HomeMy WebLinkAbout94-01056
PETITION .'OR PROBATE and GRANT m' LETTERS
Esrale of l~ /I U r -,-1_~'<::' r_t.E\j.cl..I'_._C l(\IlI.o_~l.~1l No, ___.c1L._1.~L__. !(2~?e.___
IIlso known as _.Laura_.G._Cloman.t:.s____ To;
_u ___ __m_.__m_u.____ _._. Reglstcr of Wills for the
_.__________..0 [)I'ceaml, COllllty of _C.\IIllIill..rJ..illlL III the
Social Security No, ~-64--J.\llW.------. Conllllonweallh of Pennsylvania
The petition of thc IIndmlgned respectfnlly represcnls thlll:
Your petltloner(s), who Isllue IH yellrs of nge or uldcr 1111 the exec III I.ix__.....___.__.___ namcd
In the last will of the ahnve decedelll, dllted ___Octuber_24,._. .___. __._._____.__, 19.JLQ.....
and codlcll(s) dated ___.nona..._. .._....._________.,,__._ ._______._ ____.
('Wit' rClCYl1ll1 drl'1II11\111llC~'\, C,H. rClIlIlldllllllll, drillh uf eXCl:lIlor, cle.)
Decedenl wns dOl1liclll'd nl delllh in _CUIIluarJ.and__._.__._.___ County, Pennsylvania, wllh
1Le..I:-._ last family or prlnelllal rcsldence III __ao.l_1Ljlano.v~.tz:eat-
------. ------.-----.C.-u;.,l..i.l;),Qr-I:LA---1.1-O-6J
nl~t !ilU'I't, lHIIlIIH'r, TWJI. III Born,1
Decedent, Ihcn___a1__.__. )'em of nge, dicd ---A\.lgUllt---l.8T _,19 94
at Chllrcb.....o.f-G.ruLJiomB,__CAr 1 i R1B.,__1'.l\._. _'
Except as follows, decedent did notmllrry, was nol divorced nnd did not have a child born or adopted
after execution of thc will offered for probate; WIIS notlhc viclim of a killing and was never adjudicated
Incompctelll: _----..NQM__________._____. ____._.
Decedcnt at death owned propcrlY wilh cSlil11aled values liS follows:
(If domiciled In I'll.) All personlll properlY
(If not domiciled In Pa,) Personal property In Pennsylvania
(If not domiciled in Pa,) Personal properlY In COllnty
Value of real estale in Pennsylvania
situated as follows: None
S 8.000.00
S
S
S
WHEREFORIJ, pelitlllner(sl respect f\llly request(s) the probate of the lasl will and codlcll(s)
prcsented hcrewlth and the gram of lellers 1'e s t 11mB n t ary
(lC<I.I1I,m",y; .d",I.I"'.llolI C,l,..; ndlllllllllralioll d.b.n.c,l,a.)
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.-Dorls Traub
-2Q29 Clarendon Street
__CilIJl[> Hi 11. EA-J7n 11
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH Qt' PENNSnVANIA } 1:l8
COl1NTY OF CUMBERLAND .___._
The petllloner(s) above.nallled swear(s) or arrlrm(s) thallhe slatel1lenls In tbc foregoing petition arc
Irue and correelto the best of Ihe knowledge IIlld hcllef of pelllloner(s) and Ihat as personal represen.
tallve(s) of Ihe ahove deeedelll pelilloner(s) will well al)" truly administer the estale according to law.
.. //1/,; 'l'ltud.^-
Sworn to or afllrlned alld suhscrlbcd . .__c.________ 1!1
before me Ih~IS .-----.J?J1Jl"._..--. day Of4. ---.-.-.--..-.----------.-- i'
~.cEMBa .')------1f-J 19/-1,\1=. ..-__H___________ ~
,r..':"( U_'I.(J;L'.'~____./J1.f.J[l.12 I ~---_.-._.---. !i.
:rl'y1 C. L EW IS Hell/sllor I /l.-.---- ---------.---.--- I:!.
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No. ~1 - 94 - 1056
Estate 01 LAURA GERTRUDE Cl.EMENTS J!L!iLa
LAURA G. CLEMENTS
DECREE OF PROBATE AND GRANT OF LETTERS
, Deceased
AND NOW DECEMBER 16, 19~, In consideration of the petition on
lhe reversc side hereof, satisfactory proof having been prescnted bcforc me,
IT IS DECREED thatlhe instrument(s) datcd October 24, 1990
described therein bc admitted to probatc an.! filed of record as lhe last will of
Laura Gertrude Clements a/k/a LAURil G. CLEMENTS
and Lctters T9 9 t llmllll t llry
arc hereby granted to Dad s .JXa ub
f11'
FEES
P b L 40,00
ro ate, ellers, Etc. .,.",." S
Short Ccrtlficates(3 ) .. .. .. "" S 9 . 00
Renunciation ,. I . . . , . . . , , , . " S
X-Pages S 12.00
JCP 5.00
TOTAL _ S fifi.90
Flied ,.. I. .q~~~M~~~. ,1,q t. .1.~~~"". . . . , ,
Debra K. Wallet 23989
"TIORNEV (sup, Ct I,D, No,)
24 N. 32nd St. Camp Hill, PA 17011
ADDRESS
(717) 737-1300
PHONE
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Mailed letters and order, to attorney on 12-16-94.
