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PETITION .'OR PROBATE and GRANT OF LETTERS
21-94.. ? (
No,
To:
._ Register of Wills for the
. ' Deceased, County of CumberlAnd In the
Social Security No, _ 073-03-8650 Commonwealth of Pennsylvania
The petition of the undersigned respectfullY represents that:
Your petltloner(s). whn Is/are 18 years of age or older an the execut~
In the last will of the above decedent, dated July 2,
and codlcll(s) dated _-1tilne
Estate of Rnward VAlvodA
also known as.
named
,19!L-
(state relevant clrclllll\lnncCS, c.g, renunciation, ~calh of execlltor, etc.)
Decendent was domiciled at death In Cumberland Cflullty, Penn~lvlUlla, wllh
\lIs last family or principal residence at 505 Greason Roii<l,C"ar sle, Pa, 1'/013
w,,< t P"nn<bCll:o.-l~lp
(lht strcct, numb~r and munclpallty)
Decendent. then 79 years of age, died December 31, . 19~__,
M '
Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted
after execllllon of the will offered for probate; was not the victim of a killing and was never adjudicated
Incompetent: no. exceptio.ns -
Decendent at death owned properly with estlmatcd values as follows:
(If domiciled In Pa,) All personal property
(If not domiciled In Pa,) Personal property in Pennsylvania
(If not domiciled In Pa,) Personal properly in County
Value of real estate In Pennsylvania
situated as follows:
s..L.?f: {'("'(2 ,'"
~
S
S
WHEREFORE, petltloner(s) respeClfully request(s) the pro.bate of the last will and Co.dlcll(s)
presented herewith and lhe grant of letlClS_testamentary
(I,",m,ntary: ,dmlnl'lratlon ',La,; admlnlnrallon d,b,n".La,)
theron,
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,,/ Jean V. H!lrlln.
505 Greaso.l1 Ro.ad
rlArllqln, P A 1701 ~
--
---
OATH 0.' PERSONAL REPRESENTATIVE
COMMONWEALTH m' PENNSnVANIA }' ss
COUNTY 0)<' ~\JMBRRLANn
The petltloner(s) above-named swear(s) or arrtrm(s) thai the statements In the foregoing petltlo~ arc
true and co.rrect 10 the besl of Ihe knowledge and belief of petllloner(s) and that as personal represen-
tatlve(s) of the above decedent petltloner(s) will well and truly administer ,he estate according 10 law,
Sworn to or affirmed and subscrlbcd. I/o,., t. 1If, (( L.
~~bI'J~;~I'I'( ': { _ _ -_..J;;;~~~. ',;.. .. t.
. ~;tMl\ry-~,e~I~;~ ~
I L/ - I g :.) - ID II
No 21-94- 71
.
Estate of
Edward Valvoda
, Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW January 31, 19~, in consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the Instrument(s) dateL July 2, 1980,
described therein be admitted to probate and flied of record as the last will of
Edward Valvoda
and Letters Testamentary
arc hereby granted to Jean V. Harlin and Edward Valvoda, Jr.
c
FEES
Probate, Letters, Elc, ,.""", $
Short Certlfleates( 2)....,.. '" $
R~~~w~M~n "............" $
JCP $
TOTAL _ $
Flied "'" ~~,~~~~.Y, ,n.', ,1, ~?~, , " , , , , , , ,
235.00
6.00
1/32318
~.uu
5.8S
255.00
5 S. Hanover St.. Carlisle, PA 17013
ADDRESS
717 243-5838
PHONE
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Letters and order put in attorneys file. 1n ProttlY on 1-31-94.
Thi:. b. III rt'rlifr dWI tilt' illlmlll,llll)ll lll'rt, ~'.i\,(,l\ I" ('llll"t'l fir 1l1\111"\ 1111111 .Ill 1lll.l'lll.d (/'l'llfir.llt' (II dt'.lth duly filtd with me as
l.ocoI! Hl'ld-1tral, Till' Ildgill,llll'rlilkilll' willlw illIW;ll'dl'd Illlht. SLlll' Vil.d H('(llld... (lflllt, lur p1'l"l1ldIH'1l1 filing.
WARNING: It Is IlIogal to dupllcato lhls copy by photostat or photograph,
F('(' fill' llii, It'I'litiral<:. S'I.IIII
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~OMMONWEALTH OF PENNSVLVANIA . DEPARTME~lT OF UEALTH. VITAL RECORDS
CERTIFICATE OF OEATH
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Edwnrd Voivodo,
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Cumborland est Pennsboro Two 505 Groason Road u.,,,....,PiMoI\oc,~,rI<:
,_~lLg..!:!.~~l.$l.t!'~ _L _~!!.~ Illti'!!.!.".:'!!2\I.!!!!~___ ~'lOlt c~~iJ~~I\I'! < LU.nOUMll'j \~l:~l:~,~~U~'~
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I, Edward Va1 voda, dom1oiled and residing at 8 Brinkman
Oourt, Huntington, Suffolk county, State of New York, do hereby
MAKE, PUBLISH AND DECLARE this to be my Last Will and Te~tament,
hereby revoking all former Wills and Cod1o11s by me at any time
heretofore mde.
FIRST. I DIRECT my Exeoutors her1nafter named to pay
my just debts, estate and 1nheritanoe taxes. funeral and admini-
stration expenses, as soon after my death as may be praot1cable.
SECOND I I DIRECT that all taxes, transfer. estate.
1nher1 tanoe, State and Federal, oharged against any and all of
the property bequeathed under this my Last Will and Testament,
shall he paid by and from my residuary estate. and I hereby
DIRECT AND AUTHORIZE my Exeoutors to make suoh payments and to
oharge the same against my residuary estate to the extent
ava11a~e in order that the benef1o1ar1es named in this my Last
Will and Testament, other than the residuary legatees, may reoe1ve
all suoh property and bequeaths free of all oharges.
THIRD I All of my property, of every kind and nature,
real and personal. and wheresoever situate, of whioh I may die
seized or possessed or to wh10h I may be entitled at the time ot
my death. I GIVE, DEVISE AND BEQUEATH TO MY WIPE provided Ilhe
1Iurv1 ves me.
FOUll'llHl In the event tha,t my beloved wite shall pre-
deoease me or that we shall both die in the same aoo1dent, then
in either suoh events, I, GIVE, DEVISE and BEQUEATH allot my
property and (lstah to my ohildren, Edward, Jr., Mark, John,
Jean and Paul in equal parts. If one ohild should predeoease the
other, my grandoh11dren of that ohi~d shall reoeive their parent's
share devidfld equally between them.
