HomeMy WebLinkAbout96-00092
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LAW OFFIOE
Forest N. Msers
10000 Molly Pitcher Highwey Shippenllburg, Pennllylvenie 17257
717/532-9046
Fex 717/532 - 8679
April 12. 1996
Register of Wills
Cumberland County Courthouse
One Courthouse Square
Carlisle, PA 17013
RE: Estate of Leslie ], Holtry
No, 1996-00092 PA No, 2196-0092
Dear Ms, Lewis:
Enclosed is a check in the amount of $2,61 0,00 representing advance payment of
Inheritance Tax on the above Estate,
Sincerely,
-
""\.._+.....}a-
Forest N, Myers
FNM/rb
Enclosure
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PETITION FOR PROBATE and GRANT OF LETTERS
B.I- IqqlJJ-q?-
No,
To:
Register of Wills for the
Deceased, County of Cumberland in the
Social Security No, , n 4 - n 1_ 1 q, 'I Commonwealth of Pennsylvania
The petition of the undersigned respectfully represents that:
Your petitioner/s), who Is/arc 18 years of age or older an the cxeCUI nr
In the last wl11 of the above decedent, dated Apri 1 1n,
and codicll/s) dated Novpmnpr'6 t 1 q91
Estate 01 ,10hn 1,PA11 p Hnll-ry
a/so known as !.PA II p.l no I I- ry
named
, 198.5-
(st8te relevant circumstances. e.g. renunciation, death or CJ;e,"Ulor. CIC.)
Decendent was domiciled at death in C'nmhpr I" nn County, Pennsylvania, with
h ia last family or principal residence at 4'1 ""AI- Kin.. 1'ltrppt
f;;hirrlOnqhnrf) Rnrnngh, ppnnqylv~ni~
, . (list SUett. number and muncipalilY)
Oecendent,then 7<; yearsofage,died ,1"nn"ry 17. ,19 96
at 4'1 F,,,,,I- King !':t-rpPI-. !':hipppn"hnrg, PA 17'<;7 ,
Except as follows. decedent did not marry. was not divorced and did not have a child born or adopted
after execution of the will offered for probate; was not the victim of a killing and was never adjudicated
incompetent: ROllll-
Oecendent at death owned property with estimated values as follows:
(If domiciled in Pa,) All personal property S 30 oon nn
(If not domiciled in Pa.) Personal property in Pennsylvania S '
/If not domiciled in Pa.) Personal property in County S
Value of real utate in Pennsylvania S fiO.LIH!'Q...Q~
situated as follows: 4'1 ""AI- Ki nq 1'ltrpet, 1'lhippensbur9 t cumberland
CQI\l1ty. P9nnsyl "ania
WHEREFORE, petitioner/s) respectfully
presented herewith and the grant of lellers
theron,
request/s) the probate of the last will and codicll(s)
Tp~t:lmpntrllry
(testamentary; administration ,",I.a,: administration d.b.n.c.t.a.)
Ii ~ Vid(ot!//b-
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]:~ '17/; T.i nn""y T,nl- Rn"n
-:::.1: 1'lhlpppn..nnr"t PA 17'57
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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA } 88
COUNTY Of' ,"IIMRF.RT,ANO
The petitioner/s) above.named swear/s) or affirm/s) that the statements in the foregoing petition are
, true and correct to the toest of the knowledge and belief of petitioner/s) and tha as personal represen-
tative(s) of the above decedent petitioncr/s) will wCI~and t y administer th ~e ~ording t~_law,
Sworn to or af[iID!cd and subscribed f -,
before me this ~ day of 00'
~ ~
In.'l\ l//~~'!~~~;) ill d~ I lit I ~
-1;.~RiI c,'iMhs ReI/is 1~ I 2
15-'iJ,-j , - pu (/---
Iua"." kLV '1M
This i. 10 (cnily Ih.1 the inlornwion here l:ivcll is Clllll..:tll' fOl'it-d lrom iJn milli.1J1 cenilkate 01 deillh dilly liIed wilh me as
Local Regi'lrar, The originiJl cerrilklll<' will he ImwiJrdc,llll Ihe Slille Vil,.1 RefOrd, Oflice Illr pcrmill1Cm liIing,
WARNING: Ill. 1II0glll0 dupllcato Ihl. copy by phololtal or pholograph,
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3364097
No,
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COMMONWEALTH 0' ,rNNlYL'AlNlA' DIM..TMrNT 0' HOLTH . VITAL RrCORDS
CERTIFICATE OF DEATH
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L January 11. 1996
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405 Fairway Drlv.
H.chanlcaburR, Pa, 11055
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LAST WILL AND TBSTAMBRT
OP
JOUR LESLIB HOLTRY
I, JOHN LBSLIB HOLTRY a/k/a LESLIE J. HOLTRY, of 412 East
King Street, Borough of Shippensburg, Cumberland County,
Pennsylvania, being of sound and disposing mind, memory and
understanding, do hereby make, publish and declare this as and
for my Last Will and Testament, hereby revoking all other wills
and codicils thereto, heretofore, made by me.
FIRST
I direct the payment of my debts and the expenses of my last
illness and funeral from my estate as soon after my death as
conveniently may be done. I direct that my body be interred at
the Ridge Church of the Brethren. I direct my Co-executors to
improve the plot and have erected thereon an appropriate monument
and headstone.