LAST WILL AND TBSTAMBNT
o F
LAURA GBRTRUDE CLBMENTS
I, LAURA GERTRUDE CLEMENTS, of Cumberland County,
Pennsylvania, being of sound and disposing mind, memory, and
understanding, do hereby make, publish, and declare this to be
my Last Will and Testament and hereby revoke all other Wills and
Codicils, that I have made, including the Will dated March 2,
197B.
FIRST I All of my Estate, of whatever nature and wherever
situate, I give, devise, and bequeath to the following persons
and entities, in the shares provided, so long as each person
shall survive me by thirty (30) days:
A. One-half (1/2) to my niece, DORIS TRAUB, of Camp Hill,
Pennsylvania,
B. one-eighth (liB) to my sister, MARY ALICE REED, of New
Cumberland, Pennsylvania,
C. One-eighth (liB) to CHAPEL HILL UNITED CHURCH OF
CHRIST, Poplar Church and Erford Roads, East Pennsboro,
Cumberland County, Pennsylvania,
D. one-eighth (liB) to the FOREVER CARING FUND OF THE
CHURCH OF GOD HOME, Carlisle, Pennsylvania,
E. One-sixteenth (1/161 to my niece, LULU BIANCO, of New
Cumberland, Pennsylvania, and
F. One-sixteenth (1/16) to my good friend, MARY K.
GREINER, of Camp Hill, Pennsylvania.
Should any of these persons fail to survive me by thirty
(30) days, but be represented by children then living, these
ohi1dren shall take, ~r stirpes, the share to which the named
person would have been entitled H then living.
SECONDI All intereste of any beneficiary in the income or
principal of this Estate, while undistributed and in the
pOBsession of my Executor, even though vested and distributable,
shall not be subject to attachment, execution or sequestration
for any debt, contract, obligation or liability of any
beneficiary and, furthermore, shall not be subject to pledge,
assignment, conveyance, or anticipation.
THIRDI All inheritance, estate, and suocession taxes
(including interest and any penalties thereon) payable by reason
of my death shall be paid out of and be charged generally against
the principal of my residuary estate without reimbursement from
any person or entity.
FOURTH I I nominate, constitute, and appoint my niece, DORIS
TRAUB, as Executrix of this, my Last Will and Testament. In the
event of the renunciation, death, resignation, or inability of
my niece to act for whatever reason J.n this capacity, then I
nominate, oonstitute, and appoint my nieae's husband, CHARLES
TRAUB, as Executor of this, my Last will and Testament.
I direct that no representative named above shall be required to
post security for the faithful performance of his/her duties in
any jurisdiotion insofar as I am able by law to relieve him/her
of such obligation. Any of my representatives shall be entitled
COMMONWIALTH OP .INNSYLYANIA i.
COUNTY OF CUMIIIlLAND J
HI
Doris 'I'raub
.------------..---... -- _.._u._______.. __.. .n_ _..._... _.____..___ h___.__________.._~..__ ._._._~..;---.-.-
being duly - sworn _ _______ eccordlng 10 'ew, dopo\ei end leY' Ih,I sh, ifL.__.._.__________.______
_..E..xecutri.).l______...__________ ___.__.0' Ihe E'I,Ie 0' ...ill.!:1!_. G. Clementa.__
1,1, 0' ___C.aJ:1Jllle.....______.____, Cumberl,nd Counly, PI"~ d,cII"d end Ih,t th,
within I, ,n Invenlory mid. by _..Dar is __'I'ruab.______ ___ __ _________, the IIld.....in.Ilantory
0' Ih. entire III,Ie 0' 1.ld deoedenl, con lilting 0' .11 Ih. perlon.1 prop'drly end rill ....Ie, INceplrlll IIhle ouhlde
Ih. Commonwullh 0' P.nnlylvanl., end Ih.1 Ih. IIgur., opp..lte uoh Item 0' Ihe Invenlory reprllenl It', ,.Ir VI/ue
II of Ihe d.le 0' dec.donl's dulh.
