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CU~II1EHJ.^NIl
Register of Wills of~~ County. Pennsylvania
PETITION FOR GRANT OF LETTERS
[Slate 01
M~rth~ E. Mi Ilrr
No. __c::2 L-:- '1 ~
40Cp
also known as
SocIal Securoty No.202-20-'i744
, Deceasod
.....".....,.,....""....111,...."'......".........'..,.........
'COMPLETE "A" OR -B" BELOW:I
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A. Probate and Grant 01 letters and aver that PtltlllOIHHlXl IS~ llw t!xl!CU1~ named 111 thll lilst WIll of the
Decedent. dated ^uqust 12, 1994 and r.OdH:lll'il dated nonc
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Except ilS tollows, Decedent did nol mattv. was not dlvorclld. ond did nol hllvtl u child burn Of mJoplcd ulter CJ.UGutlOIl 01 tho documonts offered
lor probato; was nol tho viclim oln killing nnd wos nover adJudicatod incompotont:
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B. Grant of letters 01 AdlllllllstratlOll
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Petltloncrlsl after a proper search haslhavc ascertained that Deccdmlt It:lt flO Will arid was survlvl:d hy lht! followlIlU spoust!
(It allyl alld heirs:
NIIn1t)
RIJllltinll!ilup
RIJSldtllll:1l
L
:1 tlne mh lllOnu S OlliS I nIlCOSS,IIV
Decedent was dOrTllclled at de.1th III Cumbe r 1 ilud
rcslljclIt:C at f13 s. IJouis. Lilne, r.:no1 a ( East
County, PI~l\lIsylvallt;I, Willi )(K.ltlt~r last f""lIly or'pnllC:lpal
I'ennsboro 1'ownship), I'^ 1702~,
,j,.,.,..",.,."..._..'''.''''''''.'.
199(;. at (;3 S. l.oui,.; I,ane, Enola,
Dt!cctlent, thell ..!!2- years 01 I)~W, dlcel
~lay 12
D.:cm..h!llt ..I dlwlh owned (JlopellV Wllh I!SIUll,llI:CJ v,IIlII!S ,I', lolluw'i'
tlf tlon1lcllcd 11\ PAl ;'\11 JlI:I:.(lfl.,1 pl(tl!l~rl\
III not donllclhHI '" PAl P':'SOllilIIlHIJlN!V 111 PI~l\l\s\,lv,lI\ld
ell nol dOllllcllod In PAl PI:ISllIloIllllOpllllV III Coullly
V.llut) of 1I!1l11!~11Ill! '" Pfll1l\sylvdll1il
Tolnl . . . . . .
H.wl b',.'.. >I,.."",d 10" t"II..",,; 6 3 s. Louis Lane, Eno I it (East 'I'enn'sboro
23,,00.00
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\ B3.500.0ll
'[10wt1-strt~ PH
\"Jhllll:lhll!. PlllllHJnll'l~ IIJRllI!l:lllllly IlHlll'!'.H',' tilt' I'llJlJ.lk "I till! 1.1'.1 \'Vdl illld Clld,,;llhl Pfl]~.1l1111~d wllh 1111" PI!lIlllJlI ,llId Ihn !!',11l1 ul ttlttms III It"l
,IPIHOllll,lln lo,m 10 Ih" undr.rsIIlIWd'
S'UllilIUIC
Typt!d Of pllllh:\J !l.IIlI'! ,III1J II:'.ldl~f1CI~
~!J~
Cl"aiq 'l'imothy
'ifi Gambers Corner Hoad
J)uncannon, I'^
17020
17025
M10!l11/m'i 11M
t'((HlllTt"..
, CU1T!lll'.AICJ"{)1,
WI\fINING 11 15 Illl',GAl to M I [II TlU:' COpy Oil
TO OlJPl.ICATl flY PliO 105 TAT on PIIOTOGIl^I'II.
COMMQNwrAl HI or 'I[NNSYlYANIA
OlPAIlTM[NT or ItfAl.TtI YIT"l fHconos
LOCAL REGISTRAR'S CERTIFICATION OF OEATH
CERT, NO.3 010301
5-IL/-fj,.
_.__._.._-------_.__.._~ -.---.-,.-
jJ.'~ ,.I I~~,,~ "I 1 j". . ..,j.f ,.1. "\
Name of Decedent
//1 ~ ll'Jj -/ fI______L;~(L"(LJ;;'J;.I!.L__~.____J1J 1 II (l!..
f.,.l ~ll.' ld,l
Sex
r-
Social Security No.~C:J.. -,).c -_~~?~LL,m...__,_Date of Death
q.Ct-(~r Birthplace (tJ}~O"lN;J(cI( 7i.\J{!
_':;-(,) -(1~
Date of Birth
c.,.".'.
C /!IJ '''''.&:'(10 f"lJfi
Cl,. t~ "'''''I'.' ,., I"...~" 'I'
Pennsylvania
Place of Death ~ ~ Lilt" ( 11,1)':-
f,~,,'I., N~..
i! lr 11 tkllll IvO
Race \/Jr/iTc
Occupation r\inf~ /;/olD'-,+_j,~li\I.L~l_Armed Forces? (Yes or No)
t Decedent's "
1~1\l~al\.";t:>_ Mailing Address I",?, LC:\'\.J3> L rJ (,: lJr.l~, r A. '70),':;
Il.~~.., ~,\,.~I CT, 0' 10"'''
Funeral Director _-li.L~ ,\U) ('I... ~)'\l( f-l
~),S-tJ 1{lbl\ <~.L_I't_lt,J(.!.~\L'!.-Q,'J Fit
,
<;1",..
