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HomeMy WebLinkAbout94-00057 OF.~1t4. IJ~ .:a.. fJ~~18 ~~~'~. ~. , E- /-~1- It No. t. 21:Q4~"'1 ",' " ,:1 ',;/" ,'I" .. , Ii; E'state I . /. " " ",I / , " " " '" ,. I \,-..11 ',' , "\. " , '. :-" :J I'"" .. " " I'. .',1', " ': , ,. ,,' " ., I' ../I j, '" .- 'i '1,'- k 'I' "I. i:. I I', ''',. if'"", ') ,il" ;(T,'\, '1.\ , ',j' , ';" , ,t~-~:_,<:,' I; " (1,;,:.1,',.\,;, ",!, \ "q:l ,". ;, 1',1' , 'II, ,~ I,': 1 , ' ,::1 ~ , ,,! '(' , . ~ ','i ' J.. I. I : ~, 'I,. :'r.,' ,"'J "I :l: " , '1',' " ',' , \ , '1 \'. I' , , !I,lil 'I:' I, :Il' ", I," 'J', I. " ',,"I'i ; :1 " "i ", i'" ".'1 ,. 'I <'I:,' ,1-'.\' ," ,I' ,." 'I;' ..-' \' "~'I' \' .' '1 " !, "" 'I' .,'" 'II ;, , , 'i " ',,' ",.'j -'fl, j',' ". :1/ "'. .,' ". ,. J '1",- ." }"-\',: '" '. :1, "I ", :I!' ';1' ".! .1" "Id'" . pi ;, , " ,V.- ~,; i.I" .;>1; " /' , , , , ., , !\I,. ,H I " 01' ::' I" .,. 11-" ,l'_ ,':-,'"" >'1 " " ., : ~'J' : ~ " '-, ',I, " ~ . '; '~ , :,\ " " ',,'j-'i, 'J: .',.... (, " ,I; ;,J. , ,";.' " ,. ,'/1 1;_' ',:}' '1"_' d_.'.;! " I , ;,:, ". ,',: ,\, ',:../-, 1\,1 '" ,',t: ,I , ' l'" ',' '-.1,1' ;',' , .. " ,'I,. ), i, " " " " " , l" d ",' I' , 'I.'. I,.' " :1' ii' ~ : , , ',', " :. "p/ ", ',' "', ;Jl ,,' 't" .', ,J:' ,,~i " ':'" \1':,.1' ,', J' /' i;,;' , : ~(,',. ',' ,'-,,'- ],'/ ,. ,-)' ,.. .. 'I; ..,' ',' , "~ 1', i ~ : \~ -,-'i," ";!/" '. i,,',r d' d., " t' ~ -' , :' 1/ q\ ", ;'1'11 ',}I/;: . , I'- l ) ,~ " '. , \ ~ I,. ;'i"ill;;;/'}~:/" ,::' " ' ~~! -, ,~ , . \ 'I ~ 1 -:, 'n: " ' " ," , ,J ~ , (, ':, I' II" '<:., ',' ,,1- i'l: , ",.i" :' ", '" ", , ' 'I; . ,;', I) I' ,/' ,/' ,~ ' '/,]" t ~ ' " -,' " ., ': " , ", " ,I' " ", Ii I' Ii' .(, 'H ,'1\, ," " " i' -t:,.: ,. ,. , ,-l' ',," ..' ;,' ',' Ii '( " PETITION FOR PROBATE and GRANT OF LETTERS 21- 94 57 ~- Es/ale 0/ ESTHER N. FISHER (/Iso known IU No. To: Reglsler of Wills for the Dectased. Counly of CIlMHERI.AND In the Social Security No. 464-92-0125 Commonwealth of Pennsylvania The pelltlon of the undersigned mpeclfully represents that: Your pelltloner(s). who Islare 18 years of age or older an the execulor In the last will of the above decedenl, dated April 20 lIllilQ1d~xdatBCtlL- named ,19.1L - (1111t relevant clrClImsllncu, e,l. renunclltlon, dellh or U<<Ulor, etc,) Decedem wal domiciled al dealh In Cumberland h er last family or principal residence at Thornwald Home, Carlisle, P"nnsylvania 17013. Borough of Carlisle ,Untll,..l, number, Twp, or Bere,1 Decedem.lhcn 90 l'earsofage. died November 24 ,19 93, at Thornwald Home, 442 Walnut Bottom Road. Carlisle, Pennsylvania 17013 . Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execullon of the will offered for probale; was nOI the \'icllm of a killing and was never adjudicated Incompetent: Decedenl at deal h owned properlY with estlmaled values as follows: (If domiciled In Pa.) All personal property S 218.000.00 (If not domiciled in Pa,) Personal property in Pennsylvania S. (If nOI domiciled in Pa,) Personal property In County S Value of real estate in Pennsylvania S slluated as follows: County, Pennsylvania, wllh 442 Walnut Bottom Road. WHEREFORE, petitloner(s) respectfully request(s) the probale of the last ~'IU and codlcil(s) presented herewith and lhe granl of lelters Testamentarv (lemmenllry; Idmlnlllrlllon .,1.1,; Idmlnhtrlllon d,b....,...,) Iheron, f~ ( ~t l~ ~;r !-o l :--/- ~;/ r //.1" _ t O/f-tJ (f (.Ittll\? usae ar 1322 Georgetown Circle Carlisle. PA 17013 - OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH Of' PENNSYLVANIA } ss COUNTl' OF CUMBERLAND The pelltloner(s) above.named swear(s) or amrm(s) lhalthe Ilatements In the foreaolng petition are true and correclto ahe OtSI of the knowledge and belief of pelltioner(s) and ahat as penonal represen. tatlve(s) of the abov,e decedenl petltloner(s) will w,~U a:YJuIY ~d~~~s~~) the es:~at~ ~cco,~lnlto Jaw. Sworn to or affirmed and SUblcrlbed~ _ +-<.//('/1 ( f !ft7?4:- "l before me this ''/tl-,, / ./ day of RUSSELL E, CLARK fa1' . /:/ wJ- ' +G .19-* . ~~., alW( ".,~~tJ.LqjJ)J,7iZ1. I!, / MARy(IC. LEWIS I Rtglsttr ~ .t:!: No. 21- 94 - ~7 Estate of ESTHER N. FISHER , Deceued DECREE OF PRODA TE AND GRANT OF LETfERS AND NOW _ JANUARY 26 19-2.L., In cOlUldcralloD of lho petition on tho rovolle sldo horeof, sallsfaclory proof havlna been prOlenled before mc, IT IS DECREED lhallho Inslrumenl(s) dated April 20. 1992 ~rjbed lhereln be admlllcd 10 probalo and flied of rOllord ulho hill will of Eat her No f'iaher and LOllors Testsmentarv lII'O hcroby Ilrllllled 10 Russe 11 Eo Clark FEes Probalo, LellOlS, ElC. ...... 0 0 0 $ 270.00 ShOll Cenlficalos( 4) ....,..... $ 1? nn Renunciation I........",. I . t S X-Pages $ 6.00 JCP TOTAL $ 5.00 JANUARY 26, 1"994 e33.88 Filed... I. '1'1'1,.,1"'1'11 tIt IIIIII t II' !rJ."lJiLfu jJm(k/Jd;; RtalllU 01 ww. 7/ (j , MARY C. LEWIS ROller B. Irwin 06282 A'ITOIlNEV (Sup, Cl, I,D, No,) 60 West Pomfret Street, Carlisle. PA 17013 ADDIUISS (717) 2490-2353 ~HONB , .., " IY'I t::5( ,_. r;;,> ,) :~q ::JCl: N ", ,I,; .,.. Q,. " " "'f ~ " ',\1 ~ ,." 'U i,; ,lo_. " ,ll (', ('/1 ,I) gill s:r .ilig a: 0: p' " CJt) Cal led attorney on 1.26.94, ", " tll0~ 1121llV ''''''I I'HfOflllllfl t-fnTtflcAH U 001 WAlWINU: 11 IS II.U,ll^" III ^,IU' IIWI rOI'\' "" TO DlIl'l.ICA n, flY I'ItO rO(;1 ^' 011 1'1 IOlllOIlAi'1 I. COMMONW~AIHl OF PENN9VLVAN'A OEPARTMENT OF IIEALTH VITAL RECOROS LOCAL REGISTRAFl'S CERTIFICATION OF DEATH CERT, NO. 1938729 (1- rr- N H--6~-;;OTTii,m 01 TtlIt Cerllf,c.tlIJn Name of Decedent _________7:'- ''-llu.,l.