HomeMy WebLinkAbout94-00802
No,
To:
Reglsler of Wills for the
lHcrQJtd, CounlY of ( '\lIllI", " ! ,ll1cl in Ihe
Soc/al Strum>, No, 1 '11 - 'J (, - 7 H ,\ 1I Commonweahh of Pennsylvania
The pelilion of Ihe undersigned respeclfully represenls Ihal:
Your pelilioner(s). who is/arc 18 )'ears of age or older an,(t?l\!~tcilf",,,;; dll" t'Y 1 1'(',lrrl"1 named
In the lasl will of Ihe aboH decedenl. daled ~'f'pl' rl',l", " 'J 7 . 19...ll..6..-
and eodicil(s) daled
(No oxecutor nnMc'd; rcnldunry llcrlcf'.clnrlcs entitled to sorve
nA ndrllinintrntors c.t.n.: fJ0P renUllcintiollr; ~ttncllcd)
PETITION FOR PRODA TE Ind GRANT OF LETTERS
r:;l.) - ql.{. -&O~
lIe'.cn
B. G!"irrithn
blalt oj
also known QJ
.
{Ullt' rclr\anl cirCllmuancc,. (".. f('nunnallon. d('~lh of UtCUlor, tit.)
Decendenl was domiciled at dealh in CIl",hpy 1 ,1 nc1 Coumy. Pennsylvania, with
II n r lall famil)' or principal residence al .142 h'il \ 11 U t 130 t t o III HOild, Cil r 1 tfi ! e
BOrOl1Clh
Ih\llUf'C'l, number and munClr3hl~.
Oeeendenl. thep B l) )'earl of a~e. died ~I,l rch 31 , J9l) 4
at 'I'hornwilld lIome, 442 \~illnllt Bottom HOilc1, Lilr!islc Borollqh
hcepl "' followl. decedenl did nol manl'. w"' nol di\orced and did nol have a child born or adopted
afler execulion of Ihe will offered for probale; wal nOllhe "iclim of a killing and wal never adjudicaled
incompelelll:
Oecendem al dealh owned propertl' wilh ellimaled valuel as follow"
(If domiciled in Pa,) All perlonal property
(If nol domiciled in Pa.) Personal property III I'ennlyh'ama
(If nOl domiciled in I'll.) Personal property in County
Value of real ellale in l'enMylvanill
litualed "' follow"
S unest ir.li1 ted
S
S
S
none
WHEREFORE. pelilionerll) relpeclfully request(I) Ihe probale of the last will and codicil(s)
pre'enled herel'llh and Ihe gram of leller> 0 f ildmi n i s t ril t ion c. t . il .
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Ilt~lamtnliU~. .ulmlllnllallOn (,1,a.; admml\lratlOn d.b.n,t.1.a.1
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~" .JHr~'B DnvU] IIcndrv
~~u~o~:g\ ~l)~~ sgri~.T
...L:1.l.7l 7{;'\-1477
theron.
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA }' l:lS
COUNTY OF _LU~II3EIlI.^ND
The pelilioner(l) a~o\'e'named Iwearll) or affirmll} thallhe Ilalemen:' In the foregoing pelition are
true and mnecl 10 the bell of the knowledge and belier, of peli~ner(S) aJl'o'lhal as person~eprelen.
latil'e(l) of Ihe ahole decedent pelilionerll) will well and trllly. ad~lillcl the <'11 ale aceorfing 10 law.
. . "B&"<' ;(1 !
5"orn 10 or affllmed and sublcnbed ., ('J'1M' .~, iX, (,' '"
hdore '~<;',l~i~_~_l3IH-...,_ ~a.! o~ ~ ,Jilnics lJilVl lIel1dr..",....~ ~.
'ff!;' tl~ t~7197iTf" " ' !:
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11(. ),~"" .;'I~l!lRY C, LEWIS R,'~i.I/,'r' ~' ~
N 21 - 94 - !l0;>
o.
Estate of
. Dec:eued
IIE'.FN B. GHlFFI'l'lI~
DECREE OF PRODA TE AND GRANT OF LETTERS
^NO NOW SEPTEMBER 20. 19..2.1.-, In consideralion of the petition on
.he reverse side hereof. SllisflClory proof hlvinl been presented before me, :'
IT IS DECREED Ihaltheinstrument(s) dlted t;cptl'II1!l,,;- 27, 1 'JIl(,
described therein be admilled to probate and liIed of record as the last will of
11")"11 n. GriffilllB
and Lellers or Adl11iniBt:riltiol1 c.l.ll.
arc hereby Iranled to J,lll1l'B DilVi<1 ""11<11',/
Will Book'
Pale
/(.! '. /,1. fJ~ ( .:t. f.;/ .
R.JiIl" of 110',111 ( 7/
MARY C. LEWIS .
FEES
40.00
Probate, Leners. Elc. .....,... S
ShOll Cellilicatel( 1) ........ "S 3.00
Renunciation . (~.l,..,.,."" s 20.00
JCP S 5.00
TOTAL _ S 6A.00
Filed ....,. ?~!"T.~~\\I~.R. ,~9,.. ,I, ~?~, , . , . , . .
Htr"lf>h('ln f,. Bloom, EHl1ui rr~
A TIORN!:" CSur. Ct, 1.0. No.,
~lAIl'I'SON. DEAHIlOHI'I' , \~ /1.1,1 MlSb O'J''I'O
AOllRlSS
10 EM;t 1Ii,<]11 St.. Lllrlia1o, I'A 17013
(717) 241-1341
PilON I,
~) (j
Ca 11 ed attOl'ney on 9-20-94.
