The URL can be used to link to this page

Home My WebLink About95-0212 H105.iq qw. ?/S/ TY~FXItlNT MI !'EgMANE1IT auac wK Q a I v~ I O ppU O ~~ This is to certify that the certificate hereunto attached is a tine 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. Date AUG 16 2001 f r Fran eropoli, ' ect Division of Vital Records P.O. Box 1528 New Castle, PA 16103 COMMONWEALTH OF PENNSYLIMNIA • DEPARTMENT OF HEALTH • VITAL RECORDS CERTIFICATE OF DEATH 026053 NAME DF DECEDENf(fbt MbW,~lp SWEiSE,AI\bEA ~ - _ _ sEn socwsECVRmRUbeER DaEGVDeaH~-wr~.D.r.'w~ +. Shirley R. Weigle L female x.195 - 32 - 1719 ..March 12, 1995 ~a•.eNbm ugoe+,YEw ugDEglur DREOF911gYH ew,YrincaeGrme .uaosoreHp~aa+Y~.-,«:,.,,,~,,,.,,,,.~.,,,.~ wl w ~/ a r 1 AM Hpn ~ +bw I 1,w. Dotw~ shbaFvpnCAUrN _ October 15, 83 Y ~', q ~ 4Yeilton, NJ ~+ ERb1~~19w1 ^ Dw^ "~"'^• ~^ Do1w+YasDEYaH ~ ~. Hw•1 ^ rw:s.r.^ Dm:S0ND 1W- ~ . OF OE.011 N11bEArp.~p~.MaCawanO nnbl YMS DECEDEIfY DY•'I96M/NCOIiGM MCE•Nnrfr InIrL SIr4 WMw Mc . Dauphin ~ Harrisburg Harrisburg Hospital ~ w ~w~ °~""~"'' .b •. white usw+~o cc u rw q ~1 q gN IanaswrewESSngDUSYgI• wieDECeDOrtevEgw nEDEDEKrseouaa+Dl+ '~' dw~MNOM~4•olm urnFd~j u-S. ~1NED gpRCE3} IMw~ b4 ~ ~~'~SPoIIBE A•M ~wnilb~Irm - M D6vICN19.p1C9q Yll^ Ib ~ 0°~'+~ + (1Ja +) O~BTSbMNB~0O1E331.9t•1t CIp'Wwn. SJlb. EpCopy +: n' M 1h Sbb penn$V1Van.l.a Dw tYt^ Y•R•/a0Y19w/b 1504 Brandt Avenue "~1O°',,,,,,,,~,~ ~•.e.. ~,o x New Ctmberland, PA 17070 °"""Oq „~ Mb*.1o9 +~~~~~_~ Cumber7~]d NEIIEJY3 MM1E Mla l+lma 1+19 +h 9 1 w• YOTIER'S HAAIEFir, 1fC~ 1bi0nSvnwy Cornelius J. Rettman , Bessie Wolcott wAOar,Krsww•cvyv.A:e rya.a~DD~asarr.a~+rw•.srrzacml ~~ W' Wasoo 1504 Brandt Ave N nue, ew Cumberland, PA 17070 ~ r~~DCGFaarownoM-wl.sc~,l.b,%G..lll~r ~~ Clwlltllw^ RMnall••q Sbll^ D•YI~ aDNwgb -AY/bw19b14~0001 D l ^ D wlll b~ a~ ^ March 14, 1995 St. John's Cemetery ~ qt,,p. pA ~ r aas I•'•nK• w ~~~~~~ ~ 1r leEq ""1FA1DAO°'E"GF"'~""Y Parthemore Ftis~eral HOme ED 013 340 L Inc ~ . MMllllb~b•~/1sw919MAilb~n••Ib °1w~T~iOWi°0'~arnoavnernb Wn..er..ieMwwrw. p o lIDE1/3E MA13Eq w ovESggeD arlwn•waa.rla Dwlw.n xa9.lrb•a•a11./M acDE,oH YMIOMOIM•CEDDFAD cwsEgESERgEDrowEDlcxExwrbE~qDHE,a, •I.10~b~w1AM. ~ D.Y.w.9 9 ~S t (j IZ ~ ) ~ x w^ ql^ l7.MR+k EnbrlMAllrainlNbla c1Tp11catioib wNC~uwetMA•rb D X . o na lnM wl~nea/o1 W sil,ar orlmlair. plq.lullr anyYlbrY rnM, /R1tJlo101111 biw. ~Yypo411b RWT 9: DIIwllirkMl•/•AY1MmtirpNgbAllW Mt . ~ ~~,~,, ~J ~~ ~~ ~~ ~~ ielb11aM4~nR nawwlY~9bSbuw~MiYurldl+•b RY1T 1. '"(~~ ~ r'1~p~r~ ~ '~(JY'~~ ~~ ASA ~ ,~~~-~-~`` ~r^9ntlll•9WT Ol1E (D/IASACDNSEGUENCE 1 11113ANi4l10/BY A111DV8Y F91DHIG9 1U1111Eq DF DEIVH , /ERFOIb1F.p'1 YM9ASlE MMd1A DRE DF w.N1gY TIME OFINJURY w,nlm YO YIOf9(i DE 11.1d1h. Dll: Mlll SCRIBE HDW EiN1RY DCCUf111E0. ~~ OEOH7 NYr/ ^ M•mirJpl ^ Ms ^ NO Yy ^ lb 9111Ci41 -^ C•110M E1 ••I•••hl• ^ 11' Ianr.bml, liM bcla, lgc• LO . , CAgN(S••1L GgYkw~, 911111 t9. ~~9.•b ISO•aYY) CBRtB11C1u Jiw1Y~1 X01. ~ ~ w1YpCUNIR~Y•tIn carllyig eww W elwi WunanAS ulNtiln IW pmwr,•tl ewn anOCmpkbE Item 231 SIfI1W1N1E NA ~MM b~••I••M.N•Ib eeeurnA Owl•Mewrla)•nAmwwrr Mlltl ................. w_I~ ` .................................... it /`~ e ' MDNOIwCip N`1~D CERTi-YYq M1YSIGNN(Pliy,ol~Oalli prmpircrg tllllh •n0 UCENBE L D.OE $M3/Ep ,D•Y MIIrI lbb Ortal lly-+~.OwN•aernAMIM IM• AH• aM We1 0/ b . . //~1 .1n wbtlN<M~l•I yaM~nMwrr MtlN .............. O 7 ~ ~ t~/ ............ 1 •~.~E„A~q ADDf1E830FFER5.0/N~~YM~O COLp1E,Ep ~ GIUSE D[DEq,I 27~TIp1s RhM • ORW9b/bd•bnaM/arim•stlYNMR.MmY•YMYO• MMOm1rrW Ntlb Wn IM1111 1 dw • / ` u . '7 •, ~r~ / Y ' tl JMM.......... ,•RA y1KY,bM dY•blM uurf•)rM ^ 7-` REGISiMR'S SIGNR URE AND R 7Z. b~/ ~ DRE gLFDM•~1~. DeY. ~•1~1 , r r I ~ ~ ` s/. .~~.~ JI REV.15Q0 EX+.;11-91) F Z W W u W 0 Q Wdu udm d Q H F W Z o°z u p st Z O d u W oc Z O i= o. v a F- ,~;~~, COMMONWEALTH Of PE DEPARTMENT OF R DEPT. 28060 E Weigle, Shirley R. 195-32-1719 1. Original Return ^ 4. Limited Estate ^ 6. Decedent Died Testate (Attach copy of Willl INHERITANCE AX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) 'AL S `i FOR DATES OFDEATH AFTER 12/31141 CHECK HERE 1F A SPOt1SAl POVEarr CREDIT 1S CLAIMED d FILE NUMBER ~~~ ~s - ~z ~ Z. COUNTY CODE YEAR NUMBER rsr--:.