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HomeMy WebLinkAbout95-0300a~-q~-~~ H,os ,a Rw. ,re, TYPE/pTeNT rETwANEnT BLACKINK 2f 'o Z 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 aNyoM-fe•u,YOCMaron Oe.ef rtlH Mp,M D,p H,r, MMAN (MOWL DAY•ri.B SleM Or Fa,pnCaAry) P ER: a 79 rN. Jan. 27,Mount Union,`4"'a^ E10q~"^ °OA^ In~^ R..amc.~ ^ COUMYOF DEATH CTTr,BDIK), TNT OF DERH f#CILTTV NAMErynal i.a.4m, yNS erw rgr%mM.) NNS DECEDENT OF HISPANIC ORKie17 RACE •AnrACan h~dn,84UL WIIN., ac. Cumberland Carlisle 703 Hanover Manor Apt. C111 ~ ~ ~~ j5pia1" White , „ M k. B4 ~ ~. 10. S USUALOCCIi%BIDN KWDDF BUSUIESSMIDUSTRr NMS DECEDENT EVEgW DECEDENT'S EDUCATgN N.w•rV~M4 ril0ow4 SU,ry,~y~SPD„~ roN• N~wa.au mrau~mml u.8. ARMED FoacE3T (n.wa ¢..•,re.,,am , q a.alrq elK aoAa w• aC.) w,® No^ ~Y CaYp. DUOra•a 13P•af1 .Unavailable Fed. Gov't , '°'~' 12 ~''"s" 6 , Divorced , °ECE°e'r3MNLw°A°°RESSrs...'a"`w..,'~.I°'~„c,,.' 3 ,,,,~ Pennsylvania Hanover Manor, Apt C111 RESIDENCE ,,,.,,,, I Carlisle, PA 17013 ,t ~ ~" ~~ Cumberland Mme' II--,,~,"°'0ip0in1"•" Carlisle 1ML'J ae+n aauaTmba B NAME IF.M. MitlW.laq NAI! ~nl MMd,, IArenSArirny Geor a Ruha ,,, Mary Achim eroRMANrsNAMERyPwnq S ADDRESSM1MI.CQVW~.9r1,,7gCaey ' am Ruha 48 Woodland Avenue, Whippany, NJ 07981 •Nro.a CrrAlr,r •CAy/biwL9rl,.nPDOao °^"'^ °~® ^~~•^ ""°"Di~ °""P"°'Cremation Society °ai'"°"^ °tl"'~P'°"' ^ March 29, 1995 of PA Cremator , Harrisbur PA 17109 BERVICE DR ACTNBABSUCII LK:ENSENUMBER A1°AD0~86OFFACUrv Cre~ tl n SQC'' et ofg P 010694-L n Rti ~arris~ur PA 17109 11NO. oaywn.no.Iw,ry ererar,Yrpwl•AS•.arnoawnaauMerwarorapowrr,a UCENBENUMBER DATESaNEu ~rrMaerle r,erry wa ,o.%~w) n a a.. za z>Q `° .~,IO P~nurw~.by Te.EaP DEaN aprX. D~EE VRDNOIe+cED OEAD~MpIn, D•%wtl cABE RERERREDTO ME E7(AMWEPoCORONERv ,,, 5:00 A. AL ,,, March 27, 1995 m•~ N•^ f7. NIRTk EaNer aYnn•, IryurM arorryee.tlprwlY Jl awrtl erarn. Do nolaer a»moa.aaplnB...r..aa.eo, Ue•aYar uuw osnw. r•pirroryonor,anaorn..n lrr.. AiPICAYIrr R1M e: aerra~nenll oorwlgrr mrnlAMgre••Ilew w iIaIIMIM10nIeIP Utl~rl/Ywuu»EM+n In PARTI. 1«r~:na e ~~ i ,.w.o„ ~,i°i°~ Gastrointestinal Hemorrha e ' DuE TD KeI As A coNBEauENCE oF}. - i M~uwAlYy Yeoniewr e ~ ~ E•M. ~UTO~ DUE TO (OR ASA CDNSEDUENCE af7: CAUee(DYrrori*•y c i rwYllpnbrh)LAST DUE 70 (DR ASACONSEWENCE OF}. I W19AN AUiDPSr AURWSY MANNER QF DEATH DATE OF MiNIRr TBIE OFINAMY INAHiV RrpgKT OESCNBE lIQ41NIURr OCCURRED. PERPORNEm R/1eABlE PR10Rro (Main. De%Yarl ~C ~I'ON oFCAUSE ~ Nor ^ W ^ No ^ ... ^ No~ ra. ^ N. ^ Aale.N ° P•nMY ^ M. P LACE aFerruRr•Al nan.,wr,ara, raa%aAr Ist••I. Cey/6wr~,sro. 9acM. ^ coaeoaaaarr,re ^ a+aw .m. . seo. p,p, xo. n a . celTrrewP s Nlrms+~+~vao~.aa.na~.•once.vy~n..r~«~wx.dawn.ro~P~Man«ozs> ToIMMaa•tl I•~•M•eP.nano.~.n.e..bE»«vl.~.l.,a.rM.....ue.a ................................. ^ Coroner •vnowwiNCNeAweEmlPVraPNrBIaANlaera~~..~canwase..m..a~o.ulvaoaw.oae..nl uceN3ENUMBE DATESK;NED De%rrrl mere.oea..rk.o^I.eo..a..eleoew~wae»a...a.e....aPI~...naw»mEru~..T.)..a.r.....era .......................... ^ o, . a, . March 28.1995 .,,~, L NAME AND ADDRESS OF PERSON WHO COMPIETEDCAUSE OF DEATH nlom27)Typeavrle , ~ oDnrwwa.'I.BIRaa.."'i"IDV.aq.noR'Mrr'a.'m°""".aa"""""'°"'''"°°I.•'''""""'m'"""raq'"° m.Irn.rn,Ne Michael L. Norris Coroner 405 Fairwa ive D .................................................................................. .............. "` y r ~ M h i b REOISTRAR'3 SIGNATURE AND NVMBER . ec an cs 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) N ~ W y=j ea o s= °~ Gtl<<-c.iRM G~ t~a~ Zoe I S~~-8'90 Y 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 R •c..~ ~ a.vmr~CiC AYUI(C~J '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 ~g [.tJ~cvDt.~}Np ~V~ z 0 s r- d a v W er z 0 c r- d 0 v x 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~ ~R ~~ 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) .'. ` ~w ~ µ _ l_ ~., w~~' _ 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 ~: ~" _ C ` -~ /` `; ., .. ,, , l1l f~ ~r~' jt ~ j rf %f rtJ f /s`'7 ~.„~ ,µ ~ ~-J Z".., i i `.~!,fr< t= .-_.J ~ i" L.~s / f - , <' ~ ~/ . v .~. e,4 Ii~_~Y,J < ,Ej' { : (/ . ~ ~ ~', ~: ! e !7~:J /FC t'.,. =-t ~ C' "' ~: ir:~.t ~~ i~ ~> ~~ 1' J .~ ,~^ ~ i ,~~1 ~ t,:-. ~ ++.a ~ 1 • ti.+ i # ~.. Y. L._.. ~ ?~ S. .:.a.. L ~..: i ~ 1L! ~.. ~ ~ ~ ! i~~ y r i.... ~ ~. F-. ~ J ' ~l r~ ._ )- 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.. .,.--' ' ~' / ; ,. _ ~, ! .: _ j ' ", ~` ,.. _,, ~ / i { _~- ,. i / J f .` ~ ~ . i / ~ / 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 ~