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**** WILL ****
I, ETHEL M. FAIR, of Camp Hill, Cumberland County,
Pennsylvania, do make this my will, hereby revoking any and all
wills at any time heretofore made by me.
FIRST: I direct that the expenses of my last illness
and funeral be paid out of my estate as soon as may be
convenient after my death.
SECOND: I give my tangible personal property to
LOIS M. FAIR if she survives me.
FOURTH: I appoint MELLON BANK, N.A. as Executor of
this my will. I give to my said Executor, in addition to the
authority conferred by law, the power to sell any or all of my
property, real or personal, at public or private sale, at.such
time and for such price and upon such terms and conditions as
it may see fit, or in its discretion to retain the same for
distribution in kind, and the power, but not the duty, to
invest any cash without being limited to "legal" investments.
No bond shall be required of any fiduciary hereunder
in any jurisdiction, and no individual fiduciary shall he
entitled to compensation.
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OATH OF SUBSCRIBING WITNESS
COMMONWEALTH OF PENNSYLV ANIA I 8S:
COUNTY OF CUMBERLAND \
This... .......... ......" ,.. ....." ,.."" ,{::.~~~:.,..... ........"""". day of,.. ,PZ ~ :.~ (.K......,."..,.....,..""...., ........", A. D., 19.1).9....
Harold B. McLane, Deputy
before me Rielo.lu Ii ~. },Rliu.-n, IWgister for the Probate of Wills and granting letters of Administration
in and for said County of Cumberland, in the Commonwealth of Pennsylvania, personally came ..............
Russell s. DeBilis and Kim J. Griffith
......................................,.........................................................................................................................................
the subscribing witnesses to the foregoing instrument of writing purporting to be the last Will and
Testament of ......,..... .~~,~~.~...~~. :...:' .~~::......... .... ,. ,..,.,.....,...... ....., ,..,........,.. ... Dated .~.':l.~::,..~~.~....~.??~..........
late of ............,.............~~,~p....~~.~.~..........."...................,........................"". Cumberland County Pa,. deceased
who being duly ..........9.'ii~.;-.n...................... according to law, depose and say, that ........................................
Ethel M. Fair
present, and saw and heard the testa~!:.~.~.......................,
.............................................................................
sign. seal. publish, pronounce and declare the said instrument of writing as and for h.~.J?.......... Testament
and Last Will. and at the time of so doing ...................~.1::~........................was of sound and disposing mind
memory and understanding. to the best of ..................~::.~~.7.................knowledge. observation and belief.
......,..~~,?:::!:........................... and subscribed before
Q~;~.g.../J.~.l;JL~........,.............
..:::f$.V.U:l. .::;.)...~~~'A~;t,U..H......".....................,...
,~QlhJ~l;Jr.f.(.?/.c'v.),\.~....~.~~~.~~.
R:~hd.._a ,E. .A..1..duLJJ.R, Register
..................................................................................
AFFIDAVIT OF DEATH
COMMONWEALTH OF PENNSYLVANIA I ss:
COUNTY OF CUMBERLAND \
SaraJane L. Motto, Assistant Trust Officer, Mellon Bank, N. A. .
....... .......... .....,....,.,.....,......, "."..... ............,.............,............, ... .., ......" ,.........., ,.,.., ......................., ..., ......bemg duly
................~.~~.~!!:.................... says that as nearly as can be ascertained the said decedent ,.........................
....,........".~.1:h!!tM~. ..f.~.~?;......... ...................., ........., ............ ....',..,..... ...... ....,. ..............., ........,....., ............died on
Saturday 29th December 80
.................,.............................. the ..............,.................day of ..................................................... A.D.. 19........
at or about .......................................... o'clock, ....M.
,..............:'!:f.O''f..f!:..............,..........and subscribed this
28th February
.............................,.................. day of ........................
19?R....... before
~~ /' ""I, /It
.......... .i;.. r!-.;~!/;:/ .::'.::::'. :3... ::.~.I. f.'.:... .~.'~.......................
SaraJane L. Motto, Assistant Trust Officer
"
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R:_L-9"A v A._~~",:,.....n, Register
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WARNING: It is illegol to oller Ihis copy or 10 dup1icato by pholo~I(J1 or photograph.
COMMONWEALTH 01' PENNSYlVMIIA
DEPARTMEm OF HEALTH.VITAL STATISTICS
N9
1560963
I.OCAI. HEGISTRAH.'(S CFRTIFIC.\T1()~ OF DEATH 1(.'.;,'cr,,1 No, '.'-'''-''.------
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l'lace Or (,'} L ~.' !/. I.. "
DeRth _________...._",1<,. ~I....'_L..c J...,,~, m .._,...'.n.'.'." _,,__ ...- ,-,.J...",..~ ,...0 .d,,- <C.____ I'e"osylvnolll
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Sex .____,_,_.::/~~L.~h".....e.'__,._n"'" ,. Hale 01 Ikllh .,.,_.,..JJ,_,)., ,'1..:.1-'7._ ,,..,- ______Illl," ,- Lul_t.....
Dille 01 Birth _.//.:..L5::../J:Lc/- Ili,thphlre ,u.nn/], ,_ L-L.~L...."__..J{,,,~,.__n ~lnrll,,1 S'"I", -J~'7.G
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Sodul Securlt)' No. .2..j_5_:_~_1~:Jj1-J. Occupation "__' \L(L..I......f....'-(_;:~.-......-.... Vetr.nlll's Serial Nu. --.---.----
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Intl.'rvul Uct",cen
Onset and Death
MEIlICAL CEIlTIFICATE
Purt I. Death ''r'BS caused h)':
Immediate Callie (11) ___il.L:t;;'-:.I-=L'-&J..,,,,L,,.,,Nl,,-r...'L.j,-.,-.lJ~<a~-
Due To (b) _-
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Due To (c) ___.__...___.._.____.___..____.._______'__._..._..._..____-.-~---~..."
I.urt II. OTHCm SIGr-;'I"'JC.\~T C()NI)ITIO~S: conlrihnlilll; hI (h~alh hut lIot rcbfcd to HIl: imml>dialc cause '~(1'Cn in
I'nrl1 (a)
Acchl('nt, Sulcidl' or Homiclctc ________._______..___.~__.How did illjllry ocrur
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!'l'umc nnd Title of Person I) !) i). ..f'.
