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HomeMy WebLinkAbout96-00494 IJETITION lion IJIWDATE Ilnd GI{ANT 01<' LKn'ERS de3lo- 4-qL{ fin..\' Co .1l11l~,SI1:\ No. To: Register of Wills for the Ve,'eu.I('d. County of . CI1I11I"... I n 11.1 in the Social Securiry No. 1'". I ~ - 'f I ,I ,-, Commonwealth 'Jf Pennsylvania The petition of Ihc undersigncd respcclfully rcprcsents Ihal: Your petitioner(s), who is^,I'llIR yeurs of age or older unlhe cxccu~ in the last will of Ihe abuve dcccdenl, dalcd "1'1'11 II. and cudicil(s) daled Errate uf also known os named ,19li2.- ('tIle Idc....nl cirCllIIUIIII1CCS. C.I. ,cnuncl.tlon, dealh or ucculor, elc.) Decedent wu~ domicilcd III dcalh in CI1 1111". I' I and h cr last family or principal rc~il'cnce at \'!a Inl1 l Bollom (Sollr-h Npwton Township) CllmllL'rland lIi!\L alreeL. number, Twp. or Uoro.,' County, Pennsylvania, with Decedenl.lhcn 74 years of IIge, dicd .ltll'" ' I.).. , 19 lj(, 8t SW:1 fm IIp:11 th CpntL'r. Nt.!,.,'" f II t' PA . Except as follows, dcccdent did nnl marry, was nut divurccd and did nul hav~ a child born or adopted after execution of the will uffcrcd for prubatc; was nutthc victim uf a killing and was never adjudicated incompetenl: Decedenl al dcalh nwncd propcrlY with estimaled valucs as follows: (If domiciled in Pa.) All persunal propcrty (If not domiciled in Pa.) Pcrsunal properly in Pennsylvania (If not domiciled in Pa.) Pcrsonal property in Counly Value of real eSlate in Pcnnsylvania situated as follows: S 150,000.00 S S 5 WHEREFORE, pctition':r(sl rcspeclfully rcquest(s) Ihe probate of th~ last will and codicil(s) presented hercwith and thc grant of Icltel's 'fl'~ t a III 1'''' a ry (lcslamcnI31)'j allminislrltion c.I.a.; administration d.b.n.c.l...) theron. L !i 'O,g ~'iJ -;.. I'D 1 iii .,j . 7 1/ ..;j/(i"14(,~1 .,f :t.-:-!,' Samocl K. iJE~'OR POBox 21 lJ:llnl1t Bon"om PA 17?()() , OATH OF I'ERSONAL REPRESENTAtiVE COMMONWEALTH 01: I.ENNSYLVANIA } ss COUNTY 01: ClImlH'l'l"nd The petitioncr(s~abovc.named swcar(s) or affirm(s) that the statements in the foregoing pelition arc truc and corrcctto Ihc bcsl of the knowledge and belicf of pelitionerts) andlhat as personal represen. tativc(e) of the abovc dcccdcnl I1ctitioncrll) will well and !ruly administer thr estate,according to law. 1/- ~ ;/1/ Sworn to or affirmedS..lI\ld subscribcd ~ _.. 'I(l ;'.. ( (1." /\. /,,' ( '," (' t.l before me this T I H --.-:. da of Samlll' I K. Ill'. II{. 00' ~ /1 .J1I l' I -D 11!'9> " ~ , u...-..1;;L I ; 7/ ~ Registel- ,(I ~ No. ?1 - 9fi- 494 Estate of _ HIII\Y e. .JOIIN$ON I Deceased DECREE 0(0' ItROUA'l'E AND GRANT OF LETfERS AND NOW .hllll' 21 , 19...2.U--. 1;1 cunsidcraLlon of Lhc pclltlon on Ihc rcvcrsc sldc hcrcuf, salislllclury pruuf having bccn prcscnlcd bcrorc mc, IT IS DECREED Ihalthc inSllumcnL(s) dale'1 ^prll 1" lqRq dcscribcd Ihcrcin bc admilL~dlo proba:c andlilcd of rccord as Ihc 1051 will of NARY C. .10IlN$ON and LcLlcrs Testnmentarv ~ arehercbygranlcd10 <:'.m""l It nr-,,"" : ~. MARY CLEWIS FEES b $ 235.00 Pro aLc, Lellcrs, cLC. .......... Shorl CerLlficaLes( 1) .. .. .. . .., S 3.00 Renuncialiun ................ S x-pages ~.uu JCP $ S.50 TOTAL _ $ ?S? .00 Flied ....... .~~~~. .~) .'. .l.~~?........... Sallv J. lander, F.sn. (24705) ATIORNIlY (SUP, CI, 1,0. No,) 701 F.a"t King $t., 5hippen"hllrr, PA ADDRESS 17257 -00 :n ( ~ ,ci :O'~ 717) <;12 - 9fi}n' ,- 1'1I0NE L.. ~ . , .-> CO .- .