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NO. ~1-80
PETITION FOR LETTERS OF ADMINISTRATION
IN THE ESTATE OF ...........:r.ltlIMI1...Y......N!aI},'l(J::N.................... DECEASED.
To ,..~.~~..,~.:,..,~~.~.;~.........................................................................................
Register of Wills for the County of Cumberland, in the Commonwealth of Pennsylvllnia.
The Petition of ...~...QUAN.G..AU............................................................................................."............
............ .............................................. respectfu lIy sho....'C th t111l t . !!!.~~!!...Y. .~...~.g.lJx.!';!:!... ..... ...... .......,..".........
WllS a resident of .......s:,~?:.!.~~.!.~,............................~~o~~ ,Cumberland County, State of Pennsyl-
vanlai"~ac~KlOilUoRelil8tl\tic~ and depsrted this life intestate In the County of .................,..........
.... ......Cl.Ut1.be.X'lan~.... and State of .. ......l!e.n.ns.y,l N .ani.a....... ........... ......... ......... .......... ............ ........"...... ......
on .'I:l.\IMI9.flY.................... the ...........~.O.j;h................. day of ..............May............................. A. D" 19..8.0....
at the age of ......t.?..... )'ears.
That the ssid .....'l:n,iU1JJ...Y......Mg.~Y.~.1l.................................. deceased, left surviving the following
named widow or husband. heirs and next to kin, to wit:
,~~)r',
Name
Relationship
Residence
DECEDENT HAD NO RELATIVES IN THE UNITED STATES.
....,.,...............................',.....,,'.,.............. .......,...,.',....."...,......",....,.... .",.,......,........""...,..,..................,....".......
HE IS REPORTED TO HAVE RELATIVES IN VIETNAM.
'.,.."........,.................,....,.........,.........,'..., .......,...,....,.,.""."..,.....,..,..,.. ..".,."'.,.,.,.,..,.",....",.",..,...........,..,,.........,
...........,......',........",.",.........,.........".,..,... ..,............'",.....,...,...,...,.....,. ......,'.'"..,'.............,...,...,....,............,.,,.....
..,......,........,.......,.",...,.,..'..'..,.......",,'...... .......,.......,.......,..,.,.,...,..,...,.. "."......,...'.....,.......,....,..,.".'".....,....,..,.....
......,.......,................,....,.."...."..............". ",......,..'"",..,.."..,......,....,.." ,...,.......'..........'....',.......,..,.,.,............"....,
....,..............,.'...........,....,...."..,.'...".......,. .',.,...,...............,..".....,......... .......,.,."........"....,........"...............,...".....
,.."........,.."..,....'....'..,....."....,...............,.. ".,.."...,..,......"..,.,..."...,....." ".""...,..".......,..",....,..."...............".........
...........,......".,....,...',."..,..........."..,.."...... ",.,...,...,."............,.....,.,..,..,. ..,.""".",."....",.,.........,........".......,..........
...',.............,.........'".",..............".,........... ..,.""'......,.".............',..,."",, ....,..",.,.........,..."..,.........,..,...,.................
That those above named include all of the next of kin, so far as known.
The said decedent was possessed of personal property to the estimated value of $...~.,.5.0.Q..Q,Q..........
and of Real Estate, less incumbrance, to the estimated value of $....:fll9.NJ:i................... as near as can be
ascertained,
That the said Real Estate in so far as is known is located in .......NI./l...................................."..,..........
....................,.,.,'.'""..,.".....,..",...."....,........,....,.....,.'..',..,..,.....,...,...........",'...,.."..,..,....,.....",."..,...,...............,..,....,,.....
Therefore, your petitioner(s) respectfully apply(ies) for Letters of Administration in the above
named eatate,
Dated .......................M~y.....~.~.,............ A. D., 19.e.lL..
Signature and Address
of Petitione~ (s)
~Y"
, .-
......................................................... .~.~
Thanh Quang Au
216 Arch Street
Ca.rIiSle.;....PA.....I'7.oI3.........................."...........
