HomeMy WebLinkAbout88-00242 �
PETITION FOR PROBATE and GRANT OF LETTERS
G� .,
Estate of Gabriel F. Cribari No, � � —'0 � ' ��`� c��'
also known as To:
Register of Wills for the
_ Deceased. County of Cumberland in the
Social Security No. 179-12-5822 Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner(aj, who is/�18 years of age or older an the execut or named
in the last will of the above decedent, dated June 15, , 19 81
�K�ti�3���X
THE PURPOSE OF THESE LETTERS IS TO PURSUE AN ACTION AT LAW ON THE DECEDENT'S BEHALF.
(state relevant circamstances, e.g. renunciation, death of executor, etc.)
Decedent w�as domiciled at death in Cumberland County, Pennsylvania, with
h ls last family or principal residence at 240 Poplar Avenue, New Cumberland,
Cumberland Countv, PA
(list street,number,Twp.or Boro.)
Decedent, thcn 66 years of age, died Thursday, December 24 , 1987 ,
at 240 Poplar Avenue. New Cumberland. PA ,
Except as follows, decedent did not marry,was not divorced and did not have a child born or adopted
after execution of the will offered for probate; was not the victim of a killing and was never adjudicated
incompetent:
Decedent at death ow•ned property with estimated values as follows:
(If domiciled in Pa.) All personal property $ 100.00
(If not domiciled in Pa.) Personal property in Pennsylvania $
(If not domiciled in Pa.) Personal property in County $
Value of real estate in Pennsylvania $ none
situated as follows: n/a
WHEREFORE, petitioner�s) respectfully request(s) the probate of the last will a��ac���
presented herewith and the grant of letters testamentary
(testamentary; administration c.t.a.; administration d.b.n.c.t.a.)
theron.
.
N
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V - l�,h�.Y�.e�4.�.�
�y
�� Geraldine T. Cribari
�.0 240 Poplar Avenue
`��°a New C:nmherlanr�, PA 17f17n
N 4.
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND 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(� of the above decedent petitioner�will well and truly administer the estate according to law.
Sworn to or affirmed and subscribed �. (���.0 r�,
before me this �R,30TH d8 y of Geraldine T. Cribari �'
19 �� °
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0
a y C. ewi s, Register `
. ----
-____
` f ""' � 1.� l 1 �"�j'�i�
No. 2i - ss - 242
Estate of Gabriel F. Cribari , Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW �RCH 3 0, 19 8 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 June 15, 1981
described therein be admitted to probate and filed of record as the last will of
Gabriel F. Cribari •
�
and Letters Testamentary
are hereby granted to Geraldine T. Cribari
� '�
WILL BOOK #106
PAGE 7 6 6 ETC. Mary C. Lewis, egiscer of wilis
FEES '
Probate, Letters, Etc. . . . . . . . . . $ 10 . 0 0 �/
Short Certificates( 1) , . . , . .. . , . $ 2. 0 0 �Jon . a ���NEY(Sup. Ct. I.D. No.)
Xen�n�ciaeSn . . . . . . . .. . . . . . . . $��� 317 Third St. , New Cumberland, PA 17070
g $ ADDRESS
TOTAL $ 14 . 00
Filed . . . . .M�RCH„30 �„19,88, _ . . , , , , , , (717) 774-1951
PHONE
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Mailed letters to attorney on 3-30-88 .
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H i ns_�os ar:v z-Hr,
This is to certify that this is a true copy of the record which is on file in the Yenasylvania Division of Vital Records in accordance
with Act 66, P.L. 304, approved by the General Assembly,June 29, 1953•
WARNING: It is illegal,ta dt�plicate this copy by photostat or photograph.
Fee for this certificate,$3 „""""'�'y4'�- �� / ►'��
� ,1����,,u"' �tA DF .
� ,����p -� �y'j'�!'`- Charles Hardester
;� �� l=
;Q.� - � $ State Registrar
ic� aa
_* *.
0750516 n=�991 � E��.a~�''�r JAfd � 71�88
.�'1fNT 0 ,o
No. .,,,,,,,...�,an Date
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF HEALTH
VITAL RECORDS
CERTIFiCATE OF �EATH
�Nr,,,����z�►
STATE FILE NO.
Name ol decedent (F,rsU (Middle) (Laiil $ex Date o(death IMo.,�ay,Yr.)
i. ����'� �� �:�rt �ta � �
� al.e 3
Race-(e.g.,White,Black, Age laz�bht�� If under 1 yr. If under 1 day Date ol b�nh�1.b,Day,Yr State or inre�yn coun�ry o1 Coumy ol bnth City,Boro,or 7wp.of birth
American Inc�ian etcl day M,�: Days Fburs M�n buth -
<. White sn66 su ' sc ' 6A9-6-21 ae Ital � so.
County o}dealh Ciry,Boru,or Twp.ol death Noso�ql o�Ins�rtuuon 111 not e�Iher,g,ve addressl If hoep.or inst.indica[e DOA.
OP/ER,oi inpatient Ispedfy)
�ACumberland �BNew Cumberlan �c240 Po lar Ave . New Cumberland PA �o. �---�
Decedent's MaJmg Address(Street or RFD NoJ (C�ty or Tuwni IS�atci IZ�p Codel M,intal$ta�us Surviwng Spouse(H wife,give maiden name)
e ?40Po � ,o
Cniten ut what munlry? Was deceAeni rver n US.A�meA Furtet� Soaal$ecurity Number Utual Occupat�on(Kmd ol work done dunng most Kind o�business or industry
�Yes �No 01 wurkmg I�lel
,, USA ,2 ,3 179 12 SB22 „A Lead Worker „BBethlem Steel
Wheredid ,�,.s,a,e penns�lv
decedent �a,nia Did detedeM Lve 15c.� Ves,decedent I,ved�n township.
xtually hve? 75b.Cpunty �,'L]jj�be�"'�and m a township� 1&1� No.Aetedent LveA wdhm actual I�mrtf ol New Cumberland
15. city or boro.
