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PETITION FOR PRonATE llnd GRANT OF LETTERS
No. 21-94-q~7
TOI
Register of Wills for the
County of Cumberland in the
Commonwealth of punnsylvania
Estate of MARY A. SALISBURY
also known as
, Oeceaoed.
social Security No. 182-22-7056
The petition of the undersigned respectfully represents that.
Your petitioner, who is 18 years of age or older and the executor namsd
in the last will of tho above decedent, dated March 29, 1979.
Decedent wae domiciled at death in Cumberland County, Pennsylvania, with
her last family or principal.res~dence at 1152 Doubling Gap Road, Newville,
Pennsylvania 17241. ~~ ~iJ~
Decedent, then 82 years of age, died October 5, 1994, at the church of
God Home, 801 North Hanover Street, Carlisle, pennsylvania 17013.
Except as follows, decedent did not marry, was not divorced and did not
have a child born or adopted after execution of the will offered for probate/
wae not the victim of a killing and was never adjudicated incompetent. No
exceptions.
Decedent at death owned property with estimated valuee as follows.
(If domiciled in pa.) All personal property $19,000.00
(If not domiciled in pa.) Personal property in PA $
(If not domiciled in Pa.) Personal property in County $
Value of real estate in Pennsylvania $
situated as follows.
WHEREFORE, petitioner respectfully requests the probate of the laet will
presented herewith and the grant of letters testamentary thereon.
(kltammlar)'; acIInlnhltallon t.t,a.; aJmlnllullk.1 d,b.n.c:,I.a.)
of Petitioner
r H. Sa sbury
219 West Yellow Breeches oad
Carlisle, pennsylvania 17013
COMMONWEALTH OF PENNSYLVANIA )
) SS:
COUNTY OF CUMBERLAND )
The petitioner above-named swears or affirms that the etatements in the
foregoing petition are true and correct to the best of the knowledge and
belief of petitioner and that as personal representative of the above decedent
petitioner will well and truly administer estate according to law.
sworn to or affirmed and subscribed
before me this 22nd. day of
Nove.moer. - 1994
"rnfl....h ("L~"~ Register
No. 21-lI4- 997
Estate or Mary A. Salisbury, Deoeased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW NOVEMBER 25 , 1994, in conslderation of
the petition on the reverse side hereof, eatisfactory proof having been
pre..nted before me,
IT IS DECREED that the instrument dated March 29, 1979, described therein be
admitted to probate and filed of record 8S ths last will of Mary A. Salisbury/
and Lettsr. Teetamentary are hereby granted to Edgar H. Saliebury.
'nJ"^tJ ~~9i~~~'~';f 1tt1!A .r.J"f.:l,
FEES
Probate, Letters, Etc. .
Short Certifioats(s)
x-pages
JCP
Renunciation . . . .
.3. . $
. . . . $
.$ 50.00
9.00
3.00
5.00
$ 67.00
TOTAL $
Filed. . . f;loy~n:l?er .2~,)9.94
W~y,<<~~ 15712
ATTORNEY (Sup. Ct. I.D. No.)
5 South Hanover Street
Carlisls, Pennsylvania 17013
ADDRESS
717-243-0220
PHONE
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WARNING: 1118 1II0goll0 dupllcato this copy by photos tal or pholograph.
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OCT, 1 G 1994
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COMMONweALTH a' PIHNlnVANIA' OIPARTMINTOF HIlLTH' VITAL RECORD'
CERTIFICATE OF DEATH
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LAST WILL AND TESTAl1ENT
I, MARY A. SALISBURY, of the Township of Lower t1ifflin, County
of Cumberland, Commonwealth of Pennsylvania, being of sound and
disposing mind, memory and understanding, do make, publish and
declare this as and for r:1Y Last Inn and Testament, hereby revoking
and making void all former wills and codicils by me at any time
heretofore made.
FIRST. I order and dir.ect that all my just debts and funeral
expenses be paid by my Executor or Executrix, as the case may be,
hereinafter named, as soon as conveniently may be done after my
decease.
SECOHD. I give and bequeath my cherry dining room table unto
daughter, llARY LOUISE GAIUIAN, absolutely and in fee simple.
THIRD. I give and bequeath the firearms which belonged to my
husband unto my son, EDGAR II. SALISBURY, absolutely and in fee
FOURTH. I give and bequeath my dining room table unto my
daughter, STELLA BAKER, absolutely and in fee simple.
FIFTH. I order and direct that my personal representative
from among my personal property such items as my
daughters, ~IARY LOUISE GAr~IAN and STELLA BAllliR, may desire,
absolutely and in fee simple, with said total distribution to be
as equal as possible.
SIXTH. All the rest, residue and remainder of my Estate, real
personal and mixed, whatsoever and wheresoever situate, I give,
devise and bequeath unto my children, COGAR 11. SALISBURY, ~IARY
LOUISE GA~IAN and STELLA BAKER, absolutely and in fee simple, in
equsl shares, share and share alike. If either of my said
children should fail to survive me, then snd in that event, I give,
devise and bequeath the share ~Ihich said child would have received
had he or she survived me unto his or her issue, per stirpes.
WAY"_ F. SIUDE
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LASTLY. I nominate, constitute and appoint my son, EDGAR H.
SALISBURY, to be the Executor of this my Last Will and Testament,
but if, for any reason, he should fail to qualify as such Executor
or cease so to serve, then and in that event, I nominate, constitut
and appoint my daughter, ~~RY LOUISE GAm.~N, to be the Executrix
hereof, each to serve without bond.
IN WITNESS WHEREOF, I,~~RY A. SALISBURY, have hereunto set my
hsnd snd seal to this, my Last \~i11 and Testament which consists of
two (2) typewritten pages to each of which I have affixed my signa-
ture this~~ay of ,1Ar~ A.D., One Thousand Nine Hundred
Seventy-nine (1979).
The preceding
71? /1; <<tf-.
instrument, consisting
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of this and one (1) other
(SEAL)
typewritten page, each identified by the signature of the Testatrix
was on the date thereof signed, sealed, published and declared by
l~RY A. SALISBURY, the Testatrix therein named, as for her Last
Will and Testament, in the presence of us, who, at her request, in
her presence, and in the presence of each other, have subscribed
our names,as witnesses hereto.
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21-94-997
REGISTER OF WILLS OF CUMBERLAND COUNTY
OATH OF SUnSCIUBING WITNESS
Wayne F. Shade and Joan B. Fry, each a sUbscribing witness to the
will presented herewith, each being duly qualified according to
law, depose and say that they were present and saw Mary A.
Salisbury, the testatrix, sign the same and that each signed as a
witness at the request of testatrix in her presence.
wa'{(~ i:-ffJ~
5 South Hanover Strest
Carlisle, Pennsylvania 17013
Sworn to or .mnnrd and IUblCribtd bc(Off
me thb c9.~ h II . day 0'
~ M.JUlll J 11m
~~.~~.
I B. Fry
1 4 Redwood Drive
carlisle, Pennsylvania 17013
o
CERTIFICATION OF NOTICE UNDER RULE 5.6(n)
Name of Decedent: Mary A. Salisbury
Date of Death: October 5, 1994
No. 21-94-997
To the Register of Wills:
I hereby certify that notice of bsneficial interest as
required by Rule 5.6(a) of the Orphans' Court Rules was servsd
upon or mailsd to the fOllowing beneficiaries of the above-
captioned Estate on November , 1994:
Edgar H. Salisbury
219 West Yellow Brseohes Road
Carlisle, psnnsylvania 17013
Stslla Baker
102 Regenoy Woods North
Carlisle, Pennsylvania 17013
Mary L. Garman
9 pipeline Road
Newville, Psnnsylvania 17241
Notice has now been given to all persons entitled thereto
under Rule 5.6(a).
Date: November 30, 1994
wa:flrn;h(f(~re
53 West Pomfret Street
Carlisle, pennsylvania
Telephone: 717-~~022P
Counsel for Personal '
Representative
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17013
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NOTICE OF BENEFICIAL INTEREST IN ESTATE
BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, PENNSYLVANIA
In re Estate of Mary A. salisbury, Deceased
No. 21-94-997
TO: Mr. Edgar H. Salisbury
219 West Yellow Breeches Road
Carlisle, Pennsylvania 17013
Please take notice of the death of decedent and the grant of
Letters to the personal representative named below. You may have
a beneficial interest in the Estate as testate heir, parent or
guardian of the estate of a minor beneficiary, guardian of the
estate or institutional custodianship of an adjudicated
incapacitated beneficiary, attorney general on behalf of a
charitable beneficiary whose interest exceeds $25,000 or which
will not be paid in full, attorney general on behalf of a
governmental beneficiary or in default of any other heirs,
trustee of a trust as beneficiary or spouse, children or other
intestate heirs of the Decedent as determined under Chapter 21 of
the Probate Estates and Fiduciaries Code.
