HomeMy WebLinkAbout01-1042
PETITION FOR PROBATE and GRANT OF LETTERS
Estate of 11 )1+1\17) ft !--. 1(( S/v E./2. No. 2' -0 1- \D4~
also known as To:
Register of Wills for the
, Deceased. County of C U (Y\ 8 IX Lv~ ~n the
Social Security No. I <6 ~ - I 2 -- L q. I ~ Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your pe. titioner(s), who is/are 18 years of age o~ olqer an the exe':..~() \"2-
in the last will of the above decedent, dated ~ t ex J ~ =:>
and codicil(s) dated '
named
, 19_
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decendent was domiciled at death in C U 1'1tY (}, c../2l '.41v 0
h last family or principal residence at
County, Pennsylvania, with
(list street, number and muncipality)
Decendent, then '( C, years of ag~ died , 19
at ~OO ,F (\ -- '. L'=; v,::z 17 0 ~
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted
after execution of the will offered for probate; was not the victim of a killing and was never adjudicated
incompetent:
Decendent at death owned property with estimated values as follows:
(If domiciled in Pa.) All personal property
(If not domiciled in Pa.) Personal property in Pennsylvania
(If not domiciled in Pa.) Personal property in County
Value of real estate in Pennsylvania
situated as follows:
$ ::tOO.CO
$
$
$
WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s)
presented herewith and the grant of letters
theron.
(testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
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17043
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OATH OF-PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA 1- ss
COUNTY OF CUMBERLAND J
The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are
true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen-
tative(s) of the above decedent petitioner(s) will well and truly administer the st ,e according to law.
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Sworn to or affirmed . and subscribed { _
before me this _ 12th day of
~ )00) XJlllx .
-: ~~Jl~giYter
11-20- 13
No. :11-01- 104:1
Estate of
WANDA L KISNER
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW AUGUST 13, 2002 19_t in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the instrument(s) dated :I-H-1 QHS
described therein be admitted to probate and filed of record as the last will of
WANDA L KISNER
and Letters '1'K"'X'X~ rrnSTAMF.NrARY
are hereby granted to SUSAN L STUART
6.00
18.00
3.00
5.00
5.00
37.00
~ M:1'Yl a-rn, J ~ J1{", -l.c · ~
Re,gister of Wills 6 ~ ~
"~~
x tra pag~ES
Probate, Letters, Etc. .........
Short Certificates( )..........
Renunciation
........ .Jcp....
$
$
$
$
TOTAL _ $
8-13-2002
ATIORNEY (Sup. Ct. 1.0. No.)
ADDRESS
Filed
PHONE
mailed to exec 8-13-2002
,,; <;',,~ ~"=,\.,, ,~"
This is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
No. Date
~~&~
LCca ; l~r
AUG 2 8 2001
Fee for this certificate, $2.00
p
7621088
1.... Rev. 1JV1 COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH · VITAL RECORDS
CERTIFICATE OF DEATH
(Coroner)
L
Kisner
sex
z. Female
ORE OF DERH (Monlh. OIly. Veer)
4. August 25 t 2001
81ATHPLACE 1CilY.ro
&.Ie 01 fOleign Counlry)
~o
MAAITAlSTRUS - Merr'-d
......, u.nIed. WIdowed,
Ma~~
4
17e.0 'M. dec:edent ..... '"
IW:
1"cifJ .::..~.:::ol WonnleysbJrg
MOTHER'S NAME (FirII. Middle. MeidIn Sutrwne)
ft. Clelia Peffer
~SMAlUMGADORE8$~",~ SlIle.J'lCodeL_
_~2(xLN.,Front ..St. ,.. wonnleyscurg, Pa 17043
PlACE OF ."-01 ,Cten\MoIy .,ZIpCode
OfOlhet PlMe ./
dty/bIlf.
Pa
Enola Dr., Fnola, Pa
ORE SIGNED
(Month, OIly, Veer)
ORE l'AONOIJHCEDOEAD~, OIly, 'leer)
P. M August 25, 2001
Z't.1MT I: ~:C:==~whlchc:euM Ihe deIIth. DoIlGl_1he mocIeolclplg.lUChu CMIIeCOf rupIratOfy ".1IlDCk Of hNIt fIIIure. !=:-==-
lonMl end delIIh
I
FERRED 10 a.tEDICAL
.....)It
NoD
Probable M ocardial Infarction
DUE 10 (OR AS A CONSEQUENCE OF):
IDDM
DUE 10 (OA AS A CONSEQUENCE OF):
DUE 10 (OR AS", CONSEQUENCE Of):
.....0
NoD
NeturaI
Aa:ldenl
It
o
o
HomIcIdlI
TIME OF INJURV
INJURV f(f WOAl<'1
MANNER OF
lie. ....
CIR'fWWl(CMck Otti onel
o~ PIt'IlIICWI (PhyIici8n c.Ilifying cauu d..... '*'*'......... phyIil:iM hU proncll.W1l*l..... .-ld campklled Item 23)
To.........,.................--............)....__......... .................... ............................
SuIotde
21.
