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County of CUr~BERLAND In the Sodal Security No. 111-10-0968 Commonwealth of Pennsylvania The petition of the undersigntd respectfully represenlS that: Your petltloner(s), who Is/are 18 years of age or cider an the execul 01' In the last will of the above decedent, dated Dee embo l' 29 , 199 I and codlcil(s) !lated N / A I --e- f I I Estate of Ann G. Croushore also known as named ,19_ (stllll relevant clrcllm.uanccs, C,i. renunciation, death or executor, CIC.) Decedent wu~ domiciled at death In Cllmhp,.l nnd 11 or last family or principal residence at H<; ('Ful l>bQ~, County, Pennsylvania, with N~~l CYmhorlaR~, pt 17Q70 m.t .treet. number. Twp. or Boro.1 Decedent. then 12 l'ears of age, died Docombor 28 ,19 ql at 85 enrol Pll1('(lJ Nfl!.., ('1Im"....)-':!",!, PA 17n7n . Except as follows, decedent did not marry, was not divorced and did not have a child born ~r adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated Incompetent: Decedent at death owned property with cMlmaled values as follow~: (If domiciled In Pa.) All personal property (If not domiciled In Pa.) Personal property In Pennsylvania (If not domiciled In Pa.) Personal propertY in County Value of real estate In Penosylvania situated us follows: ~5 Carol Plnce, New Cumborland, PA 2i44 Harket Streot, Camp 11111. PA $ 100,500,00 L $. $ $125,000,00 $ 65,000.00 WHEREFORE, petltloner(s) respectfully presented herewith and the grant of lellers theron. request(s) the probate of the last will and cbdlcll(s) teHtnowntnrv. (t"lamenlam admlnlmatlon ',t.a,; admlnllllallon d.b.n.,.l,a.) t t1----~-l'~- ~S I "!!,g ;'u ~e: ~o i Ii! P.O. BOK 42, Hohllo, AL 36601 OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA } ss COUNTY OF CU~m.ERLANO . The petltloner(s) above.namcd swear(s) or arnrm(s) that the statements In the fore~olng petition are lrue and correct to the best of the knowledge and belief of petitioner(s) and that as personal repmen. ta<<lve(s) of the above decedem petltloncr(s) will wtll an, truly administer the estate according to law. I I I Sworn to or nrnrmed and subscribed before me t is I /l+t~t day of , l 19 ,'/1 Register -- \11 ..' " ~ ~ ~ ... No :>1 - 94 - ?6 . Estate of ANN C:. CIWUHIIOI\" , Deceased DECREE OF PRODA TE AND GRANT OF LETTERS AND NOW ,JANUARY 12, 19~_, In consideration of the petition on the reverse side hereof, satlsfaclory proof havlns been presented before me, IT IS DECREED that the Instrument(s) dated DECEMBER 29. 1991 described therein be admitted to probate and filed of record as the last wl1l of ANN G. CROUSHORE and Lellers TESTAMENTARY _ are herebYiranted to _ BRUCE .J. CROUSHORE 71i) flA (f (!.)tl1 ~r J.iJml'JiA&'. Realeler or Will, "'-0 (J MARY C. LEWIS FEES Probate, Lellers, Etc. .......,. $ ~ 70.00 Shon Cenlflcates( U .. .. . "." $ 36.00 Renuru::Jadon .,...... I . I I . , .. S x-yages ju.ulJ ,lCP $-,r"oo TOTAL _ $ 241.00 FlIed ..,. t ~~~.U.~~ Y . ,1,2, ~ . ) ~,~1. . . . I . . , . . . Richard W. Stewart (18039) ATIORNEY (Sup, Cl, I.D. No.) P.O. Box 109, Lomoync, PA 17043 ADDRESS 717/'161-4540 PHONE lrl t::~ ,(i ;-l -I~,~ .~ r.o , c': " , 1 0 ~. " , .~ " " " .,,1 " r.,! !) III '.-r ~. l' 01 a: pi (\)9 a: Do Mailed letters and order to Executor on 1-1?-94. Tilt..; i~ In n'f1il~' lh,\! till' tllflll"lIl.lllonll1'll' ~:i\'(,III\ IOln'lllv \\lld,.d tHllIl ,llllllil~,",d (1'11111(,1((' 01 dl'ddl duly flIt.d with lilt' liS Loud Hl'j~1slljll. Till' \I1i1:ifl,'il n'IIJlil.lIl' will he IOI'\\',II,h'd {{llIli' SLUt' ViLli H('(ljld~ (lIli, t' lilt Ilt'l'IlllW"1l1 fihlll' I' . , WARNING: Ills II10gal to dupllcAto this copy by photostat or photograph. ..22,58.311 No, --2 (lJ."/- (..(;);J')?.1 ,/.( '~'Na"::2:~ 1''''lIllll'f:ISII''1' cJ (1('(,. Illl' dli~ u'l'lifk,lll', sroo au: 2 D 199J ...-.-.""......-."...;.,f__. 1l.,1<' COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTN . VITAL RECORDS OE~TIFICATE OF DEATH Crouehore DAft IIIDI lC'WlId ~Ot"yMt) ....OI'Gtt9\eo..nr" 11.1921 ~~port l frW,lI'lIlt II. l Female 10000IAni HO""", ......0 _...0 .TAl'I''''''''''''fI IN. ClMY A l 171 - 16 - 6968 ~~0l'lI-'" T1 D8A (MOnt\OIy, VIII DeoBlber 28, 1993 P'~ "'_... "",0 11:,....0 _I!!l s::..,o 11~1 11.0 't'M, dtcMr4lM1d ft...-- ..., ...ttMCll"d~) ...., ... Cnmhnrl8.nd ""' PA Ho... ;l.il? P ~ I\IdIM."~"Of~lfC"WlMdtllcMtl. MI.... U""''''OIIIMOlIMCtlh. I'lUlIRO TO ).aOCAL I ,..po Fb "',"III ~0Q'lt 1D0MI\1IUl I'IItr.~n"~c.auet nPWl . .' . to 'O(OftAl ~ CONMOUlHCI Of): , " VAUaIMClfl'O 0Wl1TlOH 01 C..... ~DI~TH'J "' 'I' (IoIotItl,C'y, YMI) co AI o .....,.......... 0 >>l )Db_'" >>I ClMinolbllllllWJThol 0 ~ICfIHJJfff.AIP'lCltM'''IT\.N',"brt.~ ~,f\:I.l19n1rl ... ..........."".., ,'CU1lmNQ PHV'tlOlAH(l'hytloIM~c-....oIlli1ltl..,."lt'iQtlIfflhl'*liIIItII'P~OI4f1""'O<<rpII""""IJI I ,....kfe.,..'nowMItt......MIIlHl'...M.lIMIltIotM(Ilw~..tWlM ,....,....... ......",...',...... .."".. ." , I'HlONOl.lfQNQAHOOIIITINlItG llHYIlo.AHlPI>.lIIIbotIPf~lINfI..-.l~~CllI..oIllMfI) I '.N....If.,..........lfMfllHWrMtI.............'IrM..ftl4MIoII....,.t<.'.,..,IIlIrOO...........,. ."".", ,." """,' )'MIIlKlH.I....,..NINOOAOH." I 0llI........ If ~~IrwM...._IrII1t'.,~1on, "'''tcCIlItlMflNUntt,...IIl\.,1IM.1n4 ~.Io""~111MI sr~;;;;'~...=,....,.......""..