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HomeMy WebLinkAbout97-00901 AlNllLP, 'tiKI! AI IlAVI.RV "11~1"N1Ss /IT I..",\\' II" ",A...n m.ltT ;-t:Atit "It....' "lIHH.V\.YMfl~.1 Jal t ;1 " , ;; r,1\S'1' WH,L l\ND 'l'!:1S'rAHEN'l' OF M'iR'l'I,111 l~. CUSTER J., M'iP.TLIJl ~'. CtJSTI11R of tho norough of Camp 1Iill, C\lmberlarv.'l CO\,\nty, l?ennsy1vanJ.a, deolare thJ.a\ to be nlY r"ast WJ.l1 Elnd Testa- ment,hereby revolting any wJ.11 prev~,ouAly made by me. I . I dir,ct the payment of all my JURt debts and fun- eral expenFh F out: of my OU,tatc as soon afl mllY bo. prilctioC\b1e lifter my death. II - I dovise and beqtleath Ell1 the rest, ,residue and remainder of my estate of whatever nature and wheresoever situate as followfll !I. l\ one~ha1f share unto'my Bon, Robert F. HysBong and should he predoocaEla me then I dcviElCl and bequeath BaJ.d one~ half share to hJ.s J.ssue per stJ.rpos. a. 1\ one-half share 'unto my SOl', 'William N. ,Hysaon, and should ho prndooocHlc mo then I c1cvi.r;c and baquaatll fH\id Olle~ half share to hisJ.ElBue per stirpeEl. III - All taxas that may be assesElod in oonsequence of my df;lath of whatever natura and by \',hateVEp: jurJ.sdioj:ion imposed shElll be oonsidered a pElrt of the expense of the adminJ.stratJ.on of my estate, and my personal ropresentatiVGl or topl:eaentatJ,Vl;lS shall have the absolute power J.nhia or her discretion tOPElY the same at onoe 1~hl;lther or not t.ho law under which ,they are imposed permits the postponement of all or part of them to, a later time. IV - I appOint my son, Robert Ii'. Hysson9, I!lxect1tor of this, my LaBt WHl and Testament. Should hf.1 faB to qualify Dr cease to adt as suoh, then I appoJ.nt my ~on, WJ.lliam N. Hyssong, Executor of this, my Last Will and Testament. Neither ofrny per- sonal representatives shall be required to post bond in this or any jurisdlotion. l?Mls 1 ,1\ ~ ~ 8 ~~~~ ~8a~ I ;~i; , , ~~~~ . , , ~ , ~ ~, IUI~ ! ~" '!: !:l m ! l v.l r' ' ~-Jl RUV _ 1600 UX 1(7-84) , 5 - <:2-1 ;;L -Ii-/- c!.. I 1, Orlgln,1 Rllurn I, BUpplerntnlal Aalurn II i 4, Limited Ellal. 4', PUIU" InteruI Compromlsv (for detu of dvelh eller 12-12.82) D 8, ' [R) 8, D.oed.n' DI.d TIIIAle D 7, O.oed.nt Malnteln.d e Living Trusl --'1-8, (AUaoh copy of Wilt) (AUeoh a ccpy of Trusl) II ALL CORR UPON, DINCI AND OONPIDINTIALTAlC INPORMATION SHOULDSI DIRIorlD TO, NAMU OOMPL8Ta MAl LIND ADO~Uus . Jp n E', Sl1ke Saidie, Shuff & Madaml T8LUPHONRNUM8a~ 2109 Markot Stl: . 