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This is to certify that the certificate hereunto attached is a true and accurate copy of the original
death record on file with the Division of Vital Records, and that Frank Yeropoli, whose name is
subscribed thereto, was at the time of subscribing the same and now is Director, Division of Vital
Records of the Department of Health, for the Commonwealth of Pennsylvania, duly appointed
and commissioned as directed by Act 66 of the General Assembly, approved 29 June 1953, P.L.
304.
AUG 16 20p1` ? .
Date Fran eropoli, ct
Division of Vital Records
P.O. Box 1528
New Castle, PA 16103
COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CERTIFlCATE OF DEATH
(Coroner)
NAME OF DECEDENT IF'nl, MiEa•, Leap SDCIALSECURT' NUMBER ti nO.ecn DATE OF DERH pAailh, Da%Yea3
,
Nicholas M Ruha
Male
.
2
,. 164-32-9676 ..March 25,1995
ADE Ba,I BieWS„ UNDER,VEAq UNDERtDM DATE OF BIRTH BWTMPLACE ICAY•~ PLACE OF OEISH ICn•ck
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ER:
a 79 rN. Jan. 27,Mount Union,`4"'a^ E10q~"^ °OA^ In~^ R..amc.~ ^
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Cumberland Carlisle 703 Hanover Manor
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Hanover Manor, Apt C111 RESIDENCE ,,,.,,,, I
Carlisle, PA 17013
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1ML'J ae+n aauaTmba
B NAME IF.M. MitlW.laq NAI! ~nl MMd,, IArenSArirny
Geor a Ruha ,,, Mary Achim
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BERVICE DR ACTNBABSUCII LK:ENSENUMBER A1°AD0~86OFFACUrv Cre~ tl n SQC'' et ofg P
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L NAME AND ADDRESS OF PERSON WHO COMPIETEDCAUSE OF DEATH
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REOISTRAR'3 SIGNATURE AND NVMBER .
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ur Pa. 17055
DATE FILED (MONK. De%Yev)
~.~ / ~.. ~rR-rz~t~ ~S X995
REV-1500 EX+ (7-94) ~, ~',
INHERITANCE TAX RETURN
RESIDENT DECEDENT
COMMONWEALTH OF PENNSYLVANIA TO BE FILED IN DUPLICATE
DEPARTMENT OF REVENUE 1
DEPT. 280601 Q,0 WITH REGISTER OF WILLS)
HARRISBURG, PA 17128-0601
W SOCIAI SECURITY NUMBER DATE OF DEATH DATE OF BIRTH
~ CCUIIf'
p (IF ArrIICAwBLE/) SURVIVING SPOUSE'S NAME (LAST, FIRST AND MIDDLE INITIAII SOCIAL SECURITY NUMBER
' v"/~
1.~ Ori mal Return
Y ~ H ~ g ^ 2. Supplemental Return
u~.f d ~ ^ 4. Limited Estate
~ ~ o ^ 40. Future Interest Compromise
(for dotes of death after 12-12-82)
a en ~ b. Decedent Died Testate 7. Decedent Maintained a Living Trust
(Attach copy of Will) ^ (Attach cop of Trust)
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VTIAL TAX 1NFORMAT{dN SHOULD 8
COMPLETE MAILING
FOR DATES OF DEATH AFTER 12131/91 CHECK HERE
IF A sPOUSaL
POVERTY CREDIT IS CLAIMED ^
FILE NUMBER z- F 9 s- @,3 O D
CODE
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'703 1fAnl'o vF,~ /~JRNvIe~ q~C-[!1
CAI~uSc.E, PA
Gu~/3E~°~.~4~tlD
^ 3. Remainder Return
(for dates of death prior to 12-13-82)
^ 5. Federal Estate Tax Return Required
_ 8. Totol Number of Safe Deposit Boxes
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1. Reol Estate (Schedule A) („1 .) , ~-p, 9 t,(L~ ~ t,~ (,~
2. Stocks and Bonds (Schedule B) (2 )
3. Closely Held Stock/Partnership Interest (Schedule C) (3 )
4. Mortgages and Notes Receivable (Schedule D) (4 )
5. Cosh, Bank Deposits 8, Miscellaneous Personal Property ) Oro, Zla7.03
(Schedule E)
b. Jointly Owned Property (Schedule; F) (b )
7. Transfers (Schedule G) (Schedule L) (7 )
8. Total Gross Assets (total lines 1-7) ~~. ' ;~ !I, L? ;:"'%
9. Funeral Expenses, Administrative Costs, Miscellaneous (9) ~{~7 .-~7II" `
Expenses (Schedule H)
10. Debts, Mortgage Liabilities, Liens (Schedule I) (10) 3, ~~~'. 06
11. Total Deductions (total Lines 9 8 10)
12. Net Value of Estate (Line 8 minus Line 11) ~ Q~ h C/ Ci C?! r~ ,'
13. Charitable and Governmental Bequests (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13) ~ ^ : j' 'a " ' t' ~`
15. Spoisal Transfers (for dates of death after b-30-94)
,r ~..
