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Goodhnrt 1/1.\0 kl/oll'l/ 1/.\' PETITION FOI{ PIWIlATE Ilull GI{ANT 01<' LETTEI{S 21-94- fos;;u No, To: Reld\lel or IVilll 1'01 Ihe , /1.'('('''.\(,'', ('OIlIlIY' or CUl11borlnnd III Ihe So('/"I S"(,/I/'lly No. 174-05-100 I ('oIIlIllOIl\\'ellllh 01 1'1'III1\yll'lIl1ill Thl' pI'lilioll or Ihe IIl1dl'l\il:lled 11'\11I'1'lllIlIy' II'PII'\t'1I1\ Ihlll: \'011I pelllil\lll'r(.\), wlw i\/all' IH )'1'111 \ olllf'I' 01 oldl'llIlI Ihl' 1'.\('1'111 01' IlIlhl' 111\1 will or Ihl' ahol'l' dl'O:<'11e1l1 I dllll'd .JUll0 10 xm IUOIdkXltil XltKKoI Loc ,,, Goodhart, HOllO or tho doconHod in th" Will rOllOUllCOII Jll (nvor.o( Rogor n. Irwin. nlld 'I1nl11od nllllled , 19.94 n, oxocuto~ (~lilh' Idl'\illl! dr\'II11'1LlUn'"l'_)~. H'llllll..iilllllll, <ll'alll pi \'\1'1:11101, 1,'11,'.1 Deeemlelll wa, dOlllkiled III <l1'alh ill Cumborlnnd,. h.is la\1 hllllily or plilldpal 1'1'lidl,IIt'l':1I Londllr .Nur.Ainll Road, Cnr111110, PA, South Hiddh,ton 'l'ownllhip. (Ii" 'IlIl'l'l, 111lmbl'! "lid HllUll'il'.tllr~ I ('ollnly, I'I'nllly'll'lInill. willi HOl11o, 9/IOnWn111Utll()tton( l.1eel'ndl'l1l, Ihl'lI. 87 relll\ or agl', died III Lendor Nursing 1101110, CnrUll10, J>A 1 'l013 1;.11'I'pIIII 1'011011'1, dl'I'I'dl'nl did nOIIllIlI'l'Y, \\'11\ 1101 dil'ol'red alld did 1101 hlll'l' a child hom or IIdoplcd IIrlCl elel'llIion 01 1111' will olll'l'ed 1'01 pwhale: \I'a\ nollhe I'klilll of a ~illing and Wa\ 11I'l'el' IIdJlldlealed InColI\pl'II'III: n . "'_'. Dccelldl'II1111 Iklllh IlIIlIl'd pllll'erly wilh c\lilllllll'd I'lIhle\ a\ 1'0110\\'\: (If dOll\ieiled ill 1'11,) All PI'I.\ollal plllperlY (If 1101 dOlllieiled in 1'11,) I'el'solllll pl'opel'ly in PI'lIl1lyl\'llllill (11'1101 dOlllidled illl'a.) 1'<'1'.1011111 properlY III ('ollllly Vllllle or 1'1'liI 1'\11111' ill !'ellll\yl\'lIldll \lllIlued iI\ 1'0110\\'\: .Juno 16 ,19.94 - ----.1 $ 2.8,QOO~OO $... '_._n ......___H_-.. $ ......... --"'-".., ------. $ '.n nm ..._____. - ... .....-.-.-. ... .. ---". --..-...._._~--_........_~-_......_......- WIIEKliFOIW, peliliollel'(\) I'especlrlllly prolellled hel'ewillt IIlId Ihe gl'lllll or \toIlN.\ Ihel'llll; l'eqllesl(s) Ihl' pl'ohllle or the IlIsI will IIl1d l'odleil(s). ljd\1linis tr{l~ ~()n..e., t. l!_L.__ ..........._....L_:....u....._.. (1~'\l11llll.IlIUl ~': iHhnll1hlrullll1\ ~. ,I ,II,: 1Il111lhll~IHI\I0l1 d.h.II.~'.I.n,) ^ " Ii "d... 'il {, u \I " 'rJ.g ~.. _t- ." U'_ " 0 " fi' ", v; , /3dL ,. .'.