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PETITION .'OR PROBATE and GRANT OF' LETTERS
t.:~lale oj L; /.. i.~LIv/. _.J~--,.::..._JJ-'.ul:..f_u No. /) I -!l1J.~_ 3
II/SO kl/owl/ as .---- To:
-------------- Register of Wills for the
----,----. JJececHI'd. County of COUMBJRLAND In the
Social SeL'l/rlIY No. ;! I ,j '. 1 () , I (1'1J , Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents thut:
Your petllioner(s). who Is/are 18 years of IIge or older an the exeeut {, /(
In the last will of the IIhove decedent, dllted _____--1-Y' '" (>, ,) '7
and eodlell(s) dllted ________ I '
named
, 192.L
(slillC rclc\'1I111l'irclIIllSI1lIICC', l'.M. rcnundlllloll, t1Clllh uf exccUlor, etc.)
Deeendent was domiciled. lit dellth 11I_~.b:..)- !it " ,i .._ County, Pennsylvapla,)j'ilh
h last fllmlly or pnnclpnl residence qL. If V I rl ( ['(1' > (( . [ (0" .1'" (j) (L /'1< .
I / c:JL 1~2/.!f1.i:.!L.?', (/" . ( .I1LI'~__
(11~1 weel, numher lIull Illllllclpilllty)
V"} .'1 .-, (y "7
Deeendent, then _~...J__ yellrs of IIge, died _._..,ljJ..:."" .< I' ._, 19 ( ..
at _-.!1.ti~~q'h_L-.lI.L" (/, ___ .
Except as follows, decedent did notmlllTY, WIIS not divorced IInd did not havc a child born or adopted
aftcr exccutlon of thc will offered for probllte; WIIS not the victim of u killing und was ncvcr udjudlcaled
Incompetent: _ ,.1/ 1...________
Decendcnt ul. death owned property whh cstlmated values IIn follows:
(If domiciled In Pa.) All personlll propcrty $ ,. 'I, " (, ,.
(If not domiciled In I'll.) Persolllll property In Pennsylvania $
(If not domiciled in Pa.) Persolllll property In County $
Value of real estate in Pcnns)'lvllnia . $
sltuatcd as follows: -iL [-III" C,) ( /, ('(/M/-' JI( II / I. /'7 pI (
,~'1 s''' ~""~
WHEREFORE, petltioncr(s) respectfully request(s) the ~robate of the last will and codlcll(s)
prescnted herewllh and the grant of lellers_..lliIAMENTAR
(tcslufllclllllrYi administration c,l,a,: administration d,b,n,c.t,a,)
theron.
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH 011 PENNSYLVANIA ll:ls
COUNTY 01<' _ CUMBERLAND J
The petltloner(s) ahove-np.mcd swear(~) or uffirm(s) thutlhe statements In the forcgolng petition are
true and corrcct to the best of thc knowledge und belief of petltloner(s) and thai as pcrsonal represen.
tatlvc(s) of the ubovc decedent r,clltloner(s) will wcll aniltruly administer thc estate according 10 law.
Sworn to or affirmed und subscrihed ;Z!;..!.(f:!I>(/ ~ }f~, .I.~'/~", ,/
hcfore me this __91fJ__ dllY of { l~
() Mff:.7y ~~ '~;'", ~~-=-' , .
J"I-It'/~-' 'S
No.
21 . 94 - 23
Estate of
ELSIE M. CODOAIRE
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW JANUARY 11, , 19~, In consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED Ihat the Instrument(s) daled__ JUL Y 27, 1992
described therein be admitted to probate and flied of record as the last will of
ELSIE M. CODDAIRE
and Letters TESTAMENTARY
are hereby granted to _ MARTI N C. ZERHUSEN, JR,
~
FEES
Probate, Letters, Etc, '" . , . . .. $~O. 00 _
Short Certlflcates( 1p" , . . . , . ,. $ 30.00
Renunciation .,..,...,....,.. $_
X-Pages $ 3.00
JCP ~.uu
TOTAL _ $1111.00
Flied ....,..., JMU~R.Y. .11.. . 199~. . . .. , .
ATIORNEV (Sup. CI. 1.0. No,)
ADDRESS
PHONE .
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Mailed letters and order to Executor on'1-11-94.
21 - 93
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LAST WILL AND TESTAMENT OF ELSIE M. CODDAIRE
I, ELSIE M. CODDAIRE, of Hampden Township, County of
Cumberland and state of Pennsylvania, being of sound and
disposing mind, memory and understanding, do hereby make,
publish and declare this my Last Will and Testament.
1.
I diroct the payment of all my just debts and funeral
expenses as soon as the same can conveniently be done.
2.
All the rest, residue and remainder of my estate, real,
personal and mixed, of whatsoever nature'and wheresoever
situate, I give, devise and bequeath unto my son, MARTIN C.
ZERHUSEN, JR., of Glen Burnie, Maryland, absolutely and in
fee simple if he survives me, but if he should predecease me
his share of the estate shall go to his legal heirs living at
the time of my death.
3.
Lastly, r nominate, constitute and appoint my son,
MARTIN C. ZERHUSEN, JR., to be the Executor of this my Last
will and Testament. In the event he should be unwilling or
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unable for any reason to act as such, I then nominate,
constitute and appoint my brother, HERBERT FORD, of
Finksburg, Maryland, to be the Executor of this my Last Will
and Testament in his place and stead. I direct that no bond
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be required of my personal representative to guarantee'
satisfactory performance of his duties.
IN WITNESS WHEREOF, I have hereunto set my hand and seal
this 27th day of JUly, 1992.
(.' I )
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Elsia M. Codda re
Signed, sealed, published and deolared by the above
named ELSIE M. CODDAIRE as and for her Last Will and
Testament, in the presence of us who have subsoribed our
names hereto as witnesses, at her request, in her presence
and in the presence of each other.
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REGISTER OF WILLS OF COUNTY
OATH OF SUBSCRIBING WITNESS
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(each) a subscribing Wl~the will presented herewith, (each) being duly quail cording to
law, depose(s) and say(s) that "~ __ present and saw
the testat__, sign the same and tha~ _ ------ signed as a witness atth;
request of testat_ In IL__ presence e presence of each nther) (In the presence of the
other subscribing wltness(es)). __r
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ubserlbed before
day of
19_
Sworn to or affirmed II
me this
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Register
(Name)
(Address)
REGISTER OF WILLS 01<' CUMBERLAND COUNTY
OATH OF NON.SUBSCRIBING WITNESS
J),I;-b{k .5 /l'c!J/liPfJ wJ,i::.:.;j/YJ1,,-I
(each) a subscrl r heret , each) being duly qualified according to law, depose(s) and say(s) that
THEY ARE familiar with the signature of ELSIE M, CDDDAIRE
>IlO"kll~
teslalRUL of <X>llHXI'lKXIIIllX)\IlIl~Itll<<g:XMIIlk.'I$~<<Xt>>X the will
that
THFL-
presented herewith and
llOOIll4K
believes the signature on the will Is In the handwriting of .
ELS I E M, CODDAIRE
_.----
to the best of THE IR knowledge and belief.