-, d ,. / Lu u__ _-~L~/L___~_w___.__ AC,'}": \I,,,,,. ''''I. J Sex ___::::t_..__o_.__soclal S!lcurlty No.__~/{., tj. . 9.,1.~_t>I.J,.~:=___f)l1te of De!lth.../111.Ll.'I,..J ~ Dot' ,I """ u..,.J ../J) tiN 7'"""" .... ... III V::~l ~'..' "f."___."__ Place of Douttl .!~-,-~t.~,__.ilo.)I~__._''Y:J._~__.~.;;,~j... . Penns'y!vanla t), 'A;1I111 ~j~'M (;,Ir I, Coif. 11 l",J,;;;, ,r r,,,,,~lldp U_'___ -. Race .____..~__.._, Occupation ..~,....e..1'~_-e.!--~.'_d_ ,Armed forcos? (Yes or No) ----J.~____ / I A } Decodont's g If'; j, / A--,1 J()-t7 {i' (!.' ,L, Ii. Marital Status U)~iWdrl........ Mailing Acldro.s .d , 't,),.-W'~~..~hl^=-: __ ____:~ ~ a... . ._ () . 'l ('! 4.J ), II..",,,, """... ,,' "T"." ~ Informant_&~~L_ft-__f.;-.{..kl.~/Ljuneral Diroclor.-/]:I!~.(}..~~':'..= ' ~~:~a~n~sta~~~~s~~~t(()J.lk~l~.__.Ii:4~'=L~l..-I-L'/.I..~n~l},)Lil-~t~Jr.-Y.~---fi ~ , : I nterval Bet een Pari I: Immediate Cause : Onset and Death (a) --7 ' __ ':.7. (b) --:l?-~. (c) , , _ -'.--.--------------. -.----....----~--..._----.-------__1.----__ , , , - ~------_._---.-----------.--------l.---_____ , , , ----.-~-_.-..--..--.-.-------..-----~-.---__4__._ , , I (d) Part II: Othor Significant Condlllons ._______._____________ ___I Manner of Death: Natural 0 Homicide 0 Accident 0 Pending Investigation 0 Suicide 0 Could not be Determined 0 ,I,., "d nIl. 'I 0",,".. -)l.,..'1.L" (f.,6,.~,~"~""~__._. "___""_~_._ Address__Jn.._LJ_Jl~~:.,.{~rnI.-.ldin-{JJ~1' _ ._n~=~:~~~: Coroner, M,E,) Doscrlbe how Injury occurred: This Is to certify that tho Information hore [lIven is corrnctly coplod from an o,lglnal certificate of death duly filed with me as Local RO[llstrar, ,T11,o' original certlficato will ~ forwardod to the Stale Vital Records Olllco for permanent filing, ' ' :;""'~~ {1-,l.I-fJ -, .i.,:~;,11.1~..I;;\-'.[-.i.;;Tli ii" .,;-;!\----- _. .a_____ .-- -ii;tir;(Tij,;-- ---iT.Ii8li;;;;.ii.."J;(''-tl/I";;;:iiflNj;,ii:,r ..,_I.. _.. -':T',~.;I"';l~I'''~\\ . '--GIi-I\;;,i;,;Y'I.- i-;;-~iliri:l;"-'-- JN$t Dill Nub ~t$tamtnt I, ESTHER N. FISHER, of the Borough of tar11s1e, Cumberland County, Pennsylvania, do make and publish this as and for my last will and testament, hereby revok ing any and all wills heretofore made by me. 1. I hereby expressly revoke all Wills and Codicils heretofore made by me. 2. I direct my executor to pay all of my just debts, funeral and administrative expenses out of my estate, as soon as practicable after my death. I direct that my funeral arrangements be made tnrough the W. Orville Kimmel Funeral Home, in accordance with the directions I have ~ven to the. said Funera 1 Home. 31 I give and bequeath the sum of Ten Thousand Dollars ($10,000.00) .to Thornwald Home, 42 Walnut Bottom Road, Carlisle, Pennsylvania, to be used for its general uses and purposes. 4. give and bequeath the sum of Ten Thousand Do11as ($10,000.00) to Russell E. Clark. 5. gi ve and bequeath the sum of Ten Thousand Dollars ($10,000.00) to my niece, Esther Fox and ~Jalter Fox, her husband, or the survivor of them. If both Esther Fox and Walter Fox fail to survive my death, this bequast shall lapse. 6. I gi ve and bequeath the sum of Ten Thousand Dollars .' . , . ACKNOWLEOGg~g~! AN~ AFFIDAVIT . WE, ESTHER N. FISHER, BETll A. MORRISON and KATHLEEN M. KENNEY, the testatrix and witnesses respecti vely, whose names are signed to the foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testatrix signed and executed the instrument as her Last 101111 and that she had signed willingly, and that she executed 1t as her free and voluntary act for the purpose herein expressed, and that each of the witnesses, in the presence and hearing of the testatrix, signed the 101111 as a witness and that to the best of their knowledge the testatrix was, at that time, eighteen years of age or older, .of sound mind and under no constraint or undue influence. /ii' . ".', " I-~r' .~ f.1jl_,,'7t,,,. i /" ESTHER N7F'rSHE ~1tA~~ 4~~"~""' P ,j ~ THL EN M. K~ ~ COMMONWEAL TH OF PENNSYLVANIA COUNTY OF CUM~ERLANO 5S: Sub&cribed, sworn to and acknowledged before me by ESTHER N. FISHER, testatrix, and subscribed and' sworn to before me by BETZI A. MORRISON and KATHLEEN M. KENNEY, witnesses, this :to' day of Aprl1 , 1992. ~ / ,..-J, / /. . ~"~ .--,mil IN.SEN. R A IAWiN,NOTAIIYPUCUC , MYC 1.~~~i!IAE~OOB 1002 I.' " . . ~ "\l"lh,i~'l , , ":', ,; ..~ ! , \. ~ . ~ . . .,~ +-i .' .' " , I " \, 'j. , ' ~ . III I .' " '; I' ',' " " " " " I'. I' , , " " , ,I! " I': 'I" " " '1':" ,/, j', " ,. " II ,", " , 1,,\' '.1, ,i, " '" ,', " ", ,'I' " " ,II " ,.j. ", , " ", ,. " " t1, , '-," " " " " fiO -1 !]f It, ~ ~. ,'" " , , . ,. i',,! ,', ~r; ,....;:j. " " '.., "; " 'I I' " " \, . 'Y;! (W~" ....., ~.t Ct. I;' tr" I '~. C, ,:) .." ~:l~ 1"5= (,. r'2l'n v," CI .... .~ .:: .... ~. '() [,) i:') " , 10 ~~ N (,') - ~ _ 9 ... ~ ~ I g e~ld~ e 'cij ~ ff)O , o~e2~~ ~~~U.E i i ~ ~ ~ ~ ~ ,,' ,,' ,\ " 1,,1\ ". ,I" " " ,. , " ~ ~j, -, . ,~ . ~ " e nULi Hr "I ,'1.. ,.1') CERTIF'l CATl ON OF NOTICE UNDER RULE 5,61 e I '9/1'11ll NlIm'tlf7Decedentl Dete of Deethl <il\ Will ,tf(f. ESTHER N. FISHER 11-24-93 GI"" Gum\. Admin, No. 21~0057 r To the Registerl I certify thet notice of beneficiel interest required by Rule 5.6(a) of the Orphans' Court ~ules was served on or mailed to the following benefic iaries of the above-captioned estllte on I Name RiiSSiitL E. CLARK NANCY N. LIPPER - - Address 1322 GEORGETOWN CIRCLE, CARLISI,E, PA 17013 86 PURPLE MARTIN Pl., MURRELL INLET, SC 29576 RUTH CLARK 24 CHESTNUT STREET, MT. HOI.LY SPRINGS, PA 17065 ESTHER FOX AND WALTER FOX 5950 LARUE STREliT, HARRISBURG, PA 17112 THORNWALD HOME 42 WALNUT BOTTOM ROAD, CARLISLE, PA 17013 Notice has now been gIven to ell persons entitled thereto under Rule 5.6(a) except Date I 02- J -94 -] (" . '3, Signature Name ROGER . IRWIN, cL. ESQUIRE Address 60 WEST POHFRET STREET CARLISLE, PA 17013 -- r- ...