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HomeMy WebLinkAbout81-00362 -= ~ id Cf.l i P< ffi . t) ~ . .p< E-t ~ B ~ ~ ~ . ~ I-l . ~ N ~ r5 tt, ~ .M t) ~ H r5 ~ ~ ,- co - I 0 .... eN ~ ~ .., ca Lr\ . .., r-l 0 .. Z UJ 'I'''......,. ~, 1- "." ~O. 21-81 PETITION FOR LETTERS OF ADMINISTRATION IN TilE ESTATE OF .RIG.tlARP,..l,......M.(ER~..................... IlECEASlm, Mary C. Lewis ..........""....".............. Regisler of Wills 1'01' Ihe (ount,I' or ("umbel'I:II"I, ill till' ('ol1lllltln\\'eallh of l'ellns)'ll'ania, The Petition of """, ,.."....., ..J.l,()1:)(:!,r..t." ,}lY.E!.r.~..... "......"... ,..""..,..."" ...., ....".. ".,. ".. """" ..."."."."""""... "..,. ................"".............."""'"...",,........ I'eslled full)' sho\\',,1 h lIlat ..~.i:c:.I1Il,r..~,,,b~..J1Y.E!,r..~,,,,.,,"",,..,,...,,""""'" was a resident of "Nort.h."Mi.ddl.et.Qf.\............"..r.1:/:~~lil ,("omberlalld ("ollnty, State of I'ellnsyl- vania, and II Citizen of United St.ates, and departed this life intestate in lhe COllnly of """..".................. "..."...Cumbe.rland", and Slate of .,.1'.~D.p,ay.tl1.l!.l).t.<l..., ...., ...., ,... ..,... .",.....".,.",...".."",.,."...."....,""',.,"""" on ...""S.).,\!).4~Y......."".... the ...."........~.9.t:.~........., da) of "..........".."..."~,p.,7:~1."......,,. A. D., In~,1......, at the age of. ..~~".,,:,,' years, That the said ".~.i.<:.~.!I1:".~...~.~."l1.r.E:!.1:".s......".."""....,,............ deceased, left sUI'l'iving' the fnllowing named widow or husband, heirs ami next to kin, to \\'it ~ Name Relationship ~ZEn~~IK~",1'lper'....".".........."". ~~.t:y'"~ll,g",.......".,,....,., ...'".."........' ~i~~M~~~~~".,..",.,"'"......,""",...," ~~~!~,~,\I.:.~~~.Pi,,,,,....,....,',........ ,'..,. Mildred Calaman Brother sts.tet.,.,..."..." ....,.. ...,. ..". Sister Brothiir.".........." .,. .,.., ,.... Ug~~~~..."'.."..,...........".. sIs'ter"""'" .."..,,,,......,..... ies'ter"'}iy'er.s.."."'..'''.''..''........'''.. B.rothe'r.""'...,."...".,',...... ,.J.anet...!rauffma.o,,,.,.......,, ....,.. .". S.il>,t~.h...".", ..".......,',...,"" Joyce Weller(now deceased)Sister .................................."............................ ............................................ Lois Mellott Sister .................................""........................... ............................................ Robert Myers Brother ................................................................ ............................................ Residence 149 Longs Gap Rd.. Carlisle. pa R:~..'D.."'2.....C~tttste.~"'P!r;""'" Box 3. ~anns Choice. Pa. lT1~'..Kii're'ii...ii.r':..;..'C'a.rlTsl'e'. Pa. ~,2~. "Ant) SJi "."rlisle Pa. i~1fi:s.g~lB~rd~i:~~~~Isl~. 1'a. BOX'''6:r;'''C'ouii'fry'''Ma'iior'~'C'ai:1 is 1e . 4'2~""L''''peiin'''S'f;'.'''CarHsl~~ . Pa. I-.nlt".J:<<l~~,\1..,P.;,.,....C,~~H~J.~,. Pa. 1106 Karen Dr.. Carlisle, Pa. ................................................................ R. D. 1. Boiling Sprigs. Pa. ................................................................ 833 E.Louther St.. Carlisle. ................................................................ That those above named include all of the next of kin, so fal" as known, The said decedent was possessed of pel"sonal property to the estimated I'alue of $..lJ'-:':E!.s.,~.~~,~~~.... and of Real Estate, less ineumbrance, to the estimated value of $.~.~?~.....".........".".. as near as ean be ascertained. That the said Real Estate in so fm' as is kno\\'n is located in ........::::;"........."......"..."..."...."....,,"",.., ........................................................................................................................................................................................ Therefore, YOUI" petitioner(s) l'especlfully appl)'(iesl 1'01" Letters of Administl"ation in the above named estate, Dated ."................"......June...ll......, A. u.. 1\1..8.1.. Signature and Addl'l'<< / ) . - ' - -'-', -~' . -_.-- .' ',,, ./-: >'-:':.-/.' ..>~<.:.- "-'-~i'1: " ~. . L_.'.' .Rohert'..MYerii.../;;/,.......,...,',..,..,',."........,.. 833 E. Louther St.. Carlisle. 1'a.170l3 "".",..".,.,.,.,......"...,.,..,................................................... of Pl1titic)lwr(:,) , ..C/. ,;:,7t ..,..."......,.,........,..,..,...,..,...,.,...,.....,......"""'..,..~....'''''''''' 5-~ 0:4 ...........,........,..,................................................. ........ COUNTY 01<' CU~lBl';rn,AN\l \ f "": I ................. ........ ...... .......... ..................... . ..R.g~~.R.~..11f:l~:R.?...................,. ...... ....; ...... ,...... ............ .....,. named sworn in the above application beinl( dnly ........................................... .... according to III\\', "ay that the filet" 8et forth in the IIbove IIppliclltion ,,,'e tJ'I'" to t.he b,,"t of ...I~.j:!l...... l(llowlcdge and belief. ~~~.t~............................................,.. IInd. "nb"cribed 'I ,........;....................,........"'..'.........'................................. , . \ b f \ ""'<.>,,. .-~;',; ,,:~.~ I.~~.-::,:::~.(,~:~::~fi~~:~~;;-:-:""" ... ........................ ..~..~~.~...~~~:.... .........J~~~...U........ A. I).. In:,~.1.:, .... ......,. ,....... ....,... ..... .............. .......... ,..... ............... ....... ......fl{&Yj...,,(l.:..c(~......,.............. f Hegi"tcr Filed:. ...............J.~.~~..y.....J9.~.L................ ..""."................,..."',..............,,......",.............................. COMMONWEALTlI OF I'I.:~SSYLVANL\ (" Allorney: q~().r.g~...~.~....s.l:11,lI.t.!."'.:P..