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I)ETlTION n)l{ ItlmnA'I'E lInd GI{ANT 0'" LETTEItS
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inlh,'lasl \\'ill 01 till' aIH"" drwd.'III, dilled 't'i;:\3RYARl \',3
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IlCL'L'lllklll at death o\\I\l'd properlY wilh l"..tln\aled \'alllL'~ it~ fullowl.,:
(If dOll1iciled ill l'a,1 1\11 p""olla) pll1PI'ny
(If not domidkd III Pa,) I'Cl'~ontll properly in Pl'lll\syh';;\l\ia
(II Iwl dOIllk'lkd in 1'01.) l'L'r~ollal propl.'rty III County
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\\'1IL1HJ'UIU'.. pl'liliollCrls) respectfully. tl'lli!CSI(S) Ihe pinball' 01 the lasl will and codlcil(s)
pICSellll'd hel"lI'lIh alld th.' ~ralll or Ielte'ls 1:ESTlL"'tflYT!/lICf ..-_.......__.~_.__...-
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OATH (W J>EI{SONAL ItEl)ItESENTATlVE
COMMONWEAI,TII OJ' I'Jo:NNS\'I.\' ANIA
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--m OCT~W.uur:~ ~~J':YY1rd'-t1J ,0..
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WAHNING: It Is 1110(10110 dupllcnto this copy by photo,!nl or phologl'opl1,
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u 0 1997
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CERTIFICATE OF DEATH
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:' ': :'p 1:1':'\ I' : [\1, ii'
'II "1,,'1 "111'" l'i1"
, d. I' III '11\ 1
11'1 II; III :,\11 \11,i::II'\:\1
" ," 1 \t! ,1\111 1\,' "
I' I ' , 1 ! I "
I:' Ii "::III'I!III!II"','
: tllll i 1'111::1111"\\::1::: 1 [I'
II" '... ' "....'..'.1. ,1:.".<1.1' 1\ I.. ::
I,l,'.. ',.,'1,\1\11, \;..\:1\1\\. !..rl"1 Ii: I' ,',
II I' ':. II. :1' "
': I,"!:'\ 1'\ ,.'111,. ,
'i" i:II[:'1 I: '[1111
Ir 'I'" j ',I
I"" "
i:i,
11:'11<
ll, 'i:ll! "
Ii I
power to use principal as well as income from time to time for the
minor's support and education (including college education, both
graduate and undergraduate) without regard to his or her.parent's
ability to provide for. such support and education, or to make payment
for these purposes, without further responsibility, to the minor or to
the minor's parent or to any person taking care of the minor.
ITEM I I I: I appoint my brother, N. BERNARD L,ORD, Executor of this
my last will. Should my brother, N. BERNARD LORD, fail to qualify or
cease to act as Executor, I appoint my nephew, NELVILLE JEFFREY LORD,
Executor of this my last will.
ITEM .IV: No fiduciary acting hereunder shall be required to post
bond or enter security for the faithful performance of his duties in
any, jurisdiction.
IN WITNESS WHEREOF, Ii KATHARINE L. SCHOLTZ, have hereunto set my
hand and seal this I ~ 'f::k.day of _'f'c. k \I'.l..(. 0.''''';1 , 1996.
, i) 1!1 ()
~~:tl~- .E ~c-Vt~~+~
KATHARINE L. SCHOLTZ
SIGNED, SEALED, PUBLISHED and DECLARED by KATHARINE L. SCHOLTZ,
the Testatrix above named, as and for her Last Will and Testament, and
in the presence of us, who at her request, in her presence and in the
presence of each other, have
~//42~
Witne8~ C
~~:\hVl-~ .~~
Witness .
subscribed our names as witnesses.
d7"J ' ):-0
Tet-v a-.-frf 6.~1 "e:L
Address ~
"r-0 e. c.. \" l)... 'Y'I \ ~ I~ DIN\--'~. \ ~
Address ~-;-
Page 2 of 4
COMMONWEALTH OF PENNSYLVANIA:
:88:
COUNTY OF CUMBERLAND
I, KATHARINE L, 8CHOL'I'Z, the Testatrix whose name is signed to
the attached or foregoing instrument, having been duly qualified
according to law do hereby acknowl,edge that I signed and executed this
instrument as my last will; that I signed it willingly and that I
signed it as my free and voluntary act for the purposes therein con-
tained.
lj~ ~. Let
), _ "1 . )
., ~,(a.nJ-v>-"~ ,So -' 1-
KATHARINE L. SCHOLTZ
Sworn to or affirmed to and
acknowledged before me by KATHARINE
15!/.. day of /.,), ,., , 1996.
