)
(2)
(3)
14)_
15)
Ib)
171
108.300,00
,OQ
,00
.00
63.949,Z3
,00
,00
II)
APPROVED DEDUCTIONS AND EXEMPTIONS I
9. Funeral Exp.n.../Ad~, COlt./Hilc. Expen... (Schldul. H)
10, Debt./Nortgege Llebllltle./Llen. ISohedule I)
11. Tot.1 Deduction.
12. Net Value of Ta)( Raturn
15. Charitable/Govern.ental Bequa.ts) Non-elact.d 9113 Trust. (Schedul. J)
14, Net Velue of E.tete Subjeot to re.
18.12Z,81
20.955.33
01 )
021
(15)
(4)
II)
(10)
NOTE I To in.ure prop.r
credit to your account,
'UbMit the uppar portion
of this for. with your
tall! pey..nt,
172.Z49,Q
39,078....L&..
133.171.09
,00
133,171 ,09
If .n ......m.nt w.. i..uld pr.viDu.ly. lin.. 14. 15 .nd/Dr 16. 17 .nd 18 will
r.fl.ct figur.. th.t includ. the tDt.l of ~ r.turn. .......d tD d.t..
ASSESSMENT OF TAXI
IS. AMount of Line 14 .t Spou..l rate (IS)
16. AMount of line 14 t.xabla at Lineal/CI..I A rat. C1'}
17. AMount of Line 14 te.eble et Colleterel/Cle.. I rete (17)
II. Principal Ta)( Due
NOTE I
TAX CREDnSI
PAYNENTI RECEIPT
DATE NUNIER
''''H'l . "''''''
PAVMENT MUST BE MADE BY 07-06-98*,
DISCOUNT I')
INTE~EST/PEN PAID 1-)
350,00
,00 M ' 0 o.
133.17T.'"09 M .06.
,OOM,15.
UI)
ANOUNT PAID
6.650,00
TOTAL TAX CREDn
BALANCE OF TAX DUE
INTEREST AND PEN.
l TOTAL DUE
,00
7,990.Z7
,00
7.990.Z7
7.000.00
990.Z7
,00
990.27
. IF PAID AFTE~ DATE INDICATED. SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST,
IF TOTAL DUE IS LESS THAN fl, NO PAYNE NT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" IC~). YOU NAY IE DUE
A ~F.FUND, SEE REVERSE SIDE OF THIS FO~N FOR INSTRUCTIONS,)
i~ ~ (w~
o-~
(1\ ,;g .. -,
Lf} 0
H <."
f',
( ~
(
C. :9 " ~ v
ji!i hJ (h-
e 0
;:\ -,
W
RtSERVAT10Ht E.,.tlla' d,Gtd,nt, d~Jn. on or before DtCIlQlr 12, l"~ .~ If any future lnt.r..' 'n thl ..ta'. J, tr~.f.rr.d
In pOI.'I,ton or enjoYMent to CIQ" I (0011_t,rl.) beneflet,rle. 0' tht dlcld.nt .ft.r tht IMPlretlon Qf 'RY ..'ete for
llf. or 'or y.tr., tht Couo"",..Uh h.r.lJy Ixpr...h rutr".. the rJtht to apprtl.. end ...... trln,'_r Inherlt.na. TllC..
at the llwful Ch.. ft (ooU,t.r.lI r.tI Qn tny luoh f~tur. lnter..t.
'PURPOSE rw
NOTICE I
PAIy'HEHT I
REFUHO (CR)l
To fulfill tht r.qulrl..nt. of Slotlon 2140 of the Inherltancl end Estate Tax Aat, Aot 21 of 1995. (72 P.S.
Station 9UOl.
OttKh thl top portion of ttlll Notlcl ~d ,ub_it with your pIY.lnt to 'i:ho R.ght,r of Wllh printed on tht rl"lr" .'d..
