HomeMy WebLinkAbout94-00981
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PETITION l<'OIt PROIIA TE llnd GRANT 01<' LETTERS
.;J 1- 9tf - 1 til
l~l/tIl(' of .&2D)_e..Y:-)(--M~~
ul.HI kllOll'1I ".I
No.
To:
_ Iteglster of Wills fouhe
_ . /J\,(.t;!!,'eJL County of CUMBtRLAND In
S"d,,1 S,'mril,l' NrJ'a:Y---P-/. - 0 3~~_ COllllllonwenllh of Pennsylvnnln
The pelllionof Ihc undersigned rc,pcclfully reprc,enl' tlul\:
Your pelitloner(,), whol,/nrc 18 yellrs of IIge or oldcr nlllhe excclIl or
Inlhc III,t will of Ihe IIbow deccdcnt, dilled -A:Lll.Y- J 0/ E? I
und codlell(,) dlltcd
the
nnmcd
,19_
(,uue '1:h:\(1111 "i1!;lll1l\IIIIIl:"'\, c.'.~. H,l1tll1dallnll, denlh of 1:\<<,ulOr, CIC.)
Deeclldcnt WIIS domlcilcd III dClIlII III <.'. (.Ifi1~l <I/Vd CounlY, Penpsylvnnln, wllh
It c yo 11151 fllmlly or prlnclpnl rc,ldclI . I LZ ~~ ~ c.J >:Jl Jf(> C( a
~_y./ h cr7J f-<ft.. u-iJ'.,. )
(11\1 \lIl'cl. Ilumher and l11unclflullt)'
Decclldcnl, thcn -B3-,r YCllrs of ngc, died ~() v.,; ,19 9 h '
III~W~~ f>B,).Th (!~/V ~ ewIlILJ.f' .
Exeepllls follows, decedelll did Ilolllmrry, wns nllt divorced ulld did not have n child born or ndopted
ufter cxecnllon of Ihc will offered for probllle; was nOl the vlellm of u killing nnd wns ncver adjudlcatcd
Incompctcnl:
Dcccndclll ul death oWllcd property with eSllmatcd vlllues us follows:
(If domiciled In I'u.) All pcrsonlllplOpcrty
(If nol domiciled in I'a.) I'crsonnlplOperty III Pcnnsylvunla
(If nol domicllcd in I'n.) I'crsolllllproperlY In County
Value of renl eSllllC in I'enn'ylvllnlll
shunled ns follows:
$ . ~) ?oo .e.tZ-
$
$
$
/yO:rV' e...
WHEREFORE, pctltioner(s) rcspectfull)' reguest(s) Ihc "lObnlc of the lasl will and codlcll(s)
prescntcd hcrcwlth und thc grunt of ICltcrs TESTAMENTARY
(lL~I(lTl1('nIUr)': ndrnlnblfnlloll c.l.n.; odmlnblnulon d.b.n.c.t.a.)
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OATH Of I)ERSONAL REPRESENTATIVE
COMMONWEALTH O"'I'ENNSVLVANIA } 88
COUNTY 0... CUMBERLAND
Thc pctltioncr(,) ubove.namcd swcar(s) or ufflnn(s) Ihut thc stalcmenls In thc forcgolng pctltion arc
truc und corrccl t" thc hcst of Ihc kn(,wlcdgc und bclicf of pctitloncr(s) ulld that us pcrsonal represen-
tativc(s) of thc ubove dcccdcnt pctilioncr(s) will wcll and truly udmlni,tcr thc eslate necordlng 10 Inw.
Sworn 10, or affirmcd und SUbscribCd~' J~.rr).t..~....-f~ ""~
beforc mC,lhls J~ ;,d'l?_~ ~
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.LJ'MAil'f(;'. LEWIS 1I,'}:i.ller'>," / :e:
{I/_ .;.>/(8 - S
No. 21 - 94 - 9B~
Estate of
ESTHER K. KOSER
I Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW NOVEMBER 22. 19~. In consideration of the pelltlon on
the rcvcrse side hcrcof, satisfactory, proof havlllg bcen prescnted before me,
IT IS DECREED that the Illstrument(s) dated MA Y 1981
dcscrlbed therein bc udmltted to probate and mcd of record us the last will of
ESTHER K KOSER
IESIAMENIARY
FRED L. HOCKENBERRY
und Lelters
arc hereby grantcd to
~.
FEES
Probatc, Lelters, Etc. ......... $ 40.0D
Short Certlneatcs( 1) .... .. . .., $ 3 .00
RenUllclatlon ................ $
, X-Page $ 3.00
JCP 5.00
TOTAL _ $ 51 aa
NOVEMBER 22, 1994 ,.
