HomeMy WebLinkAbout95-00943
PLEASE FILE nuS. REPORT WIl1lIN 'lW YEARS OF DATE OF DEAl1l REXWIDLFSS OF 111E STA'ItlS OF 11m
FSrATE. IF FSll\TE IS NOT 0)1l'l.El'ED, FILE ^ 6.12 FORM YEARLY UNl'lL cniPu:rION.
STA'l'lIS HE~ lINDER RULE 6. 12
Namo of Decodent I I;I.I,ANOR N. TIIONSON
Date of Deathl December 3. 1995___
Will No.
00943
Admin. No.
---
Pursuant to Rulu 6.12 of the supremo Court Ol'phM1S'
Court lIules, I repol-t t.ho followIng with respect to l:ompletion of
the adminlst.ratiun of tho "uove-captioned ustate:
1. state whether administration 01 the estate is compietel
Yes_Jl___ No____
2. I f the answer Is No, At.at.e when the personal
representative reasonably believes that the administration will be
complete:
J. If the answer to No.1 is Yes, state the following:
a. Did the personal representative file a finai
account with the Court? Yes No X
b. The separate Orphans' Cuurt No. (If any) [or
the personal representative's account is:
c. Did the personal representative state an
account informally to the parties in interest? Yes X No
d. copies of 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.
Date:
gft/9?
Q~l:a q~
Jennie E. Row, Executrix
Name (please type or print)
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300 Miller Rond. llalifllx~J2032
Address
L217) 362-3506
'1'e1. No.
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X rersonai Representative
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IN THE MA TrER OF THE ESTATE OF
ELEANOR M. THOMSON. DECEASED
IN TIlE COURT OF COMMON PI.HAS
CUMBERLAND COUNTY. PENNSYLVANIA
ORPIIANS' COURT DIVISION
NO, 00943 01' 191)5
APPROVAL OF INFORMAL PARTIAL ACCOlJNT. 1(((CElPT, I{El.liASE,
AND REFUNDINCl A(i!{EEMENT
KNOW ALL MEN BY THESE PRESENTS, thnl (iEOIlC;I,' T. THOMSON or
Cumbcrland County, Pcnnsylvania. bcingo onc-third rcsidUlII)' hcncl1cinry 01' Ihc snid Estnlc or
ELEANOR M. THOMSON. dcccascd. who dicd Icslnlc on f)ccclllhcr 3,1995, ol'whUln
Lcttcrs Tcstamcntary wcrc grantcd hy thc Rcgistcr 01' Wills of ClIlIlhcrlnnd COllnty.
Pennsylvania, on Dccembcr 15. 1995 to .IENNn: 10:. now, E~cculri~. docs hcrchy
acknowlcdge thaI:
I. Informal Portial AccountinL'. I hnvc rcceived frnllllhc snid Excclltrix. an
infonnal partial accounting or the ndministrutionnl'snld ESlnlc throllUh Fchrunry 23. 1996, and I
acknowlcdgc that I havc carclillly rcvicwcd thc suid inlhnllul JlultiulncL'ounlinL\und do hcrcby
approve the same os bcing truc and correclns lomullers discloscd Ihcrcin, und rutil'y nnd
confinn all things and mailers hcretolilre done hy suid E~cclIlris in conncclion with thc
administration or the Estnlc to Ihc e~lcnl discloscd in suid inlimllnl purtinluccounting.
2. Rcccipt. I hnvc rcccivcd $9.111111.1111. frolll suid Excculrix in cnsh, as n partial
distribution on account or thc rcsidunl)' shurc to which Il1In cOlitlcd in snid Estatc.
3. Partiul Rclcusc. I hcrchy rcmise. relcusc. lJuilclnilll. nnd rorcvcr dischargc thc
said Exccutrix nnd hcr hcirs, cxccutors. nod ndnllnislrulors, of nnd from all actions. suits.
paymcnts, uccounls, rcckonings. clnims und dCll1unds whnlsocvcr. Ibr or by reason orthc
administrulion or such Estutc. TO TIlE EXTENT discloscd In suid inlimnnl parlial accounting.
IN THE MATTER OF TIlE ESTATE OF
ELEANOR M. THOMSON, DECEASED
IN TIlE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 00943 of 1995
AI'I'IWVAL OF INFORMAL ACCOUNT, IU~CEII)T, ItELEASE,
AND IU~FLJNDING AGIUmMENT
KNOW ALL MEN BY THESE PRESENTS. that NANCY E. SHAEFFER, of
Cumberland County. Pennsylvania being II one-third residulIIY beneliciary of the said Estate of
ELEANOR M. THOMSON, deceased. who died testate on December 3. 1995, of whom Letters
Testamentary werc gral1led by thc Register of Wills of Cumberland County. Pcnnsylvania, on
Dccember 15, 1995, to ,JENNIE E. ROW, Executrix, docs hcreby acknowledge that:
I. Informal AccOlhllinu. I havc receivcd fromthc said Executrix. an informal
accounting oflhc administration of said Estatc through Junc 23, 1996, and I acknowledgc that I
havc carcfully rcvicwed thc said informal accounting and do hereby approve thc same as being
true and correct as to matters disclosed therein, and ratify and eonlirm all things IInd matters
hcretofore done by said Exccutrix in connection with the administration of the ESlllte to the
extent disclosed in said informal accoul1ling.
2. Receilll. I havc received $371.17, from said Executrix, in cash, as a Iinal
distribution on account of the residuary shllrc to which IlIIlI entitled in said Estllte.