Fe�her's name IFusi) IMiAd1e1 (lait) Mother's ma�den name IF�ntl (Middle) llast)
16 r ' i » Concetta Smarco
Informant's neme(Tvpe or Printi Inlormant's � (Svee�or RFD NcJ (C�ty or Townl IStatel (Zip Code)
� Madrngaddress �
18A. 198.
(� 8urial �Remova! Oate ol burial,etc Name of cemetery or crema�o�y Locai�on (City,boro,twp.) . IS�ate)
`�f
19A. �Cremation ❑o�ne� �so,/' ��� Hol Cross Cemetar 19D Swatara Townshi PA
Signature ol fur7�r Ddlrector and license nu - Narr.e and addrecs of fune�al establithment
/7 ` ,,
20A e / r� Q F°- 0 0 65 4 - 1[] ilbert W. Parthemore F.H. Inc .
Re9istrar's Signature � o„e,eCe,�r�,, .�9,,,,�, 13-0 3 Br id ge St .
21 °`' � � � ��e /ai o�G /9,�� ��W Cumberland, Pa 17070
To the best ul my knowledye,deaih occu�� et Ihe bme,dale arul place and due�o
m w Ihe wuselsl stated.
� �>
� Signalure
n i� 22A.and�itle � Q�r'1 ��/'-� D 0
a
U �0 Date Signed(Mo.,Day,Yr.) Hour of
> Dea�h q.M.
m� zze. 1�-/�- 6��� zac �� •ti ti P nn.
�.°� Name and Address of Cen�hcr(Physiaan,Medical Examiner o�Coronerl(�nnt o�T � �
yVel Name of Auendmg Physioan
�24 Peter M� Bri r 1106 C rli .e Rd Cam Hill Pa 25_ Peter M. Brier
Z6. IMMEDIATE CAUSE: Enter only one cause per Imc lor IA1(81 and(CI In�erval between onset and death
(A1 �.l�T��IJEs''f�K/Yr-y�Y,'C n.�� �_M.4�• I
Due to,or as a consequence ol
PA�T �Interval between onset and death
I Iel �Jy--C.}L� ���� "'/1,���-- I
Dur.to,or as a consequence of� Interval be[ween onse�and death
I
ICI (
PART❑ O�her Signiliwnt Cunditions-Condi�ions contri6uting to dea�h but oot related to cause 9rven�n Part I(a) Autopsy Was case referred to Medical Ex�
,J`� � Q�ye$ aminerorCoroner?
� 27. �] No 28 ❑Yes No _
If Acc.,Swcide,Hom.,Undet.or Oate ol In�ury(Mo.,Day,Yr.l Hour ol A M Des[nbe how�n�ury occurred.
Pending Invesiigation(Specilyl �n��ry
29A. 298. ?9C. P.M. 290.
njury at work? Place ol Injury Ai home,larm,s�reet,ett 1 Location Street or RFD No.) (City,Boro,or Twp.� (Statel
�No �Yes
29E. 29F Y9G.
LAST WII�, AND TESTAMQ�'r
OF
GABRIEL F. CRIBARI
I, GABRIEL F. CRIBARI, of New CumUerland, CumUerland Co�ty,
Permsylvania, being of sotn�.d mind, mes�bry and Lm.derstanding, clr� hereby make,
publish and declare this as and for my Last Will an.d Testame.nt hereby rewking
and making void any and all other wills by me at any time heretofore made.
I.
I direct tha.t my Executrix hereina.fter nan�ed shall pay all my just
debts and itmeral expenses as soon as conveniently may be done after my decea.se,
II.
All the rest, residue and remainder of my esta.te, whether real,
` personal or m�ed, �1 wheresoever situate� I hereby give, devise and bequ�eath
�unto my wife, GERALDINE T. CRIBARIa if she survives me by a period of thirty (30)
� days. If my said wife does not survive me by a period of thirty (30) da.ys, then
this gift to her sha.11 be divested, and I th:�n give, devise and beqweath my
"� entire estate as follaws:
4 A. One-half (1/2) tmto my da.ughter, CONSTANCE M. CRIBARI,
B. One-ha.lf (1/2) Lm.to my daughter, K•ATHI__FF.IV F. RITTER.
III,
I hereby nominate, canstitute and appoint my wife, (�RALDINE T.
CRIBAItI, as Executrix of this, my Last Will and Testament. If the said
Geraldine T. Cribari should predecea.se me, fail to qua.lify or cease to act as
such, then I namina.te, constitute and appoint my daughter, CONSTANCE M. CRIBARI,
as Executrix.
`""" °'F'`E 5 Page one of tw� Pages
JON F. LAFAVER
317 THIRD STREET . '��*{^'e.
..� �l.'�''',;_�`
NEW CUMEERLAND,PA. �
IV.
No fiduci.ary acting tm.der this Will sha11 be required to post bond
in this jurisdiction or in any jurisdiction in which he may act.
