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HomeMy WebLinkAbout02-0298 PETITION FOR PROBATE and also known as To: , lff~feased. Social Security No. i '75~ -/Z~ - g~y~o GRANT OF LETTERS oa,- Register of ~h.e County of Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age.or ol,doe.r an the execufiX in the last will of the above decedent, dated ~ - s~ - O ~ - ' and codicil(s) dated in the named ,19 (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in O~}o'ff, _ -, Country, Pennsylvania, with h L~ last familyror principal residence at (list street, number and muncip~lity) D.ecendent, then ~ ~/g ~ea~s of age, died ~o,.,tC~q_ f~ -~ , 19 DaR. , at (.~/~,Ot_L'5 L ~-~ /-J_,~.~ ~ ~ [ ' Exc-el~t as [oll(~ws, decedent-did hot 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: Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $ (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ situated as follows: .~ OOo. oo WHEREFORE, petitioner(s) respectfully r.equest(s) the probate of the last will and codicil(s) presented herewith and the grant of letters A~VLo_~,~m.,uo ~(testamentary; admidration c.t.a.; administration d.b.n.c.t.a.) theron. /7-51- OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA ~ COUNTY OF O_,,~x~_~.~v~e.,,d._. _ ss The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly a.dminister the, estate according to law. Sworn to or affirmed and subscribed ..._~/~,r~a_ ~, am,~c/~t;,~o ~ ¼o£c~re me thi~ 25~ day of 1 . ,~A~; ff~ ..... ~l~o ~CU 2002 ~ . ~ ~.2 ~J u ~ ~ ~ C L~IS -- ~/ ---Register [ ~ Estate Of WTT,LL~M ~ YEINGST , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW MARCH 25, 2002 X~ , 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 FEBRUARY 18, 2002 described therein be admitted to probate and filed of record as the last will of WIr. T.IAM I YEINGST and Letters TESTAMENTARY ' SONDRA JGOODD1NG' ' are hereby granted to FEES Probate, Letters, Etc .......... $ 40.00 Short Certificates( ) .......... $ 6.00 ~ EXTRA .PAGES... $ 18,00 JCP $ 5.00 69.00 TOTAL __ $. Filed ...M~..C.H...2.5.,..~.997. ................. call exec on 3-25-02 MARY ~ LEW~ egister of Wills ATTORNEY (Sup. Ct. I.D. No.) ADDRESS PHONE OF WILLIAM I. YEINGST I, WILLIAM I. YEINGST, of 47 North Bedford Street, Carlisle, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my Last Will and Testament, hereby revoking and making void all previous Wills and Codicils heretofore made by me. FIRST I order and direct my Executor hereinafter named to pay all of my just debts, funeral expenses and expenses involved or connected with the administration of my estate, including all taxes that may be assessed in consequence of my death, as soon after my death as is reasonably possible from the proceeds and assets of my estate prior to any other distributions. However, my Executor need not accelerate and pay those unmatured obligations which, in his, her or its opinion, it might be proper and more advantageous to retain or renew and pay as they become due and payable. If I do not own a burial plot or a grave marker at the time of my death, I authorize my Executor/Executrix, in his, her or its sole discretion, to purchase a burial plot and to erect a suitable grave marker at my grave, and to expend sums from my estate for this purpose. 200 NORTH HANOVER STREET CARLISLE, PA 17013 GRIFFIE & ASSOCIATES ATTORNEYS AT LAW Page 1 of 7 14 NORTH MAIN STREET SUITE 307 CHAMBERSBUrG, PA 17201 SECOND I give, devise and bequeath my entire estate of whatsoever nature and wheresoever situate, together with all insurance proceeds thereon, to my daughter, SONDRA JEAN GOODLING, provided she survives me by sixty (60) days. In the event my daughter, Sondra Jean Goodling~ predeceases me, I give, devise and bequeath my entire estate of whatsoever nature and wheresoever situate, together with all insurance proceeds thereon, to my son, WILLIAM HETRICK YEINGST, provided he survives me by sixty (60) days. I direct my Executor/Executrix to divide among such beneficiaries all personal property of a sentimental or family nature (excluding cash, stocks, bonds and the like), including but not limited to jewelry, household goods, antiques, furniture and memorabilia, in accordance with a separate memorandum which I may place with my Will or deposit with my attorney. In the absence of such disposition by memorandum, I direct that the said tangible personal property be divided between my residual beneficiaries with due regard for their personal preferences in as nearly equal shares as practical, with the value of such dispositions being credited to the share of each respective recipient. If the said beneficiaries do not agree to the division of the personal property provided for hereunder, the decision of my Executor/Executrix, including the decision to sell the property at public or private sale and distribute the proceeds therefrom as provided hereinafter, shall be final and conclusive on aH parties. I grant my Executor/Executrix the following powers in addition