Loading...
HomeMy WebLinkAbout95-00944 -~. I)ETITION FOIl ItlWBATE Ilnd GllANT OF LE1TERS No.___021 - tjE - _q_4!d To: Cslale oJ GllldYH E. II,,~~,,-,,!~____________ al.m kiloI\'II us . ------------ __._______ Reghler of Wills fo,lhe _~ /),'ceuwtl. COllllly of _Cun",-"rllllld III Ihe Social ""'('lIrll)' No. I 59-ZI.-ll5 75 COllllll0nWellllll of Pennsylvnniu The petition of Ihe 1I1lllelhlglled respeclfully represenls Ihal: Your pelhioner(s). who Wore III yea" of uge or older an I lie eseclll__ In Ihe lost will of Ihe above decedent, dnled -Augun t Z5 and codlcll(s) dalcd Galen s. lIo1trv rind Lnrry E. Holtrv. ExccutO.IS nllm[!d in tit(! wi 11 t nt'r! both deceaned named , 19-Z.L ('lillt rdenml drcnlll"'"ncc,. (,t!:. rcnundaliun. l1calh uf C\t\:lIh,. Clio:.) Decendcnl was domiciled 01 denlh in Cumherlond II er lasl family or principal residence 01 439 Three SQullre Hooewoll TownshiP.. Cumberland County. Ph (li\lltrcd, flUluller and Il\UI1Cillalil)'} County, Pennsylvania. whh Hollow Rood. Newbur\!. Decendenl,lhen ll2 years of age died November 17 , 1995 01 439 Three Square Hollow Rood. NeWhUr\!. Po . Exeepl os follows. decedenl did not marry, was nol divorced and did nOI have 0 child born or adopted after execution of Ihe will offered for probale; was not the victim of 0 killing and was never adjudlealed Incompetenl: none Decendenl 01 dealh owned properly wllh esllmaled values us follows: (If domiciled In Po.) All personal property (If not uomlclled in Po.) Personal property in Pennsylvania (If nol domiciled in 1'0.) Personnl property in Coullly Value of real eslale in Pennsylvania sllualed os follows: $ $ $ S 5.51f> None WHEREFORE. pelltloner(s) respectfully request(s) Ihe probate of Ihe lasl will and codlcil(s) presenled herewith and Ihe grant of lelters of IIdministrotion e. to a. 11t'\~nm(,lllnr)': adminhunlion l',I,I1.: administration d,h.n.c.t.D,} Iheron. - ~ Ii :2~ ..... ~ i - . SI r 1 e "0 g , ~"{/j 1.( t) ~:= ;: Jo Ann -;;~, "-^, ~~ / ~;f~~~ 1! .. Vi ('I . I C ;)'(( ",-<, /I E K enemlln " 441 Threo Squllre 1I011ow Hond .JuU-1I,un:. PA 172/10 (717) 1.23-5932 111374 f!ountnJn Hood OrrHtown , Ph 17244 ( 71ll 532-5998 Ilf> VlintHtono Orive Newville, Ph 17241 <717l 776-5968 . ,'.J.......(f G. lliBney/ -..;, /t;-:"'~~j"/,/ ,:: Hoover OATH 01<' I)ERSONAL REPRESENTATIVE COMMONWEALTH 01<' I)ENNSYLVANIA } tiS COUNTY 01<' CU~IllERl.ANO The petltioner(s) nbove.namrd swear(s) or nffirm(s) thai Ihe slntemellls In Ihe foregoing petllion ore Irue und correcl 10 Ihe best of Ihe knowledge and belleI' of pelllloner(,) und Ihut us personal represen- IUllve(s) of the ubove decedent petilluner(s) will wellnnd,trnly udmlnlsler the eslale according 10 low. , J . C' ,/ Sllb~I~~~ { >'\Ail/l!t',VC-/ltl ...h 1/',/1<, 19 Y5 y If ','.. '...'/ ,{~. LJ ",./ H' I iJi I ,f Re~/slc}, /. " ,,' , , , .,; l/' -:.' . I .. , Sworn to or affirmed 7ljlltl before nwEtlt! , U CE B tH /, " ( " '.:, \!l Do' I! i! ~ - , ARY C. LEWI /'. , ~. ... '... 4' .~, ~ . No. ? 1 - 95 - 944 Estate of (:tndYfi E. lIoover , Deceased DECREE m' PROBATE AND GRANT 01<' LETTERS AND NOW DECEMBER 15 , 1921-. In conslderallon of Ihe petlllon on Ihe reverse side hereof. satisfactory proof having been presenled before me, IT IS DECREED that the Instrument(s) doled AlIl\lIst 25 , 1975 described therein be admllted 10 probate and nJed of record as the 1051 will of G1nd>'s E. Hoover and Lellers oC Administrntion C.T.A. are herebygranled 10 Shirley E. Keesemnn. .10 Ann G. Disney. nnd Arlene F. Hoover Will Book H Page ., )(') .~ . '- ,) C.' . Cj....,L.. ). I~ih"(, ,"ii'" I" JJ). I /1;"11/:1 {.l Rt'.lslcr or Wills ., (,' MARY C. LEWIS FEES P b I L E $ 40.00 ro a e. ellers, tc.......... Short Cerllficates( 1) .. , .. . .... $ 3.00 Rernlllclatlon ....",..,...... $ o.I~~ $ ~.uu TOTAL _ $ 48.00 Filed .... .Q~CFMij~~. .1.~,. .l.Q~~. . .. ,. .. . . Jerry A. Weigle, Esquire ATIORNt!Y (Sup. Ct. t.D. No,) MARK, WEIGLE AND PERKINS 126 Enst Kine Street ADDRt!SS Shippensburg, PA 17257 (717) 532-7388 PHON I! o 01624 Letters and order put in attorneys file in Prothy on 12-15-95. 21 - 95 - 944 o c , I .-J -'.; ., ......i:.,.' -. . .". . ,'" . , . , . , '", ' - ... . ... . .'. . . ,~,:f'l,i;:'- "';;;'.',:..::,::.,~' ,.~,:. ',/',.:, ,'\;, : c~;~; , :~S;:,,:.;f_,:: >~'n ~.",'" ' ' . , ,", :;!;li" ". :',' f'" ' , ", ," 'C" ,,~L,,: " ;,,' ?'o , ~?, ik<' ;"''; , ,,:',,", :'\,~' : > <, CC ; ;,' :,~' 1"';';'']';''', 7. v' >t" ,;',,' ~:, .;,.'.":; ,;: "",""",._:"-::".,, "'., ..' ;'> ',;'~;'}" . ~'<;,!~. ;;,: ",' ':':;':"'.' ,',' c:".'iY ", ::,;-,_", ",';" ':.....,..;:'-'..," '..' ',> _~._,'/i< i:'. ,'''- - ",,;' , ,,' , ,;,~, , ; ,'.'" +; '" ", ",r,,,,,, ,.... .'<') \,:: " ,;"," <::':':~;.f ,,~~\{;:.:~/,~:, .:: :;,; ,,' ': ,',' ':.' ." ;:. >'>)>,,>:j)~ ,',:, ;_ ,~J><: ;" ~;:t' 'if/I,;" ",,1', it,~<, : :~;"i;; <': ;: :', ~, " ~ ' ", ,'",9, , ,'; ,,'; ': ' "il" ", ' ' , :C' ; , ", ".",,; ,'<, N ,:"" ,,<...." " ' ' ,'" ;7" .;,,;",' .",i, > ,(,.' ":"",, ,'.' .,' ,,', . M i > >J .~",": ':, ',~" ,:t,~:T<;:' 7' d 0:':"',.;1,;: ~'j" ;c';, ".'/ f,:' > .' ,; " :, ," ;, ~i: :L ;'0 ,,' " " " - '", ' ' ;If'::: ~1Ii" ^"" ;,;{ , " ' ',,, " ",,,: ,,' '" ._, _ " " ,,,,'c:: , ' " ~t~~~~~" ~.' ,:.,' ~;~::,: . ':" ,; . '_, 'f:1r:;::' I ' . ...... .." . .,....,.,;r\'... . ,';" := ~~ ~ @ 1 m ~\It('(; '.'. ' . ~cl ., ..~ In a~' ".1:1 ~ ~ p~ ,fio!i(oci' ":::E~ B tiJ 3 ~ a ~ ~~Se~ , ili m~ 1aQ ~ .! . Ill. /:.!. .~ ., . .'. , . . " '1 . ~,. .. '. ,;,.'., , "~ ~'..: ~ -,'- f.