~. ":3: - ';6..; ,,- ., ,) ,!!! roo, fl,: ,-- " I , tn '-, " IJ_ ., 'j " I,' '-:-J f- III ((. D\ 08 a: . Telephone (717) 249-2353 Capacity I Personal Representative X Counsel for personal representative COMMONWEALTH 011 PENNSYLVANIA I. COUNTY 011 CUMBERLAND J III c ..:::--- ..,.... .-.....--......-___...h... _RlI!ls~1) _E,_C.1at:L '--"---.--- boln9 duly -_.1!,"!~r.!!...., ".._ according to law, dopolel and UYI th.t he __ is the exe~tor__.____ ------..'____.m... . -. ,.-, '.. _. "'. 01 tho Eltate 01 _~.sther ~Fisher __ latn 01 .....thellorougn of Carlisle ......,..,_...,_, Cumberland County, P.., decllled .nd th.t the within II .n Inventory modo by,..., . .~us_se}l...E,!.E.!ar~_,..__ ___.__, the 1.ld executor 01 the ontlro edato 01 said docedont, can listing 01 all the perlon.1 prop.rty .nd rOIl 8Itate, eMcept rill est.te outsld~ the Commonwealth 01 Ponnlylvanla, and that tho Ilgurol oppollte each Item 01 the Inventory repr'lent It'll.lr v.lue .. 01 the dato 01 decodont'l doath, Sworn <ji~~~ ~ ~: ClarkE....,., .lNI.laJtlrld1O _,!l~Qeorgetown Circle, Carlisls, PA 17013 - ond lublcrlbod bolore mo, 19 9It ---...-.--- Add,," i I Dale of Death -----2L.._._______c DIY, 11 M.nth 93 Yllr INSTRUCTIONS I. An Inventory must be flied within three month I alter appointment 01 perianal reprelentdlve. ,2. A lupplement Inventory mUlt bo 1II0d within thirty daYI 01 discovery of .ddltlonal'"ets. ,]. Addltlonallheoh may be attachod as to perlonalty or realty 4. S.. Article IV, Flduclarlel Act 011949. III .-! .~ ... ~ ; 5 1 lli ~ ~ ~ 'e '" ~ ~ 11'\ Vl ~ 0 ~ ~ H .... U . 0 ~ 0 ~ r I 0 w Q jl~ .;t !Z i!: a.. . ~ II; '" -l ll. Z I U. -l ~ 0 ::l ... ,.., W 0 ~ ex e:i 0 i- N > I-< is 0 c Z o Q I"l , - III Z Vl cj ~ 0 fli <( ~ III ... Z ,l:l . a.. ... ." E c ... ~ "l: 0 .! ~ ... .t! e 8 j c3 CD Inventory 01 the roal and personal estate of Esther N. ~'isher _ decoased 1. Personal Prope'rty - Appraised Value. (Lived in Nursing Home) . . . . . , , I . . . . , . . . . f . . 2. H Bonds - All titled Laurence E. Fisher or Mrs. Esther N. Fisher. Laurence F1.sher, husband of the deceased. died January 6. 1980. All bonds issued April 1978. , . . . . . . . . . I I . . . . . . . . . . . . V525121H - D11837692H - M17469667H - $5,000.00 500.00 1,000.00 M1746966BH - M17469669H - $1.000.00 1.000.00 3. Dauphin Deposit - CD #8000080117 opened 03-14-88 Balance. . . . . .. 'I I . in decedent I s name alone, Date of Death . I . . . I . . t I . . , , . . , . . . . 4. CCNB Bank now PNC Bank - All accounts in decedent'a name elone. Checking Account #5140366285 opened 04-16-85. Date of Desth Balance .. Savings Account #5130292609 opened 07-19-85. Date of Death Bslance, . . . CD 111713220125749 opened 05-23-90. Date of Death Balance. . . . . . . . . CD 111713160099021 opened 03-15-88, Date of Death Balancs. .. .. .. CD #141316001801 opened 05-22-86. Closed 11-22-93 and dsposited into Checking Account 1/5140366285. Date of Death Value ... . . . 5. Thornwald Nursing Home - Refund of Overpayment . . , . I . . . . . . . . 6. Thornwsld Nursing Home - Patisnt Funds Account Closad. . . . . . . . I . . 145 00 8.500 00 50.069 04 74.161 76 20.468 82 15.003 69 50.291 78 00 00 592 95 167 02 219.400 06 In 'l~ <.( () If! In :' a.; ..-. (t. '" N ID ; ,-'-, ,.. , " , .!.I " .,1 1'\ ',~.j ;Ij g Ul Ll: ::" cc uu /1/_/%1/- I () INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) C 'OR DATlS 0' UIATH AnIR 12/31/91 CH.cf.;IRI IP A SPOUSAL POVIRTY CRlDn IS CLAIMID 0 1IL1 NUM8IR RfV'I\~~!" II'." ~ FIYHER. ESTHER N. ___t_____ j~~:_~;~:~;~;8EA-. ::-:_::~~~JA;:;~:~~~-- --r~_:~~;H1 ~O~ l!! Ii."! 1. Original R.turn [J 2, Suppl.m.ntal R.turn ~f~ O~iil ~ I~ ~ ~ f!~f~~6~~-~U~~-~l\~_~C~~~8h~____________oo____ ~~r~::~.:~r~~O~;re.t ~~__ J}lL L __t49~2351________________ _____________ -_..,.,-,--, -------'------------'------------'--'---~=M- 1. R.al E.tat. ISch.dul. AI I 11 ---------_ - "__ ----.fi i- 2, Stock. and Band. ISch.dul. BI I 21_,____,_Il.SQ_Q...!lL___: 3, Clo..ly H.ld Stock/Par'nollhlp In'.rOlt ISchedule C) I 31 '____,_______,_ 4, Mor'gago. and Not., R.c.ivablo ISch.dul. 01 I 41 ,... _ ___00'___..___'00_ 5, Cod" Bonk D.pa.I" & MI".lIan.aUl P...onal Prop.rtyl 51 _____2j!l..._~_Q9..Jl_~_,__ ISch.dul. E) 6, Jointly Own.d Prap.rly (Sch.dul. FI 7, lran.lo" (Sch.dul. GIISch.dul. II B, 10'01 Groll An." l'o'allinOl 1.7) 9, Fun"al Exp....., Admlnl'lraliv. Coli., MI".lIanoall' ( 91______Jh~P...!8___ Exp..... ISch.dul. H) 10, D.bh, Mortgag. lIabllili.., LI.n'ISch.dul. I) (10) ________4!!!..!_~_____ 11. 10'01 D.ductlan. I'alallln.. 9 & 10) 12, N., Valu. 01 Ellal. Illn. B mlnu.lln. 11) 13, Chadlabl. and Gov.rnm.nlal B.qu..t. ISchodul. JI _14, N."..t~aluo_~~bloCl_'.?..!.ax IlIn. 12 mlnUl_lIn. JilL__ 15, Amount 01 lino 14 laxabl. 01 6% ral. Ilncludo valuo. from Sch.dul. K or Schodul. M,I 16, Amounl olllno 14 taxabl. 01 15% ral. (Includ. valuo. Irom Schodul. K nr Sch.dul. M,I 17, Principal 'ox du.IAdd 'ox Irom Iln. 15 and Iram lin. 16,1 1 e. Credits Spousal Poverty Credil Prior Paymonts Dlscounl Inleroll + ____ Ln5..L__ ___________ 19, IIlIno 16 It gr.aler Ihon IIn. 17, .nlor ,h. dlff.r.nc. on Iln. 19, lhlt It Ih. OVERPAYMENT, elf] 20, IIlIn. 