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Home My WebLink About88-0253 _ !� PETITION FOR PROBATE and GRANT OF LETTERS Estate of ��'a a-b�`E-4 ��y` Fr`c��'C No. c��J�� —o?S 3 also known as To: Register of Wills for the Deceased. County of CUMBERLAND in the Social Security No. � � a— 3� - :�S'/ 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�'? x named in the last will of the above decedent, dated �' oS�� , � , 19 �' and codicil(s) dated (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decedent w�as domiciled at death in ��K�jr�.� 1�,�. County, Pennsylvania, with h last family or principal residence at �i �C.4 � C.e� (. t �G � — t°�/s��P• (list�street,number,Twp. or Bor . Decedent, thcn �3 years of age died '� , 19�, at 6L`/ L��,e�- �oc/J� ��-[� , � �`LL �' /?a!/ , Except as follows, decedent did not marry,was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a kiliing and was never adjudicated incompetent: Decedent at death ow•ned property with estimated values as follows: „ (If domiciled in Pa.) All personal property $ �� 3�� f (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: /G�6 .tf G WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters TESTAMENTARY (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. v � c o N - a.J JL.(.J n/ ,�� tid��a. U��e r�. 'i �.o F2 ° �i%G� — � o �c� ' u: c, �f�� E707 �- , tA.nq N W �. 0 7 � Ci 00 � OATH OF PERSONAL REPRESENTATIVE COMMONWEA�TH OF PENNSY�VANIA � ss COUNTY OF u M�► ��e. ��+-�v 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 administer the estate according to law. Sworn to or affirmec] and subscribed �' _ �., before me this 4TH 19 8ay of �� 3 � � p R C. LE Register � i � � �� s � .��___��9 I _:�:�� NO. 21 — 88 — 253 Estate of ��%� �-b��i /l��.�� d�c•e� , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW ��' � � 19�, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) datecl_ 7 �e,o5�r�:��T1�'�j` described therein be admitted to probate and filed of record as the last will of ELIZABETH MARY FIDLER ; and Letters TESTAMENTARY are hereby granted to EDNA VERA TAYLOR L% WILL BOOK #106 �- PAGE 7 9 8 ETC. Register of ls MARY C. LEWIS FEES Probate, Letters, Etc. . . . . . . . . . $ 2 0 . 0 0 Short Certificates( � . . . . . . . . . . $ 2• �� ATTORNEY(Sup. Cc. I.D. No.) Renunciation . . . . . . . . . . . . . . . . $ $� ADDRESS TOTAL $ Filed . . A.R,��L: 4�. .19,8 8. . . . . . . . . . . . . . YHONE =�. �;�_ r,-; t_�.� � J Mailed letters to Executrix on 4—�-88 . ,_%,-� .�. r f.i . i?s i�ti [u tc�ii l�: i;�..� _��t� u�it,�rmar��ri hcie �,iG�.�_n ;; -_.;:��rri� r��c,�J `��a:t �in �.��k�ir, I �er[ih:_re u1 �{e<<tl�< <iul�, i!I� � .�,�iti? nic .�ti ��c,ii I.e,�is��:.i. ?�i�� .rr,�,inii� �_rrrific�i�e �v�il +,r� i<� .�ar�ic-c� �u �_iie �.° '�iis�l l�cx� i:i; (>it�z�e t�.,r ��e�n;iar��nt filir�� WARNING. I# is �Ilec�af to du�aiicaf.� thi� ��r�Y k�Y photc�stat or photogra�h. f'EC f�)i [�1(S Cf'Y!I�IC�iC('. ��.�)O ii�� P�� ,� PE'� !�l�..+ � z, ``1 e��•�'_ \� ' � � _.._.. f... 1 ._ n ��.��/� �i .- V�_ .__ ....__._._ ._. ._._ �,.�'��l = ..�� in-_i� �V��;'SUd�- , ^c�7 ��s� .iZ: 1.G�t a�^. I d`� t'`�\ �� d� � '�*' . .�� -; , 19 2 8 0 4 ��a,��.� ��,a��'''`\ � ��aa. __ _ -- _ M� o� �� MAR � �T---_. _ ___ V�). � \'\�i✓�i«/!//1DIAl� ..... .. .. .... ... .. . . ...._'...