Loading...
HomeMy WebLinkAbout03-0916Register of Wills of Cumberland PETITION FOR GRANT Fstateof Sue Catharine Durnin also known as , Deceased Sue C. Christy OF County, Pennsylvania LETTERS No. Social Security No. 174- 05 - 3998 Petitioner(s), who is/are 18 years of age or older, apply(ies) for: (COMPLETE 'A' or 'B' BELOW:) A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the execut named in the last Will of the Decedent, dated and codicil(s) dated None State relevant circumstances, e.g., renunciation, death of executor, etc. Except as follows, Decedent did not marry, was not divorced, and did not have a child bom or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incompetent: B. Grant of Letters of Administration (c.t.a.; d.b.n.c.ta; pendente lite; durante absentia; durante minoritate) Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: I Name Relationship Residence Sue C. Christy daughter 2039 Hudnut Rd., Schwenksville, PA (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania with his/her last family or principal residence at 40 E. Pomfret Street, Borough of Carlisle, PA 17013 (list street, number, and municipality) Decedent, then 82 years of age, died 03/17/1962at Carlisle Hospital, PA Decedent 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 (Location) 4,800.00. situated as follows: 40 E. Pomfret St., Carlisle, PA letters in the appropriate form to the undersigned: , , Sign~ture~~ ~, Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of ~ r~ S/ C. Chr i sty Typed or printed name and residence ~039 Hudnut Road, Schwenksville, PA 19473 Prepared by the Pennsylvania Bar Association Copyright (c) 1996 form software only CPSysterns, Inc. Form RW-1 (1991) Oath of Personal Representative Commonwealth of Pennsylvania County of Cumberland 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 representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate_.according to law. ~~ ~_~ ~ ~ ~ ( ~'JC~ ~ Sworn to or affirmed and subscribed "J ~ ~ 5, Sue C. Christy before me this~ day of t~'~ ~.~~Register ~ Estateof Sue Catharine Durnin Deceased Social Security No: 174- 05 - 39c.~i~.te of Death: AND NOW, ~,c,c~ ~ 03/17/1963 , ~oo.~5 , in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters [T~tamentary (~ministration (c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate) arehereby grantedto Sue C. Christy in the above estate and that the instrument(s) dated described in the Petition be admitted to probate and filed of record as the last Will of Decedent. FEES Letters ........... $ Sho~ Ce~ificate(s) ..... $ \8.oo Registelr of Will~~J '~J Renunciation ........ $ Attorney: Jaclyn M. Smith Affidavits ( ) .... $ Extra Pages ( ) .... $ I.D. No: 90166 Saidis, Shuff, Flower & Lindsay Address: 2109 Market St. Codicil ........... $ Camp }{ill, PA 17011 JCP Fee .......... $ Inventory .......... $ Other ........... $ TOTAL ......... $ Prepared by the Pennsylvania Bar Association Telephone: 717/737 - 3405 Copyright (c) 1996 form software only CPSystems, Inc, Form RW-1 (1991) I05.905M REV. 4/96 This is to certify that this is a true copy of the record which is on file in the Pennsylvania Division of Vital Records in accordance with Act 66, P.L. 304, approved by the General Assembly, June 29, 1953. WARNING: It is illegal to duplicate this copy by photostat or photograph. 1125508 No. Charles Hardester State Registrar Date i. [I tee b . I05.905M REV. 4~96 This is to certify that this is a true copy of the record which is on file in the Pennsylvania Division of Vital Records in accordance with Act 66, P.L. 304, approved by the General Assembly, June 29, 1953. WARNING: It is illegal to duplicate this copy by photostat or photograph. 