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Home My WebLink About95-00740 .:; -~;: 'i4!L-1y _ ,7,." ,;1i .::it"" ,< - ' -::~~ 'h"-i'!f ..t~..:,:-'...4l'..{,.A ,,;"'>,;:/':' ,', :J.;{~1~,.,:t-~ t1r~'!'1\,iJ,<7:'.i i'''' ~:b-\J::~Jl'o'i t ~-5}W' ,/:~' i: j ".' ' ,>. v / . ,y.", i/IOI''''"}'''''~'-'''': "! ':', .~~ ~'i "f<" 7r t j-;" <7 < ' ~ 't l'l~',t(o.~;:~.l':'" '.:. . "",~J":-~~ , ~ ...."t~ . ':.p~i1J,'i~ ',' ~ w ._~....~'" . , 'JjJ;1;7i:~~~:;;: iA~"~ ~.,"'''~ >!~ *'-" ;:,,,..,;" ~~j1;#,t~,fi~itO. ~"-'}SW'C'''''';''} ",",:"" ~;: !,,':' ;","~'1,,1'-:';' ;..-: '.J I':' 1 ,,' ' ~\~!\;i;'j~~ H&~f*~i;j:\YG~i', ';!l'"'',",, .,j,..,;,.'-"""'''''''''''' ',,~'" ... :~:ti7':~:::,,<-: :<;~~?"~"O" '~';~;::l~:.\?~.:f~.iiif~:..:;"":" ' .',' " ." .ft " ,d"'L'1. ".1""'" a !i'?;t:!,;~~1:';P'!:f:'. ... ~~""c i""""" . ./ ' " ., ",' ' " ' ;'tIt f,~f{ ";~,:? ',' .~ I ". '. , · '>I! !II'" /' ,#,f'.:--: I'E'I'ITION ...on 1'lto1lATI~ unci (mANT (.... I,KI"nmS N", _P21 ~7s-=-Z~o .,,: Itrrl,lr. '" ~"loJ'" ~Ie ---,.._--- . IJrrrfl...", C""II)' ", ..';J.'.'~.~.~..c~D~,.n.. III Ihe S"rlal Stell/II,. Nn. 1 B 1-07 -7 309. Cllllllllllllwenllh III I'elllloylvnllln 'I he lIelllloll 01 Ihe ollller.lllled ...peelllllly rellle.ell" Ihnl: \'our "ellllllller('1. whol,/Illlt IR )'en",,' nRe or Ilhle. nlllhe em'lIl..rlx IlIlhe In.' will 01 Ihe nbove decedelll, "nled ScptC!1'-l!~14, nlld codlcll(o) dnled none F"'fI,r "I Samuel al..n kIlOK'" as K. Cobl(L~_..___ . ,lInllll',1 ,19-1.1.1_ <<,.nlt uln.nl chclIllnlllllcr,. t... unllllrlnllflll. dtRlh fir rllrculof. flc.. Cumberland Ueeelldell' IVn..huolelled nl denlh III.Lower Allen Twp..!_ COllllly,I'elllloylvnllln, IVllh h iR In.llnmlly 01 pllllclpnl...hlellee nl-ll.?Jesley_prive. Apt. 215 Be thanv V i llJULlLRe.tir.emell.t...Cen ter, .M""hil" i "'"hllr~, PA-....I.:1.055 (11\. 'Uttl. numbrr Illlef n1l1l1clrlllll) I Ueeelldelll Ihell 92_ yen.. III n~e, died Se.e..t:..e!"lJer 19 , 1932__. nl Eas t .~!!llilsbgrq TO\<'J1.!Jh.:iP,...C.umJ.le,rl<lnd. County ,_EA__.,..,______ _.,. f!xt'tllt"~ rnllo\\'~t drn'drlll dhlnol mOl')'. \\'n~ 1101 111\'01 ('('cl nlllllllel nnl hn\'r n ('hlhl hmn nI "duple'11 nller..eeOlloll 01 Ihe wlllollcred Ill. ,'mhnle: IVn. lIullhe "lelhllllln klllllllt nlll' wno lIever ndJlldlcnted IlIeompelelll: ~on'" ___ "eeelldell' nl denlh olVlled luo"erly "I.h e,lhllnled ,'nlll" n. 11111,,"0: (II dOllllclled IlIl'n.l All "",,'"nl "1..,,eIlY $ J 1.000.00 (II 1101 "0I1l1l'i1." III I'n.) I'e",,"nl "11l,,c.ly III l'ellll')'lvnllln $ (111101 dOllllellcd III I'n.) I'e"ullnl "lu".Uy III Coullly $ Vnllle III renl celnle III l'ellllSylvnllln $ sllunled as 10110\\'5: WIII!Rlll'lJRE. "elllloller~l ..."rellllll)' ..qucel('l the ,"ohnle 01 'he Inol will .mll~lI;llA\~ "I..ellled h"ewllh A1,d Ihe I.nlllol lelle" Testam~n~EEY, ___._.,... (Ir'l:1l11t'lll:1r)'; "dml""lut,ln" t.I.',; "dlllllll'I".,lon d.h.n.C'.I.n., Iheroll. il fi "'- ail "'8 ~fi ;:;.. Co a Vi .~2?lwllg-I-t=-- J AJ.,/D-:I~ 1.,arrnAr~-,. ~rrnan _ 4 !JJ2Florcnce Avenue,t-hpt. E , _l1ccha!l.LcJibJU'.9.. .....EA-1.7Jl55.. OATil 01' l'EnSONAI, IUWHESI';NTATIVE t:()I\II\IUNWI~ALT" OJ'I'ENNSnVANIA ll3R t:UUN'1'V Of,' CUMBERLAND .I '1 he ".lIlloller(lfJ nhove'lInlll.tl.w~nl(" UI nlllrlll(" Ihnl'he ,llllrlllrlll' III the 'ole~uhIR "elllloll nle IllIe nllll cOllcellu Ihe h..1 01 II.e ~1I1111'ledr.' nllll belief nl l'elhl"',"'(lI) nlllllhn' n. I'e"ollnl ,el'le"rll. Inllve~l 01 the nhove deeedelll JICllllollel(ll) will well nlld 1IIIIy n.lrlllllhfer Ihc cslnlc nec",dlll~ Illlnw. SWIllII 10 Il1 n"hlllcd nlld slIh<rrlhed . "r~;jJj9.J,.R-.:C 0< ..3h-v~~ bclore lIle Ihl. 4th dm'. ul j -'Ra..!'.9 el" L. -sTierman "'", O~~BER 19~__ 45TI:::'Plgrence..Avcnue. APt.E~ 'n'j<''''iC'., 'I .~ ..... _. J:!eghi'lnicsbut:g,PIL..J.JQ.5..L, it o e.~ PB ~l"f~''\'' 1I1'~I,l/rr _m__," - _.__.. ~ "''I' :?~y j"~ :;;-1 ~;'Ji . 11;':'~""l .1 r'-1. ~;' "'1 ,f, .yh: ~.,.l fi:::~ rr.,: :_'j"l" ft4;: - _';('i:~ "''''1 1;1'" t.i.''''' ~i:~" "'1' ..... >W-'- ~. ;~'i -, ~".. ~;"~ ~tj ti~j ,SJ -7rl~'i! ,,~,,;y 1~;:j ,...1 i:-' ~I~1 ! ""I -';::~l ! :::1j' i\h~ ~;cl" ~>, ~-;i ;#~ '0, l.:,,'.i. -,,",,t ~t~ '.,f f'Xf; r;,~-" ~~1 ""'j' t. ~~' H ;1,;~:~ D ''''''''1 i~ i;~~ ~IJ "i".; "",. ";"f:; ..c' '''- " "" ..'1f; ,fj". } '~t \;,I, ;;'; ,,', 11 :r , No. 21-95-740 Eslnlc of Samuel K. Coble , Dcccnscd DECltEE OI~ 1'.lUnATE AND WIANT OI~ LE...nmS ANO NOW OCTOBER Ii 19-2.i., In condderallon or the pellllon on the ,everse .Ide hereor, .nlldnctory p,oor hnvln, been presented bcrr"e me, rr IS OIlCRIlI!O Ihnt the Instrumenl(.) dnled September 14. 1981 described therein be ndmllled to probnte nnd flied or record as the Inst will or Samuel K. Coble Iud LeUer. TRRtRmpntl'lry are hereby ,'nnled to Margaret L. Sherman Will Dook . I'nge '-r>7o~o ('.. ~tu~~ 0... P.B.'J~ R,.ltlrr or Will, f l'IlIlS " I'robate, tellers, Illc. ......... S 70.00 Shorl Celllrlcale,( 3) . . . . . . . . .. S 9 . 00 Renunclallon ................ S x-pages JCP James D. Bogar, Esquire 19475 , ^TTORNBV ISup. CI. r.D. No.) 1 West Main STreet Shiremanstown. PA ]701] ^DURB9S (717) 737-8761 rllUNB S 3.00 :>.uu TOTAL _ S R7 nn Flied ...... .OC.'rOBER. 5..19.95......... ::0 :TJcp "lli , Cl ";.,,... , m~ i1hv. /.., Cltl.., -.....,...-=-,.._.--- 11111' 11m 111\"1..... Thi!. i~ 10 (coif)' dILl! lilt, inflJll1l.llion ht'I(: Hin'll I.' (llIfl'l c1~ lllpil'd hlllll .111 urj,~ill.d. n:llilk,IIc..' III llt-.Ill,' ,dlll~' HIed willi I Ill' .1'1 1.0l"illlh'gi"iIr;lr, Thc orij.;ill;ll n'r1ilkall' will Ill' lor\\'ardl.d III Ih(' SI.lll' Vil.11 HI'\Il1d~ (Hill(' fOI pl'rlIMlll'1I1 fllll1g. WARNING: It Is Illegal to duplicate this copy by photostat or photograph. 21-95-740 Fl'C (or this U'llitkill(', S2.00 3127494 Nil. "' c;hv A~%"2,~~~~:t~_ -......._,.._".. "__H...... _.