HomeMy WebLinkAbout94-00929
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L^W OFP,r.iS
CONNILLY, REID & SPADE
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lOB. 112 W^LNUT BTREiT
P.O, Box ~e3
HAAAI99UHa, PENN9YLVANIA 1710B
HARR1~!iellfi:G PA l?rj 09/1<l/!:J5 20'52 lSSlIS
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CUMBERLAND COUNTY REGISTER OF WILLS
CUMBERLAND COUNTY COURTHOU~E
1 COURTHOUSE SQUARE
CARLISLE P A 17013
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I)I':TITION HlR PROnATE and GRANT m' LETTERS
1':~l/Ile (!l 'JOf(f~ldeLt\l<f No. ___;;'l~_ClIJ..~q_~_'1__u__
II/SO klloll'lI liS.. To:
Register of Wills J{ll' the
'u_"... I) 1 ('ouuty of \A\~{}f.t.~~ftt!~, in the
~;;;(;il;i Se(:,;;.i,.\' ,Vo~ ...., I R'J. ;. 6.\..,.' )-(t{)~('( , Comlllonwealth of I'elllwylvllnlll
The pc'titloll of rhe IIl1lkrslglled respect folly repre.\enls Ihut:
Yom pet It IOIll'r!'" , who is/_ 1M years of IIge or ~Ider un t1u:_execIlI.QtI,--.----. nllmed
In thL'lusl will of Ihe uhove decc'delll, dilled, .,.. ,j.){ c.......,-J'!l..__m___'_____.__._, 19..f!t-
IIl1d cndlcll(s) dllted ...._., _,,,,_,__m____'___,_'_'
bUill' !l'll'Vanl d'l'Il1l1~IllI1~~'~, ~'.ll. rCIlIIIIChul!lll, dc.llh nr l'\CCUlllr, CIC.)
De.:endelll WIIS dOlnlclled lit delllh in ._.,,<-JJ.~_!1u'~Lltl'L__~ County., Penns.'ylvllnlll, wllh
1~_I':___u IlIst fllmily or prlndplll resldellee III __lUL._J~f\Jo:~IUi:ELt: !!i\ i)O
.~~-f)_"ltLL~_I.._'^..\}H~'hU~__"Wl.J.t!_e~~_E,J \ 1).\( )
(Ihl ~lrCCI, lIumher llmlllHlndpalllY)
DecJiI].l!ent, Ihell...:JX.". yeurs of uge, died ___._._~-=-I__._1_1 , 19 ~I( ,
IIt__I!Pr~~I\_ c.&.tJ."itf.L'{ ,lQ.'!".J::'c--^!&j,.:.r:I_:::u-l.l,__.l:.;il!\.~~&t ell (J,,'".J:L__,
Excepllls follows, decedelll did lIolmllrry, WIIS 1101 divorced lIlId did lIot hllve u child horn or lIdopted
lifter executioll of the will offered for prohllle; WIIS nolthe vlclim of II killing IInd WIIS never IIdjndlellted
incompeteut: .____._ u.,,__ ,on' uuu _"".u_u___..___,_____,__,__,_.__,
Deeendenl ul dealh owned properlY with eslilllllled val lies liS follows:
(If domiciled in I'a.) All personal property
(If not domiciled in I'll.) I'ersolllll property in I'ennsylvllnia
(If not domiciled in I'a.) I'erwnlll property In ('oulllY
Vlllue of relll eslUte in I'ellnsylvllnlu
sltuuled liS follows: .___u_'_m___~_.___,_,
$_~p 6. (~()
$
$
$
WHEREFORE, petitloner(;lj respectfully relluest(s) the prohllle of the IlIst will 11M J r II(s)
presentcd herewith and the gmnl of lellcrs_..1trrA~f.!:!1:llt! 'r'
(IC~lllnlclltllr~': IIdmlnl'lrnllllll 1::.I,n,; lIdmlnl'lratlon d,h,n.c.l,a,)
theron.
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--.------~-_._.__._-------.-.__.....-.-_.------_._-
OATH 01" PERSONAL REPRESENTATIVE
COMMONWEAI.TH OJI I'ENNSYI.V ANIA } 88
COlI N TV Oil hu-hB..6/!--".ht:!.Q.....______.
Tht' pelilioner(s) IIhove-namcd 'lI'eur(s) 01 affirm(s) Ihllllhe sllltements inlhe foregoing petilion are
lrue hlld cort'ecllO Ihe hesl or the kn\lWledge 1111(( helief of pctltioner(s) IInd Ihllllls personlll represen.
IlIlivc(s) or Ihe IIbovc decedcnt pelllloner(s) will lI'el~ und Iruly lid minister I~ev:rdlng 10 IIIW,
Swoln 10 01 IIflilmcd IInd snh\crlbed ~dLf..~ 7' '" ~
bcrore n/C' Ihi\ , \ - - dll\ or ~. n - ------ i'
llh;;;,:l!!flu.-;;';;:" YcJ'}A(i~ _ ;;( ,~_'___:.-':-~h~.~__::'-__===--= ~
MAR'(JC. LEWIS Ii,'gilll'r l (j '_"_" n___'_~__ ~
1J.t-c.>kf4 - c,(
No. 21 - 94 . 929
Estate of_Tore l'ttil'lf
~l A j(fC
, Deceased
DECREE 01<' PROBATE AND GRANT 01<' LETTERS
AND NOW ____.1::.\, 'I_L.__ 19~L, In consideration of lhe petition on
lhe reverse side hereof, satlsfllctory proof hnvlng been presented before me,
IT IS DECREED that the Inslrumenl(s) dated 06 c... ~1.1l:..L
deserllled lherein be ndmltted to probale and flied of record liS lhe lasl will of JUl'fl t/ 11"1'
B L frKE__
and Letters
are hereby granted to
6,i! J'l (JT K . JJ..lt,J<1S
CI..
