HomeMy WebLinkAbout79-00372
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PETITION FOR LETTERS OF ADMINISTRATION
IN '1'11I': I':I.;'I'A'I"'; OF S~Oc;1Y.JI~il.thQ,~~Y . ...,..".... I 1I,;n;AHIW.
'I'll ,,,R~,Qb.I'\~~..,Il1...,/'),oc;1~,h,~9,n.,.....,.,....,.......,.. .'" ...,..
HOlIlHtllr of II'IIIH fOI' 11111 ('ollllly 01' ('lIl11ll1'l'llIlId, ill Ihl! ('01l11110111l'l!lIllh "i' ""'1111",1'11'1111111,
'l'tw I'lltltloll of ......W.i;1,.,~.:\,ilm,..Q",',Wil,f!,j;.J.'!olrly", ....,..""."........,....,......,..",,,..........,..,,..,,..,,,..
"",,,,,,,,,,,,,,,,....,,,,,,,,,,,,,,,,,,,,,,,,,, ,,,,.,, rUHlllldfllll\' ~hll\l'l!1 II Ihlll ...,s,flndy...JiQ/;\thlilr,ll{"",,,,..,,,,,,,,,,,,,..,,,:,,,,
II t f ...Q"........" 'l'llwlI~hll> (' I 1'1 I (' I II" Htllto nf 1'01lIlH\'I.
WIlH II rOH (011 0 '"'',,''' M"'''''''''''''''''''''''''''''''''''''''''lbuUIlXk . 1I1111l! 111111 III ,..' . '
vania, and a Citizen of Unltlld flluto~, Ilnll 11011ll1.t(l(11 hi" Ilfo 1IIIIlHIIIlll III \III! ('ollllty of
""1\'lams.."""..""",,, .", unet State of "..1?,enns.~,l",n.t";l..l.'\"., """,.,." .", ,,,,,,,,,...,,.,,,,,,,,,.,,, ""'"'''''''' ""'" "",,,,,,..,,
on .".s),\o.c;1~y."",..,,,,,,,,,,,, tho ",S,1;l;\"""""""",,,,,,,,,,, 1111,1' of ....l\,P...;l.,l""""",,,..,,,,,,,,,,,,,,,,,, A, D.. 1\l:7,~",,,.
lit tho age of ""M,,,,,,, \'oars,
'rhat the Raid ,,,,,,,,aaoo7",,H61a,the;x;ly,,,,,,,,,,,,,,.........,,,,"" II11CIOU"OlI, loft HurvlvhlK tho followlllK
named widow or llURhlllld. heir~ alld noxt to kill, tll Will
Nume
Hollltllllll\hll>
HeRhlollce
R.D. 2, BOX 307, Miller Blvd.
"MaQn.ill:\~' Olilb.ur,g, ,. " ,P.I), " ,1,7, 055,
,...w.;q~,~~,m "9.,\,,,~~,,!\ ~,n~!i,;1,'i.""",
~1.:~,i4'r"CJ,\"I:-kcH.4:r;~t,t.r
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. .MP.~>:'\~,;. ..,;. ,. ,. ." .." ",."..,
. ..(.a".m~" .f),a, ..f!tbhnl.et .)".. ..... "...... ,..,..
""".,.,.,."."....,.""..'H"'.'."'.....,."."'.,,",','
,......,,,.,..,....,,,..,.,,..,,,,,,,,,,.,,,
"f.'''.''...""."."......."..,.........,...,,,.,,,,.,.....,
,
",.,..............,,,,,,,..,,,,,,...,,,..........,,.,,....,,...
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,."""".".,,,,,,,...,....,,,,,,,,,..,....,.,,,,.,.,..".,..,
.".....",.,.,......,...,.",,,,,...,,,,,.,,,.,,.....,,.,,.",.
.,,,'...,,,,,,,,,....,,,......,,,,,,,,,,,.,,
"";...,..,,,,,,,...,,,.,,,....""....11"""."........,...,
.......,...",.""......".",,,,,.....,,,,,,'.'..'1"'"".,..