SBCOND
(a) I give and bequeath the sum of One Thousand Dollars
($I,OOO.OOl to the Building Fund of the Ridge Church of the
Brethren.
(b) I give and bequeath the sum of Five Hundred Dollars
($500.00) to my granddaughter, Melissa Beecher.
THIRD
I give, devise and bequeath all my remaining property,
whether real or personalt tangible or intangible, together with
all insurance policies thereon, unto the following persons,
1
do
.~
PIP'l'H
I hereby direct that all inheritance, estate or transfer
taxes imposed upon my estate, whether passing under this my Last
Will and Testament or otherwise, be paid out of my estate.
SIXTH
Any and all sum or sums, whether in cash or in kind and
whether for principal or income, payable to the beneficiaries, or
any of them, shall be made upon the sole receipt of the
respective individual to whom the payment is made and free from
anticipation, alienationt assignment, attachment or pledge and
free from control by the creditors of such beneficiary. All
shares of principal and income herein given shall be free from
anticipation, assignment, pledge or obligation of any beneficiary
and shall not be subject to any execution or attachment.
SEVENTH
I nominate, constitute and appoint GERALD L. HOLTRY and
FOREST N. MYERS, or the survivor, Co-executors of this my Last
Will and Testament. I hereby relieve my Co-executors from the
necessity of posting security in connection with their duties as
such in any jurisdiction in which they may be called upon to act,
insofar as I am able by law to do so.
3
REGISTER OF WILLS OF COUNTY
OATH OF SUBSCRIBING WITNESS
codicil
(each) a subscribing witn to the will presented herewilh. (each) bei
law, depose(s) and say(s) that
uly qualified according to
present and saw
Ihe testal . sign the same and th
request of testal in IL-- presence.
other subscribing wilness/es)),
signcd as a wi mess at the
IC prcscnce of each other) /in Ihe presence of the
Sworn to or arrirmed and subscribed
me this day of
19_
(Name)
Regisrer
(Address)
REGISTER OF WILLS OF ClIMRF.RT.AND COUNTY
OATH OF NON-SUBSCRIBING WITNESS
t ~,c..no.. ~. 4\-o~\-ry
,
(each) a subscriber hereto, leach) being duly qualified according to law. depose(') and say(s) that
they are familiar with the signalllre of Leslie Holtrv
codicil
will
-1\-\..... k. -4.::. \~.,
testatnr
of ~t,..!: Jlf lha IItJhJJr:h:"o
prescnl\'d herewith and
codicil
believes the si!:nalure on the. is in Ihe handwriting of
:1...wnw l~~ lhe
that
th..y ....'ch
T,PCllip Holtry "/k/,, ,Tohn T.p"lip Holtry
to the best of their knowledge and belief, ~
Sworn to or arrirmed and subscribed before 1~,~'1 rlJ/l (;I(I.? ,
me this 291;\.. day of 3 S \>12.<",) c;. /!..!J!Ji1L.-
J~nual:'-Y~ \ 19,96. ~,",,"'ve'->l>~~ (,LS,
'--D..t:\.lj (l ';/.Y I il I .1. () i >t:/~1( JW).) .'. . ---&}~ddress,
-MARY C. LEI'/] S RrN~lrr f+j IlUl)( k. l/. CJ
. 1\JC<{Jlttlr~ ~~ (Net:}JJJ
'? ....
(Address)
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RENUNCIATION
In ReEstateof Lest ..==- ..1- -%ol.-\l!..-< c:{'rC-Ic- J:.:>I!...l LrduE- %ol.1'e.'1'deceased,
To the Register of Wills of
6JM.e.~LA- ":>
County, Pennsylvania,
The undersigned
l-z,~ /oJ' lA-'('e'QS , ~ - (;.~
the above decedent, hereby renounte(s) the right to administer the CSlate and respectfully ask(s) that Letters
~s:~~
be issued to Ge~ L, -4.. \~1
WITNESS
~'1
hand this 29\:1. day of .j~ , 19~,
..... .
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(Slanltu,o,
(Add,ess)
(Slanlture,
(Add,ess)
of
REV.1100 EX.('....,
FOR DATES OF DEATH AFTER 12131/11
CHECK HERE IF A SPOUSAl
POVERTY CREDIT IS CLAIMED
FILE NUMBER
21 1996
COUNTY CODE YEAR
DECEDENTS COMPLETE ADDRESS
421 East King Street
Shippensburg PA 17257
06 17 96 11 20 1920 Coun C\lmberland
SOCIAL SECURITY NUMBER AMOUNT RECEIVED (SEE INSTRUCTIONS)
COMMONWEALTH OF PENNSYlVANIA
, OEPARfMENfOF REVENUE
DEPT,21010'
HARRISBURG, PA 17121.010'
1.5- - 8 ~ -/
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL)
HJL'ffiY, Leslie John
CEO SOCIAL SECURITY NUMBER
DE ENT 204-03-3923
(I Ll L)UVIVIN U
~IR5T AND MIDDLE INITIAL'
CHECK
APPRO-
PRIATE
BLOCKS
CORRES-
PONDENT
RECAPIT-
ULATION
1. Orlglnel Roturn
o 4. Umltod Estelo
(1)
(2)
(3)
(4)
(5)
50,000.00
620.00
None
None
38,889.00
(6)
(7)
None
None
(9 )
23,970.00
(10)
None
(15)
r
0092
NUMBER
3. Romelndor Roturn
(lor d.l.. a' death prior la '2"'3.121
o 5. Fodorlll Eeteto Tex Roturn Roqulrod
...Q... 6. Total Numbor of Solo Doposh Boxos
(6)
(II)
(12)
(13)
14
x .
