HomeMy WebLinkAbout94-00209
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Estate of Mary Wilt Shambauqh
also known as
PETITION FOR PROBATE and GRANT OF LETTERS
No. _21-94- 11/1'')
To:
Register of Wills for thc
Deceased. County of Cumberland In the
Social Security No. 1 7? - n 1 - q h? II Commonwealth of PCMsylvania
The petition of the undersigned respectfully represents that:
Your petltloner(s), who is/are 18 years of age or older lUlthe execur ~ru
In the iast will of the above decedenr, dated November
and codlcll(s) dated none
naw;d
,19_
(11lIe relevlnl ciICllmllan'es. e... renuncilllon. dealh or exeallor. esc.)
Decendent was domiciled at death in Cumberland
I> "''" .Iut fa.'11lly or principal residence at r.hllrch of
ao.l ~f"'\'l"'+-h n:lnf"'\Hn'l'" q;+-l'~t:lAr. (1~rliqlp
(llIllltecl, number and munctpalJlY)
County, Pennsylvania, with
God Nursinq Home
Decendent, then R6 years of age, died Februarv 7 ,19 94
at ('~I1'l"',..h f"'\f r..nrl Ml1Y'cdng Hnmp .
Except as follows, decedent did not marry, was not dlvorced and did not have a child born or adopted
aftcr execution of the will offered for probate: was not the victim of a killing and was never adjudicated
Incompetent: none
Decendent at death owned property with estimated values as follows:
(If domiciled In Pa.) All personal property
(If not domiciled In Pa.) Personal property In Pennsylvania
(If not domiciled 10 Pa.) Personal property In County
Value of real e.ltate In Pennsylvania .
situated as follows: none
S 100,000.00
S
S
S
WHEREFORE, petltloner(s) respectfully
presented herewith and the grant of letters
theron.
request(s) the probate of the last wlll and codlcll(s)
t.~qt-AmAnt-Ar'i
(Iesllmenrlll': allmlnllltlllon C,I.I.; IdmlnJlltllion d,b,n.c.l.I,)
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d?d? r.~rli81e Pika
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA } ss
COUNTY OF CUHBEHLAND
The petltloner(s) above.named swear(s) or afflrm(s) that the statements In the foregoing petition are
true and correct 10 the best of the knowledge and belief of petltloner(s) and that as person!l represen.
tatlve(5) of the above decedent petltloner(s) will well and truly adminiSlCr the estate according to law.
a/'/: 1;..'
Sworn to or affirmed and subscribed ~ ~4';.n//2~_.;,(/ .y' ./"'/
before me this ?St.h day of '
. ~ ~f~~Ri (J~ ~' ,.'~
~ Ilfj' .l. .Q f.L~ .- if nl /;Y_PIJ(' nrtnk
/1_/ _ I (I :) _ :") MAR Y C. Wi! S Re~lsrer' (,
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tIlO&I12REY lHlll
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CERftFlCAlE 12,001
WAHNIN(;: II IS II.I.U.i111. 10 ALIUI IHIS COI'\' Uf!
TO DlJl'l.ICATE nv I'HOTOSIAT 011 f'1I0TOOIIAf'11.
COMMONWEALnI OF PENNSYLVANIA
OEPAATMENT Of HEALTH VITAL AECOROS
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
CERT. NO. 2035763
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,.. -f-___ '00'" ",mlt, N'__! )J.., ,--,j!;_~ i __ 0", ~fi"h 3...L_~ j f f 1_
Date of Blrt~ . UL1~J)2.~. BlrlhPlacO;~.J) . _. . ...I:t"I.i~r-l.._.. ZG__.n _
Place of /ath i!1. I v'~,---' l!1-LW~~.._._(!U.l,J_L._lJ'LLl_~_ .'1JJ.llf1DSYIVanll!
''I II r """" "M" =;/; ? if. !. I.""" .. . ~,'7lT'Jr,!LlO" VI r",""I,,,!, .
Race __~L .Occf' atlon -..L.:JI.,~....J-:",,_..... ... _ _. Armod Forces? (Yes or No) _.u ~t.L .__._..
,I-r t Docedent's f.l / ',,/ / j,.. // / . -.7
Marital Status LlL...Ji~___._ Mailing Address. rfjJ.lli.. .. 71a':!'::O_\A'c,=:.-.Ai1._..~~L_J!..L--- _
Il'If"!,M ~OIrL',!1 (;,1\' or 1 v..." 'iIJIO
Informant JJ~L",=~ld!,,~i..__m.__ __ Funeral Director ._'71.lIl..d:Z- .. jLMd.~- ... ___un
Name and Address of. 1. .
Funeral Establishment !J,-jLMiL'''_~kll_"iifl.duL&.(,,- ..__iL_.,._il-I (.<...;1.- ~
: 1~~.Between
Part I: Immediate (ause .. : Onset and Death
(a) iLL.__(2M:.;t_jL-_-;t=~u.____~__..__._u__.j__..________
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(b)~-1Ldkldt..J!A~/~0!/;--{l~~'_d.2::~:_'__-l________
(C)_UA<dX__l~~t-_m_~/LJ....u-ct:.-k.:!'=-__.u_____~_
(d)
Part II: Other Significant Condllions
,
,
,
-------~.--.-. --'-'---'-- .-.--.---.--~--.----.-__L___.