Sworn to or afflrmerTand subscribed before ^ J1"",,~ jJ~..t~
me this H day of ~ CfNd,yrJ,
~ '1AP!JR~9'-9lL' 'J ..U^,"*, ~j;.1(lJ V6-' "
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RIV.lSOO'!X+ 11""1 U -
'OR DAYIIO'DIATHA"IR 12/31/91 CHICKHIU
~ " ~ INHERITANCE TAX RETURN IP..'OUIAL
"'~0;!' RESIDENT DECEDENT ~I~~~':~::DIT I! CLAIMID 0
COMMONWIALHI Of PIN'jIilVANIA (TO BE FILED IN DUPLICATE., I ~ I I
O(PAAIMENI Of R~"EtlUE (7l: -, 7
"""Imn, ~~1'i:1906Ql WITH REGISTER OF WILLS) COU"lTY CODE
. ~ "NAME-llAST, fiRsT, AND MlnOH INITlAll .:.-- ._____0...___ J. ,----..---.
t;: J 1'( , ' /
III (1-,et ((Ire FLSIC 1 it VI/It', .CII-(.)e ,
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-~------ _::.'~---;'-'-~--:_-'-~---~--'--_._--_. _~ ~~__._--:..')' LI._.'.___ Count _ C (.' li1 r) t-'). /If iLJ.L
Ill. Original Rolurn [J 2, Supplomonlol Roturn [1 3. Romolnder Rolurn
Ifor dolOl of doolh prlorlo 12.13.B21
[] 40, Fuluro InlerOlI Comproml.o [] 5, Foderol E.lolo TOK
Ifor dolOl 01 do"lh after 12.12.B21 Roturn Roqulrod
LJ 6. Docodonl Dlod Tollolo f] 7. Decodonl Molnlolnod 0 living TrUll _ B. Tolol Number of Sofo Dopolll BOKOI
IAlloch copy of WII/) IAlloch copy of TrUll)
ALL CORRaS~NDINCI AND CONPIDeNTIAL TAX INfORMATION SHOULD 81 DIReCTIP TO.. .
A;. _ C _ MPrlTE MAIliNG ADORE~ ' ,.
/1'f I,tin L, t e f.)/V S e /1 LT)" :,' II) -- / ,':~ (....,,,'C-., I'" " .t'.-: I- L I ,
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1. Rool E.IOlo ISchodulo AI ( 1) .11'-----.-"-""'=-'_. ,.J ., n
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2, Slack, and Bond. ISeI,odulo BI I 2) -:LL...-__;J_'n.,":'L:!..~:L.-L
3. Clo.oly Hold SlocklPorlnOllhlp InlerOll (5chod,lo q I 31 -.--._....,,___u
4. Mortgogo. and NolOl Recoivoblo (Schodulo D) ( 41 .__ _ ...~,,__ _._
5, Co.h. Bank Dopo.III & Mllcol/onooUl Po"onol Properly( 51 111Z...2. J-r7 I
ISchodulo EI
6, Jolnlly Ownod Properly ISchodulo FI I 61 ____....
7, Tron.fo" (Schodulo GI (Schodul. L) I 7) ,
B, Tolol Grall AllOII IIolalllnOl 1.71 .j/ ,,_
q, Funeral EKponlO'. Admlnl.trolivo CO'". Mlltol/onooUl I ql __.L?:5 /' /)
EKponlo' ISchodulo HI
10, Dobll, Morlgogo L1ablliIIOl. lion. ISchodulo II
11. Tolol DoduclloOl (lololl/no. q & 101
12, Not Voluo of E.lololllno 8 mlnUllino 1 'I
13, Choritoblo and Governmonlol Boquo". ISchodulo JI
__. ~. NoI Valuo Sublecllo TOK (II no 12 minUll/no 131
15. Amounl of Ilno 14 lOKoblo at 6% rolo
Ilncludo voluOl fram Schodulo K or Schodulo M,)
16, Amount of I/no 14 10Koblo al 15% rolo
Ilneludo voluOl from Schodulo K or Sch.dulo M,)
11. Principal 10. duo IAdd 10K from Ilno 15 and from lino 16.1
18. Credits Spouaul Poverly Crodil Prior Paymenh Dilcounl
_.__________~_n + ______ +__.n--. -
lq, IIlIno 18 II grooler Ihon II no 17. onler Iho dlfferonco on I/no lq. Thlll.lho OVERPAYMENT.
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20, IIlIno 17 I. grouler than IIno 18. on'er Iho dlfforonco on I/no 20. Thill. Iho TAX DUE.
A. Entor tho InlerOll an Iho bolonco duo on I/no 20A.
B, EnlOr Iho 10101 of IIno 20 and 20A on IIno 208, Thll I. Ihu BALANCE DUE,
_ M.~~o Choc~ Poyablo to, Rogl,ter 0/ Will" Agont
.. 8e SUR. TO ANSWn ALL QUlnlONS ON RIVIRse sloe AND TO ReCHICK MATM....
Under penaltlel oi perlury, I declare Ihall hove fIlCamlned Ihll return, Including accompanyIng Iche'dulel and Ilalenlents, and 10 Ihe bllt of my knowledge and blU."
It I, true, correct and complell. I declare that 011 real ellule has been reporled at true market value. Declaration of prfJparer olher than Ih, perlonal flpr...ntallvl Is
baled on alllnformollon of which preparer ho, ony knowledge.
JiO!WUifOf,mC;U1f. SPON.Sji[nonim<<fiEl"AN/--'O.OAfss----.-~. X"} "/1.'(, I -, OAt! -
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COMMONWeALTH 0' 'fNNSYlVANIA
INHUIT.4NC! TAX _nURN
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ISTATE OF
1 SCHEDULE B J
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ITEM
NUMBER DESCRIPTION
VALUE AT DATE
OF DEATH
1.
f? {}, go X
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s ~J:7
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~ CASH, BANK DEPOSITS AND
eOIolMINoHNW\AITH o. P!NNSYlVANIA MISCELLANEOUS
III ANel TAX InUIN PE S
IIIIDINT DlelDINT R ONAL PROPERTY
ESTATE OF
lL,\'/t:. /1 CudJ((IY€"
(All prop;rty 10InllY'OYIn.d with th. RighI o. Survluonhlp mu,l b. dllClolld on S,h.dul. PI
ITEM
NUMBER
L ..,,, ..,. .. T".
FilE NUMBER
VALUE AT
DATE OF DIATH
DUCRIPTION
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Cc.u...,p /1111 (/tl., 17C?11
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COMMONWeAlTH or ,ft.4NlYlVANIA
INHIIIITAHCI 'AX I1I1UIN
IUIDIN10lCIDINl
J
SCHEDULE J
BENEFICIARIES
L
ESTATE OF
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FILE NUMBER
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
RELATIONSHIP
AMOUNT OR
SHARE OF ESTATE
1.
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NUMBER
NAME AND ADD~ESS OF BENEFICIARY
AMOUNT OR
SHARE OF ISfATI
B, Charitable and Gavernm.ntal B.qu,,'"
1.
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.TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Alia .nlor on IIn. 13, Recnpllulallan) S
(If mo,. 'pa~. II n..d.d, In../I addltlonallh..tl of .am. 11111
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CERTIFICATION OF NOTICE UNDER RULE 5.6/a)
Name of Decedent I
f: L .r; I (I /11 C) odd -1 11((:.
