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HomeMy WebLinkAbout97-00846 i < I ~ ' ,I' \ . o Z " , ,P '0 .. 1ft LLI ~ ", I'ETITION II(lR I'R08ATE and (;RANT ()I<' LETTERS III I('({' No c?1..,q1-~l..\w 10: I:'S/I//I' (~I t<<,r,j,tly (/1.\(1 AIIIIII'II (/S SlIdal Sf'f'IUHy Nil, , I )('('('II\('fl. /5'/., ,u, ~3 7(.. i{I'ghtl'I 01 WilldoL llll' Cou\lly 01 CUMBI:Hl.AND in thc (' Oll1l11Ul1Wl'ull II or Pl'lInsylvaniu llll' Ill't111011 or till' Ulldl'L"'!Il1l\ll'l'spt,'L'lfull~! fCPI'l,'''l'llls Ihal: Your pl~liliol\l'r(...), who i"'''arc IX Vl'UI''. of agL' (II older 1I1llhl' t.'\l',:\l1 t" 1'(' inlhl' la, I will ollhl' \lhOI'" dl'l','dl'\lI', dall'd /..~' b /(j .",( It(.r :)., and wdkil(q dall'd ..._..nllll1ed ....., IfJ_~__... ..-~-~-~.. ,-------------< .. ._-_._-_.._~~-------------- htilll' Il'Il'\alll l'\lnllll'.lillll'l'1, l',I~. 1"Il\lIl~'\,lIlllll, IIl'itlll ot l'\l'l'ulIH, l'll',j Del'elldl'lIl w,,, domiciled HI de\llll i\lC~l n1,ir:/LlALid... .._..('OUllly, Pennsylvania, with .. h....._ 1:,1:>1 lamily 0' prilwlp\ll le,'d~lI"l' "I .;",(/IU;' 4,- ?~, Jd. . /illi.'.:t'----- ' .LC:'t.'(~ ~{"AJI. S'!.L,.IJ(1..{h'L<=:...; /-''-lli-'t/-'j ,_J 7.!2L3.~---- (11~1 11It'('[, 11l1I1l11l'l itlll! 1\llIll~'ip<llil ~') l)cl'~!dc1\1, Ihe1\; lj8'd ye\ly' o!"ge, dkd ()c'! 3 ... ...-" IfJ__CL'Z-..., UI ;.24il-'l;{ 7J:".. /1"/""", ....._.._-~._, EX!.'l'!,,1 (I" ro\l{l\\"" dl'l\'<.kllt did ll{)llllarr~', wal" nol divon:L'd Hlld did not have a L:hild born or adopted al'll'r l',,','ullo1\ ollhe 1)~I~.\llle'l'd I'm I'Iob<lle; wa' 11111 lite rklim of a killin~ ,."n.d 11'<1' never adjudicated 11\l'1111\11\'le1\l: It I/)' .-.. .... ....-_._~~ Dl'l'l.'IHknl al death ilWllt.'d property willll'stlmall'd "<lltlt.:'" a... follows: (If dOI1\Il'ill'd in 1'<1,) ^II per,"nal iHopl'rlY (I f nDI domkiled ill Pi!.) Pi.'r\ollal\wllperty in I'cllll'iylvaniu (II no! dOlllkikd III !la.,1 l'l'r\{\llal property III C'llllllly Vallll' \.)1' real \..'sl ill l' ill Pl'Il11\yh'i1nia \i!u:lll'd .1'> rollm\s: $ .-...._.._._-------~- $-~~... $....----- $ .........m_._._.___,_ ,... --~--~-_..--~.._.~- \\IILKI'.HlRL, Pl'lilll1l1l'rl" rl',pectl'ully requcst(,) thc pll1bate of Ihc last will and codidl(,) plc'cnll'd l\\'rl'\\111t <lnd I Ill' granl 01' Iellm .m TESTI\MINIABY .- ..-..----.-..--...---.-~......- (\,''itanwll1il1'V; adm!nhlralilll\ ....La.; IIdminlstrlltiOI\ d,h.I\.C.l.ll.) tIWI"<'lIl. , ., ~ ';' , ... :,... ~ ::! -<:I 5 c:::;;; 11,"_ 7~ ~1.~ / i) c}cI<l)t2CC(J .~cL,;"';:~. i/1(t!..e~;;..':la~i.'t"lll ;)/ /7),;)-f -.--------_._.._~~--_._~- ..._._~---+_._-_....,.....-_._~ ---~.__.._...._--~~_. .'... _._--~-~- .--~-_._----- _.-----_........_~-----' :J ;/, 7: .. ....--._----_.._----_._~~--- ----.--.,...-.------..---------------. OATH 01>' I'EI{SONAL REPRESENTATIVE COMMONWEAI.TII OF I'ENNS\'I.V ANIA COli NT\' OF CUMBERLAND I r ,,:-l Till' pl'liliol\l.:l'hl aIH\\'L'.naIlH'd ,Wl'ur(o.,) or affirm(',) that Ihc' ~Iall'll\cnh III the foregoing petition arc trUl' and i..'orrl'l'llnllll' tll';,,[ nr (Ill' ~I)(l\\kd!!l' dllll l'l'lid of 1K'lilinner(\) lIud that as pl'rsolll.ll rcprcscn. lath'l'('.) (II till' abil\l' del'l'lknl p\..'litlllIlCI'(o.,) will wdl and truly adminisll'l'. the cslall' HCl,:ording 10 lnw. J .... . ) -P ~~\~\,\,':, 1\~~~~E":\i\ll.