-----------..--..------...---". ....----------...----.------
Manner of DeJrlh:
Natural I2f
Accident 0
Suicide 0
Describe how Injury occurred:
Homicide 0
Pending Investigation 0
Could not be Delerml/lod 0
---.---.-----------.----.
Name and Title of Certlflor -___~,-f/:!.-...iltklY-:,. ._L_._.d_._____.________..____.____
Address . . . -.~'=or~u--.--..-_.-._.d-.-.--....-~~~.:'.~~., c~roner, ~.'~~
This Is to certify that the Informatlol1 horo glvol1 Is correctly copied from an original cerlillcate of
death duly fllod with mo as Looal Roglstrar. Tile orl(llnal certificate will bo forwardod to the Stalo
Vital Records Olflce for permanont IIlIng.
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.1JJns! lIIill nub Weslntntut
OF
MARY WILT SHAMBAUGH
I
! I, MARY WILT SHAMBAUGH, of Cumberland County, Pennsylvania,
being of sound and disposing mind, memory and understanding, do
hereby make, publish and declare this as and for my Last Will and.
Testament, hereby revoking Any and all prior Wills, and any and
all COdicils thereto, by me at any time heretofore made.
1. I direct the payment of my debts and the expenses of my
last illness and funeral shall be paid from my estate an
administrative expense as Roon after my decease as shall be found
convenient. I further direct that all death taxes shall be paid
from my residuary estate and that they shall be included as an
administrative expense.
2. I give and bequeath all of my property to my husband,
RAYMOND LEROY SHAMBAUGH.
3. Should my husband, RAYMOND LEROY SHAMBAUGH, fail to
survive me, I make the following specific bequests:
A, r give and bequeath all of my jewelry to my
great, great niece, LISA SUROVICK, who presently resides in
Pottsville, Pennsylvania;
B. I give and bequeath all of my clothing and
wearing apparel to the Salvation Army located in
HarriSburg, Pennsylvania.
1
, .
. .
In the event my husband pre-deceases me then I give all the rest,
residu~ and remainder of my estate as follows:
A. One-third to my grandniece, MRS. LINDA
SUROVICK, of Pottsville, Pennsylvaniaj
B. One-third to my grandnephew, JAMES LEE DeSALLE,
of Camp Hill, Pennsylvaniaj
C. One-third to CHARLES SHAMBAUGH and MARGARET
SHAMBAUGH.
Should either CHARLES SHAMBAUGH or MARGARET SHAMBAUGH fail
to survive me, the foregoing bequest shall be distributed to tho
survivor. Should any of the residuary legatees pre-decease me
the share of that one shall not lapse should there be issue
surviving and distribution shall be made per stirpes.
4. I nominate, constitute and appoint CCNB Bank, N.A. and
its successors, to be the Executor of this my Last Will and
Testament.
IN WITNESS WHEREOF, I have hereunto set my hand and seal
this
lath day 0 f
November
, 1987.
~~(SEAL)
SIGNE , SEALED, PUBLISHED and DECLARED
i,P'th presence of:
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3 S HANOVER ST
OARLISLE PA 17013
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INHERI'l'ANCE 'l'AX RETURN
RESID.ENT DECEDEN'I'
(TO DE FILED IN DUPLWA'I'E
WITH REGIS'l'ER OF Wil,i,S)
FOR DATES OF oEA1I1 AFTER .\2/31/91 r.ItEC(~IF.RE
IF A SPOUSAL . ,
POVF.RTV CREDIT !~ CLAI.m..!t..Ll..
rIlE tutlER
?1-9'1-0209
COU 1 Y CODE YEAR
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SItAMOAUOII MARY W,
. 17'2-01-96211 .r---=-[ ":;~~~:-~r(,71~~~~;~~~:' COl..,jy
1. Orlgl".1 R.lurn IT 2. Suppl.,"."I.1 Rolurn
CltlllWII 0'. 000 NIlIIS I NO IlOflr
C:^I\l.1 SIT, "^
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tJ J. R.m.l"d.r R.lurn
(tor d.l.. 01 d.alh prior 10 12.13.82)
o 6. F.d.,,' Ellal. T..
Relllrn Req"lred
o 4. LI,"II.d EII.t.
IJ 411, Future Il1lere'JI COlllproml'fl
(for d.I.. of 110.11. .Nor 1?12.n?)
