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HomeMy WebLinkAbout97-01004 :, " . III 'j - :J - . . - J .. .~. ,,' ..... 0 ... "2 ~f ! a' D I " .. '.,' 'L ~ '. , 1;:\'/,1/1' "t IA) I '- L 1.4.1"1, ". ,1/.1''' A'II(III'1/ (/.1' I)ETITION H)R PROIIATE and GRANT Of' LETTERS ~I-/'t~ 7 :JQQ':L______ 1< UVG- No, 1'0: S,,('/(/I S"('I//,;Iy N", 3 d ,2, , / Jt'('t'(fsed. t)7.- ~fJ$;7 R('gisl('r of Wil!O; for III<' 1'117 ('HI nil' 01 l!..V(/1J2?~A-"-tL in Ihe COIll 111 oll\\'l'al I h of Pennsylvania Till' I'll'lltjoll of till' UlH.lcl.,jglll'd n.'\IlL'l'lfull~' f'l'prt'Sl'nt" ,hal: YOIlIIWliIIOlll'I'(s), who Is/an' IX ycar" of ngl' 01' oldl.'r al\ the l'\i.'CtlIO '<. In Ihl' lasl lI'ill oflhl' aIHIITdl',','dl'III"I;Ill'd Z. 0 'J'UI-t) it: und l'odldlll) dall'dl)J cJ W ~__m I II:kmLL_ numed -, ..--_______, 19_~ ----. -., --_._,.~------ ._-....._--._-_.~- .,-..._-_._.__.._~._-- (\I~tll' rl'll'\dlllri,CllllhLlIll'l'\, l'.~:, Il'lIl1lll:i;:lilltl. (11::111, (II t'\n'lIl,lr, l'le) '-'~~--'-- 1>.l"l'.."11<il'1I1 "as dOlllilill'd UI (il'alh ill c.- V V"t 13 f,-~ L..t1- ,vn~t('(HIlII~, Pcnnsylvuniu, with IL_._' s: /l1"sl ""lIlill' or l'frill,'ipal rl'sidl'l.Wl'J ~ J91 N ! -I & '>'1.' --LJilMf L L L.L., r -1701 I __. (11\1 \lll'l'l, 1\1111111('1 ,Hid 1I111Ihq1.llu\l DCl'CIl(ll'llf, I hell , 71- -. )'l'ars of a~l', died r2r 7- (5.C'.., ('. ----.-..-, 19~Z ! II Ul tjC) 6YPI.~. I r l-+C6r.t ) ;4 1.....) ~ 14 Y'tf1u_'lLl.Lt., PI-' _ '1111<(/1' I I [XCl'pl as 1'0110\\ s, dlwdl'1I1 did IH'I lI1"IT)', 11',,,, 1101 dil'orel'd "'HI did 1101 IIal'e 11 child born or adopted IC ..,1. ~~~~;1l~1~~~;~:::~1Il OllhW'IU,1t/fl,l'or proball'; "'"I1Olllle lillill1 of" killin~an~\~"s nell': I1d~:dicUICd CV!?()UJ'\' [)l'l'l'ndl'l1( ul lkalh oWlled properly will1l.'!'>lilll<lll'd \'alul's iJ~ follows: (If d"miL-ill'd in Pa,) All pl'lSollal propl'rI) (If not dOll1kilcd ill Pa,) Pl'rsonal propL'l'ly ill Ill'llnsyl\'Hllia (IInol dOlllieikd III I'u.) Pl'rsonal propl'rlY ill ('Ollllt~' Valul' of n.'all'slall' ill Pl'llll\\'lvani't shuI1ll'd as 1'0110\\" _____ __' Nf. A__ L_-'-cG _ L. . $ L__ 00 00 tJ .- ---- ~-----~.~---_._--.~-- .-- ------...---- .. _._--_..~_._--------- WHEREHJIH;, peliliolll'r(s) rcspl'l'lfolly prCsl~llll'd hc!'cwilh and Ihl' grail I of Il'lll'!'S_ . - --- .. '-'---. ----......-.---------- lheroll, rl'quesl(s) Ihl' probnle of Ihc lil.\1 will and codicil(s) 'Tf?T.Br:t~)VJJV1)'-.-.---___ ;1(''>1<l111l'IlI,II\; lIdlllinhlrillioJl l:,La,; adrniniqmtioJl d.h.n.l"l.a,) , ." ;:; ~-- .- , I , - " , 0:: ~ "j 2 ~:~ :lC:: i'~ ~, :Ji ---.......-----,. ----..- .~--------...--._--. _.~~~~~~~~ ~ ~t':~'l;:Jt~.\JJ;:L-~.Lb..b.L lFl M .;r:. _ K I lUG, J!1L-jJI-L-'L""I:I~ 7-,____ u-IA;1.J._ :L I ~I r A L::liJ 1,/ -- .-----".------.--...-----. _._-,-~----- ___.h______.. .____. u____ __"...__._._____...._____..._ .. --'----- -----.. . ------- ".-...----. -..._-_.._---_..~...__..~----~ -.--..-. -----..-.-..-..----...-.,,'--. - ~~ .