.
15. SpouIIIYrln"lr'Cfor dllll 01 death Iftlr 1"30.a..~ 511
In,tructlonl 'at App.cabl. Plrclntlgl on Plgl 2.(lncludl
'1.lulllrom Schldul. Kot Sch.dull M.)
16. Amount 01 Uno 14 texablo at 6"" ralo
(Includo vllluos Irom Schodulo K or Schodulo M.)
17. Amount 01 Uno 14 texablo at 15% ralo
(Includo vllluos Irom Schodulo K or Schodulo M.)
TAX 16. Prlnclpol tex duo (Add tax from Uno. IS. 16 and 17.)
COMPUTA- 19. Crodlts Spouul POYlfty Clld.t Prior Pavrnonts Discount
TlON + 2,610.00+ 130.00-
20. If Uno 191s roator than Uno 16, onlor tho dilloronco on Uno 20. This Is tho OVERPAYMENT.
A;' IllkherO" 'are'", ll<il1ln .,afund of ollr o.e Int'
21. If Uno 161s groator fhen Uno 19, onlor tho dilloronco on Uno 21. This Is Iho TAX DUE.
A. Enlor tho Intorosl on tho balonco duo on Uno 21A.
B. Enlor tho totlll 01 Uno 21 and 21A on Uno 21B. This Is Iho BALANCE DUE.
Meke Check P. able to: Ra Iste. of Wills, A anI
o 4a. Futuro InlorDSt Compromlso
(lor delos 01 doalh aha. 12-12-02)
IH 6. Docodont Diad Tostalo 0 7. Docodonl Malntalnod e Uvlng Trust
(Anech copy 01 Will) (Anach copy 01 Trust)
AU;CORRESPONDENCEAHD CONFlDENTlALTAX INFORMATION SHOUUO BE! DIRE!CTED TO: '" ,)i,'",,':':',i:: ::1 "1",';,;1:':
NAME COMPLETE MAILING ADDRESS
Fbrest N rs 10000 t-blly PItcher Highway
TELEPHONE NUMBER ShippenshJrg, PA 17257
717 532-9046
1. Rolli Estalo (Schodulo A)
2. SlockB and Bonds (Schodulo B)
3. Closoly Hold Stock/Partnorshlp Intor051 (Sch. C)
4. Mortgegos and Nolos Rocolvablo (Schodulo D)
S. Cash, Bank DOpOBlls & Mlscollanoous Porsonal
Proporty (Schadulo E)
6. JolnUy OWnod PIOpOrty (Schodulo F)
7. Translors (Schodulo G) (Schodulo L)
8. Total Gross AssOIS (Iollll Unos 1-7)
9. Funoral Expanses, Admlnlstrativo Costs,
MlscollanoouB Exponsos (Schodulo H)
10. Dobis, Mortgego UeblllUos. Uons (Schodulo I)
II. Totlll DoducUons (Iotlll UnoB 9 & 10)
12. Not VoIuo 01 Eetalo (Uno 6 minus Uno II)
13. Charllablo Bnd Govornmontlll Boquosls (Schodulo J)
65,040.00x .06 .
(16)
(17)
2,000.00x .1S .
Intorost
ADDRESS
See Schedule attached
SIONATUAEOF PREPAREnOTHER THAN REP. ES[NTATlVE
~~
PA15001 N'''B7.
ADDRESS
10000 t-blly Pitcher HIghway
ShippenshJrg, PA 17257
(16)
(19)
(20)
(21)
(2M)
(21B)
OAT[
\I - ".97
DATE
11-1'-97
i ' ,:;'! i Ii! I ~ :1] : III :: t: Iii I!! l : I i i;I : i i : l!!ii
89,509.00
23,970.00
65,539.00
1,000.00
64,539.00
3,902.00
300.00
4,202.00
2,740.00
1,462.00
0.00
1,462.00
REV-ll102 EX + (12-1lS)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
LeSlie John HJL'IR'l 21-1996-0092
(Property lolnUy-owned wtth RighI of Survivorship mual bt d1acloaed on Schadult F) All real eatale ahould be reported tlfllr mllke\ valUt
which la cleftned eo tht p~ct al which property would be exchangedbetwetn a wtlllng buyar and a wtlllng aaller, ntlther being compalled
to or ..II, both havln reaaonablt know! of tht relavlnlfacla.
ITEM VALUe. AT DATE
NO. DESCRIPTION OF DEATH
1 ReSidence, 421 East King Street, Shi~' t\Jrrbcrland
Q::IJIlty, PennSYlvania
50,000.00
50 000.00
TOTAL Also ontOf on llno I, Roca ltulalion
(II moro spaca 10 noodod, Insort addKlonal lhoOlS olsamo aI1o.)
s
PAI5021 NTF ""
REV-1'" U.(1"II)
.
