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COMMONWEALTH aF PENNSYLVANIA' DEPARTMENT Of HULTH' VITAL RECORDS
CERTIFICATE OF OEATH
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OF
BEATRICE ADELE DEBOLT
I, BEATRICE ADELE DEBOLT, of 21 Strawberry Drive, Carlisle,
Cumberland county, Pennsylvania, being of sound and disposing
mind, memory and understanding, do make, publish and declare this
to be my Last will and Testament, hereby revoking and making void
all previous wills and Codicils heretofore made by me.
FIRST
I order and direct my personal representative hereinafter
named to pay all of my just debts, funeral expenses and expenses
involved or connected with the administration of my estate as
soon after my death as is reasonably possible.
However, my
personal representa ti ve need not accelerate and pay those
unmatured obligations which, in his, her or its opinion, it might
be proper and more advantageous to retain or renew and pay as
they be'.::cme due and payablo. If I do not olin a burial plot or a
grave marker at the time of my death, I authorize my personal
representative, in his, her or its sole discretion, to purchase a
burial plot and to erect a suitable grave marker at my grave, and
to expend sums from my estate for this purpose.
GRIFFIIO. TURO Be GRIOI.I.
ATTORN!:YD.AT.LAW
PAGE 1 OF 8
DUITE 101 ~4al MARKET GTnl:l:T
CAMP HILL, PENNSYL.VANIA 17011
;aoo NO nTH HANOVER ISTne:CT
CARL.leLC. PENNSYL.VANIA 17013
SECOND
I give, devise and bequeath the following property with all
insurance proceeds thereon as follows:
To my daughter, patricia A. Rosebrock, the following items:
Dininq Room:
Spool cabinet, wine cupboard,
Seth Thomas School clock and the pine Boston
rocker.
It is my desire that Keith Rosebrock
eventually receive the Seth Thomas School
clock.
Livinq Room:
Double woodbox, butler's table,
marble top washstand;
Bedroom:
Glass enclosed bookself and cedar
chest;
~: Rosewood mantel clock;
Jewelrv:
star sapphire diamond engagement
ring; and
Clothinq: My mink stole.
To my son, Barry Myers DeBolt, the following items:
~: Blanket chest, mantle clock (Hamilton);
Livinq Room:
Walnut drop-leaf table,
grandfather clock, Eli Terry clock, cuckoo
clock, candlestand.
It is my desire that
Kristen M. DeBolt eventually receive the
grandfather clock and Susan DeBolt eventually
receive the cuckoo clock; and
GRIFFIE, TURO & GRELL.
ATTORNr::VIIS.AT.I..AW
IIUITE lot 3".' MARKET IITREET
CAMP HILL. PENNSYl-VANIA 17011
PAGE 2 OF B
2UO NORTH HANOVER IITREET
CARL.ISL.E, PENNeVL.VANIA 17013
upstairs Bedroom:
Marble-top washstand,
bedroom table, and plank bottom rocker.
To my grandchildren, the following items:
Kristen M. DeBolt
Gold charm bracelet
Karen M. DeBolt
strand of pearls
Strand of pearls
Signed decoys
Susan DeBolt
Keith Rosebrook
I further direct that each grandchild may choose a miniature
lamp and that my Mummels shall be divided equally among them.
Thier parents may retain possession of these items until such
time as the grandchild is able to care for these items on their
own.
THIRD
I give, devise and bequeath the rest, residue and remainder
of my estate, together with all insurance proceeds thereon of
whatever nature and wheresoever situate in equal, free of all
taxes, to my beloved children patrioia A. Rosebrook, and Barry
Myers DoBolt, per stirpes, providing that they survive me by
sixty (60) days.
FOURTH
I direct my personal representative to divide among my
beneficiaries all personal property of a sentimental or family
nature (excluding cash, stocks, bonds and the like), inclUding
but not limited to jewelry, household goods, antiques, furniture
and memorabilia, in accordance with a separate memorandum which I
GRIFFtE, TURO 8< GRELL
ATTORNeyS.AT.LAW
IlIUITE 101 ~.un MARKET STREET
CAMP Hlt.l.. PENNSYL.VANIA 17011
PAGE 3 OF 8
:zoo NOATH HANoven .TACET
CARI..IBL.E, PENNSVLVANIA 17013
may place with my will or deposit with my attorney.
In the
absence of such disposition by memorandum, I direct that the said
tangible personal property be divided between my residual
beneficiaries with due regard for their personal preferences in
as nearly equal shares as practical, with the value of such
dispositions being credited to the share of each respective
recipient.
If the said beneficiaries do not agree to the
division of the personal property provided for hereunder, the
decision of my personal representative, including the decision to
sell the property at public or private sale and distribute the
proceeds therefrom as provided hereinafter, shall be final and
conclusive on all parties.
FIFTH
Any devise or distribution under this Last Will and
Testament which is payable to any beneficiary who may be under 23
years of age or, in the judgment of my personal representative,
mentally disabled, shall be held in a separate trust by my
personal representative as trustee until such beneficiary reaches
23 years of age or during such period of disability. In the case
of a beneficiary under 23 years of age, the Trustee may
distribute up to one-half (1/2) of the then remaining principal
and accumulated income on the request of the said beneficiary, at
or after attaining 23 years of age; and up to the entire
remaining balance of principal and accumulated interest at or
after attaining 27 years of age.
During the term of any trust
GRIFFIE, TURO 8< GRE!..!..
ATTORNCV.....T.LAW
IIUITI: 101 3..01 M....RKET eTfU:cr
CAMP HILL. PENNSYL.VANIA 1701'
PAGE 4 OF B
:lUO NORTH HANOI/en OTncET
CARLISL.E. PENNSVLVANIA 17013
~
created pursuant to this Paragraph, the Truutee is authorized to
expend and apply so much of the net income and principal of each
such trust as the Trustee shall consider advisable for the
heal th, maintenance, support, and education (including college
education, undergraduate and graduate) of each such beneficiary
until he or she attains 27 years., of age, or until all such
amounts are paid out of trust.
I direct that no Guardian shall
be required to give or post bond for the faithful performance of
the Guardian's duties in this or any other jurisdiction.
SIXTH
I grant my personal representative the following powers in
addition to and not in limitation of such powers as my personal
representative shall hold by law:
(a) To retain all property received including the stock of
any corporate fiduciary acting hereunder, provided such
property remains productive.
(b)
join
any
in
To
corporation,
partnership,
recapitalization, merger, reorganization or voting
trust plan; to delegate authority with respect thereto;
to deposit investments under agreements and pay
assessments; and generally to exercise all rights of
investors, including but not limited to, the voting of
shares.
(c) To manage, operate, repair, improve, mortgage or lease
on any terms any real estate held or owned by my
estate.
GRIFFIE, TURO B< GRELL.
ATTORNt:YIlI.AT.LAW
IIUITE 101 ~~o, MARKET onU:ET
CAMP HILl.. PENNDYLVANIA 17011
PAGE 5 OF B
200 NO nTH HANOVl:n OTnEItT
CARLISLE. PENNSYLVANIA 17013
(d) To operate any business that I may own at my death.
(e) To invest any funds of my estate in any stocks, bonds,
notes or other securities or property, real or
personal,
without
regard
to the principle
of
diversification or any other statute or general rule of
law in his, her or its absolute discretion, it being my
intention
to give my personal representative the
broadest investment powers possible, providing such
investments do not unnecessarily prevent the prompt
settlement of my estate.
(f) To sell or otherwise dispose of any property, real or
personal, tangible or intangible, at any time forming a
part of my estate in any manner and on such terms and
conditions as my personal representative shall see fit
in his, her or its absolute discretion.
(g) To borrow money for the payment of taxes or for any
other proper purposes in the administration of my
estate, and to mortgage or pledge estate assets as
security.
(h) To compromise claims withd!t court approval including,
but not limited to, any controversies with the united
states of America or the Commonwealth of Pennsylvania
concerning estate and inheritance taxes on any
interests that may pass under this my Last will and
Testament.
