HomeMy WebLinkAbout88-0245 �
PETITION FOR PROBATE and GRANT OF LETTERS
Estate of �„ � o�� No. _�j - ��-' �'��
also known as To:
Register of Wills for the
_ Deceased. County of �UMBERLAND in the
Social Security No. /�3 ' �. y- / �,s 2. Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(s), who is/are 18 years of age or older an the execut �� named
in the last will of the above decedent, dated / 7 /g , 19�r�
and codicil(s) dated A/e N E
(state relevant circumstances, e.g. renunciation, death of executor, etc.)
Decedent w�as domiciled at death in C unty P nnsylvania, with
� last family or principal residenc at
(ist street, number,Twp.or Boro.)
Decedenc, thc �l yea �of ge, died � � , 19�_,
at
Except as follows, decedent did not marry,was ot 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:
Decedent at death ow•ned property with estimated values as follows:
(If domiciled in Pa.) All personal property $ G: G 4� �"
(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: � e ii1 �
WHEREFORE, petitioner(s) respectfully requES'TAMENTARYe of the last will and codicil(s)
presented herewith and the grant of letters T
(testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND � S3
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 elief of petitioner s and that as personal represen-
tative(s) of the above decedent petitioner(s) ill well a truly a in' the estate accordi g to law.
Sworn to or affirmed and subscribed rn
before me this 2 9TH day of ��
CH 19 8�' / , - A
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AR . _LEWI Register `
1 � ---. � �i -- � -� `w`::��
NO. 21 - 88 - 245
Estate of JOHN A. LINDER , Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW �RCH 2 9 , 19 g 8
, 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 AUGUST 17 , 1984
described therein be admitted to probate and filed of record as the last will of
JOHN A. LINDER ;
and Letters TESTAMENTARY
are hereby granted to PATRICIA L. MIDDLEKAUFF
WILL BOOK #106
� ' �
PAGE 7 5 5 ETC. Register of ills
NiF�RY C. LEWI5
FEES
Probate, Letters, Etc. . . . . . . . . . $ 2 5 . 0 0 ,�.,,,�„_ �y �.c.� �.,.
Short Certificates( �) . . . . . . . . . . $ 14. 00 ATTORNEY(Sup. Ct. I.D. o.)
���n nciation . . . . . . . . . . . . . . . . $ 3-t'"Z $, S' ' �.�./�
��ages �0- ��f'
$ ,- - �''DDRESS �
TOTAL $ 4 3. 0 0 '�✓�' �A � 7�s�
Filed . . . MARCH, 2�,,, , 1�8,$, , , . , , . , , , .
YHONE ��T ��p�3
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Mailed letters to Executrix on 3-29-88 .
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WARIVEt��: �# 's� i61e€�aR fa �cs�;i� �s<.tr� ��-��.__: �.�s�� k�j� �a�stst�,sc�t or plht�t�igr�g.-:�.
1'« fur rlii�� cei�i'icutr �? tii� ,s' ����h >�' �ry
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COMMONWEALTH OF PENNSYLVANIA
` DEPAHTMEN7 OF HEALTH
i VITAL RECORDS
f � CERTIFICATE OF DEATH
I (COfUOBP) STATE FILE NO.
� Name of decedant (First) (Middle) (Listl Sex Date of death(Mo.,Day,Yr.)
�. John A Linder �Iale 303-21-88
� Race—(e.g.,Whita,Black, Age last birth• If under 1 yr. If under 1 day Data ot bitth,Mo�Day,Yr State or foreign country of County of birth City,Bow,or Twp.of birth
� American Indian,etc.) day 81 Mos. � Days Hours � M�n. �1-1 S—O� birth N e W Y O r B r o o k 1 y n
4. 5A. 58. 5C. 6El 6C. 60.
County of death City,Bora,o Twp. f death Hospital or Institution(If not e�ither,give address) ' If hosp.or inst.indicate DOA,
OP/ER,or inpatient 15pecity) �
CAmberland �Bast Pennsboro �� 8 College Hill Road, Enola �p
Dacedent's Mpiling Addreu(Stroet or Rf�No.) (City or Town) (Sbtd (2ip I;ode) Marltal Statut Surviving Spousa(lf wife,yiw maidan ruime)
8 8 College Hill Rd'. Enola Pa . 17025 s.Widower �o.
Citizen of what countryi Was decedent ever in U.S.Armed ForcasT Social Security Number Usual Uccupation(Kind of work done during most Kind of business or i�dustry
$'� of workin9 life)
U. S . A. f•�FYes ❑No � 93-24— l8S2 Post Master Postal Service
� 11. 12. 13. � . 14A. 148.
Where did
� decedent �`'��State P a . Did clecedent live 15c. Ye;,decedent lived in township.
xtually live� 756.County C umb e r 1 a n d s�a t�v:n�r�ar S`xS.� No,decedent lived within xtual limits oi E n o 1 a city o�iwru.
15.