~ ATE OF DEATH DATE OF BIRTH 1 5 0 4 Brandt Ave . New Cumberland, PA 17070 03-1 10-25-11 County ^ 2. Supplemental Return . ^ 3. Remainder Return ^ 4a. Future Interest Compromise (for dates of.dsath prior to 12-13-82) (for dates of death after 12-12-82 ~ 5. Federal Estate Tax Return Required ^ 7. Decedent Maintained a Living Trust _ 8. Total Number of Safe Deposit Boxes (Attach copy of Trust) Barbara Sumple-Sullivan, 717 1 774-1445 quire 549 Bridge St.. New Cumberland, PA 17070 1. Real Estate (Schedule A) (1) 0 2. Stocks and Bonds (Schedule B) (2) O 3. Closely Held Stock/Partnership Interest (Schedule C) (3) O 4. Mortgages and Notes Receivable (Schedule D) (4) 5. Cash, Bank Deposits & Miscellaneous Personal Propert (Schedule E) y(5 $ 7 2 . 2 2 6. Jointly Owned Property (Schedule FJ ~~ ~ 2 O 0 . $ 2 7. Transfers (Schedule G) (Schedule L) (7) O 8. Total Gross Assets (total lines 1-7) 9. Funeral Expenses, Administrative Costs Miscellaneous Expenses (Schedule H) ~ - 1"2n~. 1 1 5.66 10. Debts, Mortgage liabilities, Liens (Schedule I ~- ( ~'°1 0 0.4 7 11. Total Deductions (total lines 9 & 10) ~ 12. Net Value of Estate (line 8 minus line 11) 13. Charitable and Governmental Bequests (Schedule J) 14. Net Value Subject to Tax (line 12 minus line 13) 15. Amount of line 14 taxable at 6% rate (Include values from Schedule K or Schedule M.) (15) _ 41 8 56 91 x 16. Amount of line 14 taxable at 15% rate ~ (16 ( 8) 54 , 073.04 (11) 12,.21 6.13 (12) -41 , 8S6 Al (13) n (14} ..41 , 856.91 -_L ~ 7 7 4 (Include values from Schedule K or Schedule M.) ) x .15 c 17. Principal tax due (Add tax from line 15 and from line 16.) 18. Credits Spousal Poverty Credit Prior Payments Discount - + 2.0 0 0.0 0 Interest + 125.57 _ 19. If line 18 is greater than line 17, enter the difference on line 19. This is the OVERPAYMENT. ~^ !0. If line 17 is greater than line 18, enter the difference on line 20• This is the TAX DUE. A. Enter the interest on the balance due on line 20A. B. Enter the total of line 20 and 20A on line 208. This is the BALANCE DUE. Make Check Payable to: Register of Wills, Agent it is true, correct and complete~l~declarerthat all based on all information of ~..6i~6 ...______ ~__ inn .,~- ,. (t7) 2 r 51 1 .42 (18} (19) (20} 385.85 (20A) 0 (20B) "~ R 5 A S __.. _.__. ,.o,,,,,,~„un or preparer other than the personal reproaentative is DATE DATE PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (~j IN THE APPROPRIATE BLOCKS. 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, c. retain a reversionary interest or .................................................................... d. receive the promise for life of either payments, benefits or care? ....................... 2. If death occurred on or before December 12, 19$2, 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 .............................. death without receiving adequate consideration? ................... 3. Did decedent own an 'in -trust for' bank account at his or her death? ...................... IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MU5T COMPLETE SCHEDULE G AND FILE. IT AS PART CIF THE RETURN. ;~.~ _! .-~ REV.1508 EX+ (2.87 SCH6QULE E CASH, BANK DEPOSITS AND COMMONWEALTH OF PENNSYLVANIA MISCELLANEOUS 'N RE ~~' *EDICE~MRN PERSONAL PROPERTY GCTATt ne Weigle, Shirley R. ~ Please Print or FILE NUMBER 2195_n~~~ R'EV-1543 SEX AFP (7-951 CONlgNNEALTH OF PENNSYLVANIA DEPARTMENT ~ REVENUE BUREAU OF INDIVIDUAL TA%ES DEPT. 280601 HARRISBURG, PA 1712a-0601 SUSAN W WASCO 1504 BRANDY AVE NEW CUMBERLAND PA 17070 INFORMATION NOTICE AND TAXPAYER RESPONSE ESTATE OF SHIRLEY R WEIGLE 5.5. N0. 