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I'ETITION Fon I'ltonATE l\IId GnANT 01" LKnEllS
;)/-Q5-'74-2..
No.
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__,______ IteNI5ler of Will. for Ihe
. /)"l'r/lSI'd, Coullly of CUMIlERI,AND In Ihe
SlIdal Srl'lIr/ty Nil. 196-22-8250 Connuunwenllh uf I'ennlylvllnln
The pellllou of Ihe ullllel5lgued le'l'eClfully lellle'enl5 Ihnl:
Your I,ellllouel('), who 1,ln,e III yenrs of nge III older nnlhe execul RI X
Inlhe Insl will uf Ihe nhuye decedenl, dnled JUNE 2
nllll cmllcll(s) ,Inled
nllmed
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(5lnlr ,rl"\,lll1l dIClllmIRlIC~I, e... 1C'lllllldnllul1, LleAth uf ruculnr. elt.)
Decendelll wn. domiciled nl denlh In CUMBERI.AND Connly, Pennsylvania, wllh
I. ER Insl fnmlly or IlrlnclplIl resilience nl 8 BELLMORE ROAD
CAMP IlILL. ~ 17011 (LOWER ALLEN TOWNSIlIP)
(lilt IUrtl, 1111111hrr and lIulIldJ1nllly)
Decendenl!,lhen 66 _ yelll5 of nge, died AUGUST I, IlIq~
nl 8 BELLMORE RO@. CAMP IlILL. PA .
l!xcepl n5 follow5, decedenl did nolmnrry, wn5nol dlvlllced nnd did nol hnye n child burn or ndopled
nfter execnllon of Ihe will orfeled for prohnle; wn5nollhe vlcllm of n killing nud wns lIeYer ndJudlcnled
Incompelelll:
Decendenllll denlh owned prul,ellY wllh e51hnnled vnlne5 ns fullow5:
(If domiciled In Pn.) All personnl properly $ 5.000.00
(If nul domlelled In I'n.) I'enonnl properly In l'emI5)'lynnln $
(If nol domlelled In I'n.) l'er51lllnl properly In Counly $
Vnlue of renl eslnle Inl'enn5ylynnln $..1lll..Dnn nn
sllllaled liS follows: 8 BELLMORE ROAD (LOWER ALLEN TOWNSIlIP) cAMp IlILL. PA
WIUlRl!I'OItl!, pellllonel(s) respeclfully re'lUesI(5) Ihe prubnle of Ihe last will nnd eodlcll(s)
preseuled herewhh lIod Ihe grnnl of IeUe" TESTAMENTARY
(It'slnlllt'lllnfY; Rllmlll151rallnn c.t.a,1 ndllllnlsl.allDII LI.b.l1.c.l.a.)
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SANDRA K. IlAMBLEN
2211 IlYDE LANE
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OATil 01;' i>>EltSONAL IUWnESENTATIVE
COMMONWEALTH OIII'ENNSYLVANIA } as
COUNTY 011 --!.:UMRF.RT.lINn
The pelltluller(5) nbove-llnmcJ 5wenr(5) or lIrr1rm(5) Ihnllhe 51nlemenl5III Ihe foregolllg pellllon nre
Irlle IIlld correcllo Ihe be,1 of Ihe knowledge nUll hellef of pellllollcl(5) nlld Ihnl n5 penollnl repIC'CIl-
1IlIIye(.) of the nhove deccdelll pClltloller(5) will well nlld Irllly ndmllllsler the c'lnle nccordlnglo Inw.
Sworn 10 or nfflrmell nlld sllh5,'rlbed { ~'--' ~, jQja.-nb ~/) '"
hefore me Ihl5 7t1L-_ dny or cli'
Se~,er (\19__..95.... ~
16-59 _5JII"I~ ~AR~"C'."~tw~"\'k::~:',;~ ~
Nil. ~q'i-7a7
Esl!Ilc IIf
I Deceased
SIIlRLEY B. GLOTFELTY
UEClum 01<' ..I(OnATE AND GUANT OF LE'."mUS
10
^NIl NOW OCTOB.EL 19....9.5.-, In con,ltlerallon of the pellllon on
lhe reverse sltlc hcrcof, slIllsfnclory plOof hllylnH becnllrc'cnlctl before lIIe,
IT IS IJUCIUmU Ihntlhe Insllnlllcnl(s) tlnlctl JUNE 2 ,1992
tlcscrlbetlthercln be atlllllltctllo probnle nntl fIIctl of rccortl os the laS! will of
, SHIRLEY B. GLOTFELTY
TESTAMENTARY
SANDRA K. HAMBLEN
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anti Lellers
ore hereby granletllo
FEES
Probate, Lelters, Ele. ......... $200.00
Shorl CerUncale'12 ) .... .. .... $ Ii n n
Renul1clnllon ................ $
Bond 15.00
x-pages & JCP $22.ll. 60-
TOT^L _ $ ~ .nn
Fllcd q9:X:<?!3.F;~. .~P.....~ ~~.~........ .....
'Inn.... j (~ :t'1H";", p.... P A SJ.lp'j:
o II..",., of Will. ...'"
S\i j~\AKt:~351
-1Jt A1TOltNUV (Slip, Cr. 1,0. No.)
MARKET SQUARE BUILDING
MF.CHANTCSRIIRf:' PA 17n~~
ADOIIIlSS
717-766-3172
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BOND
REGISTER OF WILLS OF CUMBERLAND COUNTY
BOND AND SURETY FOR PERSONAL REPRESENTATIVE
KNOW ALL BY THESE PRESENTS, That
SANDRA K. HAMBLEN
as prlnclpal(s) and -WESTJ<RN S"RJ<TY CO.
as surety (sureties) are held and firmly bound unto the Commonwealth or Pennsylvania In the sum or
Ten Thoussnd
dollars ($ 10,000. OPto be paid to the Commonwealth, ror which payment we
do bind ourselves, jointly and seyerally, our heirs, executors, administrators and successors, the
condition or this obligation being that Ir Sandra K. Hamblen
as (state fiduciary capacity)
Execu t rix
or the estate or
Shirley B. Glotfelty
, deceased,
or any or them, shall well and truly administer the estate according to law, then this obligation shall
be void as to the personal representative or representatlyes who shall so administer the estate and his
or their surety or sureties; but otherwise it shall remain In rull rorce.
Signed and sealed this
Intending to be legally bound hereby.
29th
, each
day or September ,19 95
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Sandra K. Hamblen
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Western urety Co. .
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POWER O.r- ATTORNEY
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WARNING: IT IS ILLEGAL TO AUEfl THIS COpy on
TO DUPLICATE ny PHOTOSTAT on PftOTOGnAPl1.
COMMONWEAL TIt OF PENN8VLYANIA
DEPARTMENT OF U[ALl" VITAL "ECOhOS
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
CEAT. NO. 2769634
Aug. 12r 1995
D.I_ olluu. 01 Tn.. C..lilOUllllltl
Name of Decedent
SHIRLEY
FIf"
BLANCHE
GLOTFELTY
'''''It.t'-
.....
Sex
Female
Social Security No,
196-22-8250
Date of Death
Aug. 01 r 1995
Date of Birth Apr. 25, 1929 Birthplace SaHsbury r Pa.
Place of Death 8 Bellnore Re'r Camp Hill
r'tll'lyNam.
Cwnberland
Race
White
Cu"n"
Lower Allen Twp.
City, 1I00ough IIf To","",rup
Penn8vlvanla
No
Marital Status
Widowed
Occupation
Decedent's
Mailing Address 8 Bellmore
U<J"''''''
N. Hamblen Funeral Director
Homemaker
Armed Forces? (Yes or No)
Road
fot,...,
Camp Hill, Pa. 17011
Informant Sandra
Name and Address of
Funeral Establlshmont
e,t, or Town
5'...
