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'>>E'I'ITION FOR .>>IWIlATE and (;RANT OJ.< LETTERS
ii'fclIl' qi' 1:;:.(.'\\ G .~,\\'. No. J.l ~ Ill,.,'" - 1022.._
al.\() klloll'lI a' 10:
Sol'/al St't'lIl'iIY No, \ ~lu i.~
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Regblt'l 01 \Vilh 101 Ihe
('OlllllY 01 in the
('OllllIlOIl\\'ealt II of Pt'llllsylvunia
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nflN l'\l\'.'utlon of lhl' will orkrcd 1'01' prohate..'; wa\ llotll1\,' \'k,tilll nf i1ldllil~g ami \\'ns never adjudicated
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(Ii' dlllllieikd ill I'a,) 1\11 pl'lsllllal proPl'r1y
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(Ilnnl dotllkih:d ill Pa,) 1>'-,1'-...011<11 propL'rl~' In County
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OATI-I Oil 1)lmSONAL REllRESENTATIVE
COMMONWEAl-HI OF I'ENNS\'I.V ANIA
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lati\'l'(\) (11 I Ill' ;d10\l' dl\'cdl'lli 11l'litinlll't(q will wl'lI alld lruly adlllllll\ll'l the l'S!Htt.' a('cntding 10 law.
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COMMONWEAUHOF PENNSYWANIA' OEPARTMEln OF HEllTH' YITAl REOORDS
CERTIFICATE OF DEATH
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cJ I ~ jCjcn- 1022
REGISTER 01<' WILLS 0.' -- COUf\llT\'
OATH OF SUBSCRIBING WITNESS
-----------
" .._~_...._._........._... .__.._._.-_.-.-.._......~--_.... .._.... .._m__-'-// ,
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(each) a sUbscrib~~ness to the will presenled herewilh, (eilch) heing duly qualifi according to
law, depose(s) and say(s~t ._..~......_....__.___.._.__..__._..._._-_._.- .. present and saw
the te-;;-=--=..., Si~~.;~.;~;:a;=.=:~==-:===:-..=~..~,ig;~ed ~~;--:itnes;~t th~
request of tcstat__ in h....__.._ pres cr and (in the presence of ea' other) (in the presence of the
other subscribing witness(es)),
Sworn to or affirmed and subscribed bdore
me this ___'---'~ day of
19____
-------..--.---
(NlIl1le)
~-
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(Addr~"s) ~..
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REGISTER OF WII.LS OF Clir(\r~LF<'II~N f) COUNT\'
OATH OF NON.SUBSCRIBING WITNESS
.B..~~ '\,) \ \ili2'JC.__._-_L'/f /] m& .J=-, ('L) L 1- / 0y,lv)
(cl\ch) a. subscrib:~' hereto, (cach) being duly qualified according II': law, dcpo~e(sli.anq say(s) that
~'l.)' b..sL:~--._- familiar With the SIgnature of ~c\_ C ~W&;y-,
.L..~ ,.at'; codtCf['
testa~ of (one of the subscribing wilnesses 10) the wi\l presented herewith and
codieil
that._ '''\j.,\ "'.-\ ._,__...... believes the signalure onlhe will is in the handwriting of
\
'; . .. ,'. \ \
<.... "< \ ._l~L..~..";~.,,;\.L00.--~~--_.._.._....-...__._._---.-..-
to the best of .........r",,::...-- Knowledge and helieI'. . '. ,
( l" .l\\
Sworn to or affirmed ami subs,'ribed before ......~...._,,~=-....~d~UJlJU \,1"'"
h' }O fit I' \
me t IS .J-_-.-............ lay 01 .. ' (Name} \ \
~;:;.~"@~~, I"-,vii J;~;;JpI4i;7i"~:-'v,,'~;;.. ~;, ,II C'''"' "="'1
IY\I\~i.['W\:) R~!(isler v l.j'yt~.j})?/;-~ ....l-<:L.CJ-:c-1/7:1>~
..C?jJj!........!:!..L~Nal7~ 1'1 LJ!J~---
(.4 ddress)
> > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < <
Under penaltieS of pe~ury, I declare thai I havee.amlned this relurn,lnclllding axompanying schedules and statements. and to Hm 0051 ot my kllowledge and bellOl, illS Ir\lo, corrl'C1 and completo {>N:lilflltlon \~f prfloaror olhor
~onal feoresanla1ive is hased on all information 01 which nreQi!!llJ]ilS IWW knowlfldao,
STURE OF P1S0N ~ONSI l FOR FILING RETURN. ADDRESS
C -\ \.j ; I i.', J,~...L.:.._ll1'\ ~ \t; i,
SIGNATURE OF,.PR.EPAR..t.'R OTHER THAN REPRESENTArIVE ADDRESS
<..y"-H'UYtIH.'