~~~~ d~
y ~%, ~~
, r
(13)
ee nstructlons for Applicable Percentage on Reverse (15) x._=
Side. (Include values from Schedule K or Schedule M.) // p ~~ .~- •/ - V ~;~
I b. Amount of Line 14 taxable at b% rote (16) f ~~,-`t'7 7 . ~"T x .Ob = r-~
(Include values from Schedule K or Schedule M.)
17. Amount of Lins 14 taxable at 15% rate (17) +~ '-~ ~~~ ~ ~~ ~ x .15 = ~ ~~;' -3 ~'
(Include values from Schedule K or Schedule M.)
18. Principal tax due (Add tax from Lines 15, Ib and 17.) (18) e0 ~2.t3.-e~--
J9. Credits Spousal Poverty Credit Prior Payments Discount Interest I
+ +
20. If Line 19 is greater than Lins 18, enter the difference on Lins 20. This is the OVERPAYMENT.
~^
21. If Line 18 is greater than Line 19, enter the difference on Lins 21. This is the TAX DUE.
A. Enter the interest on the balance due on line 21A.
B. Enter the total of Lins 21 and 21A on Lins 21 B. This is the BALANCE DUE.
Make Cheek Payable to: Repfster of Wills, Apent
)-'~ BE SURE Tl
nder penalties of perjury, I declare that I have
is true, correct and complete. I declare that al
:ssd on all information of which preparer has
aNAT Of RERSON RESPONSIBLE FOR FILIN RETURN
- ~. ~~,~
R
Hoed this return, including accompanying achsdulss and stotsmsnts, and to thi
estate has been reported at true market value. Declaration of preparer other
:nowledge.
'7"'
~JO AvE
(19)
(20)
(21) ~. oi.~.9~
(21 A)
(2t B) <~. D29. 9~
Ali a
t of my knowledge and belief,
the personal representative is
DATE
[ l ~2-319s
DATE ~
04-22-1996 06:48
REY•1SQ@ EY + 117.E ~
scw~au« a
REAL'ESTATE
P.02
N r•}~p1 tR! M_ uhw Z 195~03Qx
i~•p•rh NM-~ wMIE RyM.i iswriM.nIEIM ENWI M ~IMeI.E.r M fdE.iuln Ih Ail rwl a~.IE.uld lE. np~rl.d al fair mw~+ vela.
wMeM N d.OnE-d as NE. pEle. d wldew Ely wwlr w.>od~M~ wf 11E~N11 ~ bYlRln~ ruyK and ~ wlNln/ E~RErb nNfla- MInR aEnpdbd
to w uN. Mh Era~ .f Hr. rulw~E bfi.
NU ER DESCRIr'TION VALUE AY p~TE
OI~ DEATH
r.
RDIi3 Souse and ~tbuildings on approximately $43,250.0
Confluence, Pa 38 acres 8 perches in Addison Township
Somerset County, jointly owned w~•th
Leslie A. Ruha (Total value of the property
86,50x)
Miaus Closing Bxpenses of sx~ x 6,844.03 -$ 3,423.01
Proporty Maintenance 8xpenses owed by Lesl~.e $ 1,117.45
11. R>t><hd end paid at the closing
-- TOTAL lAlw .nhr on lln. 1, R.aaPl-ulafiian~ ~ S ~~ ~~I
(~f mon yaaes k nnrld, inN~E orkRRanal rf-..h of roan. dsn.) ~
REV-15J8 Ex+ i2-87~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEQULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
Please Print or
ns.r= t~umD[Ic
u~ffi, Nrc.FFoc-~4s M . L/95-0300
(All property jointly-owned wifh the Right of Survivenhip must be ditelosed on Schedule F)
ITEM
NUMBER DESCRIPTION VALUE AT
~ . MEn~~~-,e s' F~DE,~?gG ~.~,prr Urllio~l!