--- OATH OF PERSONAL REPRESENTATIVE COMMONWEAI,TlI (W I'ENNSYLVANIA I , KS COl:,VI'\' OF ... QVl\lU3.J~:RbJ1AUJ__H J " rhl' 1't.'liliorH'l'C<.,) nho\'l'-nalllL'd SWl'ar(s) or affit'lll(-,) th.ll thl' stiltCllll'IlIS in llll' foregoing pClitioll are lnll' illld L'llHl'l.tlo thl' Ill''>l (lllhl' kIlO\\k'dpl' and hL'lil'f of IK'lltiolll'rh) and lhat ns personal reprcscn- l'III1'l'(") or I Ill' <lbllll' lle-cl'dl'lIl !'l'liliollcr(" will 1'l'1I alld.lrI..II.Y ad~."illiSI.r IhC,C..SIUIC aCl'ording (0 law, SWOI'Il III or arl'illll.l'lJ and <"lIh"'l'l'I(wd r /-i1lY~If.Jn'H':~~_______ '" hi.'l'nl\' 1111:' lhi\ .I~.J 1 H da~ (if ___ _.___~__~~~. .,':'JOVf.'nI3.F~.,"" 19 '1'1 .rs~ ~ -;\1(\,\.(/ (' ,'LI..Il-l-.J.. F~I,VnY~~w.tlD '(:_=-=..:==== ~ 1Yl~R.'-f (, U;'\II~ 1/ !leg/III'! _________ 2 /6 -J.~D ~tf ,,'WIIllHI " PI""'''I"' IUCIU..1l I 1 ,} , ,. Il..l \ , " ~ ~ ~ 1 I'lIi, I~ III U.rtU\' Ih,1l Ihe il\llll'llI.IlI\l11 h~'I~' 1',iV{'11 \, \.(lITndv l\!fllrt! 1111111 ,!II 11Ii~'.III,d ,<'llllll.1U' 1>1 di'.llll \1111\ likd witll I\l(' ,I'. llll,d 1{l'!,'.I\t1.ll, rhl' llligillalll'lldll.lIl' will Ill' Illr\\'.Ird\'d III ,he \1.1[\' \'iLd I~l'lllld, ()lll,,' Illl prllll,i1ll'lll lilll1)',. WARNING: It Is IlIogal to dupllcato this copy by photostat or photograph. h'l' 1~lr dli\ u'ltilit,lIl'. ~-"~ (){1 ";I(lliil~~\,~'orp(;;~.~:~ !/~~'.'" <*J):~, '~'i(./ .... 'r.<~ (~: ... .r;. lj' , '- ~ * .~. '..'..'~'~ ..;, ~l \~ ~" . ~. t.~/I , '...',f'MfNl ~\ ~\"",,, 't~~!~!l!l/!!!II~"1 t~.;lcl'''u.L.&fic..'I. &.f/<A,tj., l.lll,d 1{l'gi'itt,11 {/ I 4485874 IQ,J,:t; t. " !,}. ' l/ (;,./'..('w...~..d.z_ ~. (l,l[l: ' No. tIlOtlt.U,...lJlt COMMONWeALTH OF PENNSVLVANIA ~ DEPARTMeNT OF HEALlH' VIfAL RECORDS CERTIFICATE OF DEATH if"""11 ~u...." iiAijfo""iiiicio~,j...~---,~,--._'_._-_"~__d'_-'..' ~-- -- -.. ~-ji~ --- - $l~~iwniTYiMiilll---~Of...iH:M~-;;I---- ~."..t!l~am ~..l.r.~~ -"'"f"'~ G~!1r'1iiii"'-]- ~~i~\AC(I~~;:j,- ~~~~~~I~~~~~ ~~~..~24~'~~O~~_~_~~ ~~&J ~ :~~_'i .--10.... -::1-" .", ,",-, ,~'." .ey'~ ."" HiOSI'<""l ~,... 79 .,, ...-_-1 -" 7/21/1918 l'ole<.io, 011 ~1"'~.A(l ~1\'~1,....ll 000\1) :::.:-[} ",,_tl =",10 ~lY5i"6i,ijH - --- ~ Cn-llOROIWJIIO'-U.;u - -l'.lCiIlT'l'iiAAiDi;,,""i7-..MW-\I'-;;,il......;J"'.--;.:;;~-----J......BOt:cfDlIfl~II~ OAiiiiN1 IlACI ~fl'6lnIltcl~._ t+o!Jl.....n.,.._""c- 1~'*,.,1 "..;~~!l?~.f",c"'"'' ~..!'"nl,"-""r~:~""'I'ld'./ .GUt"L.lJ!!5.J.l..L~!- -J:W '-'::'::.':.--:1::' ..------ = = "".l:<:J "INOOfMIIU!lJINOIIS1111 ""'\OfC#OfNfI1{ifiH OliiCIOfN"-9IDIJCAliOlol l.lA/lf1AltWlIl """.... 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"!, !. 1,1 '1,11.'.1'11';1'1 ',..1,'.' ::'1' I 'Ii., I, !,"'. 1'.1 J: i I 1'1.,.,.'1 Ii .i,.11 i,:i:1 111I I.,;,' II ",'. ," ,', ",',' 'I I"" , I, "i' '" 'I'" I '[' '1,1 ,Ii , " I !' \.,11.1',.': I. II i I:: i! i.1 :.'.:.':' '.' Iii i,! !' i: I'l' : : III I,i II! Ii' i,' '11."11 I ' ,I i: .! 'Ii i :,' II ; : : II II',' I,,' ,i ,'! I',' ~. ! I'" ,', I 'I ' " '. ". , " : , I,,: 'I' , i" , I " I : " I', , ,-,- Ii 1'-:' , "'I' 1- "I'" ,I' "'i'I:1 ,I ii' ',':, i ! ' 'Ii I!,: I:, I1I1 :1"11';11 L 'I' ",! 