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" ., ./1.. " .1' '" ';1' " " ,,'J , "~I ,to,. " ' "',il" " ,I'" " , II, "I; " 'i " '" 'j," , , ,: .'," " I:' ' ,1.,1 ::' r; .~ .1, ':! ",I'; ! "1" ~. I ,': " _. "I' "I,] :.,:,', ~,h; ,,' i' i,.I"l: ,',t.' .';1, ,,' " I,. " " " I'll, ," , " I' '" '". !1.,'.ll\" I'.' ,'),1 ,I: " '1'1 , " ;:,.'~ I ,-" ,', ,I" l--- C.... PETITION FOR GRANT 01<' LETTERS OF ADMINISTRATION 1/' /) . t:srale of -f:..,f.11JJ-,.[.JL-z.-.L.L/'-fl ''''y t , also knowl/ as ..______~.__,___ No. _.dI~_gL/.~_g,,_~__ To: .___________.__ [)l'('l'lISl'C/, Sodal Secllrlly No. -1_7;1._."-..32..:-1.0_8.$, Register of Wills for the Coullty of _________,_ ___,_.,_ In the C'ollunonweultll of Pennsylvunlu The petition of Ihe undersigned respeetfnlly represents Ih1ll: Yonr petllloller(s), whols/ure 18 yeurs of uge or older, uppl _ ,__ for letters of udmllllstrntloll ,." u__'___ on the estnle of ----_._--~._~._.__..------.._-- .... --..--..- (d.h.n.; pCI\tICnl~' 1111:; durllllll.' llh,~nllll: durantl' IIIlntlflll11C) the ubove decedent. Deeendent WilS domlcilel~ ntdeillh In ".-G.-~ILLe,,-l-,?-~l-d.--,.,,--- C:on\lIY. gellnsYlvu~~. wII,h IW...s.._lusllnmlly or pnllelpul residence ul,:{~__A!._a_'L )(."J-...A-J~I.--K-'..--c.).,.J J~ (ll.l ,trcl'l, IHlrnhl'llIlld 1lI11111dpu1l1Y) t> 1'- 1<, 'lj' ~/) ~p, Deeendent. tllen .,_.c~,J.__ yellTs of uge, died -D^ ':",~,m,b4-..-_____3_.CI____. 19_3..3~. J' )..... nl__.2-4---1.l..---ll.'-<.-K'_A_H.h._ _d_,,,..K_d_.___.. .,,----,-.--~-~----~-. Deeendenlnl dcnlh owned properlY witll eSlimuted vulues ilS 1'0111011'.1: (If domiciled IlIl'n.) All persollnl properlY (If not domiciled 1111'11.) I'ersollill properlY IlIl'ennsylvlllllu (If nOI domiciled 111 I'll.) I'ersollul properlY in Connty Vlllue of real estnte In I'ellnsylvilnlll sltullted ns follows: _~,_,_ $ $ $--- $ .:F 11 0 ----'L- 0 " ..__._--_..-_.__.._._._._--~----_._--- ---------------------.._-~-----'------_..__._-- Petltloner_ after n proper scnreh IUIL_.nsecrlnined Ihul lkeedenllel't no wlllnnd 11'11.1 sUlvived by the following "pouse (If nny) nnd heirs: NlIll1e Relntionshlp Residence 1:-7:~.:TJhft~-:;;~::=~ ~~~4'2l~/J;L; .... '1~~}~~;~_1A!~' ~. (': Q. .!d. -hi ~-i :-:-tq!,Lf-jJ-..rlj-f-L-- --_...g~------_. __l!ar-J4..tJ-I,- v"j _~Y-j~_'-"}u~: :::=-~~a-l1-'-=:.-~~= ::::_:.~Q.J'-JJ_~'c- ~" -~-_.._--._---_._--.--- --_.__...__.._--~--_. ..-.'