~,(\Tf(II\(1 ('~I,?:V~.\~"': t.. V..'{..i!tUti"P f\-~-X''':<-/.-.'mm f fr;a-l(!.~"~U)((' ("'l,!\ In\-C-&ri\~,t(;/. .--....- ~ ~IJIARY C ulons 11.'eil"'" (/ ;;;- \ b~ i)O!<, _ \ ,y~ m...___m - This h In ceni!'" (,hdl d\l' 11I1;ll"llI,lIil)ll Ill'lI' !',i\Tll j', \0111'( th ,(lllivll 1IIIllI ,Ill iHq:\Iul (l'niliLlil iil ,dl',uh tlllh 1I1l'l1 willi Illl' ,h Ln(';\[ Hq',I\tl'iH.' l'lu' 111'igiu;d (nldi..,!!i.' will 1\(. li1l\\"lIdl'llll\ tIlt. '-JUt\' \'ILd Hl'~iq,l, t )lli'.I' 1(1111('11111111'1\1 Idill!'., WARNING: It Is Illegal to duplicate Ihls copy by photostat or photograph Nil, il""""'"'''''''' "i<~\1\llIf pij;'c. ,;,;'.\0\.\, '. itf-. ',.,:".,'40'/' ...'J)-\ it'~i .&.It. ...---.... I""".'''''''''''' "iii! . . 'Ii< \~ I .. '.,.., . B'. ,,' ,,,! \ t,..... 'II ,': {.; ". "', . 'c .,~ "a.. ''>,'f \\f~,_. ."y:,~/ '",,:?IMiNl ~\ ~w". "-~~[!,:~'f'!!1f~!I"'- ~ ~. ~'eu.-&-t"~~1 11 H,d I~ ('! ',l'i 1 1 ,II h:I.' lill thi\ I'l,ltilh ,It\'. ';~,I,I)O 4600709 iCl. 1m' '(I~" Illlti' "'I.Iun., ..'~, COMMONWEALTH OF PfNNSnVANIA, OEFlMTMENT Of! HEAL,TH ~ VITAL RlWOn05 CERTIFICA1'E OF DEATH '1'" '" " "~ll .,.1 ~li~U~ :;,I~3Gm~.K'e~O~"rt~'-E':> - L-;r.~ -~._~..*~*-~-- - - ~ __.~_.~~~.__~:t.~~~.__rL ~>~I n~'I~v~,' ~~; ;'JA1~ o~~~.~;~~ -_~~- ,oe",,,,.,,,,,, '",'""..., _'""':"~ "'''''''''':-1 """MH',,". 'I,,,,,,,,....,,,,...,,,,, -....",..'^...., 78 .,,, voot~11TDt1t-- .10<,11 1 y".... 2?2i?'{9~i'~_.J~~(ltH'i;'~;'F~.;~~t'c~,p1'~~~~~\- ~ ~:~:~=-~i------:~J~~ ~~oo A"...~rJ ~;:~'IO 00"""''''''''' ----.,---,- --,,1'''''''''''''0'''''- "";o~,,,..,,,,,,..;;;;;:;",,;;,,,,,,~";:;;;, --.----l:'T<iic'w""'''' .NlCOIiitiiN.' ... Cumb~.l(eatld C<1'tt,(1fe . JE~.St.cl?Il~,,'r"Ifyc..wn WII.(te ,._.J1E..9!!'!!!!."lJ~U.~OCC~!-"I'lO"-- .~INOc,,-f1lJ!IN('M~IOU!lIlV (}~CHlINT'i16ucifiOH--' "'....ll.~ll.IU~:=.d UAywlNQ,MUU 1'Jt"'~:'::':;~~';::';'::,':J.:'r , rJ ~ I""."'I....,~."I :~- N'~~.:"~M L~""I"........-_, II l.aoOH.!l r~{lc.e..fl~~.:..___ ' v:~_~~_ tL!. 10-1/1 1l~0I " II. widowed f1tCl!OfNl""'U.ItIQM)(lFl(!9ISJ'",.C~I'.,..., '\of" '",C"IO' ]r.IOfNH () 1000 Wl.'.,~t SoutH .st. ~~~;;:tl'ICt 'hs'....."P-Qmk\~.f.Vtl'I..la . ~_'" lk~ .....,;Jfo:""""'~1ft _.._____'~_.~.a~_____._._.._'"'" It. Call e(_,~~~.~~~_~~.~~___._._.___ ~~~::t~~~~ ___~~~"_~E~~~~ ~.~~~(L. .~.":;,,"_:.::~___.~C:1.;~:c~~~":..$~~t.! ~ e~_,;_.=.;"_~~';;~~-~==.==~:.~~ '.cftjlnS~A,"EI"" "'<l'~t L'., I,((j/If~~'~"tl,(~ ,r,., V'h~' ...."""<;."'...r~1 _Addi.~DJLL~~L__, ..---------.-,--,--. ... --- LL_,..Lc.ol1'LS.tauOaUQ/l_____..._...._._______.___.__.___ '''~OfIloIAlfI'' IlAloIf (l,:>'tIP,'r'l 1',.OO"Wl!"9 ....'lIWl AOClIl~SJ,SU'" 7...~. '\IiItt li>CccMl UMit\Llli'L_ .__ ___m_____ _[_'___._.' __ .c<U1LIL,;.IQ!l(i.Rd. Ga,dn,u. 17324 t,l(TI-1ClOO~ O'SKlSITION [)~H '" O'~Pl "lllm. rt.o.CE 0' OISI'O"I'tirm. ~.,..~, c.",.".... Co....."" lOCAT,O", c""n.....,. 5.". lll>C..1o r ft,,,,.l ~J CII""""" LJ r'.....".1 ',,,,,, S'.I, [ I r ".,,,,,,, 1\0, "..,,, 0' ~~., Pl,a , 1~llIlll ~"",[S~....L..___~_ ____._n_l) tl,,_!!.!6/ 19~_.______~ 1~ V.(C.to~IJ._ C{'ffl, lpa'td~le.~,~. Pa. 17324 !o(lHAI r:,,:U fRAl .flvlCtI'U"U!Ofl~!fl50NAC1'NQ*S5UCIl Jl~eUS(UUlW!fI I-{A"'!~ND~OMls.sOf""CI,lIT'l' . , u>"-.1llW'l.L..... ___.____ .!i~iliJ.Q! -1La11J.lIQc'L!LL,.Jlo Colt""I'h",.t:U-eoo",..""naMI' 'O;~.boo..~1",11"0..,."'lt,dt..