___;/ 1.0l.11 J l',L;i~lrilr (I SEP 2 2 19~ 1>.lIe COMMONWEALTH 0' PENNSYLIIANIA' eEPARTMENT OP HEALTH' VITAL RECOAOS CERTIFICATE OF DEATH ... - ..... Cumberland ....' t,.IJ~~':::., MOOC'...........',... WGIit. "'-'.......... llarbara et e .-..a _ 4 12 Florence Ave Mechan1cebur ...-...~ l I now Nfl! .... I~ o.v ..., 10-27-1902 ... . Male law'" 1OL./IlCI0I' ....,....~" W.; Chambereburg -;;V ._ 0 Penneboro ~'IMIJNQAIXN""'~",,~CclaII 325 I/eele)' Drive Mechaniceburg, Pa 17055 C1tClWNra """" "IC>IIQ ---- ~-- "...... .. L'4HIIt.........!f'n......LMt ..., . Reieher Coble Margaret Loia Sherman 1tftICl:l ~[] ............0 -- - _0 .. ""'"' ... ... o :Iep 22 1995 "'-" 012228L ....... .-- Rolling Green Mem Park ,Lower Allen Tl/p """ ..... "",0 HIIGJ _O.....-...~ ............~... ~~;~ -- I/idowed -........ 1I....~_'*'ttII 1,.,0................. .. Lower Allen Pa '- = ...- ............11........ .....-......... - - .. ...........--..... IU.UI AltO ADOAI.. 01' MCIJn Mueeelman Funeral Home UClHIIH\AlNIIl ,1/ 0 tH L. 7D - a " .se. ~,...... t!'r "-*..Ul........ ..............,...,....... fl. f:'~===-:..~'IIfIlCIt.....lIlellhlfl 00_.......__.. ......... CoWIIIl'... -.- ........~- ~...~u.c....., on -..- I: ............;'t~~ .... -- ;;':;..~..., .... 'CC>&l '-.......:iI.......w, -.. ....... . _'01 H - ----" COWI.mofirtClfCAlJll - ~ '" lIIRHl - 0 ...0 ...p ...0 ...1)1: - 0 Art.. :r..&.t'"...... on . ",0 ...1& ar......... -----.......lId11lM\... --..................._.-..""""'1 - .=--== I I .... . - -- c...............-... 01.....' ~Dr,.....1 o o O Y. P\ACI 01' lfoIJUAy, At......1U"I, ....'-1l.... .........-.~ ..., '" 0 ...0 TIUtOl"",-"Y - - c:an....lC'-A.... ...... .CIIrT'"...""'IIl::IAM'"',-..,.,...~....".............rf>tk_'*P1~.,..,._~....nl .......".,~....-..........~"....--..................".,..."....".....................,....... .. or ~ ~ t Q~cut..,-""'laAIlIlI'9t.-baflpr-'O.."..-.:t~D"'*d~ "..........,..............._""..................,............"'....~.,...._.................................. OMlGlCA&. UA~O<<IONaJI Dfl.......... .,-"'-.... .,.,., ......MltatliM. "'''' ......... ft. "'urrlHlM ....1iIM. "II,"'" ,qc..IIIII..... ..... ''''M(II MIl "......................................,.....,........................................,.....,..............,.... . ~v<!'i''/v1 WJUfl'IIlYtONl, OCICMCHClWIfolMn'OCCUMlD. o Qtf?" (lf7! ..t.;;;1' ' e'"..'J ;J,~ t~; ui,i 0';3; ~& a: ....' _,_~.,_,.____-.~..",,~-";~ii.~..:.~~4:(~ili?';::7}r.k:;:J;;,Llili.i1L;.i:;Jd~~~~1~'tj~~';ill~i~~l~J]!~'+.;.#t;~:~!~~t~~ :~.; ;:.) ,"::1:; \.U::J (,)U "1 .' , ,- ,~ '.;" -"\, ',,- ,.,-;. -'.':'- .....- .. '; . . . .- . . .. .., W ''I:<. ,~ ~.~;, '. '" i: :~ (' ~' . . .. . , . , . . 1Enst lIill nub Uli~gttttlUut OF smJEL K. OOBlE I, SAMUEL K. OOBLE, of the Township of Harpden, Cu1berland County, Pennsylvania, make, publish and declare this as and for my Last Will and Testament, hereby revoking all other Wills and Codicils heretofore made by lIB. FIRST: I direct the paynelt of all my just debts and the expenses of my last illness and funeral from my estste, as soon after my death as conveniently may be done. SF.mlD: I devise and bequeath all the rest, residue and remainder of my estate of whatever nature and ~ever situate to my children, SAMUEL D. OOBlE and MARGARET L. SHERMAN, in equal shares. 'lHIRD: SOOuld either of my children, S!llD..lel D. Cklble and Margaret L. Sherman, predecease lIB, I direct that their separate shere shall pass to their respective issue, share and share alike, FOUIml: My Executrix and personal rePresentative shall have the following pcI\'o'I!rS in addition to those vested in than by law and by other provisions of this Will, applicable to all property, exercisable without court approval and effective until actual distribution of all property: (A) To sell at public or private sale, or to lease, for any period of time, any real or personal property and to give options for sales, exchanges or leases, for such prices and upon such teIms or conditions as are deeDEd proper. (8) To caJllromise any claim or controversy. (C) To :Invest in all forms of property, including stocks, canron trust funds and nDrtgsge investments flmds, without restriction to :Investments authorized for Pennsylvania fiduciaries, as they deem proper, without regard to any principle of diversification, risk or productivity . (D) To exercise any option, right or privilege granted in insurance policies or in other :Investments. .. ~ '. . . . (E) To mske distributions to my herein l1BIIEd beneficiaries in kind. FIFm: I direct that any snd all :lnheritsnce, estate and transfer taxes :lnpJsed upon my estate passing under my Will or otherwise shall be paid out of the principal of my resichJary estate. ~: I nominate and appoint MARGAREr L. ~, Executrix of this, my Last Will snd Testament. In the event of the death, resignation or inability to serve for any reason whatsoever of the aaid Margaret L. Sherman, I naninate and appoint SAMUEL D. OOBLE, Executor of this, my Last Will snd Testament. I hereby relieve my Executrix fran the necessity of posting security in connection with her duties as such in any jurisdiction in 'l>fdch she may be called upon to act insofar as I am able by law to do so. IN WI'lNESS mEREOF, I have hereunto set my hand an"esl to this, my Last Will and Testament, this 1'1 day of~l~ 1981. V ., ~?1HIf'~L Signed, s~ed, published and declared by the above l1BIIEd Testator as snd for his Last Will and Testament in our presence, who at his request, in his presence and in the presence of each other, have hereunto subscribed our nmnes as attesting witnesses. Address ~/dL1;) (}"r-' '1th ':.A<<- t2. ~,~~ Address 21-95-740 ImGlSTEU OF WILLS OF CUMBERLAND COUNTY OATil 010' SUIJSCIUUlNG WITNESS James D. Boaar ll4)tlt.lll (llttlll a subserlblllB wltllm lu Ihe will "resellled herewith, ~t'llf belnB dilly qnolllled eeeurdlllB 10 low, depose(s) and soy(s) Ihol he was "reselll and saW Samuel K. Coble Ihe leslol or . sl8111he sOllie olld Ihol he sl8ned os 0 wltlless ollhe requ..t uf leslAI..o.J:.