&~......... r;", nt cD ern - :;o:::C 3~? ,..,m Q' G1g Pl I _ ,':;:n OATH OF PERSONAL REPRESENT A TlVE i;'~'z ;~::g "le,. "I'" ' ". <or . , ,,-_? ~ ",0 '-!).~ ._' ",I,!., (..' . ., .. ,....~.,.;~I C9MMQNWEAL'l'HOF PEJ'lN~YLV ANIA l :~> . '0.' ';'! : ';:, ?,\Jm: 9F ~""'ERLA"D I "", ',\!, ,; :i .,' .', ,'.' " .',..".. ': .. .' ,', .r r, '.' . . ..........:..,:...~............:..,;.:.......\....ROBER.T,.M'lERS...... .............,::....:..:...:..................................... :.... ' petii:i6ne'i(s) , 'j:", ' '.: .. .... ..,.., ,.-." . : .... . '\ ,I " ': , being duly .....................,.....fl~p.l:n..,..,............ according to IlIw do fi\:;!........ depose and 'say' that as the' . : dr.. 't'" tor.:' "f th ' 't 't"f Richard L. 'Mvers . "",. " a IlllnlS ra. ................ 0 e es a e 0 .............,.........,..........~......................................................,..................;....... . .'" . . . '. .. 'u . . .\' 1'...."'.:.....,..,..,......,....;........'......"....'.....,.,.1.....................,.................,..............:,.........;..,....;,.........,;,...~..,.,.......,;..........,;,;:,.'.T . "d:cea,s,ed.........."f.\EL,..(;... ,,:iIl \~~Jl ~nd truly administer th~,goodfand chattels. rights an~,~r~dit~,ofsaid, deceased, according to law, And 1I1so will diligently comply with the provisions of the law relating t . 'to Tr~nsfe'r'Inherit~nces. r " .' . ' ,.............,.,...............~.~.l?,~.~............. and subscribed before. me, ., " June 11 81 R~~e'~:;;'".......... ............................................................................................ ----, / /' ..1 j~ ./.'. _....<a~7 , /" ;/ . /' . ,..,,~e'..:,,~u ,:;>.. . ~-r' ~, ..........................................,.io.."...d...f'iio:-:'............................. // Be it remembered that on the .............1?t.r......... dav of .................J!:l:!!-.~..................... A, D" 19..~,L Lette!'8 of Administration in the estate of .....~~~.~a.:.~..~~.:....~~~.:.~.....................,...........,.....................:..... ....,.....,.................,.....,..................................,,........,.. late of ..~~.r.,t.h..M~.Ml~~~.~,..r..9.W,n!1.b.Jp...............,...... , . Robert Myers Cumberland County, Pennsylvania, deceased, were grllnted to ......................................................,............... DECREE ..................,...............,..................................................................................................................,.................................. Witness my hand' and officil,l "eat the day and yellr afores~~ ' ................:;/L(a1fl3.,.~....... \ :'f', COlllllyO! Cumberland \,", Stal..if Pennsylvania On thi.I, Ihe F,Jt.Iv .IllYoj' MI.gllst , /984 . 1J('f(}n~ me, Ih. ,HIf~Ps~iIl'C;t o}jUp~},rr.IIJ,,,,lIy IIp/wllletl Joyce A. Weller. deceased. JANES S, \;ELLER, AdmInistrator r.f the Estate of known to "It! (or ,mti.ifm:torily pro'''I''') to ill' tlw /If'f,HHl Il'//tw' fHII1H' is .wlm'rilll'rf to t/w Idilli/! ;".dfllm.f:!~~, and (JCk'lOwlt~dged t/tat he t'XI'Cllft.d ,m,rll'fllf tlu' pllrl'fJ.H'.~ tlu,,,'ill ('fmtllifll'd. .' \ \ d ..(':, In wiln..I.I ",hereof, 11",,,,,wto ,,,, my 11/11I.1 "'1/1,~('~~,"'"tJr~w.to?q{ J..rr:.~}c)?oi7i.~',.~~~cij5;;~>(;':... , . . h . ...." Ii...\ : : I" ." I). ", ~j,o l:c": KAREN E;--PAlncL01.......-NOTAUl" "UIlr.J~'~-"j~ -~+i,-"-~",:> ,;:;./: Titll! o[Ofjicl.r. CARI.JSLR. CVMDItULAND .COUNTY. PA.... . ~ -":r I, ",' ~.;,~.,' ...), 'My COMMISSION ItXPlnH9 MAIICII IS. 1888J.,",,: ~J.'... :\,"",~l -II.. j .] . ,.f,l t"" .".... 1> ! ~ . tJ) . ~ '" tJ) <>l ~ ~ ~ ~ I>l ~ , ~ ~ ... ... rf) 0 i .. ~ "" < . ~ 0 "" 0 ~ 0 ::!! >- o-l H 0 H '" ~ ... ~ ~ Ql g Ql ~, ~ ~ ... 0 '" 0 " 0 l!""l ,D " I>l " I>l 'M E-< 'M ~ >- is E'l " '"' '" tJ) -< ~ tJ) 'M I>l <>l 0 ~ ~ ~~:;,< 'r" ,. ') , "Of: . ....1 r.." " (1.'.1 .,1,(.. ~I.; J )" -.,. 2.5().AT-Release, General Henry Hall, Inc., Indiana, Po. '" ~'U tf\nnw all:!lm bU tlttlit 'rtlitn16 THAT WE, ROY MYERS, of R, D., Newville; CATHERINE PIPER, of R, D" Carlisle: HARY BALL, of Manns Choice: CLOYD HYERS, of N, Hiddleton Twp,: PAUL MYERS, of Carlisle; ELDON HYERS. of N, Hiddleton Twp,; CHARLES MYERS, of R, D., Carlisle; HILDRED CALAHAN. of Country Hanor, Carlisle; LESTER MYERS, of Carlisle; JANET KAUFFHAN, of N, Middleton Twp,; LOIS MELLOTT, of R, D, , Boiling Spriugs; ROBERT MYERS, individually, of Carlisle, all of Pennsylvania, hereby acknowledge Ihal we hdYe IhiJ day had and received oJandJram Robert Myers, Administrator of the Estate of Richard L, Myers, deceased, late of North Middleton Township, Cumberland County, Pennsylvania, the following sum or sums: Roy Myers ' , $826.93 Mildred Calaman , $826,92 Catherine Piper $826,93 Lester Myers ' $826,92 Mary Ball, $826,93 Janet Kauffman ' $826,92 Cloyd Myers, . $826.93 Lois Mell.ott ' $826,92 Paul Myers . . , . , . $826.92 Robert Myers ' $826,92 Eldon Myers, . , . . , $826,92 ~Iii~ Ch,llrles Myers. , . , ,$826.92 .' inJu/l,a/iJJaclionandpaymentaJ our share(s) of any and all. cl.a1ms, act1Ons, causes of action, demands, rights, damages, costs, expenses and compensation whatsoever on account of monies due me out of theEstate of Richard L, Myers and in full and complete satisfaction of the same and of all doubtful and disputed claims that 1 may have, AND THEREFORE, we th..aid Roy Myers, Catherine Piper, Mary Ball., Cloyd Myers, Paul Myers, Eldon Myers, Charles Myers, Mildred Calaman, Lester Myers, Janet Kauffman, Lois Mellott and Robert Myers(individually) do by these presents remise, release. quit claim, andforever discharge the said as aforesaid, his oJandJramlhe payment of said share(s) Robert Myers, Administrator. heirs, executors and administrators, and of and from all actions. suits, payments, accounts, reckonings, claims and demands whatsoever,jor or by reason thereof. or any other acl, matter, cau.. or Ihing whatever,Jrom the beginning oj Ihe world to Ihe day oj the dale of th..e pmenU. And we hereby can..nl and agree that the Orphan,' Courl oj Cumberland Count y may diJcharge the ,aid Robert Myers; Administrator, as aforesaid, upon application, withaulfurther notice VOl or accounting to us, IN WITNESS WHEREOF, ...1</<t.L.. we dayaJ have hereunto set liu,?wr our A.D. 19 84, hand s and ..al s Ihe ~ ~#J ~ ~ s s~ IleAL - .........., . . ala n .