Donald Lynn Newman
Newman Funeral Homesr P.A., 155 Main st'r
Grantsvil1e, Md. 21536
Interval Between
Onset and Death
Part I: Immediate Cause
(a) probable myocardial infarction
(b)
(c)
(d)
Part II: Other Significant Conditions
Manner of Doath:
Natural IKI Homicide 0
Accident 0 Pending Investigation 0
Suicide 0 Could not bo Determined 0
Describe how Injury occurred:
Name and Title of Certifier
Michael L. Norrisr Coroner
Address 405 Fairway Driver Mechanicsburg, Pa. 17055
(M,D,. 0,0.. Coroner. M,E,)
Aug. 11, 1995
Oa,.lu.o;f1ht(l by lOC'1 "toll' II'"
correctly copied from nn original
a ~~::e fOnYorded
~1I
certificate of
to the State
This Is to certify that Ihe Information here glvan
death duly flied with me as Local Registrar, The
Vital Records Ofllce for permonont filing,
56-515
U'''''r1No
326 Main st., Mey rs ale, Pa. 15552
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LABT WILL AND TESTAI'ENT OF BHIRLEY B. BLOTFELTY
I, BHIRLEY B. BLDTFELTY, of the Town.hip of Low.r All.n,
County of Cumberland and State of Penn.ylvania, being of
sound and di.posing mind, m.mory and und.r.t.nding, do mak.,
publi.h and d.clare this my Last Will and Te.tam.nt, h.r.by
r.voking and making void all form.r Wills by me at any time
h.retofor. madll.
1.
I dir.ct the paym.nt of all my Ju.t debt. .nd fun.ra1
.xpen.e. as soon aft.r my d.c.... a. the same can
conveniently be done.
2.
All the r..t. residuII and r.mainder of my e.tate, r.a1
personal and mixed, of what.ollver nature and wh.re.o.v.r
situat., I giv., deVise and bequeath to my sister, SANDRA K.
HAMBLEN, absolutely and in fee simple.
3.
La.t1y, I nominate, constitute .nd appoint my sister,
SANDRA K. ~, Executrix of this, my Last Will and
T..tament.
d.
, ~.
.'
!
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..
.
.'
.....
,
,
.,
IN WITNESS ~~. I have hereunto .et my hand and .eal
this 2nd day o~ 3une, 1992.
(SEAL)
Signed, ..aled, publi.hed and declared by the above-
named SHIRLEY B. GLOTFELTY. a. and ~or her La.t Will and
Te.tament, In the pres.nce o~ us, who, at her requ..t and in
her pr..enc., and In the pre..nce o~ each other, have
hereunto .ubscribed our names a. witne.s.s.
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V //C.?.A..L;t>/....... jLt? C4'4'~'
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- 2 -
JOHN M. EAKIN and MARILYN KAY EAKIN
lOOllIiI
(each) a subscribing witness to the will presented hcrewlth, (each) being duly quallned according to
law, deposc(s) and say(s) that THEY WERE present and saw
SHIRLEY B. GLOTFELTY
the testDI RIX , sign the same and that THEY signed as a witness at the
reqUest of testal RIX In " ER presence and (in the presence of each other) (In the presence of the
other subscribing wltness(es)).
17055
REGISTER OF WILLS OF CUMBERLAND COUNTY
OATH OF SUBSCRIBING WITNESS
Sworn to or affirmed and subscribed before
me this 7th day of
!;RPTRMRRR 19.9..5...-
11) 0 ~'~ (l, t~ " ." cfS:" p P,
MA Y C. LEWIS l'(,JL~eglster
l~
1Y/1I1?/L'/ JJ It.AY EAKIN
MARKET SQUARE ~NG
IIECII.\NICEBllRQ, P.'. 171133
(A ddress)
REGISTER OF WILLS OF COUN Y
OATH OF NON.SUBSCRIBING WITNES
testal of (one of the
(each) a subscriber hereto, (e
that
to the best of
Sworn to or affirmed and su
me this
(Name)
Register
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D ~o!;~A 082400., COMMOND~:~~~T ~:R~~:~:YLYANIA','~. ... ~.,..!: ;,LD (
..~;... ';1.,..' ' "OPFI AL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE,TAX ~
( ACN"-..
RECEIVED FROM, \ i A~~~~~6~T' -m AMOUNT
NUMBER
I I \
EAKIN JOHN M
MARKET SQUARE BUILDING
/
101
.10,663.97
-'
MECHANICSBURG. PA 17055
- ,00D Hilt 10.0 HUI
ESTATE INFORMATION:
I!:'I FILE NUMBER
~ 21-1995-0742
II NAME OF DECEDENT IlAST)
II DATE OF PA M T
m POSTMAR E
COUNTY
.-.-
/'
I
SSN 196-22-8250
IFIRST) IMI)
REGISTER OF WILLS
m TOTAL AMOUNT PAID .10. 66~7
" SK
RECEIVED BY 'J il ,I ",/:,,',..,) ,..i<..//
SIGNATUY: / - di
MARY C. LE~IS ",.< /1:j,N/.~j 'I{
REGISTER OF WILLS
DATE OF 0
REMARKS
SANDRA K HAMBLEN
SEAL
CHEC~ 002
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20. If Lint 191, 9"01" than lIn' 18, .ntt' ,h. difference on lIn. 20. Thl, 11th, OVERPAYMENT.
aD
21. If lint 181, great.r than lIn, 19, .nt.r ,hi dlfferenct on lint 21. Thl, 11th. TAX DUE.
A. Enter th,lnl.rlll on the balance due on Lint 21A.
B, Ent" Iholatal alllno 21 and 21A on lIno 21B, This I"ho BALANCE DUE.
Make Chide Payabl. tal Rial.,., o' Willi, Aglnt
- ',;?JllJ1fi!.y,;, l:~BI SUU,TO 'ANSWlRALL aUlmONS ON RIVIISIIIDI ANDTORICHICK'MATH' . - ,t ;--
Under penaltl.. 0' perjury, I declare thai I have uamln.d this return, Including accompanying uh.dul.. and Ilof'mlnll, and 10 the b." of my ~nowl.dg. and bell,f,
It I, tru., correct and compl.,.. I declor. thot 011 r.ol ..tolt hos b..n reporttcf ollruI markt' volul. O,c1arallon 0' p"por., oth" than the plnanal r.pr...ntatlve II
bo.ed on alllnformallon of whIch pr.par.r has any ~nowl.dg.. .,
St~AlUlI 0' PIUON ~npo I, '011 flUNG UlUlIN ADDIUS ! I !. ,/ /' DAlI,', ,
--2. ~, . -- ~i l;JlLn ~!~ /i 1,f!,4' '.:,J-'. ."..t .. )j:.l ,r/ ,.-,t;!,
SIQNAfU o. PU, III 0 HfIl THAN IIEPllSlNUTlvt ADDIUS DATI ,
\ ';t/!1 /.tl '/ l,-tl ,(, ( l /../1; ,/,') (.~, ,r -< " l,.~. /;; /1 /1;/ .~/f
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fOA DATlS Of DIATH AnlA 12/31/91 CHICK HUI
" A SPOUSAL
POVIATY CAIDIT IS CLAIMID 0
,iLl NUMIIA
2\
COUNTY (!JDE
COMPI I AOOI ,
~b
J
DC W'
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
W)TH REGISTER OF WILLS)
95
YEAR
742
NUMBER
COMMONWfAl1H Of '[NNSYIVANIA
Dl,ARlM(NT Of IllV[HUI
om 210601
HAIlRIUUIO. 'A 11 2UI6Ql
01 N 'SNAM IiA . I .ANOMIO I
INIIAII
8 lie llmore Lane
Camp 11111, I'A \701\
(oun' Cumberland
AMOUNt IICIIvlD IUlIN".Ue1l0"""1
8
iii
III
..
o 3. R.malnd.r R.turn
(fa, do... 01 doa,h p,ia, '0 12.13,821
o 5. Fed.ral E.'ale TOIt R.turn Requlr.d
Glotfelt
SOCIAL ueUlln NUMUI
IJI 1. Original R.turn 0 2. Suppl.m.ntal R.turn
o A, lImlt.d E.lat. 0 040. future Inl.r." Camp rami..
(10' dot.. of doath alt" 12,12,B21
[] 6. D.ced.nt DI.d l..tol. 0 7. D.ced.nl Malnlolned a living TruU
(Attach copy 01 Willi (Attach copy 01 T'""I
'AU;CORRISPONDENCI AND CONFIDENnAL TAX INFORMATION SHOULD BI DIRECTED TOI y.- t,l,!"i'J.;U',f-,,!
COMmn M.AIIIH ...00_
Market Square llu1ld1ng
Mechan1csburg, PA 17055
_ 8. lolol Numb.r of Saf. D.pa.1I Ba...