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lHt Ion II,,~;
C1RltFICAlllii)<;1
\,.r<lHH[/L,' II i!l; '"~ i,' ','1" I
1l'j nlJPllt/d HI' j'-ij"_'i(" j, i'il'- ,"
COMMONWEA\.l1t OJ I'ftlNSYI VANIA
OEPAUTMU4T or HlAl lit VITAL fllconos
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
CERT. NO. 2093780
., {~h.' ). ,~,- (fIX...__
.1'r'~1'"i'''''~'''''''
/1; / ( .l ' I I 'r;" /(."
Name 01 Decodenl '~(';~",.:-._-_...------- j-'-'''';!I'/d iU<'J. .L-<).__......_.~.Y..i r..-tl:/.J...------'--'--
r,," 1/,,<,.. ',.
I '
Sox ,...y~,~..uL_...Social Security No._LZI....::..2;[,_~'-Z~':,,~d__.__,._Oalo of ooalh-21!.'L.'IL,tf~'J,lrLl2X~__._
Dalo of Birlh),j't,J ~; / '/<'.'L BlrthPlnCO___:.2'II.'L.-t.f~j~,c...;_';:'__.____...__
Placo of Oenttl _..Mc.w.:r:/?t. :~.L!J..!.,-,.___i!., JJli:.~J",,!c;_____.e~...&~~___._l'Jm!)!!YJ~fiDl"_
,.~_ql f...... lu,,", ,,,'t IL.' "...)'-, t' l,,'''''''''1>
,>// ./- /) / ' ~),
Raco __,_... LiL..l.:-___Occupalion ---:rv:t.t.c.u.:..;"'y.-"----,--,-...;C"t-IY~d Forcos? (Yes or No) ____J_<'___
'J! ',1 _ _! Docedent's t. ..'1't";L"'t--;}U'lt.,t '_ /' _-~:;;:~r'~Jr ... _:,.- ---:7
Mnrllal SIal us ~~~"'(~h'$:(L.......- ~alling Addross ...~--i4.!c?"-~~4L}-k.(f.!..:iklll,::..?l7'-T~~':!:" I;. L---......!./"-_
Informanl"::'1;~4'a...~,(: /~.:....d.'4/;trt.v'.....__ Funeral Dlreclor ___~L':.c.4'~.,({C/,_X,LU:7.Jt/...:-.._____
Name and Addross of 1/' ff/, ,;., .,-~
Funornl Eslablishmonl ;jl1.fr<'.1J,j",-.7.mll.kLt.~ JIlL... .!j.Wd '.__V...J.!.~<J,...4_(Z;w.J:Jbc ','lo'l.--
~ / ,/ t/,I': Intorval Botweon
Pari I: Immodinle Causo : Onset and Doalh
, ,
(a) _-'.y,".._....q..'J.,;.,~_;I;!/ t.xL/________ _m ___ __ ._.. ___ _ j_L42Jf~::?l.jh__
".1/ I..--l ,J)' ,
(b) 'A'(...:.~r~I..<..L.,/l'.';:fWU."-W ~d.~_--------,---__~-- -
'I // I
(c) " ,_,___....___,.____ .,_,____."__.___.____:
,
,
(d). m_._____._.... u_._m_'.....'_.,____,________:__
Part II: Othor S.!'~f:C~~ Zf~~~a:Zt;"d_~d, ~/::r ..dO. .,.,._. __.m.---____________________'__
Manner of Death: Dosc:ribn how Injury occurrod:
0'
Accident 0
o
Nalurnl
Homlcldo
Cl
o
o
Suicido
Ponding Invostlgatlon
Could nol bo Detormll1od
'j , io, 'I ,',
Name and Title of COrllfior _&U~ &! d" 72:',._i;i . _______
, .' /} . " ........ (M.D" D,O" Coronor, M.E,)
.. ., '1'1 ,r.;:.:,U . . , ""//"IA.,...- ,,' ili " F
Addross ..'.':' I '1.a/~~_....L'{-'--~:~::--'7I. -ftj.z."""1#----:,...-~
, I'
/' !
, ;', . I
This is to certify that tho information horo givon is carroctly copied from an original certificate of
dealh duly flied with me as Local Rogistrar. The original certificato will bo forwardod to the Stato
Vital Rocords Office for perman en I filing,
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_......~":.:t---/JJ-.-r~...J_w..<_<.:.r......v_,,_....~_ay--
" \ u,,~, 11"J'\'rM ,~! '~l!,~lh.:'-"cI~ ,"',,"-! II,}
, ......-;- I ," f'J /,',1 . II ,/"':7
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~ '.t"." ,'-I'V"'~ ',"1, 1I<;""'H1>, l~""'~
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I
21 - 94 - 802
:i
,
21 - 94 - 802
RENUNCIATION
In Re EIlale of
IIELEN B. GRIPFITIIS
deceased.
To the Register of Wills of
Cumberland
COlllllY. Pennsylvania,
The undersigned residuary heir (grandson)
of
the above deeedenl. hereby renounce(s) the rlghl 10 admlnlller Ihe eslalC and respectfully ask(s) that Lelters
of Administration c.t.a.
be issued to
James David lIendrv
WITNESS
mY
hand this fl.l day of --A (/~ .
,192i-.
. 'J) . S I(
*~. .~C~
(SI,.DIII")
Robin S. lIendry
3856 l\ Humphrey
St. Louis, MO 63116
(Ad~r...)
.
(Slgllatute)
(^~~",.)
