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IJETITION FOR PRonATE Ilnd GRANT (W LETTERS
. Ciltililr i n,' ~1. \~,'h,'r ')/ ClLl~'/
l~!/ale of ____.___'_____'_________ No, ____L'LI_--..:.J.._.._'- ._'t.-,---
also kllliwn a.! _______.._..._____'_.. To:
,...__'''_''__'__'_'__'' Rcgistcr or Wills for thc
___._.._______________, /Jl'cea,wd. Couuty ofl:_\\llll..>'l!:,lilnrL__ In thc
Social Secllrlty No, -.l2.:i.::l,li-=.ill111l.-__. Conunonwcalth of I'enasylvanla
Thc pctltlon of thc undcrslgncd respcctfully reprCIC/lts thllt:
Your pctltloncr(x), who is/lIlod8 YCllrs of IIgc or oldcr IInthc cxccut_C2,1'
Inthc last will of thc abovc dcccdcnt, datcd ,J u Ilu...L__
and codicll(s) datcd __jiunu.______
,.nalllcd
, 19...JlL
(\IBlr rdC\lIHU C!rClIlI1\!AIICI'\, e,g. rt'lHlIlclnlhlll, death ur c~cclllnr I etc.)
CUlIlberlilnd
[)ecendcnt was domicllcd at death In...Jlor<l\l9lL 0 r Cill'liB 1 () / County, Pennsylvania, with
Iwr last family or principal rcsldcnce at_JLQ_L...N.._~()v('r StrUl't
,_____,_____ CilrU s~, P^ 17D 1 J_
(Ihl \11('('1. ntlmher and IlltlnclpAIllYI
[)ecendent, tl,cn-9..l.....- YCllrs of n~c, dlcd ,Jiluui.lLY_LL_______,' 19 ')4 "
at 13or()u91l.J.lL~,1t-Ti!j)l'.L.i:_L1n!bL,I-,l ill1d ~ol!.!ltYL.!)f\___,___,
Except as follows, dccedcnt did not marry, was not dlvorccd and did not have a child born or adopted
aftcr execution of the will oflered for probate; WIlS not the victim of a killing and WIlS never adjudicatcd
Incompetent: _lli2JlQ..._ ----,--,---------,
f)ecendent at dcath owned properlY with csthnlltcd valucs liS follows:
(If domlcllcd In I'a,) All pcrsonnl propcrlY
(If not domlcllcd In I'a,) Personlll properlY In I'ennsylvanlll
(If not domlcllcd 10 I'a,) I'crsonlll property In County
Value of relll estatc In I'cnnsylvanla
situated liS follows:
$. 1,4DD. DO
$
$
$
WHEREFORE, petltloncr(s) respect full>'
presented herewith and the grant of lellers
theron.
request(s) thc probllte of the last will and eodlcll(s)
'h:stillllUUtilry
(leWHnClIlIuYi ndllllnlslrnlloll (',La.; l\tlmll1l~lrRtlon d,b.n.c,l,a,)
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:1tR))e~t Ii. Weber
4')n tlJ Mrlin ~trrlP1'
~1..,cl1ilnicsbllrq. Pf\ 17055
OATH OF IJERSONAL REPlmSENTATIVE
COMMONWEALTII OF l'ENNSnVANIA }' 88
COUNTY OF _ Climb,' I' 1 i1nd
The pctltlnncr(s) nhnve.nam~d swcar(s) nr nrflrm(~) thatthc statements In the foregoing pellllon arc
truc nnd correcl to the hestl'f the knowledge IInd hcllef nf pctltlonerlS! and that as rcrsonal represcn.
tatlveCll) nf thc ahnve decedent pctldoncr(91 will wd,l Jlll~trUIY lI~mlnlsler thc estlltc IIccordlng to law.
Sworn to or arflnncd and snbscrlhcd " _.M'" '.f~) lL:1.lis,\"::,,, (I)
hcfore me this ___,_.....,_Ls.'_______ day of { _~_)('rt 1f.' \~,'_bor , ~'
... ' ;1.I:L....__...____ ., 9..2", _ , ' ..__1.GJL_\iL..lli1 in Sl: r,'('l: --- i:
/J/:~?f~LUDc.!.f!.'.,d:Sil~L[tJ.. 11-J'1~cll"" i ''''lluUj.. P^ 1205.5- ~
M~rv C. Lowl s RI'RI..,er ii, , ~
Nt' 'I - 94 - 94
.