{';1/i::1t'
~,i'::.!
John M. Eak1n.
IUlPHONI NUM'II
717 766-3172
Es u1re
(II $89,900.00
( 21
( 31
( 41
(51 3.032.39
( 61
(71
(81 92,932.39
z
..
5
!
a:
1. Roal E,tato (Schedulo Al
2, S.ack, and Bond. (Schodulo BI
3. Clal.ly H.ld Slo(~/Partn.nhlp In,.r..t (Sch.dul. C)
A. Mortgag.. and Notll R.celvabl. (Schedul. OJ
5. Ca.h, Bonlc O.po.llt & Mllc.llan.ou. P.nanal Prop.rly
(Schodulo EI
6, laln1ly Ownod P,aporty (Schodulo FI
7, Tranllo" (Schodulo GI(Schodule II
B. Tolal Gran Au." (tolallln.. 1.7)
9. fun.fal Exp.n.... Admlnlllrallv. Co,", Mltt.llan.au.
Exp.ns., (Sch.dul. HI
10. D.bl', Martgag. lIabiliti.s, U.n. (Sch.dul. I)
11. Ta.al Dodudlan. (.a.allln.. 9 & 101
12. Nit Value of Eltal.llln. B minus lIn. 111
13. Chorltabl. and Governm.ntal B.qu.'" (Sch.dul. J)
,,,.. Nil Value Sub .ct 10 lax lIn. 12 mlnu.Un. 13)
15. 5pou.al Tran.f.,. (for dot., of death oft.r 6.30.9",)
S.. In.tructlon. for Appllcabl. P,rc.ntagl on Reve,..
SId.. (Includ. valulI from Sch.dul. K or Sch.dul. M.)
16. Amount of lIn. 1A laxabl, at 6% rate
(Includ. volu.. from Sch.dul. K or Sch.dul. M.)
17. Amount a' lIn. 1A taxabl. at 15% ral.
(Includ. valu.. from Sch.dul. K or Schedule M.)
18. Prlnclpalla.lt due (Add tax from lIn.. 15, 16 and 17.)
19. Cr.dill Spousal Poverty Cr.dll Prior Paym.nll
Dllcount
Inl.r..t
(91 -1B...9.lB...J 6
(101 2.920.9\
(151
(161
(171 71.093.12
(111 'I,R1Q 77
(121 7\,093.\2
(131
U 71,093.\2
x._-
)( .06.
)( .15 . -1Q.663.97
(IB)
(191
(201
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i
.
B
a
CIH'(~ hew.' you me Il'IlUC\ting n rcfund 01 you, oV("(lnynwnt.
(211 ~63,97
(21AI
(21 BI $..lQ...h6 3 97
Act '48 0' 1994 provldo. 'or Ih. r.ductlon 0' Ih. lox rolo. Impo.od on Iho nol valu. 0' Iran.'.r. to or 'or
tho u.. 0' tho .pou... Tho rat.. a. pro.crlb.d by the .Ialulo will bOI
o 3'l1. (.03) will b. oppllcablo 'or ..tal.. 0' d.c.donl. dying on or aft.r 7/1/94 and be'or. 1/1/96
. 2'l1. (.02) will b. appllcablo 'or ..Iat.. of doc.donls dying on or aftor 1/1/96 and b.'or. 1/1/97
. 1'l1. (.01) will b. oppllcabl. for o.lato. 0' docodon" dying on or aft.r 1/1/97 and b.'or. 1/1/98
o Spou.al Iran".r. occurring on or aft.r 1/1/98 will bo oxompl from Inhorltanc. lax.
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING A CHECK MARK (...) IN THE APPROPRIATE BLOCKS.
YES NO
1. Old decedent make a transfer ond:
a. retain the use ar Income of the property transferred, .......................................................
b. retain the right to designate who shall Ule the property tronsferred or Its Income, ...............
c. retain a reversionary interest; or ...................................................................................
d. receive the pramlle for life 01 either poymenll, benelltl or care' .......................................
2. If death occurred on or before December 12, 1982, did decedent within two yean preceding
death transfer property without receiving adequate conllderatlon' 1/ death occurred ofter
December 12, 1982, did decedent transfer property within one year of death without receiving
adequate consideration'.............. .................. ....... ................ to.. I.... ........................ H'.......O
3. Old decedent own an 'In trust for' bank account at his or her death.......................................
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YESr
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
1'-
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-UY.I5Q2 ~+ 112.1S) ,
W
COMMONWeALTH Of PENNSYLVANIA
INHUIlANCf tAX aEtURN
ltESIDENT DEceDENf
SCHEDULE A
REAL ESTATE
_______1..____ __n___..__
_..------'fLENUMBER------------'
ESTATE O'
Glotfelty, Shirley G.
..__________21.=2:i=-1...4L__
(Preporty lolntly-awnod with Right of Survlyarshlp mu.t bo dlscla.od on S.hodulo '1 All roolo.tato .hauld bo roportod ot fair mo'~ot valuo
which I. donnod a. tho prlco at which proporty would bo o..hongod botwoon a willing buyor ond a willing 10110', nolthor bolng compollod
to bu or loll, bath haying roa.onablo ~nowlodgo of tho rolovontf,!c1.. ___,_
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
Of DEATH
1.
Houss and lot of ground - 8 Bellmore Roid~Camp Hill,PA
Sea ettached Settlement Sheet
$89.900.00
.
TOTAL (Allo onlo' on IIno I, Rocapllulatlan)
(I' more 'pace I. n..ded, insert acldilional ,hilts 01 10m. size.)
S 89.900.00
A. SETTLEMENT STATEMENT
u,s. Dapnrlmalll 01 110"81110
nlld U,bnn DayolullmOll1
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1111111' 111"hd.~I~,'!..~_~,!"IJ~k~!,:"~.~~~~.I~~~L.~~~~~!..I~ ~11t)l1l..liUn I!~"I'O'"' lI..d .r. not ~lC~ll.d .,".. hIl''',
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6ETtLEMENT 6TATEMENT
rAGE P
L 6lITil~.M~J!'r~lL@jj~~J________-1iljUjMJ _IW;! --~ -ji;.lUfiioM ' p;.lifrnoM-
2!!!?.:...l!l'~~.!^lFGlIII!.~ur8 ~.!!MMm!'.~l::l~!.!!~!!!!2LP~~ .1'2 1__~.u.tQIJ.lV!...._,:-.___~,;!.:u.,ml DonIlOWEII'6 6ELLEn's
Uhlslotl}11 t:UrllltllUkl!!lIilIO 100' II 'ollO!l'-': _ - fUNDS AT rUt/DS AT
'Q', . 3..li~I,jJU..!U\'.IILUlY~?Ltl~dc,",1i - SETlLEMEllT SETlLEMENT
'02. , ?.~1~~OlLlo Ill:.1lW.J~UY1:Il
1OJ. Con_nIUk'" [laid "I SIUlo<lI.111 6.293.0U
'0<,
.000 ITEMS PAYADLE III coflNEclIiiIl'WiYi[Ioi'[N P.U,,~IIl_
8UI.loll'l O'...,~lllloll ho ..
1lO1.\.Oln Ufltounl - .. :J!UIl'Ji._HJl.tiJ{I!jo - --.i..lUlWiU
003. ^PPI.lllir-;. " ~a!J~U')Jl1!J~UI2..- .lUU
004. Cll111C f1<<>[Ioll ,. illUuct...MlJ.t.!JilllO-. 50
l105.lentJot'a 'nlll(l('IIo'1 rllft ,~
006. MI~lltc.UOII roe "
110'. ^UUfI,'llon reo 10
-!!Ll'llll...MIE-_ !.,UiJU~t...~lJJ.:.LU~!J~ 1.9'/4.Jll
~1~ll;Hlc~tl", Sil1n~;:.1JlJllY~!J(! 22.50
810. UllllutUY.!IIL Fee st91~WillJa - 50.00
811.
uoo, ITEMS iiEOUliiEll'1iYIENDEn TO DE PAID IfniliViiflce
GOI. 'nl"'OII fUlfil uL.J1l/95 10 J?LQlL2~~.?5 ldo, 1 "ll'lL-- 'Co
002. MOIlgIge InlUlanco rll~m~m lu' "
003. lIe"'ld IlIIur'IICe P"'llllum IUf " t,
...,
llO5,
1000, nESEnVES DEP06ITED Willi LENDEn FOn
1001. flllAld In,uranu -111I0,",' 16.00Imo, 64.0U
1002. MOlIgIO' Inlurance 2 molit' 36,~LnlD, 72.72
1003. CI, r,oPIllI, 'a..1 5,11D.or, 9.52Imo.
1004, Counl, P/oPf'lIl' h.e. 5mo,{oj', 11~21Ino, 5'/,60
1005. ^,ulual AII""11Ol111 9 rn(J.G}I, 66.16 Imo. 595,11.