.<'l
00
(SlllnUltlfc)
(^~~'m)
21 - 94 - B02
REGISTEI{ OF WILLS OF COUNTY
OATH OF SUnSCRlUlNG WITNESS
codicil
(each) a lublcriblng witnels 10 Ihe will presented herewith. (each) being duly quallficd according 10
law, depOle(s) und lU)'(I) Ihal prclent und law
the teSlal , lign Ihe lume und Ihal Ilgned us u willless allhe
requesl of lel1al_ in h_ presence Gild (In Ihe prelence of each olher) (In thc presence of Ihe
olher subleriblng wilness(elll.
Sworn 10 or affirmed and subscribed before
lIle Ihls day of
19_
(Name!
(Address)
Reg;slrr
.-
(Name)
(Address)
REGISTER 01<' WILLS OF cu~mrmr.^ND COUNTY
OATH OF NON.SUBSCRIBING WITNESS
JAMES DAVID HENDRY and SANDRA S ECKENROOF
(each) a lublerlber herelo, (each) being dull' qualined according 10 law, depOle(s) and say(s) that
l1e/shc is familiar wilh the lignmure of l1e1en B. Griffiths.
llIillltK
will
lellalri x or (Xlllll< X1t xlill! X'o\ll1>'(rlbiKlIOM'Ililll~oli.X y,lj the
Ihnl
h0/q,hC\
presentcd herewith and
Xcoll~ll
believes Ihe ,Ignnture un Ihe will II inlhc l1andwrltlng of
lIe1en B. Griflfhl1s
10 Ihe bell of hi q /h('O y knowledge nnd belief.
Sworn 10 or affirlll~J nnd lublcribed bcfore
lIle Ihll 13TH
SEPTE R
2~-
) Hi 11 '-':;:- ~Oll
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21 - 94 - 802
RENUNCIATION
In Re Estate of
HELEn lL GHIFFITIIS.___
deceased.
To the Resister of Wills of
Cumberland
County, Pennsylvania.
The underslsned residuary heir (gran,lson)
of
the above decedent. hereby renounee(s) the rlsht to administer the estate and respectfully ask(s) that Lellers
of Administration
c.t.a.
'V. /--\ p~~[\~~1.1
/
be Issued to
jo. \/\/,es
WITNESS
mv
hand this
~w'l-
&....-nJ..eh11rC1 II end r y
6556 Odell
St. Loui.s, HO 63139
(Addrml
tSIBmnure)
f)'
(Addrml
, .
~:J
UL)
(SlgnnlUr.)
{Add,ml
21 - 94 - 802
RENUNCIATION
In Re Estate of
HELEN IJ, GRIFFITIIS
deceased,
To the Regis(er of Wills of
Climber land
County, I'ennsylvanla.
The undersigned residuary heir (grandson)
of
(he above decedent, hereby renounce\S) the right to adminiSler the estate and respectfully ask(s) that Lellers
..9 f...11llin i n i s t r a, t iC'HL.5:.:J:. ....<;1 .
-.-- ---_.._._~---~-_._-
be issued to
James David lIendry
WITNESS
mv
hand this
Cl' {, <:'
0' day of ::':lErlF-MF('I~191!..-,
Brett Griff!.ths
Box 665, Knockles Road, R. D. 1
Green Lane. PA 18054
(Addr.,,'
(Signature I
IAddrenl
;-)
UU
tShilRuturel
IAddreul
21 - 94 - 802
RENUNCIATION
In Re Estate of
HELEN IJ, GRIFFITHS
deceased.
To the Register of Wills of
Cumberland
County, Pennsylvania,
The undersigned residuary heir (grandson)
of
the above decedent. hereby renounce(s) the right to administer the estate and respectfully ask(s) that Lellers
of Administration c.t.a.
be issued to .T:"lmr-t~ 0:'1"; rl lIpnrl,.y
WITNESS
mv
hand this
II day of jep/~..dr.r. 1994 ,
, -
(Slgnnl r
Andrew Griffiths
lJox 665, Knockles Road, R. D. 1
Green Lane, PA 18054
IAdd,ml
(Signature)
j-j
;.)(l
(Addrc:u)
ISlllllature)
(I\lILlreul
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t _, ("1 .
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d
~
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(,
Clm'I'II~ICA'I'ION IW N()'I'ICI~ IINnlm JHlLI'; 1i,!i(II)
Nllmo ofD\'c\,dolll: ImLl~N II, GHlFI.'J'I'IIH
Dllto of Dellth: Mllrch :.II, 1!J94
I~ilo No, 21.114.802
'J'o tho HlIllislor:
I cmiify thllt IIntlcll ofbelllllicilll interllst l'OllUil'Od by Hulo 1i.6!n) nftho Or(lhllns' Court
Hulcs WIIS slIl'Vod nn nr mllilod 10 tho fnllowinll bmlClicilll'ios nf tho IIbOVO,clI(ltlnnod estlllo Oil
or IIbout SO(ltomber 21, 19f14:
~
Addl'OSS
Jllmes Dllvid Hondry
Hnbin g, Hondry
G, Hichllrd Hendry
Brott Griffiths
Anurew Griffiths
Mllrthll Smith
22 South 29th Stroel, Cllmp Hill, PA 17011
3856 A Hum(lhrey, Sl. Louis, MO !i3116
651i6 Odell, St. Lnuis, 1\10 6313fl
Box 665, Knockles Hnlld, H.D. I, Green Lillie, PA 18054
Box 661i, Knncldes HOlld, H. D, I, Gl'eell 1.11110, PA 18054
768 Burnt Houso HOlld, Cllrlislo, PA 1701:3
Notico hilS now been "riven to 1111 (lOI'lllIns ontitled therolo undOl' Rule 5,6(n) exce(lt: N/A
Dnto: Septomber 21, 19f14
~ _.;.. "''''';-5'
--" ~ ....,,;.,
Sillnllture' - "'- ,J<.., ~- - "'......._
Nllme Ste(lhell I., Bloom
MAR'I'SON, D1~ARDORFI~, WILLIAMS & O'I'TO
Tell gllst H h:h Stroet
Cllrlisle, PA 170t:l
(717) 243.:3:341
Counsel fm' (lorsnnllll'l!(lI'l!Solltlltlvo
'_)0
I fO. M.D.. AfES Of OIAfH AnlR 12131/91 CHICK HIRI
INHERITANCE TAX RETURN ~tv:::'-,U~:~0IfI5CLAIMID n _ .