-' .~ 1\ .1/ I' ". /7l1.. n ......... ....;,.. ~A-/ ./c;'" ,'11/:,. -",,'" ~e ter Mye~ ~ ,~,~, ',;". .:;. = 'i . ? ~ '. :L< O"(/. ~ '.*.lY.t~is~i eJpj' . . ~ -<f ~'; "'" '" 1. ~ net Kauffman) ::::,,~j./\:"\. '~ ff.. .,1.1990 0-;';, ::> :: /". y.' ')v7d4,{J..i.L 4 (, " ~ . -:-w-q;-- i.... ~ Q"'".~..v ' (..(:{;~-f:..---' . :-"' ~,. '~~\"\\" "'; .::;t: CA \:':-c '~'/''''n. ':(V ,C l (Loi ", ,~:_;..._~ ,~ .... RO,),.'y'tOll\'",:~,m, tll;tJirubli \....~" \\ :..',..... .. :- Monroe .T,....".I.'-"'l~)~.I.k4I~~~..PJ. . .h.' \'. '.... t!~:'~- M~.commjS~,lrlO.1,"\.IJT~\f~j~125 1 b :,: :'S\:, "A'\"!- ,. Zlt</ "'/ / ~..' 0 crt .~,.,::' '.'~~;~ . (' .. 'fI)) (~/K-(r.... //(ll/~,<", ~~ ~~1) at ler ne i e 'rYJ eft; l},df (Mary a ~J~rr J ,1 ~ ~ ~ ~ Gff~ Gi#J (SEAL) 'j ~ ':: .', ..- I I ", P."" 1)(:'" (_\..i' (SEAL) CO/till)' of CUMllER1,AND \,>S, ,1984 . "efore me, Slole of PENNSYLVANIA On Ihi.., Ihe a Notary Public Ihe IIndersiglled ofjic"'.l'ersOlHl/l)' "1'I'el,,'d Roy Myers, Catherine Piper, Mary Ball.. Cloyd Myers, Paul Myers, Eldon Myers. Charl.es Myers. Mil.dred Calaman. Lester Hyers. Janet Kauffman. Lois Mellott. and Robert Myers(indiViduall~) known 10 me (or seJl.ifaclorily 1"'''''") III he Ihe 1''''''''' w;,o.,.' 1I01/"S are ,III/""ril",d 10 1/'" withi" i","""'"''''. and acknowledged Ihat they exerllted ,IOmefor 1/'" l""l'o.<e.< therrin ('Ootllined, In tvitness whereof, 1 hf'rt'ulIto .~f'l my 111I1111 and officll1,'il'llf. da)"!l @ Title ofOffieer, n . ,- 00 .,,'" ~~::: -..J r11'M ~~0 ". :.'10 PI ~,. " (;:;;0 . .~ :;; :t."J .,~c, :.:r., , I -n ...- '0 '1 'J::J '.0 j .\ ~, ~ ~ tJ) tJ) e1 e1 - ~ ~ ~ , u ~ ... ... ~ P< i .. ~ rf) ~l ~ . < "" ..... ..... ~ ~ 0 is 0 H (/) H ,.. I i'l ~ Q) ~ 0 ~ tJ) I Q) .., ~ ..., ~ <II ~ 0 ::l 0 ,.. '" ~ .0 0 .., <>l 'M ..., <>l ,~ <>l ~ ,.. ~ " ~ ..., 'M ~ "" (/) l;; ~ @ tJ) 'M <>l <=> <>l " ~ '. '.. ?1 81 ').:" , N . '.# ~N '.. 0.,.,..,..,...."..,...........,., Renunciation and Request .----------- In the M.tter of the Est.te of :R.J.C;;~.:r.!i...J...~...r1y.~:r.!l............................................................................................... To ,..~~~.Y.....g.......~~~~~........................................................................................... Esq" Register for the Prob.te of Wills .nd granting Letters of Administr.tion for the County of Cumberl.nd, in the Commonwe.lth of Pennsylv.ni.. ....w.~... the undersigned. being the ........\1.I?J:r:.!l....l?L:R..i.~.hll.r..cl...~.~....~Y..~E.~..................................................... ......................".......................................................................................................................................................................... ..................................................................................................,............................................................................................... ...... .......................................................................................................................................................................................... .................................................................................................................................................................................................. do hereby renounce .......................................o.ur...............right to h.ve Letters .....af..Administration........ .......................................................................... on s.id Est.te issued to .....l1.5.................................................................. ................................................................................................. ................................... .nd do hereby request you to gr.nt Robert Myers. . the s.me to .................... .......................................................... ............................................................................................... W,'tness... our. h.ndS . .. .nd se.I..~.......... ..this......... ' .......................................................................... .............. ............. ~ June 81 d.y of ...............................;..............................A. D. 19........ Sealed and delivered in presence of "f.. ~ ~:'t</Il...'-.21!..9.a;.~f.=...,.."f,,<....... ~'" ,0 '''''''7 .<J~-' .~..... :!.J./.Y.L<d:f....9J.d..-:-,I.d?,A.4"4.f...-::JeJ.'J0."';!.... ,~. .<-0 "77.;:'''' ~x _ n /..,~' ~<<-<.J:"- .-" , .............................................................................. ................................................................................ ~~~"'....~(f~:L........................... ................................................................................ ................................................................................ , ....(fte~sij04:1AYLdL........(L. s,) .~~.~i~'e-.fr..........'.........{L, S,) ..(M:y.~)"....~.~...................