I / ~ ']:} - '/ 7
Dllte of Deathl
Will No. 1'1'111- 00 (~'4' '3
Admin, No. .z 1- </ t;I- ,2...J
To the Registerl
I certify that notice of beneficial interest required by
Rule 5.6(6) of the Orphans' Court ~ules was served on or mailed to
the following beneficiaries of the above-captioned estate on
I
Name Address
,Alco-'Ct J1 C. 7! f'r /11/ S [~ '-1 .? 'f r. J c,'.2 c.,,~ I""" i-f' (,'?:
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C'-le'1 ;tZ 1- " I (,' /'1d .2/C'.b I
Notice has now been given to all persons entitled' thereto under
Rule 5.6(a) except
Datel
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Address 3 (,I )"/(),L fJ-.(J 'f-e tv II-t-.O 6/"
e.I'I! ... 111..' r " I e /IfJ..2/ 0 ~ I
Telephone((,1I?I/r/I' 1.;/ 'lit
capacity: y-"personal Representative
Counsel for personal
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Name.
Address
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obtained from the undersigned.
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TelephonejWp) 7(,/- 41 7i{
CapacitYI ~r~onal Representative
Additional information may be
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RIV>1543 IX AFP (1)911.
CDHMOHWEAl Ttl Of PfNHSVl VANU
O(PARTHENT Of REVF.NUE
BUREAU OF INDIYIDUAI TAME'
DEPT. Zl0601
HARA I SlURO , PA 17121"0601
It.!- /8':< - '7
~-
FILl NO. 21 - 'ly-d-3
ACN 94104579
DATI 02-09-94
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
ESTATE OF CODDAIRF.
5.5, NO, 215-10-1995
DATE OF DEATH 11-30-93
COUNTY CUMBERLAND
TYPE OF ACCOUNT
M ~ SAVINGS
CItECKING
TRUST
CERTIFICATE
REHIT FAYHENT AHD FORHS TO'
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE, PA 17013
ElSIE
ZERHUSEN MARTIN C
345 102 GATEWATER CT
GLEN BURNIE MD 21061
oeFENSE ACTIVITIES Feu hili provldld the DIPlrt..nt with tM lnfor..t1on Iht~d btlo., which hll bl.n ulld In Qllclul.tlng the
pot."UII till due. TMlr r.cord. 1r~lut. thlllt It the lJ..th of the aboYI dlced."t, YOU wlr. I Joint oWMr/b.".f1cl.rv of thlt account.
If yOU hit thh Inforlltlon II Incorr.ot, pi..... obtain ",.Ithn corr.ctlon frOI the flnlnclll In,tltutlon, _Uten . oopy to thll for.
~~:! r:';'.::-r. H to: tt.: ::~:l.':l :lt~:I:":~Il. r~l:: :::)l'~'P"nt 1: ~:I:;::':lrl !n :l:lo:)r:1:::::: dth tho Inh:lRtb~..:. L: ! :.": :~ U',:l Co::,.::"o~:.:tlth .If r:l'I:'\:Iyl'lr.nltl.
Outltlcnl .'V be enlwlred by cllllng (117) 787-8JZ7.
COMPLETE PART 1 BELOW M M M SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONB
AooDunt Ho, 12685-00 Doto 07-03-B4
E.hblhhod
9,948,30
50,000
4,974.15
,06
298.45
TAXPAYE~ RESPONSE
FAILURI TO RI8POND ~ILL RI8ULT IN AN OFFICIAL TAX ASSIa8NINT BA81D ON THI8 HOTICI
Aooount a.lance
Foroont To.oblo
Aoount Subjoot to To.
To. Roto
Fotontlol To. Duo
To In.url pro~r cr.dlt to vour IOCOlIIt, two
(Z) copt.. of this notlc. IUlt .eeHPlny your
ply..nt to thl Rlglfthr of Willi, Heh chec~
p.yabll tal ~RJgllt.r of Willi, Agent",
K
K
NOTE I If talC paYHnh Irl IId4t within thra.
(5) lonth. of the dtcedent', date of Mllth,
you .IV deduct a S~ dl,count of the tllC due.
Any Inhtrltance tlM due will bleoH MUnqu,nt
nln. 191 ItOOthl aft" thl data of death,
PART
III
[CHECK ]
ONE
BLOCK
ONLY
A. ha above Infor.atlon end te~ due I' corrlct,
I. You .ay choo,a to r..lt ply.,nt to the Rlglst.r of Willi, with two copl,. of thl, notlc. to obtain
, dl.count or avoid Intlre.t, or you lay check bolC "A" and r.turn this notlcl to thl Rell,t,r of
)tSWllh and an official '.......nt wUI be l..u.d by the PA OIPlrt...nt of R,vlflUt.
a. The abClVI a...t hll bMn or wl1l bl r.porhd and hlC paid with thl Plnnlylvanll Jnhflrltance TIM raturn
to b. fll.d by thl dlcldent'. repre.entltlvl.
C. c:J Th, abOVI Infer..tlon I~ncorreet and/or dlbts and dlductlons Wlrl paid by YOU.
You IU.t coapllt, PART L~ and/er PART [!) bllow.
If you Inulo.t, . dlff,r.nt t.x r.t., pl.... .t.t, your
rolotlDn.hlp to dooodont,
FART
[!J
'lAX RETURN> tUI1I'U'rAlION UI'
LIHE 1. Ooto Eotobll.hod 1
2. Aooount aolonoo 2
3. Foroont To.oblo 3 K
4. A_Dunt Subjoot tD To. 4
5. Dobt. and Doduotlon. 5
6. A_ount To.oblo 6
7. To. Roto 7 K
a, To. Duo 8
OFFICIAL SEONL" 0l AAF.
PA. [IEPA~TMENl ClF REVENUE ..... . ....
YAX ON .lCJIN IIfRUST ACl;UUN":l
flAD
1
2_
3
4
5
6
7
8
DEBTS AND DEDUCTIONS CLAIMED
FART
~
DATE PAID
PAYEE
OF.SCRIPT! ON
AMOUNT PAID
E
.
I-
I
~
TOTAL IEntor Dn Llno 5 DI To. Co_putotlon)
Undor panoltlo. 01 porjury, I doclor. thot tho loot. I
o!. _y knowlodQo ond bollol,
hay. reported 100 v, .r. tru., correot
HOME (/, 1') . /(;/- I Y k r
WORK .( .' t' ) 1{', - J'.I'I!J-
NUMB R
ond
.
-
~
GENERAL INFORMATION
1. FAILURE TO RESPONO WILL RESULT IN AN OFFICIAL TA" ASSESS"E"T with ...pll,obl. Int".., b...d '" Infct..tt",
,ubIIlttld bV thl flnanohl Inltltutlon.
2. InhtlrltWlCI till. beoo... dellt'lqUlt'lt nine IIOnthl .fter thl ~~tl. d,t_ of duth.
J. A joint acoount I. tlMebl, IVIO though the dlcedentl, n... 11'" added .1 . ..tt.r of convlnltnel.
Ie. AooOWlt, (llltlludlnl tho,. hlld betw.." hY,blNld and wlhl which thtl cleold,,"t Jlut In joint n.... Nlthl" OM Yllr pdor to
OI,th Irlil fulb talCeblu III trllnthr..
I, Aooo'",', utllblhhld Jolnth betNun hUlbend and wlf. lor. than OM Y"" prior to death .r. not hobl,.
