HomeMy WebLinkAbout01-0806
Estate of
Register of Wills of Cumberland County, Pennsylvania
PETITION FOR GRANT OF LETTERS
Frances A. Miller No. ~ {- () I ". 8"'t'~
also known as
, Deceased
Social Security No. 207 - 09 -1895
James S. Miller
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' or 'B' BELOW:)
[]g A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is/are the execut or
the Decedent, dated 09/10/1969 and codicil(s) dated None
named in the last Will of
State relevant circumstances, e.g., renunciation, death of executor, etc.
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents
offered for probate; was not the victim of a killing and was never adjudicated incompetent:
D B. Grant of Letters of Administration
(c.I.a.; d.b.n.c.l.a; pendente lite; durante absentia; durante minoritate)
Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and
heirs:
Name
Relationshi
Residence
(COMPLETE IN ALL CASES:) Attach additional sheets if necessary.
Decedent was domiciled at death in Cumberland
County, Pennsylvania with his/her last family
or principal residence at 208 Senate Avenue, East Pennsboro Township, Camp Hill, PA 17011
(list street, number, and municipality)
Decedent,then~yearsofage,died 08/11/2001 at Holy Spirit Hospital, PA
(Location)
Decedent at death owned property with estimated values as follows:
(If domiciled in PAl All personal property
(If not domiciled in PAl Personal property in Pennsylvania
(If not domiciled in PAl Personal property in County
Value of real estate in Pennsylvania
~ /"'-.c~ OC
f :> 4/~ -
$ .1 .000.00-
$
$
$
~
situated as follows:
Wherefore, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of
letters in the a riate form to the undersi ned:
Si nature T
James S. Miller
6108 Walls Street, Harrisbur , PA 17117
1'-.1- 'i
Prepared by the Pennsylvania Bar Association
Copyright (c) 1996 form software only CPSystems, Inc.
Form RW-1 (1991)
Oath of Personal Representative
Commonwealth of Pennsylvania
County of Cumberland
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 representative(s) of
the Decedent, Petitioner(s) will well and truly administer the estate according to law.
f)~ ~ ~ ~
JaTUs S. Miller
Sworn to or affirmed and subscribed
a.
before me this~ day of
a~. ,~/
~? J~Jj/w Yltf .~Ji.~~/
/ For the Register ~..ic1J
No.
21-01-806
Estate of Frances A. Miller
Deceased
Social Security No: 207-09-1895 Date of Death: 08/11/2001
AND NOW,
AUGUST 29,
,2001 , in consideration
of the Petition on the reverse side hereon, satisfactory proof having been presented before me,
IT IS DECREED that Letters ~ Testamentary 0 Of Administration
(c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate)
are hereby granted to
James Scott..Mil1er
in the above estate and that the instrument(s) dated
09/10/1969
described in the Petition be admitted to probate and filed of record as the last Will of Decedent.
FEES
Short Certificate(s). . 6 .
$
18.00
~t! ~K;' .~ r?d..:u:t;ftA4.: Q~.b=f
R<lgister of Wills
Letters. . . . . . .
$
200.00
Renunciation.
$
Attorney:
Thomas E. Flower, Esquire
Affidavits (
$
1.0. No:
83993
Saidis, Shuff, Flower & Lindsay
2109 Market Street
Extra Pages ( 1 ).
$
3.00
Address:
Codicil. .
$
Camp Hill, PA 17011
JCP Fee.
$
5.00
Telephone:
717/737-3405
Inventory.
$
Other. .
$
TOTAL.
$
226.00
PUT IN FILE IN PRO.
AUGUST 29, 2001
Prepared by the Pennsylvania Bar Association Copyright (c) 1996 form software only CPSystems, Inc.
Form RW-1 (1991)
H105.805 REV 9/86
T'1is is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as
Local Registrar.' The original certificate will be forwarded to the State Vital Records Office for permanent filing.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $2.00
p
7620017
No.
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Local Registrar d
AUG 1 3 2001
Date
riAME Of DECEDENT tfllSl. MIddle. la&l)
.. Frances A. Miller
COMMONWEALTH OF PENNSYLVANIA' OEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
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MOTHER'S NAl.IE jF.,1. ~. Maiden StJrname)
tt. Jessie Anderson
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PlACE OF IllSl'OSlTlON - _.. c.m...r,.. Ct........., LOCRlON _ CilyllOwn, _.. 2'.. ~
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Rolling Green Cemetery ra..er Al.l.m Thp.,m 1~11
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'MEOICAL EXAMINER/CORONER
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21-01-806
LAST WILL AND TESTAMENT
OF
FRANCES A. MILLER
I, FRANCES A. MILLER of New Cumberland, Cumberland County,
Pennsylvania, declare this to be my Last Will and Testament,
hereby revoking any will previously made by me.
I - I bequeath my silverware to my sister, Jane
Bierbower of Baltimore, Maryland, if she is living at the time of
i
I my
I be
I
death. Should she be deceased, I direct that my silverware
added to the residue of my estate.
II - All the rest, residue and remainder of my estate
of every nature and wherever situate, I devise and bequeath unto
my two children, Gail A. Miller and James Scott Miller, in equal
shares per stirpes.