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May
and lub,crlbod bofore mo,
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19 95
L~ !,'.:- ~(~,d--
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boa.to, . Admlnllt,"to,
Dor is Traub
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r.i~;l;:;-i..i.,:,I. :.",. '..
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2029 Clarendon Street
<;'~!lEJ:l !.1l0-'~_ 17011
Add'l..
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0.1, 0' Oealh -1!lHI\.lI!L1Jl./_l.2.~L____..__.__________
DIY Month
VI"
INSTRUCTIONS
I. An Invenlory mu" be flied within Ihr.o monlhl altor appolnlmenl of per,on.1 reprllent.tlv..
2. A supplemenl Invonlory mu,I be flied within Ihlrly daYI 0' dl,oovory of additional IIlIh.
3, 'Addltlonel ,h..h m.y be a"eoh.d II 10 person.lly or rully
4. h. Artlcl. IV, Flducl.rles AoI of 1949.
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No. 21.94,1056
FIRST AND FINAL ACCOUNT OF
DORIS TRAUB, Executrix
FOR
TUE ESTATE OF LAURA Q, CLEMENTS, Deceased
Date of Death:
August 18, 1994
Date of Executrix'
Appointment:
December 16, 1994
Date of Estate Advertisement:
February 7, 1995
Account for the Period:
December 16, 1994 through October 25, 1995
PURPOSE OF ACCOUNT: DORIS TRAUB, Executrix, offers this Account to acquaint
interested parties with the transactions that have occurred during her administration.
The Account also indicates the proposed distribution of the Estate.
It is important that the Account be carefully examined. Requests for additional
information or questions or objections may be discussed with:
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. Debra K. Wallet, Esquire
24 N. 32nd Street
Camp Hill, PA 17011
1.0. #23989
(717) 737.1300
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DISBURSEMENTS Ofl PRINCIPAL
Advertisements
01/26/95 Patriot News Co. 48:19
01/30/95 Cumberland Co, Law Journal 40,00
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Cumberland County Register of Wills .
12/16/94 Petition for Probate, short certs. 66.00 ,.
. 05/15195 Plllng-- Tax Return and Inventory 25.00
Reserve for Plllng Account 125.00
,
Caples, postage, mileage, notary 50.00 354.19
, . . Filderal and State Taxes: I..,
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05/15195 Pa, Inheritance Tax 515,55 , ' I
Reserve for Fiduciary Taxes 25,00 $40.55 .
, roes and Commlulmul: . I,
Debra l(, Wallet, Esq. 1,000.00 .
Attorney's Pees
Doris Traub - Executrix' Fee 500iOQ l,SOO,OO
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RECEIPI'S OF INCOME
Jnterest: .
Harris Savings Bank
Estate Account 0400011868
1994.
1995
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6.86
. " 218.32
TOTAL RECEIPTS OF INCOME
'225.18
PROPOSED DISTRIBUTIONS TO BENEFICIARIES
Doris Traub 9/16 $4,283.03
2029 Clarendon Street
Camp Hili, PA 17011
Lulu Bianco 1/8 951.78
1708 Locust Street
New Cumberland, PA 17070 "
Mary K. Greiner .1/16 475,89
Apt.IC "I'
Pennsylvania and Harvard Avenues
CampHlII, PA 17011 . I
Chapel. Hili United Church of Christ 1/8 951. 78
" 701 Poplar Church Rd. ,
Camp Hili, PA 17011 ,-,
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. Forever Caring Fund of the Church of God Home ' . 1/8' 951.78 .
801 N. Hanover Street
Carlisle, PA 17013 , ,
TOTAl:. DISTRIBUTIONS TO BENEFICIARIES $7,614,26,
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REV.JlOO EK. 1/.9'1 \. fOR DAIIS Of DIATH Ann 12/31/91 CHICK HI.I
,,~/~.~- INHERITANCE TAX RETURN ~o~:=~U~:~DIT IS CLAIMID 1.1
'..>~ RESIDENT DECEDENT fill NllMIIR . ..u...
