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HomeMy WebLinkAbout96-00055 .:," " ,'.f' ., I " ". [.;;~:'/~'~'. .'j ~f!s ~. , \~ i " "',: " , , 'f. .t '.. " ,,~"'/' - " ,~ ' '..' I.,' -';", '.,,' .':":". .-,' " ,..,,',' " IJETITlON "OR PIWIIA TE and GI~ANT 01" LETfEl~S No. ~(. qb-w .5"5 To: Reglsler of Wills for Ihe . Decea.fccl. CoulllY of Cumuerlnnll In Ihe SlIclal Sccurit)' Nil. 203-10-9023 Commonweahh of Pennsylvpnla The pethlon of Ihe undersigned respeclfully represenll thai: Your pelllloner(s), who 15/11\1<18 years of age or older on the execut or In Ihe lasl will of Ihe pbove decedelll. dOled Ju! v 11 and codlcll(s) dOled Ill/ate IIf Gnrn!dlnl' E. !Jnvln aIm kllt'w" a,f named , 192!!..- (UIle relevant clrcllmSlanCC:i, C.I. renURl:IAllon, death Dr nt(utor I C1C.J Oecendent was domiciled 01 dealh in Cumberland County, Pennsylvania, wilh 11 er lost family or principal residence al 215 S. River St.. Wormlevsbllra. PA " J , ~4l~"U...."({I',,, (Ilu Slrrfl. number and munclpalilY) Oecendenl,lhen 74 years of agc, died January 3 .19 96 al Low"r Allen Township, Cumberland County. PA . Excepl as follows, decedent did not marry, was not divorced and did not hove 0 child born or adopted after execulion of the will offered for probate: was not the victim of a killing and was never adjudicated incompetenl: Oecendent al dealh owned properlY wilh estimated values os follows: (If domiciled in Pa.) All personal property (If not domiciled in Po.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real eSlate in Pennsylvania situaled as follows: one-third interest in 215 S. RI ver St.. S 17.400,00 S S S 7,300.00 WOTml~vqhtJrQ' PA WHEREFORE, pelilioner(s) respectfully presented herewith and Ihe grant of lellers request!s) Ihe probale of the last will and codicil!s) tC!stamentarv (tntamentary; administration c.t.a.; administration d.b.n.c.t.a.) theron. ~{~L- 830 Ridqewood Drive Mn,..h:tn~ f"'lC:thl1rg P1\ 1 '7nl;l; ! 5 og- 'iii "'c -g.g .'- ,::,cf tr~ ~Q ;; C .. iii OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA } l:lS COUNTY OF CUMIlERt,AND The pelitioner(s) above. named swear!s) or affirm!s) Ihatthe stalements in the foregoing petilion are lrue and correct to the best of the knowledgc and belief of petitioner!s) and that as personal represen. talive!s) of Ihe above decedent petitioner(s) will well d ruly adminis er the estate according to law. 16"- 7'Hi' Sworn to, or affirmed j1I.1d subscribed { bef~me this /''1 - day of -)JJIJ ~I ~~9:::~. (% '!i!!~ 'f#< "l Reglstcr \ '" ;0' " Q ;:, :; " 2 < f I \ ' ,;.'..- N 21-96-55 o. Estate of GERAr.oINE E. DAVIS . Deceased DECREE OF PROBATE AND GRANT OF LETIERS AND NOW JANUARY 22 19...2L. In censlderatlon of the petltlen on lhe reverse side hereef, satlsfaclory proof having been presented before me, IT IS DECREED that the instrument(s) dated Ju I v 11. 1 q 7 R described therein be admilled to probate and n1ed of record as the last will of Geraldine E. Davis and Lellers Testamentarv are hereby granted to Craiq 11. Davis ~(J {I. ~ J' ~ t:LI.<. (I. a . . 'JC:" 'Ii J <> . [) u'J",.G;. , ,'~r Reslste, or Will. FEES Probate, Lellers, Etc. ......... $ 60.00 Short Cenificates( ).......... $ 12.00 ~.~ltf.~.~~fl.~L $ 3.00 JCP $ 5.00 TOTAL _ $80.00 Filed . ,JNiI!~:t. .~~,. ~~.~~ . ... . . " . . . . . . . David H. Stone 139785 ATTORNEY (Sup. Cl. I.D. No.) 414 Bridge ST., New Cumberland, PlI 17070 ADDRESS (717) 774-7435 PHONE . ....- ---3 _ 1.;_ n: ~ -' , ~::1 00 21-96'55 This is 10 certify thai the infurmJtion hl'fl' Hin'lI '" ~orrn d)' lllpi('\.llrol11 .11I t1riginJI (t'rlific.".IIl: of dt',nh dilly filt..d wicll lIle ;1\ local Rt'~i~lrar. The origin.1I u.'rrifinlll' will hl' forwilnltd 10 III(' Srilll' Vit,11 Hl'lllhls OffilL' lor Ill'llIl.lIIl'llI filillJ.:. WARNING: It II Illegal to dupllcato lhll copy by pholollat or photograph. I'"c (0' Ihh <I'lIil;<',II('. S2 IHI I L /{ ~(I~-(l~tt~ 1.....1 ('~i,",,, (j' 3284233 lot ~!},\l /' ,) . "! ,1\, Nu, D,lIe COllllOHWEAlTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' YITAl RECORPS CERTIFICATE OF DEATH MAMlOl' CI ,.....".,,_ Geraldi ne E. Davis ......$f1 UNOl,unM UHOI:"'DA.Y - - ... I. female .l.Iu'n_..... toClAl.lf:C1.IV1'lHUII&(A DAlEOI-PfAlIl,Uut1I\O"....1 ., Jan.3, 1996 .203 - 10 -9023 IllfITHP'LACllCfr..-.i f'lACEOl'OCAJHJ)w:t. ___......,....0"(....""" SI....1lI flll-"ICu",1 HOSI'l1Ai.: nnleysburg,Pa _0 .__ 0 r.cou''fNAUEIII.-:lI~w..e.'''''''~1 ewl 01 IlIA'" jMo....u..,__, y~ en OlteR. 000\0 '='J{ WIoSOlctotHT Of H151'l'H1C OAIOIH? "..0 .....D.'".......,.~ ....qft".--Rotaft.~ 1UCL.~hiIM.IIadl,WMIt,_ ~_'Il " white .""""""....... jII.....9W~lWftfI n.w-.. n " Ol. ..-='.:'~=:T , al Assistant DlClD[Hn .........AOCIN....... 0tJ'1c.n,"", l-"CAdIt 215 S. River Street WormleysbuI9,PA 17043 WilSOlC[OI"NlEVlRIi UI AAMCO'oas' v..OHDJl!1- . OI"CEOENl'IEOUCAflON 11~1 1lWV1.I.I..IWUS'~ .........,.... W-.d, o-c.,~...,) Widawed Lower A , I'..IiiL!......~""""'" OlClDfNT'1 ACIUAl AI""'''''' lMI........... ......,...._1 n.,SlaI. .. - ..... ~, INO ::'-='::::01 YCl'H[f...NAMl'......,..........~ Anna Wolff IHfQAMAN'''IrU.IlNJIoI:IONUISiI_ ""_lil~ 30 Ridgewood Dr.,MechanicsbuI9,PA 17055 f'\AC(0I 11OfIt.~of~C._, 10CAJ1ON.~....19c- ."""'- oIling Green Cemetery NAMlIHil ADDRUS 01 MClUTT usselman Funeral ''''''''' cumberland """-..I!OII'l....o !;amP Jlill,PA 17011 uct:HIlNUWII[R lIome,Inc.,Lemoyne,PA17043 DAlESJOhlO (Uu..,u..,"I9.-1 ....E ,uH 0 IM<I'~OIy,""J 0'/;.5" blC;u .'.I'MTl; ....---.~.~__~__ Oa/'l:ll.__IOlOdIIII."...IoIdl..QIl)ec.'MpI.....,..,....