17 It gr.a'.r Ihon IIn. 16, .n'.r ,h. dIH.r.nce on lin. 20, Thlt It ,h. TAX DUE, A, Enl('f the Interelt on the balance due on line 20A. " n~"';"IV~ "\')r.<- COMMONWeAltH m PENNSYlVA.NIA DEPARTMENT Of REVENUE o~p, 280601 ttARRISlURO, PA 17128.0601 ~- nmrrnA-Mf"ILA'ST, fll~iT-,-';;ND MIDDLE "INITIAlJ 21 COUNT, CODE N ') l H ADDRESS Thornwald Home 442 Walnut BottOM Road Carlisle. PA 17013 COO"'r Cumberland [13, [] 5, 94 'EAR 0057 NUMBER 114. k"16. Remainder Return Ifar do'.. of d.a,h prior 10 12.13.62) F.d.ral E.lal. lax R.'urn R.qulr.d T 0101 Numb.r of Sol. Dopa.lt Box.. [] 40. Fulure Interell Compromllc liar dolo. 01 d.alh all.rI2.12.821 Doced.nl Dlod To.'al. [J 7, D.cod.n' Main'aln.d 0 living lru.' IAI/ach copy of Willi IAI/ach copy 01 lruIII ALL CORRUPONDINCI AND CONPIDiNTIAL TAX INPORMATION SHOULD BE DIRECTED TO. NAMr---- . COMPL fMAilINo ADDRESS Umllod Eltalo _6, , ,. ~ " ~1") (;) ";1 1'1 [; r,J z o i I 61_______00_______-;:-, . I 71_n_m_n_.._____~', ( 6) :.J "/1 \'1 219.400.06 (11) _~~...!251.~_____ (12) 203.148.16 _____ (13) _~0..!l0.QQ...........____ (14) 193.148.!6 115Ium,_,_,,__,___u____,M ,06= z o ~ S ~ ~ 116I,..,__J9~...!1~....!~__,M ,15 = 28.972.22 ---..-.- (171 _oo_______n_____ 1161______ (191 -_ 1.448.61 Chock 'lorn if you CUlt f~quoslilln u .efund 01 your ovo'pnvml'nl. 120) ___ 27.523.61 (20AI ____n__.______ .. 120B) __~-'-~~~.~~_____ B, Enl.r ,h. 10101 allln. 20 and 20A on lin. 20B, Thi. I. ,h. BALANCE DUE, ,.. , Mok_"Ch"c~. p~.~~~," 10_' Rlgl~l.r 0' WIII'1 AgI.,' .. BI SURI TO ANSWIR ALL QUESTIONS ON REVIRSI SIDE AND TO RECHECK MATH.. Under penaltle. 01 perlury, I docloro that I hove IKomlned tnh feturn, including occompnnying sehe'dulet and UOlemenll, and 10 the bIll of my knowledge and belief, Ill, IruI, correct and complele. I declare Innl aU ,eolllllole hOI heen reported ollrue market ...alue. Declaration of prllporer olher Ihan the p'Hlonal ,epr...ntoU..., II baled on all Information of which preparer hOI any knowledge, !,~,~r~- ~!t!'l~llf /l~J:"N---;;;~;5s~e~r-~:~~~-~~-~~1: .~::~i~~:~-;:-1~~ 13- D~~_24_94 !~A1 - !P".COnIER lIlAll itmS!NI.fIVf --, '-AOORESS' .. -- __.._n_______,____..___oo..'..oo_'_____oo DAlE . \ U ~/-l( ,_~O W.s~, ~01Ufre....1=__Str~lltl__~_~rlial!~_~~..170~__~2-24:94 ___ c. I ' ,!,'-\ , ' , :.' " 'j. I. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECk MARK ("') IN THE , APPROPRIATE BLOCKS. '. YBS NO 1. Old decedent make a transfer and: a, retain the use or income of the property transferred, ,......,...................."......... 1 b. retain the right to designate who ~hall use the property transferred or Its Income, c. retain a reversionary interest or "..............1..."'......."...".................."""""1"" d. receive the promise for life of either payments, benefits or care? .....,............,..,.. 2. If death occurred on or before December 12, 1982, did decedent within two years preceding death transfer property without receiving adequate consideration? If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ..,.........................,.................... x. 3. Old decedent own an 'in trust for' bank account at his or her death?..................... 1 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES" YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. ," " \ . , , , " ',.\ '. , i' , j. "'j, " I' , ' Uy,Ull ~h (1.111 O'J~'~ If~~ COMMONWEAlTH or 'ENNlnVANIA 'NHUI1ANCE TAX !E1UIN lUPiN! DICIDINT h SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCEllANEOUS EXPENSES L,",..,,,, · Esther N. Fisher 21 ~94~005 7 DESCRIPTION AMOUNT ITEM NUMBER A. Funeral bpense.. 1. 8. A. C. 1. 2, 3, A. 5. 6, 7. ,&, W. Orville Kimmel Funeral Home, Inc. t . . . . . . . '. . '. . . I. Administrative Calhl Perlonal Reprelentatlve Commllllonl Social Security Number of Penonal Representative, Year Commlulonl ~ald 2, Allorney Fe.1 - Irwin, Irwin (, McKnight. , . . . . . . . . . ~ . . 3, Family Exemption Claimant N I A AcIdreu of Claimant at decedent', death Street AcIdrlll City State Zip Code Relationship -- Probate Fees - I,etters Testamentary Filing Fee . . . . . Mllcellaneous bpenle.. Roger B. Irwin - Notary Fees . , . . . . . . . . . . . . . , , , . . . . . . , . . . . . . . . . . " . . Advertise Letters Testamentary - Cumberland Law .Ioul'nal. . . . The Sentinel. . .' . " . . . . 4,428.00 10.910.00 293.00 25.00 12.00 , 40.00 65.48 S 15,833.48 - TOTAL lAlla enter on line 9, Recapitulation) (If more space II needed, Inlert addltlonalsheeh of same Ilae.1 " :"''''','''.1'''''. COMMONWlAllH or PlNP'unV4NIA INHU!l4NCI tAr UIU_N IlltDINIOICIDINt ~ SCHEDULE I . DEBTS OF DECEDENT, MORTGAGE LIABILITIES AND LIENS Plealt Print 01 Typ. f'ILE NUMBER 21-94-0057 ESTATE OF E~ther N. Fisher ITEM NUMBER DESCRIPTION AMOUNT 1. Care Apothecary Account 11610074. . . . . . . , . . . . . . . . 3. Belvedere ~ledical Center . . . . , . . . . . . . . . . 148.04 13.94 6.44 2. David L. Hartzell, M.D. . . . . . . , . . . . . . , 4. Tax Preparation Fees - Final Return and Fiduciary. . . I . . . 250.00 . , , " " " , ' .. ' ,,, TOTAL (Allo Inll' on Iinl 10, Recapllulollon) (/I mort 'pacI I. n..dld, I."" add/lionolsh..,. 0' loml rill,) $ 418.42 --.:...,----:". ------., ..--,-- b---~''l :-,;::;-- - -.. .-----~ -,...,.,.. -: '------- -,-.' ----'- , " ". III RF. r.nilTL OF', f1o~ rd ~ock~t No. 9~01)746 IN" IlS1'Hf;R II FlSIlER FUa 110. 21 94~005' I'ETlTIOtlFnt ACtll 101 Rom:1' U lRIVlIl r.r~, lRI'IlN HCl<!IT<.JlIT AND IllJmll~U . II t'OIWf',ET PH01"S1:t BLC,(; GO I~ PO~IFk!:'r m' CAnLI~Lt p~ 11013-]222 ,1~'1unty' of CUl:1bHrland L1H.l) of Dc~t.hl 11-24-93 O'r.