GRIFFIE. TURO 6< GRELL
ATTOR~~I:Y".AT.L.AW
SUITE lOt :t".' MAMKCT ISTnt"E'T
CAMP HIL.l.. PENNBYLVANIA 170"
PAGE 6 OF 8
aoo NOATH HANoveR STRCET
C^RLIOL~. PE;:NNBVLVANIA 17013
(i) To distribute in cash or in kind upon any division or
distribution of my estate.
(j) To undertake any and all acts deemed necessary and
proper by my personal representative for. the proper,
advantageous and prompt management of the settlement of
my estate.
(k) In general, to exercise all powers in the management of
my estate which any individual could exercise in the
management of similar property owned in his own right,
upon such terms
and conditions as to him, her or it
may seem best and to
execute and deliver all
instruments and to do all acts which
he, she or it
deems necessary or proper to carry out the purposes of
this, my Last will and Testament.
SEVENTH
No interest of any beneficiary of my estate, either in
income or in principal, shall be subject to anticipation or
pledge, assignment, sale or transfer in any manner, nor shall any
beneficiary have the power in any manner to charge or encumber
his interest either in income or principal, nor shall the
interest of any beneficiary be liable or subject in any manner
while in the possession of my personal representative for the
liability of such beneficiary.
GRIFFIE, TURD So GRELL.
ATToHNr;ve.AT.LAW
SUITE 101 a..el MARKET IJTHEET
CAMP HILI... PENNSYLVANIA 17011
PAGE 7 OF 8
200 NOATH HANOVER GTnEItT
CARLIOLE, PENNSYLVANIA 17013
EIGHTH
I nominate, constitute and appoint my son, Barry Myers
DeBolt and my daughter, Patricia A. Rosebrock, or their survivor
as co-executors of this my Last will and Testament.
I direct
that my personal representative shall not be required to give or
post bond for the faithful performance of his, her or its duties
in this or any other jurisdiction.
NINTH
I hereby declare it to be my expressed desire that my
personal representative employ the law firm of Griffie & Grell,
of Cumberland County, Pennsylvania, for legal advice and
assistance regarding this my Last Will and Testament, they having
considerable knowledge of my affairs, views and wishes respecting
any matters that may arise at the probate of this instrument, the
administration of my estate, and the execution of the powers
herein mentioned.
IN WITNESS WHEREOF, I have hereunto
set my hand
.. 71 fJ.
j
to this my
day of
Last
Will
this
and
Testament
(\ .Jf~ 0 \ t-
v
, 1989.
WITNESS:
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- '-:)/d-b:$-.L'~/~ h__' , '-'j;(h-'
BEATRICE ADELE DEBOLT
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GRIFFIE. TURO 8< GRELL
ATTORNtl.VII.AT.LAW
SUITt: lot 0..a1 MARKET BTHEt:T
CAMP HILL. Pll:NNSVl..vANIA 17011
PAGE 8 OF 8
aoo NORTH HANOVER DTnEET
CARL.ISL.E:. Pll:NNSVLVANIA 17013
'.
ACKNOWLEDGEMENT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS.
I, Beatrice Adele DeBolt, the testatrix whose name is signed
to the attached or foregoing instrument, hav ing been duly
qualified according to law, do hereby acknowledge that I signed
and executed the instrument as my Last Will and Testament: that I
signed it willingly, and that I signed it as my free and
voluntary act for the purposes therein expressed.
-~-i;A~N/4~/J' ~!L
BEATRICE ADELE DEBOLT
Sworn or affirmed and acknowledged
by Beatrice
before me
~I t!J-
Adele DeBolt the
O_~, (Ill,.,-\
,I
testatrix '~his
..,.
day of
, 1989.
,
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C::r1:',i.: l:: " '. ',;',;,;:i; ;.J (OJn:y, Pr.].
It., C-:r!vli:.::JlI L plio.; fdJ. 15, ln3
.. .
GRIFFIE. TURO eo GRELL
ATTORNEY.oAT.LAW
.
8UITC 101 :11481 MARKET lSTAr:r:r
CAMP HIl.L. PENNSYLVANIA 1701t
200 NORTH HANOVER MTAI[ItT
CARL.ISLE. PENNSVLVANIA 17013
,.
21-95-846
RENUNCIATION
In Re Estate of BEATRICE 1\. DEBOIJT
deceased.
To the Register of Wills of cumberland County, pennsylvania.
of
The undersigned
PATRICIA A. ROSEBROCK. DAUGHTER
the above decedent, hereby renounces the right to administer
the estate and respectfullY ask that Letters TESTAMENTARY be
issued to BARRY MYERS DEBOLT of 1127 coronation Dr.
Dunwoodv.. GA 30338
hand this 9 day of 'l\:r.:,u
c -
, 19-LS,
WITNESS
~r,n ~~~\)},~)~
(Signature)
,3'-\\1 \..\.,,\~V, ~l\H-\
(Addr~SElJ .
t=" 0..\, , "c.,,\J , 'r I N y
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(Signature)
(Address)
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(Signature)
(Address)
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CERTIFICATION OF NOTICE UNDER RULE 5.6(A)
NAME OF DECEDENT: BEATRICE A. DEBOLT
DATE OF DEATH NOVEMBER 4. 1995
WILL NO.
15 - ~\L/c..(
ADMIN. NO.
16--f'l(,.
TO THE REGISTER:
I certify that notice of beneficial interest required by
Rule 5.5(a) of the Orphans' Court Rules was served on or mailed
to the following beneficiaries of the above-captioned estate on
NOVEMBER 10. 1995:
NAME
ADDRESS
Barrv Mvers DeBolt 1127 Coronation Dr. Dunwoodv. GA 30338
Patricia A. Rosebrock 3417 Union Blvd. East Islio. NY 11730
Kristen DeBolt 727 Medlock Rd.. Decator. Ga. 30033
Susan DeBolt 1127 Coronation Dr.. Dunwoodv. GA 30338
Karen M. DeBolt a/k/a Karen M. Rosebrock East Islio. NY 11730
Keith Rosebrock 3417 Union Blvd.. East Islio. NY 11730
Notice has now been given to all persons entitled thereto under
Rule 5.6 except: none
DATE:
11- 9. -9s""
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\ ^ (/f ^~,1l.LV\A (' C1A./\
Signature~ v ""'.
Name: William A. Duncan
Address: 1 Irvine Row
Carlisle, PA 17013
Telephone: 717-249-7780
L....:
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Capacity:
Personal Representative
Counsel for personal
representative
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
COUNTY CODE 2195 YEAR 0846 NUMB!
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.OR OATIS 0' DIATH A"II12131191 CHICK IlIR
IP A SPOUSAL
POYIRTY CRlD" IS CLAIMID 0
PILI HUM".
COMMONWI AI TIt 0' P(NN5Y1 VANIA
OlrARfMlt1l 01 Rlv(NUf
Of" 21060 I
UAIII:'~BUIIO 'A 171210601
OIl.H)-It,1 ~ r4AM( HAU. IIUT. ANl> MIUDU INlIlAll
I-
Z
w
C
w
U
w
C
A.
~I Strnwburry Ct.
Cnrlisle, PA 1701]
Cumberland
Dullo)t, lIontrleo
!OCIAmmilY NUMI
A A tl
It. If 'J')
II-'J-'J~
" II
11-1-1919
153-16-8261
Co....'r
CI
o 2. Supplemenlol Relurn
03.
05.
OdDinel R.turn
Remainder R.turn
(for dolel of death prior to 12.13.6';
Federal eUol. To..
R,turn Required
Total Number of Sof. D,polil Bou!
CJ J. limil~d Ellol.
o Aa. Fulur. Inl.r"l Compromit.
1'0' dOli. 01 d.olh ok., 12.12.821
r; 6. Decodenl Di.d hua'e 0 7. Decedent Mainlained a lIvin9 TrUll
IAlloch copy of Will) IAlloch co y 0/ TrUll)
ALL t:O:lr.UPONDENCE AND CONFIDENnAL TAX INFORMAnON SHOULD BE DIRECTED TOI
NAMl MP MAllIN Ii
_8.