Filed.............. II......... .........,
ATTORNEY tSup. C,. 1.0. No.)
ADDRESS
PHONE
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Mailed letters and order to Executor on 11-22-94.
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This is III fcrrH)' Ihill elll' illlllrll1.lfioll!Wll' ~i\'{,1l is (flrrt'lli~' 101'11'\1 hom .1I1Ilri~IlI.t1 u'l'lifk.lIl' III lIt'lull duly liIed wull me il!'!
Local Hcgislrilr. The ori,qilltll n'nilil;lIl' will hl' fprWMdttltH thl: Sial(' Vh.ll Hl'llllds (Hliu' lllr fll'r1n;lIlCIII liIing,
WARNING: It Is IlIegolto duplicate Ihls copy by photostat or photograph.
Fcc (or ,hi> ,errificlle, S!.lXI '--?1/Z I j. /J /) I G.,...../
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2666442
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COMMONWEALTH 0' ,eNNIYLVANlA. DIPAInVIH"t OP"HlALTH ,'YITlL RICOftOS
CERTIFICATE OF DEATH,
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LAST WILl. ANII TK!lTAMKN1'
I, ESTHER K. KOSER, of R. 0, 4, !IhlppennburB, Cumberland County, Pennsylvania,
being of sound mind, memory and undarntandillB, do make, publish and declsre this
my Last Will and Testament, hereby revoking all prior wills and codicils made
at any time before by me.
FIRST. I direct that all my fUllernl expennen be paid as soon as prscticable
after my desth.
SECOND. I give, devise and bequeath all my property be it real, mixed er
personsl to my five (5) children, ELWOOD L. 1I0CKI~NnERRY, LEORA G. SIIRAWDER,
FRED L. 1I0CKENBERRY, M. RAY HOCKENBERRY, and KUGI!NI~ I.. 1I0CKENDERRY, to share
and share alike.
THIRD. I nominate and appo lnt my SOil, FIUlll L. 1I0CKENDERRY, as the executor
of this, my Last Will and Testament.
IN WITNESS WIIEREOF, I, KSTHI!R K, KOSEII, to this my Last Will and Testament
set my hand and seal thiN
dny of Mny, 1981.
rir/!'",.if: ~'" /
(SEAL)
Sworn to and suhscrlbed,
declared and publinhud by
ESTHER K. KOSEII.
as her Last Will and TeNtllmunt,
and so done in the I'resuncu
of we the witnelllleN, who
sign at her requent, nnd In
her presence, nnd In the
presence of ench other.
~~~~
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COMMONWEALTH OF PENNSYLVANIA:
S S
COUNTY OF
I, Esther K. Koser, the teststrix whose name is signed to the foregoing
instrument, having been duly qualified according to law, do hereby acknowledge
that I signed and executed the instrument as my Last Will; that I signed it
willingly; and that I signed it as my free and voluntary act for the purposes
t~ereinexpressed.
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to and acknowledged
r K. Koser, the
y of
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~worn or affirmed
before
,tela'a
Notsry Public
My Connn. Expires: IHARON COLEMAN AD~. Nol.1'/ publlo
Shlppen.buro. Cumberlend Co.. PI.
110( ~1"lon Explr.. April 25, \9115
COMMONWEALTH OF PENNSYLVANIA:
S S
COUNTY OF
We, JI.. P."~"''''''1 ~a.lN'c, and (}hrll'lll j., t!ooltu the witnesses
whose numes are signed to the foregoing instrument being duly qualified according
to law, do depose and say that we were present and saw teststrix sign and execute
the instrument as her Last Will; that she signed willingly and that she executed
it as her free and voluntary act for the purposes therein expressed; that each
of us in the hearing and sight of the testatrix signed the will as witnesses;
, ,and t~at to the best of our knowledge the testatrix was at the time eighteen (18)
or ,more yeers of age and of sound mind and under no constraint or undue influence.
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t!'&'-"""A ./. ;9A ~
Sworn or affirmed ~o and subscribed before
me by ;1 f.h. Il..,:,/ (l.rt ....-...c... and
L- t. oJ".. , witnesses,
/.r:;~, 0lj=J Ma 1981.