-IIlILis- Illesenee Alld (iHlI~H~~lfJ!l!!llplobxoJ rln Ihe "resenee of Ihe olher subseribln8 wltlless(es)), 'j Sworn 10 or Affhmed and subscribed bel'ore me Ihls 4 th dny of OCTORF.R 19~ '::zlliL,uJ. (' '';.~~,':.'W __1.. V r_ Y II \k, " IIr8;.lIrr PA 17011 (^ddress) (Namr) (ArlrlrrsJ) UEGISTEU 011 WILLS 011 CUMBERLAND COUNTY OATil OF NON-SUIJSCIUUlNG WITNESS Margaret L. Sherman (~1I~0 snbserlber herelo, ~ll<.1J11 being duly qUAlified Aeeoullng 10 'AW, depose(sl And SAY(S) IhAI Rhp i R fAlIIllIAr with the sl8nAlure of --5amllP 1 K. C'nh 1 P o(1ldkll will 1111I1 she' 1..IAI....2L of (1l~~lqlll(~lI.':OIll4Kl!<ll"HIlmHXHJl Ihe Ille,'ellled herewith and COJolk:~ believes Ihe sl8nAlure ou Ihe will Is iuthe hAudwrltln8 of . klluwledge and belief. ~~t0~ ~/mD--o-- 9 ret . e man 4512 Floren& s~~enue. Apt. E Mpr-h;ln; "'Qhl1r~ J p,a 1 "055 (Arlrlrr.u) Samuel K. Coble 10 the besl of h~,... Sworn 10 or affirmed And subscribed before me Ihls 4 th dny of OCTOBF.R I~ 'n7nnd ~.. {::~:~~~r8;Jlrr (Namr) (ArlrlUSJ) , ,-'" \)" '_\'\;.1'_" -';--i_ ,--;:~,:, ,O',r..':;1; .". II) ,fR_ !:i;~:i'1}r;r] '<t I 8 ~ -~ -,.--~ r, :-:.\ .' q .~, " '~J SJ 4; ~ w:s Gu .. t''j'; ;, ;'). t.lJ IDee ee ".' <' " of" 'i, '_'J:!' CERTIFICATION OF NOTICE UNDER RULE 5.6 tal Name of Decedent I Samuel K. Coble Date of Death I September 19, 1995 ! , Will No. 1995-00740 Admin. No. To the Registerl 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 October 19, 19951 Ii' .' HAM Address Margaret L. Sherman 4512 Florence Avenue Apt. E Mechanicsburg, PA 17055 4570 Sweet Bay Avenue Melbourne, Florida 32935 Samuel O. Coble Notice has now been given to all persons entitled thereto under Rule 5.6 (a) except I Date I October 19, 1995 1 , I I / 4ta s D. r, Esquire 1 West Ma treet Shiremanstown, PA 17011 (717) 737-8761 Capacity I Personal Representative X Counsel for Personal Representative .-, ,:, 'n -[ ~"-.I '1: o. CJ , ('I I I ,-, I f_' "-' I l.'"l \.: I p' jt :s fJU I I. .-.J ,.) (fiJ- ,~ t JAMES D, nOOAR ANDREW C. SJlBBLY JAMBS D, DOOAR An-OJlNBY AT I.AW ONI WRST HAltoI STltnUr SJlIIlEHANSTOWN, PBNNSYLVANIA ITOII TIlLItIIJlONB (TI7) TOT.o.el THUtcorlBR (7.7) 70f.gODO December 18, 1995 Mary C. Lewis Register of Wills CUmberland County Courthouse Carlisle, PA 17013 REI The Estate of Samuel K. Coble No. 21-95-0740 Date of Danthl SeptGmber 19, 1~95 Dear Mrs. Lewis I I represent the Estate of Samuel K. Coble. Enclosed is a check made payable to the Register of Wills in the amount of $1,767.00, same constituting a prepayment at discount on account of Pennsylvania inheritance taxes in the above-captioned estate. The prepayment is determined as follows: $31,000.00 multiplied by 6% or $1,860.00, less discount in the amount of 5' or $93.00, resulting in payment of $1,767.00. Please provide me with the appropriate ~eceipt in this matter. Your time and consideration in this matter is greatly appreciated. Very truly yours, t7 ~tl ~av JAMES D. ~ {chAR JDB/jeb Encl"s\',ra, CCI Margaret L. Sherman Certified Mail Z 435 661 246 00 !':; 0' \,(.; \.!i ..,,~J I"'"! I',j r.:J l'-' f:~ ., ..-. ,. -, ' ..,. -.--;' .."...:--~ -~.---- :,....---- ,..." "-'.. , , ~ . . '" \.. .~',- . . ;..' .I ...... , . ~ _..~. '.6.-- .' . ":~~.~,'~ :..;.;.~. ,,"., .-".'-"<-. JAMES D, BOGAR LAW OFFICES JAMES D. DOOAII, ESQUlIIE ANDIIEW C. SIIEEI.Y. ESQUIIIE . WEST MAIN STItEHT SIIIIIEHANSTOWN, PENNSYLVANIA 17011-0071 - ',' t" h..l'.I04::~ t~') ~~ .', . ", I"'!II "f ~ : . :l'~' .\!l..1I1 Z 1135 661 = MAIL - - ...."rlo,."n ...,I.\IoIII\'U o~6~~~,~ C-ODO .... :-; " ,- ; e: .> '0 r IV ~ 'Q) u - ld ..., C 'F, u: ~~ " " ,.;?/- 1.5- 1lfD MARY CLEWIS REGISTER OF WILLS CUMBERLAND COUNTY COURTHOUSE CARLISLE PA 17013 'IIIb' -.;,-, , ..>' . :.1 ;, 'it' '~ . ...,>: \'. ... , ~ . ! .f '1;~~:~~'i:~ih1~~~.:"'~~:fj:~":" ~--'-.~ :', :"':~'~'~',)>.~:~~:~:,.~-'----'"---- .,.----- -.,."..,-- ----.:: "':::' = .-- '-- .-..,)' .1'" ~ ....\:'., " ". ~' 'r- " '~J;" { \ '. ) Ii , ( \.. I ! --J.\......- . _. ..-. "'_ ......_ .... __ 6 l------------------------------------------------ I ! E. :~;:'.N...k.;.A...... '~):da..i429 ," '"Cc)MMONW. EALTHOF PENNSYLVANIA . lI.r..,,' .... ;'." '.", DI'ARTMINT O. RIVINUI ;~...il~,~il~~~{' \,.;,:/';OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX , '* RECEIVED FROM, & ACN ASSESSMENT P:I CONTROL 1;1 NUMBER AMOUNT BOGAR JAMES D 1 W MAIN STREET 101 .1.767.00 SHIREMANSTOWN, PA 17011 '0.0 HUI ESTATE INfORMATION, fa fiLE M8ER el-1991!5-0740 EJ NAME Of B5iJfrtT S,!lMYEL K I!'I DATE Of PAYMENT Iii le/eO/91!5 n POSTMARK DATE ... letlS/91!5 COUNTY CUMBERLAND SSN 181-07-7309 (fIRSTI (Mil DATE Of DEATH 09/19/915 REMARKS MARGARET L SHERMAN CIO JAMES D BOGAR ESQ. CHECK. 1001 m TOTAL AMOUNT PAID .1.767.00 oCT (J '. /, ('I RECEIVED BY / ,'~. i L ". ~:' (~O( J I ,:'1 '-' , I NA "j ,/ ' / MARY C. LE IS '-<"1'I((."JjI/;/f REGISTER OF WILLS , SEAL REGISTER OF WILLS ------------------~-~~~~~-----------------~----~- "'l ''1 " . I 0,' . ~ . . .' , ._... __ 6_" - --- .._- -~ ~ _ J ~_ .J . . -:---- ---........ ,-' ..-....-....A. ......... I . \. UY,ISCO IX. j1.QA' .' ~ COMMONWUllH Of '(NN!lYIYANIA DU'AIl.1MfNl O' II(VENUE DE" 210001 HAUISlUIl.O,'A 11121.0601 o CIOIN' NAME l~"" . fll". AND MIOD~t INlTl.AU . .~ ..:5" h!"''' !C...... ~Ii! "'... ...is "'''' "'z flle I rJ - UI - 3 .T .OR OATIS A. DEATH AnER 12/31191 CHECK HERE If A SPOUSAL POVERTY CREDIT IS CLAIMED 0 flU NUMBIR INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) o 2. Suppl.m.ntal R.turn 0 3. D Ao. future 'nt.,est Compromh. 0 5. (for do'.. 01 d.o,h olllr 12.12.821 [](6. D'Cld,nt DI.d T.,tol. 0 7. O.e.d,nl Malntaln.d 0 living TruI' i_B. Tolol Numb.r of Soft O,poIU8o... (Attoch copy a. Willi (Alloch copy of Trultl See ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO. NAld COM'LfTl MAlllNO "OOIUS 15 ril :ll '" Coble Samuel K. SOCtAL neuI.TV HUM'U DAlf 0' DEAtH 2195-0740 COUNTY CODE YEAR Of IOtN' C ",'UIl AOOUU 325 Wesley Drive Bethany Vlllage Retirement Apt. 215 c.._ echanicsburg. PA 17055 Htttli.l.AII~N",uc"oN" OAn Of IIIIH 10/27/02 NUMI'k Cen. R.malnd.r R.turn (10' do'.. 