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES,
ADMINISmATIVE COSTS AND
MISCELLANEOUS EXPENSES
Pleaae Prtnl or Typo
FILE NUMBER
21-1996-0092
ESTATE OF
Leslie John H:)Lmy
ITEM
NO.
A. Fun.rat Expenaea:
DESCRIPTION
AMOUNT
1 Foge1sanger-Bricker FUneral Hare
2 Gerald Holtry, reirrb..trserent for paytrent to Martin Reese, grave
c.peni.n:J
3 Wcrnens Fellowship, Rid:Je Church of the Brethren, rreal follCMing
funeral
5,862.00
275.00
100.00
B. AdmlnlalrlUve Coati:
1.
PorIon81 RoprosonteUvo Commissions
Sod81 Socllrlty Numborol Porsonlll Rop.osonlallvo: 172-36-1490
Yo.. Commlaslona p8ld 1997
Narre: Gerald L Holtry
4,500.00
2. Anornoy Foes
Narre: Forest N Myers
3. Family ExompUon
ClllImanf
Address of C181manl el decedenra doalh
4,500.00
0.00
RoleUonshlp
Streel Address
Clty
Sleto
Zip Coda
4. Probate Foes
0.00
C. Mlacelllneoua Exponsea:
See Schedule attached
Total fran continuation (s)
TOTAL Also onto. on IIno 9. Roc
(II mOra apace 10 nelded, InaertoddlUonal aheatl ofaame alze.)
s
8 733.00
23 970.00
PA15111 NT' ""
.,.,"
27 United Teleplx:ne 18.00
28 Fenelec 8.00
29 Boroogh of Shippensb..trg, water/seMer/refuse 79.00
3~ United Telepb:lne 18.00
:'1 Penelec 8.00
32 Sprint United Telepb:lne 18.00
33 Mellen Bank, Nl\, service charge 4.00
34 GPU Electric 8.00
3S Erie Insurance 74.00
36 Sprint United Telepb:lne 18.00
37 Mellon Bank, Nl\, service charge 4.00
38 GPU Electric 7.00
39 Shi~ Boroogh, seMer/water/refuse 79.00
40 Sprint, United Telephone 18.00
41 Mellon Bank, Nl\, service charge 4.00
42 GPU Penelec 8.00
43 Mellon Bank, Nl\, service charge 4.00
44 Sprint, United Telepb:lne 18.00
45 GPU Energy, electric service 14.00
'lUrAL. (Carry fcnward to nain schedule) . .. . . . . 531.00
FBtate of: Leslie JoM HJL'ffiY
SClIECULE H, PART C -- Miscellaneous Expenses
Page 4
21-1996-0092
Item
No. Description
Jl.nn.tnt
46 pro Gas, gas service
35.00
47 ~lon Bank, Nl\, service charge
48 Sprint United Teleplx:Jne, teleplx:Jne service
49 Pro Gas Inc, gas sezvice
50 GPO Enezgy, electric
51 Mellon Bank, Nl\, service charge
52 Erie Insurance Group, hare insurance
53 pro Gas, Inc. gas service
54 Boroogh of Shi~, utilities
55 GPO Enezgy, electric
56 Elva Jane Goc:xihart, Tax COllector, 1997-1998 school tax
4.00
18.00
68.00
6.00
4.00
82.00
72.00
94.00
15.00
502.00
57 Sprint United Teleplx:Jne, teleplx:Jne
18.00
58 pro Gas, Inc, gas service
59 GPO Enezgy, electric service
60 Erie Insurance, hare insurance
61 pro Gas, gas service
62 GPO Enezgy, electric service
63 Shi~ Borough, utilities
123.00
7.00
110.00
133.00
64 GPO Enezgy, electric
65 pro Gas, Inc. gas service
66 pro Gas, gas service
67 GPO Enezgy, electric
68 GPO Enezgy, electric
9.00
99.00
9.00
88.00
65.00
9.00
4.00
'IlIDIL. (Carry forward to mlln schedule)
1,574.00
. . . . . .
.AEV-.I.SEX.IJ-1n
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE! TAX RETURN
RESIDENT DECEDENT
ESTATE! OF
Leslie John HJL'ffiY
ITEM
NO.
SCHEDULE J
BENEFICIARIES
A. TllClbll BoquollS:
NAME! AND ADDRESS OF BENEFICIARY
1 Ger.Ild L Holtry
2376 Lindsay lot Road
Shippensburg, PA 17257
2 Nancy A Williams
1425 Gettysb..trg landing
St. Olarles, M) 63303
3 Jimny L Holtry
220 East King Street
Shi~, PA 17257
4 Bany W Holtry
37 Byers Road
Shippensburg, PA 17257
5 Melissa Beecher
Roote 9, Box 195A
lucedale, MI 39452
6 Jermie R Holtry
7367 Talhelm Road
Olarrbersb..u:g, PA 17201
ITEM
NO.
