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Home My WebLink About95-0053~I ~i5-~53 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 2001 Date H105.N3 Rev.2/B7 7V-E/Pfi1M N/ !!AR1~ PERMANENT 1'f eLACIc J w z ? __ Fran eropoli, ' ect Division of Vital Records P.O. Box 1528 New Castle, PA 16103 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH * i Udl6I~Z': Jr1y~Br I BE~~ socv~cuRm NuNGER 2555 DaE of DEATH (Man tl,, Des fiber) ~U p '- ~~'t" ly 1 ~ - AGE 0.aet BiOMey) UNDER1YEAq UNDERIDM DATE OFBNTTH BITTT{IPLACE (C1Y and PLACEOF DEATM(Cludr only one-reimtructlan on atllx tidal MoMM ( Data II01ea = MYeaes NOWMlIdieS~1 Soar or FaNgn COUrNrY) 79 OTHEA: vR. 1914 SIBe16mT, PA I ERA)ulpmiara ^ ppA ^ Nvr•Ing Omer e Homo ^ R ^ ^ :3.~ . T, k eeidNae (SP•d1Y) COIMTY OF DERM CRY. BORO,TWP OF DEATH FAGl1TY NAME(Il not iu0naion, 9iYa sAeel and nuniEerl MN9~pECEDENf OF HISMNIC GRgIN7 RACE- Cumberland Carlisle Carlisle Hos dal ^~ AmNlwrlrwN,.BMdr,wl,a.,.b. P ^ IB w ~.. yree.waclNCver, OMMtIde b• M ezkan, PUerb RNarl, NC. ee, etl. DECEDEM'S USUAL OyCACmUoPATgN KIND OF BVSINESSANWSTRY NILS DECEDENT EVER BI DECEDENT'S EDUCATpN f. 10. Sl1RVMNG SPWSE ' ~RK ST Q!!3 M e r A d dO"° ~ U.S.ARMED ~E37 `( ~~ ~ (~ i orl ol uae re6re M. ~ w g O w ~ e ' mwe. g~,-em.ben narna) ) Carpet Co. Ya. ^ ~ ^ Eynanl.rylB.t«le.rr cwo• Neve4gNa nNlC] 11i 110. (612) (1~4 d5i) 12 DECEDENT'S MAILING ADDRESS (Street. Ciryrtown, Slale, Zip Code) DECEDENT'S . 79. 1t' LeederNursMgHome ARE E n..sn Db ne. Yr,daeadrtSrdlrr a.re.ra t•v~ Carlisle, PA ~B°~,,,~ ° Cumberland "'~I"• Fu. 1Te. bwir1Mp7 ne.^ wlnmav.Iamnd taYmom ~ . 1~ J. 9 Jrl)/Qer ~'^~1yplgpSnnemal ~~J°~ ~ar"~''~.R~y~'er ',NF°~'[I~"{~'d°R~ •~i '~P/~ 10b . METHOD OF D4SPOS~~AOAN~ DATE OF DISPOSR1pN GuWU CremaUon^ Ramwalpdn Stad^ MonIA. De.NeeQ ~ a~~a~~-Name of CSmetsry.Cromabry LOCATION-CNylf .SMa. 2lp Coda ^ . o ~ onM~n aa.r(spedrol ^ Oc1 ober 4, 1994 Mt Hdy SPA Cemetery Mt Hdy springs, Pa 17065 9/a. :m • xle. ' Sg1L{T FUNERAL SE LICENSEE OR PERSON ACTING AS SUCH LK:ENSr.AlU1pET{• ~g~ HAME AND ADDRESS OF FACILITY m, ~ ff .A}•lV/ ~I ~I 501 N. Batl4rgre Ave., Mt Holly Springs, PA 17065 . ~ plryMdan Mnd aY•WdaY OrrddrMb TSpN6xe 7 J pMU •MNd' DATE SKiNED e~~~~"~ry~ b~~« •~n•t tl"~•'d•b •"d LICENSE NUMBER tartly tour of dsaN. l / /~ /`~~J(~7 ~ / (MonUt, !par)/ - ~j tL I („(i ~ 1J {„• ~ lNr2428 must be mrrryblrW Oy TSAE OF 29e. / / 7 PRONOUNCED DEAD(M i person a71o porlorvar daagr. / O'rp ] pas y9er) W~,q CASE REFERREDro MEDICAL E%gMINEyCORpNER7 // I ~Y V ( ~ I-r~ 10 - / - ~( I 2•. ~ ~ / • v-MM. 25 Vr^ No CT ~ . Y7. PART L• LM ark taut on eacYl ryry.~~bM whkn ~aurdiM dsaM. Do MCMerme nbdddykg, aucn bcartbcor reWaatorY arrM.alnck arfwn WMre. I Appm>rimNe PART p: OmM Sl rYfl p MM p ur oo bm toreriLlaYlg to MaM, efA ar Ec W~IF'^el iorwlerM OeMn "dr•~~9MMe undrlyag teuea gh~sn in PART I. reaYtlrq in da~nl--- aSever~ Cl-T.