'i' ,ill -I i i"'I, - "I,';I'i I ' ! ii, ,: Ii! 'i! , ~ i I I I : i i : i i ; ; I ,-," i ! ill I II t i I : i .. - i ~; i _' ' 1 ! II, .:1:[1;1: il'l: """ ,I, ;1 ii' , 'I" " 1:1 i' " ,Ii: :,;!!! ".':!i'1i i:i i :'HI! I 'i' 1,1'1 II : , :\, I 'I I I' :1 :'11 11'!i!!! I' 'I 'I:, , !" 1 ' i i il i! : ~ ' , , ' : ! I:III! 1- '" 'il'I!;11 ',I !! i.:lll: I' (,I , I , ' ,;!I ' ":! , ~ ' ! I "I, I, ill,! 'i-j:' , , I,,' :111 , , "I' I' , " ", I' ,I I' II' III I 1,1"'" ' , , , : , , ! : , 'j , , : , Ii , , I , , 'I , , , , I , , , !.:' 'i'li' "I .; ~ " "'~-;,j; , trii 1.1.:i' ; .... ~:;t\ ,--- ,i:1 ~) Of.) , ", .... ,. == S = .... tA ... ~ te) ~ 0 '" .Q .~ Jllil =='b = 14 - " i ~i!~i - ,... >- ~; I ';< i ~! .... tA = r ~ ,. .' ..... '. 'j- .~~ ~~ . :Ji \~~ '" \.. I,A.....,. WII.I. Oil WIt.I.IAM K. KINU I. WILLIAM Jo:. KINO of 3K I North I <Jlh Stre(,I, Borough of ClImp 11111, Cumburlllnd County, Pennsylvania, dec\aw this 10 hi' my Last Will and f(,voku any Will pwviously madu hy me. rl1!MJ: I devise and b~'qullath all of my estate of evmy natufC and whllwsoever situate, together with insurance thercon, to my wife, ELlZAIWTIIII. KINO, providing she shall survive mll by thirty (30) days. ~_;Z; Should my wife, ELlZAIIETIIII. KING. predecease me or die on or before the thirtieth (.30th) day following my death, I devise and bequeath all of my estate of (overy natuwand wheresoever situate, together with insllfanc.e Ihereon, to my son. REVEREND WILI.IAM J. KING, providing he is living on the thirty-first (3Isl) day following my death. rrEMJ: Should my wife, ELIZABETH \I. KING, and my son, REVEREND WIlHAM J. KING, predecea.~e me or die on or before the thirty-first CBst) day following my death. I direct that the following distributions be made of my Estate: A. I bequeath the sum of Two Thousand Dollars ($2,000.00) to ROSEMARY NElJER of 97 White Rock Terrace, Courtdale, Pennsylvania 18704; B. 1 bequeath the sum of One Thousand Dollars ($1,000.00) to NANCY MURPHY of Apartment \14,61 Ea.,t Northampton, Wilkes-Barre, Pennsylvania \8701: C. I bequeath the sum of One Thousand Dollars ($1,000.00) to WILOA KRAMER of 373 North 19th Street, Camp Hill, Pennsylvania 170\1; D. 1 bequeath the sum of One Thousand Dollars ($1,000.00) to KERVIN KRAMER of 373 North 19th Street, Camp Hill, Pennsylvania 17011; E. 1 bequeath the sum of \live Hundred Dollars ($500.00) to Sacwd Heart Seminary, Hales Comers, Wisconsin for the repose of soul of myself, my wife, ELIZABETH F. KING, and my SOli, REVEREND WILI.IAM J. KING. I further direct that the number of Masses for such intentions will be determined by the customary offering at the date the bequest is received by the Sacred Heart Seminary. F. I bequeath the large oil painting of the Late William J. Butler, M.D. to Charles Butler Edwards of 57 East Vaughn Street, Kingston, Luzeme County, Pennsylvania; G. I direct that as soon as practicable after my death, the residual of my estate be sold at public auction and I devise and bequeath the residue of my estate, of every nature and wheresOf,ver situate, together with insurance thereon, to MARJORIE G1LOOL Y of Apartment 404, North SI. Clair, Toledo, Ohio; and BUTLER H. GREGORY of West Pike Bay, Loop Road, Cass Lake, Minnesota, share and share alike, or to their issue, per stirpes. ITJ".MA; I direct that my body be buried in St. Mary's Cemetery, Wilkes-Barre, Pennsylvania, next to my wife. 1I!'