~~::~.:~-Il:-.I~Wil1.... .. 60 West Po fret Stroot '.Qari,iti,ljl...rA 17013 --.-. --..,_...........~ .....__.-~.-.... ..._---~-_..p_.- __.___. _~_...... _... . .m......__..~.~._.___ .._...._.____. _m. _._..__. _. h_' _"_,..,,,_,_,-.,_,_, ..___...._, _.,_._.___.. ... ___.___~._._._._.h.. ......~_.._.....,. .....n .___.___._.. ....... - ...-..--..--. .~........._.-._--_.- .... ....__.___. __.n.-_._____.___ OATIl OF PEI{SONAL IU~ltlU:SENTATIVE COMMONWEALTII OF l'ENNSnVANIA I. H:-l COUNT\' OF CUHfiERLAND J Tile peliliolll'I'(\llIh(\\'I"II:\lIIed \11'1'111(\) 01 IIffilll1(lllhlllllle .\I III e 111 I'll 1.\ illlhe roregoillg IWlltloll me 11'111' IIl1d cOllWI 10Ih,' hI'.\! or II", ~lIo\lil'dge Illld helil'r 01 peliliolll'r(\) IIl1d 111111111 1'1'1'\011111 l'epl'esclI- IlIlive(',) 0) Ihe IIhOlI' decedelll ,,"'llIiolll'l(l) will well II lid I~?illllilli.\lel Ihlil'sllIle 1I1'I'ollllllg lolliII', S\\'OI'lI 10 01 ""III11~uN~lIld 'lIh\C1ihed I ( /' ~7 ~ GL., ',~ beloll' III\' Ih". ,:2 u dol\ 01 ROf1r fi. Irwin " (N(iJ:rl (fJ.r.-~('L~~; YfLu~T1:)J/~' (XaC~J' .. . ...._ I {MAn C. LEWIS I<".~I\I(,I 1 (i" B ~ . .. ...', 1(1\ 'J' Thi.~ i~ Itl n:rdf)' dWI du' IIlIHI'III,tlIOIl ht'll' gi\'l'tll'> (llllt'llIy IOI'It'.IIIClIll.l1l llli,l:ill,d \l'llifll,tll' nl dc',IlI,I.dlll)' 1.lJ(.'ill Hl'gistr.lr, TIll' IIllgill,d t'l'rlililill(' \\'lil Ill' fill wMdt''' III tllC' "Lltc' Vil,1! Ilc-t !11th (1lIH{' 1m 1ll:IlI1iIlH'1l1 ldlll}: WARNING: Ills 1II0gAllo dupllcato Ihls copy bV photostAt or photogrAph, fHe'd wllh Ill(' ,I." lit." IIII' ,hi, lI'l'liflr,IIl:, S:'.1I11 r....., '" I..~ t115,~:~~~ 24195G8 Nil, ,IIJN I 'I \984 J),IIl' l':~ '11"" 1.11 COMMONWBALTlI OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RBCORDS . OERTIFICATE OF DEATH ,. '. '.1 ..''''11101.W'~ .,n f~~,jFii , Holbort /I, Goodhsrt 1 11010 __J~ 174 - 05 ... 1001 J. "... ,.N;';i.' Vfl~ ;;"'1(111 U'II Olf l'i1'iT"f.;~'1I11 '-'(lnlt,rl"7.i-:;-;,~- rl&(({lf'lltM.;'7."':;~-;'4 ~." ,. _".1, LS7 ,,, ...,., ]"'0"'i';"11";'; o~'~;, ~~~; ,C~~~':'~:;,":"~A :~~~;~';:~;~::,;::r'; ""-:.;~-'" ~~':.',.~-.:::~~_.._~~:~;~.-. .., ~'" J,~. ''''" "'II'" ",,,,,.,, "..,,,,,....,,,.,., , . ..",,~";;T..1"";-;:;-'i " r.umborlnn~ S,Ml~dlotnn T"r, Loodor tlurs\ng & Rohobilit;otinn ~~'" ~Ihito , .._._~~.'ll..tf~'I!J!!;Qh\".;~\{'.l!t~~,,!~_..~_J~~'IJ'~'~lriI~,'.!t~tlk~'l'-. Wu4\lJ.',((,~,',"ll,",'"I'j ~,' c,~ l(,u.Ar,?'~ ~ ",~~IIt. ll".'~'''u I Uf'lVI~1 " j .(....."..,./.'.''''...'.i. "I oJ f",. ~t!!.l::r' ll.:U~:.L:~tlO.