~w»iL. al~s~ruc~-iue al a~i'3ec,~ . WE ro (OR AS A CONSEQUENCE OF): SequarN4ay AN CarrOaiarN e. ' M1.1s NadrgblrrmMOfMe ( pUEroIOR ASA CONSEQUENCE OFD: I awe. Emer UNDERLYBq I ) I CAUSE (Dewear iryury _ j c UrM iiEeled avenN I I DUE TO (pi AS A CONSEQUENCE ~: remAirg N oeetnl LAST a I . WA,9 AN AUTOPSY WERE AUIOPSV FINgNGS MANNER OF DE.PH PATE OFIWURY TIME OFINJURY INJURY AT WORI(7 DESCRIBE NOW INJURVOCCURRED. PERFORMEDi AVAILABLE PRIOR TO COMPLETION OF CAUSE ~ (Madn, DaY. lber) OF DEATH7 NanxN Nonrclda ^ Adddam ^ Parafeg InvsNigNbn ^ 11» ^ No ^ Vas ^ No `Ma ^ No ^ Suicide ^ Could not GB dxarmeNd ^ 30b. M. 90c, 90d. PLACE OF INJURY-At lane faun Mree1 l l dik . , , ec ory. e LOCATION (Sheet, CeY/bwn, S1a1e) 2eb. 2g. IwAfirp, alt. (Spetay) CERTIRER ICtwtlrody one) r•' 901. •CEITTIFYWG-HYSICIAN(PnYicien certifying ceurddrm when anWar PnYeicien Ma pronounced deals arW tompleteO Item 23) TO tlIeeW W•ry knoarlWpe, deem o«umeerbmec•r•(•1•nd mr,r,errai•MO SIGNATURE AN IF OF C~ F/iiTl' ~ ~ ~~ _ .......................... ............................ ' , "`- "µ'C.~N ( ~~ 91tr. TONG AND CEIITIFYING PHYSH2AN(Physcian EOlli pr PMr,aM drbSl~e rgb~rdOrN) ^ mY kne•A•09•, da•tn oeeumed NOre tlnr,4U, Mrd Oara(e)erW 11W1nNrabW .......................... LICE ^^Nl~M8~1~ ~~I `~` DATE SIGNED(Ma~My. DeY. Year) ~j ~y!~/ 91e. "I /J (~ •~[ C1 4 310. D~1 ~ ~ / ` 7 'MEDICAL E%AMINER/CORONER NAME AND ADDRESS OF PERSON VAIO OM CAVSE OF DE/QH Ep vL/~ i~ (tlem 27)Type or Pdnt ~ ~ 0a HIa Mob of examinaHOn and/or invaat{patlon, In my opinbn, dram occurred at B1e tlma, dale, and place, arMdue tothe r-.eels) and manner a elalad ............... ~prvr ~ ~i] ~ y . 3p 3 N. ~p,~ Jf- ).1.1,!12 ~ . ^ 91a, ............................................... ............ 7b6f REGISTRM'S SIGNATUR~ND NUMBER ` ~ f~ ~ .S ~~ , PA i ~~_ ~ ~~~ ~ i _ OIQE FILED (Month, Day. Year) ~ „ v' PETITION FOR PROBATE and GRANT OF LETTERS Esrare oJ' Russell C. Snyder No, 21- ~S" Jr 3 also known as _ To: _ Register of Wills for the Deceased. County of Cumberland in the Socia/ Security IVo. 201-16-2555 Commonwealth of Pennsylvania 1'he petition o•f the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the executor named in the iast will of the above decedent, dated Nlareh 22,, , 19_~ and codicil(s) dated n~nP (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cumberland County, Pennsylvania, with his last family or principal residence at (list street, number and muncipality) ° Decendent, then 79 years of age, died October 1. , 19 94 , at Carlisle Hospital, Carlisle. Pa. 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: rio exceptions Decendent at death owned property with estimated values as follows: (If domiciled in F'a.) All personal property $ 500.00 (If not domiciled in Pa.j Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ none situated as fellows: WHEitEF'ORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters testamentary (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. _ Rich r E ~.