III - All taxes that may be assessed in consequence of
my death of whatever nature and by whatever jurisdiction imposed
shall be considered a part of the expense of the administration
of my estate and my personal representative or representatives
shall have the absolute power in his or her discretion to pay the
same at once whether or not the law under which they are imposed
permits the postponement of all or part of them to a later time.
IV - I appoint my son, James Scott Miller, Executor of
this, my Last will and Testament. Should my said son fail to
qualify or cease to act as such, then I appoint my daughter, Gail
A. Miller, Executrix of this, my Last will and Testament. Neither
of my personal representatives shall be required to post bond in
this or any jurisdiction.
WITNESS my hand and seal on this, the
/IJ
'<::Pc..
day of
ARNOLD 8: SLlKE
xi'Aft&.~-~ , 1969.
{/
ATTORNIYS AT LAW
~t~~e.a- (L/. J/~'1,
Frances A. Miller
(SEAL)
210. IIARKIT STRUT
CAMP HILL. PllIINSYLVANIA
......
Signed, sealed, published and declared by FRANCES A. MILLER, Tes-
tatrix therein named, on this and one (1) other sheet of paper as
and for her Last Will and Testament in our presence, who, in her
presence, at her request and in the presence of each other, have
hereunto subscribed our names as attesting witnesses.
~~
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ARNOLD It SLIKE
ATTORNEYS AT LAW
2101 MARKIT STRIIT
Page 2
CAIIP HILL. PINNSYLYANIA
21-01-806
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
OATH OF NON-SUBSCRIBING WITNESS
Nola J. Miller, Subscriber hereto, being duly qualified
according to law, deposes and says that she is familiar with the
signature of Frances A. Miller, testatrix of the Will presented
herewith and that she believes the signature on the Will is in the
handwriting of Frances A. Miller, to the best of her knowledge and
belief.
~.ii~
Sworn to or affirmed and
subs~ibed be!r~~..e. ~hiS
&7 day of , 200l.
~(1. ~LI~ {1J .~(~ .:iC!rLfl1~-&
for the Regl ter . (f
21-01-806
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
OATH OF NON-SUBSCRIBING WITNESS
James S. Miller, Subscriber hereto, being duly qualified
according to law, deposes and says that he is familiar with the
signature of Frances A. Miller, testatrix of the Will presented
herewith and that he believes the signature on the Will is in the
handwriting of Frances A. Miller, to the best of his knowledge and
belief.
f~~ t;"p~
JatLes S. Miller
Sworn to or affirmed and
subsc ribed b(}~~ this
::l7 day of , 200l.
~(!- ~ ()O.4 . . ,,-(}.~JJI:';f;M~L1t
f the Register /'-r---~
E
-
REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYLVANIA
CERTIFICATION OF NOTICE UNDER RULE 5.6(A)
Name of Decedent: Frances A. Miller
Date of Death: August 11,2001
Will No.
21-01-0806
Admin. No.
To the Register:
I certify that Notice of Estate Administration required by Rule 5.6(a) of the Orphans'
Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate
on September 6, 2001.
Name
Address
Gail A. Miller
412 Cherrington Drive, Harrisburg, P A 1711 0
James Scott Miller
6108 Walls Street, Harrisburg, PA 17117
Notice has now been given to all persons entitled thereto under Rule 5.6(a) except
none
Date:
'1//8 lo!
( I
~~
Thomas E. Flower, Esquire
SAIDIS, SHUFF, FLOWER & LINDSAY
2109 Market Street
Camp Hill, P A 17011
(717) 737-3405
Capacity:
_Personal Representative
-X Counsel for Personal
Representative
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 000503
FLOWER THOMAS E
2109 MARKET STREET
CAMP HILL, PA 17011
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
nn____ fold
101
$425.00
ESTATE INFORMATION: SSN: 207-09-1895
FILE NUMBER: 21-2001- 0806
DECEDENT NAME: MILLER FRANCES A
DATE OF PAYMENT: 11/08/2001
POSTMARK DATE: 00/00/0000
COUNTY: CUMBERLAND
DATE OF DEATH: 08/11/2001
TOTAL AMOUNT PAID:
$425.00
REMARKS: JAMES S MILLER
C/O THOMAS FLOWER ESQUIRE
CHECK#105
SEAL
INITIALS: PB
RECEIVED BY:
MARY C. LEWIS
REGISTER OF WILLS
REGISTER OF WILLS
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
REV-1162 EX(11-96)
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 000653
FLOWER THOMAS E
2109 MARKET STREET
CAMP HILL, PA 17011
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
-------- fold
101
$339.92
ESTATE INFORMATION: SSN: 207-09-1895
FILE NUMBER: 21-2001- 0806
DECEDENT NAME: MILLER FRANCES A
DATE OF PAYMENT: 12/18/2001
POSTMARK DATE: 12/17/2001
COUNTY: CUMBERLAND
DATE OF DEATH: 08/11/2001
TOTAL AMOUNT PAID:
$339.92
REMARKS: JAMES S MILLER
CHECK#106
SEAL
INITIALS: PB
RECEIVED BY:
MARY C. LEWIS
REGISTER OF WILLS
REGISTER OF WILLS
/7-3 .~/1
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
61*
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT. 280601
HARRISBURG, PA 17128-0601
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
REY-15~7 EX AFP 112-001
ReG,"
RIce,
. ,
,
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
02-04-2002
MILLER
08-11-2001
21 01-0806
CUMBERLAND
101
FRANCES
A
THOMAS E FLOWER
SAIDIS ETAL
2109 MARKET ST
CAMP HILL
ESQ
.02 F EB 13
(1.10 :48
C~2f:\'
PA 17G:tl.llnbt~
Allount Rellitted
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REY=is4"j-E3f-AFP-fi2"=oOY-NOTicE--OF-YNHERiTANCi-TAX-APPRAisEMENT~--Ai:.rOWANCi-(fR-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
FRANCES A FILE NO. 21 01-0806 ACN 101
ESTATE OF MILLER
DATE 02-04-2002
!