Willinm A. Dunenn
L hUrl( flUMI
1 Irvine Row
Cnrlisle, PA i7013
249-7780
l. Ronl Elloto ISchldulo AI ( I)
;:, Sloc~. ond BondI (Schldulo B) ( 21
~. C/o..ly Hold S'oc~/Ponne"hlp Inl.rOlI ISchldulo q (31
J. '^0"909" ond No'OI R."lvoblo (Schedulo D) ( 41
S. Co\h. Dank D.po.ill & Mlse.llon.ous Penonal Prop.ny( 5)
(Schedulo E)
6, Jol.tly Ownod Pro pony (Schodulo F)
7. T,on,'e" (Schldulo GJ (Schodulo LI
O. Total Gran Aueh (Ictellin.. 1.7)
Q. Fun~rDI Expenlll, Administrative COllI, Mhcellaneous ( 9)
hpenl" (Schedulo HI
10. Dob". Mongoge L1oblll,I.., lions (Schedulo II
11. TOlol Deduction. ('olollln.. 9 & 10)
12. Nnl Voluo of Euat. (lino 8 minus line 11)
13. Chari lob Ie and Governmental B.qu'llI (Schedulo J)
,14, ~'N '1oluo SubJect 10 Tox (line 12 mlnu.llno 13)
15. ^mcunt of line 14 to)lobl. at 6% ra',
llndude yolue. from Schedule K or SChedLiI. M.)
16. Amount of lino 14 'axable at 15% role
(lndudo 'talue. from Sch.dule K or Schedule M.J
17. Pri,.rmal Ime duo (Add tall; from Iina 15 and from line 16,)
1 c. :; ::iin Spousal Poverty Cradit Prior Pa~menu
+ 10,200.00 +
132.000.00
57,727.00
20,819.06
( 6)
(7)
110)
(IS)
116)
117)
Discount
536.84
'nleun'
(18)
119)
10,736.84
1':' If I;no 18 119real.r than line 17, enler Ihe differ.nce on line 19. This is ,he OVERPAYMENT.
~=
20 If lin,. 17 h 9reole, than line 18, ent.r Iho difference on line 20. This is Ih. TAX DUE.
A E:uer Ihe intere.t on Ihe balance duu on lino 20A.
'l:htfc~hltrotif'Yciu'.ore,.,ttqueltlng'a',ofund.ol your overpayment.
384.44
(20)
(2DAI
(20B)
381..44
8. ,n'.r ,he 10'01 01 line 28 ond 2DA on IIno 2DB, Thi. II ,ho BALANCE DUE.
Mo~. Chec~ Poyobl. 10: R.gIII.r 01 Wills, Aglnl
..... BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO R1CHECK MATH....
U or p nalho, of ,,~qurv, I dec e I " hove Illommod Ihl' return, Including accompanYing Ichldul.. and Ilalem.nll, and fa the b." of my ~nowl.dge and bollef.
j II IruG CO"Ott and (omol . .clar that all real ...at. has been ,eported a' 'rue marlcal volu.. Declaration of prepo,." o.h.r than ,h. p.rsonal rapr.llntoll.,,, II
..d . 0,1 i.lormo".. 0 whi h" ho. ony k.owl.dgl. ~
RtOfPg:; ~\iN~1 ( " I,? II AD II l\E . C{!O
~:vr ....u;. ,J: .....Ih ...' tl R THAN N A I" "'0011 B Ii
I(V.150) U. 111,1S1
., " 9j'.il
Ii<. ."
- ""
COMMONW'.lIH Of P'NN....lVANI...
INHUlTANCI 'Al _UUIU4
.. __.~SI!JfNt DlcrOINf,
SCHEDULE A
REAL ESTATE
FILE NUMBER
2195-0846
ESTATE OF
Bentrice !JeBolt
(P..p.rlv lolnllv..wn.d with RighI 01 Survivorship mUI' b. dlscl.l.d on Sch.dul. Fl AII..ol.I'a'. Ihauld b. ..parlld a' '01. morko, volu.
which Is d.fln.d ollh. prlc. 01 which pr.p.r'v would b. ..chongld b.'w..n a willing buV.r ond a willing ..1I.r. n.lth.r b.lng camp.lI.d
!~ ~~y O!.-~!!, ~o'h~l!.".I~fi1.!!~~~~~~I. _ ~~o~l.dg. of I~. ,.I.v_~.,:,~ fact~. . _ .... _ _ _ '. .
ITEM
NUMBER
VALUE AT DATE
OF DEATH
DESCRIPTION
I,
21 Strnwberry Court
Cerlisle, Pc. 17013
132,000.00
_.._~- ---_.__._--------_._---_._'_.,--_._._--.-~_.- ...---------
m___"__.". __T~!..~LJA!t.!'..!'n1!r_"" lin._~._ R!~opIIUI~llon) __ . _ .00_ ___ . ~.-1 32.000. 00- ..
(IF mot. spac. i. n..ded, inser' additional ,h.e', o( same size.)
REV. ISO) II + ,.t.101
., " ~.~9l\
_5.1,.
COMMONW(ALtH O. PINHIi'YlYANIA
INI!UlTANCI 1AIt _nutH
.UIDINt DIClDINf
SCHEDULE B
STOCKS AND BONDS
FILE NUMBER
ESTATE OF
Beatrice DeBolt
(All proporlY lolntly.ownod with Right of Survlvonhlp must bo dlltlo..d on Schodulo F.I
2195-0846
ITEM
NUMBER
DESCRIPTION
VALUE AT DATE
OF DEATH
1.
57.727.00
AEGON US SECURITIES
see attached
-"
TOTAL (Aha enler on line 2. Reta Itulollo")
,U more space i, n..ded, inser' aelditional she.', 0' lame si,..,
S 57.727.00
""'1," I" {l.'"
ESTATE OF
~
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
Ploa.. Print or l' 0
FilE NUMBER
2195-0846
COMMONW'AlfH 0' "HNSYlVAHIA
INH..IrANCI TAX I.WIN
IIIIDIHT DICID.NT
Beatrice DeBolt
(All prDp.rtv 'DlntlYooOWn.cI with .h. Right of Survlvonhlp mUll b. dlula..cI on Scheclul. FJ
ITEM
NUMBER
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.
40.
41.
DESCRIPTION
VALUE AT
DATE OF DEATH
PNC Checking Account 051-4018-3008
1993 Buick Century 40 Sedan Special
Kennedy Half Dollars (4)
Minature Lamps (4)
Hummel Figurines (9)
DeCoys (4)
Strand of Pearls
Spool Cabinet
Wine Cupbosrd
Seth Thomas Clock
Boston Rocker
Doulble Wood Box
Butlers Table
Marble Top Wash Stand
Book Shelf
Cedar Chest
Mantel Clock
Mink Stole
Star Sapphire Ring
Blanket Chest
Mantel Clock
Oropleaf Walnut Table
Grandfather Clock
Terry Mantle Clock
Cuckoo Clock
Marble Top Washstand
Bedroom Table
Plank Bottom Rocker
Gold Charm Bracelet
Pearls
Sale of Personal Property
TV Cable Refund
Hearst Corporation Refund
Meredith Corporation Refund
Vanguard Refund
Readers Digest Refund
Reimbursement cleaning fee
School Tax pro-ration
Strawberry Court Maint. fee pro-ration
County Tax pro-ration
Anthem Insurance Refund
1,425.17
8,000.00
2.00
200.00
450.00
120.00
300.00
165.00
225.00
11 O. 00
85.00
175.00
35.00
150.00
125.00
90.00
75.00
20.00
500.00
150.00
75.00
200.00
850.00
650.00
85.00
150.00
90.00
80.00
1,880.00
895.00
2,487.84
16.41
5.52
3.00
235.23
12.88
50.00
592.81
19.35
17.25
21. 60
TOTAL (AlIa enter an Uno 5, Recapitulation) 5 20 819.06
IAllach additional SYJ" )C 11" '.....11 if more .poce it n..ded.]