~ ___ 336 Zion R.oAC3 - Mt. Holly Springs, PA 17065 ~y - v •_ ~~ in OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA 1 ss COUNTY OF' CUMBF,Ri.ANn f The petitioner(s) above=named swear(s) or affirm(s) that the statements in the foregoing petition aze true and correct to the best of the knowledge and belief of petitioner(sj and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. Sworn to or affir acd- subscribed -~ -~A~ ~,~~~i ~ ~ befor me this _ - da of ~ ~~ _ ~ A Mary C. Lewis, Register ~ ' ~~ ~.., . NO. 21 - 95 - 53 Estate of Russell C. Snyder ,Deceased DECREE OF PROBATE AND GRANT OF LETTERS t.ND NOW JANUARY 23, 19 95 , 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 March 27, 1990 described therein be admitted to probate and filed of record as the last will of Russell C. Snyder and Letters Testamentary are hereby ~3ranted to Richard E. Snyder. ~ ~ ~~;~, Register of Wills MARY C. LEWIS FEES Frey and 'I51ey Probate, Letters, Etc.......... $ 18.00 By Robert M. Frey #06274 Short Certificates(1) .......... $ 3.00 ATTORNEY (Sup. Ct. I.D. No.) RejCPciation ................ $~~ 5 S. Hanover St., Carlisle, Pa. 17013 $ ~ nDnRlr.ss TOTAL $ 26.00 riled JANUARY 23, '1~5 717-243-5838 ......... ..................... PHONE C O ~ ¢ p ~ ~ O .. .r ~.~_ ~ ~ ~~ _ r- =.J v CJ y Z ¢ - '1 _v : ~ ~ t3i ~ { - : :iJ + ~ 'u U N ~~ r" - ~ ~ U U Called attorney on 1-23-95. 21 -95-53 REGISTER OF WILLS OF CUMBERLAND COUNTY OATH OF SUBSCRIBING WITNESS Robert M. Frey and Krista King ~E8pi1FKx (each} a subscribing witness to the will presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that they were present and saw Russell C. Snyder , the festal or ,sign the same and that they signed as a witness at the request of testar or in ih_S presence and (in the presence of each other) (in the presence of the other subscribing witness(es)). _ Sworn to or affirmed a d subscribed before I%~ ~ ~ ~ ~~ me this _~~ day of Robert M. Frey (Name) y~.~ ~ ~~ 5 S. Hanover St., Carlisle, PA 17013 (A dre Mary C. Lewis, Register ~ Krist King (Name) 924 Burr Avenue, Carlisle, PA 17013 (Address) REGISTER OF V6~ILLS OF COUNTY OATH OF NON-SUBSCRIBING WITNESS _ ~ __ 'l (each) a subscriber hereto, each) being duly qualified according to law; depose(s) and say(s) that familiar with the signature of = , codicil festal of (one of the su cribing witnesses t the will presented herewith and codicil..: that belie the signature on the will is in the handwriting of to the best of know jdge and Sworn to or affirmed and su cribed before me this ~/ day of -_ i 19 (Name) Register `.. (Address) (Name) (Address) ~ r ,, t ~~ '#~ ~:~ - ~. 