3. Rclellse. I hereby remise, rclellse, quitclaim. and forever discharge the said
Exccutrix and her hcirs, exceutors, and administrators, of and from allllctions, suits, payments,
accounts, rcckonings, claims and dcmands whatsoever, for or by rellson ofthc IIdministration of
such Estate, TO THE EXTENT disclosed in said informal partilll accoul1ling.
'.
4, Rcfundinu Aurccmcnt. Thc undcrsigncd hcreby agrees that hc will pay and
rcimburse the said Executrix individually, any sums which he may be required to pay in
conncction with additional claims against such Estate. in proportion to the interests of the
undersigucd in such Estate. I understand that, in addition to the Items disclosed in said informal
accounting -- (i) claims may be made by creditors of the decedent, including, but not limited to,
claims for Pennsylvania inheritance or estate tax, fedcral estate tax, fcderal or Pennsylvania
income taxes, county personal property tax, or other taxes, (ii) claims may be made by
beneficiarics of the Estate -- which claims by creditors or beneficiaries may become legal
obligations ofthc Estate or the Executors or the undersigned, or to which the assets distributed to
the undersigned as stated in paragraph 2 above may be subject. arising out of or on account of
the administration of such Estate.
IN WITNESS WHEREOF. the undersigned, intending to be legally bound. has hereunto
exccuted this instrumcnt this lf11 day of ~ u l \ I , 1996,
I
WITNESS:
-rJ{~ ~~/o~
~hJt7r ~'l1r--
George T, Thomson
- 2 .
..
ESTATE OF ELEANOlt M. TIIOMSON, I)eeellsed
Lnte of Middlesex Township
Cumherlnnd County
Informnl Account
.Iennle E. Itow, Executrix
Date of Death: Dccember 3. 1995
Lellers Granted: Dccember 15. 1995
First Complete Advertisemcnt of Grant of tcllcrs: January 26. 1996
Account Staled to August 2. 1996
PRINCIPAL
QWl
12/26/95 Dauphin Deposit Bank & Trust Company
12/26/95 Community Banks N.A,
1,163.20
33.660.66
34.823.86
INCOME
QWl
Dauphin Deposit Bank - interest
12'26/95
Community Banks. N.A. - interest
12'26/95
01123196
02/25'96
03/24/96
04/24/96
OS/23/96
06/23/96
07/23/96
1.19
45.88
47.21
48.1\
12.22
1.65
1.54
1.65
.78
160.23
I)RINCIIJAL RECEIPTS
12/26/95 Capital Blue Cross - 50% co-pay ofprcseription drugs
12/26/95 Capital Bluc Cross - refund
01'22/96 Cumberland Crossings
01/24/96 Capital Blue Cross - 50% co-pay ofprcscription drugs
02/12/96 Capital Blue Cross - 50% co-pay ofprcscription drugs
03/22/96 Lab Corp. - rcfund
173.94
114.10
113.19
178.57
12.29
29.75
621.84
1'lHNell'AL mSIJUnSEMENTS
12/23/95 United ofPA -telephone bill for long distance
ealls placed for relatives for notifying ofdeuth
12/23/95 Stephenson's Flowers - Flowers for funeral
12/28/95 Cumberland Crossings Retirement Village - monthly
room eharge and supplies
12/28/95 Cumberland Law Journal - Advertising
12'28/95 Care Apothecary. drugs
12'29/95 Jennie E. Row - Reimbursement for Probate Fees
01/04/96 First Church of God - Luncheon after funeral
01/11/96 Stephenson's Flowers - fruit basket for nurses for
the Holiday Season
Olf20/96 K. M. Knight Funeral Home
Olf27/96 Care Apothecary - drugs
02/01/96 The Sentinel - Advertising
02/23/96 Register of Wills. Agent
02123/96 Register of Wills
39.66
55.65
635.47
60.00
362.50
96.00
50.00
42.03
4.350.00
25.91
60.04
1.689.40
25.00
7,491.66
flUNCIPAL DISTRIBUTIONS TO IJENEFICIARIES
03/02/96 Naney E. Shaeffer
03/02/96 George T. Thomson
03/02'96 Jennie E. Row
06/29/96 Naney E. Shaeffer
06/29/96 George T. Thomson
06/29/96 Jennie E. Row
9.000.00
9.000.00
9.000.00
318,02
318.01
318.01 27,954.04
INCOME DISTRIHUTIONS TO IJENEFICIARIFJi
06/29/96 Naney E. Shaeffer
06/29/96 George T. Thomson
06/29/96 Jennie E. Row
08/02/96 Jennie E. Row
53.15
53.15
53.15
.78
160,23
PETITION nm I'IWIJATE and GltANT OF LETTEltS
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OATil OF "EI~SONAL ItEl'ltESENTATIVE
COI\IMOi'iWEAL'!'1I 01: I'I::NNS~'L\' ANIA 1_ >1<1
COlll'TY OF~_(;(LPj_LJ:.u.2Y'''-- J
TI'I.' p"'liliOIH.'(("~ ahOH'.n:lIlH..'d ,,\\~ut(,,) or allil'lll("') thutlh\.' ,WICllIcnh inlhc furegoing pClhiol1 ure
trUl.' illld ",'Uln'I.'1 10 Ill,,' hl.'''' 01 Ihl.' j..nowkd1!l.' and hclie-f ul' pl.'lilinncrh) illld thul '" IlcT,onul reJnc~cn.
lHli\l'bl 011111.' "hUH' dl.'I.'l.'dl.'Il1 pl.'liliullcll"') will \\ell illld lruly udmini!rlll.'r tI",: CMUlc according to Inw.
'-,. /
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hClitl'c Ill'" lit ./:~;.-';.-- dil) IIf /'J ___.~_ _..". .~u_____~_ ~.