TAX RETURN WAS: (X) ACCEPTED AS FILED
CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Stock/Partnership Interest (Schedule C)
4. Mortgages/Notes Receivable (Schedule D)
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E)
6. Jointly Owned Property (Schedule F)
7. Transfers (Schedule G)
8. Total Assets
(1)
(2)
(3)
(4)
(5)
(6)
(7)
.00
431.85
.00
.00
6.465.58
1.718.13
18.535.88
(8)
NOTE: To insure proper
credi t to you!r account,
subllit the u~er portion
of this forll with your
tax paYllent.
27,1~
APPROVED DEDUCTIONS AND EXEMPTIONS:
t 9,681.00
9. Funeral Expenses/Adll. Cos s/Misc. Expenses (Schedule H) (9)
10. Debts/Mortgage Liabilities/Liens (Schedule I) (10) .00
11. Total Deductions Ul) C) . 6~
12. Net Value of Tax Return (2) 17 ,4 ~
13. Charitable/Governllental Bequestsj Non-elected 9113 Trusts (Schedule J) (13) .00
14. Net Value of Estate Subject to Tax (4) 17 ,4~
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 119 will
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
15. Allount of Line 14 at Spousal rate
16. Allount of Line 14 taxable at Lineal/Class A rate
17. Allount of Line 14 at Sibling rate
18. Allount of Line 14 taxable at Collateral/Class B rate
19. Principal Tax Due
TAX CR TS:
PAYMEN
DATE
11-08-2001
12-17-2001
REC IPT
NUMBER
CD000503
CD000653
DISCOUN (+)
INTEREST/PEN PAID (-)
22.37
.00
(15) .00 X 00 = .00
(6) 17,470.44 X 045 = 7~
(7) .00 X 12 = .00
(18) .00 X 15 = .00
(19)= 786.17
AMOUNT PAID
425.00
339.92
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
787.29
1.12CR
.00
1. 12CR
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA lY /
STATUS REPORT UNDER RULE 6.12
Name of Decedent: Frances A. Miller
Date of Death: August 11,2001
I
Will No. 21-01-0806
Admin. No.
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the
following with respect to completion of the administration of the above-captioned estate:
1. State whether administration of the estate is complete: Yes -X; No
2. If the answer is No, state when the personal representative reasonably believes
that the administration will be complete:
3. If the answer to No. I is Yes, state the following:
a. Did the personal representative file a final account with the Court? Yes_;
No X
b. The separate Orphans' Court No. (if any) for the personal representative's
account is:
c. Did the personal representative state an account informally to the parties
in interest? Yes X; No
d. Copies of receipts, releases, joinders and approvals of formal or informal
accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report.
Date:
I/;I/o?-
I I I
/
~~
Signature
Name: Thomas E. Flower, Esquire
LD. No. 83993
SAIDIS, SHUFF, FLOWER & LINDSAY
2109 Market Street
CampHill,PA 17011
(717) 737-3405
Capacity:
Personal Representative
X Counsel for Personal Representative
\.
Name of Decedent:
STATUS REPORT UNDER RULE 6.12
F' /L-tt v1L e sA, M/, I \e y-
~ -- 1 \ - Z eo I
Date of Death:
Will No.:
2 6 C I - DC ~ 0 ~
Admin. No.: 21-01-0Y'D6
Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the
following with respect to completion of the administration of the above-captioned estate:
1. State whether administration of the estate is complete:
Yes [g/' No 0
2. If the answer is No, state when the personal representative reasonably believes
that the administration will be complete:
3. If the answer to No. 1 is Yes, state the following:
a. Did the personal representative file a final account with the Court?
Yes _ No H'
b. The separate Orphans' Court No. (if any) for the personal representative's
account is:
c. Did the personal ~~ntative state an account informally to the parties
in interest? Yes l.!::1"" No 0
Date: 7 -I ~D3
c. Copies of receipts, releases, joinders and approval of formal or
informal accounts may be filed with the Clerk ofthe Orphans' Court
andmaYbeattachedtOthi~ ~,
Signature
~~ MA-c:. Lf Lo vJ 61<-
Name
, iqLU )~)
, ~':~)
..2 ( 0 4 HAA~ t S-t. I ~~r it'LL-
Address
--
-?37.- '3l.fo S
Telephone No.
L 0: L LIt 8- lnr to.
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Capacity: 0 Personal Representative
[i}Counsel for personal representative
REV.1500 EX (&00)
COMMONWEALTH OF
PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
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DECEDENT'S NAME (LAST, FIRST AND MIDDLE INITIAL)
Miller, Frances A.