~..IlIIn...... '--........c.IoIII_MtIl... -- NflAfIlD10:[lAlEUoIIW4l RI H8~ ~. I'M'.' CliNf~"""",,*,-_"""'IIII-..fI."" I="'::::: 1'IOIl,....."'GI'lIlll~e_P""I'lH."'1 I CA>PO , I . , , , I , . . ~~.,~ I: DUElOf(~l"!:l"tcJN:j(UVlI<<-l ()II OUllOltlU ""..c.or6lUlllf.l (III UAHHtROf'DlNH 1IUI00llUURY INJUflYNWOfIII' DUC.lIlIlIlHOWINAln,cx:c.UANO twtOl'NJUA'l' iVa..o., "'1 ........r ~ 1"-'" 0 ,,"1dM n ~IlwMIVfIIUI 0 HI 0 ....... rJ ~_""'.-..cI 0 1'\1Gt0l'1H.JUA""'~.'''1II.'''.''''''.'''' M. .... _ II ~...es.-.'ll CUIf~"=-~"""""ft>l"l""Itl."'I."""'''''.d.I",_'''''.''''''''-....J_.oJWIf~","':Jj ,..........,~...."..,...................'I..._..""", ............... .."......"............... ,... ,.,... 0 'ft. Ll ho[) .~ t IIAHOctlll'W\'IIIO,..'J.IOAIrI~.,......I...'p1.o.n.\I'.......d'."~IIl~<A,....~ _.........,.........,.... __.... "'......... ..."".. .......'" ....--eI1.... __.......,...,.........,.......... UClHKMJUll[A twE"9NfDI"""....0.-, _t o me 17 .1_'l'L~ ,dAti. 3, l'l'l{' HAM[ AHC)ADDfl(SIOf' f'(fI!lOHWHO~lnDCAusl Of D(AlH _'?TIP'..r..... lOll .l.fJw'llt~~'J or,., o IJ, /.~"., DY" "". I'll /';'(JY..3 DIlE'.. ~1l..,_1 -- OlI............~.".,.,"'"........,..'"""""'*""dt""OCCWfM............daI.,MdptHtl,Md.......""c.,Nf.I..... JI.~..IlII...................,....".............,.,....,.....",....................."............."....... QISlJWl' IlOHIlfUN:AHDHUMIIlA ... I~J a,/,ll %-1-W#'t~'I.'.'t" .' '>t':-- ''''. ~ \. ~"D 1'-1 t-" " r ,,' r- ;:c r- ,- ~. :;~ Ll , .l :; 1./."( ri ~ 0:: '4 GU ,:.'vi' ,,".; , ',; ,:;i:: ,- ....-, 'r.s;4 " ~ .", " ,~ ,,",:~ . , ',"c., h , . .'. , . ~~ .\, ,. :,. ~, '-t_ -'.,-'.' ,,:.. ..,' "".: ,.' ., .. .' . :.~' ' 111 ~ . lal ~ ~ rJ J .','/';'.'., ",- '",,' 2~ ,d .... ~. c', ,., 1''' ~'. ", ~ I:, ..... --.I ('\ ! C. ~ \,! - '0<= ,,=, :l"~ N . ':"'":;}' ..,i.::.'t\::'/::~",~:.: ,< ;:j. <', '<;> :'~:, '-"'. 'Ie', t',:': .t,' " ,.~;:<";~;:~fhi:j l '~ ,-' ~ ',' ':,::::~l:iX . ~ f, ~-<;,~; ~"~~;~t~';!} " -'-', "T, !:. " '.~/:'.;:!~';:~ . " : :~ :":~' ~.:,}~~t;K . ," . ' :xl, :17'" " q}.C)', 'I"'; (), ~.:~ {~ !{, ~.:2, ,.~, -.,', ~:~K iiio . -,', ,,;',-..'" :":':'::;', ',~_.,~'F{jJ. <...:".;~;.,. -':>".::,.;' ,,';:~';,,?l ."I<;',}. ,J,..,., : ....' "':'\~" "-:-:.~~;.~-::'.;~, ~..,."'a\lj;:;,;';!Z',' .~: -- - ", '. "~ B~' ,,:;.'.;:: S'~ ",";:';'j II" ;1""'''''''' ':i'1iI4 ..:, "'~ " '1Il~;~.!/,}lF' ,=. .~..;... ,~ ... >", .._.-",' .r,-.: " .,,: " -", "" i-_,", ~f_,';:;\t"" " ' , ,. LAST WILL AND TESTAMENT OF GERALDINE E. DAVIS I, GERALDINE E. DAVIS, of Wormleysburg, Cumberland County, Pennsylvania, being of sound mind, memory and understand- ing, do hereby make, publish and declare this as and for my Last Will and Testament hereby revoking and making void any and all other wills by me at any time heretofore made. I. I direct that my Executor hereinafter named shall pay all my just debts and funeral expenses as soon as conveniently may be done after my decease. II. All the rest, residue and remainder of my estate, whether real, personal or mixed, and wheresoever situate, I here- by give, devise and bequeath unto my son, CRAIG ALLEN DAVIS. III. I hereby nominate, constitute and appoint my son, CRAIG ALLEN DAVIS, as Executor of this, my Last Will and Testamen IV. No fiduciary acting under this Will shall be required to post bond in this jurisdiction or in any jurisdiction in which he may act. IN WITNESS WHEREOF, I, Geraldine E. Davis, the Testatrix, have unto this, my Last Will and Testament, set my hand and seal this II ~ day of ~l' ,1978. iUl-tl-l~ t A9a.~ " (SEAL) ,- LAW O'''CII 0I0'N po, LAP'.V." ,:' '-'...n Till.. lfallT >..~W CU....IIL..... 'A, Page one of two Pages CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Geraldine E. Davis Date of Death: January 3, 1996 Will No. 2196-0055 To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court rules was served on or mailed to the following beneficiaries of the above captioned estate on January 26, 1996. Craig Allen Davis 830 Ridgewood Drive Mechanicsburg, PA 17055 Notice has now been given to all persons entitled the eto under rule 5.6(a). Date: (-Z<J.'l.. D vid 414 ridge Street New Cumberland, PA 17070 717-774-7435 Capacity: Personal Representative x Counsel for Personal Representative \(, - I .,., :.o.j j ~- cc'U,. L .'\ '~ 00 COMMONWEALTH OF PENNSYLVANIA l COUNTY OF CUMIERLAND J u: Craig A. Davis b.lng duly sworn is the Executor according to law, d.polOs and says th.. h. of tho Eslet. of Geraldino E. Davis 1.1. of _Lowllx:..Alleo,_ToYJIahip _,_ - , Cumb.rland County, Pa., d.culOd .nd thlt the within Is an Inventory m.d. by r.rntg A. DnvIA , the IOld Executor of tho .ntir. ...... of s.ld d.c.d.nl. con silting of .11 the p.r1on.1 prop.rty and rul .stat., nc.pt rul ....t. outsld. Ih. Commonwealth of P.nnsylv.ni.. .nd Ih.t the flgur.s opposite each It.m of the Inv.ntory r.pr...nt It's faIr valu. as of tho d.te of d.c.d.nt's d..lh. 19 Craig ~v~s ~.;. ~ft1nmll .nd subscrib.d b.for. m., _.1130 Ridge,~~od Drive Mechnnicsburg, PA 17055 Add".. 0.1. of D.ath 03 Day 01 Month 96 v.., INSTRUCTIONS /. An inv.ntory must b. fiI.d wilhin threa monlhs .ft.r .ppoinlm.nt of p.r1on.1 r.pr...nletlv.. 2. A suppl.m.nt inv.ntory musl b. fiI.d within Ihirty d.ys of discov.ry of .ddillon.1 .u.ts. 3. Addition.lsh.... m.y b. .tt.ch.d .s to p.rson.lty or realty 4. S.. Articl. IV, Fiduci.ri.. Act of /949. '" .... ..c: ..,; )0- Ul fi D l;1 W ~ ~ I- 0 .. lI'I W i:!: !-< D lI'I Q. Ul v D 0 II> s:: .. 0 g .... c '" .. 0 w a: w > QI .. D I J: Q. U. III ..... .; Q. c I- -' l"l ~ .. '" Z 0 0 '" u. -' <( I Do :I: ..... W 0 <( w " i: N > a: ~I ... <( Z QI Z 0 ;J c C " .; - II> Z 0 0 a: ....' ,..., U z I w <( ::ll .... Q. ." III I c ...' ..! ,I QI' - .. t:l 0 D .D ." .... .. E - ..! 