,..,'...'"""...,..,..',..'"".",..,."...",.,.....",.".,...,..,.........,.,.,...
,.,.......",.,.".....""",."...,."."...",.,....,,...""...,....................
COMMONWEALTH OF PENNSYLVANIA 1 ss:
COUNTY OF CUMBERLAND f
....,...."..~.I.U),~M..g.V.~.q...~!:!......................................................................................................................... named
in the above application being duly ..........s:war.n......................... according to law, say that the facts set
:::::~::;.:~;~:,,~.~.~.~~~.~~~~~..~~e :~~e S~b:::i:e~t]Of~;;;.;.:.::;;;;;~~;:~:~~~~::
.......~r......~~y....~.'l~................~... A. D., 19.~.9..... ........................................................................................
__~a'7"e.....I<~~;t~. ..................................................._.._.:~
/.5'% Filed: ....g:~!.Y.....}9.!......J,~~.Q............................. Attorney: ........J..ames...D~....F.l.oWe.;t;.,..,J~~..~'
(over) Myers, Myers, Flower & Johnson
21 80 .'. .,'.
No........=................~::.....
Renunciation and Request
-----
In the Matter of the Estate of ...........'!'.{l.~.n.I)...y..,....~g:~y.~.IJ.......................................................................................
To .............MIU:Y....C.....L.elolis..............................................................................., Esq., Register for the Probate of
Wills and granting Letters of Administration for the County of Cumberland, in the Commonwealth of Pennsylvania.
..l......., the undersigned, being the ....j;.lJ.IJ!in::9,1...9J.*.I?.9.:\;9.*...J.D....g!l.g.+.g~...9J....i.Xl:t;e.Plle.nt....O.f........
~~9.~~~~!:...~.~.~...~...~!:.~.~~.~!?;...!?f...J::!~.~....~.~.~~.~!?.......................................................................................
..............................,............,...................................................................,................................................,......,......,...................
......,.....................................,...............................................................",..................................................,...,...........,...............
..........,...............,.........................................................................................................................................,...............,.............
do hereby renounce ..............!!!Y...........................................right to have Letters ....9.Lb.9mJ!lt.!?:\;;J;:~.tJ.9..IJ.........
.......................................................................... on said Estate issued to ......~~...~~....~.~.c::.~.!.......................................
................................................................................................. .................................., and do hereby request you to grant
the same to ........'l.'.b.Hnb...QlJang...Au.............................................................................................................................
Witness....IDY.........hand................and seaL............ ..thiS...................~..~........................................................
day of .~_.................A. D. 19..J.9
Sealed and delivered in presence of
_m__._m_m___.m_m ~~_.m._(r.aJ
................................................................................ ................................................................(L. S,)
...............................................-...............................
................................................................(L.S,)
..............,.................................................................
................................................................(L.S,)
....~............-_..-............._.....-_.....................................
................................................................(L.S,)
................................................................................
................................................................(L.S,)
.............--..........--................................................--...
................................................................(L.S,)
Estate No. JJ.~.~.~........:.:.Q:'
BOND
KNOW ALL MEN BY THESE PRESENTS. That we. ..................................................................................
....................................TI).~!)!:l...~!!:!!g..~"'............................ ....... ...... ..... ......... .......................................... principaL......
and ..... ........... ...Inaur.anc ta..C9mp.any:.. ol'...N9r.:th..ameri.c<\.
..,.........,...,.."............','....."..........,.."."..,.,.,.."'..",..',.',.,.'"."'.-....,.,,,,...."..-,....,.,.,...."...,.""."..."...,.,.,.'..,.....,., suret.y..,...".,
arc held and firmly bound unto the Commonwealth of Penns}'h'aniJ. in the sum of ..................... ..............................
....!f.f.:l:..:':!3...~~.~)l.~r.!~~~................................... Dollars (S..?.3.CJ.Clg.~.()().........). to be paid to the said Commonwealth.
her certain al(orneyor assigns. to which payment. ~'ell and truly to be made. we do bind ourselves. jointly and
se\'erally, and our and each of our heirs, executors, administrators~ successors and assigns. firmly, by these presents,
for and in the whole of the said sum.