195-32-1719 DATE OF DEATH 03-12-95 COUNTY CUMBERLAND TYPE OF ACCOUNT SAVINGS CNECKING TRUST CERTIFICATE REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 HARRIS SAVINGS BANK has provided the Depertsent with tM inforeation listed below which has boon used in ealwlating the potential tau dw. Their records indicate that at the death of the above decedent, you were a loiht owner/beneficiary of this account. If you fwl this inforaation is incorrect, plesae obtain written correction free the financial institution, attach a copy to this fora and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Coaaonweelth of Pemsylvania. Questions way ba eneworod by calling (717) 787-0327. COMPLETE PART 1 BELOW * ~(* SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 05-62-249005 Date 06-06-89 To insure proper credit to your account, two Established C2) copies of this notice gust accaw an Account Balance payaent to the Register of Nills. Nsk ych ck 15, 023.42 payable to: ^Ryi:ter of Mills, Agent^. Percent Taxable X 50.000 Amount Subject to Tax 7, 511.71 NOTE: If tax psyaents are wade within three Tax Rat• (3) wonths of the decedent's date of death, X . D 6 you say deduct a 5.C discount of the tax due. Potential Tax Due 450.70 Any inheritance tax dw will beeoeo delinquent nine (9) aonths after the date of death. PART ~ ,::.,:• , _: TAXPAYER RESPONSE ::,}:~"~aY!ltsriwli~s,,,,.ewrW:,srcaisa~~.~~:,: •s~:vy!,,.,,,.,.,~~.:::::.,.::..:::,.. A. ~ The above inforwation and tax dw is correct. 1. You say choose to resit payaent to the Register of Nills with two copies of this notice to obtain C CHECK a discount or avoid interest, or you way chock box ^A^ and return this notice to the Register of 0 NE Nilis and an official assessaent will be issued by the PA Departaant of Revenue. BLOCK 6. ~ Tha above asset has boon or will be reported end tax paid with the pannsylvania Inf»ritanca Tax return 0 N L Y to be filed by the decedent's representative. C. ~ The above inforwation is incorrect and/or debts and deductions wore paid by you. You oust coaploto PART 2^ and/or PART 3~ below. PART If you indicate a different tax rate, please state relationship to decedent: Your ;~'';',~'};a';a";';';,;';";,;i,~, . ' y;;, ~a ii '~'ii~i'''4i4~' ~~i~~''' ~}ti{;~;; TAX RETI~RN - ''`''y;v~t;!;4';~~'~~ ,',`~~}' COMPUTATION [~F T~lX ON JQ3NTlTRUST ACCQUNT3 '`~1'ys~,}.;}~~ .i a;} h}}t,,,,,, LINE 1. Date Established 1 :.'}.; "~}~Mf},~,~,,ti,,,,',,;,~,yy,~,'',, 'ti ~,,, 4'i4' }~ i;i'x~;~yi4~,5hitiia!i'i 2. Account Balance 2 }'~~'''}^~ . 4 '',''', r~',','r,;,;r,~;y,',;, ~~y,'~~s~l;~~ y¢;%~4i;,,;I';}};I;ry~4~~tti 3. Percent Taxable 3-X ;'tit'k~~~'~~'; ,~,~~~;~',~''qq;~y }~~' `4` ,ti};,¢ ,;P,', ,4'},'Y'P,d i';4 ~;'fti ,~'', 4 . amount sub ~:; r''}', ~;;~ ' , .ject t0 Tax ~{ ~a ,~,'ti'?,~, ~'4,',, }yw y4;,y~, h4. y 5. Debts ~'~~~;'~;~,'~,4}5;'~', ,}i;~i~~~x yak ,t~'~~; ~'}i?~i'ii ~'4i'' ' and Deductions 5 , ~4;,;},{ y' ~;;~ ti}a;;~;; ~; ; ,;,}„ 6. Amount Taxable ~'~i;~iy4,a~; ti;,,,, 6 s},'~a ,~ } }' r y'y',' ;;'};,}, ~, tjr~~skti k!,~}''y',~r;d ''''',i'~,wi?nr;ii,,;.v,}~ t;, 7. Tax Rate ~~ ,; , y. ~ ;;~,'~;y~; ~ ~, ' ~; y 8 • Tax Due g ';~r4~;r,~ ry~~~ '}4~~!',N!1+~4N,"y4WM;hd ~'4'll ~li'ti~4v...~ ,iliiei5':~i!~!~ ii!,S~'Si'_ii?i'!i,',i;~5i;~4`,'?;i ~:i:i'i PART 0 DATE PAID PAYEE DESCRIPTION AMOUNT PAID TOTAL (Enter on Line 5 of Tax Coaputation) g Under penalties of periury, I declare that the facts I have re complete to the~e,A, b~)est/'of~ n)ynkn~o,Mlsdye and belief. Ported above are true, correct and ~~i.~'~~ W W Wy ~7 HOME ~ / 7) ~ 7 ~~~ ~~J ~R, ~_ F'~'T7" iTSTTibt'- WORK (`7 I `7-- ) 7~ tR , C! c "~~ n 7~3°'T~-~- FILE N(i. 21 95-0212 ACN 95140774 DATE 08-22-95 r . ~ REV•1509 EX+ (14.88( s COMMONWEALTH OF PENNSYLVANIA INHERITANCE LAX RETURN RESIDENT DECEDENT ~.~ ..~ Weigle, Shirley R. JOINTLY-OWNED PROPERTY Joint tenant(s): NAME ' A. Susan W. Wasco• e. C. Jointly-owned property: ADDRESS 1504. Brandt Ave. New Cumberlanc}, PA 17070 FILE NUMBER 2195-0212 RELATIONSHIP TO DECEDENT Daughter ITEM UMBE LFORR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY TOTAL VALUE DECD'S DOLLAR VALUE OF OF ASSET % INT. DECEDENT'S INTEREST ~• A 4/22/88 Dauphin Deposit Bank; Mone M k 31,101.00 50$ 15,550.50 ~~ y ar et 94-25840-6 2•' A 4/22/88 Checking 8945716-1: 1,974.32 50$ 6~. 987.16 3. A 7/14/94 Certificate of Deposit 15,064.92 50$ 7 532 46 4• A 12/13/9 Certificate 1of 37292-6 Deposit 16 551 87 50$ , .. ( 5 A #810017482-2 , . 8,275.93 ~D • 12/94 Certificate of Deposit #810050550-0 12,023.63 50$ 6,011.81 ~ 6 • A 5/15/93 Harris Savings Bank: Certificate of Deposit 1 4, 662 50 50$ r #07-61-237520 . 7, 331.. 