.M1i: In the event any of my vital organs may be of a.,sistance in maintaining or saving the life of another human being, I authorize my Executor or my next of kin 10 make such organs available to any hospital or medical center for the purpose noted in this Item. However, my vital organs and body shall not be available for studies in the promotion of scientific medicine or medical re.,earch. 'I' (\~ /~,~ ';i ;;,0 Ir.f: DI..~.~IU.SSO.A.'.I.DIA'HA".I. -. 12/3."91.CHICK H.' I;; ",~.?t:;91' INHERITANCE TAX RETURN POVIUYCUDlTllClAIMID 1.I . ....~'W/I_ RESIDENT DECEDENT rill NUMilil .. .. ..... .. WMMO"W'A1H10f PENN'lIYAtIlA (TO BE FILED IN DUPLICATE 1 1l"',RlM'Nl Of ''''HI"' 2 ..9'/.. J OO~ Il^""m.i'b~'."~~\"O'OI . . WITH REGISTER OF WILLS) COUNTY CODe YEAR NUMBER -'-'~.'-" OimifNT'~~~';~'~'~~~~'::~Mi~~~niiiilAii-'-'--"-''''----'---'' 'IrH( ((if.c~~,I';lI\~lllfl').~(I')II:I~lrl;'l~,r);rl~"'^:~ ~l't~/-or~l~~l-:--"-- ..._-_.~ m 10('" ,((ii.il', 'lU'M'" .\"".Of DE'''I . r'It (), ,i"" . 1113Qk07~BO~;7 . ..... ......10/2191\........'1121/18... ( . -." .- ., ,,' .."",", """""" '~''''\lI'''"' I"" "\.,.O""''''''~':''. ...... 'oc'." mU':"NIIM'" COO", "1e)lJ'" ""IV'OI"' '''''.''IION\I_.__.,-_.. [XI " OriginC11 Return r J 2, SupplflmenlOl Rnlurn L J 3, RomCllnder Return (fo, dol.. of deolh plio' 1012.13.82) [] .. lImiled E.'ol' [] 40 fulu,e 101e,..1 Comp<omi," [\5. fed..ol Ellole To, Relurn Required 110, do'e. 01 deolh alTer 12.12.821 ad 6. Decedenl Died T<<I\IOI. [J 7, Decedent MaIntained a llvlng TrUll IAlloch copy 01 Willi IAlloe" copy 01 Trul'l ALLCORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BEDlllECTlD TO, , '. . . , t3ffi NMI1~----- --IO~MAAiNITOORf~-~-----~.- ..._.~.~ . ':1:~~]f:?::.~~:.~:~" .~:~:::--~-~- '..=~=~:~_-_,===.~~,~~~~:~tr!~~1~~~~-27 _-===~~~" R~IJ l!tOO [K t 1/,Ci4l W t- ",,:!'" uf'" ~f9 u~.. z Cl '" :3 ::> t:: !1l III 0: 1. Real E.lo" (5ehedul. AI 2. Stocks and Bondi ISchIH~U:e B) ). Clo,ely Held SlocklParlflenhlp lnlere,! ISchedule q 4. Mortgages ond Notes Receivable ISchedule 0) 5, Cash, Bank Depolits &. MI,celloneous ?er1onal Properly (5chedule EI 6, Jointly Owned Property (Schedule f) 7 T,onsle" 15chedule GIISehedul.l) 8. Total Gron AnelS (Iotol Line' l.7l 9. Funeral Expense" AdminIstrative CoslS, Miscellaneous Expense, (Schedule HI 10. Debit, Mortgage Liabilitie" U.ni (Schedule I) 11. Totol Deductions (to!olllnll' 9 & 10) 12, Net Volue 01 Ellote ILlne B minus line II} 13. Charitable and Governmental Beques', (Schedule J) IA. Net Value Subiect to T3.K ILine 12 minulline 13) 15, Spou,al Tronsfen(lor date, 01 death alter 6.30.94) See Instruction, for Applicable Per(tnloge on Reverie Side. (Include value, from Schedule K or Schedule M.I 16. Amount of line 14 taKable ot 6% rale Ilndude values from Schedul& K or Schedule M,) 17, Amount of line 14 taKable at 15% role (Include value, from Schedule K or Schedule M.) 10, Princlpaltox due {Add tax from Ur,e5 15, 16 and \7.1 19. CrediU Spoulol Povorty Credil Prior Payments ..