$l41/r~l1GS AGGT ~ 3796 - oS'
~~tfrCA7L AGGT ~ 3 ~F'7 9 (o - ~f0
~+~'rFtCq•~ ACrCr-' ~ 3rf ~ Q (, - c~ 1
C.E.~r-iFrC,A.rE, ACGT~ 3796 - ~3
2. USDA /NSuRA~VC~ Ga,
RUrp rNSU~iQgJGE REFUND
Susse.~~gE,eS SAI//rV6S Ac~Gr
Dr vilj,ENp
3. PA.f3AME COMMrs'Sr0^J PEIVSro~J
~, i4i,E Fo,~c~ P~vsr vN
~. ~E.FU N p G4BLE TV
'7,
~`° usE ~ o c..p Goo ps
$• 1945-' P~YMvur~ ~ccc,,4~nr~
TOTAL (Also enter on IInA 5
ation) ~ $
DATE OF DEATH
36,2.E 7.83
S, 019,0
S, o r 4 .S8
es.z3
~~trg.Zo
S8. Z~
z>3s 6g
8 $~ . 3(0
4.6 L
97S.oo
,Soo. vp
~o, ooo,ov
66,?~~. o
(Attach additional 811/s" x 11" sheets if more space is needed.)
' RE V.I511 EX+ (7-BBI
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
........ r v r ---
Ru aER, ~ rGfFoc..As M .
ITEM
NUMBER DESCRIPTION
A. Funeral Expenses:
t . GR,E~vr~4rr vnl sour e7'y o ~ Fiat! Ns y ur,~} n1~q
M~MOiNrA~ S».J~ VtCE AT' Sr-Mr4'rn,FEiVS ~urNF.,N,gM CHU~cN
PU4rNFt6c..Dr Prq.
B• Administrative Costs:
1. Personal Representative Commissions
Social Security Number of Personal Representative:
Year Commissions paid
2. I Attorney Fees
3. I Family Exemption
flto.oo
~oo,oo
Claimant k1 rwi4 M C ~ Rv ffq Relationship SON -~---
1 '
Address of Claimant at decedent's death
Street Address ~8 ~ ~ C ~ L-~/l~~ A VE
City ~'I~f+f t Pl~i4~11 ~
state Il T~ zip Cade_ 0 7 9 A /
4. Probate Fees
I$O.Op
C• Miscellaneous Expenses:
t. L u N CHEoN RFr,Et2 MENt oR.i~~ SE~t/ rc.,lE,
13o.-cc
2 • ~-(J NC KE.o/V A FTEI~° f~(JN
C E,/t~~T-may ~/QiQL A~T" r¢~',~,1A76TPN I~Ji4T[DNI~ L I l 7. Oct
3.
4.
5.
6. \
7.
8.
''' '"' :~
~~~ ~ ~~ U '
TOTAL (Also enter on line 9, Recapitulation) $
(If more space is needed, insert additional sheets of some size.)
Please Print or Type
ElER
21gs-o3oa
AMOUNT
SCHEDULE I
DEBTS, MORTGAGE LIABILITIES, LIENS
ESTATE OF FILE NUMBER
Nicholas M. Ruha 2195-0300
ITEM
NUMBER DESCRIPTION AMOUNT
1. PA. Income Tax for 1994 98.98
2. U.S. Income Tax for 1994 389.51
3. PP&L (Electric for House in Addison) 20.22
4. Agway (Gasoline Credit Account) 18.62
5. Real Estate Tax (House in Addison) 176.98
6. United Telephone 33.66
7. University Radiologists 8.38
8. William Kimmel, Atty (Outstanding Legal Fee) 950.00
9. William Kimmel, Atty (Legal Fee for House Closing) 425.00
10. DePaul Realty (Rent for Apt C-111) 45.00
11. Confluence Community Ambulance 265.71
12. 6 Round Trips from Whippany, NJ to Carlisle, PA to meet 750.00
with the coroner, arrange for the cremation and
memorial service, clean the apartment, dispose of
personal effects, close credit card and credit union
accounts, register the will, etc.
