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PETITION FOR GRANT 01<' LETTERS OF ADMINISTRATION
Estate of Dorothy Lawso'!., Hendorson No, ,;; 1- q 1/- - Oq
also known liS To:
Decellscd,
Social Secllrlly No, 306 -2 4 -5 8 3 9
Regl!ter of Will! for the
County of Cumberland In the
Commonwealth of Penn!ylvanla
The petition of the undmlgned re!pectfully represents that:
Your petltloner(s), who Is/arc 18 years of age or older, appl. ies
for lellers of administration
on the estate of
- -
(d.b,n,; pendente lite: durante ahselltla: durante mlnorlllllc)
the above decedent.
Decendent was domldled at death In ~mber land __ County, Pennsylvania, with
It er last family or principal residence al_.12 0 Hickory Rd., Car lis le".-ElL.J} 0 13 "-
(Ii,t street, ""m~cr an~ municipality) un \ ,il..\e..; <! ,,'"\1,>,)1' )
Decendent, then 72 yellrs of agc, died .__.D.e.c..erober '-:l _, 19 q < ,
llt Cumber laruL3J,uaain.g,fLRt1l:iLement-Commlln i t'y ,_ ~,,"th Middlaton, Township
Cumberland Co., PA
Decendent at dealh owned property with estlmulrd values llS [olllows:
(If domiciled In Pa,) All personal property $ H, OuO
(If not domiciled In,Pa.) Personal properlY In Pennsylvania $
(If not domiciled In Pa.) Personal property In County $
Value of real estate In Pennsylvania $
situated as follows:
Pelltloner_ after a proper search ha~_llseertained Ihal decedent left no will and was survived by
the following spouse (If any) llnd heirs:
Name Relallonshlp Residence
Oran K. Henderson
Kenneth R. Henderson
Ann II. Kline
Nancy V. Schultz
Husband
So
isle / PA
THEREFORE, petltloner(s) respectfully request(s) the grant of lellers of admlnlstrallon In the
appropriate form to the undersigned.
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120 Hickory Rd., Carlisle, PA 17013
Thi:-. I~ Iii (('nify Ih.lI thl' 1lll(llllJ.llillll h\'Il' ,\:1\'('11 I~ (1IIll'\lk 1111'lt'111IHIIl ,lllllli,l'tn.d (1'11111(.11{' 01 dl:,llh duly fi!t'd ",ilh IIIl' as
I.uc.d HI'lli'i1IM. Till tlligill,d u'llIlH.,llt' \,..illlw hllw;mll,\1 III till' \1.1[(' "il,d I{l'ltlld~ Il(lil(,ltll Pl'IlIl.llll'llllilinj:.
WARNING: Ills Illegal to duplicate this copy by photoslat or photograph,
Fl'l'.flll' ,hi, il'I'tifit.Itl:, S/.I)()
OEC. :2 4 19113
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COMMONWIAlTH OF peHNSVlVANIA' DIPARTMeNT OF HIAlTH' VITAL AICOAOB
CERTIFICATE OF DEATH
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Dorothy Lawson Hand orson fomol. I 306 _ 24 5839
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.,Dee. 23, 1993
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Robart H, Hondorson
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Ora" Kennoth Hendorson
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
R!V.I500 IX+ 1",911
1. Real ESlale (Schedule AI ( 1)
2, Sloc,. and Bonds (Schedule Bt ( 2) _ 12,796. 82
3, Clollly Held StacklPartne"hlp Inll'lIt ISchedule CI I 3)
4, Mortgagll and Notll Receivable ISchedule D) I 4)
5, Ca.h. Bank Depadl' & MI"ellaneou. Pe"onal Property( 5)
ISchedule E)
6, Jolnlly Owned Property (Schedule FI
7, Tran.fl/s ISchedule G) (Schedule LJ
B, Tolal Grall Auell Itolalllnll 1.7)
9, Fun.,ol Expenll', Admlnlllratlve Co.II, Ml"ellaneoUl ( 9)
Expenlll ISchedule Ii)
10, Debll, Mort3age lJabllltlll, lien. (Schedule I)
11. Tolal Deduction. (Iotalllnll 9 & 101
12, Net Value of ElIale IlIne e minus line 111
13, Charitable and Govl/nmental Bequ,," ISchedule JI
14, Nil Value Subject 10 Tax IlIne 12 mlnu.llne 13)
15, Amount of line 14 laxable at 6% ,ate
(Include valu.. 'rom Schedule K or Schedule M,)
16, Amounl of line 14 taxable at 15% ral.