Marital Status
Informant (I C A I h (' .". me Itlll
Name and Address of - (41
Funeral Establishment <)fr--t II-..
(a)
t Il'Jb
C 1\:,,( dL
: I nterval Between
: Onset and Death
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Part I: Immediate Cause
(b)
(c)
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,
,
(d)
Part II: Other Significant Conditions
Manner of Death:
Natural B' Homicide 0
Accident 0 Pending Investigation 0
Suicide 0 Could not be Determined 0
Describe how injury occurred:
Name and Tille of Certilier ( .(CI('Cl:~ ':';\. \ lv~r~TI~_________,____,__
,- i \\ <'T '\ 1'" (M,D., D.O" Coroner, M.E.)
Address Lj), '> N ,J.\ ~ 1:#11)\, IIILL /1\-
1---------------------------,------
This is to certify that the mformation here given IS correctly copIed from an ongmal cerliflcate of
death duly filed With me as Local Registrar. The Ir}gmal certificate Will be forwarded to the Slate
Vital Records Office for permanent filmg. ll-~ \J __ (I / .
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21 - 96 - 406
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~I^RTIl^ ~:. M 1 I.U:H
1, MARTIlA B. MlI.LBR, ot Hast Punnsboro Township, Cumberland
County, Pennsylvania, hereby declare this to be my last Will and
revoke all wills which 1 have rreviously made.
l'rr;~l 1. 1 give and beljueath the sum of One Thousand
Dollars ($l,UUU.UU) to my friend, Bleanor MacDonald, of t::ast
Pennsboro Township, Cumberland County, pennsylvania, provided she
survives me.
ITt::M 11. 1 give and beljueath the sum of One Thousand
Dollars ($1,OUU.UU) to my ex-son-in-law, David C. Timothy, provided
he survives me.
ITt::M Ill. I authorize and desire that my Bxecutrix (and
substitute 8xecutor) tind suitable homes tor my six cats, and 1
further authorize said t::xecutrix (and substitute t::xecutor) to give
the sum of Five Hundred Dollars ($5UU.UU) to the individual or
individuals who takes each cat on the condition that he or she
provides care tor each cat that 1 own at my death and uses all or
a part of this amount as is reasonably necessary to provide prorer
maintenance ot each cat tor a period measured by the life ot each
cat.
ITHM IV. All the residue of my estate, ot whatever nature
and wherever situated, 1 give, devise and bequeath to my daughter,
Clare 8. Timothy, and my grandchildren, Craig Timothy and Nichole
Timothy, in equal shares, or to the survivor or survivors ot them.
IT8~1 V.
I appoint my daughter, Clare 8. Timothy, Executrix
under this Will, and as a substitute 8xecutor, I appoint my
grandson, Craig Timothy.
ITl::M VI.
I direct that saio l::xecutrix and substitute
Executor shall serve without bond or security.
ITl::M VII.
I give said Executrix (and substitute Executor)
the rullest power ana authority in all matters and questions and to
do all acts which I might or could do if living, including, without
limitation, complete power and authority to invest (without
restriction to investments permitted by law), sell (at public or
private sale, for cash or credit, with or without security),
mortgage, lease and dispose or and distribute in kind, all
property, real and personal, at such times and upon such terms and
conditions as she or he may deem advisable.
IN WITNESS WHl::REOF, I have hereunto set my hand and seal this
I ,-:J" J::~l'
~ _ day or August, 1994.
"*' ) , b" .~) I , .
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MARTHA E. MILLER
(SEAL)
SIGNED, SEALED, PUBLISHED AND Dr;CLARED by the above-named
MARTHA E. MILLER, 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 hereunto subscribed our names as witnesses.
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146578 COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
OFFICIAL RECEIPT · PENNSYLVANIA INHERITANCE AND ESTATE TAX
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RECEIVED FROM:
ACN
ASSESSMENT r:'I
CONTROL r.:.
NUMBER
AMOUNT
i
KEEN W H CLAY
101
"" , ::lVU. vo
POBOX 11589
HARRISBURG, PA 17108-1589
ESTATE INFORMATION:
~ FILE NUMBER
~ 21-1996-0406
1:1 NAME OF DECEDENT (LAST)
I;i MILLER MARTHA E
II DATE OF PAYMENT
m POSTMARK DATE
COUNTY
SSN 202-20-5741,
(FIRST) IMII
CUMBERLAND
DATE OF DEATH
'"
REMARKS
m TOTAL AMOUNT PAID
$4,500.00
VZ
CRAIG TIMOTHY
W H CLAY KEEN
CHECI(II 113
ESG!
SEAL
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RECEIVED BY )1///
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. 'SIGNATURE'
REGISTER OF WillS
MARY C. LEWIS ';""'1.'
REGISTER OF WILLS
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21 - 96 - 406
REGISTER 01" WILLS 01" CU~lBERLANO COUNTY
OATH 01" SUnSCIUUlNG WITNESS
W H CLAY KEEN and GRACE MELLOTT
W&~
(each) a subscribing witness to Ihe will preselllcd herewith, (euch) being duly quulified according to
law, depose(s) und suy(s) Ilml THEY WERE present and saw
MARTHA E MILLER
Ihe leslut R I X , signlhe same und Ihat THEY signed as u witncss utthe
request of testatJUL in h~ prescnce und (in the prescnce of euch olher) (inlhe presence of Ihe
other subscribing witness(es)),
Sworn to or affirm7~ and subscribed before
me this 1 H duy of
AY , Mf.'
f-at ,- . , .