1125509 No. Charles Hardester State Registrar MAY ZOOa Date REVo1500 EX + (6-00) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 D E C E D E N REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Durnin Sue Catharine DATE OF DEATH (MM-DP-YEAR) I DATE OF BIRTH (MM-DD-YEAR) I 09/05/z880 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) OFFICIAL USE ONLY FILE NUMBER 21-03-0916 COUNTY CODE YEAR NUMBER SOCIAL SECURITY NUMBER 174-05-3998 ~-IIS RETURN MUST BE FILED IN DUPLICA REGISTER OF WILLS SOCIAL SECURITY NUMBER T 4. HP9 EP,[cO 6. CR~ K° sK F-] 9. NAME C O Odginal Return ~ 247! Limited Estate · Decedent Died Testate (Attach copy of Will) Litigation Proceeds Receivedl I Supplemental Return U 3. fd h ~F~l~r°~[~[~§."~ Compromise (date of death after 12-12-1~ 5. eeqai:ledt Maintained a Living Trust 0 8. ~lttl~o~e~opy of Trust) Spousal Povedy Credit r~ 11. (Icl~f death between 12-31-91 and %1-95) (08 Remainder Return pn Federal Estate Tax Return Total Number of Safe Depo Election to tax under Sec. 9 (Attach Sch O) Jaclyn Smith FIRM NAME (If Applicable) Saidis, Shuff, Flower & Lindsay TELEPHONE NUMBER COMPLETE MAILING ADDRESS 26 West High St. Carlisle, PA 17013 R E C A P I T U L A T I O N 717/243-6222 1 Real Estate (Schedule A) (1) 2Stocks and Bonds (Schedule B) (2) 3Closely Held Corporation, Partnership or (3) Sole-Proprietorship 4Mortgages & Notes Receivable (Schedule D) (4) 5Cash, Bank Deposits & Miscellaneous Personal Property (5) (Schedule E) 6Jointly Owned Property (Schedule F) (6) ~---~eparate Billing Requested 7Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8.Total Gross Assets (total Lines 1-7) 9Funeral Expenses & Administrative Costs (Schedule H) (9) 10Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11Total Deductions (total Lines 9 & 10) l~et Value of Estate (Line 8 minus Line 11) 4,800~00 N~e NOne N~)n~ None None 4,231.00 None OFFICIAL uSE ONLY (8) 4,800.00 (11) 4,231.00 (12) 569.00 C O M T I O 13Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) l~Jet Value Subject to Tax (Line 12 minus Line 13) (13). (14) 569.00 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15~mount of Line 14 taxable at the spousal tax rote, or transfers under Sec. 9116(a)(1.2) X 160,mount of Line 14 taxable at lineal rate --.~ ~ _~_ X 17Amount of Line 14 taxable at sibling rate X 18Amount of Line 14 taxable at collateral rate X 19Tax Due 2lk r'--] .12 .15 .0 6 (15) 0.00 (16) It, (17) 0.00 (18) 0.00 (19) 0.00 Copyright (c) 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) Decedent's Complete Address: STRbb I ADDRESS as__t Pomfret St. Carlisle STATE ZIP ;PA Tax Payments and Credits: 1.Tax Due (Page 1 Line 19) 2Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount 17013 Total Credits ( A + B + C ) (1) 0.00 (2) 0.00 3Jnterest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty ( D + E ) (3) 0.00 4if Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 0.00 5If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 0.00 A. Enter the interest on the tax due. (SA) 0.00 B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (SE) 0.00 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; ......................... ~ ~ b. retain the right to designate who shall use the property transferred or its income; ........... c. retain a reversionary interest; or .................................... d. receive the prom se for fe of either payments benef ts or care~ 2If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ................................ R [~1 3Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............................................. [---] ~-~ 4Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ................................ ~ ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of periunJ, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON,RESPONSIBLE FOR FILING RETURN Sue C Christy - . , ' __ 2039 Hudnut Road %,' (.i ~_. ~ ~ /~'-~ 7 ~.~ --~k~{ii~[-~--i~Y .................... SIGNATURE OF PREPARER OTHER THAN REPRESENT¢IVE Saidi s, Shuf f, F1 ower & Linds ay · ,~- b ~ ,, , .~ / Z ............... ~ ..... ~ ............................... ~ U~ ! (~For dates of death on or after July 1, 1994 and before Januaw 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the 'Suwiving spouse is 3% [72 P.S. 9116 (a) (1.1) (i)]. For dates of death on or after Januaw 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the su~iving spouse is 0% [72 P.S. 9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a su~iving spouse from tax, and the statutow requirements for disclosure of assets and filing a tax return are still applicable even if the su~iving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child ~en~-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. 9116 (a) (1.2)]. The t~ rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 9116(1.2) [72 P.S. 9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 9116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. D A T B A T E REV-1502 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Sue Catharine Durnin SCHEDULE A REAL ESTATE FILE NUMBER SS~/ 174-05-3998 03/17/1963 21-03-0916 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with ri~lht of survivorship must be disclosed on Schedule F. ITEM NUMBER 40 East Pomfret Street Carlisle, PA 17013 (see copy of real property 139-141 E. Pomfret Street Carlisle, PA 17013 (see copy of real property DESCRIPTION record card) record card) VALUE AT DATE OF DEATH 2,600.00 2,200.00 TOTAL (Also enter on line 1, Recapitulation) $ 4,800.00 (If more space is needed, insert additional sheets of the same size) ~ REV-1502 EX trey. 1-97~ REV-1511 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Sue Catharine Durnin SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS SS# 174-05-3998 03/17/1963 FILENUMBER 21-03-0916 Debts of decedent must be reported on Schedule I. ITEM NUMBEF DESCRIPTION A. --UNERAL EXPENSES: Funeral expenses 5. 6. 7. ~DMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s) / EIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: Attorney's Fees Saidis, Shuff, Flower & Lindsay Family Exemption: (if decedent's address is not the same as claimant's, attach explanation) Claimant Sue C. Christy Street Address 40 E. Pomfret St. C~y Carlisle State PA Zip 17013 Relationship of Claimant to Decedent daughter Probate Fees Accountant's Fees Register of Wills Tax Return Preparer's Fees OtherAdministrativeCosts Petition for Probate after 21 Years, filing fee Filing fee for tax return Recorder of Deeds, recording fees for fiduciary deeds AMOUNT 1,200.00 1,860.00 1,000.00 62.00 15.00 15.00 79.00 TOTAL (Also enter on line 9, Recapitulation) (If more space is needed, insert additional sheets of the same size) 4,231.00 REV-1513 EX + (9-00) SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Sue Catharine Durnin SS# 174-05-3998 03/17/1963 21-03-0916 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE II. TAXABLE DISTRIBUTIONS [include outdght spousal distributions, and tmnsfe~ under Sec. 9116(a)(1.2)] Sue C. Christy 2039 Hudnut Rd. Schwenksville, PA 19473 daughter entire estate as sole heir ENTER DOLLAR AMTS. FOR DISTRIBUTIONS SHOWN ABOVE ON LN. 15 THRU 18, AS APPROPRIATE1 ON REV 1500 COVER SHEET ~ION-TAXABLE DISTRIBUTIONS: ~,. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 3. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ O. 00 (If more space is needed, insert additional sheets of the same size) .................................................. Form REV-1513 EX ~Rev, 9-00) RESIDENTIAL REAL PROPERTY RECORD CARD ~O' E. ~O~FRET .~T~F,~.'~r- ..... 'CDNT. NUMB o 03-21-0320--093 'BLDG ~LAND "~0._ E~ POMFRET STREET · CHR.~STY~,,SUE DOWN INGTOWN, PA. NO OF CARDS DISTRICT MAP UNIT 910 CL 2,600 B MAP C PAGE D PARCEL E MISC. AMOUNT' DESCRI[,TiON 5lb 7 LAND 'OTAL. LAND BLDGS. TOTAL )RMATION BY: OWNER TENANT I '~ER OR OC/~U~ANT SIGN HERE ON INTERIOR INSPECTION OTHER DATE MO. DAY YR, FIGURE DEPTH ol F.F.  PRICE DEPTH PER CENT ACTUAL ~1 sub F. F. PRiC;,E__~ TOTAL CORNER INFL. % J ADJUST. TOTAL LSZL~ LQZ_ ZI~LEBO_V t bLG.__ _TILIT/ES .NO GAS O__AD PAVED RIVEWAY RIBBON 1 D~P O~_G R~A p H y .LL~HiG H -.STAYIC ~_O_ %¥ATER G~RA V~L DEC LlhJIL*LG NO ELECTRIC DIRT 3 GRAVEL 4 __ROUGH _BRUSH LANDSCAPING _WARD .... ~, ..... ZONE __~LO.S EWE R .......... NQ T~LEPHOt, E __SIDEWALK S_TO N E ~oo: ........ AVERSGE ._ ~ .... GOOD .... AUTOMATED VALUATION SERVICES RESIDENTIAL REAL PROPERTY RECORD cARD DATE · ,- ]:3;9-141'E. PO~FRET STREET C[~NT. NUMB. 03-21'- 8i-D6-2 ~ flosses 0320-031 L'AND L~s ~4~ / 1,'39-1~1' E. POMFRET STREET ~ ~- 19335 AMOUNT DESCRIPTION //7 2200 909 A .'og .... FRT-3 ~ OEP /ao~''.. , 2,aoo '" DISTRICT MAP B MAP C PAGE ~ D PARCEL E MISC. NO OF CARDS UNIT LAND LAND ,- IE'R OR OCCUPANT SIGN HERE ON INTERIOR INSPECTION OTHER REAR FRONT DEPTH FIGURE PRICE DATE MO. DAY YR. 6 // , DEPTH CENT 1 SUB CORNER t % INFL. ADJUST1 TOTAL ~J~,IC~---~~v j N C~- '1 LI TI E.I.~$ NO GAS ~AD P~AVED IIV.__EWAY RJ_B B ON POGRAPHY _LOW 1 H_IGH ~IATIG_ NO WATER ~G R A _SLAB R~OOUGH 3 BRUS~HH~ D EQLINLbLG_ _NO ELE~CTRIC P RT G_RAVEL LANDS_CAP NG WABD ................ ZONE _N O~S~E_ _W E R ......... ~N_Q .TEL_EPH_ONE _SI~E~WA~ L_K. _STON~E POOR 5 .................... ~ ...... ~. ............. AVERAGE GOOD AUTOMATED VALUATION SERVICES COMMONWEALTH OF PENNSYLVANIA D~EPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT NO. REV-1162 EX(11-96) CD 003830 SMITH JACLYN M, ESQ. 2109 MARKET ST CAMP HILL, PA 17011 fold ESTATE INFORMATION: SSN: 174-05-3998 FILE NUMBER: 2103-091 6 DECEDENT NAME: DURNIN SUE CATHARINE DATE OF PAYMENT: 04/16/2004 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 03/17/1963 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 $38.72 REMARKS: SAIDIS ET AL TOTAL AMOUNT PAID: $38.72 SEAL CHECK#16989 INITIALS: VZ RECEIVED BY: GLENDA FARNER STRASBAUGH REGISTER OF WILLS REGISTER OF WILLS BUREAU OF INDIVIDUAL TAXES TNHERITANCE TAX DIvISTON DEPT. Z80601 HARR/SBURG, PA 171Z8-0601 JACLYH sHITH sAIDIS ETAL Z6 ~ HIGH ST cARLISLE ON~EALTH OF pENNSYLVANIA CON~EPARTNENT OF REVENUE NOT/CE OF /NHERITANCE TAX AppRATSEHEHT, ALLO#AHCE OR D/SALLOWAHCE OF DEDUCT/OHS AND ASSESSHENT OF TAX · ' DATE ESTATE OF DATE OF DEATH FILE NUNBER 04-1Z-200~ DURHIH 05-17-1963 Z1 05-0916 CUHBERLAHD SUE :59 COUNTY lO1 ACH ~ HAKE CHECK pAYABLE AND REH/T pAYHENT TO: REGISTER OF ~ILLS CUHBERLAHD CO CouRT HouSE CARLISLE, PA 17015 RETAIN LO~ER pORT/OH FOR YOUR RECORDS C " BUREAU OF TNDTV/DUAL TAXES TNHERZTANCE TAX DTyTSTON DEPT. Z80601 HARRTSBURG, PA 17128-0601 JACLYN SMITH SAIDIS ETAL 26 W HIGH ST CARLISLE COMHONNEALTH OF PENNSYLVANZA DEPARTHENT OF REVENUE NOT/CE OF ZNHERZTANCE TAX ~I~pRAZSEHENT, ALLOWANCE OR DZSALLONANCE ~,O?DEDUCT/ONSAND ASSESSMENT OF TAX DATE Oq-lZ-ZOOq '04 APR 14 .