6. ^aoount, held by . dt>eedent "In tru.t 'or" anathlr or atMr. ar. tuabl, fully,
REPORTING INSTRUCTIONS - PART 1 - TAXPAYER RESPONSE
1. BLOCK'" - If thl Infor.,tton Ind c~ut.tlon 1n thl notlc. ar. corrlct and dlductlonl Ir. not bltn9 ol,tlld, piece In "X"
In block "." of P.rt 1 of thl "TUpIYlr R..pon.... ..otlon. Sign two capilli and lubllJt U~. IIlth your check for thl IMtOUnt of
t'M to the Righter of WHlI of the eounty Indlclhd. n" D.p.rt.lnt of R.v.nu. will l"lM tn offlelll ........nt
(For. REV' IS'S EK) upon rlcllpt of the R.turn frol the RIgl,t.r of Willi.
Z. BLOCk S . If tM ....t IIP.Cltlld on thil notlc. hit bun cr wHI b. report.d BOd tlM paid with thl PtmlylvlI'll, InherlhnCl
hM Rlturn fU,d by the decldlnt'l r.pr...ntltlv., phcI IWl ")1," In block "S" 0' Part I of thtl "T.)(p.yer R..pon.... leotlon. Sign one
copy and return to the PA OtpartNnt of R.Vlnul, Surtlu of Individual Tu.., D,pt 280601, Hurllburg, PA 1712a,0601 In thl
envelope provlt4ed.
5. 1l.l(W"V r . l' t~... "",HI'. Infnrll"tI,.., 1':1 If'''nrr.nt NVlJor "-dueltlonl I" bllntl chl..d. chtck block "C" and COIfIllt. P,rh Z lOCI 5
.ocordl"" to tht In.tructlo", bllow. Sign two cD~I.. and .~It thl' with your ch.t.k for tht MOUnt of tl)( plv*l11 to thl Righter
of Wlll1 0' the oounty Indlclttd. The PA o.Plrt.."t (I' A.v'nutI Mill InUll ttn official ,u'''Mnt (For. REV'UU EIO upon r.c.lpt
of the r.turn 'ratl thl Rqllt.r of Willi.
TAX RETURN - PART 2 - TAX COMPUTATION
LINE
I. Ent.r thl dltM the ~oount orlglnllly w.. ..t'blt.hld or tltlad tn the Ilnn.r 1)(I,tlng .t dati of d'lth.
NOTE I For I d.c.d.nt dYlnt after Ill1llall Accountl which thl d.e.d.nt put In joint nla.. within on. (I) YI,r of dtuth .r.
ta)(ftbl. fully I' tr"lIhr.. HOWIv.r, thlr. II en IMo1u.lon not to IMCHd '5,"00 p... tranl'erll rl"lrdl... of thl VIIUI of
thl &aCDU'lt cr thl f'ftMbtr of aQcounts held.
If. doublt ..tarllk ("It) IPpll" ba'or. your fll'l\ n... In thl addrllt portion 0' thll hOtlel, thl U,OOO 'IColullon
llready hll bI.n deduot.d fro. the eecooot ballncl .. rlported by the flnlnalal InlUtuUon.
2. t:nter the totll balMC' of thl eecount Including Intarllt ltCorue<<:l to the dah 0' d..th.
3. The perelnt of the acoount thlt I, tuabl. 'er l.oh lurvlvor It dltarllntd .. f01l0MII
A. The plro.nt taM~I. 'or joint ....t. I.tobll.htd lor. then Ont YI.r prior to the d.cldln,'t de.'hl
1 DIVIDED BY IDIAl HU<BER Of
JOINT OWNERS
EMINPIII A jolnt ....t rlghtlrld
DIVIDE.D SV TOTAL HUHBEA OF I( 100 . PERCENT TAKABlE
SLllVIYIHO JOINT OWNEAS
In thl nl.. of the dec:edtn' wxt two other p,r.on..
1 DIVIDED SV ,(JOIHT OWNERS) DIVIDED IV 1 (SURVIVORS) . .167 I( 100 . 16.7:< (TA)fAllE FOfI EACH SUnVIVOfI)
I. The pueent tllCabl. for .I"ts orlltad wlthln 001 Yllr of the dle.dlnt'l dtlth or aoc:ount. OWR4td by the dtc:tc*\t but hlld
In tru.t for MlO'htr IncllvlduaU.) (trult btntflolar1I1J I
I DIVIDED BV TOTAL HUMBER Of' SURYIVIHQ JOINT
OWNERS OR lRUST BENEFICIARIES
I( lOa . PfRCEHT TAXABLE
E UIIfI I. I Jalnt account rlght.red In the n... of the d'C:ld.nt Ilnd two other p.rson. .ni utlbllthtd within ani yllr of d..th by
the dtc:tdent.
1 DIVIDED SV Z (SURVIVORS) . .50 I( 100 . SOX ctAI(AlLE FDA EACH SURVlVOfU
Ii. The HOOOt .ubj.ot to t.IC (11M ,) 11 deterllMd by MJltlphlng thl ICOOunt balanc. (lln. 2) by the puel"t "lCabl. (I1nt 5).
S. Enter thfl tohl of thl dlbt. lnet dtdUctlont fUlla In ~art 3.
6. The MOunt tuable (liM 6) II dehr.lntd b:i lutltrlCltlng the dcbh and deduction. (lln. 5) frol the _aunt lubJtclt to teM (lint Ii).
7. Enter the r.pprflflrl.1I 1I1C r.t. (Unt 7) It dthrelned b.low.
A, Transfl" to lIn..1 dU06ndlnt. Including f.ther, loth.r, husband, wlfll, ton, daughter, grllfldc:hl1dr.n, 10n'ln~1Il.l,
daught.r~ln'I..., stepChild and thllr I..ut era tlllabll et .he pere.nt (6;().
B. Tr."lf.rt to .U othert Including brother, tllter, unol., Ilunt, n.phtw and nltol trl hobl. It flft..n plre.nt llSlO.
c. If you oh.ng. the t'M rett, pi.... .~.clfy your relltlon.nip to the dlc.dlnt in the Ir.1 proyldtd.
I. 'the MOUnt of tlIC due (Une al h d.t.r.lnld by MJltlplYlng the BlOUnt \aICllbll (II~ 6) ty ttwl tllC rlt" (Ilnl 7),
CLAIMED OEDUCTIONS - PART 3
DEBTS AND DEDUCTIONS CLAIMEO
AIlowabl. d.bt. and d.du~tlon' arl d.tlr.ln.d at follow'l
A. You Itplh ar' 'IIPondbl. for Ply..nt, or the IIht. subj.ct to ad.lnlltratlon by a per.on.l rtprllenhtlv. It In.uffl\)ltnt
to plY thl dtduetlbll It....
I. Vou aotulllY plld the debh .,ter (M.th of the cI.c.dent Itld C:M furnish proof of PIy..nt.
C. OttIh b.lng clulHd ltUlt bl It..lud fully In Part 5. If addltlonlll SP&a1 II n.t<Hd, un pllln paptr a 1/2" lC 11". Proof of
ply..nt ley bl r.quttt.d by the ~A Dep.rtalnt of R.v.nue.
-
TAXPAYER ASSISTANCE
IF YOU NEED FURTHER INFORMATION OR ASSISTANCE, CONTACT ANY
REGISTER OF WILLS. pt. DEPARTMENT OF REVENUE DISTRICT OFFICE
OR CALL THE BUREAU OF INDIVIDUAL TAXES, TAXPAYER INQUIRY UNIT IN
HARRISIIUR8 AT(?17> 787-8327,
....:.\, .
----. .--..-..----.-----..--.- ....,
RECEIVED FROM:
a
ACN
ASSESSMENT f!'