(, of Appr,'iso"lCnt. ~Ild Aoo&somont! \)-=W"~)4 " 'D'Jto ["JUtJon Fildd, 3-9-95 H~arlnq Offioerl J~nat M. Staff ~~cision Mail1ng Dnttll 11' 1 1 19!J5' D1lC r SIOll AIIP ORDr.n P"t. i tion,,!' subrni ttl!d clocul',ont.,'t 10n which ostabl1shuB tMt tho Cr.llll chOCKln<) and snv1nyo 'wcounts r"por.,,'d on SchAdul.' F '~',r" in f"ct jOlntly awnod by dOcAdnnt ^nd Ruth K. Clork Rinno 1985. Aa thos!! ",]count.s should hwo ooun roport",d on S'~h.,dulo Fat., on...-h,llf th<'IJ,r d^t'J-of-rln,'.,h valun, th.' UO.lrd finds th,'t SCh',duIn F: should hI! rp.duc.cl by $94,0)0.513 ,IIId Gcht'du!. ~. should bo incr,,",sod by $'17,115.2'). Althou\lh thts ndju"tM,,~t will r"dllcu. th" ,'9sesslld t,.1ll obl1\l,'tlon by $7,097.29 ($4" ,>15.29 tJ.rn<Js 15 I'IJI'c..nt). tOil ^ctual tllM ovorpJlymont 10 $6,742.42 ($7, on, ~9 minu9 t.M 5 p,Jrc.nt 1M r Iy p~ymt1nt cliocount af $354..n) . ~dmil\ist!',J.ti'/'l not:"',.. lS 'llv<;on t.h.1t, thlS Ilo,lrd dOllS not h~v. JUl18<ilct1on to ,1ddr"ss PotHiCJn,'r's r"quo,9t lol' ^ r"fund at Cumbllr land COllnt.y llrab,~~." f""13. Accor~,lngly, 1r. i9 h<Jroby, OI'Jilr,ld't.hllt thll p~tit.lon for refillld 1ft gnnt:,,<i-ln-p.'rt, . l' .qu 1 of 2 ..- -.- ~- _. -, -.. -....- .- .-~ .-.. .-. _.. - ...,.--- --.. -.-..... -.. -- .-... ~.. ..-.- .....- --.. , (., _~c',\..)) ------'----..--------.--,.----,. ~ I ~ . ESTATr. OF' Ell'1'UP.ll N FIOUEI1 l\oard C()ck~t No. 9509746 ItIH PaqOl ~ ot 2 " Th,~ Oel'Mrtmnnt is herHby C\irlJr.t.ocl t.CJ' 11Ull" '~n I.lmctl1d"d IIl'prusor:\lJnt. '\ncl aft."salnt'nt, In wh,l\~h Schoclult r Is r~duc"d t.o $116.269.411 '111'j Schec\uln r 1$ JncrU'"N~ t.o '47,315.29. T~ \0 further Orderod t.hat " t"fund bd m,ldr' of "ny !f1Rultlnq ov"rl'aymont., plu9 tho ul'propr1./ltn Inter'l3t, 1"OIl .'fIlE '!lOJlRO m' API'EIILD I il, I '--' IltHV.l1"!, Shllt)h~n, Law Mombdr " " ",c" 0 iJ II .Y~.2p\') i<::'.' ~(../2 JdlJllph n. .~IM,k, ~Iemuur ANY Ai>Pf:IIL FROI,: TIlIS DEer aIOIl MllU~ AND RIWENVl', 132 FINIIIlCE llUILDUlG, (717) 7l17-29,74, WITHII1 IItlIF.TY (90) DeCISION. ' BE ,'Il,IW \HTH TIlE BOAPr! OF .FINlIf.!CE HIIRP.ISDURG, PA 17120, T~L;;:1'lION1': rIMS ,)F 'l'Hr. i1Jl,nnlC DII'rI:: Qt' THI:: l\ ,CMlH m:FT.lllO CHrCy. l~TLL m: !1T\lL~D 'l'(' YOU BY '~II~ llunr.AU OF IllD],VWtIAL TAXES. JN951)87-8tk IF VOtl llE'JU:RE THIS IlIFl)llNATION HI All AJ..TEIUIIIT~ FORHJ\'I' LlN:>r.R 'rur. PROVISIONS OF' 'rilE J\/.lERICANS 11;:'1'11 DIS,\3IL!TIES AC'I' OF 1'l()O, CALL (717) 7UJ-~664 or '1'00 (717) 772-1761 (1IEIIRIllG If"PAIRED ONLY). ,. " " , , , " \ REV-1!l47 EX AFP (10-93* COMMONWEALTH OF PENNSVLYANIA DEPARTHENT OF REVENUE BUREAU OF INDIYIDUAL TA~E$ DEPT. ZI0601 HARRIS.URO, PA l11za.0601 !STATE 0 FILE NO. DATI OF DEATH 11-24"93 COUNTY CUMBERLAND HOTE, TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAM PAVHENT TO THE REGISTER OF WILLS, HAKE CHECK PAVABLE TO "REGISTER OF WILLS, AGENT" REMIT PAVMENT TOI E NOTICE OF INHERITANCE TAM APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSHENT OF TAM ACN 101 DATI 06-20-94 IRWIN ETAL 60 W POMFRET ST CARLISLE PA 17013 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 [ A.ount R..ltt.d -1 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ it 'EV: 1547- iie"" AFP"" i 10":93"1"" No'fi 6 niP" i"tiHiiiii' AN"CE" 'fAX" "A-P PR"A"isii.fr!'ilr;" ALl OWAilcE- c"Ii"""" - - .-- - -" -"""" DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATI OF FISHER ESTHER N FILE NO.21 94-0057 ACN 101 DATE 06-20-94 TAM RETURN WAS, I X) ACCEPTED AS FILED ( ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASF.D ONI ORIGINAL RETURN 1. R.ol E.t.t. (Soh.dul. A) (I) 2. Stooke .nd Bond. ISoh.dul. BI (2). 5. Clo..ly H.ld Stook/P.rtn.r.hlp Int.r..t (Sch.dul. C) (5) 4, Hortg.g../Not.. R.o.iv.bl. ISoh.dul. D) (4) $, C..h/Bonl< D.polih/Hilo, P.rlonol ProPlrty (Soh.dul. E) (5) 6. JointlY O.n.d Prop.rty ISoh.dul. F) 16) 7. Trllll.f.rl (Soh.dul. G) 1.7) B. Tot.l AII.tl (-,' (-) .00 8.500.00 .00 .00 210.900.06 .00 .00 IB) , 219,400.06. APPROVED DEDUCTIONS AND EXEMPTIONS I 9, Fun.r.l E.p.n.../Ad.inl.tr.tiv. COlt11 Hilo.U.n,oul E,plnl.. ISoh.dul. HI (9) 15,833.48 la, D.bh/Hortg.g. L1lbUitlu/Lhnl ISoh.dul. I) UO) 418.42 U, Totol D.duotlon. lU) 12. N.t Volu. of To. R.turn 1121 IS, Chlrit.bl./Go.lrn..nt.1 B.qu.ltl (Soh.dul. JI liS) N.t Volu. of Elt.t. Subject to T.. 1141 If an all.llment wal illu.d pr.~iously, lines 14, 15 and/or 16 and 17 will rlnlct figures that inolude the total of ALL rlturns alleseed to dati. ASSESSMENT OF TAXI - 15. A.ount of Lin. 14 t...bl. .t 6X r.t. 11&) 16. A.ount of Lin. 14 t...bl. .t 15X r.t. 116) 17. Prinolp.l To. Du. TAX CREDITS I PAVHENT DATE 14, 16,251.90 203,148.16 10,000.00 193,148,16 NOTlI .00 193,148.16 M.06 . M.15 . U7l .00 28,972.22 28,972.22 RECEIPT NUHBER DISCOUNT (.) INTEREST (") AHOUNT PAID 02-24-94 855957 1,448,61 27,523.61 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE 28,972,22 ,00 .00 .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATIDN OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN .1, NO PAVHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (eR), VDU HAV BE DUE A REFUND. SEE REVERSE SIDE OF THIS FDRH FOR INSTRUCTIDNS.l R1:1!RYAThllll E.tlt,. af dIG.dlnt. dvlng un or blfor. Deo'lb.r 12, 19" -. If tnv future Int.r.it In thl 1"lt. I. tranlf.rrtd In POI.I.llon or .nJovI.nt to CI,., . (0011"tr,1) bln,flal.rll' of thl dlGldlnt .ft'r thl Ixplretlon of tnv ..tet. for 11ft or far Yilt., the Co.on....Uh hlt.by 'Mprlll1v r'llItwlt thl rJght to .,pr,h, .nd I"'" trant'er InherltlnGl TI.II It the lawful Cia.. . (00111',r,l) rlt. on tny .uch future Int.r..t. PlMlPOl! OF NOTIC! 