SEALED and dated the .........1.l!.........................................da}' of
July
."...........,.,..,",....................,........,
80
19.........
WHEREAS. the abo,'e named ................................ .................................................................................................
..........................................Th?,.l}I)...QlJf.l:)11U:>.~......................................................................................................................
has or have made. or is or arc about to make, applic ation to Ihe Register of Wills of Cumberland County.
Penns}'lvania. for the grant of letlers .........9.L!!:g!!!~)1;j..?~r.~~~9.lL........................................................................
on the estate of ..............~.~...y.~...~I~l.".Tl.............. ....................... late of .....?~2...:~;r.~~...:?~~.....~;r.1.~~~.~
Cumberland County. Penns}'lvania. deceased:
THE CONDITION 01' THIS OBLIGATION is.lhat if the said personal representative ............ or any of
them shall well and trol}' administer Ihe said estate ",cord ing to law, this obligation shall be void as to Ihe personal
representative or representatives who shall 50 administer th c said estate; but otherwise, it shall remain in force.
SEALED and delivered in the presence of
X--___<=_ _ _ __ __ _ _~ ~__ SEAL)
m~~~.::r ___ e.._~~~_~fl!. tstAL)
m~!:___ __ _4!:__:___~~'__ __ (SEAL)
_____~._~ _r__eJ::~~.:-_~~~:_______________ (SEAL)
(SEAL)
COMMONWEALTH 01' PENNSYLVANIA
COUNTY OF CUMBERLAND ss:
Personally appeared before me, a.........
........................................... in and for the count}' and
state, aforesaid . ............""., ..,.. ,.......",........"...,....,..............,. ......, ......, '...,....., ,..,. '."" ......,...., ""... ........, ,.......................,.,..,............
ol.............................................................................................and..............
...................................................................................................or.....................................................................................................
sucities on the .bove bond who being duly sworn (affirmed) according to law, depose and say that they each own Real
Estate worth Ihe whole of the penal sum named in the above bond, over and above Iheir debts and the debtor's exemption.
Sworn and subscribed before me this
.... ........ ......................................................................... (Seal)
..................................................................................... (Seal)
..................................................................................... (Seal)
............................................................................"....... (Seal)
....................................................... da}' of ..........................
A.D. 19..........
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COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE "E"
CASH AND MISCELLANEOUS
PERSONAL PROPERTY
ESTATE OF
Thanh V. Nquyen
(All prop.My )olntly-ownMt with the Right of Survivorship must be dlsclosod on Schedule toF'"
ITEM
NUMBER
1.
DESCRIPTION
Cash
2.
Savings Account at Farmers Trust Company
3.
4.
5.
Sale of Auto
Social Security Death Benefit
Federal Tax Refund
.'
FILE NUMBER
21-80-506
(If more space Is needed Insert additional ,heets of same ,1ze)
TOTAL (Also enter on line 5, Recapitulation)
VALUE AT
DATE OF DEATH
4.00
1,828.86
50.00
255.00
456.54
$
2,594.40
J.v.ISlllX+ ""11
SCHEDULE "H"
FUNERAL EXPENSES.
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Thanh V. Nguyen
'ITEM
NUMBER
1,
1,
2.
1,
FILE NUMBER
21-80-506
DESCRIPTION
A. Funeral Expenses:
Ewing Bros. Funeral Homes, funeral, casket
St. Patrick's Church (burial plot)
Eby Granite Works (tombstone)
B. Administrativa Costs:
Personal Representative Commissions
Attorney Fees
C. Miscellaneous Expenses:
Register of Wills, letters & 2 short certificates
Bonds for Administrator $28.00
28.00
28.00
1980
1981
1982
Register of Wills, filing fee
Vital Statistics - Death Certificate
TOTAL (Also enter on line 9, Recapitulation)
(If more spice Is needed Insert additional sheeta of lame ,Ize)
AMOUNT
1,145.00
200.00
285.00
150.00
250.00
15.00
84.00
10.00
3.00
$
:';;:~",'
~,&~'1;
....'.'.IX+ 1"11
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT'DECEDENT
ESTATE OF
Thanh V. Nguyen
SCHEDULE "I"
DEBTS OF DECEDENT,
MORTGAGES, AND LIENS
ITEM
NUMBER
DESCRIPTION
1,
UGI
2.
p P & L
3.