Estate of
Catlwrine M. Weber
, I>eceased
I>ECREE 01<' PROnATE ANI> GRANT 01<' LETTERS
AND NOW FEBRUAR Y 4, 19.-':!.:!, In consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the Instrulllenl(s) dated ,J 1I ne 3. L!Lll.l.-
described therein be admltled to probate nnd flied of record as the last will of __
Catharine M. Weber
and Letlers 'l'estilmentary
arc hereby granted to Hobert R. Weber
Will Dook N
Page_
J ,t(tb~
FEES
Probate, Letlers, Etc, "..,.',. $ ? 5.00
Short Certlfleates(? ) , , , , , . , , ., $ ~. gg
Renunciation ....".",..,. I. $
X-Pages $ 0,00
JCP TOTAL _ $ 4~:8[
Flied ....,.,~ ~ ~~.~~~Y. .~ \ , ) .9.~1. , . . , , . , .
JamBS D. Boqar, Esquire 19475,
ATIORNBY (Sup, Ct. 1.0, No,)
5 Wost Main Street
!ill; r"miln~town.... P^ 17011
AI>t>RBSS
(717) 737-8761
PIlONI!
Mailed Jetters and order to attorney on ~-4~94,
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CERTIFICATE OF DEATH
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COf.ll10NWEAWIl OF' PEllNSXl,VAIIIA)
)35:
COUNTY OF )
I, CATHARINE M. WEBER , the testat rlx , whose name
is signed to the attached or t'orogoin~ instrumont, having been duly
qUIIHfied according to la,,', do h€lrob~' IIcknowlect~E: that I signed and
executed the instrument us my Last \olill und Testament; thut I signed
it willingly; and th&t I signed it as my free and voluntary act and
deed for the purposes therein exprossed.
Sworn or nff irma d to and a cknowledged before me, the 3rd
day of June , A. D., 19 87
-?'71 J-~>1jh?
Notary Publio
My Commission Expir'es: Sept. 21, 1987
(SEAL) !
OOMMONWEALTH OF PENNSYLVANIA)
)55:
COUNTY OF )
We, the unders i[med, J. ROBERT STAUF~'ER and
MARILYN KAY EAKIN , the wi tneSSElS whose names al'e signed
to the at.tached or foregoing instrument, being dul;,' qualified
acoording to law, do depose and say that we were present and saw the
testatrix, CATHARINE M' WEBER , sign and exec~lte the
instrument as bd.Jel/her Lust thll and 'I'Bstament; that said
testatrix, CATHARINE M. WEHER , signed the same
willingly and that the said CATHARINE M. WEBER , executed
it as ~~!her free and voluntary act for the plwposes therein
expressed; that €loch of us, in the hearinr and sight of the
testatrix I signed the Will as witnesses; and t,hat to the best
of our knowledge the testatrix , was, at the time, 16 Ol" more
year's of af\e; of sound mind; and under' no oonstraint, duress or
undue influence.
Sworn and subscribed
I La . I
a.t.vi?,
before 'me this
3rd
day of
June,
, 19 87 .
#/ "F~2<u'V7
/ !iot.ary Publ ie
My Co~mis~ion Expires: Sept. 21, 1987
CERTIFICATION OF NOTICE UNDER RULE 5.6 (aI,
Name of Decedent: Catharine M. Weber
Date of Death: January 17, 1994
I,
Will No. 1994-00094
Admin. No.
To the Register:
I certify that notice of beneficial interest required by
'Rule 5.6 (a) of the Orphans' Court Rules was served on or mailed
to the following beneficiaries of the above-captioned estate on
February 9, 1994:
~ Address
Robert R. Weber 420 W. Main street
Mechanicsburg, PA 17055
Warren R. Weber 2150 S. Pearl street
Denver, Colorado 80210
Ann Marie Kopacko 218 East Chestnut street
Shiremanstown, PA 17011
Notice has now been given to all persons entitled thereto under
RUle 5.6 (a) except:
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J mes D. B r, Esquire
5 West Main street
Shiremansto~n, PA 17011
(717) 737-8761
capacity: Personal ,Representative
X Counsel for personal
Representative
Date: February 9, 1994
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
}
III
._--_.----.- --..-.,-.-.-----------... -. .,--- ".----.-- -------_.-~-_.__.......----_.