(6 trips x 340 miles @ $.30/mi = $612)
(6 breakfast, lunch & dinner = $138)
13. 1 Round Trip from Whippany, NJ to Addison, PA & 263.00
Somerset, PA for the House closing
(635 miles @ $.30/mi = 190.50)
{Tolls - $8.50; Motel - $25.00; Meals - $39.00)
TOTAL $ 3,445.06
REV-1513 EJt+ (2-87)
~,L .~
~,~.~ SCHEDULE J
COMMONWEAITHOFPENNSYLVANIA BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
RUE#i4, ~cGHot~4S M. Zigs'-vivo
ITEM
NUMBER NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR
SHARE OF ESTATE
A. Taxable Bequests:
1. Ro tg r,U TkrEt,B~
Pcq rS~[r
p''`~c iE3ox reZRR, ADDcSowl NvN~ ~ 1 000
i
Z . ~ NNE -til ~cKEc.~>E. leUe'>FA G~ODr4vG~frlE~ %3 erg' 1PEna~4i~
3 ~ Mi p~,ttr p A fAE, /KONrctA~~, N~-o 7v ~2
3. A cc yson/ G . ~ur~A GRANpD~ftsGN~ ~3 cad' IC'E~1A,~
1SC.rNGetNG=r;~ % NTDN ~ALLS~ /UTo77~Z
~, G(Jt c.ufFM C ~ r~UKA SoN ~ r~' ~M~rN,
~f$ tll~ovpu4N~ AvE,k/NrPloi4NJ~N~"o7gdrl
ITEM
NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR
SHARE OF ESTATE
B. Charitable and Governmental Bequests:
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation) I $
(If more spoce is needed, insert additional sheeta of same size)
lpE~
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~~
Register of Wills of CUMBERLAND County, Pennsylvani
Certificate of Grant of Letters Testamentary
No. 1995-00300 PA No. 2195-0300
ESTATE OF RUHA NICHOLAS M
Late of CARLISLE BOROUGH
Deceased
Social Security No. 164-32-9676
WHEREAS, on the 21st day of April 1995 an instrument
dated March 24th 1993
was admitted to probate as the last will of RUHA NICHOLAS M
( ~ ,
late of CARLISLE BOROUGH CUMBERLAND County, who died on the
25th day of March 1995 and,
WHEREAS, a true copy of the will as probated is annexed hereto.
THEREFORE, I, MARY C. LEWIS , Register of Wills in and for
the County of CUMBERLAND in the Commonwealth of Pennsylvania, hereby certify
that I have this day granted Letters TESTAMENTARY
to WILLIAM C RUHA
who has duly qualified as Executor(rix)
and has agreed to administer the estate according to law, all of which fully
appears of record in my Office at CUMBERLAND COUNTY COURT HOUSE,
CARLISLE, PENNSYLVANIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my Office the 21st day of April 1995.
eg er i
**NOTE** ALL NAMES ABOVE APPEAR (LAST, FIRST, MIDDLE)
.'.
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G - Pf _
LAST WILL AND TESTAMENTP
OF
NICHOLAS M. RIIHA
I, NICHOLAS M. RUHA, Social Security Number 164-32-9676, of the
state of Pennsylvania, declare that this is my LAST WILL AND TESTAMENT
and I revoke all other wills and codicils previously made by me.