RESIDENT DECEDENT Ifill NUMBIA
(TO BE FILED IN DUPLICATE I 21
WITH REGISTER OF WILLS)
_ I COUNlycoil'. __ ___.
iOfClOItH !> (OMPUl( "'DOIl(~!I
'I:!~(~}-lm{': \{hll(~j'b'i: tOIll !load
"'CartinIer P^ 17013
o1IV I !.too I). t11 "'t
...
15 i G!l I l'I'I'j'IIS , 1I,,1<'n ll,
~ i\OJ('(:7~c~'~~~:~:;;----r'.;7; ~l :~~~-'-r~~~:~';:::) 4
-'u:~u~--'I-r!..X~J!'4;-.-~riOinal Return O[-~ 402. Suppl~:~-n~;~l~;;'-
.... Limited hlete future '"'erenl Comp'omiu~
~ 00 I 1'0' da.e. a' death alt., 12,12.B21
u~~ I fxj 6. Deudent Died TeUDle [J 7 Decedent Maintoined Q living Tru,'
_ IAnech copy of WillI (Altach copy of 1 rUll)
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TOI
"AM C M l M"W~ A
I
t:I!Z
.....
..0
o z
u 0
...
1. Real E.ta.e ISchedule AI I 1) _____ _.___.___...Jl...,..Q!!,,___
2. Stac.. and Bond. (Schedule B) I 2).__...__________.Q.,Jl!L__
3. Clo.ely Held S.ock/Partnenhlp In.e,..t ISchedule q I 31 ___._ (] . (] (]
4. Mortgage. and Note. Receiyable (Schedule DI I 41._.._.______~Q.~1__
5. Co!h. Bon"- Cepo'ill & MilCelloneouI Personal Property( 51 ._____._._..__J.,2!J5...J.ii___
(Schedule EI
6. Jointly Owned Property (Schedule F)
7. T,aRlfe..IS,hedule G) ISchedulell
8. Tolol Gran Aneh (10101 line, 1.7)
Q. Funeral Expense" Adminiuralive Co"'. Mllcelloneou, I 9) ___~-2,5 7 ~1 J~
Expen,e, (Schedule HI
10. Debt" Mortgage liobililie" lien, (Schedule 'I
11. Total Deduction, (10101 linen 9 & 10)
12. Nel Value of E,tate (line 8 minuI line 11)
13. Charitable and Governmental 6eque'" (Schedule Jl
14. Nel Value Subject 10 To... (line 12 minus Iillft 13)
t. -') V
,.... ~.~~. ,,..
,r: -
COMMOt~wf AIIH 01 P(f~t4!o'fI'v'ANIA
tllPAlIlMfNI 01 UVINUI
DfP! ,IObOl
IiUltt!olUllCt fA 11InObOI
fOf.cJOflil !o '.A;';('llA'il'.Il~I:.A-t~l> ";';DOlll-t~'.il~-"-
fltcophpn I..
Bloom,
I;squi rc
e.
1).1
YfAfl
B()2
UUMB[R
H~~I"T::';,,! t.t..:,,'!!r:
UJ..:~
J
24]-]31,;
Clllnbcl"! illHl
~~~-':~!----_.~~. ----
[j 3.
Remainder Return
(lor dole' 01 deolh prior 10 12.13.82)
federal Ellote Tax
Relurn Required
T alai Number 0' Safe Depolit BouI
z
o
3
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...
ii:
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15. Amount of line 14 taxable at 6% role
Ilnclude values 'rom ~chedule 1'\ or ~CMdui" M.I
LJ 5.
_B.
NAWI'SON,
'-'l'fl1) I:"st:
Il"ll-' ',-'
. . ~ ~.;- ~ :_'~.- (',
IvlLLIMIS & 0'1"1'0
DCA!lDO!lI'I',
lIiqh ~;trp("t
l'f, 1 7(); 3
I 6) __.________0
I 7) (]
5,295.16
( B)
(101
()
(11)
(12)
(13)
(14)
5.574,12
-'>79 flC;
(]
-;170.%
(]
(15) _--_-___
(]
)( .06 =
(16)______
()
..)( .151:1
()
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16. Amount of line 14 taxable 01 15% role
(Include voluel from Schedule K or Schedule M.l
17. Principal lox due (Add tax from line 1 S and from line 16.1
18. Credi" Spoulal Pove,ty Credil Prior Poymcn" DilCount Inlorel'
+ +------- - ------
lQ. If line 18 i, greater Ihon line 17. enle, ,he difference on line 19. This is Ihe OVERPAYMENT.
elD
(171
o
Chode hero if you Ofe roquCl$ling a refund of your overpayment,
1201
120AI
120BI
20. If line 1711 greoler Ihon line 18, enle, ,he difference on line 20. Thi' II the TAX DUE.
A. Ente, the inlere" on Ihe balance due on line 20A.
8. En'er the 10101 of line 20 and 20A on line 206. Thil illhe BALANCE DUE.
Mole. Ch.dc Payable to: Regl.t., of Will" Agent
.. BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH......