5<~~Y,ti;~~..w~~ . ~ , ~~:. . ~• ' LAST WILL AND TESTAMENT OF RUSSELL C. SNYDER j I, RUSSELL C. SNYDER, single man, of South Middleton Township (mailing ~.. ~ address: 336 Zion Road, Mt. Holly Springs, Pennsylvania 17065), Cumberland County, ~, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, '~-t k publish and declare this as and for my Last Will and Testament hereby revoking and making void any and all Wills by me at any time heretofore made. 1. I direct my hereinafter named Executor or Executors eo pay all of my just debts and ~,' funeral expenses as soon after my death as may be found convenient to do so. I direct that my funeral services be conducted Gibson Funeral Home in Mt. Holly Springs, Pennsylvania, in accordance with arrangements which I have made there, and that my body be interred on the burial lot of my brother, Richard E. Snyder, w}tere a monument has already been erected with my name engraved on it. 2. All of the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath to my brother, Richard E. ' Snyder, his heirs and assigns, in appreciation for the many kindnesses extended to me by his wife and him during the many years I have made my home with them, provided he shall survive me by a period of ninety (90) days, but should he fail to so survive me then to his three (3) children, :~ their heirs and assigns, they being Richazd E. Snyder, Jr., Nikki A. Brooks, and Vicki M. Micholas, provided each of them shall survive me by a period of ninety (90) days, but should any ~.~ of them fail to so survive me then to such of his or her issue as shall survive me by a period of ~`;;;[ ninety (90) days, but should there be no such issue then the same shall lapse and be added to the ~"'' ~ shares of the other two children. per slimes. 3. I hereby nominate, constitute and appoint my brother, Richard E. Snyder, as Executor of this my Last Will and Testament but should he fail to qualify or cease serving as such, then in p. _ such event I nominate, constitute and appoint his three (3) children, Richard E. Snyder, Jr., Nikki A. Brooks, and Vicki M. Micholas, or any of them, as alternate or successor Executors, and I further direct that none of them shall be required to post any bond to secure the faithful performance of his er her duties in the Commonwealth of Pennsylvania or in any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament written on one (1) page, this 27th day of March , 1990. ~ (%C~~~ C.~.~u .. (SEAL) Russell C. Snyder Signed, sealed, published and declazed by RUSSELL C. SNYDER, the Testator above named, as and for his Last Will and Testament. in our presence, who, in his presence, at his request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. ~~~~- ~'~ ~!~~ ~~, .\ 4 4 Y ~: CS'i S w'Mh..~ .^. . ' '. .. i. ..:'.;. .. i It ~~ i. _R.