HomeMy WebLinkAbout96-00347
PETITION HHt PlmHATE 1II\d GI{ANT OF LETTlmS
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J:'IlIII' IIJ ~Iary 13. Shipley
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R"~j,,", III Wil" flll Ih"
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Ctlllll11lUl\\l'ullll of 11~lIm,yl\"anii.l
Ihe Jll,tilil1l1 of Ilu.' IIlHll'l,i~ll~d rC\IH:~lful1y Icprl'\l'lll\ Ihat:
Your !lctiliOlH.'t(\), \\110 j,iarl' IS Yl'ar\ of ag\.' or ulder an Ihe c\l'ctlI9r,.________~__.______. named
illlh" \;'" \\illllllh,- ahIlH'd"",.klll, dOli"" _Fel:>rullry-lO ..._________._____ ..1'.1-95_
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Ik""",knt \I," ""midk":II "","h ill ~l!t11berland _ ('Illlllly. 1'"lIn,ylvania, wilh
her la,' family or prindpal r",iu"""" al __Cumberland-Crossi.ngs,--L.Longsdorf-Way.,
~q~li~J~LE/L_l7013.__-=-:_South_Middletor1-Township
(Ii" \lrl"\'l, lIumher and 11l1ll'~lpahl~ I
Ik,,"nuclll. ,h"" .~J1___ y"a" of ag", "ku April 22, , 1'.1 96 ,
al _C\l~J:'lantLCrossings,_soutlLMiddletcn-Township,-Cumber-land-County-r,-PA-'
Except a!'; fnlln\\'~, dc..:cdcnt did nOl marry, \\'01\ nut divorced and ilill not hu\'c a child horn or adupted
alkr "\""ulilln of Ih" "ill ofkrcu for prohal": w,,, nlllllw vk,illl of a killing and wa' ncvcr aujuukal"u
incompetent: _____._.
I)"""nu"n' al ""a1h own"" proP""y wilh ""inm'cd vah,", a, fllllll"':
(If uOlllkiku in I'a,) All p"r,onal proP""y
(If no' dOlllidlcu in I'a,) I'",,"nal propc"y in I'"nnsyl\"ilnia
(If nol uOlllidku in I'a.) I'"",mal proP""y in Counly
Value of real c~tatc in Pcnn"oyl\'ania
,ilUa'cu as follllws:
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WHEREFORE. p",ililln"r(') r"'p""'fully r"qllc,'(\) Ihe prohal" of thc la,' will anu "oukil(,)
prc,cntcu h","wi,h anu ,h" granl Ilf kllcrs~estamentary
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ohn Schall, Trust and Estate
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--1-West-King_StreP~
P.O. Box 40
_Shippensburg,-.E'A-l1257-004L
OATH OF PERSONAL ImPRESENTATIVE
COMMONWEAI.T11 ()Io' !'ENNSYI.V ANIA 1 ..
ftiti
COUNTY OF ._CUMBERLAND
Th" p",ilion",(,) ahovc-l1ilttt"U ","ar(') or affirlll(') ,ha' Ih" ,'al"III"'lIS in Ih" forcgoing p"'ililln at"
1111" allu "orr"c' 10 Ih" h""llf Ih" knllwkug" anu hdkf of p"'itioncr(s) auu ,hal a, p"r\llt1al rcpr","n,
'aliv"(,) of Ih" ahovc """"""Ill I'"'iliou",(') will W~"-Lrlll~aUl1liUiSI"r Ih" "'1:11" a""oruiug 10 law,
Sworll III lH affirlll"" ami ,uhscrih"" . _ iH~ifff~ '"
hdlH" III" 'hb .___?6TL_-__- ua) of i9 JoJJn_s_~:JJqn,_'J:'J;:us-Lafi(LEstat\L ~.
-71ail-;;,-(-tU/)/\~R.~~L_:'i...-;t1 ~~!~~fi. ,~. .{. T?fficer,-MellonJlank.,-1:-l.A~ ~
-~*RY tLE~t~Lr. -r--'}2:r/~i;;;~u5t --- ~
Nil, 21 - 96 - 347
Eslule III'
Mal:'Y 0. Shipley
. Deceused
DEClmE OF I)ROIJATE AND (;I~ANT OF LETTERS
AND NO\\' Apri 1 3D, 19~. in consiucmlionof thc pClition on
Ihc rcvcrsc siuc hcrcof, satisfactory proof having bccn prcsclllcu hcforc mc,
IT IS DECREED Ihm Ihc instrumcnt(s) uatcu Febl:'uary 10, 1995
ucscribcuthcrcin bc aumillcuto prohatc anulilcu of rccoru as thc last will of Mary B. Shipley
anu LCllcrs Testamenta!;y
arc hcrcby gramcuto Mellon Bank, N.A.
~.
FEES
Probalc. LCllcrs, Etc, ",."", $ 305.00
Short Ccrtificatcs( 4) . , . , , , , . ,,$ 1? 00.
Rcnunciation '"".",.""., $
X-Pages $ 9.00
JCP ~.uO
TOTAL - $-3""-1-106
" APR IL 30 1996 " 00
Filed ..".,..,.,... >"..,.".,.,.,."."
Dale F. Shughal:'t, JI:'. - 1.0. No. 19373
,\ rrORNEY (Slip. CI. 1.1). No.)
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28 South pitt Stl:'eet, Cal:'lisle, PA 17013
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( 717) 249-8300
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Letters and order picked up by attorney on 4-30-96.
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WARNING: Ills Il/ogol to dupllcnlo Ihis copy by pholostnl (lr phologrnph.
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COMMONWEALTH OF PENNSYLVANIA' DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
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, Hary B. Shipley
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LAST WILL AND TESTAMENT OF
MARY B. SHIPLEY
I, Mary B. Shipley, of South Middleton Township, Cumberland
county, pennsylvania, declare this to be my last will and
Testament and revoke all Wills and Codicils previously made by
me.
ITEM I: I direct that my just debts, funeral expenses, and
the expenses of the administration of my estate, including any
state, federal or other death taxes payable because of my death,
shall be paid from my residuary estate as soon as practicable
after my decease, as a part of the expense of the administration
of my estate.
ITEM II: I make the following specific bequests to the
following individuals:
A. Unto Kenn Steven Garrett, my horseshoe emerald ring
and the sum of Five Thousand ($5,000.00) Dollars.
B. Unto Jan L. Wolf, the sum of One Thousand
($1,000.00) Dollars.
C. Unto Louise Bitner Garrett, my large diamond
engagement ring given to me by my first husband, Thomas conte, my
clothing, the balance of my jewelry not otherwise specifically
bequeathed, and the sum of Five Thousand ($5,000.00) Dollars.
D. Unto shirley B. coy, my 3-stone diamond ring.
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E. Unto Lois B. Lee, my solid gold watch which
formerly belonged to my mother.
F. Unto Galen Bitner, my 1985 Cadillac Coupe de Ville
automobile.
G. Unto Gertrude B. Brown, the sum of Five Thousand
($5,000.00) Dollars.
H. Unto Martha Boyles, the sum of Two Thousand
($2,000.00) Dollars.
The bequests to any above named beneficiary who shall fail to
survive me by thirty (30) days shall lapse.
ITEM III: I bequeath the sum of Five Thousand ($5,000.00)
Dollars unto Grace United Methodist Church, of Carlisle,
Pennsylvania.
ITEM IV: I devise and bequeath the rest, residue and
remainder of my estate of every nature and wherever situate in
equal shares unto my sister, Gertrude B. Brown, my brother, Galen
Bitner, and my sister, Louise Bitner Garrett, provided, however,
that the share of any of my said residuary beneficiaries who
predeceases me or dies on or before the thirtieth day following
my death shall be distributed to her or his issue, per stirpes,
living on the thirtY-first day following my death, and in default
of such then living issue, such share shall be added to the
shares for my other residuary beneficiaries.