~~H.h check ar 1Il0n.y order payable tal REGISTER OF MILLS, AGENT
A rlfund af a teM or.dlt, which Will not reque.ted on the TeM R.turn, lIlay be requut.d by cOIIPl.tlng an "Application
for Refund of Penntylijanll Inh.rlt.ne. ftnd E.tat, TaM" (REV~I]l]). Appllcatlont ftr. .ij.ll.b'. .t the Office
of the Regl.ttr of Will., any of tht 23 Rev.nue Ol.trlct Offlc... or by o.lllng the .p.el.1 Z4-hour
an..trlng s.rvlc. nulb.rt for for.. orderlngl In Ptnn.vlvlnla 1'800~16l.10S0, outsldt PtnnsYlyanl, and
within 10cIl Hlrrllburg .r'l (111) 187~'094, TOOl 0111 111'Z2SZ (HI.ring IIIP,lred Onh),
(IIJECT10HS, AIW p.rty In Interut not 'l:Itl.fltd with tht IPpr.llIllItnt, allowanc. or dhlllllowenct of d.ducUon.. or a.......nt
of hI( Oncludlng discount or Inter..tJ ". thown on this Notice lIlu.t Obj.ct within .j)cty (60) day. of rec.lpt of
thts NoUu bYl
ADMIN
ISlRAlIVE
CORRECTIONS I
DJICOUMT,
PENAL TVI
INlERlIT,
--wrltttn protut to th", PA n.part,.nt of Rlv.nuo, 80tlrd of Appeals, Oept. 281021, '.Irrhburg, PA l11ZI~IOU, OR
--lllcUon to hav. the ..ttar dater.lnld It audit 1)# the ICCO~lnt of the perlona' rtpr..entatlve. OR
~-IPP..l to tht Orphan.' Court.
Faotual Irror. dl.cov.r.d on thJ. ........nt .hould b. Iddr..i.d In writing tOI PA n.p.rt..nt of RtylnU..
lurllu of Individual TeIC", AnN, Post Auus..nt R.vlew Uni't. D.pt. ze0601, H.rrlsburg, PA 17128-0601
Phon. (717) 717-650S, S.. plge S of the bookl.t "In.truct!"ns for lnherltllnc. Tax Return for a Ruldtnt
Dtc.dlnt" (REY-ISOlJ for IIn .xphnltloFl of ad.inhtratlvely correctlbl. .rrors.
If IInY tex due II paid within thrll. (]) ell.ndar lIonth. Ift.r the deced.nt'. dlllth, I fJy. p.rcant (S:O discount of
the tlIC paid It aUowed.
Th. I'X taM .."a.ty non-p.rtJclpltlon p.nllty I. oOlput.d on the total of the tax Ind int.r.st ......ed. ~ not
pll41 baforl J."uary 18, 1996. thl flrlt dlY lifter tha .nd of the tllC ft.n..ty p.rlod. Thil non-plIrtlclp.Uon
panl1tv It app..I.bl. In the .... IlMIr and in the the .... tI"e per1nd M~ YOU would epp..' the taM and Intar..t
thlt "I' been .......d a. IndJclIted on thl. notlo..
Int.rllt It ch.rgllCt b.glnnlng ~Jth flr.t dlY of d.Unqu.ncv, or ninl (9) IIOMth. and Orl. (1) dlY fro. the date of
delth. to thl d.te of pIY".nt. TaXI. which b.c... delinquent b.for. Januarv I, UIZ bur lnterut at the rete of
.1M (6U p.roent par annUlI c.lculetld .t . dftlly rat. of .000IM. All tllClI which bee... dlUnquttnt on and Ift.r
Janulry 1. 1912 will be.r Int.r..t at I rat. which will vary frol ell.ndar y.ftr to clltnd.r y..r wIth th't r.te
announced bv the PA D.pert..nt of RI."."...e, Th. Ippllclbl. Jnt.rut rllt.. for 1912 through 1"1 ar.,
'!!!r Inttrllt Rat. O.lly Interl.t Fletor ~ !!U!t.!.tL!.!.!! DIll.., Int.r..t Flctor
1912 toX ,000!i4' 1917 9X .000247
1985 16X .0004" 198.'.1991 11% .000501
1914 llX .000101 1992 9% .000247
1m 13% .0005S6 1995-1994 7% .0001U
1916 lOX .000274 1995-1991 9% .000247
--Interllt it c,lcul.t.d .. followlI
INTEREST' SALANCE OF TAX UNPAID X NUNSER OF DAYS DELINqUENT X DAILY INTEREST FACTOR
~-Any Hotlca I..u.d Ifter the t.IC becoel. d.llnquent will r.fl.ct en lntlr..t calcul.tlon to flft..n (IS) dlVI
beyond th. det. of th, .......ent, If p'Y.tnt II aade aft.r the Intlr..t co.putltlon d.t. Ihown on the
Irtotlci, additional Int.r.U IlUlt b. c.lol.lluted,
~WIt.llti\I)^'I'MII,I\\ll!ll^lIl!l\n"~ Itlll,
ESTATE OF JACQUELINE M. MILLER
CUMBERLAND COUNTY FILE NO. 21-97-828
Iill1"EASll
KNOW ALL MEN BY THESE PRESENTS thutl, KEITH .I. MILLER, one of the residuury
legutecs under the Lllst Will and Testament of JACQUELINE M. MILLER, lute of Penn Township,
Cumberlund County, Pennsylvuniu, deceused, do hereby ucknowledge receipt 1'1'0111 KEITH .I.