PendIng "'-ligalloft
CauId not be CIIWmIIled
OIllDlCAL IX "'IIP'IIRICOROHER
011.. .................lIICI/OIlII......JllI]n.Ift., opinion. ....... ticclUnM................. end,... end.. to the --<<e) 8IlCI
--...................................................................................................... .
3M.
~'8 /lH)NUMllEFl
33. ak.A-'./../!J?~.,
b,t)/ ~v.( I
Coroner
ORE SIONIED (Monlh. OIly. 'lMr)
1 . S1f. A\!&ust 27 t. 2001
NAME ANOADDAESS OF PERSON WHO COMPLETED CAUSE OF DEAI"H
(ltem21)TypeorPrintMichaelL. Norris, Coroner
J( 6375 Basehore Road, Suite),'l
A Mechanicsburg, Pa. 17050
ORE FIlED (Month, !ley, 'lW)
oPllONOllNCl'"'Q ANDc:M'n'YINQ ~ (PhyeiclenDalh ptOIlClUllCinO~.-ld CIItIying 10_ at deelh)
To..... of.,.................. --............. .......... ........... ....,.... -.......... . . . . . . . . . . .... . . . . . . . . ..
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LAST WILL AND TESTAMENT
OF
WANDA L. KISNER
21-01-1042
I, WANDA L. KISNER, a resident of Worm1eysburg, Cumberland County,
Pennsylvania being of sound mind and memory, do make, publish and
declare this to be my Last Will and Testament, hereby revoking all Wills
and Codicils heretofore made by me.
ITEM I.
I direct that all of my just debts, my funeral
expenses including a suitable monument at my grave and the cost of
administration of my estate be paid as soon as practicable after my
death. I direct that my Personal Representative payout of my estate,
as a general charge thereon, all inheritance, estate, succession and
other taxes together with any interest or penalty thereon assessed by
reason of my death with regard to all properties and assets subject to
such taxes, whether or not such property and assets pass under this
will.
ITEM II.
I give) devise and bequeath all the rest, residue
and remainder of my property, real, personal or mixed, tangible and in-
tangible, of whatsoever nature and wheresoever located and all property
to which I may be entitled or over which I may have any power of disposition
or appointment and whether acquired during or after my lifetime unto my husband,
CHARLES E. KISNER, absolutely and in tee simple provided he survives me by
ninety (90) days; if CHAR,LES E, KISNER shall not survive me or should die
within ninety C9Q.} days of my death, then I give, devise and bequeath the said
fAlK
rest, residue and remainder of property to my daughter, SUSAN L. STUART and
in the event she is not then living, then to her n~tura1 children.
ITEM III.
r hereby nominate, constitute and appoint CHARLES E. KISNER
~ (y ~J
I.
I-
i
"
\
.
..
.....
as sole Executor of this my Last Will and Testament; in the event the
said CHARLES E. KISNER refuses or is unable to act for any reason, I
uJ<..
then nominate, constitute and appoint SUSAN L. S1UART as sole Executrix
of this My Last Will and Testament and I direct that no bond be required
of my Executor or Executrix.
ITEM IV.
I authorize and empower my personal representative
to compromise, adjust, release and discharge in such manner as my personal
representative may deem proper, all debts and claims owed by or to me or
my Estate; to sel~, lease or exchange at public or private sale or in
such manner, at such prices, and upon such terms of credit or otherwise,
as my personal representative may deem proper, all or any part of my
property, real or personal; to execute, acknowledge and deliver instruments
of conveyance, including deeds in fee simple; to borrow money for the
purpose of paying estate, inheritance or other taxes which are required
to be paid and to secure any such loan by pledge or mortgage of all or
any part of my property and to execute the necessary instruments to
carry out such powers; to distribute my estate in kind or partly in
money or partly in kind, and to determine the fair value at which any
property so distributed in kind shall be received by the distributees;
to conduct any business in which I have an interest at the time of my
decease, ~or such. period as my personal representative may deem proper,
power to borrow money and pledge assets of the business and the power to
do all Qther acts' that I, in my lifetime could have done, to delegate
such power to any partner, manager or employee without liability for any
loss occurring therein and to organize a corporation to carryon said
business as capital to such corporation and accept stock in the corporation
in lieu thereof and hold such stock for the uses of this my Will, and to
vote said stock or to sell the same as to my personal representative may
,Jkr/C,-~ ;( ~~
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..
seem best; to retain all stocks, assets, bonds and investments owned by
me without being confined to what is known as legal investments; to
execute any options to purchase, to apply for stocks, bonds or other
investments, to purchase or otherwise acquire real estate and to execute
the same powers thereover as hereinbefore provided; to retain indefinitely
any part of my assets, real or personal which is or may become unproductive
or to make sale thereof; to pay carrying charges and expenses of the
property out of other principal or income of my estate. The powers
herein conferred shall be to my named personal representative and all
successors thereto and shall be 1n addition and not 1n limitation of
other powers conferred on said fiduciaries.
IN WITNESS WHEREOF, I WANDA L. KISNER, have, to this my Last Will
and Testament, typewritten on 3 sheets of paper, numbered consecutively,
signed my name at the bottom of all pages hereto for the purpose of
identif~ation~nd at the en~h~eof on page 3JPave set my hand and seal
this ~MJh day of \ ZL/~ ,19)'.5'.