1 73.3 05 Ca i 1 P 1 , Avel Estalit Sohedull A 1 2, Slocks and Bonds (Sohedule a) (a) 3, Closely Held Slook/Partnlrshlp Inler8s1 (Sch.dule C) (3) 4, Mortgages and Nalls Reoelveble (Schedule D) (4) 8, Cash, aank Depos~a & Mlsoelleneous Peraonal Propeny (Soh. E) (e) I, Jolnlly Ol'/n',d Prop.rty (Schedule P) (8) 7, Transf.ra (Sohedule 0) (Sohadule L) (7) 8, TOIlI Orou AUlla (lotal,Llnll 1..7) e, Funerel EXPansea, AdrnlnlllreUv. Costa, Mlso.lleneous Expen..e (Soh.dull Ii) 10, Debls, Mongege Lleblllllll, Liens (Schedul. I) 11, To'el D.duollona (Iota I Lines e & 10) la, Nal Valu. of Estete (Llnl 8 minus Line 11) 13, Charitable end OoVetnrntnlel aequests (Sohedule J) 14, Nel Velue Sub .0110 Tax Line 12 InusLlne 13) 11, Spousel TrAns/'ra (or dat.as 01 dveth aftlr 8-30-84) S",lnatruoUnna for Applloebla Peroentag. on page 2. (Include valulI from Sohldula Kor Schedule M,) 18, Arniiunl 01 Lln. 14 taxable at 6% rale , (lnolude valu.. from 80hedule K or Sohadule M.) 17. Amounl of Lln. 141axable 8116% rele (Include values frq/T1 Sch.dule K or Sohldule M,) 18, Prlnolpallax due (Add lex from Llnil 16, 18 and 11,) 10,Credlls/Sp Poverty Prior Payrntnls .Dlsoount + 4,600,00 + 242,11 ao, "Line 191s reelar Ihan Lln. 18, enlar the dllletence on Llna 20, This Is the OVBAPAVMBNT, [!;J D C .ilk., cua .r. UII I . ,. un r OUI OV. I'nl, n If Llna 181s greet.r Ihan Line ,11, enter Iha dlffer.noe on Line 21. This lIthe TAlC DUll, A, Enter Ihe Int.rlll on Ihe belanee due on Line alA, . B, Ent" Ih.lolelof LIM 21 and 21A on Line RIB, ThllII Ihe BALANCI DUB, .0. a ab. 101 It 0' . I ~ ~ .1 eu . 0 ANeWBR ALL Ql.II8TI(lHS ON MQI a AND TO RBCHICK MATH .. .. .,pen. ..a rot 1)', t4l t. . vltXlm _ ., ut"j nc ng.CCOMpanyflg'O u,. . '_' n I._ a . . 0 my now gel _.,' tUt, correcl.net campl,~, dtclirelhll.ll ,..It.lita hi. betn r'potled a' true m41lkelv,IOt, ,D.oll,.tlOnOf p'ep"" athl!'t Ih.n,the petlonal IIpt'tlntallvl II b.'ed o"'lIlnlojmltlon Off- whl,hpropal"hlOlny knowlo<lgo, , , " 'If/Ilel 19. SlaNATU~B OPPS~BON ~R8PONSllLU pa~ PILINa ~RTU~N Rob~rt F, llyee orlg PATUI Of 2720 Dioklnson Ave, earn -. jHir- 'PA"' 'my!' - -........". - -... - -. .--.... SddiB. ShUff & Masland 2109 Market St1:'eet Carn" iHir,' 'PA' - 'i7b'ii' - - - - - -...... - -".. -. -... -... POlm 1800 IAtv, 7.e41 INHIRITANOIl TAX RSTUFlN RII8IDI!INT DIOIIDSNT (TO 811 "I~IID IN DUPLICATI 8 OOM~f~~'W~CU'pPlI\IiJWa~ANIA HAR~IBiS~~,~rn1ii:oeol oRoaPIlNT'S NAMa (LAn, PlAIT, AND Mlop,a INITIAL) CUBter M rtle F, SOOIAL IRUUAITV NUMlsA 205.09-9481 2197-0901 yaA~ PATI OP BIRTH 9 122/05 uou TYCO U paOUOUN7'S OOMPLUTR Aoo~ael 2600 YlIlo Ave, . Camp Hill, PA 17011 PATa OP DUATH 1l/01/19~7 Oou,l Cumber.l.and liP APPLIOA8La) SV~VIVINa BPOUSU's NAMU ILAST,P1~IT ANP MIOOLU INI7IALI uaOIAL SUOUAlTY NUMaBIl AMOUN7 REoalVaO ISUR INST~UCTlONSI 0',00 Remainder R.lurn (for del" 01 d..lh prlorln 12-13-82) Ped.ral ~slale Tax Return Required Tolal Numbar 01 Safe Deposll !lox.. I ! Nolle None None 2,432.~6 5,611,34: , Nonti "" ~ N 0'\ " C) :i~; ~T III sa, 108,050.30 ~l .... .t,: (8)- (e) 20,086.05 (10) 5.564.77 (11) (11) (13) (14) 25,650,82 82,399,48 82 ,399,0118 (11) o . 00 x. . 