'j
L. SCHOLTZ, the Testatrix, this
Nrj\al\d ~nal
KAV('I n, Lu:;\lf'::, Not':\fV Pllbl\o
No''! CUll\tI'>(1Jnd [1010, Ctlllili0f~;;i\rJ COUtmJ
t;\l (\)\l".fI\i':i,:\lon E\TJ\(O~' Miuc\127, 100
omGiiT.TJnMy~iiirk,";;"oaoiiOniii No\.",lla.
,;)
1;,:(
-}.i ~/.. Ii
. NOha~~'^ ~+iiC
COMMONWEALTH OF PENNSYLVANIA
:88:
COUNTY OF CUMBERLAND
.4 ~ iJ /).17' /d-H
w,/~J!,;1I. ,nd .k&~ ~ Ynb<M-
the witnesses wnose names are signed to the attached or foregoing
instrument, being duly qualified according to law, depose and say that
we were present. and saw Test.at.rix sign and execute t.he instrument. as
Page 3 of 4
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R'('Dt{'rij, 1,,\li'AV1'ilt ll.: HTPNF:
An:qHNb'Sf''',r,l LAW
11 \ t1 BRlrj(;~ alRrn:T
rHiW (!IIMIII,:H1,ANI1, \1.\ nlll0
'/')11(/ /
l )<,\1/~ '
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
IUREAU OF INDIVIDUAL TAMES
INHERITANCE fAX OlVt,tOM
DEPT. 260&01
HARRtS'UROI PA IlIZI-O'Ol
NOTICE OF INHERITANCE TAM
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAM
DAT!
!STAT! OF
DAT! OF DEATH
FILE NUMIIR
COUNTY
ACN
E---'.'-~"A;ounf'R."'ltt.d' :3
-==,=:=:._.-=O;=='"-:=...------~.---.--...
....-.~..~.~----".-.._----- .
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 ~
iiilj: iS4i_iX-AFP-niiF97Y"iiOYiCi--OP-YtiHiiiifANCi-YAX-WPRAiiEHEiir;'-AltowANci-oli-------------- - --
DISALLOWANCI OF DEDUCTIONS AND ASSESSMENT OF TAX
KATHARINE L FILE NO. 21 97-0835 ACN 101
CHARLE'il F SULLIVAN
1513 CEDAR CLIFf DR
CAMP HILL PA 11D11
ESTATE OF
SCHOLTZ
TAM RnURN WAS I (X) ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTER~ST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..l E.t.t. (Sch.dul. A)
2. Stock. end lond' (Sch.dul. 81
3. Clo..l~ Held stock/partnership tnt.r..t (Schedule C)
4. Hort,ag../Not.. Receivable (Schedule 0)
6. Calh/Bank Oapolltl/"lIC. Parlon,l Prop.rt~ (Sohedule ~)
6. JointlY Own.d Prop.rty (Sch.dul. F)
7. Transfars (Schedule 0)
eo Tot.l A...t,
(1)_
(2)
(3)
(4)
IS)
(6)
17l
03-23-98
SCHOLTZ
10-07-97
21 97-0835
CUMBERLAND
101
I CHANGf.D
.00
482,814,78
-~
.09-
16."/19.10
.00
.00
(8)
22,165.02
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expans.s/AdM. Costs/HiIC, E~p.n..s (Soh.dul. Hl
10. D.bl./Hortl.l. Li.blliti../Li.nl ISch.dul. 1)
11. 'fatal D.dl.IOUOna
12. N.t Value of T.~ Return
15. Ch.rlhbl./Gov.rnM.nhl 8..untol Non-.l.chd n15 TI'u,to (Sch.dul. J)
14. N.t V.lu. oi E.t.t. Subj.ct to T..
If .n ......m.nt wa. i..u.d pr.viou.ly, lin.. 14, 15 .nd/or 1&, 17 .nd 18 will
r.fl.ct figur.. th.t includ. the tot.l of ~ r.turn. .......d to d.t..