~';~~~ I. ~ "'.... III o o -.. Yo,o...O "'... ...11I '"0 ...0 ""'" ., ~ I, Ann Croushore, a resident of and domiciled in the Borough of New Cumberland, County of Cumberland and Commonwealth of Pennsylvania, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking all wills and codicils heretofore made by me. ~ APpoiptment of Exe~ I appoint my son, Bruce J. Croushore of Mobile, Alabama as Executor hereunder. If my son shall fail for any reason to qualify as Executor hereunder or, having qualified, shall cease for any reason to act, then I appoint my son, Paul N. Croushore of Pittsburgh, Pennsyl vania Executor hereunder in his place. Hereafter I shall use t.he singular word "Executor" but, except where a different meaning is required by the context, such word shall be taken to mean the individual or individuals, or corporation, or combination thereof, at the time in office <J executors I preliminary executrix or executor, executor, administrator-with-the-will-annexed, and each of them shall have the same rights, powers, duties, authority, privileges and inununities, whether or not discretionary, as if originally appointed hereunder except where any right, power or authority has been expressly withheld by some other provision of this Will. 1 '1 /l' (', INI'I'IALS (.(." L. l' I , i I " , I I I I m Tanaible Personal Prooertv A. I give and bequeath all my tangible personal property (other than money), of whatever nature and. wherever located, and all club memberships to my husband, or, if he shall not survive me, to such of my children as shall survive me, to be divided among them in such equal or unequal shares as they shall agree upon or, if they shall be unable to agree upon such division or if any of them shall be minors, in such equal or unequal shares as my Executor shall determine in my Executor's absolute discretion or, if there shall be no such children I direct my Executor to dispose of all such personal property as part of my residuary estate. B. All expenses incurred by my Executor during the administration of my estate in storing, packing, shipping, de1.i.vering or insuring any article of tangible personal property bequeathed by any provision of this Will shall be charged against the principal of my residuary estate and treated as an expense of administering my estate. THREE Residential Real prooertv I. give, devise and bequeath any residential real property which I may own or in or to which I may have any right, title or interest at the time of my death, wherever located, together with 2 INITIALS.( r! any buildings and improvements thereon, including without limitation our residence located at 85 Carol Place, New Cumberland, Pennsylvania and our condominium at 2144 Market Street, Camp Hill, Pennsylvania, to my husband, or if he shall not survive me, with the exception of said condominium, to such of my children as shall survive me, such children to take title to such property as tenants in corrrnon and not as Joint tenants or, if only one of my children shall survive me, the whole thereof to such survivor or, if there , \ shall be no such children, I direct my Executor to dispose of all such residential real property as part of my residuary estate. With regard to said condominium, so long as my sole daughter shall have remained current in her obligations to me, which determination I leave exclusively to my Executor at his sole discretion, I givf:, devise and bequeath said condominium to said daughter. The decision of my Executor as to which parcels of real property shall constitute residential real property shall be binding and conclusive on all persons. .EQl!B ~siduarv Estate All of the rest, residue and remainder of my estate, real or personal, of whatever nature and wherever located, to which I ahall be in any way entitled at the time of my death, including any legacy or devise which may lapse or be invalid or for any other reason fail to take effect (but excluding any property over which 3 INITIlILS //{ vc. I may have at the time of my death any power of appointment or disposal, it being my express intention not to exercise any such power by this Will), I give, devise and bequeath to my husband, or, if he shall not survive me, to such of my children as shall survive me or, if there shall be no such of my children, to such persons as would have inherited the same and in the same proportions as they would have taken if I had died intestate at the time of my death and as if, in applying the laws of intestate succession then in force, all such property were treated as personal property and as the only property owned by me. ~ Presumotions as to the Order of Deaths A. In the event that my husband and I shall both die under such circumstances that the order of our deaths cannot be established by proof, then I direct that for the purposes of this Will my husband shall be deemed to have survived me. B. Notwithstanding any of the foregoing provisions of thi$ Will, in the event that any beneficiary under this Will other than my husband shall not survive me by at least ten days, then I direct that for all purposes of this Will such beneficiary shall be deemed. to have predeceased me. 4 /. 