Jr~~/!7 l~/dfJ"
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COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
We, Mary B. Shipley, Dale F. Shughart, Jr. and
S/I"'" Ii (Ir,rlo- , the Testatrix and the witnesses,
respectively, whose names are signed to the foregoing instrument,
being first duly sworn, do hereby declare to the undersigned
authority that the Testatrix signed and executed the instrument
as her last Will and that she had signed willingly, and that she
executed it as her free and voluntary act for the purposes
therein expressed, and that each of the witnesses, in the
presence and hearing of the Testatrix, signed the Will as witness
and that to the best of his/her knowledge the Testatrix was at
that time eighteen years of age or older, of sound mind and under
no constraint or undue influence.
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Subscribed, sworn to and acknowledged before
Mary B. Shipley the Testatrix, and subscribed and sworn to before
me by Dale F. Shughart, Jr., and _.C"~hf''''' r) QndF.~ , witnesses,
this /ll'd day of February, 1995.
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CERTIFICATION OF !~1TICE UNDEH RULE 'j,6(al
Name of Decedent: Mary B. shipley
Date of Death: April 22, 1996
Will No.
21-96-347
Admin. No.
To the RegisLer:
I certify that notice ot beneficial interest required by
Rule 5,6(a) of the Orphans' Court Rules was served on or mailed to
the following beneficiaries uf the above-captioned estate on
May 1,1996
~
Gertrude Brown
Address
709 Elkwood Drive, New Cumberland, PA 17070
Louise Garrett
6947 Tanolewood Road, San Dieoo, CA 92111
Galen Bitner
460 "0" Street, Carlisle,PA 17013
Kenn Steven Garrett 4012 perriwinkle Wav, Oceanside, CA 92057
* cont'd on separate paper.
Notice has now been given to all persons entitled thereto under
Rule 5.6(a) except none
Date:
May 1,1996
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Name Dale F. Shughart Jr.
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Artrtress28 S. pitt Street
Carlisle,PA 17013
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Telephone(71' 249-8300
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Personal Representative
x Counsel for personal
representative
,
CONTINUATION OF CERTIFICATION OF NOTICE
UNDER RULE 5.6(A)
Jan L. Wolf
1228 Summit View Court, New Cumberland, PA 17070
40 Teaberry Drive, Carlisle, PA 17013
Lois B. Lee
Shirley B. Coy 715 South 21st Street, Camp Hill, PA 17011
Martha J. Boyles 147 North East Street, Carlisle, PA 17013
Grace United Methodist Church 45 South West Street, Carlisle,
PA 17013
NOTICE OF BENEFICIAL INTEREST IN ESTATE
BEFORE THE REGISTER OF WILLS, COUNTY OF Cumb~rland , PENNSYLVANIA
In re Estate of
Mary B. Shipl~y
, deceased,
No. 21-96-347 0f
TO:
Gertrude B. Brown
(beneficiary)
709 Elkwood Driv~ (address)
New Cumberland, PA 17070
please take notice of the death of deced(!nt and the grant of
letters to the personal representative(s) named below, You may have
a beneficial interest in the estate as follows:
.000.00)
Estate,
You are the specific beneficiar of the sum of ~veThousand
Do lars and the reslduary beneficiary of one-third (1/3) of the
orovided xon r"Irp living nn rh~ thirty_flrc::t n:\)' Fnl'n\Jing.....Ap,..~l ??
(if additlonal space is needed, use back of page)
1996.
Name of decedent
Mary B. Shipley
Last known address Cumberland Crossings, 1 Longsdorf Way, Carlisle, PA 17013
of decedent
Date of death
April 77, lqqr;
place of death
South Middleton Township, Cumberland County, PA
County of grant of original letters
Cumberland
Decedent died
testate
intestate.
x
A copy of the will
is ~ is not attached,
Name(s), address(es) and telephone number(s) of all personal
representatives appointed
Name
Address
Telephone
717)
30-2027
John Schall. Trust Officer. Mellon Bank N.A. J West King St.
Shippensburg, PA 17257-0040
NOTICE OF BENEFICIAL INTEREST IN ESTATE
BEFORE THE REGISTER OF WILLS, COUNTY OF Cumberland , PENNSYLVANIA
In re Estate of
Mary B. Shipley
, deceased,
No. 21-96-347 0f
(beneficiary)
TO:
Louise Bitner Garrett
6947 Tanglewood Road
(address)
San Diego, CA 92111
please take notice of the death of decedent and the grant of
letters to the personal representative(s) named below. You may have
a beneficial interest in the estate as follows:
You are the specific beneficiary of a large diamond engagement ring, the
not s ecificall be ueathed, and the sum of Five
d 5 000.00 Dollar' and a one-third 1 3) residuary beneficiary of
(if additional space is needed, use back of page) cont'd on back
Name of decedent
Mary B. Shipley
Last known address Cumberland crossings, 1 Longsdorf Way, Carlisle, PA 17013
of decedent
Date of death
~r,.;l ??, lClCl/i
place of death
South Middleton Township, cumberland County, PA
county of grant of original letters
cumberland
Decedent died
testate
intestate.
x
A copy of the will
is x is not attached.
Name(s), address(es) and telephone number(s) of all personal
representatives appointed
Name
Address
Telephone
(717)
530-2027
John Schall, Trust officer, Mellon Bank N.A. ~ West King St.
Shippensburg, PA 17257-0040
NOTICE OF BENEFICIAL INTEREST IN ESTATE
BEFORE THE REGISTER OF WILLS, COUNTY OF Cumberland , PENNSYLVANIA
In re Estate of
Mary B. Shipley
, deceased,
No. 21-96-347 Gf
TO:
Galen Bitner
(beneficiary)
(address)
460 "0" Street
Carlisle,PA 17013
please take notice of the death of decedent and the grant of
letters to the personal representative(s) named below. You may have
a beneficial interest in the estate as follows:
You are the specific beneficiary of a 1985 Cadillac automobile and a
~7:-:-:i;~~ ~~~~~ ~::~rl~~ry honoi';,.;,.ry,"i' rho,"'"r"fo<> ~:"";rlorl y"" "..e
, h ,_, ,...~.. "h'~ F't"'Iol 1 nU1 n~ l\.~'" 1 ?? 1 Qa&;
(if a ditional space is neede , use bac 0 page)
Name of decedent
Mary B. Shipley
Last known address Cumberland Crossings, 1 Longsdorf Way, Carlisle, PA 17013
of decedent
Date of death
npr; 1 ')'), 1 qqE;
place of death
South Middleton Township, cumberland County, PA
County of grant of original letters
Cumberland
Decedent died
testate
intestate.
x
A copy of the will
is x is not attached.
Name(s), address(es) and telephone number(s) of all personal
representatives appointed
Name
Address
Telephone
717)
3 -:1027
John Schall, Trust Officer, Mellon Bank N.A. J West King St.
Shippensburg, PA 17257-0040
NOTICE OF BENEFICIAL INTEREST IN ESTATE
BEFORE THE REGISTER OF WILLS, COUNTY OF Cumberland , PENNSYLVANIA
In re Estate of
Mary B. Shipley
, deceased,
No. 21-96-347 Gf
(beneficiary)
(address)
TO:
Lois B. Lee
40 Teaberry Drive
Carlisle, PA 17013
please take notice of the death of decedent and the grant of
letters to the personal representative(s) named below. You may have
a beneficial interest in the estate as follows:
of a solid
-first da
Name of decedent
needed, use back of page)
Mary B. Shipley
Last known address Cumberland Crossings, 1 Longsdorf Way, Carlisle, PA 17013
of decedent
Date of death
np..; 1 ')'). 1 qqE;
south Middleton Township, Cumberland County, PA
place of death
Cumberland
county of grant of original letters
Decedent died
testate
intestate.
x
A copy of the will ~ is
is not attached.