0 To fulfill ttN rlqulrl""t, of Cletlon 2140 of the Inherlt.nae and E,ta,. TlIC Aot, Aat 22 0' 1991, 72 P.I. StoUon 2140. PAlIlENT. O.tach the top portion of thh Notlcl and .ub,1t with your Ply..nt to tht Rlghhr 0' Willi printed on tht revlr.. Itdll. -.NoII. ''''',k or '0"" ordor P....l. tOl REGISTER OF HILLS, ADENT All Ply..nt. r.cllvld .h,ll flr,t b, bPplltd to Iny tnt.r..t which ..y bt due with any r...lndar applJld to thl t'M. A r.fund of . tl. crldlt, which w.. not r'queltad cn thl TIM Rtturn, .IY bt r,qualt.d by co~l.ttng tn "ApplJc.tJon for Rtfund of PlnnlylvPnl. Inh.rltlnc. and Eltlt. Ta." (REY-IS13). Application, art Ivalltblt It thlOfflc. of thl Ragl,ttr of Willi, Iny of th, 23 Alvlnu, Olltrlot O'flcla, nr by calling the IPlcllt 24-hour anl",rlng ..rvlcl nuttberl for for.. ord,rtnrll In Plnnlylvanla 1~800-162.2050, outllde P.Mlylvlnh .nd within 10C81 HarrJlburg ar.o (717) 187-8094, lDOI (111) 71Z-2252 (HI.rlng IMPtlrad Only). REFUND (CRlo OIJECTIONSl AnY'Plrty In Intarl.t not I,tl,fl,d with the appr.I....nt, Illow.nol or dllallow.nc. of dlduotJon., or ......aent of ta. (Inoludlng dlacOYnt or Inter'IU .. IhlJlm on this Notlc. flu,t obJ,ot within '1Mb (60) diY' of rlcllpt of thlt NeUoe bYI AOIlIN TSTRAllYE CORRECTIONS. --wrlttln protl.t to the PA Otp.rt.lnt of RIV.nul, 10lrd of App.al., DEPT. 211021, Harrl.burg, PA 17121-1021, OR --Illctlon to hlv, the 'Itt.r d.t.r.ln.d It audit of the acccunt of thl plrlan.l rIPr...ntnUvI, OR .-tpp'll to the Orph.nl' Court. DISCllUIH. Flotull Irror. dlloov.rld on this .1'1....nt .hauld h. addrl.l.d In writing tOl PA n'Plrt..nt of RIV.nue, lur.1U of Indlvlrtu.1 Talln, ATTNI POlt h....Il.nt RIVIIH Unit, DEPT. 280601, HlrrllburG, PA 11121-0601 Phont (717) 717-6505. S.. Plgl 1 of the bookllt "Inltructlcn. for Inherltanc. Ta. R.turn for I Ruld.nt Dlcldlnt" (REV-1S01) for In I.planltlon of Id.lnlltratlvlly corr,ctabll Irror.. If tny tl~ due 11 Plld within thrll U) callnder .onth, afhr thl d.c.dent', death, I flvl perolnt <SiC) dllcOU'It of thl tlX plld I. allowld. INTER!ST' Interut 11 chlrGtld blgJnnlng with Hrlt day of delinqulncy, or nln. (9) .onthl tnd onl Cl) day frol the dlt, of dttth, to thl dlte of pIY'.nt. Ta... which b.ca.. d.1Jnftulnt baforl Jlnuary 1, 1982 bltr Inttrut It thl rete of 'Ix C6iO p.rc.nt per aMu. calcullt.d at . dllh rlta of .000164. All t,," which blo"1 d.linquent on tnd aftar Jenulry I, 1982 will bur Intlrut at 8 ret. which will vlry fro. cahndar Vllr tc clllndlr Yllr with that rat. Innouncld by the PA Clp.rtltnt of Rav.nu.. Th. IPplJcftbl1 Intlr..t ratl' for 1982 thrOUgh 199~ 'rll ~ Inter..t Aat. Ollly Jntlra.t F.otor !!!or Intlr..t Rate D.lly Intlrnt Flater 1912 2o~ ,0005\1 1916 lOX .000271 1915 16~ ,000\51 1917 9X .0002\7 191\ II~ .000501 1911-1991 llX .000lDl 1915 U~ ,000SSA 1992 9X .000217 1991-199\ 7X ,000192 .-Intl,ut II CI'~Ullt.d .1 followl' INTEREST . BALANCE DF TAK UNPAID K NU"IER OF DAYS DELINQUENT K DAILY INTEREST FACTOR uAnv NoUca IlIutcf after tIM tl. blco... d.lInqulnt will refllct an Interut cllculltlon to fltt..n CIS) dtVI b.vond the datI of the ......Mnt. If p.y..nt II ..d. aftlr thl lnt.rnt COlputltlon date lho,," on the HotlCI, IdcUtlOntl tnt.rut ltU,t be olleulatld. i --: -- .... --. __.._ ._ ... ._ n' __'._ ,>4,,_,. _.. .d' ._. ._.. _._ .... ...... ._. .... .._...... .._. _... _ .... (" ~ ("\ ~ :), - -.,-_.- -'- ... :-' .'. ....-. - -".., -~,.. EIlTATr. or t3'1'1IF:1' II F 1 OilER noard Dockut 110. 9509746 11111 pa q~ ? ot 2 ' Tho O"pertl1lflnt 1s her.by d1 r"nt.ad t.c. iUIl" 4n el1l(fI1dlld ^ppU18omr.,nt, 'lnd d8.<l1l8lnlmr. 1n whil~h Sah"dul~ r In r..ducud t.O $116,2611.411 ~nd Scht'dulA r .u In.::r,,,",,'l t,O $4", JI5.2~. Tt. i~ further Clrd<lred t.h~t ". ["fund h. IMdr-. of ,ny (.sult In'l O\lHpd~\lIUnt., plU8 thu uppropr1dto' lnteroot. ,",on 'rm: "CARD m' APPEALe I ,l I ~1H'y..ll'lr Slult'Ihan, L<1w Mamb.r /, ,c;,-' rJ iJ Ii ,/~.:!p\I) i<::'. _.~..,.!(..I2. j;f.jo~h n. 3Iil(.k I Memuur ANY APPf:flL F~O~l THIS DECY!JrOIl HI!:),\' AE f'UleO I/tTIl TIlE nOAPIl OF FIM1,HCE AND REVENlJF., 132 FIIIANr::E !lUILDtIlC, f1AR1'.ISDllRO, PA 17120, TS:L:;;~1I0Nr-: (717) 707-3974, WITH 111 ImlFoTY (90) D','/S OF Tllr. !<1Jl.IL!!lC DA'rt m' TMI:> DC"::IlltON. " CARll REFUND CHECr. NTLL Dr; H"lLCO '1\:, 'IOU BY 'rIIt fmnF.AU OF IllDIVliJlI^L ,TAXES. JN951~87-8tk IF '(OU 1lE';)U:RE Tilts IlIF\lR.'<1A'l'tON Tt! Atl ALTERt!^T~ FORHAT llN:>r:R Tllr. PROVISIONS OF 'ritE N-\~RIC^NS WITII D1S,\lIIL tTIES ACT or 19<)0 I CALL (717) 703-'664 or TOD (71i) 772-176,) (liEllnlUG IMPAIRED ONLY). , " I " , " , I' " ,'" " " .' ",I ,,',' " l\,,1 I"~ ,:1 ,',' .' " 1'1' I, 1''',1 , Ii I'. 1'\" " ,i 10.' I. 'I ( "I " " ',' I"~ " " " 1," I_II" " " , ",' " q. ',' " ,I .' o' \, I, "" I' " ," ,I,. " "1' ," 'I I' " ," '" " ,1,;1 y " ,( 'I II " '1,,"1 '': ",I i, " , il' "I " <' I 'i ." "" II' \ f ,\ \ ~. " ",I, .' I, "I, I , <' " " 'I., ... ". 'I ",! " '., ,.,. ',., " , " ,I.\h ," '1-. "\, I. I' '". '._ ' i, '..1 (i' 'I, ~~: 0:> '<;;1 (,':, '''-'f \,. (.. t' " --:;J~r; 1,. -'\ I, I"~"~ ," " I"'" ,.,1 ',.'1 ,'I'. ' \' I' " ,,: ,'.-,.',' " ; \1" " (.;', I',', , , I' .1' " u:J", I, , I!) .::J ';~ '; " " 'II " ,'I " , .. " I 'I! 1(' ,.', f.) C W"'- q:,'...., ., ,i' /. 'I,: . :,1 !~ qo , , !',,' , F'\ " , " ~~ ..,, ,,, p' !"i' II, " r, " ' , ,I, ',. " '.; " ii", " " , , " " , , 1\ " ", ,'I. ., ," j,l , I,' ", " " " " \, " /'\; .' " "" ", , , , II' , " " " ,. " \1: ;,1, " 'ji." 