FIRST: I appoint my son WILLIAM C. RUHA as my Personal
Representative concerning this Will. If my son WILLIAM C. RUHA is
unable or fails to serve, I then appoint my granddaughter MICHELLE RUHA
to serve as my Personal Representative.
a. I request that my Personal Representative be permitted to
serve without bond or surety .thereon and without the intervention of
any court, except as required by law. I direct that my Personal
Representative act in unsupervised administration so as to administer
my estate with a minimum of court supervision. If it becomes necessary
to have ancillary administration of my estate in any jurisdiction where
my Personal Representative is unable or does not desire to qualify as
ancillary legal representative, I appoint as such ancillary legal
representative such individual or corporation'as my Personal
Representative shall designate, in writing.
b. I direct my Personal Representative to pay the expenses
of my last illness, the expenses of a funeral appropriate to my station
in life and custom of living (including a suitable monument or marker
for my grave), and written charitable pledges which I have made. I
grant my Personal Representative the power to extend or renew any debt
for such time as my Personal Representative shall deem appropriate.
c. All estate, inheritance, succession and other death taxes
with respect to all property passing under; this my Will shall be paid
from and borne by the principal of my residuary :estate, without regard
to reimbursement, as if such taxes were administration expenses. My
Personal Representative may pay such taxes at any time deemed
advisable, whether or not then due and payable;
d. My Personal Representative is requested to settle my
estate as soon after my death as may be practicable, and to pay or
deliver every legacy or bequest to my benefioiaries without waiting any
time that may be believed to be customary in probate matters.
~1 f V~ ~ PAGE 1 /~
OF 4 PAGES _~~ . d~
SEVENTH: In addition to any powers granted by the laws of the
state in which this Will is probated, I hereby authorize and empower
the fiduciaries named in this Will, to the extent of the discretion
herein granted, to sell, exchange, convey, transfer, assign, mortgage,
pledge, lease or rent the whole or any part of my real or personal
estate, to invest, reinvest, or retain investments of my estate, to
perform all acts and to execute all documents which my fiduciaries may
deem necessary or proper in regard to my property. If any of my
fiduciaries elect to receive compensation for services, such
compensation will be that allowed by law.
EIGHTH: If any part of this will shall be invalid, illegal, or
inoperative for any reason, it is my intention that the remaining
parts, so far as possible and reasonable, shall be effective and fully
operative. My Personal Representative may seek and obtain court
instructions for the purpose of carrying out as nearly as may be
possible the intention of this Will as shown by the terms hereof,
including any terms held invalid, illegal, or inoperative.
IN WITNESS WHEREOF, I have at Carlisle Barracks, Pennsylvania,
on March 24, 1993, set my hand and seal to this my LAST WILL AND
TESTAMENT, consisting of 4 typewritten pages, each page bearing my
initials.
" ~sEAL)
NICHO M. RUAA
~'\ ~ PAGE 3
OF 4 PAGES ~ ~~
The foregoing instrument was, at Carlisle Barracks, Pennsylvania,
on March 24, 1993, signed, sealed, published and declared by NIC_Hp~S
M. RUHA, the testator, to be his LAST WILL AND TESTAMENT in the
presence of all of us at one time, and at the same time we, at his
request and in his. presence and in the presence of each other, have
hereunto subscribed our names as attesting witnesses, and we do so
verily believe that the said testator is of sound and disposing mind
and memory at the date hereof.
~.
Soc.Sec.No. D99-YD-~7S~.T Soc.Sec.No.~~y-/q-~~~
OF 7~~ 6 a~.;~ ,~,G. OF 5 JZ /~1~ ~1 ~irr,~. ~~
~/.'s Ic , ~i¢ i 7ar,3 C'p ir,/~.r ~ Q~ / 703
~~~
oc .Sec . No . 6,.,2.~~/ -yv- 977
OF l ~ ~ ~tt~et C~GZ-c,.C!
C~~,,L~i ~~ ~ 7 0~~
PAGE 4 C-~Q , `~
OF 4 PAGES ~ ~~~
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
ACKNOWLEDGMENT
I, NICHOLAS M. RUHA, testator, whose name is signed to the
attached or foregoing instrument, having been duly qualified according
to law, do hereby acknowledge that I signed and executed the instrument
as my Last Will; that I signed it willingly;. and that I signed it as my
free and voluntary act for the purposes therein expressed.
~n.~~ ~i~- SEAL.
AFFIDAVIT
We Es ~i2 G Fo e~ -~-
ll ' , /a./~~ 1. ~L~~ , and
the witnesses, sign our names to this
instrument, being duly qualified according to law, do depose and say
that we were present and saw the testator sign and execute the
instrument as his Last Will; that the testator signed willingly and
executed it as his free and voluntary act for the purposes therein
expressed; that each subscribing witness in the hearing and sight of
the testator signed the will as a witness; and that to the best of our
knowledge the testator was at that time 18 or more years of age, of
so d mind nd under no constraint or du influence.