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. "MAllY! c.-t'Ew'fS..J/ "-i~:'~i;7,~ . "-7:=~_.__~_=---'--- ~
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IDust Ifill mth Q[.eshtureut
01,'
ErE^,~OR M. 'nr01>1.",ot!
BE l~' HE)1[,y.ffiEHlID, that I ELEANOB M. 'IlIOM.'101l.. or 12/1 Hooda Dl'ive,
Mechwlicobul'r:, Cwnbol'llUlct County, I'cnnnylvfUlin, boIn/;, of 1l011nd mind,
IlIeITlOI'Y lUlct undol'stwldlnr:, do make, publlnh amI declare this 1111 and for
illY I.lllt Inll wld 'l'est!lJ11(>nt, hel'eb.v l'Cvold.l1f" and rmldnr; null ond voId IlIlY
and all wills and testamento and writIngs in the nature thCl'Col' by me at
nn.v t:l1ne heretofore Ilk'lde.
ITFJoI 1:
I d1J'Cct that all l1\V .lust debta and funeral expenses be
paid an noon al'ter my demise as mk~V be convenient.
l'JEt1 2:
All the rest, residue and remainder of mv estate, 01'
\~hatsoever nature and wheresoevel' situate, whether it be real, pel'sonal
or mIxed, inclUding property over \~hich I have a power of appointment, I
give, deville and bequeath unto my husband, lJEORflF. P. T11OM.'lON, absolutely,
provided he sllI'vives me for a period of thirty (30) da,vs.
lTEl4 3:
Should my husband, GEOROE P. T11a.1S0N, predecease me, fail
to survive me for a period of thirty (30) days, 01' should \~e die simultaneously,
I then give, devise and bequeath my entil'C residuary estate as follows:
(A) I give and bequcnth the Cat. owned by me at the time
of IllV demine unto l1\V son, OmRG!,; T. TlICJr.tSON.
(13) All the rest, rellidue and remainder oj' II\Y estate
01' whataoever nature and wheresoever situate, I give,
devise and beC]ueath unto IIlV three (3) children,
lJF.oROE T. 'IHOMSON, NANCY E. SHAEFFER and JENNIE E. ~91v,
Item II:
in equal shares, pel" stirpell.
I direct illY hereinafter named executor to pay all inheri-
tance, estate, succeasion and le~~cy taxes of whatsoever nature and
kind, to which my Estate or the transfer of any nroperty passing hereunder
loJITNES..'l :
/1et7/YI~ )17 $07JU2h1/(SEAL)
ELEANOR M. Tlla.1S0N
.
..
...
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01' othel'l'/ise pass:lnp; by renf!on of II\V delnise, 1U1d Illfl,V be sUb,fect IU1d to
chfll'ge such taxes against Il\V I'es:ldunr'y estate, it belnr; II\V intention
that none of the aforesaid taxes eithe!' fcderal 01' state, 01' an.v propel'ty
required to be included in my gross eatate, undel' the provisions 01' IlJW
state 01' fedel'lll law now in fOI'ce 01' herellftel' enacted I ahall be prorated
ruoong the peT'Sons interested :In mv Estate to whom ouch property is or
l113,y be tl'Bnsferred 01' to whom nny benefit accl'LlCs.
rIDI 5: I appoint II\Y husband, OEORaE P. THoro1.'30N, as Executor, of
this lI\Y LaGt Hill and Testoment. Should my husband predecease me, fail
to qualiry, cease to act or renounce probate, I then appoint lI\Y daughter,
JENNIE E. 00\1, as alternate Executrix of this lI\Y Last Will and Testoment.
ITEM 6: I diroect that lI\Y Executor, guardian 01' their successors
shall not be required to give bond for the faithful perfonnance of their
duties in any jurisdiction.
IN 11ITNf.ClS Ion. , F, I have hereunto set lI\Y hand and seal this
d''1M do,V of ~
, 1986.
((.Ij . .1):
//;:f!>?l,tt[., 1) J;!;,hJ,'Ct1t'J:SEAL)
ELEANOR ~I. 'I'Ila.!.'30N
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10,
CtM.oNWEAL'l'1 OI~ PENNSYLVANIA
S.'l
comfrY OI~ YORK
We,
Erl~AN()R M. '1'lC1.>1SON
JAIl M. \'1100. ES~JlRE
I the 'lbstatrix and the
and GrENDA M. WE'1l1INI1'1DN
witnesses respectively, whoRe llO/nes are sip;ned to the attached 01' fore-
going instl'LlJ1'ent, being first duly sworn, do hereby decllll'e to the
undersie11ed authority that the Testatrix sifl1led and executed the inst!'llll\ent
as her Last ~lill and Testament and that she had signed willingly (01'
\~illingly directed another to nirrn for her), and that she executed it,
as her free and voluntary act for the purposes therein expressed, and
that each of the witnesses, in the presence and hearing of the Testatrix,
signed this Last Will and Testament as witness and that to the best of
their knowledge the Testatrix was at that time eighteen (18) years of
age 01' older, of sound mind and under no constraint 01' undue influence.
Sworn to and subscrib .to before me
this &L~a.v of
1986a" ')
,~~~~~A
M,v COlTTuission ExpIren:
" .
GI[~DA t/ ';;'fl/r' "nor.