..,,,,,,,,,,,,,,,,.,..'...,,,,,,,,,,,,.,,.,.
"""......""..""'''..''."""""".....""."....,..,,,
""""""""""",,,,,""q.""""""""""'",...",
.."...""".........".,,,,,,,,,..,,......
".."".""..,,,,,...,,.,,....,,...,,,,..,,.......,,...,,,,,..
..."...'.....'''...''...'.'''''.,'....'...'...''........'...,.,.
...."..."..,...,....""...........".....
......."..,.",...."...".....".........."".".......'.",.
".......,.."....,..,...",.."..,;""...".".....",..,."..
.",,,,,,,,,..,,....,.,';..,,",'..,,"",..,
,..........,..,,,,,,....,...........,,,,,......,.,,..,,...,,....
That thoso abovo named Includo al\ of tho Ilext of kin. RO fal' aR known,
The Raid d~cedent waa pos~eRRml of pcrRonal proporl,Y to the IlsUmntod vnluo of $"",JoH?!'),~"""",,......,
and of Real I.JRtale, 10RR Ineumbrllnce. 10 the ostlmulod VII\UI1 of $",,,I'ilan~,,,,,,,,,"""'" IIR nOliI' IIR Clln 110
ascertained,
That the Ruld ROlli '~l\tllte In no far liS IR Imown IH loclltod In ,,,,,N,o,t,,41ppliClal;lle,,,,,,,,,,,,.,,,,,,,,,
.......""".......,.....""."........"......."..,........,.,......"..,.,...,....,,,....,,,,,..,,.,,,,..,...,...,,,....,,......,,..,.,,......,...'''''.H..................."""
Therefore, your petltlonor(lI) I'enpectfully IIJlPly(los) for Lettol's of Admlnl"tl'lltlon In tho above
named estate,
Dated "J,un61 ",13. "" ,,,,,,,,.,, ",,"'"'''' " , A, I.J,. 1\1"7,9,,,
Signaturll unet Addl'CSH
of Petltlollcr(H)
t. This is a wrongful death actio~
,~d..t:.#~'1f.fr.G.'lft.,~"~~~"",,.,
William O. Heatherly I'
R.D, 2, BoX 307 Miller Blvd.
;,.,..""""...",.,..""......."....."",.........,(",............,,,........,,...,
Mechanicsburg, PA 17055
.".,......"................"..,...".,..".,.,..........."...............,.,..."..,
,.
".".",."...,.,..,..........,.,..".",..,...""."....""..",.".,.."'1"""'"
COMMONWEALTH OF pr~NNSYLVANIA 1 '
RR:
COUNTY OF CUMBERLAND .
... .... .,.. .W,:J,.t*,;p,.,W., .0. ^ ".J~~~. t:O~;,.~y'..,.." ..,...",.,.,.., """"" "."" .",.,;,.... ,~,,,.,..,',.,. ." ,.,., ,......, ,; ,...,.... ,..... '. ,..,. HAmed
In tho IIbovo application holng d\ll~' ",~W,Q~o."."""."",,,,,,,,,,,,,,,,, 1I0col'dlnll to lilli', sa\' thot the factn 80t
forth In the ahol'e appllclltlon IIrc tr\lo to tho h"Rt of "his,,,,,, 'I,w)l'ledllo IInd bcllef. -+'
,,,..,,,,,,,awor.n ,'''''',''''''''''''',,'',,'''''' und subRcrfhod 1 ",~t'ae:rk~~:f,;,(T:I,~t2~l,~"
before me, \ "".."".,....." ,,",'" ......H."'...'.' ,.", ",..." ,....".' "..."."...,.."..,
''''''''''~''11~n1'~''''''''''r~' :""-;-/"", A~ I)" 1 !7.,~""" ."""",,,,,,,, ."""", """""", "" "',', ",,,,,,,,,,, ,'," """"''''''''''''
.,""..,.........".~.."."r.....,"",.....,.....,. ..,..,,,,,,,,,..,,,,,,...,.,,,,..,,,,..,.., '"""" ",..""."...',,,,,...,,.,...,
Reglstor
Flied:
June 15, 1979
.....,......"""."""..""...,..,.,',....".........,.,"".