COMM()NWEAIIt' Of WINSYIVANIA (TO BE FILED IN DUPLICATE 21 94 1056
OffJARIMfNT Of REVENUE
"ARRI5m:k ~~ol~l1806o1 WITH REGISTER OF WILLS) COUNTY CODe yeAR NUMBe~
.....-O~c~~::;;:~L:,i~;~~~~~'\lot',/I11AII-.---- ----- -]ii';;~;'T\~(:"pt;;~~~I:~~~ r-~-t ro:;-.-===
~ so.fiAmi:ljiiif1-t~iT';:MR---_._--- ..-\ti.f;tEOi'i)IAIII ][lAHWRIIIIII CarliHle, P^ 17013
... _.....;___ ;'~'~';:'I~\::~;?"8~~~\:\:,~., "'" ",".,,"1\(},~L9 41'0"" ;,!.,;l ~t;~!E' C"""rA"O~I~,~~tl'~~'IJ,~I,~,%tJ~"0'''J__ ....__-_~n~_-~:~
~ KI I. Origl"al Relurn I I 2. Supplomonlal Rolurn [13. Remainder Rolurn
X:l::1 Ifor dale. IIf dealh prior 10 12.13.821
lIllfu r~1 4 Llmllod f.lo'e r.J 40 Fulure Inlere" Compraml.e r.1 5. Foderal E.'o'e To. Rel"n Required
"'19 lIar dalOl of dealh a"" 12.11.821
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Ut: 6. Dmdenl Died TOIlole I I 7. Decod,nl Moinlalnod a Llylnu T,," ._0.8. Tolal Numb" of Safe Oepo.1I Bo...
(Alloch copy of Willi IA"",h copy of T ,",II
ALL CORRISPONDINCa AND CON,fDINTIALTAX INFORMATION SHOULD 8. DIRICllD TOI .
_ _ ::~lE~.i~~~~:t, "'01 co ... ...... . o~m::::;ff;d"~:C":;Oll~_."~
.~._-_._-___._._.. - + + ._. - - ._..0_____- __.___._~___
20. II line 191. greater Ihon line IB, enler Ihe dlllerenc. an line 20. Thll II II,. OVERPAYMENT.
all]
21. II line 18 II greo'er Ihan line 19, enler Ihe dlll"ence an line 21. Thll l'lhe TAX DUE,
A. Enter ,he Inlerel' on the balance due nn line 2' A.
B. Enler Iho 10101 of line 21 and 21A on Line 21B. Thh 1.lh. BALANCE DUE.
_______Makl Check Pavabll t., Rlgl,tl( ., Will., Agent
____ -. - -.._..t.n....___..___..__.n...._ .~_ .___. .m.___
--j;. la su.a TO ANIWIR ALL QUIITIONS ON RIVlisa SIDI AND TO RICHICK MATH -CO!( ,
Under pinelli" of perjury, I dodor. thaI I havo examined Ihlt reI urn, Including accompanyl"9 sehedul" and Ilolemen", and 10 the bell of my knowledge and beUof,
11111ru8, cQrr.et Clnd complete. I d,do,. thai all real 8110le hm been reported 01lru8 markel value, Doclarallon 01 preparer olher Ihan Ih. pOrlonal repr'lenlallve Is
~~~~~_ on alll~lor~~!!~~_,~.~_~~!c~_p!.!p~rlr_~_a.~_.~~r k~_~~I_~~Q~' .. .. _. . _.. _ __.. .____ ____.__._~_____~~____~.__~~_ _._._____.__
'ImIA1UR' m 'USON Rfs,mUIIlf fm Hmw IUTURN AOOUSS OAll
_.j!J!!!~__t;.((;\.(n_______. 2029 Clarondoll Rt., Camp llil1, I'An1LOll_._5..L!fLJ~____
SlONA1URf m 'RfPARUl 01ltU HWt ~HRUfNIATI"'f ~tio_Hs OATE
.__J,RMrl~~_'~.~____m 24 N, 32nd 51:., Camp 11111, I'Al_?9~~___ __5_~~_~L9_~_.__
.