Who C~'rtifil'{1 ~~""S~ 01 He"lh (:!.H';J~O., ('oroller, ,~l/'E') -.---:.~-d-/i7.-.I-\.,.--LL. ~V.LL..-"-::1-~_
Addr'" ---~'-n- ,~I::,J..i~.~l-,,----'-.---.----l~t\LL"-'1.- 'LL.U!..~----
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This is to ct ur' (hut the illfnrm:ltio~ Icn' gh'l'fl is l'orl"ectly (~()pil'd frum an Clri~i"al ~CI"(jfiC:ltc or death duly tiled ,'t"ith
me as Local RCAb mr. Tbc oriRimll culilic:.lle will b~!.(l;'w:"~e~I:,'. 'ile S'''(7VII:lI ~"t;sJi)s Ornee lor per",,,,,",,! lilil.g.
('.), (,.,,(c.. -d~./..TI-vJ 22.222 .
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I / lotl~t R~viurlJr 01 Vilal StoH.!;u Oi~!llcl No,
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2S29_0arJ:lc-Y~0r,~ ---.,--
~. ., .1 f:t~tl Ft1<04 City, Borough, Towmhlp
Helm, ~ur~,_'______.._,._U___H_.11. .. -3 I. 77
Dll!O;- R~c~i...cd uy latol Rcobtr~r
__._______.____~__.._~__..____._...__.....___.. ."".....__.'"__~._._.._.....___.__________.._"__...m_"~....__ _._ ___._..._______.____._.____._____
-----_._--_..__._---_.._-_.-..-.--_...._~ _.__."._~---~._._.........".~..__..__.-._.._-_. .-.-..".----------.----.----------
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No, 21-80
16a
PETITION FOR PROBATE OF WILL AND LETTERS TESTAMENTARY
in the Estate of
Ethel M. Fair
, deceased.
To Richard E, Anderson, Register of Wills for the County of Cumberland,
in the Commonwealth ot Pennsylvanio,
IS
Petitioner:&J.:~ the executEL..__ named in the Last Will and
_ dated JulliLlZ,] 9 79 ,
resident of
Testament of Ethel M. Fair
Decedent was a citizen of the United States and a
XElwflGh(pc
Borough, Cumberland
County, Commonwealth
Camp Hill
of Pennsylvania,
Decedent died on
the
29th
day of December
State of
Saturday
A D. 19..12-, in the County of
Cumberland
Pennsylvania at the age of 95 years.
~ Kii!SC her
Decedent has not been married and has not had children born to Rim
since the execution of the above described Will.
Decedent was possessed off ~grsonal property ffiCm'e'{~~~IDfx
no
and of/real estate to the value of
as near as can be ascertained; ~Mx~k
~~t(~l!I:/lI::lmXOO;tjElWS:: the sole asset of her estate is a trust of which Mellon
Bank, N. A. is the Trustee and will p~rform all functions that would be performed by
an Executor if there was a probate estate. .....I
]/l1'l1.ll.!4C
Xlxemkx~~ilt:OOJileoX~ID1spectfxrl4~X1WM!l!S{:forx:theXj:1JXli<2\1tteX
li\k~I0let2txlx~wm~l!St~~~l&il\d::xilfP{kmetX~o:l'9xtl:1Jnall'lx
Dated February 6. 1980
Name and address
of Petitioner(s)
Mellon Bank, N.A.
Mellon Square
Pittsburgh, Pennsylvania 15230
By: 1--,u-k~u>>Jl/j;
" (/
SaraJane L. Motto
A~F;h::lt~nt T"'I1~f. orf; f"P'r
COMMONWEALTH OF PENNSYLVANIA ~
ss
COUNTY OF CUMBERLAND
named in above application, being duly
say(s) that the statements set forth in
according to law
this petition are true to the
best of
knowledge and belief.
and subscribed before
me, ______ 19__
Richard E. Anderson, Register
Filed;
At torney:
'h&V.451\'1:1301
COMMONWEAL TlI OF 1'.NNIiVIVMIIA
, llEPAH'fMENT Of' 11EVI:NlIli
. TIlAN~fHIINII~HITANCE TAX
IlLSltH,m tlECEOENT
SCH::DULE "6"
PEHSONAl. PROPEiHV
(lm'lfIf::tifJ{IS on Rt:v~:(s:.. Side)
Estate of
1\'1'111':1. N. "'Mil
_...............__.............___.-.._~=-=~.....=..r_,.......>r. ._.==-""=.......- - -=----.--:=..-=-- ~
ITEM
NO.
UNIT
VALUE
ESTIMATED
MARKET
VALUE
DESCFlIPTION
I. FIRST PENNSYLVANIA BANK -
INCONE ON IIAND AND ACCRUEIl
1'0 12/29/79 FROM DEED OF
TRUST OF JANES M. FAIR 901.06
2. RUTGERS, TilE STATE UNIVERSITY -
REPLACEMENT OF CHECK DATED 6/13/75 $89.21
IUn'IREMENT ALLOWANCE FOR PERIOD
12/24/79 THROUGH 12/28/79 65.08 154.29
3. UNITED STATES TREASURY -
RIU'UND OF 1979 PERSONAL INCOME TAX 108.35
4. CAPITAL BLUE CROSS -
REFUND OF UNEARNED PREMIUMS 15.50
5. IILUE RIDGE HAVEN WEST CONVALESCENT
CENTER, INC. -
REFUND OF OVERPAYMENT 75.96
TOTAL THIS PAGE
1,255.16
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DEPARTMENT
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CO"MMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "E"
JDINTL V OWNED PROPERTY
{lnsrructions on Reverso Sidel
Estate of
ETHEL N. FAIR
,~~
~
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TOTAL E VALUE OF DEPARTMENT
R
DESCRIPTION MARKET C DECEDENT'S VALUATION
VALUE E INTEREST (Officiol Us. Only)
N
T
1. NATIONAL CENTRAL BANK -
CHECKING ACCOUNT NO. 61-312471
ESTABLISHED 1/28/70 IN NAMES OF
DECEDENT AND LOIS M. FAIR; ON
6/20/79 MARY E. LOTT'S NAME WAS
ADDED $1,559.31 50% 779.66
TOTAL THIS PAGE
779.66
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U~V.45S EX-I 1:J.i101
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF IlEVENUE
TIlANSFER INHERITANCE TAX
RESIOENT OECEOENT
SCHEIJULE "F"
STATEMENT OF DEBTS
AND DEDUCTIONS
==':.:'-'-'=--=--.....:..:.-'-'=...:."..';..;.....;'-"-.--''''-;..._......~.__. ..___ ,'-.....'-....0--.