"""JIIII.I'.III
, ,
Sl TE OF
.tj1.
COMMONWUUH O. 'fNNSYlVANIA
INHnnANCr 'A. ~nURN
IIUIDfNr DfCfDfNr
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
PI.o.. Print or Tvp.
E N MBER
2195-0846
, I
Beatrice DeBolt
ITEM
NUMBER
A. Fun.ral Expon...,
B.
4.
c.
1.
2.
3.
4.
5.
6.
7.
8.
DESCRIPTION
AMOUNT
1.
2.
3.
1st. United Church of Christ
Wayne Noss Flowers
Hoffman Roth Funeral lIome
80.80
102,82
5,813,00
1.
Admlnl.trallv. Ca.II,
Personal Ropre.entollvo Com millions
Soda I SocurUy Number 01 Porsonal Roprosonlallvo:
Voar Cammlll/ans paid
2.
Affornoy Feos
Duncan & Otto, P.C.
6) 842. 00
3.
Family Exompllan
Clalman.
Addroll of ClaImant at decodonl'. dooth
Slroe' Addroll
City
Zip Code
Ro/allon.hlp
51010
Probate Foo.
Register of Wills
400.00
MI.col/an.ous Expons..,
United of PA phone bill
7.10
Tucker Federal Shipping
2,388.08
Evening Sentinel Legal Ad
68.84
Cumberland Low Journal
40.00
PP & L Electric bill
99.28
Federal Express overnight moil.
48.00
Chorley Roger Construction (heat tope)
504.20
Sprint Long Distance
77.22
TOTAL (A/.o onter on line 9, Rocapilulalion)
(If moro spac. Is need.d, In sort additional .hooll of sam. slzo.)
5 23.868.10
.rv.UII... !J.'"
..
COMMONWU."" Of "Hld"VAHIA
IMM,.nAMeI 'AI """N
......"" DlClOIN'
SCHEDULE J
BENEFICIARIES
Beatrice DeBolt
FILE NUMBER
2195-0846
ESTATE OF
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
RELATIONSHIP
AMOUNT OR
SHARE OF ESTATE
A. Taxabl. D.qU""l
I.
2.
3.
4.
5.
6.
Barry Myers DeBolt
Patricia A. Rosebrock
Kristen H. DeBolt
Karen H. Rosebrock
Susan DeBolt
Keith Rosebrock
son
daughter
granddaughter
granddaughter
granddaughter
grandson
1/2 remainder
1/2 remainder
2,042.50
1,057.50
462.50
282.50
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
AMOUNT OR
SHARE OF ESTATE
D. Charitabl. and Gav.rnm.ntal D.qu'lIlI
1.
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS IAho on'" on Uno 13, Rocopitulotlonl S
(If mort .pac. f. n..d.d, In..rt addltlonol .h..t. of .am. 1111)
Pogo
I of
SAFE DEPOSIT BOX INVENTORY
INSTRUCTIONS
II) Cashl Report 10101 only, ,
(2) Stock.. Lilt In dol oil overy common or proforrod c..lilicalo, worronl or olhn, 'Ighll found In box, Slockl aro
10 b. dellgnat.d by nome of company, certificato number, dolO of certificate, namo in which .tock h ragi.torod,
and number of Iharol ond clOII of Itock.
(3) Obllgallon. 01 U. S. Gov.rnm.nll Numb.r of i1oml. dolo of I\luo. loco voluo, nom.. in which rogillerod
and Iypo of ownorlhip, 1,0" lolnlly hold, poyoblo an doolh, .Ic,
(4) Bond.. D.llgnolo by nom., omounl, lorlal numb.r, or ath.r dOllgnalion. (Boa,.r BondI)
IS) Bank and Savings and Loan Po..book., Stolo nom. of dopolllor. numb.. 01 book. 1011 dolo oppoo,ing In
book, namo of bank and branch, and balanco,
(6) J.w.lry, Coin., Stamps, Manuscrlph, .1eI Lilt ond descrlbo as fully 01 pO\llblo,
(7) D..d., Mortgag.., Curr.ntlnsuranco Pollcl.s or oth.r .vld.nc.. of Ind.bt.dn.sll L111 and dOlCribo al
fully as pOlllbl.,
(8) All alh.r canl.nl..
-" ITEM DESCRIPTION
d..I/t:1r.
,. ~.- ((".!>o11 V~LL~
/"'J 3 ~Ic.."-
Own V
~DS.
'-,
="
:)
HECK A'PIl 'AlA X.
~ r: / ~ _.if 4u OeaeculoRr(trhlJ DAdmlo"hl'JDlorllrllll I' b
(...jtf*(j. ~ lot, .pr.'.ntati.... oint o....n.' 0 10. depolit 011
NOTEl AtTach additional 8"''' x I I" .h.., 1.111 n.c...ary or us. dupllcalos of ,hi. page of form.
/
IIV"U...t',fJ)
'*
~","OI "HNlnV......."
DI'....I..IHI 0' IIVINUI
INMDI1ANC1 tAX 0rY11tOH
Oln,2-*1
.AI"'W'O, ,. .",.-, Plea.. Print or Type
MUST BE COMPLETED BY REPRESENTATIVE Of fiNANCIAL INSTITUTION WHERE SAfE DEPOSIT BOX IS lOCATED AND RETURNED TO ABOVE ADDREn
COUNTY COOl fiLE NUMBER SOCIAL SECURITY OR DEATH CERTIfiCATE NUMBER
s> {J4- " / S .,. (.... 'p-:>-c./
It
SAFE DEPOSIT BOX
INVENTORY
IZIP CODII
~
I,?.:J
I\TAlI)
\ZIP COD"
W,II,e.,.,. /)v,JCe,...
l.nUT ADD....I
I;"v." "- ,eo Cool ,
I\TAlIl
., OIJ
IZIP COOl)
~
IJlLATlONSHIPI
~. (N.....!J
ICITYl
I\TAlI)
IZIPCODI)
IsnUT ADD'''S)
(ULAT10NSHIPI
Co (N....."
ICITYl
I\TAT"
I1IPCODl) ....
I1nUT ADO....,
NAMIAND ADDRISS O' FINANCIAL INSTITUTION WHERI THE SAFE DEPOSIT BOX 15 LOCATED
1".....11
. t!--r J,oJ ~ IC1TYl ISTAlI) IZlPCODI'
I'/J' I'?~ I
DATE AND TIME OF LAST ENTRY
/(.t~ t.,.ILL
TITLE UNDER WHICH BOX 15 REGISTERED
~.:.e:::;- <.L> b- (;) I
a. ~. 1".....11
(STUfT ADDU") 'STUll ADDIUS)
IOTYl ISTAlIl IZIP COOII ICITYl I'TAll) IIIPCODl)
NAMI AND TlTLI o' EMPLOYl TAKING THIINVENTORY
WAS A WILL IN THE BOX' OYES ONO If Y." a. Da'. af willi
b. Name and add,.... of perter-al ,.p,....nlatlv.. If IHImed In the will
I".....e'
"
IC'lY)
I\TAlI)
IV! CODII
",un ADDUU)
c. Name and add,.... of attomey, If any
1".....1)
IClTYl
I\TAlI)
IV' COOl'
ISTun AOOlnsl
'.,
b.':
~..
"..
Narno : BARRY M OU BOLT
Addr...: 1127 CORONATION DR
ATLANTA GA 30338
Vehicle: 1993 BUICK GENTURY 40 SEDAN SPECIAl.
Mllo.ge :
\fiN:
Color:
26,006
1 G4AG55N8P6465050
WHITE
Features Considered .
AIR CONOmONING
AUTOMATIC mANS
POWER LOCKS
TILT OR TELESCOPE WHEEL
AM/FM CASSETTE
CRUISE CONTROL
POWER WlNOOWS
PAINT:
nRES:
INTERIOR:
FRAME:
n. .
CONSISTEf>lT WITH AGe OF C/*
OK
CONSISTENT WITH AGe OF CAR
NO FRAME DAMAGe
.,
I;..:
l"'...
.,.,..