- OJ u; ';;1.. ~~ ~~ i:=- '" . Mailed letters and order to attorney on 6-26-96. Thi, l"'IIIUlltJ) 111.11 dll Illh,llll,llh.lll1111 1~1\(11 I, \.n!t\lh '''I'lld 11.1111 .tll 'd'I~llld lllllll..I!t 101 ,ll.llll .lllh Illl.l '.'1111 I Ill' .h 1.000.lllh'g,..,r.lr Till OIr'~~lIl.d tnllllt.llt "dllll' I,q\\ II.k.1 I.' lilt ....'.tll: VII.d Hllt"d... ()llhll"l l'l'llt).nlllllldlll}~ WARNING: It Is Illegal to duplicate this copy by photostat or photograph. hl'llIl lill"'ltI1l11l.1lt. $.'1111 3535733 ?-/~/~ (l,lll' :'\:0. ~~, COMUONWEAlTH OF PENNSYlVANIA' DEPART"!"f 0' HEAlTH . 'I1TALRECOADS CERTIFICATE OF DEATH I~'~~.~'MAR~V. ...-c~ ,....".._" I.O<<'I!fI"~~ - ,.,. 74 .. JOH~SO~ ~......:'o. -l- ootrOf...... .........-, ........ lt1.l;;(I&lr~;. umb. Ct. rA "'...,.-...-...-.-.... ..-'.' !/19/11 I flUO<' _H (,,........, _,.('f.... ........,...........~'._..r'."'..."'........ CWllboJttand W. Pro"""e'" Tn'I>. S\J.:illlV\ l\fL\\Lh (I. ( ,_~..._..: '-~".~-"- :"""'r\'~'.I;r.:::':I:J:" ...~WP.l .._.._.__=.,. ...i: ...i\,; 1'"":;'"'"7,~ "a.lu M..\ort "" CafI'I"."t 6J!.<'., '-I!' "'Cfor""--~"~c""--''''''''J.n[.''''... I'A 2108<9 Sp1C119 Rr'arl :~!~~I", .,....__..... - .t Nr....vtil". rA 1174' '-.-:::.:~'~ .",.'~ (':tIl~fll',,:t.111d ",:.~tld,,~/H."'G"'v~'t --- - --- -- ....~'..........,'-- -.------.. "" Santu...t K. C"v(J.'t ;....,Hl.(IC"~'O()Oj O ...ll c.-o(J ~ ~ ., lI'Ilf(,' "...............,v ...... ......- ~.. Y-fAIIlo.,W\ltl._.. --..-- -...:;,...... II lA,l(dm! 't .h lil_ __..___J"..._PC'hl~ l'~''l~' ----- _.~ .- -.. -' IUD ::...-:::.::::" :...;.;:..;.-~--'~~ :.oirr.~"t:=p;.;---'-. ................ ...,.,...,..........._,,-""'...... " [,lMO L Wu{!, "'~...., ,w.ucJ&(lDIIW"_ r....,.... _ ....,- P.O. Bo< 21 W<t{,ml Botto.. .....01_. Do _.. -.."'-. ~t___ PA 117M. "....l.r.... ...(... 111'.>1 [l ~ 6;1~/?6 1~,_:'1tng .,],,,CI-.cl.\~'" L~.o";716~-L _ --";;:..7':"-.0 -........,~i- --~- 1......_.._ t..:('""'.......o'~ il'\ f:.(y-.".. {'w ._14N___'" '.....~-:-,:--1 'U~-'::""'''''[I'''/l'' - ..... ____- llrl'i'" , .1 '\ Y , l.__l~'J....~..'_~_f.._ "._t)..v_\~c. l} ._LfJ':LIJ "_II _..__..____ _._......,.....-.........~......-.... ....'1,-....,.............-- ~--_._..-.- _c; ...",,- """'.....--.---..-- ....-........--.,-.-...-.. _D&TICAUII"_ -."""" -....,..-- .- '-- :--- .I'I~ €,1'St.J.. .___..__CIIC ~ 7/(.r ("l"",.""....../.... ." .(~ ,: /'if''!'' r (. '-'" -~- ,...........- '_l_""""'YWS UOIIa"_....... .....-- .......-q.,.,-.l..Ut ~-...-. : ~.- ........----.. ._.~.;;-;-;;;;;:- ~['~ rt;~;--]' --~....:l., ,'~-.~....;;"...,;-. .... ..,.", . I - 0 ...n ... . ....___~_~.JII'I~ _.*___ """".,,... ....____..... .ut......r.._'....__ ........ .,. ,- * I :=~~~..o~_:~;~..~~.:._;., ';,-' lllA"',.............!...... . .--'--' .".-.- ~:.~~. =,~~_lS ~-.i"(i7~.";-/ ,_"OOOI'yrA...... u/ A'IIINI ....... ...._ 'J _ (J.U _[I ...U,.... ' - - .. fl"_.~_"_ .CI"'~nNO~........._........,.._..'_...-........,..... ..............~........ ... ."_. ...--.....--....---.......-......-......... ---.--------.---. .._,..,-...... .._-...........~-- fr<J - -_.._~ --- ._-~. ......,.......lICIClI~fIM'ItI(aOt.....-_._...,.....,.~....' ......Q.._"',......' ,...-.....---...---..-- - --- --..-.-.........-....- 11 ."'DCAl~1l OOIl"'--"h_____.""t2"'''' .,..........-....-.- ~.... .......... 10>4_.._'......1..... " ..-.......... ...! ", ~ .. " ~~1'-7?2r.._.