Ilnclude valu.. 'ram Schedule K or Schedule M,)
17, Principal lOX due (Add lax from line 15 and 'rom line 16,1
19, Credit. Spousal Poverty Credll + o/~(l.aO"Oenll + 35D~'60onl IntI/III
19, II line 1911 grealer Ihan line 17, enler Ihe difference on lino 19, Thll l'lhe OVERPAYMENT.
mo
20, II line 17 I. greater Ihan line 1 B, enler the difference on IIn" 20, Thll I. Ihe TAX DUE.
A, Enler Ihe IntI/III on the balance due on lI"e 20A,
B, Enll/ the lata I 0' line 20 and 20A on lino 20B, Thl. I. tho BALANCE DUE.
Make Chock Payablo tal Ae,llter of Willi, A,ont
.. II SU.ITO ANSWDALLQUUTlONlONRlVIUISlDIANOTO.ICHICKMAlH..' ' ::>,',:,::";',
Und.r plnaltl.. of perjury, I d.clor. that I have lJCamln.d thl, r'turn, IncludIng accompanying h'hfldul.. and ttattm.nt., and 10 ,hi bll' of my knowledge lJncf bIU.f,
1111 'ru.! corrin and compl.t.. I d.clnr. thai all r.al 1.101. has bl.n report.d al fruft mark.t valu.. D,c1aratlon of pr'par.r olher than thl plnonal "p,...ntatlv. I.
ba..d on alllnfarmallon of whIch p"porer hat any knawl.dg..
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HENDERSON DOROTHY L.
~TAmCURI1Y NUMla--=-rTl 0/ Of"" ~ "
306-24-5839 I 12-23-93 I 7-12-21
j[) 1. Odglnal Relurn 0 2, Supplemental Relurn
o 4, limited E.lall 0 40, Future Intor..t Comp,omlll
Ifor dol.. a' dlalh aher 12.12.92)
o 6, Decedlnl Died Tellale 0 7, Decodent Malntolned a living TrUll
(Attach copy of Willi (Allnch copy 0' T,uIII
AlJ.,COnUPONOINCI AND CONPlDINllAL TAX IllI'OltMAllON SHOUUlU. Dl-=nD,TOI' ",,"
AM M M
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COMMONWeAltH Of PlNNSYlVANIA.
O!PAII.TM!NT Of ReVENUe
orPT.180601
HARltISlURO, PA 11121-0601
A ,ST, AND MIDDle INITIAl)
ANN H. KLINE, ESQUIRE
IS'NrNUMIIR
274-2184
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roaDATIt 0' DIAYH Anll 12/31/91 CHICK HI"
.. A lPOUIAL
I'OVnTY C..DIl II CLAIMID 0
'Ill HUMU. -
COUNTY CODE r1 (
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YEAR 9 "i
120 Hickory Road
Carlisle, PA 17013
C",'Y Cumber land
o 3, Remainder Return
(for dot.. of dealh prior to 12.13.92)
o 5, Foderal E.tote To.
Rllurn Required
_ 9. Tolal Number 0' Safe Depo." BoxlI
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28 South Fourth Street
Lebanon, PA 17042
8.996.18
( 6)
17)
21,793.00
8,138.52
( 0)
(10)
519.26
(11)
(12)
(13)
(14)
8,657.78
13,135.22
(15)
13.135.22
)( ,06..
13,135.22
788.11
(16)
)( ,15 ..
(17)
788.11
(191
(191
735.00
C11('c~ IWH' If you fill' 1l'<I,h'\llncl Cl Il'fund 01 VOlll (l'Jl'lfluynll'lIl.
53.11
120)
(20A)
120BI
53.11
20 Hickor Rd. Carlisle. PA 17013
IV "
28 South 4th St., Lebanon, PA 17042
DATe
J.!8.9'"
. ,
lIV.1I0'1.. 11,161
*
COMMOHWIAlI~ 0' PlNNa!lVAHIA
INHUIIAN I lAllIllUIN
IIIIDIN DICIO HI
SCHEDULE B
STOCKS AND BONDS
LlRDMm
DOROTHY LAWSON H~NDERSON
IAII ,..perly lolnlly-ownod with Rllht .f SUnllv.llhlp mu.l bo dl..I..odon S.hldull P.,
ITEM
NUMBER DeSCRIPTION
1. 218.0502 Shares of BellSouth Corporation, oommon stoo
Value as of date of death. $58.6875/share
VALue AT OAT!