Community Ambulance Fund
FILE NUMBER
21-80-506
TOTAL (Also enter on line 10, Recapitulation) $
(If mer. space I. needld In.ert additional ,heet, of lama .Izal
AMOUNT
43.24
6.18
35.00
-------- --_._-----~---- -.----.---- ----
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REV.11152 EX
COMMONWEALTH OF PENNSYLVANIA
N~.I0706I:;n DEPARTMENTOFREVENUE..
.'L , 't'l!FICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
m
~
m AMOUNT
Assessment Control No.
RECEIVED FROM: ."0".+.
roo 1lY.an...JIY..n~~lOWl!lr-"_JohDaOD;lA ~ya.
1 w.-lli91a-atnet--- --.------~-
--'lal'liale,-h.--1-7013----..---..--
25."
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ESTATE INFORMATION:
FILE NUMBER
NAME OF OECEOENT
DATE OF PAYMENT
POSTMARK DATE
COUNTY
DATE OF DEATH
LAST
FIRS
MI
~TOTAL AMOUNT PAID
25.33
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REMARKS
RECEIVED BY
. ;'(! I;
- / I I (J~ i .
, I (- S NATURE
.."",' .
:)'.::.tb%,J;.J
SEAL
REGISTER OF WILLS
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:
j REV. 11547EX (3-B3)
BUREAU OF ACCOUNTS SETTLEMENT NOTICE OF INHERITANCE TAX
PENNSYLVANIA DEPARTMENT OF REVENUE APPRAISEMENT, ALLOWANCE OR DISALLOWANCE ACN
P,O. BO)( 2055
HARRISBURG. PA 17105 OF DEDUCTIONS, AND ASSESSMENT OF TAX DATE
ESTATE OF NGUYEN THANH V FILE NO. 21 80-0506
DATE OF DEATH 05-20-80 COUNTY CUMBERLAND
NOTE: TO %NSURE 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 .
JAMES 0 FLOWER JR
1 W HIGH ST
BOX 125
CARLISLE PA 17013
101
PLEASE RETURN THIS
PORTION TO REGISTER OF
WILLS IF PAYMENT DUE
C!~'!: ,A~9~~ _ ,!:HJ~ ,L!t!E. _ _ , .-:-. ~!'-r~I~ _ ~~,,!,~R_ !'9~-r19~ _ ~O,R. Y91:l~ _ F!.E~9!l~~ ,-:r:. - - - , - - - - - - - - - .