B. Ch8l11eble and GovefOrrontlll BoquOSlS:
- NAME AND ADDRESS OF BENEFICIARY
1 Ridge Olurch of the Brethren
1095 Ridge Riad
Shippensburg, PA 17257
FILE NUMBER
RELATIONSHIP
son
daughter
son
son
granddaughter
TOTAL CHARITABLE AND GOVERNMENTAL BEOUESTS Also 0010. on "no 13, Roce ItuletJon
(II mo.e apace 10 naeded. InDertlddltlonal .hula ofaame alze)
PA15131 NTF "'M
21-1996-0092
AMOUNT OR
SHARE! OF ESTATE
18,290.00
18,290.00
18,290.00
18,290.00
500.00
2,000.00
AMOUNT OR
SHARE! OF ESTATE
1,000.00
s
1 000.00
~'!:t!tI_l"Ul'm('!~"<'>.'_~:f'~~.7:.f"(':"'--'
- \-,
LAST WILL AND TESTAMENT
OP
JOHN LESLIE HOLTRY
I. JOHN LESLIE HOLTRY alkla LESLIE J. HOLTRY. of 412 East
King Street. Borough of Shippensburg, Cumberland County,
Pennsylvania, being of sound and disposing mindr me~ory and
understanding, do hereby maker publish and declare this as and
for my Last will and Testament, hereby revoking all other wills
and codicils thereto. heretofore, made by me.
PIRST
I direct the payment of my debts and the expenses of my last
illness and funeral from my estate as soon after my death as
conveniently may be done. I direct that my body be interred at
the Ridge Church of the Brethren. I direct my Co-executors to
improve the plot and have erected thereon an appropriate monument
and headstone.
SECOND
(a) I give and bequeath the sum of One Thousand Dollars
($1,000.00) to the Building Pund of the Ridge Church of the
Brethren.
(b) I give and bequeath the sum of Five Hundred Dollars
($500.00) to my granddaughter. Melissa Beecher.
~
THIRD
I giver devise and .bequeath all my remaining property,
whether real or personal, tangible or intangible. together with
all insurance policics thereon, unto thc following persons,
c
~
:'.A~~~.~.f<t,J;~,'" "
t. ." .:~:" ."
PIPTH
I hereby direct that all inheritance, estate or transfer
taxes imposed upon my estate, whether passing under this my Last
Will and Testament or otherwise, be paid out of my estate.
SIXTH
Any and all sum or sums, whether in cash or in kind and
whether for principal or income, payable to the beneficiaries, or
any of them, shall be made upon the sole receipt of the
respective individual to whom the payment is made and free from
anticipation, alienation, assignment, attachment or pledge and
free from control by the creditors of such beneficiary. All
shares of principal and income herein given shall be free from
anticipation, assignment, pledge or obligation of any beneficiary
and shall not be subject to any execution or attachment.
SEVENTH
I nominate, constitute and appoint GERALD L. HOLTRY and
POREST N. MYERS, or the survivor, Co-executors of this my Last
Will and Testament. I hereby relieve my Co-executors from the
necessity of posting security in connection with their duties as
such in any jurisdiction in which they may be called upon to act,
insofar as I am able by law to do so.
instrument as my Last will and Testamentl that I signed it
willingly, and that I signed it as my free and voluntary act for
the purposes therein expressed.
't_ ~_~~e~ J.I~
C'~~lie Holtry ~ ~ - /
Testator
sworn or affirmed to and
acknowledged before me by
John Leslie Holtry, Testator,
the .j/)'IA day of April, 1985.
r1xt (: &.....~
No public
JOYCE A. CiOUSE, HOlARY PUDllC
sournAIIPlOH lWP.. ra~HlLlH COUNTY
111 COIlIIISSIOH EXPIRES JAH. 5, 1m
lI,mb.., p,nn.""nl' Anoellllon 01 N~t"'..
COMMONWEALTH OP PENNSYLVANIA :
: SS
couN'fi OP PRANKLIN
We, FOrld N. ;'.J1'flr5
:
and
HIJ...,r,il I,) ilia ~llI1
witnesses whose names are signed to the foregoing instrument,
being duly qualified according to law, do depose and say that we
werepresent and saw JOHN LESLIE HOLTRY, TeBtator, execute the
instrument as his Last Will and Testament, that he signed it
willingly and that he executed as his free act and voluntary act
for the p~rposes therein expressed, that each of us in the
~hH; III ., ., CD
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'" ... ... U
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U A U A
h~! U ............ ....
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'" a a a '" ... id.... .
... a a a U ...1Il...)
. . . . l>l .. ..
'" a a a u... c> g
., a a a UAU
CD a a III U ...
. . . . 'fl E U E
., a ... N '" P. U
... ... ... :. ... 0 ..
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.. ... A
01ll"'1
I I I .
il ...
. . . .
UIIlU~
. . . . . . . .
g U U U U 01ll"'1ll
. . . .
... ... ... ...
...
II
U
N ..
a III '" fl bI~ bI
~I CD '" ... ... ..
.. .. '" '" III A A II A
'" III .. .. N ... ... bI:;j
N N ... "" .. ,W ... A
.. .. .. .. N 'fJ U 're.... u
C'l N "" '" ... U II :> U
e- :i!ti8.~ti
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1r-tr4!111 I ~ I . . . .