~ ---;"_ 'l1..1 P./~ , :'"., ~-+(.t2LfL!. - ~ L':-H C. All the rest, residue and remainder in equai shures to my brother, SAMUEL K. DEVOR, /lnd to my sister, DOROTHY N. GOODLING, on n per stirpes distribution basis. SIXTH. I nominate, constitute and appoint my brother, SAMUEL K. DEVOR, to be the Executor of this my Last Will and Testament; if he be unable to fulfill the duties of Executor, I then nominate, constitute and appoint RICIIARD E. DEVOR to be the . . Executor of this my Last Will and Testament. SEVENTH. I direct that my personal representatives shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNESS WIIEREOF, I, MARY C. JOHNSON, have hereunto set my hand and seal to this my Last Will and Testament, written on \ \-11, identification only, this day of two pages. the first page signed for (-'\ pr'.\ , 1989. "'}1' l l,vlII I . \" \..... '-I~" (1--1<...::1. /f ~ I (SEAL) -2- MAnK. WEIGLE AND Pt:HKIN5 _ ATTOHNEVS AT LAW - 115 CAST KING 5Tf~EET - SHIPPENSUlJRG. PA 172S7 This instrument was by the TClltntrix, MARY C. JOHNSON, on the date hcreof, signed, published and declared by hcr to be her I.ast Will and Testament, in our presence, who at her request and in her prescnce and in thc presence of each other, we believing her to be of sound and disposing mind and memory, hove hereunto subscribed our names as witnesses. /!~//'/":/ i. / l"Ij.!/7 1/.' , ~, . 1L-~.'-- - u COMMONWEALTII OF PENNSYLVANIA SS. COUNTY OF CUMBERLAND 1, ~~RY C. JOliN SON , the Testatrix whose name is signed to the foregoing instrument, having been duly qualificd according to law, do hereby acknowledge that 1 signed and executed the instrument as my Last lUll; that 1 lIigned it willingly; and that 1 signed it as my free and voluntary act for the purposes therein expressed. -/11(: , ,), . t. I L .J I ), ~ , , I -, C. Sworn or affirmed to and acknowledged before me by NARY C. JOliN SON , the Tcstatrix, this I ~'l,day of r\\)l'~\ ' 1989. ;:t;J . I( . A~t.., Notarial Seal Linda K. Klein, Notar'j Public Shlpp~nsburg, PA Cumt~rland County My tomlT,'ssl~' EJ:r,lms IlucuS! 15, 199~ MARK. WEIGLE ANt> P!:l~KIN~ _ A1TUHNI:V!. AT tAW - "~.> I:A~l Klr,lG SHU:'E:T - 5HIPPEN50UI~O. PA 17251 RocO[o: ,. ) ,"," ~ : of Ro:: ;",. . Viills '96 JUU 18 1\8:46 CIE:rl,~' . . ~).Jrl CUll'''''". '. .;0., PA I t lI) t z - t ~ 2 . .... 0: W . ~ :z: n.~=( 0 a Ul o ~ 0. :z: Z.. d ..0 is <( <( . It ~ .., III z :I ..s::-- s:; ~ - ~ ~ id I t = . ta ~ tJ ~ i a ~ ~ I t ~ w ~ a. ~ ~ ~ ;: II X <( :: lI) ~L ~ i 0: ~ <( ::E . . ", . , . . . .- .' .. . \.:'.- \ It).- :.3 ,,~:J~'''~(\ INHERITANCE TAX IlElUl{N ~>Ifjll,," RF.SIDENT DECEDENT cO'""l,~~::I~\W"~{r'lWI~WAt'" (TO BE FILED IN I>UPlICAfE s""If,U~J1otJ\,,0,,' WITH REl7lSTm OF WILLS) ===---------.----------.. .. ....-ifiiTIi)frwsji^"f~.AU:fji~l,-;.'jfi i.iilifiif liliiii.il 15 .IOIINRON, NAllY C. o ~ \ucl.i.i '5IWiih~ ;;U;..l3ril- o 191 - I H - 101 00 -_.... ~ b<.1 l. OriHinnl Rt'luln :w:!V1 v"'''' w...v ;coo ug:~ ... <( 't ,........-Olll:. 117-11"1 'I- ::Jz "'w ",0 OZ vO ... Z o 1= :5 ::l .. i: i:l w '" Z o 1= ~ ::l ... ~ o v ~ rilE HUM"IR 21 lIf, 01,91, ao c:c =1 ' (III (121 (l31 .._ (l~1 x .06 = x .15 = (201 POAI 120n) (OUf4!i com 11ij-iidilr~, fi."iitfli ...fir,ilrv,'--- ll,~_~=~'-~c,.-.!l.y_~\~, 11,\11 1'1 ,,^'Il or,/ I 2/% 11'^1I III 1'11'111 1011/1')/:' I 1'.0. I\IIX 11,(, II" I 1111 l lIollIIlII, I'A I 72r,(, I !;lllllIWI11I'(lll1 'f'lIWIIHIl'1' """"t Cumber lUlld I I 3 nf'lI",ill""1 nl'hllll (Iur Ilull', d .Ipclh prim ,(' 1}.1 J-B) 15 r,.,lmul [,11I1f' In. ftrlurn rtf'quilNI tolul NUI1lI.,., (If !In',' U"pmil OOlO:r' ._._-_._.~_.._--_.__. - . .-, .-~._---_. '0 -I -.~ :7' ; 0111 rultu,. 11.1,.".\1 (1lI11IJlllllli~I' IfnI Illlh" u! Ill'nlll nftf'l 11 11.0,) r.1 6. Dr.lp.rfnlll OJ,,,' T,,,ln',. I I 1 1J"'f"cl"m Mllilllninrll 11 tivinq 1I1t\1 U _~~~~~l~t.~!