__ 8, Total Number of Safe Depo,1t 60Kes 'F )':', i. l' 1 ... __._n.-n-.n.n ( 2 1 . 3A._l1D..OD.-n..n ( 31 ..-.----..---.---.-.---.- ( . I ... ---...-.....----- .--------.. 15) ..-.- ..-...--.....--.-. 161__...1..2.7J....4L------ 171_29,02;;JL_..~- ( Q) _}Q&5.h2-L-------- 110) -.--_._------~_.. 19) .._ 67.467.20 1111 __._10,652.38 1121..-?6.814.82..-- 1131 (14) 56___814 .82 <. .0.' ~_-=.O=-_-.-- z Cl ~ ... ~ . Cl .... ---~--_._~ + -------.- 1151 _~814 .82 1161 _._____..____< ,06 = -~---_.._- (171...__.._._.___.____...__..< .15 n -0- 1181 - Oilcount + ~-~-~_..~ - Interesl ----.----- IIQI 1201 _--- ~ ... 20. If line 191$ grl'JatfH than line \8, tnler the differllnce on Une 20, Thi' Is the OVERPAYMENT, a rJ .1II!n...,........_T...n...,....III.I.li1illil..._...~n.,-riln.....I,I.U1J.....11.1.1 2\. If line 18 i, greater than line 19, en'er lh, difference on Une 21. Thi1 i, the TAX DUE. (211 .~----------~ A, Enter thelnteresl on the balance due on line 21A. 121A) ~._~_.-._-~_.. 9. Ente, Ih. '0101 01 line 21 ond 21A on line 21B Thi. i. .he BALANCE DUE. 121BI --------..-. _ M~ke Chec.1e Payable tOl Reg]"" _of Will., Ag~.nt _ ~-- - - _~'---. ~ 'j. BE SURE TO ANSWER ALL QUUTIONS ON REVERSE SIDE AND TO RECHECK MATH ~- Under penolli.. of pe'jury, I declare Ihol I ho," ..omioed Ihi. relurn.. including occomponying "hedul.. and Ilolemenh, and '0 Ihe b..I 01 my knowledge and belief. .1 i. I,,,e, correcl and mple.. I declare .ho' 011 real ..,,'e ho. been repo'led 01 I'" mo,k" value. Declo,olioo of prepor.. olher ,hon Ihe pellonol rep,..enl"'i," il based on Cllllnformati of which prllpoflu hal any knowllldgo. "'l'lf::}j' " '-l N ~.....Iii1IT"U.N-.--'Oo""'.-_.-------.----._.._------ pAl! __- .". . tJlOCtH ,~"-f~'.,.,56.",J)..LCjJ.!!L-~5S.7 1:.?P..LY.1.:J..."",-,--rK.- _.!:.L;{.',/9f .-'- GN"TURt Of PREI'ARER t1~R ltiAN EPRE!tEt-ITATI'/E .4DDIlESS .s....,---./ DA,lE ._________u..~_.__~______,_~~_~____.......__...,~_..____... ----.. .--..~~--...~-....~._...._-_..-- --.-----.-...-.--- ----------.- L ~ -----.........,.'.... _~AME____:~._J..-.----- ____.._AD~~.!!~__.__..._~_____ . A. Elizabeth F. King 381 N. 19th St~eet Carrp Hill, PA 17011 . ,_._,______ .........____ ,,_____.._.~-'m__~ RILATIONSHIP TO DE~!,!!-_ Wife B. C. Jointly-owned property' -~ ITEM L~gIR DATE TOT AL VALUE DECO'S DOLLAR VALUE OF NUMBE JOINT MADE DESCRIPTION OF PROPERTY OF ASSET % INT. DECEDENT'S INTEREST TENANT JOINT I. A 9/24/96 Harris Savi.ngs Bank Checking $2,455.85 50% $1,227.93 Account No. 10-00013135 2. A 9/24/96 Harris Savings Bank Checking $6,086.85 50% 3,043.48 Account No. 10-60-003936 TOT AL (AlIa .nl.r on lln. 6, Recapitulation) (II more spac.'it needed inserl additional sheets 01 .sarno .size) S 4,271.41 January 20, 1998 Henry.F. Coyne Lisa Marie Coyne 3901 Market Street Camp Hill, PA 17011 Ntl~~~1~' 1J;. rr: ~,;:'_....._... . ~ _'~~;.'