Reglsler of Wills
MARY C. LEWIS
FEES
Probate, Letters, Ete, ,.".,.., $ 18.00
Shorl Cerllflcates( 2) """"" $ 6 .00
RCll.unclatlon ..,,,....,..,,,, $
. X-pages $ 9. 00
.JCP 5.00
TOTAL _ $ 38.00
Flied '.',,'. N,QV~M.B.~~, ?,I. .19,9A ",. , . , .
..J.d 0 > 1-
A TfORN~)} (Sup, ftl1.lJ. No.)
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'Mailed letters and order to attorney on 11~2-94.
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'I'bb i!'llll l"l'rdf)' dHlllhl' illfOl'lll,tliO[\ 111'1(, givl'11 h (Hlll'llly llflllnllllllll ,11l11I'1,l'lll.d (('rrill(,ll{' It! 111,,1(11 d\ll~' filt".! with lilt.' as
I.oralltl'gistr;lr, Tilt, wi}lilllll rl'l'rililillt' willlw lorw,lI'dt'd 11111ll' ."\1.11(' ViLli HI {fll,l" ()lli(t, IiiI' P('11lI,1llt'1I1 lilinl~
WARNING: Ills lIIog~1 to duplicato this copy by photostat or photograph,
Frr (or lhi, (I'ni(;..II'\ $!.OO
2612762
No.
i2M/.I /J?'~~q:1~
I.ol.d m'gil,lI,11 (/
OCT I 7 1994
D.lt(.
COMMoNweALTH OP peNNSVLVANIA . DEPARTMeNT OP HeALTH. VITAL RECORDS
CERTIFICATE OF DEATH
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WOllflA'~ If." UdSe, U.o.n SuOWTitI
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IN '1.WI.1NQAOQRli! 1SIr.. C""!lMn''''~I'llCallJ
1 HanonBater ~oad CIlIllP Hill,
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Philadelphia
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Lower Allen
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Simon Jaje
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I'a 17011
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Philadel hia PA19105
home Ino. Lemoyne pa
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IlAMI! ANOAOON8I ~ PifllON WlIOCOW'lIUO C.t.U"..I 0# OCAftI
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~.lS47 EX AFP (12094_'
CDlttONIlEAllt1 Of PENN1YL VANIA
OCPARIItENI Of REVENtJE
aUREAU Of INDIVIOOAl lAMes '
Dt:Pl, !JOAGI
."RRISIURO, PA l1ua.0601
!STAT! W" STRAW BERTH: ""~'H="~~='="= FILE ND.
DATE DF DIATH 10-26-94 COUNTY CUMBERLANn
NOTE. TO INSU"E P"OPE" C"EOIT TO YOUR ACCOUNT. SUBHIT TH~ UPPER PORTION OF THIS FORH WITH YOUR TAM
PAYHENT TO THE REgISTER OF WILLS. HAKE CHECK PAYABLE TO "REgiSTER OF WILLS, AgENT"
REMIT PAYMENT TO:
;'1- )t!'i -I ()
NOTICE OF INHERITANCE TAM
APPRAISEHENT, ALLOWANCE 0" OISALLDW~NCE
OF OEOUCTIONS ANO ASSESSHENT OF TAM
ACN
ROBERT E STRAW
1815 LI LAC RD
YORK PA 17404
or
OJ
101
DATE 05- 08- 95
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
r - A.o~ Ro.U.lod l
CUT ALONG THIS LINE .... RETAIN LOWER PORTION FOR YOUR RECORDS ...
il1!V: iifi1"ii{ "AFP"" (IF 9iii -No'fi era F - "iNlli;i i f AiicE - 'fA' x - A-pjiiiA-i sEHENr;-Ai.l"owAiicE - ijri - - -.-- - -- -- -"" - --
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATI DF STRAW BERTHA M FILE NO. 21 94-0930 ACN 101 DATE 05-08-95
,
If .n ......m.nt w.. i"u.d pr.viou.ly, lin.. 14. 15 and/or 16. 17 .nd 18 will
r.fl.ct figure. that inolud. the total of Abh r.turn. a.....ed to d.te.