Rf!Ristf!r
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D ..13 ~J II 55 ~a ~ . ':1\ n I d d -.I5J c;
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. 0 7 1\ t>l 'f- T'!(1. LA
(Address)
'; If p~ /70 II
REGISTER OF WILLS OF
OATH OF NON-SUBSCRIBING
COUNTY
NESS
(each) a subscriber herclo. (each) being duly qualified' ccording to law, depose(s) and say(s) Ihat
familiar with Ihe . 'nature of
codicil
will
that
testat_ of (one of the
presented herewith and
codicil
elieves the signature on the will is in the handwriting of
to the best of
Sworn to or affirmed and s
me Ihis
scribed before
duy of
19_
RL'J.:;S(f!r
(Namc)
(Address)
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21 - 96 - 406
CU~1BERr.^NI1
Register of Wills of ~ County, Pennsylvania
Renunciation
Martha E. Mil lor
deceased.
In Re Eslale of
TIle undersigned Claro E. Jobson, fonned y 1'irrothy, daughter and c1esiqnatec1 Executdx
Ihe above decedenl, hereby rcnounce(s) lhe righllo adminislerlhe eslale and respeclfully ask(s) lhal uners Tes tamen ta ry
be issued \0 Craig Timothy
Wit~ess G~r1- /d;e;cn
(SiKII/JI~
hand lhis
I 'l-/l~ay of
May
,1996
(Add'~JlJ
Garden Flats 102
6-9-11 Okusawa
Setagaya-Ku
Tokyo 158, Japan
:W-13
OJ.';'. 1 ~e
D~5criptlOn
;17- - - .- ---
3. SavIngs Account No, 570014592A In
Daunhin Deposit Bank ann Trust Comnany,
l-1arrisburg, Pa., inc1unlng accrued
Interest of $3.72
4. IRA Account No. 6167190232 In Dauohln
Deposit Bank ann Trust Company, Harris-
burg, Pa., Including accrued Interest
of $73.99
5. Checking Account No. 0054169569 In
Dauphin Deposit Bank and Trust Comnany.
Harrisburg, Pa,. including accrued
Interest of $0,75.
6. Miscellaneous furniture (sale prIce to
J. and F. Charneyl.
-
--
2,B75.35
12,630.38
1,552.B5
9BO.00
7. Paintings (sale price to C. Bowen).
B. Bedroom set (sale price to D. Welborn).
170.00
BOO.OO
9. Miscellaneous household items (cash at yard
sale) .
10. Rebate.
11. 1990 Buick Skylark automobile.
TO'l'AL
869.10
6.00
3.500.00
599,452.52
--
"orE The Mtrncuanc1llm 0I,-..luI&1, O""U~III"1t C:lmmcIIN...1l1l1 01 Pl!ll'~'tl\j."'. ,".1". ,ll ''''f! ~l..,=l".ll\ J'lI'" :::o!r\.:l"": l:p,,~'.."'1 \,.... . ~ .
,tI. .,"uII of e.eh ill.n. but slIch l;gu'lS should '\01 be e.ulldltd 'nlo Ihe taUI QI the Imif'II"'"
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fOR DATlS Of DEATHAnlR 12/31191 CHECK HIRE
If A SPOUSAL
P_O-,",E,RTY CREDIT IS CLAIMED 0
flU NUMBER
RlV, UOO IX. tllqll
20. If line 17 is greater than line 18, enter the difference an line 20, This is the TAX DUE.
A. Enler the interest an tho balance due on line 20A.
8, Enl.' Ih. '0'01 01 Hn. 20 ond 20A on lin. 20B, Thi. h .h. 8ALANCE DUE.
Moke Chock Poyoblo 10: Rogl.,., 01 Will., Agln'
.. BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK MATH..
Under penalties of perjury, I declare t"otl "ove e...omined Ihis return, including accompanying sc"e'dules and statemenh, and to Ihe best of my knowledge and belief,
it is "ue, correct and complele. I decla,e Ihal 011 real eslole has been reported at true market value. Oedarotion of preparer other than Ihe personal reprelentative is
baled on all information 0' which prepare' hal any knowledge.
SIGNATURE OF PERSON RESPONSIBlE fOR flUNG R(tURN ADDRE~~ DATE
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COMMONWEAltH Of PENNS'I'lVANIA
DEPARTMENT OF R[VENUE
DiPT 180bOI
J!.ARAISBl!.RG. PA 11118.0,601
N' NAM IA . I . AN MI
INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
COUNTY CODE
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YEAR
'I,:)/;.
NUMBER
I IN tAl
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MI'
Miller, M~rth~ E.
SOCIAl SECUIU Y NUMBER
()J S. Louis l,ane
1;::~O;lb;:Hil~;~(11:,',~~r"'::~-;~~H c~:~I':"~~I;'b~; I i111,~025
[J 2. Supplemental Return 0 3. Remainder Return
(for do'.. 01 d.o,h prior.o 12,13,82)
o 5, F.d.rol E..o'. Tox
Return Required
~8. Tolal Number of Safe Deposit Boxes
202-20-'1744
~ 1. Original Relurn
o 4. limi,.d E.,o'.