Estate of ETHEL M, FAlX DJtp. of Death__._!.3i29/79_ File No.;LL:J'O - I (;!:;
WHEN CLAIMINGTHE FAMILY EXEMPTION, COMPLETE THE FOLLOWING:
8. 3/31/80 W. ORVILLE KIMMEL FUNERAL HOME,
INC. :
9. 4/10/80 PENNSYLVANIA DEPARTMENT
OF REVENUE
10. 7/17/80 BRACHENDORF MEMORIALS
11. KIRKPATRICK, LOCKHART, JOHNSON
& HUTCHINSON
12. flELLON BANK N.A.
Claimant
Claimant's Address
ITEM DATE NAME OF PAVEE
NO,
1. 1/17/80 PROFESSIONAL PHARMACY
2. 1/31/80 BELL OF PENNSYLVANIA
3. 2/22/80 DECKMAN HAYDUK ASSOCIATES
4. 2/25/80 COWLEY ASSOCIATES
5. 2/27/80 REGISTER OF WILLS
6. 3/10/80 BLUE RIDGE HAVEN WEST
CONVALESCENT CENTER
7. 3/11/80 LOIS M. FAIR
Relationship to Decedent
REMARKS
DRUG CHARGES FOR OECEMBER, 1979
SlmVICE THROUGH 12/10/78
SERVICES RENDERED
SlmVICES RENDEREO 12/29/79
COURT COSTS
CHARGES FOR LAB AND X-RAYS
REUlIlURSEMENTS, AS FOLLOWS:
REV. R.E. GRUSSING - 1I0NORARIUM
K. LANDIS, ORGANIST - HONORARIUM
PENN HARRIS MOTOR INN -
LUNCHEON FOR FAMILY
ACCOf~ODATIONS AND TRANSPORTATION
TO ATTEND FUNERAL
FUNERAL SERVICES
BALANCE DUE ON 1979 FINAL INCOME
TAX RETURN
PLACEMENT OF 11EMORIAL MARKER
ATTORNEY'S FEE
OUT OF-POCKET EXPENSES
C0l1PENSATION
750.00
12.84
AMDUNT
60.99
.64
30.00
17.60
8.00
14.00
100.00
50.00
73.82
436.62
2,625.80
148.56
270.00
762.84
3,500.00
TOTAL THIS PAGE 8 098.87
I hereby certify that to Ihe best of my knowledge and belief the foregoing is a just .1nd true statement of debts, funeral
expenses and expenses of adminislration submitted tD the estate as deduclions for Inheritance Tax purposes,
MELLO BAN~ N.A. ,~RTY-IN-POSSESSION
. ,~ 1./ .. (_ ~4,,~ .
51G 'ur~r: or ATTorwr:: /--1 JUCIAqy DATE
OFFICIAL SE ONLY
DEBTS AND DEOUCTIONS ARE ALLOWED IN THE SUM OF $ :5?cJ q g, :?1
,
/1)-
PERCENT.
AT
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lI. REV.1162 EX
~.. . COMMONWEALTH OF PENNSYLVANIA.
. 4 NO, K296 59 DEPARTMENT OF REVENUE
:. OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
:' It
! "
. '"
I IjI
II
a
I
l,IlECEIVED
Il FROM
TAX AT 6%
TAX AT 15%
Mellon Bank, N.A,
TAXAT_%
ADDRESS
Pittlilburgh, PA
ESTATE TAX
'--~~T~~-~~~~i'Ti(iN-:---D;c-;;b~~--29~--i9:;9---
20=80"163
FILE NUMBER
DATE OF PAYMENT July 21, 1981
NAME OF DECEDENT Ethel M. Fair
COUNTY C umber land
m
o
~-------------------------------------------
POSTMARK DATE
. REMARKS:
~I
~
"REMAINDER OPEN"
RECEIVEO BV
SEAL
I
HEGISTEIl OF WILLS
~
TOTAL TAX CIlEDIT
LESS DISCOUNT
PLUS 'liINTEREST
IFRDM 9=l9=tlO. TO~"'iB 1
.04635
TOTAL AMOUNT PAID
;" .I
,. /
. .
. /
.(' ,I I 1..."
.-. ~, (./"1 -.
OIGNATUIlE
$476.07
22.07
$498.14
..,t... .,
.;' /
',/ ;'t."'"t..>c..2/
L _-"~ v
/.
- -----"- -.---- -- - -- - ---- - -- -- - -- - -'- ~_._'----_.-
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF EXAMINATION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
~:M.
~
COUNTY .E)LE fiO: "
f" (.V"':j, t
TO: l'Y\c,M,-tY'
,JLl'l
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DATE ; ..(/, '1
(I 'J --1Y] -7
(' .-1 (),A/1_-"
ESTATE /+~/'f\) .
FILE NO. ;J I :( () .. / (
'\ V
COUNTY I,~J\"-'VI I; /, .
,
I'.
I r , .
) (.-~',-"'; ()
". .; (
DATE OF DEATH ;,-' (, /, 1
,.
):,1'7''1_
,
Appraised Value of Estate:
Real Estate
$
Personal Property
+
Jointly Held PropertylTransfers
+
$
Total Gross Estate
TOlal Approved Deductions
Clear Value of ESlale
$
Less: Approved Charitable Exemptions
Clear Value of Eslste Subject to Tax
$
Amount Taxable @ 6% Rate
$
tax due
$
Amount Taxable @ '5% Rate
tax due
* * .. '* . .. A five
will be granled if lhe Inheritance
TOJAl PENNSYlVANIA,INHERITAN. CE,TAX DUE
19.-~~-ko ~h 7-~' ~/)
L. ()I/<:,:3S-)
percent discounl olating $
Tax is paid by
$
(!-7(" 0 '7 ",'J-;t-
",'~ 07
I-Ifr, I ~7.