DATE OF DEATH MM--DD--YEAR)
11-3~1L/
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
21 - 01
COUNTY CODE YEAR
SOCIAL SECURITY NUMBER
207
DATE OF BIRTH (MM-DD-YEAR)
~
08 06
NUMBER
09
- 1895
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
08-11-01 01-26-1913
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST AND MIDDLE INITIAL)
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I:8J 1. Original Return
o 4. Limited Estate
I:8J 6. Decedent Died Testate (Attach copy of Will)
o 9. Litigation Proceeds Received
SOCIAL SECURITY NUMBER
o 2. Supplemental Return
o 4a. Future Interest Compromise (dale of death after 12-12-82)
07. Decedent Maintained a Living Trust attach a copy of Trust)
o 1 O. Spousal Poverty Creditldate of death between 12-31.91 and l-f-95)
o 3. Remainder Return (date of death prior to 12-13-82)
o 5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
o 11. Election to tax under Sec. 9113(A) attach Sch 00
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THIS SECTION MUST BE COMPLETED ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO
NAME COMPLETE MAILING ADDRESS
Thomas E. Flower, Esq.
FlflM NAME (if Wti.-pJe) .
Saldls, Shutt, l'lower & Lmdsay
TELEPHONE NUMBER
717-737-3405
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
2109 Market Street
Carn Hill, PA 17011
(1) 00
(2) 431.85
(3) 00
(4) 00
(5) 6,465.58
4. Mort9ages & Notes Receivable (Schedule D)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
DC
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5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
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(6) 1,718.13
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6. Jointly Owned Property (Schedule F)
o Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule 1)
(9) 9,681.00
(10) 00
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
(7) 18,535.88
.....
00
u
(81 27j5L44
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1:':
N
(11) 9,681.00
(12) 17,470.44
(13) 00
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been
made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
(14) 17,470.44
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
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15 Amount of Line 14 taxabie at the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2)
16. Amount of Line 14 taxable at lineal rate
17. Amount of Line 14 taxable at siblin9 rate
18. Amount of Line 14 taxable at collateral rate
19. Tax Due
200
> > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < <
17,470.44
x .0 _ (15)
X.O 45 (16) 786.17
x .12 (17)
x ,15 (18)
(19) 786.17
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
4". ~t (~..
Decedent's Complete Address:
STREETADDRESS
208 Senate Avenue #214
CITY Camp Hill I STATE PA I ZIP 17011
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19) (1) 786.17
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments 425.00
C. Discount 21.25
Total Credits (A+ B + C ) (2) 446.25
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Totallnteresl/Penalty ( D + E ) (3) 00
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 Line 20 to request a refund (4)
5. If Line I + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (S) 339.92
A. Enter the interest on the tax due, (SA) 00
B. Enter the total of Line S + SA. This is the BALANCE DUE. (513) 339.92
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1 . Did decedent make a transfer and: Yes
a. retain the use or income of the property transferred; _ _ _ - - - - - - - - - - - - - - - - - - - - - - _ _ _ _ _ _ _ D
b. retain the right to designate who shall use the property transferred or its income; - _ - _ _ _ _ _ _ _ _ _ _ _ _ _ D
c. retain a reversionary interest; or _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ D
d. receive the promise for life of either payments, benefits or care? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ D
2. 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"cRayable upon death bank account or security at his or her death? _ U
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ . D
No
~
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IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
SIGNATURE OF ERSON R~SPONSIBLE FOR FILING RETURN
. ''-
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Under penalties of perjury, I declare that I haye examined this return, Including accompanying schedules and statements, and to the best of my knowledge and belief, it Is true, correct
and complete.
Declaration of preparer other than the personal reprosentatlvels based on all Information of which pro parer has any knowledge.
DATE
i).. /{, /2001
ADDRESS
James S. Miller, 6108 Walls Street, Harrisburg, P A 17112
S RE OF PREPARER OTHER A EPRESENTATIVE
( C'
ADDRESS
Siadis, Shuff, Flower & Lindsay, 2109 Market Street, Camp Hill P A 17011
DATE
/2 /1 /2001
For dates of death on or after July 1, 1994 and Before January 1, 1995, the tax rate imposed on the net value of transfers to or to the use of the surviving spouse is 3%
[72 P.S. 39116 (a) (1.1) (I)].
For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. 39116 (a) (1.1) (ii)).
The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if
the surviving spouse is the only beneficiary.
For dates of death on or after July 1,2000:
The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent,
or a stepparent of the child is 0% [72 RS. s9116(a)(1.2)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.S%, except as noted in 72 RS. s9116(1.2) [72 RS. s9116(a)(1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. s9116(a)(1.3)]. A sibling is defined, under Section 9102, as an
individual who has at least one parent in common with the decedent, whether by blood or adoption.
""'~".,,'"''' ..
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF
Frances A. Miller
FILE NUMBER
21-01-0806
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
15 Shares MetLife Stock, Cusip 59156RI0, at $28.79
VALUE AT DATE
OF DEATH
$ 431.85
TOTAL (Also enter on line 2, Recapitulation) s $431.85
(If more space is needed, inse- additional sheets of the same size)
REV-I 50S EX - (1-97)(11
.
COMMONWEAL TH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
Frances A. Miller
FILE NUMBER
21-01-0806
Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
Commerce Bank Checking Account #512041625
Principal - 3,394.14
Accrued Interest- 3.11
VALUE AT DATE
OF DEATH
$ 3,397.25
2.