-" ' ..Ii ~~J -- c:o. ~ ~ " -.;1 <;>. :.t ":-,' .l~ , , , . ,r ("'9t!.1.l (, ,~,,~ ':-1111',11.111111' \'IIUH~IA llIUlIlUl' "1'1' Ill' IWA 111 HH 111m COMMONWEAL TH OF VIRGINIA. CERTIFICATE OF DEATH DEPAnTMENT 01' HEAL TIt. DIVISION OF VIT Al RECDnDS. RICHMOND "I""to.~ "II ,,111,1,11" I'~"I 1;;U."i'liO 1,1'1,1"'" -'.-.n_,....._._.,, inc'"FlliN,U""'" Ii.. i'~.;;ili~i..');.'" "0 .. 1011101:"'" .hl",,,,,Uflfli ~ III AI 1It !ll 1'.1I!1)1 'I' ' ~ ''''''~'''-''''''''''-'''H'~''''.'T_~ '''''1'.....1 IIflll'll>tlfl 5~ .1,. 'l";'-'~,'~~"..' ~'I\.iJ-'-'''- I~~; I h,l ,,~'"'l I' 0\." {If' f PI 'fl ".HIIl '.'11 It,,,,, ,... J 1 I .1,uIIlH""n'f1I 0 ,_U!'.~. .~J,", ~5.9~ _._~_~_,~,~,~~'"" . ","",, .,. fll .", 1.1 ,~to-J,.....ht'" '''I. .......1.....' =PlACC[of"=-~ DU"1 -t_ _ ~. -UIUAi.==--=== R[5mtHcr: Of DtCtDtH1 (! --~~~ \. ~~~:~~;,u j r DEC[D[H' f. ~I--- It-- I, H t ;;;;;;;;;;..;;;;-- Ii CAUS[ Of DtA III X , ! II' '0 I fll P"YSlctAH 'I ~':=~::~ ,..":' ~ g ,..",,...,..., . ~ :;;,:..1::';,"" .J! l~ "{\'.' '" 'w~...I <1.'...,....'.....'" .'I~.n.I........ ,,",''''''''~-'''''''''' ... f."'. h I' I IfOll ., . I"'''<1'~g' ",~.I t..""'"....."w ".,.",p."I "'''''''''1, :J''''J,.,'a'e'I'~.' "o.;.o.ln...._'" MI_"U"'''' ~.,-J fUNE-RAt DIREC'OR Mui,,'RAA = I"'''''~' ..., 1!uRcIIU Hu1try I ,1"'.""111'.' Lilrry j-I..i!,i,-.,...-:-:I"- - ;;l.'li--- t'~"l]' .,,1- 111"'11 ~1'-rJ,-L2.oJ.)!l9~_. "..44" , 11....1 {It 1f......II.l on l'l.,f,lulN"f ,t-! (}f 1,1.. l' ......'. ..' ,..'~. ",,..,lj".I.1I .....'.... -..t~_'!.~1-c_<~",..,~, -': , , , ,10,. ~..~. ,., ,.~.., 0...1'.. I.....",.. 110.0. kl'~'.'" Non.. 000 --_._-_o~----;;;.~r;;;;-"';;n-;:;~;:t;, Ill' '~ii;i iTAfK)lI,-;,:;I)li iiT,-..TTii-i'I-:i:iilJtr:i"~ii''----'---~--- ... .. ~ ~~g. ,,~i>>\;WlI".~"I---- Virginia n..ach 2804 Wuodduck Dr. ======--~====- II !lUll [1,nlOlllNltJIOltl4l1I'IOI Cltllllf'll liUr!,IIIf'1l.1 lJ"'ri;:;i;T~7~"'ort{{iI1jr;~'j;fiA-J-,;7~~r;;;:'=-:~'7:~~I-==--==-"-'-~.""-'-' Virginia ~~liI'iIs.m;.tcf IJr,:iii"ll--- _"l~,.. h__~,' iT<.TiIifT,ifif.j'ijr7~u<<Ii";I/ii----.;r;.ii;jt;.! ." ~ .J~L"~R~ ~~8~,~_~~c~~~~~~~_~~~.~~",~"~~2J41i6 _.__ ~1.1.""JI"".l,Il{"I>tOI>llll"U'JI"f" '." ""'.',.,..., "?~.a,~,~"~".H?~,~~...,,;,.,,.,~., Kl "" 0 "" r"'_'.'I'_.~h'lIO", (.''''''''''1'4..,.) 17 .... VI II UAflIIIIlJ 0 (J'vlJllur'D n :~f::~~:~lf~~: ~~~:'t'II' 1,.Uf (" '-"'()11M UAIUl'IO[X wlw....'uD Charlotte ~oltry' ;"I I<1NI10' !lU!JLIiI!o5 Oil "ll1U~,"" 'f ltIHiI'ua.,1 "" r>lll'W.f U. 1"lol'ual~I'1 Charlotte Holtry Virginia Beach == - ---==.'~~~n',"",~ " '...:OT{ ,',l ..~;-II.1 ',l 'f.H'fl, Samuel llo1try HllAn Of {Jl(lllfllT ,. {If "'M'''flCOll~\IP-j' I....ruo 11<l.~_", 4 Cauc. /0 C"I/"I()l ",IOU COIl'IIII1' ;1 ",mlll'l"'1 ,.1.1'.'" In/tll'" USA Pennsylvanin ;4 !M.l(:IAISfClJlllhflVl.fllOI E UIiU.l (lIllAtlf OC(;UI'AhOIf 177-42-2720 Retired U,S. Navy it 1'''''' I 1..1.."'..<1,M._....I"'..,"'lnmM.'.'".l"al{a~'..II""_.... p.,............ tt-......."'''' "''''9 ."'hu...'I"<<...-'."........''''''''1 ."'.. ..,.....";;.:.... ,."...." .......(...,."".~..~... "<"41'''''''''- oiiwtr.---:-<> 1JP-4'-.flA';IllJfAnl ...',~~'::E..E~..US.[.,...lf ~"'..".>>,.'.'. '" _. iA) ."" r In ~:1 '':' to:1 to i f' lli.rcl.nCI:ULJ.)Lt '''f' f .' 111" ~....,"~, ." fO(OI'A!.AUWISIOIIIIj(;IOlI ., lilI<:I"""I,.."I'.I.flI'41_. ol.~'."""nq III """'...t",. f..... f..,.. UNOE-AUI,..O CAUIit lo.w... 0' "'IV') ~ ''''Ulioo1 ......"'..'wu......<t<>.!IIJLA" ,Ill . our lO!OHAS AU)flSIOUEIlC' Of, z g i . ~ ----J,'-I PARf" ~''\I'''''''.I"I~''''''''''''''''Il,,,''''.I''I'~T''''''''.\o'''''II'''''''''''''''''''''''''J'''~'''1l,.,,,.,1\"",,11 o 0 ~ ...' I' U....U wASHlIllf AI'llru,,;.'.c, I14PA!>Tll.lO";III!>? :'ttc II r.'lltlIAl CAUSf.,rw"" .........1:1 ..u..T_ll....I.1 onU'''-I'''I-.'''' 1:8. "uTlw!;n J,III"Olll/fOIl~ ..., IllU-IlIft' ItO....I.l-JUlll HllJ,Il,.-.WUIJ,lH\ll,CUI'''ltl ,.. nO ""0 ~..._"D i ;M ltHUA, OCClIImfll I,"""'f., 1''''.1 ,."..\<..,I.T.'..", , o __;~~:... 0 :;".:"::-- 0_ ___~_ 7:00 llm ''''~''''-.''~'''' ...........'11- <1UI...~.......,., _____________.__~.__.._______~_l.'" 'IP'" 1_'" 1.",'''....''''1'..." ""1""'" '~"Uu".I,.I.I...1 ;;:;i~:~.~~g;~~,; . ...... :'6~'O"J~h:;""P~,);~.~~~ik(/port9' VA . :'~ l'lJ,(I_O' l'lJUII'I'~'"'" I.,.., ,..I,.,.I,"",<,!1.(.I>'<N_~1 ~f''''fmllfJIIIl' I~.ll ,~, (IU" 'M PM ,. " nUIII"1 CmUAJlO'1 1~_;"I"""'W"'.f._..1tl11' III.,.) "",,,,,,,,,,,,,1 IIfUOV"1 lOI'lACI (If !lUIU"1 IIIUM"I,'rtc Kellum Funeral Ilome Crematorium. Va. neach, VA o ~ o C~I..~" ~""""Al d~",'''' '" I"""" 10'9." '~'hg I"'. I'" ,,,.,., . :~~~I, l~:lt, ll~1 ""I Ke 11 urn Fu ocr a 1 Home ~ ~;:::., .o":~ ~ /,,1, . " "'fl(JIlI',!> "17.05 Jl Dd V n h V 21A5~2 =,/'~ "'/:'C'~~ '.''-.__' '-r/---== ==~~_oL.L~ Qn_~~y~n. b.P""d'-"IlC~>~... u l~"""J"(JO''''''''''''J'' . I" UAfllllCOIIIl I .. ., '1110 fl~[Il~u':O~~~=A..~~~~.:d--'~-=-~-~r..~-o_- r_l~l'r~!~~~l9-.&.-=~~~==~~-==_ IlrU'tlTllAI1SUS[ " ---; ~==='========='r-""",=-------.z:=-===-==<"",,,,;_"""-"'_":::"'--===--===="""'==-=--=-OOO'.__"-=o--,",,",,~"."'_="'-===""""''''''',,"'-_',",'' '11 liS IS '10 CFlmFY '111i\T '11 liS IS i\ mug ANIH 1JlUlEcr 11E/'I(OlllJCI10N 01' '111g OlllCiINi\L HE(,()llIl I'IU,IJ Willi Till: VIIlCiINIA III'ACII :::~;:;I~:::II~::Ucr, VIIlGI:-IIA Ugi\CII. Vl1((;INIA~'1t._.'t'.a: . _ _'_ Ne C l~J!:!:1 . 1J1'1'lfrYlu':cm;n~ SF,II: ,INY HFI'HOlllJCnO:-l OF '11 liS IX)CII~II:Nr IS I'IU)ll11l1lHl 11\' SrAI1J1E IXl Nor i\Clu'r IINLESS IT IIEAHS '1111: IMl'llI'SSFIJ SI~\L OF '1111' VIIlOlNIi\ IIFAClllllc'II.I1IIlISIHILT CI FAlliS NHXFll Sc..