CONTROL IiliI
NUMBER
AMOUNT
Martin C. Zlrhusen
345.102Ga~ewater Ct.
G11n Burni., MO 21061
101
$2383.48
'010 Htu
'OIDHII'
ESTATE INFORMATION:
m Me
U 21.94-0023
m NT (lASTI
IlII Coddairl
II rl~ruarY 28, 1994
m A DATE
IFIRSTI
Ellie
M.
CUmberland
eAlN
November 30. 1993
REMARKS
B. 8. '215-10-1995
I
,
I I
I
fa
82383.48 .
I
'!
SEAL
REGISTER OF WILLS
_.. "... _... ...__ .__. ,_._ _...._ ........ ... 0_- _.... ......_.
.
. .
\
~RIV.1IJ47 EX AF'P (10.93*
~~:~T~~~:~~VLVAHIA
IURUU Of INDIVIDlJAL TAXES
DEPT. 210601
HARRISBURG, PA 1711'-0601
iSTATI OF CODDAIRE - ELSIE M FILII NO.
DATI OF DEATH 11-30-93 COUNTY CUMBERLAND
NOTE I TO INSU~E P~OPE~ C~EOIT TO YOUR ACCOUNT, SUIHIT THE UPPE~ PO~TION OF THIS FORH WITH YOU~ TAM
PAYHENT TO THE REGISTER OF WILLS. HAKE CHECK PAYAILE TO "REGISTE~ OF WILLS, AGENT"
REMIT PAVMENT Tal
101
NOTICE OF INHERITANCE TAM
APPRAISEHENT, ALLOWANCE OR OISALLOWANCE
OF OEOUCTIONS, AND ASSESSHENT OF TAM
ACN
DATE 06-13-94
MARTIN C ZERHUSEN
345-102 OATEWATER CT
OLEN BURNIE MD 21061
REOISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
Eunt_Rellit~
CUT ALbNO THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ~
'RiV: ifjeii. iie" AFP "fiii:9ij" - iiiii'-icniF""{ NHiifif AileE - "'fAx - A"P'p'RA-i s iifiilr;" Ai.i:ciwANc'i." iili' -"" -" u_ - - - - -. - -"
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF CODDAIRE ELSIE M FILE NO. 21 94-0023 ACN 101 DAT! 06-13-94
TAM RETURN WAS, ( ) ACCEPTF.D AS FILED I XI CHANflED - SEE ATTACHED NOTICE
RESERVATION CONCERNINO FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIOINAL RETURN
1. Rill Eltltl ISohldul1 A)
2. Stookl Ind lond. (Sohldulo BI
3. Clo,"ly HIld Stook/Plrtnlrlhlp Intlrllt ISohldul1 C)
4, HortUlUII/Notl' Rlolivlbll ISohldul1 D)
S. CI.h/lonk Dlpo.it./Hilo. Plr.onll Proplrty (Sohldull EI
6. JointlY O.nld Proplrty (Sohldull FI
7. Tronlflrl ISohldulo 01
I. Totol Auoto
()Cl
(1)
(2)
(3)
141
IS)
(6)_
(7)
60,000,0Q.
5.802,21-
.00
.00
11 i755.11
,DO
,,00
III
77 , 557.68
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funorol E,pln.o./Adllinlltroti.o COltol
Hllol11.nloua EKpen... (Sch.dull HJ
10. Dobt./HortUlUo Llobilitiol/Lionl ISohodul1 II
11. Totll Doduotionl
12. Not Voluo of TI. Rlturn
13, ChorUlblo/Oovlrnlllntol BlqUOlto (Sohodulo JI
14. Nit Volu. of E.t.t. Subjlot to To.
333.00
.00
Ill)
(12)
(13)
1141
(91
(10)_
333,00
77,224.68
.00
77 ,224,68
NOTE:
11 .n ....ssm.nt w.. i..u.d prlviou.ly, linl' 14, 15 and/or 16 and 17 will
rl11.ct 1igur.. that inolud. th. tot.l 01 ~ returns .......d to d.tl.
ASSESSMENT OF TAXI
IS, AMount of Lino 14 to..bl. ot 6% r.to
16. Aoount of Lino 14 to.oblo ot 15% rotl
17. Prinolp.1 To. Du.
TAX CREDITS I
PAYHENT RECEIPT DISCOUNT 1'1
DATE NUHIER INUREST 1-)
lIS)
(16)
77,224.68 M.06 .
.00 M,IS .
(17)
4,633.48
.00
4,633.48
AHOUNT PAID
02-28-94
125.45
2,383,48
855971
PAYMENT MUST BE MADE BV 08-30-94*.
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
2,508,93
2,124.55
.00
2,124.55
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATIOH OF ADDITIONAL INTEREST,
I IF TOTAL DUE IS LESS THAN '1, NO PAYHENT IS RE~IRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU HAY IE DUE
A REFUND, SEE REVERSE SIDE OF THIS FD~H FO~ INSTRUCTIONS,)
(' ...,
RESERVATIONI E,t.t,. of dtatdlnt. dylft1 on Dr blfar. Otc.-blr 12, 19.2 -. If any future 1nt.r..t In tht ..t.t. 1. 'ren"'rred
In pOII..,Jon or .nJo~nt to el,.. I (ooI1.t.,tl) bln,flcl,rl.. 0' thl dlc.dent "t.r thl Ixplr.tlon 0' tnV I.tlt. for
11'. or for YII'., the Co~..1th her,by .lCpr...1y ,...rvII the right to IPpr,11I and ...... trlnl'.r InhlrltlnCll Tllell
It the l.wful ell.1 . (0011.,.,.1) rlt. on .ny .uoh future Int.r..t.
PUllPOSE Of'
NOTICE I To fulfl\l tht r.qulr..ent. 0' Station 21~O 0' thl Inherltanc. and E_t_t. TIIC Aot, Act 22 of 19'1. 72 P.S.
Section 2140.
PAYltENTI Ottlch the to,. portion of thlt MoUOI and tub,1t with your ply"", to the Rqh\t.r of Nl1l1 prlnttd on the r.v".. tldl.
--H... ehl<k or 1OllI' e,do, ...obl. te I REOISTER OF HILLS. AOENT
All PIYHntt ,.ollved ,hill Hr.t be 'PFlUld to any Int.rut which ..y bl OUt with any r...lnd1r IfIPUtd to thl tlX.
REFUND (CR)I A nfund of I tl>l credit, which.... not rlqutlltld on tM TIX Rlturn, .av bl rlqueltld by co.phUng In "APPllolUon
for RefL.nd of P.nnsVlvanla Inh.rltlnol and Eltltl 11>1" (REV-UU), APPUoIUon. Irl Ivalleblt It tht OffiCI
of the Rtglttlr of Will', any of thl 25 R.vlnul Dlstrlot OffiCI., or bv cllllnl the tpeoltl 2~.hour
."....rlng urvlcl MI>>btIrl for for'l ordtl'lngl In PennsylvanJa 1-100-562-2050, out.ldt Ptnntylvanl. ar,d
..lthln locII tl.rrJlbUrg .r.. (717) 787-1094, TOO. (717) 772-2252 (Ho.r1ng hlp,lrld Onlv).