~
II!
~
I
u
z
~
)(j$
i!i::l
A.
~
o
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,::(;)., I - Cj'
./
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IlfVteooex"(111) j~t
COMMONI~SYlVANI^
DePARTMENT Of REVI'NlIE
OfPl1eOllOl
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
.
FU NUllIliR
2 t 9
7
o 2 2
I
Df.CEOfNT'S If (lAST, FIR~T, ~D MID If: INITIAL) U~ "bl.n~ I)/O(J to "lllW'" Wl)/d'l
-
!z
w
fil
o
~
D i 1. 1. e l'
SOCIAL STCURlrTN'UIffiEn
E i1 r 1
OATFQf Ob~IH
G
---oAiE m- III1WI
186-28-2',46 12{11/199
(If' ~fll fJ SURVlVlN(I SI'OlJSfS NMIl' (LAST, FIRST, AND MIDDLE INITIAl.) SOCIAL Sr:GURIl y tlUMBER
7
4/2
81 19 I I 0
[HIS RHURH MUST sffilEii'iNiiilPllCATE wiiHTHE
REGISTER OF WILLS
---.-----
!X.k1.0riginaIReturn 02. Supplement<lIFl(\tum 0 3_ RemalnderRelum(ddtllofdell!tlplwl<'~}l~"18}1
o 4. limited Estate D 4a. Fulure Interest Compromise (<1a1&ofooalhaltel 1}.IH2l 0 5. Fttdeml Estate TaK RlItum Required
iii 6. Decedent Died Testate (Al\a':hCOfl~ OlWHlj [] 7, Decedent Maintained a living Trusl (Mar.Il~O!l~ ofTMI~ ._~ 8, Total Number of SMe Deposit HOKon
o 9. litigation Proceeds Recei\led 010. SpOlJ!lal Poverty CredltldatllQlooaltlboun 12,31.91 and 1.\.95) 011. Election to t31( under Sec, 911J(A) (AlIM;hf;;l;hOJ
THis SECTION MUST BE COMPLETED, ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIReCTED TO:
NAMf: COMPLETE MAILING ADD~ESS
Ann A. SUllivan
FIRMNM1E IlfAppllClIbl6l
2202 M01'rimac AVQ,
Mechanicsburg, PA.
17055
TELEPHONE NUMBER
1. Real Estale (Schedule AI
(1)
,.-,CI
, .
2. Stocks and Bonds (Schedule BI (2)
3. Closely Held Corpo'allon,Pertne"hlp or SOle.Prop,ielo"hip (3)
z
o
5
;:)
I-
~
U
W
IX
4. Mortgages & Nole' Reoolvable (Schedule D)
5. Cash. Bank Deposits & Misoollaneous Pe"onal Property
(Schedul, E)
6 Jointly o.nod Property (Schedule F)
7. Inler.Vi,os Transle" & Mlseeiianeous Non,Probate Property
(Schedule G or l)
B TOIAI Gr... A..eto (tolallines 1.7)
~, ,
4 7 4 6 1 4
,
'i
\)!
(B) - 4 ,7 4 6 1 4
.