Robert R. Weber
being duly _ sworn __.. ____.._ eccordlng 10 law, doposes and says Ihat h. _~._tl!~___,_,_,__, --.-,-
Executor Catharine M. Weber
_'._..___'_'___' __, _ ,...' _m __..' ,__, ,__m_, ,,___ __ 01 Iho Eslalo 01 ___________________.____
lalo 01 ___th.e..l3orol,lgh, 9f..CarJJ!3~f3" ..'..___.____, Cumberland County, P.., docoasod .nd Ihat tho
within Is an Inyenlory mad. by , ,.Ro.b!3Et R '_,W_e_~_r____ _______..,__, tho sald_J:~oc_l!._tor.._,.
01 tho enllro eshlo 01 said decedent, conslslln9 01 all tho personal prop'~rty and real estala, except real OItale outside
the Commonwee'Ih 01 Ponnsylyanla, and that Ihe Ilguros opposite oach 110m 01 the Inyentory ropres.nt II', hlr value
as 01 Ih. dal. 01 de co donI's de.lh.
Sworn to
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and subscribed bolore me,
_,__;irdUJ.-1::mc11L-,I,.,------,-------.--c. .
e"..tor - Admlnht..to.
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19..9.4_
Robert R. Weber
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-
. NOTARIAL SEAl
CATHERINE J. BARRA, NOTARY PUBLIC
SHIREMANSlOWN BORO, ClIMBERLANO CO, PA
MY COMMISSION EXPIRES SEP19, 1995
420 W. Main Street
_...lI.E!_QlVHLicsburq, PA 17055
Add....
1994
'17 January
Date 01 Death ,.___._..___,,__,_..________,___, '
DIY Month
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INSTRUCTIONS
I. An Inyentory must bo IlIed within three monlhs .lIer appolnlmenl 01 porsonal ropment.llve.
2, A supplemenl Inyenlory musl b. fII.d within Ihlrty days 01 dlsco\'.ry 01 additional uso".
3, Additional sho.ts may b. attach.d as 10 personally or realty
4. S.e Arllcl. IV, FI~~clarle,: "cl 011949,
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INHERITANCE TAX RETUMf
RESIDENT DECI!~ENT
CQMMO"WIAIIIl or PllIIlIUYA"'A ITO BE FILED IN llIJPLlCA?I, ,1 _ I) 4 _ 0 () (>"
OHAII"Ifl' or !IV1t. I L ) L , "
HA!!IIfJg. ~~~ 110601 WITH REGISTER OF WIL S COUNIY CODE YEAR
- liW61H1'1 h.1l1 ~m, rIlll;.n61l1661f Imn~tr 30femm'l el51lf\f1n6oUll
15 WEilER, Catharine M. 801 North 1I,ll1over Street
~ 1ffi:1~lmUI"yIlUIlIll J;morliWn--OAlfOr"llll- Cdrlisle, P^ 17013
a 19:'-28-0870 01117/9401/10/0]
__.__ . Call1l',
~ lli. I. Original Re'urn 0 2, Suppl.menlal Re'u,n 0 3, Remalnd" R.lurn
. olIl1 (fa, do'" of d.ath prlo, 10 12.13,821
~fo Ll A, lImll.d E.lole U Aa. fulure Inl,,"' Comp,oml.. 05, Fede,al E.lale 10'
oog tfa, dalll of d.alh aft.. 12,12,'21 Relu,n R'qulred
[II L'i: 6, O,cod,n' Ol.d Tolln'e U 7, O"ed.n' Malnlnln.d a living I..., ~,8, lolal Numb.. of Safe Oepo.1I 80...