to and not in limitation of such powers as my Executor/Executrix shall hold by law: 200 N. Hanover Street Carlisle, PA 17013 GRIFFIE & ASSOCIATES Attorneys/it Law Page 2 of 7 38 N. Main Street Ckambersburg, PA 17201 (a) To retain all property received including the stock of any corporate fiduciary acting hereunder, provided such property remains productive. (b) To join in any corporation, partnership, recapitaliTotion, merger, reorganization or voting trust plan; to delegate authority with respect thereto; to deposit investments under agreements and pay assessments; and generally to exercise all rights of investors, including but not limited to, the voting of shares. (c) To manage, operate, repair, improve, mortgage or lease on any terms any real estate held or owned by my estate. (d) To operate any business that I may own at my death. (e) To invest any fund~ of my estate in any stocks, bonds, notes or other securities or property, real or personal, without regard to the principle of diversification or any other statute or general rule of law in his, her or its absolute discretion, it being my intention to give my Executor/Executrix the broadest investment powers possible, providing such investments do not unnecessarily prevent the prompt settlement of my estate. (f) To sell or otherwise dispose of any property, real or personal, tangible or intangible, at any time forming a part of my estate in any manner and on such terms and conditions as my Executor/Executrix shall see fit in his, her or its absolute discretion. (g) To borrow money for the payment of taxes or for any other proper purposes in the administration of my estate, and to mortgage or pledge estate assets as security. 200 N. Hanover Stre~ Carlisle, PA 17013 GRIFFIE & ~$OCIA TE$ Attorneys At Law Page 3 of 7 38 N. Main Street Ckambersburg, PA 17201 (h) To compromise claims without court approval includin~ but not limited to, any controversies with the United States of America or the Commonwealth of Pennsylvania concerning estate and inheritance taxes on any interests that may pass under this my Last Will and Testament. (i) To distribute in cash or in kind upon any division or distribution of my estate. (j) To undertake any and all acts deemed necessary and proper by my Executor/Executrix for the proper, advantageous and prompt management of the settlement of my estate. (k) In general, to exercise all powers in the management of my estate which any individual could exercise in the management of similar property owned in his own right, upon such terms and conditions as to him, her or it may seem best and to execute and deliver all instruments and to do all acts which he, she or it deems necessary or proper to carry out the purposes of this, my Last Will and Testament. FOURTH No interest of any beneficiary of my estate, either in income or in principal, shall be subject to anticipation or pledge, assignment, sale or transfer in any manner, nor shall any beneficiary have the power in any manner to charge or encumber his interest either in income or principal, nor shall the interest of any beneficiary be liable or subject in any mam~r while in the possession of my Executor/Executrix for the liability of such beneficiary. 200 N. Hanover Street Carlisle, P/I 17013 GRIFFIE & ASSOCIATES Attorneys ~It Law Page 4 of 7 38 N. Main SWeet Chambersburg, PA 17201 FIFTII I nominate, constitute and appoint my daughter, SONDRA JEAN GOODLING, as Executrix of this my Last Will and Testament. In the event my daughter is deceased, unable or unwilling to serve or shall cease to serve for any reason whatsoever, then I nominate, constitute and appoint my son, Executor of this my Last Will and Testament. WILLIAM HETRICK YEINGST, as I direct that my Executor/Executrix shall not be required to give or post bond for the faithful performance of his, her or its duties in this or any other jurisdiction. S/XTH I hereby declare it to be my expressed desire that my Executor/Executrix employ the law ~ of Griffie & Associates, of Carlisle, Pennsylvania, for legal advice and assistance regarding this my last Will and Testament, they having considerable knowledge of my affairs, views and wishes respecting any matters that may arise at the probate of this instrument, the administration of my estate, and the execution of the powers herein mentioned. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Wrdl and Testament, consistin~ of seven (7) typewritten pages, the first four (4) of which bear my signature on the side margin, for purpose of identification, this /t~7 ~ day of ~-~.