IN WITNESS �nhlEREOF, I, CABRIII, F. GRIBARI, the Testator, have unto
this, my La.st Will and Testain�nt, set my hand and sea.l this ,1�_�- �- day of JLme,
A. D. , 1981.
- � � �,�_.�� cs�.,>
r �„ __
SIC�TF.,D, SEAi�D r PUBLISHED and DECLARED by GABR� F. CRIBARI a the
above-named Testator, as and for his Last Will and Testament, in the presence
of us who ha.ve hereimto subscribed our names as witnesses at his request, in
the presence of the said Testa.tor and of each othero
,.------�-�,.� � r"
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LAW OFFICES
JON F. LnFAVER � PCa.ge two of twa Pages
317 THIR� STREET
NEW CUM�ERLAND�PA. � p.,,j��F,,,�
y+ +
C - ''
, � ��...____�..._. - -._.._._._ '___. ....__,..--..._._,
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Cf�MMt,�N1NEAL"�H O�''PEI'�Irt�►Y�»'1(Al�l�}�► �.
�NO. ���� '��� � � r
1?�PARTME�IT fJF'�EV�tdWE
aEv.,,��ex c,�.gbi' C7►��ICIAL FtECEIP�' +� PEI�N�YCVANIA Ii+tHERlTAt+ICE AC�Ib�STA7E TAX _ —
ACN
� ASSESSMENT � AMOUNT
RECEIVED FROM: CONTROL �
NUMBER
� � �3$Q14£33� °��� p�
Conn�.� M, Crib�ri
240 Pc��ular Avenua
Naw Cumh�r?and, P� �.7�17 0
FOLD HERE-
� FOLD HERE
ESTATE INFORMATION:
� FILE NUMBER
l _ —�
� NAME OF DECEDENT (LAST) (FIRST) (MI)
r r
� DATE OF PAYMENT
/ POSTMARK DATE
� �r ')
COUNTY
f`
DATE OF DEATH
DE3c•t?Tt1hE3Z' Z4 � 19$7 � TOTAL AMOUNT PAID ���� - ��
REMARKS
SEAL RECEIVED BY t
�,SIGNATURE
�
�EGISTER OF WILL�
REV. 1543EX (12-86) "� /� _ �� /�
COMMONWEALTH OF PENNSYLVANIA �f�
DEPARTM6s'f OF RE\ENUE �'-:����.:' FILE NO. 21""
BUREAU oF INDIVIDUAL Tnxes INFORMATION NOTICE I ��� ��
P.O. BOX es2� ' �7 �� �� AND ACN 88014838
NARRISBURG, PA 17105-B327 < < I TAXPAYER RESPONSE DATE 03-29-88
TYPE OF ACCOUNT:
ESTATE OF CRIBARI GABRIEL F � SAVINGS
S.S. N0. 179-12-5822 0 CHECKING
DATE OF DEATH 12-24-87 ❑ TRUST
COUNTY CUMBERLAND ❑ TIME
CERTIFICATE
CRIBARI CONNIE M THIS IS NOT A TAX BILL
240 POPLAR AVE
NEW CUMBERLAND PA 17070 �}���,,;�,J�� "�� ���RO�ID
W�LI.'RESUL7` �N A�SE��1��
HARRIS SAVINGS ASSOC has advised us that the ownership of the bank account reported below was
transferred to you as a result of the death of the above decedent. This transfer is taxable in accordance with
the Inheritance Tax Laws of the Commonwealth of Pennsylvania. Questions may be answered by cailing (717) 787-8327.
CQMP�,ETE PART � �3ELOW * * * SEE ltEVERSE SIQF FOR FT_LING ,4l�i' p�YhlENT 2NSTRJ�T30kS
To insure proper credit to your account a
Account No. 07-05-000562 Date 12-30-82
Estabiished copy of this notice must accompany your pay-
mer.t to the Register of Wills ot the county
Account Balance 22,526.83 indicated above. Make check payable to:
X 50.000 ��Register of Wills, Agent".
Percent Taxable NOTE: If tax payments are made within 3
Amounts Subject to Tax 11,263.42 months of the decedent's date of death, you
Tax Rate X .15 may deduct a 5% discount of the tax paid.
Potential Tax Due 1,689.51 Any inheritance tax due will become delinquent
nine (9> months after the date of death.
PART 0 TAXPAYER RESPONSE = . ' �`''
A. Q The above intormation and tax due is correct. -,-
1. You may choose to pay the Register of Wills with this notice to obtain
CHECK a discount or avoid interest. OR �
ONE 2. You may await the official assessment from the Department of Revenue.
BLOCK
ONLY B. � The above asset has been or will be reported and paid by the estate fiduciary.
C. '�The above intormation is INCORRECT andlor debts and deductions are being claimed.
• You must complete PART � and/or � below.