olI IAlloch copy 01 WillI , ., IAllach-!!'1'1. of Tru'll
-~-- '~}~tCOAmpONiiiNcnNiicofffl6i~JfiN'(]ttMM~~J"?#~~~~=f~~tlD,tol )I'.i ilf' I': ' ,"
~ ~ ,JAl1ES D. DOGMl" ESUUIHE 5 West 11ail1 street
o z: lIl!lnlimnUI.1IU Shirelllill1stoWI1, P^ 17011
u2
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U1R DAU' or DIAl" Ann 12/31/" C!tICK IIIRI
" A 'POU'Al -
,ovun CRIDIlII CLAIMID 0 ______
;iii iliiMm------
HUMBER
.J 7} 7 )73 7 = 8 76~
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2, S'oc~. and Bond. (Sch.dule Bl ( 21
3, ClolOly fteld SlacklPor'ne"hlp Inl".'lfSchedule CJ I 31
A, Mo'lgog" and No'.. Roeelvable (Sch.dule 01 ( AI ______
5, Cn.h, Bnnk D,polli. & Mllcollan.au. P.llonal P,ap..'y( 51 8, 356 . 69
(Scoedule EI
6. Jalnlly Owned P,oporly ISch.dule FI
7, TranI'''' ISch.dule OIISch.dule II
8, lulal 0'011 AIIII'(lalallln.. 1.71
7,337.62
9, Fun.ral E.p.n.". Admlnl,"all.. COllI, MI"ellan.ou, ( 91
E'penl.. (Schedule III
10, Oebll. Ma'lgug. lIablllll.., lI.n. (Sch.dule II (101 _
II. 10101 Oeducllon'l'o'allln.. 9 & 101
12, Ne' Valu. 01 Ella'e I"ne 8 mln".lIn. III
13, Charllable nnd Oav..nm.nlal BequIII. (Schedul. JI
U, Ne' Valu. Sublec' 10 la'llIne 12 mlnulllne 131
15, Am nun' 01 line IA la,nble 01 6% ,o'e
(Include valu.. from Schedule K 0' Sch.dule M,I
16, Amounl of IIn. 14 '0.01.1. a' 15% 'n"
Ilnclude valu.. from Sch.dule K a' Schedule M,'
17, P,'roclpalla, duefAdd 10' from line 15 and lrom line 16,1
18, C"dll, ~OU10~0::~~_~:~I' + ~~'. ~a~men" + Ol'~aB~ ~...~__
19,1111.. 18 I. gr.al.' '''on linn 17, .n'or ,he dlll."nco on line 19, Ihll h ,he OVERPAYMENr,
Ii!U
20, II line 17 I. greal.. Ihan IIn. 18, enl.. Ih. dlll."nco an line 20, Ihl. h ,he ,^X DUE,
A, Enl.. ,h. Inl....' on ,he bolanco due on line 2M,
(181
(191
-0-
(201 ---'-~-- ----------
12MI___ __. __ _
(2081 -0 -_____,
( 61
171
8,356.69
181
74.13
7,41l.75
(Ill
(12) _944 .94
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(1A1_ 94~.94_ _
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ChHk 1010 I OU 1110 IN U",lInll II '",unt! a' you, aVOllltlYlll~'"
8, Enl.. Ihe 10101 ollln. 20 and 2M on line 208, Ihh h Ihe BAlANCE DUE.
Make Check Payable 101 R.ghler ., Will., Agen'
I.. ..-iiHU~iIOANjWiR Ail QUUIION' ON RiVIRSiii6i ANtI '0 RicilicK'MATii..- ""
Und8' Plnnlri,.oi p"'lurr:rd;ii~~; thai j ~~;;;;~;i~;-;; ihr..;.i~;"~i"(i~di~:r-;;;~;~;;~Ying ,(~;dult; ;~diiai;;wii~d j;"a;; t;;i~; my '~;~l;dg;Md t;ij;l;
III 'ru., cor,.cl and corn"le'l. I d,eln,. Ihru nil ,.nl ..Inl. hat h.." "por'. at hut "'arh' valut. O.d.,..tlon 0' p"pa", olh" Iho" ,h. "'''0"01 np,","'allv, It
)olld 0" (llIln'o,,.,,ollo" of which pttp,nt.' h~ bny ."~I,dg., . . U0 ('I- (
1~i!J,I,O(tl.~I' P~!I'I!'~j{fil'IHU~"Ulfl- ---~65!mT21J W. MiI.i n St.. 6m-- ---
~~"-. ' iY: ,MechillJicsllllrg, 1'/1, 170:':' ,,1\(,1 'i'{
If mr, ~1I!()iI f.,11~I.WIt!!fll'''Vf'--- ~ob!!ll-- .- -,- - -- -,--. - - 6~1!'-'-'-'-"- ,
, W:,':i:,./J ;1:~~_'-______,__5~l. ,Sldrel11allstoWI!.L...fU7.Q.LL
,J IJ^MES Ii. FJOG^H, F:SUUJIH';
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PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (.....)IN THE
APPROPRIATE BLOCKS.