Less Credits:
DATE OF PA VMENT
AMOUNT PAID
DISCQl.!!!L
INTEREST
TAX CREDIT
'1 (
.,) I-{,f
$ V-\7b,(J17
+
s
$ co? C\ u'7
$ (/n-, J.!L
,
+
:
+
:
(~:,Vo(' Oy...,~, (u/\,. UClhi
InlereSl accrues at the rale' of six (fit percent per \Jannum
on lhe unpaid balance of Inheritance Tax from
to date of payment. lnleresl due if paid by
is
.-.. i
G'"';"-~.r
....~0. .
s.."",'r$;j(;;'
BALANCE OF PENNSVLVANIA INHERITANCE TAX DUE
Assessed by:
$(>0 Information on Reverse Sido AgonllorthlCommonW8alth,
,....~~
., .( ,
19. If line 18 is greater than line 17, enter the difference on line 19. This is the OVERPAYMENT.
A. DCheck here if you are requesting a refund of your overpayment.
20. If line 17 is grealer than line 18, enter the difference on line 20. This is the BALANCE DUE.
A. Enter the interest on the balance dUB on line 20A.
B, Enter Ihe 10101 of line 20 nnd 20A on lino 20B,
Moke ChICk Payablo to: Rogl.tor 01 Will., Agont
..BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH..
U~der penallies o~~ perjury, I declare that I have oltomined this return, indudin~ accompanying schodull" and .stalements, ond.IO the. best of my knowledge and belief,
It Illruo, corr~d d ~~mplote',1 dOdar~1 01011 ,0010.lale has boonteparte nll,ue roarket '91u.. oeda'ft'!,on 01 B~porf'Alh's~a'rt~."POrfl'Jlal r'5~1l0Ii'e I.
bosed on alllnf r nOff) of~whith..prepa r has an~wledge. He IOn anK, l'f ./\., t' .U. x , l.C'!:, g, '" .
~: ~_ /{ "r <-::''7.'~-J Assistant Trust Officer '~)l .\, ~,\ ,((',-Co
SIGNATURE Of PERSON RESPO SIBLe fOR FlUNG RETURN ADDRESS DATE
B : i\\Ql:.,\..~',.-..J ('Y;;l:;.\!\!: (- Assistant Tax Officer ,',( 0<.., .,l \', foi"
,
REV.I~OO EX+ {B.B:'l
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llNHERITANCE TAX RETURN I
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE FILE NUMBER ,,;(/-,)16.. /(,.3
WITH REGISTER OF WILLS)
- - - _.. - _._n _
DECEDENT'S NAME (LAST, FIRST. "NO MIDDLE INITIAll DECEDENT'S ADDRESS
Fair, Ethel fl. C/O lllueridge lIill Convalescent Center
Camp hill PA
1,*
COMMONWEALTH OF PENNSYlVANIA
DEPARTMENT OF REVENUE
BURIAU OP: IXAMINATION
P,O. BOX 8327
HARRISBURG, PA 17105
DATE OF DEATH
December 29, 1979
SOCIAL SECURITY NUMBER
258-54-5991
Cumberland
Count
o 2, Supplementol Return
0040. Future Interest Compromise
~ 3. Remainder Return
01. Originol Return
04, life E.lale
06. Decedent died testate 0 7. Decedent maintained a living trusl
IA"och co of Will) IA"och ca of tru.t)
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
NAME ADDRESS
Mario Santilli Jr, Mellon Bank. N,A,
P ,0, Box 185
Pittsburgh
05,
Federal Estate Tax
Return Required
T otol Number of safe deposit boxes
-g,
TelEPHONE NUMBER
(412) 234-0801
PA
15230
CITY
STATE
ZIP
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1. Reol E.lole (Schedule AI ( 1)
2, Stock. ond Bond. ISchedule BI ( 2)
3, Clo.ely Held Slock/Portnenhip Inle,e.t ISchodule q (31
4, Mortgoge. and Nale. Receivoble (Schedule D) ( 4)
5, Co.h, Bonk Deposits & Miseelloneou. Penonol Proportyl 5)
(Scnedule E)
6, Jainlly Owned Property (Schedule FI
7, T ron.fen (Schedule G) (Schedule LI
8, Tolol Gro.. A..el. (10101 line. 1.7)
9. Funeral Expenses, Administrative Costs, Miscellaneous ( 9)
Expen.es (Schedule H)
10, Debts, Mortgage Liabililies, Lien~ ISchedule I) (10)
11. Tolol Dedudion.llalolline.9 & 101
12, Nel Volue of E.tale (line 8 minu.lin. 11)
13, Chorlloble and Gavernmenlal Bequosts (Schedule J)
14, Nel Value subjed 10 lox (line 12 minus line 13)
15, Amounl of line 14 loxoble 01 6% role
. (include volue. from Schedule K or Schedulo M)
16, Amounl of line 14 loxoble at 15% role
(include value. from Scheduie K or Schedule M)
17, Principal lax due (odd lax Irom line 15 plu.tax fram line 16)
( 81 88,106,63
1.825.00
(11) 1,825,00
112) 86,281. 63
(13) 86,281.63
(14)
)( ,06 =
86.281,63 )( ,15 = 12,942,25
(17) 12,942.25
Interest
,;;j
n,
76.246,12
11 ,860,51
( 6)
(7)
(15)
(16)
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Amount Paid
Discount
18, Total Prior payments:
(181
(19)
+
(20)
120A)
120BI
12.9U,25
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE
ADDRESS
DATE
/I-/~-.:?