-L.tt'<<-",("
ary Public SHARON COlEMAtl AD~, Notary pu Ie
My Connn. expires: Shlppen.burO, Cumberland Co., PI. 5
//rf Commission Explr.. April 25, \911 ,
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CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedent 1 Es rile y X )( oS e.,r
Date of Death: .#'0 V Ii? /VI ;, P y- (, 19 q 1/
will No. I qq 'f - 00 9 fll Admin. No. d) /90$1- 09 fll
To the Register:
I certify that notice of beneficial interest required by
Rule 5.6(a) of the Orphans' Court 'Rules was served on'or mailed to
the following beneficiaries of the above-captioned estate on
b~ (0,1'19"/1
.
Name Address I 7,:20 I
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t J..Wtf1oq L Ijo('kefi/'b e..yyY ,;2,30 aQY/?'1Q.,y by ChtR46f.'YS1tk!
).. eel' y~ d Sh y~ wd e 'Y ~ ~-r ~ l6I'b c./Y.b X'd deWh C/Y,,", P'<. 17,;JJjo
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F'Y'ed L HO(lke./l/beV"YY Jfjf?'(!./1CIA'?he.y-J-J,v jf1'p ~h/Pl'(y."/sbil!;?^
~, f? 0 y IJ./ /YlC!...vs J..J...o W b 'bug
t-f/JN:/ve. 1. o(!'j(e/J/bery. /1'1 M f'eN". S r ShIPPe/J/"bv~ f>tft... t>K
~ t7 Notice has now been given to all persons entitled thereto under
Rule 5.6 (a) except """"'0.N"e.
,
Date: J -9- '15"
SlHr.\ J' ,.;);:"l]ou
III 0: ~:!";-~:'~JO:lal:l
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Name r Y -e d J... 110 f! k e.,.c/i:/f'- -yy)'
Address ) rtB (!h~~ b erLJA/ IPd
Sh/PP~./V'Sb{./t7 pOt. 17.;1.G"'7
Telephonel?L2! /,/,;;1.. >, ~~3 'I
Capacity: ~ Personal Representative
Counsel for personal
representative
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/4 -.;(4:?- b 'OADAn.O'DlAfHAPTlA12/31191CHICKHIAI
INHERiTANCE TAX RETURN :.'o~::~U::~DITlICLAIMID 0
RESIDENT DECEDENT 'Ill HUMI..
(TO BE FILED IN DUPLICATE 02/ /9ff ()Of3/
WITH REGISTER OF WILLS) COUNTY CODE YEAR NUMBER
D C DlN' C m (ADDI
k 9'1 S N"wbLlr-..., '"RJ
NllU.lbur-~ "P~ 17;t'1o
COIIIII
AMOUN' UCllV(O IUEIN"IUClIONSI
l'V.Il00 IX. tM'1
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COMMONW''''l'H 0' PrNNSYlYAN'...
DE'.... MENT 0' .jYENUe
DlP. 10
H'''IS'U'~. ~. n 21.0001
ON' NAM IA . I .AHDMIDDl
E.o;.
JOC1A\ SleU.1 , HUMin
leO-OI_O 35"
o 2. Suppl.mental R.lurn
o .ca. Future Inlerelt Compromh.
(lor dOlo. of doalh ahor 12.12.821
~ 6. Olcedent Dlld Tlllall 0 7. O.cldlnt Malntalnld 0 living Trull
(Allach copy 01 Will) (Allach copy of T MI)
AU CORRISPONDENCI'AND CONFIDENTIAL TAX INFORMAnON SHOULD BE DIRECTED TO.
HAM COM'lITl MAltiNG AOOIUS
1. eora. S/vdwder ~7S New6ur'j Rei.
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o 3. Rlmalnder Rlturn
(for dolo. of doalh prior 10 12.13.82)
05. Federal Eltall Tallt R.turn Required
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1. Roal EII.'o (Schodulo Al
2. Sloc~. and Bond. (Schodulo B)
3. C1o.oly Hold Slock}Partno"hlp Inloro,'(Schodulo q
4. Mortgaglt and NollI Recllvabl. (Sch.dule OJ
5. COlh, Bonlc Olpollts & Mllclllanloul Plrsonal Prop.rty
(Schodulo EI
6, Jolnlly OWMd Proporty (Schodulo F)
7. Tran.lo" (Schodul. 0) (Schldul. II
8. Total Oroll Allllt (Iolallln.. 1.7)
9. Funerol Explnl". Admlnlltrallve COlli. Mlsc.llan,oul
bpon.o. (Schodulo HI
10, Oob.., Mortgago lIabilltlo., lion. (Schodulo I)
11. Tol.1 Ooductlons ('olalllno. 9 & 10)
12. Nol Valuo of Ellalo(lIno 8 mlnu.lIn. 11)
13. Charllabl. and Governrnenlal B.qullts (Schedul. J)
lA. Nil Valu. Sub Id to Tall tlln. 12 mlnulllne 13)
15. Spoulal Tranlrln (ror dat'l of d.ath aft., 6.30.94)
See Inltructlonl for Af,pllcobl. Pllclntagl on Riven.