Name(s), address(es) and telephone number(s) of all personal
representatives appointed
Name
Address
Telephone
(717)
30-2027
John Schall, Trust Officer, Mellon Bank N.A. ~ West King st.
Shippensburg, PA 17257-0040
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
*
DNo. AA 146531
laVoU62PI"""1
ACN
ASSESSMENT t:'
CONTROL ~
NUMBER
AMOUNT
fJ
RECEIVED FROM:
101
.at2, "~O.OO
I
i
i
~ '010 Hflf
I
\
MELLON BANK NA
ATTN: ROBERT G
POBOX 7899
PHILADELPHIA, PA
.
19101-7899
CHASE
ESTATE INFORMATION:
~ FILE NUMBER
g 21-1996-03117
eI NAME OF DECEDENT (LAST)
~ SHIPLEY MARY B
II DATE OF PAYMENT
m POSTMARK DATE
COUNTY
SSN 201-18-2834
(FIRST) (MI)
CUMBERLAND
DATE OF DEATH
fa TOTAL AMOUNT PAID
"42,750.00
VZ
REMARKS
MELLON BANK NA
ATTN: ROBERT G CHASE
CHECK" 93\26
'-'f J. .,/,'
RECEIVED BY / I;; " '. 1..1"'.,) ;~f.'!I
. J SIGNAfUAE.. / 1-'-.
, , -,' / ,/,rr5!'-.. '
MARY C. LEWIS .,- N/'.I/".
REGISTER OF WILLS / ,
SEAL
REGISTER OF WILLS
._,__ __... ____ _.__ ._. - 0'
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CAB
H P L
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS
r.OUflTY coOt
nEV . l!too 0: . (1 'HI
f orlllATI'i Of ur Artl oAr T1:n I;.>IJ II'll CHECK ULIlE
If A'."OU';Al 0
.!:.QYU1IYCm.UII j',ClAIMrn
FILE NUMBER
COMPLETE MAILING ADDRESS
fowler, Addams, ShuBhart
28 South Pltt Street
Carlisle PA 17013
(1)
(2)
(3)
(4)
(S)
(6)
(7)
CO......ONW~.~'\OF P,NWi"V'N"
OErAH M N OF Il~V[NU[
"'''nlS 5 IIJ~Of~I,. 0.01
D
E
C
E
D
E
N
T
DECEDENT-S NAME (LAST. nnST, A,jQ MIDDlE U4ll1Al)
Sh i ) II! , Ma r II,
DECEDENT'!; COMPl(TE AOnnr!;!.
1 I.onBsdorf \lay
Carli,dl!, PA 17011
717 2/.9.8300
1. RO,ll Eslale (Schedule AI
2. Slocks and Bonds (Schedule B)
3. Closely Held Stock/P.utnership Inlolosl (Schedulo C)
4. Mortg.19cs and Notes RecClvablo (Schedule 0)
S. C.1Sh. Bank DepOSIts & Miscellaneous Per~>onal Propeny (5th E)
6. JOintly Owned Property (Schedulo F)
7. Tlans.e" (Schedule G) (Schedule Ll
8. Total Gross Assets (tolallines 1-7)
9. Funeral Expenses. Adminislralivo Costs. Miscellaneous
Expenses (Schedule H)
10. Debts. Mor1gago liabilities. Liens (Schedule I)
11. Total Deductions (total lines 9 & 10)
12. Net Value 01 Estate (line 8 minus line 11)
13. Charitable and GovcrnmentalBoquests (Schedule J)
14. Not Value Subject to Tax (line 12 minus Line 1Jl
15. Spousal Transfers (for dates 01 death after 6-30-94)
Soo Instructions for Apphcable Percentago on page 2.
(lncludo values from Schedule K or Schedule M.)
16. Amount 01 line 14 taxable at 6-/. rilte
(Includo v.lluos horn Schedule K or Schedulo M.)
17. Amount of line 14 lalC.lble .11 15"/_ rato
(lncludo values Irom Schedule K or Schedule M.)
18. Principal talC due (Add talC from Lino 15. 16 ilnd 17.)
19.Credits/Sp Poverty Prior Payments DIscount
0,00.42,750,00. 2,250,00
20. If line 19 is greater than lino 18, enter tho dl!lerence on Une 20> ThiS IS tho OVERPAYMENT.
~ D ICheck here if you ara requesting a refund of your overpayment.1
21. If Line 18 is greater than Line 19. enter the dllferenco on Line 21. This is the TAX DUE.
A. Enter the inlerest on the balance duo on Line 21A
B. Enter tho tolal 01 lino 21 and 21A on lino 218. This is tho BALANCE DUE.
Make Check Pa able 10' Re Isler 01 Will., A enl
~ ~ BE SURE TO ANSWER ALL QUESTIONS ON PAGE 2 AND TO RECHECK MATH .. ..
Under perwlUes of perjury. I declare that I have eumlMd Ihls relurn.lnchJdlnq accomp.lnyif\9 schedules and slalemenls. aM 10 Ihe best of my knowledge and belle'. II Is true.
cotrecland complete. I declare Ihat all real est ale has been u'porl~ alltue mlrkel value. Declarallon 01 prepare' other lhan the personal representative i'I based onalllnlormdllon of
which preparer has any knowledge
!jOCIAl ~[CU"ITY NUMUER
201.18.283/.
DAlE OF DEAHl
0/,/22/96
DAI[ OF OIflHt
01,/2/./09
COImlf Cumher 1 and
(IF APPltCAOlE)5UnVIVING SPOUSE'S NAMEllAST .FlnST AND MIDDlE 1~"TI^ll !iOCIAL s[cumlYNUMllrn
C P
o 0
R N
R D
E E
S N
.. T
2. Supplemenl..! Return
4a. Future Inlore!>t Comproml!io
(for d.ltes 01 dealh .1l1er 12-12-82)
[g] 6. Docedont DlOd Tostate [!] 7. Decedont M.linlo1inod a liVing Tru~t
(Att.1Ch copy of Will) (Atlo1ch II copy 01 Trusl)
All CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
X 1.
4,
Ollgln.ll Roturn
limlod Eslate
05.
1 B.
NAME
Oale f. Shu hart, Jr,
IElEPtmNE NUt.4BER
211,196.29
R
E
C
A
P
I
T
U
l
A
T
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o
N
11,8,]1,7,/,9
(9)
36,061.19
(10)
SIt 8 . 10
(15)
0,00 X
.0.
~1.96.3/,7
YEAR
NUMUER
AMOUflT RECEIVEOISEE INSTRUCTIONS)
Rem.llndor Return
(for d.ltes of dealh prior to 12-13-82)
Fedoml E5t.lle Tall Return RoqUlred
TOlal Number of Salo DepOSit Boxos
&. Rundle
(B)
359,3"3,78
(11)
(12)
(13)
(14)
36,609.29
322,7311 .1.9
5,000.00
317,73/..1,9
,
0.00
o . 00 X 06'
0,00
(16)
1,7,660.17
(17)
317,73/../,9 X 15'
(IB)
1,7,660,17
T
A
X
C
o
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P
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T
A
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N
Interest
(19)
(20)
1,5,000.00
0.00
(21)
(21A)
(21B)
2,660.17
0.00
2,660.17
Mellon lIank, N,A,
P. 0, 80l< 1010
il;;':ris'bl;i:' ':' pii" iiioil':i<iiij -""""".." - - -..