OF DEATH
12,796.82
, '
" '
I,
'"
, ,
11 'I
, '
,
\' I,
TOTAL (Aho Inlll on IInl 2, Rlcopllulo"on
I" _I .,,0.. II _Jed, /nlld .JJ"lonol,,,"'. ./ .oml till,)
S 12,796.82
1I1Y,IS04fhll,'"
'*'
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
COMMOHWIA~H 0' ~IHNIV(vANIA
INHIIIIA ITA InulN
IUID NT DK DINT
o
DOROTHY LAWSON HENDERSON
~ Iolot'-.... wHtl the .~ht of S...lwnlol, mv.t be dIHI.MtI .. kllNvle 'I
ITIM
NUMBIR
DESCRIPTION
VAWI AT
DATE OP DEATH
1. Farmers Trust Company
Carlisle I PA
Individual Retirement Aooount
Value as of 12/31/93
8,996.18
" ,
'. ,
"
'i.
",
, .
'"
"I,
S 8 996 18
(AM addlH..al ."'. N 11" "'- If ..... ,pac, I. noodod,l
. .
I.VoUlIlhI7.l'1
5CHIDULI H
FUNIRAL IXPINSIS,
ADMINISTRATIVI COSTS AND
MISCELLANIOUS IXPINSIS
pt.a.. Prln' or T
!~
COMMONWIAlTH OP PINNSYIVANIA
INHIAITANCI TAX mUAN
AlII DINT DlclDtNr
ISTAlI OP
DOROTHY LAWSON HENDERSON
ITlM
NUMIIR
DESCRIPTION
AMOUNT
A. Pun.rollxp.n'''1
1.
Hoffman-Roth Funeral Home, Inc.
Carlisle, FA
Sunnyside Restau~'ant, funeral dj,nner
4,368.40
2.
256.12
I. Admlnl.'ra'''.. CO""
1. Pellonol R.prll.nloll.. Commllllons
Social Swcurlty Numb.r of Pellonal Reprellnlall..l Waived
V.or Commllllons paid
2. Allorney Fees Kline & Kline 1,075.00
3. Family Ex.mptlon
Claimant o.r an K. Henderson Relationship Husband
Addre.. of Claimant at dec.denl's death
Street Add.... , 120 Hickory Road
City Carlisle SIale -1'L Zip Code 17013 2,000.00
4. Probale Fe.. Letters of Administration I Short Certificate
Filing Fees I phone Charges 89.00
C. MIIe.llaneau. bpensll.
1, John J. Fritz, Jr. , C.P.A. 's 350.00
HarriSburg, PA - Tax Preparation
2. ' ,
3. " ..'
"
4. ',i
S.
6.
7.
8.
:1
TOTAL IAlso .nl" on IIn. 9, Recapltulatlonl $ 8,138.52
(I' more spac. I. n"d.d, Inllrt oddltlonal .h..,. o. .am. .11..)
UV,UIJUt IM'I I
"~',J~~ '~~
,..,!ii~
COMMONW'A"~ m 'INNUWAN'A
Il'lHIIUlANCI U,.IIIV.N
"'10IN'0ICtDIN1
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE L1ABLlTIES AND LIENS
I
"
I
I
IITATI 0'
DOROTHY LAWSON HENDERSON
, ,
PI. a.. Prln' or T .
ilUNU ,IIIR . ~
ITIM
NUMIIIR
1.
.3.
5.
6.
DISCRIPTION
I
AMOUNT
2.
BMC Pharmacy, Inc.
Carlisle, PA
Pharmacy Billa
Carlisle Pharmacy
Pharmacy Bill
Carlisle Pathology
Hospital Bill
, 28.00
218.76
111.15
4"
;.
Bronstein & Jeffries, P.C.