I'
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, That I
LOIS M, FAIR
-
have made, constituted and appointed and by these presents do
make, constitute and appoint
MARY F, LOTT
my true and lawful attorney for me, and in my name, place and
stead to ask, demand, sue for, collect and recieve all sums of
money, dividends, interest, payments on account of debts and
legAcies, and all property now due or which may hereafter
become due and owing to me, and to give good and valid receipts
and discharges for such payments; to sell assign, transfer and
vote, in person or by proxy, stocks and bonds and securities
standing in my name or belonging to me; to buy, exchange and
sell securities of all kinds in my name and for my account at
such prices and for such other securities a5 shall s~em
advisable to my said ~ttorney: to sign, execute, acknowledge
and deliver in my name all transfers and assignments of
securities; to borrow money and to pledge securities for such
loans as shall seem advisable to my said attorneyr to consent
to reorganization' and mergers and to exchange securities in
connection therewithr to manage real property and to sell}
lease, convey, ,exchange and mortgage real proper ty, and
foreclose mortgAges and take title to property in my name or in
the name of a nominee as my said attorney shall deem advisable,
and to execute, acknowledge and deliver deeds, with or without
warranty, of real property, le~ses, mortgages, releases,
satisfactions and other instruments relating to real property
as my said attorney shall deem adv isable: to place and effect
insurance: to do business with any bank, and particularlY to
endorse all checks and drafts made payable to my order and to
collect the proceeds thereof: to 5 i9n in my name checks on any
and all bank accounts standing in my name or in my name jointly
~ith one or more other names, and to withdraw funds from ~aid
accounts, and to open accounts in my name or in'the name of my
said attorney; to enter any safe deposit box maintained in my
name or in my name jointly with one or more other names and to
have free access thereto for the purpose of depositing or
withdrawing therefrom property of any nature whatsoever; to
prepare, sign, verify and deliver any and all Federal income
tax, gift tax, social security tax or other tax returns, and
any and all claims for refund, abatement or credit of such
taxes; to institute such proceedings at law or in equity as my
said attorney shall deem advisable for my reliefi to transact
any and all matters of any kind whatsoever in connection with
Federal income tax, gift, social security or other tax matters
and to appear before the Treasurer of the United States, the
Tax Court of 'the United States, the Commissioner of Internal
Revenue, the Internal Revenue Service and any unit or division
of the Internal Revenue Service or any agent or employee
thereof, and any othet officer, Department or BureaU havin9
anything to do with or in any way related to my income tax
returns or income taX liability and/or gift tax returns or
liability for gift tax as donor or donee and/or social security
tax returns or liability for any year or years, either past or
future; to appear for me in all actions or proceedings to which
I may be a party in the courts of Pennsylvania or any other
State or in the courts of the United States and to sign and
verify in my name all complaints, petitions, answers and other
pleadings of every description, to exercise any of the
foregoing powers in respect of property or matters in my own
name or in my name jointly with one or more other names and to
join with others in so doing: to make such payments and
expenditures as may be necessary in connection with any of the
foregoing matters or with the administration of my affairs;
- 2 -
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... REVOCABLE DEED OF TRUST
MADE this 12th day of June. 1979, between ETHEL M,
FAIR, of CampH!ll, Cumberland County, Pennsylvania, (herein
called the "Settlor") and MELLON BANK, N.A., a national banking
association authorized to engage in trust business in the
Commonwealth of Pennsylvania, (herein called the "Trustee"):
The Settlor desires to create a revocable trust of
her interest in certain property listed in Schedule A, and
therefor hereby transfers and delivers said property to the
Trustee, together with all the Settlor's estate, right, title
and interest in and to the same.
The Trustee is willing to accept the trust and to
hold said property, together with any additions thereto and
changes therein, (herein called the "Trust Estate") in trust
for the uses and purposes set forth below.
NOW, THEREFORE, in consideration of the premises and
intending to be legally bound hereby, the Settlor and the
Trustee agree as follows:
ARTICLE ONE
The Trustee shall hold, manage, invest and reinvest
the Trust Estate and shall distribute the net income (herein
called "Income") and principal as follows:
(A) During the lifetime of the Settlor, the Trustee
shall pay the Income periodically but not less frequently. than
quarter-annually to her or for her benefit and shall also pay
to her, upon her written request, portions or all of the
principal. The Trustee is authorized and directed to pay
Income and principal for the benefit of the Settlor as directed
in writing from time to time by either Lois M. Fair or Mary F.
Lott and to pay to Lois M. Fair or Mary F. Lott such amounts as
they may request to reimburse them for any amounts expended by
\
limitation of any authority given to it by taw and without the
necessity of obtaining the consent of any court, the following
powers: to accept and retain'in kind any securities or other
property delivered to it by the Settlor or received from the
Settlor's estate or elsewhere, inclUding shares of Mellon
National corporation: to invest and reinvest the principal of
the Trust Estate in any kind of property, real or personal, or
part interest therein, without being restricted to investments
which are legal for trust fundsJ to give options for sales,
leases and exchanges: to borrow moneYJ to sell, pledge,
exchange or mortgage any real or personal propertYl to
compromise claims; to lease real or personal property for terms
exceeding 5 yearsl to vote shares of corporate stock, in person
or by proxy, in favor of or against management proposals,
except that the Trustee shall vote shares of Mellon National
corporation only as directed by a competent adult Income
beneficiary of the trust in which said shares are held: to
carry securities in the name of a nominee; and to distribute
the Trust Estate either in cash or in kind.
(B) The Trustee may resign at any time by
petitioning a court of competent jurisdiction to designate and
appoint a successor Trustee. In the case of the merger or
consolidation of the Trustee, the resultant company shall
become successor Trustee hereunder without notice to any party.
(C) The Trustee shall be entitled to receive
annually compensation for its services hereunder in accordance
with its schedule of compensation currently in effect when the
services are performed, but not in excess of such compensation
as would be approved by a court of competent jurisdiction.
During the lifetime of the Settlor, such compensation shall be
charged wholly against Income, unless the Settlor directs
otherwise in writing. For any services performed by it.in
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$1,000.00
~at~d July 1, 1959
Due July I, 1959
Bond ~o. M33430~4H @ $1,000,00
REG: I1ISS E'fiiEL M. FAIR
$1,000.00
Dated SepteT-ber 1, 1959
Due Scptamb~r 1, 1979
Bond No. ~!391.~314ll @ $1,000.00
REG: MISS ETHEL M. FAIR (E~mCRSE~)
$1,000.00
Dated Dec~cber I, 1959
Due December I, 1979
Bond No. M7011037H @ $1,000.00
REG: MISS ETHEL M. FAIR OR ;.;as. l-'.A.'l.Y ASKEW FAIR
$1,000.00
Dated }lay I, 1961
Due May I, 1981
Bond No. 06518152H @ $500,00
REG: MISS ETHEL M. FAIR O? mss LOIS M. FAIR
,
Bond No. D6518153H @ $500.00
REG: MISS ETt'ZL M. FAIR OR MRS, HELEN FAIR HO:L\'ER
$1,000.00
Dated February I, 1962
Due Februa~J 1, 1932
Bond No. D6849633il @ $500.00
REG: MISS ETHEL M. FAIR OR MRS. HELEN F. HOR~R
.