'I., , ' " " "I, ,', '\ 'I. ',i :' " :;'.' " 'i-'" I" ,,' " 'l' ',' I" , " ',j'., r\ ", .' I," " , " " , "I'" ',,, " , " .' " " " ", " , ~ I " ,"1 .. II :;1' ,l, " " " " '" " "1, " ,', " n.. 'I' ,f"'" ,II " 1-, , " " f! .. " " " ,I: 'I' I, j , " , " ',1, ',I I' " if " , . 1". '" "I' , " , , ',1 'j) ", "I q' II I ;' ~ (, j. r j,', ,! " " " " '\ ,. ,.'Ii' , " " " I, " " '1, " ,\' ,', \ I' I; Ii, " .' ;,1< 'II",; "'1 , . .. 'P " ." tl' r, ,',\ ,Ii' '" I' ..(1' , , ,111; ,,' "i '., I /, II ;~,() " " .' '., . .,1 '0 ", ", ,1 I' ,'0 , ,\ , 'iI' " p' ",. " ::,1.(,'" " " , " 1'""", 'Ii " '. " f' 1\ " ,<' i,i " .', \, 1'1"'; " ,: ,'I' I:' " ", ,i,!), " " " ,/ , , " ,':.'1 " .. f ,I- "'1 ;)'1\ ,'1 " I:: 1/ I: ::/ " "" .' " , , ". , "I' ,_I.,',' " " " , I \, I'" ""I' , " I'," , i 'ji ,11,j ":;' 'lj .: '," 'II, /'1" 1'1 I' , " '; , " .' " ,I,';, 0;" iL, '" .' ;, "I " , " " " ,., I" '" " " 1-,. " " I , ' ',' ~ : / , " , \ nEV.1547 EX AFP (10-93 * COHf1OHWEAl Tll OF PEHHSVl~AHIA DEPARTMENT OF REVENUE BUREAU OF INDIYIDUAl TAKES DfPT. /10601 HARAISIURQ, PA 11121.0601 E ACN 101 NOTICE OF INNERITANCE TAM APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS, AND ASSESSHENT OF TAM DATI 06-20-94 FILE NO. DATE OF DEATH 11-24-93 COUNTY CUMBERLAND HOTE, TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAM PAYHENT TO THE REOISTER OF WILLS. HAKE CHECM PAYABLE TO "REOISTER OF WILLS, AOENT" REMIT PAYMENT TOl I RWI N ET AL 60 W POMFRET ST CARLISLE PA 17013 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 Aoount )l...lltod ~ CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV: iS4"f- iX" AFP" - iio-; 93"j "Niifi or -OF ""iNH iiiii AiiC'!" YAil -A-P iiRA-i sii.f iNT-'- -A i.i."owAiiC'! - o-i - - --- - no OM - - - - -- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF FISHER ESTHER N FILE NO. 21 94-0057 ACN 101 DATI 06-20-94 APPROVED DEDUCTIONS AND EXEMPTIONS I 9. Fun.r.l Exp.n.../Ad"lnl.tr.tlv. Co.t.1 Hho.lhn.ou. Expon... (Soh.dul. HI (91 15,833.48 10, D.bh/Hortg.g. L1.bllltl../LI.n. (Soh.dul. II 1101 418.42 11, Tot.l D.duoHon. (111 12. N.t V.lu. of Tox R.turn 1121 15. Ch.rlt.bl./Oov.rno.nt.l B.qu..t. (Sch.dul. Jl (151 14, N.t V.lu. of E.tot. Subj.ct to T.x 114 I NOTEl If an allellment was ileuod previaully, line. 14, 15 and/or 16 and 17 will r.fl.ct figure. that include the tatel of ~ r.~urnl a......d to dat.. ASSESSMENT OF TAXI Ii. Aoount of Lln. 14 t.x.bl. .t 6X r.t. 16, A"ount of Lln. 14 t.x.bl. .t liX r.t. 17, Prlnolpo1 T.. ou. TAX CRllDITSl PAYHENT DATE TAM RETURN WAS, (X I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN 1, R..l E.t.t. (Sch.dul. Al 2, Stock. .nd Bond. (Sch.dul. BI 5, Clo..ly H.ld Stcck/P.rtn.r.hlp I"torut (Sch.dul. Cl 4, Hortg.g../Not.. R.c.lv.bl. ISch.dul. 01 i, C..h/B.nk O.po.lt./Hi.o. P.r.on.l Prcp.rty ISch.dul. El 6, JointlY Dwn.d Prcp.rty ISch.dul. FI 7, Tr.n.hr. (Sch.dul. 01 8. Tot.l A...t. RECEIPT NUHBER DISCOUNT (+1 INTEREST (.1 02-24-94 855957 1,4(18.61 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( I CHANOEO j")r', III (21_ lSl (41 lSl (6) (7) ,00 81500.00 ,00 .00 210.900.06 .00 .00 181 219,400.06 16,251.90 203,148,16 10,000,00 193,148,16 llSl 1161 ,00 M.O'" 193,148.16 M.15"_ 117l .00 28,972,22 28,972.22 AHOUNT PAID 27,523.61 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE 28,972.22 .00 ,00 ,00 ( IF TOTAL DUE IS LESS THAN U, NO PAYHENT IS REQUIRED, IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRl, YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FDRH FOR INSTRUCTIONS.) RElERVATlONI Eltlt.. of dtotdtnh dyJng on ai' bt'ort Ot<Itlber 12, 19" ... 'If any 'utur. Inttr..t In ttM ..tttt I, 'tr.",f.rrtd In po.....lon or InJoy..nt to CI.., I (aoU.t.rel) bln.floS,rlu of tht dlcldtnt .aft.r the 'lCplr.Uon of any ..t.t. 'or u,. or '01' Yllr., t~ Cu_onw.'1th hlnbv .lCpr...av nilI'll" ttlt right to Ippr.lt. .nd ...... tr..,.f.r InhtrltlMl "IC.. .t the Ilwful CI... I (col1.ter.1) r.t. on any luoh future Inter..t. PIJRPOSE /Ji' MOnCEI To fulfill the rlqulrl..ntl of Saatlon UleO of thl Inhtrltancl and htatl TalC Aot, Aat ZZ 0' 1991. 7Z P.'. SICltlOf1 Zl40. PAVH2NTI D.tlch the tap portion 0' thlt Notlc. Ind 'ub,1t \IIlth your PlVI.nt to thl Alght.r of WIUI printed on the rllllr.. IIc,.. --HIle. ,heck cr ocn.. crd.r .....1. I.. REaISTER OF HILLS, AaENT AU plv..ntl rlcllllld Ih.U flrlt b. app1)ld to any Intlr..t \IIhlch ..v b. dUI with any rHllndlr 'PPU.d to thl tl.. REFUND (CR)1 A refund 0' . tllC crldlt, ",hlch \1111 not rlqullhd on thl TaM Rlturn, .Iy bl rlqul.tld bv ao.,IIUng IN'l "AppllalUon '01' R.,und of Plnnlyllltnl. IntllrHlnol Ind Elt,tl TIlt" (REY-U13J. Appllr..tlonl al'l 1IIIIlIbll at thlOfflo. of thl Rlgl.tlr of Willi, any of thl 25 Rlvlnul Olltrlct O'flcl., cr bv calling the ePlclal 24-hnur anl.,trln, IIrlllcl nu.btr. for for III orderlngl In Plnnlvlvlnla 1~IOO-S62.20S0, outsldl PIMlyhanh Ind within 10cII H.rrhburg ar.. (717) 717-U91e, TOOl (117) 772-2252 (H..rlng IIp.lrld Only). OIJECnOfrdI Any Plrtv In Intlrllt not ..tilflld with thl appr.I....nt, allowlno. or dhlllowlnol of dlduoUonl, or ......Hnt 0' te. (Jnoludlng dhcount or Intlrllt) II Ihown on thh Notice .uet obJlct within .I.tv (60) dlVI of r.o.lpt 0' thll NaUcI bVI ADltlH ISTRATlI'E CllRtlt!CTlOHS, ~~wrJttln protISt to thl PA DIPlrt'lnt of Alvlnul, IOlrd of Appnh, L'EPT. 1I1021, IIlrrhburg, PA 17128.1021, OR ..lllotlon to hbVI thl ,.ttlr dltlr.lnld It .udlt of thl laaou"t nf thl Plrlonll rlprl,antltlvl, OR -~app..1 to thl Orphan,' Court, DISCOUllT. FlHltull '''1'01'1 dhcOVlrtd