ASSESSMENT OF TAX:
15. AMount oi Lin. 14 .t Spou..l r.t. US)
16. AMOunt oi Lin. 14 t...bl. .t Lin..l/Cl..' A r.t. (1&)
17. AMount oi Lin. 14 t...bl. .1 Coll.t.r.l/Cl... 8 r.t. (171
18. Principal Tax Du.
TAX CREDITS I
PAYMENT
DATE
12-24-97
NOTl:
RECEIPT
NUMIER
---;\A24259!i
DISCOUNT 1+)
INTEREST/PEN PAID (-)
3,580.27
I')
(10)
.00
.00
477.368.86
"-----_-------..--.~-~
AMOUNT PAID
68,025.06
,*
IlHhlll."UHII
KATHARINE L
DAT!
03-23-98
TOTAL TAX CREDIT
-----~~~._~--
BALANCE OF TAX DUE
INTEREST AND PEN,
TOTAL DUE
HOTEl To inlur. prop.r
credit to ~our .coount~
SUbMU the upp.r pOI.tion
of tn11 forn w1th ~our
talC. p.~...nt.
499.533.88
.00
Ill)
(12)
lIS)
(14)
"."" 02
477,368,86
.00
471 ,368.86
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN 01. NO PAVHENT IS REQUIRED.
IF TOTAl. DUE IS REFLECTED AS A "CREDIT" ICRI. YOU MAV BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.l
M .00,
M .06,
M .15,
Ill)
.00
.00
71,605.33
n.605.33
-------.----_.,---~- ---
---
71,605.33
._....-----.-~----
.00
.00
.00
, ;"'1
'.10
RESERVATION I E.tat.. of dacadantl dYln!;l on or bafor. Oac..bar 12, 1'12 -- If any futura int.ra.t In the ..tata' is tranif.rred
In po.....lon or .njov..nt to Class. (col1ataral) b.n_flcl.rla. of the deced.nt .ftar tha _xplr.tlon of anv a.tata for
life or for ye.r., the CO.Monw..lth h.r.bv expr.s.ly r...rv.. the right to apprel.e aMd a..Qs. trenlfer Inh.ritonoe TaKQ.
at the lawful Cia.. 1 (oollateraU rats on any .uch future Inter..t.
PURPOSE OF
NOTICE I
To fulfUI the r.qulre..ntl of S.ction 2140 of the InherlhnCle and Eltat. Tax AClt, Act 21 of 1995. (71. P,S,
S.ctlon'140),
PAYMENT I
Detach the top portion of this NoUn and .ub.dt with vour pav..nt to the Reght.r (:If WUIs prlnt.d on the ravar.e "Ide.
.-Hake check or .on.y order payable tOI REGISTER OF MILLS, ADENT
REf'UMO (CR) I
A r.fund of a taK or.dlt, which wa. not requ..t.d on the Tax R.turn. .ay b. r.quested by co.pl.tlng an ftAppllcatlon
for R.fund of p.nnlvlvanla Inh.rlhnu and Esht. Taleft (Rf.Y'.1313J. Appllc.tions ara II/allabl. at the Offlol
of thl Ragl.ter of Willi, any of the 23 Ravanu, DI.trlct Offlc.., or by calling tha splolal 24~hour
an.warlng s.rvlc. nu.bar. for for8' ordlrlngl 1n Pannlylvanla 1-100-562-2050, outllde Pennsy)yanla and
within 10c..1 tlarrlsburg ar.a (711) 1I!I7-1094, lDOII (111) n2K22!i2 (Haarlng I.palrad OnllO.
OIJECTIONS; Any party In Inter..t not .atl.fl.d with the .ppral....nt. allnwancl or di.allowanct of dtduCltlon., or a"G..Mant
of t.Y. (Including dhcount or intar..U lit Ihown on thlt NoUoe ault obj.ot within .Ixty (60) day. of rectlpt of
this Notlea bYI
--writt.n prot..t to the PA n.part..nt of R.Ytnu., Board of App.als, D.pt. 2al021, Harrisburg, PA 11128~1021! OR
--.I.oUon to hillY' the tatter d.tar.ined at audit of the account of the parsonal r.pr....ntatIY., OR
~~epp..1 to the Orph.n.' Court.