"t'.
,
.
-,
NICE CAR.
.-..----
Appraiser: [ GEORGE DEAN
~.': Sales Consultant: HALBERT, HARRY
*; ...
This Markel Value Is good 'or 300 miles or 7 days, Whichever comes 'frst, assuming the
-condition of the vehicle does not change.
./
Date: I
11128195
I
$8,000_00
I
. : ,Thank You "
This appraisal represents a cash offer.
When nomparlng II wllh olher appraisals, please be sure they olso rePfe:Jent a cash olter
and are nDllled 10 Ihe purchase of onolher vehIcle. TOTRL P .\:!2
ThJ.. I. th_ _...h. ..1... .,
-~_~. ~ra~
~MOUNTi: ,~r;Wr;~r;RS .
153 North Hanover Street
CARLISLE. PENNSYLVANIA 17013
(7171 243.4936
TO WIIOM IT M^ Y CONCERN:
This Is to cortlfy thot wo oro cngag.d In tho 101l'0lry bu.ln.... appraising dlomonds. wClchos, )cwolry and
prodous Itonos 01 oil doscrlpllons,
WIl hllwwllh curtlfy Ihlll Wll havIl this day "awfully llXlIIniul!d Ihn fllllnwing Iistlllland dus"ri!..."j
Ilrlielus, Ihn propnrl)' nf:
N^~U:
Mrs, Beatrice A. DeBolt
MlllRI:SS
21 Strawberry Drive, carlislo, PA. 17013 243-0361
\VH t!slimnlu Ihu vnluu 115 IIstml ror lnslIultu;u or 1I11Wf pUrpOSI!5 illlhl! I;urwnl rt!lnil vnhll!. Hxchlllin~
I'mlurnl Ilnd Illher Illxus. In milking Ihls Apprllisal. wn DO NOT agrl!n tll pnn:husl! nr fl!placIl 111I!
nrtielns.
IU:SI:RII'TION
ArrRAISW VALUE
1. One strand of cultured pearls measuring 19" in length
with a 10K white gold clasp, bar style, with one
5.2mm cultured pearl on it. This is a uniform strand
containing seventy-six cultured pearls which measure
5.5mm-6mm, are white rose' in color with a medium to
high luster.
2. One 14K yelloW gold Lady's charm bracelet with a
heavy open link and measuring 8" in length. This
bracelet contains the following.
lBK gold charms cameo, wedding band measuring 4.5mm,
and alarm clock
$ 895.00
l4K gold charms heart, wedding band measuring 2mm
10K gold charms picturo holdor
gold-filled charms
S.P.E.B.S.Q.S.A.
PAN-AM, US Navy, West Point and
Sterling/gOld overlay charms
maple leaf
throe-leaf clover and
$1,880.00
Thn fllfl!gning "ppraisalls IIHllln with II1Ilnllllmslllnding Ihat 111Il/\ppraisl!r aSSUlllnS nuliabillly wilh
rnspllt:1 In any 1lI:llnn Ihllt mn)' hnlllklln nn tllll hasis nf Ihis "pprnisal.
\ "=- ::CSr\lO<'. ............1 U ~ \'\ h Docember 21, 1994
^~ ~+ IMT!:
-- ~'~}-'''-''':''''V---'l~.~~. .....,.,..-:. ~~~. ~
' -)l ..~~~(',v.x: ,.~" .. '-.r- ' -.r-.'
~1\~~~r~~~~'\, \f,,1';{S \;;~~~~.i.~h.j'~.'.:!i ..~~rl,lj'~' l
.~._.<'im~.'l(_!~~ ,~~-., ~'1L-~~ ._.!~
I
I LBOL'tZ.
I
i
i
I
I
I
NOn Nov
, 14:41:04 1995
TFC=> BstlM
aRANot/ACC'l'
OEIt 3,01540
PAGE 1
AS 011' 11/03/95
DEBOLT -.
SaN 153-16-8261 XNDrvIP~
...**.*****...*....................*..................*..................-.....
ACCOtmT sUMMARY
AVAXLABLE TO PAY
OSS BALMfCB
CASH MOOT MAUETS
0.00
0.00
10,626.58
NB'1'PIORTH
CASH M1t'l' VM.tJE
57,727
47,101
'1'YPE' TO QtmlIlTITY SYMBOL
DESCRIPTION
.ACml CORP
AMP me: PA
.DAILY HONEY Kr1'
MONB'l. FUND POll.TFOLIO
PRICE
HltT VAI.'CB
1
1
1
1212
100
10626.58
ACNIl
AMP
PDJ\XX
16.500
40.000
1.000
19,998.00
4.000.00
10.626.58
NEX'1' :
B-BBM.
PF1-NEXT PP2-PREV' PP3-XXIT
SCROLL FOa'lQUU) TO VIEW i'OSITXONS ...
-
.-.
-.
," ,t.. 0'
-.
TOTAL P.l'll
3Ea.~t 3Dill au~ Q!~~ta~ut
OF
BEATRICE ADELE DEBOLT
I, BEATRICE ADELE DEBOLT, of 21 Strawberry Drive, carlisle,
Cumberland county, pennsylvania, being of sound and disposing
mind, memory and understanding, do make, publish and declare this
to be my Last Will and Testament, hereby revoking and making void
all previous wills and Codicils heretofore made by me.
FIRST
I order and direct my personal representative hereinafter
named to pay all of my just debts, funeral expenses and expenses
involved or connected with the administration of my estate as
soon after my death as is reasonably possible.
However, my
personal representative need not accelerate and pay those
unmatured obligations which, in h1S, her or its opinion, it might
be proper and more advantageous to retain or renew and pay as
they become due and payable. If I do not oyn a burial plot or a
grave marker at the time of my death, I authorize my personal
representative, in his, her or its sole discretion, to purchase a
burial plot and to erect a suitable grave marker at my grave, and
to expend sums from my estate for this purpose.
GRIFFIE. TURO Be GREL.L.
ATTORNEYII_AT.lJ".W
PAGE 1 OF 8
aoo NORTH HANOVER IITnlta
CARL-ISL.E. PENNSYLVANIA 17013
aUITE 101 :1401 MAnKeT GTnl:CT
CAMP HILl.. PI!NNSVL.VANIA 1"1011
;\ ,
~
SECOND
I give, devise and bequeath the following property with all
insurance proceeds thereon as follows:
To my daughter, patricia A. Rosebrock, the following items:
Dinina Room:
Spool cabinet, wine cupboard,
Seth Thomas School clock and the Pine Boston
rocker.
It is my desire that Keith Rosebrock
eventually receive the Seth Thomas School
clock.
Livina Room:
Double woodbox, butler's table,
marble top washstand;
Bedroom:
Glass enclosed bookself and cedar
chest;
~: Rosewood mantel clock;
Jewelrv:
star sapphire diamond engagement
ring; and
Clothina: My mink stole.
To my son, Barry Myers DeBolt, the following items:
Qgn: Blanket chest, mantle clock (Hamilton);
Livinq Room:
Walnut drop-leaf table,
grandfather clock, Eli Terry clock, cuckoo
clock, candlestand.
It is my desire that
Kristen M. DeBolt eventually receive the
grandfather clock and Susan DeBolt eventually
receive the cuckoo clock; and
GRIFFIE. TURO Be GREL.L.
ATTORNEY..AT.LAW
IIUITI: 101 3..el MARKCT !STRI:t:T
CAMP HIL.L.. PCNNSYL.VANIA 17011
PAGE 2 OF 8
200 NORTH HANoveR l!ITn1:1tT
CARLISLE. PENNSYL.VANIA 1'7013
Uostairs Bedroom:
Marble-top washstand,
bedroom table, and plank bottom rocker.
To my grandchildren, the following items:
Kristen M. DeBolt
Gold charm bracelet
Karen H. DeBolt
Strand of pearls
strand of pearls
Signed decoys
Susan DeBolt
Keith Rosebrock
I further direct that each grandchild may choose a miniature
lamp and that my Mummels shall be divided equally among them.