25 lam` 7 • A 6/7/94 Certificate of Deposit #05-52-249005 15, 023.42 50$ 7+, 51 1 .71 ~~ Thi Certificate of Deposit as a roll-o er f om a Cer ificate of Deposit made 'oint April , 19 0. r TOTAL (Also enter on line b, Recanituler7~ (If more space is needed insert additional sheep of same size) ~~ ~ $ 200.82 I~EV-1943 EX AFP (8-94) COMMONNEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 INFORMATION NOTICE AND TAXPAYER RESPONSE TYPE OF ACCOUNT ESTATE OF SHIRLEY R WEIGLE ^ sAViNCs S . S . NO . 195-32-1719 ® CNECKiNG DATE OF DEATH 03-12-95 ^ TRUST COUNTY CUMBERLAND F. ^ CERTIFICATE p SUSAN W WASCO REMIT PAYMENT AND FORMS T0: 1504 BRANDY AVE REGISTER OF WILLS NEW CUMBERLAND PA 17070 CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 DAUPHIN DEPOSIT BK & T has provided the Department with the information listed below which has boon used in calculating the potential tax due. Their records indicate that at the death of the above decedent, you were a joint owner/beneficiary of this account. If you feel this inforaation is incorrect, please obtain written correction frog the financial institution, attach a copy to this fora and return it to the above address. This account is taxebl• in accordance with the Inheritance Tax Laws of the Commonwealth of Pennsylvania. Questions may ba answarotl by calling (717) 7d7-837. COMPLETE PART 1 BELOW ~ ~ ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 0094258406 Date 04-22-88 To insure proper credit to your account, two Established [2) copies of this notice oust accompany your ACCOYnt Balance 31,101.00 payment to the Register of Nills. Make check Percent Taxable X Payable to: ^Register of Nills, Agent^. 50.000 Amount Subject to Tax 15,550.50 NOTE: If tax payments are made within throe Tax Rate X ~3) months of the decedent's dato of death, . 0 6 You nay deduct a SX discount of the tax duo. Potential Tax Due 933.03 Any inheritance tax due will become delinquent nine (9) months after the date of death. P~T TAXPAYER RESPONSE 1 >: L+khh~tt~lt :'[..:w 'riaiu:'a: ~.::__: ~:: _ ... .......... A. The above information and tax due is corroct. 1. You may choose to react payment to the Register of Nills with two copies of this notice to obtain C CHECK a discount or avoid interest, or you may check boz ^A^ and return this notice to the Register of 0 N E Nills and an official assessment will be issued by the PA Departaent of Ravenna. B L 0 CK B. ~he above asset has been or will be re orted and tax 0 N L Y to be filod by the decedent's representative. Paid with the Pennsylvania Inheritance Tax return PART If you indicate a differen a relationship to decedent:_ TAX RET!!P.N - COMPUTATION LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Dus PART a DATE PAID PAYEE tax rate, please state your DESCRIPTION / AMOUNT PAID ~~~w~ center on Line 5 of Tsx Computation) S' Under penalties of perjury, I declare that the facts I have reported above are true, correct and complete to the bast of ny knowledge and belief. .._.__ - _ _ C. ^ The abovo information is incorrect and/or debts and deductions were paid by you. You must complete PART 2^ and/or PART 3^ below. FILE N0. 21 ACN 95120443 DATE 05-20-95 REV-1543"EX AFP (8-941 COMMONNEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 2a0601 HARRISBURG, PA 17128-0601 INFORMATION NOTICE FILE NO. 21 TAXPAYERNRESPONSE ACN 95120444 DATE 05-20-95 .TYPE OF ACCOUNT ESTATE OF SHIRLEY R WEIGLE ^ sAViNSs S.S. N0. 195-32-1719 ® CHECKING DATE OF DEATH 03-12-95 • TRUST .. ... COUNTY CUMBERLAND f ~ ~ CERTIFICATE REMIT PAYMENT AND FORMS T0: SUSAN W WASCO REGISTER OF .WILLS 1504 BRANDY AVE CUMBERLAND CO COURT HOUSE NEW CUMBERLAND PA 17070 - CARLISLE, PA 17013 DAUPHIN DEPOSIT BK 8 T has provided the Department with the information listed below which has boon used in calculating the potential tax due. Their records indicate that at the death of the abovo decedent, you were a joint owner/beneficiary of this account. If you feel this information is incorrect, please obtain written correction from the financial Institution, attach a copy to this farm and return it to the above address. This account is taxable in accordance with the Inheritance Tsx Laws of the Commonwealth of Pennsylvania. Guastions may bi answered by calling C7Y7) 787-8327. COMPLETE PART 1 BELOW ~ ~ ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 0089457161 Dat• 04-22-88 To insure proper credit to your account, two Established (2) copies of this notice must accompany your ACCOUnt Balance 1 , 974.32 Paynent to the Register of Wills. Make cheek payable ta: ^Register of Wills, Agent^. Percent Taxable X 50.000 Amount Subject to Tax 987.16 NOTE: If tax payments ere made within three (3) months of the decedent's date of death, Tax Rat• X , D6 You may deduct a 5~C discount of the tax due. Potential Tax Dus 59.23 Any inheritance tax due will become delinquent nine (9) months after the date of death. PART TAXPAYER RESPONSE 0 .. :-:~:CA..hE#.'f'tilsi! rtAl3~~.