2.
PARAGRAPH. I hereby NOMINATE, CONS'rITUTE and APPOINT
My beloved wife to aot as Exeoutor of this my Last Will and
Testament. If My wife shall predeoease me, ~ I hereby
NOMINATE, CONSTITUTE, and APPOINT My son, EdwamJr. and My
daughter, Jean to aot as Co-Exeoutors of this My Last W1l1 and
Testament. In the event that either predeoeases me 01' shall, after
my death, resign, or for any reason not desire to qualify, or it he
or she 1s othendse 1ncapaoitated from aoting as the representative
01' my estate, then the survivor shall be fUlly authorized to qual1fy
and to aot alone. If neither qualif1es nor survives me, then!
NOMINATE, CONSTITUTE and APPOINT My son, Mark to aot as sole
Exeoutor of this my Last Will and Testament 1n their plaoe and
stead as if originally named.
PARAGRAPH, I further expressly deaare that none 01'
the individuals namEdas Exeoutors or th1s my Last Will and
Testament, shall be required to furnish any bond or seourity
tor the faithfUl performanoe of their duties as suoh i~ any
oourt or jurisd1otion.
PARAGRAPH, I hereby AUTHORIZE and EMPOWER my Exeoutors
above named, to lease, mortgage or sell, without application to
Oourt, without qualiticat10n or limitation whatsoever, all or
any part 01' my said. estate at publio or private sale, together
or in paroels, at suoh t1me or times and in suoh manner and on
suoh terms as to them may seem wise nnd propar, and I AUTHORIZE
and EMPOWER my said Exeoutors to exeoute and deliver all suoh
deeds or other instruments as may be neoessary or requisite 1n the I
premises.
PARAGRAPH. I AUTHORIZE my Exeoutors to make distr1-
bution in kind as well as in oaeh as 1n the sole d1soretion
3.
ot my Exeoutors ~y be deemed to be advisable and expedient,
and I turther empower my Exeoutors to pay any peouniary legaoy
gi ven in my Last Will and Testament, in stooks and bonds, or
partly in bonds an~ partly in stooks, owned by me at the time
ot my death, at the appraised value thereof as fixed in the
prooeedings to determine the transfer, inheritanoe ~r suooession
taxes payable out of my estate to the State of Nell' York.
PARAQMl'lll PElnding the settlement ot my estate, my
Exeoutors shall be fully justified and empowered to retain
any and all investments that may be held by me at the time of
my death, whether or not the property is of the olass, kind, or
right proportion in whioh fiduoiaries are authorized by law or
rule of oourt to invest and hold funds.
PARAGRAPH, In case any person named as benefioiary in
this my Last Will and Testament shall die in a oommon aooident
wi th me or under suoh oiroumstanoes that it cannot be sa tis-
taotorily determined whether suoh person survived me, suoh
person shall, for all purposes in oonneotion with this my Last
Will and Testament and the distribution of my property, be
deemed to have predeoeased me.
PARAGRAPH, I DECLARE that this, My Last Will and
Testament, and every part thereof, is made with referenoe to
the present existing laws of any other State or Country where
I 1IB'1 happen to be at the time of my deoease or where any portion
of my estate may be situated.
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IN WI'lNESS WHEREOF, I Edward Val veda, have hereunto
set my hand thls seoond day ot July, ninteen hundred and
elghty.
7' WY~w-k.
The above instrument oonsisting at tour pages, lnoluding the
pase on whloh the undersigned have subsorlbed their names as
wl tnesses, was SIGNED, PUBLISHED AND DECLARED BY Edward Vai vOda,
the 'I'estator, as and tor his Last Will and Tpstament, in our
presenoel and we, thereupon at his request and 1n h1s presenoe,
and in the presenoe at eaoh other, have herunto subsor1bed our
names as attest1ng witnesses and our respeotlve plaoes ot
res1denoe on the day ot the exeout1on thereof.
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CERTIFICATION OF NOTICE UNDER RULE 5.6 (a)
'9,1 I Ell -.J''i11 :31
Name of Decedentl
EDWARD VAIVODA
el(,; I
CUIII,
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.!IA
Date of Deathl
Dccembar 31. 1994
Will No.
Admin, No, 2194-0071
To the Registerl
I certify that notice of beneficial interest required by
Rule 5,6(a) of the Orphans' Court nules was served on or mailed to
the following beneficiaries of the above-captioned estate on
February , 1994 I
Name
Address
Edward Vaivoda. Jr.. 3840 Calaroi'a Drive, West Linn, OR 97068
Mark Vaivoda. 1309 Pomeiranate Lane, Goldon, CO 80401
John Vaivoda. 4442 South Cole Street, Morrison, CO 80.465
Jean V. Harlin, 505 Greason Road, Carlisle, PA 17013
Paul Vaivoda. 14 Griffen Street. Skaneateles, NY 13152
Notice has now been given to all persons entitled thereto under
Rule 5.6 (a) except no exceptions
...,
Oa te I Februarv ~. 1994
A) _ 7~-C7
,./
Name Stephen D. Tiley
Address 5 South Hanover Street
Carlisle, PA 17013
Telephone (717) 243-5838
Capacity I
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~'(~~",~ INHERITANCE TAX RETUrm
~~\:r";!\ RESIDEN'( DECEDENi
(O\I/"'I<WI'lIl1u ,,,,,,','IY4111., (TO Bt:: FIU:D IN DUPLICATE 21-94-71
IIl:Po\IU;,I(NI 01 f\~VrNU~
IIAII,,,\\fJn, j,~.'1'!:2'0601 WITH flEGISTER OF WILLS I !r.\)lI~'1Y CDIlE YfAR NUMAF.R
.... .1.... "I::.f~If:i:~F~;~"''''',;:;:;;;" 'i;;':t;;;;, ... .. !:,,:"'~~:~~~~~~;::.~. ...... .... ...... ...