OIlI5PU~G B~'!C~',;,\'m,.~( "/lYtlC
II11Y COllMISSIOiic,lP~RE~ fj',;: :;;L'lfrY
tJttb", P,nnr"v'"TII .! (C, ..7, 19t6
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21 - 95 - 943
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
COMMO"W/A\IIIOI '''''''''VA'''' (TO BE FILED IN DUPLICATE
DfPARfMHH Of Rf\fINUI
....,,..''In. ~~.nlll .1>0' WITH REGISTER OF WILLS) COUNTV CODE VEAR
DIClO N 'S N-AMI.-IIA~ ,III; . A-,ioM1DOIIIW I-AII.- --' -. -... - -. ... -- ~omD'.ltH \ (I)M"'TIAii. "111'''1\'..
TIIOfISON, 1~1,I~hNO\l M. GUMIlE\lLhNIl GIIOSS I Nl;S \l1;T 1\l1~~mNT
SOCIAl S((UI.T" NUM.II IfiA-,fOfclIAftl -'-Jo;,-,(or"IIIII----- ~ - Olle 1.(Jllf~udnr r WilY,. cu.r.1 J H It!. I'A I 70 13
196-14-2082 12/0J/95 02/01/111 c"" Cumlll!rlnl1ll
I" ......,,"'"""'H.'~II. H'O' ..""", ..",;;,,,, ,.."." -r(I'"iCUiir""'"ifi=~_~r~:.."'~::~~I~',,~':'~:':::~____~~=-___
[] 1. O,iolnal Relurn [] 2. Supplemental Rolurn rl 3. RemQinder R.luln
(for dnle' 01 death prior 101'.13.821
o 4. limited ElloI. [] Ao, Future Inlefnll Compromilll rJ ~. Fndefol Ellnte TlU ROlur" Required
Ifor doles of doath alter 12.12.02)
[) 6. Der,dent Diod Tellolo [J 7. Docodenl Moinlolnod a living Trult J!.. 8 Total Numbor 01 Safo Depolil Boul
(Atloch copy of Willi IAllach copy 01 trulll
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO.
HAM( COMPI(H MAILIUQ ADOIlU
Jennie E. Row 300 Miller \land
jlll'HOH, NUMm IInUfnx, Ph 17032
717) 362-3506
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rOR OATIS or DEATH Anu 12/J1I91 CHECK HERE
I' A SPOUSAL ~
POVUTT CREDIT IS CLAIMED I J
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1. Roal E,'ote (Schedule A)
2. Slock. and Band. (Schedule BI
3, Clo.ely Held Stock/Portnenhlp Inl"OII (Schodulo q
<I. Mortgogel and Nolel Receivoblo (Schedulo D)
5. COlh. Bonk Depo.lI. & MIIt.lloneoul Penonol Properly
(Sthedule E)
6. Jointly Owned Prope,ly (Schedule f)
7. Tronlfen ISchedule GllSchodule l)
8. Tolal G'OIl Allets (10101 line. 1.7)
9. Funeral EJtpenlel, Admlnlllralive COlh, Mbcttllonoou.
ElI.pen.el ISchedule H)
10. Dobll, Mortgage liobilillel. Uenl (Schedule II
11. tolol Deduclionl (tolallinOl 9 & 101
12. Nel Value of Ellalo (lino 8 minu.lino 11)
13. Chariloble and Governmental Boque'" (Schedulo J)
14. Net Valuo Sublect to TOk IlIne 12 mlnulllno 131
15. Spoulol Tran,'oll (for dol.. of dealh ofler 6.30.9<1)
S.. Inllrucllonl '0' Ar,plicable Percenloge on Revollo
Side. (Include voluel rom Schedule K or Schedule M.)
16. Amounl of line '4 lakable at 6% ralo
(Include \'alue, from Schedule K or Schedule M,l
17. Amount of line 14 tOJtable 0' 15% role
(Include value I 'rom Schedule K or Schodule M.I
18. P,incipollok due (Add loJt from line. 15, 16 and 17.)
19. C,edi" Spoulol Poverly Credi' Prior Paymon"
+
NUMB(R
III _Jl_.____
(21 __----.0_________
o
PI -------
I 4 ) _n__~_PU 0 _ ~
151 _ J?."'J1~J~___~.
161 0____
(7) ~O__
(81
(91 4.671.69
(101 1,105.57
~A_L5. 9~_~
z
o
E
~
:E
o
u
(111
(121
(lJI
(14)
---.5_>]J.7_..~6___
29,638.69
. - -_._----~-_._----
o
- -'----29-;6-J~s:_61)----
(15) . _u____ _.__x. ___a
(161 29 ,~3~_~.2__~__ X .06 =
d~.n~~JL~
(171 ___.~=~:c.__..__X .IS =
(181
1,778.32
+
DilCounl
88.92
Inloroll
u.8.!! ,2-2__
~
...
Chock ho,o if you ora roqua,lIng a .ofund of your oyorpaymont.
(191
(20)
20. If line 19 h g,.ol.r .han line 18. onler Ihe diff"ence on line 20. this il .ho OVERPAYMENT.
aD
21. If line 18 II greoler than line 19, enl" Ihe difforence on line 21. Thlll.lho TAX DUE.
A. Enler.he Inl.r..' on Ihe balance duo on line 21A.
B, Enler Ihe 10101 of line 21 and 21A on line 218. thl. IIlhe BALANCE DUE.
Ma". Ch.ele Payable tal Regh'., of Will" Auent
I ~ ~ BE SURE TO AN!iWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH -0(-0(
Under penaltie. 01 perjury. I de cia,. that I hove OII.amlned thl. ,elurn, Including otcomponylng IChedule. and .tolemenll. and 10 the bell of my knowledge and beliol.