~f)('U".,1.,l:" r' "..t"'I~""."lLt'l t'(;e"s["vl,(l!tii f71f t:7 ~,",,"""'''''''U.III,....M''''I~'~ ''l-q<\a.,':Xj'''' ~) ''''~.._'''$t,,~ _____It.L__~-d/~_~-_... '.__. _.':'r.\~-i"/~ .3i1I./YIJ,O- L __..__~__~.__ ~:~~;~';)=...___!L::'.~~~~;~~~~:~~l:'.=_':._~._._~_ __ _~___~~ ~ __.__ It 'l.llTI ~;:~~'"~~~~.~ :t~~~~ ~:o~'~'r'''I'''"I...'''~t.''1~11"''t.tI'. I'" ,~, 'olt' '" oi,,,,, "' """'1 I''''. to W;><le". '011""""'/ '''.11 I~>:'"' "fI" 1.,lurt \~~~";."::"~ '."11', ~':.:I:;:.":".. ~~~=~~ ':~~~ I"''''' 'Nl"".!~ - -i.~-~~J''-~ -.-~-I---~- : .,.I._.,_____m J T'hlf"I"lJUflY O<fll. 'If 0 ~.'.\It,...., l'lL~L1.Q}.5__ L AS\4 D i)l!f.j(J;~'~,,;.(i,;;;,if)i.Ji,''',e~',i, . ,e_~:_~_!:~,~~!::_ _ cl ~ ~~ (',I)'" I : -~-o:;;,:';; ,~;;;:~~~;;'_-:=~~___ Wl'" mro~!vF,ilo"ln~ I,lMltltflO'O(M" "------.--..----. ....,t...~f'''l()Ilm r";Qtol'l.l1lONOf C_UU Of Of,lTtjl ~"~'" l~j;!lJY L('M)fl;;-'[. fSClllaf >(OOI>ljup.YOl.:r.liAAi~----"-" ....ll 1100 Mt._..__ *--___.,._.___U_._h. llYATlONI'SIoHl f..ty"-' 1~'1 ~a n_ -[' ~~"~~~~~~J~~i - ~ !~"'<... ..J C.J ~,rwjl"OI""".I"l"<)<1 [') "" [] '",fa;( "" [J "" rJ !Io""idt n r.~,M"'loe~..t"",n'4 [1 ~Tciii'lIiJnY'I~",i~!~Il(~~~. loI bo......~ .1. ,'iIWJ,\ .... Itl It lOll 301 U""'IUlt(t",.""",;'", -.-.-.---.. -- ---.- - ---".~--- .--~~_. ~lm~.I\}I1[' T CEATI~'!A '~:~I~~~t:yy:~~.~:~~~;~';~'~~;;~'::I~ ;~~";~~;:;,r.:';;,:~~~;:,\ ;I~~~~ro'";f,' dO." '''''mr'....'''',~:" [OJ ~ \.......~ \'r... , ~~.d~lu~.~I,(O"-o' \~-~,-.-\..\.~--_...---...e,.~l S~~i~~." ',j~-;"I-;...--)..._..,.~.~. "IlOHOIlN(:IIlCl .'mC."'f"'IHII""'ICI.H,r', ,,, """I,,,. ,"'n~,co: "'I~""" "'"''''''''''1''' ,..".""",,,,"'.1 ii ' ' ' " . ~ -.. v"-, I l1...\J T"I'" 1Nt1~' "'ylrol.,l.d9t, ~Ul~ OQ<~"tol II tt., """, d'I'. ""~ pll". .~~ ~," In l~' ..ultl'I'"~ ",,""or ft ,<tt.,1 (l HA1'T 'NO 'o6iii"8ii:iiPin~ml WtlOr,6i;!P"l!HO c.us~fL -- Illlllf' 1'1 TI'P't",P"nl (.,.(..(J!Kj' p (~('t"""'':>C\_Jf'"'' ~ !J ..~~.'2<'__ V".'':c..C<'''''-_ /;):. 'l""-lI:l'l..D. 1::':\>". n, DIlE"L!O'V""'.(.h"'o, . __!j~~_~~~(...\(\~\1h"'_'_'_"'''. ",eoifnt 'ltlIDICAlUAl,4IH!A/COfllO"!f11 On ,,'. ~Ul, ~I H."'I~'IIOI, .n~}ef 1"."I;g.U<)~,'~ m, ~~'"'O". ~"Ih o<ou".~ Illh. I'm.. d~l', t~d pl.~" ,n'l d~. 10 Ih, OI~Um Ind m.M""tUl..... . . '" ~ellil,liWi'lSti)iiil\JflU;~t:- ll...._.___._.__ ~._.____~__ ,-' ~, \-h~t"\.(',\,~~,u :),..1.,;),,1,01 " " COMMONWn\I\W'H OF PI'lNNSYlNI\NIA S8. COUN'l'Y OF CUMI3ElU,AND I. Kenneth l\. l,eor, 'l'estator, whose name is signed to the attached or foregoing instrument. having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my IJast WUl i that I siqned it willinglYi and that I siqnod it as my free and voluntary act for tho purposes therein expressed. sworn or affirmed to E. Leor. Testator, this and.acknowledqod before me by 1'If! day of February, 1982. Kenneth ~_C:c-,L, 0 ~---------- 'I'estator c ,-'--?~ :) ) ,') ^ I. ~ ..c)-~._-~---:l.