Unde, penaltiel 01 p;,jury, I decla,e tho' I hove examined this r.lurn, induding Dccompanying schedulel and "alementl, and 10 the belt of my knowledge and beliol.
i' is t,ue, correct Dnd (61hp1.,e. I declo,e 1~01 all ,eo I el'ote hUI been reporTed 01 t'ue mar'-el volu!!. Declaration 01 prepare' olher Ihon the ptltlonol reprelentative il
baled on alllnlormallon of which pt. a~er hal any kl')owtedge
~IGHA'UR( Of P(R~O; II[ P N!l18!! 0 'I~ING RflURN( AO.-..RH~:2 2 ~~ou t h 2lJ t h ~; t :~ec' t D'&'I(.-
. ' <oV1.c'k.::.,.J "~-V\.. / C,lnll II"', Pf, 17():' /ll";/';I/
~NAlu~-rn:~lf'aO H II HA~ P N ATI'v'[ fOOIlEW-TO-I.:.lnt II~ c]h St r(~('t DATt
-..-/f_ ,..-I ,._~ I d' -I I'^ 17()]3 {;/,/'-",
___. ,_~. -" . 1'-. Ldl I !_~, e._ '
()
()
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (~) IN THE
APPROPRIATE BLOCKS,
1, Did decedent moke a tronsfer ond:
0, retain the use or income of the property transferred, ......,.............,..................
b, reloin Ihe righl to designate who sholl use Ihe property transferred or its income,
I ' ,. I t
c. ra oln a reversionary In eres or ....................................................................
d, receive the promise for life of either poyments, benefits or core? ......,................
2, If death occurred on or before December 12, 1982, did decedent within two years
preceding dealh transfer property without receiving adequate consideration? If death
occurred after December 12, 1982, did decedent transfer property within one year of
d h . h "d 'd' 2
eat wit out receiving 0 equate consl erahon, ........,........................................
3, Did decedent own an 'in trust for' bank account 01 his or her death?.....................
vn NO
x
x
x
I x
x
! x
!
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
~j.
(OMIrIIONWlAl1" Of '.N...UIYANI"
INH.'''.'''C. ,.. .nUIN
.nIDIN1 DICIDIHI
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
Please P,inl a' Typ.
fiLE NUMBER
II. '\('11. ",'
ESTATE Of
G1HFFl'I'HS, Helen B.
21-94-002
fAil plOp.'" IOIIlIl,.O_II.a .,." Ih, .1I9M 01 SVhl.Oflt\,P mil" b. a,ntoUG 011 ~d''l.chM '1
ITEM I
NUMBER I
DESCRIPTION
VALUE AT
DATE OF DEATH
1 .
Resident Fund Account, 'l'hornwald 1I0me, Cnrlisle, PA
5,295.16
TOTAL IAI\o enter on line 5. Recaplfulationl ! S
5,295.16
... ",I1U. lit,"!
ESTATE OF
ITEM
NUMBER
2 .
3 .
4 .
5 .
6 .
ITEM
NUMBER
J6i;"9"
_ .~~u.;
[l)......OtH.. 1"\ II. nl ~f~jlj'"~".;""
INHllll"N(ll,,1 .I1U.N
."IPI~' DICICI!d
SCHEDULE J
BENEFICIARIES
FILE NUMBER
GHlI'FI'rIlS, lIelen IJ.
21-94-
NAME AND ADDRESS OF BENEFICtARY
RELATIONSHIP
.. ......._ ,,_,_~_,,_,_,_,_____,____.,._,__' ..~__._~_____..______ u,_____ ___~___..~_' -_..~.~-------'_.-
AMOUNT OR
SHARE OF ESTATE
__ ._.___..___~.._w._~~__..______.__._.~____ ~----- ---------~~
A. TOlloble Bequo\h:
l.
Hartha Smith
768 Burnt lIouse Hoad
Carlisle, PA 17013
Robin S. lIendry
3856 A lIumphrey
St. Louis, HO 63116
James David lIendry
22 South 29th Street
Camp lIill, PA 17011
G. Richard lIendry
6556 Odell
St. Louis, MO 63139
Andrew Griffiths
lJox 665, Knockles Rd., R.D. 1
Green Lone, PA 18054
IJrett GriffithR , "
1J0x 665, Knockles Rd;, R.D. 1
Green Lone, PA 18054
I'riend
Grandson
Grandson
Grandson
Grandson
Grandson
NAME AND ADDRESS OF BENEFICIARY
l.
B. Chorlloblo ond Govornmental Bequo'''l
None
j
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS IAho o.lor on line 13. Re,opilulallon)
(If more .poce I. n..ded, In..rl addlllonal .h..1I o. .am. .Iz.)
$1,000.00
1/5 share
state residue
AMOUNT OR
SHARE OF ESTATE
one
S None
'I . 1
/.,-. - /1. ,)3:;--/3
VREV-1547 EX AFP 112-941* '
COHHOHWrAllII Of rfNHSVPJAN(A I
DII'AlnI1INI or RIVINUL L NOTICE OF INHERITANCE TAK
8URfAU Of IHlllVIDUAl tAXIS , . ~., I APPRAISEHENT, AllOWANCE OR DISALLOWANCE
~~:~is~~~ri~II'A H'la,oMI .,.,'..... j Of DEDUCTIONS AND ASSESSHENT OF TAX DATE 02-15-95
EsfATinjF=tjiffnf1'lTs~~~~'1rETEr-~-b~~~~'''''<'''' ..~.c. ""'~-"-'FILENO :.....'2j.94-:iiIfCif~.~~'
DATE OF DEATH 03-31-94 COUNTY CUMBERLAND
"
(/ I'
(.