'000, lila_iii" Imo.
lOOt, nlo.G\-', hno,
'000, ^(llll'C~F!.l:.o ^dIUal:.lllclIl:. 67.31
1100, TITLE CHAnGES
1101. Selllllllenlllf clol~g loa " ~1lt.uU'-7~OI'Al'i Co
1102. IWlbllcl II' 1118 '0111:11 "
1103. Tlte ."In"llllon "
Ilo.t.1lt1a ."UlatICO b.ldOf "
1105. Uocumnlll P'lIPllOtlon " lIIJCQLQomIl~t1o
1100. Nollr roo. " UeBlal~~t~ NbtaLv 14.00
1101. Allomo,', r... "
"lCUde, ebOd lIonl, No: I
1108. 1I1a InlulltlCe " J\I1(1)/CbllcaLC:XI{l 'l'il:1n 536.'15
(ndJdal ebove limn. No: 1101 1102 1103 110<1 I
IID9.lerld8l" co......gll, 09. 'lou.un MM__
1110, Owncw', CO.....IO. I 09.900.00 --~- 536.75
1111. Ellda 11lll..JJl0.0.1.?1U 1\D.CD/CbuCDtCCJl]. 'l'iUn
1112, RxnrCDB fohll 1\lKU/CbrlQUl,;QJil 'l'lLlp.
1113.
t200, GOVEnNMENT nECOnOING AND TIIAt/SFen CItAnOES
IPOI. Oocoluho r..l: DoodS J~~Q.LMo~!g!.!----2J...u.lJ...L!!ll9a'D' , 35..JW
120'. CIl,lcounl, 1II/IIIUIlIIS: UOG.!.!..L.-Jl'.:tJJ~!.Q8 , .Jl22.JlJl
1m. fillle Tll/llltllpl: Ul1nd' 09~.9.Q..ill~~!!po , 09~Q
1204. -
1205.
'300, ADDITIOfIAL seTTLEMENT CiinnGES
1301. SuIV" "
1302. POI,lnlooclkm " ''m!L1~lllu-1= JU.Jll!
,:101, '1'nl\...Qll.t...[CQ I'W lluLL.l!rlor 3.00
~!LOlill!lo (1)'0111 \)Jtil;y..1ll.mJ.:ilct 5.00
'300,
'400. TOTAL SEnLEMENT CItA"GES 'enlor tin 1lI10S 10J Ind 002. Secllonl J IlId Kl 40U.2,'~t. " .,Co Con.
:';W.' :':':";'lc~~:i:: ~~. ~:'~ Ilh~:t:::::'.',~~~II:h:~:.:":.:~Nt,t,W~::''';~I~;.''.;I'..\~:,~~Nh-:II~JII'e~~~'::~II~c,,:,.-.:.~..~tlll"''''1 'I " Itnl,.. .... ........""....
\),. \ I ~ II, ,.Q;vlv..,,J,'1'h,ok-, r",,,!!,/
rU~:J.illt.atrl1-U --'-n,.;J../IIiTi..U- ....11' """.~r hllll
J.iJ.:iV...ti;~f1.U;L.Lllrll'lI '~'-n,,;",'Iliiii;ii-
~..;.~"::~i 11I1i"""iiiJfiII-~;;;;i;;;
f\ESI'A, un 4JOS.2.. nEv. IIUO.I(3/80)
i-1:'1:~\W..~~~"~ _,'i
11\1.110111.1).17)
'*'
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
Plea.e Print or 1 e
FI E UM8ER
21-95-742
COMlf,\l\1':I'~U~.~~ tr~~:~'NI'
~IIIDOO 0IC1D'i..f
Shirley G. Glotfelty
(All ".,..rtv ~.ttf"OWM4 wIth th. Il,hl of Su..l..nhlp mu.t ... dl"I...d .n S,h.dul. '1
ITEM
NUMBER
DESCRIPTION
VALUE AT
DATE OF DEATH
J. C. Penny - Insurance Refund
$1.283.56
100.00
16.83
300.00
1.)
2. )
3.)
4.)
5. )
Heridien Bank Account 3230-0472
West Shore School District, Tax Refund
1981 Cedillac.Sale price reported
Houaahold furnishings. Appraisal Attached
1.332.00
TOTAL AI.o enter an line 5, Reca Itulallan 5
(""am addItional 8M!" )C II" .huflll more 'pac. II n"d.d,)
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00150
1\. ,/'
-I ,{'~.
.:;~~..
Fnmh. PoUeiuel'
^\ICIlOIlO~1
. c.:1I11ll'11l11l AIII:IIC1I1IIfIlIIl(lllrllvlco
. YUill IeU.UIlIlIl II' IlIhlll
· UI I'll i)IIV \'UIII 0111110 101
t:llIl1r.lo. ,,^ 11111:1
(7171 2~3.13Ull
November 30,1995
.1uhn Rnld/Hl
Mnrkot nquare auildlug
MAoh rl1 17055
AP!lI'/d nn J. for ~11'. 1I0lniln 8 BollDorA
'l3?-1641, 1-301-262-8940.
DI'yujnk $29U.00
rufrlRurntor 65.00
tabJa & chl1jru 75.UO
dlnhwonhAr 2U.00
mlorowl1va 35.00
m1orowuvo utnnd 15.00
oho,l:1'Y !!u.t-o~1__95. 00
woohor n dry or 50.00
IWA tv 40.00
ntoroo 15.00
portable tv 30.00
tv otnnd 8.00
mopln atandR 40,UU
nnunh & Chllil' 90.00
ORKlA Tnmpu 8.UU
uwcopcr 8.00
oAdnr' chout 55.00
6pc bodroom eet 130.00
oho1r 7.00
lIuwing machino 5.00
bAd & droaRer 85.00
mjllc kltohon itsmu50.00
bookonoA 20.00
Rd. , GUllIp Hill, Pa. phonA I
hilt rnok lU,OO
mil'ror B.OO
jul.l 55.00
bel~ 15.00
rnilkll] all II lumpll 8.00
Total Apprllilllll $1332.0U
P.02
-- '"_.- '_'~."'_,",_'.>-"-''''', _--c...,,,..~ ...,.._........... '""'""'.-~"'._._
.
"YI,IIUtl1UJ
.
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
proalo Print ar Tv 0
NUMBER
21-95-742
COMMONwr;.lfIt o. rrNNlinVANI;.
INHUIT;.Ncr 'A. ImuaN
RUIDrNt DrcrDfNt
Shirle
G. Glotfe1t
ITEM
NUMBER
DESCRIPTION
AMOUNT
A.
1.
Funoral bpon,oll
Newman Funeral Home
Salisbury, PA
3,777.36
Opening grave
275.00
46.50
Obituary Notice
B. Admlnlltrotlvo COltll
1. Personal Repre.entatlye Cammllllan.
Social Securlly Number 01 Personal Repre.enlatlye,
Year Com million. paid
2. Attorney Foe. 3,000.00
3. Famllv Exemption
Claimant Relatlon.hlp
Addrell of Claimant at decedent'. death
Street Addrell
City State _ Zip Code
4. Probate Fee. 229.00
C. Mllcollanoou. Exponlell
1. Hutters Insurance, Administratrix Bond 75.00
2, Cost of selling real estate, See Attached 1,425.50
3, Register of Wills, Filing Fee 15.00
4. Reserved for Account 75.00
5,
6.
7.
8.
TOTAL (AI.a enter on line 9, Recapitulation)
I" moro Ipaco II nood.d, In.ort addlllanal .hootl of lamo 1110.1
518,918.36
COMMONWIAltH Of 'INN,nV4NlA
IHHlIllANCllAl anulH
IUIOIH, DICIDIN'
lIy.UII I" 11'''1
ESTATE OF
ITIM
NUMBER
1.
2.
3.
4.
5.