"11111'''''.\': l3l:'uoe
'1\';"'Gl:ov~,"J1";'"''',''''''''' \ j
/},',J :'
(0\'01')
.._.....~~..b _...._._._. __.. .,....,., ,~~...__
t) 1= A TH A-~"" oAJ
AI!.V.l500 EX + (g.al) J
BUREAU OF EXAMINATION INHERITANCE TAX RETURN
PftNNSYlVANIA OEPARTMENT OF REV~,NUE RESIDENT DECEDENT
~_~ nl
HARRISBURG, ~17'Oft . ....~>, "., . i, ' .. ~~~~lOr ,_.J2!:W. -=
Oeced.nt's N.m. (I.,st, First, aud Mlddl. Inltl.l) Oec.d.nl'l Address
lJ:71i&!JJ.:/. .S'L7tV _~_~:l]j_ Po J)-tk ~ BOx. ~7
DECEASED Socl.1 S..urlty Number -; OalBofil..th, II"'lll...l.R~ ~OV)..liVMI~j)
_____ flP81t... 8) /9~~__~ctr'I1N/~i:lU~G:IPIJ.t'7()OS-
2. Supplem.ntal Rttum 0
CHECK
1, Original AllUm ~
3, Aemalndl! Aalurn 0
APPRO.
PRIATE
BLOCKS
4, Lila Elleta D 6, Fedml Ellat. Tax 0
Aolurn A.qul,ad.
6, Docedent died testate 0 7. Decedent malntaln.d a living 0 B, Numb.r of life d.poslt D
(Attach copy 01 Willi trust (Attach cOJY of trusll boxDllnv.ntarl.d
All correspond.nce end confidential lax Inlormatlon should be directed to:
CORRE.
SPONOENT N.m. i3RUCfr A, GR6\J.F.'"'}-;fR.
T phone No,
7/7 _2b ~.~ 41"7
MJillILJ.S /3
CEbfrA ell E..E-_~ I V ~
'Clty CAMP
HIlL..
--.=-
R....pllu'-tlon
\, Ae.1 Elt.le (Schedule A) ( 1) ^!l'vJ!f:
2, Stocks ond BandslSchedule B) ( 2) ^\MJt:: .
3, Cla..ly Held Stock/Portnershlp Interest (Schodule C) ( 31 A:li'>AJf
' 4, Mortgeges and Notes (Schadule D) (4) ^,f.I~
6, Cosh & Mllcallaneous Ponanel Proparty (Schedula e) (6)_ ^)()~
RECAPIT, 6. Jolnllv Owned Proparty (Schedula F) (6).----1:3t'\~ ~
ULATION 7. Translers ISchedule G) ( 7) O~~_
8, TolOI Grnss Assets hotel lines 1,7) ( B)
AND O. Funeral Expenl9l Admlnlstraliva CUlulMlscallaneous
Expanses (Schedula H) ( 0) -NOT 1+P/>J.JUI BJ...E-
TAX 10, DablslMortgogaslLlens (Schadula II (10) No.AJ.ii:
11. Total Deductions hotelllnos B & 10) (11)
12, Not Valua 01 Eslolollioe 8 mlnusllno 111 (12) ._,
eALCU. 13, Chorltablo Bequelll (Schadulo J) (13)
LATION 14. Nel Velue subjact to lax Ulna 12 minus line 13) (14)
Compuhltlon of TOM
16, Amount olllno 14 taxabla at 6% rato
(lncludo val.uOllrom Schedule K)
16, Amount 01llno14 toxobla at 16% ,ato
(lncludo valuel from Schadulo KI
17, Prlnclpaltox clue (add tax from line 16 plus tax from IIno 1m
18, Tolol Prior poymenl1:
(0) Amount Paid _.o......O'~_,
Ih) Plus Dlscoullt _ "O,:..P..D.....______
(0) Mlnullnlorost _cL,.CJ:L.__
10, Bolo"," Duo (llno17 minus II no 16)
Moke Check Peyoble to: negllter 01 Wills, Aganl
* * * PLEASE RECHECK MATH * * *
(15)_
O.{)O
0..1.00
x,16*
x.06-
(18)
(17)
(10)
C> . of)
(19) .