It 1.lru., correct and complete. I declo,. thai 011 real ellole hal been repa,red ol',ue matlto' \'aluo. Oecloration of prepare' olher than Ihe pOHonal rep,e.onlative II
bOlld on olllnformolion of which reporo' hOI any knowledge.
~tG lUll 0' 'USON In'oNS~1 101 'UNG IlTl!.!'N Ao01iiu,< _' OA.-It J
U. \........... ZI., 60<i lIljA, fl.; ;.'L~/-L?'" I,t.n .21.;1], /9(.-
IE 0 'I(",.U OfHU THAN U,.UlN1ATIVf ADOlfU DAn
LJ ('711 (,71- ,?t;i) .!, /-1 (-]17) !,(;..) .:: ::VI"
(211 _~__~__ _~__~l.o89,-"0.___
121A) _n__._______
12181 _.,~_._~.____l.o89_.AO___
'Ivl)III'.I'U,
lSfAi'E OF
ITEM
NUMBER
'(
\>.~;;I'~I\
'!: ~11!.:,.
COMMONWlA1IH Of 'fNNS,VlVAUIA
'NIHIIIAUCI fA. I(tURN
_ 1.1!IDI!,,!' DICIDINt
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
ELEANOR H. TIIOHSON
DESCRIPTION
A. Funeral Expenl'"
~____~____..._ __ _.0..__.0._..____
1.
2.
3.
K. H. KNIGIIT FUNERAL 1I0H~:
FIRST CIIURCII OF GOD - ..uncheon after .'uneraI
Stephenson's Flowers
B. Admlnlltrallvo COII&:
4.
C.
1.
2,
3.
4.
5,
6,
7.
8.
1.
Porsonal Roprolonlativo Commlntons
Social Security Number of Personal Reprosontatlvo,
Vear Commhslons paid
2.
Allorney FOOl
3.
Family Exomptlon
Clalmanl
Addre" of Claimant 01 docodon"s doath
Strool Addro..
Rolatlonshlp
City
Slota ___ Zip Coda
Probalo FOOl
MloceUaneoul Exponlel:
Cumberland Low Journal - Advertising
The Sentinel - Advertising
,
,
I
I
I " Ploas,! Print _or Typo
'I'FiLE NUMDER
1995-00943
TOTAL (Also ontor on 11..0 9. Rocapltulotionl
(If mora Ipaco II noedod, Inlorl additional Ihooll of lame Ilzo.)
\
s
AMOUNT
4,350.00
50.00
55.65
o
o
o
96.00
60.00
60.04
4
'1-....oy
_....- -07"
I(Y_IIIIII_II.9'1
*'
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES AND LIENS
PI.a.. Print or TVp.
FILE NUMBER
1995-00943
COMMONWI"lIH 01 ,(NlnnY..Nll
IHlllllfANCI 1.... IlllU.N
'UIDINt OICIOINt
.. --. ..---_.. --.~_..- ----.... _.-. .
ESTATE OF
ELEANOR M. THOMSON
-.-_.._-_..----,--~--~._--- ~-~_.
ITEM
NUMBER
DESCRIPTION
AMOUNT
I.
Cumberland Crossings Retirement Vil111ge - monthly room charge
and supplies
Core Apothecary - drugs
Stephensons Flowers - Fruit basket (or Nurses for 1I0liday
United of PA - Telephone Bill for long distance calls placed
for relatives for notifying of death
Care Apothecary - drugs
39.66
25.91
635.41
362.50
42.03
2.
3.
4.
5.
TOTAL (AI.o enler on line 10, Recopltulollon)
(II more .poco Is needed, inset' additional ,heels 0' lame sin.)
$
1,105.51
~,
I'V-U!) I.. IJIII
_\\.,~.9_
-
COMMOHW,AIIIl 01 rr,mSlIVANIA
lHHllllAHCI I.ll .nUI'"
.nIDI"' DIClDIN'
SCHEDULE J
BENEFICIARIES
ESTATE OF
ELEANOR H. 1'1I0HSON
FILE NUMBER
1995-009/,3
ITEM
NUMaER
NAME AND ADaRESS OF BENEFICIARY
RELATIONSHIP
AMOUNT OR
SHARE OF ESTATE
A. TOkoble Bequest"
I.
Noney E. Shaeffer
11 Lorken Lune
Ht. 1I0lly Springs. I'A 17065
DlIughter
1/3 residue
2.
Jennie E. Row
300 Hiller Rood
Halifox, PA 17032
Dnughter
I/J residue
3.
George T. Thomson
16 Cold Springs Rond
Corlisle, PA 17013
Son
1/3 residue
ITEM
NUMBER
NAME AND ADDRESS OF aENEFICIARY
AMOUNT OR
SHARE OF ESTATE
B. Charitable and Govornmenlol Boqu..hl
I.
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Allo onlor on lino 13, Rocopltulo.lon) S
(If more space II n..ded, Insa.' addltlonal.hull of .ame sin)
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF ~1I.W"'lW1MAI!
DAUPHIN
I
J
ss:
,__~cnnJ.c_ r..,_.Ro_w_._ ._
baing duly _--1IWO.I1L-. ..__..__ according to law, dopolOl and lay. Ihal H ho ~HJhui1<.Q.J:Jlt,r.fJI_._. -.-
______._._._ _n_._ _.. ... 01 Iho Ellalo 01 lilcllnor H. Thomson
lato 01 _H!ddlcscx. 'fowll.ship _ .... ____ ___, Cumborland Counly. Po.. docoolOd and thol Iho
within Is on Inyonlory modo by ....J.CDIl1.CJi._Rllw___.._. ___ __ _...,.___, tho laid Exccutrix
01 Iho onllro 011.10 01 laid docodenl, conllstlng 01 all tho porsonal prop.rly and rool OIlato, oxcopl roal 011010 ouhldo
tho commonwoalth 01 Ponnlylyanla, and Ihal Ihe IIgurol oppollte each Itom 01 Iho Inyentory ropr..enl II'. lair yaluo
as 01 Iho date 01 docedonl'l doalh.