ACN
101
NOTE, TO INSURE PROPER CREOIT TO YOUR ACCOUNT, SUaMIT TIlE UPPER PORTION OF TltlS FORM WITH YOUR TAX
PAYHENT TO THE REGISTER Of WILLS. HAteE CllECK PAYABLE TO "REGISTER OF WIllS, AGENT"
REMIT PAYMENT TO:
STEPHEN l BLOOM ESQ
MARTSDtI ETAl
10 E HIGH ST
CARLISLE PA 17013
REGISTER OF WillS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
I==.,._=~nl R..HI.d =l
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ....
REV: iS4i-EX-AFP-i iF94Y-NoYicniF-YNHEiiifANCE-YAx-iiPPRii iSEHENT-;-ALi:tiwANCE-oli----------- -- - ---
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF GRIFFITHS HElEtI B FILE NO. 21 94-0802 ACN 101 DATE 02-15-95
TAX RETURN WAS, I X I ACCEPTED AS FILED
I CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL
1. R.d Estet. ISchedul. AJ IU
2. Stocks end Bonds (Schadula D) 12)
3. Closaly H.ld stock/Partnership Inter.st ISchadul. C) 131
4. Hortg.g../Notes Receivabl. (Schedul. 01 (4)
5. C.sh/Dank Daposits/Hisc. Parsonal Proparty ISchedul. E) 151
b. Jointly Owned Proparty CSchedule F) Ibl
7. Transf.rs (Schedul. G) (7)
8. Total Asset.
,00
.00
,00
.00
5.295,16
.00
,00
181
5,295,16
APPROVED DEDUCTIONS AND EXEMPTIONS:
IJ. Funeral E.panses/Adll'l. Costs/Hisc. E.panses CSchedule H) IIJ)
10. Debts/Hortgag. Liabilities/Liens (Schadul. II 1101
11. Total Deductions
12. Nat Valua of Tax Return
13. Charitabl./Gov.rn~ant.l aequa.ts (Schedule J)
14. N.t Valu. of Est.t. Subject to Tax
5.574,12
,00
1111
1121
1131
1141
~. ~74 1:?
278,96-
,00
278,96-
If an assessment was issued previouslY, lines
reflect figures that include the total of ahh
ASSESSMENT OF TAX:
15. Amount of line 14 at Spousal
1&. Amount of Lina 14 taxable at
17. Amount of Line 14 taxable at
18. Principal Tax Dua
14, 15 and/or 1&, 17 and IB will
returns assessed to date,
NOTE:
rat.
Line.l/Cla.s A rat.
Collateral/Cl... 8 rat.
IIS1
libl
1171
,00 X ,00.
,00 X ,06.
,00 X ,15.
1181
,00
,00
,00
,00
TAX CREDITS:
PAYMENT
DATE
DISCOUNT 1'1
INTEREST I-I
RECEIPT
NUM8ER
AHOUNT PAID
TOTAL TAX CREDIT I
BALANCE OF TAX DUEl
INTEREST
TOTAL DUE
,00
,00
,00
,00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF AOalTIONAL INTEREST,
( IF TOTAL DUE IS LESS THAN $1. NO PAVMENT IS REQUIRED,
If TOTAL DUE IS REFLECTED AS A "CREDIT" ICR), YOU HAY DE DUE
A REFUND. SEE REVERSE SIDE OF nns rORH fOR INSTRUCTIONS.)
{r ,. S:;l- c.r
ItHilSTEll OF WILLS OF CUl\lIlEIU.ANII COUNTY
STATUS IlEl'OIlT lINIlEllIUJU: (,.12
(For Ileslllelltlleeellellts 11)'1111\ After .1111)' 1,11)1)2)
C)( "
I
Nome of Decedent: IIELEN B, GRIFFITIIS
Dale nf Denlh: MlIrch31,IlJlJ4
r1
"
FileNo,: 21.1)4-802
Socilll Sccurity No,: 191-2(,.7840 "
Ul
Pursuant to (tule 6,12 orthe Suprcme Court Orphlllls' Court Ilules, I report Ihe lbllowing with respecl
to complelion oflhe IIdministrntion of the nbul'e.clIptiollell eSlllte:
I. Stllte whether IIl1mlnistrntiun of the estllte is cumplete:
Yes~
No_
2, (f the answcr is No, stille when the persunal representalil'e rellsonllbly believes that the
IIdministrlltlonwill be complete:
3, lI"the IInswer 10 No, I is Yes, stnte the Illlluwlng:
II, Dillthc personal representntive liIe II Iinlll IIccount with the Court?
Yes_
No ,
b, The sepnrntc Orphans' Court No, (il"any) Ill[ the personlll represcntntil'e's
lIeCollnt Is:
c, Dill the personal representlltil'e stllte IInllCcollnt infonlll1l1)' to the Pllrties in interest?
Yes , No_
II, Copies 01" receipts, releases, joinders nnd npprol'lIls 01" lilflllnlor Informlll accollnts
ma)' be liIellwith Ihe Clerk 01" the Orphllns' Court lIud mllY be 1I11l1ched to this
report,
Dille: Seplemher 26, 11)95
Signllture
NlIme
Address
. ./::-~ ,; ,..,-.-~..
v '~.