I. Real E,'ale (Schedule AI II I ..
2. Slack. and Band. ISchedule BI 12 I
3. Clalely Held SlocklPorlne"hlp Inl"OII ISched.lo q 13 I .
4. Mor'gagOl and Nol.. Roceiyabl, (Sch.d.le 01 , 4 I
5 Co.h, Bank Depa.ll. & MJ"ellan,oUl Pe"anol Ploperly 151 9.! 3.83.,8.2.
ISched.lo EI
6. Jolnlly Own.d Properly iSchod.lo FI
7. Trontle" (Schedule GIISchedul. LI
B. Tolal Grall Aile" l'olalllM' 1.71
9. Funeral Ellpfln1el, AdmlniltratlvlI Co,ls, Mhcollanooul
hp.nte. ISchedule HI
10, Deb", Matlgage Llablllll... 1I,n. (S,hedule 11
11, Tolal Oeducllon. (Iolallln.. 9 & 101
12. Ne' Value of E"ale (line 8 mlnUlllno 111
13. Charilable and Goyernm.nlal Bequ,," ISchedule JI
I!.:..';l.!'.yalue Subincll~ Ta,,-~-"'-e 12 ml~.'..lIn~_~~__.._.___...______
15. Spoutol Trontl"'lfor dolO. of deolh after 6.30.94)
Se.lntlr\Jcllons for Applicable PorcenlC1ge on RlIverse 1151. .m__..~.____ ______~__~_____)(.__...II
Side. Ilnclude yal... Irom Schedule K or Schedule M.I
16, Amount ('If L1nl'l 14 taKable 01 6% role
(Incluclo yalu.. from Schedule K or Sched.le MI
17, Amount of lln. 14 la.oble 01 15% role
Ilncludo yolu.. Iram S,hedule K or Sch,cI.lo M.I
18, Principal 10' due 'Add 10' from lInOl 15, 16 and 17.1
19. Credlll Spou,ol Poverty Credit Prior Puymenh
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191 .. .~,j~9__,J..L.__.__.__
18 I .....lQ_~_h~L__.._
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1111 _..J....582 , 63
1121
113) _l.J.i.2....66
114) 3,436,_97
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11713,_4.3.6!_n___'._h~ .15 ~.n_~J..h?2-__
118)
Ollcounl
Interest
1191
(201
(11t,(~ 11l'Fl' If VOU {lit' "''1(I('\I;no (I lOll/lid (If vtm, 0 l"IHIVllIonl
1211
121AI
121BI
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.. .___nu..51?....2.L_______
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COMMONWIAlIH O' "NNIYlVANIA
INHIAITANCI TAX AIlUAN
A11IDONT DICIDINI
SCHEDULE F
JOINTLY.OWNED PROPERTY
ISTATI Of
fiLl NUMeU---
Jolnl t.nohll')l
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NAMa
Doris Traub
ADDRESS
2029 Clarendon Street
Camp Hill, PA 17011
RELATIONSHIP TO DEcaDENT
Nieoe
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C.
Jolnlly-own.d prop<lrtYI
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ITlM LmaR DATI
'OR TOTAL VALUE DICD'S DOLLAR VA LU E 0'
NUMIIS' JOINT MADE DESCRIPTION Of PROPERTY Of ASSET % INT. DECEDENT'S INTEREST
TENANT JOINT
1. A. appro x Harris Savings Bank
1977 P.O. Box 1711
Harrisburg, PA 17105 $1,376.00 50% $ 688.00
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TOTAL (Alia .nl.r on IIn. 6, Rocaphulallan) $ 688.00
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(II mall .pact I. n..d.d Inl.rl addlllana',h.." 0/ ,am. .in'
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LAS'l' WILL AND TESTAMENT
OF
LAURA GERTRUDE CLEMENTS
I, LAURA GERTRUDE CLEMENTS, of Cumberland County,
Pennsylvania, being of sound and disposing mind, memory, and
,
.understanding, do hereby make, publish, and declare this to be
my Last will ana Testament and hereby revoke all other Wills and
Codicils, that I have made, including the Will dated March 2,
19'18.
FIRST: All of my Estate, of, whatever nature and wherever
situate, I give, devise, and bequeath to the following persons
and entities, in the shares provided, so long as each person
shall survive me by thirty (30) days:
A. One-half (1/2) to my niece, DORIS TRAUB, of Camp Hill,
Pennsylvania;
B. One-eighth (1/8) to my sister, MARY ALICE REED, of New
Cumberland, Pennsylvania;
C. One-eighth (l/B) to CHAPEL HILL UNITED CHURCH OF
CHRIST, Poplar Church and Erford Roads, East Pennsboro,
Cumberland County, Pennsylvania;
D. One-eighth (1/8) to the FOREVER CARING FUND OF THE
CHURCH OF GOD HOME, Carlisle, Pennsylvania;
E. One-sixteenth (1/16) to my niece, LULU BIANCO, of New
Cumberland, Pennsylvania; and
F. One-sixteenth (1/16) to my good friend, MARY K.
. .
GREINER, of Camp Hill, Pennsylvania.
Should any of these persons fail to survive me by thirty
(30) days, but be represented by children then living, these
children shall take, ~ stirpes, the share to which the named
person would have been entitled if then living.
SECONDI All interests of any beneficiary in the income or
principal of this Estate, while undistributed and in the
'possession of my Executor, even though vested and distributable,
shall not he subject to attachment, execution or sequestration
for any debt, contract, obligation or liability of any
bonefioiary and, furthermore, shall not be subject to pledge,
assignment, oonveyance, or anticipation.
THIRD: All inheritance, estate, and succession taxes
(including interest and any penalties thereon) payable by reason
of my death shall be paid out of and be charged generally against
the principal of my residuary estate without reimbursement from
any person or entity.
FOURTH I I nominate, constitute, and appoint my niece, DORIS
TRAUB, as Executrix of this, my Last Will and Testament. In the
event of the renunciation, death, resignation, or inability of
my niece to act for whatever reason in this capacity, then I
nominate, constitute, and appoint my niece's husband, CHARLES
TRAUB, as Executor of this, my Last will and Testament.