0 ! .. " 0 ... U ii: CD Inventory 01 the real and personal estate 01 Geraldine E. Davis deceased PERSONAL PROPERTY 1. 1986 Chevy Cavilier sold to Tracey Heckman $ 2.900 00 2. Excess funds held at Musselman's Funeral Home in Funeral Trust 1.533 77 3. Funds received from Estate of Edward J. Gladfelter 10,000 00 TOTAL PERSONAL PROPERTY $14,433 77 REAL PROPERTY NONE N ~::. :-;- , " " -, .- (., t:- If\ N l- e.> L.I u , to ill' . r.;: 0:- p, ~:;:J uu /5-'7Q-S INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLlC.UE WITH REGISTER OF WILLS) OIV.IlOO lit ,709" !ib COMMONWIAl'" O. PlNNSYlVANIA DIPAUMINr 0' .\YINUI DIPI 21060 HA"ISlUIO, ,. 17171.0601 N ' HAM llA . I . AND MIDDU INI 1"'1 DAVIS Geraldine E. OCtAl UCUlny HUMin 'j j I . .l!! ..:5'" Illf~ "'~9 "'~t' i III co OAII Of DIA1H 203-10-9023 01-03-96 \.,..,""...IIIIU....I'tIHQ'POI.III'.N.,I.I\A.'"I....,..O""JOOII.N.II..lI 'OR DATU 0' DIATH AmR I 212 I Itl CHICICH~I ., A IJIOUIAL 0 JIOVIRIT CRIDIT .1 CIAIMID flU HUM..R 21 COUNlY CODE 96 YEAR 0055 NUMIER H' AD 215 S. River St. Wormleysburg, PA Cumberland AMOUNt UCllylO 1111 INlnuC110N" o 3. R.malnd.. R.tv,n (far dot.. of d.ath prior 10 12.\3.B21 o 5. fod..al E.tat. Taa R,'vrn R.qvirod _8. Total Nvmb.. 01 Safe D'polilla... o 2. Svppl.m.ntal Rotvrn ~ 1. Original R.'vrn o A. Umllld Eliot. 0 Aa. Fvtvro Int.ro.t Campramh. (for dOli. 01 death ah.. 12.12.821 ~ 6. Ooe.d.nl Dl.d T..tall 0 7. Doe.d.nl Malntaln.d a Uvlng Trull (Attach copy 0' WillI (Attach copy 01 Trv.') ALL CORRESPONDENCE AND CONFIOENTIAL TAX INFORMAnON,SHOULD.BI.DIRECTED TO. NAMI OM'LUI MAILING ADDIlU ,),.. ...ili a:e> a:z Bf 1. R.al E.tall (Sch.dvl. AI ( 1 ) 2. Stock. and Bond. (Sch.dvl. B) ( 2 ) 3. Clallly H.ld SlacklPartn."hlp Int....t (Sch.dvl. q ( 3 ) A, Martgag.. and NOli. Roe.lvabl. (Sch.dvl. 01 ( A ) 5. eosh. Bank a.politl & Milullaneoul P.rsonal Property ( 5 ) (Sch.dvl. EI 6. Jainlly Own.d Prap.rty (Sch.dvl. F) 7. TranI'''' (Sch.dvl. G) (Schodvl. l) B. Total Gra.. A..... (tatallln.. 1,7) 9. Funtral exp.nl.I, Adminillrotin Calli, Milc,lIan,oul 191 Eap.nll' (Sch.dvl. HI 10. D.b... Martgag. lIabilltl... 1I.n. (ScJ..dvl. I) 11. Total O.dvclion. (tatallln.. 9 & 10) 12, N.t Valv. a' Eltall (Un. B mlnv. lIn. 111 13. Charitabl. and Gavornmn'al B.qv.." (Sch.dvl. J) U. No. Valv. Svbl.clla To. (lIn. 12 minv.lIn. 13) 15. Spav.al Tranlf... l'ar dOli. of doath ahor 6,30,9A) S.. Inltructions far Acplicabll P.runlag' on R.nn. 1151 Sid.. (Indvd. valv.. ram Sch.dvl. K or Sch.dul. M,I 16. Amount of lIn. 1A taxabl. at 6% rot. (Incivd. valv.. from Sch.dvl. K or ScJ..dvl. M,) 17. Amount of line 1A laxabl. at 15% ral. (Incivd. valv.. 'ram Sch.dvl. K or Schodvl. M.I lB. Principal taa dv. (Add loa from lIn.. 15, 16 and 17.1 19. Creditl Spoulal Poverty Cr.dil Prior Paxm.nll _D.ilc9.unt + $1500.uO + $711.~5 20, If lIn. 19 i. groator ,han Un. 18, .ntor tho diflor.nco an Un. 20. ThI.I..h. OVERPAYMENT. aD 21. If lIn. lB I. groalor .han Un. 19, .nllr tho difl.ronco an lIn. 21. ThI.I.,h. TAX DUE. A. Enter th. inter'lI on th. balance due on Une 21A. B. Entor tho to.al of lIn. 21 and 21A an Un. 21B, ThI.I. Ih. BALANCE DUE. Mak. ChICk Payabl. 10. R.gl.,or 01 Will., Ag.nt .... BE SURE TO ANSWER ALL QUESTIONS ON REVWE.S1DEoAND,TQ IllCIlI!CK MATH -C-C Under p.nelli.. of p.rjury, I d.c1ar. that I hay. uamined thil r.turn, including accompanying Ichldul.. and Itetem.ntl, and to th. bll' of my knowledge and b.li.f, it lllru., corr.d and campl.t.. I d.dor. Ihat all r.ol IIlof. hal b"n r.part.d allru. market valu.. Declaration of pr.partr other than the plnonal repr."ntative il ba"d alllnformotion f which pr.par.r hal any knowl.dge. SIONAt 0,.,11$0 IlU' IU 'Oil 'lUNG ll!YuaN ADDUSS DAn 830 Ridgewood Dr.. Mechanicsburg, PA 17055 11.1" qc.. Aooun OAn z e> ;: :l E :. ... ... a: z e> ;: == E .. co ... = .. Stooe LaFaver & Stone P.O. Box E ~ r" \ ..'; ~.... - L' C'J -, (61 (71 $14.433.77 20,407.70 N 'J1 r . "~ . . .r::-. 9.645.31 r ' IBI '$34.841.47 (10) 14~.81 (16) ~?I.., R~n 1~ (111 9,991.12 (12) 24,850.35 (13) .00 (1 A) $24,850.35 )C._- x .06. S 1.4QI.02 x .15 . (IBI $ 1,491.02 (191 1,578.95 (20) 87.93 (17) Int.rll' Che(k here if you Ofe requesting a refund of your ov.:orfJoymrnl. 1l1'IlUIN'AlIV( 121) (21AI (21BI P.O. Box E, New Cumberlaod, PA 17070 1\1- ~\. 'i~ . .;...-- - - ._'..- 11~ltot". 111111 ~ COMMONWlAlIH 0' P1NNIYIVANIA .NHIRIIANCf IAl IUUIN USlPINIOICIDINI SCHEDULE F JOINTLY.OWNED PROPERTY ESTATE Of Geraldine E. Davis fiLE NUMBER 2196-0055 Jolnllonanl!_), NAME A. Craig A. Davis ADORESS 830 Ridgewood Drive Hechllnicsburg, PA 17055 RELATIONSHIP TO DECEDENT son B. Linda R. Davis 830 Ridgewood Drive Mechanicsburg, PA 17055 daughter-in-law C. Jolntly-ownod p,aporty' LmER DATE OOLLAR VALUE OF ITEM FOR DESCRIPTION OF PROPERTY TOTAL VALUE DECD'S NUMBER JOINT MADE OF ASSET % INT. DECEDENT'S INTEREST TENANT JOINT 1. A 0-01-76 PNC Bank, N.A. Checking Acct. 05140128738. Princ. $758.56, Interest $3.10 761.66 50% $ 380.83 2' A 6-27-83 PNC Bank, N.A. Cert. of Deposit 021001019476, Princ. $20,000.00 Interest $53.74 20,053.74 50% $10,026.87 3. A['B 11-12-8 All chat certain loc or parcel of land situate in the Borough of Wo~leysburg. Cumberland Co., PA, being the same premises which Geraldine E. Davis, widow, by her deed dated Nov. 12, 1985, and recorded in Cumberland Co. Record Book 0, Vol. 31, Page 10 2, granted [, conveyed unto Geraldi e E. Davis, widow, Craig A. Davis and Linda R. Davis, his wife. The said property was sold co John D. Wurster by Craig A. Dav s and Linda R. Davis on Hay 14, 1996 for $30,000.00 - 1/3 value of decedent's interest is 30,000.00 33.33~ $10,000.00 TOTAL (Aha enle' on line 6, Recopi.ulo.ion) I 5 20.407.70 (II ~or~ SDcce 's f"e.aea iru.rt cdd,tional sheets allam. lin) r.