~qSTATE OF DURNTN ~' ....DATE OF DEATH 03-17-1965 FZLE NUMBER 21 03-0916 ~* ::.i~ COUNTY CUHBERLAND ~ ,U~;-;:~,; ~ACN 101  Amoun{ RemiC*ed PA 1701~ REV-154? EX AFP (01-03} SUE C HAKE CHECK PAYABLE AND RENZT PAYMENT TO: REGISTER OF HILLS CUHBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THZS LZNE ~ RETAZN LONER PORTZON FOR YOUR RECORDS ~ REV-15~7 EX AFP (01-03) NOTZCE OF INHERZTANCE TAX APPRAZSEHENT, ALLONANCE OR DZSALLONANCE OF DEDUCTZONS AND ASSESSMENT OF TAX ESTATE OF DURNIN SUE CF[LE NO. 21 03-0916 ACN 101 DATE Oq-12-ZOOq TAX RETURN NAS: (X) ACCEPTED AS F/LED ( ) CHANGED RESERVATZON CONCERNZNG FUTURE ZNTEREST - SEE REVERSE APPRA/SED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Es~a~e {Schedule A) 2. S~ocks and Bonds (Schedule B) (2) 3. Closely Held S~ock/Par~narship /n~aras~ (Schedule C) ($) q. Hot,gages/No,es ReceAvable (Schedule D) (~.) $. Cash/Bank Deposits/Misc. Personal Propar~y (Schedule E) (5) 6. Jointly Owned Propar~y {Schedule F) (6) 7. Transfers (Schedule G) (7) 8. To~:al Asse~:s APPROVED DEDUCT]:ONS AND EXENPTZONS: 9. Funeral Expensas/Adm. Cos~s/Misc. Expenses (Schedule H) (9) 10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 11. To~al Deductions 12. Na~ Value of Tax Ra~urn ~z800.00 00 O0 O0 O0 O0 O0 (8) ~,Z31.00 .O0 (11) (12) NOTE: To Ansura proper cradi* ~o your account, submi~ ~ha uppar portion of thAs form ~A~h your ~ax payment. ~,800.00 ~.231.00 569.00 13. 1~. NOTE: Charitable/Governmental Bequests; Non-elec*ed 911:5 Trus*s (Schedule J) (1:5) Na~: Value of Es~:a~:e Subject: ~:o Tax (lq) :[f an assessment was Assued previously, l~nes :Lq, 15 and/or 16, 17, 18 and reflect f~gures that ~nclude the total of ALL returns assessed to date. ASSESSHENT OF TAX: 15. Amoun* of L/ne 1~ 16. Amoun* of Line 1~ ~axabla a~ Lineal/Class A ra~e (16). 17. Amoun~ of LAne lq a~ Sibling ra~a (17). 18. Aaoun* of L/ne lq ~axable at Collateral/Class B ra~e (18)~ )al Tax Due RECE/PT NUMBER DISCOUNT (+) ZNTEREST/PEN PAZD (-) 19. Princi TAX CRED]:TS PAYMENT DATE INTEREST IS CHARGED THROUGH Oq-Z7-2OOq AT THE RATES APPLICABLE AS OUTLINED ON THE REVERSE SIDE OF THIS FORM . O0 x O0 = 569.00 x 02 = · O0 x O0 = . O0 x 15 = (19)= AMOUNT PAZD .00 569.00 TOTAL TAX CREDZT BALANCE OF TAX DUE ZNTEREST AND PEN. TOTAL DUE .00 11.38 .00 .00 11.38 IF PAID AFTER DATE /NDZCATED, SEE REVERSE FOR CALCULATION OF ADD/TZONAL INTEREST. ( IF TOTAL DUE 1S LESS THAN $1, NO PAYMENT 1S REQU/RED. IF TOTAL DUE 1S REFLECTED AS A 'CRED/T" (CR), YOU NAY BE DUE A REFUND. SEE REVERSE S/DE OF THZS FORM FOR /NSTRUCT/ONS.) 11.38 Z7 38.7Z .0O RESERVATION: PURPOSE OF NOT/CE: PAYMENT: REFUND (CR): OBJECTZONS: ADMIN- iSTRATIVE CORRECTIONS: DISCOUNT: PENALTY: ZNTEREST: Estates of decadents dying on or before December 12, 1981 -- if any future interest in the estate is transferred in possession or enjoyment to Class B (collateral) 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 (collateral) rate on any such futura interest. To fulfill the requirements of Section 21q0 of the Inheritance and Estate Tax Act, Act 25 of 2000. (72 P.S. Section 9140). Detach the top portion of this Notice and submit with your payment to the Register of Wills printed on the reverse side. --Make check or money order payable to: REGXSTER OF NXLLS, AGENT A refund of a tax credit, which was not requested on tho Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-131S). Applications are available at the Office of the Register of Wills, any of the 25 Revenue District Offices, or by ceiling the special 24-hour answering service for forms ordering: 1-800-361-2050; services for taxpayers with special hearing and / or speaking needs: 1-800-4q7-3020 (TT only). 