Fowler, Addams, ShuBhart &. Rundle
28 South Pitt Street
Cilr i i s-i~ -, - .rA. - -i 70Yj - . ... - - ... . .. . ... . - . .. . -- -- --
DATE
OCT 2 9 \996
FOlm
Act.#4B of 1994 provides for the reduction of the tax rales Imposed on the net value of transfers to or for
the use of the spouse. The rates as prescribed by the stalute will be:
03% (,03) will be applicable for estates of decedents dying on or alter 7/1/94 and before 1/1196
02% (,02) will be applicable for estates of decedents dying on or alter 1/1/96 and before 1/1/97
01% (.01) will be applicable for estates of decedenls dying on or alter 1/1/97 and before 1/1/9B
oSpousaltransfers occurring on or alter 1/1/9B will be exempt from Inheritance tax.
PLEASE ANSWER THE FOllOWING QUESTIONS
BY PLACING A MARK (X) IN THE APPROPRIATE BLOCKS.
YES NO
1. Did decedent make a transfer and:
a. retain the use or income of the property transferrod.. . . , . . . . . . . . . . . . . . . . . . . . . . .
x
b. retain the right to designate who shall use the property transferred or its income. . . . . . . . . . . . .
x
X
c. relaina reversionary intorosl;or . . . . . . . . . . . . .. . .. . . . . . . . . . . . . . . . . . . . .
d. receive the promise for life 01 either payments. benefits or cOIro? . . . . . . . . . . . . . . . . . . . .
X
2. If death occurred on or before December 12. 1982. did decedent within two years preceding aoath
transfer property without roceiving adequate consideration11f death occurred attor Oecomber 12,
1982. did decedent transfer property within one year of death without receiving adequato
consideration? . . . . , . , . , , , . . , . , . . , . . , . . , . . . . , , , . , , . , , . . , .
x
3, Did decedent own an 'in trust for' bank account at his or her death?
x
....",..",.",..,.., ,
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Copyright (c) 1994 form soltw.,. aNy CPSyslem"Inc:.
FOfm 1500 (Rev. 7-9.)
fA Mellon Interoffice
f 11 'on rn~ort ~~a5 ~ubmittcd to the c1Memorandum
c :) O\'O'J -" ..., ,-' tt of the
H Id Buslnc'- I"ter~"". S~bco"ml cc .
c;.,.:J - , n 1QQ6
Trust Investment CCllolttce oRS~P .
Date: September 20, 1996
To: Closely Held Business IntereslS
Committee
From: Anna M, Fields
Telephone:
Aim #:
4-1472
151.3650
Rei Berkey Inc. (DE)
Common Stock
CUSiD No. 084419. t 00
The above referenced stock is worthless.
According to the Financial Stock Guide Service. Seplember 1996 Monthly Supolemenl.
Berkey's charter was canceled and declared inoperative and void for non-payment of taxes on
May 30, 1996,
No other information could be found in any of our other sources,
In view of the above, we recommend Ihat Ihe Committee declare this interest worthless,
/) {~
Estate of Mary B, Shipley
Account No, 302-IBN
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Watchmakers . Jewelers
21 Dickinson Avenue. Carlisle. PA 17013.2903
(717) 249-3928
JlD1e 11, 1996
APPRAISAL
TO WHOM IT MAY CONCRRN:
'!biu iu to certifY the following described articles of jewelry. part of the estate of one Mary B.
Shipley. submitted to Line & Line by Jolm Schall of Mellon Bank for inheritance tax appraisal have cash
values as listed:
(1) Ladies solitaire set engagement style diamond ring consisting ofa brilliant (rolD1d)
cui diamond weighing 2.10 carats, ofO.LA color grade H and clarity grade VS-2 set
in 8.14 ksra1 yellow gold mounting, value. as itemized below....................................................... S5789.53
2.10 carat diamond@ S2750.00 per carat ................................. $5775.00
14 karat gold 1.92 dwt. @ $7,65 per
dwt. (scrap gold value only) ........................................................ 14,53
S5789.53
NOTE _ hi evalualing the above listed ring, slnol! we we/\? not advised <u to the
weigh! of the StOM,lt >IW' MCf!SSary to remove the stOMfrom the mOWl1ingforwe/ghing. hi the
precess we discovered a "natural" under 01Ul prong (not a chip but a spot where. to have cut the
StolUl to eliminate it. would have decreased the weigh! below 21JO caral3). 'Ihls. of course reduCf!d the
stOM'! value to some extent.
..
(2) Ladies five stone di8lllond ring consiRting of a centrally located rOlD1d old mine cut
di8lllond weighing approximately. 75 carats and chipped al severs\ places on the girdle,
ofG,LA color grade F and clarity grade VS-l, each of the stones adjoining the center stone
being ofbrillianl cut weighing approximately .40 carats each and each being ofG.LA color
grade F and clarity grade S1-1. the two remaining di8lllond being of single cut weighing
approximately .02 carats each, the momrting being of14 ksra1 yellow gold, value, as
itemized below. ............................................................................................................................. S1191.47
,75 carat diamond @ $600,00 per carat ........................................ $450.00
Two diamonds. total weight ,80 carats @
$900,00 per caral......................................................................... 720.00
Two di8lllonds, total weight .04 carats @ $250.00
per ~111111....................................................................................... 10.00
14 karat gold momrting weight 1.5 dwt. @ ,
$7.65 per dwt. .............................................................................. 11 47
$1191.47
Mellon Private Asset Management
10 S<lulh Markel S<IUI\I'C
1'0 llox 1010
lI.nt-bull!. I'A 17108.1010
(717) 231,746& Ornce
(717) 231,6600 Fax
May 2, 1996
Farmers Trust Company
Main Office
1 West High Street
Carlisle, PA 17013
Mellon Bank, N,A., as the Executor/Administrator of the Mary B, Shipley Estate, a resident of Cumberland Crossings
Re\iremenl Community, Social Security #201-18-2834, requests the below information as of the decedent's date of death,
April 22, 1996. All future correspondence, including 10993,.inter.:st checks, statements, cte" should be sent to my aUcntion
at the address noted below. '
Your completion of the following report wiU be sinecrely appreciated, IF TIlE ANSWER TO ANY ITEM IS "NONE",
PLEASE SO STATE, Kindly return it in the enclosed stamped, pre-addressed envelope, Thank you.
MIh.LON BANK. N.A.
By:
ilZt fMdf
John Schall
ff&T;?1J7/
Report from: Farmers Trust Company
L On the date of death, April 22, 1996, our records showed the foUowing balanec(s) to the credit of the
above-namCd decedent:
NOTE: FOR ALL CERTIFICATES OF DEPOSIT OR SIMILAR TIPES OF ACCOUNTS, PLEASE PROVIDE .-
LAST RENEWAL DATE, NEXT MATURITY DATE, cURRENT FACE VALUE, CURRENT INTEREST RATE,
HOW INTEREST IS PAID.
Registered Owncr{s) and Accrued
Date Account DOn IntereSt
Account Number T of Account Established Balance to DOD
1_ I:)O'!t.<! C.D Mo.r,! ""B. ~hi!l\"'\' ~ 104,.;)'1J..,9 ~ ~O 8~
2. The dccedcnt diemtain a safe deposit box with our institution. The box number is
D... 6-jg .199!. ~Tjzduvd
Authorized Signature
2P 109/jdf
Mrllora Prit'tltt "uti Ml1nagrmrnl is a stn';tt mark of Mrllon lJank Corporation.