IKI 8. o.ced.nl Died T.II.le Iiil 7. o.c.d."1 M.I"I.I".d . I.Ivl"9 Tru,1 _ 8. 101.1 Nllmb.r or S.,. o,pOIII DOH"
(Alla'it copy of Will) (AIlach ,opy of Trll.l) _
LL CORI!!SPONDENCE A!jD CONF~!!~~nMc.J:!~..I~.!'9RMATION. SHOULD BE DIRECTED TOI
N^Hr. l'nlll'l,nr 11r\11.11I(1 ^IlIlRrn!1
CIIARIIA I HE RELL
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CAliI' It III.. pA 11001
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1. ROll ElIII. (S'hedul. A) ( 11 __"_._..~..._...._~.~___
2 Slockland BondI (S'hedllle R) (II ._~~.~...__....'!J..L9..!2..l.l2..._
3. Clo"ly 1l.ld SlocklPa..II1"'hlp Inter"l (9ch.<lIII. C) ( 3) _~...~....__._.....u.~..~~_._____
4. Morlg.gel .nd Nol.. Rec.lv.ble (5cl"dllle D) ( 41 ._..u......._...~_ .~.....__-'-_
6. C..h, B.nk o'pollI. & MllOolI.neoll. Pmoll.1 Property( fil 10 () 17 . 60
(Sch.dlll. E) .__..-~-....~-...__.I
8. Jointly Own.d Properly (501t.dule rl ( n)
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( 7) _......~..~._____..__
7. Tr.nll'" (5ch.dllle 0) (5ch.dllle L)
B. Tolal 0"" A".I. (lol.llIn.. 1.7)
( 81
109,996.79
13,1177.%
9. Funeral E.pen.e., Admllll.lrotlve Co.I., MllOell.neoll. (0)
EHpen... (5ch.dllle It)
10. oebltl, Morlgage L1.blllll.., L1.II. (a,lt.dlll. II
11. Tolal o.dllcllon. (101.111110' 0 & 10)
12. Net V.III. of ElI.le (IIn. 8 1111,,", line 11)
13. CI",II..le .nd Ooverl1lMnl.1 Reqll"l. (S,It.dllle J)
14. Net V.III. 5ublecllo TIM (line 12 mh'"~.!!i!!'_~L____~_.___..~_m....._____
16. Amollnl olllne 14 laH.bl. .t A% rale (161
(Incllld. Villi" from S,ltedlll. K or 5cltedlll. M.)
lA. Amolllll 011111. 14 laM.hl. .116% "I.
(lncllld. Villi" from S,II.dllle K or 5'ltodlll. M.)
17. Prlnclp.II'H dlle (Add I.. from 11"8 15 .lId from IIn. 10)
18. Credlll 5poII..1 Povo,ly Credit Prior P'Yl1lonl< IlI..oll1.1
____.~.._ + _~~.~~!.'..:.!l!~ +~.. (,OIl,? I "~n..___ (18)
10. II line 10 I. gre.ler Ih.n IIn. 17, enler lite dlll"o"c. on II". In 1111, I, II.. OVERPAYMENT. (19)
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399.68
13,81"1.211
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21l. II line 17 I. gr.. I" tlt,,\ line lB, .nler lit. dlff"en,o on 11118 ?o. Till. I' II..
^, Enter the Interesl on lhe hllllll1ce due onllllf'l 20^
(hlll.k hurn If you uru Ivqllu<.tlng II rufuml of ymll' oVlIrplIymnnt.
(20)
733.72
TAX DUE.
12M)
(lOR)
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R. Enl" lit. 101.1 011111.20 .nd 20A 0111111. lOB. Till, I. Ill. BALANCE DUE.
Hok. Chock Payable 10. Roglelol' of Hills, AIl""I
Und~r penftlllu nl~lll~ ~e~lft~~I~~II~?& r~'~l~I~~~lIS~~I~II'~I~~r~I~I~~~I~'~~~~~~l~~~;~~~~!~1~~~~ ~11~~7i~I~~~P.~y ~\~~~O~n~Uel.
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SCHEDULE H
FUNERAL EKPENSES
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EKPENSES
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3/2'/911
'tI ORVII.LE K IMMf.L fUNf.RAI. 1I0Mf:
FUNERAL EXPENHf.S
11.977.00
.. AdMiniltr.tivl Coati I
1, P.r."",,1 Ropr....lIl.Uv. c..-holon. SU A 11 AGII[;O I II:M Il.AT ION 5.liOO.OO
SooI.1 geourlty Huober of P..raonal Repr...nt. VII'
V..r COMMI.alon. pold
2. Attorney F... SEE ATTACllf.O ITEMIZATION 2.750,00
J, Fally EK~Unn
Cl.IMlnt _ R.lotlonahlp
Add.... of Cl.IMont 01 doa..tent'. <loath
Btr..t Addr....
city st.t. Zip Codo
4. Prob.t. FHa
C. Hilc.Uan,oul !xp.n"'1
SEr. ATTACllEO ITf:MllATlnN 350.56
TOTAL (AI'. .nt.r nn line 9, RlCaplhd.Uonl
$13,1/77.56
1_____
(If mme '~nCflI' "l'ftrltld, In'~11 n.I"'lIInll:l1 ~hMh of ",'11\" ~I'n I
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ESTATE OF MARV .llHAMBAUOH,
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PERSONAL REPRESENTATIVE
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1127255 mF, NUMOF.R
PNO BANK, N:A.
EKr,OUTOR'9 COMMISSION
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TOTAL 'PERSONAL' RF.PRESENTAHVE 00MMI9SIONS
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ATTORNEY rEF.S
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'1127255 riLE NUMBER ?1-94-0209..
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LINOS^Y . OOUNSEL rEE
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111 SOEI.I.ANEOUS f.XPENSES
1127255 r It.E' ~UMBER 2HII'-0209'
FLOWER MOROENTI/AL r1.nWER AI LI NllSAV
REIMBURSEMENT rOR "R08ATE COSTS
.DU8EAU OF V I TAl. Rf.CORllS
OEM II OERT I r I CATES fOR
RAVMOND SIIAMtlAUOl1
TIlE SENTI NEt.