Stato
fA-.
-
Q..tJ(J
O. tJt:J
C. (')()--,--
<6' ('jf'-)
..00
().()Z>
6. on
O.DO
~. I:J'D
.____~ __..... ._._..._.....___ ...__._.___~____.__..___..... ..".___U" ~ ....._________..___...,.._______... - _._~_~_n______________..._.._ -~----
Unrlor pllllallles of perlury, I <lDclora thaI I hovo oxomlnorl thll rolurn, Inclucllng occomponylng IcheclulDl olld statamonll, ond to the bast of my knowl,dgo
ond bOllol, It Is lIuo. cornlCl, ond complota. Ooclanllion 01 prap"er olhor than tho personol rOpr8l9111atlvol. hmd on alllnlormOllon 01 which prepa'or 1101
ony knowlodge.
51 GNA 'fUR'r: Or;>EA"SONALnf,PA-E~~ENT^ Ti-"ir,(SI--'''---~'--'^DDRE5S
._.............. .. ............ ,..._m ..._......._....._...._.......__.~..........._...._~ ---
"2 C\, I . I!rl?J('~~A").,Ya~
~JJ.-l-~tN1:........>:.-:..~.:,.; .. ---...--.- -.C'- ...U fIipJ)....). CL_I!ZP-II.
t",..~I...TI'nr. n,.. nnr-h"'nnn nTII .nTII^J.'~TI\/C ^r'\nf1~."'
DATE
j R~V, lD47~X t07-841
'"""''NW'Ai''' tlI """""" j NDTIC~ Of INH~R1TANCE TAX ~IA~"
01"1''''\11.1(111 (,I IU~f.tHiI ~ Y'l" AIS.u A' 'OWAN D DISA' 'DuANC! .....
"""",, '" A,,,,,,,,, "",,"'N! ..".~ ..;".. APPR ""ENT,". CE 0" .. "
,0(, ,,,,. """ ' , Of DEDUCTIONS, AND ASSESSMENT Of TAX
,~~(~!It 17\UI, ___ _ __.___ .. p'~TE 09-24-84
ESTATE O~ HEATHERLY SANDY fILE NO, 21 '19-0372
P.t\U.. Of ..I1CATILO!t--oli':.lfL......._~___....__,__...-.._.._ .._____..."J;:QYtfl'L_C..uHnERLJ\N.lL..-..."...~--
NOTE, TO INSURE PROPER CREDIT TO YOUR ACCOUNT SUBMIT T~E UPP~R PORTION Of THIS NOTICE WITH YCUR TAX
PAYMENT TO THE REGISTER Of WILLS OF THE ABOVE COUNTY, MAKE CHECKS PAYABLE TC "R~GISTER CF WILLS,
AGENT" ,
101
BRUCE A GROVE JR ESO
1513 CEDAR CLIFF DR
CAMP HILL PA 17011
PLEASE RETURN THIS
PORTION TO REGISTER OF
WILLS IF PAYMENT DUE
.. Amow';l R.mllled 10 R.gl.'e'"o"-wliil
l .. .. ---..,....=--==--=.
9l,11: AL9~!:l"1.HJ~ J.!N.E_ _ _ _ _~_ ~~T~I~.Io~'vY~R" !'9~TI9~Uq,R. Y9~~..~E.c.o.RI)~ ......" -.... _.... .......""