(L, S,) ..(ff&~/!~~J!.....................(L, S,) ... ....:I....4:.-fI-:.t...1w.f:/.d?/!:::i.!~..... (L, S,) (PllU}) Myers) ii~e1-'}{;~~...................(L, S,) r/7 .1'{" d. ~1'1 (Atla~~1:iiiiiiin-r.......................(L, S,) "--- ITEM PERSONAL PROPERTY - Lilt alllllngiblo and intongible personnl properlV owned individuallv by Estimated Departmont Valuation NO. the decedent at Iho tlmo of death, MarkOI Valuo (Officiol Use Onlyl . - 1 Canh J.%.80 2 1971 Chevellc ~!a li.hu - sales price 650.00 3 Cm:lio 1e Til~C c: l{ubber -payc~1eck, b O'lUS ch'~ck and vaea t ioCi pay 963.31 4 Savings Acct. 412-04734-6, Farmers Trus t Co. 1,100.00 Accrued in teres t 9.56 5 Savings Acct. lf1-J.97lf5-9, Farmers TrufJt Co. 1.19 I, Total 2,918.86 o.? 91 r 5'~A/.l ITEM JOINTLY-OWNED PROPERTY- List ull real and pl!rsonal property owned by tho decedent with Estimated Department Valuation NO, with another patty or parties os joint tenants with right of survivorship, Include name, address and Market Value IOfficiol Use Only) relotionJhip to the decedent of the joint ownerfsl and the date the joint ownership was created. None I Tota! 0.00 A~ ./fAt? ITEM TRANSFERS - List all real and personal property transferred within two years of death. Estimated Department Vall.s;ion NO. Market Value (Of:icial Use Onlvl None I Total U.UU -., . ..A A List all safe deposit boxes registered in the decedent's name, or jointly with, or as an agent or deputy of another, or in decedent's individual name with right of access 8$ agent or deputy. Include the name and address of the bank or other institution where the safe deposit box is located, the namelsl in wtlk:h the box is registered and the relationship of the joint holders to the decendent. Name and Address of Bank or Other Institution In Which Decedent Maintained 8 Safe Deposit Box None Name or Nemes In Which Safe Deposit Box Is Registered Rer8tion~hip of Joint Holders 10 Decedent NOTe: You may expedite the procllning of this return by filing with it 8nd 8& a part of tho return, letters from financial institutions or mortgage holders, certifying to amounts on depo.it "r owned by the decedent as of the date of death. Such letters must be signed by a responsible officer of tho financilll institution or mortgage holder and indicate clearly amounts of prinCipal and interest in the decedent's account at the date 01 death and the type of account, account number and the exact name or names in which 1ho account is ro!)iucroo. BENEFICIARIES .~_._----.---_._-~._-------------~_...--_. ___....._____..._______u...._.__....____ ------- --~-.----. ..~. ...-:.::-~-..~=-==".==:,-:...-_._-=~-==-~-==.::= BENEFICIARIES AND ADDRESSES (Stote lull numl!S and addresses of aU who hove llllllHurosl cilhcl \/CSlud, continuent or othur I1\1lHllS11 RELATIONSHIP SURVIVED TO DECEDENT DECEDENT STATE YES OR NO Roy l>lyers, N'ewvlilc, l'enn<;y'fv.ll1\in ji::~t;~~'~--' Yes CatheJ:i~l PTpeJ;,T~:D:2;~;:1r1Eile- bA -- ~TsEGl';---HYei -.. __mH'_ FBth- MAry Ba___ ..IlJ)lL-"_.HIDJJHL Jl.OJl;Q....:H1:___ 2.15 tQL__ ___ic,S"--_____________ -'[. t ,1 Cloyd llyers, 1116 1<arel1 Dr. ,cm:Hd tl'{!, _ '" v '" .lJ],3tb Paul l>lyers ,52 E-:-Penn S t~aT:,cal"lrsl:c f,-AJ.l1 ~- --:--s-~- --- 1/13tl.1 ,rot lCr les _ EIClon Nyer~-;1lfT2 Spring JZd.-;c-,:1l:Ti-,-~I=-?A.'------ --- 1/13 Chnr1es Hyers, p..!),6, C;arTIsle,. pj\- ;rg.~1~~~ ~~~ ----tllJEl~ W 1 rl,.",rl r" ~am.au.....Jl!lx,'56?) C DUl:lt:ry___. e -" - Hanor, GorU.sle, ;1\ ,l.,tel. --yes I n~i.(.:\'" rlfy(.lo'~~ It.?q l.j P~()11 _.s.t.......,.Ga.r.l..is ~. . ~. 1rotner Janet l{auffman , llJA Karen Dr., '. CAI'LII;1.E pA . 'ister J"yrp l'IpTTp'" 110r; !r",.en n,', ,.G<l-l c _ ~ PA) 'lel;""- Lois HellottJR.n;l, BoilingSpri.ngs, A:::,)iste:r Robert Hyers, 333 E. Louther St., Brotl1er Carlis.Le, PA ,.. ." Z .. m ~ Z Z ? ? Yes y~s c o n " m ... Z ? yes Yes Yes n o c z ... '" o " C"l ..- c C"l OJ ..- , j:: Ii 0 , a ..- a- ( u- ..., (; "" ro Ul ?< I"' Ii ..- OJ' e ..- ro Ii r..G" e OJ . ro 0-:- UC. ,:;j ~ ::> wl.l": ~ p.. ''d , c::Cl: "'L' P .~ OJ C! (~ Ii ...' ..- < ..., ro 0 ..- w ) INFORMATION .. AGE OF LIFE TENANTS OR ANNUITANTS AT DEATH OF DECEDENT .. c " '" m en '" m en ... ~ m o " 7-l .... " p- OJ Ii p.. t'" '?' -< ro Ii Ul INTEr1EST OF BENEFICIARY IN ESTATE share s,'lDre ;..ll.11:e share shaj~e share s Ilare z ? .. o ;:: Z in ... '" ~ o z z ? N ..- 1 00 ..- , w a- N '" m .. '" '" m .. '" PLACE FOR FILING _ The return is to be filed in duplicate with the Register of wms of the county wherein the decedent resided, TIME FOR FILING _ The return is due nine months after the decedent's death, unless an eKtension for filing has been applied for and granted by the Secretary of Rev&nue within the nine. month period. FAILURE TO FILE RETURN _ Section 791 of the 1961 Statute provides that ". . . any person who willfully fails to file a return or other report required of him ... shall be personally liable... to a penalty of 25% of the taK ultimately found to be due or $1,000 whichever is the lesser to be recovered by the Department of Revenue as debts of like amount are recoverable by law." DEDUCTIONS _ Unsatisfied liabilities incurred by the decedent prior to his/her death are deductible against his/her taKable estate. In addition to debts incurred by the decodent or estate, othtH items are claimable including the cost of administration, attorney fees, fiduciary fees, funeral and burial eKpenses including the cost of a burial lot, tombstone or ~rave marker, and other related burial BKpenses. FAMIL V EXEMPTION _ A family eKemption may be claimed by a spouse of a decedent who died domiciled in Pennsylvania. If there is no spouse, or if the spouse has forfeited his/her rights, then any child of the decedent who is a member of the same household can claim the eKemption, In the event there is not such spouse or child, the eKemption can be claimed by a parent or parents who are members of the same household as the decedent. The family eKemption is allowable only against assets which pass by a will or by the Pennsylvania Intestate Laws FIDUCIARY COMMISSION _ Compensation paid to an estate representative; namely, an eKecutor or administrator, for services performed in administering an estate is reportable for Pennsylvania Income TaK purposes. This taKable income item should be reported on Form PA.40, Individual Income TaK Return. REV.455 E)(+ (3.80) COMMO!fflEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "F" STATEMENT OF DEBTS AND DEDUCTIONS .