-c111l11 32.1-272. ('ode (If Vir~'.illiil. Il'i Amcndcd 21 - 95 - 944 ~) ~' , ,I I ,'~ : . . ~, . '- Noticc hns now bccn givcn to all pcrsons cntitlcd thcrcto under rulc 5.6(a) cxccpt NONE. ( Signnturc , i / /\.,/' c; , ;.'1 J ; I I ! , Dcccmbcr 29, 1995 Namc: Jcrry A. Wci Ic, Esqulrc Addrcss: MARK. WEIGLE AND PERKINS 126 East King Strcct Shippcnsburg, PA 17257 Telcphonc: (717) 532-7388 Capacity: Pcrsonal Rcprcscntative x Counscl for Pcrsonal Rcprescntativc " MARK. WEIGLE AND PERKINS - ATTORNEVS AT LAW _ 128 EAST KING STREET _ SHIPPENSDURO, PA 172IJ701397 .:t.. L:l....-,' .' ., .~ ~ _ ;-,..~.I':t-.t~j*_.~',...-,~""~_"'.',l"~--~..,.--~_----:-~_.T'....,"""';"'.............-~,..,..~.:'---~,--......"-......~~:r~~:-' ~. .'. .... . -- -- - - - - - - - - -- -- - - -- - - - - -- --.. --- ,-- - ~- - -- -- - - - --- ,-... _. -- ~- - - - - - - -- D AAO'S257S COMMONWEALTH OF PENNSYLVANIA NO. DEPARTMENT OF REVENUE OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX I!Y.l1U U 14"41 ~~~ RECEIVED FROM: i ACN ASSESSMENT 1':'1 CONTROL I:tI NUMBER AMOUNT WEIGLE JERRY A 1e6 E KING STREET 101 ..J3::1.00 SHIPPENSBURG. PA 172::l7 ESTATE INFORMAT'ON, 'f:'I FILE NUMBER (II e 1-1995-0944 f:'I NAME OF DECEDENT IlAST) ~ HOOVER GLADYS E II DATE OF PAYMENT m POSTMARK ATE COUNTY 00700 CUMBERLAND DATE OF DEATH SSN 1::l9-2/j-8575 IFIRST) IM'I REMARKS ~ TOTAL AMOUNT PAID S1:3::l.00 VZ SEAL SHIRLEY E KEESEMAN MARK WEIGLE & PERKINS ATTYS CHECK" 8 REGISTER OF WILLS RECEIVED BY ?)1r!fi~ c.. ,:/;"" ~,V ION A UR~..(, r / '.1 A {. . MARY C. LEWIS . ".,1.( REGISTER OF WILLS .-- - - ~- .-- -- - - - -,-----..-- - -''--''---'- ~- ----- - _.- ------- ---- -- --- I .' . ---- . _..._:-. -.._-:--..............._4 ~ .,4'-"-. 1" .--;.- I ./ :CJ ,,,.-- _.1 ._ ,) _o..j INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) FOR OATES OF DEATH AFTER 12131191 CHECK HERE IF A SPOUSAL POVERTY CREOIT IS CLAIMEDO FilE NUMBER 21 1995 COUNTY CODE YEAR DECEDENT'S COMPLETE AODRESS 439 1111-88 Square HollON Road OATE OF BlRnt Newburg. PA 17240 11/17/95 02/17/1913 Count C\unl:-erland SOCIAL SECUR'TY NUMBER AMOUNT RECEIVED (SEE INSTRUCTIONS) o 40. FUllllo 1III00cml Comprommo (101 dolo!) of donlll nllm 12..12"02) [H O. OocodOlll Diad To~lnlo 0 7, Dncodant Moinloll1od n living Tllml (AIIoch copv 01 W"') (AIIoch copV 01 Tlunl) ALL CORRESPONOENCE AND CONFIDEtmAl TAX INFORMATION SHOULD BE DIRECTEO TO: NAME COMPLETE MAILING ADDRESS Je A. l~ei le. Mark, Neigle and Perkins TELEPHONE NUMBER 126 East King Stre~ (') (717) 532-7388 Shi nsbu . PA 8.7257 '''; 1. Rool EolOIO (Schodulo A) ( 1 ) None i , 2. Slocks and Bonds (Schodulo B) ( 2) None 3. Clos.IV Hold SlocklPa,'nnrshlp Inlo'osl (Sch, C) ( 3 ) None 4. Mongogos and Nolos Rocolvoblo (Schodulo D) ( 4 ) None 5. Cosh, Bank DUpDSlls & Mlscollaneous P0I9ol101 ( 5) 7,791.42 P,opony (Schodulo E) G. Jolnllv Ownod P,opo,tv (Schodulo F) 7. Tronslo,s (Schodulo G) (Schodulo L) O. Tolol Gross Assots (10101 Unos 1-7) 9. Funaral Expansos, AdmlnlSlrDtlvo Cosls, Mlscollonoous E)(ponsos (Schodulo H) 10. Dobis, Mortgago UobiliUos, Lions (Schodulo I) 11. Tolal DDductions (total Llnos 9 & 10) 12. Nol VoluD 01 Estato (Uno 8 minus Uno 11) 13. Charitablo and Govommonlal Bcquosts (Schodulo J) 14. Nol Valllo Sub nella TO)( (Uno 12 minus L1no 13) 15. ~poul...1 T''''II,le" (10. dalnot d..lh ..."e' 8-10-{l41. 5.e !lIllrutlloollor Appllc...bte""telll...oeoIlP.toe1.lloclud. ......,unlfomfich.t1u!....OI!;ch..dul.M.1 10. Amounl 01 L1no 14 taKablo at 0% '010 (lncludo valuonlrolll Schedulu K Of Schedulo M.) 17. Amounl 01 Uno 14 laxablo 01 15% ralo (Includo valuos flam SctlOdlllo K or Schodulu M.) 10, Principal lax duo (Add tOK hom Unos15, 16 and 17.) 10, Credits Spouut f'o'l.IIIV CI.oll Prior Pavmenls Discounl + 135.00 + 7.11 - 20. II Uno 10 Is ~roalor Il1an LInD 10, on10l1l1(1 dllloronco on Uno 20, ThIs Is 1110 OVERPAVMENT. ~ Check hero tf you are requatUng a refund af your overpayment. I 21. If Uno 10 Is gronlOlll1an L1no 19, ontor tho dlllOloncu on L1no 21. Thl9191110 TAX DUE. A. Ent01 1110 Il1lO1osl on Iho balonco duo on Uno 21A. 9. EUler Iho tolol 01 Uno 21 and 21A on Lino 219. ThlG j!J tho BALANCE DUE. Make Check pa able to: Re later of Wills, A ent '~r.V-I!oI""~'IHI41 COMMONW[At '14 Of !>[ NNr,yt VANIA (;[I'MHM[N' or III VI NUl O(I".ll1l1(1l1l IiAIH11!H1urlf1.I'A 1111l.{llilll OECEDENT DECEDENT'S NAME (LAST. FlnST. AND MIDDLE INITIAL) Hoover. Glad IJ E. SOCIAL SECURITY NUMBER 159-24-8575 \11 AI'Il-leA It /6U lVlVI tl!; 'OU.;l.~ A lR5T ANn MID H.( INITIAl' 1. 01 iglnol Aellll n CHECK APPRO- PRIATE BLOCKS o 4. Un\llod EulOIO CORRES- PONDENT RECAPIT- ULATION TAX COMPUTA- TION 0944 NUMBER Sllpplnll'lOlllnl Rnlllln 3. Romolndor Rolurn IIo,d...tuoldulhpflorloI2.1:J.1I11 o 5. Fodoral Eslato TaK Rolurn Roqulrod _ O. Tolol Number 01 Salo Doposll Balms :n =rJm '. !" -< ~ -~ boo , ' ~. - 'J ::-1 I'J Gio ~. ( 6) ( 7) None None --c ~~ y~l- VI .. - (0 ) 7,791.42 (9 ) 2. 744 .70 (10) 2,591. 71 (11) (12) (13) 5.336.41 2.455.01 None (14) 2 455.01 (15) . . . (16) 2,455.01. ,00 147. 30 . (17) 0.00. .15 . 