- 'f'"~I''''' ~ ....td M_'t '<i""O"f"f'l"o'flnm,]1 rh'...I"'lf"'.....""..,' rl rX ..T.flfl...'\fo(c.M.... C"'~ ~"IL<\_',1 It rl!lchin.i&~_. _.2.tollL___:1 . Ij, filiI B ~2-- It ~lnrriod Mildrod r.e'1~~~;~I~I:I~~~f;;;';~""Sr~':l'''' 'm lfr(,~., ~~~~~,~;.:.~'; HI ~..._.___~...____. ~f"" ",[J ~t,~tdf'i~fI.._._..._._._,__. ____. '___' ""I II CorUslo. PA :17013 .,~,:'::':'~(1 I1H"'..,___ G.UJlJ9_gJ~1~!ld ~:':pl tP.[l~~;"~:~~~::o' _ ..GnrJJ!llo .~.~_) u;;1~s~'~~"G~~~dhn~t _. "~I"'S~~~tl"t/~'g~~~"l~~r.ul I "" flUI~"/.V_P/f4' ~ II Ofl'" 1~.'~U'\"lGJ.O(\ItU./'>'I... (~.'\_ ~u '('{M., __I Uf~lllaroa M,' Gn~dhort .. lu~ Eoot 'Iorth St" CorJ!slo, PA 17013 J ...{r.~Jmm- J,J.CEOt rJ~'OS,rl(\/"III"fOf(I"''''''r;"t'it';jr.;;-~. \OC..-lo("j r.,:r,;;;-mt;;~,. --_I ., 11 1 I OI()1~.".'. (. o.~,.,... ('_II.." _ "1'Nl'fl~I"'I"'I~' II ,..,,,. J ,..,..',. 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I'.. //).to. .~~ /' G (L- T- L._Cl.f'.(UJ__L:1:.. .-. -' - ...-....ilCUC'l:LLL__..._..__.. ~ l!'lif,1()lf 1_ ,I, f,l,t'. r" 7' C ~'_~,~ fnr'ii1"::c"(;,~:fl~'~" . __._ _ _u _~_ _no _ ...__w ._ ._~. ._ u.,L ._. _.~___. ._ ..~_.__ __..____.._ ..._ ~.__.. 'r"",'1"'IU" f '[ti:ij(iTrj~'::;~~-]- -;;;;;iJ~fmH;--~----:-'~:=:.:.t. - n1lfNI'jjlJflT IIlo'fOtJ'I.Jlill:;_n -;;;[~;H'1il~loon~1 0('C~UII:)NfU\,'A1OCc.lJFlIltn ... l~ll"I' " fl.' ,,~... l'lI "\/1 :O"'lfll Ilrl (It'1f . .,/ {" (')01 (I''''i' 111,11 If".. "I"''''' '" ,', ",1'1 '., ,.1 '" II ,.,,',....,., : 1, ::'II,~,"..":'.<i,.I,~n,., 111119L._.,._..._._.__.}OL___.__~~_I:~~~1~~,'[] JH_n.~_..--_..___..___.._. . <, ".' ~\A(t 0 "j)\jlt'f'~l'''''''' ft''',I''IfI,fl\Wy ~ lr(;lr(}+.l,\""" ('l',.. "nl 1.'1"11.11'.'....'" -r;+- III II~ II I~ Jill , '1~T'iiiiil-:;:;;-;;"., -- -. --.--. ------. -...-- hl'4 ~J~( ',01111 u'IIif11i] - 1\ ---~..- ""I1I1'lfIO'IOIICI"'I.' .,' '. .....,'<1".,'"',/,.'..,..... ""I'," ,....",.."'...,"a,...' ,,,..,I"~I"'^II, fN U I. 1~.....'U...ll__.'etl1.~fl"'''fh..l.U....1G1~.....If(tl....I"'."''''IU''I'..t "',"'" II. .... ~\,..v-l~ : 1~'/i:i iIiii8.'-77.l-'--"-'-lfii'~- .'fti'~'7,j~(FVFr )' ~\"'f ijfilNiiilrtnrHi.;i~I;:'7.r.iJ;~'i' lh~i JeCJ'r,r.n;..h_...J _'u._.... '~'I 'ITrp40IrOI I Joooph ~, Groon, I I 1.1 ,JlolvorlorlJ 110dlr.ol Contor, r.orllslQ,r Alt!Jl'l'o....., 1'1/'''', -- ~L2,....m\. Jun~_.1.~ll.'L._ ... ." 'I vtOft'~'Il.I.i ',,. ",\"\i,j"'"'------------ :l"tO' ~"f't,I,,,,,, v" "11 "~IIt.c:II<<I.'/,C"u,,,.IIl'l""'lruN,".Y( "t", I' ,....,. .'t,..... ..l""',r-j"",.""''''1) ,."'