[J 4a. Future Interest Compromise
(for do'e. 01 d.o,h oh.r 12.12.821
[50 6. Decedent Died Teslale 0 7. Decedont Maintained a living Trust
(Anoch copy 01 Will) IAlloch copy 01 Tru"1
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
NAM COMPUTE MAIliNG AOORE~S
W. H. Clay Keen, ~squirc
TUEPHONE NUMBER
P. n. Box II'>H'J
lIanisburg, P^ 17108-15H9
238-%68
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1. Reol E.,o'. (Sch.dul. A) (1) $ 7 5 , 1 I 3 .62
2. Slock. ond Bond. (Sch.dul. 8) ( 21
3, Clo..ly H.ld S.ock/Portn."hip Inl.r.,' (Sch.dul. q (3)
4. Mortgog.. ond Nol.. R.c.iyobl. (Sch.dul. D) ( 4)
5, Co.h, Bonk D.po.il. & Mioc.llon.ou. P."onol Prop.r.y( 5) $ 2 4 , 338 . 90 ----
(Sch.dul. E)
6. Joinlly Own.d Prop.rty (Sch.dul. FI
7, Tron.f." (Sch.dul. G) (Sch.dul. II
8. To.ol Gro.. A..... (IOlollin.. 1.7)
9. Funeral Expenses, Adminislrative Costs, Miscellaneou, ( q) ~1-~~, 543. ~ 4
Expen... (Sch.dul. H)
10. D.b.., Mortgog. liobilili.., lien. (Sch.dul. II (10) ~__~'i.1]-,- 4 4_~____
11. To.ol D.duction. (Iolollin.. 9 & 10)
12. N., Volu. 01 E.,o'. (lin. B minu.lin. 11)
13, Chorilobl. ond Goy.rnm.n.ol 8.qu.... (Schedul. J)
14, N., Volu. Subj.ct.o Tox (lin. 12 minu.lin. 131
(11)
(12)
(13)
(14)
$11,055.98
$88,396.54
$ 500.00
$87,8%.54
$ 5,273.79
( 6)
( 7)______
$99,452.52
( B)
(15)
$87,896.54
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15. Amount of line 14 taxable 01 6% rote
(Includ. yolu.. from Sch.dul. K or Sch.dule M.)
16. Amount of line 1A taxable at 15% role
(Includ. yolu.. I,om Sch.dul. K or Schedul. M.)
17. Principollox due (Add 'ox from lin. 15 ond from lin. 16.1
18. Credits Spousal Poverty Credit Prior Payments Discount
+$4,50lJ.OO +$225.00
19, IIlin. lB is g'.o'., Ihon lin. 17, .nl.r Ih. dill.r.nc. on lin. 19. Thi. i. Ih. OVERPAYMENT.
IEiJIO.":r.r.:I!IIlI'lf,.'A'j.II.'lj'.I'I.I'I,UIII1....J'II'r.'r.~..j.III..l..I'I.:C.Ii.~..I".11I
$ 548.79
(20) ______~_____'_-
(20AI________________
(20BI ___~____548.:z._L_
(16) _____________x ,15 =
1171 ___,LSLn_l,l..'L----
Interest
$ 4,725.00
~._.._- ,_.__.~-_._-----~
(lBI
(191
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~TURE.cirR!~fFoTtl!.,H.N .mrmITiollY!
~zt ':]-' , L!..fu- /~ _,>2.e~
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56 Gambcn; Cornel' Hcl.. DUIlCdnllOll, I'^ l'/0211
ADORU!>>
1'. o. Box 11SH'J, l1itl'risburq, I'^ 17111H-lr,H9
09/0'i/96
DAlf
O'J/ll'1/9f>
,
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (V') IN THE
APPROPRIATE BLOCKS.
1. Did decedent make a transfer and:
a. retain the use or income of the property transferred, .......................................
b. retain the right to designate who shall use the property transferred or its income,
t. '. t t
c. re am a reversionary meres or ....................................................................
d. receive the promise for life of either payments, benefits or care? .......................
2. If death occurred on or before December 12, 1982, did decedent within two years
preceding death transfer properly without receiving adequate consideration? If death
accurred after December 12, 1982, did decedent transfer property within one year of
death withaut receiving adequate consideration? ,................................................
3. Did decedent own an 'in trust for' bank account at his or her death?......................
YES I NO
i
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'x
Ix
IX
I
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IX
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.
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COMMONW(AUH Of PfNNSYlVANIA
INHUUANCf TAX R[TURN
A[SIDfNIOfCfOfNT
ESTATE OF Murtha r.. Mill cr,
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES. . .. , ... ~I.a,,"~rl...t or Tv:p.
c1cc I d. _.,.,._...nnr~L~~~~~~.~
ITEM
NUMBER
A.
1.
DESCRIPTION
Fun.ral Exp.n....
Ronald C. L. Smlth Funeral Home
911 North Second Street
Harrisburg, PA 17102
2.
Clare E. Jobson - Funeral clothes.
3.
Frank Snyder & Son - Grave marker and lettering.
B. Admlnl.tratlv. Caltl:
2.
3.
4,
C.
1.
2,
3.
4.
5,
6.
7.
8,
9.
1.