0.00 (10) 14 7.30 Inlolosl (19) (20) 142.11 (21) (21A) (21B) 5.19 0.00 5.19 .. .. BE SURE TO ANSWER ALL QUESTIONS ON PAGE 2 ANO TO RECHECK MATH - - Undor penaltlos 01 porlulY, I dochuo lhall hovo oKommod IIllS IOlu"l. IIlcludHlR accompanying uctlodulos and slalolTlonts, and 10 Iho bo::1I at my knowlodgo and bollol, i11!J Iruo, corroct and comploln. I doclalO Ihol all rool oslolo ha!J boon ropolfod 01 tiuo markot valuo. Doclaratlon 01 plopalor olhor lhan Ul0 pomonal 10 rO!Jontativo Is bannd on atllnlormallot1 01 which 10 aim hO!J on knowlodno. : _ SIONATURE or: PERSON n[!lI'ONsllIU: F9t\,lll.INO II t..r URN _ ~ .5~ OATE ~ ~r:;' t ,)) '/. I " ,:il.u'-, ~ tDdJ ff See Schedule attached <:c' - - 1 t(UH \ ..... ~I t ,/ I .l' .i It) f.loN;'TUIl(Or. I1E!:JlollEllOTIlrllr NF ,"",liMN IV!: Aonllrss . OA.!! ~ \'toe , l.,,) " 126 East Kin Street C, r...f::.. -, r:> Al 01 NI "" Shipp=nsburg, PA 17257 CopyllQtII Fo,ml Su!lwafll 001....11194 Nlllcu.lf1c. Estate of: Gladys E. Hoover 21-1995-0944 SlM>lARY OF AUJX'ATIOOS '!1) BENEFICIARIES Class A Shirley E. Keesenan Jo Ann G. Disney Arlene F. Hoover Deborah Y. Millhouse Lori A. Martin 613.75 613.75 613.75 306.88 306.88 2,455.01 "y \ .) Estate of: Gladys E. Hoover 21-1995-0944 The following persons are signing the return as representatives of the estate: Shirley E. Keeaenan 441 Three Square Hollow Road Newb..trg, PA 17240 Jo Ann G. Disney 14374 Mountain Road Orrstown, PA 17244 Arlene F. Hoover 116 Flintstone Drive Newville, PA 17241 " i I I i I .I \ PA REV-I500 EX (7-04) Pogo 2 Act 1148 011994 provldos lor tho roductlon 01 tho tax ratos Imposod on tho not valuo oltranslors to or lor tho uso 01 tho spouso. Tho rates os proscrlbod by the statute will bo: . 3% (.03) will bo oppllcablo lor ostotos 01 decodents dying on or aftor 7/1194 and boloro 1/1196 . 2% (.02) will bo appllcoblo lor ostates 01 docodonts dying on or aftor 1/1196 and bolore 111/97 . 1% (.01) will bo appllcablo lor ostatos 01 decedents dying on or oft or 1/1/97 and belore 1/1198 . Spousaltranslers occurring on or after 111/98 will be exemptlrom Inheritance tax. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (v) IN THE APPROPRIATE BLOCKS. YES NO 1. Old docodont mako a IJDnslor and: n. folaln tho U60 or I"como ol1ho proporty translol1od.. . . . . , . . . . . . , . . . . . . . . . . . . . . . . . . . , . , . . . . . . , . . , . . , . . . . . . . . . . . . . . . . X b, ,olaln tho rlghllo doslgnnlo who shall usa tho proporty tronslollod 01' Its Incomo,. . . . . . . . . . , , . . . . , . . ~ . . . . . , . . . . . , . . . . . . . . . . X c. 101aln B rovDfslonary Inlorost; 01......,......,...................................,..,... ........... ............ . X ~. ,oeolvo tho plOmlso 101 1110 01 ollhol psymonts, bonolils 01 COlD? . .., . . . .... . . . . , .. . ...... . . . . , . . .. . . ..... . . . , . . . ... . . . X 2. 11 doath occurrod on or boloro Oocombo' 12, 1002. did docodonl wi1hln two yaars procodlng doath transtor proporty without rocolving adoquato consideration? II doath occurrod attar Ducambor 12. 1082, did docodonl tronstor proporty within anD yopr 01 doolh without loeolving odoquOIO consldorolion? , . . .. . , .. .. . . . . . . . . . . . .. . .. .. . . . .. .. . . . . . . . . . .. . .. . .. . . . . . . . . .. . . . .. .. . . . . . . . . . X 3. Old docodon1 own on 'In 1Iust for' bonk account at his or hor doath? , , , . . . , . . , , . , , . , . , , . , , . . . . , . . , . , . . . . , . . . . , . . . . . , , , , , , X I i! IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, \ YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. I \ , I ! PA16002 NTF 8810 Copyright Form. 50ltwlle Onl'l, '994 Nelco,lnc. NQ4PA002 A[V-I~Oe ex. (l-UI SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY PI0090 PI!nl or T 0 FILE NUMBER COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIOENT OECEOENT ESTATE OF Gladys E. Hoover All '0 0 olnll -ownod with tho RI hi 01 Survlvo,.hl ITEM NO. 21-1995-0944 must be disclosed on Schedule F VALUE AT DATE OF DEATH DESCRIPTION 1 Dauphin Deposit Bank and Trust O:xtpany Checking Account II 0097310107 2,217.82 Interest on above item accl'Ued as of decedent / s death 1.42 2 Dauphin Deposit Bank and Trust CblpBl1y Certificate of Deposit IIc/D 118100200696 1/000.00 Interest on above item accrued as of decedent/s death 8.10 3 Dauphin Deposit Bank and Trust O::xlpany Certificate of Deposit II 8100200718 1,000.00 Interest on above item accrued as of decedent / s death 8.10 4 Dauphin Deposit Bank and Trust O::xlpany Certificate of Deposit II 8100200726 1,000.00 Interest on above item accrued as of decedent's death 8.10 5 Personal Property - appraised value 6 Bankers Life and Casualty O::xlpany - 12-5-95 refund for services at Swaim Health Oenter 130.50 2,058.50 7 United Telephone COmpany - 1-10-96 refund at cancellation of service 4.86 8 Bankers Life and Caeualty O::xlpany - 1-19-96 refund of premium 354.02 " TOTAL (Also onlor on Uno 5, Roco lIulollon) $ (Attoch oddJllonol 0 112")( 11" ohoots II molO apoeo 19 noodod.) 7 791. 42 PA16081 NTF 12U CDpyIlO'" Fa,,,,. GOl1wAt.Onty, 11194 N.lco,lnc, N!l4PAOal '.-- D Dauphin Deposit Bank and Trust Company MAIN OHICE 213 MARf<ET STnEET. ItAnAlSOUno, PEUNSVlVAUIA 17101 117 2~~,2'21 Decodent Conf i I'mat ion Name: Gladys E. Hoover social Security No.: 159-24-8575 Date of Death (000): 11/17/95 Account No. 8100200696 8100200718 8100200726 -------------.----------- ------------------------ ------------------------ Type Certificate of Deposit Certificate of Deposit Certificate of Deposit --------------------- --- ------ ------ - --- ------ -- ----- -...