Thier parents may retain possession of these items until such
time as the grandchild is able to care for these items on their
own.
THIRD
I give, devise and bequeath the rest, residue and remainder
of my estate, together with all insurance proceeds thereon of
whatever nature and wheresoever sit'uate in equal, free of all
,
taxes, to my beloved children Patricia A. Rosebrock, and Barry
Myers DeBolt, per stirpes, providing that they survive me by
sixty (60) days.
FOURTH
I direct my personal representative to divide among my
beneficiaries all personal property of a sentimental or family
nature (excluding cash, stocks, bonds and the like), including
but not limited to jewelry, household goods, antiques, furniture
and memorabilia, in accordance with a separate memorandum which I
GRIFFIE. TURO 8< aREL.L.
ATTOANrr.....T.l...AW
8UITf: 101 :I.UI1 MARKCT GTnl:1:T
CAMP HIL.L.. PENNDYL.VANIA 1701 t
PAGE 3 OF 8
200 NOATH HANoveR arncr:r
CARLISL.C. PENNSVL.vANlo\ 17013
'"
.\'"
~
)
may place with my will or deposit with my attorney.
In the
absence of such disposition by memorandum, I direct that the said
tangible personal property be divided between my residual
beneficiaries with due regard for their personal preferences in
as nearly equal shares as practical, with the value of such
dispositions being credited to the share of each respective
recipient.
If the said beneficiaries do not agree to the
division of the personal property provided for hereunder, the
decision of my personal representati~e, including the decision to
sell the property at public or private sale and distribute the
proceeds therefrom as provided hereinafter, shall be final and
conclusive on all parties.
FIFTH
.'
.~
,
Any devise or distribution under this Last Will and
Testament which is payable to any beneficiary who may be under 23
years of age or, in the judgment of my personal representative,
mentally disabled, shall be held in a separate trust by my
personal representative as trustee until such beneficiary reaches
23 years of age or during such period of disability. In the case
of a beneficiary under 23 years of age, the Trustee may
distribute up to one-half (l/2) of the then remaining principal
and accumulated income on the request of the said beneficiary, at
or after attaining 23 years of age; and up to the entire
remaining balance of principal and accumulated interest at or
after attaining 27 years of age.
During the term of any trust
GRIFFIE. TURO Be GRELL.
ATTOnNE;Yl!I....T.L.AW
QUITE 101 :1401 MARKCT OTnE:1:T
CAMP HIL.l.. PV;NNSVl.VANIA 17011
PAGE 4 OF 8
:loa NonTH HANOYCn arnl:rr
CARL.IBLE!. PE!NNOYl.VANIA 1701:::S
created pursuant to this Paragraph, the Trustee is authorized to
expend and apply so much of the net income and principal of each
such trust as the Trustee shall consider advisable for the
health, maintenance, support, and education (including college
education, undergraduate and graduate) of each such beneficiary
until he' or she attains 27 years" of age, or until all such
amounts are paid out of trust.
I direct that no Guardian shall
be required to give or post bond for the faithful performance of
the Guardian's duties in this or any other jurisdiction.
SIXTH
r grant my personal representative the fOllowing powers in
addition to and not in limitation of such powers as my personal
representative shall hold by law:
(a) To retain all property received including the stock of
any corporate fiduciary acting hereunder, provided such
property remains productive.
(b)
To
join
in
any"
corporation,
partnership,
recapitalization, merger, reorganization or voting
trust plan; to delegate authority with respect thereto;
to deposit investments under agreements and pay
assessments; and generally to exercise all rights of
investors, including but not limited to, the voting of
shares.
(c) To manage, operate, repair, improve, mortgage or lease
on any terms any real estate held or owned by my
estate.
GRIFFIE. TURO Be GREL.L.
ATTOnNl:YtI.AT.LAW
SUITe: 101 .3..al MAnKCT DTm:CT
CAMP HILI... PENNSYL.VANIA 170"
PAGE 5 OF 8
:loa NORTH HANOVE" eml:ET
CARI-13i-C. PENNSYLVANIA 17013
(d) To operate any business that I may own at my death.
(e) To invest any funds of my estate in any stocks, bonds,
notes or other securities or property, real or
personal,
without regard to the principle of
diversification or any other statute or general rule of
law in his, her or its absolute discretion, it being my
intention
to give my personal representative the
broadest investment powers possible, providing such
investments do not unnecessarily prevent the prompt
settlement of my estate.
(f) To sell or otherwise dispose of any property, real or
personal, tangible or intangible, at any time forming a
part of my estate in any manner and on such terms and
conditions as my personal representative shall see fit
in his, her or its absolute discretion.
(g) To borrow money for the payment of taxes or for any
other proper purpose~ ih the administration of my
estate, and to mortgage or pledge estate assets as
security.
(h) To compromise claims withd!t court approval including,
but not limited to, any controversies with the United
States of America or the Commonwealth of Pennsylvania
concerning estate and inheritance taxes on any
interests that may pass under this my Last Will and
Testament.
GRIFFIE. TURO Be GREL.L.
ATT'ORNrve.AT.L.A,W
SUITr:: 101 3Ael M"'AKI:T STnEeT
CAMP HILL.. PENNSYLVANIA 17011
PAGE 6 OF 8
200 NORTH HANOVER amr:ET
CARL.ISLEr. PENNSYL.VANIA 17013
. ....,
k
':\ ,.
, '
I'
\
(i) To distribute in cash or in kind upon any division or
distribution of my estate.
(j) To undertake any and all acts deemed necessary and
proper by my personal representative for the proper,
advantageous and prompt management of the settlement of
my estate.
(k) In general, to exercise all powers in the management of
my estate which any individual could exercise in the
management of similar property owned in his own right,
upon such terms
and conditions as to him, her or it
may seem best and to
execute and deliver all
instruments and to do all acts which
he, she or it
deems necessary or proper to carry out the purposes of
this, my Last Will and Testament.
SEVENTH
No interest of any beneficiary of my estate, either in
.
income or in principal, shall be subject to anticipation or
pledge, assignment, sale or transfer in any manner, nor shall any
beneficiary have the power in any manner to charge or encumber
his interest either in income or principal, nor shall the
interest of any beneficiary be liable or subject in any manner
while in the possession of my personal representative for the
liability of such beneficiary.
GRIFFIE. TURO Be GREL.L.
A1'TORNrve.AT.LAW
8UITJ: 101 34tH MARKCT OTRECT
CAMP HILL.. PENNDVL.VANIA 17011
PAGE 7 OF 8
:100 NORTH HANOVER amEI:T
CARLISLe:. PENNOVLVANIA 17013
EIGHTH
I nominate, constitute and appoint my son, Barry Myers
DeBolt and my daughter, patricia A. Rosebrock, or their survivor
as co-executors of this my Last will and Testament.
I direct
that my personal representative shall not be required to give or
post bond for the faithful performance of his, her or its duties
in this or any other jurisdiction.
NINTH
I hereby declare it to be my expressed desire that my
personal representative employ the law firm of Griffie & Grell,
of Cumberland county, pennsylvania, for legal advice and
assistance regarding this my Last will and Testament, they having
considerable knowledge of my affairs, views and wishes respecting
any matters that may arise at the probate of this instrument, the
administration of my estate, and the execution of the powers
herein mentioned.
Last
will
and
Testament
this
set my hand
771-
to this my
day of
IN WITNESS WHEREOF, I have hereunto
A..;,:. u ~ r
, 1989.
WITNESS:
- /, .-.J ,1<./,/; _
. --?-- /' ,.././ /" ,;--
G-;L(;)
~.di:/-,,/~./-~//Z:;
BEATRICE ADELE DEBOLT
-
/./ -
'"
'--
GRIFFIE. TURO & GREL.L.
ATTORNEYS.AT_LAW
IIIUITI: 10' :J.un MARKeT DTnErT'
CAMP HIL.L.. pENNSYL.VANIA 1701'
PAGE 8 OF 8
200 NORTH HANOVER STREET
CARL.IOL.IZ. PENNSVL.VANIA 17013
,
;I
ACKNOWLEDGEMENT
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SS.