-~~~IL_ ..______ _. 1~1I111111"fl), 1111111\11 . ALL CORRESPONDENCE MIll CONFIDENTIAL TAX INFORMATIOii SIIOi/l.u DE UIRECHU TO: ;j'~~~;;.J. . "~i~der, Esq. 1" ".;~;, ,;~~,~;^~j;~:;~\ Rt rec t lfiCfiiUtiliii.!;.iill--' ShlPIH'IIHhllrg PA ]7257 L71~ J 53~,-..:~~76,____ . _..__ I 7 '1111':,II'I,,"uIIII !f,'IUIII :':'1 r....J ~ 1 01 .'J I.J i"J {~}8 ~-4(~. til.- I .... I .i ..t. lilhilN~ [5lolft 1. Real ESlole(S,hodulo A) ( 11 2. Sloch and Band. (SeI,edulo nl 1 11 3. Closely Ilold Slo,HPorlllo"hlp InIOl,,1 (ScI,edule q 1 31 4. Mortgogo. ond Nole. Re,.lvoblo (S,hedule 0) ( ~I 5. Ca5h, Bank Dep05its & Mi$Cellanoou\ Penanal P,opcrly( 5) (S,h.dule E) 6. Jolnlly Ownod Proporly (S,hedule FI 7. Tronsl... (S,hedule GIIS,hedul. L) 8. T 0101 Gross Asso" (Iololllno. 1.7) 9. Funeral EXpfln\Ol, Adminill'Dlive Co,", MilCellnn"ou, ( 91 Expens.. (S,hedul. H) 10. Debts, Morlgage liabililies, liens (Schedulo II 11. Total Deductions (Iotolllno. 9 & 10) 12. Nel Value 01 Eslale Iline 8 minus line 11) 13. Charitable and Governmenlal Bequo"s (Schedule JI Id. Nol Value Subjecllo Tax (line 12 mi~~.~Jil1r. _!J! 15. Amounl of line I d laxahle 01 6% ralo (Includ. value. from S,hodule K or S,hedulo M.I 16. Amounl of line 1 d laxoblo nl 15% 1010 (Indude values from Schedule K or Schetlulr. M ) 17. Principal lox due (Add tOK from line 15 nOli f,om line 16.) 18. Credits Prior Paymenh DilCounl $8,500 + $ 1,25 ._---_.~-_.- ...._,.. + 20R,51.6.R2 ( ") I 71 30,629.21 (10) (15) (1"1 117,111,.nQ 177,917.61. .'i.(),5RJ..R 1)7,334.09_ _ 20,600.11 1171 (181 (191 8,925.00 'n1(>",,1 11,675.11 __h___ _. __ __ .Il,675.11 I , .... BE SURE TO ANSWER iii.l'auEsTioNs ONREVERSe'siiiE'iiNO TO RECHeCK "iATH.-...----.- l______._.. ...._.......___. ... .' .... .. . .. . Under p"nttlli",. 01 pIt1iu1';. I df"dnrr Ihnll I.u..... ""n-min",i II,i~ 1,.IHlII, iluluclinq 'II c"Illl'''''yin'l ,,111.,1111... fllld "llll'lII,,"h. find 10 II". hl'~1 (.IIIl) ~..(,...I,.rlHI! fIIull,..I;,.1 ills hul", cOllrel nnd complel", I d..dOJI" 11101 nil fl'nll'\IIIIr' 11m 11,."n 11"110'11'11 ullwf' 11I11I1 ,'1 ~lIhll' D"c1mC11jon 01 p"'fllllf'1 ('11111'11110" ,II" fl~I'o'HlI '''P't''I''''Uli,(" i\ based on nil infofmalion of which rrf!'pOlfll hm nny ~llo.....I,.c1!1" fiGi1ATU~- f rfliSofiiiBfOJijiilfiO -Uilo Rfltir.lf ~ - 1/,.llfJOIlI ~.., 1\IIV. 21, /(', ., \I"ll1l1l nllllllm I'A 172(,(, N.rU -r,1 'Auj['o\iidIiUrt.1 RE!Ii,I",v', "",Ii" ... uW.~ 701 Easl K1nr. Rtrcl'l, Rhll'l'enslJllrg YA 17257 19. If Iino 1811 grenler Ihon line 17, enlrr Ihr tlilf",rl1c" 011 lin" IQ. Uli. i. 11m OVERPAYMENT. Ii!O 20. II line 17 is grealftr Ihan line 18, flnl", lilt! dilftlfenCQ on line 20. Tlti. is llit! TAX DUE. A. Enler t"e Inlorft11 on Iho bolnnc" tllln on linr 70A. Check horo If yotl aro requostlng a te u"d b' yaUr aVOt DVmtttf. 8. Enlor Ihe 10101 of linn 20 and 20^ on linn 208. lhi, i. lllf' BALANCE (JUE. Moh Check Pay~~I. I~:U _R_._g~sIO~.~_J_\yIII,! ~go"-I _ f,idf ~. - . I "3/ ;,'I.CJ 7. 0' I 3/J-{ If7 " , .r PLEASE ANSWER THE FOLLOWING QUESTIONS DY PLACING A CHECK MARK (v )IN THE APPROPRIATE BLOCKS. 1. Did decedenr make a transfer and: a. relain rhe use or income of the properly transferred, ....................................... b. relain rhe righr 10 designate who shal/ use Ihe property transferrod or its income, r . '. r t c. ra OJn a reversionary In eras or .................................................................... J.~!. HQ d. receive rhe promise for life of either payments, benefits or care? ....................... 