Father's name (First) (Middlel (Lasti Mmher's maiden name (First) (Middle) (Last)
16• Geo ,�. _ Veronica Guelich
In/ormant's name(Type or Priot) InformanYs (Street or RPD No.) (City ur Town) (State) IZip Code)
teA Patricia L . Middlekauf �88ingaddress � 91 16 Cocanut Rd . S . E . Fort M ers Fla. 33912
�8urial �Removal Date of burial,etc. Name of cemetery or crematory � Locatiun (City,boro,twp.) (Statal
19A.QCremation []o�ne� �se. 3/25/88 �� St . John, s Church Cemete y§o. Hampton Twp . Pa .
Signature of funeral director d licdn umber � NamN ar.d address of funeral enablishment
� ��J ,j2y�, FD— t7�' ,� <'. —�[' Richardson Funeral Home
Zo'°. 29 S . Enola Dr .
Re9istr Signature ' v Date receiv by reg ir
� J�'f ��,�,Q�,�/�» / � / , �r����'� E n o 1 a P a . 1 7 0 2 5 _
21A. ' 211�. 208.
�` On the basis of examination a I,�or' es' ' my , i ' n,death occurred at the time,
$ � date and place and due j e use st ed.
�Eg
g,� Signature
E w7� 23A.arxl tit� ' QN.
��Yp Date Signed�Mo.,Day, r.) Hour of . ' ' . '7
°°f 03-23-88 °ee`n i�L�L.L A.M.
�.° 238. 23C. P.M.
�„ me and Addreu of Cartitier Physician,Nbdial Examiner or Coroner)(Print or Typo) , Name of Attending Physician
I��chael L. Norris, 405 Fairwa Dr. , Mechanicsburg, Pa. ze.
z8• IMMEDIATE CAUSE: Enter only one cause par line for(A)(B)and((:) I Interval between onset a�d death
�n� Presumed Natural Causes • ' ;
Dw to,or as s consequence of: �Interval between onset and death
PART �
I 181
Dw to,or as�consaquence of: 'Interval between onset ard death
I
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'ApT�� Other Si�Hiunt Conditbnc—Conditiom contributiny to death but not related to cauu given in Part 1(a) Autppsy Wu c�se nferred to Madiul Ex-
�Yes +�^�nu or Coron�rT
47. �No 28. �]Yes ❑No
cc., ic . m.. �t.a Oat�of Injury IMo..Day,Yr.) Hour of A.M. D��crib�how in�ury uewrrM: '
Pendinp Inv�stipation(Spec'rfY) InJury P.M.
son. NATURAL �oB• ��• ��. •
n ury�t wo aa o n ury onw, arm,ctn�t,Kc. c�t on rot or o. ty, ro,or wp. Ut�
�]No ❑Y�� 20l�, 700.
1ot, ��.,.. �.
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i�ST z{,'ILL O.i JO�t �.. I,IN���°
I, JO�iN A. L]N??E�t, of thP Tc�'wrrt�hip of F�.�� Penrlsboro s Count� of
Cumberland, State of Pennaylvani�, beix� 3.n good bodily he�,lth and o�' sound
and dispoaing m3.nd and me�cory and not a.e�in� u�ldgr duress, mesace, fraud,
or ux�,due in.f'].uence oF an,,v person whamso�vex, merely ca].lis�.g ta mi.xtd the
fz�a,ilty of' Yhuman life, and being desirous cf dlspo�� af �y warldly �ooc�e
w�s.i.lo � have the strerr�th and. capac3ity sa to do, I do make, p�zblisY� and
dPelare thi$ � T AST I�ILL and `{STAP'lE�N�.'. I hereby �evoke� eancel e�id annul
' all �r f'o�ner tr�ills and Tsstaments, including codicil� thereto, by me �.t
, �.ny time macle, dac3axe th�.s alone to be my .LAS'� �JILL ancl TESTAM�fiTT.
.F.S TO .`�UC�3 :�ST�.TE �.S :�T �.S YI�'ASET� G0� Tt3 4.NTRUST ME t�dl'.I� IN
THS� �,T.�;, �. DISPflSF Q�' '.P� SAT�'[� AS FCLZ,C?`rUS, VI�';c
I�! 1. I dir�et t��at �,y executor�s �ereinafter na�med patiy nnd
disah�r�e all of � �ust d.ebts, funer�.l r�nd t�stamen�a.ry ex:pens�s.
ITFP� 2. I orc?er and direct th:�t I be b�axied in �. Io v whi�k� I
' own si�iz�.te at St, John's Cc�eetery, Ham�den Tawnship, �'erm�ylv�ni�.. �
�.leo order and direct that Jack ttichax�.son �'unera..2. ?�ome ].�.nd1e my buriaZ.
I�. All the rest, reaid.ue an�. xsmai�r.d�r af a�}r ent�,re
e�tate, whereeoE;vex situate, an.d whatsoever it may can�i�t af, I give,
devise and bec;ueath, ak�solutely and in �ee to my dearly� belc�ved Taughters
PATRICIA L. I�IIDD7.,FK�.T�', p�r etirpes.
IT�M . T no�inate a.nd appoint PATRIC�.F L. N�I1?UT��.UFF as
r�ecutrix of this my L€zst �rill and T�stament�
IT�fi'I . I ciirect that m�r �eroonal represertative�s, a.� well as �
' their suceessors, shall nct be recuix�ed ta �ive bvnd fa.r the faithf'u.7.