~ s.. ,h: ~~ ~ .., '-~ .. //~~ , 0 NO.fiA ~~'~~'~ COMMONWEALTH OFPENNSYLVANIA I~EPARTMENT.OF REYENUE • ~1i' OFFiC1At RECEIPT • PENNSYWANIA INHERITANCE AND ESTATE TAX REV.116I E%pA~l ACN ;' RECEIVED FROM: ASSESSMENT ~ AMOUNT CONTROL NUMBER FREY ROBERT M 1 . ' 9 5 S NANO:IcR STREET _ CARLISLE PA 17013 I \ - FOiO MEPE FOLD MERE -i ESTATE INFORlJ1ATION: ® FILE NUMBER ~ 21-1995-0053 SSN 201-ib-2555 ® NAME OF DECEDENT (IASi~ (FIRST) (MI) SNYDER Rll5SELL C DATE OF PAYMENT i Q=' ® POSTMARK DATE ( COUNTY Cl1MHERLAND DATE OF DEATH i 1 O/O1 /94 ~ TOTAL AMOUNT PAID #3.462.03 REMARKS RICHARD E. SNYDER DO SEAL CI-fECKit c788 ~• , RECEIVED B SIGNATURE REGISTER OF WILLS MARY C . LE I S ,~~~ W REOiBTER OF NILL3 -~ .. ,,_ Tr '~~~~5~ ._ ~ . ._._ er~u ~. .. ; . ...~ ..... -..-~-~n-~-, ~_~ REV~isoo Ex+ It2•eel ~ FILE NUMBtR INHERITANCE TAX RETURN '.~` RESIDENT DECEDENT 21-95-0053 COMMONWEALTH OF PENNSYLVANIA (TO BE FILED IN DUPLICATE DEPARTMENT OF REVENUE DEPT. 280601 WITH REGISTER OF WILLS) HARRI59URG; PA 17126-0601 COUNTY CODE YEAR NUMBER DECEDENT'S NAME (LAST, FIRST, AND .MIDDLE INITIAL) DECEDENT' COMPIE A z Snyder, Russell C. 336 Zion Road ~ v 50 AIC L SECURITY NUMBER DATE OF DEATH DATE Of BIRTH Mt, Holly Springs, PA 17065 0 201-16-2555 Oct. 1, 1994 Nov. 5, 1914 Cumberland Covey __ W -- ~ 1. Origlnol Return ^ 2. Supplemental Return ^ 3. Remainder Return Qs„ (For dates of death prior to 12.13.62) vaV ~ ^ 4. Limited Estate ^ 4a. Future Interest Compromise ^ 5. Fedarol Estate Tax V ~O (for dates of death aher 12.12-82) Return Required a°O ~j~ 6. Decedent Died Testate ^ 7. Decedent Maintained a Living Trust 0 8. Totol Number of Safe Deposit Boxes Q (Attach copy of Will) (Attach copy of Trust) .. _., ``ACLCORRESP,t)NDEF7CE`A13P CElh1F~. i:T.~ ~ __ •OUL'~r ~'° Y `" .. ':: ~ , t H NAME COMPLETE MAILING ADDRES v7 Z o Frey and Tiley 5 South Hanover Street Q O TELEPHONE NUMBER CarLSle, PA 17013 o. ~ 717 ~ 243-5838 Z O Q J a. Q V W Lx Z O a H f O v x Q t- 1. Real Estate (Schedule A) ( 1) _ _ .ci ~'t ~T~ 2. Stocks and Bonds (Schedule B) (2) __ ~t `'-t ~-~ 3. Closely Held Stock/Partnership Interest (Schedule C) (3) L'm~ ~ '"? 4. Mortgages and Notes Receivable (Schedule D) (4) - - ~ t'~ 5. Cash, Bank Deposits & Miscellaneous Personal Property( 5) 549.00 (Schedule E) _- ~i ' = c:i b. Jointly Owned Property (Schedule F) (b) 24, 563.13 -,J ;_ P.~ , ,~ _ i!i c~ 7. Transfers (Schedule G) (Schedule L) (7) "'. C 25,112.13 8. Total Gross Assets (total lines 1-7) ( 8) 9. Funeral Expenses, Administrative Costs, Miscellaneous (9) _ 2,031'81 Expenses (Schedule H) 10. Debts, Mortgage Liabilities, Liens (Schedule I) (10) 11. Total Dadudions (total lines 9 & 10) (11) 2,031.81 23,080.32 12. Net Value of Estate (line 8 minus line 11) (12) 13. Charitable and Governmental Bequests (Schedule J) (13) 14. Nat Value Subject to Tax (lies 12 minus line 13) (14) 23+080.32 15. Amount of line 14 taxable at b% rate (15) X .06 = (Include values frcm Schedule K or Schedule M.) 16. Amount of line 14 taxoble at 15% rate (16) 23,080.32 x 15 = 3,462.05 (Include values from Schedule K or Schedule M.) 17. Principal tax due (Add tax from line 15 and from line 1 b.