1,4 7 2 .7 3
{41
{51
(61
(7)
g. Funeral Expense, & Adminlsl"ti.e Costs (Schedvle H)
(9)
(10)
10 Debts 01 Deoodent, Mortgage liabilities, & liens (Schedule I)
11. Total O.ductlono (total line, 9 & 10)
1 ,4 7
3 ,2 7
2
7 3
4 1
(11)
(12)
(13)
12. Net Volu. of EOlate (line 8 minus lina 111
13, Charitable and Governmental BeQuests/Sec 9113 Trusts for which an election 10 WI( has not been
made (Schedule J)
14, Net Vatu. Subject to Tax (line 12 mlous line 13)
15. Amounlollioe14 Iaxable
at the spousal tax rate I I
See instructions on reverse side lor applicable percentage
10 Amount 01 line 14 taxable
01 6% rate 3 ,2
17. Amount ollin. 141axatil.
at 15% rate
3
273
,
4 1
(14)
3
x ,0
(IS)
, 1 9' 6
40
7 3
4 1
x .06
(161
(\71
(IB)
4 0
x 15
-
.--
18. Tax Due
, 1 9 6
19
, \
\\,. h", ,~,
:t~b~
DATE
I
~'.,\~()\
\ i "-- ~'."
II:.
Del:edent', Comjll.~~.Mdr_lI~~L
STm;rr A[I(lI~f :I~J
2202 MDrrimDc Avo.
MI)CllilnJ. cs bur\l
~SlAl~!I
TFr, liP
.I. , 17055
Gill
TIX Peymentl end Credlll:
1, Tax Due (Pagu 1 Line 18)
2, CredllslPaymenl,
A. Spousal PovMy Gredlt
B. Prior Payments
C, Discount
(I)
196.40
Tolal Credlls (A + B + C) (2)
3, InteresVPenally If applicable
D. Interesl
E. Penalty
TotallnteresVPenally (D + E ) (3)
4, If line 2 Is greater Ihan line 1 + line 3, enler Ihe difference, Thl,l,lhe OVERPAYMENT,
Check box on Pegel Line 19 10 requltt e refund (4)
5, II line 1 + line 31, greater Ihan line 2, ente, the difference Thi, i,lhe TAX DUE, (5)
A, Enter the Intere't on Ille tax due. (5A)
B. Emer Ihe tolal of Line 5 + 5A. Thl,l,lhe BALANCE DUE, (56) _ 1 q h 4 n
Make C/Jeck Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTiONS
BY PLACING AN "X" IN THE APPROPRIATE IlLOCKS
1, Old decedent make a transfer and: Yes No
a, retain the use or Income of the property transferred; "",,,,.,,,,,,,,,,,,,,,,,,, """" " " '" " " "'"'' " " , 0 [j
b, retain the right to designate who shall use the property transferred pr Its Income; ,,'''''''''''''' 0 [)
0, retain a reversionary Interest; or"",,,,,.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,..,,,,..,,,..,,,,,,,,,,.,,,.,,,,,,,,,,.,,,,,, 0 [3i
d, receive the promise for IIfa of either payments, benefits or care? ,,",,"'"""" " " " "'" " """ " " 0 [)
2, If death occurred on or before December 12, 1982, did decedent within two years
preceding death transfer property without receiving adequate consideration? !f death occurred
after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate con~lderstlon? .."""".."".."..""."""""..""",.., .....""""..,,,,....,,......,,,,,,, 0 Q
3, Old decedent own en "In trust for" or payable upon death bank account or security
4. ~tl:l:e~~~:~~:~~:~I~di~ldual retirement ac~~~~i:~~~~it;:~;~th~;~~~~p;~;;~;~~;~~~rty?:::: B ~
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FtLE IT AS PART OF THE RETURN
, ' '", , 'I". .,' .
72 P,S, ~9118 (a) (1,1) (I) provided for the reduction of the tax rate Imposed on the net value ollransfers to or for the use olthe
surviving spouse from 6% to 3% for datee of death on or after July 1, 1994 and bafore ,January 1, 1995,
72 P,S, ~9116 (a) (1,1) (Ii) provided for the reduction of the rate Imposed on the net value of transfers to or for the use of the surviving
spouse from 3% to 0% for dates of death on or after January 1, 1995, The statute does not exempt a transfer to a surviving spouse
from tax, and the statutory requirements for disclosure of assets and filing a tax 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 question by placing an "x" In the
appropriate space,
Old the deoedent crelte I trult or slmlllr arrlngemant which Is aolely for the lurvlvlng apouae's benefit for his or her entire
lifetime? Yee 0 No []
If you answered yes to Ihe above question, the tax on the trust or similar arrangement is postponed until the death of the second
spouse, at which time It will be fully taxable al the rate(s) applicable to the remainder bene~clary(les). Enter the value of the trust on
Schedule J, Part II, In order to remove It from the calculation of the tax due in this estate. 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 arrangement Is taxed In the estate of the
first decedent spouse, the portion of the trust or similar arrangement which benefits the surviving spouse Is taxed at the zero tax rate,
and the remainder Is taxed at the rate(s) applicable to the remainder beneficlary(les). If you choose to make the election, you must
attach Schedule 0 to a timely-filed lax return, along with Schedule(s) K and/or M In order to show the appol110nment of the trust or
similar arrangement between the surviving spouse and the remainder bsneficlary(les).