-------------- --- Dote Opened or Issued 02/22/94 0~/22/94 02/22/94 ------------------------ ------------------------ ------------------------ Date Closed or Matured 08/22/96 (Maturity) 08/22/96 (Maturity) 08/22/96 (Maturity) ------------------------ ------------------------ ------------------------ Date of Ooath Balance $1.000.00 $1,000.00 $1.000.00 ------------------------ ------------------------ ------------------------ PLUS Date of Ooath Accrued Int. $8.10 $8.10 $8.10 -------- ---------------- ------- ----------------- ----------..------------- Joint OM1ers (if any) None None None ------------------------ ------------------------ ------------------------ Dato of Joint OM1ership ------------------------ ------------------------ ------------------------ ------------- ------------- ------------------------ ------------------------ ------------------------ Special Comments: N/A Addittonal Inforlll.tlcn avtlilDble at $20.00 put' hour. One hour minimum. Date Prepared: December 1. 1995 Prepared by: Carolyn A. Berkebile Customer Management Informat ion Dept. (eMI) Telephone No. (717) 255-2054 Page 1 of 2 Form OO.020~218 (REV 7/93) Il[V'Hlll[Jtt('-881 SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES Pleaae Print or Tvpe COMMONwr AL 1 Ii or "l NNS'ttVANIA INtf[lll1ANCl TAlllllUIlN n[DID[N' O(C[orNl ESTATE OF Gla s E. Hoover ITEM NO. A. Funeral Ellpenlll: FILE NUMBER 21-1995-0944 OESCRIPTION AMOUNT 1 New Hope United Methodist Church Bible Class - reception 2 Fogelsanger-Bricker Funeral lIare 3 Martin Reese - grave opening 144.60 1,458.00 125.00 B. AdmlnlltrlUvo Calla: 1. Porsonal RoprosontoUvo Conmlsslons Social Socurl1y Number 01 Porsonal Roprosonlotlvo: VORr Commlsslons paid 0.00 2. Al1ornoy FOOD Name: Mark, Weigle and Perkins 3. FomllV Exornptlon Claimant Rolalionshlp Addlos9 01 ClaImant 01 docodont's dOOlh 750.00 0.00 511001 Addross CIlV Slota Zip Coda 4, P,obata FOOD 48,00 C. Mlacellaneoul Ellpenaea: 1 CUml:erland Law Journal - advertising Letters of Administration 2 News Chronicle - advertising Letters of Administration 3 Register of Wills, CUml:erland Cbunty - filing Inventory, Appraiserrent, and Staterrent of Debts and D-~uctions 4 Mark, Weigle and Perkins - reserve for filing Family Settlerrent Agreement with Register of Wills, CUml:erland Oounty 40.00 67.10 25.00 50.00 25.00 12.00 $ 2 744.70 5 Mark, Weigle and Perkins - reimburserrent for postage, xerox copies, and long distance telephone calls 6 Linda K. Klein - notary fee TOTAL (Also ol1lor on Ilno 0, Roca ilulollon (If more space Is needed. Insert addlllonal sheata 0' Bame alze,) PA15111 NTF un CoPyl1llhl FOlml Goft"".,. Only, 1994 NlIltO,lnt, N941'A'II R[V.Ul1Utll-'" COMMONWEALTH OF PENNSYlVAN'^ INHERITANCE TAX RETURN RESIDENT DECEOENT ESTATE OF SCHEDULE J BENEFICIARIES FilE NUMSER Gla ITEM NO. 21-1995-0944 AMOUNT OR SHARE OF ESTATE E. Hoover NAME AND AODRESS OF BENEFICIARY RELATIDNSltlP A. Taublo BoquoSIS: 1 Shirley E. Keeseman 441 Three SqUare Holla,o,r Road Newburg, PA 17240 2 Jo Ann G. Disney 14374 Mountain Road Orrstown, PA 17244 lJo3ughter 613.75 Daughter 613.75 3 Arlene F. Hoover 116 Flintstone Drive Newville, PA 17241 Daughter 613.75 4 Delx>rah Y. MillOOuse 768 siloam Road ChambersOOrg, PA 17201 5 Lori A. Mntin 8604 Pineville Road ShippensOOrg, PA 17257 Granddaughter 306.88 Granddaughter 306.88 ITEM NO. AMOUNT OR SHARE OF ESTATE NAME AND ADDRESS OF BENEFICIARY e. Chari1ablo and Govornmonlol Boquo,IB: None TOTAL CHARITABLE AND GOVERNMENTAL SEOUESTS (Also QnlQ' Qn hnQ 13. RQCO lIuloUon) (If more space II needed,lnsart addlUonal sheela of lame Ilze) $ 0.00 PA15131 NTF I:nDA Cnpyllohl ro,ml Soli....".. Qllly. 11194 '4.lto,lnt, NlJ4PA131 . ... -.. COMMONWEALTH Of PENNSYLVANIA COUNTY Of CUMBERLAND 't. I "I Shirley E. Keeneman. .10 Ann G.__l?.!.!'.!'-")'-,--,,nd~nu F. Iloover ------- b.lng duly sworn .ccordlng to I.w, d.po.e. end ..y. th.t the Y 1IL!l-tlIJl co_administrntors ___ 01 the E.t.te 01 Glndys E. Iloover I.t. 01 .Ji!;wbY!JI,.,!!OP.C'!'9U-..:r<,lW!1!'!!!P, ___._ ' Cumb.rl.nd County, P.., d.c....d .nd th.t the wUhln Is .n Inventory m.de by __-----"h~I!L.- ..- ,-- , the ..Idco_administrators 01 the entire e.tet. 01 ..ld d.c.dent, consl.tlng 01 .11 the p."on.1 prop'drty .nd real ..t.t.. ..c.pt real ....t. ouhld. the commenw..lth 01 p.nn.ylv.nl.. .nd th.t the IIgure. oppo.U. e.ch Uem 01 the Inv.ntory repr..ent It'. 1.lr v.lu. os 01 the d.te 01 d.c.dent'. de.th, (hit:) ,f ~~_ II /L!?L~~ Notarial Seal Linda K, Klein, NotarY Public Shlppensbulg, PA cumberland County M comrrissfon Expires f\lQJSI15, 1996 17 19 96 '1\'l'~: p. f . ,(/",~ )f. <'~ML~w.~.f J'I, . :'(., ellcutor .. Admtnhtrator .,--f. Shirley E. Keeseman/JoAnn G. Disney/Arlene F. Iloover l~~ I Three Square 1~37~ Hountain 116 Flintstone Hollow Rond Road Drive Newburg, PA 172~O Orrstown. PA Newville. Ph Add".. 1 7Z~4 1 7 2~ 1 sworn to .nd .ub.crlbed bel ore m., o.t. 01 D..th November Month 1995 Y.ar Oay INSTRUCTIONS I. An Inventory mu.t be flI.d within three month. after appointment 01 pe"onal repre..n..tlve. 2. A .upplement Inventory mu.t bo IlIod within thirty d.y. 01 dl.covery 01 .ddUlonal ....h. 3. Addillonal .he.h m.y b. .ttachod e. to p."onalty or roalty 4, S.e Arncl. IV, Fiduclarl.. Act 01 1949. ." .c Ul ~i .. t/l ... :z: 0 ." .... l-' -0 ::l ~ S a' UJ ~ II Ul bl ~ ~ bl '" 4 ~ < .. .. UJ II 4 "" ... ~ u . ~~ '" 0 .... .. II II .. 