Commerce Bank Savings Account #410115163
Principal- 1,111.78
Accrued Interest- .55
$1,112.33
3.
Household Goods and Furnishings (gross proceeds of auction)
$1,854.00
4.
Keystone Health Plan, refund of premium
102.00
TOTAL (Also enter on line 5, Recapitulation) $ 6,465.58
(If more space is needed, insert additional sheets of the same size)
"'~'~"-'''''"' '*
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATE OF
Frances A. Miller
FILE NUMBER
21-01-0806
SURVIVING JOINT TENANT(S) NAME
If an asset was made joint within one year of the decedent 5 date of death, it must be reported on Schedule G,
ADDRESS
A. Gail A. Miller
B.
c.
JOINTLY -OWNED PROPERTY:
412 Cherrington Drive
RELATIONSHIP TO DECEDENT
Daughter
LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH
ITEM FOR JOINT MADE Include name of financial institution and bank account number or similar identifying number. DATE OF DEATH DECO S VALUE OF
NUMBER TENANT JOINT Attach deed for jointly-held real estate. VALUE OF ASSET INTEREST DECEDENTS INTEREST
1. A. 8-3-93 280 shares Gabelli Equity Trust, at $9.75 2,730.00 50% 1,365.00
2. A. 10-4-94 36 shares Gabelli Equity Trust, at $9.75 351. 00 50% 175.50
3. A. 11-15
-94 31 shares Gabelli Global Multimedia Trust, at $11.46 355.26 50% 177.63
TOTAL (Also enter on line 6, Recapitulation) $ 1,718.13
(If more space IS needed, insert additional sheets of the same size)
REV-1510 EX -(1-97)(1)
COMMONWEAL TH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Frances A. Miller
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
FILE NUMBER
21 - 01 - 0806
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REY.1500 COYER SHEET is yes_
DESCRIPTION OF PROPERTY % OF DECO S
ITEM INCLUDE THE NAME Of THE TRANSfEREE THEIR RELATIONSHIP TO DECEDENT AND THE DATE Of TRANSfER, DATE OF DEATH INTEREST EXCLUSION TAXABLE YALUE
ATTACH A COPY Of THE DEED fOR REAL ESTATE.
.11 '''QeD YALUE OF ASSET IIF APPLICABLE'
1. SolomonSmithBamey account #724-04273-1-5-150 $21,535.88 50% $3,000.00 $18,535.88
(see attached d.o.d. value report for itemized securities held in (made joint
this account) on 3-19-01,
and
decedent
supplied all
considera-
tion, so the
account is
treated here
for inherit-
ance tax
purposes,
as if
decedent
had 100%
interest.)
TOTAL (Also enter on line 7, Recapitulation) $ 18,535.88
(If more space is needed, insert additional sheets of the same size)
..""",,.,"' '*
COMMONWEALTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Frances A. Miller
Debts of decedent must be reported on Schedule 1.
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
FILE NUMBER
21 - 01 - 0806
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Musselman Funeral Home
Prof. Services, Facilities and Autos - $3,800.00
Lined Burial Vault- 1,000.00
Flowers- 106.00
Death Certificates- 12.00
Minister's Honorarium- 75.00................................................ 1>4,993.00
Rolling Green Cemetery, Interment- 760.00
............................................................................
B. ADMINISTRATIVE COSTS:
1. Personal Representative s Commissions
Name of Personal Representative (s)
Social Security Number(s) I EIN Number of Personal Representative(s)
Street Address
City State Zip
Year(s) Commission Paid:
2. Attorney Fees ISaidis, Shuff, Flower & Lindsay I 2,850.00
3. Family Exemption: (if decedents address is not the same as claimant s, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4. Probate Fees 226.00
5. Accountant s Fees
6. Tax Return Preparers Fees
Advertisement of Estate 188.10
7.
Auctioneer's Commission on Sale
of Household Property 648.90
Inheritance Tax Return Filing Fee 15.00 852.00
-
TOTAL (Also enter on line 9, Recapitulation) $ 9,681.00
(If more space is needed, insert additional sheets of the same size)
REV-1513 EX -(1-971(1(
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF , 1\, 11..< \\e',/
.[:vCt V'\ceC) tt ,~\ \
FILE NUMBER
d i V IO<6ob
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
Do Not List Trustee(s) OF ESTATE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
1. TAXABLE DISTRIBUTIONS (include outright spousal distributions)
1.
Gail A. Miller
412 Cherrington Drive
Harrris burg, P A 1711 0
daughter
1/2
James S. Miller
6108 Walls Street
Harrisburg, PA 17112
son
1/2
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, AS APPROPRIATE, ON REV 1500 COVER SHEET
II. NON.TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART 11 - ENTER TOTAL NON.TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ 0
(if more space is needed, insert additional sheets of the same size)
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nORHEYS AT L.AW
09 WARKET STREET
HILL. PENNSYL....ANIA.
V.t'
FRANCES A. MILLER
I, FRANCES A. MILLER of New Cumberland, CUmberland County,
Pennsylvania, declare this to be my Last will and Testament,
hereby revoking any will previously made by me.