Side. (Include valu.. rom Schedule K or Sch.dull M,)
16. Amounl or L1nl 1.. laxoble 01 6% ral.
(Includl valu.. from Schedull K or Schldule M.I
17. Amounl or line 14 taxable at 15% rat.
(Includ. valulI r,om Schldull K or Sch.dule M.I
18. Principal 10. duo (Add la.lrom IIno. 15, 16 and 17,1
19. Credlll SpoutaJ Pov.rty Cr.dit Prior Poymlnll
9K3t,.78
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21. " line 18 II ureole, than Unl 19, Inter the dlHII.nCl on lIn. 21. Thlllllhe TAX DUE.
A. Entll theln'ere" on ,h. bolance due on Unl 21A.
8, Enlor Iho 10101 of IIn. 21 and 21A on IIno 218. Thl.I.,ho BALANCE DUE.
Malee Check Poyabl. tOI Regltter a. Will., Ag,n'
":,';',,,": 'e,," ,'..' BE sun TO ANSWER'AU QUESTIONS ON REVERSE SIDE AND TO UOIECK MATH '.:y.";,.ni:-i'.)".-Jotol
nd" plnalllll of perjury, I declare that lave Ixomlned Ihll return, Induding accompanying IChldul.. and Itatlmlnll, and 10 Ih. bll' of my knowledge and bell.f,
II II lrue, cor,ect and compllte. I declare Ihol all 1101 Illote hOI blln reportler at true malk.t valu.. Declalatlon or preparer alh.r Ihon Ihe penonal reprelenlallve II
balld on olllnFormallon of which IIparer hOI on knowledge.
-""UIl Of 'InON II SPONIIll( .01 'IUNG II!TURN ADDIUS DAn
/t., }:Ice , J98~)/~ "C!!Ybrv Ifd ,1-):3 -'1j-
I UI( 0"11 AIU OTHU THAN UfNTAflV( ADDIln DAn
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(7)
(9)
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70 65). ~j)
(15)
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(18)
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20. If line 1911 gllaler than lInl 18, .nl., Ih. dlHII.nce an Line 20. Thll II Ih. OVERPAYMENT.
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ITEM
NUMBER
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2.
3.
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5.
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7.
8.
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SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
Ploa.o Print or T po
COMMONWf"'UH OF P(NNIYlV"'NI'"
INHun"'NCf f.... UfUAN
ItU1DfNf DfCfDfNf
It oS-!-A 4',- k
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19'1"1-00'f8/
DESCRIPTION
AMOUNT
1.
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C./~"'l':;
flu,JI 51"4 "
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of (tot/. J ~//I('>fJ~",bt.l.A'1
go.ao
as'.oo
Funoral Expon.o.. Ii ,./dO "" -BrIck.. j:ullU''' I
Funi!raJ h'DI/I~ .1uoult!t':. .:J';~O
Ga~n 90
"^-/.Jt.'/ 910
.....'" 7(,,0
:r1ltu.Jrl.lMt ~tCJf"..L/4
16.
7~.4
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13;.s'C
178S,,f'D
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f/r.1f CIr "relt
Admlnl.tratlvo COlt..
1. Ponanal keprOlonlatlvo Cammllllanl
Saclal Socurlty Numbor af Porsanal Roprolonlallvol
Voar Cammlnlanl paid
2. Allarnoy foOl
3.
Family e..mpllan
Claimant 1 ~"("),.t2.. :5J,,..dll' I,. ,"
':;oc -::
Rolallanlhlp ,.Jr; "gIrt- -" .'
Addroll af Clalmanl at docodonl" doalh
Stroot Addro.. :1'75 Iv'.r, L.b u"f /?,;,'
City /I.''rU..bll'' '1 Slalo FA Zip Cado 17;) </,.,
Prabato fool
MI,collanlau. Expln.o"
P.I"'1 F~.. ~
(' ,'("'.tJ :t.n 6/&./,'1/5
..'='
,
(, Ct ""..,., , (,I,
5'1 . 0 0
/~'f,oa
7A" I{-.r I~' ell' '.;1 t ~.~, ~
#" k "Blo:..' ~
TOTAL lAlla onlor an Ilno 9. Rocapltulallan)
(If moro Ipaco I. n..dld, Inlort addltlanal .h.... al.amo 01.0.)
s
7 t)rog. Sd
I",ISOI 11+ lUll
.
