HomeMy WebLinkAbout94-00737
This is to n~rtifr flw! tht' il1fol'Ill,ltl.\lI hcrl' giVt'l\ i~ Cfl1TI'ltly ((jpit'lllllllll .111 lIri.l~lll.d rnrillClr<: nl ,It'.nh d\ll~' filt'd with Illt' as
I.Dl',!1 J{l'gisrr.lr. Till' origilwl rl'l'lilit art' will Ill' fOf'w.lrdt'l1 !Il tlll' "'!.I11' \'il.l! I{{"ulld" (H!ln' lor l',t'IHI;lllt'IH lilillJ:. '
WARNING: It Is Illegal to duplicate this copy by photostat or photograph,
l'ee fOl' this rel'lifir,\l", $:'.1111
c:2:1 iJI/~;'/-"'"
~.'n.J P/ '/vl.rti/~~'iA'_
1.1Il,iJ Ih'glStlllI ih.~..
25129:12
No,
{dlf! J 6 1094
n,\l('
COMMONWEALTN OP PENNSYLVANIA' DEPARTMENT OP HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
""""
lIuNISJ C,tIT\UQ\O Rt<mollkQll'l6(,,,O
0IhM~"'1
UfII Of tJt4I!AAl.IIAYlCi UCllisn OR PEASON ACTIHO AS SUCH
Edgar lIaven Sellers
Catherine K. Hershey
04 OfIDI POIITIOH
,"'0f4'I1lI1......1
o
"AlI'UMJWIIIl
IU ~siCUAllVIiUW'IA
Catherine Sellsrs l<eplin~r I r'elM~~J':.~8 - 38 _ 8035
MfOltrRTU ellll~lC",t14 ~AClOf.l)(AtHIO..U((" ......- "'t'.J<.LKwltMIJI'>f/~
\1,1o;:.o"0.-.,_1 lU"Ol'c.rto,W\t;(I.l~11 IIOSftW. ~~/
8-26-04 Harrisburg Ph .......0 - Il2f _D :=..,0
~;:~:: ~H '"7;;'~:;:;;'.-r!;':''' =t~l:':-'-"
IOHO HUWlOlJ 1IW ~IOECloeHllvtAlH OlClOiHl'It!DUC..Q1OH IU.NtA.l.SWU~~ S~~
UI MWEOIOf'tCES' ~~.lUJ!liSF~ t4Mf~:lSP<<"1 I.... iP"l""",*,~'
...[J...6:9 \~:1;"""" I'~" I Widowed
Ih.1lAl4 PA Od H"D'I\4.clIKtlIIInllrM"-
"'-
.....
....,..J I" l}f ~-=':::of Nechanicsburg
WO'IIl!""WJ.llI'...t"'~l,t""'S...tl\'fT\'1
Mary Laubenstein
~rn' ~tt,"'~c'fJU'ilcsburg I Ph 17055
CurlJer1and
lTU:ourtY
NAMI 01 Ot:CIDlNTl'f' "'QIt. ~Ml
I.
AGIll\.w~rt
f 'IUUAt, PAt
I .u_lltnIo..rtIQlI'QIl
~~~~""""tUl .cxxreaticB
0IC1OCN1.S"'AlLINOADONIU($u....C,.,1'tMtI ~ l'PCOOII OIiCIOIK1'1
1117 Baldwin St. ~::'I;CI
Mechanicsburg, PA 17055 ~~~~.
.-
mHlA'SNAUf.(hll.t.l.ut Latl)
tHfOfUAAHTilrt
PlACE Of'OIS1'OSlTIOH.""-'NofCfIMlIf't,CrtrlWOl'1
OI'(AAttPWo:, )
Mi11arsvl11e Mennonite
NAWI AHOAOOAUSOf' fACIliTY
LOCRION.CI'J'iTowft. ....
"'"
eel
Mil1ersvil1e, Ph
_1IIt~ofmy~~.~&lltoo:ullld"lflIl~..,.t'aI\ll~'tlll'"
I'Jor,,"II.,O'w-dl..,
LICIIiSEIiVW8l!R
""'. 0
c:Jo4... Hol'IIcdt
[J ,."000U1tl....~11II" [1
foIq~ ..,.. 0 foIq 0 e..ctOl [J Cou!4I'll;1lMlMl,11ll1l\l<J [1 PtACE(~f"IMJuiiY,AlPf)ll\f r'IIIl~;~,rK\Ol'f.~'w,
IlL nil. n. ~o:.lOO9.ll; l~~,\
Clll'f1f'1.,It\C~III:llOl'tyC""'1 -
'Clll'lrlltG 'H111C1A.M 11'1\ flot"'~ 'till f"N.l ("'-l~ ~ Of.1t> ........" .'<</'.' ""lk"" ".61 I"c:o"'(ll,n.:.l "U'II INl (.., ro~!"J ~"'1\ ill
'.flIMt401""ll'lO.ltoltI..."'Mtllrr..M........~.I('I.".""/'It\ft.....I", .". .... '.,....... ...... '.... .... ...."...,... ,.,
-.-.
t'lttrltl~
\_........
.___t.ol\\,\t~wo. 1l""'~JjC>\"''''~L ____ uo,(........
"OUIro~-.sACOt<<5(Ot.JtHCEOfl I
,q~~V 'VM
lll-oUi"'TCiOOo\1AC5l~QlrI'lCfOt1--_._..__..._-----..I-
.. 0""0 ",,,....,,"''''o"'''',or) .--1---
. ~
WlAIAtJ1OPlYflfjOlt<<JS 1MH1l1lltCJIOEAlH OUICfI"JUllT Ill.l!Of lHJUfW
INlJl....U"'lOAlO \l,toc~C.y"',jl1
COW>\ITION01 CAVSI
O1llV1HJ
NC(OoeA.O(~Dty'llNl'f
t Ifi,J!lJ~
nUCIlIUCOI""*"fl/Ylulft.tl'Ix1IOIP>a&/1I.ilwtt
'MSCASEAEfERflfioro"iiiOiCAL lCAl.llf.!(
...0
PM'.!
OtMtI~ooncIIllInIOllIW"""'&t"'" ...
IlOlt.......rt....~CNf,.,..,'"f'IUlll
JI(JVfHAtWORl<'
0IICRIII~-1H"iUil1ii(iMli'-.-- ---
H.u..."
A((ojfnll
... rJ ...[]
Sl(lNAftJRt
---1:-""" ..~I'i"I;;;;....
CIA11',," ~
B'Jta'/.LJ
[J ~ \^I'\
t~~ii'A' -----.----.'..lriAlH~U'.U.~.; l-~.'''l -. .
lL l"f'O ~~~~~_\.~a__.. _ II.....,' I 1'1.\1\
NAl,IEAHOl.DOf\ESSOfPl ro"'WltOCOII"~IJJ(: , AlII
1~.ml'lT~OIP. U nJ
ClJ.1 IV'
[] II C>('/I.s.I.!____~.__!;Ql J
OA!E'ILEOtl,l",/tl l\lr .....1
"a~. ~~ ,t'-;rLt.!?I".--...__...-.
'PMMOUHCIHOAHO CI"'IfI'l'INQ ,""lCIAN 1'",Iot....'''4...r.t '''',..~ Ut......d ....V.,fi,llQlNI. tl <1f'''1
'.IN... "11I, kl'lO"'"eI, 'Uth fIoCCIH'H" lilt 1It!'I4, MII.'rod ,JK'.''''' .~. to lilt "I..t/lllnd "'11M" U tI'lM
'W.OICAL IJIAWIHIPllCOfItOHlft
On lhe bul, .It'lml'''llOn I!\dJOf illy"Ug,Uon, Inm, op'nlon, d..l" OCCIluld 1llll'lImt. dltl. .lId P'-CI. llId dill 10 lilt UIl,,(.jln4
1'lfIlf.ll",'""lltd"....",. ."...,...,.....,..."""......,.,...,..."...,.............".,....",."",.. .....,
RlOISY
. . I ,\ 11'" 1" ,,' ,.,.. t "" ',..'1, . "
, ~I\ l'\i 'r~ ,'i.,.' l" 'i\ ,,,',\,'" ,,'," , I .. l\p ,
.,v,",'.J"'t:tl'/I',' ,1'1',1 In. \
~'~1i~.. .!tl,l d '>1.>""; "'(";' '
", ""11th :f\'/\i'1:(lffJ',j:';l" "Ij ,.,L .
t '~!'\ :ihl. ~ t y", 'I, " " I, ,
lL",~f!;!>'1 ',.'j.'J'L'/,j""I,:I,'"I, ,t 'I, """ ' f' \
.\'11 ."(' 'I Jj'd~' ., 'J .'" . J, ",
'If\~I;\\\l\~!!';V~;!~il) ,\.'.1 I~~'( ~ If" l\' '
.,r 'I"~? I. ~, It llj; 1 I I ' f \' ,
'IlJ,~I""{IJ ,'If' 4r.1)!t" : t '( 1.' '.Ii I 'J" 'I
;1,'1 r /.~~{':\'tIP.\~( .,1:. I'p' ,,1'1 11 '\~ I'
, "11 ,. f"'" ~." . ." " " " "
\\I\ll 'I"""~" ,'1,",," ,.','" , '.
4':,15' 1111~J'iJ~ it ..',,*, Ii " 1'''/1 .; '\ .' '\
t~lt}f:t~1~,~VH tlj~~iY 1:\(I:L~! ));\1 :t~'\:1 11, ~.