Name of Decedent: Mary A. Salisbury
Last known address of Decedent: 1152 Doubling Gap Road,
Newville, Pennsylvania 17241
Date of death: October 5, 1994
Place of death: Church of God Home, 801 North Hanover Street,
Carlisle, Pennsylvania 17013
County of grant of original Letters: Cumberland
Decedent died testate
A copy of the will is attached
The names, addresses and telephone numbers of all personal
representatives appointed are, as follows: Edgar H. salisbury,
219 West Yellow Breeches Road, carlisle, Pennsylvania 17013 -
717-486-4302
The names, addresses and telephone numbers of all counsel are, as
follows: Wayne F. Shade, Esquire, 53 West Porn fret street,
carlisle, Pennsylvania 17013 - 717-243-0220.
Additional information may be obtained from the following source.
Date: November 30, 1994
Wayne F. Shade, Esquire
53 West Pomfret Street
carlisle, Pennsylvania 17013
Telephone: 717-243-0220
Counsel for Personal
Representative
NOTICE OF BENEFICIAL INTEREST IN ESTATE
BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, PENNSYLVANIA
In re Estate of Mary A. Salisbury, Deceased.
No. 21-94-997
TO: Mrs. Mary L. Garman
9 Pipeline Road
Newville, Pennsylvania
17241
Please take notice of the death of decedent and the grant of
Letters to the personal representative named below. You may have
a beneficial interest in the Estate as testate heir, parent or
guardian of the estate of a minor beneficiary, guardian of the
estate or institutional custodianship of an adjudicated
incapacitated beneficiary, attorney general on behalf of a
charitable beneficiary whose interest exceeds $25,000 or which
will not be paid in full, attorney general on behalf of a
governmental beneficiary or in default of any other heirs,
trustee of a trust as beneficiary or spouse, children or other
intestate heirs of the Decedent as determined under Chapter 21 of
the Probate Estates and Fiduciaries Code.
Name of Decedent: Mary A. Salisbury
Last known address of Decedent: 1152 Doubling Gap Road,
Newville, Pennsylvania 17241
Date of death: October 5, 1994
Place of death: Church of God Home, 801 North Hanover Street,
Carlisle, Pennsylvania 17013
county of grant of original Letters: Cumberland
Decedent died testate
A copy of the Will is attached
The names, addresses and telephone numbers of all personal
representatives appointed are, as follows: Edgar H. Salisbury,
219 West Yellow Breeches Road, CarliSle, Pennsylvania 17013 -
717-486-4302
The names, addresses and telephone numbers of all counsel are, as
follows: Wayne F. Shade, Esquire, 53 West Pomfret Street,
CarliSle, Pennsylvania 17013 - 717-243-0220.
Additional information may be obtained from the following source.
Date: November 30, 1994
Wayne F. Shade, Esquire
53 West Pomfret Street
Carlisle, Pennsylvania 17013
Telephone: 717-243-0220
Counsel Cu. Personal
Representative
NOTICE OF BENEFICIAL INTEREST IN ESTATE
BEFORE THE REGISTER 01" WILLS, COUNTY OF CUMBEHLI\ND, PENNSYLVI\NIA
In re Estate of Mary 1\. Salisbury, Deceased.
No. 21-94-997
TO: Ms. Stella Baker
102 Regency Woods North
carlisle, Pennsylvania 17013
Please take notice of the death of decedent and the grant of
Letters to the personal representative named below. You may have
a beneficial interest in the Estate as testate heir, parent or
guardian of the estate of a minor beneficiary, guardian of the
estate or institutional custodianship of an adjudicated
incapacitated beneficiary, attorney general on behalf of a
charitable beneficiary whose interest exceeds $25,000 or which
will not be paid in full, attorney general on behalf of a
governmental beneficiary or in default of any other heirs,
trustee of a trust as beneficiary or spouse, children or other
intestate heirs of the Decsdent as determined under Chapter 21 of
the Probate Estates and Fiduciaries Code.
Name of Decedent: Mary A. Salisbury
Last known address of Decedent: 1152 Doubling Gap Road,
Newville, Pennsylvania 17241
Date of death: October 5, 1994
Place of death: Church of God Home, 801 North Hanover street,
Carlisle, Pennsylvania 17013
County of grant of original Letters: Cumberland
Decedent died testate
A copy of the Will is attached
The names, addresses and telephone numbers of all personal
representatives appointed are, as follows: Edgar H. Salisbury,
219 West Yellow Breeches Road, Carlisle, Pennsylvania 17013 -
717-486-4302
The names, addresses and telephone numbers of all counsel are, as
follows: Wayne F. Shade, ES4uire, 53 West Pomfret Street,
carlisle, Pennsylvania 17013 - 717-243-0220.
Additional information may be obtained from the following source.
Date: November JU, 1~~4
Wayne F. Shade, Esquire
53 West Pomfret Street
Carlisle, Pennsylvania 17013
Telephone: 717-243-U220
Counsel for Personal
Representatiye
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'D' " A'A02263,8 'COMMONWEALTH OF, PENNSYLVANIA
N(). '. ,', DIPARTMINT OF RIVINUI
, OFFICIAL RECEIPT e PENNSYLVANIA INHERITANCE AND ESTATI TAX
;:......1161 U,A.")
-
RECEIVED fROM,
D
ACN
ASSESSMENT I'l'
CONTROL 1:,1
NUMBER
AMOUNT
SHADE WAYNE F
~ S HANOVER STREET
lu1
.1,000.00
CARLISLE PA 17011
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SSN 18e-ee-7015b
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CHECK" 84bO
RECEIVED BY
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REMARKS
1'4 TOTAL AMOUNT PAID
WAYNE F. SHADE, ESQ.
REGISTER OF WillS
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AUomcy II Law
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170ll
IN RE: ESTATE OF
MARY A. SALISBURY,
Deceased, Late of the
Township of Lower Mifflin, :
Cumberland County, Pennsylvania:
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION,
!,
NO. 21-94-997
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STATEMENT OF PROPOSED DISTRIBUTION
All specific bequests under the Last will and Testament of
the Decedent having been adeemed or otherwise adjusted to the
satisfaction of the testamentary heirs, the Executor proposes to
distribute the entire balance of the Estate for distribution
under the provisions of Item sixth of the Last will and Testament
of the Decedent, as follows:
1. Edgar H. Salisbury
$ 4,961.83
2. Mary L. Garman
3. Stella Baker
4,961.83
4.961.83
$14,885.49
TOTAL
I, Edgar H. Salisbury, Executor of the Estate of Mary A.
Salisbury, Deceased, hereby declare under penalty of perjury that
the foregoing Statement of proposed Distribution is true and
correct to the best of my knowledge, information and belief.