AS8E8SHENT OF TAX:
IS. A.ount of Llno 14 .t Spou.ol roto liS)
10. AROunt of Llno 14 to.oblo ot Llnool/Clo.o A roto (16)
17. AROunt of Llno 14 to.oblo ot CollotoroI/Clo.. B roto 1171
lB. Prlnolp.1 To. DUO
TAX CREDnS:
PAYHENT
OATE
03-03-95"
TAM RETURN WAS, I X) ACCEPTEO AS FILEO
RE81RVATION CCNCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORiGINAL RETURN
1. Rool EIloto (Sohodulo A) II 1
2, Stook. ond Bond. ISohodulo B) (21
5, Clo.oly Hold stook/Portnor.hlp Int.ro.t ISohodulo C) (5)
4, Hortaogo./Noto. Rooolvoblo (Sohodulo 0) 14)
5, Co.h/Bank Oopol! to/Hho. Por.onol Prop.rty (Sohodulo E) IS)
0, Jointly Ownod Prop.rty ISohodulo F) (0)
7, Tron.for. (Sohodull g) 171
B, Tolol Auota
APPRDVED DEDUCTIONS AND EXEHPTIONS:
9, Funorol E.pon.o./Ad., Co.t./HI.o, E.pon.o. ISohodulo H) (9)
10, Oobt./Hortgogo LI.bllltlo./Llon. ISohodulo I) liD)
11, Totol Doduotlon.
12, Not Voluo of To. Roturn
15, Chorltoblo/govorn.ontol Boquo.t. (Sohodul. J)
14, Not Voluo of E.toto SUbjoot to To.
NOTE I
. RECEIPT
NUHBER
AA022905
OISCOUNl
INTEREST
(+)
(-)
.00
) CHANDED
no
r: (, \d
~':'I \ !1
,.
,00 ,,".
. 00 ,.<
,00 I
I,n
,00
11.430,20
28 , 9~~:"45 "
)..:.i&lL J;
IB) _
-
2.420,24
.00
Ill)
1121
liS)
1141
,00 M .03.
37.962.41 K .06.
,00M.15.
(18)
^HOUNT PAlO
2,277.74
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
. IF PAlO AFTE" OATE INOICATEO, SEE "EVE"SE
FD" CALCULATION OF AOOITIONAL INTEREST,
_I)
:n,;'t,
(!.' f
40,382.65
~,4~O ~4
37.962.41
.00
37,962.41
,00
2,277,74
.00
2,277.74
2,277.74
,00
.00
,00
IF TOTAL OUE IS LESS THAN 'I, NO PAYHENT IS REQUIREO,
IF TOTAL OUE IS "EFLECTEO AS A "CREOIT" (CR), YOU HAY BE DUE
A REFUNO, SEE REVERSE SIDE OF THIS FORH FOR INST"UCTIONS.)
I 'I' ,) '('I - 'l
" IIV.t!OO!X. 111.111
~i~Jt'~ INHERITANCE TAX RETURN
.,.!lil'~ RESIDENT DECEDENT
COMMONWI~UH OIPINNlYlV^NI^ (TO BE FILED IN DUPLICATE
OIF^lb~l~WJJiV!NUI WITH REGISTER OF WILLS) 21 94
NA!!IIIUIO, F^ Ima.0601 COUNTY CODe YEAR
....- r'5 NAM! I~AS', IlASr, AND MIOO~TiNTlTAif ~mrno7.i~~fSS -
ili Blake, JoselJhine I 314 Manchester Road
~ CI:l~~~"~~~U;I~~7 .T!~~~;/94IAI!~';~~'/20J~!, ca~~m~~;ian~h 17011
[] 1. O,lglnal Relu,n 0 2. Suppl.m.n'al Rolu,n 0 3. Romalndor ROlu,n
Ifo, dolo. 0/ d.alh prlorlo 12,13.82)
05. F.deral ellal. To.
R.,urn R.qulred
_ O. To'al Number 01 Sol. D.pa.IIBo...
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rOM OATIS or OIATH A"U 1~/31191 CHICIC HI"
IF A SPOUSAL
POVUTY CAIDIT IS CUlIMID 0
;lLl NUMBlA -
0929
NUMle_
=
o 40. Future Inleresl Compromlto
(for dol.. of d.alh oller 12,12,B21
G9 6, Dec.d.nl DI.d r..lal. 0 7. Dec.d.nl Malnlain.d a Liylng T,u,'
IAlla,h 'op of Willi (Alla,h ,opy of Tru'll
tALClCORRU~!JNDftNCEAND CONPIDENTlAl TAX INFORMATION SHOULD BE DIRECTED TO.
MPL-.a MAILING A06Jl.lss
Jr,
Es uire
Connelly, Reid
p, 0, Box 963
Harnsburg. Ph
& Spade
17108
717 I.
238-4776
1. R.al E.lale (S,h.dul. A) ( '1-
2, Slo,k, and Band. (S,h.dul. B) ( 2)
3, ClolOly H.ld Sla,k/Partn.t1hlp Inler..1 IS,h.dule C) (31
4, Mortgag.. and Nol.. Recelvabl. (S,h.dul. D) ( 4)
5, Ca.h, Bank Depa.II' & MiI"lIan.ou. Personal P,aperly( 51
(:;,n.dule E)
6, Jolnlly Owned Property (S,h.dul. FI
7, Transfers (S,hedule 0) (Sch.dul. L)
0, Talal Orall AlIel. (Iolallln.. 1,7)
9, Funeral Expen.." Admlnillrat/ve Calli, MI",lIan.au. ( 91_
Exponlt' (S,hodule H)
10, D.bll, Marlgage L1ablllll.., L1.n, (Sco.dule II 110)
11. Talal D.dudlaa. (Ialallln.. 9 & 10)
12, Nel Valuo of E,lal. (line 8 mlnu.lln. II)
13, Charitable and Gavernm.nlal B.qu,".(S,h.dulo JI
lA, Nil Valu. Sub ed 10 To. (IIno 12 mlnu.lln. 13)
1~. Amaunl of lIae 14 lax obI. 016% ,ule
(In,'ude valu.. Iram Sch.dul. K or S,h.dul. M.)