~\~)',~:lf!j~;,rt~{~}:\\;~;;~"j'{V:~ljt\J>.~I?!: 1\'~1~' II t.l'
,', '{In'l "\iI, It,'. I, Ilj ,I ./\\'"11\'1 : " '"
:J,\) 't,,~, l "~ ) '~.' 1. "I' ,
'!;I\l'J\';\."JI"III,' "/!'~l'(~j\fll~I~"i ~ '!.I '"Il,it,,, :- j
'1i~.tl'~J I'~'}:f "i~i\'l:' L 1,~1 "I \, )',t ,," \ .'11
':, l\..~'~'>~ll>~.. ,'.~...',I\\.i' j .,
I '[(I I'Jn,.'i.y,".lp~~A(1~"4t!J- ..;1, A'.\ d \.:/ ,,' I';'"
. ,J1.i:ri/:.1, ,{.(!,\.;-,'f.l'(.l/~\"\d :,','1. II;;. ('! i lor': '" .1
",f,1.J,.,~11!o,\!t:'J\l~1:1",,,,,,,~ "\"('~"~!'\ I ,11",\ "," ,""
'\\ 'f"",.I'.A.I,I.lf'tf ,. lfl 't;{l ,,,{I' ','t'" >';11' I' L -
Itm'''l;''~'''''A~'II:''. ~:'I,,~~\ 1\ '{.'j 'l\N~" " '/0 Ii ,,;',\." 1
( 'f: \ ll',.1~,ill(~~;' ",.,1 ,', I {- ,I' ~~II'" "I' ;. i\~"" "
\i f1.' '<<"I'i'I/IV" ./. ,/ , ,I'"'' j f, ',-f, '"
'( :~1rl'~\~J'.\',.', '.:', '(,,:, . "/,1." ,I' J' 'I". '"
f~)~(~\lh\~td ~~;"~'\~!;'>~''1'I;~;,J,l~'\'1 ,I~ / f; ", ,;, ,'/. .'1, "
~<<'~/\\\i}l"':") .;L\t\ .1(~L,t>j: ' It \. ,I' l",
!;Jt.i~ ""~I\,~'JJ:J~~pl\tf'!!~\'l<) ly,':-:i,i' ',' .d I,
'1:"\~'~~~~):1/t~'~'~'(,\H,",-,\::.\" ' ",,', , II ,,'
~ '.~, ,~~~>i\'l '~'\!~C'l"..i, /'.', '. 'e. "r I:,' ",
I. fJ"wu., '. 'i/V;t. ~)'\' ,rh,""I",: f;~~\', oj ,\' I
'. " I ,~'!.~ I ' . <"" 'j" ',h' J I . ., I,
~f~~~",j'~~:I." ~r"r;/' ", ""\""~'I "I'
~i'~ 1~1'~j5%:~$VA1Yj~; \f,hJ~!f';',':~" ': "":,1,' ,'" , 'J ':1 1,1
'lit< \"',' ~,.. ..,Iir ~ ,1("'" " " ,
'~~~.!, t,1 \1\'1"~~\ 1\1. 'I Ill' .Ii ~ , I' ," , . II
!ll1'f.'Y,' :.h;s1 "\,' .~,jJI1,1' Ii,'\- 'i t t' ',' 'd I " "'I' :., ,"
~y \,.~I ll~"~ 'I' ,II j 1"{>."AII f' '. f' ,. ",
;~,'j9 'W~~I.':~lll,(" \;~(i,: .Iii.! ,,~..~.\ I, :,!',~ 1
~ t~;~~"~,,,il{ "."1"'/' ,','fl C,'.I' ',.,
, .~.,\~hJ""".'I~';il':'~~'i,,';"'.\I':~ }, ~ ,
\{ijo !\1-l,~\' 'N'I\! " "I' I" . \. , ,
.1'.:" ft,\t~'1,~~V,I;~.'/(:, ,:'vio,-\'.,',' .:. ' ,,' \,1 ,
1(t1.~Y.1[~;~(f\.t;1~:"~'<,\'l\\\'.'I"j:",' "'\.; I, ,",I'll, 1>1,1 I" \
~I ~'~t,i l\'\tl-J~~'l\ "';':~;{11 '''I' /t,1 ,,',','., l' I" I,
\'~I,o:. i ':.$ r,}.I:,1,1' 'I t~, .~ ,'! .', ,';;.! I ' I , ' ,
~ ~ f..\l'~l..t'};~, - :1\I'j"I,,,,~'I,, ..' " '/
t~~.\' ~'\)~~--r.' ," j,. 'IU'V,. ,J.\' , "I '
~U.' ~4 hil;~~;~' l;\~,tLj:\,J~; 1 r \'~'~t'l'.' ,,' j' il'l
1~1i'1 ~~),{tl~J~Jl' ,;1~;;4J(J\l'~1'!.\" ,',"'J' '~I",""'I'",\:I\\~,
~ 'i~!{1".1'f 'i~"l. , t( "I,t ", ",
"~"I1rf'\f:fl~~"; ':1 ',"."', , .,'" ,,,'I ,,".... ,; ,
! ,y;~?l-IA '.1 'j'-"'\, , .'" ,'.
-;; ~"'~~\l\\ 1'1 I ", f';\" I." ' '\ l 1
'~\t\'l' ~" IJrAf';!,'~I',""'i,",' ,q' ,'" '" ,,' , " "
IIJ "~m' !-I', j , I' ,tl~'\~J' \ -\,,1' ,,' .. '
,~~~~".,i.'\ fl' 'I\/~{(; \I'l:l'~" , ,',,' "". ,\
l:oLll, l' j""r, ." "l"" I "i I " " I
I"li!~ :fJi~'w::r~'?Ji.;;;~I,!i~:"i""i:' :,-,';' c' ::,; ':";:'.; ,
,l~ I~, ~r~J.l 9,_ 111'h~t 'tl,f"... '" {I,
~ f (rf~t;:._tji~.,i"I~l:jk.)..,I"l'i', ' "",'1\. ,11.'1,"
W~ ~1~~JI\VJ('\>'~{'I".l/.\,?1q"i' : 1 '" IV I..'
~~;;IV'~!::l 11 ',' I ,,, q},,' 'l" ~'\. 'J
\ 'f' J,P"I,\~'ht';:il~~ll\'J\j~I~"I"I~ 1",.1" \~ I, '
.\kJk""I(I,.j~,J-I'/\",jr.~l',\\ ~:,-~h1 ' ..'. \ If '/-,. ," ,{ J' ' !
AJ\:\: t ( if" " 1 ~." " 1(,'
~~"i.'h~J'1i,I~~"'~lqi "v'),'l!":: I'." J~:, ,;"" '
m)i':f'~ml1/'I';{1~\::'I':\\}' ll~,:", ' ;l\I..,
;~fr:.t~ 1,\11,,1,\11 f . j'l.: I' II If. ".
11:,7./,.1/ ," ,11'.' t,
\I.~/'<'~,:~,~.J","') '~>,I:" ~,~,.,!;... ,. , ',,' ,I..'. "
~~I[:,~lIi1~ttli\!.d-r"'I;'I:';-~ '.'.-: ; ""', ",' . .I:;,~!
~~~;j:'i~';~}:)://I(~~~\IJj:?:'j: ",' ,l--.:, ',~.,:>-:j~~T''/!_: l''\. ;,t\ (,~ ( : .' ,~I,
~i.{';.':;11(;,\\':i-':i/-IZ'il I,h.-I .\ i"J" :: ' 1,,1: ~-'. ':' , 'I, .
If, i'li'~'rl::.h- f'{ ',h'-'t~l'fft\'\) ;', l L' - i, (~' ,I' ' "
~~~i~~\.Pil.J/i\~\';;~.',~,l,j'~ "ll~\'/ :'-':,,,\:-,:\' ,:)0'1) ,/ II
~1""~('_'rl~l<~';I""j"'i'-,t'ji""""'lr_;J" '-' ,,'I,'
. ~ ..~ti~, \', I '\''1. "~ I,!, , " ',(' I""
'f";Q'i'/ll,'~,..t' \h/~~ll ~I,\., "",' " ,
'(., u~" I. H ~l '(1" J'" If .. ' ,
'" II ~~'JJJ\1h 11\~\: ,"t, ,',' l' 11'1 ','1.
r~''tf tti""-~"j/,"." f~I' I
;'lic~":\(i,)\,~,::,,,(lIT":::"';': :,",
, nft I, (,', , ,~, .' ,
rl,\~\\I,i, .j',;\" ',"',r~1 /, I "
1t(~~I{!.:II.,~)~,r.;:};'." ';' '; Ii' 1'1,
1~~?trffi\/IiO!C\J'''':'f i .':':~~~", I:,~f f,
)' Ii ~'l 'Jf 'I' "1 ..,. '", " " .. I I
l1".I',""11,'~(' t":', ',1"./10.1,: ," 01, ,""1
H ~J ,,',t I, ,"" I,' <l ,'.',,',".' \11,
I 'I'f if '~I I' ..' 'J' "1 \" ~ I, I I "I
. "~~' . II" , .' ". I I" ' ,
'11\,', "f. ,1'" , '.
,,': I '\'i'I'll,:"l " ',,/1' "",,',
._1\ ,,_,,_.' ,,_ ,h . '" I'
~;{1'1, ;':,"\Y~ i'- "," , '. -,' f I ": I, . 'I _'_,i, '\'.'.1 _ "
f;~~'l"h'."!}'-;t,',_,;;\'\',:'''", i'." ,/;--' fl,.'
.\!t}{,I, l,~'" ,I _, -' ;-""", "'.'1'. I ' ','
'f~~':l:'~;,\'./::i';':'~:' :,."" ';'.'~I:':"I_":':'\':'\'; I
f"1.I?"('ii"_h..:,.,I' ., }'i' '\":.'
r~\,~'1]I-: ~,,>j ,:1':' ",,:.".i' (:
1'~;t~'''A('J:<::'; " '.. ,,::1':' 11,'\':'-,': ,',
"f'-/-'-')"'\(.I"", i"',', -':")~,,: -,,'
t ,,'l',-_:, ''''', \ "-. '1'
~ttf,~i':~li;:':'!~-,~J.'," :',:{.i,~\ ,- ,~-;,.. ',',' .1
1';'-''';i~,'' l'li,n,-,;,,:" ,,/,\~ ,', ,I'
.. '" ,"! - , ~. . \" ,
~_~:;}!i,;'(l,.-/., ''','1 'f'_ I-J. \:' . '!,
':-1-Hl1,.,:'I;,-,I'''' ,';'" '"
:,I.,.it''\i:;',I:\l;,,:-,l-: ~I: "J"". ,: I,', j t,,"
\f"f'lf\i' 'I)' ~ ']'1' ~i i, ".~' ,l,
:,}r5['i?t:j": ';,\!:.:T, i:;} '1
'-",
'"
,
"~,I
<I"
"
"', ,I"
".
I
,"
,,'
,. '
1.',
.'f'l,
"
,,'
"
"',l
'~" '"
"
'".'
,
,
"
'.;1,
.,
",.,'.
\1' '.
,"
,,'
;\i"
",
"
"
"
" 'j'.
"
,
"",:
i','
"\',"
,:",',
','f"_'
, , ~
"
'"
,
".
,..1:,:\
}~ Ii::,'
,I:"
',..
'.I:
, :1,'
I' i1
""
I
,
, I~: > .
(; -,:; ~,"
"/'"
j"'""
. '
"
"
,,',
"
."
i';~ ,;,:>,i,',
.l'/."
,1.1
,""
';
,
, "
,
,,;
'1\'
,.'
d\
'"
,',J
"
, "
"
.,',
','1'
"JI,'-'
"
",",
, '
, ; ~
~,:,~:,'-,q\,;~
'" "/;':,"1:'",
,',01,
,/'
\ -~ I
I ~'
"'i,
,'1"
"
r, ;
,;1,
",;j,
'I"
,j ,',
""l!,'
(,"
" '",,'
" \,
,"
",,,,
,.': ,
'1;1.':1"
','
" !'
"'Ii
,
,:,'f.')" ,
, ,\1/
I,
,
."Hl
\,' I:
"
"
I.
'I,;'
",",
..,,'
"
''I'
,',
,,'{
,(I
,
1;'1"1,,'
I,': ,I.,
"
'.1"'-',,",
" ,
I"J
",
'f"
"
COMMONWEALTH OF PENNSYLVANIA I.
COUNTY OF CUMBERLAND J
Ul
Cntlwrillo E. Hllrshoy
boing duly ,_~~!.'.1.____~ ~ccordlng to law, doposel and says that she Is tho ExecutrIx _,___
_.,_.._ ._____.._._______________ 01 tho Estate 01 Cntherlnc s. KeplinRcr
lato of -- Cllrl1Hlu BQrQugh. .______ __,._. ._____, Cumberland County, Pa., deceased and that the
within Is an Invontory made by. (:ntlll'.t.l.ne..Jl..-1I,.rq)II'Y _._ _____., the said Exccutrix
01 the ontlro ostato 01 said decedent, conslsllng of all the personal prop.rty and real eltate, except real estate outsldo
tho Commonwoalth of Pennsylvania, and that the flguros opposlto oach Item 01 the Inventory represent II's fair value
as of tho date of docodont's death,
and subscribed belore me,
19
~
Cntherine E.
HerHhey
1117 Bnldwin Stroot
,
.
"m,.
Mechnnlcsburg, PA 17055
Add""
Date 01 Death
J5
D.y
06
Month
lQQ&
y..,
INSTRUCTIONS
I. An invontory mUlt be IlIed within three months alter appointment of personal representative.
2. A supplement Inventory must be lIIed within thirty days of discovery 01 additional auth.
3. Additional sheeh may be attached as to personalty or realty
4. See Article IV, Fiduciaries Act 0/1949,
i
I
~ I 1 1
w I ..
>- l- I<, ..
~ w ~ ,~ ..
~ a- u .
0 VI ..
..... 0 w Q 1lI ...
I a:: w 01 : .
~ 1- :z: a- ..J u. ...., ""I .; E
'" Z l- t>.
I ~ 0 .. <II, a- 0
u. ..J :I:
.... W 0 <( :.:: 'Vi' i:-
N > '" 1<
z .' ;c11
Z 0 Vl; C
C 1<' ~
" I - VI Z JI 0
'" <II, e; .... I
z I! w <( c
a.. ,., "tI
I< C
<lI ..