~<cJr'-~-- Ift!l(T F, I ifT'ln rl? , tlOllP.Y P\If1UC I" ,\ (1),,1 (' i'Tl\V C(lr\I~;\o, PA tv\v :';!rJIl Expire'; Jemuory 27, 1983 COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF CUMBERLAND We, Tom H. Bietsch and Roger M. Morgenthal, the witnesses whose names are signed to the attaehed or foregoinq instrument, being duly qualified according to law, do depose and say that we were present and saw 'I'estator, Kenneth J'" I,eer, sign and execute the instrument as his I,ast \'jill i that he signed willingly and that he executed it as his free and voluntary act for the purposes therein expressedi that both of us in the hearing and sight of the Testator signed the Will as witnessesi and that to the best of our knowledge the Testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn or affirmed to and subscribed to before me b~ Bietsch and Roger M. Morgenthal, witnesses, this 11! February, 1982. Tom H. day of ~Id~ -wIFnes.s-...--.----------- -- '_ ~)1.Jh~~_._._'- w-tti1 e s s (. ,---(>'-' ;-1 ,; ..t.() ~~~,_---_._.,.=i~~~- Ift.11/"! [' I ,f.-!") C':'I Fn. "-J("}"I"/- ,,',..-' [illl"t. Ir ;. ,', ,.,.... I I. j "". t.., .' I I (.'.1\Il\h! r!,' I, ., i . ,I ,1,\ My C"!1'!nIC,';lon Expire!; .Ionlllli'( :U, 1983 ~ 2 - RaYS " . /" REV-1600 EX. (1-97) C-.. COMMONWEALTH OF PEN~ISYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX RETURN DEPT 2UOUO I = HA~RIfi.!JUR(l, PA 17~o-ouol..__~=.._~~.SIDENT DECEDENT REV-1500 C'rI'IClflL U'it (INl.V /5-,:jOr:-I~ FilE NUMBER ;'.1 1<.J9'/ cnUNrYioul Y(AH ,,~I,\W/' DECEDENT DECEDENT'S NAME (LAST, FIHST, AND MIDDLE INITIAL) L!.0m<-.KI,Nti!:::.r'Ii....IO:""'_.._.. ....------- ------..- SOCIAL SECURITY NUMBEH ---TDATE OF DEATH DATE OF BIflTH I EH,- ,Ie, n JlI) __.-1 IDIO I/'JI OU2;~/1919 1':I~;;"~';H~li~f~lul"I~I~II~~',;I" ~l;Cr;-,"\MI ,,';;;irOCIAL SECURITY-NUMBER THIS RETURN MUST BE FilED IN DUPLICATE --.---.--- _,.____,___,__ ._WITHTHE REGISTER OF WILLS _ , 1 0' I I HI"", III I R I ~' r\"'!!I~lfl'IOllloll!r1l .~ . , , IKlno ullIll _ .:JUppOtllOr fl, own 'ldato()ld~a\hp(lI\llp 1;>'1:I--1~2) , 4tl. r 'dUff' Inlnr,jr.t (.Plllflf[IrHll;e 4. Lllllltud Enl!\lo (<I,1l0'oJ cll;Jlh 'lfl~r lH;!"JII 5, Foclmal E8ltllu Tax Rhn, Floqllltod '- o. [Jo["(l{!llnl UHlir TfJ~!."o 7 liliuHlunl M.llfl!,111100 ,1liv'''1l Inl51 (J . I' (I\!tilerl cUPi' rof Will) . (fltL\<:h Ulf''' (,1 Iruo;1) 0, Tota) No, 01 S~llo Dopo!Jil Boxo!l LII' I' P 1 R ' I 10, :JI'~OIIHI f"""l.ltty (:q'(hl I'Llln lIf <l1'"lh 1101""00" '-n 11. 1I(I(I'''rI. III I'\..,~ lllldul SOL. 9111(1\) 9. 1'101011 IOGOOe3 OCOIVlJe.. j2'JI'91,lrldj"1'~lc') ~ LL-:.1!lli:lclo~'rhfl) THIS SECTiON MUST BE COMPLETED, ALL CORRESPONDEIiCmO~NTIA'. TAX INFORMATION SHOULD BE DIRECTED TO: NAME COMPLETE MAILING ADDRESS HeX:m ~1. ~IOHC:EN'I'IIAr., E::QlIll'F: 11 F'lIST IIICII STEEI':T FIRMNAMEllfApplicablo) C'lIHLISL.E, PA 1701:J.:\016 FLf1WICIl , _tlQHGI'NI'iIAb_.!:.f.PWF:R ':. 1,INnSAY TELEPHONE NUMBER 11 ')- ;",13 - ')',[ 3 CHECK APPRO- PRIATE BLOCKS CORRES- PONDENT 1, Rool Estoto (SGllOcllllo A) (1) 2, Stocks and BOlld5 (S(:tlOdulo B) (2) 3, Closoly Holel CorpolOllol1, Pmtnorshlp Of Sol~-PlOprlotorBhip (3) 4, Mortgo~la9 & Notos Rocoivublo (Scl1Gdlllo 0) (4) 5. Cash, Bank Ooposils & MIscollaneous POfsonal Propmly ISeI1O(I\llo E) (5) U, Jolnlly Ownocl Propmty (SCllOclulo F) (6) /, Inter-Vivos TrflllSloru & Mlscellanuous ~ECAPIT - Non-Pmb~llo Proporty (SctlOcllllo G or L) (/) ULA TION 6, Total Gross Assets (lotal LilHm 1-7) 9, Funarol EXpollson & Aehnlnistrallvo C08tS (SClllHJulo ~q (9) 10, Debls 01 Docodwlt, Mofl9. Liabilities, & Lions {Sell. I) (10) 11, Tctal DeduoUons (lollll Lillos 9 & 10) 12, Net Value 0' Estate (Uno 0 minus Linn 11) 13, Charitablo nnel Govotll!11ontnlBoqllosls/Soc 9113 TruSIS lor wlllct1 an olocllon to tax has 110t boon muclo (ScllOclule J) None N~iZ i .., None None OFflCIAl.ust ONLY \"1 (':(J :1J :1:' ~, '1'1 2/091. 