--~--- THEREFORE, petltloner(s) l'l!spcctfully requesl(s) the grunt of lellers of ndmlnlstTlltlon In the apllroprlnle form 10 the lIndmlgned, W I) I . ~ no' . j. '-/4*b-,-"-1,l-;~(1'T"""'~PI.r2- ') V n :.dL'-_A L_~~~.....-~,.,- ~./.-. 0: c "-' ]f', J.. ,'7 - '0 ,0 E:..~'--' (.. " -~/.....--------J':;-CJ/- :3 ~ 0 _ 'il ----".---,,-------'- .----'- ... t:~ ~o ,I III -- ._:.~=---:=;=::;1__.. This is to ('('nlfy liw! rill' intorlllilliClIllll'll' gi\'('1\ i~ (llll('ld~' l'llpll',\ Ir(Jlll,1I1 (lrj.i~ill,11 (C'rtdlt',ll(' 01 ,It'.ltl,1 dilly fih'd willi I.ucld H<.'l!i"lrllr, The lIr1gill,1I n'llJli(,IIt, willllt' IOIW:Il"\lt',lltl till "LHt. \'iLrll{('(IJlll... ()llllt'ltJ/ 1\('IJlldl1t'lllllhllg Illl' as WARNING: It Is IIIog81 to dupllcato this copy by photoslat ll( phologr8ph. 2132575 No, ,~k,94-96 '1111/111 0 ~",;;. "ii' '~I f "r .,', 6,1',"\'~''''''',..['<-1:';-", .'\\l~/' \',l'_','~"J'." ~;)"\' '~~ :If . , ,. B' ':1': ;;; . lo .\ * ~~ N":;"~1: 1'.?I-" .._.;:~\,,';,: "'Eln ~..",j!l!' .'IIIt!/aJ1J.""' / ,') ',\ (' 'c. '.),.,...,"~ .,\ ) \':.-" "'~'. _\ ~~ 'o:~ I.Ol,1! I{t'gi'itl'llr ,1;;".<, ..,. J-J\~ Fl'l' for thi.. \('l,tifir,llt:, Sl,(l(l "Sc.:,y" ,'~<'~\\l'\_. 1).lIl' HI0I14ol""1". ".., , "411' ,... ~. COMMONWEALTH OP PENNSYLVANIA' DSPARTMENT 0' Ne~LTH' VITAL ReCORDS CERTIFICATE OF DEATH (Coroner) C '4 (f11l."'U'J.I'~ Konneth UIfOI\VI E Clippingor ."'n'.l.IWoISI" SOC'AII~CLnIT"'iVt,lBf~ O.uIOfOl.IJH~,OI,""'1 . Deo. 30, 1993 '''''> .... I"HlIiP\AClIC,'....., h":>I'fi'9"C'lV~11 Cumborlendp~o, ~:~IO ."""_~ \,'MwI.,tIC -", Whito (,c::r'1 ~:..:~~u~~~ tlMl<'''($pK~rl Herried 1JIl~1'fflO I'OUU /11....,...._........, NCtOflj!'t 4Cluil IIU1OCN(f ~rll..-~", :'-0""''''') Wilme L. Reeder ItlI,C ... ..- .... ~ltfJI1 H4[1=~~f:::Of uOlt'!".~il,l!I...1 .....Joll.l..,..,su,......., ,,"--_Olenche F'Ilton ,'i1~, 'IoUIl.'NOAOOfllSSI'.,....c.,'v." j,l1'llp((01l1 26 N. Dickinson School Rd. '\ p, ,~"".tIl t~!"L"""''''''' lOC )fOllWll'\Ki eStmlnstOI' Homoriel Gordens AAOAOQN 'ACl\1 ", (] ....., o.tl\.lt<ll Md,,-Oiilinaon ., H. S''''.__ .... 008102 L o PA 1 0 1.1/Id"~jIll!t<J , prx. I -:rt. 1""'1 3.00 A." Docombor 30, 1993 , ,..,....__.........It-.pc.I_orI\c~tI_....dif"ft DoNll."l"'...._"oI~. ~~ItWll'...,ltl~IIOI'p..,..,.II'ocIOl~"..."'. LaIl""WIlItIoMOI'lMUl.... ..0 ~''''I'' "'1lVI1~ OtIHl.>ddif.lft CI""~e>ardI_""'''tII,I'''i'''~lIuI "OIrlloJl"'i......~OlrAI......nNA'1 .JL~vere One"V~.!'.".ol Coron.ry ArtoEY, Dieoaso Ot.4ro{('l\.l..11(U,U<;Ul11t!(.) OUllf\lm.l..\ICr1(".':r).AI,C!0'1 OVQro(Ut....