/?/ /Jfa L '
~~xfKIS~~ (SEAL)
Signed, sealed, publi declared b1 L. KiJner the
above named Testatrix on the . ~ day o~ 19J' S. as
and for his Last Will and Te nt in the presence of u , who in his
presence and in the presence of each. other, have, at his request, subscribed
ou~;;;t~e::;.::;~ Q~~47Vl/~~ -Q
Name ~ ~ss-
~~~~ Iii
Name
Address
RENUNCIATION
21-01-1042
In Re Estate of
l J )A nd 14 L
kl.c;nFR
deceased.
To the Register of Wills of (' 1 ) m b Q RIp. 'n c--l
County, Pennsylvania.
The undersigned _\.{L)~b~ n("l}
of
the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters
\\=:~\~YY\O~~R l1
be issued to ~ l ) ~ ~ V\ 1 STt j A A.... T
WITNESS
hand this
day of
, 19_.
eR~ ;;P~)
(Signature)
(Address)
(Signature)
(Address)
r:::J
_.,~. ...-"'"
(Signature)
(Address)
'to.
,
CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent:
W/itJi)A
l-. K\SNf~
Date of Death:
?illS-Ie
Will No.
,;\00 \ - 0 I 0 4 ~
Admin. No.
To the Register:
I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphans' Court Rules was
served on or mailed to the following beneficiaries of the above-captioned estate on ~ I I 3 J 0 'd.... :
,
Name
Address
C l-\--A- rt..L.- e. ~
E'. \<. \ s ,J r=~
~oo r-J Fila I'JT
W 0 ~ m L. IS" S ~ LJ ~ ~
S7.
PA
I/d~~
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except
Date:
<7>/ llo lo")..
~ ;t 8f..AA
Signature
Name
,.5 U SA-tJ
L . Sa 711 ;'t"K.;f
Address a o~ N Ff<. C)cr0T ST
WOt<mc-f~"~/~cJr<.(, p,a. J?d~J
Telephone ( ) 1 (1-- I V> ~ - 4- 0 0 c;-
Capacity: V Personal Representative
_Counsel for personal representative
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREW..')F INDIVIDUAL TAXES
.~r'T. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
SUSAN L STUART
202 NORTH FRONT STREET
WORMLEYSBURG, PA 17043
-------- fold
EST A TE INFORMATION: SSN: 183-12-2913
FILE NUMBER: 21-2001- 1042
DECEDENT NAME: KISNER WANDA
DA TE OF PAYMENT: 1 1 / 1 4/200 1
POSTMARK DATE: 11/13/2001
COUNTY: CUMBERLAND
DATE OF DEATH: 08/25/2001
NO. CD 000535
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
01149129 I $57.49
01149130 I $57.49
01149834 I $8.45
01149835 I $8.45
I
I
I
I
I
TOTAL AMOUNT PAID:
$131.88
REMARKS: SUSAN L STUART
CHECK# 4124
SEAL
INITIALS: SK
RECEIVED BY:
MARY C. LEWIS
REGISTER OF WILLS
REGISTER OF WILLS
THIS RECEIPT REPLACED CD 523
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BURE~ <JF INDIVIDUAL TAXES
~PT. ~0601
.
HARRISBURG. PA 17128-0601
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
RECEIVED FROM:
REV-1162 EX(11-96)
NO. CD 000523
STUART SUSAN
202 N FRONT STREET
WORMLEYSBURG, PA 17043
___n___ fold
ACN
ASSESSMEN
CONTRO
NUMB
ESTATE INFORMATION: SSN:
FILE NUMBER: 21- 2001- 1042
DECEDENT NAME:
DATE OF PAYMENT:
POSTMARK DATE:
COUNTY:
DATE OF DEATH:
TOTAL AMOUNT PAID:
REMARKS: SUSAN
CHECK# 41 24
SEAL
INITIALS: SK
RECEIVED BY:
MARY C. LEWIS
REGISTER OF WILLS
REGISTER OF WILLS
THIS RECEIPT IS BEING REPLACED WITH CD 535
AMOUNT
$131.88
$131.88
\,//-02LJ~ -<3
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*
NOTICE OF INHERITANCE TAX
APPRAISEKENTL ALLOHANCE OR DISALLOHANCE
OF DEDUCTION~1 AND ASSESSKENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-1548 EX iFP (01-02)
Recu(: .
F\cF
.02
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
~OUNTY
P 1 : 1 tiSNI'DC
ACN
03-11-2002
KISNER
08-25-2001
21 01-1042
CUMBERLAND
183-12-2913
01162433
Allount Rellitted
WANDA
SUSAN L STUART
200 N FRONT ST
WORMLEYSBURG
~lAR -8
PA 1704(t;;:'n,-
Cumb6: '.),
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE1 PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
RE-y=isiri-ix--AFP--foi-:ozl------------------------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 03-11-2002
ESTATE OF KISNER
WANDA
DATE OF DEATH 08-25-2001
COUNTY
CUMBERLAND
FILE NO. 21 01-1042
TAX RETURN WAS:
S.S/D.C. NO. 183-12-2913
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
01162433
FINANCIAL INSTITUTION: ALLFIRST BANK
ACCOUNT NO.