7'7 .'~) None , l NonE: l'111 (9) 6,187,35 93,6G3,4Il ;",091. Ti (11) (12) 99,850,75 (9'7,7,i8.9fJ) (13) None TAX COMPUTA- TION 14. Net Value Sub)eot to Tal( (Llno 12 minus LInD 13) 15. Amount of IIno 14 taxablA at Ilia fJpou~HlI lax mto Soo inslIucllorw all pa~Jo 2 lo! applicablo pOlconlC:lgo 10. Amount of Ii no 14 taxablo at 6'~;J IHto 17, Amoullt 01 II no '14 1141 (97, '75fJ, 98) x ,0 (15) o . 00 x ,06 (16) 0,00 laxable III 15% lalO 0,00 x ,15 (1/1_ 16. la, Due , (10) 19, ill CI1ECK HERE IF VOU ARE REQUESTING A REFUND OF AN OVERPAVME~ >> BE SURE TO ANSWER ALL QUESTIONS ON PAGE 2 AND RECHECK MATH << UndEll' ponaltios of porjwy, I eloclmo IhalI IHlvu o)(aminodlhis !olllln, Incluclincl flccomp!ll\ylll(j scl1oelulos and ~Ilat{-lmolltsi nllel to tho bo;t of illY klloWiOe~ and bollol, It Is InlO, COIlOat and complolo, Doclaratlol1 01 plOpmOl 011101 111011 f 10 pOlSonallOprosonlallvo Is ba~JOel on ,,1I111101l11alioll 01 whletl propalfH IlEfs any knowlodqo, 810~ Uf"OI"'""-rfl~"'~lIB "'I'OIl'"II1<1"f.IIIII" A(JIIII[SC'- --;;Il\~,/ ~ /o( - ,''((/(t (( c.': L. .'(' I . Soe Scl1eclule attachl'll ,S I(~_ SION (orr'll: 'AiIEflOfHHI rt-ll\Nn[pnE~;[:N1ATIvr. AGDIlE;,!', fll\lE I / le/\tl',.l'(-.Z 11 PAST HIGH STrmE'J' f /0, 1 SO IIn'IO.t, CAHLISLE, PArJ013-3016 0,00 0,00 Cupyrillhl Forms tiullwMlI Olrly, leN? Nulr;l), Int, P" REV-,500 EX (1-97) Decedent'. Complete Addre..: STREET ADDRESS lRQQ WEST SOlJI'H STREET Pago 2 CITY C.ARLISLE T.x Payments and Credit.: 1. Till( Duo (Page 1 line 10) 2, Credll./Paymenl. ", Spou.al Pove'ly C,edll _ 8, Prior Paymenl' C, DI,count STATE PA ZIP 17013 (1) 0.00 0,00 0,00 Tolel Crodll, (A + 8 + C) (2) 0.00 3, Inlere,I/Penally II epplloable 0, Intorest F., Penelly 0,00 0.00 Tolallnlore,I/Penally 10" E) 4, II line 2 " grealer than line 1 + IIno 3, enlar Iho dlflerence, Thl.,. tho OVERP"VMENT, Cheek box on Pago 1 Line 18 10 roquoet 0 rolund 5, IIlIno 1 + line 3 " grealer Ihan line 2, onle, Ihe dllleranco. Thl' " ,he TAX DUE, A, Enler tholntere,t on Ihe lax duo. e, Entor tho total o'lIno 5 + eA. Thl' " Iho BALANCE DUE, Meke Check Payable 10: REGISTER OF WillS, AGENT (3) 0.00 (4) (5) 0.00 (M) 0,00- (58) 0.00 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1, Old docodonl mako e Iran,ler and: a. relaln the u,e cr Income oflho propar1y IranslerrOd; . . . , . . . , . , . . . . . , , . . . . . . . , . , , b, ralaln the right to deslgnale who 'hali u,e the plOporty Iransferrod or lis Incomo;. . . . . . . . . . . . . . . . . , 0, re1aln a rev8rAlonary interosl; or, , , . , , . , , , , , , . . , . , , . , . . . . . . , . , . , , , . . . . d, reeelvo the proml,e for IlIe 0' ellher paVments, benellls or cero?, . . . , , , . , , . . . ., . . , , 2, If death oocurred 011 or belore Decembor 12, 1982. did deceC:onl wllhln two years preceding daalh Iran,'.r property wllhoul recolvlng adequate eon,'derallon?1I death occurrod after Deoomber 12, 1902, did decedant Iran,'.. prop.rly wllhln one voer 0' death wllhoUI rBOBlvlng adequato con"derellon? . , . .. .. , . . . , . . , .. . . . , , , , , , , , , , .. , . . . . . . . . . . . . . . . , . 