11 INITIALS d c; m Investment and Manaaernent A. In addition to the powers conferred upon executors by law, I authorize my Executor, in my Executor's absolute discretion, with respect to any property, real or personal, left by me or at any time held or acquired by my Executor, including any stock of any bank or trust company acting hereunder (or any stock of any corporation which owns any stock of any such bank or trust company), any property generally or specifically bequeathed or devised or forming part of my residuary estate and any property which may pass by intestacy and any accumulated income, and without authorization by any court: To retain such property; to sell, mortgage, lease or otherwise dispose of any or all thereof upon any terms I to l'etain cash without investment thereof for such period of time as my Executor shall deem advisable whenever my Executor shall determine that it is inadvisable to invest such cash; to invest and reinvest in any securities or other property, real or personal, domestic or foreign, income or non-income producing, including insurance on the life of any person, preferred and common stocks, interests in open or closed end mutual funds, interests in investment trusts and participations in any legal or discretionary common trust funds maintained by any bank or trust company at any time bcting in any fiduciary capacity hereunder, all without regard to any law concerning the investment of funds by fiduciaries; to manage, 5 I. ? INITIALS ( , (J " maintain, alter, improve, develop or abandon any real or personal property; to grant any options in connection with any of the foregoing; to foreclose mortgages or to continue mortgage investments; to consent to the modification or extension of any note, bond, mortgage, open account indebtedness or other obligation, whether or not secured 01' evidenced by any writing; to exercise or dispose of any options, privileges or rights of any nature; to vote by discretionary proxy or otherwise; to become a party to any voting trust agreement; to assent to, participate in or oppose any type of reorganization, readjustment, recapitalization, consolidation, merger, dissolution of or other action with respect to any corporation and to take any action in connection therewith; to carry on any business owned by me or in which I may be engaged at the time of my death and to carry on with other partners any business in which I may be a partner at the time of my death for any period of time and to invest additional moneys in or make loans to any such business or partnership or to sell or liquidate the same; to adjust, compromise and settle or refer to arbitration any claim in favor of or against my estate; to borrow money for any purpose; to employ and PilY the compensation of accountants, custodians, legal or investment counsel and other agents provided, however, that so long as a bank or trust company shall be acting as Executor no payments shall be made for custodian or investment counsel service; to exercise any options or elections available to nw Executor pursuant to the provisions of any income, estate or gift tax law applicable to me or my estate; to file joint 6 INI'rIALS ,. i t! income tax returns with my husband and to consent to treat gifts made by my husband prior to my death as being made one-half by me for the purpose of any gift tax law, and to pay the entire amount of the tax due with respect to any such income tax return of gifts, or pay a lesser amount of any such income or gift tax which my Executor, in my Executor's absolute discretion, shall deem advisable; to hold property in my Executor's name without designation of any fiduciary capacity or in the name of a nominee or unregistered; to form corporations and to transfer any proper.ty thereto; to pay any expenses in connection with any of the foregoing; to make any division or distribution of property in kind or otherwise and to allot any property or an undivided interest thereinto any part, fund or share under this Will; and generally regardless of the unlimited extent of this authorization, to exercise all such rights and powers and to do ~ll such acts as I might do with respect to such property if I were living and the absolute owner thereof. B. No person dealing with my Executor shall be bound to see to the application or disposition of cash or other property transferred to my Executor or to inquire into the authority for or propriety of any action by my Executor. SEVEN Death Taxes All estate, transfer, succession, legacy, inheritance or other death taxes or duties, and any interest and penalties thereon 7 INITIALS d' e I \ ~: , " (herein collectively called death taxes), which may be payable upon or with respect to any property included in my gross estate or taxable to any beneficiary receiving the same under the provisions of any tax law of the United States or any state thereof or any foreign country or subdivision or possession of any of the foregoing, regardless of whether such property passes under this Will or outside of this Will (including any property constituting a part of my residuary estate), shall be paid by my Executor out of the principal of my residuary estate prior to any division thereof into parts or shares and treated as an expense of administering my estate and shall not be apportioned; provided, however, that any death taxes which may be imposed because I shall have (or shall have had, exercised or released) a power of appointment given to me by some other person shall be apportioned, to the extent provided or permitted by any law applicable thereto, among the persons beneficially interested in or charged against the property subject to such power of appointment, whether or not such persons are residents of the state in which I shall die domiciled. EIGHT Interest on Leqacies All legacies shall be satisfied as soon as compatible with proper administration of my estate and without waiting for the lapse of any period specified by any law. My Executor shall not be l'equired to