I direct that no representative named above shall be required to
post security for the faithful performance of his/her duties in
any jurisdiction insofar as I am able by law to relieve him/her
of such obligation. Any of my representativos shall be entitled
t/
L.
/5..1-10
ACN
101
IlEV-1547 EX AFP (12-94*
C_Al TH OF PENNSYLVANIA
IlfPARTHENT OF RfVEHUE
IIJRfAU OF INDIVIDUAL TAKES
IlfPI, 210601
HARAISZURO, PA 17128.0601
ESTATE OF CLEMENTS [AURA FILl! NO.
DATE OF DI!ATH 08-18-94 CIlUNTY CUMBERLAND
HOTE, TO INSURE PROPER CREOIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WlTIl YOUR TAX
PAYHEHT TO THE REOISTER OF WILLS. HAKE CHECK PAYABLE TO "REOISTER OF WILLS, AOEHT"
REMI" PAYMENT TO:
HOTICE OF INHERITANCE TAX
APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
DEBRA K WALLET ESQ
24 N 32ND ST
CAMP HILL PA 17011
DATI! 08-07-95
=-=
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
AMour,t R..lttod
j
CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ....
iiE'v: is'4"j' EX"AFP" - fIZ:94T"Niii'-icr- OF" ItiilEiii f ANcE-YA'X "AP' PiiA i sEMENT ~.- At i:OWANCE"iiFi"m......"""" -"-
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF CLEMENTS LAURA G FILE NO. 21 94-1056 ACN 101 DATE 08-07-95
If In asslllment wal iSlued previoully, linel 14, lS Ind/or 16, 17 Ind 18
reflect figures that includa the total of ~ returnl assesled to date.
AOSESSHENT OF TAXI
15. A._t of Lln. 14 .t Spoulll r.t. US)
16. AlOOI.Ilt of Lln. 14 taxabla .t Lln..l/Clall A r.t. U61
17. AMount of LIne 14 t.x.bla .t Coll.t.r.l/Cl... I r.t. (17)
11. Prlnolp.l T.x Due
TAX CREDITS I
PAYHENT
DATE
05-15-95
TAX RETURN WAS, (X I ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE
~ISEn VALUE OF RETURN BASED ONI ORIGINAL RETURN
1. R..l E.t.t. (Sch.dul. Al
2. stock. and Bond. (Sch.dul. B)
5. Clo..ly H.ld stock/P.rtner.hlp Int.r..t (Schedul. C)
4. Hortgag../Hat.. R...I..bl. (Sch.dul. DI
5. C.ohIBank Dapo.lt./HI.c. P.r.on.l Prop.rty (Sch.dul. EI
6. Jointly Owned Prop.rty (Sch.dul. F)
7. Tron.f.r. (Sch.dul. g)
I. Total Au.to
APPROVED DEDUCTIONS AND EXEMPTIONS:
,. Fun.r.l Exp.n.../Ao.. Co.t./HI.c. E.p.n... (Sch.dul. HI
10. D.bt./Hortg.ge LI.biliti../Li.n. tSoh.dul. II
11. Total D.ductlon.
12. N.t V.lu. of T.x R.turn
15. Ch.rltabl./Gov.rn"""t.l B.qu..t. tSch.dul. J)
14. Hat V.ll.. of E.t.t. Subj.ct to T.x
NOTEI
RECEIPT
HUHBER
AA047768
DISCOUNT (+ I
INTEREST ("I
.00
( ) CHAHOED
(1)
(2)
(5)
(4)
(51
(61
(7)_
,00.
.00
.00
,00
9.383,82
688.00
,00
(I)
10 , 071 .82
(,)-
(10)
5,489.19
.00
IllJ
U2)
U5)
(14)
5.4A9 49
4,582.23
1,145.66
3,436.97
will
.00 K' 03.
.00 X .06.
3,436.97 x.15.
UII
.00
.00
515.55
515.55
AHOUNT PAID
515.55
TOTAL TAX CREDIT
BALANCE OF TAX DUI!
INTERI!ST
TOTAL DUI!
515.55
.00
.00
.00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATIDN OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN fl, HO PAYHENT IS REQUIRED.
IF TDTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORl1 FDR IHSTNIlCTJDNS. I
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In po.....lon or IfIjOYMnt to Ch.. . CooUlterlO beneUal.rl.. -of thl deGedlnt after the IwpJr.Uon of MY Iltlt. for
Uf. or for yur., the C~1th herlbY IlCp"..1v r...rvII the right to IlPPr.... Ind ....... ,rlnlt.r JMlrUenc. lax..
It thl 1...ful CI... . (ool1.ter,1) rltl on MY such lutur. lnterllt.