~~i:~;~ .~u:i~. ~_~.,...:~..:~.............~...- ........ ..::.: .,._ .................. ..................... . A. The abovo information and tax due is correct. 1. You may choose to remit payment to the Register of Mills with two copies of this notice to obtain CHECK a discount or avoid interest, or you may cheek box ^A^ and return this notice to the Register of 0 N E Wills and an official assessment will be Issued by the PA Department of Revenue. B L 0 CK ~ B. ~e above asset has bean or will be reported and tax 0 N L Y paid with the Pennsylvania Inharitanem Tax return to be filed by the decedent's representative. C. ~ The above information is incorrect and/or debts and deductions ware paid by you. You must complete PART 2^ and/or PART 3^ below. PART If you indicate a different tax rate, please state your =~Y;,~*.w*:~: 1 t re a ionship to decedent: TAX RETURN - COMr^UTATION OF TAX ON JOINT: TRl:wT ~.CCO!!NTS ~,~+,y . . LINE 1. Date Established 1 , , 's . 1 2. Account Balance 2 "" 3. Percent Taxable 3 X ~ 4. Amount Subject to Tax 4 5. Debts and Deductions 5 - 4 ~ 6. Amount Taxable (, "" 7. Tax Rate 7 X 6 - 8. Tax Due g $ "" ,+ PART a DEBTS AND DEDUCTIONS CLAIMED• DATE PAID PAYEE DESCRIPTION AL (Enter on-Line 5 f Under penalties of perjury, I declare that the facts I have reported above are true, complete to the best of my knoMledge and belief. .._.._ _., ..-, .. -, AMOUNT PAID REV-1543 EX AFP ($-94) COMIMDNNEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAxES DEPT. 280601 HARRISBURG, PA 17128-0601 INFORMATION NOTICE AND TAXPAYER RESPONSE TYPE OF ACCOUNT ESTATE OF SHIRLEY R WEIGLE ^ SAVINGS S.S. N0. 195-32-1719 ^ CHECKING DATE OF DEATH 03-12-9~ ^n TRUST COUNTY CUMBERLAND F L~U CERTIFICATE SUSAN W WASCO REMIT PAYMENT AND FORMS T0: 1504 BRANDY AVE REGISTER OF WILLS NEW CUMBERLAND PA 17070 CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 DAUPHIN DEPOSIT BANK & has provided the Departaent with the inforaation listed below which has bean used in calculating the potential tax due. Thoir records indicate that at the death of tM above decedent, you wore a joint owner/beneficiary of this account. If you feel this inforaation is incorrect, please obtain written correction frog the financial institution, attach a copy to this fora and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Cooalonwaalth of Pennsylvania. Questions aay be answered by calling (7177 787-8327. COMPLETE PART 1 BELOW x x ~t SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 8100372926 Data 07-14-94 To insure proper credit to your account, two Established (2) copies of this notice oust accoapany your Account Balance 15, 064.52 Payaent to the Register of Wills. Make chock Percent Taxabl• X Payable to: ^Ragistar of Nills, Agent^. 100.00 Amount Subject to Tax 15, 064.52 NOTE: If tax payaents ors aade within three Tax Rat• (3) aonths of the decedent's data of death, X . 0 6 You aay deduct a 5~ discount of tM tax dua. Potential Tax Du• 903.87 AnY inheritance tax due will beeoow delinquent Wino (9) aonths after tho data of death. PART TAXPAYER RESPONSE .: a A. ^ Tha above inforaation and tax due is correct. 1. You aay choose to resit payaant to the Ragistar of Nills with two copies of this notice to obtain C CHECK a discount or avoid interest, or you aay chock box ^A- and return this notico to the Register of 0 N E ~ wills and an official assessaent will be issued by the PA Dopartaent of Revenue. BLOCK B. ~lhe above asset has boon or will be re orted and tax 0 N L Y to be filed by the decedent's representative, paid with the Pennsylvania Inheritance Tax return ~. ^ Tha above inforaation is incorrect and/or debts and deductions were paid by you. You gust coaplate PART 2^ and/or PART 3^ below. PART If you indicate s different tax rate, plaasa state your 0 relationship to decedent: 0~"~IL`T`6 TAX RETUl3!