87004600057600
TYPE OF ACCOUNT: (>0 SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 10-27-1992
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
71508.41
0.166
11251.43
.00
11251.43
.45
56.31
NOTE: TO INSURE PROPER CREDIT TO
YOUR ACCOUNT1 SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS1 AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
01-14-2002 CDOO0752 .00 56.31
TOTAL TAX CREDIT 56.31
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
· IF PAID AFTER THIS DATEl SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN $11 NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CR) I YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. )
\"/1-~O-/0
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. Z8D6Dl
HARRISBURG~ PA 171Z8-D6Dl
Recoraeo
Registi:if
NOTICE OF INHERITANCE TAX
APPRAISEKENT~ ALLOWANCE OR DISALLOWANCE
OF DEDUCTION~, AND ASSESSKENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
of
REV-1548 EX IFP <12-00)
V")rHs
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
12-24-2001
KISNER
08-25-2001
21 01-1042
CUMBERLAND
183-12-2913
01149834
WANDA
.01 ole 27Al0 :09
TRACY N STUART
202 N FRONT ST Cl. '(
WORMLEYSBURG Cl~~bt1~"t
Allount Rellitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
RE-y=is4-i-Ex--AFit-fi2-:oo1------------------------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS. AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 12-24-2001
ESTATE OF KISNER
WANDA
DATE OF DEATH 08-25-2001
COUNTY
CUMBERLAND
FILE NO. 21 01-1042
TAX RETURN WAS:
S.S/D.C. NO. 183-12-2913
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
01149834
FINANCIAL INSTITUTION: PNC BANK
ACCOUNT NO.
5140201333
TYPE OF ACCOUNT: () SAVINGS (Xl CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 12-01-1981
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
1,186.66
0.166
197.78
.00
197.78
.45
8.90
NOTE: TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
11-13-2001 CDOO0535 .44 8.45
TOTAL TAX CREDIT 8.89
BALANCE OF TAX DUE .01
INTEREST AND PEN. .00
TOTAL DUE .01
· IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A ..CREDIT.. ( CR), YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. )
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEKENT~ ALLOHANCE OR DISALLOHANCE
OF DEDUCTION~~ AND ASSESS KENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
ReCOrGeCi ' of
Regis:ter
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. Z80601
HARRISBURG~ PA 171Z8-0601
.01
ole 27 A10 :09
SUSAN L STUART
202 N FRONT ST '''j f.' J
WORMLEYSBURG p~Am~~and CO.. PA
*
REY-1SU EX AFP el2-001
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
12-24-2001
KISNER
08-25-2001
21 01-1042
CUMBERLAND
183-12-2913
01149835
WANDA
A.ount Rellitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE~ PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
RE-Y=is4-i-i3f-AFit-ri1f:ool------------------------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 12-24-2001
ESTATE OF KISNER
WANDA
COUNTY
CUMBERLAND
DATE OF DEATH 08-25-2001
FILE NO. 21 01-1042
TAX RETURN WAS:
S.S/D.C. NO. 183-12-2913
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: PNC BANK
ACN
01149835
ACCOUNT NO.
5140201333
TYPE OF ACCOUNT: () SAVINGS ()() CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 12-01-1981
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
1~186.66
0.166
197.78
.00
197.78
.45
8.90
TAX CREDITS:
NOTE: TO INSURE PROPER CREDIT TO
YOUR ACCOUNT~ SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS~ AGENT."
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
11-13-2001 CDOO0535 .44 8.45
TOTAL TAX CREDIT 8.89
BALANCE OF TAX DUE .01
INTEREST AND PEN. .00
TOTAL DUE .01
· IF PAID AFTER THIS DATE~ SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN $l~ NO PAY"ENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A ..CREDIT" ( CR)~ YOU "AY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FOR" FOR INSTRUCTIONS. )
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
*
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISEftENTL ALLONANCE OR DISALLONANCE
OF DEDUCTION~, AND ASSESSftENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REY-1548 EX AFP <12-00)
Recorc;~~i .
Regist~?"
SUSAN STUART
202 N FRONT ST
WORMLEYSBURG PA 17tilsrk-:'.
(',umberland
111 ole 27
.......s: of DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
A10 :09 SSN/DC
ACN
12-24-2001
KISNER
08-25-2001
21 01-1042
CUMBERLAND
183-12-2913
01149130
WANDA
Allount Rellitted
,.,; u u rt
PA
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
iifi=is4-i-ii--AFit-li2-:00j------------------------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 12-24-2001
ESTATE OF KISNER
WANDA
DATE OF DEATH 08-25-2001
COUNTY
CUMBERLAND
FILE NO. 21 01-1042
TAX RETURN WAS:
S.S/D.C. NO. 183-12-2913
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
ACN
01149130
FINANCIAL INSTITUTION: WAYPOINT BANK
ACCOUNT NO.