01 d.o,h prlo, 'a 12.13.82) hd.rol eslol. TOIt R.lur" R.qulr.d 1 West Main Street Shiremanstown. PA 17011 43,851.02 ( 6) (7) (B) 43,851.02 10,395.68 33,455.34 -0- 33,455.34 2,007.32 2,007.32 1,860.00 147.32 147.32 21. If lIn. 18 h gr.ot., than lIn. 19, .nl., th. diffe,.ncI on lIn, 21. This I, ,h. TAX DUE. A. Enter the Int.,..t on ,h. balance due on L1n. 21 A. I. En'" ,h. '0'01 olUne 21 and 21 A on Un. 21 B. Thll II ,he OALANCE DUE. Mob Chut.. Po obi. tal RIgl.t.r of Will., Ag.nt >- BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH -< Under p.ncltl., 0' perjury. I dedar. thai I hay, uamined ,hi, r.lu,n. Including accompanying Ichedul.. and Ilol.mlnlt. and to th. b,., of my knowl.dg. and b.lI.f, It i. Iru., corrld and campl'I', I d,c1or. thot all r.al .1101. ho. bun "porl.a at !rut mark'l value. D.c1aratlon of pr.parer ath.r than th. plnono ,.pr'I,nlatlv. Is bal.d on olllnformollon of which p,'pO'" has on knowl.dgl. U I(J,., 'GNAfU~~S Nt!!~'ONSI'U~"U lfU~'h1 ..oo~ns 4512 Florence Avenue, Apt. E DArl M'a.t e~1:I."!me 1m 0-..- Mechanicsburg, PA 17055 -t I"'....... SIGNAlU 'lU IE fH(lrttAN_.,.UIN,..UVI AOOllln 1 West Main Street OAll Shiremanstown. PA 17011 1. R.ol Ella" (Sch.dul. AI ( 1 ) 2. S'oc~. and Bond. (Schedul. B) (2 1 3. Clo..ly H,ld SlocklPorln.nhlp In,.r.1t ISch.dul. C) I 3 1 A. Mortgag.. Dnd Not.. Recelvabl. (Schedule 0) ( 4 ) 5. Cash. Bank Depollts & Mlle.llon,oul Plnanal Propltly (S I (Schedul. E) 6. Jointly Owned Prop.")' (Sch,dul, Fl 7. Tron.l", (Sch.dul. G) (Sch.dul. l) 8. T010I Oron A.."I (10101 lIn,. '.7) 9. Fun.ral EJlpln.", Admlnhlrotlvl COI". Mllcellaneoul e.Pln... (Schedul. H) 10. O,bll, Mortgagl Llabilitl... Uens (Sch.dul. I) ". Talal Oeductlons (10101 Un., 9 & 10) 12. Net Volue of eltol. Illn. B mlnul line 11) 13. Charltabl. and Goyernmental BlqUII" (Schedul. J) 14. NI' Valu. Sub let 10 To. lIn. 12 minuI lln. 13) 15. Spousal Tran,'.n (for dOl., of death oft.r 6.30.9.&1 S.. In"ructlon. for AppUc.obl. P.rc.nlag. on R.v.r.. (151 Sid.. IInclud. volu.. ham Schedul. K or Sch.dul. M.l 16. Amounl of lIn. 1.4 loxobl. 01 6% ro" (Includ. valu.. from 5c.h.dule K or Sch.dul. M.l 17. Amounl of lint 14 to..obl. 01 15% rol. (Includ. valu.. from Sc.h.dul. K or Sch.dul. M.l 10. Prlnc.lpol to.. due (Add 10.. from Un.. 15, 16 and 17.) 19. C,.diU Spousal Poverly Credit P,ior Palm. nil Dilcount + 1,707.00+ 93.00 20. If lIn. 1911 grealer Ihen L1n. 18, .nler Ih. dlH.r.nc. on lIn. 20. Thllls Ih. OVERPAYMENT. aD .4lIrr.r:1...lhU'.........................U.llt......ITI'lTo...'..'I..........'U!.1U'........ 181-07-7309 9/19/95 II' ,,'hr<AUlllllhl'llHO If'O\fU'1 NAI" ",.1.". "III "NO ,.IDDlt IN.IIAU [](1. o~. Orlglnol RtlUrn lImit.d Ellalt James D. Bo ar, tUl'HONI NUMIU 737-8761 :z '" 5 ~ :ll '" z '" ;:: .. ... ::0 ... .. '" u .. <C ... Esqu re (91 9,182.18 (101 1 .213.50 (11) (121 (13) (14) 1C._- (161 33,455.34 )( .06 . (171 )( .15 II (18) Inl.r,,' (19) (20) (21) (21A) (2111 Act '48 of 1994 p'ovlde. for the reduction of the tax rate. Impo.ed on the not value of transfer. to or for the u.e of the .pou.e. The rate. a. pre.crlbed by the .tatute will bel e 3% (,03) will be applicable for e.tate. of decedents dying on or after 7/1/94 and before 1/1/96 e 2% (.02) will be applicable for e.tat.. of decedents dying on or after 1/1/96 and before 1/1/97 e 1% (.01) will be applicable for e.tate. of decedents dying on or after 1/1/97 and before 1/1/98 e Spou.al transfer. occurring on or after 1/1/98 will be exempt from Inheritance tax, PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (....) IN THE APPROPRIATE BLOCKS. YES NO 1. Old decedent make a transler ond: b. retain the right 10 designate who shall use the properly tronslerred or Its Income, ............... x X o. retain the use or income of the property transferred, ....................................................... c. retatn a reversionary Interest; or ......................................................,......".................... X d. receive the promise lor IIle 01 either payments, benefits or care' ....................................... 2. II death occurred on or belore December 12, 1982, did decedent within two years preceding death transfer properly without receiving adequate consideration' II death occurred alter December 12, 1982, did decedent tronsler properly within one year 01 deoth without receiving adequate consideration'.................... to.................,... ......,..........,................ to.................... X X X 3. Did decedent own on 'In trust lor' bonk occount at his or her deathL..................................., X IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHED.VJ.Eoq A~~Clmij IT AS PART OF THE RETURN. "mo.) ;,~,".,. ,-,-~,Iel:) HZ: Zd 91 !:kill %. Sll!\~ !O J _ jiln,,!:! 10 ~:':Ji:_1 P,JIlIO::lOI:l . . ',v-..sr.. 11"11 .. SAFE DEPOSIT BOX INVENTORY CO_ONW'AIIH 0' ""'''''Y1VANIA OIU.tMINI 0' IIYINUI INHllnAm, ,.... DtVIUON 01" 110.01 H.....ltUIO,.... "121.0.01 PI.ol. Print or Type MUST IE COMPLETED IV REPRESENTATIVE Of fiNANCIAl INSTITUTION WIlERE SAfE DEPOSIT lOx IS lOCATED AND RETURNED TO AIOVE ADDRESS COUNTY COSE flU NUMBER SOCIAL SECURITV OR DEATH CERTIfiCATE NUMBER 07 - .10 (UAUI G. ~€o. r .s C( ;1:.7 + SltNIkCtl'1 'F/orrllce IZIP COOl! ISlAIfI ~. IN......II c. (NAMII - ISTlUT ADDJI.I!SS) IC'TV) ISlAIfI (1IrCOD!) NAME AND ADDRlU or rlNANCIAL INSTITUTION WHERE THE SAFE DEPOSIT BOX IS LOCATED (NAMEI /VI et/O'l ISTIfET ADDllfSS) .