~IC(~I'>f.GVt....c(V) - . tVIHCIINOt .uA.AIlIM\lOAro COW\I"IICflQrc.wsc! rADI.I1Kl AAHln01 OlIAltl 011 'lHJIJIIY Ioj~t, O.,1IHI1 lllAl ."", 'tiJIJI\VM OIlCII",_ IkIlJf\V ~ tb'IlC'*' [) ['J Ll ~ ,.,.."....,...,~"'" ~_. la...-~ ~.,. rJ Co..MftCII~"'~ D~.flc~~;i,./"""",t""',Il...-t,~ . ........ H. )Of 1l'.1llCt<<.'<W1'f~J . 'C1,"""lIfIM1lCl4tt~..,..~e_ol....",.....II/'o:IIt.~,lI(oI"'~lf''''''''Ulctol'!\''<Jn''''''''dl\rlnl ...flI...."..,.--..,........''''''"fIt4..NIIo.IIIICII.....N''.......1l11tol ., .....,.. ,,_, "". ,. ,. "." .". -. '" 0 ..0 ",II\. ..0 ~l~d "~lIIl4 L.1 D~ Coroner \~u., iMii ~ - jO.o, WfiIO~ fit, "*J . [J ,,,_______" Doc. 31,1993 '41l,l(I..:JIDfln[n~,.1I'\014W>~OrO/olP\t fOCW$I"'OfAlH 1~""J1Jlrr.Olr(IrI' Michaol L. Norris,Cor.onex' k>I 405 Fairway Dr ve ~. Hech.nicsburg, Pa. 17055 O~!, I\fOl......'._ 0", ...., '~,UfOel'"ll"YItQptff..ICUH"""1O:...Mf,f"'y.........'Qo)f,'-'.I"I(I'\I,..."'c.."{lr~lf,! "....Mtl"...,l~,.........""'""...IIInf...,....."...,.........'oNr....If(III...."'.MlIIIIlI... ' " "{ \ 'f, .,:i " w_ ,. e 1/)' ."_1 1,1\/::: 'I::;. , 'I" II \,1 I}! j "dl'i.! "'O'\1J, U,T:l (j,~ ""(\)~ a: '"~I " j,' " Ii' 'I I: ;', ;,. '; ,,, " " I.\" l' 'I ,I '" . "'I_ 'j.. ,.,(. , " "1 i. :1 " '!'I , ,,' " I.' " pi " '1\ " 'j I, i,.,." 'I' , i" I' " . " " " " ,,' ~ ; it d iI 'j; .. 'I,. " . ,1-;, , " .. ," I, , , . /'/'j; , ," ..: I' .\'1","; " " ,\! ': "j. i', I, I, ;,\; '-I' I; \: " " '\' I' I, h .. 1,1' " , t" 'i; . " i't " 'I ), I,; 'i i', I', " " , ._1 :' " ", " H ,I '" " .' 1\lii; ,. " ;" I: " " I' i -" ~ '; \ \ I,' d' '0'1 '7) (,1 ~.i! ',i ~g;' h ,~ ".,) ,-, if) I,' if,' I )I, '., i-' " " I; 'J' I'," '" I' I!' 'I 'I, '-., I, '\ 1'1: Ii , " i'i " I',. .... I" j,' 1\- ~), ,'I I' ,!' -"., e:J, . w.. if I". " '. .:0'/';1" , " IU~ ;:OP .j. "j I" " \'(. :1; ,~, "pi .' ,. I " ',. " , " '. 1-' ~ i, ' IL' ,t, i', I,' Ii " " '1 ,',1 ",,' " ',I !'I; , , I' ,. " h ".\ I" I ',,'i. Ii .I '{ '" " " ,. I, " , ';" " if; I, ',oj ,,' I' , ,,_(,'r, "1, I" 'i " , ,';- \; ," 'j,' '" .1'. i', ,.',f- , " " i,l' I, , I, " " I,', " , ", " " " i"'- I,' ", ",', /" ')' "/' it , ";:, " ' ;, " q " " ,', ". " III ..//1- &' COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE " c...- *' 8UREAU OF INDIVIDUAL TANES INHERITANCE TA~ DIVISION DEPT, 180601 HARRISBURG, PA 17128-0601 NOTICE OF INHERITAHCE TAN APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAN 11f'lhlll an II'.'" WILMA L CLIPPINGER 26 N DICKINSON SCH RD CARLISLt PA 17013 DATE ESTATE OF DA TE OF DEATH FILE NUMBER COUNTY ACN KENNETH 02-24-98 CLIPPINGER 12-30-93 21 94-0096 CUMBERLAND 101 ~ A.