~~
Witness Wit ss Hess
Subscribed, sworn to and acknowledged before me by NICHOLAS M.
O +. ti, ,..
~~ n
Member, Per~ropl~r~(g qn of Nomrtee
RUHA, the testator, and sub_sc~ri~bed and sworn to before me by
and
r
REV-1547 EX AFP (12-95)
COMMONWEALTH OF PENNSYLVANIA 1 O1
DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX ACN
BUREAU OF INDIVIDUAL TAxES APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
DEPT. 280601 OF DEDUCTIONS AND ASSESSMENT OF TAX 5 -13 -96
HARRISBURG, PA inze-o6ol DATE
~~~M~~ ~r Rona ivicnolas M. FILE N0. -
DATE OF DEATH 03-2~-95 COUNTY Cumberland
NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS FORM WITH YOUR TAX
PAYMENT TO THE REGISTER OF WILLS. MAKE CHECK PAYABLE TO "REGISTER OF WILLS, AGENT'
REMIT PAYMENT T0:
WILLIAM C RUHA
48 WOODLAND AVE Register of Wills
WHIPPANY NJ 07981 Cumberland County Courthouse
Carlisle, PA 17013
Amount Remitted
CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR
----------------------------------- YOUR RECORDS ~
------------------------------------------------------------------
REV-1547 EX AFP (12-95) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
--
DISALLOWANCE OF DEDUCTIONS AND ASSES SMENT OF TAX
ESTATE OF Ruha, Nicholas M. FILE N0. 2195-0300 ACN 101 DATE 5-13-96
TAX RETURN WAS: ( ) ACCEPTED AS FILED (X ) CHANGED See Attached Notice
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: Original Return
1. Real Estate (Schedule A) (1) 40 , 944. , /,.4
2. Stocks and Bonds (Schedule B) (2) ,Q~
3. Closely Held Stock/PartMrship Interest (Schedule C) (3) .00
4. Mortgages/Notes Receivable (Schedule D) (4) ,QQ
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 66.2 67.03
6. Jointly Owned Property (Schedule F) (6) .00
7. Transfers (Schedule G) (7) ,QQ
8. Total Assets (8) 107, 11..7
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Ade. Costs/Misc. Expenses (Schedule H) (9) 1 2 67.00
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) 3,445.0
11. Total Deductions (11) 4,712.06
12. Net Value of Tax Return (12) 102 , , 99..1
13. Charitable/Governmental Bequests (Schedule J) (lg) .00
14. Net Valw of Estate Subject to Tax (14) ~ 02 L99 1
NOTE: If an assessment was issued previously, lines 14, 15 andior 16, 17 and 18 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 at Spousal rate (15) •00 X.00 = _nn
16. Amount of Line 14 taxable at Lineal/Class A rate (16) 1 nl ~ /, 9A _ /,1 X , 06 =_ (~ ~ n~9 _ CL~7
17. Amount of Line 14 taxable at Collateral/Class 8 rate (17)_ 1 ~ (1(1(1 (lll X ,1 5 = _ 1 50 , QQ
18. Principal Tax Due (18) __ 6.239.97
TAX CREDITS:
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST (-)
AMOUNT PAID
12-26-95 AA082443 1.54- 6,029.96
1il liC i-C .1.' V is cnargea rrom 1 ~-27-95 to 05-28-96
at the rates applicable as outlined on the
reverse side of this form
* IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX CREDIT 6
BALANCE OF TAX DUE 211.
INTEREST
TOTAL DUE 21 .
( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A '•CREDIT•• (CR), YOU MAY HE DUE
Rim. 1470 E7( (6-B8)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMEN' OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7 1 2 6-060 1
i
INHERITANCE TAX
EXPLANATION
OF CHANGES
utCEDENT'S NAME t , FILE NUMBER
l s.