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NOTICEI 10 fulfill thl rtqUlr~t. of Station 2140 of thl InhtrJt~. end Elta'l Taw Aot, Aot ZZ 0' 1991. 12 P.I.
1Io1lon Z140.
PAvttENTI DetlCh the top portion of thh HotlOI and MiMlU with your PIYHnt to thl Rtthhr 0' Willi printed on the raver.. II..
..ItIk. ehook er ...... .rellr p.YlbI. leI IlEGIITElllIF MJLLll, AGENT
All PIYNnt. rtcllvM shill fir.' be 1IPP1I1d to My Inter..' which ..y be dull ..1th InY r...Jndtr 1PP1led to the tQ.
REFUND (Clnl A re,und of . 'IX credit, which "11 not requutld on the hw Alturn, AV be r.....ttd by ClOllPI,Ung ., "Appl1o.Uon
far R.fWld of Ptnn.ylYW111 Inhlrlttnol 1M E.tlt, Till" (REY-UU). Appl1elUon. Ir. .vIlllbl. It the Oflllo.
of thl A..iltlr of Nl1!l, InY of thl ZJ A.v... Dlstrlat OfficII, or by oll11ng thl spec,.1 24.hour
."ewerl", ..rvlol ~rl for fori. orderlngl In ~'Ylv.nll l-aOO~S62~!OSO, out.ldI Ptnn.vlvlnll Ind
within 1...1 Hlrrhbur. .... 1m) 717.1D9~, TDDI mIl nz.zZ5Z lHolrl,," I....lrld Dnl~).
OBJECTIONS' Arty ptrtv In Int.r..t not "U.flld '11th the "",r,ts..."t, 1110W1nC11 or dh.UowtnC. 0' decaJcUon., or ..........t
0' tex (lnoludlnu dllOount or Intlr..t) .. ~ on thl. Notice IUlt objlGt withIn .Ixty (60J dlv, of rlOllpt of
IlIh Noll.. bYl
uNrltt.., prot..t to the PA o.plrtHnt 0' RIYI4'lUI, Iotrd 0' ~11t, Dept. 211021, ",rrhburt, PA 171n"1021,
-~,I",Uon to heYI the ..tter deter.lnld It IUcUt of thl ,ccomt Q' the pe"ontl rlflrll",tIUv" OR
~~IfIPI..I to thl Orphenl' Court.
OR
AllIUM
llTRA1II'!
CORRECTIONS I FlOtull errort dlsoovered on thlt .....Mlnt should be tddrtlled In wrlUl"It tal PA Deperteent of RIYInUI,
BunlU of Indlvldull Tlx.., AfTNI POlt AU"lMnt R.vltw Unit, D",t. 210601, ",rrhburt, PA 171Z1"0601
Phone (717) '.7-6101. S.. PlOt ! 0' the boo<<ltt "In.trucUon. for InhtrJtlOCe TIM R,turn for I RlllcNnt
Dleldlnt" (REY~1101J for en IMPllhltlon of tdllnl.tr.tlv.1Y correatlble Irror..
If tnV tlM due I. plld within thr.. (1) ellendtr sonth. .,t.r t~ decedent'l d..th, I 'Iv. Plrc,"t (SX) dl.oount of
lhI I.. p.ld I. .Ilowed.
1I11CIIl.lfTI
lllTERElTI
Int,,"t II chlrttd beginning with flret dly of dllInqu<<lOy, or nine (9) Mlnthl end OM (1) dly frOll the dltl of
dMth, to the dati of P'YMnt. TIM" which bMIM dllInqutnt before Jenuerv I, 1912 bMr Jnt""t .t thl ,.tl of
IlK (~) ptrO",t Plr ..... ollcul,tld .t I dilly rite of .000164. All tlMlI which btc... de1Jnquent on Met Ifter
.JIrMrv I, 19.2 will belr lnt"..t It I ,.t, M1lch 11111 Vlr~ frOll celendlr y..r to ollender y..r '11th thlt r.t.
trW'IlM'tCed by thl PA DeptrtHnt of ReulnUt. Thleppllcable lnt"..t ,.t.. fer au through 1991 "'1
~ Intlr..t R,te !!!Ih Intlr..t FlOtar !!!! Inter..t Rltl Delh Int"..t Ftotor
19IZ ZDX . D00S41 1911 'X ,00OZ~7
1m I6X .DOD431 11"'"lltl lIX .OODSDI
I'" llX .000101 1"/ tX .ODOZ47
1m ISX . DD03S6 lItl"I"" 7X .000192
It" lOX .000174 1"1 tX ,DDOZ47
....lnt"..t II Clloullted .. fallowlI
INTEREST . 'ALANCE OF TAX UNPAIO H mnmea GF DAY' DELINQUENT H DAILY INTERElT FACTOR
".Any MoUoe lllUId Ifter thl tllC bloOM' dtllnqulOt 11111 nfl"' en Int"..t cllcullUon to flft..., ell) din
beyond the det, 0' thl ......lInt. If PIYMnt II ndt 1ft" thl Int.nlt OOllpUtlt1on dMtl shown on the
Notlcl, Iddltlonel Int.r'lt IVlt be oelcullted.