� j:-��_<< � � i COMMONWEALTM OF° PENNSVLVANIA � DEPARTMENT(�F HEALTH I VITAL REt:0I3DS i CERTIFICATE OF DEATH (Physici.an) �r;zs r;��c,. � - ----- ,� Name ot decedent �First) (Middle) (Lanl Sex Date of death(Mo..Day.Yr.l , E�.iza,beth M. Fidler ��e 3Maxch 2 1 Race--(e.g.,White,Black, Age last birth� If under i yr. If under 1 day Date of bnih,IAo,Day,Yr $tate:or bre�yn counrry o( County of buth City Boro,or Twp.of bhth A�e�w�p ndian,etc.l day Mos. 1 Days Houn � Min. �t.11 �� b��rSQO Yii�[1LL (+ 4.WI11�@ 5A. a 58. � � 5C.w � 6P` � 68. fiC. 6C1:`1'a'��W County of death City,Boro,o wp ol death Hosoital or Institution(If not eithei,yive addressl If hosp.or inst. indiote DOA. ,,,Cumber].a,nd �a�€l8� Periri9�010 �cH01 S 3s3.t H08 ita,l °o�ER�fnPa��ient:Pe��Yi Decedent's Mailing AAdress(Street or RFD No.) (Ciry or iown) (State) (Zip Code) Ma�ital StaWs 5urviving Spnuse(lf wife,give maiden namel e. 325 Wea1e I�ive. Meohanicsbur A 1�idowed ,o Crtizen ot what country? Was decedent ever in U.S.ArmeA Forces� Social Securiry Number � Usual Occupauon(Kind of woik done dunng most Kind of business or industry �Ves �No of wurking Ide) „U.s.A. 12 ,�025-36-3516 ,4,�Housewife y ,<e Home Wheredld �S�.Sute e�1�Y �' decedent Did decedent tive 15c� Yes,decedent I�ved in ,�g��" 11 ri towriship. actually hve? �5y.�unty Cumberland in a township? 15d.❑ No,Aecedent lived wrthin actual limrts ot uty or boro. 15. Fathe�'s name IFirsti (Middlel (Last) Mo�her's ma�den name �FirsU (Middlel lLast) � ,s R�bert Rus�el ,, Maxgaret Lealie � Intorman�'s name IType or Print) �ntormant's (Street or RFD No.l (City or Tuwn) (State) (Zip CoGel I Mading address � . ,BAEdna Y. Taylor ,ee. 1492 SimPson Ferry Rd,� ATew Cumberland P9 1 0 0 �Burisl �Removal Date ot burlal,etc. Name of cemetery oi crematory Locatinn ICity,boro tw (Statel ^ ,9A. pc�.m��,o� po�he� 19B ME�,x".26 1988 �s�to113.ng Green Memorial Pa.rk ,9�� 1en TWp.�Cumberland Ca.�PA Signa�ure ol funeral Airecror and license numb�� FD— �� 8 � Narr.e��pf�r1�ks{y�i��r�¢ryt�� ' ��„. ' /' ��.�`_ �Z��1-❑ tL AN t[1NtK � . 20A. /�' ,, Registra' Ignawre pate-ece veA by regittrar 324 Hummel Avenue � � �.y� � .� � �.. �• a� l '� .� aia,. 'y"•�,,r�G. ��.v'.a� . �-.`*' zit�.� •=Y ')',�.4`" zoe. !».d'�5sz�:;:�, `�l�i. e7��.� To the beit oi my knr,wledgr,death , ured at ihe Ume,date and plaa and due to � the causels)stated m� � 8 � M.D. Signa�ure ,3""u�/L or p i t 22A.and Utle �� r a � c O ��e Signed�Mo.,Day.Yr.{ Hour ol � ) �, Death �'A.M. aS: Z28. �`� � `� ��C. P.M. v Name and Ad ress o Ceruher(Ph s cian,Medical EKammer or Coronerl IPrint or T � y� ype) Name ot Attending Phyvcian 2a Donald J. Lowry, M.D., 425 North 21st Street, Camp Hill, PA zs. �6- IMMEDIATE CAUSE: Enter only one cause per line for�A1 IB)and(C) Irterval between onset and death 1 �A� G�,-��h� /_�vts��' � _ Due to,or as a consequence of. � . �� Interval between onut and death PART � I IBI y � y,j.s�'y-ry I Due to,or as a consequence ot Interval between onset and death I ICI 4�,;LL�✓M.r�rNV� li}�r n ! I PART�I O�her Signifiwnt Condflions–Condrtions contributing tu death but nol rela�eJ�o use given�.n P;n I(a) y�� `�"�!y �r.t Was case referred to Medical Ex� /� � � � 1� � ! � �� Ves aminer or Coroner? v � � </ Y,�y��"��,r�_�,�� No 28. ❑Yes ��'Ro , +-+- If Acc,$wcide,Hom.,Undet.or Date of In�ury(Nb.,Day,Yr.) Hour of A M Descnbe how i �ury occwred�. / Pending InvesGgaUon(Specity) Injury � 29A. 29B. 29C. — P.M. 2y0. njury at work Place o Injury At home,tarm,street,etc. Location Sveet o�RFD No.l� (City,Boro,or Twp.) IState) nNu ��J Ye� 29E 29F. 1`J4. � • – .S LAST WILL AND TESTAMENT � 0F ELIZABETH MARY FIDLER I , ELIZABETH MARY FIDLER, of the Citq of West Springfield , Massachusetts , do make this my last Will and Testament , revoking any and al l former wills by me at any time heretofore made . 