1005002869
TYPE OF ACCOUNT: () SAVINGS (Xl CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 08-08-1986
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
8,069.48
0.166
1,344.94
.00
1,344.94
.45
60.52
NOTE: TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
11-13-2001 CDOO0535 3.03 57.49
TOTAL TAX CREDIT 60.52
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
· IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRl, YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. l
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601
*
NOTICE OF INHERITANCE TAX
APPRAISEKENT~ ALLONANCE OR DISALLOWANCE
OF DEDUCTION~, AND ASSESSKENT OF TAX ON
JOINTLY HELD OR TRUST ASSETS
REV-1548 EX AFP (12-00)
Recoraeu
Reglste'
TRACY STUART-Ol
202 N FRONT ST
WORMLEYSBURG
[Jle 27 Al0 ~09
l1er\? @~3
o.unberlano
~.~_~(::u rt
Dfl
1M
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
SSN/DC
ACN
12-24-2001
KISNER
08-25-2001
21 01-1042
CUMBERLAND
183-12-2913
01149129
WANDA
Allount Rellitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
iifv=is4-i-ix--AFP--flz-:ool------------------------------------------------------------------------------------
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF
DEDUCTIONS, AND ASSESSMENT OF TAX ON JOINTLY HELD OR TRUST ASSETS
DATE 12-24-2001
ESTATE OF KISNER
WANDA
COUNTY
CUMBERLAND
DATE OF DEATH 08-25-2001
FILE NO. 21 01-1042
TAX RETURN WAS:
S.S/D.C. NO. 183-12-2913
(X) ACCEPTED AS FILED () CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: WAYPOINT BANK
ACN
01149129
ACCOUNT NO.
1005002869
TYPE OF ACCOUNT: () SAVINGS (Xl CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 08-08-1986
Account Balance
Percent Taxable X
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate X
Tax Due
8,069.48
0.166
1,344.94
.00
1,344.94
.45
60.52
TAX CREDITS:
NOTE: TO INSURE PROPER CREDIT TO
YOUR ACCOUNT, SUBMIT THE
UPPER PORTION OF THIS NOTICE
WITH YOUR TAX PAYMENT TO THE
REGISTER OF WILLS AT THE
ABOVE ADDRESS. MAKE CHECK
OR MONEY ORDER PAYABLE TO:
"REGISTER OF WILLS, AGENT."
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
11-13-2001 CDOO0535 3.03 57.49
TOTAL TAX CREDIT 60.52
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
· IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. .
( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ( CRJ, YOU HAY BE DUE A REFUND.
SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. J
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. Z8D6DI
HARRISBURG I PA 171Z8-D6DI
'*
/1 ~O-/3
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
(l.
,/
REY-1545 EX iFP C09-DOI
FILE NO. 21 "'01. IDtI-?
ACN 01149129
DATE 10-18-2001
EST. OF WANDA KISNER
S.S. NO. 183-12-2913
DATE OF DEATH 08-25-2001
COUNTY CUMBERLAND
TYPE OF ACCOUNT
D SAVINGS
fX] CHECKING
D TRUST
D CERTIF.
TRACY STUART
202 N FRONT ST
WORMLEYSBURG PA ll043
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
WAY POINT BANK has provided the Depart.ent with the inforllation listed below which has been used in
calculating the potential tax due. Their records indicate that at the death of the above decedentl you wera a joint owner/banaficiary of
this account. If you fael this infor.ation is incorractl plaase obtain written correction fro. the financial institution I attach a copy
to this for. and raturn it to tha abova addrass. This account is taxable in accordance with the Inheritance Tax Laws of the Co..onwealth
of Pannsylvania. Questions .ay be answerad by calling (717) 787-83Z7.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 1005002869 Date 08-08-1986
Established
Account Balance
Percent Taxable
AMount Subject to
Tax Rate
Potential Tax Due
x
8,069.48
16.667
1,344.94
.15
201.74
TAXPAYER RESPONSE
To insura propar cradit to your account I two
(Z) copies of this notice .ust acco.pany your
pay.ant to the Ragistar of Wills. Haka chack
payable to: "Registar of Willsl Agant".
x
NOTE: If tax pay.ents are .ade within threa
(3) .onths of the decedent's date of deathl
you .ay daduct a 5% discount of tha tax dua.
Any inharitanca tax due will baco.a dalinquent
nine (9) months aftar the date of death.
Tax
PART
[!]
A.
[ CHECK ]
ONE
BLOCK B.
ONLY
c.
r- The above inforllation and tax due is correct.
~ I. You may choosa to re.it pay.ent to the Register of Wills with two copies of this notice to obtain
a discount or avoid interestl or you .ay check box "A" and return this notice to the Register of
Wills and an official assas~ent will be issuad by the PA Department of Revenue.
[] The abova asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
to be filed by the decedent's representative.
c=J The above infor.ation is incorract and/or dabts and deductions were paid by you.
You .ust co.plete PART ~ and/or PART ~ below.
PART If you indicate a different tax rate, please state your
[!] relationship to decedent: ~O ~J - I p.~ - L MJJ
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date Established 1
2. Account Balance 2
3. Percent Taxable 3 X
4. Anount Subject to Tax 4
5. Debts and Deductions 5
6. Anount Taxable 6
7. Tax Rate 7 X
8. Tax Due 8
.ot.+~
loa · S- ;)-
DEBTS AND DEDUCTIONS
.... 5"10 - 3 mo Dt.5C6 cJ t-J r
PAVEE~J?1I1JvS. "6.0:3 DESCRIPTION
I.q[ ..~ '). u.G
PART
[!]