7
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Date:
October 12, 1995
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IN RE: ESTATE OF
MARY A. SALISBURY,
Deceased, Late of the
Township of Lower Mifflin, :
Cumberland County, Pennsylvania:
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 21-94-997
FIRST AND FINAL ACCOUNT OF
EDGAR H. SALISBURY, EXECUTOR
Date of Death: October 5, 1994
Roll 4, Batch 372
Letters Testamentary Granted: November 25, 1994
First Complete Advertisement of Grant of Letters:
December 9, 1994
Account Stated to October 12, 1995
PRINCIPAL RECEIPTS
1D/28/94
12/ 1/94
12/ 5/94
The Church of God Home, Inc. , refund
PNC Bank, Savings Account No. 5130346782
The Farmers National Bank, Checking Account
No. 13-77S-2
The Farmers National Bank, Checking Account
No. 16-768-1
12/ 5/94
12/ 7/94 Monumental Life Insurance company, life
insurance proceeds
TOTAL PRINCIPAL RECEIPTS
PRINCIPAL DISBURSEMENTS
11/22/94 Wayne F. Shade, reimbursement for probate
fees
11/30/94 Blue Mountain Anesthesia Associates, P.c.,
medical services
11/30/94 Dow E. Brophy, M.D., medical services
11/30/94 Pease Pharmacy, pharmaceuticals
11/30/94 Cumberland Law Journal, advertise Letters
WAYNIl F. SHADD Testamentary
AlIorDcylllnl
'l W... PanlRl SInd
CIrlbIc, Pamtylvanla
1701l
$ 4,499.25
3,033.23
8,449.93
4,936.81
1. 000.00
$21,919.22
$
67.00
26.71
8.20
33.71
40.00
WAYNn P. SHAOB
A_" Low
53W........,"'_
CarlltIe........,lvonlo
17013
12/27/94
12/27/94
12/27/94
12/27/94
12/27/94
1/10/95
1/10/95
1/11/95
1/20/95
2/ 8/95
3/ 1/95
6/27/95
10/11/95
10/11/95
David C. Baker, M.D., medical expenses
Dow E. Brophy, M.D., medical services
Brockie Medical Supply, medical services
ATS Medical Services, Inc., x-ray and EKG
Register of Wills, estimated Inheritance Tax
less refund of $532.36
Carlisle Hospital, medical services
Eby Granite Works, gravestone engraving
The sentinel, advertise Letters Testamentary
Eggar Funeral Home, funeral bill
David C. Baker, M.D., medical services
David C. Baker, M.D., medical services
Register of Wills, file Inheritance Tax
return
Wayne F. Shade, attorney fees
Register of Wills, reserve for filing Account
and Statement of proposed Distribution
TOTAL PRINCIPAL DISBURSEMENTS
INCOME RECEIPTS
12/ 1/94 PNC Bank, interest on savings Account
No. 5130346782
10/11/95 Farmers Trust company, interest on
certificate of deposit
TOTAL INCOME RECEIPTS
INCOME DISBURSEMENTS
None
TOTAL INCOME DISBURSEMENTS
-2-
72.74
8.20
4.7S
66.15
467.64
101.84
65.00
5S.76
5,178.00
72.74
154.60
15.00
800.00
200.00
$ 7,441.07
$
11. 23
396.11
$
407.34
0.00
WAYNB F. SHAUB
A_" Law
SJW..._",_
c.rlUIo, -.,,,....
17013
RECAPITULATION
PRINCIPAL
Receipts
Less Disbursements
$21,919.22
(7.441.07)
Principal Balance Remaining
$14,478.15
Receipts
INCOME
$
407.34
Less Disbursements
-0-
Income Balance Remaining
407.34
$14,885.49
COMBINED BALANCE REMAINING
-3-
r
......-,.~----~.-..._-~.
WAYHB P. SHADD
A......,... Law
nw........,..._
CUIIaIe, "'-1......
1701'
I, EDGAR H. SALISBURY, Exeoutor of the Estate ot Mary
A. salisbury, Dsoeased, hereby declare under penalty ot perjury
that I have fully and faithfully disoharged the duties of my
office; that the toregoing First and Final Account is true and
oorrect and fully disoloses all signitioant transactions
oocurring during the aocounting psriod; that all known claims
against the Estate have been paid in full; that, to my knowledge,
there are no claims now outstanding against the Estate; and that
all taxes presently due from the Estate have been paid.
Date: October 12, 1995
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IN RE: ESTATE OF
MARY A. SALISBURY,
Deceased, Late of the
Township of Lower Mifflin, :
Cumberland county, Pennsylvania:
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 21-94-997
CERTIFICATION OF NOTICE
I, Wayne F. Shade, Esquire, hereby certify that written
notice of the filing of the First and Final Account and Statement
of proposed Distribution and of the date, time and place of
presentation of the Account for audit has been given at least
twenty (20) days prior to the date fixed for the presentation to
every unpaid claimant who has given written notice of a claim to
the accountant and to every other person known to the accountant
to have or to claim an interest in the Estate as beneficiary,
creditor, heir or next of kin.
The notice stated that any objections to the Account or to
the Statement of Proposed Distribution shall be filed in writing
with the Clerk of the Orphans' Court not later than 9:00 A.M.
(prevailing time) on the Tuesday immediately preceding the date
fixed for the presentation of accounts for audit, otherwise any
objections would be deemed waived.
Notices to persons claiming an interest in the Estate as
beneficiary, heir or next of kin, included a copy of the Account
and of the Statement of Proposed Distribution.
The requirements of RUle 6.3.1.(a) and 6.3.1.(b) have been
met.
Date:
October 20, 1995
WAYNe F. SHAD!!
AtknCy at l.Iw
5l W", PomIrtI ......
c..u.k, .......,.~1l1lo
170ll
pV~~
Wayn F. Shade
Attorney for Accountant
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eOMMOmYllALTUOr PUNNNYI.YANlA
lJItJ1ARTMt!NT 01' RnYI!NIJIl
1HlJ'T.2I0601
llARJUSUURO, PA 17121.U6UI
Ill-JIN-?
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
(JO/~"
....IIlIlAn~~ "1'11I:.\111 AtOmR Il/JII9I ClIy.cK IIt:RF.l--
n: ^ st'Ul!S^1. l'uVI.:Ul'\' CIU:1I1'1' IS CI.AI~U:1I
FILE NUMBER
21
COUNTY CODE
)~.I H ^ (....N.. N"^ J '),.
Salisbury, Mary A.
. ^.)
J ~C'I: J '.NT'SC'U
801 North
Carlisle,
SOClALHI!CUKITY NIJMIIUK
182-22-7056
IMlI!OI'UI!A11I
10/5/94
IJAIIlIIFIIIIUII
9/5/12
,'"lfNIY Cumberland
94
YEIIR
997
NUMBER
^ J J l.\.'i
Hanover Street
PA 17013
US'U sirs ^ 11 t.AST.:1 S"^ U 1111'.11 IIA.' NOI'M.Mic'ltl'l NIMIl! ^ IU NTlt!CHlVI.J1S!U ST L"l'IONS)
x.. I. Orialnal Hmam
_l,SUl'ldtlllrllUIICtlUIII
4, tlml"d 1Jo""
4..rulUlt Illlrt~'al C'llllll"I"llhr
- (fllf 11.1lrl,lf Jrlllh.lh't 12.I1.M1)
7. Urn"dcnl MnilllninrllII I.i\'in, Tlml
- IAll:lch . n'l')' II' TfIld)
x.. 6. 1kctdml tJkd Tt.lIlc
CAl1a(h cory or Will)
J. HrlllAll1l1rrMrtum
- (fur dAlnUr delth prior 1012.1].112)
~,I:edcnlll!slAtc T..
"rlurn "equlrtd
U. II. Tubl Numbtr of Slfe I)rr0l1t !Soan
ALL CORRESPONDEIICC l\ND CONFIDENTIAL TIIX IN
NAMB
Wayne F. Shade, Esquire
ORMIITION SHOULD BE DIRECTED TOI
('IJ~U'l.I!TI! MAII.INII ^lmltl:.'iS
53 West Pomfret Street
carlisle, Pennsylvania 17013
Tlll.W'HONU NIIMIIUK
(717) 243-0220
I, Rul t!aLlle (Schtdule A)
2. Shd.. and !Sonlla (lkhedule It)
3. t..'Ioldy Hrid Slocklr.l1ntuhlp Inlml1 (Scbrdult q
4. Moo,...u and Noltl H<<rlv.hle (Schedule II)
S, c.&h.llank lJrpoth... 4 Mlacdl:an<<1U1 l'rflIIIlAllfflll~ll)' (sdlrJuk I!l
6. JoInUy Ownt'd l'roret1y (~hedulr I~
" Tr.,urrfl (!khrllule 0) (lkhtdule I,)
I, ToLIlOrollAllttl (loUllinC'1 1.7).