.'. {"I. I . _..~..' I "I i< i~~\: (.,1 .- -~~'h-"';II u:~~~ ~}~~:~ Harri9 Savings Operations Ct'lIkr 630 North 12th Slr,'e! L.'llloyne, Pennsylvania 17043 .7171731.1440 '1171731.9392 Fax - The i nfOnlD.tion which :'ou !"equer.tarl on the p.ccount (tl) of William E. King Deceased (r,or.lnl S,ncuri. ty Number 302-07-8057 ) is as follo\lrl. Account IlulTlher(~) Cl~s5 of Acccunt D:lte Opened Princi?:ll B:llancQ Accr~ed !ntcre~t Dalance at Dote of Death A~count Owner:;hip Harne of Joint Owne:-. if any Dnte O,,'nnrshi!, WIlS Estnblinhcd Additional !nfor- mation FieCl\ln:1ta~. 10-00013135 10-60-003936 Checldn',J Savings 9-24-96 9-24-96 $2,453.49 $6,086.35 2.36 .50 2,455.85 6,086.85 Joint Joint Eli zaooth F. King Elizabeth F. King 9-=24=96 9-24-96 Please complete the enclosed W-9 form and return it to our office. Thank you. Sin9e'cely, ~ ~4--~C~_ ~e~,. Cale Sr. Deposit Documentation Services Rep. """""'11'11* COMMONWEAL TIl OF P<NNSYl VA/IIA INNF.RITANCf TAX R,1URN RESIDENT OECED~NT ESTATE OF SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS - FILE NUMBER 21-97-1.004 KING William E. Debit 01 decedent mUlt be reported on Schedule I. ITEM .. - NUMBER --' A. DESCRIPTION AMOUNT 1. FUNERAL EXPENSES: Ma1pezzi Funeral Hare $5,2.0.0..0.0 e. ADMINISTRATIVE caSTS: N/A 1, Pe~nal Representative's Commmllns Namo of Parsonal R.pmeolaliv. ('I . Social So<unty Numbe~'11 EIN Number of Pe~onal Representative(,) Street Address City State - Zip Yea~'1 Commission Pa~ 2. Attomay Fees Henry F. Coyne. Esquire 1,.0.0.0..0.0 3. Famlty Examption: (II dacedents address Is not ~e sama as ~alm.nts, attach "planation) Claimant Elizabeth F. Kinq 3,5.0.0..0.0 Street Add.... 381 N. 19th Street City <;il1Tll Hill State PA Zip 17.011 Relationship 01 Claimant ~ Decodent Wife 4. Probate Fees 14.0..0.0 5, Accountants Fees 10.0..0.0 6, Tax Ratum Prepare;s Fees 7, Postage 96..0.0 8. Certified Mail 2.77 9. Legal Advert iserrent - Patriot News 53.61 1.0. Legal Advertiserrent - Cumberland Law Journal 6.0..0.0 1l. ReserVRs 5.0.0..0.0 TOTAL (Also enter on line 9, Recapitulation) S 1.0,652.38 (If more space i, neede<!. Inse~ additional sheets of the same size) 15 .- ,~ JO,~ 'I COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU Of INDIVIDUAL TAMES INHt:RIfANCE 'AIt DIVISION OEPT. U0601 HARAUIUROj PA 111U-0601 NOTICE Of INHERITANCE TAM APPRAISEHENT. ALLOWANCE OR DISALLOWANCE Of DEDUCTIONS AND ASSESSHENT Of TAM DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 05-18-98 KING 10-02-97 21 97-1004 CUMBERLAND 101 LISA MARIE COYNE ESQ 3901 MARKET ST CAMP HILL PA 17011 (~ *' ~IHUIIl'" ,U."I WILLIAM E f--"'-;\JIouni R..itTiCi-""--\ -- .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 ..... REV: isijf -Ex. Ai: p -f ilF 97i" -Noi'-icE - -oF -YN"HEii iTAlic! - 'f i. x. APPRAi lEMENi'"; -A L rowA;ici- iiFi" - --.-....... _.- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF KING WILLIAM E FILE NO. 21 97-1004 ACN 101 DATE 05-18-98 TAM RETURN WAS, (X I ACCEPTED AS F IUD RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE APPRAISED VALUE oFlRETURN BASED oNI ORIGINAL RETURN 1. R..l Estat. (Schedull A) 2. Stock. Ind Bondi (Sch.~ul. 8) 3. Clo'll~ Held Stock/P.~tn.rlhlp Int.r..t (Schedull Cl 4. Hartl.gl./Not.. Rlceivable (Schedull OJ s. C.lh/Slnk DIPosits/Hile, Plrlonal Property (Schedull EJ 6. Jointly Owned Property (Schedull f) 7. Trlnsflrs (Schedull OJ 8. Total A...t. I CHANGED (1) (2) (3) (4) 15) (6) (7) .00 34.pO.00. ,00 . o I!.. .O!l.. 4.271.41 29.025,79 (8) AP~RoVED DEDUCTIONS AND EXEMPTIONS. 9. Fun.r.l F.~p.nBeI/Ad.. COltl/Hile. E~penl" (Schedule H) 1 O. D.bh/Hodg.g. L hblll 11../I.1.nl (Soh.dulo Il 11. Total Deduotion, 12. Net V.lue of Ta~ R.turn 15. Chlritable/GovarnMental BaQU8.tsJ Non-elact.d 9115 Trusts (Schedull J) 14. N.t V.1u. of Eltoto Subj..t to T.. If In ......m.nt w.. i..U.d pr.viou.ly. lin.. 14. 15 .nd/or 16. 17 .nd 18 will r.fl.ct figur.. th.t includ. the total of ALL rRturn. .......d to d.t.. ASSESSMENT OF TAXI 15. AMount of Lin. 14 .t Spou.al 16. A.ount of Line 14 taxabll .t 17, A.ount of Lln. 14 t...b1. .t la. PrincipII Tlx Du. NOTE I rat. Line.l/CI... A rat. Coll.tar.I/CI... 8 r.t. TAX CREDITS. PAVHENT DATE RECEIPT NUHBER DISCOUNT (') INTERESTIPEN PAID (.) (9) liD) US) U61 (7) 10.652.38 ,00 ( 11) (12) (15) 1141 56.814.82 .00 ,00 M ,00, M ,06,- M ,15, 1181 NOTE I To in.ur. proper credit ta your IOCOunt, .ub.it the upplr portion of this for. with your t.x ply".nt. 67.467,20 10.,;,I;? 3& 56,814,82 ,00 56.814.82 .00 ,00 .00 .00 TOTAL TAX CRI!DIT ~O BALANCE OF TAX DUE 00 INTEREST AND.,PEN._ ___.._.._: 00 TOTAL DUE ,00 If TOTAL DUE IS LESS THAN .1. NO PAYHENT IS REQUIRED, IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI. YOU HAV BE DUE A REfUND. SEE REVERSE SIDE OF THIS FORH fOR INSTRUCTIONS.l . If PAID AFTER DATE INDICATED, SEE REVERSE fOR CALCULATION Of ADDITIONAL INTEREST. AHOUNT PAID MESERVATIOHI EDtata. of daoadant. dVlng on or bafora Daoa~ar Il, 1.ll -- If InY futu" Intar..t In the a.tate I. tr.~.f.rr.d in po.....lon or ."jov~.nt to Cl,.. I (ooll,tar,l) b,nafloierla. of the d.oadent eft.r the eMplrltlon of .nv a.tat. for Ilfa or fDr v,.r., the Co.~onw'llth h.r.bv 'MPr...lv r...r~.. th. right to appr.I.. Ind ...... tran.f.r Inh.rlttnc. TIMI. It the l,w'u1 CI... I (oolllt.r.l) r.t. on any .uoh future Int.r..t. PURPOSE OF NOTICE I PAVHENTI REFUND (CA) I OIJECTIONlJ" AIlIlIN ISTRAlIVE r.ORAECTIOHSI DISCOUNT, PENALTY I INTEREST I To fulftll the rlqulre.ent. vI 510\10" lIltO of the Inherltano. and E.tatll Talt Aot, Act Zl 0' 1995. In P.S. S.otlon 9140), D.hoh the top portion of this Notlo. ami .ub.1t with your pay"ant to thl RIghtlr of Will. prlntld on tha rlv,," "d.. ..Hlkl oh.ok or MonlV ol'dlr paYlble tOI REGISTER OF MILLS, AGENT A r.fund 0' . \1M or.dlt, which w.. not requ..tllld on the TIIK A.turn, aay b. requ..t.d by cOMPl.tlng In "Appllc.Uon for A,fund of ~.nn.ylvanle Inh.rltano. and E.tat. TeM" IREV'131]). Application. ar. Ivalllble at thl Offlo. of the AIghter of W11l1, .ny of the Z3 A.