Harrisburg, PA
Doctor Bill
42.00'
Dr. Crumary
Doctor Bill
20.00
Dr. Robert Thompson
Carlisle, PA
Doctor Bill
,31.00
"
, ,
7. Carlisle Ambulance
, '
50.00
18.35
.8. Rea & Derick
Carlisle, PA
Pharmacy Bill
'"
"
"
"
.'
'I'
.'
'I
I; ,
TOTAL (Allo .nllr on IIn. 10, Recopltulollon)
(II more .pac.11 nttd.d, I~..rl addlllana',httll a' .am. Ii..,)
s
519.26'
'.-..
.....;,"'
- .-. -.. .......... _.~ -- --.. .--. ...--, __ _ ___ ..__. _~ ~_. .__~ N~ .__. ,__-. _.__ .___ __ __ _'_ _ __'" ..__ _..._ _ ~__
,
RECEIVED FROM:
i
m
AMOUNT
t(,1.J NE: ANN H ES(~
,
i!S 80UHI FOURTH 91
nn
..70cr.oO
"
LEBANON
F'A 1 704l~
'0101111I
'OIOH'1I
81" 199',-0009 m'lN ;30"-/!',-t183'1
CEDENT IlAST) ~FIRSTI .
HENDERlJON llllHOTHY I.AW8t1N
M.
. /1 Jfn.
T '
I.
)
,
NTY (1/00/00-
CUMBERLAND
. r..
T
"
A
. REMARK&
II TOTAL AMOUNT PAID
. .-1100. (to
sa
OF/AN K. HI':NDERUON
SEAL
REGISTER OF WILL~
" 'I
RECEIVED BY ,: Ii / I y<' '-...:..it, '(,.jJ.' ~J.U
, , "I1aN~I"'" , I
'I . I L,
II ,,',' II il7.j
MAr~Y C. I.EWIS ,', ,I" / 1,.u,;;{,iJP:"I.
,RF.l'JlElTf~R Dr Wll.Ul ! (1 ,
CHS:CKtl br/Ol'i
- __ - -~... _ -....... .....~. -.__. _._ '_'_ _.._._ ____ _.~... _..__ ...~... ___ _N....... _ ....._ _._ n, ... __.. _... . -0__' .__... ____ "_' _. .._. .-_ -'-f"*
,
, .
.......
....;.'\,
-- -- --. "- -- -. .-- .--- - --. --- _.",-'_, ..-- ._~-._- -----.--.- ---.----------
, ,
ReceiveD FROM:
&
ACN
AsseSSMeNT II'
CONTROL 1;1
NUMBeR
.Ii
AMOUNT
KLI NE ANN H ESt!
ee SOUTH FOURTH 6T
101
.l)~;1"
LEBANON PA 1?04e
'010 HUf
USN 30b-C!4-:IBSQ
IfIRST) 1M
LAWSON
1
0/00/00
CUMBERLAND
~Of DEATH
-1eLf3L'UI
ReMARKS ORAN K. H(;ND~RSON
II TOTAL AMOUNT PAID' :____
seAL CHI:':CKII b91 b
REGISTIilR OF WILLS
MARV C. I. WI
REG1ElU:R O~. 'll.LG
"'.h. p,.
..-. -_..~ ..~.__....~._4" ...- .......' '''.', --- . .... .-.... -.-. 'T'--
.
"
r
RECEIPT FOR PAYMENT
=m=================
I
!
Cumberland County' - Register Of Wills
Hanover and High Street
Carlisle, PA , 17013
3~~Hl~U
100~791
I
.
ReceiEt Date
Recei t .Time
Rocei t No.,
HENDERSON DOROTHY LAWSON
File Number
Remarks
1994-00009,
ANN H. KLINE, ESQUIRE
------------------------
,Distribution Of Receipt ------------------------
Payment Amount Payee Name
10.00 CUMBERLAND COUNTY GENERAL FUN
Transaction Description
ADD PROBATE FEE
Check* 5519
Total Received.........
$10.00 .
$10.00
, '
"
.' '
."
,
,/.!,
I ;,"
ii'
" '
" 'I
..
"
, '
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"
It 'F ,
'",
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..
"
,.1',
I.,
,
, '
, ,
, ,
,,"
"
~ RIV-1!147 IX AFP 110093*
C_ALTH Of PfIMVLVIHIA
ll€PARTHEHT Of REVENUE
BUREAU OF IHDIVIDUAl TA'ES
ll€PT. 110601
HAR~ISI~, PA l11ZI.0601
IIlXt FILE NO.