~ 11IPCODI! G. Nt/Ale- ISfAfUADDRUSJ b. (NAMEI (STRfET ADDRUSj ICITV) ISlAIf} IllP CODEI ICITYI IIII' CODEI ISlAIf} NAME AND TlTLI OF EMPLOYE TAXING THE INVENTORY e n'<1" '-.) WAS A WILL IN THE lOX? If "", a. Oat. 0' wll" b. Nam. and add,... of p."onol '.pr...nfall...., II named In the will IN......II (SlRUT ADDllUS) ICIIYI ISTAU) (I" COOfl c. Nam. and add,... 0' atto'n,y, If any IN......I! ,. ISfRUT ADDIlUsl IClfY) ISTAU) II"COOII Page L of 2.... SAFE DEPOSIT BOX INVENTORY ",-iNSTRUCTIONS 11) Calh. R.part total only. 12) Stock.. Llllln d.'all .y.ry common a, p,.f.".d c.rlillcal.. warrant or alh.r ligh" found in bo.. Slock. sr. 10 be designated by nome of company, certificate number, dole of cerlilicale, name In which itock j. reglitered, and numb.r of .har.. and clall of .Iack. 13) Obllgatlonl of U. S. Goy.rnm.nll Numb., of il.m., dol. of illU., foc. yalu.. nom.. in which r.gl".r.d and Iyp. 01 own...hip, I.... jalnlly h.ld, payablo on d.alh. ole. 14\ Bond.. o..lgnal. by nom., amaunl, ..rlal numb.,. or olh.r d..lgnatian. (B.ar.r Bond.) 15\ Bank and Saving I and Loan Pa..baok.. Slalo namo of d.po.llar, numb.r of book. 10., dol. app.aling In book, nom. of bank and b,anch, and balanc.. 16) J.w.lry, Calnl, Slampl, Manulcrlptl, .Ic. lI., and d...,lb. a. lully a. pOllibl.. 17) o..dl, Mortgag.., Cu".nllnluranco Pallcl.. a' olh.r .vld.nc.1 af Ind.bt.dn.... lI., and d.",ib. a. fully a. pallibl.. 18\ All oth.r cant.nll. ITlM DESCRIPTION I CERTIFY UNDER PENALTY Of PERJURY THAT THE ABOVE RECORD IS PERSON RECEIVING COPY Of CORRECT AND CO PLETI TO THE BEST Of MY KNOWLEDGE AND BELIEF. SAFE DEPOSIT OOX INVENTORY. 'NAU W~ A W .13((111"\ IN HAM ~ .& ,'((It (<.EC.4 IN Il AlA I K, ",culof(tria) OAdmlnlt,rOlor(ul...1 DEIIOII Reprl.lnloli." 0 Joint own.' 01 101. depolit bol. Allach addltlanal 8'h" " "" Iheel (II If n.c,,"ary ar UI. dupllcal.1 of Ihls page of farm. NOTE. " :l ~ - i ~ ~ I I u ~ is III il ~ l!i i 51 ~ ~ ; ~ ~D t.:l ~ ~ III Q)o Za= oe !!!z !;;!III u> OZ Iii- l!i '" ::Q Ii ~ - m ~ ' ~ .. ~l!i!a ~ ~ ~ ' . <:> V, ~ ~ -., i ~ ~ z ~ I ~ ~ ~ ~ I - , a - , ~ .- ! Ii u ~ .. \3 ! ~ - I ~~ ! "'z ! z.. .. z~__ III "-r ili I i::~ ; <l OONO: ~ <..l I - '. , 5~~~ a \J I :5i!CID I ~~ !!! z~ ~ I 0" r z ill 0 " ~ u -~ ~ ~~ . Co I:> f ~ Q & dilj .. . z.. .. <::> ~ - : U",!SOIUt p.llI " ~~ ~.'~.~ ~ CQMMOHWI!AUH 0' ,I!NNlnVANIA INHtlllANCt 'AX lnulN IUIDIHT DICIDINT SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY VALUE AT DATE OF DEATH .\ , " ESTATE OF Samuel K. Coble IAU pr....rty lolntly..ownod with tho 11th. .1 Survlvouhlp mu.' b. dllll...d .n Sch.dul. PI Plea Ie Pllnt or Type FILE NUMBER 2195-0740 D ~ .r t ITEM NUMBER ; 1. " .' " 2. ~~ ?~ \. > jf -;;. 3. ;' .i,' 4. , t ii 5. . ~ ~ i> ?>' 6. .,- u ~ ~, " " 7. 8. 9. 10. DESCRIPTION Personal property and contents of home U.S. Currency per attached appraisel Mellon Bank, NA Acct. No. 160-070-3571 principal balance $14,574.39 interest $7.56 total date of death value $14,581.95 Mellon Bank, NA Acct. No. 162-242-1152 principal balance $8,097.94 interest $3.05 total date of death value $8,100.99 Mellon Bank, NA Acct. No. 16-A31616C principal balance $10,000.00 interest $32.35 total date of death value $10,032.35 Mellon Bank, NA Acct. No. l60-001389C principal balance $10,000.00 interst $70.60 total date of death value $10,070.60 Bell-Atlantic - Refund Capital Blue Cross - Refund Capital Blue Cross Premium Refund Donegal Mutual Insurance Company Premium Refund TOTAL Allo enle, on line 5. Reea (AnQch additional ay,- M 11- ,h..1t If more 'pac. I, n..dld,l 500.00 24.50 14,581.95 8,100.99 10,032.35 10,070.60 1. 70 156.63 342.30 40.00 S 43,851.02 , . . . PH. (717) V38 -128~ PENNA. SA\..E5 TAX 67 -08 -214 -2 I' THE WITMER'S ANTIQUES --..... . ~'S~~\,)t. YORK HAVEN PA 17370 ' . . . . PENNA. SAI..ES TAX 67 -00 _214 -2 ~")., ,.PH. 17.'71 \130-1205 l' THE WITMER'S ANTIQUES R.D. I BOX 412 YORK HAVEN PA 17370 AUCTIONEERING Be APPRAISING SERVICES SPECIALIZING IN JEWLERY & GENERAL LINE ~~ ESTABI..ISHED 1947 ~~~ ""l~~ ~~~ ~~->..~ 't\"~~ . - ~~~ '\ " .. @ Mellon Bank Mellem n.uk. NII\. MuUnn Hunk Cl'llh'r 1'1l1~,. THIIII l'hU.,h'I,.hlll. 1',\ 1II1l11.THIII' (215)553-1585 February 20, 1996 James D. Bogar Attorney At Law One West Main Street Shiremanstown, PA 17011 Re: Estate of Samuel K. Coble Dear Mr. Bogar: In accordance with your request, the following information is provided as cf September 19, 1995. Please see attached information sheet. Please contact this department if you have any questions. Sincerely, .~;:~'-'/..ut-r.--r-e-. ,..' .. Mellon Bank, N .A. . . Written Communication (199-5355) P.O. Box 7899 Philadelphia, PA 19101-7899 we 482 ~hU; ... ... '" 0 ... III ... '" . . . . I '" 0 ... ... '" ... N '" ... '" '" I> Cl fl, .u R I> I> .... .... oW I> III .. III U:;J .. Ill'" .. '" 0 III '" III 0 " .u:i1 "" '" '" '" '" tJ11> I> ~I!I . . . . A oW ... A ... 0 ... 0 '~~~:2 co 0 '" I~ III ... 0 0 . . . . III "" ~ 11 ... CO 0 0 ... ... ... .u I> I> II s:I 0 .aJ ~:2~ij :;J ~ ~ ~ t>>, ~ foot C) I> Ii" R I :2 . I III '" III III 0 I . . . Ihh III 0 '" '" xuu . . . . . . . . ... '" N 0 IIlf':': '" ... x ~x Xf-t c; .u .. I> :l I> .. .u I> III tJ11ll .u I~~~ U !l U R ..... 'rot H "'I>'" '" ... 0 0 :i1"l:i1 . '" '" 0 0 ) . . . . .. .. ... ... '" '" I> .u I> g ~O~ ... '" '" '" URU III u '" '" ~ i w'm :U: . . . . ... co '" '" ... ... ... .u 0 .. O~Ullo .. R t:l1Il H I ~! I I I . H . . . . . U UIIlU:k i . . . . . . ~ U U t:lIIlHllo . . . X H H .u " I> .. ... ... IltJ1M it III '" '" tJ1 '" .. .. ~~.g..~ .. '" III H' ~ W' '" 0< ... N .. ;;: .. .. :B U .... .... u ... '" ... CI) " > III iCl&"lCl Il tJ1~ 8 oW " ... R 0 " ,Q ~gl>.88 "'0'" "UIll U U ,,':il ..... III ... U '" Il .. III .. ~ i~ '" .... '" '" Cl I> '" I l4 I ... '" .. llo I llo III 0 ... '" ... I ........ ... '" I I . I I "'I>... ::2 '" III , .' I ::I I lU CD I cu . . . . ~~ oll"'~ Im"'m gUQCI)U '0 toO 10 \D tU . . , . ....rnl""'4 .-tllJI""'4C11 llolllllolll ; ll~1JlIU.P'."1 " t!