6.
7.
8.
9.
,.,:",~-,,,-,,,,""1"''''~<' ~J.", ''co." ,-ocr
, ,-,..,',-, ...~','~"""'m"""_p.. ''--'-1
'*
SCHEDULE I
DEBTS OF DECEDENTr
MORTGAGE LIABILITIES AND LIENS
Plea I. Print or T .
Fill NUMBER
21-95-742
Shirley G. Glotfelty
DESCRIPTION
AMOUNT
$ 22.61
21. 62
3.00
24.70
84.67
14.83
2,050.48
500.00
199.00
Pennsylvania American Water Company, Water Bill
U.G.I., Gas bill
Patriot News, Subscription Balance
Bell Atlantic, Telephone bill
PP&L, Electric bill
Sammons Communicationa, TV Cable Bill
Sears, Balance of Account
Lois Kushner, Balance due on parsonal loan
U.S.F. & G., Homowner Insurance Policy
TOTAL (AI.a onlor on IIno 10, Rocopltulatlon)
(II more space i. n..d.d, in.ert addi'ional .h.e" al.ame size.)
$2,920.91
~.. ......~f
....UI)I.. !Jill
~:&.'~
-e;.\'
COMMONWUI1H O. ,INN"IVANIA
INHIIIIANCI 'A. InUIN
'1I101NI DICfOfNI
SCHEDULE J
BENEFICIARIES
ESTATE OF
Shirley G. Glotfelty
FILE NUMBER
21-95-742
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
RELATIONSHIP
AMOUNT OR
SHARE OF ESTATE
A. Ta.abl. a.qU""1
I.
Sandra K. Hamblen
2211 Hyde Lane
Bowie I HD
Sister
entire estate
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
AMOUNT OR
SHARE OF ESTATE
8. Charltabl. and Governm.ntal Beque.tll
I.
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (AI.o enler on line 13. Recopllulotlon) S
(II more .pac. I. n..d.d, .n..rt addltlonal.h..t. of lam. Ill')
./
/5 'Sfl' S-
e/
REV"1547 EX AFP 112-95*
CDtItONW(ALTlI OF P[NHSYLVAHIA
DEPAJlTHlNr Of REVENUE
IURtAU OF INDIVIDUAL TAXES
MP'. ZlUOI
HARAISBURG, PI 17121-D601
NOTICE Of INHERITANCE TAX
APPRAISENENT, ALLOWANCE OR DISALLOWANCE
Of DEDUCTIONS AND ASSESSNENT Of TAX
ACN 101
DATE 04-08-96
FILE NO.
DATE OF DEATH 08-01-95 COUNTY CUM8ERLAND
HOTEl TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUIKIT TNE UPPER PORTION Of TNIS fORN WITH YOUR TAX
PAYNENT TO THE REOISTER Of WILLS. NAXE CHECK PAYABLE TO "REaISTER Of WIllS, AaENT"
REMIT PAYMENT TO:
JOHN MEAKIN ESQ
MARKET SQUARE BLOB
MECHANICSBURB PA 17055
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
_t R..Uted
'-'
CUT ALONG THIS LINE ~ RETAIN LOIIER PORTION FOR YOUR RECORDS .....
R EY:is4j-E;c"jiFP-rIZ:9sY-iiiiYicE--oj:-YtiHEiiiTANci-i:A'irAPPRAiiiEiiE'iir-,--jii.i-oiiAiici-iili------------ -----
DISALLOIIANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF GLOTFELTY SHIRLEV B FILE NO. 21 95-0742 ACN 101 DATE 04-08-96
TAX RETURN WAS, I X) ACCEPTED AS fILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Rool E.toto ISchodulo A) (1)
Z. Stock. ond Bond. ISchodulo a) IZ)
3. Clo..ly Hald stock/Partnership Int.r..t (Schedul. C) (S)
4. Kortgag../Not.. Recelvabl. (Schedule DJ (4)
S. C..h/8.nk Depoaita'Hlec. Parsonal Property (Schedule EJ (5)
6. JointlY Owned Proporty ISchedulo f) (6)
7. Transfar. (Schedule OJ (7)
8. Tot.l A...t.
) CHANaED
89.900.00
,00
.00
.00
3.032,39
.00
.00
la)
92,932.39
APPROVED DEDUCTIONS AND EXEMPTIONS:
18,918.36
9. Funeral Expen.../Ada. Coat./Hi.c. Expen... (Schedule HJ C,)
10. Dobh/Nortaoao liobUiUo./lion. (Schodul. II lID) 2.920.91
11. Tot.1 Deduction. 111)
12. H.t Value of Tax R.turn (12)
13. Charlt.b1e/Governnentel aeque.t. (Schedule J) (13)
14. N.t Voluo of E.toto Subj.ct to To. 1141
NOTE: I~ an a88B88mant waB iBBued praviouBly, linBB 14, 15 and/or 16, 17 and 18
ro~lBct ~igurBB thBt includB thB total of ALL rBturnB a8aBB8ed to datB.
ASSESSMENT OF TAX:
15. A.aunt of Line 1~ .t $pou..l r.t. (15)
16. Anount of Lin. 14 t.x.bl. .t Line.1/Cl... A r.te (16)
17. A.aunt of Lin. 14 t.~abl. .t Coll.t.r.l/Cl... a r.t. (17)
18. Prinoipel T.x Due
TAX CREDITS I
PAYNENT
DATE
12-11-95
:>1 ,A:>IQ :>7
71,093.12
.00
71 ,093.12
will
.00
.00
71,093.12
x .00.
x .06.
X .15.
Ilal
.00
.00
10.663.97
10,663.97
RECEIPT
NUNBER
AA082400
DISCllUHT
INTEREST
1+1
C-I
.00
AIKIUNT PAID
10,663.97
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
10,663.97
.00
.00
.00
. If PAID AfTER DATE INDICATED. SEE REVERSE
fOR CALCULATION of ADDITIONAL INTEREST.
If TOTAL DUE IS LESS THAN 'I, NO PAYNENT IS REQUIRED.
If TOTAL DUE IS REFLECTED AS A "CREDIT" ICR). YOU NAY aE DUE
A REfUND. SEE REVERSE SIDE Of THIS FaRH FOR INSTRUCTIONS.)
~ azt
O.!{l ..
N
l\liE; 0.. () :
,')> _~.8
.: y "
0(, ''g
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oaf ..0
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a:
RESERVATION I E",t.. of decedent. dying on D~ ~f.r. Dec.-ber 12, 1912 ~. .f ~y future Inter..t In the ..l.t. I, tr~.f.rred
In po....llon or enJoYMtlt to el... . lcolht.r.U .,.1101,,.1.. of 1M dececMnt .fh,. '1M IKPlnUon of ."y ..late for
11'. .r for y..r., the C~onwe.lth hlr~y ..pr...ly "...tv.. ~ right to .,.,.,1,. ~ ...... ,,.WI,'.r Inhe,.lt~. ,....
at thl l.wful el... . (coll,',r.l) r.t. on .ny such future Int.r..t.
......EDF
NOTltEl To fulfill the nqulr..enh of Section 2140 of thll Jnhe,.!tMCI .,., Est,t. TII)C Act, Act n of 1991. 7Z P,I.
SICtlon rUG.
PAYHENT.
Det~h the top portion of thl, Hatlel .,., .~It with your p.~t to the Regl,t,,. 0' Willi p,.lnt~ on the r.var.. .Ide.
uH". check or MMY order plyllbh tal REGISTER OF MILLS, AGENT
All p,,..," nc.I\I~ sMil1 first be applied to Wly Inh,..., which ..y M due with any ,....Inar .".1Iec1 to tM hx.
REFUKD (CAh A r.ft.W1d of . tu cr~lt, which .... not requested on thli 'U A.turn, ..y be r~..t.. by caplaU"I .. "AppllcaUon
far R.fund of PWW'I."lvWlI. lm-rItMe. WMI E.t.t. Tax" (R[Y-UlJ). AppJ1c.tlon. .re .v.II_I. .t the Office
of thli Aeg..t.,. 0' Wllh, en., of thll ZS A.VMU8 ahtrlct Offic.., or b., c.Ulng the .pecl.l Z4-haur
an.w.rlna ..rvlc. ~r. for far.. orderlnal In Penn.ylv."l. 1-800-36Z-2050, out. Ide Penn..,lvenl. ~
within loc.1 H.rrl.burl .r.. (717) 717-80~, TOOl (117) 112-2252 (~Irlna 1.,.lr.d Onl,,).