..v.,.."',,.".
COMMONWEAl'IH OF Pf.NNSYLVAN,A
INHERITANCE TM RETURN
,0,
SCHEDULE E
CASHl BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
FILE NUMBER
.-11.21_) 0 22
ESTATE OF
Indud. the pr()(8.dS 011lt9811On snd the dot.lhe prooood' W.,8 ,.."Ivoo by Ib8 8.1a1. All prop411ty jolnlly,.wned wltb the right of tUNivolthlp mutt be dl..land on 80heduIt F,
-iTEM- -------' VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
--,----~- -.------- -...----'
1,
Diller
Earl G.
--------...---
Blue Cross Refund
cumberland Valley Co-op
Refund Irrevocable Burial Trust
255\,66
100.\ 5
60.00
203'1. 33
Chec'd nCj 1\CC0\\f\t
TOTAL (Also enter on line 5, Recapitulation) ,
(If more space Is needed, Insert additional sheets of the same size)
4746.14
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
15 ,);(/- 9
IUREAU Of INDIVIDUAL TAMES
IIIfiAITAHtE lA~ DIVISION
DF.PT, zaOlt.l
HARRIS.UNO, PA 1712&-0601
C-/
NOTICE OF INHERITANCE TAM
ArrRAISENENT/ ALLOWANCE OR OISALLOWANCE
OF DEDUCTIONS ANO ASSESSMENT Of TAM
06-15-98
IlHLER
12-13-97
21 97-1022
CUMBERLAND
101
E A.OuntR"=_~
MAKE CHECK PAVABLE AND REMIT PAYMENT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE .... RETAIN LOWER PORTION FOR VOUR RECORDS -4
iiEY:i547-i'"X-Aj:ji-l'i19:97Y-iilifiCr-oniiHERii'AiiCi-TAirAPjijiAisiMiiir;-m.-owiiNci-oli-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
EARL G FILE NO. 21 97-1022 ACN 101
DATI
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTV
ACN
ANN A SULLIVAN
2202 MERRIMAC AVE
MECHANICSBURG PA 17055
ESTATE OF DILLER
TAM RETURN IIASI (X) ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN
1. R..l E.t.t. ISc~dul. A)
2, Stock. end lond. (Schedul. II
3. Clo..ly Held Stock/p.rtner.hlp Int.r..t (Sch.dul. C)
4. Mortg.ge./Not.. R.c.lvobl. (SchedUl. D)
S. C..h/Bank Deposita/Hi'c. P.r.o~l Property (Schedule E)
6. JointlY OWned Prop.rty (SchedUl. f)
7. Transfars (So~dul. Q)
a. Total A...ts
(1)
(2)_
(3)
(41
(5)_
(6)
('TJ
( ) CHANGED
,00
.00
.00
.00
4,746,14
.00
,00
1111 _
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral E~pen.../A~. Costs/Hi-c. E~p.n..s (Schedule Hl
10, Iltlbb/Hodg.ge LI.blllU../LI..,. (Schedul. II
11 ' T obi DeducUon.
12. Net V.lu. of T.. R.turn
13. Ch.ritabl./Gov.r~.nt.l eaqu.st.; Non-elected 9113 Trusts (Schedule J)
14. Net V.lue of E.t.t. Subjoct to T..
1,472.73
,00
(11)
(2)
(13)
(4)
(9)
UO)
'*
tn-IU1U'" I"""
EARL
G
DATE
06-15-98
MOTEl To insure proper
credit to your .coount I
suhtlU the upper porUon
of this fOrM with your
tax p.y..nt.
4,746.14
1 .47? '1?t
3,273.41
,00
3,273.41
If .n ........nt w.. 1..ued pr.v1ou.1Y, 11n.. 14, 15 and/or 16, 17 .nd 18 will
refl.ct figur.' th.t includ. the total of ~ r.turn. .......d to dat..