MILLER, ROBf(RT D. MILLER und GREG R, MILLER, Executors under the Last Willullll
Testal11ent of the said JACQUELINE M. MILLER, 01' my one-third (1/3) shure of estute residue, in
full sutisfaetion and (luymenl of my rc,siduary leguey under the terms 01' said Lust Willund
Testament.
AND, THEREFORE, I, the said KEITH .I. MILLER, do by these presents rcmlsc, releasc,
quit-claim, und forevcr disehurge thc suid Exccutors, their heirs, executors and udministrators, 01' and
frol11 the uforesaid leguey,und of und fromullaetions, suits, payments, accounts, reckonings, c1uims
und demunds whutever, from the beginning of the world to the day of the dute of these presents.
AND, THEREFORE, I, the said KEITH .I. MILLER, ugl'ee to refund to the Executors
uforesuid any portion of the distribution to which I U1nnot properly entitled,und to the extent of said
distribution, to indel11nify said Executors for clulms n~ade against them as Executors, and to
reimburse to suid Executors all cxpenses and r,osts incurred in connection with any sllch claims,
AND I hereby consent and agree thut thc Orphans' Court of Cumberlund County muy
discharge the suid Executors upon upplieation, without further notice to me.
IN WITNESS WHEREOF, I have hereunto set my hund and seul this II '141 day of
AlAif:s.T ,199~
Witness:
_& Ii / /)(J('C.:CL._~_~"':"'-
KeithJ~ '
/"
/. ,- I ,--~'')
/~(:. ~:__...
_ __~_ ~ 'c_.___ "__________--~
COMMONWEALTH OF PENNSYLVANIA )
: SS.
COUNTY OF CUMBERLAND )
On this, the I \ ~ day of AL4f1A;:;t , 199K before me, u Notary Public, personally
appeared Keith J. Miller, known to me fo be the person whose name is subscribed to the within
instrument und acknowledged that he executed same for the purposes therein contained,
IN WITNESS WHEREOF, I have hereunto set my hand und official seal.
fl. ~ -::r~
_._U::l..-~ _ .nua,)
Notary Public
NOlo,ial Seal
Carrino L. Mye,s, Notary Publlo
Cmllsle Bo,,). Cumberland Count
...~~~ommlsslon P'n1res M~y 27. 1~99
VWII,II!I\I,^TAVILlI\IISr^rll!l\11(j~ Rill,
ESTATE Of/JACQUELINE M, MILLER
CUMBERLAND COUNTY FILE NO. 21-97.828
RELBASli
KNOW ALL MEN BY THESE PRESENTS that I, ROBERT D. MILLER, one of the
residuary legutees under the Last Will and Testument of JACQUELINE M. MILLER, lute of Penn
Township, Cumberlund County, Pennsylvunia, deceased, do hereby ucknowlcdge receipt from
KEITH J. MILLER, ROBERT D. MILLER and GREG R. MILLER, Executors under the Last Will
and Testument of the said JACQUELINE M. MILLER, of my one-third (1/3) share of estate rcsidue,
in full sutisfuetlon and payment of my residuary legucy undcr tho temlS of said Last Will and
Testament.
AND, THEREFORE, I, the said ROBERT D. MILLER, do by these presents remise, release,
quit-claim, und forever discharge the said Executors, their heirs, cxec.utors and administrators, of and
from the uforesaid legacy, and of and from all actions, suits, puyments, accounts, reckonings, claims
and demands whatever, from the beginning of the world to the day of the date of these prescnts,
AND, THEREFORE, I, the suid ROBERT D. MILLER, agree to refund to the Executors
aforesaid any portion of the distribution to which I am not properly entitled, and to the extent of suid
distribution, to indemni fy suid Executors for claims made against them as Executors, and to
reimburse to suid Executors all expenses und costs incurred in connection with any such claims.