OBJECTIONS I Any plrty In Int.r..t not ..tl.fled with the eppr.l.eeent, .II~ or dl..llowence a' deduction., or .......-nt
of t.M (Including discount or Int.r..t) a. lhown on thl. Notlca IUlt obJ~t within .Ixt., (60J ~. of rec.lpt of
this Notlc. b.,1
--wrlttM protut to the PA a.part.ant of Rlvenue, ao.rd of Appea", Dlpt. 2I1Oll, H.rrhburl, PA 17121-1021, OR
.....l.otlon to hlvl thli ..ttlr d.t.r.ln" at ludlt of the ICCOIA'It of \hi JMrsonlll repnlllnt.Uvl, OR
uapplll to the Drph.".' Court.
ADNIN
IITRATlVE
CDRRECTlOH1I
Feotusl .rrors dlscovlr.d on thh ........,.t should be IMSdr..... In wrltlna tOI Pi Deplrt...,t 0' RWII"IUI,
lur..u of Indlvldu.1 Tax.., ATTNt Po.t A......ent R.vlew unit, Dept. 210601, Harrl.burg, PA 171ZI-0601
Phontl (117) 111-6505. Sa. pegs S of thl bookllt "Instruction. 'or Inherltlf'lC. Tu R.turn 'or a R,,'dant
a.cedent.. (REV-15Dl) for In .xplen.tlon of .~lnl.tr.tIYlI., correatlbl. .rror..
INTEREST I
If en" t.x due I. p.ld wIthIn thr.. (3) calandar .onth. .,t.r the decadent". d4lth, . flv. p.rcent (5%) dl.count of
thII t.x plld II IUoved.
Inter..t II chlrpet bqlMlna ..lth flr.t d.y 0' ct.lInquenc", or nln. (,) Nnths M1d Dna 111 d.y 'rOIl the dlt. of
death, to the dll. of p..,.."t. T.lCI. which bee... delinquent beforl JlnUlry I, 1'12 ba.r Intar..t .t thl rat. of
,he (6X) p.rcent plr ~ c.lculatad at a d.U" rltl of .000164_ All tax.. .....Ich bee... d.U".,."t on end 1ft.,.
Janulr., 1, l'IZ will bl.r Inl.r..t .t . rata .....Ich ..UI vary frOll c.lendll'" .,.al'" to calend.r .,..r with ht I"'It.
ennouncld b., IhI PA aeplrt.-nt of Rlv~_ fhl appllcabl. Int.r..t r.t.. for 19az through 1"6 ara,
01 SCOlMT J
V..r Intlr..t Ral. D.U., Int.n.t Factor !.!!! Int.r..t R.I. D.U., Intlr..t Fector
1911 zoX .000541 1'17 OX .OOOZU
19n 16X .000451 1'11-1991 IIX .00OSOI
1914 IIX .000301 199. OX .00DlU
l'a5 l>X .000556 1993.1994 n .00Dln
191' lOX .000214 199!t.l"" OX .000lU
ulnt.rut Is c'lcul.tad II fal1ow.1
IIfTEREST . BALANCE OF TAX UNPAID X NUNBER DF DAYS DELINQUENT X DAILY IIfTEREST FACTOR
--An., Notice h.ued .ftar the tu bec:0II. d.Unq.MI'lt ,,111 r.flect If'! Int.rllt celcul.Uon ta flfl.... US) dly.
b..,onct thl dill 0' the ........"t. If p..,..,,1 Is .... .Uar the Int.r." coaputaUon dati .hown on tnII
Notlc., ~Itlonll Intlrllt .....t be c.lcul.lad.
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CERTIFICATION OF NOTICE UNDER RULE 5.6(al
Name of Decedent I
SHUlI.EY D. GLO'fFEL'l'Y
Date of Deat/II
AUGUS'l' 1. 1995
Admin. No. ~I-q 5- '7Y.::l..J
Will No.
To the Regis len
I certify that notice of beneficial interest required by
Rule 5.6(a) of the Orphans' Court ftules was served on or mailed to
the Collowing beneficiaries of the above-captioned estate on
:
~
Address
DLANCHE S. NEWMAN
2211 HYDE LANE. DOWIE. MD 20716
Notice has now been given to all persons entitled thereto under
Rule 5.6(a) except
Date,Lt!f fl
Signatu
Name
I-j
t',J
Address Market Square Duildin!!
, .
-j
Mechanicsbur!!. PA 17055
Telephone (717) 766-3172
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Gu
Capacity:
Personal Representative
Counsel for personal
representative
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BUREAU OF INDIVIDUAL TAMES
INHERJTAHCE TAX DIYISION
DEPT. rea6O\
HARRJIIURG, PA 171".0'01
COHHONWEALTH OF PENNSYLVANIA '*'
DEPARTHENT OF REVENUE Il,
NOTICE OF INHERITAHCE TAM '~~ 'C~
APPRAISEHEHT. ALLOWAHCE DR nISALLOWANCE ).'
OF D~D.CnOHS AlID _SSESSHENT OF TAlC. .... ' ",."" u "' ,"""
~\.\ '
DATE; ~\:. 01-04-1999
ESTAtE OF GLOTFELTY
DATE OF DEATH 08-01-1995
FILE NUMBER 21 95-0742
COUNTY CUMBERLAND
ACN 101
~, AMount ReMitted
U' }2-~(r9
MAKE CHECK PAYABLE AND REMIT PAYMENT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONO THIS LINE ~ RETAIN LOWER PORTION FOil YOUR RECORDS .....
iiiW is'4'-iX-AW-fii9":97"i"NiiT"icE--OF--iNHEifii'AHCi." Tf.i:-A'Prfi iiisEHiNi'-,--ALi."'oiiANCi."ijR---------m--m
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SHIRLEY
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DOUGLAS
POBOX
BERLIN
MCCALL BELL ESQ
65
PA 15530
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COHHONWEALTH OF PENNSYLVANIA
DEPARTHENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
IHtW'RITAHC[ UI( DIVISION
OCPT. tao6Dl
I~IS.URO, PA 17.Z8a06Dl
NOTICE OF INHERITANCE TAX
APPRAISEHENT. ALLOWANCE oR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
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DATE
ESTATE OF
DATE OF DEATH
FILE NUHBER
COUNTY
ACN
.".1'4111'" ,"_,,,
SHIRLEY
B
BELL ESQ
\.,
.
01-04-1999
GLOTFELTY
08-01-1995
21 95-0742
CUMBERLAND
101
A.aunt R_l H.d
MAKE CHECK PAYABLE AND REMIT PAYMENT TOI
REGISTER OF WILLS
CUHBERLAND CO COURT HOUSE
CARLISLE. PA 17013
CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~
iiifv=is4-;-ilf-Afj'--ioii=97Y-iioYici--OF-i-NHiiiiTA;(ci-YAin-p;;R'Aysiif€iij-,--ALi."OwA;(ci-o-li-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF GLOTFELTY SHIRLEY B FILE NO. 21 95-0742 ACN 101 DATE 01-04-1999
NOTE I To tn.ur. proper
oredit to your account,
.~lt the upper portion
of this for. with your
ta)( pay_ni.
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. funeral E)(p.n.../A~. Coata/Hiec. Expense. (Schedule HI (9)
10. Debt./Hortg.ge liabiliti../Llena (Schedule II lID) ,DO
11. Total Deduotions (11)
12. N.t Value of Ta)( R.turn (12)
15. Charitable/GovernMental Beque.t., Nonw.leat.d 9113 Trust. (Schedule 4) (13)
14. N.t Value of Eat.t. Subject to Tax (14)
NOTEI I~ an assessment was issued previouslY, lines 14, 15 and/or 16, 17 and 18
re~lect ~igures that include the totel of ALL returns essessed to date.
ASSESSHENT OF TAXI
1&. A.aunt of Lin. 14 at Spou..l rat. (15)
16. ~ount of Lin. 14 taxabl. at Lina.l/CI... A rat. (16)
17. A.aunt of Lina 14 taxable at Collat.ral/CI... 8 rat. (17)
18. Prinoipal Tax Due
DOUGLAS MCCALL
POBOX 65
BERLIN
PA 15530:.
eLL
3.251.01
l~Q 1;0
3.111.51
.00
74.204.63
will
.00
.00
11,130.70
11,130.70
11,130.70
.00
12.68
12.68
· IF PAID AFTER DATE INDICATED, SEE REVERSE
FaR CALCULATION OF ADDITIONAL IHTEREST.