\ded\da.la.wur\'." fI . Tax Parcel No. 47-20-1858-168 THIS DEED HADE THE / if ~ day of ~h one thousand nine hundred ninety-six (1996). in the year of our Lord BETHEEN CRAIG ALLAN DAVIS and LINDA R. DAVIS, husband and wife, Grantors, and JOHN D. WURSTER, Grantee, WITNESSETH, that in consideration of THIRTY THOUSAND and NO/100------- ---------------------($30,000.00)----------------------------Dollars, in hand paid, the receipt whereof is hereby acknowledged, the said Grantors do hereby grant and convey to the said Grantee, his heirs and assigns, ALL TBAT CERTAIN lot or parcel of land situate in the Borough of Wormleysburg, Cumberland County, Pennsylvania, more particularly bounded and described as follows, to wit: BEGINNING at a point at the Northwest corner of Third Alley and River Alley~ thence along the northern side of Third Alley South forty-seven (47) degrees West fifty-six (56) feet to a point at lands now or late of Miles B. Gladfelter and Anna C. Gladfelter, his wife~ thence along other lands now or late of Miles H. Gladfelter and Anna C. Gladfelter, his wife, North forty-three (43) degrees West fifty- eight (58) feet to a point at land now or late of William B. Weigle~ thence along lands now or late of the said William B. Weigle North forty-seven (47) degrees East fifty-six (56) feet to the western side of River Alley~ thence along the western side of River Alley South forty-three (43) degrees Eaat fifty-eight (58) feet to a point, being the place of BEGINNING. BAVING thereon erected a two apartment building with garages. South River Street, Wormleysburg. and one-half story cement block Being known and numbered as 215 -1- ,~ , . BIIKQ the same premises which Geraldine E. Davis, widow, by her deed dated November 12, 1985, and recorded in the office of the Recorder of Deeds in and for Cumberland County in Deed Book 031, Page 1092, granted and conveyed unto Geraldine E. Davis, widow, and Craig Allan Davis and Linda R. Davis, husband and wife. The said Geraldine E. Davis died January 3, 1996, thus vesting title in craig Allan Davis and Linda R. Davis, husband and wife, by operation of law, Grantors herein. AHD the said grantors hereby covenant and agree that they will warrant specially the property hereby conveyed. -2- . . . .:: :. :<:",;: ." ..;" j : C~: ,'J:' j I:~: i~l>:;~~',' '\ ':1: :':.::"'~ ~ I.' f I \'", ;' - ~,' '35 1\01J I J f,lllO 39 No. 536 FEE-BU.lPLE DEP.:D-TJPewrlllr wIlia 3tllbrnturr f "aile mlle 12th dall 0/ November In tile lIear at ollr Lard 0.., rllolllaneS Nm. Du..u,eS and eighty-five (198.5) lIibtWl'l'U GERALDINE E. DAVIS, Widow, of2l5 S.River Street, Wormleysburg, Cumberland County, Pennaylvania, GRANTOR, Party of the First Part A N D GERALDINE E. DAVIS, Widow of2l5 S.River Street, Wormleysburg, Cumberland County, Pennsylvania and CRAIG ALLAN DAVIS and LINDA R. DAVIS, hia wife, of 128 Clearview Drive, Camp Hill, Hampden Township, Cumberland County, Pennsylvania, Joint Tenants with the Right of Survivorship, GRANTEES, parties-------------.--------------- "/,he .ecund 111I1'1. l!llIitUl'1i1il'tll Thdl Ihe ..,fdporl y .,/Ihe 111'.1 ,,,''',, lor dnd In con.lderdllo. '.1 Ihe 111m 0/ One ($1. 00) and other good and valuable conaideration------------- lBoIlaa. Inwlul money ull/II UnUed .'llllle. ul Allier/cd, ,ct/l and Irllly pllfd by Ihe .old parI ies 01 1M ,ecolld purl 10 1/'0 .uld porI Y "1 '''0 tlrd pllrl. 01 nnd b~/oro I/,e .mllng on,l drllcerll "t Ih"e PI'e.elll., Ihe recelpl w/,ereo/" hereby uckt,owledgl'1. Geraldine E. Davia, has ---------- gronled, borgulned, .old, ullelled, en/eolled, rcleo.ed, t'(JIII'eyed and con/'r,,"'d und by l/'ell pro.enll,'uea _____ grolll, h"rg"fll. ,,11. n/lrll. en/roll, releo.e, cOllcey, and cnn/inn unlo Ih, .old parI ies .., Ihe "c"nd perl their ~,I... ono/ o..i/l'" !Ltt THAT CERTAIN lot or parcel of land situate in eJrn"Gerland County, Pennsylvania, more particularly follows, to wit: the Borough of Wormleysburg, bounded and described as BEGINNING st a point at the northwest corner of Third Alley and River Alley; THENCE along the northern side of Third Alley south forty-seven (47) degrees wellt fifty-six (56) feet to II poillt at lallds 1I0W or lllle of t1ilell II. Gladfell"r and Anna C. Gladfelter, his wife; THENCE along other lands now or late of Miles H. Gladfelter and Anna C. Gladfelter, his wife north forty-three (43) degrees west fifty-eight (58) feet to a point at land now or late of William B. Weigle; THENCE along lands now or late of the said William B. Weigle north forty-aeven (47) degreea east fifty-six (56) feet to the western side of River Alley; THENCE along the western side of River Alley south forty-three (43) degrees east fifty-eight (58) feet to a point, being the Place of BEGINNING. HAVING thereon erected a two and one-half story cement block apartment building with garages. Being known and numbered as 215 S. River Street, Wormleysburg. BEING the same premises which Miles H. Gladfelter and Anna C. Gladfelter, his wife, by their deed dated August 8, 1953 and recorded in the Office of the Recorder of Deeds in and for Cumberland County, Pennsylvania on August 18, 1953 in Deed Book "J", Volume 15, Page 191, granted and conveyed unto Chester R. BOO{) 31 rm1092 .~t~"'''''''''''' 'ii' ",~""" k',,' ~- ':..., <,,(-,,,:''';o::+i''c''o:~'' - -~' ..,.t.;.- -',j )'~ . ";Lt' 'r. -... ',-.' .J. ...... : t .. -', <<, '.'- > :'1 :-J(::Ji~,"'kis.\'\"'; ;{"~.l~",,,~:-j;. i~"'-'"' t'%f~~>{.1~;:;;r.