<:>
~0120969
Alpha key SHIPLMB.Ol Request ALLTRANS
First page of
COMMAND ===>
** *********BEGINNING OF HISTORY
Trans date 01/19/96 Product
Compound code 1 Deposit type
1099 code C Issue date
Annual rate 5.2500% Maturity
Guar rate 0.0000% Reason code
Var code POS Var cont code
cUstomer Initiated Y
_ TDDHISTREQ _ TDDMAIN _ TDDINT _ TDDMISC _ TDDHISTMONEY
information. GN20000IOl ,
INFORMATION** *********************
T014 Basis code 4
02 Freq of pymt 04
01/18/96 Face 104,807.83
09/18/97 CV 104,807.83
DLC Var points 0.1000
NO Cp int pymt freq 00
**'********
NEW ACCT
F2=Retrieve F3=Exit
F8=Forward
F4=CRFwindow
F6=Toggle
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Accnled Income Stntement
I
Account Name: Mary B, Shipley T/A Account: 1024BN
Decedent's Name: Mary B. Shipley Date ofDeath: 4/22/96
Administralor NameJ#04 Date of No lice: 4/23/96
Income cash @ DOD $ 4,881.66
Less Fees earned, not charged
$
o
Accumulated Income on Date ofDealh $ ~,881.66
Plus Accrued Income on Individual Assets
TIFF . to 4/22/96 $ 24,50
Accrued Income on Assels $ 24.50
Total Accumulated and Accrued Income $ 4,906.16
Completed by: Sharon M. Garcia
Date 5/09/96
:
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REV. ISla EX + (2,81)
cO"~N\l\lllm4\Wl,~~/hY.NI.
ESTATE OF
SCHEDULE G
TRANSFERS
Please Print or T 0
FilE NUMBER
21.96-2/.7
Mary B. Shiploy ssg 201-18.2834 04/22/96
THIS SCHEDULE MUST BE COMPLETED AND FilED IF THE ANSWER TO ANY OF THE QUESTIONS ON PAGE 21S YES,
ITEM DESCRIPTION OF PROPERTY EXCLUSION TOTAL VALUE DECO'S DOllAR VALUE OF
NUMBER Includ. nlme al lh. IlInsl.'lle, Ihlll, OF ASSET .1. INT. DECEDENT INTEREST
r.lillanshlo to deced.nt dil. 01 trins'lIr.
1 Mellon Bank, N.A., succossor to
Commonwoalth National Bank,
Trustee, pursuant to Oced of
Trust dated April 21, 1986,
amended September 17, 1991.
Pursuant to ITEM II of
Amendment ,all principal and
accrued income passed to
Mellon Bank, as personal
representative of decedent's
estate for distribution as part
of decedent'S ostate. This
asset is therefore reported
under Schedulc Band E.
TOTAL (Also onlor on lino 7, Rocaoilulalion) 0.00
(If moro spaco is needod, inson addi1ional sheets of sarno size.)
Copyrlghl (c) 199. lorm solh....r. ontt CPSystllms, Inc.
Form 1500 Schlldule G (R..... 2.87)
Commonwealth
National Bank
[) ,I II:
'\ \ \'.\' I
: \\" ),\, .~ ,;,
70,d.9{J.,37"..,
, J, I y~ q-o~::~
C.1\ll '~IlUHIIII S
T, u\l IHl'l-'l'lIlcnt No
This TRUST 1\ established uetween The Curnmonweal1h National Bank as T.ustee and the undcr\lgncd as
.enlor. The .eulor her.by grann & conv.y. to 1I1e TrU\lee all IIghl, Iltle and onterel1 on Iho c..h amounl,ndlcal.d
above and 10 .ny olher ....n or h"blhlle. '0' lorlh on Schodulo "A", whIch may be au.ched 10 .nd m.de a part
01 thiS agreement
In managIng theS!! and any utller as\el., 'WllWUlJCIlt1v lIJmtcrrcd 10 thiS TRUST. the Trustee 1\ charged with
Ihe lollowong dUlle., ko.P the ...." ",Iely, u.. Ihe CJf. amI allenllon wh,ch a reamnallly prud.nl man would d.vote
10 the managom.nl 01 h.. own Iln.1Ilclal alia". COr1\ldOllng 110. economIc condlllon, 01 Ihe lime; adv..e the .eulor
monlhly 01 the p," monlh" lIansac"on. and 1100 valuallon 01 a..en hold al monlh end, and annually at any nec."
..ry onformal.on for Ihe preparallon ollho ..ulor'. t.. rdurn.; lIansl.r the n.llncom. .ach monlh '0 Ihe pllnclpal
at Ihe TRUST tor l.onv.I1menl, '0 or 10' the u.e ollh. '.lIlor, 10 Ihe .elllor'. checkIng .ccounl .. ondlcaled below,
or to other penons In amounts described III a \t~pafale letter delivered 10 the Truuce
In addition 10 those power!! granted bV law. the Tru\tce may exercise the follOWing powers '" order to perform
the above dulles: recelv. proc.ed. tram Ihe sale, m.lurllY, c'lI or conversIon 01 TRUST ....IS; ,nven on .nd buy or
.ell ...elS (oncludong re.1 or person.' property, common tund. m.n.ged by Ihe Trul1e.. .nd oblog.llon., depo.il
accounts. or stock of the bank or Its atfillates) subject to the settlor'S guidelines lI1ulcated below; borrow money at
reasonable rates and pledge TRUST assets as collateral, should it be prudent to do so; p.w any necessary expenses.
includIng r...onable Trul1ee'. compen.allon; .1I0c.le transacllon. belw.en Incom. .nd pflnclP.1 .. the Trust.e d..m.
best: and handle routine mailers according to the Trustee's best ludgment. including but not limited to making
IImely .xchange 01 ,.mporary I.."e. tor pOlmanent, execullng prOXle. or vOlong ,hare., buyrng Of .ellong tracllonal
'shares. and exerCIsing, holding. or selling warrants representing fights H!cclved In corporate recapitalizations or
reorgaOlzatlons,
The .enlor m.y aller or .mend thIS TRUST rn .ny w.y prOVIded 110.1 .uch ch.nge do.. nol ,..ull in m.king
th. TRUST irr.voc.ble or cre.llng dl,po'llive prov"IOn. 10 I.k. .lIecl at or ah.r Ih. .enlor'. de'lh. Th. .enlor
may add to or wllhdraw from Ihe TRUST'S Incom. or pflnclpal .1 .ny tom., .ub,ecl only 10 prOViding r...onabl.
notic.. and m.y provld. for aUlom.toc tundlng by rndlc.ling b.low. The TRUST .h.lllermin.le upon the ..ttlor'.
dealh with poncipal .nd und..trlbu,ed oncome berng p..d ,nto Ihe ..nlor'. .stal.. The Trust.e may .xp.nd TRUST
,ncome or prrnclp.1 in beh.1I of Ihe ..nlor al hIS dir.cllon or rn behall at .ny n.med b.nefici.ry 10 th. ext.nt at hi.
b.neficial Int.re.1. Only Ihe .enlor .hall h.ve 110. pow.r 10 ....gn or .ncumb.r hIS In,.rest in the TRUST or olh.r,
wi.. cau.. ilS ....n 10 become Ir.bl. for 'he p.yment at . beneficiary'. person.' oblig.tron or d.bt, Th. T,uS\C. i.
r..pon.ible for lo..e. c.u.ed by ,n gro.. neglrgence bul nol for oth.r 10.... .uch ", but nol Iomited 10, 1100.. cr..t.d
by f1uclu."on rn m.rk.1 v.luatron. The Trul1e. I' nol required to .ccounl 10 anyone, excepl .. de.cob.d abov.,
unless expressly directed In wflt1ng bv the settlor or hiS personal representative. Either party may terminate this
TRUST at any time, sublect onlv to prOViding reasonable notICe.
Thi. agre.m.nt '. nol blndrng upon 110. b.nk unlll.uch time.. it h.. be.n .ccepled by an administrative ollic."
who will be a..igned to the TRUST; IhlS otficer will be In contaCI with the .elllor and may b. call.d upon by him
at any time.
INVESTMENT GUIOELlNES
........... Commercial paper
,......./Tre..ury bill.
....\-:':':,.. Tax.ble bond.
,.......... Tax .xempl bond.
........,.. Common .tock.