N..... 0 0 g~9li!~
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... oco.cn ) ., III Ilolllllllll
m TOTAL AMOUNT PAID $2,610.00
CW
RECEIVED BY /&;~ ~~lIJ'.1! (lvv'
MAR V r Ir-WTq ~~1~~
~~'-~';k'iV" -"'_-.";~,'"t-';j,.,.
> . .-,
~1:;'~~;;r,~".~.JF.~~~~.:;;!:~:~~;~;~~I~~~r!:~::::'~ATE_T~;;"""'~';"""""i:.'
ACN
I:'t ASSESSMENT '!'
II CONTROL 1;1
NUMBER
RECEIVED FROM:
AMOUNT
MYERS FOREST N ESQ
10000 MOLLY PITCHER HIGHWAY
101
$c,b1V.VO
SHIPPENSBURG, PA 17257
. POlO Hrrr
ESTATE INfORMATION,
!'IILNMIR
U 21-1996-0092
!I NAME Of DECEDENT (LAST)
I;i HOL TRY JOHN
II DA E Of PAYMENT
m POSTMARK DAT!
COUNTY
204-03-3923
(Mil
CUMBERLAND
DATE Of DEATH
REMARKS
GERALD L HOLTRY
C/O FORREST N MYERS ESQUIRE
CHECKII 111
SEAL
,
'.
I
I
,
I
15- f'J - /
COMMDNWI!ALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
C/
IUREAU OF IWDIVIDUAL TAXES
INHEAITAHCE TAX DIVISION
DEPT, 210601
HARRISIURG, Pi .'IZI.0601
NOTICE OF INHERITAHCE TAX
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
FOREST N MYERS
137 PARK PLACE WEST
SHIPPENSBURG PA
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
02-24-98
HOLTRY
01-17-96
21 96-0092
CUMBERLAND
101
A...unt Roolthd
17257
*'
'''-IklII '" In'''1
LESLIE
J
MAKE CHECK PAYABLE AND REMIT PAYMENT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ..
REv:is47"Eif-AFii-iii9-:9'iY-iiilYicEuoF-YN'HEiiii'ANcE-Y"i("A'PPRA'isEH€iii'-.--ALi"OWANCE-iiR--mm--muu
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF HOLTRY LESLIE J FILE ND. 21 96-0092 ACN 101 DATE 02-2(,-98
If an assessmant was issued previously, lines 14, IS and'or 16, 17 and 18 will
reflect figures that include the total of ALL raturns assessed to data.
ASSESSMENT OF TAXI
IS. Aoount of Lln. 14 .t Spou..l r.t. 11S1
16. Aoount of Lln. 14 t...b1. .t Llno.l/C1..a A r.t. 1161
17. Aoount of Line 14 t..ob1. .t Col1.t.r.1/Cl... I r.t. 1171
1a. Prlnclp.l T.. Du.
TAX RETURN WAS, (X I ACCEPTED AS FILED
RESERVATION CDNCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN
1. R..1 Eat.t. (Sch.dul. Al
2. Stocka end londa (Sch.dul. II
S. Cloa.l~ Hold Stock'P.rtn.rahlp Int.r..t (Schodul. CI
4. Kortg.g.alHot.a Roc.lvabl. ISch.dul. 01
S. Ca.h/lank Depoatt.,"llc. Parlonal Property ISchedule EJ
6. Jolntl~ awn.d Prop.rt~ ISch.dul. FI
7. Tron.f.ra ISchedul. GI
a. Tot.l A.aoto
( I CHANGED
UI
121
ISI
141
ISI
161
171
50.000.00
620.00
.00
.00
38.889.00
.00
.00
lal
APPROVED DEDUCTIONS AND EXEMPTIONS I
9. Funeral Expan..I/Ad.. COlts/HiIC. Expan... (Schedule HJ
10. D.bt.'Hortgogo LI.bllltloa/Llona ISchodul. II
11. Tot.l D.ductlona
12. N.t V.luo of T.. R.turn
15. Charltabla/Covarnaent.l Baqu..taJ Non-.lected 9113 Tru.t.
14. N.t Voluo of Eatot. SubJoct to T..
191
UOI
23,970.00
.00
IllI
U21
IUI
U41
ISch.dule JI
NOTE I
.00 X,OO.
62,539.00 X .06.
2,000.00 X .15.
ual
TAX CREDITS I
PAYMENT
DATE
04-12-96
11-13-97
02-17-98
DISCOUNT 1"
INTEREST/PEN PAID I-I
137.37
126.35-
.00
RECEIPT
NUHBER
AA112732
AA242463
REFUND
AMOUNT PAID
2,610.00
1,462.00
30.67-
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
NOTE I To insure proper
cradit to your account,
sub.it the upper portion
of thla foro with ~our
t.. pay..nt.
89,509.00
:>:'1.970 00
65,539.00
1,000.00
64,539.00
.00
3,752.34
300.00
4,052.35
4,052.35
.00
.00
.00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN II, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRI, YDU HAY IE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS. I
(')Cj \r :1.1
S ;r:.- :~:I f;',
'" (-j
r:"-
..."
n
lC"\
N
0\
c. ::::!
eJ "
.rl \. (:j -.
"".