1. I direct my Executor hereinafter named to pay my just debts and fu neral expenses as soon after mq decease as convenientlq may be , 2. If my husband , Herbert Heral Fidler , shall survive me for a period of thirty ( 30) daqs , I give , devise and bequeath my entire estate unto my said husband, absolutelq . 3 , In the event my husband , Herbert Heral Fidler , shall pre_ decease me or surviving me , shall die within a period of thirty (30) daqs following my decease , then as to anq asset of my estate not previously distributed to him, I dispose as follows: ( a) I give , devise and bequeath the entire residue of my estate in equal shares unto my two daughters , Edna Vera Taqlor , af the Bor�ugh of New Cumberland , Cumberland Countq , Pennsylvania , and Reitta Catherine Coleman , of the Township af Lower Allen , Cumberland Countq , Pennsylvania. (b) In the event that either of my said daughters shall predecease me , leaping issue , then I direct that the share of said daughter shall not lapse , but shall descend to such issue per stirpes and by representation , and not per capita. Should either of mq said two daughters predecease me without issue surviving , then I direct that the share of such daughter shall lapse and shall be paid to my surviving daughter , or in the event of her predeceasing me , to her child or children as aforesaid . 4 , I name , constitute and appoint my husband , HERBERT HERAL FIDLER , to be the Executor of this , my Will . In the event of his ( 1 ) , '..'�� death or inability to serve , I name , constitute and appoint mq daughter , EDNA VERA TAYLOR , to be the Executrix of this Will . IN WITNESS WHEREOF , I have hereunto set my hand and seal this ��z-c-n- `� day of September , A, D. 1959 , -�' I't _ -f-��-�.�L�-L1��,�,� 1C,�..�_��, �. ��.;�-/'� t C SEAL) �a Signed , Sealed , Published and Declared by the said ELIZABETH MARY FIDLER , as and for her last Will and Testament , in the presence of us , who , at her request and in her presence , and in the presence of each other have hereunto subscribed our names as witnesses , �L f 4 t `y�'�i ,�� r rl��/ `./ :%��C-,__:, l .r l.. \_ ,� �'`� f� l � n ?i �f,, __..� � _} / � ! I �.d`� [' -t !� ,�f.-.-c`, ;� '1 .f.' �. ' ,'t��1� „ ,� ::� 21 – 88 – 253 ' REGISTER OF WILLS OF COUNTY OATH OF SUBSCRIBING WITNESS , codicil (each) a subscribing witness to th will presented herewith, (each) eing duly qualified according to law, depose(s) and say(s) that present and saw — , the testat , sign the same and that signed as a witness at the request of testat in 1L— presence and (i th resence of each other) (in the presence of the other subscribing witness(es)). Sworn to or affirmed and subscribed b ore _ me this day of Name) 19 (Address Register (Name) (Address) REGISTER OF WILLS OF CUMBERLAND COUNTY OATH OF NON-SUBSCRIBING WITNESS �2-1-�,�a �a, i.�y�g �,�� ,�d.��+ v; �,c�a.� , (each)M1 a subscriber hereto, (each) being duly qualified according to law, depose(s) and say(s) that � �'� �� familiar with the signature of G'i (�,,-d{. ,�.�� 'dL�n� codicil �r� ��a� bg3�Pvgs.�#g-sag�a��e�-t#g--.