PART�2 TAX RETURN - TAX CALCULATION OF JOINT/TRUST ACCOUNTS FOR OFFICIAL USE ONLY � AAF
PAD
Date Established 1 �� �-�� �� 1
iZCCC3U^� �9iafi�.c Z �-1� �~-� `^'�� G
Percent Taxable 3 X ' •-�w' 'Cr'(." 3
Amo�nt Subject to Tax 4 ��� '� �` -� y� 4
Debts and Deductions 5 °'C�' 5
Taxable Amount 6 OI- ���' � '���- 6
Tax Rate 7 X . C'C'i' __ �
Tax Due 8 �"��'� � � �� 8
�C�sf, _a�"/.� iifSt.a'.%..i - j�tX C�t'c. • fi t'
PART 3� DEBTS AND DEDUCTIONS CLAIMED
DATE PAID PAYEE DESCRIPTION AMOUNT PAID
TOTAL (Enter on Line 5 of Tax Calculation) S
Under penalties of perjury, I deciare that I have examined this return, and to the best of my knowledge
and belief, it is true, correct and complete. � , /�� , , �p �
�.v,-,�,—.:�_�-_ l��I � l_.-�...1�.��a•..�e.� (J�/ ) r/'�`��"�'-�� �' �"'.�E� _S:S
TAXPAYER SIGNATURE TELEPHONE NUMBER DATE
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21 - 88 - 242
= REGISTER OF WILLS OF CUMBERLAND COUNTY
.:� _
OATH OF SUBSCRIBING WITNESS
'e�;-�- ,- Jon'��. LaFaver and Janeen S. LaFaver
� .. ,
� ���
(each) a subscribing witness to the will presented herewith, (each) being duly qualified according to
law, depose(s) and say(s) that they were present and saw
Gabriel F. Cribari ,_ ,
the testat °Y , sign the same and that they signed as a witness at the
request of testat or in 1�_presence and (in' th�resence pf each other) (in the presenee of the
other subscribing witness(es)). �
Sworn to or affirmed and subscribed before �
me this 30TH day of � F. La aver �Name)
MAR�H 19 $$ 317 T�h�� St. , New Cumberland, PA 17070
� � (Addr
Mary C ewis, Register G<-`
aneen S. LaF v�ame)
(Address)
REGISTER OF WILLS OF COUNTY
OATH OF NON-SUBSCRIBING WITNESS
s.� ,
(each),a`sabscriber hereto, (each) being duly qualified according to law, depose(s) and say(5) that
familiar with the signature of _�/�
codicil i' �
testat of (one of subscribing witnesses to) the w' �resented herewith and
codicil
that believes the si ure on the will is in the handwriting of
testat believes the signature of the will es ed herewith and that _
codicil
believes the signature on the will is in handwriting
to the best of kn edge and belief.
Sworn to or affirme nd subscribed before
me this day of ine)
19
(Address)
Register
(Name)
(AddressJ
r�;�,jy�
REv-15oo Ex+ (2-8�) � � -- "1 1 "" �y ' FILE NUMBER 21-H8-Z42
`� INHERITANCE TAX RETURN
����` RESIDENT DECEDENT
COMMONWEALTH OF PENNSYLVANIA (TO BE FIL�D I�1 �U�LICATE
DEPARTMENT OF REVENUE WITH REGISTER Of WILLS)
POST OFFICE BOX 8327
HARRISBURG,PA 17105-8327 COUNTY CODE YEAR NUMBER
r DECEDENT'S NAME (LAST,FIRST,AND MIDDLE INITIAL) DECEDENT'S COMPLETE ADDRESS
Z CRIBARI, Gabriel F. 240 Poplar Avenue
V SUCIAL SECURITY NUMBER DATE OF DEATH DATE OF BIRTH N2W Cumberland, PA 17070
0 179-12-5822 12-24-1987 Cumberland
co���y
►`"- � 1. Original Return ❑ 2. Supplemental Return ❑ 3. Remainder Return
Y�Y (for dates of death prior to 12-13-82�
WaV ❑ 4. Limited Estate ❑ 4a. Future Interest Compromise ❑ 5. Federal Estate Tax
u�0 (for dates of death after 12-12-82) Return Required
aO0 � 6. Decedent Died Testate ❑ 7. Decedent Maintained a Living Trust _8. Total Number of Safe Deposit Boxes
d (Attach copy of Will) (Attach copy of Trust)
i4LL C��tR��P47�hi�ENG�AFI�C�FIFIC���ITI�L Tf4�i#t+1��±l1►'�#C#�'��I�iL.i�B� �t��EC�`�D�'Cl:
y � NAIvyE� COMPLETE MAILING ADDRESS
� o Jon F. LaFaver, Esquire 317 Third Street
O 0 TELEPHONE NUMBER New Cumberland, PA 170�D � T�
a �m -' -�-'r�
717 774-1951 �- `.��
1. Real Estate (Schedule A) ( 1) _ -Q- �{-., � ^'�
��; :�
2. $tocks and Bonds (Schedule B) ( 2) _ -0- '�' J
.��, -�! _n
� .-
3. Closely Held $tock/Partnership Interest (Schedule C) ( 3) -0- c-,,,_ � __�
-0- c'�-� � ,�
4. Mortgages and Notes Receivable ($chedule D) ( 4) �,;
` .�
5. Cash, Bank Deposits&Miscellaneous Personal Property( 5) 3�5�8.33 tn . .;� � 'i
ZO (Schedule E)
Q 6. Jointly Owned Property (Schedule F) ( 6) -�
j 7. Transfers (Schedule G) (Schedule L) ( 7) -�-
r
a 8. Total Gross Assets (total lines 1-7) ( 8) 3,5�8.33
W 9. Funeral Expenses, Administrative Cosis, Miscellaneous ( 9) ��796.95 _
� Expenses (Schedule H)
10. Debis, Mortgage Liabilities, Liens (Schedule I) (10) -�-
i l. Total Deductions (total lines 9 & 10) (11) 7,796.95
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) -�-
15. Amount of line 14 taxable at 6% rate (15) -�- x .06 = -0-
(Include values from Schedule K or Schedule M.)
16. Amount of line 14 taxable at 15% rate (16) -� x .15 = -0-
Z (Include values from Schedule K or Schedule M.)
0 17. Principal tax due(Add tax from line 15 and from line 16.) (17) -�-
�
� 18. Credits Prior Paymenis Discount Interest
� + - (18) -�-
O 19. li 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. (208) _.