~ - COMPUTATIQN LINE 1. Data Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxabl® 7. Tax Rat• 8. Tax Duo PART a DATE PAID PAYEE DESCRIPTION AMOUNT PAID IYINL ctnter on line 5 ofTax Computationl S Under penalties of perjury, I declare that the facts I have reported above ere true, correct and conplst• to the best of my knoMledge and belief. .~ , .....~.. A r 1 A . in n.. _~ HOME (7 (7 ) 7 7 ~ (e [;-Q ~^ WORK C7( ~ ) . ~. ..rFInNF NRMAFD -~w.r.. FILE NO. 21 ACN 95121459 DATE 05-20-95 REV-1543 EX AFP (8-94) CONNONNEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU ~ INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 INFORMA AND NOTICE FILE NO. 21 TAXPAYER RESPONSE ACN 95120445 DATE 05-20-95 TYPE OF ACCOUNT ESTATE OF SHIRLEY R WEIGLE ^ saviNGs S.S. N0. 195-32-1719 ^ CHECKING DATE OF DEATH 03-12-95 ^n TRUST COUNTY CUMBERLAND F. L7C1 CERTIFICATE .. p SUSAN W WASCO REMIT PAYMENT AND FORMS T0: 1504 BRANDY AVE REGISTER OF WILLS NEW .CUMBERLAND PA 17070 CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 DAUPHIN DEPOSIT BK 8 T has provided the Department with the information listed below which has boon used in calculating the potential tax due. Their records indicate that at the death of the above decedent, you ware a joint owner/beneficiary of this account. If you fool this information is incorrect, please obtain written correction frog the financial institution, attach a copy to this form and roturn it to the above address. This account is taxable in accordance with the Inheritance Tex Laws of the Commonwealth of Pennsylvania. 4uestiens may ¢e answered by calling (717) 787-83`L7. COMPLETE PART 1 BELOW x ~( x SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 8100174822 Dat• 12-13-93 To insure proper credit to your account, two Established (2) copies of this notice must accompany your Account Balance 16,551.87 payment to the Register of Mills. Make chock Percent Taxable Payable to: ^Rogistor of Mills, Agent^. x 50.000 Anount Subject to Tax 8,275.94 NOTE: If tax payments era made within throe Tax Rat• (3) months of the decedent's data of death, X . 0 6 you may deduct a S% discount of the tax due. Potential Tax Duo 496.56 Any inheritance tax duo will become delinquent nine (9) aonths after the data of death. PART TAXPAYER RESPONSE L-A:kiifiY~tk~iw. ~r rfa.a..,.::-. .,.:.....~ ..,~ ...: _.. ., .... _... ... ... ..-__.. A. ~ Tho above information and tax duo is correct. 1. You may choose to resit payment to the Register of Wills with two copies of this notico to obtain C CHECK a discount or avoid interest, or you may chock box ^A^ and roturn this notico to tho Register of ONE Mills and an official assessment will be issued by the PA Department of Revenuo. BLOCK B. ~ho abovo asset has boon or will be re orted and tax 0 N L Y p Pafd with the Pennsylvania Inheritance lax return to be filed by the decedent's representative. C. ~ The abovo information is incorrect and/or debts and deductions were paid by you. You must complete PART 2^ and/or PART 3~ below. PART If you indicate a different tax rate, please state your relationship to decedent: TAX RETURN - CO"lPUTATIO.R~ LINE 1. Data Established 2. Account Balance 3. Percent Taxable 4. Anount Subject to Tax 5. Debts and Deductions 6. Anount Taxable 7. Tax Rat• 8. Tax Due PART DATE PAID PAYEE TaTAL (Enter on Lins 5 of Tax Computation) S Under penalties of perjury, I declare that the facts I have reported above era true, correct and conplet• to the best of ny knowledge and belief. ~'~~1 ~ HOME (~7 / 7 ) ~ ~ ~ ~ ~ ~ w n w ~ WORK ( ( ) ~ ~ .. ? ~, . REV-1543 EX AFP t8-94) CDNMDNNEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT, 280601 HARRISBURG, PA 17128-0601 INFORMATION NOTICE ' AND TAXPAYER RESPONSE FILE NO. 21 ACN 95120617 DATE 05-20-95 ESTATE OF SHIRLEY R WEIGLE S.S. N0. 