, perfozman�ce of their duties �.n az�y �uxisdictione
J:11fE5 �15. BACH �.
ATTORNEY AND
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COUPISELOR A1" LAW �� � '
107 ST.JONN'S ' p,r �}y' - �� �
CFIURCH RD. 4 , '���. l:�� .)� ! � '
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CAMP HILL. PA. 17011 :� Y. �,.,.,�..'.�i -��•...�117.L1F-111 �I
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TEL. (717) 737-2033 i
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3, ,TOfIN A. LINT��R, Tes�.tpr, whose na�me is signed to the
attached Gr foxegoing irs�txumEnt, h�.ving be�n duly c�ua.lifierZ according �to
the law, �o hereby ack-nowlec�.�e that I �i�.ed aasd execu+ec� the in�trument
as my I,aat :�Ti11; tha.t I signe� it w311in�ly; and that I Bi�aed it �,� �
f ree anc� volunta.ry act fcr thb pu1-�as�s therein e:.�presse�.
Sworn �t.ad affirsed �o and �..cc�o�ledged befor� me by JU�llv' A. Z:1�tS)uR,,
ths Te�ta�ar, thia �,�da,y oy ,�„�„�,,r,,., , 19$�.
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?totary Publie ;; J,r,.
, ' :#`�1� ���� Comnission �ires: ,,r<` ..- , ,
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'I'Yie preceding �i��trument consistin� of th�.s an.d one (1) cther
�;�ewri�tten pa.�e, each iderxtifi�d by the �ignature of' the Te�tator was
on -ch� clate therenf' si�.�G �.nd publishc�d and deelared �y JOHIr' A. LINDER,
the Testator thereiri named as ancl for th�.s, his La.st �1i11 azu2 Teatament,
in our pxesence of �ach �ther, have h�r.eur..ta su�scribEd our r�ea as
wi`tne�s.
.�— �,� .�-�-�G.....�..
�:esi�.:i�; at 107 �t, John�s ��urc�i ;icad
f��r 0.?LL.L��
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G�-�,�il�., ��: �021
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�'esi�in� at �901 :�.�ar�et Street
,�ra�n� r�:3ZI, �A 17011 �,�
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.1�:�zFs 1L. 13nc� �
ATTORNEY AND
COUNSELOR AT LAW �.
f07 ST.JONN'S ��
CHURCH RD. ��;
SUITE �'r 2 �.
�:AMP HILL. PA. 17011 � �'
TEL (717) 737-2033 �
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AF F I D p V I T
COMMONWPIALTH OF PENl�TSYLU��NIA )
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C OUNTY OF CIIMBERLAND � �
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�� JAMES M. BACH and LISA MARIE COYNE , ;
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the witnesses whose names are signed to the attached or foregoing instru�ent, j
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being duly qualified according to law, do depose and say tha.t we �aere present i
and saw �the Testa,tor�Testatrix sign and execute the instrument as his�her i
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Zast Will; that he�she signed willingly and that he�she executed it as his� i
her free and volu�ltary act for the purpose therein e�ressed; that each of
us in the hearing and sight of the Testatox�Testatrix signed the k'ill as f
witnesses; and that to the best of our knowledge the Testator�Testatrix was i
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at that time 18 or more years of age, of sound mind and under no constra.int j
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o r undue influence. I
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Sworn or affirmed to and subscribed to before me by I
m�- �1� �'�-�._ axid
wi esses, this ��day of � , 19 8�1 .
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a:�.-C_i.._.� � . �f�:�....c_ '
Notary Public„�!
My Commission �pires: ` fj„ ;�,
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JaxEs M. I3ACF[ i i
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AT70RNEY AND �I � �
COUNSELOR AT LAW I� ��
t07 ST. JOHN'S �� ((
CHURCH RD. I�, �
SUITE $k 2 �I �
CAM P HILL. PA. I7011 �� i
TEL (717) 737•2033 �i i
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19116 Coconut Rd. , SE
Fort Myers , FL 33912
� August l , 1988
Register of Wills
Cumberland County Courthouse
Carlisle , PA 17013
Gentlemen :
�l-��-- � `��
Ref : Estate of John A. Linder, SSN 193-24-1852,
deceased March 21 , 1988 .
I am attempting to conclude the above referenced es-
tate, but unfortunately have found it desirable to term-
inate the services of my attorney, Mr. James M. Bach, of
Mechanicsburg, PA. I am therefore writing to ask your
assistance so that I may proceed .
When I recently requested Mr. Bach to return to me
the copy of the Death Certificate which I had previously
furnished him, he replied that he had given the only copy
which he had to your office . I find this curious, inas-
much as when he brought me to the courthouse on March 23 ,
1988 , to be sworn in as Executrix and to apply for my
certificates, we did not at that time have any Death Cer-
tificates . I personally returned to your office on March
29 , 1988 , and furnished your personnel with a Death Certifi-
cate, at which time I requested and received two or three
Short Certificates . The rest of my certificates were sent
by you directly to me here in Florida . Since you already
had a Death Certificate furnished by me , I am wondering why
Mr . Bach would have had to furnish you another, and would
like to request whether you can confirm or deny that you did
in fact receive a Death Certificate from Mr . Bach at any time.