Make Check Payable to: Register of Wills, Age�t
a►������tit�Tfl!�4N��Ai�R ALL QU�*sTIL'��IS+Ci��F R�����b���f"����F��C1�E MAtTH�wt�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,
if 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
based on all information of which preparer has any knowledge.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRE55 13108 Wildflower Place W. DATE
���z,t��� �� Jacksonville, FL 32216 4- ,��---91
SIGNATURE OF PRE T E HA P TAT E AD RESS DATE
� i i, Execu�rix 317 Third Street
New Cumberland, PA 17070 4- ��-91
____ a aver, squ e
REV-1508 EX+ �,_a3� SCHEDULE "E"
COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS AND
INHERITANCE TAX RETURN MISCELLANEOUS
RESIDENT DECEDENT PERSONAL PROPERTY
ESTATE OF FILE NUMBER
Gabriel F. Cribari 21-88-242
(All property jointly-owned with the Right of Survivorahip must be disclosed on Schedule "F")
ITEM DESCRIPTION VALUE AT
NUMBER DATE OF DEATH
1. Settlement of lawsuit with Owens-Corning Fiberglas and 3,508.33
Babcock and Wilcox Company
TOTAL (Also enter on line 5, Recapitulation) $ 3,508.33
(If more space is needed insert additional sheets of same size)
, REV-1511 EX+,�.ea, � SCHEDULE H
��� FUNERAL EXPENSES,
COMMONWEALTH OF PENNSYLVANIA ADMINISTRATIVE COSTS AND
IN RESI ENTEDKEDENTRN MISCELlANEOUS EXPENSES PI@OS@ Print or Type
ESTATE OF FILE NUMBER
Gabriel F. Cribari 21-88-242
ITEM DESCRIPTION AMOIlNT
NUMBER
A. Funeral Expenses:
�. Gilbert W. Parthemore Funeral Home - Funeral expenses 5,597.95
B. Administrative Costs:
1. Personal Representative Commissions _ _
Social Security Number of Personal Representative:
Year Commissions paid
2. Attorney Fees - Jon F. LaFaver 175.00
3. Family Exemption 2,000.00
Claimant Geraldine T. Cribari Relationship Surviving spouse
Address of Claimant at decedent's death
Street Address 240 Poplar Avenue
City New Cumberland State PA Zip Code 17070
4. Probate Fees - Cumberland County Register of Wills 14.00
C. Miscellaneous Expenses:
�, Register of Wills - Filing fee 10.00
2.
3.
4.
5.
b.
7.
8.
TOTAL (Also enter on line 9, Recapifulation) $ �,796.95
(If more space is needed, insert additional sheets of same size.)
;/`,,
REGI3TEB OF WILL3 OF CUMBBRLAND COUNTY
REPORT OP 3TATU3 OP ADMIIiI3TRATION
(For Resident Decedents Dying After July 1, 1884)
� ESTATE NO. 21-88 - 242
— f?E�
Name of Decedent: Gabriel F. Cribari �'�'` r{ �' �"
Social Security Account No.: 179-12-5822
Date of Death: December 24, 1987
Name of Personal Representative(s): Geraldine T. Cribari
Capacity Executor x Administrator c.t.a.
(check one) Administrator Administrator d.b.n.
Is the administration of the estate complete? Yes No X
If "yes", how was the administration ended? (check one)
By court accounting
By account stated to parties in interest
Did the parties release the
personal representative?
Other (explain)
Total amount paid to date to credito�s and for funeral and S 4ti���xz�>2,,
administrative expense
7'otal value of distributions to date to beneficiaries $ -�-
Tf administration is not complete, estimated value of assets $ *
still in administration
* THE ESTATE WAS PROBATED FOR THE PURPOSE OF PURSUING AN ACTION AT LAW ON DECEDENT'S BEHALF ONLY.
NOTE: This status report is due no later than the due date f�r filing the Pennsylvania
Inheritance Taz Return or� if no Inheritance Tax Retucn 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 tiled ennually thereafter until the administration is complete.
I certify under penalty of perjury that the foregcZing infor�}atio is r ect �to the
best of my knowledge, information and beliet. � �.-% �
'r � ���
Date: October 26 , 1988 �° ����� �-� '� �� � �''L-�--�
-- :• • � �g�BSgA$9�LX�
J�x��. LaFaver � Attorney for Estate
'lt�is report must be signed by the personal representative. o� one of them when more
than one. or by counsel for the estate.
✓
✓
REGI3TER OF WILL3 OP CUMBERLAND COUNTY
REPORT OP 3TATU3 OP ADMINISTRA'ITON
(Por Resident Decedents Dying Aitec July 1. 1884)
E3TATE NO. Z1-88 - 242
NBme oi Deeedent: Gabriel F. Cribari
Social Securtty �ccount No.: 179-12-5822
.
Date oi Death: December 24, 1987 `��` �
— � - .
�
Name of Pe�sonal Representative(s): Geraldine T. Cribari ` i
�,
-�
�
�
Capacity Executor x Administrator c.t.a.
(cheek one) Administ�ator Administrator d.b.n.
ls the administration of the estete complete? Yes No X
Ii "yes", how was the administration ended? (check one)
By court accounting
By account stated to parties in inteeest
pid the parties �elease the
peesonal representative?
Othec (explein)
Total amount paid to date to c�editors and for funeral and S
edminist�ative expense
Total velue of distributions to date to beneficieries = -0-
If administration is not complete, estimated value of assets S *
still in edministration -
THE ESTATE WAS PROBATED FOR TAE PURPOSE OF PURSUING AN ACTION AT LAW ON DECEDENT'S BEHALF ONLY.
NOTE: This stetus report is due no leter than the due date t�c filing the Pennsylvania
Inheritance Taz Return o�� if no Inheritance Taz Return is required. nine (9) months
after the date of death; if the administration of tAe estate has not been eoncluded�
a summary �epo�t shall be filed annually the�eaftee until the administ�ation Is complete.