Sand No. D68!,968411 @ $500.00
REG: MISS ETiiEL :1. FAIR OR I1ISS LOIS M. FAIR
$I,OOO.OC)
Dated August I, 1966
Due August 1, 1986
Bond No, MI0~009S1H @ $1,000.00
REG: MISS ETHEL M. FAIR OR M3.S. HELEN FAIR 1l0,,:;ZR
$1,000.00
Dat~d April I, 1967
Due April 1, 1937
Bond No. mOiS9S5511 @ $1,000,00
REG: XISS ETHEL X. FAIJ;. OR ~i:{S. HELEN FAIR HO!UiZR
(Control No. 334S15)
$700,00
THE UNITED STATES OF A'~RlCA
Savings oor.d., Series E
Dated April I, 1959
Due March I, 19.38
Sond Nos. C 3aS 537 6031/14E J $100,00 ~'ch
REG: I1ISS ETHEL:-{, FAUOR }:?S, H"I.r.".N' AI" 10"'"-
., - F" i ",ic.,\
(Control No. ,834508)
.
2
H, lJJ,OO
$l,OOO,OO
$3,000,1)0
$3,000,00
$1,000.00
.$1,000,00
. ,.; . .
I
5T.\r: ;.\PIl')d. ::,.'.'[:;l~S .'.:.J ~.c~\~: ,\3Sl"'::,\r:~:: (~:'J~;r :-'RO~: PAC::: 7)
J,lt,~.j Fl!hru:Jt'y 7 J 1977 (C:'l:.. Dat..l)
DUe ::cnrll.lry 7, :?71 ")~r :"}~~'~',J.11 .''1':~CI' ~(ri~. ~/i/~9)
Gtf. ::0. 101-:1-25732'.i ~1,000,'1'1"
:t:;G: LUIS:1, ,AI:, :;R :~.i:E;' ~I, ,:;,11 :iER SISTER JT TE~
*RE.~n:ST ;:OR 1,;r:'llC:'.\;;,\:. OF S.WI::',;S AC';';'::'f .\r,'/,':HED SIC:;W
BY ETHEL M, FAm 0\::0 ~JIS :1, F.\U--:;OT :;;,r:o
(Control 30, 33~801)
Dated ;'(,:!rch 1~, :977
:Jue March 14, 1973
Ctf, ~o. 001-20-~5960 ~ _1,000,00*
REG: HELE:1 ~AU ;IO?J;E:l C"- ETHF.L ~!, FAIR JT TE::
*REQ'..:EST FOR ~'llTF!)RAWAL OF" 3,\VI~lG:5 ';'C;OC!'il' ATTACHED .i~G::Er:
BY ,-T!IEL :-\, ?\IR--;;OT :JATSD
(Control ~o. 034804)
D~ted :13Y 3, 1977 (Orig, Date)
D'te May 3, ~979 por rene"'al notice (Oris' 5/3/78)
Ctf. :10. 001-20-26165:~ $3,'100,')0*
REG: ETHEL H, FAIR -:R HELE:; FAIR HGR::S:1. HER SISTER, J: TEN
*rJ::QtJZST FOR :;IT}-!D:lA~';AL OF ':;AVI~~GS _-\CC01;;n' ATTACHED SIGNED
BY 3T!1EL ~!. F,u:t- -~OT DAT,-:J
(Control ~o. 534805)
D~ted ~l,'y 3, 1~77 (Jrtg, )~te)
Due M3Y J, 1979 per renew31 notic. (Orig, 5/3/78)
Ctf, :10. 00I-:()-~~l'l6 ~ S3,JOO.l~.k
RL::G: E':i!r.L;'{, FA:.. CR LOIS M. FAIR :iLR SISTER JT TEN
*REf,~'ZST ?OR. 'IIT::~M'';AL CF SAVI,i::;S AGeo;;::r ,\TTAClIED SIG,I~D
BY LOIS ~l. .''\lR--::OT DAED
(O::ontro 1 :10, 534306)
STATE C.\PIT.\L S.WINGS A::) LOA:,; ASSOGL~Tl'::,
HARR;S3UR~, n
6 3/4'7. Si:I~le P3:',ent Savin;;s Certificat.'
C13." VII
D3t'.\d AU:-!,U5t. ~Ot 19i3 (Cri~. D~te)
:lup :..'lg1lS~ :.1, 197.) p'~:" re"1~"~'ll '"lott:e (l)ri?;. 2/:.J/iC,',
Ct f. ::0. .....43;: j Sl, '),1),101'.'
REG: E7!!EL ::. :.\iR OR :'t.'!5 :'L ~:AIR (SISTER) o.J'1" T::':
*RE:lL'r:ST ?O:t ',E::~J:L~,'..l,\L ,J? :i.;'/r:KS :\CCl)i'~=! .\TTACHE~ ,:"~:D
3Y ~:::EL I,~. :.;~?~-LlH3 :1; ::.;:?--::\~T ~.\r::~
(Con':roL :::. j;!.7(7)
. - -,.~ 1""
J J.......
STAT::: CAPI'i.\L 5,\\'!~:(~ .:.~:o :...c.,,~:
6 If:?. ~i.r' ::,_1 !1':-::er.t ';:l'/ln:::;
Dated August 6 1974
"Due Au:rust :;, t973 1~:' rene'Jai.
Ctf, ~o, ~~~13 j 51,1)0,00'
:U::--: :'r"~:. :'. :-:\I.{ ,'.\ :',::3 :--1.
,\S';,/ J:':' I', ~!, '3.',1& IS g ':i\G I i'A
7,~r::: l.Ccl~'''! Cl..i<:'; '/1.
nottce (Odg. 8/6/75)
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.~EV, 1~47EX (01-B6) ~:~
I~I \ '
co,",w"'l'" Cot ru,,,""'''''.~' .~i':\'.~ NOTICE OF INHERITANCE TAX \
or:r:.l\lVlll1 or I\f',f!jil[ I }~.:.. .:r;(;~JI' \ ACN
,,,,,,,,, 0' '''"''''''''1 ,m' ~\, ':i:9'$;:-','" APPRAISEMENT, ALLOWANCE OR DISALLOWANCE \
. It, i'O" 131' .: OF OEOUCTlONS, ANa ASSESSMENT OF TAX
, .:;'..':;~"~". PI, ..;.;.~~.:....,,~~....__.~=_.~~_~__,".L~..=~.=.~.~=.==~.~=.'=.~'_"..~_._~~___=__-_~~)Pe-I-.E_._J"f.~l..?~~JL~~.-~,,~~
ESTATE OF F"IR ETHEL 11 FILE NO, 21 80-0)63
9.ATLOF OEA1tLJ2=-2S1-7~__._--_._.---_._------"---'-'---------'.'- ____<;.o~N.D'-_~UMBER"!\.ND.-----.-
NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX
PAYMENT TO THE REGISTER OF WILLS OF THE ABOVE COUNTY, MAKE CHECKS PAYABLE TO "REGISTER OF WILLS,
AGENT II .