ADltIN
JSTRATIYE
CORRECTIONS I
FaCltu.l arroft dhcoy.r.d on trd. illI5I.....ot should be .ddr....d In writing tOI PA O.pnrtll.nt (:If R.v.nu.,
lure.u of Individual Tax'" ATTNI Po.t A.......nt Rtyla~ Unit, n.p\. za0601, tlarrhburo, PA 11121-0601
Phonft (111) 781-~505. S.. page 5 of the bookl.t "In.tructlonl for Inh.rltance l~x R~turn for. R..ldent
n.c.d.nt" (REYKI50l) for an 'MPlanatlon of ad.inhtratlv.h corractable errors.
DJSCOUNT 1
Jf any tex dUe I. p.id within thr.. (3) cal.nd~r .onth. aft.r the dac.d.nt'. d.ath, a flv. parctnt (5;:) dl.count of
the tax paid II allow.d.
PENAl-TY,
Tha I$~ tlX illIan..ty non-partIClip.tlon penalty I. co.puted on the total of the tax and Inter..t .I..~..d, and not
paid b.fore January 11, 1996, the flr.t day .fta,' the .nd of the taM a"".~ty par lod. Thl. non.parUclp.tlon
panaltY It app.elabl. In the .... ..nnar and In the the .... tI.. parlod lit 'IOU would app.al the tax .nd Int.r..t
th.t ha. b.an ..I....d .. Indlc.t.d on this notlo.,
INTEREST'
Intar..t I. ch.rg.d b..innino "Ith flr.t day of d.llnqu.ncy, or nlna (9) tonths and ona (1) day fro. the d.ta of
death, to the date of pail..nt. Tax.. which b.c..a dallnqu.nt befClr. January 1, 1912 bur Int.,...t .t ttl. rat. of
.iM (6X) p.rc.nt ptr annUM calc~lat.d at . dailY r.t. of .000164. All tax.. whlClh beca.. d.llnqu.nt on nnd aftar
Janutry I, 19.2 will ht.r Int.r..t .t . r.ta which will vary fro. cal.nd.r v..r to Claltnd.r y..r Nlth that rat.
8Mouncad by the PA Dtpart..nt (If R.y.nu.. Th. applloabl. Intar..t rat.. for l~a2 through 1998 ar.:
~ Int.r..t Rat, Dallv Inter..t fnctor ~ lnt.r..t R.t. Onily Int.re.t faotor
1912 20;: .000541 "al 'X .000247
1913 16% .000418 19"~1991 11~ ,000501
1914 11;: .0OnOl llil9l 9% .01JOZ47
1'IS m .000356 1991-1994 n ,OOO19l
1986 lOi( ,000274 199!i-1998 'IX .000241
--lntar..t I. caloulat.d a. folloN"
INTEREST . BALANCE or TAX UNPAID X NUNBER or DAYS DELINQUENT X DAILY INTEREST rACTOR
~~Any NoUoe I..u.d -aft.r the taM b.eot.. dellnqu.nt will r.nect an Intl"..t calculation to f1ft".n US) day.
b'~ond the data of the ........nt, If pay..nt Is ."d.. attar the Int.r..t oo.putntlon data .hONt! on th~
Notle., eddltlon"l Inter.st au,t b" ulculated.
CERTIFICATION OF NOTICE UNDER RULE 5 . 6 ( a)
Name of Deced~ntl
KaLtlarJno IJord Scholtz
Date of Deathl 10/7/97
Will No,
Admin. No, 21-97-08~5
To the Registerl
I certify that notice of beneficial interest required by
Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to
the following beneficiaries of the above-captioned estate on
Octllber 21, 1997
~ Address
Melville 8. I.ord 57 ClI'C I,' Urlve. , Camp lilli, I'll 17011
Kathleen J . J.ord 57 Clrcle Urlve. , Camp lillI, I'll 17011
Melville Jeffrey I,ord 57 Circle Urlve. , Camp lillI, I'll 17011
Notice has now been given to all persons entitled thereto under
Rule 5.6(a) except
Date: October 21, 1997
T /)/"( (l [ / '( I.' //), /(,,/./ "1~
Signature
Name Melville 8. I,ord
Address 57 Clrcl" Urlve
Camp lilli, I'll 17011
Telephone1?.!.2.l761-1827
Capacity: x
Personal Representative
!(-,
Counsel for personal
representative
/5u :)(1\1'
A:f'<l!o:l)O'lltl\ ~~~
COMM()N~5;lVANIA
DEPARTMENT OF REVENUE
IlEPT2_1
HAlIRI RG
OfGEOENrSNAAlli (lAST.FIRST,ANOMIODlF INITIAL)liM.r.lriblot.llIrlMP..fII'JI'OlI
-
"Ig
~ it
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
.