VES' "NO
1. Did decedent make a transfer and:
i
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a. retain the use or income of the property iransferred, ..",..""......",......,............
b, retain the right to designate who shall use the property transferred or its Income,
x
x
c. retain a reversionary interest or ...........................,.."......,............,................
x
d. receive the promise for life of either payments, benefits or care9......,.............."
2. If death occurred on or before December 12, 1982, did decedent within two yoars
preceding death transfer property without receiving adequate conslderatlon9 If death
occurred after December 12, 1982, did decedent transfer property within one year of
death without receiving adequate consideration' ......"..................".....................
x
x
3. Did decedent own an 'In trust for' bank account at his or her deathL....................
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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SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
Pleo.e Print or Type
FilE NUMBER
COM~~~WII~UHI~' t'~~,\I~AN'A
~r"OIN~ ol'c1olNi
ESTATE OF
Catharine M. Weber
21-94-0094
(All propeNy 101.t1y.ow.od with tho RI,ht .f 1u1V1.."hlp mu.t ~o dllClo.,d o. ,;"hodulo 'I
ITEM
NUMBER
DESCRIPTION
VALUE AT
DATE OF DIATH
1 .
PNC Bank, N.A
Balance at date
interest $.34.
- Checking Acct. No. 5070086535
of death $701.64 with accrued
$
781.98
2.
PNC Bank, N.A. - Certificate of Deposit No.
0413270159152 (Irrevocable Burial Fund), Balance
at date of death $6,876.21 with accrued interest
$44.41.
6,920.62
3.
Church of God 1I0me, Carlisle, PA - Refund $150.00.
Neil Funeral Home, Inc., Camp Hill - Refund for
funeral prepayment $504.09.
150.00
4.
504.09
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S 8,356.69
'IAllo,h oddlllonol 81\" . 11" ,hool,11 mOil 'po" "",dod,1
.~V'''"lh ~'''I
ffiAij" OP
ITEM
NUMBER
A.
B,
4.
C.
1.
2.
3.
4.
5.
6.
7.
8.
,
--.,.
~tb
COMMONWeALTH or PlNNlYlVAN'A
INHIIIlANcr TAl !IIU!N
!II'DrNT DrceDrNT
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
Catharine M. Weber
21-94-0094
DESCRIPTION
AMOUNT
1,
Funeral EApenlel1
Myers Funeral Home, Mechanicsburg, PA
(total funeral bill ,i.n accordance wi th PNC Bank, N.A.
Irrevocable Burial Fund) See Schedu1eE, item 2.
$6,920.62
I.
Admlnlltratlve COIIII
Penonol Reprtlenlatlve Commllllonl None Claimed
Social Securlly Number 01 Personol Reprelentotlve,
Year Commllllonl paid
2.
Allorney Feel JAMES D. BOGAR, ESQUIRE, as per agreement
350.00
3. Family Exemption None Claimed
Clalmonl Relatlonlhlp
Addrell 01 Clnlmant 01 decedent/I death
Slreel Addrell
Clly
Slale
Zip Code
ProbaleFeel Cumberland County Register of Wills
Probate Fees and Short Certificates
Mllullaneoul bpenlell
Cumberland County Register of Wills - Filing reefor
Inventory and Inheritance Tax Return
42.00
25.00
TOTAL (Alia enler on line 9, Recapllulatlanl $ 7, 337 .62
(If more Ipace 'I needed, Inlert additional .hee'. of .ame ,'.e.1
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SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE L1ABLITIES AND LIEN,S
COMMOtlWI,t,l1tl OP "NNmVANIA
1~IHUIWj'l T,U mUIN
RUIDINIOICIDun
ISlATE Of
I flU NUMBER
21-94-0094
-,
Ir-
Catharine M. Weber
N~~~ER DESCRIPTION
1. R. W. C. Emergency Physicians - final statement
(not covered by medical insurance)
AMOUNT
74.13
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, IIf mar. tpac.l. nllellel/nll" oddll/ana/thlll. 0' loml,I''')
$ 74.13
"
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ill'!' WILL AND 'PES'!'AMENT OF CATHARINE M. WEBER
I, CATHARINE M. WEilER, of the Borough of Meohaniosburg,
County of Cumberland and state of Pennsylvanla, being of sound
and disposing mind, momory and understanding, do make, publish
and deolare thia my Last Will and Testament, hereby revoking and
making void any and all prior Wills by me at any time heretofore
made.