---- _..-. - - ._-~ .._~--.~.. .~. Estate of RICHARD L. MYERS DalCofDeathApr.19,1982j:ilcNo.2l-8l-362 WHEN CLAIMING THE FAMILY EXEMPTION, COMPLETE THE FOLLOWING: Claimant R(!lntioflshill to D(~cndr.nt Claimant's Address at time of Decedent's Dealll ITEM NO, DATE NAME OF PAYEE REMARKS Letters of Administration Advertising letters Advertising letters Filing Appra isement Filin Statement of Debts & Attorne fee Administrator fee Closin & settlement e ister of Wills he Evening Sentinel umherland Law Journal egister of Wills Re ister of Wills Gear e B. Stuart P C Robert Myers TOTAL 651.50 I hereby certify that to the best of my knowledge and belief the foregoing is a just and true statement of debts, funeral expenses and expenses of administration submitted to the esta,. as deductions for Inheritance Tax purposes. / ; f' zV ..z.n>o<- j'-..:k; . t>'.~ SIGNATURE OF UCIARV DATE OFFICIAL USE ONLY DEBTS AND DEDUCTIONS ARE ALLOWED IN THE SUM OF $ AT % TAX RATE REGISTER OFWILLS OA1'C AMOUNT 'S133HS ..ll x "/;,S 3Sn ).!!VSS3J3N SI 3JVdS lVNOI1IOOV :II 'slqap a~l 6U!~Dd JOj ~I!l!q!suodsaJ 0'\1 pa.unSSD SD~ O~M uosJad a~1 ~q pau6!s aq Isnw 'UJOj a~l 'L 'pa'U!DI~ 6u!aq Iqap ~~Da jO IunOWD a~1 Jalu3 '9 'pa,u!DI~ lq.p ~~oa JOj uwnlo~ S~JDWaJ a~l U! uOllDuDldxa ja!lq D ap!Ao.ld 'S 'aa~Dd ~~Da jO saWDU a~llalU3 '~ 'P1Dd lD/PUD pauo~u! SDM lqap ~'Da ~~!~M uo alDp 0~llalu3 'E 'palS!1 wal! ~~Da 01 slaqwou OA!lo~asuo~ u61ssV 'Z 'uwolo, Iunowo a~1 U! paW!Dp IUOOWD a~1 PUD uwnlo, S~lDWaJ a~1 U! ..uo!ldwaxa ~I!WDJ.. Jalu3 'luapa,ap a~1 01 d!~suO!IDlal la~/sl'l pUD SSOlppD 'aWDU S,IUDW!DI~ a~1 aID~lpu! 'paW!Dp 6uloq S! uO!ldwaxa ~1!WDj a~1 II '[ ,,:I.. 31n03HJS ~NI131d\'/OJ ~O:l SNOI1Jn~lSNI ~ ~ ~ ~ :>< ,', 03 S:::l;l , N ;n ,. r', ..;..;. f:l "" ,,, , , ~ .. ., i:" i..l) :z: 0 - ~ ~ ~ 0 !-< 0 Vl 0 Z 0 Vl ~ Vl :>< f-< 0 - ~ !-< ~ Z z E z ~ 0 sa 0 ~ 5 :<: ~ ~ Z Z 0 U " Z <- ~ ~ Vl ~ 0 0' -< - ~ U 0 '" ..l 'UlOla!! xDlawo~uIIDOpIA!PUI'O~'Vd WAOj uo papodal ~q PlnD~s wall awo,u! alqDxDI sl~i, '.sasodlnd XDi awo~ul D!UDAI~suuad lOI.alqDllodal Si alDIsa UD 6u!,aISiu!wPD U! paw,opad sa'IAlas lOI 'lOlD'IS!U!WPD JO Hiln~axa UD '~laWDU ~aA!lDIuaSaJdaJ alDIsa UD 01 PIDd UD!IDSuadwoJ :3iON ','" ..'" . , 'sMDl alDIsalul Diu"^l~suuad a~1 ~q JO II!M D ~q sSDd ~~!~M SlaSSD IS~!D6D, \ ~luO al90MoIID S! uO!ldwaxa {11WDI au 'Iuapa~ap a~l SD Plo~asoo~awDs a~I 10 sJaqwaw, alD O~M SIualDd JD IuaJliG Ii, ~9 pawlDI' aq UD~ uo'!ldwaxa a~I 'PI1~~ lO asnDds ~~ns OU S! a.'a~I luaAa a~I UI' 'UO!Idwaxa 'a~I WiDP UD' Plo~asno~' awos a~I 10 laqwaw D S! O~M Iuapa~ap a~I 10 PI!~~ ~UD ua~l 'SI~6!, Ja~/sl~ pallapol SD~ as nods a~1 p lO 'asnods ou S! ala~1 II 'DiUDAI~suuad ul pal!'!wop palP O~M luapa~ap D 10 asnods D ~q pawlDp aq ~DW UO!ldwaxa ~l!wDI V 'alopa~~s S!~I 01 pa~~D"D aq Ploo~s paW!Dp 6u!aq sIqap a~llOj ~I!I!qD!1 s,alDIsa a~llo s,luapa~ap a~l poddns 01 a~uap!A3 'pal!/ si ulnla~ XDi a~uDl!la~ul a~l WO~M ~l!M SIl!M jO laIS!6a~ a~1 jO IDAOJddD a~1 01 pa!qns alD alDlsa UD ISU!D6D paW!Dp 6u!aq slqap IIV .'.' 'sasuadxa 'IDi'nq palDlalla~lo PUD la~lDW aADl6 lO auoISqWDI 'lollDl'nq D 10 ISo~ .~I 6ulpopul sasuadxa ID!,nq PUD IDlaunl 'saaj ~'D!~np!/ 'saaj ~aulollD 'UO!lDlIS!U!WPD ID ISO~ a~1 6UipOPU! alqDw!DP aJD sWal! JO~IO 'alDIsa lO luapa,op a~l ~q paun~u! slqap DI UD!I!PpD ul 'alDlsa alqDxDlla~/S!~ ISU!D6D alq!l~opap aJD ~IDap la~/S!~ 01 lOi,d luapo,op a~1 ~q paun~u! sa!l!l!qD!I pa!/s!lDSUn ". '. NOllV\'/~O:lNI XVi 3JNVil~3HNllV~3N3D ',') 03 ,- Er ~~,~ N ::YJffl r~,~ "" ~.'.!o B ,,::0 '0 , ....'1 ,. N , \0 " \:i1 INFORMATION This document is the Notice required to be given under Section 709 of the Inheritance and Estate Tax Act of 1961 (72 P.S. section 2465), If the tax is paid within three (3) months after the decedent's death, a discount of 5% of the tax paid is allowed, Inheritance Tax becomes delinquent nine (9) months after the decedent's death. Interest is charged at the rate of six (6) percent per annum on the amount of unpaid tax. (SEE EXAMPLE BELOW) EXAMPLE: If a balance of tax due of $2,000.00 is in a delinquent status from 3-3-80. and payment is made on 5-23-80. the interest is calculated as indicated below; STEP 1 Determine the rate of interest from the table below. STEP 2 Multiply the balance of tax due by the rate of Interest. STEP 3 Add the interest to the balance of tax due. Interest from 3-03-60 to 5-23-60 Results in: 2 Months = 20 Days = Rate of interest Balance of tax due Rate of interest INTEREST ,2.000.00 x .0 1335 , 26.70 Balance of tax due J-1lus Interest to Date of Payment (+) TOTAL tax and interest to Date of Payment ,2,000.00 $ 26.70 = .010 + .00335 .01335 $2.026.70 --------------------------------------------------------------------- 1 month .005 4 months .020 7 months .035 1 0 months .050 2 months .010 5 months .025 8 months .040 11 months .055 3 months .015 6 