SWORN
and .ublcrlbod boloro mo,
(~Ylc')~~' rC)h-
--7f-- ~.-E~.cuto, . AdmTnh".tot
Jc!lnic E. Row
3~r, Millcr Rond
,-
.-
/'
~qr;
'---' l' '1<;;- ~.'
,'IOrl'lO .(,;111,_: I <:
Mol'>l Pii.d..,ro 1~\1l t\ 1.1 iiJLil Courot)'
MiCOrllf1U~I';l(l,lf!JrJr,I!;'\\J.'.n.lm
"',_, 1:,"w"Ut'JlII"N~I''''luI rt~l..'w.q
Halifax, I'A
17032
Addu..
Day
Month
1995
Vu,
Dolo 01 Ooolh
03
12
INSTRUCTIONS
I. An Inyonlory mUll bo IlIod within threo monlhl aftor appolnlmont 01 porsonal ropr..onlatly..
2. A lupplomont Inyonlory mUlt bo 1II0d within Ihlrty doy. 01 dlscoyory 01 additional anoh.
3. Additional .hooh may bo attachod 01 to porsonally or roally
4. Soo Artlcl. IV. Flduciarlo. Act 011949.
J
~ ..;
'" W 'M ..
.". .c ~
'" ~ S '" ..
0 w ~ ..
... u
0 0 VI .. ..
I g W W 0 C '" ...
U"\ :x: 0<: !-< .. ..
'" ... LL .,; ... c
..... -' ~
'" Z ~ 0 K ... 0
- LL -' GJ :I:
W 0 < GJ '" :i- <
> Z 0<: ~ GJ
Z 0 ..... c
C '" "
VI Z '" ~
0 0<:
Z W < ... ....
... :c ."
c
..
<tl - "
... 0 ..
'" .., ." ...
W .. E
- ..! 0
! .. " 0
-' U Ii: CD
-.. -. ~., -....- ... .. .
"-'.. -- -.- ,.- ..- ~
-~ '--'- --.". -.,..- ,"-'- >._~ ..~..-
[,': ~:!\z~ Wi' ;" '_;'_ .:.-', ,')_:':_:;:~'.:~~-;~_:i:!\?\\~~~~71~qJ;::ff,'~~tH'~; 7'":,~(,.rt-i~~;:. ~:~~':~ j""j;''';; :y.:,:'\)_ .:....~;.,-} ~-;_'. ',--I :_-__:_'~';'; :';;, .' ,: ....; _ _-: '~.,'_'--, ': ..:.: ',,_;,-: _',
' 'i;',,;. ""'. :,~1'1:,25;46fl,COMMONWEALTHOF PENNSYLVANIA" " . ......
;'.-i;; i : .-~'''?,,- -,~'_^h".;.t,._Y'_';;;'Yi:~~"""''-.''''--''''';- ',.... ""." ..:-',-t,;:.~;,,:.,_, ;:- >::,;::-.~.'i';:
D~9-,M",:,.,." ":''''''i(",4'..;7,'''V~''I,-hDIMRTMINTOP.MNU.',:;: " , '. .' '
'.'._C ,..'''-..._ :'.:-'; c.:':._, ..', . \.- _t-." ,c -.- ".".,"<' ""'<'~ ...."'.." _.~,.( ".' '____',~"'-'_""__ "',-, u".,"" .-......... c',',., 'v___ "', ,_" , " "_' __ :... ""._. . __ _ .
'....,I6l~i...~. ',.:{ ',:':,:O",CIAL 1lIC.1":.'INNSYLVA~IAINHIRITANC. AND ISTATI TAX.
" "...~.:_..,\,"... ',.'.
,'..._.n .'_.
---..-,,- '-.-- ',', .'
':~;,',\,';'t(~~ '" ,. '.-
,"""',.";---:-:-.,'
'. -.",-"-,, '.
RECEIVED FROM.
&
ACN
ASSESSMENT III
CONTROL iii
NUMBER
AMOUNT
JENNIE ( ROW
300 MILLER RD
101
"1,669.40
HALIFAX, PA 17032
ESTATE INFORMATION,
!t fiLE N MBER
1II 21-1995-0943
!'I NAME OF DECEDENT (LAST)
~ THOMSON ELEANOR M
II DATE OF PAYMENT
B POSTMARK DATE
COUNTY
SSN 19t.-14-E!Oe2
(FIRST) (MI)
CUMBERLAND
DATE OF DEATH
REMARKS
m TOTAL AMOUNT PAID
$1,689.4()
SK
JENNIE E ROW
SEAL
CHECKII 12
'/ /, ~-r
RECEIVED BY" .-' 'J/ ' ..'--. C. :,!!; 1~,-::,1 ,...I(.#,'O
I SIONAl"Jr ;,/
MARY c. LEW1S .~, ) (/J-o',..-
REGISTER OF WILLS
REGISTER OF WltlS
------ - -~. -- --~ -. -- -- -.- - __ ~"__ ~__ _'.n,. >-.,_____. __.. _.~
-.---. _._-- ~-..' _..~. -- .-- --_. ---- ---. -. -".--. '-- -". --,
,
-----
.
_-_+._....-----::.....--..._..~... 4lI'~1-'V .~~-
\
'04DHrt, _
!
. '
,
, ~.