16, Amount of line 14 la.abl. 0115% ral.
(Indude valu.. from S,hodul. K or S,h.dule M.)
17. Prindpallar. due (Add 10. f,om IIn. 15 and from IIn. 16.)
10, Credit, Spau,al Pav.rty Credit Prior Paym.nll Ols,aunl Inleroll
11 QQ + 11 I1n + n nn ~ __(LJll)
19. If IIn. IB Is 9roaler Ihan IIn. 17, .nler Ih. dlfferen" on line 19. This 1.lh. OVERPAYMENT,
aD
20, If line 17 I, 9realer Ihan line 10, onter Ih. dlfleren" an IIn. 20. Thl.I, Ih. TAX DUE,
A, Enler Ihe Inlere" aa Ih. bolan" due on IIno 20A.
B, Enler Ihe 10101 01 IIn. 20 ond 20A on line 20B. Thl. Is Ih. BALANCE DUE.
Make Check ~ayable to. Real.ler of Will., A~.nl
1~~~r~~1~I.lSUR.~tQl~NSWn?ALC,QUUTIONStONIR.V.RSI,SID.1AND ,TO UCHICK~MIl ." .
Under Plnclll.. 01 perlury, I d.clor. fhall have uomln,d thl. ,.,urn, Including accompanying Ichtdul.. and lIal'rMnll, and 10 Ihl bill of my knowl.dg. and b,lI, I
I' I, tru., correct and complt'.. I dlclar. thaI all ,.01 "'01. hat bit" "porlld allrul mark" yalue, Declaration of pr.par., alker Ihan ,hi Plr.onal "p"llnlal!..., II
baltd on alllnfarmat/on of whl,h preparer ho. ony knawl.dg..
~I '01 fIllNO !I1U.\N ^~llml O^ll -'
t:rnltstH'~ 'Blafe~ -3 4 Manchester Road, Camp Hill PA 1701~_ ,,(~,().,t.- 'N
A me;
,10, Box 963 Harrisburg PA 17108 J' ))61,(/~
I' I
0,00
0.00
0.00
0,00
0.00
z
o
i
( 61
( 7)
10,193.06
0.00
4,473.35
178.29
z
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5,541.42
N/A
1161____
115)
(Iu'ck 111'1(' If ypu Ofe fNlue..,inrl n H...fund of YOUI oV~Ipnym(!nf.
,;,'1 V\\:',
( B)
10,193.06
(11)
1121
(13)
(14)
4,651.64
5,541.42
0.00
5,541.42
332.49
N/A
x .06 a
x ,15 a
1171
o 00
(lB)___
1191
0.00
0.00
(20)
(20AI
(20&1
332.49
0,00
33:<1,49
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,. .
. PLEASE ANSW.:R THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (V') IN THE
APPROPRIATE BLOCKS. .
1. Old decAdent make a transfer and:
a. retain the use or Income of the property transferr~d, ,,,,,,....................,,.,.....,..,
b, retain the right to designate who shall use the property transferred or Its Income,
x
x
t . .. I
c. re oln a reversionary Interest or ""....."".................".................1111"..11.........
x
. d. receive the promise for life of either payments, benefits or care? .......................
2. If death occurred on or before December 12, 1982, did decedent within two yeors
preceding death transfer property without receiving adequate consideration? If death
occurred after December 12, 1982, ~id decedent transfer property within one year of
deoth without receiving adequate consideration? ",,,,.....,,,,........,........,,,,,,..........,
3. Did decedent own an 'in trust for' bank account at his or her deathL....,..,....,........
x
x
--
x
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE S.CHEDULE G AND FILE IT AS PA!tlOF THE RETURN.
',.. 01
0 ''-'1 .t'..-:.(
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COMMONWI~NNlnV^NI^
INHUI~NCI TAX IITUIN
IIIIDINT DICIOINT
ESTAU OF
Josephine Blake
Jolnttlnant(s),
SCHEDULE ~ I
JOINTLY-OWNED PROPERT~
. ~ NUMBER
21-94-0929
----
NAME
A. Edward J, Blake
ADDUss-'-.---- ---RELATiONSHIP TO DECEiiiNf-
314 Manchester Road Son
Camp. Hill PA 1701.1
I. Ernest H. Blake
314 Manchester Road
Camp Hill PA 17011
Spouse
~lichael Browser
Unknown
Grandson
c.
D.
S~ephen D. Szubrowski
Unknown
Grandson
.. .
Jolntly.ownld proplrty.
ITlM LmER DATI
'OR TOTAL VALUE DECD'S DOLLAR VALUE OP
NUM8ER JOINT MADE DESCRIPTION OP PROPERTY
TENANT JOINT OF ASSET %INT, DECEDENT'S INTEREST
1. A 12/7/93 ChecK1ng account with
PNC Bank, account no.