months .030 9 months .045 12 months .060 1 day .00017 11 days .00166 2 1 days .00352 2 days .00034 12 days .00203 22 days .00369 3 days .00051 13 days .00220 23 days .00366 4 days .00066 1 4 days .00237 24 days .00403 5 days .00065 15 days .00250 25 days .00420 6 days .00101 16 days .00267 26 days .00437 7 days .00116 1 7 days .00284 27 days .00454 8 days .00135 18 days .00301 26 days .00471 9 days .00152 19 days .00316 29 days .00466 10 days .00169 20 days ,00335 30 days .00500 --------------------------------------------------------------------- Any party in interest, including the Commonwealth and the personal representative. not satisfied with the appraisement and assessment may object within sixty (60l days after receipt of this Notice as provided by Section 1001 of the Inheritance and Estate Tax Act of 1961 (72 P.S. sec. 2465 - 100 I). MAKE CHECK OR MONEY ORDER PAYABLE TO: "REGISTER OF WILLS, AGENT" DETACH THE TOP PORTION OF THIS FORM AND SU6MIT WITH YOUR PAYMENT TO THE REGISTER OF WILLS FOR THE COUNTY SHOWN ON THE REVERSE, SEE THE INHERITANCE TAX INSTRUCTION 600K FOR ADORESS. STATE OF PENNSYLVANIA :SS COUNTY OF CUMBERLAND ROBERT MYERS, Administrator of the Estate of Richard L. Myers, deceased, being duly sworn according to law, deposes and says that the foregoing Statement of Proposed Distribution is true and correct to the c~~t ~+ his knowledge, information and bel ief, /'jL/'''--1 .' ,/- ./I _.' \. _...~ ,...;.---) " /" ( .J;;.,./-C<,u ,,,"' , /:;; /~~~_(SEAL) (Robert Myers)/ / , Sworn and subscribed to b f h" '1)" f e ore me t , s ,'J_:\ uay 0 /)')'V.j" , 1982. (,..,t...;:'./I :n~ , ./ >' _.J' (C? \~~-r.l:,..AC --l ~::r;j.~ JrA1UtN 'E. F"HH'::r.O'l"It. SOTAlty P(l111.Yd C,\Ttf.1S,"". "~'.Pl~Olr.:\;,,;n r"fHTSTY. ."A !in' r:(';.!;';:Ji:..\~;-:.~;' r':':~"~~~~, ~\ '.......u ~ lor~R ," \~~I:..: '\:J""o.. . 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QJ CJ l.o? .... .b @ ,D..::: ~ -= E .:: '';:: ...;:::::: ,oJ -: 0 '8 ~ M .... ._ '+-< ........ :;:. ..- - C.l ... ~ 0 = \..: r..J u ::I'" :::: Q) lo.I :::. :;..,8Q)~o>o~ .D u E ;; ti Q) Q) .:- Cl) ..:r: ~ ...f. c ;... ,;:! ~ ".;::....... n....... ..c .~ C,) .S "'0 '"0 ..c ~ _ ;S -5 ~ .~ ~ 8 ~ ~., o:l ",,"" f'o,) .. ",~ ',J. (;"),:? Z ;~:;;, 1'1'- ';>;:" ~'1l:'J ., < ",ITl " ' ,\:1 .~ _:"~ '~l '-' '-; -' &J ~g l'-. enr-- r-l ,-{ ~ !XI :<l:;S ~ . '''' ~10< '" en~:Z;P< "" ~"f~ ~ Q.. C-.l f ~;I:~ 0 ,"" ~~iii!:;H 'M \100~ '" KJo~en '" r>.l~ < '-" . t:l < <"l t) "-' '.". . AFTER DETERMINED PROPERTY REV.I500!X+ i..131 '~ COMMONWE.A::~iNNSYLVANIA DEPARTMENT Of REVENUE IUIU.U o.lXAlAINATION P.O. lOX 8327 HARRISBURG, 'A 11105 DECEDENT'S NAME {LAST. fiRST, AND MIDDLE INITIALI , loti l:l ldo~~ Z."... u:: GI <C =! ..Cl ..z 82 INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) FILE NUMBER o ceo NT'S ADORES i iii ld Cl lI06 Karen Drive Carlisle, Pa. 17013 MYERS, RICHARD L, SOCIAL SECURITY NUMBER 181-32-4710 DATE Of DEATH April 19, 1981 eo., 21-81-362 s 01. Original Rolurn OA, LIfe E.tolO o 2, Supplementol R.turn o 40. Fufur. Int.r.1t Compromise o 3. Romalnder Return o 5, Federal E.late Tax Roturn Required _ 9. Total Number of .afe depa.lt bex.. 06. Decodent died tOltate Mach co of Will Attach co ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO. NAME ADDRESS GEORGE B, STUM~T, P,C, 3 S. Hanover St, TELEPHONE NUMBER Carlisle, Pa, 17013 (717) 243-3737 CITY + 19. II line 19 I. grealer Ihan line 17, enter Ihe difforenco on IIno 19, This 1.lhe OVERPAYMENT, A. OCheck her. if you are r.qulsting a r.fund of your overpayment. 20, If line 17 I. greater than line 19, enter the dlfferenco on IIno 20. Thl.l. the BALANCE DUE, A. Enter the inter.st on thl bolance due on IIn. 20A. 9. Enter the lotal of IIno 20 and 20A on lino 209. Make Chock Payable to: Relll.ter of Will., AlIent .. BE SURE TO ANSWER ALL QUESTIONS ON REVeRSE SIDE AND TO RECHECK MATH.... Under p,noltl.. of perjury, I dodoro thell hovo oxomlnod .hll return, Including o(Companylng schedul.. and .totomonh, ond 10 the bo.1 of my knawlodgo and bollof, h 11 true, corroct and cempl.to, I dodare Ihat ell real ..1010 he. bMn reportod 01 truo merkol value. Dodaratlon ef properer ether thon the personol reprollnlotlve I. based,on ..u lnformatlon of which pr.par.r has any knowledg.. '1"':J'-: /' ~ / ,.,./l.(' . ~--, /1..... .... 833 E. Louther St" Carlisle, Pa, 17013 Sept. 7, 1984 SIGNATURE 51 l fiLl RETURN ADDRESS DATE i~ z o S g ~ .. 1. Real EltOtO (Schedulo A) ( 1) 2. Stock. and Bond. (Sch.dule 9) ( 2) 3. Clo..ly Hold Stock/Partnership Inter..t (Schedule q (3) A. Mortgag.. ond Not.. Receivable (Schedule D) ( A) 5, Cosh, 9ank Oepo.it. & Miscolloneau. Persono\ Property( 5) (Scnodulo E) 6. Jointly Ownod Property (Schodule F) 7, Trondor. (Schedule G) (Schedule L) 9. Total Gro.. A..et. (lotollln.. 1.7) 9. Funeral Expenses, Administrative Costs, Miscellaneous t 9) Expen... (Schodul. H) 10, Deb", Mertgogo Liobllitl.., Lien. (Schedulo I) (10) 11. Total Deduction. (tolollln.. 9 & 10) 12. Not Volue of E.tote (line g mlnu. line 11) 13, Charltablo ond Govornmentol gequ..t. (Schedule J) lA. Nol ValuOlub ect to lox (line 12 mlnu.line 13) 15, Amount of line ]A laxoble ot 6% rote (15) (includo valu.. from Schedul. K or Schedulo M) 16. Amount of lin. ]A toxoble 01 15% rote (16) (indude volu.. from Schedule K or Schedule M) 17, Principal lax due (add tax from line 15 plu. tax from line 16) 18. Total Prior payments: Amount Paid Interest 15,000,00 ( 6) (7) ( 9) 2,260,00 (11) (12) (13) (lA) )(.06 . 12,740,00 )( ,15. z o !i ... ::) ... ~ 8 ~ ... Obcounl (20) (20A) (209) nover St, Carlisle Pa, 17013 ADDRESS STATE ZIP " ..:-:'~~ ~., . 1:i <; n1...~ i.l: 03 .,. ",'" "'~ (.")0 ;(;::0 ...