FLF NUMBER
2 I 9 7
083 5
ffi
o
w
(,)
w
o
SCHOLTZ
KATHARINE
LOR ,)
SOCIAL Sr:CUfm'f ~W8ER
OME Of OEA Hi
DATE Of 81Rlti
1 0 8.3 2.9 5 I 0/0 7/l 9 9
(IF APPLICA8L~) SURVlVl~O SPOUSfS NN,U, (LAST, FIRST, .v401.4100lf INIllALf SOCIAL SECUnll'1 Nl.Nfll:R
7 0/ts/1907
THIS RETURN MUST BE fILED IN DUPLICATE WITH THE
REGISTER OF WILLS
!it
I
~
u
[!] 1 Original Relum 0 2 Supplemenlal Relum 0 3. Remalndar Ralum I..... ,,'" """. \1. "'"
o 411milad Estale 0 4a. Fulure Inla'esl Compromi.. ""01""'''' I/.IWI 0 5. Fadarsl Estale Tax Ral"m Raquh~d
(!I 6, Decedent Died Testale (AltlcIlCl)Jl~oIWtll) 0 7, Decedent Maintained a living Trust (Ma:hCOP1ofTr~,l) _ 8 Total Number 01 Sale Deoos!t BaKes
o 9 1Iligallon Proceeds Race"ed 0 10. Spousal Po,erty C,ooitl'''.'''''''_' 'nl.9\ '" '.1."1 011. Election to taxundo' Sac. 9113(AiI""" 50;'01
THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
NMiE COMPlE1E l,wUNG ADDRESS ~
CHARLES F SULLIVAN CPA
FIAI.INAME III AllllllCatli6)
SAME
TElEPHONE NuMBER
717 737-5466
1513 Cedar Cliff Drive
Camp Kill PA 170lt
1. Real EsIB" (Schedule AI
2 Slocks and Bonds (Schedule B)
(I)
12)
,482,81478
3. Closely Hald CO'J!OrsUon,Partnarshlp or Sole.Proprietorship (3)
z
o
3
~
!::
!:c
(,)
w
a:
4 Mortgages & Notes Racel'abla(Schadule D)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6 Joinlly Ownad Property ISchadule F)
7. Inler.Vi,os Transfers & Miscellanoous Non.Probale Property
(Schadul. G or LI
8 Total Grall """lllotal Lines 1.7)
141
(5)
16)
(7)
1671910
9. Funeral Expenses & AdminlstraUve Costs (ScI1edule H)
(9)
(8) ,4 .9 9, 5 3 3. 8 8
2216502
10. Debts of Dacedant, Mortgage Liabilities, & Lions ISchedukl I) 110)
11. Total D.ductlonl (total Lines 9 & 10)
(11)
-
112)
("13)
(141
(IS)
(16)
117)
(18)
2 2 1 6 5.0 2
,477368.86
12 N.t V.lue 01 Eltat. (Line 8 minus Line 11)
13 Chantable and Govemmental BequeslSlSec 9113 Trusts 10' whiCh an election 10 lax has IIOt been
made (Schedukl J)
14 Nit V.lu. Subjectto Tn (Linal2 minus Line 131
~
~g
I-'ll.
:I
o
o
15 Amount 0111.. .14taxeble
at the spousal tax rate I I
Sse Instructions on 'eva.... side 10' .pplk:abkl percentage
16 Amount 01 line 14 taxable
at 6% rale
17. Amount of line 14 taxable
at 15% rate
x .15
7
7
, 6
o
x .0
x 06
6
8. 8
7
7, 3
6
5 . 3
5, 3
3
3
4
, 6
o
18 Tax Due
19
om J'l.-/rr/f7
17011
Or,. Camp Hi~ I, PA l7011
DATE t .L
/4l"7f97
D.c.d.nt'. Complet~.~_d~re_~~L__
STREEUUORt~ .
57 CIRCLE IlIU VI,.
CITY CAMP 1111.1.