OIJECT1~1 Anv party In Intlrut not utJlftld ..Ith thl IIpr'lrlll..."t, allowancl or dluUONln01 0' ~ducUon., or .....ilttlt
of tl>l (Inoludl~ dllcount or Intlrl.t) II .ho..n on thl. Notle. .u.t obJlct within II>lty (60) dlVt of reell,t of
thlt NotIc. bVl
uwrlUtn prot..t to the PA Dlplrtltnt of Rlvlnul, Board of App..h, DEPT. 211021, Hlrrhburg, PA 17121-1021, ON
...llotlon to hlVI the ..ttlr I.lltlrlln.d .t ftudlt of thl RCCOunt of the plrlonal rlPr..antltlva, ON
uIflPl.I to thl Orphln.' Court,
ADltIH
II1RATlI'E
COR1lECIIOHI.
DUCOUHT I
Fletu.! .rrort dl,covlrtd on thl. ........nt .hould bt ftddr.I'ld In writing tOI PA CtPlrt.."t of R.venu.,
SurelU of Individual T'K", ATTNI Po.t A.......nt Alvlt.. Unit, DEPT, 280601, H.rrltburg, PA 17IU.UOI
Phone (717) 787.6105. S.. ""'1' 3 of thl bookl.t "In.tructlonl for InMritenol 11>1 Rtturn fnr a kuldent
Dlc.d."t" (REV-ISOI) for an .xpt.nltlon of adllnl.tratlvllv corr.otlbl. error.,
If anv tile due II raid within thrll (3) callndlr tonthl I'tlr tht dtclcMnt', duth, I fllll Plrotnt (~:() d1tc~t of
thl tl>l paid II Illow.d.
IHTERUT.
Int.r..t II chlrltd hl,lnnlng with 'Ir.t dlv 0' dlllnqutney, or nlna (,) IOnthl Ind ani (I) d.v frol thl dati 0'
death, to thl dati of paYllnt. TI>I" ..hlch blo... dlllnqulnt blfor, January I, 19.2 bl.r lntar..t at tho rat. 0'
.h U:O p.re",t plr annuli o.lculltad at a dollv rat. of ,00016". All taK" which b.e... d.lInquent on Ind .fter
Jenuary 1, 19tz will bltr Intlrllt at I tata which will varv frel calandlr Ylllr to calendar Vllr with thlt rate
announced by thl PA nlplrt,an, of Alvan'lI. Th. appllCabl. Intar..t rat... fer un through 199~ Irll
!!!!: Inter..t Aat. DIU\I InUr..' Fac.!.!! :!!!t Intlr..t Rat, Dlltv I"ttrl~t Faoter
1912 ZOX .001541 1916 lOX ,000Z7~
19U 16X ,00ml 1911 9X .ooom
19I~ lU .000301 1911-1991 m ,000301
1915 llX ,000156 199! 9X ,ooom
1991-1994 IX ,000192
....Int.r..t It calculatld II followlI
INTEREST. BALANCE OF TAX UNPAID X NUHBER OF DAya DELINQUENT X DAILY IHTERElT FACTOR
~-AnV Hotlcl Illutd If tar thl tlK bleD'" d.llnqu.nt will rltllet In Intlrllt olleulltlen to 'I,t"n (15) dlV'
beVond the dltl of the .....laN'lt. If PIYMnt It llde aft.r thl Intlraat Coaputltlon dltl lhown on thl
HotlOI, Mtdltlonlt Inttrllt lUit bl ollculttld.
nEY, 1470 EX (Hal,
INHERITANCE TAX
EXPLANATION
OF CHANGES
COMMONWEAlllI or PENNSYLVANIA
DEPARTMENT Of flEVENUE
IUAIAU O~NDIVIDUAL IAXIS
. 0"'1, 280601
IIARRISBURG, PA 17128,0601
.. .._-~- -
OECEDENfS NAME
FilE NUM8En
~l! 9~ Cllddnl ro
--_.-----_...._----,.~. ---'----.-------------
H94-002~
101
/ICN
------ ---.--- ---.---~__r__.________.___
SCHEDULE
ITEM
NO.
IKPLANATION OF CHANGES
-----..--.-... ---_._------_.._._----~---
A
Tho vnlllll (If cho rral ostlltl1 has bllen lncl'on9od from $22,000 t.o $60,000 8lI
tho rosult of npprntsnl subnitted by corroapondont, '
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MARTIN C ZERHUSEN
345 GATEWATER CT UNIT
GLEN BURNIE MD 21060
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COltMlHW!AlTH OF PENHlVlYANIA '
, . Dl!PMTIl!HT OF Al!YI!NUE ,
lUAI!AU OF INDIYIDUAl TAIlEI
. Dl!PT. 210601 .
HARfUUUIlQ, PA 11UI.0601
NOTICE Of INHERITANCe TAK
APPRAlseHeNT, ALLOWANCE OR DISALLOWANCE
Of DEDUCTIONS, AND ASSESSHENT OF TAK
ACN 101
DATI OF DIATH 11-30-93 ~~b=T~O'
NOTE, TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPF.R PORTION OF THIS fORH WITH YOUR TAK
PAVHENT TO THE REDISTER Of WILLS. HAKE CHECK PAYABLE TO "REcnSTER OF WULS, ADENT"
REMIT PAYMENT Tal
DATI 06-13-94
,
HARTIN C ZERHUSEN
345-102 GATEWATER CT
GLEN BURNIE HD21061
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THII LINI .. RITAIN LOWIRPORTlON FOR. YOUR RICORDI ~
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ACN
~ ASSESSMENT '!'
RECEIVED FROM, II CONTROl I;i AMOUNT
NUMBER
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MARTIN C 7.G:RHUSEN JR
34~-IOe GATE WATER CT
101
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1_ '0'0.11I
I ESTATE INFORMATION, ~ .
I !t fIL'fNlJMm
I ~ P.l-1994-00P.3
EJ M~AT
II ELSIE M
I!lI I-H> II'fi,
1;1 TMA A't
GLEN BlJRNJ E
MO 21061
"Oil/H,.,l
~laN e 1 ~-1O"1995
IR MI
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c
y
:30/"4
~~~BERLANll
OF
I
m TOTAL AMOUNT PAID
lII:ilO/93--
REMARKS
MART IN r;. 7.ERHLISEN
SEAL
{,../
RECEIVED BY
REGISTER OF WILLS
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ASSI!8SMENT
CONTROL NO. 101
REVol193 EX ',j'P 1109*1
r.oft.'iA>:AL TH~F ~EItllSVLVANU
DEPANTIEHl 01 REVlOIU
BUREAU OF Itl01V1OUAL TAXES
DEPT. 210601
HARRmlAlO. PA mll"alll
INHERITANCE TAX
RECORD ADJUSTMENT
DATI 08-29-94
INTEREST IS CHARGED FROM 08-31-94 TO 09-13-94
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM..
flILE NO.