take any discount or to make any other interest B INITIALS ; 1.1 {c.. adjustment on account of the early payment of any legacy or to pay any interest on any legacy which is not paid within the time specified by any law. ,I !:illm. Concernina Guardians and ~xecutors A. No bond, surety or other security shall be required of any Executor or Guardian acting hereunder, any law of any state or jurisdiction to the contrary notwithstanding. B. The individual Executor acting hereunder may resign at any time without court application or consent by an instrument in writing executed by such Executor and filed in the Court in which this Will shall be admitted to probate and delivered in counterpart to the other Executor and the successor ExecutoI', if any. C. The individual Executor act ing heI'eunder may delegate any or all of his or her rights, powers, duties, authority and privileges, whether or not discretionary, to the other Executor by an instrument in writing signed and acknowledged and delivered to the other Executor provided, however, that any such instrument shall be revocable at any time. D. If at any time there shall be no individual acting as Executor hereunder, then Cumberland County National Bank shall act as sole Executor hSI'e\mder. 9 ~, ';-1 .,(<.:, INITIALS " . , '1 The foregoing instrument was signed, sealed, published and declared by Ann Croushore, the above-named '!'estatrix as and for her Last Will and Testament in our presence at her home all being I present at the same time, and thereupon we, at her request and in her presence and in the presence of each other, have hereunto , , 'I , subscribed our names as witnesses, all this day of 1991. ---' ~~ ~,~j c:lf2_- - ~~~41.(j' ~- /J S; residing at - -.S 1(CJyy\..~J..4A.1.",( ,,- c2 C~~GVD<' "7 ~/7- residing at ''If!) 17& ;;I ~ ' _ ~~CVn.tt~~~1' ~ !~,fr " residing at 19r ~J1 ~ 'tu..<~ -. ~.e~__ 'Rt J 7 0 1-~ I /?~ /,//;7/ ,'-;' /r'/~ ,. 1 . , .' I, lie I \bje\.- f InaloIWll1 ,ann , , " 11 , ,INITIALS tl ~, " " 21 ., 94 . 26 REGISTER OF WILLS OF CUMBERLAND COUNTY OA TH OF SUBSCRIBING WITNESS I I , [)o,.tAt...O ~<-Itt-=~....,.2., ~ I ~ rf' W. ~f. codicil (each) a subscribing witness to the will presented herewith, (each) being duly qualified according to law, depos<<s) and say(s) that ~ '1 l4.1 ~ present and saw 1^"w' <?1 'l"..,f).C>~ the testafl,'1 . sign the same and that '7'rJ,c.:i __ signed as a witness at the requr.st of tcstat~ in ~ presence and (In the presence of each other) (In the presence of the other subscribing witness(es)). In' Sworn to or affirmed and subscribed before ~~ tv( a..'.-k41 . me this It} .::r~ dnyof 8'2. (j.RU";& p~~ be, . G~H i1l !7o,r:r 19~"--_' I ~~~'~ '-iAddre~)'---.-'~. , #- '-" J.......... ..~.__,( Reg/sler -/'. L-, C -' ., ----. (Name) b....:;...- If. q4-~. tv.",-I ~ .,...w.- r1)(Address) O-AA<..""-" 'I' p~ I ) '1 ;;; I <:, REGISTER OF WILLS OF COUNTY OATH OF NON.SUBSCRIBING WITNESS testat__ (each) a subscriber hereto, (cach) being duly qualified according to law, d familiar with the signature of that subscribing witnesses to) presented herewith and codicil e signature on the will is in the handwriting of to the best of Sworn to or affirmed and s me this scribed before _ day of 19_ (Name) Reglsler ./ /' // (Name) '""', -' (Address) """'f\. ~, TO R~gister of Wills Office , (Jmberland County Courthouse 1 Courthouse Square FROM JOHNSON, DUFFIE, STEWART" WEIDNER AttorneYlI at Law P.O, Box 109 LEMOYNE,PA 17043 Car.1is1e, PA 17013-J387 Estate of Ann G. Croushore - 21-94-0026 Date of Ddathl Ddcember 28, 1993 SUBJECTI POLO + DATEI 3/21/94 Enc10st..>d is a check in the amount of $17,000.00 as a payment on aCC(;lUnt of Inheritance Tax for the above-captioned F.state being made within the 90 days to allow for the 5% discount. . SIGNED Richard W. Stewart. csh PLEAS(: HEPLY TO REPLY DATEI SIGNED ~eni' F210 OttlVIIC, po, 80~ 2944. HarllQ1'l1. CT 0010.1-2044 C':'WhoflIotOtOl4>,Inc,,1982 THIS COpy FOn 1'1.I1S0N AIJ[)f1E:SSEIl . , . ~ ,., ," " ~ I" , I I I " '" " ....;c;;\ .' , ." " ''1''"\ \i,!,'''.,il,',I\l ,li;',/,J,:,lll\ .' "-, ,'" .',-,' il"Pf"~' il:"~_i ' '",' " , ' \; " .' ", ,. \'.i' . ,I I " RtlC,:JI<:i.':I, . ,r10(;""I;". ,,, III 'NiIH i'l, I .1 1 )' .'~/l ,1'lAIl2'2 [II'I""\] I~ ..1.. " I I CIVil, ,:,'IJll 'CUrnU,;lillilu ""II,;"PA 'I:' , '1 I, -;'j , .' , " .. ':1 '~ '[ ! ,i '1", " 'I, J! 'j ,. " 11,' .., 'I I,' H~. ,I, " , , 'II " "-'i; In i" !,', , i, , I ~ , ' , " ,,, 'I j. j, \' ".,' j "'. '.' \ I' .., "'_il- 'I'" . 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" 1\' I, "I " I '<? , , " , "1 I ".I I ^ .,!'1 II .," 'I," ,j' , , '" ,1./ , ' , ", , "I :i' 1',1 'Ii: , .,1, , ' 4! ( I ., ,~.... ',:) ~;, " ',i, I , ,I .1 "",.. ,.'.' '. '1;1 ' '-c~ "'1: " ,,,,, " I , ,,, " ,\ \' '" I , , " ,., , " " " " \, , '1,1 '" II. I' I i i. " " " " " "... '" , " " " " I, " " , " , , i"1 L ", l \ , , '... _!...l. 1',1 , ' ,\ , " " ~n;~lIcv'rJ,. '~""!' ,...... ~,". ' ..,..... .~ . _'." "",'" '". ~', d'; , ,~" I , ' ,- ' r:'" \ ~'\'>,t...I"'1 'J"','I""'" ""0', I co, ".' '.' ' 'I .~. . '-"/", .. "__"'I''''i',."".lt'flMI".tfll'f'-.Hf,'t+Io>'~! ~:"'''._'''''''''''''''I'--~I'fI'''fI;''''''''lt1HtM4tI" , , " lAW OrrlCES JOHNSON, DUFFIE, STEWART t3 WEIDNER 301 MARKET STREET P. O. BOX 109 LEMOYNE, PENNSYLVANIA 17043-0109 ,.,-" 1, Hi\F::R18BURG f'R 170 03/2V~4 "17,i54 ~B'. I .. .. ' " r1, ('I ,. en r " '0) r#'\ (.