NOTICE OF INHERITANCE TAX APPRAISBMENT,
REV. 1D47BX (07-841
ESTATE Of HEATHERLY SANDY
ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMBNT OF TAX
fILE No.n 79-0372
ACN 101
DATE 09-24-84
T AX RETURN .W A!:....il5 ) ACCEPTED AS FILED
RU~BYNIP1i~ll.tjrn!!.~\!R.lL.llIUmL:JCLRJ!.~BR.
APPRAISED VALUE Of RBTURN BASED ONI ORIGINAL RETURN
1, Ro.1 E'I"O (Sch.dul. A)
2, Stock. .nd Bond. (Sch.dulo BI
3, Clo..ly H.ld Stock/Partn."hlp Intor.s' (Schodulo C)
4, Mortg.glB/Not.1 Roe.'v.blo (Schodulo D)
5, C..h/B.nk DOPOIIIS/Mlsc, P.rsoll.' Propon, (Schedllle E)
6 Jolnlly Ownod Proporty (SCh.dul. FI
7, Tronsf.rs (Soh.dllle GI
B, TOll I A..e"
( ) CHANGED
11) .00
( 21 .00
( 3) ,00
( 4) .00
,.....-
I 61 .00
( ~) ,00
( 7) .00
( BI .00
APPROVED DEDUCTIONS AND EXEMPTIONS,
9, Fun.'" Exp.nses/Admln,strative Costs/MI.cell.neo".
Exp.n..s (Schedule H) ( 9) .00
10, Deb's/Mortg.g. LI.blllti.s/Llen. ISchedule I) 110) .00
1" Tot.1 Deductions (111
12. Ne' Value of Tax R.turn (12)
13, Ch"ilabl./Oovernmenlll Bequesls (Schedule J) (13)
14, Net Value 0' esl.t. Subject to Tox (14)
NOTE. If.n ......ment w.. tssu.d p,..vlou.'y, lIn.. 14,,18 .nd/or lB .nd 17 wtll
r.fl.ot flgur.. th.t lnolud. the tot., of JLLL ,..turn. .......d to d.te,
ASSBSSMENT Of TAXI
15, Amount of line 14 taxable " 6% rote
16, Amount of line 14 t.xabl. ., 15% rale
17, Principal Tax Oua
T AX CREDITS I
.00
.00
,00
---...........-.00 -
(15)
(16)
.00
.00
X,OS-
X,15-
( 171
,00.
.00
.00
PAYMENT
DATE
ReCEIPT
#
DISCOUNT (+)
INTeREST H
AMOUNT PAID
a IF PAID AFTER THIS DATE SEE REVERSE FOR CALCULATION
OF ADDITIONAL INTEREST
TOTAL TAX CREDIT ~
BALANCE Of TAX OUF. .00
INTBREST .00
i TOTAL DUE .00 _
III B.I.nea Duo Is Ie.. th.n $1.00 no p.yment I. reqUired)
REeDIIV!!
H(ljl: .
'64. SFI' 27 All' 1 '
CI,rl!l~ . ('ilr 1\ \ Ii
OUHri(ill";'i :~:)
RESERVATION: a.tatu of decedent. dVlng on or betore Deoember 12, 1982 -- If Inv luIure Inter..1 In the ..tile I.
Ir.neferrod In po.....lon or enjovment 10 CI... a (coll.ler.n beneflol.rlu at Ihe deoedent .fter Ihe ,"plr.tlon of .nv ..lite
for life or for vure. tho Commonweallh herel>v ..pre..IV ro.erv.. Ihe rlghl 10 .ppral.e .nd u.... tran.tor Inhorlt.noe T....