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
REV. 1547EX (3-B3)
ESTATE OF NGUYEN THANH V FILE NO. 21 80-0506 ACN 101 DATE 04-25-83
APPROVED DEDUCTIONS AND E)(EMPTIONS:
9. Funeral Expenses/ Administrative Costs/Miscellaneous
Expenses (Schedule H) ( 91 2 ,142.00
10. Debts/Mortgages/Liens (Schedule I) (, 0) 84.42
1 , . Total Deductions (11)
12. Net Value of Tax Return ('2)
, 3, Charitable/Governmental Bequests (Schedule JI 113)
t4. Net Value of Estate Subject to Tax (14)
NOTE: If an assessment was previously tssuDd, lines 14, 15 nnd/or 16 and 17 will
reflect figures that include the toto' of -ilJJ. returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of line 14 taxable at 6% rate
16. Amount of line 14 taxable at 15% rate
17. Principal Tax Due
TAX CREDITS:
TA)( RETURN WAS: (X) ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
,. Raal Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3, Closelv Held Stock/Partnership Interest (Schedule CI
4. Mortg'gAs and Notes (Schedule D)
5. Cash & Miscellaneous Personal Property ISchedule E)
6. Jointlv Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
PAYMENT
DATE
RECEIPT
#
070650
DISCOUNT (+ 1
INTEREST (-)
1.10
03-08-80
. IF PAID AFTER THIS DATE SEE REVERSE FOR CALCULATION
OF ADDITIONAL INTEREST
) CHANGED
( 1) .00
12) .00
( 31 .00
( 4) .00
( 5) 2,594.40
( 6) .00
( 7) .00
( BI
2,594.40
2,226.42
367.98
.00
367.98
(151
(16)
367.98
.00
22.08
.00
22.08
><'06=
><'15=
(171
AMOUNT PAID
25.33
TOTAL T A)( CREDIT
BALANCE OF TA)( OUE
INTEREST
TOTAL DUE
4.35CR
.00
4.35CR
I
(If Balance Due IS less than $1.00 no payment is requiredl
Rtf'
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RESERVATION: In the event that any future interest in this estate is transferred in possession or enjoyment to
collateral (Class at heirs of the decedent after the expiration of any estate for life or for years, the
Commonwealth hereby expressly reserves the right to appraise and assess transfer inheritance tJxes at the lawful
collateral (Class B) rate on any such future interesL
Purpose of Notice: to fulfill the requirements of Section 709 of the Inheritance and Estate Tax Act of 1961 (72
P.S. section 24B5-7091,
Objections: Any party in interest not satisfied with the appraisement. allowance or disallowance of
deductions, or assessment of tax (including discount or interest) as shown on this Notice
must object within sixty (60) days of receipt of this Notice.
Objections may be made as follows:
- by written protest to the Department of Revenue. Board of Appeals
- by electing to have the matter determined at audit
- by appeal to the Orphans' Court
Discount:. If Jny tax due is paid within three (3) months after the decedent's death. a dIscount of
five percent (5%) of the tax paid is allowed.
. the discount period is calculated in calendar months. Example: date of death 1-15-82,
discount period expires 4-15-82.
Except for tax on a future interest. inheritance tax becomes delinquent nine (9) months from
the date of death.
. Inherit~nce tax on a future interest becomes delinquent at the expiration of three months
from:
- the date of election to prepay or
- the date of death of the life tenant or annuitant
Interest is calculated on a daily basis from
_ delinquent date to date of payment on any tax unpaid on delinquent date
- date of last delinquent payment to date of payment on any unpaid balance.
Interest is charged at the following rates:
Interest:
Delinquent Date
Annual Interest Rate
Dailv Interest Factor
5/27/4310 and including 12/31/Bl
1/1/B2 to and including, 12/31/82
1/1/83 to and including 12/31/B3
6%
20%
16%
.000164
.000548
,000438
Estates that become delinquent on or before December 31. 1981 will maintain a
consunt interest rate. The rate in effect when the tax first becomes delinquent will remain
constant until the delinquent balance is paid in full.
Estates that become delinquent on or after January 1. 1982 will contain a variable interest
rate. Thus. taxes that remain outstandIng from calendar year to calendilr year wlil
be subject to different rates in effect on each January 1.
INTEREST : BALANCE OF UNPAID TAX X. NUMBER OF DAYS )(
DAILY INTEREST FACTOR.
. If .a tax balance remains outstanding for more than one calendar year, a separate Int~rest
determination must be made for each year at the .applicable rate. (Only one calculation
is necessary if the estate maintains the constant Interest rate,)
Any Notice issued after the tax becomes delinquent will reflect an interest calculation to
fifteen ('5) days beyond the date of the assessment If payment is made after the
interest computation date shown on the Notice. additional Interest must be calculated.
To Remit Payment: Detach the top portion of this Notice and submit With your payment to the Register of Wills
of the county shown on the Notice.
. Address Information is listed on page 13 of the booklet. "Instructions for Inheritance Tax
Return for a Resident DecedenL"
. Make cheCk or money order payable to: RegIster of Wills. Agent.