SCHEDULE E
CASH, BANK Dl:POSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
COMMONWIAIIH O. 'INNIYIVAN'A
INHllnANel 'AM lnulH
1I110lNT OlelOINI
STAT Of
~~ 'ff,~ r
k kose r-
(All p,.p.rty ~lftt'y-ow"." with th. Right .f Survl.,.,.hlp mu" b. dl.d..... on Sch....... '1
N~~~ER DESCRIPTION
I. ea~J., In ba,d,
lJalAP/"" lPf'o!Jd {fact # 97-.s5079-~
E Klllf 6f Cht!~I(ln'1
jA '(Jfl"~6(Jlltl {'II I ?~57
VALUE AT
DATE OF DEATH
9;,36>,18
s 'i 831-,. 7e
(A"ach additionallY,"" x 11"" ,hul,lf mo,. .poc." ""d.d,)
11'1,11111"11.1'1
ISTATI 0'
-"",_:"'~..;t-...".,;, '''''';:'I;;d,I.'",'~-,::,,,,-.,,~;-'''if.~'_1f_~ ,,-_.
'*'
CQMMOHWIAIIH at ,'NNmVANIA
IHHnnAHCI ,.. "NIN
..IIOINt DtCIOIHt
SCHEDULE J
BENEFICIARIES
'-~t!.". j./. kO$t'f'"
PILI NUMBIR
I t;'lrwo09UI
ITIM
NUMBER NAMI AND ADDRESS 0' BENE.ICIARY RILATIONSHIP
AMOUNT OR
SHARI O' ISTATI
A. Ta.abll 80qUIIIII
1. Leortl.. Shra,uJ,,-
~75 N~uJbu('9 Rd I Mwbuf''1 PII 11"'10 dau9Jt4.r
~. Elwocd. Hocl.-."/Jfrr'1
;'J() QAr""" jjr, Ii~f' ~a.... 6ua/a..(71t! /7At:J J .;101'1
ITEM
NUMBER
1.
~O"h
O()%
3.
RQ.f !-IoOktn6.N'I
1J'I7 J-t~dlfl~/M/JJ/U. ~J:fJrLna/.ar1 PIl /?P.57
e U.9L"~ I/tJCt!<tn6"r-f
It" AI ~nn Jf R1'1' "/''rJpr,,'~CJ.r1 /"I'l 113.~,
Fr~L N(Jc~nber('~
I1B O~/J~bt.~t." 1M ~hif'(wl~h"J fli J'l~$?
jOr}
aUl%
",0 r}
,Q()%
1.
,:JDr}
:20 %
~
NAME AND ADDRESS O' BENEFICIARY
AMOUNT OR
SHARE O' ESTATE
B. Cha,lIabll and Gavernmlnlal 80qUlltll
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Alia Inll' an IInl 13. RlCapllulatlan) S
(If mo.. lpaClI. .lIdld, I..... additional .hll" 01 .aml .Inl
...........-...-.--
- ,._, ".'~ .--. -. --"-, .,.-.~-
,....-,i,..,
,.'-,.--
~.' ~
__, ._ ..____...T~..
.
r:
I-
LAST WILL AND TESTAMENT
I, ESTHER K. KOSER, of R. D. 4, ShippensburS, Cumberland County, Pennsylvsnis,
be ins of sound mind, memory and understanding, do make, publish and declsre this
my Last Will and Teetament, hereby revoking all prior wills and codicils mada
at any time before by me.
FIRST. I direct that all my funeral expense a be paid as soon as practicable
,
'$
I
.
after my death.
SECOND. I give. devise and bequeath all my property be it real, mixed or
I.
peraonal to my five (5) children, ELWOOD L. HOCKENBERRY. LEORA G. SHRAWDER,
FRED L. HOCKENBERRY, M. RAY HOCKENBERRY, and EUGENE L. HOCKENBERRY, to ahare
and ahare alike.
THIRD. 1 nominate and appoint my son, FRED L. HOCKENBERRY. as the executor
of this, my Last Will and Testament.
1M WITNESS WHEREOF. I, ESTHER K. KOSER. to this my Last Will and Testament
aet my hand and sesl this
dsy of May. 1981.
~:f~",.it: h'~__",,,
(SEAL)
Sworn to and subscribed,
declered and published by
ESTHER K. KOSER,
ss her Last Will and Testament,
and so done in the presence
of we tha witnesses, who
sign st her request, and in
her presence, and in the
presence of each other.
~~~~
\
~ .r. do' -Vi
. .'..