~ I: X 1. O';yinu: Rtlhl!fl I J 2, ~;upplorrlOnhll Rulurn r 13, Romalnder Return
.:::; III I'M dolo. 01 dnalh p,lo, 10 12,13.621
u~~ ! I ' I~. l.imilc)d r:"Cl~!' I ! ~Cl, Futuro lnlorml Compr~)mIJu (,) 5. Federal blale Tax
!l!oo liar d,,'nl of d.nlh a!l", 17,12.871 R,'"n R.q,lred
1..\0( .....
ta:l II ~ 6. DI)(odo,,! Oif'd T(ul(lll !') 7. Decodon! MalnluillQd a living Trust _.8, Tolal Number of Safe Depotlt Boxes
.t IAlI(I(h COP)' "I WiI!1 IAllo,h ,opy 01 Tru.11
- ~fECO~R~SPCiI~!i8'N(i'j,ijD:~~~o.i.N.jiA.(TA-(i@~~~'~~g~~?~~~f:)i:~'~'D T~L==.~ . ---=...__.__ ",~'-
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1, 51(,c\. (Inn Aond, ISch.dul. 81 I 21 _ _. .. __....__.._..
3, Cln16ly H.ln SI""lIPmlner.hlp Inl.ro.1 ISch.dul. q I 31 .
I ~, MorIHa\lQ\ und NolO. Roc.lvablu (Sc".nul. 01 I 41...__....._
15. Ca.h, 8an\ D.posll. & MIIe.llan..ou. P.rlonal Properly I 51.m____.J~La.9_0_'_~
ISch.nul. ~) 121 , a 7 8 . 4 a
I 6, Joinlly Owned P,opu,'y ISch.dul. FI I 61 .....___ __.._____....
7. T,on"o" (Sch"nulu 0) (Sch.dule l) (71....__ ...to..O_._Q.Q.Q.LQ'!!'_..
8. Tol,,1 0'011 Allot. Ilolallln.. 1,71
Q, Funoral "p.n..., Admlnlltrallvo Co.lI, Mllcollan.ou. 1 QI .__m............~~1.l!!i.~2~__..
E "p.n,," (Schedul. HI
10, D.bll, MOrlg09' lIabllltl.., lI.n. ISch.dul. II
11. Tolal DeduCllon. Ilolollin.. Q & 10)
12, Nol Valu. 01 """'n I"ne 8 mlnu.lin. 111
13, Ch"rllabl. and Gomnm.n'al 8.que'I' ISch.dui. JI
___ !.:1.~_J:l.'I.v.,!,~~~~~lu51~aT ~Jiln."E.~lnu..-,!~'.~ ~L..._._.
15, Amount of IIn. 14 laKabl. 016% ral. 1151__.
Ilnclude val,.. from Sch.dule K or Sch.dul. M,}
16, Amounl of Iln. 14 laKabl. 0115% rato
Ilnclud. valu.. f,om Schodu!. K or Sch.dul. 1.1,)
17. PrinclpollOK due (Add IOK f,om line 15 and from lin. 16,1
Crodih Prior Poymonl\ Dhrount
u ,_'u, + ,_._____~ ,_..'......_~_.,...
"'HlOOfX+ IIMai
IIIll NUMBIA
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239, 76J1.&L...
(101........_.....______._
213.L114.75
111) ..__---..-!lLJl54"J.t___.
213,114.75
112) __________.__.._.
113) _____.__.....
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II ,06 01 12"'18.~..89..__
(161.
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Interet'
If IIno 18 I. o,eale, Ihon IIn. 17, .nler ,ho dlff...n" on IIn. lQ, Thl. II ,h. OVBRPAYMBNT,
ilL]
20, If IIn" 17 II grealer ,han IIn. 16, .ntor Ih. dlff...n,. online 20, Thl.l.th. TAX DUB.
A. hlar Ihe Inlere,I on Inn bulonce due on line 20A,
ctICC~ helll if you (HO teCluc\tino (C ",fund of youl oVO'lJUYflHtllt
(16)
(1QI
B Enler Ih. lolnl ollln. 20 ond 20A on II". 208, Thll II III. BALANCE DUE,
Mak. Ch.ck Payabll 101 Rlgl.t., .f Will., Aglnt
==~.=~~.~:.::::~'~~:~~"~~~T~_ ANIWIR~~LL QUiiTlONI ~~~iivij.~.....~ii~~D fO,.o.1ClC M"nt... '. \'."'f~,~.", ~_.,
Under pnnahio, of PfHll.uy, I docloro Iha! I hovo e'(omlned Ihll relurn, Including accompanying Ichodulel and utllemenll/ and 10 Ihe bell of my knowledge and bollef/
II II Irue, correct ond complete, I doclore Ihul nil recll ellale hal been repClrled 01 true marko! voluo. Declaration of preparer olher Ihan lhe penonal repr'lentallve II
~~~~..~~_ olllnl~~~_ol~c~n 01 w~1ch propare.'_ hOI any knowlodge,
~tON^TU~C6TI'(IlS0~i ~f~rdNSlm.;5iCit\'iNn'tiffUR'f,i-'-"- -.AOOll.ESS.-..-------. ,-- .--.-.-.-~-.- - ....--..---,.-.--,------ rnr-----'-----
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'!'I~GNAi"" or"";;,, OiH~: H'MI '(pREll N""V[
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120) ___..__.,.J..2,786~89___..
(20A) ---.--._..___~L
12081 _______ljJJ!jl3, O!L .
50.5 Greason Rd. Cal'lisle PA 17013
'A'tJbRn;~-'" . ,....,_.._.-_J .u_.,._____,_.-,._ ..,..__,__.__ __'__'_m__.,_
5 S. Hanover St" Carlisle, PA 170.13
--- _u _ _ ___, '_._n.__'________..,._~
)tot. C"''-A-(l.'(<,I.l ,,..., w\Olf l,toJ,",. or-- '''''''8
D~W..-Li'..t..Ul..9..1..
Oct. 15 ,1994
..------ -"--,- --'.
Oe.'t, 111 I<;'i'f
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PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (I"') IN THE
APPROPRIATE BLOCKS.
VIS NO
1, Old decedent make a transfer and:
a, retain the use or income of the property transferred, "'"''''''''''''''''''''''''''''''''''
b, retain t~e right to designate who shall use the property transferred or Its Income,
x
X
X
X
. . 't t
c. retain a reversionary In eres or .....,............."".............................................