...".. Ill, ,........lltf ~I.'~ 041""'" 111~f 1101>4. ~ll,,11Id ',."...... ~~. t~t~.UW"ClII"'" "'.""41" IlIIM ". '''IOIC.I'IU\lII/'I'l,conOlIlIl Oil l~f ..,It ~I '11"""'"~1\ ''',1'". IMYUtl~.l\"I\,'1I Ill, .,I"IM, d.,II, OUWM.ot It 111.11...., dltf, II\cI ,IUa, llIdllllll. Ill. elwUll1 ,lid It/..",....U...t,ot. ., " ., , "P' _. .."......, "'''''''' .. ..........."."...."."......""" I'J'. mirft(1i;'iT,j;;i~lOIl:ii;:;~Til--.~~- "C::,.;;.;:,\....~.~\. :\_~~~..~~(\~>~~'-4"~ ~\.@J.ld .. RENVNCIA TION 21 - 94 - 652 10 Re Elllle or _ 1l6lbert M. Goodhart decultd, ,To Ihe Realller or WlIIl of Cumborland County, Pcnnl)'lvanla. The under.lined Loo E. Goodhart; Ron 'or Iheabove decedent, hereby renounce(l) Ihe risht 10 admlnlller Ihe Cllate and respectfully as~(I) that LeltCU of Administration C.T.A. be Issued .10 Roger H. Irwin, Esquire WITNESS my hand lh1s 20th day or July 94 ,19_. c;~ ~ :J6 ObJ ~ JO\AJt ISllnalluc) Lee E. Goodhart 115 West South Street Carlisle, PA 17013 (Addr...) ISllnllUl.) ,-. l..~;\ ,.~ f:( "_'I 1(,1,. .,," , r"j IAdd,...) ;'"' r' -.:' , ", , , I ~.' J (\ ' '::j " I't: . :~!\ "I'!":'; (Sllnllo'.) OU " \ _. .. (Add,...) , " \ Estate of I Dste ',)f Death I Countyt INVENTORY HOLBERT M CooDHART June 16, 1994 CUMBERLAND c::< 1- '/II - ~}.'j-.;)./ .....................~................................................. Cash: 1 MELLON BANK ACCT 182.110.5051 OPENED 12.29.80 IN THE DECEDENT'S NAME ALONE DATE OF DEATH VALUE 28,545.07 2 THE UNITED TELEPHONE COMPANY OF PENNSYLVANIA FINAL 3.50 CREDIT 3 BELVEDERE MEDICAL CORP REFUND FOR OVERPAYMENT 31.86 4 ROYAL INSURANCE . AUTOMOBILE POLICY CANCELLED 42.96 UNUSED PREMIUM REFUND 5 CAPITAL BLUE CROSS AND PENNSYLVANIA BLUE SHIELD 186.40 REFUND OF UNUSED PREMIUM .................. Subtotal 28,809.79 Misoe11anoous Personal ProportYI 6 1980 BUICK VIN #48375AT146812 TITLE #32563095002 CO . PURCHASED 02.28.89 APPRAISED VALUE AS OF DATE OF DEATH 200.00 ............... Subtotal 200.00 Total Inventory 29,009.79 , " "'I) , , ".i ,':'1.', 'I.'""" " ~ .:: II ,. l/ \ " r;. I;I! , " ~ ~, . I.'" . I '. I. 1:1 ~ J 00 I.L: .1. NOTICE OF INHERITANCE TAM APPRAISEHENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX II. I l' -' ( I 1,( l ,) REV-1547 EX AFP (08-94* COMHONWEAl HI Of PENHSYLVANIA DEPARTMENT OF REVEHUE Pil.lAEAU Of IHDIVIDUAl lANES DEPr. Zl10601 HARRISBURG, PA 11126-0601 'Eftrnoll (iOODffAlir- ti1Jfm --f("===="=~~== DATE OF DEATH 06-16-94 ACN 101 'II / l 'It, (II -- FILE