I .c - -.:
... 0 ..
(j ,.Q
E
,
!
Inventory of the real and personal estate ot
I'
I
Catherine S. Keplinger
I
I
.l PERSONAL PROPERTY .
I
deceaeell
1. Funds receIved frClm Best rice Sellers Estats on 01-02-96 aa per adjudicstion
of Delaware County Orphana I Court
REAL PROPERTY
NONE
I;'
,: I'
"
,
'n i
t, ~;:
\:'1
"
I ~,I
'I' ,
t,',
L,
,
" "11
;;':. ,. '..\ ll:'i
1'5('),
I
,
"
, ,
j; ,
, "
C~
$22.447 42
#1j1J~'cS~t.
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
I.
J
u:
CClther~n~..E. Her!!J1.ey.. .._.__P_.____.._.___.__
bolng duly '.__u_S.1i9J:'n ., _" decordlng to law, depol8\ and laYI that ~e __ULthB-____._____ ._ ,,__
..,.".. Excautdx.".. 0' the Eltdte of Catheri.ne S .._~~~!.l1.g.'l.;'._...__
late 0'.. Car lis Ie Borough . _____ ___pO' Cumberland County, Po., deoeued and that the
within Is an Inventory modo by .Catherinf:.l. E._JleJ:_s.!1ey__ __._".__, the lald_EJ~.ecu.t~i~__o_
of the enllre OIhte of laid decedent, eonllltlng 0' all the personal prop~rly and real estate, exoept rOil OIhte outside
,the Commonwealth 0' Pennsylvania, and that the figure I oppollte eacn Item of the Inventory represent It'l fair velue
u 0' the date 0' decedent'l doath,
and lublcrlbed before me/
19__
.c!.(~~'fr~t.'-'---.Jkk!~1tf...
Catherine E. Eneut""i ........,
Hershey r x
.__..1.ll_LBaJ.dwin St.L.
Mechaniasburg, PA 17055
Add""
15 08
Date of Death .__ "._ ____.___...___._.____.__.__.
1994
DIY
Month
VII'
INSTRUCTIONS
I. An Inventory mUlt be /lied within three monthl alter appointment of personal reprelOnhtlve.
2. A lupplementlnvontory mUlt bo /IIud within thirty days of discovery of additional allOts.
3. Addlllonallheets may be attachod as to porsonalty or roalty
4, 500 Artlclo IV, Flduolarles Act of 1949,
OJ
o-l
Ul
,,-i
o-l
tIr ~ w ~ 11
~ ... U ;
M ~ ~
r- (; g 4-1 ~ .
I ~ w 0 Q III ..
"l' :t ~ :. .
'" ... ..J u.. .c: r E
I ... ..J .1i 0 01 " 0
...
r-i u.. ::l ~
N > 0 -< ~ 0 {
Z k
Z 0 Q 0
ci - III ~ !Xl <3
~ ~
Z W
0. 'U
c
"
... "1:
U 0 ~
.0 'U ....
,I ~ e
... . 0
" . it 0
..J U ClQ
REV,l~OO EX + (1,Q41
t-
is
ffi
III
Q
I!!
, :5'"
'"IE'"
~O~
"IE""'
U~'"
cJ,t-
,,,is
mil
fl~
OAtE or IlR1H
'OA DATno, DIATH AmA 12/31/91 CklCK HIAI
" A SPOUSAL 0
paVIA'" CAIDIT IS CLAIMID .
PILI HUM...
21
COUNTY CODE
OtCWEN"S COMPLEU ADORESS
TII<JI'IlI,ald lI"nl<'
Cal' II" 1" I 1',\
COIJ"t Cumlwl' 1 illld
AMOUNl RECflVID tHE lN~TRUC110N~~-
~
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
COMMONWf.ALTH Of PENNSYlVANtA
DfPARTMENT Of REVENUE
DEPT 180601
~Rt$BURQ, PA \'128,0601
otC!OtNI'S NAME (\AS1, fiRST, ANO MIOOH INI11Ml
KEPI. IN(;EH. CaL h"r I Ill' S
WCIAlSl'U~llYtWMUR ~.OEAht
~{)H-JH-'HIII';_~::.1 'i-9I,
I" lHllC.l.llll \lJhl~I,Hj \'OlJU \ 'UIIllllU "UI l'W ""oo7j"1I1'lll
'J/,
VEAR
71'1
NUM8E'
OB- :~(J-OI,
$OCIADicURI1Y NUM!fR
--
o 3. R.malnder R.lurn
110, dol" of d.alh prla, 1012.13.82)
o 5, F.deral Ellal. To, R.lu,n R.qulred
o 2, Suppl""nlal R.lurn
KX 1. O,iglnol R.lurn
[J 4, liml"d EIlale 0 40. Fulure Inler..1 Comp,amile
110, dol" of dealh after 12.12.821
KX 6, Deced.nl Died TellO" 0 7. Decedenl Mainlaln.d a living Trull
IAnach copy 01 Willi IAlIach copy of Trulll
ALL CORRESPONDENCE AND CONfiDENTIAl. TAl< INfORMATION SHOULD BE DIREelED TOI
NAME - COMPUl! MAlltNG ADORfU
Chilrh!H II. StlllW, En'l' StOIlU LaFilVl!l" fl
lEUPHOtH ~lUMBU P .ll. Hux E
J...llL I 771,-71135 (<\01 Clllllbpl'lnnd
z
'"'
5
:>
~
u
::I
I. R.al Ella" (Schedule A)
2, SIackl and aandl ISch.dule 81
3. ClolOly Held SlackIPa,lne"hlp InterIlIISch.dul. q
4. Mortgagll and Naill Rec.lvable (Sch.dul. D)
5. Cath, Bank Depotits & Mitcellaneout Perianal Properly
ISchedul. E)
6, Jalnlly Owned P'aperly ISchedule f)
7, 1,an.I." ISchedule GIISch.dule l)
0, 10101 Grall Allell (Ialalllnll 1.7)
9, Funeral Expentet, AdndnltlrOllve COlli, Miscellaneous
hpenlOl ISchedule HI
10, Debll, Morlgage Llabillllll, ll.nl (Schedul. II
11. lalul Deduclianl Ilalalllnll 9 & 101
12. Nel Valu. of Ellal. ILlne B mlnul lln. 111
13. Cha,i1abl. and Gavernm.nlol 8.qu,," (Sch.dul. JI
14, N.I V~lu. Subiocl 10 10' Illn. 12 mlnulllne 13)
15, Spaulal Trantle" 110, datel of dealh ahtr 6.30.94)
See In\lrucllonl for Applicable Percentage on Revertll
Sid., Ilnclud. valu.. from Schedule K or Sch.dule M,I
16. Amounl of line 14 la,able 01 6% role
Ilnclude valulI from Sch.dule K or Schedule M,}
17, Amaunl 01 lIn. 14 la,abl. 01 15% ,ate
Ilnclude ,alulI from Sch.dul. K or Sch.dul. M,I
18, Principal la, du'IAdd 10' from llnll 15, 16 and 17,1
19, Credits Spoutol Poverly Credil Prior Payments
+ 1,91l1. 77
20. II line 1911 grealer Ihan lln' lB, .nler Ih. dlHerence an line 20, Thll II Ih. OVERPAYMENT,
110
21. II line 18 I. greater Ihan line 19, entor Ih. dlHer.nce an line 21. ThI. i1lh. TAX DUE.
A. EnUH Ihe tnl.rell on Ihe balance due on line 21A,
8, Enler Ih. 10101 of line 21 and 21A an line 218, Thil II Ih. BALANCE DUE,
Make Ch"k Pay obi. tal R.gII'er 0' Will., Ag."t
.... BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH .. ~
Under p.nolll.. of periury, I declare IhOl1 havo ..amlned Ihll relu,n, Including accompanying "h.dulll and lIalemenll, and 10 Ihe bOIl of my knowledg. and bell.l,
III1 true, carrocl and compl.to, I d.c1are Ihal all roal IIlale hal botn reported all,ue markel valu.. Docla,atlan of preparer alher Ihan Ih. perianal rep,...nla"" il
bated 01' all information of which preparer hel any knowledg..
f1GNA1URE Of HR~OII R{~pml~la(t ;011. 'Iwm Rf1UR~1 ADDU~$
J!.;.1.1tu._b_~_~_'1J.,'u/~,~ 1117 IIdld\,J1n SI.. ~h'l'h:lnll'"b"l'g, 1'/\ 17()'J'l
sl~"'lfu)Of pRfPU!1l. 01tH~ hlAN Il.!Pll.EJ1iYf----rOORTIS----
I...:~l\...(;...,-, IJ._.JL:?:;;;.____.__. . __I.'.!\!.~ I~Jx J:! :h'\,il~lI.l~~:.!:l!.~!'.~--~~()7()-----
Z
Q
ii
t-
~
III
Q
U
=
t-
_ 8, Tolal Number of Sole O'ilo,lI Bo~..
SlotH'
00
J.- .,.
I" .,
17~io
-tl~
" ,
II)
(2) _
13) ------
141
1511,5.114.91,
.'
;..J
-,
o
.,J
I.J
f.-',
r.o
"
Oi)l-
):.;:',-
Ui I"
16 ) '. 7/." .111
17)_
(81 $46.857.04
19) 9.519.79
(101 '1(,<; 7.9--
(11) 9.71\5.58
(12) '17,071.1,(,
(131_3,707.15
(14) .33.361, ,31
(15)
(161 '\ '\ 1 '\(,1, '\1
(17)
Dltcounl Inl.rllll
+ HJD .09
)(._11
x .06 a
7,1101 .Rf,
x ,15 a
liB) .-3,001. 86
(19) 2,001.86
(201
(21)
121AI
1218)
.00
onE-
Il' (/ I ( , /
((.{ ,LLU_-
OAlI t
'l.A { {(" /
.lYJ.L...._ljn 0.----
I
I
"
I
I
.1
, i
II
I I
I
_.v,ItIlU+ fJ,"1
Plla.1 Print or TVPI
MBIR
21-94-732
T AMOUNT
~\~I}~
... ..ftfUt-
COMMOt,IWfAlTH Of PENNSYlVANIA
INHERITANCE IA. '!TURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
ATE OF
Catherine S. Keplingor
ITEM
NUMBER
A. Funeral EMpenlll1
I
I
!
B.
DESCRIPTION
1.
I'arr.homoro l'umlral Home-funoral oxponses
Paul ~I. & A. Kovin Kilhiffer-opening of gravc
Linda Nailor-scfvices rendered for after funoral meal
Lisa Wu~9tor-services rendered for reception
!'uith United Church- flCW(lfS
$5,960.10
275.00
18.00
10.00
35.00
2, Attorney Feu Stone LaFuver & Stone 2,342.00
(
4,
C.
1.
2,
3,
4,
5,
6,
7,
8,
---
2.
3.
4.
5.
1.
I
I Admlnlltratlvl COIIII
Personal Reprelentatlve Cammllllonl N / A
Social Securlly Number 01 Personal Representative:
Year Commllllanl paid.
3, I Family Exempllon
Claimant Relatlonlhlp
Addrell of Claimant at decedent/I death
Street Addlell
Clly
State __ Zip Code
Probate Feu
probate and short cert. ($146.00) and filing Inheritance
tux return & Inventory
Mllelllan.oul Exp.nl'l!