~~:~ ~ ,2002. ¢ . TI ESS: , - /'~ ! ~, ,, 7~! Attorneys At Law 200 N. Hanover Street Page 5 of 7 38 N. Main Street Carlisle, PA 17013 Chambersburg, PA 17201 ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA: :SS. COUNTY OF CUMBERLAND : I, WILLIAM L YEINGST, the 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 and Testament; that I signed it willingly, and that I signed it as my flee and voluntary act for the pur~6~es therein expressed. Sworn or, affirmed and acknowledged before me by WILLIAM I. YEINGST the Testator this //7 ~ day of ~P/~~ ,2002. Notarial Se~ Robin J. Goshom, Notary Public Catisle Bom, Cumbe~and County _ My Commission Ex0ims Apr. 17, 2003 200 N. Hanover Street Carlisle, PA 17O13 GRIFFIE & ASSOCIATES Attorneys At Law Page 6 of 7 3# N. Main Street Chambersburg, PA 17201 AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA: 'SS. COUNTY OF CUMBERLAND the wimesses whose names are attached to the foregoing document, 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 and Testament; that he signed willingly and that he 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 Last Will and Testament as witnesses and that to the best of our knowledge the Testator was at the time 18 or more years of age, of sound mind and under no constraint or undue influence. Notary Public (/ ' Notarial Seal Robin J. Goshom, Notary Public MCa_rlisle Bom, Cumberland y Commission Exptms Apr. ~ 200 N. Hanover Street Carlisle, PA 17013 GRIFFIE & ~ISSOCIA TES Attorneys At Law Page 7 of 7 38 N. Main Street Chambersburg, PA 17201 CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Date of Death: J~/~('~ ~ ~-Ot~'~ ~ Will No. c~O ~ ~(~ ~ q_~ Admin. No. To the Register: I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on : Name Address Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date: Si--~nature Name Address Teleph°ne ~'PT) c~¢30~'0'-~ Personal Representative __Counsel for personal representative Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 2/02/2005 GOODLING SONDRA J 522 THORNWOOD CARLISLE, PA 17013 RE: Estate of YEINGST WILLIAM I File Number: 2002-00298 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 3/18/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, /f:J~~~J~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Counsel Judge uJ Register of Wills of Cumberland County STATUS REPORT UNDER RULE 6.12 Name ofDecedent: ',,;,' I ( i 1\ M.. X- 'j e {":rs: +- Date of Death: ~ tB - I 5? ' 0 ;L Estate No.: 8/ D ~;l 9J'/ Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: ' .YesJHa NoD '71o~tJh Q~ 2. lfthe answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. lfthe answer to No.1 is Yes, state the following: a. Did the person~lpresentative file a final account with the Court? Yes D No W b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes D No PI -tJ 1505610101 REV-1500 ~ X01.1°' ~ nn lvania OFFICIAL USE ONLY PA Department of Revenue Pe sy C:ounN Code Year File Number Bureau of Individual Taxes a,ME~.oFa~E.~E PO sox z8o6o1 INHERITANCE TAX RETURN "" ~ , Harrisbur , PA 1']128-o6oi RESIDENT DECEDENT ~ ~ ~ ~~ ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY r ~ r. , ] 1 3 G { ~: .. - - ~- .. 0~ clw 1 Q r 1 ~ Decedent's Last Name s Suffix Decedent's First Name MI ... .. b .~, .~ . ~ -~ (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI 0 ^ ~ ~, , e ; Spouse's Social Security Number ,~~9 r~ ~: THIS RETURN MUST BE FILED IN DUPLICATE WITH THE ~ ~~ ~ . ..~ REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ~r 1. Original Return O 2. Supplemental Return O 3. Remainder Return (date of death prior to 12-13-82) O 4. Limited Estate O 4a. Future Interest Compromise (date of O 5. Federal Estate Tax Return Required death after 12-12-82) O 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) O 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (date of death O 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Na me Daytime Telephone Number // [[ ^~ i~ First li//n~~e of address~~ r Second line of address City or Post Offce State ~~~~-r ~ ~~ ~.~ Correspondent's a-mail address: ZIP Code REGISTER OF WILLS USE ONLY r~, , . +.._ N ('7 ~ ~}{~~ ~ vi ~ a1 © ' ' ~ DAr~ FILED ~' Q T 1 ~v~ ~ .,, Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and staternents, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGN~Qf~~ URE OF PERSO R SPONSIBLE FOR FILING RE'PURN DATE HUUKtJJ ,~~~ (~ ~~- >~e~aaad' ~_, ll - ice.- ~ D SIGNATURE OF PREPARE THER THAN REPR SENTATIVE DATE ADDRESS PLEASE USE ORIGINAL FORM ONLY Side 1 1505610101 1505610101 J 1505610105 REV-1500 EX Decedent'(sSocial Security Num (byer Decedent's Name: - ~ ~~ J ~ ~ ~~ ~~~~ ~~~ 1> RECAPITULATION 1. Real Estate (Schedule A) ............................................. 1. R ~ 1 ' 2. Stocks and Bonds (Schedule B) ....................................... 2 . .~s-~ =- 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3 Y 4 ~~ ; 4. Mortgages and Notes Receivable (Schedule D) .......................... . 4 •~'. ..'o± ~,- c. Iva <.p#k 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)...... . 5. ' 6. Jointly Owned Property (Schedule F) p Separate Billing Requested ...... . 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property "` ~ '" '-' ~ ' ~k'~'~~ ' (Schedule G) p Separate Billing Requested....... . 7. _ 8. Total Gross Assets total Lines 1 throw h 7 ( 9 ) ............................ . S. 9. Funeral Expenses and Administrative Costs (Schedule H) ................... 