I would also like to request that you keep this inquiry
confidential , since my purpose at this time is merely to
ascertain that all of these valuable documents are accounted
for.
Would you also please send me the necessary form(s ) for
filing the Pennsylvania lnheritance Tax Return, and if there
are any printed instructions for its completion, I will need
those also . I would particularly like to know how Line B. 1
of Schedule H, Personal Representative Commissions , is to be
computed .
Thank you in advance for your valuable assistance .
incerely, "��
' / , '�/ -�'��k��-�-I�� �/
� L���t``„�
P�cia L. Middlekauff
Executrix ' .,�
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REv��Soo EX+ (2-8�� FILE NUNlBER
. � � INHERITANCE TAX RETURN
�� RESIDENT DECEDENT ��_ �'rg_� c���"
COMMONWEALTH OF PENNSYLVANIA (TO BE FILED IN DUPLICATE
DEPARTMENTOFREVENUE N/�TH REGISTER OF WILLS
POST OFFICE BOX 8327
H,4RRiSBURG,P,4 171o5-83v COUNTY CODE YEAR NUMBER
F DECEDENT'S NAME(LAST,FIRST,AND MIDD�E INITI L) DECEDENT'S COMPLETE ADDRESS
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�lV���C �JvHN ' \1 � f��d.���:�� ( 1 ��.� •
W SOCIAL SECURITY NUMBER D TE OF DEATH DATE OF BIRTH ���Q� e ' D A f � (���
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� 1 `�4-'� � I" � (��7� �'"C:x � '' -4 �� i ' �j 1 C��� CountY , C/ � l� f� N�
� l. Original Return ❑ 2. Supplemental Return ❑ 3. Remainder Return
Y av� (for dates of death prior to 12-13-82)
WacYJ ❑ 4. Limited Estate ❑ 4a. Future Interest Compromise ❑ 5. Federal Estate Tax
v�� (for dates of death after 12-12-82) Return Re quired
a00 ❑ 6. Decedent Died Testate ❑ 7. Decedent Maintained a Living Trust _8. Total Number of Safe Deposit Boxes
Q (Attach copy of Will) (Attach copy of Trust)
ALL�QRR��P�1�IQENC�1��IQ���I�ICi�N�l�1.TI�JC�I�lFC}R�±tA'f��}l�!'SHC�UI:Lt$� t���E�'��Lt'�Cl: .
N Z NAME _ / COMPLETE MAILING ADDRESS
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Q � TELEPHONE NUMBER
u ,. �� �T �� � 2S � r(�l- ��`� 1 �--
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l. Real Estate (Schedule A) ( 1) �- _, - �'
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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. Cash, Bank Deposits&Miscellaneous Personal Property( 5) �����' ^Y'�
ZO (Schedule E) � �
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Q 6. Jointly Owned Property (Schedule F) � 6) _ �� `"t ��' /
F 7. Transfers (Schedule G) (Schedule L) ( 7) �
a 8. Total Gross Assets (total lines 1-7) ( 8) �� �t`Y • �� _
W 9. Funeral Expenses, Administrative Costs, Miscellaneous ( 9) �� �� � '�_
� Expenses (Schedule H)
-r
10. Debts, Mortgage Liabilities, Liens (Schedule I) (10) �� ��' w �
1 1. Total Deductions (total lines 9 & 10) (1 1� � �� l- � � ___
---�--
12. Net Value of Estate (line 8 minus line 11) (12)
13. Charitable and Governmental Bequests (Schedule J) (13)
14. Net Value Subject to Tax (line 12 minus line 13) (14) ' ���O • l��
15. Amount of line 14 taxable at 6% rate (15) � t 1 ��o • ls Q X .06 = 1 ��• � CJ _ ___
(Include values from Schedule K or Schedule M.)
16. Amount of line 14 taxable at 15% rate (16) x .15 = _ __
Z {Include values from Schedule K or Schedule M.)
� 17. Principal tax due(Add tax from line 15 and from line 16.) (17)
�
� 18. Credits Prior Payments Discount Interest
� + - ��81 ---
O 19. If line 18 is greater than line 17, enter the difference on line 19. This is the OVERPAYMENT. (19)
X ��
� 20. If line 17 is greater than line 18, enter the difference on line 20. This is the TAX DUE. (20)
A.Enter the interest on the balance due on line 20A. (20A)
B. Enter the total of line 20 and 20A on line 20B. This is the BALANCE DUE. (20B) � • � �J
Make Check Payable to: Register of Wills, Agent
■►�SE SU��Tf��A�I��Af�l��LL t�U�7'I�I����T��f��������►NI�'C� RE�HE�K�/�TH�M.(�w
_
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, correct and complete. I declare that all real estate has been reported at true market value. Declaration of preparer other than the personal representative is
se o I information f w i reparer has any knowledge.
S ATU PERSON RES N IBL OR FILING ETURN A RESS ( � DATE
, I /! � ;_.,la _�Nv; � -� v -- , �
,• /,,cl,q . � ',c" c� ,i , �- ,Q � ���" c�: � r
SIGNATURE OF PREPARER OTHER THAN REPRE ATIV DRESS DATE
✓
� i
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (,�) IN THE
APPROPRIATE BLOCKS.