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 by: --written protest to the PA Department of Revenue, Board of Appeals, Dept. 281021, Harrisburg, PA 17128-1021, OR --election to have the matter determined at audit of tho account of the personal representative, OR --appeal to the Orphans' Court. Factual errors discovered on this assessment should be addressed in writing to: PA Department of Revenue, Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. 180601, Harrisburg, PA 171Z8-0601 Phone (717) 787-6505. Soo page 5 of the booklet "Instructions for Inheritance Tax Return for a Resident Decedent" (REV-IS01) for an explanation of administratively correctable errors. If any tax due is paid within three [3) calendar months after the decadent's death, e five percent (51) discount of tho tax paid is allowed. The 151 tax amnesty non-participation penalty is computed on the total of the tax and interest assessed, and not paid before January 18, 1996, tho first day after the and of the tax amnesty period. This non-participation penalty is appealable Jn tho same manner and in the the same time period as you would appeal the tax and interest that has been assessed as indicated on this notice. Interest is charged beginning with first day of delinquency, or nine (9) months and one (1) day from tho date of death, to the data of payment. Taxes which became delinquent before January 1, 1981 bear interest at tho rate of six (61) percent per annum calculated at a daily rate of .000164. All taxes which became delinquent on and after January 1, 1982 eel1 bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 1982 through ZOO4 ara: Interest Dally Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor ~ 20X .000548 "['~g'8-1991 Z1X .000501 ~ 91 .OOOZq7 1983 161 .000438 1992 91 .000247 2002 61 .000164 1984 111 .000301 1995-1994 71 .000191 2003 51 .000137 1985 131 .000356 1995-1998 91 .000247 2004 42 .000110 1986 IOZ .000274 1999 7Z .000192 1987 1gl .000274 ZOO0 7Z .000191 --Znterest is calculated as follows: INTEREST = BALANCE OF TAX UNPAID X NUHBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Notice issued after the tax becomes delinquent mill 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 interest must be calculated. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA STATUS REPORT UNDER RULE 6.12 Name of Decedent: Date of Death: Will No. Sue Catharine Durnin March 17, 1963 Admin. No. 21-03-0916 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: 1. State whether administration of the estate is complete: Yes X ; No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 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 X 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 X d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Capacity: $-i~g~a~ ure II / Nam~:J Jaclyn Smith, Esquire I.D.--No. 90166 SAIDIS, SHUFF, FLOWER & LINDSAY_~ 2109 Market Street Camp Hill, PA 17011 (717) 737-3405 Personal Representat ire X Counsel for Personal Representative BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. ZBO601 HARRISBURG, PA 171Z8-0601 COMMON#EALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE TNHERZTANCE TAX STATEHENT OF ACCOUNT JACLYN SMITH SAIDIS ETAL 26 W HIGH ST CARLISLE PA 17013 DATE 06-01-200~ ESTATE OF DURNIN DATE OF DEATH 05-17-1963 FILE NUMBER 21 03-0916 COUNTY CUMBERLAND ACN 101 Amoun~ Remitted SUE C MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper port/on of this for. with your tax payment. CUT ALONG THIS L'rNE ~'* RETAIN LOgER PORT'rON FOR YOUR RECORDS *~ REV-1607 EX AFP (01-03) N~ ZNHER'rTANCE TAX STATEMENT OF ACCOUNT ~ ESTATE OF DURNIN SUE