9. Puncnllbprnael, Admlnlltr.tlve eO-tAt MI'ttll:aIlC'UUI It'''I~Il\C'1 ISdlC'IIulC' III
Il'. lklm, Mortt:..e L1.hllitlu, Urnl (Scheduk II
11. Twllkductlon. (Iol1llinu 9 4 W)
12. NtI V.lue orl!lblt (line 1 minu.line II).
Il. Olarillble and Oonmmentlllkqur.tl (Scbedul" JI
14. NC'I V.lu" Subj<<110 Tn (line 12 minul line 1;\).
( 1)
( 2)
( 3)
( 4)
( 5)
( 6)
( 7)
( 9)
(10)
l.s, Spoulll TrlUufC'fI (for cblu uf drllth flOrr 6.JIl-WI
8fe Inllluc11oo1 for Aprlicabl" 1'C'r\'rnlll.e llll Itc-vrrle'
Si,lr. (Incl'IJe "alur. (Will fkhtdulr K or Sd'C'IIIII,' M,l
16. Amount 0( line 14 llIi....blC' It t\'X 'Ill' .
( 15)
( 16)
(Include "aluea hum &-hC't1uIC' K UI Sdl~llllk toll
11. Amounl of lint 14 tllllble It U'J flit'. ( 17)
(Include vllue. (,ollllkhrJule K VI !khtduk toll
II. PrincipII tal &I~ (Add tu from line U. 16 Ind 111 .
19. Crcdlll Spooull"ovtrly Cndit 1',lor l'a)'llltnt. IJb~.tltllll Inltlt\l
.0. ... l.tlIKl.lICI ... 1~.ql
20, I( line 19 " ,'C'lter Ih.n lint III, tnltt dK' &lirrutn",,, tllllillo.' 211. '1111. l'llit I I\'EH I'" \',\IE.'i'l'.
A. X elll"C" bC're It )'uu Ire fnlUl'lIllll1l . rrfund ur )ullr II'UIIII) nu'nl
21. I( line Ill, ,,'tIler than line 19. C'lller dlC' &lirrC't~lIrr tI" lint 21. 'nli. i, tli~' TAX IIl!I':.
A. 1!Il1C'1 dll~ InltlUI till llit hnl"nrt dllt UIl linC' 11^ .
U. .!Iller dlt lul.1ll1f IinC' 21l1nd 1.^ tll:llinr 111I, 1I1i. i. llw IIAI.i\:\:n: Illll:
~Id"t' Clu'ck l'i1l"hh' hll Ht,:ldrr ur Will., ,\a:l'lll
None
None
None
None
9.436.06
5.741..2.2-
None
( 8)
6.423.76
549.67
(11)
(12)
(13)
(14)
"-
8.204.22
.. .Ilti.
15.177.65
6.973.43
8.204.22
0.00
8.204.22
492.25
492.25
1.025.91
533.66
...u.
(18)
(19)
(20)
(21)
(21A)
(216)
ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK HATH
uvr ruminell i. Irlu",. imhhlill~ u~'n~"p.L1llilll! ...lIl"Iluk_ IIllll 'l:lkl1lmh. 1I1llllulhr 11I"l 01 my """wltll,,, and brllC'r, ill_ tNe, (unC'rl and
htC'Il II' IUIII' InlC' IIlAlkC't "Ilut. Ih".'blnlhll:' ull'lrl';II"'loUn'l than Ull'I"'I"~I:lllrrn'.r1l1alivr I. h:atC'tllltl .l1lnlonllaliun nrwhkh rrC'I",tr hAl
AIJllIm"iS
219 W. Yellow Breeches Rd., Carlisle, PA 17013
I>m 6/;J7/9..5'
53 W. Pomfret St., Carlisle, PA 17013
Act #48 ot 1994 provides tor the reduction ot the tax rates imposed on the net
value ot transters to or tor the use ot the spouse. The rates as prescribed by
the statute will be:
. 3% (.03) will be applicable tor estates of decedents dying on or atter 7/1/94
and bet ore 1/1/96
. 2% (.02) will be applicable tor estates of decedents dying on or atter 1/1/96
and betore 1/1/97
. 1% (.01) will be applicable for estates ot decedents dying on or after 1/1/97
and betore 1/1/98
. Spousal transfers occurring on or atter 1/1/98 will be exempt trom
inheritance tax
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN X IN THE APPROPRIATE
SPACES.
YES NO
1. Did decedent make a tranefer and.
a. retain the uee or income of the property traneferred, X
b. retain the right to designate who shall use the property transferred
or its income, X
c. retain a reversionary interest, or. X
d. recsive the promise for life of either paymente, benefits or care? X
2. If death occurred on or before December 12, 19B2, did decedent within two
years preceding death transfer property without receiving adequate
consideration? If death occurred after December 12, 19B2, did decedent
transfer property within one year of death without receiving adequate
consideration? X
3. Did decedent own an 'in trust for' bank account at his or her death? X
IF THE ANSWER TO ANY OF THE ABOVE QUE~ONS. IS ~,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS f.A:t~T (jF 'qmiRETURN.
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COMMOKWllAlTII OF rllNNSYL VANIA
INItDltrrANCU TAX RIITIIRN
RMItII!llT 11IlCUIJIlNT
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
BSTIITE OF
Mary A. Sallsbury
FILE NUMBER
21-94-997
CAli nftlrltrtY NMnIIY uwntd With H._hi of SUrvlyor.hln mUll'" ,h'fkKtil'.1 lKhrillllr -"-1
IT!M
NUMB! DBSCRIPTION
VALUE liT DATE
01" DBIITH
1. Home, Inc., re un
4,499.25
2. The Farmers National Bank, Checking Account No. 16-768-1
4,936.81
TOTAL (1I1so snter on lIne 5. RecnpItulatIon)
9,436.06
mu." 'rlte' I' nrrl r 11\14"11 II lllIN' Itrh ,) lalllC' till'
.,
,.~;
THE FARMERS NATIONAL BANK
OF NEWVilLE
Newville, Pennsylvania 17241
,
,
I
i
Wayne Wood, Pres/lknt
Carolyn H. Kough,Rue. Vlee President
1ames B. ShowvaJccr, Cashier
Douglas R. Lindsay, Am. Cashier
December 5, 1994
Mr. Wayne F. Shade, Esquire
53 West Pomfret Street
Carlisle, PA 17013
i:'
i.
Dear Mr. Shade:
Enclosed is our Cashier's Check 056322 in the amount of $13,386.74
payable to the estate of Mary A. Salisbury and represents the balance of
$8,449.93 in checking account 013-778-2 and $4,936.81 in checking account
016-768-1.
Very truly yours,
~:!H
r.
I,
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COMMO/<WnALTIIOP PnNNSYLVANIA
INllnRITANCll TAX RlrTIJRN
IU!.llIlHl.NT lJItcnUnNT
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTIITE OF
Hary II. Salisbury
FILE NUMBER
21-94-997
Joint tenant (e) .
~
IIDDRESS
9 Pipeline Road
Newville, PII 17241
Daughter
II. Mary L. Garman
B.
C.
Jointly-owned property.
LETTEI
ITEM FOR DIITE
NUHBEI JOINT MIIDE DESCRIPTION OF PROPERTY TOTIIL VIILUE DECD'S DOLLIIR VIILUE OF
TENIIN" JOINT OF IISSET , INT. DECEDENT'S INTEREST
1. A 61UII4 ~e Farmers Natlonal
Bank, Checking Accoun
No. 13-778-2 8,449.93 50% 4,224.97
2. A 6/14 PNC Bank, Savings
Account No.
5130346782 3,033.23 50% 1,516.62
TOTAL (1I1so enter on 1i e G, Recapi ulation) 5,741.59
-
~' .
~'i";t'-,;{J~,""'to[.'_U'-~ -- -'_-_'_'_'""~_"'_'rl"'7_".h_"'''F''.
,
,rl~-"'-'"7:~.c">"-_ _."'^'--""
.lr' ..;~.
~_. ~",...-
,06-20,'I99S 131~O
P. 0 I
THE FARMERS NATIONAL BANK
OF NEWVILLE
NcwvlUc. PCIUIsylvanla 17241
Wayno Wood, Pmldenl
Carolyn H. KouSh, Exlre. Vie, Presld4111
Jamea B. Showvakt.r, Cullllr
Douglas It. UndJay, A.m. Caslrlrr
June 20, 1995
Hr. Wayne r. Shade
S3 Wllat Pomfret Street
Carliale, PA 17013
BY tAX 249-0017
Dear Hr. Shade:
Hra. Hary A. Salishury had a joint oheokinR account '16-760-1 vith
Hary L. Carman whioh vsa opened June 15, 1984.
Sincerely yours,
~~.aI_~L
Carolyn H. Kough ..--~-
,:':'l
I
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" ~ ..'~ ,'...._.:.._7, '''-. ~."(L:--,-.:_'11;;:,J..'>,~ .e;,.".,,,__'~'. .'" ;" - <..
PNC nank, N,A,
4242 Qull.I,' l'lkr
C.'nlP IIIII,I'A 17011
-!
,
i
December 2, 1994
PNClrnANK.