;- ... N
RfSlRYATIOHI Eltat.. of decedent, dying on or bafor. Dec.-blr 12, 1912 -.. .f ~y future Int.r..t In the ..t.t. I. tr~.f.rred
In po.....lon or enJo,.ent to Cl... I (coll,t,r,l) beneflcl.rl.. 0' t~ decedent .,t.r the ..plrallon of eny .stata for
11'. or for y..r., the Co.-onw..lth hereby l.pr..I., r".rv.. the right to appral.. ~ ...... tr~.'.r Inheritance 'ax..
at the l~'ul C1... . (collat.ral) r.ta on anJ luch future Int.r..t.
PURPOSE OF
NOTICEI To fulfill the raqulr.-.nt. of SectIon 2140 of the Inheritance end Elt,t. Tax Act, Act 21 0' 1995. (71 P.S.
S.ctlon '140).
P''mENTI D,tKh the top portion 0' thl, NoUe. end tublIlt with your PIPent to the Reglst,r of Willi printed on tM nV'''a ,Idl.
...".... check or ..-y order p'Yebla tal REGISTER OF MILLS, AGENT
REAICD (CAli A r.,lftt of . tn credit, which .... not r.qu..ted on tM Tax blurn, uy be rltqUll.t~ by capl.tlng -n "App11catlon
for A.fund of PennsYlvenla Inherlt8nCa 8nd E.t.t. Tax~ (REV-ISIS). application. ar. avallabl. at the Dfflc.
of the Aegl.t.r of Will., eny of the ZS Ravenue DI.trlct Offlc.., o~ by calling the .peelal Z.-hour
en.warlng ..rvlc. nuaber. for for.. orderIng I In P.nn.ylvanla 1.800-S6Z-Z0S0, out.lde PennsylvanIa and
withIn local Harrisburg ar.a (717) 787-80,., TOO' (717) 77Z-2ZSt (Hearing l.palred Only).
OBJECTIONSI Any p.rty In Int.ra.t not .atl.fl.d with the appral...-nt, allowanc. or dl.allowance of deduction., or .....I-.nt
of t.x (InclUding dl.count or Inter..t) .1 .hewn on thl, Notlc. au.t object within .Ixty (60) d.y. of rec.lpt of
thl. Notice bYI
-"wrlttan prot..t to the PA o.p.rt-.nt of Ravenue, Bo.rd of App..I., Dept. 2810Z1, Harrisburg, PA 17121"1021, OR
.....l.ctlon to h.v. the ..ttar d.tar.lned at audit of tJM account of the perlonal r.re.."t.tlv., OR
".appe.1 to the Orphan.' Court.
ADMIN
ISTRAlIVE
CORRlCTlDHSI
Factu.l .rror. dl.cov.r.d on thl. .......-nt Jhould be ~r.s.ed In writing tal PA Dap.rtaent of R.yenue,
lur.au of Individual T...., 'TTNI Po.t ,"..'.ent R.yleN unit, o.pt. Zaa601, Harrl.burg, P' 17128-D601
Phone (717) 717-6505. S.. ,aga 5 of the bookl.t ~In.tructlon. for Inherltanc. Tax R.turn for. R..ldent
Decedent- (REY-1SOI) for an ..planatlon of adelnl.tratlv.ly correctable .rror..
DISCDtllTI
If anv t.. due I. p.ld within thr.. (S) calandar aonth. .ft.r the dec.dent'. de.th, a flv. perclftt (5%) discount of
the t.x p.ld I. allow~.
PENALTY I
The 15~ t.x .-ne.ty non-p.rtlclp.tlon panalty I. c~t.d on the tot.1 0' the tax and Int.r..t .s...-.d, and not
paid be'ore Janu.ry II, 1996, the 'Ir.t d.y aft.r the .nd of the t.. aan.sty p.rlod. Thl. non-p.rtlclpatlon
pen.ltv I. appealabla In the .... .anner and In the the .... tl.. p.rlod a. you would appe.l the t.x and Int.r..t
th.t h.. bien ......~ .. Indicated on thl. notlc..
INTEREST I
tntar..t I. charg.d beginning with flr.t day of delinquency, or nine (,) .onth. and one (1) dav froa the date 0'
de.th, to the date 0' p.y.ant. T.... which bae... d.llnquent bafore Janu.ry 1, 1912 bI.r Intar..t at the rat. of
.1. (6X) p.rcent p.r ~ c.lcul.t.d at . d.lly rata of .000164. All t.... which bec... delinquent on and aftar
January I, 19.2 will bI.r Int.r..t at . r.t. which will v.ry fr~ c.land.r v..r to c.landar yair with that r.ta
announced by the PA Depart""t of Rlvenue. The app11cabl. Int.rllt t.tll for 1912 through I'" lral
!!!! Int.rllt Rlt. Dlllv Interllt Fector !!!! Intar..t hta Dallv Inter..t F.ctor
1912 ZlX .0ODS48 19.7 OX .000247
191J IIX .DOOU' 19U-I991 IIX .00DSOI
I9A6 IIX .DIDSn 1992 OX .DOD2U
19.5 IU . ODDSS6 1995-1'" 7X .ODonz
I'" lOX .OD0274 1995-199' 'X . OD02U
ulnter..t II calculated a. follow'l
INTEREST . BALANCE OF TAX UNPAID X NUHBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
"-Any Notlcl Illued a't.r the tax becoae. delinquent will reflect an Int.r..t c.lculatlon to fifteen (IS) d.YI
beyDnd the etat. 0' the .......ent, If paYNnt It .ade after the; Inter..t cOllpUtaUon date shown on thl
Notlc., ~dltlonal Inter..t "".t b. calculat.d.