5080065308 $4,057.28 50% $2,028.64
Checking account with I
A 6/27/99
PNC Bank, account no.
5140229715 $11,345.07 50% $5,672.54
C 11/16/9 Passbook account with
1st Federal, account no
0201121922 $ 3,860.30 50% $1,930.15
D 9/7/90 90 Day Paesbook account
with 1st Federal, accou t
no. 0205065848 $ 1,123.47 50% $561.73
B. 4/23/92 Statement savings with
1st Federal, account
no. 0214047878 $ 8,085.60 50% $0.00
TOTAL (Aho Inllr on IInl 6, Rlcopltulollon) $ 10,193.0
6
III mOrl 'pacI if nllc/,d'm,rl addlllono/sh.." o/rom, I/..}
j,-- I,' " ,.
. ".. ('jiool ~\ ' .,,_.~...~, ,'~"
'"
"
".
April 5, 1995
,. .
,.
Connelly, Reid' Spade
1'l"l'U1 "..... II. R.14".r
Box 963
Harrisburg, PI. 17108
RlI 1''1'1'1'1 or ".O.UBIH1I IUD
SOOIAL .ICUII'1'Y NUMBIII 183-D1-S'77
DATI or DIl'l'B1 Ootober 13, 1"4
ACCOUNT NUMBER: 0201121922
TYPE OF ACCOUNT: Passbook
OPENING DATE I 11/16/88
0205065848
90 Oay Passbook
8/7/80
ACCOUNT TITLE:
Josephine Blake Josephine Blake Trustee
or Michael Browser stephen 0 Szubrowski
PRINCIPAL BALANCE
AT DATE OF DEATH: $3,856.86 $1,115.42
ACCRUED INTEREST
TO DATE OF DEATH: $3.44 $6.05
TOTAL BALANCE AT
DATE OF DEATH: $3,860.30 $1,123.47
dOMMENTS: Both accounts listed above arft still open. Account
'0214047878 has been olosed by the joint own.r with a pre.enta-
tion ot a death certificate. Enclosed are our guidelin.. on .
r.deeming the other accounts.
234 NCllTH.SECOI'ID STREET. P () f!Q, 1111 H'\i1q'~ln!m'_; PI\ 1:1';8 ' I'i:., :m.6061
."rr" ~fifl~J !
,~.." 'I:'/W
\ ft a ."1
,I,.
U. 11'1'1'1'1 OJ' JOIIPBINlI BUll
IOCI1L IICURI'1'Y HUMBIR. 183-01-5'71
D1'1'1 OJ' DilTS. Ootober 13, 1"4
'. .
. "
j\ "
ACCOUNT NUMBER: 0214047878
, ,
TYPE OF ACCOUNT: stmt Svgs "
OPENING DATE: 04/23/82
,
ACCOUNT TITLE: Josephine Blake .
or Ernest H Blake ,
PRINCIPAL BALANCE
AT DATE OF DEATH: $8,078.46
ACCRUED INTEREST
.'1'0 DATE OF DEATH I $7.14
.,
TOTAL BALANCE AT , .
DA~E OF DEATH: $8,085.60
.. , "
It you should have anY turther questions or need additionai '
intormation please do not hesitate to oontact llIe.' . .
Sincerely,
~~
Sherri Hcuck
Aa.i.tant Manager
Operation. Center
"
"
,
,
,.
"
"
"
234 ,"ORTH SE':or,D STREET. PO SOX 1111 . H:.RR'SaUI1(1 P,\ 171G8 . 17171 232,6601
~~'rr-~frTI1
yn Hi ,d
II.YoUII...p.MI
ITIM
NUMBBR
W
COMMONWUlTH 0' "NNIYLV^NI^
INHUIT^NCI we liMN
!11IDIN1DICIDINT
5CHIDULI H
FUNERAL EXPENSES,
ADMINISTRATIVE com AND
MISCELLANEOUS EXPENSES
.Tosephine Blake
DESCRIPTION
1.
A. 'untlal bp.ns..,
Musselmans Funeral Home
B. Adnilnl.tratlv. Cosh,
I.
~.
3.
4., .
C.
1,
2,
3.
4.
5.
~,
7.
8,
I.
P.nonal R.pres.nlallve CommllSlons
Social Securlly Numbtl of Penonol Repre..nlallvll
Year Commllllons paid
Attorney Fe..
JameE! E. Reid, Jr., Esquire
Family Exempllon
Clolmont Ernest H. Blake Relollonshlp Spouse
Addr~1I of Claimant at decedent/s dealh
Slreel Add,,1S . 314 Manchester Roan
City Camp Hi] 1 Slale P1l. Zip Code
Pfobale Fe..
Cumberland County Register of Wills
MI.e.llan.ous bp.n....
Cumberland Law Journal
The Sentinel
. ,
PI.a.. Prlllt 0' T .
21-94-0929
'70' ,
, ,
TOTAL {Also onlll an IIn. 9, R.capltulallon) S
(If mall .pae. I. n..d.d, In..rt addltlanallh..t. of .am. .11..)