DATE PAID
AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Conputationl
$
perjury, I declare that the facts I
ny knowledge and belief.
have reported above are true, correct
HOME (7/7) /h3-QrJ(J..J-
WORK ( )
TELEPHONE BER
and
DATE
> ~>
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
*'
17-~O->f3
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE
ACN
DATE
1~
NO. 21 -01-/0 I(~
01149130
10-18-2001
RE~15"iS Ell AFP <D9-DOl
EST. OF WANDA KISNER
5.5. NO. 183-12-2913
DATE OF DEATH 08-25-2001
COUNTY CUMBERLAND
TYPE OF ACCOUNT
o SAVINGS
[X] CHECKING
o TRUST
o CERTIF .
SUSAN STUART
202 N FRONT ST
WORMLEYSBURG PA 17U43
REHIT PAYHENT AND FORHS TO:
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE~ PA 17013
WAYPOINT BANK has provided the Department with the information listed below which has been used in
calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a joint owner/beneficiary of
this account. If you feel this information is incorrect, please obtain written correction from the financial institution, attach a COpy
to this form and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Co..onwealth
of Pennsylvania. QuBstions .ay be answ8fud by calling (717) 787-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 1005002869 Date 08-08-1986
Established
x
8~069.48
16.667
1~344.94
.15
201.74
TAXPAYER RESPONSE
To insure proper credit to your account, two
(2) copies of this notice must acco.pany your
payment to the Register of Wills. Make check
payable to: "Register of Wills, Agent".
Account Balance
Percent Taxable
A_ount Subject to
Tax Rate
Potential Tax Due
x
NOTE: If tax payments are made within three
(3) .onths of the decedent's date of death,
you may deduct a 5Z discount of the tax due.
Any inheritance tax due will become delinquent
nine (9) months after the date of death.
Tax
PART
[f]
A.
[ CHECK ]
ONE
BLOCK B.
ONLY
c.
c=J The above information and tax due is correct.
. 1. You may choose to remit payment to the Register of Wills with two copies of this notice to obtain
a discount Dr avoid interest, Dr you may check box "A" and return this notice to the Register of
Wills and an official assessment will be issued by the PA Department of Revenue.
r=J The above asset has been Dr will be reported and tax paid with the Pennsylvania Inheritance Tax return
to be filed by the decedent's representative.
c=J The above information is incorrect and/or debts and deductions were paid by you.
You must co.plete PART ~ and/or PART ~ below.
PART If you indicate a different tax rate~ please state your
(!] relationship to decedent: OPt\) (,p l ~
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
lINE 1. Date Established 1
2. Account Balance 2
3. Percent Taxable 3 X
4. A_ount Subject to Tax 4
S. Debts and Deductions S
6. A_ount Taxable 6
7. Tax Rate 7 X
8. Tax Due 8
"i () (09. 4<)1
\ L~. ~to I
\344.Q4
PART
~
DATE
PAID
1
PAYEE
. 04S-
l.oO. S--~
DEBTS AND DEDUCTIONS CLAIMED
~( () 3> '31\A.O OtSC
clj'- 1~1. 44 DESCRIPTION
TOTAL (Enter on line S of Tax CODPutatlonJ
AMOUNT PAID
I
$
facts I have reported above are tru.~ correct
HOME ( 1(7 ) 7 ~ ~ ... 40 (J ::
WORK ( )
TELEPHONE NIIM ER
and
II ~ 9 ltJ #
DAT '
- ..<.w ~. '," ,..,-".
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
*'
i ~?.. JO .... J 3
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
Sj(
FILE NO. 21 -0/-10'1 ~
01149834
10-19-2001
ACN
DATE
REV~1545 EX AFP (o9~ODJ
EST. OF WANDA L KISNER
S.S. NO. 183-12-2913
DATE OF DEATH 08-25-2001
COUNTY CUMBERLAND
J
ACCOUNT
D SAVINGS
IX] CHECKING
D TRUST
D CERTIF .
TYPE OF
TRACY N STUART
202 N FRONT ST
WORMLEYSBURG PA17043
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLEI PA 17013
PNC BANK has provided the Department with the infor.ation listed below which has been used in
calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a joint owner/beneficiary of
this account. If you feel this infor.ation is incorrect, please obtain written correction fro. the financial institution, attach a copy
to this fo~ and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Co.monwealth
of Pennsylvania. Questions .ay be answered by calling (7l7j 767-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 5140201333 Date 12-01-1981
Established
x
11186.66
16.667
197.78
.045
8.90
TAXPAYER RESPONSE
To insure proper credit to your account, two
(2) copies of this notice must acco.pany your
pay.ent to the Register of Wills. Make check
payable to: "Register of Wills, Agent".
Account Balance
Percent Taxable
AMount Subject to
Tax Rate
Potential Tax Due
x
NOTE: If tax payments are .ade within three
(3) .onths of the decedent.s date of death,
you .ay deduct a 5X discount of the tax due.
Any inheritance tax due will beco.e delinquent
nIne (9) .onths after the date of death.
Tax
PART
[!]
A.
[ CHECK ]
ONE
BLOCK B.
ONLY
c.
[] The above information and tax due is correct.