~_____: .~- '-.._.._ n.,.-
-Stepheul.. Bloom
MARTSON, DEARDORFF, WILLIAMS & ana
Ten ElIst lligh Street
Cnrlisle,('A 17013
(717) 243-3341
Couusel fi.lr personnl representlltil'e
L--
l
RELEASE
KNOW ALL MEN BY THESE PRESENTS that I. MARTHA SMITH, one of the legatees
onderthe Last Will and Testament of HELEN B, GRIFFITHS. late of Carlisle. Comberland County.
Pennsylvania, deceased, do hereby acknowledge that I have this day had and received of and from
James David Hendry, Administrator c.t.a.. the sum of One Thousand Dollars ($\,000.00), in full
satisfaction and payment of my legacy undcr the terms of said Last Willnnd Testament.
AND, THEREFORE, I. the said MARTHA SMITH. do by thcse prcsents remise. release, quit-
claim. nnd forever discharge the said James David Hendry. Administrator c.I.a. aforesaid, his heirs.
executors and administrators, of and from the aforesaid legacy, and of and from all actions, suits,
payments, accounts. reckonings, claims and demands whatever. from the beginning of the world to
the day of the date of these presents.
AND. THEREFORE. I, the said MARTI-IA SMITH. agree to refund to James David Hendry,
Administrator c.t.a.aforcsaid, any portion of the distribution to which lam not properly entitled, and
to the extent of said distribution. to indemnify said Administrator c.t.a. for claims made against him
as Administrator c.t.a.. and to reimburse to said Administrator c.t.a. all expenses and costs incurred
in connection with any soch claims.
AND I hereby consent and agree that the Orphans' Court of Cumberland County may
discharge the said James David Hendry, Administrator c.t.a. upon application. without further notice
to me.
IN WITNESS WHEREOF. I have hereunto set my hand and seal this /fd day of
GfU(1" .199~ .
Witness: '/1~ud/.( ,-,-j~/lf~
/, _ . '--_ A Martha Smith
lfp~_;AA.cX? / Y1r./
COMMONWEALTH OF PENNSYLVANIA )
: SS.
COUNTY OF CUMBERLAND )
On this. the tfofhuay of ~~-f ,199S:'before me. a Notary Public, personally
appeared Martha Smith, known to me to be the person whose name is subscribed to the within
instrument and acknowledged that she executed same for the purposes therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal.
(!~bZ_L" ~/? frj'/" -,
Notary Public
NOlarlO1 Seal
Corrino L. Myers, Notary Public
Cmllsle Bora, Cumborland Count,!
My CommiSSIon Expires May 27.1999
\
'.
RElEASE
KNOW ALL MEN BY THESE PRESENTS that I. G, RICHARD HENDRY. one oflhe
residuary legatees under the Last Will and Testament ofl-lELEN B. GRIFFITHS. late of Carlisle.
Cumberland County, Pennsylvania. dcceased. do hereby acknowledge that I have reviewed the
Stalemcnt of Account of Administration of James David Hendry, Administrator c.I.a. of the Estate
of Helen B, Griffiths, allachcd hereto. and that I acknowlcdgc the ti1ctthat atler the payment of the
debts of the estate and the specific bcquest as set fonh in the tirst paragraph of said Last Will and
Testament of Hclcn B. Grilliths. there remain no funds to be distributed to the residuary legatees
thercunder,
AND. THEREFORE. I. the said G. RICHARD HENDRY. do by these presents remise.
release. quit-claim. and forever discharge the said James David Hendry, Administrator C.T.A.
aforesaid. his heirs. executors and administrators. of and from the aforesaid legacy. and of and from
all actions, suits. payments. accounts. reckonings, claims and demands whatever. from the beginning
of the world to the day of the date of these presents.
AND I hereby consent and agree that the Orphans' Coun of Cumberland County may
discharge the said James David Hendry. Administrator c,t.a. upon application. without funher notice
to me,
IN WITNESS WHEREOF. I have hereunto set mv hand and scal this -'1-11 day of
\Vh~~1U' r. 1995 ~I}!;f
~ J L~ /j[.L((.f-~ G, ~ha~enjry---
(/ '(1
RFLE,~
KNOW ALL 1\IEN BY THESE PRESENTS that I, JA1\IES DA VID HENDRY. one ol'the
residuary legatees undcr the Last Will and Tcstament ol'HELEN B. GRIFFITHS. late of Carli sic.
Cumberland County. Pennsylvania, dcccased. do hereby acknowledge that I have reviewed the
Slatemcnt of Account of Administration 01' James David Hendry. Administrator c.t,a. of the Estate
ofUelen B. Griflilhs. auached hcreto. and that I acknowlcdge the fact that aner the payment of the
debts of the estate and the spccitic bcquesl as set tonh in the tirst paragraph of said Lasl Will and
Testament of Helen B. Grilliths, there remain no funds 10 be distributcd to the residuary legatees
thereunder.
AND. THEREFORE, I. the said JAMES DAVID HENDRY. do by these presents rcmise.
release. quit-claim. and forever discharge the said James David Hendry, Administrator C.TA
aforesaid. his heirs, exccutorS and administrators, of and from the atoresaid legacy, and of and from
all actions, suits. paymcnts, accounts, rcckonings, claims and demands whatever. from the beginning
of the world to the day ofthc date of these presents,
AND I hereby consent and agree that the Orphans' Coun of Cumberland County may
discharge the said James Da\id Hendr)'. Administrator c.t.a. upon application. without lunher notice
10 me.