I cectify under penalty of perjury that the fo�e ing infor atio is ect o the
best of my knowledge, inforrnation and belief✓�
Date: January 8 , 19_ 90 -1�� � �
; ' . x��oecsen�x�
J4a F. LaFaver � Attorney !or Estate
'I?�is report must be signed by the personal �ep�esentative. oe one of them, when more
than one. o� by counsel foe the estate.
f
r=
REV-1548 EX (12-88) �*
_ ' ,
COMMONWEAITH OF PENNSVLVANIA �-�
DEPARTMENT OF REVENUE .:� d�'� � NOTICE OF INHERITANCE TAX
BUREAU oF INDIVIDUAL rnxes � '' ;� - � ��� APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
DEPT. 280601 � "� OF DEDUCTIONS, AND ASSESSMENT OF TAX ON
HARRISBURG, PA i�ize-osoi JOINTLY HELD OR TRUST ASSETS DATE 02-21-89
ESTATE OF CRIBARI GABRIEL F DATE OF DEATH 12-24-87 COUNTY CUMBERLAND
FILE N0. 21 88-0242 S.S./D.C. N0. 179-12-5822 ACN 88014838
CRIBARI CONNIE M REMIT PAYMENT TO:
240 POPLAR AVE REGISTER OF WILLS
NEW CUMBERLAND PA 17070 CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
Amount Remitted
CUT ALONG THIS LINE y' RETAIN LOWER PORTION FOR YOUR RECORDS "'�
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
REV-1548 EX (12-88)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSMENT OF TAX
ON JOINTLY HELD OR TRUST ASSETS
DATE 02-21-89
ESTATE OF CRIBARI GABRIEL F DATE OF DEATH 12-24-87 COUNTY CUMBERLAND
FILE N0. 21 88-0242 S.S./D.C. N0. 179-12-5822 ACN 88014838
TAX RETURN WAS: ( X) ACCEPTED AS FILED ( ) CHANGED
JOINT OR TRUST ASSET INFORMATION
FINANCIAL INSTITUTION: HARRIS SAVINGS ASSOC ACCOUNT N0. 07-05-000562
TYPE OF ACCOUNT: ( ) SAVINGS (X ) CHECKING ! ) TRUST ( ) TIME CERTIFICATE
DATE ESTABLISHED 12-30-82
NOTE: TO INSURE PROPER CREDIT TO YOUR
Account Balance 22,526.83 ACCOUNT, SUBMIT THE UPPER PORTION
Percent Taxable X 50.000
Amount Subject to Tax 11,263.42 OF THIS NOTICE WITH YOUR TAX
Debts and Deductions - '�� PAYMENT TO THE REGISTER OF WILLS
Taxable Amount 11,263.42
Tax Rate X .15 AT THE ADDRESS SHOWN ABOVE.
Tax Due 1,689.51 MAKE CHECK OR MONEY ORDER PAYABLE
TAX CREDITS: T0: "REGISTER OF WILLS, AGENT. "
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST (-)
03-28-88 365386 .00 642.00
INTEREST IS CHARGED FROM 09-25-88 TO 03-08-89 TOTAL TAX CREDIT 42. 0
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 1,047.51
REVERSE SIDE OF THIS FORM.* INTEREST 52.02
TOTAL DUE 1,099.53
* IF PAID AFTER THIS DATE SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST
(IF BALANCE DUE IS LESS THAN $1 OR IS REFLECTED AS A "CREDIT" (CR), NO PAYMENT IS REQUIRED)
REV-1604 EX (12-88) ��
�:;.
COMMONWEALTH OF PENNSVLVANIA �� �f��
DEPARTMENT OF REVENUE r . � INHERITANCE TAX
BUREAU oF INDIVIDUAL raxes RECORD ADJUSTMENT
DEPT. 280601 JOINTLY HELD OR TRUST ASSETS 03-02-89
HARRISBURG, PA�,17128-0601 DATE
ESTATF:�F' CRIBARI GABRIEL F DATE OF DEATH 12-24-87 COUNTY CUMBERLAND
FILE N0. 21 88-0242 S.S./D.C. N0. 179-12-5822 ACN 88014838
REMIT PAYMENT TO:
CRIBARI CONNIE M
240 POPLAR AVE REGISTER OF WILLS
NEW CUMBERLAND PA 17070 CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
Amount Remitted
CUT ALONG THIS LINE � RETAIN LOWER PORTION FOR YOUR RECORDS "�
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - �
REV-1604 EX (12-88)
INHERITANCE TAX RECORD ADJUSTMENT JOINTLY HELD OR TRUST ASSETS
DATE 03-02-89
ESTATE OF CRIBARI GABRIEL F DATE OF DEATH 12-24-87 COUNTY CUMBERLAND
FILE N0. 21 88-0242 S.S./D.C. N0. 179-12-5822 �A�N ` 88Q,��d38
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION 3� ��
JOINT OR TRUST ASSET INFORMATION �C* � ;=.1rn
�~�-� -;-3 c�
FINANCIAL INSTITUT�ON: HARRIS SAVINGS ASSOC ACCOUNT N0. 07-05�f�0562� - ', �
c'?'= �`=i
__.^.y
TYPE OF ACCOUNT: ( ) SAVINGS ( � CHECKING ( ) TRUST ( ) TIME CERTIFICATE �� _' `"'
-,-�• ._.
, � � 7
DATE ESTABLISHED 12-30-82 �
� .r+
NOTE: TO INSURE PROPER CREDIT TO YOUR
Account Balance 22,526.83 ACCOUNT, SUBMIT THE UPPER PORTION
Percent Taxable X 50.000
Amount Subjeci to Tax 11,263.42 OF THIS NOTICE WITH YOUR TAX
Debts and Deductions - '�� PAYMENT TO THE REGISTER OF WILLS
Taxable Amount 11,263.42
Tax Rate X .06 AT THE ADDRESS SHOWN ABOVE.