,.P:...........-...."""
",,< \': U (I~(",,;:~!I'I .
.\ll~. '. ,,"""".""H~.'t ~ lIlt
_.,it,: ,,;::: '.' '~". '\\\<<'/10'{~
.:,'".,,~.I!(/~' \ ~\, 'w ~':-
::1. ': fl:: 1 ,-"",:\,,,1}':. l",J~:
::.: t.. -',iI',';:
:: ' . 0," ,. 1\'fJ : ,'( ..
~ ~ ~:. \ . ",' .!'
....t,).. \'.' ,-, . \. ':
"{J'; : .-
.... I , . ..
.... )\'. .'. ....
" " II "
. ".1\1 r\' .,."
,I'-
..'
Register of Wills of CUMBERLAND county, Pennsylvania
Certificate of Grant of Letters Testamentary
No. 1994-00981 PA No. 2194-0981
ESTATE OF KOSER ESTHER K
'Uftb~, r~nb~, M!UUu~J
Late of
HOPEWELL TOWNSHIP
';UI'II:1I:OKUI\I'lU l;UUI'l'l'I,
Deceased
Social Security No. 185-01-0335
day of November
192! an instrument
WHEREAS,
dated Mav
was admitted
22nd
1981
to probate as the last will of KOSER ESTHER K
(~I\~~, rl"~~, M1UU~I:O)
late of HOPEWELL TOWNSHIP
6th day of November !22i and,
WHEREAS, a true copy of the will as probated is annexed hereto.
THEREFORE, I, MARY C. LEWIS , Register of Wills in and for
the county of CUMBERLAND in the Commonwealth of Pennsylvania, hereby certify
that I have this day granted Letters TESTAMENTARY
to FRED L HOCKENBERRY
who h!!- duly qualified as Executor(rixl
and h!!- agreed to administer the estate according to law, all of which fully
appears of record in my Office at CUMBERLAND COUNTY COURT HOUSE,
CARLISLE, PENNSYLVANIA
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my Office the ~ day of November 1994.
on the
.... ',,',,-4\
,
CUMBERLAND County, who died on the
f
~
lI":r a"~V.i~~!Jj ~(;
~
,
,
'1
,
-1..::.1.
\ ~ " '.~. .
,
.J" .... ._ ~..... .., ..~..
l'" -
, .
-------------------------------------------~~------
02!-' t1~- ??/
.i
~ ,
.' ,
.,. ..
g" "~o.AA022736COMMONWEALTH OF'PENNSYLVANIA
"'. " ,",' :,"', " ' DrPARTMINr OP RIVINUI
," , ,',. " , ",OP-ICIAL RECEIPT. PENNSY' ~'ANIA INHERI"'ANCEAND ESTATETAX
:......1I6IIX......I.'( r . It II
RECEIVED FROM.
a
ACN
ASSESSMENT I!'
CONTROL iii
NUMBER
AMOUNT
LEORA SHAWDER
e?~ NEWBURS ROAD
Iv1
.,;:t,.,9
"
NEWBURS, PA 17e40
.. lotO Hili 'OtO H'"
ESTATE INFORMATION,
~ Fll NUMBER
~ e1-1994-09Bl
et NAME OF DECEDENT (lAST)
~ KOSER ESTHER K
II DATE OF PAYMENT
I!J POSTMARK E
COUNTY
SSN IB~-01-033~
(FIRST) (Mil
CUMBERLAND
DATE OF DEATH
SEAL
FRED L. HOCKENBERRY C/O
LEORA SHRAWDER
CHECK* 6701
m TOTAL AMOUNT PAID
RECEIVED BY
REMARKS
REGISTER OF WILLS
MARY C. LE
RESISTER OF
,
~IT'- - - --:-- - - -:-- -- ---:-__ __ _____ _ __ _ _ _ _ _ _ _ __ _ _,_ _;._ _ __-;-'..,.. _-:- __"
~ , ,- ,
~
.10
,
"
I
'"',
~, '
t
,
"
.._-"
~
_.~""q
_.:-
i :
,
--::-
,'-~A_ 1
/EV-1547 EX AFP (12-94*
CQHHONW[ALTH OF PENNSYLVANIA
D[PUlTH[HI Of' R(Y(NlJ[
I IUAtAU OF INDIVIDUAL TAKEI
DEPT. non.
>>ARRIIIURO, Pi 1712.-0'01
/'/-r)-/f- [)
ACN 101
NOTICE OF INHERITANCE TAX
APPRAISENENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSNENT OF TAX
DATE 04-03-95
FILE NO.