Cumberland Law Journal-adv. grunt of letters
IThe Patriot News Co.-adv. grant of letters
L. Ilailor-servlces rendered (uhaul)
I
!Heserve for closing expenses
I
TO'(AL (Allo ontor on line 9, Recapllulatlonl
(II mora spaco I. naadad, in,oll additional !haots 01 'a'",o ,lx.o.1 ,
171.00
40.00
59,23
49.46
500.00
59.519.71)
, ' , 'I
I,' .,' 'i
/ 'I :r!) I.. ~
BUflEAU OF INDIVIDUAL TAMES APPRAISEHEIlT. ALLDWANCE DR DISALLOWANCE
~~iS:~~~\A l11Z8-0601 _ OF=DEDU~~~~~~=SESSHE=N~~"~~_~.,, DATE _ 0:-~~9,5
IsTA"E Or==nPLI~= "e1i"H~ Tfrs ----- .-- FILE 'NO; ~219' - "
DATE OF DEATH OB-15-94 COUNT V CUMBERLAND
MOTEl TO INSURE PROPER CREDIT TO YOUR ACCOUNT. SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAK
PAVHENT TO THE REGISTER DF WILLS, HAKE CHECK PAVABLE TO "REDISTER OF WILLS. AGENT"
REMIT PAVMENT TOI
f= ~,;ou!'tRlnlt~ld ---1
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
it EV: iS47 "iX-A j:"p - rrz: 9'4 Y - iiiii" i c i- -0 F-"i NHEii if ANa i " TAX "APPRA'i BEMiiir; -A L l"oWANa i-oR. - -"" - - - "-,, - -"" -"
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
EsTATE OF KEPLINGER CATHERINE S FILE NO. 21 94-0737 ACN 101 DATE 05-22-95
If an allelsment was iSlued previouslY, linls 14, 15 and/or 16, 17 and 18 will
reflect figurel that include the total of ALL returnl alselsed to date.
ASSESSMENT OF TAXI
15. Anount of Llnl 14 It Spoulll rltl
16, Aoount of Llnl 14 tlXlbl1 It Llnlll/Clll1 A rltl (16)
17. A.,unt of Llnl 14 tlxobll It Collltlrll/Clll1 B rltl 1171
la. Prlnolpll Tlx DUI
TAX CREDITS:
PAVHENT
DATE
11-14-94
CHARLES H STONE ESQ
STONE ETAL
PO BOX E
NEW CUMBERLAND PA 17070
TAK RETURN WAS' (X) ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST " SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1, Rill ~Itoto ISonldulo Al III
2. stockl Ind Bondi ISonldul1 B) (2)
3, Clollly HIld Stook/Plrtnlronlp Inti riot ISonldul1 CI (31
4. Hort;I;IO/NotIO Rlollvobll (Sonldull DI 141
S, Cun/Bonk DIPoolh/Hloo, Plroonll Property (Sonldulo EI (SI
6. JoIntly ownld Proplrty (Sonldull FI 161
7, Trlnoforo ISonodulo GI (71
B. Totol AUlto
APPROVED DEDUCTIONS AND EXEMPTIONS I
9, Funlrol EXPlnolo/Ad.. cooto/Hlao, Explnolo ISonldull H) 191
10, Dlbto/Hortgl;1 Lllbllltloo/Llono ISonldulo II 1101
11, Totll Dlduotlono
12. Nit VIluo of Tox Roturn
13. Cnlrlhbll/Govlrn..ntol Boauuh ISonldulo JI
14. Nit Voluo of Eototl Subjlot to Tox
NOTE I
101
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
I CHANGED
-
,00
.00
,00
,00
45 .114 , 94
1.742,10
,00
lal
46.857.04
9,519,79
265,79
1111 _
U2)
1131
U41.
q.7R~ CiS
37,071.46
3,707,15
33,364,31
USI ,00 K ,03_
--
33,364.31 K ,06_
,OOK.15-
UBI
,00
2,001.86
,00
2,001.86
RECEIPT
NUHBER
MM9131B4-
DISCOUNT (f)
INTEREST (-I
100,09
AHDUNT PAID
1,901.71
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
2.001,86
,OU
,00
.00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FDR CALCULATION DF ADDITIDNAL INTEREST,
IF TOTAL DUF. IS LESS THAN .1, NO PAVHENT IS REQUIRED,
IF TD1AL DUE IS REFLECTED AS A "CREDIT" ICRJ, VDU HAV BE DUE
A REFUND, SEE REVERSE SIDE DF THIS FDRH FDR INSTRUCTIDNS,I
RESERYITIOH,
PIRlPOSE Of
NOTICE,
PAYHEHl'
REFII<IlICRI'
OSJEtTlOIlS ,
ADMIN
UlRlTIYE
CORREtTI OIlS ,
DISCOUNT'
INTEREST,
-.-,.
.
00
C:jF
;.1.
Ie!
lJi
_n:I)
.'.It])
II (,
'"
~~
f',.1
(),
.. \.1
Elte," af dtatdentl dylnl on or blfor. D.olllbtr U, 1912 .... if any futu" Interll' In tbf i..a't ~.. \tren"lr4rl4;
In po..."lon or enJoVMnt to CII.. . (cQl1lt,r,U bentHol.rlu of thl d.cedent IIIfhr the 'Oblr,Up'!\' of MY IIt.i. far
llf. or for v..r., thl COlHn....lth har'bV IXpr...h r...rvI' thl right to appr,h, end ...... trll1lf,r rnhtrltllnClI Taxi'
tt thl llW'ul C1... . (ool1,t,raU r.t. on MV luch future Intlrn..
To fulfill thl r~lr..."t. of Slotlon 21"0 of thl InhtrltlnCl and EtUtl hx Aot, Act 22 of 1991. 12 P.I.
SMUon 21"0.
DetlCh thl tOP portion of thl. Hotlcl and tubllt with your PIVltnt to thl Rftl,t'f 0' Willi printed on thl r.v.r.. .Idt.
--HoI<. chook cr ...... o,dor .....1. to, REOISTER DF HILLS, AGENT
All Plv-entt ree'lvld ,hili 'Irl' bI applied to env Int.r..t which "V be due wIth env r...lndtr applied to the tlH.
A r.fund of . tax oredit, which WI' not requ.lted on the r'M Rlturn, .av b. reque.ted bv ~oapl.tln8 In "Applioation
far Rlfl.Rl of Pem.ylvenll InhlrltlnCll end E,tatl Tu" (nF.Y-uuJ. Application. Irl Ivallabll It the OffiCI
of the Rltlhhr of \11111, any of thl U Rlvenue Dhtrlot Offlcu, or bv oaUlng the .peoill 24~hour
In.werlng ..rvlol nuebtr. for for.. ordlrlnVI In PIOn.vlvanla 1-800-361~Z050, out. Ide Penn.vlvlnta end
within lceal ",rrllburg I'll (717) 767-8094, TOOl (717) 77Z-2252 tHtlrlng IlPllrld Dnhl.
Anv p.rty In Intlrl.t not .atl.fled with thl apprll..-.nt, .llowancl or dl.allowancl of dtductlon., or a"I.~t
of tlM (lnoludlng dlsoat.rlt or Intlr.." II .hot<<1 on thl. NoUel MI.t obJlot within I1MtV (60) dlvl of rto,Jpt of
thlt KoUet bVI
-"wrlttan prot..t to thl PA Deflertltnt of RIVInUI, loerd of Appeals, Dept. 211021, HarrhbYrg, PA 1712'-1021, OR
"lltoUon to haVI thti .attar d.taralMd It audit of thl IeCOWIt 0' thl Plttonal rapre.tntltlvl, OR
~~lPPIal to t~ Orphln.' Court.
F~tUlI .rror. dl,covertd on thl. ......lInt .hould be ~dra..1d In writing tOI PA Dlpart""t of RIVenut,
lur.tu of Individual TIM", ATTNI Po.t A.....~t Rlvl.w Unit, DIPt. 280601, H.rrl.bUrg, PA 1712'~0601
Phone (717) 717-6505. S.. page 3 of thl bookllt "'nltruotlon. for Inhtrltane. TIM Return for I Rllldlnt
Decldlnt" (REV-lIOU for en uplanltJon of adalnlttraUveh correotlbl. .rror..
If anv t.M dut I. paid within thrll (31 c.ltnd~r .onthl aftlr thl dlCldant', dllth, . flvl ptrClnt (5X) dl.count of
the tax plld I. 1110wed.
Intlr..t It charged blIIlnntnt with Urtt dav of dtll"quanov, or nine (9) IOnth. If'ld ant (1) d.y frOll thl dati of
death, to \hi dete of p.~t. TaMu which bee.. dtll~llt bafora Jenuery I, I98Z bltr Internt at thl rlta 0'
11M ('~) pere,"t par ~ cllculated It a dlllv rttl of .000164. All talCU whlClh blc", dl1Jnquent on end Ittar
JlnlllrV I, 1912 will bllr Inttr..t .t . rete whleh will varv frol clland., YI., to cftllnUar Vllr with thlt rltl
lIf'II'IOWM:ed bv thl PA OWert."'t of R.vtnUl. The If'pllcabll Il1t"..t "t.. for 191Z through 1995 art!
'!!!! Int.,..t R.t. DillY Intlrl.t Factor ~ Inttr..t p,t, DDilv Int.r.,t factor
.,.Z ZO~ .ooom 1917 .~ ,0002\7
1.11 1'~ ,000438 19H-I991 III ,000501
I'" 1l~ ,000501 1992 9~ ,000247
1911 IlX ,OOOlS6 1991-1994 n ,000192
1966 10~ ,ooom 1991 9~ ,000247
--Inter..t I. c.lcul.ted .. follow.;
INTEREST . BALANCE DF TAX UNPAID X NUHIER DF DAYS DELINQUENT " DAILY INTEREST FACTDA
-~Any Notice IIIIUld .ftar thl taM blco,,, dellnqu<<tt will rlfllct an In,,,"t cllcullt10n to flUMn (151 d'VI
b.vond the dlte a' the ........nt. 1f pavHtl' I. aacM after thl Intarllt COaputlt1on date .hown on thl
NoU"I, IlddIUltnal inttrut lU.t b. c.lculated.
RIY, 1100 IK+ I/.Q~I
t
ffi
~
c:l
~
, ~t:!
il~
~I
Bli'
/t-/-l3/-LP
rORDATIS O' DIATH Anu 12131191 CHICK HIRI
. A SPOUSAL
POYIRrt CRIDIT II CLAIMID 0
.ILI HUM".
21
COUNTY CODE
ceDENt's COM'IIUAODUSS
Thnrllwllld 1I0l1\e
Cllrlllllo,l'A 1701:1
~ounl Cumhl' r 1 nlld
AMOUNT IUCIIVID ISft INSTRuctlONSI
~
SOI'I'!.EflENTA!.
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
COMMONWIAltH Of PINN!iIVANIA
OIPARlMIN' Of RIYINUI
om lIObO
HARRIUURO, PA 17111,0601
Of tINt" HAMftrnf.'fTilf. AND Mlvoii INI tAli
JEI'L1N(:\O:I\. Clltlwrl'w S.
SOCIAL SICUIlITV NUMIUl DA.n of DeAHl
08-1 ')-~II
-'=C'~
OAll Of 1IIlIH
!HI -- .0:'J)I,
SOCiAl SICURItY NUMIIA
~I,
YEAR
NUMBE,
7'fl
o 3, Rlmalod" Rlluro
('or dalll a' dlalh pria, 1012.13,82)
o 5. Fed"al EIlall Tax Rllurn Rlqui"d
o I. Original R.lurn lil 2, Suppl.mlnlal Rllurn
o A. l'mll.d E.la" 0 Aa, Fuluro Inl""" Compromit.