2. If death occurred on or before December 12, 1982, did decedent within rwo years preceding death transfer proporty without receiving adequate consideration? If dearh occurred afler December 12, 1982, did decedont transfer property within one year of death without receiving adequate consideration? ................................................. 3. Did decedenr own an 'in trust for' bank account or his or her death?...................... IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. 0 0 '" ..... ., ., gl "l' :> I w <0 .. :c C ..... ~ .r: I ~ 0 ..... z ,., 0\ 0 ..... e .. t) w Z al ::> ~ ~ ~ ::> z z 0 ,. u ~ :!: ii .. ::> Q w U w .. al w '" 0 ~ '" ::> w ::> ~ w ~ Z .. al 5 w u 0 ~ 0 ~ a: '" I/) C)o Za= 00 1111- -z I/)w ~> Uz 0_ l- I/) .. z .. " >w ... ~;:)",l'"1 IIlZN~ zWM" Z>"'... w,,- '>~!' ~a:o~ ~~...."'.. .. oOWa,. . ::....u. 0< ....z..:'" ..."''''" <~O:J "'......11I ~Cl:V1'" z~Oac o ",a.. a: ~Q ~ o u : ~ . ; .. 0 ;;; ..; O:li z.. 2z ~z "'- "0 Vw 0.. ~w ..~ .. ij w .. w w ~..::> <0 <0 ..., ..., ..., "l' 0\ 0 0 ..... ..... 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" 0 Rl lO N .c: ~, " aJ C :> 0' a. ClJ u ~, .-, U) .. I r .... ... lO N ~l U r-- l') I " r-- r-- l') ::J ., ... ., .. ClJ > .... ... VI '0 ClJ ,J Rl ..... ::l U .. .... u C ::l .. ClJ :. o .r: r: ClJ U) .., loJ .... " Ol ~, I lO -,. -------- COOlO....N r-trlNNN i M I . ... ~ ~ f'- 1 ,~t -' 1~~~ ~ tJ 1-1'1 Q rr) ~. G ,1 '-l r{ ?b .:;j- ::i-" "... IV) \b r ~ r<l IV) ~ .::Joo V rI. C"( ::1" r-l ~ l"l I{:: ''G -(b r- -t \:.J 11"".IlII'I".' ESTATE OF ITEM NUMBER . SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS. EXPENSESu. . .. . PI.os. Print or Tvpe -------------------rmENuMBEil c. 21 - l)(, - 01,9/, .... .-.. __ __ __ _..__.__.___.____u_____n._~__~_._____._._ COMMQUW(A1I1IOf r(1l1l!tll".,UA IUllfAlIAutr IAI Rl1UAIl 'USIOUH IJ(CWfUJ .JOHNSON, NARY DESCRIPTION AMOUNT A. Funorol Expenses: 1. Fo!:elAanr,er-llr icker Funcr:ll 1I0II:l', fUlleral ('xl'cnRcs $ (,,263.30 B. Admlnl.trollve Costs: A. C. 1. 2. 3. 4. 5. 6. 7. 8. 9. 1. Parsonol Representative Commissions SnUllll1) K. I)('vor Social Socurity Number of Personal Rcprcscnlulivc: I II () Year Commissions paid _ 9,/lR/,.31 6/,7[1..00 05 2. Allornoy Foos Sally J. IHnder 9, RBI,. 31 3. Fomily Exemption Cloimonl _____,___ Address 01 Claimont 01 docedenl's doalh 51reet Address ___ 00_ . Relation.hip City ___________5tolo ______ Zip Code Probote Fees Register of Wills, Letters Testnmentnry Mlscelloneous Expenses: News-Chronicle, advertise LetterA 252.00 45.32 Cumberlnnd Law Journnl, advcrtlse LetLcrs 60.00 Division of Vltnl RecordR, denth certH !cateA 6.00 Presbyterinn lIomes, Inc., carc 3,1155.00 Emerald Drug Billing llel't., med !catloos 69./,7 Sally Davidson, church rcfreslnnl'ots afll'l" flllll'r:1I DR.50 Re!:ister of IHlls, filln!: of npl'r:llsl'mCnl nnd return 15.00 Register of I~U lA, short cl'rtIfl<-at('s Rer,iAter of IHIIR, resPl"v(' for flllor, aCI'ouot 6.00 150.00 TOTAL (AI.o enler on line 9, Rocopilulolion) S 30,629.21 (II more spoce Is needed, Insert oddltionol.hoets 01 somo sill.) .,YISIJ.'I.IlI'1 ~~I.Q If< ' ~, (OMMOIfW(AllltOP ,ttlll\IIVAUIA INHlllnANCf fUII1UIN IInIPIN,p'ClPUtl SCHEDULE J BENEFICIARIES ESTATE OF JOIINSON, flAil" C. FILE NUMBER 21 - % - 0/,9/, ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY RElATIONSHIP AMOUNT OR SHARE OF ESTATE A. TOItoblo Boqulnh: I. Richard E. Devor J> 0 nn~ 21 WAlnut Bnllnm "A 172(,(, 2. Ailie M. Kelso ?~ Il'l'rl~ Rnall Newville J> A 17241 ~ SAmuel K D('vnr J> 0 nn~ 21 WAlnut Bnllnm "A 172(,(, 4. Dorothy M. Goodlin/! 