Wayne F. Shade
Attorney At Law
5 South Hanover Street
Carlisle PA. 17013
REI Mary A. Salisbury
Date of Death. October 5, 1994
Social Security No. 182-22-7056
Dear Mr. Shade.
As per your request for information on accounts the above
referenced decedent held with us, the information is as follows.
-Savings Account No. 5130346782 opened 06/12184 in the name of Mary
A. Salisbury, Mary S. Garman. Balance at date of death. $3033.23.
Accrued interest. $.19.
If I can be of any further assistance, please do not hesitate to
contact me at (717) 730-2321.
Sincerely,
~ Yt:VlA-~
Edith Tancll
Miscellaneous Services Supervisor
Bank Operations
ET/mky
,.
...'..ott"--:-,,,'.:q.,'....i_;'-"."-'.,....-..vH..-.."-. ...._ .~., u"
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RIlY,ISIIIlX+ (7.11)
COMMO/IWllAl TIt OP PnNNSYl V A"IA
INHnRIT^NCn TAX RIITIJRN
RUSIUUNT uncW)l!NT
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
'/i
Mary II, Saliebury
FILE NUMBER
21-94-997
ESTATE OF
"
.
'I:
DESCRIPTION
MOUNT
..
\.~
unera Bxpense..
1. Eggsr Funeral Home, funeral bill
2. Eby Granite Works, gravestone engraving
5,178.00
65.00
B. Adminiltrative COlt11
1. Pereonal Repreeentative Commieeione
social Security Number of Personal Repreeentative,
Year Commissione paid
2. IIttorney Fees - Wayne F. Shade, Esquire
800.00
3.
Family Exemption
Claimant
Address of Claimant
street IIddress
City
Relationship
at decedsnt's death
State
Zip Code
4. Probate Feee
67.00
c. Hi.cellaneaua Expense..
1. Cumberland Law Journal, advertise Letters
Testamentary
2. The sentinel, advertise Letters Testamentary
3. Register of Wills, filing Inheritance Tax return
4. Register of Wills, reserve for filing Account, etc.
40.00
58.76
15.00
200.00
,
TOTAL (1I1so enter on line 9, Recapitulation)
6,423.76
;,
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COMMOKWllAlTH Of P1!NN5YI.VANIA
. INRnRITANcn TAX RJlT\JRN
RBSIUI!I'IT Ilncnof.NT
ESTIITI!: OF
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LXABILITXES AND LIENS
Mary A. Salisbury
FILE NUMBER
21-94-997
1.
NUMBER DESCRIPTION
2.
3.
4.
5.
6.
7.
8.
9.
10.
.,;-.:';:,.-
Dow E. Brophy, M.D., unreimbursed medical expenses
Pease Pharmacy, unreimbursed pharmaceuticals
David C. Baker, M.D., unreimbursed medical expenses
Dow E. Brophy, M.D., unreimbursed medical expenses
Brockie Medical Supply, unreimbursed medical expenses
ATS Medical services, Inc., unreimbursed medical expenses
carlisle Hospital, unreimbursed medical expenses
David C. Baker, M.D., unreimbursed medical expenses
David C. Baker, M.D., unreimbursed medical expenses
TOTAL (1I1so entsr on line 10, Recapitulation)
t 1II1l1e' 'rA~C " "I'C' (I ml"11'1 \ 11Mla . l('rl_ u Illllllt 111l'l
IIMOUNT
26.71
8.20
33.71
72.74
8.20
4.78
66.15
101. 84
72.74
154.60
549.67
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RDV,llIl 1lX+ (].I7l
COMMm/WllAl.TH 01' r!lNN'YI.vANIA
. INIIIlRITANl11TAX RIITIlRN
Itr.."IIIJllNT UltCl!.lJI!NT
SCHEDULE J
BENEFICIARIES
ESTIITE OF
Mary A. saliBbury
FILE NUMBER
21-94-997
NIIME AND IIDDREBS OF BENEFICIIIRY
RELIITIONSHIP
o
SHIIRE OF
1.
II. Taxa B BequeBtB'
Edgar H. SaliSbury
219 West Yellow Breeches Road
Carlisle, PA 17013
Mary Louise Garman
9 Pipeline Road
Newville, PA 17241
Stella Baker
102 Regency Woods North
carlisle, PA 17013
Son
1/3 of estate
2.
Daughter
1/3 of estate
3.
Daughter
1/3 of estate
ITEM
NUMBE NIIME AND ADDRESS OF BENEFICIIIRY
IIMOUNT OR
SHIIRE OF ESTIITE
O.
GovernmBnta OBqueBtB'
TOTAL CHIIRITIIBLE IIND GOVERNHENTIIL BEQUESTS (AI."",,, ,..lint 1,1, R"'I,I',,"'i..,)
( Illort' 'raCI' 'I n<< tl IIltl1 II Illlllla . ItC'I' II HlIlt 11'1')
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LAST WILL AND TESTAl1ENT
I, MARY.A, SAL1SBUP.Y, 'of the Township of Lower lfifflirr\ County
of Cumberlsnd, Commonwealth of Pennsylvanie, being of sound and
for.cy Last Will and Testament,
f~rmilr,_~i~1s and' c~dicii's 'by !D~ at, any time
publish
hereby.
and
disposing mind, memory and understanding, do make,
declare this a~ and
and ~~king void'a11
x:el1oking
"
heretofore made,'
~, 1 order and direct that all my just debts and funeral
expenses be paid by my Executor or Executrix, as the case may be,
hereinsfter named, as soon as conveniently may be done after my
decease.
SECOND, 1 give and bequeath my cherry dining room table unto
my daughter, tUlRY LOUISE GAluUU~, absolutely and in fee ,simple,
. ." .'
~, 1 give and bequeath the firearms which belonged to my
unto my eon, EDGAR II, SALISBURY, absolutely and in fee
"
"
I
simple.
, FilURTlI', '1 give
,
.1' . .' ," of I .: , '..
~nd bequea'th my dining room table unto'my
, , ,
deughter, STELLA'BAKEP., ~be~ltite1y a~d in fee'simp1e.
~, 1 order and direct that my personal representative
dietribute from amorg my persone1 property euch items ae my
daughters, lfARY LOUISE GARMAN and STELLA BAKER, may desire,
absolutely and in fee simple, with said total distribution to be
"
as equal as
S,IXTII,
personal and
possible.
,
~ll'the rest, reeidue end remainder of my Estate, real
mixed~ whatsoever and wheresoever situata, 1 give,
devise and bequeath unto my children, COGAR II, SALISBURY, HARY
LOUISE GARMAN ~nd STELLA, BAKER, ebsolutely and in fee s~mp1e, in
. . . . .
equal shares, share and ehare alike. If either of 'my said
, "
children should fail' to survive me, then and in that event, 1 give,
devise and bequeath the share \Ihich said child would have received
had he or she ourvived me unto his or her issue, per stirpes,
w.,... F.IN""
.t....tr.ILa..
1.....IIue9... ....t
CuU...."...,I'....."U
"
~~
!,
LASTLY, I nominate, constitute and appoint my son, EDGAR H.
SALISBURY, to ba tha Executor of this my Last Will and Testament,
but if, for any,reason, he should fail to quaiify es such Executor
. .
~l
t,.
,
~.,
'If
~h;
or cease so to serve, ,then and in that avent, I nominate, constitut
a~d appoint my d,ughter, }~Y LOUISE GAm.UlN, to be the Executrix
hareof, each to serva without bond.
IN WITNESS WHEREOF, I,MARY A. SALISBURY, have hereunto set my
hand snd aea1 to this, my Last Will snd Testament which consists of
two (2) typewritten pages to aach of which I have affixed my signa-
ture this.:zt:~ay ,of /~ A.D., One Thousand Nine ~undred
Seventy-nine (1979)"
"1
I'
,
'.
l{.'
~,r:
,~
t':
,~
~L
.
...
I
, '7!;t/~, JAL.~.,~(
" The prec~ding instrument, consisting of thiS snd ona (1) other
tyPliwri'ttan page, ,aach identified by tha signature of tha Testatrix
..
I
(SEAL)
\
~
t'.\
...
.~~'
.1
"o..
wss on tha dats thareof signed, saaled, published and declared by
I-~Y A. SALISBURY, ths Testatrix therein named, as for har Last
Will and Taatament, in the presence of us, who, at her request, in
har presence, and in the presence of each other, have subscribed
our names,as ~itnesses hereto,
~,
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. ,I
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.......,..&...