0 0 UJ :n > c '" ~ I J: "" 0 .. llll II '" Z "" u. 0 ..; "" .... ebl .... ... '" ... jj 0 0:: "" .. ~G I u. ~ .... W 0 <( . ~ <(.... N ~ :z "" bl ... . bl 0 ::l " ..: ~ c Ul ~ ~ VI :z ,., 0 ,., 0 ffi u :z ! -( .., .. .... ... ~ Do .. :z: -0 ... .... " .. ;'j <:> .. ., - -.: 0 II ..0 -0 .,. " E II 0 - .. ~ it 0 ... U '" Accrued interest to date of death 2.217 82 42 1.000 00 8 10 1.000 00 8 10 1.000 00 8 10 130 50 2.058 50 4 86 354 02 7,791 42 Invontory of tho roal and personal oslalo 01 Glndyu r,. Hoover docoasod Dauphin Deposit Bank and Trust Company Checklnll Account (/ 0097310107 Accrued interest to date of death Dauphin Deposit Bank and Trust Company Certificate of Deposit n 8100200696 Dauphin Deposit Bank and Trust Company certificata of Deposit II 8100200718 Accrued interest to date of death Accrued interest to datil of death Dauphin Deposit Bank and Trust Company Certificate of Depoait U 8100200726 Personal Property - appraised value Bankers Life and Casualty Company - 12-5-95 refund for services at swaim Health Center United Telephone Company _ 1-10-96 refund at cancellation of service Bankers Life and Casualty Company - 1-19-96 refund of premium at cancellation 1/'1 't:~ '- - 0' <II .. ;:>0.; \l~:' N i,J _! -,~-; l\: l , .;j '<1 ") " .. ..... '-1 <_-I .. c- >- \ 't:l -~_:_ ~ @'hf ( " , .~) a: ~ .,'c E 0: 11. <3 . u RI>G15Tlut O~. 1111.1.5, CUHIII.:RI.ANI! COUNTY STATUS REPORT UNDER RULE 6.12 llame of Decedent: (;lndYH Eo lIuuver Date of Death: 11-17-95 Will No. 21-95-0941. Admin. No. . Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes 110 X 2. I f the answer is No, state when the persona I representative reasonably believes that the administration will be complete: 11-17-96 J. If the answer to No.1 is Yes, state the following: a. Did the personal repre~entative 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 state 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 repo Date: c; ~ 7, . ')(, ~\ _ c" 'tA~'J S!J:gnatu , . In t.:( .. ",,- r'i ,-: Ii: l C.J , f) v ~ " >- ~ , " "-0 ....E !J\ ,;2:J UU Jerry A. Weigle, EHquire Name (Please type or print) ~~RK, WEIGLE ANI! PERKINS 126 East King Street Address Shippensburg, PA 17257 1717l532-7388 Tel. No. 'oy-? I ,-~-; o'~, (,J l:i l1jCL.: a: Capacity: Personal Representative (MAH: rmf/ AMJ) x Counsel for personal representative ... ~. .,' ..... ' .-._. _ U~ _~_.. _.._ _~.~~ .~__. "-'''''''Y'''''--' tr;.lwn, '{, ::,~: ~,::([~;_'__,':i,-;';-:_---:'! ,: _" . " .1. '..,1. .(2.....Q;4..'O.....(...f...~.9...!M\..... ....()N. W....EAI;.:rH.OF PEN.NS.YLVANIA " . v". ,<i,<,DlI'AIIIMINTOI'RIVINUI . ",' OfFICIALRICllPre PENNSYLVANIA INHIRITANCI AND ISTATI TAX ,.~'" ,.~. ~ J DNCl.AA' RECEIVED FROM, I ACN ASSESSMENT r:w CONTROL .... NUMBER AMOUNT WEIGLE JERRY A 12b E KING STREET 101 "~.19 SHIPPENSBURG, PA 17257 'OCD HII'_ ESTATE INFORMATION, ~ FILE NUM8ER U 21-199:5-09'+4 !:I NAME OF DECEDENT ILAST) I;i HOOVER GLADYS E II llJoTE Of PAYMENT m POSTMARK DATE COUNTY SSN 159-2'.-857:5 IFIRSTI IM'I CUMBERLAND DATE OF DEATH REMARKS m TOTAL AMOUNT PAID , .5.19 REGISTER OF WILLS PO , "-1 RECEIVED BY ( /1"",,/ ' (! d!f.."AA...:V/:J,t-v Jt I ,f I MARY c. LEJ IS. J /5.1/A1,) REGISTER 01" WILLS 1\f1.IJt.r ~__ .____ u_~ ~~_ ~~ _~ _ _ _ ________ ___ _ ~_ _ _., I ',' . SEAL SHIRLI::Y E C/O JERRY CHECKtI 11 KEESEMAN A WEIGLE ESQUIRE _____ ~,~.__ _-.._ ___'_,__ ~'__'T ~_._ ...~ ..~ . ! "^ , . ' '. ---- . _~ ", ___._-~_ '":" ~ ..---..,..J>cl.~.... 4f"'f ,T "1:_ L/" I:'; /;, ..s- REV-lS47 EX AFP 112-95'* I CO""ONWI Al III Of III NHSVI VANIA (lIPAAIHrNIOf AIVINIII aURI AU or INDIVIIlUA, 1...1 S I. . DIP'. ;'AObOl IIAPRISllu"a, "A IIli"ft-ObOI a. ES'TA'TE'~OF""1jOOI7ER"~~""""""'"'='iltAIlYS DATE OF DEATH 11-17-95 " ACN 101 NOTICE or INIIERITANCE TAM APPRAISENENT. ALLOWANCE OR DISALLOWANCE or DEDUCTIONS AND ASSESSNENT or TAM DATE 08-05-96 , E ""'", """-,~, '''i=IL"E"No:b"'"'"''''2r~irf=IYij4'4-~c=,"~~,,, COUNTY CUM8ERLAND NOTE I TO INSURE PROPER CREDIT TO YOUR ACCOUNT. SUBNIT TIlE UPPER PORTION or TltlS rORN WITII YOUR TAM PAYNE NT TO TIlE REGISTER or WILLS. NAKE CIIECK PAYABLE TO "REGISTER or WILLS. AGENT" REMIT PAYMENT TO: JERRY A WEISLE ESQ MARK ETAL 126 EKING ST SHIPPENSBURS PA 17257 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 I AnDunt R.nltt.d -, .- ---- ~----- --=-..--=--=--- -'''I CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ..... REv: i54"'i"EX -r. iiji- ii '2":95 Y -iioYi CE" -0 Fnititi ER"i'i'ANc f"Y AX- AP PRiWi EH"€ii'i' -; - r.iXOWANCf- OR n - - n -- --- - -"""- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF HOOVER GLADYS E FILE NO. 21 95-0944 ACN 101 DATE 08-05-96 TAM RETURN WAS I I X I ACCEPTED AS rILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGIIIAL RETURN 1. R..I E.t.t. ISchedule A) 11) 2. stock. and Bondi CSchedule 81 12. 3. Clos.ly H.ld stock/P.~t".rlhip Int.r..t (Schedule CI 131 4. Hartgaa../Hot.. Racelvabl. ISchedule DI (4' S. C.sh/Oank Dlposit,/Hi,n" Parsonal Prop.rty ISchadul. EI (5) 6. Jointly Ownad Property (Sch.dul. F) 16) 7. Transfers ISchadule GI (7) 8. Tobl Au.ts APPROVED DEDUCTIONS AND EXEMPTIONS: ~. Funarel Expensal/Ad~. Costs/Hi Ie. Expan.a. (Schadula H) C~) 10. Debt./Hortgag. liabiliti.s/lians CSchedula II 110) 11. Tobl Daductions 12. Hnt Valua of Ta. Raturn 13. Charit.ble/Governnent.l Beque.ts ISchedule J) 14. H.t Value of E.tat. Subject to Tax If an assessment was issued previously, lines reflect figures that include the total of ALL ASSESSHENT OF TAX: 15. A~ount of line 14 16. Anount of line 14 17. A~ount of Lin. 14 18. Principal ra)( Du. NOTE: at Spousal ta.abl. at taxabl. at r.t. lin..l/Cle.. A rat. Coll.taral/Cl..s 8 rat. 1151 I1bl 1171 TAX CREDITS I PAYNEHT DATE 02-02-96 05-14-96 RECEIPT NUNBER AA082578 AAIl2840 DISCOUNT " 1 INTEREST I-I 7.11 .00 I CIIANGEO .00 .00 .00 .00 7.791.42 .00 .00 IBI 7.791.42 2.744.70 2.591.71 11l-' 1121 1131 1141 G.::\],tl; (.1 2.455.01 .00 2.455.01 14, 15 and/or 16, 17 and 18 will returns assessed to date. .00 K'OO. 2.455.01 K .06. .00 K ,15. I1BI . DO 147.30 .00 147.30 ANOUNT PAIa 135.00 5.19 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE 147.30 .00 . DO . DO . IF PAID ArTER DATE INDICATED. SEE REVERSE FOR CALCULATION or ADDITIONAL INTEREST. I IF TOTAL DUE IS LESS TIIAN $1. 