AND I hereby consent and agree that the Orphans' Court of Cumberland County may
discharge the said Executors upon application, without further notice to me.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this II ~ day of
A~.l)$j ,199g,
Witness:
I c: &vf-j)
Robert D. Miller
eLL(
~-." / -...---,.
_-<~~. 7::S~'
COMMONWEALTH OF PENNSYLVANIA )
: SS.
COUNTY OF CUMBERLAND )
On this, the I \ *' day of 6=-.) ~ i ,19M: before me, a Notary Public, personally
appeared Robert D. Miller, known to me to be the pcrson whosc name is subscribed to the within
instrument and acknowledged that he executed same for the purposes therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal.
~~~I (2t~o.uJ
Notary Public
l N(),.rI~1 Seal
Corrina L. My~,s. Notary Publlo
Carlisle Boro, Cumberland Count
.MY Commission E'plres May 27. 1 ~99 .
P-:\JIILIlS\DA T AP-ILn\BST ^ rBS\78Cil RilL-
ESTATE OF JACQUELINE M, MILLER
CUMBERLAND COUNTY FILE NO. 21-97.828
RELEAsg
KNOW ALL MEN BY THESE PRESENTS thut I, GREG R. MILLER, olle oflhe reslthuu'y
legatees under the Last Will and Testament of JACQUELINE M. MILLER, lute of' I'enn 'Iownshll"
Cumberland County, Pennsylvania, deceased, do hcreby ncknowledgc receilll fhun KnITl1 .I,
MILLER, ROBERT D. MILLER and GREG R. MILLER, Executors under the I.ust Will and
Testament of the said JACQUELINE M. MILLER, of my one-third (1/3) shure of estate l'Csldue, in
full satisfaction and payment of my residuary legucy under the terms 01' said I.usl Will and
Testament.
AND, THEREFORE, I, the said GREG R. MILLER, do hy thesll prcscllts remisc, Ideusl',
quit-claim, lII1d forcver discharge the said Executors, their heirs, executors ulld udmilllstl'llhll's, oful1ll
from the aforesaid legacy, and of and from all actions, suits, p!\yments, IWCtlUnts, I'l'l\~olllngs, l'Iultns
and demands whatever, from the beginning of the world to the duy of the dute of Iltl'Sl' presenls,
AND, THEREFORE, I, the said GREG R. MILLER, ugrCll to ref\ulIllo the Execulurs
aforesaid any portion of the distribution to which I am not properly entitled, uud to tho cxtl\1l1 oflUlld
distribution, to indemnify suid Executors for claims made ugulnsl them lIS EXl!\\utors, ul1ll 10
reimburse to said Executors all expenses and costs incurred In COlllll'l!tloll with uny sudl dulms,
AND I hereby consent and agree that the Orphnns' Court of ('umhcrlullll ('ounty l11uy
discharge the said Executors upon application, without further notice to mc,
IN WITNESS WHEREOF, I have hereunto set my hund and Heal this
A Ufr6t ,199'6-
Witness: ~/ Ih~,(%:
A b" / ~'-:2-<... Greg Ri. MiIler-~--~~'~"-~-'-'-"--
_______-~~-L.5 -.-'.
II~dllY of
COMMONWEALTH OF PENNSYLVANIA )
: SS.
COUNTY OF CUMBERLAND )
On this, the / I ~ day of f)lA.ftlt~t ,1998, before 1l10, a Notury l'uhll".I,ersonlllly
appeared Greg R. Miller, known to me tlibe the person whose name is suhserlhed 10 the within
instrument and acknowledged that he executed same for the pUrpOSl!H therein contullled,
IN WITNESS WHEREOF, I have hereunto sol my hUl1llund offklal Hl!UI.
..l1",ldL:.c.J.","( . ))1 w....1..4.,) ,.
Nolury I'uhllc (!
--.,.---- J
m_<_____ Nolmlill H(UlI
()<l"I"~ \ My""', N"I~IY f'!lbllo
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