........... Trustee's discretion
AUTOMATIC FUNDING
I I The Trul1ee IS 10 charge my checking
.ccount S ,.......,.................,.... on the
,....,..,......,........, of ..ch ..................
and .dd il to this TRUST for investment
/11.~~(i;r....p.,...d[, '~'~"~l'"
~J i"ure . V
..~~.y/,-,~~b::j,. ...,.............,
J.. ........ 7.. ,..' ..,/c.., ..t;1/~"1fJ.-
{ Suul addru, t! .r.,...
,().,t)L:0:,..,.. !.~:............!.,?~ 13
1:nv. s"". z{p ,-Od'
J 1'). . 1.1 2 5 t; 7 . 3
.. .......... Che'Ck j"cj 'A'cco'unY NO:......... ....
)'13 ,j.-p..>
)!.:/-/!,)I3'f
s'o,: 's,'e": N 0:.........
(dl~H:'...."....
occupauon
INCD~ TRANSFER
...JC.... For reinve5tment
........... To checking A/C
........... To addre.. .hown
pno',;,' Ni,:" ...........
11.(~.'I-.~(1.."..,""
If.i. :i'ol,i/"
ONL Y YOUR ATTORNEY CAN PROVIOE LEGAL AOVICE
"
White <4py,Ottglna' Canary CopyCustomet
FORM 000 15191 (REV 12/841
~ ,
- ,
-J'
JW
\0
AMrnrMrnl' TO = OF 'IRJST
I, Mary B. Shipley, amend my trust dated April 21, 1986, urder \/hidl
a:M1JNWFJ\Illl{ NATIONAL BlINK is trustee by revoJd.n;J all the articles and
replacin;J them with the followin;J1
"I. Lifetime Trust: !)Jrin;J my lifetime my trustee shall invest arx:l manage
the property as a separate trust, arx:l make distrlli.Itions as foll~:
A. Pavroonts: As n=h, even if all, of the net inoane arx:l principal as
I may fran time to time direct in writirg shall be paid either to
me or as I may specify;
-
B. R>l1ancel ~ remainin; net 1nc:ana shall fran time to time be
aocI11T111ated and added to principal; hc7.Iever,
C. Disabilitv: If I am, in my trustee's opinia'l, disabled by advlmoed
age, illness or other cause, as nuc:h of the net incarJe and principal as J!fj
trustee may !ran time to tiJre think desirable for my or my dependent I s
welfare, canfort, support or emergency needs shall be paid to either of us or
applied directly for those p.uposes.
II. Discositia'l at """'thl Upon my death my trustee shall pay the
then-remainin; principal arx:l any urrlistrll:iuted net incane to certain
beneficiaries I na:re on a supplemental beneficiary schedule. If that
schedule is not accepted by my trustee or if the schedule is not in existence
at my death the principal and incane shall be paid to or in trust for such
one or I1'Ore persons or organizations on such terms as I may appoint by a will
specifically referrin;J ~ this power of appointment or, in default of
appointment or insofar as it is not effective, to my personal representative
for distrlli.Ition as part of my estate.
III. RiClhts =-rvedl I reserve the followin; rights, each of \/hich may be
exercised \o/henever and as often as I may wish:
A. To Adell '!he right to add to this trust with assets acceptable to
my trustee; arx:l
B. To Revoke I '!he right by an instrument in writin; - other than a
will - to revoke or amend this deed and the trust hereunder in part
or in \oIhole. However, amerdments It1.ISt be approved by my trustee.
'N. Manao-.Alt Provisioml I authorize my trusteel
A. Retainllnvestl To retain and to invest in all forms of real and
personal property, incllXling 0...11,011 trust fun:ls, I1Utual fun:ls and
ncney market deposit ac::c:a.mts operated or offered by my corporate
trustee or any affiliate of it, regardless of any limitations
jnposed by law on investments by trustees, or any principle of law
concerning investment diversification;
B. o-',....vllllse: To o::rrpranise claims and to abandon prqJerty \/hidl, in
my trustee's opinion, has little or no valus;
,~I c.
, I
D.
Borrow: To borrow trc:m anyme, even it the lerder is a trustee
hereunder, ard to pledge property as security for repayment of the
tuncIs borrc7Wed;
SelllTI'A_1 To sell at public or private sale, to excharge or to
lease for any period of time, any real or personal property, ard to
give options for sales or leases;
E. caolt-Al OlaMesl To join in any merger, reorganization, votirq-
tJ:ust plan or other concerted action of security holders, ard to
delegate discretionary duties with respect thereto;
F. Allocate: To allocate any property received or charge incurred to
prin::ipal or ircane or partly to each, without re:JaI'C! to any law
deflnJ..n; prin::ipal am ircane; an:i
G. DistriJ:o.rt:e: To distriJ:o.rt:e in cash or in 1dn::1.
'Ihese powers shall exten::i to all property at any time held by my trustee am
shall cx::ntinue in full force until the actual distrib..ttion of all such
prOperty. All pawers, authorities, an:i discretion granted by this deed shall
be in addition to those granted by law an:i shall be exercisable withoot court
authorization.
v. n.'.~'-Satial:
a=rdance with its
are performed.
VI. Sih}q ard Govemin::r taw: '!he situs of this deed shall be in
Pennsylvania, ard all questions as to the validity or effect of this deed or
the aclministration of th& tJ:ust hereurder shall be governed by the law of
Pennsylvania. "
.
My corporate trustee shall receive carpensation in
stan::lard schedule of fees in effect while its services
Executed
. ~1-W,lII:tI'"
1'1 , 19....:!.L.
'~&!r-(--
B. Ship
'!he toregoirq tJ:ust ilIl'eI'ldment was delivered, ard is hereby accepted, in
Pennsylvania, on , 19_.
-
2P132
o::M-alWEAIllH Nla'Iaoo. BANK
~' ~~, (}~LL
7....j. V
''P'I~~
REV. '512 EX' 0-9J)
SCHEDULE I
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES AND LIENS
PI.as8 P,lnl 01T 8
FilE NUMBER
21.96.2/.7
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAlC RETunN
RESIDENT DECEDENT
ESTATE OF
Mary B. Shipley
5511 201.18.283/,
0,,/22/96
ITEM
NUMBER
1
2
DESCRIPTION
AMOUNT
509.60
38.50
Care Apothocary, prescriptions
Cumberland Crossings, final bill for care
TOTAL (Also entor on lino 10, Roc. ~ulalion)
(If mora spaca is noodod. insert additional shoots 01 sarno sizo.)
Copyrlghl (c) '994 form softwlr. only CPSyslems,lnc.
S 5/.8.10
Form 1500 Schedull I (Re." 1 -9))
, .
LAST WILL AND TESTAMENT OF
MARY B. SHIPLEY
I, Mary B. Shipley, of South Middleton Township, cumberland
county, Pennsylvania, declare this to be my last Will and
Testament and revoke all Wills and Codicils previously made by
me.
ITEM II I direct that my just debts, funeral expenses, and
the expenses of the administration of my estate, including any
state, federal or other death taxes payable because of my death,
shall be paid from my residuary estate as soon as practicable
after my decease, as a part of the expense of the administration
of my estate.
ITEM III I make the following specific bequests to the
following individuals:
A. Unto Kenn steven Garrett, my horseshoe emerald ring
and the sum of Five Thousand ($5,000.00) Dollars.
B. Unto Jan L. Wolf, the sum of One Thousand
($1,000.00) Dollars.
C. Unto Louise Bitner Garrett, my large diamond
engagement ring given to me by my first husband, Thomas conte, my
clothing, the balance of my jewelry not otherwise specifically
bequeathed, and the sum of Five Thousand ($5,000.00) Dollars.
D. Unto Shirley B. coy, my 3-stone diamond ring.
~J~~
E. Unto Lois D. Lee, my solid gold watch which
formerly belonged to my mother.