} (17) 3, 462' 05 18. Credits Prior Poymenis Discount Interest + - l1 BI 19. IF line 18 is greater than line 17, enter the difference on line 19. This is the OVERPAYMENT. (19) _ ^ , 20. If I~ 17 is greater than line 18, enter the difference on line 20•This is the TAX DUE. (20) 3, 462.05 A. Enter the interest on the balance due on line 20A. (20A) e. Enter the total of line 20 and 20A on line 20B. This is the BALANCE DUE. (20B) 3,462.05 Make Check Payable to: Register of Wilis, Apent Under penalties of perjury I declare that I hove examined this return, including accompanying schedules and statements, and to the bett of my knowledge and bsllaf, it is true, correct and complete. I declare that all real estate has been reported at true market value. Declaration of preparer other than fhs personal reprssenratrve is based on all information of which preparer has any knowledge. SIGNATyjtE OF ERSON RESPONSIBLE fOR FILING RETURN AODRE55 ATE ~~ _ ,~i 336 Zion Road, Mt. Holly Springs, PA 17065 Feb. 1 J~ , 1995 GNA UR O P A R R T A R.S NTATIVE ADDRESS DA ~~..t '~l- 5 S. Hanover St., Carlisle, Pa 17013 Feb. JJ~ , 1995 -- ~- -- - -- ..•. ., -- .~ .,. .w ~. v. .,..g..m .w~ ,o, L.roe.rw ;.., ~rrw ~:~S/E?'- f.!5i+ww^Mnw+~C~'>'r. ,XCw"~ .. .:..~ . ci .. - , ~;. n r' _.. .~ PLEASE ANSWER TH FOLLOWING QUESTIONS ~Y PLACING A CHECK l1AARK (,~) IN THE APPROPRIATE gLOCI<S. YES NO 1. Did decedent make a transfer and: 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, X c. retain a reversionary interest or .................................................................... d. receive the promise for life of either payments, benefits or care? ....................... X 2. If death occurred on or before December 12, 1982, did decedent within two years preceding death transfer property. without receiving adequate consideration? If death occurred after December 12, 1982, did decedent transfer property within one year of X death without receiving adequate consideration? ................................................. 3. Did decedent own an 'in trust for' bank account at his or her death? ...................... X IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. .~ .,, ~~.,.~,,,a~t"...~ry~,:<. ~,~ a ~.v _ _ ; Rev.isoe ex. n.e~ ~~ COMMONWEALTH OF PENNSYt\'ANIA INHERITANCE TAX RETURN RES.OfNT DECEDENT ~ ` i 1 SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY ..J (Attach additional 8K" x 11' shoals if more space is na~dtxl.) ~M ~.,„ _ ~ , ,,,.