~O ,"lr'1 ";",;:J '":1 . ., - - ~~ '/.l .., -0 I -.J "0 15,000.00 2,260,00 1Z,7!'s.eo 12.740,00 (17) 1 ,Ql1 nn 1, 9n ,00 (19) (19) 1,911.00 95,70 2,006,70 Sept. I, 1984 DATE REv-noe EX+ ":7-Ur AFTER DETERMINED PRO ERTY SCHEDULE "E" CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF MYERS, RICHARD L. (All prop.ny Jolntly-ownld with the Right of Survivorship mUlt be dllcloled on Schedul. "F"l FI LE NUMBER 21-81-362 ITEM NUMBER 1, DESCRIPTION VALUE AT DATE OF DEATH 15,000.00 Proceeds of no-fault insurance policy (received March 27.1984) TOTAL (Also enter on line 5, Recapitulationl $ 15 000.00 (If more .pac. II n..d.d Inlen additional .h..1I of 11m. IIZ'.) REV.UH EX+'(7.U/ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF MYERS, RICHARD L. SCHEDULE "H" FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES FILE NUMBER 21-81-362 ITEM DESCRIPTION NUMBER A. AMOUNT 1, Funeral Expenses: B, Administrative Costs: 1, Personal Representative Commissions 750.00 Social Security Number of Personal R'!Jjresentative: Ve" Commisslont Plid 1 84 2, Attorney Fees 1,500.00 3, Family Exemption Claimant. Relationship _ Address of Claimant at decedent's death : 4, Probete Fees C, Misceilaneous Expenses: 1, Filing costs 10.00 TOTAL (Also enter on line 9, Recapitulation) $ 2,260.00 (If more 'plIce I. nMdtd In.-n addltlon,llheet' of sam. 51zl) COlollolorjWEt.l TI1 O~ PENNSYL "ANI:' DEPARTMENT O~ RE"E~UE BUREl.l' or :.CCOll~T~ SEHtEI.'Etil P_O BOX R90J I1ARRISBllRC.. Po'. 17105 ii. ~~' 4 ,'r' it,., '. .',1 , " . ....t.;,:%. ".' ~./.;'!'''",.:''J. ""~cl',;"""'" ) REV. 1547EX (07-84) RICHIIRD NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR OISALLOWANCE ACN OF OEOUCTIONS. ANO ASSESSMENT OF TAX ___- _ ~.MLL:t,.Q,;;:,fr64 FILE NO. 21 81-0362 COUNTY CUMBEBkaHD YOUR ACCOUNT SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX WILLS OF THE ABOVE COUNTY. MAKE CHECKS PAYABLE TO "REGISTER OF WILLS, 101 ESTATE OF MYERS OATE OF OEATH 04-19-81 NOTE: TO INSURE PROPER CREOIT TO PAYMENT TO THE REGISTER OF AGENT \I . L GEORGE B STUIIRT 3 S HANOVER ST CIIRLISLE PA 17013 PLEASE RETURN THIS PORTION TO REGISTER OF WILLS IF PAYMENT DUE Amount Remilled to Register of \lIJills c;l,J1:: _A.!-9~~. "T:HJ~ .L!f-!.E, . _ _ _~_ .R~"!: ~I~ _1oC?~~R. !'9~"!:19~ _ F-'~.R_ Y9~~ .F~E~9Bl?~ - --:<.. - - - - - - " - . - . - - . APPRAISEMENT. ALLOWANCE OR OISALLOWANCE OF OEOUCTIONS ANO ASSESSMENT OF TAX NOTICE OF INHERITANCE TAX REV. 1547EX 107-B41 ESTATE OF MYERS RICHARD L FILE NO.21 81-0362 ACN 101 OATE 10-29-84 TAX RETURN WAS: 1 li I ACCEPTED AS FILED I CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISEO VALUE OF RETURN BASEO ON: 1 SUPPLEMENTAL RETURN ,. Real Estate ISchedule AI ( 11 ,00 2. Stocks and Bonds ISchedule BI ( 2) .00 3. Closely Held Stock/Partnership Interest (Schedule C) ( 3) .00 4. Mortgages/Notes Recelv,ble ISchedule 01 I 4) .00 5. Cash/Bank Deposits/Misc. Personal Property (Schedule El ( 5) lS, 000.00 6. Jointly Owned Property (Schedule FI I 61 .00 7. Transfers ISchedule GI ( 71 .00 8. Total Assets 1 81 15,000.00 APPROVEO OEOUCTIONS ANO EXEMPTIONS: 9. Funeral Expenses/Administrative Costs/Miscellaneous Expenses (Schedule HI I gl 2,260,00 10. Debts/Morlgage Liabilities/liens (Schedule I) (101 .00 11. Total Deductions (111 12, Net Value of Tax Return (12) 13. Charitable/Governmental Bequests (Schedule J) (13) 14, Net Value of Estate Subject to lax (14) NOTE: If an assessment was Issued previously, lines 14, IS and/or 16 and 17 will reflect figures that include the total of _~JJl 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 CREOITS: 2,260.00 12,740.00 .00 15,007,36 1151 (151 .00 15,007.36 X.05= X.1S= (171 .00 2,251.10 2,251.10 PAYMENT DATE 03-31-82 09-07-84 RECEIPT # DISCOUNT (+1 INTEREST H 26.21- 746.42- AMOUNT PAID 010614 087430 344,19 2,006,70 INTEREST IS CHARGED FROM 09-08-84 TO 11-13-84 AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORK.' . IF PAID AFTER THIS DATE SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST TOTAL TAX CREDIT BALANCE OF TAX OUE INTEREST TOTAL DUE 1. 578. 672,84 13.57 686,41 (If Balance Due is less than $1.00 no payment is requiredl Rf.COP.OII. " REGr': " .' ' '84 nr,T 29 I';) eLf.;<,!:. yi~~ i (.../"....., '. ""'1.. RESERVATION: Estates of decedents dymg on or before December 12, 1982 -- If any future interest in the estate is transferred in possession or enjoyment to Class 8 (collaterall beneficiaries 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 Taxes at the lawful Class 8 {collatera1l 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 tlie Regisler of Wills. --Address information is listed on page 13 of the booklet. "Instructions for Inheritance Tax Return for a Resident Decedent." --Make check or money order payable to: REGISTER OF WILLS, AGENT. REFUND (eRl: A refund of a tax credit, which was not requested on the Tax Return. may be requested by completing an II Application for Refund of Pennsylvania Inheritance and Estate Tax" (Form REV-13 1 31, Applications are available at the Office of the Register of Wills, any of the 24 Revenue District Offices. or from the Department's Forms Service Unit by calling 17 I 7) 233-3443, 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 may object within si)(.ty (60l days of receipt of this Notice as follows: --by written protest to the Department of Revenue. Board of Appeals. P,O. Box 1874. Harrisburg, PA 17105 OR - -by election to have the matter determined at the audit o.f the account of the personal representative OR - -by appeal to the Orphans' Court. ADMIN- ISTRA TIVE CORRECTIONS: Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue. Bureau of Accounts Settlement, P.O. Box 8903, Harrisburg, PA 17105. See page 3 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" for an explanation of administratively correctable errors, OISCOUNT: If any tax due is paid within three (3) calendar months after the decedent's death, a five percent (5%) discount of the tax paid is allowed, INTEREST: Interest is calculated on a daily basis at the following rates: Delinquent Date 5/27/43 to and inc'uding 12/31/81 111182 to and including 12/3 I 182 1/1/83 to and including 12131/83 I I I /84 to and including 12/31184 Interest Rate Daily Interest Factor ,000 I 64 .000548 ,000438 ,000301 6% 20% 16% 11% --Estates that became delinquent on or before December 31. 