_...,..,.~~...~..).,...~.>,."t>'...... .,..,~
-"'.~."'""~-'
'\
PA't'tIEHTI
Detach the top portion of thl, Notlc. and ,~It with your p.yaent a~' p'rlbl. to the n... ~ addr...
prlnt~ on the n....r'. ,Id..
If RESID[NT D[CED[NT aek. chllck or aon., ord.r plrllbl. tos REOISTER OF WILLS, ACENT.
If NON-RESIDENT DECEDENT aak. check or aone, ord.r par.bl. tal COHHONWEALTH OF PENNSVLVANIA.
REfUND (CR)I A r.fund of a ta. cr'dlt, which w.. not r.que.t.d on the Ta. R.turn, a.r b. r.que.t.d br co.pl.tlng an
"Application for R.fund of P.nn.rlvanla Inherltanca and Eltat. Tax" IREY-1313), Appllcatlonl ara Ivalllbla at
the Dfflc. 0' the R.gllt.r 0' Will.. any 0' thl l3 Rav.~ua DI.trlct D"lc.. or 'roe the D.partaent', 2~-hour
an,werlng ,arvlc. nuab.r. 'or 'or.. ord.rlng1 In P.nn,yl...enla .-aOO"36l-20S0, out. Ida pannlrlvenla
and within local Harrl'burg ar.a (717) 7'7-'0". TDD' (717) 77l.22S2 CH.arlng lapalr.d only).
REPLY TDI OUe.tlon. r.glrdlng .rror. contllned on thl, notlc. ~Id b. .ddr..I.d tOI PA D.p.rt.ent 0' R....~, Bur.au
0' Indl...ldual T...., AIINI Po.t A.'....ant R....I.w unit, O.ot. 210601, Harrl'burg, PA 17121-0601, phona
(717) 717"'S05.
DISCCUth
If enr t.. due I. p.ld within thr.. (3) CII.nd.r lonth. .'t.r the d.c.dant', d..th, a 'Iv. p.rcant (S~) dl.count
0' the t.. p.ld I. .llowed.
PENALTYI
The ISX tl. .-ne.ty non'p.rtlclp.tlon p.nllty I. co.put.d on the tot.1 0' the t.. and Intar..t ..I....d. and not
p.ld b"or. January I'. 1996, thl flr.t dlY a't.r the .nd of the t.. lan..t, p.rlod.
INTEREST I
Inter..t It cherg.d b.ghV1lng with flnt d.y 0' d.llnquancy, or nIne 191 aonth. and one III dlY 'roe the d.t. 0'
d..th, to the dlt. 0' par.ant. T.... which bac... d'llnquent b,'or. January I, .'Il baar Int.r..t at the rat. 0'
.1. I'X) p.rcant p.r annua c.lculat.d .t . dIlly r.t. 0' .00DI6~. All t.... whiCh b.ca.. d.llnqu.nt on and aft.r
January I. I"l will b..r Int.r..t at a r.t. whIch wIll v.r, 'roe c.l.ndar y.ar to cal.ndar y.ar with that rata
~ad by the PA Olpartaant of Ravenu.. Ih. .ppllcabl. Int.r.,t rata. 'or I'll through 199. ar'l
Yllr Inter..t Rat. DailY Intar..t ractor Yllr Intlr..t R.t. Dall, Inter..t hctor
1912 'OX .000S4I 1917 OX .OOOlU
1913 IU .OOUJI 191'-.991 ll~ .0aUGl
191' IU .00UGl 1992 9X .0aOl'"
1915 ISX .OOUS' .993-.99" 7X .ODGI9'
191' lOX .000274 .99S-.991 9X .Oa0l47
....Inter..t I. calculat~ a. follow.1
INTEREST . BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
..Anr Hotlc. 1.lued a't.r thll ta. b.co... d.llnqu.nt will r.'I.ct an Int.r..t calculation to 'I't.an IISl d.r.
berond thll dlt. 0' the 11.....ant. I' pI,.ant I. aad. .'t.r the Int.r..t coaputatlon dlt. .hown on the
Notlc., Iddltlonal Int.r..t au,t b. calcul.tld,
!
STATUS REPORT UNDER RULE 6.12
Name of Decedent: JO~.J l..C.-S L.\ E:
Date of Death: l-i\-Glo
Will No. 21- \9l}b- 00'1-z...
\-\-0 '-~'(
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 ")( No
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete:
3. If the answer to No. I is Yes, state the following:
a. Did the personal representative 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 report.
Date: C:;.,;)?-flJ
. ~'"" ,..~
Signature
.~~
. ~ "
",
~'.~
I.G~ .........."1~
Name (Please type or print)
\"!., f'.....~.. :Fl. ~.... ......es-t""
S~\P~se~ r...... \'hS1
Address
N
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c.
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~71 ",-nO' 9c:M~
Tel. No.
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uc.;
Capacity:
Personal Representative
~ Counsel for person~l
representative
(HAH: rmf! AM3)