It Ihe !.wtul CI... B Icolletenll r.to on Inv luoh fuluro Interel\,
PUAPOSE OF
NOTICE:
PAYMENT:
REFUND (CRI:
OBJECTIONS:
To fulllll Iho requlroment. of Section 1740 at Ihe Inhorlt.nce .nd Est.to T.. Acl, Acl 266 of 1982 (72 PI. C,S,
Section I 7401,
Detlch tho tcp porllon at thl. Notice Ind .ubmlt with your p.vmenl 10 Iho Rogl.ter at Will.,
--Addrees Informltlon Is IIsled on p.go 13 of the booklet, "In.tructlon. for Inherltlnoe T.. ROMn for I Aoeldenl
Docedont"
--M.ke chec~ or mcnov order plVlble to: REQlSTER OF WILLS. AGENT,
A ,otund of . I.. credit, which w.. not r.qu..l.d on Ih. T.x Return, mlv b. requ.et.d bV oomplollng .n "Appllc.tlon
for R.tund ct Penn.vlvlnl. Inh.rltlno. end e.tsto TI." (Form REV-13131, Applic.llons are Iv.lI.ble It tho Office
ot the Regl.I., of WII!., .nv ot tho 24 R.v.nu. DI.trict Offlc.s. or from the D.porlmont's Form. Sorvlo. Un II
bV ollling (7171233-3443,
Any party In Int.rea1 not BlUsfled with the apprliBement,.lIow.no~ or dlullow.nce of deductions, or ISS8..me:11 of
t.. (Inoludlng dl.counl or ,"t.r..1l .. shown on thl. Notlc. m.v obJ.ct within sl.IV (130) d.V. ot reoelpt ot Ihls
Notlc. B. follows:
--by wrlll.n prol.st to Ih. D.p.rtm.nl ot R.v.nu., Board 01 Appe.I., P,O, Bo. 1874, Harrllburg, PA 17106 OR
--by ,'.cllcn Ic hav. Iho m.tt.r d.termln.d .t the .udll of the .ccount ot Ih. p.rson.1 r.pr...nl.llve OR
- -by .pp..1 Ic Iho Orphlns' Court.
ADMIN-
ISTAA TIVE
CORRECTIONS: F.clu.1 .rrora dls.",.r.d on thl. ......"'.nl .hould b. .ddr....d In writing 10: PA D.parlm.nl of R.v.nu.. Bur..u
at Account. SeUl.m.nt, P,O. Bcx B903, Harrl.burg, PA 17106, Se. p.g. 3 of Ihe bccklel "Inslrucllons for
Inherll.noo T.x R.lurn for . Reald.nt Dec.d.nt" for sn ..plen.llon of sdmlnl.trstlvelv correot.ble error.,
DISCOUNT: II Inv I.x due II p.'d within Ihr.. (31 c.lendar monlh. Ift.r the dec.d.nl'. dellh, I flv. percent (6%1 discount ot
Ihe I.x p.ld la .1I0wed.
INTEREST:
Interest II c.l.ul.t.d on s d.IIV b..ls .1
D.llnqll.nt o.t.
6/27/4310.nd Inoludlng 12/31/81
1/1/82 Ic .nd Including 12/31/82
1/1/83 tc .nd Including 12/31/83
1/1/84 Ic .nd Including 12/31/84
Ih. following r.t..:
In\.r..1 R.t.
6%
20%
16%
11%
~~.r..t F.clor
,000184
,000648
,000438
,000301
--E.t.te. th.1 b.c.m. dOllnqu.nt on or b.tor. D.cemb.r 3 I, 1981 will m.int.ln . oonallnt Intere.t r.le until the
delinquenl b.l.noe I. p.,d In tull,
--E.I.te. Ih.t beo.m. delinquent on or .ft.r J.nuarv " 1982 .re eubJecl to . vorl.bl. Inler..t r.le Ihlt ching..
elch celend" year,
"-lnl.r.11 la cllou!etod as follcw.:
INTeREST. BALANCE OF TAX UNPAID K NUMBeR OF DAYS DELINQUeNT K DAILY INTEReST FACTOR
_ -Any Notlc. luu.d Ift.r Ihe la. b.com.. d.llnqu.nl will retlect .n Intere.1 cllculetlon to flft.en II 61 d.V'
b.vond the dll. of the ......m.nt, It p.yment I. mlde .f1.r the Int.re.t cumput.llon dlte shown on Ihe Nollce,
eddlllonll inlor..1 mu.t b. c.lculll.d.