REV-lS47 EX AFP 112-9S*b l~
~~~:~~~:~ T~r O:;L~~=~~YlYAHIA NOTICE OF INttERITAHCE TAX A, N 101
BUReAU Of IHDIVIDUA' tAlCU APPRAlSEHENT, AllOWANCE OR DISAllOWANCE
~~~~iS~~:~~\'A I7IU-OftOI ~ OF DEDUCTIONS AND ASSESSHEHT OF TAX DATE 06"05,,96
ESTATE OF-THOMSON HEA111f - .- - - FILE NO. .1~9-5--:0'f.rr-
DATE OF DEATH 12-03-95 COUNTY CUMBERLAND
NOTE I TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT TltE UPPER PORTION OF TItIS FORH WIlIt YOUR TAM
PAYHENT TO TIlE REGISTER OF WILLS. HAKE CItECK PAYABLE TO "REGISTER OF WILLS, AGENT"
REMIT PAVMENT TO:
JENNIE E ROW
300 MIltER RD
HALIFAX
PA 17032
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE. PA 17013
Anount Re..ithd
l
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
ifEv:is4j-Ex-Aj:p-ii2-:9!fj-NOYicE--(WYNHEiii;:ANCE-~"-AX-iipPRiiisEHEN'r,--ALLOiiANcE-ijli-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF THOMSSN ELEANOR M FILE NO. 21 95-0943 ACN 101 DATE 06-05-96
TAM RETURN WAS I (X I ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORISINAt RETURN
1. R..l E,bt. (Schedule A) 11)
2. stock. and Bonds (Schedul. 8) (2)
3. Clo..ly Held stock/Partnership Int.r..t (Schedul. C) (31
4. Horta.ga./Hot.. Racaivable (Schedule DI (41
S. C..h/Sank Deposita/Hisc. Parlonal Property ISchadule E) 151
6. Jointly Owned Propa,-ty CSchedule FI 16J
7. Tranaf.ra ISchedule OJ 17J
a. Total Au.ta
APPROVED DEDUCTIONS AND EXEMPTIONS.
9. Funaral Expensas/Adn. Costa/Hisc. Expense. ISchedule H) 191
10. Dabts/Ho,-tgaga Liabilitia./U.na l::ichedul. IJ ClOI
11. Total D.duction.
12. N.t Value of TaM R.turn
13. Charitabl./Govarn..ant.l Baqua.ta ISchadula JI
14. Net Value of E.t.t. SUbjact to Tax
If an assessment was issued previOUSlY, linos
rafloct figures that include the total of ALL
ASSESSMENT OF TAX:
15. Allount of Lina 14 at Spoua.l rat.
16. Allount of Lin. 14 taxable at Lin.RI/CI... A rat.
17. Anount of Lin. 14 taxable .t Collat.ral/Cl... Brat.
18. Principal Tax Dua
NOTE.
1I51
1I61
1I71
TAX CREDITS:
PAYHENT
DATE
02-23-96
RECEIPT
NUHBER
AA1l2545
DISCOUNT t+ I
INTEREST I-I
88.92
I CNANGEO
.00
.00
,00
.00
35.415.95
.00
.00
(Bl
35.415.95
4.671.69
1.105.57
tnl
1121
1131
1141
~.777 ;t~
29.638.69
.00
29.638.69
14, 15 and/or 16, 17 and 18 will
returns assessed to date.
,00 M .00.
29,638.69 M ,06.
.00M.15.
lIBI
.00
1,778.32
.00
1,778.32
AHOUNT PAID
1.689.40
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
1,778.32
.00
.00
.00
. IF PAID AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
I IF TOTAL DUE IS LESS TItAN U, NO PAYHENT IS REQUIRED.
If TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF TNIS FDRH FOR INSTRUCTIONS. I
,
I
\
\
\
\
,
;
;
i
I
['(l -=4:
I.; <;:! .'0..
.~ 0- '.;',
~';;' ~1: I ;>
~ ."',.-- )
<.. ~
~ :.
<j'
c. ,,' "J
.~J .:,1 _'_1
U 0 ~ .~ C
UJU: oj) ::l
a: GU
.ESE.V.IION, E.I.I.. .f d...donl. d.l.. .n .. ..,." 0....... I'. I'" .' If on. lulu.' Inl....1 In tho ..1.1. I. Iron.f.rr.d
In ,......Ion .r .nl....nl t. CI." . ,..II.I.r.11 ....fl.l.rl.. .f Ih. d...d.nl .fl.. Ih. ..plr.llon .f on. ..1.1. I.r
Ilf. .r f.r '."" lho C.ooon...llh h..... ..pr...I. ....r..' Ih. rl,hl I. op,..I.' and ...... I.on.f.r Inh.rllone. I...'
at the lawful Cl... . (coUaterall rat. on any luch future Int.r..t.
pURpOSE Of
NOIICEI I. lulflll Ih. r...I....nl. .f s.ell.n '140 .f Ih. Inh.rllane. and E.I.I. I.. .et. ..1 .. .1 1..1. 7' P.S.
s.cllon Zl"O.
PAVItEHTI
D.I.eh Ih' I., p.rtl.n .1 Ihl. N.Ue. ond .u..lI wllh ..u. p....nl I. Ih. ..,I.I.r .f Wllh prlnl.d .n Ih. r'.'''' .Id..