_.~TepA
] liP 17011
Tu Payment. and Credlta:
1. Tax Due (Page I Llno 18)
2. CredllslPaymenl.
A. Spousal Poveny Credit
B. Prior Payments
C. Discount ----:r,SHD. 2 I
(11
71,605,33
3. InteresVPenally if applicable
D Interest
E. Penally
Total CrodllSI A + B + C I (2)
3,580.27
TotallnleresVPonally (D + E I (3)
4. If line 2 is greater Ihan line I + line 3. enler the difference This Is the OVERPAYMENT.
Check box on P.g.l Lln.le to requllt. r.fund (41
5. If line 1 + line 31s greoterlhan 1i.1e 2. entetlhe difference This Is the TAX DUE, (5) 68,025.06
A. Enter the Interest on the tax due. (5AI
B. Enter the lotal of Llne5 + 5A. This Is the BALANCE DUE. (5BI 68,025.06
Make Check Payeble to: REGISTER OF WILLS, AGENT
. T
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent meke a transfer and: Yes No
e. ret~in the use or Income of the property transferred; . .............. ................ ...................0 [!]
b. retain the right to designate who shall use the property transferred pr its Income; ................ 0 I!J
c. retain a reversionary interest; or................... .................................................................... 0 [XJ
d. receive the promise for life of either payments, benefits or care? .......................................0 [XJ
2. If death occurred on or before December 12, 1982. did decedent wllhln two years
preceding death transfer property without receiving adequate consideration? If death occurr~d
efter December 12, 1982, did decedent transfer property within one year of death wllhout
receiving adequate consldoratlon?.. ............ ................... ............. ......... 0 0
3. Old decedent own an "In trust for" or payable upon death bank account or security
at his or her death?..................... .............. ..................... 0 [XJ
4. Old decedent own an Individual relirement account, annuity, or othar non-probate property?.... 0 [XJ
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN
72 P.S. ~9116 (a) (1.1) (I) provided for the reduction of the ta~ rate imposed on the net value oltransfers to or for the use olthe
surviving spouse from 6% to 3% for dates of death on or after July 1, 1994 and before January 1, 1995.
72 P.S. ~9116 (a) (1.1) (II) provided for the reduction ofthe rate Imposed on the net value of transfers to or for Ihe use of the survlvln9
spouse from 3% to 0% for dates of death on or after January 1. 1995. The statute does nol e~ernpt a transfer to a surviving spouse
from ta~, anu the statutory requirements for disclosure of assets and filing a ta~ return are stili applicable even if the surviving spouse
is the only beneficiary.
FOR DATES OF DEATH ON OR AFTER JANUARY 1, 1995 - Please answer the following quesllol1 by placing an .~. In Ihe
appropriate space.
Old the decedent create a truet or .Imllar arrangement which la .olely for the .urvlvlng 'POUII" benent lor hla or her entlra
IIletlme? YII 0 No [R)
II you answered yes to the above question. the tax on the trust or similar arrangement is postponed until the death of the second
spouse, at which time II will be tully la~abte al the rate(s) appliceble to the remainder beneficiary(les). Enter the value of the trust on
Schedule J, Part II, In order to remove II from Ihe calculation of the ta~ due In this eslale. You may wish to file Schedule 0 In order to
make the election available under Section 9113. If the election Is made, the trust or similar arrangemenlla ta~ed In the estate of the
first decedent spouse, the portion of the trust or similar arrangement which benefits the surviving spouse Is la~ed at the zero tax rate,
and tha remainder is ta~ed at the rate(s) applicable 10 the remainder beneficlary(ies) If you choose to make the eleelion, you mu.t
at1ach Schedule 0 10 a timely-filed ta~ relurn, along with Schedule(s) K andlor M In order to show the apportlonmenl of the Irust or
similar arrangement between the surviVing spouse and the remainder beneficlary(les)
......1'." '*
~TltOl'I'IiHHmVAN.I
I_Ala TAX_
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
fILE NUIl8ER
21-97-0835
ESTATE Of
KATHARINE LORD SCHOLTZ
1ncUlt\l1l pnlCIIdI oIl11Q1t1011l1ld \111 cillo Iho pnlCIIdI_1tCINod by \111_. AI ,,",pollY jolIlll\ .....-t..1ho right of IUnMnlIlP IIlUIt bI dIIdHad...1cllIduIt F.
ITEM VALUE" T OA TE
NUMBER DESCRIPTION OF DEATH
1. The Suffolk County National Bank
NOW Account No. 110011343 $ 133.63
2.
Financial Trust
Checking Acct. No. 2677015485
13,781.96
3.
Country Meadows Refund
2,080,08
69.71
5,16
4.
Metra Health Refunds
5.