~,ti~_"'~;:~~.:i'Y-;<:,;":.:;:>:,; -" '->l~,~.~::;~ {de""' "~-.;1-',' . ~ ~ ""., r~~,~18;,i;"~ti' Dlvil and,:Oeraldinl B. DIVil, hil wife. The .aid Che.ter R. Davil, pndecea.cid l{~iI"ifl.;!hi&vina died on the 20th day of January, 1970, thereby ve.ting all '.;"";'hie daht, title and intenlt in hil Wifl, the .aid Oeraldine B. Davia, '., <ORANTOR, Party of the Fint Part herein. . " ",r:' '_Ii t'-'. :~-1:"1- h ..'~~, ......' , , 'oj' " *~':j '0' -:'.' -;'~'"'_ <', '.1:; .,.:"/i ,'~":: ,:~}. -;',::ii"F. 'W~ "~ ";;( /( ltt;::~,.-- .,~~.~ I --ijV"i~." ~ }~1' t';,. , '.,,-:: 'j" " "',' ': t.;. .,': "-' 1;' .-:t., 800K~ 31 f~:El093 r ....'1"'.. "... ITEM NUMBER ...--...-.....-.'-... ....... ~~ COMMClNWIAIlH o. "NNanYANIA INHIIIIANCI lAX IlTUIN IUIDINI PICIDINI SCHIDULI H FUNERAL EXPENSES, ADMINISTRATlVI com AND MISCELLANEOUS IXPENSES P1.al. Prlnl .r T . Geraldina E. Davis 219(,-0055 DESCRIPTION A. Fun.ral Exp.n"I' B. 2. 3. A. C. 1. 2. 3. A. 5. 6. 7. 8. 1. Musselman's Funeral 1I0me-funeral expenses Rolling Green Cemetary-stone Funeral reception 2. 3. 1. AcImlnlllratlve C.IIII Penonal Repres.ntotiYl Commlnions N/ ^ Social S.curlty Number of Penonal RepresentoliYl: Year Commlnlonl pold Allorney Fees Stone LaFaver & Stone Family Exemption Claimant N/ ^ Addren of Clolmont at decedent's death Street Addr&n City Relationship . State Zip Code Pro bole Fees Letters Testamentary and short cert. ($80.00), filing Inheritance Tax Return & Inventory ($25.00) Mllc.llan,oul Exp.nl.1l Cumberland Law Journal-adv. grant of leCters The Patriot News Co.-adv. grant of letters UGI-gas services at 1/3 value PP&L-electric services at 1/3 value PAWC-water services at 1/3 value Bell Atlantic-telephone service at 1/3 Settlement charges on sale of property ($371.79) less reimb. on taxes, dewer & refuse($159.46) equals $212.33 at 1/3 value Sammons Communications-television services at 1/3 value TOTAL (Also enler on line 9, Recapitulationl AMOUNT $6,582.00 411.82 184.62 $1,742.00 105.00 60.00 67.30 7.50 20.17 20.88 22.95 70.78 13.99 5 A, 'SE:a~EMENT STATEMENT .. U.S. PEPARTMENT Of IlOUSING AND URBAN PEVELOPMENT OMB NO, 2502,0265 err I. TIPE OF LOAN I. II fHA 2. II fmHA 3. I I Conv. Unh~r6. FILE NUNOER 17. LOAN NUNBER 18. MORTCAGE INS CASE NUNBER 4. I I VA 5, I J Conv, In" I l/JB5lEN."AI 700270201 I C, "OTElThl. form I. furnl.hld to glv. you. Il.Um.nl of .clual ..lll....nt co.u. 1Imo",," pold to .nd by th. ..tll....nt 'g.nt Ir. .hown. Itentl marked tI(POC)" wire paid Dutlld. tho Closing: tho)' orc shown hero for Informational purpOlC1 end Iro not lnch.,.d In Ih. tolll.. 4.2 05,95 (5/I/JRSIER.MAl) P. NAl4E ANO ADORESS Of IORRMR Eo NAHE AND MOREU Of SEllER C_ i: NAME 'ANO ADDRESS Of LENDER John p, ""rollr I North S.cond Str..t Worml.y,burg, PA 17043 Crolg AII.n Oovl. .nd Lind. R, D.vl. AVltar Hortglg. Corporation 1111 S.ntry Porkw.y W..t Blu. 0011, PA 19422.0108 30,000.00 17.n 39.63 69.21 32.90 30,159.46 371.79 1,000.00 1,371.79 30,159.46 1,371.79) 2B,787.67 The under.lgned here IV acknowledge receipt of . conpleted copy of pagu 1&2 of this stltCtfTltnt & Dny attlchmentl referred to henln. BOIlRO\IER \ -D-~. ~ SEllER (}la.{{). tJl..lalJ(.. .Jato{,:} I..atl. John~ Wur.t.r Craig ALIi,; P.vl. SElHR c>f.t-1I(ltJ.. a ~tHtW Lind. R, O,vlo O. PROPERTI lOCATION 215 Soulh Rlv.r Str..1 Worml.y,burg. PA 17043 ClI!btrl,nd County, PA II. SElllENENT AGENT Flrot ".rrl,burg Servlc. Corp. PLACE Of SEITlEHEWT \25 lOCUli Str..t Horrl.burg, PA 17108-1933 I. SEITlEMENI PAlE N.y 15, 1996 J. SUNHARI Of BORRMR'S TRAWSACTIPN 100. CROSS Al40UNI DUE fRCH BORRO\IER 101, Controcl s.l.. Prlco 102. p.r.on.1 Property 103. S.ttl.....nt Ch.rg.. 10 Borrow.r Iln. 1400 104. 105. 30,000.00 K. SUHHART Of SELLER'S IRANSACIION 400. GROSS Al40UIII DUE TO SElLER 401. Conlract Sal.. Prlco 402. P.r.onal Prop.rty 403. 404. 405. 2,288.30 Adju.t...nl. for It.... p.ld by S.ll.r In .dvonc. 106. School T.... 05,15'96 to 07.01,96 107. County t.... 05,15'96 to 01,01,97 108. A.,elsmenta to 109. 2nd Qu..t.r S.w.r 05-15-96 to 07'01-96 110. 2nd Quert.r R.fuse 05-15-96 to 07'01'96 111. 112. 120. GROSS AMOUNI PUE FROM BORRO\IER Adjust...nt. for II..... p.ld by Soll.r In .dvanc. 406. School I.... 05-15-96 to 07-01-96 407. Co""ty to... 05'15'96 to 01-01'97 408. AIIClIlr.tents to 409. 2nd Quorl.r S.w.r 05,15,96 to 07,01,96 410. 2nd Qu.rl.r R.fu.. 05-15'96 to 07'01-96 411. 412. 32,447.76 420. CROSS Al40UNT DUE TO SELLER 17.72 39.63 69.21 32.90 200. Al40UNTS PAID BY OR IN BEHALF Of BORRllIIER 201. D.poolt or earn..t mon.y 202. Principal AmI""t of N.w Lo.nl.) 203. E.I.tlng Lo.nl.) T.k.n Subj.ct to 204. 205. 206. 207. 208. 209. 500. REDUCTIONS IN AHOUNT DUE TO SELLER 1,000,00 501. E.c.s. D.po.lt I... Instruction.) 27,000.00 502. S.ttl.....nt Ch.rg.. to S.ll.r Iln. 1400 503. E.llllngLo.". Tak.n SUbject to 504. P.yoff of flrlt mortg.g. lo.n 505. P.yoff of lecond mortg.g. lo.n 506. D.poslt r.lalned by .ell.r 507. 508. 509, Adju"...nll for 210. School T.... 211. County t.... 212. A",,"oment. 213. 214. 215. 216. 217. ~1!. 219. It.... unp.ld by S.ll.r to to to Adju.t...nl. for It.... unp.ld by S.ll.r 510. School la... to 511. County tox.. to 512. A.....menlS to 513. 5\4. 515. 516. 517. 518. 519. 220. TOTAL PAlO BY/fOR BORROWER 20,000.00 520. TOIAL REDUCTION AMOUNT DUE SELLER 300. CASH AT SEITLE"ENT /RCHIlO BORRO\IER 301. Croll AmI Du. frcxn Borrow.r II In. 120) 302. L... AmI P.ld by/for Borrow.r (1In. 220) ( 600. CAS II AT SElllEHENT TO/fROM SEllER 32,447.76 601. Gro.s Amount Oue to S.II.r (Itn.420) 2B,OOO.00) 602. l... R.ductlons Du. S.Il.r Clln. 520) ( 303. CASH IXl fRDH I I TO 4,44i.76 603. CASN [Xl TO SElLER BORRO\IER II fRo.