~ COMMONWEALTH o. ,eNNSYLVANIA INHUITANCl TAX UTURH RESIDENT OI!CEDIHT SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES Samuel ITEM NUMBER A. 1. Ploa.. Print or T . K. Coble DESCRIPTION Funoral Expon,oll Musselman Funeral Home, Inc. - Funeral expense 1. B. Admlnlltratlv. Caltll L. Sherman 164 - 28 ~2422 2. 3. 4. C. 1. 2. 3, 4, 5. 6, 7. 8. Porsanal Repre.entall.. Cammllllan. Margare t Social Security Number 01 Personal Repre.entallye, Year Cammllllanl paid 1996 AttarnoyFoe. James D. Bogar. Esquire. as per agreement Family Exempllan Claimant None claimed or paid Relatlan.hlp Add..1I 01 Claimant at decedent'. death Street Addrell City State Zip Code Probate Fee. & Short Certificates - Register of Wills Mllcollanoaul Exponlu, H & R Block - preparation of 1995 personal income tax returns U.S. Postal Service - Certified mail Mellon Bank - Check printing charges RESERVES: Filing fee for Inventory and Inheritance Tax Returns; cost to conclude administration of Estate including filing fee for First and Final Accounting and statement of proposed Distribution: preparation of Fiduciary Income Tax Returns TOTAL (AI.a enter an line 9. Recapltulallan) (II maro Ipaco II noodod. Inlort additional .h.otl of lamo Ilzo.) AMOUNT 5,018.40 2.190.00 1,437.50 87.00 25.00 2.52 21. 76 400.00 5 9 182.18 "V.lIlft.'IIOI6I C),~.O .' W COMMONWfAlht 0' PI,..N'.l'lM'lIA INH!lnANer '''I InUI,.. 'UIUINIOICIDfN' SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LlABLITIES AND LIENS ISTATE Of Samuel K. Coble FILE NUMBER 2195-0740 ITEM NUMBER DESCRIPTION AMOUNT 1, Bethany Village Retirement Center - final bill 75.50 2. U.S. Treasury - Reclamation of social security payment deducted from Mellon Bank. NA Acct. No. 162-24-1152 after the date of death 1,138.00 TOTAL IAI.o on'or on IIno 10. Rocopllulollonl (II mar. spac. is n..d.d ins.rt aclclitional .h..,s o( some slz.) $ 1,213.50 IIV.ISUfJtIU71 . ~,~.o) ~ COMMONWeAltH 0' pfNN'nvANI" INHIIIIANCI 'AX IUUIN I"IDIHI DICIDIH' SCHEDULE J BENEFICIARIES ESTATE OF Samuel K. Coble FILE NUMBER 2195-0740 ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR SHARE OF ESTATE A. Taxable Bequ""l 1. Margaret L. Sherman 4512 Florence Avenue. Apt. E Mechanicsburg. PA 17055 Soc. Sec. No. 164-28-2422 Daughter One-half of rest. residue and remainder 2. Samuel D. Coble 4570 Sweet Bay Avenue Melbourne. FL 32935 Soc. Sec. No. 186-18-7165 Son One-half of rest. residue and remainder I ! .. ~. ! ~; r ti- t 1 -~ i N~~rER NAME AND ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE 8. Charitable and Governmental Bequ""1 ! ,~ l. TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (AlIa Inlor on IInl 13, RlCapltulallan) S (If mar. 'pace I, n..d.d, In,.rt additional ,h.... of lam. .1..) '. j[[(tst 3JllIm attb ffiCShtlltCltt OF 5oIn1EL K. OlDLE l. 5oIn1EL K, OlBLE. of the T""118hip of Ilmpdon. Curbertand Colmty. Pennsylvania, meko, publish and declare thi. ae and for my Lest Will and Tasl:llment, hereby rellllking all ather Will. and Codiclle heretofore !Mde by 1m. ~l I direct the pa}'lrellt of aU my just debts end the 8l<pelUIes of my last illnesa and funeral fran my eetate. as soon after my death as conveniently ""y be dane. ~l 1 devise and OOqUl!ath aU the rest. residue and r"",wder of my estate of whatever Mture and IoAlerever aituste to my children. SN1UEL D. OlBLE and IWlG\RET L. S11E1l-W1, w equal shares. :!l!!l!!!l Should either of my children. SlI!UIll D, OJble and ~rgaret L, Shenmn, predecease 1m. I direct thet their eeparate ehare shaU pese to their respective issue. share and share alike. ~l My ExecutrfJc and personal representative shell have the faUowing powers in sdditian to those vested in them by law and by ather provisions of this Will. eppl1cabla to aU property. exercieable without court approvsl and effective ....til actual dietributioo of aU property I (A) To seU at public or privste sale, or to lease. for any period of time, any real or personal property and to give optians far sales, exchnnges or leasos, Cor Buch prices and upon such tenns or cooditiona as era de"",d proper. (D) To COOl'romlse any claim or controversy. (e) To invest In aU fanm oF. proporty. includlna stoc,,". COllton trust fuuIs and lTDrtgoge inveSlm!nts funds. without restriction to investm!nts authorized far Pennsylvania fiduciaries. as thoy de... proper. without regard to any principle of diveralfication, risk or Productivity . (D) To exercise any option. right or privilege granted in insurance policies or in ather inveslm!nts. '. (E) To mnke dietribut10ns to my herein Olllred beneficiaries in kind. E!m!' I direct that sny end sll inheritance. estAte snd trBIlBfer taxes lnp>sed upal my ootAte poss1ng under my Will or otherwise shell be paid aut of the principal of my residJary eetAtA. ~I I n>n1nate and sppoint MARG\IlJrr L. 51DWI. Executrix of this. my wt Will and Teet""""t. In tha event of the death. resignation or lnsbility to se""" Car sny reason \o118tsacver of the said Margaret L. Sher1Ml1, I n>n1nate snd sppoint So\K1EL 0, roBLE. Executor of this, my wt Will and Test:lm!nt. I hereby relieve my Executrix fran the necessity of posting security in connection with her duties as euch in sny jurisdiction in ...tUch she may be called upon to act insofar os I In able by law to do sa. IN WI'INE55 I..tIEREDF. I hew hereunto set my hsnd 2"'eo1 to ;I. j this, my wt Will Md Test:lm!nt. this 1'1 day af,,/}jp,:/i;./i-!;i: 1981. '/ :xi' y' ";fts) ~' ?l J ~(il~iirft;iJ .' FIlL) Signed. seeled, published Md declared by the allow Olllred TestAtor as and far his Last Will and Test:lm!nt in our presence. who at his request, in his presence md in the presence of each other I haw hereunto aubscribed our I1lm!S as attesting witness.e. Address 1ltn"IJ,9'~r' , ( )-)tl. ,:,'J:(, t( ,Y J>',,-;~ Address -2- TOTAL 500 .00 24 .50 14,581 .95 8,100 .99 10.032 .35 10.070 .60 1 .70 156 .63 342 30 40 .00 43,851 .02 Inventory 01 the real and personsl estate 01 ,J samuel K. Cob le deceased PERSONAL PROPERTY personal property and contents of home U.S. currency Mellon Bank, NA. Acct. No. 160-070-3571 Mellon Bank. NA. Acct. No. 162-242-1152 Mellon Bank. NA. Acct. No. 16-A316l6C Mellon Bank. NA, Acct. No. 160-00l389C Bell-Atlantic - Refund capital Blue Cross - Refund capital Blue Cross - premium Refund Donegal Mutual Insurance Company - premium Refund .... '!5if - N 0", 010;;: N <.I Q. C.) . ,9.;:- 0 ~ -!:.