AMOUNT
$1/798.15
"
$0.00
$525.00
$2,000.00
$38.00
$40.00
$12,20
"
, ..' .Q..Ao
lI"'lIIl"lI,tll~
CQMMOHWIAUH 01 UNN'Y\VANIA
INHUIIANe' tAlt ."URN
..IIDIHfDICIDfHf
Josephine Blake
SCHEDULE I L
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES AND LIENS PI PIT
t _'.!ll' 1 nt 01 yp'
PI I NUMBER
21-94-0929
ISTATE OP
ITlM
NUMIIR
DESCRIPTION
AMOUNT
$26:00
$22.91
$7.28.
$33. '/5
$33.00
$4.50
$15.85 .
$35.00
1. PP&L (Joint - $52.00)
2. Bell Atlantic (Joint - $45.82)
3. AT&T (Joint - $14,55)
4. Lower Allen Township Sewer (Joint ~$67.50)
.1
5. UGI (Joint - $66.00)
6 . Montgomery Ward (Joint - $8,99)
7. PAWC - Water (Joint - $31. 69)
~. Lower Allen Ambulance
, ,
,
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. I
,.
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10
I
-
-I
TOTAL IAho ,nlir on Iin. 10, R.capllulallon}
(II mare .pac. Is nlld.d, In'l// addlllonol .hll', a/10m. sill.)
$
178.29
""", ...
oJ' ~,. ,.. .~ .' ~.., ..... 1......,
.... -, >.. -.-.-,_... - ..'__..,... _., - __ _l.__'_'___.___
. "
D' . NO. 'M047822 '. COMMONWEALTH O'PENNSVLVA~IA' .
, .. . " DlMIttMINT 0' R.VINl,Il
'1~1I01 u I....' ~~'I.CIAL ..ICII".. PINNIYLVANI~ INHIRITANCI.AN~ IITATI T~X
RECEIVED fROMI
&
ACN
ASSESSMENT I!'
CONTROL I.:iI
NUMBER
AMOUNT
REID JAMES E JR ESQUIRE
P.O. ElO~ 963
WI
.a3e.49 .
.
HARRISBURG PA 17108
. E5TATEINFORMA!!9N1 _J
m liE NUMBER
III 21-1994-0ge9 BSN 18S.'Ol-!59'77
EJ NAME OF DECEDENT ILASTI IFIRST) -, IMII
___--BLAKE JOSEPHINE
II DATE OF PAYMENT
g POSTMAR E
COVNTY /"l'
CUMBtBbBNO
OATE OF DEATH.
~-r--
~
m TOTAL AMOUNT PAID
'332.4~
CW
REMARKS
ERNEST H ~LAI<E
CHECK" 3772
, ,
, 1111" I
SION^ U. ..
),
RECEIVED BV ! I".
.
SEAL
REGISTER OF WILLS
MARV C. Le:WIS'.
REGISTER OF WJLLS
/.
:/
1
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.
~,~;;-'"' ~.~ --:7"" - ',-','--,- -- -. ----- -;:-;"',r~'-,-"- -,- -~,-":-;- -. --:-" .-..,-"...- -. -,_. -'.- ,--.. -~- --n -;-- ~,- ~~1',.
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COMMONWIALTH Of PINNSYLVANIA
COUNTY Of CUMIIRLAND
~
~
}
III
Ernest H. .Blake
beIng dulV sworn -_ according to lew, dspol8l and UYI th.t h. _ ill the Exej:utor
'----.----.-.---..,.-- o( If,s Eltate o( Jose chine Blake
lito 01 __9.!!nu>.lIgl '.-..--.....'---...'-....-_____, Cumberl.nd County, P.., decellld .nd thlt thl
within II .n Invlntory mede by Ernest It,. Bla~__ ,_. ., the uld Executor
o( the entire utate 01 laid decedent, conslltlng 01 all ths perlonal prop'~rty and ruluhh, except rul Istate ouhlde
the Commonwulth 01 Pcnnlylvanle, and thlt the flgurel oppollte eech Item 01 the Inventory reprelent lt'l faIr velue
el o( the date of decedent'l duth.
__u______,
Swnrn
mlli ~D ,
.Jto.CdV1'r1111. (
19 -9.d:._
&r14J/~ It! /JA-L
eucul.r . lIll4lll1NQlIl<
- and lublcrlb.d bslor. m./
314 Manchester Road
NOTARIAL SEAL
STACEY L FINK. Notary Public
Easl MananOSIOr Twp.. Yo,k Co,
Conlln,,,lon E'''lfe9 Fob. 19. 1996
~1!!L!!.t1l PA -1ZQ11
Add""
D.t. of Duth ,-__,_ll__
DIY
October
M.nth
1994
v..,
INSTRUCTIONS
I. An Inventory mud be flied within thr.. month I after appointment 01 person.1 reprel8ntatlve.
2. A luppllment Inventory mUlt bs lIIed within thirty deYI 01 dllcovery of addltlon.lllleh.
3. Addltlona'lheeh "'.y be .tlaohed II to personalty or r.elty R ~
4, fiee Article IV, F'duc'."u Act of 1949. .
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REV<lS47 EX AFP (12<94*
CO~NWEALTH OF PENNSYLVANIA
DfPARTNl!NT OF REVfNUE
I~EAU OF lHOIVIDUAL TAkES
DfPT. ZI0601
HARRISIURO, PA IIIZI-0601
EsTAh: OF BLAIT JOSEPH E - FILE NO.