IN WITNESS WHEREOF, I have hereunto set my hand and scal this
do<; .Y, 1995,
,'< ;!",.f/
Witness:
I
f ..U
O' .- day of
--. 1\. t r.
, I' r: '
1:-:1 U-et :.' ~.l ,AOt rtl J /
c: d"
n jJ. 1)( /('
" ; l~tl.cu1,( U"'~fl - .
Janre's David Hendrv !
/ '
'- r-
------~..
RELEASE
KNOW ALL MEN BY TIIESE PRESENTS that I, ANDREW GRIFFITIIS, one of the
residuary legatees under the Last Will and Testament of HELEN B, GRIFFITHS. hue of Carlisle,
Cumberland Coumy, Pennsylvania, deceased, do hercby acknowlcdge that I have reviewed the
Statement of Account of Administration of James David Hendry, Administrator C,l.a, of the Estate
of Helen B, Griffiths, a!lached herelo, and that I acknowledge the fact that after the payment of
the debts of the estate and Ihe specilic bequest as set forth in the lim pdrugr::rh of said Last Will
and Testament of Helen 11, Griffiths, there remain no funds to be distributed to tile residuary
legatces thereunder,
AND. THEREFORE. I. the said ANDREW GRIFFITHS. do by these presems remise.
release, quit-claim. and forever discharge the said James David Hendry, Administrator C,T,A,
aforesaid, his heirs. executors and administrators, of and from the aforesaid legacy, and of and
from all actions, SUilS, payments. llccounts, reckonings, claims and demands whatever. from the
beginning of the world to the dllY of the date of these presents,
AND I hereby consent and llgree that the Orphans' Court of Cumberlllnd County may
discharge the said James David Hendry, Administrator c,l.a, upon appliclltion. without lurther
notice to me,
IN WITNESS WHEREOF, I hllve hereunto set my hllnd and seal this
I, ',!u:,-= , 1995,
_ ri\.
!"
day of
,'I
Ut'll,~t.
I
, /
~/ .f
, '
. ...""
/', ~
;: ....,
/' -,. ..... . / I
._r~-'::.(.I~/ .;.:;:;.:;..'. ,-
Andrew Grifliths' . .
/-1:;"15
Witness:
"
RELEASE
KNOW ALL ~IEN BY THESE PRESENTS that I. ROBIN S. HENDRY. one of the
rcsiduary legatees under the Last Will and Testament of HELEN B. GRIFFITHS. late of Carli sIc,
Cumberland County, Pennsylvania. deceased. do hcrcby acknowledge that I have reviewcd the
Statement of Account of Administration of James David Hendry. Administrator C.La, of the Estate
of Helen B, Griffiths. allachcd hereto, and that I acknowledge the fact that after the payment of the
debts of the estate and the spccilic bequcst as set tanh in Ihe first paragraph of said Last Will and
Testamcnt of Helen B, Griffiths. Ihcre remain no funds to be distributcd to the residuary Icgatecs
thereunder,
AND. THEREFORE. I. the said ROBIN S. HENDRY. do by thcse presents remise. release.
quit-claim. and larever discharge Ihe said James David Hendry. Administrator C.T.A. ataresaid, his
heirs. executors and administrators, of and Irom the ataresaid legacy. and of and from all actions.
suits. payments. accounts. reckonings, claims and demands whatever. trom the beginning of the
world 10 the day of the date of these presents.
AND I hereby consent and agree that the Orphans' Coun of Cumberland County may
discharge the said James David Hendry. Administrator c.I.a. upon application, withouttunher notice
to me,
o IN WITNESS WHEREOF. I have hereunto set my hand and seal this
:~if':-i.- . 1995.
:..'t-U
day of
1,~.
",:-.r
. 4/'
/ /' ,.
..........,..""; '-......~ ~'.--.;."
.0"') I
~:l~,::\ ') -/+,., l
Robin S. Hendry
Witness:
.,,/
/
111lISIl"'AllllllilA1IS,\nllAI'.
ESTATE OF IIELEN B GRIFFITIIS
Statcmcntof Accoulll of Administration
of James David Ilendty Administrator eta
us of July 31. 1995
Principal Rcceipts:
Resident's Fund, Thornwuld Home. uccount hlllance
$5 29~ 16
TOTAL RECEIPTS:
$5.295.16
I'rincipul Distributions:
Marthu Smith, pursuant to first parugrnph of Will
$100000
TOTAL PRINCIPAL DISTRIBUTIONS:
$1.000.00
Principal Disbursements:
Holcombe Funeral (-(orne, balunce due on account
Phoenixville Memorial Works. monument
Richard H, Grimths, reimbursement for funeral nowers
Social Security Administrntion. return of overpayment
J. David Hendry. Administrator's commission
MARTSON. DEARDORFF. WILLIAMS & OTTO. disbursements:
Probate fee $68.00
Filing fee. Inheritance Tax Return .li2.llJl
MARTSON, DEARDORFF. WILLIAMS & OTTO. attorney's fces:
Actual fee pursuanl to billablc hours S 1.568,00
Discount credit due to lack of estate asscts 641) 1)4
Net fee
$ 979,98
1.300,00
16\.12
593,00
265,00
78,00
1)1806
TOTAL DISBURSEMENTS:
$4.295.16
SUMMARY OF A('('OtINT
Total Principal Receipts
Total Principal Distributions
$5.295,16
-100000
Total Principal Disbursemcnls
4.295.16
-4 29~ 16
Balance for Distribution
0,00