~ ;r: ~h\ \"1 (. -0 ", I ~:rl ' ,__1 ,I., , I , '"i' i;i 13 (,l.L. p, , n.: , 06 " 11111 R~GISTER OF WILLS OFF~CE CUMBERLAND COUNTY COURT~OUSE 1 COURTHOUSE SQUARE CARLISLE PA 17013-3387 I , 1",11I:1111I"1111111111"111,"11,1,1"111,111'11",11111111:,' >,.'_' ,'_" .,'" .<'L.. .. I',. ' ,;,'__ ., d.:',,' ' \,!", _'", I :'.;,.', . -','. ' ~. ','. ,IF "J.-J ~1;I",{ill''':,\''(,I.'',!' i.1~""'l'I);I,IJiiili'ill~~j.l~j'f-c~,..hIU.,..((, l, ,1,', _L\I'I l\ W..";~l' ,. ,.- -":. . , r .f. 1 ,. . " - ,. . . . -. . " . ,n'r " 1'1 ,.11 ".' ,,lId:, , "1'.;.1,',- , , " " " " , ,; " , '" i. I , I" ..., " , ", I I , , I .... '. '..";'. ,. ,,, ," '" " " . " " ' ......."'. ,! t...., "'_4."__~' ~..... ...--~ ...... ".._ .1._ ~._.,__.~_~ ~_~... ..,._ ._._ __ .w_ _.w _ _.__ __ _.. ....L RECEIVED FROM: f3 m AMOUNT 8T"WArn R I CHAHO W ::JRO & MARI<ET 8THEE1B 101 "17,000.00 . LI'MOVNI; PA J'7043 IOtOHm EST"TE INfORMATION: ~ !II NUMBER - 1II 2 J ,. J <194-00r:U, !II ME N l" m CROUBHORl! (~NN G II DATE Of PAVMENr EJ M -'f.1/Q4 138N 171-16-11968 I M , N V . CLlMBERI.AND irDrnH ":J c: ~. I~ fa TOTAL AMOUNT PAID "17 .O(IO.$!Q PB. '-. REMARKS ~EIECE J. CROUSHDHE SEAL RECEIVED BY REQISTEn OF WILLS -- -..-..:- - - _.w ___ ._.;.._.. o._~ _ __ ..__ _ .___ __ ._._. ___ _ _._~ ~ w__ _.._. _+_ ,._._ __. _'_0 .__ __ _ _ __.,.- .\ - \ \ , I I . ) q --J ~.;J, - I 0 INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) R!V,ll00ih 1\\,9\1 I. R.al E.lal. ISch.dul. AI ( 1) 2. Slack. and aand. ISch.dul. a) I 2) 3. Claltly H.ld SlacklPa~n."hlp InlorOlI (Sch.dul. C) (3) ~. Ma~gagOl and NalOl Rec.lvabl. ISch.dul. D) ( 4) . 5. Calh, aank D.pa.I" & Mhcellan.au. Po"anal P'op'~yl 5) IScn.dul. EI 6. Jalnlly Own.d Prop.rly ISch.dul. FI 7. T,an.f." (Sch.dul. G) (Sch.dul. II 8, Talal G,all All'" (lolalllnOl 1.7] 9, Funeral Exp.nlt., Admlnhlratlv. Call., MIIC.llan.au. I 9) E.p.nlt. ISch.dul. HI 10, D.bl., Ma~gag. lIabllltlll, ll... ISch.dul. II 11. Talal D.duc1la.. (Iolalllnll 9 & 101 12, N.t Valu. of EIlal. (IIn. 8 mlnu.lln. 11) 13. Cha,ltabl. and Gavernm.nlal aoqulll' (Sch.dul. J) 1~. N.I Valu. Subl.c1lo To. IlIn. 12 mlnu. Iln. 131 15. Amaunl of IIn. 14 laxabl. 01 6% '01. Ilnclud. valuOl from Sch.dul. K or Sch.dul. M,) 16. Amaunl of IIn. 14 ta.abl. 01 15% '01. Ilnclud. valuOl f,am Sch.dul. K 0' Schodulo M.I 17, P,lndpal tax du'IAdd 10. f,am I1n. 15 and from I1n. 16,) 18. Crodlt. Spau.al Pav.~y Credit Prior Paym.n" DllCaunl InlerOlt +17,000.00 +_894.74 ____ 19, II line 18 I. groalt' than IIn. 17, .nler tho difference an Iln. 19. Thl.l. th. OVERPAYMENT. 1110 20, IIl1n. 17 I. groaler Ihan IIn. 18, .nler Ih. dlffer.nce an IIno 20. Thh I. th. TAX DUE. A. Enlt. Ih. InlerOlI an Ih. balance due an IIn. 20A, 8, Enler the 10101 of IIn. 20 and 20A an line 20a. Thl. I. the BALANCE DUE. Mak. Check Payabl. to, Rtgl.ter of Will., Ag.nt " " "... It- ...uallo ANSWIR AU. QUBnONS ON UVIISI SIDI AND TO allCHlClt MATH.. .< "',' .',:' " , Und.r pinelli.. of ptrjury, I d.clar. thai I hay, examln.d 'nil r'lurn, Including Qccompanylng tchedul'l and .,al.m.nll, and 10 th. b," of my knowl.dg. and blll.f 1IIIlruI, (OffIci and ~ompl.l.. I d,clar. thaI 011 rtallllalfl hOI bun "pol'1.d allru. morh, value. D,claration of p"porlu olhl, than thl plrsonal 'lp'lllnlallvl II balld on olllnlormolion of whIch 'Ipare, ho. any knowlldgl. I 1it'i'No UTUMN AOORU~ OAT! 308 Brandy Run We<st . ~'nhi 1.', ^lfih,lma 36iillB.. " '21.J~ ''/- AOORm 301 Markd St., P. O. IJox 109 om., ';"rl\ .",11911 L~rQyne<, P^ 17043-0109 ~ l!! ~is l'i~iil :c Ia; ~Q oZ 1.12 ,1 POI DATU 0' PlATH Ami 12/al"I CHICK HII' IP A II'OlJIAL POvun CUDIJ IS CLAIMID 0 PILI HUMIII 21 ffi ~ Q ,,~r~}~ '._~v.- COMMONWUlTH Of PENNSYlVANIA Df.,,,UM!NT Of REVENUE Of'T.210bOI HAUI5IU"O, P.At. 17128.0601 ~CfOENT'S NAME (LAST, mlT';'A'ND MIDDLE INlTIA4 COUNTY CODE IO!C![~215~, PA 17070 ~L- ClMJERIJIND o 3, R.malndor R.lurn Ifa, do,.. of d.alh prlarla 12.13.82 05. F.deral E.lalo To. Relurn Required 1. 8. Talal Numb.. of Sol. D.pa.1t Ba.. 94 0026 YEAR NUMBE' CKlSlQRE, ~ G. IAL RI Y UMI R ::;~;;;3 IO~~~~~~: o 2, Suppl.m.n'al R.lurn 171-16-6968 KJ I. O,lglnal Relurn o 4, lImlt.d Ella,. o Ac. Fulu,. Inte'l" Comprornhe Ifar dol.. 01 d.a,h allor 12,12,821 K16, Dec.d.nl DI.d T.llale 0 7, Dec.denl Moln,alned 0 living T,ull (Attach copy of Willi (Attach copy 01 T,u.11 ALl..COUISI'OHDENCI AND CONPIDIHTlAI. TAX INPORMATlON SHOULD II DlRICTED TOa ',.'.' .," ' Richard W. Stewart, Esq. M' MA UN A Johnaon, IXIffie, stewart & Weidner 301 Market St. , N N M P. O. Box 109 [~, PA 17043-0109 ; ,'.;;.:;t:<i!!~;1 ... 717 ) 761-4540 255,000.00 99,393.55 29,785.18 z ~ E ~ I 6) 17) 384,178.73 20,862.72 I 8) 1101 18,176.93 (111 (121 (13) (14) 39,039.65 345,139.08 -0- 345,139.08 20.708.34 (151 ~139.08 )( .06. ~ !: g ~ S (16) -0- )( ,15. (17] 20,708.34 (181 (19) 17,894.74 Chl'llt 'WI(.' II vOU (11(,' INIUI-..IIn!) CI u-Iuncl of your oVl'lfHlyml'nl. 2,813.60 -0- 2.813.60 120) 120A) _ 1208) " /' ---~-6c./ Richard W. Ste<wart, Esq. !IV.UOI IK. 1',161 -~,J.'9(\ ~J,,1 COMMONWIAltH 0' P[NNSVlVANIA. INHIIITANCI 'A' RlTU'N }II'OIN'..OICI~IN' UTATI OP - J SCHEDULE B J STOCKS A~~_BONDS PILE NUMBER CROUSHORE, ANN G. 21-94 -0026. 1M propOlly lolnlly.ownld with RighI 01 Survivorship mull bl dlsclolld on Schldull P.) ITEM NUMBER DESCRIPTION VALUE AT DATe OF DEATH 1. 1,000 Shares - AT& T CanTOn @ $54.50 ptll' share 1,000 Shares - Rite Aid Corp. Ccmron @ $15.573 per share 500 Shares - Parker-Hannifin Corp. Common @ $37.25 ptlr shal."tl 1 Share - Scoptl Ind. Campn @ $24.75 per share ,$10,000.00 Bond - PA Housiny Finance @ $1.00 $1,000 Series EE Bond dated 4/66 - date of death value 54,500.00 15,375.00 2. 