~~~~ Ro.'1t ted 1 MAKE CHECK PAYABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 CUT ALONO THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ... REV: i5'ti; - ilif 0 "F"P- 0 i 0"9-: 97T 0 Niii'% era F. INHiliiii'Aiic E. "fAX 0 A"r-i PRA"i sili-iENT ~ - -" LUiwAiicE 0 iili _..00 __o..ooooooo DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX KENNETH E FILE NO. 21 94-0096 ACN 101 ESTATE OF CLIPPINGER DATE 02-24-98 TAN RETURN WAS, (X I ACCEPTED AS FILEO RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN I, Rool Eotltl ISohldul1 A) 2, stooko Ind 8ondo (Sohldull 81 5, Closoly Hlld Stook/Plrtnlrshlp Intlrost ISohodul1 C) 4, Hortglgls/Notls Rloll.lblo (Sohldulo 01 S. CI.h/Slnk Dlposlts/Hlso. Plrsonll Proporty (SOhldull EI 6. Jointly Ownld Proporty (Sohodull F) 7. Trlnsfor s I Sohldull 0) 8. Totel Auoto I 'CHANGED ,00 4.258,75 ,00 .00 ,00 ,00 ,00 (81 III (?, IS) 141 151 (6) (7) NOTE, To Insurl proplr oredit to your Iccountl lub..U the uPPlr portion of this for. with your tlx Plylltlnt. 4.258,75 APPROVED DEDUCTIONS AND EXEMPTIONS I 9. Fun.rll Expen.../Ad... Coatl/HiIC. EXPln... CSohldul. HI 10. Olbts/Hortglgl Lllbllltlls/Llons ISohldul1 I) ll. Totel Doduotlons I?, Nit Vlluo of To. Rlturn IS, Chlrlt"blo/Go.orn,"ntll 8lquostS) Non-Ilootld 9115 Trusts 14. Nit Vllul of Elteto Subjlot to TI. (9' 110 , 7,786.00 1,250,00 (lll (12) _ (15) _ (14) 9,036 00 4,777.25- .00 4.777,25- (Sohldull J I NOTEl If an assessment was issued previously, lines 14, 15 and/or 16, 17 and 18 will reflect figures that include the total of ahh returns asses led to date. ASSESSMENT OF TAXl IS, AMount of Llnl 14 It Spousll rltl (151 16. AMount of Llnl 14 tl.lbll It Llnlll/Cllss A rltl (161 17. AMount of Llno 14 tl.lbll It Collltlrll/Cllss B rltl 117' 18. Prlnolpll TI. Duo ,00x,00. .00 X ,06. .00X.1S. 118) ,00 ,00 ,00 ,00 TAX CREDITS I P A YHENT DATE RECEIPT NUHBER DISCOUNT It I INTEREST/PEN PAID I-I AHOUNT PAID TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE ,00 .00 .00 --- ,DO · IF PAID AFTER DATE INDICATED. SEE REVERSE FOR CALCUI.ATlON OF ADDITIONAL INTEREST. IF TOTAL DUE IS I.ESS THAN n. NO PAYHENT IS REqUIRED, IF TOTAl. DUE IS REFLECTED AS A "CREDIT" (CR', YOU HAY BE DUE A REFUND. SEE RE'IERSE SIDE OF THIS FORN FOR INSTRUCTIONS. I E " W~ c.d :1.1 :\11\, J III (i 'i r.r ,;I , ., f' ,'\ I" , , , iii F:' "I , , " N , , C O'l '_\/ " () :.:J ,1 I: h..J (j,' " "~J t .. b " ):. ;~~ 