- Craig Timothy, Executor
Personal Representalive Commissions
Social Security Number 01 Personal Representative:
, . 'd 1996
Year Commissions pal
Ifill fiA-llaO;t
Attorney Fees
- None
Family Exemption
Claimant
Addren 01 Claim on. a' decedent's death
- None
Relationship
Street Addren
City
Slate
Zip Code
Probate Fees
Mary C. Lewis, Register-Grant of Letters and five
short certificates.
Mlle.llan.oul Expen.el:
Cumberland Law Journal-Advertising Grant of Letters.
The Patriot-News Co.-Advertising Grant of Letters.
Mary C. Lewis, Register - Filing tax return.
House sale - Plumblng repairs.
House sale - Carpet cleaning.
House sale settlement - Charaes in connectlon with
loan (document review-$100:, tax service-$60. 1
House sale settlement - Title charges.
House sale settlement - Transfer stamps.
House sale settlement - Pest inspectlon charges.
TOTAL (Also enler on line 9, Recapitulation)
(II mar. Ipace II ne.ded, In..rt additional .h..1I of lam. .Iz..)
AMOUNT
$ 4,527.50
295.50
200.00
3,600.00
22fl.00
60.00
142.30
25.00
175.00
217.24
160.00
133.00
750.00
30.00
510,543.54
IIVI~l1ll. II III
.
\ SCHEDULE I
DEBTS OF DECEDENT.
. MORTGAGE LIABILITIES AND LIENS
COt,lW)NWIA,m 01 t1NN,,,~.ljl'"
Itmlll'ANCI'A.IIIUI"
IUIDU.fDIClDINI
Plea.o Print or Type
___rl~::~~:~_::_~__d_- .
ESTATEOF Mi'lrthi'l r.. Miller, rlec'd.
-------.-------
..----+--.----.
--.. ---------.----------.
.~------_._-.-_._--- ------- ---------.---.--- -- -- ...-- -_...-----_._~-_.-~----
AMOUNT
ITEM
NUMBER
DESCRIPTION
______ _____~_____-_~_._-----~-~-4---+---
1.
PA American WatAr Comrany - Final hill~ ($20.94
and $6.71 I .
19.98
$
27.65
2.
suburhan Cahle - Final bill.
331.42
3.
UG! - Final bill.
46.54
4.
PP&L - Final bill.
86.85
5.
Bell Atlantic-PA - Final bill.
TOTAL (Aba enter on line 10. Recapitulation)
(" mare space is needed. inser' addi'ional sheets or same size.)
$
512.44
"
Ih"'lI..IlI'j
..
,,~l.r.):9l\
..'lJ'~
C(l......'JU'i'lt...l'"01 'h.t.\u_,,,.....
INHunAHCI ,.... liUJIN
'1\IOIHIOIClOINI
SCHEDULE J
BENEFICIARIES
ESTATEOF Milrthn E. Mi lieI', c1cc'd.
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
----- ----------.-----.-
A. Toxable Beque,":
I.
2 .
3.
4.
5.
6.
7 .
8.
ITEM
NUMBER
Eleanor MacDonald
211 Wyoming Avenue, Enola, PA 17025
David C. Timothy
One Eisenhower Blvd., Duncannon, PA 17020
Kathleen Parr
29 Radio Road, Hanover, PA 17331
Paula Shaner
760 Erford Rd., Camp Hill, PA 17011
Nina Vacante
5041-8 Lancaster St., Hbg., PA 17111
Clare E. Jobson (formerly Timothyl
Garden Flats 102, 6-9-11 Okusawa
Setagaya-Ku, Tokyo 158 Japan
Craig Timot.hy
56 Gambers Corner Rd., Duncannon, PA 17020
Nichole Timot.hy
One Eisenhower Blvd., Duncannon, PA 17020
NAME AND ADDRESS OF BENEFICIARY
B. Charitable and Goyornmonlal Bequosls:
I.
HOKAFI
P. O. Box 311, Mechanicsburg, PA 17055
FILE NUMBER
RELATIONSHIP
AMOUNT OR
SHARE OF ESTATE
None $1,000.00
None $1,000.00
None $ 500.00
None $ 500.00
None $ 500.00
Oaught.er 1/3 Residue
Grandson
1/3 Residue
Grand-
daught.er
1/3 Residue
AMOUNT OR
SHARE OF ESTATE
$ 500.00
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS IAllo onler on lino 13, Recopilulolion)
S
500.00
(If more space Is n.edod, Insert additional sheets of soml slzo)
l
\:
. J
,,' 1
RECEIVED By'...", 'i./ '. ,.., ,.',,;(/ ,';'/.-L .;.
," SIGNATURE '" ""-
MARY C. Lf:~IS .' ':'~:":P/fiF))?'- ,
REGISTER OF WILLS i
DNO. AA 185111
ll\iIlOIl'''''1
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
*'
RECEIVED FROM:
i
ACN
ASSESSMENT r:t
CONTROL iii
NUMBER
AMOUNT
W H CLAY KEEN
101
.333. 17
POBOX 11589
HARRISBURG, PA 17108
ESTATE INfORMATION,
~ fiLE NUMBER
~ 21-1996-0406
E'I NAME Of DECEDENT (LAST)
~ MILLER MARTHA E
~ DATE Of PAYMENT
iii 01/27/97
m POSTMARK DATE
COUNTY
SSN 202-20-57'.'.