~ OORRO\IER "UO'1 (3-86) RESPA, HB 4305.2 . IEIILENENI IIAIEHENI PAGE 2 L. IVlILEHENI CHARGEI TOO. T.l.1 I.I../Ir.k.r. Comol..lon. I..ed on Prlc. I ~AID nOlI PAID 'ROIl Dlvl.lon.' Comol..lon (11no 700) .. '.11..., IORRDlIfR'l LUlU'1 701. 5 I. 'UNDI AI IIINOI AI 702. . I. UIIUHENI UIIUNENI 703. Comol..lon P.ld '1 I.tllemonl 704. 800. IIEHI PAIAllE IN CONNECIION 1I11H lOAN eol. L.on Orl.lnsllon ,.. 1.0000 X I. Av.l.r H.rl.... C.rpor'll.n 270.00 eo2. L.on Ol.counl 2.0000 X I. Av.l.r "orl.... Corpor.llon 540.00 803. Appr.I.., F.. I. Av.l.r Norl.... Corpor.llon Pot 1295,00 - 804. Credll Roporl 10 Av.l.r "orl.... Corpor.llon U5.00 Pot 55.00 eo5. Pocumenl pr.p.r.llon ,.. 10 AV'I.r "orl.... Corpor'llon 225.00 806. E.pr... ".11 Ch.r.. 10 AVlt.r "ortg.g. Corpor.clon 30.00 807. IIlre F.. 10 AVlt., Hart gig. Corporation 10.00 BOB. flood C.rllflc'llon 10 AYlt., Mortg'DI Corpor.tlon 14.50 - 809. 810. 811. 900. lIENS REQUIREP BY LENDER 10 BE PAIP IW ADVANCE 901. Inl.r..l from 05-15'96 I. 06'01-96 QI 5.6ID410/d.y(17 d.y. 7.6250X) 95.88 902. "or I.... In.ur.ne. Premium for month. 10 Av.l.r Horl.... Corpor'llon 167.40 903. H'l.rd Insur.ne. Premium for 1 y.ors 10 904. 10 905. 1000. RESERVES PEPOSITEP 1I11H lENDER IDOl. H'l.rd Insur.ne. 3.000 monlh. III 9.8] per monlh 29.49 1002. Norl.... Insur.ne. 2.000 monlhs II S U.95 per monlh 27.90 1003. School T...s 12.000 monlhs II I 11.50 per month 138.00 1004. Counly I.... 4.000 monlhs III 5.23 per month 2P.92 1005. Ass.ssmonls monlhs II I per monlh 1006. monlhs II I per month 1007. monlhs II S per monlh 1008. A..r...l. AdJustmenl -78.29 1100. TITLE CHARGES 1101. S.ltlement or ClosIng Fee to l1P2. Abstr.ct or Title S..rch to 1103. Title E...lnatlon to 1104. Tltl. In.ur.nee .Inder to 1105. Pocument Prep.r.llon to 1106. Not.ry Fees to Cuh 18.00 4.00 1107. Atlorney's fees to (lnelud.. .bove Item nult>ers: ) 1108. Tltl. Insur.nee to Flr.t H.rrllburg Servlco Corp. 300.00 (Ineludes .bove Item nult>ers: Endorsements lOP. 300, 8.1 ) 1109. Linder" Coverege I 27,000.00 1110. OWner's Cover..e I 30,000.00 1111. Endorsements to Flr.t Hlrrllburg Servlc. Corp. 75.00 1112. feder.l E.press Ch.r..s to Louis J. Adler 17.50 llU. 1200. GOVERN"ENI RECORDING AHD TRANSFER CHARGES 1201. Recordln. Fe.s: Deed I 12.00 ;"ort8110e S 20.00 :ReluleI S 32.00 1202. City/County T../Slomps: Deed I :Hortglge S 300.00 1203. St.t. T../StL'P': D.od ! ;H.,rtcc;: ! ::OC.OO 1204. 1205. 1300. ADDITIONAL SETTlE"ENT CHARGES U01. Survey 10 1302. Pest In.pectlon to 1303. 1996 County T...s to pennls P. Frelsl.k 62.79 1304. S..er .nd re'us, cerllflc.le 10 Borough 0' 1I0rmley.bur. 5.00 1305. 1400. TOTAL SEITLEHENI CHARGES (Enler On Lines 103, Section J .nd 502, Section K) 2,288.30 371.79 . 'V .I.nlng p... 1 .f lhls sl.lemenl, the .Ign.lorl.s .cknoul.dg. rec.lpt of . compleled copy 0' p.g. 2 ., lhls 2 p.g. st.lomenl. ("\MISTER.NAY) THIS IS CERTIFIED 10 BE A TRUE ANP CORRECT COPY. First H.~~. Corp. ~ettt~nt Agent ...111111.1'.... ~~ SCHEDULE I DEBTS OF DECEDENT, MORTGAGE L1ABLlTIES AND LIENS PI.a.. P,lnt or T . fiLl NUMBlR 2196-0055 . COMMON_tALlN 0' .1.......""'..... JHMllIIANCI1A1 'nuI... 'IIIOI""D'CID'H' ISTATI Of Geraldine E. Davis ITlM DESCRIPTION AMOUNT NUMBIR 1. Harrisburg Hospital-debt of last illness $ 26.97 2. HealthSouth-debt of last illness 93.56 3. Rehab Medical-debc of last illness 9.63 4. Internist of PA-debt of last illness 120.81 5. West Shore EMS-debt of last illness 31.00 6. Hairdresser service a-debt of decedent 60.00 7. Tristan Assoc.-debt of last illness 3.84.. TOTAL (AI.o Inllr on lin. 10, Rll<opilulolionl (If more spa,. ;s need,d. ins,rt additional shilts 01 some sill.} S 345.81 U ""ItD anllf . C'NII_LA.., 'A, . LAW omell .ION' F. I.AFAVIlIR 317 TtUkD STkllT New CUMU"''-^ND, PeNN~YLV^NI^ 17070 . LAST WILL AND TESTAMENT OF GERALDINE E. DAVIS I, GERALDINE E. DAVIS, of Wormleysburg, Cumberland County, Pennsylvania, being of sound mind, memory and understand- ing, do hereby make, publish and declare this as and for my Last Will and Testament hereby revoking and making void any and all other wills by me at any time heretofore made. I. I direct that my Executor hereinafter named shall pay all my just debts and funeral expenses as soon as conveniently may be done after my decease. II. All the rest, residue and remainder of my estate, whether real, personal or mixed, and wheresoever situate, I here- by give, devise and bequeath unto my son, CRAIG ALLEN DAVIS. III. I hereby nominate, constitute and appoint my son, CRAIG ALLEN DAVIS, as Executor of this, my Last Will and Testamen IV. No fiduciary acting under this Will shall be required to post bond in this jurisdiction or in any jurisdiction in which he may act. IN WITNESS mlEREOF, I, Geraldine E. Davis, the Testatrix, have unto this, my Last Will and Testament, set my Z'1\ hand and seal this " ~ day of ~j' ,1978. i~~ f.'. l~.:..u, (SEAL) I' Page one of two Pages Wi. ,I' " . ' UW ."ICI. . f P'. Lap'''V." ,... fI".. .n... c......~a... 'A. SIGNED, SEALED, PUBLISHED and DECLARED by Geraldine E. Davis, the above-named Testatrix, as and for her Last Will and Testament in the presence of us, who have hereunto subscribed our names as witnesses at her request, in the presence of the said Testatrix and of each other. Page two of two Pages RECEIVED fROM, & ACN ASSESSMENT P:I CONTROL Ii:iI NUMBER AMOUNT STONE DAVID HEAN 414 BRIDGE STREET 1ul .1,::lUU.UU NEW CUMBERLAND, PA 17070 ESTATE INFORMATION, !lL ER II 21-1996-00:5:5 !I AME Of DECEDENT (lAST) ~ DAVIS GERALDINE E II f PAYMENT EJ FOSTMARK CO NTY BSN 203-10-9023 (fiRST) (MI) CUMBERLAND DATE f PEATH I .1,:500.00 I VZ j I, .I 11_'.