~ ; . ,. Please Print or T ER 21-95-0053 ESTATE OF RUSSELL C. SNYDER ESTATE OF RUSSELL C. SNYDER FILE NUMBER 21-95-0053 A• Richard E. Snyder B• Vicki M. Micholas c • Richard E. Snyder, Jr, Jointly-owned properly: C C ITEM NUMBE L~RR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY TOTAL VALUE OF ASSET DECD'S % INT. DOLLAR VALUE OF DECEDENT'S INTEREST ~. A cat B 2/2/87 Bal. PNC C/D #1713160088322 7,638.07 33 1/ 2,546.02 Accrued interest to Oct. 1, 1994 44.57 33 1/ 14.86 2. A do C 11/24/8 Bal. PNC C/D # 1713160917022 21, 053.80 33 1/ 7, 017.93 Accrued interest to Oct. 1, 1994 281.20 33 1/ 93.73 3. A 3/3i/83 Bal. PNC savings account #5130317295 29,596.36 50% 14,798.18 i Accrued interest to Oct. 1, 1994 184.81 50% 92.41 i - _ TOTAL (Also enter on line 6, Recapitulation) $ 24, 563.13 (li more space is needed insert additional sheets of same size) .. .. _- x ,..,, .4;, ~. n . -,. - _ - ... ADDRESS RELATIONSHIP TO DFlyEDENT 336 Zion Road Brother Mt. Holly Springs, PA 17065 2653 Timberglen Dr. Niece Wexford, PA 15090 332 Zion Road Nephew Mt. Dolly Springs, PA 17065 ~=~:~ t` 3 -- ~ ~ _,T~ _-. _ ..._1~,~4 ...,, T_. ,.mr.~. .~ IIEV-1511 F`.~ p•ee~ SCHEDUt E H ~~ , FUNERAL EXPENSES, COMMONWEALTH Of PENNSYLVANIA ADMINISTRATIVE COSTS AND INHERITINCE TAx RETURN RESIDENT DECEDENT MISCELLANEOUS EXPENSES please print or T o YP ESTATE 8F FILE N M ER RUSSELL C. 51dYDER 21-95-0053 ITEM DESCRIPTION AMOUNT NUMBER A. 1. Funeral Expenses: B. Administrative Costs: 1. Personal Representative Commissions _ _ Social Security Number of Personol Reprosentative: Year Commissions paid 2. Attorney Foes 600.00 3. Family Exemption Claimant Relationship _. Address of Claimant at decedent's Beath Street Address City State Zip Code 4. I Probate Fees 26.00 u. Miscellaneous Expenses: 1• Leader Nursing Home, account 1,371.50 2• Masland Associates, account 2.15 3• Carlisle Imaging, account 8.62 4• RWC Emergency Physicians, account 8.54 5• Register of Wills, filing Pa. Inheritance Tax Return 15.00 6. 7. 8. TOTAL (Also enter on line 9, Recapitulation) I $ 2 , 031 .81 (If more spaco is needed, insert additional sFseets of same size.) ___ -- ~,, .,.. .. ,.......-•-k.y~.~.... ,r.~,,am + .~ fit'.-~i;. ~- - .i;~.;.,,wi ~ ; . ,, ,. ..~_.... _. k v C` . afv~lsl~ Er,. (7~e~I I. COMMONWEALTH Of PENNSYLVANIA INH[R9TANC[ TA% RETURN R[SiDEHT OKRO[NT 5CHEDULE J ~ERaEFICl~1~fES ESTATE C)F . RUSSELL C. SNYDER FILF. NUMBER 21-95-0053 ITEM NUMBER NAME AND ADDRESS Of BENEE~ICIARY RELATIONSHIP AMOUNT OR SHARE OF ESTATE A. Taxoble Bequests: 1. Richard E. Snyder. Brottler 100~b 335 Zion :Road 1 Mt. s3o31y S~rin~s, ~A 17065 ITEM NAME AND ADDRESS OF BENEFICIARY AMOUNT OR NUMBtet SHARE OF ESTATE 8. Charitable and Governmental Bequests: 1. NONE - TC~TAI. CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation) IS (If moan ¢pac• is seeded, insert additional shAOt: of sam* sizo} _ ... ..n.. ~..., .,.,~:.:..:P.. I.,,...u~yy~'MN4v+!c~i.l' _, ....y~z ~.pi.,^.~'~*._ :r'_ _ _ 'T.i,,~,,1~~!'c}~~r#p!~'. ;Y',~J' '",r:'~~};~5 -t~~ ~ .,. .. .~ w < .,.,r_, _.. _. - ..