1.
I direot the payment of all my just debts and funeral
expenaes as soon after my deoease as the same oan bo oonveniently
done.
2.
I give and bequeath the prooeeds of my SavJ.ngs Aooount whioh
I have with The First Bank and Trust Company of Meohaniosburg, Pat
to my grandson, Warren R. Weber, and to my granddaughter, Ann
Marie Kopaoko, share and share alike, per stirpes, and direot
3.
that the inheritanoe tax on this bequest be paid out of my
residuary estate.
I givej devise and bequeath all the reat, residue and
remainder of my estato, real, personal and mixed, whatsoever and
whe1'esoover the a ame may be situnte, to my a on, Robert R. Weber,
absolutely and unconditionally.
-IN
...... ,.., ,- ...., ..... .;~ .
.:.:....L __~ ....... _~.'_..,_ ..._,. __..._ _.:__. ._._.. _..___ ._._. _,,_.. _._.. _.
RECEIVED FROMI
6
ACN
ASSESSMENT P:'I
CONTROL I;iI
NUMBER
AMOUNT
1I0GARJAI1ES D
:s W MAIN STREET
101
.3 SofI'1
l>HIREMANSTOWN' PA1'7011
lOIOHUf
'OtoHUf
SBN 19f:l-el3-(lf:J70
1fiR'~ M
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REGISTER OF WILLS
m TOTAL AMOUNT PAID ____ "153.8'7
Z"OG' ,
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MARY C. LEWI~'-" ,
REGIRTER OF WILLS ' i
,lAME!, D. [lOBAR
SEAL
CHECK" h~j 19
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REV-15ft? EX AFP 110093*
C~AllH Of PENKSVlVANIA
Dt:PAR1HfNl Of AEI/fHUE
BUREAU Of INDIVIDUAL lUES
Dt:Pl, 2406Dl
HARRI SBURQ , PA 17128-0601
ESTATE OF WEB1r~ FILE NO.
DATE OF DEATH 01-17-94 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 "REGISTER GF WILLS. AGENT"
REMIT PAYMENT TOI
NOTICE OF INHERITANCE TAM
APPRAISEH~NT. ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS, AND ASSESSHENT OF TAM
ACN
101
DATI 08-08-94
JAMES D BOGAR ESQ
5 W MAIN ST
SHIREMANSTOWN PA 17011
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
L
Anount Ronlttod
l
CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ....
il 'EV: iS47" ii{"i. i: p -f i 1i: 93T "iiiific i""0 F" i Niliiii;: AifcE" TAX- jfp pilii i s iifEiii'~"" i.iTciwAifc i"1ili -. -..... -. -" 0....
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF WEBER CATHERINE M FILE NO. 21 94"0094 ACN 101 DATE 08"08-94
TAM RETURN WAS. I X I ACCEPTED AS FILED
( ) CHANGED
RESERVATION CONCERNING FUTURE INTEREST . SF-E REVERSE
APPRAISED VALUE OF RETURN BASED aNI ORIGINAL RETURN
1. R..l Eltoto ISohodulo A) III
2. Stookl ond Bondi ISohodulo DI (21
3. Clo.oly Hold Stook/Portnor.hlp Intorolt (Schodulo Cl (31
4. Hcrtgogol/Notoo Rocolvoblo ISohodulo D) 141
S. Co.h/aank Dopolltl/Hllo. Por.onol Proporty ISchodulo E) 151
6. Jclntly Ownld Proporty (Schodulo Fl 161
7. Tronlhr. (Schod,,!o G) (7)
a. Totol AI..to
,OQ
.00
.00
.00
8,356.69
.00
,00
(DI
8.356.69
APPROVED DEDUCTIONS AND EXEMPTIONS,
9. Funorll E.pon.oI/Adnlnlltrotlvo CClt11
HhooU.n.oul E.ponl.. (Schodul. HI (q) 7 ,337.62
10. Dobh/Hortglgo Llobllltl../Llonl ISohodul. II 1l0) 74,13
11. Tct.l Ooductlonl (111
12. Not Voluo of To. Roturn 1121
13. Chorltoblo/Ocvlrn.ontol Doqu.otl ISchodulo J) 1131
14. Hot Voluo cf E.toto Subjlct to To. 1141
If .n ......m.nt w.. i..u.d pr.viou.ly, lin.. 14, lS .nd/or 16 and 17 will
r.n.ct figurn th.t includ. the total of ill, r.turn. a......d to data.