C FILE NO. 21 03-0916 ACN 101 DATE 06-01-200~ THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN ZN THE NAHED ESTATE. SHO#N BELO# ZSA SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, ZF APPLICABLE, A PROJECTED INTEREST FIGURE. DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: O~-lZ-ZOOq PRINCIPAL TAX DUE: ........................................................................................................................................................................................................................... PAYMENTS (TAX CREDITS): 11.38 PAYMENT RECEIPT DISCOUNT (+) DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID Oq-16-ZOOq CD003830 27.32- 38.72 IF PAID AFTER THIS DATE, SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST. ( ZF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. ZF TOTAL DUE ZS REFLECTED AS A "CREDIT" (CR), YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. ) TOTAL TAX CREDIT 11.~0 BALANCE OF TAX DUE .02CR INTEREST AND PEN. .00 TOTAL DUE .02CR PAYNENT: Detach the top portion of this Notice and submit with your payment made payabla to tha name and address printed on the reverse side. -- If RESIDENT DECEDENT make check or money order payable to: REGISTER OF ~/ILLS, AGENT. -- If NON-RESIDENT DECEDENT make check ar money order payable to: COHHON#EALTH OF PENNSYLVANIA. REFUND (CR)= A refund of a tax cradit, which was not requested on tha Tax Return, may be requested by completing an "Application for Refund of Pennsylvania Inheritance and Estate Tax" (REV-Z315). Applications ars available at the Office of the Register of Wills, any of the 23 Revenue District Offices or from the Daparteant's Z4-haur answering sarvica for forms ordering: 1-SOO-36Z-Z050~ servicas for taxpayers with special hasting and / or speaking needs: 1-800-447-30Z0 (TT REPLY TO: Ouestions regarding errors contained on this notice should be addressed to: PA Department of Revenue) Bureau of Individual Taxes, ATTN: Post Assessment Review Unit, Dept. IS0601, Harrisburg, PA 17liS-0601) phone (717) 787-6505. DISCOUNT: If any tax due is paid within three (5) calendar months after the decedent's death, a five percent (SI) discount of the tax paid is allowed. PENALTY: The 15X tax amnesty non-participation penalty is computed on tha total of the tax and interest assessed, and not paid before January 18, 1996, the first day aftar the end of tha tax amnesty parted. INTEREST: Interest is charged beginning with first day of dalinquancy, or nine (9) months and one (1) day from the date of death, to the date of payment. Taxes which became dalinquent bafora January 1, 198Z bear interest at the rate of six (6X) percent par annum calculated at a daily rate of .000164. Alt taxes which became delinquent on and after January l, 198Z will bear interest at a rate which will vary from calendar year to calendar year with that rate announced by the PA Department of Revenue. The applicable interest rates for 198Z through ZOO4 are: Interest Daily Interest Daily Interest Daily Year Rate Factor Year Rate Factor Year Rate Factor 198Z ZOZ .000548 1988-1991 llX .000301 ZOO1 9Z .000247 1985 162 .000438 1992 92 .000247 ZOOZ 62 .000164 1984 llZ .000301 1995-199q 7Z .O00XgZ 2005 5Z .000157 1985 152 .000356 1995-1998 92 .000247 2004 42 .000110 1986 102 .000Z74 1999 72 .00019Z 1987 9Z .000247 2000 8Z .OOOZ19 --Interest is calculatad as follows: INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINI~UENT X DALLY INTEREST FACTOR --Any Notice issued after the tax becomes 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 Notica, additional interest must ba calculated.