Tax Due 675.81 MAKE CHECK OR MONEY ORDER PAYABLE
TAX CREDITS: T0: "REGISTER OF WILLS, AGENT."
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST (-)
03-28-88 365386 .00 642.00
INTEREST IS CHARGED FROM 09-25-88 TO 03-17-89 TOTAL TAX CREDIT 42.0
AT THE RATES APPLICABLE AS OUTLINED ON THE BALANCE OF TAX DUE 33.81
REVERSE SIDE OF THIS FORM.* INTEREST 1.77
� TOTAL DUE 35.58
* IF PAID AFTER THIS DATE, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST
(IF BALANCE DUE IS LESS THAN $1 OR IS REFLECTED AS A "CREDIT" (CR), NO PAYMENT IS REQUIRED)
,
RE�-,4�oEX,6.88, ,�� � INHERITANCE TAX
COMMONWEALTH OF PENNSYLVANIA EXPLANATION
BUREAU OF IND VIDUAL TAXES OF CHANGES
DE PT. 280601
HARRIS�BURG, PA 1 7 7 28-060 1
DECEDENT'S NAiv1E �,��rie2 Cribari FILE NUMBER �1�E3_Q24i
ACN �g$l)L�+F�3�
SCHEDULE �ND EXPLANATION OF CHANGES
Cnan�ed tax rate trnm 15 �a�rce�at to � ger��r:t si�ce a dau�hter is a cla.�s
.
����� �ei_r. .
_ _
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I
I
C�rrie Catalar�a
TAX EXAMINER: PAGE _
-------�___,_—_--,
� _,_._,�_ _
�NQ.� „:��, ��t� G+�t��Vi��M'+I'�V'�k�TIH +�?� RL�I��`s��('L'It�4���1
t����t�����+t�r�� �z�u��t�t�� '
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RECEIVED FROM: ACN �
� ASSESSMENT �
CONTROL ' AMOUNT
NUMBER
�c�rltti.� M. Cri��.r� . �SC�?4F3�£� �35 .��
' 3 C:��ad�J, £3r�.v�
Catttp �i;i.,��., p� _L7p�.�.
- FO(D HERE
FOLD HERE
ESTATE INFORMATION:
� FILE NUMBER
2:�--€3�3•-2tt'�
� NAME OF DECEDENT (LAST) (FIRST)
(Mi)
� DATE OF PAYMENT������� ��b��'�� �o
i
APOSTMARK DATE �r� ��� ����
COUNTY ��� �"�' �-�8�
C°
DATE OF DEATH
REMARKS � 3 �
p TOTAL AMOUNT PAID S3� �$
SEAL
RECEIVED BY � � �
�E�95��l2 OF UVilL� .; s��NaruRe
,.—�____ ___--------___ �
REV-1604 EX (12-88) a �� ,
�,,.
COMMONWEALTH OF PENNSYLVANIA ��, ���
DEPARTMENT OF REVENUE � � INHERITANCE TAX
BUREAU oF INDIVIDUAL raxEs RECORD ADJUSTMENT
DEPT. 2B0601 JOINTLY HELD OR TRUST ASSETS 03-02-89 �
HARRISBURG, FA 1772B-�O1 DATE
.=
ESTATE OF ` CRIBARI GABRIEL F DATE OF DEATH 12-24-87 COUNTY CUMBERLAND
FILE N0. 21 88-0242 S.S./D.C. N0. 179-12-5822 ACN 88014838
REMIT PAYMENT TO:
CRIBARI CONNIE M
240 POPLAR AVE REGISTER OF WILLS
NEW CUMBERLAND PA 17070 CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
Amount Remitted
� � �� S^�
CUT ALONG THIS LINE "' RETAIN LOWER PORTION FOR YOUR RECORDS �
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - _ _
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� .
REV-1607 EX (12-88) � �
COMMONWEALTH OF PENNSYLVANIA �`�^
DEPARTMENT OF REVENUE INHERITANCE TAX ACN 88014838
BUREAU OF INDIVIDUAL TAXES �
DEPT. 280607 � - STATEMENT OF ACCOUNT
HARRISBURG, PA 17128-0601 DATE
4-03-89
ESTATE OF CRIBARI GABRIEL F FILE N0. 21 88-0242
DATE OF DEATH 12-24-87 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: �
CRIBARI CONNIE M REGISTER OF WILLS
240 POPLAR AVE CUMBERLAND CO COURT HOUSE
NEW CUMBERLAND PA 17070 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 CRIBARI GABRIEL F FILE N0. 21 88-0242 ACN 88014838 DATE04-03-89
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: 03-02-89
PRINCIPALTAX DUE:................................................................................................................................................... 675.81
PAYMENTS (TAX CREDITS):
PAYMENT RECEIPT DISCOUNT + qMOUNT PAID
DATE NUMBER INTEREST (-)
03-28-88 365386 .00 642.00
03-11-89 441227 1.71— 35.58
TOTAL TAX CREDITS 675.87
BALANCE OF TAX DUE .06CR
INTEREST .00
TOTAL DUE .06CR
* 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)
�
REGISTER OF WILL3 OF CUMBERLAND COUNTY
REPORT OP 3TATU3 OP ADMII�TI3TRATiON
(For Resident Decedents Dying Aiter July 1. 1984) RECORQri�-'��F1�,E n�'
ESTATE NO. 21-88 - 242 R � - = ';`� i -,
'91 APR -4 Al l �1�
Name of Decedent: Gabriel F. Cribari
CLC:_iil`-i:itr'1;%.Ii'.: .,i.., ,
Social Security Account No.: 179-12-5822 CI;M�E�kLAP�C �.�;.,;'A.