0,00 (18) 82,399,48 X .06; 11,943.97 ~ (17) 0.00 X ,16: " 0,00 (1S) 4,943.91 Inler..t (II) (10) 4,842,11 0,00 (11) (11A) ( alII) 101,86 0,00 101,86 (/p1(1 l' DATa ' .; ~IV. "OflX + (I....) . OOM...MbYANIA SOH.CULI P Myrtle F, Custer SSO 20S,09,9481 Jolnll.nln~.h 11/01/1997 A, N 1 RODSl:t YSlons I~ 0, Jointly-owned prop'rlyl I 2197.0901 AI ATION8 P 0 DIOIDI T son ITlM L~~~A DATI TOTAL V ALUI ' DIOD'S .' DOLLAR VALUI 01' T'W~ T MADI DISCRIPTION 01' PROPIRTY NUMIIR JOINT Of' A881T ,~ INT, ~ICIDINTINT'RI8T 1 A 06/06/6l PNC Bank, oheok1ns acct. no. S140014335 ' 11,234.68 SO,OOX 5,617.34 , , TOTAL (Alao .nl8r on line 8 R.ceollul.lIonl S 617,34 (If more spec. Is nltdod, Insert addlllonel shltla 01 lime silo.) Copyrloh' (0) '"4 form lotlWI/OO,1y CP'Yllomo, Inc. porm 1100 'ohOdulo I' (~OY. '1.") aOM.~_,fYbYANIA SCHIDULI H PUNIRAL BXPINSIS, ADMINI8TRATIVI COlTS AND ~IV . 1111 RX . (HI) F, CUlItel: SS 205.09.9481 11 01 1997 DleORIPTION 2197.0901 AMOUNT 1 2 3 4 Pun.,.' IIp.n''II Myerll-Hal:n.r Funeral Home arave mal:ku Palltor Fu\,\eul lunoheon 6.981.00 480.00 100.00 80.20 A, I, Adm'nlll,.lIv.Ooll.. 1, P.rson.1 R,p'e..ntetlv. Commlsslona, 5 , 342 . 00 8001.1 8tourlly Numb.r of P.rlon.1 R.prll.nlallvtl 174.20.3383 v..r Commission. peld 1998 a, Attorn.y F... Sa1dis, Shuff & Masland . 5 I 342 ,00 3, P.mlly Ex.mpllon Clllrnanl R.raUonlhlp Addrllnf Claimant 01 dec.d.nl'. dll'h 8UIII Addrm CIIy Sill. Zip Cod. 4, prob'I' Fill Registel: of Wills 258,00 0, ' MllotlllnlOulllptntt.. 1 Patriot, ~ewll, advertisement 65.20 2 Cumbel:land Law Review, advel:tisement 60.00 3 f.iling fee for tax l:etUl:n and inventol:~ 25.00 4 L.a. Connot', real elltate appl:aiBa1 250.00 5 Daniel Bell, tl:aah hauling 200.00 6 oost of sale of pel:Bonel propel:ty 418.50 7, oost inourl:ed in sale of real estate 484.15 TOT ~ (Aloe t.r 011 II .9 Re. lIultllon), " mort 'PIO. I. nttcltcl. In..".ddlllon.lehHta 01 ..m. .1.1, C.pyrlohll.) '"4 form oOllw". only C:PByIlO"", 100, 20086,05 Palm 1100 SohOdulo H (~ov, 7oIS) - HAAR'S AUCTION DILLSBURG, PAt PHON.432./l8111 OR 432.11011 AUCTION IACH TUIS. & PRI. lVI, 6130 P.M. ITaM 2X /" I>O~~ARS caNTS SV .... . '" 10 /..-; r!:) , I t.';"c.? tJV ~o ~"S"', 07) '~1~<";... . i 7,.$ - cJZ) (' l '11) .... ~, {iiJ '1 0;0 ) <.~) ...'(~' ,f t.. _.' / (n) 'I "....... n) '..;) "',' ~~ , , .~~ .- L... .-t) c.., \!i' /'l'"" __..- " ,r'. (::' ...(..,~, ,...L.. .-- --:,. . . i;7- _ ..,.' ~..',.......... ....,...--. ,'? .....:',........,. ~ (. ",''''-(.>'(1 :,...... ~- ~~ ,-' ..JI ,~, .-' , ...-...- ;. ,'1' .~J,..." I '.' "1 " ,,:) '" .. .~/.I~,::'2..-~/a..."A:t~~. I:J~' ~~ 41 S trO -...... --....-?'.,~..,. oj . "q .~ c. .-" .. " ~,I " yojp " c~ .L_ ,hit' )/-r-;l;:trJ:WJY~ Nbm./ r Str.e' orR,P,D. Stote % TAX CHARoa ....~ ()- .,. . .. ....-......................-...---- .... -.. 1)-.. / I I' / !:r.te.-~ 62. ~., t · , {..