IF TOTAL DUE IS LESS THAN .1. NO PAYHEHT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI. YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF TNIS FORN FOR INSTRUCTIONS.)
TAX RETURN WAS I (X) ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: SUPPLEMENTAL RETURN
1. R..l Eotet. (Schedul. Al (II
2. stock. ~d Bondi (Schedul. 8) (2)
5. Clo..ly Held stock/Partnership Int.r..t (Schedule C) (5)
4. Hartg.gel/Not.. Receivabl. (Schedule DJ (4)
5. C.sh/Bank Depolita/Hilc. Parsonal Property (Schedule EJ (5)
6. JointlY Owned Property (Schedule fJ (6)
7. Tran.tara (Schadul. 0) (7)
8. Total A...t.
I CHANGED
NO. 01
3.251.01
.00
.00
.00
.00
.00
.00
(8)
139.50
.00
.00
74.204.63
X .00.
X .06.
X .15.
UBI
TAX CREDITS:
PAYlfENT
DATE
12-11-1995
09-03-1998
RECEIPT
HUtlBER
AA082400
AA275518
DISCOUNT (.1
INTEREST/PEN PAID (-)
.00
85.89-
AHOUHT PAID
10.663.97
552.62
BALANCE OF UNPAID INTEREST/PENALTY AS OF 09-04-1998 TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
AESDrYATlOth E.tat.. 0' decadenh cb'lno on or N'or. Deo.btr 12, 191! ... If any future Int.r..t In the .st.t. h tr...farred
In po.....lan or ..iJo~t to C.... . (aoU.tlr.U berMflol.rl.. 0' the MoHent .ftlr the .xplr.tlon of ..~ ..t.t. for
lIf. or 'or ~'.r., the r af"lWalth hereb~ IltPn..b nn,.".. the right to eppr.l" -.d ...... t,....f.r Inhe,.ltanca T....
.t the l.wful Cl... . (col1.t.,..I) ,..t. on any .uGh futu,.. Int.r..t.
PlIll'ClK Ill'
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CORRECTIONS.
To fulfill the requl,.....,b of s.ctlan 2140 0' the Inh.,.ltance and E.t.h t.. Act, Act Zl 0' 1995. (72 P.S.
s.ctlon '140).
DetltCh the top PD,.tlon of this Notice and sut." with ~r p.yant to the RlIlst.r of WUb prInted on the r.".r.. .Ide.
--"-kl check or ..",.~ orlM,. p'YMll1 tOI REGISTER OF MILLS, AOEHT
A nhrld of . t.. credit, ....Ich .... not req\M.tact on the T.. R.turn, ..y be reque.ted by o~l.Ung .. "Application
for Rlfmd 0' Pann'vl".,l. IntMtrltanel and flt.t. Tu. IREY-1S1SI. Appllc.tlon. .r. av.Uabl. .t the Offlc.
0' the RII1.t.r 0' Wllh, My of the 2S R.venue District OffiCII, or by c.Ulng the IPSOI.I '.-hour
......rlno ..r"lca nu-bers for for.. orde,.lngl In p.,.,'~I"'."I. l-IOD-162-1:15I, ouhlde Penn.ylVWlI. -.cI
..I thin loc.l Harrisburg .r.. (717) 717-ID94, TOO' (717) 772-2252 1"-.,.1,. lip.lred Onl~).
Any parh In Inhr..t not ..tls,led with the eppr.h....,t, .J1ow~ 0,. dl..UovanM of deduction., or ........."t
of t.. Clncludlng dl.count or Int.r..t) .. shown on thl. Hotlc. au.t object "Ithln II.ty 1'0) daYI of rec.lpt of
this Hotle. b~1
......rltten prot..t to the PA Dep.rbtent of RIV""", aolrd of Appe.ls, Dept. ZlUZl, Herrlaburg, PA nUl-IOU, DR
.....l"tlon to hlv. the ..tt.r dIIter.lhId .t audit of the account 0' thl ~r'onIIl reprl.."t.Uv., OR
--~1 to the Orphan.. Court.
DISCOtICTI
Feotual Irror. dl.cov.red on thl. ........,.t .hould be ~r....d In ..rltlng tOI PA o.p.rt..,.t 0' R.vlnUl,
Bur.au 0' Indl"I~1 Tax.., ATTNI Po.t A......ent R.vl.w unit, Dept. 2a060l, Her,.l.burg, PA 171fl-06Dl
PhoM (717) 717-6505, s.. p,~ 5 0' tt. bookllt "In.truatlon. 'or Im-rltanel T.x Rdum for a R.Il....t
Deced.nt~ (REY-1S01) fo" .,. ..plln1tlon 0' IdIlnlltratl",.IY corrlctlbl. .rror..
If ..,~ tl. due Is p.ld ..Uhln three CS) c.l.nd'r lIonth. .ft.r tt. dlcedant'l de.th, . flv. percent nx) discount of
the t.. p.ld 1. .llowed.
The 15" t.. ."..ty non-parUclp.tlon pen.1 t~ Is COlIPUt~ on thtl tot.l of the tlx .m Inhr..t ......ed, and not
p.ld bI'ar. January la, 1996, the flr.t d.y .ft,r the IIfld 0' the tlM MIIM.t~ p.rlod. This non-Plrtlalp.tlon
p.,..1t~ Is eppe.bbl. In the ... allmlr end In the the .... U.. per lod .. YOU would IIPpe.1 the t.. end Int.rllt
that has been ......ed .. Indlcahd on this notlc..
ji
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PEMALTYI
INTEREST.
Int.rllt II chIra-d blglmlng with 'Ir.t cUI~ of d.UttqUM1Cy, Dr nhw (9) ItDf1th. and one (l) d.y 'rOIl the dlt. of
de.th, to the d.t. of p.y...,t. Ta.u .....Ich ac... delinquent b.fcr. Januer~ 1, 1912 bur Int.rllt .t the rat. of
IIx IUI paroent ~r ....-.u. c.lculated .t . dally nt. 0' ,000164. AU hxu whiCh tMcaa. delinquent on and .ft.r
.January 1, 19aZ ..111 bur Int.r..t .t . r.t. which ..111 v.ry frOll calendar )'I.r to c.lende,. y.ar ..lth that rat.
ennouncld by the PA o.pert.ant of Alv-nul. The ~llclbl. Int.r..t r.t.. 'or 1912 through 1999 .r'l
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!!!!' Jnt.r..t R.t. P.Uy Int.rllt Fector
:!!!!'
Int.r..t A.t.
D,11Y Intlr..t Feotar
1912 201 .00054a
1915 161 .0000\51
1914 11% .000SOl
1915 151 .000S56
1986 10% .00Df70\
1917 91 .000247
--Int.r..t I. c.lcul.ted a. follow..
IIlTEIlEST . BALANCE OF TAX IIHPAID X
1911-1991 11%
1992 9;(
1995"1"" n
1995-1991 9;(
.999 7l(
.000301
.000247
.ooOl"
.OODn7
.ooOl"
NUKBER OF DAYS DELINQUENT X
DAILY IIlTEIlEBT FACTOR
-"An~ Hotlc. I.sued a't.r the t.. bacOll. delInquent ..Ill r.flect In lnt.r..t calcul.tlon to flft..,. 115) d*y.
beyond the data 0' the ...........t. If p.YlNAt Is .ada .ft.r the Int.r..t cOIIpUtatlon date ahown on the
Hotlc., Iddltl~l lnt.r..t au.t bI c.lculated,
.
"
BELL & DIOKEY
ATTORNEYS AT LAW
BERLIN. PENNIIYLVANIA 1!l!l30
629 FLETCHER STREET
POST Of'f'ICE Box 6!l
DoUGLAS MaOALL IlICLL
DAVID S. DICKEY
T&LICPIIONIll
18141110704400
ll'ACSIIIILIC
IHlolIII0704110ol
January 18, 1999
Register of Wills, Agent
Cumberland County Court House
Carlisle, Pennsylvania 17013
In rc: Thc Estate ofShlrlcy B. Glotfelty
Dcpartment of Rcvcnuc File No. 21-95-0742
~adi~flIId gcntlemcn:'
"::';'.5i.'f .