.-Haka chick or .onl" ordu payable tal REGIStER OF MILLS. AGENT
'11 p...onl. r...I..d .h.ll flr.1 .. oppll.d t. an. Inl.r..1 whl.h ... .. duo with on. r...lnd.. .ppll.dl. Ih. I.',
REfUND (CR) I
. r.fund .f . t.. .r.dll, whl.h w.. n.1 r.....I.d .n Ih. I.. ..Iu.n. ... .. r.....I.d .. e..pl.lln. on ".p,lle.llon
f.. ..f...d .f p.MlYluonl. Inh..lIone. .nd ElUI. ,.." I.EV.""" ',pll,.U.n. ... ...11..1. .1 tho of/I..
.1 Ih. ..01.I.r .f Will., on, .f Ih. 2' ....nu. DI.lrlel Dffle... .r .. e.lllno Ih. .p.el.l ,,'hoUr
on.w.rl.. ..r.le. ....... f.r f.... ..d.rlnol In p.nn..I.onl. I...........,., oul.ld. p.M..I..nl. .nd
within local ",rrllbUra .r.. (111) 7a7-BD9~, TOOl (717) 772-2252 (H..rlno lapalr,d Onlyl.
OBJECTlONS1
An, p.rlY In Inl....t n.t ..Ihtl.d wllh Ih. .p,..h...nl. .1I.w.n.. .r dlull.won.. .f d.duetlon.. .r ........nl
.f I.' llneludlno dl.eaunt .. Inl.r..II .. .h.wn .n Ihl. N.tle. .u.1 ..l.el wllhln .Iot' ,.., d... ., r...lpl .,
this HoUn by1
_.wdU.n p..IOII t. Ih. P' D.p.rl..nl .f ....nu.. ....d., 'p,..I., 0.,1. ..lOll. H."h.urO. ,. 17I...IOlI. OR
..ol...lon I. h..' Ih. ..tt.. d.ur.ln.d .1 ..dll .1 tho .......1 .1 Ih. ,....n.1 .ODr...nl.U... OR
uepp'" to thl Orphans' Court.
ADMIH
ISlRATlVE
CORRECTIONS1
f.elu.1 .r.." dl.e.....d .n thl. ........nt .h.uld .. .ddr....d In wrlllno t.. 'A D.p..I..nl .1 ....nu..
....au .f Indl.ldU.1 ,..... A.'N. ,..t ........nt ...I.w Unll. D.,.. ""'1. H.rrl..urO. PA 171......1
'non' "17) 7"""" S.. "0' . ., Ih. ...kl.t "In.lruell.n. f.. Inn..II.n.. I.. ..I..n f.. . ...Id.nl
Oleldant" IREY-150U fa.. en Illplnnatlon of adalnhtraUvI1Y cornctabl. .rror..
DISCOUNT I
If an. I.. duo I. p.ld wllhln thr.' "1 e.l.nd.r ..nlh' .11.. Ih. d.e.d.nl" d..lh. . fl.. p.re.nl ,'X) dl.eaunl .f
th. ta~ p.id 1. al1,~.d.
Ih. 15X I.. .onOlI. ,,"".portlelp.llon panol" I. e..pul.d .n Ih. 1.1.1 .1 Ih. I.. .nd Inl.rOlI .......d, ond n.'
p.ld ..f..' Janu.r. I.. I"'. Ih. fl..1 d.. .11.. Ih. .nd ., Ih. I.. .....1. p.rl.d. Ihl. n.n.p.rllelp.ll.n
p.n.II' I. .pp..I..I. In Ih. .... .onn.r and In Ih. Ih. .... II.. p.rl.d .. ..u w.uld .pp..1 Ih. I.. and Inl....1
th.t h.. b..n .......d as Indlc.t.d on this notle..
PENALTY I
INTEREST I
Inl....1 1. eh"O.d ...lnnlno wllh fIr.' d.. .f d.lln...ne., .r nln. ,., ..nlh. .nd .n. II) d., fr.. Ih. d.l. .,
d..th. I. tho d.l. ., p....nl. to.OI wnleh ...... d.llnqu.nl ..1... Janu.r. I. 1912 ...r Inlor..1 .1 Ih. "to .f
.10 ,.X' p.re.nl p.. .nnu. e.leul.,.d .1 . d.ll. r.l. .1 ....1... All t.... wh"h b..... d.llnqu.nl .n ond .11.r
Janu'" 1. I'" wIll.'" Inl....t .t . r.l. ohl,h will ..r. fr.. e.l.nd.r .... I. e.l.nd.' ...r wllh th.1 r.l.
announe.d .. Ih. PA D.p.rl..nt .1 ....n... Ih' .pplle.bl. Inl....1 r.t.. I.r I'" Ihr.uOh I". .r..
~ Inhr..t Rat. D.Uy Int.r..\ Fector 1!!! Int.r..t Rete O.lIv tnt.r..t Fector
1912 ZD:C .OOOS'" 1981 'X .0002It?
1915 16:C .OODUI 1916-1991 IIX .000501
191" \IX .000301 1'J92 'X .0002lt1
196!i UX .0003S6 1995-199" 'X .000192
1916 lOX .00027'" 1995-1996 .X .0002lt7
--lnt.re.t is uleul.t.d .. fol1owlI
IHT&REST = BALAHC& OF TAX UHPAID X HUHB&R OF DAYS D&LIHQU&HT X DAILY IHT&R&ST FACTOR
--An. ..lle. I..... .fl.' tho I.. ..e.... d.II....nl will r.fl.el an In..r..1 ,.leul.llon I. flfl..n 'I') d.,.
..,ond Ih. d.I'.' tho ........nl. If p.,..nl I. ..d. .fl.' Ih. Inl.r..1 ...pul.ll.n d.l. .h.un .n Ih.
Hotlc., addlt1on.l Int.r..t .u.t b. c.lculat.d.