195-32-1719 DATE OF DEATH 03-12-9~ COUNTY CUMBERLAND F ~* susAN w wasco 1504 BRANDY AVE NEW CUMBERLAND PA 17070 TYPE OF. ACCOUNT SAVINGS CHECKING ^n TRUST ... ~ L•X1 CERTIFICATE REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 DAUPHIN DEPOSIT BANK 3 has provided the Departaent with the inforaation listed below which has boon used in calculating the potential tax due. Their records indicate that at the death of the above decedent, you ware a ioint owner/bwwficiary of this account. If you foal this inforaation is incorrect, please obtain written correction frog the financial institution, attach a copy to this fora and return it to the above address. This account is taxable in accordance with the Inheritance Tax Laws of the Coaaonwealth of Pennsylvania. uuestions aay ~e answered by calling (717) 787-8327. COMPLETE PART 1 BELOW x ~ * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 8100505500 Dat• 12-02-94 To insure proper credit to your account, two Established (2) copies of this notice oust accoapany your Account Balance 12, 023.63 Payaent to the Register of Mills. Make chock Percent Taxabl• X payable to: ^Ragistar of wills, Agent^. 100.00 Anount Subject to Tax 12, 023.63 NOTE: If tax payaents era aade within three Tax Ret• X C3) aonths of the decedent's data of death, . 0 6 You aay deduct a 52 discount of the tax due, Potential Tax Due 721 .42 Any inheritance tax due will becoae delinquent Wino (9) aonths after the date of death. PART TAXPAYER RESPONSE ;.:: :•i;?iR/is~M~_l~MlliY.:.rwu,:~wl.~~~~.v:..,:: _ ......:- . ..: : ..:. .......... A. ~ Tha above inforaation and tax due is correct. 1. You aay choose to resit payaant to the Register of wills with two copies of this notice to obtain C CHECK a discount or avoid interest, or you aay chock box ^A^ and return this notice to the Ragistar of 0 N E ~ Wills and an official assessaent will be issued by the PA Departaent of Revenue. BLOCK B. ~ha above asset has boon or will be reported and tax 0 N LY to be filed by the decedent's representative, paid with the Pennsylvania Inharitanca Tax return C. ~ Tha ebova inforaation is incorrect and/or debts and deductions ware paid by you. You oust coaplete PART 2O and/or PART 3^ below. PART If you indicate a different tax rate, please stag your relationship to decadent: ~~~~GIA' TAX RETURN - COMPUTATION OF TAX ON JOINTiTRUST ACCOUNTS ~'A D~PAftTM, LINE 1. Dots Established 1 ~~~ , 2. Account Salanee 2 '''°~~"t'~~` y .. ... .:........:. ;p,.yi,~~. .';'iti:i:i:i;:h:i4;;a :`j,ii~ ~;i;:.•fljti 3. Percent Taxabl• ; X ~~~s,~'~~' ,iii ' 4. Anount Subject to Tax 4 ' ti;~49~bt~tae:;;;;::•~ ,.,,:: 5. Debts and Deductions 5 - "'''''''}"~~~~~~~ ~~'~'' 6. Anount Taxable 6 '~iyr~,::sr 7. Tax Rats ~ X ~~'~~~'~ '. 8. Tax Dw ~" ~ ''' PART ~' DEBTS AND nEnucrrnuc .•~ ....~..`~'" " ""`~ "" a DATE PAID PAYEE DESCRIPTION AMOUNT PAID iu~n~ (Enter on Lina 5 of Tax Conputation) i Under penalties of perjury, I declare that the facts I have reported ebova are true, correct and eonplste to the best of ny ,kn~yowledge and bsliaf. ~~~Q~,t~QQK? d~,)~~CJC2~-C-~7 HOME C ? ~ ) 7 7 ~ - CP~+ WORK ~7t`l ) CDCl7^ 5 7 REV-15413 EX AFP (7-951 CDMMDNNEALTH OF PE)BJSYLVANIA DEPARTMENT ~ REVENUE BUREAU OF INDIVIDUAL TAXES DEPT, zeoeol HARRISBURG, PA 17128-0601 SUSAN W WASCO 1504 BRANDY AVE NEW CUMBERLAND PA 17070 HARRIS SAVINGS BANK has provided the Departwnt with the inforaation listed below which has bean used in cslculatiny the potential tax due. Their records indicate that at the death of the above decedent, you were a joint owner/bww-ficiary of this account. If you foal this inforaation is incorrect,. please obtain written correction frog the financial institution, attach a copy to this fora and return it to the above address. This account is taxable in accordance with the inheritance Tsx Laws of the Cosaonweelth of Pennsylvania. Qwstions'aay.be answered by ubllinp Ci17) T8T=b327. COMPLETE PART 1 BELOW )E )E ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account. No. 07-61-237520 Date 05-15-93 Established 7o insure proper credit to your account, two (2) copies of this notice gust accoapsny your Account Balance 14, 662.50 Payaent to the Register of Mills. Make chock Percent Taxable X payable to: ^Repister of Mills, Apent^. Aeount Subject to Tax 50.000 7,331 .25 NOTE: If tax paywnt: era aade within three TiX Rate X (3) aonths of the decedent's data of death, Potential Tax Due • 06 You aay deduct a Sk discount of the tax due. 4 3 9 . $$ Any inheritance tax due will becoae delinquent PART nine (9) aonths after the data of death. 