11-30-93 COUNTY CUMBERLAND
HOTE. TO INSURE PROPER CREOIT TO YOUR ACCOUNT, SUB"IT THE UPPER PORTION OF THIS FORN WITH YOUR TAM
PAY"ENT TO THE AODRESS SHOWN. "AKE CHECK PAYABLE AND RE"IT PAYHENT TO. ,
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
L-
AMount R..ittld
-
MARTIN C ZERHUSEN
345-102 GATEWATER CT
GLEN BURNIE MD 21061
CUT ALONO THIS LINE .. RETAIN LOIlP.R PORTION FOR YOUR RECORDS ~
i1iV: iS9j' EX-- APp-fi :'-9' /) j -..."- - iii "iNHER"ii ANii!" TA'X . RiiC'/)i1D .. AiIJus'i,'H!'iW .i...._. --- -.....---.. ...-.... ow
!!lATE OF CODDAIRE
ELSIE
M FILE NO. 21 94-0023
DATI 08-29-94
ADJUST"ENT BASED ONI PROTEST BOARD DECISION
VALUE OF ISTATEI
1. Rill hhto (Soh-.lull A)
2. Stook. Ind Bond. eSoh.dul. B)
S. Clo,"ly Hlld Stook/Plrtn.r.hip Intlrl.t fSohodull CI
4. "ort,I,I./Not.. Rloliv.bll eSohldull D)
B. CI.h/Bonk a.po.itl/"i.o, Plr.onll ProPlrty eSohldul1 E)
6. Jointly Own.d Proplrty (Sohldull F)
7. Tron.flr. ISohldull 0)
B. Totol h..to
DEDUCTIONS AND EXEMPTIONS:
9, Funlrll Exp.n,""/Adelnl.tr"tiv" Co.t.1
"100111lnoou. Expln... I Sohldull H)
10, Dlbt.l"orta'al Lilbi1Itll./Liln. (Sohldul. I)
11. Totll D.cluoUonl
12. N<lt Vllu. of TIK Rlturn
IS. Chlritobl./Oov.rn..ntll Blqul.t. (Sohldul. J)
14. N<lt VII... of eot.to Subjlot to TIK
TAXI
lB. Aaount of Iln. 14 t...bll It 6% rlt.
16. Aaount of IInl 14 t..obll It 1Ii% rltl
17. Prinolp.l To. Du.
TAX CREDITS I
PAY"ENT
DATE
-
RECEIPT
NUHBER
DISCOUNT (+)
INTEREST (-)
ACN 101
(l) 30,000.00
(2) 5.802.57
lSl . DO
(4) . DO
(5) 11.755.11
(6) ....a.
(7) .00
eB) 47,557,68
(9) 333.00
UO) .00
(11)
(12)
(15)
(14)
333.00
47J224,68
.00
47.224.68
02-28-94
855971
125,45
(IS) 47,224.68K.O"
(16) .OOK.IS'
(17)
2,833.48
,00
2,833.48
AHOUNT PAID
2,383,48
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
. IF PAID AFTER DATE INDICATED, SEE REVERSE (IF TOTAL DUE IS LESS THAN II, HO PAYHENT IS REQUIRED.
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS ReFLECTED AS A "CREDIT" (CR), YOU "AY BE OUE
A REFUND. SEE REVERSE SIDE OF TNIS FOR" FOR INSTRUCTIONS.)
CC)
,
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PAVIt:N1,
Dttach the top portion of thl. HoUOI Ind tubalt with )'lMJr Ply.."t ndt PIVlbl, to the "... and eddrt.1
printed on the rly,r.. 1161.
.. Hek. ,ho,k or oon.. order po.obl. tel REGISTER OF WILLS, AGENT,
All ply-.nt. reo, tiled ,hill b, applied flr.t to .nv Int.rl,t whIch ..y bt due with Iny '..IIndtr applied to thl t...
REFUND (CAli A refund of . tlM arldlt, whloh WI' not r.qul.tld on thl "M Rtturn, lay bt rlqueltld by o~l.tlnl In
"AppllcIUon 'or R,fund of PtnnlYlvant, Inhlrltlnee and E.t.te Tilt" (REY-UlS). AppllcIUon. Ir. ,,,,,Ulbl1 .t
the OfficIo' th4 Atgl,t,r of Willi, tny 0' thl 24 R,v,nue Dlltrlot OffiCI' or frol thl a'Plr'lentl, 244hour
For.. Ordering ttllphont Iln.. In Herrl,burg (717) 787.8094, In Phl1tdtlphla (ZIS> 560-2065 or In
Pltt'burgh (.121 565-5'01.
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TOI QUIIUonl rnlrdlng .rror. cont.ln.d on thll noUcl lhuuld b, .defr....d tal PA D,put..nt of RIYlnut, Burl'"
of Indlylctull hMU, ATTHl Po.t A.......nt RIyl,.. Unit, DIPt, 280601, Hlrrhburg, PA 11128-0601, Phone
(717) 717-6505.
DISCOOlI!,
I' InY taM due I. Plld within thr., (]) oll,nder lonth. .ft.r thl d.cld.nt'. d.ath, . fly. p.rolnt (I~) dl.count
0' the tlM p.ld It IUowd.
INTEREI!,
Int.r..t 11 charged b.glMlng with flrlt d.~ of d.lInquency cr nlM (9) lonthl and one (1) dav frOll thl d.tl of
d..th to thl dlt. of plyaent, rIMI. which bec... dlllnqutnt blforl Jenulry 1, 191r b.lr Int.r..t .t thl rlt. of
.IM ('~) ptrcent ptr ~ cllcul.tld .t . dlllv ratl cf .OOOI6~. All tIM.. which bla... delInquent on end .ft.r
Janu.rv I, 191~ will btlr Inttrl.t It . rite whloh will y.rv fro. oel.nd.r Y.lr to clllndar Vtar with thlt ratt
ennounold bv the PA Departltnt of RIYtnUI. ThI IPPllolbl. Intlrl.t rltt. far 1982 through 1994 artl
U1r Internt RIta
Dally Intart.t rlctor
:!!.!r Interut R.t,
n.lly Inttr..t Flctor
1911 lOX
L'U lIX
1'" m
1911 m
.0005,.
,00045'
,000501
.000556
I'" LOX
1'17 'X
191.-1991 IIX
1992 9X
1995-19901 7X
,00027.
,0002.7
,000501
,000247
,0001'2
.-Int.r..t I. cllculatld I' folloH.1
INTERElT . IALANCE OF TAX UNPAID X NUHIER OF DAYI DELINQUENT X DAILY INTERElT FACTOR
w-Anv Hotlea IlIued aftar thl till bl(lOH. d.lInquant wUI rlfllct In Internt calculaUon to flft"" nl) diu
beyond thl data of thl ......lent. If paVHnt II Itdt .ft.r thl Int.r..t co.,utltlon dlt. .hown on thl
Notlct, IddIUontl Inttrut IN.t be c.lculttad.
J ,.
HI liE f:WrNm OF I
Ro~rc1 Poakl't 110. 4~GS71 Hili
CLIlTE M CODDlJIRE
I'
rUe' 110. 21 ~4-0023
PllTI'1'toNERI
f,Ctlt 101
.~'^R'rIN C Z!:HHurH:N
345 GATL'WM'ER CT lit/IT '02
, GLr::~ aVRIII!:: 1m 210G I
County of Cum~orlann
I'
Datn or Ooath, 11/30/93
DHa of ^ppr~isom(lnt ano
ABs"Dsmnnt, 6/1 J/94
1)i1to Pratost FUodl O/jN.\
IIn~rinlJ Officerl lloona 1l. AUt:1('nt
Dodoion ~lai Ung flub',
Il.~C!S TCm All/) ORDEn
AUG 2 3 ~9f
On ilugunt J, 19!14, tho Our,)/,u of rndi'lJ.dual TM\OS rOrwJrdod
'P(ltitiol1or'~ lot.Lol' of July 2;1, 1~9'1 to tho ROl1rd of ^"r>o~ls to b,)
Jun~1)" 19~4.
truiI tad ,10 .1 protns t to the .1pnra bnml1n t ,1nd an8I1oSr"~nt lSUund
rn thllt ~fl[lr.l1s"!11ont and '1D<I'10smont, tho L'npill"tmont ioOrOo1ol1(j tho
fnu markilt v,11u" of tho dl1""di'ln".'Ort'1l1 proporty r"partod on SChedulc.'