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,
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, 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 �
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 MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
� REV-1508EX+ �2-87) SCHEDULE E
CASH, BANK DEPOSITS AND
COMMONWEALTH OF PENNSYLVANIA MISCELLANEOUS
INHRE ID NTED CEDENTRN PERSONAL PROPERTV Please Print or Type
ESTATE Of : FILE NUMBER
`;r.� N l�.� �. `r.. 11',� � � �'�
(All property jointly-owned with the Right of Survivorship must be disclosed on Schedule F)
ITEM DESCRIPTION VALUE AT
NUMBER DATE OF DEATH
, �
�'' , �^,'�;',�` t�.,f� ! � `;� �f�lU G.~ �`���� r� •
� J• � � X � ��' �
'-�,;�i� (�?6�,t `:� �� f� � �� ! ,' i � �
i
�\%1 �" ` \ �� "f 11�-1 ;-` �`�'..,�C� •—IT `�_ � �� '`�"� � "� �• � �`
�'"�, ..�� (`� t�� �` �C�"'�J
TOTAL (Also enter on line 5, Recapitulation) $ �`�. � ' '", ��
(Attach additional 8Yz" x 11" sheets if more space is needed.)
REV•15C9 EX+ (7-�j3)
f
COMMONWEALTH Of�ENNSYLVANIA SCHEDULE ��F��
INHERITANCE TAX RETURN
RES�DENT DECEDENT �OINTlY-OWNED PROPERTY
ESTATE OF FILE NUMBER
-- � t��`I t� �' h. i !`�1;�� f�
Joint tenont(s):
NAME ADDRESS RELATIONSHIP TO DECEDENT
n:�i��k��tA �. ������'f,AV�= I�I t� (�o�o►� �.,; S� �-. _�.
� ,�(�rv v i,.. H � 2.
��-�t�.-r �l�����, fi� ��t I�,.
B.
c.
Join4ly-own�d prop�rty:
LETTER
ITEM FOR DATE TOTAL VALUE DECD'S DOLLAR VALUE OF
NUM�E ,IOINT MADE DESCRIPTION OF PROPERTY
TENANT JOINT OF ASSET °r6 INT. DECEDEMT'S IN7TEREST
1. -� �0�6� L'���l�ti/�J �'l�r IYl 1J C9. CC"j". �o�� �r��. ��' Cv' � �j� (� �C'�''. (,�`�
/
-�r�ca:a 3(�.`��J'`�.�1
TOTAL (Also enter on li�e 6, Recapitulation) $ � ��? � �
(If more space is needed insert additional sheets of same size)
�REV-1511 EX+�8-66�� SCHEDULE H
���`'�.� FUNERAL EXPENSES,
��`��� ADMINISTRATIVE COSTS AND
COMMONWEALTH OF PENNSYLVANIA
INHERITANGE TAX RETURN MISCELLANEOUS EXPENSES
RESIDENT DECEDENT Please Print or Type
ESTATE OF FILE NUMBER
J�� N!•� �� � I � ��.R.
ITEM DESCRIPTION AMOUNT
NUMBER
A. Funeral Expenses:
�. i�,filAR��vN ��,ERa�. �om�. �� 3�z�. ao
�rvv�A� 1 �
B. Administrative Costs:
1. Personal Representative Commissions
Social Security Number of Personal Representative: �t Dl� �Si�F_N'"(" �) O�U' �O
r
Year Commissions paid � '1� 6
2. Attorney Fees � a�' � U
3. Family Exemption
Claimant Relationship
Address of Claimant at decedent's death
Street Address
City State Zip Code
4. Probate Fees
� �• 0tJ
C. Miscellaneous Expenses:
�-, /�
�- �l�l2CaC N ��r��-� E'N�3C RCsE./�. �(Atr�in,cg.l� �r.�E�e1�i.l:xEAl•�up � � ��(a � c�c�
c�, . (� W�� (�olY�E ..�m j'2o:�� @�E ���� �NA ��. ie.As�� �i'dc� C�c�
3 �dNy J'��r�t�E� ��',..�cRnr. �%�'AN�N� � I75�. c�J
�DS j AG� , L��rc, �7'A Tle���� �._�u���.a�� a�� ��
� '
�'kP� rJSES � �k�� v�" 6c'�k' :
S`.
A. US�� R �1c���, �R� (rl��res. �� -�a �Ie�. � A I �i � ov
$, ��mm� � �a �,� �� A�.� 7Y ..i. � ►� �ac�� t� c�
` A�� �������� �A� �-� �o�� �.�
t�, �/�S?�kA al�, l'Kr?j `�`�eB�S.�� ?a T'�GZt �l�C�ie.S. �� o`�.� � • ��.�
TOTAL (Also enter on line 9, Recapitulation) $ ���a`�C.� � q
(If more space is needed, insert additional sheets of same size)
REY-l512�EX+ (7.g'3)
COMMONWEALTH OF PENNSYLVANIA SCHEDULE "I"
INHERITANCE TAX RETURN DEBTS OF DECEDENT,
RESIDENT DECEDENT MORTGAGE LIABILITIES, AND LIENS
ESTATE OF FILE NUMBER
�r..)t!�i�.� ��, �; r� ��C I�
ITEM
NUMBER DESCR IPTION AMOUNT
,_....