1-"> RESERVATIONI E"lt.. 0' 'dlold.nt. dvlng on or blfor. Ole'lb,r 12, 19'2 -~ l' InV lutur. Inter..t In thl I.tet. 1. ,ran"lrr.d In pOI.tl.lon or .nJov..nt to CI... . (0011It,r,1) blneflel,rl.. of thl deoldlnt .'t,r thl 'MPlre'lon of any I,'t', 'or 11'. or for y..r., thl COI.onw',lth h,r.by IMpr...lv r..,rVI. thl right to IPPr.1.. and ....., tran,'.r Inherltlnc. TIXI, It thl I.wful Cl,.. I (oolhttrlll rflt, on InY luch future Int.rut. PUlPOR OF HOne!l To fulfill thl rlqt.tlr...nt. 0' hcUon 21~O of thl Inhtrltlnol and :iltlt. 111{ ht, Aat 21 0' 1995. (12 P.S. hoUon 9140), PAYHENTl Ottech thl top portion of thl. Notlel Illd dub.1t '11th your Ply..nt to thl Rlght,r 0' NUll prlntfd on thl rIVlr.. .Id,. .-H.k. chock .r ..n.. .rdor P...bl. ,., REGISTER OF HILLS, AOENT REFUND (CA)I . r,'und 0' I tlM crldlt, whloh WII not rlqul.tld on thl TIM Rlturn, 'IY bl rlque.tld by cu.plltlng In "Appllcltlon 'or RI'und c, Plnnlylvlnll Inhlrltlncl Ind E.tatl TaM" (REV-ISIS), Applloltlonl ar. ,vllllble It the Offlc. of thl Rlgllt.r 0' Will., Iny 0' the 2S Rlv.nul Dlltrlct Of'lo.I, or by cllllng thl 1~IOIII 24~hour enlwerlng Ilrvlcl nutb.r. 'cr fQr.. ordlrlnOI In P.nnlylvlnll 1-100-562-2050, outlld. PlnnlYlyanl. end withIn 10011 Hlrrl.burg ar'l (711) 717-1094, TOOl (7171 772-2252 (H..rlng I,pllrld Only). OIJECTJOHSI Any plrty In lntlrllt not saU.flld with the .pp"I....nt, IUOWWI or dluUowlnc. of dlductlonl, or ......Nn, 0' t.M'(lnoludln. dlloount or Int.r.lt) e. lhown on thl. Hotlcl IU.t obJ.ot within 'Ixty (60) dlY' 0' reoelPt a' thll Notlol bYI ADHIH IITRATlYE CORRECTIONSI Fectull Irror. dllcovlrld on thl. al'.....nt .hould b. Iddr"'ld In writing tCI PA D.p.rt.."t 0' R.vtnUI, lurelU c, IncUyldual taMil, ATTHI Pott h......nt RlyllW Unit, alpt, 280601, Illrrhbur., PA 17121-0601 Phone (717) 7.7~6S05. S.. pagl S 0' the bookl.t "In.truotlon. for Inh.rltencl TIM Rlturn 'or. R..ldent OIcldlnt" (REV-IS01) for an 'MplanltJon 0' Idllnl.tratlv.ly corrlctlbl. .rrorl, .-wrlttln protl.t to the PA D'Plrt'lnt of RaYlnul, IClrd 0' ApPIII., D.pt. Za1021, Harrl.burl, PA 17121-1021, OR -~.llottcn to hlYI thl I.tter dlttrlln.d It ludlt of the ICCOWlt of the per.onll rlpre..ntatty., OR --'PPI.I to t~1 Drphanl' Court. DISCOUNT I I' any tlM due 1. paid within thr.. (S) c.llndlr lonth. ,'tlr the dtc.dlntt. U.lth, D flv. Plrc.nt (SX) dl.count of the tlx p,ld 1. 