(fiRST)
(Mil
CUMBERLAND
DATE Of DEATH
05/12/96
REMARKS CRA 1 G Tl MOTHY
C/O W H CLAY KEEN
SEAL CHECKII 131
m TOTAL AMOUNT PAID
110333.17
DO
REGISTER OF WILLS
'OlD HUI _
.)
"
~I
,
-,.- ---~ ~.._. - __ - __ - _.I'
. '. .
i ' ~. J
- '-
---..,....".,,-
_r_---...-:.......~_ ~p'~. "1-:....
f
J
V'~ '
,
. .
PAVMENT:
Dltach thl top portion of this Noticl and lubllt with vour pAyl8nt ftadl pftyAbl1 to thl nAIl and addrl's
prlntad on thl rlvlrSI sidl.
If RESIDENT DECEDENT la~1 chack or lonn order payabla to: REGISTER OF WILLS, AGENT.
If NON-AESIDENT DECEDENT ""loa chack or .-onav ordar payabla to: C0t1t10NWEALTH OF PENNSYLVANIA.
All paylants racalvld shall ba appllad first to any lntarlst which lay bl dua with any ralaindlr appllad to tha ta..
REFUND tCA): A rafund of a taM cr.dlt, whiCh was not requlsted on tha Ta. Raturn, lav ba raquastld by cOlplltlng an
"Application for Rlfund of PannsYlvania Inharltanca and Estatl Ta." CAEV'ISI1J. APPlications .ra Bv.llabl. at
tha OffiCI of tha Alglstar of Wills. any of thl Zl Alvanua District Off leis or fro. tha Dapart.lnt's Z4-hour
8M,waring sarvicI nu.bars for for.s ordaring: In Plnnsvlvanla 1-8DD-SbZ-ZOSO, outsidl Plnnsylvanla
and within local tlarrhburg araa (711) 181'8D94. TOOl C1111 nZ.ZZSl (Hurlng IMPalrld onlYJ.
REPlV TO:
aUlstions ragardlng errors contalnad on thiS noticl should ba addrlssad to: PA Dapart.lnt of Rlvanue, Burlau
of Individual Ta..s, ArtN: Post Annslllant Aaviaw Unit, Dapt. Z8DftOl, tlarrlsburg, PA IIll8-DbDI, phonl
(111) 111'6SDS.
DISCDUNh
If any taM dua Is paid within thrl. (1) callndar lonths aftlr the dlcadlnt's dlath, a flvl p.rClnt tSX) discount
of the ta. paid is allowld.
PENalty:
Thl ISX taM alnasty non'partlcipatlon pinal tv Is cOlputld on thl total of thl taM and intlrast assls,.d. and not
paid bafora January 18, 1996, thl first day aftar tha and of tha ta. aln.sty plriod.
INTEREST:
Inter.st is chargld blginning with first day of dalinqulncy, or nlnl (9) lontns and ani (I) day frol thl dati of
dlath, to thl data of pay..nt. Ta.as which blca.1 d.llnqulnt b.for. January I. 198Z baar Intlr.st at thl rata of
sl. 16~1 parClnt plr annul calculatad at n dally rate of .0001&4. All ta..s which b1C3_1 dlllnquant on and aftlr
Januarv I, 198Z will blar Intarast at a rata which will vary Irol callndar Ylar to cftlandar year with that rail
announCld by thl Pi Depattaent of Rlvlnul. thl appllcabll Inllrest ratls ler 198Z through 1991 arll
Ylar Intatlst Ratl Daily Inlar.st Factor
Vlar
Intarast AIlII
Daily Intarl.t Factor
19U ZO~ .ODOs..a 1981 IJl- ,DOOl,.,
1985 161: .0004S8 1968'19IJI IIX .000SOI
1984 IIi! .DDDSDI llJ9Z o. .ODDZ47
IIJ8S UX .DOOlS& 19IJS-llJlJ4 n .00D19l
1986 101: .000Z14 l1J1IS-19lJl o. .DDDZ,.,
.-Intlrut h clllculatld as follows:
INTEREST = BALANCE or TAX UNPAID X NunBER or DAYS DELINQUENT X DAILY INTEREST rACTOR
..any HotlCI lssuld alt.r the taM baco.ls dllinquant will rlllact nn Intlrl.t calculation to Illtl.n CISI days
blyond thl date of thl asslssllnt. If pay.lnt is .ada after tha lnt.rl.t coapulation dati shown on thl
Notlc., additional Intlrut ...u.t ba cIllculat.d.
, .
, '
, ,
. ,
COMMONWEALTM OF PENNSYLVANIA
DEPARTMENT OF REVENUE
/'
buRl~U OF INDIVIDUAL
IHtILPIIAHCl fU: DI~ISIOH
DlPt. aObOI
tlARRIS8UtfG, PA 111"S.hOI
TAXES
NDIICE OF INIlERlTANCE TAX
APPRAISEMENT. ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
WIl C KEEN
PO BOX 11589
IlBG
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
PA 17108
12-23-96
MILLER
05-12-96
21 96-0406
CUMBERLANO
101
AMount RellHt.d
*
III.lhllla" III.'"
MARTHA
E
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT 1l0USE
CARLISLE. PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .....
iiEV:i54i-EX-Aiij;-ii'2-:96rNOricE--liFniNHEiiiTANCE"i'-A'x-iiP'PRiiisEHENr-,--ALi-liiii,iicE-iili-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF MILLER MARTHA E FILE NO. 21 96-0406 ACN 101 DATE 12-23-96
TAX RETURN WAS:
) ACCEPTED AS FILED
C X I CNANGED
SEE ATTACHED NOTICE
If an assassmant was issuad praviously, linas 14, 15 and/or 16, 17 and 18 will
raflact figures that include the total of abh returns assessed to data.