,. �,'N��c r�. ��i� � . ��",���� �3 ,�,� ) r�? c�� c�3
�
� . �,�€�:%r, r �e.��.�n�-r E��7'�:fz �C'MRR{+�: �.A�.� ��A��,��F- � ��U � 1
�" �-:>>
.� • `�� � C, �!�. b � �3 R/�N � \ �l�IG«��H l� c= n_f�,� �' �9 - O C�
�-
e`�. . f� <.� f'� ��. �A�P�..,c.r f°..�:�� � ��„. ��(,.
_. _,
v�_ �� `� �' � �1/�.�A t- �a 1 i,�.. � ,.
Y "� �` ��f �?�(
� � r---. � __ . �..
�-- + ,
i � ti / � �
�r� . �E'1(( l,fr,�1.��:. ..L�°'1 v �,�y t ��,a� Y.,� �f�{- �1J f-y C�. � ' "" (I
�..�.r�f�k/e n�' �T=1� N v� �Rv r��- C!`�t�� T"G c F�R A�.��8 x� � �``Z � (.?<�
;,
...
:
_
�. .l r� \ ,
� • �IQ• d1�� ��T' � � �l� t�C; 1_:�y�� j '�j:S' '�' �5�t .1 �- � L"�'^'cy�.
''_ �p / p„ � <� '-^
(; / � � �A. � i ! ..�� �.,,^l�� (1,. 4_ � 1
�( . �L:�.:.% /`�%t-.. � �
� ii�
.�
; � ,
��"N r�. � (� �!�{ i e,� � ;�.���` ' � �..� �� t.�r� �. ;"� ��� c,y r�. ;� i
TOTAL (Also enter on line 10, Recapitulation) $ � „�j���. ��.,
(If more space is needed insert additionai sheets of same size)
�.._..:.,_...._...,,_.., , .�,_..,�,.�.-.�...��._._.z.�.._._.._...�.�.._._......,...._-__:.�,.�,.::._..^... A..�.� ,___.�...._._ ---
0 No. ����`��� ��onnnnon�uv�a�.�H o� �En�n�s�r�.vaN�a M ��
��PARTMENT OF REV�NUE �`° �`
Rev.arv7 ex f�2.aa� f�F�ICIAL RECEIPT # PENN�YLYAItiIlA INhlE�ITANCE�:ND ESTAI'E''TAX
ACN
RECEIVED FROM: ASSESSMENT AMOUNT
CONTROL �
NUMBER
10�. ��.� S 5n
Pr�tr3.ca.� �.. M�.ddlek�u��
19:�.�.6 C�aec�taut Rd. � �.E.
�tt. 30
Fcart M��rs, F:l�rici� 33��2
- FOLD HERE
FOLD HERE-
ESTATE INFORMATION:
� FILE NUMBER
��.^W��'����
� NAME OF DECEDENT (LAST) (FIRST) (MI)
I.,�.flt"���' J��lY'2 A
� DATE OF PAYMENT
Laecc�mbeer �9 1988
� POSTMARK DATE
c�mb�r �.4 �.
COUNTY
DATE OF DEATH
����h � R 1"��� � TOTAL AMOUNT PAID _��„�$_,_¢,jQ____
REMARKS
SEAL ; r �, ,.,
RECEIVED BY _ ' ` r.�,;�'
-yL-���l ATURE � , �
�.. �
REGISTER OF WILLS
_..__._ ____. ._..._ .._......_..__._ _._._ - ___. �._._.._._._ __._ ._._ �.___._.__._.� ,.._,� _ _..._,� r ____r-,�.,,_..,...�.. ._......_._r._
REGI3TER OF WILL3 OF COMBERLAND COUNTY �
REPORT OF 3TATUS OF ADMIAlI3TRATION
(For Resident Decedents Dying After July 1, 1984)
ESTATE NO. 21-��-c,�` '�:::s
Name of Decedent: �b {�!�J '� � i 1J��E �
Social Security Account No.: � �Z �� -a�- " ����.
Date of Death: : �-ca- f - ��
r"`'-.� ,
Name of Personal Representative(s): �`��LlTr�t��r � ;�. �� �t ,�� �.c���'f,'r�ri�`� ((�'!�� �
� r11 ECa `�o�:. �� 'v7 f"�' : ��
i!�47 �t"1 F �`� �< ���f J o:.
�
Capacity Executor \ _ Administrator c.t.a.
(check one) Administrator Administrator d.b.n.
Is the administration of the estate complete? Yes �_ No
If "yes", how was the administration ended? (check one)
By court accounting
By account stated to parties in interest }�
Did the parties release the �j1�=�` ('�F�S����Pt_ ��P�.�:S�►���A?r vE�
personal representative? x i � Sf�f�� rlE�!� -
Other (explain)
Total amount paid to date to creditors and for funeral and $ �: �i ��i•S�-
administrative expense
Total value of distributions to date to beneficiaries S �� .�a C�
if administration is not complete, estimated value of assets $
still in administration -
NOTE: This status report is due no later than the due date fur filing the Pennsylvania
Inheritance Taz Return or, if no Inheritance Tag Return is required. nine (9) months
after the date of death; if the administration of the estate has not been coneluded,
a summary �eport shall be filed snnually thereafter until the administration is complete.