I - I bequeath my silverware to my sister, Jane
Bierbower of Baltimore, Maryland, if she is living at the time of
ny death. Should she be deceased, I direct that my silverware
Je added to the residue of my estate.
II - All the rest, residue and remainder of my estate
of every nature and wherever situate, I devise and bequeath unto
my two children, Gail A. Miller and James Scott Miller, in equal
shares per stirpes.
III - All taxes that may be assessed in consequence of
my death of whatever nature and by whatever jurisdiction imposed
I shall be considered a part of the expense of the administration
,
I
I of my estate and my personal representative or representatives
,
I
II shall have the absolute power in his or her discretion to pay the
I same at once whether or not the law under which they are imposed
I permits the postponement of all or part of them to a later time.
IV - I appoint my son, James Scott Miller, Executor of
this, my Last will and Testament. Should my said son fail to
qualify or cease to act as such, then I appoint my daughter, Gail
A. Miller, Executrix of this, my Last Will and Testament. Neither
of my personal representatives shall be required to post bond in
this or any jurisdiction.
WITNESS my hand and seal on this, the
-n:'c.
/tl
day of
I. ." ..;: /7,
<",IJ.Zt'h"'(..f'< . L..
../1
, 1969.
f
~.,-7?~tu-r 7"'- c" (> eL' .,//../C.Cl.:.r"i ,
. Frances A. Miller
(SEAL)
signed, sealed, published and declared by FRANCES A. MILLER, T
tatrix therein named, on this and one (1) other sheet of paper
and for her Last Will and Testament in our presence, who, in h
presence, at her request and in the presence of each other, ha
hereunto subscribed our names as attesting witnesses.
II
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Mellon Investor Services
Page 1 of2
Account Status
Account Key: MILLER---FOAQAOOOO
For Assistance Call :1-866-608-3299
To contact us Click here
FRANCES A MILLER
208 SENATE AVE APT 214
CAMP HILL PA 17011-2318
MetLifff
Your Account Status:
Certificate Shares + Book-Entry Shares = Total Shares Share Price*
o 15.0000 15.0000 $28.9400
*Share Price for CUSIP: 59156R10 as of close of business: Thursday, December 13, 2001
(Share Price provided by Muller Data Corp.)
Estimated Market Value
$434.10
Our records indicate that you have not arranged for electronic delivery of shareholder communications,
including annual reports, proxy statements and other company material for annual and special meetings of
shareholders.
This is how the electronic delivery of shareholder communications will work. The annual report, proxy
statement or other documents will be posted on a specific webpage. If you have elected on-line delivery, you
will be notified by U.S. mail to your address of record when the documents will be available for viewing and
how to access the materials on-line. For any meeting of shareholders for which the issuer distributes a proxy
statement, you will receive a printed proxy card in the mail. The Internet address to access these documents
will be printed on your proxy card.
Please provide your decision concerning electronic delivp.ry.
o YES By selecting the option button to the left, I consent to access MetUfe, Inco's Annual Reports to
Shareholders, Proxy Statements, prospectuses, and other stockholder communications on-
line. I understand that unless I request otherwise or revoke my consent, MetUfe will not
distribute printed material to me. MetUfe will tell me when any stockholder communications
are on-line and how to access them. I understand that costs associated with the use of the
Internet will be my responsibility. To revoke my consent, I can contact MetUfe's transfer
agent, Mellon Investor Services at https:/Ivault.mellon-investor.com/isd.
o NO I do not consent to future delivery of annual reports, proxy statements and other materials
electronically. I wish to receive printed copies of such documents by U.S. mail.
Changing your consent will effect only this account. If you wish to make or change your election for your
other accounts, please do so by clicking on the "View Holdings" button above and repeat this process for
each account you wish to change.
-
Book-Entry shares represent Trust Interests you currently hold in the MetUfe Policyholder Trust.
https://vau1t.melloninvestor .comlisd/ AccountStatus.asp?compname=METLIFE%2C+IN C... 12/14/2001
CHASEMELLON SHAREHOLDER SERVICES Page 1 of 1
,
. Price Information Is Not Adjusted to Reflect Any Split Activity
(Source: Tradeline.com)
Begin Date :108/09/20011 End Date: 108/15120011 -
Cusip : 59156RIO Sym bol : MET
52-Week Hi : 36.6250 52-Week Low: 24.7000
Date High Price Low Price .AV~ Closing Price
2001-08-09 28.7100 28.3000 28.6200
2001-08-10 28.8000 28.4000 ? S' ft:-"' 0 28.6000
....-. I'
2001-08-13 29.3400 28.6200 ,,:2 )( .. 1<6 29.0600
2001-08-14 29.6000 29.0000 29.4500
2001-08-15 29.7400 29.1800 29.2500
Terms and Conditions
CopvriQht 2000 ChaseMellon Shareholder Services. L.L.C. All riQhts reserved.