ASSESSMENT OF TAX:
15. AMount of Lin. 14 at Spou..l
16. A.aunt of Lin. 14 taxable at
17. AIIQunt of Lin_ 14 t.~.bl. at
18. Principal Tax Due
TAX CREDITS:
PAYMENT
DATE
08-01-96
09-05-96
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..I Est.t. (Schedule A) (1)
2. Stocks and Bonda (Schedule OJ 121
3. Clos.ly Hald stock/Partnership Int.r.st (Schedula C) (3)
4. Hartg.g../Not.. Receivabla (Schedule D) (4)
S. C.sh/Dank Daposits/Hi.c. Parsonal Property ISchedule EJ (5)
6. Jointly Owned Property (Schedule f) (6)
7. Transf.rs CSch.dule C) (7)
8. Total Ass.ts
APPROVED DEDUCTIONS AND EXEMPTIONS:
,. Fun.ral Expans.s/Ad.. Costs/Hisc. E~panlas (Schadul. H) (,)
10. D.bts/Hortgag. Liabilitias/Lians CSchadule I) CI0)
11. Total Deductions
12. Nat Value of Tax Return
13. Charit.bla/Governmental aaquasts (Schadula J)
14. Hat Value of Est.te Subjact to Tax
NOTE:
r.t.
Lineal/Cl.,s A rat.
Coll.t.ral/Cl.ss Brat.
115)
I1b)
1171
RECEIPT
NUHBER
AA146578
AA146695
DISCOUNT 1'1
INTEREST I-I
236.84
.00
75.113.6<:.,
,00
,00
,00
24,338.90
,00
,00
IB)
10.543,54
512.44
Ill)
112)
113)
U41
.00
84.896.54
3,500,00
X ,00=
X,06=
X ,15=
U8)
AMOUNT PAID
4.500,00
548,79
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
PAYMENT MUST BE HADE BY 02-13-97_.
NOTE: To insure proper
cradit to your account,
,ub.it tha uppar portion
of this form with your
tax paym.nt.
99.452,52
11 . n~~ QR
88.396.54
.00
88.396.54
.00
5.093,80
525,00
5.618,80
5,285,63
333,17
.00
333.17
. IF PAID AFTER DATE INDICATED. SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN $1. NO PAYMENT IS REQUIRED,
IF TOTAL DUE IS REFLECTED AS A "CREOn" ICRI. YOU MAY BE DUE
A REFUND, SEE REVERSE SIDE OF TNIS FORM FOR INSTRUCTIONS.)
-.
RESERVATIONr E,..t.. 0' decedent' dvlna on or be for. Ole.abet 12, .9.1 a. l' any future lnt.t..t In thl ..tet. I, transfarred
In po.....lon or enJoYlent to Cl... a (co11It,ral) beneflcl.rl.. 0' the dlC.dlnt a't,r the IXPlratlon 0' any I. lat. for
11'. or far Y'.t., the Co"onw..lth hat.by I.pr...ly tl'lrv.. thl right to appral.. and ...... tranl'.r Inn.rltencl TIM"
It thl lewful Cl... . (collet.ral) rat. on any such lutur. Int.t.,t.
_EOf
NOnCE:
To fulfill thl requlr..ent. of Slctlon Zl~O 0' t~ Inheritance and E,t,t, Tlx Act, Act iZ 01 .9'1. 72 P.S.
Section 2140.
PAYMENT:
Oltlch the top portion of thl, Notlcl and 'u~Jt wIth your PIy'ent to the Rlol't.r of NIII, prInted on thl t.v.r.. Ilda.
uHae.;. chick 0,. Nney order payable tal REGISTER OF MILLS, AGENT
All Ply-.nt. r,cllVed shalJ 'Ir.t ~ .pplled to any Inter..t which eay b. due with any re..lnde~ appll.d to the te..
REfUND (eA) I
A r.fund of eta. credit, which wa. not r.qu..t.d on the Ta. Return, .ey be r.~~.ted by coapl.tlng en "Appllcetlon
for Refund of Penn'Ylvanla Inheritance and E.tat. Tax" (REY.151]). Appllcetlon. ar. av.llable .t the Offlc.
of the R.gI.t.r of Willi, any of the 25 R.venu. DI.trlct Office., or by c.lllng the .peclel Z4-hour
an.werlng ..rvic. nu.ber. for for.. orderlngl In Penn'Ylvanle 1.800.56Z.Z050, out.ld. Penn.ylvenl. and
within local H.rrl.burg .r.a (717) 787.8094, TOO. (717) 77Z.ZZ5Z (He.rlng Iap.ir.d Only).
OBJECTIONS I
Any party In Int.r..t not .etl.fled with the .pprel...ent, .llowanc. or di..llowance of d'ductlon., or .......ent
of tax (Including dl.count o~ Int.r..t) a. shown on this Notlc. lU.t Object within .Ixty (60) d.y. of receipt of
this Notice by:
AOftIN
ISTRATlVE
CORRECTIONS 1
..wrltten prote.t to the PA D.parteent of Revenue, lo.rd of Appell., Dapt. Z81021, H.rrl.burg, PA
~-electlon to hev. the 'ett.~ detar.ln'd at audit of the account of the p.r.on.l repra.entatlv.,
..appeel to the Orphan.' Court.