I certify under penalty of perjury that the foregoing info 'on is correct to the
best of my knowledge, information and bel►e .
. 19 0' � ' �',
Date•_ U�N • P C� , _�
, Personal Represen v
� �4-t�t�arnep'-�€o .
'lT�is report must be signed by the personal representative, or one of them when more
than one. or by counsel for the estate.
/:�
" •,
REV-154;` EX (12-88)
COMMONWEALTH OF PENNSYLVANIA '�� '�� NOTICE OF INHERITQNCE TAX
DEPARTMENT OF REVENUE �l APPRAISEMENT, ALLOWANCE OR DISALLOWANCE ACN 101
BUREAU OF INDIVIDUAL TAXES „
DEPT. 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX
HARRISBURG, PA nize-osoi , � DATE 3- 3- 9
ESTATE OF LINDER JOHN A FILE N0. 21 88-0245
DATE OF DEATH 03-21-88 COUNTY CUMBERLAND
NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX
PAYMENT TO THE REGISTER OF WILLS. MAKE CHECK PAYABLE TO "REGISTER OF WILLS, AGENT".
REMIT PAYMENT TO:
PATRICIA L MIDDLEKAUFF REGISTER OF WILLS
19116 COCONUT RD SE CUMBERLAND CO COURT HOUSE
FORT MYERS FL 33912 CARLISLE, PA 17013
Amount Remitted
CUT ALONG THIS LINE �' RETAIN LOWER PORTION FOR YOUR RECORDS �'!�
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
�m- - �- - -��- - - - -
REV-1547 EX (12-88) �z, m�
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTION�y�ID ASy�ESSM�T-�OF TAX
��
ESTATE OF LINDER JOHN A FILE N0.21 88-0245 ACN 101r'� �ATE �,}�-13-89
z p� �,,a ��,
TAX RETURN WAS: t ) ACCEPTED AS FILED (X ) CHANGED - SEE AsFY'i�CHED NOTIL��^
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE cs=' "� "' e�
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN � �� � --"r
1. Real Estate (Schedule A) ( U .06� �" l�j'! ��
2. Stocks and Bonds lSchedule B3 ( 2) .00
3. Closely Held Stock/Partnership Interest (Schedule C) ( 3) .00
4. Mortgages/Notes Receivable lSchedule D) ( 4) .00
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) ( 5) 4,345.43
6. Jointly Owned Property (Schedule F) ( 6) 6,498.69
7. Transfers (Schedule G) ( 7) .00
8. Total Assets t 8) 10,844.12
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral ExpenseslAdministrative Costs/Miscellaneous
Expenses (Schedule H) ( 9) 6,496.46
10. Debts/Mortgage Liabilities/Liens (Schedule i) (10) 1,588.33
1 1. Total Deductions (1 1) 8,084.79
12. Net Value of Tax Return (12) 2,759.33
13. Charitable/Governmental Bequests (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) 2,759.33
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16 and 17 will
reflect figures that include the totat of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of line 14 taxable at 6% rate (15) 2,759.33 X.06= 165.56
16. Amount of line 14 taxable at 15% rate !16) .00 X.15= .00
17. Principal Tax Due (17) 165.56
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT t+) AMOUNT PAID
DATE NUMBER INTEREST (-)
12-14-88 402264 .00 118.60
INTEREST IS CHARGED FROM 12-22-88 TO 03-28-89 70TAL TAX CREDIT 11 .
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 46.96
REVERSE SIDE OF THIS FORM.* INTEREST 1.37
* IF PAID AFTER THIS DATE SEE REVERSE FOR CALCULATION TOTAL DUE 48.33
OF ADDITIONAL INTEREST
(IF BALANCE DUE IS LESS THAN S 1 OR IS REFLECTED AS A "CREDIT" (CR), NO PAYMENT iS REQUIRED)
REV-1470FX�6-88) N :x� � INHERITANCE TAX
COMMONWEALTH OF PENNSYLVANIA EXPLANATION
BUREAU OF IND VIDUAL TAXES OF CHANGES
DEPT. 280601
HARRISBURG, PA 17128-0601
DECEDENT'S NAME FILE NUMBER
� J�'�� �Q. T,�n�ler 22�33_��'?<�S
ACN
t�;�
SCHEDULE N� EXPLANATION OF CHANGES I
�� >-1 "t'"�¢� ���;�ac�ion ��r p�rso�a_1 r.�nresenC�tive cc�;.,e�?i��zc�ns t�ave bee� r�:3ucec'
�'' _;s=�,�.rt J��?�.��?_te S?�?.'7_' ��'_ inf�r�at7:�n T7�� ,��t�r�ztt`er� r..� inrt�i:�a�f �i�e
=�s�rtan�2 fzr extr�or.d�nar�� ser�.ric€��.