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12/14/2001
Commerce Bank
100 Senate Avenue
Camp Hill, P A 17011
Re: Estate of Frances A. Miller
Date of Death: 8/11101
Social Security No. 207-09-1895
The following is a complete record of the above decedent's accounts as of August 11, 2001
decedent's date of death. Ifthe decedent had a safe deposit box, indicate number tVO ~ ~
Balance on Date of Death 11> Q I 3C\ '1 . ';;t:)
~1)\\'a-.33
Account No. Type of Principal Accrued Names on Date
Account Interest Account (All Opened
Owners)
EJIJ.,o4 llo~S Ch ec.. k; r'l~ ~3.3~ 4 .ll..\ 1- 3, \ I rru.nc~ A. M;"u q \ \ It> \ <6'6
14 \0\ \ 5 \ l..R3 ~" incts !I. ,>" I .'1~ $.55 rro..r'Ccs R tv\~ \ \e..r \ \ \ \ S \ <'-b~
{~~rYlCh- ~ Yvt~
Signature of OffiCi 1
Date: IO!3!O(
Title: L / f -r t:-D.-rvt L ~ e...r
;{I',i 1:. i? 1(') V! ,
hctt If:m'2nt
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Item
COSTEA'S AUCTION SERVICE
i::~;:::',~~t) (3ET"t'Y~Jp.;Jr<(3 HDrlD
CAMP HILL PA 17011
WWW.COSTEASAUCTION.COM
71 T-.' T37 --lZlIi)@ZI
Ji=1I'iIES rfj I L.L.EI::;:
6108 WALLS STREET
HBG Pr:1 1711;:;:
Des c Y' i p t: i f.) n
Pl'- i c!?
G!t y
Page:
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THE GABELLI EQUITY TRUST INC
LIQUIDATION PAYMENT
: THE GABELLI EQUITY TRUST INC
5E: LIQUIDATION PAYMENT
ACCT NO.: 3573125870
TICKET NO.: IWSSELLo024oo75
DATE OF
CHECK
12/04/01
LIQUIDATION
PRICE
10.61962
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NO.
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AMOUNT
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Finance_l-:LlLme - Ya..hggl- Help
Historical Quotes
Nasdaq:XGA8X
More Info: Quote I Chart
Month Day Year
Start: IAugrllill1ill
End: I Sep II ITD Iill
@ Daily
o Weekly
o Monthly
o Dividends
Ticker Symbol: Ixga bx I
Date Close
lO-Sep-Ol 9.lO
7 -Sep-O 1 9.14
6-Sep-0 1 9.30
5-Sep-Ol 9.45
4-Sep-0 1 9.52
31-Aug-Ol 9.54
30-Aug-Ol 9.48
29-Aug-Ol 9.59
28-Aug-Ol 9.63
27-Aug-Ol 9.72
24-Aug-Ol 9.74
23-Aug-Ol 9.64
22-Aug-Ol 9.67
21-Aug-Ol 9.64
20-Aug-Ol 9.66
17-Aug-OI 9.65
16-Aug-0 1 9.74
15-Aug-Ol 9.74
14-Aug-Ol 9.75
13-Aug-Ol 9.75
10-Aug-01 9.75
9-Aug-Ol 9.72
8-Aug-Ol 9.75
ADVERTISEMENT
http://table.finance.yahoo.com/t?a=08&b=01&c=01 &d=09&e= 14&f=0 1 &g=d&S=Xllabx8... 12/14/2001
EQUISERVE
PO BOX 842004
BOSTON, MA 02284-2004
THE GABELLI GLOBAL MULTIMEDIA TRUST INC
LIQUIDATION PAYMENT
ISSUE: THE GABELLI GLOBAL MULTIMEDIA TRUST INC
PURPOSE: LIQUIDATION PAYMENT
ACCT NO.: 3573125870
TICKET NO.: IWSSELL00240076
DATE OF
CHECK
12/04/01
LIQUIDATION
PRICE
8.649677
CHECK
NO.
432381
CHECK
AMOUNT
265.64
BACKUP
WITHHELD
0.00
UNITS
LIQUIDATED
31
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Page 1 of2
'"b;HoO!FINANCEW
Historical Quotes
Month Day Year
Start: ~ @I] @I]
End: ~ [8J @I]
@ Daily
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o
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o
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Date Close
I O-Sep-O I 9.98
7-Sep-Ol 9.95
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4-Sep-0 1 10.65
31-Aug-Ol 10.73
30-Aug-Ol 10.60
29-Aug-Ol 10.82
28-Aug-Ol 10.93
27-Aug-Ol 11.11
24-Aug-Ol 11.10
23-Aug-Ol 10.87
22-Aug-Ol 10.96
21-Aug-Ol 11
20-Aug-Ol 11.08
17-Aug-Ol 11.08
16-Aug-O 1 11.27
15-Aug-0 1 11.33
14-Aug-Ol 11.45
13-Aug-Ol 11.46
10-Aug-Ol 11.46
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http://table.finance.yahoo.com/t?a=08&b=O 1 &c=O 1 &d=09&e=14&f=O l&g=d&s=xggtx&... 12/1412001
SALOMONSMITHBARNEY
A member of cltlgroupt
October 29, 2001
THOMAS E. FLOWER, ESQ.
Said is, Shuff, Flower & Lindsay
2109 Market Street
Camp Hill, PA 17011
RE: Account of Frances A. Miller and Gail A. Miller
Account #724-04273-1-5-150
Date of Death: August 11, 2001 (Frances A. Miller)
Dear Attorney Flower:
Listed below are the dates of death values for the above-mentioned account.