17IZ8.IOZI,
DR
OR
DISCOI.JtTI
Factuel .rror. dl.cover.d on thl. ........nt .hould b. eddr...ed In writing to: PA Dep.rt.ent of Ravenue,
Bureau of Indlvldu.1 Tex.., AllNI Po.t A......ent R.vl.w unit, D'Pt. l80601, H.rrl.burg, PA 17128-0601
~ (717) 787-6505. S.. page 5 of the bookl.t "In.tructlon. for lnh.rltanc. Tex Raturn for. R..ldent
Decedent" (REY-ISOI) for an .xplanatlon of edelnl.tr.tlv.ly correctabl. .rror..
If any tax due I. paid within thr.. (S) calend.r lonth. .ft.r the decedent'. d.eth, a flv. p.rc.nt (S~) dl'count of
the tax peld I. .llowed.
PENAL TVI
The 15~ tax .~e.ty non'p.rtlclpatlon pen.lty I. co~t.d on the total of the t.x and Int.r..t ......ed, and nOt
paid b.ror. Janu.ry 18, 1996, the flr.t day a't.r the 'nd 0' the t.x a~.ty p.rlod. Thl. non-partlclp.tlon
pen.lty I. .ppe.lable In the .... '~r and In the the .... tl.. period a. you would appeal the tax and Int.r..t
that h.. been .......d I' Indicated on thl. notlc..
INTEREST:
Int.r..t I. charged b'olnnlng with flr.t d.y of d.llnquency, or nln. (9) 'onth. and one (I) day 'roe the date 0'
d.ath, to the date of pay..nt. T.... which bee... delinquent b.for. January I, 1982 be.r Int.r..t .t the rat. of
.1. (6~) percent p.r annul calculated at a dally rate of .000164. All taxe. which b.c..e d.llnquent on and efter
January 1, 1981 will bear Intere.t at a rate which will v.ry fro. calendar y.ar to calend.r y..r with that rat.
announced by the PA D.part..nt of Rev.nu.. Th. appllcabl. Int.re.t rat.. 'or 198Z through 1997 ar'l
l!!! Int.rut Rate Dally Inter..t Factor ~ Inbr..t Rate Dalty Intlr..t Factor
1982 'OX .000548 1987 9% .000l47
19l1] .6X .00008 1948.1991 IIX .000SOI
19U lIX .00OSOI .", 'X .000241
1985 13X .000S56 199].1994 7X .000192
1986 10;( .000l74 1995.1997 'X .000247
..Inhrltt 1. c.lcul.tld .. 'ollow'l
INTEREST = BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
..An~ Hotlc. 1.luld .ftlr thl taw becDle. dlllnquent will r.'lect an Int.r..t C.lcul.tlon to 'If teen (15) d.~.
b.~ond the dati of the .......ent. If peyaent 1. _adl .fter the Int.rllt coeput.tlon d_t. lhown on the
Notice, additional Int.r..t .ust b. c.lculetld.
,
Ilv.I.1OII IU'1
*'
INHERITANCE TAX
EXPLANATION
OF CHANGES
COMMONWEALTH OF PENNSYlVANIA
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 28060\
HARRISBURG, PI. 17128.0601
DECEDENT'S NAME
FilE NUMBER
2 1%-0406
:l\llcr, !Iurtha
ACN
101
SCHEDULE
ITEM
NO.
EXPLANATION OF CHANGES
J
I-S
Chilnl.:ed tux raLe frul. ~ percent [0 I' percent ~inc(' a no relntton lR d
C laiiH Iln" he! r.
J
B-1
The vlllne of lhe charitable bCqU/!bt hnr, been "i.allo...e". The dtJcedenl's
VIII did nol contain a gpeciftc hequtJllt to the charity.
TAX EXAMINER:___I,I!\Ir"!I"ec-~>:-oll-,,..y
. _ ____ .._u._.____ PAGE
2~ '8. :D
3::' ~~
."1' ': 1,.,::0
-'~
I' c:l ,}..o
-. - PI tv
0- t":l -. '"J.
'C ~ r_
~. .
I . :i6'
~ 'B ;;;;(0
"1l~ .... fit Q..
{;.
".;::. co
'<
:
\
I
r
STATUS REPORT UNDER RULE 6.l2
Name of Decedent: Martha E. Miller
Date of Death: ~l.,y 12, 1991i
Will No. 21-1991i-0401i
Admin. No.
Pursuant to Rule 6.l2 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 X 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. 1 is Yes, state the following:
a. Did the personal representative file a final
account with the Court? Yes No X
b. The separate Orphans' Court No. (if any) for
the person~l representative's account is:
c. Did the personal representative state an
account informally to the parties in interest? Yes No X
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.
S1~/,;!..U;){. rf2~f:J ':.7 .k'-~',
Iv. II. Clay Keen
Name (Please type or print)
P. O. Box 11589
Harrisburo, PA 17101-1589
Address
Date: 06/18/98
Vd ',-
11Il-'
-, "qt.lln~
"1"1::1
8[: ld 61 Nnr 86.
(717) 238-<)(;li8
Te l, No.
Sl'l,: .
J"' ..
,.
'J8
";")08
Capacity:
Personal Representative
X Counsel for personal
representative
(MAH: rmf/ AM3)