3. 4. 16,625.00 24.75 5. 10,000.00 666.60 6. " " ,1, ' , , TOTAL (Allo Intor on line 2, Rlcapltulallan) III marl 'PUCI II nlldld, InlOr! addition a' ,hili, 0' ,am. ,in.) S 99,393.55 111V.l101I1.11.1I) w SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY Ploa.. Print or T . FilE NUMBER 21-94-0026 COMMONWIAlTH Of 'eNN~nVANIA INHUIIANel lAX lI1UIN UllOINl OICIOINl ESTATE OF CROOSHORE, Ann G. IAII P'OP'"Y lolntly.own.d with th. .llhl_~f 'u,.,I.."hlp mUll b. dI1C1~..d on Ich.dul. " ITEM NUMBER 1. 2. 3. 4. 5. DESCRIPTION VALUE AT DATE OF DEATH HOUSl:!ho1d Goods 2,000.00 270.00 105.00 150.00 60.00 100.00 100.00 100.00 Jewl:!lry: Ladil:!S Oiannnd Solitairl:! Ring - appraised value Ladil:!s En~ra1d & Diamond Ring - appraised valUe Ladil:!s Opal & Oiannnd Pl:!ndant - appraised va1ul:! Ladil:!s Opal Ring - appraiEled value Libl:!rty Coin & Fran~ Pendant - appraided value Waltham Pocket Watch - appraised va1ul:! LadieS Hamil ton Diamond Wrist Watch - appraised. value PNC Bank, N.A. - Checking Account No. 54-4001-3898 date of dE:!ath balance. 23,307.18 Arml:ld ForCeS Benefit on the life of Donald C. Croushore, husband of Ann G. Croushorl:!. Donald C. Croushortl died on Novl:lIl1oor 30, 1993 and Ann G. Croushore died on Dtlcl:llllbl:!r 28, 1993. Benl:!fits wertl paid to Ann G. CRoushortl on January 5, 1994, after hdr dtlath. 2,000.00 MA [,He - insurance proci:!eds pajd on thtl liftl of Donald C. Croushorl:! (000: 11/30/93) to ruln G. Croushorl:! (OOD: 12/28/93) on March 7, 1994, after htlr dtlath. 1,593.00 " TOTAL IAlso .ntor on lin. 5, R.ea 29.785.18 s IA"ach additional 8YJ" :( II" ,htt't If mati tpac. II nttd,d,) "h1S1 ", flll) ~.~. ' ~ SCHEDULl! H ,f~ FUNERAL EXPENSES, COIMIONWWTH O. /INNS.IVANIA ADMINISTRATIVE COSl'S AND IN~I::b~~WI~'!~I~~'N MISCELLANEOUS EXPENSES PI, a., Print or TVp' mATE Of - I fiLE NUMBU CROUSHORE, ANN G. ~ 21-94-0026 ITEM NUMBER A. Funeral Exp,n"sl B. 4. C. 1, 2. 3. 4. 5. 6, 7. S. DESCRIPTION 1. Partho:more FUneral HClTlt! - funeral expenses Brush Creek Ct!1lt:tery - Mt:l1'Orial/Markt:rs for Ann G. and Donald C. Croushore, parents. 2. 1. Admlnltlratlv, Cas"l Personal Reprelentotlve Comml..ions Sodal Security Number 01 Personal Repre'enlallvIl Year Commi..lon, paid 2. Atlorney Fee, - JolUlson, !:Xlffie, Stewart & Weidner 3. Family Exemption Claimant Susannah D. Croushcre Relatlan,hlp Addre.. of Claimant 01 decedent', death 85 Carol Place Dauqhter Street Addre.. New Cumberland Stale PA Zip Code 17070 City Probal' Ftel - Register of Wills - Cumb:rland County MlsceUauaus Expens..i cumberland Law Journal - advertise letters The Patriot-Evening News - advertise letters Register of Wills - short certificates Register of Wills - file Inventory & Inheritance Tax Return Les Connor - appraisal of 85 Carol Place, New Cumberland Les Connor - appraisal of Condo - 2144 Market St., Camp Hill New CUnberland Borough - S~r - 85 Carol Place Munn's Diamond Gallery - jewelry appraisal Sub-Total frcl1l additional sheet TOTAL (Aha ,nl,r on IIn, 9, Recapltulatlonl (If more spac' I. needed, In"rt additional sh".. 01 same ,I...) - AMOUNT 3,195.00 4,000.00 2,500.00 2,000.00 341. 00 40.00 62.65 12.00 25.00 250.00 250.00 22.26 120.00 8,044.81 S 20,862.72 , samIllLE H ESTATE OFI CIOBIORE, Nfi G. 210-94-0026 C. Misc~llaneous EKpens~s - continued 9. Record~r of Ot!eds - 1% TrBnsf~r Tax .1,950.00 10. Notary Ft:!t:! - 5.00 11. Midstat~ Abstract Company - closing ft:!t:! 50.00 12. ~r's P~st Contr.o1 - ptlst insptlction 30.00 13. County rt:!al ~stat~ taxt:!S - 85 Carol P1act:! - adjusted at st:!ttl~nt. 250.40 14. Borough of Nt:!w CUmbt:!rland - St:!Wt:!r chargt:!B - Jan., ~b., March 7 4/1-4/28 34.91 15. Bruct:! J. CroushoI'\:l - Airfart:! to and fran Alabama to Pt:!nnsylvania1 Hotd, r~ntal car, parking, tolls and l11t!als. 2,600.56 16. Bruct:! J. Croushort:! - Photocopit:!s/Postagt:! 7.00 17. Mayf1~r, Inc. - rdnoval, transport & unloading of ooust:!hold it~1S. 2,460.16 18. Susannah D. Croushor.. - r..imburs'""ltlnt for payments advanced for final p..nnsylvania Power & Light charges 1 final Btlll of P~nnsylvania charges1 deced..nt's Visa account balanct:!. 656.78 . SUb-Total $ 8,044.81 , r, " " , ., " ".". 'I 'IV : ~ I) ,II. 12"J h~:':~'~~ ....;.\'iW~ CO~~ONWI'I'H 01 .,...."lll~.NI... IHHIIIUN(IIAIlIlIUIN IUID1N10lCloINI J SCHEDULE J BENEFICIARIES J ESTATE OP PILE NUMBER 21-94-0026 CROOSHORE, ANN G. ----i-----",.,-'------'----------- N~~~R NAME AND ADDRESS OF BENErlCIARY RELATIONSHIP AMOUNT OR SHARE OP ESTATE A. Ta,abl. B'I.II'I: 1. Susannah D. Croushore 2144 MarM st., Unit #C-202 Camp Hill, PA 17011 Daughter 2. Paul N. CroushoI'tl - 5920 Elwood street Pittsburgh, PA 15232 Son One-fourth Tangible Property, Condcminium - Unit -#C-202, 2144 Market St., Camp Hill, One-fourth Residue. One-fourth tangible proporty, One-fourth residue. I 3. Carl R. Croushore - 1608 ChathQrn Road Can~ Hill, PA 17011 Son One-fourth tangible property, One-fourth rElsidue. 4. Bruce J. CroushorEl - 308 Brandy Run West Mobile, Alabama 36608 Son Onf:!-fourth tangiblf:! propertY1 One-fourth residue. ITIM NUMBER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARI OP ESTATI B, Charltabl. and Governmlnlal BoquII1I1 1. TOTAL CHARITAIIEAND GOVERNMENTAL BEQUESTS (Aha Inllt on IIn. 13, Rlcapltulallan) S (If more .pacI I. n..dld, I.llrt addlllo.al.h.." of .am. .111' L HOIlIlM" J u: COUNTY OF BRUCE J. CRUlSHORE .ccordlng lo I,w, depolll end UYI thet h. is Executor 01 th. Ed.t. of ANN G. CROOSHORE 1.1t of _~_ 8or'.?