3, Old docedent own an "In trust for" or payable upon death bank account or security at hi, or her death? . , , , , , . , , , . , , . , , .. . . . . . . , .. . . . . < . . , . . . . . . . . . . . .. .,..,.",..", 4. Old decedent own en Individual rallremenl ,ceoum, annully, or olher non-probale proper1y? . . < . . . . . . . . Ves Nc ~ I o Jef B ~ 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, 89116 (a) (1,1) (I) provided lor the reducllon ollhe lax rale Impo'ed on the nel value 01 tran,'e" to or lor Ihe u,e ollhe surviving 'pouse Irom 6% to 3% lor datos cl death on or alter July 1, 1994 anCl beloro January 1, 1995. 72 P.S, 88116 (a) (1,1) (II) provided for the roducllon ollhe role Imposad on Iho nel value of Iran,fors 10 or 'or tho uso ollhe surviving 'p~us.lrom 3% to 0% for dates of death on or aftor January 1, 1995. The statute does not o)(omol a transfer 10 a surviving spouse from tax, nnd the statutory roqulrements for disclosure at assets and filing 8 lax relllrn are oWl applicable even If the surviving spouse Is tho only benoflclary. FOR DATES OF DEATH ON OR AFTER JANUARV 1, 1$95 -- Plea,o an,wer the lollowlng qua,l/on by placing an "x"llllhe approprlato 'paco. Old tho docedent arolte I t'Ult a, Ilmllo, a""ngament which Is sololy lor Ihe eurvlvlag ,pcuso'e bon."t 10' hla c, her onll,o lllotlmo? vo.D NO@: If you answered yes to the above quostlon, the tal< on 1I161rusl or similar arrangoment is postponed untillho death ollho second spouse, al which lime II will be lullV taxable at Ihe rale(s) epplloablelo Iho remalndor beneflclary(le.). Ellter Ih. valua ollhe Iru'l on Schodulo J, ParI II, III order 10 remove II from Iho cdlculal!on ollhe lax duo m this eslala, You may wish to We Schedule 0 In order 10 make the olecllon available under Socllon 9113. lithe eloollonls made, lhe trusl or similar anangernan! Is taxed In the eslate of tho lirs! decodant spollsa, 1110 por1lon of tho trust or similar arrangemont which bonellts tho BUfvlvlng spouse Is taxed altho ZOrO tax rato, and 1I1e remainder Is to>lod at tho rate(s) applicable 10 the romalndor bonellclaly(jo9). 11 YOll choose 10 mako Ihe oloctlon, you mU9t nUach Sohedulo 0 10 a Ilmely~Wed I~)( rolurn, along wilh SCllOdlllo(s) K and/or M In ardor 10 Rhow 1110 apportionmenl ollila Inlsl or olmUar arrangement between the surviving SpOllSO und Illo remainder benollclary(los). 7 PA15002 NTF lOIJ10 COPYrlghl Form. SoHwGIQ Orlll', 19117 ""'Ico. IrlC, REV-1812 EX + (1-87) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT IlIlTATa Of' KFlJNETH E. LEER , InclUd. unrelmbllr..d medl.'!!!, .xp.".... ITEM NO, SCHEDULE I DEBTS OF DECEDENT, MORTG~GE LIABILITIES, ,. LIENS FILE NUMIIIR 2H997'08~. 1 P/11IJNSYLVANIA DEPAR'!MENr OF PlJ)3LIC WELFARE LIEN DESCRIPTION AMOUNT 93,663.40 "" 7 CPAU NTP f."" CoPvrlght Form. Software Only, 19111 Nile", Inc, TOTAL AI.o enler on line 10, Reo. IIl1lallon . (If more Spaoe I. needed, Insert addltlo"al .hlHlIS of the .ame Size) 93 663.40 6,)(J,\ '/{~ IU"EAU OF INDIVIDUAL TAMES IHHERIfAM<<;L: lAlC IIIV'SIOH DfJIJ. ~.0601 IlAMMISIUMG, flA 17llft.<OflOl COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NDTICE OF INHERITANCE TAM APPRAISEHENT. AL~OIlAHCE OR DISALLOWANCE DF D~DUCTIONS AND ASSESSHENT OF TAM c',...