DATE OF DEATH 11-06-94 COUNTY CUHBERLANO
HOTE. TO INSURE PROPER CREDIT TO YOUR ^CCOUNT, SUBNIT THE UPPER PORTION OF THIS FORN WITH YOUR TAX
PAYNENT TO THE REGISTER OF WILLS. NAXE CHECK PAYABLE TO "REGISTER OF WILLS, AGENT"
REMIT PAYMENT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLIS~QPA :~7013 ;rJ~
I; A.O~ R..1tbd
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~~
iiE'v=ili47"iic-AFP-iiir:94rili'ji'-ici--ciF"i"NHiiiii'liifCE-YA'X-'APpR'Aisiiiiilr-,--ALi"OwliNCf,-jiR-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF, TAX a u; ','
ESTHER K FILE NO. 21 94-0981 ACN~C\01 0 DATE~1. 04-03-95
~
LEORA SHRAWOER
275 NEWBURG RO
NEW8URG
PA 17240
ESTATE OF KOSER
TAX RETURN WAS' (X I ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL
1. Ra.l Eat.t. (Schedul. A) el)
2. stock. and Bond. (Schedule B) (2)
S. Clo..1~ Held stock/Partnership Int.r..t (Schedule C) IS)
4. "artaag../Hot.. Receivable (Schedule OJ (4)
5. C..h/Bank Deposita/Hi.c. Parlonal Property (Schedule E) (S)
6. Jointly Owned Property (Schedul. f) (6)
7. Tranlfara (Schedule 0) (7)
I. Tot.l A...t.
APPROVED DEDUCTIONS AND EXEMPTIONS I
9. funeral Expan.../Ad.. Calta/Hllc. Expan... (Schedul. HJ (9)
10. Debte/Hortgagl Liabiliti../Llana (Sch.dull I) 110)
11. Tot.l Daductions
12. Nat Valu. of Tax R.turn
IS. Charitabla/Cavarn..nt.l Daqua.t, (Schadul. J)
14. Nat Valu. of Eat.t. Subject to Tax
If an assassmant was issuad praviDusly, lines
reflect figures that include tha totel of 6hb
ASSESSMENT OF TAXI
15. A~unt of Lina 14 at Spou..l rat. (15)
16. Aaount of Ll~ 14 taxabl. at Lin.al/CI... A rat. (16)
17. Aaount of Lina 14 taxabla at Collateral/CI... 8 rat. (17)
Ie. Prinolpal Tax Due
NOTE I
TAX CREDITSI
PAYNENT
DATE
01-23-95
RECEIPT
HUHBER
AA022736
DISCOUNT (t)
INTEREST (-)
8.30
I CHANGED
.00
.00
.00
.00
9.836.78
.00
.00
lB)
9,836.78
7,068.50
.00
Ill)
Cl21
(13)
Cl4)
7.n1iA s;n
2,768.28
.00
2,768.28
14, 15 and,or 16, 17 and 18 will
returns eSBassad to dete.
.00 X .03.
2.768.28 X .06.
.00 x .15.
(lB)
.00
166.10
.00
166.10
ANOUNT PAID
157.79
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
PAYMENT MUST BE MADE BY 08-07-95-.
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
166.09
.01
.00
.01
Cd~/
IF TDTAL DUE IS LESS THAN '1, ND PAYNENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YOU NAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS. I
\.
r-
RESERVATIONI E.t.t.. of dec~t. dying on or b.far. Oac..ber 1', 19" .. If anv lutur. Int.r..t In the ..t.t. 1. tran.f.rred
In po.....lon or anJar-ent to elt.. . (callat.r.11 baneflol.rl.. of th. d.c.d.nt .ft.r thl ..plr.tlon of any ..t.t. for
11ft or far v..r., thl e~w..lth hereby ..pr...lv r...rye. the right to IPpr.I.. and ...... tran.f.r Inherltanc. TI."
.t the lawful el... . (callat.r.l) rat. on any .uch futur. Intar..t.
PURl'OSt ""
NOTICEI To fulfill the raqulr..~t. of s.ctlon '1.0 of th. Inh.rltanc. and E.tat. T.. Act, Act rz of 19'1. 7Z P.I.
SlOtlon U.O.
PAYMENTl Uttech thl top portion of thl. Notlc. and .ubllt with your p.,..nt to th. R.gl.t.r of Will. prlnt.d on thl r.v.r.. .Id..
.."ak. chick or IIOMV ordar p.yMiI. tal REGISTER OF HILLS, AGENT
All PI,.ant. r.celv.d .h.ll flr.t ba .ppll.d to any Int.r..t which "V be dUt with anv r.a.lnder IPpll.d to thl t...