JrlN 5
198'1
102
MARIO SANTILLI JR
MELLON BANK NA
PO BOY. 185
PGH PA 15230
\~~~~~:~~U~~Gi~~~R OF-\
f~~;"~ "::"~:~;:.~Ew,,, \
CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS -
. . . - . - . . .. . - . . - . . - . . - . . . - . .. - - - . - ... - - - . - - . - . . . . . . . - - . - . . - . - . - . - - - . - . . . -
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
REV, 1547EX (01.B6)
ESTATE OF FAIR
ETHEL
M FILE NO, 21 80-0153
ACN 102
DATE 12-15-86
TAX RETURN WAS: (Y. 1 ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE ~~RE~SEE REVERS~
APPRAISEO VALUE OF RETURN BASEO ON: REMAINDER RETURN
,. Real Estate {Schedule Al
2. Stocks and Bonds (Schedule Bl
3. Closely Held Stock/Partnership Interest (Schedule Cl
4. Mortgages/Noles ReceIVable (Schedule 0)
S. CashlBank Deposits/Misc. Personal Properly (Schedule E)
6. Jointly Owned Property (Schedule Fl
7, Trans1ers (Schedule G)
8. TOlal Assels
( 1 CHANGED
-----
( 11 .00
( 21_75.246,12
( 3) ,00
( 4) .---:.QJL.
( 5) 1l.850.&-.
( 6) .00
( 7) ,00
( B)
88.105.53
APPROVED OEOUCTIONS AND EXEMPTIONS:
g, Funeral Expenses/Administralive Cosls/Misce'laneoUs
Expenses (Schedule H) ( 91 1.825,00
10, Debts/Mortgage Llab'lItles/Lien' (Schedule II ( 1 Q) - ,00
11, Total Deductions (111
12, Net Value ot Tax Return (121
13, Cha,itable/Governmental Bequests (Schedule JI (131
14. Net Value ot E,tate SubJecl to Tax (141
NOTE: If.n .ssessment w.s issued previouSly, lines 14, 15 andlor 16 and 17 will
reflect figureS th.t include the tot.l of ..JJL returns .ssessed to date,
ASSESSMENT OF TAX:
'5. Amounl of line 14 laxable at 6% rate
'6. Amounl of line 14 laxable at 15% rale
'7. Principal Tax Due
1,825,00
86,281.g.
,00
86,281.63
(IS)
(16)
,00
86,281. 63
_K06=_
X,1S=
(17)
,00
12,942,24
12.942,25
TAX CREOITS:
P A VMENT
DAlE
RECEIPT
#
DISCOUNT (+)
INTEREST H
AMOUNl PAID
~
INTEREST IS CHARGED FROM 10-06-85 TO 12-30-86
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM.-
* IF PAID AFTER THIS DATE SEE REVERSE FOR CALCULATION
OF ADDITIONAL INTEREST
(IF BALANCE DUE IS LESS THAN $1
TOT AL lAX CREDIT
BALANCE OF TAX DUE 12,942,25
INTEREST 304.97
TOTAL DUE 13,247.22
OR IS REFLECTED AS A "CREDIT" (CRI. NO PAVMENT IS REOUIREDI
..,~O:;;;..:;J
RESERVATION: Estates of decedents dYing on or before December '2, 1982 -- If any future Interest in the estate is
transferred in possessIon or enjoyment to Class B (collateral) beneficlanez of the decedent after the expiration of any estate
for IHe or for years, the Commonwealth hereby expressly reserves the right to appraise and assesS transfer Inheritance Taxes
at lhe lawful Class B (collateral) rate on any such future interest.
PURPOSE OF
NOTICE: To fulfill the requirements of Section 1740 of the Inheritance and Estate Tax Act, Act 255 of 1982 (72 Pa. C.S.
Section 17401.
PAYMENT: Detach the lOP portion of this Notice and submit with your payment to the Register of Wills.
--Address Inlormallon IS listed on page 13 01 the booklet. "Instruclions for Inheritance Tax Return for a Resident
Decedent."
--Make check or money order payable to: REGISTER OF WILLS, AGENT.
REFUNO (CRI: A relund 01 a lax credl!, which was nol requesled on the Tax Relum, may be requesled by compleling an "APphca"on
for Refund of Pennsylvania Inheritance and Estate Tax" (Form REV-13 1 3). Applications are available at the Office
of the RegIster of Wills, any of the 24 Revenue Dlstnct OffIces. or from the Department's Forms Service Unit 24
hour Forms Ordering, telephone lines in Harnsburg - (7171 233-3443. in Philadelphia - {2 1 5l 351-2065,
or In Pittsburgh - (4121565-3601,
OBJECTIONS: Any party In interest not satisfied with the appraisement, allowance or disallowance of deduclions, or assessment of
lax (including dIscount or interest) as shown on thiS Notice may obJecl within SIX I'; (60) days of r'eceipl of thIS
Notice as follOWS:
--by written protesl to the Department of Revenue, Board of Appeals, P.O. Box 8480, Harrisburg,PA 17105-8480 OR
--by election to have lhe matter' determined at the audit of the account of the personal representative OR
_ -by appeal to the Orphans' Court.
ADMIN-
ISTRA TIVE
CORRECTIONS: Factual errors discovered on this assessmenl should be addressed in wrillng 10: PA Department of Revenue. Bureau
of Individual Taxes. P.O, Bo>'.. 8327, Harrisburg, PA 17105, ATTN: Post Assessment Review Unit (717l 787-6505.