LEOAl. ADVERTISINC
FLOWER MOROENTltAL FLOWER AI 1.1 ND8AV
RE I MBURSEMENT FOR al/ORT
OERTIFICATES
QUMBERLAND LAW JOURNAl.
LEOAl. ADVERT I S I NO
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IN1IlItT",.cm 1'^1 anURN
RlaID~NT P~CIDINt
ESTATE OF
MARY 91,^MBAUOII
ITEM
NUMBER
2
3
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5
6
1
9
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3/23/9"
3/24/94
3/211/94
5/02/911
'. 5/24/9"
6/03/9"
6/09/94
8/291911
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES AND LIENS
_____J
112"/255
OEseR I PTI ON
rNc RANK, NATIONAl. ASSOCIATION
rR I NO I rAI. OOMPENSATION fiE [RUST
TIlE CIIUROII OF 001> ItoME I NO
REIMBURSEMENT FnR MEIlICAI. smVloE
OENTRAI. rA fiE liAR II. I TAT ION SERVICE
BALANOE IlIlE rOR oocurA'IION^1.
TIIERArv
DREW.! STOKEN
MEOIOAL SERVICES
PATIENT AOOOUNTINO Sr.RVICES INC
MEDIC^1. SERVICES
OARLISLE GARI>IOrULMON^RY ASSOC
MEOIOAL SERVICES
WILDEMAN & OIBROCK
rEE rOR rRErARATION or 1993 TAX
RETURNS
RWO EMERGENCY rllYS I ClANS
MEOIOAL SERVIOES
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TOTAL (Also linIN nil 1I11l'l tn, nflctlpUulnU,nnl
(II ",OIl '~ncft Is l1u'rfldlllSltr1 ilddlllol1nl ~h:l"h nl '-;11110 '111(11
PAGE
pl..le Print or Typo
FIl E NUMBER
21-94-0209
AMOUN1
187,'0
7.01
,20,0~
10,96
1,89
10,67
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130.00
31.6'
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$399,68
COMMONWIALTH Oil 'IINNIYLVANIA .[
COUN" Oil CUMllllLAND J
III
CllAII1M1NI: II 11f:1.1.
'1'1\11 H 'I' ()Io' n (a: II, PNC BAN K
b.lng duly ..II.w.llrJL __ _ . aooordlng 10 I.w, depolll end "y' Ihet ~lY e
_-1..Il._J:j.x.\l~_"L.\l.L ....... ._.._ of the Est.t. of MARY W SHAMBAUGH
I.t. 01 _.__.. .. GI\I\ 1.1 H U: . ........ , Cumb.rl.nd County, P.., d.o....d .nd that the
within II .n Inv.nlory m.d. by .._.r.;IL6JUIAltu~lL..I!J:;.~ __ ., the ..Id EXECUTOR
of the .nllr. III.t. of 1.ld d.o.dent, oonlhllng 01 .lIlhe plllonel prop.rly .nd r..1 "t.t.. .MO.pt r..1 I.t.t. ou..ld.
Ih. Commonw..llh 01 P.nnlylv.nl'l .nd Ih.llh. IIgurll oppolll. eaoh lI.m of the Inv.ntory r.pr...nt It'. f.lr v.lu.
II of the d.t. of d.o.d.nt'l dulh.
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~Jl.~g..:\):'.~J. 0 r,~.
.nd lublorlb.d b.lor. me,
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19 q/
PNC BANK
Ilv. ?~~~a-~ d ~4/
E...,to, . ~~~1It(4!4!
TRUST OFFICER
. NolM/w 08Ili
llI*ta ^ 01111111, Nolivy!'ldo
HIm.hl '111I1., G,"nboMlld Cot""
I.+tColI~foIoI8mli"*,,,J,"I8, 11l\ll1
MontoGl, Plll''/I)tIlViIo~iiimOlii
./
D.t. ~f D..lh .__._ _'0.0'____.
D.y
POBOX 30B
CAMP HILL PA 1 tgt'"-030B
FI:IlRUARY 1994
Month VI"
INSTRUCTIONS
I, An Inv.ntory mutt be flied wllhln thr.. monlhl .Iter .ppolntm.nt 01 plllonll rtpr...nt.ttve.
I, A lupplement Invenlory mutt be fII.d wllhln thirty d'YI of dllcov,ry of .ddltlon.1 .......
I. Addltlon.llh.... m.y b. .tt.oh.d II to plllon.lty or realty
04, .. S.. Artlal. IV, Plduolerlll Aot 01 19049.
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EV-1!147 EX AFP (08.941_
COHHOIMAl TH OF PEHHSYLVANIA
Ot:PAATHENT OF REVENUE
IVREAU Of INDIYIOUAL TANES
Ot:PI. IID601
HAAAISIUAD, PA 17121'0601
ISTATE OF SHAMBAUGH FILE NU.
DATE OF DEATH 02-07"94 COUNTY CUMBERLAND
NOTE, TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAX
PAYHENT TO THE REOISTER OF WILLS. HAKE CHECK PAYABLE TO "REGISTER OF WILLS, AOENT"
REMIT PAYMENT Tal
j1-I- /Cf5 -0'"
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ACN
101
NOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
CHARMAINE BELL
PNC BANK NA
PO BOX 308
CAMP HILL
PA 17001
DAT! 01-24-95
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
A.ount R..I H.d
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I
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ....