~gh ~~.~,:..w. CUnloo:land , Cumberl.nd County, P.., d.cAllta and th.t the within Is .n Inv.ntory m.d. by BructJ J. CroushortJ , th. ..id Executor of the .nllre .st.tt 01 ..Id d.c.d.nt, conllstlng 01 .11 the plrlon.1 prop.rly .nd tlllllt.h, exc.pt rlllllhle oullld. the Commonw..lth 01 P.nn.ylv.ni., .nd th.t th. figurll OppOlito IIch lIem of th. Inv.ntory r'prll.nt II'. 1.lr v.lu. IS 01 the d.t. of d.c.d.nt'. d..th, b.lng, duly sworn " Sworn to .nd lublcribed before m., / L... / J' 19 qd. ..evtof . Aclmlnhhlfo, Bruce J. RoushortJ, Executor 30B Brandy Run WtJst Mobil.., Alabama 36608 Add,." Dah of D..th 28th D.y . DtlCtJlllOOr Month 1993 Yu, INSTRUCTIONS I. An inv.ntory mud b., fiI.d ....Ithin three month. .fltr ~ppointment of plrlon.1 reprll.nhtlv.. 2. A luppl.ment inventory must b. liI.d within thirty d'YI 01 discovery of .ddltlon.I'II.h. 3. Additional .huh may b. altached IS to p.r.onalty or realty 4. S.. Artlel. IV. Fiduel.,!.. Act of 1949. I' . j ,)u , , aI ~. 0 I .~ "" 0 ~ . ~ ~ 8 '" 1 M . !( . ~ ~ . K1 ... ~ u . 0 ~ i . III ~ ~ w Q ;!: ll: . ~ . E ~ ... ...l U. 4-1 .; i ~. ..J ~ 0 0 ... u. W 0 ~ "' .a, .:. > - Z o Q ~ . .j.J aI . Ul ~ - ffi ~ 0 0 . U .... t:l . Z ... ." :J: ~ ~l . - ..:! I, 0 " . . ... ." ... 0 : e . 0 . . !f 0 . ... U CD P, . "l.,/,;LJ ,~: -o:.~ Inventory of the real and personal estate of ANN G. CROUSHORE deceased 1. R~al Estat~ - No. 85 Carol Place, Borough of New Cumberland, Cumberland County, Pennsylvania. (De~d Book .y., Volume 18, Page 162) Sale Pric~ 195,000 00 2. Real Estate - Academy Court Condominium - 2144 Market St., Unit #C-202, in the Borough of Camp Hill, Cumberland County, Pennsylvania. (De~d Bo.ok .p., Volume 33, Page 226) Appraised Value 5. PNC Bank, N.A. - Checking Account No. 54-4001-3898 - date of death balance. 60,000 00 270 00 105 00 150 00 60 00 100 00 100 00 100 00 2,000 00 23,307 18 54,50 00 15,37 00 18,62 00 24 75 10,00 00 868 80 3. J~l'.\:llry: Ladies Diamond Solita.ir~ Ring - appraisoo valu~ Ladies Emerald & Diamond Ring - appraised value Ladi~s Opal & Diannnd Pendant - appraised value Ladies Opal Ring - appraised value Liberty Coin & Fran~ Pendant - appraised value Waltham Pocket Watch - apprilised value Ladies Hanlilton Diannnd I~rist Watch - appraised value 4. Household Goods - 6. 1,000 shares - AT&T Camon @ $54.50 per share 7. 1,000 Shares - Rite Aide Corp. Comn~n @ $15.573 per share B. 500 Shares - Parker-Hannifin Corp. Conrnon @ $37.25 per share 9. 1 Share - Scope Ind. Connnn @ $24.75 per share 10. $10,000.00 Bond - PA Housing Finance @ $1.00 11. $1,000 Series EE Bond dated 4/86 - date of death value 12. lu:mtrl Forces Benefit on the life of Donald C. Croushore, husband of Ann G. Croushore. Donald C. Croushor", died on NOVtef1100r 30, 1993 and Ann G. Croushore died on DeCtef11ber 28, 1993. Benefits were paid to Ann G. Croushore on January 5, 1994, after her death. 13. AAA Life - insurance proceeds paid on the life of Donald C. Croushore (000: 11/30/93) to Ann G. Croushore (000: 12/28/93) on March 7, 1994, after her death. 2 , 000 00 1,593 00 'lUl'AL 384,178 73 / 'l.O~"\ 1'1) V.. \~' 'J R!V-1S'47 EX AFP (12.94'. CO~OHWEAlTH Of PENNSVLYANIA DEPARTHfHT Of- RPiEHUE IUIUAU OF INDIYIDUAl TAXES DEPT. Z8Q601 ItARRUIURO, PA 111Za'06Dl nmlOF -C'Roumm r- Fm NO. llATE OF DEATH 12-28-93 COUNTY CUMBERLAND NOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAX PAYHENT TO THE REGISTER OF WILLS, HAKE CHECK PAYABLE TO "REOISTER OF WILL~')_G,fNT" REMI'1'; "AVMe~T TO,";;'? / y- / ~ ,) . /0 0.JOY-v' ACN 101 NOTICE OF INHERITANCE TAX APPRAISEHENT, ALLUWANCE OR OISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX RICHARD W STEWART ESQ 301 MARKET ST PO BOX 109 LEMOVNE PA 17043 DATE 06-26-95 REGISTER OF WI~LS CUMBERLAND CD COURT HOUSE CARLISLE, PA :17013 J" A_nD~~ ~MI~~:E:J CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .. RIv: i 547" EX" Ai: ii" f i2-'-94 T' ti~y i c r"ci F - INti Eii i;: AN"cE" Y AX" Xli pil;ii S Ei.fitir; "Ai. rciwAN"cE-iili" on".... - -.."""" DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF CROUSHORE ANN G FILE NO. 21 94"0026 ACN 101 DATE 06-26-95 If an a..e..ment wa. i..ued pr~v1ou.ly, linel 14, 15 and/or 16, 17 and 18 will refleot fiaure. that inoludB the total of ~ return. a..e.sed to date. ASSESSMENT OF TAX' IS. AMounl of Llno 14 01 Spoulol rolo 1151 16. Anounl of Llno 14 toxlblo ot Llnlll/Clol1 A rolo 1161 17. Anounl of Llno 14 loxoblo .t Collollrol/Clol1 B roto (171 10, Prlnolpol Tox DUO TAX CREDITS I PAYHENT DATE 03-21-94 09-28-94 TAX RETURN WAS I I X I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED aNI ORIGINAL RETURN 1. Roo! Eltoto (Schldulo Al III 2. Stockl ond Bondi (Sohodulo 81 m ~. Clol.ly Hold Stook/Portnorlhlp Inlor.lt (Schldull C) (!I 4. Hortgl~../Not.. Rocolvohlo (Schodulo 01 (4) 5. COlh/Bonk DOPOlltI/Hllc. Porlonol Proporly ISohldulo EI (51 6. Jointly Ownod Property (Sohodulo FI (61 7. Tronlfo.. (Schodulo GI (71 B. Tolol AI..to APPROVED DEDUCTIONS AND EXEMPTIONSI 9. Funoro! Expon..I/Adn. COlto/Hilo. Expon..1 (Sohodulo H) (91 10. O.bh/Horlgogo LloblllUu/Llonl (Schodulo I) 1101 II. 'rotol Doductlonl 12. Nol Voluo of Tox Rolurn 13. Chorltoblo/Gavlrnnlnll1 80quoltl (Schodulo JI 14. Hol Voluo of Eltoto Subjoot Ie Tox NOTE I RECEIPT HUHBER XA856058 MM913005 OISCOUHT (t I INTEREST ('1 894.74 .00 ) CHANGED 255.000.00 99.393,55 .00. .00 29.785.18 .00 ,00 IB) 384,178.73 20,862,72 18.176.93 lll)_ (121 (131 1141 39.03965 345,139,08 .00 345,139.08 ,00 X ,00. 