ACN f
t
SCHEDULE ITEM EXPLANATION OF CHANCES
NO.
n
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++.a ~ 1 • ti.+ i # ~.. Y. L._.. ~ ?~ S. .:.a.. L ~..: i ~ 1L! ~.. ~ ~ ~ ! i~~ y r i.... ~ ~. F-. ~ J
' ~l
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1' ~_ /
TAX EXAMINER: `~...---1~•,-£a`~.w~';(_..1 (,t_
PAGE
REV-160 EX AFP (12-95) INHERITANCE TAX
CC/. NWEAL~H OF PENNSYLVANIA
DEPARTMENT OF REVENUE RECORD ADJUSTMENT
BUREAU OF INDIVIDUAL TAXES JOINTLY HELD OR TRUST ASSETS
DEPT. 280601
HARRISBURG, PA 17128-0601 DATE 07-02-96
ESTATE OE RUHA NICHOLAS M DATE OF DEATH 03-25-95 COUNTY CUMBERLAND
FILE N0. 21 95-0300
S.S/D.C. N0. 164-32-9676
ACN 95133768
REMIT PAYMENT T0:
WILLIAM C RUHA
48 WOODLAND AVE
WHIPPANY
NJ 07981-0000
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS ~
--------------------------------------------------------------------------------------------------------
REV-1604 EX AFP (12-95)
*s INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ~s
DATE 07-02-96
ESTATE OF RUHA NICHOLAS M DATE OF DEATH 03-25-95 COUNTY CUMBERLAND
FILE N0. 21 95-0300 S.S/D.C. N0. 164-32-9676 ACN 95133768
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
.JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FEDERAL CU ACCOUNT N0. 34796-43
TYPE OF ACCOUNT: C ) SAVINGS ( ) CHECKING ( ) TRUST CX) TIME CERTIFICATE
DATE ESTABLISHED 10-01-85
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
.00
X 0.500
.00
.00
.00
X .06
.00
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 ADDRESS SHOWN ABOVE.
MAKE CHECK OR MONEY ORDER PAYABLE
T0: "REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST (-) AMOUNT PAID
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR),
.//~~~ Y•V pC ~111c • p~Cll\Ip !CC pcl~c plc lint AC TL1T! CpDY cpD T\ICT DI I/•TT/~\1! \
aEv-i. ~o ex ~a.eel
INHERITANCE TAX
,pMMONWEALTH OF PENNSYLVANIA EXPLANATION
BUREAU OF IND VIDUAL TAXES OF CHANGES
DEPT. 280601
HARRISBURG, PA 17128-Q601
DECEDENT'S NAA4E` ,
~` ~ a
i~
SCHEDULE ITEM
FILE NUMBER ~
.,f'~
ACN
NO. EXPLANATION OF CHANGES
F,r~ _~ f, ~,. ~ ,. ,.
r:?~; oriee ci,3 ti c: I'T of ~~t<. rcCtlI c..
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RED!-1.04 EX AFP (12-95) INHERITANCE TAX
CO~i40NWEALTH OF PENNSYLVANIA
DE~'..R"fMENT OF REVENUE RECORD ADJUSTMENT
BUREAU OF INDIVIDUAL TAXES JOINTLY HELD OR TRUST ASSETS
DEPT. 280601
HARRISBURG, PA 17128-0601 DATE 07-02-96
ESTATE OF RUHA NICHOLAS M DATE OF DEATH 03-25-95 COUNTY CUMBERLAND
FILE N0. 21 95-0300
S.S/D.C. N0. 164-32-9676
ACN 95133765
REMIT PAYMENT TO:
WILLIAM C RUHA
48 WOODLAND AVE
WHIPPANY
NJ 07981-0000
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS ~
----------------------------------------------------------------------------------------------------------------
REV-1604 EX AFP (12-95)
~* INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ~~
DATE 07-02-96
ESTATE OF RUHA NICHOLAS M DATE OF DEATH 03-25-95 COUNTY CUMBERLAND
FILE N0. 21 95-0300 S.S/D.C. N0. 164-32-9676 ACN 95133765
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FEDERAL CU ACCOUNT N0. 3479b-40
TYPE OF ACCOUNT: ( ) SAVINGS ( ) CHECKING ( ) TRUST (X) TIME CERTIFICATE
DATE ESTABLISHED 10-01-85
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
lax Rate
Tax Due
TAX CREDITS:
.00 NOTE:
X 0.500
.00
.00
.00
X .06
.00
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 ADDRESS SHOWN ABOVE.