- '* tlHtHUm,...ttl 10-12-1998 LEER 10-03-1991 21 91-U846 CUMBERLAND 101 [_"~~_." A~~~~..ltt.~=---j MAKE CHECK PAYABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 11013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR VOUR RECORDS ~ iiiV': i5'47 - iiC- AFP -C o'Fnriififi cE-"oF" iiiiiiiiifANCi"'f"x-"A-pjiii"A-i siiiiiir;- AL.L-owANeiE -or------ ---- - - - -"" DISALLONANCE OF DEDUCTIONS AND ASSESSMENT OF TAX KENNETH E FILE NO. 21 91-0846 ACN 101 If .n ........nt w.. i..u.d pr.viou.ly, lin.. 14, 15 and/or 16, 17 .nd 18 reflect figuree th.t include the total of ~ return. a......d to dat.. ASSESSMENT OF TAXI 15. AlIIOunt of L1n. 14 .t Spoua.l r.t. (15) 16. AMount of Lina 14 taKable .t Lin..l/el... A rat. (16) 17. AlIIOunt of LIne 14 t...b).. .t Coll.t.r.l/Cl... B r.t. 1171 18. Princip.l T.. Du. TAX CREDITS I PAY"ENT DATE RODER M MORGENTHAL ESQ 11 E HIOH ST CARLISLE DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN PA 11013 ESTATE OF LEER TAM RETU"N liAS. (X I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN 1, R..l E.tat. (Schedul. A) 2. Stock a end Bonda (Sch.dule BI 3. Cloa.ly H.ld Stock/Portnerahip Int.r.at (Sch.dul. CI 4. Hortgogoa/Not.a R.c.iyobl. (Schedul. D) 5. C.'h/lank Oepo.lt.I"llo. Perlonal Property (Sch.dule E) 6. Jointly OWned Prop.rty (Sch.dul. Fl 7. lranafer. (Schedule Ql 8. Total Asset. ( I CNANGED III (ll (31 (41 (61 (6) (7) ,00 ,00 .00 ,00 2.091.11 .00 ,00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS I 9. Funeral EK~en.../A~. Coate/Hi,c. EKPln... (Schedule H) 10. D.bt./Hcrtg.go Llobilitl.a/LI.na (Sch.dul. II 11. Tot.l D.duction. 12. Hot Value of Tax Raturn 15. Charitable/Goy.rn.ent.l a.qu..tsJ NonMalact.d 9113 Trust. 14. Not V.luo of Eat.t. Subject to T.. 6.181.35 (91 (10) 9 3 . 6 u....iIl.. 1111 1121 1131 (14) (Schedule .J) NOTE I ,00 M .00. ,00 M .06. .00 M .15. 1181 RECEIPT NUHBER DISCOUNT (+) INTEREST/PEN PAID (-I AHOUNT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE . XF PAID AFTER DATE INDICATED. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. KENNETH DATE 10-12-1998 NOTE I To in.ure proper credit to your .ccount, .ub.\t the upper portion of thla for. wIth your t.)( pay...nt. 2.091.11 OQ.ASin 71; 91,158.98- .00 97.158.98- will .00 .00 .00 ...Jl.L .00 .00 ,00 ,00 E IF TDTAL DUE IS LESS THAN '1. NO PAY"ENT IS REQUIRED. It" TDTAL DUE IS REFLECTED AS A "CREDIT" (CR I. YOU HAY IE OUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTIUCTIONS.) I i ., , i '()~ ,r\,} Ilel 1 ~i :U6 GI:I ()(;Il' 1II!$1!R\/ATllllh htlt.. of dHtdtntl dYing on Or b.fon Olo...r 12, 1982 -. Jf ....Y future Interl.t In the ..t.t. h trlW1lflrrld in po.....,on tlr enjoy..nt to Cl,.. . (coll11tlrlU ban,Uolarl.. of the d.c.ctent .ft.r thl .lCplraUun of IlW ..hlb for Uflor for n,,., , the Co..onw..Uh hereby l)Cpr...ly r...fIJI. the right to IIPprall. Ind ....... tra""f.r loherlh,ncl TIIC.. at the llwful Clu. I (00I18tl,.811 rat. on any luoh future Inter..t. PtJIlPQSf Of HOUCf.' 