~.nuI Dlstriot Offloll, or by oalLlng the IIpecl.1 ZIt-hour en.w.rlng ..rvlo. nuab.r. for for.. orderlngl In Penn.vlvlnl. 1.800.362-20S0, out.ld. Penn.ylv.nl. and "!thin local tllrrhburu erll (711) 787~8094, TOO' (117) 772.ZZ52 (Il.lring IMP.lr.d Only), Anv p.rty ln Inter..t not .Itl.fl.d ~Ith the Ippr.l,.I.nt, allow8Ocl or dl.nllowancl of deduction., or ..,....an' of tlM (lncludln, dt.count or lnterl.tl I' .hown on thl. Notlc. MU.t obj.ct within .INty (60) dlY' of rlc.lpt of thlt Notlo. bYI ~~wrltt.n prot"t to the PA DIPart..nt of R.v.nu., Botrd of App..h, DIp\' lIto21, tlarrhburg, PA ...llctlon to hlv, the ,.tt.r dltlrlln.d at ludlt of the 'c~ount of the plr.onal r.pr...ntatlv., ~~lpp..1 to the Orphen.' Court. OR 17128~102l, OR Flotual .rror. dl.cov.rld on thl. ........nt should bl ~ddro...d In writing tOl PA D.part..nt of R.v.nu., Bur.." of Indlvlctu;)l Tllil'" AnN: po.t A.......nt R.vllw Unlt, D.pt. 280601, tlarrhburll, PA 1712t'0601 Phon. (717) 787-6S05. S.. P'II' 5 of the bookl.t "In.tructlon. for Inhorltlnc. TaM R.turn for I R..ldlnt D.c.d.nt" r.REV~1501) for In .Mpl.nIUon of ad.lnhtr.tlvaty corrlctabl. error., If eny t'lil due I. paid within three IS) cII.nd~r .onth. .ft.r the d.c.dent'. uaath, . flvl perclnt (5%1 dl.count of the tlM p~ld I. Illow.d. Thl 15% tllil lan..tv non-plrtlclpltlon p.nelty I. cOlllput.d on the totll of the taM an~ lnter..t .......d, .nd not paid blfore Jlnuary la, 1'~6, the flr.t dlY .ft.r the ,nd of the t~M .In..ty p.rlod. Thl. non-p.rtlclp.tlon p.n.lly I. app.allbl. ln the .... ,.nn.r and In the the '1.' tt.. period I' y~1 would appe.1 the t.M and Int.r..t that ha. b..n .......d .. Indlclt.d on thl. notlc.. Int.r..~ 1. ohartld blul"nlng with flr.t day of d.llnqulncy, or nln. (9) ~onth. .nd on. (I) d.y fro' the detl Df d.eth, to thl d.t. of p.y..nt. TaK" which bICI.. delinquent b.for. Jan~arv I, 1~8Z bllr Int.r_.t .t the r.te of .IM (6%) p.rc.nt p.r Innu. clloulat.d at 0 dallv rat. of .00016~. All taKI. whiCh b,ol., d.llnqu.nt on and eft.r JantJIrY 1, 1912 will b..r Inter..t It " rat. which will varv fro' callndar Yllr to ,-..,llndar vear with that r.tl announc.d by the PA O.p.~t..nt of RlVlnu.. Th. appllclbl. Int.r..t rat.. for 1982 through 1'98 Ir., '!!!!: lntar..t Rat. Ollly Int.relt Factor l!!! !!l,terut A.te !!.!.!.U. Intlr.., rlCltnr 1982 20% .00054' 1987 IJ% .000247 1.83 16~ .000418 1988 '1991 11~ .000301 1984 11% .000301 1992 9~ .000247 1985 U~ .l}On3S6 19f1!-19'4 1% ,1)00192 1986 10~ .000214 I99S-1998 .~ ,000241 --Interllt I. Cllculat.d .. folloMI1 INTEREST' BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINqUENT X DAILY INTEREST FACTOR -~Anv Notlo. I..ued aft.r the taK b.eo... d.llnquent will r.fl.ct In Int.r..t calcul.tlon to flft..~ (15) d.v. b.yond the data of the ........nt. If p.y,,,"t Is IIde Ifter thl Inttrelit co.put.tlon dlt. .hGwn on th. Nottel, .ddltlonll Interllt ltU.t be c.halllt.d.