ASSESSMENT OF TAXI
IS, Aoount of Lln. 14 to.oblo ot 6X rotl
16, Aocunt of Lln. 14 to..blo ot lSX roto
17. Prlnolpol To. Duo
TAX CREDITS I
PAYHENT
DATE
7.411.75
944.94
.00
944,94
NOTEI
(15!
116!
944,94
,00
X,06 .
M,15 .
1171
56.70
.00
5hZ!
RECEIPT
HUHBER
DISCOUNT (+ I
INTEREST (-I
AHOUNT PAID
04-08-94
885941
2.84
53.87
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTlRI9T
TOTAL DUE
56,71
.01CR
.00
.01CR
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN tl, ND PAYHENT IS REQijIRED,
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI. YDU HAY aE DUE
A REFUND. SEE REVERSE SIDE OF TNIS FORH FOR INSTRUCTIONS.!
Rt!IERYATlOHI E.tah. of OtClldent. dvlng on or bafora DecHbtr 12, 19112 ... If any futura Int.rut In tha utata 11 trenafarrtd
In pa.....lon or anJoy.."t to CII.' B (collatar,l) blnaflclarlaa of thl dactdtnt ,ftar thl IMpJrttlon of .nv..t,t. far
llfl or far Vllr., tnl CCHMIOnWtalth hlr.by IXP"ItIY r...rvII thl right to IPpr.Ju Ind ...... tren.f.r Inh.rlt.no. TIMII
.t the Ilwful CII.. B (oolllt.rll) r.t. on anv ouch future Int.r,.t.
P\IIll>OSE OF
NOTICE I To fulfill thl requlrt""t. of Slation 2UO of the Jnhtrltancl and F.atlt, Till Aat, Act 7.2 of 1991. 72 P.S,
SoIUon /140.
PAVPEHTI DttlOh thl top partlon of thlt HotlCI and .ub,1t with your Ply..nt to thl Alglttar of NUll prlntad on thl rlvlr.a llde,
.'"11<1 'hllk or eon., ordor p.,obll 10' REOISTER OF HILLS I AOENT
All pay..nt. racalvld Ihlll flr~t b. .pplltd to anv lnt.r..t which "V b. due with anv r...lndlr appllld to thl tiM,
REFUNO (CA)I A I'afund of . t.x crtdlt, which WII not requ4lttld on the TalC Alturn, .IV b. r.que.ttd by cOllplltlFl8 If'l "Appllc.tlon
for RlflM\d of P.nn.ylvanla Inharltancl and Eltltl TIIC" (REY.UUJ. Appl1catlfln. art IVlllablt at thl Offtc.
of the Regllt.r of Willi, tnV cf thl Z] AaVlnut DJ.trlot OffiCII, cr bV calling thl splolal 24.hour
1l'I...."Jtl{I IIrvlc. I"IUIbert fcr forll ord.rlngl In PIM.vlvanla 1~800-56Z"Z050, outsld. Ptnn'Ylvanla .nd
within locIl H.rrltburg .r.. (111) 181-d094, TOO' (117) 11Z.2252 (H.arlng I~.lr.d Only).
OBJECTIONS I Any party In Jntarll' not IItltft.d with the appralt'Hnt, allcwancl or dlullow.no. of d.ductlonl, cr ......Hf'lt
of t,1C (Inoll~lng dl.count cr Int.ra.t) I' shown on thl. Hotlcl IU.t obJlct within .Ixty (60) day. of r.c.lpt of
thlt Hotlc. bVI
"wrlttln protllt to thl PA DtfI.rtllnt of R.vlnu., Baird of ApPllIt, OEPT. Z81021, Harrltburg, PA 17128-1021, OR
...I.otloo to have thl ..tt.r d.t.r.lnld at ludlt of the account of the per.cnal rlpr.s.nt.tlvl, OR
uapplll to thl Orph.w"ll' Court.