. ........... '.Mt
CIdldI. .....,.......'.1'
- 2 -
- ,
V
REV-1547 EX AFP 112-94*
COMMONWEALTH OF PENNSYLVANIA
DEPARTHfNl Of' REVENUE
BUREAU OF INDIVIDUAL lA.ES
DEPt. 210601
tlARRIllURD, PA 11"1.0601
/ '1~()'<lq-S'
( ,
-
ACN 101
NOTICE Of INHERITANCE TA~
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
Of DEDUCTIONS AND ASSESSHENT Of TA~
DATE 10-02-95
o FILE NO.
DATE OF DEATH 10-D5-94 COUNTY CUMBERLAND
NOTE I TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION Of THIS fORH WITH YOUR TA~
PAYNENT TO THE REGISTER Of WILLS. NAKE CHECK PAYABLE TO "REGISTER Of WIllS. AGENT"
REMIT PAYMENT TO:
WAYNE F SHADE ESa
53 W POMFRET ST
CARLISLE PA 17013
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
I
,
I
AMount R...1ttad
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ....
'REv:iii4-j-Eicn"iijo."iiz:ijiij-iliificEuoiluiNHERiTAifcl1-YAx-APPRAisEilEilr;-"i.i."oiiANcl1"iilim__mmmn-
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF SALISBURY MARY A FILE NO. 21 94-0997 ACN 101 DATE 10-02-95
TA~ RETURN WAS I I X) ACCEPTED AS fILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN
1. Rial Eltat. ISch.dul. A) (1)
2. Stock. and Bondi .Schedul. 8) (2)
3. Clo..l~ Held stock/Partnerahip Int.r..t (Schedul. C) IS)
4. Hartglg,./Not.. Receiyabl. .Schedule DI (4)
5. C..h/Bank D,polltl'"ho. P...lon.l Property {Schedule EJ (5)
6. Jolntl~ Owned Property (Schedull fJ (6)
7. Tranlfl,.1 .Schedull OJ (7)
a. Total A...t.
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. funa..al EMPen.../AdM. Coat./Hi.c. EMPen.e. ISchedule H)
10. Oabte/"ortgaga Liabiliti.a/Lien. CSchadul. Il
11. Tot.l Deduct ion.
12. N.t Value of TaM R.turn
15. Ch.rit.bl./Oovarnnantal aequa.t. CSchadula JJ
14. N.t Valua of E.t.t. Subj.ct to TaM
(9)
UO)
If an ......ment wa. i..ued previou.1y, line.
reflect figuree thet include the tote1 of Abh
ASSESSMENT OF TAXI
15. AMount of Lina 14 .t Spouaal
16. AMount of Lin. 14 taMable at
17. A.ount of Line 14 t.M.bl. .t
18. Principal TaM Ou.
TAX CREDITS I
PAYHENT
DATE
12-27-94
NOTE:
r.t.
Lina.I/CI... A rat.
Coll.t.ra1/Cl... 8 r.t.
(5)
Il&l
1l7l
RECEIPT
NUNBER
AA02263B
DISCOUNT
INTEREST
1+ I
I-I
24,61
) CHANGED
,00
,00
.00
.00
9.436.06
5.741.59
.00
IBI
15,177 ,65
6,423.76
549,67
1111
(12)
IUI
114)
14/ 15 and/or 16, 17 end 18 will
return. a..e..ed to dete.
6,97:1 4:1
B,204,2Z
,00
B,Z04,22
r
I
I
I
.00 ~ .03.
B.204,22 M ,06.
,00 ~ ,15.
lIB)
.00
492,25
,00
49Z.25
AHOUNT PAID
1.000.00
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
1,024.61
532.36CR
.00
532.36CR
. .
. If PAID AFTER OATE INDICATED. SEE REVERSE
fOR CALCULATION Of AODITIDNAL INTEREST.
If TOTAL DUE IS LESS THAN .1, NO PAYHENT IS REQUIRED,
If TOTAL DUE IS ReflECTED AS A "CREDIT" ICRI. YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE Of THIS fDRN fOR INSTRUCTIONS.)
(")n ~ :JJ
c: iF :TIn\
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'-' .
fi3
-t
I
-- ~
.
i": '0
W 'I'
:-0'- fl.
)'~.: ,*..J
-.J
RESERVATJON. Elta'.. of decedent. dying on or bafar. OlcI.b.r 12, 1"2 .- If ~~ lutur. Intar.., In t~ I,'at. 1. 'ran.fltted
In po.....lon or ,"Jav.,nt to el... . (col1",..,11 blnaflel,r'" of thl dlcaden' 1ft... thl ..plra'lon of any ,,'at. for
11'. or for y..t., thl Co..onw..lth hat.bv ..pr..'IY r...tv.. thl right to .ppt.I.1 and .1.... tranl,.r I~rltanc' T....
at thl l",'ul Cl.., . foothttrlll) nh on anv .uch future Int.,...t.
PURPOSE OF
HOlleEI To fulfill the nqulnunh of Slatlon ZIU of the InhtlrltMCI end Elt", T.. Act, Act Z2 of 1991. 7Z P.S.
S"Uon 2140.
PAVtEHTt Detach ttt. top portion of thl. Notlcl Met IUbllt with VDUr pav.ent to the RIga"ar of MUll prlntld on the nv."" ,Ide.
""aka check ar 10M)' order Plvabl, tal REGISTER OF MILLS, ADENT
All pIYlent. r.c.lv.d th.ll flr.t b. "plled to ~v Int.r..t which ..y b. due with any r..elnd.r .ppllld to the t'M,
REFUND (CA)I A r.fund of I tlM cr.dlt, which we. not rlque.tld on the TIM Alturn, "V b. r.que.t.d bv cOIPI.tlng In -Appllc.tlon
for A.fund of P.nn.vlvanl. Inherltancl and E.t.t. T'M- eREY-15IS). Appllc.tlon. .r. IVllllbl. .t the a'flcl
of the Regl.t.r of Will., any of the 25 R.v.nue olttrlct Offlc.., or by c.lllng th. .p.ol.1 24-hour
an.werlng ..rvlc. nu.b.r. for for.. ord.rlngl In Plnn.vlvanll 1-8DD.162-ZDSO, out.ld. Penn.ylvlnl' and
within 10c.1 H.rrl.burg .r.. (7171 787-ID94, TDDI (7171 77Z.ZZS2 (Hlarlna 1.,.lr~ Only).
OBJECTlaNSI Anv p.rty In Int.r..t not ..tl.fled with thl appr.lll.ant, .llowanc. or dl..llowancl of deduction., or ......eant
of t.x (Inoludlng dl.count or Int.r..t) II .hown on thl. Hotle. .u.t ObJlct within .Ixtv (6D) day. of r.c.lpt 0'
thlt Halle. bVI
.-wrlttln protllt to the PA Olp.rt.lnt of Rlvlnul, laird of App..lt, alpt. ZlUZl, H.rrlsburg, PA 171Z1-lOZI, OR
--.I.ctlon to h.v. thl a.ttlr d.t.ralnld It audit of thl ICCount of thl Plr.on.. rlpr..entltlv., OR
--.,pe.1 to the arphant' Court.
AD.nN
ISTAATJVE
CDAMCTlONSI
IHTERfSTI
F.otu.1 Irror. dl,covlrld on thl. ........nt .hould b. .ddr....d In writing tal PA D.p.rt.ent of A.v.nu.,
aur.au of Indlvldu.1 T'IlI', AfTNI po.t A.......nt hvl.w Unit, Dlpt. ZlD6D1, tl.rrltburg, PA 17128'060)
Phone (717) 717.6505, ,.. p.g. 3 of the bookl.t MJn.tructlon. for Jnh.rltsne. T.. R.turn for I A.tld.nt
a.c.dent" eREY.)SO)) for an IMplan.tlon of .delnlttr.tlv'lv corrlctabl. .rrort.
I' anv taM due I. p.ld within thrl' (1) c.llnd.r lonth. .ft.r the dle.dant'. d..th, . 'IvI p.relnt (S~) dl.count of
the t.M Plld I. Illow.d.