7 ~ ::::...::::..:.. .. . TAXPAYER RESPQNSE . '~=LKi:hhft~ariHiwar!.??r'wxi:rn(r::°.:.: ~::cr::~;.:.~.::, ::::r: ,,•,•.._ .................. . ..~~.:~,,:.•.:.:.:.•.s:'a~rsss'.:is!44?yr!r4~,'r~S'r'Fj?PT!~I~~E~wd~#4'!P~~i~ 1,~ ::,:.y:~~.y!;!ss' ::!I A• The above inforaation and tax duo is correct. 1. You aay choose to resit payaont to the Register of Mills with two copies of this notice to 'obtain C CHECK a discount or avoid interest ar 0 N E Mills and an official assessaent willabe issuedbby the PA DapartaentiofnRevenue~ the Register of BLOCK 8. Tha above asset has boon or will be re orted and tax 0 N LY to be filed by the decedent's r p Paid with the Pennsylvania Inheritance Tax return opresentative. C• ~ The above inforaation is incorrect and/or debts and deductions ware paid by you. You oust coaplete PART 2^ and/or PART 3~ below. PART 0 If you indicate a different tax rate, please state Your ~.;:;;; ;,, relationship to deced t TAX RE en TURld - COMPUTATION : OF , ~ti, <<;~':i;~ 'tip l,'r';',. i,s;t:'':~;,',~i5,:,' ,r;.,,,,,;;,,~4~ TAX O ' LINE 1. Date Established k .:OI ^rOUR'TS ,, ,,,~,,,k NT~TR!!ST D:..,, ~("~ 2. Account Balance 1 2 ,~r {rp'ir'i4 ;'4; ~ ';~'',;~'`'~'~ ':r~ ' ' 3. PercMt Taxable 3 ' ' ' , ' y i , ' ' ~y ~! , +,' ~ , 4 ti ' y S i~;''y' ~ ~y's;!!F ~ '~i,?;;$ , 4. Aeount Subjaet to Tax _ 4 , y , , , ''°''V ;!,,r,, ,, , ~'`'"''~''''~"'° 5. Debts and Deduction , , ,,,,ry? iti~~~~i''' ~w a4~4r' ' s 5 - ; ; ' r,r;rYri,r,rs,'r 6 . Aeount Taxabl• 6 a;'~;,~;~4~`;; ti ~ ''''' ti 7. Tax Rate 7 ji ?'yr45;i''4'' '{y ~ °''~~~'~''~;~~; "'SI§~~ ~ 8. Tsx Duo - l t l '''',!~''''4;r.; ~~it ' jt ~~~ ~ti 8 ~r;r~:r4 ~~ r, ;S'p~,'y4y,{4'~ PART '!i~~?i'i'~:ij;~!;3E DEBTS AND DEDUCTIONS CLAIMED' DATE PAID PAYEE DESCRIPTION F Y AMOUNT PAID TOTAL (Enter on Line 5 of Tax Coaputation) Undsr penalties of perjury, I declare that the facts I have reported above are true9 correct and complete to the bast of ey knoNledye and belief. (i( ~ ~C~.n Co HOME C ~ / ) 7 WORK (7/7) .,R`~^_STS7 ~• . ~~ INFORMATION NOTICE TAXPAYERNRESPONSE FILE N0. 21 95-0212 ACN 95140773 DATE 08-22-95 TYPE OF ACCOUNT ^ snvlNSs ^ CHECKING ^ TRUST ... f Q CERTIFICATE REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 ESTATE OF SHIRLEY R WEIGLE S.S. N0. 195-32-1719 DATE OF DEATH 03-12-95 COUNTY CUMBERLAND. x,EV.un ex..p.ep B. C. .4 5 6 7 8. SCHEDULE H FUNERAL EXPENSES, COMMONWEALTH OF PENNSYLVANIA ADMINISTRATIVE COSTS AND INHERITANCE TAX RETURN MISCELLANEOUS EXPENSES RESIDENT DECEDENT ESTATE F Weigle, Shirley R. i ITEM NUMBER DESCRIPTION A• Funeral. Expenises: F_ 1• Parthemore Funeral Home 2. Gingrich Memorials (inscription), Please Print or E NUMBER 2195-0212 AMOUNT 6,289.00 63.00 Administrative Costs: ~• Personal Representative Commissions Social Security Number of Personal Representative: Year Commissions paid 2• Attorney Fees 2,000.00 3• Family Exemption Claimant Susan W. Wasco Relationship Daucrhter Address of Claimant at .decedent's death Street Address 1 504 Brandt Ave City L1Tew (' tmhcrl °nd State __PA_ Zip Code_ 1 7 0 7 0 3, 5 0 0.0 0 4• Probate Fees 228.66 Miscellaneous Expenses: ~' Landis jewelers (appraisal fee) t, 35.00 TOTAL (Also enter on line 9, Recapitulation) $„a'~ ,:1 1 5, 66 (If > more space ~s needed, insert additional sheets of same size.) REKISI4 E%•71~9S) COMMONWEAIiN Of ~ENNSYIVANIA INHFRIUNCE U% RETURN RESIDENiDECFDENT SCHEDULE.I MORTGAGE L ABLI IES AND LIENS Weigle, Shirley R_ Plaosa Print or REVy151S EX+ (y-8~ CaNMaNWEAITH OF PENNSYtV INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF we~gle, Shirley R. FILE NUMBER -2195-0212 ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR RELATIONSHIP SHARE OF ESTATE A. Taxable Bequests: • ~. Susan W. Wasco 1504 Brandt Avenue ~Daughte 100 New Cumberland, PA 17070 . ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE B. Charitable and Governmental Bequests: 1. : f TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recopitulation) $ (If more space is needed, insert additional sheet: of same :i:e) BENE IC ARIES