REV: isla? - EX"- A F p" (OS-: 94 T - Niifi cir -oF. "iNti Eiii f iiN'c E - YA'X. 'A"p FiR'A"i S EM ENl ~ . -A i. l"oWANCE. cili - -.. - -.- -..... - --
DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX
ESTATE OF SHAMBAUGH MARY W FILE NO. 21 94"0209 ACN 101 DATE 01-24-95
NOTEI 11 an a.....mlnt waa i.auld previou.1y, linl. 14, 15 and/or 16, 17 end 18 will
'~efllct ~gu~hat includ. thl total 01 ill r.turn. all....ed to doh.
ASSESSHENtiOF TAlI I "j 0.;
15. A...:iijt of LQ.I 14'..t.$poulll ..to 115) ,00 X ,DO, .00
16, AioOunt of I..!!I. 14-'t.dble .t Lln..l/Clul A ..to 116) .00 X, 06. ,00
17. A.o';';t of LfhI. 14'toN'ble.t Coll.lord/Cl... B ..t. (171 96.119,56 X ,IS. 14,417,93
lB. FrlnGlp.l'ii!<Du. I1B) 14,417.93
TAX CREIIITlt"" .,
PAY HE LC
DATI!:
05-06-94
11-07"94
TAX RETURN WAS, I X I ACCEPTED AS FILEO
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL
1, R..l E.t.t. (Sch.dule A)
2, ~toDk. .nd Bond. ISoh.dul. BI
3. Clol.ly H.ld Stock/p..tn."hlp Int.'.lt ISch.dull CI
4, Hortv.g.I/Not., R.c.lv.bl. ISch.dul. 0)
5, c..h/Bonk Dlpo.UI/Hllc. p."on.l ProPlrty I Sch.dule E I
6. JointlY Own.d P.cP..ty (Schldul. F)
7. Tr.nlf... (Sch.dul. 01
B. Tot.l Au.to
APPROVED DEDUCTIONS AND EXEMPTIONS I
9. Fun...l ENp.nl.I/Ad.. COlt./Hllc. ENp.n.l. (Sch.dul. HI
10. D.btl/Ho.tv.g. LI.bllltl.,/LI.n. ISchldul. I)
11. Totol D.ductlonl
12. N.t V.lu. of ToN R.tu.n
13. Ch..lt.bl./Oov..n..nt.l B.qu.lts ISch.dul. JI
14. N.t V.lu. of Estoto Subj.ct to To<
~R~CIIf
.' NU
XAB 7
HM913153
DISCOUNT 1+)
INTEREST ('1
684.21
.00
I ) CHANGED
111
(2)
13)
(4)
IS)
(61
17)
.00
91.919,19
,00
,00
18,077,60
,00
.00
IB)
109.996.79
(9)
(10)-
13,477,56
399.68
111 )
(12)
(15)
114)
1~.A77 ?4
96,119,55
,00
96,119,55
AHOUNT PAID
13,000,00
733.72
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
14,417.93
.00
,00
,00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
$- !?'7 ~ I
IF TOTAL DUE IS LESS THAN .1, NO PAYHENT IS REQUIRED,
IF TOTAL DUE IS REFLECTED AS A "CREDIT" eCR), YOU HAY BE DUE
A REFUND, SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS,)
...-.... ,..
,
..-......'
,.
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RESERVAT10NI Elt,t.. of dleldlnts dYing on or blforn Deo.-blr 12, 1982 ..~ If any futurl IntlrlU In the ..tatl It tr'nlflrrld
In pOII...lon or ,njoYllln.t to CI.II 8 (coUatlra1> blnlflol.rI.. of thl dleldlnt .ftlr the 'lCplr.tlon of any ..tetl for
l1f. er far Yllr., thl Co..onwIIUh hlrlby .lCpr.lI1Y r...rvII thl right tCl .ppral.. end ...... tran.ftr Inherltlnol TaIC'1
at thl hwful Cia.. B (ooll"tlr.1) ".tl on .ny .uch future Intlr..t.
PURPOSE OF
NOTICE I To fulfill the rlqulr..lntt of Slotlon 2140 of thl Inhlrltancl and E.tatl TalC Act, Act 22 of 1991. 72 P,S.
SIClUen 2140,
PAVHENTl Dltach thl top portion of thh Hotlcl and .ub.1t with your pay.,nt to the Rlllhtlr of Wills printed on the 'rlVlrll .Idl.
uHakl ohlck or MOnlY order pay'bl. tOI REOISTER OF MILLS, AGENT
AU plY..nt. rlCllVld .hall flr.t bl &ppl1.d to any Intlr..t which .ay bl due Mlth any r...lnd.r appllld to thl tilt,
.~wrlttln prot,.t to thl PA Dlpartltnt of Rlvlnul, Board of APPIIlI, DEPT. 281021. Harrltburg, PA 17128"'1021, OR
"'lllotlon to havI the lIattlr dltlr.ln.d lit audit of thl account of the p.rlonal rlprlllntetlvl, OR
uepPtll to thl Orphln.' Cour t.