MAKE CHECK OR MONEY ORDER PAYABLE
TO: "REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT (+)
INTEREST (-) AMOUNT PAID
TOTAL TAX CREDIT 00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (SRI,
VOU MAV RF DUF A REFUND. SFF REVERSE CTDF OF THTC FARM FOR TNST RIICTTONC 1
REV-1604 EX AFP (12-95) INHERITANCE TAX
COMMONWEALTH OF PENNSYLVANIA RECORD ADJUSTMENT
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES JOINTLY HELD OR TRUST ASSETS
DEPT. 280601 DATE 07-D2-96
HARRISBURG, PA 17128-0601
ESTATE OF RUHA NICHOLAS M DATE OF DEATH 03-25-95 COUNTY CUMBERLAND
FILE N0. 21 95-0300
S.S/D.C. N0. 164-32-9676
ACN 95133766
REMIT PAYMENT T0:
WILLIAM C RUHA
48 WOODLAND AVE
WHIPPANY
NJ 07981-0000
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS 1
----------------------------------------------------------------------------------------------------------------
REV-1604 EX AFP (1Z-95)
~~ INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ~*
DATE 07-02-96
ESTATE OF RUHA NICHOLAS M DATE OF DEATH 03-25-95 COUNTY CUMBERLAND
FILE NO. 21 95-0300 S.S/D.C. N0. 164-32-9676 ACN 95133766
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FEDERAL CU ACCOUNT N0. 34796-41
TYPE OF ACCOUNT: C ) SAVINGS ( ) CHECKING ( ) TRUST (X) TIME CERTIFICATE
DATE ESTABLISHED 10-01-85
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
00
X 0.500
.00
.00
.00
X .06
.00
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 ADDRESS SHOWN A80VE.
MAKE CHECK OR MONEY ORDER PAYABLE
T0: "REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST t-) AMOUNT PAID
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
* IF PAID AFTER THIS DATE, SEE RE4ERSE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI,
V nll \/AV OC n11C A DC CI I\In cCG DCIIC DCC CTnL nC TIJTC CnOM CAD T\IC TDI I/`T TA•IC \
REV-1604 EX AFP (12-45) INHERITANCE TAX
COMMONWEALTH OF PENNSYLVANIA RECORD ADJUSTMENT
DEPaR1MENT OF REVENUE
BUREAU OF INDIVIDUAL raxES - JOINTLY HELD OR TRUST ASSETS
DEPT. 280601 DATE 07-02-96
HARRISBURG, PA 17128-0601
ESTATE OF RUHA NICHOLAS M DATE OF DEATH 03-25-95 COUNTY CUMBERLAND
FILE N0. 21 95-0300
S.SlD.C. N0. 164-32-9676
ACN 95133767
REMIT PAYMENT T0:
WILLIAM C RUHA
48 WOODLAND AVE
WHIPPANY
NJ 07981-0000
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE - RETAIN LOWER PORTION FOR YOUR RECORDS ~!
----------------------------------------------------------------------------------------------------------------
REV-1604 EX AFP (12-95)
~* INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS ~*
DATE 07-02-96
ESTATE OF RUHA NICHOLAS M DATE OF DEATH 03-25-95 COUNTY CUMBERLAND
FILE N0. 21 95-0300 S.S/D.C. N0. 164-32-9676 ACN 95133767
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: MEMBERS 1ST FED CU ACCOUNT N0. 34796-05
TYPE OF ACCOUNT: (X) SAVINGS ( ) CHECKING ( ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 10-01-85
Account Balance
Percent Taxable
Amount Subject to Tax
Debts and Deductions
Taxable Amount
Tax Rate
Tax Due
TAX CREDITS:
.00
X 0.500
.00
_ .00
.00
X .06
.00
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 ADDRESS SHOWN ABOVE.
MAKE CHECK OR MONEY ORDER PAYABLE
T0: "REGISTER OF WILLS, AGENT."
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST (-) AMOUNT PAID
L_
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE
IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR),
V/~II MAV DC I111C A DC CI IAIA CCC DCIIC DCC CTflC AC 7l~TC C/~DM CAD T\IC TD11/`T T/~AIC ~