~l'c~L<4 /' <-~J lJ (I"'" . -Y- , I , , "i!P< :J._ " C<..~ / '7:J / I' c.: ,,'/ /$,--- / V "'7 ... -- - ./ I , ...... ....,/ , " ., '--M( f 'lA-x,:}'?...., . . I~\\l .. ^ (l .~ L,l).'!/vl' 1 flJ 12.'1 I/. 1 () / '7 ~-"fO /ot.fr." ~.!:.- If I ,?, 5" 0 ~ ;J. 7 ' ,'/j~- A. So\\Iomont Stnlomonl \1,8, nlp.,'"I1"' ollloll,llIQ III~ U,III11 IIlvllol'nllnl nMO No, 2ft02,0211 Q, TVIIO of ~ftl/l ---- . - j - - l. 0 PitA' 2, (] FmllA 3,C10aIIV, Ulllrll 1:"P1I0 NIII"lIl1 I, fiiiii1liii!i1iil J1I. f;tij'1~IOIIIIIII,""~1 0018 Nurnlllr 4,(] VA 6,(]00/lV, 1~1, 0, Niiiil Th I OHI' , 11111111' 1'1 Dive YI"1I l181ai'lsnl nl Inllllllll\liiiilllTiiC;!'ii-:-,^f1111iiiiiliiiiiTi7."1I111 hV IhelllllelllelllaOllll III IhIlWII, 18l1l'mlr I '11,11,0,1' wa,l IlOh 1IIIIIIdl 1111 ohll IIUllhuV ;11 .hllwlI h.,a lur 111111'11I1111111111"11110111 11111 II' 11111 IIolllllell 111118 In lei I, ' ' II, Nlmllntj'];jJ"",, ci11iiiir~wlr U, Hlnllllld Add. III "' 8111" - f, N""II,"1 A,hlllll of tlll"" lUr.IIAIUl A. Ho 1I\\I111~ /llId "l^N~ ~, Hc>>>>lll~ 26lJR ,YAl,11 AVl(NUII GAHI' 1111,1" I'A 1701\ n, ProplrlY ~oullon 11B'1'A'I'H Oil HY\I'I'I,I\ \I, l1t1tl'I'lill (\ I u IW>>lm'I'11Y tltlON(l, l(X IWU'I'OI I1(1MI' 111\,1" I'A 1701\ TINI "AUI'IIIN \)111'091'1' 1'.0. >>ox 2961 IIAll\n9l1ulto. I'A , >>ANK (, 1'I\U8'1' co, \'/I 05~2 961 2600 YA1,l( AV\INUg GMII' 1111,1. 1I0I\OUOII, t'IINNflYI,VANIA 11111 jiji';,OiiolllllllOlII 2109 HAI\I<Wl' 8'1'. lJAH1' IIT1ot, J, 8l1f11m!!V 01 P.!!!!!!.\Y!t1!!!!U!!U!!n K.tJ.llUllll!lUU!lIuUUllIleUnll 100, o!!llLilll\!!lInl PilI r.~1D DoHaI'm 100JlruIlAlIlQUIIWIl.JJLll.II., 10 I , COnIlIOt..ll, nlloe .. $100.000, DO ~01.QlullL19LUIII.UI12' ro2: Pmo/lIII'IIII!!UV ' , 10UtUUllltIUQUIr.lv 03 8!!!!!m!!1Ull!lu!ll~llnLHQQL _ 2 120 2...lO 103, 10~, 1Q1l-_ t 06, 1 QY,---- ' __MllllU\!IU!Jur.J1!tnLll!W.hUlJlu_llUIlvJI .' _, _lI~luIlllI.nhJDI-1'IIIII.II.ld.llv..uU.rJlUd~ liP' ~.]llY1II1W/I "XII III ___ 100, ollVLlowlIl'm III ' lOf.l'fcllinl taMII 12/22/9710 12/3J.).!ll_ 9,15101, QOllllly"lmI12/22/97 11I12/3L197 , ^"ll11nanll \11 400l.1il12l!!!l!Jl\t In l~O' 8cl 001 'rnM 12.l22L9Z tg. 6/10/97 ~01. 70 1Dl1,Jillhno1 '1'"11 I? I?? 197 to 6/10/9 : O,s~wor 12/22/97 to 12/11/97 1,m 110,8ewar 12122/97 I'n 6/10197 11. illl 112, 1.1~1 11~ 8111111"111' A~ .1. .1 A Y (:001'101, 1~8Qllll\lr. ",hlllll ClOl,llnl~I\Cl, KA'I'ZHAN & SHIPMAN, I'.C. 320 MARI<WI' ST. I 1',0, IIOX 1268 IIA11Il19111l11O. I'A 17101\0:12(,8 I, hlllomlr I II lIS I'A 12 22 97 100000,00 9, IS ~01. 70 1.nn 120, Oroll Amollnl Pile Prom Ilorrower _ 0, niDI/nil a .I!Y..QL!' I! OlDo!fIlW,r 201. Ponelll or earnoll monlY ~1l2, Prlnnlg!!.!m"l/nl of n;w 1111 I WI aKlI!!n 11111 !l..l! llUllbl!2Llo 204, 206, 206, 20'/, 200, 200, /ld IlIlInl"II'ol I.ml I/n .Ihl bl'.l!lIlt fl1f.C IV/lOW" \.XII IU 211, Countv laxa, 10 ' ~ 12, AII!!1lU!ntl 10 213, U1, 216, t!g, !l7, 210, m $102, 7111. 