1981 will maintain a constant interest rate until the delinquent balance is paid in full. --Estates that became delinquent on or after January 1. 1982 are subject to a variable interest rate that changes each calendar year, - -Interest is calculated as follows: INTEREST', BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomez delinquent will reflect an interest calculation to fifteen (15) days beyond the date of the assessment If payment IS made after the interest computation date shown on the Notice. additional inter13st must be calculated. ^ Il!V, .!593EX (11-84) J CO~MONWEAL TH OF PENNSVL VANIA DEPARTMENT OF REVENUE BUREAU OF EXAMINt.TION P.O. .OX "" RECORD AD~USTMENT HARRISBURG, PA 17105 DATE ESTATE OF MYERS RICHARD L FILE NO. 21 81-0362 DATE OF DEATH 04-19-81 COUNTY CUM8ERLAND 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 A80VE COUNTY. MAKE CHECKS PAYABLE TO "REGISTER OF WILLS, AGENT." INHERITANCE TAX ASSESSMENT CONTROL NO. 101 GEORGE B STUART 3 S HANOVER ST CARLISLE PA 17013 PLEASE RETURN THIS PORTION TO REGISTER OF WILLS IF PAYMENT DUE Amount Remitted to Register of Wills ~I,!"!: _A.!-9~~ _ "!:HJ~ _L!I'!E. _ _ _ _~ _ _ _ J!.EJ ~!.N_ ~Q,!,>,~~ .P.O_RJ~O_N. ~Q~ .Y_O_U_R. ~~c:.~R..o.S _ _ _ . - - -~- - " - - - . REV. 15B3EX (11-84) __INHERITANCE TAX RECORD AD~USTMENT-- ESTATE OF MYERS RICHARD L FILE ND.21 81-0362 ACN 101 DATE 03-05-85 ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION VALUE OF ESTATE: 1. Real Estate (Schedule AI 2. Stocks and Bonds (Schedule BI 3. Closely Held Stock/Partnership Interest (Schedule Cl 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Properly (Schedule FI 7. Transfers (Schedule GI 8. T ota' Assets ( 11 ( 21 ( 31 ( 4) 151 ( 6) I 71 .00 ,00 .00 .00 17,918.86 .00 .00 181 17,918,86 DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expensesl Administrative Costs/Miscellaneous Expenses (Schedule HI , O. Debts/Mortgage Liabilities/Liens (Schedule I , 1. Total Deductions 12, Net Value of Tax Return 13. Charitable/Governmental Bequests (Schedule J) 14. Net Value of Estate Subject to Tax ( 9) 1101 2,911. 50 .00 (111 1121 (131 (141 2,911. 50 15,007,36 ,00 15,007.36 TAX: 15. Amount of line 14 taxable at 6% rate 1 e. Amount of line 14 taxable at 15% rate 17. Principal Tax Due TAX CREDITS: 1151 (161 .00 15,007.36 X.06= X.15= (171 .00 2,251.10 2 ,251.10 PAYMENT RECEIPT DISCOUNT (+) DATE # INTEREST (-) 03-31-82 010614 26.21- 09-07-84 087430 746,42- 09-07-84 ABATED .00 AMOUNT PAID 344.19 2,006.70 718.48 TOT AI. TAX CREDIT BALANCE OF TAX DUE INTEREST . IF PAID AFTER DATE INDICATED SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST TOTAL DUE 45.64CR (IF BALANCE DUE IS LESS THAN $1 OR IS REFLECTED AS A "CREDlr' (CR). NO PAYMENT IS REQUIREDI ,7 45,64CR .00 ,., .. "'" 1.-:,;. ~ 1_;' Ot:; c:: ", t::' :c ;',l C>{:l W!..>J , ~-.:.: Lf' '.','\ !X' ""14' '" PAYMENT: REFUND ICR): REPLY TO: DISCOUNT: INTEREST: Detach the top portion of this Notice and submit with your payment to the Register of Wills. --Address information is listed on page 13 of the booklet, "Instructions for Inheritance Tax Return for a Resident Decedent." --Make check or money order payable to: REGISTER OF WIllS, AGENT, A refund of a tax credit. which was not requested on the Tax Return, may be rBCluested by completing an "Application 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 Field Offic:es, or from the Department's Forms Service Unit 24 hour Forms Ordering telephone lines in Harrisburg - 17171 233-3443. in Philadelphia - 12151 351-2065. or in Pittsburgh - 14121 565-360 I, Questions regarding errors contained on this notice should be addressed, to: PA Department of Revenue. Bureau of Examination, P.O. Box 8327, Harrisburg, PA 17105. ATTN: Post Assessment Review Unit. If any tax due is paid within three (3) calendar months after the decedent's death. a five percent (5%) discount of the tax paid is allowed. Interest is calculated on a daily basis at the Delinquent Date 5/27/43 to and including 12/31/81 1/1/82 to and Including 12/31/82 1/1/83 to and including 12/31/83 1/1/84 to and including 12/31/84 1/1/85 to and inciudin~ 12/3 I /85 following rates: Interest Rate 6% 20% 16% 11% 13r. Daily Interest Factor .000 I 64 .000548 .000438 .000301 .000356 --Taxes that became delinquent on or before December 3 1, 1981 will maintain a constant interest rate until the delinquent balance is paid in full. --Taxes that became delinquent on or after January 1.1982 are subject to a vJriable interest rate that changes each calendar year. --Interest is calculated as follows: INTEREST . BALANCE OF TAX UNPAID X NUMBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent will reflect an Interest calculatIon to fifteen 115J days beyond the date of the assessment. If payment is made after the Interest computation date shown on the Notice, additional intftrest must be calculated. , ...-,:: , "",. ~ '._L" , , ;:-i- " ('C "" (,;), W UJ:~ lr. ",' ~