DATE OF DEATH 10-13-94 COUNTY CUMBERLAND
NOTE. TO INSUR~ PROPER CREOIT TO YOUR ACCOUNT, SU8KIT THE UPPER PORTION OF THIS FORK WITH YOUR TAX
PAVKENT TO THE REGISTtR OF WILLS, HAKE CHECK PAVABLf TO "REGISTER OF WILLS, AGENT"
REMIT PAYMENT TO:
NOTICE OF INHERITANCE TAX
APPRAISEKENT, ALLOWANCE OR OISALLOWANCE
OF oEOUCUONS ANO AS9ESSHENT OF TAX
ACN
101
,~ .
DATE 09-12-95
JAMES E REID JR ESQ
CONNELL Y ETAL
PO BOX 963
HBG PA 17108
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
L
A__unt R..ltt.d
,
J
CUT ALDNG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .~
R ilV: isii'i" iliCAFP-"f ilf: 94 T -NoY:fcf OF 'I NHfifi TANCi"'fA"if APPR'A- f SEH"Eilr; -i\ r. rowAN-iii" iiii -- .--. n.........
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OP BLAKE JOSEPHINE FILE ND. 21 94-0929 ACN 101 DAn: 09-12-95
TAX R~TURN WAS, ( ) ACCEPTED AS FILEO ( x) CHANGED SEE ATTACHED NOTICE
RESIRVATION CONCERNING FUTURE INTEREST < SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL-;ETURN
1. R..l E.t.t. (Sch.dul. Al
2. Steck. ond Bend. (Schedule 81
S. ClclOly Held Stock/P.rtner.hlp Int.r..t (Sch.dul. CI
4. Hertg..../Nct.. Roc.lvobl. ISch.oul. D)
5. C'lh/8~ D.pc.lt./Hllc, P.r.on.l Prcp.rty (Sohedul. E)
6. Jointly Owned Prop.rty (Schedul. F)
7. Tronlf.r. (Schedul. G)
8. Tctol AII.to
(1)
(2)
(5)
(4)
(5)_.
(6)
(7)
.00
,00
,DO
.00
.00
10.193,06
,00
II)
10 ,193. 06
APPROVED DEDUCTIONs AND EXEMPTIONS:
4,473.35
,. F....rll ENp.n.../Ad.. Co.to/Hho, ENP.n... (Soh.dul. HI (9)
10. Outo/Hcrtgogo Ullbllltiu/U.n. ISoh.dul. II (10) 178,29
11. Tctll Deduction. Illl
12. Not V.lu. cf TON R.turn (12)
IS. Charltobl./Gc..rneont.l 8.qu..t. ISchedul. J) (151
14. Not Volue of E.t.to Subjoct to TON (14)
NOTEI If an asslssMlnt wa. issuld prlviously, linl. 14, 15 and/or 16, 17 and IB will
refllct figurl' that includl thl total a1 Abh rlturn. a..I'.ld to datI.
ASsESSHENT DF TAXI
IS, Aocunt of Lln. 14 .t Spay..l r.t. (15)
16. Aocunt of Lln. 14 t.Nobl. .t Lln..l/Cl... A r.t. (16)
17, Aocunt of Lln. 14 t.Nobl. .t Ccll.t.r.I/Cl... 8 r.t. (17)
II. Prlnclp.l TaN Ouo
TAX CRIDnSI
PAVHENT
DATE
o -30-95
." .&~1 ;;4
5,541.42
.00
5,541,42
.00 X ,03.
9,783.44 X .06.
.UOX,15.
liB I
,00
587.00
,00
587.00
RECEIPT
NUH8ER
AA047822
OISCOUNT (+1
INTEREST ('1
,00
AHOUNT PAID
332,49
INTEREST IS CHARGED FROM 07-14-95 TO 09-20-95
AT THE RATES APPLICABl.E AS OUTLINED ON THE
REVERSE SIDE O~ THIS FORM
TOTAL TAX CREDIT
BALANCE OF TAX DUI
INTEREST
TOTAL DUE
332,49
254.51
4,34
258.85
o IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST,
I IF TOTAL DUE IS LESS TNAN tl, NO PAVKENT IS ~EquIRED.
IF TOTAL DUE IS ~EfLECTED AS A "CREDIT" (C~l, YOU HAV 8E DUE
A REfUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONI.J
14'J.LJ~ ~q
c
~ALT1i 01' P!NNSVLVAHIA
II[IIARTMOfT 01' REVEllE
BUREAU 01' INDIVIIlllAL TAXEI
MPT, 110601
HARRll&URG,'A 171ZI-IIll
HOTIC~ OF INHERITANCE TAM
AFPRAIIEHENT, ALLOWANCE OR DIIALLOWANCE
OF DEOUCTIONS AND AIIEIIHENT OF TAM
ACN 101
DATI 09-12-95
.
FILl! ND.