3 153 Ritner J li/!hwav Newville "A 17241 Ncphcw $ 5.000.00 Cousin $ 5.000.00 Bmllll'f 40%nf fesillue nr.testRle Sistcr 40% or residue nct cstate ITEM NUMBER NAME ANO ADDRESS OF BENEFICIARY AMOUNT OR SHARE OF ESTATE 8. Charitable and Governmental Bequosts: I. South Fairview Church or God 1212 C'entervilll' I{narl Ncwvilh, I'A 17241 $ 5.000.00 2. Lcesbur/! Unitcd Methodist Church f2 Slrohm RnArf Shippcnsburg I' A 17241 10% or femainllef ornct 3. Trinity United Methodist Church II R West Main Stf!'l'1 WAlnut Bnllnm "A 172611 10% of r!'mAinrll'r nfnel TOTAL CHARITABLE ANO GOVERNMENTAL BEQUESTS IAho 0"'0' on lino 13, Recapitulation) S (If mar. span Is n..ded, Insert additional sh..ts of sam. sin) /) /'/', BUREAU OF INDIVIDUAL TAXES IHltERIUNCE lAX DIVISION DtPf. Z806Dl IiARAIS!URC, PA I11ZI-0601 COHHONWEALTH OF PENNSYLVANIA DEPARTHENT OF REVENUE c NOTICE OF INHERITANCE TAX APPRAISEHENT. ALLOWANCE DR DISALLOWANCE OF DEDUCTIONS AND ASSESSHENT OF TAX - 11'-1"'1111' In.'" HARY C MAKE CHECK PAYABLE AND REHIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV:i5'4TEX-"FP-ioi-:ijrnicii'"iCEuOF-YNHEiiii'ANCn:A"x-iiPPRiiiSEHENT-,--"Li.-owAiicE-iili-------u------u DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF JOHNSON MARY C FILE NO. 21 96-0494 ACN 101 DATE 07-07-97 If an assessment was issued previouslY, lines 14. 15 and/or 16, 17 and 18 will reflect figures that include the total of 8bh returns assessed to date. ASSESSMENT OF TAX: 15. AMount of Lina 14 at Spousal rat. (15) 16. AMount of Lina 14 taxable at lin..I/Cla.1 A rat. (16) 17. AMount of Lina 14 taxable at Collat.ral/Cla.s Brat. (171 18. Principal Tax Due SALLY J WINDER 701 EKING ST SHIPPENSBURG ESQ DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN PA 17257 TAX RETURN WAS: (X I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Rod Estoto (Schodule A) III 2. Stock. and Bondi I Schedule B) (2) 3. Closely Hald stock/Partnership Interest (Schedula C) (3) 4. Hortg.g../Nota. Raceivable (Schadula DJ (4) 5. Cash/Bank Deposits/Hi.c. Parsonal Property (Schedule E) (5) 6. JointlY Owned P~ope~ty ISchedule F) (6) 7. Transfe~s ISchedule G) (7) 8. Total Asset. APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Fune~al Expensa./Ada. Costs/Hlsc. Expense. ISchedul. H) (9) 10. Dobts/Hortgogo Liabilitios/Lions lSchoduio I) (101 11. Total Deduction. 12. Net Value of Tax Raturn 13. Charitable/Govarn.antal Bequests ISchadule J) 14. Net Value of Estate Subject to Tax NOTE: TAX CREDITS: PAVHENT DATE 09-11-96 03-21-97 RECEIPT NUHBER AA146716 AA185302 DISCOUNT I.) INTEREST/PEN PAID (-) 447.37 22.37- 07-07-97 JOHNSON 06-12-96 21 96-0494 CUMBERLAND 101 Aaount Ralli Uad ) CHANGED .00 .00 .00 .00 208,546.82 .00 .00 (a) 30,629.21 .00 (11) UZ) (13) (4) .00 x .00= .00 X .06: 137.334.09 X .15: UB) AHDUNT PAID 8.500.00 11,675.11 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE BALANCE OF UNPAID INTEREST/PENALTY AS OF 03-22-97 NOTE: To insure propa~ credit to your account, sub. it tha uppar portion of this for" with you~ tax pay.ent. 208,546.82 30.6:>9 :>1 177.917.61 40,583.52 137.334.09 .00 .00 20,600.11 20,600.11 20,600.11 .00 3.53 3.53 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAVHENT IS REQUIRED. IF TOTAL DUE IS REFlECTED AS A "CREDIT" (CR). VDU HAV BE DUE A REFUND. SEE REVERSE SIDE OF THIS FDRH FOR INSTRUCTIONS.) r- f") I .." ._, -:;\ '3d RESERVATIONs Est.t.. of dlCldent. dying on or be for. Olc..blt' 12, 1'82 -- If any future Int.r..t In thl ..tat. 1_ tran.farrad In po,....lon