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 conslderatlon~ If death
occurred after December 12, 1982, did decedent transfer property within one )'ear of X
death without receiving adequate consideration~ """"""""'"''''''''''''''''''''''''''''''
3, Did decedent own an 'in trust for' bank account at his or her death9..""..""",,,,,,,,
X
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
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UV,uoeflC+ 12-111
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
Plea.. Print or 1 I
FILE NUMBER
W
COM~t?~rl\~~~1 ~~tlr~3~wANIA
RIIIDINl DICIDINl
ESTATE OF
EDWARD VAIVODA
21-94-71
(All plopony lolntly.ownod with tho Right of SUI.I.OI~hlp mUlt b. dllelolld on S.h.dul. '1
ITEM DESCRIPTION VALUE AT
NUMBER DATI OP DEATH
1. Farmers Trust Company Account #11-80401 8,773.32
2. Refund of auto insurance premium, Progressive Companies 7.00
3. First Fortis Medical Insurance benefits 981.00
4. Progressive Companies premium refund 99.00
5. Home Federal Savings Bank IRA #15868448 2;882.08
6. Home Federal Savings Bank IRA #15868455 l,148.18
7. Sale of 1992 Dodge Colt automobile 4,500.00
iL,
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S 18,390.58
IAlla<h addltlanaI8y'" . 11" ,h.II, II m,aro .paCl,I. n..dld,!
UY.H09llt Pll.l
SCHEDULE F J_..
JOINTLY-OWNED PROPERTY .
..- n' -- .._..._.__n.... .-..-.. . . [fiLE NUMBER I .
EDW ARD V AIVODA I 21-94~71
----... --, --.-..------ --..--'"-''.''' ----------- ------.------..------.-
COMI,lOHWIALTtI Of nWUHYAIllA
I.U\tRIIANCllUlllUltl
IU1DIIIIOlClOINI
ESTATE OF
Joint tlnont(')1
.__._~AM8__.___.____. __.._____~DDR~SS .....___.__
A, Jean V. Harlin 505 Greason Road
Carlisle, PA 17013
RELATIONSHIP T~DECED~NT _.
Daughter
B,
C,
Jolntly.ownld proplrty,
ITEM LEnER DATE
fOR . TOTAL VALUE DECO'S DOLLAR VALUE OF
NUMBE JOINT MADE DESCRIPTION OP PROPERTY OP ASSET % INT. DECEDENT'S INTEREST
TENANT JOINT
-------- --~_...--------~
1, A 11/2/93 Farmers Trust Co. account
1/14-305973 23,455.71 100% 23,455.71
2. A 9/8/93 Dauphin Deposit Bank and Trust
Co. account 1/4600025865 97,922.72 100% 97,922.72
,.
TOT~L IAI.o enter on line 6, Re,opllulollon)
(II mOIl.po,e I, needed In.e,' addillonal .hee" .0' ,ame ,Ize)
$ ~!,3~8.43 _
,~"c1l',"~1~N.t,:,.", "~":~i.',\":((
FfllRMERS-MAIN
10:7172404518
D"e . ,f.abruarv 2. 1Jl~4
Frl)~ & Tl1 ey
5 South Hanover St
JUL 12 '94
9:07 No,004
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FARMERS
TRUST
. . OnclMsHiighStreet r.o.Box 220
. Carlisle, Pennsylvania 1701.\
~5Je. ~A 1701~
1\1: "lIlt Df' Edward Vaivoda SSN 073-03-86GO
Dlte of Dllth December 31 J 1993
DIU St~ph~n D 1iley
In 'l\IWlf to vour I1quilt conclrnillg IOOoun&. Dwned, .Ither ..parat.lv or lolnlly, bv
the alKwt ...tlftllOld dlllldenl Ind the balanc. In lIoh 1000cllnt ~ ot. the dlte of
dllth, wt hm chlClkad Ollf l'toordl Ind 111 IUbmltUng thl toll owing Intonnetlon In
dupllCliIl, ,We IUWlst th.t VOII tU. one ot thl.e l.tt.f1 attach.d to the 'PennqlvanIIlnvln.
torr tonna (ROO) to IUbatantlalO th. balano. VOII I'tport,
'Nolt thlt WI hm Ihown thl ODITlOt regbultlcn tor lIoh 10001lnt, Alto. Intertlt 'OCll\I.d to
the dat, ot dlltll, If 11I1, filiated at I "pI,.te figure, ,
h~::/-JnmssC4~
Ka~~~~r'. ,
Customer Service
Checking account 811-80401 was orlginal.1y opened
8/9/93. The account was titled in EdWard
Vaivoda Sr,ls name alone. The'batDnce,u'of
12/31/93 was $8,757.87 plus $15.46 accrued
i nteres t for a tota I of $8,773.32. . The 'account
was a NOW Account earning 2.10% interest at
the time of his death,
Savings account #14-305973 Was originally
opened 11/2/93. The account Was titled
Joint betw~on Edward Vaivoda SR or Jean
V lIarlin, The balance as of 12/31/93 was
$23,400,61 plus $55,10 accruod Interest for
J total of $23,455.71, The account was a
Passbouk Savings account earning 2.80%
interest at the time of his death,
We ha ve no I'ecord of a safe depos it box t n':
the deceased name,
.
.
11\1.15111"(7'''1 :J
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COMMONWWlH O' "NNIYLVANIA
INHIRITANCI TAX !!TURN
UilDINT OICIOINT
ISTATI O' -
EDWARD VAIVODA
5CH.DULI H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
Pleal.. Print or'Typ.
21-94.'71
ITIM
NUMBER
A. Pun.rollxp.n.."
DESCRIPTION
AMOUNT
1.
Hoffman-Roth Funeral Home, funeral services
Edward Valvoda, Jr., reimbursement for funeral luncheon
5,7~3.09
500.00
B. Admlnl.tratlv. Co.lI.
.3,
1.
, P.rlonol Repr...ntallve Commllllonl
Social Security Number of Peuonal Repr..entallvel
Vear Comml"lonl paid
096-38-1280 - JVH
078-38:"2355 - RV
2,000.00
2,
A>>orney Fe..
7,340.76
Family hempllon
Claimant Jean V. Harlin Relationship DaughtAr
Add.." of Claimant at decedent'. death
St..et Add.." 505 Greason Road
City Carlisle State Pa. Zip Code 17013
2,000.00
4,
Probate Fe'l
255.00
C. MI.e.llan.ou. Exp.n....
1.
.40.00
Cumbet'land Law Journal, advertising Letters
The Sentinel, advertising Letters
Tammy Owen, non-subscrlbing witness
Karen L. Tomassone, non-SUbscribing witness
Jeffrey S. Cohick & Associates, accounting fees
Internal Revenue Service, 1993 Individual Income Tax
PA Department of Revenue, 1993 individual Income Tax
New York State Income Tax, 1993 Individual Income Tax
Conti u
2,
3,
79.42
10.00
10.00
180.00
3,713.00
14.00
4,
5,
6,
7,
8,
3,781.44
TOTAL IAllo enter on IIno 9, Recapltulallonl S
IIf mOil .pael I, need.d, Inlllt additional .heete of .ame .11..)