F. Unto Galen Bitner, my 1985 Cadillac Coupe de Ville
automobile.
G. Unto Gertrude B. Brown, the sum of Five Thousand
($5,000.00) Dollars.
H. Unto Martha Boyles, the sum of Two Thousand
($2,000.00) Dollars.
The bequests to any above named beneficiary who shall fail to
survive me by thirty (30) days shall lapse.
ITEM III: I bequeath the sum of Five Thousand ($5,000.00)
Dollars unto Grace United Methodist Church, of Carlisle,
Pennsylvania.
ITEM IV: I devise and bequeath the rest, residue and
remainder of my estate of every nature and wherever situate in
equal shares unto my sister, Gertrude B' Brown, my brother, Galen
Bitner, and my sister, Louise Bitner Garrett, provided, however,
that the share of any of my said residuary beneficiaries who
predeceases me or dies on or before the thirtieth day following
my death shall be distributed to her or his issue, per stirpes,
living on the thirty-first day following my death, and in default
of such then living issue, such share shall be added to the
shares for my other residuary beneficiaries.
~f3~
ITEM VI I appoint Mellon DanK, N.A., One West King street,
Shippensburg, pennsylvania, Executor of this my last Will and
Testament.
ITEM VI: I direct that my personal representatives, as well
as their successors, shall not be required to give bond for the
faithful performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal,
this I~~ day of February, 1995
~f.~
[SEAL]
The preceding instrument, consisting of this and two (2)
other typewritten page, each identified by the signature of the
Testatrix, was on the date thereof, signed, published and
declared by Mary B. Shipley, the Testatrix therein named, as and
for her last Will, in the presence of us, who, at her request, in
her presence and in the presence of each other, have subscribed
our names as witnesses heretn.y(')~t ,~~} ~
~. {}".<~~
---
u~".2PI""l
146933 COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT O' REVINUE
OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
*
D NO. AA
RECEIVED FROM:
fJ
ACN
ASSESSMENT t:'
CONTROL ~
NUMBER
AMOUNT
DALE F SHUGHAHT .JR ESllUIRE
101
f>t!,obo.I7
20 S PITT STREET
CARLISLE, PA 17013
ESTATE INFORMATION,
~ FilE NUMBER
li 21-1996-0347
Ell NAME OF DECEDENT (lAST)
ill SHIPLEY MARY B
~ DATE OF PAYMENT
Iii I /12/96
EJ POSTMARK DATE
COUNTY
SSN 201-18-28311
(FIRST) (Mil
CUMBERLAND
DATE OF DEATH
m TOTAL AMOUNT PAID
$2,660.17
CW
MELLON DANK N A
C/O DALE F GHUGHART JR ESCJ
CHECKII 9656'1
)1
, ,I, {
RECEIVED BY I ,,',
/
,
REGISTER OF WILLS
I
.J { (. i /0 ~ <J/ . .' / ..J
SIGNAtURE :,,: , . ~
MARY C . LEWIS" ..~ ,.' .., " ',I '.J,-
/!. ,."," I ,.,
REGISTER OF WILLS
. - --, ..+ -. - _. -.-- -.-- .-"
SEAL
_.- _._- --.- -.- --.-' .+-.. _.. -. .--
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, '. ;,....c..,.,.:..,.,...:.,
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'Jm~~,81.1.'.
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Inventory of the real and personal estate of
Mary B, Shipley, Deceased
TAXABLE PERSONAL PROPERTY
Stocks and Bonds:
1. 100 shares, common stock
Berkey Photo Inc" CS 5534
Stock worthless.
2. DF Intermediate Bond Fund, Mellon Bank
Trustee, Account 1024BN
o
211,196.29
Miscellaneous:
2. Clothing and personal effects.
3, Jewelry
4, Certificate of Deposit "1-120969,
Farmers Trust Company
Principal
Accrued interest
5. Premium with Interest
Account #182-822-5993, Mellon Bank
Principal
Accrued interest
6. Certificate of Deposit
#4640S4l860, Meridian
Principal
Accrued interest
7, Cash Account, Mellon Bank, Trustee
Account #1024BN
Principal
Accrued interest
Income cash balance
8, Cumberland Crossings, refund of overpayment
9. Capital Blue Cross, refund of premium
10. Carlisle Retirement Community Corp., refund
11. PA Turnpike Commission, survivor annuity
o
7,288.89
106,242.79
60.92
11,319.27
6.34
15,000.00
319.47
2,033.00
24.50
4,881.66
410.15
134.10
260.S0
165.90
NONTAXABLE PERSONAL PROPERTY
Life Insurance
1. CIGNA, life insurance proceeds
payable to Estate.
1,000.00
TOTAL PERSONAL PROPERTY
360,343,78
"
COMMONWEALTH OF PENNSYLVANIA
COUNty OF CUMBERLAND
i
J
M:
~--_._--
_.. --------..--.
boing duly
----------
occording fo low, dopol" o"d IOYI I/,ot ho
o( tho Elto'o o( -----M1lJ:.Y. ..Jh.._Ship~
loto o( _,SJ:luth tlic1cllJ1ton TOWDShip.___, --________, Cumbotlond County, Po,. d.cou.d ond thot tho
within il on invonfo,y modo by --_.... .._..,_.., __.., '_ '___..____, tho :oid
o( tl,o onli,o OI'afo o( \Oid docodont, conlilling o( .11 tho po"onol P,op""y and '001 ollofo, oxcopl ,0.1 0110'0 ouhid.
tho Commonwo.lth o( Ponnlylvani., ,1nd fh.' tl,o ligurol oppolito o.cI, itom o( tho Invonlo,y ,opro:onl it'1 (.ir v.luo
01 01 tho doto of docodonl'l deoth.
Sworn
I\.h 'OIIIQJ;;> 'Z
October
7),u/ .'L~A({;I
r- '--r
L__....... ___ ___.... .......c
ond lublcribod beloro me,
.....M_~UCln Bank, N.Jt;:;G-,~(; 'h!..tL_.u~cr!c
Enculor . Ao'minis,,,io,
P._O ,...!lox 1010
1996
.._HarrisbuJ:.g" PA ] nOA-lOI0
Add"..
Dole of Ooolh
April
Oay
22
1996
Month
v..,
INSTRUCTIONS
I. An invenlory mUlt bo filod within throe monlhl of lor appoinlmont of po"onol ,op,o:ontolivo.
2. A lupplomonl invonlory mull bo filod within thirly daYI of dilcovo,y of odditionol a"oh.
3. Addilional Ihooh moy bo ottochod '.1 to po"onalty or ,oalty
4. S.o Arliclo IV, Fiduciorios Act o( 1949.
QI
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BUREAU OF INDIVIDUAL TAKES
U.tUIlANC[ lAX DIVISION
DtPI. ZI06DI
tIARAISIURG, PA I1UI-D601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
,
-, -
NOTICE Dr INHERITANCE TAK
APPRAISEHENT. ALLOWANCE DR DISALLOWANCE
OF DEDUCTIONS AHD ASSESSHENT OF TAK
DALE F SHUGHART JR
FOWLER ETAL
28 S PITT ST
CARLISLE PA 17013
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
02-10-97
SHIPLEY
04-22-96
21 96-0347
CUMBERLAND
101
Anount Re.Itted
*
In.'''' II'"III.'"
MARY
B
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 ~
ii(\;:is4TEx-"Fpuii'F96Y"iio"-icEuoF-YNHEiliTANCE-"-A'x-jiPPRjiiSEHEiiy-,u,\L,'LOWAiicE-iiFim--mm-m--
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF SHIPLEY MARY B FILE NO. 21 96-0347 ACN 101 DATE 02-10-97
If an assessment was issued previouslY, lines 14, 15 and/or 16, 17 and 18 will
reflect figures that include the total of ~ returns assessed to date.