1. You .ay choose to re.it pay.ent to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest, or you .ay' check box "A" and return this notice to the Register of
Wills and an official assesSllent will be issued by the PA Department of Revenue.
[] The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
to be filed by the decedent's representative.
[] The above infor.ation is incorrect and/or debts and deductions were paid by you.
You .ust co.plete PART ~ and/or PART ~ below.
x
-
151 QO
L.t~
~.<.(~
DEBTS AND DEDUCTIONS CLAIMED
~Pl
If you indicate a different tax ratel please state your
relationship to decedent:
PART
~
TAX RETURN - COMPUTATION OF
LINE 1. Date Established 1
2. Account Balance 2
3. Percent Taxable 3
4. AMount Subject to Tax 4
5. Debts and Deductions 5
6. AMount Taxable 6
7. Tax Rate 7
8. Tax Due 8
TAX ON JOINT/TRUST ACCOUNTS
x
PART
[!]
DATE PAID
PAYEE
DESCRIPTION
AMOUNT PAID
I
$
I
TOTAL (Enter on Line 5 of Tax COMPutation)
facts I have reported above are truel correct and
HOME (7l() 7,,).~ ~o5
WORK () \ \j D9 /0 I
TELEPHONE UMBER DATE
TAXP
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. Z80601
HARRISBURG~ PA 171Z8-0601
'*
/J~dO'-/3
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
I"..'
......r--
"
REY-1545 EX AFP C09-DlI
FILE NO. 21-0/-JD~~
ACN 01149835
DATE 10-19-2001
EST. OF WANDA L KISNER
S.S. NO. 183-12-2913
DATE OF DEATH 08-25-2001
COUNTY CUMBERLAND
TYPE OF ACCOUNT
D SAVINGS
[X] CHECKING
D TRUST
D CERTIF.
SUSAN L STUART
202 N FRONT ST
WORMLEYSBURG PA 17043
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE~ PA 17013
PNC BANK has provided the Depart.ent with the infor.ation listed below which has been used in
calculating the potential tax due. Their records indicate that at the death of the above decedent~ you were a joint owner/beneficiary of
this account. If you feel this infor.ation is incorrect~ please obtain written correction fro. the financial institution~ attach a copy
to this fo~ and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Co..onwealth
OT Penns~lvania. Questions ~&~ ~e ans~r8d by callin~ (717) 787-8327. ~
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 5140201333 Date 12-01-1981
Established
Account Balance
Percent Taxable
A.ount Subject to
Tax Rate
Potential Tax Due
x
1~186.66
16.667
197.78
.15
29.67
TAXPAYER RESPONSE
To insure proper credit to your account~ two
(Z) copies of this notice .ust acco.pany your
pay.ent to the Register of Wills. Make check
payable to: "Register of Wills~ Agent".
x
NOTE: If tax pay.ents are .ade within three
(3) .onths of the decedent.s date of death~
you .ay deduct a 5~ discount of the tax due.
Any inheritance tax due will beco.e delinquent
nine (9) .onths after the date of death.
Tax
PART
[!]
A.
[ CHECK ]
ONE
BLOCK B.
ONLY
c.
[] The above infor.ation and tax due is correct.
1. You .ay choose to re.it pay..nt to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest~ or you .ay check box "A" and return this notice to the Register of
Wills and an official asses~ent will be issued by the PA Depart.ent of Revenue.
[] The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
to be filed by the decedent.s representative.
[] The above infor.ation is incorrect and/or debts and deductions were paid by you.
You .ust co.plete PART ~ and/or PART ~ below.
PART If you indicate a different tax rate~ please state your
@] relationship to decedent: --:D~ J..{""..P "-
TAX RETURN - COMPUTATION OF TAX ON JOINt/TRUST ACCOUNTS
lINE 1. Date Established 1
2. Account Balance 2
3. Percent Taxable 3 X
4. A.ount Subject to Tax 4
5. Debts and Deductions 5
6. A.ount Taxable 6
7. Tax Rate 7 X
8. Tax Due 8
. Dl{.~
~.q 0
PART
~
DATE PAID
PAYEE
DEBTS AND DEDUCTIONS CLAIMED
"a+S- .:; OlD D(~c...
......
'i5.tfc;. DESCRIPTION
AMOUNT PAID
I
TOTAL (Enter on line 5 of Tax Co.putationJ
I
$
periury~ I declare that the facts I
wledge and belief.
have reported above are true~ correct
HOME (,\ 7 ) l(p",>- 401J~
WORK ( )
TELEPHONE N MBER
and
TAXPA
li/rq / OJ
D E'
II
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAb OF INDIVIDUAL TAXES
DEPT. Z8060l
HARRISBURG, PA 17128-0601
*'
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE NO. 21 01-1042
ACN 01162433
DATE 12-28-2001
REV-1S45 EX iFP CO'-DIl
.02 JAN 15
..;,,~5T. OF WANDA L KISNER
1/\""5.5. NO. 183-12-2913
DATE OF DEATH 08-25-2001
P12 5.DfNTY CUMBERLAND
TYPE OF ACCOUNT
[i] SAVINGS
D CHECKING
D TRUST
D CERTIF.