('or dalll a' dlalh ah" 12,12.82)
[] 6. Deced.nl Di.d T.Ilall 0 7. Decedenl Maln/alnld 0 living Tru'I
(A"ach copy a' Willi (Allach copy 0 Trull)
ALL CORRESPONDiNCI AND -CONfiDENTIAL TAX INFORMATION SHOULD II DIRIt.1ID TOI
NAMI OMPlUI MAiliNG ADOIIUS
Charl(!fI n. Stnno, EHqull'l' Stolle !.IIFllver & StOlll'
lIlEPHONINUMIII 1',0. 1I0K I':, New CUI1\I)(Irll1lld, I'A
717 L77I,-71t:l~ __
z
5
I
I. Rial E.lal. {Schedul. AI
2, Slack. and Bond. (Sch.dul. BI
3, Clallly Held SIack/Po'lnenhlp Inl""I(Sch.dule C)
A, Mortyogll and Naill Receivable (Sch.dule 0)
5. Ca.h, Bonk D.pa.ln & Mhcellon.ou. Pellonol Properly
(Schedul. EI
6, Jolnlly Ownld Properly (Sch.dule F)
7. Tran.'... (Schedul. G) (Schedule L)
B. Talal Grall Allen (10101 llnll \.7)
q, Funeral Exp.n.", Admlnhtrall'tl COlli, Mlle.llon,oul
Expenlll ISch.dule HI
10, Debn, Mortgogl llablllllll, llln. (Sch.dul. II
11. T alai D.ductlaM (10101 llnll Q & 101
12. Nil Volu. 01 E.lall (L1n. B mln.. lln. 111
13. Charilabll and Governm.nlol B.quIIII (Sch.dule JI
lA, Nel Value Suble" 10 Tax (L1n. 12 mlnu. Lln. \31
15. Spou.ol TronJe" ('or dalll 01 d.alh aher 6.30,9A)
Su InllruCllan. fa, Applicable Percenlag. on Rive".
Sid.. Ilncludl valulI 'rom Schedule K or Schldull M,I
16, Amaunl a' L1no lA lo,oble 01 6% rol'
(Includ. va lUll 'rom Schedul. K or Schldule M.I
17. Amounl of llnl lA loxobl. 01 15% '01'
(Includ. va lUll from Schedul. K or Schldule M,I
lB. Principal lox due (Add loxlrom llnll 15, 16 and 17.)
19, Credln Spau.ol Poverly Credit Prior Paym.nl.
_ B. Tala I Number a' Soft D.palil Bo'"
21. If lln. 1 B I. grealer Ihan lln. 19, enler Ih. dlll",nce on line 21. Thh I. Ih. TAX DUE,
A, Enler Ih. Inl""1l on Ih. balance due on line 21A,
n. Enler Ih. 10101 of LInt 2\ olld 2\A on lln' 21B, Thh I. Ihe BAI.ANCE DUI.
Mahl Check Poyabl. t., Rlgl.ter of Will., Agent
.. BI SURE TO ANSWIR ALL QUESTIONS ON RIVIR.!I SIDE AND TO RICHICK MATH ..0( <II(
~nder p.nolllll a' periury. I declare Iholl hove examined Ihl. relurn. including accompanying "hedulll and 1I01.m.nll, and 10 Ih. bill a' my knowlldg. and blll.f,
,III tru., CW." and compl,". I decl"re Ihal 011 real elloll hat bun repa,"d ollru. markll volu.. Olclorotlon of proporer olher Ihon Ihl p,"onol roprlllnlollve I.
bal.d on alllnfornlallon 01 which prepare' nOl any knowledge.
IiciNAfijI! 0' "UuN mpON'"'' '01 PI\lIIO RllUON AOOm! OAT!
111'1IlHldwln St., fl"e1\11nlc!lbnl'~, I'A 17055 ,;2/1/9(/'
ADORE!>! OAlf
1'.0. lInK E, Nuw CIHnbl'l'lancl, I'A Q/71?l
(" Aml(AIIII 'UI~IVI~.O ,,0uH \ '4mlli4iT~"r ..'ID "';Olllllt4ltlAII
z
S!
~
~
.
B
~
...
(11
(2 )
(31
(4 )
(5) $22.1,47.42
(6 )
(7)--
--
17070
IB) $22,447.42
(9) 1 ,41J1.. 37
(10) -
(111
(12)
(13)
(141
(15)
(16) _1lh200.01.
-)(,--
M ,06 a
(17)
M .\5.
(18) _
DI"ounl
Int.rtll
+ + (19)
20. II lln. 191. greal" Ihon lln. lB, enl.' Ih. dlll.renco on LInt 20, Thl. h Ihl OVERPAYMINT, (201
gO
(211
(21A)
t21B)
1,41,7.37
21.000.05
2,100.01
lR,900.01,
1,134,00
1, 134.00
1 I 111.. 00
1.134.00
IIV.Ulllh I,.n,
~~
COMMONWP.AITH 0/ /!NNIVlVANIA
INHUITANC! TAR mURN
RUID!NT D!C!DIN!
ISTATI OF -
Cathcrinu S. Kuplin~ur
ITEM
NUMBER
A. Pun.ral bp.n...,
B.
4.
C.
1.
2,
3,
4,
S.
6,
7,
8,
1.
SCHEDULE H
fUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
--=-
21-9~-731
DESCRIPTION
Admlnl.tratlv. Ca.t"
Perlonal Reprellntatlve Commllllons
Social Security Number of Perlonal Representatlve,
Year Commllllons paid
1.
2.
Allorney Fell Stonu LaFavor & Stonc
Family Exemption
Claimant
Addrell of Claimant at decedent's death
Street Addrell
City
3.
Relationship
. State
Zip Code
P~ba~ ~II filing Supplumcntnl Return & Invcntory($25.00)
MI.cellanlou, Exp.n,,"
Ruservc for closing uxpcnses
TOTAL (Allo enter on line 9, Recapltulatlonl
(If more space ,I. needod. In.ert additional sheet. of .om. sill.)
AMOUNT
$1,122.37
25.00
300.00
s
I . I ~
I
I
I
I
I
!
J
I
I
't-. /O(OH",
I
I
I
I
I
I
I
I
I
I
I
I
. ,.. ,.. ,~ .
'~, .,- .
,
; .
- "-.. '-'-'~ -. -.................. -'-'-- .-..... -- -.- -.-. ..~- ....-.... .~ ,..._~ ,.. -.. --- --. ....... .-.., -- -... -.. -- - -...- -- - - --
1'~~f'N~~~I;l'; ,;t';,l'\) dlfl/:W.\~\ltr:~ Ifl'~1"1.a-'\~;i:/J.\,yj~"lt~1i11'\'?rl,I{I\~"I'~ \J'i~'\' 13~'\{i :~"'t't,tfj:"~' ','W";'I;' f~;,,(t"'l:;,\ ::' :)1 ';';".,' ,1,\ ',' ,I
1)I\i,,'\I"'I~ '" 'I~.'\;t rl' ~jJ
'!{o.'j.,, ,'1....1.1\:'.'/., 1,"'.'1'''1 ,:1\" ;iW...":i'~O":i:ii[ji" I ';"W"'" \;P'.' ~l~ij/;' it,Ji"IIJ(,)'.' '" \ 'I" :" '~I.I; ,,' ,,: " \""'\'~
t ,,~,~'J," 1 1'1', ,IV' ""',',/ "~~",", ,,,.,~, I' ~ '. "nl; '.lfJ\.. ,,': \ "I , " ,",'
, ~Q;;'M913,~':8~\.\,,::i'<')':':'''I'');'~'~''''f'~''~'VIHUI"',:l:','I' ': ,," ,', " ,'J
l~~l~t 1;;'j'~I~', : .;: ,(.. O~~ICl~~~~II'" ~';"INNSY~VANIA lNH~Rtr~"~I'A~DlSTATI tA~' '. 1 ' , " / j
ACN
ASSESSMENT Il'
CONTROL IW
NUMBER
RECEIVED FROM:
FJ
AMOUNT
tHONE CHARLES H
414 BRIDGE STREET
1\1'1
'1 ,'1Ql.77 .
NEW CUMBERLAND
PA 17070
WID Hili
OSJHlJ94
REMARKS CATHERINE E:. HERSHEl'
m TOTAL AMOUNT PAID ------.!L_'!.Q.!. 77
SEAL
CHECK* 878-14199
REGISTER OF WI.LLB
" I
- -.- --. .-. ,,- -r- -- -..- -- --~ -. __.. __. _ _..... __ h__ w"':_. _ ___ __ _ __ __ .__ ..._ _ _ ___ _..__
I
,
.
,
. ..- ....."..-..
.... ......."'-
.... -. ~ ~...,
.~..---....J_,. TOo,' \
,
/ '/
':,"Ii
(.,
j
"
"
REV-1547 EX AFP (12-95'.
COHHOHMfAl HI Of PEHHSYl YAHU ACN I 01
O[PAR1"EHI Of REYEHUE NDTICE OF INHERITAHCE TAX
'UREAU Of IHUIYIOUAl TAKES APPRAISE HE NT , ALLOWANCE DR DISALLOWANCE
~i~~is~e:~~lp. 1112B-O~.OI .._. ~____OF. DED_~CTIDN.S AND .A~~~S~H~NT OF ~A_M ..1 DA~,~_~.H6-96
!S'tAT! OFK!:PT1l1'GER CliR~~ firs FILE NO. ITTfi7Di37
DAT! OF DEATH 08-15-94 COUNTY CUMBERLAND
NOTE I TO INSURE PRDPER CREDIT TD YDUR ACCOUNT, SUBHIT THE UPPER PDRrIDH DF THIS FORH WITH YDUR TAM
PAYHENT TD THE REGXSTER OF WILLS, HAKE CHECK PAYABLE TO "REGISTER Dr WILLS, AGENT"
REMIT PAYMENT TOI
~
CHARLES H STDNE ESQ
STONE ETAL
PO BOX E
NEW CUMBERLAND PA 17070
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
E .A.aunt RI.IUld -j
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ......
il 'EV: is''-;- E if -Ai: ii" i i'F ijsY "NoY i c r"o F" "iNHEifi;: AN"C it" 'fAx - iiP' PRA"iSEHE Ni'"; -A L row A 'Ncil - iiri" - -.. -- - - - - - - -"".
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF KEPLINGER CATHERINE S FILE NO. 21 94-0737 ACN 101 DATE 05-06-96
TAX RETURN WA3, (X I ACCEPTED AS FIl ED
I I CHANOED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN
1, Rill E.toto ISohlduh Al III
2, Staok. Ind Bond. (Sohlduh BI 121
3, Clo.lly Hlld Stook/P.rtnlr.hlp Intlrl.t (Sohldull CI (31
4, Hort~.gl./Notl' Rlollv.bll ISohldull DI (41
S. C..h/Blnk D.pollt./HI.o, P.r.on.1 Proplrty ISohldul. EI (SI
6. Jointly O"n.d Proplrty (Sohlduh Fl 161
7, Trln.flr. ISoh.duh DI 171
S, Tot.1 A..lt.
NO, 01
,00
.00
,00
,00
22.447,42
.00
,00
IBI
22.447,42
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funlrll E.plnl../Ad., Co.t./HI.o. E.pln... ISohldull HI
10. Dlbt./Hortglgl Lllbllltll./Llln. ISoh.dulo II
11, Tot.l D.duotlon.
12, Hit V.lul of To< Rlturn
13, Chlrlt.bll/DoYlrn.lnt.l B.qu..t. ISoh.dul. J)
14, N.t V.lul of E.t.tl Subjlot to T..
191
1101_
1.447,37
,00
1111
1121
1131
1141_
1.447.37
21,000,05
2,100,01
52,264,35
If an a.....mBnt wa. i..u.d pr.viau.1Y, lin.. 14, 15 and/ar 16, 17 and 18 will
r.f1.at figure. that includ. the tatal af 6hh returns a..el.ed ta date.
ASSESSMENT OF TAX:
IS. A.ount of Llnl 14 .t Spou..l r.tl IISI
16. A.ount of Llnl 14 tl..bl. It Llnlll/CII.I A rltl 1161
17, A.ount of Un. 14 towobh It Collltorll/Clou B rltl 1171
1B, PrlnolPll To. Du.