() 00 \0 ... :'" -1 .t1 '- . .~. fl) UJ ~ -; ~ ;j ot; . - ('~ 8'~ ,Ul ~ ';:;.0 wa: wE a: 08 . ., - COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND l. J u: Margaret L. Sherman bolng duly sworn occardlng to lew. dopa.e. end .ey. thet she is the Executrix of tho Estete of RAmll"] K. Coh le Iele a( __~~!'!E, ~.!~~!l_T~\'I!l!l.I1~IJ____ , Cumberlond County, Pe.. deceuod end thet tho within I. en Inyentory mede by her.. , the .eld Executrix of the ontlro OIteto of ..Id decodent. can.l.tlng 01 ell tho porsanol property end rOIl estote, oxcept rOIl estete aulllde the Cammanweelth of Penn.ylvonlo. ond thot the flguru apposite eech Item a( the Inyentary reprOlent It'. felr volue ~ II of the dete of decedent'. deoth. Sworn ond .ub.crlbod bofare me. ~11(}.. 1;/ r;.. /--<:T ci. ......!'~I/YI c.-- U e..cutor . Aclmlnhtr.for Margaret L. Sherman 4512 Florence Avenue. Apt. E /7~ 1/ 19 p/" ?-.uJ ~ .I!hrtl'o.f.,fy _ f Nolarla' Seal Joan E. Brolhers. Notary Public Shiromsnfltown floro, Cumbellnnd County ,.Iy Commlo.lon e'plros Fob, 12, 1991! i..~ ~l;!x'r, PCIVlS)tolnn:iJA:-.sod.lbOOof' b:~ ,; . Mechanicsburg. PA 17055 Addr... Dele of Deoth 19th Doy September Month 1995 Y.., INSTRUCTIONS I. An Inventory mUlt be flied within three monthl orter oppalntment of persanel ropreuntotlye. 2. A .upplement Inyentary mu.t be fIIod within thIrty dey. o( dl.cayory of eddltlanel o.,ell. 3. Addltlonol Ihooll mey be ettoched II to personelty or reolty 4. See Artlclo IV, Flduclorlo. Act of 1949. Po ."j ..c: III r:: ~ .,; ~ 0 .. 0 w E-o ~ ... ~ '" ~ .. w .. .... a.. Iii r:: u 0 0 QJ .. .. g C '" .. 0 w '" w QJ o-i .. .. I J: a.. LL o-i o-i .,; a.. k E In Z I- ... .0 .0: ltl 0 '" LL ... ~ 0 0 a.. :I: '" W 0 < IX U k to 0< o-i > Z QJ D:l Z 0 c C . ~ ~ '" z :.: 0 0 . a '" Z w < ..:I ... C a.. o-i -a QJ c III .. ::l - -.: QJ ~I a .. e ... -a ... ltl .. E Ulr . .. 0 ..., .. ~ u: 0 ... U CD 's:"L.- _ _ _ __ _-= !...__ I t I I I ....~. '. -. ..... .... ....... ~_. ---- ~--- - - --~ -..,- -.~--. .~._- ... ..-.- '.-+.- - .-.-- ..~. .~.-. -_... -.- -.~ --- -- _. ........- -- ..~~- ---.+ RECEIVED FROM, & ACN ASSESSMENT I!' CONTROL iii NUMBER AMOUNT BOGAR JAMES D 1 W MAIN STREET !v! ...4'..:Je SHIREMANSTOWN, PA 17011 tolD",,, ESTATE INfORMATION. m FI E N MBER II' 21-1993-0740 m NAME OF DECEDENT (lAST) 51 COBLE SAMUEL K II DATE OF PAYMENT B POSTMARK DATE COUNTY SSN 181-07-7309 IFIRST) IMII CUMBERLAND DATE OF DEATH REMARKS a1/17.32 VZ " ,I m TOTAL AMOUNT PAID ( SEAL MARGARET L SHERMAN C/O JAMES D BOGAR ESQUIRE CHECK# 1003 RECEIVED BY , '/' ItGNAJ'UIIf REGISTER OF WILLS MARY C. LEWIS REGISTER OF WILLS - - - - - - -- - - - - ~ -.- -- --.-'.- ---. - -- --- -- - -- -- ~- -.;:"-~' -~- .--. ....... - , '. I t--'. . . .( . , '.----- 11 -----~.___....Jl...H~ _ 'r",_ ......... .. ~.-- \. !/ 15 :)9,3 R!V"1547 EX AFP (12"95~ CDMOHWUl1l1 or pn~HSVlV"'NI'" 1M PAMI"I:HI or RtV[NUE BURr AU Of INDIVIDUAL TAxeS PI PI. IID601 IlAARIIIURO, PA 111111-0601 (\ L...... ACN 101 NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR DISALLOWANCE OF DEDUCTIDNS AND ASSESSMENT OF TAX DATE 08-05-96 o FILE NO. DAT! OF DEATH 09-19-95 COUNTY CUMBERLAND NOTE' TD INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBMIT THE UPPER PORTION OF THIS FORM WITH YOUR TAX PAYMENT TO THE REGISTER OF WILLS. MAKE CHECK PAYABLE TO "REGISTER OF WILLS, AGENT" REMIT PAYMENT TO: JAMES D BOGAR 1 W MAIN ST SHIREMANSTOWN PA 17011 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 I, Allount RanHt.d CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ~ ii'ili:is4i-Eif-"iipnm-':9!;"j"NtifiCEno,;-YN'HEiiiiliiicE-i:Ax-A'PPRA'iSEHENT-;-,U.l-owli'N"cE"oli--_m_mnnm DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF COBLE SAMUEL K FILE NO. 21 95-0740 ACN 101 DATE 08-05-96 TAX RETURN WAS, (X) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. R..I E.t.t. (Schedule A) (1) 2. Stack. and Bond a (Schedule 8) (2) 5. Clo..ly Hald stock/Partnership Int.r..t (Schedule C) (3) 4. Hortg.gal/Not.. Receivable (Schedule D) (4) 5. C..h/Sank Daposita/Hisc. Parlonal Property (Schedule E) (5) 6. Jointly Owned Property (Sch.dule F) (6) 7. Tran.fa,. (Schedule DJ (7) 8. Total A...t. APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funar.l Expans../Ada. COlt./Hisc. Expans.. (Schedule H) 19) 10. Debts/Hortgag. Liabiliti../Li.n. (Schedul. IJ (lOJ 11. Total D.duction. 12. H.t Valu. of T.x R.turn 15. Charitabl./Gov.rnMent.l aequ..t. ISch.dule JJ 14. H.t V.lu. of Eat.te Subjaot to Tax If an assessment was issued previously, lines reflect figures that include the total of 8hh ASSESSMENT OF TAX: 15. AMount of LinD 14 16. AMount of Lin. 14 17. AMount of Lin. 14 18. Principal T.x Du. TAX CREDITS: PAYMENT DATE 12-18-95 04-16-96 NOTE: at Spou.al t.xab1e .t taxabl. at rat. Lin.al/Cl... A rat. Collat.ral/C1... Brat. 1151 1161 (17) RECEIPT NUMBER AA082429 AA1l2737 DISCOUNT INTEREST (.) (-I 93.00 .00 I CHANGED .00 .00 .00 .00 43.851. 02 .00 ,00 (81 43.851. 02 9,182.18 1.213.50 1111 1121 1131 ' 1141 In,:'Iq~ ~8 33.455.34 .00 33.455.34 14, 15 and/or 16, 17 and 18 will raturns assassed to date. .00 X .00= 33.455.34 X .06= .00 X .15= (18) .00 2.007.32 .00 2,007.32 AMOUNT PAID 1,767.00 147.32 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 2,007.32 .00 .00 .00 . IF PAID AFTER DATE INDICATED. SEE REVERSE FaR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" eCRJ, YOU HAY BE DUE A REFUND. SEE REUERSE SIDE OF THIS FORM FOR INSTRUCTIONS. I -,'- ~f:t~, ~) ." ' ~\e:;';:~ ;-r",. '...j;. ~\\" 1~~ 'i,,}, ,~S '1," "-,~.l ~'f''':'-::-'':'Il_ r;,,' ~;;. ,j.;.',,\ r;>' ~;J !j~:;tJ t:~' t' t-~ !?