Recore;;
Reg;.;-,te"
SUSAN L STUART
200 N FRONT ST
WORMLEYSBURG
C,erk. ,
PA 17043 Ct-, m- b-;-#'r~.n..-.;
, - G! lc; ....;
PA
REMIT PAYMENT AND FORMS TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
ALLFIRST BANK has provided the Depart.ent with the info~ation listed below which has been used in
calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a joint owner/beneficiary of
this account. If you feel this infor.ation is incorrect, please obtain written correction fro. the financial institution, attach a copy
to this for. and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Co..onwealth
of Pennsylvania. Questions .av be answered by calling (717) 787-8327.
COMPLETE PART 1 BELOW . . . SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS
Account No. 87004600057600 Date 10-27-1992
Established
x
7,,508.41
16.667
1'25~
.15
18 .
TAXPAYER RESPONSE
To insure proper credit to your account, two
ez) copies of this notice .ust acco.pany your
pay.ent to the Register of Wills. Make check
payable to: "Register of Wills, Agent".
Account Balance
Percent Taxable
Amount Subject to
Tax Rate
Potential Tax Due
x
NOTE: If tax pay.ents are made within three
(3) .onths of the decedent's date of death,
you .ay deduct a 51. discount of the tax due.
Any inheritance tax due will beco.e delinquent
nine (9) .onths after the date of death.
Tax
PART
[!]
A.
[ CHECK ]
ONE
BLOCK B.
ONLY
c.
[] The above infor.ation and tax due is correct.
1. You .ay choose to re.it payment to the Register of Wills with two copies of this notice to obtain
a discount or avoid interest, or yOU .ay check box "A" and return this notice to the Register of
Wills and an official assessment will be issued by the PA Department of Revenue.
[] The above asset has been or will be reported and tax paid with the Pennsylvania Inheritance Tax return
to be filed by the decedent.s representative.
~e above infor.ation is incorrect and/or debts and deductions were paid by you.
You .ust co.plete PART ~ and/or PART ~ below.
PART
[!]
TAX RETURN - COMPUTATION OF TAX ON JOINT/TRUST ACCOUNTS
LINE 1. Date Established 1
2. Account Balance 2
3. Percent Taxable 3 X
4. Amount Subject to Tax 4
S. Debts and Deductions S
6. Amount Taxable 6
7. Tax Rate 7 X
8. Tax Due 8
\ ~ s-I,
L.\--..)
If you indicate a different tax rate" please state your
relat ionship to decedent: \) AJ l# 1-1-"\\c.A..-
PART
[!]
DATE PAID
4-. ~ V(D
~. 3,
DEBTS AND DEDUCTIONS CLAIMED
'R.ELA-T\~US~; 'DPnllD ~f.,
DESCRIPTION
AMOUNT PAID
PAYEE
I
TOTAL (Enter on Line S of Tax Computation)
I
$
perjury" I declare that the facts I have reported above are true" correct and
.y knowledge and belief. HOME 7 (0 $ - 4 () 0 r{
ER
1/,0/01..
DATE
V10NWEALTH OF PENNSYLVANIA
.RTMENT OF REVENUE
:AU OF INDIVIDUAL TAXES
. 280601
~ISBURG. PA 17128-0601
REV-1162 EX(11-96
:D FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
JSAN L STUART
)2 N FRONT STREET
'ORMLEYSBURG, PA 17043
~TE INFORMATION: SSN: 183-12-2913
NUMBER: 21 - 2001 - 1042
EDENT NAME: KISNER WANDA
E OF PAYMENT: 01/15/2002
TMARK DATE: 01/14/2002
NTY: CUMBERLAND
E OF DEATH: 08/25/2001
NO. CD 00075L
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
01162433 I $56.31
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TOTAL AMOUNT PAID:
$56.31
IIARKS: SUSAN L STUART
CHECK# 4152
EAL
INITIALS: CW
RECEIVED BY:
MARY C. LEWIS
REGISTER OF WILLS
REGISTER OF WILLS
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STATUS REPORT UNDER RULE 6.12
Name of Decedent:
WAN D A
L~ ,<t.S~eL
Date of Death: <611 ~ ) 0 L.
Wi 11 No. ~ D 0 \ - 0 I 0 4 1.....
Admin. No. PA- No. 'J-I - c> l- I 0 lJ, 1-
Pursuant to Rule 6.12 of the Supreme Court Orphans'
Court Rules, I report the following with respect to completion of
the administration of the above-captioned estate:
State whether administration of the estate is complete:
Yes 'f No
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete:
1 .
3. If the answer to No.1 is Yes, state the following:
a. Did the personal representative file a final
account with the Court? Yes No
b. The separate Orphans' Court No. (if any) for
the personal representative's account is:
c. Did the personal representative state an
account informally to the parties in interest? Yes No
d. Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be attached to this report.
Date:
<6/ llo IDi-
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Signature
Sos~ L. ~ru~
Name (Please type or print)
020;).. JJ l) F I( 6 ~.rr .sf
WC>/1 m Lfi"s 13U 1{ fJ ;0;4 /7 d Lf,3
Address .
./
( I '1 ) ~ Co S - Lf 0 0 ~
Tel. No.
Capacity: X
Personal Representative
Counsel for personal
representative
(MAH:rmf/AM3)