9. 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) .............. 10. 11. Total Deductions (total Lines 9 and 10) ................................. 11. 12. Net Value of Estate (Line 8 minus Line 11) .............................. 12. - 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which ' ~ ,'~ ~.KS"~~`~ ~^'~-'"'" ~ '" ~ " ~- '~ } an election to tax has not been made (Schedule J) ........................ 13. , ~ ; - ~-~ ~;i - ~~: ;~.E 14. Net Value Subject to Tax (Line 12 minus Line 13) ........................ 14. °~ TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 - --~.•v ~ ~-• ~ ,. ,..~a° (a)(1.2) X .0_ ~ (~ 15. 16. Amount of Line 14 taxable ~'`~'~' .t ~~'~~-~`'~;~'~=} at lineal rate X .0 _ - 16. 17. Amount of line 14 taxable ,.: ~~1.._'~~~ '~` ~ at sibling rate X .12 ' ~ ~ © 17. 18. Amount of Line 14 taxable _ at collateral rate X .15 ~ ' ~ 18. 19. TAX DUE .........................................................19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT p Side 2 L 1505610105 1505610105 REV-1500 EX Page 3 rlar_arlant'c Cmm~lptp Address: File Number DECEDENT'S NAME STREETADDRESSr 1 - ,~ - - ~ ^~ "-f' 7 ~ 1, CITY - STATE Z1P Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. CreditslPayments A. Prior Payments B. Discount 3. Interest Total Credits (A + B) (2) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difffference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) Make check savable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred :.................................................................................... ...... ^ b. retain the right to designate who shall use the property transferred or its income : ...................................... ...... ^ c. retain a reversionary interest; or .................................................................................................................... ...... ^ ^ d. receive the promise for life of either payments, benefits or care? ................................................................ ...... 2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ........................................................................................................ h? " " ...... ^ ^ .~ ........ or payable-upon-death bank account or security at his or her deat in trust for 3. Did decedent own an ...... 4. Did decedent own an individual retirement account, annuity or other non-probate property, which contains a beneficiary designation? ................................................................................................................. ....... ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1,1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: • The tax rate imposed on the net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive parent or a stepparent of the child is 0 percent [72 P.S. §9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. NOTICE OF INHERITANCE TAX BUREAU OF INDIVIDU Tpy~ "~~' ~`~-~~~~?I~AISEMENT, ALLOWANCE OR DISALLOWANCE INHERITANCE TAX DIVISI~~4~,,!~~'~~~~'' J~ ,~. QF DEDUCTIONS AND ASSESSMENT OF TAX PO BOX 280601 riC~~,yz, \~,•.~ 'yn~~-,~,~J HARRISBURG PA 1 7128-0601 ~;~,~,'1'~,v ?t~t2.ltlN ~2 ~'~ ~~ ~ 2~ - - -~, V ;vy~~T SONDRA J r1~~~~y~0 CQ , PA 522 THORNW ~ ~~1IDD N CARLISLE PA 17013-4263 cl) .00 ~2) .00 c3) .00 c4) .00 cs) .00 c6) .00 cn .00 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ ------------------------------------------------------------------------------------------- REV-1547 EX AFP C12-11~ NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF: YEINGST WILLIAM IFILE N0.:21 02-0298 ACN: 101 DATE: 06-18-2012 TAX RETURN WAS: CX) ACCEPTED AS FILED ( ) CHANGED APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) DATE 06-18-2012 ESTATE OF YEINGST WILLIAM I DATE OF DEATH 03-18-2002 FILE NUMBER 21 02-0298 COUNTY CUMBERLAND ACN 101 APPEAL DATE: 08-17-2012 (See reverse side under Objections ) Amount Remitted -~ MAKE CHECK PAYABLE AND REMIT PAYMENT T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 pennsyLvarna ~ DEPARTMENT OF REVENUE REV-1547 IX AFP (12-11> NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment. c8) .00 C9) 4.000.00 clo) .00 11. Total Deductions I11) 4,000.00 12. Net Value of Tax Return (12) 4,000.00- 13. Charitable/Governmental Bequ ests; Non-elected 9113 Trusts (Schedule J) C13) .00 14. Net Value of Estate Subject to Tax (14) 4,000.00- NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate C15) .00 X 00 - .00 16. Amount of Line 14 taxable at Lineal/Class A rate C16) _0 0 x 045 = .00 17. Amount of Line 14 at Sibling rate C17) _0 0 X 12 = .00 18. Amount of Line 14 taxable at Collateral/Class B rate (18) .00 X 15 = .00 19. Principal Tax Due (19)= .00 TAX CREDITS: ~~.^~~~~ I Ke~ciri I DISCOUNT C+) I AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) ^ IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. TOTAL TAX PAYMENT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS. ~~