or enJoy..nt to Cl... . (coUahnlJ bWMIflclar-1., of thl dlcldant .fhr thl ..plt.tion of MY I.tat. (or 11'. Dr for y..r., thl Co..on....lth har.by Ixpr...h r...rv.. thl right to apprals, and ...... tran.lar Inherltanu ran. at the lawful ct... I (coUat.raU rata on any such futun Inhr..t. PIJIPOS[ Of NOTICE: PAYJEHTz mtICD (CAJ: DIJECTIDHSt AIlOtI" ISTRA JIVE CORRECTIONS: o ISCIIIfT I PElCALTYI INn:RESTI I.l_ To fulfill the raqulr"""1 0' Section ZlU of the lnt.rUancI end E,tat. Tu Act, Act 21 of 1995. (72 P.S. Section 9l1tO), o.tach thtl top portion of thh Notice and sub. It with your p.y.....t to thl Reghta,. of Willi printed on the raver.. dde. --Kelt. check or .onlY ord.r paYlbh tal REGISTER OF MILLS, AGENT A nfund of . tn erMilt, which .... not rlqu..t.d on the Taw Rlturn, ..y be requnt.d by coepletlna en "Appllcetlon for Refund of Pennlrlvenl. Inheritance end Estat. Tax" (REV-U1]). AppllcIUonl .r. .v.llabla .t thlOfflca of the Raghtar of Wllh, any of thl Z3 Ravanul District Offlc'" or by caUlng tha .p.clal Zit-hour an.w.rlng ..rvlca ",-*,ar. for far.. ord.rlng: In PaM.ylvanl. 1-800-36Z-Z050, out,ld. P.nn.ylvanla and within loc.l HarrI.burg .r.. (717) 787-S09~, TOOl (717) 772-Z252 (Hlarlng I.palr.d Only). Any party In Interl.t not ..tI.fled with the appreha.ent, allo...anc. or dl..l1o...anc. of diaductlon., or .......ent of taw (Including dl.count or lnt.rut) a. sho,," on this NoUcl llU.t ObjKt within .bty (6oJ dart of reulpt of thll Notlca bYI -....rltten prot..t to the PA Dlpart.ant of Ravlnua, Bo.rd of ApPI..., Dept. Z111021, H.rrlsburg, PA "-Ilactlon to h.va the ..ttar d.t.r.lned at audit of the account of the p".onll rapr..antltlv., ..-eppaa. to the Orphans' Court. 17121-1021 , OR OR F8Ctu.l .rrors dIscov.r.d on this ........nt .hould be addra"ld In writing tal PA DIPart.."t of R.v."", Buraau of Individual TaXI', ATTM: Po.t A......ant Rlvlaw unit, D.pt. 280601, Harrl.burg, PA 17121-0601 PhoM (7171 787-6505. Sle pag. S of thl booklet "In.tructlons far Inher Itanu Tu Rlturn for a R..ldant Decedent" (REV-ISDn far an Ixpl.natlon of edllnIstr.Uvaly corr.ctabl. .rrora. If MY taw dua Is paid within thnl (3) c.lendar .onth. aft.r the dlc.d.nt's dadh, . flvl p.rcent u:n discount of thl ta. p.ld Is allowad. The lSX to. eanesty non-participation pen. I tv Is COllpUtad on the tot. I of the ta. and Intarnt .......d, WId not paid bafor. Januarr 11, 1996, the flrat day aftar tha and of tha hll a."a.ty period. This non-partlclp.tlon pan.lty h appl.lllble In the .... afltVMr and In tha the .... tI.e plrlod .. you would app..l the tu and Int.rnt thIIt hili bean ......ICI .. Inellc_tad on this notlc.. Int.ra.t Is ch.rged bag Inning with flr.t day of d.lInqulncy, or nln. (9) .onth. .nd ona UJ d.y frol the d.t. of d..th, to the d.t. of pey.ant. Tall" which b.c... d.llnquent before Januery 1, 1982 baar Interut at the rlt. of ,t. (6X) parcant p" annuli c.lculatad .t . dally rete of .DOOI6~. All t.... which blca.. d.llnquent an and after Jenu.ry I, 1982 will ba.r Intara.t at a rata which wUl very fro. celaodar yaer to calender y..r with that rate ~ad by thl PI, D.p.rt..nt of Rav.nu.. Th. .ppllcable lnt"..t rata. for 198Z through 1997 .r.1 ~ 1nt.rut Rat. DeilY Int.ra.t Factor !!!! Intar..t Rata Dally Int.r..t Factar nS2 zax .000S48 1981 .X .OOOZU 1915 16X .0001,38 1981.1991 IlX .000301 1984 llX . 