DATI DF DEATH 10-13-94 CDUNTY CUMBERLAND
HOTE. TO INSURE PROPER CREDIT TD YOUR ACCOUNT, SUlNJT THE UPPER PORTION OF THII FORN WITH YOUR TAM
PAVHENT TO THE REGIITER OF WILLI, HAKE CHECK PAVAILE TO "REGISTER OF WILLI, A~ENT"
RE~IT PAYMENT TOI
JAMES E REID JR ESQ
CONNELLV ETAL
PO BOX 963
HIG PA 1710B
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
r
A......t R..Utod
CUT ALDN~ THIS LINE .. RETAIN LOWIR PORTION FOR YOUR RECORDS ~
iil'v:m7"ix-AFja--ll'lf:94Y"iiiir"ici--ciii"ItiiiiiiiTANCi-TAx"'AjijiRA-isiHE'iir;.-Ai.i:ciiiANci-iiFi-u.m"mum-
DISALLDWANCE OP DEDUCTIONS AND ASSISSMrNT OF TAX
ISTATI! DF BLAKE JOSEPHINE PILI NO. 21 94-0929 AtN 101 DATI 09-12-95
TAM RETURN WAS, I I ACCEPTED AS FILEO I XI CHANGEO SEE ATTACHED NOTICE
RISI!RVATIDN CONCIRNINO FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN
1. Rill E.t.t. ISchedul. Al
2. stock. _ lend. lSclhedul. II
I. Clo..ly Hold Stook/P.rlnerohlp Int.r'll ISchedul. CI
4. Hort_./HoI.. Roc.lvobl. Ilchodule DJ
I, C.oh/l~( Dope.lt./HI.o. P.r'onAl Proporty ISchedul. EI
6. Jointly OWned Property (Schedul. FI
7. Trlll.for. (Schedul. Gl
I. Tot.l A...t.
III
(21"
m
(41
Iii
161
171__
.00
,DO
,00
,00
.00
10.193,06
,DO
IBI
10,193.06
APPROVED DEDUCTIONS AND IXEMPTIDNSI
t 4,473.35
.. F....r.l E_I../A... Co. ./Hllo. E__... (Ichedul. HI 191
10. Dobt./HortgoG' Llobllltl../Llon. ISchedul. II 1101 178,29
11. Tolo1 DoducUcn. 1111
12. Hot V.l... of TI>C R.turn (121
15. ChorUoble/llov.rrwontol ........to lSchedule JI (111
14. Not V.l... of E.t.t. Subjoct to TaM (141
NOTI!I If.n a.......nt w.~ i..u.d pr.viou.1Y, lin.. 14, 15 .nd/or 16, 17 .nd la will
refl.ct figur.. th.t includ. the tat.l of ~ r.turn. .......d to d.t..
ASSISSHINT OF TAXI
11. ~t of Line 14 .t Ipou..l r.t. (111
16. ~t of Line l~ taM.ol. .t Llnool/Cl... A r.t. (161
17. ~t of Line 14 t.xobl. .t Coll.l.r.l/Cl... I r.l. (171
II, Prlnclp.l TaM Duo
TAX CRIDnSI
PAVHENT
DAT!
-30-9
cL~1t1 jii4
5,541.4t
.00
5,541.42
.00 M .03.
9,783,44 K' 06.
.00 K .15.
UIl
.00
587.00
,00
587,00
RECEIPT
NUlIBER
A 047822
DISCOUNT (+ I
INTEREIT I- I
.00
AHOUNT PAJD
332,49
INTEREST IS CHARGED FROM 07-14-95 TO 09-20-95
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TDTAL TAX CRIDIT
BALANCE DF TAX DUI
INTlRIST
TDTAL DUI
332.49
254.51
4.34
258.85
. JF PAID AFTER DATE INDJCATED, lEE REVERIE
FOR CALCULATION OF ADDJTJONAL JNTEREIT.
( IF TOTAL DUE II LEII THAN 11, HO PAV"E~ XI REQUIRED.
JF TOTAL DUE JI REFLECTED AI A "CREDIT" (CRI, YOU HAV II DUI
A RBFUND. lEE REVERlB IIOE OF THII FORN FOR JNSTRUCTJONS.'
IIV.141O III ft...,
'"
INHERITANCE TAX
EXPLANATION
OF CHANGES
,
~
COMMONWEALTH 0' PENNSYlVANIA
DEPARTMENT 0' REVENUE
IURUlU 01' INDIVIDUAL TAXII
om. 210601
HARRISBURG, PA 1712e.o601
, DEceDENT'S HAM!
f.ICL!NNU~le,R
-;;- 2194...0929
101
JOl8phine Dim
SCHIDULI
'n"l
NO.
IXPLANATION 0' CHANGIS
,
. rile $3,000 elllc:lullion ha. beenipplled to the value of this itea. Section
1707(c)(3) of the 1982 Act provide. that a transfer made within one (I)
Y'ar of the death of the trQn.feror II subject to tax Doly to the extent,
that the value of the tran.fer exceeds $3,000 durin~ any calendar year.
p
4
"Ill Tru.t For" accouatl are fully tauble with no $3,000 exclu.lon
IllloWQd, 'ee Section 1707(c)(7) ot the Inheritance Tax Act 255 of 1982.
,
1-4
PrObate e.tate i. in.olvent. Jointly held a'.ets are taxable to tbe,
.urvivor.. No deductions can be claimed agaln.t joint property.. it va.
.not t~ relPonllblllty ot the .urvlvor. to pay the debt..,
',-.".
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TAX EXAMINER,
Datllll.lliLIlllllwL
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