ASSESSMENT OF TAXt
15, AllOunt of Line 14 .t Spousal r.t. US)
16. Aoount of Llne 14 t...bl. .~ Lln..l/Cl.ss A r.t. (16)
17. AMount of Line 14 t...bl. .t Coll.t.r.l/Cl... 8 r.t. (17)
11, Prlnclp.l T.. Du.
NOTEt
TAX CREDITS I
PAVMENT
DATE
3-20-98
----
RECEIPT
NUttIER
AA269877
DISCOUNT (.)
INTERESTIPEN PAlO (-J
~OO
.00 M . no:
3,273,41 M ,06:
.00 M ,IS:
UI)
AHOUNT PAID
196,40
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
.00
196,40
,00
196,40-
196.40
,00
.00
,00
. If PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION Of ADDITIONAL INTEREST,
( IF TOTAL OIlE IS LESS THAH n, NO PAVMENT IS RE8UIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), VDU MAV IE DUE
A REFUND. SEE REVERSE SIDE OF TNIS FORM FOR INSTRUCTIONS,)
'Om
n'4:;
....
~
l'>I
0..
f'.
..-
f}
'\:: <(
:JQ;
:)
Ii
Cj '-r') '_.i.i
U (lJ ~ ~
&!rr.: ~ ..:l!~
RESERVATION I Eltat.. of cMoedenh ~W on or before 0.0-"" 12, .982 MM If Ifl~ future intar'lt in tM ..ht. II t"M.ferred
An pa.....lan or enjoy.-n~ to Cl... . (coU.te,.al) ~fiol.d.. of ttMcMc_nt .ftar the '1IlCpJraUon of ..~ ..t.t. far
Ufa or fa" y..rt, tM COMOnMtIllth twrMiy Ixpr...ly r...rv.. the right to 8pPra", WKt ...... tr"""f.rInherItWlCI hlC..
.t the l..ful Cl... . (eoll,t.,..U tlta on eny .uch future lntar..t.
"I
U
.~
_OF
NOnCE: To fulfill the requlr-..nb of S.ot1on 2140 of thl Inh.rltWlCI and Est.t, hie: Aot, Act 21 of 1995. (12 P.S.
Sft<ItJon 9140).
PAYMENT: o.htoh the top portion of thh HoUee end goo-It ..Jth your PIYHnt to the Aqhtar of W11l1 printed on the ravlrn llde.
M_.... c:tMck or ItOMY artklr payl!bla tal REGISTER OF MILLS, AUENT
REFUND (CR): A r.fund of . tllC oredit, which Mal not reque.tld on the Tax R.turn, ..y b$ r.que.tod by c~l.tJng In ftApplioatlon
for R.fund of Penn.y1vanla Inheritance and E.tut. 'eMft (REY-l]l]). App1loatlon. ar. .valleb1. .t the Offl~.
of the Regl.t.r of NIII., ~y of the 2~ Revenue DI.trlot Office., or by oa11lna the spacial ?'4-hour
an~rlng .ervlce ~r. for for.. ordMrlnal In Penn.ylvanla 1-800-562-2050, out.lde PMnnlylvenla ~
within loc.1 Harrlabutg ar.a (717) 787-a094, TOOl (117) 772-2252 (Hlsrlnt IMp. Ired Only).
OIJECTl0NS1 Any parh In Inter..t not .aUlflltd wJth the eppnhllHnt, .UOtifance or dls.llowanc. of Hductlon., or .........,t
of t.x (lnchldlna disoount or Int.r..t) 611 'hoNn on this Notice .u.t obj.ct within .bty (60) day. of rKelpt of
thl, Notice bYI
--written Frot..t to t~ PA o.part-.nt of Revenue, .oard of Appeals, Dept. 281021, HarriSburg, PA 17128-1021, OR
-...lecUon to hava the .atter _ta,'.lned at IlUdIt of the ItCcount of the "tllonal rapruent.Uve, OR
~"~I to the Orptwn.' Court.