110 PAYNENT IS REQUIRED. IF TOTAL DUE IS REflECTED AS A "CREDIT" ICRJ, YOU HAY DE DUE A RErUNo. SEE REVERSE SIDE OF TillS roRN FOR INSTRUCTIONS. I N 1 ~ >""( ~ " i' N o. m I f!I ~- RESERVAtlONI " ~..i i..' \l J ' l: . Ih .l\:;J QU. -u ffi.,.. af dacadlnt. ~lnD on Dr b.lor. DIUMiI' 12, "81 .. If any lutur. Int.,.., In th..."" II t,,,,,,hrr.d In po....'lon Dr ."Jo.,..nl to C..... feolaat.,.I, blnl'lcl.rl.. of thl dludlnt .,I.t thl ..plnllon of any.."" far 11ft or for V"", thl Co-.onw..lth hlt,by ..pr.,.lv r...tVI, thl rlUht to IPpr.I,. and ...... trln,'" Inh.rltancl ,.... It thl Ilw,ul el... . tealll""'U tat. on any luch lulur. In,.,..t. PURPOSE Of ~OfJt[1 '0 'ulflll thl rlqulr...ntl of 'acllon lUG 01 the Inherlt.nea and hl,t, ,.. Act, Act lZ of 1991. 11 P.S. hctlon llU. PAVHtHTI D.tlch the top portion of this Notln and ,ub.1t with your p....nt to thl R'lIltt., of Will. printed on thl unt.. .Ida. ""Ike chick or lonl';' order plyabl. tal REGISTER OF MILLS. AOENT All pay..nt. r.ulv.d .hall IIrst b. appll.d to flf1Y Int.,..t which ..y b. due with any r..alnd.r .ppll.d to the t... A[rUNO ICAI, A r.fund of at.. cr.dlt, which w.. not r.qu..t.d on the I.. A.turn, .ay b. r.qu..t.d by co.plltlng In "Application for Rafund of P.nn.ylvanll Inharltance and htlte h." IR[V.U1.U. Appllutlon. ar. avallabl. It the Offlu of the R.gl.ter of will., any of the tS R.venu. DI.trlct Offlc.., or by cllllng thl .plclal l~.hour an.werlng ..rvlu nutlbers for for.. orderlngl In Plnn.ylvanle 1.aoO.S".21~O, out. Ida P.nn.yl",anl. and within local 'latrl.burg .r.. I7ll) 1I,.a09", 100. 1111) nt.uu lII..rlng 'apllr.d Only,. . o8J[CTloNSI Any p.rh In Int.r..t not ..thUed with the appral....nt, .llowanu or dlsaUow,,"cl of d.ductlon., or ........nt 01 ta. C Including discount or Int.r"lI .. .hown on thll Notice "".t objlct within .I.t)' (&01 dan of recllpt of thll Hotlea bYI u",rltt.n protllt to tha JlA D.partllnt of RavanuI. Board 01 Appa.lI. Dapt. :11111. lIarrl.burg. PA 11'lza-lOzl. OR -..I.ctlon to have tha ..tt.r datlrlln.d at audit of the ICCOunt 01 the plr.on.1 rlpr...ntltl",., OR .-app.al to thl Orphan.' Court. AD"IN ISIAAIIV[ CoARECIloNSl r.ctual .rror. dhcovar.d on thh u......nt .hould bl .ddr....d In writing '01 PA D.p.rt..nt of Rlv.nul. Bur..u 01 Individual I...., AfTNI Put A.......nt A",law unit, D.pt. :a0601, Ilarrhbura. PA 11'lta-06Dl Phon. I'lll 18'.6~0.. Saepagl S 01 lhl boold.t "In.tructlon. for Inharitance ,.. A.turn for. A..ldent Dlc.d.n," IA[V.l~OII I~r an ..planatlon of .dalnl.tr.tlvlly carrlctabl. Irror.. DISCOUNt I II any tu dUI h paid wUMn Ih"l IU calandar lonlh. after the dlcadlnt" duth, . f1vl parcent t!tltl discount of tha t.. p.ld Is .llOWld, PENALlY' Ihl 15lt t.. 1I1m',ty non'p,rtlclp.tlon p.n..lh h co.put.d on the total 01 thl tn and Int.r..t .......d. and no' p.ld b.for. Janu.ry la, 1"6, tha first daw aftar tha .nd of the ta. DIm..h p.rlod. fhls non.partlclpatlon plnalty I. app.alabl. In tha .~na ..nn~r IInd In Ih. the .... ti.. parlod a. YOU ~ould app.al the t.. and Intar..t that ha. b.an .......d a. Indlcatad on thl. not Ie.. INt[AESh Int.r..t J. ch.rgad bag Inning wl'h flr.t d.y of d.llnqu.ncy, or nln. I" .onth' and on. III day frol the data of duth, to the data of p..,..nt. f.... which bec..e d.llnquant b.'ora Janu.ry I, I,al b.ar Intlr..t .t the r.t. of .1. (6ltl p.rc.nt p.r annul calcul.tod .t . d.lly rat. of .ODOI6~. All t.... which bac... d.llnquant on and aftlr Janu.ry I, 1981 will ba.r Int.rnt .t . rat. which will vary fro. cal.ndar y..r to c.l.ndar yaar with that rata ,nnoURcad b., the PA D.part..nt 01 R.v.nu.. 'h. IIPpllcllIbla Intlrl.t r.t.. for l.aZ through 19'6 ar'l ~ Int.r..t Rata DIIIIY Intar..t rltclor ~ Intara.t A.I. Dally Inla,..1 factor 1'82 ZO~ .OOO~U 1981 .. .DOn,., 1'81 16lt .DOOUa l'al-I"I m .GODSOI 1984 lilt .0ODUI I"Z " .GOn,,' 1985 ISlt .ODU~6 1995.199~ ,. .0001'l 1986 ... .OOOU" 19'~-I"& .. .000llt1 "Intarnt I. calcul.t.d I' folloWII INTEREST a SALANCE Dr TAX UNPAID X NUNSER Dr DAYS DELINQUENT X DAILY INTEREST FACTOR ..Any Hotlc. I"uld aft.r the ta. blcP'" dallnqu.nt will r.fllct an Inl.r..' ca'cul.tlon to Illt..n (15' da.,. b.yond the d.tl 01 the ........nt. If pu..nt Is .adl aftar the Intarnt co.put.tlon d.t. .hown on thl Hotlc., .ddltlonal Int.r.,t .u.t bl calculatad. , . '.., ,.;.' ;(~;~~;J:1.}{;~:~!~~r0;~ . ' :'l~it[~'~;; ,';':"~;<':! Ii:'g~" . \:" "~'i ~~l~l;.;" '.~~:! t~1Io ) ~=/:! ~ "' :.1 ~:. ~),~: ~:,' .:~.;~:~~:' !!Y~\:;l~~ ., -J', 0" "~",':- l-":' f' ",--. -.' .f" ;:~';'~~'i~:_~i-,-~\.:".l'\-: ,~. '~;J~';= ~:'" -j:'~' :'~' '- '~' ",', ;~~r: . ': ';:"; ia- rii~-~-"-' ;~I= Bl..." . , ~. P4 en ..::t : 'i~E9" '... '.~.g: '~8!~ ;I~~ f!lB~P'l .,< . ,>' ,l 'I" , 'ell' I II> 1 fo< ]' k.I';~ l- f '1' . . '. Iol. 11>" ....~ " '",' o - !,~. ~ J II> Iol :.;' -..." ~" MANK. WKIUI.I' ANn "I(MKINH, AI"IUIN~n 4. 1.-'_ Ul\ 1-:'''1'' KINtI "'tin:" "III""""","'UI, .'