NO. COUNTY DATE 12-26-94 IT-n- 0652 CUM8ERLAND NOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTIDN OF THIS FORH WITH YOUR TAX PAVHENT TO THE REOISTER OF WILLS. HAXE CHECK PAVABLE TO "REOISTER OF WILLS, AOENT" REMIT PAVMENT TO: ROllER 8 IRWIN IRWIN ETAL 60 W POMFRET ST CARLISLE PA 17013-9746 REGISTER OF WILI.S CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 E.ount .~I.IttI'!,~::3 CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ~ R 'EV: iilCj7" EX" -Ai: p"" f os": 94 T "iio'''- i c E""ci F - '"fNH Eiii f A;,fc E" 'fAx "APPRiii 9 EHENr; -A LrciwANC E - o-R' -" -" - -"""" -""" -"- DISALLOWANCE OF D~DUCTIONS AND ASSESSMENT OF TAX ESTATE OF 1l00DHART 110LBERT M FILE NO. 21 94-0652 ACN 101 DATE 12-26-94 If an alllllmlnt wal illued previoul1y, 1inel 14, 15 andlor 1&, 17 and 18 will ref1eat figurel that include the total of ~ retUrnB Dllelled to date. ASSESSMENT OF TAXI 1&, A.ount of Llnl 14 It Spou.11 rltl (1&1 16. A.ount of Unl 14 hobll It L1n..I/CII.. A rlh lI6) 17, A.ount of Llnl 14 tlxlbll It CollltlrII/CII.. B rltl (17) la, PrlnolPl1 Tlx OUI TAX RETURN WAS I (X I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF R~TURN BASED ON: ORIllINAL I. Rill Estltl (Sehldull A) (II 2, Stoek. Ind Bond. (Sehldull BI (21 5, Cluuly Hlld Stoek/Plrtnlr.hlp Inhrut (Sohldulo CI (51 4, HortUlUI./Notl. Rlellvlbll (Sehldull 01 (4) &, Cuh/Blnl' Clpo.lh/Hilo, Plr.onol Proporh (Sehldull E I (& I 6, JointlY OHnld Prnplrty (Sohldull FI (61 7, Trln.flr. (SOhldull 0) (7) 8, Tohl Alllh APPROVED DEDUCTIONS AND EXEMPTIONS: 9, Funlrll EXPlnu./AdM, Co.h/Hilo, Explnu. (Sohldulo H) (91_ 10, Dlbh/Hortulul Lloblll Uu/Llon. (Sohldulo I I lIO) 11, Tohl DlduoHon. 12, Nit Vllul of Tlx nlturn IS, Chlrltlbll/Oovlrn.lntll alouo.t. ISehldul1 JI 14. Nit Vlluo of E.htl Subjlet to Tox NOTE I TAX CREDITS: PAVHENT DATE 09-15-94 RECEIPT NUHBER MM9129(,9 DISCDUNT 1'1 INTEREST (-I 65,50 ( I CHANOED ,00 ,00 .00 ,00 29,009,79 .00 .00 18) 29,009.79 6,480.00 696.59 lIll lI21 lI51 _ lI41 7.176 59 21,833,20 ,00 21,833,20 ,00 21,833,20 .00 X ,00, X .06, X ' IS, lI8) ,00 1,309,99 ,00 1,309.99 AHOUNT PAID 11244.49 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE 1,309,99 ,00 .00 ,00 . IF PAID AFTER DATE INDICATED, SEE REVERDE FOR CALCULAfION OF ADDITIONAL INTEREST, IF TDTAL DUE IS LESS THAN HI NO PAVHENT IS REQUIRED, IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR) I YOU HAV BE DUE A REFUND, SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS, I