AlIItl"
IITRATlVE
CORRECTIONS,
DISCOUNT,
flOtual Irrorl dl.cov.r.d on thll .......tnt .hould bl addra..td In writing tal PA O.p.rt..nt of R'v,nut,
Bur.au cf Indlvldull TIICII, ATTHI POlt Au.....nt Alvhw Unit, DEPT. 280601, Ulrrhburg, PA 17128.0601
rhOM (717) 18746505. S.. PIO' 3 of tha bookht "InltruoUon. for InhlrlhnoCl Tax Alturn for I Rllldtnt
D.o~t" (AF.Y-1S0!) far an .lCplan,Uon cf IdIIlnlttretlv.1v correatabl. errorl.
If anv tllC due II Pltd within thrll (]) c.l,ndlr ItOrlth. aftar thl d.c.dant', dtlth, . flv. pere.nt U:O dllCCU'1t of
thl tllC Plld I. .IJowld,
I"TERUT,
Interllt It charged begiMlnt with flrlt d.y of d.1Jnqulncv, or nln. (9) IKH\thl and OM (1) daV frOll the cStt, of
cSt.th, to the d.t. of ~IY..nt, T.IC'. which b~... d.llnquant b.for. J"~lrv 1, 1'82 b.ar Int.r..t .t thl rat. of
11M (6~) parcent par annu. c.leul.tad at I d.lIy rata of .000164. All talCII which blca.1 d.lInquent on If'ld If tel'
Janu.rv 1, 198Z will b..r Int.r..t at ~ rat. which will vary frcI c.l.ndar YI.r to cIl.ndar yaar with thlt rlt.
a~ld bV th. PA D.p.rtRlnt cf R.Vlnul, The appllcabll Int.r'lt ratll for 198Z through t994 Ir.,
'!!!! Intlrllt R.t. DailY Int.r..t Flctor ~ Int"r..t Aatl Oailv Int.r'lt Factcr
alZ ZOX ,ooma 1916 lOX .000Z7~
1911 I6X ,ooma 1917 9X ,0002~7
1914 IIX ,000l01 191a'l99I m ,000lOI
1911 IlX ,000lS6 1992 9X ,0002.7
1991'I99~ n .000192
."Jntarut I. oDlcul.tld a. folt~.11
INTEREST . BALANCE OF TAX UNPAID X NU"BER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Anv HoUel IlIutd .fter till tex bleo... delinquent will reUlot In Interllt c.hut.tion to flU,In (15) dlVI
beyond the date of the .....s-.ot. If p.vaant I. .aOt Ittlr till Int.r.st coaputltlon dlt. shown on the
MoUCI, addltlon.l Int""t IUlt be cllculltld,
~.
Iii': III
STATUS REPORT UNDER RULE 6.12 /,' :I:"j
Name of Decedentr Catharine M. Weber ")'1 1'/' .,q " < "II'
.1.1\ , .,(.' , ,r
Date of Deathr Janul1ry 17, 1994 CI,
11I1
, Will No, 21-94-0094 Admin. No. CUll', 1'/\
Pursuant to Hille 6.12 of the Supreme Court Orphans'
Court Hu1es, I report tho following with respect to completion of
the administration of the above-captioned estater
1. State whether administration of the estate is complete.
Yes X No
2. If the answer is No, state when the personal
representative reasonably believes that the administ.ration will be
complete.
3. If the answer to No. 1 is Yes, state the foliowingr
a, Did the personal representative file a final
account with the Court? Yes No
b. 'rhe sopara te Orphans' Court No. (if any) [or
the personal representative's account iSI
c. Did the personal representative state an
account informally to the parties in interest? Yes X 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.
Date.~"
,19~4
,.-dUI<; ()/J(~
Sig ature /L ~
James D. Bo~ar, Esquire
Name (Please type or print)
5 West Main St"
Address
Shiremanstown, P^
17011
i1171 737-8761
Tel. No.
Capacityr
Personal Representative
X Counsel for persona 1
representative
.j(MAlllrmf/AM3)