Quantity
19,000
1,296
Quantity
19,000
Security
Value as of 8/10/2001
Norwest Integrated Structured $99.50 per bond/$18,905.00
1998- 2 mtg. Asset Backed Pass
Thru 7% Due 9/25/2028
$ 2.03 per share/$2630.88
Franklin Templeton Age High
Income Fund Class A
(Account #105-50100934044
At fund)
TOTAL VALUE AS OF 8/10/2001 =$21 ,535.88
Security Value as of 8/13/2001
Norwest Integrated Structured $99.50 per bond/$18,905.00
1998-2 mtg. Asset Backed Pass
Through 7% Due 9/25/2028
SALOMON SMITH BARNEY INC. 222 Delaware Avenue, 7th Floor, Wilmington, DE 19801 302-888-4100
1,296
Franklin Templeton Age High
Income Fund Class A
(Account #105-50100934044
At fund)
TOTAL VALUE AS OF 8/13/2001 =$21 ,535.88
$ 2.03 per share/$2630.88
The joint account of Frances A. Miller and Gail A. Miller was opened on
3/19/2001 at Salomon Smith Barney. This is the only account Frances A. Miller
held at Salomon Smith Barney.
If you have any further questions, please do not hesitate to contact me at 780-
1729.
Sincerely,
~\ Crr ,I
jo~n J.(}abian, Jr:
~nior Vice Pre 'oent - Investments
JJF/amd
"The information herein has been obtained from sources we believe to be reliable. but do not guarantee its accuracy or
completeness:
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE REV-1162 EX(11-96)
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 1 7128-0601
RECEIVED FROM: PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CD 015336
CITIBANK NA
214 SENATE AVE 7l`H FLOOR
CAMP HILL, PA 170''1 1
ACN
ASSESSMENT AMOUNT
CONTROL
,old NUMBER
ESTATE INFORMATION:
SSN: 207-09-1895
FILE NUMBER: 21b1-0806
DECEDENT NAME: MI~.LER FRANCES A
DATE OF PAYMENT: 1 2/ 1 5/201 1
POSTMARK DATE: 12/',14/201 1
couNTY: CUI~/IBERLAND
DATE OF DEATH: 08/',,1 1 /2001
REMARKS: RECEIPT TO TTY
CHECK# 89166.00!
SEAL
TOTAL AMOUNT PAID:
589,1 C~~_QO
INITIALS: HEA
RECEIVED BY: GLENDA EARNER STRASBAUGH
REGISTER OF INILLS
REGISTER OF WILLS
Law Offices of
Michael Cherewka
624 North Front Street
Wormleysburg, Pennsylvania 17043
(717) 232-4701
Fax (717) 232-4774
December 12, 2011
Register of Wills Office
Cumberland Count Courthouse
1 Courthouse Squa e
Carlisle, PA 17013
Re: Estate of Frances F. Miller
DOD: September 21, 2011
SSN: 179-16-6991
Our File No. 4082.00
Please find enclosed a check in the amount of $89,166.00 as payment on account of
r Inheritance Tax due pn the non-probate Estate of Frances F. Miller. The Inheritance Tax Return
will be filed in due curse.
,`
Should you hive any questions, please contact the undersigned.
Very truly yours,
Michael Cherewka~`
MC/11
Via U. S. Certified Mail #7006-0810-0006-1053-6458
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BUREAU OF INDIVIDUAL TAXES IN CFFy{ C,~ TAX DEPARTMENT OF REVENUE
INHERITANCE TAX DIY ISIDN S TAT E~~1~1~ ~ T REV-1b07 EX AFP C12-11)
PO BOX 280601
HARRISBURG PA 17128-0601 ~G~~ii~;'~ ~' 1;` ;~q( ~~
~'~
DATE 01-17-2012
~Df?JAN 25 p~s~A~~ OF MILLER FRANCES A
DA E F DEATH 08-11-2001
FILE NUMBER 21 01-0806
THOMAS E FLOWER ESQ ~~ ~COTNTY lO1BERLAND
SAIDIS ETAL ~R~.~~~
>~ Amount Remitted
2104 MARKET ST
CAMP HILL PA 17011
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
1 COURTHOUSE SgUARE
CARLISLE PA 17013
NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment.
CUT ALONG THIS LINE ---- RETAIN LOWER PORTION FOR YDUR RECORDS E--
---------------------------------------------------------------------------
REV-1607 EX AFP C12-11) **~ INHERITANCE TAX STATEMENT OF ACCOUNT ~**
ESTATE DF:MILLER FRANCES A FILE NO.: 21 01-0806 ACN: 101 DATE: 01-17-2012
THIS STATEMENT PROVIDES CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE. BELOW IS A SUMMARY OF THE PRINCIPAL
TAX DUE, APPLICATION OF ALL PAYMENTS, THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT: 01-28-2002
PRINCIPAL TAX DUE: 786.17
PAYMENTS (TAX CREDITS:
PAYMENT RECEIPT DISCOUNT C+)
AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID C-)
11-08-2001 CD000503 22.37 425.00
12-17-2001 CD000653 .00 339.92
12-14-2011 CD015336 .00 89,166.00
TOTAL TAX PAYMENT 89,953.29
BALANCE DF TAX DUE 89,167.12CR
INTEREST AND PEN. .00
TOTAL DUE
89,167.12CR
* IF PAID AFTER THIS DATE, SEE REVERSE SIDE 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.
~~