Int.r..t I. ehlr..d b.. Inning with flr.t dlv of d.llnqulncv, or nl~ (9) aontht and on. e)) d.v fro. thl dlt. of
d,.th, to the d.t. of plV'lnt. "u. which ble... d.lInquent b.forl JanutrV ), 19IZ b..r Intan.t .t the ra't 0'
.111 e,X) p.relnt p.r ennui c.lcul.t.d It . dlllv rlt. of .000)64. All t.... which b.e... d.llnquant on and .,t.r
Janu.ry ), )9'Z will b..r Int.r..t at . r.t. which will v.rv fro. c.l.nd.r v..r to c.l.nd.r va.r with thlt r.t.
announced by thl PA D.parta.nt of R.v.nut. ThI .ppllcabll Int.rut tltu for 1982 through 1995 ''''
DIICOUHTl
~ Inter.. t Aat. a.l1y Interltt Flctor V..r Int.r..t A.te Dally Intl"lt Flctor
)9IZ 'OX ,ooas.,. 19'7 9~ .000l""
1.13 \6~ ,000411 191'.1991 1U .GOOSGl
)914 11:C ,COGSOl 199Z 9~ .000247
1.15 U~ .OOGS56 1995.199" 7~ .GOOI9Z
191' lOX .00nl4 1995 " .GOOZ47
ulnt.rllt It cIlcul.t.d .. followlI
INTEREST . BALANCE OF TAX UNPAID X NUnBER OF DAYB DELINQUENT X OAILY INTEREST FACTOR
uAny Notlc. I..utd .fter the ta. b.co... delinquent will r.flect an Int.r..t c.lcul.tlon to ,lft.en US) d..,.
bevond thl d.t. 0' thl ........nt. If p.V-.nt I. aad. .ft.r the Int.r..t co.,utltlo" d.t. .hown on the
Notlca, .ddltlon.1 Int.rut ""It b. ctlcul.t.d.
J
1'1. J'I (/-- .f"
0uk
REV-1607 EX AFP (12-95)*
CCIIItDIMALTH Dr PEHNSYLVAHIA
IEPAA1lENT Of A[V(NU!
ItItEAU Of INDIVIDUAL TAXIS
DOlT. 110'01
HARAIIIURO, Pi 171,'-0'01
ACN 101
INHERITANCE TAX
STATEMENT OF ACCOUNT
DATI! 03-25-96
SALISBURY MARY A FILl! NO. 21 94-0997
DATI! OF DEATH 10-05-94 COUNTY CUMBERLAND
HOTE, TO INSURE PROPER CREDIT TO YOUR ACCClUIfT. SUIl/lIT THE UPPER PORTION OF THIS FD,," WITH YOUR TAX
PAYltENT TO THE ADDRESS SHOWN. tlAXE CHECK PAYAIIlE AIlD REMIT PAYHENT TO, ,
WAYNE F SHADE ESQ
53 W POMFRET ST
CARLISLE PA 17013
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
_t R_ltt..t
CUT ALONQ THIS LINE .. RETAIN LOIII!R PORTION FOR YOUR FILES ~
ii'ili:iliii'i-iX"APji-nF9iii--m-ii.ii-fNifiiiiTAiicrfAX"Sl'A"iiiii-rif-O"-AC-Couifiuii.ii---------------m---
!STATI! OF SALISBURY MARY A FILl! NO. 21 94-0997 ACN 101
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NANED
ESTATE. SHOWN BELOW IS A SUI1I1ARY OF THE PRINCIPAL TAX DUE, APPLICATION OF All PAYltENTS.
THE CURRENT BALANCE. AND. IF APPLICABLE. A P~ECTED INTEREST FIGURE.
DATI! 03-25-96
DATE OF LAST ASSESSMENT OR RECDRD ADJUSTMENT, 09-25-95
PRINCIPAL TAX DUE I. 492.25
PAYMENTS (TAX CREDITS),
PAYMENT
DATE
12-27-94
03-07-96
RECEIPT
NUMBER
AA02263B
REFUND
DISCOUNT (+)
INTEREST (-)
24.61
.00
AMOUNT PAID
1,000.00
532.36-
. IF PAID AFTER TNIS DATE. SEE REVERSE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
I IF TOTAL DUE IS lESS TRAN .1.
HO PAYHENT IS REquIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI.
YDU HAY BE OUE A REFUND. SEE REVERSE SIDE OF THIS FO,," FOR INSTRUCTIONS. I
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
492.25
.00
.00
.00
Li~..-'".
~.
~
u,
, '~
f' ~ ,~-
"-
!.
~
H)
PAvttDfT.
Dreboh tho top portion of thl. NatlN .. ......It with your ~t .. "'-1. to tho ,... ... .wr...
printed on tho ~r" .Ido.
._ If RDIDOfT DECEIlOfT ..... check or IIOM_ orllllr pQMII. tal REGISTER Of WILLS, AGENT,
__ If HO.t-II!lIDEHT IlI!CEIIOlT _. _.. __v ....... _I. t.. ~EALTH 0' rENHSYLVAHIA.
AU ~t. rHIII..,. ....U .. .,UMI flr.t to MY Int.~ot whloh ~ .. duo wIth orw r_Indor ...,11ed to tho ta,
,I
REfUGJ CCA)I A r.hnt of . ta orodlt, which .... not r....tod an tho Tu A.tum, _y bo r.....tM bY c....l.tlr'll .,
"AppUClltlon for A.fund of P.....avl.,.,l. InhorJtWlOO ond E.tat. Ta- (A!V"15IJ). AltPJlClltlon. .r. IV8iUlIbl. .t
tho Office of tho A..I.t.r of WUh, ___ of tho U A.nnuo DhtrJot Office. or frOll tho Dep.rt~t.. '''.hour
......rlng ..rvlc. nuIIbor. for fol"'OI orllllrlngl In Pemrylvonl. 1-IOI-J61"Iar.I, ouhldo ,.,...rylvonl.
.... within IORI "rrhbur. .r.. (717) 717-1094, TDD' (717) n'-ull (....r1ng 1...lrod onlr).
DllCOUHTl
Quo.tlon. r...rdlng .rron canblnod on this noUn should be Met,...HId tal PA DopIIrt..-.t of A."..., lur...
of Incl1vlduol Ta... AnIIl po.t A......."t Aevl... Ikllt, Dept. I116DI, He"""bur., PA 1711:1-0611. phone
(17) 717-6505.
If MY tu ... I. paid wIthin thr.. c:n c.l"r IIOnth. aft.r the ~t.. ..tn, . flYO percent (n) dlHOWlt
of tho tu: ..Id J. .Uowed.
AfPLY TDI
IIlTtIIDT.
Int.r..t I. chIIrged boQIMlng with first MY of doUnquenoy. or nine (,) ~th. .... OM C1> day frM tho _to of
..th, to tho _to of p.~t. T.... which bee.. dlllI".,..t bofor. JIIf1uary 1. I'll boor Inbr..t .t tho rata .f
.he CU) peroont par ....u. calcul.tod at a ally rat..f .DlOlM. AU talC.. which bao-. delinquent an and an.r
January I. 1911 .,111 boor Int.r..t .t . rot. which will yory frOll calondor YNr to catender y..r wUh thot r.t.
announcod by tho PA Dap.rtaont of R.venue. Tho appllcabla Int.r..t r.t.. far I'll thrOUlh I'" .r'l
Voo. Inter..t Aat. DoilY Int.r..t FlGto~ Voo. Intar..t AIIt. Deily Inter..t Faator
1'" .ax .DlDS41 1917 ,. .aaOn7
1113 10' .DlD4S1 .,....1"1 II. .00UIl
1.14 II. .00.SOl I'" .. .001147
1'1. ISle ..00556 1"5-1"" 7Z .0.1192
I'" 10. ....174 InS-I'" .. .DOIl47
....Int.r..t I. c.lcul.tod a. follo.'l
llITEIIEIIT . I'LAMCB OF TA.'l UltPAID X HUKlER OF DAYI DBLI"QUENT X OAILY llITEIIEIIT FACTOR
--Anw NoUN ItIUOd after the tu bee.... dol1".,..,t wUI refl_t ., 1nt",..\ ca1oullUon to flft... UI) dQa
boyond tho dIIt. of tho .....__t. If ~t .. ... eftar tho 1nt.....t .....hUon ct.t. ...." on 1M
Notloo, .adltl.".1 Int.r..t au.t be caloulatod.
I
c..
.
.