10 fulfUl the rlqulrll..nh of Slotion Z140 of the Inherltanol and Estate lelC Aot, Aot 21 of 1995, (n P.S, s.ot1oo 91MB. PA_Hrl DtltMlh the top $Iortlon of thh NoticI and lubldt wUIl your pay.."t to thl Reghtlr of NUll printed on that rlv.r.. .ide. ~-_. check or IIOney order pIYlbl. tOI REOISTER OF MILLS, AGENT RfFIJrID (CA)I A r.fLWld of . tlli credit, which "a. not requ..t.d on the Till< Return, .ay be rlllqUII.t.d t\y cotlllhtlnll WI "AppUcaUon for R.fund of Penn.ylvania InherUllllclIl and Er.tate Tal<" (REY~BUl, ApplicIUon. ar. avaUabl1 It thlOfficI of th. RlIlgbt.r of Willa, MY of thl Z~ Revenu. Dhtrlct OUloo, or by oalling the .p.ol.l 24-hour .......rlug ..rvlo. nueber. for forll. ordering I In P.nn.ylvania l~ftOO~J6Z-Z050, oohlch Plnn.ylvlrlia IW1d wlthln 100.. Hlrrl.burg ar.a 1117) 737~8094, TOD. (717) 71Z~ZZ52 IHe.ring I.patrllld Only), OBJECTIONS I Any Pllrb in Int.rut not .atltfied with the apprals...nt, allowanol or dhlllowanc. of duducUon.. or ......Mnt of tll< OnolucUng dhcount or Int.rllll&1) a. .hown on this NoUa. .u.t objeot within Ill<h (6'''' dey. 0" r.celpt of thh NotloA bYI O,,"IN JSTRATlYE CORRECTIONS I --wr-Itt.., prot..t to the PA bepl'lrt.ent of Rev.nuer Board of ApPIlllh. Oept. Z81021, Hlllrrltburg, PA 17128-1021, OR --.lICltlon to hav. the .aUlr det.l'.ln.d at audit of thlll ItOc(lunt of the "Ir.onal r.ptuentatlv., OR --epp..l to the Orph.".' Court, FlMltual ....ror. dhcove...ed on thlt ........nt .hould b. .ddres..d In wrlUng tal PA Dep.rt..ent of RIV.nue, lur.au of Indlyidull h.l(I', AnNI po.t A......."t Rlvllw Unit, Dlpt, 280601, Ilerrhburll, PA 17128-0601 Phone (117) 137-6505, SI. pa(tl 5 of thtl bookl.t "In.tructJOflI for Inherltlnoe hI< R.turn for e A..ldent Decldent" (REV-ISOlJ for WI Il<plenlUon of adllJnlttraUv.h correet.b1. .rror.. DISCOLtfTz If MY tel( due Is paid wlthln thr.. U) callndar .onth. flUer th". decudent'. d..th, . fly. plre.nt (5:0 dheount :lit the t.1< paid h .llowed. PENAL TV I Thill IS); tal( ......ty oon-partlcip.tlon p.nalty Is e~uted on the total of the ",I( .nd int.ro.t ....n.d, end not p.ld before JInU.r~ 18, 1996, the flr.t day eft.r the end of the tal< llfOellty p.rlOd, Thit non~partlclp.tlon pene' b 11 ."p..labl. in the ..... ..r'lO.r and in the the ne. ti.. por lod a. YOU Nould IIlfIp.al the tal< IIlf1d Inhr..t th.t he. been ....III.d .. indlClat8d on thl. notiCle. INTERESTz Int.ra.t Is charged beginning with flr.t day of dOllnquency, or nino (9) eonth. 'nd on. Cl) dey frOll the date of dIIlath_ to the det. of pIy..nt, 'al<u. which bee... dalinqulllnt b.for. JIIrlUIrY I, 1982 b.ar inter..t at thl rat. of .iN (6);) p.roent p.r an!'lUll calculatod at ft dally rat. of ,000164, All tal<.. whlClh beca.. dlUnquent on and aft.r January I, 1982 wUl b..r inter..t at a rate Nhieh will vary fro. oellndar Ylllr to c.l.ndar y.er with that rat. announcld by thl PA Depart.lnt of Revenue. The appllcabll intere.t tetlS for 1982 through 1993 .r81 ~ Intor..t R.tl DaUy lnt.r..t Flctor :!!!r lnt.r..t Ratlll Daily Inter..t Factor 1982 20:( ,000548 1987 9% ,000247 1913 16X .000438 1988..1991 11% ,000101 1984 11% ,OOOlDl 199Z 9% ,000241 I"" 15% .000356 199~r 1994 n ,000192 1906 ..X ,000274 1995~1998 9% .000241 ~-I"tlr..t Is cIloul,tllld .. follow'l INTEREST a BALANCE OF TAX UNPAID X NUNIER OF DAYS DELINQUENT X DAILY INTEREST FACTOR ."Any Hotlo. l..u.d Ifter tt,e t.1< bloOll.. delinquent will raU.ot an Inter..t oaloulation to flft..n OS) day. beyond the date of the ........nt. If pay..nt it .adlll aft.r th.. Intorllt COltflutaUon deta .flown on the Hotio., ~JtlDn81 Jnt.r..t .u.t be caloulated.