.....NA" 11211 '1'.'U'IIUHt-, ''I'U IJJ.""" "4111,'1'715JJ-6Ul i . . ~ , I", 1 ,j " 'J } EXEClJTOIl'S ACCOUNT FIIlST AND FINAL ACCOUNT OF Shirlcy E. Kccscmun, Jo Ann G. Disuc)'. unu Arlcnc F. Iloovcr. Co-Auminislrntors For ESTATE OF GLADYS E. IIOOVEIl, Dcccuscu Dale of DCUlh: Dule ofCo-Auministrutors' Appoinlmcnt: Dates of Auverliscmcnlof Lcllcrs: Ncws Chronicle Cumberlunu Luw Journul Accounting for the Pcriod: Novcmbcr 17.1995 Dcccmbcr 15. 1995 Junuul')' I. 8, 15. 1996 Junuury 5. 12, 19, 1996 Dcccmber 15, 1995. 10 Augusl29, 1996 Purpose of Accounl: Shirlcy E. Kccscmun, Jo Ann G. Disney, unu Arlcne F. Hoover, Co- Auminislralors, olTcr lhis nccounllo ucquuinl intcrcslcu pUrlics wilh the lrnnsuclions lhul have occurrcu duringlhcir uuminislrnlion. The uccounl also inuiculcs the proposcu dislribution uflhc cstulc. It is imporlunt lhul the uccount be carcfully cxamincu. Ilcquests lhr 1Il1uilional informulion or qucslions or objeclions can be discllssed wilh: Jcrry A. Wciglc, Esquirc Murk. Wciglc unu Pcrkins 126 Easl King Slrcct Shippcnsburg. PA 17257 (717) 532-7388 MARK, WEIGLE AND PERKINS _ AnORNEV5 AT LAW - 128 EAST KINO STREET - SIUPPENSUURO, PA 17257.1397 \ -. -. ..- - - ..' RECEIPrS OF PRINCIPJIL Estate of Gladys E. Hoover !Is of 8/29/96 Page 1 Assets Listed in Inventory (Valued as of date of death) Fiduciary AcxjUisition Value O1ecking J\ccc7.1nts Dauphin Deposit Bank and Trust CbTpany Checking J\ccc7.1nt # 0097310107 $1.42 Accrued Interest Certificates of Deposit Dauphin Deposit Bank and Trust CbTpany Certificate of Deposit #c/o #8100200696 $8.10 Accrued Interest $ 2,219.24 $ 1,008.10 Dauphin Deposit Bank and Trust CbTpany Certificate of Deposit # 8100200718 $8.10 Accrued Interest Dauphin Deposit Bank and Trust CbTpany Certificate of Deposit # 8100200726 $8.10 Accrued Interest 1,008.10 1,008.10 3,024.30 Household Goods & FUrnishings Personal Property - appraised value Refunds Bankers Life and Casualty O::xlpany - 12/5/95 refund for seJ:Vices at Swaim Health Center United Telephone Cblpany - 1/10/96 refund at cancellation of service 130.50 $ 2,058.50 4.86 Bankers Life and Casualty Cblpany - 1/19/96 refund of premium 354.02 2,417.38 'IUI'I\L lNVENlORY $ 7,791.42 ~a:a:lZalZ===== MARK, WEIOLE AND PERKINS. A1TORNEYS AT LAW. 126 EAST KINO STREET. 5J11PPENSDUOO, PA 17257.1397 OJSBURSEMENI'S OF PRINCIPAL Estate of Gladys E. Hoover For Period 11/17/95 '1111'OOgh 8/29/96 Page 2 J\t:tninistration Expenses (Prin) 12/15/95 Register of Wills, CUmberlruld County - Letters of 1\dministration c.T.A. and short Certificates $ 48.00 12/15/95 CUmber1and.Law JOUlnal - advertising Letters of 1\dministration 40.00 2/2/96 Register of Wills, CUmberland County - PA Inheritance Tax paid at discount 2/6/96 News Chronicle - advertising Letters of J\dministration 135.00 67.10 4/2/96 Register of Wills, CUmberland County - filing Inventory, Awraisement, ruld Statement of Debts ruld Deductions 25.00 4/22/96 Register of Wills, CUmberlruld County - PA Inheritance Tax balance due 8/27/96 Mark, Weigle and Perkins - reserve for filing Family Settlement ~t with Register of Wills, CUmberland County 8/27/96 Mark, Weigle and Perkins - reimbursement for postage, xerox copies, and long distance telephone calls 8/27/96 Linda K. Klein - notary fee 5.19 50.00 25.00 12.00 $ 407.29 Fees and O:mnissions (Prin) 8/27/96 Mark, Weigle ruld Perkins - Attorney Fee Funeral Expenses (Prin) 1/2/96 New Hope United ~thodist Church Bible Class - reception 1/2/96 Fogelsanger-Bricker FUneral Home 750.00 $ 144.60 1,458.00 MARK, WEIGLE AND PERKINS. A1TORNEY5 AT I.AW. 126 EAST KINO STREET. 5111PPENSDURO, PA 17257.1397 OISBURSEMENJ'S OF PRINCIPAL Estate of Gladys E. lloovel' For Period 11/17/95 '1llrough 8/29/96 1/2/96 Martin Reese - grave opening Other Expenses (Prin) 12/11/95 Bankers Life and Casualty Cl::ltpmy - December premium 1/2/96 1\CUuns Electric - November billing 1/2/96 United of PA - 12/1/95 billing 1/2/96 CUmberlruld County Landfill - final disposal 1/3/96 1\CUuns Electric Cl::ltpmy - final billing 1/3/96 Presbyterian Homes, Inc. - 11/30/95 billing 1/10/96 Bankers Life ruld Casualty Cl::ltpmy - January premium 'lUl'AL OISBURSEMENl'S OF PRINCIPAL $ 125.00 Page 3 $ 1,727.60 2,591.71 -------..--- $ 5,476.60 =========== . . ---...._--..-- $ 131.38 MARK, WEIOLE AND PERKINS. A1TORNEY5 AT LAW. 126 EAST KINO STREET. 5J11PPENSDURO. PA 17257.1397 82.41 22.06 21.11 77.80 2,099.50 157.45 ----------- SIIIRLEY E. KEESEMAN. JO ANN G. DISNEY. nnd ARLENE F. IIOOYER. Co.Administrntors ofthc Estntc ofOlndys E. II\lovcr. dcccnscd. hcrchy dcclnrc undcr \lnth (pcnnltics ofpcrjury) thut thcy hn\'c lially nnd filithlitlly dischurgcd thc dUlics uflhcirollicc; IllIIt thc lilrcgoing First und Finul Accuunt is tmc nud currcctnnd full)' discluscs ull signilicunttrnnsnctions uccurring during Ihc nccounling pcriud; Ihut nil knuwn c1nims ngninslthc cstntc hu\'c hccn pnid in full; thnl, lu thcir knowlcdgc. there ure nu clnims nuw uUIstnnding ugninst thc cslnlc; und tlmt nil tuxcs prcscntly duc frum Ihc cstulc hn\'c hccu pnid, (/'J I ,*- ..:.'J'/);JI04'-' mn. Cu-Adl11inistrnlor , . (I'! III (!If. A...1~lJ/ILt: { (.0 Ann G, Disncy, Co'Admlnistrnlor /", . /;//. /,) J(,A '~ " u::.e Itc " ,,"" Nu(..',!'''''/...' Arl~ne F. Hoovcr, Co.Adl11inislrnlor Subscribed nnd sworn 10 h)' SIIIRLEY E. KEESEMAN, 10 ANN G. DISNEY. nnd ARLENE G. HOOY)~R. bcforc mc Ihis 3cJ. dny of -dcp;to~ , 1996. 'i~,~ r j(.r!_Q~, Notarial Seal Unda K. Klein, Notary Public ~,PA CIInbIIlInd CoII1ly My lXIm,W.lon ElcplM Augu1115, 2000 -...---... -..- . . MARK, WEIGLE AND PERKINS _ ATTORNEVS AT LAW - 126 EAST KINO STREET _ SltlPPENSnURO, PA 17257.1301