3~ 420, Grilli ^molltllPlIa To 811111 $100 515,85 UQQdl!dU211911LJllil109Ulll.llUIJ.ll.ll.1I1 $ 100,01 nQ1J!!tQ!llilinml1Jl!!.lrllI!1I9111mll $ 1\)0.000 I ()( OQ2J1!IU!m!1l1.9h!IQU.l9.Ull!LlIInWillil nQ~Jll\111lt\oll!!IIIIL1!~lIUuhI12 U 0 nQ1~V.!!!l.!!!J!!illJl!!llQ!U' IIISI\ gooJ'!yo Ilrrl~!l!l.l!l!ll1Q!U!.lJ!!!1 000, 001, non, OOQ, -ill!1!!H!!l!!lll1l!rJJ!JllLl!!!I!!!JLllt1!Uel nlQJJllvil9\'iILlml 19 Ul1JJoUlIIv..'tM!1 19 U1aJllIRlIllIlnll Ill. ilia. IlB, ml- nlol-- nil, . UlP, _UH, Hl0 . 00 I,noo,oo - !: 220, Tolll Palel DV/Pur Ilorrllwar 100, 100, 00 ~~loll1oilIlC'11I1I ^IIIOIIIIIIlIIO hlllr $ 1 . 100.00 1~!lh AIS!!!!!!!l!lIt Plom/To 1l2!/.!!wI ' Q9QJ1!11lhLl!!IU!lIltl\llu/fJIDIl,Il!l1t- I:!Ql.J!J!!l1A!1l!lllII\.JllltJllUn.Ul!I!.QwttJIIIILl2QI $10(. I 71 II .15 gOIJlIl!IUlllnUllljJU!.IUjglltrJlIllt.i~QL- $1 o~: ~~~ ~~ . 1302, ~lIIlrnolln\l Plld hv/for bOlloWlr illne 22QJ lon, I 00. 00 oOlJ,!!U!i1l1o.11!!!!!l!l.!l!!I,du'"l1t1I!(U~ I : : ! 303, Oalll (] Prom 0 To DallOWer 803,Oalh IX! To 0 Plom Selllt ! PtlYlOIII &dlllo" II Oblolal. ~; 1187 IlUo.llHII nUPA,ltP ~306.2 . RNOI.ll, II.IKf, . MVI,f,V A"IIIK~'I'" ,",,'I I ~W ""t.4AU~.n." A'4" 1t1U, I'IIHHUI......IA I 'nil ....", ... LAS'!' WILL I\ND 'l'lllB'1'1\JI1I1lN'l' 01" WlJl'l'Llll 1". CUB'l'!l)R I, MYRTLW P. CUS'l'rnR of the norough of Camp Hill, Cumbe~land CQunty, PannsYlvAnia, declare this to be m~ Last Will ~nd 'ostn- m~n~, haraby revqkln0 nny wiLL rrftvi~UN1V madA by mo, 1: - I t:11r(wt tha pa~!InBn\: of !Ill my .IUIlt dli\btil nod ,flln- o!:'lIl OMpBnp, aut of my oHtntn as Bonn an mRY be praotic^bla nftnr my ~1~!1 th, II - I devise and bequeath all the rest, residu~ and remainder of my estate of whatever nat~re ~nd wheresoever situate <\fI folloWA I A. A one-half share unto my ,eon, ROber.t F. HYllBon<;l and shouid he predaoease me then I devise an~ bequeath said one- hale ahara to his issuo par 8tirp~s. n. 1\ ono~half ahare \tn\',o my son, W.l.lli",m N. HYR';C'\llC 'IN) 81"..utd ho pt',ndCCrh\SO mo thei'. I :,;'1VlIJI!l "nd bf;H1UClIl\"h H,~J.a 0/10- half share to hJ.R inBue por stirpe~. UI - 1\11 \:axGs that ml'lY lJe ,~Sl1GiHled 'in QOnBoSjuence of my de~ th of wh/.\ tever na ture and by \~hllteVElr j ud.sdioHon imposed shall be oonsidered' a part of the expense of the l!\dministration of my estato, and my personal r~presentative or representatives shall hl!\ve thm absolute power in his or her, disoret:!on to pay the Bame at ,Olloe \~hether or not t:he law under which they are imp9sed, permits the postponement t1f all or part of them to a later time. IV - Inppoint my son, Robert P. HV88ong, Sxeoutot of this, ny 1,II"lt NUl and 'l'ellt:amont. Ahollld h.., fail. tQ qualify Dr aoase to act AS sunh, then I appoint mv son, William N. HysBonq, Execlltnr of ~hiB, m~ Last W111 and TElstament. Neither af my par- s'~n"l l:epl:fJ8antl\ t,l vel.l~hall b0. rog\.