</), I N I' 1 MARY C. LEWIS ,rll-4/)(1- "./ I REGISTER OF WILLS :A/it!'". i I" 'j , ----- ----- - --- ,- - - -- -. -------~,-,r,--r- , ,- . , , REMARKS m TOTAL AMOUNT PAID SEAL LINDA ROONEY DAVIS C/O DAVID H STONE ESQ CHECK" 1009 RECEIVED BY REGISTER OF WILLS " \' -, -, . ~' ~ f"". -f 'Ii .-.. --. .... ..---' -~. .......,; .-,-- y ...~---- , { , \ IS~?9- JP COMMONWI!ALTH OF PI!NNSYLVANIA DI!PARTHINT OF RI!VI!NUI! IURIAU OF INDIVIDUAL TAXES IHHUUAHCI: faX DIVIIIOM Dr.Pr.II.... HAnUIl.JtG, Pi 17.,....01 NOTICE Of INHERITANCI TAX A~~RAISE"ENT. AllOWANCE OR PISAllOWANCE OF DEOUCTIONS AND ASSESS"ENT Of TAX DAVID H STONE ESQ STONE ETAL PO BOX E NEW CUMBERLAND PA 17070 DATE ESTATI! OF DATI! OF DEATH FILl! NUMBI!R COUNTY ACN 02-10-97 DAVIS 01-03-96 21 96-0055 CUMBERLAND 101 A.aunt R..ttt.d * c ....Ud..." III-Ill GERALDINE E MAKE CHI!CK PAYABLE AND RI!MIT PAYMI!NT TO! REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iiEV:isiij-EX-"j:ji-m---96T"iiiificE--ciF-YtiiiEii"ii'Aiicn'-A'x-jipPRjiiSEHEiii'-'--"LrciiiANC!"iiFi----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX I!STATI! OF DAVIS GERALDINE E FILE NO. 21 96-0055 ACN 101 DATE 02-10-97 TAX RETURN WASt I X I ACCEPTEP AS FILED I I CHANGED If .n ......m.nt w.. 1ssuBd prBv1ou.1y, 11nB' 14, lS .nd/or 16, 17 .nd 18 will ref1.ct f1gur.. thBt 1nc1ud. the tot.1 of ALL rBturn. .......d to d.t.. ASSESSMENT OF TAX: 15. Aaount of line 14 .t Spau..l r.t. 1151 16. Aaount of line 14 taxabl. .t lln..l/Cl... A r.t. 1161 17. "aunt of line 14 t..abl. .t Call.t.r.l/Cl... B r.t. 1171 lB. ~rlnclp.l T.x au. TAX CREDITS! ~AY"EHT DATE 03-29-96 RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. R..l E.t.t. (Schedul. AI III Z. Stack. _ Band. (Sch.dul. BI (ZI 5. Cla..ly Hold Stack/~.rtner.hlp Int.r..t (Sch.dul. CI (51 4. I1art_..lNato. Rec.ivabl. (Schedul. DI (41 5. C..../Bonk D.paalhlllha. ~.r.an.ol ~rap.rb (Sch.duI. EI ISI 6. JointlY Owned ~rap.rty (Sch.dul. FI 161 7. Tron.f.r. ISchedul. 01 (71 I. Tot.l A...t. APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funerel EMpan.../Ad.. Co.t.lHllc. eMpen... (Schedule H) .,) 10. Dobt.lNartg.g. llabiliti../li.n. (Sch.dul. II (101 11. Tahl O.duction. lZ. Hot V.lu. of T.x R.turn IS. Ch.ritabl./Dav.rn.ont.l B.qu..t. (Schedul. JI 14. Hot V.l... of eatot. Subject to Tox NOTE! RECEI~T HUIIIIER AA1l2685 DISCDUNT INTEREST 1.1 (-I 74.55 .00 .00 .00 .00 14,433.77 20.407.70 .00 (al 9,645.31 345.81 (111 nZI (151 n41 .00 X .00. 24,850.35 X .06. .00 X .15. nal ~OUHT~AlP 1,500.00 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE NOTE I To in.ure proper credit to your accOW1t, .ub.U the upp.r portion of thl1 for_ with your tox p._t. 34 ,841. 47 9.991 l' 24,850.35 .00 24,850.35 .00 1,491. 02 .00 1,491. 02 1,574.55 83.53CR .00 83.53CR . IF ~AID AFTER DATE INDICATEP, SEE REVERSE FOR CALCULATION DF ADDITIONAL INTEREST. IF TOTAL PUE IS lESS THAN .1, ND PAY"ENT IS REQUIRED. IF TOTAL DUE IS REFlECTEP AS A "CREDIT" ICRI, YOU "AY BE DUE A REFUND. SEE REVERSE SIPE DF THIS FOR" FDR INSTRUCTIONS. I RUEIlYATllll1I PIIIPOSE OF NOTIa:1 PA'ntEHT I _CCRll ~CTJDHSI ~~ 3,= r', ~ :nS' ~() r- 0 .." ill r, " - Cl .:. , -0 .-' E,t.t.. of decedent, dying on Dr be'or. Dec.-b.r 12, 19.2 .. l' en)' futur. Int.r..t In t~~t.t. 1. ~".rr~ .~ In po.....lon or tnjo~t to Cl... . (coll.t.r.l) bene,iel.rle. of the decedent .ft... the~r.tlon~' In)' "~'~for l1f. or for ,..r., the eo-on....lth hereb, .wpnub r".tv.. the right to ."r.", .-MI ...... tn"tf.Ko.lnherlhnc:. Tu.. .t the l~ful C1... . (col1.t.r.l) t.t. on In)' .uch lutu... Int.r.tt. To fulfill the requlr..-ntl of Section 2140 of the Inherltancl ~ E,t,t. Tax Act, Act ZZ 0' ."1. 72 P.S. Section 2140. DetKh the top portion 0' thl. Hotlu IInd lutMllt with )'DUr p.,..,t to the Reght,.. 0' Nllh prlntlld on the nv..... .Ide. ....twr.. cMck or .one, or.,. p.,lIble tOI REGISTER OF MILLS, AGEHT AU ~tI rKI1V8d shIIll flrat be -..1111d to WI, Int.....t which II' be dull ..lth In, r_lnde,. 1IPP1led to the tax. , nf\nd of , tax credit, which .... not requ.sted on thlt ralC R.turn, It' be r'CI'M,ted b, cOIlpI.Ung ." '"AppllcaUon far R.~ of Penn.,lv."le Inherlt~. end E.t.t. Tex- (REV.I'IS). ApplicatIon. .r. .v.llebl. .t ~ afflc. of the R..l.t.r of Will., en, of ~ 2J Revenue DI.trlct afflc.., or b, c.lllng the apecl.1 Z4.hour enawerlng ..rvlcl nueber. far far.. ordering I In Penn.,lv."l. 1..aa.36Z.ZaSO, out.lde Penn.,lvenl. end wIthin loul tt.rrhbur. .r.. (717) 7.7..a94, TOOl (717) nz.zzsz (....rlng 1...lred On"). Any p.rtv In Int.r..t not .atl.fled with the eppr.I..-.nt, .llowlnC. or dl..llovenc. of deduction., or .......-nt a' tex UnclucUng discount or Int.n.t) a. shawn on thl. HoUc. ....t abj.ct ..I thin .het, (60) de,. a' rec.lpt of thh HoUce bvl ....rltt." prot..t to t.,. PA _.rt-.nt of RSVWlUe, lo.rd 0' Appe.h, Dept. ZlUll, Harrisburg, PA 171ZI.Ull, OR ...lacUon to hlVtI ~ ..U.r dIItsralned at audIt a' the account a' the personal rapr..Wlt.Uva, OR "'appeal to t.,. Orphan.. Caurt. I 1 , I I , i AllIUM IITAATlVE CORRECTIONS I fMtual .rrar. dhcov.red on ttlll ..........t should be addr...ec1 In "rttlng tal PA Dep.rt....t a' Revenue, lutaau af IndivIdual T.xs., ATTHI Po.t A......-nt RsvllM unit, Dept. Z8a601, HarrlJburg, PA 171Z8.1601 Phone (717) 7'7.'515. Sea P'" 5 of t.,. booklet '"In.tructlon. 'or Inherltenes T.x R.turn 'or a R.,ldent Decldant'" (REV.1501) 'or en .xplanatlon 0' ~lnl.tr.tlv.l, carr.ctabl. error.. If env tax due It p.ld ..lthln thrM (3) calend.r .aoth. after the decedent.. death, . 'IVtI percent (n) dltcount of the tu p.ld I. .llawad. DISCOUNTI PENALTY. INTEREST I The In tax MM.t, nan.p.rUclp.Uon penalt, It ca..