00ll3D I 1992 'X .0002ft7 nls 13X .OlIOS56 1993-1994 7X .000U92 1916 lOX .00llZl" 1995.1997 .X .000Zit7 "-Interest h calculat.d .. followlI INTEREST = BALANCE OF TAX UNPAID X NUNDER OF DAYS DELINQUENT X DAILY INTEREST FACTOR --Any Hotlc. luu.d aft" the tax b.ca... d.lInquent will r.fI.ct an Int".st c.lcul.tlon to flft.an US) d.y. b.yond the d.t. o~ the ........nt. If pay..nt II ..dC'l .ftar the Int.rut cotlPUtatlon det. .hawn on the Hotlc., additional Intlre.t .ust b. calculatad. FIRST AND FINAL ACCOUNT of Samuel K. Devor, Executor of the ESTATE OF MARY C. JOHNSON, Deceased, Late of South Newton Township, Cumberland County, Pennsylvania ------------------------------------------ Date of Death - June 12, 1996 Date of Letters - June 21, 1996 Dale Letters Advertised: In the Cumberland l.aw Journal - July 19,26, and August 02, 1996 In The News-Chronicle - July 08, 15, and 22, 1996 ------------------------------------------ TUE ACCOUNTANTS CHARGE THEMSELVES WITH THE FOLLOWING: PRINCIPAL 1. Dauphin Deposit Bank & Trust Co., Insured Money Market Account, in the name of decedent, dated January 28, 1983, having a date of death balance of$24, 141.08 plus accrued interest of$8.90 $ 24,149.98 2. Dauphin Deposit Bank & Trust Co., Certificate ofDeposit # 8000425564, dated May 15, 1984, in the name of decedent. Face amount $25,000.00 plus accured interest $ 25,039.62 3. Dauphin Deposit Bank & Trust Co., Certificate of Deposit # 8100872937, dated May 18, 1985, in the name of decedent. Face amount $15,000.00 plus accrued interest $ 15,055.89 4. U.S. Savings Bonds per attached list having a face value plus interest accumulated $ 144,018.98 5. Coins in possession of decedent, per appraisal, a copy of which is attached $ 282 35 TOTAL PRINCIPAL............. $ 208,546.82 mjrunht.1Il elwprobcW.dte SCHEDULE OF DISTRIBUTION ESTATE OF MARY C. JOHNSON. Deceased Page 2 To: RICHARD E. DEVOR, in cash. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,000.00 AlLIE M. KELSO, in cash. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 5,000.00 SOUTH FAlRVIEW CHURCH OF GOD, in cash .. . . . . . . . . . . . . . . . . . . $ 5,000.00 LEESBURG UNITED METHODIST CHURCH, in cash. . . . . . . . . . . . . . . $ 14,231.41 TRINITY UNITED METHODIST CHURCH, in cash. . . . . . . . . . . . . . . . . $ 14,231.41 SAMUEL K. DEVOR, in cash. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 56,925.63 DOROTHY M. GOODLING, in cash. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 56,92563 Dorothy M. Goodling died . Her share is being paid to her issue, Timothy Goodling, Gary E. Goodling, and Jacqueline G. Ege, in equal shares Total Amount for Distribution. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 142,317.50 ------------------------------------------ COMMONWEALTH OF PENNSYLVANIA : SS COUNTY OF CUMBERLAND Samuel K. Devor, Executor of the Estate of MARY C. JOHNSON, Deceased, being duly sworn according to law, deposes and says that the foregoing First and Final Account and Schedule of Distribution is true and correct to the best of his knowledge, information and belief. _ ()/dA'M< ~ l .~ /eUMf/ SAMUEL K. DEVOR efore me 1997. , 14'-- mjrunh',dis Ill\trrprobDbae Notarial 58al Sally J. Winder. "olary Public ~hiODcnsb~rg.T.....'P ."l'n-:berland County "-II.m,SStOI, r'pimt. 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":J :0 ','i '..- t":'-: 1-. t,l - I'Ll -----=-"""')%/1::\ --r&l./JTr ~\,/,"'Y.J Dlll f..r;! l't" ":~': ' ':'", -.'<"1:' IV ':'Fl .ptllP'; r;~:' "':,".J \:1 p03JO~P u:' li'..~,t.'.i ~ '. " ,jl,. ",. POu:,,'CO:) It,rm,..' "f"1 (J\.? . c: I :,\'OlU" ""'t.., ,1' "J R1JUltl ~Q"f3 SAU.\' ,I. WINDER II IIOmt'Y at Lall' 701 1:. Killll SUCCI ShirllClI~huflt. 1',\ 17257 ,