I, Beatrice Adele DeBolt, the testatrix whose name is signed
to the attached or foregoing instrument, having been duly
qualified according to law, do hereby acknowledge that I signed
and executed the instrument as my Last Will and Testament; that I
signed it willingly, and that I signed it as my free and
voluntary act for the purposes therein expressed.
/)2i ~1~L
~~A' -. //~. h.., ..,;
BEATRICE A ELE DEBOLT
Sworn or affirmed and acknowledged before me by Beatrice
Adele DeBolt the
CL.. 'JU.'I*
'7;~
of
testatrix --;his
..,.
day
I 1989.
... hLlV.lUl -/11
',fIlL" i-r.~~ .
rl,)r!.~~:".~ ~r:.1.
JESSIE KAY ~"~f'o'm ir::,j H. tlol,ry Publlo
Cal'l!o.I" U: ,I. C. '1.:';0:1.. :.d CCiJnly, P3.
fl., Ccm:nl~.l:ln ~j,~lra:i F..b. 15, 1993
, ,.'
..' .
GRIFFIE. TURO lie GREL.L.
ATTORNEY..AT.LAW
8UITIt 101 :14111 MARKET IITREET
CAMP HILL. PENNSVLVANIA 170ft
,
,.
:100 NOATH HANOVER amEeT
CARLISL.E. PENNSVLoVANIA 17013
FRO" DOUGLAS DOUGLRS rHO DOUGLAS
.... SBT'.I'LIDIB~ S'1'M'~HBN'l'
I
11101
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-1edtI r-lpt or . DaIlIplaUd oovt at pqM UI Dl W. nac..e , uy Ut.a..ob.-a~ ..t.1nd to bua1.a.
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",
STATE OF PENNSYLVANIA
COUNTY OF CUMBERLAND
SHORT CERTIFICATE
I, MARY C. LEWIS
Register for the Probate of Wills and Granting
Letters of Administration 'c. in and for said
County of CUMBERLAND do hereby certify that on
the 9th day of November A.D.,
one thousand nine hundred and ninety five,
Letters TESTAMENTARY
in common form were granted by the Register of
said County, on the
estate of DEBOLT BEATRICE ADELE , late of SOUTH MIDDLETON TOWNSHIP
\~A~~, rlK~~, M1UU~~1
a/k/a DEBOLT BEATRICE A
in said county, deceased, to
BARRY MYERS DEBOLT
\uA~~, rlK~~, M1UUu~1
and that same has not since been revoked,
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
said office at CARLISLE, PENNSYLVANIA, this 9th day of November
.D" one thousand nine hundred and ninety five,
File No. 1995-00846
PA File No. 2195-0846 ClM /} _'-I iJ II
Date of Death 11/04/1995 1I1MA)- C:''-1ill-iLl.4</h/ A.~JI//'IY!IMt. Register
5,S. * 153-16-8261 LI ~
NOT VALID WITHOUT ORIGINAL SIGNATURE AND IMPRESSED SEAL
,/
REV"1547 EX AFP (12095*J
CO""DNW[Atltt or 1)INHSVlVAHIA
OlPARlHEHI Df WrVINUl NOTICE Of IHIiERlUNCE TAX
IIUAEAU Of INDIVIDUAL UXlS , . APPRAISEH.EN.T' ALLOWANCE OR DISALLOWANCE
alP'" 11101>01 0 TI NS AND A E SNENT OF TAU
tl&RAISIURG, PA 11118.0601 OF [DUe 0 S5 S "
E"STATEOF DEJrOrr-- - nnnl' F:~r==---='2="~~~FILE NO.
DATE OF DEATH 11-04-95 COUNTY
ACN 101
(l
DATE 05-20-96
2195-0846
CUMBERLAND
NOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT. SUBNIT THE UPPER PORTION OF TIllS FORN WITH YOUR TAK
PAYNENT TO TIlE REGISTER OF WILLS, NAKE CHECK PAYABLE TO "REGISTER OF WILLS. AGENT"
REMIT PAYMENT TO:
WILLIAM A DUNCAN
1 IRVINE ROW
CARLISLE PA 17013
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
I A.Dunt Ro.lltod
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .....
iiifli: is4'j "EX "AFj>--n'F9!;"j "NoYicE--OF-YNHEiiiTANCE-YA"X" i ippiiiiisEifENT";"'U.i."OWANCE-iili"mm"m------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF DEBOLT BEATRICE A FILE NO. 21 95-0846 ACN 101 DATE 05-20-96
TAK RETURN WAS, I X I ACCEPTED AS fiLED
RESERVATION CONCERNING FUTURE INTEREST " SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..I Est.l. (Schedule AI 11)
2. Stock. and Bond. ISchedul. ft) 12'
3. Clo..ly Hald stock/Partnarship lnt.r..t CSchadule C) ISI
4. Hartuav../Hot.. Receivable ISchedule DJ (4)
5. Cash/Bank Dapollta/Hllc. Parlonal Proparty (Schadul. [) 15)
&. ~olntly Own.d ProPlrty ISch.dul. f) (6)
7. Transfar. (Schlduh G) 17)
8. Total A.s.t.
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funaral Expan.../Ad... Cosh/Hhc. E)lpln... (Sch.dula to I'U
10. Dabts/Hadgaga Liabiliti.s/Llans (Sch.dula 1) 110)
11. Tot.l Dlduction.
12. Nat Valu. 01 TIX Raturn
1S. Charitabla/GovarnMantal Daqua.t, ISchadula ~)
14. H.t Valu. of E.t.t. Subjact to T.x
I CHANGED
132.000.00
57.727.00
.00
.00
20.819.06
.00
.00
IBI
23,868.10
1,323.17
IllI
1121
1131
1141
210.546.06
?~.Iql ?7
IIJ5.354.79
.00
185.354.79
NOTEI
14, 15 and/or 16, 17 and 18 will
returns assessed to date.
If an assossment was issued previously, lines
reflect figures that include the total of 8hh
ASSESSMENT OF TAX:
15. AMount of Lina 14 at Spou.al rata
16. Anount of Lina 14 ta)labl. .t Linaal/Cl... A rat.
17. A..ount of Lin. 14 ta)labll at Collataral/CI... B rata
18. PrincipII Tax Du.
IIS1
1161
1171
TAX CREDITS:
PAYNE NT
DATE
01-29-96
02-08-96
RECEIPT
NUNBER
AA082558
AAOB2596
DISCOUNT It I
INTEREST I-I
536.84
.00
.00 K .00.
185.354.79 K .06.
.OOK.IS.
liB)
ANOUNT PAID
10,200.00
384.44
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
PAYMENT MUST BE MADE BY 08-05-96K.
.00
11.121.28
,00
11.121.ZQ
11, 121.28
.01
,00
,01
. IF PAID AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
I IF TOTAL DUE IS LESS THAN .1. NO PAYMENT IS REQUIRED,
If TOTAL DUE IS REFLECTED AS A "CREDIT" leR). YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE GF THIS FORN FOR INSTRUCTIONS,)
n(.; I
r
'95 iilW ZO -rc ., 6
CII " ,crt
CUrr . . I"A
RESERVATIONI E,'at.. of dlcedants dying on or bafar. D.c.~.r 12, 19.' .. If any future lnt.r.., In the ..tat. I. Iran,fattad
In PD.....lon or enJoy'.nt to el... B (co111'atall blne,lcl.,I.. 0' thl dleldant ,'ta, thl ..plratlon of any ,,'at. for
lit. Dr for y..r., thl C~onw..lth hateby ..pra'lly r...tVI. thl right to appral.. and ...... tran,'" Inherltanc. ,....
.t thl 'awful CI... I Ccolle"rall rata on any luch lutur. In..,..t.
PURPOSE Of'
HOflCEl To fulfill the requlre.ants of hctlon 114D of thl Inh.rltanCI and E,tat, Tn Act, Act II of 1991. 11 P.S.
SacUon tiftO.