REFUND (CAli A rafund 0' . t.1C credit, which WII not r.....ted on the Ta. A.turn, .ay bl raqullt.d by cHPlatlng WI "Appllc.tlon
for A.fund of Pann.vlv,"la Inherltanc. and E.tat. T.x" (REY-IS1S). Appllc.tlon. Ira .vallabla .t th. Offlc'
of th. RIgI.tlr of Will., any of thl 2S R.vlnu. DI.trlct afflc.., or by cllllng thl 'Plol.l 2~-hour
tn.varlng .lrvlcl nutOtr. for fora. ordtrlngl In ,.nn.vlvanla 1-100.J6Z.Z050, out.ld. Plnn.vlvanl. and
within loc.l Hlrrl.bUrg .r.a (717) 717-1094, TOO' (717) 77Z-225Z (H."rlng I.,.lrld Onlv).
OBJECTIONS I Anv p.rtv In Int.r..t not .Itl.fled with th. .ppr.I...ant, .llowana. or dl..llowancl 0' dtductlan., or "'I..eent
a' tax Clncludlng dl.count or Int.r..t) I' .hown on thl. Notlc. .u.t obJ.ct within .llCty (601 dlY' of rlc.lpt of
thlt Notlc. bYI
--wrlttan prot..t to thl PA D.p.rt..nt of Alv.nua, laIrd of AppIII., D.pt. Z110Zl, Harrl.bUrg, PA 171ZI-l0Z1, OR
--.I.ctlon to h.v, thl ..ttlr dlt.r.lnld at audit of th. .ccount of th. p.r.anll rapr..lfttltlvl, OR
__"pIII to thl Orphan.. Court.
ADttIN
ISTAATlV!
eORRECTlONSl
flOtuII Irror. dl.cov.r.d on thl. I......ant .hoUld ba .ddr....d In writing tal PA o.p.rtaent 0' A.vtnUl,
Bur.au of Individual T'M", ATTNI po.t A.......nt Aavlaw Unit, O.pt. za0601, Hlrrl.bUrg, PA 171Za-0601
Phona (717) 7a7~650S. Saa P'" ) of thl bOOkl.t "In.tructlon. for Inharltanc. TI. Aaturn for I Aa.ldant
Dacedent" (AtV-150l) for an Illplanatlon of adlllnlttr.tlv.tv corr.ct.bll arrorl.
I' anv talC dut I. paid within thr.a C)) cII.ndlr aonth. Ift.r thl dec.dant.. death, . flv. pereant C5X) dl.count of
the t,1l paid It .UoWld.
DISCOUNTl
IKTERf:ST l
Interl.t I. charged b.glnnlng with flr.t day of dell~V, or nlna (9) .unth. and one (1) dlv 'roe the dlt. 0'
d'IUh, to thl dlte of P.1IIftt. T,MI' which bee... d.llnquant be for. JtnU'r~ I, 19.Z be.r lnt.r..t It the r.t. a'
.IIC (6%) plrclnt per annue celcullted .t . d.lly r.te of ,OOOI~. All t.x.. which bee... delinquent an end .,t.r
Januarv 1, 1,a! will blar Intar..t .t I r.t. which will Vlry 'roe c.lendar Ylar to ellendar ya.r with th.t rata
announced bV th. PA D'Plrt.ant 0' Alvenu.. The epplleabl. Int.r..t ratl' for 19.! through 1995 .r'l
!!!! In..r..t A... DIlly Int,,"t fletor !!!! Int"l.t Aat. D.lly Int.re.t factor
19n ZOX ,OD05U 19.7 .2 .GDOZU
1915 16X .oooua It.a-1nl 112 .OD0501
..14 112 .000501 I"Z .2 .00DZU
1915 IU ,GOOU6 19n-l"~ 7X .000192
19.' 102 .00U7. 1"5 .2 ,GDO!U
--Int,,"t I, cllcullt.d I' followlI
IHTERElT . IALANCE OF TAX UNPAID X ~IEA OF OAVI DELINQUEHT X OAILV IHTERElT FACTOR
.-Anv NoUce I"ued Iftar thl ttIC becOM' deUnquant will rlll"t an Intan.t calcOJI.tlon to flft"" (151 dlYs
bayond thl d.t. of thl a""'lant. If PI~t I. ,ed. aft.r thl Int.rl.t coaputltlan data shaWn on the
NaUc" ~ltlan.1 Intarllt ...t be cllculatad.