DATE OF DEATH 12-23-93 COUNTY CUMBERLAND
NOTE. TO INSURE PROPER CREDIT TO YOUR AtCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAM
PAYHENT TO THE REDISTER OF WILLS. HAKE CHECK PAYABLE TO "REDISTER OF WILLS, ADENT"
REMIT PAVMENT TO:
I
,
ACN
101
NOTICE OF INHERITANCE TAM
AFFRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTI~1, AND ASSESSHENT OF TAM
ANN H KLINE ESQ
2B S 4TH ST
LEBANON PA 17042
DATE 08-01-94
-
REGISTER DF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
r
A.ount R..itted
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .....
R "{V :i547" i:ic" "i:j'--nii: 93'1-- Noi'"icE" -0' F - i"NHiiiif ANci- TAX - A"p PRAY Ii iifENr;-ALrliWANci" cili- - -... 0 om - - - _.0
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF HENDERSON DOROTHV L FILE NO.21 94-0009 ACN 101 DATE 08-01-94
If .n ......m.nt w.. i..u.d pr.wicu.1y, line. 14, 15 and/cr 16 and 17 will
reflect figure. that include the tct.1 cf ~ raturn. .......d tc dat..
ASSESSMENT OF TAXI
lB. Aaaunt of Lln. 14 t.x.bl. .t 6% rot.
16. Aaaunt of Lln. 14 t.xobl. .t IB% r.t.
17. Prlnolp.l T.x Du.
TAM RETURN WAS I (X) ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST 0 SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN
1. R..l E.t.t. (Soh.dul. A)
2. Stooke ond Bond. IS.h.dul. BI
S. Clo..ly Held Stook/P.rtn.r.hlp Int.r..t ISoh.dul. CI
4. Hort;.go./Not.. R.o.ly.bl. ISoh.dul. D)
B. Ca.h/B.nk D.po.lt./HI.., P.r.on.l Prop.rlv (Soh.dul. EI
6, Jointly Own.d ~rop.rty ISchedul. Fl
7. Tron.f.r. (Soh.dul. 01
B. Tot.l A...t.
APPROVED DEDUCTIONS AND EXEMPTIONS I
9. Fun.r.l Exp.n.../Ad.lnl.tr.tly. Co.t./
HI.o.ll.n.ou. Exp.n... (Schedul. HI
10, D.bt./Hort;.;. LI.bllltle./Llon. (Soh.dul. II
11. Tot.l D.duotlon.
12. N.t V.lu. of Tax R.turn
IS. Ch.rlt.bl./Doy.rn..nt.l B.qu..t. (Sohedula JI
14, N.t Vol... of E.tote Subj.ot to Tax
NOTEI
TAX CREDITS I
PAYHENT
DATE
RECEIPT
NUHBF.R
DnClMfT I + I
INTEREST (-I
03-11- 94
03-21-94
856026
856053
36,S4
2,57
) CHANCED
() .
(1)
121
(31
(4)
lSl_
(6)
(71
.Jl..2..
12,796,82
.00
,00
8.996.18
.00
. Oil..
IBl
21,793.00
191
(1~)
8,138,52
519.26
(111
1121
(15)
(14)
6,657.78
13,135.22
.00
13,135.22
(151
U61
13,135.22 M,06'
,00 M.15'
1171
788.11
.00
788.11
AHOUNT PAID
700.00
53,11
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
792.52
4.41CR
.00
4.41CR
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL IHlEREBT.
IF TOTAL DUE IS LESS THAN fl, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CAP-On" (CRI, YOU HAV BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)
,,'
"
"
"
I"
'I"
" ,
RftIERYATJONI E,t,t,. of deoldlnt. dvlne on ar before Otc.-blr 12, 19'2 ~w If anv future lnt.rl.t In tn. I.tat. I, tren,'.rrld
In po.JeI.lon or enJov-ent to Ct,.. . (co11It,r..) btntflo1.rl.. 0' t~ dectd.nt ,ft.r thl Ixplr.tton of InY I.t.t. for
l1f. or for V'.r., thl COIIOnWIllth hIIr,bv Iwpr...ly r...rvI' thl right to ,ppr.t.. and ...... trlntf.r Inh.rltanol '1M"
It thl l.wful Cl,., ~ (coll,t,r'l) r.t~ on InY luch future Inttr..t.