See page 3 of the booklet "Instructions tor Inheritance Tax Return for a Resident Decedenl" for an explanalion
of administratively correctable errors.
If any ta>c due IS paid Within three (3) calendar months after the decedent's dealh, a five percent (5%) dIscount of
lhe lax paid is allowed.
OISCOUNT:
INTEREST:
Inlerest ;s calculaled on a daily basis at the following rates:
Delinquent Date ~est R~
Daily Interest Factor
5/27/43 to and including 12/31/81
1/1/82 to and Including 12/31/82
1/1/83 10 and including 12/31/83
111/8410 and including 12/31/84
111/85 to and including 12/31/85
1/1/86 to and including 12/31/86
--Taxes that became delinquent on or before
dehnquent balance is paid In full.
--TaxEls lhat became delinquent on or after Januar\' 1, 1982 are subjecl to a variable Interest rate lhat changes
each calendar year.
--Interest is calculated as follows:
60'
'0
20%
16%
11%
13%
10%
December
31, 1981 will maintain a
,000164
,000548
,000438
.000301
,000356
,000274
conslanl inlerest rate
until the
INTEREST = BALANCE DF TAX UNPAID X NUMBER Df DAYS DELINQUENT X DAILY INTEREST fACTOR
--Any Notice issued after the tax becomes delinquent will reflect an interest calculatIon 10 fifteen (15) days
beyond lhe dale of the assessment. If payment IS made aUer the interest computation date shown on lhe Notice.
additional inleresl must be calculated.
1l<-'I,.J.B07 (EX) (12-B6)~~'
j COMMONWEAlTH OF PENNSYlVANIA ,f t
DEPARTMENT Of REliENUE ' ' .
. BUREIIU or INDiviDUAl TAXES '....,'....\ . ~ttr:Ji.. '
r.o. BOX 8321 ' ..~~..
HARRISBURCi, P,. 17105.R321
ACN
102
DATEl:l,Q;:llJi
ESTATE OF FAIR ETHEL M FILE NO, 21 80-0163
DATE OF DEATH 12-29-79 COUNTY CUl1aEBLMD
NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS FORM WITH YOUR TAX PAYMENT
TO THE REGISTER OF WILLS OF THE ABOVE COUNTY, MAKE CHECKS PAYABLE TO: REGISTER OF WILLS, AGENT,
INHERITANCE TAX
STATEMENT OF ACCOUNT
MARIO SANTILLI JR
MELLON BANK NA
PO BOX 185
PGH PA 15230
PLEASE RETURN THIS
PORTION TO REGISTER OF
WILLS IF PAYMENT DUE
Amount Remitted to Regisler of Wills
CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR FILES -
- - - - - - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - .. - - - - - -
REV, 1607EX (12-B6)
.. INHERITANCE TAX STATEMENT OF ACCOUNT ..
ESTATE OF FAIR ETHEL M FILE NO, 21 80-0163 ACN 102 DATE 12-30-86
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE, SHOWN
BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, THE APPLICATION OF ALL PAVMENTS, THE CURRENT BALANCE, AND,
IF APPLICABLE, A PRD~ECTED INTEREST FIGURE,
DATE OF. LAST ASSESSMENT OR RECORD ADJUSTMENT: 12-08-86
PAVMENTS (TAX CREDITS):
PAYMENT RECEIPT
DATE NUMBER
10-03-86 229076
DISCOUNT +
INTEREST (-)
,00
AMOUNT PAlO l
12,942,25
12,942.25
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PR!NCIP AL T AX DUE:..............,.........................,...............................................,........................................,',..........,....
TOTAL TAX CREDITS
12,942.25
BALANCE OF TAX DUE
.00
INTEREST
,00
TOTAL DUE
.00
(IF BALANCE DUE IS LESS THAN $1 OR IS REFLECTED AS A "CREDIT" (CR), NO PAYMENT IS REQUIRED I
. IF PAID AFTER THIS DATE SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST
j
J/ - i7~ ,).
BUREAU OF INDIVIDUAL TAXES
INIlERITNIC[ fMl. UIVl!>IOtl
nE"'. i!60601
IlARIHSnURG, Ph 171i!6"0601
C011l10tlWEALTH OF PENNSYLVANIA
DEPARTl1ENT OF REVENUE
Ii'IHERITANCE TAX
STATEMENT OF ACCOUNT
't\.
(,!-;. ~~:~ 'I
'~'~rt"', <:l/!i
I,':\...~~:-;'" ~ '.
'ff1h~"~~~~
'-;:f";''"'~.Jy~;~'.
R[V-JUT EX ~IP lU.UI
MARIO SANTILLI JR
MELLON BANK NA
PO BOX 185
PGH PA 15230
DATE
ESTATE OF
DATE OF DEATH
FILE NUtlBER
COUNTY
ACN
08-05-96
FAIR
12-29-79
21 80-0163
CUI1BERLAtID
101
ETHEL
M
Amount Remittod
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CU11BERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account, submit tho upper portion of this form with your tnx paymant.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .....cI
REv:i6(jjTi"AFP-((J3':96y---u-liiiji-INHERITANCE-TATs;:ATEiiENT-oTAccoi:iNT--jilili---------------------
ESTATE OF FAIR ETHEL M FILE NO. 21 80-0163 ACN 101 DATE 08-05-96
THIS STATEMENT IS PROVIDED TO ADVISE OF TilE CURREtlT STATUS OF TIlE STATED ACN IN TilE NAMED ESTATE, SIIOHtl BELOH
IS A SUMMARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, ANO, IF APPLICABLE,
A PROJECTED INTEREST FIGURE,
DATE OF LAST ASSESSMENT OR RECORD ADJUSTtIENT:
05-11-81
PRINCIPAL TAX DUE:
1,976,07
PAYMENTS (TAX CREDITS):
PAYl1ENT RECEIPT DISCOUNT (+), AMOUNT PAID
DATE NUMBER INTEREST (-)
03-31-80 XD034478 75,00 1,425,00
07-21-81 XB029659 23,03- 498,14
OB-03-96 WRITEOFF ,86- 1.82
TOTAL TAX CREDIT
1,976,07
THE DEPARTMENT HAS WRITTEN OFF THE
BALANCE DUE AS UNCOLLECTABLE
BALANCE OF TAX DUE
,00
INTEREST AND PEN.
,00
TOTAL DUE
,00