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STATUS REPORT UNDER RULE 6.12
t~/w.' I'IIIY lB r':~:n
Name of Decedent I Laura Gertrude Clements
of Deathl August 18, 1994 ell" "Jr!
Date CUll,; . m
Will No. 1994-01056 Admin, No.
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 I
1.
State whether administration of the estate is completel
Yes No X
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete I 6 months
3. If the answer to No. 1 is Yes, state the followingl
a. Did the personal representative file a final
account with the Court? Yes No
b. The separate Orphans' Court No. (if any) for
the personal representative's account iSI
c. Did the personal representative state an
account informally to the parties in interest? Yes No
d. Copies of receipts, releases, joinders an~
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be attached to this report.
Datel~
rOA..I1llL -t. ~.>ttM...t-
Signature
Debra K. Wallet, Esquire
Name (Please type or print)
24 N. 32nd Street, Camp Hill, PA 17011
Address
( 717) 737-1300_
Tel. No.
Capacity'
Personal Representative
X Counsel for personal
representative
(MAH I rmflAM3)
c/
I
STATUS REPORT UNDER RULE 6.12
Name of Decedent I [,aura Ger.trude Clement B
Date of Deathl August 18, 1994
Will No. 1994-01056 Admin. No.
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 estatel
1. State whether administration of the estate is complete I
Yes No X
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
comp1etel 6 months
3. If the answer to No.1 is Yes, state the followingl
a. Did the personal representative file II final
account with the Court? Yes No
b. The separate Orphans' Court No. (if any) for
the personal representative's account iSI
c. Did the personal representative state an
account informally to the parties in interest? Yes No
d. Copies of receipts, releases, joinders an~
approvals of formal or informaL accounts may be filed with the
Cerk of the Orphans' Court and may be attached to this report.
Datel 8/22/95
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Signa cure
Debra K. Wallet, Esq.
Name (Please type or print)
24 N. 32nd Street
Camp Hill, PA 17011
Address
1..717) 737-1300
Tel. No.
Capacity I
Personal Representative
X Counsel for personal
representativB
(MAH I rmf/AM3)
t;..
STATUS REPORT UNDER RULE 6.12
Name of Decedentl [,aur.a G. Clements
Date of Deathl 8/18/94
Will No. 1994 -01056 Admin. No.
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 completel
Yes X No
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
comp1etel
3. If the answer to No.1 is Yes, state the following I
a. Did the personal representative file e final
account with the Court? Yes X No
b, The separate Orphans' Court No. (if any) for
the personal representative's account iSI
c, Did the personal representative state an
account informally to the parties in interest? Yes No
d. Copies of receipts, releases, joinders an~
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be attached to this report.
Datel 12/12/95
lOw,,, 1:. i.Jw...
Signa cure
Debra K. Wallet, Esq.
Name (Please type or print)
24 N. 32nd Street .
Camp Hill. PA 17011
Address
[.,
,-.~
r "
I
,
i.'\ \( .:l
I'. ( )
( 717) 737-1300
Tel. No.
Capacity I
Personal Representative
x Counsel for personal
representative
(MAHlrmf/AM3)
(
r
..
STATUS PEPORT UNDER RULE 6.12
Name of Decl!ldentl Laura G. Clements
Date of Deathl 8/18/11-
Will No. 1994-01056 Admin. No.
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 estatel
1, State whether administration of the estate is completel
Yes X No
2. It the answer is No, state when the personal
representative reasonably believes that the administration will be
comple~el,
3. If the answer to No. 1 is Yes, state the following I
a. Did the personal representative file a final
. account with the Court? YesX No
b. The separate Orphans' Court No. (if any) for
the personal representative 's account is:
c. Did the personal representative state an
account informal~y to the parties in interest7 Yes No
d. Copies of receipts, releases, joinders and'
appr.ovals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be a ttachec: to this report.
Datel 12/12/95
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Signature
Debra K. Wallet, Esq.
NaM~I(Please type or print)
2('N. 32nd Street'
~mD Hill. PA 17011
,.Aqqress
1
(717) 737-1300
Te 1. No.
,
Capacity I
Person~l Representative
x Counsel for personal
representative
( MAH I rmf/ AMJ )