�'n–�,�-*� �, ,� ••• +'_ testat+'�_believes the signature of the will presented herewith and that t'h e v � ,�ee�...�_ believes the signature on the will is in the handwriting of �I � - (o - YYlc� - � c�t e. – to the best of THEIR knowledge and belief. Sworn to or affirmed and subscribed before �� '�� '�--� me this 4 th day of (N e) APRIL 19 88 ��`�f'`� �'� �" � f- �,� ��i�cJCv,tic �� l-a('�� . ��O ;�'(3 RY .. LEW Register �� U [x. /� (Na /e) � 1�'C /�-'':r � �.a,� I►)J K.i"��n�.L c ��Q lQ (Address) �:d�q.�:� � /3�-aS'O-3 REV-1500 EX+ (2-87) ��' INHERITANCE TAX RETURN FILE NUMBER �� RESIDENT DfCEDENT / COMMONWEALTH OF PENNSYLVANIA (TO BE FILED IN DUPLICATE �r �` s � '� DEPARTMENT OF REVENUE POST OFFICE BOX 8327 WITH REGISTER OF WILLS� HARRISBURG,PA 17105-8327 COUNTY CODE YEAR DECEDENT'S NAME(LAST,FIRST,AND MIDDLE INITIAL) NUMBER Z � DECEDENT'S�OMPLETE ADDR/E55 G ��-i'�/��i\ �i��i'4��:�� /'f � �v l/��V� / l�l.L�� . V SOCIAL SECURITY NUMBE DATE OF DEATH DATE OF BIRTH �� /LLl�.,$L.L�/ .��lQ 1 V (�//f^t /�� ' ,�j /�'�C�G�/?-4�✓d C�Sb�U� � /P ��.�--��--�� .�-��yh't� r�.-�l � , �o��fy �c� .�� Q1. Original Return ❑ 2. Supplemental Return ❑ 3. Remainder Return � (for dates of death prior to 12-13-82) ,;;a v �4. Limifed Estate ❑ 4a. Future Inferest Compromise ❑ 5. Federal Estate Tax v�m (for dates of death after 12-12-82) Return Required a ❑ b. Decedent Died Testate ❑ 7. Decedent Maintained a Living Trust � 8. Total Number of$afe De osit Boxes a (Attach copy of Will) (Attach copy of Trust) P AL!�QRFf�SPt1N�E1+xCE IXN��+C}i�IFlt'�E�I'�iAL,TI4lC iit�FC�R1�+tAT1C'��t$t'f�1J�.1#B� CI#�t��l`Et)TE�; � 7 NAME COMPLETE MAILING ADDRESS � c ,,GC��11.� �! � r4 �f,C 0.'e �`/�.� •�/��456'.��•�.'� �D O a TELEPHONE NUMBER �� V M �i ��_�� `�'Q��'� ?%��' rd a � � _ / ' �; ,. 1. Re�l Estate (Schedule A) ( �) �, d�T�- 2. $tocks and Bonds (Schedule B) ( 2) _____�� 3. Closely Held Stock/Partnership Interest (Schedule C) ( 3) N�/�i^C" 4. Mortgages and Notes Receivable (Schedule D) ( 4) �e,1�J�°�' 5. Cash, Bank Deposits&Miscellaneous Personal Property( 5) �/(c,� ►„ �� 0 (Schedule E) Q 6. Jointly Owned Property (Schedule F) ( 6) /�`�f/�� j 7. Transfers (Schedule G) (Schedule L) ( 7) �/��.'��- � � y Q 8. Total Gross Assets (total lines 1-7) �//� �'Q� �� ( 8) _ /��R� � �e� C� W 9. Funeral Expenses, Administrative Costs, Miscellaneous ( 9)� .�, / 3,��, __ � Expenses (Schedule H) 10. Debts, Mortgage Liabilities, Liens (Schedule I) (1p) Q� �� 11. Total Deductions (total lines 9 & 10) ��) � � � �/ tG� 12. Net Value of Estate (line 8 minus line 11) �,1i ��,.�5. (12) �,. �/'-� • � �� 13. Charitable and Governmental Bequests (Schedule J) (13) __ d� ��' 14. Net Value Subject to Tax (line 12 minus line 13) Jrl j/Ly;�$ (14) --t�',��(� -F--- 15. Amount of line 14 taxable at 6% rate (15) _ X .Ob = ) (Include values from $chedule 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. ~ � (i>) - C� . � C'i ? 18. Credits Prior Pay s Discou Interest a + �_ � - (18) G��_. '�� a O 19. If line 18 is greater Than line 17, enter the difference on line 19. This is the OVERPAYMENT. (19) d ,� �! X �❑ - - • . . - -• . . - . . . - ---- � 20. If line 17 is greater than line 18, enter the difference on line 20•This,is the TAX DUE. (2p) �} . �`�� A.Enter the interest on the balance due on line 20A. (20A) /�'�_1�__ B. Enter the total of line 20 and 20A on line 206. This is the BALANCE DUE. (2pg) � �� Make Check Payable to: Register of Wills, Agent � ' I 111�M11��k�SUFt��Ip�AcN�{A�"�1t ALL t�C�I�ST1��l�C��1'I�`�V��5��i�tNQ'�'1� R'F�'HE�K NlI�7'H�iMf�IM Under penalties of perjury, I declare that l 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 ot true market value. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS �) ,/� l'�d7d � DATE - � � •,G-� "�' � G.:. , /� ��/�1 .r-,v.s`�/�C'.;k " �c� /�Nw �-K�rrA�='.Q��-t� l�',�.. 'f�L-'Y�d� SIGNA E OF PREPA ER OT R THAN REPRESENTATIVE ADDRESS �, , DATE �' Y'I�C/ � t Q..l-{�-1 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (�) IN THE APPROPRIATE BLOCKS. YES NO l . 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-1508 EX+ ('7_g3) ' SCHEDULE "E" COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS AND INHERITANCE TAX RETURN MISCELLANEOUS RESIDENT DECEDENT PERSONAL PROPERTY ESTATE OF FILE NUMBER ,�.0 �,2�4-��'7'� !�'l:�k' `/ �.�. i�L.£-'k (All property jointly-owned with the Right of Survivorship must be disclosed on Schedule "F") ITEM DESCRIPTION VALUE AT NUMBER DATE OF DEATH 1. ��7�c-!�'ir�sc �1CC-oc:+..,�'�" #� .��°-'�'S� �l �� %%— d �/� �j �V �C�yd �-/ /tr�� .� ��`� �=rr r'�i �l�l� c��t i,��.��ll o�;-� ��.�r f�C� �� 3,6 t�z.�l � �/'q , �l ��,� � .�. C��i cs ,� � �-�-,�� '—f�'7�,¢L- �/�C JD�- `'�� TOTAL �Also enter on line 5, Recapitulation) $ � �� (If more space is needed insert additional sheets of same size) REV-1511 EX+(12-85� SCHEDULE H FUNERAL EXPENSES, COMMONWEALTH OF PENNSYLVANIA ADMINISTRATIVE COSTS AND 'N RESIDENTED CEDENTRN MISCELLANEOUS EXPENSES Please Print or Type ESTATE OF FILE NUMBER �ic, .l �� iC'�^! T ///�'��t �! �.1 Z7� C� ITEM DESCRIPTION AMOUNT NUMBER A. Funeral Expenses: 1. ��U�S.rz.Cf�'I}4-�?1" rr�ir/�:J'�,dvL �4s3��, �c� �`7�: �� v z�� v� . �.,e-��u�� /��, � %i��3 � � Toi�4G �.c9;i o �� ' C��'1 /�.F"E�-- /�,r�;c� � � O �'D. �'� �qL, .�� - / �'C.�. Y'� B. Administrative Costs: 1. Personal Representative Co ' sions Social Security Nu r of Personal Representative: Year Com ' ions i 2. Attorney s 3. Family Exemption ' Claimant Relationship Address of imant at decedent's death Street dress C' State Zip Code 4. Probate Fees �"'�0 '� `�e`': O T� ��% Lt 3� y y� �d p�1'+C�. ,f� G, t.�':Iit �tJ�„�� l.,q-�,,1 �C)�� SI1 � ��. l��i r.��. L� C. Miscellaneous Expenses: 1. �iV�'1�r?.`�-�G� J A '� / X /1 t'�C1�rU" /'F� ,- .�', 6'Z) (.�'v� W��A-.�� u,1.;� }�2 -i 5-E-e.+: �t= �,V+ ��S �� y TOTAL (Also enter on line 9, Recapitulation) $ � �, 7�� Q u (If more space is needed, inserf addifional s{�eets of same size) ♦ REV-1513 EX+�8-86� C'� `X,,`�� '�`;��-�' SCHEDULE J COMMON WEAITH OF PENNSVLVANIA B E N E�I C IAR I ES INHFRITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER ,E��.�-�,L="'�N /'`�A-� y �'s",�� '� ITEM NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR NUMBER SHARE OF ES7ATE A. Taxable Bequests: /� � 1. �/��r L�= � �� V�.� �j�C�J C'�. ITEM NAME AND ADDRESS OF BENEFIClARY AMOUNT OR NUMBER SHARE OF ESTATE B. Charitable and Governmental Bequests: 1. /�� /'vl�" " / r L��'�*�t�"� '�i4��'-'e-�. / V TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation) $ i3 � Q� U (If more space is needed, insert additional sF�eets of same size) �� REGISTER OF WILLS OF CUMBERLAND COUNTY REPORT OF STATUS OF ADMIrTISTRATION � (For Resident Decedents Dying After July 1, 1984) ESTATE NO. 21-��3 Name of Decedent:_ ��-� �'� �� / / r �� .5� �. �� Social Security Account No.: Q��--3� �- �J/� r- Date of Death: �-�L/- 1�� / �� Name