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COMMONWIAUtt Of ,tNN!YlV.uI!A
INHllnANCI 'A. "'UIN
"'IOlfilDICI,DINI ,
]
SCHEDULE J
BENEFICIARIES
ltY,1SIJUtIJ.l11
ESTATE OF
ITEM
NUMBIR
1.
2.
3.
4.
Ii.
lTlM
NUMBIR
Fill NUMBIR
EDWARD VAlVODA
NAME AND ADDNISS OF BENEFICIARY
RlLATIONSHIP
A. Taxabl. B.qulIlI:
Edward Vaivoda, Jr.
3940 Calaroga Drive
West Linn, OR 97068
Mark Valvoda
1309 Pomegranate Lane
Goldon, CO 80401
John Valvoda
4442 South Cole Street
Morrison, CO 80461i
Paul Valvoda
14 Griffen Street
Skaneateles, NY 13152
Jean V. Harlin
liOIi Greason Road
Carlisle, PA 17013
Son
Son
Son
Son
Daughter
NAMI AND ADDRISS OF BINIFICIARY
1. NONE
B, Charltabl. and Gavernm.ntal B.qulIll:
_.~
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS IAI.o .nter on IIn. 13, Rocapltulallan) S
(II mOil .pOct I. n..d.d, Inot" oddltlonol.h.." 01 'om' .1111
21-94-71
AMOUNT OR
SHARI OF ISfATI
1/1i residue of estate
1/1i residue of estate
1/1i residue of estate
1/1i residue of estate
1/1i residue of estate
AMOUNT OR
'SHARI OF ISfATI
, ". ~'l ,,_ ,., .', ....' ,'~ .'; , '...
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-"-,~ - -~"- --.3~;;t~'~'1 ~ -' -- -.....-- ..... --- ,..- .-.. -_. ----- - ,..- --" '--' - _. ---
"\\"'1 !,..'\t ,'"r~"l'" "," "Ii ""0,'0,:\"'1' I' II",' ~t ".tK',JV","',) L 1,\, I'. "'t'~I'" <t,
I" III,',", ,,'~"" "1"\ \1\ f"J\ 11""'\' ~'I<""J!t""\'l-'!~rll:,~.,~,'l ~i'\I'/(I"/I'~\I~"1I''t1''\~'~11'''~I''':'I\.I:\I' ,/'Irl\
'i'l'! ',;;t'\~~1'o 1'1' i~:t~',j:C: ,/ ',.1\\ ,;.: ~, ",! Ii' '/' ,{, i".' ',,' i' ~ (i qn' I'I~' 'Jr' ;,.f 'Q' t~~~'ft: ,}\ '~J/lr(J"I'~' 1'\\\,1,' ,,1., I ,(
.'" lql 'II~ 11: {., 1~ Il' \\.' .h\~f~~)lJ ":'~i\~\)"lhi). (\ '~"h:{,.1';~' 1\ .\~n, (, d "\:t'rlh!!I,~h~~I'~^;.~~$r!lli(:U' ~ I j~, \1)~~'W.r~'~I'~'NI\ t,;, \ ,i1~\
-;' .r,' f., " \ "l :f~' l) 'i}' ,() '... '. '{' . t. -\, Ii, t, .' 'tn"':}, I "'Ii 'I f :t\It"i , ,Ii' _I' I,
. ,\,/\'l',;~.,.\) ~;;",,J,,, \ill" '\,"'I:N~~I.'\I""\'{~',i\ J'"J~~!i~;rl,x!";Wi!l\il(\l"II:..,Ntj.h~?; I ',;I!llf;!, l! ,j\!;it.~ ' ~"~~i'fjlt~~~ltl~i~~\,;' " li~:l
."H'C, .fIi),~\IM',"~;\'," ,', , "Ii /, I 'II \, I.'" i '1,11;(' 'It'u,,\,""~!Il,~!fI.\,~,.', 1'1'"''
' . \ . ( \ ,'~ XfJI1\~f,J.i'l'~.~I;"\I,\t, 'I \!I.,':llh\h:~~'L.:'\f~l4!'~~ .t4",~~';Jn,lli~IJi'-'k4'l(lUl"u'.:"',W1il/1";.lltli)t"I' t..RI~'tl,4ut,,'tl~!~
RECEIVED FROM,
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ACN
ASSESSMENT lIl'
CONTROL WI
NUMBER
AMOUNT
TILEY STEP~If.N D
e S HANOVEH STREET
Ilrt
. h:, &Ilt/!. \)()
CARLISLE PA 17013
laID Hut
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21-1994-0071
CEDENT IlAST!
VAIVODA EDWARD
M .
SSN 07S-0S-SheO
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tR~J Q '94
A
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CUMBERLAND
f"l5'rIilATH
\~ '31'''3,
REMARKS JEAN HARl.IN AND
EDWARD VAIVODA, JR.
SEAL CHECK" eo
fa TOTALAMOU~TPAID _.le,963.00
.' sa
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RECEIVED BvaL'
REGISTER QF WILLS
MARY, C. LEWI
REGISTER OF WILLS
, .
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RE 1547 EX AFP (08094_
HHOHWEAlTH OF PENNSVlVANIA
PART HE NT OF REYENUE
lURE AU OF INDIYIDUAl TR~ES
DEPT. 280601
HARRISIURD, PA 17128-0601
DTAT! OF VAIVODA FUE NO.
DATE OF DEATH 12-31-93 COUNTY CUMBERLAND
NOTE. TO INSURE 'ROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAM
PAYHENT TO THE REOISTER OF HILLS, HAKE CHECK PAYABLE TO "REOISTER OF WILLS, AOENT"
REMIT PAYMENT TOl
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ACN
101
NOTICE OF INHERITANCE TAM
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAM
DATE 01-24-95
REGISTE~ WIL.Ljl ::0
CUM8ERLA!!It:'CO ct)URT Hij~F
CARLISL(( PA 1~13 I" ~
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E:" A,IloUn .'1:. .nlthd ~
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~~o~: ~~~';~i~-~n/f~~-:94Y-~"ici~~~~{'~Hi~'1;~N~~~t}~~A~~~A-}~~~'E~;~-~~~i-m~-i.---.itt~.7'--' .--
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT O~~ --
ESTATE OF VAIVODA EDWARD FUE NO. 21 94-0071 ACN 101 DATE 01-24-95
If .n ......M.nt w.. i..uld previou.ly, lin.. 14. 15 .nd/or 16. 17 .nd 18 will
refleot figur.. th.t includ. the totll of ~ return. .......d to dltl.