345,139.08 X ,06. .00 X .15. IIBI .00 20,708.34 .00 20,708,34 AHOUNT PAID 17,000.00 2,813,60 TOTAL TAX CREDIT DALANCE OF TAX DUE INTEREST TOTAL DUE 20,708,34 .00 .00 .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST, IF TOTAL DUE IS LESS THAN .1, NO PAYHENT IS REQUIRED, IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. I " RERRYAUONI Est,t.. of dlcldent. dying on or b.fo,. O.c..r 12, 19112 .... If .ny future Int.rut In thl ..tlte 11 tn".f.rred In po.....lon or .nJoyaent to CI,.. I (colllt.r,l) b.n.flal.rl.. of th. d,cld.nt .ft.r the 'Kplratlon of any ..t.t. for lIf. or for y..r., the Co_onWl'lth h.r.blf .Mpr...lY rll.,vlt the right to Ipprlln .nd '...... tranlf.r InhtrUlncl TlK,,' It thl i.wful Cle.. . (co1llt,rll) rat. on Iny .uch future Int.r..t. PUltP01lE OF HOTICEI To fulfill thl requlr...nt. of S.otlon 2140 of the Inheritance Inl;t E.t.t. TI)I Act, Aot 22 of \991. 72 P.S. Stotlon 2140. PAVHfHTI betlch the top portion of thlt Hotlc. .nd .ub.1t with your ply..nt to tM A.glthr 0' Willi prlnttd on thl rlv.r.. .hl.. uH,," chiC' cr oono, crdor p,,"blc to! REGISTER OF HXLLS, ADEHT All pay..nt. rle.lv~d .h,ll flr.t be IPplitd to .ny Int.r..t which ..y bl due with eny r..llndlr Ippllld to thl ")I. RE'UHDCCRlI A rlfund af I t.K or.dlt, which WI' not r.qu,.tld en tht TIK A.t~rn, ..y b. r.qu..tld by eOlpl.tlng In "AppllaetJon for Alfund of PIM,Ylv.nl' Inhtrlhnc, .nd E.tate TIll" (AEV-U\5). Appllo.tlon. '1" ,v'llIbl, .t the O'flel of thl R,gllt.r of Will., Iny of th. 2S R.v.nuI Dl.trlct Offlc.., or by cll11ng th, .p.ell1 24-hour ,n,wlrlng ..rvlel nu.b'r. 'or foru ord.rln"l In P,nn,Ylvr,nlll 1-01100-362'2050, outtJdl Plnn,Ylvant, end within 10cIl H.rrltburg "" (717) 787'1094, TOOl (717) 772-2252 (H..rlng I.palr.d OnlY), OIJECTIOHSI Any p.rty tn Int.r..t not .etllfl.d with thl .ppr.I....nt, .Ilow.no. or dl.lllow.nc. 0' d.duetJonl, or .....llInt of t.K (Including dl.count or Int.r..t) I' .hown en thl. Hotlc. .Ult obJ.ct within .IKty (60) d.y. of rle.lpt of thlt Notlc. bYI uwrltt.n prot"lt to th. PA D.pert..nt of R.....nu., Board of Appnlt, D.pt. 281021, Hlrrltburg, PA 17128-1021, OR -~.I.otlon to h.v. thl utttr d.ttr.ln.d at audit of th. .ccoun\ of tnl p.r.onal rlpUl1ntltlvl, OR --lrPI.l to the Drph.n.' Court. ADltIH IITRATlI't CORRECTlOHS. IHIER'EIT. F'etuII .rror. dllcov.r.d on thll ........nt .hould bl Iddr....d In writing tOI PA D.part..nt 0' RIV.nut, Bureau of Indl...ldull Taxll, ATTNI Polt A......ent R.vll" Unit, OIPt. 210601, tlarrltburg, PA 11128.0601 Phone (717) 717-6505. S.. pag. ) 0' thl bookl.t "Inltructlon. for Inn.rlt.ne. Till Rlturn for iii RUldent Dlcedlnt" (REY.1501) for ,n 'xpl.natlon of 'OIinl.tr.tlv.ly corr.ct,bl. .rror.. I' any tlM due II p.Jd within thr., ()) calend.r .onth. a't,r th. d.c.d.nt'l d.ath, . flv. p.rclnt (5X) dJlcount of the t'K p.ld I. .llow.d. Int.r.lt II ch.rged b.glnnlng with 'Ir.t d~y of d.IJnqu.ney, or nine (9) IOnthl ,nd 001 (ll d.y 'rot thl dlt, of dllth, to the date of Ply..nt. TIM" ~hlch b.el.. dtllnqu.nt b.for. Jtnu.ry 1, 1912 balr Int.r..t at the rite of .ill (6%) p.rc.nt p.r annul c,lcultt.d It a dally rltl 0' .000164. All t.M.. which b.cl.. d.llnqutnt on and aft.r J.nulrv 1, 1912 wJll blar Int.r..t .t ft rat. which will vary frol caltnd.r y,.r to c.l.ndar y.ar with thet rat. Innounold by the PA D.part..nt of A.v.nu.. Th. appllcabl. lnt.r..t r.t~o 'ar 1912 through 1995 .r'l DISCOUNT. ~ Intlr..t Ratt Dal h Int.r..t F.oter !!!or Int.r..t A.tl Dally Interllt F.etor 1.11 lOX .000Sl1 I'll 'X .ooom 19n 16X .000;31 1'11'1991 IlX .ooom 19U \IX ,OOOlOt 1991 'X .ooom 1.11 llX .000356 1991-1m IX .000191 1916 lOX ,000176 1991 'X .ooom --Int.r..t i. cllculltld I' folloWl1 INTEREST . BALANCE OF TAX UNPAID X NUNBER OF DAY' DELINQUENT X DAILY INTEREST FACTOR --Any Hotlcl II.u.d Ift.r the tlK b.co... d.llnqu.nt will r.'ltct an Int.r..t c.lcul.tlon to ,I,t..n (IS) dl~' b.yond thl dttt of the ........nt. If p.y..nt 11 ,Id. aftlr tha Intlrut COltput.tlon d.tl .hown on thl Notle., Iddltlon,l Intlrllt .....t bl calcullttd. ~ STM'US IU;POR'r _YNDEH RULE 6.12 . 'R(~('I.'I"'I'" (", ., ". II... '. ,ill,.J U FlcfI:" ,Ii" II \''11118 Name of Decedent 1__ ANN C'..!-.CROllSHORP. Date of Deathl '95 11AR 16 AlO :04 De9.!"mher 28L-1991 W ill No, 21.'94-0026 ...CJel, , , :"url Cumbi',' ,,; (:,1'1 PA Orphans' completIon of Admin. No. Pursuant to Hule Court Rules, 1 report the the administratiun of the 6.12 of the Supreme Court following wiLh respect t.o above-captioned estatel 1. State whether adminIstration of the estate is complete. YIlS X No 2. If tho annwer is No, nlate whon the personal representative reasonably beiieves that the administration will be complete I 3. If the answer to No.1 is Yes, state the followingl a. Did the personal representative file a final account with the Court? Yes No b. The separate Orphans' C,,'urt No. (if any) for the personal representative's account is I c. Did t.he personal representative state an account informally to the parties in interest? Yes X No d. Copios of receipts, releases, joinders and approvals of formal or informal account.s may be filed with the Cerk of the Orphans' Court Ilnd may ue attached to this report. Dat.el .3}lih~- . -0Z/ ( (1(t, Signature /,',-r-' cJ--- ~,.I/'::;":'.:__t/ Ril'1h~r<1 LSt.el'larL. Name (Please type or print) Johnson, Duffie, Stewart & Weidner 301 Marke~ St., P. 0, Aox 109 MdrElss l.erroyne, PA 17043-0109 llru_.?_~,.:j540 __ 'l'eJ. No. " Capacitj'l rersonal Representative (MAlllrmt/AM3) ..l, ..Counsel for personal repl'oSfJnta t i vo IlW-27