I
I
l
'I
I
I
REFUND ICR) I
A refund of . talC credit, which w.. not r.qu..ted on the hit Rlturn, ..y bl rlqulltla by co.phtlng In "Application
for R.fund of "Innlylvanll Inhlrltancl tlnd E.tatl Tal(" (REY.13U), Application. are avaUabll at the Dfflc.
of thl Rlgl.tlr of Will., any of thl 23 Rlvlnul Ol.trlct OfficII. or by cllllng thl 'Plolal 2~~hour
.n.w.rlng .,rvlcl nUlblr. fcr for.. ord.rlngl In Plnn.vlv.nla 1.800.362.2050, outlldl Plnnlylvania and
within local HI" hburg er.. (17) 187-60"4, tODI (111) 172~2252 (Hurlng I.palred OnlY).
OBJECTlONI,
Any party In inter..t not ..tltfl.d with the IPpral..,.lnt, allowancl or dluJloMlncl of dtductlon., or ......nnt
of talt (Inoludlng ditcaunt or IntlruU II .hewn on this Notlcl .ust objlct within .ll(ty (60) dlY' of tlc,lpt of
thlt Notlc. bV I
ADIIIN
ISTRAlIVE
CORRECTIONS,
Faotul\ .rror. dl.covlr.d on this I.......nt .hould bl addrl...d In writing tal PA Olpart~lnt of Rlvlnul,
Iurllu of IndlvlCklal T'MII, ATTNI Polt A.......nt Rlvl.w Unit, DEPT. 210601, Hlrrl.burg, PA 17121.0601
Phon. (717) 717~6505, S.. Pit. 3 of the book lIt "In.tructlon. for Inherltanc. hlC R.turn for I Auld,nt
Otc.dent" (REY.1501l for an .lCplanltlon of ad.lnhttltlv.h corrlotabl, Itro",
DJSCOUllTI
If Iny tlM due it paid within thrll (3) cal.ndsr .onth. atilt the d.c,dlnt'. duth, a flv. perclnt (5;0 dlteount of
tht tal( paid It allow.d.
INTEREI"
Interl.t I. chlrgld b.glnnlng with flr.t dav of dellnqu,ncv, or nlnQ (9) lenth' Ind cn. (1) day fro. the date of
dttth, to thl data of ply..nt, TIICII which blO'''' delinqulnt blfcre J.nuery 1, 1982 bltr lntltllt at the r.t. of
.IM l6X) Plre.nt plr InnUM caloullttd at a dally rat. of ,000164. All talC" whl~h bIO..1 dtllnquent on Ind tftlr
January 1, 1982 will bur Inter.n It .. ratl Mhlch ..111 vary fro. eal.ndar year to cII.ndar Yllr with thet ratl
Innounold by the PA O.plrtlltnt of Rlvanu.. Th. appllolbll Intlr..t rlt.. for 1911 through 1995 .rll
~ "
'!!!! Intarut Rata Ollly Intlr..t Factor !!!! Intltllt Rata DillY Int.r..t Faotor
1911 20X ,DOOm 1917 'X ,000247
1981 16X .ooml 1911'1"1 1lX ,00Dlel
1914 llX . .eOOIOI 1992 'X .000247
1911 13X ,000116 19C13.1994t n: .0001.2
1916 lOX ,oeem 19'r. 'Ii', ,ee0247
....tnter..t II cIleulated II fa 11 OWII
INTEREST . SALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
..Any Notloe III,," Ifter the tll( blCo", d,Unqulnt will reUlot .n Inter..t ollculltlon to flft..n (15) dly.
beyond the dltl of thl ........nt, If plYI.nt It lIede Ifttr thl inttrllt cOlpu'aUon date .hown on the
HoUo., Iddltlonal Inter..t IUtt b, calculttld.
" I,
, I
,I
COUIIT . OF CottlON PLEAS or CUI'lIIERLAND COUNTY PA
ORPllI\NS' COURT DIVISION
NO._
'.
ESTATE or HMY WILT SIWIlIAUOII DECEASIlD
LAn: or mE BOIIOOOII OF CARLISLB
rlRSTMD fINAL ACCOIlNT or PNC BANK, NATIONAL ABSOCIATIOI
. mCl1I'OR
,.
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DATE or DlATH FRR\lUARY 1 1994 WlLL NO. 2194-0209
LI'I'IUS GWTED HAIlCII 9 1994
Pl\l8T CClMPLBTI ADVERTISEH!MT or
GRANT Ot' L!TI'!RS MARCIl 29 1994
ACOOUNTING HARClI 9 1994 '1'0 FEBRUARV 1 1995
.,
l'tIRPOSB OF ACCOUNTI THE Wctrl'OR OFFERS mIS ACtOUIIT TO ACQUAIIIT
ItmRlSTID PARTIES WI11I11IB 'l'MNSAC'l'IONS 'l'IIA'l' lAVE 0CCVRIlII:D DURING
ITS ADMINISTRATION or THI ESTATE,
IT IS IIII'ORTA1I'l' THAT 'l1l1l ACCOUNT BE CARmlLLY llXNlIRID. RIQOI8TS
FOR ADDITIOftAL INFOllHA'l'ION OR QIlESTIONS OR O8JICTIOIIS 0AIt II
D18cVSSED 111'1111
PNCIlANl(, IfATIOML AS8OcIATIOII
clO ClWVlAIIII BILL
TRUST omen
P.o. llOJt SOl
CAMP ItLL, PA 17001-0301 .