\.i. rod tn pOB t bond 11~ thlil 0): any jurind\ctian. , I.,', Ii , 'I ,'., .1 l.A (-", !! I I, , "1/1'-1-:-__- -I, (, ,(.'I,,1.{!.~,' I _.1 Page 1 01l-OS-19911 OUSTER 11-01"1997 21 97-0901 OUMBIlRLAND 101 l,:,,__\~~:_~ ~w'eOI~3 ' MAKI OMIOK PAVA'~I AND IIIMIT PAVHINT TOI ReOI8TeR OP WILLS CUMBERLAND CO OOURT IIDUSE CARLISLE1 FA 1701ll CUT A~ONG THIS I.INI ~ RaTAIN ~OW'" PlIllnON 1'011 VOUR ft!OO"~' .... ilW: laW.Il/'.~fl1s-.f~9-:"j".N~Y{al". .611. 'm'AI'hYf~il6'.VI~..A'II"~~Y'IW. ... A l.'lSll~WI" 1lIf. ."MM .....oo.... DlsAi-LOWANcl 01' DIDUO 10NI ANb A" .11 NT III tAW- IBTATI OP OUSTER MVRTLE F Pil.I NO. 21 97.0901 AON 101 DATI OQ-OS-1998 TAlC RETURH WAIl (X I ACCIPTlD AI PUID ( I PttAHIIIP RISBRVATXON'OONCIRNING PUTURI INTIII18T . .1. ft~y~~!, APPRAISID VALUI OP RITURN. BA81D ONI ORIGINAL ReTURN 1. Rool lototo (Iohodul. Al 2. Itook. and Bond. (loh,dulo,BI S. Olo..l~ Hold Btook/Portnorohl~ Intoro.t (Bohodul. PI A. Hortg.go./Hoto. R,oolv.blo (Ioh.dul' 01 B. Po.h/lank D.po.lt./Hllo. ,.r.onol PrDport~ (8oh.dul. BI 6. Jolntl~ Own.d'rDporty llohodulo PI 7. Tron.foro (Ioh.dulo 0) I. Tot.l A..oto APPIICVIDDICUOTIONB AND IXIMPTIONSI 9. Punorol Bwpon.,./Ad.. OD.to/Hl.D. Iwpon.oo (Boh.dul. H) 191 10. D.bh/HDrtgo.o LloblJ\UOI/Ll.n. lBohodul1l 11 1101 B. B6A, 77 11. TotolDoduoUDn. Ill) 111;'6~O,A2 12. Hot Volu. of Tow R.turn 111) S~ ,399.48 lS. Ch.rltobl%ovornM.ntol B.qu..t., Hon"oloDt.d 911S Trull. 18ohodulo JI (1~1 ,00 14. Hot VolU' Df htoh IUbjoot tD Tow 1141 82',S99.48 NOTE I 11' an a",lIm.nt wa. :l.IIU.d. Iir.V.:l.OUlb, Un.. 14, 11 Ind/or 16, 11 .nd 18 wUl rlneot fillurll that :Lnolude the totU of lli rnurnl .......d to d.te, ABBlSSMINT OP TAXI. , . . lB. AMount Df Llno lA ot Bpou.ll r.to 'IUI . DO K' 00. 16. AMount D.f Llnt .14 to.OblO,I. t Llnool/Ol..o A r.l. cu) B~ I ~99. '\! K .06. 17. A..ount oV-Lln. lA talC.blo It Collot.r.l/Oll.. I r.to 1111 . ,ll.[x .lB. 11. Prlnolpll To. Duo Ill) TAll ORIDITS' PAYHeNT DATI 1:;').1,1, - I~' BURBAU OF INDIVIDUAL TAXEI IHllERlTAHCE IAK PIVIOlllll DEPI. 2aD6Dl IIARRIIIURD, PA 17U8-D601 OOMMONWIAI.TII OF PINHBVI.VANIA DIPARTMIHT OP RIVINUI ,., (-- NOTICB OF INItBRITANCB TAX APPRAIIIHBNT, ALLOWANCI OR DIIALLOWANCI OF DIDUCTIoNB AHD ARBE8BHIHT OF TAX JOHN E SLIKE SAlOIS SHUFF AND MAS LAN 2109 MARKET ST ' CAMP HILL DATI ISTATE 01' DATI OP DIATH PILI HUHIIR OOUNTV AON PA 17011 (1) CDI IU IAI III 161 111 10DiDOD.O~ .00 .00 .00 ~i~!2.96 15.617,S4 .00 20,006.06 ReCBI'T HUHm ---riiiCOUHT I' I"-~~' _"u INTIR.8T/'I" PAID t-l AHOUHT PArD mill~ -"---~~, t~r]r AA270l29 ,_.