-utac:l on the total a' the tax and Int.r..t ......ed, and not p.ld be'ar. Jwuar, II, 1996, the fIrst da, .ftar the Met 0' the tax MM,ty perlad. Thlt nan.part1clpat1an penalty It .....labl. In the ... ....,.r end In the the .... U.. perIod a. you would appe.l thl talC end Inter..t thet hat bean .....nd .. Indlc.tac:l on thl. noUc.. Intar.st It charged beginning ..Ith flr.t da, of da1Jnquenc" or nine (9) ItGnth. and one (1) da, 'rOIl the det. of death, to the det. a' pa"'"t. TaXII which bee... d11llnquent bI'or. Jenuar, 1, 191Z ba.r Intar..t at the rata of .he ('Z) percent per wna calcullted at . 11II11, rata a' .100164. AU tax.. whIch bee... d111Jnquant an end .ft.r Jenuar, 1, 198Z wIll blar Intar..t at a r.ta which ..Ill var, fr~ calendar ,e.r to calendar ,aar wIth that r.ta ~ad b, the Pi Dep.rt...,t of Ravanull. ThI appllcabll Intar..t rat.. for I9IZ through 1997 aral !!!! Inta,..st R.t. DsII, Inta,...t Factor !!!r Inter..t Rate 0.11, Intar..t Factor nil ZOX .101541 1'.7 9X .IUZU I9IS 16% .001411 I9Sa-I991 IU .nun 19" IIX .OODSU 199Z 9X .ODDZU 1915 UX .OODS56 1995'I99< n .llOltz 1916 I'X .000274 1995.1997 9X .uun ..Int.r..t 1. calcul.tad al 'allow. I ~.. INTEREST. BALANCE OF TAX UlfPAID X IfII1IBER OF DAYS PELINQUENT X PAILY INTEREST FACTOR ..an, Notlc. 1,1UId ,'tar the tax baea... delinquent wIll raflect an lnta,...t c'lcul.tlon to fifteen (15) d.,. beyond the date of thl ..........t. If p.,..,t II _ad. .U.r the Intar..t coaputatlan data,,*," an the Hotlce, ~Itlonal Intar..t ....t be calculated. _\;1' " '.~ .":> '0 1,--:' ~ . .~( d. '-': ,.., I -, ~-, ,-oJ ctu.: ,- p' .~~ 5 '..)v PAYIIblT, DltMh the t. portion 0' thl. Notle. Met .....It '11th your pu.."t ... Plv8bl. to the neMI _ -'dr... "lnted on the r.v.r.. .Ide, If RfIIDOfT Dl:ctDEHT .... check or RMy order p.vlbl. tOI REGISTER OF WILLS, AGENT. If _-IIlIIIllHT IllClIlDfT .... _ or ___. .rdor .....1. tOI COltltONWEAL TH OF ~EHHSYLVANI". ItEfUrID (au. A r.,\ftd 0' . to credit, which .... not r~.tlld on the Tu R.turn, ..y be ,..qullted by eMIII.tlnt .n .....UOlltlon for R.fund of P..,....""I. Inherlhnc. Md Est,t. Tu" (REV-lSln. AppUcaUon. are IIV1Ilhbl. at the D,floe of the A..I.t.r of "UII, My of the U A..,.,.. Dbtrlot Dfflc.. Or' Ir. U. o.p.,.t.w.t", Z4-hour ~....r1ne ..rvJoe .....rs for for.. ordering, In P.,."nlvenl. 1-110-162-2050, outlldre P..wIIY!nn.. .. Mlthl" loc.l HIIrr"b"", .r.. nl7J 717"1094, TDa. (17) nZ-lZS! (....rlng 11IP.lred 01'11)'). REPLY Tal a..tion. r...rdlng .rror. conhlned on this notlc. should be -*ir...1Id tOI PI Dep.rtMl'lt of Rewnue, aur... 0' Indlvl~l T.x.., ATTNI po.t A.......nt A.YI.. UnIt, Dept. 210601, ~rrlaburD, PA 17121-0"1, ~ I7In 7I1-65'S. DIICllUNT I If MY tax w. Is paid wIthIn thr.. (3) c.l.....r ..nths .ft.r the cMcadentts death, . fly. PlrClnt (51:) dl.cOU'\t of thI tax Plld Is Illowed. POIALTYI The 15% tax ......ty non.p.rtlclp.tlon penal t)' .. cNPUtld on thI tot.l of \hi tax Ilnd Int.n.t ......Id, Met not ,.Id blfor. JMuarlt II, 199', the first ell)' Ift.r the and of the tax ~.h Plrlod. INTEREST. Intarast Is cMrgld bIIlMlno ..lth f1rat ell)' of dellnquancy, or nlM (9) IIonth. and OM (1) Alt fr~ the eIIt. of ..th, to thI dat. of p.~t. Tax.. whIch b1c_ dlllnquant blfar. January 1, 1912 bur Int.r..t It thai rat. 0' ,he (6~) Plrcant Plr ..... cllcul.ted .t . dlUy r.t. of .000164. AU taXI' .....Ich .__ dlll~t on and Ift'r J....ry 1, 1912 wIll bear Intar..t It . rat. .....Ich ..Ill Ylr)' fr. celandlir y..r to ul...-r )'I4r ,11th thIIt rat. ~Id b1 the PA DepartHnt of A.v.......... The appllcllbl. lnt.r..t rat.. for 1911 through 1997 'rll V..r Int.r..t A.ta a.lly Int.r..t Factor V..r Int.r..t A.t. O.Uy Intln.t F.ctor I"Z zax .00054. 191' 'X .000247 I9IS 16% .00041. 19&1-1991 IIX .000301 1'14 IIX .00lSOI I99Z 'X .000247 I9IS 15% .000556 199J-I994 n .000192 I'" lOX .000274 1"5-199' 'X .IIOZ41 ."Int.r..t Is c.lcul.tld .. fallow.1 IIlTEREIIT . BALAHCE OF TAll UIlPAID X KUKBER OF PAYS DELINQUENT X PAILY IIlTEREIIT FACTOR "'Any Hotlea lnUld .ft.r the tax beca.e. dll1nquant ..Ul reflect., lntar..t c.lculatlon to f1ft.., (5) _. beyond t '. data of thai ......Mnt. If PQMnt .. .... .ft.r thI Int.r..t cQlPUt.t1an dat. Ihawn on thI Hotlea, adcUUOf'III Intar..t ...t be cllculltld. .' ~~~~!~~-i'N/~'*('~i~~',~~,~,~>~>~~~",,_, .A'"111'''~~~~''''''''"__''l#'''''''_'~~<?-~~~''' STATUS REPORT UNDER RULE 6.12 Name of Decedent: Geraldine E. Davie Date of Death: January 3, 1996 Will No. 21-96-0055 To the Register: Pursuant to Rule 6.12 of the Supreme Court Orphane' Court Rules, I report the following with reepect to completion of the administration of the above-captioned eetate. 1. State whether administration of the eetate ie complete. Yes -K- No 2. If the answer is No, state when the pereonal representative reasonably believes that the adminietration will be complete: 3. If the answer to No. 1 is Yes, etate the following. (a) Did the personal repreeentative file a final account with the Court? Yes ____ No X (b) The separate Orphans' Court No. (if any) for the personal representative's account ie. N/A (c) Did the personal representative state an account informally to the parties in intereet? Yes --X- No (d) Copies of receipts, releases, joinders approvals of formal or informal accounts may be the Clerk of the Orphans' Court an at report. and led with e 0 this 0U' (C. 0 q."l-n r; ~ d sto , Esquire Co.. 414 Bridge Street CD New Cumberland, PA 17070 I 717-774-7435 fr1 u, Capacity. Personal Representative r-- ~~ p' X Counsel for Personal OU Representative Date: () (I)