ASSESSMENT OF TAXI
15, AMount of Llno 14 ot Spou.ol roto (IS)
1., AMount of Lln. 14 to.oblo .t Llnool/Clo.. A roto (161
17, AMount of Llno 14 t...hlo .t CollotoroI/Cio.. B r.to (17)
18, Prlnolpol To. Duo
TAX CREDITS I
PAYHENT
DATE
10-19-94
STEPHEN D TILEV
5 S HANOVER ST
CARLISLE
PA 17013
TA~ RETURN WAS I I X I ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL
1, Ro.1 Eltoto ISohodulo Al 111
2. Stookl Ind Bond. ISohldulo BI (21
5, Clo,"ly Hold Stook/Portnor.hlp Intoro.t (Sohodulo C) (51
4, Hortgogol/Notol Rooolyoblo (Sohodulo DI (41
5, Co.h/Bonk D.polltI/HI.o. p.r.on.l Proporty ISohodulo El (SI
., Jointly Ownod Proporty ISohodul. FI (6)
7, Tron.forl (Sohodulo 01 (7)
a, Totol A..ota
APPROVED DEDUCTIONS AND EXEMPTIONS I
9, Funorol E.pon.o./AdM, Co.t./HI.o, E,pln.o. ISohodulo H) (9)
10, Dobh/Hortglgo LllbUIUOI/Llanl (Sohodulo II (10)
11, Tot.l Doduotlonl
12, Not Voluo of To. Roturn
15, Chorltoblo/Ooyorn..ntol Blquolt. (Sohodulo JI
14, Not Voluo of Eltoto Subjoot to TI.
NOTE I
RECEIPT
NUHBER
MM913097
DISCOUNT
INTEREST
(.)
(-)
46,65-
I CHANOED
,00
,00
,00
.00
18,390,58
121,378.43
100JOOO.00
IBI
239,769,01
26,654,26
.00
Ill)
(12)
US)
(14)
'It.it~4 '26
213,114,75
,00
213,114,75
,00 M ,00_
213 ,114 , 75 M ' 06_
,00M,15.
IlIl
.00
12,786,89
,00
12,786,89
AHOUNT PAID
2,863.00
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
. IF PAID AFTER DATE INDICATED, SEE REVERSE
r. FOR CALCULATIjlH OF ADDITIONAL INTEREST,
,;) - ,61 -.~ "
12,816,35
29.46CR
,00
29, (,6CR
IF TOTAL DUE IS LESS THAN tl, 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
"
"
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,
,.
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,
.,
"
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,
,
"
RESERVATION I Elt,t.. of dle.eft"t. dvlng on or blfor. a,cllber 12,' 1912 u 11 anv future Int.r..t tn thl tltlt. h trlntf.'rrtd "
In POI....lon or .njovI.nt to CI,.. a (0011,',r.1) bln.flct'fl.. of thl dlc,d,nt .ft.r thl IMPlretlon 0' anv ..tlt. 'or
II'. or for v..r., th,Collonw.,lth hlr'by IMPr...lv r...rv.. thl right to appr.I.. and ....,. trant'.r Inheritlno. 'IH..
It thl 11,,'ul ell.. . (ool1l'.rIU rlt. on tnv .uch 'utur. Int.rllt.
PURPOSE OF
NOnCEI To fulfill thl requlr...nt. of Stetlon 2140 of th.. Inh.rltancl and E1\lt. TIIC Aot, Aot 22 0' 1991. 12, P,S.
St.llon 21~0,
PAYHEHTI Dttlch thl top portion of thl. Hotlc. end lubalt with your ply..nt to thl AIglt',r of Will. prInted on thl rlv.r.. .Id.,
""oko ohook or ..noy order ...oblo to, REOISTER OF MILLS, AOENT
All Plv.,n'. received thall flr.t bl IPplJ,d to .ny Int.r..t which ..y b, due with tny r...lndt, applied to the tlM.
REFUND ~CR)I A r.fund of . tlM orldlt, whloh wa. not requ..tld on th. TIM Return, ..v b, r.quI.tld by cOlpl,tlng In "Applloltlon
for R,fund of P,~,Ylvlni. Inh,rlt.ncl and E,t,t, TaM" (REV'lll]), Appllcltlont Ir. IVllltblt at thl Of,l01
of the Atglt'" 0' Willi, tny of th. 23 RIVlnul Dletrlot Offlo,., or by call1na thl 'Ploltt 24ehour
anlwerln, ..rvlol nUMber. 'or for.. orderlngl In Plnn'vlvania 1-600-362-2050, outtld' Penn,vlvanl, end
within 10011 Harrisburg .r.. (111) 167.8094, TOOl (717) 77Z-2252 (H..rlng Ilpalred only),
DeJECTIONSl Any p.rtv In Int.r..' not ..tJtfled with the .ppr.I....nt, Illew_nce or dl'lllowance of d.duotion., or a.......nt
of tllC (inCluding dhcouflt or Inttrllt) '" Ihown on thll Hotlc. IUlt objlct within IllCtv (60) dlY' of rlollpt of
thlt NoUo. bVI
"written protllt to thi PA D.parhllnt of Rlvlnu., Board of ApPllll, DEPT. 28l0~1, Harrhburll, PA' 111Z1~10Z1, OR
~~Il.otl~n to hlVI the latt.r d.t.rllnld at audit of th.aODount of thl Plr.onal rlpr".ntatlv., OR
HlpPll1 to thl Orph.n.' Court.
ADltlN
nrRA1IY1!
COAAt:CTlDltI.
INTEREST'
FaotuIl Irror. dl'Dovlr.d on thl. ",.....nt .hould b. addrl...d In writing tal PA Dlp.rt..nt of Revlnu"
aur.1U of Indlvldull TI.I', ATTNI Po.t A.......nt RIVllw unit, DEPT. Z10601. H.rrl.burg, PA 17128-0601
Phonl (717) 717~6S05. SII plgl 1 of the boOk lit "In.tructlon. for Inhlrltlncl T.~ Rlturn for. R..ldlnt
D.cldlnt" (REY-ISOI) for In I.plln.tlon of .00Inl.tratlvlly corrlct.bll Irror..