_
,
,
_
,
!,
I
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,
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I
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TAX EXAMINER: ���7°ra�; �'�sx�z��to� __ __ PAGE
�^...T^___. —--.-- __-_- - -----
----- ---- _-------- -
� ___
��tt�.��`'�`� ���iit' ���I���'�#'�#LTH +�'�� R��11��`i-1�'1V1��dl�
����►�����r a'� ���r���t�
���.,;6��x��x.s�i C1���G1�►►L I�E�E�PT' +� !'EW�+FSYL'U'A�IIA iI�F1��ETAt�IC�l�tt�1�3:��T#�'E 1`�k�C :
ACN
RECEIVED FROM: � ASSESSMENT �
CONTROL ' AMOUNT
NUMBER
P�'���.cia L. P9idd�el������ ��� ���. =��
I.�1�.�.6 �"c�c�nu� R�i�d, �.F.
�� 4 M�rt�.�s, Fl�ari.d�. �i3��?
-�_ FOLD HERE
FOLD HERE
ESTATE INFORMATION:
� FILE NUMBER '
��.�—���'���J
� NAME OF DECEDENT (LAST) (FIRST) (M1)
f.ia�de� ���hn �,.
� DATE OF PAYMENT
���.�.� �� ?���
� POSTMARK DATE
�Et�C'Xt ��., ��'��
COUNTY
Curnibc�r a,and
DATE OF DEATH
Nlc��Ch 23.. L9$F� � TOTALAMOUNTPAID �'��• ��
REMARKS —
SEAL j�,, :
RECEIVED BY �'�� '� '`�:'-'t C--' �'.:r '_ `7:�:��,
- � ` �IGNATURE
�`�"�.�.�i��������"�����.�:� ..
--�-��.._..�.�.-----��r.`.�_�_._�"__.�.�..�.��_.��
`
REV-1547 EX (12-88)
COMMONWea�rH oF PENNSVLVANIA � �� ��� NOTICE OF INHERITANCE TAX
DEPARTMENT oF REVENUE �� � �� APPRAISEMENT, ALLOWANCE OR DISAI.LOWANCE ACN 101
BUREAU OF INDIVIDUAI TAXES r „
DEPT. 280601 OF DEDUC7IONS, AND ASSESSMENT OF TAX
HARRISBURG, PP 17128-0601 DATE 03-13-89
ESTATE OF LINDER JOHN A FILE N0. 21 88-0245
DATE OF DEATH 03-21-88 CdUNTY CUMBERLAND
NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS NOTICE WITH YOUR TAX
PAYMENT TO THE REGISTER OF WILLS. MAKE CHECK PAYABLE TQ "REGISTER OF WILLS, AGENT".
REMIT PAYMENT TO:
PATRICIA L MIDDLEKAUFF REGISTER OF WILLS
� 19116 COCONUT RD SE CUMBERLAND CO COURT HOUSE
FORT MYERS FL 33912 CARLISLE, PA 17013
Amount Remitted
. � �� .�
CUT ALONG THIS LINE � RETAIN LOWER PORTION FOR YOUR RECORDS "'�
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
,
r.
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REV-1B07 EX (12-88) �y
COMMONWEALTH OF PENNSVLVANIA `` �����' �, ACN
DEPARTMENT OF REVENUE � INHERITANCE TAX ZOZ
BUREAU OF INDIVIDUAL TAXES
y �
DEPT. 260601 � � -"� STATEMENT OF ACCOUNT
HPRRISBURG, PA 17128-0601 DATE
04-24-89
ESTATE OF LINDER JOHN A FILE N0. 21 88-0245
DATE OF DEATH 03-21-88 COUNTY CUMBERLAND
NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS FORM WITH YOUR TAX PAYMENT
TO THE ADDRESS SHOWN. MAKE CHECK PAYABLE AND REMIT PAYMENT T0: �
PATRICIA L MIDDLEKAUFF REGISTER OF WILLS
19116 COCONUT RD SE CUMBERLAND CO COURT HOUSE
FORT MYERS FL 33912 CARLISLE, PA 17013
Amount Remitted
CUT ALONG THIS LINE � RETAIN LOWER PORTION FOR YOUR FILES �
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
REV-1607 EX (12-88) ** INHERITANCE TAX STATEMENT OF ACCOUNT **
ESTATE OF LINDER JOHN A FILE N0. 21 88-0245 ACN 101 DATE04-24-89
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. SHOWN
BELOW IS A SUMMARY OF THE PRINCIPAL TAX DUE, THE APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND,
IF APPLICABLE, A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 03-06-89
PRINCIPALTAX DUE:................................................................................................................................................... 165.56
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT �ISCOUNT + AMOUNT PAID
DATE NUMBER INTEREST (-)
12-14-88 402264 .00 118.60
03-31-89 441272 1.41- 48.33
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INTEREST IS CHARGED FROM 04-01-89 TO 05-09-89 TOTAL TAX CREDITS 165.52
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM.* BALANCE OF TAX DUE .04
INTEREST .00
TOTAL DUE .04
* IF PAID AFTER THIS DATE SEE REVERSE SIDE FOR CALCULATION OF ADDITIONAL INTEREST
(IF BALANCE DUE IS LESS THAN $1 OR IS REFLECTED AS A "CREDIT" {CR), NO PAYMENT IS REQUIRED)
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