_EOI'
NOUCEI To fulflU thl requlrlltlnh of Sactlon ZUG of thl InhtrUanol Ind E.tlt. TIM Aot, Act 2Z of 1"1. 72 P,S.
I..Uon 11'0.
PAYMENT I o.tlch thtl top ~rt1on of thh NotiOI Met tub,lIt with your PI,,""t to thl Righter of N11l1 prJntld on thl r'vltll .Ide.
--HIk. chick or 1lOI\I' ordtr ....bl. to. AEDISTEA OF MILLS, ADM
All Ply""t. r,cIlved .hlll flr.t b, appllld to any Int.r..t ~hlch ..y be dut with any r...lnder .,,111d to thl tlX.
REFUND (CA), A rlfund of I t'H orldlt, which WI' not r'quI.tld on the TIH Rlturn, ..~ be rlqul.ted by Ceep!I"", en "~lloltlon
for R,fund of P'M.~lvanll Inheritanc. end Elt.t. Till" (REY-UUL Appllc.Uon. Irl IVlll1b11 It the OUlc.
of the Rlght.r of Will.. '":I of the ZJ RIVInUI Ohtrlct OUlc.., Of' by clUing the .p.ohl 211j-hour
tn'Mlrlnt ..rvle. ~r. for fori' orderlngl In P'M.ylvenll 1-800-362-2050, out.lde Penn'~lvanll Ind
within 10011 Hlrrl.burg .r.. (717) 767-80911j, TOOl (717) 772-2Z52 (HI.rlng I~llr.d Only).
OIJECTJOHSI Any p.rtv In Int.r..t not latl.flld with thl .ppr.I....nt, 1110wlnc. or dl.llluwanc. of deduction., or ......-.nt
of t'll (Including dl.count or Intlr..t) ft. lhown on thl. Notlot lU.t obJ.ot within .Illty (60) diY' of r.o.lpt of
thlt NoUol bYl
HwrlU.n prot..t to the PA Dlpert',"t of R.Vlnue, !Io.rd of ApPII", DEPT. lalOn, lIarrhburg, PA 17121-1021, Oil
"'llotlon to h.v. the ..tter dtter,lntd at audit of the aocount of the per.onlll rtpr...ntlUv., Oil
--IPPlII to thl Orphan.. Court.
ADHIH
IIl~ATlI/l!
CORRECTllINlI.
FlGtUlI .rror. dl.covlr.d on thl. ......lCnt .hould be addrl..ed In writing tOI PA Dtp.rtttnt of AIVenut,
!IUrtlU of Indlvldull TIXIII, ATTNI Pn.t A.......nt A.vt.w Unit, DEPT. 210601, HtrrhblJrg, flA 17UI-0601
Phone (717) 781-6505. SH Pltl 3 of the backlit "In.tructlon, for Inherltlntl T.ll R.turn for I A..llMnt
Peoldotnt" CREY-tsOlJ for Il"I 'llpltnltlon of .dllnlttrIUv.1v oorrlGtlbll errort.
DIICOUNT.
IHllREIT.
If tny t.x due 1. ~Ild within thr.. CS) oll.~r .onth. .ftlr thl dtotdtntl, de.th, . flvl Plrc,"t (IX) dl.count of
thl tile plld h l11owed.
tnt.,..t I. ch,rged blglnnlng with first d.y o. dlllnquency, or nln. (,) ItOMthll 1M on. (1) dlY fr. thl d.tl 0'
6ttth, to thl dltl of ply-.nt. T.ll" which blel" delinquent blfor. JlnUlry 1, 1912 bI.r Int.r..t It thl r.tl of
.IM C'~) percent plr annul ~.Ieul.ttd .t . d.lly rlt. of .0001611j, All till.. which blo... dtllnquent on end .ft.r
JlnUlry 1. 1911 will bllr 1nt.r..t .t I rl" which will v.ry frol cllend.r v..r to o.llndar valr with thlt rlt.