NOTE:
,00 X .03,
52,264.35 X ,06,
_~M,15,
llBI
,00
3,135.86
,00
3,135.86
TAX CREDITS I
PAYHENT
DATE
11-14-94
01-02"96
02-27-96
RECEIPT
NUHBER
MM913184
WRITEOFF
AAI12564
DISCDUNT 1'1
INTEREST 1'1
100,09
64,98-
15,69-
AHDUNT PAID
I .9-0T:77
64.98
1.134,00
INTEREST IS CHARGED FROM 02-28-96 TO 05-14-96
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
3,120,17
15.69
,30
15,99
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION DF ADDITIONAL INTEREST.
IF TOTAL DUE Is LESS THAN $1, NO PAYHENT IS REQUIRED,
IF TDTAL DUE IS REFLECTED AS A "CREDIT" ICRI, VDU HAY BE DUE
A REFUND, SEE REVERSE SIDE OF THIS FDRH FDR INSTRUCTIDNS, I
~~~
"
"
,
lj ,'.\
r,
.lJ\.
). :.:l
W, :r:J~
((. P
,r, J
-. (,
s;,
'"<
, "
0'\
.-0 '-
N (II.
('
/:'J -..
~
RESERVAT10Nl E,tlt.. of dlCldlnt. dvlng on or blfor, O.c..ber ll, 1982 ~~ If any future 1nt,relt In thl ..tat. II tr'"II.rr,d
In po.....lon or 'nJov.."t to Clan B tcollat.rlll) bln.flcllrlll of thl dlCldlnt alhr thl uplrotlon of any utat. (or
11'. or for V'~r'j thl Co..onwlalth hlreby DKPr...ly r...rYI, thl right to appral.. and a..... 'ran,l.r Inherltancl 'IX"
at thl lawful el.., ! (0011a'.r.l) rat. on any .uch future Int.r..t.
~JRPOSE OF
NOTICE,
To fulfill thl r.qulr...nt. 0' Slctlon 2140 0' thl Inhtrltancl and E,tato TIll Aot, Act 22 of 1991. 72 P.S.
SlcUon 2140,
PAYHENTl
o,tach thl top portion 0' thl. Notlcl and sub,lt with your pay.,nt to thl Rlgl,t" of Will. printed on thl rlv.r.. tld,.
uHakl chtr.k or 10nlY ordlr payable tOI REGISTER OF HILLS, AGENT
All paY'lnte rlcllVld thall flret b. applied to any Interl.t which nay bl dUI with any rl~alndlr applied to thl t~x,
REFUND (CR)I A r.fund of a tax crldlt, which was not requI.tld on the Ta~ R.turn, lay bl rlque.'ld by co.plltlng an "Application
for Rlfund of P.nn.ylvanla InhlrHancl and [.\ate Tu" (REV-U131. Application. arl avallabl. at thl OffiCI
of thl Rlghtlr of WIlIt, any of 'h. II Rlvanu. Dlltrlct OffiCII, or by calling thl .p.chl Zit-hour
anew.dng tlrvlol nUlblre for forn ordlrlngl In P.nn,Ylvanh 1-8OO-36Z-Z050, ouhldl P.nn,ylvanl. and
within 100.1 1I.rrltburg area 1717> i87.8094, TOO. 1711J 71Z-ZZSZ (HfJarln~ IIpalrld Only),
OBJECTIONS I Any p.rty In Interut not utltfhd with thl appraltlunt, .1I0wanc. or dh.llowancl of d.ductlon., Dr .".....nt
of tu (Including discount or In"rut) at thown (In thlt Hotlcl IUlt objlct within .htty (60) dl'lYI of rlc,Jpt of
thlt Notlcl bYI
-.wdtten prottlt to thl PA D,part'lnt of RI"'tnu., Board of Apptah, D.pt. ,810ZI, Harrisburg, PA 11128-IOZI, OR
-.,lIetlon to havI th. utter d.ttrlllln.d at audit of 'h. aCClount of thl Plrsonal rlpru.ntatl",., OR
--app..l to thl Orphln.' Court,
AONIN
lSTRAIIVE
CORRECTIONS.
Factual .rror. dl.cov.rld on thl. I.......nt .hould n. addr....d In writing tOJ PA O~partl.nt of R.v.nu.,
Bureau of Individual Taxu, ATTNI Post "tI,uDnt R.vlaw Unit, D,pt, ,80601, Harrl.burll, PA 1712&-0601
Phonl (717) 787-6505, S..e pagl 3 of thl book lit "In.truotlont for Inhlrltanel Tax Rlturn for a Ruld,nt
Dlc.dlntOl (REY-ISOII for an II<planltlon of ad,lnl.tratlv.1y corr.ct.ble nror..
DISCOUNT I
If tinY talC dUI It paid within thr.. (11 cal.ndttr lonth. Ilfhr thfl d.t.d,nt'. dlllth, II flvl Plrc.nt (S~.) dhcount of
thl talC paid II Illlow.d.
INTEREST.
Int.r..t I. chargld bl~lnnlng with flr.t uay of dlllnqu.nev, or nln. (9) ~onth. and on, (I) day fro_ thl date 0'
dllth, tJ thl dati of pay..nt, fa... which blel" d.llnqu.nt before Jlnuary I, 198Z bear Int.rut at 'h. rat, of
ilx (6%) p.rt.nt PI' nnnu_ oalculnt.d at II dally rate of ,000164. All tax.. which blcall' dlllnqu.nt on Ind after
Janudry 1, 198, will bur Jnter'lt lit If ratl which will Vllr'l frol callndlr 'liar to callndar 'liar with that rat.
announcld by the PA D,partunt of Rlvlnu., Thl ftppllcltbll Int.rut rat.. for 198, throl'gh 1996 arll
~ Inhrut Ratl Da Ilv Interu t rnctor !!!r Int.rut Rat. Dally Int"..t Factor
\'07 20% ,0005(18 1'07 9% ,000147
\.u 16% ,OOOU8 1'00'1..1 11% ,000101
1.04 11% .000101 199Z 9% .000Z47
I'OS 11% ,OOOlS6 1991'19IJ4 7% .0001.7
1986 10% ,000,74 1995-1996 .% ,000747
--Int.rut I. calculahd .. follow'l
INTEREST' BALANCE DF TAX UNPAID X NU"BER DF DAYS DELINQUENT X DAILY INTEREST FACTDR
.-Any Hottel luuld aft.r thl tnlC b.eo.... del1nqu,nt will rlfl.ot In Inter..' oalculatlnn to flft..n lIS) daYI
blyond the dati of thQ a...s...nt. If pay,.nt I. .ad. af'.r th. Intere.t co.putatlon dati Ihown on thl
Nl)tlc.. addltlonll Inter..t IU.t b, call:ulahd.
I
I
I
I
I
,
I
I
I
I
I
I
I
'I
I
I
I
I
I
,
I
I
I
I
I
r 10'OH/l1
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
'.
I.. .... .... \.. ... ~'
""'..~ .
...,.- _.-.~ -..-_._-'-~- ._~-.'_._- .'-~ -- -- -.. '-'. _4_._ ,t._.. ...... .. ._, ._... :...., __4_, .._._, ....__ ...__ __. ___~ _.__ __. __ .__. _. _~ ._.~ __. _....._.
' 'I ,
',-',._ i ,,'." \:1, -'':'',':: . ':';.:"i~;,"!.:'}.. :_,,\,-,,:,'1' __I ';', , ' ,','" ',',.. '.... " ',' _ "
g"'i';":.AA. "'.. '. ',1'.1 '2" '92,1, C:OMMONWIALTM OF PINNSYLVAN. IA
It"" . ... ., , If," ' ot"II1MIHT onlV_NUI ,., '., ,,'
,!l~II6I'" ". O"'CI~L Rlell" . PINNIYLVANIA INHIRITANCI AND IITAT. TAX
,
, "
..
RECEIVED FROM,
&
ACN
ASSESSMENT PI'
CONTROL IiW
NUMBER
AMOUNT
CHARLES H STONE ESQ.
101
., ~ . 99
POBOX E
NEW CUMBERLAND, PA
17(1'70
esTATE INFORMATION.
!llFIlENMBR
U el-19114-073',
!II NAME OF DECEDENT {LAST)
~ PLI NGER
II DATE OF PAYMENT
EI POSTMARKW1 P IljIlo
COUNTY
UMElERLAND
DATE OF DEATH
09 115 IljIit
REMARKS
CHARLES H STONE ESQ
m TOTAL AMOUNT PAlO
"15.99
DO
SEAL
CHECK" 5370
flEOISTER OF WILLS
. 'or' ,...... .. '.. ... .-. ----. ._,- .. . _ .'_,.. .._ ..., "_, u_
..
, '
0, " ..............--
..... "-~~.V'MI .\....
,.,.....-,-,.~._.,..'""""""..JlCI.-. ",; I
,"-' .:'1
,...
~..)
c'l
r;'
t ~ o.:~
I!l.
[0
N
=;i
~:-)
,I
U t,!
(lll"
0: ".
10
p,
'II r~
.':;. :1
00
PAyltENT,
D.t,ch thl top portlD" of thh Hotle. and tubllt with VOUI' paYllnt lid. pavable to ttlC" nl.. and Iddr...
prlntld on the r.v.r.. aldl.
If RESIDENT DECEDENT ..k. ch.ck or .on.y ord" p.y.bl. '0' REOISTER DF WILLS, AOENT,
If NON-RESIDENT DECEDENT uk. ch.ck or .on.y ord" p,,'bl. to. CDHHONWEAL TH OF PENNSYLVANIA.
All pay,.nt. recIlvld .hall bl appllld flrat to any Int~rl.t whl~h .It bl du. with anv r'lalndlr appllld to th. t~M.
REFUND (CA)I A refund of a taM credit, which was lIot requllttd on thl Till( A.turn, .IV b. "quilted by cOIPlltlng an
"Application for R.fund of P.nn.ylv.nla Inh~rltlnce .nd E.tat. 'aIC" (REV-ISlS), Application. arl Ivalilbl. It
thl Dfflol of thl R'Al.t.t of Will., any of the l3 Rlv.nu. Ol.trlct Dfflc.a or frol thl D,plrt,.nt'. 24.hour
.n,wlrlng ..rvlel nu.b.r. for for.. ardtrlngl In P.nn.ylvanta 1-800.362-l050. out.ldl Plnn.ylvanll
and wlthlll 10ClI Harrisburg arll (711) 781-8094, TOO' (717) 77Z.Zl52 (tI.arln; I.palr.d only).
REPLV TOI
Qu..tlona r.garding .rror. contlln.d on thl. nQtlc. .hould b. .ddr....d tal PA Dlp.rt..nt of Revlnu., Bur.au
of Individual TaICII, AnN I po.t hll"lInt Rlvl.w Unit, D,pt. za060l, tlarrltburg, PA 17128-0601, phon.
(7171 111-6SPS.
DISCOUNT I
If .ny taM dua I. Plld within thre. (31 callndar tonth. Ift.r thl dlo.dlnt'a nlath, a flv. perolnt (S~) dlacount
of thl tu paid 11 tllow.d.
PEHAL TVI
Thl 15% talC aenlaty non.partlclpatlon plnalty la eo~putld on thl total of th. taM and Inter..t .......d, and not
paid b.for. January 18, 1996, the flrat day aftar the .nd of th. tlIC oln..ty p.rlod.
INTEREST.