I have enclosed a copy of thc Departmcnt of Revenue's Notice of Inheritance Tax
Appraisement Allowance or Disallowance with respect to the Supplemental Inhcritance
Tax Rctum filed in the above-referenced matter. As you can scc, it shows that a balance
of $12.68 in Inheritance Tax is due on Ihat Return. My finn's Trustee account check, in
the amount of $12.68, payable to you as agent for the Department of Revenue, is
enclosed in payment of that sum.
With thanks for your attention to this mattcr, I am,
Very truly yours,
DMcCBI mle
Enclosure ,
cc w/cc of encl: Mrs. Sandra Hamblen
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CARLISLE PA 17013
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXEB
OEPT,280601
HARRISBURG, PA 1712B,oool
.
No.AA 324525 REV'Il"EXlll,'"
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
RECEIVED FROM:
r
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
BELL & OICKEY ATTVS
101
"12.68
POBOX 615
BERLIN, PA
155:30
FOUl "me
ESTATE INFORMATION:
Fll.E NUMBER
21-1995-0742
NAME OF DECEDENT (LAST)
GLOTFELTY SHIRLEY
DATE OF PAYMENT
1/21/1999
POSTMARK DATE
1/19/1999
COUNTY
CUMBERLANO
DATE OF DEATH
8/01/1995
REMARKS BELL & D I CKEV AllYS
SSN 196-22-8250
(FIRST)
B
IM'I
i
.
TOTAL AMOUNT PAID
.12.68
51<
SEALCHECKlt 2273
REGISTER OF WILLS
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
*
BUREAU OF INDIVIDUAL TAXES
IMtERlTAHCE: TAM: DIVISION
DEPl. 110601
HARRlSIURG, PA 17126.1'01
'''.161''''''111.'"
DOUGLAS MCCALL
POBOX 65
BERLIN
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BELL.ESQ
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DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
03-22-1999
GLOTFELTY
08-01-1995
21 95- 0742
CUMBERLAND
101
A......t R..ltt.d
SHIRLEY
B
II
MAKE CHECK PAYABLE AND REMIT PAYMENT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
HOTE. To lnaura proper cr.dlt to your account, aub.lt tha up~r portion of thl. fo~ with your tax p.~nt.
CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ...
REV'=i6'ilrijf-"FP--rily=m-------iiiiii-iilifiiiiTAiicE"TAx--si'A'fEiiifliT-oF'-Ai:ciiiiiff--iiliii---------------------
ESTATE OF GLOTFELTY SHIRLEY B FILE NO.21 95-0742 ACN 101 DATE 03-22-1999
THIS STATEHEHT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAHED ESTATE. SHOWN BELOW
IS A SUHKARY OF THE PRINCIPAL TAX DUE. APPLICATION DF ALL PAYHEHTS, THE CURREHT BALANCE, AND, IF APPLICABLE.
A PRBJECTED IHTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 12-28-1998
PRINCIPAL TAX DUE I. 11,130.70
PAYMENTS (TAX CREDITS),
PAYMENT
DATE
12-11-1995
09-03-1998
01-19-1999
RECEIPT
NUMBER
AA082400
AA275518
AA324525
DISCOUNT (+)
INTEREST/PEN PAID (-)
.00
85.89-
12.68-
AMOUNT PAID
10,663.97
552.62
12.68
. IF PAID AFTER THIS DATE. SEE REVERSE
SIDE FOR CALCULATION OF ADOITIONAL IHTEREST.
( IF TOTAL DUE IS LESS THAN .1.
NO PAYHEHT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI,
YOU HAY BE DUE A REFUND. SEE REVERSE SIDE DF THIS FORH FOR INSTRUCTIONS. I
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
11,130.70
.00
.00
.00
l...
/5 -/;17 -.-;-
5~~.
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
BUREAU OF INOIVIDUAL TAXES
U.DIfAHCE TAil DIVISION
DEP'. raD6D I
ItARRUIURQ, PA 1'111.0611
'11-1"'" "'III-It'
'IJi
KATHERINE E REISINGER
1235 SPRING RD
CARLISLE p,A'17013
i,lll
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
04-16-2001
PECK
06-30-1996
21 96-0742
CUMBERLAND
96142864
A.aunt R..Ut.d
C
KENNETH
, il
MAKE CHECK PAYABLE AND REMIT PAYMENT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
HOTEl To lnaur. proper credit to ~our eccountl aubalt the upper portion of thi. fora with your tax pay..nt.
CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ...
iiE'y:il.iii-iif-AFP-ri2-.:00r-----...--iiiHiRITANcE"i'i,lnWXfiiiE'tif-ifF-Ai:couiff--.-..---------------------
ESTATE OF PECK KENNETH C FILE NO. 21 96-0742 ACN 96142864 DATE 04-16-2001
THIS STATENENT IS PROVIOED TO ADVISE OF THE CURRENT STATUS of THE STATED ACN IN THE NANED ESTATE. SHOWN BELOW
IS A SUHHARY OF THE PRINCIPAL TAX DUE, APPLICATION OF ALL PAYNENTS, THE CURRENT BALANCE, AND, IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT, 09-08-2000
PRINCIPAL TAX DUE I. 64.97
PAVMENTS (TAX CREDITS),
PAYMENT
DATE
09-18-1996
10-21-1996
DISCOUNT (+)
INTEREST/PEN PAID (-)
.17
.00
AMOUNT PAID
3.25
61. 55
RECEIPT
NUMBER
AA146760
AA146859
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
64.97
.00
.00
.00
. IF PAID AFTER THIS DATE, SEE REVERSE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
( IF TOTAL DUE IS LESS THAN .1,
NO PAYNENT IS REQUIRED.
IF ToTAL DUE IS REFLECTED AS A "CREDIT" (CRI,
YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS. )
--
JRD/June 30, 1992/17858
REGISTER OF WILLS
Cumberland County Courthouse
One Courlhouse Square
Carlisle, PA 17013
NOTICE PURSUANT TO RULE 6.12
PENNSYLVANIA SUPREME COURT ORPHANS' COURT RULES
To: Personal Representative
Counsel: JOHN M. EAKIN, ESQ.,
RE: E5lDte of SHIRLE,Y B. GL01'FE/!I'Y , Deceased, Lale of
LOWI>M ALLI>N 'l'W.I"
E5lDteNo.: 21-1995-0742
Dale of Decedent's Death: 8-1-95
Pursuant to Rule 6.12, the above named personal representative or the above nal"ed auomey, If
applicable, within two (2) years of the decedent's death, and annually thereafter until administration is
completed. is required to file with the Register of Wills a Slalus Report as required by Rule 6.12. In
sUbs!linllally the prescribed form, showing the date by which the personal representative, or auomey. as
applicable. reasonably believes administration will be completed. The pUlllose of this Notice Is to advise
you that unless the requisite Status Report is filed with the Register of Wills or Clerk of the Olllhans'
Court, as appropriate, within ten (10) calendar days after the date of this Notice that the Register of Wills
Is required to nollfy the Olllhans' Court Division, Court of Common Pleas of such delinquency and to
request that said Court conduct a hearing to determine whether sanctions should be imposed upon the
delinquent personal representative and the delinquent personal representative's counsel, If any.
Accordingly, If the requisIte Status Report is not flied by 10-8 .19.2.7 you are hereby.
advised that a request will be submiued to the Court in accordlllCe with Rule 6.12.
Date: 9- 23 -97
Distribution to E5tate File
STATUS REPORT UNDER RULE 6.12
Name of Decedent:
~hf~lpy R nln~Fal~r
Date of Death I A"g"". I, 1 Q95
Will No.
Admin. No. 2195-0742
Q..,
I/'
Pursuant to Rule 6.12 of the Supreme Court Orphans'
Court Rulesr 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 x No
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2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete I
~
3. If the answer to No.1 is Yesr state the followingl
a. Did the personal representative file ~ iinal
account with the Court? Yes No v >)
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 y No
d. Copies of receipts, 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.
Datel December 30. 1996
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Market Square Building
Mechanicsbur2. PA 17055
Address
(717 I 766-3172
Te 1. No.
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~sonal Representative
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