tnnOtMWltd by the PA DlptrtlMnt of R.Vlnut, The .ppllclbl. Inter..t "t.. fer 1912 through 19'IIj 1"1
'!.!!!: Inter..t Rlt. DillY Intar..t Faotor :!!!r Inter..t Aat. Dlllv Inter..t FlGtor
1112 20X ,0005" 1916 lOX .0002"
1911 I6X .OOOUI 1917 'X .OOOZ"
19" IU .000101 1911-1"1 IIX .000101
1915 UX .000156 1992 9X .OOOZ"
1995-1'" 7X .000192
hInt.r..t i. olloullt.d .. follow,'
INTBRElT . IALANCE OF TAM UNPAID M NUHIER OF DAVS DELINQUENT M DAILV INTEREST FACTOR
--Any NoUol luutd Ifter the tlM b.eo.., d.lInquent will refl.ot If" Inter..t o.lcul.Uon to flit"" ClU d.n
bevond thl dati of thl ......-.nt. If Plvetnt II atdt "ftlr thl Int.r.,t cOIPUtltlon dati .~ on thl
Notiol, tddltlonel Int.r..t iUlt be ol'cullted.
PAVllfIfT,
Det.oh thl top portlano' thh Natte. end tublt1t Mlth vour ply,en' aide PIVlbll to thl neM Ind Iddr... prlntld
on the "lv,rM .Ide.
AU Plv.ntl reo.lnd 'hlll fir.t be ."Utd to an:t Jnt.rut which ow be due '11th MY ,....r4l,. ."lIed to the tllk.
MEFUND ((tn, A r.fund (Iof . tl)( credit, which .... not rlClu..tH on thl TaM Alturn, HV be requeltld bv cOIIpI,Unt In
"ApplJoltlon for A,fund of PennlvlYInI, Inhtrlllnc, and Elt,t, TIM" (REY~l]lS). Appllcltlon. .r. IVll1lblt at
thl O,ttcI of the R,giatlr of Willi, anv of the 24 AlvtnUI Dh,rlat OffiCII, or bv CIUlnt the IPHI,. U-hour
en....rlng lI,vlol nullbel" for for.. Qrdtrll\ll NEW IN PEIff\VLYANIA 1.100.S6Z~ZOlO, outlldl Penn'wlvlnle
and within thl locll Harrisburg .t.. (117) 1a7-aO~.
REPLV
TO.
bltion. rqardlna .rrot. contllned no thl, MUO' .hould be Itddr...1d tal PI. Defllr'..,,' of R.v...., ~rNU
of Individual 'I.", ATTHI Po.t 1......-.0, Rlyllw Unit, DfPT. Z80601, Hartl'burg, PA 171Z.~0601, phone
m11 717-6505.
If MY tlX dUe 11 paid ..I thin thr.. (S) ellandlr IKH'lthl .fter the declldentl, cIt.th, . ft\ll Plrcent U:O dhclMl"lt
af thtl ttM plld It IUawed.
OIICCUlT.
INTEREST .
Intlr..' I. chlrlld btilnnlng with flr.t dlY of dellnquencv, cr nlnt (,) tonthl and ane (1) dlv frOl thl dlt. af
cltlth, ta the dlt. af PIYllnt. TIM" which bIG... cltlinquent befarl Janulrv 1, 19'! bear lntlr..t It thl rltl of
.IM (6~) Plroent per annul ollcul,t.d at I dillY rat. of .000164. All tlM'1 which bee... delinquent on end .ft.r
Jenuary 1, 1"2 will b'lr int.r..t at I ratl ~lch will v.rv frOl c.lend.r YI.r to clltndlr Vllr with thlt rat.
ennounced bv thl PA DeportHnt of Rlvenue. The 1PP1Icllblt Int.,..t r.t.. for I'll! through 19M "II
'!!!r tntar..t Rlt.
D,Uy Int.r..t Feelor
!!!! lnt.r..t R.t.
DIllv Int.r'lt Faotar
1912 lOX
I9U 16~
19" 1l~
1915 IS~
.000541
.00001
.000101
.000156
1916 lOX
1917 9~
1911-1991 III
1991 9~
1991-1994 n
.000114
.000247
.ooom
.000147
.000191
.~tnt'r'lt il ollcul.tld .1 fallOMll
IHTEIIUT . IAWL'! OF TAX \/HPAID X HUHIER OF DAYS DEI.IHQUEHT X DAlI,Y IHTERUT FACTOR
.-Any Notlo. l.tued .,t.r thl tlM beo~. dtlJ~t Mill r.fllOt ftn Inter. It c.lculltlon to flftean (II) dew.