~-~-- '-TOTA~ TAll 6iiDiT IALANOIOP TAX,DUI "IHTWITAND PIN. TOTAL DU! .. ,n."" II Uf n""1 MVRTLIl F HOTII To lnluro propor or.dlt to ~DUr ..oount, .ub.lt th. uppor pDrtiDn Df thlo for.. wlth ~our taw po~oont, II) 10Q,060.30 .00 4,943,91 .00 4,94S.97 4,943,97 ,00 .00 .00 R IF PAID AFreR DATI rNDICAT'D, Ie. REV'R" FOR OALCULATIDH OF ADDITIONAL INT'R"T. I I' TOTAl PUB II Lbl' THAN .1, HD PAVtlEHT 18 R'QUIRED. IF TOTAL nul II RIPLICTED AI A "CREDIT" ICRI, VOU tlAV BE DUE A RIFUHD, BID RBV'RBI IIDE OF THIB FORti FOR INITRUCTIONB.1 gp, ~l :1Jiti' "i ;"", IJ {I, () r~ ' ~I:I ~~ .... (:J ."1 tT t:'-i sa, "n , ...,~ :r~ --, Cl R!'~RVAUOHI Eltat.. of dlQldlnh ~~jna on or befort.D.a..blr 12, 19a~ .... Sf In" future lnter..t _In the ..tat. 11 trlfl.flrr,d t"~Q.....1on_or ."~ov..nt to Cia.. a (0011etlrll) blntfia!.ri.1 of thl dtc.dent ,fttr thl Iwplration of any ..tat. for l1fl Dr far VI.r., thl Caw.onwlalth h'r.b~ .Mpr....v r...rY.e thl rIght to .pprll,. and...... trln.flr Inheritlnol TIW.I et the lawful Ch.. a (ooU,tlrlll ,.It. on any ftuoh future Intlr..t. . PURPOU llI' NOTtCe, To'-fUlf111 thl "equir.',ntl of SloUon 2140 of the InhlrUano. and Hatet, TIK Aut, Aot 1:1 of 199!i. (72 P.s. Stollon 91~0), PAVHliHTI O"t'lCIh the top porUon.of thh Hotlol.nd ItJb,1t with your pav..nt to the MIghter of WUlI printed on thl,rlvlr.. ,td.. uK... .h.Ok or ton.v ord" p.y.bl. tOI "BD%STBR OF HULS, ADENT REP'l..'~D (CR)I It refund of 'a h)i: Qrldl,t, WhiCh tfal not rlqu..tad on the Tal( R,turn, "IV bl r.qu.Utd hY <lolPhting an "App1!oaUon for Rlfund pf Pann,vlvanl, Jnhlrltanol etnd It,tete hM" (REY..U1:\l. ApplhlllUonl ar. IVIUabh It the Offlal of th. R,ghter of NUll, any of the 2S ".vlnul Dlatrlot Offictl, or bv oalUna thD IPlotaS 2ft"hour 1I"IWlrln. ..rvlo1 ny.blr' for tor.. ordtr!nG' In Plnnlvlvanll 1.800.J61~IDaO,out.ld. P.nnlvlVI"J.."d Hlthln 10..1 HorrhburD .r.. (117) 7a7-a09~1 Tbb. (717) 7n"mt (Hoor1n. hpolr.d bnIY). DBJECTlOHS' Anv plrb In lntlr..t,not "thU,d with thl epprah..."t, aUawanClD Dr dlillllowancl of dlduothi"'; ctr a.......nt of"tllcUnoludlna cthoount <<Ir lnhrl.t) at Ihow" on thh HoHol .ultobJtot wUh!n .httv (60) day. of reoelpt of thh NoUo. bYI ."written' prat,.t to tho PA' Dlp.rt.,"t of RIlJlnUI, 80llrd of App..h, Dopt, nU2l,_ "ar,.lIburD, PA l11U"1021, OR .....l.cUoM to hlVI thl _.Utr dater.inld at audit of the BODount of the per.emlt ,.apre'lnt,UVia, - OM .....pp.,.l to thl Dr"h_n.' Court. AIlHIN I8T~ITIYt COllIIICTlOHSI INTUREST I PaotuIl Irror. dlloaYlr.d on thh ........"t should b, Itddr....d inwrHlnll tot PA D'P.~'t.."t of RAvlnul, 8ur..u of Jndlyldull TIIC", AtTHI POIt A....i..nt RIVil" UMtt, PIpt; 280601, HI,.rhburlh PA 17128-0601 Phont (717) 767"6806. 81. page S ,of _ thl booklet "lnltruotlon.- for Inherit,nol - 'lie Return for I; MI.ldlnt D4tQtdent" CRKY"1801) for in IxpllniU(in of Id.lnl.trltly.l~ cQrrlotllbh .rrei,... If '.n~ hW dUe 11 paid within_thr.. (S) olllndai"' lonth. afttr thl dlCldlntl, d..th_ . fly, pI,.alntl&UJ dltoount of the t.