Int.r.at I. charg.d blglnnlng with flr.t dav of d.llnqv.noy, or nlna (9) tonth. and onl (I) dav frot thl dlt. of
dllth, to thl dati of Ply..nt. TlleU whIch blel" d.llnqv.nt tI.fora Janv.ry I, 1982 baar lnterut at thl ret. of
.b U:O pere.nt p" annul eal~ullttd at a dlUy rat. of .000164, All tal{U which bICI.. dlllnqu.nt on .nd after
Januarv I, 1982 will bear jnt.r..t ftt a rate Ilhlch will vary fr08 callndar y.ftr to oal.ndar Ylar wJth that rft'.
announold b~ the PA alpartt.nt of R'Vlnul, The IPplJcftbll Int.r..t ratl' for 1981 throvgh 1996 .r'l
Vllr Int.rut Rlt. DailY Interut Faotor Vllr Int"..t Ratl Dally Intlr..t Flotor
1982 20X ,PPOS41 1981 9X .001l241
un 16X ,PPD411 1981-1991 11% .000501
1914 IIX .00PIOl 1992 9X .000247
1915 11% .PPDIS6 1991-1994 7% .000192
1916 lOX .OPD214 1995-1996 9X ,000247
..tnt.rllt I. oll~ulat.d .. fol1ow'l
INTEREST . BALANCE OF TAX UNPAID X NUNBER OF DAY8 DELINQUENT X DAILY INTEREST FACTOR
.-Anv Hotlel I..u.d after the talC b.eot" d.llnqu.nt will rlUlet !In Interllt ealeullltlon to fift,," CIS) day.
btyond thl dati of the a.."...nt. 11 Ply..nt .. udl afttr the lnt"..t to.putatlon dati shown on thl
Hotle., additional Int.r..t tv.t b. ctlculat'd.
.u.t\n~ \~EP.c.h
..
IN REI ESTATE OF CATHERINE S.
KEPLINGER,
LATE OF' THE BOROUGH OF
CARLISLE, CUMBERLAND
COUNTY, PENNSYLVANIA
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 2194-0737
RECEIPT. RELEASE AND WAIVER OF ACCOUNTING
KNOW ALL MEN BY THESE PRESENTS, that I, Catherine E. Hershey,
being one of the beneficiaries under the will of CATHERINE S.
KEPLINGER, do hereby acknowledge that I have received all sums of
money and property due me by vir.tlle of the death of CATHERINE S.
KEPLINGER, in full satisfa,;t ion ar,d set.t.l cInnnt of all of my rights and
claims under her estate.
I further declare, intending to be legally bound, that I hereby
waive my right to require the filing of a First and Final Account and
Proposed Schedule of Distribution in any Court of Common Pleas having
jurisdiction over the same, and I acknowledge that I have had an
opportunity to examine copies of the books and records of the said
estate, and I agree to the final distribution of the estate without
further formalities, and with the same for.ce and effect as if a First
and Final Account and Proposed Distribution had been filed in a Court
of Con~on Pleas of Pennsylvania having jurisdiction over the same and
duly audited and confirmed.
AND THEREFORE, I, Catherine E. Hershey, do by these presents,
remise, release, quitclaim and forever discharge the Executrix, her
heirs, successors and assigns, from the acts of the Executrix as
/
.'
\
;1 i'
I
aforesaid, and of and from all aotions, suits, payments, accounts,
reckonings, claims, and demands whatsoever, for or by reason thereOf,
or any other aot, matter, oause or thing whatsoever, and I do hereby
oonsent to the disoharge of the said Exeoutrix.
IN WITNESS WHEREOF, I have hereunto set my hand and seal the
I,
'J ~J L
(?\ ) day of If,')'
C~/~'~ G. tr#t,:"I.~)
Witness .
, 1995.
(7 an." ~,f'.. '1l,fd(f
CATHERINE E. HERSHEY
COMMONWEALTH OF PENNSYLVANIA I
I SSI
COUNTY OF CUMBERLAND I
'1 '1< '^
On this, the 0( 5 day of r n~ ' 1995, before
me a Notary Publio, the undersigned offioer, personally appeared
Catherine E. Hershey, known to me (or satisfaotorily proven) to be the
person whose name is subscribed to the within instrument and acknowl-
edged that she exeouted the same for the purposes therein oontained.
IN WITNESS WHEREOF, I have hereunto Bet my hand and seal the day
and year first above written.
~,_. . 'in A A
,:. (' ../." a. :)-(.,1..-'1.- /J
Nota17Y Publio .
"1na M Notulol Seal
Now Cumoorl;j~U~~ ~ubliO
- 2 - My ConIlTl/>sion """'O~ ;\jJrlf5~ ~~n:y
, In.q~1v,ln1:IA~
..IIt.\nl\KEP,jl
.
IN REI ESTATE OF CATHERINE S.
KEPLINGER,
LATE OF THE BOROUGH OF
CARLISLE, CUMBERLAND
COUNTY, PENNSYLVANIA
IN ~HE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 2194-0737
RECEIPT. RELEASE AND WAIVE~ OF ACCOUNTING
KNOW ALL MEN BY THESE PRESENTS, that I, Jane stover, being one of
the beneficiaries under the will of CATHERINE S.
KEPLINGER, do hereby acknowledge that I have received all sums of
money and property due me by virtue of the death of CATHERINE S.
KEPLINGER, in full satisfaction and settlement of all of my rights and
claims under her estate.
I furthe~ declare, intending to be legally bound, that I hereby
waive my right to require the filing of a First and Final Account and
Proposed Schedule of Distribution in any Court of Common Pleas having
jurisdiction over the same, and I acknowledge that I have had an
opportunity to examine copies of the books and records of the said
estate, and I agree to the final distribution of the estate without
further formalities, and with the same force and effect as if a First
and Final Account and Proposed Distri.bution had been filed in a Court
of Common Pleas of Pennsylvania having jurisdiction over the same and
duly audited and confirmed.
AND THEREFORE, I, Jane Stover, do by these presents, remise,
release, quitclaim and forever discharge the Executrix, her heirs,
suooessors and assigns, from the aots of the Exeoutrix as aforesaid,
ut\n1.\ItZP. jan
IN REI ESTATE OF CATHERINE S.
KEPLINGER,
LATE OF THE BOROUGH OF
CARLISLE, CUMBERLAND
COUNTY, PENNSYLVANIA
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 2194-0737
RECEIPT, RELEASE AND WAIVER OF ACCOUNTING
KNOW ALL MEN BY THESE PRESENTS, that I, Carol Warnick, being one
of the beneficiaries under the will of CATHERINE S.
KEPLINGER, do hereby acknowledge that I have received all sums of
money and property due me by virtue of the death of CATHERINE S.
KE~LINGER, in full satisfaction and settlement of all of my rights and
claims under her estate.
I further declare, i.ntending to be legally bound, that I hereby
waive my right to require the filing of a First and Final Account and
proposed Schedule of Distribution in any Court of common pleas having
jurisdiction over the same, and I acknowledge that I have had an
opportunity to examine copies of the books and records of the said
estate, and I agree to the final distribution of the estate without
further formalities, and with the same force and effect as if a First
and Final Account and proposed Distribution had been filed in a Court
of Common Pleas of pennsylvania having jurisdiction over the same and
duly audited and confirmed.
AND THEREFORE, I, Carol Warnick, do by these presents, remise,
release, quitclaim and forever discharge the Executrix, her heirs,
successors and assigns, from the acts of the Executrix as aforesaid,
.
,
...t'l'.l~"'t fUG
IN RBI ESTATE OF CATHERINE S.
KEPLINGER,
LATE OF THE BOROUGH OF
CARLISLE, CUMBERLAND
COUNTY, PENNSYLVANIA
I IN THE COURT OF COMMON PLEAS OF
I CUMBERLAND COUNTY, PENNSYLVANIA
I
I ORPHANS' COURT DIVISION
I NO. 2194-0737
RECEIPT. RELEASE AND WAIVER OF ACCOUNTING
KNOW ALL MEN BY THESE PRESENTS, that we, Faith United Church of
Christ, being one of the beneficiaries under the will of CATHERINE S.
KEPLINGER, do hereby acknowledge that we have received all sums of
money and property due me by virtue of the death of CATHERINE S.
KEPLINGER, in full satisfaction and settlement of all of my rights and
claims under her estate.
We further declare, intending to be legally bound, that we hereby
waive our right to require the filing of a First and Final Account and
Proposed Schedule of Distribution in any Court of Common Pleas having
jurisdiction over the same, and we acknowledge that we have had an
opportunity to examine copies of the books and records of the said
estate, and we agree to the final distribution of the estate without
further formalities, and with the same force and effect as if a First
and Final Account and Proposed Distribution had been filed in a Court
of Common Pleas of Pennsylvania having jurisdiction over the same and
duly audited and confirmed.
AND THEREFORE, we, Faith united Church of Christ, do by theae
presents, remise, release, quitclaim and forever discharge the Execu-
trix, her heirs, successors and assigns, from the acts of the Exec\l-
':,\,"';1.
, ,,'
"
" 'q'
8TON~ l.AFAVBR .. ~TONlIl
. . Ani"'N."" AT LAW
4,14 .ftlllClI .TftllT
""W ClU....JlL4:1'... .1. I.~oto
, ,
,
"
),: ../
",:
',d,t
i\;'
, ',l ,,~',
,:: ,!
,,'
""t,
I'"
't:),\",';;;j(;;,~
, t,\,';.\;,j~.~i,;'~',}
, . '
,_ ,,(.1' :':\
:" "II
.'
t,'
H ,,'
.
"i;"
'I,
'" I. '\
'!, 'I'
"ll:.,I.');',.'{i'J,:
:ii::\;';:, ,,', ': ""
,\,,! I..,... ,t"'f-- i",o 11 ' 'I ",
"""f,. \ .') ,;,':,'.,',,','
/,~:i ~~.,j, ;-1, ::"/; },Y"l" 1" " __
- ',i ",(I ",', ' ,',! '\ ~l< \,' ,i'
,I; ., :,/;~I",,/:,,~. i'.. ,',-.i'
~'~oI:t~Jil ':':.'\,1 '.,; !:"'<,' ". " '
if" it"""",I"", 'I ," , '.,' ,\
}','; "".,",!':"," I.'" " I,:
">f~~~\':X.(t:(:~,\,:,,!, "/:" :~" " l,
~,;,,:,,:,:',~,'~ :,:.,:""~,,,t":":.;:~~'~:'~'::":":""':I!' ;/,:~,",;:":,,,. ";', ;':', '\":: :'\: : ' "'."Ii -:' :, \,' ' !, ",:.; ,I'. ":' \"'" '
" "". .... :!'!I~'.1"t:',,",';, ,.I <,' ,;, ':,\ , ' . "{
\'," :"",/ -,/:1,',''''''''''''' "'.1,,1. """ ,,:.,';',(""\' ".
~;~;\;;:~::>>t:;;',',::,},"::~<S:':i\:::I\{,;;,..:,~ :,: '! . "",,.: ", "
1,', '1!,:,.,.I'I' """"",';", "',-'1 h!',-,.; ':;"1\,:' ,r."
~;;;}},:;tii;};(,,::'~'::\ ,:" !, ,::':,',:, "',, ,: : "',, ' ,"
::':: '!'I'\!':()"i;;i,::,;,~:,I'\:;;~::L\','." ""':"";~""" 'i,<,;i ',::t -:;: 1'" "
d J_, "11, "4/11'i,l. ,J,;;,.,.',?l.,.." .-1;'\'1' "", I' ,,/' ,I
;:::-'};"~;!,,'~::::.\\ ,:}; ::;: ,;::,;.:::':')' \: ,;-i"'::" '. ,.I ,
't,!, :,.ll""".'\.'frjl''''':(;il.~\I')I' "t I,', <, I',' ,4 ,;' p\',',"
:,:\,;,',:.;,:;,:,j,i,:,:.l,;,~,i"!J,\',:'.~.,I./'.:,i,;,I:.:,.:,~.'.',.';..,:,:, ".!:;'::ii ',:: " ., :,'",
:" . .~" .. ~ I. ,'., . .,':,~,';,<t,,:,~,;;.::~~.,~',"
",,' , ',j" '~';.;. jl. t\ \, . ,I', " ' , ' " . '. \': ", / '. II' 'I I
',)'",\',.'~;',!,/~"./;r.:::',:\'~,,:'-:.',',",',l,'J::;"I:~::~': ,'".~, ";,,,:I:',! ",; ;,f"'," ",\,' ,. '.' "(."".