~Yond the dlt. of thl ........"t. If PIY""t I. ndt .ft.r thl Inter..t coaput.tlon dIIt. lhowl on the
Notlel, Iddltl~l Int.rl.t IUlt be calcul.tld.
f3/
nn
Ct
CERTIFICATION OF NOTICE UNDER RULE 5.~(a)
\0
L
:0
:-D CD
\(1 ()
'. (1
NAME OF DECEDENT:
DOROTHY L. HENDERSON
oq
rq
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DATE OF DEATH:
DECEMBER 23, 1993
III
).. ;,
.,
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-"
WILL NO, 1994"00009
PA. NO. 2194-0009
To the Register:
I certify that Notice of Beneficial Interest required by Rule 5.6(a) of the
Orphans' Comt Rules was served on or mailed to the following beneficiaries of the
above-captioned estate on January 31, 1994.
Name
Address
Oran K. Henderson
120 Hickory Road
Carlisle, PA 17013
Kenneth R. Henderson
24965 State Route 1
Guilford, IN 47022
Nancy V. Schultz
R.D. #3, Box 217
East Mombasha Road
Monroe, NY 10950
Ann H. Kline
265 Crooked Lane
Lebanon, PA 17042
Notice has now been given to all persons entitled thereto under Rule 5.6(a).
Date: January 31, 1994
c:2u/~
Ann H. Kline
28 South Fourth Street
Lebanon, PA 17042
717-274-2184
Capacity:
Counsel for personal representative
JRD/June,3(1, 1992/178S8
, ,
, REGISTER OF WILLS
Cumberlan,d County Courlhouse
, One Courthouse Square
, Carlisle, PA 17013
.'\
"
" ,
NOTICE PURSUANT TO RULE 6.12
PENNSYLVANIA SUPREME COURT ORPHANS' COURT RULES
To: , Personal Representative
Counsel: --liNN II. KLINF.. F.!'lQ. t
RE: Estate of DOROTHY LAWSON IlENDERS~JPeCeased, LIIte of
MIDDLESEX TWP
Estate No.: 21.94.009
Date or Decedent's Death: DECEMBER 23, 1993
Pursuant to Rule 6.12, the above named personal representative or the above na!l1ed attorney, If
applicable, within two (2) years of the decedent's death, and annually thereafter until administration Is
completed, Is required to file with the Register of Wills a Status Report as required by Rule 6.12, In
substantially the prescribed form, showing the date by which the personal representative, or attorney, as
applicable, reasonably believes administration will be completed, The purpose of this Notice Is to advise
you that unless the requisite Status Report is filed with the Register of Wills or Clerk of the Otphans'
Court, as appropriate,wlthln ten (10) calendar days after the date of this Notice that the Register ofWUla
is required to DOtlfy the Otphans' Court Division, Court of Common Pleas of such delinquency and to
request that said Coun conduct a hearing to determine whether sanctions should be Impoled upon the
dellnqueat personal representative and the delinquent ~onal representative's counsel, If any.
Accordlna1Y, If the requisite Status Report Is not filed by 1 . 2 9 , , 19~, you are herebY
advlsNl that. request wUl be submitted to the Court In accordlllCO with RUle 6.12.
n." '-17.1996 '~~~)h'~\fJ~
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Distribution to Estate File
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STATUS REPORT UNDER RULE 6.12
Name of Decedent I
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Date of Deathl
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Will No.
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Admin. No. &? , q..,. ODD~
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 estatel
1. State whether administration of the estate is complete I
Yes_",_ No
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete I
3. If the answer to No. 1 is Yes, state the following I
a. Did the personal representative file a final
account with the Court? Yes No, "
b. The separate Orphans' Court No. (if any) for
,the personal representativ,' s account is I
c. Did the personal representative state an
account informally to the parties in interest? Yes~~ No
d. Copies of receipts, releases, joinders and
approvals of formal or informal accounls may be filed with the
Cerk of the Orphans' Court and may be attached to this report.
Datel /' ';';(r
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Signature
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Name (Please type or print)
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Address
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Tel. No.
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CapacitYI
Personal Representative
1/ Counsel for personal
r.epresentat.ive
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