Philips Consumer Corom, Refund
439.20
24.70
1.84.66
6.
Suffolk Bancorp Comm. Stock Dividend
7.
NyneK Refund
8.
N.Y, State Teachers' Retirement System
TOTAL(AII<leotetonllne,,~l ,16,7t9,10
I" IllO!lI SI*8 is needed, Inset1 addl~a1 sheels oIlho same size)
'*
~1I4,*I'Il~V.INA
l!MIIITNa TAX -
SCHEDULE J
BENEFICIARIES
FII.E NUMBER
2l~97-0835
RElATIONSHIP TO OECEOENT
~ INl Ust TlUIlIt(ll
AMOUNT OR SHARE
OF ESTATE
KATIlARINE LORD SCHOLTZ
tl-'ME AND MlQRESS Of' PERSON(S) RECEIVING PflOPERTY
T mBLE DISTRIBUTIONS (Include outri9hl Ipc1U18I dls1rtbu1lcM)
1,
Nelville B. Lord
57 Circle Drive
Camp Hill. PA 17011
Brother
70%
2.
Kathleen J. Lord
57 Ci'rcle Drive
Camp Hill. PA 17011
Sister-In-Law
10%
,3.
Nelville Jeffrey Lord
57 Cir,cle Drive
Camp Hill, PA 17011
Nephsw
20%
ENTER OOUAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON UNES 15 THROUGH 17, AS APPROPR'" TE, ON REV 1500 COVER SHEET
II. NON- T A)(ABLE DISTRIBUTIONS:
Ai SPOUSAL DISTRIBUTIONS UNDER SeCTION 9113 FOR WHICH AN ELECTION TO TAXIS NOT BEING MADE
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOT~Of PART D. ENTER TOTAL NON-Tm8LE OISTRIBUTIONSON LINE 13 OF REV 1500 COVER SHEET ,
I" mote l!lIC8 " needed. inMflllldrtJOnal theell 011111 same !I%el
COMMONWIALTH Of 'INN SYLVANIA
COUNn O' CUMIIIlLAND
}
II:
Nclvlllc B. Lord
app"lnto,l ifJ Executor
b.ln\l duly _ ' .ccordlng to I.w, 01'1'0... .nd ..y. th.t h.
_.___ 01 tho Est... of Katharine Lord Scholtz
l.h 01 ~e T?~~~iJ'~~~mpdcn ___ , Cumb.rl.nd County, ,.., d.c....d .nd th.t tho
Ithl I I t d b Neville B, Lord th Id Executor
w n..n n..n ory mo. y , ...
01 tho onllr. ..tlt. 01 sold doced.nl, con.loIlng 01 .11 tho p...ono\ pro"orty .nd r..1 ost.t., ..c.pt ro.1 .st.t. outsld.
Ih. Commonw..lth 01 P.nn.ylv.nl., .nd th.1 th. IIgu,.. 01'1'0.11. ..ch It.m of tho Inv.ntory r.p....nt It'. f.ir v.tu.
.. 01 tho d.t. of d...donl'. d..th.
~^I,.j, )'--'~' 1
.nd sub.crib.d b.I... ITI.,
/71--vtv:.lt. 16 .;I,~.
NFA'ILLE B, LORD
h..",., . A.rmlnl.tr...,
-1\1:" ,?3'.L L." c~ \:')..'JH' '\i'1 19~_
.J
.'" \'C.
\~ '.,r
57 CIRCLE DRIVE
NOUlfl,,1 seal '
Dawn M. Boyer, NolaI)' Public
NeW Cl.Imbet1and Bora, cumbfJrland unly
Mycomml..lonExplrasOec, 10,2001 _
MIftIIlII, fltMlyt;tlrllO AM".'.""" 01 Nol.rl.'
CAMP HILL. PA 17011
Ad4....
D.I. 01 D..th ---
7
Coy
OCTOBER
Month
1997
v..,
INSTIIUCTIONS
I. An Inventory must b. fil.d within thr.. monlh. .fh, .ppolntment of p.non.' r.pr...nt.tlv.,
2, A .uppl.m.nt In..ntory must b. fil.d within Ihlrty d.y. 01 dl..overy of .ddltlon.t .".ts,
.), Addltlon.l .h..h m.y b. .tt.ck.d IS to p.,.on.lty or ,..Ity
4, S.. Artlcl. IV, Flducl..i.. Act 011949.
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