TILIPHDNI (717) 730-2766
JAMlS rLOWII BSquIRI
FLtlIIIl ItlIROIIImW. n.owu &
LIIIJ)SAY
11 IWT HIGH 8TIUT ,
CAllLISLBI PA 17013-3011
TILBI'IIORI (717) 243-"13,
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NARY' SIWIBAUGH 1127255
!!!!!Mt ~D INDIlC ' ,
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lIT GAIN/LOSS ON CONYlRSION8 4 - , 3,6131.13.
ADJV8TED BALANCI " 1061314.117
LlSS DI8BURI~.~.
DDTS or DICIDINT II - II , ..9.61-
. FUNBRAL IXPINIIS II,. II 4,977.00-
AIlHINIITRATlVI apPIII II . 7 410.".
PlDIWo ^'"' STA'I1l TAXlI 7 . 7. ,U, 733. 71-
ra. AND COtIfI8SION8 ' 7.. 7 11,150.00-
'MIlLY IXDIPTION .00
mAL PRIJroIPAL D18IlUIIIIlMIIIT8 II - 7 '0,670.'6-
IIALAIlCI 811'OR1 D18ftIIlUTIOHS 751711.71
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PIUIICIPAL IlALAIIC& ON IL\ND 9 . " ". 75,571.71
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1'~:R copy A'rrACm:D
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DISIIURSEMt:NTS' ot' I'RINCU'AI,
DEIITSOF m:m:Dt:NT
3/23/94 PNC !lANK, NATIONA" ASSOCIA'I'ION
I'RINCIl'A" COMl't:NSA'rION Rt: 'I'RUS'\, 187,50-
3/24/94 TIlE CIIURCII OF GOD 1I0Mt: ING
RF.IMnURSflMt:NT .'OR m:DICAl, St:RVICE 7.01-
3/24/94 CENTRAL PA REllAnn.ITA1'ION SERVICE
IlAl,ANCE Dm: FOR OCCUPATIONAl,
TIIERAPY 20.00-
5/02/9tl DRt:W J STOKt:N
MEDICAL SERVICES 10.96-
5/24/94 PATIENT ACCOUNTING SERVICES INC
Mt:DICA" St:IIVICES 1. 89-
6/03/94 CAlU,ISl,t: CAllDIOPUI.MONARY ASSOC
Mt:DICAI, SERVICt:S ;1.0.67-
6/08/94 WII.DEMAN lie O'UROCK
FEE FOR I'IIEI'ARATION OF 1993 TAX
IIET\lItNS 130.00-
8/29/94 IIWC EMEIIGENCY PIIYSICIANS
MEDICA" SEIIVICES 31. 65-
TOTAl, m:II'I'S m' DECt:Dt:N1' 399.68-
t'UNt:RAI, t:X!'t:NSES
3/25/94 W ORVIl,LE KIMMEL t'UNERAI, 1I0Mt:
FUNERAL EXI'ENSES 4,977 .00-
TOTAL FUNERAL EXPENSES 4,977 .00-
ADMINISTRATIVE EXPENSES
3/24/94 FJ.OWF.R MORGEN'l1lAl, .'LOWER & I.INDSAY
IIEIMIlURSEMENT FOR PROIlATE COSTS 217 .00-
3/31/94 BUREAU OF VITAl, ItECORDS
Dt:A11l m:IITIFICATt:S FOR
IIA YMOND SIIAMllAUGII 9.00-
. 5/1ft/94 TIlE SF.N'I'INt:l,
l,t:GAI, ADVt:R'\'ISING 75.56-
6/03/94 n.OWER MOIlm:N'nIAI. t'J.OWF.1t & I,INDSA"
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6/22/94 . CUMllt:RI,AND I.AW JOURNAl,
LEGAL ADVERTISING 40.00-
.6-
. ~y. ~I~BAUGII '1127255
DISBURSEMENTS' OF PRINCIPAL I.