ASSESSMENT OF TAXI
15. Amount of LIn. 14 at Spou.al rat. (15)
16. Anount of LIne 14 taxable at Lineal/Cla.s A rate (16)
17. Anount of LinA 14 taxable at Collateral/Cia.. Brat. 117)
18. PrIncipal Tax Due
TAK RETURN liAS: I X) ACCEPTED AS FILED
C ) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN
1. Roo! Estoto ISchodulo A) III
2. stock. and Bondi ISchedul. 8) 12)
3. Clo..ly Held Stock/Partnerlhlp Interest ISchedule C) 13)
4. Hortgages/Note. Receivable ISchedule 0) 14)
5. Ce.h/Sank Deposit./HI.c. Perianal Prnperty ISchedul. E) IS)
6. Jointly Owned Property ISchedul. F) 16)
7. Tranlfers ISchedule G) 17)
8. Total AI.ats
,00
211.196,29
,00
,00
148.147,49
.00
J!..!!..
18)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expen.e./Adn. Co.ts/Hisc. Expan.e. ISchedule H) 19)
10. Dobt./Hortgogo Llobllltlo./Llon. (Schodulo I) liD)
11. Total Daduction.
12. Nat Value of Tax Return
13. Charitable/Govarnnantal aequ.sts ISchedule J)
14. Nat Valua of Estat. Subject to Tax
36.061.19
548.10
Cll)
112)
113)
114)
NOTEI
.00 X ,00=
,00 X .06=
317.734,49 X.15=
118)
TAX CREDITS I
PAYHENT
DATE
07-15-96
11-12-96
DISCOUNT 1+)
INTEREST C.)
2.250.00
,00
RECEIPT
NUHBER
AA146531
AA146933
AHOUNT PAID
42.750,00
2.660.17
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
NOTE: To Insure proper
credit to your account,
.ubnit the uppar portion
of this forn with your
tax pay.ant.
359.343,78
36.609 ?9
322.734.49
5.000.00
317.734,49
.00
.00
47.660,17
47.660.17
47.660.17
.00
.00
.00
o IF PAID AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TDTAL DUE IS LESS THAN '1. NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REflECTED AS A "CREDIT" ICR). YDU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)
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, ,J
....
RESERVATIONs Estat.. af d.e.d~t. dying on O~ bafor. Dlc..b.t 12, 1982 .. ., any lutur. lnt.t..t In thl I' tat. I, tran,'.rrad
In po.....lon or .nJoy..nt to Cl... . (co11ataral) blnetlclatl.. 0' thl dlcldant ,'tar thl I.pltatlon of any ..t.t. for
11'. or for ya.t., thl Co..onw..lth hat,by ..pt..sly rl.ltv.. thl tight to appral.. and 1.1..1 trant'.r Inharltancl T....
at thl lawful CI... a (collat.ral) rat. on any such lutur. Int.ta.t.
PURPOSE OF
NOUCEI
To fulfill thl reqult...nts of Sactlon Zl~D 0' thl Inheritance and E.tata Tax Act, Act ZZ of 1991. 72 P,S.
Section 2UD.
PAYPtEHT:
Detach thl top portion of thl, Notlel and tub.lt with your ply.ant to thl Rlglttar of Will. printed on the tavar.. ,Id..
""aka chick or IOMy ord.r paVbbla tOI REGISTER OF MILLS, AGENT
All pay..nt. received .hall flr.t be applied to any Int.re.t which .ay be due with any re.alnd.r applied to the tax.
REFUND (CR)I A refund of a tax cred1t, which was not raque.ted on the Tax Return, aay be reque.ted by co.platlng an -Application
for Rafund of Pann'Ylvanla Inheritance and E.tate Tax. (REV~131S). Application. are available at th.Offlc.
of the R.glst.r of Will., any of the ZS Ravanu. DI.tr1ct Off Ie.., or by calling the .p.clal Z4~hour
answ.rlng .arvlc. nu.ber. for for.. ordarlngl In P.nn.ylvanla 1~800~S62~Z050, out.lde Penn.ylvanl. and
within local Harrisburg area (717) 787~8094, TOO' (717) 77Z-ZZ5Z (Haarlng l.palred Only).
08JECTIOHSl Any party In Intarlst not satlsfl.d with tha appral....nt, allowanc. or dlsallowanc. of d.ductlons, or a.,.....nt
of tax (Including dl.count or Intsr.st) a. Ihown on th1. Notlc. .ust obJ.ct within .Ixty (60) day. of r.calpt of
this Notice bYI
--wrltt.n protalt to tha PA D.part.ant of Ravanu., Board of Appaals, Ospt. Z810ZI, Harrl.burg, PA 17128-1021, OR
.-alactlon to hava tha aatt.r d.t.r.lnad at audit of the account of tha p.rlonal rapra.antatlv., OR
.-appaal to the Orphans' Court.
ADMIN
ISlAAlIVE
CORRECTIONS:
Factual arrors dl,covar.d on thl. a.......nt lhould b. addre.,.d In writing to: PA a.part.ant of R.v.nu.,
Bur.au of Individual lax.., ATTNI Po.t A.......nt R.vl.w Unit, D.pt. 280601, Harrl.burg, PA 171Z8~0601
Phona (717) 187~6S0S. Sa. page 5 of the bookl.t -In.tructlon. for Inh.rltanc. Tax Raturn for a RI.ldant
Oac.dant" (REY-ISOl) for an axplanatlon of adeln1.tratlv.1y corractabl. arror..
DISCDUHh
If any tax due I. paid within thr.. (3) cal.ndar .onth. aftar tha dac.dant'. daath, a flv. parcant (5X) dllcount of
the tax paid I. allow.d.
PENALlY:
lha ISX tax aana.ty non~partlcJpatlon p.nalty J. co.put.d on the total of tha tax and Intlr.st a......d, and not
paid b.for. January 18, 1996, the first day aft.r the .nd of the tax aan.sty parlod. Thl. non.partlclpatlon
panalty 1. app.alabl. In tha sa.a .ann.r and In the the .a.. tl.. p.rlod a. you would appa.1 the tax and Int.ra.t
that has ba.n .......d a. Indlcatad on this notlc..
INTERESTl
Intare.t Is charg.d bag Inning with flr.t day of dallnqu.ncy, or nlna (9) .onth. and ona II) day fro. tha data of
daath, to tha data of pay..nt. Tax.. which blca.a dallnqu.nt bafora January I, 198Z b.ar Jntara.t at tha rata of
.Ix C6X) parcant par annua calculatad at a dailY rata of .000164. All ta.a. which baLa.a dallnquant on and aftar
January 1, 1982 will b.ar Int.rast at a rata which will vary fro. calandar yaar to cal.ndar vaar with th.t rata
announced bv tha PA aapart.ant of R.vanua. Tha appllcabl. Int.ra.t rat.. for 1982 through 1997 ara:
'!!!! Inbr..t Rat. Dally Intare.t Factor :!!!! Interast Rllta Dally lnt.,.a.t Factor
198t ZOX .000548 1981 .~ .000247
1981 1'~ .000438 1988-1991 II:C .00OlOl
1984 11:C .00DlOl 199Z .~ .000241
1985 ax .000156 1993~1994 1~ .00019Z
1986 lOX .00OZ74 1995-1991 .. .000241
--Int.r..t J. calculat.d a. follow. I
INTEREST = BALANCE OF TAX UNPAID X NUnBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notlc. Is.uad aftar the tax b.co... dallnquant will rafl.ct an Int.r..t calcul.tlon to flftaan lIS) day.
beyond tha date of tha a..a.,.ant. If pay..nt I. .ad. aft.r tha Int.r..t coaputatlon data .hown on the
Notlca, additional Inta,...t au.t be calculated.