If anv tlM due I. paid within thrl. (5) cIl.ndar lonth. aftor thl dlc,d,nt'. d.ath, a flvl p.rclnt (IX) dl.count of
th, tlM Plld II IllOWld.
Intsr..t I. ch.rD~d blglnnlng with flrtt d.v of delinquency, or nln. (,) lonth. and ani (1) dav frol thl dlt, of
dllth, to thl dltl of pIV.lnt. Ta.1I which blo", dlUnqutnt b..for. Janulry 1, 1912 btlr Int.rllt It thl rltt of
.1M (6:() plrcent psr annul c.lcuhttd It I dallv rltl of ,000161t. All tlMII which blca.. d.llnqu.nt on and IftU
J~lrv 1, 19.2 will b..r Int.r..t at a ratl which will vary frol Olllndlr VI.r to CIllndtr v'lr with thlt rite
Innouno.d by th. PA Dlp.rtltnt of AIVlnul, lh. Ippllclbll Int.r..t r,tl' for 1911 through 1995 Irll
DISCOUNT'
!!!! Int.rllt R.t. DillY Intlr..t Flctor t2r Int.r..t A.tl Dlllv Intlr..t Flctar
1912 2O~ ,ooma 1917 ,~ ,0002~7
1915 U~ ,oouua l,g'I"1 1I~ ,000101
191~ m ,000SOI 1"2 ,~ ,000247
1911 m ,000116 l'95'I"~ 7~ ,000192
1916 lOX ,000214 I". ,~ ,000247
~elnt.r..t I. c'lculltld I' f011ow'l
IHTEREST . BALANCE OF TAX UNPAID X HUHIER DF DAYS OELINQUENT X DAILY INTEREST FACTOR
u~ny HottCl Iltutd Ift,r thl t'M btclDM. dtllnquant will rlfl.et an Inter..t 'cIlcuhtlon to flft.an UI) diU
beyond thl dltl of the I.......nt. If plvltnt 1. _ad. Ift.r thl Inter..t cOl9Utltlon dltl .hown on thl
Hotle., addition.' Int.rllt IUlt b. cIICUlttld.
\ L\ _ \ % - 10
V.1607 EX AFP (12.94*
COHHIlII\lUL TN Of PENNSYLVANIA
DEPARII4fNT Of REVENUE
IUREAU Of INDIVIDUAL TA~ES
DEPl, 280601
HARRISIURG. PA 11121-0601
INHERITANCE TAX
STATEMENT OF ACCOUNT
C/
ACN 101
DATE 02-?7-95
VAIVODA EDWARD FILE NO. 21 94-0071
DATE OF DEATH 12-31-93 COUNTY CUMBERLAND
NOTE, TO INSURE PROPER CREOIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTIOH OF THIS FORH WITH YOUR TAX
PAYHENT TO THE ADDRESS SHOWN, HAKE CHECK PAYABLE AHD REHIT PAYHEMT Tal ,
ST~PHEN D TI LEY
5 S HANOVER. ST
CARLISLE PA 17013
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
E~~~'!!'t R~~ltt'd l
CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR FILES ~
R-iv:i6Cfi-iif-AFji'fiif:94i'----'-.MM'-iNifiRir'ANCE--fAX-.STA-fiHE-Nf-o.F-ACiCouiif--M-M.----...---.-.........
ESTATE OF VAIVODA EDWARD FILE NO.21 94-0071 ACN 101
THIS STATE HE NT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED
ESTATE, SHOWN BELOW IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYHENTS,
THE CURRENT BALANCE. AND, IF APPLICABLE, A PROJECTED INTEREST FIGUME~
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 01-17-95
PRINCIPAL TAX DUE,
PAYMENTS (TAX CREDITS),
PAYMENT
DATE
10-19-94
02-13-95
RECEIPT
NUMBER
MM913097
REFUND
DISCOUNT (+)
INTEREST (-)
46,65-
,OD
12.863,00
2t> ~-
:1 ~I
r,- "
\" .
AMOUNT PAID
l'
i':
('
~.i f
. ,
,
:1)c
):.;:J
TOTAL TAX CREDIT
BALANCE OP TAX DUE
INTlREST
TOTAL DUE
. IF PAID AFTER THIS DATE, SEE REVERSE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST,
I IF TOTAL DUE IS LESS THAN tl,
NO PAYHENT IS REQUIREO.
IF TOTAL WE IS REFLEC1'EO AS A "CREon" ICRI,
YOU HAY BE DUE A REFUND, SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS, I
DATE 02'27-95
12,786,89
:II
:l:)1lI
". (.~
;') ()
, ,
(, ,\
I'"
-,
't1(
(,1} n
"h
12,786,89
,00
.00
.00
PAlllENT,
Det.ch thl top portJon of thl, Notlel and tubalt with your Ply.."t _Id, Ply,blt to thl n... end eddr~..
prlntld on thl rly,r., ,Ida.
If RESIDENT DECEDENT Ilk, chick or lon.y order pavabl. tOI REGISTER OF WILLS, AGENT.
If NON-RESIDENT DECEDENT ..k. ch.ck or .on., ord.r ..,.bl. to, COHHONWEAL TN OF PENNSYLVANIA,
All ptv-tntt r,cllvld ,hell b, applied flr.t to Iny 1nter..t which .ay bt due with tny r".lnd.r applied to thl tlM.
REFUND ,(CR)I Ai refund 0' . tile cr'dlt, which wu not r.quut.d on thl Tn N,turn, IIY b. r.qu..'ttd by co.plttlng In
"ApPllCltlon for R.fund of Ptnnlvlvanh Inherltlnc. and Eltat. TalC" (REV~1313). Application. .r. aVll1abh .t
the OfficIo' thl Rlgl,t" of WillI, any 0' the 25 RavenuI District Offlc.. or frol thl Dlpart.,nt', 24-hour
.nlwarlng ..rvlel "ueber. for 'orl. ordering! In Plnnsvlvanla l~aOO~562-2050, out.ldl Plnnsvlvlnla
end within looal Herrl.burg .rla (717) 1a7~a09~, TOO' (717) 772-2252 (Hllrlng lapalrld onlv).