of Personal Representative(s): �d�,r,¢ � ,A-c9 ,L� ,� Capacity Executoc+t X �_ Administrator c.t.a. _ (check one) Administrator Administrator d.b.n c=�`' -� ;--� 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 C�,S Did the parties release the �',S personal representative? Other (explain) Total amount paid to date to creditors and for funeral and $ ��7,�,�°(� administr�tive expense Total value of distributions to date to beneficiaries $ C�, �3� If administration is not complete, estimated value of assets $ still in administration NOTE: This status report is due no later than the due date far filing the Pennsylvania Inheritance Tag 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 concluded, a summary report shall be filed annually thereafter until the administration is complete. I certify under penalty of perjury that the foregoing information is correct to the best of my knowledge, information and belief. Date• 1'�-��c� , 19� n " U �fi ^ �(' , Person Representative , Attorney for F.state This report must be signed by the personal representative, or one of them when more than one, or by counsel for the estate. J �,, REV-1547 EX (12-87) Q r��. COMMONWEALTH OF PENNSYLVANIA <� d �� NOTICE OF INHERITANCE TAX DEPARTMENT oF aevenue - '�� APPRAISEMENT, ALLQWANCE OR DISALLOWANCE ACN 101 BUREAU OF INDIVIDUAL TAXES `w� - P.O. BOX 8327 ` OF DEDUCTIONS, AND ASSESSMENT OF TAX HARRISBURG, PA 17105-832i DATE OE� �I-HS ESTATE OF FIDLER ELIZABETH M FILE N0. 21 88-0253 DATE OF DEATH 03-24-88 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, ACaENT", REMIT PAYMENT TO: �DNA V TAYLOR REGISTER OF WILLS 1492 SIMPSN FERRY RD CUMBERLAND CO COURT HOUSE NEW CUMBERLAND PA 17070 CARLISLE, PA 17013 Amount Remitted CUT ALONG THIS LINE _ _ � RETAIN_LOWER PORTION_FOR YOUR RECORDS ` - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - REV-1547 EX (12-87) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF FIDLER ELIZABETH M FILE N0.21 88-0253 ACN 101 DATE 06-07-88 TAX RETURN WAS: (X > ACCEPTED AS FILED ( ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN `-� Oci ��.,� � 1. Real Estate (Schedule A) ( 1) .00 �� ` ' �"�-, 2. Stocks and Bonds tSchedule B) ( 2) .00 ,.w 3. Closely Held Stock/Partnership Interest (Schedule C) ( 3) .00 `- 4. Mortgages/Notes Receivabie (Schedule D) ( 4) .00 � 5. Cash/Bank DepositslMisc. Personal Property (Scheduie E) ( 5) 1,670.57 6. Jointly Uwned Proper,y (Schedule F) ( 6) .00 = 7. Transfers (Schedule G> t 7) .00 8. Total Assets ( 8) 1,670.57 QPPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Administrative Costs/Miscellaneous Expenses (Schedule H) ( 9) 2,173.86 10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00 1 1. Total Deductions (1 1) 2,173.86 12. Net Value of Tax Return S12) 503.29- 13. Charitable/Governmental Beq�ests (Schedule J) (13) .00 14. Net Value of Estate Subject to Tax {14) .00 NOTE: If an assessment was issued previously, lines 14, 15 and/or 16 and 17 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15. Amount of line 14 taxable at 6% rate (15) .00 X.06= .00 16. Amount of line 14 taxable at 15% rate (16) .00 X.15= .00 1 7. Principal Tax Due (17) .00 TAX CREDITS: , I'AYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST .00 * IF PAID AFTER THIS DATE SEE REVERSE FOR CALCULATION TOTAL DUE .00 OF ADDITIONAL INTEREST (IF BALANCE DUE IS LESS THAN S 1 OR IS REFLECTED AS A "CREDIT" (CR), NO PAYMENT IS REQUIRED)