on thll ......unt ehould bl Iddr....d In writing tal PA Olp.rtalnt 0' RIVlnue, lur.au 0' tndlvhkJ.1 TalClI, ATTNI Po.t h......nt AI~llw Unit, o.EPT, 210601, Htrrhburg, PA 17121-0601 Phone (117) 717.6505. S.. plOI 3 of thl book1.t "tnltructlan. for Inhlrltlncl ta. Alturn for I Ruidtnt Dlcld'nt" (AEY.UOll for .n l)epllnatlon cf adtllnlttntlvlty corrlctabll 11'1'01'1. If MV tt. cfuI 11 paid wUhln thr.. ()) clllndlr aonthl IUlr thl deCldent'. duth, I flvl plrclnt U)() dltODW\t 0' thl tele plld is allolfld, ' Intlr..t II oh"'ld bl.lnning with fll'lt dlv of dlUnqutnoy, ar nlnl (9) Ianthe Ind 0", (1) d.y '1'01 the d.t. of dilth, to thl d.tl of Plv..nt. TIMII which blel" dlUnqulnt blfcrl Jlnulry 1, 1912 bill' Intlrl.t at thl rat. 0' IlK (6)() Plrclnt Plr InnUI Cllcul.tld It . d,llv rat. cf .00016~. AU tl." which bec... dtllnqutnt on end .ftlr JtnUlrv 1, 1912 will b..r Int"'lIt at I r.te whleh will vlrv frol callndlr v.ar to Olllndlr VIII' with thlt r.t. ennouncld by thl PA DIPlrt..nt cf RIVlnul. Thl appllcabll Int.rl.t rltll for 1912 thraUgh 1994 '1'11 I HTERES T , V..r Intlrllt RltI Dilly Intlr..t Fllctor :!!!r Intlrlet Rlt, O.ily Intlr..t Flotor - 1911 20~ ,OODSU 1916 10l .000274 1915 lU .ooma 1917 9~ .00D241 1914 llX .000101 1981'1991 llX .000501 1911 lS~ .000ll6 1992 9~ .000247 1991-1994 7~ ,000192 ~.tnttr..t II clleuhttd II fallow" INTEREST . IALA~CE OF TAX UNPAID K NUKIEll OF DAYS DELINQUENT X DAILY INTEREST FACTDR ."Any NoUc. I..ued IU,r thl tllC I)ICO.'. d,l1nqulnt will r.fhot an Intarllt cllcullUon to f1ft.1n ell) d.V. beyond thl d.t. of thl ......IInt. If P'YltMt It IIde Iftlr thl lnter..t CoeputlUon dltl ehown on the Notle., tddltlontl Intl,'..t IUlt b. Cllcullt.d. I,U ,( ,I ,I. ,:, to',) l" r-' \'- " L.;.' " I ~ \ J I:) ()II.''':' ~.l I. Ot) rc PA,,",HT. Detach the top partlon of thh NoUoI end .ubIIlt with your plnent ude plylbl. to th41 nIIft Ihd Iddr... prJntld on the r.'itrll .Ide. 1/ RElll1t:HT IIt:CEDENT ..... <hook or ..... ordor p"liIl. \0. REgISTER OF WILLS, AgENT, 1/ HOH-REI1I1t:HT DECl!DEKT ..... ,,'-It or ..... ordlr p.\'llI>I. t., COllltOHllEALTH OF PENNSVLVANIA. All Plvantl roo.I...1d 1h811 t. 1PP1lttl flr.t to My Intu..t whIch ..y be due with If1V r..lndtr ..,UId to the tl)C, REFUND (CRJI A r.f\rId of I tile crtellt, which Nil not rltClUllted on the TIl)C Rlturn, IIV be rtqUlltld bv oOllPl.Unu In "Appllc.Uon for RtfU"ld of PemtvlvMl1 InheritInG. end Est,t. Till" lREY-nn), Appllcltl~r" In .....11.1a It the OffllJ. of thl Rttlttlr of Willi, InV of thl 2] RtVInlMI Dbtrlct Offlc.. or 'roe thl Dtp.rtMnt'. Z4-hour tnlMlrlng HrVlel rublr. for 'or.. orderlngl In Pemtv!...llnlt 1-800-UZ-ZOSO, outllcM P""'IVlv.nl. end within locIS "-rrltburg I3r.1 (111) 187-a094, TDO. (111) 11Z-ZZSZ UNlrlng IlIpllrtd onlv). REPLV TOI b.Uont r",rdlne IrrDrt eontllMd on thh noUe. Ihould be MtdrllHCI tal PA Dtp.rtlllnt 0' R........, lur... of Indl...ldull Tax.., A"N, POlt A......."t N.vl... Ikllt, Dept. 280601, Htrr.lburl, PA 11UI-O'Ol, phone (1111 111-65U, DIICOlIO'I If any tax due It PIld within thrH (S) cllendllr ItUf\thl I'\lr the decedent'. dMth, I fl.... ptrc.,t n~) dlICDU'lt of the tlX plld II IUond. INl11tf:1T1 Int.r..t It chlrttd bltlmlnt with flret eftv (If delllnquenov, or nil'll (,) eonthl .-.d OM UJ ct.y 'rOIl thl .te of dttth, to thl dtlte 0' PIVHnt, TIllII which btc.. delinquent before Jlf'lUIrY 1, nlz b41r Intlrllt It thl rite of .he ('X) ptrc,"t per.,..,... oalcul,ted It a dillY rat, of ,000164, All tl)(" Nhlch bee.. dell".,."t on end 1ft.,. Jenutrv I, I'IZ will belr inter..t It I rat, Nhleh will VlrY fra ultndtr y.ar to e.I"r v..r ..Ith thlt nt. IMOI.Ntd bv thl PA DtptrtHnt of RIVIl"IUI, ThI 1PP1Ictbl. Interllt rat.. for I'll through 1995 .rll V..r Inter..t Att. Dallv Inter..t Faator V..r Inter..t Rlt. Doll. Inter..t FllCltor I"Z ZU .aOO"1 1"' 91 .aaGl41 19" 16X .aaauI I9I1.ml III . aaam 1914 IIX .000501 I"Z 91 .03aZ41 I'n ISX .aaGll6 I9tH9t4 IX .aaGl'Z 1'" lal .aaam 1"5 tl . aaGl41 .~lntlr'lt AI Cllcullttd .. folio.... IHTElIUT . IALANCE OF TAlC UHPAIO H IMlIER OF OAYI OBLIHQUEMT H DAlLY IHTUIlIT FACTOR "'Anv Mottoe htutd 1ft" thl till btoOMI delinquent wUl r.f1.ot In Inter..t olloulatlon to flftMn US) .v' beyond thl dlt. of thl ......Mnt, 1f PI","t It .... Ifter "" Intert.t COIlPUtttlon elite Ihowl on tM MoUc., IddIUlN\ll Intultt INlt be caloul.ted. I" :', l 'I - 1\ (J,I STATUS I\EPORT UNDF:R RUI.E 6.1~ Name of Decedent: _ Esther N, Fisher Date of Death: November 24. 1993 No, 21.94-00~L- Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion ofthe administration of the above-captioned estate: I. State whether administration of the estate is complete: JL Yes _ No 2. If the answer is No, slate when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No, 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? _ Yes -LNo b, The separate Orphans' Court No, (if any) for the personal representative's account is: c. Did the personal representative state an accollnt informally to the parties in interest? -1L Yes _ No d, Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of Orphan's Court and may be attached to this report, Date: q;'1j,{ '-'/ . '/// /?-t' ;' ~-(Jt ,::> Cl>\.... Signature ( , ./ , ,'il C!, Sf : ,,(' I't: I , ", ,- rt. t , '-'') l_11 I'.: ~J' ..2::> 00 IRWIN, McKNIGHT & HUGHES Roger B, Irwin Name (please type or print) ;"w' a: . 60 West Pomfret Slli.~t Address Carlisle. PA 17013 City, Stale, Zip (717) 249-23S3 Telephone Number Capacity: Personal Representative X Counsel for Personal Representative