~ paid 1. allowed. Thl"UU' ;O~tl)( ~n..ty n~n.p.rttQ1P.t10h p'nait~ h ao.puted an thl tot.l ofthl hK and tnt_,.lIt ...uttd, and'not paid btfor. January la, 19'6, 'h,'flr.t dl~ aU,,. the .ndof the taw ..n..tv plrlod,Thh non-partlolpaUc,n plnaltv 11.pp,aleblt In thl .... .anner and In thl the 'Ial' tl.. period I' ~au WoUld appeal thl taw end lnter..t that ha. b.ln .......d .. indloatld on thl. notlo" lnt.rllt 11 oharg.d blginnlng with fir.t, di~ of dt1Jnqut"o~, or ntho (9) lonthl and eml fll dav fro. tht dati of d_"th, to the tilt_of p.~~.nt.' h'Ut' whlC'lh blo,,, dlllnqu.nt befarl Jlnu.r~ 1, 1982' bl.r lntl,...t at thl ,.atl of .1'M ",,) plroent plr .nnUII oaloulatld at I daUy rat. of ,OOUM. All tii~U whloh lt~o... d.llnqulnt.on and aft_,. Jfthu.ry 1, 19.2, HUI bur Itlttrut at . rat. which will Ylr~ frol cl1tndat' V'." to o.llnd.r y..t" with that rate annOltnOld b~ thl PA DIPartaent of Mli/lnUI, thl appl10abll lnt.r..t rat.. for 1982 throUgh 1998 .,.-, blSCOOHT I PENALTY I tilt Int.~e.t Rat. R,llv Intl,.lit Faa tor xw l"tlrllt "at. balh Interllt Faotor, loat EO~ ,oooa~e 19n 16X ,boooa loa~ IIX .eoosol 19U UX .000~a6 19a6 IOk .00027~ --Xnt.r..t II ~.lcul.t.d .. f~lloN'i IHTRRS$T . RALANaR OF TAX UNPAID X NUNSRR OF DAVS OELINQUBNT X DAILY %NTEREST FACTOR .-Anv HoUoa l"uld' after the h~ bloo." diUnqUI"t will reU.at In'lnbr..t aaloU1.tlon to fHte.r\ UBI daYI b.vond 1hl d.tI' of the ........nt I If plv..nt It aade after thit intlrnt co.put.tlon dati ehoWn on .thl Hottel, .ddiUonal intlrllt lIU.t bl oalcUlated. ' m7 19aa-1991 199! 1995,199~ 199a-199a 9X Ilk 9X 7X 9~ .000t~7 ,000501 . OOOt~7 .00019! .000E~7 COMMONWBALTHOP peNNSYLVANIA .coUNTY OP CUMPeRLAHD } "I -- beln9.duly A\l1Q"t:l eooordln9 to lew, depolll end UYI thet he is the -- !l'>t..nnt-r.". 0' tho Slleto 0' r'lyt tll!l C\.o..l.... -- lete of .___CAJJlP...RUl..BCll:OUI;lh-.--- ' Cumberlend County,Pe" de~,,"ed end,thet tho within 11 en Inventory'me'de by him ._ -- "thould . A>tAnlltn... of .the enllre uhte of uld deoedent, oonllltln9 0' ,II the pmo~,1 prop..rty and r..1 "tatu".exoept roal "t,te ouhldo tho Cammonw..\th of Pennlylvanla, and thet the 1I9uru oppoll1e ..oh I"m of the Inventory reprosent It', hlr velue al' of the dehofdeoedent'l duth, ' Robert Hv~son9 . " 19 9R -PV r- U1: -~~~y luoyt&r . A. mll\h'tlt , Robert F'. Hys s,on9 , sworn to end lublorlbod bofore me, . Addr'H D.y November Month 1997 0.." 0' Outh __ ' Vu; INSTRueTIOHS I. An Ihventory mUlt be ftlod within three monthl alter eppolntment.o' perlonel ropreuntetlve, " A supplement Inventory mUlt be IIled wllhln thirty deyl 0' dhoovery of addltlonel allI!l. Addltlonel,heeh mey be e!tached 1\ to perlonelty or realty {, See ArliclelV, rlduolarlol Aot 0' 1949, ~ ~ ,i ~ :a ~ ~ ~ m j . ll' r I u. B J ... ~ ~ ~. 0 ... . ! ~ S1 Cl r... :! I ~ ~ ~I OlIo. \ ." ~\ . Q - ~ 1\ 0 "t: ~ j ~ .... I - J ~ !' ...