111oWld. PE~LTVI The 15~ t.M eInt.ty non-plrtlelPltlon pln.1ty I, oo.,uttd on thl totll of the tlx and 10'.r'lt I......d, and hOt paid b.fore Janutry la, 1996, the fIrst day Ifter the Ind of the bJIC a..,lIty periOd. Thh non-pertlclJ'1,tlon Pinal tv II apP.Ilabll In the .1.. ..nn.r Ind In the thl .1.. tl., p.rlod al YOU would app.Il the t.M and In'.rl.t thlt ha. b,en ......Id 10 lndlc.tld en thl1 not Ie.. INTEREST I 'Intlr..t I' charg.d bl,lnnlng with 'Irat day of dlltnquenc~, or nlnl (9) lonth. and on. (1) day frol the d.t. 0' dI.th, to the d.t. of ply..nt. TIM" ~hlch blcl.. dlllnqu.nt beforl Jlnulry I, 1912 b.lr lntar..t .t the rate of .IN (6~) p.rc.nt plr .nnUl calculatld at ~ dally r.tl of .000164. All taM" which blo... dl11nquent on and aftlr Jlnuary I, 1982 will b..r Int.r..t at I ratl which will yary 'rOl cIl.ndar Viar to oll.ndlr Yllr with th.t rlt. announold by thl PA alplrt..nt 0' RIVlnue. Th, appllctbl. Intlr..t rat'l 'or 191Z throuGh 1991 .r., ~ Inttrut R.t, Dallv Intart.t F.otar X!!r Inter..t R." Oallv Intlrl.t F.etar Inl lOX ,Oe05\1 1917 9X ,000U7 19U 16X ,000438 1988'1991 !IX ,000301 1984 m ,000301 1991 9X ,000247 1981 13X ,000356 199Hffi 7X .0001Q2 1986 lOX ,000274 1995-1998 9X ,000247 -"Intlrllt I. ollculat.d .1 followl' INTEREST. SA LANOE OF TAX UNPAID X NUHSER OF DAVS DELINQUENT X DAILV INTEREST FACTOR --Any Notlcl I..u.d I'tlr thl tlM blOO~11 dellnqu.nt will rlfllot In Int.r..t clleul.tlon to flfttln (II) dlV' b.yond thl dlt. of the 11"I~ltnt. I' PIV.lnt il ~tdl a't.r thl Intlr..t cOIputltlon dlt. lhown on' the Notlc., additional Int.r..t IU.t bl calcul.t.d. " ,,' ,./ '" I' , i, j,' " " " 1\ " " , \: I: " ii/ " " /. , " . L .' I. 'I; " 'I. , '" ~ .- I : I - , I 'I. " /l' ,', L' " 1'1' /, " , '. " "" ;." "l'!' " i'ii <il I' ", \' It, " " "," 1",1' 1\, ,.- , 1/ H " "\ 'I, Ii " " ''';1\'( I', '!' i' , , II/ I,' \;i '" (, " " " I' 1\ /, ':. " '" ,: " " " I JI, . " I 'i ~t_I' " f::<,.~; ',.... \I Iri ",I , , '1""': ..,.'.... r' ~L ',I ".11) .. I, I, , , , " "" 'i. ,. I ilt " " ,', , . " "-'.' I.: '" ,/ 'll " I"~ /, . " " ", ,gl: -U' tx; ,""J " " I) ,. , " i' " ""I " " ,;, I; " '>I i\1: ill U~,' 0: 'J' ", "':"'~n /"'("/\ . " ,~;;, I : 'l';l~~ I,i.' 1\ i!fa, . " I'. " " I' , ',' 1;" ',-;; f' ~'. " (~ , ,." I' ,', " I' /, , " ;, " " /- " " ", " i', , " ,', /.j " " ". Ii; , " '" ," " " n, ,'1 , , (;\' " " " "",,' Ii" II ". " " , "I "I'" ,1"1, '! \, i, ,l' , " ,I; i'" Ii 'l! "i,":;, I '11'1': " " " "'I j; "'I" ii' " ,. ,I 11'"" .' ", " /' " !-i;11 " , " " " " " H" ,': " " it , if ",1 ;; , " , " ill'O I'i I"" , " I,' " /., ,\ ," . " "