AD.m~
lSTRAlIVE
CORRECTIONS;
Factual arror. dlscov.red on this ........nt .hou1d ~ ~r...ed In wrlt~ng to: PA o.patt.-nt of R.venue,
lur..u of Indlvl~l "Me., ATTHI Po.t A8...-..ot Aavla~ Unit, Dept. 280601, Harrl.burg, PA 17128-0601
Phone (717) 787"6505. s.. p~ 5 of ttla booklet ftln.tructloo. for Infler Itenca 'aM R.turn for a R.ddent
~t.. (REY-1S0)) for In .Mpl_tlon of edelnl.tratlv.1y correctable .rrorit.
DI$CCQIT J
If any tax due i. paid ~Ithln thr.. (3) calender .unth. after the dlc~t.. death, a fiv. "rcent (S~) di.oount of
tM hx p.ld .. aUOlIted.
PENAL TV I
The lS~ tax ___.ty non-partlo1paUon penalty h OOltpUted on the total of the tax and Inter..t ......ed, .w not
paid before JWluary la, 1996, the fir.t day aft.r the .nd of the tax ..,..b parlod. This non-participation
penalty II appeelMJl. In the .... .....er and In the the .... tiee per lod a, you would appe.1 ttM taJIC end Inter..t
that ~. bHn ......ed .. Indlcabad on this notlc..
INJf.AE:STl
lnt.,...t It charted beginning NHh Utlt day nf delinquency, or nlOl (,) aonths .-nd one U) day frOll the data of
death, to the det. of pay""t. Texes which He... cMlInquant before ~ry I, 1'8t bear Inter..t at the rat. of
.Ix (6X) parcent per ~ calculat.d at . daIlY rat. of .OPOI64. All tax.. whloh b1c... delinquent on and aft'r
.-.nuary I, 1982 will ....r Int.rest .t a rat. which will ",a,'y frOll calendar yaar to c.lendar !II.ar Nlth that rat.
announced by the PA o.part.."t of Aevenue. The appUctable Inter..t rat.s for 1982 throuth 1991 at81
'I.!!!: Int.r..t Rat. Dally lnt.reat Facto! :!!!! Inl.,.,t Rate Dalb Interest Factor
,... ZO~ .OOO~8 1987 .2 .0002"7
1..3 16Y. .000"58 1988-1991 11% .000301
'984 112 .000301 I'" 9i: ,OOOl47
1985 U;C .000356 1993-19114 n .00019?
1... 10% .000174 ICJ9~-19'a 9% .000247
--lnter"lt I. calcul.ted .. follows I
INTE~EBT . RALANCE OF TAX IINPAID X NII"BER OF DAYS DELINqUENT X DAIL~ INTE~EBT FACTOR
--Any,Notlc. luuod .fter the taK baCON' delinquent will reflect an Inter..t calculation to flft..n Us) MYS
"'Yond the data of the ....UUllt. If p.yaen't Is laM eftar the lnter..t cOllPutatlon deta .hown on thtt
Notle., additional lntar..t ~.t b. caloulated.
STATUS REPORT UNDER RULE 6.1~
Name of Decedent! Earl G.
Dillor
Date of Death I 12/1]/97
Will No.
]9<)7-01022
Admin, No. 2197-1022
Pursuant to Rule 6.12 of the Supreme Court Orphans'
Court Rules, I report the following with respect to completion of
the administration of the above-captioned estatel
1. State whether administrat ion of the estate is complete I
Yes X No
2. If the answer is No, st.ate when the pe=-sonal
representatillQ reasonably believes that the administration will be
completel
3. I f the answer to No. 1 is Yes, state the following I
a. Did the personal representative file a final
account with the Court? Yes_~ No
h. The seplH'ate Orphans' Court. No. (if any) for
the personal representative's account is:
c. Did the personal representative state an
account informally to the parties in interest? Yes X No
d, Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be attached to this report.
Datel ~ 6/?~{9B
'0 r;./ ')(.L
5~ C'j
,'-,' ~ ".
Ll,
f'j-
~ "
".:1 U
M&: ~ 'v
8~
C).... (1
Signat.ure
Ann A, Sullivan
Name (Please type or print)
2202 MorrimHc Ave.
Mechanicsburg, I'll. 17055
Address
~ \\
~J..klnA....
(717) 7()fl-l~:l6
Tel. No,
Capacity: __x--personal Representative
_____Counsel for personal
representat i ve
(MAH I rmfl AM3)