Date of Death: December 24, 1987
Name of Personal Representative(s): Geraldine T. Cribari
Capacity Executor x Administrator c.t.a.
(check one) Administrator Administrator d.b.n.
is the administration of the estate completg? Yes No x
If "yes", how was the administration ended? (check one)
By court accounting
By account stated to parties in interest
Did the parties release the
personal representative?
Othe� (explain)
Total amount paid to date to creditors and for funeral and $
administrative expense
7'otal value of distributions to date to beneficiaries $ Unknown
1f administration is not complete, estimated value of assets $ *
still in administration
* THE ESTATE WAS PROBATED FOR THE PURPOSE OF PURSUING AN ACTION AT LAW ON DECEDENT'S BEHALF ONLY.
NOTE: This status report is due no later than the due date f�r filing the Pennsylvania
Inhe�itance Taz Return or� if no Inherita�ce Tax Return is required� nine (9) months
after the date of death; if the administration of the estate has not been concluded,
a summary ceport shall be filed annually thereafter until the administration is complete.
I certify under penalty of perjury that the foregoi infor tio is correct to the
best of my knowledge, inforrnation and beli .
Date: April 4 , 19 91
� , �e�Ex�a�x�
Jon F. LaFaver , Attorney for Estate
Tf�is report must be sgned by the personal representative. o� one of them when more
than one. or by counsel for the estate.
✓
REV-1547 EX AFP (1-91)
COMMONWEALTH OF PENNSYLVANIA ACN 1 O 1
DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX
BUREAU oF INDIVIDUAL rnxEs qPPRAISEMENT, ALIOWANCE OR DISALLOWANCE
DEPT. 280601 OF DEDUCTIONS, AND ASSESSMENT OF TAX � 07-O 1-91
HARRISBURG, PA 17128-0601 DAT E
ESTATE OF CRIBARI 6ABRIEL F FILE N0. 21 88-0242
DATE OF DEATH 12-24-87 COUNTY CUMBERLAND
NOTE: TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS FORM WITH YOUR TAX
PAYMENT TO THE REGISTER OF WILLS. MAKE CHECK PAYABLE TO "REGISTER OF WILLS, AGENT'•
REMIT PAYMENT TO:
JON F LAFAVER ESQ REGISTER OF WILLS
317 3RD ST CUMBERLAND CO COURT HOUSE
NEW CUMBERLAND PA 17070 CARLISLE, PA 17013
Amount Remitted
CUT ALONG THIS LINE ► RfTAIN LOWER PORTION FOR YOUR RECORDS �
----------------------------------------------------------------------------------------------------------------
REV-1547 EX AFP (1-91) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF CRIBARI GABRIEL F FILE N0. 21 88-0242 ACN 101 DATE 07-01-91
TAX RETURN WAS: ( X) ACCEPTED AS FILED O CHANGED r,
�G
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE �r -' `�
APPRAISED VAWE OF RETURN BASED ON: ORI6INAL RETURN °_'�, c_ `;;
1. Real Estate (Schedule Al (1] •��. � -'�
-; �
2. Stocks and Bonds (Schedule B) �2� •� N ` '
3. Closely Held Stock/Partnership Interest (Schedule C) (3] .��. � .�'`�
4. Mortgages/Notes Receivable (Schedule D) (4) •�: . � -'�
,
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) (5) 3,508.3�3` ' --� `-'-'i
6. Jointly Owned Property fSchedule F) (6) •� = '�t
7. Transfers (Schedule Gl (7) .00
8. Total Assets �g� 3,508.33
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Administrative Costs/
Miscellaneous Expenses (Schedule H) (9) 7,796.95
10. Debts/Mortgage Liabilities/Liens (Schedule Il (10) .00
11. Total Deductions �11� 7,796.95
12. Net Value of Tax Return �121 4,288.62-
13. Charitable/Governmental Bequests (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (14) .00
NOTE: If an assessment was issued previously, lines 14, 15 andior 16 and 17 will
ref lect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Amount of Line 14 taxable at 6% rate (15l •�� X.06 = .00
16. Amount of Line 14 taxable at 15% rate (16) •00 X.15 = .00
17. Principal Tax Due (17) .��
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST (-)
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST .00
TOTAL DUE .00
* IF PAID AFTER DATE INDICATED, SEE REVERSE ( IF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REQUIRED.
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A •'CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
�".
REGISTER OF 6VILLS OF CUP�i�ERL�ND COUNTY
REPORT OF STATUS OF ADMIY�IISTRATION
(For Resident Decedents Dying After July 1. 1984)
ESTATE NO. 21- �0- lyZ�y-
Name of Decedent: �� � ��'�2► (.�t�-►3�21 t�L r�
Social Security Account No.: �-� g -- 1'Z ^ S�2-i
Date of Death: ��- —o�y — � �]
r
Name of Personal Representativets): �Ly,�,^�„o T CV� bc r i
Capacity Executor � Adminisirator c.t.a.
(check one) Administrator Administrator d.b.n.
� l/
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
personal representative?
Othec (explain)
Total amount paid to date to creditors and for funeral and $ ,�� ,���
administrative expense
1'otal value of distributions to date to beneficiaries $ ^ 1 `'���lf�w�
If administration is not complete, estimated value of assets $
still in administration
NOTE: This status report is due no later than the due date f�r filing the Pennsylvania
Inheritance Taz Return or, if no Inheritance Tax Return is required, nine (9) months
after the date of death; if the administration of the estate has not been conciuded,
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, irrformation and belie . O
Date: �t I t,+� , 19�!
_—� — , Per��nAt Rop��� .,*or;ve
, Attorney for Estate
J 'R�is report must be signed by the personal representative, or one of them when more
than one, or by counsel for the estate.