^ from S22,000.oO to S60,flOO.I)() ",~ tho rORult of "!,Dr~h.l1 sUhmitt'Jd
by carrOtilpOndont.. FirDt, an P;ltlt,lanor notoo, thp vnlu" of th~
docor!ont'a ro"l prol'orty ',~,1~ rn~ortor! on SChOdulll A H $22,500.00,
,
cadmlltlld to hOWl n tot.~l ""lull of. $45,')00.00. .lh1to P~tit\()n"l'
ImcaUDO tho docndOl1t c'mod 3 onn-h"llf intorust in' tho propnrty hn hlld
IlJl'lJ'.19 t,hat. to60,ooo.OO rc'pr"DOnt!l I:ho f.:lir mArket v,11uo of thl1 roal
l)rnOllrt.~', ho pnintR Ollt tJp'l thl, '1'lCQclnnt OWI1~d only 0 ono-hJlf intnr-
'.ISt ,Ind thllt, thoree'Jrn, t),[. Lltr 'n.ll.~,'t vnlue of thnt. lntnl'Ilnt aholltd
bu inc':ollll(,d ~ll only $~0,(100.00. 'rhC'Oodrd nqr'10S.
'PM!'J 1 of. ~
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llonr,j Doo):at Ho. ,120571 fNfI
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ill '~~,r~aliPrQ(lort.y raportod 011 '">C"~dUlo ^ 1111 $.?O,OOO:UO.
FOR 'rIff, 130ARD ilF M'l'r,AI.3
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Gor'~r.d d. 3~11..1Vnl1ti, eh"J r/:1'111
Ilrueo IlJutor, Ihm'Jf'l'
Robart ,I. Gilmore, :'Iomh~r
1'lmothy J, IInrnol', Ihlmh"r
'l'homlls I.. Jone.s, ""mhor
11,'1 ryn 1 J,on Dhclllhlll1, !.,l\( !1ombnr
Jono,!>h n. Dloo);, I'1ombor
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111'1'11111 SIXTY (60) DAYn OF RP.CF:II"r IlF Tilts Dr:ClSIOfl.
Al'l'ROV8/l,
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PAVIliNT,
REFUND (CR II
REPLV
TO,
DIICOtJNT.
INTEREST,
Dltleh the top portion of thl' Notlel and lubelt wJtn your ply..nt .,d, PIVlbl, to the n... end addr... printed
on thl r.v.rl' Ilde.
All ply.."" r.calvld .hell flr.t ba applied to any Int.r..t which "V ba dUI with any r"llndtr ."ll,d to thl tlM.
A r.fund of . tlM or,dlt, which WI' not r.quI.tld on the TIM Rtturn, '.y ba r.que.tld bV coaplttlng an
".pplloltlon for R,fund of Plnnlvlv,n!a Inherltlnol Ind E,t,t, TIM" (REV-IllS>, Appllcatlona ar. IVIIlablt .t
the OffiCI of the Rlgl,t,r of Willi, cny of the 24 RavanUI Oll'rlct Offlc,., or bv 01111no the IPlclat Z~.hour
Inlwlrlng ..rvlel nu.b,~. for for., orderlngl NEW IN PENHSVLYAHIA 1-800-362-205D, out.ld. Plnn.vlvantt
and within the 10cIl Harrisburg ar.. (7171 787-8D94.
OU.,tlen. r.glrdlng .rror. eontllnld on thl..notlcl .hould bl ,ddr.,.,d tOI Pi DIPlrt..nt of Rlv.nut, Bur.au
of Indlvldull TIle", ATTNI POlt A.......nt R.vl.w Unit, DEPT. 2110601, Iltrrhburll, PA 17121-0601, phon,
<717) 717-6505.
If tnv tIle due II ptld within thr.. I]) cal'ndar ~onth. .ft.r thl d.e.d,nt', d.tth, . flvl p.r~.nt (SX) dlleount
of thl tIle ptld I. tllowtd.
Int_rl.t I. ehlrgld bill Inning with flr.t dlY of dlllnqu,nQY, or nlnl (9) tonthl .nd en. (1) dtV frOM thl dati of
dtlth, to thl dlt. of pav.'nt. T.lell which b.e"" d,llnqutnt before Jlt'lUlrV I, 1982 bur Int""t at tM rlt. of
11M (6XI p'rc'~t Ptr InnUI oalcul.t'd at I dillY rltl of .OOOI6~. All tile" whloh bIO"1 d.llnqulnt on and .ftlr
Jtnutrv 1, 1982 wll1 bltr Internt It , ratl which wll1 Vlry frot ClIltndtr vur to c.ltnder yler with that retl
ennouno.d by the PA DIPlrt,.nt of R,vlnu.. Thl Ippllc.bl, Int.re.t rat.. for 1982 through 1994 .rll
'We Inter..t !!!! Dilly Inttrllt Fletor ~ Int.rut A.t. DillY Interllt F.otar
1911 20X .000541 1916 lOX .000214
1913 16X .000631 1987 9X .000261
1916 llX .000101 1988-1991 llX .000101
1911 lSX .000556 1992 9X .000261
1991-1996 7X .000192
--Int.r..t I. cllcul,t'd .. follow'l
INTEREST . BALANCE OF TAX UNPAID X NUHBER OF DAYB DELINQUENT X DAILY INTEREBr FACTDR
--Anv HotlcI IlIutd Ifter the tllC beao... d,llnqu,nt will reU.ot .n Interltt Cllcuhtlon to f1ft"" (1S) den
beyond the det_ of thl ......lInt. If PIVlent I. tldl Ifttr the Int.r..t o~ut.tlon dlt, .hown on tM
HoUce, 'delltlon,l Int.rllt ",.t b' elleul.tld.
~
E'~
STATUS REPORT UNDER RULE 6.12
Name of Decedent I f L ,I' ; c.
Ilf
(" / I AI ,1/~
V C'l~r:P.'f' I\' ;:,
Date of Death I
II .., :5 (I .- 'I:]
Will No. IC,? 4 - t'i' t",' ,J
.:::' /.. (1 t,- - J??
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 estatel
1. State w~~ther adm~~iBtration of the estate is complete:
Yes~ No~"
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
completel
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 representative's account iSI
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 f.ormal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be attached to this report.
/. ".-
"A ../ A
'~ . " .~.. / Y ,
(./7::;'(, .lfI1-I.J:. _, ;~.;,:t/J v(.-<,,--,.:ie-I-
Signature
//Alhl! C Ze J. h u J elf'
Name (Please type or print)
."" ('i ..t. . '1-
0i'v-~/I;,- .:-,...'0(' 1A.,,,c~1 '-'
Address (J./r:' 'I (,'urll/ (' ..Y/.J ..2 "/p?/
Datel
/ -,:2/- '71;
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lit.
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( If/I)) '7" 1- . Lf 17 il
Te l, No. .
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, Personal
Representative
U iJl
(1I1l.:
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a,
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CapacitYI
(MAH I rmf/ AM3)
Counsel for personal
reprssentati ve