RF.PLV TOI Outltlon. r.gerdlng Irror. oont.ln.d on thl, notlcl Ihould b. .ddr....d tOI PA DIPart..nt of R'Vlnut, lur.eu
of IndlvlthJll TalC", ATTN! Po.t A.......nt RIVllw Unit, OIPt. 280601, Harr1lburg, PA 17U8~0601, phon.
(717) 7&7'e505,
DISCOUNT I If My talC due 11 paid within thr.. (5) oll.ndar ftonthl Ilftlr thl; dlcleMnt'. duth, I flvI perctnt (5:0 dhoount
of the talC plld 1. allowld.
INTERESTI Int.r..t II chlrgtd blglnnlng with fir.t day of dllln~noy, or nlnl (9) tenth. and one II) dlY froa the dltl of
d..th, to the dltl of ply.ent. TIMI. which blo'~1 d.llnqulnt blfor. January 1, 1982 bear Int.r..t at the r.t, of
IIIC (6~) parclnt p.r 1nnU. ollouletld at a delly rlt. of .OOOI6~. All tOlCt. which b.e... d'llnqu.nt on and .ft,r
January 1, 1982 will b..r Int.r'lt at a rata which will very frol alllndar yair to ell.nd.r Ylar with that r.ta
announcld by tha PA Gap.rta.nt of Rlv.nua. Tha appllcabla Int.r..t rat.. for 1912 through 1995 Ir.1
Vur Inter..t Ratl Dllh Interllt Faotor Vllr Inter..t Rat. Dilly Intlr'lt Factor
1912 20X ,ooom 1907 9X ,000247
1905 lex ,000430 190&-1991 IlX ,00nOI
19&4 IlX ,000301 1992 9X ,000247
19a! lSX ,000356 199~-1994 7X ,000192
19a6 lOX .000174 1995 9X ,000247
....Inter..t I. oaloulet.d al follC>>lll
INTEREST . SALANCE OF TAX UNPAID X NU"BER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
."Anv Hotlo. II,uld ,ftlr thl tlM bleo... delinquent will refllct In Intlr,.t alloul.tlon to flftl.n (1') dlY'
blyond thl data of thl .....n.nt. If Plyeent Jt IIdti aft.r the Intarllt OOllPUt.tlon d." .hown on the
"otic., .ddlt 10n.1 Intarllt .u.t bl caloul.tad.
JRD/JuDe 30, 1992/17858
',. ,.
,,'
,
I
REGISTER OF WILLS '
Cllmberland County Courthouse
One Courthouse Square
Carlisle, PA, 17013
, '
NOTICE PURSUANT TO RULE 6.12
PENNSYLVANIA SUPREME COURT ORPHANS' COURT RULFS
"
To: 'PCl1ODaJRepresentatlve JEAN V. HAIlLIN AND EDWARD VAIVODA, JR.
Coumel: S'fEPf!Jill.. D. TILEY.. ESO. ,
REI Estate of EDWARD, VAIVODA I Deceased, Late of
WEST PENNSBORO TWP
Estate No.: 21-19<)4-07J
Date of Decedent's Death: DECEMBER 31,1993
Pu*uant to Rule 6.12, the above named personal representative or the above na,"ed attorney, If
applicable, within two (2) years of the decedent's death, and annually thereafter until administration Is
completed, is required to file with the Register of Wills a Status Report as required by Rule 6.12, In
substantially the presr.r1bed form, showing the date by which the personal representative, or attorney, as
applicable, rwonably believes administration wlll be completed. The purpose of this Notice is to advise
you that uDless the requisite Status Report is flied with the Register of Wills or Clerk of the Orphans'
Court, u appropriate, within ten (10) calendar days after the date of this Notice that the Rellstet ofWUls
Is required to DOtlfy the Orphans' Court Division, Court of Common Pleas of such delinquency and to
request that said Court conduct a heartnl to detennlne whether sanctlom should be Imposed upon the
delinquent penoDal representative and the delinquent personal representative's coumel, If any.
AcconliDgly, If the requisite StalUS Report Is not flied by FES. 14 , 19,23 you are hereby
advised that a request wUI be submitted to the Court In accordillce with Rule 6, It
Date: JANUARY 30, 1997 Q
DlatrlbutlOD to Estatll File
, .
STATUS REPORT UNDER RULE 6.12
Name of Decedentl
Edward Vatvoda
Date of Deathl
Decembel' 31, 1993
Will No.
Admin. No. 21-94-71
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 eatatel
1. State whether administration of the estate is completel
Yes No X
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete I Early 1996
3. If the answer to No.1 is Yes/ state the followingl
a. Did the personal representative file a final
account with the Cour.t? Yes No
b. The separate Orphans' Court No. (if any) for
the personal representative's account iSI
c. Did the personal r.epresentative state an
account informally to the parties in interest? Yes No_
d. Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be attached to this report.
Da ta I January 24, 1996
I,
Stephen D. Tiley
Name (Please type or print)
5 South Hanover Street
Carlisle, PA 17013
Address
'/
( ) 717-243-5838
Tel. No.
1'1(')
Capacity:
Personal Representative
(MAH I rmt! AM3)
X Counsel for personal
representative
STATUS REPORT UNDER RULE 6.12
N~mo of Decedent I
Edward Valvoda
Date of Deathl
December 31, 1993
Will No.
Admin. No. 21-94-71
Pursuant to Rule 6.12 of the Supreme Court Orphans'
Court Rules, I report the following with respect to completion of
the administration of the above-captioned estate I
1. State whether administration of the estate is complete I
Yes X No
_n
2. If the answer is No, state when the personal
. representative reasonably believes that the administration will be
completel
3. I f the answer to No. I is Yes, state the following I
a. Did the personal representative file a final
account with the Court? Yes No X
b. The separate Orphans' Cuurt 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 X No
d. CopiAs of recei.pts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be attached to this report.
.~/I
S-Vgn ure
Datel
February 7 I 1997
,JJ, 7 r_~-:J.
'<:r
.,- If) r:1 <(
0 .CI! 'n.
"\ -::~ (V) >
,,' C\..
..' ..!
: ; ~
.. ....
....
l
.. ffi d,
,)
b I'.
~il >
un, '"
~o: r-- Ui E:
P' G8
Stephen D. Tiley
Name (Please type or print)
5 S. Hanover St.. Carlisle, PA 17013
Address
.L1! 7 ) 243-5838
Te I, No.
capacitYI
Personal Representative
X Counsel for personal
representative
(MAHlrmflAM3)