PAYHEHl,
D.tlch thl top portion of thl. Hotle. and lubalt with your ply..nt to thl RlgAI'a, of will. prlntad on thl ravar.. ,Ida,
--Hah chack or .onay ord.r p.y.bl. tal REGISTER OF MILLS, AGENT
All p.y.ent. r.c.lv.d th.11 flr.t b. .ppll.d to any Int.r..t Mhlch ..y b. due Mlth ~y r.,.lnd.r appll.d to the t...
REfUND eCR)1 A r.fund of . t.. eradlt, which M" not r.qu..t.d an th. ,.. R.turn, "W b. r.qu..t.d by co.pl.tlng an "Appllcltlon
far Rdund of Plnn.yh.nl. Inhlrltance .nd [stat. ,.." (REY-UUI. Appllutlon. .r. .v.ll.bl. at th.Offlc.
of 'h. R.gl.t.r of Will., any of the Z1 R.v.nu. Ol.trlc' Offlc", or by c'lllng 'h. .p.cl_1 Z~-haur
anlM.rlng I.rvlc. nuab.r. far far.. ard.rlngl In P.nn.ylv.nl. 1.800.56Z~ZOSO, out,ld. P'"n,ylv.nl. .nd
within local H.rrlsburg It.. 1711) 1U-aD9lt, tOOl 1711) nZ-Z2S2 (H..rlng I.p.lr.d Only).
OBJECTIONS. Any p.rty In Int.r..t not ..tl.fl.d with Ih. .ppr.I....nl. .lloMane' or dl..llowene. of d.ductlon.. or ........nt
of t.. elncludlng dllcount or Int.r..tl a. ahown an thl, Natlc. .ust obJ.ct within sl.ly 160>> d.y. of r.c.lpt of
thlt Notice hI
~-wrltt'" prol..t to Ih. PA D.p.rt'.nt of R.v.nu., Bo.rd of APp"I" D.pt. 2aIOZI. H.rrl'burg, PA 1112a-loZI, OR
.-.I.ctlon to hlv' the ..tt.r d.t.r.ln.d .t .udlt of 'h. account of the p.r.onal r.pt...nt.tlv., OR
--'PP"I to the Orphan.' Court.
AD"IN
ISTRATlIIE
CORRECtiONS I
F.etu.1 .rror. dlacov.r'd an Ihl. ........nt .hould b. .ddr....d In writing 101 PA D.p.rt..nt of R.v.nu.,
Bure.u of Indlvldu.l ta..., All"1 Po.t A.......nt R.vl'M Unit. D.pt. l80601, lI.rrlsburll, PA l1ua'OIiOI
Phon. 1117) 7a1-6505, S.. p.g. 1 of Ih. book I., "tn.truetlon. for tnh.rltanc. I.. R.turn for I R..ld.nt
O.c.d.nt" tREY-ISOI) for 80 ..pl.n.tlon of .d.lnl.tr.tlv'IY corr.ctabl. .rror.,
DISCOUNfI
If .ny t.. due I. p.ld wUhln Ihr.. (3) cal.ndar Month. ,"ar th. d.ud.nt'. duth, a f Iv. p.runt (5:0 discount of
the I.. p.ld I. .llow.d,
PENAL TV.
the IS~ t.. .~..ty non.p.rtlclp.tlon p.n.lly I. caapul.d an Ih. total of the I.. and Int.r'.1 .......d, and not
p.ld b.for. Janv.ry la, 1996, Ih. flr.t day afl.r the end of Ih. t.. .anl.ly p.rlod. Thl. non'p.rtlclpatlon
p.n.1 tv It 'PP..hbl. In 'h. .... 'IIMar and In Ih. Ih. .... tI.. p.rlod .. vou ,,"auld t1pr..1 th. ta. and Intar..t
Ih.t h.. b..n .......d .. Indlca,.d on thll not Ie..
INJ[RESTJ
Inl.r..t I. charg.d b.glnnlna with 'Ir.t day of dellnqu.ney, or nine t9J aonlh. and on. (I) day fro. th. d.t. of
d..th, 10 the dlt. 0' Plv..nt. t.... which b.ca.. d.llnqu.nt b.for. Janulry I, 198Z be.r Int.r..1 It Ih. rat. of
.Ix U:() p.relnt p.r annul ealculahd at . d.lly ral. 0' ,ODOI6". All t.... which b.ea.. d.llnqu.nl on and aflar
J.nulry 1, 1982 will b..r Int.r..t .t . rat. which will vary fro. eal.ndar v..r to cal.ndllr Y'lr with th.t r.t.
announe.d by th. PA Dep.r'.ant of R.vanu.. Th. appllcabl. In tara. I rata. far 198Z Ihrougn 1996 .r'l
'!!!! Intar..t R.t. Dally tntar..t Faclor !!!r Int.r..t Jfat. Dallv Int.rlllit Faclor
198Z ZO~ .OOOSlta 1981 .. .000Zltl
19U ... .000"38 1988-1991 In .00OSOI
198~ 1Il( .00OSOI 1992 .. ,OOOZltl
1985 U~ .000156 1995'I99~ ,. .000192
1986 I.. .000Ult 19'5'I996 .. ,OOOZlil
ulnt.r... I. c.lculet.d .. follawlI
INTEREST . DALANCE OF TAX UNPAID X NUNDER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
"Any Notice Inu.d .ftar Ih. I.. b.eo... d.llnqu.nt will rafl.et .n Inur..t calcul.tlon to flfh.n US) day.
b.yond the d.lI of the ........nt. If pay..nt Is .",d. aft.r Ih. Intarllt co.putatlon dnt. .hown an the
Notice, additional Inlar..t lU.t b. caleulat.d.
J -. ~_ .... '.
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D AA 082596 COMMONWEALTH OF PENNSYLVANIA
NO. , DEPARTMENT OF REVENUE
OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
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RECEIVED FROM:
f3
ACN
ASSESSMENT Ii'
CONTROL ...
NUMBER
AMOUNT
DUNCAN WILLIAM A
1 IRVINE ROW
lul
.::'I1tr."ti'4
CARLISLE, PA 17013
,
,
- 'OIOHU,
ESTATE INFORMATION:
f:t FILE NUMBER
~ 21-1993-0846 SSN
r.t NAME OF DECEDENT (LAST) (FIRST)
~ DEBOLT BEATRICE ADELE
II DATE OF PAYMENT
P/ORI
fa POSTMARK DATE
COUNTY -<h'0<h'
CUM8ERLAND
DATE OF DEATH
I
1:53-16-8261
(MI)
REMARKS
h./.9!l
WILLIAM A DUNCAN ESQ
m TOTAL AMOUNT PAID
e384.44
VZ
SEAL
CHECK" 3378
RECEIVED BY i,. 0', .
" i
SIG'N;"fUj(~
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REGISTER OF WillS
MARY C. LEWIS
REGISTER OF WILLS
~
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STATUS REPORT UNDER RULE 6.12
Name of Decedent:~A+(I( e_ (t.lelR.... De-t3oit.
Date of Death I II / If / (j :i
will No. /tS/tJ5- >;'1Co Admin. No.
Pursuant to Rule 6.12 of the Supreme Court Orphans'
Court Rules, I report the following with respect to completion of
the administration of the above-captioned estatel
1.
State wbether administration of the estate is complete I
Yes V No
2. If the answer Js No, state when the personal
representative reasonably believes that the administration will be
complete:
3. If the answer to No.1 is Yes, state the followingl
a. Did the personal r~sentative file a final
account with the Court? Yes No .
b. The separate Orphans' Court No. (if any) for
the personal representative's account is:
c. Did the personal representative ;/,an
account informally to the parties In interest? Yes No
d. Copies of receipts, releases, 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.
1~~jJ)~A~ (C0-
S n ure
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.
Date:
Lt CL I
ame (Please t or print)
I ::ZKII1I7l!'--;?v,J (kt.dt ~ r1()J3-
Address ' tL~
('7/7. ,;;2 t/'j - 7 -; ;;- U
Te I. No.
(HAH: rmf! AM3)
Capacity: Personal Representative
~counsel for personal
representative