~~ ~:j ~?'1 ';11 ':1 ~~.:,,) ~'i,:1 ,1 1Yi ,,1 ""'\ ~'::< - :':j '-.'.l ,','_1 ,:','1 ;-;: "j , ., ,j 'I , i , /1 f~ t :"11' ~l "J ,~ } tt ticl RESERVATION. PURPaS[ OF HonCEI PAYHENT. REFUND (tR) I . OBJECTIONS. AD"IN ISTRATlVE CORRECTIOHSI DlSCDOHT I PENAL TV. INTEREST I ;.' -;...":....._~.:-". .;. ,. 1311 ) :;; '~-')~ - ':"l N 0- l::~ -:>0.. " L'\ :- , ,I . ~; j J ::.:., ') l{' ~ '" ~. : .. 1:'J ..I' ,,:J -:-;'. ~.- 8':;> c. I.'.> 0>0: 0: Elt,t.. of dlc.dent. dying on or bl'or. Dleaab.r 12, 1982 -- If any future Int.r..t In the I.t.t. 1. tranlflrr.d In po.....lon or onJov..nt to el,.. I (colla'.r,l) blns,le..rl.. ., the dlc.dant .,t., the Iwplr.tlon of any ..l.t. for 11'. or for v..r., the Coaaonw..lth h.r.by Ixpr...ly ro..rv.. the right to appr.I.. and ...... tren".r J~rltenc. ,.... .t the lawful Cia.. . (coll.t.r.l) r.t. on .ny .uch future Int.rl.t. h; .D "= t: ill:> Uu ~ To fulfIll the r.qulr..ant. of S.ctlon Zl40 of the I~.rltanc. and E.t.t. T.x Act, Act 22 of 1991. 72 P.S. S.ctlon 2140. D.tlch the top portion of thl. Hotlcl and .ubalt wIth your p.v..nt to the R.al.t.r of Will. prlntld on th. r.v.r.. .Id.. -."ak. check or .onlY ord.r plyabl. tal REGISTER OF HILLS, AGENT All p.y..nt. r.c.lvld .hell flr.t b. appll.d to Inv Int.r..t which .ay b. due with any ra..lnd.r .ppll.d to the t.M. A r.fund of . t.x cr.dlt, which wa. not rlqul.t.d on the Ta. Rlturn, ..y b. rlqu..t.d by co.,lltlng an ~Appllcltlon for R.fund of P.nn.ylvanl. Inhlrltanc. and E.tat. T.x" (REY.ISIS). ApplIcation. ar. av.lllbl. at the Offlca of the R.gl.t.r of Will., any of the 2S Rlv,nu. DI.trlct Offlc.., or by calling the .p.clal 24.hour en,wlrlng .arvlc. nuabar. for for.. ord.rlng, In Pann'Ylvanl. 1.8DO.S6Z.2DSO, out.lda Pann.ylv.nla and within local H.rrl.burg ar.. (717) 787-8094, TODI (717) 772.22SZ (H..rlng I.palr.d Only). Any party In Int.r..t not .atl.fl.d with the appral...ant, Illow.nc. or dl'lll~anc. of d'ductlon., or ......aant of tl. (Including dl.count or Int.ra.t) a. .hown on thl. Hotlca .u.t obJ.ct within .Ixty (60) d.y. of r'cllpt of this HoUca by, ..wrltt.n prota.t to the PA D,plrt..nt of R.v.nu., Board of App..I., Dept. ZIIOZI, Herrl.buro, PA 17121-1021, OR --.I.ctlon to have the a.tt.r d.t.ralnad at audit of tha .ccount of the pat.onll r.pr..antatlv., OR .-.pp..l to the Orphan.' Court. Factual .rrar. dl.cov.r.d an thl. ........nt .hould b. .ddr....d In writing tal PA D.p.rt'.nt of R.v.nu., Bur.au of Indlvldu.1 Tax.., ATTNI po.t A.......nt R.vl.w Unit, O.pt. 210601, Harrl.burg, PA 171Z8.0601 Phon. (717) 787.6S0S. S..'p.o. S of the bookl.t ~In.tructlon. for Inh.rltancl T.. R.turn for . A..I~t O.c.d.nt" (REY.ISOl) for an .xplanatlon of adllnl.tr.tlv.ly corr.ct.bl. arror.. If any t.x dul I. paid within t~rll CS) c.llndar .anth. .ftlr the dlcldlnt.. dlath, . fly. p.rcant (S~) dl.count of the tax paid I. allow.d. Th. ISX t.. a~l.ty non.p.rtlclpatlon p.n.lty I. cOlput.d on the total of the t.x and Int.r..t ......Id, ~ not p.ld bafor. Janu.ry 18, 1996, the flr.t d.y .ft.r the and of the ta. aan..ty p.rlod. Thl. non.partlclp.tlon p.nalty I. appa.l.bla In the .... .ann.r and In the the .... tl.. p.rlod a. you would .pp..1 the t." ~ Int.ra.t th.t ha. b..n .......d a. Indlcat.d Dn thl. nDtlc.. Intar..t I. ch.rg.d baglnnlng with flr.t d.y of d.llnqu.ncy, or nlna (9) _onth. and ~ 11) d.v fro. the data of d.ath, to the data of p.ya.nt. ,.... whIch b~... dallnqu.nt b.for. J.nu.ry I, 1'12 b..r Int.,..t .t the r.t. of .IM (6X) p.rc.nt p.r annua calculat.d at a dally rat. of .000164. All tax.. which bac... delinquent on ~ ,'ter J~'rY 1, 191Z will b..r Intlr..t .t . rata which will vary frol cal.ndar y.ar to c.l.nd., v..r with thlt r.t. announcld by tha PA D.p.rta.nt of R'v,nu.. The oppllcable Int.r..t r.t.. for 1982 through I". .r.. ~ tnt.r..t R.t. DaUy Intera.t Factor l!!r tnt.,..t R.ta n.llv Int.,ut Factor 198Z ZO~ .000M8 1987 OX .DOO2n 1985 I'~ .ODOU8 191a"1991 IU .Ganol 1914 1l~ .00OSOI 1992 .. .0002n 1985 m .DOOSS6 1995.1994 7> .000192 1986 In .000274 1995-1996 .~ .0002n ".Int.r..t I. calculated a. followlJ INTEREST a BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR ..Any Hotlc. I..u.d .ft.r the t.M b.coaa. d.llnqu.nt will rafl.ct an Int.r..t c.lcul.tlon to flft.en III) d.V' b.yond thl data of thu .......ant. If p.y..nt 1. a.d. .ft.r the Int.ra.t coaput.tlon dltl Ihown on thl Hotlc., .ddltlon.1 Int.r.at au.t be c.lculat.d. .- ,. "',.",_....."~"'_..,.".~,.,....,._",..":-",._-'-.."';..~."" . (; STATUS REPORT UNDER RULE 6.12 I 4 Name of Decedent. Samuel K. Coble Date of Deathl September 19, 1995 Will No. 2195-0740 Admin. No. Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules r I report the following with respect to completion of the administration of the above-captioned estatel i. State whether administration of the estate is complete: Yes X No 2. If the answer is No, state when the personal representative reasonabiy beiieves that the administration will be complete: 3. If the answer to No. 1 is Yesr state the following I a. Did the personal representative file a final account with the Court? Yes No X b. The separate Orphans' Court No. lif any) for the personal representative' s account is: c. Did the personal representative state an account informally to the parties in interest? Yes X No d. Copies of receiptsr releasesr joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report. Date: 09/13/96 (~"tIl b~t4 si'i;ature U F"; q <<r Vi ('oJ G: t:...:'( :~n. James D. Boqar. Esquire Name IPlease type or print) One W. Main St. Shiremanstown. PA 17011 Address ;,,< \0 N ~ io', (7171 737-8761 Tel. No. '-, '11 d1CC CC \(J ~" 'l; ~::J UU Capacity: Personal Representative I MAH I rmf/ AM3 ) X Counsel for personal representative