, \ 'I~ . . ''', I"., ' 'JI,' " " 'I 'i
:', \' ,. '. < '"" \ ',,,~ i. "'. ,. " '. ' j: 1 I I tj, 'I" ~ :,: 1,1 I
(" 1,;,tjf:,:,','Jl'>)FI).'\ ,",,'::'1.-:, L;",!:;~" (I \' 'h ',\.~~,U
)' )\,'::",'-,\'-/J',I: \ ,~.",:'''Ji,lj ')~.';)'.:,:.f ,L"! > ,: "lll,h!j . ", ','
:';', Fj;;il~!,e,.:~;i~",:':)ij:i~::j::"I\',\\i::,:,:;:" I:., \', ;,
" ,t 'I r I It, '-', \' It 11 ,( !';!',.., ~ .1 /__ " , , \ "
1:1:; '.... ':,.1;";'; ;(,';~: ~ '::, ~:~:: -: ~\< '-",),',<;:~. , . ,::::. ,:., -: ',,'j"',,, I'~' ";,
'".. ;': '.j r~ ""-~'.."" h\l,__ "j "/\ , .' II' --,
',",
J:;,I,' ,
,; i,,; : ."j ~ '
, i"
(I',
~!' ,!H') "
I' ril';;" "",;'
1;'I')j>, /!'~I'~,l<".~l"l" "',[,'-;,,' I) I;, I""
;\;' ;:i.'.i'/\!I,~,;" ,.!,,' ,
\. ,~'!\ i
: .0' ,', ::"';,1:. .;.- ~ '. : ~ '_ :
\'ijit,:'1(~'r/:';'1 /,
f.:::,.:';>\:','i,:;'/,>,;~\" '
",.;;11'1:-:",1,
" " ~':~ ,'; ""../ \
.. '/);;';:':',:,":,,:,,':'>:
: p' ',!~' ,
" Fl\' '"
, ,p,f~~'
'-'/\'1'; ,', I' ,I',
..\', lit.',', "."
, :" i';; ~ ~: ""','l:., i':" 'I' 1
If" ;1\
Ii ,.';
'rl
:,,'
",'""
, I:
:1'
"
p',
'"
, ,
;;\"01,
"
, '
"
",'
"
".'"
'\',
,
.,
,.
"
,I'
"
I:
",J,
"
"
\'
,
"
{"
"
,,'
'I,;':
t,,;I'
" ,
',I,
<I' ,~, :, I .; .'
",\'"
,I'
\' 't
'.'
",'
" 1
,,',"
I;' ,h
I"
'J],
",
'ill
',;,
ii'
'1,;1"
,'11'
','o,~, ' , , .'
,'j
,
,I',
j.,',
,
,
"',
,',
"
,':/1,1
,I,
"
0',
'\j
f,-,
';1',:,\
I'
I';
I"':'
< r',
,,',II
'.1,
i:I!':\',.'\"
"
'j'
"
I'
j', :;
',','1,
'j'
"
"
"j
11',1
1,,1,',
I'
1/1
'''1./'
,,!)',",
" "','.,
,:1.,'
I,",
."
:1.
'I'
'I
;1"
'",
:,' '(
,I':;':,"~"~ :'
",1,
,,'
",'
:.t'
'1'1'
,;"
'"
,.,
"
,.,,'
,,1/,
",I,
" "
..,;'
"
"
, ,
In'
"
,\,11
"i\. 1,1'1' '(.
"
"
,.
I'
.. ..'
'(I "
\,
1;'1.111
'" ,,-'
I'
',.
,
,
',,:','t.!,
}o"
':'
'::,.
",
\'
,..',}y
I,'
I,t:" I
',,'
"I:,.
,
,
,.
"
"
'('
tit"
"
"
j,I'
"~I
'(',
I,
,II
'I:
"'(, \. J,
I"~
"
I'.'
",', 'I .1,,1'
,\
, , ~
H,
,
,',
"
,
,
,'1
,1'(
, \ ~ ',: '
.':
,',
td'
"','
, ~ ~ ',r'
I,
',\
"
:',:1,:
"
'" ",
,',' .r, I '!
I
, "
Ii ;-,
j,,',I'
"
,,';
.'"
'Il.:
1;\, 'I,")'
','
" I:
',I)'
,1'1' ,
,it")
'.I' ,
, , ~
..'
, ,
'"
, "
"
"il
i"
,'"
,,\',".
,
Ii
"
"
"';,
,.
,.
"
I,.,
"
".
,
'\
'lI),';"
,/,.', :J'"
"
"
"~'I
'H
"
'" ",
"
\,
"
I:
'",
Ii'i., 1,1
'I"
"
","
",
"
."
,\1',
,f(
.' I;' ,~;,
."
"".1
"
I ~,\ ,
,','I"~
,
'"
,I'
,.
/'
I! "
'.}I,
',-,'
',;,
,
,
,
"
.\'"
,/l.
",
Ll"'~""'-' r.
"''';:'h'
,'l',". ',';r,.l'l'
. !.~, , .
,,'
",
:11
"
'"
1'11,/:1
"J'
'11"
,
..
",
,L .. ", l
1;,.1
"
,
, "
"
"'\
",' ,
'"
"
;..t.
,
"
~ "
"
',,-,
"
,,,>
',II';'
'"
'.
,,'
,I
,"
,
,
:,;..,"
"
',i,',
r , : '; : ~': "j", \ ,'.~ '. ,-
" ",.\;',d:;:,'::I,
1 :,{"
."1"
, ,
'i.,
;'" 'J,
,.
'",
'...
'I'
I,
"'\;
,.
I'
(II
!,
"t,
:t
"
':
"'J'
", !I
"'"
,J!
"
\\
,i':
;,Jo:'
""
,.1',
,(,,',
"
(, ,};ii,
"
"1-,'
'"
'.
i"
,,'
",
I:','
. ,'\
,
,\,1,("'
i,' 'Ii
I' "/"1 -'
..' ',~ ',' ,': ' : ,', ,
"::'
:}I'i.
,- !
','
,.,'."
1-, _
';-\.",,:'!
}',,',:':';\;,
,i",
., ''I
I,,'
','; :1,
. ,.
,;/",
,
,,'i
"
,'-,-
\., 1':""
,.;..)
,
"
:.'1""
" '
,'- I
-"',l-'~r_' .
,
,.
"
\
\',
, ,
"
"
\,
,\!;,.,
I.
'I;
I,
,',1'"
l',l'lI
..
'J
I',
I,
"
"
,
'(
'-,11,
,!,"j;
',1
, 1 ~ ' " "
:"
"
"
. .oj',
'I. -,
, ,";\'
" ,
,:1'
,
",
",I
, ,Il'"
",
"1'
"
,'I'
. "
,
<
,.
, . ,.
"..' II ,,,
"e II "
,"I' ,
","''''_ii',
i ) ~ /.!,;
~ ( , . {' II )
',I" U'
", nd
,!.;,' ,,~~~I'
m'l'. )
:to {,
I {'I (,.1.
"
I"
.,' "I,
',"
.",
'_I<
"
"
'I, ,I,,'
(p, :
"
,
,
.\'!',-
'I".:
,I',I!!
't"', 1\//'
"
,",
i'
\',' 'j.' ,,,:' ,\,- <j
"i'",("
"
\:..
,I
1<;
',,"l', II
1.;:'1
,.
'II',!'
I.
"
1\1"1,,1,
,it
,
':','
"
'"
"I
1-,'
, ,
I' (,
.Iit'...,
,",1.,
, "
\'1\ ",:/,' '"
,1.:-
"I <"
',j.-,', ,-'...':...,'
f:
~ \
,,'
'I;
" ,
,
"
,
"
I' ,II,,;' ,r
"
1-1,','
",
'I. ,
'.'1
"
"
b',. ..', ,
, ~ ' ,
" "
'.....u'
"
"
'.,.,'
. "
,"
'"
.(',
"T'
(;
"
~l:,I.
10,
1::\
,\..oJ
,
,
"
(.
~E
..~'
",1' I
,,'
" '
" ,
~ I'll ",
,.,'
,'.' "
J'
"
, ,
".'
"
,,,,:
"
"
'i
,I,
,,'
:i'l," ,
"!',:""
'I';
:!,:II
,',J'"
',"
.. j
,
"
'.
,,'
,I'"
,,",
r
H
I
I;
,:
,,"
.
,~
I
~i
'em
a'. ,
"
"
:.
"
I'"
l:J
i
,,!!I'
,,'
",'.
'i
'I
I',.,
","
J.
'\ jl ,,>
"("
'Jl,',,.;
'",'
, ,
,,' .
",'
'. ',"
,..,\','
','
,:
,; I'.'
" .,f\', ""j: ,
'f 'I
,"ii'
"I'
"I,',
',JI,' ,
',,'
"
J'
"
.\,
"
" L
, '..'
"
, "
, , "I ;, ',:~:~', :'1 i' ;
"
'I'"
,
",
,,'"
I'
"
, ~ '. '
'"
,,'
','
"
,
,
'I"
"
"
,I;
"
I.'"
',',
"
.-J'
"~I ',!
"
ii"
4;'
I' If
I,
,\1
,'('
,;;1
",I'-
tj,',
"
,I,
"
,',
;I:'j'j; 1",
,.
"
'I,'
,',;'\'
::
",','
, I..
,
"
'I:
"
I",
"
','
"
':
f,;'
...I
"
,
"
1
"
I,
,
.,"
,.
\.
',-,
"
\),
"
, ,
"
"
,,'
,,'
"','
'I"
,I'
"
,
j
,
I
, I
}
1,1'"
r
"I",
j;
'(,I
"
1'1,
.,'1
, J'" ,"
::"
,"
I
, '
'/.
II,
'/
J
)
I
,
"
r
I
i I w'
.' ji
;i
I ,;:1
:::
Ii'
I ,.
'I,
/\1/;;"1 " I "/,
, i"
, '1\1'
.~'" !
" I , Ii, "
"
I .J. "
, ,"~
I
i !
,
,.\
I
.',1
"
! '\1
I I
I
,
I.
'.'t'
oit.
,;1'.
,
<i'
,'i
,\
~
..1
,
~,l
~;
~r.1
t""1
,~"
I I,~"
',~q,)
''!r'.'
,,'
,,12
.--i
'"
. l".~.
~!
'&~,
:I.
"
1"1;
"
" :'
"
"
" , \
/, "
, , r
, "
, , , ,
',-; I ,~
ii,:
..
oJ ",
'.- '.. ~
~.
" ~
~,
'~
J' ?
If'~
'\.' \\1:1'
t.('~ "
11'
~~c:J
, ,.'
!-:
! "I
:::
-=
~
;
-=
~
~
~
~
-
-
~
c
::g
..
::::
-
-
'.,
I::'
~
~
-
-
-=
..E
-
-=
,.
1,/'1'
r,
'I
I
!
I
I'
r
,"
I
"1!
"
I
I
, I
",I,
,
J
'I
I
,/
"
t,
,'(' ,~ .."
."1
J'
~:", "
,
,
",
"
, " '1\'
"
, I',
'1,1' " "
"
,
,
,"
"
"
"
ii,
"
'I,
"I,
I'
i ,.
" '
, !' I' ~ '
'I;~; ,
.1
'I.
,I""
"
I
"
I,
,i1\
"
I
I
I
I' ,','
"
<$,
"
'.
","~
',I,
,
'"
\'
'/1
I
'I :,\1,
I, "
'l\
I' /.
I I
" ,
, " ..
.
I
,,'
"1
,
, I
f
.1 I
'I'
, I
iJ'
I,
,t
" ~.
"
I, I'
t, ,I ;'.
Ie ,l
"
'j-,
..
"
I
)'
, ,
, .
:i':~
.. ,. ..........----
''''-''-''-'- ~ '
"............~H.' '
- -- '~....I.... .
. 1::;'-" ' '
,.