- ,.._ ,.. ._ _-~-r I-- r ..._ REV-1547 EX AFP (12-94) CDNMON6FEALTH OF PEldHStlLVANIA DEPART~f:T ~ REVEH~JE ®UREAU.oF ?HDIVIDUAL TaxES DEPT. 2L06u1 HAARISbIAiG, PA 17128-DS01 _ \~ ~ -~. __ _ ~. as ~ NOTICE OF INHERITANCE TAX ACN 101 APPRAIgEMENT, ALLOIiAleCE OR DISALLOMANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DATE 04-i7-95 ESTATE OF S -L- C FILE N0. zt Yh-UUSS DATE OF DEATH iQ-Ol-94 COUNTY CUMt'.ERLAND NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS FORK UITH YOUR TAX PAYMENT TO THE REGISTER OF MILLS. MAKE CHECK PAYABLE TO "REGISTER OF MILLS, ACENT^ REMYT PAYMENT TQ; ~ FREY ~ 'PILEY REGISTER OF WILLS 5 S HA,'dOy'ER ST CUMBERLAND CO COURT MOUSE CAP'LISd~ PA 17013 CARLISLE, PA. 17033 Amo~t Remitted CUT ALONG THIS LINE 8~ RETAIN LOWER PORTYON FOR YOUR RECORDS -a ___ i2EV-1547 EX AFP (12^44) NOTICE OF INHERYTANCE TAX APPRAISEMENT, ALLOWANCE OR ^ DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF SNYDER RUSSELL C FILE N0. 21 95-0053 ACN 101 DATE 04-17-95 TAX RETURN MAS: (X) ACCEPTED AS FILED ( )-CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE c A?PRAISED VALUE OF RETURN BASED ON: 02IGINAL m ~p ' ~ ~ 1. Reel Estate (SeMdule A) ' 00 lJl (1) ~ 2. Stocks mnd Bonds (Sc:•.edul• 8) (2) ~r: .00 ~ ^ ~ Q ~ 3. Closely Held Stock/Partnership Znterest (Sehedul• C) (3) "' .00 ~7 - C~+ C? 4. Mortgages/Notes Reeeivehl• (Schedule Dl (4) - •00 _.. ~ `"_ ' 5. Cash/Bank Deposits/Misc. Personal Property (Schedule El (5)~ 00 L'`~ .:; ( 6. Jointly Ommed Property (Schedule F) (b)_ 24 ~ .1 3 y 7. Tronstmrs (Schedule G) (7) ~~DO "'' ~~ ~ 8. Total Ass®ts D~ (B~ 2~„112.13 APPROVED DEDUCTIOfilS AND EXEMPTIONS; 2,031.81 ~. Funerml ExpaN-sas/Ac"a. Costs/Misc. Expenses (Schedule H) (9) 10. Debts/Mortgage Liabilities/Liens (Sehedul• I) ( 10) .00 lI. Total Deductions (11 ), T_ .031 _ B1 12. Hot VaL~ o!~ Tax Return (12) 23, 080.32 13. Charitable/GovQrnmentel Bequests (Sehodul• J) (13) :00 14. Not value of Estat• Subject to Tax (ly) 23,080.32 ,_~ NoTE: If an assessment was issued Previousxy, lines i4, 15 andior 16, 17 and t 18 will reflect figures that include the total of ALL returns assessed to da e . ~ ASSESSMENT OF TAX: ~^. % i5. Aaount of Line 14 at Spousal rat• (15) •00 X .03, .00 16. amount of Line 14 #axable at Lineal/Class A rate (16) .00 X .06= .00 17. Amcunt of Line 14 toxable at Collateral/Class 8 rate (17) 23 080.32 15= ~ X • 3 462.05 ~ 26. Principal Tax ilue (18) 3,462.05 T,AX CREDITS: PAYMENT RECEIPT DISCOUNT t+) AMOUNT PAID DATE NUMBER INTEREST (-) 02-15-95 I AA022831 .00 3,462.05 '~ IF P2I7 AFT'~R OATS INDICATED, SEE REVERSE FC(t CALC4~LATIOFd CF ADDITIO4tAL INTEREST. TOTAL TAX CREDIT 3,462.05 SALANCE OF TAX DUE .00 INTEREST .00 TOTAL DUE .00 ( IF TOTAL DUE IS LESS THAN 91, NO PAYNEN'T IS REQUIRED. YF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THYS FORH FOP. INSTRUCTIONS.) ~''::a ,