11/07/94 REGISTER OF WILl,S
FILING n.: RE PENNA INIIERITANCE TAX 25.00-
11/15/94 REGIS1'ER 0.' WIt.I,S
ADDITIONAl, PROnATE COSTS 35,00-
TO'rAL ADMINISTRATIV.: Elm:NS.:S 410.56-
.'EDmAl. AND STAn: 'I'~.:S
5/05/94 R.:GIST.:R OF WILl,S
P.:NNA INIIERITANC.: TAX ON ACCOUNT 13,000.00-
11/07/94 REGISTER m' WILl,S
PENNA INlffiRITANCE TAX 733.72-
TOTAl, HD.:RAI, AND STAn: TAXES 13,733.72-
FEES AND COMMISSIONS
2/07/95 RESERVE FOR TAXES 3,000.00-
2/07/95 . PNC DANK, NATIONAL ASSOCIATION
EXECUTORS COMPENSATION 5,400.00-
2/07/95 FLOWER MORGENTlIAL FJ.OWER & LINDSAY
ATI'ORN.:V'S FEES 2,750.00-
TOTAl, FEES AND COMMISSIONS 11,150.00-
TOTAL PRINCIPAL DISBURSEMENTS 30,670.96-
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8/25/94
I'ERSONAL 1I0US.:1I0J,D PROP.:IlTY
TOTM, PRINCIPAL DlS1'R1811'rIONS
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4/04/94
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50.49,
P/iC SIIORT TERM INVES'IllENT FUND
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11/01/94
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1/03/95
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2/01/95
2/01/95
TOTAL INCOME
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. Per Item 3:A of Last Will and Testament: "
TO: Mrs. Linda SuroviK
I NCOME CASH . $ 1,346.39
PRINCIPAL CASH 25.192.tl $26,539.30
Per Item 3:B of Last Will and Testament:
TO: James Lee DeSalle
INCOME CASH $ 1 1346.40
PRINCIPAL CASH 25,192.90 2.6,539.30
Per Item 3:C of Last Will and Testament:
TO: Charles Shambaugh and Margaret Shambaugh
INCOME CASH $ 1,346.40
PRINCIPAL CASH 25.192.90 26.53UQ
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REASONS FOR PROPOSED DISTRIBUTIOH
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troll find. Ind ""'rtRlal lnv.otlNnt Cund. wheth.r oplrlt.d by TrultAe Dr .ltl
plrent h.ldina 'omplny, without r..erictlon 10 inYllt=lntl euthorh.d for
r.nnlylvlllh Yldoolari.. AI il d,,"o proplr, without reBlrd to .ny prineipe1 or
div.rllClultion or .llk,
(C) To..11 ot publio o. prlvllo Oull, to .xchana", or 10 leu.
'or .ny p.rlod 0' tine, Any .ell Dr pI.oonll prop.rlY and to aiYo opllon. tor
.al... exahanMea or Ie...., for lue:h pr;1cflI .nd upon such ur". or condttion.
40 it dum. propl'.
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or Plrtly to ..uh U T'UII,O fro. Ii... to lillll think I proper in ito oole
diacrltion.
(t) Tu hold proplrty in IhA nl.' of S.ttlore or .ithlr of thl',
or in 1Is IIII\C .!Chout dellanlUon of snv lidllclery Olp.City, or in tho n... or
~ noainee ar unrest.tared,
!.rr!!!l TrusLee...y apply the n.t in,o.. of thh Truot for tho
lupport of Slttloro Ind thl survivor of Ihll, Ihould h., Ihl or they by r...on
oC lae, 111MII or Iny otho. CIUII in thl opinion 01 Trult.. bo inclplbl. of
dhbutlilla it I Ind Trusta. is lurth.r suthorbld 10 Ixp.nd or Ipply fro.. the
principal or thil Ttun ouch ou.o II it, in itl .011 dhnration, mlY fro. tilll
Lu tl.. think adYi,"ble lor the lupport of thel in the 1~lllcn of litl to which
Lh.y Ire Iccuotc..d It tho orlltlon at thil Tru't, cr durlna illnelo or ...rllney,
~ Subj.ct to the epproYl1 of TruII.I, Inyon. ...y Idd proplrlY,
tOil or p.rlonll to Lh, prlnctpll of thll Trult by deed, will cr oth.twil.,
SaVENTH. Tru.tl. ohlll r,oliye oOlponoltlon for the p.rforHn,"
ot II. Cunctlon herlund.r In scoord.ncl with ill Itlndlrd Ichldule of f... in
efflet frc. lillll to tlu du.inl the period oyer which it. .crvio.. .re perforOlld.
EIOHTHI Seltlorl re..rye to th...eIYII, and to the lurviyor of
thlm, the rlaht by In inllru.ant in lItitln. intlndld to t.kl offlct durin. thli.
lifellm. or du.ina the HIoIi,," of the survivor dlnld by thll or by the .urvivor
Ind dllly"ed lu Trultee to r.vok. or 1.lnd this Aarelmenl in whole or In plre
provld.d thlt Ihl duti,", power. Ind li"blllti," of Tru.ll. Ihlll nOI b. .ubltln-
III1Iy chlng,d without ita writt.n eon..nt. Soth Slttlon mult .XIOUtl Iny luch
GmlndmeQt ur "voo.tion if both of thee It. livins.
PIS' two of 'our
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1Eust Mill Club QfestatttttU
OF'
MARY WILT SHAMBAUGH
II MARY WILT SHAMBAUGH, of Cumberland County, Pennsylvania,
being of sound and disposing mind, memory and understanding, do
hereby make, publish and declare this as and for my Last Will and
Testament, hereby revoking any and all prior Wills, and any and
all Codicils thereto, by me at any time heretofore made.
1. I direct the payment of my debts and the expenses of my
last illness and funeral shall be paid from my estate an
administrative expense as soon after my decease as shall be found
convenient. I further direct that all death taxes shall be paid
from my residuary estate and that they shall be included as an
administrative expense,
2. I give and bequeath all of my property to my husband,
RAYMOND LEROY SHAMBAUGH.
3. Should my husband, RAYMOND LEROY SHAMBAUGH, fail to
survive me, I make the following specific bequests:
A. I give and bequeath all of my Jewelry to my
great, great niece, LISA SUROVICK, who presently resides in
Pottsville, Pennsylvania;
B. I give and bequeath all of my clothing and
wearing apparel to the Salvation Army located in
Harrisburg, Pennsylvania,
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