IN REI ESTATE OF
MARY A. SALISBURY,
Deceassd, Late of the I
Township of Lower Mifflin, :
Cumberland county, Pennsylvania:
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 21-94-997
STATUS REPORT UNDER RULE 6.12
Name of Decedent: Mary A. Salisbury
Date of Death: October 5, 1994
Roll 4, Batch 372
Admin. No. 21-94-997
Pursuant to Rule 6.12 of the supreme Court Orphans' Court
RUles, I report the following with respect to completion of the
administration of the above-captioned Estate:
1. State whether administration of the Estate is
complete:
Yes.lL- No
2. If the answer is No, state when the personal
representative reasonably believes that the
administration will be complete:
3. If the answer to No.1 is Yes, state the
following:
(a) Did the personal representative file a final
account with the Court? Yes X No
(b) The separate Orphans' Court No. (if any) for
the personal representative's account is:
(c) Did the personal representative state an
account informally to the parties in interest?
Yes No
(d) rC~pie~)of receipts, releases, joinders and
appr~~~-6f formal or informal accounts may be
filed with the Clerk of the Orphans' Court and may
be attached to this report.
Date: November 12, 1995
W~~s~~uire
53 West Pomfret Street
Carlisle, Pennsylvania 17013
Telephone: 717-243-0220
Counsel for personal
representative
y. ~,,~>,-t'''''''',~,~'-4~-''''''''~ "<",~,,,~",,,,,~",,,,'i'. ,. ".-..~. ,.,- ,..,,~-:..~ '
-- ":T.'~"';',_::,:-;.;::.:I~'
,
.
,
}:'
','.
';L\ -~<~'4_-~-"-"~-'~-~' ';"~T.1<~_-":~'_' ~<<-'-.~: ,', -~.. :~-/\~ "_~'_~~:~:--J~:i~'~~;:~;-_~_,~~~:~P:
IN RE: ESTATE OF
MARY A. SALISBURY,
Deceased, Late of the
Township of Lower Mifflin, :
Cumberland County, Pennsylvania:
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 21-94-997
RELEASE
KNOW ALL MEN BY THESE PRESENTS, That I, EDGAR H. SALISBURY,
of 219 West Yellow Breeches Road, Carlisle, Pennsylvania 17013,
being one of the heirs of Mary A. Salisbury, Deceased, late of
the Township of Lower Mifflin, Cumberland County, Pennsylvania,
do hereby acknowledge that I have this date had and received of
and from Edgar H. Salisbury, Executor of the Estate of the said
Mary A. salisbury, the sum of $4,840.63 in full satisfaction of
payment of all such sum or sums of money, legacies, bequests,
intestate shares and family exemptions to which I am entitled by
will or as an heir-at-law and to which I am entitled from the
Estate of said Decedent.
NOW, THEREFORE, I do hereby remise, release, quitclaim and
forever discharge the said Edgar H. salisbury, Executor of said
Estate, his heirs, executors, administrators and assigns, of and
from the said legacy or legacies and other shares in said Estate
and of and from all actions, suits, payments, accounts,
reckonings, claims and demands whatsoever, for and by reason
thereof, or of any other act, matter, cause or thing whatsoever,
from the beginning of the world to the date of these presents.
IN WITNESS WHER~OF, I have hereunto set my hand and seal,
this ~ day of IJ(~_ _ ~ , 1995.
WITNESS:
~7~~
(SEAL)
COMMONWEALTH OF PENNSYLVANIA )
) SS:
COUNTY OF CUMBERLAND )
On this, the 1.0::1' day of ~ , 1995, before me,
the undersigned officer, personally appeared EDGAR H. SALISBURY,
known to me (or satiSfactorily proven) to be the person whose
name is subscribed to the within instrument and acknowledged that
he executed the same for the purposes therein contained.
WAYNn F. SHAUl!
AUomc)' II Law
'3 Well Pm1Ird Stmt
Carlltk, 1'mm,Innla
17013
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
Notarial Seal
Connl. J, Trill. Notary Public
Carll.I., Cumberland County
My Commllllon E'plrn Oct, 5, 19'6
C>--~9~
Notary Public
WAYNn F. SI/ADn
Auomey at lAw
53 Weat Pamfrtt Strtd
CuU.~. Pawytvanil
17013
IN RE: ESTATE OF
MARY A. SALISBURY,
Deceased, Late of the
Township of Lower Mifflin, :
Cumberland county, Pennsylvania:
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 21-94-997
RELEASE
..
KNOW ALL MEN BY THESE PRESENTS, That I, MARY L. GARMAN, of 9
Pipeline Road, Newville, Pennsylvania 17241, being one of the
heirs of Mary A. Salisbury, Deceased, late of the Township of
Lower Mifflin, Cumberland County, Pennsylvania, do hereby
acknowledge that I have this date had and received of and from
Edgar H. Salisbury, Executor of the Estate of the said Mary A.
Salisbury, the sum of $4,840.63 in full satisfaction of payment
of all such sum or sums of money, legacies, bequests, intestate
shares and family exemptions to which I am entitled by will or as
an heir-at-law and to which I am entitled from the Estate of said
Decedent.
NOW, THEREFORE, I do hereby remise, release, quitclaim and
forever discharge the said Edgar H. Salisbury, Executor of said
Estate, his heirs, executors, administrators and assigns, of and
from the said legacy or legacies and other shares in said Estate
and of and from all actions, suits, payments, accounts,
reckonings, claims and demands whatsoever, for and by reason
thereof, or of any other act, matter, cause or thing whatsoever,
from the beginning of the world to the date of these presents.
IN WITNESS WHEREOF, I have hereunto set my hand and seal,
this $ar::i day of~ , 1995.
WITNESS:
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C4/" ,,- 09, 4'~
'7n ~ ~r:1fCUvn,;,,_ (SEAL)
Mary L. rman '---
COMMONWEALTH OF PENNSYLVANIA )
) SS:
COUNTY OF CUMBERLAND )
On this, the ~,,-z;.t, day of ~ , 1995, before me,
the undersigned Officer, personally appeared MARY L. GARMAN,
known to me (or satisfactorily proven) to be the person whose
name is subscribed to the within instrument and acknowledged that
she executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
,. .
Notarial Seal
Connie J, Tritt, Nolary Publlo
Carll.II, Cumberlen' County
My Com million Explreo Oct, 5. 19!6
C-- ..~ ~~
Notary P lic
IN RE: ESTATE OF
MARY A. SALISBURY,
Deceased, Late of the
Township of Lower Mifflin, :
Cumberland county, Pennsylvania:
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 21-94-997
RELEASE
KNOW ALL MEN BY THESE PRESENTS, That I, STELLA S. BAKER, of
1285 North Vine, Lot 7, Middletown, Pennsylvania 17057, being one
of the heirs of Mary A. Salisbury, Deceased, late of the Township
of Lower Mifflin, Cumberland county, Pennsylvania, do hereby
acknowledge that I have this date had and received of and from
Edgar H. salisbury, Executor of the Estate of the said Mary A.
Salisbury, the sum of $4,840.63 in full satisfaction of payment
of all such sum or sums of money, legacies, bequests, intestate
shares and family exemptions to which I am entitled by will or as
an heir-at-law and to which I am entitled from the Estate of said
Decedent.
NOW, THEREFORE, I do hereby remise, release, quitclaim and
forever discharge the said Edgar H. Salisbury, Executor of said
Estate, his heirs, executors, administrators and assigns, of and
from the said legacy or legacies and other shares in said Estate
and of and from all actions, suits, payments, accounts,
reckonings, claims and demands whatsoever, for and by reason
thereof, or of any other act, matter, cause or thing whatsoever,
from the beginning of the world to the date of these presents.
~~TNESS WHER~OF, I Qave hereunto set my hand and seal,
this day of ~ , 1995.
WITNESS:
C.- .- ..99' if~
_~ .J .&. ~I'""",
Stella S. Baker
(SEAL)
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF C~""be(""I"",""
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ss:
On this, the If-t;;/.. day of Oe<.lI. - ~ , 1995, before me,
the undersigned oftteer; personally appeared STELLA S. BAKER,
known to me (or satisfactorily proven) to be the person whose
name is subscribed to the within instrument and acknowledged that
she executed the same for the purposes therein contained.
WAYNB F. SHADB
Auomey at lAw
II w... Panlrd SlItd
CarUoIe. ......ylVlnl.o
17013
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
Notarial Seal
Connl. J, Trill. Nolary Public No
Carll,I,. Cumborlan' Counly
My Commllllon E.plrn Oct. 6. 19!6
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